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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#: 53033 Date: 05/29/2026 Permission is hereby granted to: Miro Florence Trust PO BOX 619 Mattituck, NY 11952 To: demolish (as perTown Code definition) and reconstruct asingle-family dwelling as applied for per 5CHD approval. Premises Located at: 495 Knollwood Ln, Mattituck, NY 11952 SCTM# 107.-6-9 Pursuant to application dated 04/30/2026 and approved by the Building Inspector. To expire on 05/28/2028. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition &Alteration $2,324.88 CO-RESIDENTIAL $100.00 Total 2 424.88 ing Inspector TOWN ofCJUTI�(�LD —BUILDING- DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold, NY 11971-0959 765-9502 Telephone (631) 765-1802 Fax (631) Date Received APPLICATION FOR BUILDING PERMIT Iw g For Office Use only w, 2 r'' PERMIT NO. Building Inspector,- Applications and farms must be filled out in their entirety. Incompletecul I. a applications will not be accepted. Where the Applicant is not the owner,an Owner'sAuthorization form(Page� shal l�e com pleted. leted. Date: */&/A� OWNER(S)of PROPERTY: Name: SCTM# 1000- 10-+ r 05& Pala Project Address: J157 ' MaT-nrur� I� Phone#: ., _ S� Email: , , p, YAW�o,31 3C /5D a4g. cony Mailing Address. 4213 nPOW, emovq, ao t AWEentj 33 CONTACT PERSON: Name: Sze, plema. Mailing Address:1213 Mioaf,„ 9oD ' CAwWroto • NY v 11q.S3 Phone#: 631 - 04r 5 15 Emai1:SZE • Pla4g. YAll`W-Com DESIGN PROFESSIONAL INFORMATION: Name: DR01 p fhA9n0J.V Mailing Address: 1S f )107 W CA" •11�' Phone#: �, , ,. Email: Drh AliT'115.4; sfrWo-can. CONTRACTOR INFORMATION: Name: 5,,e Mailing Address: 4213 MI W CAWEV-w ' N /lq.S3 Phone#: 0O_ + Emai1: . IS . f#a4 �,3 l 3 ,515CS 9- (1, YA ccwn DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure MAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ ► D+t" 7 .0 Will the lot be re-graded? ❑Yes ;lNo Will excess fill be removed from premises? ❑Yes X No 1 r � a Albert J. Krupski, Jr. M[WA\,�F]Ellk SUPERVISOR 1\A[ANA.,G]EM1ENT SOUTHOLD TOWN HALL-P.o.Box 1179 o► Southold53095 Main Road-SOUTHOSOUTHOLD,i"NEWYORK 119?11�' wvr� CHAPTER ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA. OR. LARGER. ) Other) APPLICANT: (Property Owner, Design Professional, Agent, Contractor, JA.MIE. Date: , C A-111t) .......................... w t � o Contact Inforat ion: 1:y C (E-Mail&Telephone Numbei) w� o " 0 Prope Location of Construction Site: S.C.T.M. #r 1000 District ------ ection Block 1,40t TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT [ ] - 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. Pier it i.s 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 Buildin ` Permit.r, 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 MUSS` OBTAIN a S.P.D.E.S. Permit t thold Town En ineerin De art �t P,r1,)r, to Issuance of a Ruildin g Perrr i l. l.. w Ub6" m� Reviewed date: - ...................... FORM # SMCP-TOS December 2024 t t!ck b r rr ! f I. i f 17.%,= r ,JC o pliance ,r r Certificate III10 ......... ... M A Y11 r �G Project Information Project Title: Private Residence-,Knollwood Energy 9y Code: 2025 Energy Conservation Construction Code of New York State Location: Mattituck,New York Construction Type: Single Family Project Type: New Construction Project Sub Type: None Conditioned Floor Area: 3795 ft2 Glazing Area: 27% Climate Zone: 4a(5331 HDD) Project No: 1843715 All Electric: false Is Renewable: false Has Battery: false Has Charger: false Has Heat Pump false Construction Site: Owner/Agent: Designer/Contractor: 495 KNCILLWCIQD LANE JO E PIRIR DAVID MARTINS MATI'ITUCK, NY 11952 4213 MIDDLE COUNTRY RD 18 MIDTOWN RD PIRIR CONSTRUCTION ARCHITECTS MAD CALVERTON,NY 11933 CARLE PLACE,NY 11514 631-300-5450 631-332-3021 JOSE.PIRIR YAHOO.COM dm@architectsmad.com Project Notes: New(2)story addition to rear and front of dwelling.New