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HomeMy WebLinkAbout44769-Z ,UFFol Kev�� Town of Southold 3/7/2020 0 P.O.Box 1179 ® 53095 Main Rd 4,rdao`� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41117 Date: 3/9/2020 THIS CERTIFIES that the building ALTERATION Location of Property: 220 Cottage Pl, Southold SCTM#: 473889 Sec/Block/Lot: 62.-3=14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/5/2020 pursuant to which Building Permit No. 44769 dated 3/5/2020 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 blt"oil to gas conversion and updated electrical panel as applied for. The certificate is issued to Poliwoda,Daniel&Ruth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N771442 9/26/1986 PLUMBERS CERTIFICATION DATED A ho ' e S ature �gUFFO(,�Co TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE P . 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#: 44769 Date: 3/5/2020 Permission is hereby granted to: Poliwoda, Daniel & Ruth PO BOX 169 Southold, NY 11971 To: as bit" oil to gas conversion as applied for. At premises located at: 220 Cottage PI, Southold SCTM # 473889 Sec/Block/Lot# 62.-3-14 Pursuant to application dated 3/5/2020 and approved by the Building Inspector. To expire on 9/4/2021. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 Total: $400.00 Building n ector 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 I%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. 3& /ad.)-CD New Construction: Old or Pre-existing Building:&!�r (check one) /Location of Property: C-) no o� Sa�l��to IN House No. �Street Hamlet Owner or Owners of Property: ��°fit f/ lJ �Li000� P Y� Suffolk County Tax Map No 1000, Section Block .-J Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. 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[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [VRE C/O REMARKS: = jAc1 �_ tai iv - C_Dnvx/tfj,t�_, 0 o i vw_t LN&/ DATE � INSPECTOR t� - FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) y -------------------------------- FOUNDATION (2ND) �I b oe_ ROUGH FRAMING& � y PLUMBING INSULATION PER N.Y. �H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS o 1,160 o Z m � jX V x *d z x H x d tz7 b y 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 �� 7�� 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 Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration 20_,?,l Building Inspector APPLICATION FOR BUILDING PERMIT Date /� 32090 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. _K�A_ _,)__s _ c � (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 Uj4-41, 0 6Q - 2 - 1q (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. ' Electricians License No. Other Trade's License No. 1. Location of land on which proposed work vill be done: House Number Street Hamlet County Tax Map No. 1000 Section Block Lot �/ 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 R12 5, b. Intended use and occupancy 64 ( (4 '> Gj i j n t-)L/e4S:e m-) 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 strictures, 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. Narnes 