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HomeMy WebLinkAbout37597-Z �FFa[,f Town of Southold Annex 12/18/2012 �0 co2�1 % P.O.Box 1179 co54375 Main Road o ,}1{ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36088 Date: 12/18/2012 THIS CERTIFIES that the building OTHER Location of Property: 54075 Route 25, Southold, SCTM#: 473889 Sec/Block/Lot: 61.-2-7.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/16/2012 pursuant to which Building Permit No. 37597 dated 10/25/2012 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: furnace and hot water heater as applied for. The certificate is issued to Southold Prof Offices LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED v Au o ' ed Si atur z=N', TOWN OF SOUTHOLD ��o�g11FF0(l(C� �y 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#: 37597 Date: 10/25/2012 Permission is hereby granted to: Southold Prof Offices LLC 128 Vanderbilt Ave Manhasset, NY 11030 To: i replace an existing furnace and hot water heater as applied for At premises located at: 54075 Route 25, Southold SCTM # 473889 Sec/Block/Lot# 61.-2-7.3 Pursuant to application dated 10/16/2012 and approved by the Building Inspector. To expire on 4/26/2014. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00 CO -BUSINESSES $50.00 Total: $300.00 Building 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-digposat(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 2110 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 0-1 property lines,streets, building and unusual natural or topographic features. 2_ A property 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 150.00, Accessory building'$50.00,Additions to accessory building$50.00, Businesses$50.00: 2. Certificate of Occupancy on Pre-existing Building- $100.00 3_ Copy of Certificate o€.Occupancy-$_25 4. Updated Certificate of Occupancy- $50.00 5_ Temporary Certificate of Occupancy -Residential $1 5.00,Commercial $15.00 Date. / New Construction: Old or Pre-existing Building:1 Z (check one) Location of Property: f/// 4ZL� House No. _ Street / HaAlet Owner or Owners of Property:/e J Suffolk County Tax Map No 1000, Section (0 Block v� t 7 �_ Subdivision Filed Map. Lot: Permit No. J-7 5 Date of Permit. / ' 2/0' t 2 Applicant: Health Dept.Approvals Underwriters Approval: Planning Board Approval: Ze uest for: Temporary ryCertificate Final Cer tificate: (check one)- Fee Submitted: Ap#611t ignature OF SOUryo`o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING/STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �v INSPECTOR FIELD ELVECTION REPORT DATE COMMENTS FOUNDATION(1ST) - -------------------------------- FOUNDATION(ZND) � O d • lip v1 ROUGH FRAMING& y PLUMBING R> cj�� INSULATION PEP,N.Y. H STATE ENERGY CODE Jo FINAL ADDITIONAL COMMENTS 8;V�S E�q EEL& • p m n J TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUT.HOLD,NY 11971 4.sets of Building Plans TEL:(631)765-1802 Planning'Boaril approval FAX:(631)765-9502 Survey.• SoutholdTown.NortltFork.net PERMIT NO. �`� Check Septic,Form • ,. ,N.Y:S.D.E.C. '' Triustee's 0� Flood Permit ' Examined ,20 �Z Storm-Water Assessment Form Contact; ' Approved Z� 20 -Mail to: Disapproved ak__ Pltone: Expirationi 20� Builditig Ins ector. APPLICATION FOR BUIL,DiNG PERMIT �J Dat' ,20 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 net 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 througho!st 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 otherregulations affecting the property have been enacted IIn the interim,the Building Inspector may authorize,in writigg,'the.extension of the.permit for an addition six months.Thereafter,a.new permit shall be required, D IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uil g 7 r.e ce of.the Town of Southold,Suffolk County,New.York,and other applicable.Laws,Ordinances.or t e struction of buildings,additions,or alterations or for remo .i or dery htion as herein described.The applicant agre ply with all applicable laws,ordinances,building code, iug co and regulations,and to admit OCT a �ut^ori�tzedinsl o n premises and in building for necessa?y inspections. L�IZ i ure of i a rp BLDG. DEPT. TOWN OFSOL'THOLD `��7)/►, 'A`'Lts �iinga ressof p c t)//o2 State whether applicant is owner,lessee,agent,architect,engineeefr,,lgeneral contractor,electrrlian,plu er or builder Name.of owner opremises of .