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HomeMy WebLinkAbout48441-Z TOWN OF SOUTHOLD V BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 48441 Date: 11/1/2022 Permission is hereby granted to: Esteves Hldg Cor 80 Sunset Ave Seldon, NY 11784 To: construct single-family dwelling as applied for per SCHD approval. At premises located at: 465 Ripple Water Ln, Southold SCTM #473889 Sec/Block/Lot# 76.-1-15.5 Pursuant to application dated 8/17/2022 and approved by the Building Inspector. To expire on 5/2/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $3,505.60 CO-NEW DWELLING $50.00 Total: $3,555.60 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 f Telephone (631) 765-1802 Fax (631) 765-9502 https://WWW.SOLltholdtownny.gov Date Received APPLICKnON FOR BUILDING IPERMI,I For Office Use Only PERMIT N0, L:]S4�� Building Inspector: Applications and forms must be filled out in their entirety. Incomplete BL11LDING DEPT applications will not be accepted. Where the Applicant is not the owner,an TO,",, Owner's Authorization form(Page 2)shall be completed. Date:May 8, 2022 OWNER(S)OF PROPERTY: Name:Esteves Holding Corp SCTM#1000-76-1-15.5 Project Address:465 Ripple Water Lane, Southold NY 11971 Phone#:631-698-2892 Email; Mailing Address:80 Sunset Ave, Selden NY 11784 CONTACT PERSON: Name:Jerry Cibulski Mailing Address:PO Box 598, Southold NY 11971 Phone#:631-404-2507 Email:JerryCibuiski@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:. Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION *New Structure ❑Addition ❑Alteration []Repair ❑Demolition Estimated Cost of Project: ❑Other Will the lot be re-graded? ❑Yes A No Will excess fill be removed from premises? ❑Yes *No 1 PROPERTY INFORMATION Existing use of pro perty:Residential Intended use of property:Residential Zone or use district in which premises is situated: i Are there any covenants and restrictions with respect to R-40 this property? ❑Yes RNo IF YES, PROVIDE A COPY. 0 Check 13ox After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. 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,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):Jerry Cibulski NAuthorized Agent ❑Owner Signatt l pp cants Date:'�3—)'1 -202 STATE OF NEW YORK) S : COUNTY OF �1 "A� , � ®,) Jerry Cibulski being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of 20 Notary Public 0 TRACEY L. DWYER FIROPER1 Y OWNER UT ( ) TARY PUBLIC,STATE OF NEW YORK NO.01 DW 2,06900 (Where the applicant is not the owner) QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2-U� Emanual Esteves residing at 80 Sunset Ave, Selden NY 11784 ), do hereby authorizeJerry Cibulski, to apply on my beh to the Town of South Id Building Department for approval as described herein. May 8 2022 Owner's Signature Date Emanual Esteves Print Owner's Name 2 41111 )°"ief atedby REScheck'- b Saftwarle I Project ripple, water 3. Energy Code_ 2.01.8 JECIC Location: Southold, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area-- 1,940 ft2 Glazing Area. 15% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number.: Construction Site: Owner/Agent: Designer/Contractor: ripple water jon_grano robert higgim architect southald,-NY 50 hidden acres path wading river, NY 11792 r Y u, rr r r iri »rr r 7 i rr ,rrlrrlri ii , ,rrrw,; , ti , rr", ri rrr , rl,r e,.ir+lrr . i ,,. r', , ,,r,rr�arir rrruc�r r rrr r rrr i, rU r�J� rr mi�ri r r t r ar ir, In >! ar i r,11 r ,irr;� r� , ., 0 ,...r n F�yr .f �«,,�r e�a��mi( aK�mok«rtrnuirr��m,irawwwaaii,�ar�r�aaiiur:�a«rdra u+uca«a,✓aur((lunxiaw�:,.,�.wramr,:�«ww�llnral wv,,Lula,�,�wvwtr,m�wlr�&S,fw,fru,�tiw6ae�,ru�us��.r(raGrrdxru n.rvir rlY�rrr�rhkd�"rc��fr�,w.,nreaurrdaumvm/,tnrvJ/aJ.