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HomeMy WebLinkAbout51366-Z 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#: 51366 Date: 11/08/2024 Permission is hereby granted to: Wall A P 2012 Irry Trust 530 Bray Ave Laurel, NY 11948 To: convert from oil to gas heat in existing single-family dwelling as applied for. Premises Located at: 530 Bray Ave, Laurel, NY 11948 SCTM# 126.-1-20 Pursuant to application dated 09/25/2024 and approved by the Building Inspector. To expire on 11/08/2026. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $250.00 CR-RESIDENTIAL $100.00 Total S350.00 -0ding Inspector ��rrsa 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)765-95021tt :�fwww. otrtltoidtownno Date Received APPLICATION FOR BUILDING PERMIT or Office Use Only PERMIT NO. Building inspector,,___ ti r Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. " ;dry Date: September 17, 2024 OWNER(S),OF PROPERTY: Name: Ann Wall SCTM#1000- Project Address: 530 Bray Avenue Laurel, New York 11952 Phone#: 9178175379 Email: richard.a.wall@icioud.com Mailing Address: 530 Bray Avenue Laurel New York 11952 CONTACT PERSON: Name: Richard Wall Mailing Address: 97 Fleets Cove Road Huntington NY 11743 United States Phone#:9178175379 Email= richard.a.wall@icloud.com DESIGN PROFESSIONAL INFORMATION: Name: Mike Campy Mailing Address: 1292 Walnut Avenue, Bohemia, New York 11716 Phone#: 6312449449 Emaii:campysplumbing@optonline.net CONTRACTOR INFORMATION: Name: Mike Campy Mailing Address: 1292 Walnut Avenue, Bohemia, New York 11716 Phone#:6312449449 Timail: campysplumbing@optonline.net DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Covert from oil to gas heat $ 5,000.00 Will the lot be re-graded? ❑Yes []No Will excess fill be removed from premises? ❑Yes []No 2 PROPERTY INFORMATION 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 this property? ❑Yes ❑No IF YES, PROVIDE A COPY. Roy After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by chapter 236 of the Town Code. 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,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(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By(print name). Richard Wall QAuthorized Agent ❑Owner Signature of Applicant: ��� �, Date: September 17, 2024 STATE OF NEW YORK) CONNIE D.BUNCH SS: Notary Public,State of New York No.01 BU6185050 COUNTY OF ) Qualified in Suffolk County Commission Expires April 14,2&�L, being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the (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 c I day of -�' ',� .. 20 /v�G Notary Public ZROPkRTY OWNER AUITHORLZATLON (Where the applicant is not the owner) I, Ann Wall residing at 530 Bray Avenue Laurel New York , M do hereby authorize Richard Wall to apply on my behalf to the Town of Southold Building Department for approval as described herein. September 17,2024 cl- Owner's Signature Date Ann Wall Print Owner's Name 2 AIWPPR 'VEID AS NOTED 0 a - DATE # B.P, FEE BY: NOIFY BUIL AT 631-T765-1802DING DEPARTMENT 8AM TO 4PM FOR THE OCCUPANCY OR FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO RE01 IIPFD USE IS UNLAWFUL FOR POURFU CONCRETE 11 WITHOUT CERTIFICAT 2. ROUGH-FRAMING& PLL:Ik`�!!,41� 3. INSULATION OF OCCUPANCY 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF NEW