(As on the tax roll o latest deed) If app ant is a cor ation,signature of duly uthorized officer C� N e a d tit of corporate o fieer) Builders License No. _ Plumbers License No. Electricians License No, •'' 3 — r Other Trade's License No. I. Location of land on proposed work will be �Irlousel4um er ? Street 'J hamlet / � - 11g71 u tgrl'ax Mapp o. 1.000 Section /� Block Lot �, Subdivision Filed Map No. Lot e - 2. State existing use and occupancy of emises aud intended and o i a cv o proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable):New Building _Addition Alteration Repair Removal Demolition Other Work. I-44b44A 2h—�� (Description)4-wrve 4. Estimated Cost ✓y Fee (To be paid on filing this application) 5. If dwelling,number of dw units er of dwelling units an each floor_ If garage,numb ars 6. If bu=ommerci� or mixed occupancy,specify nature and extent of each type of use. a s f'fiitpth zo a 7. Dimensions of existing strictures,if any:Front to©© 1?�ar Height Number of Stories_? Dimensions of sam s cture with.alteratio r d ' :Front_ Re Depth-- Height Numbe ories 8. Dimensions of e ' e e onstructio r t Rea Depth He N mbrof�to es 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? ES�. 13.Will lot be re-graded?YES� Will excess fill be removed from.premis s?.YES NO 14.Names of Owner of premises G���s 3e� rrssdw�, l . and NFS— Name�t-- _Address N o ntractor_ Addres. Pbpne 15 a.Is this property within A00 feet of a tidal wetland or a freshwater wetland?*Y?;S > 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 properly 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?*.YF,S_ *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF W-4 S s L-0/5 B En114tUb O being duly swom,deposes and says that(s)he is the applicant (Name of individual signing.contract)above named, (S)He is the_ ownJ,6-R (Contractor,Agent,Corporate 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 JE he manner set forth in the application filed therewith. ie me this day ofBc-;Q 20� �t {�j� natur fA plic A " K�1ARI c,Stab of New York Quallfied in Nassau County / L Reg.No.01 MA4795921 My Commission Expires 7-31- -A'� "of so�ryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road (631)765- 50� P.O.Box 1179 coo 0 rocler.richert( _ wn.soutno d.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ra /�j y� Date: ✓0), Company Name: �SjL�'�-� r�IT C ec &� Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: ' *Address: / *Cross Street: *Phone No.: Permit No.: 3'7 SJ/ -7 Tax Map District: 1000 Section: _ Block: Lot: 7, *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES / NO Rough In Final *Do you need a Temp Certificate: YES / NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Forme I ho��pF SO(/ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road 4 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ��OUNT`1,N� BUILDING DEPARTMENT TOWN OF SOUTHOLD December 7, 2012 Southold Prof Offices, LLC 128 Vanderbilt Ave Manhasset, NY 11030 Re: 54075 Route 25, Southold TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. �-ro Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT : 37597 — Furnace and Hot Water Heater APPROV D AS NOTED DATE. .... B.P.#. 7 FEE �� BY NOTIFY BUILDING DEPARA ENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING,PLUMBING, STRAPPING, ELECTRICAL&CAULKING 3. INSULATION 4. FINAL-CONSTRUCTION&ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED ALL CONSTRUCTION SHALL_ PLUMBER CERTIFICATION MEET THE REQUIREMENTS OF THE ON LEAD CONTENT BEFORE CODES OF NEW YORK STATE. CERTIFICATE OF OCCUPANCY SOLDER`t1SED IN WATER SUPPLY SYSTEM CANNOT OCOVPANCY OR EXCEED 2110 OF 1% LEAD. USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PLUMBING ALL PLUMBING WASTE &WATER LINES NEED TESTING BEFORE COVERING 'r '' rm#vETM TUC1 D120-SUB-1 B TAG: Upf low/Horizontal 5/8„ Condensing Gas Furnace 24-1/2° 23-1/4" 28-1/2" Single Stage I 19 9/16" TUC1 13120A9601 A 3"DIAMETER OUTSIDE AIR 1/2" 4-1/2" 2"DIAMETER 5/8" FLUE CONNECT 12„ 2-15/16" 7/8"DIA.HOLES s-' ELECTRICAL CONNECTION 4 � 1-1/2"DIA.HOLE 10" �. GAS CONNECTION 7/8"DIA.K.O. ELECTRICAL 2SUPPLY (ALTERNATE) 3/4' 28-1/4" 7/8"DIA.K.O. ELECTRICAL SUPPLY 23' 40" (ALTERNATE) 30-5/8" �� •r6' 1 5/8" 1-1/2"DIA. `ice Y K.O.GAS CONNECTION 20',1/4" , I I (ALTERNATE) 3/4" / 2.r 8`. m C\j cv i 22-1/2'' � ) `� toT 1-1/8"DIA.K.O. CONDENSATE *' DRAIN-Altemate 24-1/32" S„ 121 y� 1-7l8"X 7!8"SLOT K.O. i CONDENSATE DRAIN J, N / (FOR HORIZONTAL) yi .91"6.,OF -/'_0 9/ ryi8„ � FURNACE AIRFLOW(CFM) S. EXTERNAL STATIC PRESSURE INS.w. . MODEL SPEED TAP 0.10 1 0.20 0.30 0.40 0.50 1 0.60 0.70 0.80 0.90 TLIC1 D120A9601 A 4- HIGH-Black 2454 2406 2358 2310 2261 2184 2106 2017 1928 3- MED.