Loading...
HomeMy WebLinkAbout44004-Z �S�FFDt�c Town of Southold ®� aG 3/13/2020 y P.O.Box 1179 a 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41139 Date: 3/13/2020 THIS CERTIFIES that the building ALTERATION Location of Property: 225 Blossom Ln, Southold SCTM#: 473889 Sec/Block/Lot: 69.-340.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/22/2019 pursuant to which Building Permit No. 44004 dated 7/22/2019 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: ALTERATIONS (FINISH SECOND FLOOR)TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to McKay, Scott&Linda of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44004 07-24-2019 PLUMBERS CERTIFICATION DATED 12-14-2020 ke Bugdin u ho ' e Signature su�Fo TOWN OF SOUTHOLD 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#: 44004 Date: 7/22/2019 Permission is hereby granted to: McKay, Scott 225 Blossom Ln Southold, NY 11971 To: Make alterations (finish for habitable space) to an existing single family dwelling as applied for. Replaces BP# 40403 At premises located at: 225 Blossom Ln SCTM #473889 Sec/Block/Lot# 69.-3-10.5 Pursuant to application dated 7/22/2019 and approved by the Building Inspector. To expire on 1/20/2021. Fees: PERMIT RENEWAL $244.00 Total: $244.00 B ding Inspector osUF OF ��,co� TOWN OF SOUTHOLD BUILDING DEPARTMENT N 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#: 40403 Date: 1/13/2016 Permission is hereby granted to: McKay, Scott 225 Blossom Ln Southold, NY 11971 To: Expired See BP# 44004 Make alterations (finish for habitable space) to an existing single family dwelling as applied for. At premises located at: 225 Blossom Ln.,Southold SCTM # 473889 Sec/Block/Lot# 69.-3-10.5 Pursuant to application dated 1/5/2016 - and approved by the Building.Inspector. To expire on 7/14/2017. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $488.00 CO -ALTERATION TO DWELLING $50.06 TRIC $125.00 tal: $663.00 Building Inspector OF SOU��®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 ® �® BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Scott McKay Address: 225 Blossom Ln city Southold st: NY zip: 11971 Building Permit#. 44004 Section: 69 Block: 3 Lot- 10.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Anything Electric License No: 5220-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New X Renovation X 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 20 Ceiling Fixtures 4 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 5 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment: Combo smoke/carbon-3 Notes: Inspector Signature: _ Date: July 24, 2019 S.Devlin-Cert Electrical Compliance Form.xls c f 1 i "Of soiz-`o V O ! � Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Y BUILDING DEPARTMENT j TOWN OF SOUTHOLD 3 ' F E B 2 6 2020 - S .CERTIFICATION Date: qh Building Permit No. I v Owner: " CUALkA I/ (Please print) /' /"� r I -Plumber: Lu ,c -V 6 J �- . C {>� l /i - (Pleas 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 q day of �__tb , 20 rDCIL, Notary Public, .Cu16-"V_ UL—County MELANIE V BROWN i Notary Public,State of New York f No.01BR4908712 ' jl Qualified in Suffolk Coun Commission Expires October 19 �� yx 1 �f o� 0.1.2 souryolo TOWN OF SOUTHOLD BUILDING DEPT. 765-18®2 INSPEC ION [ ] FOUNDATION 1ST [ ROUGH PLEIG. [ ] OUNDATION 2ND [ ] INSULATION [ FRAMIN / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) EMA(_RKS: Q VK w egvl y' — .ems, . DATE 0 1, INSPECTOR SOUTyo� qo �UOUM'1,N l l� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 b INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL(ROUGH)— []—EL—ECTRICAL (FINAL) REMARKS: DATE INSPECTOR -c l �010 t �q so q46oq Ag wycou�m,��'' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPEC 1 [ ] FOUNDATION 1ST [ ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICA FINAL) R ARKS: e�u o ��- o DATE INSPECTOR - SOUly� Comm,�c� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1STXINSULATION OUGH PLEIG. FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ F E SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 61�Lj // DATE « INSPECTOR -r SOF SOUIy # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 , INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] MMULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ CAULKING REMARKS: wnbo ILP,OVIAvloo� ` (on w Y`Avys <�mho44 b-9 ble's em, firo - �.- 0101 reir-' L DATE INSPECTOR a0F soply O o L( * # 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 2Y INSPECTOR w�I ss s • Nome In, s• i� STATE --i r � 1 ENEROY COD3 fMI. 1110C.�.,'' M,% .