HomeMy WebLinkAbout34968-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34074
Date: 11/16/09
TI{IS CERTIFIES that the building SOLAR PANELS
SOUTHOLD
Location of Property: 3800 WELLS AVE
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~4ap No. 473889 Section 70 Block 3 Lot 22.6
Filed Map No. __ LOt No. __
Su])division
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 25, 2009 purs,,~nt to which
Building Permit No. 34968-Z dated AUGUST 31, 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 PANEL ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to PAUL R & ELLEN GOMEZ
(OWNER)
of the aforesaid building.
SLrF~)I~KC~)~/"fDEP~T~4ENT OF ~L~{APPROVIkL N/A
ELC~'II~If~J~ ¢~a(TIFI~11~ NO. 11029 09/25/09
pLiERS U~'rIFICATION DATED N/A
~ut~ori e/d~ S ~gnature
Rev. 1/81
Form No. 6
TOWN OF $OUTtlOLD
BUILDING DEPARTMENT
TOWN HALL
7654802
_
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typowdter 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 ail buildings, propers/lines, streets, and unusual natural or
. topographic features.
2. Final Approval frcm Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval o f electrical ins~llation from Board o f Fire Underwriters.
4. Sworn statement from 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
.0f Code Complianco.frcm architeet or engineer responsible for the building.
· 6. Submit ~lsnning 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 te inspeet signed by the applicant. If a Certificate of Occupancy is
denied, thc 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 buiiding $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, Commereial $1 $.00
New Construction:
· Location of Property:
House No~
Owner or Owners of Property: '~k-~.)
Suffolk CountyTax Map No 1000, Section
Subdivision
Old or Pre-existing Building:
Date.
PermitNo. ~'~-q $~ 2._ DateofPermit.
Health Dept. Approval:
Planning Board Approval:
,Request for: Temporary Certificate
Fee Submitted: $
Street
0~]0 Block 0o0
'Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
(cheek one)
Hamlet
Lot 0 2.. 2....0 ~
(check one)
/~licant Si~
+
SUFFOLK
BUREAUo~
40 Nottingham Ddve. Middle Island. NY 11953
Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: Green Logic
Rough In Inspection Date: September 25,2009
Application No.: 11029
LIPA Solar App No.: 08-4015-SP
County Tax Map No.: 473889 70 3 22.6
Certificate No.:
Final Inspection Date:
Building Permit No.:
11029
September 25,2009
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or
work described below, installed by the applicant named above, located at the premise of and not after the final
inspection date above:
Owner: Paul Gomez
Site Location: Gomez, 3800 Wells Avenue, Southold, NY 11971
Owner's Address (if different):
[] Residential [] Indoor [] Basement [] Service [] Shed
[] Commercial [] Outdoor [] First Floor [] Pool [] Hottub
~ New [] Renovation [] Second Floor [] Attic [] Garage
[]Addition []Survey Other: photovoltaic system
Single Phase
Three Phase
Main Panel
Sub Panel
Transformer
Disconnect
GFCI Breaker
INVENTORY
Heat Duplex Recpt Ceiling Fixture HID Fixtures
Ha water GFCI Recpt Wall Fixture Smoke
AC Cond Single Recpt Recessed FixttJre CO Detect
AC Blower Range Recpt Floumscent Pumps
Other Equipmeat Install 38 SunPower SPR215*WHT Panels 1SunPower SPR30OOm and I SPR500~m Invene~ T°tat wattage 8170
The electrical work and/or equipment described above were inspected and appear to be in compliance
with local, state and national electrical code requirements and this office.
