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HomeMy WebLinkAbout40067-Z P'ec gi TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST W U 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 Surve), .k SoutholdTown.NorthFork.net PERMIT NO. Cmhac Z/ .._W..........__ Septic Form N.Y.S.D.E.C,m Trustees C.A. Apalwlica4uun _.m.......................... Flood Permit Examined C,? 20 Single&Strarata:, Storm-Water Assessment Form ' Contact: Appro++ed 20__..... Mail to: Disapproved a/c ...................._ Phcn 100"4 Expiration, 120 - ._ Building Lstsp for 41r APPLICATION FOR BUILDI'CV i✓� Date ,20� P 'i 1 INSTRUCTIONS a.This applicatzon�aI S' be completely filled in by typewrite_or in ink and submitted to the Building Inspector with 4 l ak.gak us a "ate �rta 1�8C Ilan'to pale.Fee according to schedule. b.Plot plan showing locat on of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and w ' 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 be 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,an re tnlations,and to admit authorized inspectors on premises and in building for necessary inspecuons. W (Sii more of, pli t or name,if a corporation) 'EST sI dA11�0L D 45 C ' Si 6liaddress of applicant) " to,whether 4ppiic arit'is 6v ner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder 1. F Natn'o of f'Osus ' As on the& qq oc�l tdeed) nutter o1` t�rttt u :daied sflbcaa J latest deed . reel ,. a s 1,C<JYtiv��1C�, r p pp rteofficer) O-he u r de s I i a "0' s� E Fun Na 1 .�.80 )ttl orawlsiel�ptopdd work will be done: cap, . - .. L QK- E O 4 House Number Street Hamlet County Tax Map No, 1000 Section © Block Lot 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 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) S. If dwelling,number of dwelling unitsNumberof 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............................ ---------- Height Number of Stories l: eptlt Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rcar 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______NO—_.Will excess fill be removed from premises?YES--NO_____ 14.Names of Owner of premises —Address Phone No. Name of ArchitectAddress Phone N 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. I&Are there any covenants and restrictions with respect to this property? *YES--NO-- *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFIWOW, L0�n �_rQAJ being duly sworn,deposes and says that(s)he is the applicant (Name of indivi ITITITITIT signing contract)above named, (S)He is the ?I a 't""' -- ­­­­­ ­­­­....­.­.