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HomeMy WebLinkAbout49359-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY d. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PIANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 49359 Date: 6/12/2023 Permission is hereby granted to: Hobart Road LLC PO BOX 806 Southold, NY 11971 To: construct single-family dwelling as applied for per SCHD, DEC Non-Jurisdiction & Trustees Non-Jurisdiction letters. At premises located at: Hobart Rd Southold SCTM # 473889 Sec/Block/Lot# 64.-3-3.1 Pursuant to application dated 5/8/2023 and approved by the Building Inspector, To expire on 12/11/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $3,323.20 CO-NEW DWELLING $50.00 Total: $3,373.20 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 littps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector:, Y 2023 Applications and,forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Own6r's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: °� ."" SCTM# 1000- Project Address: 14 Phone#: Email� � � � Mailing Address: CONTACT PERSON: lY Name: *-, V N, la, Ih q� Mailing Address. /' t� °'"/ A-11 /9 Phone# o Email: �F . DESIGN PROFESSIONAL INFORMATION: Name: " o / . Mailing Address: ",,,",// '7- hone Phone#. .. Emall. � CONTRACTOR INFORMATION:' Name: Mailing Address: Phone#: Email DESCRIPTION OF PROPOSED CONSTRUCTION ),New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Est 5 a of Project: ❑Other 11 11 1 Will the lot be re-graded? ❑Yes w o Will excess fill be removed from premises?,eyes [:]No 1 ¢ 4 'PROPERTY INFORMATION Existing use of property: Intended use of prope i Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Ll f s this property? ❑Yes o IF YES, PROVIDE A COPY. Check BOX 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 BuildingDepartment 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 Latin. Application Submitted By(print name)': Po ❑Authorized Agent Owner Signature of Applicant: Date: 5 ( c23 STATE OF NEW YORK) SS: COUNTY OF 1t-'FD�1� 105aly F7,ftft±c_ being duly sworn, deposes and says that(s)he is the applicant (Name of Individual signing contract) above named, (S)he is the P `• l 6W (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. 7',74 KV, 1 6, Aj`fork Sworn before me this day of Vy\ p 2077_ ' Notary Public PROPERTY OWNER AUTHOOZATION (Where the applicant is noAtdhe owner) 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 Glenn Goldsmith, President � � ���" Town Hall Annex �w 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 15, 2022 Joseph & Heidi Battaglia P.O. Box 806 Southold, NY 11971 RE: HOBART ROAD LLC HOBART ROAD, SOUTHOLD SCTM#: 1000-64-3-3.1 Dear Mr. and Mrs. Battaglia: The Southold Town Board of Trustees reviewed your letter dated November 29, 2022 along with the survey prepared by Nathan Taft Corwin III Land Surveyor, last dated June 23, 2022, and determined that the proposed construction of single family dwelling and garage on the captioned property is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no clearing, no removal of vegetation, no cut or ii of land or reinoval of sou, ilo Construction, sedimentation, or disturbance of any kind may take place within 100' landward from the top of the bluff, or seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without further application to, and written authorization from, the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. 2 This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Glenn Goldsmith, President Board of Trustees GG:dd NEW YORK SWE DEPARTMENT OF ENVIRONMENTAL CNSEI 711 N SUNY,en Sion F Bi ook.50 Circle Road,SWy Hrgok,NY 11790 P:(631)4444-0365 6 Fa(631)444-0360 Ww v ,loo MywW LETTER OF NO JURISDICTION TIDAL WETLANDS ACT 3/1/2023 Hobart Road LLC PO Box 806 Southold, NY 11971 Re: Application #1-4738-04221100002 Hobart Road LLC Property Lot 1, Hobart Rd, Southold, NY 11971 SCTM # 1000-64-3-3.1 Dear Applicant: Based on the information you submitted, the Department of Environmental Conservation has determined that the portion of the property located landward of the contour labeled "Elevation 10' 1929 Datum per survey dated May 28, 2008 last amended February 9, 2008 by Nathan Taft Corwin III, Land Surveyor", which exceeds ten feet above mean sea level in elevation, as shown on the survey prepared by Nathan Taft Corwin III, Licensed Land Surveyor, last revised February 9, 2023, is beyond the jurisdiction of the Article 25 Tidal Wetlands Act. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661), no permit is required to conduct regulated activities landward of that contour. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional boundary and your project(i.e. a 15' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local munipalities. S4cer ify, , U n A'kerman Regional Permit Administrator cc: BMHP Land Use Ecological Services, Inc. File ro CGenerated by REScheck-Web Software INJ( Compliance Certificate Project Hobart Road Energy Code: 2018 IECC Location: Southold, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 4,417 ft2 Glazing Area 29% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Hobart Road Hobart Road ronzakary@gmail.com Southold, New York 11971 Southold, New York 11971 lilull)�� Compliance: 5.4%Better Than Code Maximum UA: 846 Your UA: 800 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. S U ryas a onsidered in tNu UA or Ipeir orrna nce corn pIlli arrc path in Call "�bch(:nck. Each s0aatx,on gira e aDe°rUr11 Q rtm & na�a;'a11 K'm lrS IIV4D loinger e a, A':r GDfl �'� 4 ni�r(".'anU"na� qG D'�''II II"'G:Vrll ll':U 'Ila'."Vu", dasser°ntflY uru the ��nr,.(Jfla.d aw.Ilurn atr.zoine anus nnr....t the u� inr rarvurn r,lnergy .ocR!, li su�uVa i En elQ e Assemblies Ceiling: Flat Ceiling or Scissor Truss 2,356 38.0 0.0 0.030 0.026 71 61 AGW Main: Wood Frame, 16" D.C. 4,513 21.0 0.0 0.057 0.060 184 194 Exterior Doors: Solid Door (under 50% glazing) 36 0.200 0.320 7 12 Windows: Vinyl Frame 1,247 0.300 0.320 374 399 SHGC: 0.30 AGW Garage: Wood Frame, 16" o.c. 159 21.0 0.0 0.057 0.060 8 8 Garage Door: Solid Door(under 50% glazing) 18 0.200 0.320 4 6 AGW Attic Knee: Wood Frame, 16" o.c. 69 15.0 0.0 0.077 0.060 5 4 Foundation Walls: Solid Concrete or Masonry Wall height: 9.5' 2,247 15.0 0.0 0.053 0.059 113 126 Depth below grade: 8.5' Insulation depth: 9.5' Windows: Vinyl Frame 113 0.300 0.320 34 36 SHGC: 0.30 Project Title: Hobart Road Report date: 02/14/23 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 2018 IECC requirements in REScheck Version : REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Gerson Rubio, P.E. naw. 2/22/2023 Name-Title Signature Date Project Title: Hobart Road Report date: 02/14/23 Data filename: Page 2 of 10 REScheck 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 # . Pre-Inspection/Plan Review Plans VerValue fied Field Value Verified eComments/ &ection complies? Assumptions Rec� ID.__.._. . ..r. �.� _ __ ......... .............. .... _ 111-11111..... �_�... ,103.1, Construction drawings and ❑Complies Requirementwillbe met. 103.2 documentation demonstrate ❑Does Not [PRI]1 energy code compliance for the building envelope.Thermal ❑Not Observable envelope represented on ❑Not Applicable construction documents. 103.1, Construction drawin sand .... ❑Com Iies Requirement g pement 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 ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 403.7 sized per and co Manual S based Btu/hr Btu/hr ❑Does ill b 302.1, Heating and cooling equipment is Heating: Heating: ❑Complies Requirement will be met. p 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: 1]High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Hobart Road Report date: 02/14/23 Data filename: Page 3 of10 # Foundation Inspection P Complies?mplies. Comments Assum Section tans Ver�f�ed Feld Verified Value Value ' / ptions 6c Rec.ID _ 402.1.1 Conditioned basement wall R- _.. ._._ _-mmIT R-- ❑Com lies _ .._..._.. ..a. ... �µ...... See thee Envelope e Assemblies [F04]1 insulation R-value. Where interior R- R- ❑Does Not table for values. insulation is used,verification 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 ... R.�. ._,m. .... .. equirement will be met. [F05]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 toprotective covering exterior installed - _ ElDompNos q e m� _. . mmITIT�Requirement will be met. 2 p p t insulation and extends a a ❑Not Observable minimum of 6 in. below grade. ❑Not Applicable 403.9 Snow- and ice-melting system ❑Complies Exception: Requirement is [1`012]2 controls installed. ❑Does Not not applicable. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1t(Tier 1) www �wmedium lm act(Tmier....22)).. m Low Impact(Tier 3) hl m a . mmmmm Project Title: Hobart Road Report date: 02/14/23 Data filename: Page 4 of 10 .. . Section _. Plans Verified Field .i_e�ld..,.V_- _e-_r.i�fmie_.d # Framing /Rough-in LnsPection Value Value ilComplies? Comments/Assumptions & RID 402.1,1, Door U-factor, U- U- ❑Complies See the Envelope Assemblies 402.3.4 ❑Does Not table for values. [FR1]1 ❑Not Observable ❑Not Applicable 402.1,1, Glazing )- factor(area weighted U- U- ❑Complies See the Envelope Assemblies .1 402.3 , 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. [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or taken from the default table. ❑Not Observable ❑Not Applicable 402.4.1.1 Air barrier and thermalbarrier - ❑Complies Requirement_...�.......�.. �.� � ent will be met. [FR23]1 installed per manufacturer's ❑Does Not �p>>; instructions. ❑Not Observable ❑Not Applicable 402.4.... w.................... ........ .... 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 ❑Not Observable or has infiltration rates per NFRC 400 that do not exceed code ❑Not Applicable limits. .... .®. ........ ..... ..w �... p� �....._. q..�__.....- -.... ....... 402.4.5 IC-rated recessed lightingfixtures ❑Com lies Requirement will be met. [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403..._ ._ _m....._.._.. .... .........o -_. ... .. 3.1 Supply and return ducts in attics ❑Complies Requirement will be met. [FR12]1 insulated >= R-8 where duct is ❑Does Not A >= 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. 3.3.2 boxes are sealed with _._... �� � ❑Doe plot Requirement will be met mm 1403.3.2 Ducts, air handlers and filter ❑Com joints/seams compliant with International Mechanical Code or ❑Nat Observable International Residential Code, as ❑Not Applicable applicable. 403.3.5 Building cavities are not used as _ .. �.... .. ....❑Com li_.. ....�.-� �__��. �.....__..._._.. .._._ g p es Requirement will be met. [FR15]3 ducts or plenums. ❑Does Not ❑Not Observable ❑Not Applicable ............. __ 403.4 HVAC piping conveying fluids R- R- ❑Complies Requirement will be met. [FR17]2 above 105 QF 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 - ElComplies 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 c ❑Not Applicable 1 Hi h Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low impact(Tier 3) Project Title: Hobart Road Report date: 02/14/23 Data filename: Page 5 of10 # . Framing/R..__.. .__..._ .. section plans Verified Verified g Rough Inspection Value Value Complies? Comments/Assumptions & Re ID �_� 7 ,,.m ., .....M..... ..�, �. 403,6 Automatic or gravity dampers are ❑Complie� .._. ...._..__.. ent will be m ,..� .............. � s Requirement will be met. (FRI911, installed on all outdoor air ❑Does Not intakes and exhausts, ❑Not Observable []Not Applicable Additional Comments/Assumptions: ..,�.. �. ...�_.._ —..mm «««...wawa...... 1 High Impact(Tier 1) 2 Medium Impact (Tier 2) 3 Low impact (Tier 3) Project Title: Hobart Road Report date: 02/14/23 Data filename: Page 6 of10 i&Section # D _ Insulationl Inspection ection _- PI Verfed Field Verified Complies?lies Comments/Assumptions Value Value 303.1 All installed insulation is labeled ❑Complies Requirementwill be mee m _,.�..�.w�. t. [IN13]2 or the installed R-values ❑Does Not provided. ❑Not Observable ❑Not Applicable _ 402,1.1, Wall insulation R value. If this is a ❑R ❑ �- Elco_,_ ...... R � ❑Complies See the Envelope 1 Wood Wood ❑Does Not table for v lues. Assemblies 402.2.5, mass wall with at least /� of the slues. 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior,the exterior insulation kfi,, requirement applies (FR10). E] Steel Steel ❑Not Applicable 303.2-. Wall insulation is installed per ....�C. --------. omplies Requirement will be met. [IN4]1 manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2`rMedium Impact(Tier 2) 3 Low Impact(Tier 3) mmm„m Project Title: Hobart Road Report date: 02/14/23 Data filename: Page 7 of10 Section Y � Plans Verified Field Verified 4 # Final Inspection Provisions Value Value Complies- Comments/Assumptions & Req.ID. — m _ —. ...... .. e._.n,.. , j. .,.. _. . ..- g insulation R-value. Wood— ❑ Wood ❑Complies t bee for values. Assemblies 402.1.1, Ceiling blies 402.2.1, ❑Does Not 402.2.2, ❑ Steel ❑ Steel ❑Not Observable '402.2.6 ❑ [Fill' Not Applicable FI1] � _... per 303.1.1.1, Ceiling insulation installed r ❑Complies Requirement will be met. 1303.2 manufacturer's instructions. ❑Does Not [FI2]1 Blown insulation marked every 300 ft2. ❑Not Observable ❑Not Applicable ................ 402.2.3 w...._. ......... . Vented attics with air permeable ❑Complies Requirement will be met. [FI22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. ❑Not Observable ❑Not Applicable 402.2.4 Attic access hatch and door R- R- ❑Complies Requirement will be me w .t. [FI3]1 insulation >—R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.... .. ....._......_...........m_....—._. — — ....._.... 4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 — mmmmm mmm mACH 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 areressure tested to cfm/100 cfm/1 � _._._. p 00 ❑Complies Requirement will be met. [FI27]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. —wwwww — . .....................__... _.. .. .........._. 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies Requirement will be met, [F14]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=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. — .......... 403.3.2.1 _ 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 ... ..............._......._...... ................... ...... .m...... .. �......_..... 4 . .. _._. . 03.1.1 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 I403.1.2.. �_.Heat.._. __�.,..... ....... ...�...a..,... .. .. , ....,��. ..... _.. ._ . .._._._._ pump thermostat installed ❑Complies Exception: Requirement is I[FI10]2 on heat pumps. ❑Does Not not applicable. ❑Not Observable ❑Not Applicable ., .. .. ..._ .................. 403. ... 5.1 Circulating service hot water ❑Complies Requirement will be meta [FIJI]2 systems have automatic or ❑Does Not accessible manual controls, ❑Not Observable ❑Not Applicable „mmHi h Impact act (Ti 1 g p (Tier 1) 2 Medium Impart(Tier 2) 3 Low Impact (Tier 3) Project Title; Hobart Road Report date: 02/14/23 Data filename: Page 8 of 10 Se ion Final Inspection Provisions Plans VerValue fied FieldVerified Complies? Comments/Assumptions & Req.ID 403.6.1 All mechanical ventilation systemValue ❑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 circullationsystems ❑Compliesmm Exception: :Requiremment immITITmm s '[FI28] have a circulation pump.The ❑ not Does Notapplicable. 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 ... ..._... ................ Cmmmmmmm mIT- � � - -����� �❑����-om plies Exception: Requirement is [F[29]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 <= 1049F. 403.5.4 Drain water heat recovery units � � � amplies Requirement will be met C - . [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 90% or more of permanent ❑Complies Requirement will be met. [F16]1 fixtures have high efficacy lamps, ❑Does Not ❑Not Observable ❑Not Applicable 404.1 no continuous pilot light. _...... . ., ......❑Does _.� __��_.........firemen_........ 404.1.1 Fuel gas lighting systems have ❑Complies Requirement will be met. 3 Not ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies Requirement will be met. [FI7]2 ❑Does Not ❑Not Observable ❑Not Applicable 1 High Impact (Tier 1) 2 q Mediumlmpact (Tier 2)� 3mLow Impact (Tier 3) Project Title: Hobart Road Report date: 02/14/23 Data filename: Page 9 of 10 #I& .._.Pla....... .,_.fled .....Verified Fiel Final Inspection P rovis�ons ValueValue Complies?. ,......7- - 303.3 Co_m.�._ments s�umP.� t...o,.n. s Re .ID . _ Manufacturer manuals for ❑Complies ;Requirement will be met. [FI18]3 mechanical and water heating DDoes Not systems have been provided. ❑Not Observable , ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1)� .2mm Medium Impact (Tier 2) 3 Low impact(Tier 3) Project Title: Hobart Road Report date: 02/14/23 Data filename: Page 10 of 10 2018 IECC Energy Efficiency Certificate Above-Grade Wall 21.00 Below-Grade Wall 15.00 Floor 0.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): CIZIMIZZ ,m' EMEMEMEM= Window 0.30 0.30 Door 0.20 Heating System: Cooling System• Water Heater: Name: Date: Comments i e v , 4 !r k NYS ..max'. JUN ?023 i New York State Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 112730891 EASTERN CONCRETE CORP PO BOX 149 WESTHAMPTON NY 11977 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER EASTERN CONCRETE CORP HOBART RD LLC PO BOX 149 HOBART RD WESTHAMPTON NY 11977 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 1773918-8 372731 02/07/2023 TO 02/07/2024 5/29/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 773 918-8, 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:IANWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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 NSE FUND 4 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:310443174 U-26.3 C 05/301 CERTIFICATE OF LIABILITY INSURANCE CE °AT °nrY,"' 05/30/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION'ONLY AND CONFERS,NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIV'E'LY OR NEGATIVELY AMEND,EXTEND OR ALTERTH: VERAGff E RDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE N�THE ISSUINdCURER(S),AUTHORISED 