�WMPJ'l .'04= 1 s- u I\ � u 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 6 �--4 sets of Building Plans r/ TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey ✓" SoutholdTown.NorthFork.net PERMIT NO. 0 Check Septic Form N.Y.S.D.E.C. Trustees F� C.O.Applicationi/ J (— Flood Permit Examined o �1 Single&Separate ��I Storm-Water Assessment Form L� JAN ® 5 2016 Contact: ApprovedMail to: Disapproved a/c L 0G f I F i f Expiration 20 117/ ue Building Inspec r APPLICATION FOR BUILDING PERM Date CP ,20JI-0- 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,housikcode,andul ' iid to adi�iiauthorized inspectors on premises and in building for necessary inspections. t or name,if a co ation) s �aIX" (Mailing address of applicant) State whether applicant s owner, essee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises c D i- SA---,°j C i L� (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. L 06 / q 2 'Z— Plumbers Licerise No 3"?7 V Z-- Electgj ians License No. ft'2- '2-0Other Trade's License No. 1. Location of land o w ich proposed work will be done: 22-s )X(D->� U� House Number Street //�� Hamlet County Tax Map No. 1000 Section 11Z�'f Block t__3Lot d t } Subdivision f IC(.M flqULWFiledMapNo. 114Lot /0- Sf 2. State existing use and occupancy of premi)es and intended use and occupancy of proposed construction: a. Existing use and occupancy d C Le, �l1�•�-�- r ` FL. 1,,,, 1 ./J b. Intended use and occupancy 1,y S 1 2 SCJ CL f 5 + 614 '"� 3. Nature of work(check which applicable):New Building Addition Alteration b-� Repair Removal Demolition Other Work (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 i 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 1� 13.Will lot be re-graded?YES NO NXWill excess fill be removed om premises?YES NO Seo-1F+ �1 r� -Z2S WOSSirW LPLII�- 14.Names of Owner of premises G Address d- Phone No. 1 " C 7' Name of Architect S"(2(l Address' 'AF v Phone No 6.51- Name n31-Name of Contractor TC,r told dCO Address �LPhoone�N�o.In '�k I^ 2 R7 ' -�3 2 � . 15 a.Is this property within 100 feet of a tidal wetland ora eshwater 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 i/ •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 OF Soo-�—Y V\(`� being duly sworn,deposes and says that(s)he is the applicant ('Name of individualosigning contract)above named, ua (S)He is the ( 'A 6 LAD V-\Le� (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,ant}is duly authorized to perforin or ji4ve performed the said work and to snake and file this application; that 411 ggtemeqts corltained;iQ this�p�11�a11Pn are tMq 1p tl}q lagst of his kngwledge and belief;and that the work will be performer}in the manner set forth in RIP application filed therewith Sworptio before me thi day 20 y LV — Notary Public ignature of Appli ant DEBORAH H.VAN DUZER Notary Public,StateFlew York No.01 VA618 Qualified in Suffolk County Commission Expires April 28,2016 OF SO�ryo� ; � o Town Hall Annex l ( l 54375 Main Road Telephone(631)765-1802 , P.O.Box 1179 GQ ro er.dche Southold,NY 11971-0959 Do OCT - 32017 �. BUILDING DEPARTMENT TOWN OF SOUTHOLD BtT;I3IIdC I3IJ '. APPLICATION FOR ELECTRICAL INSPECTION TOVVN0FS0UTY1®LD REQUESTED BY: 1,1JDate: l : 7 Company Name: k Name: ' License No.: i Address: Phone No.: JOBSITE INFORMATION: (Indicates required information) *Name: C e- *Address: �s-- � ce � �� A *Cross Street: *Phone No.: ofU . Permit No.: �y-(D.D Lt Tax-Map District: 1000 Section: Block:-, Lo' *BRIEF DESCRIPTION OF WORK(Please Print Clearly) ,9 (Please Circle All That Apply) Is job ready for inspection: ES NO Rough in Final *Do-you need a Temp Certificate: ! NO f Temp Information(if-needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 . 400 Other *New Service: Re-connect, Underground Number of Meters Change of Service Overhead i Additional Information: PAYMENT DUE WITH APPLICATION i - 82-Request for Inspection Form I � 6 � nC �Jl7 PLOT PLAN HANDS ON SURVEYING 26 SILVER BROOK DRIVE " LOT 4 FLANDERS, NEW YORK WALE 11901 OF TE :(631)-369-8312-FAX.•(631)-369-8313 MAP MARTIN D. HAND L.S FLOWER HILL BLDG. CORP. COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING CL US,TERED CONSERVATION SUBDIVISION THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID COPYAND SHALL NOT BE USED FOR ANY PURPOSE. OF BEACH PLUM HOMES CERTIFIED TO:SCOTT MCKAY SITUATE LINDA MCKAY WATER MILL ABSTRACT,CORP. BRIDGEHAMPTON NATIONAL BANK SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY,NEW YORK S.C.T.M. DIST. 1000 SECI 69 BLK.03 LOT 10.5 15 8 0 15 30 45 60 75 90 10 120 135 JOB NO.2013-264 NO. 11458 SCAL : V'=30' SEPTEMBER 1 ,2013 MAP FILED:NOVEMEMBER 01,2013 ..�""• REVISIONS: o PND,31/ TEST HOLE#2 PREP FOR SOUTHOLD STORMWAT R,. ; v op NA40 FILED MAP ADD POOL, PROP.GARAGE 1012312013 7/Av� �� 51 TOP EL.19' ° EL LOAM �v � 1.5' R=25.0 ' sT -. 