HomeMy WebLinkAbout43144-Z guFFOL preoG Town of Southold 5/1/2019
g P.O.Box 1179
co 53095 Main Rd
X41, p�r ' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40353 Date: 5/1/2019
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 675 Hill Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 70.4-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/4/2018 pursuant to which Building Permit No. 43144 dated 10/16/2018
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:
BASEMENT ALTERED TO LIVING SPACE WITH HALF BATHROOM IN AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR
The certificate is issued to Rigas, George&Maria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43144 04-09-2019
PLUMBERS CERTIFICATION DATED 04-09-2019 H y Plumb' g
Au h ed Signature
�SOFocK TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o . 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#: 43144 Date: 10/16/2018
Permission is hereby granted to:
Rigas, George
8313 11 th Ave
Brooklyn, NY 11228
To: alter basement into living area to existing single-family dwelling as applied for.
At premises located at:
675 Hill Rd., Southold
SCTM # 473889
Sec/Block/Lot# 70.4-28
Pursuant to application dated 10/4/2018 and approved by the Building Inspector.
To expire on 4/16/2020.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $674.00
CO -ADDITION TO DWELLING $50.00
Total: $724.00
uil nspector
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. �L ey� 1-7. 2,P
New Construction: Old or Pre-existing Building: (check one)
-' „II M1
Location of Property: �j�� 7ti 1 1 ” � l�
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block A j Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: — 1C0 -- DO jj Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: IJ (check one)
Fee Submitted: $
Applicant Signature
oF soUl�®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road cs� Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 � � �® roger.richertCa�town.southold.ny.us
®UNN9
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: George Rigas
Address: 675 Hill Rd City: Southold St: New York Zip: 11971
Building Permit# 43144 Section: 70 Block- 4 Lot: 28
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Messina Electric License No: 43108-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 26 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 12 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 59 CO Detectors
Sub Panel 80a A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt30a Emergency Fixtures Time Clocks
Disconnect Switches F310 Twist Lock Exit Fixtures 11 TVSs
Other Equipment: 30 feet of shelf lighting, 6-ARC fault circuit breakers
Notes:
Inspector Signature: Date: April 9 2019
81-Cert Electrical Compliance Form.xls
so
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959
L
BUILDING DEPARTMENT APR 2 3 2019
TOWN OF SOUTHOLD
T3.1
C wN 0Y SOUTEC'; -
CERTIFICATION
Date:
Building Permit No. �
Owner:
j ease prin
Plumber: -kL( Y& ► VLC [ �� �'
lease print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signature)
Sworn to before me this
day of 14 vX 1 , 20
Notary Public, '�A�fk County
Dcf�'.I�3E J PE?.l::_,-v
Notary Pul;l,C,State of ry forli
No 01PE61200,15
Qualified in SLrrioi�-Coar?t
Term E pines!ebruany
�2,20 ,3 Z
/ • �� S
pF OUTyO�
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLSG.
[ ] 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:
iv\q 4 1 vreab_
DATEw,v INSPECTOR)I
pF SOUIyOIo
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
K ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTORS
a -
q�j
qq
a0F SOUTH
# # TOWN OF SOUTHOLD BUILDING DEPT.
couto, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIR FETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ IRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) , [ ] EL CTRICAL (FINAL)
[ ] CODE VIOLATION [ HULKING
REMARKS:
--p I"
DATE INSPECTOR
�o� olo
so
TOWN OF SOUTHOLD BUILDING DEPT.
`ycnurm��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] ULATION
FRAMING /STRAPPING FIINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
ffli 5 - 6) 9".1c.000,
A)
(C� .
