HomeMy WebLinkAbout51210-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 51210 Date: 09/23/2024
Permission is hereby granted to:
Thomas Smith
3121 Oaklawn Ave
Southold, NY 11971
To:
construct alterations to existing single-family dwelling as applied for per DEC No-
Jurisdiction letter and Trustees approval with flood permit.
Premises Located at:
3121 Oaklawn Ave, Southold, NY 11971
SCTM# 70.-6-10
Pursuant to application dated 01/19/2024 and approved by the Building Inspector.
To expire on 03/25/2026.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $557.00
CO-RESIDENTIAL $100.00
Flood Permit $150.00
Total $907.00
Building Inspector
}i7d 'YNC�4 W*y�
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 httDs://www.southoldtowniiv
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only -
PERMIT NO. , , Building Inspector: JAN 1 9 024
h.y
Applications and forms must be filled out in their entirety. Incomplete µ a,awm
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: et yl / -/,
OWNER(S)OF PROPERTY:
Name::::Z::&`'�?r2f �P�IKI ml SCTM # 1000- p7O,0O —06-00-010. 000
Project Address: 3 1a � 6�r tk!;iwi 'Veove. ;p ! 7
Phone#: 9/-7 - Email:
T/owas_Srn i-
ssre . (�oK4
Mailing Address:
CONTACT PERSON:
Name: fC wE,
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION: cam o iClotAqkeni 4 l-ass 79yf
Name: 7 y
Mailing Address: �C41e, q
Phone#: 3/ —71-7-O 5y� Email:CONTRACTOR INFORMATION:
Name: cal
mow""
Mailing Address: 1\4 8 '' II I
Phone#: �3 � _ 77 `C' 535H Email: i ~p c` `CAr-)54r tC- 0el _ c-'oro
DESCRIPTION OF PROPOSED CONSTRUCTION
EINewStructure
ration Rep it Demolition �" " Estimated Cost of Project:
❑Other ❑A car► I ca ❑ i� c ❑s�+ l 'T�m $, ':?00'0C)0
Will the lot be re-graded? ❑Yes, No Will excess fill be removed from premises? ❑Yes�(No
1
PROPERTY INFORMATION
Existing use of property: c Intended use of property:
Zone or use district in which premises is ' uated: Are there any covenants and restrictions with respect to
this property? ❑Yes�<No IF YES, PROVIDE A COPY.
ZCheck 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 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 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 230.45 of the New York State Penal Law.
orl
Application Submitted By(print name): noryu Am S,{YI.I° ❑Authorized Agent 90wner
Signature of Applicant: Nll��X rw&40 Date: /-7 o2 7
STATE OF r
COUNTY OF )Let
1 rIOryioLS iT being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing con, act) above named,
(S)he is the CI S
(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/
that the work will be performed in the manner set forth in the application file therewit "" YANILUx MUNoz MEDINA
Notary?ublic-State of F!criea
+ Commission 4 HH 19'.30d
Sworn before me this "' My Comm.Expires Oct 26.2025
'0 q
day of �0�`(1UG(_U _�20L
Niry Public
PROPERTY OWNER AUTHORIZATION ,jl4
(Where the applicant is not the owner)
1, 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
ez u
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,mw rcww
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD,NEW YORK
PERMIT NO. 10626 DATE: AUGUST 14,2024
ISSUED TO: THOMAS & JENNIFER SMITH
PROPERTY ADDRESS: 3121 OAKLAWN AVENUE SOUTHOLD
SCTM# 1000-70-6-10
AUTHORRATION
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 14,2024,and
in consideration of application fee in the sum of$1,250.00 paid by Thomas&Jennifer Smith and subject to the
Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits
the following:
Wetland Permit to reconstruct and raise a portion of existing roof 1.51; install new
' windows with transoms, exterior doors, and cedar siding; relocate one existing exterior
F door with existing stoop removed; reconstruct three remaining stoops; existing brick
patios and brick walkways that surround the dwelling to remain; with the condition
r that the entire area of property be a non-turf buffer; all as depicted on the site plan
prepared by Jeff A. Zahn,A.I.A.,last revised August 29,2024 and stamped approved
on September 6,2024.
a
IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,
and these presents to be subscribed by a majority of the said Board as of the day and year written above.
