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HomeMy WebLinkAbout52512-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 52512 Date: 12/04/2025 Permission is hereby granted to: Mazi Hldgs LLC 149 Dosoris Ln Glen Cove, NY 11542 To: Demolish existing single family dwelling as applied for,with Trustees#10871A approval and DEC NJ letter. Construct new single family dwelling as applied for,with Trustees#10892A, DEC NJ letter, and SCHD approval. Premises Located at: 530 Broadwaters Rd, Cutchogue, NY 11935 SCTM# 104.-10-4 Pursuant to application dated 09/22/2025 and approved by the Building Inspector. To expire on 12/04/2027. Contractors: Required Inspections: Fees: DEMOLITION $696.60 Total $4,911.10 Nll-y� 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 htt ://www,s utholdtownn . o�v Date Received APPLICATION FOR BUILDING PERMIT I E C E V E For Office Use Only PERMIT NO. Buildin Iris ector: I g P Date: �� / r I / lr 1 ✓ N f. Y Name: sum P 1000-LL Project Addre -a Phone : Mailing Address: 14 e a ✓ i r.. ( ✓ I Name: Mailing Address: If 4Z— I Phone,#: ,71q Email:, j a r� +z. ay�n l�ir r �J��,r,� �r, rr„, / r✓ i l i' li/ "i,�°✓!,>Ilr%/✓� .� rf r Name: a 1417 —4 ,0 . Mailing;Address: Phone#: Email: r & � , 0 „4^�,.,,A�, J�, ,;. H t' lrr ✓ � �' r r rr / mr v r ^f/,�? fr rl Name. ..m Mal ling,Address: Phone t#; Email: lliirk twat /'✓":d tt k ! tlro �y ✓ r I?/ r r r f rr '`p� Yl �'�lry ✓�j'r r ? „„I ., � � �� � � it7thertructur�e ❑ nR Addition Neratio� .n.;r Demoliti(on� Est at d Cast of Project: � fi Will the lot be re-graded? Oes ❑No Will excess fill be removed from premises? ❑Yes 2KO 1 PR IRtly t . Existing use of properf Mended use of property: � C� Zone or use district in which premises is situated: Are there any covenants nd restrictions with respect to ` this property? [:]Yesio IF YES, PROVIDE A COPY. �m �� �t frNa prr� N t rsrr�t 'fr, N� Nin n t e � NOis :;� N tNatddlr 0r9 �¢te+r: tit ,11, « t8fl � d4 1rf� �Nr� N � �YrNtrw « rhr �t1�N, rN r f�tN W ka N y(print name) �N ❑Authorized Agent ❑Owner Application Submitted B r I L¢11� .����..._ . Signature of Applican � � . ., _..._ Date:. r - CON IE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York S5: No.01 BU6185050 Qualified in Suffolk County COUNTY OF Commission Expires April 14, i"XX�- 41111 &4E--41 � being duly sworn,deposes and says that(s)he is the applicant Name of individual signing contract)above named, (S)he is the r _ / " ', ° ._.. (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 4dy of _.r .. .... . .. Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 Glenn Goldsmith, President S0 Town Hall Annex ? 54375 Route 25 A. Nicholas Krupski,Vice President ,, P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 w BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DEC Permit No.: 10892A Date of Receipt of Application: December 1, 2025 Applicant: Mazi Holdings LLC „. SCTM#: 1000-104-10-4 Project Location: 530 Broadwaters Road, Cutchogue Date of Resolution/Issuance: December 17, 2025 Date of Expiration: December 17, 2028 Reviewed by: Board of Trustees Project Description: Conduct construction activity within 100' from the landward edge of the wetlands for the construction of a swimming pool, pool patio, and pool fencing. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Adragna Designs, LLC, received on December 18, 2025, and stamped approved on December 19, 2025. Special Conditions: Establish and perpetually maintain a 20' wide vegetated non-turf buffer landward of the wetland line. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees a a n New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40-SUNY, Stony Brook, New Yark 11790-2356 " Phone: (631)444-0365 - FAX: (631)444-0360 dr, Crotty Website:www.dec.state.ny.us CorrtiNssiorier LI; "T 011"" iO Uif+C +Dw: Ti " L� TL�� C. May 23, 2002 Angela Milner 1 Minetta Lane New York. NY '10012 Re: Milner Property 500 Broadwaters Road Cutchogue, NY 11935 DEC# 1-4738-02984100001 Dear Ms. Milner: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The portion of your property which is located landward of the ten foot(MSL)elevation contour on a gradual, natural slope, as shown on the survey prepared by Joseph A. Ingegno last revised April 17, 2002, is beyond the jurisdiction of Article 25 (Tidal Wetlands). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit Is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation,, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation orotheralteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland:jurisdictional boundary and your project (i.e. a 15'to 20'wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Rr vans l rr it Administrator cc: Fairweather-Brown Design Associates Generated by REScheck-Web Software Compliance Certificate Project 530 Broadwaters Road - Malakidis Energy Code: 2018 IECC Location: Cutchogue, New York Construction Type: Single-family Project Type: New Construction Project SubType: None Conditioned Floor Area: 5,852 ft2 Glazing Area 17% Climate Zone: 4 (5572 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: 530 Broadwaters Road GreenWorks Energy Specialist Inc. Cutchogue, NY 11935 Info@HERSrating.us Compliance: . 0r6 Better Than Code Maximum UA: 654 Your UA: 612 Maximum SHGC: 0.40 Your SHGC: 0.31 The%Better or Worse Than Code Index reflects how close to compliance tbe 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. Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on-grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements. Eomelope ASsemblies, Gross Area Cavity Cont. Prop. Req. Prop. Req. Perimeter 2ed Floor Ceiling: Cathedral Ceiling 2,280 38.0 0.0 0.027 0.026 62 59 1st Floor Ceiling: Cathedral Ceiling 295 38.0 0.0 0.027 0.026 8 8 Exterior Walls: Wood Frame, 16" o.c. 4,882 21.0 0.0 0.057 0.060 228 240 Doors: Solid Door(under 50%glazing) 72 0.250 0.320 18 23 Windows:Wood Frame 811 0.300 0.320 243 259 SHGC: 0.31 Slab(Walkout Bsmt): Slab-On-Grade(Unheated) Insulation depth: 2.0' 75 10.0 0.540 0.540 0 0 Insulation position:Vertical Insulation Basement Wall: Solid Concrete or Masonry Wall height: 8.0' 1,104 0.0 14.0 0.048 0.059 53 65 Depth below grade: 7.0' Insulation depth: 8.0' Project Title: 530 Broadwaters Road- Malakidis Report date: 07/03/25 Data filename: Page 1 of10 tl 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. AJ Afkhm-Certified ICC/HERS Compliance Specialist 71 I 2025 Name-Title S n ure Date Project Title: 530 Broadwaters Road - Malakidis 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 ValueVerified Field Verified Complies? ents/Assumptions Pre-Inspection/Plan Review Value Req.ID 103.1ocumentation d []Does No 103.2 ;Construction� - , emonstrate drawins and ❑Com li � � Comm g s Requirement will be met. t [PR111 energy code compliance for the building envelope.Thermal []Not Observable envelope represented on []Not Applicable construction documents. 