DATE INSPECTOR
q SOUIyo�
* TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
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:
DATE INSPECTOR
Rocket Insulation,LLC(367) Job Number: 4142164
65,Air Park Drive
r r. A
9yite B
RONKONKOMA,NY 11779
Insulation Certificate
Insulation is installed in the structure described below as follows:
Work Area Item Installed Bags / Sq Feet
Basement Ceiling 2 5#3"x 16"x 48" Rockwool Batts SAFB
8.4'x 200'SC15100C 1.5MIL Poly
Fire Caulking Intumescent 814, Rockwool FPBOSS10-INT BOSS 814 Firestop
Intumescent
Fire Caulking Intumescent 814, Rockwool FPBOSS10-INT BOSS 814 Firestop
Intumescent
Interior Common Wall R-11 15"x 93"-Unfaced-Wood Framing
Interior Corrimon Wail R-15 15"x 47"UltraBatt
SWD Quik-Shield 112 Closed-Cell 2"R-13 00
SWD Quik-Shield 112 Closed-Cell 2"R-13 00
Wine Room Ceiling SWD Quik-Shield 112 Closed-Cell 3"R-20.00
'Fiberglass blow has no settling factor for R-values
Job Name, 675 Hill Rd W,Southold,NY 11971
Job Address 675 Hill Rd W
SOUTHOLD,NY 11971
Date Completed:
Insulation By:
DD
�- APR 2 3 2019
TOWN CF S0117j 'iu'LL
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(IST)
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INSULATION PER N.Y: 1 � 1 J y
STATE ENERGY CODE
FINAL ?�
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ADDITIO AL 90MMNTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
'OWN HALL Board of Health
9OUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 t L zf Survey
Southoldtownny.gov PERMIT NO. [ Check
Septic Form
MY S.D.E C
Trustees
C Application
f j �•
Flood Permit
Examined r/ 2 Single&Separate
DID,
Truss Identification Form
OCT ® 4 201 Storm-Water Assessment Form
f n Contact: ' r
Approved 20 ail to i�alf+k 114( 4
Disapproved a/c �a����``JQa� 14L'k, KL-,
cia
Phone. 119171"
Expiration i 14 QkV
B 'ld pe or
APPLICATION FOR BUILDING PERMIT CC II DD
Date--*--bly l ,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.
(Signature of applicant or name,if a corporation)
(Mailing address of applica
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
• �y��c�G,t, ��n`�bQ G�`l�
Name of owner of premises L i D raL, CI&A Qg
( n the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate offic r)
Builders License No. 4�p-1
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of Ian on which proposed work will be done:
it VY ko
House Number Street Hamlet C�
County Tax Map No. 1000 Section D Block_ 4 Lot "-'y
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 51' Jli `t-4,i01U 99([DvNI
b. Intended use and occupancy� 4a,-, cw UL D•�►C�
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other WorkA�QS�v►L r aish
(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 "r r f D N43; l�C�
11.Zone or use district in which premises are situated /
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO V
13.Will lot be re-graded?YES_NOZWill excess fill be removed from premises?YES_NO
14.Names of Owner of premises 16 LAY ddress '761 (( 604one No. I k41,
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 OFA
C�t- k-, �e WlQI1rL N!r� being duly sworn,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
Swom ),e me t i
ay of 20_ r
LORETTA LAME _
Mete of New Notary lic ##01LA8179883 Signature o pplicant
Qualified in Suffolk County
Term Expires December 31,20 �
A!i'„"..�. -.... -. <... - -ern. .-.r.-,.w, ._._ .,. .._ ., - .' _. -' __ _ ._ ._ ix-..,..-. ...r,.+. "..+:r;;s•-r. ... gar:. a-ry.M
UILDING DEPARTMENT-Electrical Inspector
o D
TOWN OF 50UTHOLD
awn Hall Annex- 54375 Main Road-PO Box 1179
Southold, New York 11971-0959
Telephone(831) 7e5-i 802- FAX(831) 765-9502
O roper.richertD-town.southoid:ny.us
ION FOR ELECTRICAL INSPECTION
f
FtEOUESTED BY: lc,.,A—tT= 4ej4,& nKA,uA-- Date:
Compahy-Name: v
a Name: Aa
License No.: Z)lo g email: jmers etias ,I.