050 L=39.27' ����OF N LICENSE NO.050363 LOT . =0.774 ACRE E VATIONS HERE ONAS EXTRAPOLATED F OM THE SUFFOLK COU T SAND AND uj N F VE EASTERN TOWNS TOPGRAPHIC MAPS CRA VEL "' M P PREPARED FROM OFFICE RECORDS 20 0 ALL WABLELOT CLEARING: 16,856 SQ.FT. =50 i R^17 05 PRO OSED GROUND DISTURBANCE. 16,856 SQ.FT = % PRO ERTY SUBJECT TO TOWN OF SOUTHOLD ST MWATER REGULATIONS ® AN SHALL CONFORM TO ALL STANDARS,, C�O NOTES 1:PRO ECT LIMITING FE CE TO CONSIST OF STA ED SILT FENCE&STA HAYBALES ASR UIRED BY THE WN OF SOUTHOLD ST RMWATER REGULATION 2:ROOF UN OFF SHALL 8 CONATINED BYLEA ERS GUTTERS THAT EMPTY C4 g INTO D ELLS. (2) 8'DIA. 6'DEEP L.P.'S °' DW ELLIN FIRST FLOOR FO T PRINT=2,585 FT. Ljr? o� DRYWELL PACITY.•2,585X 166=429 CUBIC ET(REQUIRED) : 8'DIA.X 1 'DEEP L.P.'S=50 UBIC FEET(PROPOSED) p' N S 77019'20"E 90.02' 5g �- x I ' 20'v- CONCRETE ZoAREA °�� ' 7 ' YN,1 \ c 1 � I Q m �W x I -F, 50, 1 I 1 o y RGR ; � (T1 C G i I o�d m 57. W y IX I oIx DW / 7 r m 64.3 Qoo�C + Z , � I 1 PRO ED� Q , II Sol TOCKPIL GREs + EASENENT N RSUBSURFACE °°RGe? SMIFNRESRECOROEDOq e(L � ; I I A LWLECORDMCN,LYO7GUARANTTHE UNLESS PHYSICALLY EWOEATAi 711E DNEOFSURVEY I THEOFFSEiro HEREONRROMgDIMENsx PRaxs1sHDWN JECTLIMITINGFFRNCF. _ 7HES7RLC11kiE5 TO THE X X YC i I OP WR NDESAREPORASPECIRC J. PURPoSE AND USEAND THEREFOR --_ E - ----- ----- --------M_ N ARENOTIMENDED TO GLADE THE , `! --------------------------- , _- ___________________ WALLSEPECnNOFFENCES RETAIMNG ------ ---------- WALLS POOLS,PAPOS R.WiING I AREAS OOIDONS TO BUILDINGS AND ANYOMER CONSMIA:RON UNAUMOMZM KTER/TIONORADDMON 15' M MIS SURVEYS A WOLATION OF SOPOMLCA CNL OF ME NEW YOR%STARE EOLCATION UW CONES OF THIS SWRVEYMAPNOTDEARINO ME LAND SURVEYORS INKED SEAL OR EMDOSSM SEAL SHALLNO7 SE CONSIDERED TO BEA VALID 71U COPY CERAflCA17GNS INDICATED HERON SHAL.RIP) N 770192 ONLY M ME PEHSON7S)FOR WHOM THESWRVEY 22 .OO' IS PREPARED ANDONMS BEHALF N ME TITLECOMPANY,GOVERNMENRLAGFNCYAND LENDING INS7)M10N UShO HEREON,AND ro MEAMIGNEES OF MP=011 G INSO- = CM27RCADONSARENOTTRANSFERABLE MACCMQNALINSnnMONSCRSU&SEOUENT OVACANT WNERS o�ASUF°t'r�� TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 40403 Date: 1/13/2016 Permission is hereby granted to: McKay, Scott 225 Blossom Ln Southold, NY 11971 To: make alterations (finish for habitable space) to an existing single family dwelling as applied for. At premises located at: 225 Blossom Ln.,Southold SCTM # 473889 Sec/Block/Lot# 69.-3-10.5 Pursuant to application dated 1/5/2016 and approved by the Building Inspector. To expire on 7/14/2017. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $488.00 CO -ALTERATION TO DWELLING $50.00 Total: $538.00 Building Inspector gUFFni�.c TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 40403 Date: 1/13/2016 Permission is hereby granted to: McKay, Scott 225 Blossom Ln Southold, NY 11971 To: make alterations (finish for habitable space) to an existing single family dwelling as applied for. At premises located at: 225 Blossom Ln.,Southold SCTM # 473889 Sec/Block/Lot# 69.-3-10.5 Pursuant to application dated 1/5/2016 and approved by the Building Inspector. To expire on 7/14/2017. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $488.00 CO -ALTERATION TO DWELLING $50.00 Total: $538.00 Buil ing Inspector New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 Phone (631)756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 113573648 TURN-KEY MODULAR HOMES INC 225 BLOSSOM LANE SOUTHOLD NY 11971 POLICYHOLDER CERTIFICATE HOLDER TURN-KEY MODULAR HOMES INC TOWN OF SOUTHOLD 225 BLOSSOM LANE P.O. BOX 1179 SOUTHOLD NY 11971 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE 11346626-3 433766 02/20/2013 TO 02/20/2016 2/2/2015 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO.1346 626-3 UNTIL 02/20/2016, 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. IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 02/20/2016 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. 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 DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https-//www.nysif.com/cert/certval.asp or by calling (888)875-5790 VALIDATION NUMBER.243118045 U-26.3 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. I— K� / LA New Construction: Old or Pre-existing Building: (check one) Location of Property: IDA CA­VL� House No. Street t� ,� Hamlet Owner or Owners of Property: �L_ l�,a&"� v `L Suffolk County Tax Map No 1000, Section (Q Cry Block (5 3 Lot 1�. Subdivision P-xo l- P 4-o I`rCN►'l1 S Filed Map. ALot: Permit No. 1__3-- Date of Permit. Applicant: l Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ A plicant Sign a 1 _ 'L SCOTT A. RUSSELL �� JAMES A. RICHTER, R.A. a SUPERVISORS q'` MICHAEL M. COLLINS P.E. TOWN HALL - 53095 MAIN ROAD Tel auY" ,- TOWN OF