in ground pool.New front porch.New rear deck, Energy Credits Description Credits R408.2.8 Demand responsive thermostat 1.0 R408.2.11 Higher efficacy lighting 0.0 R408.2.5(1)ERV or HRV installed 0.0 R408.2.6 Energy efficient appliances 1•6 R4 18.2.2(11): High Performance Gas furnace and cooling(Option 3) 5.0 R408.2.3(2)(a):Gas-fired instantaneous water heaters(Option 1) 6.0 Report Title: Private Reside nce_KnoIIwood Report Date: 5/18/26, 7:22 PM 1 of 13 Envelope Assembli es Prop. Req. Assembly Gross Area or Cavity Cont. U_ U_ Prop. Req., Perimeter R-Value R-Value Factor/ Factor/ TC TIC F-Factor F-Factor Ceiling 1: Flat Ceiling or 785 40.0 0.0 0,029 0.026 23 20 Scissor Truss Ceiling:Cathedral Ceiling 1083 40.0 0.0 0.026 0.026 28 28 Floor:All-Wood 577 40.0 0.0 0.025 0.033 14 19 joistfTruss Wall 1:Wood Frame, 16" 1980 5.0 21.0 0.034 0.045 43 56 O.C. Window:Wood Frame 306 0.270 0.270 83 83 Door:Glass Door(over 422 0.270 0.270 114 114 50%glazing) Wall:Solid Concrete or 751 15.0 0.0 0.078 0.060 59 45 Masonry Insulation position: Interior Insulation 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. 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 2025 Energy Conservation Construction Code of New York State requirements in REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Zjr AN,10 Name -Title St', nature Date Report Title: Private Reside nce-Kno I 1w ood Report Date: 5/18/26, 7:22 PM 2 of 13 f2lf �ion, Chec Ust spect k i ............... Energy Code: 2025 Energy Conservation Construction Code of New York State Requirements: 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. Pre-Inspection/Plan Review ............. 50"Olon, 01 ans, VO r1fied, VedfWd V '� R Ab" Pire-InSpectllbn/Pllan Review a 1 UO ICIOM P1 les? Co,mmi ts/As,su ption�s 105.1, Construttion drawings,an�d Complies 105.2 documentation deitnbnsttate Does Not (PR1]1 energ de c kance for the ',y co � cow Pomply building envelope.-T'Jierrnal envel6l5e,air barners,energY Not credits. renewable energyt 9servable attery storage,solar ready systems,and energy gy Ompliance 0 Not path,represented on Applicable constructilon documents., /��,������i�// —--------- 105.1, Construction,dirawings and Complies �/ %�f�� ,✓f 105.2, documentation demonst"rate � o� ���,, % % Does Not 403.8 energycode cornphancle for Pomply [PR3]1 110t1 h9 a nd mechanical syster&.systenis serving Not m / i/// ultipte dwell,ing,units mtist m 93servable deonstra'te,core lime with n�,✓ %ff� �f� % % Not the IfECC Commercial Provisions. /if f /�i % f�1711 Tpplicable .................................. 302.1, �fea and coolin equi mient Heating,- Heating,,, C:)Complies 403.7 1z an per P, 1p" Btu/hr Btk,j/hr Does Not [PR211 basedoin loadscalcul-r3ted pler ACCA,Manual Brother methods L--j Pomply approved b, code,official. Cooling., Cooling! Not B,tui'hr Btu1hr Wervable 0 Not Applicable Additional Comments/Assumptions: High Impact(Tier 1) Medium Impact(Tier 2) 3 Low Impact(Tier 3) Report Title: Private Residence-Knollwood Report Date: 5/18/26, 7:22 PM 3 of 13 Foundation Inspection S Ott'01 , 10 �s UIMO C Req.30, 60 0 an nspelctibm �C'b J M-P I I o,m. m—le nts 'Ons S Stems Serving multiple dwellin units C]Complies ly coniply,with SeEtio Cns C403 and '404 of Does Not the,commercial code. romp ly Not 3servable Not p plicable ............ Hea ti ng he'a tin g Heating sysradiantems inst d,or oukdqor Complies systems coritroltedhea,tiDoes Not Y oc'CL�j by,occupancy,sensing or t'imer switch, Po m ply �Not servable WN4- o piicable Snow and ice-melfing gstern controls Complies installed to shut off sys e,rn when pa Does Not `4 pavement temperciture,> 5 0F and no, e p rc, pomply ipitati'on,or autornabc controls to i shut off''the system when outdoor Not teni per'atore,>40F, Rservable PNotPplicable Additional Comments/Assumptions. 