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Home My WebLink About52322-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDINIG 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#: 52322 Date: 10/06/2025 Permission is hereby granted to: Polenas Farm LLC 57 Westgate Blvd Manhasset, NY 11030 To: Construct an accessory pool house/cabana with outdoor shower, roofed over unenclosed patio and outdoor fireplace as applied for per SCHD approval. Premises Located at: 1981 August Ln, Greenport, NY 11944 SCTM# 53.-6-46.10 Pursuant.to application dated 07/07/2025 and approved by the Building Inspector. To expire on 10/06/2027. Contractors: Required Inspections: Fees: Accessory-New Structure $380.00 CO Accessory Structure $100.00 Total $480.00 Building Inspector 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 littps:Hwww.soutlioldtowniiy,gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT N0. , Building inspector. -J., r _- D E C E HE Applications and forms must be filled out in their entirety. Incomplete lete applications will not be accepted. Where the Applicant is not the owner,an 025 Owner's Authorization form(Page 2)shall be completed. Date: Building Department OWNER(S)OF PROPERTY: Name: TdIenas F-Qr-irn LL C lscrm#l000- 0'5-3 .00-c>(,.60- 04(, - Olo Project Address: )cq$1 u us4 LGne Greenpor+ NN . RQ4• Phone#: Email: Mailing Address: Sr] a4-C S(VU Marlhassef nl�(., 11030 CONTACT PERSON: Name: Sllo0.nnon Mailing Address: I S Cove Rd. So J--�\o,rn p-I-L-,r\ W y. I Iq U g Phone#: (D31 - .5Co G - rj(06 rl Email:fl s l2r(�H� mall corn DESIGN PROFESSIONAL INFORMATION: Name: Fran k Lorn 6o rdo Mailing Address: ?a1 Il qes -Bm MN'M, Phone#: Email: . "I"" � M t► CONTRACTOR FORMATIiON: ri 1439 Name: N o rS ke1 -rn C . Mailing Address: Phone#: (912,� - 23�` 7qa_9 Email: flor SICe,tr1C, . Corn DESCRIPTION OF PROPOSED CONSTRUCTION er�w Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other fb G Will the lot be re-graded?Zyes ❑No Will excess fill be removed from premises? ❑Yes No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes El No IF YES, PROVIDE A COPY. ❑ 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 Code. 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 210AS of the New York State Penal Law. Application Submitted By(print name): 6,0;T�i2 OLJ-H Q_ ❑Authorizled Agent D9W—ner Signature of Applicant: Date: 4 130 l zo --/- STATE OF NEW YORK) SS: COUNTY OF s dz-- L{-ti 14— being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the O wv\ e f— (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 -30 day of A r , ` Notary Public MICHAEL W MALIK NOTARY PUBLIC-STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION No.01 MA6279262 Qualified in Nassau County (Where the applicant is not the owner) My Commission Expires 04-08-2029 I, r0 l l P, ?O L CrI A- residing at 57 00- O i C B rrO K A rl k J CF H y No.30 do hereby authorize LCr to apply on my behalf to the Town of Southold Building Department for approval as described herein. 413f 2o�� wner's Signature Date Print Owner's Name 2 FRANK A. LOMBARDO ARCHITECT P.O. Box 128,Westhampton, N.Y. 1 1 977-01 28 tel.: 631-357-1438 email:FrankLombardo@yahoo.com September 10, 2025 Ms. Tracey Dwyer Town of Southold Building Department 54375 NY-25 nV ,, Southold, N.Y. 11971 Reference: 1981 August Lane, Greenport, N.Y. Dear Ms Dwyer, This letter shall serve as certification that all construction for the work proposed at 1981 August Lanve, Greenport, N.Y, complies with the 2020 Residential Code of New York State, This certification applies to the primary residence as well as the accessory structures (Pool House, Swimming Pool, and Tennis Court). Plese feel free to contact me with any questions you may have regarding this certification. Very truly yours, RED Frank A. Lombardo Architect Ok NEW ANK A_ LOMBARDO ✓� N.Y.S. LICENSE NO. 15424- Town Hall Annex � °.,: Telephone(631)765-1802 5437'5 Maio.Road �: � '` Fax(631)765-9502 P.O. Box 117 Southold, NY11971-0959 4L i .Ns BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-ENGINEERED WOOD CONSTRUCTION AND/OIL TIMBER CONSTRUCTION Date:: _q�_ Q Owner: To le rxxs Rxrryi LLC. Location of Property: Please take notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) ..