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HomeMy WebLinkAbout49041-Z TOWN OF SOUTHOLD V " BUILDING DEPARTMENT TOWN CLERK'S OFFICE "off " SOUTHOLD, NY E, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS ANIS SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 49041 Date: 3/20/2023 Permission is hereby granted to: Beta II LLC 230 E 85th St New York, NY 10028 To: Construct new single family dwelling on vacant land as applied for, with SCHD approval. At premises located at: 610 Wildberry Ln, Southold SCTM # 473889 Sec/Block/Lot# 51.-3-12.10 Pursuant to application dated 2/21/2023 and approved by the Building Inspector. To expire on 9/18/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $2,934.00 CO-NEW DWELLING $50.00 Total: $2,984.00 Building Inspector dr 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�t) ,//www otitlioldtowl,lll,t.ga Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only E PERMIT NO. / Building Inspector. t 9 � Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:249/2023 OWNER(S)OF PROPERTY: Name Twin Barns LLC "Jessica & Hal Coopersmith" SCTM# 1000-51-03-12.10 Project Address:Lot 4 "Wildberry Fields" Southold NY Phone#:917-312-0240 Email:TwinsBarnsLl@gmail.com Mailing Address:300 East 56 Street Apt. 16 New York, NY 10022 CONTACT PERSON: Name:Jennifer Ross Mailing Address:595 North Street Manorville NY 11949 Phone#:631-484-9291 Email:jennross@rossbrosconstruction.com DESIGN PROFESSIONAL INFORMATION: Name:Andrew Pollock Architect, PC Mailing Address:56 South Oxford Street Brooklyn NY 11217 Phone#:212-620-0044 Email:andrew@cityarchitect.com CONTRACTOR INFORMATION: Name:Greg Ross "Ross Brothers Construction" Mailing Address:595 North Street Manorville NY 11949 Phone#:516-322-7619 Email:gregross@rossbrosconstruction.com DESCRIPTION OF PROPOSED CONSTRUCTION igNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Million Will the lot be re-graded? ❑Yes R'No Will excess fill be removed from premises? Ryes ONO 1 / / Existing use of property:None Intended use of property:Residence 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. Mae, r r r rr .. //�.�/„r/��i����.��.,.>✓�/r,,, /�. ri//.//i a 1 � Jil.. rr lir. ����, 1 ✓GJ////%//�/,/���//r'�/t(/,/, �,w�,'/ r� � fiMe, r � r�/ii/i///i/ ,�.I r� / i(�I �r ) � r/ 1".. ,,t». °� � ;.,�� �, "�' ✓ r r �° rrJ l,J r//A l "rrm /,,. 11 d Viii i // n ,� z„ ,,� , I7f�r t, 1 �. � � �I;�l �Y'n” �/� �� r'1F�""al 'IA' �IM'�� ✓„/ / ,�ii //iii�r�,r %/D/ %/ r% ri/i// �/i� //��//ii/ Jennifer Ross Application Submitted By(print name): ®Authorized Agent ❑Owner Signature of Applicant: L044 Date: I STATE OF NEW YORK) COUNTY OF • °1� -1 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Aq exl— (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. �o n before me this l ,� day of 1 20 9 3 �—a& 11 r sV�c�ftry iwTAGLIALAVORE ftbW,State d New York Qualftd In Nassau cou* No. 1 TA 2'9 450 Myrtmm��airr�w "I1lI�M�' PROPERTY (Where the applicant is not the owner) Ul I� �� CSS`` residing at do hereby authorize0� Oji�' p'� l�C'�� .[, to apply on my behalf to he Town of Southold Building Department for approval as described herein. Owner's Signature Date B ,{ LL LL21 77 Print Owner's Name 2 DATE(MMIDD'2/20 � CERTIFICATE OF LIABILITY INSURANCE 1ztlz�zo�tz 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(ies)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). PRODUCER CONTACT HAW: SPECIALIZED INSURANCE&SERVICES PHONE i 3'175M78f1 44 112 E rw c r _.......mm.._ ... ... . 2RTE. .......... PO4 RTE. 12 NY 11772 SRU SPECIALIZEDINSURANCE.COM ADL�R��k's: Auto-Home-Business-Cycle-etc. INSURERS AFFORDING COVERAGE NAIC N _.... INsuRERA; MARKEL INS.CO. 1301 INSURED INSURER B: ROSS BROTHERS CONSTRUCTION INC " INSURERC: 595 NORTH STREET INSURER D MANORVILLE, NY 11949 �..._.�_ .... -........ INSURER F: 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. ILTR TYPE OF INSURANCE ADDL SUER POLCCY EFF POLICY EXP LTR POLICY NUMBER ! YI IMMIDDfyyyyl LIMITS RAL A COMCLAIMS-MADEE �IOCCUR Y Y MKLv1PBC002323 2/11/2022 2/11/2023 Il?IPPCFrk,rn^ -aEACH OCCURRENCE -----1 300,000 MED EXP An one erson $ 5,000 PERSONAL&ADV INJURY $ 1.000 000 G5N'LAM,AEGATELIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PI20•JE.