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HomeMy WebLinkAbout50232-Z TOWN OF SOUTHOLD w BUILDING DEPARTMENT TOWN CLERK'S OFFICE y;d SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 50232 Date: 1/18/2024 Permission is hereby granted to: Brooksite Inc 74 Buckley Rd mm Patchogue, NY 11772 To: Construct a new single-family dwelling with HVAC system as applied for per SCHD approvals. At premises located at: 80 Deer Run, Southold SCTM #473889. _ .... ....... �._-_ �_.. .. _ . Sec/Block/Lot# 79.-4-17.18 Pursuant to application dated 12/14/2023 and approved by the Building Inspector. To expire on 7/19/2025. Fees: SINGLE FAMILY DWELLING—ADDITION OR ALTERATION $4,796.50 CO—NEW DWELLING $100.00 Total: $4, 896.50 .................... � a_.. _...meee �. -------------. . Building Inspector sev grat � MY 4 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 I�ir s.lira. + .spat'utlolcli'o "n�:u+ • �� m Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only �0 32 2 PERMIT NO. Building luaspectors Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant Is not the owner,an Owners Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: Nl ('� N 4 SCTM# 1000- 0-141 .." "". • l Project Address: Q e.l� !� Oln O I Email: O� � I Z'z "" * Phone#: �I � � "' 4 + a 3 3 Mailing Address: _h e 1 7 a ; CONTACT PERSON: Name: A K Mailing Address; Phone#: SI( - �� �1f� Email: ZZI�y0 DESIGN PROFESSIONAL INFORMATION: Name: �0 YIwo1 'p Mailing Address: ° h'0 ► }+ 4Ly '�' S 0 Phone#: �3 — Jr� Email: C, 1 06 LIW% CONTRACTOR INFORMATION: Name: ItA* C 0 arst Mailing Address: 40 FrQ I � V� rum14 � ° I� d N � . Phone#: � ' — C I Email: r + fi Ca DESCRIPTION OF PROPOSED CONSTRUCTION ew StructureAddi i ri. ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other — TIA )If Will the lot be re-graded? ❑Yes A No Will excess fill be removed from premises? ❑Yes ZLNo 1 1 PROPERTY INFORMATION Existing use of property: E S 1 •v I Intended use of property:S'"0 F o'"-i r H J M QhT1 Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to AC this property? JkYes []No 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 Torn Code.APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffok County,New York and other applicable laws,Ordinances or Regulations,for the construction of buiklhgm 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 bullding(s)for necessary Inspections False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal law. Application Submitted By(print name): A L40 W,6 ❑Authorized Agent Xowner Signature of Applicant: ��;�,, Date: / s STATE OF NEW YORK) SS: COUNTY OF001 P I Aty8 Al being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the W h (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this litoday of 20 JN)Dtary P blic ' arrolyn' 'er NOTARY PUBLIC,STATE OF NEW YOj Registration No.01SN6101622 Qualified in Suffolk County PROPERTY 1OWN aR AUn H O R I�z`A el O N commission Expires November W,2 pp ) 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 CA:: No Scott A. Russell 0SUFFQIr 5TORIMMAX]EIK SUPERVISOR M[t�1�N AG]ENHENT SOUTHOLD TOWN HALL-P.O.Boz 1179 p 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) - - - — — - - - - - - - - - - — - - - - — - — — — - - — - - — - — — - APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME; Crl r i Date: Contact Informat loll: O O +C mad 8 Telephone Nnmter) y, O LAW «. Property Address / Location of Construction Site: 1000 District 01-7,18 Section Block Lot I TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT - - - - - - — — - - - - - - - - - - - — - - — — — — - - - --- - - - - - Area of Disturbance is less than I Acre, No S.P.D.E.S. Permit is Required ! Xi J g � � Pear Project does Not Discharge to Waters of the State. r S.P D.I~.