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Home My WebLink About32503-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 01/25/08 Il1o: Z-32845 THIS CERTIFIES that the building ADDITION Location of Property: 965 (HOUSE NO.) County Tax Map Il1o. 473889 Section 34 CHAMPLIN PL (STREET) Block 4 GREENPORT (HAMLET) Lot 14 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13, 2006 pursuant to which Building Permit No. 32503-Z dated NOVEMBER 17, 2006 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LAURA WILLUMSTAD (OWNER) of the aforesaid building. SUFPOLK COUNTY DEPAR'l'MKI!lT OF HEALTH APPROVAL N/A 7797 08/27/07 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 11/26/07 MIKE JACOBI PLUMBING 4l~ ~hor[zed ignature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r--- -:---, jAN 2 5 APPLICATION FOR CERTIFICATE OF OCCUPANCY i _J This application must be filled in by typewriter or if\!<: and submitted to the Building Department with the following: A, For new building or new use: I. Final survey of prope11y with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber cel1ifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied; the Building Inspector shall state the reasons tnerefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Cel1ificate of Occupancy - $50.00 5. Temporary Celiificate of Occupancy - Residential $15.00, Commercial $15.00 Date. I I q I c 6 ~ J New Construction: Old or Pre-existing Building: V (check one) Location of Property: '1r.. 5 C~\(I.JY\.flL'lI el (A..k, K,y'::/ 'S:~..L_,,-'1 A"'C C\ ,-u...-.....p C_L-t-~ l'\ll House No. Street Hamlet Owner or Owners of Property: Lo.....\..-L..\"ZA.. l~-: \ \ '~v\'\...':; .W Suffolk County Tax Map No 1000', Section '11 ~ '1:;!;{') :~ Lt Block . If - J if Lot Subdivision Filed Map. Lot: , -, -) --~,- .:, Pemut No ~ Date of Pennie Applicant: Health Dep!. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Cel1ificate Final Certificate: v (check one) Fee Submitted: $ ~.Q.{. )") Co q( c. 0 -c 3.2 '6 '15 I J i --. I /1. !/ 1- i . <u '{..'!A..-' .;J..A_.{?t1AL- ttd-.. Applicant Signature Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York + 11931 Tel: 631-591-3097 Fax: 631-591-3098 Application: 7797 Date: 8/27/07 Issued to: Willumstad Address: 965 Champlain St Introduced By: Laurel Lighting Village: Greenport License #: 4718-E Residential 0 Commercial The following was examined and approved up to the above date and found to be in compliance with the NEe: Attic I" Floor 0 2nd Floor 3'. Floor Garage Conversion Basement 0 Hot Tub Addition 0 Detached Garage Pool Switches Receptacle Fixtures G.F.!. Range Hood Smoke Detectors 13 16 29 6 4 Fans Dishwasher Washer/Amps Dryer/Amps Oven Rangel Amps Carbon Monoxide 2-Ex 1 1 4-Paddle Furnace Oil Gas Heat Zones Whirlpool Bell Transformers Rough Final Meter Amps Phase Motors Insvection lnsvection I 11 I 1 200A OH 1 Other Equipment: Addition ~ S":fJoffc t9~ 3~, 3""" ~: 9'~ Permit #: 32503 Section: Block: Lot: This certificate must not be altered in any manner ) I,: r",' i,l t; r-- . '\ 'II /, , LlLJ L 26 01 - -J ToVin ~~I~~~_I;I~JHl'l2--1 Southold, New Yolk 11971 Fax (516) 765-1823 hlephohli (516) 765-1802 OFFIcE OF THE bUILblNG INSFtEofOrl ToWN OF SoUTHOLb C E R TIt I CAT I 0 H - bATE: ///2'/07 BUi1ding Permit No. ~-25o~ Owl1l!r! rfr y !11'> \N~' / I V '" s T~d (please print) P1umber! f11fr::ficob; Pfv-.bt'h] (please print) t certify that the so1der used in the water sUpp1y system contains less than 2/10 of 1% lead. # ):vdv Sworn to before'me this ~'r, day of "l()"Je.