SOUTHOLD,NEW YORK 11971 (631)-765-1560 rdpr< �� Fax. (631)-765-9015 MTCItAF1 CC)I.IINSyu!ToWj\_;O(171IOI.1D_n)LUS _SOt_7110I1_)_NY US OFFICE OF THE ENGINEER _ TOWN OF SOUTHOLD STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET (To be completed by the applicant) TO: Engineering Department PLEASEATTACH:• FROM: Building Department ❑ -A copy of the completed Application for Building Permit DATE: /40 11A complete set of Building Plans APPLICANT: ❑ A completed Chapter 236 Stormwater PERMIT#: 3 Review Checklist S.C.T.M#: /® 06 01 - C) 3 - ID ,S'' BRIEF PROJECT DESCRIPTION: L I ©o V L Vt l a 11tEEfZIl11GLDEf?ART1VlEl1lT tJSE OIVL.Y ��` Reviewed By "Date: Approved. ❑`Additional. pr format' AryRewired::;;° q.: 7/22/2013 I � S0 4,r // �p ® DATE: 'tom CHAPTER PTE 236 APPLICANT: st®rmwater Review Checklist S.C.T.M.#: boo - to q _ 05- 5- i PHYSICAL ADDRESS: �oZs 8bSsom L34*C-Fl— C" Stormwater Management Control Plan Requirements Yes No NA If No or NA, Please Provide Additional Information 1. Plan drawn to scale of not less than 60 feet to the inch showing: a. location and description of property boundaries b. total site acreage c. existing and natural and man-made features on and within 500 feet of the site boundary as required in §236-17(C)(2). d. test hole data indicating soil characteristics and the depth to water c/ e, proposed limits of clearing and the total area of proposed land disturbance f. existing and proposed contours of the site (minimum 2' interval) L/ g. location of all existing and proposed structures,roads, driveways, sidewalks, drainage improvements and utilities t/ h. spot grade and finished floor elevations for existing and proposed structures i. location of the swimming pool discharge ring j. location of proposed soil stockpile area(s) l/ k. location of the proposed construction entrance/staging areas 1. location of the proposed concrete washout area c/ in. location of all proposed erosion and sediment control measures t/ 2. Plan includes calculations showing that the stormwater improvements are sized to capture, store and infiltrate on-site the runoff from all impervious surfaces generated by a two-inch rainfall 3. Detail drawings(required for plan approval)provided for: a. erosion and sediment controls b. construction entrance c. inlet structures (e.g. catch basins,trench drains, etc.) d. leaching structures (e.g. infiltration basins, swales, etc.) REVISED 7/24/2013 PLOT PLAN HANDS ON SURVEYING 26 SILVER BROOK DRIVE N L,0 T 4 FLANDERS, 9NE W YORK W E MAP OF TEL:(631)-369-8312-FAX.•(631)-369-8313 MARTIN D. HAND L.S 411 FLOWER HILL BLDG. CORP, COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING CLUSTERED CONSERVATION SUBDIVISION THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BEA VALID COPYAND SHALL NOT BE USED FOR ANYPURPOSE. OF BEACH PLUM HOMES CERTIFIED T0:SCOTT MCKAY SITUATE LINDA MCKAY WATER MILL ABSTRACT,CORP. SOUTHOLD BRIDGEHAMPTON NATIONAL BANK TOWN OF SOUTHOLD SUFFOLK COUNTY,NEW YORK S.C.T.M. DIST. 1000 SEC 69 BLK 03 LOT 10.5 15 8 0 15 30 45 60 75 90 10 120 135 JOB NO.2013-264 MAP NO. 11458 SCAL : 1"=30' SEPTEMBER 1 ,2013 FILED:NOVEMEMBER 01,2013 REVISIONS. .� AND SU, TEST HOLE#2 PREP FOR SOUTHOLD STORMWAT R . FILED MAP ADD POOL, PROP.GARAGE 1012312013 j;�� D0NgL3iy ® TOP EL.19' SM/ E .G1`cl LOAM LAA \y 1 1.5' R=25.0 .050 L=39.27' SOF LI CENSE NO.050363 LOT . =0.774 ACRE E VA TIONS HERE ON AS EXTRAPOLATED F OM THE SUFFOLK COU T SAND AND N F VE EASTERN TOWNS TOPGRAPHIC MAPS ORA VELuj M P PREPARED FROM OFFICE RECORDS R_Zp.00 ALL WABLE 1.OT CLEARING: 16,856 SQ.FT. =50 :=20.05 PRO OSED GROUND DISTURBANCE. 16,856 SQ.FT. _ °o PRO ERTY SUBJECT TO TOWN OF SOUTHOLD ® ST RMWATER REGULATIONS 17' AN SHALL CONFORM TO ALL STANDARDS—, J NOTES ® 1:PRO ECT LIMITING FE CE TO CONSIST OF STA ED SILT FENCE&STA HAYBALES ASR UIRED BY THE WN OF SOUTHOLD ST RMWATER REGULATION 2:ROOF UN OFF SHALL B CONATINED BY LEA ERS GUTTERS THAT EMPTY g INTO D ELLS. (2) 8'DIA. 6'DEEP L.P.'S o ti DWELL IN FIRST FLOOR FO T PRINT=2,585 FT. DRYWELL PACITY.•2,585X 166=429 CUBIC ET(REQUIRED) 8'DIA.X 1 'DEEP L.P.'S=50 UBIC FEET(PROPOSED) 05�ODA` N __ S 77019'20"E 90.02' x - -- - -- -- -- l� + 20'v- CONCRETE /1 I A 20'n CONCRETE --WA.SHQU.T__ _ � ___BUILDINGNVELOPE Q \ - ------------------- , z� AREA ��� A I 1 cN I 1 \ I ^ I 1 I 1 T Z I 1 T - \ 50' i O I m e Ix 57 N a . W y o Ix QR0e \R60 p<I' I c Z o`� 'I�,�a• os��t 1 � � Q A, o 1 l pw m 64.3 I Z z OS�o 9lcp!j I I PRO EDZ S01 TOCKPI I o LTRRL MARESROTm RACE I �pPRG��S // i I n WRECOROmCALLYE GUARATf I% WIEOFSURVEY EY/OENTATTHE r^ TMEOFSURVEY � , I 1 vJ 7HE OFFSET(OR DIMENSoNsf sHowN OJEC%T LIMITING 50CE HEREON FROM 7NESTRUC7URES TO THE X _ _ x SANDISSARE�AER6 IRAEO � _ X M 1 1 I _____________ __ YA ' I