HomeMy WebLinkAboutTR-7300AJill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0555C
Date July 19, 2010
THIS CERTIFIES that the roof mounted photovoltaic system and domestic hot water solar
system
At 1340 Cedar Point Drive East, Southold
Suffolk County Tax Map #92-1-5
Conforms to the application for a Trustees Permit heretofore filed in this office dated
4/28/10 pursuant to which Trustees Wetland Permit #7300A dated 5/19/10 was issued and
conforms to all of the requirements and Conditions of the applicable provisions of law.
The project for which this certificate is being issued
is for a roof mounted photovoltaic system and domestic hot water solar system.
The certificate is issued to BARBARA MAY & JACK MAY owners of the
aforesaid property.
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DATE OF INSPECTION:
Ch. 275
Ch. 111
INSPECTION SCHEDULE
__ Pre-construction, hay bale line/silt boom/silt curtain
1 st day of construction
% constructed
_~ Project complete, ~mplia~inspection.
INSPECTED BY: ~
COMMENTS:
CERTIFICATE OF COMPLIANCE:
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town Hall, 53095 Main Rd.
P.O. Box I 179
Southold, NY 11971
Telephone (63 t ) 765 - 1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72
HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT
FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE
CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT.
INSPECTION SCHEDULE
__ Pre-construction, hay bale line
__ 1st day of construction
¼ constructed
Project complete, compliance inspection.
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Brederneyer
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OFTOWNTRUSTEES
TOWN OFSOUTHOLD
Permit No.: 7300A
Date of Receipt of Application: April 28, 2010
Applicant: Barbara May & Jack May
SCTM#: 92-1-5
Project Location: 1340 Cedar Point Drive, East, Southold
Date of Resolution/Issuance: May 19, 2010
Date of Expiration: May 19, 2012
Reviewed by: Trustee Bob Ghosio, Jr.
Project Description: To install roof mounted (close to roof) photovoltaic system
and domestic hot water solar system.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
site plan prepared by Ralph Pacifico, PE, received on April 28, 2010, and
stamped approved on May 19, 2010.
Special Conditions: None.
Inspections: Final inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
I~M. Dohert~nt
Board of Trustees
JMD:eac
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town Hall, 53095 Main Rd.
P.O. Box I 179
Southold, NY 11971
Telephone (63 I) 765-1892
Fax (631) 7654641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Please be advised that your application dated ,~¢':/ o~ c~::) z o has been
reviewed by this Board at the regular meeting of ~q~/ /(~. ,-,,,qo/c) and your
application has been approved pending the completl6n of the following items checked
off below.
__ Revised Plans for proposed project
__ Pre-Construction Hay Bale Line Inspection Fee ($50.00
__ Ist Day of Construction ($50.00)
__ ½ Constructed ($50.00)
I///'Final Inspection Fee ($50.00)
__ Dock Fees ($3.00 per sq. ft.)
Permit fees are now due. Please make check or money order payable to Town of
Southold. The fee is computed below according to the sChedule of rates as set forth in
Chapter 275 of the Southold Town Code.
The following fee must be paid within 90 days or re-application fees will be necessary.
You will receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
TOTAL FEES DUE:
BY: Jill M. Doherty, President
Board of Trustees
Jill M. Doherty. President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr
John Bredemeyer
P.O. Box 1179
Southold. NY 11971
Telephone (631 ) 765-1892
Fax (631 ) 765-6641
Southold Town Board of Trustees
Field Inspection/VVorksession Report
Date/Time:
GreenLogic, LLC on behalf of BARBARA MAY & JACK MAY requests an
Administrative Permit to install roof mounted (close to roof) photovoltaic
system and domestic hot water solar system. Located: 1340 Cedar Point
Dr. East, Southold. SCTM#92-1-5
Type of area to be impacted:
__Saltwater Wetland Freshwater Wetland
Sound Bay