­______ _ (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 wil I be performed in the manner set forth in the application filed therewith. S)' ern taa before,me thi tt NINA SMOLINSKI 20 ...... Notary Public-State of New York Na 01SM6290985 tz_ — '0 -, Notary Public MY Cornrikission Expire, 1 WEILm� .. MLffllt� GV'90+0 CAS F IIID 'u '1U www.weil-mclain.com E FR "Alatei I ",J afi..uiral,/li:nmp alrmne Gas 170175 MElfi Direct Exh,:aa sl:/Dire<r e ntI If ffka.k c'y 91 SII A)E u r A / , 1 f lh i r / ,/%/ �f 1,/ ,�/rii/y / ✓viii 1��� / / / �,,.f ,✓ , i // l�i rro iii� j 4 r+ o- i1�Y.. -u 9rNn9Ky l / 1 r dlYi'i�ill/lel�✓a ,,, � i� r r i ry � rgWO , f� r£1"�fal'NII "�1Urr- v'(bdt�ivv{'�✓n '£ �.:.. 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When matched with a Weil-McLain- indirect- fired water heater, you will experience virtually limitless hot water for bathing, laundry, dish washing and cooking at a lower operating cost "M�' compared to most other alternatives. Our indirect-fired water heaters provide twice the ; peak flow of a tankless coil, ® more than a comparable sized direct-fired gas water heater, f"" and three times as much as an electric unit. jio�ui�wii E a auuu�,. a �n mw PAY : N 1!moi F "11111"i)"' "i. [,­-I v� nnduun Annual e"°atilrl(1ated savings fQIP'" every $100 of ft.Mar:''I costs by II II"n(::ll"'ea5ull'lg your heatirig equipmelrnb'.: Pf ick-., icy. ,m+ lzom51"i.n, �:.,rJ.,r,. �F�.�' :( .��, irJr _'t tfY.rr✓o'r Ld:S ✓L."a 4r.r�y s;+.Pk7l f.'?,Y'U; Existing New/Upgraded System AFUE Systern 4,FUE 55% 60% 65% 70% 75% ww 80% 85%° 90% 95% °' $28.57 533.33 $37.50 $41.18 $44.44 �0 J�� �� $47.37 _._.__...._.__..._�. $ 8.33 � $?5®8 . .. 55% $35.29 $38.89 $42.11 . ....... $21.43 $26.67 $3125.._ ............. 60% -------- -------- $ 7.69 $14.29 $20.00 $25.00 $29.41 $33.33 $36.84 65% -------- _ _____w__ $ 7.14 $13.33 $18.75 $23.53 $27.78 $31.58 $ .67 ..... .2 70n/° _ _. __. ________ -------- -------- $ 6 .50 $17.65 $22.22 $26.32 75% -------- ........ __m____„ ________ W_______ $ 6.25 $11.76 $16.67 $21.05 _.. . . ._ ._ - -- _._._4_ 1.11 $15.79 80°/r ....... � $ 5 88 $1..1.1 ... 85% ___.®___. --------_______- ___.____ _a___._.. ___,....,._ ___..__... -------- $ 5.56 $10.53 _ ......_W_ 90% -------- -------- -------- -------- __ . __ _.._ ____ -------- ___ $ 5.26 v...,"I,PS . �� n J �I P'n I��fii,v.l JP"e'f" i,rat;�+^.n 0 "j w',f S"IF IIN IE) IRD EQUIPMENT: �r',:�.I y r ' .. ; I I --- 177/8 I 43/4 „itll „s.�lrl ll'r ii/F + Il AN r 4� 30 3/4 ., i, ,. d:, , r @ 261/2 r %���9r1r1//c�/L�l' If ; ✓ / �/i%� /sl, v r p ..a,,, NO, / mY I 97/8 5 '3l4 1F4 rr�„1l//./�/lFr�(�r(Ifrr�ri,/Li�i�,,.,,,, , w-8 1/4 245/8 203/8 ���f✓ r./'�r111..� I.rl';i1,"Illr; INS:U” L.L. "nON I '1LEXIfl ININ::.U" "y, U"IU"Iii 111UL.71 P LEE VENTING PTI 11 N,1a�� Ni�lwi�r,l,�l[ , ,/•,U:r.r��'I �. Ll Y t/1' >"�;� � Sidewall Sidewall�®ectVen4 i! Direct Exhaust Separate Pipes I ��,:. a;,�. / `; iirv�- Y✓ a ,,, rw±Nle �y �.,,�./ iY( l� 91"T ^I'IcBY 7';PI',"f C r91 i ruv".r %f%�� �/�� ,4'✓/ �%i ,r � l�rgr f, 51 I W R f I:+ f 1' V I / Sidewall Direct Vent SIdltwwiHDlreOVent Through-the-moo Through-the-roof Through-the-roof Well-McLainVentlair Cap Concentric Direct Vent Concentric Direct Exhaust Direct Vent ;.. Separate Pipes0 f i -erP� it i"w:G JY'Jru III Irrl1 /}u f$Nr:.