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Home My WebLink About33621-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 03/17/08 No: Z-32926 THIS CKRTIFIES that the building ACCESSORY STORAGE TANK Location of Property: 69685 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 45 (STREET) Block 1 GREEN PORT (HAMLET) Lot 14.1 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 10, 2008 pursuant to which Building Permit No. 33621-Z dated JANUARY 10, 2008 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 FUEL ADDITIVE STORAGE TANK WITH CONTAINMENT AS APPLIED FOR. The certificate is issued to LONG ISLAND POWER AUTHORITY (OWNER) of the aforesaid building. N/A SUFFOLK COIDITY DEPAR'l'MEIlT OF HEALTH APPROVAL 02/07/08 ELECTRICAL CKRTIFICATE NO. 3058617 N/A PLUMBERS CKRTIFICATION DATED Rev. 1/81 li\c-,', I h rnr Nt'dk.61c..{l()opvvit6 U0I<eAj~^ POlA.'ff!.. EitJ1net'iJilj l'itrE old COlA(\jY'-J E4 i Itl~"l Jle ~'/ II~O ( 14 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~ HALL , '765-1802 '___1 This application must be filled in by tjl'ewriter or ink and submitted to the Building Department with the following: l. APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 (l'Om Board of Fire Underwriters. 4. Sworn statement from plumber celiifying that the solder used in system contains less than 2/1 0 of I % 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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 J. 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 ofCer1ificate of Occupancy .. $.25 4. Updated Cel1ificate ofOccupallcy" $50.00 5. Temporary CCl1ificate of Occupancy .. Residential $15.00, Commercial $15.00 Date. (l7ArtA. i / I rJ-tJDB New Construction: ... Old or Pre-existing Building: ,/ ( check one) Gi'..!nvh /l-t IV - ,/, Hamlet Location of Property: 616135 House No. mil-I,) f2-0AO Street Owner llr Owners of Property: __K. e:iSe~ wI:-(>. Suffolk County Tax Map No 1000, Sectilln _~Z3 f3 fJ9 tJ/'1.tlol [Jlock 0001 Lot Suh(livisioll 33&';;)./2 _ __ ____ Filed Map. _..____ Lot: ___________ Date of Permit. 1/10 J 08 Applicant: t.EtSf>~ - 'VOI-W If- I2U;q..r . ,. -- - Permit No. Health Dept. Approval: __ .________.____~ Underwriters Approval: Planning Board Approval: V" (check one) Request for: Temporary CCliificatc ___ Final Certificate: Fee Submitted: $ SO. tJ() ~",,~,~J:- ()..J<.,(. ') 3 ~ '7 ') CO t. !iJ q c2 b ~fAffi!Iii! . E!Jeffi!ffi! ~ ~ ~ ~ I I ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: iii! Described as a Commercial occupancy, wherein the premises electrical system consisting of ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ I ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I I I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon prem i ses owned by NICHOLAS GIANNOPOULOS KEYS PAN CORP. POWER ENG. DEPT. 175 EOLD COUNTRY RD HICKSVILLE, NY 11801 69685 MAIN RD GREENPORT, NY 11971 KEYSPAN CORP. 69685 MAIN RD GREEN PORT, NY 11971 3058617 Certificate Number: 3058617 Block: Lot: Building Permi!: BDC: n511 First Floor, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code andlor standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 7th Day of February, 2008. Name OTY Rate Rating Circuit ~ Miscellaneous pump bldg. all equipment explosion proof Appliances and Accessories Exhaust Fan Pump Motor Panels o o F.H.P. F.H.P. 60 9 Wiring and Devices Receptacle Switch Fixture I 0 2 0 2 0 30a Special I twist lock General Purpose Incandescent seal I of I ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ ~ ~ I ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ I ~ ~ Iil fAffi!Iii! iimi! eJii!IE! ~ ..