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Home My WebLink About42362-Z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL SOUTHOLD,NY 11971 Board of Health TEL:(631)765-1802 4 sets of Building Plans FAX:(631)765-9502 Planning Board approval..__ —, Southold[Town.NorthFork.net IT NO. Su"ey— PERM Check Septic-fo—Im N.Y.S.D.E.C. Trustees -C.O.ApVh�a Flood Permit Examined— 20 rr, qr: Single&Separate Di Approved JAN D"D Contact:Storro-Water Assessment Form- 20 Mail to: Disapproved a/c L 6 TOWN OF S lit I D Phone: FKph-ation '201 Mifl L'Q!gg, 111�peetor APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date A�?, 20 VE) a.`Ili is application MUST be completely lolled 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 bt6ldings,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. c.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 withju 12 montlis after the date of issuance or has not been completed within 18 111011ths from such date.If 110 zoning anICIldinel-ItS or other regulations af1ccting 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 he required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit PLInsuant to the Building Zone Ordinance of the J,owtl(!if Southold,SUffok County,New York,and other applicable Laws.Ordinances or Regulations,for the construction of buildings,additions,of,alterations 01-for removal or dcmolition,as herein described,"Che applicant agrees to comply with all applicable laws,ordinances,bttilding code,housing code,and regulations,and to admit atithorized inspectors on premises and in building for necessary inspections. -e (Signature of ap-�w Wic".1 or name,if a corporation) Y �A— (Mailing address ofapp�licanl) State whether applicant is owner,lessee,agent architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises t T)- (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License NO. Electricians License No. Other Trade's License NO. — L Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section--_J —Block,.-. Lot - Subdivision 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 —Alteration Repair...............—Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor... p ................ If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 10%.. 7. Dimensions of existing structures,if any:Front_ -I Rear_._. Depth U0'& ................. Height Number of Stories I Dimensions of same structure with alterations or additions: Front Rear 10' -5" Depth �'--I Height Number of Stories- 8. Dimensions of entire new construction: Front Rear —Depth Height Number of Stories 9. Size of lot:Front I _Rear �2- °(LIC'l Depth Zoo.c) 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated <7 4z) 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 X NO 14.Names of Owner of premises(" ,pK I AddressAPSO -- . �,dveftoneNo. Name of Architect 4)rA(�n c r Address tom. Phone NoI((o -X12-z4-1,4t Name of Contractor Address Phone No. 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-7y-- •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-X- IF YES,PROVIDE A COPY. ELIZABETH COLEM N Notary Public,State of Now York STATE OF NEW YORK) No.01CO6158353 SS: Qualified in Suffolk County COUNTY OF Commission Expires Jan.O2,20rpt L11 being duly sworn,deposes and says that(s)he is the applicant contract)above named, (Name of individual signin� (S)He is the_ ' o "-) (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this aj_tj_day of j_20 1 _L, Notary Public Signature of Applicant 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,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. 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: 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. New Construction: Old or Pre-existing Building. (check one) Location of Property: w....�� ( _� �- Ot I House No. Street Hamlet ,. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot mm Subdivision „mm Filed Map. Lot Permit No. Date of Permit. CVPPhcant . .. �mm Health Dept.Approval: Underwriters Approval:., -_......