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HomeMy WebLinkAbout48950-Z xt TOWN OF SOUTHOLD BUILDING DEPARTMENT � 4d 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#: 48950 Date: 2/23/2023 mm Permission is hereby granted to: Parkside Heights Co c/o Kontokosta POBOX 67 .m. ... _._.......... ....... .� ...._.. _m Green ort, NY 11944 p . ....,.., _�.. �,,,,,_ To: Construct a new single family dwelling as applied for per SCHD approval. At premises located at: 2060 Shipyard Ln, East Marion SCTM # 473889 Sec/Block/Lot# 38.-7-9.4 Pursuant to application dated 1 pp 1/25/2022www and approved by the Building Inspector. To expire on 8/24/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $2,814.80 CO-NEW DWELLING $50.00 Total: $2,864.80 Building Inspector � TOWN OF SOUTHOLD —BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone 631 765-1802 Fax 631 765-9502 lit, :H` www. oulliol( townii)!. ,oN Date Received APPLICATION FOR IL I IT For Office Use Only 1] ,JD PERMIT N0. IJD Building Inspector. ...--._.— 2 r App'llcatipns aid fc<rms"mCist beflled out in their entirety. Incomplete applications willnot be accep#fid When the-Applicant is not the owner,an LSD G DE , owner's A ithorPz t on farm Pa a 2)'shall be completed. TG SOUTHOLD Date: f O 2, 2 2 OWNER(s)aIF r OP Rnr Name: 17 SCTM # 1000- �� — l� f0 Zp Project Address: ,0 Go Phone#: � � � � Ll - � 3 f Email: ' E.LC SLC `/ 0SjQ ..0 D CdrMILI Mailing Address: "...J Z(:)( 70 N l 'Prb—?— v A OF Y 12D i P I DDLE i f tA- ',67/ COI �' �ll Name: s: S J LLQ 2- I 06 ..x ` �I �� Mailing Z_ Addres , Phone#: �. Email: I�toq— BEN (T-e Pts k/. co" .' � �i :lll ��r I �A I lir 1M V lfIU„ Name: P ailing Address .� '� T,)AL - �,Z) Y 11-70-6 Phone : �'�� � Email: CONTRACTORINFORIVIATIQN: Name: r-6-3 JTi E �JOUIP (C N -T/UC Mailing Address: 7- 06 JOU O Phone#: Email: 1CM Il # ltl '"li � 11M1 l New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes NINO Will excess fill be removed from premises? L?Yes ❑No I 1 PROPERTY INFORMATION Existing use of property: ISI plQl..,'tIntended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ❑No IF YES, PROVIDE A COPY. Ch�ak�t�Ox�Aber I c fri l ie owrfej�cori#ractor/design professional is responsible for all drainage end stonih water issues as p"oWded by Chapter 236,df the Touyllt�e Ap71 PJ ICA170N IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant t9,the Building Zone i Ordinance of he town of 5outhofd,Suffolk,County;New York and other applicable Laws,ordinances or Regulations,for the ponsuu#ion of +u}Idings,, , /o 1 , additions,a9£grations orfor€emoval�sr d molltlon'as herein!'described.The applicant agrees to comply with all applicable iaiys,ordinances,building code, housing code'snd reguiapons ertid to admitaaNiQrfied inspecto►s on premises end in building(s�fpr necessary inspections.False statements made,hereln are punishable as a Cless{ misdemeanor pursuant[oectlon 210.45 of the New York State Penal Law. Application Submitted By(print name): {LDE-0 N A S L�S�},/1,�sC/ ❑Authorized Agent ❑Owner Signature of Applicant: �� , .Z k j-/tel Date: i,12 6/2 2 STATE OF NEW YORK) SS: COUNTY OF L `LI_/V A S LESP being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the 0�/v (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 Lb day of V , 20 22 nary Public PROPERTY OWNER AUTHORIZATIO (Where the applicant is not the owner) NOTARY FURK,SM OF WW YOU No.III QVWdW u5L�� I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 Town Hall Annex Telephone(631)765-1802 gym, 631 54375 Main Road � Fax( )765-9502 P. O. Box 1179 ! Southold, NY 11971-0959 yr �y BUILDING E A TME T NOTICE OF UTILVATION OFT IHSS T.Y. P.E. CO ST UC"I`ION PRE-ENGINEERER` WOOD CONSTRU,CTION AND/OR TIMBER CONSTRUCTION Date: Owner: QST :_C)_.AJ U 0 e Location of Property: ov _... Pleasetike notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure _.. _ Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): _ www Truss type construction (TT) Pre-engineered wood construction (PW) m� m Timber construction (TC) in the following location(s) (check applicable line): mmmmm Floor framing, including girders and beams (F) Roof framing (R) w ✓ Floor and roof framing (FR) C c Signature: .m � _. ._ . i�ainG G1.7V11 submitt4. L,a!C"' I- i Capacity(check applicable line): Owner Owner representative TrussReg15.docx Effective 1/1/2015 NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) ^^^^^^ 203931156 TAKACH&ASSOCIATES INC 112 TERRY ROAD SMITHTOWN NY 11787 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER K G QUALITY RENOVATION INC TOWN OF SOUTHOLD 206 SOUTH 4TH STREET 53095 ROUTE 25 LINDENHURST NY 11757 53095 ROUTE 25 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11440351-3 476846 12/19/2022 TO 12/19/2023 11/18/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1440 351-3, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/NVWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. KAZIMIERZ GOLEBIEWSKI (PRESIDENT) OF K G QUALITY RENOVATION INC A ONE PERSON CORPORATION THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND D I RECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:673527205 °WOw workers' CERTIFICATE OF INSURANCE COVERAGE , ar Contpensation Soard NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW .... ....... PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1a. Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured KG QUALITY RENOVATION INC 631-592-8819 206 SOUTH 4TH STREET LINDENHURST,NY 11757 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 203931156 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company TOWN OF SOUTHOLD 53095 ROUTE 25 3b.Policy Number of Entity Listed in Box"1a" PO BOX 1179 DBL649325 SOUTHOLD, NY 11971 3c.Policy effective period 10/12/2022 to 10/11/2023 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: © A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance c rrfer referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. (�id,.Date Signed 11/18/2022 By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. ........ PART 2.To be completed by the NYS Workers' Compensation Board (only if Box 46,4C or 513 have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-21) 1111111 iiui�diiim�iiiiuiiaiuiimoii1111 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/16/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT SOCiates InC PHONE ��_... .. �._.-. .- ...,._. PRODUCER ��. TakaCh 8:AS Takach&Associates,Inc. c , ,r)631.366 27"4 ,131^366-2"739 112 Ter Road CST t kachlnsurance co ...................m.m., INSUR RJS)..AFFORDING�.E.......... ., AAIC.#_ ......... ._,. w,. ............. ..�. Smithtown NY 11787 w m mmmmmmmmmmmmmmmm ( aSuRER A-1, Merchants Mutual Insurance Com�any 23329 INSUREDlB.ERS q KG QUALITY RENOVATION INC _INSURER ...............a,,,, n �...... ......—w..........._._... , � ................... ......—w 206 SOUTH 4TH STREET INSUR 0 LINDENHURST,NY 11757 Mq , . SHELTERPOINT ,, 81434mm INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INR LTR TYPE OF INSURANCE pCIl7LINRn.'5UBR MD POLICY NUMBER POLICY E �. .._ ..____... ... ,., FF POLICY EXP LIMITS X $ ,000 COMMERCIAL GENERAL LIABILITY EACFI OCCURRENCE 1 A00,,, -- .. A CLAIMS-MADE a OCCUR DAMAGEO�M1L (Entte) $500,000 X BOP 9100018 12/15/2022 12115/2023 MED EXP(Anone�an) „ mL15,000 PERSONAL&ADV„INJURY,_ �InClUded _ GREGATE .. $2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: GENERAL AG„ ._ 1 PRO- PRODUCT§--_, OME?OPAGCY....,_J_,21000,000 X.. POILIO"r' ee. JECT �� LOC fiJ'9 `R” $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOSG HIRED NON-OWNED $ ✓� AUTOS ONLY AUTOS ONLY (FeE,a� den1)AMA E ................ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE,,,,,,,,,,,,, .. ........ pggRTNT N $ WORKERS COMPENSATION PER OTH- Y IN AND EMPLOYERS'LIABILITY TA.TU,TF_ F� ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NIA E L EACH ACCIDENT 8.._... OFFICER/MEMBER EXCLUDED? (Mandatory ) E $ Mandato m NH EJ,DISEASE FA EMPLOY.... If yes,describe under DESCRIPTION OF OPERATIONS k I w E.L.DISEASE-POLICY LIMB E NYS DISABILITY 8r PFL D649325 10/12/2022 10/1212023 NYS LIMITS DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) JOB LOCATION:2060 SHIPYARD LANE,EAST MARION,NY 11939 Certificate holder is included as additional insured to the fullest extent permitted by law when required by a written executed contract subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 ROUTE 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 1179 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIV <MC> ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD . I ON/0' Generated by REScheck-Web Software Compliance Certificate Project NEW SINGLE FAMILY RESIDENCE Energy Code: 2018 IECC HI Location: Suffolk County, New York I j s" Construction Type: Single-family Project Type: New Construction , sic Conditioned Floor Area: 1,940 ft2 °> Glazing Area 12% ILL f nm^ 40 Climate Zone: 4 (5999 HDD) Permit Date: Permit Number: AMY Construction Site: Owner/Agent: Designer/Contractor: 2060 Shipyard Lane Emmanuel T.Addy R.A. East Marion, NY 11939 TDG Architects 1257 Udall Road Bay Shore, NY 11706 6318887318 tehnaddy@aol.com ON Compliance: 1.7%Better Than Code Maximum UA: 348 Your UA: 342 Maximum SHGC: 0.40 Your SHGC: 0.37 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. Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on-grade assembly in the specified climate zone must meet the minimum energy code insulation -value and depth requirements. Envelope ASsemblies Prop. 77 Gross Area Prop. Perimeter Ceiling: Flat Ceiling or Scissor Truss 1,764 38.0 0.0 0.030 0.026 53 46 Ceiling 1: Cathedral Ceiling 684 30.0 0.0 0.034 0.026 23 18 Wall: Wood Frame, 16" D.C. 858 13.0 5.0 0.057 0.060 40 42 Door: Solid Door(under 50%glazing) 40 0.280 0.320 11 13 Window: Wood Frame 116 0.300 0.320 35 37 SHGC: 0.40 Wall 1: Wood Frame, 16" D.C. 724 13.0 5.0 0.057 0.060 37 39 Door 1: Solid Door(under 50%glazing) 20 0.280 0.320 6 6 Window 1: Wood Frame 54 0.300 0.320 16 17 SHGC: 0.40 Wall 2: Wood Frame, 16" D.C. 724 13.0 5.0 0.057 0.060 41 43 Window 2: Wood Frame 10 0.300 0.320 3 3 SHGC: 0.40 Wall 3: Wood Frame, 16" o.c. 664 13.0 5.0 0.057 0.060 28 30 Door 2: Glass Door(over 50%glazing) 120 0.280 0.320 34 38 SHGC: 0.32 Project Title: NEW SINGLE FAMILY RESIDENCE Report date: 09/09/22 Data filename: Page 1 of10 Gross Area Cavity Cont. Prop. Req. Prop. Req. Perimeter Window 3: Wood Frame 50 0.300 0.320 15 16 SHGC: 0.40 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 2018 IECC requirements in REScheck Version : REScheck-Web and to comply with the mandatory uirements listed in the�REScheck Inspection Checklist, Name-Title SignatureVDate Project Title: NEW SINGLE FAMILY RESIDENCE Report date: 09/09/22 Data filename: Page 2 of10 REScheck Software Version : REScheck-Web Inspection Checklist Energy Code: 2018 IECC Requirements: 36.0% 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. 7Sectio�n Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions Rec. ._. ,. ._ .................. . .. .__ .o m 103.1, Construction drawings and ❑Complies Requirement will be met. 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the Location on plans/spec: building envelope.Thermal ❑Not Observable ''See page 1 and sections envelope represented on ❑Not Applicable construction documents. .......� 103.1, ..� �� ................ .. nstruction drawings and ❑ omplies 1103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]1 'lighting and mechanical systems. ❑Not Observable Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1,, Heating and cooling equipment is Heating " " Heating: ❑C�omplies 403. sized per ACCA Manual S Btu/hr Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: ❑Not Observable Manual J or other methods Btu/hr Btu/hr approved by the code official. ❑Not Applicable Additional Comments/Assumptions: ...........u_M.._ Tier 2) 3 11-ow Impact(Tier 3) � .