HomeMy WebLinkAbout52703-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
00'O'g"",
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#: 52703 Date: 03/03/2026
Permission is hereby granted to:
4760 Blue Horizons Rity LLC
C/O Mario Fusaro
Northport, NY 11768
To:
construct a single-family dwelling as applied for perTrustees Non-Jurisdiction letter&SCHD approval.
Premises Located at:
4760 Blue Horizon Bluffs, Peconic, NY 11958
SCTM# 74.-l-35.55
Pursuant to application dated 11/25/2025 and approved by the Building Inspector.
To expire on 03/02/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- NEW $2�832.50
CO-RESIDENTIAL $100.00
Total S2,932.50
Willding Inspector
TOWN OF SOUTHOLD BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold, NY 11971-0959
V Telephone (631) 765-1802 Fax (631) 765-9502 S,,',,'//W"WW,,,Sllo,utl�to,ldtowrnmny. v
Date Received
APPLICATION FOR BUILDING PERMIT
Lza
For Office Use Only
PERMIT NO. Building Inspector.---.-
.......... -------- -------
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Appilicant Is not the owner,an
Ownees Authorizatilon form(Page 2)shall be completed.
Date,
.................
OWNER(S)OF PROPERTY:
SCTM#1000- 4q el
ff 7
Name.: 4760 z
Pro ect Address: "04
J oo,
Phone#: 0 9 ki Email: J'O V 5 61.1 r-0 CA C-07TL0011
Mailing Address: J I
.......... A iim J_��
CONTACT PERSON:
N a rn e
r 0
Mailing Address:
................
----------U
Phone#: E ail: #0e, Lolsac, t-0
............-
DESIGN PROFESSIONAL INFORMATIONS
Name-. Pet.5,5 a
Mailing Address:
t
1117
Phone#: Emaill.,
43 1 11114 J MP arc6,
CONTRACTOR INFORMATION*
Name:
Mailing Address:
Phone#: Email:
DESCRIFnON OF PROPOSED CONSTRUCTION
;gNewStructure OAddition FAIteration 7Repair ElDemolition Estimated Cost of Project:
F Other, $1
Will the lot be re-graded? %IYes F-1 No Will excess fill be removed from premises? F-]Yes ballo
................................
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SOUTHOLD TOWN IiALL-'P.�0.B*ox 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
Other)
APPLICANT: (Property Owner, Design Professional, Agent, uontractor,
rjur, t-V Date:
NAME., 0,,r 10
-1�x
Contact Information: A e- �t�Zo -_07_m�—
(E-Mail&Telephone Numbed 431- F/6- 02EI ....
Pro� erty Address Location of Construction Site:
S.C.T-M # 1000
'60
................................. District
/ V
V.
....... Section B lock Lot
TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
Area of Disturbance is less than I Acre. No S.P.D.E.S. Pertnit is Required !
dl
Project does Not Discharge to Waters of the State. No S.P.D.E.S. Perm it is Requ ire,� ,,
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 Buildigg,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 throug the Southold Town Engineering Delpartmerit
Prior to issuance of a Building,.Permit.
117
Reviewed By: Date:
FORM 11 SMCP-TOS December 2024 r
t C ( V Z011 07 J
........................... ..........
Town Hall Annex
Glenn Goldsmith,Presideiit
54375 Route 25
A.Nicholas Krupski,Vice President P.O. Box 1179
New York 11971
Southold,
Eric Sepenoski
Telephone(631) 765-1892
Liz Gillooly
Fax(631) 765-6641
Elizabeth Peeples
.. .......
4 1P,
BOA-RD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
November 5, 2025
,,,,Mario J. Fusaro
12 Gilder Court
Northport, NY 11768
RE,: 4760 BLUE HORIZONS REALTY, LLC
4760 BLUE HORIZONS BLUFF., PECONIC
SCTM# 1000-74-1-35.55
Dear Mr. Fusaro:
The Southold Town Board of Trustees reviewed the survey prepared by Twin Forks Land
Surveying, last dated October 8, 2025 and determined that the proposed construction of a
dwelling and swimming pool is out of the 100 foot Wetland jurisdictional area under Chapter 275
of the Town Wetland Gode and Chapter 111 of the Town Code.
This area along Long Island Sound experiencess�wg' nificant erosion of both top and bottom of
bluff. It is advisable to keep construction activit:y as far away from top of bluff as possible and
reduce any ground disturbance.
