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38548-Z
Town of Southold Annex 4/2/2014 P.O. Box 1179 54375 Main Road '$Southold, New York 11971 f CERTIFICATE OF OCCUPANCY No: 36771 Date: 4/2/2014 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 770 Knapp PI, Greenport, SCTM 473889 Sec/Block/Lot: 34.-3-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/26/2013 pursuant to which Building Permit No. 38548 dated 12/6/2013 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 FOR A ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Lewis, David & Cohen, Louise (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t riz Sign ure * TOWN OF SOUTHOLD Zia N-1 BUILDING DEPARTMENT TOWN CLERK'S OFFICE ' SOUTHOLD, NY f 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 38548 Date: 12/6/2013 Permission is hereby granted to: Lewis, David & Cohen, Louise 420 12th St Brooklyn, NY 11215 To: Oil to Gas Conversion At premises located at: 770 Knapp PI, Greenport SCTM # 473889 Sec/Block/Lot # 34.-3-13 Pursuant to application dated 11/26/2013 and approved by the Building Inspector. To expire on 6/7/2015. Fees: FURNACE/BOILER - RESIDENTIAL $200.00 CO - ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector 11/15/2013 17:36 718-965-3815 7TH AVE COPY PAGE 02/03 !I it Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY i This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: IV I. 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. i 4. $wom 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 I features. 4 2. A properly completed application and 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 I. Certificate of Occupancy - New dwelling $50.00. Additions to dwelling $50.00. Alterations to dwelling $50.00, Swimming pool $50.00. Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00- 2. Certificate of Occupancy on Preexisting Building - $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 i Date. New Construction: Old or Pre-existing Building: 1/ (check one) Location ofProperty: aVin G c e(1nS1 House No. Street j Hamlet Owner or Owners of Property: 0(-A\J) d Le .l S I Suffolk County Tax Map No 1000, Section_ Block 3 Lot I i Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: i Request for. Temporary Certificate Final Certificate: (check one) Fee Submitted: $ It U4 e~~L1n Applicant Signature FIELD RZYS~LN ItEPOICT DATE COMMENTS W ro t FOUNDATION (1sT) d FOUNDATION (2ND) 33 Z p O ROUGH FRAMING & PLUMBING ~vm INSULATION PER N. Y. STATE ENERGY CODE FINAL R31 n 1 ADDITIONAL COMMENTS a'O z d z - J~ Lz TOWN OF SOUTHOLD r BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 /Q~ Survey SoutholdTown.Nor'thForLnet PERMITNO. rqO '-IFJ~ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit -Examined 201 Storm-Water Assessment Form_ ?-Ll Contacr. Approved 20 Mail to: Disapproved a/c / 0 I Phone: Expiration 20 / i I j rl Building Inspector 11 APPLICATION FOR BUILDING PERMIT NOV 2 0 2013 Dale 120 INSTRUCTIONS a, This apFIimtion MU T be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 'CA: to pie scale. Fee according to schedule. sets b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall he kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatio and to admit authorized inspectors on premises and in building for necessary inspections. (Signal= of app r or name, if a corpora[ n v;3 (Mailing address of applicant) t State whether applicant is owner, lessee, agent, architect, engineer, general