Address: D t�f�i 1 4•
Phone No.: p
JOB SRE INFORMATION: (Ail Information Required)
Name: �i It v�lcJ
Address:
Cross Street q/J
Phone No.: lzl-u34 --��-P�
BIdg.Permlt#: 4 email: i , Gorr
Tax Mop District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: . d�bs NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Tomp Information: (AII Information required)
Service Size i Ph 3 Ph Slze. A #Meters Old Meter#
New Service-Fire Reconnect-Flood Reconnect-Service Reconnected-Underground-Overhead
Underground Laterals i - 2 H Frame Pole Work done on Service? Y N
Additional Informatlon:
PAYMENT DUE WITH APPLICATIQN
82-Request Im Mspecdon Fwm.As
a
Septemlie�• 17;2018; i
George J gas
-675 dill Rd:
`Southold',,,NY 119,71
Tpwmq,f S,,outh'dld
BifildingDep'aftmOdt
SQuflial'd;:NY: 11`971'
R,16ase.�Allow this letter to be my-authorizafion,for HEIMMANN,&SQN9,- INC to,be
the bffci*-aTdg6ht,,f6f, afl;mg,60ts,refat'fng,,',t6,hAi§h'in&tlIi&,basdiTi6iit,6t,67-5-.',Hill Rd.,
80tithol4,NY.
Thank,yqq,
George.R
Subscribed IN -d f8
"ea "ay
EU ES S ARO
tary' ti i,'te.,df,, eiWyork,
Qu 1 0
Comm
Qu I mt y
My'CO' 1 S106 k ires
New York State Insurance Fund
Workers'Compensation&Disability Benefits Specialists Since 1914
8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
❑� f Y
^^^^^^ 263528632
HEIDTMANN&SONS INC
PO BOX 932 '
CUTCHOGUE NY 11935
SCAN TO VALIDATE .
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
HEIDTMANN&SONS INC TOWN OF SOUTHOLD
PO BOX 932 P.O. BOX 1179
CUTCHOGUE NY 11935 SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
12206943-9 8003 05/03/2018 TO 05/03/2019 9/17/2018
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2206 943-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
GLENN F HEIDTMANN JR,PRES&
JEFFREY W HEIDTMANN,VP
OF HEIDTMANN&SONS INC
(TWO PERSON CORP)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
J,
DIRECTOR,
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER:55147663
U-26.3
SCDHS REF #RIO-16-0058 SURVEY OF PROPERTY
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
�p010 AC 1000-70-04-28
°wA>�1 SCALE. 1=30
�Ir / NOVEMBER 13, 2015
JAN. 22, 2016(WETLANDS FLAGS)
FE9.2, 2016(PROP. HSE.)
APRIL 18, 2016(RENSION)
kDa' MAY 20, 2016(REVISION)
AUGUST 4, 2016(REVISIONS)
OCT. 12, 2016(PROP. POOL)
DECEMBER 27, 2016 (STAKES)
483' e ss YPOB4G Wq �O uC W47�j FEBRUARY 13, 2017(FND. 1OCA77ON)
a SD N slq Cq� MARCH 24, 2017(PROP. ADD1770N)
SEPTEMBER 25, 2017(FINAL)
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EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2 ALL CER77FICA77ONS AREA= 20,384 S0. FT (631) 765-5020 FAX(631) 765-7797
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF TO TIE LINE P 0. BOX 909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON 1230 TRAVELER STREET
SOUTHOLD, N.Y. 11971 15-212
REScheck Software Version 4.6.3
5
Compliance Certificate
Project 675 Hill Road
Energy Code: 2015 IECC
Location: Southold, New York
Construction Type: Single-family
Project Type: New Construction
Orientation: Bldg. faces 0 deg. from North
Conditioned Floor Area: 1,751 ft2
Glazing Area 100%
Climate Zone: 4 (5572 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
675 Hill Road 675 Hill Road John J.Condon, P.E.
Southold, NY Southold, NY Condon Engineering
1755 Sigsbee Road
Mattituck, NY 11952
631-298-1986
condoneng@optonline.net
_ -s:,-s..�a,�; _.rm,,'}.<:'�","'� �"^"'�Pc'�''-. � ;v�.`�-0i; •,""5.{.z' _ i��'sx.'.?�4�,F.�. f ,•U2A,,.,,'��;i"-:��;'•.�„;,_-""#?a _ .
Compliance. 7.7%Better Than Code Maximum UA: 143 Your UA 132 Maximum SHGC: 0.40 Your SHGC: 0.32
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity Cont.
