HomeMy WebLinkAbout14626-zFORM NO. 4
TOM OF SOUTNOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24126
Date JANUARY 24, 1996
THIS CERTIFIES that the buildin~
Location of Property MONTAUKA~ENUE
House No.
County Tax Map No. 1000 Section 9 Block 5
Subdivision Filed Map No.
ALTERATION
FISHERS ISIs%ND, N.Y.
Street Hamlet
Lot 11.1
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEHRUARY 5, 1986 pursuant to which
Building Permit No. 14626-Z dated MAR~q 8, 1986
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 RENOVATE EXISTIN~ INN AS APPLIED FOR.
The certificate is issued to 246 M, INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-181592 - APRIL 2, 1991
PLUMBERS CERTIFICATION DATED JAN. 24~ 1996- F~IO Z~NGHETTI
Rev.
~ild lng Inspect-or
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.o 14626 Z
Permission is hereb/granted to:
.~~....,~.~.~.~....~...: ......
,o ......... ......................
ot premises located ot ..~...~..~. ...... ...~.~...~.........~.,...,.~..~...~.: ........ ..~..'..~.: .......
County Tax Map No. 1000 Section ..... ..~..,~. ......... Block .....~..~. .......... Lot No...~..~..:..~ ............
pursuant to application dated ..~..~.~......~... .............. , 19.~.(~..,-- and approved by the
Building Inspector.
Building inspector
Rev. 6/30/80
515-788-5~00
TOWN OF SOUTI~L~
BUILDIN6 DEPArTmEnT
TO~ IL~LL
': APPLICATION FOg CEKTIFICAT~ OF OCCUPANCY
This applica~ion must 5e f~lled in by cypevr~cer Og ~nk and submitted co the
1. Final survey of property wl~h accurate location of all buildings, proper~y
Stree~s, and unusual natural or topographic features.
· 2.' Final Appr0v~l from Health Dept. of water supply and sawerage-disposal(S-~ form),
Approval of electrical installation from Board of Fire Underwriters.
Sworn. statement from plumber certifying that the solder used /_n system ¢on~ains
less than 2/10 of 1~ lead,
5. Commercial buildlnd, industrial building, multiple residences'and a~mllar buildin~a'
and installations, a certificate of Code Compliance from archStect or engineer
responsible for the building. .
6,. Submit Pla~lng Board Approval of completed site ~lan. reguirements.
For existing buildings (prior to April 9, 1957) non-conforming usaa, or buildings and
~pte-~xisting" land uses:
1. Accurate survey of property showing all property lines, streets, buildin~ and
unusual natural or ~opographic features.
2. A properly completed application and a coasent to inspec~ sl~ned by the applicant,
l[ a.Certificate of Occupancy is denied, the Building Inspector shall stage the
reasons therefor in writing to the applicant.
1. Certificate of Occupancy - Mew dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
'2.' Certificate of Occupancy on Pre-existing Building - $100.00
3. Cop~ of Certificate of Occupancy - $5.00 over 5 years - $10.00
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.OO, Commercial
! ..........................
Construction ........... Old Or Pra-existin~ Bulldln[ ...............
House No. Str~eg Hamla~
r or Owners of Property .... _L-A)~ . ~i~/ ~. '~
? .C' // /
ty Tax Hap No 1000, Section .............. Block ................ Lot ...... ' ................
Flle~' ~ap Lot
Dace 0£ Permfc ................ Applican~ .............................
th Dept. Approval .......................... Under~ricers Approval .........................
Board Approval ' '
for: Temporary Certificate ......... Final Cercicate.,..~
~ubmit~ed: $ ..... 2f-.~O
co ............ "'
81/29/1996 14;13 516-788-5688
Z & ~ CONTRACTINO
TOWN OF 50UTHOLD
OFFICE OF i]UILDING INSPECTOR'
P.O. BOX 728 '
, ' TOWN HALL "
, SOUTIIOLD, N.Y. 1 1.9'~ I :
PAGE
.TELl 765-1802'
·Date
:,/,~ ~... ! .oe=t.t.~y that the solder,used.in, th.e w.a~er ~upply system'
'ii'~;.'Lc'onk&ins'l~ss than 2/10 of ~% lead. '
04
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~':'~;~" ~
BUREAU OF ELECTRICITY
/ 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
only the electrical equipment ~ &scribed below and introduced by t~ applicant ~med on the above applicatioa number in the premises of
ia the follo~ing loca ' ~b; .,,.~,, ~,L ~ Ist FI.
FIXTURE
OUTLETS
RECEPTACLES
SWITCHES FIXTURES RANGES OVENS EXHAUST FANS
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE TIME CLOCKS UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
$ E
NO, O~ERCC~CONO
R V I C E
NO OF NEUTRAtS
GENERAl.
PeF
This certificate must not be attered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
p
CO Y FOR UILDING DEPARTMENT TH $ COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANF ER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
J~ ~31) ~ BUREAU OF ELECTRICITY
~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
onty the electrical equipment ~ ~scribed below a~ introduc~ by the applicant ~med on the above application number iR the premises of
in thefoliowlng locatlon; ~ Basement ~ Ist FL ~ 2nd FL Section Bilk Lot
was examined on lq~;~(~'~l ;'~ ' ]
and found to be in compliance tcith the requirements qf this Board
DRYERS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S E R V I
NO OF CC COND A WG. F NO OF H~-LEG
PER ~ OF CC COND
OTHER APPARATUS=
C
NO OF NEUTRA[$
OF NEU'IRAL
GENERAL MANAGER
Per_
This certificate must not be altered in any manner; return to the office of the 8oard if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF C.I:~i iFICATE MUST NOT BE ALTERED IN ANY MANNER.
~>~,~; ,~THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~' '~
BUREAU OF ELECTRICITY
lB5 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
only the electrical equipment ~ ~scribed below and introduced by t~ applicant ~ on the above application number in the premises of
FIXTURE FIXTURES
OUTLETS SWITCHES FtUORE$CENT [
DRYERS FURNACE h FUTURE APPLIANCE
Section Block
arid found to be in compliance with the require.tents ~!f th s Board.
RANGES ~KING DECKS OVENS DISH WASHERS
OTHER
Lot
TIME CLOCK
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
$ E
R V I C E
~/0 -
rflis certificate must not be altered in any manner; return to the office of the Board if
COPY FOR BUILDING DEPARTMENT. THIS COPY OF,
GENERAL MANAGER
incorrect. Inspectors may be identified by their credentials.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~- 85 JOHN STREET, NEW YORK, NEW YORK 10038
Dat~ ~PP.!'~, (t2~ ~. ~ ) ~ ~pplleation No. on file
THIS CERTIFIES THAT
in the followlng loca~ion~ ~
FIXTURE
OUTLETS llECEPTACLES SWITCHES
'/.
DRYERS RJRNACE
SERVICE DISCONNECT
XTURES RANGES :OOKING DECKS OVENS DISH WASHERS EXHAUST FANS
JRE APPUANCEFEEDERS SPECIALREC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
R V I C E
OTHER APPARATUS=
S E
NO. O~.C~CONV
~ I 21991
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentia[s.
COPY FOR ~UILDING DEPARTMENT. THIS COPY OF CERT FICATE MU~ST'NOT BE ALTERED N ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS ,~c:~, ~
~(.)0~ [~1 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW yORK 10038
THI~ CERTIFIE~ THAT
in thefollowlng I ,ca#q~;~ ~ Bes~m~nt ~ 1st FI. ~ 2nd Fl. ~'% Section Bilk ~t
FIXTURE FIXTURES RANGE$ OVENS DISH WASHERS EXHAUST FANS
OUTLETS
SWITCHES
FLUORESCENT OTHER
DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
S E R V I C E
A. W. ~. NO OF Hi.L~~ AW, EG( [NO OF NEUTRALS
.o. oL~c~.co,~0. ~L
OF HEUTRAt
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if inco~'rect. Inspectors may be identified by their credentiols.
