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Home My WebLink About43326-Z $�FFDL Town of Southold �o�A oGy 12/7/2021 a P.O.Box 1179 0 * • 53095 Main Rd y�j4l �oo�. Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42586 Date: 12/7/2021 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 6430 Horton Ln, Southold SCTM#: 473889 See/Block/Lot: 54.-3-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/12/2018 pursuant to which Building Permit No. 43326 dated 12/19/2018 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: single family dwelling with unfinished basement, covered front entry, side and rear deck and attached two card garage applied for. The certificate is issued to Consiglio,John of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-18-0107 12/2/2021 ELECTRICAL CERTIFICATE NO. 43326 3/15/19 &3/1/21 PLUMBERS CERTIFICATION DATED 10/20/2020 C a les San er t or e Signature 4�S�F TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE v . 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#: 43326 Date: 12/19/2018 Permission is hereby granted to: Consiglio, John 97 Grant St S Sloatsburg, NY 10974 To: construct a new single family dwelling as applied for per SCHD approval. At premises located at: 6430 Horton Ln, Southold SCTM # 473889 Sec/Block/Lot# 54.-3-15 Pursuant to application dated 12/12/2018 and approved by the Building Inspector. To expire on 6/19/2020. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,902.80 CO -NEW DWELLING $50.00 Total: $1,952.80 ^'--Building Inspector .j TOWN OF SOU"I'HOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICA'riON FOR CERTIFICATE OF OCCUPANCY This application must he filled In by typewrltel or Ink and SUbmitted l0 the Bulldlng Department with tine Iollo 'lng A. For new building or new use: 1. Final sur\ey Of property «•Ith accurate location of all buildlll('s. property line~, streets. and unusual natural of t0p0211_aphlc lcatures. 2 final Approval frons Health Dept. Of %Vater supply and sewerage-disposal (S-9 folnn) 31. Approval Ofelectrlcal installation lion Board of Fine Under��rlters. 4. Swom statement 1'10111 plumber cei-tlfying that the solder used in system contain~ less than 2/10 of 11/r lead 5. Commercial blllldill`t, Industrlal building. nlliltlple residences and similar buildings and installations-1 certlflcate of Code Compliance frons architect or engineer responsible fol the budding. 6. Submit Planning Board Approval ofcompleted site plan reyuLl-enlents B. For existing buildings (prior to April 9. 1957) non-conforming use's. or buildings and '`pre-existing" land uses: 1. ACCLIratC survey Of propelty showing all property lilies. streets, buildin�a and cmusual natlual or topo�LIrlphlc I'C at L1 re S 2. A properly completed application and consent l0 inspect signed by the applicant. U.1 CC111f1eilte 01 OCCLlpallCy Is denied, the Building_ Inspector shall state the reasons therefor in wiitln'u, to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50 00, Additions to dwelling .$50.00. Alterations to chkelling $50.00. Swimming pool $50.00. Accessory building $50.00. Addition~ to accessory binlding $50 00. Businesses$50.00. 2. Cel"LlliC ItC of OCcupancy on Pre-existing Bulldlng - $100.00 Copy ol'Celllflcate o1-Occupancy - $ 25 4 Updated Certificate of'Occupancy - $50.00 5. Temponu- Cel'llfieale of Occupancy - Residential $15 00. Connnnerclal $15.00 -� • Date l2 � New Comtnlction: -- Old or Pre-existinu Bulldlng. --- –(check one) 11 Location of Property: House No ----- Street ------Hamlet --- Owner Or Owners of Property C t k G Sohn. Clohs!e'� b Suffolk County Tax Map No 1000, Section 0676J. �o---_ BlockOJQC — Lot-0 S DOD -- Subdivision ---- ----_ Filed Map — Lot Permit No._ 3 Date of Pernut.--- --Applicant'– --- ----- Health Dept. Approval ------------ Unclerwrlters Appi-m al. _--- Planning Board Approval: ------ — — Recluest for. Tenlporal7, Certificate ------- Final Ceitiflcate. ----- (clncek one) Fee Submitted. $ -- Applicant Slgnaturc ` oF so�r�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlin(a►-a) us Southold,NY 11971-0959 y' CUM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To John Consiglio Address: 6430 Horton Ln city Southold st: NY zip: 11971 Building Permit#- 43326 section 54 Block' 3 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Home Owner License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1 st Floor X Pool New X Renovation 2nd Floor X Hot Tub Addition Survey Attic X Garage X INVENTORY Service 1 ph X Heat Geo Duplec Recpt 43 Ceding Fixtures 18 Bath Exhaust Fan 4 Service 3 ph Hot Water GFCI Recpt 9 Wall Fixtures 10 Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures 43 CO2 Detectors 8 Sub Panel 100A A/C Blower Range Recpt Gas Ceiling Fan 7 Combo Smoke/CO 3 Transformer UC Lights Dryer Recpt GeS Emergency FixturesTime Clocks Disconnect Switches 42 4'LED Exit Fixtures Pump Other Equipment: Gas Oven, Fridge, DW, Geo Thermal Heat, Central Vac, Heat Lamp, W/Dx2 Notes: New House Inspector Signature: Z-22� - Date: March 1, 2021 S Devhn-Cert Electrical Compliance Form.xls Town Hail Annex _ 54375 Main Road = Telephone(631)765-1802 P.O.Box 1179 ' _ Fax(631)765-9502 Southold,NY 11971-0959 - � BUILDING DEPARTN ENT TOWN OF SOUTHOLD CE-RTIFI-CATION Date: D. V 2 0 Building Permit No. Owner: (Please print) Plumber: c Gt/)P (Please print) - Lead. I certify that the solder used in the water supply system contains Iess than 2/14 of 1% (PI ers Signature) .. " _ Sworn to before me this day of 0 202-0 ;� Nora• •4�%� c�GU07P ' "�firJ�1F1gp K r 067 3 s� 7Mc�U�e Notary Public, L - - --� Cattnty �l;•�� `0�r -••7'tifuffil1 I 1 i { t s r # # TOWN OF SOUTHOLD BUILDING DEPT. �ycou765-1802 INSPECTION [ /WUNDATION 1 S ,� [ ] 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 q [ ] CAULKING REMARKS: ISfi O( o ' �SCL— ffi kfty-f", w r s 14GW6" 6WV l a L4 frlrVZM-af- DATE INSPECTOR apF SOUIH �o� Olo # TOWN OF SOUTHOLD BUILDING DEPT. �o • �o 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] F UNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ' [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: -6) AoNpel� Sid" -15 &u LA O" DATE I J INSPECTOR �aOF 50(/Tyo h� # # TOWN OF SOUTHOLD BUILDING DEPT. ,�O • h0 u 765-1802 INSPECTION [ ] FOUNDATION 1ST [%4-/ROUGH PLBG. [ e] OUNDATION 2ND [ ] INSULATION [VI PRAMING /STRAPPING [ ] FINAL [ FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ rc. CTRICAL (FINAL) CODE VIOLATION [ LKING_ REMARKS: _f," a— Y .0or �MQA I WA1 Y`�4 . !c DATE INSPECTOR apF SOUK,°� # TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 INSPECTION ` - FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE ZJ r INSPECTOR i oe soul # TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL) [ ] CODE VIOLATION [ CAULKING REMARK VVP '07- 4or w 46 eq A�tp- Lt 4 DATE 01101-M.01 INSPECTOR J OF SOUK,°l # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 . INSPECTION [ ] FOUNDATION 1ST [° ] ROUGH PL13G. [ ] =FOUNDATION"2ND [eSLATIOWCAULKING U FRAMING /STRAPPING [ NAL io [ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION - [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS:- tQw+,. O(47v- u !w bvi rN , ton PbWfo/ K-znqbm�M Dmoinil "c"u - �i u (7-1 �o � DATE , INSPECTOR wz r luf so W 2,& # # TOWN OF SOUTHOLD BUILDING DEPT. �ycnurm 765-1802 INSPECTION-1 = [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ]_ FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY, INSPECTION" [ ] FIRE RESISTANT CONSTRUCTION [ " ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE ANSPECTOR ' _J l { �� OF SOUTH°{o # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 r . ., INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] -1 ULATIOWC-AULKING [ ] FRAMING/STRAPPING [ FINAL Nb [ ] FIREPLACE & CHIMNEY ° [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] .ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: e. Vow, �i DATE 3 « ,INSPECTOR Building Envelope and Duct Tightness Report 2015 IECC as amended by the 2016 New Yorks State Supplement,sections 402.4.1.2 and 403.3.4 Address of Test 6430 Hortons Lane,Southold NY 11971 -Test Date 11/6/2020 Building Permit#: 43326 Compliance Pathway Performance Test Completed by: Christopher Silvia RESNET Rater ID# 4150294 Home Energy Solutions NATE ID# 187 East Main Street ICC ID# Huntington,NY-11743 BPI# 631-673-0664 Building Envelope Tightness Volume Calculation : Check if: Floor Area Height Volume ❑Conditioned Basement Basement _ 0 ❑ Conditioned Crawl Space 1st 1259 11331 Q Sealed Attic 2nd 1217 10953 *T on Miened floor area of dwelling is calculated in 3rd 0 accordance 4th ANSI Z765,except that conditioned floor Attic 7128 area 4ncludes are where the ceiling height is less than 5 Total Volume 29412 ft' CFM @50 pa 12441 Air changes/4@ pa 2.54 Code Compliance: Pass Duct Tightness: Post Construction of Duct Leakage System-1: 1st Floor Duct Location Basement Floor Area 2476 Leakage CFM @ 25pa 98 CFM/100 ftZ CFA 3.96 Code Compliance: Pass System-2: Duct Location Floor Area Leakage CFM @ 25pa CFM/100 ftZ CFA Code Compliance: System-3: Duct Location Floor Area Leakage CFM @ 25pa CFNV100 ftZ CFA Code Compliance: Building envelope tightiness has been verified using instruments and procedures specified in ASHARE/ASTM E779 or ASTM E1827 as required by 2015 IECC as amended by the 2096 New York State Supplement, section 402.4.1.2. The building duct and plenum system has been verified as required by the 2015 IECC as amended by 2016 New York State Supplement,Section 4033.4. r Signature: �"' Date: 11/6/2020 Christopher Silvia;Rome Energy Solutions N� EW YORK HOME ENERGY SOLUTION INSPECTION FORM DATE L1 ENERGY STAR APPLIANCES BUILDER ❑ Refrigerator Kwh C.V. Address 1.!!!!ia Q ❑ Dishwasher ❑ CW ❑ Oven PPM ,eSpU VU U • ❑ Bath Fan CFM 'DERV CFM Lot# Model '-w ❑ Boiler AFUE PPM Orientation 6v ❑ Furnace AFUE PPM Foundation: ❑ Slab ❑ Crawl Full ❑ DHW ❑ Indirect PPM Draft Fuel Type: ❑ Gas ❑ Oil JPropane A/C Tons SEER #Systems vw� IK Window U SHGC GSHP Tons BTU '��' Jo 1 - 'L�t , Ll 12 (;-7'3 TESTS: CAZ TESTING: Blower Door I_ Z'49 CFM 2 •S4 A(,(-111 Base Test Draft @ Flue Du 1St FL 2nd FL CFM Fan Simulated CFM Missing �aS • Gas Leak ❑ Y ❑ N Were Venting Type N S�M Comments: HES Representative Date Site Representative Date Note;The inspection result(status represent the result of the inspection process only and does not reflect the final certification status. r • • • • COMNMNTS FOUNDATION (IST) 11111 =,� ,� ROUGH FRAMING - v PLUMBING t �[ 'moi =�. `!''l11MMI NW&W4 FeL INSULATION . . 8TATE ENERGY CODE 111W Irl yw_ym_wlz -2 k ✓ ' F jll� W51M SMA, ro W_, ANI ADDITIONa _ Im ROME i / / � / ,g _ r_ - • IF Via 1 v ■ TOWN HALL Beard oflicalth SOUTHOLD, NY 11971 4sets ofBIJildinu Plans-- TEL: (631) 765-1802 Planniiw Board appro\,al- FAX: (631) 765-9502 SLIF%CN, Southoldtowniny.gov PERMIT No. Clieck Septic Form N.Y S.D E.0 C 0 Application- Flood Permit Examined__' —20 Single& Scl)ZIMte Truss Identification Form ---- Storm-Water Assessment Forrn---'---- Contact: Approved 20—V� 1,01111 to, kA 60-VIS (to ---- - I ---I , 4 �bb Disappioved P ne: 5104TS� N y 1041*7q 20 BLi Idim, Inspect6i PPLICATION FOR BUILDING PERMIT OEC 1 2 201BDate 12 - 6 • ' 20,15 INSTRUCTIONS �nj- a.T ,f$,IQrftSGVV49411Pco nip let el y filled in by typewriter or in ink and submitted to the Building Inspector with 4 Z4 sets of plans, accurate plot.plan to scale. Fee according 10 SChedt-fle. b. Plot plan showing location oflot and ol'bUddings on premises, relationship to adjoining premises or public street.,., 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 pern-ut 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. I* Every building permit shall expire, ifthe work authorized has not commenced within]2 nionti.-Is after the date of g ISSI-lance or has not been completed within 18 months froin such &,ite. 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 anaddition six months. Thereafter, a new permit shall be'required. APPLICATION IS HEREBY MADE to the 131.111dinu Department lor the ISSLIanCe of Building Pern"ut pursuant to the Budding Zone Ordinance of the Town of'Southold, Suffolk"County, New York, and other applicable Laws. Otdinances or Reaulations, for the construction of buildings. additions, or'dlte'rzitions or for removal or demolition it,,herein described:The applicant agrees to comply,with all applicable laws,-ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature ol'applicant Or name, if a corporauoi4 Z� 17-7 (;eAtiT S-r. S-V44% Y loci I If SLOAT:S/o (N7ar g address of applicant) State whether applicant is owner, lessee, agent, architect, enaineer, general contractor, electrician, plumber or builder Lo V\e-V, Name of owner of premises 0 14re (As on the tax roll or latest deed) If applicant is a corporation, sig=nature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be clone'. 6�f:k> I-100-roiQ',S Se)%.A*e 0 House Number Street Hamlet— 11-0 1171, l%4 T,i, X/1-in Mti i(1(1(1 � (l QM;-n O'S Lf 0 0.300 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a: Existing use and occupancy VA CA!�?`? b. Intended use and occupancy .51 +,f 1 e �A`"`'� y d we'� �'" ' 3. Nature of work (check which applicable): New Building Addition _Alteration_ _ Repair Removal Demolition Other Work 7 (Desc.ription) 4. Estimated Cost _ Fee _ (To be paid,on filing this application) 5. If dwelling:number of dwelling units Number of dwellin(I units on each floor If garage, number of cars ' 6. If business, commercial or mixed occupancy, specify•nature faiid,ektent of each type;of use. 7. ' Dimensions of exi.,fiii 7 structures, if any: Front I t �rRear Depth Height: Number of Stories Dimensions of same structure with alterations_or additions: Front ._Rear Depth Height Number of,,Sfoeie"s 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10 Date of Purchase- Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES . NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO' 14. Names of Owner of premises Address 'Phone No. Name of Architect_ Address Phone No Name of Contractor -Address Phone No. 15 a. Is this,property within 100 feet of a tidal wetland or a freshwater wet'land'? *YES NQ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? ' YES ` NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED: 16'. Provide survey; to scale, with accuraie'Totitidation plan and distances to property lines. 17. If elevation at any•point on property'istat�,10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property'? `' YES NO IF YES, PROVIDE A COPY. STATE OF NEW YORK) - S. COUNTY OFl�S5i J Di�rti (.OhSr Ic.o C�4re- i thein,, dui sworn,•de ores anis says that (s)he is the lic.ant .�.—�— 4 y • P y•� (� pp - .. (Name of individual signing contract) above named, (S)He is the— f�e✓n2r — --- ----- -- (Contractor, Agent, Corporate Officer, etc.) of'said owner or owner~, and is duly authorized to perform or have performed the said work and to make and file this apphcati,on; that all statements contained in this application are true to the best of his knowledge and belief`, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this F#AAS - --- Notary Public,State of New York -- - • 0,1W -- -- --- No, 06164052 -: _.., � •'�"� ----QOmUuP1a1h'! '1f 'Apriw 20„ °,� Ciunntiiro (if' Annlir•nnt \A WA FIEJEZ Scott A. Russell SUPERVISORrn fir' J � p M ANA\(Gf)EME)EN T _ SOUTHOLD TOWN HALL-P_O.Box 1179 l r Sa(gSMainRoad-SOUTHOLD,NEWYORK 11971 4 �:�j .