Perimeter
Basement Wall 1:Solid Concrete or Masonry 560 13.0 0.0 0.054 30
Orientation: Front
Wall height: 10.0'
Depth below grade: 9.0'
Insulation depth: 10.0'
Basement Wall 2:Solid Concrete or Masonry 560 13.0 0.0 0.054 29
Orientation: Left side
Wall height: 10.0'
Depth below grade: 9.0'
Insulation depth: 10.0'
Door 1: Solid 24 0.390 9
Orientation: Left side
Basement Wall 3: Solid Concrete or Masonry 560 13.0 0.0 0.054 29
Orientation: Right side
Wall height: 10.0'
Depth below grade: 9.0'
Insulation depth: 10.0'
Window 1:Wood Frame:Double Pane 15 0.340 5
SHGC: 0.32
Orientation: Right side
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 1 of10
Gross Area Cavity Cont.
Perimeter
Basement Wall 4: Solid Concrete or Masonry 560 13.0 0.0 0.054 30
Orientation: Back
Wall height: 10.0'
Depth below grade: 9.0'
Insulation depth: 10.0'
Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in
REScheck Version 4.6.3 and to comply with the mandatory irements listed in the REScheck Inspection Checklist.
Name-Title Date
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 2 of 10
REScheck Software Version 4.6.3
Inspection Checklist
Energy Code: 2015 IECC
Requirements: 0.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section,. Plans Verified Field Verified "'
# Pre-Inspection/Plan•Review Cornp•lies?,, . Commetrts%Assumptions.
& Req.ID- Value Value103.1,
103.2 wdocument�ationon rdemon trate ,.vr,,awins and
❑Complies i
❑Does Not
[PRI]1 !energy code compliance for the
j ;building envelope.Thermal _ - ❑Not Observable ;
Not Applicable
;envelope represented on ;.
❑
jconstruction documents.
103.1, ;Construction drawings and =` ❑Complies
103.2, ;documentation demonstrate ❑Does Not
403.7 !energy code compliance for
[PR3]1 'li htin and mechanicals stems. ❑Not Observable
g 9 y ,.
!Systems serving multiple ;;❑Not Applicable
dwelling units must demonstrate
compliance with the IECC __
;Commercial Provisions. ,
302.1, Heating and cooling equipment is; Heating: ; Heating: ;❑Complies
403.7 ;sized per ACCA Manual S based Btu/hr ; Btu/hr :❑Does Not
[PR2]2 on loads calculated per ACCA
Manual or other methods Cooling: Cooling: ❑Not Observable ;
V approved by the code official. Btu/hr Btu/hr :[]Not Applicable
i
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 3 of 10
Section _ = 'Comment's/Assumptio
plans Verified Field Verified
Complies?•,. ns',
'
Foundation Inspection ;
Value Value
402.1.1 1 Conditioned basement wall R- R- :❑Complies :See the Envelope assemblies
[F04]1 ;insulation R-value.Where interior ;table for values.
insulation is used,verification
R- R-
!insulation
Not
;may need to occur during ;❑Not Observable ;
!Insulation Inspection. Not ;❑Not Applicable
;required in warm-humid locations;
j in Climate Zone 3.
303.2 ;Conditioned basement wall =¢ _ ` -£ = ❑Complies ;
[FO5]1 insulation installed per "' ❑Does Not
:manufacturer's instructions.
v : ❑Not Observable ;
❑Not Applicable
402.2.9 Conditioned basement wall ft ; ft ;❑Complies ;See the Envelope assemblies
[F06]1 ;insulation depth of burial or ;❑Does Not ;table for values.
!distance from top of wall.
U ; ;❑Not Observable ;
1 ; ;❑Not Applicable
303.2.1 A protective covering is installed 'T❑Complies ;
[FO111 to protect exposed exterior ary scr, _ i❑Does Not !
' insulation and extends a '`
[]Not Observable
minimum of 6 in. below grade.
❑Not Applicable !
403.9 Snow-and ice-melting system ' _ ; .__ =4- ❑Complies ;
[FO12]2 controls installed. ,' []Does Not !
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 4 of 10
Section plans Verified Field Verified,
Framing_/Rough-In_Inspection Complies? Comments/Assumptions,"„
&Req.ID Value" ' Value'
402.1.1, ;Door U-factor. ; U- U- ;❑Complies :See the Envelope Assemblies
402.3.4 :❑Does Not table for values.
[FR1]1 Not Observable
! ;❑Not Applicable
402.1.1, ;Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies
402.3.1, average). :❑Does Not ;table for values.