Distance of proposed work to edge of wetland
Part of Town Code proposed work falls under:
__Chapt.275 Chapt. 111 other
Type of Application: __ Wetland __Coastal Erosion __Amendment
._Administrative__Emergency Pre-Submission __Violation
Info needed:
Modifications:
Conditions:
Present Were: __&King __J.Doherty __J. Bredemeyer
"~ B.Ghosio, __ D. Dzenkowski __other
Form filled out in the field by r~o/~
Mailed/Faxed to:
Date:
D. Bergen__
215 SOLAR PANEL
EXCEPTIONAL EFFICIENCY AND PERFORMANCE
The SunPower 215 Solar Panel provides indush'y
leading efficiency and performance. Utilizing 72 next
generation SunPower all-bock contact solar cells and
an optimized panel design, the SunPower 215 delivers
an unprecedented total panel conversion efficiency of
17.3%. The 215 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 E~ciency Advantage - Up to Twice Ihe Power
Thin Film Convenllonal ~m~mmmi~~f'
Watts / Panel 65 165
Efficiency 9.0% 12.0% ~~
kWs 90 120
SPR-215-WHT ~',~} C i~ c(~i~
215 SOLAR PANEL
EXCEPTIONAL EFFICIENCY AND PERFORMANCE
Peak Power [+/-5%) Pmax 215 W
Rated Voltage Vmp 39.8 V
Rat~ Current Imp 5.40 A
Ooen Circuit Voltage Voc 48.3 V
Short Circuit Current ISC 5.80 A
Maximum System Vollage IEC, UL 1000 V, 600 V
Tem~enalure Ccefficienls
Series Fuse Rating
Peak Power per Unit Area
CEC PTC Rating
Power -0.38%/°C
Voltage (Voc) -136.8 mV/°C
Current (Isc) 3.5 mA/~C
15A
198,5 W
IV Cm'~e
7.0
6.0
5.0
4.0
2.0
1.0
0.0
0 10 20 30 40
Temperature - 40° C to +85° C {~40° F to +185° F)
Max load 50 psf (2400 Pascals) front and back
Impact Resistance Hail - 25mm (1 in) at 23 m/s (52 mph)
10year lirnil~d p~aduct warran¥
CAUT1ON: READ SAFETY AND INSTALLATION INS1RUCTIONS BEFORE USING THE PRODUCT. Go to www. sunpowercorp.com/panels for details
SunPower designs, manufactures and delivers high-performance solar electric technology worldwide. Our high-efficiency solar cells
generate up to 50 percent more power than conventional solar cells. Our high-performance solar panels, roof tiles and trackers deliver
significan~ ¥ more energy man competing systems.
~e~ Prinled on recycled paper
~vw.su n powercorp,com
3000m & 4000m INVERTERS
EXCEPTIONAL RELIABILITY AND PERFORMANCE
The SunPower inverters 3000m and 4000m provide
exceptional rdiability combined with superior performance.
Innovative design and advanced testing have been brought
together to create a durable inverter that enables optimal
system performance aver the long term. Both models come
with a standard 1 O-year warranty.
SPR-3OOOm and SPR-4OOOm www. sunpowercorp.com
3000m & 4000m INVERTERS
EXCEPTIONAL RELIABILITY AND PERFORMANCE
SPR-3OOOm SPR-4OOOm
AC Power 3000W 35C0 W ~' 208 V /
4C~O W {I 240 V
AC Maximum Output Current 1 SA, 12.5A
(~ 208V, 240V)
AC Nominal Vohage / Range 183 - 229 V~'208 VAC 183 - 229 V e 20~ VAC
211 264Ve240VAC 211-264Ve240VAC
"~ -)'C---uen-' / m~t~e-n-- 60 Hz / 59.3 Hz - 60 Hz / 59 3 Hz -
AC
60.5 Hz 60.5 Hz
P~ Factor 1 1
Peak Inverter E~ciency 96.6% 96.8%
CEC Weighted Efficiency 95.0 % J* 208 V 95.5%e208V
95,5 %O 240 V 96.0 % ~* 240 V
Recommended Array Input
Power (DC a, STC)
DC Input Voltage Range
3600 W 4800 W
SPRm Efficiency Curves
100
aao wk
80
75
7O
0% to~ 20% ~o% 40% s0% 6o% 70% 80% ~ ~o~
% of Rated Oulput Power
Shipping Dimensions W x H x D inches 23.5' x 185' x 16.0"
Unit Dimensions W x H x D inches 17.8' x 13.8" x 93'
Inverter Weight 88 lbs
Shipping Weight 94 lbs
Cooling Forced Air / Sealed
El~:tronics Enclosure
Enclosure NEt~, 3R
Mounting Wall Mount Bracket Standard
Ambient Temperatere Range -I 3 to + 113 °F
Peak Power Tracking Vohage
DC Ma~ Input Current
DC Voltage RippJe
No. of Fused Sh'ing Inputs
Power Cansumption:
Stendby / Nighfllme
17A 18A
Certifications
<8%
Fused DC Disconnect Standard: Complies w NEC Standards
GrouIIdiog Positive Ground
SunPower designs, manufactures and delivers higl>performance solar electric technology worldwide. Our high-efficiency solar cells
generate up h3.50 percent more power than conventional solar cells. Our high-performance solar panels, roof tiles and lrackers deliver
significantly more energy than competing systems.
