Loading...
HomeMy WebLinkAbout43525-Z ����UFFQL�cOG Town of Southold 4/3/2019 P.O.Box 1179 a 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40295 Date: 4/3/2019 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 11255 Sound Ave.,Mattituck SCTM#: 473889 Sec/Block/Lot: 141.-3-6.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/5/2019 pursuant to which Building Permit No. 43525 dated 3/5/2019 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: solar hot water system as applied for. The certificate is issued to Christina, John of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43525 3/14/2019 PLUMBERS CERTIFICATION DATED 3/13/2019 khn Christ' tho d Signature FfUl �w TOWN OF SOUTHOLD =o �y� BUILDING DEPARTMENT y x 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#: 43525 Date: 3/5/2019 Permission is hereby granted to: Christina, John PO BOX 1492 Mattituck, NY 11952 To: INSTALLATION OF A SOLAR HOT WATER SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR.REPLACES EXPIRED B.P. #40002 At premises located at: 11255 Sound Ave., Mattituck SCTM # 473889 Sec/Block/Lot# 141.-3-6.3 Pursuant to application dated 3/5/2019 and approved by the Building Inspector. To expire on 9/3/2020. Fees: PERMIT RENEWAL $50.00 ELECTRIC $85.00 Total: $135.00 Buildin Inspector syr TOWN OF SOUTHOLD 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#: 40002 Date: 8/12/2015 Permission is hereby granted to: Christina, John PO BOX 1492 Mattituck, NY 11952 To: INSTALLATION OF A SOLAR HOT WATER SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR.REPLACES EXPIRED B.P. # 37715 At premises located at: 11255 Sound Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 141.-3-6.3 Pursuant to application dated 8/12/2015 and approved by the Building Inspector. To expire on 2/10/2017. Fees: PERMIT RENEWAL $50.00 Total: $50.00 ing Inspector g�f of c�,c TOWN OF SOUTHOLD BUILDING DEPARTMENT z ' TOWN CLERK'S OFFICE P . 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 #: 37715 Date: 12/31/2012 Permission is hereby granted to: JOHN CHRISTINA P.O. BOX 602 MATTITUCK, NY 11952 To: INSTALLATION OF A SOLAR HOT WATER SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR.REPLACES EXPIRED B.P. # 35330 At premises located at: 11255 SOUND AVENUE MATTITUCK SCTM # 473889 Sec/Block/Lot# 141.-3-6.3 Pursuant to application dated 1/20/2010 and approved by the Building Inspector. To expire on 6/30/2014. Fees: PERMIT RENEWAL $50.00 CO -ADDITION TO DWELLING $50.00 Total: $100.00 Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35330 Z Date FEBRUARY 2, 2010 Permission is hereby granted to: JOHN CHRISTINA 11255 SOUND AVE MATTITUCK,NY 11952 for INSTALLATION OF A SOLAR HOT WATER SYSTEM TO AN EXISTING DWELLING b AS APPLIED FOR at premises located at 11255 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 141 Block 0003 Lot No. 006 . 003 pursuant to application dated JANUARY 20, 2010 and approved by the Building Inspector to expire on AUGUST 2, 2011 . Fee $ 200 . 00 c �U Author' ed Signature COPY Rev. 5/8/02 pF SO!/��®l Town Hall Annex Telephone(631)765-1802 54375 Main Road res Fax(631)765-9502 P.O.Box 1179 Q Southold,NY 11971-0959 ,c® ® �o r_oger.richerta-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: John Christina Address: 11255 Sound Ave City: Mattituck St: New York Zip: 11952 Budding Permit#. 43525 Section. 141 Block: 3 Lot: 6.