HomeMy WebLinkAbout42491-Z ���OgUFfOt,�CpG. Town of Southold 10/15/2018
3 P.O.Box 1179
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53095 Main Rd
oy� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39971 Date: 10/15/2018
THIS CERTIFIES that the building OTHER
Location of Property: Fox Ave.,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 6.4-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/15/2018 pursuant to which Building Permit No. 42491 dated 3/27/2018
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:
OIL TO GAS CONVERSION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Sargent,Thomas&Ijams,Ahison
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42491 08-08-2018
PLUMBERS CERTIFICATION DATED
Auto ' e Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
SOUTHOLD, NY
•fir®ld� �,b0 SS
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#: 42491 Date: 3/27/2018
Permission is hereby granted to:
Sargent, Thomas
25 The Waterway
Wellesley Farms, MA 02181
To: convert oil furnace to gas in existing single-family dwelling as applied for.
At premises located at:
Fox Ave., Fishers Island
SCTM # 473889
Sec/Block/Lot# 6.-1-3.1
Pursuant to application dated 3/15/2018 and approved by the Building Inspector.
To expire on 9/26/2019.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
In pector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT D
TOWN HALL APR 1 7 2018
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY ��j BUR DING DE".
This application must be filled in by typewriter or ink and submitted to the Building Department withOthee owlpjIMOLD
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
Date. a`/ b i //0
New Construction: Old or Pre-existing Building: (check one)
Location of Property: /6- 00 t=c1, Vy-U� jS'� 15 S 1,*1.4G�
House No. Street Hamlet
Owner or Owners of Property: T�� D Im a 5 �lczf Gj gal
Suffolk County Tax Map No 1000, Section 06L 6) 0 Block D U Lot 00-3. /OO
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: f
Request for: Temporary Certificate Final Certificate: (check one) } `
Fee Submitted: $
' r
pplicant Signatur '
Tom's Plumbing and Heating
P.O.Boz 534
Fishers Island,NY 06390
Town of Southold Building Dept.
Town Hal✓
So�1d, NY 11971
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 �� �� roper.richertttown.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Thomas Sargent
Address: Fox Ave City: Fishers Island St: New York Zip: 6390
Budding Permit#. 42949/42491 Section, 6 Block 1 Lot. 31
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: TPI Electric License No: 33396-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat gas Duplec Recpt 43 Ceiling Fixtures 18 HID Fixtures
Service 3 ph Hot Water gas GFCI Recpt 12 Wall Fixtures- 15 Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures 12 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliancesdw Dryer Recpt 30a Emergency Fixtures Time Clocks
Disconnect 200a Switches 39 Twist Lock Exit Fixtures TVSS
Other Equipment Up Grade Electric In House, Building Permit#42949, up grade 200a main service
panel, 1-bath fan,40a oven,7-ARC fault circuit breakers
Notes
Budding Permit#42491,install gas fired furnace in place of original oil burner
Inspector Signature: Date: August 8 2018
i
81-Cert Electrical Compliance Form.xls
411 o�a0f SOUIyo
TOWN OF SOUTHOLD BUILDING DEPT.
`ycou765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] -FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE 08130INSPECTOR
L� ►
�o�aOF SOUlyolo
f TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: 69& •0.
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST) ►=�
H
-------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING& y
PLUMBING
INSULATION PER N.Y:
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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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
,SoutholdTown.NorthForLnet PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
��rJ Flood Permit
Examined � 20A9 D '� Single&Separate
Storm-Water Assessment Form
n MAR 1 5 2018 Contact:
Approved yl Ok I 20_& Mail to: Tom's Plumbing and Heating
Disapproved a/c l ' `'�'� :,�� P.O. Box 534,Fishers Island`NY 06390
TOWN OF S OLD Phone: 860 460 8950
Expiration 20
Build for
APPLICATION FOR BUII,DING PERMIT
Date Jan, 18 ,20 18
INSTRUCTIONS
a.This-application MUST be completely'filled in by�typewriter or in-ink and submitted to the Building Inspector with 4
sets of plang accurate plot plan to scale.Fee according to schedule.
-4;tb-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.
(Signature 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
Plumber
Name of owner of premises Thomps Sargent
(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. 2630-MP
r Electricians License No.
Ether Trade's License No.
1. Location of land on which proposed work will be done:
' 1588 Fox Ave. Fishers Island
House Number Street Hamlet
County Tax Map No. 1000 Section 006.00., Block 01.00 Lot 003.100
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 Alteration
Repair Removal Demolition Other Work convert house from oil fumace to gas Install
2 IBC Airhandler for residential use.(Description)
4. Estimated Cost 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 NO Will 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 OFS Fv4,44' )
Thomas G. Ravino being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Caro��Aerc
(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.
