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HomeMy WebLinkAbout33948-ZFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33310 ~te: 10/01/08 THIS c~KTIFIES that the building SOLAR PANELS Location of Property: 1405 WATER TERRACE (HOUSE NO.} (STREET) County Tax Map No. 473889 Section 88 Block 6 Subdivision Filed Map No. Lot No. SOUTHOLD (HA24LET) LOt 13.11 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 2008 purs%u~nt to which Building Permit No. 33948-Z dated JUNE 2, 2008 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SOLAR PANELS ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARK & LORRIE A SAPORITA (OWNER) of the aforesaid building. SoF~OI=K C~DI~TYDEPAR~ OF }~ALTH~PPRO~-~J~ N/A EL4~C~i-KfC3%L C~RTIFICATH NO. 3061407 00/81/40 5~ Cq~RTIFIC~%TION DA'£~U N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and subInitted to the Building Department with the following: A. For new building or new use: 1. Final survey ofprope~.y with accurate location of ail 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. Cmm~ereial building, iudustrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect o~ eugineer responsible for the building. 6. Submit Planning Board Approval of conrpleted site plan I equirements. B. For existing buildings (prim' to Apt'il 9, 1957) non-col~formiug nses, m- b~.lildings and "pre-existing" land rises: 1. Accurate survey ofprope~%, showing all p~operty lines, streets, building and [musual natma[ or topographic features. 2 A properly completed applicat ion aud consent lo h~spect sigmed by tile applicaul If a Cellificate of Occupancy is dealed, the Building Ii~spector shall stale the leasons Ihere[br in wnt/ng to the applicant C. Fees I Cettificate of Occupancy - New dwellh~g ~;25 00, .qclditions to clwelliug $25.00, Alie~ations to dwelling $25 00, Switmrring pool $25.00, Accessoi y building 525 00. Additions to accesso~ y building $25 00 Bust resses $50 00 2 Cet~ificateofOccupancyonPre existtugBuilding $t0000 ' ' 3. Copy of Certificate of Occupancy - $.25 4 Updated Certificate of Occupancy - $5000 5. TemporaryCel~ificateofOccupamcy Rescex $1$ 00, (/ononercial $15 00 New Const~a~tion: Location of Property: House No. Owne~ or Owners of Property: Suffolk C(mnty Tax Map No 1000, Section Subdivision Old o~ Pre-existing Building: Date Streel ~/off Block__ (check ooe) Hamlet Lot_ //?_.~// __ Filed Rlap. __ Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporal5, Certificate Fee Submitted: $ Underw, iters Approval: Final Celtificate: (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33948 Z Date JUNE 2, 2008 Permission is hereby granted to: MARK SAPORITA 1405 WATER TERRACE SOUTHOLD,NY 11971 for : INSTALLATION OF A SOLAR PANEL SYSTEM TO A DWELLING AS APPLIED FOR at premises located at 1405 WATER TERRACE SOUTHOLD County Tax ~4ap No. 473889 Section 088 Block 0006 Lot No. 013.011 pursuant to application dated MAY 20, 2008 and approved by the Building Inspector to expire on DECEMBER 2, 2009. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 I~y THIS C~RTIFICATE O~ OOM~LIANOE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by GREENLOGIC LLC. MARK FAPORITA PO BOX 38 1405 WATER TERRACE BRIDGEHAMPTON, NY 11932 SOUTHOLD, NY 11971 Located at 1405 WATER TERRACE SOUTHOLD, NY 11971 Application Number: 3061407 Certificate Number: 3061407 Section: Block: Lot: Building Permit:0 BDC: ns11 as a Residential occupancy, wherein the premises electrical system consisting of Described electrical devices and wiring, described below, located in/on the premises at: Basement, Outside, A visual inspection o1 the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted ~n accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 14th Day of August, :2008. OTY Rathe Rating Circuits Type Name Alarm and emergency equipment Inverter Unit I 0 03kw Inverter Unit I 0 04kw Solar Panel 42 0 0125w Wiring And Devices Disconnect 3 0 1-30 amp seal I of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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 REMARKS: ~ ~ DATE FIELD 155'St~ECTION REPORT I DATE FOUNDATION (1ST) FOt~I)ATION (2ND) ROUG~ F~G & PLU~G ~SL~ATION PER N. X'. STATE ENERGY CODE TOWN OF SOUTltOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you havc or ~ th~ follow~ng, heferc apldying7 ~OWN HALL Bo~rd of Hea]~ ~ J'~f SOUTHOLD, NY 11971 4 ~t~ of Building Plar~ Planning ~ approva~ TEL: (6~1) 76~-1802 FAX: (631) 765-9~02 ¢~ Survey ~ Building Inspector ,: ~PPLICAT1ON FOR BUILDING PERMIT % \ O te ttn0, tq ,20 vY g llfl~ applicati~ MIJS'ID~ completely filled tn by typovnter or tn ink and suinmtted to the Building ~ w~h 3 se~ of plaa~, ~a..~u~. pfot plaa to scale. Fee ueo~ dla.g. ~ scbedul¢.. ........... b:~ plan showing location of lot Md of braidings on pmmts~, ~elationshtp to edjommg lYmmiscz or puone swecna or ¢. Thc work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, thc Building Inspector will issue a Building permit to tt~ applicant. Such a pomait shall be k~pt on the premises avaiinble for inq~ection thnmgbum the wodc ¢. No building shall be occupied or used in whole or in part for any pm-pose what so ever tmtil thc Building Inspector issues a Certificate of Occuponcy. f. E¥~l'y bllthting ~ nhall ~'xpitng if ~ work a~horiz~d ~ ~ot commenced within 12 months ~ ~bu date of isauence or has not been comp|eted within 18 months from such date. If no zoning am~dments or otho' rc~u~om affecting tl~ p~.op~.rty have beon cnac~d in the interhn, the Building Inspector may authorize, in writing the oaenslon of thc ponnit for an addition six months. ~, a new permit shall be mqulred. APPLICATION IS HEREBY MADE to the Building Depzmnont for the issuonce of a Building Permit pursuant to the BuilalnE Zon~ OrtGnancc of th~ Town of Sonfl~ld, Suffolk County, New Yodc, and otber applicable Lawa, Ordin~aces or Regulations, for the cons~ction of buildings, additions, or altorations or for removal or demolition as herein descn'bed. The applicant agrces to comply with all applicable laws, ordlnanc~, building code, housing code, and ~guintions, and to admit If appl[cotnt is a corpora!.ioth sign _~ of cluly authorized officer (Name and titlc ofconporatc officer) Buildga's License No. Plumbers License No. Electricians License No. Otber Trade's License No. ~ ~t~l/ I. Location of laud on which prop~aed wo~gwill be doae: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block ~.~ Filed Map No. 2. State existing use and occupancy of pr~.is~s an0. intended use and oc, tmpancy ofpropoand construction: a. Existing us~ and o~'upancy 3. Nature of work (check which applicable): New Buildin~ Repair Removal Demolilion 4. Estimated Cost Fee 5. 