HomeMy WebLinkAbout47278-Z w 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 #: 47278 Date: 12/29/2021
Permission is hereby granted to:
North Fork One LLC
c/o Geoffrey Prisco
256 Union St
Brooklyn, NY 11231
To: Install new solar roof shingles on accessory garage at existing single family dwelling as
applied for. *Disconnects must be located on the exterior, labeled and readily
accessible as per code.
At premises located at:
290 Windward Rd., Orient
SCTM #473889
Sec/Block/Lot# 19.-1-12.3
Pursuant to application dated 12/9/2021 and approved by the Building Inspector.
To expire on 6/30/2023.
Fees:
SOLAR PANELS $50.00
ELECTRIC $100.00
CO-RESIDENTIAL $50.00
Total: $200.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 htt .x-v o tholdt nny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ,
PERMIT NO. Building Inspector:
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:12/7/2021
OWNER(S)OF PROPERTY:
Name: Geoffrey Prisco SCTM #1000- _
Project Address: 290 Windward Rd Orient, NY 11957
Phone#: 718-809-9152 Email: gprisco@brutuspark.com
Mailing Address: 256 Union Street Brooklyn, NY 11231
CONTACT PERSON:
Name:Tesla Energy Operations,lnc./Anais Fernandez
Mailing Address: 15 Grumman Rd West Suite 400 Bethpage, NY 11714
Phone#: 631-406-9567 Email: anafernandez@tesla.com
DESIGN PROFESSIONAL INFORMATION:
Name:Yurianto Yurianto
i
Mailing Address: 602 N.Atwater Dr Malvern, PA 19355
Phone#: 610-504-4211 Email: yuriy@barun-corp.com
CONTRACTOR INFORMATION:
Name:Tesla Energy Operations,lnc./Anais Fernandez
Mailing Address: 15 Grumman Rd West Suite 400 Bethpage, NY 11714
Phone#: 631-406-9567 Email: anafernandez@tesla.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition 2Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other tall Tesla Solar Shingles on garage
Will the lot be re-graded? ❑Yes 12No Will excess fill be removed from premises? ❑Yes VINo
1
is co aMS
PROPERTY INFORMATION
Existing use of property: �� i Intended use of property:
i- , .
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes C4NC"IF YES, PROVIDE A COPY.
En 3
Check Box After Read- , The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Subrnitte B print name): SA -�m d� uthc riaecl_,Agent ❑Owner
Signature of Applicant ° Date:
R
STATE OF NEW YORK) j
SS:
COUNTY OF
3 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) ove named,
(S)he is the
�
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of/ V6(S��'� 20-Qj
Notary lic
RST^I.^I�. h,i Z!il_LO
NOTA; r . :;. 1. _ ,j1- NEW YORK
ROES OWNER AUTHORIZATION
C " ` In (Where the applicant is not the owner)
My Co ;.i uu 03-2023
residing at faltl
l _
� i ��do hereby authorize `�` -_- � `€to apply on
J
my beha @ the T wn o Southol Building Department for approval as described herein-
171 At 7,0 2,
Owner's Signature Date
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
v ,v TOWN OF SOUTHOLD
g cm Town Hall Annex - 54375 Main Road - PO Box 117 ,
`= Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
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Zsoutholdtowriny.gov — seannwnnvnnv
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 12/7/2021
Company Name: Jason Kane Inc.
Name: Jason Kane
License No.: ME-37295 email: jkane@tesia.com
Phone No: 516-306-0126 ❑I request an email copy of Certificate of Compliance
Address.: 127 West Blvd East Rockaway, NY 11518
JOB SITE INFORMATION (All Information Required)
Name: Geoffrey Prisco
Address: 290 Windward Rd Orient, NY 11957
Cross Street:
Phone No.: 718-809-9152
Bldg.Permit#: - t email:
Tax Map District: 1000 Section: i Block: Lot: `
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Install Tesla solar shingles on the garage
Check All That Apply:
Is job ready for inspection?: DYES ®NO ❑Rough In ❑Final
Do you need a Temp Certificate?: ®YES ❑NO Issued On
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter#
New Service ❑ Service Reconnect ® Underground ❑Overhead
# Underground Laterals D 02 ❑H Frame❑Pole Work done on Service? ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
Version#93.7-1
PIL
October 28,2021
RE: CERTIFICATION LETTER
Project/Job#1192395
Project Address: Prisco Residence
290 Windward Rd
Orient,NY 11957
AHJ Southold Town
SC Office Bethpage
Design Criteria:
-Applicable Codes=2020 RCNYS/BCNYS/EBCNYS with 2020 NYSUCS,ASCE 7-16,and 2018 NDS
-Risk Category=II
-Wind Seed=130 mph(3-s Gust-Vult),Exposure Category C,Partially/Fully Enclosed Method
-Ground Snow Load=20 psf
-TYP MP:Roof DL=3.5 psf,Roof LUSL=14 psf(Pre-SR),Roof LUSL=14 psf(Post-SR)
Note: Per IBC 1613.1; Seismic check is not required because Ss=0.182<0.4g and Seismic Design Category(SDG)=B<D
To Whom It May Concern,
Solar RoofM is a roofing system comprised of both PV and non-PV roofing elements.Please refer to the product data sheets,third-party
certifications,and installation documentation for further information.
Installation of Solar RoofM over a single layer of composite shingles is acceptable per the manufacturer's installation instructions.If the
existing roof has more than one layer of shingles,or any non-comp shingle roofing,a full tear-off is required.The net installed weight of the
Solar RoofTM" system is 3.1 psf,is evenly distributed,and no roofing overlays are permitted.Consequently,the net additional loading impact
to existing gravity load resisting elements is less than 5%and no further analysis was performed.
Where required by the installation manual or conditions above,installer shall perform a full tear-off of all existing layers of roofing material
above existing sheathing/decking.Installer shall verify existing roofing,and sheathing/decking satisfy installation instructions.Installer shall
verify roof framing is in suitable condition that does not exhibit any signs of structural damage which may diminish the capacity of its
members or connections prior to commencement of roofing installation.
I certify that installation of the Solar RoofTM system on this job,given no presence of existing structural damage at time of installation;meets
the criteria outlined in Section 503 of the IEBC/CEBC(alterations to existing structures)and is therefore permitted by code without
alterations or strengthening of the existing framing.
of NEivi., NY
to
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By Yuri at 10:46:54 PM, 1012812021
Tesla,Inc.