HomeMy WebLinkAbout40937-Z Town of Southold 1/26/2018
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
m
CERTIFICATE OF OCCUPANCY
No: 39479 Date: 1/26/2018
THIS CERTIFIES that the building ALTERATION
Location of Property: 387 Wood Ln, Pecomc
SCTM#: 473889 Sec/Block/Lot: 86.-6-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/11/2016 pursuant to which Building Permit No. 40937 dated 8/29/2016
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 INCLUDING BATHROOM IN AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR
The certificate is issued to Lazio Jr, Ernest
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40937 09-13-2017
PLUMBERS CERTIFICATION DATED 09-22-2017 LawriNce Trapasso
ho ' e Signature
Fat/( TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'a • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 40937 Date: 8/29/2016
Permission is hereby granted to:
Lazio Jr, Ernest
36 Colonial Ave
East Northport, NY 11731
To: alter existing basement to living space in existing single-family dwelling as applied for.
At premises located at:
387 Wood Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-6-29
Pursuant to application dated 7/11/2016 and approved by the Building Inspector.
To expire on 2/28/2018.
Fees:
CO -ALTERATION TO DWELLING $50.00
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $606.00
Total: $656.00
Bu ector
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:
I. 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. 8
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 319-7 g`7 "a,d L4t1E �b COh/G
House No. Street Hamlet
Owner or Owners of Property: 469 NE S l V G14-ZI O Z;L
Suffolk County Tax Map No 1000, Section (]�(a Block Lot
Subdivision Filed Map. Lot:
Permit No. 3 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ �y
k
Applicant Signature
pF SO�lyol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.Box 1179 • roger.richert(cb-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Lazio
Address: 387 Wood Lane city Peconic st: New York zip: 11958
Building Permit#: 40937 Section: 86 Block: 6 Lot: 29
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pinti Electric License No: 33025-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 20 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures 21 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt 1-30A Emergency Fixture Time Clocks
Disconnect Switches 11 Twist Lock Exit Fixtures �] TVSS
Other Equipment: 1- Heat Lamp, 1- Exhaust Fan, 1- Combination Smoke/ CO Detector.
Notes:
Inspector Signature: ----^ Date: September 13, 2017
0-Cert Electrical Compliance Form.xls
;rrr 4F1S011r c
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Q
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DBUILDING DEPARTMENT
TOWN OF SOUTHOLD JAN 2 4 2018
TOWN OF soumow
CERTIFICATION
Dat • ���r��V� �a 1�
Building Permit No. �U F57
Owner: 4faua 1 [
(Please print)
Plumber: ` pw
p Qaw1
(Please print)
I certify that the solder used in the water supply system contains Iess than 2/10 of 1%
lead.
(Plumbers Signature)
Swoufl;
e this
day , 20��
DONNA SMITH
NOTARY PUBLIC,STATE OF NEW YORK
No,01SMS179351
OU4II ed In Suffolk County
My Commiaaion expires December 24,2019
Notary Public, _ 'ounty
ho��OF SOUtyo�
0� • �O
TOWN OF SOUTHOLD BUILDING DEPT.
76S-1802
INSPECTION
[ ] FOUNDATION 1ST [ ) ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE f� `� INSPECTOR$-` i
SOUIyo
�o • �o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2NDXFINAL SULATION
FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)
_ [ ] ELECTRICAL (FINAL)
REMARKS: l I��Z(�/t• II�N✓I .�' �vcw
DATE INSPECTOR
OG SOUTyo�
Q cou 1
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) J ELECTRICAL (FINAL)
REMARKS:
DATE �� 1 ? INSPECTOR (J�
SOUIyo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] IN LATION J�
[ ] FRAMING / STRAPPING [ FINAL g9M'Avg
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
✓ - zvlc�
DATE Yet INSPECTOR
O t �Of 50(/T�,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECION
[ ] FOUNDATION 1ST [ ROUGH PLEIG.
[ ]fOUNUATION 2ND [ ] INSULATION
[ RAMIN STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY ( ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] E CTRICAL (FIIINAL)
REMARKS: fy-ftmkKO V `Uvn
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DATE 1 INSPECTOR
pF S0(/Tyo
cou
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] OUGH PLEIG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [/] FIRE
IRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRI AL (FINAL)
REMARKS: A+ � 0 K�
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DATE lY l INSPECTOR
FIELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION(1ST)
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FOUNDATION (2ND)
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 is of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: 631 765-9502 �6q
S&ve
SoutholdTown.NorthFork.net PERMIT NO. 37 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Application
( l F ood Permit
Examined 20 Single& Separate
to -Water Assessment Form
Contact:
Approved '20—he Mw-1 to
Disapproved a/c f r
Phone:
Expiration
D C
Dn ector
J LI l APPLICATION FOR BUILDING PERMIT
BUIL TV AUM. Date , 20
TOWN —� SOUTHOLD 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 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 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.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, 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.
