HomeMy WebLinkAbout36658-Z �. Town of Southold Annex 9/9/2014
P.O.Box 1179
� 54375 Main Road
' Southold,New York 11971
1 �
CERTIFICATE OF OCCUPANCY
No: 37136 Date: 9/9/2014
THIS CERTIFIES that the building EXHAUST HOOD AND/OR FIRE SUPRESSION SYSTEM
Location of Property: 4715 Gt. Peconic Bay Blvd., Laurel,
SCTM#: 473889 Sec/Block/Lot: 125.-4-24.23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/28/2008 pursuant to which Building Permit No. 36658 dated 8/26/2011
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:
fire suppression system in kitchen as applied for.
The certificate is issued to LAUREL LINKS COUNTRY CLUB
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
WZM41 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 36658 Date: 8/26/2011
Permission is hereby granted to:
LAUREL LINKS COUNTRY CLUB
P.O. BOX 307
LAUREL, NY 11948
To: INSTALLATION OF AN EXTINGUISHING SYSTEM AS APPLIED FOR.
REPLACES EXPIRED BUILDING PERMIT # 33771
At premises located at:
4715 GREAT PECONIC BAY BLVD.
SCTM # 473889
Sec/Block/Lot# 125.4-24.23
Pursuant to application dated 3/28/2008 and approved by the Building Inspector.
To expire on 2/26/2013.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
Building Insp __.
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. 33771 Z Date MARCH 28, 2008
Permission is hereby granted to:
LINKS LTD LAUREL
1833 MAIN ROAD DRAWER A
JAMESPORT,NY 11947
for
INSTALLATION OF AN EXTINGUISHING SYSTEM AS APPLIED FOR
at premises located at 5400 MAIN RD LAUREL
County Tax Map No. 473889 Section 125 Block 0003 Lot No. 017. 001
pursuant to application dated MARCH 28, 2008 and approved by the
Building Inspector to expire on SEPTEMBER 28, 2009
Fee $ 250. 00
rized Signature
ORIGINAL
Rev. 5/8/02
FIELD INSPECTION REPORT DATE I COMMENTS
FOUNDATION(1ST)
---------------
�1 �
FOUNDATION (2ND)
Q
D .
y
ROUGH FRAMING&
y
PLUMBING �
INSULATION PER N. Y.
STATE ENERGY CODE __ n
1 `
FINAL
ADDITIONAL COMAONTS
Lo `6 s, ► '`
� :*
z
— OIL Gv C c::;� .
l
� o
� z
x
d
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN 14ALL Board of Health
SOU'rHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. w(0 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 120 Single&Separate
Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved a/c
Phone:
Expiration 20
( Building Inspector
LICATION FOR BUILDING PERMIT
��I� DEC Date 1 Z 17 , 20 12
Bt DG.
INSTRUCTIONS
This T.ON!iv,CF�Ol'.TH4�D
_ ST be completely filled in by typewriter or in ink and submitted to the Building inspector with 4
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 waterways.
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 a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 inspections.
