HomeMy WebLinkAbout35137-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34254
Date: 04/05/10
THIS CERTIFIES that the building ADDITION SOIJ%R PANELS
Location of Property: 95 VISTA PL
CUTCHOGUE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 83 Block 1 Lot 21
Filed Map No. __ Lot No. __
Subdivision
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 28, 2009 pursuant to which
Building Permit NO. 35137-Z dated NOVEMBER 6, 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 FREDERICK & CAROLYN LUBANKSI
(OWNER)
of the aforesaid building.
SIIFFOLKCO~DEPART~IENT OF }{F~%LTHAPPROV~J~ N/A
ELEt-£~ICAL CERTIFICATE NO. 12466 03/04/10
PLUMBERS CERTIFICATION DA'r~u N/A
tho/ze~Signature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL ,
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP:
This application must be filled in by typewriter or ink and submitted to the Building
A. For new building or new use:
1. Final survey of property with accurate locat'ion of all buildings, property lines
3.
4.
5.
topographic features.
Final Approval from Health Dept. of water supply and sewerage-disposal (S-9
Approval of electrical installation from' Board of Fire Underwriters.
UlJl
stre~s, and unusual natural
form). BLDG. DEPL
TOWN OF SOUTHOLD
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 amhitect 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:
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
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. i~/~,~1/.~ /~
/ t ,
' (check one)
House No.
New Construction:
Location of Property:
Owner or Owners of Property: Vtq.~. '])
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building:
Street Hamlet
OR3 BlOck O00l Lot,
Subdivision 33te a b/ [-ttLLS
Permit No.
Health Dept. Approval:
DateofPermit. II/(o/O
Filed Map. t4 q 0 g Lot:
Applicant:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ ff., O O
Final Certificate:
(check one)
nt S i~'itir~.
SUFZOt K R J~E/\ I
40 Nottingham Drive, Middle Island. NY 11953
Telephone: 631 4958136 · Fax: 631 9806455 · E-Mail: SBEIGS~gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough In Inspection Date:
Application No.:
Alternative Power and Light
12466
Certificate No.: :12466
Final Tnspection Date: Nar 04, 2010
Building Permit No.: 35137
County Tax Map No.:
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 af'cer the final
inspection date above:
Owner: Fred Linbanski
Site Location: 95 Vista Place, Cutchogue, NY 11935
Owner's Address (if different):
'~ Residential ? Indoor ~i Basement ::. Service ': Shed
Commercial :~ Outdoor ' .. First Floor :_~ Pool .: Hottub
~_ New ~i Renovation L__ Second Floor -~i'~ Attic Garage
_"Addition ~_~ Survey Other: photovoltaic system
INVENTORY
Single Phase Heat Duplex Recpt Ceiling Fixture HID Fixture~
TIIree Phase Hot ~ GFCI Recpt W1atl Fixture Smoke
Main Panel AC Concl Single Recpt Recessed Fixture CO Detect
Transformer Ap~iances D~/er Reqot Emergency Time Clock
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: Alternative Power and Light License No.: 4063-ME
Inspected By: Roger Richert Date Of Certificate: Mar 08,2010
Michael F. Morbillo, AIA
Principal
'Design Group, PLLC
March 29, 2010
Building Department
Town of Southold
Town Hall
Southold, New York 11971
Re: Solar Panel Installation Certification, Lubanski Residence, 95 Vista Place,
Cutehogue, New York
Dear Sir/Madame,
This letter is to certify the above installation for compliance to the Residential Code of New York
State for installation of Solar Panels.
1)
2)
3)
The existing roof structure, 2x6 Roof Rafters at 16" on center, is strong enough to
support the additional weight (3.0 Ibs/sq.ft.) of the solar units.
The mounting brackets and hardware meet or exceed the Residemial Code of New
York State for the design criteria for the Town of Southold.
The actual in field attachment to the roof meet or exceed The Residential Code of New
York State requirements.
If you have any questions, then please contact me at my office at (631) 471-9500, ext. 220. Thank
you for your attention to this matter.
