HomeMy WebLinkAbout42691-Z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL <-->BoardofHealth_
SOUTHOLD,NY 11971 �C*4�ts of Building Plans
TEL:(631)765-1802 —`Planning Board approval
FAX:(631)765-9502 °�� � G urvey
Southoldtownny.gov PERMIT NO. cheek
Septic Corm
t+-V.:4.D.E_C,
Tos
sIces
Application
s Weed Permit
E:�samnrerm
_..._..
. � - ., .M,WE -Single&Separate
NTuss Identification Contact: Dorm, �.
(( „i
1�
P u:�� �h a:p� 1V����u ._
rm- ater Assessment Form
Approved 120._
Disapproved a/c
w.... is''l ,e k Phone 2L*+t° - 9f
Expiration 20 TOWN
ttilding l Spector
APPLICATION FOR BUILDING PERMIT
Date _.A2ZA a9 ,20 16
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.
E 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 name,if a corporation)
(Mailing address of applicant)
_ g architect,engineer,general contractor,electrician,plumber or builder
State whether applicant is owner lessee,agent,arcg
mmmm^^^^ WW ..r �...._. WWW WW.
�
Name of owttcr I,premises... ._......� _.. _..... ..�. _ ..�.._.
(As on the tax roll or latest deed)
If t ica I is cor on.si attire tr"duly°authorized officer
(Nrrrrie;a d title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. .._
lwhich
.^� �will be done:
1 House Number land wwree�ts�;d t!v. _ ... ._.....+. ....
Hamlet
County Tax Map No. 1000 Section lot Block m, _,Lot 2'
Subdivision Filed Map No. -Lot
2. State existing use and occupancy of premises and'i mendccuse and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy___! 1,4q�, �Ly
3. Nature of work(check which applicable):New Building_ Addition Alteration
Repair-11,11,111,111,111,11Ill""I",,-.. JCnio%�al Other Work
( cri ption)
4. Estimated ost Fee Des
C
(To be paid on filing this application)
5. If dwelling,number of dwelling units I Number of dwelling units on each floor
If garage, number of cars 2=
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire nc\v construction-Front &9"- (C�' Rea, (,&'- (0 Depth
Height -3�1to " Number of Stories 2- + f/L�(SAO OIT
9. Size of lot: I ront � 3oo' Rear 300- 4S Depth 1521.0
10.Date of Purchase Akf .(+Name of Former Owner 6625l�6 'b06Z
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 V-Will excess fill be removed from premises?YES_NO--19-
z,q. aAjtcA!.-.-r
14.Names of Owner of premises -4A9-.%7o9-ct/6'2-
Name of Architect C;j6 MczoAddress WWW_ 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 Y,
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OFXJi
V'j�SC C�� being duly sworn,deposes and says that(s)he is the applicant
(Nlier o idual signing,contract)above named,
(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
TM performed in the manner set forth in the application filed therewith.
Zfe Sworn ko before me this
E day of
ILX 20
C-
E
C)
C.
.-J cl- ........... .......
Notw),Public at-ure-ol"!41 iewit
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 sewrage-disposal(S-9 form).
2. 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 I% 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.
h. Submit planning Board Approval ofcompleted site plan requirements.
B. For exi1. sting
g (prior g g "pre-existing"buildings °or to April 9, 1957) non-conforming uses, or buildings re-ex�stanga"
Accurate, survey of property showing all properly lines, streets, building and unusual natural or topographicand uses:
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
L Certificate of Occupancy _ blew dwelling$50.00. Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swims-Wing pool 550.00, Accessory building$50.00, Additions to accessory building$50.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
1. Copy of Certificate ofOccrrparlcy- $.2.5
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of"Occupancy - Residential $15.00, Commercial $15.00
Date. A 2-cp,l
New Construction: Old or Pre-existing Building: (check one)
Location of Property: _ Z°dHous No.
r
.....
t �
4
StreeHamlet
Owner or Owners of Property:h' �� , } � c ...
Suffolk County Tax Map No 1000, SectionBlock�9 Lot ... .. ..
......- l � 3
...�m. ...� .� /
Subdivision Filed Map. Lot..— —
..�Date of Permit.Permit No. 1 � rmit
.�.... ..., Applicant:
Health Dept. Approval:
Underwriters Approval:
.. � —
Planning Board Approval:
Request for: Temporary Certificate Final Certificate:
.� (check one)
Fee Submitted: $
llalic,,nt: Sig nature
F fait
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Box 1179
.. ;
9
_,...fit° 1�1,_' "�"CI�"�" 959�'"
BUILD ING-0€PART-M€NT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-ENGINEERED
'!FOOD CONSTRUCTION ANDfOR TIMBER CONSTRUCTION
'N,
Datq: .�.. ( -
Owner: c-
Location of Properly. 1 ^ �b-ib/Air
Please take notice that the�(chgcl a p!ipabjeline):
4.
New commerce
;o r r � �t 'i ( structure
0
Addition to e4ro'bomm0f0a,l-or residential structure
`Rhabilitatibn Win:existing pltimercial or residential Structure
to be construo w r per or'med at the subj6d property reference above will' tilize
(check ,applic ble Iilne)
Truss type instruction (TT)
Pre-engine reds; ood construction (PW)
Timber constrLi n 01)
_..�ir1 the followin to i d• Ii _
Floor framing, including girders and beams (F)
Roof framing (R)
Floor and aming ')
Signature-
Name
i natur e:Name (person submitting this form),
Capacity(check applicable line):
Owner
Owner representative
TrussReg15.docx Effective 1/1/2015
0%X
Scott A. Russell „� ° S'7C'OWMIWA\TIE]E,
SUPERVISOR � AMIANAGIENl[]E INT
SOUTHOLD TOWN HALL-P.O.Box 1179 k.
53095 Main Road-SOUTHOLD,NEW YORK 11971 h
Town of Southold o �
' G(d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
PF? (TO BE COMPLETED Y TIIE APPLICANT )
OI '1111S IAIt!. il,t.,I INVOLVE ANY OF THE F'0Ll,0WRN7G.
