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HomeMy WebLinkAbout42102-Z F 41r Town of Southold 9/10/2020 3 P.O.Box 1179 o • 53095 Main Rd y?j�l Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41432 Date: 9/10/2020 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1070 The Strand, East Marion SCTM#: 473889 Sec/Block/Lot: 30.-2-77 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/20/2017 pursuant to which Building Permit No. 42102 dated 10/31/2017 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 as applied for. The certificate is issued to Lefkara Holdings LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO., 42102 4/24/2018 PLUMBERS CERTIFICATION DATED uthorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • � SOUTHOLD, NY ?rol 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#: 42102 Date: 10/31/2017 Permission is hereby granted to: Lefkara Holdings LLC 100 Brompton Rd Garden City, NY 11530 To: install roof-mounted solar panels as applied for. At premises located at: 1070 The Strand, East Marion SCTM # 473889 Sec/Block/Lot# 30.-2-77 Pursuant to application dated 10/20/2017 and approved by the Building Inspector. To expire on 5/2/2019. Fees: SOLAR PANELS $50.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $100.00 Total: $200.00 uilding Ins ector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL 765-1802 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. /z New Construction: Old or Pre-existing Building: (check one) Location of Property: 10 r7 0 :n e— --T+—oc j J— House No. Street Hamlet Owner Owner or Owners of Property: d L L C— Suffolk County Tax Map No 1000, Section Block `� Lot Subdivision c& (0— Filed Map. '"6 Lot: Permit No. Date of Permit. Applicant: c, ��hs�� e Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ '� Appl't ant SigAatuf Signatulre Affidavit owner of the properly located at Tax Map# do hereby give Long Island Power Solutions permission to sign all applications necessary to obtain a building permit for the above. su 0 � v SIGNATURE OF PROP RTY OWNER Sworn to before me this 16" day of 20 n NOTARY PUBLIC TIM DAYOT:BODUNDEDNotary Public-StNO.01006Qualified in NewMy Commission Ex pF SO!/l�,o! Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 aQ roger.richert(a-D-town.Southold.ny.us Southold,NY 11971-0959 '01 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Lefkara Holdings LLC Address: 1070 The Strand city,East Marion st: New York zip: 11957 Building Permit#: 42102 Section: 30 Block: 2 Lot 77 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor. DBA: L.1. Power Solutions License No: 36178-ME SITE DETAILS Office Use Only Residential X Indoor Basement 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 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 PumClocks ps Transformer Appliances Dryer Recpt Emergency Fixture Time Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 19,430 Watt Roof Mounted Photovoltaic System to Include: 58 LIS 335 Panels with 58 IQ6 Plus Micro Inverters, 125A Loadcenter, 100A Disconnect. Notes: Inspector Signature: Date: April 24, 2018 0-Cert Electrical Compliance Form.xls SOUr�O� TOWN OF SOUTHOLD BUILDING DEPT.- 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) PVI ELECTRICAL (FINAL) i REMARKS: DATE 1 NSPECTOR .......................................................................'........................................................................ a,l.,! C ata, 0' ', , f ARCHITECTURE & PLANNING PC ................................................................................................................................................ June 4,2018 Municipality Having Jurisdiction Town of Southold Building Department Town Hall Southold, NY 11971 Project.Solar Photo Voltaic Panel Installation for: Neo Stefanides Section: 30 1070 The Strand Block: 2 East Marion, NY 11739 Lot- 77 I have certified the solar photo voltaic panel system installation at the above referenced address. The units have been installed in accordance with the manufacturer's instructions and the approved construction drawings dated 07.14.17. I have determined that the installation meets the requirements of the 2016 NYS Building Code,and ASCE7-10. The work is complete accurate and conforms with the governing codes having jurisdiction and applicable at the time of submission, conforms with reasonable standards of practice,with the view to the safeguarding if life, health, property and public welfare. Respectfully Submitted Paul Cataldo RA Registered Architect ?,E®AR D D ® lam JUN 1 9 2018 $-OF N�� BUn DING DEPT. TOWN OF SOUTHOLD .....................................................................®..................................................................... 