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HomeMy WebLinkAbout43432-Z Town of Southold 3/19/2019 P.O.Box 1179 cm 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40271 Date: 3/19/2019 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 15155 Route 25, East Marion SCTM#: 473889 Sec/Block/Lot: 23.4-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/25/2019 pursuant to which Building Permit No. 43432 dated 1/31/2019 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ROOF-MOUNTED SOLAR PANELS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Fried,Paul&Judith of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43432 03-15-2019 PLUMBERS CERTIFICATION DATED Authorized Signature �gyfFatTOWN OF SOUTHOLD ao. ��oay 'a BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 43432 Date: 1/3112019 Permission is hereby granted to: Fried, Paul & Judith 172 Clinton St Brooklyn, NY 11201 To: install roof-mounted solar panels on,existing single-family dwelling as applied for. At premises located at: 15155 Route 25, East Marion SCTM # 473889 Sec/Block/Lot# 23.-1-4 Pursuant to application dated 1/25/2019 and approved by the Building Inspector. To expire on 8/1/2020. Fees: SOLAR PANELS $50.00 ELECTRIC $1.00.00 CO -ALTERATION TO DWELLING $50.00 Total: $200.00 Building nspector Form No.6 TOWN OF SOUTHOLD BUILDING DLI?ARTMENT TOWN MALL 7654302 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. January 22, 2019 New Construction: Old or Pre-existing Building: (check one) Location of Property: 15155 Route 25 East Marion House No. Street Hamlet Owner or Owners of Property: Paul Fried Suffolk County Tax Map No 1000, Section 23 Block 1 Lot 4 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ plicant Signature traf so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roper.riche rt(c�town.south old.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Paul Fried Address: 15155 Route 25 City: East Marion St: New York Zip: 11939 Budding Permit#. 43432 Section 23 Block. 1 Lot. 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Logic License No: 43858-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches rl Twist Lock Exit Fixtures 11 TVSS Other Equipment: 2.289 KW roof mounted photovoltaic system to include, 7-Sun Power 327 panels with micro inverters,AC disconnect Notes, Inspector Signature: Date: March 15 2019 81-Cert Electrical Compliance FormAs J AM E S J. S TOUT AIRCHITECT & Assoc . 2 G REG L ANE E AST NORTHP0RTN. Y. 631 - 8 58 9388 Post Installation Letter February 25, 2019 RE: Permit#43432 Fried Residence 15155 Main Road East Marion, NY 11939 To Whom It May Concern: This letter is to confirm that as of this date February 25, 2019 I, James J Stout, NYS license 021633 have personally inspected the placement and installation of the roof top solar panels at the above listed address.All of the solar panels have been installed as per manufacturer's guidelines and specifications. The racking system design and installation complies with the 2017 NYSRC and 20,17 New York State Uniform Code Supplement and all related provisions. The installation of panels was done as per plan. Thank you for your cooperation in this matter. A AR James J.Stout Architect y 021613'5 Ao OF NE`N nD MAR 5 2019 T. FIELD INSPECTION RypopT7DATE COMMENTS FOUNDATION(1ST) ...................................... FOUNDATION (2ND) � z - � o ROUGH FRAMING& PLUMBING INSULATION PER N.Y-. y STATE ENERGY CODE FINAL ADDITION4 CO NTS 01 °z - ,H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX: (631) 765-9502 a� Survey SoutholdTown.NorthFork.net PERMIT NO. lJ Check Septic Form N.Y.S.D.E.C. Trustees 2Flood Permit Examined �J ,20 Storm-Water Assessment Form Contact: Approved 201 Mail to: GreenLogic LLC Disapproved a/c 97 North Sea Road, Southampton,NY 11968 Phone: 631-771-5152 Expiration -,20)- L f -, Buil'ging Inspector Dk i' .,-APPLICATION FOR BUILDING PERMIT Date January 22 , 20 19 INSTRUCTIONS a.Thisapplicatibii�MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans;accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. 