HomeMy WebLinkAbout52261-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 52261 Date: 09/12/2025
Permission is hereby granted to:
Dominique D'Anna-Stanley
39 Cedar Dr
Huntington, NY 11743
To:
Construct additions and alterations to an existing single-family dwelling to include a two-story
addition, HVAC system and outdoor shower as applied for per SCHD approval.
Premises Located at:
1985 Skunk Ln, Cutchogue, NY 11935
SCTM# 97.-4-10
Pursuant to application dated 06/26/2025 and approved by the Building Inspector.
To expire on 09/12/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $902,00
CO Single Family Dwelling-Addition /Alteration 100m
Total S1,002.00
Building Inspector
k
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 h!Vs://www.sotitlioldtow,nny.gov
Date Received
APPLICATION, FOR BUILDING PERMIT
For Office Use Only
1 '0:
PERMIT N0. 5a a (P I Building Inspector: 2 ,,
22
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building Department
Owners Authorization form(Page 2)shall be completed. Town Of; oulhol
Date:2025.04.24
OWNER(S)OF PROPERTY:
Name:Matthew Stanley SCTM#1000-97.-4-10
Project Address:1985 Skunk Lane, Cutchogue, NY 11935
Phone#:(917) 923-7303 Email: mstanley@dasny.org
Mailing Address: 39 Cedar Drive, Huntington, NY 11743
CONTACT PERSON:
Name:Jake LaChapelle
Mailing Address:P.O. Box 1251, Mattituck, NY 11952
Phone#:(646) 251-5058 =mailjake@lachapellearchitecture.com
DESIGN PROFESSIONAL INFORMATION:
Name:Jake LaChapelle AIA
Mailing Address:P.O. Box 1251 Mattituck, NY 11952
Phone#:(646) 251-5058 Email:jake@lachapellearchitecture.com
CONTRACTOR INFORMATION:
Name:tbd
Mailing Address: _
Phone#: _ Email: _
DESCRIPTION OF PROPOSED CONSTRUCTION
' 'New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
i
❑Other $so,000
Will the lot be re-graded? ❑YesNo Will excess fill be removed from premises? ❑Yes WNo
1
PROPERTY INFORMATION
Existing use of property:single-family res. Intended use of property:no Change
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes i@No IF YES, PROVIDE A COPY.
N Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Cade. 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,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(s)for necessary inspections.False statements made herein are
punishable as a class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By na ):Jake LaChapelle ®Auth rite Agent Downer
Signature of Applican » Date: b
CONNIE D. BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 B U 6185050
COUNTY OF Suffolk Qualified in Suffolk County
Commission Expires April 14,2C7�
Jake LaChapelle being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
(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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
ay of `-'� 21 � I �,
Notary Public
iI IIIG'°.0Pli°RTY OWNER ALIT1 10RIZAIIII,1 N
(Where the applicant is not the owner)
Matthew Stanley I residing at 39 Cedar Drive, Huntington, NY 11743
do hereby authorize Jake LaChapelle to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
4/24/2025
Owner's Signature Date
Matthew Stanley
Print Owner's Name
2
S.C.T.M.# DIST:1000 SECT:97 BLK:4 LOT:10 I," II
G r o4 c.o MEAN oUr
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FRONT YARD 40 FT MIN SIDE YARD IS FT MIN 1975 SKUNKIANEON rxiInaFS T^:uar F Y1 AIR,ra &,N rm of-ROD L 100D .J-1T„1 IS