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 OF ) I being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH (S)He is the Notary Public,State of New York (Contractor,Agent, Corporate Officer, etc.) No.01BU6 oualifled in Suffoik County i�ns(al E pir g April 14,2 ©a U of said owner or owners, and is duly authorized to perform or have perform ar wor anc�l�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. Sworu to before me thi = day of 20-; 0 Notary Public Signature of Applicant i, Page No. of Pages KOLB MECHANICAL CORP. 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"r 7'r'�.''4,t .. `fr y ^i' Nru•a �.Y.��� •,t'. ,r,.,,, r •a;. ;,r a.•;7F•, .�+tN ,,. �•,1'' .fSTRE�*�"`,s,a - •ri'• ,���i.r„�.,i.;u� a'", µa �„'..t �-�. �'.�OB` AkttEL, "v.` 1. ,,. ;r :'�',=• �`'. ,'} -, .�;; .��Y.�.,,,;�' £�;jF'};�. P-,b�.`Box '#169 " `;'220 Cotta ae Place Tl 'STATE AND ZIP JOB LOCATION CI Southold NY 11971 Southold NY 11971 EMAIL ADDRESS CELL PHONE JZ/jp We hereby submit specifications and estimates for, Renovate the existing heat system to include the following: —'^f.'^. '+-ia -m���o-.--vt+.-"n++_`• . :^.y` =..r �'.��:a.:•r i� ..,_.. .. '�.:`-P4:".:.''.lam-„.`��T• Y �•.�i{' U:�-ice.:"'� ..va4..�1•^.Ca•P.,.,,'.w,n'.::^w-t�.-.....=:1'^ � ,. .. Remove and discard the existing oil boiler. Y 4 Furnish and install the following equipment: (1) Burnham, model #204NILTEI2, gas fired boiler. (1) Two zone supply and return manifold with two (2) Taco circulators and Flow checks. We;,will reuse the existing,.,ceiling hung,expansio,n,tank. Gf r •� •,., �r,� - l;' ; ,H,' •x ' 'u t> .1. G.4 i4.L^.fff !{ '�•r, r"• - .rK i• ,+ ..�, l' r�Y+'.• `. r '•' i ., ,�1,•'r r;�:'�'���<,'�,i:.,' F '�'r r�..•7.,.. r ry ri ,� +,� •�..,• r•ti •,. ,.e :✓• r;,[ ?J�r.'1- rih .:.•,ytr, F Irnish'.and iW§' aii-24.rs a,inless'tstecl ch'irnn;ey,,liner:and co net�thE ne.w filue.from j` �,, -e .4:f:.,., •,i.r. :S r:{':,, t,..t•> 'Swl+'!�•r ,y r't�77 'r�, ,.� �� t ••I. 1 � ., ib �'}�'' •'• '' y Jy�.� 6 �Y,c�, .: '�",, I��r ^r`• t`; r 118G "r 9`f, •,?';` ' :. '.« t,,rtil; yt aC,, t''r„• i(, Sr. a�%y, i .i' C'�I•I3lt1Gy+-11, , � �T. =• ;:'S': . ,n. ':. ,r,� , t,; �',,�:,r(s�,,, �:'�.t, at,;•,.]) � 't. •. 1Y.'f• �i' ry ± n � :rf '- ,Y^ � '1�`f• ttl �' art ' �'.tyx�� r�>�ay it ,I;�>t y`Q,y '. Ptr ,�'.7, Y 1• '�f 't yy_ r ' �Qa'• Y,,a' ^. . , f•.., i .F” -.•3 - ) t�S i''4, a� 'lj ~ i4 'r'„•�r�•w�'e, x r,,,.; ,i 'a.' 'c ti'.. f,r`..; tny� .:'�:-.'�� ..� �':c�', .� '�'rr rn > 'i"•'=' •l�✓tiF:,(:t C-r.`�, 'f ��.•r, -.YLS” 'L :'`'• `� � c: •^"!+ ,tr'��f.: "'fv;�':a,2': �'Wt, :.s•.h'�'C=i ,' rfi<`Ab. ( 7 �.. ,�i,,',.nt.+)' y . •�•�', _.,1-•L ,a.•;r+.:S+-: '+..:tY•ti'1.^qtr 9,iii",• ,r r�- _, a�!irF I�f`. .k., •1 `�I11CIuC�es: ', �- }s, ,{ � 'y;,: z''. �:,-'' a `,•Y-�.s� a- •.�.�•''•.><';.-3,:r'"-:��;:,t =_,` ,,~, •ls.,#-s.��� Line voltage and Low voltage wiring. Gas piping. ' All necessary materials, labor, installation and start-up. Does Not Include: Any applicable permits, certificates, or associated fees, if required. Warranty: All work to be done �n a, p-rofessio,nal, manner by trained installers and service personnel. 