G.&iECK ALL THAC'.'tF'PLYr
A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
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
100 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 IIIIIpervi.ous surfaces of 1,000 squai-e
feet or more, unless prior approval of a Stormwater Management
Control Plal a 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
i e i g� part wnl withh our Building Permit Application.
y Management Control Plan
If ou answered YES to one or more of the above lease submit Two copies of a Stormwater
and a completed Check List Form to the Building', tsation
1t'@°II,,,V,6 W fl'. 'r'Dur,p1�uVa uJ�a,iru a If a^^a°n 0 uiltia•,:�ueaui ll, � r^irui. "aluuVA n�Q 2, y0'VrR•rtl S.C.T.M. 1000 Date
07isl rici
Block Lot
FOR BWHAN6 "i'AR 1`-ME x],G.!SL UD( "'t
A ,.
Daie
f irf;Wpei: °Address/Lccahoit d'COR to 1W11CM Wracis
.Approved for processing Budding Permit,
wltrruattri Matiag
emeiit Control Platy Not Required.
0-
,,,. ....... _....�_ _ Saton,nw��ater Maiia evrient_ aril PlCoitk _ced.—
. . M1 an ay G�.equs
'(Forward to Engiateenng Department for Pevuewv.)
FOM * SMCP-TOS MAY 2014
L
V C N
R
E = 03 v CJ N rte.,0
m
Ld
O
OA
2 O
L \ I `—� 50
s m � " � � 4. of C
vv O n :: n
y r „'. 4"� I
N O ". 8 'ti lamb �
um � U VU a
Z 0 c
LJ u CN `�
t0 15i .. O VE O
E v m n
AJ a
U91 E
U 2 3 A W wun UW C N C d
aj x ; CL, 0 4.o O M c3 C
15 7
_ z E ILI' MN7 05
° o —
YN Y n
cJ N cJ ctl
E I E LZ.
3CL
EIEI
I u
i
O
m �
} .
n n >
C� CNN
co
Ci
cd Cu
rZI L)
CD p 00
Cf0
LLJ C\1
--jU
Liz
.v `.�-
Z e' It C1, 00 u LA G i rn v r�
0 ca
a ..— z v
N c — `� 4i •`� — —,„. E--'
u
PH
3 od
'r__" ,,.0 n •'[ y Ca v v o 7 ?� z 4 d ,�
on j
ca C
ca CV eM""' `a 170 y a' rn v; _ ; '. r O ca U
O _ od 'v C7
c C/) c P,-1 3 y c o = E c a Y 5 �
vi, "j -� cv od _ C C GJ v >
E LO
2 J J
.� � ¢ `� � a ci � ei ..r ao � _.: .�.Y _ rc � = '_ � —I ai � ti
z �i LOc
Generated by REScheck-Web Software
Compliance Cerit"Iflocate
Project 290 Windward Road
Energy Code: 2015 IECC
Location: Southold, New York
Construction Type: Single-family
Project Type: New Construction
Orientation: Bldg. faces 180 deg. from North
Conditioned Floor Area. 3,636 ft2
Glazing Area 25%
Climate Zone: 4 (5572 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
290 Windward Road Geoffrey Prisco Geoffrey Prisco
Orient Point, NY 11957 North Fork One, LLC Brutus Park Architecture LLC
256 Union Street 256 Union Street
Brooklyn, NY 11231 Brooklyn, NY 11231
718-809-9152 gprisco@brutuspark.com
geoffprisco@gmail.com
Compliance: 1.3%Better Than Code Maximum UA: 548 Your UA: 541 Maximum SHGC: 0.40 Your SHGC: 0.29
rIP!,,Better or wow e Than Code Index reflects how close to compliance the house os based on code trade-off rules.
Ik DOES NOT provide,an eshrri-lte of energy use or cost relative to a minimum-i:ode home.
En a10mb ies
Ceiling House: Flat Ceiling or Scissor Truss 1,160 49.0 1.4 0.025 29
Ceiling Living Area: Cathedral Ceiling (no attic) 680 49.0 19.4 0.015 10
Kitchen Extension: Cathedral Ceiling (no attic) 85 14.0 18.2 0.030 3
South Wall Framed: Wood Frame, 16" o.c. 518 12.0 11.3 0.042 11
Orientation: Front
Door: Glass Door(over 50%glazing) 2
SHGC: 0.29 5 0.290 7
Orientation: Front
Window 1: Wood Frame
SHGC: 0.29 36 0.290 10
Orientation: Front
Window 2: Wood Frame 2
SHGC: 0.29 7 0.290 8
Orientation: Front
Window 3:Wood Frame 8 0.290 2
SHGC: 0.29
Orientation: Front
Window 4:Wood Frame 8 0.290 2
SHGC: 0.29
Orientation: Front
Data fTitle: 290 e date:
... .. �. ...... Report t0 1 8
ProjectWindward Road P / 6/18
enarne:
2
Window 5: Wood Frame 13 0.290 4
SHGC: 0.29
Orientation: Front
Window 6:Wood Frame 42 0.290 12
SHGC: 0.29
Orientation: Front
Window 7:Wood Frame 58 0.290 17
SHGC: 0.29
Orientation: Front
Window 8: Wood Frame 40 0.290 12
SHGC: 0.29
Orientation: Front
North Wall Framed:Wood Frame, 16"o.c. 542 15.0 10.1 0.041 11
Orientation: Back
Door: Glass Door(over 50%glazing) 25 0.290 7
SHGC: 0.29
Orientation: Back
Window 1:Wood Frame 65 0.290 19
SHGC: 0.29
Orientation: Back
Window 2:Wood Frame 27 0.290 8
SHGC: 0.29
Orientation: Back
Window 3:Wood Frame 33 0.290 10
SHGC: 0.29
Orientation: Back
Window 4:Wood Frame 81 0.290 23
SHGC: 0.29
Orientation: Back
Window 5:Wood Frame 30 0.290 9
SHGC: 0.29
Orientation: Back
Window 6:Wood Frame 12 0.290 3
SHGC: 0.29
Orientation: Back
East Wall Framed: Wood Frame, 16" o.c. 335 12.0 11.3 0.042 13
Orientation: Right side
