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Home My WebLink About26519-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27131 Date: 06/12/00 THIS CERTIFIES that the building HEATING SYSTEM Location of Property: 375 OAK AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 77 Block 2 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 2000 pursuant to which Building Permit No. 26519-Z dated MAY 24, 2000 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 INSTALLATION OF HEATING SYSTEM IN EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to JAMES & CATHY SLECKMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 06/09/00 PLUMBERS CERTIFICATION DATED N/A Author ze Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26519 Z Date MAY 24, 2000 Permission is hereby granted to: JAMES SLECKMAN 105 ASTOR AVE ST JAMES,NY 11780 for INSTALLATION OF A HEATING SYSTEM "AS BUILT" AS APPLIED FOR. at premises located at 375 OAK AVE SOUTHOLD County Tax Map No. 473889 Section 077 Block 0002 Lot No. 012 pursuant to application dated MAY 28, 2000 and approved by the Building Inspector. Fee $ 75. 00 Authorized Signa re ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 1% 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 a 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 $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 Buildine - $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 $15.00 Date .. .Sune.9, .2000. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. .. . . . .. . . . . . . . . . Location of Property. . .N5.Oak.QY€. . . .. . .. . . .. . . . . , , , , , . „ _ „ House No. Street Hamlet Onwer or Owners of Property..JM1 .E WNT$X.Q,. 511 CgRW. .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ... . County Tax Map No 1000, Section. 77. .. . . . . .. . .Block. . ?.. . . . . . . . . . . .Loi?. . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.Z651R.Z. . . . . . . .Date Of Permit. .5224100. . . . . . .Applicantlemes.Sleckman. . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. .. .. . . . . . . . . . .. . .Underwriters Approval. .EENAING . . . . . . . . . . . . . . . . Planning Board Approval. . . .. ... . . .. . . ... . . . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . 25.00 . . . . . . . . . . . . . . . . . . • • • James. . . . . . . . . . . . Slec.man. . . . . . . . . . . . . . . . . . . . . . . . . . . &,e,r.$ 8'00 I APPLICANT C6 -2- -9?131 PSERLESSO Series WOV/wv ❑ Residential Oil Boiler - Packaged or Knockdown ❑ Natural Draft Venting ❑ Flame Retention Burner CAST IRON BOILERS ❑ Steam or Hot Water Boilers ❑ Optional Fuss Coils -io Rear or Topop Flue Convertibility J This compact, low-profile residential oil boiler is economically priced with AFUE ranges from 81.9%to 86.10/0,significantly exceeding the federal energy standards for residential boiler efficiency. R. J The 3-and 4-section boilers can be field converted i from rear to top venting for ease of installation. ❑ Top clean out is provided for annual maintenance and cleaning to insure the highest operating efficiencies. ❑ The large water content of these boilers reduces Series WBV-Steam on/off cycles thus providing more consistent and efficient home heating comfort. ❑ Optional high output tankless domestic hot • water coils are also available on most models, insuring ample domestic hot water production. ❑ The entire burner mounting plate operates as a swing out door providing easy access to the combustion chamber thus making boiler cleaning Series WBV -Water quick and easy. Peerless provides Beckett AFG burners as standard equipment.Contact factory for availability and approval of Carlin and Riello burners. DOE Heating Seasonal Efficiency Water content Boiler Burner Input Capacity MBH5 Net I=B=R Ratings° (AFUE)5 (Gallons) Min. Model Steam Steam Water Draft Req. Number GPH1 MBH Water Steam Sq.Ft. MBH' MBH' Water Steam Water Steam Stack W.C. WBV-03' 0.60+a154 74 N/A N/A NIA 64 86.1' N/A 11.75 N/A -.03 _ _TGV-03 0.85 102 101 317 76 89 83.8 83.1 17.75 12.00 -.04 WBV-03 1.70 129 129 404 97 712 81.9 82.0 11.75 12.D0 -.05 WBV-04' 0.95+ 133 116 N/A NIA NIA 701 86.1' N/A 14.75 N/A _ -.03 WBV-04 1.25 175 150 149 467 112 730 83.9 83.0 14.75 14.87 _. -.04 WBV-04 1.50 210 i 78 177 1 554 1 133 155 82.8 82.2 14.75 14.87 __-.05 WV-05 t 1.75 245209 NIA NIA NIA 182 84.0 N/A 17.75 N/A _ -.OS WV-05 t 2.00 280 237 WA NIA NIA 206 83.1 N/A 17.75 N/A -.06 +Nozzles for these firing rates not provided as standard equipment.Consult factory for price and availability. t Top venting only. • As an ENERGY STAR-Partner,Peerless Heater Company has determined that this product meets the ENERGY STAR guidelines for energy efficiency. 