1 High Impact(Tier 1) Low Impact Medium Imeact(Tier 2) 3 (Tier 3) ................. Report Title: Private Residence—Knollwood Report Date: 5/18/26, 7:22 PM 4 of 13 J Framing 1 Rough- n Inspection NO d Fr mn g/Rough- � d fl e R � 1�ns U � � n�/ s,� Ott e 303.1.3 -factors of fenestration //%// ��/% i� � %�%/ mplies //���/�/ ,� /i�� FP�4 1 products are determined in ��,� 0� // r�Or��/ � s, accordance with the NFRC test PO Mn P I Y ..,� % r� � rocedure or taken f romthe � �� � /� i // � %/ default table, ., //o /o%i �!% Not servable Not pplAcable 402.5.1 1 Air barrier and thermal barrier Cm, le 1 manufacturer's Does�,;��'r /�� installed per ma ,�f� � instructions. / ///�/ /,,,,�, servable PNot pplicable 402. .3 Fenestration that is not site built Complies is lasted and labeled as meeting ; es Not AAMA/WDMA/CSA plo101,/1,5.2/A44,0 or,has infiltration // mply // //- //� �° te�� er IFC 0 that do not ,,,,,0 � ////,.,, f //�/ /// f �,i/ Not exceed code.limits,, ,,,����///� � //// ,��/ � /�� /; 91nervable, Ppplicable 77 G, ,, riiii0iiiarrr/„/G, ,, i ,;,;< uIl mw IC-rated recessed lighting //,, %// ////i %/// / 0 Complies fixtures sealed at f 0 / ,�,, finish and ���� � r/��i%� /� /�� housing/interiorr%� � off/ /,� //���i r f /� , Does Not labeled to indicate_2.0 cfm , � � ,�r/�/��,, ' ii//// �, „/ /r,%, f leakage at 75 Pa. /�/� /, ��� ,� /;,; Not Poservable /M,q PopplIcable 0�� HVAC piping convey�n fluids p , C�om lies ;e� gg above�105 F or chilled fluids below 55 Fare insulated to_Ft Does Not 3. Pomply Rt servable Not licable dampers � liesAtc Automatic or gravity are installed on all outdoor airDOes No intakes and exhausts for ir //,rr„ /// o ///%%/%/// ventilation systems. Pornply mechanical �' rr r ,. ,,, . y . . //ri/r/ri rrr rir rid/r o //%/ �/� � „, i,,, r///; ,ri riii./fir orrrr r r�j%/////////////////%/%////�//%%//i����/rr,,,,,�/�� '". Wervable PONot pplicable G 9 �,..,, ri///,,,,,,,,,,ram// //�,rar;�� / "%/////iiir,,,,��,a r .. "m AA Ventilations stems in climate /���„////// ro/i ,/%, / o// Complies zone 6 shall utilize heater r�///% ,,,/�i """�� i�% J �iiii/iii/i iDoes Not energy recovery with balanced I, ,� /rrrrrr i �/,r/ Pomply, % //////i0 1%aaii�,/ /ventilation and a sensibIe ////// � / �„�� /,,,,,,,,,,r;//, %/ /rr;;�� recovery efficiency(SFtE)F. Ill , 65% Not ervable Ppplicablie ` /�/ /�;wwwwrwwwrawww �i.r.rwwr.w...� , r r r it r d . 40 �.3��,�3 Supply and return ducts in attics Complies • E- r ' ;. ////�///�/"riiii////,�/�//i�//� j j/�///�� �////iiiiiiiii, ��, insulated>= R-8 where duct is ,,, / /r�,,,�„ ;%„ %�io� I. 82 ; iii/ pest >=3 inches in diameter and >= -6 where<3 inches. r%, %/////////////////%/ ,�/�/%irrrr, Pomply Not ��///%/i iiiiiii r/ r��i//%/���� ail r r tern l POI /i / lgcable 1 Report Title: Private Residence_Knollwood Report Gate: 5/18/26, 7:22 PM 5 of 13 Plans 'Field F ra lh�mflpig,tRoug 4n Verl!19144, Ver,ified & ,en,ss� M A,60.110 Inspect"Idn 1U6 "VaJue C16,M,01,10"�,?' CO'mm t A"U' P�11:110 ns ---------- 403.3.6 Ducts,air handlers and filter El Complies [FR1311 boxes are sealed with Does Not joints/seams compliant with Pomply International Mechanical Code or International Residential Not Code,as applicable. 9servable %/ ��� %/% ;� �%�>%,,�i %r„„//� Not .,,,,,/// / /// ��i Ppplicable /// /W _W, VON 403.4.1 Protection of insulation on HVAC % �� / Complies [FR2411 pipi ng. //� � %% ����% Does Not ////// /// �// �/ Pom I /��/ /� �� Not Wervable Not ...... liable --- ---------------- p Hot water pipes are insulated to R Com lies > 1 inch of insulation. Does Not Comply WNot ervable PNot plicable -------------------........... Air sealed electrical and Complies ... ...... communication boxes installed Does Not in the thermal boundary of the ,� / f/„ �; %% envelope sealed to limit air Pmply / / ' /////// y leakage between conditioned ,� % Not and unconditioned spaces. Qservable i%/;/ ,r ',/% ,, N tit Ppplicable 403.3.1 Ducts ystems are desiqn and EJ Complies [FR12]1 sized