---, ---" --,,--- 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. 33621 Z Date JANUARY 10, 2008 permission is hereby granted to: LONG ISLAND POWER AUTHORITY ONE METRO TECH CENTER BROOKLYN,NY 11201 for : CONSTRUCTION OF A FUEL ADDITIVE STORAGE TANK WITH CONTAINMENT AS PER SUFFOLK COUNTY HEALTH DEPARTMENT PERMIT AS APPLIED FOR. (REPLACES BP#25854Z) at premises located at 69685 MAIN RD GREEN PORT County Tax Map No. 473889 Section 045 Block 0001 Lot No. 014.001 pursuant to application dated JANUARY 10, 2008 and approved by the Building Inspector to expire on JULY Fee $ 150.00 ORIGINAL Rev. 5/8/02 KEYIPAN KeySpan Engineering and Snrvey, Inc. 175 East Old Country Road Hicksville, NY 1180 I Date: February 13, 2008 Town of South old Building Department Town hall, 53095 Main Road P.O. Box 1179 Southold, New York 11791-0959 Subject: Engineer's Certification for Concrete Foundation with Rebar for 69685 Route 25 Southold GT Fuel Additive Bldg, SCTM # 45.-1-14.1 BP # 33621-Z Re: Town of Southold Building Department letter to KeySpan dated January 30,2008 In accordance with your requirements via the above referenced letter, this is to certifY that the concrete slab for the subject bldg foundation contains reinforcing rebars. This was field verified by the attached letter from Soil Mechanics Drilling Corporation dated February 8,2008. Should you require any additional information related to the above subject, please contact the undersigned at 516-545-6267 Sincerely, ~i~P~ KeySpan Power Engineering Department 175 East Old Country Road Hicksville, NY 11801 p,. '~,' .Ok} '-.1. l~ ~ '?7lr- - ".- ,:,1 i<--:-/ ,/I ""~-"I/ $.# ",_,~r;' SUBSOIL INVESTIGATIONS SOIL MECHANICS @)~D[1,[Jd]~@ @@~~ 3770 MERRICK ROAD . SEAFORD, L.I" NEW YORK 11783 [516) 221-2333 . FAX (516) 678-4373 ~ C>' February 8, 2008 KEYSPAN 301 Waterside Ave. Northport, NY 11763 RE: Southold Gas Turbine Yard Greenport, NY Attn: Mr. Kwon Young Gentlemen: As per your request, we visited the above referenced project to try and determine the presence of rebar in the slab foundation for the fuel additive storage building. Upon our arrival, we found that the building was up and being used. The only area accessible to us was six to twelve inches around the perimeter of the building, with the exception of a concrete ramp on the south side of the shed. Using a rebar detector, we were able to determine that there are reinforcing bars in the slab. There also appears to be wire reinforcing in the ramp. If you have any questions please do not hesitate to call us. Very truly yours, SOIL MECHANICS DRILLING CORP. BT:ksc Brian Tobin Seuior Field Technician TEST BORINGS. GROUND WATER DETERMINATIONS. FOUNDATION RECOMMENDATIONS. HOLLOW STEM AUGER BORINGS LABORATORY ANALYSES. CONTROLLED LANDFILL. DIAMOND CORE DRilLING. SAND & GRAVEL PROSPECTING BEARING VALUES- WELL POINT INSTALLATIONS. ENGINEERING SUPERVISION. PERCOLATION TESTS SANITARY INVESTIGATIONS. UNDISTURBED SAMPLING. TEST PITS. TOP SOIL ANALYSES ~ '5 ~ (;, 2--1-2 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION i? , /' 1/- -T. REMARKS: l<.