+CT E LOC2.0(af� PRODUCTS-COMPlOP AGG $ OTHER; $ AUTOMOBILE LIABILITY COMBINED SW LE LlMI T $ ANYAUTO BODILY INJURY(Per person) $ _ OWNED SCHEDULED BODILY INJURY(Per acoklent $ HIRED NON-OWNED _F�R6AUTOS ONLY AUTOS _ ) AUTOS ONLY AUTOS NLYFrOKeRInkAMACrE ..u. UMBRELLA LIAR OCCUREACH OCCURRENCE $ EXCESS LFAB "__.......... CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? F N I A E.L._EACH ACCID E.L. NT $ DISEASE-EA (Mandatory In NH) EMPLOYE $ If yes,descdhe under DESCRI'P'TION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mores ace Is required) P 9 ) BELOW ARE LISTED AS AN ADDITIONAL INSURED FOR THE GENERAL LIABILITY ON A PRIMARY AND NON-CONTRIBUTORY BASIS WAIVER OF SUBROGATION APPLIES IN FAVOR OF THE ADDITIONAL INSUREDS. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SOUTHOLD, NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NYS I F New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE L Q NA^A A A 833678843 ROSS BROTHERS CONSTRUCTION INC 595 NORTH STREET MANORVILLE NY 11949 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ROSS BROTHERS CONSTRUCTION INC TOWN OF SOUTHOLD 595 NORTH STREET PO BOX 1179 MANORVILLE NY 11949 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12268337-9 604706 04/01/2022 TO 04/01/2023 12/12/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2268337-9, 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://WWW.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. PRESIDENT JOHN ROSS VP GREG ROSS ROSS BROTHERS CONSTRUCTION INC TWO PERSON CORP 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 SU NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:547465261 Compensation Workers' RKC sT4Tr CERTIFICATE OF INSURANCE COVERAGE Board. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name"&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured ROSS BROTHERS CONSTRUCTION INC 595 NORTH STREET 6317724204 MANORVILLE, , NY 11949 Work Location of Insured(Only required ifcoverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i.e., Wrap-Up Policy) or Social Security Number 83-3678843 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southold Standard Security Life Insurance Company of New York PO Box 1179 3b.Policy Number of Entity Listed in Box 1 a" Southold, NY 11971 R09561-000 3c. Policy effective period 2/20/2019 to 2/20/2024 4. Policy provides the following benefits: 0 A, Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑ C.Paid family leave benefits only. 5. Policy covers: ❑X 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 carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as des c dabove. Date Signed 2/21/2023 By (Signature of insurance carrier's authporiz d repreaentaiivp.or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 212 355-4141 Name and Title SUPERVISOR-DBUPOLICY SERVICES 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 413, 4C or 513 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 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 4C or 5B of Part 1 has 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 with respect to all of his/her 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 (10-17) 1111111111111111111111111111111111111111111111111111111111 DB-120.1 (10-17) Generated by EScheck b Software Compliance Certificate Project Lot 4 - Wildberry Fields Energy Code: 2018 IECC Location: Southold, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 4,466 ft2 Glazing Area 21% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Lot 4 Wildberry Fields Andrew Pollock Tom Baccarella Southold, NY 11217 Andrew Pollock Architect NY Building Technology Group 56 South Oxford Street 159 NY 25A Brooklyn, NY 11217 West Building,Suite B (212) 620-0044 Miller Place, NY 11764 andrew@cityarchitect.com 631-495-0289 Info@NYBTG.com Compliance: 5.6%Better Than Code Maximum UA: 675 Your UA: 637 Maximum SHGC: 0.40 Your SHGC: 0.32 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..oin grade umandeof6s are no lanmmg(N. coinslideirEad In the UA or perforimannce COIITnpl"ia nce Ip all:lh In Rl !