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HomeMy WebLinkAbout42437-Z uFF�1KCG Town of Southold 10/22/2020 y� P.O.Box 1179 cm N � 53095 Main Rd y o� } Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41552 Date: 10/22/2020 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 1765 Skunk Ln, Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-4-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/21/2018 pursuant to which Building Permit No. 42437 dated 3/6/2018 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: one family dwelling;with unfinished basement,attached two car garage and front and rear concrete stoops as applied for. The certificate is issued to Meltzer,Isabel of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-17-0215 9/23/2020 ELECTRICAL CERTIFICATE NO. 42437 5/28/2019 PLUMBERS CERTIFICATION DATED 6/25/2019 fA �'Nussell F h r or zed Signature suFfn�x TOWN OF SOUTHOLD j CGGy 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#: 42437 Date: 3/6/2018 Permission is hereby granted to: Mott, Wayne 1480 Skunk Ln Cutchogue, NY 11935 To: construct single-family dwelling as applied for per SCHD approval. At premises located at: 1765 Skunk Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 97.4-8 Pursuant to application dated 2/21/2018 and approved by the Building Inspector. To expire on 9/5/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $2,044.40 CO -NEW DWELLING $50.00 Total: $2,094.40 ing In or 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: V- 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: (check one) Location of Property:7�O J� JU lJ le- (.A House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000,Section 91 1 Block 4 Lot g Subdivision 14 , At Filed Map. Lot: Permit No. Date of Permit. Applicant: WC Whfo dFt- Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applic ignature pF SOUr�®l Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G �► ® Southold,NY 11971-0959 a® roger.riche rt(a-town.south old.ny.us ®��c®U '�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Armstrong (Mott) Address: 1765 Skunk Ln City: Cutchogue St: New York Zip: 11935 Budding Permit#: 42437 Section: 97 Block 4 Lot* 8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Nicholas Kerzner Electric License No: 42972-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New X Renovation 2nd Floor X Hot Tub Addition Survey Attic X Garage X INVENTORY Service 1 ph 300a Heat gas Duplec Recpt 40 Ceding Fixtures 16 HID Fixtures Service 3 ph Hot Water gas GFCI Recpt 11 Wall Fixtures 15 Smoke Detectors 3 Main Panel 2-15 A/C Condenser 2 Single Recpt Recessed Fixtures 55 CO Detectors Sub Panel A/C Blower 2 Range Recpt 50a Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt 20a Emergency Fixtures Time Clocks )Disconnect 2-15 Switches 47 Twist Lock Exit Fixtures TVSS Other Equipment: 3-combination smoke /co detectors, 3-paddle fans, 3-bath fans, range hood, 23-ARC fault circuit breakers Notes: Inspector Signature: Date: May 28 2019 81-Cert Electrical Compliance Form As T i i 'town Hall Annex . Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 I P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT i TOWN OF SOUTHOLD t OCT 1 9 2020 CERTIFICAT.I,ON 'r>•'; T'n` . 3T, Date: Building Permit No.. 1 Z.`I 37 2 OO i Owner: ;/lc'1V►S� '15T� `� (Please print) (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. -L-L (Plumbers Signature) Sworn to before me this day of �L1�� , 20A COLLEEN A.Mt Notary Public Statee of of NewNew York No.01 X106132243 Qualified in Suffolk Count' Commission Expires August 22, Notary Public,_., L _,',County y SOUTy # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourm,N�'' 765-1802 -INSPECTION [%u/FOUNDATION 1ST IVB [ ] 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: oil DATE 16INSPECTOR / OF SOUIyo # TOWN OF SOUTHOLD BUILDING DEPT. `ycou765-1802 INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. IV 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 pF SOUTyO� # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. r UNDATION 2ND [ ] INSULATION AMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: J DATE INSPECTOR oF souTyO� # TOWN OF SOUTHOLD-BUILDING DEPT. 765-1602 - INSPECTION X37 FOUNDATION 1ST ROUGH PLB . 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[ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE,& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING R ARKS: d tlWIVAAm Pragvvvd' f:f�f� 'd i DATE 0 Y INSPECTOR ho�aOF SOUIyO� * # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 414' � [ ] 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: D d l' I / ATE 7 INSPECTOR OF SOUTyO� # f TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION /V� [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FI SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ E CTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: QCAVA6o� `� o ` S its 610 �✓ 09oveA ,�A-v/ v� � �n✓ �s DATE °� 120IRINSPECTOR TAont f SOUjh° f # TOWN OF SOUTHOLD BUILDING DEPT. co765-1802 r INSPECT-10-N [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] 1ptULATION [ ] FRAMING /STRAPPING [ FINAL IV� [ ] FIREPLACE .& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS:no Tigt(d 0 VM6to VoOd SV'JL�,, Ce4 r (PA4 . Av A r wwzI. -fe m "L�fc7 f-N c DATE .- INSPECTOR IECC 2018 Energy RatingIndex e ® - Property Organization ERI Jeremy Armstrong Long Island HERS Inc Final 1756 Skunk Ln 631.726.0433 Cutchougue, NY 11935 Nicholas Hemby Annual Energy Consumption Rated Home Calculated Rated Home Cost ($/yr) Energy Use(MBTU) Heating 52.1 30 Cooling 2.3 48 Water Heating 9.8 1 Lights Et Appliances 21.6 359 Photovoltaics -0.0 -0 Total 85.9 568 Annual Estimates Electric(kWh): 6057 CO2 Emissions(Tons): 6 Natural gas(MMBtu): 65 Energy Savings ($)**: 173 *Based on standard operating conditions **Based on the 2018 IECC Energy Rating Index Reference Design Home TARGET ERI: 62 2015 ERI: 57 PASS This home MEETS the 2018 Energy Rating Index requirements of Sections 406.3 and 406.4 of the 2018 IECC for climate zone 4A.This 2018 ERI is calculated per ANSI/RESNET/ICC Standard 301-2014, as published January 2016 with Addenda A Et B. Name Nicholas Hemby Signature Organization Long Island HERS Inc Date 9 J y 2019 Mandatory Requirements 2018 ERI Target PASS Duct Insulation (Ducts outside R-6, inside is R-0) PASS 2009 IECC UA PASS Maximum Fenestration U-factor/SHGC (R402.5) PASS Duct Testing (2015) PASS Air Leakage (5 ACH50 for CZ1-2, 3 ACH50 for CZ3-8) PASS Mechanical Ventilation PASS High efficacy lights installed (90%) PASS Hot water pipe insulated to R-3 PASS Mandatory Requirements Checkbox(2018 IECC) PASS Mechanical Ventilation Efficacy PASS Emissions Data ' Provider Data and Seal Pollution Prevented TITLE Carbon Dioxide (CO2) -tons/year 3.8 Company Long Island HERS Inc Sulfur Dioxide (SO2) - lbs/year 1.8 Address P.0 Box 149 Nitrogen Oxides (NOx) - lbs/year 8.8 City, State, Zip Water Mill, NY, 11976 Phone#631.726.0433 OCT 1 9 2020 u REM/Rate-Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. 0 1985-2018 NORESCO, Boulder, Colorado. REWRate - Residential Energy Analysis and Rating Software v15.'7.3 New York Compliance Certifficate Project Title: Report Date 2019-04-14 Data Filename 0248-0119-Cl_Christopher Goff_1756_Skunk_Ln_HERS_QAD(1).blg Energy Code 2015 IECC as amended by the 2016 Supplement to the New York State Energy Conservation Construction Code Permit# Location Riverhead, NY Construction Type Single-family detached Permit Date Heating Type Natural Gas Glazing Area Percentage 19% Heating Degree Days 5294 HERSIndex 55 Construction Site Owner/Agent Designer/Contractor HERS Rater 1756 Skunk Ln Jeremy Armstrong Christopher Goff Long Island HERS Inc Cutchougue, NY 11935 1756 Skunk Ln P.O. Box 2682 Nicholas Hemby Cutchougue, NY 11935 Aquebogue, NY,11931 Certification#6168385 631.905.9646 631.726.0433 Building Information Conditioned Area (sq ft) 2386 Conditioned Volume (cubic ft) 22326 Insulated Shell Area (sq ft) 5935 The items below will be inspected for energy code certification. Any deviation from these specifications should be brought to the attention of the HERS Rater, as soon as possible to assure that the project will still comply with energy code requirements. "-_-Coni liancer(must.,pass either UA or Performance Path) F ; J1r-do 1,_ ; .; I, '----Code�ompliance3 �==Pass 4 UA Path Pass Performance Path Pass F,, '_✓' i Duct R-Value Pass Maximum Energy Cost($/yr) 637 0 CT 1 9 2020 c �- Maximum UA 450 Your Home Energy Cost($/yr) 578 Your Home UA 428 Better Than Code (Pert) 8.7% Better Than Code (UA) 4.8% UT IT Gross Area Cavity Cont. Glazing or Door Assembly or Perimeter R-Value R-Value U-Factor UA Ceilings Roof 1: R-38 FG G2************ 1607 38.0 0.0 70 Roof 2: R-30, Vaulted0***** 173 30.0 0.0 8 Above-Grade Walls AG Wall 1: R-21 FG G2************ 747 21.0 0.0 44 AG Wall 2: R-21 FG G2************ 238 21.0 0.0 14 REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. REWRate - Residential Energy Analysis and Rating Software v15.7.3 New York Compliance Certificate Gross Area Cavity Cont. Glazing or Door Assembly or Perimeter R-Value R-Value U-Factor UA AG Wall 3: R-21 FG G2************ 127 21.0 0.0 7 AG Wall 4: R-21 FG G2************ 160 21.0 0.0 9 AG Wall 5: R-21 FG G2************ 144 21.0 0.0 8 AG Wall 6: R-21 FG G2************ 635 21.0 0.0 37 AG Wall 7: R-21 FG G2************ 168 21.0 0.0 10 AG Wall 8: R-21 FG G2************ 300 21.0 0.0 18 Joist 1: Cond -> ambient 164 21.0 0.0 0 Joist 2: Cond - garage 16 21.0 0.0 0 Window 1: Dbl/LoE/Argon -Wood************ 483 0.300 145 Door 1: Steel-urth w/brk***** 29 0.227 0 Door 2: Steel-urth w/brk***** 21 0.227 0 Door 3: Steel-urth w/brk***** 28 0.227 0 Door 4: 2-1/4 Wd solid core***" 36 0.357 0 Floors Over Uncond. Basement Floor 1: R-30************ 1456 30.0 0.0 58 Duct Insulation R-Value Unconditioned Basement, Su 242 8.0 Uncondi ' ent, Return: 134 6.0 nfiltration Htg: 2.16 Clg: 2.16 ACH50 echanical E nt Heating: Fuel-fired air distribution, 48.0 kBtuh, 94.0 AFUE. Cooling: Air conditioner, 30.0 kBtuh, 14.0 SEER. Water Heating: Conventional, Gas, 0.88 EF, R-2 wrap. Required signatures vary depending upon state and or local codes, requirements and regulations. Check with your local building department to determine which signatures are required for your application. Builder or Authorized Emplq e °VIS I C�PI "I" certify that the home listed above shall be built to meet or exceed all requirements of the 2015 IECC as amended by the 2016 New York State Energy Conservation Construction Code and all current energy codes specific to the local jurisdiction in which the home is b C HA'i-'1OPw UlLt _ l Name-Title Signat Dertel Rater I, Nicholas Hemby of Long Island HERS Inc, certify that the home listed above, as modeled meets or exceeds all requirements of the 2015 IECC as amended by the 2016 New York State Energy Conservation Construction Code and all current energy codes specific to the local jurisdiction in which the home is built. REWRate-Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. 