-HIGH-Blue 2105 2092 2078 2045 2012 1950 1887 1826 1765 2- MED.-LOW-Yellow 1747 1742 1736 1720 1703 1677 1651 1593 1535 1 - LOW-Red 1445 1447 1449 1440 1430 1400 1369 1325 1280 CFM VS.TEMPERATURE RISE MODEL Cubic Feet Per Minute(CFM) 1600 1700 1800 1900 2000 2100 2200 TUC1 D120A9601 A 63 59 56 53 1 50 48 I 46 07/11 ©2011 Trane General Data o TYPE Upf low/Horizontal VENT COLLAR=size(in.) 3 Round RATINGS a HEA EXCHANGER Input BTUH 120,000 Type-Fired Alum.Steel Capacity BTUH(ICS) O 113,000 -Unfired AFUE 92.1 Gauge(Fired) 20 Temp.rise(Min.-Max.)*F. 40-70 ORIFICES—Main BLOWER DRIVE DIRECT Nat.Gas.Qty.—Drill Size 6—45 Diameter-Width(In.) 11 x 10 L.P.Gas City.—Drill Size 6—56 No.Used 1 GAS VALVE Redundant-Single Stage Speeds(No.) 4 PILOT SAFE77 DEVICE CFM vs.in.w.g. See Fan Performance Type Hot Surface Ignition Motor HP 3/4 BURNERS—Type Multiport Inshot R.P.M. 1100 Number 6 Volts/Ph/Hz 115/1/60 POWER CONN.—V/Ph/Hz ^ 115/1/60 COMBUSTION FAN-Type Centrifugal Ampacity(In Amps) 13.9 Drive-No.Speeds Direct-1 Max.`Overcurrent Protection(amps) 20 Motor HP-RPM 1/20-3450 PIPE CONN.SIZE(IN.) 1/2 Volts/Ph/Hz 115/1/60 DIMENSIONS H x W x D' - F.L.Amps 0.71 Crated(In.) 41-3/4 r.26-1/2 x 30-1/2 FILTER—Furnished? No Uncrated(In.) 40 x 24-1/2 x 28 Type Recommended High Velocity WEIGHT Hi Vel.(No.-Size-Thk.) 1 -24 x 25-1 in. Shipping(Lbs.)/Net(Lbs) 205/193 O Central Furnace heating designs are certified to ANSI Z21.47/CSA 2.3. O Ratings shown are for elevations up to 2000 feet.For elevations above 2000 feet;Ratings should be reduced at the rate of 4%for each 1000 feet above sea level. O Based on U.S.Government Standard Tests. ©The above wiring specifications are in accordance with National Electrical Code;however,installations must comply with local codes. Mechanical Specifications NATU RAIL GAS MODELS—Central heat- BURNERS— Multi-port, in-shot burners STYLING — Heavy gauge steel and ing furnace designs are certified to ANSI will give years of quiet and efficient service. "wraparound" cabinet construction pis Z21.47/CSA 2.3 for both natural and L.P.. All models can be converted to L.P. gas used in the cabinet with baked-on enamel gas. Limit setting and rating data were without changing burners. finish for strength and beauty.The heat ex- established and approved under standard changersectionof the cabinet iscompletely ratingconditions using American National INTEGRATED SYSTEM CONTROL- 9 lined with foil-faced fiberglass insulation: Standards Institute standards. Exclusively designed operational program provides total control of furnace limit sen- This results in quiet and efficient operation SAFE OPERATION — The Integrated sors,blowers,gas valve,flame control and due to the excellent acoustical and insulat- System Control has solid state devices, includesself diagnostics for ease of service. Ing qualities of fiberglass. which continuously monitor for presence The built-in,selectable"Cooling Fan Off" FEATURES AND GENERAL OPERA- of flame,when the system is in the heat- feature provides time-delay capability like TION—These High Efficiency,Direct Vent, ing mode of operation. Slow opening, a BAY24XO45 Time-Delay Kit for cooling Condensing Gas Furnaces employ a Hot dual solenoid combination gas valve and operation.Also contains connection points Surface Ignition system,which eliminates regulator provide extra safety and quieter for E.A.C./humidifier. the waste of a constantly burning pilot. operation. They are convertible for HORIZONTAL AIR DELIVERY—The multispeed,direct- QUICK HEATING—Durable,cycle tested, drive blower motor, with sufficient airflow use by rotating the unit to its left side. The heavy gauge aluminized steel heat ex- range for most heating and cooling require- integrated system control lights the main changer and stainless steel secondary ments, will switch from heating to cooling burners upon a demand for heat from the heat exchanger quickly transfer over 90% speeds on demand from room thermostat. room thermostat. Complete front service of the heat to provide warm conditioned The blower door safety switch will prevent access. . air to the structure. Low energy power or terminate furnace operation when the a. Low energy power venter. vent blower, to increase efficiency and blower door is removed. (Fan relay and b. Vent proving differential switch. provide a positive discharge of gas fumes 35VA control transformer is standard). to the outside. 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