1 Burner input based on No.2 fuel oil with a heating value of 140,000 Btu per gallon. 2 Net 1=B=R water ratings based on an allowance of 1.15. 3 Net 1=B=R steam ratings based on an allowance of 1.333. 4 Consult factory before selecting a boiler for installations having unusual piping and pickup requirements,such as intermittent system operation,extensive pier systems,etc. 5 Heating Capacity and Annual Fuel Utilization Efficiency(AFUE)ratings are based on U.S.Government tests,with 13%CO2 and-0.02"w.c.draft over fire. Before purchasing this appliance,read important information about its estimated annual energy consumptions or energy efficiency rating that is available from your retailer. 6 Chimney Size:8'x 8"x 15 it M-ERIES WBV/WV BOILER SPECS 1 \ • - • O P • U \ Top Flue Outlet Rear Flue Outlet Cast Iron Section •Cast Iron Sections—Factory Tested Steam I l and Assembled with Steel Push Nipples •15 PSI Pressure `" T • •Deluxe Insulated Enameled Steel Jacket Relief Valve {J'.':I- •Drain Cock •Gauge Glass - •Target Wall •Probe LWCO(SP •Top Cleanout &SPT Models • Built-In Air Elimination Baffle ) '� `� `'"" •Swing Out Door •Pressure Gauge •Pressurnatrol(SU, • Rear Flue(WBV-03/04)–Field SP&SPT Models) Convertible to Top Flue •Top Flue(WV-05) Water • • • ��+ �. •30 PSI Pressure Relief Valve •Tankless Coils •Aquastat(WU Models) •Two-Stage Fuel Pump NOTE:WBVNN-WPC boiler designations do not inck.de a tankless heater opening which is •Theraltimeter • Barometric Draft Damper ideal for cold start applications and applications using a Partner""indirect-fired water heater. •Taco Circulator(WPC/WPCT •Grundfos Circulator on WPC Models include Circulator and Aquastat Relay Models) Packaged Water Boilers WPCO Models include Circulator Less Tankless Coil •Aquastat Relay or Triple Aquast. • Float Type LWCO on WPCT Models include Circulator,Triple Aquastat Relay and Tankless Water Relay(WPC/WPCT Models) Packaged Steam Boilers Heater w/Flow Control Valve Example: S=Steam Knockdown Less Burner This warranty covers: SP=steam Package —the entire boiler, one year from date of installation. WBV - 03 - WPCT SU=Steam Knockdown w/Burner —cast iron sections,lifetime for water; 10 yrs for steam. SPT=Steam Package w/Burner&Tankless Coil Seri sects. W=Water Knockdown Less Burner Optional 5 and 10 year extended warranties are also Specify WU=Water Knockdown w/Burner available. WBV or WV WPC=Water Package wlBurner&Circulator WPCT=Water Package wBurner,Circulator&Tankless Coil 'Before purchase contact your installing contractor for WPCO=Water Package w/Burner and Circulator Less Tankless Coil complete warranty information. Y•II DI 11711 \M M\ Jacket Rear Flue Outlet Top Flue Outlet • Burner Depth Right of Right of Rear of Jacket to Boiler Firing "B" Top to Jacket to Floor to Jacket to oil of Flue "E" Flue Model Rate Width Floor oil of Flue cll of Flue oil of Flue Size Chimney Number GPH "A" Water Steam "C" "D" "E" "D" Water Steam "F" Size WBV-03 10.60/0.85/1.10 2216" 1414' 153/4" 35" 7" 297/e" 81/16" 71/16" 87/6" 6" 8"x 8"x 15' WBV-04 _0.95(1.25!1.50 2216" 1816" 19x/4" 35" 7" 297/6" 8°fie" 91As" 107!6" 6" 8"x 8"x 15' WV-OS 1.75/2.00 2214' 2216" — 35" — — 81/16" 11116" — 7" 8"x 8"x 15' WBV '3 P =iiVFE G?JGE q POF 5[FR ♦'4LVE� 'OYl". Pe,e YFLTI Y — yam- 1 4PFW O.fP ELiN V 'TO I--- P , — Steam 22 P ei W P 1 5 Boiler _ , ,z 4 6 >�_ C6 _ � / 1 r .,P. a WeP y , L - � S LcTOP oue ,. - J - -?icNo wry c s a p�T� u iaa aJ L�xa L� WBV/WV -Water Boiler PEERLESS HEATER CO. 231 North Walnut Street, P.O. Box 855 Boyertown, PA 19512-0855 111 u • \ \ ■ Phone: 610-367-2153•FAX:610-369-3284 Length Width Height Approx.Shipping Weight(lbs.) www.peerless-heater.com WPC, WPC, Knockdown Package -B ■l �'� • Boiler WPC, WPCT, WPCT, [.off 08 Model WPCT, SP- $P- SR j� Number WPCO SPT SPT SPT W WU S SU WPC WPCT SP SPT WBV-03 35" 40" 281h" 39".'4" 470 485 535 550 566 575 573 584 Ceslings Cemfietl by EAFCO,Inc. WBV-04 43" 40" 281/2" 391/41' 590 605 650 665 694 708 685 696 Boyemm�,PA 19512 WV-05 43" — 281/F 39'/4" 710 725 — — 805 813 — — W-7(1019&21 ®1888 Peerless Heater Company FIELiI INSPECTION REPORT DATE ------------COMMENTS --- -------------- - --------------------ERRE - y�.D FOUNDATION ( IST) H I� 171 R-----�I ----------ERRE-- -ERRE-- rr N I ERRE- -- — n --i�- --- -------------ERRE-- ERRE-- - - ERRE-ERRE- Qcan FOUNDATION (2ND) II II <. U II ii -i- N _ - --- -ERRE -- �� II x R-ERRE--II O ROUGH FRAME & PLUMBING jj II JIERRE- -ERRE-- --------ERRE-- �--ERRE--„ - II II ----------ERRE-- ------ERRE-- 3 n-ERRE ERRE-- -- ________________________ - - -�=___--------------------------------------------ERRE-- - -------------------------- ;; N H G INSULATION PER N. Y. --� STATE ENERGY CODE I � N -- II ------ERRE-- � II II �I FINAL II II 1N111 �; —2=-------------------��—__=====i.T��SL..