`J� Town o�fSouthold CHAPTER 236 - STORMWA.TER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) . ----OCT 17-2016 - - ® 'riIIS PROJECT INVOLVE AM OF THE FOLLOI9'IIa1G- (CHECK ALL THAT APPLY) Yes No [2f A- Clearing, grubbing, grading or stripping of land which of f ects more than 5,000 square feet of ground surface- As B_ Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. 0[211C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑EO/D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erasion hazard area. ❑[t/E. Site preparation within the one-hundred-year floodplain as depicted -- . p=-c�fr�n�•wad-�rcou-r-sE:------------------------_--. ❑ 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 with Your Building Permit Application. S.C_T.M. ": 1000 Date- APPLICANT. ate APPLICANT: (Property Owner,Design Professional,Agent.Contractor.Other) District vjo o NAME Section Block Lot r, �• FGR BUILDING DEPARTiN-P4T CSL ONLY ga Convect Informatiore n s Reviewed By: � — — — — — — — — — — — — — — — — — — Dale: Property Address / Location of Construction Work_ - - — — — — — — — - — — — — — — Approved for processing Building Permit. 6`-130 //otton`S GaneEl Stormwater Management Control Plan Not Required. So t/1 ho�C� jf.y l(9-71 Stormwater iv(anagement Control Plan is Required. (Forward to Engineering Department for Review) FORM ' SMCP - TOS MAY 2014 i, APPLICANT: S,C,T.M, *: 1000 CHAPTER 236 (property Owner,Design Professional,Agent,Contractor,Other) --P.-' a,� ( r 0 06 19300 01000 � Stormwater Management Control Plan CHECK LIS NAME: Joh" GAt� La section Block Lot �z S M C P -Plan Requirements; Provide ONE copy of the Building Permit Application. �c The applicant must provide a Complete Explanation and/or Reason for not prnyiding T? gc, 3,��U Date; `010 �io all Information that has been Required by the following Checklist! i uerurerrylmm Num4m ,� 1 I. A Site Plan drawn to scale Not Less that 60' to the Inch MUST If You answered No or NA to any Item, Please Provide Justification Herel show all of th'e following items; Y,ES NO NA If you need additional room for explanations, PI Pr a, Location & Description of Property Boundaries LZI. 11111 1 D D b, Total Site Acreage. c. Existing - Natural & Man Made Features within 500 L.F. Ifteo of the Site Boundary as required by §2ss-n(c)(21, °' d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water, ed n tante, e. Limits of Clearing & Area of Proposed Land Disturbance. It Fe,icit Ag ++za ton DING DEPT. f, Exist ing & Proposed Contours of the Site (Minimum Z Intervals) exposed a the soils. F$QTJTHO g. Location of all existing & proposed structures, roads, driveways, sidewalks, drainage Improvements & utilities, li. Spot Grades & Finish Floor Elevations for all existing & , proposed structures, I, Location of proposed Swimming Pool and discharge ring. ;, N® 0OL j. Location of proposed Soil Stockpile Area(s), it _ k, Location of proposed Construction Entrance/Staging Area(s), l _ I. Location of proposed concrete washout area(s), rn. Location of all proposed erosion&sediment control measures, i Engineering a - before a 2, Stormwater Management Control Plan must include Calculations showing Engineer's Certification that the Stormwater Improvements are sized to capture,store,and infiltrate ) age as een installed to Code. on-site the run-off from all Impervious surfaces generated by a two(21 Inch _ rainfall/storm event. 3. Details&Sectional Drawings for Stormwater practices are required for approval. Items requiring details shall include but not be limited to; ' 1 a. Erosion & Sediment Controls, b, Construction Entrance & Site Access. C. inlet Drainage Structures (e.g.catch basins,trench drains,etc.) , L_d, Leaching Structures , Infiltration basins,swales,etc.) !i L;li;l a L)f�l�i; 'NIE:N" ❑I' USE ONLY"""`�` h Additional Information is Required, Reviewed & 1 Stormwater Management Control Plan is Not Complete. Approved By: ; — — — — — — — - -- — — — — — — — I Stormwater Management Control Plan is Complete, Date: SMCP has been approved by the Engineering Department I I FORM " SWC heck List -TOS MAY 2014 ��°SUFr�,�� STO�]E�I�W WAVE K Scott A. Russell SUPERVISOR AMIA NA\tGr)ENCENT SOUTHOLD TOWN BALL-P.O.Box 1179 `lO 53095 Main Road-SOUTHOLD,NEW YORK 11971Town of Southold -10 CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( T() BL BY TI ILAPPLICANT ) ) DOES '1111S I'IZOJECT A",,Y OF THE' FOLLOWENG• (11U), W. 1I1\I \FPL) ❑❑ 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 an,,- parcel or an\- contiguous area. ❑® C. Site preparation on slopes which eNceed 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-rear floodplain as depicted on FIRM Map of any watercourse. ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormy\-ater Management Control Plan \\-a� received b,,- 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 with your Building Permit Application. \FPI.I( \\'f P(ulw i(•. O.,n. Ur-._n Pi.,l,- nnvl \•,•n• ( ut(.:.,<i Utln i 1000 Wit, 1) ,.: 15 1O 1. 5►�I1� — sq Re\is\\ed B\ - - — — — — — — — — — — — — — — — - - ual�- h-oj)crl\ Addre / Location (>I ( ()iNi-tic um Work - - - - - - - - - --w - - - - - -- �/ \I)hiO\ '(I tOI lii„cL"ujO Buildiw_, Peiiuii. 1- slu- matel \lanagenunl (I)i0ml Plan 1((t lie(Irined SOv ) ./. I l - - -Nifllimatcl \lanaYcniu1l (IM11-01 P1,311 lic(lulrc.(I ['OI\\ar(I In L:ngiiiueiing De laitm(nt [OI Re\IL\\.' IOIZ;\1 ��lC N-•rO� '\I.\1- X014 _ �.. ._. i-iii---f- - - ff �o�11_ F �K4a, yt BUILDING DEPARTMENT-Electrical Inspector ®i, x TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (63 )765-1802-FAX (631) 765-9950"2 Temporary Certificate # M/ , Date 6IM /f 2019 Customer Name`ZQ 7-0477177) Electrician Name �'�l�% �e�• Address a �De, lq Scce Phone e-mail Phone License# 445-37- 91& Size *Z-Gd A Phase 1,6 Overhead Undergr and #of Meters Remarks2w jef 'J - (64a-- -0-Lr- 1 -- #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect f Was work done on Service? Y/N Flood Reconnect Old Meter# Service Reconnected .a Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verification is valid for 90 days the date above. Authorized by Q/-oFFalx ( ING DEPARTMENT- Electrical Inspector �o`9C4 f' i� TOWN OF SOUTHOLD TownPC Annex - 54375 Main Road - PO Box 1179 r-' outhold, New York 1-1971-0959 , MAY 2 3 2019'` Telephone (631) 765-18'02 - FAX (631) 765-9502 roger.richert@town.southold.ny.us 'OWN OF SOIU'Pr'jQ7 APPLICATION FOR ELECTRICAL INSPECTION Date: REQUESTED BY: - Company Name: Name: email: License No.: Address: Phone No.: JOB SITE INFORMATION: (Ali information Required) JJ1 - -�.__..CA 0.5 l__ Name.- - --------- - - -- -- - - --------- -- ---- - - ---- Address: 6 Y3� yon xs LA�< Cross Street: s FYS �� ( 6111('o • Phone No.: ss�� ,� G,�q.�. �� /2a 2 (1 email: s 1 B(dg:Permit P. , Block: Lot Tax(viap District: 1000 Section: BRIEF DESCRIPTION OF WORK(Please Print Cleagy) cvl7c11 • Ne" Hoige Circle All That Apply: -0/'NO ough In~ Fina( Is job ready for-Inspection?: Do you need aTemp Certificate?= YES / NO issued On Temp Information: (Ali information required) Service Size 3 Ph Size: �4 #Meters. Old Meter# New ON Service-Fre Reconnect- Flood Reconnect- Service Reconnected - Underground-Overhead 2 H Frame Pole Work done on Service? Y N # Underground Laterals 1 Additional Information: PAYMENT DUE WITH APPI-ICATION 82-Request for Inspection Formals ✓jl• (, i " PERMIT# A r ss" Switches .Ki w/ Outlets GFI's a \ 1 Surface. 1 _ Sconces UC Lts Fans ; t ;-�.. .,. .� .w>w..._,_..�,....�.._2.... Fri dge � 'i'Ii)J(,„• � . .1 1'.i1� � 1. � iii ..9i �r- x'il{.. a _.✓ �, �� :. • 4_1�s.�-'2 Exhaust - Oven Dryer /<,- Smokes_ _ L__ �_.__r. _._.__. _.__DW. _ _ _r ..� _.-__..._ .,.__,_.. - Service-- Carborti_ Combo ..._�_...,.e+k��,� C0,99-M 4,�i2zti•r._,.,.._._�,�.