HomeMy WebLinkAbout34309-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34292
Date: 05/04/10
THIS c~TIFIES that the building BASEMENT ALTERATIONS
Location of Property: 150 LAUREL WAY
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 125 Block 4
subdivision
Filed Map NO. __ Lot NO. __
LAUREL
{HAMLET)
Lot 24.21
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 14, 2008 pursuant to which
Building Permit No. 34309-Z dated NOVEMBER 19, 2008
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 ALTER BASEMENT TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to KATHLEEN & PETER RAICA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
EI~t-rKICAL c~TIFICATH NO. 4020508 09/04/09
PLIERS ~K'~IFICATION DA'r~ ~4/20/10
RICHARD MORANO
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, proper~y 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 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 buildin
and~"t~j:e-¢xjst~g
~er~j tJccupancy
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or bu
1. Accurate survey of property showing all property lines, streets, building an(
features.
2. A properly completed application and consent to inspect signed by the appl
denied, the Building Inspector shall state the reasons therefor in writing to t
e applicar~Wl, t OF SOUTHOLI) _
C. Fees
1. 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.
3.
4.
5.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. q/175 /
Old or Pre-existing Building: (check one)
Street
New Construction:
Location of Property: } _,5-o
House No.
Owner or Owners of Property: i< oF~ [~ t~ t.r~ ~,e~
Suffolk County Tax Map No 1000, Section ~ °~-~-
Block
Hamlet
Lot ~:~ ~ ~'1
Subdivision
Permit
Health Dept. Approval:
Date of Permit.
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ C~ ~'. O 17)
Final Certificate: (check one)
Applica~fl~gnaturc
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
JC SULLIVAN ELECTRIC JOHN BRADLEY
18 COLONY RD 150 LAUREL WAY
PORT JEFFERSON STATION, NY 11776 LAUREL, NY 1 t 948
Located at 150 LAUREL WAY LAUREL, NY 11948 r~
Application Number: 4020508 Certificate Number: 4020508
Section: Block: Lot: Building Permit: * ns11
BDC:
Described as a occupancy, wherein the premises electrical system consistTng of
electrical devices and wiring, described below, located in/on the premises at:
Basement,
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 and/or 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 the4th Day of September, 2009.
Name OTY Rate Rating Circuits Typ~
Alarm and emergency equipment
Sensor 1 0 0 Carbon Monoxide
Sensor 2 0 0 Smoke
Appliances and Accessories
Dish Washer I 0 1.2 KW
Exhaust Fan 3 0 F.H.P
Wiring And Devices
Fixture 1 0 Fluorescent
Fixture 8 0 Low Voltage
Fixture 57 0 Incandescent
Outlet 54 0 Gan, Purpose
Outlet 66 0 Fixture
Paddle Fan 3 0
Receptacle 2 0 20a-laundry Appliance
Receptacle 5 0 GFCl
Receptacle 30 0 Gan, Purpose
Switch 35 0 Gan, Purpose
seal
Continued on Next Page I 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.
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
JC SULLIVAN ELECTRIC
18 COLONY RD
PORT JEFFERSON STATION, NY 11776
JOHN BRADLEY
150 LAUREL WAY
LAUREL, NY 11948
Located at
Application Number: 4020508
Section: Block:
Described as a Residential
150 LAUREL WAY LAUREL, NY 11948
Lot:
Certificate Number: 4020508
Building Permit:* BDC: ns11
occupancy, wherein the aremises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement,
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 and/or 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 the4th Day of September, 2009~
Name QTY Rat__ge Rating (~ircuits Type
2 of 2
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (63 I) 765~9502
BUILDING DEPARTMENT
TOWN' 0~' SOUTI:IOLr~
CERTIFICATION
Building Permit No.