-,icl ecllc. Each sllaalra mnirmu..gi[ add yam seirmnlbly Gin the sIGma"nm::iil ed m:lllinna to zoine in nuwust irrnect the irraliNr nui ma s energy code h'v;alatioi n Irk-vallu e and afelpi lh ireq ulireira'ueints, Envelope assemblies Ceiling-2nd Fir flat ceiling: Flat Ceiling or Scissor 1,511 38.0 0.0 0.030 0.026 44 38 Truss Skylight at vaulted clg: Wood Frame 34 0.320 0.550 11 18 SHGC: 0.32 Ceiling-Vaulted ceilings: Cathedral Ceiling 1,060 38.0 0.0 0.027 0.026 29 28 Wall -To amb-2" HD Foam w/R13 Batt: Wood 4,150 27.0 0.0 0.051 0.060 165 194 Frame, 16"o.c. Door- Entry door: Solid Door(under 50%glazing) 21 0.320 0.320 7 7 Door-Sldg entry doors: Glass Door(over 50% glazing) 1 0.320 0.320 0 0 SHGC: 0.32 Windows-Casement: Wood Frame 890 0.320 0.320 285 285 SHGC: 0.32 Wall -To Garage-2" HD foam w/R13 Batt: Wood 298 27,0 0.0 0.051 0.060 14 17 Frame, 16" D.C. Door-To gar: Solid Door(under 50%glazing) 21 0.320 0.320 7 7 Project Title: Lot 4 -Wildberry Fields Report date: 01/20/23 Data filename: Page 1 of10 Basement Wall: Solid Concrete or Masonry Wall height: 9.0' 920 13.0 0.0 0.051 0.059 42 48 Depth below grade: 9.0' Insulation depth: 9.0' Door-To Ext. walkout: Solid Door(under 50% 21 0.320 0.320 7 7 glazing) Door-To uncon: Solid Door(under 50%glazing) 21 0.320 0.320 7 7 Window-Egress (x3),W17:Wood Frame 40 0.320 0.320 13 13 SHGC: 0.32 Window-Egress (xl),W18:Wood Frame 19 0.320 0.320 6 6 SHGC: 0.32 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 requirements listed in the REScheck Inspection Checklist. Tom Baccarella � �--- �,.- ��� 01/23/2023 Name-Title Ie Date Project Title: Lot 4 - Wildberry Fields Report date: 01/20/23 Data filename: Page 2 of 10 REScheck Software Version : REScheck-Web Inspection Checklist Energy Code: 2018 IECC Requirements: 97.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.1, 'Construction drawings and ❑Complies Requirement will be met. 103.2 documentation demonstrate ❑Does Not [P R111 energy code compliance for the ;, building envelope.Thermal ❑Not Observable 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 ` r, Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating CJComplies 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 Coolin Cooling: Manual J or other methods g' g° ❑Not Observable 00 Btu/hr Btu/hr ❑Not Applicable approved by the code official PP Additional Comments/Assumptions: 1 ,High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Lot 4 - Wildberry Fields Report date: 01/20/23 Data filename: Page 3 of 10 Section Plans Verifi711111---. Field Verified # Foundation Inspection Value Value Complies? Comments/Assumptions & Re .ID 402.1.1 insulation ed bsed verification R- ..� _ ❑Complies ;See the ...a.� __,� ... Envelope Assemblies is [FO4]1 insulation R-value Where interior ❑Does Not table for values. may need to occur during ❑Not Observable Insulation Inspection. Not ❑Not Applicable required in warm-humid locations in Climate Zone 3. 303.2 'Conditioned basement wall ❑Complies Requirement will be met. [FO5]1 insulation installed per ❑Does Not manufacturer's instructions. ❑Not Observable ❑Not Applicable 402.2.9 :Conditioned basement wall ft ft ❑Complies See the Envelope Assemblies [F06]1 insulation depth of burial or ❑Does Not table for values. distance from top of wall. ❑Not Observable ❑Not Applicable 303.2.1 'A protective covering is installed ❑Complies Exception: Requirement is [FO11]2 to protect exposed exterior ❑Does Not not applicable. kty ;insulation and extends a minimum of 6 in. below grade. ❑Not Observable ❑Not Applicable 403.9 Snow-and ice-melting system ❑Complies Exception: Requirement is [FO12]2 controls installed. ❑Does Not not applicable. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Lot 4 - Wildberry Fields Report date: 01/20/23 Data filename: Page 4 of 10 Section Plans Verified Field Verified # '.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 l� ❑Not Applicable 402.1.1, `.Glazing U-factor(area-weighted U- U- '❑Complies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values. 