• rtrt Is Required Area of Disturbance is Greater than t Acre & Sto)m-avater Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit DIRECTLY From N.Y.S. D.E.0 Prior to Issuance of a Building Permit. 0 - Area of Disturbance is Greater than I Acre& Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit throu h the Southold Town Engineering Department Prior to Issuance of a Building Permit. Reviewed By: / 'VI� '' � Date. r�/1J -73 mpm a CMCP - TOq nrtnhPr 7n i nr MYSIF New Vark State insurance Fund PO Box 66699,Albany,NY 12206 I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) AAAAAA 086600657 GIACIZZO INC T/A GIACALONE INSURANCE AGENCY 57 EAST MAIN ST SCAN TO VALIDATE RIVERHEAD NY 11901 AND SUBSCRIBE POLICYHOLDER 71CERTIFICATE HOLDER MICHAEL ORSI DBA MICHAEL ORSI JR THE TOWN CONSTRUCTION BUILDING DEPARTMENT 40 FRANKLIN AVENUE MASTIC NY 11950 POLICY NUMBER CERTIFICATE NUMBER :::POLICY PERIOD DATE 12436152-9 744062 01/27/2023 TO 01/27!2024 1/25/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2436152-9» COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WOfi KERV COMPENSATION UNDER THE 14EW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND„ WITH RESPECT TO OPERA"T"IONS OUTSIDE OF NEW YORK TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY, IF YOU WISH TO RECEIVE NOTIIFICATION$REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR"TIMIESSITE AT HTTPS:II .NYSIF.COM/CSRT/CERTVAL,A SFS»THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE"IN THE EVENT OF FAILURE TO GIVE SUCH N+ti TIRCATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANIS CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:720769515 U-26.3 Workers' Y'LCERTIFICATE OF INSURANCE COVERAGE Cam(ensation c Hoard 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 1 a.Legal Name 8 Address of Insured(use street address only) 7 lb.Business Telephone Number of Insured MICHAEL OI SI (631)506-9321 40 FRANKLIN AVE MASTIC NY 11950 ic.Federal Employer Identiflcallon Number of Insured Work Location of Insured(Only required if coverage is specillcaily limited to or Social Security Number certain lacallo=in Now York Slate,Le,Wrmp•Up Policy) 08-6600657 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate holder) Standard Security Life Insurance Company of Neiv York THE TOWN 3b.Policy Number of Entity Listed in Box"1a" BUILDING DEPARTMENT L80603-000 3c.Policy effective period 11/2512015 to 1124/2024 4. Policy provides the foilowing benefits: [K7 A.Both disability and paid family leave benefits. [] S.Disability benefits only. [] C.Paid family leave benefits only. 5. Policy covers: E] A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. [l B.Only the following Gass or classes of employers employees: Under penalty of perjury,I cerlify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability aridtor Paid Family Leave Benefits insuran coverage asdescribed hove. Date Signed 