HomeMy WebLinkAbout34633-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33915
Date: 08/24/09
THIS U~KTIFIES that the building SOLAR PANELS
Location of Property: 850 AUGUST LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 53 Block 4
subdivision
Filed Map No. Lot NO.
GREENPORT
(HAMLET)
Lot 44.28
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 17, 2009 pursuant to which
Building Permit No. 34633-Z dated APRIL 27, 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 AS APPLIED FOR.
The certificate is issued to KATHLEEN MASAITIS
( OWNER )
of the aforesaid building.
SUFFOLK CO~NTYDEPARTMENT OF HEALTH APPROVAL N/A
~ui-KICAL CERTIFICATHNO. 4029160 06/25/09
PLIERS ~KTIFICATION DA'r~u N/A
orized Signature
Rev. 1/81
-Th~. applic~ion muzt bo filled in by ~r or iak a~l mbmitt~ to tho..Buila.~ng ~ ~t with the foll~wi~..
~, F0rnew bUildln~ or~*w use:
· 1.. F~n*t ~ of prope~y with ~ i0oa~ion of all building, property lin~'~.iu~z, and um~d natural or
.. 2. ~Final Approval fx6m Hea~th Dept. ofwa~rmpply zad zewerago-dizpo~l~S-9 form).
'$..CornmemiaL'buildin~ indt.~ '.r~al Imildi.~.mulilple i-eaiden~-and sim~kir b~j-~ andinstallafionS,.a cerlilloate
ot~Cod~ Complia~ce ~0,',', amhi .t~..oren~-i~r respo~sible.foi:.tho building.
6. Submit pl~mni,g Board. Approval ofcomph~xl ~iie pla~ roquh~m~nt& - -
IL. For ~isiin~'buildtngs (prioP ~o APfld 9, I957) nOn~eonforming m~,· or ·buildings and ,pre-extzti~g'~·!and.
1. ' Aeon-ate sm'~y of property ~0wi~ ~llproportyline~; str~e~,.bui!di~ and,unusua~ natural or topographic
features.
2. A:pr~p~rty 0ompletcd'appiicafio~ md °on~e°t to in~ooct signed by tl~ applicant. If a Certificate of Occupancy.is
denied, the Building ln~pcctor shal[state the reazo~ therefor in writing to the applicant.
C.. Fees
· t., C. ertifica~e:ofOccupancy - New dwelling$25~00; Additiom'to dwelling ;$25.00, Alterations to dwelling $25.00~
'Swimmin~ .IX~Ol $25.00, A~ce~sory building $2~.00, Additio~ to acceZsory building $2.5.00, Busine~Se.s $50.00.
2~ Gerfificote of Occupancy.on Pre-existing Building.- $100.00
3. Copyof Ce~ficate of Occupancy 2 $Z5
4.' UL~dated'Certifieate o f Occupancy -. $~0~00
5~ T~mp0~ry Ce~ficat* of Occupau6y ~ Residential $1 $.00, Commercial $15.00
New Construction:, Old o~ Pl~-~xistin~ Buildin~. ./ (chcck me)
-
LOoation of Prot~'-rty:
ItoUS~ No.
· ~ SVffolk Coun~ Ta~ Map'No. 1.000, SectiOn .
4'7~7 Block. ~ Lot
' Sulxiivision
.petmit'No. ~q~ ~
Health Dept. ,,,,pprov~u:
Filed M~:).-
Date of Permit.. .
Underwriters Approval:
P~anning Board Approval: . .
