HomeMy WebLinkAbout35170-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE O~ OCCUPANCY
No: Z-34264
Rte: 04/07/10
THIS CERTIFIES that the building SOLAR PANELS
Location of Property: 5055 NEW SUFFOLK RD
(HOUSE NO.)
County Tax Map No. 473889 Section 110
Subdivision
NEW SUFFOLK
(STREET) (HAMLET)
Block 8 Lot 32.8
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 16, 2009 purs,,~nt to which
Building Permit NO. 35170-Z dated NOVEMBER 23, 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 A ONE FAMILY DWELLING.
The certificate is issued to EW & A SUESSER 2007 TRUST
( OWNER )
of the aforesaid building.
SIIF~LKCOLR~T~fDEPART~E~FT OF }~]~%LTHAPI~RO~-AL N/A
ELEurKICJ~L C~TIFIC3%~]~ NO. 11786 11/20/09
PLI~4BERS CERTIFICATION DA'r~u N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOVVN 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 accurate location of all buildings, property lines, streets, and unusual natural or
topogrfiphic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S~9 form).
3. Approval of electrical installation from Board of 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
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:
Location of Property:
House No.
Owner or Owners of Property: AIz£,e£~'
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building:
Street
(check one)
Block
Hamlet
Lot
Subdivision
Permit No. ,~ 5'/?o - ~- Date of Permit.
Filed Map.
Applicant:
Lot:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~
Final Certificate:
(check one)
Applicant/g t~ure
+
SUFF-OLK
BUREAUol
40 Nottingham Dr., Middle Island, NY 11953
Telephone: 1 631 495 8136
Fax: I 631 980 6455
Emaih SBEIGS@gmail.com
Date: Nov 20,2009
Name: Alfred Susser
Address: 5055 New Suffolk Rd.
Town, State: Cutchogue, NY
Zip Code: 11935
Cross Street: Off rt 25
SITE LOCATION
Phone: (631) 734-2300
Cell: (631)-
Application: 11786
Municipality: Southold
Permit Number:
Hagstrom Map:
Tax Map District: Section: Block: Lot:
DBA: Dawn Electric Corp.
Name: Kenneth Leitch
Address: PO Box 519
Town, State: Central Islip, NY
Zip Code: 11722
CONTACT DETAILS
Phone: (631) 582-8686
Cell: (631 ) 445-0444
Fax: (631) 582-7282
License No.: 391 - ME
INFORMATION FOR TEMP CERTIFICATE
Service: Phase:
Details: xxx xxx xxx xxx xxx Number of Meters: 0
Temp Certificate Not Requested!
Description:
Solar Job...48 Sanyo HIP210NKHAS
48 Enphase M210 Micro Inverters
GENERAL INFO
Rough Inspection: ROUGH INSPECTION NOT REQUIRED
INSPECTION RESULTS
Final Completion Date:
Assigned To: Unassigned
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35170 Z
Date NOVEMBER 23, 2009
Permission is hereby granted to:
ALFRED & MARIANN SUESSER
PO BOX 331
NEW SUFFOLK,NY 11956
for :
INSTALLATION OF SOLAR PANELS AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 110
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
5055 NEW SUFFOLK RD NEW SUFFOLK
Block 0008 Lot No. 032.008
16, 2009 and approved by the
23, 2011.
Fee $ 200.00
AuthorlzeQ Signature
ORIGINAL
Rev. 5/8/02
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)
PEIAMIT NO. 35170 Z Date NOVEMBER 23, 2009
Permission is hereby granted to:
for :
ALFRED & MARIA/TN SUESSER
PO BOX 331
NEW SUFFOLK,NY 11956
INSTALLATION OF SOLAR PANELS AS APPLIED FOR
at premises located at 5055
County Tax Map No. 473889 Section 110
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
NEW SUFFOLK RD NEW SUFFOLK
Block 0008 Lot No. 032.008
16, 2009 and approved by the
23, 2011.
Fee $ 200.00
Authorlze~ignature
COPY
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE
INSPECTOR~ ~
~'IELD ]I~SPECT!oN REPORT'I DATE [ ' COMMENTS
~O~ATION
FO~ATION (2~)
ROUGH ~G &
PL~G
~D~ION~ COUNTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 76~9S02
www. nor th fork. nel/Sonthold/
Disapproval a/c
PERMITNO. ~ ~
B~dlLD1NG PERMIT APPLICATION CHECKLIST
Do you have or n~d the following, b~fo~e applyingO
Board of Health
4 ~ts of Building Plato
Plaraning Board ai~oval
Survey_
Cheek
N.Y.S.D.E.C.