402.3.3, ❑ 4025 Not Observable , [FR2]1 ❑Not Applicable 303.1.3 U-factors of fenestration products' ❑Complies Requirement will be met. [FR4]1 :are determined in accordance []Does Not with the NFRC test procedure or ;taken from the default table. ❑Not Observable _ ❑Not Applicable 402.1.1, "Skylight U-factor. U- U _ ❑Complies See the Envelope Assemblies 402.3.3, ❑Does Not table for values. 402.3.6, 402.5 []Not Observable [FR5]1 ❑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. *1 ❑Not Observable ❑Not Applicable 402.4.3 Fenestration that is not site built _ ❑Complies Requirement will be met. [FR20]1 is listed and labeled as meeting '❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440" or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code fi❑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 :52.0 cfm leakage at 75 Pa. ❑Not Observable ❑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 >= R-6 Observable R-6 where < 3 inches. Supply and, ❑Not Applicable return ducts in other portions of pP icable 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 ❑Complies Requirement will be met. [FR13]1 boxes are sealed with `❑Does Not joints/seams compliant with International Mechanical Code or ❑Not Observable :International Residential Code, as' ❑Not Applicable applicable. 403.3.5 Building cavities are not used as ❑Complies :Requirement will be met, [FR15]3 ducts or plenums. ❑Does Not ❑Not Observable ❑Not Applicable 11 High Impact (Tier 1) 2 IMedium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Lot 4 -Wildberry Fields Report date: 01/20/23 Data filename: Page 5 of 10 Section Plans Verified Field Verified # Framing/ Rough-in Inspection Value Value Complies? Comments/Assumptions & Re .ID 403.3.7 Ducts declared to be within the ❑Complies Requirement will be met. [FR28]3 conditioned space are either 1) ❑Does Not ) completely within the continuous 'air barrier and within the building ❑Not Observable thermal envelope, 2) buried ❑Not Applicable within ceiling insulation in accordance with Section R403.3.6 and the air handler is located completely within the continuous air barrier and within 'the building thermal envelope and the duct leakage is <= 1.5 cfm/ 100 square feet of conditioned floor area served by ;the duct system, or 3)the ceiling insulation R-value installed against and above the insulated ' duct>=to the proposed ceiling insulation R-value, less the R- value of the insulation on the 403.4 HVAC piping conveying fluids R- R- ❑Complies Requirement will be met. [FR17]2 above 105 °F or chilled fluids '❑Does Not below 55 °F are insulated to >_R- 3 ❑Not Observable []Not Applicable j 403.4.1 Protection of insulation on HVAC ❑Complies Requirement will be met. [FR24]1 piping. ❑Does Not [-]Not Observable ❑Not Applicable 403.5.3 Hot water pipes are insulated to R- R- ❑Complies ;Requirement will be met. [FR18]2 >_R-3. ❑Does Not ❑Not Observable ❑,Not Applicable 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 ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3�Low Impact(Tier 3) Project Title: Lot 4 - Wildberry Fields Report date: 01/20/23 Data filename: Page 6 of10 Section Plans Verified Field Verified # Insulation Inspection Value Value Complies? Comments/Assumptions & Re .ID 303.1 ;All installed insulation is labeled JElcomplies Requirement will be met, [IN13]2 ;or the installed R-values ❑Does Not provided. ate° ❑Not Observable _ ❑Not Applicable 402.1.1, Wall insulation R-value. If this is a• R- -R- ❑Complies See the Envelope Assemblies 402.2.5, `mass wall with at least 1/2 of the ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.6 wall insulation on the wall [IN3]1 exterior,the exterior insulation El Mass Mass ❑Not Observable requirement applies (FR10). E] Steel E] Steel ❑Not Applicable 303.2 Wall insulation is installed per ❑Complies Requirement will be met. [IN4]1 manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 'Low Impact(Tier 3) Project Title: Lot 4- Wildberry Fields Report date: 01/20/23 Data filename: Page 7 of 10 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Re .ID 402.1.1, :Ceiling insulation tion R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, ❑ Steel ❑ Steel 402.2.6 ❑Not Observable [FI1]1 ❑Not Applicable 303.1.1.1, ;Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ❑Does Not [F12]1 j Blown insulation marked