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No- 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 X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding 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 Twist Lock Exit Fixtures 11 TVSS 11 Other Equipment. "AS BUILT"" "ELECTRICAL SURVEY' "NO VISUAL DEFECTS"" SOLAR HOT WATER SYSTEM Notes- Installation of domestic solar hot water system,to include 110 volt and low voltage power to all pumps,switches,and censors, required for hot water system Inspector Signature: Date: March 14 2019 81-Cert Electrical Compliance Form As oF soUryolo _ Town Hall Annex � � , Telephone(631)765-1$02 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Southold,New York 1 197 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ,31) 3 Building Permit No. W Sa Owner: 'moo xy C y16� 1 STI/V,+ (Please print) Plumber: mol,A, gt- ` S`7 r ,,IrA (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) - Sworn to before me thisCONNE D.BUNCH day of�(Ard) 20C1 Notary Public, State of New'Y®Pk No.01 BU6185050 Qualified in Suffolk County `^6 Commission Expires April 14,2�t Notary Public;�u'4 County SOUTy�� # TOWN OF SOUTHOLD BUILDING DEPT. `^ourm, ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] lNgULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: n, KOW Vt 62 DATE ?✓' INSPECTOR ho�aOF SO�Tho� # # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm��' 765-1802 INSPECTION � FOUNDATION 1ST ROUGH [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION j ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: oc< DATE INSPECTOR<�V all FIELD INSPECTION REPORT DATE COMMENTS ; FOUNDATION IS ----------------------- FOUNDATION(2ND) v ' z 0 ® rA ROUGH FRAMING& �� y PLUMBING Vk D) INSULATION PER N.Y. STATE ENERGY CODE 4vm l� FINAL ADDITIONAL COMMENTS a Z131 , 5 .Q — 6r ±::E -y= d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST taw BUILDINf,4)EI7ARTMENT 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) 765-95022��� Survey SoutholdTown.NorthFork.net PERMIT NO. / Check Septic Form N.Y.S D.E.C. Trustees Q Flood Permit Examined / 'U ,20 /0 Storm-Water Assessment Form Contact: Approved dZ� 9— 120_/0 Mail to: Phone- Expiration ,20� Building Inspector ® PLICATION FOR BUILDING PERMIT UJ 2 0 2010 Dates , 20 /0 INSTRUCTIONS BLDG,DEPT. a. This aR*WVi lhll[kDMT letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets o s, 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. (Signature of applicant or name,if a corporation) P.©. 60:�, ,NY «9sa (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o uilder Cko sb( d ctr C Name of owner of premisesok Ckt (As on the tax roll or latest deed) If apblicant_i-,_a comoration, sianature of dulv-authorized officer__ MASIAW� ,,(Name AndTitle of corporate officer) Builders License No. Plumbers License No. 9k9 r-+-q ­M Electricians License No. Other Trade's License No. 1. Location of land on wtb�AQ_D (9 ro�ped work will be done: l SDI House Number Street Hamlet a County Tax Map No. 1000 Section BlINV.�q� 3 Lot �� 3 Subdivision it1' �tlf Lot 3 eroswmro Sava� � 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration_ Repair Removal Demolition Other Work._rhs-kLAja±jc, C +mes�7� +b4- HGd 5✓tS48�scp 'o4�.Cc/� ' 4. Estimated Cost � ,���• 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 Depth Height Number 8. Dimensions of entire new construction: Front Rear PP(Depth; i•W. i7 li Height Number of Stories 9. Size of lot: Front Rear Depth '� '`' �J 10. Date of Purchase Naive of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Naive