�.nsfer:j.> Er<>fi�� i -- AC - - AH, _ oil;, :: Y-.'� �` .fes:-� r, - .a _ _IV41�iH�Y�r;iJ44 Comments- w l�-I ii:: 1'\y^\'//■ry■ �� < _R t' i1!,, e. b -;� 1`,- 5 %._- 1 (. ' ..t Y- -a � ._.� -e.o-av . ' .. F, a , .a............ .. ._,a ..»_ ,...Y..•r s�^•L-r f'.a r xJx u'��ti'a + 6 c f The location of public water, wells and cesspools shown hereon are SURVEY VEE OF PROPERTY from field observations and or from data obtained from others. lJ 1� ELEVATIONS k CONTOURS ARE REFERENCED TO AN NAVD 8a SCDHS REE# _ I1 Y 1LOW HOrP/L�D p BASED ON THE FIVE EASTERN TOWNS TOPOGRAPHIC MAPS AND �•7 �®WN ®� S®6J 1 ®lJ ACTUAL FIELD OSSERVA77ONa W�� J � �OLj COUNTY. N. E> ag 1000-54-03-1500 W� SCALE: V--40' 0 JANUARY 8, 2015 '�► APRIL 8, 2015 (REWSIONS) F- 102 01 SEPT. 27, 2016 (PROP. HOUSE) CE ® OCT. 4, 2016 (HA YBALES & SILT FE � OCT. 3, 2018 (BLDG FOOT PRINT) s � tl' TEST HOLE DATA A, McDONALD GEOSCIENCE 11/11/14 E' 40.8' DARK BROWN LOAM OL 0.5' 0,WELL V SILTY SAND SM \ �n 20' BROWN FINE TO �- MEDIUM SAND SP a `\ • 28, X I,o� \\ ♦ sgt? N07E• NO WATER ENCOUNTERED 1 � C) s \ tK J 5\ 9 A AN t�' •\�.miQnPROPOSED \ \o•��cP• ADO /�, OQ\ �p�cti•,�jjPaG��'5 vy0 D ENTRYZ�. 10, Amin. p`� �� 6 0�. 114 .*ell O O O'er ST s�'L m m a � •�1 � 3'MIN m m m �'� COLLAR °a 3'MIN m® ® m m m a COLLAR 00 03 p C m m m A 0 0 0! M O m m m A 0 0 0 9M ® m m m A R + m CIO m M ® o m m a ` s 110®I e, m m 1.0 a s € � � SUFFOLK COUNTY DEPART MEd T®F HEALTH SERV[Ey .S N mm m 1 M m mm O Q �� PERMIT F'OR APPROVAL OF CONSTRU03I0C,1 FOR A 0 02515 m m m a mm® � �. 8'0 .'�.INGLE RAMILY[tiiSIOENICE 0t' U LEACHING POOL SAND SW G\. j DAT 8'0 ��\ APPROV'[D CW a CY DIG DOWN 8'0 TO SAND (SP) SAND 9�� \ FO Ivi�irliviu 1 of BEDROOMS REMOVE MATERIAL AND SW EX�A�iA`I ON Ian•S> 1074E�Ia� I� •\ �� BACKF LL WITH SAND (SIV) FOR SANITARY SYSdE1Vd [1P-\1\.EXP1RES T EE YEARS FROM DATE OF APP L (SAND SP) By 14pALTH I)EPARTMENT F F� \ PROPOSED SEP77C SYSTEM \ \ (4 BEDROOMS) \ [1]8 FT. DIA x 12 FT. DEEP PRECAST CONCRETE LEACHING RINGS \ BAMRLL WITH 3'SAND (SW) COLLAR, 3'ABOVE GROUND WATER \ [1]1,250 GALLON PRECAST SEP7IC TANK 0F HEVy.� AREA = 23Fr- ® = 7Esr HOLE CD -T.ME AR '315 S�. ® = WATER METER I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL 4 AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL RAIN RUNOFF CONTAINMENT SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE HOUSE m 1883 sq.ft. ; BY THE COND177ONS SET FORTH THEREIN AND ON THE 1883 x 0.17 x 1 - 320.1 Cu.Ft. f PERMIT TO CONSTRUCT. DRIVEWAY (PERVIOUS) 1743 sq.ft. �.ay '1$ y • . . LIC. NO. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON 1743 x 0.8 x 0.17 = 237 CU-Ft,— OF SECTION 7209OF 774E NEW YORK STATE EDUCA77ON LAW. 557 Cu.Ft PEC (iB f S, P.C. EXCEPT AS PER SEC71ON 7209-SUBDIVISION 2. ALL CER77RCA710NS 557/42.2 = 13.9 VF (631) 7 d unu yr nwn uucu vuwnreu uwn vcncra OVIL V jy j L/j' I—Xt 1—F-jXL l j ac TOURS ARE REFERENCED TO AN NAVD 88. IN SO UTH0LI .a£D ON THE FIVE EASTERN TOWNS TOPOGRAPHIC MAPS AND TO WN OF SO UTHOL.D ACTUAL FIELD OBSERVATIONS SUFFOLK COUNTY, N Y. 1000-54-03-15 SCALE. 1'=40' JANUARY 8, 2015 t� APRIL 8, 2015 (REVISIONS) SEPT. 27, 2016 (PROP. HOUSE) 0 10 OCT. 4, 2016 (HA YBALES & SILT FENCE) 11 TEST HOLE DATA v` McDONALD GEOSC/ENCE 11/11/14 \Y EL. 40.8' DARK BROWN LOAM OL WELL V \ o \� BROWN SILTY SAND SM i \0, BROWN FINE TO MEDIUM SAND SP 28' C, �� O� s� NOTE.• NO WATER ENCOUNTERED .. \1), tK 9n >> 8. 0\ a I? PGS \ J , LEACHING POOL \v 9'A F � , 2' MAX 117 ��' 0 ST CHIMNEY s A- ��v \ 1 2 0000 �\ ►A 5�` .50. C �A Q// 3' SAND ^� COLLAR \0 8. Q 6. NAGE INSPECTIONS ARE REQUIRED`, <,�, <<� ° Coact TOS Engineering at 765-1560 before -' APPROX. AREA 8. �C1 Back 1,OR Provide Engineer's Certification ` that th drainage has been installed to Code. ER SION&SEDIMENT CONT-R0% to\ OF WELL Dig down 8' dia. to sand (SP). Remove material and Sh II include but not be limited to: % \ back fill withsand (SW) A ell maintained Construction Entra oolew �'2 APPROVAL OF STO ATER MANAGEMENT Wire Backed Silt Fencing,stabilization$c �,� \ CONTROL PIAN - ow Code r 36 PROPOSED SEPTIC SYSTEM Seeding of exposed and/or inactive sow SFJ Date:T` + l Approved by: (4 BEDROOMS) ` [1]8 FT. DIA.x 12 FT. DEEP PRECAST CONCRETE LEACHING RINGS ` BACKFILL WITH X SAND (SW) COLLAR, 3'ABOVE GROUND WATER \ P•(fri� C� , rQ [11 1.000 GALLON PRECAST SEP77C TANK = \ AREA 23,315 SQ. FT. TEST HOLE c�P ® = WATER METER _ I AM FAMILIAR WIN THE STANDARDS FOR APPROVAL AND CONSTRUC77ON OF SUBSURFACE SEWAGE DISPOSAL RAIN RUNOFF CONTAINMENT SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE HOUSE = 2460 s , BY 7HE COND177ONS SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT. 2460 x 0.17 x 1 = 418 CU.Ft. - ANY ALTERA710N OR ADD1770N TO THIS SURVEY ISA WOLA71ON 1770 x 0.8 x 0.17 = 241 Cu.Ft.DRIVEWAY (PERVIOUS) 1770 sq.ft. N. Y LIC. N0. 49618 OF SEC77ON 72090F THE NEW YORK STATE EDUCATION LAW. 651 Cu.Ft. PECONIC SURVEYORS, P.C. .EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77FICA71ONS 659/42.2 = 15 VF (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR 7N/S MAP AND COPIES THEREOF ONLY /F 'er P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR PROVIDE 3 DWS. 8 x 6 Deep WHOSE SIGNATURE APPEARS HEREON. OR EQUAL 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 14-135 a -f The location of public water, wells and cesspools shown hereon are SURVEY OF PROPERTY from field observations and or from data obtained from others. ELEVA77ONS & CONTOURS ARE REFERENCED 70 AN NA VV 88. SCDHS REF# R10-15-0027 IN SO UTHOLD TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-54-03-15 SCALE: V--40' JANUARY 8, 2015 APRIL 8, 2015 (REVISIONS) SEPT. 27, 2016 (PROP. HOUSE) '�► OCT. 4, 2016 (HA YBALES & SILT FENCE) OCT. 3, 2018 (BLDG FOOT PRINT) MARCH 25, 2019 (FOUNDA770N. LOC—U/C) 0WELL , �O NO. l '0p- IML .903 �o 0 Coy,1.�� TEST HOLE DATA s• `'• a°��F McDONALD E SCIENCE o � � ��, ��h. • .8' 11111114 ` `-'��\' FR. ROOF �J�� cy9? EL 40 DARK BROWN LOAM OL � s. �' N� Gti� 0.5' 4,� 'gyp�o BROWN SILTY SAND SM o�y"y�s'�y �j� soh 9� �� 1 20' � 'cfl � 4V BROWN RNE 70 MEDIUM SAND SP 28' GOA t m N07F• NO WA7ER ENCOUN7ERED �G 'T" KEY Q = REBAR ® = WELL A = STAKE ti \ = TEST HOLE `F� �• • = PIPE \ ■ = MONUMENT = WETLAND FLAG cD-., = U71LIT Y POLE = HYDRANT Ty�; y� I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR "� b SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE COND177ONS SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT. A EA = 23,315 SO., FT. NO. 49618 ANY AL7ERA77ON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF PECON Il '' SEC77ON 72O9OF THE NEW YORK STATE EDUCA77ON LAW. EXCEPT AS (6J1) 765-5020 631 765-1797 PER SEC77ON 7209—SUBDIVISION 2. ALL CER77FICA77ONS HEREON ) F ) P. BOX 909 ( ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR WHOSE 1230 TRA VELER STREET 14-135 SIGNATURE APPEARS HEREON. SOU7HOLD, N.Y. 11971 71ocation of public water, wells and cesspools shown hereon are SURVEY OF PROPERTY bservations and or from data obtained from others. ELEVAAONS& CONTOURS ARE REFERENCED 70 AN NAVD 88. SCDHS REF# R10-18-0107 IN SO UTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-54-03-15 N SCALE V-40' JANUARY 8, 2015 APRIL 8, 2015 (REVISIONS) SEPT. 27, 2016 (PROP. HOUSE) OCT. 4, 2016 (HA YBALES & SILT FENCE) q AjA OCT. 3, 2018 (BLDG FOOT PRINT) 44 " MARCH 25, 2019 (FOUNDA770N. LOC—U/C) MAY 24, 2021 (FINAL SURVEY) OCT. 21, 2021 (REVISIONS) NOVEMBER 15, 2021 (REVISIONS) 44% 0WELL �O N. F o. SHED C SEPTIC SYSTEM �1• ��, �S�°`° '8 DW h ST. 42.5' 36' 0 �� s HOT COVER TUB ILt LP. 38' 50' T •. . �'�` X6:NP 5 G O 1O.y\ G°�G� 0. �y O. �9 -bA TEST HOLE DATA �' �� ,, °°� " W. McOON A'LDEOSCIENCE t1 50 EL 40.8' v y ELECT. sr. ��. °� `'� Q� p�� 9jG DARK BROWN LOAM OL METER h COVERED, a.5 \ ys `♦ ey PORCH B `. ' b �o BROWN SILTY SAND SM ya iOGy` `,e�O,R •01 O�yc y 20' � � � �v 41 a\. BROWN FlNE TO MEDIUM SAND SP NOTE.