(Signat scant or name, if a corporation)
Fare �(�2��\gest ro z P
(Mailing address of applicant) 1 v%3
State whether-applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Tlrc iex,- cc)��.r-� rc
Name of owner of premises Ly2e i_ ,A& ('-oJ r4 C�J �3
(As on the tax roll or latest deed)
If applicant is on, signature of duly a,Iuthorized officer
sk�nl— ��N 1;--�R e-
(Name a e of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. 3 x 3 9 - 2
1. Location of land on which proposed work will be done:
47/5 Grep, F.-e- (3�1 21 j D( LA J � tJ�/ 1�`1Lfie
House Number Street Hamlet
County Tax Map No. 1000 Section 1°�S Block Lot ;�?L4,a 3
Subdivision 557M t}7 36bl Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy CK%s� P!�? �c
b. Intended use and occupancy ew Roo r<NSZCc- i L i'N A 14crL Srfi-� 4-o N-Puz
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost �� 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
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
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear s;i.: Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
—::!—D O �21� 1��Jy being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) ab ve named,
\1 _ � CONNIE D. BUNCH
(S)He is the CO+�T� �`��2 S ��\LI _ Notary public, State of New York
(Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County
Commission Expires April 14,XZ0
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 contained in this application are 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
1',44N day of 20)
Notary Public S' n p is
Yr tzr=c
F61 Southold Town Building Department Permit#• 33771
54375 Main Road
Southold,New York 11971 Permit Date: 3/28/2008
v +f fi (631) 765-1802
x ,�•�a,4'' Expiration Date: 9/28/2009
Parcel ID: 125.4-24.23
BUILDING PERMIT RENEWAL LETTER
Dated: 8/22/2011
Applicant: LAUREL LINKS COUNTRY CLUB
Location: 4715 GREAT PECONIC BAY BLVD.
Work Description: FIRE SPRINKLER
INSTALLATION OF AN EXTINGUISHING SYSTEM AS APPLIED FOR.
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: LAUREL LINKS COUNTRY CLUB
Address: P.O. BOX 307
LAUREL,NY 11948
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
- _ cA-rE SYM REVISION RECORD AUTH. DR. CK.
TO REEL Skllf pOW>11.
IZO YAC
' u _Gt/�I�RGFit/�Y ,Sh'GGT O F F
sw/rc/-Y LacR TFi7 /A/
A»Nt 3E11 )0 ?RFI G T o 2
fyA/Z/V .
r ovyzir ?r(NCZo6w+T y
o I '
a
1 5 _
1 .
O i
I�
CCNTROL HEAD MICROSW_ITCH
WIRING DIAGRAM
\
mono
THIS PI.,N u FOR A 1tYH]tII7l PRP.c*KDRMED. �DG�R 1NDusnwL
FIRE SUPPRESSION SYSTEM EACH SYS E14 CCRNSLSTING Or 1 DW50-DC DRY
CHEMICAL CYLDmER PROVIDING LOCAL APPLICATION ME SUPPRESSION FOR
+
THE CONTAWAMM SURROUNDM A 390 GALLON GASOLINE STORAGE TANK
Leif AND I IIIDSO-DC CYLIMDM FILOVIDDCO PENDISLAM COVERAGE FOR THE FUEL\ P DLVI94SINO AREA ALL CYLINDERS SHALL DISCHARGE SIMULTANEOUSLY.
SCy O (SAS-SON AS• THE DLSPFXSING AREA ME SUPMFSSION SYSTEM IS ONLY FOR SMALL SPR S.
IT LS PRIMARILY DESIGNED TO ALLOW PASSFNGM EVACUATION AS PER
WALTER PLDDE MANUAL/F-12022
1
THIS SYSTEM SHALL COMPLY WITH NEPA 30, LOA, 17, MANUFACTURERS
SPECIFICATIONS AND THE REQUIREM4NTS OF THE TOWN OF RIVERILEEAD.
• - �,, CONTAINMENT t ENETRATION CALCULATIONS, ALL COMPONENT.PARTS SNAIL BE M Il=FOR THE SERVICE INTENDED.
< `• 1) GALLONAGE '^ VOLUME (IN CUENC INCHES) / 233 MEANS SHALL.BE PROVIDED TO MANUALLY AcmATE Tm SYSTEm.
2) THIS CONTAI"ENT IS 71" X 56" X 54" — 214,704 CU. IN. PIPE SHALL BE SCHEDULE 40 GALVANIZED THROUGHOUr"
�. 3 THE CAPACITY OF THIS CONTAINUENT 15 921 CALLONS '
) DETECTION SHALL BB BY PNEUMATIC RATE OF RISE HEAT DETECTORS.