Sincerely,
Phone · (631) 471-g500
Fax · (631) 471-g510
Email . info~ENSPIREpllc, com
Web · www. ENSPIREpllc. com
Enspire Design Group, PLLC
700-A Koehler Avenue
Ronkonkoma, New York 11779
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPA/{TMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35137 Z
Date NOVEMBER 6, 2009
Permission is hereby granted to:
FREDERICK LUBANSKI
95 VISTA PLACE
CUTCHOGUE,NY 11935
for :
INSTALL SOLAR P~ELS ON THE ROOF OF AN EXISTING SFD PER APPROVED
PLANS AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 083
pursuant to application dated OCTOBER
Building Inspector to expire on MAY
95 VISTA PL
CUTCHOGUE
Block 0001 Lot No. 021
28, 2009 and approved by the
6, 2011.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765- t 802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
] INS/ULATION
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
DATE
INSPECTOR
FIELD ][NSPEi..~I'ION REPORT { DATE I ' COMMENTS
FOtr~A~O~
FO~ATION (2~)
· ROUGH F~G &
pL~G
~S~A~ON PER N. Y.
STA~ ~RGY CODE
3/~ 7m ~ ~
~D~ION~ COUNTS
Town of
Erosion, Sedimentation & Storm Water Run-off ASSES8MENT FORM
PROPERTY LOCATION: 8.C.T.M.~I: T~IE FOLLOWING ACTIONS MAY REQUIRE THE 8U"a~!~-'~!O~ OF A
Item Number: (NOTE: A Check Mark (.~) for each Question is Required for a Complete Application)
Yas No
Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rain,all on Site? ./ r~
(This item will include all turnoff created by site cleating and/or construction a~ttes as well as all Site
_Y_
Improvements and the pe~t creation of Ir~ sudecas.)
Does the Site Plon and/or Survey Show Ali Pmposed Dm,cage Slmctures ,ndicalthg Size & Lecation?
Th~s Item shall Include all Pre~ Grade Changes and Slopes Con~rolling Surfaon WetesCtewt
Will this Project Require any Land Filling, Grading or Excavation wi~era ~ Is a chonge to the Natural
Existing Grade Involving more than 200 Cubic Yards of Matedol within any Parcel? L.~ __v
Will this Application Require Land Disturbing A~Mflas Encompassing an Area in Excess of r-~
Five Thousand (5,000) Square Feet of Gmond Surfase? ~ __v
Is there a Natural Water Course P, uonk~l through the Site? r-~ v//
Is this Project within the Trustees judsdlofiofl or wtihln One Hundred (100') feet of a WeUand er Beach?
oneWil' there be Stie Praparaflon on Existing Orede Slopes which Excasd Fifteen (15) foet of Ve~cal Rise foHundred (100') of Horizontal Olstan~e? r~ --/
Will Driveways. Parking Areas er other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off
into and/or in the direc~on of a Town ~ght-of-way?
Will this Project Require the Piaoement of Material; Removal of Vegetation and/or the Conoln~i~on of r~ /
any Item Within the Town Right-of-Way or Road Shoulder Area?
(This item will NOT Include the Installation of Driveway Aprons.)