646 MAIN STREET, SUITE 202 / PORT JEFFERSON, NY 11777 / 631.509.6800 / FAX 877.524.2732 /WWW.PAULCATALDORA.COM ................................................................................................................................................. np 1, '_L O', 00- EEC f,-LL O6F ER FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION(1ST) H -------------------------------------- FOUNDATION (2ND) C� ROUGH FRAMING& y PLUMBING t 1 INSULATION PER N.Y: ' STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 012Y Ih Com" O Lf I z —(� G( r N y O z TOWN OF SOUTHOLD BUILDING PERNUT APPLICATION CHECKLIST BUILDING DEPARTfWENT 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 �f C) :-- > Survey. SoutholdTown.NorthFork.net PERMIT NO. 1 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examin 20 Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail to: q Disapproved a/c Phone: 6-r3o \ y� Expiration 20_L� F) B mg n ect r L U OCT 2 0 2017AIP CATION FOR BUILDING PERMIT Date \O 1 \n ,20\'y BUILDING DEPT. INSTRUCTIONS TOWN OF SOUTHOLD a. This application 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 reg ions,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of appli ant or name,if a corporation) c•S`ZsNoy\\&"gwlsI LmkA (Mailing address of applicant) () State whether applicant is owner,lessee,agent,architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corpor tion, signature of dul aut onzed officer (Name and title of corporate officer) DI-v o kr Builders License No. f`t� _ Plumbers License No. Electricians License No. Other Trade's License No. 51SC. �\ 1. Location of land on which proposed work 11 be done: House Number Street eamlet County Tax Map No. 1000 Section Block a Lot 1 Subdivision Filed Map No. 1`L(-Q Lot • 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 C5% o r-,3-" (Description) 4. Estimated Cost iAv� .oc� 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 Name 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 j 13.Will lot be re-graded?YES NO V Will excess fill be removed from premises?YES_ NO �1� 14.Names of Owner of premises ec��*�tN ddresss ��_ ter o Phone No. :N\h Name of Architec o Addressk�t-� o --�"�'hone No b3\5000A6o Name of Contractors,xgi-�\o.v:`"b .;S. ' ddress��Q a. '`�.�SS or S Phone --CSo©\ 15 a.Is this properly 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: COUNTY OF%k��C being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is thec�C (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 appliMPkfiWAW TABR00KE NOTARY PUBLIC-STATE OF NEW YORK Sworn to�b`efore me this No.01 ES6259997 day of (C_ 20njoLua1ified In Dutchess County .Commission Expires 04-16-2020 Notary Public 4Signaturelicant So�ryo Town Nall Annex Telephone(631)765-1802 54375 Main Road (631)765-85 P.O.Box 1179 O roger..dchertCc7 oWn s)o7&A5o&ny.us Southold,NY 11971-0959 "vU111 l�`�'•` BUILDING DEp'ARTMENT TOWN OF SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY- �c h� 0�-t.za Date; Company Name: Name: '= License No.: Address: Phone No.: wO\ JOBSITE INFORMATION: Ondicates required information) *Name: -s e *Address: *Cross Street: L a Permit No.: Tax-Map District: 4000 Section: :� - Block:—'�– Lot: '-1! *BRItF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YESAO® Rough in Final *Do-you need a Temp Certificate: (YE 61 NO Temp Information(If needed) ' *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Othe *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82z-Request for Inspection Form Scott A. Mussell Ir ST0]MMIWATE]k SUPERVISOR N MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 b Z 53095 Main Road-SOUTHOLD,NEW YORK 1197141- Town of Southold � - CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑[9 A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. El[21 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑O C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑[✓] D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ E. Site preparation within the one-hundred-year f loodplain as depicted on 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. APPLICANT: (Property O er,;Design Prof -io gen Contractor,Other) S.C.T.M. #: 1000 Date. C2^ District NAME: `_ 1 ' ! — �' S z' L k(A\ \� �. Section Block Lot '�� "" l e FOR BUILDING DEPARTMENT USE ONLY Information: � **** Contact Information: —" '1� .-^ � Reviewed By. — — — — — — — — — — — — — — — — Date: Property Address/Location of Construction Work: — — — — — — — — a — — — — — — — — ®7d T/L1 e- S�ran ® Approved for processing Building Permit. Stormwater Management Control Plan Not Required. Las+ Mar o nN. Y. ( 1 q 3 9 Stormwater Management Control Plan is Required — �ri ❑ (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 SO(/ry®l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 'Q a lyC4UNT�,�� May 31, 2018 BUILDING DEPARTMENT TOWN OF SOUTHOLD Long Island Power Solutions 4 3122 Express Drive South Islandia NY 11749 Re: Stefanides (Lefkara), 1070 The Strand, East Marion TO WHOM IT MAY CONCERN: Cj The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: NOTE: Need installion certi icalon letter from engin r stating panels were installed per NYS Building Code i nA G & (0,,1q--/ Electrical Underwriters Certificate - Inspection scheduled for 5/24/18 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 — 42102 —Solar Panels ,f. SO FA R _ - TE . 8E.�'L:E u - . d+Yi to TING t q�;P.f.� ;s' .,•t '�4.' �"� =d' 'r Y• - „>,"�'y� 9P 9 r~ _ `M .. "= 4.�.�P� fh� i�m `e�'w h; � •ay��g, `�r tF�-,,, � $ ��' a •&v '� 'Ta-,,,+�h,•y-�,. A �J�'" & � arc'$a�;r;�;u° •� T�°uS»`sa,;r'�: � ° k IAy ;v� a g , r� .MOOR d ,. e v. u ,..r fi! ry•._.: xei 01.1 , ' a.'F.Sax'4N].4t'-C!C15F°.'M 49N,w^'3 sXa'b3ARWiS`..._S4Mi9:y.1LS4 7s77�AF..:'!"s',1/e0.YY_`4Lf:✓•Y$`F'RfpX�3.�1✓eLRb'fd+ !$b161A+_2`T1 LY2�_'fiL\-^.S!»—rRT.i`K?e0'As<`CF:f.{i,',yi' u a i Suffolk'�County Department of Labor Lkensigg' & r. ' Consumer Af..airs, "F vtTEkAigs-NMMoRmt MOAWAY * HAUPPAUGE,NEW YORK, 11788_ <. DATE ISSUED: 6/6/2014 No., 53562-H 4 , SUF'FOU,COI NTY ^ , Home Ian Fovea ent Contractor License This is-to certify'that- MICHAEL.I CATIZONE` doing business as LONG ISLAND POWER SOLUTIONS,INC- having furnished the requirerrients set forth-in accordance with and,subjedt to the provisions of applicable laws,rules and at of the County of Suffolk,`State of New York is hereby licensed-;to.conduef business as a,HOME. IMPROVEMENT.CONTRACTOR,in the County of Suffolk; , 6t, Licedse Category,' "4 NOT VALID WITHOUT Additional Businesses Other DEPARTMENTAL SEAL' AND A CURRENT'-- CONSUMER URRENT'CONSUMER AFFAIRS. ID CARD a P . t f"- Comiriissioner �� sppyy i � i�•�'�',&,4CaF1aFAlt<L.