Loading...
HomeMy WebLinkAbout13582-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15717 Date May 1, 1987 THIS CERTIFIES that the building Installation of Propane Storage Tank "'t'(; ' ~f.'F' .'/~'. k'.' ' ' §'t'~rl/l h'r'd ' ~t 3'8 ................ Location of Property Kirkup Lane Mattituck, New York House No. Street Ham/et County Tax Map No. 1000 Section I 2 I .Block 3 .......... Lot 07 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 14, 1984 . pursuant to which Building Permit No. 13582 Z dated .... . .................N ove mb e r 26, 19 .... 84 .. . 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 ......... INSTALLATION OF PROPANE STORAGE TANK TO N.F.P.A. STD. #58 The certificate is issued toPECONIC HOME S, INC. ..................... ?o¥0'o;, ..................... of the aforesaid building. Suffolk County Department of Health Approval .... N / A N/A UNDERWRITERS CERTIFICATE NO ......................... PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 1~0~ NO. ~ TO~N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT f'I'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N']_ 13582 Z Permission is hereby granted to:/ ...... ~~...~'~~?~ ..... Z~"/;. /;. .c . . . .~.~ .c. . . . . . ~.;. . :.Z Z~ ~ .... ,f-r/,~. ~.~..~.r,~.....-....~..:.~ ...... z/.~. ..~... ,o.. ~. ,~./~. . . . . . . . . ~ ~. . ~_~,~ ~ . . . . ~. ~ . . . . . ,,~z~/. ~< . . . . . ~ .~. . .-. . ........ ~'""/~"~"~'~"~'"'~fC-~' '~'"'v-~- z ~~~j ........................................... .,,,..,.~ ,~.,~,., ...... ~~.....--~-~- ........ .......... County Tax Map No, ]000 Section .... .~..~,.../. .......... Block ...~...~.. .......... Lot No....~..~...Z .......... p.,~.o.t to opp,,co,,o. ~o,ed ..A/.~... ...... L.~ .......................... , ,9~..~. ond op,,ov~ by ,he Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Unde~vriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory,S10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. ~ 0 3. Copy of certificate of occupancy $ 5.00, over 5 yearslOIOO/$10 00 4.Vacant Land C.O. $ 20,00 5.Updated C.O. ~ $ 50.00 . Date ............. NewUOns~puc~ion .':~ ...... ,~ or P~'e~ ............ Vacant Land ............. Location of Property .,~,t .~, .:...E[[P~, ,K. ,1~, ,~...g~,. ............... ~1 t~l,-~lT~,_~ ............. House IVo.~:-I~'J~.~'~ '~. ~-- Street Ham/et Owner or Owners of Property.. ..,.,.....,P~.Cg~.. ............................... County Tax Map No. I000 Section i'~".I Block .~. ~. Lot.7 · Subdivision ............................... Filed Map No ........... Lot No .............. Permit No. . Date of Permit . . .Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .~.... ................ Fee Submitted $ ¢~, .~ a/~ ~'~.4~1~, / le codes and regulations. Construction on above described building i lic~ ^pp,cant Rev. I0-10-78 C 0 -~ 15'117 FIELD INSPECTION FOUNDATION {1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY COMMENTS FINAL ADDITIONAL COMMENTS: TO /N OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no._~l~35R2Z issued to _~ Homes Corp. on _ ]1/26/R4 for _ Acc~_ssory is completed and a final' inspection has ( ) has not ( x ) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $10,00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. T~ank you for your prompt attention. Very truly your..~, Victor Lessard Executive Administrator VL:gar encl. SUBURBAN PROPANE Eastern D~ws~on Box 206, Wh~ppany. New ,Jersey 0798t October 15, 1984 Quote # 8410-506 Laurel Greenhouses Inc. Box 1442 Mattituck, NY 11952 Attention: Stan Swanson Dear Mr. Swanson: At the request of Frank Laverty, Industrial Representative from' Suburban Propane and for your company Laurel Greenhouses Inc., we are pleased to submit our formal quotation for the propane storage system. SYSTEM DESIGN DATA BTU per hour connected load - 5,100,000 Cubic Feet per hour connected load propane - 2,027 Gallons per hour connected load propane - 56 BTU per gallon propane - 91,500 BTU per cubic foot propane - 2,516 Specific gravity propane - 1.52 To provide a propane system based on the above design data, we offer the following: PROPANE STORAGE TANK 1-30,000 gallon water capacity used propane storage tank built in accordance with the ASME code for unfired pressure vessels, including National Board Number. The tank will be fitted with a magnetic liquid level gauge, indicating dial thermometer, 0 to 300 PSI pressure gauge, 85% outage gauge, suitable excess flow valves and the necessary liquid and vapor shutoff valves. The tank is approximately 66 feet long by 108 inches in diameter. The tank will be equipped with 3-250 PSI relief valves complete with seven foot vent risers and approved weather caps. Page 2 CONCRETE PIERS Concrete piers will be provided to support the propane storage tank(s). The concrete piers will conform to the shape of the storage tank and will support the tank approximately four feet above grade and approximately five feet below~grade. 1-Lot of concrete pads required to support above ground piping wherever necessary will be furnished. PIPING Ail the necessary piping for both liquid and vapor lines and this includes all Schedule 80 pipe and forged steel fittings will be furnished. Piping will be provided from the transport unloading riser to the tank and from the tank 100' to the building where we will terminate with a valve on the outside. TRANSPORT UNLOADING STATION 1-Transport unloading station fabricated in accordance with the latest NFPA Pamphlet #58 specifications for vapor return for liquid fill lines will be provided. The unloading station will consist of a 2" indicating flow valve with back check, 2" strainer and Acme adaptors with raincaps and chains. The vapor equalizer line will consist of a 1-1/4" excess flow valve, 1-1/4" shutoff valve and Acme hose adaptors with raincaps and chains. FIRE PREVENTION 2 - 20 lb. dry chemical fire extinguishers will be provided for the propane storage tank area, the transport unloading area and other areas as required by NFPA Pamphlet #58. 