Request. for." Temporary C~rtificate
Fee Submitted: $ ~ ~
Co
Fina[ Certificate:
(check one)
Applicant Signature
BY THIS CERTIFICATE OF COMPLIANCE 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
425 COUNTY RD 39A
SOUTH HAMPTON, NY 11968,
RAY MASAITIS
850 AUGUST LN
GREENPORT, NY 11944
Located at
850 AUGUST LN GREENPORT. NY 11944
Application Number: 4029'160
Certificate Number: 4029160
Section: Block: Lot: Building Permit:, BDC: NS37
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, photovoltaic,Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in 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 zsrh Day of
OTY Ram Patina Circuits TY~ Amount
Property Type
Residential
Alarm and emergency equipment
Inverter Unit 1 0 06kw
Solar Panel 24 0 0
Miscellaneous
photovoitaic system
Wiring And Devices
Disconnect 1 0 1-30 amp
Administrative Char-es
$75.00
$0.00
$0.00
$0.00
$0.00
Sub Total $78.00
$0.00
Total Amount $78.00
seal
I of ]
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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. 34633 Z Date APRIL 27, 2009
Permission is hereby granted to:
KATHLEEN MASAITIS
11 CENTER ST
WILLISTON PARK,NY 11596
for :
SOLAR PANELS AS APPLIED FOR
at premises located at 850 AUGUST LA
County Tax Map No. 473889 Section 053
pursuant to application dated APRIL
Building Inspector to exq~ire on OCTOBER
GREENPORT
Block 0004 Lot No. 044.028
17, 2009 and approved by the
27, 2010.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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 RESISTAIfl' PENETRATION
DATE
FI~,I,D INSPECTION R~PORT I DATE I COM~M~NTS ICc
FOUNDATION (2ND) kxx.x
ROUGH FRAMI~G & ~ ~
pL~G x ~
~S~ATION PER N. Y.
STATE ENERGY CODE ~ ~
F~
COUNTS ~ ~
~D~ION~
, APR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) %5-1802
FAX: (631) 765-9502
SoutholdTowmNorthFork. net
Approved
Dmpprov~d
17200
BLDG. DEPT.
TOWN OF SOUTHOLO
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Bo~d of Health
4 sets of Building Hints
planmng Board approval
Survey
Septic Fom~
]Rood Permit
Stem-Water Asse~ment Form
Mail to:
~20/0
~B~lding Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
ion MUST be ~ompletely fille~ in by typewriter or in ink and submitted m thc Building Inspector ~ 4
sets of plans, accurate plot plan to scale. Fee according to ~e.
b. Plot plan showing location of lot and of buildingg on tmm~'s, rolmionship to adjoining premises or public siteets or
c. The work covered by this application may not be cororoenced before issuance of Binlding Permit.
d. Upon approval of this application, Cae Building Inspector will issue a Building Permit to ~ applicant. Such a permit
shall bc kept on thc prc~ avm'inble for inspection throughout the work.
e. No buildln8 shall be occupied or used in whole or in pa~ for any purpose what so ever tmtil the Building Ir~l~or
issues a Certificate of Occopancy.
f. Ever/hoflding permit shall expiro if the work muborizcd has not coromoneed within 12 monks after thc date of
issannee or has not beon completod within 1 ~ momhs froro such date. I f on zoning amondments or other regulations affeeting tbe
prop~ have been enacted in the ~ the Building Inspector may authorize, in v~iting~ the extension of the permit for an
addition six months. Th~,~au%,r, a new permit shall be requi~&
APPLICATION IS HEREBY MADE to the Building D~m~a~ent for the issuance of a BuildlnE Permit pursuant to the
Building Zone Ordinance of the Town of Sonthold, Suffolk County, N~w Yodg and otlgr applicable Laws, Ordinmu:es or
Reguinfiom, for the consm~ion of buiMin~, additions, or alterations or for removal or demolition az herein dezon'bed. The
anthorized inapeOors on premises and in building for nec. essal3, inspections.
ANCY OR re L(z Ic-
ALL CONS~ s~ or~r o~ ,i~. · ) ,
UNLAWFUL MEET THE REQU .. ~_~d~' 'r _~.' ',~' ~_?C, ~ tO/
)U/UI-H/II-IL~/A/E CODESOF NE(, ,~.;, i< FAIE. Ov~~ ......
C LJ~J~ J~V.applicant is owner, lcssc~jj~tjRar~tect, engineer, 8oneral co ntr, J~-~ '~ ~l~,,~b~
(As on tbe tax roll or lat~t d~[LC',¢il!q¢
I~pplicant is a corporation, signature of duly authorized officer FOU~DA'['IOH
FOR ?OURED CC~iCRZTE
(Namcandtitl¢ofcorporatoofficer) ~/ 2. ROUGH - FEAMiNG
Builders Liconse No. 3. INSULATION
Plumbers Llcense No. 4. FINAL - CONSTRUCTION MUST
Electricians,_LiconseNo. q~ 8~ ~--/~1~ . BE.C~MPLEI~E FOR g.O.
