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TOWN OF SOUTHOLD 0 BUILDING DEPARTMENT If 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#: 52761 Date: 03/16/2026 Permission is hereby granted to: Eric Klodnicki PO BOX 722 Cutchogue, NY 11935 To: Replace boiler(and change fuel source) at existing single family dwelling as applied for. Premises Located at: 1760 Crown Land Ln, Cutchogue, NY 11935 SCTM# 102.-7-8 Pursuant to application dated 03/12/2026 and approved by the Building inspector. To expire on 03/15/2028. Contractors: Required actions: Fees: Single Family Dwelling- Alteration $250.00 CO-RESIDENTIAL $100.00 Tat 350.00 BuitIdIng Inspector TOWN OF SOUTHOLD--BUILDING DEPARTMENT Town Hall Annex 543 75 Main.Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-W 1802 Fax (631) 765-9502 ttps;, ,,sor tho d,to ._o , Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only III ill,,,, �' uuu�mu' I plulmiiomm�ii°uuW� °� �� C m A I IR PERMIT NO. Building Inspector: e f/ I a r ✓� f� i J�J� � i, ��Y��//�/i,�J��/i�rl/I,?f�J���i/����//� �N I vti i, f II v✓r,ry w 1�I��l/f��C��l�/r1� I�.,V� � �" µ r..'h I2026 v'- i i rrr,fi,, U. „ ✓, ,/., ✓' / /!,o /U' 1 :rrrii, ,,i,/rhJ fr,i %r µ� Dates s l r l�e���l i /�`/r'�I;U/�;�ir ,. VJl I,,/ yi,r � 'ofjl'✓ � ;,�,A�,.,,/ q,, I� +s' ;r� �u �✓r 4V� ri � r r � ! � � 7 /J� ,,�J 71 'r y r rr wN ri ➢ ' s � U h ✓,I' r r l Np ' °, %," ', / 1 %UL� ,` a!, Jf�y�n/c , r Name: SUM#1000- -. ""oil Project Address. wu) I Iq -Ax o Phone#: Ewa : Mailing Address: Y 9 �'II Y.. r. �../,.; / , r i,Vir /, r,�,.. ,..." f, / ,.r �... ,,,,.... // ,,..,"/.r r,.., r r�✓..ro., �i� ,. ,/ n r �r r 4 l ,.,. 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Y r � � f � l- � l r J,, ., ,�i f� v / r f r ,�(. ., f 1r �,P r/ f r I,l�✓,L„ _.! ,�. 1 D�, 1 r 1 a � 1 1 q, ,r,>,,fir,✓��!'Wi�✓�l�''J1P�r/�`,/S ���'rFliir„�l�l rf,If/,l,�ir��f- ��,vo ✓, / ;� �%�,„, U„ Fm»,:;�/a �0/�// ,�', i r I ww 'inn Name. I I Mailing Address Phone# Emailµ � � 6,01're l / a r ,, /, ✓ /,, o J r r o rr f �,r...y ,.! ,// r r r� i r nu / �Y,..➢ oN r... / J ✓ ,�,�r,r , � 1, /_ 1 ✓ U, /: / /l f /% � l / /l fU ✓r ...! i ! fra�.U./ � ✓ / ��/.... / 4. i i/,�f��/f/,.,I7�,N1;f J,i!�/d 1/ir��,..,. .,.1 �w� r m r � „r �i �, r / �.0 `J ✓wA�a l/�d a�'l�i !r✓ l r J;7 k�, U//...i;Y,�',,,/m✓,�,u. n r, , rew.. t,il�,.,., ,.i �,4. /,,,,�J r, ..,.� »(,: �� V' r l at l v S N'r f/ n / . ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: the Will the lot be re-graded? [ Yes ❑No Will excess fill be removed from premises? ❑Yes El No 1 y Existing use of InterWed use of p rop a rty a w, ����,�. m...... Zone' or use district in whichrrern+ es fs situetedS Are there any,covenants a:r 'restrlctl�ons with respect,to �j 1P YES, ts this o IF a. .+..property? �� �A1 999""W"' u, .,:.m�r .,.�.,..y� r,,.,_ ...w—-+�..wr-—+n'iomW� imm m•^mmer,�aa'm�.