Window 1:Wood Frame 13 0.290 4
SHGC: 0.29
Orientation: Right side
Window 2:Wood Frame 14 0.290 4
SHGC: 0.29
Orientation: Right side
West Wall Framed: Wood Frame, 16" o.c. 542 12.0 11.3 0.042 19
Orientation: Left side
Window 1: Wood Frame 15 0.290 4
SHGC: 0.29
Orientation: Left side
Window 2:Wood Frame 8 0.290 2
SHGC: 0.29
Orientation: Left side
Window 3: Wood Frame 15 0.290 4
SHGC: 0.29
Orientation: Left side
Window 4:Wood Frame 22 0.290 6
SHGC: 0.29
Orientation: Left side
Window 5: Wood Frame 13 0.290 4
SHGC: 0.29
Orientation: Left side
Project Title: 290 Windward Road Report...date:
te: 04/16/18
Data filename: Page 2 of12
Window 6: Wood Frame 18 0.290 5
SHGC: 0.29
Orientation: Left side
Fireplace Wall:Solid Concrete or Masonry 285 0.0 24.5 0.036 10
Orientation: Right side
Living Area S: Other 275 0.230 63
Orientation: Front
Living Area N: Other 213 0.230 49
Orientation: Back
Living Area E: Other 105 0.230 24
Orientation: Right side
Living Area W: Other 110 0.230 25
Orientation: Left side
South Basement:Solid Concrete or Masonry 400 0.6 25.1 0.033 13
Orientation: Front
Wall height: 8.0'
Depth below grade: 4.5'
Insulation depth: 8.0'
East Basernent:Solid Concrete or Masonry 270 0.6 25.1 0.033 9
Orientation: Right side
Wall height: 8.0'
Depth below grade:4.5'
Insulation depth: 8.0'
West Basement: Solid Concrete or Masonry 270 0.6 25.1 0.033 8
Orientation: Right side
Wall height: 8.0'
Depth below grade:4.5'
Insulation depth: 8.0'
Window: Wood Frame 24 0.290 7
SHGC: 0.29
Orientation: Right side
North Basement: Solid Concrete or Masonry 328 0.6 25.1 0.033 9
Orientation: Front
Wall height: 8.0'
Depth below grade:4.5'
Insulation depth: 8.0'
Window: Wood Frame 50 0.290 14
SHGC: 0.29
Orientation: Front
Living Crawl S:Solid Concrete or Masonry 145 0.6 11.1 0.067 7
Wall height: 6.0'
Depth below grade: 3.5'
Insulation depth: 6.0'
Living Crawl N:Solid Concrete or Masonry 145 0.6 11.1 0.067 7
Wall height: 6.0'
Depth below grade:3.5'
Insulation depth: 6.0'
Living Crawl E: Solid Concrete or Masonry 210 0.6 11.1 0.067 11
Wall height: 6.0'
Depth below grade: 3.5'
Insulation depth: 6.0'
Living Crawl W: Solid Concrete or Masonry 57 0.6 11.1 0.067 3
Wall height: 6.0'
Depth below grade: 3.5'
Insulation depth: 6.0'
Project Title: 290 Windward.....,oad Report......................._
Ra�.. date:
..........0................................._.
4/16/18
Data filename: Page 3 of12
CoraaPHar'ice Statement; The proposed building design described here is consistent with the building plans,specifications„ and rather
calculations submitted with the perndt application.The proposed building has been designed to meet the 2015 IECC requirements in
RESchec°Version . REScheck-Web and to comply wwlth the mandatory requirements listed in the REScheck Inspection Checklist.
Name_T. I ..�.� g........
Si natureDate
Project Title: 290 Windward Road Report date: 04/16/18
Data filename: Page 4 of12
f2fREScheck Software Version : REScheck-Web
Inspect'l:on Checklist
Energy Code: 2015 IECC
Requirements: 45.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirernents screert. For each
reqUirerroent, the use certifies that a code requirement will be met and how that is d0CUmented, or that ari exception
is being claimed, Where compliance is itemized in a separate table, a reference to that table is provided.
gg
1031, Construction drawings and es Requirement will be met.
103.2 documentation demonstrate DoesNot
[PRIII energy code compliance for the
;Location on plans/spec:
U building envelope.Thermal 0Observable
�
1/A.500, 3/A.500, 4/A.500,
envelope represented on EINot Applicable 1/A.501
construction documents.
103.1, Construction drawings and
ElComplies
103.2, 'documentation demonstrate DDoes Not
403.7 energy code compliance for
[PR311 lighting and mechanical systems. 1 E-]Not Observable
Systems serving multiple EINot Applicable
dwelling units must demonstrate
compliance with the IECC
;Commercial Provisions.
........ .....
cooling equipment is Heating:
Heating: UEo v lies
per ACCA Manual S based Btu/hr
Btu/hr— :E]Does Not
P7 ads calculated per ACCA
,////),R T
V I I Cooling: Cooling:
M Manual J or other methods I f]Not Observable
Btu/hr
Btu/hr
oved by the code official. ...... :E]Not Applicable
/M
Additional Comments/Assumptions:
1 Ha q Ii I mpact(T i'e"r'l") =—,2
:[Me�di-6'rnimpiact' (Tier 2) —LID( Impart(Tier 3)
..........
Project Title: 290 Windward Road Report date: 04/16/18
Data filename: Page 5 of 12
%.. t m r, iii// ////// //•r %/� ! / %i r ri r
li ,/i r✓ / / r r..✓ ,rte, ,,,,,
r
�,:�iiii//��/
/,:,///
/ / // //,/< ,� / r m '�l'4�.j�F�+�� r% � IMjN`�f% / % /Ir,✓ /// ;�i ���//,,:/, �/, / r�/r/„i;
/ / r/rte/ ✓ r /
,�//
402.1.1 Conditioned basemen a .. ❑Cpl „See the E�
...�/a / /��i� / r bra/�
1 t wall R- v R- Envelope Assemblies
[FO4] ;insulation R-value.Where interior R- R- table Not b e for values.
;insulation is used,verification _
may need to occur during ❑Not Observable ;
�Insulation Inspection, Not ❑Not Applicable
�required in warns-hurn'id locations!
;in Climate Zone 3.
303.2
[05]1 insulation installed per asement wall Y s f� yoc phot Requirement will be met.
nies
®
manufacturer's instructions. ;Location on plans/spec:
❑Naafi Observable -1/A.501
- ��Not Applicable
Com lies Seethe E
[F06139 Conditioned basement wall �ft ft ;❑ p' nvelopeAssemblies
[FO6]1 insulation depth of burial or ❑Does Not table for values.
j distance from top of wall.
[]Not Observable
El Not Applicable
[ 0.2 ❑Do tab
p lll..rmplies �Se::.�
11 :Unvented crawls ace wall R- R- a the Envelope Assemblies
]1 .insulation R-value. R- R- es Not le for values.
❑Not Observable
E]Not Applicable
303.2 Unvented crawl[08] insulation installed p p oe lies �Re Requirement space wall
P q ement will be met.
1 ed er s Not
® ;manufacturer's instructions. Location on plans/spec:
t Observable 1/A.500,3/A.500
... t Applicable
1 vapor retarder installed over
ueds111[E]Not
ne Plies °Requirement will be met.
402.2.11 Unvented crawls ace contin[FO9] va orNot
® P ppLocation on plans/spec:
by 6 in, and sealed, extending at t.Observable `1/A.500.3/A.500
least 6 ion. arp and attached to t�he Applicable
wall.
[010] 1 insulation ulation epth sof burial fn in, e Assemblies
tance
or ❑DoespNot table for values.1
op of wall.
❑Not Observable '
protective coveringi ❑NoApplicable `-
rotect exposed exts installed � "
/ r ro� Ices Requirement
�/ 9 p p error uirenent will be or�
yet.
rrnsulation and extends a s Not
Location on plans/spec:
mum of 6 in. below grade. t Observable 1/A 501
ApptltcabCe
/r, ,,,Snow-and ice-melts
. ng system ('ll
li[E
mplies°f [ l /;,controls installed. es Not
Observable
Applicable
Additional Comments/Assumptions:
High Imp -.... i -.
1 High� F (Tier 1) Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
_ .. ....
Project Title: 290 Windward Road Report date:
1 04/16/18
Data filename: Page 6 of12
-
,,.. //.
c / . /
� u /' � ✓,, 1
/P�e� �d"er��td;// /�/,%,
402.1.1, Glazing U-factor(area weighted U U- OComplies See the Envelope Assemblies
402.3.1, average) Does Not table for values.
402.3.3,,
402.5 ;❑Not Observable
[FR211L ;❑Not Applicable
303-1.3
are determined in accordance �� � I�,�,�� ❑Com lies Requirement U-factors of fenestration products p q nt will be met.
[FR4] f ❑Does Not
® with the NFRC test procedure or
taken from the default table. ❑Not Observable
Not
02.3.5 �Fenestration in thermally isolated I U- o r�m Applicable
Requirement will be meta
[FR811 'sunrooms in Climate Zones 2-8 ❑ Isolated ❑ Isolated E]Doe a Not
have maximum U-0.45. ;❑ Not Isolated E] Not Isolated
❑Not Observable
❑Not Applicable
[FR 1 isunr oms in Climate Zones� Isolated Isolated ❑Does Not not;Exception: Requirement 3.5 Sk li hts in thermally ted U- U__ EiCompli s Exc t is
9 i 5 2-8
have a maximum skylight U- ❑ ❑ Isol applicable.
factor of 0.70.All other sunroom ;❑ Not Isolated E] Not Isolated :❑Not Observable
skylights must meet code ❑Not Applicable
requirements.
[R23]i 1 'nes alled barrier and thermal per manufacturer's Not :Requirement uirement wilhbe met.
❑Uo
r
�' �mP q
instructions. e's'
Observable
Appllcabie
402.4.3 Fenestration that is not site builtlies❑CompRequirem
4 ent will be met.
[FR20] :is listed and labeled as meeting ❑Does Not
^AAMA/WDMA/CSA101/1.5.2/A440'
or has infiltration rates per NFRC ❑Not Observable
:400 that do not exceed code ❑Not Applicable
limits.
ted sealed at housing/interior
labeled u indicated eng or fixtures 0 cfmEboes iot Requirement will be met.
mg/interior finish
es Not
e at 75 Pa. EINot Observable
❑Not:Applicable
403.3.1
R12] insulated duct d where du �❑
>—3 inches in diameter a �� mm -
Supply return
ducts in attics Comphes
Il
[FR1211 is
and >_ I �l Does Not
R-6 where<3 inches.Supply and
❑Not Observable
return ducts in other portions of ❑Not Applicable
the building insulated >= R-6 for
2
fdiameter hes ruches and R-4.
in diameters,
S
403 3.'S Building cavities are not used as [.lCompiies
[FR15)," >ducts or plenums. [Does Not
�4 ;C�Not
Observable
Not Applicable
V HVAC piping conveying fluids R- ��; R- ❑Complies
"FN 17]� above 105°F or chilled fluids
❑Does Not
below 55°F are insulated to>_R-
3. ❑Not Observable
[ F INot Applicable
403 4 Protection of insulation on HVAC �� r �� �� ���( ❑Complies
[FR2411 piping. 1 Ill // l 1r❑Does Not
❑Not Observable
rl/ /r � I � ����� /lkU❑Not Applicable
p _P...
a. High Impact(Ter 1} Medwm Im au t(Tier 2} ct(Tier 3)
(Tier ..:, _.............. Low Im a �.
Project Title. 290 Windward Road m Report date: 04/16/
] .18
Data filename: Page 7 of12
;i,/r.✓.,.;/,r%"'„,//,rr/,,r/////<. ,�/"�r/�"n/ll'•t'1 r/G� ,,,/ wr q#'�,,/:.l,n,r,srflixreci'ts m�an ir/,,ri,,.;,r�.. ,,:,,r�r�rj�brrrdrr r�r,i,.,.,:;o-,.ffri/l/eld'"N��")��;ii.,/�/ ��While
�...r,. ., ✓ ,/ ,.� ,r, ,///. / c,,,,// r//, .,sir Jr/I/rr,/F / / r ,r / -/r i ,r/ // c/
water pipes are insulated to R- „w_ R ocomplies
:❑Does Not
'❑Not Observable
❑Not,Applicable
installe ❑D
�Ioes q irement will..,...
r pij�)Automatic or gravity dampers are �' I°
don all out
air 1 be met.
Not
s and exhausts.
❑Not Observable
/' ” ❑Not Applicable
Additional Comments/Assumptions:
FTg p p �.r r3)
h ir�� art(Tier 1} Medium Impact(Tier 2) Low Im Ja�f(Tie
Project Title: 290 Windward Road - � Report date:�04/16/18
Data filename: Page 8 of12
/r /„ / /v, o,r l! �, " % / .,,o // / f///,/, �/o / /✓// // // /,,,rte
// % /ai �M1 �NI$ � :�""M��'b:5 �Ip�4�i, ✓/„ � /' ,,,r ,r ,r/� r,/�,� l�i r'�/r ,;,,,�///i ,,,, ��„ /,::
installed insulation is labeled 1 ❑ ,omplies Requirement will be met.
ij or installed nstalled R-values
OOoes Not
provided.
�;% /, ❑Nat:Observable
1
1
EINot Applicable
..
402.1.1, ";fall in_L.lataon R-value.If this is a; R- R- ❑Cornp'VI'es ��See the Envelope Assemblies
402.2.5, mass mall with at least 1/2 of the
Wood [J Wood ❑Does Not table for values.
402.2.6 wall insulation on the wall ❑ Mass ❑ mass ❑Not Observable
[IN311 exterior,the exterior insulation
® requirement applies (FR10). EJSteel E] Steel �❑Not Applicable
303. ... - p �i ❑Do spNo R Requirement t.
Wall insulation is installed per � ement will be met.
1 :manufacturer's instructions. ,
Location on plans/spec:
❑Not Observable °1/A.500,3/A.500,4/A.500,
❑Not Applicable 01
❑
303.2 �Sunroom wall insulation installed °� " � P pP :Requirement
Requirement will be
met.
[IN9]1 �per manufacturer's Instructions. � � � �❑ ,
❑Not Observable
❑Not Applicable
303.21 instructions.ll perSunroom ing manufacturon is er'ser's ❑DoespNot Requirement will
[IN11] q be met.
E--]]Not Observable Location on plans/spec:
❑Not Applicable ` 0,3/A.500,4/A.500,
1/A.50
Additional Comments/Assumptions:
I' ...
� High Impact(Tier 1) �. Medium Impact(Tier 2) � 1Low Impact(Tier(Tier 3)
.. ............. _ ........
Project Title: 290 Windward Road Report date: 04/16/18
Data filename: Page 9 of12
///,
%.. U
�, ,/,//�i,..,/�
Imam;
l, I �,�
402.1.1, ;Ceiling insulation R-value. R- R .'Complies ;See the Envelope Assemblies
402.2.1, El Wood ❑ Wood 4IDoesNot ;table for values.
*.102.2,2, ;
402.2.6 j❑ Steel ❑ Steel ❑Not Observable
[Fill' '❑Not Applicable
303.1.1.1, Ceilin manufacturer's instructions. 'UE
C� es Note
[012]2 Blown
9 p p Requirement will be met.
a
insulation marked every Location on plans/spec:
300 ft2. [�, Not�Observable 1/A.500, 3/A.500,4/A.500,
Vented attics with air , ( �CN �Applicable 1/Aq.501
�/f12 't solation ffit and eadve yens that cent ,pCics
Requirement will be met.
y V1Dr� s Not
insulation. ❑Not Observable
�extends over i i C1Not Applicable
402.2.4 Attic access hatch and door a R- R � mp
Iies Requirement will be met.
[FI3]1 insulation>_R-value of the ®DoNot
adjacent assembly. Not Observable
l I ❑Not Applicable 1
402.4.1.2 ,Blower door test @ 50 Pa <=5 ACH 50 ACH 50= ]
n o 'plies ;Requirement will be met.
[FI17]1 ach in Climate Zones 1-2, and es Not
<=3 ach in Climate Zones 3-8. -
❑Not Observable
9 P � Cor
Wood fitting flue dame �� .
❑NCL Applicable
/' urnin fireplaces have plies Requirement will be met.
fi g dampers and �
n Does Not
outdoor air for combustion.
❑Not Observable
0Not Applicable
Duct tightnes...w__
403 3.4 s test result of<=4 cfm/100 cfm/100 ❑Comphes
[FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not
<=3 cfm/100 ft2 without air ❑Not Observable
handler @ 25 Pa. For rough-in
;tests,verification may need to ❑Not Applicable
occur during Framing Inspection
403 3.3 Ducts are pressure tested to cfm/100 cfm/100 Complies
[FI27]1 ;determine air leakage with ft2 ft� �0 Does Not
either: Rough-in test:Total
,leakage measured with a ❑Not Observable
pressure differential of 0.1 inch ❑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
pressure differential of 0.1 inch
w.g. across the entire system
including the manufacturer's air
handler enclosure.
[FI24] by manufacturer at< ❑D
403.3.2.1 Air handler leakage designated �' �Compl'ies
' —2%of
design airflow. Does Not
4GNot.Observable
Not Applicable
G f '�
,Programmable thermostats � f �/I� � �� �%� 'fl,E7Con"uplies
installed for control of primary ElDoes Not
heating and cooling systems and
initially set by m' anufacturer to
1]Not Obs
e
rvable
code pocfcatir's. Not Applicable
Heat pump thermostat installed ICornplies
/fr%�on heat pumps.
'
I ID0 s Not
_INot Observable
E.]NotApplicable
q
High Impact(Tier 1) Medium Impact(Tier 2) Low Impact(Tier 3)
Pro'ect"TitIW_. ... ........................................
l e: 290 Windward Road Report date: 04/16/18
Data filename: Page 10 of12
�3, µ���,Circulating service hot water r l�d, , ' �' , ❑Corrrplies
��'��;��,"� f/�systems have automatic or
'//��%%//�j/�� I � f ❑Does Not ,
,1/,�// �,�/��accessible manual controls.
/%// ' //% ...., f ( ❑Not Observable
Plcable
mechanical ventilations stem p
y ❑Com bes
not part of tested and listed ❑
Does Not
HVAC equipment meet efficacy
airflow limits. � �' � :❑Not Observable I
/��� � ❑Not Applicable
' � QPM Hot heat water boilers supplying
� OComppies
ugh one-or two-pipe heating ❑Does Not
ems have outdoor setback
control to lower boiler water ❑Not Observable
f
erature based on outdoor ❑Not Applicable
temperature.
Heated water circulation systems ❑Comp lies
�Or �%f have a circulation pump.The
[]Does Not
rsystem return pipe is a dedicated
return pipe or a cold water supply ❑Not Observable
. Gravity and thermos- ❑Not Applicable r
syphon circulation systems are
not present.Controls for
circulating hot water system
pumps start the pump with signal�
for hot water demand within the
occupancy.Controls
automatically turn off the pump ! '
water is in circulation loop
� �� is at set-point temperature and
demand for hot water exists.
heat trace systems
) ❑Complies I
with IEEE 515.1 or UL ❑Does Not
515. Controls automatically
Jj adjust the energy input to the �+ '❑Not Observable
heat tracing to maintain the ❑Not Applicable
desired water temperature in the
l
piping.
Water distribution systems that ❑Comp lies have recirculation pumps that ElDoes Not
pump waterfrom a heated water
supply pipe back to the heated ❑Not Observable
water source Gthrough a cold ❑ PP
Not Applicable
water supply pipe have a 1 �
demand recirculation water � I
em. Pumps have controls �
manage operation of the 11,
pump and limit the temperature
e water entering water the cold
piping to 104 F
water
ec accordance with CSA s r , ( I ,/ ElDs Not
r
oe Not
B55.1. Potable water-side
pressure loss of drain water heat ]Not Observable
recovery units< 3 psi for ❑Not Applicable
i
, ndividual units connected to one
ortwo showers. Potable water-
side pressure loss of drain water
heat recovery units < 2 psi for
individual units connected to �
three or more showers.
2 _.__
11 High Im.......a.ct(..T..i.er 1) Medium Impact Tier 2) � Low Impact(Tier3)
._.................................--.-
.................
Project Title: 290 Windward Road
Report date: 04/16/18
Data filename: Page 11 of12
r
;,; `� 11o11";N.- ilii r/ � %!/ // //it iii Gr, /i;� r r „„," r Dr::o r ,✓r
/i/
/i� r ;,t1I'�V'����1'� Y�'�� N'� �'" ,'4��� 'r� '�/ �/iii r ,ir i, ✓i'%m„� � � 11"�'�,� !�'r/� t//�.: i �i/�%i :�__, ,,,,.i�/ „�i,,� / ,t,r�,,,
403.L0 2 ' ;Readily accessible switch on lies or �� d L / ❑Does Not
(Fps 212 `heaters for swimming
permanent in-ground spas.
>Switch operation does not i ❑Not Observable
change heater thermostat UNot Applicable
setting.Heater circuit breaker is
;installed independent of switch.
Gas-fired heaters equipped with
ignition pilots that are not
continuously.I burning pilots.
40 0.3 "Timer switches or other - ” ElCo,
� mples
automatic preset schedule [...)Does Not
control method are installed on
heaters and pumps serving pools ❑Not Observable
and
permanent ❑Not Applicable
O�w4 Outtdoor heated pools and ❑C orxr�
ph es
outdoor
i ) u door permanent spas have a ElOoes sok
vapor retardant cover.
d.(Not Observable
)Not Applicable
1 -fixt re have h
Ipf h permanent
p permanent
'[F1611 ClComplies
❑Does No
g efficacy lamps. t
❑Not Obs
Does not apply to low-voltage ervable
Pi Ming. ❑I ctApplicable
�Does
Not _m ...
404': „�. ” .Fuel gas lighting systems hI
ave
V12;�)'f no continuous pilot light.
( Not Observable
�DNotApplicable
a11
pIiance certificate post Complies
;Requirement will be met.
/j/, /jr Does Not
/ „l�i�//�� ❑Not Observable ,
Applicable
, ._..
303.3 Manufacturer manuals for Q ClCom Gies
mechanical and water heating
�Ooes.Not
systems have been provided. l Not Observable
r it
Additional Comments/Assumptions:
1 High Impact(Tie
drum Impact(Tier 2) Low Impact(Tier 3)
�._..�...., �ee.. .�...... _. ............ ..d.a. .....__
..