(Signature of applicant or ame, if a corporation)
119 42
u
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premisesC&��iT I/ Gl4 r.j U 5rj/�
(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.�p�;
T
Other Trade's License No.
1. Location of land on which proposed work will be done:
3�37�o0������C �,�G AZ Y ?-5
House Number Street Hamlet
County Tax Map No. 1000 Section b Sel Block' Lot Z�l
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 �/��Sl� /�jaS$rn�✓1)
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration—
Repair
lterationRepair Removal Demolition Other Work
- (Description)
4. Estimated Cost#"l�1�o0• v ) Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units f 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 existing structures, if any: Front 1 Z. Rear S Z Depth S
Height Number of Stories
Dimensions of same structure with alterations or additions: Front =.
Depth �'Z Height Number of�e ,es —
8. Dimensions of entire new construction: Front S� Rear Deeptl "f7-
Height
fZHeight Number of Stories Z�- X"1wr
9. Size of lot: Front Rear Depth t.a %4� ;�' )T
10. Date of Purchase 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 NOX-
13. Will lot be re-graded? YES NO—X-Will excess fill be removed from premises? YES N0
;97 (44nK,
14. Names of Owner of premises46694 'Lr TO Address/Pesc'.,* !z/i2 ll !q- Phone N4f/ S$/$
Name of Architect Address Phone No
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
* 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.
STATE OF NEW YORK)
SS.
COUNTY OFOp�),, ��
t oo W, a4W being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the ' eyr
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
1 d of R�v IANE DISALVO
STATE OF NEW YORK
No. O1 D1475593 `tel
Qualified In Suffolk Cou
Notary Public My Commission Ispires April 30. 20�_ Signature of Applicant
51F�0)1[ZI��I[\SVA\�C')E1[�
Scott A. Russell °�� i����f
k ` �t J ( f lEl��]C'
SUPERVISOR to , ,r 1 1WA\N A\ G JEI�uJC
SOUTHOLD TOWN HALL-P.O.Box 1179 y'O`��� vis Town of Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECTr INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑ B. Excavation or f illing involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑LZC. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑�rD. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑0 E. Site preparation within the one-hundred-year floodplain as depicted
.._en--1{1RM-Ma.-p-of-any wat-erc-eu-rse:- ------ - _... . -
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan 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,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
S.C.T.M. *: 1000 Date:
APPLICANT: (Property Owner,Design Professional,Agent.Contractor,Other) District t it
J 'Z6 4 I ` y
NAME: e2T � � Section Block Lot
ra��n / 1 OR BLiILDI'tG DEPARTMENT USE ONLY"
Comj=
Contact Information: ;( S y-r 1 y7<Z
Reviewed By:
— — — — — — — — — — Date:
Property Address / Location of Construction Work. — — — — — —
Approved for processing Building Permit.
3!14-7Wo,)e ZANI8 — — Stormwater Management Control Plan Not Required.
CjAJAC_ Xly 1/S 4Y ElStormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
FORM " SMCP -TOS MAY 2014
6
�tJF so
Town Hall Annex Telephone(631)765-1802 i
54375 Main Road
P.O.Box 1179 G� Q roger.richertti 'o`wn sou O .nV us
Southold,NY 11971-0959
1umm
BUILDING DEPARTMENT G
TOWN OF SOUTHOLD
i
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.:
33Go�S-
Address: (p�Q �1 W i
Phone No.: �.
i
JOBSITE INFORMATION: (*Indicates required information) ,
n
*Name:
*Address: (1
*Cross Street:
*Phone No.: )
Permit No.: b �j
Tax Map District: 1000 Section: Block: Lot: `
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
c bC �
' _ I
(Please Circle All That Apply) --
*Is job ready for inspection:
YES/ N4 Rough In Final
*Do-you need a Temp Certificate: YES NO
Temp Information (if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
t32=Request for Inspection Form
C j
Bunch, Connie
From: Lisa <lisa@pintielectricinc.com>
Sent: Tuesday, November 22, 2016 10:30 AM
To: Bunch, Connie
Subject: LAZIO - 387 WOOD LANE, PECONIC - EMAIL 1 OF 2
Attachments: IMG_1338.JPG;IMG_1342.JPG;IMG_1344.JPG;IMG_1345.JPG
Hi Connie.