`NO WA7ER ENCOUN7ERED G�� DEC d 202 BUILDING DEQ- TO BUILDING OF S KEY OUTH6LD I-- , O SUrF0LK C�,,JN.T! D. FENT OF HE 99 T 'v`f�VICES �G�\\ V _h�[� r • = REBAR -, `y '\ it ® = WELL A SiaqG�ie Fi L.f RESMENCC ♦ = STAKE Date DEC p 2- 2021 H.F5.t'W. 0- 18— of o-7 'P .\ i Lti C TEST HOLE The sewage d'i;��i and water s,s'-Piy faciiiges at tN;, tccstian have been �� \ \ L PIPE inspected and/or ce'r0ad by t,.is D-pz.meat c;r c'her agencies also found to ;be satisfactory FOR A G :11aUM�7F BEDROOMS. \ ■ = MONUMENT \ z 6 = WETLAND FLAG Craig Knepper, P.E., Chief ••\. c-O, = UTILITY POLE Office ®1 Wastewater Management = HYDRANT I AM FAMILIAR 1ff7H THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR a SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE COND177ONS SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT. AREA = 231315 SO. N.Y.S LIC. NO. 49618 ANY ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLATION OF - s - _ ORS, P.C. SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS CST 20 FAX (631) 765-1797 PER SECTION 7209—SUBDIVISION 2. ALL CER77FICA77ONS HEREON s � �P:O OX 909 ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR WHOSE 1230 TRA VELER STREET 14-135 SIGNATURE APPEARS HEREON. SOU7HOLD, N.Y. 11971 NORTH STAR TITLE AGENCY, INC. P.O. Box 2423 Aquebogue, New York 11931 VARIANCE SEARCH TITLE NO.: NST-16-0451-SS-Updated STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Patricia A. Judd being duly sworn, deposes and says: That she resides at 6 Gatz Road, Riverhead,New York 11901 and is over the age of 21 years and that she is President of NORTH STAR TITLE AGENCY, INC. That under her direction,title was examined to the parcels of land described on the annexed Schedule and labeled Parcels A, B, Cand D That said examination, dated November 9, 2018 discloses a chain of Title to determine if any contiguous property was owned by an owner of property involved since the date-of any previously applicable Zoning Ordinance as of- 1983. And,that this Affidavit is made to assist the Board of Zoning Appeals to the Town of Southold to reach any determination which requires as a basis therefore the information set forth herein and knowing full well that said Board will rely upon the truth thereof. The Liability hereunder is limited to (Twenty-five thousand dollars) $25,000.00 for any reason. NORTH STAR TITLE AGENCY, INC. P B � Patricia A. Judd President Sworn to before me"this 3rd day of December, 2018. DIANE A A'LLEN' Notary Public, State of New York I Registration 901AL6108157 Qualified In Suffolk County Commission Expires April 12,2020 TITLE NO.: NST-16-0451-SS-Updated DESCRIPTIONS PARCEL "A": (SUBJECT PREMISES): ALL that certain plot,piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York,being bounded and described as follows: BEGINNING at a point on the northeasterly line of Horton's Lane distant 996.26 feet southeasterly along said northeasterly line from Sound View Avenue, said point of beginning also being the southerly or southeasterly corner of the premises herein described and the westerly corner of land intended to be conveyed to Albert W. Albertson, Jr.; RUNNING THENCE along said land intended to be conveyed to Albert W. Albertson, Jr.,North 47 degrees 07 minutes 20 seconds East, a distance of 149.24 feet; THENCE along other land of 011ie M. Overton,North 42 degrees 52 minutes 40 seconds East, a distance of 175 feet; THENCE still along other land of 011ie M. Overton, South 47 degrees 07 minutes 20 seconds East, a distance of 117.11 feet to the northeasterly line of Horton's Lane; THENCE along said northeasterly line of Horton's Lane, South 32 degrees 28 minutes 30 seconds East, a distance of 177.92 feet to the point or place of BEGINNING. ALSO,known and designated on the Real Property Tax Map as: DIST: 1000 SEC: 054.00 BLK: 03.00 LOT: 015.000 PARCEL 'B": (ADJOINING WEST&NORTH): Described Property 1000-054.00-03.00-014.008 PARCEL "C": (ADJOINING EAST): Described Property 1000-054.00-03.00-016.000 PARCEL "D": (ADJOINING WEST): Horton Lane STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Patricia A. Judd being duly sworn, deposes and says that she resides at 6 Gatz Road, Riverhead,New York 11901 and is over the age of 21 years and that she is President of NORTH STAR TITLE AGENCY, INC. That the above is the true description of the subject premises and of the adjoining premises as shown on the record in the variance search made under the above captioned title number. NORTH STAR TITLE AGENCY, INC. Sworn to before me this BY: 3rd day of December, 2018. Patricia A. Judd President kkO-Zt-OIL DIANE A ALLEN Notary Public, State of New York Registration#01AL6108157 Qualified In Suffolk County Commission Expires April 12,2020 1 TITLE NO.: NST-16-0451-SS-Updated CHAIN OF TITLE FOR PARCEL "A": Blanche A. Seibert Dated: ,August 12, 1974 -to- Recorded:, August 16, 1974 Blanche A. Siebert'and Liber: 7696,Cp 114 Marilyn J:Gilbride Blanche A. Siebert and Dated: 'March 19, 1992 Marilyn J. Morsch, formerly Recorded: March 30, 1992 known as Marilyn J. Gilbride Liber: 11442 Cp 19 -to- Linda Safalow Linda Safalow Dated: May 23, 1997 -to-' Recorded: June 18, 1997 Nicholas Murray and ' Liber: 11836 Cp 237 Joan Murray,his wife Nicholas,Murray and Dated: November 7, 2016 Joan Murray, Recorded: January 18, 2017 , -to-' Liber: 12896 'Cp' 875 , 'John Consiglio and Clare Consiglio,husband and wife LAST OWNERS OF RECORD. STATE OF NEW'YORK) SS: COUNTY OF SUFFOLK) Patricia A. Judd being duty sworn, deposes and says that she resides at 6 Gatz Road, Riverhead,New York 11901 and is'over the age of 21 years and that she is President of NORTH STAR TITLE AGENCY, INC. That the above are the'true chains of title as'shown on the record in the variance'search made under the above captioned title number. NORTH STAR TITLE AGENCY, INC. BY: Patricia A.. Judd President Sworn to before me this 3rd day of December, 2018. DIANE A ALLEN 1 Notary Public, State of New York ' Registration#01AL6108167 Qualified In Suffolk County Commission Expires April 12,2020 ' a TITLE NO.: NST-16-0451-SS-Updated CHAIN OF TITLE FOR PARCEL "B Jonathan T. Overton died a resident of Suffolk County on April 11, 1961, Suffolk County Surrogates Court File No. 465P1961, leaves real property to wife, 011ie M. Overton. 011ie M. Overton, also known as 011ie Overton, died a resident of Suffolk County on February 27, 1978, Suffolk County Surrogates Court File No. 649P1978, leaving Elaine T. Overton as Executrix. Elaine T. Overton, as Executrix under the Dated: January 17, 1984 Last Will and Testament of 011ie Overton, Recorded: January 20, 1984 Deceased Liber: 9499 Cp 402 -to- Albert W. Albertson, Jr. Albert W. Albertson, Jr. Dated: May 3, 1985 -to- Recorded: June 20, 1985 William J. Mills, III and Liber: 9815 Cp 122 Maureen T. Mills, His Wife William J. Mills, III and Dated: July 10, 1986 Maureen T. Mills, His Wife Recorded: August 7, 1986 -to- Liber: 10036 Cp 275 Robert T. Kroepel DDS, PC Pension Plan and Trust CORRECTION DEED: William J. Mills, III and Dated: November 17, 1986 Maureen T. Mills, His Wife Recorded: April 27, 1987 -to- Liber: 10304 Cp 47 Robert T. Kroepel DDS, PC Pension Plan and Trust NOTE: Corrects description in Liber 10036 Cp 275. CONTINUED..... STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Patricia A. Judd being duly sworn, deposes and says that she resides at 6 Gatz Road, Riverhead,New York 11901 and is over the age of 21 years and that she is President of NORTH STAR TITLE AGENCY, INC. That the above are the true chains of title as shown on the record