REQUIREMENTS OF THE CODES OF N
1. ]Lo~tion of land ca whlc~ pm~-~ wod~ will be done:-- --
~0 ]'~LLQtl~+"-[.~.~e ("~r~rl nto~q~YORK STATE. NOT RESPONSIBLE FOR
.......... vt~ ERRORS.
House Number ' J Street ~ HamletDESiL~N OR g~gH~, .....
County Tax Map No. 1000 S~tion ~ ~ Block Lot
Subdivision Filod Map No. Lot
2. St ~tc existing use and occupancy of pmaaises and~inteadcd usc a~, d occupancy of proposed ~n~on: m Exisfing use and occupancy ("~)/'}~% J,-:t~llL{
3. Nature of work (cbeck whinh applicable): New Building Addition Alterafian
5. If dwelling, number of dwelling units ]N/A~ (To be paid on fill-5 this application)
Number of dwelling units on each floor
I! gars§e, number of cars
6. If business, cqmmewial or mixed occupancy, spec/fy nature and exteat of each typo of use.
7. Dimensions of existing alnmturcs, if any: Front Rear Depth.
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height, Number of Stories
8. Dimensions of entire new construction: Front Rear Dep~
Height Number of Stm/es
9. Size oflot: Front l(pL/ Rear I{/:~/'~ Depth 2Z~~
16. Pmvidc stwvey, to scale., with accurate foundation plan and distances to prope~y lines.
17. ff *levafion at any point on property is at 10 feet or below, must pmvid~ topographical data on sm, vey.
18. Arc thea'e any covea/mtsand~icfionswithreape~ttothispropeo:y?* YES__ NO ~//
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COlIN'P/OF.~fr~ ~:
]~ I I~t~ /~f"t ~"'d_A.~'~ ~-x being duly sworn, dq:es~ and says that (s)he is the applicant
~lame'ofindi~id~d ,~?in~ ceat~act) above named,
(Co~acmr, ~ Coq~..~ Office, ~.)
Swo~ m b~fo~ m~ t~is
/Z.~ dayof '~lO~' l' / 200 e~
BARB · ' ' ' ,'~ Public ~l'~natum of Appli~
Notary Public-State of New ¥o[n -
No 01-CA4894969
Qua fled in Suffolk County .~ .~
My Commission Exp res May 11,'"<" U
Town ~outhold
2
6
7
8
9
tMii n,~is -- Requke 61b~ ~ ~ ~4e One Hundred PQ0)Y*er id ~n~' w'-:'-~'"sSe? __
COIJNTY OF ..... SS
~_~-~ .............. _.__._ .......... .
NoUb-¥ Public: ............. .--~- - B ~R~'~ek~e~A~~
Notary pub{ic-$iaf~ o~ Hew York
FORM - 0~7 Qualified in Suffolk County
My Commission Expires May 11,
Mar 03 09 09:07a Ray Masaitis 5166404230
.No. AUG-26 TAX rD. NO.
LOT 1~1
AUGUST LANE
LOT 31
THE LOCATION OF'hELLS, WATER SERVICE
LINES, SEPTIC .TANKS AND CESSPOOLS
SHGWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DAYA OBTAINED FROM
OTHERS.
Suffolk County EXecutive's Office of Consumer Affairs
VETERANS MEMORIAL'HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED:.
12/10/200'/
No. 43858-ME
SUFFOLK COUNTY
Master Electrician License
This is to certify that ROBERT J SKYPALA
doing business as GI~i~,V, NLOGIC LLC
having given satisfactory evidence of competency, is hereby licensed es MASTEK ELECTRICIAN in accordance
with and subject to the provisions of applicable laws, rules .and regulations of
NOT. VALH) WIT,,I-[OUT
'DEPAI~TMENTAL SEAL
AND A~ C'URRENT
CONSUMER AFFAIRS
the County of Suffolk, State of New York.
O~WNER STREET ,c:~ ._.~ VILLAGE DIST. S-I~ B. LOT ~__.(.~
ACR,
~'l{1~%~ ~. [~ TYPEOFBLD.
LAND IMP. TOTAL DATE
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
Extension
Extension
Patio
Porch
Deck
Breezeway
Garage
Pool
2_0-7 '>.