11�e wilt p`r`,vic�`e- ons year'arts`&flab'i�r ervice''durin rior usfrfess 1io`urs �'ti`ab"ove system, - All factory warranties honored. Total Investment: $4,100.00 �F it , 1 *Upon acceptance,please date,sign by the"X"•andrreturn yellow copy with your deposit. S_p:-�.is�-��,'•'pi,.}�,'�':yiK!6+�nr�-"S_ire , ..Frr,.. 4, .R.,t.y•r..;}a•nr:yY�-#, ;}xu•r'P�.•�.M�r`.,`,{�'lrQ. �:IrMI'Ei ,` N`•1Gr . JiEAjtorIinGi�gA•IRyxfQ -event this ace unhaYd itooaolte ion the<p6tc �..Q•' �ri+f a In"th'etsfo . unelfbrhorab•i•-lo;ic7 t,al,f b„easf,louf.:;iF'a,�+�I,"db4.'.•NJif.re,itM1bix�h.�angla',�,a;f+ta''d.y.G.�`rp„Y,J,.•.�/;rTrrtiS'Ra,`l'<J#I10:,. > i ... T V'•- •, y: r t " >* F:* >G .r o ar.' t•i^ It'Is.ili�re'sponb{I�iitty:oi tNe}b}orp owner"to�t,4tdlgUali{lid-POWIced�Yle har(ics_;ft�ai taia heatin Fafiil ir�gortd brJing.ecjui rx�'�Y�t as?egUired$b#('rtaanh; {' ^•�" �I� .`; �,, .,. ,rT ,y, ,,+'^ r,i�'.,�:r F.: a+re-} •if a 'sc cK 5� 1"acturer!. .cfi I T'tO;p 2$eN Warrantlr;5, r; r' ,,,.• -s ':t �'• '' '•r, .'2'�P„•, . '-',,ti. -c S, >�i. '•'� n � �. '�"'r,'_T•.t ,1i' �y„ ` f•., f; ”' t l,...;• t� .y -S'w;' t. *t•' F'. s.l .r. aj•"i^4'�r' tr}y+.,,9< E,v%...r,1 f {•''•�}, ';tq'., '' ��''' :''''" �..1,Si cti it.F :t•a .•', sr i n^ly�,,.�` .`.�,N y,S+,' t ' Y tn,p P '`7 r rp'•'; y t .r J�• "F' L, '•�.+• 1wY''µ,r rrq, 4 'gid ;All,equfpment^sC all e to roe 'bf Kbli)fyTeCbaillcal Cb ntil'f it , 4 •• ,r . ., y, .+.` :1'�' „r. t,1 ��Si< .. _Y •{��f.A,l ''•f%jk ,All'past"ciue•accounts sliall'be chargpp;intefesNf'1.$%per;rri ritti:�: " =r, f'_ ;, f:l �• �".,+y - All'payments Due Upon Receipt. ,4Ve VtOPOOe hereby to furnish material and labor-complete in accordance witZov specifications,for the sum of: Base Total J? Options Total Four Thousand One Hundred Dollars and XX 00 - - - - - - - /,;t-1 Grand Total $4,100.00 Payment to be made as follows: s0°ri7 po�slf,�30°lo gt�ipr ent Dei Eci r y°; �OOIo;Bafa�rce� d itpledori�aft&,Start- U- All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications Involving extra Authorized costs will be executed only upon written orders,and m4 become an extra charge over and above the Signature estimate. All agreements contingent,upon strikes,accidents or delays beyond our control, Owner to carry fire,tornado and other necessary Insurance. Our workers are fully covered by Workman's Note:This project may Compensation Insurance. withdrawn by us if not accepted ]j within 16 days \ \ anCty >Jftt4�30�AY The above,prices,specifications and atiafactory' and are:tiorgby ac eptet�,+;You are;a(uiize4�tQ r.:. -r• :, 3 ;' "y.5-� gg EJ7ht N 'e :5'eGifed Payrii �t vyill;'e`(nade kov Ilged'$pite•:f t�'�'; ,r� ��'r'= r j.. � ;. �Y 4 �, 1r':` �`r:! �'�^ , y ' `I + 1.'li-:R,,""J§,*tr /,,y��, '+ '.,t' �: �. •`stc•' i�'f;%�1;:.::_„ 'x,j. -Z.aI�.pS�7g��o�T� •-fa ' µMca53�}�� •j'C�p ad 3;kR'L•," `t7� r?�i i• ..{JM i .rr7 ql:wr• a;.!?``n'i;'�1+.;a�jtr! 'Y., -�• `.r t .� �' .:•'a�,,.�,we!., t ''t f+•``' -F'Sttlff.".,my;.+ '�4y1•J.,,'4Si`F.,a.4,f.,";.?'•3'r'���"^••r'." '�n`rt•aY:*�4 r faf ai3'y":•.;k;s •.!Ki,. `tiJ'!Fa")'•-4` 4. ,�.'