HomeMy WebLinkAbout51043-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
l pP
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#: 51043 Date: 8/7/2024
Permission is hereby granted to:
Os ina, Aidderman R
7 Carriage Ln
Southampton, NY 11968
To: construct additions and alterations and to legalize "as built" finished second floor to
existing single-family dwelling as applied for. Additional certification may be required.
At premises located at:
435 N Ba view Road Ext, Southold
SCTM # 473889
Sec/Block/Lot# 78.-8-16.2
Pursuant to application dated 5/8/2024 and approved by the Building Inspector.
To expire on 2/6/2026.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,277.50
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $555.00
CO-ADDITION TO DWELLING $100.00
Total: $1,932.50
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 Ott s://www.souttioldtown�ny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only t<,e
PERMIT NO. Building Inspecton
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant Is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: 5 W24
OWNER(S)OF PROPERTY:�Nj
Name: 1dd8 1` �s (Nl� SCTM #1000- 079 .
Project Address: 435 444 L view (hied Mail t `f�''
Phone#: ;1 _ -2 Email:
Mailing Address: 05y �� ><V�aY���1�;��t' �('ol`t �'l«Zc�
CONTACT PERSON:
Name: r �. C l �j C' #2D 7 �C
Mailing Address: SO Ill etef. sw AY 11461L
Phone#: $Ib 651 2S69 I `;I ZoAt S'7ls I Email•ANd rcS 4 lCit
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address: SO gillXrftt I D
Phone#: 671 204 571S
CONTRACTOR INFORMATION:
Name: Ago # A lomf ko.
Mailing Address: lsftl ( � kr- AWA044 111 1101
Phone#: 631 165 160 Email: -eacos awo 44ftill.COM
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure HAddition MAlteration ❑Repair ®Demolition Estimated Cost of Project:
❑Other bk 00 ,
Will the lot be re-graded? ❑Yes I&No Will excess fill be removed from premises? ❑Yes 5<No
1
PROPERTY INFORMATION Existing use of property: * du a, Intended use of property: RCSduffo( (SAAC)
Zone or use district in which premises is situated„ Are there any covenants and restrictions with respect to
this property? Dyes I§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 Town Code. APPUCATION 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,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the co.tsb uction 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 210AS of the New York State Penal Law.
Application Submitted By(print name): RgAuthorized Agent ❑Owner
110-1 Signature of Applicant: , C Date: �!z�2y
STATE OF NEW YORK)
SS:
COUNTY OF 5 JK )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Apow
(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
day of i , 20iA
i Notary Public
KEVIN RODRIGUEZ OSORIO
NOTARY PUBLIC,STATE OF NEW VO R
Y.O.01RO6416209
FN' ���II �IY��"�R r 11-11I JTII "IORI ����� ig QUALIFIED IN SUFFOLK COUNTY
dwdwd----�.� �,..�.� �� ��� � �������� TERM EXPIRES APRIL 12,2025
(Where the applicant is not the owner)
residing at
do hereby authorize ML-01 e to apply on
my behalf to the Town 7 �
of Southold Building Department for approval as described herein.
4 (gym
11441-1-
Owner's ignat re
Date
Date
A& t
Print Owner's Name
2
Building Department ARplication
AUTHORIZATION
(Where the Applicant is not the Owner)
residing at 15 q 7 NCYt VV\JJ L fi 2 k!2.
(Print property owner's name) (Mailing Address)
`1b I _ do hereby authorize . ........� l
(Agent)
to apply on my behalf to the
Southold Building Department.
71171
(Own ' Sign
(Date)
°int et.... ...._.
... ( >s ame)
5'u.orn -�v �e(or¢ the, Agar, ,
%2VVIN R()[)d{TV+tjtt j„T7
No.0
QUA CAI "CIE o IN��J�� �&s'���t J)dltiO V^
TERM T 9I!TE"aAP-11T 12, g�)Z; '
5� �olk Coun De�'artment o f Labor Licensing
,�.
Consumer Affairs
Elm, T
TOWN
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED: 4/17/2024 No. HI-70154
SUFFOLK COUNTY
=; Home Improvement Contractor License
This is to certify that Fabian D Acosta Villamarin
doing business as ARD Management Corp
having furnished the requirements set forth in accordance with and subject to the provisions of applicable
laws; rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct
business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk.
