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Home My WebLink About39998-Z sUFFat�% Town of Southold 8/31/2015 a . cf.„ P.O.Box 1179 ,t 53095 Main Rd ja Southold,New York 11971 CERTIFICATE OF OCCUPANCY • No: 37748 Date: 8/31/2015 THIS CERTIFIES that the building COMMERCIAL Location of Property: 4715 Great 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 office dated 8/11/2015 pursuant to which Building Permit No. 39998 dated 8/11/2015 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: fueling station tanks with fire suppression system as applied for. The certificate is issued to Laurel Links Cntry Club of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD 4170.F°- % 5 BUILDING DEPARTMENT TOWN CLERK'S OFFICE o '24i, 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#: 39998 Date: 8/11/2015 Permission is hereby granted to: Laurel Links Cntry Club PO BOX 307 Laurel, NY 11948 To: Install fire suppression system for new fueling station tanks as applied for. At premises located at: 4715 Great Peconic Bay Blvd, Laurel SCTM # 47,3889 Sec/Block/Lot# 125.-4-24.23 Pursuant to application dated 8/11/2015 and approved by the Building Inspector. To expire on 2/9/2017. Fees: COMMERCIAL ADDITION/ALTERATION $250.00 CO -COMMERCIAL $50.00 Total: $300.00 BC g Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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 from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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: 1. 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 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling $50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,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, Commercial $15.00 Date. EJ/oaths New Construction: Old or Pre-existing Building: (check one) Location of Property: 4/7/5r ,efo, //0. House No. Street Hamlet Owner or Owners of Property: / u,-,- ' 1,N,es �� ,� G�A,v .( Suffolk County Tax Map No 1000, Section /V$ Block `� Lot Z Y• Z�j Subdivision l ) Filed Map.. Lot: Permit No. 3 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: - Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ " 4b Applicant Signature „,,,, 00,,, SOplfolo ��LJJJ ,* _..., * i/7 e 000 C''"X - TOWN OF SOUTHOLD BUILDING. DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING FINAL [ ] FIREPLACE & CHIMNEY IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMAR . S: / - .14”' i( E ---Tp-7944/r25 Rt 517 — P4--- 5a4/\00.29 / DATE INSPECTOR k't6LD Ill'SncnoN 1.EP ''E DATA ti• CO .E'S .,i. I H. .;"• . . . f+Y � +At�1flri .. •..R+ IS•iY' - 'dam✓ .. .p.+.i..'•'••''.rt+ )' i1 •• +'QUND,Pi ON(1ST) .• a .. - . .: • .. • . • .m•.....1•. • , 31O • , • ROUGH FRAMMO& PLUMBTN'G • • • •. • • INSULATSON PE1�N+Y. 1 _._ -_ _ . . • H STATE ENERGY CODE , • . • .._ . , • FINAL Y - . • • . r - - _ ' . . . t x ' rt` TJ� �reM' . li � - . - • e . E-7 i s- .-6,013,-L, I .:' 6e 4:4;----q,_ - Or- off- . " ....,_......, 2 . r r r. , l . , n �+... ' z ki . w- • TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying'? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:A (631)765-18029967q Surve�g Board approval FAX: 631 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form NYSDEC Trustees C O Application Flood Permit Examined 20 f_i5 Single&Separate Storm-Waterer� Assessment Form_ _ Contact: PAf r%:A;�' i/OQi?r�'�$.Q Approved I 20 I� Mail to�(ds, 't/T�'+o IN 4164 Disapproved a/c , ' ,2 Z /,y�! M..V. /17/7 -m•� n ,�' // Phone G 3h Lt Ex.iration ' 1 AUG 1 1 2015I Li But g Inspector APPLICATION FOR BUILDING PERMIT ' - Date 20�r INSTRUCTIONS a This application MUST 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 zonmg amendments or other regulations affecting the property have been enacted in the mterim,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 (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder oN 11 wa;i2 r/e i DA .. Name of owner of premises /�/.0.L.cG Li Ade S (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No Electricians License No Other Trade's License No /� �j 1. Location ofLend on which prop r'�workiwill be one 14 �z;) Li9vctC. rc! Y //900'. House Number Street Hamlet County Tax Map No 1000 Section '(-2,5"d Block Lot •,! r'• - Subdivision 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 /-1.02 G;u 4 $LA,v,) b Intended use and occupancy c;,.,4 ii s , 3 Nature of work(check which applicable) New Building Addition Alteration Repair ✓ Removal Demolition Other Work (Description) 4 Estimated Cost` /b 00 o Fee �e.66 (To be paid on filing this application) 5 If dwelling,number of dwelling units N A Number of dwelling units on each floor If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use 7. Dimensions of existing structures,if any Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8 Dimensions of entire new construction Front Rear Depth Height Number of Stories 9 Size of lot Front Rear Depth • 10 Date of Purchase Name of Former Owner 11 Zone or use district in which premises are situated _ 12 Does proposed construction violate any zoning law,ordinance or regulation?YES NO 13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 14 Names of Owner of premises Address Phone No Name of Architect Address Phone No Name of Contractor tag ;,c2 9um.2Ess;on+ Address 824$v fi'ro 1x A Pahone No C.'31-2-73-Zo1 A ' 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 054 rrOI� T e eO�Qer f t- 14311/10,-6416 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He,is the (Contractor, gent, orporate 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 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 Swornto before me this ` day of 't+t / ir dV Notary Public ature of BARBARA H.TANDY Notary Public, State Of New York No. 01TA6086001 Qualified In Suffolk County Commission Expires 01/13/20 8Z6 SUFFOLK AVENUE 1 BRENTWOOD,NY 11717 Z. FIRE SUPPRESSION&SECURITY SYSTEMS PHONE{631)273.2010 DIV151QN OF EMI LTD, FAX(631)273.2939 NT;, "l\ T FAX 1y (j rt GL Prim: ill (A,c Y1, ComPalip-raiki rd Of Sou t h oi_(iges: Includes Lover Page Foic � 7 � Dt Ism • 0 Urg.nt ❑ For Review [] Please Comment ❑Please Reply Q Reese Ro mrya!, • P • ti - 9 ' • s SUFFOLK COUNTY DEPT CF LABOR, _ 11C$NSINO&CONsuhrER AFFAIRS • - i RESTRICTED PLUMBER LICENSE r i KEVIN KAMM This certifies that the e112"ess"'6 bearer is duty Qnor LTD DBA licensed by the County at Suffolk `�°"`" '° °o"��^ Frltk1 ' rF� 42815-RP 05/23/2007 EXPRATI OCR 05Jitf/2017 Alex LaValle _ ,employee of . BK Fire Suppression &Security Systems _ ' - Brentwood, , ,NY , - . Completed a training course in: , ' - - " ATTENDANT I & II Gasoline Station Fire, Suppression Systems- Design,.Installation, - ' Recharge&Maintenance - . - Training Date: November 10,2014 Expiration Date: November 10,2017 - . ' Be it known that - Alex LaValle , While employed by - BK Fire Suppression & Security Systems - Brentwood',NY ' _ Completed a training course in: - " ; - ` ' 'ATTENDANT" 8 II Gasoline Station Fire Suppression Systeme- Design; - , Installation; Recharge & Maintenance _ - - ' . - conducted by a FactoryAuthonzed Instructor - , This certificate is considered valid only if the above named individual is an ' employee of the authorized Pyro-Chem distributor listed at the above location. Training Date: " .November 10, 2014 ' - X _ Expiration Date: November 10 2017 •- - • " - Mark E-Fessenden-Director, Services-Americas" - • v �� ' A Tyco International Company • ' , _ voioossa • MOUNTING BRACKET 10'-0" -�s� MAX. I_ 10'-0" KINDORF rM _ _ IPING W/ NOZZLES � IPING W/ NOZZLES • ---1--, ? i\ / i I NOTES • 0• 1. PYRO-CHEM MODEL ATD SYSTEM IS U.L. LISTED #EX 3437 TO COMPLY WITH UL STANDARD 1254 ( FOR 10 MPH WIND PROTECTION). o 2. INSTALLATION IS TO BE IN ACCORDANCE WITH "PYROCHEM" INSTALLATION MANUAL AND ALL GOVERNING CODES AND ORDINANCES INCLUDING THE NATIONAL ELECTRICAL TANK - I I - TANK I CODE. 3. PIPING IS TO BE SCHEDULE 40 BLACK, GALVANIZED, CHROME PLATED AND/OR DISPENSER GAS D!S•ENSER STAINLESS STEEL. ALL FITTINGS ARE TO BE STANDARD WEIGHT MALLEABLE, GALVANIZED, CHROME PLATED OR STAINLESS STEEL. TUBING IS TO BE Y4" COPPER DISPENSER , = / , USING FLARED FITTINGS AND/OR 1/8" SCHEDULE 40 GALVANIZED PIPE. (ALL IN ACCORDANCE WITH SECTION A-2-8.2 OF NFPA 17). I., / 4. ACTIVATION OF ANY PORT ON THE FIRE CONTROL SYSTEM WILL SHUT-OFF PUMPS, r /1 „ATYPICAL 30„ 1• �� DISPENSERS AND COMPUTER. STORAGE TANK./ 5THIS PIPING IS SHOWN IN SCHEMATIC ONLY. CONTRACTOR MUST COMPLY WITH "PYROCHEM" INSTALLATION MANUAL FOR EXACT LIMITATIONS IN PIPING LENGTH, SIZES, FRONT ELEVATION NTS SIDE ELEVATION ROUTING AND LOCATION OF ALL EQUIPMENT. , NTS /DIESEL NOT 6 INSTALLATION SHALL COMPLY WITH MANUFACTURERS SPECIFICATIONS CONCERNING PROTECTED NUMBER AND HEIGHT OF NOZZLES, AREA OF COVERAGE, TIME OF RELEASE, ETC. b 7 INSTALLATION SHALL INCLUDE ELECTRIC HEAT ACTIVATORS, MANUAL ACTIVATOR CONTROL AND A DEVICE WHICH AUTOMATICALLY DISCONNECTS THE COMPLETE ELECTRICAL SYSTEM TO THE SELF-SERVICE DISPENSING EQUIPMENT WHEN THE