of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or,a freshwater wetland? *YES 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 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: _ O Y OF S J G' being duly sworn, deposes and says that (s)he is the applicant Vei of individual signing contract) above named, (S (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 day of 20_6�7 Notary Pub yp Signature of Applicant OUALFlEO IN SUFFOLK COUMY No.01VES1637 01/30fZ013 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD �g Town Hall Annex - 54375 Main Road - PO Box 1179 '� • - �� Southold, New York 11971-0959 -X90-1'F -phone (631) 765-1802 - FAX (631) 765-9502 10 roger richert p(_town.southold.ny.us AP 'ATION FOR ELECTRICAL INSPECTION REQUESTED BY: G}a S01 Date: Company Name: Name: r I IC License No.: 3 5q'7 — j�1 E email: Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: /V e ^� Address: 1 1 a SS Cross Street: F710 >Z v Phone No.: 6 ELL st 6 a 14-3 6 -3 � • Bldg.Permit#: y000 email:ck.R , STI,,vA { ,00 F,�vs ?)A OL,c yTax Map District: 1000 Section: f Block: 3 Lot: (�3 BRIEF DESCRIPTION OF WORK(Please Print Clearly) S oLA-R 1-I^o i WA--I-FE 2 Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES J 10 Issued On Temp Information: (Ail information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Mster# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection FormAs n,.) \� gufFOl� Southold Town Building Department P.O.Box 1179 Permit#: 35330 54375 Main Road W _ Southold,New York 11971 Permit Date: 2/2/2010 (631) 765-1802 Expiration Date: 8/2/2011 x, Parcel ID: 141.-3-6.3 BUILDING PERMIT RENEWAL LETTER Dated: 9/17/2012 Applicant: JOHN CHRISTINA Location: 11255 SOUND AVENUE MATTITUCK Work Description: SOLAR PANEL INSTALLATION OF A SOLAR HOT WATER SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JOHN CHRISTINA Address: P.O. BOX 602 MATTITUCK,NY 11952 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department �guFF04�C P.O.Box 1179 3o G� 54375 Main Road Permit#: 35330 0 W _ g' Southold,New York 11971 Permit Date: 2/2/2010 0.t (631)765-1802 Parcel ID: 141.-3-6.3 Expiration Date: 8/2/2011 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 11/13/2012 Applicant: JOHN CHRISTINA Location: 11255 SOUND AVENUE MATTITUCK Work Description: SOLAR PANEL INSTALLATION OF A SOLAR HOT WATER SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR � (' ) 0 Xo . A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JOHN CHRISTINA Address: P.O. BOX 602 MATTITUCK, NY 11952 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department �o�o UFFQ`'t�oG P.O.Bog 1179 Permit#: 37715 53095 Main Rd C= g Southold,New York 11971 Permit Date: 12/31/2012 4 Jy�l # �ao'� (631)765-1802 Expiration Date: 6/30/2014 Parcel ID: 141.-3-6.3 BUILDING PERMIT RENEWAL LETTER Dated: 7/28/2015 Applicant: JOHN CHRISTINA Location: 11255 SOUND AVENUE MATTITUCK Work Description: SOLAR PANEL INSTALLATION OF A SOLAR HOT WATER SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR.REPLACES EXPIRED B.P. #35330 A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JOHN CHRISTINA Address: P.O. BOX 602 MATTITUCK,NY 11952 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. J COMPLIFtE THIS SECTIONON DELIVERY COMPLETE-THIS SECTION ■ Complete items 1,2,and 3.Also complete A S�atu �Y I �`"❑Agent � 4 item 4 if Restricted Delivery is desired. X ❑Addressee i ■ print your name and address on the reverse so that we can return the card to you.