HomeMy WebLinkAbout52110-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#: 52110 Date: 07/16/2025
Permission is hereby granted to:
Thomas F Miale
114-11 Union Tpke
Forest Hills, NY 11375
To:
legalize "as built"finished basement to existing single-family dwelling as applied for. Additional
certification may be required.
Premises Located at:
200 Corey Creek Ln, Southold, NY 11971
SCTIVI#78.4-6
Pursuant to application dated 05/20/2025 and approved by the Building Inspector.
To expire on 07/16/2027.
Contractors:
Required Inspections:
Fees:
As Built Addition/Alteration $1,575.00
CO-RESIDENTIAL $100.00
Total S1.675.00
Iilding Inspector
0:��W1,t 011 ,� 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 htt, ://www.sotitholdtownny, ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only D E
PERMIT NO. Building Inspector:. V,,,
'Aplicatlors anc�forms rl�usfbfllid qut In their
1S
ent�rcty,fl�ramplete
i
appl�atlons w�Jl�rot 4e accepted Where the Apl�caht is not the owner an i lr of
S sent
To
Ovimer✓s Authorrzatlorf#crin 1Pagel shill be completed
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Date:05/14/2025
i
Tom e and Lonerg M# 1000-
Name: Mlal d Kt an SCT
Project Address:200 Corey Creek Lane, Southold
Phone#:347-678-8916 Email:tom_miale@gmail.com
Mailing Address: 200 Corey Creek Lane, Southhold, NY
Name: Fernando Rodrigues
Mailing Address: 15 W Montauk Hwy. #111, Hampton Bays, NY 11946
Phone#: 631-965-1837 Email: Fernando@CADdrawings.net
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;DESIGN PROFESSIONAL INFORMATION �'/� rr,��%„ ;/' /
/
Name: Fernando Rodrigues
Mailing Address: Same as above
Phone#: Email:.
/
C,ONTRfCTOR`INFORMATION '
Name:LJD Home Improvements
Mailing Address:555 Broadhollow Road, Suite 327, Melville, NY 11747
Phone#:631-509-2538 Email:
ti r/r` ll/ n�/r /
DESCRIPTION OF/rP/ROPC►SEQ CONSTRUCTION r, /
/
❑New Structure A dition ■Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other 60 000
Will the lot be re-graded? ❑Yes ■No Will excess fill be removed from premises? ❑Yes ENO
1
FORMATION, /
i �%, // / ,f ✓ l / / / /„oa P T.Y�-IN ,
g property: One famil residence ,e " intended use of property One family,residence
Existing use of ..... � Intend.. . _.
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes ❑No IF YES, PROVIDE A COPY.
' k�4 ftBT' cad n i%.rhe owner contrac�pr/c�esi rofessionai i fesponsfbie for afi dfiainage and storm water issues as provided by;
/
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ter2,6 n�(�Ta�rf, od�� PUCAT(4N IS` I:REBY ADE�fo the Budding Depd/rtment fur Che issuance of,a Building Permitpursuank'#o khe Building Zone
„,..
rdin nd o{# a Tow �o; ou� d Suffolf�Count NawXo k an�o#h,�rap¢(rcable laws,:4rd�nances brftegulatians,(ar the"ednstruc#ion of buiid�ngs,,
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�, d i,�s t eratian n„for-�mo a ar`de a ition as ereiri describet�The ap licant agrees to comply with ail�ipphcabie,laws;ordinances,building code;
a�if n of
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hau i ode"and re ulat s nd/tsf admwt�lithonz d�ns¢ect9rs o promises and in bu7idmg�si fofnecessary�nspect�ans False statements made herein are.."
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°�nlsH�bl��s�,a(fh�ss�A�,misdemeano�p�ursuant to 5ectiQ(1�1g 45 at�the�lew York gtakd I Ww�;i
Submitted B (print na
me):: Fernando Rodrigues ■Authorized Agent ❑Owner
pp Y P_�� Fer a ,
Signature l of Aication pplicant:,.
licant: .Date:...... 5/;20 7
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
(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 202-
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, Kristen J Lonergan residing at 200 Corey Creek Lane, Southold
do hereby authorize Fernando Rodrigues to apply on
my be' If to the Town of Southold Building Department for approval as described herein,
2
��Owner's S" na to
Kristen J Lonergan
MOLLY 1 DRESCHER
Print Owner's Name NOTARY PUBLIC.STATE OF NEW YORK
Registration No.01DR6371749
2 Qualified in Kings County
Generated by EScheck--Web Software
Compliance Certificate
Project 200 Corey Creek Lan ..