01985-2018 NORESCO, Boulder, Colorado. Page 2 of 3 REWRate - Residential Energy Analysis and Rating Software v15.7.3 New York Compliance Certificate I further attest that I am a certified Home Energy Rater and affiliated with The BER a HERS Provider accredited by RESNET and adhering to the requirements of the Residential Energy Services Network RESNET Standards. Nicholas Hemby-Rater "7 1 Name-Title Signature Date REWRate-Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 3 of 3 _ ® J, Home Energy Rating Certificate a co C---__'- Property HERS 7 Jeremy Armstrong Rating Type: Confirmed Certified Energy Rater: Nicholas Hemby 1756 Skunk Ln Rating Date: 2019-04-14 Rating Number: 117 Cutchougue, NY 11935 Registry ID: 061672923 Estimated Annual Energy Coka- - Use MMBtu Cost Percent HERS Index: 55 Heating 52.8 $30 6% General information Cooling 2.2 $47 9% Conditioned Area 2386 sq. ft. House Type Single-family detached Hot Water 9.8 $1 00/0 Conditioned Volume 22326 cubic ft. Foundation Unconditioned basement • Lights/Appliances 20.3 $332 62% Bedrooms 3 Photovoltaics -0.0 $-0 -0% Service Charges $130 24% Mechanical Systems Features Total 85.1 $539 100% Heating: Fuel-fired air distribution, Natural gas, 94.0 AFUE. Cooling: Air conditioner, Electric, 14.0 SEER. Criteria Water Heating: Conventional, Natural gas, 0.88 EF, 60.0 Gal, R-2 wrap. This home meets or exceeds the minimum criteria for the following: Duct Leakage to Outside 20.00 CFM25. IECC 2009 IECC 2012 Ventilation System Exhaust Only: 80 cfm, 20.0 watts. IECC 2015 Programmable Thermostat Heat=Yes; Cool=Yes IECC 2018 NY-ECCC 2016 Building Shell Features Ceiling Flat R-38.0 Slab None Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling R-30.0 Window Type U-Value: 0.300, SHGC: 0.300 Above Grade Walls R-21.0 Infiltration Rate Htg: 802 Clg: 802 CFM50 Foundation Walls R-0.0 Method Blower door TITLE Company Long Island HERS Inc Lights and Appliance Features Address P.O. Box 149 Interior Fluor Lighting (%) 0.0 Range/Oven Fuel Natural gas City, State, Zip Water Mill, NY, 11976 Interior LED Lighting (%) 100.0 Clothes Dryer Fuel Natural gas Phone# 631.726.0433 Refrigerator (kWh/yr) 691 Clothes Dryer CEF 2.32 Fax# Dishwasher(kWh/yr) 265 Ceiling Fan (cfm/Watt) 0.00 REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. HERSPERFORMANCE HE,R�S�®lnde More Energy ENERGY RATING 1so 140 Existing 130 Homes 120 `j. 110 CERTIMCATE Standard ��= � New Home 100 90 80 70 80 Thls Home }I 50 55 f 1 40 I 30 20 Zero Energy 10 Home 0 Less Energy Estimated Annual Energy Cost Estimated Annual Energy Consumption 600- 539 50080.0 85 0 400 332 ! b' 1_1 60.0 'h 200-, 11 i 130 P _._ LJ m 40.0-, 100- ®_ l i ! I t 47 20.0-, - -- FT-- L 7' on on on c a +� " c o a 'u io c c n an n ami o ¢ Q) di FO— _ = H > U = i� _ `d L L 0 V L +' O O on O CL J Ln 3 Address 1756 Skunk Ln Annual Estimates* TITLE Cutchougue, NY 11935 Electric(kWh): 5649 Company Long Island HERS Inc House Type Single-family detached Natural gas(MMBtu): 66 Address P.O. Box 149,Water Mill, NY, 11976 Cond. Area 2386 sq. ft. CO2 emissions(Tons): 6 Certified Rater Nicholas Hemby Rating No. 117 Annual Savings**: $385 Rater ID 6168385 Issue Date July 09, 2019 * Based on standard operating conditions Registry ID 061672923 Certification Inspected and Tested ** Based on a HERS 130 Index Home Rating Date 2019-04-14 REWRate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. 0 1985-2018 NORESCO, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Building Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-C1_Christopher_Goff_1 Christopher Goff 756_Skunk_Ln_HERS_QAD (1).blg Property/Builder Information' Building Name Owner's Name Jeremy Armstrong Property Address 1756 Skunk Ln City, St, Zip Cutchougue, NY 11935 Phone Number Builder's Name Christopher Goff Phone Number 631.905.9646 Email Address cjgcontracting69@gmail.com Plan/Model Name Community/Development Identifier/Other -Organiz�ation'Information- - $` Organization Name Long Island HERS Inc Address P.O. Box 149 City, St, Zip Water Mill, NY 11976 Phone Number 631.726.0433 Website Rafting/RESNETinformAtioa� ` Provider ID 1998-146 Sample Set ID 00000000 Registry ID 061672923 Registry Date Registered 06/27/2019 Raters Name Nicholas Hemby Rater's ID 6168385 Rater's Email Last Field Insp 2019-04-14 Rating Type Confirmed Reason for Rating New Home Rating Number 117 Rating Permit Date 06/25/2019 REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Building ry Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-Cl—Christopher—Goff-1 Christopher Goff 756—Skunk Ln_HERS_QAD (1).blg General Building..lnforination -: µ Area of Conditioned. Space(sq ft) 2386 Volume of Conditioned. Space 22326 Year Built 2018 Housing Type Single-family detached Level Type(Apartments Only) None Floors on or Above-Grade 2 Number of Bedrooms 3 Foundation Type Unconditioned basement Enclosed Crawl Space Type N/A Number of Stories Including Conditioned Basement 2 Thermal Boundary Location REM Default Foundation Wall Information Name Library Entry Location Length(ft) Total Depth Height Uo Value Uo Value Height(ft) Below Above Combo" (wall only) Grade(ft) Grade(ft) FDN Wall Uninsulated" Uncond 164.0 9.0 8.0 1.0 0.195 1.506 bsmt->amb/grnd FDN Wall Uninsulated" Uncond 16.0 9.0 8.0 1.0 0.195 1.506 bsmt->garage/gmd "Uo Value Combo combines wall, airfilm, and soil path Foundation Wall: Uninsulated""" Type Solid concrete or stone Thickness(in) 8.0 Studs None Interior Insulation Continuous R-Value 0.0 Frame Cavity R-Value 0.0 Cavity Insulation Grade 3 Ins top 0.0 ft from top of wall Ins Bottom 0.0 ft from bottom of wall Exterior Insulation REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. O 1985-2018 NORESCO, Boulder, Colorado. Page 2 of 14 Building Summary Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-Cl—Christopher—Goff-1 Christopher Goff 756_Skunk_Ln_HERS_QAD (1).blg fOuhCatlon_Wdlltibtci Li sty _ R-Value 0.0 Ins top 0.0 ft from top of wall Ins bottom 0.0 ft below grade Note Frame of or.lh rmcibon', Name Library Entry Location Area(sq ft) Uo Value Floor R-30************ Btwn cond tt uncond 1456 0.040 bsmt' - - - - Frame^�Floor=. =�i r ;i^ _ rY --- =n Floor: R-30************ Information From Quick Fill Screen Continous Insulation R-Value 0.0 Cavity Insulation R-Value 30.0 Cavity Insulation Thickness (in.) 9.5 Cavity Insulation Grade 2 Joist Size(w x h, in) 1.5 x 9.5 Joist Spacing (in oc) 16.0 Framing Factor- (default) 0.1300 Floor Covering CARPET Note Rim_saiid BandFJoist,lnfii�mation ,£L= = -"rrt.: ; Name Location Area(sq ft) Continuous Framed Cavity Ins Joist Insulation Uo Value Ins Cavity Ins Thk(in) Spacing Grade Joists Cond -> 164.00 0.0 21.0 5.5 16.0 3 0.063 ambient Joists Cond -> garage 16.00 0.0 21.0 5.5 16.0 3 0.063 'Above-G Name Library Entry Location Exterior Color Area(sq ft) Uo Value AG Wall 1 R-21 FG G2************ Cond -> ambient Medium 747.00 0.058 AG Wall 1 R-21 FG G2************ Cond -> attic Medium 238.00 0.058 REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 3 of 14 Building Sumar Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-Cl-Christopher-Goff-1 Christopher Goff 756_Skunk Ln_HERS_QAD (1).blg FAbove.=Grade V1/all - • - _ _... . ^ _ - - - L..�:u...,...m�i•��.e:if:.:..._- - c.:== - --_ _w`z,�»a:.cL.�et:_s=d.:_..v __-_:i._..-._-_. .r.�.r�..a..�.�.w.,aa.......�u>.... z..�_`v.t.s.>..:..0^��.�.�...w....c. Name Library Entry Location Exterior Color Area(sq ft) Uo Value AG Wall 1 R-21 FG G2************ Cond -> attic Medium 127.00 0.058 AG Wall 1 R-21 FG G2************ Cond -> attic Medium 160.00 0.058 AG Wall 1 R-21 FG G2************ Cond -> garage Medium 144.00 0.058 AG Wall 1 R-21 FG G2************ Cond > ambient Medium 635.00 0.058 AG Wall 1 R-21 FG G2************ Cond > ambient Medium 168.00 0.058 AG Wall 1 R-21 FG G2************ Cond > ambient Medium 300.00 0.058 i4bove=Grade=Wall Ul rery Above-Grade Wall: R-21 FG G2************ Information From Quick Fill Screen Wall Construction Type Standard Wood Frame Continuous Insulation (R-Value) 0.0 Frame Cavity Insulation (R-Value) 21.0 Frame Cavity Insulation Thickness (in) 5.5 Frame Cavity Insulation Grade 1 Stud Size (w x d, in) 1.5 x 5.