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HomeMy WebLinkAbout48378-Z S11Entk. Town of Southold 12/20/2022 1 : P.O.Box 1179 o n 53095 Main Rd P.,yljol M Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43705 Date: 12/20/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 1800 E Gillette Dr.,East Marion SCTM#: 473889 Sec/Block/Lot: 38.-3-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/25/2022 pursuant to which Building Permit No. 48378 dated 10/6/2022 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: gas heating system to existing single-family dwelling as applied for. l The certificate is issued to Pafitis A 2018 Irr Res Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED tho 'zed ig ature s Oak TOWN OF SOUTHOLD BUILDING DEPARTMENT - TOWN CLERK'S OFFICE 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#: 48378 Date: 10/6/2022 Permission is hereby granted to: Pafitis A 2018 Irr Res Trt 40-33 215 St Bayside, NY 11361 To: alter to gas conversion of existing single-family dwelling as applied for. At premises located at: 1800 E Gillette Dr., East Marion SCTM #473889 Sec/Block/Lot# 38.-3-22 Pursuant to application dated 8/25/2022 and approved by the Building Inspector. To expire on 4/6/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector, ho�aOF 50UTyo�O # # TOWN OF SOUTHOLD BUILDING DEPT. `ycou631-765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ YNSLATIOWCAULKING U [ ] FRAMING/STRAPPING IV] FINAL CAWS►'01.�- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: ON DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) ley ------------------------------------ FOUNDATION (2ND) O ROUGH FRAMING& PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL n ADDITIqNAL COMMENTS V c ()A 4> -,�oj 0 z m ;u wi ' AP ORMOERTY N Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to i this property? ❑Yes®No IF YES,PROVIDE A COPY. r'@ Ciik- Bb ,F iCw. 6' $sT .M The owner/eontractor/design professioresponsible,for ail drainage and storm water issues as provided bY.•,` Chapter.2S6 of;the.Town Code:APpUCATION I$,tiEREBY MADE io,tfie Building�epartment,for issuance of a Building Pe,'rmit paisaant to t-e-uitding zone;.. Ordinanceof the Town of Southold;Suffolk,c'oa j6 Aew.York•and'other applicable Lacus,Ordinances or Regulations,for the cdnstructiori of buddings; add ltions,:alterationi,w for removal or dem6htl6ri as herein descr bed.7he`,applicarit agrees to complyv,41 all applicable laws,ordinances,building ;housing code and regulations and`to admit authorized.inspedors on,premise's�and in buildiog(sl fornecessary'inspections.Eafse statements made herein are. ` punishable`asa,ClassA misdemearior'pursuanfto;Secton 220.45 of the New:Yark State penal l aw. " :. .:,' Application Submitted By(print name): Michael Polidoro @Authorized Agent Obwner Signature of Applicants/ Date: 8/22/2022 STATE OF.NEW YORK) SS: COUNTY OF N44 " I C_�LiP O��(�i f0 being duly sworn,deposes and says that(s)he is the- applicant (Name of individual signing contract)'above named, (S)heisthe Plumber (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 Z�Z day of_ t C L s+:'., 2027 DIANE L.MALAFRONTE ,. Notary Public Notary Public-State of New York NO.01 MA6305497. Qualified in Suffolk County PPC ''E d G'q',JIER UTHURE T IGH1 My Commission Expires Jun 23, 20' �1lktere