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Home My WebLink About32681-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33l13 Date: 06/20/08 THIS CERTIFIES that the building NEW DWELLING Location of Property: 2715 HENRY'S (HOUSE NO.) County Tax Map No. 473889 Section 74 LA (STREET) Block ~ PECONIC (HAMLET) Lot 44.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 2007 pursuant to which Building Permit No. 32681-Z dated JANUARY 29, 2007 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 ONE FAMILY DWELLING WITH COVERED PORCH, TERRACE & SIDED ENTRY AS APPLIED FOR. The certificate is issued to KEVIN P BUCCINNA & FAITH BEISER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMRHT OF IlKALTH APPROVAL R10-05-0083 05/30/08 3035708 03/10/08 KLKCTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 06/06/08 BERTSAND PLUMBING & HEAT Rev. 1/81 . Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Cl./~r< r~' S/v- 31'1- 'l.N5 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Departmetif'tth th~\olloLing: I A. f~r :i:l ~:~~:;,:;~~s::ith accurate location of all buildings, property lines, streets, ~nd u.iusua'--natUiir~iL-J 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 certifying that the solder used in system contains less than 2/10 of 1 % 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 therefor 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 Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 4-~r Ol~ rl pre-~xisti~_~Uilding: ~ (check one) Location of Property: r ~ L--- House No. Street I Owner or Owners of Property: ~ ~ ,. I~ ~ v C { / "'N;" . / / ap No 1000, Section '1 Y Block I t/". New Construction: Hamlet Subdivision Lot~L\ . S Suffolk County T ~ Permit No. Date of Permit. Filed Map. /:)7 Applicant: Lot: Underwriters Approval: ....-- Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate . /j "'..- Fee Submitted: $ ('/S Ov ,2; ?)~ 113 ~ c 'llfStll I'"/~ Final Certificate: ...- (check one) /L~ 7~ Applicant Signature tJrI Town Hall, 53095 Main Road P.O. Box 1179 Southald, Nell' York 11971-0959 'Pax (631) 765-9502 Telephone (631) 765-1802 \. BUILDING DEPARTMENT TOWN OF SOUTHOLD . i 1\ 9 - CERTIFICATION , :,~"::.~ , I ~'........--.,' Date: June 6, 2008 Building Permit No. 32681 Owner: KfU//~ ~~CNv'n/~- (I;)lase print) Plumber: Bertsand Plumbing & Heating, Inc. (Please print) lead. I celiify that the solder used in the water supply system contains less than 2/1 0 of 1% .~.~ .<' (Plumbers Signalure) Sworn 10 before me tbis 6 t h day of June 20 08 .~I}t.-~ Notary Pub he, Suffolk County I!II..n N1. Roach. Notary Public, State of New York No. 4826942 Qualified In Suffolk County Commission Expires .January 31, 20.10 @]eu.@] I . NEW YO~k T~~~~~C~~ O~I~~L;;~~~~W:;;~~:~. I ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ PECONIC ELECTRIC CORP KEVIN BUCCINA ~ ~ P.O. BOX 1258 2715 HENRY'S LANE ~ ~ QUOGUE, NY 11952, SOUTHOLD, NY 11971 I ~ Located at 2715 HENRY'S LANE SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 3035708 Certificate Number: 3035708 ~ I Section: Block: Lot: Building Permit: 33~ p?;/DC: ns11 I ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ Basement, First Floor, Second Floor, Outside, Attic, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code andlor standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 10th Day of March, 2008. ~ ii!l Name OTY Rate Ratin. Circuit ~ ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 2 0 Carbon Monoxide ~ ~ Sensor 6 0 Smoke ~ ~ Appliances and Accessories ~ ~ Exhaust Fan 4 0 F.H.P. ~ ~ Range 1 0 40 Amps ~ ~ Dish Washer I 0 1.2 KW ~ ~ Furnace I 0 Oil ~ ~ Pump Motor I 0 1 H.P. ~ ~Wir~andD~i~ ~ ~ Outlet 5 0 Fixture ~ ~ Fixture 66 0 Incandescent ~ ~ Outlet 82 0 General Purpose ~ ~ Receptacle 48 0 General Purpose ~ ~ Switch 53 0 General Purpose ~ ~ Paddle Fan I 0 ~ ~ Receptacle 1 0 20a Laundry seal ~ ~ Receptacle 1 0 30a Dryer ~ I Continued on Next Page 1 of 2 I I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location Indicated. I I!I~~~~I!I [!J E!ffi!r. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I [!JE!ffi!~ .