contractor, a' ec[ Dncian, AI I umber "1 or udder Name of owner of premises 1 " y L S (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 to ro used jork will be done: dos ~G (1. G(~eRQt~(~ K House Number t et Hamlet County Tax Map No. 1000 Section -b q lock 35 Lot --25 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupan cy 3. Nature of work (check which applicable): New Building Addition Alteration., Repair Removal Demolition Other Work rr 1 (Description) 4. Estimated Cost O JDo,OC) Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, 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 Number 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 Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_ 13. Will lot be re-graded? YES_NOWill excess fill be removed from premises? YES- NO_ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? * YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_ NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly swom, 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 knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Swo o fore me t day o 2013 Notary Public Signa ft-can X- V Galo p j* A No 0R o i j tRte otNew York ~62g q~tk af~ York cd ` rrolk Co t~ in Suffolk Coas/y f),81"7200 olmmission Expires OR/12720 11/26/2013 09:20 FAX 100003/0006 kwiv Uf~of\? o 4 ~ Ak**Ao APPR VEDAS TED E # AUH2B00SPEC-1 S*&rd DAT: b 13 B.P5146 TAG: NOTIFY BUILDING DEPART 1. FOUNDATION - TWO REQUIRED U flow / Horizontal O~ FOR POURED CONCRETE p P~Gy P 2. ROUGH - FRAMING & PLUMBING Direct Vent Gas Furnace 3. INSULATION 4. FINAL - CONSTRUCTION MUST Variable Speed Inducer BE COMPLETE FOR C.O. CTION SH L MEET ,~ESta9e Heat v ALL CON 1 41 e Q ME TS ES OF NEW 16 1/t S ECTION ERE FOR AUH2B080MV3VA OG QG 17-1/2" 5/8" 19-518" 28-1/2" I 2' DIAMETER " OUTSIDE AIR 1 ' 2' DIAMETER FLUE CONNECT 7/8' DIA. HOLES 2-1/4' ELECTRICAL 1/2" CONNECTION 49/16" 7_ y 1/2° 1 " 314" • ` ` 7B' DIA. K.O. ` ELECTRICAL ` CONNECTION 9-1/2 40" (ALTERNATE) ~16• I 2-1/16' 1-1r2" DIA. K.O. GAS CONNECTION 1 (ALTERNATE) O I 34' 0 19-1/2" 28-1/4' 22.1/2" I 1 % , 20-1/4' 0 1-7/8' X 7/8' SLOT K.O. " . ' CONDENSATE DRAIN 24 5-1/2" - (FOR HORIZONTAL) s5r~~~~ 1-i/2' DIA. 3-1/4 GAS CONNIE r CONDE SAE WV 2 6 2013 v DRAIN (Rt. Side ARemate BI DG. oENr 2111111,1111117 o 02007 Amarian Standard Inc. 11/26/2013 09:20 FAX @0004/0006 60 6 (e-e n Po ?~ws 4 e 'UH28080FURNACE HEATING AIRFLOW (CFM) AND POWER (WATTS) VS. EXTERNAL STATIC PRESSURE WITH FILTER tat Stape Capacity = 49.500 2nd Stop C4pe* =76.000 AIRFLOW DIP SWITCH SETTING EXTERNAL STATIC PRESSURE SETTING SW 7 SW 8 0.1 02 0.5 0.7 0.9 CFM ODD 800 am 800 600 LOW ON ON TEMP. RISE 56 56 56 56 66 WATTS 105 140 180 220 265 CFM 880 S80 890 920 910 HEATING MEDIUM LOW OFF ON TEMP. RISE 52 51 50 48 49 WATTS 115 165 215 285 320 RAGE CFM 98 STAGE 990 1000 1020 1010 NORMAL" ON OFF TEMP. RISE 46 45 44 44 44 WATTS 150 200 230 310 350 CFM 1080 1110 1120 1120 1080 HIGH OFF OFF TEMP. RISE 41 40 40 40 41 WATTS 195 255 315 365 390 CFM 1100 1100 1120 1120 1090 LOW ON ON TEMP. RISE 62 62 61 111 63 WATTS 205 280 320 370 400 CFM 1210 1240 1280 1260 1130 HEATING MEDIUM LOW OFF ON TEMP. RISE 57 55 54 54 61 WATTS 265 340 410 470. 430 2ND CFM 1350 1390 1400 1380 1210 STAGE NORMAL- ON OFF TEMP. RISE s0 49 49 s0 57 WATTS 365 445 500 535 475 CFM 1360 1380 1400 1350 1180 HIGH OFF OFF TEMP. RISE s0 49 49 51 58 WATTS 355 450 520 535 465 NOTE& • First WW may be 'K or T FaObry setellg `UIGBM FURNACE COOLING AIRFLOW (CF11n AND POWER (WATTS) VS. EXTERNAL STATIC PRESSURE WITH FLTER OUTDOOR AIRFLOW DIP SWITCH SETTING EXTERNAL STATIC PREMRE UNIT SIZE SETTING (TONS) SW 1 SW 2 SINS SW4 0.1 0.