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note Wind6WAn1orrYiation,�_ Overhang Interior Adjacent Name Wall Orient U-Value SHGC Area Depth To Top To Btm Winter Summer Winter Summer Assignment (sqft) (ft) (ft) (ft) Shading Shading Shading Shading Andersen 400 AGWall 8 East 0.300 0.300 44.40 0.0 0.0 0.0 0.85 0.70 None None Andersen 400 AGWalL 6 East 0.300 0.300 128.00 0.0 0.0 0.0 0.85 0.70 None None Andersen 400 AGWall 1 West 0.300 0.300 267.00 0.0 0.0 0.0 0.85 0.70 None None Andersen 400 AGWall 2 South 0.300 0.300 44.00 0.0 0.0 0.0 0.85 0.70 None None Door Information _ Name Library Library Entry Wall Assignment Opaque Uo Value R-Value of Storm Door Area(sq ft) Opaque Area REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 4 of 14 Building Srear Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-C1_Christopher_Goff 1 Christopher Goff 756—Skunk Ln_HERS_QAD (1).blg Door_Information." Name Library Entry Wall Assignment Opaque Uo Value R-Value of Storm Door Area(sq ft) Opaque Area Mud Room Steel-urth w/brk***** AGWall 4 29.0 0.187 4.4 No Attic Steel-urth w/brk***** AGWall 1 21.0 0.187 4.4 No Garage Door Steel-urth w/brk***** AGWaII 5 28.0 0.187 4.4 No Entry 2-1/4 Wd solid core***** AGWaII 6 36.0 0.268 2.8 No Roof Information;. _ _ , ._ °'1`=- , . _ 41 " . Name Library Ceiling Roof Exterior Radiant Type Uo Value Cement or Roof Tile Entry Area(sq ft) Area(sq ft) Color Barrier Clay Tiles Ventilation Roof R-38 FG 1607.00 2008.75 Medium No Attic 0.044 No No G2******"**** Roof Sloped R-30, 173.00 173.00 Medium No Vaulted 0.043 No No Ceiling Vaulted0****' Roof Libra List rY'- Ceiling: R-38 FG G2************ Information From Quick Fill Screen Continous Insulation (R-Value) 0.0 Cavity Insulation (R-Value) 38.0 Cavity Insulation Thickness (in) 9.5 Cavity Insulation Grade 2 Gypsum Thickness (in) 0.500 Insulated Framing Size(w x h, in) 1.5 x 9.5 Insulated Framing Spacing (in o.c.) 16.0 Framing Factor- (default) 0.1412 Ceiling Type Attic Note Ceiling: R-30, Vaulted0***** Information From Quick Fill Screen Continous Insulation (R-Value) 0.0 Cavity Insulation (R-Value) 30.0 Cavity Insulation Thickness (in) 9.5 Cavity Insulation Grade 2 REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 5 of 14 Building Summary Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-Cl_Christopher Goff 1 Christopher Goff 756_Skunk_Ln_HERS_QAD (1).blg Roof,L°ibrarY Gypsum Thickness (in) 0.500 Insulated Framing Size(w x h, in) 1.5 x 9.5 Insulated Framing Spacing (in o.c.) 16.0 Framing Factor- (default) 0.1412 Ceiling Type Vaulted Note REWRate-Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 6 of 14 Building Summary Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-Cl—Christopher—Goff-1 Christopher Goff 756_Skunk_Ln_HERS_QAD (1).blg :Mechanical.E Men Number P_ Number of Mechanical Systems 3 Heating SetPoint(F) 68.0 Heating Setback Thermostat Present Cooling SetPoint(F) 78.0 Cooling Setup Thermostat Present DHW SetPoint(F) 125.0 Heat::94AFUEa as * * G Turn,48V SystemType Fuel-fired air distribution Fuel Type Natural gas Rated Output Capacity (kBtuh) 48.0 Seasonal Equipment Efficiency 94.0 AFUE Auxiliary Electric 396 Eae Note Number Of Units 1 Location Conditioned area Performance Adjustment 100 Percent Load Served 100 'Cool :;14SEER£A%C 2:5",ton* ***„r. .. _ r w.. _ yY System Type Air conditioner Fuel Type Electric Rated Output Capacity (kBtuh) 30.0 Seasonal Equipment Efficiency 14.0 SEER Sensible Heat Fraction (SHF) 0.70 Note Number Of Units 1 Location Conditioned area Performance Adjustment 100 Percent Load Served 100 -' ", .",,', ,,"-"`",""..�* _*.,e`?'�,:%^�'-.k: - __ ,-` - is _ .,•V,t.._,,t.� r'—r;,y.;,y-P—,�—.-�t" -_-_ _ - � :r ,,s'<�;.i.�: .�+;i, lDH1i1��Ind�rectf. Water Heater Type Conventional REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. 0 1985-2018 NORESCO, Boulder, Colorado. Page 7 of 14 Building near Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-C1_Christopher_Goff 1 Christopher Goff 756—Skunk Ln_HERS_QAD (1).blg Mechanical.Equipment. Fuel Type Natural gas Energy Factor 0.88 Recovery Efficiency 0.95 Water Tank Size (gallons) 60 Extra Tank Insulation (R-Value) 2.0 Note Number Of Units 1 Location Uncond bsmnt/enclosed crawl Performance Adjustment 100 Percent Load Served 100 DHW•Efficiencies: All bath faucets Is showers<=2gpm false All DHW pipes fully insulated >= R-3 false Recirculation type None (standard system) Farthest fixture to DHW heater 40 TOTAL Pipelength for longest DHW run 65 DWHR unit present? false DHW Diagnostics dhwGpd 41.79 peRatio 0.69 dishwasherGpd 2.01 clothesWasherHotWaterGPD -0.08 EDeff 0.95 ewaste 24.58 tmains 57.60 dwhrWhlnletTempAdj 0.00 pumpConsKwh 0.00 pumpConsMmbtu 0.00 REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 8 of 14 Building SummaryN�p�� 0 ��� NNN���� Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 17S6Skunk Ln 631.726.0433 2019'04'14 [utchouQue, NY 11935 NichoiasHemby Rating No:117 Rater|D:616O]O5 Weather:Riverhead, NY Builder 0248'0119'[1_[hhstophe[_GofL1 Christopher Goff 756_SkunkLLn_HERS—lAD (1).big Nome Duct Conditioned Floor Are (sq ft) 2386'0 #o[Returns 3 Heating System 944FUEGas Furn48k°°^�° Cooling System 14SEERA/C 2'5ton=**° Supply Duct Surface Area(sqft) 483'2 Return Duct Surface Area(sqft) 268'4 Duct Leakage Qualitative Assessment Not Applicable Duct Leakage toOutside Supply+Return 28'UUCFM @Z5Pascals Supply Only Not Applicable Return Only Not Applicable Total Duct Leakage 6U'0UCFM @ISPascals Duct Tightness Test PostcunntrucbnnText Test Exemptions |E[[ FALSE RESNETLtO FALSE ENERGY STAR LtO FALSE Type Location Percent Location 0-Value 5uppiy Unconditioned basement 50'0 B'O Conditioned space 50'0 O'D Return Unconditioned basement 50'0 6.0 Conditioned space 50'0 O'U RENVRate-Residential Energy Analysis and Rating Software v1S'J.3 This information does not constitute any warranty of energy costs or savings. 01985'2018NORESOO, Boulder, Colorado. Page 9nf14 Building S Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-Cl-Christopher-Goff-1 Christopher Goff 756_Skunk_Ln_HERS_QAD (1).blg Inf ' ° tilaion . _ _itraion al `dMechiicalVnt - Whole Dwelling Infiltration Input Type Blower door Heating Season Infiltration Value 802 CFM @ 50 Pascals Cooling Season Infiltration Value 802 CFM @ 50 Pascals Shelter Class 4 Code Verification Tested Mechanical Ventilation for IAQ Type Exhaust Only Rate(cfm) 80 Adjusted Sensible Recovery Efficiency(%) 0.00 Adjusted Total Recovery Efficiency(%) 0.00 Hours per Day 22.5 Fan Power(watts) 20.00 ECM Fan Motor false Ventilation Strategy for Cooling Cooling Season Ventilation Natural Ventilation Good Air Exchange for Multi-Family NA REM/Rate-Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 10 of 14 Building Summary Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-C1_Christopher_Goff 1 Christopher Goff 756_Skunk_Ln_HERS_QAD (1).blg �, v. _ Li �hts`and7-1 g= pP :isr Rating/RESNET audit Ceiling Fan CFM/ Watt 0.00 Refrigerator kWh/yr 691 Refrigerator Location Conditioned Range/Oven Fuel Type Natural gas Induction Range No Convection Oven No Dishwasher Energy Factor 0.00 Dishwasher kWh/yr 265 Place Setting Capacity 12 Clothes Dryer Fuel Type Natural gas Location Conditioned Moisture Sensing No CEF 2.32 Clothes Washer Location Conditioned LER(kWh/yr) 96 IMEF 3.060 Capacity(CU.Ft) 3.810 Electricity Rate 0.11 Gas Rate 1.22 Annual Gas Cost 11.00 Qualifying Light Fixtures Interior Lights% 0.0 Exterior Lights% 0.0 Garage Lights% 0.0 Interior LEDs% 100.0 Exterior LEDs% 80.0 Garage LEDs% 50.0 REM/Rate-Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 11 of 14 Building Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-C1_Christopher—Goff-1 Christopher Goff 756_Skunk_Ln_HERS_QAD (1).blg Mandr'y' qato R'e uiremen s .., �-nd- _ - - IECC Requirements Verified IECC 06 false Verified IECC 09 false Verified IECC 12 false Verified IECC 15 true Verified IECC 18 true Verified NY-ECCC 2016 true Verified IECC MI false Verified IECC NC 2018 false EPA Requirements Rater certifies that the home complies with the following requirements for: None ENERGY STAR Version 3 Appliances Amount Refrigerators 0 Ceiling Fans 0 Exhaust Fans 0 Dishwashers 0 ENERGY STAR Multi-Family Checks Clothes washer is in a category with no ENERGY STAR options. NA Clothes dryer is in a category with no ENERGY STAR options. NA Apt or Townhome uses'Class AW Windows. NA ENERGY STAR Version 3 Basements Basement Wall Area 50%Below Grad: false Basement Floor Area 0.00 Slab Insulation Exemption: false Indoor airPlus Verification Checklist false EPA Field App ID REWRate-Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 12 of 14 Building Summary Property Organization HERS Jeremy Armstrong Long Island HERS Inc Confirmed 1756 Skunk Ln 631.726.0433 2019-04-14 Cutchougue, NY 11935 Nicholas Hemby Rating No:117 RaterID:6168385 Weather:Riverhead, NY Builder 0248-0119-Cl—Christopher—Goff-1 Christopher Goff 756_Skunk_Ln_HERS_QAD (1).blg DOEr Zero Ener -stead Home Builder ID Number Mandatory Requirements Verified Fenestration false Verified Insulation false Verified Duct Location false Verified Appliance false Verified Lighting false Verified Fan Efficiency false Verified Water Efficiency false Verified EPA Indoor airPLUS false Verified Renewable Energy Ready Solar Electric false Optional Home Builder Commitments for Recognition Certified under the EPA WaterSense for New Homes Program No Certified under the IBHS fortified for Safer Living Program No Followed the DOE Zero Energy Ready Home Quality No Management Guidelines The buyer of this home signed a waiver giving DOE Zero Energy No Ready Home access to utility bill data for one year. 'Active Sonar= _ System Type None Collector Loop Type None Collector Type None Collector Orientation None Area(sq ft) 0.0 Tilt(degrees) 0.0 Volume(cu ft/gal) 0.0 REM/Rate-Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Page 13 of 14 1 1 • • COMMENTS FOUNDATION(IST) s lmm�. --------------------------------- COMM- ROUGH F1 INSULATION PER N.Y.. I �;1 PLUMBING STATE ENERGY CODE wimsl �' 11Q• 11�3jffj , TAW Art Mlfff WA ��I'�*" - oinmr AL COMMENTS 11 T r IIIEY S • I 1 y � � , 't � � , � � � .' n ,� TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 — Survey www. northfork.net/Southold/ PERMIT NO. (r-• Check Septic Form N.Y.S.D.E.C. Trustees Examined 3ib. ,20 Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration ,20 B i ector RWV12 LIGATION FOR BUILDING PERMIT F E B 2 1 201$ Date � ' � ,20 18 INSTRUCTIONS a.Th �a�pl}pi .be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of pl6e.Fee according to schedule. Ibof p an s owtngoca n 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 world 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,qpusizia code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. r (Si a of p'cant or name,if a corporation) (Mailing address of applicant) i I _� IQ 69 State whether applicant is owner, lessee, agent, architect, engineer,general contractor,electrician,plumber or builder A G clm i ►'�-GN'i CX W s 'Name of owner of premises �y/V\. �,OTT (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. I. Location of land on which proposed work will be done: 17 C S S",^J (- (4 Gell Gl, o&UG House Number Street Hamlet County Tax Map No. 1000 Section t T7 , ®O Block 64 . 