the applicant is not the owner) Ll residing at pyL .,\1 WIdo hereby authorize ] t ` i� �-�l�`f F: "Q4o apply on r my behalf to the Town_ Southold Building Department for approval as described he ein. f�`wne's Signature Date Print Owner's Name 2 Ac ® CERTIFICATE OF LIABILITY INSURANCE �'�12512022 ��. D7n5noz2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER- IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s. PRODUCER G,2,",TCr .lilt Combrooks S> t8F8Ri1 Lynne M Barnhardt Insurance Agency Inc r*oNE631-265-5030 a No. 631-265-5060 N oft 58 N Country Rd WD Less: jill@iynnebamhardt.aom a INSURE S AFFORDING COVERAGE NAI01 Smithtown NY 11787 INSURER A: State Farm Fire and Casualty Company 25143 INSURED INSURER 9: Big - Big City Plumbing&Heating Inc INSURER C: 2639 Middle Country Rd Ste 2 INSURER D: INSURER E: Centereach NY 11720 INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CE R17FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.L1MrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL viun POLICY NUMBER POLICY FF PCUCYEXP LIMITS LTR COMMERCUILGENERAL LIABILITY EACHOCCURRENCE $ 1.000.00D -DAMAGE TO RENTED CLAIMS-MADE 1K OCCUR a $ 100 040 MED EXP(Any oneperson) S 10,000 A Y 92-C2-G505-6 0411212022 04/12/2023 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,400,000 POLICY❑jECOT El LOC PRODUCTS-COMPIOPAGG S 2.000,000 S OTHER: - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per acdden0 E AUTOS ONLY AUTOS PerP iHIRED NON-OWNED RERTYD AUTOS ONLY AUTOS ONLY $ UMBRELLA VAR OCCUR EACH OCCURRENCE S 5,000,000 A EXCESS LI40 CLAIMS-MADE 92-CG-2615-2 111=021 1112912022 AGGREGATE $ 5,000,000 DEO 1X1 RETENTIONS 10.000 S PER OTH- WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY ANY PROPRIETOMPARTNER/EXECUTIVE YNIA E.L.EACH ACCIDENT $ OFFICERMEMBER EXCLUDED? ED E (Mandatary in NH) L.DISEASE-EA EMPLOYE $ WS' yes describe under E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Those usual to the Insured's operations. Suffolk County Consumer Affairs is named as additional insured under endorsement CMP-4852 attached to policy#92-C2-13505-6 effective 4112122.The terms and conditions under that endorsement apply.Notice of cancellation win be provided in accordance to the policy provision. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TNE'ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Suffolk County Consumer Affairs ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 6100 p R®AEPRESENTATN�Z Hauppauge NY 11788 ©1980.2015 ACORD CORPORATION. All rights reserved. ACORD 2612016/03) The ACORD name and logo are registered marks of ACORD 1601486 132849.12 03-164016 Ig cn PTAL-rift- 112 .'n - `'" 2639 Middle County Road.Centereach NY 11720 Your bt online source Office 631361 9500 Fax 718 504 4876 New York Office 68-01,79 Street Michael Polidoro LMP,50049,1208,1074 Middle Village,'-NY i 1379 . Former New York City Plumbing Inspector Riser Diagram - - REF: _1800 E. Gillette'Dr. - East Marion,NY 11939 SCT- M: 1000-38-3-22 - Al" - 1"galvanized gas piping on exterior. 1" gas piping on interior. A Gas Meter 4'; a APPROVED AS NOTED DATE: B.P.