HomeMy WebLinkAbout33342-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33608
Date: 04/03/09
THIS CERTIFIES that the building SOLAR HOT WATER
Location of Property: 2045 LAKE DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 5 Lot 4
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 14, 2007 pursuant to which
Building Permit No. 33342-Z dated AUGUST 23, 2007
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 HOT WATER SYSTEM AS APPLIED FOR.
The certificate is issued to LILLIAN BALL
of the aforesaid building.
(OWNER)
SUFFOLK COI~TI'Y DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL c~KTIFICATE NO.
PLUMBERS c~KTIFICATION DA'r~3
N/A
N/A
N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OG
MAR 8 2O09
UPANCY BLDG. DEPT.
TOWN OF SOUTNOLD
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 unusual natural or
topographic fentums.
2. Final Approval fi'om Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement fi'om 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 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 Occupancy 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 Occupancy on Pre-existing Building - $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
New Construction:
House No.
Old or Pre-existing Building:
Strect
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
(check one)
Hamlet
Filed Map. Lot:
Applicant: llih A
~x~ /~ Underwriters Approval:
Request for: Temporary Certificate Final Certificate: ~ (check one)
~ Applic~t ~i~[ure
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL
COMPLETION OF THE WORK AUTHORIZED)
FULL
PERMIT NO. 33342 Z Date AUGUST 23, 2007
Permission is hereby granted to:
LILLIAN BALL
7 HARRISON ST LOFT 3D
NEW YORK,NY 10013
for :
INSTAIJ,ATION OF SOLAR PANELS AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 059
pursuant to application dated AUGUST
Building Inspector to expire on FEBRUARY
2045 LAKE DR SOUTHOLD
Block 0005 Lot No. 004
14, 2007 and approved by the
23, 2009.
Fee $ 200.00
! Authorized Signature
Rev. 5/8/02
ORIGINAL
FIELD INSPECTION REPORT I DATE [ COMMENTS
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH ~G &
PL~G
~S~ATION PER N. Y.
STATE ENERGY CODE
F~
~DITION~ COUNTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ~;w:~, 20° ~
Approved ~J~?-~3' 200~-
Disapproved a/c
Expiration
3/)9, 20 o/*
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees ~/
Contact:
Maim to:
Phone:
~uilding Inspector
~ ' !q APPLICATION FOR BUILDING PERMIT
r>ate ,200 -'
INSTRUCTIONS t
t a This application MUST beJcompletely 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
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 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.
(Signature of applicant or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(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. 'T'0_t~. 'l'{ff~ t~v{
Electricians License No.
Other Trade's License No.
Lrccation of land,on which tlropos,ed work will be done:
House Number ..... Street
County Tax Map No. 1000 Section .~[~1~n~
Subdivision
(Name)
' i~amlet-'
Block
Filed Map No.
Lot
Lot
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost 4 ~Q- 5 ~q~ Fee
State existing use and occupancy of premises ar[djnten, ded use and occupancy, of propo§efl construction: a. Existing use and occupancy ¥ ~ (t~ ~,'tA:{lr~ IPl^t~Lt6b' hlLL, C. tM
b. Intendeduseandoccupancy I~ ~ty~ ll. tIA/L~I[J1 ~ ~q3a~ll_L~? O[( ~l .J~_ . [~6
Addition Alteration~x_
other Work ,'~OI
- ' ' (Descrip~b~)
(To be paid on filing this application)
5. If dwelling, number of dwelling units
j Number of dwelling units on each floor
garage,
number
of
cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
~I~ Height Number of Stories
Rear Depth
t,~ Dimensions of same structure with alterations or additions: Front Rear
Depth. Height Number of Storie~
f t ~tLs/ 100~1~ tOt~/,O~t~ ~0 g'~2~Rear ~4f~6~D~ee t~l~ff'&~{''
8. Dimensions o en ire~: l~'ront p
Height Number of Stories
9. Sizeoflot: Front ~7, ~ Rear 1 0 ?, ~ Depth
10. Date of Purchase ~/0:~ Name of Former Owner
11. Zone or use district in which premises are situated r {/~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO ~( Will excess fill be removed from premises? YES NO
14. Names of Owner of prexnises ~2~L~. [~[J~ Address~ Phone No. ~'~ ~ 'J/~ 5
Name of Architect Address Phone N°~ I! q ~.7~ q-~5 3 ~Z~ 0
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland?~*YES x~ 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 K/{
* 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.
18. Are there any covenants and restrictions with respect to this property? * YES
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing 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 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.
Sworn to_~tbre me this
F'~' day of O~3~x0· 20 O?
Notary Public
LAUREN M. $1'AN01$h
Nofa~ Pu~lc, ~t~te of New York
No. 0181'616~008
Qualified n Suffolk Q~untwp~
v ~, Signature o'~-Apt~licant
. ?
/
/
/
/
/
/
/
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?~3~her
TOWN OF SOUTHOLD PROPERTY RECORD CARD
VILLAGE
E
DIST.
ACR.