0® Lot o ®c+0 O Subdivision DGSG,�{p' P aop2.4&c41j Filed Map No. Lot" (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy YAZp (Ap n?+ Si F2�'S b. Intended use and occupancy b ul/2 L4/U 3. Nature of work(check which applicable): New Building ✓ Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost Fee (Description) (To be paid on filing this a plication) 5. If dwelling,number of dwelling units 0�Ib Number of dwelling units on each floor If garage, number of cars 2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. IV A , 7. Dimensions of existing structures, if any: FrotJ �—Rear G t� Depth Height Number of Stories Dimensions of same-structure with alterations or additions: Front _ ;}Rear f Depth Height _ Number of Stories, 8. Dimensions of entire new construction: Front Rear 8 ' .`-Depth Height 2-0 0 " Number of Stories_ 9. Size of lot: Front­Z Of, 6 I Rear ` 5 0 6 I Depth VA 20� S 10. Date of Purchase 3 q g Name of Former Owner 1'VL(&A-A OL� MA G;�2c'R"=`N�'R 6 11. Zone or use district in which premises are situated A G 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NOX 13. Will lot be re-graded?YES NO C' Will excess fill be removed from premises?YES NO_x_ 14. Names of Owner of premises AMA 110'fir Addressi G N I(3 Phone No. (,0?(a Name of Architect K4(64-jegi (AjA-,A&YLWbb Ifl Address fy7 R` " ' A ' Phone No Name of Contractor Address hone 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 NOX * 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. ckl co STATE OF NEW ) SS: COUNTY OF',*, _ Iy being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the A —I O l t � A-r E Te (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 app?ication 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 tre day of OLA,CA-C , 20 IAJ-, II00 A Notary Pub is 4jge�na�tlure of Applicant emy OFFICIAL SEAL Denise D.Dewald NOTARY PUBLIC STATE OF NEW MEXICO Comm.Expres Sea, -e-' 'e" -14,v L reo Scott A. Russell ST01KAAWATEK kNAG1EM]ENT SUPERVISOR MA SOUTHOLD TOWN HALL-P.O.Box 1179 Town ofSouthold 53095 Main Road-SOUTHOLD,NEW YORK 11971 & CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS pRojECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one-hundred-year floodplain as depicted lilt on FIRM Map of any watercourse. surfaces of 1,000 square F. Installation of new or resurfaced impervious feet or more, unless prior approval of a Stormwater Management ed by the Town and the proposal includes Control Plan was received in-kind replacement of impervious surfaces. an your If you answered NO all of the questions above, STOP! Complete the Applicant section below with yo Name, Signature, Contact information,Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. Date. S.C.T.M. 1000 Contractor,Other) 'I Dbtrict 0 Owner Design Professional Agent answ the questions above,1"Ur sh s 'f you ere' 0 to ofl Due County ax Map Nu (I t Signature, a tact Information, ate & C ign ture, Con Inf a 0 0 — please submit were r more a ve, p d one e the Fs to 0 of Building ing Dcpa tmen If y u an pie Ch List Form to the B and completed Check s Fo e APPLICANT (Property qj NAME W A& Section Block Lot FOR BUILDING DEPARTMENT USE ONLY J5[ _V5q /5 Contact Infor Imnatio 21 1 7" Reviewed By: — — — — — — — — — — — — Date: Property Address//Location of Construction Work: I — — - - - - — — — — — Approved for processing Building Permit. (A Stormwater Management Control Plan Not Required. Stormwater management Control Plan is Required. C,4j L/ (Forward to Engineering Department for Review.) Scott A. Russell �°SU '� STOWMIWA\T]E]RL SUPERVISOR SOUTHOLD TOWN HALL-P.O.Box 1179 0 a I��l[A\�A\cGl]EI��J[]E1v'7[� 53095 Main Road-SOUTHOLD,NEW YORK 11971O� Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET 02 2 ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE F'OLLOWNG: 1 l � 7qs4 (CHECK ALL THAT APPLY) t ®❑ A. Clearing, g grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ; ❑® C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal !i erosion hazard area. ' I ❑® E. Site preparation within the one-hundred-year floodplain as depicted f ! on FIRM Map of any watercourse. ii ®❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces.- - If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department witg—your Building Permit Application. APPLICANT: (Property :O��rne Design Professional gent,Contractor,Other) i S.C.T.M. #: 1000 Date ; fApq'_p.-.� �,�y�g, /► //gy�p� - I NAME VV'rQ&m-9"Iv%6iA IA it !]--7 Lr --�— `12 - - - -- p" Section Block Lot 1 FOR BUILDING DEPARTMENT USE ONLY Contact Information 2S8 3 � ?depbone Number) �� i — — — — — — — — — ^,( Reviewed By: j i Property Address/ Location of Construction Work: �� — — — — — — — —Date_ -— —�7 (-7(d5 5 K(W K 1� Approved for processing Building Permit. �) T—F tormwater Management Control Plan Not Required. i1 , Gt1 YGN O "1 i� tormwater Management Conti of Plan is Required. orward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 -� — — --- — I i I i � r i APPLICANT S.C.T.M. # 1000 (Property Owner,Design Professional Agent,Contractor,Other) —6— b0SUFFQt !CHAPTER ER 236 `� q7 4 S ` Stormwater Mana ement Control UL CBE K 1841D AMk MIG{{!G (NA&MCYL- %0I�1 A," section Brock Lot a P,nsN o S M C P -Plan Requerements Provide ONE copy of the Building Per pplic tion. Date: t % c The applicant must provide a Complete Explanation and/or Reason for not providing 3)I 5G Numf- 0l all Information that I as been 1 egtiired by the following Checklists lelephnrc Number JN��� IgIMM M1 QRTMM LD 1. A Site Plan drawn to scale Not Less that 60'to the inch MUST YENO NA If You answered No or N,A to any Item, Please Provide s i ication Here! show all of the following items: if you need additi tovide additional Paper. a. Location & Description of Property Boundaries pwhima b. Total Site Acreage. ✓ 00 Jde but not . c. Existing-Natural & Man Made Features within 500 L.F. ; of the Site Boundary as required by §236-17(C)(2). 00 I Iza ion d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. �� I expose and/or inactive soils. e. Limits of Clearing &Area of Proposed Land Disturbance. 00 NO e_ZA(14n14 ULA:D f. Existing& Proposed Contours of the Site (Minimum z intervals) g. Location of all existing&proposed structures, roads, DRAIN ECTIONS ARE RE driveways, sidewalks, drainage improvements&utilities. n ac S EngineerinQUIRED g it Z65-:[569 before h. Spot Grades & Finish Floor Elevations for all existing& �� ac Mil, OR Provide Fn proposed structures. that the Oras I. Location of proposed Swimming Pooland discharge ring• 0 ✓0 r1a SwlAAnn 1/1jq Foot,' j. Location of proposed Soil Stockpile Area(s). �® JExcavAT-SV rv1 At, -� 6Z fiiErT" 04 5171­1� L. Location of proposed Construction Entrance/Staging AieaW. r_x("n/ bR'kVe NAY s -jD E e-MAin! 1. Location of proposed concrete washout area(s). 0 ✓0 �N kPpStf�ou-�-�, $� Dom b — 5I f�G M. Location of all proposed erosion&sediment control measures. 2. Stormwater Management Control Plan must include Calculations showing that the Stormwater improvements are sized to capture,store,and infiltrate on-site the run-off from all impervious surfaces generated by a two(21 inch ✓ 0 rainfall/stoim event. 3. Details&Sectional Drawings for stormwater practices are required for appioval Items requiring details shall include but not be limited to: 'DV L 5 b cS C S ND D 5TJR_Q ' a. Erosion &Sediment Controls. 0 ✓� ANP Dl- --MA615L -to Rb , 'UiX S le_ D b. Construction Entrance&Site Access. 0� E V ew T Q.-rnAini c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc) 0 ✓� K 1,5n YR 1 W A'$ (S d. Leaching Structures (e. .infiltration basins,swales,etc) ✓ FOR ENGINEERIN ' EPART r 'E ONLLY**** _ ! Additional Information is Required. Reviewed& ! a Stormwater- Management Control Plan is Not Com lete. Approved By: _ - - - _ _ _ _ _ _ _ p { Stormwater Management Control Plan is Complete. Date: - 3 8 SMCP has been approved by the Engineering Department. FORM # S WCP ck List-TOS MAY 2014 %,0 fat BUILDING DEPARTMENT - Electrical Inspector O C TOWN OF SOUTHOLD � Town Hall Annex,- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 Ol roger.richert(a)town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION - -- ---- - ---------------------------...---....._-.. -. ......... .. ..... . . Date: -- � -- -- - - -- - -- E (JESTED BY:" " " , Company Name: Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: R S 7A Address: r-- Cross Street: Phone No.: B[dg.Permit email: Tax Map District: 1000 Section: Block: Lo - BRIEF DESCRIPTION OF WORK (Please Print Clearly) b Circle All That Apply: Is job ready for inspection?: YES ! O Rough In Do you need a Temp Certificate?: YES O Issued On Temp Information: (All information required). JFn'de;rground e �h 3 Ph Size: �_A # Meters eter# rvice Fire Reconnect- Flood ect- Service Reconnecte =ndergroundOverhead Laterals 1 2 H Frame Pole Work done on ervice? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Fonn.xls `n Town Hall Annex Telephone(631-1802 54375 Main Road Fax(631)734-9502 P.O. Box 1179 Southold,NY 11971-0959 �y d _ s BUILDING DEPARTIVIENT NOTICE OF. U 1LIZATIGN.QF T-RUSSTYPEQNSTRUMION lEi-ENGINEERED WOOD CCtN TRUfWON Mk7 R TI BER C01WRMCTI©N Date: 12 -2.A- 1-7 Owner:. G11AM M.C-r_r-= ~ Location of Property: Ij fo,!� {'�i "tA-- ' C V-rW6 6uz 11 C 5 s' Please take notice that the (check ala line): New residential structure . �� •f _ Addition to existing residential structure )Rehabilitation to:an,existing.residential stnlcture rz . to be constructed or performed at the'subject prrooei rty`refdrence above will utilize (check applicable line): Truss type constructiori.