w,, this..~ Re.u~re slte P-psretlo. withl, tho o~..n.~ 000) ~eer ~,~al. ~an~ W.~=urs.? [~]
NOTE: it* Any/[newer lo Qnastlons One throagh Nine is Answ.red with a Check Merk In the Box~ e Storm-Water, Oradln~,
Drainage & Erosion Control Plan Is Required and Must be 8ubmlffed for Review Prior to Issuance of Any Butidlng Permlfl
EXEMPTION: .Y..es N...~o
Does this project meet the minimum standards for classiest[on as. on AgriculturaJ Project? /'
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Dmthnge & Erosion Control Plan Is NOT Requlmdl --
STATE OF NEW YORK,
country o~ ..._~.....~.~.~.~ ............ ss
That I, ~"~.~.~.......~...O..~..Z~....~....~...! ................. being duly sworn, deposes and says that he/she is the applicant for ?ennit,
(Name C~ ~di'~dual ~
....... ............................ Chfis,... . her J. We bach
Owner an ' , . · NO £ UUII~
ri. take and file d~..'? application; .t~.t all statements contained in this application are true to the best
mat the work will be performed ,n the manner set forth in ~h¢ application filed herewi& rx 1'/1'~
· ........................ ................ =o.0.?Commi ion
FORM - 06/07
20 {
TOWN .OF SOUTHOLD PROPERTY RECORD CARD /'/-/,
· ACR. '
FORMER OWNER N ,?~'~(~-L t~.-,~ E 'De~¥ kC~,k~ ~ ' ~,~ I~ ~1~'~
ES. /~ S~S. vg FA~ COMM. CB. MISC. Mkt. Value
~ND IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION ff2~[~
N~ NOR~L BELOW ABOVE ~/3 ,/~ ~ ~,
FARM Acre VaJue Per VaJue ~//~[~
A~,e
. 3h]o~ ~ ~'1~ ~//lU~' ,, ~-/ U
~mpl~nd FRONTAGE ON WATER
rushi~nd FRONTAGE ON ROAD
otol ~ ~ ~{ ~ DOCK
~M. Bldg.
Extension
Extension
Extension
COLOR
TRIM
Foundation
Basement
Ext. Wails
:ire Place
Bath
Floors
nterior Finish
~eat
Dinette
LR.
DR.
Type Roof Rooms 1st Floor BR.
Porch Recreation Room Rooms 2nd Floor FIN. B.
Porch )ormer
Breezeway
Driveway
Garage
Patio
~,~'~,ili~_~/Jr~,~ . l~s.,o.~- -'~
' ....... ', ~' ~" have
~h' ~.-.,-,~ ..
Chief of Gene]a~. Enjineerln~
Services
~ ..... " ~0 ':~ /"
~-
.
~ ~".~:~c-
iU~~, N. Y.
THE WAT~ ~U~LY AND
~N~ Wl~ ~M ~ THE
AP~ICA~
TOWN OF SOUTHODD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork. net
Approved
Disapproved adc
Expiration
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
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Building Inspector
PERMIT
OCT 2 ~ ~
INSTRUCTIONS
,g Inspector with 4
to schedule.
}remises, relationship to adjoining premises or public streets or
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.
£ 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 fi.om 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.
(Signatff~ of app~ O~'N~, ifa corporation)
(Mailing address of applicant) t '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises C/~'~.O LkjKJ
(As on the tax roll or latest deed)
1£ applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax ~ap No. lO00 Section (o2.~ ,__Block C')i , Lot 'q¢"l
Subdivision ~I.-EIlcIk t~..-5 A3' f',)Tr.l.k.._3gro~ Filed Map No.~ Lot t(
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'~ T_~-)_~z_~o-'"r?
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building_ Addition Alteration
Repair Removal Demolition Other Work .~-.[ ~,.~ .O,~,.~:--
(Description)
4. Estimated Cost ~[~/z~.._~; OO~ Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units ~ Number of dwelling 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. Dmensionsofexistingstructures, ifany:Front 7~' Rear q3'" Depth
Height I ~' ~ Number of Stories
Dimensions of same structure with alterations or additions: Front _~ Rear
Depth Height I~ Number of Stories
8. Dimensions of entire new construction: Front Rear .Depth
Height Number of Stories
9. Size oflot: Front ]~t{,~'~ Rear ~ ~,1 Depth 11.7, 1~
10. Date of Purchase ~' I I~ I~ t! Name of Former Owner
11. Zone or use district in which premises are situated '~ ~ L~ ~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13 Will lot be re-graded? YES NO ~.W excess fill be removed from premises? YES NO
14. Names of Owner of premises~ddressCrrt II.v.~-~ ,c,.?, fft~h0ne No. {~] [ -
Name of Architect to - c ' Address gloMt,os~t'r~t4 6.y: Phone No ~1 I~..J~..t -
Name of Contractor 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.
h. Is this property within 300 feet of a tidal wetland? * YES NO )E
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to proper~ lines.