Please be advised, however, that no construction, sedimentation, or disturbance of any kind
may take place seaward of the tidal andlor freshwater wetlands jurisdictional boundary, or within
100' landward from the edge of vegetated wetlands. without further authorization from the
Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town
Code.
It is your responsibility to ensure that all necessary precautions are taken to prevent any
sedimentation or other afteration or disturbance to the ground surface or vegetation within Tidal
Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project.
Such precautions may include maintaining adequate work area between the tidal wetland
jurisdictional boundary and the coastal erosion hazard area and your project or erecting a
temporary fence, barrier, or hay bale berm.
This determination is not a determination from any other agency.
Sincerely,
TM
RIES
Compliancer Certificate,
Pr mect Information
01
Project Title: 4760 Blue Horizons
Energy Code: 2020 NYStretch-2018 IECC
Location: Peconic,New York
Construction Type: Single Family
Project Type: New Construction
Project Sub Type: None
Conditioned Floor Area: 2800 ft2
Glazing Area: 24%
Climate Zone: 4a(5572 HDD)
Project No: 1795345
All Electric: false
Is Renewable: false
Has Battery: false
Has Charger: false
Has Heat Pump false
Construction Site: Owner/Agent: Designer/Contractor:
4760 Blue Horizons Bluff Mario Fusaro Martin Passante
Peconic,NY 11768 178 Bayview Avenue
Northport,NY 11768
6317471114
martyp@jmparchitects.com
Project Notes:
A �ly
Nq.
0-311
0
N El\N,
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 1 of 13
Envelope Assemblies
Prop. Req.
Assembly Gross Area or Cavity Cont. U_ U_ Prop. Req.
Perimeter R-Value R-Value Factor/ factor/ UA UA
F-Factor F-Factor
ceiling:Flat Ceiling or 1400 38.0 10.0 0.023 0.026 32 36
Scissor Truss
Floor:Slab-On-Grade 154 10.0 0.660 0.480 0 0
(Unheated)
Insulation depth:3.00'
Insulation position:
Horizontal Insulation
Wall:Wood Frame,1611 3080 21.0 2.0 0.050 0.045 118 106
O.C.
Window:Vinyl Frame 324 0.250 0.270 81 87
SHGC:0.25
Door:Glass Door(over 400 0.250 0.270 100 108
50%glazing)
SHGC:0.25
ENRON!
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.It DOES
NOT provide an estimate of energy use or cost relative to a minimum-code home.
Slab-on-grade tradeoffs are ii,io IoIiI,iger consideiii in tfie LIA or perforrnance compfiai�ce path in REScl leck. Each slab-on-grade
assembly in the specified climate zone must meet the minimurn energy code insulation R-\/alue and depth requirements.
Compliance Statement
The proposed bull'kding design described here is consJstent with'thhe Wilding pIa,n,$,,,specjfications.,and other calcutations
submitted with the permit ap,pliCation.The proposed buildJng has b�een d'esigned'to meet,the 2020 NYStretch-20,18 IEICC,
requirem,ents in REScheck-Web and to comply with the rnandatory�requirements fistedin the REScheck Inspection,Checktist.
Name -Title Signature Date
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 2 of 13
Inspection Checklist
Energy Code:2020 NYStretch-2018 IECC
Requirements:29%were addressed directly in the REScheck software
Text In the"Comments,/Assumptions"'colum,n is provided by the user in the, 'REScheck Requirements screen.For each
requ, fxement,t,tie,user certtfies that a,code requirement,will be met and ho�w that is documented,or that an exception is being
daimed.Where compliance is itemized'in a separate,table,a reference to that table is provided.
Pre-Inspection/Plan Review
S ectilon Plans Field
Verrilfled V dfled t1ons,
&Req.10 Pre.-Inspection/Planr RevIew Value Value Complies? Comments/Assump
..........................
............
Complies
103.1, Construction drawinfgsand
103.2 doc'umentation demons-trate es Not
n Do
ene n e
r iy code,complia ce for,th i Co-mply
[PR111 9, J
budding,envelope.Thermal
enveloPe repr,es,ented on"
Not
construction documents. 'servable
Not
P plicable
103.1, Construttion drawings and E)Complies
103.2, d0curnentation'demonstrate P Does Not
403.7 enerpy code comp.liance,for, 0
[PR311 Ig �rn ian. met lancal mply
si ste, r'. e P Not
'
em
un
S iing
yst
"fultip e d e� t Oservable
W
f�
a 1P t
dernonst te con a Ith
the IECC'1 0 ngercia ions. Not
Ppplicable
..................