103.1, ;Construction drawings and TIComplies Requirement will be met. 103.2, `documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR311 lighting and mechanical systems. []Not Observable Systems serving multiple El Not Applicable dwelling units must demonstrate ;compliance with the IECC :Commercial Provisions. 302.1, Heating and cooling equipment is g:� Heatin Heating ❑Complies Requirement will be met. 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: ❑Not Observable E Manual J or other methods 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: 530 Broadwaters Road - Malakidis Report date: 07/03/25 Data filename: Page 3 of10 ~# _ Foundation Inspection PlanValuefied Field VerifiedmI 4Complies? Comments/Assum tionw..... � Value bons 402.11..2 Slab edge insulation R-value. R- mITmmmm ....__ --m ' R- ;❑Complies ;See the Envelope Assemblies [FO1]1 ❑ Unheated ElUnheated ;❑Does Not :table for values. ❑ Heated ❑ Heated j❑Not Observable ❑Not Applicable 402.1.2 Slab edge insulation ft ft 13Compiles See the Envelope Assemblies [F03]1 depth/length. ❑Does Not `table for values. `[]Not Observable ❑Not Applicable :402.1.1 ;Conditioned basement wall R- R- flComplies See the Envelope Assemblies [F04]1 insulation R-value.Where interior' R R_ ❑Doe's Not table for values. insulation is used,verification ' may need to occur during ❑Not Observable Insulation Inspection. Not ❑Not Applicable ;required in warm-humid locations in Climate Zone 3. 303.2 Conditioned basement wall Elcomplies "Requirement will be met. [F05]1 insulation installed per []Does Not a , manufacturer's instructions. []Not Observable ❑Not Applicable 402.2.9 ;Conditioned basement wall ft ft � Ucompl'les See the Envelope Assemblies [F06]1 'insulation depth of burial or �❑Does Not table for values. distance from top of wall. ;❑Not Observable ❑Not Applicable 303.2.1 A protective covering is installed ❑complies Requirement will be met. [FO11]2 to protect exposed exterior []Does Not insulation and extends a []Not Observable minimum of 6 in. below grade. []Not Applicable 403.9 Snow-and ice-melting system ❑Complies Requirement will be met. [FO12]2 controls installed. ❑Does Not ❑Not Observable []Not Applicable Additional Comments/Assumptions: 11 High impact(Tier 1) 2 Medium Impact(Tier 2) 3 �Low Impact(Tier 3) Project Title: 530 Broadwaters Road - Malakidis Report date: 07/03/25 Data filename: Page 4 of10 s Verified Se on� Field iel .__..r.i.f-ime.d Framing Rough-in Ins n PIan� pect'o Value . �. Complies'_ Comments/Assumptions mb n - e..� ste ns 402.1.1, Door U-factor. ; U- U- ;❑Complie See the nelopAsemb 402.3.4 ❑Does Not table for values, [FRl]1 j❑Not Observable 1❑Not Applicable 402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies °See the Envelope Assemblies 402.3.1, average). ❑Does Not ;table for values. 402.3.3, 402.5 1❑Not Observable [FR2]1 ❑Not Applicable 303.1.3 i U-factors of fenestration products ❑Complies Requirement will be met. [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or ` ;taken from the default table. ❑Not Observable ❑Not Applicable �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'-"' O ompli s Requirement will be met. [FR20]1 is listed and labeled as meeting 1JDoes Not ,AAMA/WDMA/CSA 101/I.S.2/A440 aor 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 <2.0 cfm leakage at 75 Pa. []Not Observable ' '❑Not Applicable I[ 1033 1. Supply and return ducts in