HomeMy WebLinkAbout46222-Z s.'zXz''
o�OgHFfUI Town of Southold 7/18/2021
a P.O.Box 1179
0
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42178 Date: 7/18/2021
THIS CERTIFIES that the building ALTERATION
Location of Property: 865 White Eagle Dr.,Laurel
SCTM#: 473889 Sec/Block/Lot: 127.-9-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/22/2021 pursuant to which Building Permit No. 46222 dated 5/11/2021
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:
alteration for gas boiler to existing single family dwelling as applied for.
The certificate is issued to Levy,David&Tracy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut oriz d Signature
�SUFeot,r TOWN OF SOUTHOLD
moo c�ay BUILDING DEPARTMENT
C2 z TOWN CLERK'S OFFICE
'oy • o� 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#: 46222 Date: 5/11/2021
Permission is hereby granted to:
Levy, David
865 White Eagle Dr
Laurel, NY 11948
To: Convert from oil to gas; Install natural gas boiler at existing single family dwelling as
applied for.
At premises located at:
865 White Eagle Dr., Laurel
SCTM #473889
Sec/Block/Lot# 127.-9-23
Pursuant to application dated 4/22/2021 and approved by the Building Inspector.
To expire on 11/1012022.
Fees:
CO-ALTERATION TO DWELLING $50.00
ACCESSORY $200.00
Total: $250.00
Building Inspector
�o��oe souryo`o
# # TOWN OF SOUTHOLD BUILDING-DEPT.
`0oUrm, '' 765-1802
INSPEC ION -
[ ] FOUNDATION 1ST [ ROUGH PLBG. Qw 1 ° 6 Cory✓.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL-(ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
cP
,XLA rJ b-
DATE INSPECTOR
,i
SOF SoUly�
TOWN OF SOUTHOLD BUILDING DEPT.
courm��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION 2ND = [ ] SULATIOWCAULKING
[ ] FRAMING/STRAPPING [ FINAL Of 1 74� 64d Con✓
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE'RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
140")
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)
-------------------------- ----- ---
FOUZOATION (2NT))
ROUGH FRAMING&
PLUMBING p -
• r
y
INSULATION PER N.Y.
STATE'ENERGY CODE
FINAL
ADDITIONAL COMMENTS
0
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� raz � TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631)765-9502 https://www.southoldtoMLnny.fzov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only i
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PERMIT NO. Building Inspector: APR 2 2 2021
„Applications arid<forms mw'st bewfilled out,tin tFieir`,entirety:ancompie-te- ;
:appIlicationsQIJ-rrot be accepted:;Wherethe Applicant`is'pnot'.tiie owner;'an,` '"
z,. ism >,. r ,• y,-a= - 'Jr '\ tri•
:Ouuner's>-Authorization,form PA'
h" becompleted: ,., -
Date: April 22, 2021
OWNER`5',`OF PROPERTIfc, .•` . `` '' : a, s#` _ ,_?
Name: David A. and Tracy Levy SCTM#1000-127.-9-23
Project Address: 865 White Eagle Drive, Laurel, NY 11948
Phone#: 631-315-5393 1 Email: DavidALevyLINY@gmail.com
Mailing Address: 865 White Eagle Drive, Laurel, NY 11948
CONTACT¢PERSOIV: n`�' s
r .