$ Ob 0.7 09 Lary ON ON OFF ON CFM 750 750 750 720 710 (350CFMVTDN) WATTS 84 122 154 185 221 2.0 NORMAL ON ON OFF OFF CFM 840 840 840 840 820 (400 CFM/TON) WATTS 109 146 181 226 284 HIGH ON ON ON OFF CFM 940 840 940 940 940 450 CFMITON) WATTS 136 177 215 274 318 1 103 15&rjo om 890 no LOW (360 CFMITON) OFF ON OFF ON WACFM ITS 8.5 0 200 250 295 2.5 NORMAL OFF ON OFF OFF CFM 960 990 1000 1020 1010 (400 CFMRON) WATTS 150 200 23D 905 350 HIGH CFM 1080 1110 1120 1120 1090 (450 CFM/T)N) OFF ON ON OFF WATTS 195 255 315 365 390 LOW ON OFF OFF ON CFM 1020 1020 1010 1050 1060 (350CFM/TON) WATTS 175 225 280 330 375 3.0 NORMAL ON OFF OFF OFF CFM 1170 1180 1200 12W 1130 (400 CFMITON) WATTS 240 300 365 415 420 HIGH ON OFF ON OFF CFM 1290 1320 1350 1340 1150 (450 CFMITON) WATTS 310 410 470 520 440 LOW OFF OFF OFF ON CFM 1170 1190 1210 1210 1100 (350 CFM/TON) WATTS 250 315 370 435 405 3b NORMAL OFF -OFF CFM 1360 1390 1400 1380 1210 (400 CFMITON) OFF OFF WATTS 355 445 500 535 475 HIGH OFF OFF ON OFF CFM 1360 1390 1400 1350 11W (450 CFM/TCN) WATTS 355 45D s20 535 460 NOTES: ' First le8er may be *A" or T 1. At cm im m tan Getting: Heating or Coding ait6owa are appr=kMtely 60°% Of 8e1e0ed dod'aq value. 2. LOW airlow (350 dmRon) is COMFORT & HUMID CLIMATE seHng: NORMAL airflow (400 ckftn) Is lyp(cal selling: HIGH airflow (46D dmROn) Is DRY CLIMATE aemrlg. 11/26/2013 09:20 FAX IA0005/0006 DMOOR JIWWRS TEM3NG GENERAL DATA (D Heating; The ICU Fan Control controls the variable speed MMIL *11112101111100W indoor blower. The blonver "on" time is fixed at 45 seconds after WK Ilosor )Pistols igrritiot>. The FAN-OFFperiodisfield selectable by dipewitches 1y$NPkWBM 52000 #2 and N3 on the Integrated Furnace Control at 60,100,140, or la Sete Cp* Built PP O 49500 180aeoonda. The factory setting is 100 seconds, (See unit wiring 2,d ~ erUf(1CS) O diagram). ANIE 95 Cooling: The fan delay-off period is set by dip switches on the kaµANiMn OF. 35-65 ICU Fan Control board connected to the Integrated Furnace Disnae.wm(at) toDIRMxe Control. The options for cooling delay cis' is field selectable by Na feed 1 dip switches s6 and •6. However, dip switch #1 on the epefdt 0") Vabbb CFMveeteg Sw Fan Rimuna Ybb Integrated Furnace Control meat be set to "ON" for cooling fibrw 112 mode to function properly. f1PJL VaWbb VpIS/f9l10 It The following table and graph explain the delay-off settings: FM l- p Chi odes- N0 %mob am -vans - This selection des a ramping up and ramping down V* W P~ Yo4/Pout 33-11"W-110 of the blower speed to provide improved coosfort, quietness, and Fu 10 potential energy savings. The graph below slows the ramping IitlBl-FmdsisD TM Type MoareAded proceed. Nyd.Mo.S{a-Thk) 1 11770-1k t~lf-Sali~ 2Rnnd COOLING OFF - DELAY OPTIONS Type-Red Wrnbmdfed-T1pel aWted SWITCH SETTINGS SELECTION FSAME AL ~e 2 - OW 4-g 5-OFF 6.OFF NONE IR II;s Ob-Dasim 4-Ss fiSYHtE 5-ON 6-OFF 1.5 MINUTES 5-OFF S-ON 3MINUTES 1De Ito Suds loft NN-Twe tsdwiren 5 - ON 6 - ON 0% Nuke COWL-V/Pt/It 115/6® - This setting Is equivalent to BAY24XO45 relay benefit Astaidly On Attie) ME. owaffmd Aim ) tit " - This selection provides ENHANCED MODE, which is a PFEMRsu g) 1.2 ramping up and ramping down of the blower speed to ps6®D16 NxWx0 