HomeMy WebLinkAbout52112-Z aof Soujyo`o Town of Southold
* * P.O. Box 1179
04_1 53095 Main Rd
"bc��ou N 4 Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46380 Date: 08/07/2025
THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION
Location of Property: 1390 Country Club Dr Cutchogue, NY 11935
Sec/Block/Lot: 109.-3-2.15
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/14/2025
Pursuant to which Building Permit No. 52112 and dated: 07/18/2025
Was issued, and conforms to all of the requirements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
"As built" alterations including a partially finished basement and a conversion of a
screened porch to living space to an existing single-family dwelling as applied for.
The certificate is issued to: Kevin Boix , Susan Boix
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52112 8/5/2025
PLUMBERS CERTIFICATION:
tho a Sig ature
�aofsouryo 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#: 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
SCTM# 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 $1,384.00
CO-RESIDENTIAL $100.00
Total $1,484.00
401'Iding Inspector
OF SO!/l�ol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G • Q
Southold,NY 11971-0959 COW TI,� �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Kevin Boix
Address: 1390 Country Club Dr City: Cutchogue St: NY Zip: 11935
Building Permit#. 52112 section: 109 Block: 3 Lot: 2.15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Indoor W1 Basement Wl Service Solar 1-
Outdoor G 1st Floor I✓i Pool Fl Spa r
Renovation 1- 2nd Floor rl Hot Tub r Generator r
Surrey Attic 1-1 Garage Battery Storage 1-
INVENTORY
Service 1 ph 1- Heat Duplec Recpt 29 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph ❑ Hot Water _ GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 30 CO Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan 1 Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect 30A Switches 10 4'LED Exit Fixtures
other Equipment: Minisplit w/ (1)Bl6werhead
Notes: " AS BUILT NO VISUAL DEFECTS " Finished Basement & Minisplit
Inspector Signature: X Date: August 5, 2025
Sean Devlin -
Electrical Inspector sean.devlinl-town.southold.ny.-us
1390Cou ntryCl ubBasement
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# # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] .FINAL
[ ] FIREPLACE & CHIMNEY [ . ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: 501 LL lik
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DATE INSPECTOR
OF 50(/TyO�o
# # TOWN OF SOUTHOLD BUILDING DEPT.
°`ycou 631-765-1802
4
)4 D• INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: C LOYV� L I�
. hMAO 'I)fA view
DATE YJ INSPECTO
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
------------------------------------- --
FOUNDATION (2ND) -------
O
C> C/)
ROUGH FRAMING &
PLUMBING
Tr;-3�
INSULATION PER N. Y.
STATE ENERGY CODE
............ ----------- ...... .
FINAL
----------
ADDITIONAL COMMENTS
I
---- -
P1 1�6 fbY t'..e-l"It
- - CTI WT)- 713V
-x 0
"ZI z
------------- -----------
----------------
.................
o�gufF°tK�oGy TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
of �ao� Telephone (631) 765-1802 Fax(631)765-9502 https://www.southoldtomm.34ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only EC E OWE
PERMIT NO. Building Inspector: M AY 14 2025
Applications and forms must be filled out<in their.entiretiy Incomplete Building Department
applications will riot beaccepted``Where the Apphcant:is not the owner,an Town Of Southold
Owner's Authorization form(Page 2)ashall be completed
Date:05/13/25
OWNERS)OF PROPERTY
Name:Kevin Boix ISCTM#1000-109-3-2.15
Project Address: 1390 Country_Club Drive, Cutchogue,^NY 11935
Phone#:516-695-9244 Email:kb0ix@9pt0nline: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
CONT f iCTOR]NFORMATION::
Name:Homeowner
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
a
El New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $15,000
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo
1
P
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? ❑Yes @No IF YES, PROVIDE A COPY.
❑'Check`Box AfCer Reading The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by ti
Chapter 236 of the Town Code,:APPLICATION IS HEREBY MADE to the'Suliding Department forahe issuance of a;Building Permit pursuant to the Building Zane--
Ordinance of the Town of Southold,Suffolk;County,New'York and other applicable Lbwis Ordinances or Regulations;{for the'construction of builtlings,
.additions,alteratloris or for removal or demolition as herein described The,applicant agrees to,compiY with all applicable laws;ordinances,building code i
housing code;ar►d regulations and to admit authorized inspectors on premises and in buililing(s)for necessary inspections False statements made in are
punishable`as a Class A mrsde r eanor pursuant to Section 216 S'of,the New`York State Penal Law.
