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HomeMy WebLinkAbout51367-Z w 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#: 51367 Date: 11/08/2024 Permission is hereby granted to: Angela Cordero 31-15 90th St East Elmhurst, NY 11369 To: Install a new gas boiler to convert the heating system of an existing single-family dwelling from oil to gas as applied for per manufacturers specifications. Premises Located at: 66225 CR 48, Greenport, NY 11944 SCTM#40.-2-9 Pursuant to application dated 11/07/2024 and approved by the Building Inspector,. To expire on 11/08/2026. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $250.00 CO Single Family Dwelling-Addition /Alteration $100.00 ELECTRIC -Residential $100.00 Total $450.00 Building Inspector r TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 n Telephone(631)765-1802 Fax(631) 765-9502 hItp 'L ogtlioldt !1g�.�y Date Received APPLICATION FOR BUILDINGPERMIT For Office Use Only 5 I lD � PERMIT NO. I Building inspector. ..-._.. �� Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant Is not the owner,an WG 1 °° 7. Owner's Authorization form(Page 2)shall be completed. Date:11/512024 OWNER(S)OF PROPERTY: Name:Angela Cordeo scrM# 010- Q ,Z— Project Address:66225 North Road. Greeport Phone#:646-314-2717 Email:Mianmal@aol.com Mailing Address:66225 North Road. Greenport CONTACT PERSON: Name:Angela Cordeo Mailing Address:66225 North Road. Greeport Phone#:66225 North Road. Greeport Email:66225 North Road, Greeport DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Vincent DeGennaro Mailing Address:61 Drake Avenue. Bellport Phone#:631-422-9565 Email:villyhilltop@aol.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition IRAlteration []Repair ❑Demolition Est' acted LCosttlof Project: ❑Other Will the lot be re-graded? ❑Yes igNo Will excess fill be removed from premises? ❑Yes ANo 1 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 A this property? ❑Yes ❑No IF YES, PROVIDE A COPY. ❑Check Box.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,Now 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 bullding(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 (print name): �Authorized Agent ❑Owner PP Submitted B Y 4nA Signature of Applicant: Date:/ / aPP g STATE OF NEW YORK) SS. COUNTY OF "r4(' ¢ ) 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 there ith. Sworn before me this day of 20 2� Not Publi ANTHONY R ALDJ--, HotarY Public-St of No.OI AL64076 �I I �OWNER U'TH ,M " NAY Qualified In surer Where the a plicant is not the owner)Expires.t ( p residing at ( 2 1 do hereby authorize to apply on 7mehalf to the wn of outhold Building Department for approval as described herein. Owner's Signature Date !1� r o 7/i 4) � (� Print Owner's Name 2 HILLT-1 F�l E(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/07/2024 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(ies)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 endorsements, tt 00 North Broadwa St 143 516 932 8100 -ins.com�I.i . 16� m1- 3 PRODUCER 516-932-8100 Nei Serrano Grace Insurance Agency,Inc PHONE Fr .......,,,, c Noi NY 5 grace D&A Jericho,Agency-Commercial 1 _. netts Serrano ..,. JM7SURERi1 AFFoflolrap ctvERaciE.................. ._.. Na�c . ...... Mutual Insurance Co 23329 k p INgyMR..A Merchants M. w ... INSURER B The State Ins.Fund .. 36102 lumbing&Heating Inc ____ - Vincent Degennaro INSURER,c Shelterpoint Life Ins 81434 _. 61 Drake Avenue Bellport,NY 11713 INCURER;,O , --, ..-- INSURFR,.E ........_......................._................ ..... .... INSURER F: COVERAGES E T FI ATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID NSR DDL POLICY EFF POLICY EXP CLAIMS. LTR ' ..... TYPE OF INSURANCE ...,.,,.,..iUBR ............. .... ...... _.v.,... .._.....,-,...... ....._...... ..,,....�___ ...... ...... .... .... ......__ ..... INsn POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH 1 000 000 DAMAGE TO RENTED 500,000 C ntr CLAIMS-MADE E i X ,OCCUR X BOP9094236 04/23/2024 04/23/2025 pR 1.F5(F, gpnvrmm X MED EX,P(�An,.Y one erson .... $................maaaaa..... 