#+.'+4:v ;�.S,YriUfCR' '.c:'.l','s�KWttvp," 7+Xd5'iYfithe�r`+J;Aai,Pw"hr/i,r tY.$M,VkV'Rb+'�1h'AiTY'fmw,D�ffi>.U.✓�i,+•tZSi�r,1Yr`iiliSWc7/a _ _-.tX:�rr< 's"+?aUfbYC -_„ A?S�,�fi✓Pt:hU'Y ^.: My,,s^:::4"`7 f'�"CAOL'�%iS::a7rfi3 nt7�,Y TvAS,'R:fxi"+Wn P•CTti55fiq P'V5{M1ni J�1,f� "� yL t'�' +u. '.`C.•,.'ras ",r. 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A ',Y\iX.t'>d'.�..:l�t YS'FS'S"'1;.L.'T(?NY'ktM1`S+FL'x1f_3xf+xLi4 YN'-•4.,ft:AfJ�+C?Lk_.^ '<41Y=n a"r✓•J.""RNF4y3+yf'C6:°FX:�I�''FYFO>`----rdNJd Y•tut'F"3EAr+kiSr 4"u."u'�.'Y^_W,7.`di tS4ti:W J!}w)a+9.4.K'Y«. kSCl�'A44]!+!Z'`' :.1 1 Suffolk County-Department of.labor, Licensing ' Consumer Affairs' VETERANS AMMORIAL_RIGHWAY * 'HAUPPAUGE,NEW YORK 1,1788 ! DATE-ISSUED: 6/6/2014 No: W60-ME AT]H`JE'OLK-COUNTY w 7 11 Master Electrician License k This is to certify that MICIHAEL J C TIZUNE, doin business as r � g LONG ISLAND POWER SOLUTIONS INC having given satisfactory evidence of competency;,is hereby'licensed as MASTER El.ECTRIGIAN in accordance r` ! with acid subject to the provisions of applicable laws-rules and regi latior s of y' m the-County.of'Suffolk,State of New York. t s3 Additional Businesses ' { �. . t NOT VALID WITHOUT > f DEPARTMENTAL SEAL a,4 AND A CURRENT . t C0N9UMEi[t AFFAIRS IID CARD ;Commissioner- , S '�" a`no:''�33 JI---- - — - - -- — - - - - - 1 n' fisT;svr t:+ ,!i�'HCSrdP'if+k7vt J:S,�Mrry yi':NA�^^.aN.no�'15xVm> »• �•n •rr'Rhfr 7�' '� �i `v toG.. ".1 hn: 'kY1�;iM"� uv}klYCfu^lias�dttE'CVLtvJ3.2Y+Ru,t'rtF�rl'thSCY/'.d^WU.Yi"7k.S�+Gt'W_YA'dl�t+'iST_>•']YF_'U'a3iRi:W54n,"4nC t'S��s1'+�"nt 1K5. S+.TL'il"+ pdA N1St '�iy', '{T ' C+.," �-t'�:'�'r;° s s `gpt•' '.3�u...x.�+¢'ne,_„,a"�'rC F .«.",��i...,_..,&�:s'�'✓•":'-" �""�vs'-�+'''t0i?''��., s -.'•�" S.Y'"u�'�"'" � `�,'."Lj""'a^7'�nl Bsq �L' '�..t! .s'""' �`���5''.�rsm,,"3,.. � �e" ,,,,��° ' � � :446; . �:��$"o.�}��!• ' ��^�-^i. <�%d4,lEi'� - M d.�: ,,;4�h a•, aary °'F i�� °�1a+P. � �y"$9� er',i^1�. :$.31 '' ,!: i STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE I a. Legal Name and address of Insured(Use street address only) 1 b.Business Telephone Number of Insured 631-543-0282 Catizdne Electrical Contracting,Inc. I c:NYS Unemployment Insurance Employer Registration 3122 Expressway Drive South Number of Insured Islandia,NY 11749 1 d.Federal Employer Identification Number of Insured or Work Location of Insured(Only required if coverage is specifically Social Security Number limited to certain locations in New York State, i e, a Wrap-Up 45-5213112 Policy) 2.Name and-Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity,Being Listed as the Certificate Holder) Utica Mutual Insurance Company Town of Babylon 3b.Policy Number of entity listed in box"la": 200 E.Sunrise Hwy Lindenhurst,NY'11757 4766763 3c. Policy effective period: 07/01/17—07/01/18 3d.- ,The Proprietor,.Partners or Executive Officers are: Included. (Only check box if all partnerstofficers included) X 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 "ia" for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York(NY) must.be listed under Item,3A on the INFORMATION PAGE of the workers' compensation insurance policy): The insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as-the certificate holder in box"T'. The Insurance Carrier will also notes the above certificate holder within 10 days IF policy is canceled due to nonpayment ofpremiums or within 30 days iF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valit!jor oue year after this form is approved by the insurance carrier or its licensed a_gea_t, or until the policy eYpirailon date listed in bor73c; whichever is earlier. Please Note: Upon the cancellation of the workers'compensation policy,indicated on'this fortri,if the business continues to be named on a permii,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorised proof that the business-is complying witif the r_n_andatory-coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I 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: .Joseph P.Price (Print name of authorized representative or licensed agent of insurance carrier) Approved by: ' {� - %"/ 061091YO 17 (Signa�tiFe)' (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: 631-698-7400 Please Note:Only insurance carriers and then licensed agents are authorized to issue the C-105.2 form insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb/state.nv.us 7 ; i i CATIZOO OP ID:JM ACORO® DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 06/09/2017 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 CONTNAME Julie Julie Fitzpatrick Joseph P.Price Agency,Inc. PHONE FAX 1150 Portion Road,Suite 14 aJc No E# 631-698-7400 AIC No 631-698-5494 Holtsville,NY 11742 E-MAADDRESS Joseph P.Price jfitzpatrick(@joepriceinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Utica Mutual Insurance Company 10687 INSURED Catizone Electrical INSURER B:Utica National Assurance Co. 25976 Contracting,Inc. INSURER C.Standard Security Life Ins. 69078 3122 Expressway Drive South Islandia,NY 11749 INSURER D. INSURER E' INSURER F. 