1 f dwelling, mmabex of dwelling traits ( If garage, number of cam Addition Alteration (To b~ paid on filing this application) Number of dwelling units on each floor 6. If business, commexeial or mixed o~upaney, slx~ify nature and extent of tmeh typ~ of use. Depth 7. Dimonsionsof~xistingstmctur~,ifany:Fmnt C_~ t Rear ~ ~ ' Height Numl~f of Dimensions of same e~ng~um with aRemfion~ Depth Height. Number of Stories 8. Dimensions of cntir~ n~w ~nstn~ion: Frunt ~/ti~' Rear Height Num~ of 8to~a 9. Size of lot: Front Rear 10. DateofPumhase ~i~{j~.[qq~ NameofFormerOwnor C~0ff'~l~ ~In~L~OJ~'IM~ 1 I. Zone or use district in which premises are situat~l 13. Will lot b~ ro-grad~l? YES NO Will ~ fill I~ mmove.~l from premise~? YES NO 14. Numes of Owner of inv-'mi]sos ~L'16fft~ ?:~tl~'; ~'~ Name of ~chi~ ~ ~ A~ Phone No 15 ~ Is ~s ~ wi~ I~ f~ ofa fi~ w~ ~ a ~w~? *~S NO ~ * IF Y~, ~HOLD ~ ~DSI'~ & D.E.C. PE~ ~Y BE ~QU~D. b. Is ~is ~ w~n 3~ ~ ofafl~ ~ * Y~ NO ~ * ~ ~S, D~.C. P~ ~Y BE ~Q~. 16. Provide survey, to scale, with accurate foundation plan and disumc.,~ to property lines. 17. If elevation at any point on property is at 10 f~t or b~low, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) (Naa, ne of individual signing contract) nbove anmed, (Coaaactot, ALL-m, C.o~ora~ Offi~r, of said owner or owns,"=, and is duly anthori~d to I~ or have performed the said wink and to make ~nd file this application; that all slatemeats anntained in this appllcafion am tree to the best of his Imowledge and haliof; and that the w°rk will be No~ryPublic / ~/' pE-FERF. IWANYCKYJ of Applicant Notary Public, State of New Yodi No. 01 IW617289t Qualified in Suffolk County Commission Expires 08/2012011 May 8, 2008 To: Code Enforcement Division From: James A. Marx, Jr. P.E. Re: Engineer Statement for Saporita Residence, 1405 Water Terrace, Southold, NY - Solar Photovoltaic Installation I have verified the adequacy and structural integrity of the existing roof rafters for mounting of solar panels and their installation will satisfy the structural roof framing design-loading requirements of the New York State Residential Code -2007 For the installation of the Unirac SunFrame solar mounting, the mounting rails will be anchored to the rafters with L-feet supports located on the center of the rafters and will be securely fastened to the rafters with lag screws that have been designed for wind speed criteria of 120 mph Exp. C and snow ground criteria of 20 psf. Wind loads will exceed seismic loads. Other climate and gcc design criteria are not applicable to this solar installation. The design will meet or exceed Table 11301.6 from the NYS Residential Code. The solar system and the motmting assemblies will comply with the applicable sections of the New York State Residential Code-Chapter 23 "Solar Systems" and loading requirements of roof-mounted collectors and roof penetrations. Thereby, I endorse the solar panel installation and certify this design to be structurally adequate. Sincerely, James A. Marx, Jr. Professional Engineer NY 56467 10 High Mountain RI;~IRTIFICATION OF Ringwood, NJ Oi~ING & CONNECTIONS REQU~R£D. cc: GreenLogic APPROVED AS NOTED #~ 7~5 i~¢2 8 :./ ' OR THE 1. FO/ ;~AF[DN -7 _ F': ~U~RED FO~ POUF, ED C CRE'~E 2. ROUGH - FRAM~ ~ & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCT',ON MUST BE COMPLETE :"~ C.O. ALL CONSTRUCTION SH~ L MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUOTION ERRORS. M~-,- I F c I- EQu:n ..... Od~HE CODES OF NEW YORK: STATE. NOTE: THE SOLAR ROOF CONTRACTOR IS RESPONSIBLE FOR MAINTAINING THE WATERPROOF INTEGRITY OF THE ROOF INCLUDING SELECTION OF THE APPROPRIATE SEALANT. GreenLogic, LLC Proposed Saporita 1405 Water Terrace Southold, NY 11971 3.692kW 26 @ Sharp 142w UniRac Sunframe Azimuth = 140 Pitch = 30 Scale 3/16" = 1.0' 16" On Center Saporita Residence 1405 Water Terrace =--,-- UniRac Sunframe Rail Southold, NY ] ]97] o UniRac L-Foot Sheet 6 of 6 Layout Created By: AWR Date: 4/11/08 Green~-'~i~c., LLC Proposed ~ oapodta 1405 Water Terrace Southold, NY 11971 3.692kW 26 @ Sharp 142w UniRac Sunframe Azimuth = 140 Pitch = 30 Scale 3/16" = 1.0' 3/8" DIA. x 3 Y~' LAG BOLT ! I --T~Y Profmsimml len~ineer License 56467 2 x 8" Douglas Fir Rafter 16" On Center ------ UniRac Sunframe Rail e UniRac L-Foot · - UniRac Sunframe Splice Kit ISaporita Residence 1405 Water Terrace Southold, NY 11971 Sheet 5 of 6 Layout Created By: AWR Date: 4/11/08 GreenLogic, LLC Proposed Saporita 1405 Water Terrace Southold, NY 11971 3.692kW 26 @ Sharp 142w UniRac Sunframe Azimuth = 140 Pitch = 30 Scale 3/16" = 1.0' Panel Dimension = 38.98" x 45.87"- Saporita Residence 1405 Water Terrace Southold, NY 11971 Sheet 4 of 6 Layout Created By: AWR Date: 4/11/08 GreenLogic, LLC Proposed Saporita 1405 Water Terrace Southold, NY 11971 Garage Roof 3.692kW 16 @ Sharp 142w UniRac Sunframe Azimuth = 140 Pitch = 20 Scale 3/16" = 1.0' 2 x 8" Douglas Fir Rafter 16" On Center -----. UniRac Sunframe Rail e UniRac L-Foot -. UniRac Sunframe Splice Kit Saporita Residence 405 Water Termc~ Southold, NY 1197 Sheet 3 of 6 Layout Created By: AWR Date: 4/11/08 GreenLogic, LLC Proposed Saporita 1405 Water Terrace Southold, NY 11971 Garage Roof 3.692kW 16 @ Sharp 142w UniRac Sunframe Azimuth = 140 Pitch = 20 Scale 3/16" = 1.0' UNIRAC SI~F~E I~dLING. L-FEET v, rlTl-I 3/8" DL~. x 3 ½" LAG BOLT NOTE: ~ SOLAR ROOF C'ON'TRA~R IS RESPONSIBLE FOR {NCLUD~qO SELECTION OF ~ APPROPRL~TE SEALANT. 2 x 8" Douglas Fir Rafter 16" On Center · ,,---- UniRac Sunframe Rail e UniRac L-Foot -- UniRac Sunframe Splice Kit Saporita Residence 1405 Water Terrace Southold, NY 11971 Sheet 2 of 6 Layout Created By: AWR Date: 4/11/08 GreenLogic, LLC Proposed Saporita 1405 Water Terrace Southold, NY 11971 Garage Roof 3,692kW 16 @ Sharp 142w UniRac Sunframe Azimuth = 140 Pitch = 20 Scale 3/16" = 1.0' Panel Dimension~ = 38.98" x 45.87"J]. ~ Prof~sk~l E~l~er Lleem~ EXISTING ROOF 17'-6" X 25'-0" 2 x 8" Douglas Fir Rafter 16" On Center '--"'-- UniRac Sunframe Rail e UniRac L-Foot -- UniRac Sunframe Splice Kit Saporita Residence 1405 Water Terrace Southold, NY 11971 Sheet 1 of 6' Layout Created By: AWR Date: 4/'11/08 SHARP RESIDENTIAL SYSTEM MODULE 142 WATT ATTRACTIVE LOOK. FLEXIBLE DESIGN. POLY-CRYSTALLINE SILICON PHOTOVOLTAIC MODULE WITH 142W MAXIMUM POWER Sharp's ND-N2ECUF photovoltaic modules offer increased aesthetics and revolutionary design integration. These residential photovoltaic modules give the clean, attractive appearance of a high-tech skylight while the black anodized aluminum frames, trim strips, and backing sheets blend beautifully with the home's exterior. In addition, art"L" hook design located along the frame's perimeter is designed for use specifically with Sharp's SRS (Solar Racking System). Using breakthrough technology perfected by Sharp's 45 years of research and development, these modules incorporate an advanced surface texturing process to increase light absorption and improve efficiency. And, as the global leader in solar manufacturing, Sharp has designed these modules with superb durability and efficiency to withstand extreme heat and high winds. Sharp's ND-N2ECUF is the perfect combination of technology and aesthetics. RESIDENTIAL SYSTEM MODULE 142 WATT Open Circult Voltage (Voc) 24.9v Short Circuit Current (1sc) t 142W (-7'92A Module Efficiency Maximum Power (qm) [ 12.31% Type of Outpnt Terminal Lead Wrre with MC Connector * (STC) Standard Test Conditions: 25°C, 1 kW/m~, AM 1.5 Cell Temperature: 25'C 800[W/mz] 120 100 _ 600[W/mz] 2O 0 A A B C D E F G H gesJgn and specifications are subject to change without notice. Sharp is a registered trademark of Sharp Corporation. All other trademarks are property of their respective owners. Sharp takes no responsibility for any defects that may occur in equipment using any Sharp devices. Contact Sharp to obtain the latest product manuals before using any Sharp device. SHARP SHARP ELECTI~ONICS CORPORATION · 5901 Bolsa Avenue, Huntington Beach, CA 92647 Tel:1-80g-SOLAR-g6 · E-mail: sharpsolar~sharpusa.com · WWN.shar pusa.corn/sola r Cover photo: So[ar installation by Merigian Energy Systems, Austin,TX ©2007 Sharp Electronics Corporation. All rights reserved. 5ESG-N2EOJN07 Printed in the USA FRONIUS IG GRID-TIED INVERTERS FOR PHOTOVOLTAIC SYSTEMS Light Weight Flexible Lower Cost LCD Display Plug-and-Play Reliable Warranty At 26 lbs, the FRONIUS IG inverters are the lightest grid-connected inverters making them easy and cost effective to install. The wide voltage range of 150-500 V allows you to use different types of modules and system configuration possibilities. Integrated UL approved DC & AC disconnects which reduce installation time and complexity - often eliminating the need for additional disconnects. User-friendly and comes standard with every FRONIU$ IG; tracks more than 20 critical system performance parameters. Expansion slots in the inverter allow you to easily upgrade the inverter with data communication options. Fronius has been in business for over 60 years and has more than 200,000 FRONIUS IG inverters installed worldwide. 10 year Premium Warranty. POWERING YOUR FUTURE DC 1~gut Data FRONlU~ IG ~000 FRONIU8 IG 3000 FRONIU8 IG ~00-LV R~commended PV power 1500 - 2500 Wp 2500 - 3300 Wp 1800 - 3000 Wp Max. DC Input voltage 500 V 500 V 500 V Operating DC voltage range 150 - 450 V 150 - 450 V 150 - 450 V Max. usable DC input current 13.6 A 18 A 16.9 A AC Otltput Data FRONIU6 iQ 2000 FRONIU8 iQ ~000 FRONlU~ iQ Maximum output power @40° C 2000 W 2700 W 2850 W Nominal AC output voltage 240 V 208 V Utility AC voltage range 212 - 264 V (240 V +10% / -12%) 183 - 229 V Maximum AC current 8.35 A I 11.25 A 11.25 A Maximum utility back feed current 0.0 AI 0.0 A 0.0 A Operating frequency range 59.3 - 60.5 Hz (60 Hz nom) Total Harmonic Distortion THD < 5% Power Factor (cos phi) 1 Mex. elflcienc¥ 95.2% 