HomeMy WebLinkAbout42811-Z o1pS1�fF®d'1'CdG Town of Southold 7/6/2018
y P.O.Box 1179
o • 53095 Main Rd
Southold,-New York 11971
CERTIFICATE OF OCCUPANCY
No: 39751 Date: 7/6/2018
THIS CERTIFIES that the building EXHAUST HOOD AND/OR FIRE SUPRESSION SYSTEM
Location of Property: 69405 Route 25, Greenport
SCTM#: 473889 Sec/Block/Lot: 45.-143
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/8/2018 pursuant to which Building Permit No. 42811 dated 6/25/2018
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
hood system as applied for.
The certificate is issued to Costas,Minnie&Fredriksson,Eliane
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A thonzed Signature
o�g11FFDl�-�O TOWN OF SOUTHOLD
BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 42811 Date: 6/25/2018
Permission is hereby granted to:
Costas , Minnie & Fredriksson, Eliane
PO BOX 70
Greenport, NY 11944
To: install a hood system as applied for.
At premises located at:
69405 Route 25, Greenport
SCTM # 473889
Sec/Block/Lot# 45.-1-13
Pursuant to application dated 6/8/2018 and approved by the Building Inspector.
To expire on 12/25/2019.
Fees:
COMMERCIAL ADDITION/ALTERATION $250.00
CO -COMMERCIAL $50.00
Total: $300.00
Building Inspector
o��OE SOUT,yo2e?l
# # TOWN OF SOUTHOLD BUILDING- DEPT.
765-1802
INSPECTION .
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY V, FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REM :
6�
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) H
-------------------------------------
0
'FOUNDATION (2ND) SIP
z
O
ROUGH FRAMING& I
PLUMBING
INSULATION PER N.Y. y
STATE ENERGY CODE
o,
' l
FINAL
• 1
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802. Planning Board approval
FAX: (631) 765-95020 C Survey
Southoldtownny.gov PERMIT NO. 0 Check
Septic Form
I N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined _,20 Single&Separate
Truss Identification Form
�- Storm-Water Assessment Form
0�
Con ct:
Approved ,20 Mail to:
Disapproved a/c
Phone:
Expiration ,20
D n
I Building Inspector
L!
JUN ® 7 2010 APPLICATION FOR BUILDING PERMIT
RVMDF1gG DR.PT. Date jzz ll P `m-W , 20 /$
TOWN DP sOuTHOLD INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work. _
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. Th
applicant agrees to comply with all applicable laws, ordinances,building code, housing code, and regul ' s an it
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer general contractor electrician, plumber or builder
Name of owner of premises MIA41a ccda,IC,
(AS on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. b
1. Location of land on p ich ro ose work will be. one:-'-,�
s. , .r
S cas.
House Number Street ;. Hamlet
County Tax Map No. 1000 Section $� Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration V/
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost P2,J-00, Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
A
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number�of Stories'V, = ''
! !
8. Dimensions of entire new construction: Front Rear r,-Depth
Height Number of Stories'