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 ADO SUB LTR POLICY NUMBER MM/DDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR CPP 4784747 07/01/2017 07/01/2018 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO ❑LOC PRODUCTS-COM P/OPAGG $ 2,000,000 JECT OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peracadent $ HENTION OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIEfOR/PARTNERIEXECUTIVE YIN N 4766763 07/01/2017P07/00112018 E L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? El N I A (Mandatory in NH) E L DISEASE-EA EMPLOYEEI$ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1$ 500,000 C Disability R97483-000 01/01/2017 01/01/2018 Statutory Limits DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 1 CERTIFICATE HOLDER CANCELLATION TOWNBAB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Babylon ACCORDANCE WITH THE POLICY PROVISIONS. 200 East Sunrise Highway Lindenhurst,NY 11757 AUTHORIZED REPRESENTATIVE v ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD c r � oRK Workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board UNDER THE NYS, DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier Ia.Legal Name&Address of Insured(use street address only) 1b.Business Telephone-Number of Insured CATIZONE ELECTRICAL'CONTRACTING,INC. 6315430282 3122 EXPRESSWAY DRIVE ISLANDIA,NY 11749 1 c.NYS Unemployment Insurance Employer Registration Number of Insured PENDING Work Location of Insured"(Only required if coverage is specifically limited to certain locations in New York State,i e:,a Wrap-Up Pokcy); id Federal Employer Identification Number of Insured or Social Security Number 45-5213112 2.Name and Address-of Entity.Requesting Proof of Coverage, 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Babylon Standard Security Life Insurance Company of New York.. - - 200 East Sunrise Hwy Lindenhurst,,NY 11757 3b Policy Number of Entity Listed In Box"ta" R97483-000' 3c Policy effective period imam- to 2/14/2018 4.Pobcy covers: Qx A All of the employer's employees eligible under the New York Disability Benefits Law. E] B.Only the following class or classes of empioyeles employees. Under-penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance-carrier referenced above and that the named. insured has NYS Disability Benefits insurance'coverage as described above. Date Signed 2/15/2017 By (Sisnaturcofinsurance earners authorize, repr"tauve or NYS Licensed Inaumnce Agent oft hat insurance carrier), Telephone Niirritier (212)355-4141 Title.SUPERVISOR-DBUPOLICY,SERVICES IMPORTANT. If Box"4a",Is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that' carver,-this.certificate is COMPLETE Mail it-directly to.the certificate holder. If Boz"4b"is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability,Benefits Law It must be' mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,328 State Street.Schenectady,NY 12305 PART 2.To be-completed by the NYS Workers'Compensation Board(Only-if Box-"411b"of Part-1 has been ctieclied) State of New.York Workers'Compensation Board According to information maintained by the NYS Workets'_Compensation Board,the above-named employer has complied with the NYS Disability,Benefits Law with respect to all of his/her employees. Date Signed By' Signawre of NYS Workers Compca"sation Boaid Employee) - Telephone Number Title ; - t i - r Please Note: Only insurance carriers licensed to Write NYS drsability,benefits insurance policies and,NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1,dnsurance brokers are NOT authorized to issue this form: DB-120.1,(9-15) i s t G 0 S 3 l � , <NT R Workers' CERTIFICATE OF INSURANCE COVERAGE ATE Compensation, Board UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use,street address only) 1b.Business Telephone Number of Insured LONG ISLAND POWER SOLUTIONS INC' 6313480001 3122 EXPRESSWAY DRIVE SOUTH ISLANDIA, 11749 1 c,NYS Unemployment Insurance Employer Registration Number of Insured PENDING .Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i e.,a Wrap-Up Policy) 1 d Federal Employer Identification Number of Insured or Social Security Number 27-1175107 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Babylon ,200 E.Sunrise Hwy 3b.Policy Number of Entity Listed to Box"l a" Lindenhurst,NY 11757 R97411-000 3c.Policy effect ve°period 1/1/2015 to 2/14/2018 4 Policy co4ers- QX A.All of the employers employees eligible under the New York Disability Benefifs Law E] B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed 2/15/2017 By AQ (Signature of insttrance carvers authorize tepirscmanve or NYS Licoised Insurance Agent of that insurance carver) Telephone Number (212)3554141 Title SUPERVISOR-DBUPOLICY SERVICES IMPORTANT. If Box"4a"is checked,and this form is signed by the insurance'carriees authorized representative or NYS Licensed_Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder If Box"4b"is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability Benefits Law.It must be mailed for completion to the Workers'Compensation Board,DB Pians Acceptance Unit,328 State Street,Schenectady,NY 12305 PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box"4b"of Part 1 has been checked) State of NeW York Workers'Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied Ah'the NYS. Disability Benefits Law with respect to all of his/her employees. Date Signed By Signature of NYS Worl.e&Compensation Board Employee) Telephone Number Title Please Note:Only insurance carries Incensed to write NYS disability benefits insurance policies and NYS licensed insurance agents,of those