COPY FOR. BUILDING DEPARTMENT THIS COPY OF CERTIFICATE. :.~ MU?..~ ~, 'NOT BE ALTERED~ . IN ANY MANIc, ER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
100O120
BUREAU OF ELECTRICITY
~-~ 88 JOHN STREET, NEW YORK, NEW YORK 10038
o.te ~rch ~, 3,9~3¢~ 320834/85
~ppi,o.tlon ~o. o.~,,. N 738631
THIS CERTIFIES THAT
only the electrical equipment as descrlbed belotv and introduced by the applicant named on the above application number in the premises of
Pequot Znu% Coz~ ~r.~tt~,~l~ Avenue, F£~h~ra Isl~md~ N.Y.
in the followlng location; ~] Basement [] Ist ICl. [] 2nd Fl. Section Block Lot
was examined on ]~(~{~L~),~ ¢~ ~ ].~ and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES :OOKING DECKS OVENS
OUTLETS SWITCHES
L~ 2~5 14 SS
DRYERS
FLUORESCENT
VAPOR
FURNACE MOTORS FUTURE APPLIANCE FEEDERS
EXHAUST FANS
TIME CLOCKS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
S E
NO-Oi~E~ C,~CON D
OTHER APPARATUS:
Thj~ t~ a p~,rtl~., not a ~].e'~e ~lgtco.~e~
R V I C
A, WG
OF CC. COND,
j NO OF HI-LEO / A, W 0,
I
OF HI-LEO
NO. OF NEUTRAL
OF NEUTRAL
Box 511 Pentns~.la Pa~,d
Lie. 1,f~TE
GENEI~AL MANAGEE~
This certificate must not be altered in any manner~ return to the office of the Board if incorrect. InspeFtors may be identified by their
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000913 BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS GERTIFIES THAT
only the el~trical equipment ~ ~scrlbe~ below and introguced by t~ applicant ~d on the above opplic, tion nu tuber in the prem~es of
Pequot Associates, ~o~tauk Avenu~ Fishers Island,
Gara~e
FIXTURE FIXTURES RANGES oVENS DISH WASHERS
OUTLETS SWITCHES FLUORESCENT VA~OR
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEOERS TiME CLOCKS L~StT HEATRRS ~AULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C
NO. OF CC, COND A,W.G, NO, OF HI-LEG A W' G, NO OF NEU'iRALS A.TM G
OTHER APPARATUS:
Robert: E. Wall
Alpine Avenue
Fishers Isla~d~ N~Y.
06390 l,ico 2455E
Per-
This certifkote must not be ohered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU, ST NOT BE ALTERED IN ANY MANNER.
F1ELD INSI~ECTION COMMENTS
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
~ODE
FINAL
ADDITIONAL COMMENTS:
TO~N OF SOUT~OLD
BUILDING DEPARTHENT
TOUN HALL
SOUTHOLD, NEW YORK
765 -- 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING .... VACANT LAND ........
Locat~o~ o~ ~rope~..~m ........... ~%~'"~--&%-..~b~.~X
HOUSE NO. STREET HAMLET
Conn~ T~ ~ap No. ,000 Section ..~'... nlo~ ..-T'. .... Lot' J3~[ .....
Subdivision ....................... Filcd Hap ........ Lot
Permit
Health
Planning goard Approval
Dept. Approval .................. Underwriters Approval ..............
Request
Fee Submitted:
for Temporary Certificate ....... Final Certificate ...~. ......
rev' 10/14/88
FOR~ NO. 6
TOWN OF SOUTIIOLO
RUILDINC DEPARTI~ENT
TOWN IIALL
765- 1802
APPLICATION FOR :ERTIFICATE OF OCCUPANCY INSTRUCTIONS
This application must b~ filed in type~rlter OR ink and submitted co the Building
Inspector with the follpwlng; for new buildings or new use:
1. Final survey of property w£th accurate location of all buildings, property lines,
streets, and unusual[natural or topographic features.
2. Fiual approval of Health Dept. of water supply and sewerage-dlsposal(S-9 form).
3. Approval of electrlc~l installation from Board of Fire Under~Titers.
4. Sworn statement from[plumber certifying chat solder used in system contains less'
than 2/10 of I% lead~
5. Com~erclal buildlngs~ industrial buildings, multiple residences and similar.
buildings and instal~atlons, a certi£icace of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Planning Boar~ Approval of completed site plan requirements.
B. For exlsCing buildings {Prior to April 9, 1957~ non-conforming uses, or buildfags
and "pre-existing" land!uses:
I, Accurate survey of property showing all property lines, streets, buildisgs and
ususual natural or tbpographlc £eatures.
2. A properly completedi appLicatlou, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and sepairate ownership of the entire lot prior to April 9, 1957.
. If a Cerci£icate of ~ccupancy Es denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date og any housing Code or safety inspection of buildings or premises, or ocher
pertinent laforwatzoin required to prepare a certificate.