-tj~/~_ ()~~ .1, . : " /4--n ~-/ d~.i~ /4 ~. t ~4 r , ~., ~ . '. /jJ :_~ J [ ] ROUGtI PLBG. [ ] I~LATION [ v1FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON I . , DATE , I/J-<;/':/JY ;' i i INSPECTOR-- tu> INSPECTION REPORT DATE COMMENTS .---------~------------r--------i~---~~-~------------~~-------------------=------------ r' _' , I.' UNDATION ( 1ST) ------ I I i ! , ~ . ~~!!2~=~~=i~~1~~~===t=~~==--=t=~~~~=~~~~===~=~~~~~==~~~~~~=~~~~==~~~~~~==~~~~~~~~= II " -' " ~ , " j, Ii " , n n " i i :1 ~---===~~~~====r-=i R " n I ! . " n " ---~-~"--Ifyi -- " ': llUGH FRAME 1> PLUMBING IIlsm.ATION PER N _ Y_ STATE ENERGY CODE n II II I n . . " I " n FINAL 1 . n . . . -==--=== L II ==--====== -=-- ---=-~========= ADDITIONAL COMMENTS: i t-l ... ~ <=l~ ~ ~ t> ~0,. Q _1 -t, c' z....-. v\ ~~ l:l \ , t-; :; I..;.\ , ~~ t'l \. \t , ;., 1"--- '- O\, ~.s . I'd'" , ~ '-..J. - [) ~. ~( " s~ TOWN OF SOUTHOLD PROPE.RTY RECORD CARD 1000-45-1-11 OWNER I STREET el b ~5 j n\A\ ,J 'Kd ~.~. LIG\-\\I\\JG CO. 830(..) _ ,:;'300 4'1 u :200 ~) ?, DC. .-4-'1 ~ ~ ll~ 33-00 -1 -SO:ZSDO B3~-----1 ~3 00_ r I __ I LAND IMP. TOTAL '2.uo rv\,- l \ I VILLAGE COUNTY TAX MAr> NO. DIST. Ie.:.; 2.E b;J \~O [?:-\ \0 +5- 1- I ( DATE REMARKS: {,;,17 s- - I. Bldg. ,A.;- 1>.<1.&\ ~ \..t , <tension j I <tension I (tension . ,,~$ 'eezeway Jrage B. o \ , -..- - . . .,. ,.....v..._ , 'E. :.' I 1-1 $~ 11 2D00 Foundation r Basement Ext. Walls Porch I Porch Patio Driveway . n /) \ . '1",' I ,.~~,.....,.. ~~~.,...........,.-~. .,.. . i~()()\ i ' I ' I __oj r I I ~~e Place I +-------- ~ I .j ! I G ,. ....... .. . ! ~-\ r:: P" . i. ~;'\ I < fi "',; r-y -,1 , " i l \ , '. I "FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 TEL: 765-1802 /' BOARD OF HEALTH T........... 3 SETS OF PLANS ............... SURVEy........................ CHECK ......................... SEPTIC FORM ................... i I. 31409 j ,'A'l .1 I r' nG ['; nI j Lrn\A \1 OF ~r.';THQl!) Exaorlned.................. 19.;.. Approved......1.:. r...... 19~~ NOTIFY: CALL3U: b.as~. !: ~ . . . 3 'tl- 6c2/ '-I HAIL TO:.................... . Y:,(~l PeIlDlt lb. ...7.0.i..~ '"~.. '" ~'";: '". ..................................... Disapproved alc .................................. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. '" .. .. .. .. .... '" .. .. .. .. '" '" .. ~ .. ............................................. ... ...... /)0 ~ ..~. PPLICATION FOR BUILDING PERMIT Date................, 19.... INSTRUCTIONS a. This applicatioo DlISt be ~etely filled in by typewriter or in ink and subnitted to the fuilding Inspector wit 3 sets of plans. accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatioo of lot and of buildings 00 prsnises. relatiooship to adjoining premises or pA>lic streets or areas. and giving a detailed descriptioo of layout of property DlISt be drawo 00 the diagran wich is part of . Ihis applicatioo. c. The..,rk covered by Ihis applicatioo my not be 00IIlI!llCed before issuance of fuilding Permit. d. Upon approval of Ihis applicatioo. the fuilding Inspector will issue a fuilding Permit to the applicant. Such permit shall be kept 00 the prsnises available for inspectioo Ihroughout the ..,rk. e. No building shall be occupied or uaed in Wale or in part for any plI'pose a.atever until a Certificate of (rM'!""""Y shall have been granted by the fuilding Inspector. APPLlCATI<Jl IS IEmBY !WE to the fuilding Department for the issuaoce