„° co a3' / g rf r t u r I-.rlil / a �° g'e / �} t % 7Gty fNlriivCllliLG it�irrrriririrarrrcrzlw aslur+ a,wewri �Lmrower a Iwmu���lr1l+'i�� rommmurt lwl�uli�uuu r t �� �.d ,'"_� ,”"1 4��, d 6 a ; v U F / a m e a M �!XMlr''�hW��MIPNNIliV1IPo1WIWlavam, I � GV90+3 10 3 56 - 91.9% 3" 3.8 303/4 11" 313 lbs. ADDITODINIAL EQUIPMENT: GV U0+4 105 97 j 84 19L2% I %; 53 lbw. k 11'411 r � 1 GV90+5 '1401 IN, 113 91A% 3" 6.0 37 Vim° � V � 1' Viz" 1'A" 423 5s I 1X El sn„ Y„ 1,f1"1 f I J � 1 Irr i C i f�f GV94 +81 175 1 1 1 140 910 3„ 6"9 33 a"" V" 1° d' 464 Ibis, h i ro YM1 t r l 1u D1 "k;4. k,fl, Kit' ”, allUt P'4"`61 ' r Fast,,+.Yfq !r& IO !e"'Ifr~ tll"l ,rr r ; I'.e" �°ifl f Nl,r. `a4"'�, , h d 0 "rre.4 wY1vr 'a.,�. '.!y1,rrM��r .1?�ItrY,llt �m 1,u, t f18 L l( of "" "V$E s / "✓�X°6 n / ori, �� �y /i;4� r lY ', xy 1 wn' neI s Full U of Indwrect-Rred Water Heaters 11 r( TEMPERATURE AND PRESSURE RELIEFVALVE STANDARD EQUIPMENT THERMOSTAT CONNECTIONS ALREADY INSTALLED FOR QUICKAND EASY WIRING ''~°'�� ' 316L STAINLESS STEEL TANK WELDED WITH"TIG AND PLASMA"TECHNOLOGY •Highertolerance against corrosion vs.carbon steel tanks •100%air pressure/water testing of tank and coil HIGH OUTPUT OVER I"DIAMETER 304 STAIN LESS STEEL HEAT EXCHANGER •Superior 1 st hour rating and recovery •Large diameter heat exchanger allows for low pressure drop ALL CONNECTIONS INCLUDING BOILER SUPPLY AND RETURN,DOMESTIC WATER, AND DOMESTIC RECIRCULATION ARE ON THE SIDE OFTHE TANK •Domestic Recirculating tapping allows for quick connection for installing recirculating line and circulating pump •All connections come with plastic grommets for cleaner inspection oftappings INSPECTION PORT ON EVERYTANK LOCATED NEAR THE Bt3TTOM OFTHETANK Hatch provides easy access fortank'cleaning and inspection 'i� �;d✓' r (f MAGNESIUM ANODE INSTALLED 1N ALLTANKS Factory installed Magnesium Anode is a sacrificial element that makes for effective electrochemical tank protection EXCEPTIONAL RVALUE WITH2INCHESOFDENSEFOAMINSULATION •CFC-free and environmentally safe •Low off cycle losses ADJUSTABLE FEET FOR UNEVEN FLOORS FAMILY OF PRODUCTS WITH 5 DIFFERENT SIZES TO CHOOSE FROM r �r%i fi a 1 �r / , roy�,��l,ir f[��„; I 0��� ' .r' /i/�/� rr���/✓✓ '%r�' �t u f r / / f,��r%/� // ' / ,r% /%// ,?„ ,,,,,,. , ,,c:,,> r/ri// /,rra i/ stn'” r' ✓/%ri////r.;/� r/ : / ' ',,,,.,it/i///'%i ,,„' r„ ;1 �j, /y/!�/f /,fr,f” ry .e, y",✓ ,l/ r r�rr r 1� a �, ,l�1//i rl i ii r. „r„ ,,oi/r / / Jri r ✓( rjf��r�)�.��%�l� ",O /J"G%,, ii�«car..iea ,. ;.ei,,, 1 ��/��iD//��/ /!�//%r,a(",,,<r r//pi/ r� ,,,,,,; ,i„?:,;„ Y II y d ,��%rr, ,irr,,; r �y ir',Jl�(9/f//viii//////r/..i-// r✓/r r/,r r: r n r / v / !r /I �/ 1/ ✓, r rr r � / v // 1, ,/ � rJJJ �/� / �,I /� / „<, /�... ,ri, „�..ri,^r/l r//./r //i,, �/�,r,/r � !