HomeMy WebLinkAbout52112-Z TOWN OF SOUTHOLD
fi 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#: 52112 Date: 07/18/2025
Permission is hereby granted to:
Kevin Boix
1390 Country Club Dr
Cutchogue, NY 11935
To:
legalize an "as built"finished basement and a screened porch converted to living space to an existing
single-family dwelling as applied for. Additional certification may be required.
Premises Located at:
1390 Country Club Dr, Cutchogue, NY 11935
SCTIVI# 109.-3-2.15
Pursuant to application dated 05/14/2025 and approved by the Building Inspector.
To expire on 07/18/2027.
Contractors:
Required Inspections:
Fees:
As Built Addition/Alteration $1,38 .00
CO-RESIDENTIAL $100,00
Total $1A84,00
i
ilding Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
r Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 httos:f/NvwNy.soutltoldto !M.Wv
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
I
PERMIT NO, I.I Building Inspector: 14 2025
Applications and forms must be filled out in their entirety.Incomplete pp Ty P Building Department
applications will not be accepted. Where the Applicant is not the owner,an Town of Southold
Owner's Authorization form(Page 2)shall be completed.
Date:05/13/25
OWNER(S)OF PROPERTY:
Name:Kevin Boix SCTM#1000-109-3-2.15
Project Address: 1390 Country Club Drive, Cutchogue, NY 11935
Phone#:516-695-9244 Email:kboix@optonline.net
Mailing Address: 1390 Country Club Drive, Cutchogue, NY 11935
CONTACT PERSON:
Name:Krista Jones
Mailing Address:PO Box 948, Cutchogue, NY
Phone#:631-335-8175 Email:millstonepropertyservices@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:John McNeill
Mailing Address:321 Riverside Drive, Riverhead, NY 11901
Phone#:516-376-8594 Email:John@mcneillarchitecture.com
CONTRACTOR INFORMATION:
Name:Homeowner
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $15,000
Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? Dyes RNo
1
PROPERTY INFORMATION
Existing use of property:residential Intended use of property:residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? E]YesiONo IF YES, PROVIDE A COPY.
❑ Check Box After Readill : The owner/contractor/design professional is responsible for all drainage and stone 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 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 210AS of the New York State Penal Law.
Application Submitted By(print name):Krista Jones iRAuthorized Agent ❑Owner
Signature of Applicant: A Date:
5` 1
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 SU6186050
Quallfled In Suffolk County
COUNTY OF _) CommWeJon Expires April 14,
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
Lq±-hiay of 20d�,,
4iD- v w 1
Notary Public
PROP III .rY OWNIER AIRi iCf i n N
mmmmmµ(Where the applicant is not the owner)
I,
Kevin Boix residing at 1390 Country Club Drive, Cutchogue, NY
do hereby authorize Krlsta Jones to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
25
W--fx—o-wner's Signature Date
Kevin Boix
Print Owner's Name
2
Generated by REScheck-Web Software
Compliance Certificate
CC, 7VE
Project 1390 Country Club Dr JUL 1 7 202
Energy Code: 2018 IECC () ) De"Partmerit
Location: Cutchogue, New York 0 of Sloutho(
Construction Type: Single-family
Project Type: Addition
Project SubType: None
Climate Zone: 4 (5572 HDD)
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:
1390 Country Club Dr
Cutchogue, NY 11935
Compliance: 0.0%Better Than Code Maximum UA: 58 Your UA: 58 Maximum SHGC: 0.40 Your SHGC: 0.40
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 Assennbl e
Gross Area Cavity Cont. Prop. Req. Prop. Req.
Perimeter
Ceiling: Cathedral Ceiling 192 19.0 0.0 0.052 0.026 10 5
Wall: Wood Frame, 16" o.c. 326 15.0 5.0 0.053 0.060 12 14
Window 1:Wood Frame 13 0.320 0.320 4 4
SHGC: 0.40
Window 2:Wood Frame 13 0.320 0.320 4 4
SHGC: 0.40
Window 3: Wood Frame 13 0.320 0.320 4 4
SHGC: 0.40
Window 4:Wood Frame 10 0.320 0.320 3 3
SHGC: 0.40
Window 5:Wood Frame 10 0.320 0.320 3 3
SHGC: 0.40
Window 6: Wood Frame 10 0.320 0.320 3 3
SHGC: 0.40
Window 7: Wood Frame 10 0.320 0.320 3 3
SHGC: 0.40
.............._.........._ ......
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 1 of10
Gross Area Cavity Cont. Prop. Req. Prop. Req.
Perimeter
Window 8: Wood Frame
2 10 0.320 0.320 3 3
SHGC: 0.40
Window 9: Wood Frame 10 0.320 0.320 3 3
SHGC: 0.40
Floor: All-Wood Joist/Truss 192 30.0 0.0 0.033 0.047 6 9
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.