- B. Received by(Printed Name) C. ate of eliivvery ■ Attach this card to the back of the maiipiece, J C A cST,Nay or on the front i `f space permits. ❑Yes D. Is delivery address different from item 1? + 1. Article Addressed to: If YES,enter delivery address below: ❑ No C. f r 3. Service Type l (Y), [3 E3 Mail E3 Express Mail f i E3 Registered [3ReturnReceipt for Merchandise �l�sa ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number i`' i ( i 1 It.r±; r' a`: !`a'� i i'i;j" I I f I f (Trdnsferfrom°service label): :`,�1� f 1, 1�7� D�U! f Domestic Return Receipt 102595-021-M-1540 f pS Form 3811,February 2004 s 5 f�L Southold Town Building Department �o�o cpy� P.O.Box 1179 Permit#: 40002 53095 Main Rd oSouthold,New York 11971 Permit Date: 8/12/2015 765-1802 631 ( ) Expiration Date: 2/10/2017 � r Parcel ID: 141.-3-6.3 BUILDING PERMIT RENEWAL LETTER Dated: 2/22/2019 Applicant: Christina,John Location: 11255 Sound Ave, Mattituck Work Description: SOLAR PANEL INSTALLATION OF A SOLAR HOT WATER SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR.REPLACES EXPIRED B.P. #37715 A EEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Christina,John Address: PO BOX 1492 Mattituck,NY 11952 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department,P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. oF soUryol 0 Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road C Fax(631)765-9502 P.O.Box 1179 i5 • Q Southold,NY 11971-0959 'Q �yc®UN N,� BUILDING DEPARTMENT TOWN OF SOUTHOLD March 15, 2019 John Christina PO Box 1492 Mattituck NY 11952 RE: 11255 Sound Ave, Mattituck TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Electrical Underwriters Certificate A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 43525 — Solar Hot Water Heater New York State Insurance Fund. Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 Phone.(631)756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA GO SOLAR INC 272 MAIN RD RIVERHEAD NY 11901 POLICYHOLDER CERTIFICATE HOLDER GO SOLAR INC TOWN OF SOUTHOLD 272 MAIN RD BUILDING DEPARMENT RIVERHEAD NY 11901 TOWN HALL SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE 11346970-5 579480 02/09/2009 TO 02/09/2010 11/30/2009 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO.1346 970-5 UNTIL 02/09/2010, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER,THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS, OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 02/09/2010 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate ban be validated on our web site at https://www.nysif.com/cerUcertval.asp or by calling(888)875-5790 VALIDATION NUMBER:76580459 U-26.3 05/G8/LUU9 11:b/ VAX 1�lIVV1/VVL I ` ) aDATE(MMIDDIYYYY) ASR" CERTIFICATE OF LIABILITY INSURANCE 04/03/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LoVullo Associates,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 645D Transit Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Depew,NY 14043 INSURERS AFFORDING COVERAGE NAIC# INSURED Go Solar,Inc. INSURERA SCOTTSDALE INSURANCE COMPANY 41297 c/o Gary Minnick INSURERS SCOTTSDALE INSURANCE COMPANY 41297 272 Main Road INSURER C Riverhead,NY 11901 INSURER D INSURER E. COVERAGES 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS DATE fMMtDDfYYYYI rAA D' 7YPFFOF INSURANCEPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CPS0934428 10/20/2008 10/20/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 1,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Fa accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGELIASILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC $ _ AUTO ONLY AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR EICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN O ANY PROPRIETOR/PARTNER/EXECUTIVE❑ EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED9 (Mandatory in NH) E L.DISEASE-EA EMPLOYEE $ If yes,descnbe under SPECIAL PROVISIONS below E L DISEASE-POLICY LIMIT I$ A OTHER Property CPS0934428 10/20/2008 10/20/2009 Business Personal 90,000 Deductible 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL TOWN OF SOUTHOLD IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR BUILDING DEPARTMENT REPRESENTATIVES TOWN HALL AUTHORIZED REPRESENTATIVE SOUTHOLD,NY 11971 ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD For more information contact:Waiter P Geoghan Agency Inc at 631-472-5000. or The AE Co - ec eri-es ❑aRur_I R'tzaOt pr`s Archit,lufalalumumimangle;ir=crdn:a'ithspeciat Law-IRON TEt4PERED.ULA55 pin grip ra�,pts insure high stahtlily.An additionat Exclusively us rig tre neo"High-T'tempered corocr Seal produces;he warer tightness: glass with an iron ruse content of less than 1;5.. ALUMINUm ERAN11; AND LI'G1-ITwr_t[3HT CC3�,ISi'RUCTION ...Lhis foci§hates lcmq life and xengtA.The frame is eleciruslaticafly coated in an-attractive medium - - CDATiNms brollle Wtor. = 's Crystal cteat ct- 0.94-09b c-409_O.12 ALUMINUM EXTRUDED, BATTEN flan-Metallic,ceramiccnGtiny No silicon is used.Ribbed atuminurr,extrusions 4r(*0.92 and a smooLh compressed EPWA gasket provide r-it.t5- water Lightness..This allows easy access to OIL f' colfer-loi fbr repaii'ot mainLend;LLL aL any time I ,tom` .r ur to6tiorr, — --- ------ ,r'~, PULLY CirTInFR AC,5L4RB r$ Tie lomat tmrMer is optimize!by the high frequerecy GLASS~GASKET- forge veld which creates a crystalline i-Qmagennu i ...a Llb durable EPOM awnnel scith molded corners cnriri"ectioi between then fin and the riser, assures luny life end avo ds all meter penetration. W {lulc<tl'lk Ficunttr� , !� l='x711.- r".LEa� t�C7 r�-I i7 f«YAN3.3 r2 A-r'la ,INSEULA,'ION fir.y i - .QUICK Lorrc" hAaLlAtrer G FAar.t '.—� EPPM GROriMLTs The jadable floica Logs mountirg hardwars r;s`.:ces mounting time and make,it simpie for Emiso55i_-D ALUMINUM 6h_ CKShiEET anyone to install.Too Quick Link System allow;the highest flexibility in mounuc-q and is tested to wild Load coilditions of 184 mph.Mounting v�ssibifiues inctude: PiLche�J-f6of, Flatrcof,Ground,Balcony.and facaee maurting, t- l @, I 1. t L,j AE-21 AE-24 AE-21 AE-28 AE-32 AE-40 Collector AE-21 F. A&24E AE926E AE-2$E • AE-32E AE-40E JIM Gross r'ttea (f ) 24.82 23.75 25.29 27.92 33.85 3971 Dimensions(in) $3'�s x 35y%,., 97'',5 x 35".a 7?l'A x 85°1n%47PY/n 97"9x 47?h. ;121^`,4%47''m ALTERNATE Ess@t3 TECHNOLOGIES.s,ue ` Trans rent Area (ft') 39.20 1.Jb 23>68 � 26-16 25.90 37.40 Weight(ib) 174 ;14 190 G94 1 113 1153 Tested:TW(DIN 4757}, RAPPERSWILL.ONOWS-1 M4 714, fSlt,5RCC, Metropolkart!lade tourty..�lianlf Test Lab P 0 Box 613.2'6 Jacksonville, Fiarid6i 3.2`2:36 Phone € 00.874.