The URL can be used to link to this page

Home My WebLink About32866-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~=RTMENT 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 L~UREL (HOUSE NO.) (STREET) C~unty Tax Map No. 473889 Section 125 Block 4 Subdivision Filed Map No. Lot No. ( HAMLET ) Lot 24.23 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 2007 pursuant to which Building Petit 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. The certificate is issued to LAUREL LINKS COUNTRY CLUB INC (OWNER) of the aforesaid building. S~FFOLKCOOII~[ DEP~/{T~T OF }~ALTHAPI~RO%5%L ~CrKICAL CERTIFICA~ NO. PLIERS CERTIFICATION DATED N/A N/A / Authorized ~ignature Rev. 1/81 FEB 2 3 zoog BLDG. DEPI', ][,I~ TOWN Of SOUTHOLD This application must be filled in by ty A. For new building or new use: Form No. 6 TOYVN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~TION FOR CERTIFICATE OF OCCUPANCY ~ewriter or ink and submitted to the Building Department with the following: 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 o f aleetrical installation from Board o f Firo Underwriters. 4. Sworn statement from plumber ceffifying that thc solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installation,5, a certificate of Code Compliance from architect or engineer responsible for thc 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly enmpleted 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 1. 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, Commereial $15.00 New Construction: Location of Property: Old or Pre-existing Building: House No. Street Owner or O,,raer of Prop ty: Suffolk County Tax Map No 1000~ Section I '2- ~' Subdivision ? mit Health Dept. Approval: Date. (check one) Bl~k Fil~ Map. Hamlet DateofPermit. ~"-30 '0 ~L- Applicant: {-~t,A{Jc~_ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .~). 0~0 Final Certificate: (check one) ~//6p~m t Silage 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 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING FIREPLACE & CHIMNEY ~AFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR ,~./~~ DATE FIELD INSPECTION REPORT DATE COM'MENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH lqlANIIING & PLUMBING INSULATION PER. N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS FORM NO. I TOWN OF SOUTHOLD BUILDING DEPAHTMENT TOWN HALL SOHTHOLD, N.Y. 11971 TEL: 765- 1802 Disapproved a/c ...... /....} ...................... ..... ....................... (Building Inspector) SURVEY ........................ CHECK ......................... SEPTIC FORM ... ................ NOTIFY: CALL .. ... ......... · APPLICATION FOR BUILDING PERMIT \'~\~ "' ~ Date. ~ -/.~..-/. ....... .- INSTRUCTIONS a. '~is~lfcation mast ~ ~letely fill~ in ~ ~iter or in i~ ~ ~itt~ to ~ kdlding I~tor 3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~co~i~ to ~le. b. Plot pl~ ~ l~ti~ of lot ~ of ~ildi~s ~ ~s, relation~ip to ~joini~ pr~s or ~lic ~ r~ts or ~e~, ~ glvi~ a ~tail~ ~rlpti~ of l~t of p~ ~t ~ ~ ~ ~e di~ ~i~ is ~rt of t ds a~li~ti~. c. ~ mA ~r~ ~ ~is a~li~tim ~ mt ~ ~M ~fore i~e of ~ildi~ Pemit. d. ~ ~=al of ~is ~li~tim, ~ kildi~ ~ctor ~dll is~ a ~ilding Pe~t to the ~li~t. I ~nnit ~11 ~ ~pt m ~ p~m~s ~il~le for i~tim ~t ~e turk. e. ~ ~ildi~ ~11 ~ m~id or ~ in ~le or in ~rt for ~ ~ ~at~er mtil a ~rtificate of t -~ ~all ~e ~n ~mt~ ~ ~ ~ldi~ I~tor. ~I~I~ IS ~Y ~ to t~ ~ildi~ ~nt for ~ isme of a ~ilding N~t ~t to the dldi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er ~li~le bs, ~di~es or %ulati~, for am ~t=tim of kildi~, ~iti= or alterati~, or for r~a or ~litlm, ~ ~rein ~ril~. ~ appli~c ~s to ~ly ~ all ~li~le 1~, ordi~s, ~ildi~ ~, ~ing c~e, ~ ;ulatia~s, ~ to ~t ~ri~ i~tors m ~s ~ in ~ilding for ~es~ ins~ti~s. (Si~e of ~li~t, or ~, if a co~rati~) (~ili~ ~ess of ~.~are O~r a~lic~r is ~r, lea~, ~en[, ~it~t, engi~r, ~ral cmrract~ [lder / :[ ~ t s:~e of ~ly ~t~r~ o c . :,~:. e~ ~.:.7 ....... ; ........ ~.. NCTi:Y SOL,' . ' ~u'~ titl ra~e officer) ,/~o~~ ~p 765-1S02 8,q,: T(,_ -,-~,,e.~t ,~ FOR ~HE FCLLO%qNG 7'3;0 REQUIRED 1. ~'7~ ' OAT OH ' ~dl~rs Lice~ ~. ~<. 4 POtjrt~D C(: ......................... ' "- ~ , : a PLUtT, SING l'l~rs Liee~ ~ .......................... ~. INSULAT~ON El~trici~ Liee~ ~ ...................... 4. FINAL ' CON~7?,.:sT:ON :',' g.O. BE O0N%PLE-t': · sTRUCTiON sHALL ~EET THE Otlmr ~' s Li~ ~ ..................... ~ GON .... ~ moDES O~ ................ ~ORK'~. ~Or ~z ' ..................................... ................. .... ~, ~ , ~ T~ ~p ~. I~ ~rim ... ~ ....... BI~ .... ~ ....... ~r ................ ~kk CONS*' L~': ~' ~ivisim ...................................... ril~ mp m ................ I~t ....~.T~.~O~I~S~S OF (~) ~D:E~F NEW YORK STATE. ~. st.t~ ~i~ti~ ~ ~ ~ o~ ~s ~ i.t~ ~ ~ ~ o~ pro~ c~SG[RiiFi~i b. ~t~ ~ ~ ~ ...... C~i+....~D~OE~....~f~ ...................... CE~IFIOA~N OF NAILING ~ ~nture of ~ork (d~..k ~hid~ applicable): ~ I]uilding .......... t~ditien .......... Mteratioa .......... l~ir ............ ~al ............. l~liti~ Other ~ ~a7~a~ ~7~r~ ~xw~4az~wa ~ripti~) Es~itmt~ ~st ......................... ~ .............................................. (to ~ ~id ~ ~iling this a~li~i~) If &~lli~, ~t~r of ~lli~ ~mits ............ [~r o~ ~lling tmlts ~ ead~ ~r ................ If garage, t~r of ~rs ...................................... Di~nsi~s of ~isti~ st~m~s, if ~: ~t ................ ~ar ............... ~pth ................. lbi~t ......................... ~r of Stories ...................... Di~i~ o~ ~ s~e ~th alterati~s or ~itions: ~ont ............... ~ar ............... ~ptl~ .................... ~i~t .................... ~r of Stories ' Dit~nsi~ o~ entire ~ ~st~ki~: ~ ................ ~ar ............... ~p~ .............. I~i~ ......................... ~r of Stories ..................... Si~ of lot: ~t .................... ~ar .................... ~pth .................... ~te of ~rdm~ ..................... ~ of Four ~r ........................................ ~ or ~ district in ~li~ p~i~s a~ si~t~ .............................................................. ~s pro~ ~t~ti~ violate a~ ~i~ 1~, o~i~e or re.latin: ........................ ~ill lot ~ ~ .................... 9ill mss fill ~ r~ km ~s: ~ ~ ~s of ~r of ~s ........................... ~resa .............................. ~ ~ ............. ~ o~ ~d~it~ .................................... ~ress .............................. H~ ~ ............. ~ of ~r~tor .................................... ~ress ............................... H~ ~ ............. Is Offs p~r~fl~in ~ f~t o[a ti~l~tl~? * ~ .......... ~ ~ PLOT DIAGRAH l~cate clearly ~ distinctly all buildings, ~hether existing or proposed, ~ i~dicate all set-back dimensions cora proper~y lines. Give street and block r~ber or clescriptioa according to deed, and she~ street: nan, s ~ ir~iicate ~_ther interior or comer lot. '^'IE (~ hl~ YOt21(, ~t~ (v .... .~-a ~?:5.~..%<. ....... ss ....................................................... Im~ duly ~m, ~s a~ ~ys that he ~m of i~ivial si~iug c~tract) i s tl~e .... ~ ~Ag~ ~ ....... ; ................................................................... (~tractor, agent, cor~rate officer, etc.) ~id ~r or ~rs, ~ is duly ~thori~ to ~rfom or h~ ~rfo~ ~ ~id ~ a~ to m~ a~ file thin q)licati~; flint all stat~nts c~tai~ in ~is a~l. lcati~) are t~ to a~e best of~hls ~l~ ,at the ~ will ~ ~rfou~ in the mmmr ~t forth in ~e a~licati~ fil~ t~r, i~. . ~7 ..... day o~ . ~. ~< .C.~ ~ J ~ CHERYL L; DIEHL ........ ' / / Nota~ ~ubl~,~e pi ~ Yo~ / / O ~o. um~9~5 /~/~ ~ ~ ~ ~inS~kCoun~ ........... ~n ~rm J~y 17 (Si~mre o[ ~om to be[ore we this t~otary Public ...._. ~. ~_~x -~ ~.---,. ~AZON tRYST^ L~NE ® 11X37 CONTROL HEAD MICROSWYrCH WIRING DIAGRAM CONTAINMENT FiEN ETR AT] qN CALCULATIONS' 5'0'> ,'3C PLAI~ VIEW ~) N0 LES~ 'DIAN 3~ ABOVE 'iRE ~ ~ O~ THE C~,fTA.fNMD, IT. SYMBOL LEGEND 2) PhM'q)MA310 CI:)NTR~ HEAD 3) TANDEM O:~qTROL ~ TOLERANCES DATE