[!J ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~.[!J BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by PECONIC ELECTRIC CORP P.O. BOX 1258 QUOGUE, NY 11952, KEVIN BUCCINA 2715 HENRY'S LANE SOUTHOLD, NY 11971 2715 HENRY'S LANE SOUTHOLD, NY 11971 3035708 Certificate Number: 3035708 Building Permit: 32681 Block: BDC: n511 Lot: Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inion the premises at: Basement, First Floor, Second Floor, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code andlor standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the lOth Day of March,2008. Name OTY Rate Ratin" Circuit Ixm; Receptacle I 0 20a Appliance Receptacle 6 0 GFCI Service I Phase 3 W Service Rating 200 Amperes Meters: I seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Gh08io, Jr. -;----,~-:::'0 \....' \ 1:\ Town Ha~l ~- : 53095 Route 2n . J P.O. Box 1179 Southold, tfew York 1197"1 . Telephone (631) 765-1892 Fax (631)765-6641 BOARD OF TOWN TRUSTEES TOWtor OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0305C Date: March 25. 2008 THIS CERTIFIES that the construction of a two-storv dwelline with attached outdoor shower, eutters. leaders and drvwells. pervious driveway. new sanitary sYStem with retainine walls. a 50' Non-DisturbanceINon-Fertilization ButTer At 2715 Henry's Lane. Peconic, New York Suffolk County Tax Map # 74-1-44.5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 06/01/05 pursuant to which Trustees Permit # 6145 Dated 06/22/05. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate Is being issued Is for the construction of a two-storv dwelling with attached outdoor shower. gutters. leaders and drvwells. pervious drivewav. new sanitary system with retainine walls. a 50' Non- DisturbanceINon-Fertilization ButTer The certificate is Issued to FAITH BEISER & KEVIN BUCCINA owner of the aforesaid property. rc9'~ Authorized Signature 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. 32681 Z Date JANUARY 29, 2007 permission is hereby granted to: KEVIN P BUCCINNA & FAITH BEISE 4158 AMBOY RD STATEN ISLAND,NY 10308 for : CONSTRUCTION OF A NEW THREE BEDROOM SINGLE DAMILY DWELLING AS APPLIED FOR PER DEC, TRUSTEES AND SCHD at premises located at 2715 HENRY'S LA PECONIC County Tax Map No. 473889 Section 074 Block 0001 Lot No. 044.005 pursuant to application dated JANUARY 22, 2007 and approved by the Fee $ 1,211.20 ,~ 008. Building Inspector to expire on JULY - re ORIGINAL Rev. 5/8/02 , -) r'.!^ f .. Ie U ~'- - 1,..'\, U' MAR I 3 L.. To: Town of South old Building Department I, Kevin Buccinna, affirm that during Spring '08, weather permitting, I will plant ground cover at the location 2715 Henry's Lane Peconic N.Y. 11958. Kevin Buccinna ~~~~c~~ Notary Public. State of New York Reglatrlltion tII01 CU8144558 Qul/1tIed In RIclt_1d County ComIrrlllDll1EIlphe AprIl". 2OtO Of/10/200f 1~:~4 ~AX 201~~~2~42 NASIASl AHGH11~G1S IlII 0021002 nlstasi .rchltects 7L.f- ) - '1'13 July 10, 2007 Town of Southold Building Oepllrtment 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Buccl"ne Ree/dence Lot 4 Pecon/c Knolle Pemllt #32681 \ r\.~., ~ 0 ~r~:' i li11 AI 0 ')0" i ~I I ULD,DEP' I L--"IT'~'!r-l Qf c;r'.':rH01 . J__ ' Dear Building Inspector, As architect of record for the above referenced project, please be advised that on numerous site visits and house Inspections conducted with the General Contractor, Chris Rivera of COR Consulting COrp., I have found thllt the footings and foundation for the residence and the subsequent waterproofing of to be in accordance with the record drawings on "Ie with your office IInd liS prepllred by my architectural studio. If you have any questions regarding this Information, or need addltlonllllnformatlon, please do not hesitate to contact me. Sincerely, 251, Arch "elite.. archlbctll T 201.653.2577 F 201.653.2642 www.n1l5tll5111rchltects.com 321 nlw.rk SUtlt. hoboken, nl 01030 t.l: 201.653.2.577 fax: 201.653.2642 07-10-2007 13:00 SOUTHOLO BUILDING DEPT 16317659502 PAGE2 .' 