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Home My WebLink About34495-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34650 Date: 04/17/09 THIS CERTIFIES that the building SOLJ~R PANELS Location of Property: 1650 GILLETTE DR EAST MARION (HOUSE NO.) (STREET) (HAMLET) County T~ Map No. 473889 Section 38 Block 2 Lot 17 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 2009 pursuant to which Building Permit No. 34495-Z dated MARCH 11, 2009 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 NANCY L WILLIAMS (OWNER) of the aforesaid building. SIIFFOLKCOI~I"fDEPART~fl~TOFHFa%LTHAPPRO~-AL N/A Rtat-rKICAL C~RTIFICA~NO. 06-9458 05/01/07 ~ERS CERTIFICATION DA'r~D 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 submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with aocurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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: I. Accurate survey of property showing all preperty lines, streets, building and unusual natural or topographic features. 2. A properly completed ~/pplication and cousent 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 Date. New Construction: ~ Location of Property: House No. Owner or Owners of Property: A Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: Street Subdivision Permit No. ¢~ ~q~' Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ 5, OC~ Date of Permit. (check one) Hamlet Block cD .~. co ,~ Filed Map. Applicant: Underwriters Approval: Lot Lot: Final Certificate: (check one) Applicant Signature Electrical Inspectors, 1nc. 308 East Meadow Avenue East Meadow, NY 11554 Office: (516) 794-0400 (631 )396-7474 Fax; (516) 794-5854 Website: www.electricalinspectors.com Email: in fo~electricalin spectors.com Mail To: Sun Power Systems Scott A. Maskin 40 Grassmere Avenue Oakdale, NY 11769 License#: 33412-ME Certificate Number: 06-9458 Municipality: Southold, Town Of Inspector: 125 Issue Date: 5/1/2007 Pr°pertYNaAil;~:rathw°hl J L 1650 Gillette Drive~ East Marion~ ELECTRICAL A PPR 0 VAL 7fiR TIFICA TE Section: 473 Block: 889 Lot: 38.2~17 //~ / AREAS LISTED BELOW ARE APPRg)'V/ED' rY INSPECTION No~x i~, uaFI dOeferU~ wetTe fOot nBdEfc r~theCe[{Oc~Mi(~lLir ~'~e(tiConEp ~W~Te~a. ~T~2I~sfNal ~oAIoL~ cEt nLeiEt'Co5 ~R~e~ foCunOdDinEthe areas herein below only. "~- Z Residential Inspection ~ Solar Photovoltaic System Otsconnects * Richard M. Bivone President ~ / ~, ]. ] Not valid unless signed by an ~~~..~ ~_, autho~r~zed~Ell Agent Philip F. Goehring I I/I/{ Chief Electrical Inspector / ! ?~' 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. 34495 Z Date M~LRCH 11, 2009 Permission is hereby granted to: NANCY L WILLIAMS PO BOX 293 EAST MARION,NY 11939 for : INSTALLATION OF SOLAR PANELS TO EXISTING DWELLING AS APPLIED FOR at premises located at 1650 GILLETTE DR County Tax Map No. 473889 Section 038 Block pursuant to application dated MARCH 3, 2009 Building Inspector to expire on SEPTEMBER 11, EAST MARION 0002 Lot No. 017 and approved by the 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROU~J~G. [ I IN,~I.ATION [ ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: i~.~>h,, :~~ /~/~ DATE. ~~INSPECTOR~~~ Fisher Engin. eeri.ng Services, P.C. PO Box 30 Oakdale New York 11769 Phone: (631) 563-9028 January 9, 2009 Building Department Subject: Engineer Statement for Sol,ar Roof Installation Grathwohl Residence- 160 Gillette Drive, East Marion, New York I have verified the adequacy and structural integrity of the existing roof rafters for mounting the solar collector panels and their installation satisfies the structural roof framing design load requirements of the Residential Code of New York State. I have reviewed and certify that the manufacturer's guidelines and equipment for the photovoltaic equipment for the above residence meet the requirements for wind and snow load and that the roof structure is adequate to carry the new loads imposed by the System. For the installation of the solar mounting, the rails are securely anchored to the rafters utilizing lag screws that have been designed for wind speed criteria of 120 mph Exposure C and snow ground criteria of 20 psf. Wind loads will exceed seismic loads. Other climate and geo design criteria are not applicable to this solar installation. The solar collector system and the mounting assemblies comply with the applicable sections of the Residential Code of New York State- "Solar Systems" and loading requirements of roof-mounted collectors This system has been installed properly at the above referenced residence. The installation is in accordance with the minimum requirements certified by this letter. I hope that this letter serves and meets with the approval of the Building Department. Sincerely, William G. Fish6r.,~.E. Licensed Professional Engineer Architectural Design · Residential · Light Commercial Additions · Extensions · Conversions Construction Estimates / Oversight · Expediting · Inspections COMMENTS FU~LD ~SPECTION ~PORT I DATE I FOUNDATION (2ND) ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~ENTS 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 