Energy Code: 2018 IECC
Location: Southold, New ' r�
Construction Type: Single-family JUL 14 2
025
Project Type: Alteration
ProjectSubType: None
Climate Zone: 4 (5572 HDD) To`Wrk' t SOL10ul
Permit Date:
Permit Number:
All Electric false
Is Renewable false
Has Charger false
Has Battery: false
Has Heat Pump: false
Construction Site: Owner/Agent: Designer/Contractor:
200 Corey Creek Lane Thomas Miale
Southold, NY 200 Corey Creek Lane
Southold, NY
Tom.Miale@gmail.com
f • • • f f { • f 0
9alka-on giiasM6:e tradeoffs we no to ngE n auoi nsidened in thEE UA or p.aE.n'fOrmance coirnnl:alnanonn el path in Ri--Scheck, Each slab-on•-grade
aanNaaernli lly In the specified 6r nate zone r nust r neaat the nrriOnlrr urrn ona°au'gwcode insu�aaflonm R v ahie and deli'al.la naanquireirn eats.
yelo Arse lies
Gross Area Cavity Cont. Prop. Req. Prop. Req.
Perimeter
Basement Wall: Masonry Block w/Empty Cells
Wall height: 8.0' 1,457 13.0 0.0 0.058 0.059 82 83
Depth below grade: 7.0'
Insulation depth: 8.0'
Door: Solid Door(under 50%glazing) 17 0.320 0.320 5 5
6 Windows: Metal Frame 17 0.290 0.320 5 5
SHGC:0.32
Window 01:Vinyl Frame 11 0.290 0.320 3 4
SHGC:0.32
Project Title: 200 Corey Creek Lane Report date: 07/12/25
Data filename: Pagel of 9
h °
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: 200 Corey Creek Lane Report date: 07/12/25
Data filename: Page 2 of 9
b H'
REScheck Software Version : REScheck-Web
Inspection Checklist
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 Verified
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
_& Re .ID
103.1, Construction drawings and
;❑Complies
103.2 documentation demonstrate ? -,' ❑Does Not
[PR111 energy code compliance for the ❑Not Observable
building envelope.Thermal
,envelope represented on ❑Not Applicable j
construction documents. -
103.1, Construction drawings and InComplies
103.2, documentation demonstrate ❑Does Not
1403.7 !energy code compliance for []Not Observable f
[PR3]1 ;lighting and mechanical systems, ❑Not Applicable
4k 'Systems serving multiple
;dwelling units must demonstrate
;compliance with the IECC
iCommercial Provisions. _
Heating and cooling equipment is Heating:302.1„ ng• Heating; ZIComplies
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:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: 200 Corey Creek Lane Report date: 07/12/25
Data filename: Page 3 of 9
Section Plans Verified Field Verified
# Foundation InspectionJ Value Value Complies? Comments/Assumptions
4021 1 Conditioned R- R- —_ , , y See the Envelope& Re ID
basement wall ❑Complies Mies
[FO4]1 insulation R-value.Where interior R_ R_ ❑Does Not table for values.
f� 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. i
303.2 ,Conditioned basement wall ❑Compile
[FO5]1 insulation installed per '❑Does Not
;manufacturer's instructions. ❑Not Observable
❑Not Applicable
402.2.9 Conditioned basement wall .ft
Complies See the Envelope Assemblies
[FO6]1 �insulation depth of burial or E Does Not table for values.
u distance from top of wall. '❑'Not Observable
r
;❑Not Applicable ;
303.2.1 A protective covering is installed ❑Complies
I[FO11]2 to protect exposed exterior ❑Does Not
insulation and extends a
minimum of 6 in. below grade. []Not Observable
❑Not Applicable j
403.9 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: 200 Corey Creek Lane Report date: 07/12/25
Data filename: Page 4 of 9
e
Section Plans Verified Field Verified
# Framing / Rough-In Inspection Value Value Complies? Comments/Assumptions
O Rec�ID Door U-factor. .. .. U- ;E]Complies See the
'table for Envelope
wee ope Assembliesvalu
s.
es
[FR1]1 ;❑Not Observable
U]Not Applicable
402.1.1, avera e). g U- ;❑Complies See the Envelope Assemblies
402. 1, Glazing U-factor(area-weighted U- � '❑Does Not �rabie for values.