Application Submitted By(print name):Kris/t�a Jones I]Authorized Agent []Owner
Signature of Appli
cant: Date: -------__N___
®_. _.. .__ __
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01BU618505o
COUNTY OF ) Q�Ifled In Suffolk County
Commission Expires April 14,2-Z) ,�
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
L�A_ ay of 20 /�D� �/ 1 W1
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I,
Kevin Boix residing at 1390 Country Club Drive, Cutchogue, NY
do hereby authorize Krista Jones to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
51N4�
Owner's Signature Date
Kevin Boix
Print Owner's Name
2
i
E C E E
��g�fF01 ILDING DEPARTMENT- Electrical Inspector
��� �► JUL 2 1 2025 TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
1 Southold, New York 11971-0959
• siding DeParJtmOnt
�'yfj�l Town of Southold Telephone (631) 765-1802 - FAX (631) 765-9502
iamesha-southoldtownny.gov - seanda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali Information Required) Date: 1 2l 2
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: ���.�,/� B�o(-
Address:
Cross Street:
Phone No.:
Bldg.Permit#: 6 2,t 12 email:
Tax Map District: 1000 Section: 6 0( Block: Lot: , I�
BRIEF`DESCRIPTION`OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: -� YES [] NO ❑Rough In ❑ Final .
Do you need a Temp Certificate?: ❑ YESJD d*O Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A ' # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 R2 H Frame Pole Work done on Service? Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
) 1
ILDING DEPARTMENT- Electrical Inspector
2 1 2025 TOWN OF SOUTHOLD
. JUL
Town Hall Annex- 54375 Main Road - PO Box 1179
a + fl116dir+ De artrrsent Southold, New York 11971-0959
Town Of Southold Telephone (631) 765-1802 - FAX (631) 765-9502
ia mesh(cDsoutholdtownny.gov'- seand(a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) ' Date: 112112
Company Name: 6Wr\k_ r
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: ���.�✓� C�'� X
Address:
Cross Street:
Phone No.:
Bldg.Permit#: `j l Z email:
Tax Map District: 1000 Section: t`j Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
"03 S vv\v—OOA^-�-
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YEO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals F1 1 2 H Frame Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's ' 44
UC Lts Fridge HW POOL
Fans Mini Fr. W/D PanelPump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
t�
Carbon Micro GrbDis Water Bond
Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
Generated by REScheck-Web Software
Compliance Certificate
Project 1390 Country Club Dr
Energy Code: 2018 IECC
Location: Cutchogue, New York
Construction Type: Single-family JUL 17 2025
Project Type: Addition
Project SubType: None
Climate Zone: 4 (5572 HDD) Building Department
Permit Date: Town of Southold
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
iCompliance: Passes using UA trade-off
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 Assemblies
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 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 �a.�� 07/13/2025
Name-Title S' ature Date
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 2 of10
CREScheck'Software Version : REScheck-Web
�J( 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 Complies? Comments/Assumptions
& Req.ID Value Value
103.1, Construction drawings and ( ❑Complies
103.2 'documentation demonstrate ❑Does Not
[PR1]1 energy code compliance for the
J building envelope.Thermal ( ❑Not Observable
envelope represented on ! ❑Not Applicable
construction documents. .
103.1, Construction drawings and ❑Complies
103.2, documentation demonstrate s ❑Does Not
403.7 ;energy code compliance for
[PR3]1 lighting and mechanical systems. ❑Not Observable
U Systems serving multiple ❑Not Applicable
dwelling units must demonstrate
'compliance with the IECC
Commercial Provisions. j
302.1, i Heating and cooling equipment is; Heating: Heating: ❑Complies
403.7 -sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
[PR2]2 €on loads calculated per ACCA Cooling: Cooling:
p� Manual J or other methods ❑Not Observable
approved by the code official. Btu/hr Btu/hr ❑Not Applicable
I
Y
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 11 Low Impact(Tier 3)
Project Title: 1390 Country Club Dr Report date: 07/13/25
Data filename: Page 3 of10
section
# Foundation Inspection Complies? Comments/Assumptions
& Req.ID
303.2.1 JA protective covering is installed to ❑Complies
[FO11]2 i protect exposed exterior insulation UDoes Not
Fand extends a minimum of 6 in. below ❑Not Observable
]grade.
❑Not Applicable
r
403.9 Snow-and ice-melting system controls'❑Complies
tFO12]2 installed. ❑Does Not
V i ❑Not Observable
r '❑Not Applicable j
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
& Req.1D
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
[FR4]1 ;are determined in accordance ❑Does Not
:with the NFRC test procedure or ❑Not Observable
taken from the default table.