in the variance search made under the above captioned title number. NORTH STAR TITLE AGENCY, INC. r Sworn to before me this BY: 2 3rd day of December, 2018. Patricia A. Judd 64 "4r� President ac DIANE A ALLEN Notary Public, State of New York Registration#01AL6108157 Qualified In Suffolk County Commission Expires April 12, 2020 TITLE NO.: NST-16-0451-SS-Updated CHAIN OF TITLE FOR PARCEL "B 11, CONTINUED.....: Robert T. Kroepel DDS, PC, Pension Dated: October 29, 1987 Plan and Trust Recorded: November 6, 1987 -to- Liber: 10463 Cp 451 Peter Brewer and Mary Brewer, His Wife Peter Brewer and Dated: September 30, 1993 Mary Brewer,His Wife Recorded: October 12, 1993 -to- Liber: 11647 Cp 702 Joan C. Murray Joan C. Murray Dated: June 23, 2017 -to- Recorded: August 10, 2017 Kenneth C. Liebert and Liber: 12924 Cp 351 Elizabeth K. Liebert, his wife LAST OWNERS OF RECORD. STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Patricia A. Judd being duly sworn, deposes and says that she resides at 6 Gatz Road, Riverhead,New York 11901 and is over the age of 21 years and that she is President of NORTH STAR TITLE AGENCY, INC. That the above are the true chains of title as shown on the record in the variance search made under the above captioned title number. NORTH STAR TITLE AGENCY, INC. BY: Patricia A. Judd President Sworn to before me this 3rd day of December, 2018. dOULe, a , 1&4,-,/ DIANE A ALLEN Notary Public, State of New York Registration#01AL6108157 Qualified In Suffolk County Commission Expires April 12,2020 TITLE NO.: NST-16-0451-SS-Updated CHAIN OF TITLE FOR PARCEL "C": 011ie M Overton Dated: February 8, 1966 -to- Recorded: March 8, 1966 Albert Albertson, Jr. and Liber: 5921 Cp 495 Alice Albertson, His Wife Albert Albertson, Jr. and Dated: March 30, 1984 Alice Albertson, His Wife Recorded: April 4, 1984 -to- Liber: 9540 Cp 31 Alice Albertson Alice W. Johannsen, formerly Dated: May 20, 1987 known as Alice Albertson Recorded: June 29, 1987 -to- Liber: 10352 Cp 445 Arthur Safalow and Linda Safalow, His Wife Arthur N. Safalow and Dated: May 23, 1997 Linda C. Safalow, His Wife Recorded: June 18, 1997 -to- Liber: 11836 Cp 238 Nicholas Murray Nicholas Murray Dated: January 20, 2015 -to- Recorded: February 2, 2015 Edward N. Feldstein and Liber: 12805 Cp 761 Amy E. Feldstein, His Wife LAST OWNERS OF RECORD. STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Patricia A. Judd being duly sworn, deposes and says that she resides at 6 Gatz Road, Riverhead,New York 11901 and is over the age of 21 years and that she is President of NORTH STAR TITLE AGENCY, INC. That the above are the true chains of title as shown on the record in the variance search made under the above captioned title number. NORTH STAR TITLE AGENCY, INC. BY: Patricia A. Judd President Sworn to before me this 3rd day of December, 2018. DIANE A ALLEN Notary Public, State of New York Registration#01AL6106157 Qualified In Suffolk County Commission Expires April 12,2020 i TITLE NO.: NST-16-0451-SS-Updated CIIAIN OF TITLE FOR PARCEL "D HORTON LANE STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Patricia A. Judd being duly sworn, deposes and says that she resides at 6 Gatz Road, Riverhead,New York 11901 and is over the age of 21 years and that she is President of NORTH STAR TITLE AGENCY, INC. That the above are the true chains of title as shown on the record in the variance search made under the above captioned title number. NORTH STAR TITLE AGENCY, INC. BYQ Patricia A. Judd President Sworn to before me this 3rd day of December, 2018. c DIANE A ALLEN Notary Public, State of New York Registration#01AL6108157 Qualified In Suffolk County Commission Expires April 12, 2020 pW � � - -� . �1 77Y a e-c1�C — 1i 73 /— 96 CIA,r� CQ� — l � `f� �o7�— Jr3y / ��v� c b w-r „— �I ► � Ile � y a— kip C� 9 -7 S1,6 7f �l� Ili u r JUN ? 7 2020 c IF-fit Lk— �T 3 0 ��-� b 00 Lt c O�*OF SOUryol Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 iQ 7/1 COUNV I BUILDING DEPARTMENT July 19, 2021 TOWN OF SOUTHOLD Consiglio, John 6430 Horton Ln Southold, NY 11971 TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. X Final Survey with Health Department Approval. Plumbers Solder Certificate or Pex Affidavit Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval I from Town Engineer Spray Foam Insulation certification from a NYS licensed architect or Engineer BUILDING PERMIT: 43326-Z Single Family Dwelling Generated by RESchecfc Web Software Compliance Certificate Project CONSIGLIO SOUTHOLD 2018 Energy Code: 2015 IECC Location: Suffolk County, New York Construction Type: Single-family Project Type: New Construction Orientation: Bldg. faces 225 deg. from North Conditioned Floor Area: 2,479 ft2 Glazing Area 22% Climate Zone: 4 (5999 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Horton's Lane John&Clare Consiglio RICHARD HIRT Southold, NY (owner) RICHARD HIRT ARCHITECT NY 20 South Drive johnsconsiglio@gmail.com Sag Harbor,NEW YORK 11963 RICKHIRTARCH@OPTIMUM.NET Compliance: 13.3%Better Than Code Maximum UA: 390 Your UA: 338 Maximum SHGC: 0.40 Your SHGC: 0.25 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity C6nt. Assembly or U-Factor UA Ceiling: Flat or Scissor Truss 1,098 39.0 0.0 0.030 33 Ceiling: Cathedral 178 42.0 0.0 0.025 4 Wall:Wood Frame, 16in.o.c. 2,378 25.0 0.0 0.053 98 Orientation: Unspecified Door, FRONT, Fiberglass: Solid Door(under 50%glazing) 24 0.190 5 Orientation: Unspecified SIDE LIGHTS: Glass Door(over 50%glazing) 21 0.320 7 SHGC: 0.26 Orientation: Unspecified Doors ANDERSEN: Glass Door(over 50%glazing) 132 0.320 42 SHGC: 0.23 Orientation: Unspecified Window DH:Wood Frame,2 Pane w/Low-E 254 0.300 76 SHGC: 0.27 Orientation: Unspecified Window AWN:Wood Frame 62 0.290 18 SHGC: 0.23 Orientation: Unspecified Window CAS:Wood Frame 44 0.290 13 SHGC: 0.23 Orientation: Unspecified Floor:All-Wood joist/Truss Over Uncond.Space 1,259 30.0 0.0 0.033 42 Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 1 of10 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in REScheck Version : REScheck-Web and to comply with the mandatory1equirements listed in the REScheck Inspection Checklist. Name-Title Si nature Date Project Notes: Revised plans, reduced square footage, increased insulation 9-7-18 Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 2 of10 REScheck Software Version : REScheck-Web Inspection Checklist) `5 Energy Code: 2015 IECC Requirements: 100.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans VerifiedField etet d Verified 4 # Pre-Inspection/Plan Review Value Value f Complies? Comments/Assumptions & Req.lD I } 103.1, Construction drawings and ❑Complies Requirement will be met. 103.2 documentation demonstrate ❑Does Not [PR111 energy code compliance for the ❑Not Observable Location on plans/spec: 8 building envelope.Thermal envelope represented on ❑Not Applicable construction documents. 103.1, Construction drawings and ❑Complies Requirement will be met. 103.2, documentation demonstrate []Does Not 403.7 energy code compliance for ❑Not Observable Location on plans/spec:2, [PR3]1 lighting and mechanical systems. 8 Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating: ❑Complies Requirement will be met. 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: Location on plans/spec: 2 Manual J or other methods Btu/hr Btu/hr ❑Not Observable approved by the code official. ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Ti(r 2) _ 3 Low Impact(Tier 3) A Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 3 of10 Section Foundation Inspection Complies? Comments/Assumptions & Req.ID 303.2.1 A protective covering is installed to ❑Complies Exception: Requirement is not applicable. [FO11]2 protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in.below []Not Observable grade. _ ❑Not Applicable 403.9 Snow-and ice-melting system controls ❑Complies Exception: Requirement is not applicable. [FO12]2 installed. []Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: TlI High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)� Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 4 of 10 Section Plans Verified Field Verified & Req.ID # ,Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions 1402.1.1, Door U-factor. U- U- ❑Complies See the Envelope Assemblies 402.3.4 ❑Does Not table for values. [FR1]1 ❑Not Observable ❑Nat Applicable 402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values 402.3.3, ❑ 402.5 Not Observable [FR2]1 ❑Not Applicable 303.1.3 U-factors of fenestration products ❑Complies Requirement will be met. ([FR411 are determined in accordance ❑Does Not with the NFRC test procedure or ❑Not Observable Location on plans/spec:2 taken from the default table. ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier ❑Complies Requirement will be met. [FR23]1 installed per manufacturer's ❑Does Not instructions. ❑Not Observable Location on plans/spec:2 ❑Not Applicable i 402.4.3 Fenestration that is not site built ❑Complies Requirement will be met. i [FR20]1 is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code ❑Not Applicable limits. _ 402.4.5 IC-rated recessed lighting fixtures ❑Complies Requirement will be met. [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm ❑Not Observable Location on plans/spec:2 leakage at 75 Pa. ❑Not Applicable 403.3.1 Supply and return ducts in attics ❑Complies Requirement will be met. [FR12]1 insulated >=R-8 where duct is ❑Does Not >=3 inches in diameter and>= ❑Not Observable Location on plans/spec:2 R-6 where<3 inches.Supply and return ducts in other portions of ❑Not Applicable the building insulated >=R-6 for diameter>=3 inches and R-4.2 for< 3 inches in diameter. 403.3.5 Building cavities are not used as ❑Complies Requirement will be met. [FR15]3 ducts or plenums. []Does Not ❑Not Observable Location on plans/spec:2 ❑Not Applicable 1403.4 HVAC piping conveying fluids R- R- -❑Complies Requirement will be met. [FR17]2 above 105 QF or chilled fluids []Does Not - below 55 QF are insulated to>_R- []Not Observable Location on plans/spec:2 3. []Not Applicable 403.4.1 Protection of insulation on HVAC ❑Complies Requirement will be met. [FR24]1 piping. ❑Does Not []Not Observable Location on plans/spec: 2 ❑Not Applicable 403.5.3 Hot water pipes are insulated to R- R- ❑Complies Requirement will be met. [FR18]2 2--R-3. ❑Does Not ❑Not Observable Location on plans/spec:2 ❑Not Applicable 403.6 Automatic or gravity dampers are ❑Complies Requirement will be met. [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable Location on plans/spec:2 ❑Not Applicable # 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) _ 3 Low Impact(Tier 3) __ - �1__. _ 1_.__. _ 1 Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 5 of 10 Additional Comments/Assumptions: 1High Impact(Tier 1)� 2 1Medium Impact(Tier 2) L 3 Low Impact(Tier 3) Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 6 of 10 Section Plans Verified Field Verified # Insulation Inspection !Value f Value i Complies? Comments/Assumptions Q• f � 303.1 All installed insulation is labeled ❑Complies Requirement will be met. [IN13]2 or the installed R-values ❑Does Not provided. ❑Not Observable ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.6 ❑ Wood ❑ Wood ❑Does Not table for values. [IN1]1 ❑ Steel ❑ Steel ❑Not Observable ❑Not Applicable 303.2, Floor insulation installed per ❑Complies Requirement will be met. 402.2.7 manufacturer's instructions and ❑Does Not [IN2]1 in substantial contact with the ❑Not Observable Location on plans/spec: 8 underside of the subfloor,or floor framing cavity insulation is in ❑Not Applicable contact with the top side of # sheathing,or continuous insulation is installed on the underside of floor framing and extends from the bottom to the top of all perimeter floor framing members. 402.1.1, Wall insulation R-value.If this is a R- R- ❑Complies Seethe Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior,the exterior insulation requirement applies(FR10). ❑ Steel ❑ Steel []Not Applicable 303.2 Wall insulation is installed per ❑Complies Requirement will be met. [IN4]1 manufacturer's instructions. ❑Does Not ❑Not Observable Location on plans/spec: f ❑Not Applicable 2,8 Additional Comments/Assumptions: 1 1 High Impact(Tier 1) 2 JMedium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 7 of10 Section ( Plans Verified Field Verified # Final Inspection Provisions Complies. Comments/Assumptions & Re 1®� Value i Value 40 .1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, ❑ Steel ❑ Steel []Not Observable 402.2.6 [FI1]1 ❑Not Applicable 303.1.1.1, Ceiling insulation installed per ❑Complies Requirement will be met. 303.2 manufacturer's instructions. ❑Does Not [FI2]1 Blown insulation marked every ❑Not Observable Location on plans/spec:2, 300 z 8 ❑Not Applicable 402.2.3 Vented attics with air permeable ❑Complies Requirement will be met. [FI22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that ❑Not Observable Location on plans/spec: extends over insulation. ❑ 2,8 Not Applicable 402.2.4 Attic access hatch and door_T^ R- R- ❑Complies Requirement will be met. [FI3]1 insulation>_R-value of the []Does Not adjacent assembly. ❑Not Observable Location on plans/spec: 2 ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5� ACH 50= ACH 50= ❑Complies Requirement will be met. [FI17]1 ach in Climate Zones 1-2,and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable Location on plans/spec:2 ❑Not Applicable 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 []Complies Requirement will be met. [FI4]1 cfm/100 ft2 across the system or ftz ftz ❑Does Not <=3 cfm/100 ft2 without air ❑Not Observable Location on plans/spec:2 handler @ 25 Pa.For rough-in tests,verification may need to ❑Not Applicable occur during Framing Inspection. 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑CompliesRequirement will be met. [FI27]1 determine air leakage with ftz ftz ❑Does Not either: Rough-in test:Total ❑Not Observable Location on plans/spec: 2 leakage measured with a pressure differential of 0.1 inch ❑Not Applicable w.g.across the system including the manufacturer's air handler enclosure if installed at time of test.Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch w.g.across the entire system including the manufacturer's air _handler enclosure. 403.3.2.1 Air handler leakage designatedT ❑Complies Requirement will be met. [FI24]1 by manufacturer at<=2%of ❑Does Not design air flow. ❑Not Observable Location on plans/spec:2 ❑Not Applicable 403.1.1 Programmable thermostats T�❑Complies Requirement will be met. [FI9]2 installed for control of primary ❑Does Not - heating and cooling systems and Location on plans/spec: 2 initially set by manufacturer to ❑Not Observable code specifications. ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies Exception: Requirement is [FI10]2 on heat pumps. ❑Does Not not applicable. []Not Observable ❑Not Applicable 403.5.1 Circulating service hot water ❑Complies Exception: Requirement is [FI11]2 systems have automatic or []Does Not not applicable. accessible manual controls. ❑Not Observable ❑Not Applicable L1tj High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 8 of10 Section Plans Verified Field Verified & It q.ID Final Inspection Provisions Value Value Complies? Comments/Assumptions 403.6.1 All mechanical ventilation system �[ ❑Complies Requirement will be met. [FI25]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy ❑Not Observable Location on plans/spec: 2 and air flow limits. ❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies Exception: Requirement is [F126]2 through one-or two-pipe heating ❑Does Not not applicable. systems have outdoor setback control to lower boiler water ❑Not Observable temperature based on outdoor ❑Not Applicable temperature. 