Reportt
Project Title: 290 Windward Road : 04/16/18
Data filename: Page 12 of12
tz2015 1ECC Energy
Efficiency e 1c e
YMMINIM EM
Above-Grade Wall 23.27
Below-Grade Wall 25.65
Floor 0.00
Ceiling / Roof 50.35
Ductwork (unconditioned spaces):
MEMEMEM
Window 0.29 0.29
Door 0.29 0.29
121�1 11111
IN i
Heating System:
Cooling System:
Water Heater•
Name: Date::
Comments
B-T`E --.+�� o �"a 4. LOT NUMBERS SHOWN THUS LOT (,) REFER TO MAP OF MINOR
15.3 F 7p m)� fig^ p 1150' p 'h.,C� SUBDIVISION MADE FOR PETER SLEDJESKL
'p "*•, .46.1'---�" � CD t!J
C'"JC 24'TREE-yC+-).,'
TREE
10•TREE-0 cLESPflcL PROPOSED LOT COVERAGE
:E (�
DESCRIPTION AREA X LOT COVERAGE
-7R TEREE I HOUSE, PORCH, DECKS 2,700 sq. ft. 6.1%
I 1. REE-0*15„8 � I & STEPS
Q"t0 TREE TEST HOLE I POOL 648 sq. ft. 1.5%
t ?>U
t
dry. TOTAL BUILDING 3,348 sq. ft.
1111YwEE a^TREE 1 r�r DRIVEWAY 2,066 sq. ft. 4.6%
14°TREF.
w r TR '^.,�,s.",� w / TOTAL PROPOSED 5,414 sq. ft. 12.2X
� LLTri^+z'TREE � ✓/
"�8 TREE-0 '�, ^Ip
$ TREE
w81, Vw 4
�-"8"T.,. TREE n
9y0"TREE
ay ! DRAINAGE SYSTEM CALCULATIONS.
ta"TREE•TREE. ,TREE S -r /
MB"TREE- a DRIVEWAY AREA:2,066 sq.ft.
6'TREE m 2,066sq. ft. X 0.17 = 352 cu.ft.
\ 6-TREE / 352 cu. ft.J 42.2 = 8.3 varficdl ft. of 8' die. loathing pool required
6'TREE by 7//Y PROVIDE(1) 8' did.X 9' high STORM DRAIN POOL
6"TREE wyB." i HOUSE ROOF AREA:2,450 eq, ft.
'.TREE \B'TREE 2,450 s qft. X 0.17G= 417 cu. ft.
r-y"' B"TREE L?w s' /, 417 cu. ft.J 42.2 = 9.9 vertical ft. of 8' did. leaching pool required
�2 �' ✓ ! PROVIDE (2)8' die_X 5' high STORM DRAIN POOLS
14"TREE 4, �''. !!f!!f
Ix
8 TREE
THE, � �'S' 1
J ;
EE
AT L
tix 1,[tl mw`� I
Yo the
IS
O+ � N
SUFFOLK COUNn DEPARTMENT OF REA2,,-H 3LCES "p
D ISD PERMIT FOR APPROVAL Or CON'CYP'C7ON FOR A
SINGLE FANIL'Y?r-!.l,- zi?Ori-1 i1
CO —
irk
'*,—EXISTING
EXISTING FOP 6RAXl.I if l r
WELL LEXPIRES THREE+EARS FROM GATE OF APPROVAL 9
\� 9
Excavation €rnspe c on Requiar
L.+t1,,,E L�i�a�EE"..�_�dy 1F
TEST,HOLE DATA y Health De .1 �'nt ';.
(TEST HOLE DUG BY MODONALO GEOSCIENCE ON APRIL 2, 2002)
DARK BROWN SILTY LOAM OL —^-^
2'
BROWN CLAYEY BAND WRH 2O%GRAVEL SC PREPARED IN ACCORDANCE WITH THE MINIMUM
R. STANDARDS FOR TIRE SURVEYS AS ESTABLISHED
BY THE LIA.LS.A. PROVED AND ADOPTED
FOR SUCH U°"" Li"ORK STATE LAND
TITLE AS. CNO. a».F�c� "w4
PALE BROWN FINE TO COARSE SAND SW �'+ ..�^"" �y)"
"
.d.�+5 191JSk9F.2M..Z.7 xP sIisTeT:I. ..... iz.s, �` 6
TEST WELL N N _+,A s
HGHESi ExPECl.p GROUND WAIfR
LL O}
GROUNDWATERTESIHOtE
WATER IN
PALE BROWN FINE 1O COANSE SAND SW
IT
GRADE p+
N.Y.S. Lit No. 50467
CLAN
Ll.V: �'ND UNAUTHIORIZED ALTERATION OR ADDITION
a a', COUNT THIS SURVEY IS A VIOLATION OF
SE Corwin �I
SECTION 72OF THE NEW YORK STATE
LA
EDUCATION LAW.
�...w_..�. 140HESf EXPECTED OROUND WATER COPIES OF THIS SURVEY MAP NOT BEARING any. Surveyor y,'JUT r r
6�y THE LAND SURVEYOR'S INKED SEAL OR Land u r
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY. --- --- -
CERTIFICATIONS INDICATED HEREON SHALL RUN
I GALLEYS (4) ONLY TO THE PERSON FOR WHOM THE SURVEY SuCeesSor To: Stanley J. Isoksen, Jr. L.S.
IS PREPARED,AND ON HIS BEHALF TO THE Joseph A Ingegno L.S.
FOR A 5 TO 6 6EDRDOM HOUSE IS 400"n sDEWAU-AREA TITLE COMPANY,GOVERNMENTAL AGENCY AND
Aix x 4.75'WIDE X 4'DEEP LENDING INSTITUTION LISTED HEREON,AND Title -SurveysSubdivisions - Site Plans - Construction Layout
E CONSTRUCTED OF FRECA REevFORCED DONCRETE(OR EOUXJ TO THE ASSIGNEES OF THE LENDING INSTI- y
�D aous AND(OR—85 TUITION.CERTIFICAT70NS ARE NOT TRANSFERABLE.
RECAST REINFORCED CDNGRETE(OR Ed Q. PHONE (631)727-2090 Fox 631}727-1727
EJi
TEACH
MG POOIS AND!MATER UNE SHALL BE MNN(P1NED.
EN ALL LEACHING POOLS HALL BE MNNTAINEM THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
:EN All LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED.