LOT AREA=25,028 SF UPLAND AREA=25,028 SF PUBLIC WATER •^•^^ ^_•_••"...........^^^^^^ UNDEVELOPED
I`IO SURFACE WATER OR WETLANDS WITHIN 300' .�»,...A.».�.».....,
NEW DRY WEu 9
LOCATION OF ITEMS ON THIS LOT OBTAINED FROM AERIAL LAND - DECO—SIONAND ...EIEc,.sERWCE, rvDETEOI _
SURVEYING,D P C DATED 10/16/2024 TOPOGRAPHIC LINES ARE FA1UNGOTErnc G a NTRGL PANELe
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(."t.kADINC.I'�LAN AND/dk2L!. PLAN
Generated by REScheck- +gib Software
Compliance Certificate
Project 1985 Skunk Lane - ALTERATION
Energy Code: 2018 IECC
Location: Cutchogue, New York
Construction Type: Single-family
Project Type: Alteration
Project SubType: None
Climate Zone: 4 (5572 HDD)
Permit Date:
Permit Number:
All Electric false
Is Renewable false
Has Charger false
Has Battery: false
Has Heat Pump: true
Construction Site: Owner/Agent: Designer/Contractor:
1985 Skunk Lane Lynda D'Anna LaChapelle Architecture PLLC
Cutchogue, NY 11952 P.O.Box 1251
Mattituck, NY 11952
jake@lachapellearchitecture.com
Slab-orb grade ad Grani(`l(:*of a aaire no bong ew a,o nssG(la^red iri the UA oin gaerfoirrnaince((,:asnq)hasrn(e Ignaag.Gu mnu Rg.gro(G'neck IV each slab tams ggma rle
asseirnNy Giro the specified d chirirmate zoin a must inneet the rinii"auurumu.uirn energy code i nsullari.hnii Rg vaallu e air d deyguth ire(la.Mewuua:int s.
AssembliesEnvelme
1OEM=
Ceiling: Flat Ceiling or Scissor Truss
Exemption: Framing cavity filled with insulation
Wall: Wood Frame, 16" o.c.
Exemption: Framing cavity filled with insulation
Basement Wall:Solid Concrete or Masonry
Wall height:0.0'
Depth below grade:0.0' .w_
Insulation depth: 0.0'
Exemption: Framing cavity not exposed.
Window:Vinyl Frame 191 0.300 0.320 57 61
Sli 0.28
Door:Solid Door(under 50%glazing) 40 0.320 0.320 13 13
Project Title: 1985 Skunk Lane -ALTERATION Report date: 06/26/25
Data filename: Page 1 of10
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 2018 IECC requirements in
REScheck Version : REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
Project Title: 1985 Skunk Lane -ALTERATION Report date: 06/26/25
Data filename: Page 2 of10
REScheck Software Version REScheck-Web
Inspection Checklist
Energy Code: 2018 IECC
Requirements: 61.0% 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/Plan Review Value Value Complies? Comments/Assumptions
&Re .ID
103.1, Construction drawings and mplies
�ii i '/%// i
�103.2 "documentation demonstrate � ��i%i���������������i���������� ,�i� �� % j❑Does Not
[PR111 energy code compliance for the
i
❑NotObservable
�building envelope.Thermal
envelope re resented on ot Applicable
rr.COnstrUCtlOn documents.
103.1, !Construction drawings and �j r% %%%//�' �j%�/!%�%//�/% '%% ,,,Clcomplies Requirement will be met.
103.2 documentation demonstrate �'�� ii� ,'iK %�� � �� �❑
403.7 ;energy code compliance for ,,%/"'%�� j%%//���i��� %i%%' �/ �; Does Not
/���� /��� i �� ii� '�� �� Location on plans/spec:
i � �% ,///%i� � �/ []Not Observable �A6
[PR31 lighting and mechanical systems ,ii/� �,�/ �� f �,,, i,,,,,,
Systems serving multiple ❑Not Applicable
�
dwelling units must demonstrate
compliance with the IECC
Commercial Provisions.
302.1, Heating and cooling equipment is Heating: Heating. Comp)ies Requirement will be met.