John McNeill - Arctitect �&W4C_az& 07/13/2025
Name-Title _ SOfiature Date
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 2 of 10
CREScheck Software Version : REScheck-Web
�J( Inspecti on 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 Pre-inspection/Plan Review Value Complies?p
Plans Verified Field Verified Comments/Assumptions
&.....Re ID..
103.1, Construction drawings ,.m �,..�,...... .. ...__.... ..�...,_� a..o,,,. .W _._.....m_._._.... _... ............�..� —.�.�
and ❑Complies
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.
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.
403.1, Heating sized peand cooling
equipment
based is Btu/hrg: Btu/hrg .. _ Complie,,,,.,. _ _.. �..... ...... .... �� --
_ s
[:]Doesr ACCA
al S
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) 2 w..,Medium Impact(Tier 2) 3
j Low Impact(Tr� r,3)�
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 3 of10
Section
# Foundation Inspection Complies? Comments/Assumptions
& Rec� ID
303.21 A protective covering is installed to ❑Complies
[F{ 1'112 protect exposed exterior insulation ❑Does Not
¢ and extends a minimum of 6 in. below ❑Not Observable
grade.
❑Not Applicable
403.9� ..:...Snow-and ice-melting eltin ...�........�� _. .�,. _...wa _...._ . ........ _�..m. .—.W.. ..... ....
system controls ❑Complies
[FO12]2 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: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 4 of10
Section Plans Verified Field Verified
# Framing / Rough-In Inspection Value Value Complies? Comments/Assumptions
6RecID _
402.1.1, average).U-factor(area-weighted U-_ U _.,. ..... .,_... ElDompNot able fo E aluepeAssemb
lies
es
402.3.3,
❑
402.5 Not Observable
[FR2]1 ❑Not Applicable
a
303.1.3
factors of fenestration products ❑Complies
[FR4]1 are determined in accordance ❑Does Not
40 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
❑Not Applicable
.._. _........... __.. .. ._m d ",.. .w. __. ,. ......_ .......
402.4.3 Fenestration that is not site built ❑Complies
[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 � �C.._"���� ___,
__ .. omplies
[FR16]2 sealed at housing/interior finish ❑Does Not
and labeled to indicate :52.0 cfm
leakage at 75 Pa. ❑Not Observable
❑Not Applicable
..........m �-,..______
403.3.1 Supply and return ducts in attics �
❑Co ..... --
mplies
[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
[FR13]1 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 Buildingcavities are not used a - .........
s ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 HVAC piping conveyingfluids R._;... R ....,.,,_. ❑Com.�m__ _... _ ...... ... ...�_______�,
plies
[FR17]2 above 105 °F or chilled fluids ❑Does Not
below 55 °F are insulated to >_R-
❑3 Not Observable
❑Not Applicable
�_ _ ... . _... �_ �__._..... , m ._.._. .a ............ ........ ......�. �.......,_
403.4.1 Protection of insulation on HVAC ❑
... ..... ...A.
Complies
[FR24]1 piping. ❑Does Not
; [-]Not Observable
❑Not Applicable
403.5.3 Hot water pipes are ..... ., m .--- �... �. ..W...._.. _....__ .......
. ,
insulated to R R ❑Complies
[FR18]2 >_R-3. ❑Does Not
❑Not Observable
❑Not Applicable
403.6 Automatic or gravity dampers
....m..... ..,. �. .. ..... __.._� �.�.�u�. .... . .. .. ..�. .. . .�.. ...
are ❑Complies
[FR19]2 installed on all outdoor air ❑Does Not
intakes and exhausts.
❑Not Observable
_....,.. ____ ❑Not Applicable
- .. -......._ ..
. ...
Hi h Im act(Tier 1) 2 Medium Impact(Tier 2) 3 Low Im
_ �.. .., m. .�.... ... er 3)
l g p p pact(Ti
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 5 of10
Additional Comments/Assumptions:
9 Impact �...� � Impact(Tier 2) i 3 Low Impact(Tier 3)
1 i High Im act(Tier 1) 2 Medium m e
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 6 of10
Section Plans Verified Field Verified
# Insulation Inspection Value Value Complies? Comments ssumptions
& Req.IDI ._ _ _ ��i..--...-�
303.1 All installed insulation is labeled ❑Complies
[IN13]2 or the installed R-values ❑Does Not
NO, provided. ❑Not Observable
❑Not Applicable
402.1.1, Floor insulation lue. _. ❑ Wood....: mm❑ Wood - ❑Com lies table For Envelope
valu e
R-value.. R- R p Assemblies
402.2.E ❑Does Not
[IN1] ❑ Steel ❑ Steel ❑Not Observable
❑Not Applicable
303.2, Floor insulation install ---------ed per ❑Complies
402.2.8 manufacturer's instructions and ❑Does Not
[IN2]1 in substantial contact with the
underside of the subfloor, or floor ❑Not Observable
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. _
See the Envelope Assem. ❑ ❑._ ❑❑Does Not.. blies
.1, Wall insulation R value. If this is a WR R- p
�
2 5, mass wall with at least /2 of theWood Wood 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
j[IN4]1 manufacturer's instructions. ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 'Medium Impact(Tier 2) 3 Low Impact(Tier 3)
...p .. p
....,,,A... ��..,.,.,. ................ e
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 7 of10
Section ion Final InspectionProvisions PlanValue
fied FielValue
fied Complies? comments/Assumptions
&wR!q IDS _-- 1__.__ _...__.._ .__...__.._ ... ,m._ . .. ..........