3vtlJ; TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] ~NDATION 2~ [ ] INSULATION [v1FRAMING/($j~~~ [ ] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: cJ lA/A ~\.... ~ ~ _ c~ ~~{ /~ rc r '\ t"(" - < ,IDf> V-/ol-..k- 5r r J.....,( ~ ~ DATE 2/0 In 7 f / I INSPECTOR ~?W- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT ~UCTION [ ] FIRE RESISTANT PENETRATION REMARKS: N<fJ i&cu.[.f . CAr ( ~I---- f& JAJ/~~ . DATE INSPECTOR 3)h; f I~ TOWN OF SOUTH OLD BUilDING DEPT. 765.1802 INSPECT [ ] FOUNDAT N 1ST [ [ ] F DATION 2ND [ [ FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] RRE RESISTANT CONSTRlJCnON [ .,..--- rj;~ 7 DATE /~ ] ROUGH PlBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRAnON ~ ( - INSPECTOR ~ Jr' ~ 1 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND ~RAM~ I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT NSTRUCTION ~ ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE R ISTANT PENETRATION ( REMARKS: 5Jv'- ~ W- ~ -i1r ~ ~ ~ ..~~'k ~ ~ ........p_ l..a... 0 , --r ~~ n... tI-' . DATE r--- H-01 INSPECTOR ~~ f~~ ~ 01<, ~)~J~~~ ~.,~( .., . -.- - ~~'- 31--& fli TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] R.JM1GH PLBG. [ ] FOUNDATION 2ND [",{INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRATION REMARKS: - L g~ d:- ' DATE INSPECTOR ----..-- .-- ~- ---- -- ~ ------.-..............-..--,..- -.'''''''''- .--.- ~._. .~---.....--,.,... 32-Co??"/r- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ [ [ [ [ [ ] ROUGH PLBG. [ ] I~LATION [j.--(FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ ... "" _ lhC ~. ~ '~ . :0 DATE 1 b.5/~Y / / INSPECTOR 1> 2,Gg/~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] "'U~N [/1"FINA(W [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON REMARKS: ..- DATE j S' t)~ INSPECTOR .... FIELD INSP:J!;CTION REPORT DATE '7/M/1. ""} t 'I COMMENTS ~ / r-~- 'IF-k../ ~ - . f'or-\j~ '-I... (~! 0; .:.'0', L// /. I - - ~~ ~~ '-1 ~T - .-I'~/ ) 1/1 -'#--= ~ ~"Ol ~l"l ~~ Cl<l_ -.., (\)"" FOUNDATION (1ST) -----~------------------------------ FOUNDATION (2ND) ~o ~ -[to 7/10/ '?-J &; / /-'"'/ f 1"-7 # . fA _ . J j)r->, \) t'i . f .' -~ /" ~'-' z Y/u;' -; "7k Arc..6:..<;(' (4/1 E... u - Iv ~ "/ / "1 ~ 1 d ~" n /"_) _ ,..f :1:::::~./ '--.J , /4) \1 ~ PE?//J 7 /f~....J.ro~' . '"..- fD .LJ ,r/' A , A{.L 6:i 7 7 /k-.L.)a i.I----- -f-.fUIIDl.u 'p.IUJ ~ALS re.T-::t-~ /N(.... J ~j, ~IJI\'" 1,P 7o~ dL.w /JA "PL ~ 'iJ 10T7ff.I<.. -~~^' '1"". -,I,~) ,) 'Y\ -;J;;, Jr,. ft,. /' '~. ~.1/ ':"./ ' \;- ;<' 7 J2 -=+-" g; A ~ . 1 AI.. -' tJ'r-?.J. ~ ': ." " " _-h->;; A 1(' ~ A r"J", ~ '.~ f- 1lJ....~~. .~ ?;AD .....L-- .U.' A ~ ()k j>J' A - A ~ ;. ~ I/\J>.... 7J n - l.f ~v /lA n ... ~. ....L "'.-- to ~ ^ ~r o-f(.. -~ -:7JA"'rIJ ~j ~/1/J .., " .... .#'l...Y. ".1' V q/t,)O 7 Gllr. O. ,. rYe. ->< ;::v.../ -) / Y ./ ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE Jh?M '>(i/}L:Ad/.....,.. A - I'fI. . S .('1-.J-1wo 1."-._ i:7~' I I ;:>L...ft- -.1.....\ t.l...LI,"/[(3)f'n.,.. ~. /' 1:...,,1 /.:.", h L' i.. .@fjw,t u,p A, ..<' ;.,/ j...../\ ..4 4,.), ~!..r. VJ.T.. r' ~ -. ,-r" -;; ~- r r' . . I J)L.j ,~L \ ..AYi>.1 1.3/~/tf~ / ~~~ '#'r-.,r') / I '/ / a-~ rT~ A1~A"-. ......, ,. . 17 J.Jl. / Ch// ( / 'r< ~,,~~. / . ADDITIONAL COMMENU :>> ;~'\Y1 I\k.d.o ~~------;'{'Lt.arOl/l J.,. flf"V (' Jh "1--1<,. '1 '1'v.M"'^ 1..\ j h, i I ~ . LoLevf,'/'r'v\ , V FlNAL . /1 .Y 7 r B. ";::> ~ ~ f- Z m ;lJ ~ '- y 4 .Jt'i . ~ v ~ ..J)s: \ .., ~o z . ~ (; ::t: 6 l"l V\~ \ ::t: o t:j o l"l OO"Ol VJ:-l Board Of SoutholdTown SOUTHOLD. NEW YORK Trustees SCTM#74-1-44.5 PERMIT NO. ..(Q I':I:~ DATE: ...~.~J:l.e...z~.~.....~.~05 FAITH BEISER & KEVIN BUCCINA ISSUED TO ..................._,......................................................,.... .... ................................. ............. i\utqnrii!atiuu Pursuant to the provisions of Chapter 615 of the Laws of the State of New Yor~ 1893; and Cl1apter 404 of the Laws of the . State of New York 1952; and the Southold To*" Ordinance en- titled "REGULATING ANDn-fE PLACING Of .OBS1RU~S IN AND ON TOWN WATERS AND PUBLIC LANDS and.the REMOVAL OF SAND. GRAVEL OR OTHER MATER/AlS..f.iOM LANDS . UNDER TOWNWATERS;:.