attics � .. ❑Complies � Requirement will be met. 2]1 insulated >= R-8 where duct is ❑Does Not >= 3 inches in diameter and >_ R-6 where < 3 inches. Supply and []Not Observable 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 �d ❑Not Observable ❑Not Applicable 1 High Impact(Tier 1) 2 Imedium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 530 Broadwaters Road- Malakidis Report date: 07/03/25 Data filename: Page 5 of10 .. Framin / Rouh-In Ins ection _Plans Value tFed Fiel Value... Complies. �� - - P Section Verified 9 9 p Comments/Assumptions & Re.�._ID. _ 403.3.7 Ducts declared t_. ...._- e �..� � row .._ . � o be within the ❑Com lies Requirement will be met. [FR28]3 conditioned space are either 1) '[]Does Not completely within the continuous []Not Observable air barrier and within the building thermal envelope, 2) buried ❑Not Applicable within ceiling insulation in accordance with Section R403.3.6 and the air handler is located completely within the continuous air barrier and within the building thermal envelope and the duct leakage is <= 1.5 cfm/100 square feet of conditioned floor area served by the duct system, or 3)the ceiling insulation R-value installed against and above the insulated duct>=to the proposed ceiling insulation R-value, less the R- value of the insulation on the 403.4 HVAC piping conveying fluids R- R- ❑Complies Requirement will be met. [FR17]2 above 105°F or chilled fluids 3IlDoes 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. ❑Does Not []Not Observable ❑Not Applicable R [FRS >R 3 ater pipes are insulated to R- � - _ ❑Complies Requirement will be met. 403 18] ;❑Does Not n� ❑Not Observable j ❑Not Applicable 403.6 Automatic or gravity dampers are ❑Complies 'Requirement will be met. [FR19]2 installed on all outdoor air nDoes Not intakes and exhausts. '❑Not Observable ; ❑Not Applicable Additional Comments/Assumptions: Medium Impact(Tier 2)_—Ti Low Impact(Tier 3) 1 I Hi h Im act(Tier 1) 2 Project Title: 530 Broadwaters Road - Malakidis Report date: 07/03/25 Data filename: Page 6 of10 .. ..... ,,. insulation lns ectio�n Pla Verified Fiel rifled Complies? ... omrnM. wection pValueents/Assam tions Re lO 303:1 _ All installed insulation is ........ labeled ❑Complies Requirement will be met. [IN13]2 or the installed R-values ❑Does Not provided. TINot Observable i [ Not Applicable 402.1.1, ;Wall insulation R-value. If this is a R- R- UComplies See the Envelope Assemblies 402.2.51 mass wall with at least%of the ❑ Wood ❑ Wood ❑Ones Not table for values. 402.2.6 ;wall insulation on the wall ❑ Mass ❑ Mass UNot Observable [ [IN3]1 ;exterior,the exterior insulation requirement applies(FR10). ❑ Steel ❑ Steel G)Not applicable 303.2 Wall insulation is installed per ❑Complies Requirement will be met. [IN4]1 manufacturer's instructions. (JDoes Not ❑Not Observable , ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1)�2 Medium Impact(Tier 2) Low Impact(Tier 3) .. Project Title: 530 Broadwaters Road- Malakidis Report date: 07/03/25 Data filename: Page 7 of10 Se�on Final Inspection Provisions Value Fie1"V luefied � Complies? T�'mments/Assumptions p p & Re ID Iles? or values, 402.2 1, Ceiling insulation R_._u _. Wood ❑ Wood .p table f n R-value. R-✓" R ❑CoCn lies See the Envelope Assemblies ❑Does Not 402.2.2, j❑ Steel ❑ Steel ;❑Not Observable 402.2.E ;❑ [FI1]1 Not Applicable „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 ❑Not Applicable 2.3 Vented attics with