NOT VALID WITHOUT Restrictions Additional Businesses
DEPARTMENTALSEAL
H22-Glass;
AND A CURRENT H50-Renovations `
d CONSUMER AFFAIRS
ID CARD
Wayne T. Rogers
Commissioner
f
This license is the property of Suffolk County
Department of Labor, Licensing & consumer Affairs,
* ier
Possession of this license does not guaranteeits validity.
r
Additional Business Name
License category
1-122 - Glass; H50 - Renovations
t
Generated by RScheck- eb Software
Compliance Certificate
Project 435 N Bayview Road Extension
Energy Code: 2018 IECC ID
Location: Southold New York
Construction Type: Single-family 1 9 2
024
Project Type: Addition
Climate Zone: 4 (5572 HDD) BtMDING DEPT-
Permit Date:
Permit Number:
TON" F S
All Electric false
Is Renewable false
Has Charger false
Has Battery: false
Has Heat Pump: false
Construction Site: Owner/Agent: Designer/Contractor:
435 N Bayview Road Extension Stephen D. Lemanski
Southold, NY 11971 Southampton Engineering Services
50 Hill Street
Southampton, NY 11968
Compliance: 17.5%Better Than Code Maximum UA: 480 Your UA: 396 Maximum SHGC: 0.40 Your SHGC: 0.32
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
SIIm::b-oin grade uradeanffs are no longer coirn:uuid::Ted in the U anu fur=:rforrrrornruce una:nunnir�llia nce qua i"n on Rli:�w�u:i°ua ck, IF Each aalalb Taro-gr��ad
�ussennnbu y in the specifiedn:.l'ma�te zone rruu.ft r'neet tlinnn miiniirrnu.urn e nEYgy code insuuiatlloi n IF..vahie and d(1)l:h ira:qu.:ilirerrne nts
Envelopg As5emblie5
Prop.Gross Area Cavity Cont. Prop.
Perimeter
Ceiling: Flat Ceiling or Scissor Truss 1,600 30.0 30.0 0.017 0.026 27 42
Wall: Wood Frame, 16" D.C. 2,264 21.0 0.0 0.057 0.060 83 88
Window: Wood Frame 800 0.270 0.320 216 256
SHGC: 0.32
Basement Wall: Solid Concrete or Masonry
Wall height: 8.0' 1,600 30.0 0.0 0.044 0.059 70 94
Depth below grade: 7.5'
Insulation depth: 7.5'
Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 1 of10
Compliance Statement: The proposed building design described here is conslste /din
wilding plans, specifications, and other
calculations submitted with the permit application.The proposed building has deto meet the 2018 IECC requirements in
REScheck Vers"on . REScheck-Web and to comply with the mandatory requi ara is I! he REScheck Inspection Checklist.
?-I/- Zy
Name-Title Slgnat a Date
r,,o66.
art
(P "~
3N :AO y
Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 2 of10
o
REScheck Software Version : REScheck-Web
C=Nl �j
Inspection Checklist
cl list
Energy Code: 2018 IECC
Requirements: 0.0% 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 Verifled
# Pre-Inspection/Plan Review Complies? Comments/Assumptions
& Reg.ID Value Value
103.1, !Construction drawings and ❑Complies
103.2 documentation demonstrate ❑Does Not
[PR1]1 energy code compliance for the
V, building envelope.Thermal ❑Not Observable
envelope represented on ❑Not Applicable
construction documents.
103.1, Construction drawings and ❑Complies
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.
302.1, Heating and cooling equipment is Heating:_ Heating:g. ❑C�mplies
403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
[PR2]2 on loads calculated per ACCA Cooling: Cooling: ❑Not Observable
Manual J or other methods Btu/hr Btu/hr
approved by the code official. ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2Medium Impact(Tier 2) 3 Law Impact(Tier 3)
Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 3 of10
section Plans Verified Field Verified
& Re ID
_______.__1__.p ..�....Mu Value ....Value .._. .....................�_...._..Comments/Assumptions# Foun at on Ins ect on om ies7
402.1.1 Conditioned basement wall R- R- ❑Complies See the Envelope Assemblies
[F04]1 '[insulation R-value.Where interior R- R- ❑Does Not table for values.
kn insulation is used,verification
may need to occur during ❑Not Observable
Insulation Inspection.Not ❑Not Applicable
j required in warm-humid locations j
in Climate Zone 3.
303.2 Conditioned basement wall ❑Complies
[F05]1 insulation installed per ❑Does Not
manufacturer's instructions.
❑Not Observable
Conditioned basement wall ft ft..........�...... v .
❑Not Applicable
402.2.9 ❑Complies !See the Envelope Assemblies
[F06]1 insulation depth of burial or `❑Does Not table for values.
distance from top of wall.
❑Not Observable
❑Not Applicable
303.2.1 A protective covering is installed ❑Complies
[FO11]2 to protect exposed exterior ❑Does Not
insulation and extends a
minimum of 6 in. below grade. ❑Not Observable
❑Not Applicable
9 Snow-and ice-melting system ❑Complies
[FO12]2 controls installed. ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact (Tier 1) 2..