402.3.3,
402.3.6, I ; ;❑Not Observable
402.5 ❑Not Applicable
[FR2]1
303.1.3 ;LI-factors of fenestration products _ ❑Complies ;
[FR4]1 are determined in accordance ❑Does Not
!with the NFRC test procedure or °4
U ;taken from the default table. >> _;•,.. []Not Observable ;
❑Not Applicable
402.4.1.1 ;Air barrier and thermal barrier = ❑Complies ;
[FR23]1 ;installed per manufacturer's ❑Does Not
U instructions. - _ ` ❑Not Observable
—]Not Applicable
402.4.3 (Fenestration that is not site built t " .,F`i ❑Complies ;
[FR20] ,is listed and labeled as meeting ❑Does Not
V AAMA/WDMA/CSA 101/I.S.2/A440 _ 1❑Not Observable
:or has infiltration rates per NFRC
1400 that do not exceed code ❑Not Applicable
!limits.
402.4.5 IC-rated recessed lighting fixtures • Y '❑Complies ;
[FR16]2 sealed at housing/interior finish ;❑Does Not
sand labeled to indicate s2.0 cfm [ _ !
❑Not Observable
leakage at 75 Pa.
r - _ ❑Not Applicable
403.2.1 ;Supply and return ducts in attics "'z s "'`' ❑Complies
[FR12]1 !insulated >=R-8 where duct is :❑Does Not
CID) !>= 3 inches in diameter and >—
R-6 where< 3 inches.Supply and ' ❑Not Observable
return ducts in other portions of ,. : ❑Not Applicable !
;the building insulated >= R-6 for
diameter>= 3 inches and R-4.2 !
ifor< 3 inches in diameter. ;
403.3.3.5 ;Building cavities are not used as f" ;. ;> °$❑Complies ;
[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable
I ❑Not Applicable
403.4 HVAC piping conveying fluids ; R- ; R- ;❑Complies ;
[FR17]2 above 105°F or chilled fluids :❑Does Not
below 55°F are insulated to>—R- !
3 ;pNot Observable ;
❑Not Applicable
403.4.1 ;Protection of insulation on HVAC Y_§ '❑Complies ;
[FR24]1 I piping. ❑Does Not
U =' ❑Not Observable !
❑Not Applicable
403.5.3 #Hot water pipes are insulated to R- R- ;❑Complies
[FR18]? zR-3. ! ! E❑Does Not
V,e ;❑Not Observable
! :❑Not Applicable
403.6 Automatic or gravity dampers are ' ' = " ` - - ❑Complies ;
[FR19]2 installed on all outdoor air _ ❑Does Not
intakes and exhausts. ❑Not Observable
❑Not Applicable
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 5 of 10
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 6 of 10
Section- _' Plans Verified,= Field Verified _
t` #: "` Insulation Inspection': Value Value Complies? Comments%Assumptions;-
&'Req.ID,
303.1 All installed insulation is labeled * ❑Complies ;
f IN13]z or the installed R-values ❑Does Not
provided.
u ❑Not Observable ;
❑Not Applicable
402.1.1, ;Wall insulation R-value. If this is a; R- ; R- ;❑Complies ;See the Envelope Assemblies
402.2.5, !mass wall with at least li4 of the 1❑ Wood 1❑ Wood ![-]Does Not ;table for values.
402.2.6 wall insulation on the wall :❑ Mass :❑ Mass :❑Not Observable
[IN3]1 exterior,the exterior insulation
:E] Steel ;❑ Steel 1❑Not Applicable
J
!requirement applies(FR10). ;
303.2 ;Wall insulation is installed per n, ❑Complies ;
[IN4]1 :manufacturer's instructions. _ ❑Does Not
f` , ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 7 of10
Section .. .. Plans Verified` F.ieidYVe`rifi�d= ' ;;"'..,,
#' Fin"a1. sp,ec"t'" Provisions -Co'mplies? Comments/Assumptions;'.
&°Regal; Value Value
402.2.4 ;Attic access hatch and door ; R- ; R- ;❑Complies ;
[F13]1 insulation >_R-value of the :❑Does Not
!adjacent assembly.
