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HomeMy WebLinkAbout32472-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33605 Date: 03/19/09 THIS CEI{TIFIES that the building SOLAR PANELS L°Cati~ of Property: 7125 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) Tax l~:~p NO. 473889 Sectio~ 126 Block 10 LOt 13 Subdivisio~ Filed Map No. Lot No. (HAMLET) conforms substantially to the Application for Building Permit heretofore fi/ed in this office dated OCTOBER 30, 2006 [~ur~,m-t to which Building Permit No. 32472-Z dated NOVEMBER 3, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this ceruificate is issued is SOLAR PANELS INSTALLED ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JAMES F DRUCK III & WF (OWNER) of the aforesaid building. -~u~OLl( CO~71"f DEP~/~T OF HEALTH APPROVAL ~.~t-£~(ICAL C~aTIFICA~ 1~O. PLD~ER~ CERTIFICATI(~ DA'r~u N/A 3875 N/A 11/24/06 ~~orize~ 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 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 unnsual natural or topographic feature. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Undervaiters. 4. Swots statement fi'om plumber certLfying that the solder used in system contains less than 2/10 of I% lead. 5. Commeroial 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 O?cupancy is denied, the Building Inspector shall state the reasons therefor in writing to the apPlicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Oeeupaney on Pre-existing Building - $100.00 3. Copy of Ce~ificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Constmetion: t--"~' Old or Pre-exist'_mg Building: LocationofProperty: ~/~---P~Oel'~ ~ )~- House No. /Street Owner or Owners of Propelty: ~'6t t'~t,l ~ 1000, Sccaoa q¢ 3899 Subdivision Permit No. 5o'~/~ 2~_~_ Date of Permit. Health Dept. Approval: Planning Board Appmml: R~uest for: Tmpo~ Ce~ificate F~ SubmitS: $ ~ ~ (check one) Block OD / O Lot dj> t'fl Filed Map. Lot: Underwriters Approval: Final Certificate: z--------" '(check one) J l A~licant Signature SUFFOL 40 Nottingham Telethone: I31 495 ~136 m R CER11RCATE Applicant: Rough In N°: Suffolk County Tax Energy Systems 11/24/2006 This Certificate of E ahd/or work ( after the final O;ner: Druck : .A~.drass: 7125 Address Compliance is lin , Installed by th~ ! Blvd, Laumlw NY 7125 Peconlc B X New Addition Indoors OutdOOrs Renovation Survey Service Service Main Sub- Pan Twist )ther Equipment: Heat Time Clock Hot Water GFCZ Breaker Dryer Recpt Exhaust Fan TVSS 1-DI e electrical work ~1, ~icant ?nature: r~"~~, raqui IBUREAU of ELECTRICAL INSPECTORS, inc. Drive, Middle Island, NY 11953 ~x: 631 980 6455 · E-Nail: SBL~GSOgmail.com ELECTRICAL COMPLIANCE Final Inspection Date: 11/24/2006 -Certiflcate_l~_3625_ Building Permit N°: ,Ired to the InspecUon a:nd compliance of electrical eq~Jil: ~ applicant named above, located at the premise of and 11948 ly Blvd, Laurel, NY 11948 Basement [st Floor 2nd Floor Znventory Duplex Recpt Switches GFC3 Recpt Single Recpt Range Recpt Appliance Heat Pump Service Shed Pool X Other: Hot tub Photo V01t~ Garage System ment ~ot ,lc Ceiling Fix HID Rxl Wall Fix Smoke bet Recessed FIx Co Det I Ruorescent Fix Pump A/C Blower Emergency Fix A/C Cond Exit FixI Electric Heat Pool Lumin sire ,connect, 20 Sharp NE !70 u I Modules ed above were Inspected and appear to be in compllano ements and this offlce.i License No: 35972-ME Date of Cedificate: 12/2/200~ : with Universal Design: EveryBODY Plays! Research-Based Practices & Programs for Universal Design, Physical Activity & Innovative Fun November 13, 2008 Kentucky Recreation & Park Society SURVEY Rating Scale: (4) Strongly Agree, O) Agree, (2) Disagree, (1) Strongly Disagree, (NA) Not ~Applicable 1. The workshop's learning objectives were clearly defined .............................................. 4 3 2 1 NA 2. The workshop content and activities supported the learning objectives ............. ~ ................. 