1/25/2023 By (Signature o insurances carrier's aw car led f to va Ni�141 Insurance Agent of Meat insurance rarrter) Telephone Number (212)355-4141 Name and Title saw Ishmail.Supervislor-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 4B,4C or 513 is checked,this certlflcate 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 56 of Part 1 has been checked) State of New York Workers" Compensation Board According to information maintained by the NYS Workers'Cornpensafion 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 Emplovee) 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.f, Insurance brokers are NOT authorized to Issue this form. DB-120.1 (10-17) plp�illfNNNIIIIIII � � Cf�l1 DB-120.1 (I.0-11) r Vii,iu Labor, Licensing & Ci,,#),nsumpr AM" n: rr � Hora E L: P 8 Business Name ��jµµ� �9 Maul'"T �I��, .IlM. O i R gar � µ R 4.n�*dF ,� Iq�" d-T R(N,�d� M " � '+,u� jG��"` 5 me 02/05,12013 '(';(,)MMiss,oner CERTIFICATE OF LIABILITY INSURANCE °A�`M11"Ir°0120h 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 pDlicy(ies)must have ADDITIONAL INSURED proVlslorls 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 GIACIZZO INC/GIACALONE INS.AGY IEa 57 EAS MAIN S ,UNIT 3 11901 Ap AIu�Eat): IIGIAC u0 NC@GMAIL.COM "t 631-208-9090 o Not' 631 208.1860 CONTACT:JEANINE GIACALONE _ _INSURER(SIAFFORDING COVERAGE ., NAIC is ATLANTIC CASUALTY INS CO ! 426.84 . ... : INSURERA: 6 INSURED MICHAEL ORSI JR DBA MICHAEL INsuRERB: I ORSI JR CONSTRUCTION I`N, uTITIc: 40 FRANKLIN AVE INSURER D '- MASTIC,NY 11950 INSURER E 'INSUR'E�R Fc COVERAGES CERTIFICATE NUMBER. REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW I-MVE 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 ILTA SR WACbt14.wvn 1 ._'. . . I POLI Y EFF ; POLI E1tfi ;_. .�• ._. I ..„ .. POLtlCY NU�O'tleER '�E ACIII OC?'URRE1rFrT. LIMITS - COMMERCIAL GENERAL NL ABILITY tl'Y O Y��-.LO6BU2T748-2 Mkr1D�.dYY M DrJ'N'W'1 L 11/21/2023:11/2112024 EArttl1CCIRREIxEE E 1,000.000 I CLAIMS-MADE X~OCCUR R _ i PPEMtlST„sMLas� "._ 100,000... M u I,VP TAny e1wV p N1r0ny E 5,000 PPRSCIAAl&ADV OvwRY S 11O00,00t? jc. -N'L AGGREGATE Lc atlT APPLIES PER _ 4 ?JER,u.A CPEVW,'E E 2,000,000 POLICY; LCC oTltlEa %rRo ucrs olnrxor AGG E 2,000,000 F�'AUTOMOI,,BILELIABILITNYAUTO BOILY INJpersell) i WED SCEDULED ULIABILITY ONLYBODILY Par ac-caenll 5IRD VO`O*N=O AUTOS ONLY riT05 C^LY ; .�"....._. . m j 1,�°fkr aG;re'k�'11T ., UMBRELLA LIAR I-- N FAGH OCCURRENCE S OCCUR n I i. I i "EXCESS LIAB (,L,:,IF9a✓:IDE " " AGGREGATE P� O , RETEq�TT'tg'E - I WORKERS COMPENSATION - FWC'drFSdaVlS,yl AV LIABILITY PER YIN ' I STAIUIE ER AND R P RI TORM i U iC.KfruT'ivrEll' j N f A �; d BJdJRnRT-0C,1RJ �� EL EACH E ( dvory 1 I I M . iOJ e►descabeuwr'^.W EL DISEASE CEAEMT!tiLO^tEE'6 Mandyp0 in N41 O°:OPER TIONSII:,"bww ✓•E L 31SEAS'E-POLICY LIMIT E " i I q l l H a DESCRIPTION OF OPERATIONS J LOCATIONS x VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached it more space is required) CAPRENTRY/REMODELING CERTIFICATE HOLDER IS ALSO ADDITIONAL INSURED CERT FICATS HOLDER CANCELLATION TOWN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SUPERINTENDENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ( I The ACORD name and logo are registered 11988-2015 ACDRD CORPORATIO M All rights reserved. ACORD 25 2016/03 g g' ered marks of ACORD Generated by REScheck-Web Software is Compliance Certificate Project Brian August- Lot 1 (88) Deer Run, Southold, NY 11971 Energy Code: 2018 IECC Location: Southold, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 7,266 ft2 Glazing Area 18% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Lot 1 (88) Deer Run Brian August RobertJames Higgins Architect Southold, New York 11971 Lot 1, 88 Deer Run 50 Hidden Acres Path Southold, New York 11971 Wading River, New York 11792 516-234-8303 631-208-3351 I-M,' ENNEN= Compliance: 7.4%Better Than Code Maximum UA: 745 Your UA: 690 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. Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck° Each slab-on-grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements. Envelope &55emblies Prop.Gross Area Cavity Cont. Prop. Req. Perimeter Hot Roof: Cathedral Ceiling 3,458 35.6 0.0 0.029 0.026 100 90 Exterior Walls: Wood Frame, 16" D.C. 3,585 20.6 0.0 0.058 0.060 165 170 Front Doors: Solid Door(under 50%glazing) 56 0.200 0.320 11 18 Windows:Vinyl Frame 692 0.300 0.320 208 221 SHGC: 0.30 Garage Walls: Wood Frame, 16" o.c. 450 20.6 0.0 0.058 0.060 25 26 Garage Door: Solid Door(under 50%glazing) 18 0.160 0.320 3 6 Knee Wall:Wood Frame, 16" o.c. 297 20.6 0.0 0.058 0.060 16 17 Attic Door: Solid Door(under 50%glazing) 20 0.200 0.320 4 6 Ambient Floor: All-Wood joist/Truss 107 30.0 0.0 0.033 0.047 4 5 Garage Ceiling: All-Wood joist/Truss 229 30.0 0.0 0.033 0.047 8 11 Basement Wall: Solid Concrete or Masonry Wall height: 10.0' 2,460 0.0 14.0 0.048 0.059 113 139 Depth below grade: 8.0' Insulation depth: 10.0' Windows: Vinyl Frame 111 0.300 0.320 33 36 SHGC: 0.30 Project Title: Brian August- Lot 1 (88) Deer Run, Southold, NY 11971 Report date: 11/16/23 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. Name-Title Signature Date Project Title: Brian August- Lot 1 (88) Deer Run, Southold, NY 11971 Report date: 11/16/23 Data filename: Page 2 of10 CREScheck Software Version : REScheck-Web �(J 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. Section Plans Verified Field Verified &Re ID p. .............. ,w. �... L Value.......... _.Value._..,... N ?_.. ...- .. .... ... # Pre-Inspection/Plan Review Com lies. Comments/Assumptions p,p 103.1, :Construction drawings and ❑Complies Requirement will be met. 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the ❑Not Observable building envelope.Thermal envelope represented on ❑Not Applicable construction documents. w .., ...,.. ...6...,.,. ... ........ 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 w , 'Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC 'Commercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating: w. I❑Complies 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 Coo)Ing Cooling: ❑Not Observable Manual J or other methods Btu/hrBtu/hr approved by the code official. ❑Not Applicable Additional Comments/Assumptions: 1High Impact TTier 1) 2,,LMedium Irnpact(Tier 2) 3 flow Impact(Tier 3) Project Title: Brian August- Lot 1 (88) Deer Run, Southold, NY 11971 Report date: 11/16/23 Data filename: Page 3 of10 Section # Foundation Inspection Pans Verified Fmiel fie �C...om l_ie�s7, m Com_m.._e.. is/eAssum ptions & ReqID ValueValue .......... 402.1.1 Conditioned basement wall R R- ❑Com Ies See the Envelope Assemblies [FO411 insulation R-value. Where interiorR- R- ❑Does Not table for values. insulation is used,verification ❑Not Observable may need to occur during Insulation Inspection. Not ❑Not Applicable required in warm-humid locations in Climate Zone 3. 303.2 Conditioned basement w..." all ❑Complies Requirement will be met. [FO511 insulation installed per ❑Does Not e manufacturer's instructions. ❑Not Observable ❑Not Applicable 402.2.9 .�W:.Conditione.. _. ,__ � ... .. �e.m�.d_....e....��.. ... . _ _. ,m....___ ._ ..... _.....�. d basement wall _ft ft ❑Complies See the Envelope Assemblies [FO6)1 insulation depth of burial or ❑Does Not table for values. distance from top of wall.40 ❑Not Observable ❑Not Applicable _ . .... 303.2.1 A protective covering is installed ❑Complies Requirement will be met. [FOI112 to protect exposed exterior ❑Does Not insulation and extends a _]Not Observable minimum of 6 in, below grade. ❑Not Applicable 403.9Snow-and ice-melting system ❑Com lException: applicable. t y pies p Requirement is [F012]2 controls installed. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 -Ig Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact (Tier 3) Project Title: Brian August- Lot 1 (88) Deer Run, Southold, NY 11971 Report date: 11/16/23 Data filename: Page 4 of 10 9 9 PIanV lueified...., FielV luefied p _ ptions section 021.1! DoomU facto Rough-in Inspection U- U- ❑ComplieComiseS See ommevelope Assemblies N ns ssum r. m blies 402.3.4 ❑Does Not table for values. [FR1]1 ❑Not Observable , ❑Not Applicable 402.1.1, 'GlazingU-factor(area-weighted U- U ❑Com lies See ITITITITITITITmmmmmmmpe m 402.3..1�___...avera. � ---- �m���___ 'g p' ee the Envelope Assemblies 9e)• ❑Does Not able for values. 402.3.3, ❑ 402.5 Not Observable [FR2]1 ❑Not Applicable ------------ 303.1.3 U-factors of fenestration � ... .. � ion products ❑Complies Requirement will be met. [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or ❑Not Observable taken from the default table. ❑Not Applicable 402.4.1.1 'Air barrier and thermal barrier ❑Complie � -- s Requirement will be met.- - -� � � � � -� - � -��� ����������� [FR23]1 installed per manufacturer's ❑Does Not instructions. []Not Observable ❑Not Applicable _. ...................... ................ _ ..m.... � .. . ... .� � _.__._..._ 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 ❑Not Observable or has infiltration rates per NFRC 400 that do not exceed code ❑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 E xception: Ducts located [FR12]1 insulated >= R-8 where duct is ❑Does Not completely inside the >= 3 inches in diameter and >_ ❑Not Observable building envelope. R-6 where< 3 inches. Supply and return ducts in other portions of ❑Not Applicable the building insulated >= R-6 for diameter>= 3 inches and R-4.2 for< 3 inches in diameter. ._.—®®------. .... . .......,.. _........... ._...._.. 403.3.2 Ducts, air handlers and filter ❑Complies Requirement will be met. [F R1311 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 .... P 9 conveying ❑...., __.. �. . ...... pin conve in . 403.4 HVAC i fluids R- R- Complies Requirement will be met. [FR17]2 above 105 9F or chilled fluids ❑Does Not J below 55 9F are insulated to >_R- ❑ 3 Not Observable ❑Not Applicable 403.4.1 Pro_... ...�.,�_.. .. ...: _. ..._- tection 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 - a ..... :..