;❑Not Observable ;
j ❑Not Applicable
402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50E]Complies 50= ;❑Complies ;
[FI17]1 lach in Climate Zones 1-2, and :❑Does Not
<=3 ach in Climate Zones 3-8. ❑Not Observable
❑Not Applicable
403.2.3 ;Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies ;
[FI4]1 .cfm/100 ft2 across the system or ft2 ft2 PDoes Not
!<=3 cfm/100 ft2 without air
handler @ 25 Pa.For rough-in 1 :❑Not Observable
;tests,verification may need to ; ❑Not Applicable
!occur during Framing Inspection. I ;
403.3.2 !Ducts are pressure tested to ; cfm/100 cfm/100 ;❑Complies ;
[FI27]1 determine air leakage with I ft2 ft2 :❑Does Not
!either: Rough-in test:Total
!leakage measured with a ;❑Not Observable ;
pressure differential of 0.1 inch f ;[]Not Applicable
lw.g.across the system including
:the manufacturer's air handler ! !
!enclosure if installed at time of
test. Postconstruction test:Total I ;
!leakage measured with a !
;pressure differential of 0.1 inch
;w.g.across the entire system ;
!including the manufacturer's air !
handler enclosure.
403.3.2.1 ;Air handler leakage designated ' ` 'n }❑Complies ;
[FI24]1 by manufacturer at<=2%of ❑
! Does Not !
!design airflow.
❑Not Observable ;
,:=.❑Not Applicable
403.17.1 'Programmable thermostatsFf "='❑Complies
[FI9]2 installed for control of primary '°v, my „P. ❑Does Not
heating and cooling systems and r
initially set by manufacturer to ,I❑Not Observable
code specifications. ❑Not Applicable
S
403.1.2Heat pump thermostat installed F7a:, - ".❑Complies ;
[FI10]2, on heat pumps. < ,};Y = - " ❑Does Not !
❑Not Observable
`_.,E]Not Applicable
403.5:1 Circulating service hot water ` ` ❑Complies ;
[FI11]2 systems have automatic or t` '„' ,. :'❑Does Not !
'accessible manual controls. 3=,:._ `° !
! ❑Not Observable ;
El
Not Applicable !
403.6.1 JAII mechanical ventilation system f ;',a l. F,;; °❑Complies ;
(F125]2 fans not part of tested and listed :rrt z- ❑Does Not !
J HVAC equipment meet efficacy
❑Not Observable
;and airflow limits.
! ❑Not Applicable
403.2 Hot water boilers supplying heat ` :'', nX :,;❑Complies ;
[F1261?' through one-or two-pipe heating ,' `t-` ", ❑Does Not
systems have outdoor setback s s*a !
control to lower boiler water "' ,I❑Not Obseryable ,
temperature based on outdoor _` :u° []Not Applicable
'9
!temperature. ;3F r_4 ;
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3-1 Low Impact(Tier 3)
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 8 of 10
Section Plans Verified ,"Field Verified
# ' Final Inspection Provision'sments/Assumptions,,
,& Req.ID Value
403.5.1.1 Heated water circulation systems ❑Complies
[FI28]2 'have a circulation pump.The -- - ]❑Does Not
system return pipe is a dedicated . _
return pipe or a cold water supply ❑Not Observable
E pipe.Gravity and thermos- =` ❑Not Applicable
syphon circulation systems are y
not present.Controls for )
ti circulating hot water system
pumps start the pump with signal f ¢.
for hot water demand within the
occupancy.Controls
automatically turn off the pump `
when water is in circulation loop `
is at set-point temperature and ;
no demand for hot water exists. -
403.5.1.2_ Electric heat trace systems = -; ❑Complies ;
[F129]2 {comply with IEEE 515.1 or UL '' _ ❑Does Not
515.Controls automatically y ❑Not Observable
adjust the energy input to the =- -
heat tracing to maintain the ' ❑Not Applicable
jdesired water temperature in the
ipiping.
403.5.2 Water distribution systems that = 0Does
Complies
[F130]z have recirculation pumps that "• _ - Not
pump water from a heated water ❑Not Observable
supply pipe back to the heated
water source through a cold " ' ❑Not Applicable
water supply pipe have a
demand recirculation water ;
system. Pumps have controls = ;
that manage operation of the x
pump and limit the temperature t
of the water entering the cold
water piping to 1049F.
