HomeMy WebLinkAbout43177-Z gUFF04C' Town of Southold
off. oG; 10/31/2018
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41011 Date: 10/31/2018
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1245 Jackson St.,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-940
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/30/2018 pursuant to which Building Permit No. 43177 dated 10/30/2018
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:
"as built"window replacement and gas furnace conversion to existing one family dwelling as applied for.
The certificate is issued to Tovar,Gabriela&Jackson Street Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
00 h rized Signature
gaFFo�,r�. TOWN OF SOUTHOLD
job oyy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
• 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#: 43177 Date: 10/30/2018
Permission is hereby granted to:
Tovar, Gabriela
PO BOX 3
New Suffolk, NY 11956
To: legalize "as built" window replacement and gas furnace conversion to existing
single-family dwelling as applied for.
At premises located at:
1245 Jackson St., New Suffolk
SCTM #473889
Sec/Block/Lot# 117.-9-10
Pursuant to application dated 10/30/2018 and approved by the Building Inspector.
To expire on 4/30/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
(h 1-11,
pector
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
Date.
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: L 5 JJ n C k_sc)n 5+
House No. Street Hamlet
Owner or Owners of Property: 0 V 0-_91
SuffolkCounty Tax Map No 1000, Section I'I Block Lot 10
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate: (check one)
Fee Submitted: $ y
p icant Signature
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 i Suryey'
South oldtownny.gov PERMIT NO. I Check
Septic Form
N.Y.S.,D.E.C.•
Trustees
M C.O.Application
20 D �/
Examined DD
Flood PermitSingle&Separate
OCT 3 0 2018 Tru ss1dentifzcationF.orm
Storm-Wat6r Assessment Form
4pproved 20<� _JJ SU1 LDING DEPT° Contact:
TOWN OF SOUTHOLD :_Gaab
Disapproved a/c
Expiration 20
Bui g nape r
APPLICATION FOR BUILDING PERMIT
.Date ��� -- �— � , 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•zonm' g 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, anew,permit shall be required. .
APPLICATION IS HEREBY-MADE to the<Building,I]epartmgt-for tho'issuance df 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.
In 0
(Signature of appli nt 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
(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 proposed work will be d ne:
House Number Street Hamlet, C s
County Tax Map No. 1000 Section" `� Block r "•j • Lot
v uvea•avav —-���'�•�"�' � "
I
2. State existing use and occupancy of premises and intende e and occupancy of proposed construction:
a. Existing use and occupancy ,t L
b. Intended use and occupancy , _)ag
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolitionter o w;,n�ows �'�,n Kind
-, qas Convu,-',�Description)
Estimated Cost
a s g' A (T6be paiclon filing this application)
If dwelling, number of dwelling units '.u± er of dwelling units ori each floor
If garage, number of cars
If business, commercial or mixed 6ccupancy, specify nature and-extent of,each type of use.
-7/K 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
X Dimensions of entire new construction: Front Rear Depth
Height Number of Stories.
Size of lot: Front _ Rear Depth
i Date of Purchase Name of Former Owner
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 thisrope�Y within 100 feet of a tidal wetland or a freshwater-wetland? *YES NO
p
* IF YES, SOUTHOLD TOWN TRUSTEES'& D.E.C:PERMITS MAY Ei�MUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES N0�_
* 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 N0:7on 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 OFSAIK
(!.A �j CEJ' being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Q
( ontractor,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
30 day of 20
H CEY L.DWYER
NOTARY PUBLIC,STATE OF NEW YO K
Wn 01 DW6306900
Nota_r3Uublic QUALIFIED IN SUFFOLK CUU Signature of Apt
COMMISSION EXPIRES JUNE 30,
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INSTALLATION INSTRUCTIONS Table 1 Required floor opening: (DOWNFLOW)
• CABINET RETURN FLOOR OPENING PLENUM OPENING
WIDTH DUCT WIDTH "A" "B" I.C. "D"
FIRE HAZARD.DO NOT INSTALL THE FURNACE DIRECTLY 17-1/2" 16-1/4" 16-5/8" 20-1/8" 15-5/8" 19-3/8"
ON CARPETING,TILE OR OTHER COMBUSTIBLE MATE- 21" 19-3/4" 20-1/8" 20-1/8" 19-1/8" 19-3/8"
RIAL OTHER THAN WOOD FLOORING.FOR VERTICAL 24 1/2" 23-1/4" 23-5/8° 20-1/8". 22-5/8" 19g
DOWNFLOW APPLICATION,SUBBASE(BAYBASE205)
MUST BE USED BETWEEN THE FURNACE AND COMBUS-
TIBLE FLOORING.WHEN THE DOWNFLOW FURNACE IS r
INSTALLED VERTICALLY WITH A CASED COIL,A SUB-
BASE IS NOT REQUIRED. I A(width)
The bottom panel of the upflow furnace must be removed for FURNACE I B(depth) I
bottom return air. I
14 FRONT D
Remove the filter and lay the furnace on its back.Remove the
two 5/16"hex screws securing the bottom front channel to the —C I
cabinet.Lower the front edge of the bottom front channel and
pull forward to remove the channel.The bottom return air 177711771117
panel will now easily slide out of the cabinet.Reinstall the Figure 6
bottom front channel and filter for upflow bottom return
installations. HORIZONTAL INSTALLATION
UPFLOW INSTALLATION The coil and Furnace must be fully supported when used in
Standoffs and screws(See Figure 4)are included with the the horizontal position: It is always recommended that an
cased coils for attachment to the Furnace. There are clear- auxiliary drain pan be installed under a horizontally in-
ance alignment holes near the bottom of the coil wrapper. stalled evaporator coil or 90%Gas Furnace. Connect the
Drill screws are used to engage the Furnace top flanges. The auxiliary drain line to a separate drain line(no trap is needed
standoff is inserted into the cabinet alignment hole. The drill in this line).