❑Not Applicable
402.4.1.1 'Air barrier and thermal barrier ❑Complies
[FR23]1 installed per manufacturer's ❑Does Not
instructions.
❑Not Observable
❑Not Applicable
402.4.3 Fenestration that is not site built ❑Complies
[FR20]1 is listed and labeled as meeting ❑Does Not
19 ;AAMA/WDMA/CSA 101/I.S.2/A440 -
,or has infiltration rates per NFRC -]Not Observable '
400 that do not exceed code { ❑Not Applicable
limits.
.ti
402.4.5' G:IC-rated recessed lighting fixtures "" .❑Complies
[FR16]2 sealed at housing/interior finish ❑Does Not
1 and labeled to indicate <_2.0 cfm
k ❑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
U >= 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
v ;joints/seams compliant with []Not Observable
International Mechanical Code or ,
International Residential Code, as ❑Not Applicable
applicable.
403.3.5 Building cavities are not used as 4 ❑Complies
[FR15]3.- ducts or plenums. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 HVAC piping conveying fluids R- R- ❑Complies
[FR17]2 Aabove 105 °F or chilled fluids ❑Does Not
j below 55 9F are insulated to >_R- j
3 ' Not Observable
❑Not Applicable
403.4.1 Protection of insulation on HVAC ; * :.,,�❑Complies
[FR2411 piping. - J❑Does Not
❑Not Observable '
❑Not Applicable
403.5.3 !'Hot water pipes are insulated to R- R- ❑Complies
[FR1812 1>_R-3. ❑Does Not
❑Not Observable
❑Not Applicable
403.6 Automatic or gravity dampers are (❑Complies
[FR19]2 ;installed on all outdoor air ❑Does Not
!;intakes and exhausts. f ❑Not Observable i
❑Not Applicable
11 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 5 of10
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 6 of10
Section. Plans Verified Field Verified
# Insulation Inspection Value Value Complies? Comments/Assumptions.,
& Req.ID
303.1 !All installed insulation is labeled i ❑Complies
[IN13]2 or the installed R-values ❑Does Not
y provided.
tJ I ❑Not Observable
❑Not Applicable
402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies
402.2.E ❑ Wood ❑ Wood ❑Does Not ;table for values.
[IN1]1 ❑ Steel ❑ Steel ;❑Not Observable
U j❑Not Applicable
303.2, 'Floor insulation installed per ❑Complies
402.2.8 manufacturer's instructions and ❑Does Not
[IN2]1 in substantial contact with the i
0 underside of the subfloor, or floor; ❑Not Observable
(framing cavity insulation is in P ❑Not Applicable
contact with the top side of
;sheathing, or continuous
'insulation is installed on the
j underside of floor framing and
extends from the bottom to the
top of all perimeter floor framing
members. p
402.1.1, ;Wall insulation R-value. If this is a R-
R- ❑Complies !See the Envelope Assemblies
402.2.5, :mass wall with at least 1/2 of the ;❑ Wood ❑ Wood :❑Does Not ;table for values.
402.2.6 'wall insulation on the wall ❑ Mass ❑ Mass ,❑Not Observable
[IN3]1 exterior,the exterior insulation
requirement applies (FR10). ❑ Steel ❑ Steel ;❑Not Applicable
303.2 ;Wall insulation is installed per I ❑Complies
[IN4]1 manufacturer's instructions. ❑Does Not
❑Not Observable
f ❑Not Applicable
Additional Comments/Assumptions:
1 I 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 7 of10
Section , . , . .
Plans Verified': '. Field Verified
# Final Inspection.Provisions . Value Value Complies?• -comments/Assumptions
& Req.ID
402.1.1, ;Ceiling insulation R-value. R- R- ❑Complies ;See the Envelope Assemblies
402.2.1, ❑ Wood j❑ Wood j❑Does Not ;table for values.