·
TYPE OF BUILDING
SUB. LOT
RES. ~/~ ~/J S~S.
VL.
FARM
COMM. CB. MICS. ' Mkt. Value
LAND
IMP. TOTAL
DATE
REMARKS
/2- ~6
$
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value
/
Tillable
Woodland
Meadowland
Value Per
Acre
FRONTAGE ON WATER
FRONTAGE ON ROAD
House Plot
Totol.~J~,...~ ,~.~"~ DOCK
DEPTH
BULKHEAD
M. B I~,~,~'
Exten~on.
~Ex~'~ ~Jnsion
Extension
Porch
Breezeway
Garage'
Patio
t
Foundation
Basement
jExt Walls
Fire Place
Type Roof
Recreation Room
Dormer
Both
FJoors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
O.B. Driveway
Total
FiN. B
IB~th
Foundation
CO~OR
Extension
Extension
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Page 1 of 2
Collectors mount horizontally and Collectgr Mounting Rails go as shown below~,
2A ~ ~ i ol
The Diagram above is a top view of two collectors installed together showing:
1. Two 20" x 12' Collectors mounted with connections to the right
2. The Mounting Rails with Mounting Brackets (3 rails and 6 Mounting Brackets plus 3 Quick Connect Clips (QCC)
per additional collector set (6.), 3 two panel rails, 6 Mounting Brackets and 3 QCCs shown in this diagram).
2A. Mounting Rail Lag holes top and bottom.
3. The "Hot Out" Collector connection going to the storage tank.
4. The between Collector connection.
5. The "Cold In" Collector connection from the storage tank.
6. The Quick Connect Clip bolts to the mounting rail here with the tabs overlapping the top of the collector.
7. Collector Glazing (Lexan)
8. Collector trim sections.
Above: Al]owing from 14" to 2' for collector overhang, find and mark Rafters for the Three Collector Rails,
(shown in this picture are 3 mils for 3 collectors) Use a chalk line to get the 3 rails even at the bottom. Get the
center rail as close to center between the end rails as possible. Using a hammer to "Sound Out" the rafters
usually finds the rafters. If not, use a feeler bit (long small drill) to drill through the roof from the inside, just
FSEC Certification for Fireball 2001 Solar Panel 0810212007 02;5! PM
SUMMARY INFORMATION SHEET i~
FLORIDA SOLAR ENERGY CENTER N~em~e~ ~OOl
MATERIALS
Giaz~r,g
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RATING
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http://www.solarroofs.com/srcc/summary.html Page 1 of 1
FSEC Certification for Fireball 2001 Solar Panel 08102/2007 02:51 PM
SUMMARY INFORMATION SHEET
FLORIDA SOLAR ENERGY CENTER
MANUFACTURER
Collector I~lodel
DESCRIPTION
MAIEREAL$
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l~ - GO.G - (~g
RATING
BACK
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REQUIREMENTS ~? ] HE CODES OF NEW
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UNDERWR TE~ ~FkX~'e'
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Page 1 of 2
Collectors mount horizontally and Collec~r Mounting Rails go as shown below.
~- o~ ~l.t~.~av~ a~,~. 2.o t~o~ %Z.
-... ............ -~...,_~ View (10-01 colbY_ ~_o~ use 2 rails about 1 m from the ends)
, \
The Diagram above is a top view of two collectors installed together showing:
1. Two 20" x 12' Collectors mounted with connections to the fight.
2. The Mounting Rails with Mounting Brackets (3 rails and 6 Mounting Brackets plus 3 Quick Connect Clips (QCC)
per additional collector set (6.), 3 two panel rails, 6 Mounting Brackets and 3 QCCs shown in this diagram).
2A. Mounting Rail Lag holes top and bottom.
3. The "Hot Out" Collector counection going to the storage tank.
4. The between Collector connection.
5. Thc "Cold In" Collector connection from the storage tank.
6. The Quick Connect Clip bolts to the mounting raft here with thc tabs overlapping thc top of the collector.
7. Collector Glazing (Lexan)
8. Collector trim sections.
Above: Allowing from 14" to 2' for collector overhang, find and mark Rafters for the Three Collector Rails,
(shown in this picture are 3 rails for 3 collectors) Use a chalk line to get the 3 rails even at the bottom. Get the
center rail as close to center between the end rails as possible. Using a hammer to "Sound Out" the rafters
usually finds the rafters. If not, use a feeler bit (long small drill) to drill through the roof from the inside, just
beside the rafter. Be sure to squeeze calk into all holes to seal them!
Pre-Drill the bottom holes for the 2 end rails (which will be about 8' apart - you can use the lag itself to "pre
drill"), squeeze Caulk into Lag Hole, Place end mounting rail with mounting bracket and washer over hole
(above left). Drive Lags into holes but do not tighten. Carefully place the eenter rail along the chalk line, repeat
the proceedure for the end rails. Install the upper lags using the same proceedure. Note: )ne and two collector
systems have lags at the top and bottom of the rails. Three and four collectors use a center lag at the center of
the end rails only. Other Quick connect clips use a can'age bolt.