Attached are some pictures regarding the above referenced. Please let me know if these are
sufficient, I will send antoher email with more pictures as my email only lets me attached a certain
amount.
Please confirm the final inspection is scheduled for Wednesday, November 3oth.
Happy Thanksgiving!
L CS-al PCytVtl
Pinti Electric, Inc.
64o New York Avenue
Huntington, NY 11743
(631) 493-1291
Lisa(&Pin1tiE1ec1tricInc.com - PLEASE NOTE W NEW EMAIL ADDRESS
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REScheck Software Version 4.6.2
C�(J Compliance Certificate D [Ec[gon
D
AUG 2 2 2016
Project Erie Lazio
BUILDING DEPT.
Energy Code: 2010 New York Energy Conservation TOWN OFSOMOLD
Location: Suffolk County, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 4 (5750 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
387 Wood Lane Erie Lazio Mark Knotoff
Southold, NY 387 Wood Lane Dunn Engineers
Sothold,NY 66 Main Street
Westhampton Beach,NY 11072
631.204.7337
Compliance:
Compliance: 14.3%Better Than Code Maximum UA: 7 Your UA: 6
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity cont.
Assembly or R-Value R-Value 1-1-Factor UA
perimeter
Ceiling 1:Flat Ceiling or Scissor Truss --- — -- — -
Exemption: Framing cavity filled with insulation
Wall 1:Wood Frame, 16"D.C. --- --- --- - -
Exemption:Framing cavity filled with insulation
Window 1:Wood Frame:Double Pane with Low-E 21 0.280 6
Floor 1:Other Floor:Over Unconditioned Space --- --- --- --- ---
Exemption: Framing cavity not exposed.
Mechanical Equipment
Forced Hot Air Description Gas 78 AFUE
Electric Central Air Electric 13 SEER
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 2010 New York Energy
Conservation Construction Code requirements in REScheck Veri0 4 6.2 and to comply with the mandatory requirements li ted in
the� S%ck Insp Xion ecklist.
Name-Title\l� 1 Sig ature Date
Project Title: Erie Lazio Report date: 08/18/16
Data filename: Untitled.rck Page 1 of 6
CREScheck Software Version 4.6.2
�(J Inspection Checklist
Energy Code: 2010 New York Energy Conservation Construction Code
Requirements: 5.0%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.
Section Plans Verified Field Verified
# Pre-Inspection/Pian Review Value Value Complies? Comments/Assumptions
&Re .iD
103.2 Construction drawings and ❑Complies
[PR111 documentation sufficiently []Does Not
demonstrates energy code
compliance for the building ❑Not Observable
envelope. []Not Applicable
103.2, Construction drawings and ❑Complies
403.7 documentation sufficiently ❑Does Not
[PR311 demonstrates energy code
d, compliance for lighting and []Not Observable
mechanical systems.Systems ❑Not Applicable
serving multiple dwelling units
must demonstrate compliance
with the commercial code.
403.6 Heating and cooling equipment is Heating: Heating: ❑Complies
[PR2]2 sized per ACCA Manual S based Btu/hr Btu/hr_ []Does Not
J on loads per ACCA Manual J or Cooling: Cooling: ❑Not Observable
other approved methods. Btu/hr Btu/hr
[]Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Erie Lazio Report date: 08/18/16
Data filename: Untitled.rck Page 2 of 6
Section
# Foundation Inspection Complies? Comments/Assumptions
&
Roq.ID
303.2.1 Exposed foundation insulation ❑Complies
[FO11]2 protection. ❑Does Not
IV []Not Observable
❑Not Applicable
403.8 Snow melt controls. ❑Complies
IFO1212 ❑Does Not
[]Not Observable
[]Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Erie Lazio Report date: 08/18/16
Data filename: Untitled.rck Page 3 of 6
Section Plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
&Reg.10
402.4.4 Fenestration that is not site built ❑Complies Requirement will be met.
[FR2011 is listed and labeled as meeting []Does Not
VI, AAMA/WDMA/CSA 101/L5.2/A440
or has infiltration rates per NFRC [-]Not Observable
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR1612 sealed at housing/interior finish ❑Does Not
J and labeled to indicate&It;=2.0 []Not Observable
cfm leakage at 75 Pa.