402:2.2, j❑ Steel ❑ Steel ❑Not Observable
402.2.E j❑Not Applicable
PPlicable
I I
303.1.1.1, (Ceiling insulation installed per ❑Complies
303.2 :manufacturer's instructions. ❑Does Not
[F[2]1 Blown insulation marked every
300 ft2. ❑Not Observable
' ❑Not Applicable
402.2.3 g Vented attics with air permeable ❑Complies
[F[22]2 insulation include baffle adjacent ( ❑Does Not
Ito soffit and eave vents that 1
extends over insulation. ❑Not Observable
❑Not Applicable
402.2.4 Attic access hatch and door R- R- ❑Complies
[F13]1 insulation >_R-value of the :❑Does Not
!adjacent assembly. j
❑Not Observable
❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 ❑Complies '
[F]17]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 are pressure tested to cfm/100 cfm/100 ❑Complies
[F127]1 'determine air leakage with ft2 ft2 j❑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. I
403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ;❑Complies
[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 ; .` ❑Complies
[FI24]1 by manufacturer at<=2%of t ❑Does Not
design air flow.
j, I❑Not Observable
E]Not Applicable
403.1.1 y Programmable thermostats : ❑Complies
[Flg]2 installed for control of primary ❑Does Not
heating and cooling systems and
initially set by manufacturer to _ . ` ❑Not Observable
p,code specifications. - " ❑Not Applicable
403.1.2 4 Heat pump thermostat installed $ ❑Complies
[FI10]2 on heat pumps. �; ;, ❑Does Not
❑Not Observable
d
❑Not Applicable
403.5.1 Circulating service hot water ❑Complies
[FI11]2 systems have automatic or ❑Does Not
accessible manual controls. '
$ ❑Not Observable
f i j❑Not Applicable
1 I 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 8 of10
Section plans Verified Field Verified
# Final Inspection Provisions Complies? Comments/Assumptions
& Req.ID Value. Value
403.6.1 All mechanical ventilation system � .' ,❑Complies I
(F125]2 Jans not part of tested and listed ❑Does Not
HVAC equipment meet efficacy ❑Not Observable
and air flow limits per Table ❑Not Applicable
R403.6.1.
403.2 s Hot water boilers supplying heat ❑Complies
(FI26 through one-or two-pipe heating ❑Does Not
systems have outdoor setback (.
control to lower boiler water d [:]Not Observable
^{'temperature based on outdoor °' ❑Not Applicable
f temperature.
403.5.1.1 b Heated water circulation systems ;^aF ❑Complies
[F128]2 ;have a circulation pump.The ❑Does Not
system return pipe is a dedicated $`
return pipe or a cold water supply t, ❑Not Observable
+pipe. Gravity and thermos- ❑Not Applicable j
syphon circulation systems are
not present. Controls for
circulating hot water system
pumps start the pump with signal f
for hot water demand within the
occupancy. Controls G
automatically turn off the pump j
when water is in circulation loop
is at set-point temperature and ff
I no demand for hot water exists. 6
403.5.1.2 i 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
f heat tracing to maintain the ❑Not Applicable
desired water temperature in the
piping.
403.5.2 )Demand recirculation water ❑Complies
[F130]2systems have controls that ## '' ❑Does Not
;manage operation of the pump ! '
k and limit the temperature of the ❑Not Observable
)water entering the cold water ❑Not Applicable
i g 1 . _ - _
piping to <= 104°F.
403.5 4 Drain water heat recovery units . ❑Complies
[FI31]? �Itested in accordance with CSA ❑Does Not
t B55.1. Potable water-side
pressure loss of drain water heat . ❑Not Observable
recovery units < 3 psi for i , ❑Not Applicable
individual units connected to one
or two showers. Potable water-
,side pressure loss of drain water `
heat recovery units < 2 psi for a
+individual units connected to
:three or more showers.
404.1 '90%or more of permanent 10complies
[F1611 Jixtures have high efficacy lamps. ❑Does Not
+,❑Not Observable
❑Not Applicable
404.1.1. Fuel gas lighting systems have I ❑Complies
[F12313 no continuous pilot light. + ❑Does Not
❑Not Observable
f ❑Not Applicable
401.3 Compliance certificate posted. ❑Complies
[FI7]2 ; ❑Does Not
[]Not Observable
1 ❑Not Applicable
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 9 of10
Section f--;lans Verified_ Field Verified
# Final inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID
303.3: Manufacturer manuals for ❑Complies
[FI18]3 mechanical and water heating ❑Does Not
systems have been provided.
❑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 10 of10
�J( 2018 IECC Energy
Efficiency Certificate
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
CoolingHeating &
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
i
APP 0 EO AS NOTED
o e-P s
FEE BY
(NOTIFY BUILDING DEPARTMENT AT_
631-785-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE C
2. ROUGH-FRAMING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST 321 RIVERSIDE DR
BE COMPLETE FOR C.O. R I V E R H EA D NY 11901
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW (516)376-8594
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
cP COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
AS REQUIRED AND CONDITIONS OF
Val `sc5`. .�. __.__._....SOUTHOL OV'dN ZBA [ C
F L.