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TERMS AND CONDITIONS
The Permittee Thomas&Jennifer Smith 3121 Oaklawn Avenue,Southold,New York as part of
the consideration for the issuance of the Permit does understand and prescribe to the following:
1. That the said Board of Trustees and the Town of Southold are released from any and all
damages,or claims for damages, of suits arising directly or indirectly as a result of any
operation performed pursuant to this permit, and the said Permittee will,at his or her own
expense,defend any and all such suits initiated by third parties, and the said Permittee
assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees
of the Town of Southold.
2. That this Permit is valid for a period of 36 months,which is considered to be the estimated
time required to complete the work involved,but should circumstances warrant,request for
an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to
maintain the structure or project involved,to provide evidence to anyone concerned that
authorization was originally obtained.
4. That the work involved will be subject to the inspection and approval of the Board or its
agents,and non-compliance with the provisions of the originating application may be cause
for revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work herein
authorized.
6. That there shall be no interference with the right of the public to pass and repass along the
beach between high and low water marks.
7. That if future operations of the Town of Southold require the removal and/or alterations in the
location of the work herein authorized,or if,in the opinion of the Board of Trustees,the work
shall cause unreasonable obstruction to free navigation,the said Permittee will be required,
upon due notice,to remove or alter this work project herein stated without expenses to the
Town of Southold.
8. The Permittee is required to provide evidence that a copy of this Trustee permit has been
recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to
the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar
days of issuance of this permit.
9. That the said Board will be notified by the Pennittee of the completion of the work
authorized.
10. That the Permittee will obtain all other permits and consents that may be required
supplemental to this permit,which may be subject to revoke upon failure to obtain same.
11. No right to trespass or interfere with riparian rights. This permit does not convey to the
permittee any right to trespass upon the lands or interfere with the riparian rights of others in
order to perform the permitted work nor does it authorize the impairment of any rights,title,
or interest in real or personal property held or vested in a person not a party to the permit.
u
Glenn Goldsmith,President Town Hall Annex
A.Nicholas Krupski,Vice President P.O. Route 25
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 S
TOWN OF SOUTHOLD
7 '_ ,24.
September 6, 2024
Thomas and Jennifer Smith
3121 Oaklawn Avenue
Southold, NY 11971
RE: 3121 OAKLAWN AVENUE, SOUTHOLD
SCTM#1000-70-6-10
Dear Mr. and Mrs. Smith:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, August 14, 2024 regarding the above matter:
WHEREAS, En-Consultants on behalf of THOMAS &JENNIFER SMITH applied to the
Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town
Code, the Wetland Ordinance of the Town of Southold, application dated April 25, 2024, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory Council
and to the Local Waterfront Revitalization Program Coordinator for their findings and
recommendations, and,
WHEREAS, the LWRP Coordinator issued a recommendation that the application be found
Consistent with the Local Waterfront Revitalization Program policy standards, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on
August 14, 2024, at which time all interested persons were given an opportunity to be heard,
and,
WHEREAS, the Board members have personally viewed and are familiar with the premises in
question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the proposal complies with the standards set forth in Chapter 275 of the Southold
Town Code,
2
WHEREAS, the Board has determined that the project as proposed will not affect the health,
safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees have found the application to be Consistent with the
Local Waterfront Revitalization Program, and,
RESOLVED, that the Board of Trustees APPROVE the application of THOMAS &JENNI'FER
SMITH for the existing one-story dwelling and to reconstruct and raise a portion of existing roof
15; install new windows with transoms, exterior doors, and cedar siding; relocate one existing
exterior door with existing stoop removed; reconstruct three remaining stoops; existing brick
patios and brick walkways that surround the dwelling to remain; with the condition that the entire
area of property be a non-turf buffer„ all as depicted on the site plan prepared by Jeff A. Zahn,
A.I.A., last revised August 29, 2024 and stamped approved on September 6, 2024.
Permit to construct and complete project will expire three years from the date the permit is
signed. Fees must be paid, if applicable, and permit issued within six months of the date of this
notification.
Inspections are required at a fee of$50.00 per inspection. (See attached schedule.)
Fees: $50.00
Very truly yours,
Glenn Xo1dsrY*h'
President, Board of Trustees
GG/ec
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Division of Environmental Permits,Region 1
SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790
P:(631)444-03651 F.(631)444-0360
www.dec.ny.gov
LETTER OF NO-JURISDICTIONH- y r
September 12, 2024
Thomas and Jennifer Smith 12'
3121 Oaklawn Avenue
Southold, NY 11971 µ
Re: Application ID 1-4738-05023/00001
3121 Oaklawn Avenue
Southold
SCTM # 1000-70-6-10
ARNO-DEP
Dear Applicant:
Based on the information you submitted, the New York State Department of Environmental
Conservation (DEC) has made the following determination.
The portion of the referenced property landward of the functional bulkhead more than 100 feet in
length and originally constructed prior to August 20, 1977, as evidenced on the survey of the
subject property by Roderick Van Tuyl, P.C. dated January 23, 1976, is beyond the jurisdiction of
Article 25 Tidal Wetlands. Therefore, in accordance with the current Tidal Wetlands Land Use
Regulations (6 NYCRR Part 661), no permit is required for work occurring at the property
landward (upland) of the jurisdictional boundary indicated above. Please be advised however,
that no construction, sedimentation, discharge, or disturbance of any kind may take place
seaward of the jurisdictional boundary without a permit. 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 DEC's jurisdiction which may result from your project.
Such precautions include maintaining an adequate work area (i.e., a 15' to 20'wide construction
area), or erecting a temporary silt fence, barrier, or hay bale berm. This determination runs with
the land.
Please be advised that this letter does not relieve you of the responsibility of obtaining any
necessary permits or approvals from local municipalities or other agencies.
Very ruly yours, ,
()A�
Sherri L. Aicher
Regional Permit Administrator
SLA/mrp
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File
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CGenerated by REScheck-Web Software
NJ/ Compliance Certificate
Project PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121
OAKLAWN AVE. SOUTHOLD
Energy Code: 2018 IECC
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Location: Southold, New York � VE
Construction Type: Single-family L L�� C.
Project Type: Alteration
Climate Zone: 4 (5572 HDD)
Permit Date: d l
Permit Number:
All Electric false � �
Is Renewable falseTm
TOWNro;
Has Charger false a �� �r
Has Battery: false
Has Heat Pump: false
Construction Site: Owner/Agent: Designer/Contractor:
3121 OAKLAWN AVE Thomas Smith JEFF ZAHN
SOUTHOLD, NY 11971 3121 OAKLAWN AVE JEFF A.ZAHN AIA ARCHITECTS
SOUTHOLD, NY 11971 215 ROANOKE AVE
516-316-2095 RIVERHEAD, NY 11901
jdaidone3@msn.com 631-727-0544
JAZCAD@MSN.COM
9aala,_o n-graade tr adeaaffs aura, no longer considered lien I.he UA rar pr:^ffonrywi nce c'o nip liairn:na Ipath in R Sa.gna:ck. IEach sa aag-on-graad
arrnsernbly in the w aecfed aIm te zorw rmmsu rrw at fe m6nk urr enevgy rode insullntlio R.va ie and depth req oarainta..
