HomeMy WebLinkAbout49660-Z TOWN OF SOUTHOLD
� r BUILDING DEPARTMENT
T0111d`N CLERK'S OFFICE
mxAL
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANSND ORKSAUTHORIZEDS
UNTIL FULL COMPLETION OF THE
Date: 9/8/2023
Permit#: 49660
Permission is hereby granted to:
Brookl fn Timber Invstrs LLC
c/o Pa�r�icia Moore
51020 Main Rd
Southold NY 11971
To: construct single-family dwelling as applied for per SCHD approval.
At premises located at:
4935 i3er len Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 111-2-1.3
dated 7/26/2023 and approved by the Building Inspector.
Pursuant to application
To expire on ,31912025.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $2,802.80
CO-NEW DWELLING $50,00
Total; $2,852.80
Building Inspector
LD TOWN OF SOUTHO — -0959
BUILDING DEPARTMENT
5 Main Road P. O. Box 1179 Southold,NY 9dtov,v
Town Hall Annex 571 W
437 765-9502 hft : '�vv SOL101
631 765-18001
2 Fax (631)
Telephone ( )
t Date Received
.:.;,
OWAPPLICATION FOR BUILDING PERMIT
J
For Office Use Only J L. 2�1. � � 023
Building Irwspector"•
PERMIT NO.
Incomplete BUM]DING "r
FT-
Applications and forms must be filled out in their entirety.
not the owner,an T0 -N 1'
applications will not accepted. Where the Applicant
owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY: SCTM# 1000-113..06-02.00-601"603
Name:Brooklyn Timber In LLC Y 11952
Project address:4935 Bergen Ave.. Mattltuck, N
Email:
Phone# 631-512-4522 Medford NY 11763
Mailing Address:3080 route 112 suite B
CONTACT PERSON:
Name:Chris Dwyer
South Country Road, Brookhaven NY 11719
Mailing Address:437
Email:cdwyer@Ikma.com
Phone#:631-286-8668
DESIGN PROFESSIONAL INFORMATION: P.C..
Name.:Robert A. Steele,
P.E. Executive Vice President, L.K. McLean Associates,
South Country Road, Brookhaven, NY 11719
Mailing Address:437 S rsteele@
Email: Ikrna.COm
Phone#:631-286-8668
CONTRACTOR INFORMATION:
Name:
Mailing Address: Email:
Phone#:
DESCRIPTION OF PROPOSED CONSTRUCTION Estimated Cost of Project:
®New Structure ❑Addition []Alteration ❑Repair ❑Demolition $
[]Other will
®Yes ❑No
7 Yes LJ No Will excess fill be removed from Premises?
Will the lot be re-graded.
1
PROPERTY INFORMATION
Intended use of property:Single Family Residence
Existing use of property:Vacant respect to
Are there any covenants and restrictions with
remises is situated: 7 Yes'JgNo IF YES,PROVIDE A COPY.
Zone or use district in which p this property. ❑
pursuant
the'R wilding Zone
check Bol After Leading: ewn
er a�wnt�^ac+2�ar/desigaw r�'�ssle�al I'�responsible for all drainage arw�Y storm �issues as.provided l�'�
pe ar"e t for the issuance of a Building the constru ctio'n of buildings,
New Y D and other applicable laws,Ordinances or gegulations,
Chapter 236 of the drawn Code, AI�irUCA"rlf9iV IS HEREBY NiA'�g to a iluilding iicant agrees' comply with all applicable laws,ordinances,building code,
Ordinance of the Town of Soutlaol�,Suffolk,County, s for necessary inspections,false state+nd made herein are
Mations and to admit authorized inspectors on promises and in builds
ng )
additions,alterations or for rernrrvlal or demolition as herein described, � ap
browsing code and reg pursuant to Section 210AS Of the Now York State penal law.
punishable as a class A misdemeanor
Application Submitted By(print name):
.Christopher F. Dwyer @Authorized Agent ❑Owner
Signature of Applicant:
/ Date: 7� 7
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk ) licant
DW er being duly sworn, deposes and says that(s)he is the app
Christoper F y
(Name of individual signing
contract) above named,
(S)he is the Agent (Contractor, Agent, Corporate Officer, etc.)
authorizedle this
to perform or have performed the said work and to e and belief;Iand
of said owner or owners, and is conduly ained in this application are true to the best of his/
knowledge
application;that all statements cont application file therewith.