AREWTINMOEDTOGWDETHE I ___ ________M_ N 1 I ____ 1 ERmAON OFFENCES RETAINING _________________________�____–_____ 1 PDO PAnO$FIANlING AREA$YODRIRC N TRLC77M AND ANYOINER CONSTRUCRON WAUIHORIZm ALTERA71ONGRAMMON 15' M WS SURVEYIS A WOLAMNOF SmnW 7VOOF7HENEW YORKSTATE — mecAno"uw —— —— -- — COFIESOFTHISSURVEYMAPNOiSEARING THE4NDSURVEYDRSINNEO SEAL OR EMWO SEALSHAD.NOTBELONSDERm TOSEA VAUD TTTLECOPY CERRflCA77WSINDICA7EDHERONSHAU.RW N 7719'2 ONLYTO THEPERSON(A FOR WHOM n1ESURVEY 22 .00 ISPREPARm ANDMWSBEHA MTHE ' R EMPANY,GOVER;FALAGENCYANO IENDINGINSn7UfIONUS7ED HEREON,ANO 701HEASSIGHEESOFTHEIENDINGINSn- 7VA CERRflnsn NSARENOTTRANSPERABIE ro AOOInONAL INSnTUnONS OR SUBSmUENT omER VACANT REScheck Software Version 4.6.5 Compliance Certificate Project With Site Built 2nd Floor f Energy Code: 2015 IECC . Location: Southold, New York F E B 2 6 2020 Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 2,606 ft2 Glazing Area 12% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 150 Blossom Lane Scott McKay Tom Baccarella Southold, NY 11971 225 Blossom Lane NY Building Technology Group Southold, NY 11971 159 Rt25A 631-765-8003 West Building Suite B slmckay@optonline.net Miller Place, NY 11764 631-495-0289 info@NYBTG.com Compliance: 0.0%Better Than Code Maximum UA: 419 Your UA: 419 Maximum SHGC: 0.40 Your SHGC: 0.30 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 or Cavity Cont. U-Factor UA Ceiling above office: Flat Ceiling or Scissor Truss 193 32.0 0.0 0.034 7 HD spray foam entire attic: Cathedral Ceding 3,402 32.0 0.0 0.032 109 Wall 1 front:Wood Frame, 16"o.c. 561 21.0 0.0 0.057 25 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 103 0.300 31 SHGC: 0.30 Door 1: Solid 22 0.230 5 Wall 2 rear:Wood Frame, 16" D.C. 561 21.0 0.0 0.057 24 Window 2:Vinyl/Fiberglass Frame:Double Pane with Low-E 63 0.300 19 SHGC: 0.30 Door 2: Glass 53 0.330 17 SHGC: 0.30 Door 3: Solid 19 0.320 6 Wall 3 left: Wood Frame, 16" ox, 353 21.0 0.0 0.057 19 Window 3:Vinyl/Fiberglass Frame:Double Pane with Low-E 20 0.300 6 SHGC: 0.30 Wall 4 right: Wood Frame, 16" D.C. 353 21.0 0.0 0.057 16 Window 4:Vinyl/Fiberglass Frame:Double Pane with Low-E 36 0.300 11 SHGC: 0.30 Project Title: With Site Built 2nd Floor Report date: 02/25/20 Data filename: P:\NYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane_AS.rck Page 1 of10 r\ Door 4: Solid 39 0.320 12 Wall 5 BSMT level stair area: Wood Frame, 16"o.c. 240 13.0 0.0 0.082 18 Door 5: Solid 18 0.160 3 Wall 6-gable ends:Wood Frame, 16" o.c. 192 21.0 0.0 0.057 11 Floor 1:All-Wood J oist/Truss:Over Unconditioned Space 1,224 19.0 0.0 0.047 58 Floor 2 Projections:All-Wood Joist/Truss:Over Unconditioned Space 468 19.0 0.0 0.047 22 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-req"i irements in REScheck Version 4.6.5 and to comply with the mandatory requiremeen REScheck Inspectior�Checkhst. lR� Tom Baccarella-HERS Manager �'r'" �- Z 2 d Name-Title Signature _ = Dates Project Notes: Original factory design UA calculations with site built second floor revisions. Project Title: With Site Built 2nd Floor Report date: 02/25/20 Data filename: P:\NYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane_AS.rck Page 2 of 10 Lw REScheck Software Version 4.6.5 Inspection Checklist Energy Code: 2015 IECC Requirements: 100.0% 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 # P.rQ-Inspection/Play ReviewComplies? Comments/Assumptions Sc Req.l® Value Value, ' 103.1, Construction drawings and tM :.. ❑Complies !Requirement will be met. 103.2 documentation demonstrate 'A ❑Does Not [PR111 energy code compliance for the ;.„ building envelope.Thermal ❑Not Observable envelope represented on ❑Not Applicable -construction documents. 103.1, Construction drawings and � "x ;❑Complies :Requirement will be met. 103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR311 lighting and mechanical systems. i , ❑Not Observable � Systems serving multiple , ❑Not Applicable dwelling units must demonstrate ) 'compliance with the IECC Commercial Provisions. 30.2.1, ;Heating and cooling equipment is: Heating: ; Heating: ;❑Complies ;Requirement will be met. 403.7 :sized per ACCA Manual 5 based Btu/hr ; Btu/hr ❑Does Not t [PR2]2 -on loads calculated per ACCA Manual J or other methods Cooling: Cooling: ;❑Not Observable Btu/hr Btu/hr t❑Not Applicable approved by the code official. PP ; Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 1'3 1 Low Impact(Tier 3) Project Title: With Site Built 2nd Floor Report date: 02/25/20 Data filename: P:\NYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane_AS.rck Page 3 of 10 $eCtlon # Foundation'Inspection, Compi'ies?, ; Comments%Assumptions' 303.2.1' )A protective covering is installed to ;❑Complies ;Exception: Requirement is not applicable. [FOIl]2 !protect exposed exterior insulation ;❑Does Not ;and extends a minimum of 6 in. below ;❑Not Observable' a grade. ❑Not Applicable 403.9. ;Snow-and ice-melting system controls:❑Complies ;Exception: Requirement is not applicable. [FO121?. .