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Home My WebLink About44211-Z �o�S�FfUt,�coy Town of Southold 10/11/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40763 Date: 10/9/2019 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 265 Westview Dr.,Mattituck SCTM#: 473889 Sec/Block/Lot: 139.4-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/18/2019 , ' pursuant to which Building Permit No. 44211 dated 9/25/2019 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"OIL TO GAS CONVERSION AS APPLIED FOR The certificate is issued to Agarabi,Cyrus of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL r ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 09-27-2019 Kolb Mecham 1 o " Signature f TOWN OF SOUTHOLD ��ogVfFD(,�CO� BUILDING DEPARTMENT TOWN CLERK'S OFFICE H oy . 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#: 44211 Date: 9/25/2019 Permission is hereby granted to: Agarabi, Cyrus PO BOX 101 Mattituck, NY 11952 To: legalize "as built" furnace (oil to gas conversion) in existing single-family dwelling as applied for. At premises located at: 265 Westview Dr., Mattituck SCTM #473889 Sec/Block/Lot# 139.-1-25 Pursuant to application dated 9/18/2019 and approved by the Building Inspector. To expire on 3/26/2021. Fees: CO -ALTERATION TO DWELLING $50.00 FURNACE/BOILER-RESIDENTIAL $400.00 Total: $450.00 Buil Nig4pgpeetor TOWN OF SOUTHULD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY tment with the following: This application must be filled in by typewriter or ink and submitted to the Building Depar A. For new building or new use: roe lines, streets,and unusual natural or 1. Final survey of property with accurate location of all buildings, p p rty 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_ of 4. Sworn statement from plumber certifying multat h le residences denceer used s and sitmilar build rigs andinsta110ations,oa certificate 5. Commercial building, industrial building, P 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-tines,.streets building and u uses, or nusua natural or topographiand"pre-existing" uses: 1. Accurate survey of property showing all property features. 2. A properly completed application and atethe reasons therefor in writ ng po the applicant-Certificate of occupancy is denied, the Building Inspector shall C. Fees 1. Certificate of Occupancy-New dwellinging$50.00,Additions dwelling accessoryi $50.00, $50 00,Businesses$50 00. Swimming pool$50.00,Accessory building 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$15.0Q0 / Date. 6 l I � �p Old orre-existing Building: V (check one) —'New Construction: ( _ nn?lt. Hamlet Location of Property: Street House No. cy -S Owner or Owners of Property- Lot S Suffolk County Tax Map No 1000, Section Block Filed Map. Lot: Subdivision Permit No. a Date of Permit. Applicant: Underwriters Approval: Health Dept. Approval: Planning Board Approval: yCertificate Final Certificate: (check one) Request for: Temporary Fee Submitted: 44* Signatu pF SO(/T�olo Town Hall Annex - Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 11790 Southold,NY 11971-0959 BUILDING DEPART[VIENT TOWN OF SO'UTHOLD OCT — 1 2019 CERTIFICATION Date_�zT�• 89 A.1a Building Permit No. 2 Owner: A- (Please print) Plumber,: (Please print) I certify that the solder used in the water-supply•system contains less than-2/10 of I%- lead. lumbers Signature) Sworn to before me this �Jc� day of oq 17 120 )9 5khaAw chi J-t�L-00 Notary Public, CJt-t `'County SHARON L.TUTHILL NOTARY PUBLIC,STATE OF NEW YORK Registration No.OITU6074477 l Qualified in Suffolk County Commission Expires May 20,2022 FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(IST) -------------------------------- FOUNDATION (2ND) O ROUGH FRAMING& H