C. For Vacant Land Certlflicate of Occupancy:
I. An application for ~acant land Cer~iflcate of Occupancy shall-be submitted,
and a certified abst:ract of title issued by a title company shoving single and
separate ownership ~f,the entire lbt prior to April 9, 1957 shall also accompany
ghe application. I! a gertificate of Occupancy is denied, the Building Inspector
shall state the readons therefor in writing to the applicant.
D. FEES:
I. CERTIFICATE OF ~CCUPANC¥ - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to D~elling $25.00, Swimming Pool, $25.00. Accessory building
Addition to Accessory bu£1dlngs, $25.00 - Businesses $50.00.
2. Cer~i£icate of Occupancy on pre-existing d~elllng - $100.00.
3. Copy of Certi£1~ate of Occupancy - $~.00 - over 5 years -
~. Vacant Land Certificate o6 Occupancy - $20.00
5. Updated Certlfi~ate of Occupancy - $~0.00
6. Temporary Certi:!icate of Occupancy -$]5.00 Residential
Co~r~erclal
evo 10/114/88
'FORM.NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined...~..c~.(~ .~. .... , 19~.~.
Approved ...Y.¥.~v.~ .... , Permit No..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BLDG. DEPT.
TOWN OF SOUTHOL[~
Received ........... ,19...
Date ................... 19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
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 pubhc streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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.
(Si~']ture/o,f applicant, or name, if a corporation)
? 7 ' ~"~l'ailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
'0 ...............................................................................
Name of owner of premises .. t . ...............
(as on the tax roll or latest deed)
If applicant isa cofpor~a.t~'~.~ature of duly authorized officer.
? (N~m6'a~l~title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No. ....~ ...........
Other Trade's License No ......................
I. Location of land on which proposed work will be done ...................... ,~ ............................
House Number Street Hamlet
County Tax Map No. 1000 Section ...... .Qk~ ....... Block ..... .~. ....... Lot .... J.l.,. J ..........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and oc.cu, pancy: of proposed con~struction:
a. Existing use and occupancy ....................... ·., .......................................
b. Intended use and occupancy . .~Z. ~x~. ' " . :.) ~. :
3. Nature of~r~"(ch~l~ w~lc~!apphcable): New Building .......... Addxtion .......... Alteration . .~ ....
Repair ~(~...~..'~R~e/n~val .............. Demolition .............. Other Work ...............
: ~ ' ~ ~ i~ ~ ~ ~ (Description)
Est~ated Cost ...... ~.~j .QC~.O~.~.(2 ................ Fee .(..~r~.~. ........................
' "~ ~ ' *" (to be paid on filing this application)
5.If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................
If garage, number of cars .... ~ ...................................................................
6.If business, commercial or mixdd occupancy, specify nature and extent of each type of use .........
7, Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
lteight Number of Stories
Dimensions of same structure wxth 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 i 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: ................................
13. Will lot beregraded........,...................' . Will exeess fill be removed from premises: Yes No
Name of Architect ' Address Phone No
~.. ~/..~. Address Phohe No
Name ~of Contractor ......................................................
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or ~orner lot.
STATE OF NEW YORK,
~S.S
COUNTY OF .................
being duly deposes and says that he is the applicant
.... ..... ' ................... ? ..................... sworn,
(Name of individual sigr~ing contract)
above named.
He is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is du .y authorized to perform or have performed the said work and to make and file this
application; that all statements conl ained 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
No. 4707878. hNolkOomdy~.., ~ /;'-- ,/ (Signature of applicant)
I I
F
I
0
PI, tIMBER CERTIFICATION
ON ~ CONTENT BEFORE
CERTIFI~tITE OF OCCUPANCY
C~CUPANCY C.'~
USE IS UNLA~,
WITHOUT CERTIFiu,~-,
O~ OCCUPANCY
If sopper tubing is used
for water distributing
system; piping shell be
of types K or L only
'"~OVED AS NOTED
r 1~- .~Pw~ ~, ~, L..
h~' ~EPART~ENT A~'
STATE (JO~.