�,,� _ ....�_ .�....... Planning Board Approval: Request for: Temporary Certificate Final Certificate:�mmmm (check one) Fee Submitted: $ _ µ. .. Applicant SignatUre, ��m.. Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P. O. Box 1179 or�t'�a�lda 971 3�9"C`�p 1 �K19.� -,. - � - - - - BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date __ } Owner: Location of Properly: �. Please take notice that the (check applicable line): New commercial or residential structure " Addition to existing commercial or residential structure Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) Timber construction (TC) ..._in the following !, � �: n( .) (ch �ppli a 11i e:)� „ ... ., .. ..e. _._.. Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature; Name (person submitting this form): t"—D V c CA4, en ` Capacity(check applicable line): Owner Owner representative TrussRegl5.docx Effective 1/1/2015 REScheck Software Version 4.6.4 Compliance Certificate Project Reiter D [EC[E UV[E D Energy Code: 2015 IECC Location: New York, Construction Type: Single-family w York N 2 1 7 2018 Project Type: New Construction Orientation: Bldg. faces 270 deg. from North Conditioned Floor Area: 2,807 ft2 ` Glazing Area 15% TOWN OF SOUTHOLD Climate Zone: 4 (5362 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 2650 Wickham Avenue Anthony Portlllo Mattituck,NY 11952 AMP Architecture Compliance: 27.5%Better Than Code Maximum UA: 502 Your UA: 364 Maximum SHGC: 0.40 Your SHGC: 0.31 The%Better or Worse Than Code Index reflects how close to compliance the house Is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Front Elevation:Wood Frame, 16"o.c. 684 13.0 5.0 0.057 31 Orientation: Front Window A:Vinyl/Flberglass Frame:Double Pane with Low-E 94 0.300 28 SHGC: 0.31 Orientation:Front Window B:Vinyl/Fiberglass Frame:Double Pane with Low-E 9 0.300 3 SHGC:0.31 Orientation:Front Window C:Vinyl/Flberglass Frame:Double Pane with Low-E 9 0.300 3 SHGC: 0.31 Orientation: Front Window D:Vinyl/Fiberglass Frame:Double Pane with Low-E 12 0.300 4 SHGC: 0.31 Orientation: Front Front Doors:Glass 24 0.270 6 SHGC: 0.30 Orientation: Front Right Elevation:Wood Frame, 16"o.c. 700 13.0 5.0 0.057 34 Orientation: Right side Window E:Vinyl/Fiberglass Frame:Double Pane with Low-E 7 0.300 2 SHGC: 0.31 Orientation:Right side Window F:Vlnyl/Flberglass Frame:Double Pane with Low-E 25 0.300 8 SHGC: 0.31 Orientation:Right side Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Arch itectu re\Private Jobs\Reiter, Dan_2650 Page 1 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter_ResCheck.rck Window B copy 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 4 0.300 1 SHGC:0.31 Orientation:Right side Door 2:Solid 40 0.140 6 Orientation:Right side Front Doors copy 2: Glass 24 0.270 6 SHGC:0.30 Orientation: Right side Back Elevation:Wood Frame, 16"o.c. 689 13.0 5.0 0.057 34 Orientation: Back Window A:Vinyl/Fiberglass Frame:Double Pane with Low-E 47 0.300 14 SHGC: 0.31 Orientation: Back Window B copy 2:Vinyl/Fiberglass Frame:Double Pane with Low-E 4 0.300 1 SHGC:0.31 Orientation:Back Window E copy 1:Vinyl/Flberglass Frame:Double Pane with Low-E 7 0.300 2 SHGC: 0.31 Orientation:Back Window I:Vinyl/Fiberglass Frame:Double Pane with Low-E 9 0.300 3 SHGC: 0.31 Orientation:Back Window J:Vinyl/Fiberglass Frame:Double Pane with Low-E 2 0.300 1 SHGC: 0.31 Orientation: Back Front Doors copy 1:Glass 24 0.270 6 SHGC: 0.30 Orientation: Back Left Elevation:Wood Frame, 16"o.c. 601 13.0 5.0 0.057 27 Orientation:Left side Window H:Vinyl/Fiberglass Frame:Double Pane with Low-E 5 0.300 2 SHGC: 0.31 Orientation: Left side Window K:Vinyl/Flberglass Frame:Double Pane with Low-E 34 0.300 30 SHGC: 0.31 Orientation:Left side Window L:Vlnyl/Fiberglass Frame:Double Pane with Low-E 7 0.300 2 SHGC:0.31 Orientation: Left side Window M:Vinyl/Flberglass Frame:Double Pane with Low-E 5 0.300 2 SHGC: 0.31 Orientation: Left side Study