•2190 + Fax 964 .7131 , 1911 Solar Storage Tank W A r E R H E A r E R s With Electric Element PL 6-Year Limited Tank/6-Year Limited Parts Warranty* All Solar Storage Tanks have a Fused Ceramic Shield -�- applied under pressure and fired at 1600T to r completely cover the tank interior. This provides (Y) a tough interior surface for storage tanks and 1 I maximum protection against the wearing effects of ? high-volume and high-temperature water. �} • 2"Non-CFC Foam Insulation s Foam insulation traps heat within the tank,saving energy. ; • Anode Rod Promotes longer tank life through protection against corrosion of tank interior. • Factory-Supplied Top Temperature and Pressure Relief Valve • Factory-Installed Dielectric Nipples • Pre-Wired Sensor Lead From storage sensor mounting stud to top of tank. ' Does not include sensor. e • Water Connections Accessible from four 3/4"dielectric nipples located on top of tank. • Optional Solar Circulation Connections on Side • 4500-Watt Heating Element and Automatic Thermostat Where a back-up system is desired. • UL Listed "For complete warranty information consult the written warranty of American Water Heaters found at www.americanwaterheater.com,or call(800)456-9805 CopyrightO by American*Wa ter Heaters 2008.A I rights reserved. NCESS00708 R April 2008 No part ofthis work maybe reproduced ortransmltted In anyform or by any means,electronic or mechanical,Including photocopying and recording,or by any Information storage retrieval system,without permission Inwdting from American Water Heaters NCESS00708 Rewsed Solar Spec Sh1 1 9/18/08 1210 09 PM Solar Storage Tank With Electric Element W A T E R H E A T E R S ACCESS PANEL aOUT@@SOLA Tgp LOCATION A-► B AANODE IN SO ACCESS PANEL- C OUT p DRAIN VALVE HEIGHT HEIGHT OPTIONAL OPTIONAL APPROX. MODEL GALLON WATER JACKET TOP OF SOLAR SOLAR SHIP NUMBER CAPACITY CONN. DIAMETER TANK IN OUT WEIGHT A B C D SE62-80H-0455 80 60-1/4 24 59-1/4 20-1/2 7-1/2 191 SE62-119R-0455 119 62 28 61-1/2 20-1/2 7-1/2 278 *Limited warranty on tank and parts.Complete details in manual Specification Furnish and Install,where Indicated,in accordance with manufacturer's Instructions and in compliance with all rules and regulations of authorities having jurisdiction. Storage tank(s)shall be American®Model as manufactured by American Water Heaters or equivalent Storage tank(s)shall have a nominal storage capacity of gallons,recovery of GPH at •F temperature rise and supplied with auxiliary heating elements rated at 4 5 KW, volt.Storage tank(s)are hydrostatic tested at 300 PSI having a working pressure of 150 PSI and shall have a Fused Ceramic Shield Internally lined tank applied under pressure and fired at 1600°Fallowing for maximum protection Storage tank(s)shall be equipped with an approved pressure and temperature reliefvalve The outer jacketing shall have a baked enamel finish.The tank shall be foam insulated with an EPA-approved,non-CFC material 2'm thickness Storage tank(s)shall have a 6-year limited warranty against corrosion as outlined In the written warranty Distributed By: Order Entry and Sales Warranty and Service 500 Princeton Road(FEDEX,UPS) 500 Princeton Road(FEDEX,UPS) Johnson City,TN 37601-2030 Johnson City,TN 37601-2030 P.O.Box 4808(Mailing) P.O.Box 1597(Mailing) Johnson City,TN 37602-4808 Johnson City,TN 37605-1597 (800)937-1037 (800)456-9805 FAX(800)581-7224 FAX(800)999-5210 e02008 No part of thls workmay be reproduced or transmitted in anyform or byany means,electronic or medianical,Including photocopying and recording,or byany Information storage retrieval system,without permission In wrting from AmerlcanWater Heaters. NCESS00708 Revised Solar Spec Sh2 2 9/18/08 12 10 10 PM Guuil-Engineer's report for John Christina ofMutdtoub 61tp://toud.google. ' In al Oul PM Thanks, Ralph ---------- -------------------------' ---- From: Laura Venugopa|an[moi|to- Sent: Tuesday, January 06, 20103:17PK8 To: Ralph Pacifico PE Subject: Engineer's report for John Christina ofK8attituok [Quoted text hidden] 2of2 1/15/20103:46P&{ GENERAL NOTES Roof Section A mean roof height 24 ft pitch 10 in/12 1. CONTRACTOR SHALL CHECK AND VERIFY ALL CONDITIONS AT THE 11.THE OWNER SHALL SELECT ALL FINISH MATERIALS AND COLORS. roof rafter 2X8 ALL CONSTRUCTION SHALL SITE PRIOR TO STARTING TO WORK AND SHALL FAMILIARIZE 12.THESE DRAWINGS AS INSTRUMENTS OF SERVICE ARE AND SHALL HIMSELF WITH THE INTENT OF THESE PLANS AND MAKE WORK REMAIN THE PROPERTY OF THE ENGINEER WHETHER THE PROJECT rafter spacing 16 in OC MEET THE REQUIREMENTS_OF THE AGREE WITH SAME. FOR WHICH THEY ARE MADE IS EXECUTED OR NOT. THEY ARE Reflected roof rafters an 11.3 ft CODES(�f' NEW 2 CONTRACTOR OR OWNER SHALL OBTAIN ALL REQUIRED APPROVALS, NOT TO BE USED ON ANY OTHER PROJECTS OR EXTENSIONS TO p tit YOr K STATE. ATF, PERMITS,CERTIFICATES OF OCCUPANCY,INSPECTION THIS PROJECT EXCEPT BY AGREEMENT IN WRITING AND WITH Table R802.5.1(1) max allowable 16.8 ft APPROVALS,ETC,FOR WORK PERFORMED FROM AGENCIES HAVING APPROPRIATE COMPENSATION TO THE ENGINEER JURISDICTION THEREOF,IF REQUIRED. 13.CONTRACTOR SHALL PROTECT,PATCH AND REPAIR ALL EMS TING WORK ADJACENTTO HIS WORK. collar tie 2X4 3. ALL WORK SHALL CONFORM TO N.Y.S.CONSTRUCTION CODE AND OR DAMAGED AS RESULT OF HIS WORK ALL RULES AND REGULATIONS OF THE RESPONSIBLE JURISTICTION 14,THE SUBCONTRACTORS SHALL PROVIDE ALL EQUIPMENT,TOOLS,FENCES,TRANSPORTATIONS, collar tie spacing 32 in OC 4 ALL METHODS OF CONSTRUCTION ARE TO BE CAREFULLY SAFEGUARDS,ETC.,AS REQUIRED FOR THE PROPER EXECUTION OF THEIRWORK. SUPERVISED BY THE CONTRACTOR. 15 CONTRACTOR TO EFFECT AND MAINTAIN INSURANCE,I E CONTRACTOR'S LIABILITY,WORKMAN'S 5 IF IN THE COURSE OF CONSTRUCTION A CONDITION EXISTS WHICH DISAGREES WITH THAT AS INDICATED ON THESE PLANS, COMPENSATION,COMPLETED OPERATION,ETC ADEQUATE FOR THE PURPOSES OF THIS PROJECT AND THE CONTRACTOR SHALL STOP WORK AND NOTIFY THE ENGINEER. FURNISH PROOF OF SAME PRIOR TO COMMENCING WITH WORK. SHOULD HE FAIL TO FOLLOW THIS PROCEDURE AND CONTINUE 16.EACH SUBCONTRACTOR SHALL BE RESPONSIBLE FOR MAINTAINING SAFETY ON THE JOB SITE DURING WITH THE WORK,HE SHALL ASSUME ALL RESPONSIBILITY AND THE CONSTRUCTION PHASE TO COMPLY WITH THE REGULATIONS AND REQUIREMENTS OF THE LIABILITY THEREFROM. OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION.THIS SHALL INCLUDE,BUT ARE NOT LIMITED TO 12 6. ALL STRUCTURAL STEEL SHALL BE A-36 AND SHALL BE PROVIDING FOR ADEQUATE AND PROPER BRACING,SAFETY RAILINGS AND SECURE FOOTINGS FOR ALL FABRICATED AND INSTALLED AS PER LATEST A.1 S C. TEMPORARY SCAFFOLDING,STAIRS,ETC,AS WELL AS PERMANENT CONSTRUCTION -- SPECIFICATIONS 17.FIGURED DIMENSIONS SHALL GOVERN.DO NOT SCALE DRAWINGS.WHERE DIMENSIONS ARE -- UNDERWRITERS CERTIFICATE 7. ALL DRYWALL SHALL BE U.S.G.NATIONAL GYPSUM CO.5/8" ESTABLISHED BY EXISTING CONDITIONS,EACH CONTRACTOR SHALL VERIFY EXISTING CONDITIONS \S EE a ET. 1 REQUIRED THICK UNLESS OTHERWISE NOTED. PRIOR TO ORDERING MATERIALS AND COMMENCING WITH WORK. B. ALL ELECTRICAL WORK SHALL BE BOARD OF FIRE UNDERWRITERS 18 CONTRACTOR SHALL COORDINATE ALL PHASES OR WORK WITH THE REQUIRED PARTIES.ALL APPROVED AND IN ACCORDANCE WITH N E C.&NYS PHASES OF ADJACENT FACILITIES OPERATIONS SHALL BE MAINTAINED DURING CONSTRUCTION. / 1 CODES 8 REGULATIONS. CONTRACTOR SHALL KEEP SITE FREE OF CONSTRUCTION DEBRIS AND KEEP SITE FULLY ACCESSIBLE 9 ANY DEVIATION FROM THESE PLANS WITHOUT THE WRITTEN TO THE PUBLIC DURING HOURS OF OPERATION. CONSENT OF THE ENGINEER WILL NEGATE THE ENGINEER'S CERTIFICATION OF THESE PLANS. 