EGA e ,b0u
•
FIRST FLOOR CEILING: Flat Ceiling or Scissor Truss 1,244 30.0 10.0 0.026 0.026 32 32
FIRST FLOOR:Wood Frame, 16"o.c. 1,244 15.0 5.0 0.053 0.060 53 60
FWH3168:Solid Door(under 50%glazing) 20 0.280 0.320 6 6
SIDELIGHTS:Glass Door(over 50%glazing) g 0.280 0.320 3 3
SHGC:0.26
FWG6068:Glass Door(over 50%glazing) 19 0.280 0.320 5 6
SHGC:0.26
FWG6068:Glass Door(over 50%glazing) 19 0.280 0.320 5 6
SHGC:0.26
CX135-2:Vinyl Frame 12 0.280 0.320 3 4
SHGC: 0.26
Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report date: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 1 of10
Data filename:
CG16-2:Vinyl Frame 22 0.280 0.320 6 7
SHGC: 0.26
CX16-2:Vinyl Frame 22 0.280 0.320 6 7
SHGC:0.26
CX16-2:Vinyl Frame 22 0.280 0.320 6 7
SHGC: 0.26
CX135-2:Vinyl Frame 12 0.280 0.320 3 4
SHGC: 0.26
CX135:Vinyl Frame 6 0.280 0.320 2 2
SHGC:0.26
CX135-2:Vinyl Frame 12 0.280 0.320 3 4
SHGC:0.26
36"CIRCLE:Vinyl Frame 7 0.280 0.320 2 2
SHGC:0.26
AR251-2:Vinyl Frame 4 0.280 0.320 1 1
SHGC:0.26
AR251-2:Vinyl Frame 4 0.280 0.320 1 1
SHGC: 0.26
AR281-2:Vinyl Frame 5 0.280 0.320 2 2
SHGC:0.26
AR281-2:Vinyl Frame 5 0.280 0.320 2 2
SHGC: 0.26
AR281-2:Vinyl Frame 5 0.280 0.320 2 2
SHGC: 0.26
AR281-2:Vinyl Frame 5 0.280 0.320 2 2
SHGC: 0.26
AR281-2:Vinyl Frame 5 0.280 0.320 2 2
SHGC: 0.26
AR281-2:Vinyl Frame 5 0.280 0.320 2 2
SHGC: 0.26
AR281-2:Vinyl Frame 5 0.280 0.320 2 2
SHGC: 0.26
AR281-2:Vinyl Frame 5 0.280 0.320 2 2
SHGC: 0.26
AR281-2:Vinyl Frame 5 0.280 0.320 2 2
SHGC: 0.26
FIRST FLOOR:All-Wood joist/Truss 1,280 21.0 5.0 0.036 0.047 46 60
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and Esther
calculations submitted with the permit application.The proposed building has been des%gne o meet the 2018 IECC requirements in
REScheck Version : REScheck-Web and to comply with the mandatory re q a li ed'i t' a REScheck Inspection Checklist
Jeff A.Zahn 09-20-24
Name-Title Sllgnature Date
Project Notes:
PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCC
3121 OAKLAWN AVE. �t
SOUTHOLD NY11971
V4J
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� 4 ��-
t
AN.
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Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report date: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 2 of10
Data filename:
REScheck Software Version : REScheck-Web
Inspection Checklist
Energy Code: 2018 IECC
Requirements: 92.0% 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
P
& Req.ID . // �Compl es ' Requirement will be met
103.1, Construction drawings and
103.2 documentation demonstrate i�%' �y����i�"i """ ///����
i /� �� �// ','[:]Does Not
[PR11 energy code compliance for the
r ;building envelope.Thermal ❑Not Observable
envelope represented on
�� iii!�❑Not Applicable
:construction documents. r,
103.1, Construction drawings and ;❑Complies Requirement will be met.
103.2, documentation demonstrate _. ': ,F❑Does Not
403.7 :energy code compliance for
[PR311 lighting and mechanical systems ,,,,i, ❑Not Observable ;
�i ❑Not Applicable
Systems serving multiple
PP
SYs P i/i ��
dwelling units must demonstrate m,,,
compliance with the IECC iii/ /%/i, " O„% j
Commercial Provisions, ,is%/�iii���iri //;;� i/
Y�� .. . ...
3(12.h. Heating and cooling equipment is, Heating: Heating, "❑Complies Requirement will be met.
4033 sized per ACCA Manual S based Btu/hr Btu/hr j❑Does Not
(PR2J2 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 Illgh Impact(Tier 1) 2 Medium Impact 4 it 2) 3 Low Impact(Tier 3)
Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report date: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 3 of10
Data filename:
eou
I _..
w..,. _NS Foundation Inspection
Complies?'. Comments/Assumptions
i& Re .
I�
tl .1 A protective covering is installed to ElOornplies F Exception: Requirement is not applicable.
WO1112 protect exposed exterior Insulation �C]Does Not
and extends a minimum of 6 In.below 11 grade. plot observable
C]Not Applicable
g Snow-and Ice-melting system controls ❑komplies Requirement will be met,
JN=D'i J2 Installed. C7lDoes Not
❑Not Observable
®Not Applicable
Additional Comments/Assumptions:
t liigN Impact(Tier 1) Medium Impact(Tier ) 3' Low impact{Tier 31
Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report Mate: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 4 of10
Data filename:
Section Plans Verified Field Verified
# (Framing / Rough-In Inspection Complies? I Comments/Assumptions
& Re .ID Value Value
402.3 Door U-f actor, U" U- Complies See Not table fo theEnvelope Assemblies
r values.