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 endorsernent(s). PRODUCER A Barbara Dammers '.. NAME.. Roy H Reeve Agency,Inc. PHONE Extl: (631)298-4700 FAX Noiz (631)298-3850 PO Box 54 E-MAIL s: bdammers@royreeve.com ADDR13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC 9 Mattituck NY 11952 INSURER A: Ohio Security Ins Co INSURED INSURER B: Eastern Concrete Corporation INSURER C: PO BOX 149 INSURER 0: INSURER E: Westhampton NY 11977 INSURER F: COVERAGES CERTIFICATE NUMBER: CL22112218089 REVISION NUMBER:. THIS IS TO CERTIFYTHATTHE 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 CONTRACTOR 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, LTR TYPE OF INSURANCE 1 POLICY NUMBER 'MMMONYYY 1.M1't)DlYY F LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE FX-1 OCCUR PREMISESISES.Ea ocnunren,ceL $ 300,000 X Contractual Liability MED EXP Any one parsoni $ 15,000 A Y Y BKS59297977 11/30/2022 11/30/2023 PERSONAL&ADV INJURY $ 1,000,000 GFULAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POL'IC'Y IRI-ECT LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER, $... AUTOMOBILE LIABILITidY OE'`'tBk4�SE.Drt71 $NGLtm It IT $ 1,000.000 oi ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED BAS59297977 11/30/2022 11/30/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS +� HIRED NON-OWNED ' RO TYOAMAG. $ AUTOS ONLY AUTOS ONLY (^r acs'+defry'. Uninsured motorist $ 1,000,000 UMBRELLALIABOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE '.. AGGREGATE $ DED RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER, �ANYPROPRIETOR/PARTNERIEXECUTIVE ❑ E_L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NN) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L..DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder Is listed as additional insured with respect to general liability as per the terms and conditions of form#CG8810-Commercial General Liability Extension Endt,as required by written contract or agreement. Coverage is on a primary&non-contributory basis&a waiver of subrogation applies. Coverage for completed operations applies as per form#CG8611-Additional insured-Automatic status when required in construction agreement. No policy shown contains any wording which excludes coverage for injuries to employees/third party over actions. Additional insured,primary non-contributory& waiver of subrogation, under commercial auto as per form#AC8502(06/18)-NY-Business Auto Enhancement Endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Hobart Rd LLC ACCORDANCE WITH THE POLICY PROVISIONS. Hobart Road AUTHORIZED REPRESENTATIVE Southold NY 11971 L- I LA141= IM1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD rYORK' Workers' CERTIFICATE OF "VT' Boar Compensation WORKERS' COMPENSATION INSURANCE COVERAGE 1 a. Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured �i LUXE HOME CONSTRUCTION h, �� 7"' 1516-782-4478 1769 COMMONWELATH AVE 1 c.NYS Unemployment Insurance Employer Registration Number of MERRICK NY 11566 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 81-4514914 2. Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) STATE FARM Hobart Rd LLC 64 Hobart Rd 3b.Policy Number of Entity Listed in Box"1 a" Southold,NY 11971 92-CV-U286-3 3c. Policy effective period 02121/2023 to 02/21/2024 3d.The Proprietor,Partners or Executive Officers are Included.(Only check box if all partners/officers included) ❑X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY) must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or after the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. 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 the coverage as depicted on this form. Approved by: JOHN CANDON (Print name or authorized representative or licensed agent of insurance carrier] Approved by: ,t,)rJil1,t>0X,) 06/01/2023 (Srg@atdre) (Date) Title: INSURANCE AGENT Telephone Number of authorized representative or licensed agent of insurance carrier. 516-783-5522 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov „a HOLE TEST HOLE DATA (NOT TO SCALE) BY: MCDONALD GEOSCIENCE 7/3/08 - GRADE EL +12.2' oz MIXED SAND & GRAVEL BROWN SILT ML PALE BROWN FINE NN TO MEDIUM SAND SID 11.6'_ Co AFM O r WATER IN PALE BROWN FINE Or TO MEDIUM SAND SPZ) 0 CD CD 17' GROUNDWATER ENCOUNTERED _ 7 , 10.8' BELOW GRADE (ELEV +3.7') a�. a r,f .fl r”1 1 n�_, Sit le r P1 d 0 ,, l �Scale: l = 20 1 I 4-1 cz U O Cn Q U) SITE PLAN BASED FROM SURVEY PREPARED BY NATHAN TAFT CORWIN, L.S. 1 ELEVATIONS BASED ON VERTICAL DATUM NAVD88 4/23/23 ,,., . i FAm p r N" m r j t I i