every 300 ft2. ❑Not Observable ❑Not Applicable 402.2.3 Vented attics with air permeable '❑Complies Exception: Requirement is [F122]2 insulation include baffle adjacent ❑Does Not not applicable. to soffit and eave vents that extends over insulation. r❑Not Observable ❑Not Applicable 402.2.4 ;Attic access hatch and door R- R- ❑Complies Requirement will be met. [F13]1 insulation >_R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ❑Complies :Requirement will be met. [FI17]1 ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 '❑Complies Requirement will be met. [F127]1 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. 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies Requirement will be met. [F]4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air ❑Not Observable handler @ 25 Pa. For rough-in tests, verification may need to ❑Not Applicable ,occur during Framing Inspection. 403.3.2.1 'Air handler leakage designated ;❑Complies Requirement will be met. [FI24]1 by manufacturer at<=2%of ❑Does Not design air flow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats '❑Complies Requirement will be met. [FI9]2 `installed for control of primary ;❑Does Not :heating and cooling systems and initially set by manufacturer to ❑Not Observable code specifications. ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies Requirement will be met. [FI10]2 on heat pumps. '❑Does Not ❑Not Observable 1❑Not Applicable 403.5.1 Circulating service hot water ❑Complies Requirement will be met. [FI11]2 systems have automatic or ❑Does Not ;accessible manual controls. ❑Not Observable ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 11 Low Impact(Tier 3) Project Title: Lot 4 -Wildberry Fields Report date: 01/20/23 Data filename: Page 8 of 10 Section Plans Verified Field Verified Final Inspection Provisions Value Value Complies? Comments/Assumptions & Re ,Ip 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 and air flow limits per Table ❑Not Observable R403.6.1. ❑Not Applicable 403.2 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. [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- ❑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 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 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. 403.5.2 Demand recirculation water ❑Complies Exception: Requirement is [F130]2 systems have controls that ❑Does Not not applicable. manage operation of the pump and limit the temperature of the ❑Not Observable water entering the cold water °❑Not Applicable piping to <= 104°F. 403.5.4 ;Drain water heat recovery units ❑Complies Exception: Requirement is [F[31]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 individual units connected to three or more showers. 404.1 90%or more of permanent � � UComplies 'Requirement will be met. [F16]1 !fixtures have high efficacy lamps,, ❑Does Not ❑Not Observable ❑Not Applicable .1 Fuel gas lighting systems have ;❑Complies Exception: Requirement is s no continuous pilot light. '❑Does Not not applicable. ,❑Not Observable � ❑Not Applicable 401.3 p Compliance certificate posted. ❑Complies Requirement will be met. [F17]2 ❑Does Not ❑Not Observable ❑Not Applicable 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Lot 4 - Wildberry Fields Report date: 01/20/23 Data filename: Page 9 of10 ecti6n Plans Verified Field Verified #� Final Inspection Provisions Value value Compiles? Comnments/Assumptions 6u It ,ID 303.3 Manufacturer manuals for - _ ElComplies Requirement will be met. .� Q (Fi1.8)3 mechanical and water heating0Does Not systems have been provided. ❑Not Observable ; ONot Applicable Additional Comments/Assumptions: 1 lilgk impact(Tier 1) 2 Medium impact(Tier 2) Low Impact(Tier 3) Project Title: Lot 4-Wildberry Fields Report date: 01/20/23 Data filename: Page 10 of 10 � r pppp 0..d { SUR a r Akw�. T PF �, MLEACH �� ��, ,�r 4 LE 'Volts!Riot!SDI" �d1K��pyy�^y�µ�py���q��^ ,q . I%,WII a 4dW NM R p u 1 J / / n. r H THE p /p O G ' C E X19 w"L F p IF 511 t i r Lot 3 r oTH ion -"Wildb rr°ml Fields" �c (Vaucazuwr) 26004° 1° r w t porl WOODS t P,yU=°tl i o M e d, 5 k3, — r `e I 7" -L r I 9 n ,di... IW y✓� 1 F Q) A t ✓