__ to R- R- ❑Complies Requirement will be met. [FR18]2 >_R-3. ❑Does Not ❑Not Observable ❑Not Applicable High Impact (Tier 1) _ 2 Medium edium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Brian August- Lot 1 (88) Deer Run, Southold, NY 11971 Report date: 11/16/23 Data filename: Page 5 of10 section Framing/Rough-in Inspection PlansValuetiedField Value Complies?Com lies? Commen w.R! i �� _. _�. _w... .._. __ _... .. .w... ..,,„ ......., is/Assuan�. 4016 Automatic or gravity dampers are OComplies Requirement will be met., [FR1)2 installed on all outdoor air ElDoes Not intakes and exhausts. E]Not Observable E]Not Applicable Additional Comments/Assumptions: 1Ri��] gh Impact{ L d _ _ . ..yew 11 .._ gym.f! edNumimpect fieri...... . L�aaw Irrapct...i Misrl Project Title: Brian August-Lot 1 (8 8) beer Run, Southold, NY 11971 Report date: 11/16/23 Data filen rne, Pace 6 of 10 Section Insulati- p Plans VerValue fled �1 Feel Value fied —_ ......__���p.. '. . _,_.., p s & Rey ID„ - - - - ❑Com 'Requirement will be met.lies on Ins ection Com lies Comments/Assum tion 303.1 All installed insulation is labeled p [IN13]2 or the installed R-values ❑Does Not provided, ❑Not Observable ' ❑Not Applicable 402.2,6 Floor insulation R-value, mm R Wood Q Wood ❑Domplies Not tee e Envelope Assemblies oes s. [IN1]1 ❑ Steel ❑ Steel ❑Not Observable ❑Not Applicable 402.2, manufacturer'sinsullion instructionsaaper and - ���- �� � � ❑❑Does Not _ -. ������ 303.2, p p' Requirement will be met. [IN2]1 in substantial contact with the ;❑Not Observable underside of the subfloor, or floor (framing cavity insulation is in ❑Not Applicable contact with the top side of sheathing, or continuous !insulation is installed on the underside of floor framing and extends from the bottom to the top of all perimeter floor framing members. 02.1.1, 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 El Mass E] Mass ❑Not Observable [IN3]1 exterior,the exterior insulation requirement applies (FR10). E] Steel EJ Steel ❑Not Applicable 303.2 Wall insulation is installed per ❑Complies Requirement will be met. [I nusinstructions. ❑Does Not ❑Not Observable []Not Applicable Additional Comments/Assumptions: L19 p ._ 9 L..w Impact(Tier 3�... Hi Whmlm act(Tier 1) 2 wMedium Impact(Tier 2) 3 o P Project Title: Brian August- Lot 1 (88) Deer Run, Southold, NY 11971 Report date: 11/16/23 Data filename: Page 7 of 10 section& f�e�,.1D _ � .. ....._ P.�la n �-Verified ied .. Field iel�-.......f.i..e._d . t��A �m tion._s# Final Inspection Provisions ValueValueCop esommen 402.1.1, Ceiling insulation R-value. R_ R ❑Complieh5etEnvelope 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, ❑ Steel ❑ Steel ❑Not Observable 402.2.6 ❑Not Applicable [FI1]1 303.1.1.1- :Ceilinginsulation installed per mmm p omplies Requirement will be met. 303.2 manufacturer's instructions. ❑Does Not [F12]1 Blown insulation marked every ❑Not Observable 300 ft2. ❑Not Applicable 402.2.3 Vented attics with air permeable - _ ❑Complies _...;Requirement w .._. ill 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 met. [F13]1 insulation >_R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable — ❑Do eNot Requirement[F0117]11 2 ach inrClimate ZonesOlP2, and ACH 50 ACH 50 p — _ — door test @ . .. . a. _ ....mmm will be met. <=3 ach in Climate Zones 