I�302-1,v Heat" and coolin, equi ment �',`Heating: Heating: Complies
4103"1 is siz per A, ar S Btu/hr Btulhr P Does Not
based on load's calculated per 0
tPA112,
J, mply
ACCA Manua! or other methods,
app,r,ove, te code official.. Cooling: Cooling: n Not
Btulhr Z%servable
Not
pplicable
Additional Comments/Assumptions:
..........I'll-
Mediu 3 Low Impact(Tier 3)
1 High Impact(Tier 1) 2 m impact(-rier 2)
4—
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 3 of 13
roundation Inspection
settjon,� Plans Field
# VeriflOd Verified
Commentsl,Assumptlo
&Req.10 Foundation Inspection 'Value V�alue Complies? ns
..........
402.1.2 'Slab edge insulation R-value. `O�Complies See the Envelope
R1= 11 F-7 i Assernbliestable for
[FO111- Does Not values
Vnheated 'Qnheated M P I Y'
0 Heated 1 0 Heated Not
Rser v`able
P!No�t,
Pplicable
C)Complies,
303.2-1-1 A protective covering S
(1701112' installed to,protect exp,osed Does,Not
exterior Insulat'lon,and extends
Umply
a minimum of 6 in.below grade.
9Not
servable
�,Jg
Not
Applicable
Snow-and ice-melting system
Complie's
controls installed. Does Not
PMpfY
Not
servable,
� iot
N
pplicable
�J� ft 0 Compti, See the Envelope
402.1.2 Slab edge insulation es
depth/length. Assemblies table for
JF03]1 DioesNot values
POMP$Y
6Not,
1servable
Not
P�pfilcabl,e
Additional Comments/Assumptions:
............
1 High Impact(Tier 1) L2, Medlurn Impact,(Tier 2) ipact(Tier 3)
LOW In
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 4 of 13
rraming Rough-in Inspection
F1014
sol ion, Pla,ins
Fra,,rnJnq/A0ughq*In,, Verifted
I Com�m�enit,,,s,/As,,surnpt,�i�o,,n,s
Req.ID 10�pettion Value Valuo C0113PI'lles?
......................................... .........
1,402.1.1, Glazing U-factor(area-weighted Complies See the Envel"ope
U,
U Assemblies tab'je for
402.3.1, average). Does Not values
402.3.3, Pomply
'402.5 P Not
[FR2]1
3servable
PNot
P plicable
1402.4.1.1 11 Air barrier and thermal barrier Complies
[FR2311 installed per manufacturer's
instructions.An approved third- Does Not
mply
Po
party will inspect all
I n Not
�"'ompone,nts,and ver,ify
'Observable
compill'ance.Set sectibn details
and uidance fnDm Table
Not
JR4U4"'."I.I.
Wplicable
110�
402.4.3 Fenestration that is not site built 'C]Complies
(FR20]1 is listed and labeled as meeting Does Not
Pmply
AAMA/WDMA/CSA
0
1011/15.2/A440,or has infiltration
'gNot
,r NFRC 400 that do not
ra''t'e s pe
exceed co,de'I I'mi ts. servable
Not
Applicabl%__
Complies
4.02A.5 IC-rated recessed lighting
fixtures sealed at Does Not
housing/interior finish and
0
mply
labeled to indicate�<2.0 cfm
,PNot
leakage at 75 Pa.
servable
Not
pplicable
Complies
403.3.1 1,Suppi and return ducts in attics
ed>=R-8 where duct is
[FR1211 insulaly Does Not
>=3 inches in diameter and
Pomply
>= R-6 where,<3 Inches.
Supply an,d retumducts in other
nNot
Observable
oftions of the building
Frnsuiated>=,R-6 for diameter
>=3 inches and R-4.2 for<3 Not
inches in diameter. Ppplicable
C]Complies
403.3.2 Ducts,air handlers and filter
boxes are sealed with
[FR1311 Does Not
ointsis''eams co 'I" t with
mg tan''
Interna.tional anical Code PO m p I Y
or International Residential Not
PO
Code,as applicable.
servable
PpNot
plicable
fI
Complies
403.3 Duct s stem in new buildings
[F13211 and Yd'itions are located in a
P Does Not
conditioned space in omply
accordance with Sections
R403.3.7(1-2). Not
servable
PNot
p
plicable
ED Complies
403.3.8 1�Ducts are sized in accordance
[F133]1- (with ACCA Manual D and 11'�-------
Does Not
sections R403.7-8.