-,/ •% ��, Le ._._ SOUTH TOWN PLANNING BOARD �'
\ SO OLD TOWN TRUSTEES
N. .a DEC t_ JUL 17 20?5
' PLUMBING
UTHOLDHPC ALL PLUMBING WASTE
aCHD &WATER LINES NEED
/ `% TESTING BEFORE COVERING
-/ \ OCCUPANCY O
-/ % USE IS UNLA17FUL . .-�, �.,,
\ 171 T HOUT COMMIT f� MIT o _ .+�'y -v� � ��E
' SMEISR U V 1, tr !R
` �j SUP,PL1rSYS`IV car ! )T
EXGtED 2/f0 OF 1% - D.
ME-C (CAL
- \% ti"��"CCT1{?r� REt�U1�iE�
/ � `ram Client Info
1000, Additional
Certification KEVIN BOIX
/ (PV- �� May Be Required. 1390 Country Club Drive
•�q, % Cutchogue, NY
/ `
L
/' �` ® Project Info
LEGALIZE FINISHED BASEMENT AND
EXIST.1 STORY GARAGE SCREENED PORCH CONVERTED TO
,
-/ ` DEN
01000, 65 1390 Country Club Drive
�
Cutchogue, NY
JO /' 1 p / / a N
/ a 1g9 \ >
OL
EXISTING a
LEGALIZE EXISTING ` Q
SCREENED PORCH ,1p 2 STORY FRAME
CONVERTED TO AND DWELLING
`% ENCLOSED DEN
s0 \ gFi �
so.
o \% cn o
\ �` w LV
EXIST.OPEN ` (A
\ WOOD DECK
\ C.E. w 3p9 1
/-S1T04' 10"E
\ PROPOSED EGRESS 3.00
WINDOW WELL PER
v
NYSRC R310 •� 0
\% ,�'"� 4%S9,E_D Ado.
I
`
,`
S 6 55
COVER
PLOT PLAN SHEET
SCALE: 1/16" = 1'-0"
Drawn By Checked By
J.E.M. J.E.M.
Drawing No.
A-0
Sheet 1 of 4
i
DE
321 RIVERSIDE DR
RIVERHEAD, NY 11901
EXIST. BILCO (516)376-8594
DOOR EGRESS Q
_— - -_- -
EXISTING(3)2"x10"GIRDER
WELL I 6"x6"P.T. POST
EQUIP. I ON A 30"x30"xl2"
P.C. FTG TYP.
I X � U I
I N0O I
IIII of
(0
Xo WU
0706'6"\
. v
@ C:)
X (0
II I
o C
� '4 I
EXISTING 2"x10"LEDGER
EXISTING WOOD BEAM
14'-9" EXISTING
WATER HEATER
SOFFIT CEILING
HEIGHT-6'-8" CI�TING
FURNACE 5/8"TYPE"X"GYP. BOARD
ON WALLS &CEILINGS TYP. U
U; � 0 Client Info
N N o z I o -
U i
r _ EXISTING WOOD BEAM_ _ ti C'4
1390 Country Club Drive
3'-0" co Cutchogue, NY
_ _ _ EXISTING UNFINISHED Y
32'-4" F — — -
- STORAGE SPACE Q
N
Project Info I I CEILING HEIGHT- T-10" X
uu LEGALIZE FINISHED BASEMENT AND
30"x42"TILT& I- — — SCREENED PORCH CONVERTED TO
o = ____ EXISTINGWOOD BEAM
TURN WINDOW __ _ _ -�e—__ -_ - -- --
— — — BASE OF WINDOW NOT x i (6-8 CLEAR HEIGHT UNDERNEATH) DEN
1390 Country Club Drive
8 CMU BLOCK ON
TO EXCEED 44" a.f.f. EXISTING
N � � Cutchogue, NY
I
12"x8" P.C. FOOTING i AIR HANDLER
16'-9 1/2" i EXISTING FINISHED
DOWELED INTO EXISTING RECREATION SPACE �j 2
CL
FOUNDATION WALL WITH#4 CEILING HEIGHT-7'-9" &D up � O
Q
REBAR @ 16 o.c. & _ o
o r- (D
WALL INSULATION: +,�00 `V
NOTE: 1 (R-5) RIGID CONTINUOUS 10 s
WINDOW WELL TO COMPLY R-13 BATTS IN CAVITY ti 6 6 elE
WITH SECTION R310 OF THE CLOS. CLOSET o
NYS RESIDENTIAL CODE
O o-
� U
>? U
W N
BASEMENT PLAN
SCALE: 1/4" = 1'-0"
a�
v
0
�)�N And
��
LEGEND
���'�� �
N
NEW FOUNDATION
SEE DETAILS
NEW INTERIOR
WAIL&PARTITION
NEW EXTERIOR
WALL BASEMENT
NEWWINDOW FLOOR PLAN
O
O NEW DOOR Drawn By Checked By
SD HARDWIRE SMOKE J.E.M. J.E.M.