(TT) �- Pre-engineered w+.od por st.ructidra(Nj) Timber construction(TC) - - - - - •� in the following locations)(check applicable line): Floor framing, indiudirig'girders.and beams (F) Roof frarining(R)- y or and roof framing (FR) Signature: Name (person sub. Itting this form): rn C V]4& K9-- Wft A-- T Capacity(check applicable line): Owner Owner representative , TrussResReg15.d0cx Effective 1/1/2015 Wagner 11 ARC HITECTU RE & D E S I G N h 57 Rolls tone Ave., W. SJyville, NY 11796 PII(631)563-2283 FAX(631) 567-3147 5 cl sAr� p©NY��G o LETTER OF TRANSMITTAL DATE ATTN RE:A J 6S 5�-4!N IL LA G�lrOtDCu;� WE ARE SENDING YOU ('ATTACHED ( ) UNDER SEPERATE COVER VIA_._ ( ) PRELIMINARY DRAWINGS ( ) ENGINEER'S REPORT 5 5 15 G4D A Q Pao VXL.(PNS' 1321 6 i iv A'o ( ONSTRUCTION DRAWINGS f%p(L I u56 (545�) SURVEYCI) ( c )PV of 5 71G �� Vi I cO ci�Ga r� rvn -r PG.��! APP S) �D Pop"i—, PPL-, R.�eV 1.5 cp 1�K"�1 W v5 E � 40 REMARKS AI ad 3A IJ , `il f a U Y 02, 0� Vis' P�,Z PgL-�b f X-C, fl� 1-D U1A1-1 UNDL, T46 4QU51 PLA/QS (Ake-)2� APPVC-2 15V JA6 &IWINC, Uvks "-EAKC"' 4'0u51z F-IL,!Ep 12 -2Z7 I7 19 LAWC14 relk 8y 74-6 PLAN! OOMIKY- &T I� oL,#NgC .yea prc-V NOT -N .--1- TlK Krym r L QT�-vcp t�Dp- `� `SFA I< "L)51. F(-CftlC (07' N1� k-pjoLJ If T)4� (z A- Ft-6 bLA;;� L-11:5, COPY1*0 SIGNED r t._ ,'ql• (( , `%-,,,..,ti.... ,f.lr':- -! }'+6i,�, ",JH:,a'.. u...N1.P,a._ .. r ., ' 'S ,t J6 , _ l,�• � � 't+ _:,elr'.:� f,try i' r'�" 1 '• rf+,.a z '.rlr.' . 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M v ni Dd 0i9 {Qw! • }y• _, ' too METS TOM 4 Y y `Qu•Jl�'+!�^.mac-'!'s'c-'+�c*b'_- � -"y-;_' ».-, - NOREScheck Software Version 4.6.3 Compliance Certificate D ARCHi,cr Project Proposed Residence �%,NA e� Energy Code: 2015 IECC a Location: Cutchogue, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 2,410 ft2 N0.02 e� Glazing Area 14% OF Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 1765 Skunk Lane Cutchogue, NY 11935 Compliance: 4.3%.Better Than Code Maximum UA: 461 Your UA: 441 Maximum SHGC: 0.40 Your SHGC: 0.27 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 Assembly Gross Area Cavity Cont. Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 2,218 30.0 0.0 0.035 78 Ceiling 2: Cathedral Ceiling 192 21.0 0.0 0.048 9 Wall 1:Wood Frame, 16"o.c. 2,459 21.0 0.0 0.057 116 Window 1:Wood Frame:Double Pane with Low-E 318 0.300 95 SHGC: 0.28 Door 1:Solid 72 0.250 18 Door 2: Glass 41 0.300 12 SHGC: 0.21 Wall 2:Wood Frame, 16"o.c. 296 13.0 0.0 0.082 22 Window 2:Wood Frame:Double Pane with Low-E 30 0.300 9 SHGC: 0.28 Basement Wall 1:Solid Concrete or Masonry 1,674 0.0 13.0 0.049 82 Wall height: 9.0' Depth below grade: 8.0' Insulation depth: 9.0' Compliance Statement. The proposed building design described ere is consistent with the building plans,specifications,and other calculations submitted with the permit application.The propose ul ' has been designed to meet the 2015 IECC requirements in REScheck Version 4.6.3 and to comply with the mandatory require en s 'sted in the REScheck Inspection Checklist. Name-Title Signa re Date Project Title: Proposed Residence Report date: 02/18/18 Data filename: C:\Users\Michwag\Desktop\Geek Squad data Backup\REScheck\Meltzer-real house.rck Page 1 of 10 REScheck Software Version 4.6.3 Inspection Checklist Energy Code: 2015 IECC Requirements: 97.0% 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. "��J$.;,, �!t°;wa"x ,u'!jtry ;!% "-:h`rk�_ 'f; „-,;•= '�`�n„"t.5,,+d.R °°n'j�, .. -, ::�a Nei; ',9.i(k.,4 e�+t" e, . "i�';, Sect�oni. , .laris^'Verifi"ed'' m Field Verified-°, ,' • b 's e mAs # ,Pr"e-Inspectio4lan'Review' ; Complies? Corrlments%Assume"tions Value.,, value' ° Fya ,q y wa, r #-tY F'a`es' 103.1, :Construction drawings and �a�aro � '`i Ll lies ;Requirement ^t s P will be met. 103.2 :documentation demonstrate ^°= " _'" '"�'�'"° `�. ❑Does Not [PRl]ire. x�t i �P ,energy code compliance for the � ry E r �,, �?�;���r+�; �"r ;Location on plans/spec: ,building envelope.Thermal ❑Not Observable :see details and notes on �•°�w „ pM,�.,,^ �i”"�' �:ro '❑Not Applicable envelope represented on �.� : �"� i ,« PPsheet A-5 ,construction documents. 103.1, :Construction drawings and V14 � �, R 4 � ,,� _s #' ,m „� ,`❑Complies :Requirement will be met. 103.2, documentation demonstrate ��^ 4a..^" �saH� "� -- ❑Does Not 403.7 ;energy code compliance for Location on plans/spec: [ 11 9 9 Y � '"� ' °' `""p,5�,� ,,,n;„W;.^,;," ❑Not Observable see details and notes on PR3 li htin and mechanical systems. ,.. ;�� ;Systems serving multiple �,a �w � 0,°ARM, " ��; �� ❑Not Applicable ;sheetA-5 " F ;dwelling units must demonstrate compliance with the IECC 'a; ';4 Commercial Provisions. yv � . �` 302 Heating and cooling equipment is; Heating: I Heating: ,❑Complies ;Requirement will be met. �� ;, 4,03:7 u,�7 °)sized per ACCA Manual S based I Btu/hr 1 Btu/hr 1❑Does Not 1 [PR2]z °' on loads calculated per ACCA 1 1 I Location on plans/spec: Cooling: 1 Cooling: '❑Not Observable I Manual J or other methods 1 1 Btu/hr 1 ,see details and notes on Btu/hr !❑Not Applicable I sheet A-5 approved by the code official. Additional Comments/Assumptions: 11 High Impact(Tier 1) 11,4,el Medium Impact(Tier 2) 8: Low Impact(Tier 3) Project Title: Proposed Residence Report date: 02/18/18 Data filename: C:\Users\Michwag\Desktop\Geek Squad data Backup\REScheck\Meltzer-real house.rck Page 3 of 10 31T PIS 6, M 'VeHfied ectiolifGr I I C�IFieldVi6rift-d- M', C inaatil"i[nsp6ctIo6.­ .,,, ,Plans,, I` t 1 Fou %�Z41 ompiii�` 9 ehts/Assumptlong� 1 11 �, �ij­,(,,, Va,ue,,,, 4" ma q4D, 402.1.1 :Conditioned basement wall R-_ R- i0complies :See the Envelope Assemblies : [F04]1 ;insulation R-value.Where interior; R- R- :E]Does Not table for values. :Insulation is used,verification :rnay need to occur during :E]Not Observable :Insulation Inspection. Not :[]Not Applicable ;required in warm-humid locations: ;in Climate Zone 3. Requirement will be met. 303.2 Conditioned basement wall []Complies [F0511 :Insulation installed per ElDoes Not :manufacturer's instructions. []Not Observable :Location on plans/spec: see details and notes on []Not Applicable sheet A AT11__ -5 402.2.9 ;Conditioned basement wall ft ft :UComplies :See the Envelope Assemblies [F06]1 :insulation depth of burial or i :E]Does Not ;table for values. :distance from top of wall. :E]Not Observable :E]Not Applicable protective covering is installed ElComplies :Exception: Requirement is 0 b i•J.12,,`"°'" oto protect exposed exterior E]Does Not :not applicable. ,. .,insulation and extends a El Not Observable rade.minimum of 6 in. below g El Not Applicable 4031 Snow and ice-melting system ElComplies :Exception: Requirement is controls installed. Does Not :not applicable. E]Not Observable E]Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) Medium impact(Tier 2) [3]Low Impact(Tier 3) Project Title: Proposed Residence Report date: 02/18/18 Data filename: C:\Users\Michwag\Desktop\Geek Squad data Backup\REScheck\Meltzer-real house.rck Page 4 of10 section r i # n Fr,'aming»/,Rough-In'Inspection I?I»an ified'° Field 5 :G`o`mpli®s?»° , ` a Corvine*n"ts7Assurrsptionss" s,„Ver ,Ver"ified” &'Req.ID� „s Value, ,x., Value", ''" 402.1.1, ;Door U-factor. ; U- ; U- ;❑Complies :See the Envelope Assembles 402.3.4 ❑Does Not ;table for values. [FR1]1 E i :,[--]Not Observable ' ❑Not Applicable 402.1.1, ;Glazing U-factor(area-weighted ; U- U- ;❑Complies ;See the Envelope Assemblies 402.3.1, average). 1❑Does Not ;table for values. 402.3.3, 402.3.6, _ _ ;❑Not Observable ' 402.5 I ;❑Not Applicable [FR2I1 i t i i 1 1 1 t 303.1.3 ;U-factors of fenestration products " x;IE]Does ❑Com lies ;Requirement will be met. [FR4]1 are determined in accordance Not ' :with from he Fttest def urlt table. or ry A* @x,a y rFV »ace :see;Location on plans/spec: :taken ❑Not Observable see details and notes on 1 r.�-�,,�. w„❑Not Applicable ' �:��° �•e "�"� -� r-��"���.�- ,;,,- (sheet A-5 402.4.1.1 ;Air barrier and thermal barrier 1� ❑Complies 'Requirement will be met. [FR23]1installed per manufacturer's ) "`' `,x,*'" .»;"'°{❑Does Not ; °�' ��a '��_y ,-t a�=- , instructions. Location on plans/spec: i } ]Not Observable ;see details and notes on ❑Not Applicable ;sheetA-5 l t,$° 402.4.3 ;Fenestration that is not site built ';_"< rr " &` 3x , , ❑Complies :Requirement will be met. [FR20]1 is listed and labeled as meeting , :- . , ❑ Does Not ;AAMA/WDMA/CSA 101/I.S.2/A440 ;or has infiltration rates per NFRC °�' ` I ==;r_i Vao!",0PIx r' �`"��'"`�""' ❑Not Observable .400 that do not exceed code f- t, = , ❑Not Applicable limits. 1 1 402:49,5,,, >'IC-rated recessed lighting fixtures?"" ❑Complies '1 Requirement will be met. [FR}:6]? » «sealed at housing/interior finish i`"p`"`` , rd ❑Does Not and labeled to indicate<_2.0 cfm F Location on plans/spec: l leakage 75 Pa. "n,,k g># ,,r," =''t`', `'° r -]Not Observable g � u.��" _ �a.°` ;see details and notes on aaIf❑Not Applicable ;sheet A-5 403.2.1 ;Supply and return ducts in atticsr A » i ❑Complies ;Requirement will be met. [FR12]1 (insulated >= R-8 where duct is r "-">; ;.x _ : , �k z ' �'"^+' ° '' ❑Does Not i. res ,, ^ I>= 3 inches in diameter and >_ � � - xu � �` `. Location on plans/spec: R-6 where<3 inches.Supply and „4A,> w : ❑Not Observable - ” ">`=� =�'^ $� ���w❑Not A licable ;see details and notes on the budding insulated >= R-6 for k :` F °°a!rv', { ' PP ;sheet A-5 ,diameter>=3 inches and R-4.2 (for< 3 inches in diameter. , 403.3.3.5 ;Building cavities are not used as "°^''�' ,� '4J'» "'"',;� °a>,,s°�;"`� ❑Complies :Requirement will be met. `3 t �'�m��+�=,{`:�'"7�. x,f" �°`"'�;�,P,fl<�»gds+.; , �_ „' � t ', [FR15] . ducts or plenums. �s r � a - �a Oft, Does Not ; ❑Not Observable (Location on plans/spec: ,see details and not es on _ ce' ❑Not A IlCable ' ' " ,� PP i sheet A-5 4403°�4 �� arHVAC piping conveying fluids R- R- ;❑Complies ;Location on plans/spec: [f R17 above 105 4F or chilled fluids i 1❑Does Not ;see details and notes on below 55°F are insulated to>_R- 1 1 1 1 sheet A-5 ': xr s;�wrg3 1 1 1❑Not Observable ; :F-]Not Applicable 403.4.1 !Protection of insulation on HVAC R�:,`6 s ,t a°> °; ., -gib a vx; £ e ❑Complies ;Requirement will be met. [FR2411 i piping. 