�,Brfvuuu.krrriR/,«nr,�n.(/�rvwrUy(,rare.naiaaxmn+ou,'b✓err......w,uxra„«rr«rir,rc� �rrur�saunaa,e!�;ri✓nrrmi/ rrae�!uw.e,....ai,;d�ura xr��'c�ii�i� «+�aniu Compliance: 6.6%Better Than Code Maximum UA: 680 Your UA: 635 Maximum SHGC: 0.40 Your SHGC: 0,30 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. 5 Al':"i ,r9t t"ir ldk tY )1 `,r7Ri ' ori= Y in � i!,W 1 r ilei^,'iii ",d tri NVr1'' X1..90" 1ti p yy..°mll r,'Y�P"'l w';r r, {.ri."7i1 "1iIc,�il'] 'L�"1 f.Y1 ��:�;^4 ";,r W r",:':�i. i� ,rr.h,,i, `� I�'1 ,JY"i r99,"+� ,rr. - ^„a:,„�ii,l 1 ^ in Ihi„ ,pec,ti, il +:: irnai, �� � i�rr�i..v, i incet,U o rr°Iln° rnA "n ,rata,/ci!l e InsulaI'lon P, Iar u(:� wid ir'P1h asembries s Ceiling:Flat CeiWag or Scissor Truss 2,96.6 3.0:.0 0.10 -0.035 -0.026 100 75 Wall 1st floor: Wood Frame, 16” o.c. 2,916 21.0 0.0 0.057 0.060 134 141 Door: Solid Door('under 50%g1lazing} 90 Or.259 Or.320 23 29 Door 1: Glass Door(over 50% glazing) 135 0.300 0-3.20 41 43 -SHGC: 0.30 Window: Wood Frame 333 0.300 0.320 100 107 SHGC: 0.30 Wall 2nd floor: Wood Frame, 16” o.c. 1,588 21.0 0.0 0.057 0.060 79 83 Window 1:Wood Frame 210 0.300 0.320 63 67 SHGC: 0.30 Floor.All-Wood Joist/Truss 2,868 30.0 0.0 0.033 0.047 95 135 Compliance Statement: The proposed building design described,here,is co "stent wth the bultdtnq.parrs,spe.cifi;ralom; ,and other calculations submitted,with the permit application.The proposed'builtltn a to meet the 2018 IECC requirements in R Scheck Version ; REScheck-Weer and to comply With the mandatory r I ) t REScheck Inspection C ecklist; - "C J Name Title APN-ai rl i r_Cl Signa9 r ~' Project Title. ripple water-3 , C1:PIDisi i" Report elate: 08103122 :Data fiH -en am.e N Page 1 oflo Ati Project Title: ripple water 3 Report date: 08/03/22 Data titL-name. Page 2 of1G PREScheck Software Version -, REScheck-Web Inspection Checklist Energy Code: 2018 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. S . e_..e....... _ . _ r­.. � Comments/Assumptions . . ePPre-inspection/Plan eview Plans Verified FieldVerified CoPIes? Co ants/ ss peons q.9 _ 103.1, Construction drawings and ❑ Requirement Re uirement will be.met. 103,2 documentation demonstrate ❑Does Not '[PRl)1 energy code compliance for the []Not Observable 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 [PR3]1 lighting and mechanical systems. ❑Not Observable Systems serving multiple ❑NotAp�licabfe dwelling units must demonstrate compliance with the IECC Commercial Provisions. 403.7 sized per ACCA Manual S bat is Heating: Heating: ❑Doesplies Not Requirement will be 302.1, Heating and coolie equipment meennmet, Btu/hr Btu/hr ❑ m[PR2]a on loads calculated per ACCA Cooling: Coolin Manual J or other methods Btu/hr Btu/hrg []Not Observable approved by the code official, ❑Not Applicable Additional Comments/Assumptions; n 1 r Hlgh Impact(Tier 1) 2 Medium Impact(Tier 2) 3._ !4 ow Impact(Tier 3) .. ... .., _ m .a v..a. „ Project Title: ripple water 3 Report-date: o /o3/22 of10 Data filename: Page 3 �........................... ... .............y.,.............. ...._ ...,,,.,..w, . , .�.......,.��.....,.... .. .�.... ,,. .. ....,,.,,,m,w,,, .m... ._..,..,..,........�,.,....,� SAC�on __. p .... U.... _ ions on p g' �I�omplieses7 Requirement will be met.Comments/Assumptions tm R q i A protective covering is Inspection installed to �JFOUJ? protect exposed exterior insulation Oboes Not and extends a minimum of 6 in. below grade ❑Not Observable l]Not Applicable 03.9 Snow-and ice-melting system controls OComplies Requirement will.�. ........ ._ ... ... .. - be met. �[' I'12]w installed. aDoes'Not r; ONot Observable ONot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1)..... 