HomeMy WebLinkAbout32866-Z FORM NO. 4
1
TOWN OF,SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33565 Date: 02/26/09
•
THIS CERTIFIES that the building FIRE SUPPRESSION SYSTEM
Location of Property: 4715 GREAT PECONIC BAY BLVD LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 125 Block 4 Lot 24.23
Subdivision Filed Map No_ Lot No. `
conforms substantially to the Application for Building Permit heretofore
filed-in this office dated MARCH 27, 2007 pursuant to which
Building Permit No_ 32866-Z dated MARCH 30, 2007
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 AUTOMATIC FIRE EXTINGUISHING SYSTEM AS APPLIED FOR.
i
The certificate is issued to LAUREL LINKS COUNTRY CLUB INC
(OWNER)
, of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Authorized ignature
Rev. 1/81
Form No.6
FRFC E C E P U TOWN OF SOUTHOLD
BUILDING DEPARTMENT Q d
FEB 2 3 2M TO"HALL
765-1802
BLDG:DEPT. PLI Al FOR CERTIFICATE.OF OCCUPANCY
TOWN OF SOUTHOLD
This application must be filled;by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines,streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building,industrial building,multiple.residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
1
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application-and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
L Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00.
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00-
Date.
New Construction: Old or Pre-existing Building: (check one)
.Location of Property:. Is !�As c 6 y 6 U V-0 LA PEEL
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000' Section 2 Block4 Lot y_
Subdivision r Filed Map.. Lot:
Permit No. .39 dp b Date of Permit. 0 4— Applicant: LAM ,jh W_9 CC
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary
Certificate Final Certificate:��C (check one)
Fee Submitted: $ -5-0. V V
. jp?ian.t
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32866 Z Date MARCH 30, 2007
Permission is hereby granted to :
LAUREL LINKS CC (FUEL STORAGE)
6400 MAIN RD
LAUREL,NY
for
AUTOMATIC EXTINGUISHING SYSTEM AS APPLIED FOR
at premises located at 4715 GREAT PECONIC BAY BLVD LAUREL
County Tax Map No. 473889 Section 125 Block 0004 Lot No. 024 . 023
pursuant to application dated MARCH 27, 2007 and approved by the
Building Inspector to expire on SEPTEMBER 30 , 2008 .
Fee $ 250 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
OF SOUry� 2 S, 6
coulm,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPINGN-UNAL
[ ] FIREPLACE A CHIMNEY C�> FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE ' 2 INSPECTOR
J
FIELD INSPECTION REPORT DATE COMMENTS
� b
FOUNDATION(IST)
l�
-------------------=----------------
FOUNDATION (2ND)
0
J
• y
ROUGH FRAMING& '
PLUMBING
M
r
INSULATION PER N.Y. �3
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
- - Z
01
-j
ci
G
• y
d
r�
b
BOARW OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS .OF PLANS
TOWN OF SOUTHOLD SURVEY . . . . . . . . .
BUILDING DEPARTMENT CHECK ... . . .... . . . . . . . . . . . . . . . . ... .
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CALL
Examined......... 19... MAIL T0: eq-: , LsN. .. .
.. /l�oTFCTsOnJ
IdT ra
Approved.......... .:.•, 19.�7 Permit No. .. �. ... .. .�!.. ..au K....... .........
Disapproved a/c •• cNr�!L. A) i!5.y
<...... �
. ... � off`.......................
"( ((Building Inspector)
APPLICATION FOR BUILDING .PERMIT Zov7
Date. ... . . . .!° /$ . . 44.
INSTRUCTIONS
a. `is "location mist be canpletely filled in by typewriter or in ink and submitted .to the-.Building Inspector wit
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan sharing location of lot and of buildings on premises, relationship:to,'adjoining'pemises or-public
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is..part,.of
this application.