C• j
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-,�11'-
13. Will lot be re-graded? YES NO �e_Will excess fill be removed from premises? YES NO
14. Names of Owner of premises -aPe,r„e Cos'rAs Address Phone No.
Name of Architect Address Phone No
Name of Contractori9nyel�., r,/zt. Address F-of ve,ll r9ve, Phone No.A43`/) 1-/�s
/3FJ f'J-wo,?a X/.1�
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ol,
* IF YES, SOUTHOLD TOWN TRUSTEES'& D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale, with accurate foundation plan and distances-to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO ,
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SuFh�cK )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the C0112 1;-641
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this JOANNE MICALj'FN64t�
day of r'7 20J �PUBLIC STATE
SUFFOLK COU
LIG.#01MI6289
AM � - I _ __
Notary Public ignature of Applicant
SUFFO-3
F/ACORO" DATE(MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 04126/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER 631-581-7978 kRWCT Ryan D. Gillies
James F.Sutton Agency Ltd. PHONE631-581-7978 FAX 631-581-7507
149 E.Main Street WC,No,Ext): (AIC,No):
P.O.Box 76 Mass:
East Islip NY 11730
Ryan D.8111les INSURGR(Sl AFFORDING COVERAGE NAIC A
INSURER A:Admiral Insurance
INSURED Suffolk Fire Inc DBA INSURER B:
Anderson Fire Equipment
9 O'Neill Avenue INSURER C:
Bay Shore,NY 11706 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION UMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS MADEOCCUR CA000024162-03 04/24/2018 04/24/2019 DAMAGETORENTED SES(E"_aCUrT0nC9) $ 100r000
MED EXP(Any oneperson) 5,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
POLICY El wT E]LOC PRODUCTS-COMPIOP AGG 2,000,000
OTHER
AUTOMOBILE LIABILITY COM
[ SINGLE LIMIT $
ANY AUTO BODILY INJURY Per erson
OWNED SCHEDULED
'AUTOSONLY AUUTNO�SyV� E BODILY INJURY Per accident $
AUTOS ONLY AIJTOS ONNLQ P&0aER�nt AMAGE $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
;EXCESS LIAR HCLAIMS-MADE AGGREGATE $
DED I I RETENTION$
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y I N
A UTE ANY PRRO(PMRIIETgO�R�IPARTNER/EXECUTIVE ❑ E L EACH ACCIDENT $
Wandatary in NH) �UDED? N I A
E L DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Proof of Insurance
CERTIFICATE O E
TOWN182
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS.
54375 Route 25
PO Box 1169 AUTHORIZED REPRESENTATIVE
Southold,NY 11971 Ryan D.Gillies
ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
G
1
New York State Insurance Fund
Workers'Compensation&Disability Benefits Specialists Since 1914
8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
^^"^^^ 113268460
SUFFOLK FIRE INC T/A
ANDERSON FIRE EQUIPMENT CO
9 ONEIL AVE
BAY SHORE NY 11706 [oil
Scan to Validate
POLICYHOLDER CERTIFICATE HOLDER
SUFFOLK FIRE INC T/A TOWN OF SOUTHOLD
ANDERSON FIRE EQUIPMENT CO 54375 ROUTE 25A
9 ONEIL AVE PO BOX 1169
BAY SHORE NY 11706 SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
1723238-2 915498 10/29/2017 TO 10/29/2018 10/25/2017
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 723 238-2, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW,
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PATRICK TURRO(PRESIDENT)OF A ONE
PERSON CORPORATION
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER: THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER:212703529
U-26.3
YORK Workers' CERTIFICATE OF INSURANCE COVERAGE
STATE Corn
UNDER THE NYS DISABILITY BENEFITS LAW
PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier
1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured
(631)665-6862
SUFFOLK FIRE INC
DBA ANDERSON FIRE EQUIPTMENT 1c.NYS Unemployment Insurance Employer Registration Number of
9 ONEILL AVE Insured
BAY SHORE,NY 11706
Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security
certain locations in New York State,i.e.,a Wrap-Up Policy) Number
113-26-8460
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder) New York State Insurance Fund(NYSIF)
TOWN OF SOUTHOLD 3b.Policy Number of Entity Listed in Box 1 a"
64375 ROUTE 25A DBL 5853 65-1
PO BOX 1169
SOUTHOLD,NY 11971 3c.Policy effective period
10/02/2009 to 10/02/2018
4.Policy covers:
® A.All of the employer's employees eligible under the New York Disability Benefits Law
B.Only the following class or classes of employer's employees:
Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named
insured has NYS Disability Benefits insurance coverage as described above.
Date Signed 10/25/2017 By G -�;' _:;'� J Joseph J.Masi
(Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier)
Telephone Number (866)6974332 Title Director of NYSIF Disability Benefits Insurance
IMPORTANT: If Box"4a"is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that
carrier,this certificate is COMPLETE.Mail it directly to the certificate holder.