doors(hidden In elev.)): Glass 48 0.270 13 SHGC: 0.30 Orientation: Left side Front Porch left door: Solid 20 0.140 3 Orientation: Left side Cathedral Ceilings: Cathedral Ceiling 1,735 49.0 0.0 0.022 38 Flat Ceilings: Flat Ceiling or Scissor Truss 1,052 49.0 0.0 0.026 27 Floor 1:All-Wood Jolst/Truss:Over Unconditioned Space 2,960 30.0 30.0 0.016 47 Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Arch itectu re\Private Jobs\Reiter, Dan_2650 Page 2 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter_ResCheck.rck 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 2015 IECC requirements in REScheck Version 4.6.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive�AMP Arch itectu re\Private jobs\Reiter, Dan_2650 Page 3 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter_ResCheck.rck REScheck Software Version 4.6.4 Inspection Checklist fZ Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided. octlo , ,:P1a�ns Yeriflradl i!' pied pire�lrwi �fiarpm;Rdv Complies? Comments/Assumptions 103.1, /�� . Construction drawings ,/�%//%� %/%/ �;�1��"�O , ... g �� f�� ❑❑Compiles 103.2 f docugyentatlon demonstrate /;�j/ �, poen Not � [PR1J1 energy code compliance for the �� jQNot Observable � ,building envelope.Thermal on resented envelope re � '[1NotApplicable P construction documents.103.1, 103.2, :documentation drawings and trate �� / f Ifl� ��❑Cto-rnplles 403.7 ;energy code compliance for �� a �� Does Not PR3 :lighting and mechanicals stems. Not Observable [ ] g 9 Y ,� - Systems serving multiple t/ ;�� /❑NotApplicable ;dwelling units must demonstrate with the !Commercial Provisions. C „Heating and cooling equipment Is Heating. Heating: ❑Complies a s 'sized per ACCA Manual 5 based o Btu/hr Btu/hr T Does Not C442aon loads calculated per ACCA cooling: Collin Manual J or other methods g' ❑Not Observable approved by the code offlcial. Btu/h Btu/hr `f❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) (4]Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Arch itectu re\Private jobs\Reiter, Dan 2650 Page 4 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter ResCheck.rck 6 �on "Feo�dtn I �tPu �mpia� me /� prp� rs 21' 'A protective covering is Installed to Eomplles protect exposed exterior Insulation :❑Does Not Band extends a minimum of 6 in. below ; d n grade. )Not Ap,pli able 2j M Installed.owd Ice-melting system controls i® msplles Not ❑Not Observable E ❑Not Applicable Additional Comments/Assumptions: 1 I High impact(Tier 1) �'r Medium Impact(Tier 2) 3 Low impact(Tier 3) Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Arch itecture\Private Jobs\Reiter, ban 2650 Page 5 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter ResCheck.rck Section Plans Verified Field Yer�fied # Framing/Rough-In"Inspection -ValueValue Complies? Comments/Assumptions & R .ID!. 402.1.1, Door U-factor, U- U- ❑Complies See the Envelope Assemblies 402.3.4 '❑Does Not table for values. [FRJ]l I❑Not Observable ; 1❑Not Applicable 9 (area-weighted 402.1.1, ,average). U- ❑Complles SeetheEnvelopeAssemblies ,Glazing U-factor U- 402.3.1, ❑Does Not 'table for values. 402.3.6, ❑Not Observable 402.5 ❑Not Applicable [FR2]1 U-factors of fenestration products w'��!°! """� !�%!D� ! !%i'%"i" " 303.1.3 p �� /�� /�f��///� /%///D�/❑Complies [FR4]1 are determined in accordance ��,� �� /i�!❑ P Does Not ;with the NFRC test procedure or �� ;taken from the default table. �f ❑Not Observable f�� !