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
:.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 whatever until :a Certificate of
Occupancy shall have been granted by the Building Inspector•
APPLICATION IS BEEEBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building 7.one Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances*or
R_,gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
d`scribed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and
i.�gulations, and to admit authorized inspectors on premises and in building'for,necessary inspections..
j
(Signature of applicant, or name, if a corporation)
y9 /.,;o/1JT/�LtK ... y �/Uic2 O:!J2�CHES
(Mailing address of l' A
FIRE
NEQ
State whether applicant is owner, lessee, agent, architect, engineer, general contract( -.w older
IS
r/1 ..-/�pTEGTSO')...�. ....1cT02.................................... N{�............ .....
.OnROVED AS NOTED
NaTe of owner oacorat'on,
.......................................................... .......
(as on the tax roll or latest deed) g.P.##
DATE:
1 Etlanti signature of duly authorized officer. as
FEE:
DEPA WENT AT
NOTIFY BUILDIN3 THE
8 AM TU 4 pM FOR
(Name and titla•e•offi.cer)•••!w4c2TvLs/-�yN �JI� 765-18Q2 FOLLOWING INSPECTIONS:
1. FO�;t iDATION - TWO REQUIRED
OR,POURED CUPdCRETE
Builders License No. .... . F . FRAIJiING �. PLUMBING
2. ROUGH
Plumbers License No. 3. INSULATION
Electricians License No. - CONSTRUCTION MUST
4. FINAL COMPLETE FOR �'0'
••••••..•.. BE
Other Trade's License No. ......... CONSTRUCTION SHALL MEET THE
Location of land on which sed work will be done....., y�E�' Lrti<<s f ,IfR>hTTi
E CODES OF NEW
Propo ----------- I S EIJSIBLE.FOR
PORK STAT�.�NOT• 'P ERRORS.
Gyo v �JRrry boa� cry G� / N y `/ : ............. E.�I�N OR......................
......................................1l ............. .......//g.. D ......�ONSTRUCTIO
House Number Street Hamlet
County Tax Map No. 1000 Section .../2 .:..... Block ....�1........... Lot ..2y.z3•••'ALL CONS? lJC 7T "; aHALL
Subdivision ...................................... Filed Map No. ............... rot .... E;TTHE-REQUI REM ENTS OF THE
(Name) C, OF NEW-PORK STATE.
2. State existing use and occupancy of premises'and intended use and occupancy of proposed.construct p
a. Existing use and occupancy ..... ST..... c_ �RE�........................ SC�®
UNAERWE�TIFICTE
...... AQCJ R.
b. Intended use and occupancy .......�� .....�....�....���.. ...................... OANION OF
NAILING & �ONNFG ION S
F�t::.Vvli-1t-�• . .
Nature of work (check which applicable).: New Building .......... Addition ...... . Alteration
Repair ............ Removal .. 1>ehmlition ......... Other Work ..S!r!57!L�,A"7-- �HTzc C)cT]r104_ Z614.Z;1 1� Sys%��,
(Description) 47- FcL STeR�GE �2cq
Estimated Cost fee ..........................................
(to be paid on filing this application)
If cwelling, rubber of dwelling units ............ Unber of &el.l.ing units on each floor ................
If garage, nurber of cars
If business, counercial or mixed occupancy, specify nature and extent of e'ach,type .of use...z..ow l:'tX CLug
Dimensions of existing structures, if any: Front................ Rear ............... Depth
sleight Number of Stories
Dimensions of same structure with alterations or additions: Front ... Rear ...............
Depth .................... 11eight ..................... .Ninber of Stories ...............
Dimensions of entire new construction: Front ................ Rear ............... Depth ... ...........
llei6ffit ......................... Number of Stories
Size of lot: Front .................... Rear .................... Depth
). Date of Purchase .................. Nine of Former Owner ........................................
!. Zone or use district in which. premises are situated ...............................................................
?. Does proposed construction violate any zoning law, ordinance or regulation: ...........................
1. Will lot be regraded ..................... Will excess-:Fill be removed from premises: . . YES . NO.
i. Names of Owner of premises ........................... Address ............................... `Rbne 'No. .............
Name of Architect ................ ........... ..... Address .................... ..... '.PEhone No. .............