in accordance with ACCA1%�/ ,% %����oar /,,,,,,,,,,,/////� Manual D based on HIVAC sizing Does Not calculations in R403.7.Duct pomply systems serving multiple Not dwelling units is sized in ervable accordance with ASHIRAE % Handbook of Fundamentals, Not ACCA Manual D or an equivalent Not methodology. //�� /� �, 403.3 Ducts stems are desiqn and 0 Complies sized in accordance with ACCA [FR31]1 Does Not Manual D. Duct systems serv /////�� ing Pomply multiple dwelling units is sized in accordance with ASHRAE Not Handbook of Fundamentals, 9servable ACCA Manual D or an equivalent Not methodology. Applicable 402.1, Glazing U-factor(area-weighted U E)Complies See the Envelope UJ= I 402.4.1, average). n Does Not Assemblies table for 402.4.3, Comply values 402.6 [FR2]1 Not Rservable 0 Not Applicable Additional Comments/Assumptions: -— -------- High Impact(Tier 1) ( Medium Impact(Tier 2) 3 Low Im act Tier 3) Report Title: Private Residence—Knollwood Report Date: 5/18/26, 7:22 PM 6 of 13 Insulation Inspection se"C',tio,", Plans, Id Ver,166,d Verified eI II e i tbmplies? Commentsffisoump 'On's Insudatton,lnspettio-n V161u,e,, Vaitil ti ........... P ///% //j//// ;;rr,!,,%// ��% Complies All installed insulation is labeled If or the installed R-values Does Not provided. pomply Not servable f / /irr� � / /�j,,, Not %�,% /� ,,/„f / Kpplicable err;„rrr 303.2 Wall insulation is installed per 0 Complies [IN4]1 manufacturer's instructions. %/� io%� r��„ %/ �/� Does Not %% / ��/ // Pomply f/ � if// // , /// / �/ // /� Not servable �/���� ,!// ////��%,,,,// PNot pplicable ............... 402.1, Floor insulation R-value. Complies See the Envelope 402.2.8 Rj RE= Assemblies table for [IN1]1 C)Wood 0 Wood Does Not Pomply values E)Steel 0 Steel Not 9servable PNat licable 303.2, [Floor—insulation installed per CD Complies 402.2.8 manufacturer's instructions and Does Not [IN2]1 in substantial contact with the und�ersfde of the,subfloor"or, Gam ly floor f'rami,n cavity,insulation is Not 'a W Ith th e,top side e of servable in i ct ��, PO sheathing,,or a combinatiop of, Not caviltyand,continuous in e,ail sulationr /j %„/ �i,,,, //, installed so cavity in,sulation Plyplicable i, in clontact,witih top,side' of continuous lnsula tiara. 402 1, Wall insulation R-value.If this is R R, Complies See the Envelope 402.2.60, a mass wall with at least 1/2 of Assemblies table for 402.2 7 the wall insulation on the wall 0 Wood 0 Wood Does Not values exterior,the exterior insulation Pomply requirement applies(FR10). 0 Mass 0 Mass Not 0 Steel CD Steel 9servable PNot pplicable 402.2.3, Wood attic knee walls or roof 0 Complies 402.2.3.1 trusses separating conditioned [IN1411 spacefrorn unconditioned attic Does Not �pacecoinply wlthJhe Pomply insulation re,ouirements in Table Nat R402.1.3.Attic knee walls �/� / �� Pservable contain an air barrier between the conditioned and Not unconditioned space. / ilia p pilicable Additional Comments/Assumptions: ---------- 1 High Impact(Tier 1) Medium.1moact(Tier 2) 3 Low Im act(Tier 3) Report Title: Private Residence—Knollwood Report Date: 5/18/26, 7:22 PM 7 of 13 KK Final Inspection Provisions ;dl 'S'ectllo' n* pfan�,; Net Verified F.inAl In" ttf V 0,6641 peov=s''O", Valluie" vw,ue, C 4, Cohi,nmont�/A,01,4m,ptions ---------- ........ 303.1-1.1, Ceiling insulation installed E)Complies per manufacturer's / �/ �/ ,,, 303.2[F1211 Does Not instructions.Blown insulation 0 marked ever,300 ft2, mply �servable / � / 0 Not Main�/,, ,, %/,%�/;�/�� /// / /�i Applicable 30,33[FI1811 Manufacturer manuals for E]Complies mechanical and water Does Not heating systems have been Pomply provided. / /,,,,�/ /�// / jr-�Not Observable ,/ I/ ,/ ,/ �/ /// / P Not plicable P Complies 4103`1`2`1' Heat pump supple mentary heat cloriiteols to preventfi / %/i�� /�iii�rDoes Not supplemental heat when ,rrrr,,,, ��,/���,��� / o/�% /%/ /// / //� Pomply heat pump corn pressor cart serve,the heaUng load. Not %%,1,� /i/�/��.