Drawing No.
A- 1
Sheet 2 of 4
Pr N' E
321 RIVERSIDE DR
16'-0" 17'-11 1/2" RIVERHEAD, NY 11901
(516)376-8594
44"x 44" 44"x 44" - 44"x 44"
WINDOW WINDOW WINDOW
ICTo o
EXIST. z = z
OPEN DECK Cl)
U EXIST. x o 0o X o 0
_ Z EXIST. _ Z
BATH OQ co DEN M 3 N
vo � o
x 0 x
EXIST. M � 15'-4" M
BREAKFAST
NOOK
W.I.C. W.I.C. o
M
<- Q
Client Info
EXIST. KEVIN BOIX
KITCHEN 1390 Country Club Drive
DN
Cutchogue, NY
REF. W
EXIST.
EXIST. GARAGE Project Info
BEDROOM 0 0 D LEGALIZE FINISHED BASEMENT AND
EXIST. SCREENED PORCH CONVERTED TO
LIVING DEN
ROOM 1390 Country Club Drive
Q Ll
Cutchogue, NY
-v
a�
0
L
d
CL
UP EXIST. Q
DINING
ROOM
EEC
cn o
z
O o_
Eli N
N
FIRST FLOOR PLAN
SCALE: 1/4" = 1'-0" v
0
LEGEND � �� ��30741
NEIN FOUNDATION
SEE DETAILS
NEW INTERIOR
WALL&PARTITION
NEW EXTERIOR FIRST FLOOR
WALL
NEW WINDOW PLAN
O
O NEW DOOR Drawn By Checked By
SD
HARDWIRE SMOKE J.E.M. J.E.M.
Drawing No.
A-2
Sheet 3 of 4
i
s
E
z
1-11 T E CTIJPE
321 RIVERSIDE DR
RIVERHEAD, NY 11901
(516)376-8594
AF
-E El
LEFT SIDE ELEVATION (NORTH WEST) REAR ELEVATION (SOUTH WEST) RIGHT SIDE ELEVATION (SOUTH �ST
SCALE: 1/4" = 1'-0" SCALE: 1/4" = 1'-0" SCALE: 1/4" = 1'-0"
Client Info
KEVIN BOIX
1390 Country Club Drive
Cutchogue, NY
Project Info
LEGALIZE FINISHED BASEMENT AND
SCREENED PORCH CONVERTED TO
DEN
1390 Country Club Drive
Cutchogue, NY
a�
0
a
a
GAF40 YR.ARCHITECTURE ASPHALT
ROOF SHINGLES 30#ROOFING FELT
1/2"EXTERIOR PLYWOOD 278"R.R. c
w/HURRICANE CLIPS @16"O.C. ,R-19 INSUL., V) o
2'GYP BD.TAPE,SPACKLE,PAINT(TYP) O o-
� U
co
N
(2)2x8 COLLAR TIES
@36"O.C.TYP.
VINYL SIDING
R-5 RIGID INSULATION ,
TYVEX WRAP,
1/2"CDX PLYWOOD, .�
N 274"STUDS @ 16"O.C.
EXIST. DEN R-15 BATT.INSULATION,
1/2"GYPSUM BOARD.
0
-1 3/4"PLYWOOD
co
2"xl0"FLR.JST. @16"O.C.
EXISTING(3)2"x10"GIRDER * ' ,
6"x6"P.T. POST '
ON A 30"x30"x12"
N P.C. FTG TYP.
GRADE 038741 -
EXI - R-30 BATT. o `
INSULATION '
BASE ENT" "'
1st
ELEVATIONS
SECTION A-A SECTIONS
SCALE: 1/4" = 1'-0"
Drawn By Checked By
J.E.M. J. E.M.
Drawing No.
A-3
Sheet 4 of 4