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HomeMy WebLinkAbout47791-Z 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#: 47791 Date: 5/6/2022 . _w Permission is hereby granted to: 1470 Jackson_St LLC......wwww_._.........__w�w ................ ._._m_m..ww�ww_._..........,._............w.............. .........M.M_ __w�w�w_............... ........... .WWW ._ 68 Jane St#2E NewYo k_ '_w_... �....__.. .. ...._m__.w.w... -- _..._........._._-----�..._._._... ,�.......,..�..�.w_____._....................._ _ '_.�_.__ -----........... ,.__....rk,.NY 10014 _ ............._......._ _wwwww_ _._. wwww... _www..... To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 1470 Jackson St., New Suffolk wwwwww. _ __ww_.............................__...... .. _ ......... ____ SCTM..#...473889 �wwwww.........._.......a... ...www_..._. wwww........_._ww_._... ................... mmmmmm Sec/Block/Lot# 117.-10-11 Pursuant to application dated _.....4/6/2022 and approved by the Building Inspector. To expire on 11/5/2023. w Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 6uildingg 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 1 qla w w r .�ca11t Gtl r^m ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO, Building Inspector,_..._, �w_n APR 0 6 2022 Applications and forms must be filled out in their entirety. Incomplete M.-ALDIN0 DEP—r 0"illo®r"10 applications will not be accepted. Where the Applicant is not the owner,an WN 0'TOOi•)V-10 3 Owner's Authorization form(Page 2)shall be completed. Date: 3/25/2022 OWNER(S)OF PROPERTY: Name:1470 Jackson St. LLC ]ET:M::#:1000--44-7,1-- Project Address:1470 Jackson St, New Suffolk, NY 11956 Phone#: 631-801-7507 —LEmail: seifertbuilders@gmail.com Mailing Address: 11780 Sound Ave, POB 1407, Mattituck, NY 11952 CONTACT PERSON: Name:Barbara - GreenLogic LLC Mailing,Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 x117 Email:Barbara@Greenlogic.com DESIGN PROFESSIONAL INFORMATION: Name: Pacifico Engineering PC Mailing Address: 700 Lakeland Ave, Suite 2B, Bohemia, NY 11716 Phone#: 631-988-0000 Email: solar@pacificoengineering.com CONTRACTOR INFORMATION: Name:GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:6;31-771-5152 Email:AMgGreenlogic.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition RAlteration ❑Repair-❑Demolition Estimated Cost of Project: 00ther Solar Panels $ 88 000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes *No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants restrictions with respect to this property? MYes Ao IF YES, PROVIDE A COPY. C,heCk Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code. 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 Submitted By(print name):GreenLogic LLC RAuthorized Agent Downer Signature of Applicant: . Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Nesim Albukrek .being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/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 075 da of Q�� 20 .2Z ���Gtel' Notary Public BARBARA A:CsASCIOTTA Notary Public-Slate of New Y PROPERTY OWNES "IIJ ' iI II TIU I NO, 01-CA489I96 Clualified in Suffolk County (Where the applicant is not the owner) Commission Expires May 11,2023 residing at l do hereby authorize GreenLOQIC LLC to apply on my behai to the Town Of Southold Building Department for approval as described herein. 1710 0*ir...,,.,. r s i6tore Date Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector ; � TOWN OF SOUTHOLD 1W - Town Hall Annex - 54375 Main Road PO Box 1179 Southold, New York 11971-0959 y Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownn ov seand southoldtownn .gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 3/25/2022 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 5�krequest an email copy of Certificate of Compliance Address.: 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (All Information Required) Name: 1470 Jackson St. LLC Address: 1470 Jackson St., New Suffolk 11956 Cross Street: Phone No.: 631-831-7507 BIdg.Permit#: email: seifertbuilders@gmail.com Tax Mafia District: 1000 Section: 117 Block: 1 Lot: 11 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system 60 SunPower SPR-A410-G-AC panels It 60 SunPower SPR-A410-G-AC micro inverters (1) SunPower PVS6 monitor System Size: 24.600kW Check All That Apply: Is job ready for inspection?: DYES Z✓ NO ❑Rough In QFinal Do you need a Temp Certificate?: OYES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph D3 Ph Size: A # Meters Old Meter# New Service ElService Reconnect ❑ Underground R,Overhead # Underground Laterals ❑1 2 DH Frame❑ ^ole Work done on Service? DY DN Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx DATE(MMIDDIYYYY) ,ac CERTIFICATE OF LIABILITY INSURANCE 02/01/2022 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 have ADDITIONAL INSURED provisions or 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). Brookhaven Agency,Inc. f631 Dias Zulkolske g ye PHONEMgTA,O�A».__ .-.. .. �.�.� ... ._...., PRODUCER ex w Certi 941-4113 w �WFAX� x(631 9*t1.44135 100 Oakland Ave,Ste 1 AD . .....flcates@ brookhaVen 9en,"ry caarl?........... Port Jefferson,NY 11777 _�.�.�.�.�..._...... � Southwest Marl & Insurance Co. _............................._...,....w......................................_ ....... .tl 6 _. ..........w.....�Marine....General ..................._.M.._................................. 4 :Merchants Preferred Insurance...C°,r........M.M.._......._.._............... _.... �_.. Green Logic,LLC _(gam , - First Rehab Life Insurance Co. . It &Fire Insurance Co ....., .w 97 North Sea Rd,Suite 3 IgPQ wNationalgLlabll' / A Southampton NY 11968 IN )I,afri.� AGCS Marine Insurance Co. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. __.. .w._....._. ..,_ ..... .......,_,....u,. w ...... ........� AbT1L SUBR. ,-................ "__ iNSR POLICY EFF POLICYEXP LIMITS LTR TYPE OF INSURANCE INRIN WVn POLICY NUMBER COMMERCIAL GENERAL LIABILITYF..AE;tiOrI,Cl1RRENCE,w,,,,, ."' DAMAGE TO RENTED 1 OO OOO A ..._,�CLAIMS-MADE X]OCCUR ..w_.,...- X. Contractual Lia bilit ymm X X OL202200012922 01/3112022 01131/2023 MF0s,xw?,[ft ErzsD,IuA�,/,Ai�v rvJURv ._„ „1OOD 000 GEN'L AcG.___.._.,....ww.........._____... .... AGGREGATE LIMIT . , APPLIES PER: ,GIF,NIF,RAL AG„(aRF�GATE„ s,,,,,?000�,OOO PRO- ❑Loc ROOUCTS...,COMP/OP„A111900J9”..... �........ POLICY ....., .�P.. ,�� _ .... TH E&O Liability $1,000,000 AUT0MOBILELIABILITY : MOfOWEDfISINOLELtll"11 $1000000.w., B X ...... ANY AUTO BODILY INJURY(Per person)w...._$.._._w.................................._.M.M........._., OWNED SCHEDULED cident) $ ..x.. AUTOS ONLY �_X�....AUTOS ONLY X X CAPI043565 08/11/2021 08/7112022 ..di"'.ac,alrraslTY DAMAGE,,,...wu.w wwww.......�..... .........M. er ac AUTOS ONLY AUTOS HIRED NON-OWNED a4k,.._....w _.. $ UMBRELLA LIAB OCCURH„DCCURRENCE w„S....................... EAf'm. ..,. ....._. ,., .............EXCESS LIAB.�.............�.�.�..�....�.�. .CLAIMS-MADE RETENTION $ WORKERS COMPENSATION PER OTH- AI1D EMPLOYERW LIABILITY YIN -STPSIIIE.............. ER-_...,m-......---w....................... ....... ANY PR4SP'IkETdbFtIPhRTh$ER/E' Ef GJ"PG Ak E.L EACH ACCIDENT $ OFFICER/MEMBER E: CLUi7C',fit'I NIA I see separate certificate (Mandatory in NH) If es,describe under F P R TI elow E.LK DISEASE-POLICY LIMIT $ C NYS Disability 0251202 04/11/2021 04111/2022 Statutory Limits E Installation Floater/Property SML93076366 04/15/2021 04/15/2022 $300,000 $2,500 Ded DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is also named as Additional Insured. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Workers' CERTIFICATE OF sOAT R,( Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 Board a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Greenlogic LLC 631-771-5152 97 North Sea Rd.,Suite 3 1 c.NYS Unemployment Insurance Employer Registration Number of South Hampton,NY 11968 Insured Work Location of Insured(Only required ff coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 203801194 2.MName 4and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) United Wisconsin Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"l a" Building Department 53095 Route 25 WC589-00169-021-SZ Southold,NY 11971 3c.Policy effective period 12/01/2021 to 12/01/2022 3d.The Proprietor,Partners or Executive Officers are ❑ included_(Only check box if all partners/officers included) all excluded or certain partnerslofficers excluded. This certifies that the Insurance carrier indicated above in box"S'insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Cortlpensation 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'7. The insurance carrier must notify the abode certificate holder and the Workers'Compensation ward within 10 days IF a policy-is canceled due to nonpayment of premiums 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, se notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form Is approved by the insurance carrier or Its licensed agent„or until the policy expiration date listed in box"3c",whichever Is earlier.. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does itconfer any rights or responsibilities beyond those contained in the referenced policy_ This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers`compensation policy Indicated on this form,If the business continues to be named on a permiit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Wyor "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: Alicia Christiansen Jt(Pame of authorized representative or licensed agent of insurance tamerb� Approved by: (Signature) (mate) Title:Director of Sales Operations Telephone Number of authorized representative or licensed agent of insurance carrier: 941-306-3077 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to Issue it. C-105.2 (9-17) www.wcb.ny.gov Workers' CERTIFICATE OF INSURANCE COVERAGE v1'a TIC Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave 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 GREENLOGIC,LLC 631-941-4113 97 NORTH SEA ROAD,SUITE 3 SOUTHAMPTON,NY 11968 1 c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage Is spedlically limited to 203801194 certain locations In New Yak State,Le.,Wisp-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Caviar (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold, NY 11971 DBL251202 3c.Policy effective period 04/11/2020 to 04/10/2022 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: A.All of the employers employees eligible under the NYS Disability and Paid Family Leave Benefits Law. E] B.Only the following class or classes of employers employees: Under pens ty 6t perjury,I c-e-dW that I am an au d repre a or licensed agent_oj Fee Insurance Farrier ra`rented above and that tha n ztnad Insured has NYS;Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 417/2021 By WAO,U t (Signature of insurance carrier's authorized representative or NYS Ucensed Insurance Agent of that Insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White thief Execut vie Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Wor 'Compensation Board,the above-named employer has complied With the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephoner Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits Insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form D8-120.9.Insurance brokers are NOT authorized to Issuethisform.. DB-120.1(10-17) I { io �( �IW >�y Suffolk County .executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE,NEW YORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY Home improvement Contractor License This is to certify that MARC A CLEAN doing business as GREEN LOGIC LLC having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk. Addkianat Businesses NOT VALID WITHOUT DkPARTMENTAL SEAL AND A CURRENT CONSUNIYER AFFAIRS ID CARD Director Suffolk County executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 12/10/2007 No. 43858-ME SUFFOLK COUNTY Master Electrician License This is to certify that ROBERT J SKYPALA doing business as GREENLOGIC LLC having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk, State of New York. Additions Businesses NOT VALID WITHOUT D,EPARTm ENTAL SEAL AND N CURRENT CONSUMER AFFAIRS ip CARD a Director �� I II111 III IIII VIII ' II II VIII Ill 11 II �' 1111111 111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 01/03/2020 Number of Pages: 4 At: 11:33:33 AM Receipt Number : 20-0001308 LIBER: D00013042 PAGE: 591 District: Section: Block: Lot: 1000 117 . 