��❑Not Applicable 4024.1.1 ;Air barrier and thermal barrier /�/ /" 'j[]Comlies [FR23]1 all aper manufacturer's ! f� ! ❑Doe plies jinst w ❑Not Observable ❑NotApplicable 402.4.3 Fenestration that Is not site built Cf�/ t,! / ll /�! ' [FR20]1 is listed and labeled as meeting f ❑Do es AAMA/WDMA/CSA 101/I.S.2/A440 ❑Not ; or has infiltration rates per NF RC �� r Observable l,400 imits, do not exceed code / �❑Not Applicable 402-4:5 IC-rated recessed lighting fixtures mplies _ FR16] sealed at housin /mfinish nish �� '❑Does Not ;and labeled to indicate <_2.0 cfm ,,.... leakage at 75 Pa. �� /% � ��,,❑Not Observable , l/oil � ��, ❑Not Applicable ; 403.2.1 Supply and return ducts in attics ❑ iComplies [FR12]1 ;insulated >= R-8 where duct is �� >= 3 inches in diameter ❑Does Not and >_ a, / R-6 where < 3 Inches. Supply and I � �l / %❑Not Observable return ducts In otherortions of ! � i i '❑Not Applicable P �/l, � ;the building Insulated >= R-6 for diameter 3 Inches and R-4.2J/ �� j for< 3 inches in diameter, �� ////j P I / ll`�l�lf f _ww... 403 3.3.5 ',Bulldln cavities are not used as ��' / �/ ❑Complles 9 � � [FR15]' 'ducts or plenums. � /i� �❑Does Not ❑Not Observable j ❑Not Applicable I P P 4 i3 HVAC piping conveying fluids R- ;❑Complles [FRl7�? above 105 4F or chilled fluids ❑Does Not below 55 4F are insulated to z:R- y 3 ;[:]Not Observable j❑Not Applicable 403.4.1 Protection of insulation on HVAC ❑ Complles [FR24]1 ,piping. l'�I � f ❑Does Not ! Not Observable ' . ❑NotA Applicable 403.$.3 Hot water pipes are insulated to R- R- ,❑Complies ❑Does Not ❑Not Observable ❑Not Applicable %// 403 6 ;,Automatic or gravity dampers are �%'�" � �! �// �/!�°O% ��!%�❑Complles /fi [FR19]2Installed on all outdoor airf�� j ❑Does Not Intakes and exhausts. ❑Not Observable , ❑Not Applicable 11 High Impact(Tier 1) 2;, MMedium Impact(Tier 2) 13 JLow Impact(Tier 3) Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Architecture\Private Jobs\Reiter, Dan_2650 Page 6 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter_ResCheck.rck Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier1 Low Impact(Tier 3) Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Arch itectu re\Private Jobs\Reiter, Dan_2650 Page 7 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter ResCheck.rck section ,PI a e� Field Vedfled; & # Insulation Inspection Complies? Comments/Assumptions R .IDf Iw Value, 301 All Installed Insulation is labeled ��% � �% �� ; / ��°%f�� ❑Complies [IN23]2 or the Installed R-values /��° ❑Does Not g provided. Not Observable ❑Not Applicable ❑ Wood R Plies :See the d UDoesNot table for values. Assemblies 402.1.1, Floor insulation R-value. ; R- ❑ 402 2.6 Woo [IN1]1 ❑ Steel ;❑ Steel ;❑Not Observable j❑Not Applicable 303.2, ;Floor insulation installed per '�,/��/ �� %/i��'❑Complies ; 402.2.7 manufacturers instructions and ��, �❑Does Not [IN2]1 :in substantial contact with the ❑Not Observable underside of the subfloor,or floor' a �' ° // Iraming,cavity Insulation is in ❑Not Applicable contact with the top side of sheathing, or continuous insulation is Installed on the underside of floor framing and f � ; extends from the bottom to the rtoP of all perimeter floor framin P members. ,.mem 402.1.1, ;Wall insulation R-value. If this is a R- R- ,❑Complies 'See the Envelope Assemblies 402.2.5, R mass wall with at least 1h of the ❑ Wood ❑ Wood UDoes Not ;table for values. 402.2.6 ;wall Insulation on the wall "El mass [J Mass , ]Not Observable [IN3]1 ;exterior,the exterior Insulation requirement applies(FR10). ;E] Steel E] Steel r❑Not Applicable MM _ _... 303.2 �p❑DGes et „Wall insulation is installed per 6/% [IN4]1 manufacturer's instructions. ��❑Does Not�� ervable �❑Not Obs� f ❑NotA Nicable Additional Comments/Assumptions: 1 (High Impact(Tier 1) 2, Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Arch itectu re\Private jobs\Reiter, Dan 2650 Page 8 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter_ResCheck.rck Section # Finallnspection provisions 4?lans 1/erifF ed =,' ielcYYerifiecf Compiies? Comments/Assumptions. :&R .1113Value Value,, 402.1.1, 'Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, El Wood ;❑ Wood ❑Does Not table for values. 402.2.2, 402.2.6 ;❑ Steel o E] Steei }❑Not Observable ; [FI1]1 "❑Not Applicable 9 .