~ r , 19 '2..001 Motary Pub11cl ~,.ff'o\ K t:~~L ~~ d. "YYJCW<::,c. . MlCHEU.aL MMfOC:CloM NOTMY PU8UC -STATE OF NEW.... , NO. OtMAe,eeen CIUAI.IFlED IN IlUFFOIJ( COUInY MY COMMISSION fJCPIRE8 NCIV.I7. ~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32503 Z Date NOVEMBER 17, 2006 permission is hereby granted to: LAURA WILLUMSTAD 40 REED AVENUE FLORAL PARK,NY 11001 for : ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 965 CHAMPLIN PL GREENPORT County Tax Map No. 473889 Section 034 Block 0004 Lot No. 014 pursuant to application dated NOVEMBER 13, 2006 and approved by the Building Inspector to expire on MAY 17, 2008. Fee $ 150.00 ~ CJ/~ I Authorized Signature ORIGINAL Rev. 5/8/02 32-s03i:: TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [~AL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENE1RAll0N REMARKS: . INSPECTOR DATE /tJ ~fo 7 I }rSo32- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENElRAnON All) N- ~ ~~~ - DATE /1J"r-}-o 7 INSPECTOR ~ ~ $1-O?J3~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ATION [ ] FRAMING I STRAPPING [~INAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CO~UCTION [ ] FIRE RESISTANT PENETRATION REMARKS: .jAj..(2 ktc4-f [' ~ t/;;,,;- cU,/( Nor ~/~ A9N 8C~~ ~J~ j(A.NLf~~ ~ ;JJ& ChJL ~A_ DATE (oj3(07 INSPECTOR J2~o3~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [~ [ ] FIRE SAFETY INSPEcnON [ ] FIRE RESISTANT PENEmAnON , DATE INSPECTOR 3' 2g(P3i;- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONS11IUCTION [ ] R9J'GH PLBG. [ ;?iNSULATION [ ] FINAL [ ] FI INSPECTION [ FIRE RESISTANT PENETRATION c:;., REMARKS: L DATE 3//107 INSPECTOR 3 J- s'"2? 3 c- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUC'nON [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FI~ETY INSPECTION [ ~ RESISTANT PENETRAT10N , - ~~-r;J $ - DAUJ/13 /0 7 l INSPECTOR .... '~ -~ - 31- 'J- (/ 3c-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [~H PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] F.,9UNDATION 2ND [ .{FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESQ~UCTION REMARKS: (/, -0 -,.;- DATE b 0 INSPECTOR ~ '3 )-bO 3~.. TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 SPECTION [ [ ] ROUGH PLBG. [ [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPEcnON [ ] FIRE RESIST~ CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS. Jj~~ ~ DATE INSPECTOR I " ...,...._.,.._~.._.... 3~503-z- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 SPECTION [ [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENE1RAnON REMARKS: DATE /1 j... 7 / () t:, t INSPECTOR FIELD INSPECTION REPORT! DATE I l.J-b7 k?h. , 1 FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PERN. Y. STATE ENERGY CODE FINAL ~. COMMENTS \Ai Lr-.,_.J- lbd-." / ./,'l.-A ~;g L / / /J /~ J ~~ - 1/ (\J:; , I" .J..D./f!p 1.1. . ..J.rJ. -I~;7 I t /. f\ t -1:7 I I ) \../ z /IJo!o NOr /J., ki. '""T":_.~,,(J_ ~ ) ~p . / I' b VI 3/x/o tJ j2Ab#J~~'-F- ~JC",..:UA 7?J (L -, ~ 1..('-1 ~ '-~_ z;;;.;{. IS : _A' .. (~) #1/ /. .--A' ..,At. "fffi) ___ ~ 7.. _ A J.~-:/ ~,.;:..., jh~ ~- r: "j,..-y '~'., ,-,~... "- ',\: -'/Jr_ .r b _!__ { ''''_ A... '"f 1 ?"5!~1P7~./ "7 ,;:;_ _-:\ I <- _____ J.1.'1~ 7;;/ . ~ ~ .:-r:",. J.A '"\ <l ~ _~I ~ .