HomeMy WebLinkAbout33983-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34550 Date: 09/13/10
T~IS c~TIFIES that the building GAS SALES AREA
Location of Property: 62800 MAIN RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 56 Block 6 Lot 4
Subdivision Filed Map No. __ Lot No. __
coRforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 16, 2008 pursuant to which
Building Permit No. 33983-Z dated JUNE 16, 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 INSTALLATION OF THREE FUEL STORAGE TANKS AND RELATED SALES DISPENSING
PUMPS, AS APPLIED FOR.
T~e certificate is issued to PORT OF EGYPT ENTERPRS.
(OWNER)
of the aforesaid building.
Su~OLKCOI~TYDEPARTM~NTOF~IEALT~APPROVAL N/A
ELECTRICAL c~TIFICATE NO. 4006249 07/17/08
pLiERS c~TIFICATION DA'£~3 N/A
~d Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hal~
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 33983 Z
Date JUNE 16, 2008
Permission is hereby granted to:
PORT OF EGYPT MARINE INC.
62300 MAIN RD
SOUTHOLD~NY 11971
for :
CONSTRUCT A GAS SALES AREA & ACTED UPON BY ZBA # 3525 THIS PERMIT
REPLACES EXPIRED BP # 15258
at premises located at 62800 MAIN RD SOUTHOLD
County Tax Map No. 473889 Section 056 Block 0006 Lot No. 004
pursuant to application dated JUNE 16f 2008 and approved by the
Building Inspector to expire on DECEMBER 16, 2009.
Fee $ 100.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
1~0~ NO, ~
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)
~.~ z Dote ..... ~--~....~.~ ...........
Permission is hereby gronted to:
.... ~.~.~.~:.... ....... ~....~.........u..~.~..~ ....... .
~..~
~.........~,.z ...... .~.~j...~..~.........u~....~.~,......,......~..~,~ -~-- ............................................ ~ ..
ot premises located ol~.e'~..~...~'.~..........~....(~v:m.....~.. .......... .~.~ .................................
County Tax Mop No. lO00 Secti(~...(~..~'.~l~ .... Block ....... ~).~:l ....... Lot No .....,.1_~.;..~ .........
pursuant tO applicotion dated ..~.~...~'......./...~ ............ , 19...~...~e, and opproved by the
Building Inspector.
~g Insgector
Rev. 6/30/80
F°rm No. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
76~-1802
SEP 3 2010
BLDG, DEPT.
TOWN OF SOUTHOLO
A. For new bnildi~g or new USe:
· 2. Fi-~! Approval from Health Dept Of water supply and sewerage-disposal {S-9 form).
· 3. Approval ofele~ie~tl installation'from Board of Fifo Unde~aiters.
: 4. Sworn statemeat fromplumb~r coitifyingthat the *older used in system contains less than 2/10 of 1% lead.,
5. Corn mcmial b .ml~ dinE; ~dustrial. ~uilding, mttlfipl¢ ~idenc~ and ~imila~ buildings and ~l~ons, a ~fi~'
of Code Compllancm fr~m kmllite~t. 0i: engineer responsible for the building.
'6. Submit Plannlng Board Apprqval of'~,omPl~ted siteplan requirements'
lB..For exisfingbMld/ng~.(prtor to April' 9, 19ST) non,~ontorminguse~ or bullding~ and "pr~'existing- land uses:
1. Accurate surveyor propdvty, showifig all property line~, streets, building and unusual natural or topographic
'features. ' ' ' ·
2. A properly completed application and. consent to inspect signed by the applie~4nt. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.'
C. Fees
1.. Ccrti~w, ate of Ocqupancy - New dwelling $25.00, Additions to dweUing $25.00, Alterations to dwet~ng $2~.00,
Swimn~tlg pool $25.00, ~sory {~uildillg $25,00, Additions to accessory building ~25 ~00, Businesses $50.00.