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,or 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 for necessary inspections. GreenLogic LLC (Signature of applicant or name,if a corporation) 97 North Sea Road, Southampton, NY 11968 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Contractor Name of owner of premises Paul Fried \ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer ame and title of corpo ate officer) Builders License No. 40227-H Plumbers License No. N/A Electricians License No. 43858-ME Other Trade's License No. N/A 1. Location of land on which proposed work will be done: 15155 Route 25 East Marion House Number Street Hamlet County Tax Map No. 1000 Section 23 Block 1 Lot 4 Subdivision Filed Map No. Lot 2. State existinguse and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family dwelling b. Intended use and occupancy Single family dwelling 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work Roof mounted solar electric system (Description) 4. Estimated Cost $9,407 Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 10/1997 Name of Former Owner Nancy Gayle Gillispie 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO_X 13.Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO 172 Clinton St 14.Names of Owner of premises Judith Fried Address Brooklyn, NY 11201 Phone No. Name of Architect James Stout Address 2 Greg Ln, E. Northport Phone No 631-858-9388 Name of Contractor GreenLociiic LLC Address 97 North sea Road Phone No. 631-771-5152 Southampton,NY 11968 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X NO *IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES X NO *IF YES,D.E.C. PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO_X * IF YES,PROVIDE,;k COPY. STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Nesim Albukrek being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Contractor (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 knowledge and belief,and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Z-Z- day,of/J Aj 20 1 CL_ Notary Public Signature of Applicant BARBARA A.CASCIOTTA Notary Public,State of New York L No.01-CA4894969 Qualified in Suffolk County Commission Expires May 11,2019 Scott A. Mussell ° 9TO>RMWA\TIER.. SUPERVISOR MA NA\GIEMIENT SOUTHOLD TOWN HALL-P.O.Box 1179 Southold]�] 53095 Main Road-SOUTHOLD,NEWYORK 11971 Town own of SouthoLGL CHAPTER 236 ® STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT ) DOES THIS ~Ffi®J11CTINVOLVE Ai^;Y ol; THD FOLLOWING: I ' € Yes No iCIItiCIC ALL "rHl'I APPLY) (: ; f - ®Q A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ®El B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ® x[� C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet-of horizontal distance. ®El D. Site preparation within 100 feet of wetlands, beach, bluff or coastal E erosion hazard area. I. ®� E. Site preparation within the one-hundred-year floodplain as depicted { an FIRM Map of any watercourse. ❑� F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal'includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature,Contact Information,Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form'to the Building Department with your Building Permit Application. yAPPLICANT• (Property Owner.Design Professional,Agent,Contractor,4Other}I S'CM. 1000 Date Dui„ct 1/22/19 AM L: �r i� � nLo� LL (Nesim Albukrek) ;{ Mr 23 1 4 Section Block I.ot AA FOR BUILDING DEPARTMENT USE ONLY��** Contact In€orroanorr 31-771-5152 Ttkve«Kn �I £� s Reviewed By: !' Property.Address/Location of Construction Work: _ _ Date � I _ I j Approved for processing Building Permit. 