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HomeMy WebLinkAbout42449-Z Of F04. Town of Southold 4/15/2018 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39599 Date: 4/16/2018 THIS CERTIFIES that the building HVAC Location of Property: 54180 Route 25, Southold SCTM#: 473889 See/Block/Lot: 61.-4-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/5/2018 pursuant to which Building Permit No. 42449 dated 3/12/2018 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: HVAC in an existing commercial building as applied for. The certificate is issued to Rothman,Ronald of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42449 4/10/2018 PLUMBERS CERTIFICATION DATED At A d Signature o�SaFEnc��vTOWN OF SOUTHOLD ,� oy BUILDING DEPARTMENT TOWN CLERK'S OFFICE �y-• SOUTHOLD, NY Via! � Sao 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#: 42449 Date: 3/12/2018 Permission is hereby granted to: Rothman, Ronald Salt Marsh Ln PO BOX 212 Peconic, NY 11958 To: make alterations to an existingcommercial building HVAC g ( ) per manufacturers specs. At premises located at: 54180 Route 25, Southold SCTM # 473889 Sec/Block/Lot# 61.-4-21 Pursuant to application dated 3/5/2018 and approved by the Building Inspector. To expire on 9/11/2019. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $90.00 Total: $340.00 Building Inspector s Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 1. 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. 4. Sworn 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 features. 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 1. 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 Pre-existing 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 �l Date. t�n Z. 2,0 L b v New Construction: Old or Pre-existing Building: (check one) Location of Property: >� `�U House No. A Street Hamlet �1Owner or Owners of Property: q!�I 7 Y9 At 61,(Z _ C Suffolk County Tax Map No 1000, Section (�[ Block 0�- Lot Subdivision Filed Map. Lot: Permit No. I Z*6 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ (� A plicant Signature OF SOU�'yo Town Hall Annex Telephone(631)765-1802 54375 Main Road CA Fax(631)765-9502 P.O.Box 11790^1 � roger.rich ert(cD_town.so uthold.ny.us Southold,NY 11971-0959 Q CU BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Einstein Square LLC (Rothman) Address: 54180 Route 25 city.Southold st: New York zip: 11971 Building Permit#: 42449 Section: 61 Block: 4 Lot: 21 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: G&S Electric License No: 578-E SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat X Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment. Install New Gas Furnace. Notes: Inspector Signature: Date: April 10, 2018 0-Cert Electrical Compliance Form.xls SOUry N O �yeoum N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING / STRAPPING [ FINAL g*Wd-`_ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE c3 INSPECTOR 50oj� pjyolo J_ 1 I,YCOUNi'1,Nc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLSG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE &c CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) REMARKS: � C2 DATE )/� INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS N FOUNDATION (1ST) ------------------------------------- FOUNDATION (2ND) , � O ROUGH-FRAMING& 6 PLUMBING — • � e INSULATION PER N.Y. V H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS e Z . G � O d H TOWN OF SOUTHOLD 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 Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 D � Single&Separate DTruss Identification Form Storm-Water Assessment Form BAR _ 5 2018. Contact: Approved _,20 _ 'aVO�r� Maii tei 67 °v,,-, ' _`A%i '^� Disapproved a/c BMJ r'" _ ' (�,t�- q7S S2-L8 Phone: Expiration ,20 ing nspector APPLICATION FOR BUILDING PERMIT Date & C&k Z , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. 