402.3.3, []Not Observable
402.5 ❑Not Applicable
[FR2]1 PP
303.1.3 U-factors of fenestration products; '❑Complies
[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 iAir barrier and thermal barrier ❑Complies
[FR23]1 installed per manufacturer's ❑Does Not
instructions.
w.. E]Not Observable
❑Not Applicable
402.4.3 'Fenestration that is not site built ❑Complies
[FR20]1 ;is listed and labeled as meeting �'❑Does Not j
�AAMA/WDMA/CSA 101/I.S.2/A440
[]Not Observable
for has infiltration rates per NFRC
,400 that do not exceed code ~❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures, ;❑Complies
[FR16]2 sealed at housing/interior finish []Does Not
and labeled to indicate 152.0 cfm ❑Not Observable
leakage at 75 Pa. ❑Not Applicable
403.3.1 Supply and return ducts in attics ❑Complies
[FR12]1 insulated >= R-8 where duct is ;` ❑Does Not
>= 3 inches in diameter and >_ `
f_ 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
[FR13]1 boxes are sealed with ❑Does Not
joints/seams compliant with ❑Not Observable i
:International Mechanical Code or
International Residential Code, as- '❑Not Applicable ;
403.3.5 app)icable.
Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
� ❑Not Observable
i403.4 _....... _... ..
❑Not Applicable
HVAC piping conveying fluids R- R- Zkomplies
[FR17]2 above 105°F or chilled fluids ;❑Does Not
below 55°F are insulated to>_R- ❑Not Observable
3.
j❑Not Applicable
403.4.1 'Protection of insulation on HVAC ❑Complies
[FR24]1 piping. ❑Does Not
�, ❑Not Observable
i❑Not Applicable
403.5.3 Hot water pipes are insulated to R- R- [Complies
[FR18]2 >_R-3. UDoes Not
([]Not Observable
❑Not Applicable
1 High Impact(Tier 1) 1 2 Imedium Impact(Tier 2)___j 3 Low Impact(Tier 3)
Project Title: 200 Corey Creek Lane Report date: 07/12/25
Data filename: Page 5 of 9
Sect! n Plans'Verifled Field Verifier'
p Value Value
Compiles Comments/Assumptions
Framing/Rough-Ire ins e�cfion
w _ .. gravity P ri __ ...�. �.....�..
ite IR7w
_
4(l . i Automatic or rave dampers are- ICom lies
p
[ kl )2 'installed on all outdoor air F1Does Not
Intakes and exhausts. „ ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) Medium impa 3 Lour Impact(Tier )
Project Title: 200 Corey Creek Lane Report date: 07/12/25
Data filename: Page 6 of 9
Section plans Verified Meld Vewo"ified'
10 insulations Inspection 'Value Value Fonplies Comments/Assumption'
.iCM All installed insulation is labeled ,� ..-- ;"—"� __ ❑DompNies-
p
(IN1 )? or the installed R-values []Does Not
provided. ❑Not Observable
ONot Applicable
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 1h 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
�iala5
requirement applies(FR10). ❑ Steel ❑ Steel E]Not Applicable
[IN4] ma303.2 ll insulation nufacturer sl instructions.
-]Not FIDoo plies
1 Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 ..Medium Impack(Tier 2) Low Nmpct (Tier 3)
Project Title: 200 Corey Creek Lane Report date: 07/12/25
Data filename: Page 7 of 9
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
..& Re .113watch and door R� R- ��.1Complies.._.._..�..,. _..._m........�... __...�-..m.... ....m.
Attic access h value of the
402.2 4 A
[F13]1 insulation ?R- ❑Does Not
adjacent assembly.
❑Not Observable
❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ? ACH 50 = ;C]Complies
[F117]1 ach in Climate Zones 1-2, and Q ❑Does Not
<=3 ach in Climate Zones 3-8.
�❑Not Observable I
G 'ONot Applicable
403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies
[F12711 determine air leakage with ft2 ft2 ❑Does Not
either: Rough-in test:Total ,❑Not Observable '
leakage measured with a
pressure differential of 0.1 inch ❑Not Applicable
w.g. across the system including r
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. k
403.3.4 Duct tightness test result of<=4 ' cfm/100 cfm/100 EComplies
[F14]1 cfm/100 ft2 across the system or i ft2 ft2 f Does Not
<=3 cfm/100 ft2 without air
!handler @ 25 Pa. For rough-in I❑Not Observable
'tests,verification may need to ❑Not Applicable
occur during Framing Inspection
403.3.2.1 ''Air handler leakage designated :❑Complies
[F124]1 by manufacturer at<=2%of -]Does Not
,design air flow.