~. C,~ttificate of Oq-,gapane,y:gnPre~e~isting Building - $100.00
3. ' COpy ~fC, ertifieatd of Occupancy - $.25
4. Updated Certificate ofOect~pancy - $50.00
5. TemPOS'sty Certificate o[ Oect~pancy _ Rcsidenti~l $15.00, Corrfli~¢reial $ I $.00
}Hew Cofistmcfioa: 'Old or Pre-eXisting Building: ' L"/ : (check One)
]House No. 8trect Hamlet
Filed Map.
-q
~!anntng Board Approv,,A:
(equeSt for: T~mporary Certificate
tee Submitted: $ 5(~3
Final Certificate:
(check one)
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 premises owned by
JIM SAGE ELEC. INC.
PO BOX 38
GREENPORT, NY 11944-0038,
PORT OF EGYPT MARINE
ROUTE 25
SOUTHOLD, NY 11971
Located at
ROUTE 25 SOUTHOLD, NY 11971
Application Number:
4006249
Section: Block: Lot:
Described as a
Commercial
Certificate Number:
4006249
Building Permit: BDC:
ns11
occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
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 and/or 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 ]?th Day of J.b', 2oo8.
Name OTY Rat_.~e Ratin~ Circuits Tvoe
AdditionaICbarges
wire 2 fuel pumps-1 credit card reader-1
high intensity light
Appliances and Accessories
Fuel Dispenser Unit 2 0
Wiring And Devices
Fixture 1 0
High Intensity
1 of I
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
RE/.~ARKS: .
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING/STRAPPING ~/FINAL
,~ -
DATE ~'~ '~- O ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION ¶ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING [~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
INSPECTOR~'~
TOWN OF SO~ING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION [
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[~ FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ]INSULATION
[ ]FINAL
[ ]FIRE SA~-.- ~ ,f INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
~~ Chronology of Events -~ 056-06-003.4 (1)
Port of Egypt Marina Bldg
08-12-11 Follow-up
All done except for required signs. Paperwork left explaining required signs. Told them
to call when done.
~ 2009 ~
09-07-22 Follow-up
All done except for required sign. Paperwork left explaining required signs. Told them
to call when done. for Building Permit #33983- Po~ of Egypt.
WARNING
NO SMOKING
STOP ENGINE WHILE FUELING
SHUT OFF ELECTRICITY.
DO NOT START ENGINE UNTIL AFTER BELOW DECK SPACES APE VENTILATED.
09-10-14 Follow-up
Reported lack of safety signs to a title search company.
Page 2 of 2
Marine Fuel Dispensinq
Emergency disconnect switches. An approved, clearly
identified and readily accessible emergency disconnect
switch shall be provided at an approved location, to stop
the transfer of fuel to the fuel dispensers in the event of
a fuel spill or other emergency. An emergency disconnect
switch for exterior fuel dispensers shall be located within
100 feet (30 480 mm) of, but not less than 20 feet (6096
mm} from, the fuel dispensers. For interior fuel-
dispensing operations, the emergency disconnect switch
shall be installed at an approved location. Such devices
shall be distinctly labeled as: EMERGENCY FUEL SHUTOFF.
Signs shall be provided in approved locations. (F2203.2)
Warning signs. Warning signs shall be predominantly
displayed at the face of each wharf, pier or float at such
elevation as to be clearly visible from the decks of marine
craft being fueled. Such signs shall have letters not less
than 3 inches (76 mm) in height on a background of
contrasting color bearing the following or approved
equivalent wording: (F2209.5.7)
WARNING
NO SMOKING
STOP ENGINE WHILE FUELING
SHUT OFF ELECTRICITY.
DO NOT START ENGINE UNTIL AFTER BELOW DECK SPACES ARE
VENTILATED.
Fire extinguishers. Fire extinguishers in accordance with
F906, each having a minimum rating of 20-B:C, shall be
provided as follows:
1. One on each float.
2. One on the pier or wharf within 25 feet (7620 mm) of the
head of the gangway to the float, unless the office is
within 25 feet (7620 mm) of the gangway or is on the float
and an extinguisher is provided thereon. (F2209.6.4)
Marina Fuel Dispensing-08-07
~ELD I~NSPEC, TION COMMENTS
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
?LUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
)
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 1197L.
TEL.: 765-1803
Approved.. ..' . I9 ¢. Pe it
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Rece~.ved ........... ,19...
Date ........... ,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 tlie 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 inspections.
. .F.~ .~.. o.~..~.¥~.....~.. ~:. ~.c., ........
(Signature of applicant, or name, if a corporation)
~..~..t~.....3.~_..nT~... ~/..t9.~7,. ~.! .*. ?.(..
(Mailing address of applicant) --
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~.-~.. .....................................................................
....................................
Name of owner of premises ..... : ·
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.... ....
(Name and title of corporate officer)
Builder s License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done~ .................................................
...... ..................... ......................
ltouse Num bet Street Hamlet
County Tax Map No. 1000 Section ..... . .~.~. ......... Block ....... .~. ......... Lot....../-~./~.. .........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
........................ ~ '.,h,l~L ...............
b. Intended use and occupancy .. ,~. ~ I. ~.., . ,,j~.. ?. .... ~¢~ .... ~.~...~..-~.... :i...; ." ...............
3. Nature of work (check which applicable): New Building .[.N.. ". .... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
(Description)
4. Estimated Cosl~.~;~2~.., ~ ......................... 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 .................................................... ,,-.,'a ' · :~k ....... ~ ~--
6. if business, commercial or mixed occupancy, specify nature and extent of each type of use ~.5¥v~r. T..~.... ,~'/"~(-'/~.4~
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
De th ........... Height ..................... Number 9f Stories ................ ,,. ....
P . I ~ ~ " ! l~"
Height . ..~. :: ........ . Num,b~r of Stories ....... [...t23.. ~. .........................................
9. Size of lot: Front ..... ~aY..~.O. ........... Rear ...................... Depth ......................
10. Date of Purchase .... ( .ff.~.q'-q (~.Q~'. .................. Name of Former Owner .............................
I I. Zone or use district in which premises are situated .... ..Cc. ..............................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ..... ~ ~. ............ .., .....Will excess fill be [emoved fro~.ur~,~ises: Yes No
Name of Contractor .......................... Address .... : ............. c Phone No ................
15. Is this property located w±thin 300 feet: of a t±dal wetland? *Yes i..,,,~'%., l% ....
· If yes, $outhold Town Trustees Permit maybe r.e~qu±red, tu, la//~l/r..~.~(,n~qO~
PLOT DI AG RAM ,o~ · ,- ~'.
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner tot.
';Z^XE OV S.S
ou r¥ OF .................
· ...~ .~.~...~. :-..¢.~ ..... ~.~.' ...... being duly sworn, deposes and
(Name of individual signing contract)
bore named.
says that he is the applicant
le is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and tha$ the
york will be performed in the manner set forth in the application filed therewith.
;worn to before me this
........... [.'~. .......... .day of .....
qotawPublic, · ..... II~l~ll~ ~1~_'' ~...~. bf'...~..~.t~Count~~ .~.:.. ~__.~... ...~.\..
l~l~,_aV~ (Signature of applicant)
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 21st, 2007
Port of Egypt Enterprises, Inc.
62300 Main Road
Southold, N.Y. 11971
RE: 62300 Main Rd. (Gas sales area)
SCTM # 56 6 4
To Whom it May Concern:
Please be advised that your Building Permit # 15258 issued September 10th, 1986 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of 250.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
February 28, 1986
TELEPHONE
(516) 765-1892
Mr. William H. Lieblein, President
Port of Egypt Enterprises, Inc.
Route 25
Southold, New York 11971
Re: Wetland Application No. 356
Dear Mr. Lieblein:
The following action was taken by the Board of Trustees
at a regular meeting held on February 27. 1986 regarding the
Wetland Application referenced above.
Moved by Trustee Larsen seconded by Trustee Bredemeyer it was
RESOLVED that the Port of Egypt Enterprises, Inc. be and hereby
is granted a waiver of the Wetland Ordinance for the relocation
and reinstallation of three existing fuel tanks in accordance
with Article 12 of the Suffolk County Sanitary Code. Project
is located on the Main Road, Southold, New York.