- 303.1.1.1, Ceiling insulation installed per Jf �f f 1 1J �/ ❑Cpmplies, �i / 303.2 manufacturer's instructions. r� ❑Does Not [FI2] ,Blown insulation marked every 300 ft2. �� ❑Not Observable �� ❑Not Applicable . :3 :Vented attics with air permeable �� ,f� f� ®Compiles [FI22�z insulation include baffle adjacent �� ❑Does Not to soffit and eave vents that i / �� ; Not Applicable extends over insulation � /� �Not Observable [03]2,4 V-nsulatlonSa R value oftheor R r R- �❑Complies ❑Does Not adjacent assembly. ❑Not Observable a ; r e a �DNot Applicable !402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50 = ACH50 = .❑C�amplles [FI17]1 :ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8. I❑Not Observable ❑Not Applicable 403.2.3 Duct tightness test result of<=4 cfm/100 cfm/100 ,❑Complies [FI4]1 cfm/100 ft2 across the system or ft2 ft2 "❑Does Not <=3 cfm/100 ft2 without air !,handier @ 25 Pa. For rough-in flNot Observable tests, verification may need to j❑Not Applicable occur during Framing Inspection. - ...... __ . _ 403.3.2 ;Ducts are pressure tested to cfm/100 cfm/100 ❑Compiles [F127]1 ;determine air leakage with ftz ftz El Does Not;either: Rough-in test:Total leakage measured with a "❑Not Observable pressure differential of 0.1 inch t❑Not Applicable :w.g. across the system including ;the manufacturer's air handler ;enclosure if installed at time of test. Postconstruction test:Total 'leakage measured with a opressure differential of 0.1 Inch ;w.g, across the entire system Including the manufacturer's air handler enclosure, 1 y handier leakage designated �l �`/ f'�' ...... 403 3.2,1 ,Atlrhan f�`� "' �l�❑Compiles [FI241 :by manufacturer at<=2%of �� J ❑Does Not ,design air flow, i�� a❑Not A bse licablle 40311 Programmable thermostats ❑Compiles yr [Fig] installed for control of primary ~heating and cooling systems and rJl❑Opes Not J initially set by manufacturer to � � J � � �� ,,❑Not Observable „ code specifications. �f❑Not Applicable v❑Com lies [Fi10]2 on heat pumps' Heat pump rmostat installed ❑Does Not Not Observable , ❑Not Applicable [ 11J 1 systems have automatic ong service hotterf�/� �l��1� � ��❑DoespNot ;accessible manual controls. �„❑Not Observable ❑Not Applicable 1 Hlgh Impact(Tier 1) 2;; Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Arch itectu re\Private jobs\Reiter, Dan_2650 Page 9 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter ResCheck.rck Section Plans,Verified Field verified # Final Inspection Provisions Complies? Comments/Assumptions &Re .ID ValueYalue .. .. 403.6.1 All mechanical ventilations stem viii%�� %�/// "%i G%/,//°iii '�o%/%i% ❑Com lies [F125]2 P li �� /%/// ��pi//� P FI25 "fans not art of tested and listed / / f��❑Does Not HVAC equipment meet efficacy � G �� Not Observable i .;;.and airflow limits. /� �� ; / /�/�/0%�� ❑Not Applicable , �� 403: �❑Compiles 2 Hot water boilers supplying heat %l�� !%"%j/ [F126]2 through one-or two-pipe heating f// J(❑Does Not systems have outdoor setback i Not Observable control to lower boiler water ❑ ,temperature based on outdoor ❑Not Applicable , temperature. 403,51.1 Heated water circulation systems Complies [FI28]2 have a circulation pump.The Does Not ;;system return pipe is a dedicated f / /i i" R return pipe or a cold water supply�//////��%Q�/ ,�f%�� "%/�%�%f��❑Not Observable i� � � /i/ ❑ ,,pipe. Gravity and thermos- Not Applicable%�/ ,,syphon circulation systems are not present.Controls for circulating hot water system pumps start the pump with signal „for hot water demand within the yoccupancy. Controls automatically turn off the pump ✓,r, / "% j� '� "when water Is In circulation loop /i Is at set- olnt temperature and I; a no demand for hot water exists. �40351 " `�� / /2 Electric heat trace systems ❑Complies [F129]2 `comply with IEEE 515.1 or UL � % ❑Does Not X515. Controls automatically "adjust the energy input to the ) �� a❑Not Observable "heat tracing to maintain the �� %'❑Not Applicable � desired water temperature m the piping. P �� 403,5.2 ",;:Water distribution systems that �Q i/�,� �/� r�',❑Complies [F130]2 have recirculation pumps that // ❑Does Not pump water from a heated water r Not Observable ?,,supply pipe back to the heated / i �/�� /�, , water