Owner: ~c~J~I~
'3q3o9 ¢
Date:
Plumber:
(Please print)
(Please print)
I ee~ify that the solder used in the water supply system contains less than 2/10 of 1%
(Plumbers Signature)
Notary Public, ~,~--~ounty
JEANEANE DECICCO
Notary Public, State of New York
No. 01DE5085177, Suffolk County
Commission Expires SepL
Sworn to before me this/~
day of ~ , 20/6
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII/)ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34309 Z Date NOVEMBER 19, 2008
Permission is hereby granted to:
KATHLEEN & PETER RAICA
605 HELENA CREEK COURT
SAN RAMON,CA 94583
for :
INTERIOR ALTER~TIONS(FINISHEDBASEMENT W/BATHS)TO EXISTING SFD AS
APPLIED FOR.
at premises located at
County Ts~x Map No. 473889 Section 125
pursuant to application dated NOVEMBER
Building Inspector to exq~ire on MAY
150 LAUREL WAY LAUREL
Block 0004 Lot No. 024.021
14, 2008 and approved by the
19, 2010.
Fee $ 916.80
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT/ION
[ ] FOUNDATION 1ST [~rI~OUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: /~//~' $/~-~ ~; ~'h ~4~ f
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
~<~ROUGH PLBG.
] FOUNDATION 2ND
[ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE /~* -/'~- ~ a ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
STRAPPING [ ]FINAL
] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTAI~I' PENETRATION
INSPECTOR~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND ~INSULATION
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
INSPECTOR
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
ROUGH PLBG.
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
] INSULATION
~FINAL ~ ~
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
REMARKS://~ ~
DATE
TOWN OF SOUTH. OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.Nor thFork.net
Examined //
Approved
Disapproved
Expiration ~ ~ '7~ , 20/£`
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
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
,~1 ~~'~ ii', Building Inspector
I' 4;~Ll~ ~ I~l~ ~ APPLICATION FOR BUILDING PE~ITDate/./ /
' ~_ ~ ~ ~ INSTRUCTIONS - ~ ,20~
sets of plans, accurate plot plan to scale. Fee accoMing to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and watemays.
c. The work covered by this application may not be commenced before issuance of Building Pe~it.
d. Upon approval of this application, ~e Building Inspector will issue a Building Pe~it to the applic~t. Such a pe~it
shall be kept on the premises available for inspection ~roughout the work.
e. No building shall be occupied or used in whole or in pa~ for ~y pu~ose what so ever until the Building Inspector
issues a Ce~ificate of Occupancy.
f. Eve~ building pe~it shall expire if ~e work authorized has not co~enced wi&in 12 months after the date of
issuance or has not been completed wi~in 18 months from such date. If no ~ning amendments or o~er regulations affecting ~e
prope~ have been enacted M &e interim, ~e Building Inspector may aurorae, M writing, ~e extension of~e permit for ~
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HE.BY MADE to the BuildMg Dep~ent for the issuance of a Building Pe~it pu~uant to the
Building Zone Ordinance &the Town of Southold, Suffolk Count, New York, and other applicable Laws, Ordi~ces or
Regulations, for the cons~ction &buildings, additions, or alterations or for removal or demolition as herein described. The
applic~t agrees to comply with all applicable laws, ordin~ces, building code, housing code, ~d regulations, and to a~it
au~ofized inspectors on p~mises ~d in building for necessa~ inspections..
(Mailing ~&ess of applicant)
State whe~er applicant is owner, lessee, agent, amhitect, engineer, general con.actor, elec~ci~, plumber or builder
Nameofownerofpremises'~O'--'"'~a/ ~,/2-~q V~-Z'~
(As once tax roll
If applicant is a corporation, signature of duly authorized officer
orlatestdeed)
(Name and title &corporate officer)
Builders LicenseNo.
Plumbers LicenseNo.
Electricians LicenseNo.
OtherTradesLicenseNo.
1. Location of land on which proposed work will be done:
House Number Street ! Hamlet
County Tax Map No. 1000 Section ]O~~ Block i4
Subdivision/OOD ,~ 0~- Z',~'."gon- d~..4~--.C Filed Map No.