� � ��i' Uservable PNot plivable Hot water boilers have 0 Complies F" automatic outdoor setback control to lower boiler water Does Not Pomply tem erature based on c Tco'or temperature,indoor Not temperature or water Pservable temperature sensing. Not Ppplicable / �i�„�/,,,, //, fit. 403-3.6.1 Air handler lea'k,age E]Complies [F12411 d,esignated b manufacturer Does Not at<=2% I e of Ysigri airflow. Pomply 'ii/Uif���// % Not Wervable Not �! ii ez;: i Applicable I E 403-3.7 Ducts are pressure tested in Complies [F12711 accordance with /100 ft2 CfM/100 ft2 es No t ANEI/RESNET/ICC 380 or cfm Po Domply ASTME1554 to determine air leakage with either: Rough-in Not test:Total leakage measured Wervable with a ressure differential of Not 0.1 incpmq.aacross,the s:ysteni including the Ppplicable manufacturer*s air haw enclosure if installed at time of test.Postconstruction test, Total lea,ka,ge,measured with a pre,ssure differential of 0.1 loch w,,gl,,across,the entire systenl'including the manufacturer's air hiianfiler enclosure. 403.3.8[F14]1 Duct tightness test result of Ej Complies <=4 c m/100 ft2 across the Does Not s-ystem or<=3 cfrnll,010,ft 2 CfM/100 ft2 CfM/100 ft2 witt'tout air handier"-ow 25 Pa. Comply Duct tightness<=8 6 1/100 Not ft2 for ducts within thermal 9servable envelope. For rough-in tests, verification may need to Not occur during Framing pp livable Inspection. ------------ .......... ......... C1 Complies rcutating service hot water , systerns Have,autome atic or acc /// Po////// Does Not essfbte manual contro, mply Not _/W5 servable Not p plicable ........._- J, .. .......................................... Report Title: Private Reside nce—Kno I 1w ood Report Date: 5/18/26, 7:22 PM 8 of 13 r, Section I Plans ns Field 1 & Req.ID Final Inspection Verified Verified Provisions Value Value Complies? Comments/Assumptions 3. ...,1 Demand recirculation water /,// %%///���/////i/f%�� � Complies systems have automatic ,,,/ ,,,,,,, , // /, ! Does Not controls to start pump when / pomply ; hot water is requestedn aservable / Not licable 4 P I 03 5' Heated water circulation Complies systems have a circulation %i/ %%,% i / / ,�/ %�� % Cues Not pump The system return �pipe is a dedicated return , „/, // % / e or a cold water supply o ���/�t/ o Pomply pipe PP y ;!% �%/ �/, � �� Poservable Not r vit and thermos �, ,�./ ,/, pipe. ,/ ���/////,/ %,, /�, syphon circulations stems /� , /� // /�/'�% Nit �are not present.Controls for /�%� circulatinghot waters stem �!�/ii�,r% ���%���ii//�� Applicable %/ pumps start the pum with signal for hot water demand within the occupancy. Controls automatically turn off the pUrrip when water 15 in circulation loop is at set- point and n o temperature a demand for hot water exists. 3,5.1,"� Electric heat trace systems %' ��/�� ���/, i'i/i ( Complies m I with IEEE 515.1 or U� � �' �� %�� � (F1291,21 comply r,���„�, //, // /, / �! ��/,�/ �/ f Goes Not ///D /'/„ / ///////i // r,, 515,Controls automatically �� ! /� /// � ', , ,% � O' / adjust the energy input to Comply ����/� ���f� /� J the heat tracingto maintain 'i � / Not / the desired water Rservable temperature in the piping. PNot p plicable r, -,i//%/'rrrr`. / ,/ //%//Oil/ /ii///////i /////r ,/i/fi„ Grain water heat recovery % ////,,,///////, /%/// f%/////%J Complies F 131 1 2 units tested in accordance 'f%' ' /// a/' %�, � /f ,% Does Not I/ with CSA B55,1. Potable i//%// /r/Y//G/ f i PO water-side pressure loss of D/%,!1//���!/ � , of/i /�//// /i;l//� //// / / drain water heat recovery ,/// ��,���/� /////// � Not mply units<3 psi for individual p „,/,,,,%, /// /„ P3servable it connected to one or ///,/„/i / /r// � / ,/ two showers. Potable water- i%///�/� �,�j��/ /////, (�Not ,i��/ /// %i side pressure loss of drain �/%� f�/% r f� Applicable water"let recovery units< r:. 