❑Not Applicable
403.2.2 All joints and seams of air ducts. ❑Complies
[FR13]1 air handlers,filter boxes,and ❑Does Not
b, building cavities used as return []Not Observable
ducts are sealed.
❑Not Applicable
403.2.3 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. []Does Not
d; []Not Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R- R- ❑Complies
[FR17]2 above 105 417 or chilled fluids []Does Not
below 55 QF are insulated to R-3.
[]Not Observable
❑Not Applicable
403.4 Circulating service hot water R- R- ❑Complies
[FR18]2 pipes are insulated to R-2. []Does Not
S1
[]Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies
[FR19]2 installed on all outdoor air []Does Not
J intakes and exhausts. []Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Ter 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Erie Lazio Report date: 08/18/16
Data filename: Untitled.rck Page 4 of 6
Section
#� Insulation Inspection Complies? Comments/Assumptions
303.1 'All installed insulation labeled or ❑Complies
[IN13)2 installed R-values provided. []Does Not
N
[]Not Observable
[]Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Erie Lazio Report date: 08/18/16
Data filename: Untitled.rck Page 5 of 6
Section Plans Verffled Field Vorifled
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
&R .11)
402.4.2, Building envelope tightness ACH 50= ACH 50= OComplies
402.4.2.1 verified by blower door test result []Does Not
[FI1711 of<7 ACH at 50 Pa.This
d, requirement may instead be met [Not Observable
via visual inspection,in which ❑Not Applicable
case verification may need to
occur during Insulation
Inspection.
403.2.2 Duct tightness via post- cfm cfm [Complies
[F1411 construction with maximum ❑Does Not
,11 leakage of 8 cfm to outdoors,or ❑Not Observable
12 cfm across systems.For
rough-in tests,verification may ❑Not Applicable
need to occur during Framing
inspection,with maximum
leakage of 6 cfm across systems
and 4 cfm without air handier.
403.1.1 Programmable thermostats [Complies
[Flg]2 installed on forced air furnaces. ❑Does Not
d1 []Not Observable
[Not Applicable
403.1.2 Heat pump thermostat installed [Complies
[FI10]2 on heat pumps. []Does Not
d ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water [Complies
[Flll]2 systems have automatic or []Does Not
accessible manual controls. ❑Not Observable
[Not Applicable
401.3 Compliance certificate posted. ❑Complies
[F17]2 ❑Does Not
V, []Not Observable
ONot Applicable
303.3 Manufacturer manuals for [Complies
[FI18]3 mechanical and water heating ❑Does Not
VI equipment have been provided. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Erie Lazio Report date: 08/18/16
Data filename: Untitled.rck Page 6 of 6
�( 2010 New York
j Energy Conservation
Construction Code
Energy Efficiency
Certificate
Insulation Rating R-Value
Above-Grade Wall 0.00
Below-Grade Wall 0.00
Floor 0.00
Ceiling/Roof 0.00
Ductwork(unconditioned spaces):
Door Rating U-Factor SHGC
Window 0.28
Door
CoolingHeating &
Forced Hot Air 78 AFUE
Electric Central Air 13 SEER
Water Heater:
Name: Date:
Comments
GOLD WGO OIL-FIRED NATURAL DRAFT WATER BOILER - SERIES 3- Boiler Manual
pwutturtc SERVICE TECHNICIAN ONLY-read and follow completely. �� a
Ratings
Table 10 GOLD WGO oil-fired water boiler ratings
cc AS
�® DOE ME
C US H
AHRI Certified Ratings
Net Boiler Flue Draft
Heating Seasonal Minimum Loss
Boiler Burner Input Capacity Efficiency Rating Water Outlet Chimney Thru
Model (water) Content Diameter boiler
(9)
GPH MBH MBH AFUE MBH Gallons Inches Rect Round Height In W.C.
(3) (3) (2)(4) % (2)(5) (7) In In Ft (8)
*WGO-2 0.70 98 86 86.4 75 11.0 7 8 x 8 6 15 0.010
*WGO-3R 0.80 112 98 86.2 85 0.020
14.9 7 8 x 8 6 15
*WGO-3 0.95 133 115 85.3 100 0.020
* 1.00 140 122 86.2 106 0.010
13.4 7 8 x 8 6 15
*WGO-4 1.20 168 145 85.0 126 0.010
* 1.20 168 147 86.1 128 0.015
15.9 7 8 x 8 7 15
*WGO-5 1.45 203 175 85.0 152 0.015
*WGO-6R 1.40 196 171 86.1 149 0.015
18.4 7 8 x 8 7 15
*WGO-6 1.75 245 212 85.0 184 0.015
*WGO-7R 1.60 224 196 86.0 170 0.015
20.8 7 8x8 8 15
*WGO-7 2.00 280 242 85.0 210 0.015
**WGO-8 2.30 322 266(6) - 231 23.3 0.025
7 8x12 8 20
**WGO-9 2.55 357 295(6) - 257 25.8 0.030
Substitute"P"for completely assembled packaged boiler without burner(WGO-3 through WGO-6 only).