❑Not Observable
�' ❑Not Applicable
3.1.1 Programmable thermostats
'❑Complies
[F]9]2 installed for control of primary ~❑Does Not
heating and cooling systems and ❑Not Observable
initially set by manufacturer to
_ 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
...._
403.6..n
.1 All mechanical ventilation system ' "'❑Complies
�[FI25]2 fans not part of tested and listed ;` ❑Does Not
HVAC equipment meet efficacy
and air flow limits per Table ❑Not Observable
R403.6.1.
r ❑Not Applicable
v_ s.,... 4 �. _v
2 Hot water boilers supplying heat ,` ;;❑Commplies
403.
[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,
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 200 Corey Creek Lane Report date: 07/12/25
Data filename: Page 8 of 9
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& ReID _
�403.5.1.1 Heated wate.__..�... .�.........-.. _..
r circulation systems 1OComplies
(F128]2 have a circulation pump.The ❑Does Not
system return pipe is a dedicated ❑Not Observable
return pipe or a cold water supply,
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. Co
ntrols
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 ILlComplies
[F129]2 comply with IEEE 515.1 or UL ❑Does Not
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 `,�NComplies
[F130]2 systems have controls that ❑Does Not
manage operation of the pump ;, „
and limit the temperature of the ,,, ,y ❑Not Observable
water entering the cold water `°❑Not Applicable ;
piping n to <= 1049F. `
5.4 Drain water heat recovery units y ❑Complies
[F131]2 tested in accordance with CSA []Does Not
B55.1. 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 permanentCComplies
[F16]1 fixtures have high efficacy lamps. JE]Does Not
❑Not Observable
❑Not Applicable
404.1.1 Fuel gas lighting systems have �,,,' �� '❑Complies
[F123]3 no continuous pilot light. ;❑Does Not
t ❑Not Observable
❑Not Applicable
401.3 Compliance certificate posted. C7lComplies
[F17]2 ❑Does Not
❑Not Observable
r
4❑Not Applicable
303.3 Manufacturer manuals for ,;ClComplies
[F118]3 mechanical and water heating „ ;❑Does Not
systems have been provided.
m ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1�High Impact(Tier 1) 2 Medium Impact(Tier 2) ' 3 Low Impact (Tier 3)
Project Title: 200 Corey Creek Lane Report date: 07/12/25
Data filename: Page 9 of 9
Effilciency Certificate
• • MMEM
Above-Grade Wall 0.00
Below-Grade Wall 13.00
Floor 0.00
Ceiling / Roof 0.00
Ductwork (unconditioned spaces):
Window 0.29 0.32
Door 0.32
Mac=
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
E
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31, 0 ,
r. t
FA I KWEAT h E R—f5 ROWN
30
IJ 1,
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%G 3 1 a -9 7�5 2 (I .�R t 3 i le{ t t' ,l .� �• !"�
� v
IT ISA VIOLATION OFT'IE i - Ilk
CALF; !"-50'-O"
LAW FOR ANY PERSON, *.�?
ACT.MG UNDER TH ` t'
UNLESS
`SITE t?P-,AMAGE 0'4ffi/C;ON5 T KUCTION = 2G,45F.) DIRECTION OF;-LICENSED
2b�S X O 17 X 1 = 45G.I'. ARCHITECT,TO ALTER ANY
PROVICE (I) 3'-G' X G' [)'A DR ELL ITEM ON THIS DRAWING IN
ANYWAY.ANY A..THORIZED
` ALTERATION MUST BE
NOTED,SEALED.AND
IN ACCORDANCE
WITH TkE LAW.------
Building De artm nt Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I, yi L residing at Zoo '✓
(Print property owner's no, e) (Mailing dress)
do hereby authorize 18
(Agent)
to apply on my behalf to the
Southold Building Department.
*�( e+net's ASi re Date)
K)C&kA\--F �Oae"CLVI
(Print O wnor's Name)
MOLLY J DRESCHER
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.OIDR6371749
Qualified in Kings County
Commission Expires MAY 04,2026