15155 Route 25, East Marion, NY IIIStormwater Management Control Plan Not Required. 1 - - - - - - - - - - - - - - - - - 11 ® Stormwater Management Control Plan is Requrced. I (Forward to Engineering Department for Review.) l I _ . FORM K SMCP-TOS MAY 2014 Town Hall Annex Telephone(631)765-1802 54375 Main Road g Q2 P.O.Box 1179 G� • 0 roger.richert �'o`wn.so05015.ny.us Southold,NY 11971-0959 1 BUaDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION i REQUESTED BY: Barbara Casciotta Date: 1/22/19 Company Name: GreenLogic LLC Name: Robert Skypala ' License No.: 43858-ME Address: 97 North Sea Road Southampton, NY 11968 Phone No.: 631-771-5152 JOSSITE INFORMATION: (*Indicates required information) f� *Name: Paul Fried I *Address: 15155 Route 25, East Marion, NY *Cross Street: f *Phone No.: ' Permit No.: Tax-Map District: 1000 Section: 23 Block: 1 Lot: 4 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Roof mounted solar electric system 2.289kW 7 SunPower SPR-E20-327-D-AC modules/micro inverters (Please Circle All That Apply) *Is job ready for inspection: YES NO Rough In Final *Do you need a Temp Certificate: NO Temp Infonmation(If needed) *Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead ' Additional Information: PAYMENT DUE WITH APPLICATION 824Request for Inspection Form , GREENL®GIC° ENERGY January 23, 2019 Town of Southold Building Department Town Hall JAN 2 5 2019 53095 Route 25 Southold, NY 11971 ""�x Dear Building Inspector: Please find attached a building permit application on behalf of the Paul Fried who has engaged us to install a roof mounted solar photovoltaic (PV) electric system located at 15155 Main Road, East Marion, NY. In connection with this application, please find attached: • Building Permit application • A Storm Water Assessment Run-off Form • Certificate of Occupancy Application • Application for Electrical Inspection • 2 Surveys of the Premises • 4 Engineer's Reports (3 originals and 1 copy) • 2 Three Line Electrical Drawings • 2 Spec. sheets of the solar panels • 2 Spec. sheets for Racking System • GreenLogic Suffolk County Home Improvement License • GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License • Check for$200 ($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, 53a tfiww C'wcul<, & Barbara Casciotta Account Manager Barbara@Greenlogic.com 631-771-5152 ext. 117 GREENLOGIC LLC a www.GreenLogic.com Tel- 631 771.5152 Fax: 631.771.5156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd , Suite 3 200 S Service Rd ,#106 Southampton, NY 11968 Rosyln Heights, NY 11577 GREENLOGIC° ENERGY February 27, 2019 The Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No.43432 Judith Fried 15155 Route 25, East Marion To the Building Inspector: Enclosed please find the Engineer's Certification Letter for the above referenced address. Can you please close the building permit and send the Certificate of Occupancy? Please let me know if you have any questions about the installation. Sincerely, z aed6a Barbara Casciotta Account Manager Barbara@Greenlogic.com 631-771-5152 Ext. 117 MAR 5 2019 GREENLOGIC LLC o www.GreenLogic.com Tel- 631.771 5152 Fax: 631.771.5156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd , Suite 3 200 S Service Rd , #106 Southampton, NY 