HomeMy WebLinkAbout42600-Z yg5�Ff0(C Town of Southold 7/15/2019
P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40500 Date: 7/15/2019
THIS CERTIFIES that the building ALTERATION
Location of Property: 225 Goldin Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 135.-2-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/17/2018 pursuant to which Building Permit No. 42600 dated 4/24/2018
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:
alterations to an existing one family dwelling as applied for.
The certificate is issued to Stephen&Kathleen Dunne
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42567 6/18/2018
PLUMBERS CERTIFICATION DATED
uth riz 'gnature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
may,. i SOUTHOLD, NY
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yam.
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#: 42600 Date: 4/24/2018
Permission is hereby granted to:
Kelly, Henry
52 Ridgeview Ave
Trumbull, CT 06611
To: replace door as applied for.
l
At premises located at:
225 Goldin Ln., Southold
SCTM # 473889
Sec/Block/Lot# 135.-2-15
Pursuant to application dated 4/17/2018 and approved by the Building Inspector.
To expire on 10/24/2019.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
B ' -spector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1502
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. lac• 18
New Construction: Old or Pre-existing Building: ;,/ (check one)
Location of Property: Xa5 e9V c� i,J ! �:A� ;U C 7�4 �C
House Nod® � /Street —� Hamlet
Owner or Owners of Property:64—ohe q at kd
Suffolk County Tax Map No 1000, Section l 3JyO Block L" ._-10 L) Lot l5. DOD
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate. ✓ (check one)
Fee Submitted: $,
Applicant Signature
S®���®�®
Town Hall Annex OIL OIL Telephone(631)765-1802
54375 Main Road OW Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 ® y® roper.richert(CD-town.southold.ny.us
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Dunne (Kelly)
Address: 225 Goldin Lane city,Southold st: New York zip: 11971
Building Permit#: 42567 Section: 135 Block: 2 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. i DBA: John McKeon Electric License No: 4147-ME
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 200A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A AIC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment. 200A Overhead Service, Rain Proof Main Panel Outside.
Notes:
Inspector Signature: Date: June 18, 2018
0-Cert Electrical Compliance Form.xls
��L OF SOOTyO
* f TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [V FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE '1i INSPECTOR
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COUNi'1,���
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL _
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
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DATE Ab [CAI,beig INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
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'FOUNDATION (2ND) C6�
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ROUGH FRAMING& y
PLUMBING
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INSULATION PER N.Y-. H
STATE ENERGY CODE
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FINAL
ADDITIONADDITION4 COMMENTS
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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: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.•
Trustees•
D LIC.O.Application
�I Flood Permit
Examined a ,20 Single&Separate
D
APR 1 7 2018 Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved ,20 TOWN OF SOUTHOLD
Disapproved a/c
Phone: _Cl(a 960 0 QQT7
Expiration 20
B ' mg nspector
APPLICATION FOR BUILDING PERMIT
Date 'Aa �1�C,tg , 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 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 throughoufthe 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 Southld, 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)
NJO;?s 1!yj:3V.:J
State whether applicant is owner, lessee, ageint,)t[i6ffl-f6Y;Zff�neer;'ge er�alT"Atractor, electrician, plumber or builder
ar,1 ec3sc,)a r{) a V J
Name of owner of premises [
(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. 3"1
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work willbe done:
5 r
House Number Street Hamlet
County Tax Map No. 1000 Section V 0 0 Block Q,,2=d Q Lot ADM, 0/96
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 c„�Ck-e_. qlo_s-C�e C,_P__
b. Intended use and occupancy � cosR b&aA,c�
3. Nature of work (check which applicable): New Building Addition Alteration / F
Repair Removal Demolition Other Work r ,c
(D cription)-�,,�,,c,,�
4. Estimated Cost fLoo IeeL 4
' To be paid on filing this application)
5. If dwelling, number of dwelling units r! Number of dwellffinits on each floor l
If garage, number of cars `r'` k r rig,
6. If business, commercial or mixed occupancy, spacify-nature and'e-�ctent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories one-
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 /5 Name of Former Owner&51zi,e e)4� IhAlc re-dr1
11. Zone or use district in which premises are situated J
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
113. Will lot be re-graded? YES_ NO ✓ Will excess fill be removed from premises? YES NO M
14. Names of Owner of premises �uN��Address�ia�h c� Phone No.51'663 6
Name of Architect Address Phone No .5Z6_, �7v /6
Name of Contractor ok\wooa =,,,c. Address(6cx2!m,, . t;,QcD,. Phone No. cgs, ,IkR?T.uca
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.G. 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 z/
* IF YES, PROVIDE A COPY.
EVELYN K GOLZ
STATE OF NEW YORK) NOTARY PUBLIC-STATE OF NEW YORK
�
r �S; No.01G06205435
y � �
COUNTY OFOualihed in Suffolk County
My Commiysior, cxpires May 11,2021
11 ee-v,)unv,2 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Ok- `'l Q1&t_
(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
performed in the manner set forth in the application filed therewith.
Sworn to before me this
tam day of c=A 20 i8
Nc&ry Publ'c Signature of Applicant
AP -ROE
D AS NOTED
DATE: a
FEE: 0•`�D BY:
NOTIFY BUILDING DEPART�AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1:'=FOUNDATION : TWO REQUIRED
• :FOR POURED CONCRETE
2. 'ROUGH.- FRAMING & PLUMBING
3. INSULATION
4. FINAL -'CONSTRUCTION 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.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
nni vri ie n T/11 1 7R,
Vp yy .BQARD
SAMgk4g0* 94 EES
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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TOWN OF SOUTHOLD
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The Leader In Condensing Technology
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JUL 1 1 2019
Installation Manual
U 7ij,;bU;,GK DEYP c
NPE Condensing Water Heaters y9sou.-mmo-
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Model NPE-1 80A
NPE-210A
NPE-240A
:NPE-150S
N
PE-180S
N P E-21 OS
NPE-240S
Keep this manual near this water heater for future reference
CERTIFIED.