�.�� Timber construction (TC) in the following location(s) (check applicable line): Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature: Name (person submitting this form): Capacity(check applicable line): Owner -, Owner representative TrussReg15.docx Effective 1/1/2015 Albert J. Krupski, Jr. suFFQIr STORNMA' IER SUPERVISOR - NIA,NAG IEl\\l[]ENT „- SOUTHOLD TOWN HALL-P.O.Box 1179 O Town �f So u th o l d 53095 Main Road-SOUTHOLD,NEW YORK 119n l w CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME: 5 . m l Q 6 Date: LP Ck Contact Information: i —`-I (E-Mail&Telephone Number) . „ co Property Address / Location of Construction Site: I G g l LA A L)5-� Lck ae� S.C.T.M. #: 1000 District 2 C E Section Block Lot J U L ,,, 2025 TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT Building 's rtrn — _ — _,. ... — _ —. Town rat Sa��lttical'd -.. _ .-_ .�. .®. — _ — — ..... ._ ® _.. .._, _ ._ ❑ - Area of Disturbance is less than I Acre, No S.P.D.E.S. Permit is Required ! - Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Required ! ❑' - Area of Disturbance is Greater than I Acre & Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. ❑ - Area of Disturbance is Greater than I Acre & Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit throw h the Southold Town En ineerm De a�'t�'raert Prior to Issuance of a Building Permit., L2D®� Reviewed By: 'vL Date: FORM # SMCP-TOS December 2024 I Oenerated by REScheck-Web Software N/,' Compliance Certificate Project 1981 August Lane Pool House Energy Code: 2018 IECC Location: Westhampton, New York Construction Type: Single-family Project Type: New Construction Project SubType: None Conditioned Floor Area- 291 ft2 Glazing Area 24% Climate Zone: 4 (5331 HDD) Permit Date: Permit Number: All Electric false Is Renewable false Has Charger false Has Battery: false Has Heat Pump: false Construction Site: Owner/Agent: Designer/Contractor: 1981 August Lane Norske Inc Frank Lombardo Greenport, NY 11944 P.O.BOX 42 P.O. BOX 128 Westhampton, NY 11977 Westhampton, NY 11977 631-236-7929 631-357-1438 franklombardo@yahoo.com Compliance: 1.0°/.Better Than Code Maximum UA: 98 Your UA. 97 Maximum SHGC: 0.40 Your SHGC: 0.40 The%Better or Worse Than Cade 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. :aafls ,ire y �.'i or peirfor in n ce��aunp- iatuice pa tin iin ��IV::�:ar:�u¢clk, li Each slab—o u-gira:de Kaam�l�.u°m-�aYira�a�a 1<a�aQla. awa-Illy-awa:�� -anu�u�ia��aM-i liir� ihly-. V..V in flue slx!r lfied chnoats zoluau imust arr-ame t the icn niirnu.iii in ei ua-aro),y code namullaV:ion R vaaiu)e and depth aa-aiagirernents. Envelope Assemblies Ceiling: Flat Ceiling or Scissor Truss 291 38.0 0.0 0.030 0.026 9 8 Above grade walls:Wood Frame, 16"D.C. 736 21.0 0.0 0.057 0.060 32 34 Windows and sliding doors: Metal Frame SHGC: 0.40 175 0.320 0.320 56 56 On grade slab:Slab-On-Grade(Unheated) Insulation depth: 2.0' 72 10.0 0.540 0.540 0 0 Insulation position:Vertical Insulation Project Title: 1981 August Lane Pool House Report date: 07/03/25 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. Gerson Rubio, P.E. 7/3/2025 Name Title Signature V Date Project Title: 1981 August Lane Pool House Report date: 07/03/25 Data filename: Page 2 of10 REScheck Software Version : REScheck-Web Inspection Checklist Energy Code: 2018 IECC Requirements: 100.0% 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 � ❑Complies ;Requirement will be met. 103.2 documentation demonstrate ❑Does Not [PRJ]1 energy code compliance for the ' � . building envelope.Thermal ❑Not Observable ; envelope represented on ❑Not Applicable construction documents. 