~'77 ~
Foundation
Basement.
Ext. Walls
Fire Place
Dormer
Driveway
.~ Bath
:RAWL Floors
SLAB
COLOR
Dinette
Kit.
TRIM
nterior Finish ,5{ ~ L.R. v
Heat
Woodstove
Attic
Rooms 1st Floor
Rooms 2nd Floor
230 SOLAR PANEL
EXCEPTIONAL EFFICIENCY AND PERFORMANCE
SPR-230-WHT
The SunPower 230 Solar Panel provides today's
highest efficiency and performance. Utilizing 72 next
generation SunPower all-back contact solar cells and an
optimized panel design, the SunPower 230 delivers an
unprecedented total panel conversion efficiency of 18.5%.
The 230 panel's reduced voltage-temperature coefficient
and exceptional Iow-light performance attributes
provide far higher energy delivery per peak power than
conventional panels.
SunPower's High Efficiency Advantage - Up to Twice the Power
Thin Film Conventional
Waits / Panel 65 165
Efficiency 9.0% 12.0%
kWs 90 120
230 SOLAR PANEL
EXCEPTIONAL EFFICIENCY AND PERFORMANCE
Peak Power (+/-5%) Pmax 230 W
Rated Voltage Vmp 41.0 V
Rated Current Imp 5.61 A
Open Circuit Voltage Voc 48.7 V
Short Circuit Current Isc 5.99 A
Maximum System Voltage IEC, UL 1000V, 600 V
Temperalure Coefficients
Power -0.38%/°C
Voltage (VocI -132.5 mV/°C
Currant (Isc) 3.5 mA/°C
2O A
7.0
5.0 1000 W/r~
4.0 a00
2.0
1.0
0.0
0 I 0 20 30 40 50 60
vol~e ~
Peak Power per Unit Area 185 W/m2, 17.2 W/ft~
ati g 213.SW
Solar Cells 72 SunPower al~ack contact monccrystalline
Front Glass 3.2mm (1/8 in) tempered
Junction Box IP-65 rated with 3 bypass diodes
Output Cables 900 mm length / MulE-Contact connectors
Frame Anodized aluminum alloy type 6063
Weight 15 kg, 33 lbs
Temperature -40° C lo +85° C (-40° F 1o +185° F)
Max load 50 pst (2400 Pascals) front and back
Impact Resistance Hail - 25mm (1 in) at 23 m/s (52 mph)
Warranty 25 year limitod power warranty
10 year limited product warranty
Certifications IEC 61215, Satiety tesled IRC 61730;
UL listed (UL 1703), Class C Fire Rating
Dimensions
CAUTION: READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. Go to w~vw sunpowercorp corn/panels for details
SunPower designs, manufactures and delivers higl~.performance solar electrlc technology worldwide. Our high-efficiency solar cells
generate up to 50 percent more power than conventional solar cells. Our high-performanoe solar panels, roof tiles and trackers deliver
significantly more energy than competing systems.
~e~ Printed on recycled popor www.sunpowercorp.com
Pacifico Engineering PC
PO Box 1448
Sayville, NY 11782
www.pacificoengineering.com
Engineering Consulting
Ph: 631-988-0000
Fax: 631-382-8236
engineer@pacificoengineering.com
March 31, 2009
Town of Southold
Building Department
54375 Route 25, P.O. Box 1179
Southold, NY 11971
Subject: Solar Energy Installation for
Ray Masaitis
850 August Lane
Greenport, NY 11944
I have reviewed the roofing structure details for the subject address. The structure can support the additional
weight of the roof mounted system. The units are to be installed in accordance with the manufacturer's
installation instructions. I have determined that the installation will meet the requirements of the 2007 NYS
Building Code, and ASCET-05 when installed in accordance with the manufacturer's instructions.
Structural details:
Pitch
Roof Rafter
Ceiling Joist
Collar tie
Panel Weight
9/12
2x8 16 inch on center
2x6 16 inch on center
2x4 every second rafter
2.5 lb per sq ft.