DRY / CHEMICAL SUPPRESSION SYSTEM IS ACTIVATED. COVERAGE AREA 8 THE MAINTENANCE AND INSPECTION OF THE SUPPRESSION EQUIPMENT SHALL BE AS PER THE MANUFACTURER'S INSTRUCTIONS AND RECOMMENDATIONS, WITH A SIGNED 7-6' MAX - ") . RECORD OF THE SAME, THAT SHALL BE MADE AVAILABLE FOR EXAMINATION. MAIN ISLAND NOZZLE 225' HEAT DETECTOR -- — — —— — - CLUSTER TYPICAL W/ 15"x15" PAN w '05rA-Ii HAZARD PLA\ 3/4" 3/4" i� J 4 1 �,�y�,,, _ SCALE. „_I'-0" 34" 3/4" - - J 75# 4 x 1 " 1 " 75# DCC 75# END OF ISLAND/ZONE a DCC DCC c of MAI NTI4ANCE Bu,:-cl4G NOZZLE CLUSTER TYPICAL e 3 `° 3 "4 -""1" 1111111 , . 4 - c€�rrc. 1 STORAGE TANK 1 " c --- R" 01 CONC. --- olf, 3/4„ 3/4„ RAW I o MAu^ir !,A>acr_ c`; MAL DING 7 O 1/4" 0.C. COPPER TUBING Mil. T SNS n D-tk'i AL i . i 1\ Fi rump -CO'IC.BLOCK WALL. 'r'€ (L' • • PAC-10 HOME PDA-D2 EtECTRIC DATE `� 1.�k1 lmOt,PROVED AS NOTED.P.# 39M` a- OCCUPANCY OR [ACTUATOR\ METE v 5.o Ai FEE.. g raY: USE IS UNLAWFUL MI w ,�,.4k;4 Nc- }.:I!.D+,aux DEPARTMENT AT WITHOUT CERTIFICATE T'. - 3 AM TO 4 PM FOR THE SITE PLAN 1011 SCALE: NTS FOL, . :' G INSPECTIONS: OF OCCUPANCY 1. F. ' :DATION • TWO REQUIRED FCS, POURED CONCRETE ATID-35 ATD-35 ATID-75 ATD-75 2. f,OGGH - FRAMING & PLUMBING 3. IN ULATION 4. FCOMPLETE CONSTRUCTION FORT 0 .0 MUST FIRE INSPECTION i, ii 'EXISTING AGWAY CONTAINMENT ALL CONSTRUCTION SHALL MEET THE REQUIRED BEFORE. VAULT � ( GALLON REQUIREMENTS OF THE CODES OF NEW OPENING DRY CHEMICAL CYLINDERS � "I (� �"' PAD vORK STATE. NOT RESPONSIBLE FOR CHEMICAL CYLINDERI I / / 'EMAIN ' GASOLINE (TANK N{�. I } AND 500 DESIGN OR CONSTRUCTION ERRORS. ELEVATION MAIN ISLAND END OF ISLAND/ZONE r�µ- GALLON DIESEL (TANK NO. 2) TO NTS NOZZLE CLUSTER NOZZLE CLUSTER -P I E3E REMOVED NTS NTS 0 ,- m - I i ` i COMPLY TH ALL ¢C' �� :1� NEW AREO— OWER 500 GAL NEW YORK STIATE & TOWN CODESCODES OF `,fa I *" I GASOLINE RECTANGULAR. AS REQUIRED AND CONDITIONS OF NEW A�t�- POWER. C�c� SAL � ":3, � �,; xDlEt_ R TANGULAR TANt — , . O ; /TANtiK —ft\17M^7O�DyiEL # 50 —REQ �.L � '� 7. ( "A(°VK NO. V � 11 � � l�I, ., . .,..D MODEL # '5C500D—R.EC (TANK NO. 10) I ,44-4J ' c� ., , 1r,, .1 CONNECTS TO L - EXISTING N BOLLARD TO SO EROID M MONITOR 0 0_ s FF MAIN (TY1 .) RETAIN STORM WATER RUNOFF CIRCUIT 7 -o PURSUANT TO CHAPTER 236 POWER SUPPLY OF THE TOWN CODE.] _ '. PSISM-120 Mill 'ft' BK FIRE SUPPRESSION & ELECLAUREL TANKS SECURITY SYSTEMS SOLEENICAL NOID CONNECTS TO 120 VAC SUPPLY 6 400 MAIN R D MOUNTED IN NORMALLY A DIVISION OF EMDI LTD. CONTROL HEAD CLOSED DISTRIBUTIONLAUREL, NY 11948 826 SUFFOLK AVE. PGS-17 THERMOSTATDEFECTORS CONTACTS BRENTWOOD, N.Y. MUST BE PGS-26A IN PARALLEL POWER PANELTO: PH 631 273-2010 FAX(631 )273-2939 TOTAL- 1 REQ. GASOLINE PUMPS k DISPENSING I— FIRE SUPPRESSION #( ) ISLAND PLAN _ PLAN LICENSE # NCFM 644 SCALE SOLENOID MONITOR CIRCUIT $ ►�"'• ~ NYS 12000259411 AS NOTED DETAIL 0 �,0k SCALE.}•- 1'-O' NO. REVISIONS DATE BY CONTACT PERSON FILE fi&"o ALEX LAVALLE LAUREL LINKS .dwg ./k DRAWN JOB # DWG. # BY RF DATE 08/06/15 ES - 1 II