Medium Impact(Tier 2 3 Low Impact(Tier 3)
Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 4 of10
. �. ry _
Section Plans Verified Field Verlfled
# Framing / Rough-In Inspection Value Value C o mpiles? Comments/Assumptions
&....Re .ID , p...,,.
402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope assemblies
402.3.1, average). ❑Does Not table for values.
402.3.3,
402.5 ❑Not Observable
[FR211 ❑Not Applicable
303.1.3 U-factors of fenestration products ❑Complies
[FR411 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 thermal barrier ❑Complies
[FR23]1 installed per manufacturer's ❑Does Not
instructions. ❑Not Observable
v,S^
❑Not Applicable
402.4.3 (Fenestration that is not site builte ❑Complies
[FR2011 is listed and labeled as meeting ❑Does Not
AAMA/WDMA/CSA 101/I.S.2/A440
or has infiltration rates per NFRC ❑Not Observable
400 that do not exceed code ❑Not Applicable
j limits.
402.4.5 IC-rated recessed lighting fixtures � ❑Complies
[FR16]2 sealed at housing/interior finish ❑Does Not
and labeled to indicate :52.0 cfm
leakage at 75 Pa. ❑Not Observable
_ ❑Not Applicable
3 1 Supply and return ducts in attics ❑Complies
[FR12]1 insulated >= R-8 where duct is ❑Does Not
>= 3 inches in diameter and >_
R-6 where < 3 inches. Supply and
❑Not Observable
return ducts in other portions of ❑Not Applicable
the building insulated >= R-6 for
diameter>= 3 inches and R-4.2
for< 3 inches in diameter.
'403.3.2 Ducts, air handlers and filter ❑Complies
[FR1311 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
[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 HVAC piping conveying fluids R-- � R�-� -JJJ�
.. ,
P�p� 9 Y� 9 - ,❑Complies
[FR17]2 above 105 °F or chilled fluids ❑Does Not
below 55 °F are insulated to >_R-
3 '❑Not Observable
❑Not Applicable
403.4 1 Protection of insulation on HVAC - - ❑Complies
[FR24]1 piping. ❑Does Not
- ❑Not Observable
❑Not Applicable
403.5.3 Hot water pipes are insulated to R- R- _.. ❑Complies
[FR18]2 >_R-3. ;❑Does Not
:❑Not Observable
❑Not Applicable
6 Automatic or gravity dampers are ❑Complies
[FR19]2 installed on all outdoor air ❑Does Not
intakes and exhausts. ❑Not Observable
❑Not Applicable
1 ,High Impact (Tier 1) 2 Medium Impact (Tier 2) 3m Low Impact (Tier 3)
Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 5 of10
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 (Medium impact(Tier 2) 3 Low Impact (Tier 3)
Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 6 of10
.,,�._.# ......� .Insulation inspection,.��.�.�...
Section Plans Verlfled Field VeNfled
7 Comments Assum tlons
complies?
/
P
P
Value Val a ue e
303.1 All installed insulation is labeled ❑0ompliies
JIN1312 or the installed R-values ❑Does Not
11 provided. ❑Not Observable
❑Not Applicable
402 'Wall insulation R-value. If this is a, - �.1 1 R- R- ❑Complies see the Envelope Assemblies
402.2.5. mass wall with at least"A of the ❑ Wood ❑ Wood ,❑Does Not ;table for values.
402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable
[IN3]1 exterior, the exterior insulation
requirement applies (FR10). ❑ Steel ❑ Steel ❑Not Applicable
303.2 :Wall insulation is installed per ❑Complies
[IN4]1 manufacturer's instructions. []Does Not
❑Not Observable 1
❑Not Applicable
Additional Comments/Assumptions:
� _ _ ._:_
1 .....,High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 'Low Impact(Tier 3)
Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 7 of10
Section T
lans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID
...... ........W.............. ,, �_ .. ....
402.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies
402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values.
402.2.2,
402.2.E ❑ Steel ❑ Steel j❑Not Observable ;
[FI1]1 1EINot Applicable
............ -----_.
303.1.1.1, Ceiling insulation installed per ❑Complies
303.2 manufacturer's instructions. ❑Does Not
[FI2]1 Blown insulation marked every
300 ft2. ❑Not Observable
❑Not Applicable
402.2.3 Vented attics with air permeable ❑Complies
22]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
[FI311 'insulation �!R-value of the ❑Does Not
j adjacent assembly.