If Box"4b"is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability Benefits Law It must be mailed
for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,328 State Street,Schenectady,NY 12305
PART 2.To be completed by the NYS Workers' Compensation Board(Only if Box"411b"of Part 1 has been checked)
State of New York
Workers' Compensation Board
According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS
Disability Benefits Law with respect to all of his/her employees
Date Signed By
Signature of NYS Workers'Compensation Board Employee)
Telephone Number Title
Please Note.Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of
those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this fonn.
DB420.1 (945) Certificate Number 457989
Additional Instructions for Form 1313-120.1
By signing this form,the insurance carrier identified in box"3"on this form is certifying that it is insuring the business
referenced in box"1 a"for disability benefits under the New York State Disability Benefits Law.The Insurance Carrier or its
licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in box"2".
Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if
cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of
the policy effective period? YES ®No
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,
extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the
referenced policy.
This certificate may be used as evidence of a Disability Benefits contract of insurance only while the underlying policy is in effect.
Please Note: Upon the cancellation of the disability benefits policy indicated on this form,if the business continues to be named
on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new
Certificate of NYS Disability Benefits Coverage or other authorized proof that the business is complying with the mandatory
coverage requirements of the New York State Disability Benefits Law.
DISABILITY BENEFITS LAW
§220. Subd. 8
(a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any
permit for or in connection with any work involving the employment of employees in employment as defined in this article, and
not withstanding any general or special statute requiring or authorizing the issue of such permits,shall not issue such permit
unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of
disability benefits for all employees has been secured as provided by this article. Nothing herein, however,shall be construed
as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability
benefits to any such employee if so employed.
(b)The head of a state or municipal department, board,commission or office authorized or required by law to enter into any
contract for or in connection with any work involving the employment of employees in employment as defined in this article
and notwithstanding any general or special statute requiring or authorizing any such contract,shall not enter into any such
contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment
of disability benefits for all employees has been secured as provided by this article.
1313-120.1 (945)Reverse
�l` l 1000�tE� of 6ollipk'ttdli
This is to certify that
Patfpck Turro
an employee of
ANDERSON MRE EQUPMENT
an Authorized Badger Distributor
has successfully completed a certification training session covering design, installation,
operation and maintenance and has demonstrated a practical knowledge of the following
Badger product:
Range Guard Systems
eq
L Issue Date: 4/4/2017
���IE�
PirjExpiration Date: 4/4/2020
etta Ruokola
This certificate is non-transferable.Certificate is only valid as long as the above named company employs the certified individual.Acceptance of this certificate implies