$Y u�,e "F.,' ..��., y:+sr. ,%;,. �,,.t�'.• y' �`t„ �•i. rf •4 )w .•t`. ,?87" d., ,:C k<'.:q "i.�:.•,8'*•. .yk :r, •.�. + :Y,. r•+ ',4 a ,.-� f' ! w�:'•;.h" ''Mt,. YW L-.,, H t•a!t•,r ., „ ,.,; ,. 1 v fit:•*•+ 4 ' •;��,,,� ...z.r F,.,.. 4 i S -ret.,, lrq, !-<<� "' r �C•{•' X, ��r^� 3 . "t; 'ys's':,%��'Fr^' «:•-,ti. Y/ i!i r y1J•'rf,t' r t s y f w,s•�y�; .>.., +;•: r � ( ,' .'�t fM< 4�.����((]]ppaT� ,G.�,.:��,,j.-{./` >� _ 1'..'.'o�.,.l Y' :.•l"t.= � �y.-y, it Y, 11 is 5•r,,, r kr ,L.'=a •• i /.. ..�"` .1' n +.rw/W�S 7 •'S(�Si�s•,.,:l f �- .. :'•y .1 'J,. . .t •' -:t''L•�•.,n R_Z 1K '1.x .a• a�•'••• i•f ' 1; R •f^. rr'c. e, >i• Y tr,�>7'.,'r .? i�iw�l... ,;:w;,f,r, �'9 ,.�'`� 's.,'.,a.3r ._ USER ' S INFORMATION MANUAL o - WARNING: If the information in this AVERTISSEMENT. Assurez-vous de bien manual is not followed exactly, a fire or suivre les instructions donnees dans cette explosion may result causing property notice pour reduire au minimum le risque damage, personal injury or loss of life. d'incendie ou d'explosion ou pour eviter tout dommage materiel, toute blessure ou Do not store or use gasoline or other la mort. flammable vapors and liquids in the - Ne pas entreposer ni utiliser d'essence ni vicinity o'f this Or any other appliance. d'autres vapeurs ou liquides inflam-mables dans le voisinage de cet appareil ou de tout WHAT TO,DO IF YOU SMELL GAS autre appareil. t .Do not try to light any appliance. QUE FAIRE SI VOUS SENTEZ UNE OdEUR DE GAZ: • Do not touch any electrical switch; do • Ne pas tenter d'allumer d'appareils. not use any phone in your building. • Ne touchez a aucun interrupteur. Ne pas • Immediately call your gas supplier vous servir des telephones dans le from a neighbor's phone. Follow the batiment ou vous vous trouvez. gas supplier's instructions. • Appelez immediatement votre • If you cannot reach your gas supplier, fournisseur de gaz depuis un voisin. call'the fire department. Suivez les instructions du fournisseur. • Si vous ne pouvez rejoindre le InS Ila�t5gi,ra[�1d�5�e` /ice.. st,be fournisseur de gaz, appelez le service �e orme [. d;by. qualfc0.it�sal•I�r, des incendies. '4'\. 4•t ti��5 =1..Ft< r'f2.^9 & t ;i" :a servicesag'e acy ors, kteya$I@ plies L'installation et I'entretien doivent etre - �*fl t:>•� -.,rf • - assurex par un installateur ou:un service d'entretien qualifie ou par;•le fournisseur de ..._. •_ gaz. Lvl" Burnha by U.S. Boiler Company 81417029R13-2/10 INSTALLATION, OPERATING AND SERVICE INSTRUCTIONS FOR 3 Series 2'11 (model B) Gas Fired Boiler Cus 041T Intertek 9700609 _ i i t f 1-13 F )<,R For service or repairs to boiler, call your heating contractor. When seeking information on boiler, provide Boiler Model Number and Serial Number as shown on Rating Lab6l. Boiler Model Number Boiler Serial Number Installation Date 2 Heating Contractor t J Phone. Number Address BollerCompany Akio 103385-01-1/11 Price -$5.00 USER ' S INFORMATION MANUAL o WARNING: If the information in this AVERTISSEMENT. Assurez-vous de bien manual is not followed exactly, a fire or suivre les instructions donnees dans cette explosion may