provide improved comfort, quietness, and potential energy peed ptl - a xt e savings. Sao Wiring Diagram notes on the unit or In the Service Facts for complete wiring setup for ENHANCED ShbpbpObel/Nd ph1) 1Mfi5 MODE. The graph which follows, shows the ramping process. O 0&VW Fwnew Ms1Eq derlpw We oMa by KtA MW tSA O For UA sokdoM abae tot rdhps MW ws up to $000 last, derma 4% Fir Cowden epp4afons, Stan tort NOW (an" of rp to 4,500" derma 100%a nocesswr 4% pw 1,000 Mt fm dowse. M I 4,500 bot above Ma IwA © tilled an U.B. gwsrrwwt Sendil WSW O tna abaw Wilts isG6odws aw In aoradrrea win Ndoaal E WWQW Cada; eo% fwaww, erawtag n nut mney win awl wow. Oseteniayr e0% 50% Fiat can Coating MOffieftol, OFF OFF 111- 7.5 I I 9 ntneis WAntdss "Ube 11/26/2013 09:20 FAX f~J 0006/0006 ~~6 ! Mechanical Specifications NATURAL GAS MODELS AIR DELIVERY Central Healing furnace designs are The variable speed blower motor, has osiVed by the American Gas Assoda- sutfi lent air low for most heating and tion for both natural and LP. gas. Limit cooling requirements, Will switch from se&g and rating data were estatr heating to cooling speads on demand fished and approved under standard from room thermostat. The blower door rating conditior8 using American Na- safety switch will prevent or terminate tional Standards Instigate standards. furnace operation when the blower door SAFE OPERATION Is removed. The Integrated System Control has SECONDARY HEAT EXCHANGER solid stale devices, which oortinuously The XV95 has a special type 2a 4Cn" monitor for presence d flame, when stakilew sled secondary heat the system is in the heallrg mode of - exchanger to recaim heat from flue operation. Dual sdaroid combination gases which would normally be lost gas valve and regulator provide extra Instead. safety. STYLING OUl= HEATING Heavy gwge steel and "wrap- Durable, cycle lasted, heavy gauge around" cabinet construction is alumin xed a" heat omha rger used in the cabinet with baked-on quickly transfers heat to provide warm enamel finish for strength and beauty. conditioned air to the structure. Low The heat exchanger section of the cab- enerpy power herd bower, to In- imet is comple" tined with toll faced crease e(Wcienuy and provide a fiberglass insulation. This results in qui- positive discharge of gas formes to the et and efficient operation due to the outside. excellent acoustical and insulating BURNERS qualities of fiberglass. Built-in bottom Mtrfiiport Irhstnot hrarters will give years pan and altemata bottom, left or right of quiet and efficient service. AN mod- els can be converted to LP. gas FEATURES AND GENERAL wil hoot changing burners. OPERATION INTEGRATED SYSTEM CONTROL The XV95 High Efficiency Gas Fumao- Fxdusively designed operational pro-as employ an AWapive Heat Lip Silicon system. Nitrid gram provides total control of furnace which e eldrhiFbtrhetes Surface the weals aster of fl con- unit Sensors, dowers, gas valve, flame conhd arhd includes self dieg- stand burning plot. The integrated noaics for ease of service. Also system oortrol lights the main burners oonlaim connection points for EA.CJ upon a demandd for heat from the roam Hhanfdt w. thermostat. Complete from service so- Coss. a. Low energy power venter b. Vent plowing pressure swiloh. lVrAmeWdrd rms9 rcyafarrr~pWL4wW PrdadlhFq~muFMtfr~rt~e0r4robdW98 ¢Wr~Opada 0 rOhrMaeae. (so American Standard 9200 Troup Highway Tyler, TX 75711-0010 CERTIFIED warmtrane.oom