• ; I I I tlCaflQn Sqbmitted By, ribt name, "brized Agent 130wner V i�,p �W,"`%m; 'Wpy, '."rugyVg MkmN fim.rM.rN,y^�iuu xuwuypn auwuannewuw^�ntiM«(Nu!W^r,,,ri mruuvMm.mmmm��«,,,u rNJu��mw m�m��«rare�sw mm�®.:u;q,.'sai barrir �6 umm wwa vWy,ruvWw A,p••,•+' � ni ui. -« ri„ »»�iW��, Signature of Applicant Date: P `A Y PUN ,STATE of NEW YORK 585 S # U SCM FOLK,COUNTY COUNTY OF D i Ak ei diul � ) sworn,deposes�,� that s h+e Is the applicant (Name. "M4, 14"Idual signing on raft)above named, 5 he is the .......... tra +�r,Agent,Corporate Officer,etc.) of said owner or owners,and Is duly authorized to perform or have performed the said work acid to make and file this application;that all statements contained In this application are true to the best of leis/her knowledge and belief;and that the work will ,'erkrrned,In the manner set forth tin the app►ll ion file therewith. sign before me this dad of 2£ Notak Public R!2.P�E.,',&T.Y'Q,,W.N E I A A I U 1�H, R I (Where'the applicant Is not the owher) I �' residing at 7 6 H0 °I? here authorize " do to�apply can ;do � �'p� my e '„I the'Town.of Southold Building Department for approval as descri b 'dherein. 3115 ownees Signature Date TIJAY L DORE, Notary PlY state Prim Queer's Name . Q,pait X 1COU11 ZT, " lob f 7-d" a, ?:5 0RS Sadly/ Dimensions Ratings DHW flow rates Overhead View Navien Condensing Boiler DHW DHW Flow Rates GPM(Um Space Heating Ratings Other Specifications TempModel NCB-190/060H NCB-240/110H ) j0ts ®1°6 Number' Heating InputHeating NetAHRI Water o ) NCB-1901080H NCB-240/130H NCB-250/150H ( CapaeHys Rating, AFUEt Water Connection size Min Max (BTU/H) Water' (%) Pressure (Supply,Return) 35(19) 8.2(31.1) 10.4(39.5) 10.8(40.9) j - i (BN� 40(22) 72(27.3) 9.0(34.1) 9.5(35.8) j NCB-190/060H 11,000 60,000 i 56,000 49,000 45(25) 6.4(24.2) 79(30.0) 8.4(31 mm ar0° NCB-190/080H 11,000 80,000 74,000 64,000 50(28) 5.8(21.8) 7.2(27.3) I 7.6(28.5) NCB-240/110H 13,000 110,000 102.0001 89,000 95.0 12-30 psi i 1"NPT 55(31) 5.2(19.8) 6.6(25.0) 6.9(26.0) NCB 240/130H 13.000 13Q000 120.000 104,000 60(33) 4.8(18.2) 6.0(22.7) 6.3(23.8) I Front VIeW NCB-250/150H 14,000 150,000 138.000 120,000 1j 67(37) 4.3(16.3) 5.4(20.4) 5.6(21.4) j I Ratings are the same for natural gas models converted to propane use. 70(39) 4.1(15.6) 5:1(19.3) 5.4(20.4) '-Based on U.S.Department of Energy(DOE)test procedures. 77(43) 3.7(14.2) 4.7(17.8) 4.9(18.6) - 3 The net AHRI Water ratings shown are based on a piping and pickup allowance of 1.15.Consult Navien before 44 selecting a boiler for installations having unusual piping and pickup requirements,such as intermittent system 80( ) 3.6(13.6) 4.5(17.0) 4.7(17.9) I operation,extensive piping systems,etc. 85(47) 3.4(12.8) 4.2(15.9) 4.4(16. II ii i 2210,00 Condensing Boiler 90(50) 3.2(12.1) 4.0(15.1) 4.2(15.9) I �j tic Hot Water Ratings der Domestic Hot Water Specifications 100(56) 2.9(10.9) 3.6 03.6) 3.8(14.3) � I I Input Ratings Row Rate DHW Model Water Minimum r (�� Pressure Flow Rate 45°F(25°C) Connection Sae Min Max PSI GPM(L/m) Tempt m, Supply Retum Temp settings 60H It l� 10,700 160,000 6.4(24.2) Temperature 80H I I Fillern Range