insurance carriers are authorized to.issue Form D8-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1(9-15) STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a. Legal Name and address of Insured(Use street address only) 1 b.Business Telephone Number of insured 631-348-0001 Long Island Power Solutions Inc. Ic.NYS Unemployment Insurance Employer Registration 3122 Expressway Drive South Number of Insured Islandia,NY 11749 Pending 1 d. Federal Employer Identification Number of Insured or Work Location of Insured(Only required rf coverage is specifically Social Security Number limited to certain locations in New, York State„ i.e. a Wrap-Up 27-1175107 Policy) 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) New York Marine&General Insurance Co. Town of Babylon 3b.Policy Number of entity listed in box"la": 200 E.Sunrise Hwy Lindenhurst,,NY 11757 WC201700013495 3c. Policy effective period: 04/01/2017-04/01/2018 3d. The Proprietor,Partners or Executive Officers are: included. (Only check box if all partners/officers included) X 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 "la" for workers' compensation under the New-York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. The Insurance Cdrriei;ivill also noltfy the above certificate holder Within 10 days IF a po"lic"y is canceled due to nonpaymencof premirm►s or within 30 clays IF there are reasons other than nonpayment of premiums that cancel the policy, or eliminate the insured from the coverage indicated on this Cert fcafe. (These notices pray be sent by regular mail) Otherwise,this Certificate is valid for one year after this for►n is approved by the',insurance carrier or its licensed agent, or until the policy erpiration date listed,in box"3c'; whichever is earlier. Please Note:Upon the cancellation of the workers'compensation policy indicated on this formjf the business eoritinues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with 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 i 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: Joseph P.Price I (Print name of tho iz resentative or licensed agent of insurance carrier) Approved by: ✓ 03/10/2017 '(Signature) (Date) i f Title: President f Telephone Number of authorized representative or licensed agent of insurance carrier: 63 I=698-7400 i Please Note:Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form. Insurance brokers are NOT authori_ed to issue it. C-105 2(9-07) www.wcb/state.ny.us °t i f r , LIPOWEO OP ID:ER DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY� INSURANCE F 0310112017 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(les)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 endorsements PRODUCER CONTACT Joseph P.Price Agency,Inc. PHONE Erica Rueckheim Fax 1150 Portion Road,Suite 14 Alc No. E,,,1.631-698-7400 Alc Ne,631-698-5494 Holtsville,NY 11742 E-MAIL Joseph P.Price DDSS:Erueckheim_@jpepriceinsurance.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:Lloyds of London INSURED Long Island Power Solutions, INSURER B•Standard Security Life Ins. 69078 Inc. INSURER C:New York Marine&General 3122 Expressway Drive South Islandia,NY 11749 INSURER D: INSURER E: INSURER F: 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 ILTR TYPE OF INSURANCE ADDD _OUSH POLICY NUMBER MM/DDIYYYY MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR PK201700009913 02/28/2017 02/28/2018 15AMAUE Tb RENTED PREMISES Ea occurrence $ 50,000 rs X Contractual MED EXP(Any one peon) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- LOC JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident AUTOS AUTOS ( ) S HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per acudenl UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $1 _ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITYX STATUTE I I ER C ANY PROPRIETORIPARTNER/EXECUTIVE Y/N WC201700013495 04/01/2017 04/01/2018 EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) EL-DISEASE-FA EMPLOYEE $ 1,000,000 If yesescnhe under D SCRIPTION OF OPERATIONS below _ E L DISEASE-POLICY LIMIT $ 1,000,000 B Disability Benefit R97411 01/01/2017 01/01/2018 Statutory A Install.Floater PK201760009913 02128/2017 02/28/2018 100,000 _ DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION TWNBABY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Babylon ACCORDANCE WITH THE POLICY PROVISIONS. 200 East Sunrise Highway Lindenhurst,NY 11757 AUTHORIZED REPRESENTATIVE y ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1 L n�.+1 E. 7`L•ST!101,1:' &ITA -_- T� �•1,�. (1LSP ,CF OX 01�:c_0:•yy-� "_r.[_vy^t GY aV L aP, J S IR-0X1SKI u al)Kll Iwa o, architactum.µc. f-``y� „” 'SS•�i, �Ls I + r•,no'r l•s, Lar u•+o t• �p f ��,,it�ti ,,.Irn.NL �� ,g eA O� •�yc.2;' ,� sae : 04 I• 1an,.l.l.alrn•,..I• ,-..,..•q •- �� 111•` ..'�.F.2..` .ftf('s�bti%�`•'.i'rir''�F c'So•�T"r T9t i a.0•n Prr, •,�c1 Rraulenr r}•cn s' a4 nv n I a c n vlm.,.,, an, . P r1 7�,{ er ,'i .i�•�:�!��i,,/��Piii�',�9R`�v. P- 4 E1 o�.es`" I Mr. iStefanides fes, ae r,•',r{.!�-,.i i•�/' /�r+�i:Fri%f ��, erl t�o-- ----- _ 'I hr Strand Lot 12$ P 4•. 1 l 'i i /.% •'`' /'' --._� RFI** ,,�.Orna me 1:,:'+AST.a,n sa SURVEY 0r '�, si ./�,z,' % �.'•�'�r;c \ I ,e: ._a° .=_i� Pcbltic Beach harm p ,,5East Mion,NY 11939 1,0T 125 al%a'• - ae•;r,. fir`•,• •� V DIA X4'DEEP S.c T M#1000-30-2-77 AMP OF q f` (�` —z —- STORM DRAINS FROM P ;J3BLE BEACH FAMAS � �ti��u ' _ __\--- INFORMATION DONE BY�NATHHAN FILE N. 626G FILED JUNE 11, 1975 ��' (� �, + �„ ��.! 