❑Not Observable
i❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 =� ACH 50= ❑Complies
[FI17]1 ach in Climate Zones 1-2, and ❑Does Not
<=3 ach in Climate Zones 3-8. j❑Not Observable
j❑Not Applicable }
403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies
[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.
403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies
[FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not
<=3 cfm/100 ft2 without air ❑Not Observable
handler @ 25 Pa. For rough-in
tests,verification may need to j❑Not Applicable
occur during Framing Inspection.
403.3.2.1 'Air handler leakage designated ❑Complies
[FI24]1 by manufacturer at<=2% of ❑Does Not
design air flow. ❑Not Observable
❑Not Applicable
403.1.1 Programmable thermostats ❑Complies
[FI9]2 installed for control of primary ❑Does Not
heating and cooling systems and
initially set by manufacturer to ❑Not Observable
code specifications. ❑Not Applicable
403.1.2 Heat pump thermostat installed ❑Complies
[FI10]2 on heat pumps. ❑Does Not
❑Not Observable
❑Not Applicable
403.5.1 Circulating service hot water ❑Complies
[FI11]2 systems have automatic or ❑Does Not
accessible manual controls.
❑Not Observable
❑Not Applicable
1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 8 of10
# m._ Final Inspection Provisions _ �� �_._.
Section Ti.Plans Verified Fleld Verified
& Re ID Value Value WX Comments/Assumptions
o..-..
sons �..,.M M - o Complies? Comm.................
403.6.1 All mechanical ventilation system ❑Complies
[F125]2 fans not part of tested and listed ❑Does Not
HVAC equipment meet efficacy
and air flow limits per Table ❑Not Observable
R403.6.1. ❑Not Applicable
403.2 Hot water boilers supplying heat ❑Complies
[F126]2 through one-or two-pipe heating ❑Does Not
systems have outdoor setback
control to lower boiler water ❑Not Observable
temperature based on outdoor ❑Not Applicable
temperature.
403.5.1.1 Heated water circulation systems - ... . w v .a... ❑Complies
[FI28]2 have a circulation pump.The ❑Does Not
system return pipe is a dedicated
return pipe or a cold water supply ❑Not Observable ;
pipe. Gravity and thermos- ❑Not Applicable
syphon circulation systems are
not present. Controls for
circulating hot water system
pumps start the pump with signal
for hot water demand within the
occupancy. Controls
automatically turn off the pump
when water is in circulation loop
is at set-point temperature and
no demand for hot water exists.
403.5 1.2' Electric heat trace systems ❑Complies
[FI29]2 comply with IEEE 515.1 or UL ❑Does Not
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
[F130]2 systems have controls that ❑Does Not
manage operation of the pump
and limit the temperature of the ❑Not Observable
water entering the cold water ❑Not Applicable
piping to <= 104°F,
,_ .... ..w
403.5.4 Drain water heat recovery units ❑Complies
[FI31]2 tested in accordance with CSA []Does Not
B55.1. Potable water-side
pressure loss of drain water heat [-]Not Observable
recovery units < 3 psi for ❑Not Applicable
individual units connected to one
or two showers. Potable water-
side pressure loss of drain water
heat recovery units < 2 psi for
individual units connected to
three or more showers.
e_W_W.. ......._.w_.......
404.1 90%or more of permanent ❑Complies
[FI6]1 fixtures have high efficacy lamps. ❑Does Not
❑Not Observable
_ ❑Not Applicable
1 Fuel gas lighting systems have ❑Complies
[F123]3 no continuous pilot light. ❑Does Not
'vJ.
❑Not Observable i
❑Not Applicable
3 Compliance certificate posted. ❑Complies
[FI7]2 ❑.,Does Not
❑Not Observable
❑Not Applicable
(High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 Low Impact(Tier 3)
Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 9 of10
Section 7s �'ans Verlfled Field Verlfled
Final In ctlon Provi 1 m 1 ? m um ins
spe s oValue ValueCo pies Co meMs/Ass pt oRet#ID303.3 ._ _m�. .............. �.o... .._.. a.. .... .R _ ee
Manufacturer manuals for ❑Complies
[FI1813 mechanical and water heating ❑Does Not
systems have been provided.
❑Not Observable '.
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact (Tier 1) ct(Ter2) er 3)Project Title: 435 N Bayview Road Extension Report date: 07/11/24
Data filename: Page 10 of10
tll
2018
CC Energy
Mi
Effidency Certificate
Above-Grade Wall 21.00
Below-Grade Wall 30.00
Floor 0.00
Ceiling / Roof 60.00
Ductwork (unconditioned spaces):
Window 0.27 0.32
Door
Heating System:
Cooling System:
Water Heater:
Name: Date:
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