agreement to abide by the terms of distributor agreement by the above named company and individual.Any violation or alteration of this certificate will result in the
immediate voiding of this certificate.
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Portable fire Extingulshar and
Autoinatle FIre ExtingtilshInU Systems
ti; yetLicensing Board
Patrick 'rurro
Hy'Op"W'12i, Y
4� VRow i -fitiffolk Flu,Inc,
its) Vol%'IfVvjo 'rhis carillies that this 1130
Individual Is dUIY Ilconsud
by Ilie Courj(y of Suffol1c, 01/19/2017
Josoph F. Williams I.xpJriukn,Imul,
CORIMISsIonor 01/31/2019
Ilk"o."w'ormov, murvannuum ORR) Am)(InTim
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SEAL TIGHTS (TYP.) y :i
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APPROVED A TED 14"x12" DUCT �
13"x9" DUCT
�- Z a W Z
yZ(Yf�f I MPOD ADP ADP ADP ' " ~
DAT :�`2�IS,P #°��- (E STING) t ? 6-5 HOOD 9
t (EXISTING) Z ��0 o
F . 5 3Y I _ _
��..ss.� ®— —®-- - - - - - - -- -- --®- - —®— � F ���
NOTIFY BUILDING DEPARTkv1ENT AT 360' X360' 360' CONTROL 450' 360'i 450' 450' - a ='�� Z
765-11802 4 Aiv1 T 0 11 P1ri FOP, THE — — — — — F_ — — HEAD _ V M Z
F ___ o
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FOLLOWING Ii�SPECTIONS: - - ADP - -- - SIL -1 F-L ADP N
1. FOUNDATION - TWO REQUIRED I I I r I - 1-- - >- - T - -I
FOR POURED CONCRETE I I I I I I RG I I I I I W
2. ROUGH - FRAMING & PLUMBING I I VENT PLUGI I I � GAL J
3. INSULATION
4. FINAL - CONSTRUCTION MUST ADPI I I (40I GRW R F F
BE COMPLETE FOR C.O. z
�TlO�d SHALL MEET THE � - -� I L"'I`- --� FRYER 6" w
ALL CONSTRUE LPR LPR I I MIN. TO EDGE _
REQUIREMENTS OF THE CODES OF NEW GUARD BO HOOD ON cO
PULL I a" TO Y" � a °� �
YORK STATE. NOT RESPONSIBLE FOR STATION I REDUCING BOTH SIDES
DESIGN OR CONSTRUCTION ERRORS. " " °P co
_
36 x28 " I TEE m r m � m �a =
6 BURNER 12 x24 0 2 " 24 x21 w -= i P VV \
I I GAS cv c7 a a_
GRIDDLE TABLE z = _
® RANGE I VALVE RADIANT a o 0 012N18 0 "�,.-�_Tq L, j \;
i fl W/ SHELF CHEESE -® CHAR—BR. C'4 X X
= d t.
MELT `
OR
FRONT VIEW /
,SFO �____,_✓ ��,
SCALE:3/s"=1'-0., \J`�F`✓i��r/
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AES MANUFACTURER: COMPONENTS: NOTES:
RANGE GUARD: _RG 1.25 GAL. _RG 2.5 GAL. _RG 4 GAL. -L1)-RG 6 GAL. RANGE GUARD x Fryers to have High Limit Control to shut off fuel at 425. og §Z j ==Zo
RG 6.0 GALLON - MAX. FLOW POINTS = 18 x Detectors shall be located over every piece of equipment. omWi3
Piping Material BLACK SCH 40 Max. Rise 10' POINTS USED = 15 x The System installed as per manufacturers specs and the AHJ. *WWZS �
Supply Pie Size 3 4" Branch Pie Size 1 2" Dro s 3 8" TOTAL PIPE VOLUME NOT TO EXCEED 400 CUBIC INCHES x The System has been installed as per UL300. Wg'ZN o�WQ go8o
PPY P �— P �- P -�- Y P W r=4=- M-
Gas Valve Type: MECH Size 2 3 4" Manufacturer ASCO (EXIST. MAX. PIPE LENGHT 75 FT. x The following functions to operate upon system discharge: Naoko O574 o
Detector Temperature Rating: 360-1450- RG-6.0 GAL. CYLINDER #60-120005-001 * Supply air damper closes * Gas fuel shuts off in kitchen OZZ600 wnogg 0300W
' DISCHARGE ADPT. KIT 83-844908-000 * Exhaust fan remains on * Electric fuel shut off under hood EN. 10020
M �IeWZ
Hood Size: 7-0 (EXIST.) Duct Size: 14 X12 # * All systems to activate simultaneous) m same hazard area. =<�as �Qya� BoB
VENT PLUG 9196984 * Fire Alarm shall activate. Y
Hood Size: 6'-5" (EXIST.) Duct Size: 13"X9" #
SHELF BRACKET #9197414 0
EQUIPMENT SURFACE NOZZLE CONTROL HEAD 8120099 x Manual Pull Station shall be located a minimum of 10 ft. from L- 2
QTY. TIP#/QTY. LOCATIONS #
TYPE AREA HEIGHTS DUAL SPOT #8120039 hood & a maximum of 20 ft. from hood and 4 ft from floor. (�
DUCT 1 14"x12" ADP 2 0"-6" 0"-6" IN OPENING ADP NOZZLE #87-120011-001 x All fuel sources are GAS unless otherwise noted. W •p* a