1 "',M,''x; :..,.a "Au Y., ;» ❑Does Not 1 i r •rears_ 1"3'a'gd> �e_,:d���^."w��mrad�2aszR�. a'�, Location on plans/spec: "❑Not Observable `- ' •?�`a'� �"•'_^� ,;�' < ,- `��,'"�" 4B �� 'See details and notes On El App IlCable t ,sheet A-5 4°03:5:3" :Hot water pipes are insulated to 1 R- 1 R- ;❑Complies ;Requirement will be met. [FR1�8] s;'�zR-3, ; 1 1❑Does Not 1 i :Location on plans/spec: ' 1❑Not Observable ; see details and notes on ;[]Not Applicable sheet A-5 1 High Impact(Tier 1) ;<?' Medium Impact(Tier 2) ["3 1 Low Impact(Tier 3) Project Title: Proposed Residence Report date: 02/18/18 Data filename: C:\Users\Michwag\Desktop\Geek Squad data Backup\REScheck\Meltzer-real house,rck Page 5 of 10 'at'wa.C""?�;iG:'`,'a p ,`a: a 5,{ate»... ,r3"u�S 9,' 'iic, 7Fa-=a",'a,wlii.��a '2� ,.,w-'�, i; '.aeai Section "h, u 1. ry ;,,,ks a" .�ar,rr, -- ,. ��., �'}a s `�' . 5v yaw,Lu¢w Ei4 r >mna�� .a'�,,°, F°r'aming/Rough=ln'tnspection `Plans'wYerified Fielit°V,eriffedn - Co_ mplies?<'`""`°'Comments%Assumption`s` a;{ Value Value ° ' 4037b`"n'''-EiAutomatic or gravity dampers arela` rq'� " ❑Complies :Requirement will be met. [FR,19]2 " linstalled on all outdoor air , , a'.. k"'.srid ❑ � �.�",�''-.'g�•�-s°� ' �r� �a` a`.: DOeS Not intakes and exhausts. a;Location on plans/spec: "o"Tu ❑Not Observable see details and notes on Applicable ❑Not A PP sheet A-5 Additional Comments/Assumptions: 11 High Impact(Tier 1) "2 Medium Impact(Tier 2) ",3] Low Impact(Tier 3) Project Title: Proposed Residence Report date: 02/18/18 Data filename: C:\Users\Michwag\Desktop\Geek Squad data Backup\REScheck\Meltzer-real house.rck Page 6 of 10 "Section 4 iv, e-. Plans',Verif,►edr FieldsVerified" ,r , ;° ;,F #fy „ „„yr,Insulat on;Inspection ,,., i,rM„ , ,;p r h,, ;' Complies„r .Com�vients/Assumptionsr &�Req`.ID' ° Value. Vaalue .g!. `'' � � - �: 303a,z° � All installed insulation is labeled � i° '"`� ., ❑Complies ;Requirement will be met. [IN,13] or the installed R-values ElDoes Not a , .I provided. tin_: , ; ,a .. ,;` ❑Not Observable ; fir, El 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 1/z of the ❑ Wood ;❑ Wood ;❑Does Not ;table for values. 402.2.6 ;wall insulation on the wall ;❑ Mass ❑ Mass bNot Observable ' [IN3]1 exterior,the exterior insulation ❑ Steel ❑ Steel :❑Not Applicable raj :requirement applies(FR10). 303.2 Wall insulation is installed per ; ~tp,, ,,,1 ❑Complies Requirement will be met. [IN4] :manufacturer's instructions. ❑Does Not :Location on plans/spec: ❑Not Observable ;see details and notes on g; ❑Not Applicable sheet A-5 Additional Comments/Assumptions: 111 High Impact(Tier 1) [,�'yl Medium Impact(Tier 2) 1�3°° Low Impact(Tier 3) Project Title: Proposed Residence Report date: 02/18/18 Data filename: C:\Users\Michwag\Desktop\Geek Squad data Backup\REScheck\Meltzer-real house.rck Page 7 of 10 ^ ` ts 402.1.1, :Ceiling insulation R-value. R- R- �,E]Complies :See the Envelope Assemblies 402.2.1, d ;table for values. 402.2.2, Steel E] Steel i i 402.2.6 UNot Observable [Fill' 1EINot Applicable 303.1.1.1,i Ceiling insulation installed per pR.Wk Elcom plies ;Requirement will be met. 303.2 :manufacturer's instructions. [F12 I n marked every E]Does Not ;Location on plans/spec: :300 ft2. ElNot Observable see details and notes on ]I :Blown insulatio EINot Applicable sheet A-5 4 Vented attics with air permeable ElComplies :Requirement will be met. acen Mi DDoes Not :Location on plans/spec: to soffit and eave vents,that []Not Observable VALV-FIUS over insulation. see details and notes on sheet A-5 ONot Applicable 402.2.4 :Attic access hatch and door R- R- :LJComplies Requirement will be met. [F1311 :insulation 2:11-value of the :E]Does Not :adjacent assembly. ;Location on plans/spec: UNot Observable see details and notes on :E]Not Applicable !sheet A-5 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 ACH 50 ZlComplies i Requirement will be met. [FI1711 ach in Climate Zones 1-2, and TIDoes Not <=3 ach in Climate Zones 3-8 :Location on plans/spec: UNot Observable :see details and notes on :E]Not Applicable sheet A-5 403.2.3 Duct tightness test result of<=4 cfm/100 cfm/100 1EIComplies I Requirement will be met. <=3 cfm/100 ft2 without air !Location on plans/spec: !,handier@ 25 Pa. For rough-in 1E]Not Observable I :see details and notes on !tests,verification may need to 1EINot Applicable :sheet A-5 !occur during Framing Inspection. 403.3.2 1 Ducts are pressure tested to cfm/100 1 -cfm/100 bcomplies !Requirement will be met. [F[27]1 !determine air leakage with ft2 ft2 PDoes Not i !either: Rough-in test:Total :Location on plans/spec: i 1EINot Applicable :see details and notes on Fessure differential of 0.1 inch 1 sheet A-5 I w.g.across the system including 1the manufacturer's air handier !enclosure if installed at time of !test. Postconstruction test:Total !,leakage measured with a �pressure differential of 0.1 inch I w.g.across the entire system I including the manufacturer's air !handier enclosure. 403.3.2.1 tAir handier leakage designated ElComplies :Requirement will be met. F12411 :by manufacturer at<=2%of !design air flow. :Location on plans/spec: tP 5 'details and notes on uL 6 ElNot Applicable it sheet A-5 Programmable thermostats 2' installed for control of primary ElDoes Not heating and cooling systems and A A, :Location on plans/spec: EINot Observable initially set by manufacturer to see details and notes on ElNot Applicable i sheet A-5 ,,,,code specifications. Al".2 )',J�Heat pump thermostat installed ElComplies I Requirement will be met. ;Location on plans/spec: �LJIVUL Observable see details and notes on EINot Applicable sheet A-5 I High Impact(Tier 1) Medium Impact(Tier 2) 1'-3-1 Low impact(Tier 3) PnojectTitle: Proposed Residence Report date: 02/18/18 Data filename: C:\Users\Michwag\Desktop\Geek Squad data Backup\REScheck\Meltzer-real house.rck Page 8oflU . . Project Title: Proposed Residence Report date 02/18/18 ° ^ Value LIComplies !Requirement will be met. F12 pilot light. 404;1,11� :Fuel gas lighting systems have 3 3 no continuous Location on plans/spec: -]Not Obser :see details and notes on EINot Applicable sheet A-5 Compliance certificate posted. ElComplies Requirement will be met. []Not Observable EINot Applicable ElComplies :Requirement will be met. 303.3 1 Manufacturer manuals for 181 mechanical and water heating E]Does Not '::systems have been provided. E]Not Observable EINot Applicable AdditixnaUCommments/Assummptions: 111 High Impact(Tier 1) 1 2'1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Proposed Residence Report date: 02/18/18 Data fi|ename: [:\Users\Michwag\Desk1op\GeekSquad data Backup\RESchech\Me|tzeprea| house.rck Page lDufIO 2015 IECC Energy Efficiency Certificate Above-Grade Wall 21.00 Below-Grade Wall 13.00 Floor 0.00 Ceiling / Roof 30.00 Ductwork(unconditioned spaces): Window 0.30 0.28 Door 0.25 0.21 Heating System• Cooling System• Water Heater• Name: Date: r Comments 9 � R All exterior lighting installed, replaced or repaired shall conform to Chapter 172 of the Town Code Fire separation APPROVED AS NOTED required as per NYS Code DATE: L B.P.#FEE: `I r By. `NOTIFY_ BUILDING DEPART AT 765-1802 8 AM TO 4 PM FOR THE Must Provide Manuals FOLLOWING INSPECTIONS: D, J and S as per 1. FOUNDATION - TWO REQUIRED NYS Energy Code -FOR POURED CONCRETE 2.,ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST Blower door BE COMPLETE FOR C.O. and ductwork ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW testing required. YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. TRUSS PLr4CgR®ING REQUIRED COMPLY WITH ALL CODES OF ELECTRICAL NEW YORK STATE & TOWN CODE` INSPECTION REQUIRED AS REQUIRED AND CONDITiONS O T D PLUMBER CERTIFICATION ON"CEA'D-CONTENT BEFG,ii- ` C'ERTIFICATE OF OCCUr'r;,1; � — SOL=DER USED IPJ V,,'1, SUPPLY SYST EIvi EXCEED 2/10 OF ;;o OCCUPANCY OR USE IS UNLAWFUL PLUMBING WITHOUT CERTIFICATr -ALL PLUMBING WASTE ='�_,&WATER LINES NEED OF OCCUPANCY IgE tING BEFORE Coo sl;ti�., DRAINAGE INSPECTIONS ARE REQUIRED Contact TOS Engineering at 765-1560 before DO NOT PROCEED WITH Backfill,OR Provide Engineer's Certification , FRAMING UNTIL SURVEY _ that the drainage has been installed to Code. OF FOUNDATION LOCATION HAS SEEN APPROVED. r 446'15 p N �7 O t7 N� O 2 cM'1 ' O✓O 21 X40. TEST- HOLE BYE C w w0 a - --------------------- �� ` v, McDONALD GEOSCIENCE ``�° '36.0 / � ooW U► DATE: OCTOBER 4, 2017 z VSo o In o o amu, 11 �:�� �w EL. 16.3 2 OL DARK BR WN LOAM. ��e i rn 6° f l � �n a a' ', 10.0 P(,- EL. EL. 15.3 A 4 o c, 4 3S 1 i 1 11 `.� / a 3s.o B.0 a� o w SM BROWN SILTY SAND. o P g w `_ ` 1 w d �x F o o v EL. 13.3 0 � , Qz3 �1Q %� tiy, ow o A SP PALE BROWN IBROWVNFINE�SJAND. SAND. o O o V' o°w 1a6 of `` o •` ` "�M5 v W� o T : w m o / w do wv r� EL. 1.6 11 w `3 - W o W SP 1fAPER IN PALE 3 "`- "-''� � VI / o a o 4 800(178�� � 3� � 3� _ H v', �dN V EL. -0.7 V v�_Ry_9:-' - eD\ _ - ` �i o \ N a' ` ad oo� v 3 ` O E- 0 W Zd ��. //iz6.o, , �w v�v' `�ti- �/� LCA o y / \OGN V Q '- �y_i� iWcFi� I//V`i26.0% 4 kZwNF�.