2 Medium Impact (Tier 2) 3 Low Impact(Tier 3) Project Title; ripple water 3 Reportdate: 08/03/22 Data filename: Page 4 of 10 ection Verified Plans Ve nfied i Field Verified . . Complies? ss._... om m. ents/Assump.,tion�s # ..Framing / Rough In Inspect�on Value Value & . . _ _....... ...... 402.1.1Door U-factor, U- U_ ❑Complae ... See the Envelope Assemblies 402.3.4 ❑Does Not table for values. [FR1]1 ❑Not Observable ❑Not Applicable ❑Does Not table for values.es See the Assemblies 402.1.1, Glazing U-factor(area-weightedU- ❑Compli°-.... .....m 402.3.1, a 402.3.3, ❑Not Observable 402.5 ❑Not Applicable �[FR2]1 � ❑Complies .. w.,... Requirement..�...... ...._ 4303.1.3 U-e"d-ete, actrs of fenestration products ement will be met. 4[FR4]1 arrmined in accordance []Does Not with the NFRC test procedure or ❑Not Observable taken from the default table. ❑Not Applicable . ElComplies _ Requirement will be...met. .1.1 it barrier m F _. . kerma{barrier ❑Does Not [ R23 1 d per manufacturer's -instructions. ❑Not Observable ❑Not Applicable ❑Does Not Requirement will ompl....._ ..m. 402.4.3 Fenestration that is not site built meat will be met, 1 listed and labeled as meeting AAMA/WDMA/CSA 101/I.S.2/A440 ❑Not Observable or has infiltration rates per NFRC ❑Not Applicable 400 that do not exceed code ❑Complis Requirement will be met. 402.4. sealed ed at ecus ..._m. 1402.4.5 IC-rated recessed lighting fixtures e z housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm []Not Observable leakage at 75 Pa. ❑Not Applicable y403.3.1 Supply and return ducts in attics ❑Compiles Requirement wil a me . 4[FR1211 insulated >= R78 where duct is Does Not >=3 inches in diameter and>= ❑Not Observable R-6 where <3 inches.Supply and ❑Not Applicable return ducts in other portions of the building insulated >= R-6 for diameter>=3 inches and R-4:2 for< 3 inches in diameter. ❑Com- — � _____ ........ ....... .... _ ...�. - �. . �__ ... .. m._. _ .. 403.3. boxes .-ir h... __ s _ ._ 403.3.2 Ducts, air handlers and filter plies Requirement will be met.. 1 are sealed with []Does Not joints/seams compliant with ❑Not Observable International Mechanical Code or ❑Not Applicable International Residential Code, as g ClCom lies Requirement _.. e. FR1513 -d�pCts obrlplenu a.. . .. Pe ..,...m� _ A. — �- twill be met, ' es are not used as p q ms. Does Not []Not Observable ❑Nt Applicable R_ ❑Com ❑Doe slihot ®Requirement will be met. ,403.4 HVAC piping conveying fluids R- [FR17]z above 105 °F or chilled fluids below 55 °F are insulated to zR- ❑Not Observable 3• []Not Applicable ElC❑Does Not Re�.... 403.4.1 Protection of insulation on H m VAC uirement will be met. �[FR2411 piping. ❑Not Observable ❑Not Applicable.,e.,._ �DoespNot Requrrement will be ❑ _ insulated 3.5.3 Hot water pipes are met. 40 _ _------ p p ated to R- R-, ❑Nt Observable ❑Not Applicable g p t(Tier 1] 2 Medium Im act (Tier 2) 3 Low Impact 1�Hl h Im ac � � (Tier 3) � Project Title: ripple water 3 Report date: 08/03/22 Data filename: Page 5 of 10 rw..� ................__—_ _...._ Plans Verifed Field Verified Framing Rough-in Inspection, Camplies. ..�. Comments/Assumptions Re 1D Value Value ...d . 403.; Automatic or gravity ame pars are -- O[anes Not Requirement be met. installed on all outdoor s intakes and exhausts. []Nat Observable QNot Applicable Additional Cents/AssuMpb oow. t ..�) � tm�act(Ts Low 1 'High Impact(Tier 1} 2 Medium impact(Tier er a3).._.... v Prosect Title; ripple water 3�r.�..�-__ . .._ Report date: 08/03/22 Data filename: Page 6 of10 # insulation inspection Plans Verified r f,. ed . Field erifie_d . ...� nComplies? m Comments/Assumptions m � _._.... s U.m......p...t....1.. 