~ and In accordance wlfbthe Resolution of The Board adopted at a meeting held on .......J..~.?~.:J.~.!. 2005 d' 'd tl f th f $ 250.00 .Id. b . ............ an In consl era on 0 e sum 0 ......................... .... pa y Faith Beiser & Kevin Buccina .. ....................................,.. ......_......._................." ....................M...................__........__..................:.._.... of ..........s..~~.~.e..J:l..~.~.~~~~............... N. Y. and. subJect to the Term, and Conditions hded on the reverse side hereof, of Southold r own T l'Ulfees authorizes and permits the foloWing: WeUand Pennlt to construcl a two-story, one-famlly dwelling with alla~hed outdoor shat/er. In~tall a pervious d~veway, drainage system of drywells, and concrete retaining wall lor proposed ....nltary system proposed more than 100' from wellands; end establish a 50' non-dlsturbancelnon- fertilization buffer to remain natural and undisturbed adjacent to on-slte freshwater wetlands and all as deplcledon the survey prepared by Stanley J. Isaksen. Jr. last dated July 18, 2005. ' aU in acc:ordance with the detailed 'peciticetlon' as presentec:lln the originating apptlC4tion. . IN WITNESS WHEREOF. The ,aid Board Of Trustees here- by cause, its Corporate Seal to be affixed. and these presenh to be subsc:rlbec:l by a . maJority of the said Board as of .this dat". Peggy.DickersQn (abstained) Trwsim I 1-1 \'IVII I Under the Environmental Conservation Law /1 0/23/201 0 TYPE OF PERMIT . New 0 Renewal 0 Modification 0 Pennit to Construct 0 Permit to Operate o 6NYCRR 608: Water Quality Certification o Article 27, Title 7; 6NYCRR 360: Solid Waste Management o Article 15, Title 15: Water Supply o Article 17, Titles 7, 8: SPDES o Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management o Article 15, Tille 15: Water Transport o Article 15, Title 15: long Island Wells o Article 19: Air Pollution Control o Article 23, Title 27: Mined land Reclamation o Article 34: Coastal Erosion Management o Article 15, Title 27: Wild, Scenic and Recrea tional Rivers . Article 24: Freshwater Wetlands o Article 36: Floodplain Management o Article 25: Tidal Wet/ands o Articles 1, 3,17,19,27,37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Faith Beiser and Kevin Buccina (718}356-0557 ADDRESS OF PERMITTEE 4158 Amboy Road, Staten Island, NY 10308 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER En-Consultants, Inc., 1319 North Sea Road, SouthamDton, NY 11968 (631 )283-6360 NAME AND ADDRESS OF PROJECT/FACILITY Beiser Buccina ProDerty, 2715 Henry's Lane, Peconic, NY 11958 S.C.T.M. #1000-74-1-44.5 COUNTY TOWN WATERCOURSE NYTM COORDINATES Freshwater Wetland SO-29 Suffolk Southord Freshwater Wetland SO-3D E: 712.2 N: 4547.3 DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a single family dwelling and associated accessory structures. All work is to be done in accordance with the attached plans stamped NYSDEC approved on October 19, 2005. By acceptance of this pennit, the permittee ag..- that the penni! is contingent upon strict compliance with the ECl, all applicable regulations, the General Conditions specified (see page 3 & 4) and any Special Conditions (se.. pag.. 2) included as part of this penni!. PERMIT ADMINISTRATOR: (KAF) Mark Carrara, Deputy Permit Adminstrator ADDRESS Region 1 Headquarters Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE ~ DATE 1 0/21/2005 PAGE 1 OF 4 1. Any work, disturbance, and or storage of construction materials shall be confined to within the limit of clearing and ground disturbance shown on the approved plan. 2. Any demolition debris, including excess construction materials and or excess excavated materials, shall be disposed of on an approved upland site more than 100 feet from any regulated freshwater wetland by the close of business on the day such material was generated. 3. A 4' high permanent fence chain link, stockade, or post and rail must be installed prior to the start of construction as shown on the approved plans. 