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Home My WebLink About53089-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#: 53089 Date: 06/24/2026 Permission is hereby granted to: Libby S Fine Po BOX 31 Southold, NY 11971 To construct alterations to an existing single-family dwelling as applied for Premises Located at: 2974 Lighthouse Rd, Southold, NY 11971 SCTM# SOA-12 Pursuant to application dated 06/08/2026 and approved by the Building Inspector. To expire on 06/23/2028. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $329.00 CO-RESIDENTIAL $100.00 Total $429.00 Building Inspector rt TOWN OF SlJ lJ LD BUILDING DEPARTMENT Ton Hall �n54 � � ��Road P. �. Box 1179 Southold,NY 11971-0959 Telephone (631) 7+ 5-1 02 Fax (631) 765-9502 . )�m.,,", . : r �w �'alt"'Ice vied C, E 1� APPLICATUONFOR BU r IV For office Use Only JUN igqPERMIT NO. Building Inspector:., Bu"Ild"Ing Department Town of Applications and farms must be filled out in their entirety. Incomplete applications will not be accepted. There the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. on Gate: C 6/01/ i p OWN ER(S)OF PROPERTY: Name: Spencer Fine SCTM # s000-50._3-12 Project Address: 2974 Lighthouse Road, Southold NY 11971 Phone#: (917) 680-1844 Email: safine@acm.org Mailing Address: PCB Box 31, Southold NY 11971 CONTACT PERSON: l name: spencer Fine Mailing Address: Po Ex 31, Southold NY 11971 a Phone#: 917 +680-7844 Email: safine@acm.org DESIGN PROFESSIONAL INFORMATION: Name: Tim Klesse Mailing Address: Klesse Forbes Architects, 38 Chatham Road, short Hills NJ 07078 Phone#: 201 +618-5985 Email: tim@klesse.com CONTRACTOR INFORMATION: Name. Joel Daly General n rl Contractor Inc. Mailing Address: 205 Boisseau Avenue, Southold NY 11971 Phone#: +681-75 -1 i Email:joel@joeidalybuilders.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition kAlteration C-�Repair [:]Demolition Estimated Cost of Project, ❑Other 200,000 Will the lot be re-graded? ❑Yes Fm�No Will excess fill be removed from premises? ❑Yes A No ,o i PROPERTY INFORMATION Existing use of property: residential FIntended use of property. residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes *No IF YES, PROVIDE A COPY. mini B o ft e-%r ! ding'. 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 haws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Spencer dine Application Submitted BY(print name). [ Authorized Agent ROwner Signature of Applicant: tl , Gate: v � 70 Z �oNN�E D.BUNCH � �c Notary, ubii`c,�Btate of New York STATE OF NEW YORK o. B 8 5O(5o } Qualified In Suffolk Court SS: Commission Expires April 14, ..'' COUNTY OF ,} ,-'-',k being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the (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 -4� ,6,1 �ko da V o f 20 • Notary Public Y A (Where the applicant is not the owner) l ................... 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 ry T AV , o " iance %.e W'", m"l, Project Information Project Title: Fine Interior Alteration work Only Energy Code: 2025 Energy Conservation Construction Code of New York State Location: Southold, New York Construction Type: Single Family Project Type: Alteration Project Sub Type: None Orientation: Bldg,faces 45 deg.from North Climate Zane: 4a (5572 HDD) Project No: 1881243 All Electric: false Is Renewable: false Has Battery: false Has Charger: false Has Heat Pump false Construction Site: Owner/Agent: Designer/Contractor: 2974 Lighthouse Road Mr.Timothy R Klesse AIA Timothy Klesse AIA Southold ,NY 11971 38 Chatham Road 38 Chatham Road Klesse Forbes