103.1, Construction drawings and ❑Complies Requirement will be met. 103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]1 :lighting and mechanical systems. ; ❑Not Observable Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating: y❑Complies Requirement will be met. 1403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: Manual J or other methods Btu/hr Btu/hr ❑Not Observable approved by the code official. ❑Not Applicable Additional Comments/Assumptions: 111 High Impact (Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: 1981 August Lane Pool House Report date: 07/03/25 Data filename: Page 3 of10 Section P1lans'verified Field Verified 4 Foundation Inspection Value Value connpl''Iesf Comments/Assumptions 402.1.2 Ite .Ilb Slab edge insulation R-value. R- R- ❑Complies See the Envelope Assemblies [FO1)1 ❑ Unheated ❑ Unheated ❑Does Not table for values. )� ❑ Heated ❑ Heated ;❑Not Observable ; ❑Not Applicable 402.1.2 ;Slab edge insulation ft ft p OCom lies See the Envelope Assemblies [FO3)1 depth/length. ;❑Does Not table for values. ❑Not Observable ❑Not Applicable 303.2.1, A protective covering is installed 7 OComplies Exception: Requirement is V01112 to protect exposed exterior ❑Does Not not applicable. insulation and extends a :""'[]Not Observable minimum of 6 in.below grade. ❑Not Applicable 403.9 Snow-and ice-melting system ❑ om,plies Exception: Requirement is (FO1212 controls installed. ❑Doess Not not applicable. ';F Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 1981 August Lane Pool House Report date: 07/03/25 Data filename: Page 4 of10 Section Plans Verified Field Verified # [Framing /Rough-In Inspection Complies? Comments/Assumptions & Reg ID Value Value 402.1.1, Glazing U-factor(area ... -weighted i U- I U- � �i❑Complies See the 402.3.1, average). ❑Does Not table for values. 402.3.3, 402.5 ❑Not Observable [FR2]1 °DNot Applicable 303.1.3 U-factors of fenestration products ❑Complies Requirement will be met. [FR4]1 :are determined in accordance ❑Does Not with the NFRC test procedure or f taken from the default table. ,�❑Not Observable ` ❑Not Applicable 77- 402.4.1.1 Air barrier and thermal barrier =` ❑Complies Requirement will be met,. [FR23]1 installed per manufacturer's ?❑Does Not instructions. ❑Not Observable `❑Not Applicable 402.4.3 Fenestration that is not site built Complies ;Requirement will be met. [FR20]1 is listed and labeled as meeting ❑Does Not ;AAMA/WDMA/CSA 101/I.S.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 Requirement will be met. [FR16]2 sealed at housing/interior finish ❑Does Not .and labeled to indicate:52.0 cfm leakage at 75 Pa. 'z❑Not Observable ❑Not Applicable 403.3.1 :Supply and return ducts in attics , - ❑Complies Exception: Ducts located [FR12]1 insulated >= R-8 where duct is ❑Does Not completely inside the >= 3 inches in diameter and >_ R-6 where < 3 inches.Supply and ❑Not Observable building envelope. return ducts in other portions of ❑Not Applicable 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 %- ❑Complies Requirement will be met. �[FR13]1 :boxes are sealed with ❑Does Not ;joints/seams compliant with International Mechanical Code or :, =❑Not Observable International Residential Code, as ❑Not Applicable ;applicable. 403.3.5 Building cavities are not used as ,,❑Complies Requirement will be met. [FR15]3 `ducts or plenums. "❑Does Not ❑Not Observable ❑Not Applicable 4 HVAC piping conveying fluids R- R ;❑Complies Requirement will be met, [FR17]2 above 105°F or chilled fluids ;❑Does Not below 55°F are insulated to �!R- 3 ❑Not Observable ❑Not Applicable 403.4.1 Protection of insulation on HVAC ❑Complies 'Requirement will be met. [FR24]1 piping. ;F❑Does Not ❑Not Observable ❑Not Applicable 403.5.3 Hot water pipes are insulated to R- R- ;❑Complies d Requirement will be met. !(FR18]2 >_R-3. ElDoes Not ❑Not Observable ❑Not Applicable 403.6 Automatic or gravity dampers are, �'❑Complles Requirement will be met. [FR19]2 'installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable t ` T]Not Applicable 1 1'High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: 1981 August Lane Pool House Report date: 07/03/25 Data filename: Page 5 of10 Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 1981 August Lane Pool House Report date: 07/03/25 Data filename: Page 6 of10 Section" Pians Verified Field VerifiedInsulation,Inspection Value value Connplies? Comments/Assumptions lye Req„IIJ _ __ _ 131.1 All instal led insulation is labeled JDComplies Requirement will be met. [IIN3]° or the installed R-values ❑Does Not provided. ,❑Not Observable ❑Not Applicable 402.1.1, Wall insulation R-value.If this is a; R- R- ❑complies See the Envelope Assemblies 402.2.5, :mass wall with at least 1/z of the ;❑ Wood j❑ Wood ❑Does Not ;table for values. 