�
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, ❑ Steel ❑ Steel ❑Not Observable
402.2.6
[FI1]1 ❑Not Applicable
303.1.1.1, Ceilinginsulation
' installed per ❑Complies
303.2 manufacturer's instructions. ❑Does Not
[F12]1 Blown insulation marked every
300 ft2. ❑Not Observable
❑Not Applicable
permeable
402.2.3 Vented attics with air er ._. .�...; � ,... w�.., ..�.,�.:-......_._.� . ....... ..e-.... ...._...................._... _.�.
p ❑Complies
[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� � � � -(�C � ��-���������� �� � � omplies
[F13]1 insulation >_R-value of the ❑Does Not
adjacent assembly.
❑Not Observable
❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ❑Complies
[F117]1 ach in Climate Zones 1-2, and ❑Does Not
<=3 ach in Climate Zones 3-8.
❑Not Observable
❑Not Applicable
403.3.3 Ducts arepressure tested to cfm/100 cfm/100 ❑Com lies
p p
[F127]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..�. .........._ ------ ._-�.. .... .. ._ .__ _...-- p....�
❑Com lies
[F14]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not
<=3 cfm/100 ft2 without air
handler @ 25 Pa. For rough-in ❑Not Observable
tests, verification may need to ❑Not Applicable
occur during Framing Inspection.
403.3.2.1 Air handler leakage designated.. ��� �__.. .. .. w ......__
❑Complies
[F124]1 by manufacturer at<=2% of ❑Does Not
design air flow.
❑Not Observable
[F19] ..._.a �.... a.. ....� ..... ..,�. ��,.. , a w.w..a .�
❑Not Applicable
403.E 1 Programmable installed thermostats
of s ats ❑Complies �__._. .. .....__.
primary
heating and cooling systems and
initially set by manufacturer to ❑Not Observable
m—code specifications.
w . ❑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 ...... ... .. .. .. ...::._ �.,.....,_ �.... .m .. .... _ - .... . .......................
� - g omplies
[FI11]2 systems have automatic or ❑Does Not
accessible manual controls.
❑Not Observable
❑Not Applicable
....,
...�.. ....p 1----- .. .... _. ._. .Pact(Tier 3)
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 ,Low Impact
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 8 of10
Section Plans Verified Field Verified
& Re ID...�.W Final Inspection Provisions� m� Value Complies?
.._.....,�a� ,.. .,Value......_ ._..�.. P ? om ments/Assumptions
- �
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
heat 403.2 Hot water boilers supplying ..�:.: �
❑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. _
...
s ❑Complies
403.5.1.1 Heated water circulation system � �
[F128]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
[F129]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. _
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.
4046.1 90%or have high more of permanent
ma acytla_�,ps �.., �eee � ��.� .._ ��� ❑❑Domplies�......_ ._.............-.. . _.
11
effic
es Not
❑Not Observable
❑Not Applicable
404.1.1 Fuel gas light...,...system... .� ...�.�... .... .... ,o.. .,,�.,�.o.�. m _...�........� �....._...
s have ❑Com lies
[F123]3 no continuous pilot light. ❑Does Not
4011 ❑Not Observable
❑Not Applicable
401.3Compliance .......... m �.. ..
certificate posted, ❑Complies
[F17]2 ❑Does Not
Observable
_...._...�.... .. .._...... _ n._�.___. _....�.,..�._�.�F_� _�❑Not Applicable
..._..��.____._....-_-.��. _._ .._
7 g p .. I _
1 H h Im act(Ti edium Impact(Tier 2) 3 �mLow Impact -Tier 3)
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 9 of10
..............
Section Plans Vered: Field Veri�ed"
Final Inspection Provisions Value Value complies? Coments jAssumptions
& Req.11,11) .rn I...................- L ..........
303.3 .Manufacturer manuals for Complies,
(FI1813 'mechanical and water heating RDoes Not
systems have been provided. E]Not Observable
ONot Applicable
Additional Comments/Assumptions:
-------------------- ---- ............... ------------
i 1 High Impact(Tier 1) i JMed-ium lmpa,ct,(,Tier 2) 1.3 1 Low-11mpact(Tier 3)..................
..............
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 10 of 10
C 2018 IECC Eniergy
Efficiency
. ■ n m
NJ/
lf
Insulation Rating R-Value
Above-Grade Wall 20.00
Below-Grade Wall 0.00
Floor 30.00
Ceiling / Roof 19.00
Ductwork (unconditioned spaces):
Glass & Door Rating U-Factor SHGC
Window 0.32 0.40
Door
Cooling
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments