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HomeMy WebLinkAbout28857-ZFORM NO. 4 TO~N OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29386 Date: 04/23/03 T~IS CERTIFIES that the building ADDITION & ACCESSORY Location of Property: 1065 pARK AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 56 Block 1 Lot 2.5 subdivision Filed Map No. __ Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 22, 2002 pursuant to which Building Pex~it No. 28857-Z dated OCTOBER 24, 2002 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 SOI~AR PANEL ADDITION TO AN EXISTING ACCESSORY GARAGE AIqD ACCESSORY MAST WITH TRACKER AS APPLIED FOR. · ~ne certificate is issued to DEAN M & A/FNA M RUSSELL (OWNER) of the aforesaid building. SUFFOLK COUI~Y DEPARTMENT OF ~T~{ AP~OV~J~ ELECTRICAL CERTIFICATE NO. PLU)~BERS CERTIFICATION DA'~'~U Rev. 1/81 N/A 1127260 04/15/03 N/A /~Authorize~'Signa~re FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28857 Z Date OCTOBER 24, 2002 Permission is hereby granted to: DEAN M & ANNA M RUSSELL 1065 PARK AVENUE SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ADDITION WITH SOLAR PANELS TO AN EXISTING ACCY AlqD INSTALLATION OF AN ACCESSORY MAST WITH TP~ACKER AS APPLIED FOR at premises located at 1065 P~K AVE County Tax Map No. 473889 Section 056 pursuant to application dated OCTOBER Building Inspector to expire on APRIL SOUTHOLD Block 0001 Lot No. 002.005 22, 2002 and approved by the 24, 2004. Fee $ 150.00 COPY Rev. 5/8/02 .... ), Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OC~I~A_NCY This application must be filled in by typewriter or ink and submitted to the Building Department with the tbllowing: 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 suppty 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 respousible 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 o f Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelliug $25.00, Swimming pool $25.00, Accessory building 5;25.00, Additions to accessory building 5;25.00, Businesses 5;50.00. 2. Certificate of Occupancy on Pre-existing Building - 5;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 · ( beck one) New Construction: i/ Old or Pre-existing Building: Location of Property: / O ~..9~ 1[?~ t/~. 51gxJ-7'-/-7/LYT~0 House No. Stree¢ Hamlet Owner or Owners of Property: ~t'>'~ ~- ~A.d~t~ff<~ X'~ Suffolk County Tax Map No 1000, Section ,5 ',(~,' 'x Block ( Lot ~--~, ~' Subdivision/~.,o~ ~90/x.-/3 &{-r_.~(-~ (~(r,.r..~.~ I, ) Filed Map. (~O _~? Lot: // 3 Permit No. ~ ~ S '7 DateofPermit._/72 ~.Applicant:D~.,~-~ Health Dept. Approval: t/O~ Underwriters Approval:~erZT~ Planning Board Approval: ,4.J,/Z~ Request for: Temporary Certificate Fee Submitted: Final Certificate: / /~.p p lic--"~nt tS ignat ur e BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 1OO38 CERTIFIES THAT Upon the application of upon premises owned by DEAN RUSSELL 1065 PARK AVE. SOUTHHOLD, NY 11971 DEAN RUSSELL 1065 PARK AVE SOUTHOLD. NY 11971 Located at 1065 PARK AVE SOUTHOLD, NY 11971 Application Number: 1127260 Certificate Number: 1127260 Section: Block: Lot: Building Permit:28857 BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Detached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the ]Sth Day of April, 2003. Name QTY Rate Ratin~ Circuit Type Miscellaneous BP#28857 and Devices Disconnect 4 0 30 amp Appliance seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 765-1802 BUILDING DEPT. INSPECTION [ ] FOU~ION 1ST [ ]ROUGH PLBG. [ ]/~UNDATION 2ND [ ]INSULATION [~FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST I ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~J~ON [ ] FRAMING ~"'FINAL [ ] FIREPLA(~&(~MNEY ~ INS 76S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ,~INAL [ ]FIREPLACE & CHIMN~EY ~, F~ ~:Lr~ INsFECTION'REFORT DATE COMMEN'I~- FOWOAX~O~ (~Sr) FOUNDATION (2ND) ROUGH ~G & PL~G ~D~ON~ CO~TS TOWN. OF SgUTHOLD BUILDING DEPARTMENT TO '~l,7q H.4J.,L SOUTHOLD, N3( 11971 TEL: (631) 765-1802 F:~: (631) 765-9502 wv.w. northfork.net/Southold/ Exammed Approved Disapproved ac PER34IT NO. ~_.)o1:~ .~-7--~ t Build}ag Inspector ~_ ~, ~ D~e / ~ ~o~.. . ..... '. _o ~ ~STRUCTIONS BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Buildlng Plans planning Board approval Survey Ch~ck Septic Form N.Y.S.D.E.C. Trust, s Contact: 'hone:Z 2,',' ,200 7.L~ a. Tiffs application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 strec{s 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 P~mlt to the applicant. Such a permit shall be kept on the pren~ses 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 thc property have been enacted in the mterim, 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 issnanv~¢ cfa Buff.ding 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, ad,lions, or alterations or for re~l or demo 'l~,xas herein described. The applicant agrees to comply with all applicable lad s, ordinances, building cod~e4~honsqag code, ~.d reft, u/rations, and to admit authorized inspectors on premises and in building for necessary inspections] / ] ~.._, fi// (Mailing addr~s of epp~c~ut) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nmne of owner of premises ~7)~ ~1 t",,/ ~/. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License Location of land on which proposed work will be done: 1065-- House Number Street o77--/o D Hamlet County Tax Map No. 1000 Section Subdivision L.or4 6- Po~O _~q'T"~-~ (Name) Block Filed Map No. / Lot '2'o '~ 80 $ 7 Lot 2. a. Existing use and occupancy ~/~C--~o/Z/ (~q~,q(_~ ~{.)~'~-~]~p-/~-/_~ State existing use and occupancy of pr.cruises and intended use and occupancy of pro_posed construction: , b. Intended use and occupancy /~"f_,~O,~-/ ~qt~q6-~ ~:7-~Ct~iE~_,~ 3. Nature of work (cheek which applicable): New Building. Addition ~ Alteration Repair _ Removal Demolition Other Work Estimated Cost~ ~/~)~)O Fee {Description) 5. If dwelling, number of dwelling units If garage, number of cars 2-- (To be paid on filing this application) Number of dxvelling units on each floor A,/~*~ If business, commercial or mixed occupancy, specify nature and extent of each type of use. '/(/~ Dimensions of existing slxuctures, if any: Front 2 ?, ~- / Height /~'- / * Number of St-ofi--e~ / ~.~. Rear ~',5'-/ Depth 2/'/ Dimensions.gl same structure,,v th alterations or additions: Front - °" - Rear Depth z~ 5t Height / ~ % / * Number of Stories / t,/2 8. Dimensions of entire new construction: Front /~-/'~ Rear ,~'-/,~ Depth "~ Height /'f,,~ Number of Stories 9. Size oflot: Front Z C[ C[ ,, ~-~)t'Rear ~ t.[' ~'o ~-O / _Depth /~/o C) 11. Zone or use dish'ict in which premises are situated J~5~ / L~_~'/v 7"/,t) ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO x,'/Will excess fill be removed from premises? YES NO 14. Names o£Ownerofpremises.~./~'~&3 ~-/5~'L/-Address/O65' ~;~/,qjqtt PhoneNo. Name of Architect /X/rjr Address Phone No Name of Contractor ~ t~d(-.~ Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. PERM1TS MAY BE REQUIRED. NO ~ 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. STATE OF NEW YORK) SS: COUNTY OF ~-~ ~--~/~d ~/-> (~ (-.g,__ being duly swum, deposes and says that (s)he is the applicant (Name of individual Sj~Crning contract) above 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 knowledge and belie~-~nd that the work will be performed in the manner set forth ill the application filed therewith. Swo~ ~ before me thi~-% ~ / /] // tYNDA M. BOHN NOTAllY PUSI.IC, State of ~aw York No. 0t [IO60209~2 Qualified In Suffolk County Term Expire* March 8, 20~.~ APPROVED AS NOTED UNDERWRffER5 f;ERTIFICK~ ~ /~/~' BY:~ NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4* PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNOATIOH - TWO REGUIREG FOR POURED CONCRETE ~,. ROUGH - FRAMING & PLUMBING ~. INSULATION · FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.G. ALL CONSTRUCTION SHALL MEET THE REOU~REMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONBIBLE FOR DESIGN OR CONSTRUCTION ERRORS dC¢!.~PANCY OR USE IS UNLAWFUL WITHO~.IT CERTIFICATE OF OCCUPANCY Site Plan Russell Page Unirac-system supplied rails~ (4 rows) PV stConnector~e Down Existing Siding -' I 6ss or gal fastenerSst Existing framing.~ ii Scale 1"= 1' East Elevation upper section Russell Page 2 Unirac-system supplied rails,_ (4 rows) PV zX4 truss webs only on ra~ters ledger extends beyond rooflines East Elevation upper section beyond Rooflines Scale 1"= 1' Russell Page 3 . , ~ A. , 2X6 Ledger atta~ed lag bolts prednlled uouae zxu neaoer ~o existing framing Post connector/'Fie down w/ss or gal ~asteners ~m supplied rails (4 rows) Existing siding Existing framing ~"r 0~3 post Post mounting bracket, standoff and tiedown to bolts epoxied in drilled hole in existing concrete East Elevation Lower Section Scale 1"= 1' Russell Page 4 S ~6~d IPssn~i M~I[A Ueld 9 a6ed IlaSSn~l ,£ =,,1: ale,S uop, e^alil q~,nos PV Modules schematic view only Not to scale due to 41 degree angle of inclination Unirac system supplied rack mounting sytem Existing Ga a~ge / PV Module Layout in relation to framing NoScale PV Modules schematic view Russell Page 7 No Scale PV Module Layout, Attachment & Boxes Russell Page 8 Schott Applied Power _Corporation - SunRoof RST~ The SunRoof IlS 1250, 16~0, and ~ complete with: · The SunRoof RS 1250 - with 9 SAPC-165 modules. The SunRoof RS 1650 - with 12 SAPC-165 modules. The SunRoof RS 2500 - with 18 SAPC-165 modules. · UniRac SolarMount with 108" rails, 4 "L" feet, clamps and fasteners. · Sunny Boy 2500U with LCD display · Source Circuit Combiner Box · Revenue grade digital kW hour meter · Fusible AC Disconnect with hub · MultiContactTM Connectors for easier installation · AC surge arrestor · Solar array grounding equipment · 600¥ DC rated solar array disconnect switch · Installation Manual SAP£ 165 PHOTOVOLTAIC MODULE IllsUn ' . of he cornplet~..s~,~,r solution Idulll-c,~'al ilion solar cells, Cell t 2Sram square Confl,gura~Jon Nominal 24V DC Output Series fuse ratln~l IOA Dirnensions 62~ x 32,S' x 1,8' 9.q~nodule 12-module 18-module SR 1250 SR 1650 SR2500 Open-Circuit Vol~e 388 ~C 517 VDC 388 VDC ~~ ~11 ~ 414 ~ 3!1 ~ Short ,~i~uit ~urren% 5.46 A 5,46 A 10.~2 A ~ System AC Ra~ng at CEC 1230 W 1 ~0 W 2460 W Model SAPC-165 Open circuit volta,tie Voc 43,1 V ~lllleler~ ;,.. :::;::~:::: ;; .:~t4,&:. .V :: Irradiance: Short circuit current Isc 5,46 A 1000 W/m Maximum power Pm 165,0 W Module Module efficiency, nm 12.? % 25'C $CHOTT glass made of ideas 1-800-777-6609 1-800-3~ 2003 www. schottappUedpower, com 2.8 lbs ..maxi.m. um per squar.e. foot, rads, w~nng and mounbng hardware Russell Page 9 Foundation and Mast for Tracker 8" dia Schedule 40 Steel Pipe 6'-8" maximum 6' minimum ~' 3' min Ground Level '"'rebar welded onto pipe .'--or inserted through drilled holes As per .su~.. foundation from Array Technologies, [nc. Albuquerque, NlVl For Wattsun AZ-225 Tracker Scale 1/2"= 1' Russell Page t0 ':t // t / ,, JUI_¥ l-I ,i ~ SUFFOLK CO HEALTH DEPT APPRovAL H S NO 8T z;,).- STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR mis RES,DENCE W,LL CONFORM./"~O THE STAND~IIt'R~'I~I~ OF' THE surFo,,~c/'' o-~PZ oF H~'tL~SE~,~S.-- --- (SI //..~/~./1/1 , r~Li~AN~ ~ SUFFOLK COUNTY DEPT OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE: H.S. REF. NO. 87~ ~O'1"/3' APPROVED' SUFFOLK CO. TAX MAP DESIGNATION DIST, SECT BLOCK ~ OW~NERS ADDRESS: ....... PCL DEED: L.