PLUMBING V 1 INSULATION PER N.Y. H STATE ENERGY CODE 17 • AV14UIA, ✓✓ FINAL ADDITIPN44 COMMENTS z rn H °z �x d m TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST ' BUILDING DEPARTMENT Do you have or need the following,before applymg9 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 Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form 4, SEp Contact: Approved 20- 1-to: c•y r S A �S6h '1v� Disapproved.a/c �, &Tl s r y D, X_ !o p, Yr/qrr-J1-(Ue,� Phone:-:E;I (' & 0 7— -313 b AJ-1 Expiration ,2 4 Bui Wn ctor APPLICATION FOR BUILDING PERMIT �y Date 1 b , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or to ink and submitted to-the Building Inspector with 4 sets of plans, accurate plot plan to scald. 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. �, \ ignature of applicant o(n.01ne,if a corporation). (Mailm address of applicant), State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises "mac (As on the tax toll 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. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street / - Hamlet County Tax Map No. 1000 Section ( � ' ' Block 1. Lot S d zz Subdivision 1 f Filed Map No. 1 Lot oZ Si 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Sly --(70M rte t\ b. Intended use and occupancy t J 3. Nature of work (check which applicable): New Building dition Alteration Repair Removal Demolition Other Wor )<1 D[L %p 614-S e—Dw U C—yfS>0 (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. I elling, number of dwelling units Number of dwelling units on each floor If gara number of cars 6. If business, comm ial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing struc es, if any: Front RearDepth Height ber of Stories Dimensions of same structure with alter a ' ns or additi : Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Fr Rear Depth Height N er of Stories 9. Size of lot: Front Rear Depth 10. Date of Purcha Name of Former Owner 11. Zone use district in which premises are situated 1 . Does proposed construction violate any zo ing law, ordinance or regulation? YES NO / Will lot e re-graded? YES NO Will excess fill be removed from remises? YES NO V 13. W o b g p 14. Names of Owner of premises C y✓ S �d dress Phone No. Name of A=hiteet: Address Phone No Naive of Cuntraetar Address Phone No. / 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO V * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE UIRED. 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 OF.CC__�+1" 0 �) Sara- G( r 1 being duly sworn, deposes and says that(s)he is the applicant 0 (Name of individual signing contract) above named, (S)He is the pw�-vrl AwcL+ (Contrac , Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to snake 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 th' day of 20 (CA Notary PubNOTA PUBLIC,STATE OF NEW YORK Signature of Ap 1 ant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,29,4,3L— @,Q oh1c. MAP OF PROPERTY R R • Q-v SURVEYED FOR � ROBERT T. HAL L I DAY WIFE 11/Jfa TT/TUCK �� TowV of .SOU77401-0 SUFFOLK CO.,N•X � Q� �3 • - Guaranfcesfo the Union Savings Bank OTro W VAN 7-UYL.4 SON Liccnscc!Land-sur cyors Q Gr eanport; N.Y. 1 SyN o enf ,o w E 157 -r o icon pipe b 'q N s7'z'SO"g R ASG 7'f'� 6•¢6s D � f/� S� p VI 0 0� r1 lop l C 0 � p C u �¢ e � h D ,p 0 N 01 ;n i9s Z Or .nor, 3.rg Q A o rdr��►L AA 'r r• ' ...t. - ; � .,`, .. .r ;, - .. . , . ,, 1 _-•{ ... • .- _i. . (, . ., ... .....;_._ t .._ ..