www. sunpowercorp.com
1 String of 10 Sunpower 215 watt panels.
Each sting has 2150 watts
Array total of 2150 watts
All panels to be
grounded as per
NEC code
30 AMP two pole DC
sw~tch fi'om panels to
inverter
Sunpower 4000 Inverter
240 VAC
30 AMP 3R
switch near
utility meter
240 VAC from inverter to a 30
VELUX solar water heating system with electric back-up
System models:
CLI U12 SKOL218
CLI U12 SKOL318
CLI U12 SKOW218
CLI U12 SKOW318
Cold water
Hot water
Heatedglycol
Cooled glycol
1. Collectors
2. Flashing
3. Connector tube
4. Flextubes
5. Air Separator
6. Pump station/controller
7. Expansion tank
8. Solar storage tank
9. Mixing valve
10. Temperature sensor
11, Electric auxiliary with
thermostat
Notes:
l. This drawing is manot ta show a system piping concept only. The Irc'taller Is responsible for all equlpmant and detailing bY local codes.
2. Anti-freeze, non- potable heat transfer fluid shall be used for the solar storage tank hsot exchanger clrcult anlY- Never irrtreduce Antl'~e ~latlan to any
other solar storage tank connection other than the so!ar heat exchanger.
3. If~here Is acheckvalveonthe cold water feed Ilne, athermal expansion tank suitable for potable watar must be sized and installed within this piping system
between the cbeck valve and the cold water Inlet of the solar storage tank~
4. The a~ anti-scald mixing valve provided must always belnstalled as shown.
5. For all electric beck-up models, make sure solar storage tank Is fully purged of air before power Is turned an to the back'up heat source.
VELUXsolarwaterheatlngsystemwithelectrlcback-up - Part3:Solarwaterheatersysteminstallaflon - 7
VELUX solar water heating system with boiler back-up
System models:
CLI U12 SKOL219
CLI U12 SKOL319
CLI U12 SKOW219
CLI U12 SKOW319
Cold water
Hot water
Heated glycol
Cooled glycol
1. Collectors
2. Flashing
3. Connector tube
4. Flextubes
5. Air Separator
6. Pump station/controller
7. Expansion tank
8. Solar storage tank
9, Mixing valve
10. Temperature sensor
11. Auxiliary heat exchanger
12. Backup heat source
provided by another
Installation
Notes:
1. This drawing Is meant to show a system plpin~ concept only. The Installer Is responsible for all equipment and de~ll~ ~ local ~
2. Anti-freeze, nco- potable heat transfer fluid shell be used fo~ the solar storage tank heat exchanger c~lt only. N~r I~ce ~t~e sol.on ~ any
other solar storage tank connection other than the solar heat exchanger.
3. ff thera is a check valve on the cold water feed line, a thermal expamlon tank suitable for potalde water must be sized and i~ ~ln this ~ping sys~m
between the check valve and the cold water Inlet of the solar water heater.
4, The an anti-scald mixing valve provided must always be Installed as shown.
5. Circulators shown in the hydronic boiler piping above should have an Integral flow check or alternately use a stock pump with an external spdng type check
valve. (Circulators with integral flow checks are not to be used in solar systems due to extreme temperatures~
8 - Part 3: Solar water heater system Installation - VELUX solar water heating system with boiler back-up
VELUX solar pre-heat water heating system
System models:
CLI U12 SKOL218
CLI U12 SKOL318
CLI U12 SKOW218
CLI U12 SKOW318
Cold water
Hot water
Cooled glycol
1. Collectors
2. Flashing
3. Connector tube
4. Flextubes
5. Air Separator
6. Pump station/controller
7. Expansion tank
8. Solar storage tank
9. Mixing valve
10. Temperature sensor
11. Existing gas or electric
water heating
12. Solar system bypass
valves
Notes:
1. This drawing is meant to show a system piping concept only. The installer is responsible for all equipment and detailing by local codes,
2. Anti-freeze, non- potable heat transfer fluid shall be used for the solar storage tank heat exchanger circuit only. Never Introduce Anti-freeze solution to any
other solar storage tank connection ether than the solar heat exchanger.
3. If there Is a check valve on the cold water f~-°d line. a thermal expanslon tank suItable f°r p°table water must be sized and installed wRhln this piping systm
between the check valve and the cold water Inlet of the solar storage tank.
4. The an anti-scald mixing valve provided must always be Installed as shown.
5. For all electric hack-up models, make sure solar sterage tank Is fully purged of air betore power Is turned an te the back-up heat s°urce.