YORK STATE &T'OWN CODES AS REQUIRED AND CONDITIONS OF ELECTRICAL NX/S S000L OWN ZBA INSPECTION REQUIRED oo"L' SOUTIK 'TOWN PLANNING BOARD ' �T11 GOO LD TOWN TRUSTIES �'Jj �DEG KLO HP ECHD S'^ERI ES . Gas Fired, a Chimney Vented, i Cast Iron Water Boiler e 84% AFUE 38 — 280 MBH (8 sizes) Advanced controls, accessible inside boiler jacket — Integrated boiler control with z. � dia nositcs — FREE additional pump relay — Pre-installed low water cut off included. requires no piping Industry standard tapping locations allow easy, direct replacement for thousands of existing boiler installations American-made cast iron heat exchanger — Designed to promote turbulent water flow within the section for efficient heat transfer A solid, reliable, full-featured boiler at a value price! Lifetime limited warranty Boiler CompanyMade in Lancaster. PA, USA x � , � "w2z Technical Information HE StandsW Equipment r m t • InW0446 Hydronic Controtp simple sort ynostic DOE Net AHRI APppm 4ontrol rn with 3"d it out for us nos Heating Rating. Shipping and• errom Input' Cepacitlf' Water' Void Stu Weight. re-tinsta W IOL-1200 kdogral LWCO with auto reset Model* (MON) (MOH) (MON) AFUE% (Inches) (H-model Sofia) Insulated X-202 38 32 28 84.0 4 202 • lated steel jacket • Integrated draft dtuerter,damper and connector included X-203 70 59 51 84.0 4 254 • Heavy gauge 1"base insulation X-204 105 88 77 84.0 5 304 • redundant go 11°we X-205 140 117 102 84.0 6 357 • Spark igntdon with continuous retry • user-Iflendy wiring with 120v d-box X-206 175 146 197 84.0 6 405 • ChWWOr—choice of Taco or Grundfos X-207 210 176 153 84.0 7 462 • Cast iron section as M* X-208 1 245 205 178 84.0 7 518 • vahblocked vent sw • X-209 280 234 203 84.0 8 564 .Boner drain valve • Cast Iron supply manifold with Safety relief valve lapping • Add suffix"N"for natural gas,or suffix"L"for LP gas models 1.Ratings shown are based on certification up to 2,000 ft.Above 2,000 ft. ratings decrease by 2.5%per 1,000 fL above sea level.Altitude kits required above 5,400 ft See altitude conversion kits below. I r A r 2.Net At RI Water Ratings shown based on a piping and pickup allowance of 1.t5.Oonsutt manufacturer before safectlrug bolidr for I atidns having Width Connections(Inches) yuater unusual piping and incWp requirements,such as mtermMent system t a* operation,extensive piping systems,etc.'�aa Reiiet 1tt 3.All X-2 bailers shipped with 30 psi relief valve.MAWP is 50 psi. Model (inches) Supply ReWrn Valve Valve (pal.) X-202 14 1-114 1-1/4 1/2 3/4 1 X-203 14 1-1/4 1-1/4 1/2 3/4 2 Accessories X-204 16 1-1/4 1-1/4 1/2 3/4 3 • Altitude conversion kit-natural gas (P/N:112461-01) X-205 19 1-1/4 1-1/4 112 3/4 4 • Altitude conversion kit-LP gas-converted X-206 22 1-1/4 1-1/4 112 3/4 5 (P/N:112462-01) X-207 25 1-114 1-1/4 3/4 3/4 6_ NOTES: Required above 5,400 ft.,kits do not convert gas type, X-208 28 1-1/4 -1 14 3/4 3/4 7 X-21V not for use above 5,400 ft Special attitude boilers may already include natural gas altitude X-209 31 1-1/4 1-1/4 3/4 3/4 x $ conversion kit. 6"Min(see Note 1) 23"(see Note 2) 33-1/4" 40" 26-3/4" Return 0 0 " Supply NOTES: 27" 4 63" 1.Minimal radial distance Electrical around vent pipe and 24' ,0� ( '"`� breaching for single-wall 113" Gas (- 40" metal pipe vent connector, otherwise follow vent ....