Architects Klesse Architects Short Hills, NJ 07078 Short Hills,NJ 07078 201-618-5986 201-618-5986 tim@klesse,com tim@klesse.com Project Notes: This res check is for the only interior alterations work, o Envelope Assemblies Prop. Req. Assembly Gross Area or Cavity Cont, U_ U_ Prop. Req, Perimeter R-Value R-Value Factor/ Factor/ TC TC F-Factor F-Factor Ceiling: Flat Ceiling or Scissor Truss Exemption: Framing cavity filled with insulation Floor: All-Wood joist/Truss 200 30.0 0.0 0.033 0.033 7 7 Wall. Other Orientation: Unspecified Exemption:Framing cavity filled with insulation uh*M nt's fori.11alterat"10"��ects 0�k Complliance:�,Fasses ust0g,wr 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 iH R check-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Timothy Mow A& ASI D U% Kies**,Archrftects W Na Date I$* NJ 07078 0 Inspection e _ " u 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 iternl2ed in a separ,ate table,a reference to that table is provided. Preminspection/Plan Review Section Plans Field # Verified t Verified & Req.113 Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions 105.1, Construction draw `ins and Complies 10 5.2 docuv,entatlon demot�istrate f. [PR1 erie,I r: Y,code compliance f0or the Does Not 11 �'bu I �ng ii�nvejopejhermal Pomply envelope,,,air barriers,,energy 0 Not credits,renewabte energy, observable 1,buttery storage,solar,ready PNotsysterns and energy complianceath represented 6nplicable construction documents,. es 105.10 Construc6o'n&,awings aarid; 0 Com pli 105.2, documentation deironstrate P Does Not ,403.8 energy codie,comPlIance for 0 omply [PR311 lighting and mechanical syste,ms.,Systems,serving multipte dwelling units must Not servable demonstraite.,compliance with Ppplicablethe IECC,Commercfal PiroviNat sions. 3 0 2.1, He t'n an coolin equi meat Heating: Heating- Complies Btu/hr, Btu/hr 19403.7 perACCA -amiar"S M Does Not [PR2]1 based oin loads calculated per j Comply ACCA Manual other methodsaroe �o�recode official. I Cooling: pb Co oling Not Btu/hr Btuthr Observable Not .............--i P p plicable, Additional Comments/Assumptions: N. =Hig_�_Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) [ Foundation Inspection Section &Req.113 Foundation Inspection Complies Comments/Assumptions 4�3.8Systems serving multile dwelling units Complies CF19112 comply with Secti nW and C404 of i ' Does Not the commercial code�. amply QN of servable ' Not P pplicable 403.9.1 He,:,at,ing,sy,st,ems'ln stapled for outdoor r C:)Comp lies [FI9212 heatinj'are radiant,syste�ms controlled %. by occupancy sensing or Orner switch. Does Not 0 41 Mply �Not servable Not pplicable 5now and ice-melting s, stem controls Complies 403.9.3a i n sta I led to slut ofl ,e-m when 403.9.4 pavernent temperature>5OF and no Does NotP (F192]2 I ,pitation or autoatic controls to mply Preci m sf.jut off the system when outdoor Not temperature>40'r. servable PNot pplicable Additional Comments/Assumptions: Medium impact(Tier 2) 3 [:, .,,,,,High Impact(Tier 1) 2 Low Impact(Tier 3) Framing I Rough-In Inspection Section Plans Field # Framing I Row �h-In Verified Verifies! u �5e Req,IC Inspec o w Value Value Complies? Comments/Assumptions 402.5.1_ 1 Corr, .]. 