--ERRE-- __�---==--5----------------_ERREERRE-- ./{}e`'' — --- ----ERRE-- O ADDITIONAL COMMENTS: 0 ri H 1 o c. x -- ERRE- ERRE- - till� b H 4 BOARD OF HEALTH . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . .. . . . . . . . . SOUTHOLD, N.Y. 11971 DEC .. . ... ... ... .. .. . . . . . . . . . . . TEL: 765-1802 TRUSTEES ../.. . .,. . ...... .... ... . . . .>. CA L� 1 �G Examined.................. 20.... LL �y -- MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.................. Permit No. �...t ...... ................................... Disapproveda/c .................................. ................................... ...................................................... l ............................... r�q� (Building Inspector) APPLICATION FOR BUILDING PERMIT r---:`_ Date. . . x,03. INSTRUCTIONS a. 'this application mast be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 public streets or areas, and giving a detailed description of layout of property mast be dram on the diagram which is part of this application. c. the work covered by this application may not be caimenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 wbole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS BMW 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, Ordinancesor 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, ing , and regulations, and to admit authorized inspectors on premises and in building for necessary i tions. ... .. -. .. . .. ........ (Si a of applicant, or name, if a co ration) ................................................... (Mailing address of applicant) State width r�t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ........ . . ...y.y.�.........q.. . /. .. y. . f Nam of owner of premises ..�ll.!!.C��...1(..4:�✓../.�,!./.....�G,E.�I.�:C!!�/•Y•..... ......... .......... (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 will be done............................................. ................ . ...:.................O i�.. .........:..............Sou a ................ Houser -Street // Hamlet County Tax MapNo. 100_0 Section .....�1.... Block .....�9 ....... Lot ......l.. ..... Subdivision Jrtw .�..... Filed Map No. ............... Lot ............... (Name) / 2. a. to existing nage and oc seg intended use and occupancy of proposed construction: State Existing nese ander of .................... .............. 5' f b. Intended use and occupancy ................ .......... . ...................................... k,. y 3. Mature of work (die& vAtidt 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 ................ Ifgarage, number of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Umber 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 ............... ............. Height Umber mber of Stories ��' 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Nam of Former Omer ..............,.................... ..... 11. Zone or use district in wbich premises are situated ............................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO 14. Nares of Owner of premises ........................... Address .............................. Ptwre No. ........ Naeof Architect .................................... Address .............................. Phone No. ........ Name of Contractor ................................... Address ...............................Phone No. ...... 15. is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SO11Il10ID TOM TRDS1iZmS rMa MAY RC REQUIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, wbether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block ember or description according to deed, and show street nares and indicat whether interior or coiner lot. 517A1r Or NII �e14 CUU�tf1lY f(ISS IC .........�..I .....J�...+./ .V.1A/l.ViF ..................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, S lie is the ........Contra(tor ... ;nut, ate.officer,..............etc.)................................................ ( t of said owner or owners, and y 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 knowledge aril belief; and that the work will be performed in the rwrner set forth in the application filed therewith. Sworn Co before me this 2'3 ;Q..... ay of., Q?e , Rotary Public ...... .... ........... .. .. . ..... .. ....... .. ............ ROBERT 1.SC l7I JR, Si t e of Applicant) Notary Public,Stat New York Qualified in Su olk County No.O1SC47250mb Term Expires May 31,