Expiration 7/[~/ , PERMIT NO. Building Inspector 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: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ., 20 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 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. USE IS UNLAWFUL u licant or name, ifa corporation) WITHOUT CLS, ?o&, ff OF OCCUPANCY (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder UNDERWRITER,q; CERTIFICATE APP,,,. r" REOUIRED Name of owner of premises b,~ ¢',~.ND-[ IuD, \\, cxCc~ 5 (As on the tax roil Of.latest ~qd) If applicant is a corporation, signature of duly authorized officer 7 ~''~ : .i FOr-'. THE .. (Name and title of corporate officer) .. F: 3.:,i~0N - F(2;g PO;JRZD Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street 2. ROUGH - FPAMi~G & PLUMBING 3. INSULATION 4. FINAL - C02;ST;q:.rT!ON MUST BE COMPLETE FC.'I C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YO.BK STAT, F~ NOT RESPONSIBLE FOR D I~Sl~'!qxO I~ ' J?.,~l~Sf4~tlJC T I0 N ERRORS. Hamlet County Tax Map No. 1000 Section (D~cg Block c~ Subdivision {'cx~,¢xo ¢ (Y'X ¢~ ~Oc' Filed Map No. (Name) Lot [~-'1 Lot \-7 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy C),,,',,~c,~e O~¢ b. Intended use and occupancy ~,~",,~x~..~e ~ 3. Nature or'work (check which applicable): New Building. Addition Repair Removal Demolition Other Work 4. Estimated Cost ~, o,qCD ~. cz~ 5. If dwelling, number of dwelling units If garage, number of cars ~ Fee tt~ ~. ~ Alteration ~Description) (To be paid on filing this application) Number of dwelling units on each floor 7. Dimensions of existing structures, if any: Front ,-~'~' ' Rear ~" Height. Number of Stories I V~z If business, commercial or mixed occupancy, specify nature and extent of each type of use. Depth_ ,..BO' Dimensions of same structure with alterations or additions: Front Depth ~O' Height ~ q ' Number of Stories Rear 8. Dimensions of entire new construction: Front Height 9. Size of lot: Front \~ 10. Date of Purchase 11. Zone or use district in which premises are situated ~- ~C) Rear _Depth Number of Stories Rear \ C~(23~ Depth Name of Former Owner ~c~ ~'~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO X/ 13. Will lot be re-graded? YES__ NO X Will excess fill be removed fi.om premises? YES__ NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. -,'. ' , ..... '. ' ' __NO ~/ 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, CONNIE D. BUNCH (S)He is the Notary Public, State of New York No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County Commission Expires April 14.20 I_,:,T-- 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 th/s 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 before me this c:~'~ day of {~t_~r~e 200,~ §ignature of Applicant Notary Public /~',~,~- 3 ~' -- .2 - / ? TOWN OF SOUTHOLD PROPERTY -RECORD CARD ,,~- V6 , .,..,, , ~E~ OWNER ~ ~ [,~ > N E -ACR. ~ ~ ¢ ~ W ~[0 S~S. Mb FA~ COMM. CB. MISC. Mkt. Value ~ES. Tilloble 1 Tilloble 2 Tillable Woodland Swampl~d FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKH~D rotal DOCK Bldg. COLOR ':xtension ':xtension ;Ext. Wells =.xtension Fire Place )orch Breezewoy Saroge Patio Total Foundation C ~ Bath ~_, Dinette Basement Floors ~/~ K. Type Roof Recreation Room Dormer Driveway Interior Finish ,.,,~'/,~, LR. Heat Rooms 1st Floor Rooms 2nd Floor DR. BR. FIN. B. Sep. 15, 2008 11:14AM No, 4381 P, ] Fisher Engineering Services, P.C. PO Box 30 · Oakdale. New York 11769 Phone: (631) 563-9028 · B~filding Department August 25, 2008 Re: ?_~un~ , ,~y,,,r~SY,?Sys~em - Structural Summary for Vhotovoltaic Sy, stem Proposed at the (Ca:akhw~denee located at'l'6/) Gillette Drive East Marion, New York Dear Building inspector: On behalf of Sun Power Systems, Fisher Engineering Services is providing this letter to summarize the wind load capabilities of the photovoltaie system for the above referenced residence. The system consists of 22 photovoltalc cells installed on Power Rails. The wind load utilizing ASCE 7-02 for a Partially Enclosed Building Design for a low-rise building where the height is less than 60 feet, the uplift is calculated to be 41.5 pounds per square foot, The total area of the photovoltalc system is 386 square feet. Using a Solarmouat lag screw Spec 203.2 with fiat washers to mount the Power rails per the manufacture's instructions provides 532 pounds holding capacity per each bolt requiring that a minimum of 30 lag screws be utilized for the system and that they not be spaced further than 5'-3' apax~. Based on this analysis, the mounting system for this residence is adequate. I hope the above meets with you]' approval. If you have any additional questions, please feel fi~ee to contact my office. Sincerely, William O. Fisher, I~E. Licensed Professional Engineer cc: 8J'M~skin, SunPower Systems ArOhiloctur~l D~sign · Residential · Lighl Commercial Sun Power Systems, Inc. 245 Ronkonkoma Ave, Ronkonkoxha N.Y. 11779 Home Improvement Contract Sharp Solar Grid Connected Photovoitaic System THIS AGREEMENT BETWEEN SUNPOWER SYSTEMS, Inc. AND: Owner's Name: Nancy and Glen Grathwohl ~ Property Address: 