PIPING ISOMETRIC` V 1 4) THE CAPACITY OF THE FUEL TANK 5(;J GALLCS9S i - i
O }' FUEL PUMPS ARE TO AUTOMATICALLY SHUT OFF ON SYSTEM ACTIVATION.-
1 n : 5) 11 OX OF THE TANK CAPACITY - 550 GAL.LOMS.
iCCI'ld CG ! I GLAv-cE L 4--leo-se- 6) LENGTH AND V10TH NOT AFFECTED, THE HE)GKT AT WHICH s� COUNFLECnwCAL RE PROTECTION
O To INC. PRO Arra co D DURING
AL rowN K
COUNTRY FIRE PR(YIECIION C PRIOR TO AND DVRING ALL WORK
f3ad�,er /Nn $O SySTEwI Gly/N1)F1L5 11ox IS ACH.a--'AD - -1a47'_ PXREORMM.
_50's 13C EACH 7) AS PER S-F-t o K COUNTY DEPT OF HEALTH REQUIREWENTS
I � - All. F11=CIRlCAi_ WF1DIIif� MASONRY, EXCAVATION AND PAINTING BY
ANY PENETR%C"S IN THE CONTAINMENT MUST BE ABOVE OTHEFLS. -
THE. IiQX MAF I 1 I
ANY PENETRATION OF THE CONTAINMENT SHALL BE ABOVE THE 110% OF.
s 8) WALTER Mo!- SPECIFICATIONS FOR THE FIRE I I CAPACSIY MARK
SUPPRESSICt- SY-IM RECUIRE A -C FFtMX RD
/ PN£JAfAAC 7ilBuJ�--�- MIMMWGUM AE THE MAXANUM ANTIOPATIED LICUID L.EVEI- L.Ln
A •PNEUMATICTUBV+:,ToBERUNINSIDEvl•E MT.
1g I ''��cc��,,
I _9) NOZZLES AND PIPING SHALL PENETRATE THIS CONTAINMENT J
n' ---- - - I++ NO LESS THAN W ABOVE THE BOTfOH LEVCL OF THE CONTAINMENT. q MlsatANICALAcrnwnoNvusrAanFsss�CABLE RUN B+smE1�•EMr.
AM(]lAN(3S OF DIRP"CTION ARE MADE W.an CUR?Q•7t PULLEYS.
Q
AIL F11:CTRLCAL WORK TO BE PEJtF'OAMID BY t7IHEF5 IN ACCORDANCE WITH
t7IS
✓A`4J1 7 I CODE REQUnUU4 .
�, ----__-_- -- --- SYMBOL LEGEND
Z
—— — 3 TOLERANCES
1) - �6- ige IND-50 DRY CHEMICAL =NDEFi
2) P�-UWAT1C CONTROL HEAD t�Xc:.r�s++os�eN !j-
7
-- --- --_----.---__ _ •_-_ _•_•- _ 1 z -{ 1 v� Q` t , 1�, /t 1i�/i
11 (q) b - i 3) mEM CONTROL HEAD DECIMAL 63/_ F74- Q/ SCALE DRAWN 1�Y yJ
4 ''� �.T•
4) T;,NKSIDE INSCHARGE N077Y ES + (J ,Y APPROVED BY V/
--- _ 5) Q.S STATION./ END ISLAND No72LES -
/ 6) P EUMATNC HEAT DETECTOR FRACTIONAL TITLE
7) Ha.AT COLLECTOR
_ Gyro A
�.4r9,e
" 8) i'u110TE MANUAL RELEASE4/
+ - - /
9) 1Je PNEWATIC DET.r.CTION TUBING ANGULAR DATE D
- RAWING NUM--R
PLAN VIEW
,I10) 1 QCL JLF?w BEL (NOT SHO") �
7 -� /93$j
AAZON CRYSTALENE 0° 11X17 MADE IN U/S.A.
ENGINEERS'STANDARD FORM 1
IzZ
L
2 Vj
All.
-j
5�boo
13 _irbbo
A
L CL
(D LLJ
V
IF IF IF
•
S5* .4 q-V-k 3AI
//Z A)
4 .
�4
e-
X
.2q
oI IT
loam
AES MANUFAaUREIL-
ANSUL R102 63)3 1-5
Piping Material: Black Iron Max length. iLft_ Max Rise Wl I-i ALL CODES OF
Supply.Pipe Size: 3/0 Branch Pipe Size: 3/8 FIR VEDAS NOTED N E-V� TOWN CODES TE
Gas Valve typet"W,
0 _C<-k Size 2- Manufacturer AS OF
Detector Temperature rating C)'3 * 0 DATE: UNDERWRITERS CERTIFIGA
0�y REQUIRED
:v -v,
_k
FEE: ry,w pi
Hood Size: Duct size: I ET'x BUILDING ;,t,�TIMENT AT
Hood Size: Duct -Size: . NOTIFY BU -ANNING BOARD
-1802 8 AM TO FOR THE
765
FOLLOWING INSPE IONS:
EQWAaNT QUANTITY SLIRFACE NO2M it FOUNDATION - TWO RF::r-)UIRED NY.S.DEC
-_)NCRI
TYPE L f W TIP# ( 4,/ HEIGHTS LOCATIONS FOR POURED C, -_TE OW PANCY'O,' ,
DUa 2W 7- 2. ROUGH - FRAMI\!(.-j &
ION ' 1`� UNLMMFUL
PLENUM IN 1 3. INSULATION N MUST
4. FINAL - COJISTRUCTIO
ALL CONSTR1U1�,,_s*,_11C1.1 S-11 ..LL • H
RANGE 245 4 40-50 CENUR CO. WITHOUT CERTIRICATE
BE COMPLE I ALL MEET THE MEET THE REQUIREMENTO Oi-THE
RANGE k �294 290 - Z 15-20 PERIMEM ALL CONSTRUCTION SH CODES OF NEW YORK STATE. OF GRMDLE IN. 35-40 FERUMM REQUIREMENTS OF THE CODES OF NEW OCCUPANCY
TE. NOT RESPONSIBLE FOR
WOK IN 35-+5 CENTER YORK STA CONSTRUCTION ERRORS.
DESIGN OR C
FRYER 141' vaill 2w 274731F 4' 14 416qS
UPRIGHT I q' 1/2N 2- '15 MZ H if,154q
.SALM/h A X /.9 //7,Al 2 2 $0 4111%4 0 A)-4
GASIMXC RAD IN 26-40 9-q 0 t 4113%61 1 Pr- Hv%jmH FIRE INSPECTION
LAVAROCK 78-35 3 GW.-CyfiWa 429862 REQUIRED BEFORE
NATURAL IN 18-W AnsW Amtomm 4298ZM OPENING
CHARC04fl 3N 1+40 Tank Ewlosure 429870
9.4 o ljq-140 Swivel Adapter 423572
► BlowOffCap 77695
OTM '34px 21, Ik-/i a'
its 4E Series DetecWr 417369
Terminal DcbuA" 417368
X Fryers to have High Limit Control to shut off fuel at 425 deg D4
Comer Pulley �423251 1
X Detectors shall be located over every piece of equipment. i�l ABT DIEVOW& FI'R'E PROTECTI-0N
X The System installed as per manufacturers specs and the AHJ. 3/r Seal 77285 C . ........
X The System has been installed as per UL300. 1)2" SeW 77297
SCALE: APPROVED BY DRAWN BY pL
X The following functions to operate upon system discharge. jh&Stuion 4835
�4�,f DATE: FeLo. ij4,2-00
* Supply air damper closes Gas fuel shuts off in kitchen VI&C;2 Ansul 45610 BEV
m-ecl,_
* Exhaust fan remains on Electric fuel shut off under hood
* All systems to activate simultaneously in same hazard area. L 104 C'0,1117614, �214AIS
* Fire Alarm shalt.. activate if one. is installed in building.
