HomeMy WebLinkAbout43919-Z uFFO(
Town of Southold 7/15/2019
P.O.Box 1179
CM
T 53095 Main Rd
yryy0 pp� 4� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40498 Date: 7/15/2019
THIS CERTIFIES that the building OTHER
Location of Property: 27835 Route 25, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-1-18.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/28/2019 pursuant to which Building Permit No. 43919 dated 7/1/2019
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:
"as built"air handlers in existing church as applied for.
The certificate is issued to RC Church of Sacred Heart
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43919 7/6/2019
PLUMBERS CERTIFICATION DATED
qlAn,\)r
t o ' d Signature
°r`� TOWN OF SOUTHOLD
oo�°g�FFoi,��oG: BUILDING DEPARTMENT
y� TOWN CLERK'S OFFICE
H s
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#: 43919 Date: 7/1/2019
Permission is hereby granted to:
RC Church of Sacred Heart
Attn: Michael V Flanagan Esq
50 N Park Ave
Rockville Centre, NY 11571
To:
as built" air handlers in existing church as applied for. (Note: electrical inspection for
this was done under the Pre C/O)
J
At premises located at:
27835 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-1-18.1
Pursuant to application dated 6/28/2019 and approved by the Building Inspector.
To expire on 12/28/2020.
Fees:
COMMERCIAL ADDITION/ALTERATION $500.00
CO -COMMERCIAL $50.00
Total: $550.00
Buildi or
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. 6 1
i
New Construction: 7 p Old or Pre-existing Building: (check one)
Location of Property: c/ 0 3-� ��� o a��
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section ID,23�, Block Lot I :�
Subdivision q i Filed Map. Lot:
Permit No. �0 V ! Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ .t
�l G/' �1
A-Wticant Signature
pF SO(/r�,ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 �Q roger.richert(aD-town.southold.ny.us
Southold,NY 11971-0959
olyC®U ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Church of Sacred Heart
Address: 27835 Route 25 city,Cutchogue st: New York zip: 11935
Building Permit#: Pre-CO 426,�Section: 102 Block: 1 Lot: 18.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential Indoor X Basement X Service Only
Commerical X Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling 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 3 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS"
Notes: 3- Air Handlers, 1- Hot Water Boiler.
"Church"
Inspector Signature: Date: July 6, 2018
0-Cert Electrical Compliance Form.xis
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
C.O.Application
�y
Examined 9 1 Flood Permit
/-' 20 i Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
ApprovedL::l�'� ,20 Mail to:
Disapproved a/c
Phone:
Expiration 20 pop-�- b
r . Building Inspector
-'` JUN 2 8 2019 1-
APPLICATION FOR BUILDING PERMIT G
FSUaDEIi'. Date (y��" 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 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 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 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
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.
Plumbers'License No. G
Electricians License No.
Other Trade's License No.
1. Location of d on wh' h proposed work will be done: �✓e0
C .
House Number Street Ha et
x _
County Tax Map No. 1000 Section O D Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premis dnd intended-iTe nd occupancy of proposed construction:
a. Existing use and occupancy c
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units 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 Address Phone No.
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 OFIVOX
t c CA C, kl(:'�)0� 'L being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the --��
( ontracto , 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.