403.5.4 Drain water heat recovery units - ` ❑Complies ;
[FI31]2 tested in accordance with CSA e❑Does Not
655.1. Potable water-side -=4`
pressure loss of drain water heat _ ❑Not Observable
i l❑Not Applicable
recovery units< 3 psi for
individual units connected to one
or two showers. Potable water-
side pressure loss of drain water
heat recovery units< 2 psi for
individual units connected to .' 4 . . ��:;�,• ' .. ,
three or more showers. =y
404.1 175%of lamps in permanent - ❑Complies
[F16]1 fixtures or 75%of permanent ❑Does Not
fixtures have high efficacy lamps.
Does nota I to low-voltage
❑Not Observable ,
lighting. apply g .,1❑Not Applicable
404.1.1 iFuel gas lighting systems have ❑Complies
[FI23]3 no continuous pilot light. :❑Does Not
J _ ❑Not Observable
❑Not Applicable
401,3` Compliance certificate posted. ❑Complies
'[F171?, - # []Does Not
❑Not Observable
I ~` ❑Not Applicable
303.3 , ' ;Manufacturer manuals for ❑Complies
[F[18]3 mechanical and water heating --j'3❑Does Not
systems have been provided.
Fs ❑Not Observable ;
_ ]❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 9 of10
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 675 Hill Road Report date: 09/30/18
Data filename: C:\Users\Owner\Favorites\ResChecks\675 Hill Road Rescheck.rck Page 10 of10
2015 IECC Energy
Efficiency Certificate
,Insulation Rating R-Value
Above-Grade Wall 0.00
Below-Grade Wall 13.00
Floor 0.00
Ceiling / Roof 0.00
Ductwork(unconditioned spaces):
Glass D..
Window 0.34 0.32
Door 0.39
Heating ..
Heating System•
Cooling System:
Water Heater:
Name: Date:
Comments
APPRO ED AS NOTED II/I
DATE: _ B.P.# 3I L
FEE: By. PLUMBER CER TIFICATIOiti,
NOTIFY BUILDING DEPARTUENT AT ON LEAD CONTENT BEFORE
765-1802 8 AM TO 4 PM FOR THE CERTIFICATE OF OCCUPANC 5
FOLLOWING INSPECTIONS: SOLDER USED IN WATER
1. FOUNDATION - ,TWC REQUIRED
BUNK FOR POURED CONCRETE SUPI'LYSYSTEM CANNOT
CRAWL SPACE ROOM 3. INSULATION
FRAMING & PLUMBING EXCEED—2110 OF I% LEAD.
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.
Pi- .lMBIIt?r_=.
8' Ai i PLUMBING VVP'S r
M ECH. COMPLY WITH ALL CODES OF &WATER LINES NEED
NEW YORK STATE & TOWN CODES TtS, TIr3G 8EFORE COV-
ROOM AS REQUIRED AND CONDITIONS OF
�(1T 1, 1,T(1�AiAl;
23'-0" '--,
D
PLAY ROOM -
GAS
FIRE PLACE ELECTRICAL
INSPECTION REQUIRED
BUNK OCCUPANCY OR
ROOM USE IS UNLAWFUL
in �66� WITHOUT CERTIFICATE O
CLOSET 0° F OCCUPANCY
�p
U P Egress Window
OUTSIDESTORAGE BATH BUNK tair
ENTRY ROOM °° ROOM ROOM
\\Ren ov ible Steel Grill
MECH
UP CLOSET
=/ I H
ELECTRIC
ROOM
2),q -fvzL�
Finished Cellar Plan
GARAGE
. .: :.�
•�� r : .
tj
v� 5Y6844�
�w�Y
Scale: 1/4" = V-0. Condon Engineering, P.C.
Residence
Plans are prepared by Condon Engineering,P.C. It is a violation of the New York State Education Drawn by : JJC Road
Law,Article 145,Section 7209,for any person unless acting under the direction of a licensed 1755 Si ssbee 675 Hill Road
Professional Engineer,Architect,or Land Surveyor,to alter any item in any way.If an item bearing Mattituck, New York 11952
the seal of an Engineer,Architect,or Land Surveyor is altered,the altering Engineer,Architect,or Date : 9-15-2018 631 298-1986 Southold, New York
Land Surveyor shall affix to the item his/her seal and the notation'Altered by'followed by his/her
signature and the date of such alterations,and a specific description of the alteration.