403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
(PI1 J� on loads calculated per ACCA Cooling: Cooling: j❑Not Observable 9A6cation on plans/spec-
40 Manual J or other methods j Btu/hr Btu/hr
approved by the code official. ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2` Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 1985 Skunk Lane-ALTERATION Report date: 06/26/25
Data filename: Page 3 of10
Section Plans Verified Reid Verified
Foundation Inspection Complies? Comments/Assumptions
F� ate .ib Value Value
402.1.1 Conditioned basement wall R- R _.._....... ❑Complies jSee the for values.elope Assemblies
[F04] :insulation R value.Where interior R R-
❑ table f
Does Not
insulation is used,verification n❑Not Observable T
may need to occur during 9
Insulation Inspection.Not w❑Not Applicable
j required in warm-humid locations g
in Climate Zone 3.
3 -----------------
!Conditioned
03.2 ;Conditioned basement wall Complies
F05 insulation installed per °i°'° i/////i/li, ///// if❑I ] p /o �� %/„ /„/% Does Not
manufacturer's instructions.
❑Not Observable
❑Not Applicable
402.2.9 Conditioned basement wall ft ft ;❑Complies „See the Envelope Assemblies
[F0611 a insulation depth of burial or ;❑Does Not „table for values.
p distance from top of wall. {❑Not Observable u
❑Not Applicable
3032. A protective covering is installed DOES Nies
I� 11H7 to exposed exterior ot�� �/ �/�,❑
insulation and extends a 4
minimum of 6 in. below grade. i ��j%��„� �%/ ��r°❑Not Observable
�'o;,�o�G a/%//�/"�////%%% �i����;!o;/////� j/����� ❑Not Applicable
401 ,Snow-and ice-melting system % ���,,,� /�/ ���� //��������❑Complies ;I Exception: Requirement is
Of /i �
� ��' ,controls installed. � ��/��//��//%//" %��i /i� ��❑ '�not applicable.
iU iir„� � ������� / //�� � DQe$Not pp
*5 Not Observable
Not Applicable
Additional Comments/Assumptions:
1 hllgh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 1985 Skunk Lane-ALTERATION Report date: 06/26/25
Data filename: Page 4 of10
Section �Plans Verified L.,.FieI Verified
� Framing Rough-in Inspection Value Value
complies?
ies? mments_As um
P
i ons
ID
402.1.1, Door U- ❑Comp1s See the Envelope Assemblies 402.3.4 ❑Does Not ;table for values.
[FR1]1 ❑Not Observable
� ❑Not Applicable
g (area-weighted � U- ;❑Complies See the Envelope Assemblies
402.1.1, Glazing U-factor(area-wei hted U-
402.3.1, average). °❑Does Not ;table for values.
402.3.3,
o❑Not Observable
402.5
402.5 ;❑Not Applicable
+ems
303.1.3 U-factors of fenestration products ,///j/iiO / ,/ //// ,,,,, j'❑Complies
[FR4]1 are determined in accordance ,!' i"%/iii/ ,,,,,G j ///" ��//❑Does Not
;with the NFRC test procedure or
taken from the default table. ,%' %;;,r / j ';'%% //% ❑Not Observable
///////❑Not A licable
402.4.1.1 Air barrier and thermal barrier /%%/// '!/'%'j jii%%/i//i//r%/%%%!/ ❑Com lies °
[FR23]1 installed per manufacturer's ' /// j'1 jiiiii '% //% /ii /
P /�� %/ % ! ���///�❑Does Not
Instructions. '�� e
❑Not Observable a
/;❑Not Applicable
, o
a
402.4.3 Fenestration that is not site built o�/i�i//�/�� �%'/°""'
�� ��//////��� % ////�/,�//// ❑Complies
[FR20]1 is listed and labeled as meeting ��!i%���"�i///�//' "��� '/�//%ii,% '//% °❑
'� � i �%/ ���, Does Not
AAMA/WDMA/CSA 101/I.S.2/A440 t%�� /�� 0
/i/,// '❑Not Observable °
I or has infiltration rates per NFRC
��/
400 that do not exceed code %D� �/ j��// //,/ ,j;❑Not Applicable
limits.