Sm to before me thiq BETSY A.PERKINS
da of � 20 Public,State of New York ,
No.01 PE6130636
Qualified in Suffoll-
Notary Public Commission Expires Jul�18, Signature of Applicant
g1�EE0L,� 6 DING DEPARTMENT- Electrical Inspector
-2 8 TOWN OF SOUTHOLD
$ ,w Town Hall Annex- 54375 Main Road - PO Box 1179
0 • $�, ZING-Pr,'PT' Southold, New York 11971-0959
dlp� .�gq j�` r>"� �Tphone (631) 765-1802 - FAX (631) 765-9502
roger.riche rt(a)-town.south old.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: -
Company Name: —
Name:
License No.: email: 00ty le"117
Address:
Phone No.: 60V- S �/ �j 0
JOB SITE INFORMATION: (All Information Required)
Name: eP
Address: e2X_ G
Cross Street:
Phone No.:
Bldg.Permit#: email:
Fax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
,ire' 5-
-
5 1- S
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # 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:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs �}� ®�
NOr
TECHNICAL
SPECIFICATIONS
GB3B(M,V) Series
Air Handler
10 and 12 SEER Residential System
18,000- 60,000 Btuh (Heat Pump & Air Conditioner)
The ;(,313$8 M;V) Series of air handlers, when
,;t'�!tY'if�ftt3ii.with our heat'pEltrfp;or air conditioner,
offer a full line ofgfm"t.,split system heating and
-
1
FEATURES and.B_ EEWft
`.Y,� � Q
• Durable, Attractive .Cniif — Designed using a a
ba steel.The door is also galvanized steel,with
a polyester urethane finish.The 950 hour salt spray finish
corrosion 50%betterthan comparable units.The
$ drain pan is corrosion-resism it.
i
• ,Nltld=— Can be used in horizontal, upflow,
,OYM Windverticals VdaUphs(GB3BM only).
• ]I�Gt3� ieei9—Gives,ttdf ^of Installation.
• ltt `-I?)t€g1Itwire connections and bunt-
in filter rack;akAs'the air handler easy to service.
s,
• Plug-in Heater Kits—Available in 5kw-20 kw 9
(Not for use in 115 Volt units)
• BreakerAq.cb,2.Wb{ —j3t748faccessiblefrom front
of unit when heater is applied.
• NoF, ionSides orBack—Smooth surfaces for
ease of, lt
• Warranty—Five yeat'Aiit 'a11 parts W''h 3tity,a major t
',fiett 'to the.oixi iurriar:
f�
MAY 2 9 M9
MODEL IDENTIFICATION CODE
GB 3 -- B -M - 036 K - B - 10 -
Indoor Air —FHeat(kw)
Handler
CrN9t Identifier
Design ;A'=141/4"Width
Series ( B=19 3/4'Width
} C=22 1/2"Width
Motor: - Electrical Code
B=3 or 4 speed K=208/230-60-1
i
Configuration- Nominal
M=� Capacity
V=Vertical Only (000)Btuh
SPECIFICATIONS
Model Number GB3B(M,V)- 024K-A, 1030K-A 036K-A„ 03OK-13 1036K-B' 042K-13 _048K-B 060K-C, 066K-C
Nominal-Cooling Capacity-Btuh(1) 24,000, $0,000 36,000 1, . 30,000-,; 36,000 42,000 48,000 60,000 ,; 60,000
Refrigerant Flow Control(2) .060(05f)'.063-(.067)' - ;067 1 1 .063 , ---067 -07.5 ;080 :093 .103
Maximum Available (3) --
Auxiliary Heat(kw) 10 I 14 14 20 20 20 20 20 20
Nominal Blower 'f
Size(DxW) 10x6 I 10x6 10x6 I( 10.8 + 10x8 10x8 10x8 10x10 10x10
H.P.-Speed-Type) •'1/5-3-PSC 1133-PSC 1/3.3-PSC V3-3-PSG A/3.3-PSC 14-1- 1/2.3-PSC, 3/4-3-PSC -3r4-3-PSC
Rated External -
StaticP_ressure-((O.W,C.)_,.__. __ .. 30,._- ..35 1__.35._— ..._,35..._ 35 _. .35._.^`_-_.40_. ,, 40 40
CFM rel Rated ESP_ - -880 1150-., - 1150 `,-1250.-- 1250 .1300. i 1450 18BO -1920 _
Filler Size(4) 12x20x1 il2x20x1 12x20x-1 18x20xl l8x20xl 18x20x1 18x20x1; 20x20 x_1 20 x20 x.1
Approximate Shipping 1
Weight(Ibs) 75 3, 85 85 105_ '. 105- E 110 140 145 155_
(1)See current ARI Directory for certified combinations and ratings.