source through a cold ❑Not Applicable P water supply pipe have a 'demand recirculation water system. Pumps have controls hat manage operation of the �� ',pump and limit the temperature ;of the water entering the cold ;water piping to 1044F. 46Fi31 ]2 tested In accordance with CSA i , �/ �/ Complles O3 54 ',Drain Drain water heat recovery units ( �Oa 1355.1. Potable water-side Does Not �� /i/ 3pressure loss of drain water heat ❑Not Observable,,�/ � ✓% �, recovery units < 3 Psi for -; ��/%// '❑Not Applicable , /i/ ,,,Individual units connected to one .or two showers. Potable water- side pressure loss of drain water sheat recoveryunits < 2 psi for "individual units connected to °three or more showers. 404.1 75%of lamps in permanent ��❑Complies 1 o p � % % ///%y [FIG]' 'fixtures or 75/o of permanent d/ %% / � ;� , , ❑Does Not fixtures have high efficacy lamps ,Does not apply to low-voltage j/� // / ❑Not Observable lighting. ❑Not Applicable /// // O 404.1.1 .;,Fuel gas lighting systems have ��%/°�j/��'"'�� '�/ ��,,�1��i �ii///i/�'��❑Complies (FI23]3 no continuousht. llot light. O ' � P 9 / / � h❑Does Not ❑Not Observable ii / / �f� / i ❑Not Applicable 1 High Impact(Tier 1) 2, Medium Impact(Tier 2) 3 JLow Impact(Tler 3) Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Arch itectu re\Private Jobs\Reiter, Dan_2650 Page 10 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter_ResCheck.rck a � eik ,gfi l i P�i�rn ;Ina .. t rov slw ns ;C rrgW a��e � ;rm �� u P ops .1�`kk;I ale, „ „ { sem„ z ,. 4 Compliance certificate posted. Plillp / OCompfes M , rIlDoes Not i;MNot Observable 1 Not Applicable ! J' ,,I ' �l Iles 303.3 Manufacturer manuals for nCom�� p (FlI J3 "mechanical and water heating PDoes Not systems have been provided. �� []NotAppli able Additional Comments/Assumptions, L1J High Impact(Tier 1) ; Medium Impact(Tier 2) Low impact(Tier 3) Project Title: Reiter Report date: 12/22/17 Data filename: C:\Users\aport\AMP Google Drive\AMP Arch itectu re\Private Jobs\Reiter, Dan 2650 Page 11 ofll Wickham Avenue, Mattituck, NY\04_Construction Documents\Reiter ResCheck.rck IECC rgy �C 2015law �Certificate w �(j ency Above-Grade Wall 18.00 Below-Grade Wall 0.00 Floor 60.00 Ceiling/ Roof 49.00 Ductwork (unconditioned spaces): ®� Window 0.30 0.31 Door 0.27 0.30 MEMEMEMEMEMOMMEM Heating System: Cooling System: Water Heater: Name: Date: Comments Igy 4-o :3—aro�e Scoi.L A. Russell SUPERVISOR AMIA J[]ENT SOUTHOLD TOWN HALL-P_O_Box 1179 a 53095 Main Road-SOUTHOLD,N1R'V YORK 1197141, Town of So u th o Zd 11/0 CHER. 236 - STOR A'T EA R MANAGE NT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOES UHS PRO.WCr WVOLVE Y No _ UiEClc ALL THAT APPLM A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface_ E]E4 B_ Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area_ C. Site preparation on slopes which exceed 10 feet vertical rise to 10d'feet of horizontal distance: D_ Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control PIan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, �,�igtlature,... ontnct ltfo�matiol�Y-Date- - llltnty'T ap.-Nulntt+'rr apte3.- - oes:.laolLalaplIr�1�ata�pro'}ec If you answered YES to one or more of the above, please submit Two copies of a Storm-water Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPUCANT_ tPro rt Owner,Design Professional.Agent,Contrrctor.Ot S.C.T-M. �: 1000 bate Pe Y her) p, Di strict NAME � w Section Block Lot ;-OR BU-11—DING DEP=_RTN: ;ti I USE UONL Y ., Contact Information 7 _..._ ♦ &AReviewed By Property address/ Location of Construction V� _._ ork_ Approved for 2 proce-ssing Building Permit.Slormwater Management Control Plan Not Required_ ., mmSlgineer ng Control Plan L-;Required. orwa d to En tent for Review) FORM = SNMCP- TOS MAY 2014 C CL r C:" z `as Q- ai N o a� y o m r no 0 0 i cJ C, O N [Z d � m y U (D o 9 �Q " _ m y CL-�2 on aom�..� pocu cucd u Co O O .- +`� +`� a) LX O Z� 'a O N N ? 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