Sworn to before me this ,
day of �%bqq 26
$Ioi
ary Public _ > Signature of Applicant
461 /- S
161( ce-
APPROVED AS NOTED
DATE:4b�`1 B.P.# ELECTRICAL
FEE:-96b BY: AD INSPECTION REQUIRED
NOTIFY BUILDING DEPAR NT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK ,STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
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OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIf= `
OF OCCUPANCY
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With Supply and - y
• Return connections on both sides of the boiler
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our installation can't get any easier. Use the left side,the right ' 4-___
side or-both...the choice is yours. si _ 1n';°T-
New Touch Screen Boiler Controller � - .<- --y_•,_ `�� __-__- _=
Express set
p up-Remote monitoring 8 diagnostics
S 1fEAR LIMITED MANUFA"C�_TyUREEas USB programmability-True native BACnet ,_c r
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Intuitive
alert system _ _ 4Y}
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Easyhomeowner DFiW temp adjust
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M LTIPLE' NEPUMPCONTROL+°'" 21'�``-' �
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Now featuring multiple zone pump control - up to 4 zones _ _ _ __ fY`f-
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replacing the need for external pump controls. � `'$ '=' ' _
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MOISTtIRE=FF;EFZON _ - "'""="'_:1 �,- .=7C✓r -x _
• MFZ Technology: Patented moisture management system. ''s, MANAGEMENT TECHNOLOGY
Protects and ensures long life for all components in the boiler. k wu= ,_ sW."tum R 20111;�gs� _
Connect our IBC t yv3=
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• y I Indirect Water Tank directly to the boiler Eta
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without a rima loo +'" sY
• Turndown ratio of 5.75:1 means you have the power to heat s� sr: Lw#�- _
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our home in the coldest weather yet reduce short cycling
when the weather is mild.
• Built-in outdoor reset control of water temperature.
o Better efficiency 95%AFUE.
o Very low water side and combustion side pressure drops. pC As
• Left and right clearance as low as 1". °�V. ME
Intertek x
Limited lifetime residential heat exchanger warranty.
See website for details.
Better Installation Flexibility
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Better Boilers BOILER
doors,windows,exhaust fans,fireplace dampers and any other gas-burning
appliance to their previous conditions of use.
• Any improper operation of the common venting system should be corrected
-- -- - - - — -- - - - -so the=installation ca-nfdrrns-- I ttf (�ati6nal Ftael Cas code;ANSI=X223:1 - -
latest edition. In Canada, all installations must conform with the current CAN/
CGA-B149.1-10 Installation Code and/or local codes.
1.4.1 Applications
_ All SL series boilers are approved with alternative venting options: either 2-pipe _
Direct Vent or Vent pipe with Indoor Air can be used offering flexibility to meet the
specific requirements of the installation.With the Direct Vent case, combustion
air is piped directly to the boiler's air intake from outdoors (see Section 9.4.7
for air intake piping requirements). Using the indoor air alternative,air for
combustion is drawn from the indoor air surrounding the boiler.
Provided the maximum overall vent length limit is not exceeded,the installer may
choose to vent the boiler through the wall, directly through the roof or upward
using an existing-but otherwise unused-chimney as a vent raceway.
A 1.4.2 Exhaust Vent Material
Covering non-metallic vent EXHAUST VENT MATERIAL-CANADA
pipe and fittings with thermal Only CPVC or Polypropylene (PPs)vent component systems approved under
insulation shall be prohibited. ULC-S636 Standard for Type BH Gas Venting Systems,or stainless steel Type
BH venting systems*are to be used. Permitted PPs materials comprise Single
Wall Rigid pipe and fittings and Flexible. Ensure compliance with exhaust
temperature limitations for the respective materials,which typically are:
• ULC-S636 CPVC: 90*C(194*F)
• ULC-S636 PPs:-110*C(230°F)
For long vent runs with higher initial exhaust temperature,some jurisdictions may
allow the use of mixed materials for economy: CPVC for the initial run followed by
ULC-S636 approved PVC to the termination (It is the responsibility of the Installer
to confirm that local codes will allow this option). Ensure appropriate transition
glue is used.The installer is responsible to ensure that sufficient temperature
loss is allowed for in the CPVC section to fall below the 65'C (149'F )upper limit
for PVC,taking into account the highest possible ambient temperature in the area
of vent travel (e.g. boiler room, attic and/or chase).