air permeable ❑Complies Requirement will be met. [F122]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. []Not Observable ❑Not Applicable 4 Attic access hatch and door R- R- [Complies Requirement will be met. [FI3]1 I insulation >_R-value of the K ❑Does Not adjacent assembly. ❑Not Observable _ ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 �mml ACH 50 ACH 50 ❑lComplies Requirement will be met. [F117]1 ach in Climate Zones 1-2,and ❑Dues Not <=3 ach in Climate Zones 3-8. ;'[]Not Observable i ❑Not Applicable 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 '❑Complies Requirement will be met. [FI27]1rdetermine air leakage with ft2 ft2 ❑Does Not either: Rough-in test:Total leakage measured with a ❑'Not Observable pressure differential of 0.1 inch i❑Not Applicable w.g. across the system including ,the manufacturer's air handier 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, handier enclosure, r 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 UComplies Requirement will be met. [FI4]1 cfm/100 ft2 across the system or ft2 ft2 0ooes Not <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ❑Not Observable tests,verification may need to []Not Applicable ;occur during Framing Inspection. 1403.3.2.1 ',Air handler leakage designated ❑Complies ,Requirement will be met. [F124]1 by manufacturer at<=2%of ❑Does Not design air flow. []Not Observable ; ❑Not Applicable 403.1.1 Programmable thermostats liCompl'ies Requirement will be met. [Flg]2 installed for control of primary ❑Does Not heating and cooling systems and initially set by manufacturer to []Not Observable code specifications, El Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies ;Requirement will be met. [F110]2 on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable 403.5.1 Circulating service hot water Ucomplies Requirement will be met. [FI11]2 systems have automatic or []Does Not accessible manual controls. []Not Observable ONotApplicable 1 High Impact(Tier 1) :[[' Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 530 Broadwaters Road - Malakidis Report date: 07/03/25 Data filename: Page 8 of10 # Final Inspection Provisions Plans VerifiedFieldVerified m Complies? Comments/Assume s Section p p Comments/Assumptions 403.6.1 All mechanical ventilation system ;., ` " I❑Complies 7Requi � - -Requirement will be met. [F12512 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy and airflow limits per Table ❑Not Observable i R403.6.1. ;�❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies !Requirement will be met. [FI26]2 through one-or two-pipe heating []Does Not systems have outdoor setback control to lower boiler water ❑Not Observable i temperature based on outdoor ❑Not Applicable temperature. 403.5.1.1 ;Heated water circulation systems ®Complies ,Requirement will be met. [FI28]2 have a circulation pump.The _ ,,,,,[]Does Not system return pipe is a dedicated - return pipe or a cold water supply: ❑Not Observable ❑N PP of A licab Ie pipe.Gravity and thermos- 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 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 i Requirement will be met. [F129]2 comply with IEEE 515.1 or UL ❑Does Not 515.Controls automatically :❑Not Observable adjust the energy input to the heat tracing to maintain the ❑NotApplicable desired water temperature in the piping 403.5.2 ;Demand recirculation waterO' omplies rRequirement will be met. (F'i30]2 systems have controls