DUCT 1 13"x9" ADP 1 0"-6" 0"-6" IN OPENING F NOZZLE #87-120012-001 pl } A
LPR PLENUM 1 7'-0" ADP 1 0"-6" FROM END OF PLENUM GRW NOZZLLE #87-120013-001 C0Mf-Y VM N.L CODES OF V w �-v
PLENUM 1 6'-5" ADP 1 0"-6" FROM END OF PLENUM `� (�f o o
R NOZZLE #87-120014-001 1VEW Y®AK STATE&TOWN CODES n j�
6 BURNER RANGE 1 36"x28" LPR 2 16"-20" CENTER LINK HOUSING #120064 �'` AEW*ED >i � �� (D Q >.
GRIDDLE 1 12"x24" ADP 1 13"-48" ON PERIMETER NM WITHIN 3" CTR. MANUAL RELEASE #8875572 1 �� � �� � c7 m
" " 360' LINK #WK-282664 a
CHEESE MELTER 1 12 x18" ADP 1 - TOP 4 OF COMPARTMENT 450' LINK #WK-282663 Q�����1�� N o
RAD. CHAR-BR. 1 24"x21" GRW 1 24"-48" 45' TO 90'
2 � O QolA31 1BURNER RANGE 1 12"x24" R 1 20"-42" CENTER
V) a� M
FRYER 2 14"x20" F 2 27.5"-45" 45' TO 90' ® W C11 ..I p q
A FIRE EXTINGUISHER WITH A MINIMUM RATING (y 1 0 co
OF CLASS K MUST BE INSTALLED WITHIN THE a
VICINITY OF THE COOKING AREA.
System Design
3-6 VENTILATION
3-6.1 Plenums
Table 3-29. Plenum Protection
Items Parameters ADP Nozzle
No Filter 1 10 ft.x 4 ft. (3 m x 1.2 m)Max. 1 -located at one end of the plenum
"V"Filter 10 ft.x 4 ft. (3 m x 1.2 m) 1 -located at one end of the plenum
20 ft.x 4 ft. (6 m x 1.2 m) 2-located at end of plenum pointing inwards
Single Bank Filter 10 ft.x 4 ft. (3 m x 1.2 m) 1 -located at one end of the plenum
20 ft.x 4 ft. (6 m x 1.2 m) 2-located at end of plenum pointing inwards
1 When no filters are present,the nozzle protecting the plenum is used to discharge the wet chemical on the under-
side of the hood.In this case,the hood may not exceed a length of 10 ft. (3 m)or a width of 4 ft. (1.2 m).
Plenums larger than 10 ft. (3.0 m)x 4 ft. (1.2 m)may be protected by adding additional ADP nozzles
for each additional 10 ft. (3.0 m)of plenum length and each additional 4ft. (1.2 m)of plenum width.
Nozzles may be installed pointing in the same direction, and/or at the ends of the plenum pointing
toward each other (see Figure 3-28).Each nozzle will provide coverage for a maximum of 10 ft. (3 m)
of plenum length and 4 ft. (1.2 m) of plenum width.
ADP nozzles must be centrally located in the plenum with their discharge directed along the length of
the plenum and located in relation to the filters as shown in Figure 3-28.Refer to Figure 3-28 for filter
height.
P/N 60-9127100-000 3-33 April 2009
System Design
3-6.1.1 DUCTS
The ADP nozzle, P/N 87-120011-001, is used for protection of the exhaust ductwork.
The duct cross section can be any shape, not including obstructions (i.e., round, square, or
rectangular) and the duct itself can be of unlimited length. In accordance with NFPA 96, the exhaust
fan should be left running at the time of system discharge. This will help to remove smoke and other
airborne materials and gases from the hazard area in the event of a fire. Check with the Authority
Having Jurisdiction for local requirements. A damper, if present, should be left open at system
discharge. However,if the damper is closed,the system designer must insure that additional nozzles
are required.