'Air barrier and thermal barrier plies y [FR23]1- installed per manufacturer's _ � � Dees Not '� o instructions. Pomply Not servable Not pplicable 402.5.3 Fenestration that is not site built " Complies [FR2011 ;is listed and labeled as meeting Does Not .AA:MA IWDMAICSA 11.S.2/ 4 or has infiltration P mply rates per NFRC 400 that d not Not exceed cede limits. rr senrable Not J pplicableQ m 402.5.4 IC-rated recessed fighting Complies (FR1612 flit .res sealed at Does Not hosing/interior finish and p l lae led to indicate�2.D cfm � m y leakage at 75 Pa. Not servable E3 Not Applicable f g piping conveyin fluids ! E)Complies 40�4 H�' � above 105 -F or chilled fluids R= [FR17 Does Not below 55 9F are insulated to�-R-� amply 3, f a u Not 3servable � Not l Pplicable , 4 p�.�i Automatic or gravity dampers � �f `��Complies [FR13]2 are installed on all outdoor air pees Not intakes and exhausts for _ ��PO m Imechanical ventilation systems. p y PNot servable 0 Not ApplicableAll 403.6.1 Ventilation systems in climate Complies � [MR�C zone 5 shall utIl�z.�e heat or energy recover with balanced Does Not ventilation and asensible ompl a recovery efficiency(SRE) >—_ Not 65%at 32 F. �servable Not pplicable ----------- 403.3.3 S I aid return ducts in attics M Complies [FR12] z Ifir d>= R-8 where duct is I Cues Not >=3 inches in diameter and . �>= R-+6 where<3 inches. ,.Pomply Not servable Not W J ppicab I e l 403.3.6 Ducts,air handlers and filter Complies [FR13]1 boxes are sealed with Not joints/seams compliant with Does P m International Mechanical Code Ja p y or International Residential !@Not Code,as applicable. servable PNot pPlivable Field section Plans # Framing/Rough-in Verified Verified &Req.ID Inspection Value Value complies? Comments/Assumptions 403.3.5(l, Ducts partially or completely Complies 2)(FR26]3 buried in ceiling insulation have f—I Does Not an insulation R-vaiue not less Om ply than R-8,,'the sum of the ceiling :'Irisulation R-value aa[nst and Not a,bove th e top of tine duct an; Oservable against ainst andbelow the bottom of Not i tine duct is>=than R-19, of excluding,the R-value the p plicable duct insulation. 4014.1 Protection of insulation on HVAC complies [FR24]1 piping. Does Not 0 mply Not Oservable PNot pp Not -------------- 403.5.2 Hot water pipes are insulated to R= R Complies [FRIB]2 inch of insulation. Does Not 0 mply �Not servable Not p plicable 402.5.5 Air sealed electrical and 0 Complies (FR2912 communication boxes installed Does Not in the the boundary of the 0 envelope sealed to,limit air mply leakage between coniditioned In Not and unconditioned spaces,, 1 btservable of p plicable Duct systems are es'l j 403.3.1 d n and Complies [FR1211 sized in accordance— with ACCA i Manual D based on HVAC sizing P Does Not 0 mply calculations in R403.7. Duct Systems serving multiple Not dwelling units is sized in Mservable accordance with ASHRAE Handbook of Fundamentals, Not p ACCA Manual D or an equivalent plicable methodology. 0 complies 403.3 Duct systems are des! n and 1',sized in accordance,with ACCA (FR3111 Does Not 11, Manual D.Duct,systems�serving 11 r1n,Ultiple'dwellin units sized amply In,a co d;an, e i th AS P Not Handbook of Fundamentals, 3servable ACCA Manual D or an equivalent Not 'methodo'log'Y— p plicable Additional Cornments/Assumptionsm, L� 2 Medium Impact(Tier 2) 3 High impact(Tier 1) Low Impact(Tier 3) __[ Insulation Inspection Section Plans Field Verified Verified &Req.ID Insulation Inspection Value Value Complies? 'Comments/Assumptions 303-1 All installed insulation is labeled E]Com plies [IN1312 or the installed R-values Does Not provided, mply Not 3servable Not p plicable Complies 1303.2 Wall Insulation,is ins cite per J� [IN411 manufacturer"s,instructions. Does Not Pmply 2Not � �o servable PNot Iv' plicable . . ......... ............ 