CODES, NOT?~E~ONSIBLE ~R
~ESIGN 0~ LONSTRUCTION ERRORS~
NOTE TO INSTALLER:
PLEASE READ AND FOLLOW THESE INSTRUCTIONS
CAREFULLY. YOUR INSTALLATION TIME WILL BE SHORTENED
AND PROPER SYSTEM PERFORMANCE WILL BE ASSURED.
POWER VENT PACKAGE
INSTALLATION INSTRUCTIONS
CAUTION
1o The Power Venter must be installed by a quali-
fied installer in accordance with all local
codes or in their absence in accordance with
the National Fuel Code, ANSI Z223o1-1980 and
the National Electrical Code ANSI/NFPA #70-
~81o
2° "Qualified installer" shall mean an individual
who is properly trained and licensed°
3. The installer must write or imprint name, phone
number, date of installation and sign in the
appropriate space on the maintenance tag
attached to the Power Ventero
4o Safety inspection procedure (see below) must
be performed before installation and a final
safety inspection must be performed on com-
pletion of all installations.
5° Plan the vent system layout to avoid the pos-
sibility of accidental contact with concealed
wiring or plumbing.
PROCEDURE FOR SAFETY INSPECTION
OF AN EXISTING APPLIANCE
The following procedure is intended as a guide to aid in deter-
mining that an appliance is properly installed and is in a safe
' condition for continuin~ use.
This procedure is predicated on central furnace, boiler and water
heater installation and it should be recognized that generalized
procedure cannot anticipate all situations. Accordingly, in some
oases deviation from this procedure may be necessary to determine
safe operation of the equipment.
This procedure should be performed prior to any attempt at mod-
ification of the appliance or of the installation.
If it is determined there is a condition which could result in
unsafe operation, the appliance should be shut off and the owner
advised of the unsafe condition.
The following steps are to be used in making the safety
inspection:
1. Conduct a gas leakage test of the appliance and control
system downstream of the shut off valve in the supply
line to the appliance.
2. The appliance and its individual shut off valve must be
disconnected from the gas supply piping system during any
pressure testing of that system at test pressures of 1/2
psig (3.48 kPa)o
The appliance must be isolated from the gas supply piping
system by closing its individual manual shut off valve
during any pressure testing of the gas supply piping system
at test pressures equal to or less than 172 psig (3.48kPa).
3. Inspect heat exchanger for cracks, openings or excessive
corrosion.
4. Inspect for evidence of water leaks.
5. Insofar as is practical, close all building doors and windows
and other spaces of the building. Turn on any exhaust fans
(range hood, bathroom exhausts, etc.) so they will operate
at maximum speed. Close fireplace dampers. If after com-
pleting steps 6-12, it is believed sufficient combustion
air is NOT available, refer to local codes or the National
Fuel Gas Code, ANSI Z223.1-1980, for introduction of
make-up air.
6. Place appliance in operation. Follow lighting instructions.
Adjust thermostat so that appliance will operate continuously.
7. Determine that burner ignition is satisfactory by turning
the main power switch off and Ono
8. Visually determine that main burner gas is burning properly:
no floating, lifting or flashback. Adjust the primary air
shutter(s) as required. (If appliance is equipped with
high and low flame controlling or flame modulation, check
for proper main burner operation at low flame).
Test for spillage at the draft hood relief opening after
5 minutes of main burner operation.
Turn on all other fuel-burning appliances within the same
room so they will operate at their full input.
Repeat steps 7-9 for each appliance.
Shut off the other fuel-burning appliances operated in
step 10.
Return doors, windows, exhaust fans and fireplace dampers
to their previous conditions of use.
Determine that the water pumps are operating properly°
Test high temperature limit controls and relief valves to
determine that they are operating properly.
11.
12.
13.
14.
VENT PIPE TERMINATION
NOTE:
BEFORE INSTALLING POWER VENTER DETERMINE PLACE OF VENT
PIPE TERMINATION.
Power Venter must be installed as close to the termination
of the vent system as possible to obtain optimal efficiency
andto guard against flue gas leakage°
Plan for the 90 horizontal turn that the Power Venter makes
between inlet and outlet°
All individual appliance vents must enter the vent system
on the inlet side of the Power Ventero
The vent system must terminate so that proper clearances
are maintained as cited in local codes or the National Fuel
Gas Code, ANSI Z223o1-1980, 7o14o3, as follows:
"The exit terminals of a mechanical vent system shall
be not less than 7 feet above grade when located ad-
jacent to public walkwaySo
A venting system shall terminate at least 3 feet above
any forced air inlet located within 10 feet°
The venting system shall terminate at least 4 feet
below, 4 feet horizontally from or i foot above an~
door, window or gravity air inlet into any building."