that the work will be performed in the manner set forth in the
Sworn before me this
qA-- ,202-3 Notary P Mc
day CHRISTINE aTINE AND'
NOTARY PUBLIC,State of Now York
No.01W'W162111 59," IZ SuffolkCourl
Jon�Jrea August 1�' 5--
PROPERTY OWNER
(Where the applicant is not the owner)
3 .- t,.. 10��
residing at
to apply on
d1' 71 do hereby authorize
Town of Southold Building Department for approval as described herein,
my behalf to the Tow
Date
Owner's Signature
ioim
Print Owner's Name
2
S�UojpLj\q WATER
tt A. Russell 1��tA\NA\cG�]EIMI]E NT
sCO � �� �
SUPERVISORo ° Town of Southold
SOUrHOLD TOWN HALL-P.O.Box 1179
11971 � � � �•`� �, � V
53095 Main Road-SOUTHOLD,NEW YORK
J t/
MANAGEMENT FE023
V
CHAPTER 236 STORMw E , _
BE COMPLETE HE APPLIC
( APPLICANT INFORMATION �� G
�.�........_...� .- AOR LARGER �,m� ���O��,,�°� t.1 .-..
I ARE -
ONLY FOR PROPERTIES ONE ACRE [N� ractor, Other)
�Pi o �erty Qwner, Design Professional, Agent, Cont
pAPPL_ IN I P Date:
,�...�� 7/28/23
NAME: Christopher F. Dw
edwyer@Ikma.com ..-,.
Contact Information. -- �
631-286-8668 _...
q_-�lad 8 I ele0hnne�tnnhei .—...,,,w,.m,..,—....--^
.W
t ..Al ess / Lotion of ConstrL .._ e ;F,
0
PI S.C.T.M,
11952
Egg r n Ave Mattituck, NY,
. q.._. -
� . M
._. 02.00 001.003
. _ - 113.00
in 3 12T23 Bloc
k Lol
..� ... Sec':,on
_-
e[OV' EP ENT
. SOUTHOLD TOWN ENGINE M
tG D �R
TO BE COMPLETED G1�
c E 5, Permit IS R fired
a s less than 1 Acre N��_P _�— -�
Area o. D,st',rb irce �o S.P.D.E S Pet atuit is I e uire '
p,oject does No- Discharge to Waters Of the State
than I Acre & Storm-eater F,unof BTAIN a S.P�D S. Permit
Area of Disturbance ,s Greate, THE .�„PPLIC. NTT t�I 5T
to Waters of the State of New York. f Fl:�ws Thrc;ugh S„,1thc d
i c rise of a B�jildinvz Permit,
DIETL' From, . D.E.C. Prior tt� IuM c ,i n_ \iter F.unof
Bance ,s Greeter thSn 1 . etc f: THE. AP
PLICF.NT \BUST � BTAC�
Area of C,s:u E Yo
�r tl,e State or Ne
Tov,iis MS .
Systems to Watery Ceri:' Deartt~eit
S. Permit ihrop.
a S.P.D E. �ht"ie Ss'�itns ld Toy r,
Price; to l wua ct c.f a Btttld'n P rent
Date:
Revie"ved, By
w '" -7 �
DiTnn
Fnpm, c /
l C e I
Generated by REScheck-Web Software
Comb
r t* Cate
CN,I
Project
Platinum Bergen Ave Mattituck NY 11952
Energy Code: 2018 IECC
Location: Mattituck, New York
Construction Type: Single-family
Project Type: New Construction from North
Orientation: Bldg"°fa'ce 180 deg.
Conditioned Floor Area: 3,051 0 ft2
Glazing Area
Climate Zone: 4 (5331 HDD)
Permit Date:
Permit Number: Designer/Contractor:
Owner/Agent: Building Design,LLC.