Remarks 0.5 3/4" 3/4" 10H 15-150 I °FCC) 30H 13,300 199.900 I (1.9) 79(30.0) NPT NPT 77-185 Supply 2 Actual supply and return Supply Connections 0H 14,000 210,000 8A(31.8) Space (5-85) temperatures vary ® Heating Return68-158 depending on the selected It (20-70) outdoor reset curve. I DHW 86-140 Specifications (30-60) ^i .I T I O• I �' Specifications r p. it NCB-190/MH NCB-240/110H Model transition :i Item NCB-190/080H NCB-240/130H NCB-2501150H I I I ~N Dimensions 17.3"W x 29.3"H x 12.8"D Discontinued New aa•a. i Boiler Empty 871bs(40 kg) 96 Ibs(44 kg) NCB-E NCB-H nrt�o..,u weight With water 93 Ibs(42 kG) 1021bs(46 kg) NCB-1SOE NCB-190/060H DHW:12,000-120,000 BTU/H DHW:10,700-160,000 BTUrH C.SI.d°n Installation type Indoor wall-hung I HTG:60,000 BTU/H HTG:60.000 BTU/H s� Pressure Relief Valve awpter m3ra• Denting type Forced draft direct vent NCB-180E NCB-190/080H - Q Arrtnuake 03 DHW:14,000-150,000BTU/H OHW:10.700-160.000BIU/H ® Igni Exhaust m r t on Electronic it Onc ignition HTG:80,000 BTU/H HTG:BO,000 BTUiH p Heating Supply m t• Natural gas supply pressure NCB-210E NCB-240/11DH DHW Hot Water Outlet m 3r4• from source 3.5"to 10.5"WC ® ( ) DHW:18,000-180,000 BTU/H DHW:13.300-199,900 BTWN Gas Supply Inlet 03rc Propane gas supply pressure HTG:100,000 BTU/H HTG:110.000 BTU/H ®DHW Cold Water Inlet a ma• 8.0"to 13.5'.'WC Q Auto Feeder Watt inlet(MaInlet p Water)m,a• (from source) NC �)) NCB-2401130H j Q condensate Outlet m to Natural as manifold pressure -0.01"WC to 0.06"WC to 0.06"WC to D a 18000-199 9 BTU/H DHW:13,300-199,900 BTU/H Heating Retu n m t 9 p 0.31"WC 0.24"WC -0.213 WC H uuu°TU/H HTG:130,000 BTUM i Propane gas manifold pressure -0.04"WC to 0.06"WC to -0.06"WC to 0.33"WC -0.26"WC -0.28"WC NCB-250/150H Gas connection size 3/4"NPT DHW:14,100-210,000 BTU/H I HTG:150,000 BTU /H Power Main supply 120V AC,60Hz supply Maximum power consumption Up to 15 amperes Materials Warranty Casing Cold-rolled carbon steel - Heat exchangers Stainless steel Residential Single Family Use Only 2"Or 3"PVC,CPVC,approved polypropylene Heat exchanger 10 year I Exhaust 2"or 3"special gas vent type BH(Class III,A/B/C) 2"or 3"stainless steel Parts' 5 year Venting 2"or 3"PVC,CPVC,polypropylene Labor 1 year Intake 2"or 3"special gas vent type BH(Class III,A/B/C) -includes OHW flat plate HX. 2"or 3"stainless steel Navien reserves the right to change specifications at any time without Vent clearance 0"to combustibles prior notice.Please refer to www.Navienlnc.com to verify you have the Flame Rod,APS,Ignition operation detector,water temperature high most current information. Safety devices limit switch,exhaust temperature high Ii*t-sensor,water pressure NSF e Senegr.bumsr high limit fuse-vantTn's 11.1i n detector Navien Inc., 20 Goodyear, Irvine,CA 92618 800-519-8794 navieninc.com Navien Canada, Inc. 555 Hanlan Rd., Unit 7 Vaughan, ON L4L 4198 800-519-8794 navieninc.ca MNavieN T H E L E A D E R 1 N C O N D E N S I N G T E C H N O L O G Y NCBH-BRO01-2306 ©2023 Navien Inc..