Name of Contractor .................................... Address ...Phone No. .............
i. Is this property within 300 feet of a tidal wetland? * YES .......... NO ........
*IF YES, SOLM D MN TRi=13 PEWT MAY BE RrCXJIRsi.
PLOT DI'AGR:AM
Locate clearly and distinctly all buildings; whetler•existing-'or proposed;"'and tdcate'all setbaclt dimensions
rom property lines. Give street and'block'nuiber or description according to deed', and show'str"eet'nares and indicate
,,ether interior or corner lot.
14
8 CURIU0138
rN..m., Or m7w Y(W,
SS
JUNIY -7. !K.......
A03C .. J4` !IV........................being duly sworn, deposes and says that he,is .the applicant
same of individual signing contract)
)ove named,
isthe ......:.NTfZr4GT414............................................................................
(Contractor, agent, corporate officer, etc.)
f: said owner or owners, and is duly authorised to perform or have per.fonned the said work and to make and file this"
pplication; that all statements contained in this appl.icatiotr are true to the best of his knowledge. and belief; and
Iha.t the work will be performied _in the mummer set forth in .the.`-a lication filed the 'th.
..2orn Lo before me this
.day of �`1.
11 Lam_ CHERYL L:DIEHL
�G`��. .�.`�..1'9.. 7._
r� , �. ;ir ;i w ,r�;`s� Notary Public State of New York
No 01QI6 M Co
Notary Public ... . !. ,.,....;l;�'"'4 Qualified in Suffolk County
fission Expires JULY 17 20
(.gj'gnaLure of A ant)
DATE SYM REVISION RECORD AUTH. DR. CK"
7D FUEL 5?uh OoWwj.
" I IIp1E>; M)Cl'DSWIT'',:N ✓✓
j7IZO YAC
�+ �/�9�11GFAl-' fLGGT OFF
' A " SELL
o
rZ
I -
CONTROL .HEAD MICROSWITCH
WIRING DIAGRAM
�0+ NOTZS r
`-\ C ` \ / n, —}'• - - THIS PLAN 13 FOR A XYHRM,MF E!4GENEBtFF33, 80qDG`AWDUSTRLAL
/"AFL TANk S FMH SUPPRESSION_SYSTEML EACH SYSTEM CONSISTWO OF 1 DW50•DC DRY
CHGD.00AL CYLUME L PROVIDING LOCAL APPLICATION FIRE SUPPRESSION FOR ,
f� \�\\ /�7• r v'�\ �Q o. �1Q C Le ��'G G V SURROROVNDo°RAFORTANK
n AND IQ SO CYL24DER PROVIDING E ISLAND COVERAGE FOP. FUEL
DISPEN5ING AREA. ALL CYLZMEY.S SHALL DMO A GE SIMULTAMOUSLY.
\
So a G—Ati.an� 5.r.. THE DISPENSING AREA I=SUPPRESSION SYSTEM IS ONLY FOR SMALL SPILLS.
� I r It is PRIMARILY DPSIGNID TO ALLOW PASSENGER EVACUATION AS PEP
WALTEM XMDE MANUAL I7-42DM .
I THS SYSTEM SHALL COMPLY WITH NF3A ]0. ]OA 17, MANUFACTURER'S
SPECIFICATIONS ANI)ZHE AP.QUIRE .ENTS OF THE TOWN OF W Vat1EAD.
CONTAINMENT PENETRATION CALCULATIONS'
' •.� <J��' O: ALL COMF9NFM PARTS SHALL BE Ll/L ISSUED FOR THE SERVICE INTENOI.'D.
1) CALLONAGE Y VOILU.IE (IN CUBIC INCHES) / 233 NEANS SHALL BEPROVMEDTOMANUAILYACTIVATH THE SYSTEM.
5G - 2) TENS CONTAINWENT IS 71- X 56' X 5i' - 21.4,70.4 CU. IN. PIPE SHALL BS SCMMULE 40 GALVANIZED THROUGHOUT.