---, r'~ 00 0 ~:;-;.~ IS- 3/L?' 1 (/7 d~.'~,,~ d. -r- ~. ~ tI----'---___ = ~~-=..- ~- =-_:=~--!_~~-~=.:-----------= ~ --~ ~ ~d ~~ ----- .--.---..-.-- f----- 1--- /t7/1 It I '7 Ale d-u.o f / I' /Cl"f/rJ ~ , , (;,u" ~ II?L /-,,~___ ). ~ ~~./ ~, ... fJ ($/ k ./f-?/"" ...., .2 t7 IAS-;'r - tn-R... P n ~"/ J> '\ ~:s:, () ~ l)o~;Z3-. 7 j1/r / " Imar: ~7 /IT...~ C/? / '/ / // 7~h. rl1...y, '7-< 4. / / /16 /.- , 44!. / / ADInTIONAL COMMENTS / . D. ).. V:~7 " /// / ~ ~ . -'-~'--'-"-~ ----------- ~o ~ -- r ....- .---.-- e--.--- --.__._--_.._._----~-.,-----"..__._---.._-_. 1--. ------- . .-- V\~ ... -----~------ J ~ , ..., (j- ~~ 4 ~ l"l .. ~ . () ~-.J'I- ~- /'1 TOWN OWNER /,< ::rs kE'n \Y) ALeo RES'd / () LAND rP 0-0 900 66 qoo AGE NEW FARM Tillable Woodland Meaddwland H~~t Total . OF SOUTHOLD PROPERTY RECORD CARD · A-,zy IMP. . DIST. SUB. LOT / l..-J,(~ /0' -j:),C/11.. t' tu-,--C-,-~ /0 'PeSC. ACR. ."T TYPE OF BUILDING :{.((L FARM Mkt. Value TOTAL DATE ff'I<I , [ C. ;SZ /'() (/"-t) d- 7 8---"ti 1- 66 2. 900 DO:) BUILDING CONDITION NORMAL BELOW ABOVE Acre Value Per Acre Value ......- FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD j/>-. !JJ tOcJ / / \f (; / 1;Z - Ie) (.VIi , ,~//. fl9'b I ,nfl ,)" - / 3 f( ~ l.YJa..;i: .jJ.It~:! Ii)' f I I DOCK 12 'i'z '\ ~4 C, q:f) ;:;;-:- e\ Foundation <:.t-vvcYV'J{ i2,1 " Both / Dinette 0 Basement r~t F loars D K. ..&o/~'" IExt. Walls " Interior Finish 'v Q II lR. I 1':, <{ IFire Place "t"c. Heot It !..(/ DR. rr ype Roof Rooms J st Floor ,SR. ,Recreotion Room Rooms 2nd Floor FIN. B Me.f 0.1 .-"j nA I Dormer Drivewoy ....; -far~ ' (,J ..<1 J7J 16 n d, I ~ 0,/ !W~~ 11.)/,/ 'G ~---- I!> I ;:g -U;-f/>q (~q4 ~ " ~...." - -.. ! i M. Bldg. ~.,,~.30/ Extell5ion Extension Extension "hc.\<.. Porch Porch Breezeway , Garage Patio ::>. B. Total COLOR )/ -r . (j TRIM C,(/~ / < 'Y ,. J..n " , . , ,.. . , - , ,~ ! i ! I i. : I i ! I l t. . ! I i ! , , , I , , ... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ ,,?.:u)'o 3 ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.SD.E.C. Trustees Contact: PERMIT NO. 11/17 ,20 o? I : " 7 , 20 Of;, I Examined Approved Disapproved alc Mail to: , Expiration Phone: s; 111,20~ I r--- ; .; :', (' I: .:-.... ,~,;-;,--=-.--. (, t \ I",. tcJ~ Building Inspector :,v/ I 3 2J6 AlWLICATION FOR BUILDING PERMIT I , - Date ,20 . .: - ."...- INSTRUCTIONS ---1 a. This application MUST be completely filled in bY typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months afler the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafler, a new permit shall be required. APPLlCA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or 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 for necessary inspecti~'fl~~ (Signature of applicant or name, ifa corporation) 41) tfEEb Ave. FL.ofilf-l../kJ{ NY (Mailing address of applicant) J 110 0 I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder a.owt-Je (. Name of owner of premises LA-I.) e.A' W 11..1..1,) M.!:. .,..-Ab (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: 8"S' dA I '-L"f Avt. A.K.~. 9fD5 CJ1A YX.oU'n House Number Street . <:;; eu N A:> .eT Hamlet (Name) Lot ~ Lot County Tax Map No. 1000 Section Subdivision Block Filed Map No. 'fA''1- fMllI~ '* 41:3 88q otf. -c.{ - , t.J .. "... . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy f~ b. Intended use and occupancy _ ~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work ............... Alteration 4. Estimated Cost 150.000 . (Description) Fee 5. If dwelling, number of dwelling units N / A- If garage, number of cars I (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase q JqCf I II. Zone or use district in which premises are situated Name of Former Owner 6t:nt eV.S SO 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~ 13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES NO - f'loCo.tl(O.r ~ N'f - 14. Names of Owner of premises LINtz" W.I.WH6fAIddresAot'UDAuE. Phone No.q,,,,~ S"'77. oH:05" Name of Architect Address Phone No Name of Contractor Address Phone No. IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) Lilvl!-A W ILl.. UM5"T~ 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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this "1"1'\ dayof N(')\l('('(\'Atr 20~ ~A4- A-ILA~V4~ SIgnature of ApplIcant . EILEEN WINGATEDESIGN 460 BOOTH ROAD SOUTHOLD, N. Y. 631.765. 2743 November 13,2006 Building Department Town of Southold Southold, NY 11971 Re: Laura Willumstad 855 Bailey Avenue AKA 965 Champlin Street Greenport, NY SCTM # 1000-34-04-14 Please note that the screen porch along the north side of this house will not be included in this addition/renovation. It is going to require a variance from the zoning board, and the home owner remains undecided about it's size. All other construction and remodeling should be included in the building permit we applied for. Any questions, please feel free to calL Thank You, Morris Cesspool Service, Inc. 2760 Yennecott Drive Southold, NY 11971 631-765-3300 - October 29, 2006 LAURA WILLUMSTAD 40 REED AVE FLORA PARK NY 11001 Dear: LAURA WILLUMSTAD, I HAVE INSPECTED THE CESSPOOL SYSTEM AT YOUR HOUSE IN GREENPORT. I FOUND THAT YOU HAVE A 1000 GALS. PRECAST SEPTIC TANK AND 2 PRECAST CESSPOOLS. THEY ARE VERY GOOD CONDITION. Sincerely, 1}~//?~. DOUGLAS A. MORRIS PRESIDENT Morris Cesspool Service, Inc. INFORMATION TAKEN FROM SURVEY PREPARED BY RODERICK VAN TYLE P.C. SURVEYED I 2-5-9G FOR SETH RUSSO SCTM #: I 000-034-4- I 4 ~ ~~ 1'L ~ ~ Pennit # '0 . Pennit Date REScheck Software Version 3.7 Release 1b Compliance Certificate Project Title: Wilumstead Report Date: 11/01/06 Energy Code: New York State Energy Conservation Construction Code Suffolk County, New York Detached 1 or 2 Family Non-Electric 6% 5750 Location: Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: Construction Site: Champlain Place Greenport, NY Owner/Agent: Designer/Contractor: C)mplldr'l'~ Passes i\tdXlITllllll VA 86 y(,ur Hornp UA 86 - '> 0.0% Better Than Code (UA) Assembly ..... Ceiling 1: Flat Ceiling or Scissor Truss: Ceiling 2: Cathedral Ceiling (no attic): Wall 1 : Wood Frame. 16" o.c.: Window 1: Wood Frame:Double Pane with Low.E: Window 2: Wood Frame:Double Pane with Low.E: 233 0.0 19.0 11 294 0.0 19.0 14 552 0.0 13.0 50 28 0.340 10 4 0.340 1 statement of Compliance: The proposed building represented in this document is consistent with the building plans. specifications, and other calculations submitted with this pennit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. ~A-~ <', ~Q...WlS).A.:;S. BuilderlDesigner Company Name J6)~ ]0{, Oat I WiJumstead Page 1 of 4 . . REScheck Software Version 3.7 Release 1 b Inspection Checklist Date: 11/01/06 Ceilings: o Ceiling 1: Flat Ceiling or Scissor Truss, R-19.0 continuous insulation Comments: o Ceiling 2: Cathedral Ceiling (no attic), R.19.0 continuous Insulation Comments: Above-Grade Walls: o Wall 1: Wood Frame. 