4. Prior to commencement of any construction activities, a continuous row of straw bales shall be staked end to end along the "Limits of Clearing, Grading and Ground Disturbance" line as shown on the approved plans. The bales shall be maintained, repaired and replaced as often as necessary to ensure proper function, until all disturbed areas are permanently vegetated. Sediments trapped by the bales shall be removed to an approved upland location before the bales themselves are removed. 5. Straw bales shall be recessed two to four inches into the ground at all times. 6. All fill shall consist of clean soil, sand and gravel that is free of the following substances: asphalt, slag, f1yash, broken concrete, demolition debris, garbage, household refuse, tires, woody materials including tree or landscape debris, and metal objects. 7. All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated wetland or waterbody at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the regulated area. Fuel or other chemical storage tanks shall be contained and located greater than 100 feet landward of the regulated wetland or waterbody at all times. If this requirement cannot be met by the permittee, then the storage areas must be designed to completely contain any and all potential leakage. Such a containment system must be approved by NYSDEC staff prior to placement of equipment, machinery or tank storage within 100 feet of the regulated wetland or waterbody. 8. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass and mulched with straw immediately upon completion of the project, within two (2) days of final grading, or by the expiration date of this permit, whichever is first. Mulch shall be maintained until a suitable vegetative cover is established. If seeding is impractical due to the season, a temporary mulch shall be applied and final seeding shall be performed as soon as weather conditions favor germination and growth. 9. Suitable vegetative cover is defined as a minimum of 85% area vegetatively covered and no unvegetated areas larger than one (1) square foot in size. 10. The permittee shall incorporate the attached Covenant (or similar language) to the deed for the property where the project will be conducted and file it with the Clerk of Suffolk County within 30 days of the effective date of this permit. This deed covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be submitted within 90 days of the effective date of this permit to: NYSDEC, Bureau of Habitat Regional Manager, SUNY Bldg. #40, Stony Brook, NY 11790-2356 OI:C ?I:RI.\\1 tl\l1l!BI:R 1-4738-03244JOOOO~ PAGE 2 OF 4 , ",. .,,- ---.- -.... to the extent attributable to the permittee's undertaking of activities or operation and maintenance Of Ultl """lilY UI facilities authorized by the permit in compliance or non compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent acts. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others In order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECl 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, Issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 160 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook, NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit In accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions ofthe Environmental Conservation Law or regulations of the Department related to the permitted activity. oEe PERMIT NUMBER 1-4738-03244/00001 PAGE 3 OF 4 , 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. All necessary precautions shall be taken to preclude contamination of any wetland orwaterwaybysuspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 4. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain, deposits within any regulatory f1oodway, or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 5. There shall be no unreasonable interference with navigation by the work herein authorized. 6. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 7. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 8. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 9. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Stanley J. Isaksen. Jr. on 28 DEe 04 last revised 10 AUGUST 05. OEC PERMIT NUMBER 1-4738-03244/00001 PAGE 4 OF 4 TOWN OF SOUTHOL9 BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold! Expiration ,20~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board ofRealth 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to:/ A./,4~ ( PhoneS/" - 38t) f,;',) S PERMIT NO. .:$ ~ "ir (1b Examined Approved Disapproved ale /z~ ,20----1'- ,20 APPLICATION FOR BUILDING PERMIT J~?2r Date j-;l:J.. ,20~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot 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 after 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. Thereafter, 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 inspections. ~ L L I ~ "',f<-I- (Signature of all licant 0 arne, if a corporation) alSo ,J;t:/ v j '<:<d.. iJ..< . /17". rn I"'U<. Mailing address of applicant) /ltfr... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder c:u/J. F Name of owner of premises v c.c / ;;,.- ". ~',l;:u..-I-t e 1"-4. (As on the tax roll or latest d ed) 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. 1. Location of land on which proposed ~rk will be done:, / .! 1/ J/ /le"l1 LJ-r-L. ~.,~/ 7 House Number Str t Hamlet ,. County Tax Map No. 1000 Section Subdivision 1'f Block I Filed Map No. ,/,,,, Lot W. F;l Lot ... (Name) ---I . 2. State existin~ use and occupancy of premises and int~ded :L~~lccuP:l?oij:.oposed construction: a. EXlstmg use and occupancy /~ VI ~ b. Intended use and occupancy (I I ( 3. Nature of work (check which applicable): New Building Repair Removal Demolition ....-- Addition Other Work Alteration (Description) 4. Estimated Cost ,.,)54 <!10() Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, 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 3 'f Rear Height ~~. " Number of Stories ;L 9. Size oflot: Front /11 Rear I 71. () i Depth "] 'f Depth .3 r. j-' cJ.!. r. 7f . 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated fi - 'fcJ 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 - - -- S;...u. ~/.).I . Address '1/(( Ji.".J,~,f1 ' Phone No. Address J.k),.;;- W. .1. Phone No <x"1 . t.J-"3- .;If" "/) Address Phone No. 14. Names ofOwnerofpremises~' &'<G/"-4 Name of Architect V/I:snu / ~. Name of Contractor /haA/~ 1"'-'/5 . , 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES I=- NO_ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.e. PERMITS MAY BE 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)Jf{'-()LLl ~ h,... J'~ J I .ve.. u.?e Y'~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signin'g contract) above named, (S)He is the tt. ? <..,1- . (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. 20D'1- ~. h/:-. Signature of Applicant MELANIE OOROSKl NOTARY PUBLIC, State of New'llllll No. 01004634870 Qualified in Suffoik County '1^ I) 0 Commission Expires September 30. ~ REScheck Software Version 4.0.0 Compliance Certificate Project Title: Lot 4 Henry's Lane Report Date: 01117/07 Data filename: Z:\2006\buccinna\buccina 2.rck c:y Energy Code: Location: Construction Type: Glazing Area Percentage: Heating Degree Days: 2000 IECC Southold, New York Single Family 27% 5572 Construction Site: Lot 4 Henry's Lane Southold, NY 11971 Owner/Agent: Kevin Buccina Lot 4 Henry's Lane Town of South old, NY 11971 718-356-0557 KBuccinna@aol.com Designer/Contractor: John Nastasi Nastasi Architects 321 Newark Street 2nd Floor Hoboken, NJ 07030 201.653.2577 John@nastasiarchitects.com CornpltclrlCe Passes ~1(1Xlmllrn UA 498 Your Hom~ UA 392 "> 21.3% Better Than Code (UA) Gross Cavity Cont Glazing UA Assembly Area or R-Value R-Value or Door Pen meter U-Factor Ceiling 1: Raised or Energy Truss: 949 38.0 4.0 22 Wall 1: Wood Frame, 16" o.c.: 781 13.0 4.0 37 Window 1: Wood Frame:Double Pane with Low-E: 50 0.140 7 Window 2: Wood Frame:Double Pane with Low-E: 64 0.140 9 Window 3: Wood Frame:Double Pane with Low-E: 23 0.140 3 Window 4: Vinyl Frame:Double Pane with Low-E: 18 0.140 3 Window 5: Wood Frame:Double Pane with Low-E: 18 0.140 3 Window 6: Wood Frame:Double Pane with Low-E: 18 0.140 3 Window 7: Wood Frame:Double Pane with Low-E: 18 0.140 3 Window8: Wood Frame:Double Pane with Low-E: 10 0.140 1 Door 1: Glass: 15 0.140 2 Floor 1: All-Wood JoisVTruss:Over Unconditioned Space: 1024 38.0 0.0 27 Wall 2: Wood Frame. 