3) THE CAPACTY OF THIS CONTAINMENT IS 921 GALLONS TI t
r DETECON SHALL,HB BY PNEUMATIC RATE OF RISE HEAT DETECTORS. I PIPING ISOMFTpIC*- I\ �4 O ;) THE CA,DAaTY of THE FUEL TANK K �tJ GALLONS. , I _
` FUEL PUMPS AM Tn AUTOMATICALLY SHUT OFF ON SYSTEM ACTIVATION.
5) 110Y. OF THE TANK CAPACITY -• 550 GALLONS. -
6) LENGTH AND VDTH NOT AFFECTED, THE HEIGHT AT VVHICH !!l�aa F3ECnUCAL CONTRACTOR IS TO CONTACT AND COORDIIATE WITH TOWN R
�`,coo g COUNTRY FIRE PROTECTION INC, PRIOR TO AND DURING ALL WORK
)3ad ycr IN D 50 Sys 72/lq G1,YINOEA5 1,Dz is Acts vEn �- a� �2^ � �® ' P�GRG sF,D.
I)Oly 5c fRcl-l. 7) AS PER SUFFOLK COUNTY DtPT of HEALTH F2EQUIRE]IE?�TS { ALL ELMWCAI_ WEMING, MASONRY, EXCAVATION AND PAINTING BY
ANY PENETRATIONS IN THE CONTAINMENT MUST BE ABOVE oTHF1zs. -
.. WHET 11 OX MARK: Q ANY PEZiETRATION OF THE CONTAn+4MaM SHALL B8 ABOVE THE 110% OF
. � S WAITER KNDE SPE ''�'' CAPACITY UdARlC
) CIFJCATIONS FOR THE fIR£ 'I w� 'i _ .
SUPPRESSION SYSE, REWRE A e FREEBOARD 1 I °�
�g'PN£t)IfATTC TU$G1.1�— MINIMUM AW& THE MAXnIUM ANTIOfPATED UCAJID LEA p� �[0, ' ALL LA•FMWAATIC TUBDIG TO BE REM INSIDE In-MAT.
i 9) NOZZIM AND PIPING SHALL PEfi MTE TKS CONTANUENT •. +{T®h .D Y MECHANCALACIIVATION VIA SIAWESSSTEFLCABLERIRTINSmEIJ2*EMT.
6 I NO LESS THAN _Nr ABOVE THE BOTTOM LEVEL. OF THE CONTAINMENT.: �� =
^ _---- --•- I - .-. / AM CHANGES OF DIRECTION ARE MADE W.:n CURNER PULLEYS. `
V I ALL El ECTRI WORK TO BE PERFORMED BY OTHERS IN ACCORDANCE WITH
- �� G L I CODE REQwu2 iENTs
---i--- SYMBOL LEGEND
T `f----- -/--- , - TOLERANCES "__ , "� ��4� 1'L i/ �YC`t�T/' �V
NMI
—— 1 (CXC[IT AS NOT[D) Fes- v
V
----• J z 1) ' �, .�INn-so DRY CHEMICAL cnINE� '� �Cl t�'�C�{.J�. {�;�{/IJ�� ����'�J!is
------- -- --- - -E
- --- - - 2) PNEUMATIC COPITF2EX• HEAD
DECIMAL SCALE DRAWN dY
�1 6 i -3) TANDEM CONTROL HEAD T
.I 4) TANKSEDE D(SaL1RC.'E NOZZLES I + APPROVED BY
5 _ 5) GAS STATION./END ISLAND NOZZLES -
4i 6 P�4EUMATIC.HEAT DETECTOR FRACTIONAL TITLE �p(/Z
LN/«�
- 7) HST COLLECTOR �yDO iy{O ASAI
8) IvB- OTE IJANUA! NELEASi } Z 1414R 6L
- l
• PLAN VIEW 1'` . PNEUMATIC) 1/8' PNEUMATIC DET�cCT)ON TUBING ANGULAR DATE DRAWING NUM-�R
1 10) LOCAL ALARM SELL (NOT SHO16-N) � � �
+
_ _J
A L V CRYSTALENE O i1X77 MADEIN U/S.A._
ENGINEERS'STANDARD FORM - A -