'iii�r//%%%/��/ �/ i�iii/%/iiii/i ai/�%%ia/ ///i/%%// ❑
402.4.5 �iIC-rated recessed lighting fixtures ,,,,,,,,/��/� /,/� i ,,,,,,,,,,�� Complies ,
[FR16] sealed at housing/interior finish //,/�//�//�//j��///j„ /��/%%%�%%i///%❑Does Not
and labeled to indicate<_2.0 cfm ��/
/iii%��%��� ,� %�Q/��//iiii// i/�/�rij;,❑Not Observable i
leakage at 75 Pa.
//�/ ,„ii/ /%i /% / /ii�/ /i�, ❑Not Applicable
403.3.1 ;.,Supply and return ducts in attics �i���'��i��/���%%O/% /,/„/�� � �������/��°/ �!❑Complies ;Requirement will be met.
s %
FR12 1 insulated >= R-8 where duct is ri'%i/ ���""///����� �/% /�/'❑
[ ] ///%/ iii %��/ � o�j/'''� ��% i/��� Does Not ,
>= 3 inches in diameter and >_
' �� i� ❑Not Observable
return
where s 3 inches.orSupplyand �� � ❑Not Applicable
j
;return ducts in other portions of �� ��j�� / � %� PP
;the building insulated >= R-6 for
diameter>=3 inches and R-4.2
for< 3 inches in diameter.
403.3.2 Ducts, air handlers and filter r/%%/%%/"��/jj i ii/i� /% %°/%i%io���/�OComplies Requirement will be met.
[FR13]1 ;boxes are sealed with /��/////%ice/'� ��'�j/i/""� //�%�"'� ❑
% /J //� //j / rir/�, DCb�e':'$Not
oints/seams compliant with �
14 International Mechanical Code or r/ ''�%%i�'�//�iiiiaDOO�i��l�� ��� //r Not Observable
%� ii/�� / �/%
International Residential Code, as�� i„�/%//%/'��""'��! �// ���r/��❑Not Applicable �
�aPp licable.
403.3.5 Building cavities are not used as ° „';'"j�'°����jji,%"'��!�'i//j�%����"��j�;;�� %�❑Complies „Requirement will be met.
3 /���� l//i� ��//iii /ii%j ❑
[FR15] ducts or plenums. �i�j��j„���/a j�� ,,,,,,,,,��p/��j/%/���/���� Does Not
❑Not Observable
�j ❑Not Applicable
403.4 HVAC piping conveying fluids R- R- '❑Complies Requirement will be met.
[FR17]2 above 105 4F or chilled fluids ❑Does Not
�� below 55 4F are insulated to>_R- Location on plans/spec:
1
x3. `[]Not Observable "A6
o❑Not Applicable
40�.
'� �%%%%/%oiii,� / i�ii//���„�ii
3.4.1 Protection of insulation on HVAC /����/ / //� ////�///%///��� ,,% /�❑Com lies Requirement will be met.
1 // ///,,❑ P q
[FR24] piping.
/% Does Not
i" /f, ii // '//
/�/ '�����ii// // NOt Observable
//' ❑Not Applicable
403.5.3 Hot water pipes are insulated to R- R- /,❑Complies ~Requirement will be met.
[FR18]2 >_R-3. ❑Does Not
[ i❑Not Observable
j❑Not Applicable
1 High Impact(Tier 1) 2 '.Medium Impact(Tier 2) 3 Low Impact(Tier 3j
Project Title: 1985 Skunk Lane -ALTERATION Report date: 06/26/25
Data filename: Page 5 of10
Section ver Plans Verified field rifted
Framing/Rough-in iinspec ior� Value ValuGe Complies? �C+ornmen�t /As umpti n 1
& Ree .ilt1
w „ , r� ;�%//'ire, ,..,...,..., ,..... uwm� .
40 „6 Automatic or gravity dampers are ti/////// /%%i%/o/ %/i' f /,%%/ri/ ^p,Complies
( R912 installed on all outdoor air i,/ �j /%%f „''%/%j!//% //!l Does Not
intakes and exhausts.