of a fuilding Permit pursuant to the fuilding Zone Ordinance of the Town of Soutbold. &lffolk County. New York. and other applicable Laws. Ordinances or Regulatioos. for the lXlDStroctioo of buildings. additioos or alteratioos, or for reIIDI1al or deor:llition. as herein described. The applicant agrees to ..,....,ly wilh all applicable 1...... ordinances, building code. housing code, and regulatioos. and to aduit wtborized inspectors 00 prsnises and in building for necessary inspectioos. ... ~1;1F~.C:~. !".'. X~.t;~g!=.t;CJ.fP.............. .......... (Signature of applicant. or name. if a corporation) .. AA~. Il.r::wp. .ijQ;I).QW. RQ". .l:IeJ.."UJ..~,. m .1l'147 (Mailing address of applicant) State Wether applicant is DiiDer. le~itect, engineer, general contractor, electrician, plwber or builder ............................................................................................................................. NaIE of DiiDer of prsnises ... ~~X~P~ .~~~~'ilX S!?~R:.::. ~!?~~~}.:t. ~.I.~~............................................ (as 00 the tax roll or latest deed) -' If applicant is a rj''1i4tioo, signature of cbly wthorized officer. .(..~~~~~.~~~.~ffi~;)................... ~eti~ocks, Vice President, Operating services Builders License No. ..........Jt(~........... Plwbers License No. .......... .NJ.~........... El .. L' No N!l.A ectrlcl8DS lceose . ....... ............. Other Trade's License No. ..... Jt(~. . . .. .. .. . . . . . North side, Route 25 (Main Road) West of Incatlon of land 00 wun proposed..,rk WIll be done.............................................................. Chapel Lane I. .................................................................................................................................. IIoose !bdler Street Hanlet . ~ 1 II Oouoty Tax Map No. 1000 SectIon ................ Block ..............., Lot ................ &DIivision ...................................... Filed Map No. ............... lot............... (NaIE ) 2. State existing use and OC"'!""""Y of prsnises and intended use and occupaocy of proposed lXlDStroction: a. Existing use and occupaocy .J?f~<;;tJ:".i.<<9J..."enElJ;aJ:.iog. J.lIlit. .'unattendoo............................ b. Intended use and occupaocy .....~V1~.~.~"e........................................................ 3. fJ.atllre of w()[k (check w,id, applicable): New fuilding .......... Jlddition ....~..... Alteration .......... Repair ............ Raooval ............. Deonlition ............ Other Work . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . 5. (Description) fee ............... ... ... ..... ...... .... ... ... .... (to be paid on filing this application) If Welling, l1IIi>er of dwelling omits .....rY!':... lUJher of dwelling units on each floor ...JY!':........ If garage, l1IIi>er of cars ....MI.!;............................... . . 1 .. electric generation If busIness, emmettIa or lD}]led occupancy, specIfy nature and extent of each type of use...................... D. . f" 'f N/A N/A. I N/A lInensIons 0 extstIng structures, 1 any: Front................ Rear ............... Dept 1 ................. lleight .... ..l'!{!>................ lUJher of Stories ..1f}(!':.............. ';' Dimensions of same structure with alterations or additions: Front....!'! .~....... Rear.... .l'!{!>....... Deptll .......~fl\......... Height .........