11968 Rosyln Heights, NY 11577 m x n C2 f F. �'�, ,1j/� Suffolk County Executive's 0 ce of Consumer Affairs ffi VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEWYORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY ............. Home Improvement Contractor License This is to certifv that MARC A CLEAN doing business as GREEN LOGIC LLC having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME K" IMPROVEMENT CONTRACTOR,in the County of Suffolk. Additional Businesses 2'. NOT VALID WITHOUT DIEFARTMENTAL SEAL AND A CURRENT CONSUNIER AFFAIRS NAt ID CARD 0-41 Director kg'N 9, YORK �Vorkers" CERTIFICATE OF sTATIr Compensation Board N1fS WORKERS" COMPENSATION INSURANCE C,OVEkAGE � - 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Greenlogic LLC 631-771-5152q 97 North Sea Rd Suite 3 Southampton NY 11968 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of insured(Onlyrequrred if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 203801101 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) National Liability&Fire Ins Co Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold NY 11971 VgWC857891 3c.Policy effective period 0611512018 to 06/1512019 3d.The Proprietor,Partners or Executive Officers are n included.(only check box if all partnersrofAcers Included) nXX all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box°1 a"for workers' compensation under the New York State Workers'Compensation Law,(To use this form,New York(NY)must be listed under Agm 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent villi send this Certificate of insurance to the entity listed above as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or If the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? DYES []NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does nbt amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect Please Note:Upon cancellation of the workers'compensation policy Indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holderwith a new Certificate-of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that-1 am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: NicholasUkofske (Print nacre of authorized representative or licensed agent of insurance carrier) s , Approved b . ; (Sign Lure} (Date) Title.Authorized Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 631-941-4113 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers,are JJQT authorized to issue it. C-105,2(9-15) www.wcb.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering Into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this-chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier Is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract,shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that compensation for all employees has been secured as provided by this chapter. C-105.2(9-15)REVERSE CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) Fol/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NONTACT Brookhaven Agency,Inc. Brookhaven Agency,Inc. PHONE 631 941-4113 Fax 631 941-4405 128 Old Town Road Suite C E-MAIL , brookhaven.agency@verizon.net PO Box 850 PRODUCER East Setauket NY 11733 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: HDI Global Insurance Co. Greenlogic,LLC INSURER 6: Merchants Preferred Insurance Co. 97 North Sea Rd,Suite 3 INSURER c: First Rehab Life Insurance Co. Southampton,NY 11968 INSURER D: Endurance American Insurance Co. INSURER E: AGCS Marine Insurance Co. INSURER F: National Liability B Fire Insurance Co. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDOI EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE S1,000,000 A X COMMERCIAL GENERAL LIABILITY X x EGGCR000076918 01/31/18 01131/19 DAMAGE TO RENTED $100,000 CLAIMS-MADE �OCCUR MED EXP An one erson $5,000 X XCU PERSONAL&ADV INJURY $1,000,000 X Contractual Liab GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 POLICY I X I PRO LOC I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X ANY AUTO x CAP1043565 8111117 8111/18 (Ea accident) $1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000 D EXCESS LIAB CLAIMS-MADE EXC30000250901 1131/18 1131/19 AGGREGATE $7000000 DEDUCTIBLE $ RETENTION 0 $ WORKERS COMPENSATION X I WC STATU- OTH- AND EMPLOYERS'LIABILITY FP F ANY PROPRIETOR/PARTNER/EXECUTIVt[ NIA V9WC857891 6115/17 6/15/18 E L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYEE $1,000,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below I E L DISEASE-POLICY LIMIT --1.000.000 C NYS Disability D251202 4111/17 4/11/18 Statutory Limits E Installation Floater/Property Floater/PropertyMX193076366 4115/17 4/15/18 $300,000 $1,000 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ> ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD f i Suffolk County Executive's Office of Consumer Affairs Y DATE ISSUED: 12/10/2007 SUFFOLK COUNTYMaster Electrician Licensei This is to certify that L �f / ` i•`t'. ROBERTGREENL �1, doing business as f � ,GIC LLC l licensed MASTER ELECTRICIAN • having given Suffolk,with and subject to the provisions of applicable laws,rules and regulations of the County of State of York. / ,l/ OttAdditionalBusinessesNOT VALID WITHOUT { �1 \,. DEPARTMENTAL CONSUMER . 11)CARD Director I A J i . 06,19w , Flood t��P' � Ar E� _ �"� & s rGRAPH I G 5GALE I"-- 301' -I e Applicant: Paul Fried Proposed Proposed: Fixed Dock Low ProFlie 4 Situate: East Marion Timber Dock r , 4�ion '.,5 5'wide Town: Southold M" 3'aboe grade �a" ' Suffolk County o a! with steps to erode l o V,' ���, h 0�� Purpose: Boat Acce58 /L yo a Datum: A - - �,�`2Tide Range: 2'+/- qsq DAF a II `(\1 f 9D �iS sN 'o SG�a,�+0r ditir�`od o��° anPpv X55 0 ,00 so�haN k%vsl Sy4 rr4+�OU% r o de�K D�e��U mad I�% I Proposed Low Profile i Timber Dock I Section Through G'onter of Pock 45' long x 3.5' wide min. 3' above grade rGy`^ I j b" GGA Plies with steps to /rade pioced Il.4181- I•' on center L I` ' PREPAREP EsY• �40� �d7t„0 \ I ,SEA LEVEL `` � MAPPING 'T TF115 DIAGRAM WA5 DEVELOPED b EAST MAIN STREET Y' ' r� FROM Ac rUAL FIELD 5URVEYS RIVERHEAO,NY IIg01 - O GONDUr.TED AUGU5T -1,2001 PHONE 516-7127-3151No.507 97 Sheet IF i L ,*, J ROHERT FI,FOX,NYS Lich 5019T APPROVED AS NOTED DATE: B.P.#. f s FEE: SD . D BY: NOTIFY BUILDING DEPART T AT 765-1802 8 AM TO 4 PM FOR THE ELECTRICAL FOLLOWING INSPECTIONS: INSPECTION REQUIRED 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEV, f*; RETAIN STORM WATER RUNOFF YORK STATE. NOT RESPONSIBLE FOP PURSUANT TO CHAPTER 236 DESIGN OR CONSTRUCTION ERRORS OF THE TOWN CODE. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS O� TRUSTEES L JUU I Hee TOWN N.Y.c ncr OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY J A M E S J. S TOUT A R C H I T E C T & Assoc. 2 G REG LANE E AST NORTHPORT N. Y. 631 — 8 58 9388 Letter of Certification January 18, 2019 RE: Freid Residence 15155 Main Road East Marion, NY 11939 I, James J. Stout, registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above- mentioned address and have determined the structure and the panel attachment to be adequate to support the new additional load imposed by the proposed solar panel system and complies with the 130-mph wind design load as 2017 New York State Uniform Code (2017 NYSUC), 2017 New York State Residential Code (2017 NYSRC)=(2015 International