that ❑Ones Not manage operation of the pump and limit the temperature of the ""E" []Not Observable water entering the cold water ]Not Applicable . � piping to <= 1049F. 403.5.4 Drain water heat recovery units ❑Complies Requirement will be met. [F131]2 tested in accordance with CSA ❑Does Not B55.1. Potable water-side pressure loss of drain water heat ❑Not Observable recovery units < 3 psi for ❑NotApplicable individual units connected to one or two showers. Potable water- side pressure loss of drain water i" 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. [FI6]1 Jixtures have high efficacy lamps.', ❑Does Not r ❑Not Observable ❑Not Applicable 404.1.1 Fuel gas lighting systems have '❑complies I Requirement will be met. [F123]3 no continuous pilot light. `[]Does Not �- t❑Not Observable y I ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies Requirement will be met. [FI7]2 ❑Does Not []Not Observable , '❑Not Applicable 1 ,High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: 530 Broadwaters Road - Malakidis Report date: 07/03/25 Data filename: Page 9 of10 �,.__. ._Final Inspection Provisions PN n I efia d -FIeN erifi' ali - . ..�cwmpN es ..,... o��rn ... .� ctNo�� _.._._� NSa �e NC'f .. _...�. etsFAsswrm..r tpons... 3433 Manufacturer manuals for ®complies Requirement will be met.. (F11, '),3 mechanical and water heating ©Does Not systems have been provided. EIlUot observable, ®Not Applicable Additional Comments/Assumptions: �mpact(Tier�)(Tier 1) 2.. M _ Low Impart(Tier 3) 1 Hugh Iedium Impact(Tier 2) 3 Project Title: 530 Broadwaters Road- Malakidis Report date: 07/03/25 Data filename: Page 10 of10 Energy Efficiency Certificate CzzMMMMMMMMMzUV= Above-Grade Wall 21.00 Below-Grade Wall 14.00 Floor 10.00 Ceiling / Roof 38.00 Ductwork(unconditioned spaces): � � m m Window 0.30 0.31 Door 0.25 . . Heating System: Cooling System• Water Heater• Name: Date: Comments I N \ PROP'OSEZ)LTIUL,7T IF '0,0 I �ry p �, IMPROVED LOT e ....,. BE CaN_O.uEC7 MS "" ,p ^^- )) .. �,. .. N '�I 48-5(C7 E - i .as:crarrwo�T,o xcvnv ,, � � •- � ; `^ n.d� �"'...� r ��r: ,"' II I 4^^. RESIDENCE d A�sa¢Taadr .7, Ae .-...F-U5L4 UJATER r2)10 -r� 10, A•,,..,' �,,.�?9- Tf^ ,.�,Ilt N �.•.,,,:..,;r^ V/�, �. L�.dN�4N�u"z.".,"�,. ,�,;t;,. d�\,.r "F.U�JI G_^E Im /A TAyKT E«,S�T' .T PS�RDR'rE'. F'B4e��T PIPE E "toN.UNIT rikttd r as%n`/FT,MIN„ L\ ''g „ '•".,, ✓�--. p `-" •.. 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B - -- - a = m -- 4" \ ,.«..wr-..rn T� •'E' 'fin I p � �- Y\ I q I � ^.'•^"" Mq"VP"R��,r„J'E.C"J LO''T. RC^4DENl�E \ W A V F U5LIC 4tE� co z 0 Y � f Are�r r1r_ r_I' n�4....� i-werrr rw rwwMr� / .�, �Awwl "" w.rNrrrr rir_ �rrAwnr ��aWWWWJ D C) ❑ rn o ',4F,,TgAL 1T 'L,4N n" 0 1 m L o 'm NOTES, "w .P,y m WATER LINES MIN 10 FT FROM SEWER LINES EDGE TO EDGE TF CD U " MINIMUM I/A 0WT5-I BEDROOM y "� �� b / i„ co D D 110 GALLONS PER DAY'CAPACITY REQUIRED ^ L() Ll Z.� d wA Ve'ar rnWxwn mmICAL NAME9 USE FUJI CE 10-900 GALLON CAPACITY 1 MANOR DIv11120Ns 3 IT TEST P I �IusEPFec '�` Apr.. . oesERVED 13ri '' , .wa aa7rf.�amsu:w�d'n rA R.a. TEST PIT 2 GIusEFFE ADnaaca BED1 '°T<A ':.CLFnr�";IGN ----- 1050 GAL/DAY DESIGN ^ WRAAN%IA.OA�WDnAMOWdRPAxPYr. DIG DATE, JULY 11,2023 DIG DATE: JULY II,2023 ROOMS x 150 GALJ BEDROOM/DAY 550 SOFT,LEACHING POOL 51DEWALL REQUIRED ....