AND/OR EASEMENTS OF RECORD, IF 1586 Main Rood P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
G-TFr"."`l f es. IT'TREEo� t y <Zp
.. •TREE ,° F r...� A „J 0
y cow
22"TREE
24'TREE A CIE�
a"TREE--rf__,.G fOIL TREE a7"TREE
* „ 7 10 TREE
11; d 12"TREE Q7
Mei 'C 9J1o"TREE
t7'TREE 1
1 All11 TREE m
W 4
(')P B'TREE-o U'4j
\'12 TREE v TREE TEST HOLE y I
yy'J c2o
N � 11 rst s ar�Ha,/a` \ FYs'CTE'CJ5EL7 a n
rpp'yKu L. 8'TREE amp
'O \ e 14 TIte;E �`
12-TREE
W�
G d TREE° .. ta &� c !
3 ...20`----I / 1'Gy a''wa a TREE w r
FREE
aLo
TREE
cr+
10
T
LOT j TRE
rrR� s"TREE2'TREE
B TREE TRT'TREE B TREE a E* xmv6"TREE '-E /
P 4 ' - �BTREE' +�I J�AB iR{.p 6THE ff
/J 7"T/E-'' T9L12,�\ 6'TREE
0" 7!1'AFSEE \. ti"TR TREE �. %4D A
Q16'TREE p 1G,TREt,�12 1'REE�y""�TREERC-C 'ra,
•� I 2�@� 11
C'FREE- '
14'TRW °
Tiz
'e' EE-„M,,. �Ku`?// 4
W74� ^''R ✓-... $0' 8”TREE P
L/ 1S7Z TEETREE i .�,R£E TRE : '+
rr7 a4'TEe`-,
da-'T
c
TREE
-6'TREE
`E"Na
.z"TREE
Alt ' Alk s• x � �\
40
V.�'„•P �4r a' ,y. (+
rl&^A.j`~ pB' �� 4G'i5.�T.. �ry�, i) /"�o•
.
•`�CESSPOOL `�. •y., 0 N'{q{A
V��N7 TEST HOLE DATA
(TEST HOLE DUG BY MCDONAL�ON
I DARK BROWN
I 2.
0
��GNG BROWN CLAYEY
EXISTING
WELL PALE BROWN I
EL DO,
TEST WELI.No. g,"„.g10;>I °pl S 1 1 .1
PROPOS Eb SEPTIC SYST M DETAIL "'GN ST EXPECTED RD WDWATER
GER TESMOLE
HOUSE (NOT TO SCALE) GROUNDWATER WATER IN
'FL 3Z4: TOP BURIED PALE BROWN F
4'DEEP mvx. FINISHED GRACE
PRECAST REINFORCED CONCRETE 24 d LOCKING.WATEItIICHT k INSECTPROOF °FINISH GRADE 17
GUIDEDI'DEEP min.2'DEEP CAST IRON WVER TO GRADE ELEV.140
CEEANOII'I p0'In,J.4 20"rain. MIN.4"d'Vv. TOP EL I2.1' F,
'OP P.'u,EV,.lA.?: .__. APPROVED PIPE ... ..i
PITCHED 1/B'/i' 5 I
INV.EL ROVED PIPE CLEAN
93.2' PITCHED 1/4-/1' INVERT �"EIST 11.5 SANDCOUL� UNAUTHORIZED AL
E—12Z ELER O TO THIS SURVEY
B m F4DW SECTION 7209 OF
�FFIE EDUCATION LAW.
HWHESTExPFCTED GROUND WATER COPIES OF THIS
e_
e THE LAND SURVEY
...... .-. EMBOSSED SEAL'
TO BE A VALID TF
1.MINI?.fUM SEnAIG TANK CAPACIREEE�RIA 5lO --
CERTIFICATIONS IN
BEDROOM xausE Is 1.500 cAu.oes. LEACHING GALLEYS (41 1 To THE OFF
1 TANK;e'ULA.,5'EEA MINIMUM
UM CO 1.MINIMUM LEACHING SYSTEM FOR A 5 TO 6 BEDROOM HOUSE IS 400 sq ft SIDEWALL MEA IS PREPARED,ANL
2 CONCRETE SHALL HAVE A MINIMUM COMPRESSNE STRENGTH OF 3,000 psi AT 2a DAYS. TITLE COMPANY,C
4 LEACHING GALLEYS:8.5'LONG X 4,75'WIDE X e DEEP
J WAVL UEKMi55 L BE A M NMI)M tai 3 R TtlP T}11CKNES'S OF G AND A BOITGM 1HICNNEa6 OF 4'. 2.LEACHING PODIS ARE TO HE CONSTRUCTED OF PRECAST REINFORCED CONCRETE LENDING INSTTNTI
ALL Ly,5,SDT-"N `TOP SHALL CONTAIN.BC N'ORCING TO RESIST AS APPUED FORCE OF 300 W. (OR FAUAL) TO THE ASSIGNEE.`_
4 ALL]OTITIS SPA
62 SEALM SO VIAT THE'TANK IS WATERMCHT. LEACHING STRUC'IU ES.SOLEI DOMES ANO/OR SWS. TUTION.CERTIFICA
3,i9U.COVERS SHALL BE OF PRECAST HDNFDRCED CONCRETE(OR EOVAL).
5 TNEA MINHA TASK SNALI BE INSTALLED AI LEVEL IN ALL DIREGMEl(WITH A MAX.TOLERANCE OF z1/4) 4.A 10'min DISTANCE BETWEEN LEACHING POOLS AND IWATER USE MALL BE NNN NNEO.
UM 3”TIBCK BED OF COMPACTEp SAND OR PFA GRAVEL 5.AN 8'P,ih DISTANCE BETWEEN All LEACHING POOLS LHALL BE MA—HEM
S.A 10'min.DISTANCE BErvIEEN SEPTIC TASK AND HOUSE 5HALL BE"WHINED. 6.M 0'min.DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. THE EXISTENCE
AND
EASEMI
ANY, NOT SHOW