� wtLn cn 195.016.6 0.0 � WW//E-T°o Z2 69 / ii ' Z hP. �,& �vvwi���w ,6 (Dd� a 20 446 15 TH w F O. >►� 196.9 Ln tip° o - _r >1, � " _ `� ----- E-� O--- ------------------------------------ ---- �p OF ' e0 a w TAY DE 9�A S lw.9192 FggRIJAR � ooa °' a I O U pO Z �1J• � P woP�C-3 Iw 0 0.6E S 80 � zW rnW� w �� c� wooer r=F er o oz e is zfin cm, Wrn11 ° p A ow 0") o SANITARY DESIGN: (THREE-FOUR BEDROOM SYSTEM) •1,000 GALLON SEPTIC TANK. •(2) 8'O-DIAMETER X 6'0-DEEP LEACHING POOLS. SANITARY DESIGN: (FOR FRAME BARN) •-1,000- GALLON SEPTIC TANK. •(1) 8'0"DIAMETER X 8'0"DEEP LEACHING POOL. NOTES: LEGEND: PROPERTY INFORMATION: DRAWING INFORMATION: of NEW •PARCEL IS CURRENTLY VACANT. (NO RESIDENCE). FF = FIRST FLOOR AREA: 130,683.29 Sq.Ft. = 3.0000 ACRES SCALE: 1"=40' ,ZQz����G.McQL LISA McQUILKIN •EXISTING VINYL SHED, FRAME COOP & FRAME SHEDS TO BE " GF = GARAGE FLOOR ZONED AC" AGRICULTURAL CONSERVATION DRAWN BY: R.K.H. � tiQ � + LAND SURVEYING + SURVEY OF REMOVED IN THEIR ENTIRETIES. RG = RIDGE HEIGHT ELEVATIONS IN NAVD88 DATUM FILE No.: Q440-17 DESCRIBED PROPERTY •EXISTING WELL HEADS ARE TO BE PROPERLY ABANDONED. ST = SEPTIC TANK DATE: OCTOBER 25, 2017 tu •ALL SURROUNDING DWELLINGS WITHIN 150.Oft. HAVE PUBLIC (PATER. LP = LEACHING POOL * 274 FAST MAIN. STREET AT CUTCHOGUE, TOWN OF SOUTHOLD, •THERE-ARE NU WELLS IPITIF 150.Oft. OF- THE;SUBJECT PROPERTY. EP = EXPANSION POOL APPLICANT: r - EAST (SLIP N.Y. 11730 ' SUFFOLK COON FY, NEVA"YORK •EXISTING TREES THAT ARE IN HEALTHY CONDITION" TO BE PRESERVED �'. y �° TEL: 631 277-3605 SCTM: 1000-097.00-04.00-008.000 _ T@1 = TOP OF WALL- MICHELE VPAGNER-NEBBIA- NO y� �, TO THE MAXIMUM INTENT POSSIBLE. BIP = BOTTOM OF WALL 57 ROLLSTONE AVENUE, WEST SAYVILLE, NY 1179 ry 05� U�� FAX: 631-277-3906 •MARK-OUT NOT DONE AT THIS TIME. SURVEYOR IS NOT RESPONSIBLE DW = DRYIPELLLi SFb L A KO S FOR UNDERGROUND UTIIITIES OR STRUCTURES. PHONE: (631)-563-2283 •ALL PROPOSED iTi'IITIES ARE TO BE INSTALLED UNDERGROUND. UNAUTHO®ALTERATION OR ADDITION TO THIS SURVEY S A VIOLATION OF SECTION 7209 OT THE NEW PORI STATE EDUCATION LAW.COPIES OF THIS SURVEY YAP NOT RRARDIG THE LAND SURVEYORS INiID OR EMBOSSED SRAL ARB NOT CONSEDEM To BE 1 TRUE VAIID COPY.DISTlNC6S seoWN TROY PROPERTY IINES To KUMG STRUCTURES ARE FOR►SPICHIC PURPOSE AND USE,AND ARS NOT INTENDED TO GUIDE IN THE ERECTION OF FENCES OR OTHER STRUCTURES.CERT'IPICATION INDICTED SON MAIL RUN ONLY TO THE PERSON FOR WHOM THE SORV'EY S PERE'ARgD AND ON HIS BEHALF,TO THE COMPANY OR AGENCIES ITSTHI HEWN AND TO TRI ASSTCNBBs M IBE I18NDING INSTTIUTION.CIIti1PMAT10NS TRE 1TOT TBANgp0tAB1E 70 1DDTIIONAL INSTITUTIONS OR SUBSEQUENT OWE S. 1765 SKUNK LANE, CUTCHOGUE 0440 '— 1ry (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND APE NOT TO BE USED TO ESTABUSH PROPERTY LINES OR FOR ERECTIOI OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY.(A)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS DR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)do CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS, 400 Ostrander Avenue, Riverhead, New York IIQOI tel. 631.121.2503 fax. 631.121.0144 admin®youngengineering.com Howard W. Young, Land Surveyor N Thomas G. Wolpert, Professional Engineer I Douglas E. Adams, Professional Engineer I Robert G. Tost, Architect Robert Stromski, Architect IW s E 51 TE DATA ITOTAL AREA = 50.000 ACRES � S - I � STK r� Gh�m FOUND � / e y et ���JJJ roW or �5�5on �' pE5'E ,�e�oh FOUND QmPIPE fan Li k. O a gU LD G Ut --- --57.7 ------ O N m 5 O w Q '5E FOUND 9 9-FOE E A d O m U1 1 106.13 `I ty00 o 0.1130„� p.s - � ASPHALT/GRA`/EL ROADWAY ''s MF I It O I O LU --- -----------—----------------------------- 201."f--------—-------- a O - N V X59 0 O N O G 29 CMF �g'E z 6o a (j) w z 'b, I ��613, �� 5URVE"rOR'S CERTIFICATION i * WE HEREBY CERTIFY TO JEREMY ARMSTRONG THAT THI5 i It I SURVEY WAS PREPARED IN ACCORDANCE WITH THE GORE OF ASPHALT/GRAVEL ROAD NA PRACTICE FOR LAND 5URVEYS ADOPTED BY THE NEW YORK STATE g Z tI 5�6110 P` I A550CIATION OF PROFESSIONAL LAND SURVEYORS. i o � I s O N �I rq o rner�y 21 ED O RAIL FENCE or �or eQlty I 0-Ek noA Z't!2� z PIKE Qo1�P/y I i IIA POST a LAWN ��000-11�j0 9 .P FRAME I �. HousE , HOWARD W. YOUNG, N.Y.S. L.5. NO. 458x5 �MF now or formerly I Siorhei aQianok ino P I 5UR1Y FOR JEREMY ARM5TRONG E at Cutchogue, Town of Southold Suffolk County, New York i N FOUNDATION LOCATION 5UR\/EY O O � O i 7 County Tax Map District 1000 Section c1'7 Block 04 Lot 8 0 B FIELD SURVEY COMPLETED JUNE 06, 2015 MAP PREPARED JUNE 25, 2018 Record of Revisions RECORD OF REV1510N5 DATE FOUNDATION LOCATION JULY 261 2015 o O 40 O 20 40 50 120 GO j � Scale: 1" = 40' 0. \ J JOB NO. 2018-0106 Q= MONUMENT SET ■_ MONUMENT FOUND =STAGE 5ET ®= 5TAKE FOUND Y DWG. 2018-0106—foundation—loc I OF I 446.15 2�0 z O S E W TEST HOLE BY._ �; o > _ --------- 1i --- McDONALD GEOSCIENCE 2S, DATE: OCTOBER 4, 2017x -------- x m o _ _f-- - EL. 16.3 po 7 0 L c��✓�� i n R�Vl to- OL OL DARK BROWN LOAM. ° A o `f' 60 25 - a 1 / o ^'a EL. 15.3 w a'Z ( gttEo - r- 1; 1 `�`. o o ;, W 10.0 0 a� H b SM BROWN SILTY SAND. A o A W o , a, 4.85 1 j 1 t 1 11 o r \\�� Y _ % 36.0 ' X V' o EL. 13.3 po � z� oz L- - t ,>1 wwd �`. / �1r✓ �W 0 7.� J _ i to • c7 _ `� y �' o o A 11 SP PALE BROWN FINE SAND. O oo rn W x o z L� A r5 otw,� ad 3, — EL. 1.6 !! azwj , �� z � v �� v wr rn SP RATER IN PALE BROWN FINE SAND. O _ 3 3 "" _ _ to r w w G i . v o F >' EL. -0.7 N $o o �d a 6 r p vs - y � 3— y------ 1 -__ -- rO v� __---- w �`° _ Z F w3 �� 06 tN O A a --- /� � �yti �'�•+ •d' y/ i i Vs 'O 195.0 8.0 '0 a f_ o .p�,, 0 0 10.o s.o/�Z x l Ch z Fla¢ to o rar 2.0' C> r a +TH 0 i ►�I v y, 196.9Ln 01 1 Z Ez bye ------- ---------- - - ►-�- ---- r -- ------ --------- ----- .n 0.vl �s CO T EC J ' 00 o J YN F, T'. A' 'S No,8192 ow +a o S 5 0 2 A a O P�ca � ��C:_f ti �,R Y'V„� '4 f'� t,�'`: t.,�S.i"+ :i,✓ :I i'��,:..r�c^^`.qq�'•1 Fd.,}s'6 l a goo p e 0.6E ojopa I ell 19 a�of � � �o p��� �-.-...,......,......_M.,..•,..._..�....-.._.....,._...._......._,....�._,...._......,.o...._.._...-.7..._._._a........r Y �`c~': , ,_�frr��.;.'.) ..._.___.c ,..., �,....._._.• ........o tet- D�•„� ! r• ., 7,. 1 I:Zt �''i ”'e"'-• 0^ 'A r"�W T" 9 t .... .. R....�t ;�..r k`..:.i,.'y''::_g s._ r i t.,,R'h#c','•'..:(,:. jt 6 I�:Z; ..�._..•.,. ..�., f WA. (�'^',�•• � f� •:J) �yx I"�•� �,} f"i�.f•�',i'. ��i aY. i.i:. ,...,'�'= . ,.J' .� o 4ye,.. :Nt �' v..+!'+Tryika...r..., r. •t c:..f !-•J1<d'. ,w 4.,�.k l4.n la •I>�i.r SANITARY DESIGN: 17 ___.__.__......__-.. f f O•' (THREE-FOUR BEDROOM SYSTEM) �' � G C /'7 /tJ a /t'1 L�f, 1,000 GALLON SEPTIC TANK. •(2) 8'0"DIAMETER X 6'0"DE91"�`LEACHING POOLS. « �,��S ' SANITARY DESIGN: L`�f';�'.r•,��' y�S �,,u p e. 1Tri rt G�,l F°+�'b�w.Teil b ir`7s�w 3 (FOR FRAME BARN) •1,000 GALLON SEPTIC TANK. ( 2)•(1)`8'0"DIAMETER V'eDEEP LEACHING POOL. NOTES: LEGEND: PROPERTY INFORMATION: DRAWING INFORMATION: of NEW 1, •PARCEL IS CURRENTLY VACANT. (NO RESIDENCE). FF = FIRST FLOOR AREA: 130,683.29 Sq.Ft. = 3.0000 ACRES SCALE: 1"=40' \A�cN G.McQ� LISA McQUILKIN •EXISTING VINYL SHED, FRAME COOP do FRAME SHEDS TO BE GF = GARAGE FLOOR ZONED "AC" AGRICULTURAL CONSERVATION DRAWN BY: R.K.H. r�P Q©� > <�' l LAND SURVEYING SURVEY OF REMOVED IN THEIRENTHtETIES. RG = RIDGE HEIGHT ELEVATIONS IN NAVD88 DATUM FILE No.: Q440-17 r*1 DESCRIBED PROPERTY •EXISTING WELL HEADS ARE TO BE PROPERLY ABANDONED. ST _ � � - SEPTIC TANK DATE: OCTOBER 25, 2017 � •ALL SURROUNDING DWELLINGS WITHIN 150.Oft. HAVE PUBLIC WATER. LP = LEACHING POOL APPLICANT: � � �r �' � 274 EAST.MAIN STREET AT CUTCHOGUE, T01P1V OF SOUTHOLD, •THERE ARE NO SPELLS WITg 150.Oft. OI`' THE SUBJECT PROPERTY. EP = EXPANSION POOL •EXISTING TREES THAT ARE IN HEALTHY CONDITION TO BE PRESERVED c ,. ��. SUFFOLK COUNTY NEW YORK EAST ISLIP N.Y. 11730 �` o SCTM: 1000-097.00-04.00-008.000 TAY = TOP OF SPALL- MICHELE WAGNER-NEBBIA - '� � TEL: 631-277-3605 TO THE MAXIMUM EXTENT POSSIBLE. BAY = BOTTOM OF WALL 57 ROLLSTONE AVENUE, PEST SAYVILLE, NY 1179 l� NO 0542 �J� FAX: 631-277-3906 •MARK-OUT NOT DONE AT THIS TIME. SURVEYOR IS NOT RESPONSIBLE DAY = BOTTODRYWEM TEED�qNp`'� FOR UNDERGROUND UTILITIES OR STRUCTURES. PHONE: (631)-563-2283 •ALL PROPOSED UTILITIES ARE TO BE INSTALLED UNDERGROUND. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY S A VIOLATION OF SECTION 7209 Of THE NEN YORK STATE HIUCA71ON LAW.COPES OF THIS SURVEY YAP NOT DRAM THE LAND SURVEYORS LN®OR ENDOSSBD SEAL ARE NOT CONSIDERED TO BE A TRUK VALID COPY.DISTANCES SHOWN FROM PROPERTY TUNES TO EYISTING STRUCTURES ARK FOR A SPECMC PURPOSE AND USE,AND AM NOT LN7ENDED TO GUIDE IN THE ERECTION OF FENCES OR OTHER STRUCTURES.CERTRFICATION INDICTED HEREON SLALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY S PERPARED AND ON HIS BEHALF.TO THE COMPANY OR AGENCIES LISPED HEREON AND TO THE ASSIGNEES OF THE LENDING ANSI MON.CERMCA71ONS ARE NOT TRANSRHIABRS TO ADDMONAL]INSTITUTIONS OR SUBSEQUENT OWNERS. 1765 SKUNK LANE, CUTCHOGUE Q440 - 17 446.15 0 0 Q CIDo �� -.. --------T� 50.7 TEST HOLE BY: o w - ------ McDONALD GEOSCIENCE �} c o cw _ ------ KCE DATE: OCTOBER 4, 2017wood Nx EL 18.3 ��� y •�m�� � I, �' OL DARK BROWN LOAM. EL. 15.3 o SM BROWN SILTY SAND. - .• i 2 0 EL. 13.3 SP PALE BROWN FINE SAND. P •�� = Y ///// �' / ��` 1 - wm 1� EL. 1.6 , f7 _ -- -- - �tib%.. � _ I� �/ O W a , 0 1 7 A x o SP WATER IN PALE BROWN FINE SAND. EL -0.7 ------------- lb - -------- 1� - _'� - r_ �.tint/' __ � � i WWF, / � �'•,4� ..� �.ti O •�O y O 'N' x4ti!;4o'yyax Otib o '^titiy''' � t v A' o.. 48 FENCE ri L G � Q V aZ Wco All OD ----- -- zOF • �. P bOG`�--------x°' -- = -. 201.6 d Z a N N L N Z / % V` }a OXO} o y x00 �r`� W a ��,b P+ p' '1 38.7 O may N", m, i. pY:y, ,S O ry�/• ts7 0 O+ O 9.0 is ci0144 ' z FOOD INCE 206.7 1 GA) po 1 rr_ ,6� x ms N'jY+ Wim" 5 .