The manufacturer also recommends the following vent termin-
ation procedures:
The vent termination shall not be installed closer
than 3 feet from an inside corner of an L shaped struc-
ture, or not less than 1 foot above grade°
Class 'B' vent pipe should be used to insure proper
ventilation and to reduce combustion hazard.
POWER VENTER
INSTALLATION PROCEDURE
CAUTION
1. Disconnect power supply before making wiring
connection to prevent electrical shock and
equipment damage.
2. Ail wiring must comply with applicable codes
and ordinances.
3. When wiring is completed, check all components
by running system tkrough at least 3 cycles.
4. Flue gas temperatures must not exceed 550°F
at Power Venter inlet.
5. Air flow adjustment must be made for optimum
appliance efficiency.
6. While this equilm~ent is not designed to replace
combustion air intakes, it will assist in over-
coming minor negative pressure conditions. If
extreme negative pressure exists, provisions
for introduction of adequate combustion air
must be provided, (refer to # 5, "PROCEDURE
FOR SAFETY INSPECTION OF AN EXISTING APPLI-
ANCE'' ).
7. Failure to install, maintain and/or operate
the Power Venter in accordance with these
written instructions may result in conditions
which can produce bodily injury and/or
property damage.
1. Install tapered transition fitting on outlet of HYTECH boiler.
2. Install required sections of 4" vent pipe.from transition
fitting to terminating wall. Allow a minimum of 18" vertical
rise from the boiler before vent elbows to the horizontal.
Vent pipe must be supported and spaced in accordance with its
listing and the vent manufacturer's instructions.
3. Connect inlet side of Power Venter to 4" vent pipe as close
to terminating wall as possible. Power Venter MUST BE MOUNTED
WITH MOTOR SHAFT HORIZONTAL.
4. Securely support Power Venter to ceiling or wall using
galvanized support strap.
Connect outlet of Power Venter to through-the-wall pipe,
using 4" elbow if necessary.
6. Check vent connections for leaks by using a soap solution
as recommended by NFPA #54, ANSI Z223.1, Section 4.11-General.
If necessary, seal connections with High-Temperature Silicone
Adhesive Sealant.
7. Wire Power Venter, Sail Switch and Spillage Switch according
to wiring diagrams which follow. Power Venter MUST BE GROUNDED.
All wiring must be in accordance with the NEC and applicable
local codes. WirLng should be protected by over-current
protection (fuses or circuit breakers) rated 15 Amps or less,
(as applicable for 14 AWG conductors). EXTREME CAUTION must
be exercised to ensure that wiring does not come into contact
with any heat source.
8. Check Sail Switch. Operation of switch can be determined by
hearing a "click" as switch opens and closes. A click must
be heard BEFORE sail blade touches either end of slot. If
clicks are not heard, it may be necessary to change bend in
blade slighty.
9. Check boiler and Power Venter operation. Air flow control
on Power Venter must now be adjusted to prevent spillage at
draft diverter.
AIR FLOW 'ADJUSTMENT
Capacity of the Power Venter may be adjusted by means of
the Damper Control Rod.
NOTE: Damper is pre-set for maximum air flowo
4.
5o
o
inateo Lock damper handle
opposite side of housing.
Adjust thermostat~to call for heat.
Wait several minutes after burner ignition for flue gas
temperature to,stabilize.
Using a vel°meter, check velocity of flue gas at exit
terminal.
Using volume and velocity chart, below, match input of
appliance with proper CF~ or FP~ column@ 50% dilution.
Adjust damper so that velometer reading matches that
derived from table° NOTE: Power Venter performance is
very sensitive to damper adjustment° Only a quarter
turn of the handle is required to close damper°
Check for flue gas spillage at draft diverter. Approved
method for checking is below, NFPA ANSI Z223.1-1984,
Section 8°6:
"°.°Equipment shall be operated for several minutes
and checked to see that the combustion products are
going up the chimney or gas vent properly by passing
a lighted match or taper around the edge of the relief
opening of the draft hood. If the chimney or gas
vent is drawing properly, the match flame will be
drawn into the draft hood. If not, the combustion
products will tend to extinguish this flame° If
the combustion products are escaping from the relief
opening of the draft hood, the equipment shall not
be operated until proper adjustments or repairs are
made to provide adequate draft through the chimney
or gas vent."