"jNOt Observable
O NOt Applicable '
Additional Comments/Assumptions:
1 Nigh Impact(Tier 1) Medium Impact(Tier 2) Low Impact(Tier 3)
Project Title: 1985 Skunk Lane-ALTERATION Report date: 06/26/25
Data filename: Page 6 of10
Section Plans Verified Fleld Verified
ip Insulation Inspection Value Value Complies? Comments/Assumptions
Re
, . _ _ ..e
77
0 ,1 ;AII installed insulation is labeled � °❑Complies
i
UN1312 ;or the installed R-values ,,,i, ,� �M❑Does Not
provided.
no
❑Not Observable
iiiiii
�k❑Not Applicable
_................................... _ w;< _ ...402.1.1, o'Wall insulation R-value.If this is a R- R o❑Complies 4 See the Envelope Assemblies
402,2.5, mans wall with at least Y2 of the E] Wood „[� We oc ❑Does Not ;table for values.
402.2.6 ;wall insulation on the'wail EJ Mass F1 Mass ;❑Not Observable
CIN ] .exterior,the exterior insulation Steel
requirement applies(FRIG). E� �� Steel °❑Not Applicable
—77
303.2 Mall Insulation Is installed per i ja ❑Complies
iN4]1 n manufacturer's instructio
[ ns. %!/,������ �,�°��/����
/ ❑Does Not
/ iii/i
r ��iii//%� � % Not Observable G
�❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 1985 Skunk Lane -ALTERATION Report date: 06/26/25
Data filename: Page 7 of10
settlo Plans Verified Field Verified
# Final Inspection Provisions Value Value
& Complies? Comments/Assumptions
Ike .NIA _ _ ...�,., .. ..; ..
402.1.1, PCeilin insulation R-value. R- — R- �g '❑Complies pSee the Envelope Assemblies
402.2.1, o❑ Wood a❑ Wood '❑Does Not table for values.
402.2.2, ❑ Steel ❑ Steel ;❑Not Observable
402.2.6
[Flip EINot Applicable g
k
f
d 0
d 4
303.1.1.1, Ceiling insulation installed per /%j;❑Complies
303.2 manufacturer's instructions. oes Not
[FI2]1 Blown insulation marked every
1300 ftz. j////��i i iiiiii//�%%%%////� �/��/ iii%%�/��!/�❑NOt Observable
n t �'/�/ %////// m
❑Not Applicable
402.2.3 Vented attics with air permeable %�%iii�i //%/%%///%� ���/ " %%%�� '❑Complies
z �' // / j��iii% %%///%�ii ❑
FI22 insulation include baffle adjacent ��� " rii/�/�,///////,1/ ///////; Does Not
;to soffit and eave vents that
extends Over Insulation. j� ///%%%/rr� �� �� ,��iOiG/!❑NOt ObseNable
iiiiii/i/! ///%/ // i% ❑NOt Applicable
402.2.4 Attic access hatch and door R- 8 R- ,❑Complies u
[F13]1 :insulation >_R-value of the 8 ❑Does Not
adjacent assembly.
❑Not Observable B
I °
❑Not Applicable
402.4.1.2 'Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = 8❑Complies
[FI17]1 Path in Climate Zones 1-2, and I ,❑Does Not r
<=3 ach in Climate Zones 3-8. ❑Not Observable E
❑Not Applicable
403.3.3 !Ducts are pressure tested to cfm/100 cfm/100 ElComplies „Requirement will be met.
[FI27]1 determine air leakage with ftz ftz +❑Does Not
either: Rough-in test:Total
leakage measured with a ❑Not Observable 8
pressure differential of 0.1 inch f❑Not Applicable
;w.g. across the system including
,the manufacturer's air handler
enclosure if installed at time of
,test. Postconstruction test:Total i
leakage measured with a
pressure differential of 0.1 inch
iw.g.across the entire system
including the manufacturer's air
handler enclosure.