Name: David Lev
Mailing Address: 865 White Eagle Drive, Laurel, NY 11948
Phone#: 516-314-2514 Email: DavidALevyLINY@gmail.com
- '.,a§--r' - y e
r DESIGN;-PROFESSIONAL INFORIVIATION:M
wrs .Y
e `
Name:
Mailing Address:
Phone#: Email:
P >t'e*.`.n ,mak, - >�Arp ..p ..n,.R,`t 5v, _ ,'r•>c - `i�: - 4,`.,-w->2 }„^p ra
'CO'111TRAC1'UR�IN'FORMATIOIV:
Name:Flanders Burner Service, Inc. (Al Lopez)
Mailing Address: 301 Brookhaven Avenue Flanders, NY 11901
Phone#:631-369-3634 Email:flabu2@gmail.com
,x* - .t. +<3.<, :4c'q�•tak3$'q'.EI -`f-v -.CI, s3",' �;'_�" <,�>Fi�y..}Fo;"ts,'^�L'Y'q` �>:;'A r�e s,1- ,i'� .,
S,'s,3',`,
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
D Other Oil to gas heat conversion including installation of Weil McLain CGa-7 nat gas boiler $ 20,575
Will the lot be re-graded? ❑Yes 9 N Will excess fill be removed from premises? ❑Yes ®No
1
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0PERWYINF0RMATI0N,,,',,'�,
A
Existing use of property: Residential Intended use of property: Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-80 this property? OYesE:]No IF YES, PROVIDE A COPY._
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Application Submitted By(print name): David A. Levy DAuthorized Agent 990wner—
Signature of Applicant: r L�(A Date: April 22, 2021
STATE OF NEW YORK) CONNIE D.BUNCH
SS: Notary Public,State of New York
COUNTY OF Suffolk No.01BU6185050
David A. Levy Qualified In Suffolk County
being duly �te applicant
(Name of individual signing contract)above named,
(S)he is the owner
(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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
22 day ofApril 12021 L AU1144
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
1, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
Bunch, Connie (4
From: George Fredricks <george@hardyplumbing.com>
Sent: Tuesday, May 25, 2021 8:55 AM
To: Bunch, Connie
Cc: David Levy
Subject: Fwd: Levy Hardy Signed Proposal
Attachments: Levy Hardy Signed Proposal.pdf
Good morning Connie,
Please see below forward and attached for the info on on Mr. Levy's, 865 White Eagle Dr., Laurel NY. The
below permit#s and new boiler info are there for you to see. Hardy/Southold Plumbing will be doing the jobs,
Suffolk County Plumbing License# is 2764-MP. Thanks Connie for your help.
Sent from my iPad
Respectfully submitted,
George Fredricks
Hardy Plumbing
General Manager
Phone# 631-283-9333
Cell # 631-553-3198
Website: www.hardyplumbing.com
Email: George@hardyplumbing.com
Begin forwarded message:
From: David Levy<davidalevyliny@gmail.com>
Date: May 25, 2021 at 8:16:12 AM EDT
To: George Fredricks <george@hardyplumbing.com>
Subject: Levy Hardy Signed Proposal
As requested, I have sent a signed copy of your proposal to Michaela, of your office, after taking
your advice and selecting option 4 (Navien NFB-200) as opposed to option 3 (Weil McLain
CGA-7). Thanks for your recommendation on this.
If I understand your email of yesterday correctly, this selection represents a change that you will
need to report to Southold Town inasmuch as the boiler permit specifically references the Weil
McLain. I believe the Building Department will want the model number and specifications
for the Navien. Thanks for handling this.
For your easy reference in providing that information, please note that the Boiler Permit is
#46222;.our Generator Permit is #46223. The generator permit may be irrelevant for your
purposes.
i
Before this morning is over, my wife will have sent the National Grid Residential Gas Services
Agreement to Mr. Schutz, at Grid. If you speak to him, Kevin will ask for the address
involved. He will recall this job instantly if, after providing the address, you refer to it as "The
Tracy Burgess house."
I've attached a copy of our signed Hardy proposal for you. This is in addition to the one sent to
Michaela.
Tracy and I both appreciate your assistance with this project and look forward to working with
Hardy. Thank you. I will call later to make sure that you have received this and that we're ready
to go.
David Levy
865 White Eagle Drive
Laurel,NY 11948
(631) 315-5393 (home)
(516) 314-2514 (cell)
ATTENTION: This email came from an external source. Do not open attachments or click on links from
unknown senders or unexpected emails.
z
Pontino, Susan
From: David Levy <davidalevyliny@gmail.com>
Sent: Monday,June 7, 2021 8:53 AM
To: Pontino, Susan
Subject: Building Permit 46222 Information,Update
Attachments: Navien NCB-240E.pdf
Dear Susan,
Thanks very much for taking my call this morning.
Several weeks ago,your office was kind enough to assist me in filing applications that resulted in the issuance of two
Building Permits, one of which was as follows:
46222, Convert from oil to gas;Install natural gas boiler at existing single family dwelling as applied for.
Since that time,your office assisted a contractor in updating information associated with that permit. Today, again,
circumstances require updating information relating to that permit which I respectfully submit here:
Contractor information.The vufnwrk.en this project will be performed by:
reen Synergy Solutions (Angelo D'Alessandro, MP-3543)
162 N.Titmus Drive
Mastic, NY 11950
(631)484-2337
GreenSynergySolutions@vahoo.com
Prop d construction. Gre rgy Solutions will be installing a Navien NCB-240E high efficiency, natural gas combi
boiler or simi ar unit. Specifications for the NCB-240E are attached.