EXHAUST VENT MATERIAL-USA
IBC strongly recommends that only CPVC or PPs vent component systems
approved under UL1738(Standard for Venting Systems for Gas Burning
Appliances, Categories 11, 111 and IV), ULC-S636 Standard for Type BH Gas
Venting Systems,or stainless steel Type BH venting systems*are to be used,
but many local jurisdictions in the USA still allow the use of PVC(Sch.40 ASTM
D1785 or D2665 and fittings)or CPVC (Sch.40/ASTM F441 with Sch. 80
fittings); or CSA approved 2"or 3"stainless vent systems.
Do not use ABS or any cellular core pipe for exhaust venting.
Use of cellular core PVC(ASTM F891), cellular core CPVC, or Radel®
(polyphenolsulfone)in venting systems shall be prohibited.
The boiler offers 3"venting connections. Fittings are to be used to adapt to the
appropriate diameter(see Vent Travel below).There are two stainless steel,
gasketed fittings on the top of the boiler. Exhaust venting is to be inserted directly
into the 3"female stainless steel fitting on the left(see Figure 3).
For PPs material, use the 3"transition/adaptor fitting (Sch 40 to PPs)offered
INSTALLATION
E 'r
Better Boilers • ° • ° '96WER
1 by the respective PPs manufacturers Centrotherm/ InnoflueTM (their part
#ISAA0303), M&G Dura Vent/PolyPro (#3PPS-AD)or Z-Flex/Z-DENS
Do not mix venting materials (#2ZDCPVCG3). For 2"venting, use Innoflue part#ISRD0302, PolyPro#
---=from=different=Manufacturers.--- -3P-PS=R2-within-the=PP - i in after-ada tin'-with=#3PP-S�AD=ori DENS- ----- __
f spp g, p 9 - -
#2ZDR32 (within the PPs piping, after adapting with#2ZDCPVCG3). For
These venting materials are PPs material exposed to outdoor weather,follow the venting suppliers'
designed to be installed as recommendations on UV protection.
part of a complete system.
Combustion air piping-if used-is inserted directly into the 3"female stainless
Failure to comply may result steel fitting on the right(see Section 9.4.7).
- in severe-personal injury or- --- -- - ----- --
death. Venting shall be supported in accordance with applicable code.
*Manufacturers of stainless steel Type BH venting systems must submit
their approved transition fitting to IBC for evaluation and written approval.
1.4.3 Vent Travel
CPVC or PPs (Rigid Single Wall) piping is the standard venting option;with this,
the SL 28-160 boiler,for example, can be sited up to 35 equivalent`feet from the
vent termination using 2"or up to 170' using 3".The actual vent travel allowance
is reduced for fittings in accordance with Table 3.-e.g.for an SL 28-160 using 6
x 90°CPVC elbows,the maximum lineal measure of pipe allowed using 3" pipe is
122 feet(170'-(6 x 8'=48)= 122').
For 3"flexible PPs, up to 98 actual lineal feet are allowed in a nominally vertical
orientation (>450). The equivalent length of 3"flex PPs shall be computed
using a multiple of 2:1, eg.45'x 2=90'equivalent.With 45'of 3"flex, up to 116'
equivalent of 3" rigid PPs would still be allowed.2"flexible PPs is not allowed.
MAXIMUIIA' ;WQUIVALEUT PT
rA ,ry,ei S
_x a<=k44"..y':"G„�vmss.",..,;;•f
ax i.1 3" 170'
p�'.v 90° long sweep elbow allow 5'equivalent
w #�•'`"'" ;r. ''. , 90 vent elbow allow 8 equivalent
z .
- `-" - _ 45° elbow '
n allow 3 equivalent
elbows PPs 87-90° '
o use 8 e uivalent
3”Stainless Sidewall Terminal
allow 20,equivalent of 3 Sched.40
IBC P/N 180-149
_
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Table 3:Maximum exhaust venting length.
Note: Unused intake travel cannot be added to the exhaust. Unequal intake
and exhaust piping is allowed (see Section 9.4.8).
Exhaust venting must slope down towards the boiler with a pitch of at least 1/4"
1 per foot(PPs vent:follow PPs manufacturer requirements)so condensate runs
back towards the trap. Support should be provided for intake and vent piping,
Fully insert the approved particularly so for horizontal runs (follow local code). Insulate exhaust piping
venting material into the boilers where it passes through unheated spaces or underground,with appropriate pipe
exhaust outlet and tighten insulation to prevent freezing of condensates.
clamp to ensure the venting Certain installations of the 28-160 model can employ the 2"vent options. We
connection is locked in place, caution installers when using horizontal runs of 2"pipe. Reason:air friction from the
INSTALLATION AMD OPERATION INSTRUCTIONS
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