2-)20 17 DRAWING NUMBER
X Manuat Putt is located 10-35 ft from hood and 3-5 ft from floor.
APPRO
X All fuel sources are ]GAS unt"is otherwise noted. E03tem (44M 110� 48 4- 1'>�01(
Lal I Jj
1mriam"rUfferrAff NO.185A-1*X24
a� hN
s?
'BTW 4-. ..iyrtM.r .� ",f•
4'r•s -
i
1
5001
/F IF IF '
SA 4r,091joeot �3/V
zN z9"x/9'b
Sao. xqoil
�-r a3Q a
/i2 N
c1�rIc;k-� 14 ��c.,�r;�,j�^; J4 V.�ijv Aad
AES MANUFACI1.IRM-
ANSUL - R102 Cz 3 1.5 6d
Piping Material: Black Iron Max length. LLW Max Rise = (b
Supply.Pipe size: 3/8 Branch Pipe size: 3/8
Gas Valve type:N„ 't Size 2-11 Manufacturer '��,r _
Deflector Temperature rating
Hood Size: ► pl Duct Size: x ` �2
Hood Size: Duct Size:
EQUIPIFaff QUAWM SURFACE NOZZLE
TYPE L x W TIP# Q / HUGHTS LOCATIONS
DUCT --�—=--- 2W Z
PLENUM �_ �_ 1N 2-
RANGE
RANGE L a C�' kQ�r 245 r 40-50 CENTER
RANGE / 3 " k .284 290 - Z 15-20 PERIMEEUX
GRIDDLE 1N 35-40 PERIMETER
At
iN' CENTER
WOK 35-45 1 YJ - a-}1 `31 14a.. .''1 Al i
�+
FRYER �' 1[ 1" 130 1 27-47
( I -2
UPRIGHT I 1e I Q 1/2 N Z• c �
x i9'' IIA N 2 2 $Q LWA%40 d6-J1AX 1
GAS/FLEE RAD IN 26-10 2,q = 1-!1 3 11:=H1 3►{e.�
LAVAR= IN 18-35 3 Cal..Cylinder . 429862 � / " ,� � ��• �y
NATURAL iN 18-40 AdISUI J� 42985
Task FmAosure 429870
CnnRCOWMEs 3N 440 Swivel Adaptor 423572
'�r'" ► .. r Q Blow Off Cap 77693
OTi�R { -3 4� L -3
RA.V4E 417369 DESIGN & FIREPROTECTION�etedor _
Tem&al Detector 417368 {{
X Fryers to have High Limit Control to shut off fuel at 425 deg.\\ Corner Pulley x423251 1724�CHURCH STREET,HOLBROOK,NY 11741
X Detectors shall be located over every piece of equipment. t 3/8" Seal .mom - 631-878-4896:. FAX: 631-87"72-7-
' X The system installed as per manufacturers specs and the AHJ. ill» Seal M97 APPROVED BY DRAWN BY
s�
X The System has been installed as per UL300. SCALE: � �FjF �.
X The following functions to operate upon system discharge: Phutll Sta#ion $ DATE: ' F46. 1j1 '� /ZEV
* supply air damper closes * Gas fuel shuts off i-n kitchen I,iwetk yawe02 A=1 5610
* Exhaust fan remains on * Electric fuel shut off under hood 0 .-ok'T 2ZO*S ,
* simultaneous! in same hazard area.
. All systems to activate Y
* Fire Alarm shall. activate if one is installed in building 1-)20 q.10?;Lkl 1414 S1-� DRAWING NUMBER
X Manual Pull is to
X All fuel sources are GAS unleas otherwise noted. [03tem a]cated 10-35 ft from hood and 3-5 ft from f loor. CO
�� ,r t .rV€ E � 1
X125£ pq l3
/YdTrONAL l4EY11�FAST NO.1HSA40X24