- S .,¢+_ ['.TF3+F�`1� � ^i_i 4 rw. , � > ; { l ' � o, }_ 1 ®0 APPROVED AS NOTED DATE: g p #-&-4L FEE: I BY: NOTIFY BUILDING DEPARTMENT 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 S �RD STIH0197OWNTWEES r OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY INSTALLATION, OPERATING AND SERVICE INSTRUCTIONS FOR TM PVG Gas Fi'red -Bbiler a c us Intertek 9700609 CERTIFIEW 0 VL As an ENERGY STAR®Partner, U.S. Boiler Company has determined that the PVG Series meets the ENERGY STAR®guidelines for energy efficiency established by the United States Environmental Protection Agency(EPA). For service-'or repairs to boiler, call your heating contractor. When seeking information on boiler, provide Boi(er.Mg4el,Number and Serial Number as shown on Rafing Label_P Part Number Boiler Serial Number Installation D to V C' S�l�f?� - �� Ism 9 a� zoo X Heating Ctintractor �C) � MC—C1?�?U1 Pho�Number 5 27 J Address BOIIW On= 103997-04-5113 Price-$5.00 3 L TABLE OF CONTENTS I. Pre-Installation...............................7 VIII. S tem Start-up .....36 .art ys p....................... H. Unpack Boiler................................8 IIs;. Operation.....................................40 III. Venting...........................................9 M Troubleshooting...........................44 IVWater Piping and Trim.................21 M. Service..........................................49 V Gas Piping....................................26 XII. Repair Parts..................................54 VI. Electrical.......................................29 Appendix A-Figures....................66 VII. Modular Installation....................34 Appendix B-Tables......................67 VENT VENT SEE NOTE 3 t SEE NOTE 3 t to SEE NOTE 4 SEE NOTE 1 VENTILATION AIR • INLET OPENINGS 00 ' ' (SEE NOTE 2) o 0 'o o CLOSET DOOR o 'A' M VENTILATION AIR o INLET OPENINGS I (SEE NOTE 2) iO FLOOR LINE 1. 4"�� -� 6" NOTES: DIMENSIONAL DATA 1. VENT PIPE MINIMUM CLEARANCE TO COMBUSTIBLE MATERIAL IS MODEL IN FOUR (4) INCHES WHEN VENT IS INSTALLED IN A FULLY ENCLOSED PVG3 11.65 CHASED APPLICATION OR THREE (3) INCHES WHEN VENT IS INSTALLED PVG4 14.72 WITH AT LEAST ONE SIDE OPEN, SIMILAR TO A JOIST BAY APPLICATION. PVG5 17.78 2. AREA OF EACH OPENING, 1 SQ. INCH FOR EACH 1000 BTUH INPUT, WITH MINIMUM OF 100 SQ. INCHES. HEIGHT OF OPENING SHOULD BE Pvcs 20.64 HALF THE WIDTH. 3. USE DOUBLE WALL THIMBLE WHEN PENETRATING A COMBUSTIBLE WALL. 4. 18 INCH CLEARANCE REQUIRED FOR CLOSET INSTALLATION. 4 INCH CLEARANCE REQUIRED FOR OPEN INSTALLATION. Figure 1: Minimum Clearances to Combustibles 5 � � OF CONTENTS 8, .~~~,..-..~^^^~^^..^_,7 VIII- ..~..~.,.......~~~.....36 - H. Unpack Boiler~~,~~~..,.~~~.~_..,8 DL Operation~~,~~...........~..~....~...40 888 ~~~~....~.~~,,~~,,~~~~~,,,,~9 M Troubleshooting,~~~,~,~~,~~~~,~~44 DV, Water Piping and Trim.................21 MService..........................................49 V. Gas Piping....................................26 XII. Repair Parts..................................54 VI. Electrical.......~.~.,.....-....^......^^^...`29 Appendix J&-Figures........,..........,66 VII. Modular Installation....................34 Appendix]0'Tables......................67 VENT VENT SEE NOTE 3 m�� SEE NOTE 3 l� lo SEE NOTE SEE NOTE VENTILATION AIR INLET OPENINGS 00 (SEE NOTE 2) 007, CLOSET DOOR co VENTILATION AIR INLET OPENINGS (SEE NOTE 2) 44-IL —°� w' NOTES: DIMENSIONAL DATA 1. VENT PIPE MINIMUM CLEARANCE TO COMBUSTIBLE MATERIAL /S MODEL A FOUR (4) INCHES WHEN VENT IS INSTALLED IN A FULLY ENCLOSED PVG3 11.65 CHASED APPLICATION DR THREE /3INCHES WHEN VENT IS INSTALLED PVG4 14.72 WITH AT LEAST ONE SIDE OPEN. SIMILAR TO A JOIST BAY APPLICATION. PVG5 17.78 2. AREA OF EACH OPENING, 1 SQ' INCH FOR EACH 1000 BTUH INPUT, WITH MINIMUM OF 100 SQ. INCHES. HEIGHT OF OPENING SHOULD BE HALF THE WIDTH. 3. USE DOUBLE WALL THIMBLE WHEN PENETRATING A COMBUSTIBLE WALL' NN 4. 18 INCH CLEARANCE REQUIRED FOR CLOSET INSTALLATION. ' 4 INCH CLEARANCE REQUIRED FOR OPEN INSTALLATION. Figure 1: Minimum Clearances 0wCombustibles �