Construction Site: Platinum
4935 Bergen Ave
Mattituck, NY 11952
® + h+Vaxir�ru SHGC: 0.40 Your SHGC: 0.30
® ® 0 Your UA: 49
Cczrnt�Nlrice: .5"y° 4ektero 1 Fran Code
MaxMmurrr
hOUS
v8dean esttlnMaRet� enemy use or cost retntuae to a m4nGrnu •cradec�rne.
rhe 0eater worse Ttren Crs e lnrbex refects Crow nose to ria MY O[e the code is based on code trade-off�hianc sIr tNb r�N�FSt N et Nr. Nma�h�sNaN�-on grade
@'S3C7E5 NOT ph f'eUkUr'S'r Hent .
eci e¢ c,CNf ate omfe must meet t6te mininium ent uw.Y code iru tiNatfori,R-vMue and data
Si,-lb-on-grade tradeoffs are no ld���,ger consfdeired in the UA or pc,,rl f`a wanc cam
assIembly ill the sp
Je
• 22
0.0 0.030 0.026 26
858 35.0 50 43
0.0 0.030 0.026
2x8 Roof: Cathedral Ceiling 1,655 35.0 173
2x10 Roof:Cathedral Ceiling 3 295 15.0
3.0 0.061 0.060 176
Ambient Wall:Wood Frame, 16" o.c. 0.320 4 6
Orientation: Unspecified 0.200
Front Door:Solid Door(under 50%glazing) 20
Orientation: Unspecified
0.300 0.320 118 126
Windows:Vinyl Frame 394
SHGC: 0.30 0.060 18 14
Orientation: Unspecified 234 15.0 0.0 0.077
Garage Wall:wood Frame, 16" o.c. 0.060 24 18
Orientation: Unspecified 13.0 0.0 0.082
16" o.c. 315 6
Basement Stairs:Wood Frame, 0,200 0.320 4
Orientation: Unspecified
Basement Door:Solid Door(under 50%glazing) 18 30.0 0.0 0.033 0,047 58 82
Orientation:Unspecified 1,743 0.047 15 21
Floor Over Basement:All-Wood Joist/Truss 440 30.0 0.0 0.033
Floor Over Garage: All-Wood joist/Truss
Report date: 09/05/23
Project Title: Platinum Bergen Ave Mattituck NY 11952
Page 1 of 10
Data filename:
cansd to meet the,specifications,and other
th the building, uirements in
r Deed building desThe,
described ed buitcling hasbeen
dpsted ris consistent en the R herk inspection checklist.
Compliance a me fitted
The p Thep p
calcuia ck V submitted withthe the permit application,with the mandatory requirements2023-0 -05
REScd�eck Version: i�l'Scheck-Web and tra comply date
Mlch j Caruso_k r Signature
Name-Title
Report date: 09/05/23
Project Title: Platinum Bergen Ave Mattituck NY 11952
Page 2 of 10
Data filename:
RES
check Software Version : REScheck-Web
etI Checklist
insp 'Energy Code: 2018 IECC
nted, or that an exception
�� n is provided by the user in the REScheck Requirements screen. For each
Re uirements: 100.0% were addressed dire in the REScheck software
is documented,4 tions column P
Text in the "Comments/Assump
requirement,the user certifies that a code requirement will be met and how
Where compliance is itemized in a separate table, a reference to that table is provided.
is being claimed. tions
Field Verified Complies'. comments/Assumptions
Section Plans Verified Value .u.-.
# Pre-Inspection/Plan Review Value [3Complies Requirement will be met.
&Re »ICI ❑Does Not
103.1, Construction drawings and []Not Observable
103.2 documentation demonstrate far the licable
[PR111 energy code compliance []Not App
building envelope.Thermal
envelope represented on oComplie ' Requirement will be met.
construction documents,. ❑Does Not
103.1, Construction drawings and Not Observable
demonstrate
103.2, documApplicable
403.7 energy code compliance for Not
[PR311 lighting and mechanical systems.
Systems serving multiple
dwelling units must demonstrate
compliance with the IECC �Cornplies Requirement will be met.
Commercial Provisions Heating:
and cooling equipment is Heating: Btu/hr Does Not
302.1, Ileating a Btu/hr
sized per ACCA Manual 5 based Cooling: []Not Observable
403.7 on loads calculated per ACOA Cooling: Btu/hr [INot Applicable
[PR2]Z
MI, Manual j or other methods Btu/hr
approved by the code official.
Additional Comments/Assumptions:
2 Medium Impact(Tier 2)
3 Low Impact(Tier 3)
1 High Impact(Tier 1) Report date: 09/05/23
Page 3 of 10
Project Title: Platinum Bergen Ave Mattituck NY 11952
Data filename:
Comments/Assumptions
s+e +ticwnFoundation action
Complies?
# inspection
&Pie mID [Complies Requirement will be met.