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 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, and regulations,'and to admit authorized inspectors on premises and in building for necessary inspections. (Signaf4e of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises j�,fj�S -Lcbl ��,t/�.Lc•L L( (As on the tax roll or latest deed) If applicant is a corporatio , 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 proposed wor4 will be done: 04401J House Number = Street Hamlet County Tax Map No. 1000 Section �,? ' Block Lot Z� 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 occupancy 3. Nature of work (check which applicable): New Building Addition Al eration Repair Removal Demolition Other Work j l escription) Estimated Cost _ Fee (To,be paid on filing this application) If dwelling, number of dwelling units r 1 ; `Number of dwellin'g'unts on each floor If garage, number of cars t �,EtN3 b� If business, commercial,or mixed occupancy, specify nature and extent of each type of use. P '- Dimensions of existing structures, if any: Front,-, Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories "9, -Size of lot: Front Rear Depth Date of Purchase Name of Former Owner I 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 NOZWill excess fill be removed from premises? YES NO 14. Names of Owner of premises J dress 7�07� �X tri. Phone No. b1-73 -7W Name of Architect Address Phone No Name of Contractor �� A .Address y C—�„� L,�Phone No._k j_ '7�7j2T IV-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$E 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 IC * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF,`j being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)a ove named, (S)He is the (Contr ctor, Agen Cor orate 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. TRACEY L. DWYER Sworn to before me this NOTARY PUBLIC,STATE OF NEW YORK -)h day of rflarch 2016 NO.01 DW6306900 QUALIFIED IN SUFFMK COUNTY C ION EXPIRES JUNE 3p, NotaTy,Public Signature of Applicant QF SQ(/r�ol Town Hall Annex Teleph P?61 $ �pvz 54375 Main Road g P.O.Box 1179 G roer.richert to Utt10[tl.n .uS , Southold,NX 11971-0959 MAR 14 2018 WILDING �•-./.''i,A^,ir�+"��'-".�:�at•'��', DEPARTMENT TOW11N OF SO � TOWN OF SOUTHOLD U'1'HOLD i APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: I A 4&kk, IAKA Date: Company Name: E-1r,Ica �- � — Name: aCb �Ah e-00. =�I et p� License No.: .s-7 2){-t=om. Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: i r�S '�c` S�,t.f Q►-C, �-�-� ; *Address: X5441 00 �D . *Cross Street: ncb ul s *Phone No.: Permit No.: 4a Tax-Map District: 1000 Section: ( Block: Lot: ,Z( *BRIEF DESCRIPTION OF WORK(Please Print Clearly) uUV10�.CPi (Please Circle All That Apply) Is job ready for inspection: YES NO Rough In Final *Do-you need a Temp Certificate: YESN - Temp Information(it needed) *Service Size: 1 Phase 3Phase 100 15 200 300 350 400 Other *New Service: Re-connect Underground umber of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION A-LC`fC . .82-Request for Inspection Fo Wt_ Q._'1✓ � ��"� Quit_ 51G1�� ���� APPROVED S NOTED DATE,:g:p�IZ B g P ,11 FE � Y:r� NOTIFY BUILDIN3 DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEIN YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONS'TRUCTIO% RnpSy¢, - COMPLY WITH ALL CODE80 NEW YIiK STATE & TOWN CODES S AS RECUJzED At\V CON i I I' ns y S nFr OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY T Akutm `S�� AUC1 C100-SPEC-1 B HEATING & AIR CONDITIONING TAG: A Upflow/Horizontal Condensing Gas Furnace 5/8" Single Stage 21" 19-3/4" 'V_� 28-1/2" 19-9/16" AUC 1 C1 0OA9481 A 3"DIAMETER 5/$„ OUTSIDE AIR 1/2" 4-1/2" 2"DIAMETER FLUE CONNECT 1/2" X12, 7/8"DIA.HOLES Ar�2 ELECTRICAL 9„ CONNECTION 1-1/2"DIA.HOLE 71761, 0' GAS CONNECTION ' 7/8"DIA.K.O. ELECT SUPPLY RICAL 3/4" \� (ALTERNATE) 28-1/4" ��7� 7/8"DIA.K.O. ELECTRICAL I 40.. SUPPLY 19-1/2" ' � � ��i (ALTERNATE) 30-5/8" `,4 .16„ 1-5/811 1-1/2"DIA. K.O.GAS CONNECTION 201/4" (ALTERNATE) 3/4" - / ' `. ,= _1-1/8"DIA.K.O. CONDENSATE DRAIN Altemate 24-1/32" y 5„ �3 7/A Iy/8 1-7/8"X 7/8"SLOT K.O. C�1i8„ CONDENSATE DRAIN �r NOOiq (FOR HORIZONTAL) FiyS,q.0 ORq/ 7.)i8„ FURNACE AIRFLOW (CFM)VS. EXTERNAL STATIC PRESSURE (INS.W.g.) MODEL SPEEDTAP 0.10 0.20 0.30 1 0.40 0.50 0.60 0.70 0.80 0.90 AUClC100A9481A 4- HIGH-Black 2054 1980 1906 1826 1746 1649 1551 1428 1305 3- MED.-HIGH-Blue 1932 1875 1818 1746 1673 1577 1481 1371 1260 2- MED.-LOW-Yellow 1762 1720 1677 1615 1552 1463 1373 1266 1158 1 - LOW-Red 1 1558 1 1546 1533 1477 1421 1350 1278 1175 1 1071 CFM VS.TEMPERATURE RISE MODEL Cubic Feet Per Minute(CFM) 1300 1400 1500 1600 1700 1800 1900 2000 AUCIC10OA9481A 64 60 56 52 49 46 44 42 0 2011 American Standard Heating&Air Conditioning C , i General Data o TYPE Upflow/Horizontal VENT COLLAR—Size(in.) 2 Round RATINGS z HEAT EXCHANGER Input BTUH 100,000 Type-Fired Alum.Steel Capacity BTUH(ICS) ® 94,000 -Unfired AFUE 92.1 Gauge(Fired) 20 Temp.rise(Min.