15 000 _.._ PERsQNAL e Awau IN IIRy..,_�.. INCLUDED Gg:N'L AGGREPATE LIMIT APPLIES PER: gE,N,fR AgGREGATF 2 ,000,000 POLICY X P LOC PR O D UCTS CO- MPIOP AGG 21000,000 11 :R' AUTOMOBILE LIABILITY -CO � lMrr ANY AUTO �DYIJURY Per o n OWNED SCHEDULED „BOR&nNJLIRY�,Peraccident $ ALI ONLY ...... AUTOS ONLDerO�tlRrfe UMBRELLA LIAB OCCUR EACH OCOl1RRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENT,........,,. ... ION$ B WORKERS COMPENSATION X PER UTF OTH AND EMPLOYERS'LIABILITY ...µ JRTtT,.,. . w.,,........F........_ ................._.......,,. ,µ.,0 ,000 r!J P 1,000,000 23405939 07/30/2024 O7/30/2025 ANY PROPRIETOR/PARTNER/EXECUTIVE E�L.EACH A IDENT FlCF,41FME,MBER EXCLUDED? Y N I A landalo in NH �"1" ) F L., IyEASE-EA EMPL YEE If yes,describe under 1,000,00tj FS RIPTI N F P RATI NS belowDISEASE,P 'L(.Y L 9MIT C Disability D209893 01126/2024 01/25/2025 Statutory I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate Holder is included as additional insured as per written contract CERTIFICATE SOUTHLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 53095 Route 25 Southold, NY 11971 AUTHORIZED REPRESENTATIVE✓� ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) AAAAAA 113425726 GRACE INSURANCE AGENCY,INC 500 N.BROADWAY ® " SUITE 143 JERICHO NY 11753 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER HILLTOP PLUMBING&HEATING INC TOWN OF SOUTHOLD 61 DRAKE AVENUE PO BOX 1179 BELLPORT NY 11713 53095 ROUTE 25 SOUTHOLD NY 11791 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12340 593-9 356149 07/30/2024 TO 07/30/2025 11/7/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2340 593-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT VINCENT DEGENNARO HILLTOP PLUMBING&HEATING INC ONE PERSON CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND 4 t4l DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:471325464 U-26.3 y� Suffolk County Dept of Labor,Licensing&Consumer Affairs „ f MASTER PLUMBING ���1J1Jn(dbY Name VINCENT DEGENNARO '..� Business Name ' �' HILLTOP PLUMBING&HEATING INC This certifies that the bearer is duly licensed License Number MP-45240 by the County of suifolk Issued: 09/03/2008 WagweiT. R,oyery Expires: 09/01/2026 Commissioner r HILLT-1 CERTIFICATE OF LIABILITY INSURANCE DATE(M0120 4 04/31202 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(ies)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 endorsement s, PRODUCER zwo Nedi Serrano Grace Insurance Inc A N 516-932-8100 1 FAX 515-51-0313 00 North Broadway Ste Agency,43 516-932-E1100HONE rExti_ ... ...._ ..._ ww ...._�i Noi.:.. .... .....__ w......... Jericho,NY 11763 D&A Agency-Commercial net3i Ferran race _.... .... ants Mutual FundrslaralncaCo n23329 Thtate lns ..... _...._ .... 36102c 'µ.......... 100al Numbing&Heating Inc INSURER B Shefterpoint Life Ins 614 Vincent Degennaro, irlsu . _ .... . ..... 61 Drake Avenue IN6iRR p Bellport,NY 11713 _.. ....... INSURER F THIS IS TO CERTIFY 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 AVE BEEN REDUCED BY PAID CLAIMS. IiIffiPt ... ..UOR .... .... POLICY NUMBER _. ... ..... C 11000,000 LTR S MERCIAL GENERAL LIABILITY LIMITS SHOWN MAY H BE. POLICY EXP, LIMBS POI,IY EFF I EACH OCURRh9... ..... OA X..., .WP CLAIMS-MADE X MAGE TO RLI CFO 501I,0 II occuR X BOP9094236 �04I2312024 04/23I2025 I3ENwaE .4.E �Vllaail ) ._. ... .._.. Cc�ntractural........_... ...._�...... F �;Nw�T�r"..CIY.±�m pml ... .f...... .... 15, I? RrJtllAl. Araw.,_YdRYw__ 1 _INCLUDED G IL ACaGRE APPLIES it 2,000,000 m SATE LIMIT APPLIES PER. t NERAL AC�SREC' TE ' PRO- Paalr a1rzl.Ar, .1 . 2 000 0 POLICY�X�JECT �LOC °• LIMIT AUTOMOBILE LIABILITY f�IwINED SINGLE . ........... _._. ANY AUTO bDCLY I1UkVP wetapt S. OWNED ..._ SCHEDULED AUTOS ONLY AU��T��ppOS Fp;�t b�IAMAGE AUTOS ONLY _,,....... A11TOa�t7NLY (Pategro@L... ......, .. _....... .. UMBRELLA AB 0 CUR EXCESS LIAB CLA4MS•4WIAOE APGRI�CsA...TE ®.,..,... ,...,. B WORKERS ND EM SCOMPENSATION YERB LAB L�TYN$ X 5 T -, - 1,000,000 Y I N0713012024 ANFIgtory �A�,CLULO IIECUINE "'' NIA 23405939 07/3012023 EL EA HACCIDEINT t Q._ .... I. 051"SL.,f a EM I r x, ..1.. . _1,O011„OO"i 1,000,00 LIMIT S i8 es,describe under QPLW_T hI t I� "( C Disability D20989 0112612024 01P2W2026 Statutory Remarks Schedule may be attached If more space