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Home My WebLink About53228-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#: 53228 Date: 08/25/2026 Permission is hereby granted to: Mark R Handforth 1930 Tigertail Ave Miami, FL 33133 To: Construct a new single-family dwellingto include an HVAC system as applied for per SCHD approval. Premises Located at: 1000 Rocky Point Rd, East Marion, NY 11939 SCTM#31.-2-19 Pursuant to application dated 07/30/2026 and approved by the Building Inspector. To expire on 08/24/2028. Contractors: Required Inspections: Fees: Single Family Dwelling-NEW $2,916.50 CO Single Family Dwelling-New $100.00 Total S3,016.0 Building Inspector wrk�� rp 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 lath s://www.southoldtoNvII ,t,oNt Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: U J U L 6 r w Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:July 10 , 2026 OWNER(S)OF PROPERTY: Name:33 doug Ilc scrM# 1000-31-2-19 Project Address,1000 rocky point road, east marion, ny Phone#:8456645696 Email:burtdorfman@gmail.com Mailing Address:p0 box 162, south jamesport, ny 11970 CONTACT PERSON: Name:burt dorfman Mailing Address:p0 box 162 cj DJ Phone#:8456645696 Email:burtdorfman@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:RObert Higgins Mailing Address:50 hidden acres path, wading river, ny Phone#:6312083351 Email:rarchibob@aol.com CONTRACTOR INFORMATION: Name:33 doug Ilc Mailing Address:p0 bpx 162 Phone#:8456645696 Email:burtdorfman@gmail.com DESCRIPTION OF PROPOSED CONSTRUCTION *New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑0ther $700000 Will the lot be re-graded? ®Yes ❑No Will excess fill be removed from premises? ❑Yes ONO 1 PROPERTY INFORMATION Existing use of property:land w/foundation Intended use of property:house and garage Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to r40 this property? E]Yes F*No IF YES, PROVIDE A COPY. 19 Check Box After Reading. The owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code. APPUCATION IS HEREBY MADE to the Building Department for the Issuance of a Building*Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized Inspectors on premises and In building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. [JAuthorized Agent NOwner Application Submitted By(prilrit name) B d- orf man Signature of Applicant: Date: june 2026 N I i B U N C�Hl =y ' ew Yor� No It Public, t ew York STATE OF NEWYORK) No.0 1 BU6185050 SS: Qualified In Su�ffolk County COUNTY OF Suffolk Commission Expires April 14, 2jc��Y burt dorfman being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the manager of 33 doug 11c (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 — 6 6" -Z VLXA4 11'4"day of 20"?AO- Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 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 -rh 3 Jac E C E ( Albert J. Kru ski, Jr. nn ��51FONI A MER p �[A\NA\,G 1EI\\/111E�N T sa .., �. L T N tr q ,o.Box 1179 53095 Main Road-SOUTHO EW YORK 11971 Town o,f'Southold AUG 2 4 202 6 STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME: G(, C_ Date: —7lI 2 Contact Information: .0 1 (E-Mad&Telephone Numbed! "�" 2TT ` 4��U, _(C,411 � Property Address 1 Location of Construction Site: S.C.T.M. #: 1000 �.. District r.TAL,— � x Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT ❑ - Area of Disturbance is less than 1 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.Kermit is Required ! ❑ - Area of Disturbance is Greater than 1 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 Buildine Permit. - Area of Disturbance is Greater than 1 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 through the Southold Town Eneineering Department Prior to