14033.4 :Duct tightness test result of<=4 cfm/100 cfm/100 ;❑Complies Requirement will be met.
[F14]i icfm/100 ft2 across the system or i ftz a ftz ❑Does Not
<=3 cfm/100 ft2 without air
handler @ 25 Pa. For rough-in r❑Not Observable
,tests, verification may need to ❑Not Applicable
r
occur during Framing Inspectlion
/ia%%%/%ilia/i/ ail ia/,/r /%/ii '
403.3.2.1 Air handler leakage designated rp,%//// /%�jj j/���/ %//,❑Complies oRequirement will be met.
[F124]1 by manufacturer at<-2/0 of ❑Does Not
design air flow. ,,,,,,,,,,,,//i/ll//iii/i//'iii///%%%i///i/// /; Not Observable
��/ ri/ []Complies
Applicable
r
�... .,..�m_� r r ra/ r rr
�403.1.1 Programmable thermostats / //,// /i// „r, /i////////%//. Com lies Requirement will be met.
[ 12 primary
irrrrrrr�'
FI9 installed for control of rima // r/� „ //////, / ❑Does Not
heating and cooling systems and
/i :❑Not Observable
initially set by manufacturer to
;code specifications. 'i�/ i ����i%'/ ��%%�/%❑Not Applicable I
403.1.2 Heat pump thermostat installed a//i ' '%/' / ''/� //% ❑Com lies Requirement will be met.
[FllO]z on heat pumps. ���/%/���,;, � ��� � ji❑
� / / Does Not
Observable
,////��//�///////��/i�i//////i//%f%r/i'/�i/%j//'%%///G�/�❑Not Applicable
403.5.1 -Circulating service hot water ' "" °"' /�i,, i�//o///�/ri�ii %//�i � '%% a',�%/,❑Com lies Exception: Requirement is
[FI11] systems have automatic or ❑Does Not not applicable.
accessible manual controls.
Not Observable ;
;,❑Not Applicable ,
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 1985 Skunk Lane -ALTERATION Report date: 06/26/25
Data filename: Page 8 of10
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
03.6.11D ,All mechanical ventilation.. .. ,, / ' // i % _....p
[FI25] fans not part of tested and listed " %/i// /,/ //1 // „j ❑Com lies Requirement will be met.
system /i/iiiiD%/ ////i / /
2 /p r i, / /
❑D025 Not
HVAC equipment meet efficacy
//iiii���ii� ;❑Not Observable
Per Table ;
,and air flow limits
R403.6.1. ��j �/ � ❑Not Applicable ,.
j i/// �� /i/i%/ii i ,i/% iri i%/%/���%
403.2 �i Hot water boilers supplying heat ��%,�/Dj��//////�/�%„�, %/�j��„�//�����ji/���/,❑Complies C Exception: Requirement is
/1"i o/ /i i/ // j,//�����,
[FI26]2 through one-or two-pipe heating /����/���������/!��/� �����%j�/��;❑Does Not not applicable.
;systems have outdoor setback
control to lower boiler water 1%j /%%/'/%' i/ //j„ ", ; ❑Not Observable
temperature based on outdoor / '//� ""'�"�'�������� 'ii/"�' %%%"""!❑Not Applicable„//i / %/
temperature. t
❑Com lies Exception: Requirement
uirement is4021.1 acl circulation
[ $]2 have circulation The ❑Does Not not applicable.
system return pipe is a dedicated
❑Not Observable
return pipe or a cold water supply /
pipe. Gravityand thermos- /fj /' / ';, / '/ " 1 ❑Not Applicable
syphon circulations stems are
;not present.Controls for
'circulating hot Water system
;pumps start the pump with signal
for hot water demand within the
;occupancy. Controls
/automaticall turn off the pump �
,
when water is in circulation loop
is at set-point temperature and
no demand for hot water exists.
403.5.1.2 `:Electric heat traces stems rii /'/'/;%/�i/% %%% /%� '❑Complies 9Exception: Requirement is
2 Y ,,//0 /i // // / � ,
[FI29] =comply with IEEE 515.1 or UL � %!/�/�� %�/�j���,❑Does Not 4not applicable.