2 psi individual units /� �, ,��/, � ,� p � end v �/� //ii� ���� � �i connected to three or more showers. i//,, Compliance certificate Complies posted with buildingP ��/ / �>/,r�i�� /%f,, Goes Not //i /%�' /,f/ specifications,coin liarce '! / %/%/ ,J path,R40$energy credits' �/,/ � / �/ mply a/i � / j, results and solar read zone //,,//%!�/ �j�,///,/f� "<,,% Not if provided. /%%i �/% %j/ io / Wervable Not l i Ap p cab e iii,,, � /ioi,'//'%/,iii//r'G%r,/p/Oil/!'"I,//////i/r ioiiii// rrriirpiiii ,,,,,, i////�i////%/%C /�/%l/�//%li%///�%//%../ o�f�,,,//!%//%%i//�/% �i,rill//riUi/�//; / i / Complies ���.2, All mechanical ventilation �/, ,,," / // 2' system fans not part of �/,� %%��//,//r�,,,,,, %! �// ��/,,,f,��,,r/ /////;;////�/�� Does Not tested and listed HVAC r0 /,;/ /i i ;/ Pomply e ui ment meet efficac and � : airflow limits p e r Ta b l e NO Not i R403.6.2. servable PNot pplicable Mechanical ventilation i11 / Complies ,[Fl 3,] systems tested and verified " r,//////////J///////�% //// „// /�/� %%/%/%� Pomply Does Not to meet the minimum flow ���/ ;;/°%%/�/////,jj rates required by Section Pservable Not able��+/t /'� 43.`6.5 Intermittent exhaust for Complies / (F13 1 bath rooms/to i I et rooms has automatic control occupant r/////r Does Not sensor control, humidity omply rr„ control or contaminant ;r,, r, 1 Not control. ' 93servable ' 1F Not / r Applicable Report Title: Private Residence_Knollwood Report Gate: 5/18/26, 7:22 PM 9 of 13 .......... S�ectilo,,n Z P1110"'s, Flold FInalInspection; eMOW, Verifiod' Vallue P,IrOVISIO'ns Valtuo comip"1101, Comments/AsstiOtpUbins, ---------- ------- 403.7.1[Fl6ji Electric reslistance heatin�g Complies total capacity-for dwellinj Does Not units,51eep,[69 unIts,and Pomply )CCIU, anices in the buitcling // //lilt/��� /��/of //��//��/���i ii%������/�////��%�/���' TO kK Not Poservable // // ,/f. /// P Not p p I i c a b I e 402.1, Ceiling insulation R-value. R= R Complies See the Envelope 402.2.1, Assemblies table for 402.2.2, Wood 0 Wood Pomply Does Not values 402.2.7 [FI1]1 0 Steel 0 Steel Not Uservable PNot licable 403*1341 Gas fireplaces equipped with 0 Complies 401,13.1 on-demand pilot, Does Not t,F135,13 intermittent ignition or interrupted ignition. pomply Fireplace efficiency>50%in Not accordance with CSA P.4.1 ,,� , , /,. 93servable i� /% , PNot pplicable 404.1[F16], 100%of permanent fixtures Complies have high efficacy lamps. Does Not Pomply /��i l//��%//� �� /%// Not Pservable Not ........... �,,,//,f %//i %� % f /', Applicable Exterior lighting ower is Complies [03.513 below the allowaM wattage Does Not in Table R404.1. ff�f � Pomply �f i, %�/ P Notoservable ,,,,,��///���� / /� []Not 01', Applicable 404,1,5 Fuel as lighting systems Complies [FJ231� have no continuous pilot Does Not light. Pomply i f �/ /� ,� .� / RNot ervable PNot pplicable ................................... 404,2.1, Permanent interior lighting Complies fi / // 404.2.2" shall be controlled with ��,;;//,//,,,,////,,,,,,/,,,,,,, ,,/ %, M136]3, either a manual dimmer, Does Not occupancy sensor or auto Pmply shut off control based on % Not occupancy built with manual servable override. E)Not Applicable ' //����� ,iiiiiiiii�� / /ii„ill//////%%%%%iii/ 404.3[F137]3 Exterior lighting>=30 watts Complies shall have the following /j Does Not controls: manual on/off Pomply switch with automatic shut � „//„//////%,,,,;;,, ,ff�i/ - off,automatic shut-off in 11H gl, P Not daylight hours,and controlsOOOio Dservable that override automatic shutoff that returns to Not automatic control within 24 Ppplicable hours. 464.4[F136:13, Where.renewable en Compliesergy rent is generation equ Does Not installed,signeTattestation for renewable energy credits t�omply (RECs)or energy attributable II'II"II' //,/......... .... Not certificates(EACs) 93servable associated with the . .........//w 'e1171" ................ Not renewable energy used for compliance are provided to ................ Ppplicable the code official. Report Title: Private Residence-Knollwood Report Date: 5/18/26, 7:22 PM 10 of 13 s6cItio' n,* Plan,s Field Rpq,.I D Fin"al'Inspectio'n! Verlfi6d Vertfl[6d S 'Value," V Piles? 1, ,le pl Pkovis'ion� aijue, C'a M ClOmm 001A 5 m0tio ................. Vented attics with air 0 cohnPlIjes, permeable insulation include baffle ad''Jacent to soffit and Does,Not I b'mply eave vents that extends over PO insulation. Not Rservable �oi�% %% /�, ' Not pplicable I ....................... 'M 4 08.2.2.1(1,1) Gas furnace efficiency>=95 Complies AFUE AND air conditioner [FI5511, efficiency>=15.2 PO Does Not SEER2112.0 EER2 for mply additional efficiency credit //, , //i O/% Not @s,ervable ,�/ �r/f � � P Not pplicab'le 4,08.23(2)(a) Gas fired instantaneous Complies F 161 J1 water heater efficiency>= Does Not 0.92 UEF for additional 0, efficiency credit �i rnply R Not ls,ervable /% , /%/// 3I Not pplicable 740 2-5.1.3 Blower door test 5 0 P ACH 501, ACID 50 01 Complies [FI17]1 <=3.0 ACH50 in limatea, Does Not Zones 4-5 and<=2.5 ACH50 in Climate Zones 6. on ply R'Not s,ervable Not pplicaWe 408.2.5(1) An Energy Recovery 0 Complies [F17511 Ventilator(ERV)>=50% Does,Not latent recovery/moisture Pornply transfer(LRMT or Heatrrrrr �� //�r.. Recovery'Ventillator>=75% Not sensible recovery of f Riservable (SRE)is installed for Not additional efficiency credit ffl" pplicaWe 0 omI ies48.2. Refrigerators,dishwashers [FI80," and clothes washers/dryers :;� ;�� are ENERGY STAR rated for Does Not additional efficiency credit P'nipty Not of/„///%%/ ii/i / r, R„f/ �//,,,!' �ram,�%/����,� �f servable /// / !/ ///// // /rr; Not Op'"plica,b]'e 408.2.8 Thermostats controHing 0 cornplies [F182]1 primary heatin?/coofing Ith Does Not provi lded wJ lemand responsive control in P,Mpty accordance with,Section Not R408.2.8 for additional efficiency credit ONot pplicable Radiant barriers comply with R, Complies See the Envelope ASTM C1313/C1313M and RC_ Does.Not Assemblies table for are installed in accordance 0 Wood Wood Po M I I values l with ATM C1743 0 Steel 0 Steel No py, t serape Not, pp licable II"II"II;/I/////........... 408.2.11 All hardwired 14,gtitiv hass I�j 0 C,'onipfies "OV [FI84]1 lamp ef cacy>; lumens ............. P Does Not q, dent(or addition I mp y /e! K efficiency credit ........... IAAAI/ lu PNot oservablie 1,//J31111 bI 6 Not', ppoplicable, L/ J Report Title: Private Residence-Knollwood Report Date: 5/18/26, 7:22 PM 11 of 13 lot, ans Field Req,1.0........ 'FinOa'In"spect, on VeIfi Vei revsto . Valfli O'd CI W10 Com0 AtsumpU s , .......... Complies Programmable thermostats ins talled for control of Does Not pri mary heating and co o li ng systerns andl ini"t'i a l ly set byii Pomply iur c ocode Not��%% ` ii�� iii�//� _I �,,, ;�� alai/ice%�%��%'//��//�;. specifications. Poservable P Not RIP, pplicable .......... ...... .......... Additional Comments/Assumptions: El ,, High Impact(Tier 1) Medium Impact(Tier 2) 1,3 1 Low Impact(Tier 3) Report Title: Private Residence—Knollwood Report Date: 5/18/26, 7:22 PM 12 of 13 2025, Energy Conservation Construction Code of New 'York, State� Energy Efficiency Certificate Insulation 110g R-Value Above-Grade Wall 26.00 Below-Grade Wall 0.00 Floor 40.00 Ceiling/Roof 40.00 Ductwork(unconditioned spaces),; liGlass & Door Rating., ...... . .................... Window 0.27 0.29 Door 0.27 0.28 Skylight 0.00 Heating & Cool i nq_gq ent Efflden, !