result causing property notice pour reduire au minimum le risque damage, personal injury or loss of life. d'incendie ou d'explosion ou pour eviter tout dommage materiel, toute blessure ou - Do not store or use gasoline or other la mort. flammable vapors and liquids in the - Ne pas entreposer ni utiliser d'essence ni vicinity of this„or any oth6r'appliance. d'autres vapeurs ou liquides inflam-mables dan's le voisinage de cet appareil ou de tout WHAT.TOwDO IF YOU SMELL GAS autre appareil. .Do not try to light any appliance. QUE FAIRE SI VOUS SENTEZ UNE ODEUR DE GAZ: Do not touch any electrical switch; do • Ne pas tenter d'allumer d'appareils. not use any phone in your building. • Ne touchez a aucun interrupteur. Ne pas 1. • Immediately call your gas supplier vous servir des telephones dans le • from a neighbor's phone. Follow the batiment ou vous vous trouvez. gas supplier's instructions. • Appelez immediatement votre • If you cannot reach your gas supplier, fournisseur de gaz depuis un voisin. call'the fire department. Suivez les instructions du fournisseur. • Si vous ne pouvez rejoindre le Installation and,se,"rvice must-,be fournisseur de gaz, appelez le service ;?performe:dtiy aqualified,installer, des incendies. �. _; „ serrvice agency or the,gas,:supplier. L'installation et I'entretien doivent etre assurex par un installateur ou•un service d'entretien qualifie ou par,je fournisseur de ., . gaz. `ig. `�' � CFiunhiee Lvl' Burnham" by U.S. Boiler Company 81417029R13-2/10 INSTALLATION, OPERATING AND SERVICE INSTRUCTIONS FOR FiredSeries 20 (model B) Gas Boller f cus C/9TE� Intertek 9700609 s r i zr; I For service or repairs to boiler, call your heating contractor. When seeking information on boiler, provide Boiler Model Number and Serial Number as shown on Rating Lab6l. Boiler Model Number Boiler Serial Number Installation Date 2 3 �� Heating Contractor t J Phone Number/3 Address 1 0 Boiler Company 103385-01- 1/11 Price -$5.00 USER ' S INFORMATION MANUAL o Mm 11 WARNING: If the information in this AVERTISSEMENT. Assurez-vous de bien manual is not followed exactly, a fire or suivre les instructions donnees dans cette explosion may result causing property notice pour reduire au minimum le risque damage, personal injury or loss of life. d'incendie ou d'explosion ou pour eviter tout dommage materiel, toute blessure ou - Do not store or use gasoline or other la mort. flammable vapors and liquids in the - Ne pas entreposer ni utiliser d'essence ni vicinity of this or any other appliance. d'autres vapeurs ou liquides inflam-mables dans le voisinage de cet appareil ou de tout WHAT TO_DO IF YOU SMELL GAS autre appareil. �• ;Do not try to light any appliance. QUE FAIRE SI VOUS SENTEZ UNE 00EUR DE GAZ: • Do not touch any electrical switch; do • Ne pas tenter d'allumer d'appareils. not use any phone in your building. • Ne touchez a aucun interrupteur. Ne pas • Immediately call your gas supplier vous servir des telephones dans le from a neighbor's phone. Follow the batiment oiu vous vous trouvez. gas supplier's instructions. • Appelez immediatement votre • If you