Very truly yours,
Henry P. Smith, President
Board of Town Trustees
ii~e~ r l~in~
Clerk to Trustees
HPS:ip
cc: Peconic Associates, Inc.
Building Dept.
Conservation Advisory Council
Trustees
File ~?
Town 1 Iall Annex
.5[37,5 Main Road
P.O. Box 1179
Somhold, NY 11971-0939
Tclcpb. onc (631 ) 763-1802
Fax (631)
B( ILl)IN(; I)EPAI{TMENT
TOWN OF SOUTHOLD
August 31, 20~10
Port Of Egypt Enterprises Inc
62300 Route 25
Southold, NY 11971
TO WHOM IT MAY CONCERN:
The following items are needed to complete your Certificate of Occupancy:
Application of Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $50.00.
__ Final Health Department approval.
__ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
__ Trustees Certificate of Compliance. (Town Trustees #765-1892)
__ Final Planning Board approval.
__ Final Fire Inspection from Fire Marshal.
__ Final Inspection from the Building Dept.
__ Final Landmark Preservation approval.
Building Permit: 33983-Z gas sales area
OCCUPANCY Of~
USE IS UNLAWFUL
~.~)~ WITHOUT CERTIFICATE
~ OF OCCUPANCY
APPROV;D AS NOTE/)
2~TE:
NOTIFY i~UILD!NG DEPARTMENT AT
I
~f ,
PLAN
SCALE -
VIEW
/,/4'= !LO
SEC T/ON
SCALE -- %'=I"-0 ~
SITE PLAN,Ox
NO SCALE
LAMP POST DET.
NO SCALE
~ J FUEL STORAG~E.
~ IlPECONIC ASSOCIATES Inc. J,...,.. F.-~ORT~[~mT'~R~E J,
~ J c o n s u I t a n t s J ~our~ z~ sour~LO,,., ~[~ .roR~ J
J c ~ ~ . ~ -~'' '.
SEC T/ON
SCALE X : l-O
,F
'.q --
SEC' T/ON
\.~-i.-.-.-.-.-.-.-_~
SCALE
NOTE
SCALE o :1--:..
D ETA / .:
PECONIC ASSOCIATES Inc.
consultants
One BooUeg Alley P.O, Box 672 Greenport, N.Y. ~.1944
516 - 477-0030 :
SECTIONAL
kO SCALE
VIEW,
FUEL STORAGE.. TANK INSTALLATIONS
fo,. PQRT OF EGYPT MARINE
RTE, 25 SO,~THQLD, NEW YORK ' ~
PORT OF EGYPT
SPECIFICATIONS
PLAN
ELECTRICAL
SCALE I/4"----1'-0"
provisions of~hhe National Electrical Code 1984.
PIPING &
Soil bearing assumed at 3,aa~ ~/S.F. minimum with all
footings resting on ,undisturbed soil.
Concrete 3,9;0 psi at 28 days ASTM 9468.
Steel bar reinforcing ASTM 615-68.
Welded wire fabric ASTM A-ISS.
?ank.installation and all piping systems to be in accordan~l
with the apvlioable provisions Of New York State D;E.C.
manual "Technology For The Stora~ of Hazardous Liquids", and
Article 12 of the Suffolk County Sanitary COde "ToMi¢ and
Hazardous Materials Storage and gandling Control".
All electrical work and grounding, including 9~ound rod
installation, shall be in accordance with the applicable
rZ~ '
ANCHORING, DETAIL~
SCALE / "---- / U'O" '
,. INStOE, V/EW, ,:'
~ F/LL:PIP£, ~ MOUNTING~ , , BRACK£T
be fast,ned to or, e (1) 3- '
shall ~ead '
.............................. t ' IT'"FUEL STORAGE TANK INSTAL,LATION$
for PORT OF EGYPT MARINE
consultants '
I
- 477-0 0
signs ~ith approved letterin9 shall
.inCh diameter galvasized steel sign po~~, and
."Da~gar Flammabl~ Liquids" and "No S~Oktng',-