-µ connector manufacturer's 15" recommended clearances. 2. Add height required to IIIIII�IIIIIII�I� maintain ti"clearance from all breeching components. Floor Line Floor Line 0" 13" 25" --►I 4" {N 31"" 35" Form No.USBL15092-iommr www.usboiler.net aB�r Printed in the U.S.A. ©2024 U.S.Boiler Company,Inc.-Lancaster,PA Phone:1-888-432-8887 � :, SERIES Gas Fired , o �"���' f iuwuo61 �N °^^^ wr tlfllllllp0000u M,.. uuouoi NiNfiioiuVVuuV V oU u a l. Chimney Vented , r� t Iro n n o Water Boiler 1 84% AFUE f 38 — 280 MBH (8 sizes) Advanced controls, accessible inside boiler jacket — Integrated boiler control with f% a diagnositcs — FREE additional pump relay — Pre-installed low water cut off included, requires no piping Industry standard tapping locations allow easy. direct replacement for thousands of exisliny boiler installations American-made cast iron heat exchanger — Designed to promote turbulent water flow within the section for efficient heat transfer A solid, reliable, full-featured boiler at a value price! Lifetime limited warranty Rofler COm OO Made in Lancaster, PA, USA Un a y � u X=2: Technical Information �; 1fltelligem Hyrlronic Corfiol;simple sell-0ia�nost)c% � � �{�E `Nef�AHFtt, '""' � `�!"r0>l tfi n antler fleet Sizo et�t�� A2aoa r it ti witin auw reset odes* (MBH X-202 38 32 28 84.0 4 202 . Intepraief! d �cttnnec�r � � X-203 70 59 51 84.0 4 254 h�� u � , X-204 105 88 77 84.0 5 304 X-205 140 117 102 84.0 6 357 X-206 175 146 127 84.0 6 405 X-207 210 176 153 84.0 7 462 X-208 245 205 178 84.0 7 518 X-209 280 234 20, 84.0 8 564 r of ' Add suffix"N"far natural gas,or suffix°L"for LP pas models 1.Ratings shown are based on certification up to 2,000 ft.Above 2,000 ft. ratings decrease by 2.5%per 1,000 ft.above sea level.Altitude kits required above 5,400 ft.See altitude conversion kits below. f r 2.Net AHRI Water Ratings shown based on a piping and pickup allowance of 1.15.Consult manufacturer before selecting boilerfor Installations having unusual piping and pickup requirements,such as Intermittent system operation,extensive piping systems,etc. 3.All X 2 boilers shipped with 30 psi relief valve.MAWP is 50 psi. X-202 14 1-1/4 1-114 1/2 3/4 1 Accessories X-203 14 1-1/4 1-1/4 1/2 3/4 2 - Altitude conversion kit-natural gas X-204 16 1-1/4 1-1/4 1/2 3/4 3 (P/N:112461-01) X-205 19 1-1/4 1-1/4 1/2 3/4 4 - Altitude conversion kit-LP pas-converted X-206 22 1-1/4 1-1/4 1/2 3/4 5 (PIN'112462-01} NOTES: X-207 25 1-1/4 -1-1/4 3/4 3/4 6 Required above 5,400 ft.,kits do not convert gas type, X-208 28 1-1/4 1-1/4 3/4 3/4 7 X-202 not for use above 5,400 ft.Special attitude boilers may already include natural gas altitude X-209 31 1-1/4 1-1/4 3/4 3/4 8 conversion kit. 6"Min(see Note 1) 23"(see Note 2) 33-1/4" 40" 26 Return 0 0 6" - Supply IIIIIIIIIIIIIIIII NOTES: 27 " - 63" 1.Minimal radial distance Electrical around vent pipe and 24 .r breeching for single-wall 18" Gas 40" metal pipe vent connector, otherwise follow vent connector manufacturer's 16" recommended clearances. 2. Add height required to I�III�B�IIIII�II� maintainclearance from all breaching g components. 0" Id Floor Line Floor Line 0" 13- w 1" 31- 3 " Form No.USBL15092-10Mmr www.usboiler.net Printed in the U.S.A. ©2024 U.S.Boiler Company,Inc.-Lancaster,PA Phone,1-888-432-8887