� -VH o N PA 00, A �N >� d r� ti� l/ N, •J rl O 54.9 W/ v c `n OKE 1� OF +` 1j +o I o r S 6 251 (f a W/ � oO Us Yr to > W 2137 q��� $ r CD r x,36„ W r-) 0�' ti6 OK BOO 0.8E >O 'm co r ___.._.. .._.._..... SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES QA APPROVAL OF CONSTRUCTED WORKS PCR C3� o A SINGLE FAMILY RESIDENCE AND Ooin 'A Date SEP 2 3 2020 N.S.Ref. No. \0-1_1- The 0-Ir1-The sewage disposAl and water owly facNes at this locsdon have been K 5� Inspected and/or certMed by thts Department or other agendws and found to SANITARY INFORMATION: be sattafac tm FOR TOTALA4AXjMUM OF44BEDROOMS. �__ (FOR FRAME RESIDENCE) _— � � • 1,000 GALLON SEPTIC TANK. Craig Knepper, P.E., Chief • (2) 8'0-DIAMETER X 6'0-DEEP LEACHING POOLS, calf SANITARY DESIGN: LEGEND: PROPERTY INFORMATION: DRAWING INFORMATION: (FOR FRAME BARN) FF = FIRST FLOOR �: 130,683.29 Sq.Ft. = 3.0000 ACRES SCALE: 1-=40' of NF '' LISA MC UILMN •1,000 GALLON SEPTIC TANK. GF = GARAGE FLOOR - - P� c, o ZONED AC AGRICULTURAL CONSERVATION DRAWN BY: R.K.H. � �� c SURVEY OF •(2) 8'0-DIAMETER X 6'0-DEEP LEACHING POOLS. RG = RIDGE HEIGHT �Qe� ` 'F� LAND SURVEYING ELEVATIONS IN NAW88 DATUM FILE No.: Q440-17 DESCRIBED PROPERTY - - -- - - - ST = SEPTIC TANK DATE: OCTOBER 25, 2017 AT CUTCHOGUE, TOWN OF SOUTHOLD, NOTES: LP = LEACHING POOL r` CERTIFIED T0: FINAL: JULY zz, 2019 * 274 EAST MAIN STREET r # * SUFFOLK COUNTY, NEW YORK •WATER LINE LOCATIONS AS PER OTHERS. EP = EXPANSION POOL REVISED BARN SANITARY: OCTOBER 7, 2019 EAST ISLIP, N.Y. 11730 —097.00-04.00-008.000 •SANITARY INFORMATION AND LOCATIONS AS PER NDS CUSTOM INC., DATED JULY 8, 2019. TW = TOP OF WALL REVISED BARN SANITARY: APRIL 20 2020 " �' • 3�� � TEL: 631-277-3605 SCTM• 1000 •ALL SURROUNDING DWELLINGS WITHIN 150.Oft. HAVE PUBLIC WATER. BW = BOTTOM OF WALL ADD WOOD BORDER—MULCH: JULY 28, 2020 -4='� �- FAX: 631-277-3906 •THERE ARE NO WELLS WITH 150.Oft. OF THE SUBJECT PROPERTY. DW = DRYWELL tyS�0 05021 -+o •EXISTENCE OF ANY EASEMENTS SHOULD BE VERIFIED BY A COMPLETE TITLE SEARCH. A At v� •SURVEYOR IS NOT RESPONSIBLE FOR UNDERGROUND UTILITIES OR STRUCTURES. UNAtl7HOREM ALTERATION OR ADDrMN TO THIS SURVEY IR A VIOUTION OF SECTION 7209 OF THE NEW YORE STATE RDUC►TION Ulf.COPIES OF THIS SURVEY ICP NOT RNNARING THE LAND SDRPRYORR MERU OR EIHNNRsaD SEAL ARR NOS c0NSR)BRYD'T0-N-*TRUE Van OOPY,DwrANcm RRORN FROM PROPRRfY LINES TO mmmG BRRJavm An FOR A 3PBC M PUfO'OSR AND USS,AND ARE NOT D79WED TO GUIDE IN THE nWMN OF FENCES OR 07M STRUCTORPB.CR ITMC►TTON DIDICTED HEREON SIMI RUN ONLY TO THE MOON FOR WHOM THE SURVEY B PERPARED AND ON HRS RHHM I,TO THE ODMPANY OR AGENCIES IMM HERRON AND TO THE ASSMIERS OF THE LIDDING DIMMMON.CRRTRLCATLONS ARE NOT TRANSP ML9 TO ADDMONAL INMUTWNS OR SUBSEQUENT OWNERS. 1765 SKUNK LANE, CUTCHOGUE Q440- 17 'OENJGR,��L NOTES I If A.. 5� t 4 Wor, A 7' 2017 NYS,LJfii& S 15,MC 2"11 idd- dolti'd", _a 4 t, t)AP' x AC A�, (tl)5TAI�y 1i 6,:� 2016 NYS Sup&6i�w'0� Con�tructioji C6cie'' tile C tv 6 A "NYS 2"J"riIjiffi-g') �6 A,Xj bt H L;-f'�, -(i (1P Th iC �6 Ut)OATI IV dl�,(2015 IK3'dPriutiiig) rv\Its., i�'A i 4/1k 0 0� CAr`i, VVA61,4 eX, ,4 AAA _2016NYS f,u4l ditls'�C`o*de' Irk 6v-V, I I'tt I e_j A�e,�. ro kj,0 ct ii'- o 07)tje, 10"" bA A, a( v CoO (2015 WC 3d Printing) wzp es" 0- 1 '01 X 1-1 rJ D �iOIGNYS Fh ")I�, buiv t'7 eY"A 6 0 tA�e- 4A i k\e, J i5 QQ A TA b 4 0 4 , 1 , 2 ( 20 t 6,NYS 11roporty Nfaijityliarice,C (�615 tt��,IC 4h,p'rinting) CT CA90.t'26,13 (ltily2Ol4Prifitiji�)NL�NUAI, '� All 1hall also vollforn (o t lojeqmrments o It orit es lulvillgjudsdiWoll. ly ot I,Qr auth Ti5 A T40-cQI1 let, shall 66 a IRsp cQru &a bjts�. I r In' or, fain nd,aiia��ge for all N(i LdrQCH ections ri cs iuld,t'� Ca Fraiiiiny,lumberlto be tibm-t-ir 02 &Wtwr unlvs.i ixotqd,o�henvisc. 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I I � I I -1, � I I � � I� � I I . 1, � V A:P,,L) IPA i�14�11,1k,', N -IN COW WA t,16 s" A D -v", -w_ wate NI'10,1,14(R401.3)Certif TABLE All',BARR RAND ed earth it) A Permanent ceytif1c;fte sil"ill"bQ�oniplaed by'the builder or IN$VLATIO� INSTALLATION whel pr'qyid registeie'd de3igil Pipf'ossiviiial,and posf�d oil a,wal l'in tho era 02A.A3(R402.4,13)"Festing. , pace where tile fultiaQe is locitted,a U"tility roorn or ail INSU AT!OjN� NJ 102.s(14-492.5,' iratjol�U44'U'Ctur 41i'd I I I L t.s all be' iii�t6ad of floor overed C(Nfaad,aturiy "Oil all NJ�NT, Jt�§'l'ALLAr(ON '.,YUQ build4lo or d�vo� bp tested an verifwd,it's"t't 4k,10:3,.7) Equipment,SiAng al)(Ir q I .7.( 'having aji4ir l6akagoirtfte'cif n( Ve'air anges MfiodaKry I -, _�:, CtaSSJ Vapor .hall bQ'Oortnallently o'area-�oiglited it 1ximutil feliestl4tion U�fuot,or �A Ilges Pq_r tw:�, the dertifi A to cover yerage III, t��(N o P f 'A MA TE ,ipproved location side'tllO but COMP01 III, � � � I "Iding. Where IoQat�4 C�o c1l, lectrical p lc�lte�AI or obstruct the h w/ fledlCin and coWng,&luipraQat Otall N 51zQd,fii am(�tdancq, :A'XA G, inUOUS air" attachW tolho cra I per hour Z003 1 MO 2,at ftee,air 014, -v� Y, '3ectJo6NJl02A,5or_N1l05 .......... ,Uit dire�,tcry label, service dismirioci labet t der,wft�), lsiiig 4ade9ft'3 i5x" tted t on) Visibility of the CiN with ACCA Maniial S based on building loi(ds,calqujaied if, 1611 bd, 6rta V 11,1 er a�e wit 8hall,be 0,418 iti'Clitnute�,cfties 4' id 5 iW 0,4 U Ppiligjoints, P, fis JiO r1'dJJhatQ"Zbaes 3 thi%o484 8.Tes'tibla,S11411 be conOucted and 5 ah 0.410 in C Urnat,4 or other I Qquixed labels.`Fblt� sliall list the r ASTtyl-,E )Tan( e CA Manual J ot'ptbor opl),rove icati 9 -with'AST�vj litft�,�h 8 for Ivor 1 4) -Zones 6V ti in acc9rdarice iteq6rdane" wiiWA�C ie 7- tidifl,fe losip off E 17�),o feooit"] ata pressur lity, alls,'foundati:' .(slab, bayement iifill, he ar' Ne 0 Predominant 16"Values of itilMatiou insta0ed'in or oil iq§talled it I I - , -, , antf co6lium'Qalculatipit in , I�I e of 0.2 iuQhes w.g, Where, ato Zoif6'4 titiv4pli.3 for skyliglifs.T Jethodul000.s., 4 'r replat:pfii tit- on crawl buildfilg eit-weighted, ing equipment shall have an effictendy rating red by,th&��cle wsiing shall,be,condu ave-ra"ge, illft6u;usiag rfioatifig and cdol, ceiling/rodf, wi� Pei I I : - I I I cted by an nesix,6ti SHOC i)erl 'or tloor)-and dqcts,outside con s, an requL it NI ­�d by f4d6iiil law rati�ll d sp- ditioned'spaQ6;, af t alid/ ace,NY ts�Of�40�test (al to or greater than tile I "int' 0 n al coefficient Tht�-6 lor ft�su!atitfri shat)' (A be apprQvfid thl�d party, A writte' rQ' ort of tile,resL11 tra6ciffs'66iii Sectio 105 41 Climii1o'Zpn6*1'thrQugf�3' etit wri I;quir Pen, -factors,for fi�uestrpttiQ Qe 11 nortil thermal test all in aue shaffs opening ��d the solar heat ga halls, signed by tile Party c6nduivti shall b f6r dip,geogra �1�6at is hi$tatl,qd.'_ . I ;. 11-�7, I'M -eclutronlents efIyqloPp,,coIIt,-,dns a-use(i as a sea be ag tile p oyided e 0.5,0, (SHGQ 61'ferlQstiatiori, atill tile'results [roin any�equired duct I I I Ph 1c'loQat!6dwhqre tho ecittip �(,q tile ahaill be,pf�rficfmie Ult1pl�J)welJh1g:UI op titig done Oil the friaterjal, penetration mVel e air leitVage tQs cotitijiugu systern and buildlji#�q a11er*6rqati6'1I ofA Se neach a p bmatipiis oftlw bud, ig#�e�inat N 03,,' a 6ry),, SpitCU bui,lding. Where than one,v'aluo f�' Lai � , , ,, , , I "I t -n6stat sfi4li be provide for At,teak 6iiQ thert Qo list the v, orjoinits ill sealed 4 ly,with inponent,th - �$CrVing InUltiple dwelliiig,�mjts sh 11 com ' 7 Vitt PURI U certificate',sliall lisf tho�tYpes largest area,Tile' and efficu.1160 air tsystelix. witido rK,or narrow, Stanch fine t�Qq� ifgas-fired`uxjV60�1 roo heater,6�6tric fumace, or cavities shall nNJ 1Q.1.2(R403.1.2),11" P �3 and Q404 of tile IDW-Corn tie eiaE of licatill addo be cut t4 ws and door� NI 103, 1, L clo5ed,,but not the,filteji4ed le'residence,'tho float PURIPS hViJ fi�jtj' Ittritt on .61s, baseWardelectric N (1(40�,9 �3uoiv Melt System Coott d ell `Ificjleater,as ppr9pri,3 by iftsultidil"thi unv 'te ater elect t acontr�ls that,exqpt during do4m at"prevent furnace or basebom t d eldc al1 11 1�,I I . � Silo, ly ;Oil orin�to uturnatic,N 1103.3,2,(J and , I - , �-"Sell-vi�v,'ta'ttit'btiitdjiig, sia Aligned'Widl tilt, f, d �njof� can inee 'I nfor gas-fired'iinv6iiud r66ih,:, ''electric furaii e b in ariy': 6d,but,ele tri aseboard le gaps,10 e air- sOVe'50F P �PA A Ilk oftlid t��t, t Jr,sygling stiall N, oil rvl 160 L.,.Lt tats,cp utdoor toal`pp,�atore,is,Iiiill od�iply Y t b Ali ail" N 142..'The'bi' lding�ik �Pe shaIJ U4 to fil'alt, in,r e ... . TA 4 sterns a4d IiOt Ulls. lie or c�ntli Acescode _,,of le4ifgo in as dr`p'p' d' stal 9wrl p.cir, N 11_02A.1 am producO,3ball, e"peinjit 6 I A er it �q The 6ddh` 'thei'fis I v sp4ced$'shif. 'foe ZY -5 iy 7 tlierina onve op 6 d4t�rential expant Pp anaid tW e f, ' , , , I " 6 a,6 19, - i, , I ", - I I r I" "1 _3"� " 'III 4166tiu in rd at be'doplie( 666s�nlptitifi 4 p6ol and Recessed figlit, �Ilvv Q fl, , ��,, ?, I I I - - , ' ' 1, ,t N1 102-4.1(94102.4.1 ildiog'Dwitial J` VQ. i Red in,th& d S 0 d co t lied th.Se"N tbroU6 uietlfb&b sion arf4 bQ,turn PQI�er and Ughthig be,dix 6. Su�plyanq iii;turii,t;egi3t6 if the, qlp I WIL 2 itiches,of Water colli ma(50#1`4), �ui , 0 n t 117arliq will "st,'Sha, 5halt not b,4 req#ea -4,k ry). 7 7' Ing-ypo; 102 ,Nl .4.1.1 aj I o Iily t �l pb'roe'rit 4 w angis j),1 pm'lid I g iting' ;�t�ares shall t?�, fosial Woo - t _N 10�.4.2(9 etivelope as,li�ted cutIrg no, tal lq�k typ IN Table�1 1 102A.L'I Istallediii accord, rWT)*r rep d �tof the'Permanent. io?tled 11gliting fixlq�p 4,411 N1 I Ps,6r of coii�"ctioii. h'' w-yoltdgo, t g 6f ft fol,16virig rh�thq -1c � ,,I, , , z-, " , � l,I,in appr6v N 1 102A I ', ��1 , thlrd ,I - he Wh�ie recittirod by ill', per If party s (bpplal� op 1p Qt aii t, "� �Ii i,, b'' , w Wril fQ,,,t IQ tro oil inasqitf� C qelOd iupi;( Lo' iste space,$ hall e (JU'E' iplxlp�tl( losup, IN 1 102.4.3� 064, , "i : Oxteiid beljinO pip big 9, -Q�404.1 t incl4d 6 pgq or,, g Syste n d At"UA tif*01 8�s Qrs 3 a e'ta- 'I pot ha�o�3ntn4c, ly burtlia- 777777 gatj 0 2 atosi;rro,talj NO Wit Z�pro, ill q showei ttib A/ d d �U, t sJ A/CSA t4f� shall to b. t ,4xc ilo at a to�l W f 4Ped 0 jai heair 4airler 0,2 111aim lag oair tOst S 4411 ixot,b d99TP W4,1149 hi�`and U �R,1,02.L4 Pq Ine res6lts-of 01Q by Q cts ProWle Poill 2z ap� V,tt4 k at d busqo d 6 the t t b t air 3 9,� t �es 1141t 14VA 'Ogls, s B ild!T4 framing c, -Xqpq I , -$) Ws11Qq_UiP­ roolI14-- !,-5- sctlAtt4 �.S(R40 N1 1,04. afed not b tus'.e'd u i&tk 1VA0 r4li(ui, be 'i ory),, 11W, ;A Sep ing"The ill�bqrri�r 'bi ays oin pipuig q tp bW )f Vol a, I -to the wat r orbe U 05"F(4`6� ed 1" 1wiy:, edge nd XIJ 03-53 lj�ated W, '-or waea5 2't 'Aut oplatit,1 h *nls all OelwacQor ance 77- 4uruall'aii'l 6 epd�adR-10 tpvj�,�v t)f,� 5�It4q2A.P) ��C!�Sseo_Ug4tt"g, l't�,d 4nd'l.�ib V d' I so4c'ts, All r�,; d 1 V 6 1 OV e L s),Whctt t0tc 1114 ,,,riquvres IROQ effort ip� e,a ,app f _a "a W a UQ! lug a or gravily;0 iA CQUlk vi ed Ji Willis knfepq�wall brx(� 1� g, soot�6,vaq eQ ty'a i ik�,,4i garoge,hawli 4v �qv re ntru oeto,top plate vJ101'adfig Siva 4( All arid�1(4 fig �4 4A�and vy4lt drrt'm a ald, fod t �AU, IQ sp or in 4te A ffiponi d"as tilq� Ic"Indwill oaldirywall Pluiabing vent ip�sc' t)oV%,QrP411UW:� �.I , boa( AU10 P traffling VV f Rif qaSket, t 7, end 3tud�,top ono hL Air 061 erk%thm Owl,e,bottoin plite at qll LA joint cN- �7 ai�Urdu to,� ttqm P are N sp V w