0r�..S & Req.lD _ 303,1 All installed insulation is labeled ❑ om lies Requirementwill .. ... be met. �UN:1;312or the-installed.R-values ❑Does Not provided. ❑N.ot Observable s ❑Not Appflcabte _ 402.1.1, Floor insulation R-value. R_ R ampoC ....._. .� ...lies see the Envelo pe eAssememblies 402.2.6 ❑. Wood ❑ Wood ❑Does Not table for values. [IN111 ❑ Steel ❑ Steel []Not Observable ❑Not Applicable 402.2.8 . _ ... e .. ...... ...._.. .._._ — -- . Floor insulation ❑Com lies Requirement will b. e. met. manufacturer's irstons and ❑Does Not [IN231 in substantial contact with the underside of the subfloor, or floor ❑Nat Observable framing cavity-insulation is in []Not Applicable contact with the top side_of sheathing,or continuous insulation is installed.on the lunderside 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 see the EnvelopeAssemblies 402.2.5, mass wall with at least 1/2.of the ❑ Wood ❑. Wood []Does Nasi, table for values. 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN311 exterior, the exterior insulation requirementapplies (FR10). Steel E] Steel ❑Not Applicable ......... _.. . .......................w... .... .. ..................... „ .... ... - .... 303.2 Wall insulation is installed per ❑Complies Requirement will be met. [IN431 manufacturer's instructions.. ❑D.oes Not ❑Not Observable .... _ _ ._w ._m.. ....._..... ....... ...., ....... ❑Nat Applicable Additional Comments/Assumptions: r 1 ��gh Impact(Tier 1� Medium....,,. 2 Impact(Tier 2).. .3�..,L�o,mw.. impact{Tie_r,3 ) __...._.. Project Title: ripple water 3 Report date: 08/03/22 Data filename: Page 7 of10 # ..-s...� Final inspection Pr.. isions _...-.m...wCo ..�lies°� ...� Comments/Assumptions.. 5ecti�n Plans Verified Field Verified �_��, alue .., .. �402.1g1 � Ceilinginsulation R-valueR-.... Value. R V.. �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 .. ...... _ _ ❑ p.lies _._ .... .m �. Comlies Requirement will be met. 303.2 manufacturer's instructions. ❑Does Not [FI211 Blown insulation marked every ❑Not Observable 300 ft2, ❑Not Applicable . �. 403 �nted attics with prmble DConplies Requirement will be m et. 122]2includebaffle adjacentDoes Not to soffit and eave vents that ❑Not Observable extends over insulation. ❑Not Applicable 402,2.4 Attic access hatch and door R- R- ❑Complies Requirement will be met. [F1311 insulation>_R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50= ACH 50...... ❑ _.... m = Complies Requirement will be met. [17117]1 ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 40271.3 determine aileakage with o � cfm/100 .......,...ft2 cfm/100 ❑Complies Requirement l pressure � � will be met. 1 ❑Does Not either: Rough-in test:Total ❑Not Observable leakage measured with a ❑Not Applicable pressure differential of 0.1 inch 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 �I w.g. across the entire system including the manufacturer's air 403 3.4 Duct tightness test res, t<=4 cfm. 0 ❑CompNot handler enclosure. cfmld100 ft2 across the slys em orff. � /100 �� cfm110 ,lies Requirement will be met. �[1`1411 ❑Does <=3 c€m/100 ft2 without air ❑Not Observable handier @ 25 Pa. For rough-in tests, verification may need to []Not Applicable occur during Fram'i'ng Inspection. 3. ,2.1_..b manufacturer at designated of w....IT ❑Complies Requirement will be mT 403.3.2.1 Air handler leakage desi Hated p' q � met. [F12411 y design air flow. ❑Not Observable ❑Not Applicable .......... 403.1.1 Programmable the l of primary . . thermostats ❑Complies Requirementent will be met. [F19] installed f ❑Does Not heating and cooling systems and ❑Not Observable initially set by manufacturer to code specifications. ❑Not Applicable .ea .r all DCom_lies Requirement be.... 403.1.2 Heat pump thermostat installed p q met. [F11012 on heat pumps. Does Not ❑Not Observable ❑NofA..pplicable ...... _. ... _ 403.5.1 Circulator service hot water Circulating ❑Complies Requirement will be met. '[FI11]2 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable I`INotApplicable _. �..