16ft O.c.: 534 13.0 4.0 29 Window 9: Wood Frame:Double Pane with Low-E: 12 0.140 2 Window 10: Wood Frame:Double Pane with Low-E: 12 0.140 2 Window 11: Wood Frame:Double Pane with Low-E: 25 0.140 4 Window 12: Wood Frame:Double Pane with Low-E: 17 0.140 2 Window 13: Wood Frame:Double Pane with Low-E: 17 0.140 2 Door 2: Glass: 20 0.140 3 Wall 3: Wood Frame, 16" o.C.: 781 13.0 4.0 34 Window 14: Wood Frame:Double Pane with Low-E: 33 0.140 5 Window 15: Wood Frame:Double Pane with Low-E: 33 0.140 5 Window 16: Wood Frame:Double Pane with Low-E: 15 0.140 2 Window 17: Wood Frame:Double Pane with Low-E: 5 0.140 1 Window 18: Wood Frame:Double Pane with Low-E: 16 0.140 2 Window 19: Wood Frame:Double Pane with Low-E: 16 0.140 2 Window 20: Wood Frame:Double Pane with low-E: 16 0.140 2 Window 21: Wood Frame:Double Pane with Low-E: 16 0.140 2 Window 22: Wood Frame:Double Pane with Low-E: 15 0.140 2 Window 23: Wood Frame:Double Pane with Low-E: 15 0.140 2 Window 24: Wood Frame:Double Pane with Low-E: 15 0.140 2 Lot 4 Henry's Lane Page 1 of 8 Window 25: Wood Frame:Double Pane with Low-E: Window 26: Wood Frame:Double Pane with Low-E: Door 3: Glass: Wall 4: Wood Frame, 16" o.c.: Window 27: Wood Frame:Double Pane with Low-E: Window 28: Wood Frame:Double Pane with Low-E: Window 29: Wood Frame:Double Pane with Low-E: Window 30: Wood Frame:Double Pane with Low-E: Window 31: Vinyl Frame:Double Pane with Low-E: Window 32: Wood Frame:Double Pane with Low-E: Window 33: Wood Frame:Double Pane with Low-E: Window 34: Wood Frame:Double Pane with Low-E: Door 4: Glass: Basement Wall 1 : Solid Concrete or Masonry: Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 7.5' 15 15 50 633 12 12 15 12 12 12 12 12 25 900 13.0 0.140 2 0.140 2 0.280 14 4.0 34 0.140 2 0.140 2 0.140 2 0.140 2 0.140 2 0.140 2 0.140 2 0.140 2 0.280 7 4.0 92 0.0 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 2000 IECC requirements in REScheck Version 4.0.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name - Title Signature Date Lot 4 Henry's Lane Page 2 of 8 REScheck Software Version 4.0.0 Inspection Checklist Date: 01/17/07 Ceilings: o Ceiling 1: Raised or Energy Truss, R-38.0 cavity + R-4.0 continuous insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: o Wall 1: Wood Frame, 16~ a.c., R-13.Q cavity + R-4.0 continuous insulation Comments: o Wall 2: Wood Frame, 16" a.c., R-13.0 cavity + R-4.Q continuous insulation Comments: o Wall 3: Wood Frame, 16" a.c., R-13.0 cavity + R-4.0 continuous insulation Comments: o Wall 4: Wood Frame, 16" a.c., R-13.0 cavity + R-4.0 continuous insulation Comments: Basement Walls: o Basement Wall 1 : Solid Concrete or Masonry, 8.0' ht /7.0' bg /7.5' insul. R-4.Q continuous insulation Comments: Exterior insulation has a rigid, opaque, weather-resistant protective covering that covers the exposed (above-grade) insulation and extends at least 6 in. below grade. Windows: o Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.140 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: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 3: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 4: Vinyl Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 5: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 6: Wood Frame:Double Pane with Low-E, U-factor: 0.140 Lot 4 Henry's Lane Page 3 of 8 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 7: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window8: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 9: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 10: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 11: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 12: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 13: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 14: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 15: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 16: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 17: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Lot 