[FRl] ;❑Not Observable 'o
❑Not Applicable
402.1.1, Glazing 1-1-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies
402.3.1, average). ^F-]Does Not ;table for values.
402.3.3,
402.5 '❑Not Observable f
[FR2]1 R❑Not Applicable
eA�';
303.1.3 `U-factors of fenestration products " " "//i/' //// '/" ' '% ❑Com lies Requirement will be met.
FR4 1 are determined in accordancerocedure orDoes Not
=with the NFRC test P
..taken from the default table. ,❑Not Observable ,
���❑Not Applicable
r
402.4.1.1 'Air barrier and thermal barrier ��i/%%/°/rrr"""' ////�rrrrrrrrra/rr,„ ia�rrr,/r�oi//�/
/, //���%%///��%//,�,, ��/� ,❑Complies ;Requirement will be met.
1 iir rriii//r �//,, ��� ri /
[FR23] 'installed per manufacturer's ,%//, //�r�����/�„/���i�/ „//,,,, ,�%//,/�%❑Does Not
instructions. ❑Not Observable f
rrrrrrrrrr %,%%%%O/%ar rrr,
� �'//iii��%%%%/�jiiir�/%ii�%��'r/i/i'iiiia��iiiii r r�/<❑N Ot Applicable
402.4.3 Fenestration that is not site built r / !% o%% "" %%////%'/// " /;;❑Com lies Requirement will be met.
1 /jjir/ r/ r P q
[FR20] is listed and labeled as meeting � ,,�j/i��;��////j��/�, ,%/i �,i'/%�,r;❑Does Not
1AAMA/WDMA/CSA 101/I.S.2/A440
// � /',❑Not Observable ,
or has infiltration rates per NFRC
�400 that do not exceed code �%��/�� �// ////� i i�❑N ot Applicable
Iicable
limits.
402.4.5 IC-rated recessed lighting fixtures�r,�/��/%///%//�%%%/////J,�����/�////////%r /� ,//,❑Complies ;Requirement will be met.
[FR16]2 sealed at housing/interior finish j „ ',%/%j % //!j/%ri ❑
% r r// j/
< ///,%/% Does Not
and labeled to indicate _2.0 cfm
/
i�� / //r /rr/�i/�// ��// /io ❑Not Observable
.leakage at 75 Pa,
/%ir%���� /�� 0i'��/ iaaiiii�rrr%iii%%�//'r❑Not Appl i ca bl e
/i��ii//%� %�iiii //!/ '/%/ir/% ///r %v//
403 3.1 ;Supply and return ducts in attics ,//��// i/�'!� �/�,j��%���/�,, i;/ ❑Complies !Requirement will be met.
[FR12]1 insulated >= R-8 where duct is o��� °/,• /"% ��j`/ // /�/� //❑Does Not
>=3 inches in diameter and >_
bse a ry ble
r ' % �� ///% ❑No O
" R-6 where < 3 inches. Supply
return ducts in other portions ""'� /❑Not Applicable
the building insulated >= R-6
;diameter>= 3 inches and R-4.2
-for< 3 inches in diameter.
403.3.2 Ducts, air handlers and filter " ❑Complies Requirement will be met.
FR13 boxes are sealed with ''/i/" %%O%/''//%//ri i /
[ ]1 �%//////�rr�j�/ ///���%�%�/�'%%%%%/���i%///%//i�❑Does Not
;joints/seams compliant with
'International Mechanical Code or i�%'//��/ ��%/���������❑Not Observable
;/❑Not A
International Residential Code,as PPIicable��,j�/ /�u
icable.
appl
5 Buildingcavities are not used as or !i"'�%//i/'/'/'i/ ' j///,�i %%/% �i°/%%/j/Sri❑Com lies Requirement will be met.
ri�iiaii ���ii%%%%%//i//%%/�/ i/// P q
[FR15] 'ducts or plenums. „��r�i� �„i //// //j//////�///���-❑Does Not
rrr// ���// r/ %/ ❑Not Observable ;
• rr�/jii�/ /j��rr a r'�'G�� /�j rr /
� ���//iiii�%//////////o �%'� O%� /i/a%//����/%%❑N Ot Ap pl i ca b I e
/iii���%%///i%//��/'/�%/ii,i/ii ri�,//,��� r,
403.3.6(1, Ducts partially or completely r /////, ,,,r///// /�%//i /rr/ �% o /a,❑CompliesRequirement will be met.