00 10.00 011.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exemp Page/Filing $20 . 00 NO Handling $20. 00 NO COE $5. 00 NO NYS SRCHG $15. 00 NO TP-584 $0 . 00 NO Notation $0 .00 NO Cert.Copies $0 . 00 NO RPT $200 .00 NO Fees Paid $260 .00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pag,�s This document will be public record. please remove all Social Security Numbers prior to recording. Beed/Mortgag�110L"m�cnt � Deed I Mortgage Tax Stamp 1ec0 ing/Filing Stamps Deed/Mortgfkg 3 FEES Mortgage Amt, Page I Filing Fee - -- 1, Basic Tax � Handling 20, 00 2, Additional Tax -- -. . •-• — Sub Total TP-584 ..._ ..- Spec./Assn. Notation « - -" - -— or EA-52 17 (County) — Sub Total Spec.IAdd. .------ TOT.MTC.TAX . EA-5217(State) Dual Town Dual County.._,_ 1t.P.T,&A, Idcld for Appointment S4 00 Transfer Tax Comm.of Ed, _ Mansion Tax + + Affidavit - The property covered by this mortgage is or will be improved by a one or two Certified Copy family dwelling only. 5, NYS Surcharge �.. 00Sub Total YES or NO Other - If N0,see appropriate tax clause on Grand Total F page of this instrument. 5 CrsmmunitPreservation nd 4 Dist, 754 loo0 11700 x000 011.00 ao24 tit II IIII IIII NN II�� Consideration Amount $ .� Real Property � LO:ANI'20 l U Il�lu� III IIN CPF Tax Due Tax Service A Agency Verification Improved Surisfact;ions> ischargcs elease"s List Property Owners Mailing Address Vacant Land 6 itECORD&R ""If"ClRN TO: � _�.�.�..,.�... TD TD TD Mail to; Judith R. Pascafe, Suffolk County Clerk� 7 TitleOa H ImDanYnfQr 310 Center Drive, Riverhead, NY 11 clerk 4✓J ` WWW.sufofkcountyny.gov/ %/, s Taste by; art of xhe attached� y ��// ��t� typo - � «�/j ntisf 0 y? N .w -rWN of As ro 44 THrs DECLARA"„ I'ON made thisy of Dec + er, 2019, b LLC_, 1470 Jackson St., New "DECLARS ffo ,ANT^= " NY 119. 5,E hereinafter -14-713ar'r:son St. referred to as W I T N E S S E T H : + WHEREAS, DECLARANT is the owner(s) of certain real property lo Jackson cated 3410 Avenue, New Suffolk, NY, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 117. 00, Block 10.00, Lot 011.000 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of tY Board of Trustees of the Town of Southold (hereinafter the "Trustees") puxsua to Chapter 275 of the Town Code of the Town of Southold or its successor, various activities conducted upon the property may thus be subject to regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees f permit pursuant to the Wetlands Law of the Town of Southold to undertake cel regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to unde such regulated activities, the Trustees required that a 10' wide non turf b at the top of the bluff adjacent to and landward of bulkhead and; WHEREAS, the DECLARANT has considered the foregoing and has determine the same will be for the best interests of the DECLARANT and subsequent own the Property. NOW, THEREFORE, the DECLARANT (S) do/does hereby covenant and a follows : ., .my 1) Upon the Substantiai � M.o, ✓� errenent;irsea r,°nnni.rwMei there shat ' ollet.ion o the Wide nontu, �" be established and " desbu�" er � �etael,l � 'nated are defined b Chapter 27 of the 1"tQ,i,a°ned a o" PerTftitted." and where turf grass, Pesticides and ert +pie„ tcn wait°:: .w.._. 22 Pstano d as de iiere are not last �i�cted on the site plan prepareci a2013, dated. 'rebru.arY 22, 2013 and stamped and. a t aetirey " 2) The �� rca re March These '�� and covenant s'ha:i.�. runDECL with the land and shall be binding on the (S) , his/ run heirs, assigns, purchasers, or successors ix .1.ntereast and may on1 y be modified anter a public hearing and upoxn. re'sol'ution Of the. Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this day of December 20, 2019. 1470 acks St. LLC. By, David . Levi, Managing Member STATE OF NEW YORK ) COUNTY OF ss: On the C9day of , in the year 20/c7 , before me the unclersigned, a Notary Public in and for said State, personally appearec a ') �' LFIJi , personally known to me or proved to me on the basis o satisfactory evidence to be the individual(s) whose name (s) is/are subscribed t the within instrument and acknowledged to me that he/she/they executed the same 1 his/her/their capacity, and that by his/her/their signature (s) on the instrument the individual or the persons on behalf of which the ip "vidual (s) acted, execut the instrument. Notary P is Ria istrICH")No,01SP49Q6864 Quay led�0 Suffolk utI CoriIAon n kn r12, d JACKSONSTRfET _ - tz ff _ �.., — e- �f- _ �,; ALLOWABLE LOT COVERAGE __. r - �3 ( �' "� _ � BASED ON TOWN DEF NEC BUILDABLE IANC 4:72750 FT r s r t .'OWN OERN"cC _. 41.336 SO FT 5.. BUILDABLE LAND ALLOYED TOTAL DUCT NR t4TCOVERAGE LEA)41.336.020 _•; - a f s '}; f a" EXISTING LOT COVERAGE k 1 T 'son EKSi1NG BROOF CO` Ff 465SD ?1 ARN MEMO DECK&STAIRS: I,$m i EASING SP@ -s2 So FT. \ `"> " - g ✓�]fYp z' \ - ._._.. ...__.._ E}G BEA�P+1AyR Ptg1fDPM _47SQ FT [ _ T-aTAt zeta SOF" -L-CHMC POOL TOTAL COVERAGE DRALNAGE CALCULATIONS ' _ AREA SP 1-Dtt101ZC ` } PROPOSED OWEWNG... 7,z34 NFT AREA I AREAS - ._ r •' ,,,� ROOFCOVERAGE POOL SAM d f' SOONG PNM POOP COV ' 965 S4F[ DRIVEWAY AREA=00 SO.F7. `4-1 -IEACNLNGPOOt - SO 1850X21f1 Xf00%=308.33CF USE f ONE 8'DLA X4'DEEP f'~ s - ' �---., 'a20vD5�Foal_PODt DECK rW_ D06SFr 6QFr G NATURAf1T11RFARFA=f236 SO FT. tAatot�c»Ep !236 X 21f2 X 0.35=72.04 GF °ROP BN ENCtOSDRP 34 SOFA TOTAL 380.42169.5 CF PER VF=5.55 ,F >t; - =FDP s�oRr GDuar .. - sQ FT USE t ONE fO'VIA XB DEEP � f� TOTAL: i,iru SUR LEACHING POO! AREA T DRIVEWAY AREA=2254 SQ.FT. 2254X21f2 X f00%=375.66 CF _ J,= NATURAMRFAREA=f71 SQ.FT. - � - f72X2lf1XO.35=fO.O3CF ( '- <MANSKE ROOEAREA=3534SOFT 3534 X 2171=584.0 CF Nm TOTAL ONE OF PER PT=14.22 (� C1 E T " USE?ONF f0'D1AX IT DEEP DEEP [�FJ LEAGNFNG POOLSAPR i€ 6fir: a... Survey/Site Plan of Property New Suffolk SMOM DEPT I af TS-th ;d OF Sol Suff. C ty4— York z-GREATPECON108AY - Tax u.p .aoc n•-iD-n - Score -30' Octcbe,22.2414 �` GPPAPHiC C:LE Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave, Suite 26 . Ph:631-988-0000 solar@pacificoengineering.com P Bohemia, NY 11716 �� G PC March 16,2022 Town of Southold Building Department {} ' 54375 Route 25, P.O.Box 1179 ] 11r Southold, NY 11971 2022 Subject: Solar Energy Installation forwIR ,. 1470 Jackson St LLC fI1.D110 DEPT 1470 Jackson Street 1(DING 111 New Suffolk, NY 11956 1 have reviewed the roofing structure at the subject address.The structure can support the additional weight of the roof mounted system.The units are to be installed in accordance with the manufacturer's installation instructions. I have determined that the installation will meet the requirements of the 2020 Residential Code of New York State and ASCE 7-16 when installed in accordance with the manufacturer's instructions. Roof Section A Mean roof height 22.0 ft Pitch 2 degrees Roof rafter 11-7/8"TJI 560 Rafter spacing 16 inch on center Reflected roof rafter span 22.4 ft Rafter span max allowable 30.6 ft The climactic and load information is below: CLIMACTIC AND Ground Wind Live Load, Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type CRITERIA Category Load,Pg, sec gust, ASCE 7, load,Ib psf mph psf Roof Section A C 20 130 26 232 (2)5"&(6)3"#14-13 DPI concealer screws Weight Distribution PA PA Z 0 array dead load 3.5 psf t � load per attachment 31.2 Ib �C The subject roof has 1 layer of shingles. °- Panels mounted flush to roof no higher than 6 inches above roof surface. Ralph Pacifico, PE Professional Engineer Ra NY CM6618 7297 GREENL G C" ENERGY GreenLogvc,LLC Approved 1470 Jackson St LLC 1470 Jackson Street New Suffolk,NY 11956 Surface#A: Tort ys mSize;24.6OOkW Array Size:24.6OOkW 3 circuits