(2)Units are 10 SEER air conditioner ready as shipped.
(3)Heater kits not applicable to 115 Volt units.
(4)Filter is field supplied.
Additional orifice shipped with unit
ACPIO�iI "240Single Phase Electric Heat Kits
Cabinet-Size'_-,-Order- y" _Orde[.qlBreaker
11
Accessory Kit Description A -B. G ..Number No.of f(r► f; with Circuit
Downflow - X -_= - -917342. ! KW Stages for Cabinet iBreaker(s), ,
Adaptor Kit X :, _ 917343A I _ 5m_ , - t- "A; C-�, -9173678-X 1917344A - 8 1 ABC 9173706 Single Circuit Adaptor Kit X X 913874 10 1' 'A,B;Q`I 917374B G$3BVHorizontal Drain Pan -12--, V ' —K.'B:C i 904198B I €
Conversion Kit X X X 903749 =-1b'=' a - - B;c =` .'x039596
-NIA -
Variable Speed X 9037646 20 - 1 B,C- 't •9039608 ''t "'N/A
Kit � X_ 9037658 ��
•'240V -Electric Heat Kits
Order.Number
No.of ',Appfoy t1 with Circuit w/o Circuit
KW Stapes for Cahiriet Breaker(s) Breaker(s)
9 i ' 8,0 1 917449 -1 N/A-
B,C
/A"B,C 1 "917450 1" N/A
"Not for use wi6l 15 Volt units.-
- 2
i
MIMENSIONS
Model Number Refrigerant Connections Filter" Supply Air
_GS38 M,V)-____H__._.. W. _. ., A_ �_Suction_Dia— ._l"}qujd-Qia, ..Size _ - _Duct Dimension
024K-A - `41 1/2 14114 12 314 3/4 3/8 12 Y20 x 1 12 7/8'x f2 3/4
030K-A 41 112 141/4- 123/4 3/4 3/8 '12 x 20 x 1 12 7/8 x 12 3/4_
036K-A__ _41.1/2__. 14114 1 1?3/4 "3/4 __ $18 12 x20 x 1 12 7/8 x 12 3/4
030K-B _ 43 1/2 193/4 181/4 3/4 ( 3/8 18 x 20 x 1 12 7/8 x 18 1/4
036K-B' 43 112 193/4 18114- 3/4 3/8 i8 x' x 1 _ 127A9 x 18 1/4
__042K 8__m —43 1/2_ ._19.3/4— _-18.]/,4_ 3/4 3/8 !_16 x 20,x 1 {. 12 7/8 x 18 1/4
048K-B 431/2 193/4 181/4 3/4 3/8 j 18 x 20 x 1 12 718 x 18 1/4
08OK-C 43 112 221/2- 21 _718 3/8' 20 x20 x 1 12 718 x 21
066K-C 53 112 221/2 21 L 718 3/8 _20 x 20 x 1 12 7/8 x 21
314'1 I--314• 3_l4•—I—
T
12 718', s
ryrKM,
7A-K.O. — ,''771
1314'
01 718,K0. 1 114
3/41 07/8'KO. '3 1/4 �— 1 VY
0 0 o 01718'
3 1
O ' 01 118'K.O.,
(2)
} 3 ud•:' j
2114'
T7;,1,
E �
W f
5 314"
n x
M AY 2 9 2019
SYSTEM AIR FLOW DATA
Unit HP Speed ESP "CFM CFM CF1M Notes:
('H20) l.ow Med High
---" --- -- -- " "'-"' 01 620 -- 750 950 1) Airflow Is Shown in cfm,
1/5 HP 02 580 730 930 +/-J%
024A 10 X 6 3 03 520 680 880
04 460 630 830 2) External static
8600 1100 -1Na 25
60 pressure is shown in
113 HP 02 840 1090 1230 inches w.c.
030A 10 X 5 3 03 800 1040 1170
04 750 990 1120 3) All airflows are
D 7 9 1 7o measured-Wjttho 4l
a1.•""' b6b -- 1Too_ 1250
1/3 HP 02 840 logo 1230 filter and with dry
036A 3 03 800 1040 1170
10 X 6 04 750 990 1120 coil For filter
05 720 95n 107 1VeiOCit}r of 300 ft/
.. 0.1 920 12 '- I.S.