`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: With Site Built 2nd Floor Report date: 02/25/20 Data filename: PANYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane AS.rck Page 4 of 10 Section Plans Verified Field"Veritfied # Framing/hough-in Inspecti®n Value Value C,omplies? Comments/Assumptions &ILeq.ID " 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, 402.5 :[]Not Observable [FR2]1 ;❑Not Applicable i f f 303.1.3 U-factors of fenestration products` ;❑Complies ;Requirement will be met. [FR411 are determined in accordance ;❑Does Not with the NFRC test procedure or taken from the default table. i❑Not Observable ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier ;❑Complies :Requirement will be met. [FR23]1 installed per manufacturer's ;❑Does Not instructions. ❑Not Observable ]Not Applicable 402.4.3 Fenestration that is not site built ;❑Complies ;Requirement will be met. [FR20]1 is listed and labeled as meeting i❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 ;❑Not Observable ,or has infiltration rates per NFRC r, 400 that do not exceed code ❑Not Applicable limits. 402.4.5 IC-rated recessed lighting fixturesE^ ,�❑Complies ;Requirement will be met. [FR16]2 " ;sealed at housing/interior finish '❑Does Not =and labeled to indicate <_2.0 cfm " ;leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.3.1 Supply and return ducts in attics i " ' ;❑Complies ;Requirement will be met, [FR12]1 ;insulated >= R-8 where duct is - x.; ;❑Does Not >= 3 inches in diameter and >= r ,❑Not Observable R-6 where< 3 inches.Supply and; ; return ducts in other portions of !❑Not Applicable the building insulated >= R-6 for ; 1 diameter>= 3 inches and R-4.2 ; .for< 3 inches in diameter. 403.3.5 ;Building cavities are not used as ;❑Complies ;Requirement will be met. [FR15]3 ,ducts or plenums. r':; ❑Does Not []Not Observable ; {❑Not Applicable 403,4 iHVAC piping conveying fluids R- ; R- ;❑Complies ;Requirement will be met. [FR17]2 labove 105 °F or chilled fluids :❑Does Not below 55 °F are insulated to ?R- 3 ;❑Not Observable ; _ ;❑Not Applicable 403.4.1 Protection of insulation on HVAC i❑Complies ;Requirement will be met. [FR24]1 piping. } M �❑Does Not ,r i❑Not Observable '[]Not Applicable 403.5.3 ;Hot water pipes are insulated to R- R- ;❑Complies ;Requirement will be met. [FR18]2 =>—R-3. :❑Does Not ; ;❑Not Observable ❑Not Applicable 4016 sAutomatic or gravity dampers are' ;❑Complies ;,Requirement will be met. [FR19]2 =installed on all outdoor air ? C❑Does Not !intakes and exhausts. i ❑Not Observable i ❑Not Applicable 11 High Impact(Tier 1) 2' Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: With Site Built 2nd Floor ' Report date: 02/25/20 Data filename: P:\NYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane_AS.rck Page 5 of 10 Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3) Project Title: With Site Built 2nd Floor Report date: 02/25/20 Data filename: P:\NYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane_AS.rck Page 6 of10 Section plans Verified Meld'Verified insulation,inspection Complies?,'" 'Co'mnierits/Assumptions &Req.ID Value Value dY 303;1,` " #All installed insulation is labeled t ° '`' ' M „ '-j❑Complies ;Requirement will be met. [IN132 orthe installed R-values ;..; ;r ❑ provided. Does Not : ❑Not Observable ; 3.E]Not Applicable 402.1.1, ;Floor insulation R-value. ; R- ; R- ;❑Complies ;See the Envelope Assemblies 402.2.6 ;❑ Wood ;❑ Wood :❑Does Not table for values. [IN1]1 ;❑ Steel ❑ Steel J ;❑Not Observable s0 1 :❑Not Applicable , ; 303.2, :Floor insulation installed per ❑Complies ;Requirement will be met. 402.2,7 'manufacturer's instructions and :• "" ❑Does Not [IN2]1 :in substantial contact with the underside of the subfloor, or floor ]❑Not Observable 'framing cavity insulation is in ( : ,,.,..` ❑Not Applicable contact with the top side of sheathing, or continuous , insulation is installed on the y. underside of floor framing and 'r ,extends from the bottom to the ftop of all perimeter floor framing M; members. ;• 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 1/2 of the ❑ Wood ❑ Wood ;❑Does Not ;table for values. 