Issuance of a Building Permit. Reviewed By: Z,"^^ Date: r� FORM " SMCP-TOS December 2024 i RE,5"0bcheck*WebTm 1 9 pill I Compliance Certificate Project Information Project Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Energy Code: 2025 Energy Conservation Construction Code of New York State Location: Southold,New York Construction Type: Single Family Project Type: New Construction Project Sub Type: None Orientation: Bldg.faces 225 deg.from North Conditioned Floor Area: 3186 ft2 Glazing Area: 11% Climate Zone: 4a(5572 HDD) Project No: 1901469 All Electric: false Is Renewable: false Has Battery: false Has Charger: false Has Heat Pump false Construction Site: Owner/Agent: Designer/Contractor: 1000 Rocky Point Rd Burt Dorfman Robert James Higgins East Marion, NY 11939 Project Notes: HERS Rater#7960376 Energy Credits Description Credits R408.2.2(3): High Performance Cooling(Option 2) 2.0 R408.2.2(5): High Performance Gas furnace(Option 2) 4.0 R408.2.3(2)(b): Gas-fired instantaneous water heaters(Option 2) 6.0 Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Report Date: 7/1/26, 11:55 AM 1 of 13 Envelope Assemblies Prop. Req. Gross Area or Cavity Cont. U_ U_ Prop. Req. Assembly Perimeter R-Value R-Value Factor/ Factor/ TC TC F-Factor F-Factor Roof Rafters:Cathedral 2150 38.0 0.0 0.027 0.026 58 56 Ceiling Floor Over Garage:All- 380 30.0 0.0 0.033 0.033 13 13 Wood Joist/Truss Ambient Walls:Wood 3163 29.0 0.0 0.044 0.045 121 123 Frame, 16"o.c. Orientation:Unspecified Windows:Vinyl Frame 397 0.270 0.270 107 107 Orientation:Unspecified Front:Solid Door(under 24 0.254 0.270 6 6 50%glazing) Orientation:Unspecified IGWs:Wood Frame, 16" 306 29.0 0.0 0.044 0,045 13 13 O.C. Orientation: Unspecified IGD:Solid Door(under 18 0,198 0.270 4 5 50%glazing) Orientation:Unspecified Gabel Walls:Wood Frame, 275 29.0 0.0 0.044 0.045 12 12 16"o.c. Orientation:Unspecified Basement Walls:Solid 1449 0.0 14.0 0.047 0,050 67 71 Concrete or Masonry Orientation: Unspecified Wall height:9.00 Insulation depth:9.00' Insulation position: Integral Insulation Windows:Vinyl Frame 8 0.270 0.270 2 2 Orientation: Unspecified FND:Solid Door(under 18 0.254 0.270 5 5 50%glazing) Orientation:Unspecified Timm I[N�K'I m 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 buHdmg 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. Michael Caruso - HERS Rater w4l_W�ca4ale'& 2026-07-01 Name -Title Signature Date 11939 Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY Report Date: 7/1/26, 11:55 AM 2 of 13 Inspection Checklist 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 .......... Section Plans Field # Verified Verified &Req.1D Pre-inspection/Plan Review Value Value Complies? Comments/Assumptions "A, 105.1, Construction drawings and Complies 105,2 documentation demonstrate Does Not [PR1]1 energy code compliance for the PImply building envelope,Thermal envelope,air barriers,energy f, Not credits,renewable energy, 6)servable battery storage,solar ready systems and energy compliance D Not bl path represented on J pplica e IF construction documents, 105.1, Construction drawings and Complies 105.2, documentation demonstrate 403.8 energy code compliance for ❑Does Not Pomply [PR311 lighting and mechanicall systems.Systems Serving , RNot multiple dwelling units must servable demonstrate compliance with the IECC Commercial Provisions Provisions, Ppplicable ... ................. 