~!~........ lUJher of Stories .....~!~....... D" . f . . Fron 10' 10' th 12' lDEDSlCK\S 0 entIre new CODStructlOO: t ..........u....... Rear ........................ Dep .............. lIeight ..e.'.4':.................. lUJher of Stories ........+............ Size of lot: Front..... ~.l,i?:?'........ Rear ...... .'H?'.~:...... Deptll Y!!'P.. .~?'.1?:...... E/S 621. 40 ' Date of~.-se .....Q~Q~O........ Name of Former OWner ........................................ Zone or use district in which ~ises sre situated ....~~~~flQt.~~~n~~~...................................... Does proposed construction violate any zoning law, ordinance or regulstion: ... .Np.................. f;"U E . edCos l.\\ 110 ':;;; 'StlllBt t ........;................ 4. o. 7. 8. 9. 10. II. 12. 13. 14. will lot be regraded ........No.......... Will excess fill be TeIIlJI1ed fraD ~ses: 'YES R> X Nares of OWner of ~ses ....!<.e;y~~.............. Jlddress .......~!'!.e;.fF.ql}!:............ Phone &. ~~;L::99~L.. Name of Architect............. KElySp.qI)............... Jlddress ...... .SaEl.fl:.Ql)t............ Phone &. 39J.-o6052... Name of Contractor............ !\e;Y$P.=W.............. Jlddress ...... .~!,!.e; ofF.qq'\:.............Phone &. ~~k:q9~.~... Is this property within 300 feet of a tidal wetland? * 'YES .......... R>.. *...... *IF 'YES. lDJI1IID 1u.t'I 1mSIEIlS ffiIlMIT Mt\Y \lIl \IF.QJIRIID. 15. PLOT DIAGRAM Locate clearly and distinctly all wildings, whether existing or proposed, and indicate all set-back dimensions fraD property lines. Give street and block l1IIi>er or description according to deed, and show street O!IDeS and indicate ~ther interior or comer lot. SEE ATrACHED KEYSPAN DRAWINGS a) Dwg. No. SHICY-FY-02001-0 Fuel Additive System-Site Plan b) Dwg. No. SHICY-HC-99000-Q Fuel Additive System Pre-Fab Bldg. Plan, Sections & Details c) Dwg. No. SHICY-FC-G600o-0 Fuel Additive System Facility-Enlarged Plan, Sections and Details d) Dwg. No. SHICY-FP-OIOOQ-O Additional of Fuel Additive System-Piping Plan srh1Il OF IIlW Yln. aunY OF ..:?~f:f."'::-~......... s.<; Ml\u(L,C0 P. ~\\tG~\)~,-...... be' dul de and thathe'.' l' t --- ..... .........,-... .... ................... ~,... ;-:'.... ........... log Y SW{)m, poses says IS ute app lean (Name of individual signing contract) above 1l1IDed. lie is the ..... '~i:~~~~:~~;:j::~~~~~'~ffi~~~:'~~~:)"""-'" -.... ..... ............ ... .......... ... of said owner nr """,,rs, and is duly authorized to peTfonn or have peTfonned tllE! said ""rk and to IlBke and file this application; that all staterents contained in this application are true to the best of his knowledge and belief; and tllSt the ""rk will be peTfonned in tilE! ...nner set forth in the application filed therewith. Sworn to before IDe this ..... ......./<;2...""'. ... .NI1.'f.. .:)9..1: 7... &tary l'Wlic ..~~.~.s!{!I?4,-' ANNETTE CALLORI NOTARY PUBLIC, STATE OF NEW YORK NO. 4909166 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES OCTOBER 19 19 .- .41~.r:.!iJ.