rrr iiiiaii / //, /i �//
2) buried in ceiling insulation have �!'j/;�i � ,//��r� r/i r �r�� ��//i ���rr ❑Does Not
3 /��/�� �r%/%�ii%
[FR26] �an insulation R-value not less
w: than R-8, the sum of the ceiling ❑Not Observable
❑NotA Iicable
insulation R-value against and
r oii /r
above the top of the duct, and
against and below the bottom of
the duct, IS >=than R-19,
excluding the R-value of the duct ;'/'/
/iiiirrrrrr
insulation. /i/,,,,,,.9�ii
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) 1
Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report date: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 5 of10
Data filename:
Section Plans Verified Field Verified
# (Framing / Rough-In Inspection Complies? Comments/Assumptions
Value Valuer ❑Complies Requirement 03,,,3 D J.Ducts de ment will be .Glared to be within the /r�/////' met.
[FR28]3 conditioned space are either 1) ❑Does Not
completely within the continuous
rr /r r / r/ ❑Not Observable
air barrier and within the building ,; „ rr
thermal envelope, 2 buried o �i�'�//�„ii /��""� ;❑Not Applicable
.within ceiling insulation in
.accordance with Section
R403.3.6 and the air handler is
;located completely within the
r � Q
continuous air barrier and within
the building thermal envelope
,rr
and the duct leakage is<= 1.5
oi/ii r rr rrr
cfm/100 square feet of
conditioned floor area served by
the ducts stem, or 3)the ceiling
insulation R-value installed
against and above the insulated
/r %
duct>=to the proposed ceiling
insulation R-value, less the R- ! "
value of the insulation on the
403.4 HVAC piping conveying fluids a R- R- ❑Complies Requirement will be met.
[FR17]2 above 105°F or chilled fluids ❑Does Not
below 55 °F are insulated to >_R-
3 I❑Not Observable
❑Not Applicable
403.4.1 f Protection of insulation on HVAC / /" ///rrrr/ "!o%//r /r'///r ❑Com lies Re uirement will be met.
FR24 i i n /����%�/%'/�� � � P q
[ ]i P P g r/�%, / //�rD//� %r���ii%i/'/irrl�%i//%%❑D Oe5 Not
❑Not Observable
r '❑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
j❑Not Applicable
403 6 Automatic or gravity dampers are`„j j/!//% /,,,,/j /�/„, " ❑Complies ;Requirement will be met.
[FR19]2 installed on all outdoor air r //, /r r% 'i/�/ /r ig fir'/rr'/"/%'❑Does Not
intakes and exhausts.
" ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 H!igh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact.(Tier 3)
Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report date: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 6 of10
Data filename:
Section Plains Verified Field Verified
Insulation Inspe tiaon gains Value Complies? Oo► ments/Assumptions
life lice
303.1 � All installedlabeled p s Requirement will be m
insulation is labeled ❑Com lie. et.
DN1312 or the installed R-values ❑Does Not
provided.
Not Observable
� E
i iiiiiiiiiia ,/ g Not Applicable
..�_.. �' __ ��.. n,�
402.1.1, Floor insulation R-value. R-
R- ;❑Complies ;See the Envelope Assemblies
402.2.6 ❑ Wood Wood ;❑Does Not ;table for values.
[IN1]1 ❑ Steel ❑ Steel
❑Not Observable
❑Not Applicable
303.2, Floor insulation installed per 1'�"❑Complies
402.2.8 manufacturer's instructions an "'❑Does Not
[IN2)1 in substantial contact with the
,,,,/ � ����i„/%%/ /// / %%❑Not Observable
underside of the subfloor, or floor ���/iiiiiiiiii %�/ / ,
framing cavity insulation is in //���% %��������� %///�����i%��� i°��"" ❑Not Applicable
contact with the top side of
sheathing,or continuous /,,l— i „
insulation is installed on theNo
��//
underside of floor framing and i
extends from the bottom to the
top of all perimeter floor framing '
members. r
402.1.1, Wall insulation R-value.If this is a 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.E wall insulation on the wall ❑ Mass 9❑ Mass ;❑Not Observable
[IN3]1 exterior,the exterior insulation
requirement applies(FR10). ❑ Steel "❑ Steel ❑Not Applicable 1
303.2 Wall insulation is installed per 'E Complies Requirement will be met.
[IN4)1 :manufacturer's instructions. ❑Does Not
of Observable
❑Not Applicable
Additional Comments/Assumptions:
1�Hi h Impact(Tier 1)JT(Medium Impact( er 2) 3 Low impact(Tier 3)
Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report date: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 7 of10
Data filename:
section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Re .ID
402.1.1, Ceding insulation R- R- ❑❑po table for values.