�...� h Im act(Tier 1) i 2 IM m Im act(� r Project Title: NEW SINGLE FAMILY RESIDENCE Report date: 09/09/22 Data filename: Page 3 of10 t Foundation Inspection co nwfa P Section I* y on~rac ents/As^sum tions 303.2J A protective coveringis installed to Com lie ;,Exception: � _.. . .__. ' pNies 'Exce tion: Requirement is notapplicable. [FO1112 protect exposed exterior insulation ❑Does Not and extends a minimum of 6 In. below ❑Not Observable grade. ❑Not Applicable .w....,,: ... _. ... _ w. _ee..... —- ----� ........ .. ..... 403,9 Snow-and ice-melting system controls ❑Complies iFOI 212 'installed, ;❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: �p..,,,.,.. . ,.,...,..,, p �l .. Low Impact(Tier 3) Hi h Im act(Tier 1) Z Medium Im act(Tier 2) 3 _ m 1 . .. Project Title: NEW SINGLE FAMILY RESIDENCE Report date: 09/09/22 Data filename: Page 4 of10 �Framing / Rough-In h ...s ecption Plans..... lan..... Verified Section Value Value s Verified Field V Comp Comments/Assumptions 402.1.1, Door U - U ❑Complies See the Envelope Assemblies 402.3.4 ❑Does Not table for values. [FR1]1 ❑Not Observable ❑Not Applicable 402.3.1, Glazing average).U factor(area-weighted U ��' U ��� ❑Does Not iS Env .. .._es � _ g p' e the Envelope Assemblies :table for values. 402.3.3, ❑ 402.5 Not Observable [FR2]1 ❑Not Applicable [ a 3.1.3 U-factors of dproducts .., n[]Complies- -Requirement will be met. e determined es Not with the NFRC test procedure or Location on plans/spec: as 44� ❑Not Observable ; aken from the default table. ❑ per NFRC Not Applicable _ 402.4.1.1 'Air barrier and thermal barrier OComplies Requirement _. will be met. [FR23]1 installed per manufacturer's ❑Does Not instructions. Location on plans/specs ❑Not Observable 'see details ❑Not Applicable 402.4.3 Fenestration ___, mw.aona,., „ � .. .. . on that is not site built mplies Requirement will be met. [FR20]1 is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 ❑Not Observable or has infiltration rates per NFRC 400 that do not exceed code ❑Not Applicable limits. 402.4.5 _ housing/interior lighting fin u oes eS ElComplies Requirement will be bmet. sealed at and labeled to indicate .52.0 cfm ❑Not Observable Locationon plans/spec: leakage at 75 Pa. 'see details ❑Not Applicable , 403.3. 'Supply p 1 insulated d recur where duct ii s ,... �.,�..... ❑❑Does Not ......... _ w....... >= 3 inches in diameter and >_ R-6 where < 3 inches. Supply and [:]Not Observable return ducts in other portions of ❑Not Applicable the building insulated >= R-6 for (diameter>= 3 inches and R-4.2 for< 3 inches in diameter. 403.3.2 Ducts, air handlers and filter _ �Co ,. ... .. ... ... mplies [FR13]1 'boxes are sealed with ❑Does Not joints/seams compliant with ❑Not Observable International Mechanical Code or International Residential Code, as f❑Not Applicable applicable. .... 403.3.5 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. '❑Does Not ❑Not Observable ❑Not Applicable 403.4 HVAC piping conveying fluids R R ❑Complies [FR17]2 above 105 °F or chilled fluids ❑Does Not below 55 °F are insulated to >_R- 3 ❑Not Observable ❑Not Applicable 403.4.1 Protection of insulation on HVAC ..�.�.�ww-.,�._._ ,�„„ _.......,,. ..,_,.,_ �. __ ._..._.._.... .......�....... ..._.__.-.. ❑Complies [FR24]1 piping. ❑Does Not (,]Not OhservahlP ' E]Not Applicable 403.5.3„ Hot water pipes are insulated to _ R- „R �- � - ❑Complie.�. ..�.............� — .. s [FR18]2 >_R-3. ❑Does Not ❑Not Observable ❑Not Applicable 1 „ _ ._. .............._ ��. mHigh ImpactTier 1) 2 Medium act(Tier 3) Project Title: NEW SINGLE FAMILY RESIDENCE Report date: 09/09/22 Data filename: Page 5 of10 Section pians Verified Field Verified sons e iN Framing/Rough-In ins ectloni value alaeo pies ��wra�den�s/A�sura� . 403.6 Automatic or gravity dampers are OCaae lies Requirement will be r net.. (FRt 12 installed on all outdoor air Oboes Not intakes and exhausts. ®Not Observable Location on plans/spec: as CJNot Applicable per hvac sub gc Additional Comments/Assumptions: ��. 