Lot
Lot ~L~
2. State existing use and occupancy of premises and intended use and occupancy of propos.ed construction: a. Existing use and occupancy ~'/t~)g~.?~ /~,A""rT~7
b. Intended use and occupancy ~/A./E~&E- ~'~t~//-~,~
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost ~/,-~,,.0~. ,,~*) Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units / Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of,e~isting structures, ifany:Front ~'~ t'~ Rear ~7 /~.n.~ Depth "7~
Height .~,~' Number of Stories
Dimensions of same structure with alterations or additions: Front '~'~ /4.,q.- Rear
Depth ~ ~, ,,,4/,_ Height .;~,~Z, Number of Stories
8. Dimensions ofentire new constmction: Front ,A,'//~l Rear Depth
Height -~// Number of Stories
9. Size oflot: Front ~,/-o~"7! Rear ~-~
· .Depth ,/~- 7C-) ?
10. Date of Purchase //O.~ Name of Former Owner
11. Zone or use district in which premises are situated ~ -
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
14. NamesofOwnerofvremises~'~,~t.ncx-,t AddressL,~,,/'2-~q- /~4'~n, PhoneNo.
NameofAmhitect\~..~n~,-j'z'-- ,~,~,..~.~__. ! Address ~ /---'~tc~tPhoneNo
Name of Contractor Address J~ ,-~.n~rn'~-A~ PhoneNo.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. 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.
18. Are there any covenants and restrictions with respect to this property? * YES NO /./
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF,~u
~ ~. ~ being duly swom, deposes and says a (~ pp'
~ame offindividual signing con~act) above named,
(Contractor, Agent, Co.orate Officer, etc.)
of said owner or owners, ~d is duly au~ohzed to perform or have perfo~ed the said work and m m~e ~d file ~is application;
that all statements contained in this application are tree m ~e best of his ~owledge ~d beliefi and that the work will be
perfo~ed in ~e ma~er set forth in ~e application filed therewith.
Sworn to before me this
Notary Public
(~INA A. LOCKE
NO. 01 LO6057960
N~a~ Public, S~te of ~ YO~
Quailed in Suffolk ~un~ _
My ~mmiss~n Expires 04/~
Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T,M, #:
THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
mstrlct Section Block Lot
1~.. ~ (...iL o~ ~,¢:~ I STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN
Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application)
Yes No
I will this Project Retain All Storm-Water Ran-Off Generated by a Two (2") Inch Rainfall on Site?
(This item will include all run-off created by site clearing and/or construclion activities as well as all Site
Improvements and the permanent creation of impervious surfaces.)
Five Thousand (5,000) Square Feet of Ground Surface?
5 Is there a Natural Water Course Running through the Site?
9 W h s Project Require S te Prepara on w h n he One Hundred (100) Year F oodpla n of any Watercourse? r~
NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading,
Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit!
EXEMPTION: Yes
Does this project meet the minimum standards for classification as an Agricultural Projecl?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl
STATE OF NE\,V YOP, K,
c' o~ n ~''~ O~ ~..d~.~&~...~ I ss "
Ownm- alld/or representative of file Owner o[ Owner's, and is duly atdhorJzed
make and file this applicalion; that alt stntcments contained in this al~plk:alion arc Irue Io the bes~ of his knowledge and helM; and
thai thc work will be pcrR~rmcd in Ihe manner sd I}¢rth in fl~c ~pplicalion tiled herewid~.
S~orn Io bclbrc mc this;
............ I..~ ....................... ,~,~, or...N~x~..~ ............. =~.g
GINA A. LOCKE
~ No. 01 LO6057960
Notm~ Public: ................ ~~ N~Oua~d ~, ~.~ak C'~P~" ~ ~t ~ ~ ~ .............. : ................. : ................................
~ ~mmission E~ires 04130/20~ f Apphc~m
FORM - 06/07
,~llchng permils (Open'l'.xl)ired): BP _ / (. q3 Z- [~: Itl' 7 ' C,0 Z- , Infb
P -Z / (/0 Z h~fo BP -Z/C/O Z-
Ingle & Separate Search Required? Y o/Determination: _
~Q. Lot Size: A ~ '
Cl. Lot Size: RI}(~ lot Coy, ~_ ACT, Lot C0v.
~Q. Front_ _ ACT. F~oiat I~Q Side ~ ACT. ,fiich~
F,I!() l>,car_ _ PROP.
:ollthnhl / Il \: ~ , ~ , l):d,: ]'c[tnil
louth<fld ['laa[d[~g: '~ ,,~ I, l):dt': , ])ClUlil Il:
Ih]lt:hm[d lih[ll 1) shmce'
*iNhS ('(Il)I; (~mH)lial]c~, qmiZc 2): ~ r ~) ] N
COMi I,IANCE (HECkI,IS [
YORK STATE CODE ) ~ , ,r.
CL1MATIC/(~E()(~I~.APH1C DESIGN CPJ F]zRiA.
Gronnd Snow Load: 45 __
Wealhering;Severe __ _ Frost Depth: 36"
Design Temp: 11 __ [ce Shield Underlay: YE8
USE/OCCUPANCY CLASSIFICATION:
Wind Speed: 120MPH __ Seismic Design Category:
Termite: M~H__ Decay:S-M
Flood I[azm'ds:
l(" /'1/''[i'~!1: tll! )'l'':'ll ' !i '!il
JEFFREY T. BUTLER,
p, rl, BOX 634.
IIHOR;:'HAH; NEW YORK
E, 3 I
November 19, 2008
Town of Southold
Building Department
Attn: Vicky Toth
Re: Proposed finished basement
Lot #28 Laurel Links (Raica Residence)
Des Vic~:
Please note the following concerning this application:
The finished ceiling heights of the proposed space will exceed 7'6" from the finished
floor. I have proposed finished heights of 7'9" rain under an existing girder and 8'9"
throughout the rest of the finished space
Please call if you should have any additional concerns about this application.
REScheck Software Version 4.1.2
Compliance Certificate
Project Title: Proposed finished basement
Repor[ Date: 11/14/08
Data filename: J:\MISCJOBS\Misc Jobs 2008\080032 Calvosa - Broadway\house plans~energy.cck.rck
Energy Code:
Location:
Construction Type:
Heating Type: Non-Electric
Glazing Area Percentage:
Heating Degree Days: 5750
Construction Site:
Laurel Links
Lot #24
Laurel, NY
Permit Date: 11-14-08
2007 New York Energy Conservation
Construction Code
Suffolk County, New York
Detached I or 2 Family
Owner/Agent: Designer/Contractor:
John Bradley Jeffrey Butler, P.E.
Laurel, NY 206 Lincoln Street
Riverhead, NY 11902
631-208-8850
Compliance: 10.2% Better Than Code Maximum UA: 1971 Your UA: 1770
Ceiling 1: Flat Ceiling or Scissor Truss
Wall 1: Wood Frame, 16" o.c.
Window 1: Vinyl Frame. Double Pane with Low-E
Door 1: Solid
Floor 1: Slab-On-Grade:Unheated
Insulation depth: 2.0'
Boiler 2:84 AFUE
2009 30.0 0.0 70
1504 15.0 0.0 105
92 0.490 45
42 0.220 9
2009 10.0 1541
The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted
with this permit application. The proposed systems have been designed to meet the 2007 New York 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 sl~b~',ifications are in compliance with this Code.
· / ~re
Name - Title t/ - Date
Project Notes:
Finished area in basement of existing dwelling
Project Title: Proposed finished basement Page 1 of 4
Data filename: J:\MISC JOBS\Misc Jobs 2008\080032 Calvosa - Broadway\house plans\energy.cck.rck Report date: 11/14/08
REScheck Software Version 4.1.2
Inspection Checklist
Date: 11/14/08
Ceilings:
[] Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
Wall 1: Wood Frame, 16" o.c., R-15.0 cavity insulation
Comments:
Windows:
Window 1: Vinyl Frame, Double Pane with Low-E, U-factor: 0.490
For windows without labeled U-factors, describe features:
#Panes Frame Type _ Thermal Break?
Comments:
Yes -- No
Doors:
L..] Door 1: Solid, U-factor: 0.220
Comments:
Floors:
[] Flcor 1: Sial>On-Grade:Unheated, 2.0' insulation depth, R-10.0 continuous insulation
Comments:
Slab insulation extends down from the top of the slab to at least 2.0 ft. OR down to at least the bottom of the slab then horizontally for
a total distance of 2.0 ff.
Exterior insulation has a dgid, opaque, weather-resistant protective covedng that covers the exposed (above~jrade) insulation and
extends at least 6 in. below grade.
Heating and Cooling Equipment:
[] Boiler 2:: 84 AFUE or higher
Make and Model Number:
Air Leakage:
FI Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed.
Recessed lights are 1) Type lC rated, or 2) installed inside an appropdata air-tight assembly with a 0.5" clearance from
combustible materials. If non-lC rated, fixtures are installed with a 3" clearance from insulation.
Vapor Retarder:
[] Installed on the warm-in-winter side of all non-vented framed ceilings, walls, and floors.
Materials Identification:
[] Materials and equipment are installed in accordance with the manufacturer's installation instructions.
[] Materials and equipment are identified so that compliance can be determined.
[] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
Insulation R-values, glazing U-factors, and heating equipment efficiency are cleady marked on the building plans or specifications.
[] Insolation is instailed 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:
[] ~upply ducts in unc°ndi~i0~ed ~tti~ or ~u~sid~ the bui!ding are !r)~u!ated !° R'8'
Project Title: Proposed finished basement Page 2 of 4
Data filename: J:\MISC_JOBS\Misc Jobs 2008\080032 Calvosa - Braadway\house plans~energy.cck.rck Report date: 11/14/08
[] Retum ducts in unconditioned attics or outside the building are insulated to R-4.
Supply ducts in unconditioned spaces are insulated to R-8.
[] Return ducts in unconditioned spaces (except basements) are insulated to R-2. Insulation is not required on return ducts in
basements.
Duct Construction:
[] All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic-p~us-embedded-fabdc,
or tapes. Tapes and mastics are rated UL 181A or UL 181B.
Exceptions:
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in, w.g. (500 Pa).
[] The HVAC system provides a means for balancing air and water systems,
Temperature Controls:
Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest
zone.
Electric Systems:
~1 Separate electric meters exist for each dwelling unit.
Fireplaces:
[] Firaplaces are installed with tight fitting non-combustible fireplace doors.
[] Fireplaces have a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York
State, the Residential Code of New York State or the New York City Building Code, as applicable.
Service Water Heating:
~ Water heaters with vertical pipe dsers 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.
~1 Circulating hot water pipes are insulated to the levels in Table 1,
Circulating Hot Water Systems:
[] Circulating hot water pipes are insulated to the levels in Table 1.
Swimming Pools:
[] 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:
[] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F ara insulated to the levels in Table 2,
Project Title: Proposed finished basement Page 3 of 4
Data fllename: J:\MISC_JOBS\Misc Jobs 2008\080032 Calvosa - Broadway\house plans\energy,cck.rck Report date: 11/14/08
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water Up to 1" Up to 1.25" 1.5" to 2.0" Over 2"
Temperature (°F)
170-180 0.5 1.0 1.5 2,0
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes
Piping System Types
Insulation Thickness in Inches by Pipe Sizes
Fluid Temp.
Range(OF) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD: (Building Department Use Only)
Project Title: Proposed finished basement Page 4 of 4
Data filename: J:\MISC_JOBS\Misc Jobs 2008~080032 Calvosa - Broadway\house plans\energy.cck.rck Report date: 11/14/08
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