The climactic and load information is below:
Wind
point
Category Speed, 3 Live load, pnet pullout Fastener type
sec gust, per ASCE 7, psf load, lb
mph
5/16" dia screw
C 120 -34.6542 375
4" length
To my best belief and knowledge, the work in this document is accurate, conforms with the governing codes
applicable at the time of submission, conforms with reasonable standards of practice, with the view to the
safeguarding of life, health, property and public welfare
Regards,
Ralph Pacifico, PE
Professional Engineer
5.52kW
24 SunPower 230w
UniRac Sunframe
Azimuth = 215°
Pitch = 35°
Scale 3/16" = 1.0'
Panel Dimension = 31.42 x 61.39"
Array Length = 306.95"
Array Height = 159.35"
Surface Dimensions = 31'7"x 17'10"
Magic # = 32.17"
Layout Created By: BCA
SunPower 230w
2x8" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
UniRac L-Foot
Date: 2/18/2009
5.52kW
24 SunPower 230w
UniRac Sunframe
Azimuth = 215°
Pitch = 35°
Scale 3/16" = 1.0'
Panel Dimension = 61.39 x 31.42"
Array Length = 306.95"
Array Height = 159.35"
Surface Dimensions = 31'7"x 17'10"
Magic# = 32.17"
Layout Created By: BCA
SunPower 230w
2x8" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
UniRac L-Foot
Date: 2/18/2009
.. GREENLOGIC
ENERGY
April 13, 2009
Town of Southold
Building Department
Town Hall
53095 Route 25
Southold, NY 11971
Dear Building Inspector:
Please find attached a building permit application on behalf of Kathleen Masaitis who has
engaged us to install a roof-mounted (flat to the roof) solar photovoltaic (PV) electric system for
her home on 850 August Lane, Greenport, NY.
In connection with this application, please find attached:
· A building Permit application
· A Storm Water Assessment Run-off Form
· Survey of Premises
· An engineer's report
,, A One Line Diagram
· A Visio Diagram of the proposed system
· Spec. sheets of the solar panels (SunPower SPR-230-Wht)
· Spec. sheets of the inverter (Sun_Power SPR 4000m)
· GreenLogic Suffolk County Home Improvement License
· GreenLogic Certificate of Liability Insurance
· GreenLogic Certificate of Worker's Compensation Insurance Coverage
· Installation Manager's Master Electrician's License
Please let us know if you need anything else in connection with this application.
Yours truly,
Barbara Casciotta
Account Manager
631-771-5152 ext. 117
GREENLOGIC, LLC · www. GreenLog~c.com
SOUTHAMPTON/CORPORATE
425 County Rd 39A, #101
Southampton, NY 11968
Tel: 631.771.5152
Fax 631.771.5156
SOUTHOLD
52875 Main Rd., Box 435
Southold, NY 11971
Tel: 631.765.0404
Fax: 631.771.5156
MANORVlLLE
40 Woodland Avenue
Manorville, NY 11949
Tel: 6317715152
Fax: 6317715156
ROSLYN HEIGHTS
200 S. Service Rd, #108
Rosyln Heights, NY 11577
Tel: 5166256880
Fax: 516625 6881
August 12, 2009
Michael J. Verity
Chief Building Inspector
Town of Southold
54375 Route 25
P.O. Box 1179
Southold, NY 1197:~
Re: Building Permit No. 34633
Ray Masaitis
Dear Michael J. Verity:
I am writing to certify that we, GreenLogic, LLC, have completed the installation of a
solar electric system at Ray Masaitis' house at 850 August Lane, GreenPort, to the
specifications of our Professional Engineer stamped plans and according to SunFrame
code compliant installation manual 809.
Thank You,
Ashlee W. Reiniger
Project Manager
BIOG. OEPt
11)WN OF SOUTH~I~
GREENLOGIC, LLC · www. Greer/Logrc corn
SOUTHAM PTON/COR PORATE
425 County Rd. 39A. #101
Southampton, NY 11968
Tel: 631771.5152
Fax 631.771.5156
SOUTHOLD
52875 Main Rd., Box 435
Southold, NY 11971
Tel: 631.765,0404
Fax: 631.771.5156
MANORVILLE
40 Woodland Avenue
Manorville, NY 11949
Teh 631.771~5152
Fax: 631.7715156
ROSLYN HEIGHTS
200 S Service Rd, #]08
Rosylr/ HeightSr NY 11577
Tel: 516625 6880
Fax 5166256881