Pomply
Not
servable
PNot
p
plicable
.................
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 5 of 13
Section I pta'"s Reid
Framino I Rough-In Veriffe"J" Votftd
Req;.I D Inspection Vatue I iiiiiue Complies? Comments/Assumptions
A
(D Complies
Building cavities are not used as
(FRI51)" 'ducts or plenums. Does Not
Pomply
servable
Not
PNot
pplicable
complies
03,33 Ducts declared to be within the
[FR'28j",� conditioned space are either 1) Does Not
collipletely within'the
continuous air barrier and within t6omply
the building thermal envelope,
Not
2)buried within ceiling
servable
insulation in accordance with
Not
Section R403.3.6 and the air
Applicable
handier is located completely
within the continuous air barrier
and within the building thermal
envetape and the duct'leakage,
Is<=1.5 cfm/100,Ouare f'eet
of conditioned floor,area served
by the duct system,or 3)the
ceil' sUl"ation R-value
in si"a"J?OT aT' ainst'and above the
insulated uct>;=to the
proposed ceiling insulation R-
value,less the R-value of the
insulation on the duct.
0 Complies
40,14, HVAC pipinq conve fl 'd
ying u) s
j�R,1,,'7j2" above 05 DF or chilled fluids R= Does Not
below 55 QF are insulated to:>R-
Pomply
9Not
3servable
PNot
pplicable
.................
E]Complies
403-4.1 Protection of insulation on HVAC
M Does Not
(FR24]1 piping.
Pomply
'at
Not
servable
"jiV
n Not
Xpplicable
Mizi-Anr nincte=ro incisinhoel frN
Additional Comments/Assumptions:
H cih Imoact(Tier 1) ier 2)
__�_2, Meditim lr�jpact(,T ,IIII:[L:ow ji�i�act�(Iier�
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 7 of 13
Insulation Inspection
S'ection I Plans: Fle4d
Vwlfled Verl',,ffO4
&Req.1D InsulatJon Inspection VO:We Valu.,e� col"Plies? Coro ments/Assu�rnpfio
............
All installed insulation is labeled Complies
or the installed R-values
P Does Not
provided. 0
mply
servable,
Not
Pplicable
402.1.1, Wall insulation R-value.If this is n Complies See the Enveippe
402.2.5, a mass wall with at least 1/2of R= R= Does Not Assemblies tab,fe for
402.2.6 the wall insulation on the wall 0 Wood OWood Pornply values
[IN3], exterior,the exterior insulation Mass 0 Mass
requirement applies(FR10). Not
Steel 0 Steel [2servable
PNot
pplicable
Complies
303.2 Wall insulation is installed per
manufacturer's instructions.
[IN4]1 Does Not
omply
RNot
ervable
PNot
pplicable
—4��dofwoo--
Additional Comments/Assumptions:
Impact(Tier��3)
High Impact(Tier 1) bz- I Medium Impact(Tier 2) 3, - J
I Low
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 8 of 13
Final Inspection Provisions
Section Plans Field
# Verified Verified
Req.110 Final Inspection Provisions Value Value Complies? CommentslAssumptions
...................... ........... -—------
402.1.1, 1 Ceiling insulation R-value. �E]Complies See the Envelope
R Rr� I Assemblies table for
402.2.1,
n Does Not
402.2.2, Wood 0 Wood bojmply value5
402.2.6
[Fill' C3 Steel Stee I Not
servable
Not
pplicable
3031,1.1, Ceilin?insulation installed per
0 Complies
303.2 manu a cturer's instructions.
Does Not
CF12]1 Blown insulation marked every
ft2. omply
300
Not
servable
PNot
pplicable
4,031.2 Heat pump thermostat installed Complies
on heat pumps.
P Does Not
0
mply
Not
servable
Not
p
plicable
...................................
Ing,service,hot'water Complies
J�
4Q3.'S."I. Circulat
system�s have,autornatic or
P Does Not
accessible manual controls.
�1111 mply
0
Not
Mservable
PNot
p
plicable
Complies
All mechanical ventilation
Does Not
Pomply
system fa,ns not,part of tested
and listed HVACequiprnent
an, airfl
meet efficac d ow limits
per Table 11,463.6.-1. Not
servable
PNot
pplicable
Complies
4016,2, Every dwelling tinit Is served b
P a heat recovery,v
enfilab
P Does Not
or enerfg,y recovery ventilator 0
mply
(ERV)i6�talled per
Not
manufacturer's'instru�ctions.7'he
servable
HRV/ERV is listed and sized
ade uatiely for the ecific,
catiom, sf Not
which fWII include,
a p p It
the building's conditioned area, Opplicable
and number of occupants.
403-6.3, Installed,performance ofthe 0 Complies
mechanical v
F 13 entflatlon system
ted,and verified by an, Does Not
1 s ie",,s, , Pomply
apProved aglen cy alin d m e.,asured
Not
usinq a flow hood,flaw g,rid,or
otherairflow mit,,3,asuriniq device.
Rervable
Not
Xpplicable
4012 H�ot water bol(lers supplying heat Complies
9`42617 through One-Or two-PJpO
Does Not
5 have outdoor
heatisn,g system
pomply
setback control to lower boiler
water temperature based on Not
Observa
outdoor temperature. ble
Not
p
plicable
..........
Report Title: 4760 Blue Horizons Report Date: 2127/26, 8:54 AM 9 of 13
Section Plans Field
Verified Verified ties? Comments/Assumptions
Final inspection Provision's Value Value Camp
&Req.110
WNW
Heated water circulation E]Complies
systems have a,circulation Does Not
4
pump.Thesystem returni pipe is
Pomply
a dedicated�eturn pipe,or a
i 9 Not
cold,water;supp$y pipe,,,Gravity
yphon circulation
and thermos-s servable
rs, stems are not present.
'ofs for circulating 110t, Not
-C n
o tr
water system pumps,start the Ppplicable
pump�wit'h si�gnal for hot water
deryland wit6in the occupancy.
Controls automatically turn off
the pui�mp,when,water,is in
circulation loop 11s,at Iset-point
temperature and no,dernand for
h,,ot water exists.,,
............................
Complies
I 470i. 2 Pt E""i Pc ric heattracesv tems
'cornply wi,th IE1 A or UL
Ff 9112"
P Does Not
51-5.,Controls autornatically
0
adjust,the,energy input,to the mply
heat tracing to'ffiaintainthe A Not
desired�lwater temperature,In Rservable
th,e piping.
Not
Ppplicable
.................
Complies
461,5.2 Demand recirculation water
Does Not
(93012' systems have controlst iat r
manage,operation,of the pump
lk Comply
and Urnit the temperature of the
water entering,the'cold water Not
T
piping to<=1040F.
servable
PNot
pplicable
EDComplies
401$.4, Drain water heat recovery units
have>=40 percent efficiency if P Does Not
installed for,equal,flow or>=52
0
percent effIciency If Installed for mply
uneaqual flak,Vertical drain Not
Uservable
Water heat recovery Units
comply with CSA B55.2 and
P Not
tested7 and labeled in
pplicable
accordance with CSA 1355.1.
Potable water-side pressure loss
of drailn,water heatrecovery
units are<3 Psi for Individual
units connected to one or two
-side
showers.Potable water
gress,ore loss,of,drain water,
eat recover" units are<21,Psi
for individuall�u'n'its,connected to
three or more showers.
!fly
''Heated watersugpi Complies
y piping is,in
40.5.50
,4,',�,J'F 3 3]j'2,,' acccordance,witt one of tHe
P Does Not
following:�1)Maximum 0
mply
allowabl�,pipe,l,erigth method,
R Not
1461ximuni aflowable pipe
e r servable
Volume rnehtod,3)Drain wat
heat re-covery u1nits.or 4�),
Not
Recirculation Systems'.
p
plicable
1404.1 90%or more of perrrianent Complies
[F1611 fix-tures have lamps with an
Does Not
efficacy>=65 lurnans/watt or
Pomply
have a total luminaire efficacy,
>=45 lurniens/watt., 1PNot
Dservable
PNot
pplicable
Comp
lies
404.2 Detached one and two-family
[F13511 dwellin S�and townhouses P Does Not
Whe - t�%conditioned space is
0
>1,400 sf,compk,with the it mply
requirements o ppendix RA.
Not
Poservable
PNot
pplicable
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 10 of 13
ield
Section Plans F
Verifled VerIfted
&Req.10 Final inspection Provisions Wilue Valu"e, Complies? 'Comments/Ass I umptions
W................, WM........................ ji W
one,ortwo-family,dwellings and E3Complies
[F136]2- townhouses vvith parking area, I
Does Not
PrOVided on the bUilding site
P
shall have a 2,08/240V 40-amp If omply
:,outlet for each, dwelling:unit or
Not
anel capacity and co6d'uitfor Pservable
JI
thlefuture installation of such,an
Not
outlet.See section details.
p
plicable
...........................
4,041.1 Fuel gas lighting systems have Complies
[Ft'23P no contindous,Oilot light.
P Does Not
omply
Not
3servable
Not
p
plicable
.................
Comp ies
4013 11111 compliance certificate posted.
PDoes Not
0
mply
QNot
servable
Not
'X-pplicable
'303.3 Manufacturer manuals for J,,n Complies
"P
1813 mechanical and water heating Does Not
systems have been provided. 0
mply
QNot
servable
PNot
plicable
p
`7 (D Complies
402.2;3, Vented attics with air permeable
'I F12,21-1, insulation include baffle
P Does Not
�,.hat exte',nds over mply
adfacent,to sofflt and eave 0
vents
'insulation. @Not
servable
PpNot
plicable
402.2.4 Attic access hatch and door R=, R=I Complies
[F1311 insulation::-R-value of the
adjacent assembly. P Does Not
omply
UNot
servable
PNot
pplicable
402.4.1.2 Blower door test @ 50 Pa.<=5 'ACH 50, ACHSO C]Complies
(FI1711 ach in Climate Zones 1-2,and P Does Not
<=3 ach in Climate Zones 3-8. omply
12Not
servable
Not
40plicable
...... .......
1-403.3..imm 3 Ducts are-pressure tested to Complies
[F12711 determine ai"r leakage with Does Not
either,-.Rough-In test:"Total CfM/100 ft2 cfm/100 ft2
leakage measured with a Pomply
pressure d i fferend a I of,"0.11 nch Not
I wg.across the system including wervable
the manufacturer'S air handler Not
enclosure if installed at time of
test.Postconstruction test:Total Ppplicable
feakage measured,w,ith a,
pressure Offerential of OA,inch
w-g.across,the entire,system,
Includingthe manufacturer"s air
handler"enclosure.
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 11 of 13
Section Plan's Field
Verified Verrifie' d
iteot) Final Inspection Provisions Value VAlue Complies? Commeiiits/Assumptions
403-3.4 DuCt tightness test result of L I�Lj '0 Complies
<= r
[F14]1 I rn11001 ft2 acrossthe 1 36 ft2 Does Not
system,or,�<=3 qfm11,O,O,ft2, cfm/100 ft2 CfM/11 P
OMPJY
voit hout a i rhaandler,@ 2 5 Pla.,For,
rough-in tests,ver",ification,,,may gNot
need to accur during Framing I servable
Inspection.
PNot
pplicable
..........
Complies
403.3.2.1 Air'handler leakage designated
4
[F124]1- by manufacturer at<=2'0/o of
P Does Not
design air flow. omply
Not
servable
PNot
p
plicable
All
..................
403.1.1 Programmable Oliermo,!5tats Complies
ins(a-fled for,contr,ol of prlrnary�
P Does Not
heating and cooling systems
0
mply
aind initially set by,manufaCtuter,
fications. Not
i
to code spec'
servable
Not
p plicable
............................
Additional Comments/Assumptions:
Hi h Impact(1-ier 1) Medium Impact(Tier 2) 1 nw In act(Tier 3) -
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 12 of 13
2020 NYStretch
2018 IECC Energy,
Effic"i"ency
Cert"Ificate
..........
Above-Grade Wall 23.00
Below-Grade Wall 0.00
Floor 10.00
Ceiling III Roof 48-00
Ductwork(unconditioned spaces):
!I jj��11111111111110�igll 1111111 11 1 ''"1"1 11
10i 0 ii''I
I...........
ig
ii
Malmo, 199,;!Ei ii!iii I iiiiii"
Window 0.25 0.25
Door 0.25 0.25
Skylight 0.00
Heating System:
Cooling Systems:
Water Heater:
................... ..................
N a m e: Date:
Comments:
Report Title: 4760 Blue Horizons Report Date: 2/27/26, 8:54 AM 13 of 13