402.2.1, �i� R-value. ❑ Wood ❑ Wood ompNot See the Envelope Assemblies
402.2.2, ❑ Steel ❑ Steel ❑Not Observable A
402.2.6
[Fill' ❑Not Applicable
303 2 303.1.1.1, Ceiling insulation installed per ,�/ '' � // r ❑Do som pNot
manufacturer's instructions. riwij/��//iii�iio � � r���liii//i/i � ��/
[F12]1 Blown insulation marked every
300 ft7. „/;' �i� ��o ; /%� ;; ❑Not Observable
/ ////
', ❑NotApplicable
402.2.3 Vented attics with air permeable ;fi,"�" �/ /� j,��%'��/
rriiiiai�i��% i /ii ❑� mplies
[F122]2 'insulation include baffle adjacent ��„ii,��/ /„i„� �/� � ,//,�; /�,��� Does Not
to soffit and eave vents that
❑
extends over insulation. / //�i� „/" ���%"�/ '%, o��/"'��� �%% Not Observable
%�/// iiiooi///%% ���> �"���//// /�
❑Not Applicable
402.2.4 Attic access hatch and door R- R- I❑Complies 'Requirement will be met.
[FI311 insulation �R-value of the ❑Does Not
adjacent assembly,
I❑Not Observable
❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = o ACH 50 = ❑Complies Requirement will be met.
[FI17]1 3ach in Climate Zones 1-2, and ❑Does Not
<=3 ach in Climate Zones 3-8.
I❑Not Observable
j❑Not Applicable
403.3.3Ducts are pressure tested to cfm/100 cfm/100 ;❑C'omplies ;Requirement will be met.
[FI27]1 determine air leakage with ft2 ft2 ;❑Does Not
either: Rough-in test:Total 1
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
R
test. Postconstruction test:Total
leakage measured with a
F.essure differential of 0.1 inch
w.g. across the entire system
including the manufacturer's air
handler enclosure. 4
v
403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies Requirement will be met.
[FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not
<=3 cfm/100 ft2 without air
handler @ 25 Pa. For rough-in j ❑Not Observable
❑Not Applicable
tests, verification may need to
F � o
occur during Framing Inspection.
403.3.2.1 Air handler leakage designated ' jii' �,/ j�/ ❑Complies Requirement will be met.
FI24 1 by manufacturer at<=2%of //��� /�' /��"ElDoes Not
design airflow.
g
❑Not Observable
"r,j�..... ❑Not Applicable
403.1.1 Programmable thermostats
i��i� /i ////%;,%' //��i' /�%/i ❑COm lies
9 //'//a/%�%////�������/ i�iii���////�///�i' /������iii/i p ;Requirement will be met.
(F 19]2 installed for control of primary „�// % // j/,//,�,,,,,� i, '❑Does Not
heating and cooling systems and
❑Not Observable
initially set by manufacturer to of Applicable
code specifications. �� % �0/% �%❑N pP
403.1.2 Heat pump thermostat installed Complies Requirement will be met.
[FI10]2 on heat pumps. Does Not
❑Not Observable
❑Not Applicable
403.5.1 Circulating service hot water %ii/"%'%%%%i,;"'""' %'! i i %%'❑Corn lies Requirement will be met.
[FI 11]2 :systems have automatic or ❑Does Not
accessible manual controls.