Residential Code(2015 IRC) (2nd Printing) and 2017 New York State Uniform Code Supplement(2017 NYSUCS) as well the Long Island Unified Solar Permit Initiative(LIUSPI) and the 2014 National Electric Code NFPA 701 2014 National Electric Code, and the ASCE 7-10. The existing 2"x 10" @ 16"o.c. roof rafters will provide the required support. The existing asphalt roof has 1 layer of shingles on 15#building paper on %Z" plywood sheathing. Thank you for your understanding in this matter~ James J StoutS° s cy,, Architect ly f \ 1 5 X21 33 y0� F 0F N��� GREENLormce ENERGY CreenLogic,LLC Approved Fried,Paul and Judith 15155 Main Road East Marion,NY 11939 Surface#A: Total System Size:2.289BN 1 circuit of 7 on a 20A breaker Azimuth:170° Pitch:30° Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-E20-327-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 3/4"X 5'13/8" Surface:56'X 17'8" Magic#:Invisimount Legend: ® 7 SunPower 327W Panels ;-TFXT.X..--.- X I X I XSunPower Invisimount Rail • 12 Eco-Fasten Quik Feet B 2x10"Douglas Fir Rafter 16"O.C. 0 Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: S��RED ARC a v T X21 FCF E`N� Drawn y:MA rawing#1 of 5 Dae-1/17/2019 REV:A Drawing Scale: 1/8"=1.0' EENL OPCO J� ENERGY GreenLogic,LLC Approved Fried,Paul and Judith 15155 Main Road East Marion,NY 11939 Surface#A: Total System Size:2.289kW 1 circuit of 7 on a 20A breaker Azimuth:170° Pitch:30' Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-E20-327-D-AC Racking:SunPor.,er Invisimount Panel:61.39"X 41.18" Array:24'4 3/4"X 5'13/8" Surface:56'X 17'8" Magic#:Invisimount Legend: I hi I 1A ® 7 SunPower 327W Panels SunPower Invisimount Rail O 12 Eco-Fasten Quik Feet 2x10"Douglas Fir Rafter 16"O.C. o Notes: Number of Roof Layers:1 Height above Roof Surface.4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: J. S��RED RCyi �J0216 FoF E`N�l D n B .MA rawing#2 of 5 Date: 7/2019 1 REV:A Drawing Scale:1/8"=1.0' GREENLOOCO ENERGY GreenLogic,LLC Approved Fried,Paul and Judith 15155 Main Road East Marion,NY 11939 Surface#A: Total System Size:2.289kW 1 circuit of 7 on a 20A breaker Azimuth:170° Pitch:30° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-E20-327-D-AC Racking:SunPower Invisimount Panel.61.39"X 41.18" Array:24'4 3/4"X 5'13/8" Surface:56'X 17'8" Magic#:Invisimount Legend: 1 ® 7 SunPower 327W Panels SunPower Invisimount Rail • 12 Eco-Fasten Quik Feet 2x10"Douglas Fir Rafter 16"O.C. 0 Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: \�_\SRED ARc iT J S P 5V- 0 1 ro '3 ti.K'0163 Q� qTF� NES ,prawn B :MA Drawing#3 of 5 D e;-*17/2019 REV:A Drawing Scale:1/8"=1.0' No Vent Pipes Will Be Covered By The Solar ALrey (���GREENLGQMO ENERGY LEGEND: AR -Access roof per R202 definitions RAP -Roof access point-to be away from RWV -Roof with valley, GreenLOgic,LLC Approved overhead obstructions,doors, 18"minimum from valley Fried,Paul and Judith windows.decks,fences,landscaping 15155 Main Road GA -Ground access area per R324.7 3 width AP -Access Pathway,36"minimum SVO -Smoke vent operation per East Marion,NY 11939 to be same as AP as measured at eave width per R324.7 4 and R324.7 5 R324.7.7,18"minimum from ridge Total System Size:2.289kW 1 circuit of 7 on a 20A breaker Azimuth:170° Pitch:30° Monitoring System: N SunPower Panel/Array Specifications: Panel SPR-E20-327-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 3/4"X 5'13/8" Surface:56'X 35'4" Magic#:Invisimount Legend: ® 7 SunPower 327W Panels Meter 7 SunPower SunPower Invisimount Rail ---------- SVO----------- SVO--——————— 327W Panels ® 12 Eco-Fasten Quik Feet ——————— ————————————————SVO 8 2x10"Douglas Fir Rafter 16"O.C. -- i I I I I I Notes: I I Number of Roof Layers:1 I I Height above Roof Surface.4" IAP! AP Materials Used:Eco-Fasten,SunPower I I Added Roof load of PV System'3.5psf I I I Engineer/Architect Seal: I I I I I I \��,�RED ARc C� S J GA GA RAP i 021 3S Q� o F E`N y:MA Drawing#4 of 5 Date:1/17/2019 REV:A Drawing Scale:3/16"=1.0' PV—SA-1 mm _ NEW EQUIPMENT EXISTING SERVICE rm . . • # A: --COMBINER PANEL 120/2-I0, iPH, 3W r� • • • 2 1 AC—GMB-1 r�z e ._-_---., (PV LOADS ONLY) t - � W � I 200A 1'6 1 A R —t AC—DSC-1 AC DISCONNECT MAIN Btt i i EGc N � I 4 tGc i13ccc =XiSTINC AC PANELEXISnNG € GEC I GEC PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Fried, Paul GREENLOGIC0 15155 Main Road ENERGY East Marion, NY 11939 ELIMINATING THE COSTOUNERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Fried-3LD1 Revision: 1 Revised: 9/18/18 EQUIPMENT& COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-E20-327-C-AC, 1-CIRCUIT OF 7-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 2289 WATTS 211-264 VAC 9.30 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Fried, Paul { 15155 Main RoadENERGY East Marion, NY 11939 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Fried-3LD1 Revision: 1 Revised: 9/18/18 EQUIPMENT&COMPONENT SCHEDULE TAG -DESCRIPTION SPECIFICATION AC-CMB-1 AC COMBINER PANEL 25OV, 100A, NEMA-1, 1-PH, 3-WIRE BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 50 CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 1-1/2" PVC-40 4 / 4 C THWN-2 1-1/2" EMT 4 / 4 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUITTO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIREMENTS. 4.) NOTE: GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER MINIMUM. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Fried, PaulO 15155 Main Road ENERGY East Marion, NY 11939 ELIMINATING THE COST (JF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Fried-3LD1 Revision: 1 Revised: 9/18/18 xt. � _'AFF ,,{{,,,,...,•• Design Driven Advantages , ` • #1 moauie aesthetics and effliaency" l.Jnnldtched !,;udu'e reliabiq—, No electrol;�Ic capacitors 25-year Cornoined Power and Prod jct Warranty California RJe 1" Pease I compJant Maximize Value for Roof Size system for rot;`,riot string Inverter Optlm ze per'orm ince o`each modile Expand Deployment Options ""'" Ccrnplex rocs and partial shading srnal'systems Optimize System and Installation Efficiency System expandabiliry SunPevver'AC modules,which Include a facto.1-integrated Sur'ov er Simplify& Speed Installation micrcinverter,Prov de a revolutionary combnai on of high efficiency,r[gh ractcry-integrated rr.crolrverter re'iaor'ty,and mcduie-le\,el IK-to-AC power ccrversior! Desigred RoDUSL,Lcuble-locking AC co,inac:ors Design flexibility of'FitP an;i onsiLe spe-ciflcally`or use wit S,inPovrer InvisiMo�intf�4 anr'rhe Sun Power Jo DC string sizing process Mon'torrig System,SunPower AC modules enable rapic installation,rest- re,,ver InStdlla1i0''1!,WpS than compednIg in-class system aesmelics.arc Inultnro visibity niccystem pe-fon-n-nce systems wiluitive cornrnissiorilrlg All this comes with the gest Coi'1Dine(: Power anti Pr,,,du(-t Warranty the Indusiry Component of Complete System • Built.for use v,itl-t Stir Power( invisi;v,ot.Int,=,, and the SunPower,Aonitoring System tPVS5x) Grid Support Utility-Interactive Smart Inverter St.uerior system r liabil;.y arid aesttiedcs SunPower's new "ype D AC module Iq JL tested and certified to uL 1741 SA and orovldes advarced smar<Inverter functions Sulmower rype D AC modu`es are it.,iy comp rant v,.th the California Rule 21 Phase; req uirerfie,its,and the Rule 21 grid pi ofile Is easily set dttririg °--` cnmrnissio,iir-g ,ntn S..nPower-VSSx monitor ng harciv.are sunpower.com :. 