1 oa.:. r� y r CGI2WIN TAFT III DATED ,SC'I'UATELt AY i�r c"sy 's} 1-Ib 2007 T_i 4 a ti l EAST M,ARIONE P I OWN OF SOUTHOLG SUFFOLK COUNTY, NEW YOP,K FRxoSED CLEARING LIMI '?; c 4,0`12 5F. 1 O S.C. 1 AX No. 1000-30-02-77 DURING OONSTRUCTIGN TWO-STORY RESIDENCE(630' LOCATION OF SILT FENCE AND , � / T " F F E.)4ITH 4`10 5 F SCALE 1"=40' JANUARY 1 fi, 2007 NAY BALES .,� Sj',•"- 1 r :% SD �' „L<= ATTACHED GARAGE AT an fl F l\}2 ' r .' i 6 BASEMENT LEVEL(53 O F F E) v 4 'U,e;�li 1 :1107 AD'JEO CLEhR,40 JWIl ' nH.LVRSR t:.:m^f A°9 i.,LID\G Z*rlrL9lP T'' .�' — PROPOSED 81 DIA X 4'DEEP �•':�,..., AREA 22,421 s4• fl STORM DRAINS ED aJ.o GRAVEL DRIVEWAY. +:r1P% +"yV 'r Y: `ih\ -r _.T'{rs' ,i Lu.m'Nt1wl.,.w 1.,1,Mair blar+,vu,L,.1,•IIVN• 1 RGaF110N0 'c [TLR[FYCO 10 NrVD -1—1. E%6rlaG L_,1illOriS 1f e-SIC5,1 TNl!�-`fwO p' a:. 4 • r: yJ •J�'�4'}\ O� ...'...'I.'..Ir..f,l.♦..I n..,itvv Ir,.,v.�^ rl's-0 CbNrOUi"Uts NI,SH.",—1 - - 10 l �� V` r' 9�, � h1O/(,)'11, .n .r••u. +n Mn„riw..•,I...,v,.•\.'I ., 2.ROOD LONE 1NF—T,ON—01 IROU rtW RmmelNtk WK unr 1. 3010t.00 1. PROPOSED SANITARY SYSTEM ¢n n.•_ cans,..,¢+r-an v.•n,axnr+u•a;is r�„-rwN, AS APPROVED BY 5 C D N 5 C+NC v M2 '0 un%0r10 9x: <G+A•r0 a, �,5- * :' •r,• 4 ��'r p ac,T`' ., •.0 o n.4, All- /• L'.�vo`Lo- rn�1L,n NI , 00,• a.,.-t �y acN-`,�Z. /� "•�vv /I �,s TITLE IS••�!a `'/•'• , i'lc0-',ssPSC` �' � SITE STORMWATER RETENTION CALOULATION, ,./s• / T\ { EVSED ON 2'RAINFALL CQITAINMENT �:/�"` ao,T 1-0 A 1 \\°`•�\1,p ` PTTS i PLAN IMPERVIOU5 SURFACE-3,4%5 F ,/ r 1a t 3,4%5F X IW FEET-580 CUBIC FEET ,, f(�i,1 tT CONTAINMENT REGUIRED' 580 C F 142 C F(PER LINEAR FEET OF V DIA RING),n 14 FEET SHEET OF COMBINED DEPTH CONTAINMENT PROVIDED, �/`•Jod J°�c. (o�'� (4)8'DIA X 4 FEET DEEP STORM RINGS 1._7�,' `,4 — 1 jnf Lefkara Holdings LLC under Section 203 arch_y 1~1F4'�,7�. �[{it Liatriilta��:srmF�yiaw M'- n:eraac etf thr h«aiaect tIq[i11u��{nrefE?;,7ty is_ Lefkara Holdings LLC SI•CUtetD. TJtr.cotant}•Utthtai thus statim t91 u�tateh the of(tst�utal9e�omit.-, Jor-�trd in! [ lUtbkuty 4boonpany is It;he a Nassau T'JJJRI3 I(3pt1ti»;;!'771r.t:tte�l elate oil Which clic litrrited[Lability rompaity is to[li��scyly�As: r FOURT]i: Ttae vcrrtatV,0(Statr,as4e9ignatedas:i pr ccss.it alnst it tnay be'ccrve•c].The pc>�t nf[E et of th jdrr+ewtthitaltcar wit h�i6nth P t9a charn ti+�hicJt at Ick hs•5,rcrrt:try of gt:ate shall sn.itl d�cnp��df pray prrrras�lGsttDat the[tttatW<1 Itabdity V'ompatzv S"T"I Upr�n lairn or her fig - lefkara HDlbings LLC 100 Br4mplO Road Garden_CY. NY 11530 FJJ'171 tOptlUnntp`Phc»"Ytaic;9ttei steed tiddfv.-L%within this state•of tile!regislerril agent al the ]iMIled liah9litN-cnrnpany upon whcmanc3;tt which girocv s against lhe.]intitrc31ta1�lUt}� company can be�rtied ts: SM11: The d(ective,date of tate 1'lct$eles of t}c aul2a[ion is. SEVEP+ 71' -The linttte'd hab71ily company i:s to be-rrtataahed by kheck npprojiriat-v box)- ZOnt or more members One or more managers DA class or Classes of members A da,"or cl..iws of Managers EIGHTH. Other Provislms: IN U ITNESS WHEREOF, Ibis 60rtafacatc fh2s hecn Slibsctibed tin May 10, 2012 br clic undcm, gnccJ,010 afjlrmn t�hac the matellients m.,cic. hctelAt MV tette iditcl4 r tIle Esc naltit� of ax:qtarv: ISI NeolitOS 8tefanides ISI Mary Stefenides Neofitos,Stefanides --Organizer Marrtofanrdo -Organizer 1 rLon, 0 1 I a n d ®°®©� 3122 Expressway Drive S. Islandia, NY 11749 Q 631348-0001 WER SOLUTIONS www.longislandpowersolutions.com October 18, 2017 TOWN OF SOUTHOLD—Building Division Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold,NY 11971 Dear Building Dept: As per your Building Department, enclosed please find the building permit application, submitted on behalf of our client/property owner: Property Owner: Stefanides,Neo - (917)748-5178 Project/Property Address: 1070 The Strand,East Marion,NY 11939 Section/Block/Lot: 30-2-77 Electrician/36178-ME: Michael Catizone—3122 Express Dr. S.,Islandia,NY 11749—(631)348-0001 Contractor/53562-A: Long Island Power Solutions-3122 Express Dr. S.,Islandia,NY 11749—(631)348-0001 Architecture&Planning: Paul Cataldo-646 Main St, Suite 202,Port Jefferson,NY 11777—(631)509-6800 Enclosed Please find: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of Equipment Specs (Module and Inverter) • (4) Copies of the Engineering Drawings . • Liability, Disability&Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Sincerely, Sue Estabrooke Permit Manager Long Island Power Solutions 3122 Express Drive South Islandia,NY 11749 Ph- 631-348-0001 Fx- 631-348-0018 sue@longislandpowersolutions.com Go Green Save Green DATE:spa ./ AS �� RRv�RElr >� BY: � T S FEE _y RD NOTIFY BUILD1PdG D PPJ�FQR THE SSI T ' l.D i0`� Ni 765-1 802 8 AM TO FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED w �r FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. � '�� NV ALL CONSTRUCTION SHALL MEET THE Q � REQUIREMENTS OT TRESPONS BHE CODES®E FOR NE YORK STATE. DESIGN OR CONSTRUCTION ERRORS. WATER RUNOFF OYNOk.c RETAIN pURSUANT TO �HApTER 236 C OF THE TOWN CODE. � - I nf/j- paul tC..1a.tC... aLO GREENOR f ° I o 20 ARCHITECTURE & PLANNING PC i OMun : g Jurisdiction _ Town of Southold Building Department ' ---Town-Hall--------------------- -- ------------------- --_ -_-------- ---�._-._---- ----------- -------- --------•-------- ....6outhold-,NY-1.1-971.................................................