402,2.6 ;wall insulation on the wall ;❑ Mass ❑ Mass ;❑Not Observable [IN311 ;exterior,the exterior insulation ; ; j requirement applies(FR10). ; :E] Steel El Steel i❑Not Applicable ; , f i 1 1 f 303.2 ;Wall insulation is installed per ": ,' i❑Complies ;Requirement will be met. [IN411 !manufacturer's instructions. ' ` ❑Does Not ,,J❑Not Observable , j ❑Not Applicable ` Additional Comments/Assumptions: 11 High Impact(Tier 1) 2• Medium Impact(Tier 2) `3 Low Impact(Tier 3) Project Title: With Site Built 2nd Floor Report date: 02/25/20 Data filename: P:\NYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane_AS.rck Page 7 of 10 section, - Plans Verified Field Verified #, Final Inspection Provisions 'Complies? Comments/Assu,'mptions &.Req.ID Value; Value 402.1.1, ;Ceiling insulation R-value. R- ; R- ;❑Complies ;See the Envelope Assemblies 402.2,1, ;❑ Wood ;❑ Wood ;❑Does Not :table for values. 402.2.2, ❑ Steel ❑ Steel 402.2.6 ; ;❑Not Observable [FI1]1 ; ; ;❑Not Applicable , 303.1.1.1, ;Ceiling insulation installed per �•,,I❑Complies ;Requirement will be met. 303.2 manufacturer's instructions, ❑Does Not [FI211 Blown insulation marked every 1300 ft2. J❑Not Observable ; ❑Not Applicable 402.2.3 ;Vented attics with air permeable `- ,.° ; ' ❑Complies ;Exception: Requirement is [F122]2 3 insulation include baffle adjacent x' ❑Does Not :not applicable. "to soffit and eave vents that ❑Not Observable jextends over insulation. } 1❑Not Applicable 402,2,4 ,Attic access hatch and door R- ; R- ;❑Complies ;Requirement will be met. [FI311 insulation >_R-value of the ;❑Does Not adjacent assembly. ;❑Not Observable { ;❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ;❑Complies ;Requirement will be met. [FI17]1 ach in Climate Zones 1-2, and ;❑Does Not <=3 ach in Climate Zones 3-8, ;❑Not Observable ❑Not Applicable 403.3.4 ;Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies ;Requirement will be met. [F1411 cfm/100 ft2 across the system or ft2 ft2 ;❑Does Not ;<=3 cfm/100 ft2 without air ;❑Not Observable ;handler @ 25 Pa. For rough-in ;❑Not Applicable tests,verification may need to ;occur during Framing Inspection. 403.3.3 ;Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies ;Requirement will be met. [FI27]1 ;determine air leakage with I ft2 ft2 ;❑Does Not either: Rough-in test:Total ;leakage measured with a E❑Not Observable ;pressure differential of 0.1 inch ;❑Not Applicable ;w.g. across the system including ;the manufacturer's air handler ; enclosure if installed at time of test. Postconstruction test:Total ;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 : ❑Complies ;Requirement will be met. [FI24]1 'by manufacturer at<=2%of ❑Does Not ;design airflow. []Not Observable ❑Not Applicable 403.1.1'' Programmable thermostats : ❑Complies ;Requirement will be met. [Flg]2 installed for control of primary _ ❑Does Not ;heating and cooling systems and J initially set by manufacturer to h: []Not Observable , ?code specifications. ❑Not Applicable ; 403.1:2 i Heat pump thermostat installed i ❑Complies ;Requirement will be met. [FI1'0]2' on heat pumps. []Does Not ❑Not Observable ; ❑Not Applicable 403.5.1- :Circulating service hot water ❑Complies ;Requirement will be met. [FI11]2. systems have automatic or :❑Does Not r accessible manual controls. „ ❑Not Observable ; ❑Not Applicable 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 13 ILow Impact(Tier 3) Project Title: With Site Built 2nd Floor Report date: 02/25/20 Data filename: PANYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane_AS.rck Page 8 of 10 ,Plans Verified ,Pielii•Verified'� � ,.m ,Final,Inspection'Provins', comp siolies?, 'Coments/Assumpttons° &'Req:ID,• Value• Value 403:6.1 , 's All mechanical ventilation system z, , ❑Complies ;Requirement will be met. E1`125JZ , 1fans not part of tested and listed @' a. ;❑Does Not I HVAC equipment meet efficacy 'and air flow limits. ❑Not Observable „j❑Not Applicable 403:7' ' ;Hot water boilers supplying heat s❑Complies ;Requirement will be met. EF126]? through one-or two-pipe heating "❑Does Not lsystems have outdoor setback ,:control to lower boiler water ❑Not Observable ;temperature based on outdoor ❑Not Applicable temperature. f 4035.1:1,',Heated water circulation systems [ r ❑Complies ;Requirement will be met, [F12812 ` have a circulation pump.The 4 ❑Does Not Isystem return pipe is a dedicated I return pipe or a cold water supply. ❑Not Observable (pipe. Gravity and thermos- +' ❑Not Applicable csyphon circulation systems are # ,:,•r w „ not present. Controls for ,' > „circulating hot water systemtart the r na ifor hot water demand d thin with he i ,occupancy. Controls ; automatically turn off the pump a.' ~}when water is in circulation loop H s at set-point temperature and ;}no demand for hot water exists. 403:5,1:2,`3 Electric heat trace systems �' ;❑Complies ;Exception: Requirement is [F1291, , `4 comply with IEEE 515.1 or UL I❑Does Not :not applicable. ;515.Controls automatically (' a %t adjust the energy input to the ❑Not Observable ;:j heat tracing to maintain the ")EINot Applicable desired water temperature in the tf ' tpiping• `403:5:2, ":`.i Water distribution systems that , .,3 ❑Complies ;Exception: Requirement is [F13012 have recirculation pumps that > .