3-6.1.1.1 Protection of Ducts O to 50 inches in Perimeter
One ADP nozzle, P/N 87-120011-001, is required for protection of a duct with a perimeter up to 50-
inches (refer to Figure 3-29). Length of duct is unlimited.
The nozzle is located at the geometric center of the cross-sectional area that it is protecting, and is
located in the duct within six inches of the entrance.
Note: All Range Guard systems are listed by UL and ULC for use with the exhaust fan either on or
off when the system is discharged.
DUCT
L
HOOD
DUCT PERIMETER UP TO AND INCLUDING 50 in.(1270 mm)
11.78 in.(300 mm) 15.91 in.
MAX.DIAGONAL (404 mm)
I♦_,.B„
MAX. _
12.5 in. 11.78 in.(300 mm)(318 mm) I f MAX DIAGONAL
MAX. I A
SQUARE DUCT RECTANGULAR DUCT
ROUND DUCT 2"A"+2"B"=65 In.(1651 mm)
It OF VERTICAL DUCT
ADP NOZZLE VERTICAL/HORIZONTAL DUCT AIM POINT 1L
0-61n.(0-152mm)
DUCT ENTRANCE 't' ADP NOZZLE i (L OF HORIZONTAL DUCT
2 to 4 In.(51 to 102 mm)
NOZZLE TIP to DUCT HIP
Figure 3-29. Duct Protection Using Single ADP Nozzle, P/N 87-120011-001
P/N 60-9127100-000 3-35 April 2009
System Design
3-6.1.1.2 Ducts 50 to 100 inches in Perimeter
Two ADP nozzles, P/N 87-120011-001, pointing in the same direction are required for protection of
ducts with perimeters greater than 50 inches and less than or equal to 100 inches. Ducts can be of
unlimited length (refer to Figure 3-30).
For other option of ducts up to 75 perimeter inches (See Figure 3-32).
Note: All Range Guard systems are listed by UL and ULC for use with the exhaust fan either on or
off when the system is discharged.
DUCT
HOOD
X
"/4X+ I � +/d 1/2d. MAX.DIAMETER 31.83 in. 809 mm
/zx- '/ax '/2X %d ( )
I I INOZZLES TO BE ALONG ONE
25 in.(635 mm) CENTERLINE AT THE 114 POINTS.
MAX.SIDE + ♦ 16 ♦ NOZZLES TO BE 0-6 In.(0-152 mm)
UP FROM ENTRANCE OF VERTICAL DUCT
MAX.DIAGONAL 11.78 in.(300 mm)
MAX.DIAGONAL TYR(2)ADP NOZZLES
11.78 In.(300 mm)
SQUARE RECTANGULAR ROUND
ADP NOZZLE
I
0 to 6 in.
_ (0 to 152 mm)
1 .
DUCT ENTRANCE
Pc OF VERTICAL DUCT
I
Qac OF HORIZONTAL DUCT
I �
2-4 In.(51 mm.102 mm) ADP NOZZLE i�� AIM POINT
NOZZLE TIP TO DUCT HIP
VERTICALlHORIZONTAL DUCT
Figure 3-30. Duct Protection Using Two ADP Nozzles, P/N 87-120011-001
April 2009 3-36 P/N 60-9127100-000
System Design
3-4.15 Gas Radiant/Electric Charbroiler
Table 3-21. GRW Nozzle Coverage Area
Items Parameters
Maximum Cooking Surface 21 in.x 24 in. (533 mm to 610 mm)
Nozzle Aim Midpoint of the hazard area above cooking surface
Nozzle Location(located at an angle of 45°or more from 24 in. (6 10 mm)Min.
the horizontal) 48 in. (1219 mm)Max.