Not Observable
/ir/ii/ ,/ %////% �%%//j! ❑Not Applicable
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) =TEow Impact(Tier 3)
Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report date: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 8 of10
Data filename:
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
3 611DAI1 mechanical ventilation
ation system ❑Complies
0 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 �� i �� ❑Not Observable
�'� �� �' ��% ,°❑Not Applicable
403.2 Hot water boilers supplying heat ❑Complies Requirement will be met.
[FI26]2 through one-or two-pipe heating /��%!�'/%'�"�"����!'�V%�G'���%���°�i��''��°��❑Does Not
systems have outdoor setback
control to lower boiler water ❑Not Observable
temperature based on outdoor "' ❑Not Applicable
� � i
_ temperature.
403.5.1.1 Heated water circulation systems ' / ;�������,�; �„ / ❑Complies Requirement will be met.
[FI28]2 have a circulation pump.The "', " ���� „ ' i���������" �� ❑Does Not
system return pipe is a dedicated
Not Observable
P or a cold water PP pipe i e supply
❑ Applicable
Y
pp y
/ Oi% � o %,
pipe. Gravity and thermos- ❑Not A%� '�"
j% /�� ''���/i/////i�0//%�
syphon circulation systems are
not present.Controls for ' o�
circulating hot water system
pumps start the pump with signal
t
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 '//j%� 1%�""l �/ %il�i ���% �%,a
p p %%/ � �' ///
no demand for hot water exists. 41 %%/��rii���/oii�i� i/„�i %/��i"%�N
5.1.2 'Electric heat trace systems ° / ��� /, pie Requirement will be met.
[F129]2 comply with IEEE 515.1 or UL ❑Does Not
515. Controls automatically
:
adjust the energy input to the ''""' []Not Observable
❑Not
heat tracing to maintain the �;"' Applicable
;desired water temperature in the
piping.
403.5.2 Demand recirculation water Rio%/'j������/i%,','%""""i„�;�� �"!! %%%//j❑Complies Requirement will be met.
[F130]2 systems have controls that ,/i�//���/�/���������'� /,;�������������,,,,,,;,';,,,i/ � �%❑Does Not
manage operation of the pump ❑Not Observable
and limit the temperature of the
water entering the cold water" ❑Not Applicable
piping to <= 104°F.
403.5.4 Drain water heat recovery units " ❑Complies :Requirement will be met.
[F131]2 tested in accordance with CSA i� ,����ii� ❑Does Not
B55.1. Potable water-side
❑Not Observable
pressure loss of drain water heat
�� ,'%/ /�i�/ s❑Not Applicable
recovery units< 3 p51 for � // ,/�������/� �'�t����%% ����
Individual units connected to one i/��/� �'i�a���a�/�/%�i/ // /'///ii��Yi'��
or two showers. Potable water-
side pressure loss of drain water
heat recovery units < 2 psi for
individual UfIItS connected t0
three or more showers.
404.1 90%or more of permanent Complies Requirement will be met.
[FI6]1 :fixtures have high efficacy lamps ' ❑Does Not
❑Not Observable
❑Not Applicable
ry
404.1.1 Fuel gas lighting systems have ii'i%'���;;'/��%��i��//�G/;///%%///O'��' %'❑Complies ,Requirement will be met.
[FI23]3 no continuous pilot light. ��❑Does Not
/ �� ❑Not Observable
/iiiii
❑Not Applicable
401.3 Compliance certificate posted, �� '�" , '���� ❑Complies Requirement will be met.
[F17]�
met.'[-]Does Not
❑Not Observable
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report date: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 9 of10
Data filename:
Section Plans'verified Pield Verified
final Inspection Provisions 'Valuelime Comp Iles?' Comments/Assumptions
Caw fte .l®w
303.3 Manufacturer manuals for " %/%i" ;/ i'%%'O'/!/%fiD%°0i'", ;�10om lies ;Requirement will be met.
FI .3 a mechanical and water heating //%i�i/%% ! fiiii /%" '
( i 9 �/ o�� �� //i��������j Does Not
systems have been provided. " ""'%/ / %/
Y p %/ ONot Observable
ClNot Applicable ,
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: PROPOPSED ADDITION AND ALTERATION TO THE SMITH RESIDENCE 3121 Report date: 09/20/24
OAKLAWN AVE. SOUTHOLD Page 10 of10
Data filename:
Efficiency Certificate
• •
Above-Grade Wall 20.00
Below-Grade Wall 0.00
Floor 26.00
Ceiling / Roof 40.00
Ductwork(unconditioned spaces):
Window 0.28 0.26
Door 0.28 0.26
• • • •
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
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