Substitute A'for boiler only for use with approved burners as listed with AHRL
* Available only as an"A unit.
(1) WGO boiler designed with convertible vertical and horizontal flue outlet.
(2) MBH refers to thousands of Btu per hour.
(3) Based on 140,000 Btu/gal.
(4) Based on standard test procedures prescribed by the United States Department of Energy at combustion condition of 13.5%CO,
and-0.02"W.C.draft overfire.
(5) Net AHRI ratings are based on net installed radiation of sufficient quantity for the requirements of the building and nothing
need be added for normal piping and pick-up.Water ratings are based on a piping and pick-up allowance of 1.15.An additional
allowance should be made for unusual piping and pick-up loads.
(6) AHRI gross output.
(7) See page 12 for minimum breeching diameter.
(8) Listed draft losses are for factory-shipped settings.
(9) Boiler model suffuses: "It designates a reduced input version.NOTE.A burner nozzle change is required-refer to the burner
instructions or boiler's rating label for correct selection.
42 Part number 550-141-826/0316
r
0A
• _
ELECTRICAL .
JEMPECTi ION REQUIRED
RETAIN STORM WATER RUNOFF
7 '7 • PURSUANT TO CHAPTER 236 APPR VEDAS NOTED
,�'� ^�.� �� (,,,, 1�", � �� C• ��,,� �,� �,,� '"'' OF THE TOWN CODE.
e 'y�+.', 04 1 J b Z -7
DATE: �.P.# M3
1 FEE: Db BY:
NOTIF. BUILDING i✓EPA, NT AT
765-1802 8 AM TO 4 PM FOR THE
c FOLLOWING INSPECTIONS:
� � • y �I 1. FOUNDATION - TWO REQUIRED
47
FOR ED
Yl
7' � � �T p 2. ROUGHOUR- FRAM NGS
RETE
4z & PLUMBING
•s,ca
i I 3. INSULATION
a H 1 U+NT 4. FINAL - CONSTRUCTION MUST
BE COMPLETE ['011 C.O.
�j,,�� � It �• N �— - ALL CONSTRUCT ON SHALL MEET THE
`'ice/ i`: kp REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
�jlLtI'f�1�If •��Y�.. � �, • �It r«/ '. �2 � . ' : UTI 11(ly fL rl,„ `` DESIGN OR CONSTRUCTION ERRORS.
�A
►L•G• j ����� I �r COMPLY WITH ALL CODES OF
'
1 C� Cc NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS Or
l*pI=Py — - --- —
•,��-1f1E� � �,►�+i..,t..�J l�'1 j�� \� .�6..p � 7't�"GL, laT,. ' � / sol rrNr�n m������Re
I Lo a- G_
-ti►J.l"rH F:L— it *j sw LaP-n - - -- --- - _ ----
OCCUPANCY OR
! *T01 r__ � u USE IS UNLAWFUL
5,,,,,� WITHOUT CERTIFICATE
SHOWc�.. Y ;,-- __---__ N. . . _ t , , �_ - �� � ► OF OCCUPANCY
_ I T
Tor i
rip 2D _
i �� ih�h L l 1 t�.,S - ri .l L I ,
... � �� �1C�F-fit" Tom' �,�. l�-�=�� �''ta.c•( � f� c�c�t'�'►�a n a� '.,
e,n jQ-60 = ` 'i .t.�l.. /� PLUMBER CERTIFICATION
9 ONitAD CONTENT BEFORE
CO►�►(� l t,w i _ I ° ° (NJ �' rv�aY b� rejLLIred 'CER T/FICATE&OCC UPANC,Y
SOLDER USED IN WATER
��" � � St1PPLY SYSTEM CAl�'l��O;
t
JA
EXCEED 2/10 OF I% LEAD.
��.>�GTG��- ��,,I,I,, • � 1 �__ .�: t"" ";m,1_ t t I� `� �� �/ �-- ��1�� � 1� ►,�� � t.»,�" �d
'►IJMBING..
ALL PLUM.,�;