95.2% 94.4% Consumption in stand-by < 0.15 W (night) Consumption dudng operation 7 W Enclesum NEMA 3R Size (I x w x h) 18.5 x 16.5 x 8.8 inches (470 x 418 x 223 mm) ~lght 26 lbs. (11.8 kg) Ambient temperature range -5 to 122 °F (-20 to +50 °C) Cooling controlled foreed ventilaton Integrated AC and DC disconnects standard UL approved DC & AC disconn~ots Ground fault protection Internal GFDI, in accordance with UL 1741 DC reverse polarity protection Internal diode Islanding protection Internal, in accordance with UL 1741, IEEE 1547 Over temperature Output power derating Sure protection Internal DC & AC protection, Tested to 6 kY Sal'ety UL 1741 EMI FCC Part 15; Class A & B Anti-Islanding protection UL 1741, iEEE 1547 Ground fault detector and interrupter Compliant with NEC Art. 690 requirements, UL 1741 Ml~g~llJtemm Maximum AC over current protection Two-pole, 15 / 20 A cimu[t breaker AC wire sizing Use maximum AWG 6 194°F (90 °CI copper wire DC wire sizing Use maximum AWG 8 194°F (90 °CI copper wire AC disconnect 16 A DC disconnect 25 A Warranty 10 year Premium Warranty is Standard Distributed by Fronlus USA LLC Solar Electronics Division 10421 Citation Drive, Suite 1100 Brighton, MI 48116 E-Maih pv-us@fronius.com www,fronlus,com 1 30 AMP two pole DC switch from panels to inverter II II II Fronius 4000 Inverter All panels to be grounded as per NEC code 30 AMP 3R switch near utility meter 240 VAC 240 VAC from inve~er to a 30 Amp swif~h near utility meter I $0 AMP two pole DC switch from panels to inve~er I I I All panels to be grounded as per NEC code Fronius 3000 INVERTER 30 AMP 3R switch near ut it,/meter 240 VAC 1 240 VAC from inverter to a 30 Amp switch near utility meter GreenLogic, LLC Proposed Saporita 1405 Water Terrace Southold, NY 11971 Garage Roof 3.692kW 16 @ Sharp 142w UniRac Sunframe Azimuth = 140 Pitch = 20 Scale 3/16" = 1.0' Panel Dimension = 38.98 x 45.87" I 2 x 8" Douglas Fir Rafter 16" On Center UniRac Sunframe Rail · UniRac L-Foot -- UniRac Sunframe Splice Kit Lavout Created Bv: AWR Date: 4/11/08 GreenLogic, LLC Proposed Saporita 1405 Water Terrace Southold, NY 11971 3.692kW 26 @ Sharp 142w UniRac Sunframe Azimuth = 140 Pitch = 30 Scale 3/16" = 1.0' Panel Dimension = 38.98 x 45.87" Lavout Created Bv: AWR Date: 4/11/08 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTM~NT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No; ~-26612 Date; 08/05/99 THIS CERTIFIES that the building NEW DWELLING Location of p=o~erty; 1405 WATER TERRACE (HOUS~ ~O.) (STREET) County Tax Map NO. 473889 Section 88 Block 6 SOUTHOLD (HAMLET) Lot 13.11 Subdivision Filed Map NO. __Lot NO. oonforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 26~ 1999 pursuant to which Building Permit No. 25538-Z dated FEBRUARY 16, 1999 was issuedt and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE Fa~TLY DW~_-LL!NG WITH ATTB~.n GARAGE AND COVERED PORCH AS APPLIED FOR. The Certificate is issued to ZoUMAS CONTRACTING (OWNEa) of the afo=esaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0183 07/29/99 ELECTRICAL CBRTIFICATE NO. 07/28/99 PLUMBERS CERTIFICATION DATED Rev. 1/81 28195 06/16/99 HI-TECH PLUMBING Building -Ins~ctor 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. Additional Businq$~¢~ NOT VALID wITHOuT DEPARTMENTAL SEAL AND A' CURRENT CONSUMER AFFAIRS IT) CARD Director Suffolk 'count~ EXecutiVe'S::Office of ConsUmer irs -.~m~a,~s ~ORt~. ~mv^¥ * ...~PAUO~ ~ VO~.l ~ DA~ iSS~D:. ~$/2~6 " NO; ', 4~2')B ,,, Home. Improv~t : Conga c~orLi tense ' of applicable lawS,, rules ~ HOlV~.: ..:. ~New York State Insurance Fund . ~ ' 8 ~TE CENll~R DR. 3RD FU~ M~-VILLE, N~,'V YORK 11747'3129 CERTIFICATE OF WORKERS' COMPENSATION II--CE NY 11932 POUCYHOU~R I GREL:I'A.CX~fl:: tLC ~ 24 SUNRISE AVE | po BO×3S lBRIAN NY 11932 THIS IS TO C~RqlFY THAT THE P(NJCYHoCEN~R I~ ,N~OVE IS INSURED WITH. THE NEW YOlk( STATE IN--CE OPI3~ATIOI~ ~1 'n.IES'I'ATE OF NEW YORK, EX.C~T A~ INDIC~.~ B~I.OW, ~, wm.I ~ TOOi~RATIOI~ THE COV~:U~ AFFORDED BY THE POUCY- NEW YORK STATE INSURANCE FUND U-26.3 VALIDATION ~ 914681542 ACORD,,, CERTIFICATE OF LIABILITY INSURANCE I i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LoVullo Associates, IncoI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ! HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 645O Transit Rd I~ ALTER THE COVERAGE AFFORDED BY THE POLICIE_S B~E~LOW. Depew NY 14O43 ] INSURERS AFFORDING COVERAGE _ NAIC # J GroanLogic, LLC INSURER .~ SCO'Tt'SDALE INSURANCE COMPANY 41297 425 County Road 39A INSURER B: Suit~ 101 -- Southampton, NY 11968 INSURER C: INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. No'rW1THSTANDING ANY REQUIRB~IENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ~L~IMS. POUCY NUER CLS1452918 01~31~008 0113112009 $ 1,000,000 s 100,000 s 5,000 FERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 ~COUCTS:C.O~_._~O?~.GG t _ t,000,000 COMBINED SINGLE LIMIT (Ea accider~) EODILY INJURY CERTIFICATE HOLDER Town of Southold 53095 Route 25 Southold, NY 11971 ACORD 25 (200t/08) CANCELLATION © ACORD CORPORATION t988 Town 'of $outhold Erosion, Sedan-& S--'~o~n~ ASSESSMENT FORM 9 Ye~ No ~ if yot~ AnSW~I y. to this Qm~tio.. a Stonlt-Wsbt. Gr~k~g. B'all~g" & =ros~ '~'"~'"""" -- STATE OF NEW' YORK, . COUNTY OF .......................................... SS lqe$~m ' - ' ' the ' tforP ' ga ... ~ a,~., ~= ................................ .C~.~ ................................................................................ ~ ~or ~ of~c ~ ~ ~ h ~ ~ ~ ~ ~ ~d ~c ~d ~A ~d to ~ ~ ~ ~ ~ ~ ~ ~ ~ f~ ~ ~c ~ ~ h~ p~ER F, ~A~J ~m ~ ~ mc ~; ~ Public, State of New ~ No. 011W6172891 Qualified in Suffolk County CommiSsion E. xpiree 06/20/2011 FORM - 06/07 --.r'~/..~E.~ ~ X ~? ~ Basement s~^~ Floors Kit. Extension Ext. Walls "Z..(.t_~,~../j ,~_. Interior Finish L.R. Extension Fire Place /~; ) Heat ,!, ~ ~ D.R. Patio Woodstove BR. / _~ov', ~t Fin. B. Porch ~-X ~ /9,~' , ,.,~--0 7,.~ Dormer Deck Attic Breezeway Booms 1st Floor Garage ~// x' X~ ~ (~7~,~ /'~'~ ~7'/'~0 Driveway Rooms 2nd Floor O.B. Pool OWNER ! TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET / X ~ r~- VILLAGE ACR. TYPE OF BLD. LAND J IMP. TOTAL ,DATE . ,..~, I ':.:'~v , REMARKS FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD DEPTH BULKHEAD WOODLAND MEADOWLAND HOUSE/LOT TOTAL OPEN,._. SPACE -' /L.-/,.~//~, N.87"32' 17,~. 72.35 ' · (o/,,-- g FINAL ~I,JRVEY 7-8-1999 FOUN~I~N LOC~TION The existence of right of ways and or easemenI,~ of record, if any, not shown are not ~uaranteed JOB NO. 9 8 - 6,47 SURVEYED FOR LOT NUMBER 9 MAP OF ANGEL SITUATED AT SCALE !" FILED MAP NO. FILE NO. AN( DATE DATE