403.5.1.1 Heated water circulation systems ❑Complies Exception: Requirement is [FI28]2 have a circulation pump.The ❑Does Not not applicable. system return pipe is a dedicated return pipe or a cold water supply [-]Not Observable pipe.Gravity and thermos- ❑Not Applicable syphon circulation systems are not present.Controls for circulating hot water system pumps start the pump with signal for hot water demand within the occupancy.Controls j automatically turn off the pump { when water is in circulation loop {� is at set-point temperature and 1 no demand for hot water exists. I 403.5.1.2 Electric heat trace systems A� ❑Complies Exception: Requirement is -- [FI29]2 comply with IEEE 515.1 or UL ❑Does Not not applicable. 515.Controls automatically adjust the energy input to the ❑Not Observable heat tracing to maintain the ❑Not Applicable desired water temperature in the [ piping. l 403.5.2 Water distribution systems that ❑Complies Exception: Requirement is [F130]2 have recirculation pumps that ❑Does Not not applicable. pump water from a heated water supply pipe back to the heated [-]Not Observable water source through a cold ❑Not Applicable water supply pipe have a demand recirculation water system.Pumps have controls that manage operation of the pump and limit the temperature of the water entering the cold water piping to 1049F. t 403.5.4 Drain water heat recovery units ❑CompliesException: Requirement is [FI31]2 tested in accordance with CSA ❑Does Not not applicable. B55.1.Potable water-side pressure loss of drain water heat []Not Observable recovery units<3 psi for ❑Not Applicable individual units connected to one or two showers.Potable water- side pressure loss of drain water heat recovery units<2 psi for t individual units connected to _ three or more showers. 404.1 75%of lamps in permanent ❑Complies Requirement will be met. [F16]1 fixtures or 75%of permanent ❑Does Not fixtures have high efficacy lamps. ❑Not Observable Location on plans/spec:2 Does not apply to low-voltage lighting. ❑Not Applicable 404.1.1 Fuel gas lighting systems have ❑Complies Requirement will be met. [FI23]3 no continuous pilot light. ❑Does Not ❑Not Observable Location on plans/spec: 2 ❑Not Applicable 1�High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 9 of10 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions &Req.l®I 401.3 Compliance certificate posted. ❑Complies Requirement will be met. [FI7]2 ❑Does Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies Requirement will be met. [FI18]3 mechanical and water heating ❑Does Not systems have been provided. L []Not Observable ❑Not Applicable Additional Comments/Assumptions: 1,High Impact(Tier 1) 2 Medium Impact(Tier 2) ^�3 Low Impact(Tier3_3)~j Project Title: CONSIGLIO SOUTHOLD 2018 Report date: 09/07/18 Data filename: Page 10 of10 Above-Grade Wall 25.00 Below-Grade-Wall M00- Floor 30.00 Ceiling / Roof 39.00 Ductwork (unconditioned spaces): Window 0.30 0.27 Door 0.32 0.23 Heating System: Cooling System: Water Heater: Name: !C!_Va.�Z Q 1(Z Date: U;r 7—/ Comments ANDERSEN WINDOW ff DOOR 5PEGlFICATlON5 AND NOTE5 ALL ANDER5EN UNITS AREA 5ERlE5, HIGH PERFORMANGE LOW E 4 6LA55, ANDERSEN WINDOWS ANDERSEN DOOR5 DOUDLE HUNG-U-030,5HGC-021,VT-0.46 TYPE I DC.UOtZ HUNG TYPE HINGED ' -- AGW5258 CY/.45FJ FWHIV 2980 (21,28 5P) AWNIN65-U-029,StfGG-023,VT-0.35 DOORS-U-032,5HGC-025,VT-0.38 TYPE Z DOUBLE HUNG TYPE 8 HINGED ALL -0 6E PPffF1N/5I1PD,WHITS INrf P10R 8 fXT�1'10r ADJ>3250 C15 33 5F) FW/7/D 29611(1836 5F) FULL DIVIDED UGHT5,1/8",HIGH PROFILE EXTER101P TYPO 5 AWNING PERMANENT INTIfRIOR,W/SPACER ANN2G50 1NI N SFJ TYPE 9 5UDING FWGD 8080 C6519 SFJ f GAP T1M0ERLINE 5HINGLES � . WINDOW 5GREEN5-TRU SCENE TYPP'4 AWNING lO 7 DOOR 5CREEN5-HINGED OR 5UDJNG TO MATGt7 DOOR ANN21030(8.i4 5P) TYPE!O 5UDlNG VeRSATEX DOOR 5/LL5- NEUTRAL GRAY FWGD 6080 (4125 5F) ` I x G RAC 60ARD w/ TYPE 5 AWNING "�_ \`21/4"SONO GROWN VER212 INSTALL Wtrt1 WATERPROOF 5H1M5 UNDER 5IDE JAMD5, AGW2840(1025 5F) „= \\ INSTALL IN ACCORDANCE W/ANDERSEN JNSTRUGTlONS, �� VER5ATEX TYPE 6 AWNING 5/4 x 4 5TEALTH 60ARD SEAL PERIMETER W/MINIMAL EXPANDING FOAM (Fl W/CORNER HOS,J FOR DOORS ff WINDOW5, AGW2440 �'/ EXTEN5/ON JAM05 A5 DETERMINED I3Y GG ORDER TO OE APPROVED 6Y GC ff ARGt1tTEGT \� DEFORE BEING PLACED --- -_-- -_ 6"HALF ROUND AWM/NUM GOITERS ❑❑ DEE ED 5"DIAMETER ENERGY NOTES; EDE AWMINUM LOADERSL/GI VPRSATEX I ALL GE/UNG I?0a L/Gttr/NG 15 TO DE LED ORGPL u❑❑� 5/4 x 8 CORNER BOARDS 2-ALL REGE55ED L/GtfiS TO HAVE/GAT tfOUS/NGS r-�❑� APPUANGE5 Il_JI 18"CEDAR Pt'RFCGT1CN5 3 ALL MAJOR APPUANGE5 TO 6E ENERGY STAR RATED •6"TO 7-t1FWFARICP 4-K/TGHEN EXt11iU57_,DRYER VENT$DATtl FANS TO HAVE DAP1PER5 "//iG ti. 5 HVAC WNrRAGTORTO PROV/Dr WAG 5/Z/NG PER MANUAL 5,MANUAL J -- ---------- --_--- 6-ALL JOINTS$5EA15 OF DUC775,A/R HANDLERS, - F/LTER HOXE5 AND DUiLDING GAVIIY RETURN5 ARE TO _ DE 5EALED,NO 6U/LD/NG GAV1r1E5 ARE TO DE USED - -- FOR DUG-7-5 OR PLENUMS r T_�7 A-ALL ATTIC-,IfP DUGT5 TD DE/NSULhTED R-8, PEE �nALL OTHER DUCTS/N-I E5 Ll 5/4 x 8 CORNER BOARDS8-ALL REFR/GERANI'UNE5 TOPE/N5ULATED TO R-37-0 /MI HOTSGOLDWATERP/PE5TO6E/NSULATED VER5ATEX TO R-5 MlN 5/4 x 4 CASING, 9-VCR/FY PullDINO CN/ELOPE T/GtITNr55 VlAV15UAL W/PLANGCIN5PECTION 8 DLOWER DOOR TE5T /8 lO-TEST DUCTT/GHTNE55,MAX LEAKAGE 57_A �❑ 1/-INSTALL I DAY PROGRAMMADLE THERM05TAT5 FOR I I EACH ZONE PENE5TRAT/0N di (lul�12-ALL ANDERSEN DOORSAND WINDOWS+ENTRYDOOR 8 5/DEUGHTS ARE TD BE LABELED PER RESGHECK 402,4,4 1N5ULAT/ON- 13-ALL P/0ER3LA55 IN5ULA7-/0N/5 TO 1�lE KRAFT OR POIL PAGED WITH R VAWE LADELED AND DE GAREPULLY FITTED WITHOUT GAPS OR VO/D5, ALL P0A/7/N5,TO DC INSTALLED IN 57_RK✓7_ AGCORDANGEW/MANUFACTURERS/NSTRUGT/ONS I I I ��ED AR c CERT/P/GATE 8 MANUAL5- I 14 RESGHEGK GOMPUANGE CERT/F/GATE/5 TO OE I 01 I PI \� ALL FN OSTED 15 MANUFACTURER MANUALS FOR/7ECHANKAL 8 I I V' Q��`A� /x PROVIDED, � - 441 U'Z �NfRGY NOTES I I I St��1'�SGtJ�GK DOGUM�NT I I �>,9� 03026 G011I7ENT5/A5-5UMPTION COLUMN, F OF N E — INTh/SGOLUMN - - - - - - - - - - - - - - - - - - - REVISED 9-7-18 IT IS A VIOLATION OF LAW RICHARD HIRT ARCHITECT P.C. ISSUED/PURPOSE FOR BUILDING PERMIT FOR ANY PERSON,UNLESS ACTING UNDER THE 20 SOUTH DRIVE 96-16/ / I IN PERMIT RICHARD HIRT THE CONSIGLIO RESIDENCE RIGHT SIDE ELEVATIONsHEET NUMBER DIRECTION of THE NORTH HAVEN,N.Y. 11963 10-6-16/BUILDING PERMIT ARCHITECT,TO ALTER ANY TEL.631 808 3434 10-30-17/AMENDED PERMIT ARCHITECT HORTONS LANE, SOUTHOLD,NY ITEM ON THIS DRAWING E-MAIL RICKHIRT OPTIMUM.NET 9-7-18/BUILDING PERMIt SCALE: 1/4"=1'-0" 2 I - I i I I ! II I ! I J II I I I I I I — -- - JL I Jill LLI Lu L IL L Jill 11 111 1 El DE :111E Dp� I i I I I I I I I i I I 0�❑ ❑❑❑ ❑'_ ❑ ❑❑❑ ❑❑ ❑❑❑ ❑❑❑ I❑❑U❑ LIED I PfK'FfGr10NS a 6"r0 rti1: WffRrHfT ❑❑ ❑❑ ❑ ❑❑❑ ❑❑❑ ❑❑ ❑E ❑❑ ❑❑ GOPNff ! ❑�❑ ❑❑❑ DOAAM5 IT EM DOE I]] --- I DO Em mp nEr I DIA,WM-E AWMINUM 6-J 6J I cj .a (P�qT 030265��-10 F OF NE REVISED 9-7-18 — — — — — FOR BUILDING PERMIT IT IS A VIOLATION OF LAW RICHARD HIRT ARCHITECT P.C. 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ISSUED/PURPOSE SHEET NUMBER FOR ANY PERSON,UNLESS 20 SOUTH DRIVE 9-26-16/SCDHS PERMIT RICHARD HIRT THE CONSIGLIO RESIDENCE FOUNDATION DETAILS ACTING UNDER THE NORTH HAVEN,N.Y. 11963 10-6-16/BUILDING PERMIT DIRECTION OF THE SCALE:AS NOTED ARCHITECT,TO ALTER ANY TEL.631 808 3434 9-7-18/BUILDING PERMIT R HITS T HORTONS LANE, SOUTHOLD,NY ITEM ON THIS DRAWING E-MAIL RICKHIRT@OPTIMUM.NET