4 3 2 1 NA 3. The workshop provided useful information that is applicable to my work ............................ 4 3 2 1 NA 4. The workshop gave me new ideas, information, techniques and/or me~ods that I will use ........ 4 3 2 1 NA 5. Handouts and materials were useful to support learning .................................................. 4 3 2 1 NA 6. Presenters were effective and knowledgeable about content .............................................. 4 3 2 1 NA 7. I would recommend this program to others ................................................................. 4 3 2 1 NA 8. I would attend educational programs provided by GameTime/PlayCore in the furore ............... 4 3 2 INA 9. The greatest strengths of this program were: 10. To improve this program, I would recommend: 11. When planning and purchasing a playground, I would give preference to GameTime, a vendor that promotes the value of play ................................. Yes No 12. I would like to know more! Please have a GameTime representative contact me: Name: Contact Information: Interests: Emkhlng I~hildhood Through Thank you for completing this survey. Your input provides valuable feedback as we strive to improve our programs & promote the value of play. 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. 32472 Z Date NOVEMBER 3, 2006 Permission is hereby granted to: J DRUCK PO BOX 355 LAUREL,NY 11948 for : INSTALLATION OF SOLAR PANELS TO AN EXISTING DWELL. AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 126 pursuant to application dated OCTOBER Building Inspector to expire on MAY 7125 GREAT PECONIC BAY BLVD LAUREL Block 0010 Lot No. 013 30, 2006 and approved by the 3, 2008. Fee $ 150.00 ! Authorized Signature ORIGINAL Rev. 5/8/02 FIKLD I~SPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING ~S~ATION PER N. Y. STATE ENERGY CODE F~ ~D~ION~ CO~TS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c , 20 o__¢ ,20 PERMIT NO. BUILDiNG PERMIT APPLICATION CHECKLIS~ Do you have or need the following, before applying? Board of Health 4 sets of Building Plans~l~--c_.~ Planning Board approval ,~, Survey Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date ~¢3'~ ,~O ,200~ INSTRUCTIONS 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 area~, 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. //...~. ( S ignature~ of applicant or name, ifa corporation> (Mailing~dress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofowner ofpremises~tll/~/-~~/ ~t~ K, (As on the tax roll or latesO~eed) If applicant is a corporation, signature of duly authorized officer (Name and tifle.,~.J~q~fficer) Builders License.,,N~ .~. Plumbers Li~n~No~-~ Electrici~ff~License No~-- Othey4~ade's License N~.. 1. Location of land on which orooosed work will be done: House Number Street Hamlet County TaxMapNo. 1000 Section Subdivision /'2 6 (Name) Block / O Filed Map No. Repair R~moval 4. Estimated Cost ~ ~0! ~ 2. State existing use and occupancy of premises and intended use and eccupancy, ofpropo~ed cogstmction: a. Existing use and occupancy ~ {t~,~ -.-~x~x,Lt.1 ~0Yfi' £St]a.4~xC.~ '~ b. Intended use and occupancy ~t2~trM ~[ttA/ (~0rl~,.~O O~'~q~.R. 3. Nature of work (check which applicable): New Building Addition Alteration Demolition Other Work .-~ ¢\~t V ~o ~-~t (Descriptio~ Fee 5. If dwelling, number of dwelling units [ .If garage, number of cars (To be paid on filing this appl~n) Number of dwelling units on each floor 6,. Ifbasiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dim~i. ons of existing' structures, if any: Front ~7~ ~. ' Rear :~ ~ Depth Height '- ;~_~t Number of Stories Dimensions of same structure with alterations or additions: Front ~0 Depth Height. Number of Stories 8. Dimensions of entire~new construction: Front __ O ~ Depth 9. Size of lot: Front o- ,] ,.-- x Rear --Dq~ 10. Date of Purchase [(~ <~'[ Name of Fenner Owner 11. Zone or use district in which premises are situated /"~c'V~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ 13. Will lot be re-graded? YES. NO '--'"~Wiil excess fill be remo~ved t~om pramise~? YES_ 14. NameS of Owner of premises. ~~d~ress _ Phone No. NameofArchitect ,..)~t-~-d)/~ ,_~t~ Address ~ ~r~/(_ Ph0neNo Name of contractor.~_ ~_ ~-.~ ~'n e¢~ . Address ~Phone No. 15 a. Is this property withi, .00 feet of a tidal wetland or, ~eshwater 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. SS: COUNTY OF.~.~ II~O"~ V'~'~t~ ~-~ ~O ~-'4~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the O (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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swo~t~efore me th~ ~_ I Nota~blic UELANIE DOROSKI liOTARY PUBLIC, State of NewYiMI No. 01D04634870 Qualified in Suffolk County ~,,mnmission Expires September 30[~¢~ ~.~ CONC MON OVER"- LiNE CORNEr ON LINE ~ WOOD WALKWAY Z SURVEY OF DESCRIBED PROPERTY SITUATE L~UR£L, TOWN OF SOUTHOLD SUFFOLK COUNTY', N.Y. SURVEYED FOR: JAMES FREDERICK DRUCK MARGUERITE KELBAUGH DRUCK 1000-126-10-015 GUARANTEED TO: JAMES FREDEREICK DRUCK Ill MARGUERITE KELBAUGH DRUCK ONE STORY RES, SURVEYED: 22 MARCH 2005 SCALE 1"= 50' AREA = 21.158 S,F. OR 0.485 ACRES SURVEYED BY STANLEY d. ISAKSEN; JR. P.O. BOX 294 NEW SUFFOLK. N.Y. 11955/ TOWN OF SOUTHOLD I~ZOPERTY RECORD CARD OWNER FOR~ER OWNER ViLL&GE DISTRICT // ACREAGE LOT TYPE OF BUILDING rES. ~.O SEAS. VL. FARM CB. J MISC. Est. Mkt. Value LAND IMP. TOTAL DATE -- ~0o -/ b9E ~oo /4.5'0 ~ Farm -illable 1 'illoble 2 'illable 3 Voodland iouse Plot 'otal Acre CONOg BELOW / Value Per Acre COMM. · J IND. REMARKS ,wampland ',rushland Volu~ FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK M. Bldg, / Xl'. ,~ .~ _" ~.. Foundation :[ , ' ~ .r :, ~ Bath Extension /'~ ~/'//~ /~ Basement .' ,~ Floors ~ension ,. ~-~ ~'/ ~ : ~d'~ Ext. Wol~S ~r~''~' h Interior Finish ~tension / / ~ ; 9 ~ Fire Place / Heat ~,, ~ ~ ZZ ~ ~8~ 4, ~ ~G ~ Patio ~ooms 2nd Flor Gara~ ~ ~%~ :~ ~ ~,~ ~ Driveway Dormer JOSEPH SCHMITT Consulting Engineers Joseph Schmi~, Consulting Engineem 12WHieWay StonyBrook, NY 11790 Phone 631-689-7270 Fax: 631-751-7047 October 26, 2006 Frederick Dmck 7125 Peconic Bay Boulevard Laurel, NY 11948 7125 Peconic Bay Boulevard Laurel, NY 11948 Solar Panel Installation Dear Mr. Dmck; This letter is to Certify that we have checked the roof structure at th?above referenced address for wind, snow and dead loads based on ASCE 7-98 and for conforjnance with the NYS Building Code. The roof is adequate to support the proposed 20 Panel Solar Electric System. - ph Schmitt, P.E. SHARR .m-eu eos 170 WATT HIGH-POWERED MODULE. SUPERIOR PERFORMANCE. POLY-CRYSTALLINE SILICON PHOTOVOLTAIC MODULE WITH 170W MAXIMUM POWER Sharp's NE-170U1 photovoltaic modules offer high-powered performance and industry-leading durability for large electrical power requirements. 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. Common applications include office buildings, houses, cabins, solar power stations, solar villages and traffic lights. Ideal for grid-connected systems and designed to withstand rigorous operating conditions, Sharp's NE-170U 1 modules are the perfect combination of technology and reliability. MULTI-PURPOSE MODULE 170 WATT ELECTRICAL CHAF~ACT£fiiSTICS Open Circuit Voltage (V~c) 43.2v Maximum Power Voaage (Vpm) ~,sv Short Cl~.elt Current Usc) 5.47A Maximum Power Current (Ipm) 4.9A Module Efficiency (qm) 13,to% Maximum System Voltage 6oovoc Series Frae Rating Weight Packing ConflgurafloA Size of Carton Loading Capacity (20 ft cofltainer) Loading Capacity (48 ft cer~tainer) Loading Capacity (53 ft container) IV C U R',/* E S I I D{ME~4$1ON$ and speci~.aUons are subject to change withont notice. SHARP ~lr~l~ Sharp Electronics Corporation - 5901 Bolsa A~mnue, Huntington Beach, CA 92647 Tel: 1-800-.~R-06 · E-mail: shaq~olmOsharpusa.com · www. sharpusa.com/solar Cover photo:Solar installation by Padflc Power M~nagenent, Aublm CA SSD-17~-805 02005 Sharp ~tronics ~fporaflml Fdltted in the USA PV MODULE FRAMING AND MOUNTING SYSTEM FOR PITCHED ROOFS Module Compatibility Use Stml~mme with PV modules BP Solar, GE ~ lso~otm~, Kyoeera, Mitsubishi, Photowatt, RWE Scho~ sanyo, Shar~. Call UniRac or your PV dealer for manufacture~ no£ listed. Code Compliance SunYmme is dcei~ned to comply with the Uniform and Cslffomis building code~ when tns~lled according to Sunl~mle ins~ll~*ion Jnsmlcfions. Call UntRac concerning status of lnmrAmional Building Code compliance. I'V NODULI FRANINI AND HOUNTINI IYITIN FOR PlTCHID ROOFI Components modul~ ~ little as 2.125 inches above the roof~ · Pull Lensth Cap Strips secure tapping scows at 16-inch intervals provide the holding power. · Push*Fit End Caps neatly finish the raft ends. shingle roof3 and support the rafts one-hnlf to th~e-quorters of' an inch above the roof surface to provide convective ventilation. SpL~ safely ext~d rails. 0 Ai,~num ~ Sted Stando~ (optional) ~ a ~ofh~ ~n ~ a~ ~ or ~ ~. ~e~ or ~ flni*~ on ~ ~le Component Specifications pst1*~ cap =,i~il..d, two-piece standoifa, splices, and L-feet: 6105-T5 ab~minum extrusion. End caps: tar resistant plastic. Condition 4 (very seve~) zinophud www. umrac, com for the number and type o£ mod~es you plan to mount. UnIR&% ln~ 321)1 Univerd~ Bouleverd S~ Suite 110 80$,~4~.6411 Pub 0S0206.1ds * ~ 2005 ~oOumraccom Albuquerque NM 87~06-s635 USA S0S~4Z6412 l~z O 200S UniR~ lnc All rights reserved, oler_ - i me e / pre*Prom)snl S/Ol/2OO6 Fred Druek 7125 Peco~C Bay Blvd. Laurel, NY 11948 (631) 45/-9512 l~y: .lank M~aick !j~Z~J]]~ ! Cell phone:. 6~1 9'/4 ~,974 EE Systems Inc'. 1480 Wmt Mm Road PO ]Box 41 ~NY 11952 1-888789=2887 ouldo~ v~n~, AC disconn~K:t, full Instnbdlon, 5 y~ send~ warrantY, 5 Ynar Inv~r v, wnmtY, 25 Year T~efi'ont ~. 22-175 watt KCI~SGT Kyocewa modules, and two OT Xan~ex inve~ets.. Total value of system -. ~31,18~ The next step is to apply for l.~^'s rebate~ Wewm walk y°u thr°u~h all ~he necessary papetw°rk; LiPA,s rmponso time ts mually one month, it is ~mportant to lock tn tim rotmte at ~he nmximUm rate t°daY' The rebate will decrease tn price in the fitmre as it has in the ~ We will file nil Y°ur PnPerW°rk' and tnt~st in nltern~:e energy. We will be looking forward to hem~ng from you- 7~5-1902 8,~~ t ~:'M FOR THE FOLL~ :r,JC i;,¢ ~ T~3~4S: FO? POURE '. C ~.,.' ,ETE 2. ROUGH - FR,..'";2 { PLUM?,f~G 3. INSU~TION . 4. FINAL - CONSTRUCTION MUST BE~LETE ~: 3.0. ~L ~NST~UOir,)N SHALL ME~ THE REQUIREMENT8 OF TNE ~DES OF N~ ro~6~s,,~E ~o~ ~1 I~ ~ BESI~STRUOTION ERRORS. THL~..I,~ ~- ' I j ~K STATE. 10) Ask guests to be quiet by 9:00 pm, still keep lights out at 11:00. 11) Get a list of people from your congregation who would be willing to sleep over on other nights if we needed ex~a help. (ie: Deb McAfee will help). Also, Caren will get names from other congregations who may be willing to help here. 12) Request from our sexton: Guests must be sure to throw all uash bags into dumpster in the AM; and to put their hygiene boxes back on the shelves in the AM. Also need to be sure no clothing, towels, etc. lef~ on bathroom floors. 13) Other ideas: · If not available elsewhere, can we get a Mattituck PO Drawer for guests, and hand out mail on Thursday night?? · Coordinnte Chfi~huas girl-giving between churches. Gift certificates · NO guests allowed in kitchen · Minors (under 18) are not allowed to participate in Maureen's Haven unless accompanied by a parent, or a church volunteer who is willing to be responsible for that child. NO minors allowed to sleep over. 14) Caren will make contact with guests at least once a month~hizi ~fig~ months at the Soup Kitchen at the Congregational Church in R~er ~ht~d. If anyone i~i~ter~st~ ,~ in going, please let Caren know.