4 Henry's Lane o Window 18: Wood Frame:Oouble Pane with Low-E, U-factor: 0.140 Page 4 of 8 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 19: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 20: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 21: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 22: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 23: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 24: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 25: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 26: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 27: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 28: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 29: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: o Window 30: Wood Frame:Double Pane with Low-E, U-factor: 0.140 Lot 4 Henry's Lane Page 5 of 8 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Ves _ No Comments: o Window 31: Vinyl Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Comments: Thermal Break? _ Yes _ No o Window 32: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Ves _ No Comments: o Window 33: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Ves _ No Comments: o Window 34: Wood Frame:Double Pane with Low-E, U-factor: 0.140 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Ves _ No Comments: Doors: o Door 1: Glass, U-factor: 0.140 Comments: o Door 2: Glass, U-factor: 0.140 Comments: o Door 3: Glass, U-factor: 0.280 Comments: o Door 4: Glass, U-factor: 0.280 Comments: Floors: o Floor 1: All-Wood JoisVTruss:Over Unconditioned Space, R-38.0 cavity insulation Comments: Air Leakage: o Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed. o Recessed lights are 1) Type Ie rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-IC rated, fixtures are installed with a 3" clearance from insulation. Vapor Retarder: o Installed on the warm-in-winter side of all non-vented framed ceilings, watts, and floors. Materials Identification: o Materials and equipment are installed in accordance with the manufacturer's installation instructions. o Materials and equipment are identified so that compliance can be determined. o Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. o Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. o Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and In a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: o Ducts in unconditioned spaces are insulated to R-5. Ducts outside the building are insulated to R-6.5. Duct Construction: Lot 4 Henry's Lane Page 6 of 8 o All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics are rated UL 181A or UL 1818. Exceptions: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. o The HVAC system provides a means for balancing air and water systems. Temperature Controls: o Thermostats exist for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Service Water Heating: o Water heaters with vertical pipe risers 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. o Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: o Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: o All heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps have a time clock. Heating and Cooling Piping Insulation: o HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Lot 4 Henry's Lane Page 7 of 8 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Heated Water Temperature (OF) 170-180 140-169 100-139 Insulation Thickness In Inches by Pipe Sizes Non-Clrculatlng Runouts Circulating Mains and Runouts Up to 1" Upto1.2S" 1.5"102.0" Over 2" 0.5 0.5 0.5 1.0 0.5 0.5 1.5 1.0 0.5 2.0 1.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Piping System Types Heating Systems Low PressurelTemperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant and Brine Fluid Temp. Range(.F) Insulation Thickness In Inches by Pipe Sizes 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" 201-250 120-200 Any 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 40-55 Below 40 NOTES TO FIELD: (Building Department Use Only) Lot 4 Henry's Lane Page 8 of 8