Lc whenever maintenance or service is required.
*The wetted surface of this product contacted by consumable water contains
Lm *Lead Free
Nfl- less than one quarter of one percent(0.25%)of lead by weight.
.emissions^ I
•
WARNING
Ifihe146rniatikpn_,in thes61nstrulftions:ii'no't followed'e'xactly,a fire or explosion rhay-resip t',`co,using
property da 61.ifijur
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D6-hof' store dtuse gasqI"j' -',oe,,dth,er,fla-rhiTiabloVai)ors and-liquids in the vicinity of,0Is,,or,any-ot''
`S'p,016nee.
riiell,46s�
-ftit to do if jou,s
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Do riot try to light any,app lanb�;
Do-nottouch ainl— ur buildin
y e ectrica SWI -gp,ny;p one in 9.
• Immediately call y66r'gas'suoplidfiftdm' PO(W.,§46he.Follow gas supplier's instructions.
If you cannot reach your gas s�"`- I arthient- -
'
u-'a'lifiedinstalle�r',�'service agency or the gas su'
Installation and service m jp Pplier.
The in' stallatidn-must ton absence of kcall.,'codo!s,the National FuellGas Code,,;
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AN S*IZ223.1/NFPA 54zinWor,
ne,lln"Iat6n Code.
J`onie Construction and Safety
When-applicabil OiAhe'installation M_`U"S't',C: ur t
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2.3 Specifications
The following table lists the specifications for the water heater.Addi Tonal specifications about water, ?cl�4tiati�f: isii�a(ueting)
appear in the Installation section.
?IEetn\ NPESQS tVP�-180(A) NPE,i805 IVF'E4i4?{g,};:;;-:PIPE=2tQS` NPE-24Q(A}.rtl'NE'E.2405
Heat Natural Gas 18,000- 15,000-150,000 BTU/H 19,900-180,000 BTU/H 19,900-199,900 BTU/H
Capacity 120,000
(Input) Propane Gas BTU/H 15,000-150,000 BTU/H 19,900-180,000 BTU/H 19,900-199,900 BTU/H,
Energy UEF(for NG&LP) 0.96 0.96 0.97 0.96 0.97 0.96 0.97
Factor EF(Canada)(for NG&LP) 0.97 0.97 0.99 0.97 0.99 0.97 0.99
35°F(19°C)Temp Rise Um PM(25.8 8.4 GPM(32 Um) 10.1 GPM(38 Urn) 11.2 GPM(42 Um)
Flow Rate 45°F(25°C)Temp Rise 5.3 GPM 6.5 GPM(25 Um) 7.8 GPM(30 Um) 8.7 GPM(33 Um)
(DHW) (20 Um)
67°F(36°C)Temp Rise 3.2 GPM 4.3 GPM 4.2 GPM 5.0 GPM 5.2 GPM 5.6 GPM 5.7 GPM
(12 Um) (16 Um) 06 Um) (19 Um) (20 L/m) (21 Um) (22 Um)
Dimensions 17.3 in(W)x 27.4 in(H)x 13.2 in(D)
Weight 62 lbs 75,lbs 67 lbs 82 lbs 75 lbs 82 lbs 75 lbs
(28 kg) (34 kg) (30 kg) (37 kg) (34 kg) (37 kg) (34 kg)
Installation Type Indoor or Outdoor Wall-Hung
Venting Type Forced Draft Direct Vent
Ignition Electronic Ignition
Water Pressure 15-150 PSI
Natural Gas Supply Pressure !
3.5 in WC-10.5 in WC
(from source)
Propane Gas Supply Pressure
8 in WC-13TH WC
(from source)
Natural Gas Manifold Pressure -0.04 in WC- -0.04 in WC--0.84 in WC -0.05 in WC--0.36 in WC -0.05 in WC--0.58 in WC
(min-max) -0.40 in WC
Propane Gas Manifold Pressure -0.05 in WC- -0.05 in WC--0.50 in WC -0.10 in WC--0.66 in WC -0.10 in WC--0.78 in WC
(min-max) -0.42 in WC
Minimum Flow Rate 0.5 GPM 0.9 Um),<0.01 GPM(0.04 L/m)option for A"models*
Cold Water Inlet 3/4 in NPT
Connection Hot Water Outlet 3/4 in NPT
Sizes
Gas Inlet 3/4 in NPT
Power Main Supply 120 V AC,60 Hz
Supply Maximum Power 200 W(max 2 A),350 W(max 4 A)with external pump connected
Consumption
Casing Cold Rolled Carbon Steel
Materials Primary Heat Exchanger:Stainless Steel
Heat Exchangers Secondary Heat Exchanger:Stainless Steel
Exhaust 2 in or 3 in PVC,CPVC,Approved Polypropylene
2 in or 3 in Special Gas Vent Type BH(Class II,A/B/C)
Venting Intake 2 in or 3 in PVC,CPVC,Approved Polypropylene
2 in or 3 in Special Gas Vent Type BH(Class II,A/B/C)
Vent Clearances 0 in to combustibles
Safety Flame Rod,APS,Ignition Operation Detector,Water Temperature High Limit Switch,Exhaust Temperature High Limit Sensor,
Devices Power Surge Fuse
*Available for A"models configured in an optional ComfortFlow recirculation mode.Energy consumption will increase when the system is
configured for recirculation.
6 About the Water Heater