~Y() (i!ignature of hppli (j COUNTY OF SUFFOLK ROBERT J. GAFFNEY - SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES CLARE B. BRADLEY, M.D., M.P.H. COMMISSIONER BUREAU OF ENVIRONMENTAL ENGINEERING APPROVAL NOTICE DATE: APRIL 28, ,1999 KEYSPAN ENERGY CORPORATION 175 EAST OLD COUNTRY ROAD HICKSVILLE, LONG ISLAND, NY 11801 ~ Attn: MICHAEL LAURO ----------------------------------------------------------------- ----------------------------------------------------------------- SCDHS Job No.: HM99-092 SCDHS Fac. I.D. No.: 10-0036 Site Location: SOUTHOLD GENERATING STATION MAIN ROAD GREENPORT, NY 11944 SC Tax Map No.: District:1000 Section:45.0 B1ock:1 Lot:11.0 Project Description: INSTALL ONE GENERIC - HOOVER CONTAINMENT- SUF280NO- FUEL ADDITIVE TANK FOR SMOKE EMMISSION SUPPRESSION. Design Engineer: KEYS PAN ENGINEERING ; Review Engineer: Richard Markel, P.E. Senior Public Health Engineer (516) 854-2544 .. ================================================================= OfFICE OF POLLUTION CONTROL . 15 HORSE8LOCK PLACE. FARMINGVILLE, N.Y. 11738 . FAX (516) B54-2S0S . TELEPHONE: (516) 854-25 -2, Your application for a permit to construct the project described above has been reviewed for compliance with Article 12 of the Suffolk County Sanitary Code. The application has been approved with the following conditions: 1. The storage tacilitywill be constructed in accordance with the approved plan. A copy of the approved plan must be kept at the construction site. 2. The tank(s) will be used in the service specified in the Permit to Construct as approved by this office. 3. The tank and all monitoring devices will be maintained in accordance with Article 12 requirements and best industry practice. 4. Any changes in the use of the tank or modifications to the tank must be approved by the Department. 5. All safe construction practices shall be followed during the installation of the tank. I I I I I I 6. The tank installation contractor is strictly prohibited from substituting items of equipment clearly listed on the plan without the written consent of the Department. The contractor must also advise the owner that equipment.sub- stitutions are being made. You must contact John Gladysz of this office'at 854-2524 at l~~st 48 hours prior to commencement of any work to arrange for the re- ~ired construction inspections. The storage facility cannot be placed into service until this depart~ent performs a final installation inspection and issues an interi~ permit to operate. I The-documents submitted in support of this application for a per- mit to construct pursuant to section 760-1206,of Article 12 of the Suffolk County Sanitary Code was reviewed for compliance with Articles 7 and 12 of the Sanitary Code only. I '. i "? , . l , -3- Please contact your local building department or fire safety en- forcement office for any additional requirements that may apply to your project. You have one year from the date of this notice to construct your project. You can renew your application any time during the:year after the construction permit expires. There is '.a $110 .fee for this renewal. , j } ! 1 i The one year period for construction under this permit does not supercede any other agreements that the ~aci1ity owner has entered into with the Department nor does it supercede any man- dates placed upon the facilit~y the Department. If the Department does not receive a renewal application for this project within the year after the construction permit expires, the application will become void and you will. be required to refile a new application for a permit to construct. All ap- plicable fees will become due and payable. If you have any questions regarding the review process or need assistance, contact this office at the telephone number given above. " i Richard Ma kel, P.E. Senior Public Health En ineer Bureau of Environmental Engineering .'