screws are inserted through the standoffs then screwed into Three brackets(with screws)are included with downflow
the Furnace flange. The coil is always placed downstream of furnaces for installtion to stabilize and secure the 2/4TXC
the Furnace airflow. The above instructions apply 1 only if the cased coil in the horizontal position. See Figure 8.coil is on top of an upflow Furnace The cased coil is secured to the Furnace.The brackets mount
using the rear screws on the coil case.Use the screws provided
FOR VERTICAL to secure the bracket to the Furnace. The remaining bracket
is placed as close to horizontal center as possible between the
eqS I coil and the Furnace,converted to horizontal,aligns and
E
COIL I STANDOFFS(4) DRILL SCREWS(4) attaches to the TXC coil.
The Furnace and the cased coil must be properly supported.
The Furnace may be installed in an attic or crawl space in the
horizontal position by placing the Furnace on the left side(as
It viewed from the front in the vertical position). The horizontal
SCREWS Furnace installation in an attic should be on a service
/ ® (°OT"DESI
L�w platform large enough to allow for proper clearances on•all
It STANDOFFS sides and service access to the front of the Furnace(See
f
IDoniSCES) Figure 6&Table 1). Line contact is only permissible between
Figure 4 lines formed by intersections of the top and two sides of the
furnace casing and building joists,studs,or framing.
DOWNFLOW INSTALLATION The Furnace may be placed horizontally in a crawl space on a
CASmErSWE CABWEMOE pad or other noncombustible material which will raise the
SUS-H ISE SUDsASE
PLANCE FLANGE unit for sufficient protection from moisture.
(SENT SE (— 5u°ASE The Furnace must be supported at both ends and the
SUB•6ASE
wsuuTau middle when installed horizontally. The Furnace must
PLEllUY also be elevated approximately 4-6 inches to allow
°°`r --_ clearance for the condensate drain to exit the cabinet in
the horizontal position.
FLDo"
Figure 5
Table 2
MINIMUM CLEARANCE FROM COMBUSTIBLE MATERIALS FOR' IMPORTANT.
UPFLOW/HORIZONTAL AND DOWNFLOW/HORIZONTAL FURNACES The 2(47XC cased coil must
UNIT LOCATION be placed downstream of the
FURNACE SURFACE VERTICAL HORIZONTAL HORIZONTAL furnace. In horizontal instal-
CLOSET CLOSET ALCOVE/ATTIC lations, the apex of the coil
SIDES 0" 1"1. 1" 1•"
3" 66" may point either toward or
TOP 1'
BACK awayfrom the furnace. See
FRONT 3° 3" 1B- the 214TXC coil Installer's
VENT 0" 0. 0" Guide for more details.
NOTE: CLEARANCE REQUIRED AT TOP OF PLENUM IS 1"
8 18-CD261)1-13
Installer's Guide
The horizontal Furnace may also be suspended from the
joists using all-thread rods with a substantial metal support Table 3
'3 frame that supports the entire length of the furnace. The FINPUTRATING
M AREA IN SQUARE FEET
rods need to be of sufficient length to allow for proper clear- NFINED SPACE INSTALLATIONS
antes from combustible materials. The frame needs to be at WITH 8 FT.CEILING
least 32"in length to allow for access to service panels. H MINIMUM AREA IN SQUARE
If the Furnace is suspended using steel strap,it must be FEET OF UNCONFINED SPACE
supported at all four corners and in the middle at the front of 60,000 375
80,000 500
the Furnace.
100,000 625
120,000 750
140,000 1 875
s .J; `s' `;' Unconfined space is defined in Table 3 and Figure 9. These
1: spaces may have adequate air by infiltration to provide air
for combustion,ventilation,and dilution of flue gases.
Buildings with tight construction(for example,weather
UPFLOW/ stepping,heavily insulated,caulked,vapor barrier,etc.),may
HORIZONTAL need additional air provided as described for confined space.
"y SHOWN WITH
DIRECT VENT LA11 air from inside the buildinas in F�
gore 11:The con-
9 fined space shall be provided with two permanent
Figure 7 openings communicating directly with an additional
room(s)of sufficient volume so that the combined volume
CASED COIL CONNECTIONof all spaces meets the criteria for an unconfined space.