302.1, Heath and cooliv equipment Heating: Heating: 0 Complies is 403.7 per ACCA r anuM S BtuJhr Btu/hr Does Not [PR211 based on loads calculated per" ACCA Manual, or other method, Rmply approved by the code official, Cooling: Cooling: Not ffi Btu/hr Btur 9servable 0 Not Applicable Additional Comments/Assumptions: High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 31 11939 Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY Report Date: 7/1/26, 11:55 AM 3 of 13 Foundation Inspection Plan Field � se Tarr Verified Verified q;c Be, .lp Foundation Inspection Value Valrae Complies? Comments/Assumptions 303.2 Conditioned basement wall E)Complies [1`0511 insulation installed per manufacturer's instructions. 1% Does Not Co mply ❑Not Observable Not "' „ PPplicable {f73, Syste ms serving onuitiple ,. 0 Complies 091) dwelling units comply with [�Does Not Sections C403 and C404 of the Comply commercial code. %%�,� Not 1 servable i (�Not applicable wa 403.91 Heating systems installed for j 0 Complies (Pk9 outdoor heating are radiant Does Not systems controlled by occupancy sensing or timer omply switch. Q Not Observable 0 Not Applicable j463' ;2-, Snow and ice-melting system "` 0 Complies 403.9.1 controls installed to shut off n Does Not 40 9.4 system when pavement Com JF192p temperature>50F and no ply precipitation or automatic ❑Not controls to shut off the system Observable when outdoor temperature> Not 40F. A,,. �plicable N 303:2.1 ' A protective covering is 0 Complies [F01112 installed to protect exposed exterior insulation and extends " ❑Does Not a minimum of 6 in.below grade i Comply (]Not �k Observable 1 r (�fNot /applicable 402.2.9 Conditioned basement wall �ft �ft 0 Complies See the Errvolope [F0611 insulated in accordance with Does Not Ale for Table R402.1.3 with insulation values depth the minimum of 10 it ompiy below grade or to the basement 1 Not floor. Rservable PNot plicable Additional Comments/Assumptions: 1 Hi h Impact(Tier 1) Medium Impact(Tier 2) 3 Low Impact(Tier 3) Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Report Date: 7/1/26, 11:55 AM 4 of 13 Framing / Rough-in Inspection J Section Plans i=ieCci Framing/Rt�ugh-in Verified Verified Re 110 U-factors I nspecltron Value � Value O Complies �� Comtiu0nts/Assuinpti�ins fenestration [FR411 products are determined In accordance with the NFRC test Does Not procedure or taken from the Comply default table. Not servable � Q Not pplicable 402.5.1.1 Air barrier and thermal barrier 0 Complies i [FR2311 installed per manufacturer's Does Not instructions. „ Imply Not { Observable PPpplicable 402.5.3 _Fenestration that is not site built O Complies [FR201r is listed and labeled as meeting % Does Not AAMA/WDMA/CSA 1.01/I,S.2/A440 or has infiltration „ P y om I rates per NFRC 400 that do not Not exceed code limits, P Observable Not pplicable A„I 402,5:4' IC-rated recessed lighting ' Complies 1FR7 Fa[r fixtures sealed at Does Not housing/interior finish and Imply labeled to indicate 52.0 cfm leakage at 75 Pa. Not servable Not !, pplicable 4014 HVAC piping conveying fluids R R. �� Q Complies [FR171Z above 105-F or chilled fluids Does Not below 55°F are insulated to?R- 3 Imply ( J Not Observable Not /pplicable 403.E Automatic or gravity dampers „--; Complies [FR1912 are installed on all outdoor air Does Not intakes and exhausts for „ %<[ mechanical ventilation systems. , ,. Imply UNot servable Not Applicable 401 .1 Ventilation systems in climate " 'f ; 0 Complies [Fl301: zone 6 shall utilize heat or ; Does Not energy recovery with balanced ventilation and a sensible Imply recovery efficiency(SRE)>= 9 „ Not 65%at 32 F. servable PpP Not r plicable 403.3.3 Supply and return ducts in attics f' (:)Complies [FR1211 insulated>=R-8 where duct is r= Does Not >=3 inches in diameter and 1 Q >=R-6 where<3 inches. Comply r,, Not Pservable ❑Not Applicable Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Report Date: 7/1/26, 11:55 AM 5 of 13 Section Plans Field # Framing/Rough-in Verified Verified &Req.11) inspection glue Value Complies? comments/As sumpYtians 403.3.6 Ducts,air handlers and filter , ;,, 0 Complies [FR13]1 boxes are sealed with Does Not joints/seams compliant with omply international Mechanical Code or international Residential []Not Code,as applicable. Observable Not pplicable a 403.4.1 Protection of insulation on HVAC u Q Complies [FR24]1 piping. " Does Not Pmply $ Not �. servable (��J Not �..: Pp 40 ,5„2 Hot water pipes are insulated to R R=' �Complies :(FR1812 ? 