# FEE: '.'y ...,.. NOTIFY BUILDING.. -;'r,ri;"iMENT AT 765-1802 8 AM 1'('), t Filvl FOR THE FOLLOWING INSPE=CT0N,"p': 1. FOUNDATION - TW() REQUIRED FOR POURED CGNCFic-TE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTP�6(;,-';0N MUST BE COMPLETE ALL CONST,RUCT(: I, SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY VVITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REOUIRi':'D AND CONDIT�'ONS OF �T u lJi'HOW T VV-',! 07UfTH8 nig - i APA i,�- �? js �G AWFUL ,. UT CER-R , 1,, PCY gijCA, , '�; i1 .� MNavieN Qui . , NFC Series AUG 9 5 qn99 Condensing FireTube Combi-boi ers BUILDING DEPT. ° T, W TOWN OF SOUTH.:LD Navien Certification Summary Gas Input Ranges model NFC-175 r M�200 N��5 18,000-175,0Hill00 18,0oo-1199 900- preductApprmrals NFC-200 18,000-199,900 18,000-199,900 CSA Yes Yes SCAQMD 1146.2(NOx,<20 ppm) Yes Yes Temperature Range Settings Low lead(<0.25%,DHW ony) Yes Yes Ti.paV( ASME _ Yes'H'stamp Yes'H'stamp NeNt 'F('qC) Reeks AHRI Number 202245848 202245849 S 77-194 25-90 Energy Star Yes Yes Heatingsupply 68-158 X20-70) Actualsupply on can the end return temperatures vary the selected outdoor reset curve. Space Heating Ratings DHW 89-140(30-60) AFUE,% 95.0 95.0 Heating Capacity,MRH 161 183 Warranty Applications Type Resldeotlal' Conanerdal Heat exchanger 10 years 5 years Air Handler Closed Loop Hydronic Heating Systems Parts' 5 years 3 years For NFC technical drawings of specific installations and requirements please visit Navienlnc.com Labor 1 year 1 year 'Applies to single family residential locations. Product Features NFC:The Inside Story For complete details please refer to the full warranty atNavienlnc.com. ALL NRIM Air vent • - _ 2"PVC,CPVC,PP and SS up to 60' Pressure relief valve —' for intake and exhaust.3"up to 150' Pressure relief valve air vent adapter -- *, 7i „ Fan and motor HTG 1 DHW Inlet air filter �--- f Dual Venturi 2"3"VENTING Fully modulating metal fiber premix burner Orifice for field gas conversion from LONG DISTANCES NG to LP(kit included) Stainless steel fire tube heat exchanger Negative pressure regulating gas valve HTG&DHW • 1991c BTU/h Powder-coated enamel metal housing Backlit integrated control panel ADVANCED USER INTERFACE High voltage terminals Low voltage terminals Command dial click wheel NOR I O FIELD GAS DHW stainless steel flat plate heat exchanger DHW return u Lr CDNVfNiIDlf DHW suppN Auto feeder inlet(make-up water) Space heating supply •— + - Space heating return r1 A F U E Isolation valves included 9 1/2"gas pipe capable up to 24' (subject to local code) +� Condensate trap Manifold and valve kit •- A_ magnetic Accessories included with the NFC:NaviClean'"magnetic filtration maration system, 9 iprimary manifold,heating isolation valve kit,universal temperature sensor,outdoor filtration system included air temperature sensor,pressure relief valve,air vent and PRV air vent adapter. T H E L E A D E R I N C O N D E N S I N G T E C H N O L O G Y • Dimensions Ratings&Specifications Overhead View Havien Combination Condensing Boiler Space Heating RaWftWOther Space Heating Specifications Model HeatingInput(BTU/H) _ z T_ -- Number Heating Capacity Net AHRI Rating AFUE1 Water Water Connection Shm Water e Min Max (MBH) Water"(MBH) (1/6) Pressure (Snpply,Return) Volume 5 NFC-175 18,000 175,000 161 140 NFC-200 18,000 199,900 183 159 95.0 12-0 psi 1"NPT 4.5 gallon I Ratings are the same for natural gas models converted to propane use. 2 Based on U.S.Department of Energy(DOE)test procedures. a The net AHRI water ratings shown are based on a piping and pickup allowance of 1.15. 