A GRW NOZZLE MAY BE LOCATED
ANYWHERE WITHIN THE GRID
48 in.(1 mm)
MAX. DIAGONAL FROM
AIM POINT
48In.(1219 mm) 48in.(1219 mm)
MAX. MAX. A GRW NOZZLE MAY BE
LOCATEDANYWHERE
WITHIN THE GRID
24 in.(610 mm) AIM POINT:MIDPOINT - • -!Q}
MAX. OF HAZARD AREA z ,�
NOZZLE LOCATION
_ 45°OR MORE FROM
HORIZONTAL
E
21 In.(533 mm) AIM POINT:
MAX. MIDPOINT OF �� O
HAZARD AREA
RADIANT LAYER `
GAS FLAME
r 21 In.(533 mm)MAX.
24 in.(610 mm) APPLIANCE AREA
MAX.
FRONT VIEW SIDE VIEW
Figure 3-17. Gas Radiant/Electric Charbroiler
April 2009 3-22 P/N 60-9127100-000
System Design
3-4.10 Two Burner Ranges
Table 3-14. R Nozzle Coverage Area—Two Burner Range
Items Parameters
Maximum Hazard Length 28 in. (711 mm)
Nozzle Aim Midpoint of hazard area
Nozzle Location-Anywhere within the area of a circle 20 in. (508 mm)Min.
generated by a 9 in. (229 mm)radius about the midpoint 42 in. (1067 mm)Max.
Note: Shape of burner not important.
I 18 in.(457 mm)DIA.
J'I — 42 in.(1067 mm)MAX.
-"I (FROM TOP OF RANGE)
A'R'NOZZLE MAY BE
LOCATED ANYWHERE WITHIN
THE SHADED AREA
20 in.(508 mm)MIN. AIM POINT:MIDPOINT OF
(FROM TOP HAZARD AREA
OF RANGE)
28 in.(711 mm)MAX.
HAZARD AREA 14 in.(356 mm)MAX.BURNER
LENGTH CENTERLINE TO CENTERLINE
Figure 3-11. R Nozzle Coverage for a 2-Burner Range
April 2009 3-16 P/N 60-9127100-000
System Design
3-4.4 14 in. x 14 in. (356 mm x 356 mm) Deep Fat Fryer
Table 3-5. F Nozzle Coverage Area
Items Parameters
Maximum Hazard Area 14 in.x 14 in. (356 mm x 356 mm)
Maximum Appliance Area(with drip board) 14 in.x 24-1/2 in. (356 mm x 622 mm)
Nozzle Aim Midpoint of hazard area
Nozzle Location(from top of appliance at an angle of 450 or more 27-1/2 in. (686 mm)Min.
from the horizontal) 45 in. (1143 mm)Max.
AN F NOZZLE MAY BE LOCATED
ANYWHERE WITHIN THE GRID AN F NOZZLE MAY BE
LOCATED ANYWHERE
WITHIN THE GRID
451n.(1143 mm) DIAGONAL FROM
MAX AIM POINT i r /
45 In.(1143 mm) 45 In.(1143 mm) 4I-
MAX MAX - ♦ -- '
NOZZLE LOCATION ��` E
45°OR MORE FROM
HORIZONTAL `� � py�c
MIDPOINT OF `%
27-112 in. HAZARD AREA
(6 99 mm)MIN
AIM POINT:
11 R MIDPOINT OF
/ \ HAZARD AREA
14 in.(356 24-1/2 In.mm) _ = HAZARD AREA
(622 mm)MAX
_ DRIP BOARD 4 01
DRIP BOARD 14 In.(356 mm)MAX.
24.1/2 In.(622 mm)MAX.
I~ 14 in.(356 mm)MAX APPLIANCE AREA
FRONT VIEW SIDE VIEW
Figure 3-5. 14 in.x 14 in. (356 mm x 356 mm)Deep Fat Fryer
P/N 60-9127100-000 3-9 April 2009
System Design
3-4.20 Griddle—Flat Cooking Surface (With or without Raised Ribs)
Table 3-26. ADP Nozzle Coverage Area
Items Parameters
Maximum Hazard Area 30 in.x 42 in. (762 mm x 1067 mm)
Nozzle Aim At a point 3 in. (76 mm)from the midpoint of hazard
area
Nozzle Location—any point on the perimeter of 13 in. (330 mm)Min.
appliance 48 in. (1219 mm)Max.