`'' ❑Does Not I not applicable. pump water from a heated water supply pipe back to the heated ❑Not Observable ;water source through a cold F' ❑Not Applicable 'rlwater supply pipe have a "demand recirculation water .system. Pumps have controls that manage operation of the e I j pump and limit the temperature sof the water entering the cold iwater piping to 1044F. I 403:5:4;,'- Drain water heat recovery units 1; ";p ❑Complies :Exception: Requirement is [FI31j , tested in accordance with CSA •, a= ❑Does Not :not applicable. Potable water-side n pressure loss of drain water heat ❑Not Observable ;r Irecovery units < 3 psi for ❑Not Applicable jindividual units connected to one I or two showers. Potable water- ;side pressure loss of drain water h_: r, I =heat recovery units< 2 psi for 7, #individual units connected to - 3three or more showers. 404.1 75%of lamps in permanent I" , ❑Complies ;Requirement will be met. [FI611 'fixtures or 75%of permanent ` 10 Not fixtures have high efficacy lamps. Does not apply to low-voltage a ❑Not Observable lighting. % , ❑Not Applicable 4.04:1.1° :,Fuel gas lighting systems have ❑Complies ;Exception: Requirement is [FI23P `no continuous pilot light. g4, `❑Does Not not applicable. ❑Not Observable i ❑Not Applicable , 11 High Impact(Tier 1) Z Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: With Site Built 2nd Floor Report date: 02/25/20 Data filename: P:\NYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane_AS.rck Page 9 of 10 'Plans Verified• 'Field Verified # Finai:Inspection Provisions' Complies? Comments/Assumptions & Req.'ID Value,,; Vaiue�, 401.3 3 Compliance certificate posted. $$ ❑Complies :Requirement will be met. [F17]? f`t °" r'-` : ' ❑Does Not IE]Not Observable ❑Not Applicable 303,3, ;Manufacturer manuals for i. -'❑Complies :Requirement will be met. V11813 mechanical and water heating i❑Does Not isystems have been provided. ❑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: With Site Built 2nd Floor Report date: 02/25/20 Data filename: P:\NYBTG HOLDING\150 Blossom Lane\150_Blossom_Lane AS.rck Page 10 of 10 L-44 03 D)ATE:� r x 1,: y 6 ;� A9 T33 5­18 [ v,�t', i t qi ` � ......-._ ,.._ ....._...< ........ .. ...... �.: �:...+., � E w1G 4.,J 4uJ CX . v.lr i c , x 4. _ :. `v NrJST i e P �i 1'�(' f i -c' p ONSTRU I!"%ta t`P'Jle � �/i Y 7��. V RE EN T S Or THE CODES OF NEvN YORK iS r >�° x TATE'.. NOT c, ONSIBL E FOR � DESIGN OR CONSTRUCTION ERRORS. { s OF�.' a3 _. W V14' TOWN CODES LZ SREQ , { . _ lJ 5g��' RED A + A Y �. _ ; j , OU , t , , ?TIFICATIQN t �w UMBAR C t _ Ftp k .. F1CA�T ©CCI P ERi o� a USED . .. ., ; . , SOLDER N WATER CUP A NCY OR SUPPLY SYSTEM CANNOT 2/10 OF 1%LEAD. E I S U LAWFUL EXCEED ITHIUT CERTIFICATE v F e CUP PLUMBING OF OC ANCY f , � d ALL NG WAST AT S r & R P� m 4 r F 7 j 4 TE S7 j r JI T<is A atm pec rwx [X,E TO#S. 0F __.._ .,___._,_..__ ------- *Ow ___._. pGSk''.YE3tY+1'ATTt}'c Sk 7. ;14A:A'�kI104 wi.3 IE?M Ef f , JEE St+� Eo Sfax 1,4ZR k0r;P �:CiT 10 F t7`+y�: - 1'EJrRS,�?iCti gip•.... .. '. _ ' E �l AT'CN i I.8RAC2PXi s2/La 1W WTL$Ef t-- v CC4.+.dtlt it£FCR IZA21 ! - 121 ROwS K.CY35 Fr,9 12/2'4 31 WIC£. ai M�cl?r,MOO FOR'3112,aR 1,M p(7E�+, t � -sr�ecx.�•st£--' Ss 4 i tBEE M7 8 Y9R2 FfeCC pA F Tu;Sn:7t7Jf.7 swrw 1a uw xx�snac erERtsm of cl A � r t2 mim IT rma9'[¢T1Ys.ruay. ETC, ro 1 os- a L-YFPLZTE.TH3S WtA btRE T[Y E jry53g1F1y TRlNNu3 1"FS*#.fi{. ." Or t�f£t,O..R Ua FSE Tp SPATE DES14N CDARwU+'S. OE7 TL +w�,Fs�cT SER PRavir � +t TT"ICA Coms, RRT ( Ma 12 mcc Sra:Es s rrtz St i £ 5TRU3 OPf:Mtt*G ar'2 Ra:PSZzrFR }tVA=trlt ' s;re AT ,tuxx 1 x :O s 7ce.uv E i � er nrr�5 DET� �r GETPIL ­7 z 1 � j rl OCR st�;TStW4 f' t-U'�.2:.S�TMN art 24' C9f'r ; Strr a< (` To WARM sari ,SEP sw 3s f .3✓Z am 3/3-tim�. 3' nUi v E.2 i.£fXsLR STFSP[F.+GIST I�i*t Y..,T9t� f \......__ ( , 6"N QEARD4 5'tA ME Oym ;. CT T.TRP P`t TEr� EEARV%WLL 25 i.E55 lt*W 2 112' t (YLC wil 2; k 00 3TRV-. -cw,-cp fi,f T&s). L OY/.7 l£oc Sims to s" MSEC w1f: 2) �-3TM.0.*AL C<.*- . .-_. ... EY?RR2EA BY rxxxz.raa � .'xrEC fixl7 3C FOR 4G dt'YaC i I /2'x3 i/i"4^..ti7 t.'s C drl fiCL7 t. t.i W41i,x+t%) �� SiY GYP.8C% 8c'ttR2CR ' ECZ? #i.5 t�d'29 fSNQ.SOLS A '73 i X «"fStA_Ai2C7s iJ1V:EG .a�n sty. may'STiT• aro 9 - GETRTL "H" � '; � w7T MGRS 11.ATe i i a FACTORY 4 ,. �. "J 11 1trEtl4,nT'C't e3N. I �•. SEE`%fr 3r 1.CR b zc, 1` F2EL U wow "T SO WARA'3217£ yT { } SFT:SHT YR yi .,! °2"- i-wC.3 Oki, - "z{ 1 � •�� `� � 5 � T3or+t3:rru�s c s�~,a<.- � --� .. Y 3c nix, x r` !.._s'ET'STA{. Ft°ix 5Y€ytR' 4ILS s�e.i<s I v U M n