BRACKET FOR DOWNFLOW 0 (o The total input of all gas utilization equipment installed
FURNACE IN HORIZONTALo in the combined space shall be considered in making this
DOWNFLOW ONL Y o(1 determination. Refer to Table 4,for minimum open
Lr areas required.
Figure 8 2. All air from outdoors as in Figure 12:The confined space
shall be provided with two permanent openings,one
AIR FOR COMBUSTION AND VENTILATION commencing within 12 inches of the top and one com-
The following warning complies with State of califomia law,Proposition 65. mencing within 12 inches of the bottom of the enclosure.
rl! WARNING The openings shall communicate directly,or by ducts,
with the outdoors or spaces(crawl or attic)that freely
HAZARDOUS GASESI communicate with the outdoors. Refer to Table 4,for
EXPOSURE TO FUEL SUBSTANCES OR BY-PRODUCTS minimum open areas required.
OF INCOMPLETE FUEL COMBUSTION IS BELIEVED BY
THE STATE OF CALIFORNIA TO CAUSE CANCER, CONFINED
BIRTH DEFECTS,OR OTHER REPRODUCTIVE HARM. LESS THAN 50 CU.FT. Eii
ACE
Adequate flow of combustion and ventilating air must not be PER 1000 BTU/HR.INPUT
obstructed from reaching the Furnace. Air openings provided ALL EQUIP INSTALLED
in the Furnace casing must be kept free of obstructions which Fi ure 10
restrict the flow of air. Airflow restrictions affect the efficiency
and safe operation of the Furnace. Keep this in mind should Table 4
you choose to remodel or change the area which contains your MINIMUM FREE AREA IN SQUARE INCHES
Furnace. Furnaces must have a free flow of air for proper EACH OPENING(FURNACE ONLY)
peri'mmiance. Furnace
Pm ns for combustion and ventilation air shall be madeMaximum Air Air From Outside
in amudance with"latest edition"of Section 5.3,Air for BTUH/INPUT From Vertical Horizontal
Cbmbiistion Rating Inside Duct Duct
and Ventilation,of the National Fuel Gas Code,
A'�&1,or Sections 7.2,7.3 or 7.4 of CSA B149.1 60,000 100 15 30
Codes,and applicable provisions of the local 80,000 100 20 40
bK9Twgmss. Special conditions created by mechanical 100,000 100 25 50
of air and fireplaces must be considered to avoid 120'000 120 30 60
Furnace operation.
140,000 140 35 70
Confined spaces are installations with less than 50 cu.ft.of
WCONFINED space per 1000 BTU/hr input from all equipment installed.
Confined space is defined in Figure 10. Air for combustion
WCtL FT.OR MORE N� and ventilation requirements can be supplied from inside the
PER MW W
BTHR.INPUT building as in Figure 11 or from the outdoors,as in Figure 12.
ALLISINV.OWALLED
WATrn u�„ 3. The following types of installations will require use of
`°A"A""`AM oAT� OUTDOOR AIR for combustion,due to chemical
0 •
exposures:
Figure 9 Commercial buildings
Fvrnaw lomdons may be in a confined space(see Figure 10) Buildings with indoor pools
Cr En mranfined space(See Figure 9). Furnaces installed in commercial laundry rooms
#Furnaces installed in hobby or craft rooms
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COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES'
Z�OStiSDO'U`I''I'C'=H'U' .'• �AS REQUIRED AND CONDITIONS OF
rni iTuni n Trsnini
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OCCUPANCY OR : rii
, �a fre• Sir' 'y»^r :'•'.i°.;f'•
USE IS UNLAWFUL
6�ti� ��•�Y'i �'� h.5
g. ` :Af: WITHOUT CERT"KATE ,R.4.°
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OF OCCUPANCY `A.
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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 CONSTRUCTION ERRORS.
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Ande 'serio ' r�
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SIZING —
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INTERIOR OPTIONS ^
Interior
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4 H ERIOR OPTIONS
Iterior
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SIZING
A GLASS, SUMMARY
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'idth: Height:
N
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4TERIOR OPTIONS
iterior
'hite
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18 - CD26D1 - 13
Avauabte m Fre[rh Canadian(FC)
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Upflow / Horizontal and Downflow / Horizontal,
Gas-Fired, Direct Vent, 2-Stage Condensing
` � ` Furnaces with Variable Speed Inducer
Je t� *UH2B060A9V3VA *UH2C1
OOA9V5VA *Dfi2B080A9V4VA
*UH2B080A9V3VA ----&UH2D120A9V5VA *DH2C100A9V4VA
*UH2B080A9V4VA *DH,2B060A9V3VA *DH2D120A9V5VA
*UH2C100A9V4VA *D;t1Bpg0A9V3VA
'_First letter may be"A"or'r" 'v >
ALL phases of this installation must comply with NATIONAND LOCAL CODES
`tktERrF,�. IMPORTANT—This Document is customer property and is to remain with this unit.
Please return to service information pack upon completion of work. r�
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