1402.1,v Floor insulation R-value. C:)Complies See the Envelope 402.2.8 R Assemblies table for R. 1, Wood Wood I Does Not values I Po mply (D Steel 0 Steel Not oservable 0 Not A Applicable ............. ..... 303.2) Floor insulation installed per E)Complies 402.2.8 manufacturer's instructions and F�Does Not [IN211 in substantial contact with the romply underside of tesub,floor,or floor framing cavity Insulation is i R Not l in contact with, the to side of Observable sheathin'9 or a comnation,o nt f cavity,in"8'coi b nuous insulation Not is Installed siocavity Insulati lon p plicable is In contact ith top,side of continuous Insulation. Complies See the Envelope, 1402.1, Wall insulation R-value. If this is R 402.2.6, — ----- Assemblies table,for a mass wall with at least 1/2 of Does Not 402.2.7 the wall insulation an the wall Wood Wood values [IN3]1 exterior,the exterior insulation requirement applies(FR10). CD Mass Mass Pomply Not Steel Steel servable PNot pplicable E) 402.2.3, Wood attic knee walls or roof Complies 402.2.3.1 trusses separating conditioned Does Not [IN 14]1 space from unconditioned attic PO IV space coryiply with,the P illisu,lat,ion'requ�l�,r#ements In Table Not R,402.1-1-Attic knee walis servable 1 contain an air barrier between I the conditioned and Not Ppplicable unconditioned space. Additional Cornments/Assumptions: ---------- ier 1) 2 3 Low impact(Tier 3) :]High Im act(T Medium Impact(Tier 2) Final Inspection Provisions Section Plans Field # Verified Verified & Req.ID Final Inspection Provisions Value Value Complies? Comments/Assumptions 'Ceifin insulation,installed per Complies ,303.1-1.1, 4 303.2 manNalcturer's instruct Iont. Does Not -y mply ,i Blown'ri,sulation marked eve Po 3001:ft?. 9Not servable Not pw pplicable � u 303.3 Manufacturer manuals for Com plies Mechanical and water heating [F11811 Does Not systems have been provided. z7omply 9 Not servable I PNot pplicable Complies -403-1.2 l��eat,pt,,jrTip,supp,lemerit'ary, [F11012 heat controis,to prevent P Does Not supple,rnental heat when,heat 0 Furnp compressor can serve mply he heating load. Not servable E)Not Applicable 403.2 Hot water boilers have E)Complies [F112612 automatic outdoor setback Does Not control to lower boiler water 0 temperature based on outdoor Pmply temperature,indoor gNot temperature or water servable temperature sensing. Not Pp plicable 40 3.3.6.1 Air handlex,leakage desi elated 0 Complies t '0 of F1241 1[ 1 by manufacturer a Does Not 1,design air flow. 0 Comply Not servable PNot pplicable 403.3.7 �,Ducts,are pressure tested in Complies [F127]1 a,cc,,,o,rda nc e W'Ith ft2 2 PDoes Not ANEI/RESNET/ICC 380 or cfm/100 cfm/100 ft 0 4f 0 mply ASTME1554 to determine air leakage with elthe,n Roulgh-in Not test.dotal I ea ka ge,measured 3servable with a, ressu re differentia I of Not the wi.,g.across the system plicable PP includin, the manufacturer's air hand?:eIr enclosure if installed at time of test. Postconstruction test:Total leakage measured with a I 0 pressure diffe-rential of 0-1 inch g,across the,entire system Incll uding the manufacturer's air handfer enclosure, 1403.3.8 Duct,tightness tes,it result of 10 Compiles r < M1100 ft2 across,the I L--j I P[F14]1 1 ft2 ft2 I Does Not SY'ste"Mi 0'r<=3 cfni,11,0110,ft?. Cfm1100 cfm/100 Rmply IWIt'hout air handler @ 25 Pa. Duct tightness<=,8''dm Flo,O Not ft2 for,ducts wi thIn thermal servable envelope,.For rough-In tests, v�erftficiation may need to occur Not durIng Fram ectoin p ing Insp i plicable ! . ----------------- 403.51 Circulating service hot water E:)Complies [Fill 12 S:Ystems have autornaticor P Does Not cessible manual controls., J 0 mply Not servable pDpN p I cable Section Plans Field .