Truat~z
Building Inzpector
I j NST UCr o s '
:ts of plans, ~ . ' g to schedule.
-'-""W'P~. t plaa showing loca~on oflo~ a~d of Im0flln~ ~ ~ relationship to adjoinln~ p~mis~s or public s~n~ts or
anms, aad war.ways.
c. The work covered by this ~ppllcafion may n~ be c~mm~a~d befo~ is~uam~ of Buildin~ pm~it.
d. Upon approval of this application, th~ Building ~ will ~ a Building p~nnit to th~ ~ppli~L Such a p~nnit
shall be kept on the p~mis~a available for in~p~c~:m throughout thc woP~
e. No building shall b~ occupied or u.~d in whole or in part fi~r any pmpo~ what so ~ ~ ~ B~g ~
i~u~ a C~rtifi~ of Occupancy.
f. Every building p~nlt shall explr~ if tl~ w~k au~aoriz~d has not ~omm~ac~d within 12 months at~- th~ da~ of
prop~t~y have b~a ~ao.~:l in lt~ intuit, fl~ Bla'lding I~ may alltho~ in wrlting, tl~ e~l~aaion of th~ p~mit ~ ~
addi~on six mon~, Thiamin-, a n~w I~mnit ~l~)l b~ ~
APPLICATION IS HEREBY MADE to th~ Building Dqna tmem for th~ issua~ of a BuilflinE
Building Zone O~din~a~ ofth~ Town of Southold, Suffolk County, N~w ~ and ~ a~plicablc Laws, Orai~ or
R~gulatioas, for the construction of buildings, additi~s, or alta'a~ons of f~t~noval or d~nolitio~ aa ~ d~c~'l~d. Tl~
appllcaat agr~ t~ ~omply with all ~pplkabl¢ law~, o~llt~u~, building ~, housing ~ and r~gulafi~, and to ad. it
aufl~orized inspectors on p.~.Ases and in b~fllnE fer m:~e~aary insp~ion~.
(Si_' .~ of appli~m ~x mine, ff a con~-alion)
(M~iling add~ of.~plicantL/
Slale whelhcr applicant is owner, l~se~, a~ent, architect, m~ineer. ~ contractor, electrician, plumber or builder
(As on g~e tax mil or lalest deed)
If applicant ~ a c~rp~ion, s~ of duly au~horlzed officer
Oq~n¢ and title of ~orpom~
Plumb~ Lieen~ No.
Elet~a'ici~ Licen~ No. 2 ~ I- ~ ~-
Other Trad~'s Licens~ No.
1. Location of l~and on which propg_ sed work will be done:
Hous~ Number Street
Hamlet ' / /
County Tax Map No. 1000 Section ~,q Block
Subdivision A~f'~- ~'., [~ ~.,, Filed MapNo.
2. State existing use and occupancy of promises and intended use and occupancy of proposed coniston:
a. Exisfing use and occupancy I')~_to ---~,~ ~ (~
b. lntended useandoccupancy .r-~ ,~c~ ~
3. Nature of work (check which applicable): New Buil~.~g1 x~ddifion Alteration
Repair Removal Demolition Oth~i' Work
(Description)
4. Estimated Cost 7 (~ ~tc ~s ~ ~<' Fee
............ ~ · (To be paid on filing this application)
5. ~; owemng, number ox owe,rog umts_tla~Number of dwelling units on each floor
aamae, numt~ro~cars ,~ /c~ -
6. I f business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ._?~'~9 t Rear ~'O ~ Depth /c, o ·
Height ? ~ ' Number of Stofie~
Dimensions of same structure with alterations or additions: Front .Rear
C~4~_ D~pth Height Number of Stories
', ~ ~-Dimensions of entire new construction: Front ]Rear Depth
~_.,~ Height Number of Stories
9. Size of lot: Front / 9.~ / Rear f ~ cfi. R ~ Depth [
10. Date of Purchase / .q ~,~ Name of Forme~ Owner ~'-.,. g~ ,~
11. Zone or use district in which premises are situated
proposed eons~etion violate any zoning law, ordinance or regulation? YES NO
1
2.
Does
13. Will lot be re-graded? YES NO '~ill excess fill be removed from premisea? YES NOJ
14. Namea of Owner of premise~/q/(,,e.~0 <'~ a ¢~-e~Addre~ Phone No.
Name ofAmhitect ~ ,, Addre~ .Photo:No
Name of Contractor k',- ;e ,~{~ I ~. Co ,~ n 4, v v ~'4t 0~.ddr~ 5 7/6. <; ~ u.
15 a. la this property within 100 feet of a tidal wetland or a freshwater wetland? iYES//~ NO __
* IF YES, SOUTHOLD TOWN TRUSTEES & D.£.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet ofatidal wetland? * YES///--- NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
! 6. 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 b~low, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF
GI~. ;r~ ~T ..(~., ]/~'-/I~ ? being duly sas~n, deposes and says that ($)he is the agglieant
[m~ae o~mmwaum signing eontra~t) a~ove named,
(Co~trac6'C, ^gvat, Comora~)ffieer, etc.)
of said owner or owners, and is duly authorized to perform or have performed tim said work and to maim and file this application;
that all stat~nents ~Orltained in this applieali~m am tree to the In~t of iris knowl~ ~ ~; ~ ~ ~ ~ ~ ~
Notary Publi¢~ Si~-~ of Applicant
'~lO~jnS '089L~OGO~LO ON
,; P/~?.'7 q,.~,k~0
Ei-E~T[~ICAL n;Tr,!ENT AT ~'-~ .~
SERVICE ENTRY" ~ FOR THE
.... T THE
-:', Or ,~EW
,,,;, 3LE FOR
.;~. ~,,~;,..~,~,.~,~,,N ERRORS.
ROOF PLAN
SCALE: 1/16"= P-O" NOTE:
~//1~% / DATA SUBJECT TO ENGINEER'S
REVIEW AND APPROVAL
' HARVEST POWER PROGRAM
--,.,~.' BY FRIENDLY CONSTRUCTION CO. INC.
~ JOB LOCATION: CLIENT: FIGURE:
AFFORDABLE SOLAR 5055 New Suffolk Road, Alfred Suesser
POWER FOR Cutchogue, NY 11956
LONG ISLAND
DRAWN BY: PDL I DATE: 4/28/09
Array #1 13 Enphase 30 A
13 Sanyo HIP 210NKHA5 ....... M210 Micro ....... 240 V
Modules Inverters AC Disconnect
Array #2 13 Enphase 30 A .......
13 Sanyo HIP 210NKHA5 ....... M210 Micro ....... 240 V ........... ,
Modules Inverters AC Disconnect
Main Panel
I ..... I 200A
120 / 240 V
Array #3 11 Enphase 30 A
11 Sanyo HIP 210NKHA5 ...... M210 Micro ....... 240 V ............
Modules Inverters AC Disconnect
Array#4 ~'~ Enphase 30A ',
11 Sanyo HIP 210NKHA5 ...... M210 Micro ........ 240 V ~ ~ A~/~'~ ,~ ;Vi '
- - 7 HARVEST POWE~
by FRIENDLY CONSTRUCTION CO. INC.
.~ ~ -~:. Job Location: Client: Figure:
5055 New Suffolk Rd. Alfred Suesser
Cutchogue, NY 11956 i -- E
Thomas D. Reilly P.E.
Consulting Engineer
"For every house is built by someone, but the builder of all things is God" Hebrews 3:4
4 Bezel Lane Smithtown, N.Y. 11787 Tel: (631) 724-7888 Fax: (631) 724-5740
November 09, 2009
Town of Southold
PO Box 1179
Southold, NY 11971
Attention: Pat
Re:
Solar Panel insta!la§on for
Suesser Residence
5055 New Suffolk Road
Cutchogue, NY 11956
To Whom It May Concem,
Please be advised that we have examined and analyzed the existing roof flaming at the above-named
location and have determined that it is adequate to support all anticipated super-imposed loads from
the proposed solar panel installation without overstress in accordance with the requirements of the
Residential Code of New York State.
Additional Design Criteria and Information:
1. Roof Live Load = 20psf
2. Snow load = 20psf
· 3. Wind Load(120mph) = 26psf
4. Wind Uplift = 40psf
5. The mounUng brackets meet or exceed NYS Code requirements for the above design cdteda.
6. The actual in field attachment to the roof will meet or exceed ResidenUal Code of New York
State Requirements.
Very truly yours,
Suesser Solar 11 9 2009 TDR:js
I'l)X*ll llall Annex
,5 [375 Mare Road
P.O. Box 1179
Soud~old. NY 119714)9,59
Tclepl~onc (63 [ ) 76,3-1802
1~ x ((31) 7(, .t, 02
I~UILDIN(; I)I~;PARTMENT
TOWN OF SOUTHOLD
March 15, 2010
E & A Suesser
1'70 Mimosa Way
Portola Valley, CA 94028
RE: 5055 New Suffolk Road, New Suffolk
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: 35170-Z solar panels
SITE DATA
ENLARGED SITE PLAN
KEY MAP
SITE
pLAN