Applicant Green Logic
Inspected By: Gene Surdi
License No.: 43858ME
Date Of Certificate: Sep 30,2009
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. 34968 Z Date AUGUST 31, 2009
Permission is hereby granted to:
PAUL R GOMEZ
3800 WELLS AVE
SOUTHOLD,NY 11971
for :
ADDITION OF SOLAR PANELS TO THE ROOF OF THIS EXISTING SFD PER
APPROVED PLANS AS APPLIED FOR
at premises located at 3800 WELLS AVE SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0003 Lot No. 022.006
pursuant to application dated AUGUST 25, 2009 and approved by the
Building Inspector to expire on FEBRUARY 31, 2011.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Pacifico Engineering PC
PO Box 1448
Sayville, NY 11782
www.pacificoengineering.com
November 4, 2009
Town of Southold
Building Department
54375 Route 25, P.O. Box 1179
Southold, NY 11971
Su~e~:
Solar Energy Installation for
Paul Gomez
3800 Wells Ave
Southold, NY 11971
Engineering Consulting
Ph: 631-988-0000
Fax: 631-382-8236
engineer@pacificoengineering.com
I have reviewed the solar energy system installation at the subject address. The units have been installed in
accordance with the manufacturer's installation instructions and the approved construction drawing. I have
determined that the installation meets the requirements of the 2007 NYS Building Code, and ASCE7-05.
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
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]~ULATION
[ ] FRAMING / STRAPPING [ ./] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FiRE RESi~_~Ai~ CONSTRUCTION[ ] FIRE RESISTANT PF-NETRATION
REMARKS~
DATE
INSPECTOR ~'~ ~~
' ~ DATE cOMM]~NTS
I~oUNDATION (IST)
FOUI',rl)ATION (2~)
ROUGH ~G &
PL~G
~A~ON P~ N. Y.
STA~ E~ CODE ~,
,,, , ,. ,
' ~D~IO~ COUNTS
TOWN OF SOlY[HOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. Nor thFork.net
PERMIT NO.
Examined ~.~
Disapproved
BUILDING PERMIT APPLICATION CHECKLIST
Do you have ~ need fl~e following, befo~ applying?
Board of H~lth
4 s~ of Building Pbms
P~ Boanl approval
~.¥.~.D.E¢.
?rustees
Floed Pe~mi~
Sto~n-Wate~ Asze~ment Form
1. Loxation of land on whieth propo~x~, work will be done:
House Nua~b~' Street
Hamlet
County Tax Mnp No. 1000 Section ~'-0 Block ~ Lot ~Q o~ . (~
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intende~ use and occupan,cy of proposed cunstruction:
b. Intended use and occupancy t ~ [~ d I.n.3~ (,It ~.~
3. Nature of work (cbeck which applicable): New Building_ Addition Alteration
Repair Removal Demolition ~er Work [n,5~tl
(To be paid on filing this application)
5. If dwelllng, number of dwelling units Number of dwailing units on each floor
If 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 Rear ~, L/ Depth
Height Number of Stories ~-
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions 0fentire new construction: Front Rear .Depth
Height __ Number of Stories
9. Size of lot: Front l ct'll Rear .~'~"~'-'~gOepth ~O°°'~t ~
10. Date of Purchase Name of Former Owner P~'X2 ~ t c_.
11. Zone or use district in which premises are situated ~O Ct'3t~ O ~ ~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO v/
13. Will lot be re-graded? YES NO V/ Will excess fill be removed fi'om premises? YES NO
14. Names of Owner ofpremises~t~t~l ~Oetlt~Z-- AddressCaOceH~[d, ~o¥ Phone No.
Name of Architect Address Phone No
Name ofContractor~ t'~rcY~Llr:lOtI~. L.LC,- Address ~$' tnO~n'l~. I~¢I_ Phgpe No. ~1'
15 a. Is this property within 100 feet cfa tidal wetland or a freshwafer wetland, z r>a u ¥
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO I~
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS'
coumY
Iq/} C~.r ~---- ~.~ [ ~'~(} ~_ ~, being duly sworn, daposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contxactor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are a'ue to the best of his knowledge and belief; and that the work will be
performed in the manner set for~ in the application filed therewith.
Sworn to before me thirg3
dayoe
B A R 8 A R A ~L~..~.
Notary Public ~WN~a~ubllc
NO 01-CA48~969
Qualified in Sutfolk County
My Commission Expires May 1
'~ SignatUre ~lcant /
Town 'of hut:hold --
&mom. w. ior ~ ASSm. wmn-',FO~,
t
2.