°......................................,................................. Project Solar Photo Voltaic Panel Installation for: Neo Stefanides Section 30 1070 The Strand Block: 2 East Marion,NY 11939 Lot 77 A review has been prepared for above listed residence regarding solar panel installation on roof. Site visit verification has been prepared identifying specific site information,based on that information an evaluation of the structural capacity of the existing roof system to support the additional loads imposed by this solar panel installation. Description of residence: The existing roof structure is typical wood framing construction consisting of 2x10 roof rafters at a 3 in 12 pitch,spaced at 16"on center,with a 0'-0" eave overhang,ridge is 2x12. Lumber species assumed to be Douglas Fir#2 in an unfinished attic,collar ties are 16"on center,and the ceiling Joists are 2x10 space 16"on center.The subject roofs have a single layer of asphalt shingles assumed to be 3 PSF Gypsum board ceding is attached to the ceiling joist and not the roof rafters Code References: o IRC-International Residential Code 2015 o NYS Building Standards and Codes;2016 Uniform Code Supplement o International Energy Conservation Code 2015 o American Wood Council,Wood Frame Construction Manual 2012 o American Society of Civil Engineers Minimum Design Loads for Buildings and Other Structures 7-10 o National Design Specification for Wood Construction 2005 o Exposure Category"C"Surface Terrain o Roof framing lumber Douglas Fir#2 o All panels assumed to be in Roof Zone 5 *Net Design High Wind Pressure adjustment factor for budding and exposure multiplier=1.25 I have reviewed the roofing structure at the project address. The structure can support the weight of the roof mounted solar photovoltaic array. The system is to be installed as per manufacturer's instructions. I have determined the installation as designed will meet the requirements of the NYS Buildin Code 2016 Uniform Code Supplement,and ASCE7-10 when installed as per manufacturer's instructions. Roof Section 1 2 3 Mean Height 22 22 22 Pitch 3 in 12 3 in 12 3 in 12 Rafter Size(nominal) 2x10 2x10 2x10 Rafter Spacing(on center) 16" 16" 16" Horizontal Rafter Span 19'-5" 22'-6" 20'-5" Allowable Spans Table R802.5.1 Max. 1 22'-6" 22'-6" 22'-6" Climatic& Ground Wind Live Load, Point Load Allowable Geographic Category Snow Speed Pnet30 per withdrawal deflection Fastener Type Design Criteria 3 ASCE7 Lbs.per As per NYS P Md � c. PSF lag bolt Building Code ' C." t Roof Section 1 -65.7 -606 L/180 Use 5/16"dia.x 5"La s Roof Section 2 C -657 -691 L/180 Use 5/16"dia.x 5"Lags Roof Section 2 IIT1 C 14 13 -65.7 -696 L/180 Use 5/16"dia.x 5"Lags As Per Lag bolt manuf r an bolt drawal rated at 266 lbs per inch of thread in Douglas fir lumber,5"Lags to have 3-3/4"of embedded thread leng kirQ9 r tat 9 s,we use 796 lbs as our limit per lag. Weight Distribution:Array dead load=3.5 PSF Paul Cataldo,Registered A ................................... .....................Is..................................................................... 646 MAIN STREET,SUITE 202 / PORT JEFFERSON, NY 11777 / 631.509.6800 / FAX 877.524.2732/WWW.PAULCATALDORA.COM ...........................................°..................................................................................................... PR,1.I EC C'• 6C RE- __-D o/-"F r 0 Long Island -COGEN Disconnect POWER SOLUT IONS Located adjacent to Utility meter 3122 Expressway Drive South Inverter Islandia, NY 11749 (631) 348-0001 " . Customer: Section 01 Neo Stefanldes 30 �. Y. .._ 1070 The Strand Block : -, 2 East Marion, NY Lot . F � 11939 77 917-748-5178 General Notes: x G - Project: -Enphase IQ6PLUS Micro Inverter are located on roof behind each module. _r Total system watts DC . - �� �. -First responder access maintained and - FRONT OF HOUSE 199430W from adjacent roof. Total # of Modules . -Wire run from array to connection is 40 feet. N o58 Module Type/Watt Roof Section 1 Roof type Pitch Azimuth Wind Load, Fastener Type LG 3 3 5 W Pnet30 per ASCE?-05 R1 Rolled Asphalt 150 1280 -56.2 PSF Use 4 5/16 " dia. 5" Las Back-up/Inverter Type R2 Rolled Asphalt 150 3080 -56.2 PSF Use 4 5/16 " dia. 5" Las Enphase IQ6PLUS R4 Rolled Asphalt 150 380 1 -56.2 PSF Use 4 5/16 " dia. 5" Las Support: Another Solar Installation Sheet Index Legend Iron Ridge XR-100 g hu By S-0 Cover Sheet / Site Plan V11172 First responder access995�A paul cataldo �, CA �-� - fDiagram .- S 1 Roo Utility Meter r'f Island 696 Main Street Surte 2 7 .� .. iLong ��' S-2 Detail Port Jefferson,NY 11777 _4 l EP PV Disconnect vFax 877.52oice 02732 . pc SOLUTIONS 00 F-C Fire Clearance PauaPaulCataldORAcom o Vent Pi E-1 One - Line pe www PaulCataldoRA corn E-2 Micro Inverter riser diagram Chimney ®� Date: 7.14.17 Cover Sheet/ Q Satellite Drawn by: cM This PV Solar project complies with the 2015 International Residential Code (IRC), the Checked by: Site Plan ' p � p Rev #: 00 2016 NYS Uniform Code Supplement,the 2015 Wood Frame Construction Manual (WFCM 2015), Rev Date: S-0 NFPA 70 Standard "National Electrical Code" and the Zoning Code of the Town of Southold. 231-311 Long Wand cc&, POWER SOLU70ONS 151-511 3122 Expressway Drive South Islandia, NY 11749 (631) 348-0001 R-1 Customer: # Modules (12) Neo Stefanides 20t-0tt 1 Pitch: 15° R-2 1070 The Strand Azimuth: 128° 33'-6" # Modules (25) East Marion NY Pitch: 150 ' Azimuth: 3080 11939 y Total system watts DC 19543OW Total # of Modules 58 Module Type/Watt : 291-711 LG 335W Back-up/Inverter Type Enphase IQ6PLUS Support: i Iron Ridge XR-100 R-4 1 11 21 -0 # Modules (21) ® paul cataldo ARCNITERURE d PLANNING PC 646 Main Street Suite 202 Pitch: l5 � ' Port Jefferson,NY 11777 Voice 631509.6800 ° ^ y� Azimuth: 3 8 Fax 877.524 2732 — Paul@PaulCataldoR&com 31-411 _ wwwPaulCataldoRAcom 36' Date: 7.14.17 51-61/211 Drawn by: CM Diagram Checked by: g FRONT OF HOUSE Rev #: 00 1st Responder Access Rev Date' 1 minimum of 36 unobstructed as per Section R324 of the 2015 IRC 231-311 Lon0s0and �o .