303.2.1 A protective covering is in tied to ODoes Not
[FO1ll2 protectposed exterior insulation ❑Not Observable
and grade tends a minimum of in.below ❑Not Applicable applicable,
lies Exception: Requirement is not app
Snow-and ice-melting system controls Does Not
IF012]2 installed FO1instaNot Observable
[]Not Applicable
Additional Comments/Assumptions:
3 Low lmpact(Tier 3)
2 Medium Impact(Tier 2) 09/05/23
1 High impact I. 1) Report date:
Project Title: Platinum Bergen Ave Mattituck NY 11952
Page 4 of 10
Data filename:
� CommentslAssumptions
Field Verified Complies.
Plans Verified Value
section ROugh-In lnspect1en Value See the Envelope Assemblies
Framing/ []Complies table for values.
<e .10 U- U- DDoes Not
402.1.1, Door U-factor. Not Observable
402.3.4 IDNot Applicable
[FRl]1 See the Envelope Assemblies
Complies table for values.
U- �ODoes Not
402.1.1, Glazing U-factor(area weighted jNot Observable
402.3.1, average). oNot Applicable
402.3.3,
402.5
[FR2]1 []Complies Requirement will be met.
'ODoes Not
303... .3 U-factors of fenestration products ONot Observable
R4] with eermined in accordance Applicable
are deter procedure or ❑Not
FRC test p
[F,
taken b'or'n the default table. C]CoMplies Requirement will be met.
Does Not
402,4.1.1 Air barrier and anufa tuner's barrierthermal []Not Observable
[FR I" installed p Applicable instructions. ❑Not App
Requirement will be met.
(3Complies
ElDoes Not
402.4.3 Fenestration that is not site built ONot Observable
[FR2o]1 is listed and labeled as meeting liable
or M DMA/C5A 101/1.5.2/A440 of App
s infiltration rates per NERC
AAI�'N N
400 that do not exceed codef]Co plies Requirement will be met.
limits. futures ❑Does Not
402.4.5 IC-rated recessed lighting Not Observable
IF sealed at housing/interior finish ]plot Applicable
and labeled to indicate 52.0 cfm Requirement will be met.
leakage at 7'5 Pa. 13complies
Does Not
403.3.1 supply and r� du s in,attics Not Observable
insulated>=R-8 where duct is
[FR12]1 >=3 inches in diameter and>= ❑Not Applicable
R-6 where<3 inches,SupplY and
return e building in other portions of
the
3 inches =R- for
th insulat
es and R-42 lies Requirement will be met.
for< inches in diameter lComp
Does Not
403.3.2 Ducts,air handlers and filter oNot Observable
IF 1311 bones are sealed with ❑Not Applicable
p s compliant with
Dints/seam
International Residential Code,nical Code oas Requirement will be met.
[]Complies
applicable. ❑Does Not
403.3.5Building cavities are not used as []Not Observable
[FR15]3 d []Not or plenums. licable
Not App
a�, ]Complies Requirement will be met.
HVAC piping conveying fluids R-
R ❑Does Not
403.4 ,C3Not Observable
[FR1712 ..above 105�F or chilled fluids Applicable below 55 F are insulated to alk- ONot App
Requirement will be met.
9 3. ]Complies
DDoes Not
403.4.1 Protection of insulation on HVAC Not Observable
[F
R24]1 piping. []Not Applicable
:° h
lies Requirement will be met.
Complies
R- R ❑Does Not
403.5.3 Hot water pipes are insulated to I[]Not Observable
[FR181Z >>_R-3. Not Applicable
3 Low Impact(Tier 3)
2 Medium lrnpact{Tier 2) 09/05/23
1 High Impact(Tier 1) Report date:
Project Title: Platinum
Page 5 of 10
Bergen Ave Mattituck NY 11952
Data filename:
� Comments/Assumptions
Field Verified complies?
Section Plans Verified Value
sept Rough-In inspection Value Requirement will be met.
Framing/ OC�smplies
&Re .10, ravit damper's are 'ODoes Not;ONot obs
air 403.6 Automatic r ll Y observable
[FR19lZ installed on all outdoor aNicable
intakes and exhausts. ONot App
Additional Cornnrlents/Assu'rn tions:
2 Medium Impact(Tier 2) 3 Low Impact(Tier
1 I sigh irrrupact(Tier 1) Report date: 09/05/23
Page 6 of 10
Project Title: Platinum Bergen Ave Mattituck NY 11952
Data filename:
Plans Verified Field Verified Complies.