515.Controls automatically
adjust the energy input to the ;;; ,,,,,,,,,;�////%� /i��f!�' �i//°'",,,///�///%////%//�❑Not Observable
'heat tracing to maintain the %i //�i� �'i%i"��%��%%' �"% �i%i ❑Not Applicable
desired water temperature in the
piping.
t
403.5.2 ':Demand recirculation water /, � /;, /�/ /�/����i[ omplies „Exception: Requirement is
z „ /, �iii////%/ /,�� ��/o , /�/% � ❑Does N Ot applicable.[FI30] systems have controls that �i/,�,/j„i ��/�„���//��' :not a licable.
manage operation of the pump / �%%% � ;% ❑Not Observable
and limit the temperature of the
water entering the cold water
❑Not Applicable
piping to<= 1049F, /ioii�/ii /iiii/i//�� //�t/ii// i/ '
i / ,�%/ /%%/�/%/,ram �/%/���iq Hill/,%%/%]
403.5.4 Drain water heat recovery units / ///// ����%�'/G/i///,,,,,,;� '��""// �i/�/// %%❑Complies Exception: Requirement is
[FI31]2 tested in accordance with CSA �
❑Does Not not applicable.
!655.1. Potable water-side //%�/%„�,/�//i///% /j//� i/ �/%//D/% ,❑
pressure loss of drain water heat �� Not Observable
�, P / /j�� % ❑Not Applicable
recovery units< 3 psi for �/i /� � /��%��j
individual units connected to one
or two showers. Potable water-
side pressure loss of drain water
heat recovery units < 2 psi for
individual units connected to
three or more showers.
404.1 a 90/o or more of permanent % /�i�����//���,"❑Com lies :Requirement will be met.
F16 1 :fixtures have high efficacylamps. //� ��������/�❑Doe shot
//,�/i� //�%///%��%%%////�j���/%//���/!//;❑Not Observable
�/%'/'; �/�///%/ i/ �����❑Not Applicable
404.1.1 Fuel gas lighting systems have % /i/ f,�fii'%%"�' // ❑Complies Exception: Requirement is
[FI23]3 no continuous pilot light Not not applicable.
; licable.
//���j//�/�/ ���f�❑Does
:, ,,;/ii%///%/i,/ / //�j j❑Not Observable
////�ii� „///� ", �; ���/i//��%/%%�/�❑Not Applicable ,
401.3 Compliance certificate posted. %l'❑Complies
[FI7]z a D%/%//// /%/ //i ///
/// / ❑Does Not
[-]Not Observable
Fl❑NOt Applicable
1 High Impact(Tier 1) 2 Medium Lnipadt(Tier 2) 3 Low Impact(Tier 3)
Project Title: 1985 Skunk Lane -ALTERATION Report date: 06/26/25
Data filename: Page 9 of10
5ectlwamt r Plums ANewlflee i lelcl rifled
Final inspection provision value �Nelue complies?mplies? Comments/Assumptions
�.....Jia RvManufacturer
e � f � � � na�Lai ...f.ar / f"❑ en ilea... Requirement will .
met.
V11813 mechanical and water heating !❑7ue Not
systems have been provided. NOt VUservable
%. j/%� ////,r
„� �❑Nat Applicable
Additional Comments/Assumptions:
High impact fTier'Z} Mlediurn impact{Tier ) Laver impact(Tier )
Project Title: 1985 Skunk Lane-ALTERATION Report date-. 06/ i/ 5
Data filename: Page 10 of10
Efficiency Certificate
. .