� POWER SOLU70ONS 15'-5" 3122 Expressway Drive South b Islandia, NY 11749 (631) 348-0001 t I � s Customer: R# -1 Modules (12) I r Neo Stefanides -0��20 Pitch: 1070 The Strand ' 0 33 _6" I {� I . Azimuth: 128 # Modules (25) East Marlon NY Pitch: 15° ' Azimuth: 3080 11939 Total system watts DC 17 10 19543OW I I 1 12 Total # of Modules � - 58 11 ' 6Module Type/Watt : 29'-�" LG 3 3 5 W ® Splice Bar 6 Back-up/Inverter Type : L Feet 100 Enphase IQ6PLUS UFO's 13 8 I� I Support: 40MM Sleeves 44 Iron Ridge X „ I I R-4 k yA' 11L -.1ftf 1 21 -0 ICS _T — I # Modules (21) ® paul cataldoLC i O ARCHITeECTURE 8 PIANNING PC 4a �+ o —� Pitch. 15 646 Main Stret,Suite 202 ). Port Jefferson,NY 11777 O Voice 631509 6800Azimuth: 38 � is Fax 877.524.2732 I Paul@PaulCataldoRA corn www PaulCataldoRA.com k - 11 Date: 7.14.17 00 51-61/2 Drawn by: CM Diagram Checked by: FRONT OF HOUSE Rev #: 001 0 S . 1 1st Responder Access Rev Date' minimum of 36"unobstructed as per Section 8324 of the 2015 IRC �f� = a Equipment List: �f` Long Island OccO' AC Combiner: Photovoltaics: 1-Phase, Main Lug Loadcenter, 125A POWER SOLUTIONS (58) LG 335-NIC-A5 3122 Expressway Drive South Note: Islandia, NY 11749 Inverters: All wiring to meet the 2014 NEC and (631) 348-0001 (58) Enphase-IQ6PLUS-72-2-US 2015 Energy Code Maximum Inverters per 20A Branch Circuit (13) 100A Fused Service Rated Disconnect Customer: Photovoltaics: Neo Stefanides (58) LG 335-NIC-A5 1070 The Strand NEMA 3R Inverters East Marion, NY Junction Box Engage Cable (5 8) IQ6PLUS Micro Inverters 11939 Black-Ll Red-L2 Project: White-Neutral Circuits: Green-Ground (3) circuits of(12) Modules Total system watts DC (2) circuits of(11) Modules 1%430W #12 AWG THWN for Home runs under 100' Roof Total # o f Modules #10 AWG T HINN for Home runs over 100' (1)Line 1 (1)Line 2 58 (1)Neutral (1)EGC Per Circuit Module Type/Watt : in 1" or 1 1/4"PVC Conduit Meter LG 3 3 5 W !. ., ." e � �. Back-up/Inverter Type • . yi� i ,� ,t=� . Enphase IQ6PLUS Support: Iron Ridge XR-100 s• •; + r•� � - � —Line Side Tap 100A Fused Service Main Service `� J�\• Cq T 125A Load Center Rated Disconnect 150A paul cataldo 90A Fuse — �acNrtEcru a—NiNc Pc e 646 Main Street,Suite 202 (1)-20A Breaker � ,A; �• Per Circuit Port Jefferson,NY 11777 '. RATED AC OUTPUT CURRENT A voice 631509 6800 _ Fax 877 524.2732 (jD� + e�.•tsu x�S C'� t NOMINAL OPERATING AC VOLTAGE V Disconnect • „ Paul@PaulCataldoPA corn 1k 112 K www.PaulCataldoM.com —� �NENN _'P_' 7.14.17&WARN AC Distribution Panel Date: Thre ,I'Nor Sub Panel Drawn by• CM #2 AWG THWN 2 AWG THWN • INVERTER OUTPUT CONNECTION (1)Line 1 (1)Line 1 Checked by: • 1 (1)Line 2 (1)Line 2 DO NOT RELOCATE 1 (I)Neutral (1)Neutral _ Rev #• �� THIS OVERCURRENT (1)EGC (1)EGC DEVICE in 11/4"PVC Conduit (1)GEC Rev Date: in 1 1/4"PVC Conduit 00 ENGAGE CABLE Long Island BLACK_L, - - POWER SOLUTIONS RED-L2 - - - WHIT£-NEUTRAL GREEN-GROUND 3122 Expressway Drive South Islandia, NY 11749 (631) 348-0001 COMBINER BOX \ - \y ,V "'� " - � - - � Customer: ERMINATOR CAP INSTALLED ON • NOTE.,The grounding method'shown is one of-multiple allowable methods. END OF GABLE Neo Stefanldes TO-METER OR AC'DISTRIBUTION1070 The Strand � I UP TO 13IQ6PLUS's PANEL f PER BRANCH CIltCUIT j East Marion, NY ® lit 11939 I ONE 2-POLE 20 AMP CIRCUIT BREAKER Project: PER BRANCH CIRCUIT ETHERNET CONNECTION Total system watts DC ENVOY COMMUNICATIONS GATEWAY TO BROADBAND ROUTER M. Q 199430W 1 GROUND # of Modules ,NEUTRAL AO DISTRIBUTION PANEL 120 Vac POWER CABLE 58 O p OR SUBPAN'Et_ IMPORTANT Make sure to measure the lime-to-line and the line-to-neutral voltage Module Type/Watt WIRING of all service entrance conductors prior to-installing any solar equipment-The voltages FIELD II RING DIAG IAM for the 24OVac rated microinverters should be wlithin the following ranges. 240 VAS SINGLE PHASE LG 3 3 5 W line to line.211 to 264 Vac,line to,neutral-106 to 132 Vac.. Back-up/Inverter Type Enphase IQ6PLUS Support: Iron Ridge XR-100 All e quiment Conforms with UL 1741 pawl cat PLANNING `���v C ARCHRECTURE 8 PLANNING K 646 Main Street,Suite 202 ��Q Port Jefferson,NY 11777 8° Voice 631.509.6800 Fax 877.524 2732 Paul@Pau]CataldORA.com j wwwPaulCataldoRA.com 36 Date: 7.14.17 „ I,�O� Drawn by: CM Checked by: Diagram - Rev #: 00 Rev Date: E-2 Long Island 3 Access Pathway POWER SOLUTIONS 3122 Expressway Drive South round Access Point Islandia, NY 11749 (631) 348-0001 Customer: Utility Meter Neo Stefanides 1070 The Strand East Marion, NY R-211939 0 # Modules (25) Project: Total system watts DC Pitch: 15 Azimuth: 308' 19A30W T Total # of Modules :R-4 Sd7; .-'Fin 58 # Modules (21 . =._ Pitch: 15° Module Type/Watt • Azimuth: 3 8° LG 335W a ` Back-up/Inverter Type R-1 Enphase IQ6PLUS ''' Support: # Modules (12 Iron Ridge XR-100 4 a Pitch: 15° FRONT OF HOUSE Azimuth: 128° ® Paul cataldo \-',f eq M[HfTEC7U+E 8 PUNNING PC G Q� - 646 Main Street,Suite 202 Port Jefferson,NY 11777 VA Voice 631.509.6800 ' %I Fax 877,524 2732 s� Pau1@Pau1Cata1dORAconn i www PaulCataldoRA.com O E Q. NE V Date: 7.14.17 F- Drawn by: CM Rolled Asphalt on All Roof Surfaces Checked by: Fire Rev #: 00 FRONT OF H O U S E Rev Date: Clearance