~ ~ ij dl SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES BUREAU OF ENVIRONMENTAL ENGINEERING 15 HORSEBLOCK PLACE FARMINGVILLE. N.Y. 11738 -~.:-. APPLICATION ':-FOR PERMIT TO CONSTRUCT TOXIC I HAZARDOUS MATERIALS STORAGE FACILITY Complete both sides of this form FACILITY NAME Southo1d C~neratin9 Station STREET ADDRESS: Main Road SlATE: NY ZIP: 11944 Green?Ort .. CITY PHONE NUMBER : (516) 471-1613 CONTACT PERSON: 3rett liccu6ek PROPERTY TAX MAP NO. DISTRiCi ~ SECTION ~5- I j 1 ~ " BLOCK 2 LOT 11 FACILITY OWNER : KeySO=-"l ::'"lerC'{ ccr:>. STREET ADDRESS: 175 E. Old Country Road cITY Eicksvi11e STATE: h"Y PHONE NUMBER : (5:!-6) 391-6142 CONTACT PERSON: I'Jc.~ae1 Lauro ZIP: 11801 PROFESSIONAL ENGINEER OR REGISTERED ARCHITECT FOR THIS PROJECT FIRM NAME STREET ADDRESS: CITY KeySpan ::'"lergy Corp. 4-45 EroaCho11o'oJ Road 1'.e1vi11e STATE h"Y ZIP: 11747 PHONE NUMBER : (516) 391-6059 C0NTACT PERSON: _ J.erome Carney ..... OFFICIAL USE ONLY ...... FACILITY 1.0. NUMBER '0-0036 FILE REF NUMBER 10 - 003 b SCDHS JOB NUMBER -1i lri ~ ,-1)9// .; - - THI? APPLICATION AND ATTACHED pLANS AND REPORTS HAS BEEN REVIEWED FOF : COMPLIANCE WITH ARTICLE 12 OF THE SUFFOLK COUNTY SANITARY CODE AND APPROVED FOR CONSTRUCTtION "- ~W ~-~ APPROVING ENGINEER PROJECT INFORMATION WATER SUPPLY: PUBLIC 2L PRIVATE_ BUILDING DEPT To,on of Sout:lolcl SEWERAGE SYSTEM: PUBLIC _ PRIVATE ~ FIRE DISTRICT 31 DEPTH TO GROUND WATER _ (H less than 20 fe-el and underground tanks are being Inslall~, on she verification is required prior 10 submi::ing this application.) ~" NUMBER OF TANKS OR STORAGE AREAS TO BE REMOVED: ABOVEGROUND - BELOW GROUND - NUMBER OF TANKS OR STORAGE AREAS TO BE INSTALLED: ASOVEGROUND - BELOWGROUND Briefly desc:ibe preject Install a 280 gallon fuelaclcl}t}ve tankancl clel}very system fmr smoke emmissions suppresion. .;to FOR GENERIC TANK lNST AlJ..ATlONS Marntacturer Hoover Model NumberSUF2800NO produ::l Stored Spectrum GT Ma."lltac.urer Model Number Product Stored ManU'facturGr Model Number Produ::l Stored ~ Manltadurer Model Number Product Stored "" I cenify that information on this appflcation and all attachments have ~n reviewed and that, based on my inquiry of those persons immediately responsible for obtaining the information contained iri this appflcation, I belie,'e that the information is tnue, accurate, and complete. I understand thai false statements made herein are pJn!shable as a " Class 'A' misdemeanor pursuant 10 Section 210.45 of the Penal Law, Stale of New York. NAME (print) Robert D. Teetz DATE L-//1-//17 ~ "'-'- SIGNATURE /l tfir~ Y.anager I TITLE Dlviro:wental Engr. De?t.. . Form HM-DOl (Rev.9/95) tfS- .- I - If, I 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) 3 ::, (" .;).1 ..:t: PERMIT NO. ?~951 it' Date JULY 8 99 Permission is hereby granted to: LI LIGHTING CO 175 EAST OLD COUNTRY RD HICKSVILLE,NY 11801 for : CONSTRUCTION OF A FUEL ADDITIVE STORAGE TANK WITH CONTAINMENT AS PER SUFFOLK COUNTY HEALTH DEPARTMENT PERMIT AS APPLIED FOR. at premises located at GREENPORT 69685 MAIN RD County Tax Map No. 473889 Section 045 Block 0001 Lot No-:" 011 pursuant to application dated MAY 13 99 and approved by the Building Inspector. Fee $ 150.00 Signature ORIGINAL Rev. 2/19/98