17. If alevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions wlth respcct to this property? * YES ~ NO__
* 1F YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
(~./~gh,%',~.l &l i t ~"3.~'- t.t (a ~ being duly sworn, deposes ~d says th~ (s)he is the applic~t
(N~e ofi~ividu~ s~i~g ~o~tr~t~ a~e n~ed,
C stopher J. Weisshch
(S)Heisthe.... '" York
(Con.actor, Agent, Co.orate Officer, etc.) ~0~ ~D~C~ D~ Ut ew
of said o~er or o~ers, ~d is duly au~or~ed to perfom or have perfo~ed ~e said work ~d to ~~
that all statements contmned ~ this application ~e ~e to ~e best of his ~owledge ~d beli~; ~d~th~w9rk ~1 ~ ~ ~ ~
perfo~ed in the m~er set fo~ in ~e application filed therewith. ~ ~ b~0~ ~
Sw~tobFforemethi~ { k ~ C0 0n AUnt 11, 20il
~ day of~ 20~
P.O. Box 1179
TclcI)hone (631 ) 763-180~
Fax (63 I) 76,5-9502
BI 1II,I)ING I)I';I'ARTMIqNT
TOWN OF $OUTHOLD
March 26, 2010
Frederick Lubanski
195 Vista Place
Cutchogue, NY 11935
~0-~efore the Certificate of Occupancy can be processed, an architect or engineer
"--.~tify the installation meets New York State Building Code.
TO WHOM IT MAY CONCERN:
The following items are needed to complete your Certificate of Occupancy:
~ Application of Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $25.00
Final Health Department approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
__ Trustees Certificate of Compliance.
Final Planning Board approval.
__ Final Fire Inspection from Fire Marshal.
__ Final Inspection from the Building Dept.
__ Final Landmark Preservation approval.
Building Permit: 35173-Z solar panels
IOOA
METEf~
PANEL
TYPIC, AL ~lSE~ DIA~P.,AM
N.T.5.
ATTIC
400~ AFZCHITEClqJR~L ASPHALT 5HfN~LE5
ICE SHIELD MIN 2' FEOH INSIDE OF HALL
~,OOF= SECTION
RETAIN S'TORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
UNDERWRITERS CERTIFICA~
REQUIRED
CERTIFICATION OF
NAIL[N~ & CONNECTIONS
RI?QUIRED.
(44) EUN f
PANEL ~,OOF PLAN AYOL,IT
DESIGN LOADING:
II,
3EILING LIVE LOAD: 29 P.S.F.
.~ND. FLOOR LIVE LOAD: 30 P.S.F.
~OLAR PANEL DEAD LOAD: 3 P.S.F.
=,OOF LOAD: 30 P.S,F.
~NOW LOAD (GROUND): 25 P,S.F.
NIND LOAD: 35 P.S.F, (120 MPH)
~EISMIC LOAD: C ZONE (EXEMPT, SEE R301,2.2)
10 P.S.F.
SENEGAL NOTE5
Architect
ENSPIRE
Design Group, PLLC
ENSPIRE DESIGN GROUP, PLLC
700-A KOEHLER AVENUE
RONKONKOMA, NEW YORK, 11779
Phone: 631-471-9500 Fax: 631-471-9510
MICHAEL F, MORBILLO, AIA - Principal
New York State License #25202
Mechanical, Electrical, Plumbing Consultant
General Notes
No.DateReviaion Deacription
PROJECT TITLE:
SOLAR PANEL
LAYOUT
FOR THE
LUBANSKI RESIDENCE
95 VISTA PLACE
CUTCHOGUE, NEW YORK 11935
TITLE SHEET:
ROOF PLAN &
GENERAL NOTES &
SECTION & RISER
PROJECT NO. 0~.098 ~HEE~ NO.
o,me: 10-22-09
DESIGN BY: ~ F, UOF~I.LO, AIA ~ ..j
/
SCALE: A8 NOTED