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Home My WebLink About43663-Z �Q�SUFFn1KC�� Town of Southold 5/9/2019 o - P.O.Box 1179 o ® 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40368 Date: 5/9/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 290 Gillette Dr, East Marion SCTM#: 473889 Sec/Block/Lot: 38.-2-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/18/2019 pursuant to which Building Permit No. 43663 dated 4/18/2019 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: ELECTRIC FOR POOL HEATER The certificate is issued to Gould, Elaine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43663 04-28-2019 PLUMBERS CERTIFICATION DATED Authorized Signature �gUFFU(,r TOWN OF SOUTHOLD BUILDING DEPARTMENT x 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#: 43663 Date: 4/18/2019 Permission is hereby granted to: Gould, Elaine 22 Mariners Walk Oyster Bay, NY 11771 To: Electric for Pool Heater At premises located at: 290 Gillette Dr, East Marion SCTM # 473889 Sec/Block/Lot# 38.-2-3 Pursuant to application dated 4/18/2019 and approved by the Building Inspector. To expire on 10/17/2020. Fees: ELECTRIC $85.00 Total: $85.00 Building nspector ®F SOUj�®� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 .®�� roger.richert(cDtown.southold.nV.us ®849y A tl9 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Elaine Gould Address: 290 Gillette Dr City- East Marion St: New York Zip: 11939 Building Permit#. 43663 Section 38 Block. 2 Lot 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor. DBA: Long Island Pool Care License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Cei)ing Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment, Supply electric power to gas pool heater Notes: Inspector Signature: V"� - - Date: April 26 2019 81-Cert Electrical Compliance Form xls � FFALKc BUILDING DEPARTMENT- Electrical Inspector goy TOWN OF SOUTHOLD n Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 y'�O1 • '�� j ��'-'o elephone (f 31) 765-1802 - FAX (631) 765-9502 R roger.richert(a-town.southold.ny.us APPLICA '1 ' `�. ' : ELECTRICAL INSPECTION REQUESTED BY: ' of§ Date: Company Name: �Zn Name: License No.: 6-5'u is email: l,'� e 00 0 l Cie. t Address: Phone No.: JOB SITE INFORMATION: (AI( Information Required) Name: 9 2 Address: q 0 � \` Cross Street: Phone No.: email: Bldg.Permit#: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) �_ T]�� Cas Circle All That Apply: ? YE NO Rough In Final Is job ready for inspection.: Do you need a Temp Certificate?: YES /0 Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: = #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground-Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: - - - -- - RAY-MENT_DUE WITH APPLICATION �'N c �� 6 J 62-Request for Inspection Form.xls CD` � V J HAYWARIY POOL AND SPA/HOT TUB HEATERS H150FD, H2O0FD, H250FD, H300FD, H350FD, H400FD & H500FD MODELS SERVICE & INSTALLATION MANUAL FOR YOUR SAFETY 110 tS I GN A� A WARNING: If the information in these instructions is not followed exactly, a fire or 0 ----- ---- - CERTIFIED explosion may result causing property damage, injury, or death. Do not store or use gasoline or other flam- mable vapors or liquids in the vicinity of this or any other appliance. u 6 WHAT TO DO IF YOU SMELL GAS: °o - • Do not try to light any appliance. ° • Do not touch any`electrical switch; do not use any phone in your building. • Immediately call your gas supplier from a neighbor's phone.Follow the gas supplier's instructions. • If you cannot reach your gas supplier, call the fire department. - Installation and service must be performed by a qualified installer, service agency, or the gas supplier. FOR YOUR SAFETY This product must be installed and serviced by authorized personnel, qualified in pool/ spa heater installation. Improper installation and/or operation can create carbon monoxide gas and flue gases that can cause serious injury,property damage, or death. See www.hayward-pool.com/patent for U.S.and 1301623301 Rev T 0117 Canadian patent information U N C RATI N G THE HEATER: Figure 1: Pallet Mounting Bracket Location To remove the shipping carton from the heater: 1. Remove the corrugated carton from the The