�, r //�/.�T%11/rlJr/��� �,/� T 1�,�d�� 1' X i @� lr�I� ���f/v,., ✓ r jJ r,(/��'1,�///,�/ ,r,✓.Yr "„ ,./ /i,/ �/-/,,,,�«n,�, "r,.,�s�C1Y1iCriNr�]Y�//l,y/f/%J„/J/�//�i�l/�/,i//////,rri1i i/i%,/�/„;�i,�„: J,�L/�fr.��,�(xI�✓!r�/,�/�/ ,�///,�I�9 n�r�ll/�,'//��/>%�./�H�%/�/ �1 ”/ll/a �l/ ! �r�f/�/i �,lirr/oaLrri//Gi, moo/ r Air/i,� Y W 9 �_msStainless steett ka�n�d�cosldest n om�aa Jri��i% „' > superior y W!6 u 1ii�Y magnesium anode rod to protect against a'� � yo ,INE a/ z, / ccrrosiuewater cendition5a /y 'i 7 Lar cge inspection port tot easy cleanout i Low standby tosses ;,r,,,rJ✓'ri ri!/i/i/ll/llirrrF�p ,ji % f�/�jl A 5 sizes to suitany appticati on �r / Benefits of Indirect-Fired Water Heaters... -It is run as a zone to the boiler.reducing fuel consumption -Tightly wound coil provides a faster recovery than direct fired'water heaters �� -Typically lase only 0:5 F/hr rrrJ ' -No additional exhaust flues,or fuel piping to consider � p p. .g i -Boiler operates less frequently than with other water heating �I types resulting in higher efficiencies r - Delivers superior first hour GPS domestic hot4vater -Compact n1 act size ,, -Easily fits into low ceiling basements or storage rooms without sacrificing height or performance Connections are on the side for a clean lookboiler iAhjter Sirpj7ly g -Accent-colored rommets -Dedicated tapping for recirculation systems,saving time and monoy /r ""r ri %l!%ir✓% �'rteC"It11ef;Ti`)�317C /'// , r;'i'', -Inspection and cleaning hatch 1%vr� f)1}l / /";i%%'% fir Boller Water Return -1"diarneter 304 stainless steel coil for maximum performance and recovery) ' / „/' /% ®cranesCW- c Water inlet -Temperature and Pressure relief valve included as standard equipment A & u] Standby ic.�� a S y o c es as low as 0.4"F/hr rr,/I% /,✓�/�r'vrr%'/J/�%pi's////%/1(/ /il%i , /i ,//��/ ° �i���/�/rf�/ //�/;°i/�/r: /i. s after kNo need for addisicr�al insd31 � ,/ v�� f���✓1/Gi/�//iia i/ /„ � environmentally CFC-tree aril entironmentalE safe //� %�/r r 9 r9 U ���1// //�r/il,✓o/rJ Jr//„�,/, ' � , %✓iii 'its of L w w a Advocate on behalf of all HVACf,.l manufacturers at alG fe els of government Maintain certification urauu ttrat offer unbiased atuufu �utrut Developindustry-recognized performance standards forindustryant rru nt Unbiased evaluations of a producfsperformance -Products are independently tested and certified to ma ttna t ted perfamance ratings, Test ra aulta are published on thle AHRI website for G a-d t ,Joe Oma'fituwu ohip rri so f a�rr�r �j���� wpb • ,ww I%na//i 1 /f� / /�� / I/ n � w w rU/ , i �k✓/tri u,m /�, � r �i////i/ �/t� l� //ir/ ' / 'i / � o I�„�;/ � Why Weil- " V; FuH prod uct flne to satin every app 11atu n y y' standards and t st fired Every residential yeas