of 11 on 20A breakers 1 circuit of 10 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:169° Pitch:2° Monitoring System: it SunPower PaneilA : ® ® ® Panel:SPR-A410-G-AC Racking:SunPowerinvisimount Panel:72.2"X 40.0" >< Array:54'7 11/16"X 2T 2 3/8" Surface:6T 8"X 42'9" Ix Ox -Magic M.Invisimount LeaenM ® 60 SunPower 410W Panels SunPower Invisimount Rail 108 Eco-Fasten Fast Feet 8 TJI 560X12"Deep-16"O.C. Notes: o ® ® ® Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.54psf Ert lA ect Seal: OWNS: � SS14 Drawn By:MMB Drawing#1 of 5 Date:12/21/2021 REV.A Drawing Scale:3/32"=1.0' GREENL ' GIC" ENERGY GneenLogic,LLC 1470 Jackson St LLC 1470 Jackson Street New Suffolk,NY 11956 Surface#A: Tota1Systam Size:24.60OkW Array Size:24.600kW 3 circuits of 11 on 20A breakers 1 circuit of 10 on a 20A breaker 1 circuit of 9 on a20A breaker 1 circ it of 8 on a OA breaker Azimuth:169' Pitch:2° Monitoring System: SunPower �t PandIA Panel:SPR-A410-GAC flu Racking:SunPowerinvisimount Panel:72.2"X 40.0" Array:54'7 11/16"X 2T 2 318" Surface:6T 8"X 42'9" Me is#:Invisimount L end: ® 60 SunPower 410W Panels SunPower Invisimount Rail 108 Eco-Fasten Fast Feet B B TJI 560X12"Deep-16"O.C. 1-4- A�,I-4F 1 t-4r- jbt-4r- --t-t M1.1 F Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.54psf Engineer Seal; 14 N PAS 0 Drawn By:MMB I Drawing#2 of 5 Date:12/21/2021 1 REV:A Drawing Scale:3/32"=1.0' iG� GREENLGC® ENERGY GreenLogic,LLC Approved 1470 Jackson St LLC 1470 Jackson Street New Suffolk,NY 11956 Surface#A: Tota!Sys rri Size:24MOM Array Size:24.600kW 3 circuits of 11 on 20A breakers 1 circuit of 10 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuli of§2n a 20A breaker Azimuth:169' Pitch:2° Monitoring System: " SunPower PanetiArra O ® O ® Panel:SPR-A410-G-AC Racking:SunPowerinvisimount Panel:72.2"X 40.0" Array:54'7 11116'X 27 2 318" Surface:6T 8"X 42'9" Ma is#:Invisimount L i ® 60 SunPower 410W Panels " SunPower Invisimount Rail � 108 Eco-Fasten Fast Feet N B B TJI 560X12"Deep-16"O.C. Notes: O O O O Number of Roof Layers:1 Height above Roof Surface:4" LO Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.54psf LO Engin : ' SOF IN Drawn By:MMB Drawing#3 of 5 Date:12121/2021 REV:A Drawing Scale:3/32"=1.0' N fill BeCovered By The Solar Array GREENLBICO Legend: ENERGY AR-Access Roof AP-Access pathway,36" minimum width SVO—Setback at 1470Jackso St LLC raved P Y 1470 Jackson St LLC ridge 1470 Jackson Street per R202 definitions per R324.6.1 as per New Suffolk NY 11956 R324.6.2.1 Trial System Size:24.600kW 3 circuits of 11 on 20A breakers 1 circuit of 10 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:169° Meter Monitoring System: SunPower PaneltArra 6 Panel:SPR-A410-GAC Racking:SunPower Invisimount Panel:72.2"X 40.0" Magic P Invisimount I� ems: ® 60 SunPower 410W Panels I SunPower Invisimount Rail AR 108 Eco-Fasten Fast Feet B TJI 560X12"Deep-16"O.C. : Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eoo-Fasten,SunPower Added Roof load of PV System:2.54psf Engineer/Architect of N I"AA PA 60 SunPower 41OW Panels Drawn By:MMB I Drawing#4 of 5 Date:12/21/2021 1 REV:A Drawing Scale:1/16"=1.0' GREENLGIC® ENERGY GreenLogic,LLC Approved 1470 Jackson St LLC 1470 Jackson Street Material listtQy. Rail Material list gtY New Suffolk,NY 11956 Total System Size:24.600kW 3 circuits of 11 on 20A breakers 1 circuit of 10 on a 20A breaker 1 drcuit of 9 on a 20A breaker 1 ci rcuit of 8 on a 20A breaker Eco-Fasten"Fast Feet"Base Plate 108 Azimuth:169° Eco-Fasten"Fast Feet"Aluminum Block 108 Monitoring System: Eco-Fasten"Fast Feet"EPDM Flashing 108 SunPower it #1413x3"DPI Concealer Screw 638 PandLAM Specftadom: #1413x5"DPI Concealer5crew 216 Panel:SPR-A410-G-AC Racking:SunPowerinvisimount Panel:72.2"X 40.0" Magic#:Invisimount L end: ® 60 SunPower 410W Panels SunPower Invisimount Rail 108 Eco-Fasten Fast Feet B TJI 560X12"Deep-16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.54psf lin `neer! - : OF114 PA 0 SSI Drawn By:MMB Drawing#5 of 5 Date:12/21/2021 REV:A Drawing Scale:1/16"=1.0'