Comments/Assumptions
section Value Value
# Insulation Inspection lies Requirement will be met.
Re .ID �p�omp
303.1
All installed insulation is labeled ❑Does Not
[IN13]2 or the installed R-values []Not Observable
provided. '❑Not Applicable
lNes See the Envelope Assemblies
R- []Complies table for values.
R ❑Does Not
Wood
402.1.1, Floor insulation R-value. Wood ❑
402.2.6 E] Steel ❑ Steel []Not Observable
[IN1]1 ❑Not Applicable
1I 0
oOamplies Requirement will be met.
Floor insulation installed per ❑Does Not
303.2, lNot Observable
..402.2.8 manufacturer's instructions and.
[IN211 In substantlal contact with the ONot Applicable
underside of the sutrfloor,or floor
framing cavity insulation is in
contact with the top side of
sheathing,orcontinuous
insulation is installed on the
underside of floor framing and
extends from the bottom to the
top of all perimeter floor framing
[3Complies See the Envelope Assemblies
members. R- table for values.
Wood ❑Does Not
402.1.1, Wall insulation R-value.If this is a R- Mass
[]Not Observable
402.2.5, mass wall with at least IIx of the Wood
4fi2.2.6 wall insulation on the wall ❑ Mass Steel ❑Not Applicable
[IN311 exterior,the exterior insuMation ❑ Steel ❑
rertuirement applies( R3.0).
E3Conruplies Requirement will be met-
3 .2
et.303.2
Wall insulation is installed per ❑Does Not
[1 11 manufacturer's instructions. ENot Observable
,[]Not Applicable
Additional Comments/Assumptions:
2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
1 High Impact(Tier 1) Report date: 09/05/23
Page 7 of10
Project Title: Platinum Bergen Ave Mattituck NY 11952
Data filename:
� Comments/Assumptions
Field Verified Complies.
Plans Verified Value
Section Provisions Value lies see the Envelope Assemblies
Final InspectionOComP table for values.
R
6c R .10 R- ODoes Not
Wood I�
402.1.1, Ceiling insulation R-value. Wood Steel []Not Observable
402.2.1, Steel []Not Applicable
402.2.2,
402...2.6
[FIl]1C3COmplies Requirement will be met.
[]Does Not
303.1.1.1, Ceiling"nsulat"on 4nsuctio Per ❑Not Observable
303.2 manufacturer`s instructions. ❑Not Applicable
303.2 Blown insulation marked every Requirement will be met.
300 ft2. []Complies
permeable []Does Not
dented attics with air P []Not Observable
402.2.3
insulation inolud baffle adjacent Applicable IFI2217 to soffit and save vents that ONot App
exterud over insulation. []Complies Requirement will be met.
R ODoes Not
R-
402.2.4 Attic accesl vafa�e otch a hear ONot observable
[FI311 ins ulation []Not Applicable
adjacent assembly` []Complies Requirement will be met.
402.4.1.2 Blower door test 4) 50 Pa.
ACH 50= ACH 50 = []Does Not
❑Not Observable
[F117]' ach in Climate Zones one and []Not Applicable
�=3 ach in Climate�prGes�"� Requirement will be met.
cfmI100 Complies
Ducts are pressure tested to ft2
cfm/100 ftz Oboes Not
403.3.3 []Not Observable
IF 271' determine air leakage with Total []Not Applicable
either:Rough-in test:
leakage measured with a
pressure differential of o inch
w„g,across the system
the manufacturer"s air handier
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 C]Complies Requirement will be met.
handler enclosure, cfm/100 cfm/100
ft2 []Does Not
ft2
403.3.4 Duct tightness test result o'f'<=4 ',[]Not Observable
cfm/100 ft2 across the system or []Not Applicable
[FI4]1
c=3 cfm/1.00 ft2 without air
handler @ 25 Pa.For rough in
tests verification may need to OCom'p I"es Requirement will be met.
occur during Framing Inspection, ;
[]Does Not
403.3.2.1 Air handler leakage designated
= Not Observable
[F12411- by manufacturer at 2,1�,of [][]Not Applicable
design air flow. []Compiles Requirement will be met.
ODoes Not
403.1.1 Programmable thermostats []Not Observable
[FI912 Installed for control of
primary
and ❑Not Applicable
lie and cooling y tion.Requirement is
initiallyset by manufacturer to []Does
IGx .
code secifications. es Not
not applicable.