screw through heater. The carton,top pad,bottom pad, the rear shipping and the four corner posts can be recycled. bracket is located in 2. There are three(3) screws total used to M0011@0 this area. Remove the secure the heater to the wood pallet. All screw. three must be removed to separate the heater from the pallet. One(1)is located z = It is not necessary to in the lower rear of the heater as shown in remove the bracket Figure 1. or the rear louvered 3. To access the other two(2) screws, open panel. the front access panel by remov- ing the black phillips-head screw. Then remove the two(2)screws Figure 2: Shipping Screws Inside Front Access Panel which hold the heater base pan to the pallet as shown in Figure 2. Remove the (2) _ 4. Lift the heater clear of the corrugat- shipping screws - - ed bottom pad and off of the pallet. pp g and discard bottom -- corrugated tray. - r ® ATTENTION: Do not drop the heater from a pickup truck tailgate to the ground.This may damage the heater. LOCATING THE HEATER: Locate the pool/spa/hot tub heater in an area where leakage of the heat exchanger or connections will not result in damage to the area adjacent to the heater or to the structure.When such locations cannot be avoided, it is recommended that a suitable drain pan, with drain outlet,be installed under the heater.The pan must not restrict airflow. This heater must be installed at least(5) feet from the inside wall of a pool(in-ground or above-ground)/ spa/hot tub unless separated from the pool/spa/hot tub by a solid barrier. The heater must be installed such that the location of the exhaust gas vent assembly outlet relative to adjacent public walkways, adjacent buildings, openable windows, and building openings complies with the National Fuel Gas Code (ANSI Z223.1/NFPA 54) and/or CAN/CGA B 149 installation codes. Outdoor instal- lation and service clearances: The heater must be installed outdoors such that the installation and service clearances from combustible materials shown in Table 2 are maintained. This heater may be installed on combustible floors. 1. The heater is self-venting when installed outdoors and does not require additional vent piping. 2. Do not install in a location where growing shrubs may in time obstruct a heater's combustion air and venting areas. 3. Do not install this appliance under an overhang less than(3) feet from the top of the appliance.The area under the overhang must be open on(3) sides. 4. Do not install the heater where water spray from ground sprinkler can contact the heater. The water could splash on the controls causing electrical damage. 5. Do not install under a deck. USE ONLYHA YWARD GENUINE REPLACEMENT PARTS HAYWARD®Pool Products Pomona, CA Clemmons,NC Nashville,TN A Hayward Industries,Inc Company Tel: 908-355-7995 www.hayward-pool.com m 6. Do not install within 24" of any outdoor Table 2 HVAC equipment. Outdoor Installation Clearances 7. Do not install where water may run-off a Heater Panel Required Clearance roof into the heater.A gutter may be need- Top Unobstructed ed to protect the heater. 8. Any enclosure around the heater must Front 1s inches provide a combustion air vent commenc- ing within 12 inches of the bottom of the Water Connection Side 12 inches enclosure. The vent opening shall have Side Opposite Water Connec- 6 inches. a minimum free area of 1 square inch per tion 4,000 Btu/hr input rating of all gas appli- ances in the enclosure. See Table 5. 9. If the heater is to be installed in front of an exterior wall with vinyl siding, increase the clearance from the back of the unit shown in Table 2 to 12 inches. 10. For minimum exhaust vent clearances for all building openings, including but not limited to vented eaves, doors,windows, or gravity inlets', see Figure 3. In Canada, the heater must be installed with the top of the vent at least 10 feet(3m)below, or to either side of, any opening into a building. Figure 3: Minimum Clearances 4 f 4 f / Minimum Minimum 4 f Minimum — 3 f o Minimum -' 10ft Minimum Forced Air Inlet USE ONLYHAYWARD GENUINE REPLACEMENT PARTS MHAYWARD-PooiProducts Pomona, CA Clemmons,NC Nashville,TN A Hayward Industries,Inc.Company Tel: 908-355-7995 www.hayward-pool.com