16- a.c., R-13.0 continuous insulation Comments: Windows: o Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 2: Wood Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Air Leakage: o Joints, penetrations, and all other such openings In the building envelope that are sources of air leakage must be sealed. o Recessed lights must be 1) Type Ie rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-Ie rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: o Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materlala Identification: o Materials and equipment must be installed In accordance with the manufacturer's installation instructions. o Materials and equipment must be identified so that compliance can be determined. o Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. o Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: o Supply ducts in unconditioned attics or outside the building must be insulated to R-8. o Return ducts in unconditioned attics or outside the building must be insulated to R-4. o Supply ducts in unconditioned spaces must be insulated to R-8. o Return ducts In unconditioned spaces (except basements) must be insulated to R- o Return ducts in unconditioned spaces (except basements) must be Insulated to R.2. . Insulation is not required on return ducts In basements. Duct Construction: o All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastIcs must be rated UL 181A or UL 1818. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Po). o The HVAC system must provide a means for balancing air and water systems. Wilumstead Page 2 of4 . Temperature Controls: D Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Syslems: o Separate electric meters are required for each dwelling unit. Fireplaces: o Fireplaces must be installed with tight fitting non-combustible fireplace doors. o Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of Now York State. the Residential Code of New York State or the New York City Building Code. as applicable. Service Wale. Haallng: D Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. D Insulata circulating hot waler pipes 10 the levels In Table 1. Clrculallng Hot Waler Systems: D Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: o All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Healing and Cooling Piping Insulallon: D HVAC piping convoying fluids above 105 degrees F or chilled fluids below 55 degrees F must belnsulatad to the levels In Table 2. Wilumstead Page 3 014 , " .r.ble 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Heated Water Temperature ("F) 170-180 140-169 100-139 Non-ClrculBtlng Runouts Insulation Thickness In Inches by Pipe Sizes Circulating Mains and Runouts Up to 1" 0.5 0.5 0.5 Up to 1.25" 1.0 0.5 0.5 Table 2: Minimum Insulation Thickness for HVAC Pipes Piping System Types Heating Systems Low PressurelTemperature Low Temperature Steam Condensate (for feed water) Cooling Systema Chilled Water, Refrigerant and Brine Fluid Temp. Range("F) 201-250 120-200 Any 40-55 Below 40 NOTES TO FIELD: (Building Department Use Only) 1.5" to 2.0" 1.5 1.0 0.5 Over 2~ 2.0 1.5 1.0 Insulation Thickness In Inches by Pipe Sizes 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 Wilumstead Page 4 of 4