403.1.2 Heat pump thermostat installed []Not Observable
[Fl 1012 on heat pumps. []Not Applicable
Ex eptonu"remerlt is
❑Complies not applicable.{
ODoes Not
403.5.1 Circulati"ug Seicehot water []Not Observable
[Fllllz systems have automatic or ONot Applicable
accessrle manual controls.
2 Medium Impact(Tier 2)
3 Low Impact(Tier 3)
1 High Impact(Tier 1) Report date: 05/23 of 10
Project Title: Platinum Bergen Ave Mattituck NY 11952
Data filename:
' � Comments/Assumptions
Field Verified Complies.
Plans Verified Value
Section Provisions Value lies Requirement will be met.
Final inspectionOComp
Re .10on stem, , []Does Not
403.6.1 Ali mechanical a tested
listed ONot Observable
[F125 12 fans not part ONot Applicable
and
equipment meet abefficacy not aptI0 requirement is
and airflow llrrrwts per Table
O�yCoplies
R403.6.1. QDoes Not
Hot water boilers supplying heat
403„2 i e heating �ONot Observable
[FI26lz through one”or two p,p oor setApplicable
systems have osetback []Not
control to flower boiler water len;Requirement Is
temperature teased on outdoor OComplies Except
temperature. ❑Does Not not applicable.
403.5.1.1 Heated water circulation systems The []Not Observable
[FI28lz have a circun pr ipeOn p s a dedicated ONot Applicable
system return p'p
return pipe or a cold water supply
pipe.Gravity and therrnos-
syphrrn 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
iter is in circulation loop Snot applicable,
Requirement Is
when w erature and t
is at set-point temp ]COMplies !on-
no demand for hot water exists. Does Not
403.5.1.2 Electric'heat trace systems
comply ONot Observable
[F 2912 i' with IEEE 515.1 or ill. ONot Applicable
515.Controls autoinputatiall the
adjust the energy
heat tracing to maintain the
red water temperature in the < lies not epplon:Requirement is
deli Oomp. t
piping. licabW
❑Does Not
403.5.2 Demand recirculation water ONot Observable
[FI3012 systems have controls that ONot Applicable
manage operation of the pump
and limit the temperature cold of the exception:Requirement is
water entering ;OC'omplies Ion e.
piping to e. 1040F. not app
units ❑Does Not
403.5.4 Drain water heat recovery ONot Observable
tested In accordance with CSA lirva e
[FI31lz B55y1 Potable water-side ,[]Not Applicable
pressure loss of drain water heat
recovery units< 3 psi far
individual units connected to one
or two showers. PotabNe water-
side pressure lof drain2s toter
heat recovery units
individual units connected to OCompi
les Requirement will be met.
three or more showers. Oboes Not
90/o or more of permanent
404.1 lamps. �ONot Observable
[F16]1 .fixtures have high efficacy ONot Applicable
lies Etception.Requirement is
OComp not applicable.
404.1.1 Fuel gas lighting systems have
ODoeS Not
[F12313 no continuous pilot light. ❑Not Observable
ONot Applicable
V) OComplies Requirement will be met.
posted. .ODoes Not
401.3 Compliance certificate p ONot Observable
[F17]2 ONot Applicable
act(Tier 2) 3 Low Impact[Fier 3)
h Irripact(Tier 1) 2 Medium Imp Report date: 09/05/23
1 lilg page 9 0f10
Project Title: Platinum Bergen Ave Mattituck NY 11952
Data filename:
Y � w
rm oa; 'e z
gp�9u vmuj
�
14 7UJ
ma
,8 ago a
� a®oma aare
r p fill
e "01
� `
m�
x It
CD z
do
3nN37A d
k�
e \ mks
LOA
Ln
Ilia%
w
=�
-05
a.
IpN�U yyy
Y 3 620 ° I
.Vti7Z F
00sLr
dl
� y} EEt
6x.p'..id 7uawaeouow�aaowvw,ols GZ N'�m�4'4��9�51'+cnWlt+�rw9"w�e�wamANwa�r'u'\�"Mrrgkarl�"itl,^�tU+r,Sw�dJVun�sl`u\da
2018 IECC Energy
A4�ove-Grade Wall o.00
Below-Grade Wall 30.00
Floor 35.00
Ceiling / Roof
Ductwork(unconditioned spaces): -- -
® . ® IN0.30 0.30
Window 0,20
Door
CEO-0
Heatingyste'rn: -
Cooling
Water Heater. 'I IIIIIg''d 111111, 1111''
Date.