Note:Positioning the nozzle directly over the appliance is
not permitted.
48 In.
(1219 mm)
MAX.
1
301n. I
(762 mm) 13 in.
MAX. (330 mm)
MIN.
TOP OF APPLIANCE
AIM POINT:3 in.(76 mm)RADIUS FROM
421n. THE MIDPOINT OF HAZARD AREA
(1067 mm)
MAX.
Figure 3-22. Griddle-Flat Cooking Surface
P/N 60-9127100-000 3-27 April 2009
System Design
3-4.13 Upright Broilers e re,2
Table 3-19.ADP Nozzle Coverage Area
Items Parameters
Broiler Compartment With Maximum Internal Horizontal 30-1/4 in.x 34 in. (768 nun x 864 mm)
Dimensions
Nozzle Aim Through grill toward the center of the grease drain-off
opening
Nozzle Location Within the top 4 in. (102 mm)of space in the broiler
compartment.Commonly mounted near the front
opening and directed inside the broiler
BROILER
o —RM G EXHAUST DUCT
COMPARTMENT M
GRILL VE
4 in. (102 mm)
MAX. 30-1/4 in. 34 in.(864 mm)—►
766 mm MAX. MAX
GREASE
GREASE DRAIN PAN DRAIN-OFF
FRONT
(BROILER DOOR REMOVED) RIGHT SIDE
NOTE: DIMENSIONS SHOWN ARE INSIDE BROILER COMPARTMENT
ADP NOZZLES SHOULD BE MOUNTED ON THE PERIMETER OF THE BROILER
TOP (SHADED AREA). IT SHOULD BE DIRECTED THROUGH THE GRILL
TOWARD THE CENTER OF THE GREASE DRAIN-OFF OPENING. NOZZLE
DISCHARGE SHALL NOT BE OBSTRUCTED BY ANY STRUCTURAL PART OF
THE BROILER.
Figure 3-15. ADP Nozzle Placement for Upright Broilers
April 2009 3-20 PIN 60-9127100-000
System Design
3-4.12 Four Burner Ranges (LPR), P/N B120024
The low proximity range top coverage provides protection for a range top that has a back shelf or a
broiler integral to the regular range.
Table 3-16. LPR Nozzle Coverage Area—Four Burner Range
Items Parameters
Maximum Hazard Area 24 in.x 24 in. (610 mm x 610 mm)
Nozzle Aim Midpoint of hazard area
Nozzle Location—Dimension A in Figure 3-13 Refer to Table 3-17
Table 3-17. LPR Nozzle Parameters
Burner Spacing Centerline to Centerline
(Dimension B in Figure 3-13) Nozzle Height(Dimension A)
Note: Shape of burner not important. (centrally over the range and under shelf/broiler)
14 in. (356 mm) 16 in. (406 mm)Min.
20 in. (508 mm)Max.
Between 12 in. and 14 in.(305 mm and 432 mm) 16 in(406 mm)Min.
17 in(432 mm)Max.
Between 10 in. and 12 in. (254 mm and 305 mm) 16 in. (406 mm)
i
i
i
DIMENSION"A"
(NOZZLE HEIGHT AN LPR NOZZLE MAY BE
MEASURED TO I LOCATED OVER THE CENTER
TOP OF BURNERS OF THE HAZARD AREA.SEE
1 TABLE FOR NOZZLE HEIGHTS.
i
AIM POINT MIDPOINT OF
HAZARD AREA
241n. 610 mm
MAX.HAZARD DIMENSION"B"
AREA LENGTH i
DIMENSION"B"
f-- 24 In.(610 mm)MAX. -►
HAZARD AREA WIDTH
Figure 3-13. LPR Nozzle Coverage for a 4-Burner Range (LPR)
April 2009 3-18 P/N 60-9127100-000