cannot reach your gas supplier, fournisseur de gaz depuis un voisin. call'the fire department. Suivez les instructions du fournisseur. • Si vous ne pouvez rejoindre le Instgllati!oi-aQdSee ice,r:iust,be fournisseur de gaz, appelez le service `�ei�orr`ne�,b�r"aua ¢ isallr, des incendies. service:.a�geivy,,grh $;supplier. _ L'installation et 1'entretien doivent etre par un installateur ou:un service d'entretien qualifie ou parJe fournisseur de gaz. Lvl' Burnhar� by U.S. Boiler Company 81417029R13-2/10 INSTALLATION , OPERATING; AND SERVICE INSTRUCTIONS FOR t Series 2 (model B) Gas • Boller a i C us CISTEO Intertek 9700609 s 1 i 1 4 For service or repairs to boiler, call your heating contractor. When seeking information on boiler, provide Boiler Model Number and Serial Number as shown on Rating Lab6l. Boiler Model Number Boiler Serial Number Installation Date 2 � Heating Contractor t /3 Phone Number Address Boiler Company 103385-01- 1/11 Price-$5.00 USER ' S INFORMATION MANUAL o WARNING: If the information in this AVERTISSEMENT. Assurez-vous de bien manual is not followed exactly, a fire or suivre les instructions donnees dans cette explosion may result causing property notice pour reduire au minimum le risque damage, personal injury or loss of life. d'incendie ou d'explosion ou pour eviter tout dommage materiel, toute blessure ou Do not store or use gasoline or other la mort. flammable vapors and liquids in the - Ne pas entreposer ni utiliser d'essence hi vicinity of this or any other appliance. d'autres vapeurs ou liquides inflam-mables dans le voisinage de cet appareil ou de tout WHAT TO,DO IF YOU SMELL GAS autre appareil. e :Do not try to light any appliance. QUE FAIRE SI VOUS SENTEZ UNE ODEUR DE GAZ: • Do not touch any electrical switch; do • Ne pas tenter d'allumer d'appareils. not use any phone in your building. • Ne touchez a aucun interrupteur. Ne pas • Immediately call your gas supplier vous servir des telephones dans le from a neighbor's phone. Follow the batiment ou vous vous trouvez. gas supplier's instructions. • Appelez immediatement votre • If you cannot reach your gas supplier, fournisseur de gaz depuis un voisin. call'the fire department. Suivez les instructions du fournisseur. • Si vous no pouvez rejoindre le -Inst, II-ahti�O�i' r,'d SgNice..must.,be fournisseur de gaz, appelez le service 1 t� -., pie,�r"torrr>ie „�b a�gua'��fi1, n l,ler,• des incendies. sect/@ce: getyorhe�,ga�;;supplier. _ L'installation et 1'entretien doivent etre assurex par un installateurou.un service d'entretien qualifie ou par;-le fournisseur de gaz. LTJOBurnha m by U.S. Boiler Company 81417029R13-2/10 INSTALLATION, OPERATING AND SERVICE INSTRUCTIONS FOR FiredSeries 20 (model B) Gas Boiler 4 'Us C Usama Intertek 9700609 i 0 1 t t For service or repairs to boiler, call your heating contractor. When seeking information on boiler, provide Boiler Model Number and Serial Number as shown on Rating Lab6l. Boiler Model Number Boiler Serial Number Installation Date 2 3 �� Heating Contractor ri 6 / 13 Phone Number � Address Olo-iflerlompanv 103385-01- 1/11 Price -$5.00