1 inch of insulation. ' Does Not omply Not servable Not Applicable 62 5,5 Air-sealed electrical and (�Complies [FR291-" communication boxes installed goes Not in the thermal boundary of the envelope sealed to limit air omply leakage between conditioned Not and unconditioned spaces. servable ) Not pplicable 403.3.1 Duct systems are desi n and 0 Complies [FR12]1 sized in accordance wi h ACCA Does Not Manual D based on HVAC sizing calculations in R403„,Duct mPIY systems serving multiple ❑Not dwelling units is sized in accordance with ASHRAE Not Handbook of Fundamentals, j ACCA Manual D or an equivalent �r;� Applicable methodology. 403.3 Duct systems are design and ❑Complies 1 sized in accordance with ACCA - [FR31] Manual D.Duct systems serving Does Not� i muitipie dwelling units is sized comply in accordance mth ASHRAE Not Handbook of Fundamentals, servable ACCA Manual D or an equivalent Not methodology. pplicable 402.1, Door U-factor. U= U��J O Complies See the Envelope 402.4.4 Does Not Assemblies table for values [FRl]1 omply Not Observable (3 Not Applicable 402.1, Glazing U factor(area-weighted UI U 0 Complies See the Envelope 402.4.1, average). Does Not Assemblies table far 402.4.3, values 402.6 `.amply [FR2]1 J Not (P'servable Not pplicable Additional Comments/Assumptions: Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Report Date: 7/1/26, 11:55 AM 6 of 13 l High Impact(Tier 1} 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Report Date: 7J1J26, 11:55 AM 7 of 13 Insulation Inspection Section plans t r Field eirified &Req.tta iinsulation inspection Value � value Cctirx> lies. I Comments/Assumptions I 03,i All installed insulation is labeled " J" 0 Complies flNi,jjz orthe installed R-values PDoes Not provided. omply „ (INot servable Not applicable 303.2 Wall insulation is installed per ', % 0 Complies [1N4)1 manufacturer's instructions. ///i�;, Does Not Po mply rr� [� Not {' I 6bservebie All Not 1 pplicable 402.1, Floor insulation R-value. R R= Complies See the Envelope 402.1, = QDaes Not Assemblies table for [IN1]1 (�Woad 0 Wood C values omply 0 Steel 0 Steel Not QQ Rservable Not pplicable 303,2, Floor insulation installed per 0 Complies 402.2.8 manufacturer's instructions and . ? Does Not [1N2�1 in substantial contact with the � underside of the subfioor,or Comply floor framing cavity insulation is ` (`]Not in contact with the toy'side of �jservable sheathing,or a combination of cavity and continuous insulation ❑❑Not is installed so cavityinsulation /pplicable i is n contact with top side of 1 continuous insulation. 402.1, Wall insulation R-value.If this is 0 Complies See the Envelope 402.2.6, a mass wall with at least 1/2 of R Rfi Does Not Assemblies table for 402.2.7 the wall insulation on the wall 0 Wood valu 0 Wood es [IN3]1 exterior,the exterior insulation omply requirement applies(FR10). 0 Mass 0 Mass Not 0 Steel 0 Steel servable �Not ,pplicable 402.2.3, Wood attic knee roesis or 1 s ace from unconditioned attic Does Not roof .` .. ; % 0 Complies 402.2.3.1 trusses separating ng conditioned space comply with the .. comply Insulation requirements In Table r Not R402.13.Attic knee walls 9servable contain an air barrier between Not the conditioned and unconditioned space. `,ppplicable Additional Comments/Assumptions: 1 High Impact(Tier 1) Medium Impact(Tier 2) 3 Low Impact(Tier 3) Report Title: Burt Dorfman 1000 Rocky Paint Rd East Marion, NY 11939 Report Date: 7/1/26, 11:55 AM 8 of 13 Final Inspection Provisions Section Plans P Field Verified Verified &Req„►p Final Inspection Provisions Value Value Complies? Comments/Assumptions 303.1.1.1, Ceiling insulation installed per �M Complies 303.2[1`I211 manufacturer's instructions. Does Not Blown insulation marked every 300 ft . omply i Not servable „ Not pplicable 3013 Manufacturer manuals for Q Complies [F118 mechanical and water heating Does Not systems have been provided. omply PNot servable I Not i pplicable 403„1;2. Heat pump supplementary Q Complies [F1101a heat controls to prevent ,��; Does Not supplemental heat when heat Q Co p mply ump compressor can serve the heating load, % Q Not Observable O Not Applicable 403,2 Hot water boilers have f Complies [F626F automatic outdoor setback � goes Not control to lower boiler water temperature based on outdoor omply temperature,indoor " RNot temperature or water servable temperature sensing. Not r Applicable 403.3.6.1 Air handler leakage Complies [1`12411 designated byy manufacturer at<=2%of design air flow. „`„ �� Does Not 9" omply 7 Q Not i� Observable j Not Applicable 403� Ducts are pressure tested in �� Complies [FI2711 accordance with n Does Not ANEI/RESNET/ICC 380 or cfm/100 ft2 cfm/100 ft2 ASTME1554 to determine air omply leakage with either.Rough-in Not test.Total leakage measured servable with a pressure d`afferential of 0.1 inch mg.across the ❑Not system including the Applicable manufacturer's air handler enclosure if installed at time of test. Postconstruction test: .Total leakag�e measured with a pressure differential of 0.1 inch w.g.across the entire system includingthe manufacturer's air handler enclosure. 403.3.E Duct t'i htness test result of Complies [F1411 <-4 cFm/100 ft2 across the � Does Not system or r=3 cfm/100 ft2 cfm/100 ft2 cfm/100 ft2 without air handler @ 25 Pa. omply Duet tightness<;=B cfrrrf 1.00 Not ft2 for ducts within thermal servable envelope.For rough-in tests, Not verrfrcatiorr may need to occur during Framing inspection. pplicable 403,5.1 Circulating service hot water Q complies [Flllia systems have automatic or Does Not accessible manual controls. Comply Not n Observable y Not s Applicable Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Report Date: 7/1/26, 11:55 AM 9 of 13 Section � Plans Pielad - Verified Verified &Req.dD Final Inspection Provisions f Vallue � Value Complies comments/Assumptions °403,5.1.1.1 Demand recirculation water "' (�Complies C032,ja" not systwaterems hav ottwatehav agues ed,ic controls to start pump when "t Does Not '" omplY ai Not servable Not j! pplicable 1 Complies n i �' d'01 1: Heated Thestems �systern returnve a pipe � Does Not pp pp ks a dedicated return pipe or a D Comply cold water supply pipe. Not Gravity and thermos syphon Observable circulation systems are not present,Controls for JNot circulating heat water system pplicable pmunraps start the urnp with signal for hot wafer dlernand 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.E Electric heat traces stems � (�Complies FI291 51i5 pCo tly irtols automatcallyjC Does Not adjust the energy input to the °mPIY heat tracing to maintain the f! ,, Not . desired water temperature in y servable the piping. ❑Not „ ' f Applicable 14015.1 Drain water heat recovery `"" Complies 2 units tested in accordance tEb31 with CSA B55.1.Potable '+ j Q Does Not water-side pressure loss of Comply drain water heat recovery Not ,unit,<3 psi for individual servable units connected to one or two showers. Potable water..side '� ' ❑❑Not ressure loss of drain water applicable heat recovery units< 2 psi for individual units connected to three or more showers. 401.3[FI I Compliance certificate posted -'gip Complies with building specifications, Does Not compliance path,R408 energy credits,results and solar �" Comply ready gone if provided. , „ �:; „ Not Observable Not t pplicable 401p All mechanical ventilation r Complies tM25p, system faros not part of tested r �Does Not and listed HVAC equipment l " " o Doe meet efficacy and ai r flow ;' "y ° Not mply irx i per Table R40,3.6,I rtsp �] 6bservable Not licable 403;6 3 Mechanical ventilation (�Complies (F133]z systems tested and verified to j Does Not meet the minimum flow rates required by Section R403.6. QNoty servable P Not 1 pplicable 40�.6.5 Intermittent exhaust for ( �i' O Complies (E13412 bathrooms/toilet rooms has 1. 1 Does Not automatic control,occupant sensor control,humidity 1 Comply control or contaminant = ` ❑Not control. i" Observable Not pplicable Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Report Date: 7/1/26, 11:55 AM 10 of 13 Section Plans Fief' Verified Verified ,&Req.10 Final Inspection provisions Value value � Complies? CommentsJAssumptians 4017.1 Electric resistance heating Complies [F1611 total capacity units,sleepin omits and for dwe rng Does Not occupanices in the building `�"'mply G=2�7 kW, / Not servable Not j , pplicable 4021,Ceilinginsulation R-value. Complies See the Envelope 402.2.E R= R� 0 Does Not Assemblies table for 402.2.2, 0 Wood 0 Wood C values 402.2.7 omply 402. 0 Steel 0 Steel nn Not Pservable Not Applicable s 403,13„ Gas fireplaces equipped with : 0 Complies (F135 9 ti P >50 � 0 Does Not 403.13.1 on-demand pilot,intermittentC i ignition or interrupted rgnit,ion a Fireplace efficiene�y in amply accordance with GSA P�4,1 ( Not �j servable nPNot Plicable 404.1[FI611 100%of permanent fixtures ?" ';�� " 0 Complies have high efficacy lamps. �, Does Not �.... °mply WNot servable Not pplicable 404,1.2 Exterior lighting power is „ 0 Complies [F1351$ below the allowable wattage y Does Not in Table R404.1. Comply r � �� Not /�/, servable Not pP licabl e Complies 404.1,5 Fuel gas lighting systems 0 P iF123i have no continuous pilot light Does Not , omply i Not Wservable p P Not plicable 4041,1, Permanent interior lighting 0 Complies 404Z2 shall be controlled with either Does Not [FI361� a manual dimmer,occupancy sensor or auto shut off control ° omply based on occupancy built with Not manual override. '"" servabie Not pplicable �I 404.3 Exterior lighting>=30 watts "y ,,;� 0 Complies [F13713 shall have the following „'(—�Does Not controls:manual on/off switch with automatic shut-off, omply automatic shut-off in daylight 1 Not hours,and controls that servable override automatic shutoff that returns to automatic ( J Not control within 24 hours. ; Applicable 404.4 Where renewable energy t 0 Complies (F1361 generation equE meat is �, [-�Does Not irstailed,signe attestation for renewable energy credits r� omply (RECs)or energy attributable Not certificates(EAC's)associated servable with the renewable enery . used for compliance are' �Not Provided to the code officiaio `:' Applicable Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Report Date: 7I1/26, 11:55 AM 11 of 13 Section Plans Field 4 rilied 1Nerlfl ed Req-ID Final Inspection Provisions Value � Value Complies? Comments/Assumptions 462,24 `Dented attics with air �� %�Complies [F122] ' perrr�eae insulation include '"r �]Does Not affle adjacent to soffit and ,,�� ,„ Comply eave vents that extends over [� insulation, Not� � r servable Not .............. p p licable /i/iUii 408.2.2.1(3) Air conditioner