1650 Gillette Dr. City or Town: E. Marion Today's Date July 23, 2006 Owner's Telephone: 477-8238 State, Zip Code New York, 11939 DESCRIPTION OF PROJECT: In conjunction with the LIPA Residential Solar Pioneer Rebate Program, this agreement includes all materials and labor charges for a Sharp Solar Grid-Intertied Photovoltaic system, to be installed in the home at the above address, with a total Manufacturer's Peak PV Output Rating of 4992 Watts DC. Contract price includes (24) Sharp Solar photovoltaic modules model ND208 and (1) SMA inverter model SWR6000, plus all related hardware, disconnect switches, wiring, and all labor charges for a complete installation. Manufacturer's Warranty: 25 years PV Modules, 10 years Inverter and, 5 years Disconnect switches and Installation TIME FOR COMPLETION: The work to be performed by Contractor pursuant to this contract shall be commenced within 180 days fi.om the date of the issuance of a pre-approval letter from the Long Island Power Authority, confirming net-metering agreement and rebate calculations. The work will be substantially completed within 14 days alter delivery of equipment and commencement of installation. PAYMENT: Owner agrees to pay Sun Power Systems a total Cash Price of $38,500.00 Calculation of LlPA Rebate: PV Array Output 19C) multiplied by $3.75/Watt: $18,720.00 (Maximum Rebate: 10 kW or $37,5~.) Calculation of Solar Electric Generating Equipment Tax Credit: $4,945.00 (25% of total, maximum $5,000.00) Calculation of Solar Electric Generating Equipment Federal Tax Credit: $2,000.00 (30% of net intel, maximum S2,000) Net Cost to Owner: $12,835. 00' Caicalatioa~,e~ilmated electrical production: 4992 watts x 1.13 Kwh/watt= 5641 Kwh x .205/Kwh= $1156/yr** Note: Filing ~ State Tax Form IT-255 is and the federal tax form is the responsibility of the homeowner Owner agrees to the following Payment Terms: Owner agrees to pay Sun Power Systems in four payments: (1) $1,000.00 Down Payment ('Non Refundable after LIPA approval leRer is received) (2) $9,390.00 Due upon commencement of work. (3) $9,390.00 Due upon installation of solar modules (4) $18,720.00 Due upon LIPA final inspection and system approval. Owner agrees to assign LIPA rebate to either San Power Systems or approved vendor of LIPA Program You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached Notice of Cuncellation form for an explanation of this right. Cancellation by the buyer after the right to rescind has passed shall be deemed a material breach of this agreement and entitles Contractor to damages. Owner's Signature Mike Bailis Sun Power Systems Representative Date Date Representative's Name (printed) Terms and Conditions: The terms and conditions attached are expressly incorporated into this Agreement Sun Power Systems is a Certified Sharp Solar Dealership * NOTE: Sun Power Systems does not guarantee the tax credits. You should check with your accountant or tax adviser regarding your qualifications to claim the tax credits. ** NOTE: Estimated annual savings based on LIPA solar calculator. Your actual savings can var) + or - 20% :Tow__ n o_ f S uthol d Erosion. Sedimentation & Storm Water Run-off ASSESSMENT FORM PROPER'rY LC C, TION: S C T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A District Section B k Lot STORM-WATER~ GRADING~ DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Ye_~s Nc, 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Genemtad by a Two (2") Inch Rainfall on Site? (This item will include all mn~off created by site cleadng and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Pamel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is them a Natural Water Coume Running through the Site? Is this Project within the Tmstaes jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (1 Off) of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town fight-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? O'his item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watemoume? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Pem~it! EXEMPTION: Ye__s N_.~o Does this project meet the minimum standards for classification as an Agricultural Project? / Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl __ __ V STATE OF NEW YORK, COUNTY OF ....-~.....L~..~..~. ......... SS That I,. ............................................................................... being duly sworn, deposes and says that he/she is the applJcm~t for Permit, (Name of individual signing Document) And that he/she is the .................................................................................................................................................................... (Owner. Contractor. Agent. Co~orate Officer. etc.) Owner and/or representative of the O~vner of Owner's, and is duly authorized to perfomt or havepexformed th,e, said work and to and file this application; that all statements contained in dfis application are true to thel~,~,~.l~ a~d belief; and make that the work will be perfom~ed in the manner set forth in the application filed herewith. ~0. 0.1~tl~lraw, n FORM - 06/07