I would appreciate if you would update the file in connection with this permit as necessary.
Thank you for your continued assistance in guiding me through the Building Department's various processes. I would be
happy to provide any additional information or answer any questions you or your colleagues have about these
changes. Thank you.
David A. Levy
865 White Eagle Drive
Laurel, NY 11948
(631)315-5393 (home)
(516) 314-2514(cell)
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders
or unexpected emails.
1
-7-77,77
NCB-240E Overview I QuickFacts I ZLaz-q&. I Downloads l Accessories
NCB-240E QuickFacts
Dimensions
Certification Summary
Gas Input Ranges
Applications
Ratings
,Specifications
Item NCB-240E
Gas input Space heating 18,000-120,000 BTU/H(6.274-35.16 kWh)
Domestic hot water 18,000-199,900 BTU/H(5.274-58.571 kW4)
Flow rate(DHW) 77'F tamp rise 4.5 GPM(17 Um)
Dimensions 17.0"Wx 28 O"H x 12.0"D(43.2cm W 71.1cm H x 30.5cm D)
Boilerweight 84 Ibs(38.1 kg)
Installation type IndoDrwall-hung
Venting type Forced draft direct vent
Ignition Electronic Ignition
Hydronic water pressure 12-30 PSI(0 844-2.109 kg/cm2)
DHW water pressure 15-160 PSI(1.055-10.545 kg/cm2)-
Natural gas supply pressure(from source) 3.5-WC to 10.5^WC(0.87 Kpa to 2.61 Kpa)
Propane gas supply pressure(from source) 8-WC to 13"WC(1.99 Kpa to 3.23 Kpa)
Natural gas manifold pressure(min-max) -0.06^WC to-12"WC(-0.015 Kpa to-0.3 Kpa)
Propane gas manifold pressure(min-max) -0.03 WC to-0.98"WC(-0.0075 Kpa to-0 VA Knal
GET HELP
0-f— n t;r-phl ii Ro4 v_i 1/3
kisIVI'll
"77
NCB-240E Overview I QuickFarts I Warranly. I DawnloadsI Accessories
Gas Inlet 3/4"NPT
Auto feeder 1/2"NPT
Condensate outlet 1/2"NPT
Power supply Main supply 120V AC,60Hz
Maximum power consumption 20OW(max 2A)
Materials Casing Cold rolled carbon steel
Heat exchanger Primary/secondary heat exchanger stainless steel;C)HW heat
exchanger:stainless steel
Venting Exhaust 2"or 3"PVC,CPVC,approved polypropylene 2"or 3"special
gas vent type BH(Class 11,A/B/C)
Intake 2"or 3"PVC,CPVC.polypropylene 12"or 3"special gas vent type
BH(Class 11,A/B/C)
Vent clearances 0"to combustibles
Safety Devices Flame rod,APS,ignition operation detector,water temperature
high limit switch,exhaust temperature high limit sensor,power
surge fuse
Navien reserves the right to change specifications at any time without prior notice.
Navien Inc..> Products/Accessones > Combi Boilers > NCB-E Series > NCB-24OF > QuiGkfacts
Navien Blog Navien News Media
Why Can't I Put an Elbow Directly Into Navien Begins Shipping NFB-H Boilers 2MPAI---
the Top of NPE Tanklass Water Heaters and NFC-H Combl-boilers
When venting Navien NPE tankless water Read more>> Videos
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more X,
Problem Solved:Steve Hosack of SC
Hosack Plumbing Upgrades His Hair
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Call us:1-800-519-8794 I Partners Le In I Become an NSS I Certifications I Parts List Technical SURR29 I Carei GET HELP
213
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OCCUPANCY O
USE IS UNLAWFUL
APPROVED AS NOTED WITHOUT HOT RTIFIC T
DATE: -- ?Y B.P.# OF OCCUPANCY
FEE:`t?a -0.0-0 BY:
NOTIFY BUILDING DEPARTNAE-NT AT
7654802 8 AM rn 4 =,,A jR THE
FOLLOWING INSPECTIONo
1.-FOUNDA;IUN - TWO Pf- :,,.jIRED
FOR POURED CONCRi:
2. ROUGH ,VfNG &'�-'..JMBING
3. INSULA: O�,
Additional
4. FINAL �` )(PIJCTION MUST
BE ;OMPLcTE FOR CO. :rlej •
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS 0P THE CODES OF NEW kay-Be it gUirt,
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHOLD TOWN ZBA
SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
N.Y.S.DEC
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