3-8. []Not Observable I ❑Not Applicable 403.3.3 pressure tested to cfm/100 cfm/100 ....A ITITITIT_.ir [FI27] determine air leakage with ft fC ❑Does Not handlers are located within either: Rough-in test:Total '❑Not Observable conditioned space. leakage measured with a 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. [ 1411 "—Duct ft2 across system of<-4 z IT cfm/100 _2 cfm/100 ©❑DoespNot handlers PI ducts and air r y tem or ft ft e.e.e_ ^mm �•w.... _ I 1 located within <=3 cfm/100 f 2 without air []Not Observable ace. 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 g ❑Complies Requirement will be met. [F124]1 by manufacturer at<=2%of ❑Does Not design air flow. ❑Not Observable ' ❑Not Applicable _ 403. i1.1 Programmable thermostats �� � � � �ElComplies Requirement will be met. [F19] installed for control of primary ❑Does Not heating and cooling systems and ❑Not Observable initially set by manufacturer to code specifications. le ❑Not Applicable 403,1.2. ...-Heat . . .....�........ .....rc �.�.wo � w,., :: rww��� , ....,..._P. �-.-, ..._ pump thermostat installedp p q ❑Com lies Exception: Requirement is [FI10]2 on heat pumps. ❑Does Not not applicable. ❑Not Observable ❑Not Applicable _-mmm _ 403.5.1 Circulating service hot water OCom lies Requirement will be met. [FI 1112 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable _... _ .�]� ....... . .. ..... . 1 Hi h Im act(Tier 1) _ 2 Medium Impact(Tier 2) 3 L p_ ow Impact(Tier 3) Project Title: Brian August- Lot 1 (88) Deer Run, Southold, NY 11971 Report date: 11/16/23 Data filename: Page 8 of10 Section Plans Verified .... Field Verified p .. �� ... .., p ' _ ... # ' Final ValueValue Provisions Complies? _ Comments/Assumptions 03 61 l� All mechanical ventilation system ❑Com lies ._._.� - y p Requirement will be met. [F125]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy ❑Not Observable and airflow limits per Table R403.6.1. ❑Not Applicable ................ ❑C 403.2 Hot water boilers supplying heat ._ omplies Exception: Requirement is [F126]2 through one-or two-pipe heating ❑Does Not not applicable. systems have outdoor setback control to lower boiler water ❑Not Observable temperature based on outdoor ❑Not Applicable temperature. 403.5.1.1 Heated ,,, ........ _. ,.. ... ._ ..,o_ �������_.:_.. .r .........�. ed water circulation systems ❑Complies Requirement will be met. [F128 12 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. [0251.2 Electric a systems ... ❑. lC omp.l.ies —_Exception Requirement is .]. comply w IEEE 1 o UL ❑Does Not not applicable. 515. Controls automatically ❑Not Observable adjust the energy input to the heat tracing to maintain the ❑Not Applicable desired water temperature in the piping. 403.5.2 Demand recirculation water � � � OComplies Requirement will be met. [F13 012 systems have controls that ❑Does Not manage operation of the pump ❑Not Observable and limit the temperature of the water entering the cold water ❑Not Applicable pip'intg to <= 1042F, 4013 ]4 tested water heat recovery units _ - � � ❑Complies . Exception: : Requirement ment is n accordance with CSA ❑ not Does Notapplicable. 