Name:
Comments
:aweu9W 121120
0i10 OZ abed Z56Z1 .N�I �.��
on i e W any ua6ja8 wnupeld :al4!14oafojd
J
EZ/50/60 :a4ep:podaa (Z jail)Pedwl'g61-H T
(£jail);oedwl
mol £ (Z j;u)Iaedwi,wnipaW Z
:suo!}dwnssV/s:tuawwo:) leuo!:l!PPV
alge:)ilddy 4oNCJpapinojd uaaq aney swaIs�S
algenjasgo IoNCI, 6upeaq J@IeM pue leolueyoaw
jo,slenuew jajnpelnueW
ION saoa� Cil" a21 V
uawajinbad saildwo.00 eu!d
•}aw ag IIinn. anlep anleA suo�slnoad uo!;�adsul 1 uolva'
suol;d w nssV/s;uawwo�
-selldW03 pal;!�a/�P181:1 sueld
i
PRQAECT
wa tILO-CATION.
�y
�\ LAND N/F OF 3D W
BROOKLYN TIMBER INVESTORS ( �'
UNDEVELOPED 1 c`
pI a
NO PUBLIC WATER AVNLABLE
N 22°33'50' ,'i4 AWWYYY
N .DW 0 @ ,
PROPOSED U,G,WATER Ppp
d
y—
SERNCE
.. I
re
o.
u
„ ,.
O PROPOSED O..H.. \
o I ;ELECTRIC SERVICE M A P
LOCATION
CLEARINGINC N.T.S.
C^ m \' .
I'�3 --
LL � PROPosm TREE ^ HLWO'DMI CL ✓`�'�"
SKI SAS
'Mr
2 ST1,
ti 4
J P Y •. &u,q, no .,,,a,„1 WNT W/CHAR
... -- "-•,..�,.,�. ABOVEC AL FILTER
6''MIN � "A
GARAGE
1 6p.,�„„ �., F.F. =37.0 '», °ROM ANY WINDOW OR DOOR.
1^ y PROPOSED FUJI CLENJ
CONTROL PANEL IN
NEMA 0..ENCLOSURE
PROPOSED NOB
5'STRIP GRAIN
SUFFOI K COUNTY DEPARTMENT OF HEALTH SEFtt/PCES
"" W2 PERMIT 1::'OR APr'ROVAL.. OF CONSTRUCTION If:::OR A
YI /Il, ,al
- SVNGLIE_ IPAPVI81_Y CSF-sIDENCE 091...:1°
I
_ �. ,... . rr^r^r^a: ,; '1^' '�°+�'�u,�Y�w*.,rY •ar•«""M^�w�'��' ,. I�
\ PROPOSED MAC MA AI.
BLOWER MODEL MAcaoao p +D� R-23-0554
O�CONCR TE PAD TO 9E DATE511 W3 H H.S F,
HARDWIRED TO CONTROLLER '""•"•••"""""•"'"""""'""'" ""'
APPROV
POR.
T \ '
N 22`33'50" 'n% 4 BEDROOMS
EXPIRES THREE YEARS
MAXIMUM OF
_ RS HROM GATE OF APPROVAL
LAND N/F OF
BROOKLYN TIMBER INVESTORS
UNOEVE].OPEC
_. NO PUSUC WATER AVALABLE
P
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
SITE PLAN
SCALE: 1 40'
ar
' Feel
4.
., ..........
Design Professional's Certification Required.
TEST HOLE BY MCDONALD GEOSERVICES
LEGEND: SURVEY NOTES: ,/1
2/2
0
22 Submit P.E.or R.A.Certification For
BUILDINGS:
�•—�, EXISTING VACANT MEAS'.REMENTS ARE N ACCC-„':i 0'r .ANDA40_ 35 10'
`
II PROPOSm BUILDING - EAR NGS SHOWN ARE h NEW ^Rh STATE PJ+h COORDINATE SYS-=IV. -74G ISLAN' ?CNE The Installation and Construction Of the�aE.tIVa�P_�I)IS��CbSa System
L_.. .d F '� GROJNr E_
wm
-""-• PROPOSED 2 STORY RESIDENCE _INATIONS SHOWN HERE ON REND NAIL 19B8tiT cw
:- PROPERTY LINE W/ 4 BEDROOMS 4 „NAI.'HORIZEC ALTERATION U ?-DI'ION v SURVEY MAP BEARING A _ICENSED IAI:O tJSe Form V1(VIV/M 013
SURVEI'ORS SEAL IS A VIOLA'ON ')S-Z7ON 7209 SUBDIVISION 2 OP HE NEW YORK
—11.0--- EXISTING CONTOUR STATE EDUCATIC'J ,AN
SITE DATA: 5 ONL” COPIES FROG HE ORIGINA- OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE
SITE AREA 1.21 ACRE Q
O�O] PROPOSED BENS I/A TANK S : 1000-113.00-02.00-00'.005 ;ANO SURVEYORS 'EMBOSSEC' OR 'INKED' SEAL SHAL_ BE CONSIDERS- TO BE VA-D 7R E
N' I
DII0 PROPOSED OISTRIBlIT10N/SAMPLING MANHOLE -ER ES
CO PROPOSED SANITARY CLEAN OUT GENERAL NOTES = SER iPCATI0N5 INC CA'ED HERRN 3 o r `FTA' THIS SURVEY WAS �RPPAR-D IN R 4
^ ACCORDANCP W17-' SO EXISTING GOOF 0- PRACTICESS LF R L SD RVEFVESC SAID OPT- I
A PROPOSED PIPE FOR MAC-R'AIR BLOWER 'NE NEW YORK C
ASO MANUFACTURER'S REQUIREMENTS 1. NO EXISTING SURFACE WATER WITHIN 100' '•rR 'CATION` SHPT_ RUN ON. T„F PER-ON FOR WHOM THE S..R�'_ IS PRE=ARLC I
—Ix— PROPOSED O.H.,ELECTRIC 2. NO PRIVATE WATER WELLS ARE LOCATED WITHIN 150' OF THE PROPOSED ANC CN HIS BETA-`O THE COMPAN' ,GOVERNMENTAL AGENCY A%- LENDING mn�^.mrel.ww^�� N.i�*� xx DATE BY DESCRIPTION APPROV. BY
SANITARY SYSTEM. NO PUBLIC WATER WELLS ARE WITHIN 200' OF THE INS-7 ION LIS_- HEREON AN.,
HE Assi=O of THE LEND:NC NS ruTIDN REVISIONS
—r—PROPOSED 2-1/2'0 HDPE VENT PIPE PROPOSED SANITARY SYSTEM CEHIIF CATIONS 4RE NC7 IRAN S'ERAB_E TC A�Dn'lON.4L iNSTTTIlTIO'VS = SJBSEQUEN- ,
t� (uyl PROPOSED SANITARY LEACHING POOL 3. NO DRAINAGE STRUCTURES WITHIN 8' OF SANITARY SYSTEM R;HERS F-Wa'' Nu SHOWN ARE LIC-CER-IFIEO, '', T O yy N OF S O U T H O LD
4. PROPOSED SANITARY SYSTEM IS DESIGNED FOR A TOTAL OF 4 BEDROOMS.
irt) PROPOSED FUTURE EXPANSION SANITARY LEACHING POOL B. THE SURVEY C_CSES MATHEMA ::A'.-!
FFSU _OLX, COUNTY, NY
PROPOSED SANITARY PIPE G
PROPOSED 10'0 DRAINAGE STRUCTURETHE FIELDS AT MATTITUCK
PROPOSED WATER SERVICE
LOT 27 PROPOSED SANITARY
PROPOSED U.G.ELECTRIC SERVICE (NO WATER ENCOUNTERED) ,� 6DY
HIGHEST EXPECTED PLAN
r TEST HOLE LOCATION GROUNDWATER ® EL. 0.50'
Umm POLE L. K. MCLEAN ASSOCIATES P.C.
ELECTRIC METER CONSULTING ENGINEERS ,57 SOUTH COUNTRY RD.,BROOKHAVEN,NEW YORK 11719
MAIL BOX SEE ATTACFIEED SPECIAL CONDITION,
TELEPHONE MANHOLE wxs .w•Ymmi
L ra mwacR w a ra
L CATCH BASIN PWS
NNI�Rm,A,�N a"'ram,..,s fir` 47 d + DR:mIBTmB By: MF/CFD s.mm: AS NOTED
DVERLIEAD WIRES GRADING PLAN ND/OR PLOT PLAN, ArmK89.4
w�m waM 1,. � (' SS Drawn OrmwT By: MF 11 Omte: MARCH 2023 C 1