3
6
7
8
/[
Fsi<
BARBARA A. 0A$CIOTTA
~ - 0~)7 ..... ' N(~. 0 ~-(~4894969
Qualified in Suffolk County
My Commission Expires May 11,
mn'u: gA~,A L.-. - OmmtmuuebmmmbAmmmd,md~aCmmkmmm~b. emmUur.
Duemeg~ &Bream Omtmm Ptmm b am,mdmd---d Bmmtbe 8dmdmmftrUmdm Pmartm bsumu~ d'A~ BuadJne PmudU
Suffolk County Executive's O, ffice 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
GREENLOGIC LLC
doing business as
having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance
with and subject to the provisions of applicable laws, roles and regulations of
the County of Suffolk, State of New York.
Additional Businesses
NOT VALID WITHOUT
DEPARTMENTAL SEAL
AND A' CURRENT
CONSUMER AFFAIRS
ID CARD
Director
LOT AREA= 40.182 sq. ft.
/
LOT NUMBER ~'
FC
O.$'W
Z
m
wd atockade
Z
i 150.00'
,,%
X
O~
m
FR ~H~
FC
S 7.T20'OO"W
WELLS
NOTE: CESSPOOL, SEPTIC TANK & WATER
SERVICE LOCATIONS BY OTHERS.
4-,30-2009 UPDATED SURVEY
194.17'
AVENUE
ADDED DRAINAGE EASEMENT 11-13-2002
SET PROP. CORNERS & LOCATED FENCE,
PROPANE TANKS ,&: LAWN 9-t9-2002
FINAL SURVEY 8-22-2002
LOCATED FOUNDATION 6-4-2002
REVISED DWELLING 5-17-2002
CERTIFIED ONLY TO:
AROLD F. TRANCHON JR.
· LIC. No. 048992
PENN. UC. No. 2115-E
JOB No. 01-617 FiLE No. PECONIC DEVEL CORP.
SURVEYED FOR PAUL OOMEZ &: ELLEN EUROPE-GOMEZ
LOT NUMBER 6
MAP OF PECONIC DEVELOPMENT CORP. AT SOUTHOLD
SITUATED AT SOUTHOLD
TOWN OF SOUTHOLD - SUFFOLK COUNTY N,Y.
SCALE 1" = 50' DATE 12-20-2001
FILED MAP No, 10725 DATE 12-27-2001
TAX MAP No. (REF ONLY)1000--70--3-22,6 DISK 500
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
651-929-4695
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
August20,2009
Town of Southold
Building Department
54375 Route 25, P.O. Box 1179
Southold, NY 11971
Subject:
Solar Energy Installation for
Paul Gomez
3800 Wells Ave
Southold, NY 11971
I have reviewed the roofing structure at 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 ^SCE7-05 when installed in accordance with the manufacturer's instructions.
Structural details:
Pitch
Roof Rafter
Ceiling Joist
Collar tie
Panel Weight
6/12
2x8 16 inch on center
2x6 16 inch on center
2x4 every third rafter
2.5 lb per sq ft.
The climactic and Icad information is below:
Wind
Speed, 3 Live Icad, pnet30 Fastener type
Category sec gust, per ASCE 7, psf
mph
5/16" dia screw,
C 120 63 4-1/2" length
ApP?,OVEB AS i'tOTED
FEE:,~i)~,'(''~: BY: '~Inc~(
NOTIFY BUJLgiNG D~/?ARTMENT AT
765-1802 8AM TO 4PM FOR THE
FOLLOWING iNSPECTiONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMI[4G & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE, NOT RESPONSIBLE FOR
To my best belief and information the work in this document is accurate,
applicable at the time of submission, conforms with reasonable standards of practice, with the view to the
safeguarding of life, health, property and p
Ralph Pacifico, PE
Professional Engineer
~sibility of the licensee.
CERTIFfCATION OF
NAILING 8, CONNECTIONS
REQUIRED.
RETA1N STORN~ WATER R~JNOEE
PURSUANT '1'0 CNAPIER 236
OF "[HE 'TOWN CODE.