855.1. Potable water-side ❑Not Observable pressure loss of drain water heat 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 404.1.1 Fuel gas lighting systems have ❑Complies Requirement will be met. [F123]3 no continuous pilot light. ❑Does Not ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies Requirement will be met. [F17]2 ❑Does Not ❑Not Observable ❑Not Applicable 1 Hugh Impact(Tier 1) 2 Medium I pct(Tier 2) 3 Low Impact(Tier 3 Project Title: Brian August- Lot 1 (88) Deer Run, Southold, NY 11971 Report date: 11/16/23 Data filename: Page 9 of10 Sec rtirrw __ _... . ..... �._ .....�. PianFed Field Verified SFiInspection Provisions Value' � Complies? �. Cen.._es/A.s..ms�. rptin l . 3033 ManufacturernaaalsFarGCorlees Requirement _ ._ will be met. (1`11813' mechanical and water heating O'Dees Not systems have been provided. EINot.Observable EINot.Applicable Additional Comments/Assumptions: l �...._ 1 l-imgh impact(Tuer ll 2 lwledar�rn Iwx� act l�"ier Lowirnpact Tier Project T1tle: Brian August- Lot 1 ( ) Deer Run, Southold, NY 11971 Report date: 11/16,/23 Data filename: Page 10 of 10 2018 IECC Energy Efficiency Certificate EMEMMINMEMEMIMMIM Above-Grade Wall 20.60 Below-Grade Wall 14.00 Floor 30.00 Ceiling / Roof 35.60 Ductwork (unconditioned spaces): Window 0.30 0.30 Door 0.20 Elm Heating System: Cooling System:. Water Heater: Name• Date• Comments A TANK, AN800 245 PRETREATMENT B 130002 SNG STANDARD 2 TANK CONNECTING KIT C ASSEMBLY, RE-CIRCULATION 245 COMPLETE AN800 D AN800-P AN800 W/ PLATFORM COMPLETE E EC50-30-L150-PLC EC50-30-L-150-PLC WITH COMPRESSOR s HP MIXER PUMP G RE-CIRCULATION PUMP H EFFLUENT FILTER TWA �� a ��➢ 11, . ffFOLK C01JNTY OF ° " ..° a LTH "-")E ,.I IC " S IVB . ' "'"" ",' �44 y ,. n µ a µ 44.')Ni. `m 4 � III ppN'fl Ce R g �. Y Dr° rry 12/13/2023 H.S. REF. N� ,� ,. , „R 23w 7.02 .... .............. k� r f a tl M. '�✓P't. �,��, a��� �.__. .. .. 4 @i 1 � r SCDHS APPROVAL KMAN,L.S.DATED 10113/2023 Michael M apes, . . 163 PENINSULA PATH r� RIVERHEAD, N.Y 11901 r PHONE 6�31-359 NATER err, 80 DEER RUN SIZE REV. ZP D PROPOSED SANITARY PLAN A DATE 1` 2-202 SCMF 1'=40' giEET 1 OF 1 A TANK, AN800 245 PRETREATMENT B 130002 SNG STANDARD 2 TANK CONNECTING KIT C ASSEMBLY, RE-CIRCULATION 245 COMPLETE AN800 D AN800-P AN800 W/ PLATFORM COMPLETE E EC50-30-L150-PLC EC50-30-L-150-PLC WITH COMPRESSOR 3 HP MIXER PUMP G RE-CIRCULATION PUMP H EFFLUENT FILTER TW-4 � �� � ����•� it � i u�rm,� ��� , M u awl µ m' � r I' G J`"` 4;A/1 ,rug' R S�m") ^rm f DATE 12/13/2023 9 E",. REF. N o. R-23-1702 D , 0 , I � �,'ed..�� d u �0, tt r A., SCDHS APPROVAL KMM,L.S.DATED 10113/2023 Michael Ma s,P.E, 163 PENINSULA PATH RIVERHEAD, N.Y 11901 PHONE 631-36 170 WATER 4 80 DEER RUN SIZE �.... ZP D PROPOSED SANITARY PLAN A DATE 11,-22-2 SCALE 1"=40' SHEET I (F DlSTRIEUT,") ` r ! ( r 1-8'DIAx12' DEEP EXPANSION POOLS 1��' •: a T ply /' LF • T.H. 5'MI5 MIN N�r'. E E oT ✓�N / ( x SERVICE ! t 6. r,r SERVICE 1"MINr AREA OF INTEREST f / SCALE 1"=20' kqc r� +za.a *1, //�, +3ae *zde ! t r smc aw ( it�+W ! ( �`^^� / 1T�,1{r.E �•'""s..., tib, l/ 'mac..., /'� awr. 1412 x za>t , / . 1 --- ''zee +zea _Eb rE' ',✓47L *zee � DW 7 ~ rF t +zts /' !l +zar �& rrrr c7.71 A --------------T : +zas a zd" `"'^.—.._ ���•.�.�*,�.� ~ r 1F..Y77q�, .�.c." g'~ .a e l\W 'wv+~wY *zAt rrrr rrr � _jOL 2y7? ~`~ ASTLEACHINGPOOL 'NSIONLEACHING POOL 194 1PD. w ANOUT WDROACTIONAN8000WTS CL (xx) PROPOSED CONTOUR a w_ `Q xx---- EXISTING CONTOUR —,r— - WATERSERVICE q'a°= E — UIG ELECTRIC SERVICE — — GASLINE (JELL