1-lagfla frraITp � 4...act(Tier t� 1.Nedaun Impact (Tier Lavnro . aetlae.r.'.. D Project Title: NEW IN LE FAMILY RESIDENCE Report date: 09/09/22 Data filename: Page 6 oft ............ Section F �fWied field Verified Co Insulation Inspection Plans Ver! .7 mplies? Corn ments/Assumptions Value Value 303,1 All installed insulation is labeled OComplies Requirement will be met. [IN13]2 or the installed R-values ODoes Not provided. E]Not Observable Applicable 4012 1402.,2..5, Wall insulation R-value. If this is a R-- R-- RComplies See the Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the Wood F� Wood :E]Does Not table for values. 402..2.6 wall insulation on the wall Mass E] Mass E]Not Observable (IN31,1 exterior,the exterior insulation steelE] Steel E]Not Applicable requirement applies(FR10). .......... .... ... ........................ 303.2 Wall insulation is installed per ElComplies :Requirement will be met. [IN4]1 manufacturer's instructions. E]Does Not Location on plans/spec: as E]Not Observable per manufacturer 'E]Not Applicable Additional Comments/Assumptions: 'i� ..."­-TJL:ow lr�pact� — "I'Medium impact(Tier 2) [IiHigh $mpact(Tier 1) Project Title: NEW SINGLE FAMILY RESIDENCE Report date: 09/09/22 Data filename: Page 7 of10 Section; Inspection ion PrPlans Verified Field Verified f � — —. Complies' # Final Ins ect Value � Value & ID...—. ._--..� . _ m... ... .. Comments/Assumptions._ . 402.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, ❑ Steel ❑ Steel ❑Not Observable 402.2.6 ❑Not Applicable [Fill' _ .1.1, Ceiling insulation ❑Complies _Requirement will l be met. 303.2ft ❑Does Not [F121' 'Blown insulation marked every ❑Not Observable Location on plans/spec: as 300 ft2. per manufacturer ❑Not Applicable [0222.3 entedionattics with baair ffpe adjacent „ICom lies — Re uirement will be et, p q met. ude Does Not to soffit and eave vents that Location on plans/spec; extends over insulation. ❑Not Observable 'see sections and details ❑Not Applicable _ 402. mica cc ss hatch and value of door R � �ry-- � R ❑DompNot "Requirement et� mm ment will be met. he es adjacent assembly. Location on plans/spec; ❑Not Observable 'see details j❑Not Applicable 402,4 Blower in Climate Zones 1 a. <a — �-...0- _... E]Co�lies Requirement b .et. 402.4.1 2 :Blower door test 50 Pa. <-5 ACH 50 ACH 50 — ❑jCo p equirement will be met. ' es Not <=3 ach in Climate Zones 3-8. Location on plans/spec: to ❑Not Observable be performed by certified ❑Not Applicable :tester 403.3.3 mmmm Ducts are pressure tested to cfm/100 cfm/100 ❑Complies [F127]' determine air leakage with ft2 ft2 ❑Does Not either: Rough-in test:Total leakage measured with a ❑Not Observable pressure differential of 0.1 inch ❑Not Applicable w.g. across the system including ; the manufacturer's air handler enclosure if installed at time of test. Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch w.g. across the entire system including the manufacturer's air handler enclosure. 4 03.3.4 Duct tightness ft2 across the sly _.,. ft2 ft2� ft� cfm/100 ElDomplies ��� � ..... w�.,,.. of<-4 stem or <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ❑Not Observable tests,verification may need to ❑Not Applicable occur during Framing Inspection. j ...... ro,,,., ..._..._ a _.... . _ 403.3.2.1 Air handler leakage designated CComplies [F124]' by manufacturer at <=2%of ❑Does Not design air flow. ,F-]Not Observable ' 403.1..1 ........ ..� i❑Not Applicable Programmable thermostats ❑Complies [F19]2 installed for control of primary ❑Does Not heating and cooling systems and initially set by manufacturer to ❑Not Observable code specifications. ❑Not Applicable � ,�... m........... 403.1.2 Heat pum _._... � .. _ _..... .............eee_... p thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not ❑Not Applicable 2 averautomat c o er._._... . ..�m. : .�....