19.CONTRACTOR TO REMOVE ALL DEBRIS CREATED BY THIS WORK FROM THE SITE AND DISPOSE OF SEE DET. 1 Roof Cross Section 10.THE GENERAL CONTRACTOR SHALL BE RESPONSIBLE FOR CUTTING, IN A LEGAL MANNER ON A WEEKLY BASIS OR SOONER IF CONDITIONS WARRANT FITTING OR PATCHING REQUIRED TO COMPLETE THE WORK OR TO 20 AT THE COMPLETION OF WORK,THE SITE IS TO BE CLEARED OF ALL DEBRIS AND EXCESS MAKE ITS PARTS FIT TOGETHER PROPERLY MATERIALS.THE FACILITY IS TO BE LEFT BROOM CLEAN AND WORK IS TO BE COMPLETED TO I�I.T.S` THE TOTAL SATISFACTION OF THE OWNER PRIOR TO RELEASE OF FINAL PAYMENT. 16—M Standard Mount � , . V_ T I ` stem v J � o DATE —I0B.P. S��1Cz:�ti� FEE:® �_I_ny: m g �- .-` NOTIFY BUILDING DEPARTMENT AT 765 1802 8 AM TO 4 P�I FOR THE FOLLOWINGINSPECTION& 1. FOUNDATION - TWO REQUIRED f` `'�q�` ;�'�`�`� ��• f' l -'� �4/ I _ :; � FOR POURED CONCRETE }+y Y" "sm �"4.'^n" *�' ,fes .r/✓_• fid' -J E 'f � f'� z `L��-1-rJ•'3 ;� 2. ROUGH FRAMING & PLUMBING 3. INSULATION INSTALL FASTNERS r''' ;*q 4. FINAL - CONSTRUCTION MUST Y PER TABLE BELOUII BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE INTO RAFTERS -r i- ec n_ REQUIREMENTS OF I h� C00�•��E-NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Revision 5 To my best belief and information the work in this document is accurate, conforms with the Revision 4 governing codes applicable at the time of submission, conforms with reasonable standards Revision 3 TYPICAL CONNECTION DETAIL 1 ALL ROOF PENETRATIONS ARE TO BE SEALED of practice, with the view to the safeguarding of life, health, property and public welfare, Revision WITH SIKAFLEX OR EQUIVALENT SEALANT and is the res onsibili of the licensee. a Revision 1 ProFccvonat Seal as per ASCE7, Method 1: A(fig 6-2) 1 1 (table 6-1) 1 ' I PA I FI CO ENGINEERING RC P net =A Kzt/P net30 (eq 6-2) Kn(sec 6.5.7) 1 Pnet30(fig 6-3) -25.9 P,�E OF IVF PO Box 1448, SAYVILLE, NY 117821 CLIMACTIC AND Wind Speed, Live load, �'� P�,pH P,qcI-�� Tel: /o3Z-988-0000 Fax: 631-38,21-8,2_36 Email: eingikeer@ acificoeVtgiKeerivLg.coM GEOGRAPHIC DESIGN Category 3 sec gust, pnet30 per Fastener type * Q' W- O-Pro,eat for 5 CRITERIA mph ASCE 7,psf '' John. Christina 0 Roof Section A B 120 26 5/16"dia screw, 3-1/2" length n fes. ZZzss Sound Ave, Mattituck, NY 11952 Pro,utPwnphon S 1 np p / PROPOSED SOLAR ENERGY INSTALLATION �OFFSSIONP�'� GENERAL NOTES, ROOF SECTION, DATA, DETAILS AND SPECS Date Swlc 02/24/10 AS NOTED I m m x i x f x i N N N m m m v v v 17/ - orr 431 - oil ROOF LAYOUT PACIFICO ENGINEERING PC ,,r. OF NES PO Box 1448, SAYVILLE, NY11-78,21 1-782 Tel: 632-988-0000 Fax: fo32-382-8236 Email: ev keer@acificoengimeeriv►g.cowi ofor Projar cce Shet e " John Christina PANEL: AET-26 r< QTY: 3 n cc 21255 Souind Ave, Mattituck, NY iz952 /LENGTH: 77.188 in PROPOSED SOLAR ENERGY INSTALLATION I have reviewed the roofing structure at the subject address.The structure can support the additional weight 0 �� or°w g D.-Pb..of the roof mounted system.The units are to be installed in accordance with the manufacturers installation WIDTH: 50.5 in AR 66182 �� GENERAL NOTES, ROOF SECTION, DATA, DETAILS AND SPECS instructions.I have determined that the installation will meet the requirements of the 2007 NYS Building OFFS S I ON P� o� s.fe. Code,and ASCE7-05 when installed in accordance with the manufacturers instructions 02/24/10 JAS NOTED