installed with CJ Complies (FI47)1 efficiency>= 16.0 J Does Not SEER2/3?0 EER2 for �� Com additional efficiency credit „�� ply Not �ySe Nable Not ii .. pplicable 408.2.2.1(5) Gas furnace installed with 0 Complies [FI4911 efficiency�=95 AFdfE for '„��i„ n Does Not additional efficiency credit omply Not servable l QNotable PP 408.2.3(2) Gas fired instantaneous water ///�, 0 Complies (b)[FI62]1 heater efficiency>=0,95 LIEF ON P ,'' Does Not r additional e ficiency credit omply �.j R, Not servable Not pplicable 1 Zone04CH50 inFimate 50 Complies 402.5.1.3 Blower door test 50 Pa. ACH 50— ACH 50 [FI17] — ❑❑Does Not in Climate Zones 6. Umply RNot servable Q Not ,pplicable 4023 Radiant barriers comply with R R� 0 Complies See the Envelope [FI43]e ASTM C1313/C1313 and are Does Not Assemblies table for installed in accordance with 0 Wood 0 Wood CQ m values ply ASTM C1743 oot 0 Steel 0 Steel �Not servable PNot plicable 4011.1 Programmable thermostats " "` '; 0 Complies [F1912 installed for control of primary Does Not heating and cooling systems and initially set by omply manufacturer to code 1 Not specifications. Observable Not Q Applicable Additional Comments/Assumptions: 1 H 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 1193g Report Date: 7/1/26, 11:55 AM 12 of 13 Energy2025 Conservation Construction of New York State Energy Efficiency Certificate Insulation Rating ---- R-Value Above-Grade Wall 29.00 Below-Grade Wall 14.00 Floor 30.00 Ceiling/Roof 38.00 Ductwork(unconditioned spaces): Glass & Door Rating U4actor SHGC Window 0.27 0.27 Door 0.25 Skylight 0.00 Heating & Cooling Equipment EffiVenEy Heating System: Cooling System: Water Heater: Name: Date: Comments: Report Title: Burt Dorfman 1000 Rocky Point Rd East Marion, NY 11939 Report Date: 7/1/26, 11:55 AM 13 of 13 S.C.T.M.# 1/30/2026 DISTRICT 1000 SECTION 31 BLOCK 2 LOT 19 ReTns-d Pletp #R-23-131 6 12/15/2026 SUFFOLK COUNTY WATER AUTHORITY PUBLIC WELLS OVER 500' D T k, N--C)F H q p-,'-F F LAND N/F OF & F R-- 1 N,-�,AND KIKI SIOPIS Garage(0 Bedrooms) DWELLING WIPUBLIC WATER 150' 1 DATE 12/15/2023 H.S 1REF,No R-23-1316 163.98' R OvE D— TAL Ml-X;mium B--c,,�D I m S 6 .gyp N 75o05'00 F� E C E E IRES THP.�::EVEARS �OPJ OF APPRItPVAi 8 ------ 0 ------------ const,silt fence o L jUL 3 0 2026 SQit top Z; 51tickP rr" Building DePartment co DRY WELL Town of Southold OF,"e'00 Cc) SANrrARf'bEsiGN BY: i-E GASS INSTALLER SHAL HID AN ENDORSEMENT FROM'1HE SUFFM COUNTY DEPARTMENT OF HEALTH. � I 00I uj NICHOLASMA2ZAFFRRO SHALL BE PROVIDED TO'I-.E S'DgS PO BOX 57 0 (185) "E"E"'E"APIERATONANDMIANTERANCE CONTRACT BETWEENTHE MR-IFIENENANcE PROVIDER THE z bREENPOR* YORK 11944 C-a, aROVIDEA T VENT PIPE FROM THE ONITS TOT HE DMISIT43 AND,-ON[VCT TO THE SANITARY VENTING 4W-.IW THE 101-ee-, 0 % PHONE: 1 30—� THEVENTPPE SHALL BE PITCHED TOWARD THE GWITS SO ANY LIQUID 44L DRAW TOWARD THE QINT-S Lu— *AN EFFLUENT FILTER SHALL BE INSTALLED MER THE ACCESS COVER OF THE LENS UNIT ON THE OUTLET PIPE VERIZON.NET m CO ~R M KPnC3YSTEMLq'T06SED.RUOMS M, OPQS 1 -EAN GEN7 7W GPD rOWTS]I '5' LEAO�flNO POOLS 10.13'DEEP C4 ALI, 0 EXPANSIG4dILEA1HRGPOOL n o 0 SS10 N WIRT r<41CHG-AS MAZZAFE-RO PE NY S LfSC#057095 T w4LET, TOLFnk'S BOXACCEPTS .4' UGHT COVER#3D= L A -'99 TOP MEW riEAVY COVER#3017-CZG tp x i GFFJkTE EM17-G20, x WTALL RISER 0DOS 72'TALL RISER' R'2 w z 0 23-w LL 0 CAP TYPE D LEVELJW�DEVr.E DRY WELL 1000 GAL 0 LL 2-INCREW T. LP GAS _j LL 3GX SEAL z TYR. IMYLOK SEAL const.silt tence #=I TYP40IPLCSI—,� —------ COWMICFE]D SAND OR I PEA GRAVEL LEVEIWG PAD PoLyLoK 2111 D-Box FRON --Z --:z fif TtSICE VIEW MATEFUAL-HOPE DISTRIBUTION BOX Palvick DETA&-S ----------—-------- cD 0 ry 38 Z LU 3ac GA LIU -- RAGJ::ONI; v ct F, ------ ------- rf