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IEEE 15,";a 2.014' CARule?P SRD Profile (default settings) m•n /non rnax I !— - -- -- -- m n_ /nom /max -- -- Fr equerry(Hz) 59 5/60.0 i 60 5 535'60 C!60 5 Parer;actor0 99/1 00;1 00 085 lead !i 00/0 85'ag — — -— --169 Var ReaC[IVe Power Voll-VAr ---—-- ----- ----- -------- --- - ---------- - ------------------------------- Volta e La2a0 V 2111 2/24C,'264 V @2,8 V_ ___-- 183;208!228 8 V __-- Max.Current @240 V 133 A-- C'v2OF V 154 A --------------_------------------------------ - ----------- ----------- -------- - -- ------------- ------------ - DOAC CEC Cc-vel Sion Efficie^o- @240 V 96 Oqb @208 V -- 95 5':t Max-Units Per 20 A Branch Circuit @2110 V 12(single Dhase) -- - -- @208 V - 10;twc pole)wye -- - ---- Power 320 W,320 VA No active phase balanc ng for 3 phase r;smllatlons SPR-E20-327-DAC SPR_-E19-320-D-AC 25-year lim ted power wai i arty Nominal Power'(Pnom) 327,VV 220 W 25-year lrmted product warranty ! Pov:ei Tolerance +Sr'-O�e =5%-0�5 -- f-- UL listed toUL1741 SA _- Avg Pane E`t ciency` 20 4% 199% SRDs IEEE 1547-2003,IEEE 1547a-2014,CA Temp Coef (Power) -- -0 354c/°C -__- a Rule 21 Phase' Three bypass diodes PV Rapid Shutdovv-Equipment i i Sha�e Tolerance Integrated MOdule-level maximum power point Equipment Gro ,nding trac•eng JL 6703,UL 97,C3 Connecters and cables (luad'break disconnecclor) 0 UL 1741 AC Module(Type 2 fire rating) i I Operating Temp -40"F to X185°F(_40°C to-85°C) i Certifications Enaoles installation in ascot dance with, ' Max AmblentTemp_--- 122°-;S0°C) NEC 690 6 -- -- i ------------ --- - ------ ----- -- ------------- - - ----------- Wino 62 psf 3000 Ra,305 kg/r.,-fr ont&back NEC 690 12 Rapid Shutoo4.•n(inssde and I Max.Load pn Snow "25 sf 6000 Pa,611 k r12 front r ' ___-- - -----____--g—___—__--- outside the array) Iml_a_c t Resistance 1 inch(25 irtrr)diarrieter hail at 52 mph(23_m/s) NEC 690 15 AC Connectors,690 33(A)-(E)(1) FCC and ICES-003 Class B ! When used with Inv s-Mou^t racking(UL 2703). ; Solar Cells 96 IvIonccrv'•scalline A:axeon(:':e,,- i ____-- - - _14_19r; . -' —___-- ---- _-- -- !ntegrateo gi guiding and bonding Frcrt Glass High transmsslon tempered glass with a c' • Class A ire rates reflective coaamg i PID Test Potentiakinduced degradation free j Fnvlronirnen!al Rating, Outdoor rates _ _ Frame Class 1 black anodized(highest,AAMA racing) ' za0 mm 45 5 lbs 6 1.02 In Mcg) - -- - - -— - -- -------------- -- I ReccLrrnenoed Mdx 13 in (33 rain) Mod,le Spasm; - -- -- _ 1107mm � I E= 1436 int 1046 mm 'Hignes:of oder 3,200 shcon solar panels,Fhoton Module Survey,Feu 2014 1 1412 In] 1#1 irk n"Pv i lodule Dwat•ility initiative Pubic Reha t. Fraunho`er CSE,Fcb 2013 r,ve out��f i '— ---. the top e,gnt iarge_t manufacturers were tes_ed Camr eau,Z et a "SunPowe"Moduli ' I X30 mm (1.21n] Degraoaon nate"SunPow ` er wl-,te oaper=eb 203 See%VA%N surpower comtfacts for dera Is �—-- I -, i 'Factory set Lo 1547.1-2014 default settings CA Rule 2'def:ult settings prof.le set during comm s_s on rig See t'ie Equinax mstallailoo Gude#578107 for mo,e Informaricn 1558 mm 4Starcard Test Ccrdiaons(1300 Jdlmz 8rac ante,AM'S,25'Q !REL cahb•'a.on standard �--[61.3 In]— — ® ®� wmsu ooNr SOMS cu-rent,L4CCS FF and do Cage Ad DC voltage is til y cortaired w,(h n the module U D soa�b 53ased on avcraee o`measured power vulues during nrrducuon Please read the safety and nstallavon ristrucuons for deLaiL Module Frte Pedormnnce iype2 See•rr•.eta sunpower cornrfacts for mole refererce in`cr-ation Fo�—oredeta,lsseeextendecdatasheetwwwsinoowe-comrca:asheets =1593`tderb aAll s i