Above-Grade Wall 0.00
Below-Grade Wall 0.00
Floor 0.00
Ceiling / Roof 0.00
Ductwork(unconditioned spaces):
Window 0.30 0.28
Door 0.32
Heating System:
Cooling System•
Water Heater•
Name: (Date•
Comments
SURVEY OF MAIN ROAD
PROPERTY
SI TUA TE Tax Map Lot 9, N/O/F of INA 221 .37'
CU TCH OGU E, TOWN OF SOUTH OLD PALIANOK
NEW YO R K N
SU FFOLK COUNTY, w .•
TAX No. 1000-09700-0400-010000 3*12,0017 E -+
SCALE 1"=JO' ASPHALT CONC.RETAIN.*ALL K O
OCTOBER 18, 2024 STONE �IVEWAY WIC O.Y x 20.93 x 2z.64 y�o3i �
CURS DOS m� �
0 o
N
AREA = 25,028 sq. ft. xa9.o1 P.O.B. X19.30 W
0.575 ac. Z OIL 14.7 xzz.26 p r, O
7 11 O TANK 7W14"94 T
O 25.7' t.18 ANE z
r�
N 22.7 T ? i 12,9� CONC. �O
Wh ilr RETAIN.WALL 0
9:1! �
NoUS985 6,4 1 22.7 5S -„
9 0. X 19.98
O fa+a7 � 0"; �
FT-I X OM.6LT .5 X 14.75 X 1&63 6,0
R/O x 16.17 Tax Map Lot 10
6,73' wtxxi
r1.2 I
r X 16.60 _ N
X "5 X
u ;1 X 19.41 19.95
— /—I x CL6.44 w AY
T 9'E
X 11.74 X 14.40 19,94 l
^� AY 34 Z,ve a 0 ate.
790 4 IA67X I pTTtCE 21.71 .p�
O PARTIAL y �y I
rR
CO X 11.66
q 7,80 26
2 3
2.
X CLd21
Tax Map Lot 11, N/O/F of
II WF BAILEY
S84°26'50eew
AERIAL LAND SURVEYING, D.P.C. NOTE: LOCATIONS AND EXISTENCE OF ANY
53 PROBST DRIVE SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
READILY VISIBLE, ARE NOT CERTIFIED. THE
SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE.
PHONE: 833-787-8393
E—MAIL: SURVEYSOAERIALLANDSURVEYING.COM
WEBSITE: WWW.AERIALLANDSURVEYING.COM THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER
PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE
DISTRICT:1000 LOT:010.000 BLOCK:04.00 SECTION:097.00 •UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
LICENSED LAND SURVEYOR"$SEAL IS A VIOLATION OF ARTICLE 134,
MAP/FILE NO.: N/A SECTION 7209. SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW
"Copies from the origind of this
gInat
MAP OF: NOT ON A FILED SUBDIVISION MAP" considered true " survey° 'I aged reo`"sWtty�that
at
NOTES: embossed seal shall not be
this sowsy w Pra nd M accordaoee with sAstIn C*da of Practice
for Land w*rtroye a�MrPled 6y the Now York State Assoc laIluan of
1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM Pro1es*nal Land Survorm Said cartif otions shell nun only to the
pereon for whom tha survey I4 P ored,and on his ta4hdf to the title
EXISTING ELEVATIONS ARE SHOWN THUS: TITLE NO.: N/A aarnPany, p*wwrnmarital a +*y ann $ending InstitirtWo. CertlllcaV005 art
not transferable to additional Inetltutione or subsequent**macs."
MAP FILED DATE: N/A
COUNTY TAX MAP ID: 1000-09700-0400-010000
LEGEND: SITUATED AT: CUTCHOGUE, TOWN OF SOUTHOLD or Neu.
SUBDIVISION SNAP LOT & BLOCK 'S N A
TREE NichoMs P. UAnna and Lynda . Ine— canna
w MaTTRew 5Tanlay and Do Inique U+ nna— an 1 r
4'Q COPY I
Insurance LAND SURVEYPH HEIL C. * t
EM ELEC. METER �. oa of esaveenc aCompany Inc.nc. .11 IJOB NO.: 24 1516uj
I
U Wells tar o bankDATE: OCTOBER 18, 2024 "