is required) !VEHICLES ACORD 101 Additional R Y DESCRIPTION OF OPERATIONS/LOCATIONS ( , Certificate Holder is included as additional insured as per written contract CERTIFICATE HOLDER !gANC LATION SOUTHLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 53095 Route 25 AUTHORIZED REPRESENTATIVE Southold,NY 11971 ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r C-(" Hilltop Plumbing and Heating, Inc. 61 Drake Ave. Bellport, NY 11713 Suffolk (631) 422-9565 Nassau (516) 933-1761 Vinn hillto caol.com Residential/ Commercial Licensed & Insured Re: 66225 North Road November 7, 2024 Greenport,NY To Whom it May Concern, We at Hilltop Plumbing&Heating,Inc., are proposing to install one new combo Gas Boiler with New Gas Line from existing gas meter to new boiler and requesting a plumbing permit to be issued as soon as possible. We are writing this request because the existing oil boiler is not working, and the owners have no heat or hot water. As per your request,we are also forwarding a copy of the specs. Thank you, APPROVED AS NOTED B.P. 13 Vincent DeGennaro ELECTRICAL Hilltop Plumbing&Heating, Inc. INSPECTION REQUIRED NOTIFY BUILDING DEPARTMENT AT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: FOUNDATION-TWO REQUIRED COMPLY NTH ALL CODES OF FOR POURED CONCRETE NEW YORK STATE&TOWN CODES ROUGH-FRAMING&PLUMBING AS REOU I RED AND CONDMONS OF INSULATION FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE KX&DM REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR WSW !9= WC DESIGN OR CONSTRUCTION ERRORS r,ry QUckFactc. NCB-E Series r CCJf"1`bi-boilers avian certification summary Gas inp ut ranges Model..,,,.,u..,_.w_.___......."...M.....� �.___w__......µ,".,...."..�." ................._.,.."..w_..... ....,. _._.._...._.._,.___„ ,_..... ,,..., Model Heating(aTUlH) DHW(BTU/H) r 180E NCB-`�tOE A1CB-240E NCB-1SOE NCB= NCB-150E 12,060-60,000 Approvals 12,000 1za OOb�� Product A NCB 180E 14 000 80 000 14 00U 15G 000 _...._ - `""""' NCB-210E 18 000 100 000 18,000 180 000 CSA Yes Yes Yes Yes NCB-240E 78 000 120 000 16 000 199 90o SCAQMD 1146.2 �_....,.ww......,.,,,_.....,_.�_.. Yes Yes Yes Yes -�_.._...."_ .....,M. �_„„ (NOx,<20 m Warranty L lead PP.,m�.,.. _-.-.- e_,. jY leadH" e Yes Yesn ial single family use on 1 year 5 year" 70 ygASM 5�6,DHW onl ° ..,.. _,...oneaw� Yes H" Ys�k-d� Y�°Hf" Yas„H„ er y} Type Lehor Parts Heat Exchanger stamp starnp stamp stamp *Includes DHW flat plate HX, AHRI Number -0 9580771 8580772 For complete details please refer to the full warranly at Navienlnc.com. k. 8580i69 BSBG7i Energy Star Yes Yes Yes Yes Applications Hydron __., S 95 0 Heating R95 Q s g5 0 gg 0W µ Handler....,.,..,.., w, nia ran calls Basaboaid rad a ra�rs� R M W i _ TMTM P 9 g Air AFUE,96" Hydro_........ - adiant tlaars w ."" For NOB tNt°a-E ta¢d r 1W do 1 ings of specific installations Heating Capacity MBH 56 75 94 112 aey isit Navienlnc oom ...,..-,........,,.. ..,...,.,�,. ._......_.,,r,..__...„_..,.."......r_..........._.......__ ...m.m.,,,........_.,._. ...,.................� _._,......,.,...,.,.m.,_..... ...s,Mrdt'.l°.M_uirr�'neK10.. 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TOuP rca Reduces energy 2"PVC D ®-1 ^0 waete and excessive I Pressure I n 11:1 DIM iperab re control r schedule 40 for CHIN relief valve capable up to 60' Dual far easy field Venturi „ 2 PVC air Heccgnxed as the Y Intake venting ��� B convertibility Af9E 95 most efficient in 2018 I r 1 �� by Energy Star 1 Powder-coated Primary r enamel metal stainless steel ! housing t heat exchanger, 1 2'=3VENTING Z avc venting up,o 50 l Secondary LONG OI TA CES T PVC venting up to 150 Stainless steel ® stainless steel fie L.„�""..�., flat plate neat _ heatexchan 9 er �li exchanger for domestic Integrated HTGOINOne unit does it ail wito hot water control panel 120 8MIlt I99RtTUPo tv"o outputs —"� Integrated d� Negative boils pump t, 4 pressure gas valve �� Prima heatin Primary g y r e HH9 GpS All Navien products ere tw Heating system Held gas convertible loop supply auto-fill Primary heating Domestic heft loop return rtt "� Water inlet hum1/2" pipe as i e g Domestic hot _. capable UP 24 ..,...w_ ..._. ...,.� __ water outlet wat