�^ ^-^^•-^^^^ Bay i6r GW 46LpAcnllOVx� TIME, 82' em.. TIME: 52. `Mpm. ''�' - D sv e WEATHER: 65 MOSTLY SUNNY (LEATHER: B2'MOSTLY SUNNY A VIEW SECTION B-B VIEW ° GP L DEPTH WATER Ids'IEL..05') DEPTH F PITi 105'(EL,05) USING 10'0 LEACHING POOLS-600 a �Ft,./31.4 e TtJ VF,=191 VF SECTION A-,mIT -_ ITIT --,,....w" fwTawewrm. rWAr M+KeTawL+wA+ /.... E REQ'D Yr� $pg9 a GM �'� _ �� 11.0 1200 GAL/DA7/2 GAL'DAY G00 s ft OF SIDE WALL SURFACE � 988 qi 9 G GC rm+nA9OA4 D P�GROUND ELEVRIPITsIm A7 RIA START GROUND ELEVR^.^L^ _ I USE(2)10 0 x 10 DEEP LEACHING POOL NOTES T3, THE TRANSPORT PIPE SHALL HAVE A CONTINUOUS SLOPE TO ,uv M G " 20ft EFFECTIVE DEF 1. OTTS SHALL BE TESTED FOR WATER TIGHTESSS RUOR TO ALLOW THE PIE TO OWN IN BETWEEN PIMP CYCLES. � BR _._. 66• I6 3w xatunr mry,pRuMwaal�cnMw+TurwwN'..ucma'edld. _.... CH ARRIVING ON USING A METHOD AANOYID BY 71E 19.. LATTEERAALPROVIDE ACONTRACTOR SHALL DO READ OF 5'n sa RT TEST ND O COU ENr �II Sip W +OGRAvEL�0 6 65 -50^^.. a OVA 4R SAND s z YEA�ID ;EWPArnt VE SHN.L s. EVERY FIFTH ORIFICE To INSTALLED IN THE 6 O'CLOCK 4 'N.w+wl+a�m wraa.9rwn++a'Rrdww.ea.,urt'In.wauNn THE DESERVE TIE BAI7O1 EVER FIFTH ENT IS MET. TIC SYSTEM PRIOR TO fWTION To ALLOW 1K LATERAL 11 NTICE HE AT TIE a &YAMRa'AN.WC„0.#MHL+maYY lAfan', ..... .B ._... I x� Rd. wA R P4a' ,.. 'CUT POST AT AN ANGLE 3. SYSTEM SOTAN REPRESENTATIVE WILL BE PRESENT DURING D OIF ThE OAAJM M TO DRAIN IN BETWEEN THE SM „"" "".'" '_+ ".. : - ,...-....-- TO ALLOW WATER TO ENDORSEMENTS F AUTHORIZED INSTALLER. Y DEPARTMENT OF HEu.n1 � rT V � NCa M SC nws+.awn+xrxmm-+t 'warm-w'xaur H4lC» ................ FIIJE sANVY_ 5M 10ID .,.,,.W. rT" 1/MOUNTING BOARDS , 4. SHALINSTALLER ff ALLEA SHALL HOD APPROPRIATE I/A OWfS 16. AklCN�4E'RBAF°SMW:L MYd7 BE GN36A1 SHALL Od ,., Architect: W rtawHw6a swurWreR.dn+Rwno 2"PRESSURE THE OWTS ILT I a. O ADDITIONAL VENTING IS SEQUINED UP^b: .. S t IB ML gywll,nrw«w0«a.pngvy,mr` r.x'mnnw..rwrw' ._. 0 FW r.I,M 11'MNA 4X TIE awls INSTALLER SHALL REGISTER THE O SITE TREATMENT 1T. MAINTAIN A MINIMUM COVER OF 95' p nL CL .r�'�.n'nau..,. •w,�nnmwnr.. ... yTu:-.,, . 9n 'W iN"'`"q .;B-bs p, .. .......... CONTROL.PANEL _......... RUN VICE CONTROL 6. aTS11RVWEYMO C sHALLLPRMmI�WM%TR EY AS 16. 'Ma SUPPLY ,aAY1QU B;eak'4'1PAc urEs To BE BE INSTALLED IN PVCRPE� ''f"w'Y'"Ir,ys�t,p. IRED By SM '.. d CL rpCTN,NA<rw'NAOdwdrrfO.urocw ��I ,,,,,,,,,,,,,,,,,,,,,,,•�,. TO AIREC �PUMP ..,..n_..�.,-µ. O _. ELEC SERVICE T'. AN THE MAINTENANCE PRnOVIVIDER AND THE PROPERTY NTENANCE CONTRACT �SHA L 19. OTiE OOREMOOD CT BURYEODPIEW Tsxau B�TalED ACCamINGW o ry a .... '•" "'.. BE PROVIDED TO SCOL TIE SERVICE CONTRACT SHALL BE FOR TIE INSTALLATION INSTPoICTIONS PROVIDED BY ORENCO AT THE 1 $ e waAxw mrroxwAa .'rwlv,nary N,rw... NOR uNlreo sr ,,,m ..........�.� ALARM TOE-.. ..... '"'•" TO PUMP BASIN MH �°" ^'"•n1° '°eKaAwnanutNtxumTIME OF STATES DEPARTMENT OF _.,.,-. •...... Z �""^ _CONTROTREATML TAW TO VAI OWTS OF 3-YEAR AMIN SHALL COVAND B INSPECTION AND WILL BOX AND THE OPEN CONTROL TIES.PANE wnN THE INSTRUCTIONS I CH _ VERY.NON-CONFORMANCE '*., YAINIENANCE dF nE'DOSING PAP AND ORAIIFlElD. WILL VOID 71E gIENCO WARRANTIES e e PRE55 POSTS TREATED 9. CONTRACTOR SHALL CONFIRM INVERT ELEVATION PRIOR T OF Z0. pC IT7D �BETWEEN PUMP BASIN SPODE THE INTERIOR GEOL.06ICAL SURVEY d CH iawwne Cd/.rAor ueadwrToxxw ouerrcnr. WATER-SJPPLT PAPER T GG PRINT 3 nS301 RECORD OF/JNY OISCREPCpNOSHALL NORFY ENGINEER OF My ' T IE NR;!TS WA N m dAdaarnCeAm HIGHEST GROUND WATER TO EXCAVATION INSPECTION �EC,�UBF2ECJ A AI , „"" AAEGrIpl,stPUA:ro WMk w XN TEE OPE Red k/ INUM FOR �AfJITARY SYSTEM StRPLIIED p� �°g v`„'.