## 11 Verified Verified & Req.iD Final Inspection Provisions Value Value Complies? Comments/Assumptions 4C�3.5.1..1.1 Demand recirculation water �Complies [F13212 systems have automatic , w controls to start pump when n hot water is requested. o Goes Not mply � Not G servable Not 1 livable y � PP r 403.a.1.1 Heaved water circulation Complies CF12812 a systems have a circulation m � e to return pipe Does Not rom s,a _ediae return pipe or a ply aid water supply pipe.Gravity Not i h her, os;� yphon circulation servable n s sterns are not present. m Not taros for circulating hot water system pumps start the pplicable pu p with ig al 'or°hot water err hnd nth n the occupancy. Controls automatically turn oar the Pump when water is in f circulation loop is at yet-point o t � peratur'e and no demand J, for hot wake*exists. 403.5.1.2 Electric heat trace s stems Complies k [1712912 ,comply with IEEE 1; .1 or 1 515 Controls autorat'ioaily Does Not a ust the energy input to,the Po mply heat tra ing t Maintain the PNot w desired water temperature In servable the piping. o Not PP livable 403.5.3 Grain water,heat recovery Complies , [F13112 units tested in accordance with Does Not CSA B5 5.1. Potable water side pre .sure,loss of drain water n pomply heat recovery units <3 psi for Not a individual units connected to servable E l one or two showers. Potable water-side pressure loss o Not t livable ' drain water beat recovery unN s PP 2 psi for individual units connected to three or more 'showers. w; 401.31 Compliance,certifi cate ,os�te�d ��Complies [F17]2 with bulldir�g specific on , Does Not Compliance path,'148 energy reds ,reeuls,arid sour'readyomply zone I provided. p Not x Rervable Not Applicable All mechanical � �Complies 4�3�, �, cal ventilation JF11251 2 system fa not part of tested Does Not and listed I VAC equipment meet cac� ,and air flow omply �limits per° le R:403.6.2. Not l M i �Y fol servable I PPNot fplicable 463.6.3 Mechanical ventilations stemma �Complies 1 I tested and verified to meet the [F1, �1 minimum flow rates required Goes Not ti by Section R4tl3.6. P mply l Not J �servable Not livable i 1 PP l 403.6.5 Intermittent exhaust for i ED Complies [F134]2 bathrooms/toilet rooms has Does Not automatic control, occupant sensor controf,humidity, a mply control or �oritar°ninant control i Not �servable g Not pplicable Section Plans Field # Verified Verified & Req.101 Final Inspection Provisions Value Value Complies? Comments/Assumptions 403.7.1 Electric resistance heating total Complies [F16]1 capacity for dwelling unit,341 P Does Not rigunit's andoccupanices sleep' 0 In,the building I<=2.0 kK mply Not oservable Not pp 403.10.1 Readily accessible switch on Complies [FI12]3 heaters for swimming pools,or perrilanerit in-ground spas., Does Not Switch operation,does not Pomply I change heater the rmostat Not Slatting.Heater circuit breaker servable is Installed independent of switch.Gas-fired heaters P Not p eq uf`p plied with ignition pilots plicable I are not continwously burninq pillots. 403.10.2 Timer switches or other r Complies [F119]3 automatic preset schedule Does Not control method are installed on Po heaters and pumps serving mply pools and permanent spas. Not 3servable PNot plicable ,402.1, Ceiling insulation R-value. 