aa�uRu�r u��a drr��u�tu �Nl �tstd t fit sta * a pd tayW of-tat f. �i rluual�ty�uruct iwirrranty tturut tarovide, �ae41a of murnd / pluar��r���uJ tu��;r�Ir;al<uur�t fcr,�rl s�uR�s srnplygur�a� �;; Over a 130 year proud history,Arid North Americt leading her manufacturer „rrWEILmMcLAIH' ry �'"��IJ`k��14>�,J1t��j 9 m d ! I, m 0 r 41 rs �o- "% PJSG;�llti.51 pFd l% I I OX Il � FrA Ratings w°(With 50"F darrlcstic water inl,-t aired st it.l;d other,conditions) Boiler Out . Bo DHW 140'F DHW Boiler Boiler Water 190°F Boiler Water 180°F Boiler Water Aqua Plus' .Aqua Plus' Aqua Plus" ,.�.... 200'F Boiler Wa F DHW 140°F DHW Boller Out 115`F DHW 94tl"FDHW Model MBH GPH GPH Model MBH GPH GPH Model MBH SPH GPH 35 170 337 223 35 170 311 202 35 150 284 181 45 190 363 243 45 170 335 222 45 150 307 200 55 210 443 302 55 190 411 278 55 190 378 252 85 300 551 374 11 85 250 511 1 343 85 1 250 470 310 105 350 715 483" 105 350 1 662 442 105 1 300 608 1 400 Data Standard ECILlipment Aqua Plus®Model 35 45 55 85 105 Standard Equipment: DHW Side Storage(gal.) 29.6 39.9 53.1 80.6 109A AHRI Certified'-The Trusted Mark of Boiler Side Storage(gal.) 1.6 1.9 2.2 2.5 3.5 Performance Assurance Recommended Flow Rates(GPM) 8 8 8 14 14 Factory pressure tested Head Loss-Boiler Side (ft.) 2.0 3.3 1.6 5-4 7.1 316L welded stainless steel tank Working Pressure(Tank)(psi) 150(MAXIMUM) 304 stainless steel coil over 1 inch in diameter Working Pressure(Coil)(psi) 145 MAXIMIUM) Exclusive replaceable anode DHW Operating Temp ff) 160` 180 Dedicated recirculation tapping Approx.Shipping Weight(lbs) 94 111 122 223 238 2"-thick CFC-free foam insulation 'Optional 1WF thermostat available Large inspection port for easy cleaning and service Dimensions 150 PSI T&P relief valve included Aqua Plus®Model 1 35 45 55 85 105 DHW In/Out&Recirc 314 to PPT 1 in PPT Boiler Water In/Out 1 in NPT 1 in NPT" A Dimension(in.) 36 318 46 114 60 59 112 59 314 B Dimension(in.) 7718 77/8 7718 10 318 141/4 C Dimension(in.) 24 26 297/8 33 114 41 3/8 D Dimension(in.)` 21 718 21 718 21 718 26 30 E Dimension(in.) 73/8 7 3/8 73/8 87/8 97/8 F Dimension(in.) 175/8 21 1l4 281/8 31 112 295/8 Tank Sizes:35,45,55,85, 105 G Dimension(in.) 28 37 718 51 3/8 503/8 485/8 '1 1l4'piping required �8 �012, w Key Features; 5'! g 1. Boiler water inlet r / J 2.Bailer water outlet 3.Cold water Inlet ��, y �'°� it �l�/fi����11 G� 4.Hot water outlet 006011111 5.Domestic water recirculation inlet '"''✓/ "%! ��� i/✓1J/� i/' JiJ ry 6 /ai 6.Inspection hatch and cover with thermostat knob ✓l fj 7,Magnesium anode rod ' J �f JJ/%/J �pl 8.T&P r@II@f V31V@ Conn@CCIOn "i �rJ o In the interest of continual improvements in product and performance II Mcla°ir�jf`r servesthe nght to change specifications Without notice. a [L ' For reference use on See roduct manual far deta7od •ifr � ;j f��i�'i�' �r �t a �