UNDERWRITERS CERTIFICA~
REQUIRED
S1
5.16kVV
24 SunPower 215w
UniRac Sunframe
Azimuth = 152°
Pitch = 25°
Scale 3/16" = 1.0'
.11~m, Pacifico Engineering PC
PO Box 1448, Say~ille, NY 11782
Ralph Pacifico, PE NYS License 066182
Panel Dimension = 31.42" x 61.39"
Array Length = 282,78"
Array Height = 188.67"
Magic# = 62.14"
II
Layout Created By: JPHS
SunPower 215W
2x8" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
UniRac L-Foot
Date: 5/7/09
S1
5.16kW
24 SunPower 215w
UniRac Sunframe
Azimuth = 152°
Pitch = 25°
Scale 3/16" = 1.0'
.l~n~. Pacifico Engineering PC
Ralph Paciflco, PE NYS License 066182
Panel Dimension = 31.42" x 61.39"
Array Length = 282.78"
Array Height = 188.67"
Magic # = 62.14"
Use 4.5" SS Lag Bolts on I
all attachmen~~
II
·
Layout Created By: BCA
SunPower 215VV
2x8" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
UniRac L-Foot
Date: 8/19/2009
S1
5.16kW
24 SunPower 215w
UniRac Sunframe
Azimuth = 152°
Pitch = 25°
Scale 3/16" = 1.0'
71~I~, Pacifico Engineering PC
Ralph Pacifico, PE NYS License 066182
Panel Dimension = 31.42" x 61.39"
Array Length = 282.78"
Array Height = 188.67"
Magic # = 62.14"
I
Layout Created By: BCA
SunPower 215W
2x8" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
UniRac L-Foot
Date: 8/19~2009
S2
3.01 kW
14 SunPower 230w
UniRac Sunframe
Azimuth = 152°
Pitch = 25°
Scale 3/16" = 1.0'
.l~n~. Pacifico Engineering PC
Ralph Pacifico, PE NYS License 066182
Panel Dimension = 61.39" x 31.42"
Array Length = 491.12"
Array Height = 98.76"
Magic# = 32.17"
II
·
Layout Created By: JPHS
SunPower 215w
2x6" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
UniRac L-Foot
Date: 5/7/09
S2
3.01 kW
14 SunPower 230w
UniRac Sunframe
Azimuth = 152°
Pitch = 25°
Scale 3/16" = 1.0'
.1~1~. Pacifico Engineering PC
PO BOX 1448. Sayville, NY 11782
Ralph Paci§co, PE NYS License 066182
Panel Dimension = 61.39" x 31.42"
Array Length = 491.12"
Army Height = 98.76"
Magic # = 32.17"
Use 4.5" SS Lag Bolts on
all attachments
I
·
Layout Created By: BCA
SunPower 215w
2x6" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
UniRac L-Foot
Date: 8/19/2009
S2
3.01 kW
14 SunPower 230w
UniRac Sunframe
Azimuth = 152°
Pitch = 25°
Scale 3/16" = 1.0'
~"~, Pacifico Engineering PC
PO Box t 448, Say~ille, NY 11782
631-988-0000 ww~.Dac~flcoe naineerino corn
Ralph Pacifico, PE NYS License 066182
Panel Dimension = 61.39" x 31.42"
Array Length = 491.12"
Array Height = 98.76"
Magic# = 32.17"
II
·
Layout Created By: BCA
SunPower 215w
2x6" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
UniRac L-Foot
Date: 8/19/2009
3 Strings of 8 SunPower 215 W
panels,
Each string 1,720 wafts
Array total of 5,160 Watts
II
II
II
All panels [o be
grounded as per
NEC code
2, 30 AMP two pole
DC switches from
panels to inverter
SUNPOWER SPR 5000 INVERTER
240 VAC 1
240 VAC from inverter to a 30
Amp switch near utility meter
2 Strings of 7 SUNPOWER 215 watt
panels.
Each sting has 1505 watts
Array total of 3010 watts
All panels to be
grounded as per
NEC code
30 AMP two pole DC
switch from panels to
invetter
SUNPOWER SPR 3000M Inverter
240 VAC
240 VAC from inverter to a 30 I
30 AMP 3R
switch near
utility meter