402.2.6 wall insulation on the wall [IN3]1 exterior,the exterior insulation mass mass bNot Observable requirement applies(FR10). ❑ Steel ❑ Steel ❑Not Applicable 303.2 'Wall insulation is installed er � � p ""Complies Requirement will be met. [IN4)1 manufacturer's instructions. ❑Does Not '❑Not Observable ❑Not Applicable i Additional Comments/Assumptions: 11 Hi+gih Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 1981 August Lane Pool House Report date: 07/03/25 Data filename: Page 7 of10 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions 402.1.1, Ceiling insulation-R-value. R- R- ;❑Complies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402'2.2' ❑ Steel ❑ Steel ;oNot Observable 402.2.6 [FI1]1 1❑Not Applicable ...... .. � . 303.1.1.1, Ceiling insulation installed per ❑Complies Requirement will be met. 303.2 manufacturer's instructions. % ❑Does Not [FI2]1 Blown insulation marked every 300 ft2. `;❑Not Observable ; w ❑Not Applicable � 402.2.3 Vented attics with air permeable ❑Complies Exception: Requirement is [FI22]2 insulation include baffle adjacent ❑Does Not not applicable. ,to soffit and eave vents that extends over insulation. ❑Not Observable i ❑Not Applicable 402.2.4 ;Attic access hatch and door R- R flComplies Requirement will be met. [FI3]1 insulation >_R-value of the ❑Does Not adjacent assembly. ,'❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50= ACH 50 = ❑Complies Requirement will be met. [FI17]1 ach in Climate Zones 1-2, and []Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable j❑Not Applicable 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies Exception: Ducts serve heat [F127]1 determine air leakage with ft2 ft2 ❑Does Not or energy recovery either: Rough-in test:Total ❑Not Observable ventilators not integrated 'leakage measured with a with ducts serving pressure differential of 0.1 inch ❑Not Applicable heating/cooling systems. w.g. across the system including Ahe 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. 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 flComplies 'Exception:All ducts and air [FI4]1 cfm/100 ft2 across the system or ftz ft2 ❑Does Not handlers are located within <=3 cfm/100 ft2 without air conditioned space. handler @ 25 Pa. For rough-in ❑Not Observable tests, verification may need to ❑Not Applicable occur during Framing Inspection. 403.3.2.1 Air handler leakage designated ;❑Complies Requirement will be met. [FI24]1 'by manufacturer at<=2%of ❑Does Not design air flow. " ❑Not Observable ,[:]Not Applicable^ 403.1.1 Programmable thermostats ;❑Complies ,Requirement will be met. [Fl9]2 installed for control of primary ❑Does Not heating and cooling systems and ` ❑ initially set by manufacturer to .„ Not Observable code�specifications. �� ` ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies Requirement will be met. [1`I10]2 on heat pumps. �❑Does Not ❑Not Observable ❑Not Applicable 403.5.1 Circulating service hot water ❑Complies `Exception: Requirement is [FI11]2 systems have automatic or ''n❑Does Not not applicable. accessible manual controls. /❑Not Observable El Not Applicable 1 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: 1981 August Lane Pool House Report date: 07/03/25 Data filename: Page 8 of10 SectionF Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & RecID 4 125]2 fans equipment ll ao tested efficacy ❑❑Com lieo� 'Requirement will be met . not HVA P Does N and air flow limits per Table "' ;❑Not Observable R403.6.1. ❑Not Applicable . ..._..v_ 403.2 Hot water boilers supplying heat ❑Complies Exception: Requirement is [FI26]2 through one-or two-pipe heating ❑Does Not not applicable. systems have outdoor setback control to lower boiler water ❑Not Observable temperature based on outdoor " =❑Not Applicable temperature. 