�. wme� oo, .,., ... .._. ........,. ..❑❑Dompes Not ._.,-,......�........_..... ..........._u.-. _...- ......,.�.... 403.5.1 Circulating [FI11] systems h accessible manual controls. t.❑Not Observable ]Not Applicable .1..._. �..� p 2) ..... 3 Low Impact(Tier 3) 1 Hi h Impact(Tier 1) 2 Medium Impact(Tier Project Title: NEW SINGLE FAMILY RESIDENCE Report date: 09/09/22 Data filename: Page 8 of 10 #]on .,�_.. 'T F,s ett Final Inspection Provision Complies?Plans Verified Field Verified Value Value ReI q J ..... ... ___� . w ... .,w �,wp_.. .. . _ s Comments �..sumptions ..... 403.6.1 All mechanical ventilation system ❑Complies [F125]2 fans not part of tested and listed []Does Not HVAC equipment meet efficacy and air flow limits per Table ❑Not Observable R403.6.1. ❑Not Applicable 1403.2 ..Hot Ovate.-m r boilers supplying heat ❑Complies [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 p temerature. _. _. �o _ m. e.... ..... ...._.. .........._ 403.5.1.1 Heated water circulation systems ❑Complies F128]2 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- syphon 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 automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. 515.1 or UL ... _. .. o.�. .,.............�_. ❑❑Does Not.... ......e...... .._ [Oz95]z1.2 comply with IEE Electric heat systems trace P 515. Controls automatically ❑Not Observable adjust the energy input to the heat tracing to maintain the ❑Not Applicable desired water temperature in the Piping 403.5.2 ,.. Demand recirculation . d recieci culation water ;❑Complies [F]30]2 systems have controls that ❑Does Not manage operation of the pump and limit the temperature of the ,❑Not Observable water entering the cold water i❑Not Applicable piping to <= 104°F. 403.5.4 _,.._.,.....Drain w...�.. ater heat recovery units ❑Complies [FI31]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... 90% or.�.. more of permanent ❑Complies [F16]1 ;fixtures have high efficacy lamps. []Does Not ❑Not Observable ❑Not Applicable 404.1.1 Fuel gas lighting systems have ,❑Complies [F123]3 no continuous pilot light. ❑Does Not ❑Not Observable ❑Not Applicable �Com lies _.. ,Requirement will 401.3 Compliance certificate posted. p q I be met. [F[7]2 Does Not ❑Not Observable ; ❑Not Applicable ... _- „n� �.. L.-..._ pµ (Tier 2) 3 Low Impact(Tier 3) High Impact (Tier 1) �2 Medium Im act(T .... r �.�..... � __.. Project Title: NEW SINGLE FAMILY RESIDENCE Report date: 09/09/22 Data filename: Page 9 of 10 —._ ...:1~~iraeal Inspection �aviaiconu��_�...� .,� _._,.. ' .�w.�,.. ectia�o IVa efied field �Verified Complies?.�. .. Comments/Assumptions [A- 1 , 303.3 Manufacturer manuals for ElComplies )fl i3 mechanical and water heating ®'I nes Not systems have been provided. FIlVut Observable E'Not Applicable Additional Comrnents/Assumptionsl. 1N1gh lmipac. --..... t(Tier 1) 2 Medium lmpact 4Tler 2) 3 �Lcrw Impact(Tier 3) Project Title: NEW SINGLE FAMILY RESIDENCE ENC Report date: 09/09122 Data filename; Page 10 of1O C2018 IECC EnergyEfficiency NJ/ Above-Grade Wall 18.00 Below-Grade Wall 0.00 Floor 0.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Window 0.30 0.40 Door 0.28 0.32 Heating System: Cooling System: Water Heater: Name: Date: Comments N 55°16'00" E293.40' ELEV T 18.1 1 SUFFO I GAS SERVICE WATER SERV[C 1 DRAIN SOIL w BORING _ a PROPOSED 1 & 2 STORY z w 1 1 FAMILY DWELLING 5 BEDROOMS CD 1st FL 1,770 SF 2nd FL 2,150 SF r VENTDWELLING F.F. 19.2 o THROUGH HYDRO ACTION b PUBLIC WATER TOTAL AREA: 3,920 SF ; HOOSE C G AN600 WITH BASEMENT � TREATMENT UNIT GARAGE IIA 600 SF ELETRICALI y- G.F. 18.3 PANE` DRAIN 10' (5) 8'0 x 4' MIN. EFF. DEPTH LEACHING 1 V POOLS 5' 0 a MIN. o 1= P. DRIVEWAY O•H COMMERCIAL ELEV ELECPUBLIC WATER _ ELFC. i S 55°16'00" W VACANT i o 293.40' kS 1 D - Gn PT) 1 1 4 NN SILTY SCTM#. ,- = _ -� ,3 2060 SHIPYA TY SAND OF 0� N _� N'T � :L (SM) AD AND °r INt ` ` DANIEL R . FALI AT E ELEV. 5.8 1 r a o CONSULTING PR f N SAND` [ 94 STEUBEN BLVD., I'