0 Complies See the,,Envelp,pe R R 402.2.10, Assemblies fable for Does Not 402.2.2 0 Wood E]Wood P values omply 402.2.7 Steel E)Steel Not [Fll]l servable PNot p plicable 403.1.0.3 Outdoor,heated pools and 0 Complies [F120]3 outdoor permanent spas have a vapor retardant cover orPmDoes Not plaapproved vapor,retarder. y Not servable PNot p plicable 403.11 Electric powered port :'ble spas 0 Complies [F[34]3 to deta one cir Does Not twow, famiy dwellings and 0 to n h ouI, I ess than three Pmply stories are controlled by APSP ❑Not 14 requirements Observable PPNot plivable 403 13 Gas,firepilaces,equipped'with, Complies , . 403.13:1 �on-diernbind pilot,'IntOIrrnitten't Does Not r,interrupted I it" [F135]3 pni ton o gni:ton I ,> � In Porriply F replace efficiem,c� % ,accordance with SA R4.1 Not Observable PNot pplicable 404.1 100%of permanent fixtures 0 Complies have high efficacy,laps. [F1611 Does Not Pomply Not servable PNot pplicable 404.1.2 Exterior liVting power is below Complies [F135]3 the allowable le wa ttage In Table Does Not R404.1. Ml Pomply 0I UNot servable PNot pplicable M4 Section Plans Field U �# Verified Verified & Reg.113 Final inspection Provisions Value Value Complies? Comments/Assumptions 404.1.5 Fuel gas,ligb inq systems have �Complies [F123] :no contl'nuous plot light. P Does Tot mply Not r servable Not licable pp u 404.2� r�li htin 'C]Complies 1 Permanent ante i 404.2.2 shall be controlled W�b eifher a [F13 ]3 manual dimmer,occupancy Goes Not w 'sensor or auto shut off control Pomply based on occupancy built with manual override, @Not servable i Pp Not r licable a, u 4 F q4.3 Exterior lightin >=30 watts Complies ° [F137]3 shall have the Pollowing Does Not controls. manual on/off switch with automatic shut-off, omply automatic shut-off in daylight Not hours,and controls that N servable u, override automatic shutoff that returns to automatic control Not a v p hours. p licable 404.4 ��r bere renewable energy r Complies [F136]3 � eneratinn egui n ent is �Pornply Does Not i stailedo sign attestation for renewable energy credits i ECs n eneg attributable certificates,(FA s associated gNot servable With the renewable energy Not used for compliance are u providedto the code official., pplicable w � 402.2*4 Vented attics with air Complies (Fi22}2 permeable insulation Include � Does Not bade adjacent t soffit anm eae en that,extends over p Y insulation. Not servable i w Not Ap plicable 402.5.1.3 Blower door test@ 50 Pa. [ACH 50 I ACH 50 Complies [F117]1 <=3.0 A+CH50 in Climate Zones ° Does Not u 4-5 and <=2.5 ACH50 in PomplyClimate Zones 6. `P N Not l servable ClN of � t q ti Applicable daces a Complies 402' .2 Wood-burning t fitting ue dampers have G (F181 9 g M p and Does Not outdoor air for combustion. mom I pv Not servable PPNot plicable r ,A Radiant ��rs,com 1 with ��R �0 Complies Seethe Envelope p 1402.32 ASTM C 3 " " 313P a d are Assemblies�tabdl for F14�1 � �Pomply Does Not installed in accordance with �Wood a F]Wood ��values �►STM C1743 Steel SteelP � CI Cl Not f servable J PNot licable U 4C1 . Programmable thermostats Complies (F1912 Installed for control of primary heating and cooling systems � Does Not and initially set by omply �t manufactureir to code ! Not specifications. Oservable Not pplicable Additional Comments/Assumptions: h� 1 Nigh Impact(Tier l) 2 Medium lm act(Tier 2) 3 Low Impact(Tier 3) 2025, %,,onservavon Construction Code State, of' New York Energ,y Ef hicliency Certifiicateu Insulation Rr!"... r Above-Grade Wall 0.00 Below-Grade Walt 0.00 Floor 30.00 Ceiling/Roof 0.00 Ductwork(unconditioned spaces): Glass . Door Rat!�*,, Factor ............ Window 0.00 Door 0.00 Skylight 0.00 'Heating & CqqIiq%._g_quipment Efficient Heating System: Cooling System: Water Heater: Siqnr ture Name: Date: Comments: