HomeMy WebLinkAbout35488-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/18/2011
No: 34951
Date: 5/18/2011
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property:
SCTM#: 473889
Subdivision:
13705 Route 25, Mattituck, NY 11952,
Sec/Block/Lot: 140.-3-31
Filed Map No.
conforms substantially to the Application for Building Permit heretolbre
Lot No.
filed in this officed dated
4/7/2010 pursuant to which Building Permit No. 35488 dated 4/19/2010
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 and alteration to an existing one family dwelling as applied lbr.
The certificate is issued to
Montgomery, Michael & Montgomery, Maria
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 5/6/11
35488 5/4/11
Cutchogue East Plumbing
Authorized Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35488 Z
Date APRIL 19, 2010
Permission is hereby granted to:
MICHAEL J MONTGOMERY
PO BOX 536
MATTITUCK,NY 11952
for :
ADDITION & ALTER3kTION TO AN EXISTING DWELLING AS APPLIED FOR
at premises located at 13705
County Tax Map No. 473889 Section 140 Block
pursuant to application dated APRIL 7, 2010
Building Inspector to expire on OCTOBER 19,
MAIN RD
MATTITUCK
0003 Lot No. 031
and approved by the
2011.
Fee $ 200.00
Authorized Signature
5/8/02
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAN~
16 2011
B~,..~ DEPT.
TO~,~]N OF SO[iTHOLD
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, 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 certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commemial 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:
1. 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
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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. ~0~ 9, ~6']{
New Construction:
Location of Property:
Owner or Owners of Property: 1~0~ I ~.4~ ~',A 'C[~41. ~
Suffolk County Tax Map No 1000, Section
Subdivision
Old or Pre-existing Building: J (check one)
House No. Street
Block (90(3 D
Permit No. r~6t~"~ Date of Permit.
Filed Map.
Hamlet
Lot:
Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate: ~/ (check one)
Fee Submitted: $
Applicant~~.~
'l'o;~n 1 lall Annex
1375 Main Road
P.O. Box 1179
S¢mthold, NY 11971
Telephone (631) 765-1802
Fax (631 ) 76,5-9502
ro.qer, dchert~town.southold.n,/.us
BUII,DIN(; 1)I';PARTMI'~NT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Montgomery
Address: 13705 Main Rd City: Mattituck St: NY Zip: 11952
Building Permit #: 35488 Section: 1 40 Block: 3 Lot: 31
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Tucker Electric Inc LicenseNo: 4926-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement [~ Service Only [~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 1-exhaust fan, 2-OVERS
Ceiling Fixtures r-"'-'--I~[[~ HID Fixtures
Wall Fixtures [ I Smoke Detectors
Recessed Fixtures [ 111 CO Detectors
Fluorescent Fixtur~ ~[ Pumps
Emergency Fixture Time Clocks
Exit Fixtures LI TVSS
Notes:
Inspector Signature:
Date: May 4 2011
81-Cert Electrical Compliance Form
Town Hall Annex
54375 Main Road
P.O. Box ! i 79
Soulflold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephoue(63.1).765,1802 ~ ·
.CERTIFICATION
Building Permit No.
Owner:
Plumbcr:
(Plea~rint)
· (Please print)
I certify that the solder used inthe water supply system contaim less.than 2/I0 of 1%
Sworn to he.re me this
N°t arY Pub hc,'CD cS-~D~ County
CONNIE D. BUNCH-
Notary Public, State o~ New.Yo~k
No. 01BU6186060
Quallfle~ in Suffolk County
Commtealo~ E~Ire~ April 14, 2
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
.INSPECTION
[ ~/~O~UNDATION 1ST [ ]
ROUGH
PLBG.
[~,~OUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RES~ISTANT PENETRATION
REMARKS:~Q
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 [ ]FIRERESlSTANTPENETRATION
REMARKS:
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 RES~AHTC4XlSTRUCTIOfl., ~ ~,,FIRE
RESISTANT
REMARKS: ~ ~
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ]ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
FRAMING / STRAPPING [ ]FINAL
FIREPLACE & CHIMNEY [] FIRE~.~Id:ETY INSPECTION
--
RRE REmSTANT CONSll~T~ [~FIRE REmST~NT ~NETRAT~ON
REMARKS:
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ]
[ ] ROUGH PLBG.
[ ] INOCULATION
[/~NAL
[ ] FIRE SA,-.. ~ ~ INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
INSPECTOR--~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION l ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[
[ ] ROUGH PLBG.
[ ] INSULATION
[~]' FINAL
[ ] RRE SAFETY INS~CTK~
] FIRE RESISTANT CONSTRUCTION [ ] RRERESISTANTFENE]llATION
REMARKS:
DATE.
INSPECTOR ~'~~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Exanfined
Approved
Disapproved a/c
~'///~, 20 / O
20 IO
Expiration
/ 0///7 , 20 _
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
y~4 ,sots of Building Plans - x/
Planning Board approval
'k Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Pemfit
Storm-Water Assessment Form
Contact:
Ma. to: '?r>-
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date .-0~ci [ (o ,201'0
~ 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 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 after the date of
issuance or has not been completed within 18 months fi'om such date. If no zoning amcndments or other regulationa 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.
APPLICATION IS HEREBY MADE to the Building Department fbr the issuance of a Building Permit pursuant to tbe
Building Zone Ordinance of the Town of Southold, Suflblk 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.
(Signature of applicant or name, ifa corporation)
(Mailing a'ddress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises /~/~,~f c-~Y/M~,..'~J~,~ -4 /P(°~ ~' '/q°~,OzJ~o.*,~.p'
(As~on the tax roll or latest deed) o' ~:
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. q '~ 0q 5
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which prop. osed work .will,be done
House Number Street
Hamlet
County Tax Map No. 1000 Section I/4-0, C) 1g
Subdivision
Block 05, Ob
Filed Map No.
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy _~. ~. '
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building. Addition
Repair Removal Demolition Other Work
Estimated Cost
If dwelling, number of dwelling units
If garage, number of cars
Fee
(Description)
(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
Depth Height. Number of Stories
Rear
Height
9. Size of lot: Front i C~-/, ~.~o
10. Date of Purchase _~! ~,13 !~<~
Dimensions of entire new construction: Front
Number of Stories
Rear Depth
Rear
Name of Former Owner
Depth
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 J Will excess fill be removed from premises? YES __ NO
14. Names o f Owner of premi~ses M~f&~ ~.~,~43~. ddress .,~ 2~-~',~N~l~q5 ~;hone No. ~ Z, i ' -~ c/a° - ~ ~a/~
.... ~1~
NameofArchitect !M'd],e.~ (~J O~.~k Address~
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BtE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO ',/
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO 7
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES__ NO '4/
· 1F YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF Sulq-.l?.olL )
~ie~¢e~ ,.~, M r~nJcg~,m _e~ ..~MAr~ C. Mev-,~'~m,_, being duly sworn, deposes and says that (s)he is the applicant
(Name of indMdual signing contract) ab04e nan~d,
(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 tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed th~l~l~l. STAI'I~ISH
Notary Public, State of New York
No. 01ST6164008
Sworn t~.~fore me this
0 day of _ ,/f),f~hzj 20
Notary Public -
Qualified in Suffolk County
Commission Expires April 9,20~_....~ ~ o .
S ignat ure..o f ~jJplic~t
Town Hall A~nex
54375 Main Road
P.O. Box 1179
Sou~hold, NY 11971-0959
Telephone (631) 765-1802
· , . .~ (631) 765;~50,~,
roger.ncnen(~town.sou~no~a.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: M ~, }~-~ ~,t/~tA-~'IA .
*Address: i '.~,-/.~:~" _0~ ['~ M~~
*Cross Street: W ~-~~1 ~
*Phone No.: ~ ~ -~ ~
Pe~it No.: ~
Tax Map District: 1000 Section: ~ Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed]
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
~/'~/
YES)/~
3Phase 100 150 200
Underground Number of Meters
Final
300 350 400 Other
Change of Se~ice Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
Town l lall Anm'x
P.O. Box I
Soullltdd, NY 11971-09.59
Telephone (631) 71i,5-18t)2
(631) 76.5-9,502
BUII,I)IN(; I)I'SPARTM I'SNT
TOWi'q OF SOUTHOLD
May 3, 2011
Michael Montgomery
PO Box 536
Mattituck, NY 11952
RE: 13705 Main Road, Mattituck
TWO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
__ Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of 50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees #765-1892)
Final Planning Board Approval.
Final Fire inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 35488-Z addition/alteration
?00o - /Yo - 3 - ,~1
OWNER
~:-' ~n~4"nnY~r~/ ..
TOWN OF SOUTi. IOLD I~'OpERTY RECORD CARD
STREET & ~/U.., WLLAHE
DISTRICT ~
ACREAGE
TYPE OF BUILDING
LOT
LAND
~,~oo
AGE
ND/V
Farm
Tillable
Tillc~le 2
Tillable 3
Woodland
Swamp_land
Brush]and
House Plot
Total
SEAS,
IMP.
Y7 oo
NORMAL
VL. FARM
TOTAL DATE
J 700 O
BUILDING CONDITION
BELOW
Value Per Acre
Est. Mkt. Value
REMARKS >~,~ .~ ~ ,..e.-O O0
FRONTAGE ON WATER
ABOVE
Va lue
FRONTAGE ON ROAD
BULKHEAD
DOCK
t r t J
:74? ·
Bldg.
Extension
Extension
Extension
BTeezewQ¥
~dation
Basement
~t, Walls
Fire Place
P(~tio
I::~veway
Porch
Porch
interior Finish
H. ea i-
Roof Type
Rooms 1st Floor
Rooms 2nd Flcor
Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
STORM-WATER~ GRADINGr DRAINAGE AND EROSION CONTROL PLAN
CERTIFIED BY A DESIGN PROFEEEIOHAL IN THE STATE OF NEW YORK.
Item Number:
2
(NOTE: A Check Mark (~) for each Question is Required for a Complete Appllcotion)
Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site?
(This item will include all mn-off created by site cleadng and/or construction activities as well as all Site
Improvements and the permanent creation of impervious sun'acos.) ~ /
Does the Site Plan and/or Survey Show All Proposed Drainage Stmc~s In~loati~'~e ~tion?
This Item shall Include all Proposed Grade Changes and Slopes Controlling Surfaco WatarFlowl
3 Wtil this Project Requiro any Land Filling, Gradlog or Excovation where there is a change t~) the Natural
Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel?
4 Will this Applicafl°n Require Land Disturbing Activi6es Encompass,ng an Area in Excess of r.~ ~
Five Thousand (5.000) Square Feet of Ground Surface?
5 Is there a Natural Water C°ume Runnlog thmugh the Site?
Is this Project within the Trustees judsdictioa or within One Hundred (100') feet of a Wetland or Beach?
6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to
One Hundred (100') of Horizontal Distance? --
7 Will Ddveweys, Parking Areas or other Impervious Suli'aces be Sloped to Direct Sthffn-Water Run-Off
into and/or in the direction of a Town ~ght-of-way?
8 Will this Project Requiro the Placement of Matedal Removal of Vegetation and/or the Constmction of
any Item Within the Town Right-of-Way or Road Shoulder Area?
(This item will NOT Include the Installation of Driveway Aprons.)
9
Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercoume?
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 Submlffed for Review P~ior to Issuance of Any Building Pemllt!
EXEMPTION:
Does this project meet the minimum standards for clasclticotiee as an Agricultural Project?
Note: If You Answered Yes to this Question, a Storm-Water, Oradthth Drainage & Erosion Control Plan is NOT Requlredl
Yes No
CO .UNITY 0~.1.~ ............ SS
That I, .~.~...~.~ .............. ~ duly ~om, de'scs ~d ~ ~at h~she is ~e app~c~[ for Pen~
(N~e of in~Mdual f~h~nt) ~
~d ~at he/she is ~e ................................. ~~i ....................................................................................................
O~er ~or repr~en~five of ~e ~er of O~'s, ~d is duly au~or~ed to ~fform or have performed ~e s~d work ~d to
m~e ~d file ~s appli~fion; ~at ~ s~xen~ con~ed ~ ~ appli~fion ~ ~e to ~e ~st offs ~owle~ ~d &lief; ~d
· at ~e work ~ll be ~ffo~ed in ~e m~ner set fo~ in ~e application filed here~.
Sworn to ~me ~is; , LAU~EN ~, ~ANOI$~
' ~otam Public, S~te ~ N~ ~
................. ......................... .......................... 0.l.O
Suffolk County
FORM - 06/07
TOv/N O~ ,Sout'~OL~,
REScheck Software Version 4.3.0
Compliance Certificate
Project Title: Montgomery Residence Addition
Energy Code: 2007 New York Energy Conservation
Construction Code
Location: Suffolk County, New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 14%
Heating Degree Days: 57,5~
Construction Site: Owner/Agent:
13705 Main Road
Mattituck, NY 11952
Compliance: Maximum UA: 17
Your UA: 13
Designer/Contractor:
William Cook
William Cook RA
8 Haymaker Lane
Levittown, NY 11756
516-455-4797
billcookra~yahoo.com
Wall 1: Wood Frame, 16" o.c.