� ....._. ..... . �, .act 2) (Tier 3) „ i High Impact(Tier 1) 2 NTedium Impact(Tier 21 3 Low Impact„ �. . ...... Project Title: ripple water,3 Report date: 08/03/22 Data filename: Page 8 of10 _................._ ... ---- Plans Verified Field Verified Final Inspection Provisions } Complies? Comments/Assumptions I& Req.ID,,"_ Value Value 403.6.1 All mechanical ventilations stem ❑Cam lies Requiremente.. M. y p will be met. [F12512 fans not part of tested and listed ❑Does Not HVAC equipment meet-efficacy and air flow limits per Table []Not Observable R403.6.1 ❑NotApplicable 0403.2 Hot water boilers supplying heat ❑Complies Requirement will be met [F126]2 through one-or two-pipe heating ❑Does Not 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 Requirement will be met. [F12812 have a circulation pump.The ❑Does Not 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 forhot water demand within the occupancy.Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. _..,. ...... .. _..... . 403.5.1.2 Electric heat trace systems ❑Complies Requirement will be met. [F129]2 comply with IEEE 515.1 or UL []Does Not 515. Controls automatically adjust the energy input to the [-]Not Observable heat tracing to maintain the ❑Not Applicable desired water temperature in the piping. (403shave .5.2 Demand recirculation atrols ❑Co atter - - - — mplies . Requirement will be m es Not manage operation of the pump and limit the temperature of the ❑Not Observable water entering the cold water ❑Nat Applicable piping to <= 104°F. ........_w... .. . .... _. _... .. 403.5.4 Drain water heat recovery units ❑Complies Requirement will be met. y[F131]2 tested in accordance with CSA ❑Does Not 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 individual units connected to three or more showers. 404.1 fixhave h 0tures -perm nlamps. ❑DoesNot .... .. ...Requirement ___ s will be met. ❑Not Observable VV ❑Not Applicable � .... 404.1.1 Fuel gaslighting systems have ❑Com lies Requirement be met. no contnuoupiloght. ❑Does Not i"o []Not Observable ❑Not Applicable ...... ...W.............. _ --- ...... 401.3 Compliance certificate posted. ❑Complies Requirement will be met. [F17]2 ❑Does Not ❑Not Observable j ❑Not Applicable 1 iHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: ripple water 3 Report date: 08/03/22 Data filename; Page 9 of10 Section Final Inspection^Provisions „lry PlansValue Verifiedmm Vie^ T Complies?n Comments/Assumptions Req.t 303.3 „ Manufacturer manuals for _ — :Dcom�Rie^s Requirement ......... . ._.__ ,,. ...._..w � � ement viii be met. jf1'1,813 mechan.ical.and water heating ElDoes Not systems have been provided. 7.Not Observabhe ONot Applicable, Additional Comments/Assumptionsa 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) PrajectTitle: ripple uuate..._._��., � ._.._ .._..___..�._....�... .._ .�.......__ _.__._..__..._ r 3. Report date: 08/03/22 Data filename; Page 10 4/10 X P'P$WIpI MI lot) 11110 fill, Ti i�)'c a Above-Grade Wait 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling/Roof 30.00 Ductwork)(unconditioned spates}; Window 0-30 0.30 Door 0.30 0.30 MEMEMMMEENINCMMEM Heating System: Cooling System: Water Heater. MENEVEM.. IMMEM IMMENIMEMEMEMEM Name: Date• . Comments S.C.T. I.# DISTRICT 1000 SECTION 76 BLOCK 1 LOT 15.5 a�—zr—zz3r DWELLING DWELLING W/PUBLIC WATER fin W/PUBLIC WATER DD 50" DWELLING ?r W/PUBLIC WATER 150' *y., v ✓-" ,.,. =;a' ,._ _... .-_.0 S48°50'27 E 166,78' ....,- ,.»�,.. 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