10 Consult Navien before selecting a boiler for installations having unusual piping and pickup requirements,such as intermittent system operation,extensive piping systems,etc. urwr.,l Navien Combination Condensing Boiler Domestic Not Water RatingsOther Domestic Hot Water SpedRcations Frontwew -T ------ MollN Input Ratings(BTU/H) Water Pressure Minimum Flow Rate i Flow Rate 45"F(25"C) DHW Connection Size NUWAW Min Max PSI GPM(Um) ' Temp Rise GPM(Um) apply Return NFC-175 18,000 199,900 15-150 0.5 1.9) Z9(30.0) 3/4"NPT 3/4"NPT NFC-200 I I - Mudd NFC-175 and NFC-200 Series Item NP{r175 INiF200 Temp.Rise Flow Rate - --- °F(°C) GPM(L/m)' r Dimensions 17.3"W x 1Z3"D x 33.5"H --- Baler weight 145 lb(66 kg) 35(19) 10 n(39.5) Baler weight with water 183 Ib(83 kg) 40(22) 9.0(34.1) 45(25) 7.9(30.. Installation type Indoor wall-hung Venting type Forced draft direct vent 50(28) 7.2(27.3) IgnitionElectronic ignition 55(31) 6.6(25.0) 60(33) 6.0(22.7) Natural Gas supply pressure(from source) 3.5"to 10.5"WC Supply connections - - - -- 67(37) 5.4(20.4) Propane Gas supply pressure(from source) 8.0"to 13.5"WC O O © -­ 70(39) 5.1(19.3) Natural Gas manifold pressure -0.05"to-0.47"WC -0.05"to-0.20"WC Propane Gas manifold pressure 0.10 to 0.45 WC 0.10 to 0.45 WC 77(43) 4.7(17.8) 0 Gas connection size 3/4"NPT 80(44) 4.5(17.0) i Main supply 120V AC,60Hz 85(47) 4.2(15.9) 90(50) 4.0(15.1) TT Power supply Maximum power k a y mm T consumption Less than 15 amperes 100(56) 3.6(13.6) 5 Casing Cold-rolled carbon steelI Max GPM based oninstallationconditions. Materials Heat exchangers Stainless steel Caaa $1. Exhaust 2"or 3"PVC,CPVC,PP and SS p Airintzhe 02• 2"or 3"special gas vent type BH,(Class III,A/B/C) Q E.hau:t cos ve"t or Venting 2"or 3"PVC,CPVC,PP and SS O AhventCmn tion 0310 Intake 2"or 3"special gas vent type BH,(Class III,A/B/C) O Heafi,g Supply 01• ®Heaeng aet m I. Vent clearance 0"to combustibles p Ga:c°npectmn marc Flame rod,APS,ignition operation detector,water temperature ®Cond-t°Outlet 011r Safety devices high limit switch,exhaust temperature high limit sensor, DI*A'Ren 03/4• water pressure sensor O DM Supply 03/4• O Aura Fore,mkt QVIA„p omen)m 112• Navien reserves the right to change specifications at any time without prior notice. Please refer to www.Navieninc.com to verity you have the most current information. Optional Accessories C>OLv e` tom" "•. _ Navil-ink'" Nmswies Realdenntlal Light Commercial Commercial PeakHowE'" Cascade Zonepump 1Mdewaal CaaanmVent Wi-Fi Control Secondary Neutraiaar Neutralizer Neutralizer Ardf-scale System Cable controller Twapwatrre Collar IOt PBCM-AS-001 Manifold 101t (1 unit) (up to 6 units) (up to 16 units) GXXX001725 GXXX000546 2 Zones sono 30014367A Ne11111"( GFFM- GXXX001322 GXXX001324 GXXX001325 PeakpowE'" PFMZ-02P-001 GXXX001769 Cable SKTZUS-001 Residential Light Commercial Commercial ReplacemerdMedia 3Zones GXXXG01659 Replacement Replacement Replacement GXXX001726 PFMZ-03P-001 Media Media Media PeakRow'" 4Zones GXXX001323 I GXXX001328 GXXX001329 Replacement Media PFMZ-04P-001 GXXX001327 6Zones PFMZ 06P-001 O H Navien Inc., 20 Goodyear, Irvine,CA 92618 800-519-8794 Navienlnc.com iffl NavleN T H E L E A D E R I N C O N D E N S 1 N G T E C H N O L O G Y NFC-QF001-2101 02021 Navien Inc.