113 HP 02 890 1190 1380 rnl 'S1 mrdtt 08"
0308 3 03 820 1120 1290
10 x a 04 760 1050 1210 8x sit static
--` 5 6 980 1130p« g1)t"�1- For wet
01 920 -'1230 1420 -- C01�,'BUiJirB:Ci,f°
1/3 HP 02 890 1190 1380
0368 10 x a 3 03 820 112D 1290 external static
_ 04 760 1050 1210
- --- "OS 6.4nn 1/ prossfue.
-- - _ 1- - = He- H4z0 4) See unit-&iir+�te
113 HP 02 890 1190 1380
0428 10 X a 3 03 820 1120 1300 or jl4$ cusuW 1
04 760 1090 1210 l {6 for
---_ _ 4 -- • -8 1
.•^ - _1510,- t0'L0_ 1690_-_
112 HP33 02 1470 1580 1650
0488 3 ? 03 1390 1490 1510
10 X 8 04, 1320 1410 1450 exteri'131 static
1250 --1?40 19nn-.
0.1 1840 --- 1990 ,2090
314 HP 021780 1930 2060
OfiOC 3 03 I 1710 1860 1980
10 x 10 0'4 1640 1790 1880
1 7 1] 1910
0.1 ,1880 •'LO _ 1130 v
314 HP 02 1820 -1970 2100 ,•
0660 10 X 10 3 03 1750 1900 2020
04 1680 1830 1920
F 5 1850
ELECTRICAL DATA
- -" - $tonftd Air Handier ,F 81"blWS AIG Hmdlbir,.
Mln.Circuit Max.Over. &1, _ ;
hA
Md'ditNumbe? , i4 C Cue CkcH4HK A 8€ Circut � B Ctrc A
Q {-j{ •. 240 ,4 8 € 300 '30,' - '34 8 - - 40
fl �tk8- 240 •,7 5 -€.:4!1 ;'478 - - z 50
:fltXkB:• 240 9.6_E - l 1550 60 ? - 588 60
240 , ,fl•6 352 ;302 1854 40 40, :70': 3901 302 '692 ;.40 40 ' 70 '
•;fl'i' .• i, 240 .14.4 ,550 250, .80.o 60, t 30; i 90< 593, 250 838 •60' '3090,
= > 240 ,19.2 ,550-,500 .105.0 60 -.50 425- l,593 -500"1089 4'.w '5011,1125
: $•'l 208 3.8 ' 26.6• - 30 - 1 I 130.9
�,1• E 208 ,5 6 - -'j 38 8 40 j - i 43.1 - - 50
209 ,,72 T'48.3 - 50 J 1 • . 525 60
012}1)C1CtJ 7 208 1 ,68 '31.4 26 4' ;57.9 40 30 60 I 352 264 616 40 z 30 70
01X= 1_ 14.4208 j108 48 3 '21.6 69 7 50 30 70. 525 216 742 f•60': 30- 80
„ -268-, 14.4 48 9 ,43 3 91 5 50 50' ;1100,, -525 433,,95 8 f 60€-50 100
a QiD9l2•.Xk_8' '„ 240_. ..9 0 ,32.4 -,35'• - 35.6 - - 40
sfl15Q.XX6'. •, 240 .144 487• 50': '52.1 'E - 60
0�9(}*').)t$''•:, 208 10 6 6, W i - 128,8' - -30'1 _ - '32.2 - - 35
b1 '• 206-:' 10 8 42.9 45?i A6.3 € 50
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