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HomeMy WebLinkAbout51366-Z �O�apF SOUIyo`o Town of Southold # * P.O. Box 1179 53095 Main Rd COUNT Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45883 Date: 01/12/2025 THIS CERTIFIES that the building OTHER Location of Property: 530 Bray Ave Laurel, NY 11948 Sec/Blo'ck/Lot: 126.4-20 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 09/25/2024 Pursuant to which Building Permit No. 51366 and dated: 11/08/2024 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 heat in existing single-family dwelling as applied for. The certificate is issued to: Wall A P 2012 Irry Trust Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: Authorized4;' nature' *of SOO,., �c TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE *caul,Y 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# 126.4-20 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 C -RESIDENTIAL $100.00 Total $350.00 wilding Inspector 51/ �o�aOE SOGlyolo _ # :TOWN OF. SOUTHOLD .BUILDING DEPT. co 631-765-1802 NSPECTION [ ] FOUNDATION iST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL Ott / lks [., ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL. REMARKS: In54/0 CO c Ag- 0.D . _ DATE _/-/l�- a5 INSPECTOR FIELD INSPECTION-REPORT DATE COMMENTS ►o 3 FOUNDATION (IST) - — ---------------------------------- GC r r FOUNDATION (2ND) o �z 0 C � ROUGH FRAMING& PLUMBING _ i INSULATION PER N.Y. y STATE ENERGY CODE , l Q'a AI S/X•// GD/L'iA/G A • Off � C O FINAL ADDITIONAL COMMENTS 2L4 tea, d. 0 In f-60 ✓4 C* O t llp - Q z rn -c 1 — 1 k 1 ;ti � O z x r� -o .AgUfFOt too 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)765-9502 has://www.southoldtgMM.Izov Date Received APPLICATION FOR BUILDING PERMIT or office use Only 'ID C�C�Dr �dl PERMIT NO. y Building Inspector. ; ; DDD 5 E P 2 5 2024 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an BL1MDING U3"EFT. Owner's Authorization"form(Page-2)shall be completed. ._ TC�'�i 3 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@icloud.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 Email: campysplumbing@optonline.net CONTRACTOR INFORMATION: Name: Mike Campy Mailing Address: 1292 Walnut Avenue, Bohemia, New York 11716 Phone#:6312449449 Email: 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 El No Will excess fill be removed from premises? ❑Yes []No 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 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,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 210.45 of the New York State Penal Law. Application Submitted By(print name): Richard Wall gputhorized 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 1 Qualified in Suffolk County Commission Expires April 14,2 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 Q SAL of Se�&-A ,20� LSD N-0 I &Uel 6 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, Ann Wall residing at 530 Bray Avenue Laurel New York JCX _do hereby authorize Richard Wall to apply on my behalf to the Town of Southold Building Department for approval as described herein. d/-MA v ��Q September 17,2024 Owner's Signature Date Ann Wall Print Owner's Name 2 60, 4 APPROVE AS NOTED r- DA Q B.P.#EFEE BY. SIpb BUILDING TAT OCCUPANCY OR FOLLOWING INSPECTIONS: THE USE IS UNLAWFUL 1. FOUNDATION-TWO RElUIRED WITHOUT CERTIFICAT FOR POURED CG�iCRE'(E 2. ROUGH-FRAMING&PLUi",16ING OF OCCUPANCY 3. INSULATION 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&TOWN CODES AS REQUIRED AND CONDITIONS OF ELECTRICAL SOUTHOLDTO , INSPECTION REQUIRED SOUTHOLD PLANNING BOARD SOUTH TOWN TRUSTEES N.YS EC S OLD HPC CHD SERIES 1 Gas Fired , �I Chimney Vented , Cast Iron Water Boiler 84% AFUE 38 — 280 MBH (8 sizes) Advanced controls, accessible inside boiler jacket Integrated boiler control with f � diagnositcs �saw — 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 0 A solid, reliable, full-featured boiler at a value price! Lifetime limited warranty U.S. Boiler Company Made in Lancaster, PA, USA .,,X=2: Technical Information �?� - Standard Equipment X-2 Rati.ng.s & Speciticati.ons • Intelligent Hydronic Control;simple seNiagoostic DOE Net AHRI Approx. _..control system with 3-tligkreadoutfor status.settinus, Shipping__ and errors, Input' Capacity' Water' Vent Size Weight. • Pre-installed IOL 1200"i"ral lJWC0 with auto reset Model; (MBH) (MBH) ' (M8H) AFUE%' (inches) (lbs.) (H-model sutfix) X-202 38 32 28 84.0 4 202 • Insulated steel jacket • Integrated draft diverter,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 •-Step-opening redundant gas valve- X-205 140 117 102 84.0 6 357 • Spark ignition with continuous retry X-206 175 146 127 84.0 6 405 • User-friendly wiring with 120V J-box Circulator-choice of Taco or Grundfos X-207 210 176 153 84.0 7 462 • Cast Iron section assembly X-208 245 205 178 84.0 7 518 • Resettable blocked vent switch X-209 280 234 203 84.0 8 564 • Boiler drain valve • Cast iron supply manifold with Safety relief valve tapping ' 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 ft.above sea level.Attitude kits required above 5,400 fl.See attitude conversion kits below. Dimensions 2.Net AHRI Water Ratings shown based on a piping and pickup allowance of 1.15.Consult manufacturer before selecting boiler for installations having Width Connections(inches) Water unusual piping and pickup requirements,such as Intermittent system operation,extensive piping systems,etc. "W" Gas Relief' Content 3.All X-2 boilers shipped with 30 psi relief valve.MAWP Is 50 psi. Model (inches) Supply Return Valve Valve (gal:) X-202 14 1-1/4 1-1/4 1/2 3/4 1 Accessories X-203 14 1-1/4 1-1/4 1/2 3/4 2 Altitude Conversion idt-'natural gas X-204 16 1-1/4 1-1/4 1/2 3/4 3 (P/N110461.01) X-205 19 1-1/4 1-1/4 1/2 3/4 4 * Aide conversion kit-LP gas-cenVerted X-206 22 1-1/4 1-1/4 1/2 3/4 5 (Pt1:1124s2-o1) NOTES: X-207 25 1-1/4 1-1/4 3/4 3/4 6 Required above 5,400 ft.,lets 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 5,460 fL Special altitude boilers may already lnctudcriatural'gas altitude X-209 31 1-1/4 1-1/4 3/4 3/4 8 conversion kit: � 11111 6"Min(see Note 1) 23"(see Note 2) 33-1/4" 40 „ 26-3/4" Return 0 0 - r 6" Supply �SI���I��O������� NOTES: o• " 1.Minimal radial distance 27 O Electrical 63 around vent pipe and 24" .0. breeching for single wall o metal pipe vent connector, 18" Gas 40" otherwise follow vent connector manufacturers dt 16" recommended clearances. 2. Add height required to IIIIIIIIIIIIIIIII maintain ti"clearance from all breeching componerrts. 0" Floor Line Floor Line 0" 13" W 31" 35" -Form No.USBL15092-10Mmr wwWusboiler.net Boiler C061pally Printed in the U.S.A. ©2024 U.S.Boiler Company,Inc.-Lancaster,PA Phone:1-888-432-8887