�yi, ................................. Heating System: Cooling System: Water Heater: Sianature ................... ...................... Name:• Date: Comments: Report Title: Private Reside nce-Kno I lw ood Report Date: 5/18/26, 7:22 PM 13 of 13 d t Town Hall Annex Telephone(631)765-1802 To Fax(631)765-9502 54375 Main Read P. O. Box 1179 t Southold, NY 1 1 971-0959 ,BUILDING DEPARTMENT NOTICE 0EMUTILIZATION O,F T USS TYRE CONSTRUCT 110K, PREmENGINEEREDI WOOD C'ONSTRUCTIONAN11310R, T CO RUCT Date. �B Owner: � n f Property: Location o p y Please take notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure M 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 lire): Floor framing, including girders and beams (F) Roof framing (R) ?C Floor and roof framing (FR) Signature: :... Name person submitting this form), DA Capacity (check applicable line): Owner X Owner representative TrussReg 15.doex Effective 1/1/2015 Z dO (1310N S`d 00'WO-dS d2A 9Z'u'ZO Vo :31dOS #8Of #OMC3 :�J33NION3 :31'dC7 A8 NM`d 30 XXV011K300Z M/ZM90 AN AOO'ONIi JgANIE)NDOOI-11Obdi5U3DNIE)N3 a a udr�L! w©O'E)NI�aDANiC)N3001JIOdd*AAM n 0000-886 M9) 9GL1 L AN VIW3HO8Zs l99a 8Z 311nS 3A`d aN`d 19NV�00L 'dn 12jb1S W31SAS ON lyo il> lA ,v✓r[y... ,I�1Nre„ ITT '301AH3S�:13IVM a3SOdMA 'S1MO 3H1 803 73Mdd IVO12J103`13 Odd �JOIOV8iNOO'NOI omiSNOO Ol W 'S1MO 3Hl�A31N3 A3H13�A3 .,, 'N A8na IO3�IIG'3d1d OAd Ot,HOS NI(73 ���,,�, W.a o �� �,�,", �� Id3S d 03�31nt0323 Si ONIIN3A`I' Z96 t )1�10A M3N'3nOOHOlnO 38 ION-I1`dHS cJV8i BSnOH H 3Md-1 QOOMI]ONN 96t, 886 NHOA M3N'NOiHBA-IVO S1MO 3H1 3O Wtl3 30N3CI1S9H'd1H1d CIVOH AldiNnOO 3l(301IN UZfi :80d S1MO V/1 C13SOdOHd 81HId 3SO!` >nO33nS HIM W31 SAS 1N31NIb3 lO3f 02�d :H3NMO �3�7d1SNl a] A1NnOO Nio:jdnS WOd3 1N91/0M NVId 31lS C73SOdO�Jd b ONISn 311S NO ONIA188V Ol V'1.1,L-5 SNOIIO3S`ZZOZ'61 1I�: 3�111133HS `1dSOdS1a 3 VM3S:�O NouonldISN HIM 30N`GHOOOH N1 39 11`dHS S2J NOISSIWBnS-IVWNI 9Z"ZZ'Z6 _ OUSb-1dOMJDH1 ON 00-1 3O0dd-10: 3bnlOn2j1S vn awn NO1 VIUN3A HgdOHd HO_3 ONISIMr 3nSSl/NOISIA32J 31VG "ON HddV VG v"voo-R-8 g o ioz m". . � A-1 NO h� , ,. c Y IIG " S T II,ry:j 3 V4 i'H r tW90 'ON 3SN300 d I Vu^0 Wo Hleflym f w Wd gt':Z IV SVM TIA3-1?A31dMGNno8o 3ad�10 MO-i38,9'2 IV 03�:131NnOON3�J31'dMGNnmj0:31ON (MS)CINVS 3S?in00 Ol 3NId NMO�A9 3-lVd NI H31bM.0°OZ-.9'GZ a8Z 5'0-13 10Z WELL (? RESIDENCE RESIDENCE RESIDENCE USES WELL WATER USES WELL WATER I I USES WELL WATER - 4 - .............. DRIVE , ....�...... KN0LL DRAIN W 0 OD LANE 32.72 Q DRIVE WAY DRAIN 33.71 .............--x----------------------............. ......................-*--- "I E�33.50 x........ ......................... WAY 33.58 33.46 33.48 32.27 33.38 33.59 ............... ...... I PAVEMENT EDGE 33.25 3"1 x 34.15 I x 33.72 x 33.48 x 33.57 x I 33 ASPHALT PAVEMENT x .30 33.57 1 x 33,65 x 33.38 34.77 30.30 33.05 32.95 33.3 32.90 CATCH BASIN 33.10 3 3.44 .0 ..........-- 32.08 33.0 170.00' ---- ---------..........11,11:C�OHE OHE OHE, 0 2 T N 71-47$00" E OHE 4 UTILITY POLE 1� MANHOLE OHE OHE OHE OHE U 54.0 33.93 �34.00 042.9 OH '"m�lm ftft�11T. 4wm *AVW 33.96_ 32.83 x x 33.35 TREE ROW > 32.0 32.62 x 32.53 li x 3: 3:-- Lli bi 0ry N 0 x 32.49 32.0 x 133.83 x 33.36 /uj ELECTRICAL Z� N 10 33.01 x � w I SERVICE LINE c"i 00 ug c6 > 31.52 co ui x 33.73 x 32.55 > 30.84 1 1 33.23 x 32.78 x 133.64 EXISTING 30.98 cr 30.30 WELL x x ------ 32.0 32.98 66.00' 32.0 33.3 x 31.87 'o ...........- 6V-0 2.0 0 GARAGE 43.00' Ld x x m 29.39 31.2 GF=33.2 I PROP. 1 STORY TANKS I as WOOD FRAME DWELLING 4 BEDROOMS FF. EL.=35.40 0 30.0 Of < WOOD x 28.68 ------------ BF. EL.=24.40 x 29.46 0 FENCE 29.0 x $-of$ 0 11 8.0 28 44 -X 8.38 PROPOSED OVER BASE T,................---- 00 CD C) C) 0 'PROPOSED' PATIO 27.09 CN 1 26.0 rT F UF�n 'c:)27.51 Lu Ll 11 u z 10 26.14 co z 26. > co v 24.0=zw 17 0* PROPOSED INGROUND 6.0 PROPOSED c� - e - �- / 1, IN BASEME PROPOSE C�SWIMMING POOL C) C) 30.0 22.0 ,,PRYWELV PROPOSED PANEL AN[ 28.0 DW 0 p `* µ °Aft, /20.0 0 PROPOSED -- /191.75- .0 24.o ELECTRICAL 0 26.0 75p-MIN. Lo 18.0 t�l r MIN, w PROPOSED 0 / //'"~`1�0'24.0 EP-4 14,50 0 I/A TREAT 22.0 8.00, Lij 5'MIN, 00 20,0 Lij m 18.0 20.0- 1 1 1 T- 110,llol NNI w 16.0 14.0 PROPOSED `` ., ,, x I ry DEEP EXPA < 15.11 0 14.0 PROPOSED 18.0 DEEP 13.14 x x 14.95 1 x 13.35 X1 5.00 12.98 x x 12.98 12.33 I-ol 1R n