-Max.)°F. 35-65 ORIFICES—Main BLOWER DRIVE DIRECT Nat.Gas.Qty.—'Drill Size 6-45 Diameter-Width(In.) 10 x 10 L.P.Gas Qty.—Drill Size 5-56 No.Used 1 GAS VALVE Redundant-Sin le Stage Speeds(No.) 4 PILOT SAFETY DEVICE CFM vs.in.w.g. See Fan Performance Type Hot Surface Ignition Motor HP 1/2 BURNERS—Type Multiport Inshot R.P.M. 1075 Number 5 Volts/Ph/Hz 115/1/60 POWER CONN.—V/Ph/Hz a 115/1/60 COMBUSTION AN-Type Centrifugal Ampacity(In Amps) 13.6 Drive-No.Speeds Direct-1 Max.Overcurrent Protection(amps) 20 Motor HP-RPM 1/20-3450 PIPE CONN.SIZE(IN.) 1/2 Volts/Ph/Hz 115/1/60 DIMENSIONS H x W x D F.L.Amps 0.71 Crated(In.) 41-3/4 x 23 x 30-1/2 FI_LT5R—Furnished? No Uncrated(In.) 40 x 21x 28 Type Recommended High Velocity WEIGHT Hi Vel.(No.-Size-Thk.) 1 -20 x 25-lin. Shipping(Lbs.)/Net(Lbs) 171/160 O Central Furnace heating designs are certified to ANSI Z21.47/CSA 2.3 OO Ratings shown are for elevations up to 2000 feet.For elevations above 2000 feet;Ratings should be reduced at the rate of 4%for each 1000 feet above sea level. O Based on U.S.Government Standard Tests. . ©The above wiring specifications are in accordance with National Electrical Code,however,installations must comply with local codes. Mechanical Specifications NATURAIL GAS MODELS—Central heat- BURNERS — Multi-port, in-shot burners STYLING — Heavy gauge steel and ing furnace designs are certified to ANSI will give years of quiet and efficient service. "wraparound" cabinet construction is Z21.47/CSA 2.3 for both natural and L.P. All models can be converted to L.P. gas used in the cabinet with baked-on enamel gas. Limit setting and rating data were without changing burners. finish for strength and beauty.The heat ex- established and approved under standard INTEGRATED SYSTEM CONTROL— changer section of the cabinet is completely rating conditions using American National lined with foil-faced fiberglass insulation. Standards Institute standards. Exclusively designed operational program This results in quiet and efficient operation provides total control of furnace limit sen- due to the excellent acoustical and insulat- SAFE OPERATION — The Integrated sors,blowers,gas valve,flame control and ing qualities of fiberglass. System Control has solid state devices, includes self diagnostics for ease of service. which continuously monitor for presence The built-in,selectable"Cooling Fan Off" FEATURES AND GENERAL OPERA- of flame,when the system is in the heat- feature provides time-delay capability like TION—These High Efficiency,Direct Vent, ing mode of operation. Slow opening, a BAY24XO45 Time-Delay Kit for cooling Condensing Gas Furnaces employ a Hot dual solenoid combination gas valve and operation.Also contains connection points Surface Ignition system,which eliminates regulator provide extra safety and quieter for E.A.C./humidifier. the waste of a constantly burning pilot. operation. They are convertible for HORIZONTAL AIR DELIVERY—The multispeed,dlrect- QUICK HEATING—Durable,cycle tested, drive blower motor, with sufficient airflow use by rotating the unit to its left side. The heavy gauge aluminized steel heat ex- range for most heating and cooling require- integrated system control lights the main changer and stainless steel secondary ments,will switch from heating to cooling burners upon a demand for heat from the heat exchanger quickly transfer over 90% speeds on demand from room thermostat. room thermostat. Complete front service of the heat to provide warm conditioned The blower door safety switch will prevent access. air to the structure. Low energy power or terminate furnace operation when the a. Low energy power venter. vent blower, to increase efficiency and blower door is removed. (Fan relay and b. Vent proving differential switch. provide a positive discharge of gas fumes 35VA control transformer is standard). to the outside. American Standard Heating&Air Conditioning has a policy of continuous product and product data improve- Library Unitary ment and it reserves the right to change specifications and design without notice. Product Section Furnaces Product Furnace `NSERtE� Model AUC1 Literature Type Specification American Standard TOUS SequenceHeating&Air Conditioning Date 07/11 Tyler,TX 75711 C6200 Troup HighwayFile No. AUClC100-SPEC-1B www.americanstandardair.com CisTESupersedes AUC1C100-SPEC-1A