-- ^QUICK DISCES ONNECT lo. PROVIDE DEDICATED DREAMERS IN THE MAIN DWELLING WARRANTIES FOR THE PUMP AID FLOAT SWITCHES, �a �Y HEALTH DEPARTMENT .--, MIDWEST POTi5P ELECTRICAL PANEL FOR THE Owls AND POP BA9IX zz.DISCHARGE PI11P BOAT swITO!DUQiAM IXNwx FORA"A 11. ALL 20•RSCN pAN'y SRitxY 514ATE.AND'L,INER9 3PWUY BE ILLUSTRATION PURPOSES ONLY.WIRING SHALL BE PERFORMED IN I MAC BOR AIR lUF-T1TE SMA)NPTS COVER 20-WU FLAT'„AUD ACCORDANCE WITH THE WIRING DIAGRAM SUPPLIED AT DELIVERY. ' 'F ETY GRATE DRAINAGEDES1GN DIA•eaucFnsEala 3••2s' BLOWER.. THICK PRECAST ELEC SUPPLY 2TUF-TIRGISSAFETYAPtE ND COOLYSLFL p w AA R ivf xmgac _ °"WW_ R� Gff ELE D TO PUMPP� °'" 0090 AID z KD��2�G�PLCUI A�z9 AD RAG NA ? �. BrER'......Im mrRaws:B�rA BeTi R ^ � rrm ", 0a,w.....•..wt, a AT61 "i'WF'NT TANx A a,ar„� Ad A drrn fA'ISAa p r p A MN TY n,,, CONCRETE PAD FROM DWELLING DESIGNS, LLC _., aaacewn "ram. a T n@ w , an� K?L C tlNES T ^• P IqEO'� C� A2AR16)289 24j M w 11 wn CONTROL PANEL 3 T 6,2B9 245, ar�b" T X m5 33' kun W'� . . CpO MDA WTS C-1 C 1' w,. x wx.. MIS adac,Ye-dT. NO DRAINAGE STRUCTURES SHALL BE PRECAST YATH PRE dT I' 3� Butcho ue, NT'S {L.q.. ALL 9M CAST OPENINGS FOR DRAINAGE PIPE(S),AMID SLALL OPE ANOOSR MAKIMUMFORM TO UFFOLK SLOPE xamI ' � A_"�" .-mm."•• •, ` FUJI FUJI'LEAN NLET PNIE } b"ixasMn�w'T,nr s�+ •m wrwn nbmmmn ClltChOgll2, AIM' COUNTY AND/OR VILLAGE STANDARDS n'n1�N,Nxapg Wetp ..,..... ............... N' 3. 12•ADS BASIN-OR FOR ALL GRAIN BASINS SHALL BE 12•ADS NYLOPVST DUCTILE IRON GRATE MDI CAST IRON FRAME, - V UNLESS OTHERVASE NOTED. ALL ROOF DRAIN PIPING TO BE 6•W CORRUGATED POLYETHYLENE PIPE(CPP)O 1.0%MINIMUM SLOPE. F nP IC 2 ALL STORM DRAINAGE PIPING TO BE B HIGH DENSITY POLYETHYLENE PIPE(HOPE)O t.Dw MINIMUM SL WM1AA`xm y AND LOCKING DEVICE(OR APPROVED EQUAL)CAPABLE OF H-20 LOADING. mxrvc-r !yyyy++t� SITE PLAN 4. CONCRETE STORM DRAINAGE UNITS TO BE PROVIDED BY LONG ISLAND PRECAST(631)266 0200.OR APPROVED EQUAL „ WYE .y+A'"'w A'd"egAaAv rd+w:•.ria'rp d'�xdn rat a N 5, ALL INLETS AND GRATES SUBJECT TO VEHICULAR LOADS ARE TO MEET H-20 LOAD RATING REQUIREMENTS, PT:3Cd',mam "`"' w. w, Ni`," A �,xa IMP. a�`a SCWWM Abandonment of existing sanitary system must be In CAP uNuseo wLET fd,Y, �� . r • •,••' 'xP4�Y1:E^. r`�", f'Mx:�AYDwkvMA'Y pYA 6 edraza SUI`FOLK COUNTY DEPARTMENT OF HEALTH SERVICES `" "^''°""""' o gmcNam2ry `.�l x",p+t6, *„: ` PERMIT FOR APPROVAL OF CONSTRUCTION FOR conformance with Department requirements-Submrt �""" ua}ImayrS ..- e Y IA-11 uxo[x exo u,wxo enxv-anxx w...ocx�..w,. nwexn"µ r"cpm ra9.Vwa'rwn UPSTREAM CLI1pNOU7( ) ✓ ,d.-. xnx enu;uun urc SAI T" Nx,.WNIV°�L': '�r*d.,A SINGLE FAMILY RESIDENCE ONLY V.'wwn PLACE AS RE'D AT ,. u=ss rxdr rs6 nx osi ceur completed form WWM-080 as proof. w.�,. r CONVENIEM LOCATION r" � sc*x ur m.cnw x0r ro 10 rw O z Yrz -. anresuA mxa ecEv exccEx sxL rc.+sb.n�.a. m. wxax srxu' A SVVEEF MAY BE USE OTiWIWJTROIWGA nenrr, ixw` `cilw{'ar$Fx O1''1°' +,..�, Rt N I R 25-712 Design Professional's Certification Required. DRYWELL BETWEEN W EANDCL., r - fAAT E ar�� D CAP UNUSED INLET DISTRIBUTION BOX APPRoveD A /^ ` A �� Submit P.E.or R.A.Certification for the SCALE NT5 PO SP 101.0 0 FOR MIA.0140H CAP B EAROD,MS Installatlon and Construction of the Sewage Disposal System - SCALE: NTs NOT TD EXPIRES THREE YEARS FRR C)M Ikpq OF APPROVAL FUJI CLEAN DOUBLE WYE WITH CLEANOUT LEACHING POOL Use Form WWM-073