Window 1: Wood Frame:Doubia Pane with Low-E
Floor 1: Ali-Wood JoistrrnJss:Over Unconditioned Space
Ceiling 1: Flat Ceiling or Scissor Truss
105 13.0 3.4 6
15 0.320 5
30 19.0 1.3 1
30 19.0 1.4 1
The proposed building represented
with this permit application. The pmpesed s
Code requirements. When a Registered Desigr
knowledge,, belief, and professional judgment, such plans or specifications a
Name - Title
, and other celcuiations submitted
Conservation Construction
are attesting that to Em best of his/her
Project Title: Montgomery Residence Addition Report date: 03/08/10
Data filename: C:~program files\Check\REScheck~montgomery.rck Page I of 4
REScheck Software Version 4.3.0
Inspection Checklist
Ceilings:
I-/Ceiling 1: Flat Ceiling or Scissor Truss, R-19.0 cavity + R-1.4 continuous insuledon
Comments:
Above-Grade Walls:
[] Wall 1: Wood Frame, 16" o.c., R-13.0 cavity + R-3.4 continuous insulation
Comments:
Windows:
Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.320
For windows without labeled U-factors, describe features:
#Panes Frame Type Thermal Break?
Comments:
Yes __ No
Floors:
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity + R-1.3 continuous insulation
Comments:
[]
[]
[]
E]
Air Leakage:
Joints, penetrations, and all other such openings in the building envelope that ara sources of air leakage are sealed.
Recessed lights are 1) Type lC rated, or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible
materials. If non-lC rated fixtures are installed with a 3' clearance f~om insulation.
Vapor Retarder:
Installed on the warm-in-winter side of all non-vented framed ceilings, walle, and floors.
Materials Identification and Installation:
Materials and equipment are installed in accordance with the manutacturer's installation instructions.
Insulation is installed in substantial contact with the surtace betng insulated and in a manner that achieves the rated R-value.
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 and glazing U-factors are clearly marked on the building plans or specifications.
Duct Insulation:
Supply ducts in unconditioned attica or outside the building are insulated to at least R~.
Retum ducts in unconditioned attics or outside the building are insulated to at least R-4.
Supply ducts in unc(mdifioned spaces are insulated to at least R~.
Return ducts in unconditioned spaces (except basements) are insulated to R-2. Insulation is not required on retum ducts in basements.
Duct Construction:
All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives}, mastic-plus-embsdded-tsbrlc, or
tapes. Tapes and mastics are rated UL 181A or UL 181B.
Exceptions:
Continuously welded and locking-typo 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 Confl'ols:
Each dwelling unit has at least one thermostat capable of automatically adjusting the spoca temperature set point of the largest zone.
Electric Systems:
Project Title: Montgomery Residence Addition Report date: 03/08/10
Data filename: C:~pregram ifies\Check\REScheck\montgomery.rck Page 2 of 4
[] Separate electric meters exist te~ each dwelling unit.
Fireplaces:
[] Fireplaces ara installed with tight fitting non-oombustibte fireplace doors.
[] Fireplaces have a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New YoM
State, ~ne Residential Code of New YoM 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 outlat unless the water heater has an integral heat trap or
is part of a circulating system.
Circulating Hot Water Systems:
[] Circulating hot water pipes are insulated to the levels in Table 1.
Heating and Cooling Piping Insulation:
[] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2.
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-deplatable
sources. Pool pumps have a time clock.
Project Tdle: Montgomery Residence Addition Report date: 03/08/10
Data fllename: C:\program ~es\Check\REScheck\montgomery,rck Page 3 of 4
T~ble I : Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runoute Circulating Mains and Runoute
Heated Water
Temperature (°F) Up to 1" Up to 1.25" 1.5" to 2.0' Over 2"
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
Fluid Temp.
Piping System Types Range(OF)
Insulation Thickness in Inches by Pipe Sizes
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 f~md 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
Bdne Below 40 1.0 1.0 1.5 1.5
NOTES TO RELD: (Building Department Use Only)
Project Title: Montgomery Residence Addition Report date: 03/08110
Date filename: C:~program files\Check~REScheck\montgomery, rck Page 4 of 4
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