1-Lot of "No Smoking" signs and "Special Instruction" signs will be provided. 1-Lot of "Flammable Liquid" signs for mounting on the propane storage tank will also be provided. PAINTING The entire installation will be painted and color coded. The storage tank will be spot primed and finished painted SUBURBAN CREAM. All liquid lines will be ORANGE and all high pressure vapor lines will be WHITE. All piping will be adequately indicated as to the direction of flow and to the contents of the piping. Page 3 FENCE A 6' high chain link fence with three strands of barbed wire will be installed around the tank area and other ar-eas as required. Also included will be two walk-through gates in each area. ENGINEERING SERVICES, S~OP DRAWINGS AND DESCRIPTIVE DATA Our quoted price includes all of the necessary shop and working drawings such as plot plan, foundation drawing, piping drawings, wiring diagrams and other pertinent data required for the installation of the equipment. The drawings are usually available in 2 to 4 weeks upon receipt of a formal purchase order. OPERATING INSTRUCTIONS A booklet containing operating, installation, maintenance and start-up instructions will be furnished. All of the necessary drawings required and a copy of NFPA Pamphlet #58 will be included. At the time of start-up of the plant a training session will be conducted to train all operating personnel on the safe operation of the system. START UP AND ADJUSTMENT Suburban Propane will furnish a field supervisor to supervise installation of the entire system and to provide start up and adjustment after the installation has been completed. the CRANE SERVICE A crane will be provided to remove the propane storage tank from the flatbed truck and install it on the concrete piers. This is based on the provision that the crane and flatbed truck can enter the job site and travel to the location of the proposed storage tank installation under their own power. TESTING Ail piping will be pressure tested prior to putting the system into service. ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined...~.....~..~....,19~. ' Approved 70 .. ...... Pe it Disapproved a/c ....... i-~..~....-.~'.". ................ / (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received..~d¢~....,19~... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in~p,ec~ions, r. , ..... )V:~...~..~.c~..L-c.. ~.~;..%..~.~..~..... (Signature of applicant, or name, if a corporation) 3 :.~-,.~.~(c~., ~'. ~. ...... · ' ' (Mailing address of applicant) " State whether applicant is owner, lessee, agent, architect, engineer, genera[ contractor, electrician, plumber or builder. Name of owner of premises . .-' ...... : ...................................... (as on the tax roll or latest deed) If ~rppl~cant is a corlppratipn, sigr~ature of d)als( authorized office~x (Na~q_4 and title of corporate officer) Builder's License No .......................... Plumber's License No...ff4. q.d~...~';:. ............... Electrician's License No. ~-~c~. '. ............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done ...................... ,~ ............................ ........................ k ~ .~.o.~,...~. ~.~.~. - . .~.. ~4&..~..~..~!~. ............... House Number Street Hamlet /d./ County Tax Map No. 1000 Section ............... Block ............. Lot... ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and oc,cu, pancy, of proposed construction: a. Existing use and occupancy ......... .' '~ ............... b. Intended use and occupancy .. 0~D..~.. . . ~-.~ ¸8, 10. 11. 12. 13. 14. 3. Nature of work (check which applicable): New Building .... .~. · ·. Addition .......... Alteration f ......... Repair ..... :~ ....... Removal ......... ., ~.... Demolition ............ Other Work...~. .......... 4. ~" (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 ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dim f w'th It ' add'' R ensions o same structure ~ a erat~onsor ~tmns: Front ................. ear .................. Depth ................... i. · · Height ...................... Number of Stories ...................... Dimensions of entire new cons~rnctlon: Front ........ , ....... Rear ............... Depth ............... Height ............... Nu~nber of Stories ........................................................ Size of lot: Front ' Rear Depth Date of Purchase .......... : ................... Name,of Forme~ Owner ............................. Zone or use district in which p~emises are situated ~,~Y, .~' . .'~...k~.~, Does proposed .... ordinance or ~egulation: construction v~rflate any zomng law · Will lot be regraded ............................ Will excess fill be removed from premises: ~ Yes No Name of Owner of premises. ~.' .M~..c.~ rddress ................... Phone Name' of Architect i' Address Phone No Name of Contractor ........ i .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc~ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, : S.S COUNTA~_, ~OF ........ ~\~ ......... t ii ' ..... kg&~.~TT..~..~ . . . . .~7~o....'<~..qY4 .'D-.I ..................... being duly sworn, deposes and says that he is the applicant (N~me of individual sigrdng contract) above named, He is the ' (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 con~ained in this application am 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 i ............ /.t~ ....... day of ....... .a~.... Nota. P blic, . - tel E{,~ R. DE V0£ , N~]gRY PUBtIC, State off ~w Yo~j ~ 47~}~78. Suffolk Co?~ i (Signature of applicant)