403.5.1.1 Heated water circulation systems ❑Complies Exception: Requirement is [F128]2 have a circulation pump.The ❑Does Not not applicable. system return pipe is a dedicated return pipe or a cold water supply;, `❑Not Observable pipe. Gravity and thermos- ❑Not Applicable syphon circulation systems arei 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 when water is in circulation loop is at set-point temperature and no demand for hot water exists. 403.5.1.2 `,Electric heat trace systems °;❑Complies Exception: Requirement is [FI29]� comply with IEEE 515.1 or UL ❑Does Not not applicable. 515. Controls automatically adjust the energy input to the '` ❑Not Observable heat tracing to maintain the ❑Not Applicable desired water temperature in the , . piping 403.5.2 'Demand recirculation water Complies Exception: Requirement is [F130]2 systems have controls that �❑ manage operation of the pump Does Not not applicable. and limit the temperature of the ❑Not Observable water entering the cold water ❑Not Applicable piping to<= 104°F, 403.5.4 Drain water heat recovery units ❑Complies Exception: Requirement is [F131]2 tested in accordance with CSA %❑Does Not not applicable. B55.1. Potable water-side pressure loss of drain water heat ❑Not Observable recovery units <3 psi for ❑Not Applicable 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 �90%or more of permanent °❑Complies Requirement will be met. [F16]1 fixtures have high efficacy lamps. ❑Does Not `❑Not Observable ❑Not Applicable 404.1.1 Fuel gas lighting systems have ❑complies Exception: Requirement is ]3no continuous pilot light.[FI23 not applicable. Does Not r ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies Requirement will be met. [F[7]2 ❑Does Not Jl ❑Not Observable ❑Not Applicable 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 1981 August Lane Pool House Report date: 07/03/25 Data filename: Page 9 of10 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions Re .119 3033 systems h rer manuals for mechanicg _ ❑CompNot Requirement will 3t)3„3 Manufacturer be met. es al and water heatin have been provided. �ONot Observable t Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) Low Impact(Tier 3) Project Title: 1981 August Lane Pool House Report date: 07/03/25 Data filename: Page 10 of10 EfficiencyC 2018 IECC Energy NJ/ Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 10.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Window 0.32 0.40 Door Heating System: Cooling System: Water Heater: Name• Date: Comments r Town Hall Annex 'Telephone(631)765-1802 54375 Main Road �Fax(631)785-9502 P.O.Box 1179 Southold, NY 11971-0959 i ,, � �1 DtPA' CT NOTICE OF 'jj I IZA IQIW, fRUSS,j, tESWN �E a � i�� ✓/�"%1 WO,0 CQN§TRUCTIQN ANDIOR TI MBER` ,`/irf ,! y , Dater !' /%,✓ �° �L �f ' /%! . r / Owner: F lencs` earrh, LL�., e,r, ��,/ i,,�r ✓�� ,�,,, Location of Property: %i ✓� � �� ,�j 11 1 Please take notice hat the(check"apphcableilne) �r��/� ��✓� New commercial or residential Addition to exrstirig commercrel or�resrdentr �Gr J , ! Rehabilitation toneisUng cxmmercla/ l to be constructed or performed at the sub ec p rty p (check�applicatsle line) Truss type construction rr,�i/ /rid✓�' 1 Pre-engineered Wood`°cons p{ Timber construction in the following locatlon(s�(check applrcable'hne�° ✓ Floor,framing, mduding gtrdersl nd bead: Roof framin ,Floor and roof,frammg (FR); ,% // Signature: rr rr i Name (person submitting this form) ✓ /�„ °� ' dq JY Capacity(olxecic applicable lure); Owner, OwnerrepresentaUve TrussReqI5,docx Effective 1/1R015 ,; ��of r r�✓/�//�/i/ J 1 1 � /%lY�✓n� r� •%/�� 1f/1 / � r U'^ 111� � ��1/l'%1�1 �/ �lP � „ `o � i rl �j/.��1 i,�i. �� li:r��ti.�� II�Y�// �✓/ �f.1:i��,�� 1 � '� ,, � �, r //a��.,fl,f L i, �i ✓�i r0✓r�i'i„r,if r ,�.,r� i/�l� /i�� 1 1, iy� a rr r/✓r, oi1l�0i�ir�l..��.. // 0�1/l�,�fir.✓...//%'� r.I/...r/„ ,i�.� �riN, l -,.r, / / 0 ri� 1/rli��//�/� i/fir/ � 1 iii/r/ r,i, �, ✓�„ ✓ia.,ii✓„,, ✓fir /p rr✓�✓i I. �/ ,/, l ra� ./f(t�rl//ii� /,.f�//yrli,/rT,// 1� rrl argil i rrrl�/iiri�l t /�r��lrii//r �roi �r /�i�/q�i/;� /��i/1r`��✓ri�r,�>i/. 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