If spillage is detected, open d~nper just enough to elim-
in place by means of locknut on
EXIT VENT VOLUME AND VELOCITY
CHART FOR AIRFLOW ADJUSTMENT
SAFETY INSPECTION MUST NOW BE PERFORMED
SAFETY INSPECTION ' "
The Power Venter integral Sail Switch is the primary
safety fan prover° The Draft Spill~ge Switch is a redundant
safety device. Switch opens at 170 F and is NANUALLY reset°
Refer to Trouble Shooting Hints, below°
1o Shut off gas supply to the appliance°
2o Connect a volt meter or test light to electrical ter-
minals of the gas valve~
3o Adjust thermostat to call for heat° Power Venter will
start immediately° Result: Volt meter should read proper
voltage or test lamp should light°
4. With Power Venter operating, block vent pipe at exhaust
side of Power Ventero Result: Safety Sail Switch will
de-energize gas valve.
5° Re-establish gas supply to appliance°
6° Disconnect electrical supply to Power Ventero
7o Adjust thermostat to call for heat.
8° Nanually fix Sail Switch to remain open. CAUTION:' VENTER
NAY BE HOT TO TOUCH. Result: Flue gases should be emitted
from draft divertero
9° Wait approximately I minute. Result: Draft Spillage Switch
will disrupt gas control°
Push reset button in the center of the Spillage Switch°
Repeat spillage test, steps 6-10.
Visually determine that gas is burning properly; no float-
ing, lifting or flashback.
10.
11.
12o
TROUBLE SHOOTING HINTS
1o If volt meter or test light does not read proper voltage:
-check reset button on Spillage Switch
-check termlnal connections
-check if thermostat is calling for heat
2o If Power Venter does not operate upon a call for heat:
-check electrical connections from Power Venter to
control
-check "breaker" on Power Venter clrcuit
3~ If Sail Switch does not de-energize gas valve with blocked
vent pipe:
-check vent pipe system for leaks
-check if Sail Switch blade moves freely
4o If spillage does not emit from draft diverter when
appliance is operating and electrical supply to Power
Venter is disconnected:
-check vent pipe system for leaks
5° If spillage out of draft diverter does not disrupt gas
control after 2 minutes:
-check reset button on Spillage Switch
-check spliced connection between operating control
and gas valve
-check terminals on Spillage Switch
MAINTENANCE
The Power Vent Package must be inspected
semi-annually° Points of inspection are:
1o Motor must rotate freely. Oil with
4 drops of SAE 20 oilo
Wheel must be free of soot, ash or
other coating which inhibits air
flow or rotation
3. Sail Switch must operate freely.
Listen for "click" as sail travels
in sloto Replace if no click is
heard.
4. Check vent Pipe and termination for
obstructions. Proper flow of com-
bustion gases must be maintained.
5. Check all vent connections for leaks
and reseal where necessary° Replace
deteriorated vent pipe and check
new connections for leaks. Reseal
using a High-Temperature Silicone
Sealant such as Permatex Form-A-
Gasket Red RTV, GE Red RTV 106 or
equivalent
WRONG
TJERNLUND
LIMITED ONE YEAR
WARRANTY
Minnesota 55110. (612) 426-2993.
DRAFT
INDUCER
MOTOR
BK
RD(~)
SAIL
SWITCH
'3
PUMP
RELAY
TRANSFORMER
FIELD WIRING
I
i
I
LI N
Wiring Diagram
for Power Venting
Wi ri ng
Diagrams
N
II
G
voltage
r~T
Pressure
Sw~=h I 3~
BLK
Flame
---- 4--~
BLK
: {)oj
Switch
21
~U
~ntrol
I'
I Gas Valve
WHT
Model NE
Wiring Schematic
;Pillage
;witch
. Nount Spillage Switch on Draft Diverter Assembly.
. The draft Spillage Switch provides secondary safety. In the
unlikely event that the Power Venter fails and the Sail Switch
also fails, the heat of the bac~ed~up combustion sases will
open the N/C contacts of the Spillage Switch. Switch warp-
point is 170°F; Switch is manually reset.