VELUX solar pre-heat water heating system - Part 3: Solar water heater system Installation - 9
Collector I,o~ion on 16" o.c. rafters
CLI U12 4000 · 2 Collector layout · 16" o.c. rafters
-- 10"x5" hole
5"x5" hole 5"x5" hole-~l
4'-6 3/4' 4'-6 3/4"
CLI U12 4000 · 3 Collector layout · 16" o.c. rafters
5"X5" hole --10"x5" hole-- 5"x5" hole--
Il ii ii II
4'-6 3/4" 4'-6 3/4" 4'-6 3/4"
14 - Part 3: Solar water heater system Installation Collector location on 16" o.c. rafters
Collector location on 24" o.c. rafters
CLI U12 4000 · 2 Collector layout · 24" o.c. rafters
-- t O"xS" hole
~5"xS"hole ,g 5"x5" hole ~[
4'.6 3/4" 4'-6 3/4"
CLI U12 4000 · 3 Collector layout · 24" o.c. rafters
5"x5" hole --10"x5" hole,[ 5"x5" hole --il
I
4'-6 3/4" 4'-8 3/4" 4'-6 3/4"
Collectorlocatlonon24"o.c. rafters- Part3:Solarwaterheatersysteminstallation - 15
VELUX solar collector
J F
W
.T°
Gross 32.0
Frame 30.7
Glass 29.4 53.5
Aperture 27.4 51.6
Absorber 2Z8 51,9
Packaging 34.0 57.4
Weight (lbs.) Collector weight 130 73 57
Weight w/fluid 141 79 64
Gross area 27.1 15.2 12.5
Collector area (sq. ft.) Aperture area 23.1 12.4 9.8
Absorber area 23.4 12.6 10.0
Fluid volume (gal.) 0.58 0.34 0.24
Max operaUng pressure (psi) 87 87 87
Test pressure (psi) 145 145 145
Stagnation temperature (°F) 374 374 365
Clear day 29 15 12
Thermal performance rating- warm climate (lO00s btu/day) Mildly cloudy day 20 11 8
Cloudy day 11 6 5
Clearday 19 10 8
Thermal performance rating- cool climate (lO00s btu/day) Mildly cloudy day 11 6 4
Cloudy day 4 2 1
eta0 (start efficiency) 0.6960 O.6610 0.6390
Efficiency al(Btu/hr*ft2*°F) 0.4747 0.4666 0.4603
a2 (Btu/hr*ft2*°F2) 0.0020 0.0019 0.0018
32 - Part 5: Specifications - VELUX solar collector
VELUX flextubes and connections
Max operating pressure (psi) 100
External diameter, pipe (mm) 21,8
Internal diameter, pipe (mm) 16.3
External diameter, Insulation (mm) 47.8
Liquid volume, (L/m) 0.24
Material, pipe Stainless steel / AIS1316 TI
Material, Insulation Foam EPDM
Temperature limE, insulation (deg F) + 350 to- 40 F
Insulation value (w/mK) 0.04
VELUXflextubesandconnectlons - Part 5: Speclficatlons - 33
VELUX glass lined solar storage tank (with electric back-up)
C
o~Det
Electric Element
Surface mounted
sdar sensor
Enamel lined tank with
flow coat technology
Solar powered enamel
flow coat technology
Temperature and
pressure relief valve
lacket
insulation
MODEL # GAL Dimensions
A B C D E F
TFF080 0204US 80 23" 71V!', 60]/~- 8]/4" 8- 273/~-
TFF120 0204US 119 27" 64- 51V4- 11. lO,A- 213/,"
MODEL# GAL Heat exchanger outlet size Inlet / outlet size Shipping weight (lbs)
TFF 080 0204US 80 1" 1IA" NPT 237
TFF 120 0204US ].19 1" 1%" NPT 336
Recovery of back up
MODEL # Solar HX volume gallons Heated water volume of In minutes First draw*
backup
65° rise 90~ rise 65* rise 90" rise
TFF 080 0204US 1.5 gal 37 gal 78 mln 108 mln 38 gal 26 gal
TFF ]2.0 0204US 1.$ gaJ 67gal 14~. rnln 196 mln 70gal 46gal
* AMOUNT OF WATER DRAWN OUT OF STORAGE TANK WITHOUT ANY ENERGY INPUT
VELUX reserves the right to make product changes or updates without notice. VELUX will not be held liable for typographical
errors In literature. For questions, please consult the factory.
34 - Part 5: Specifications - VELUX glass lined solar storage tank (with electric back-up)
VELUX glass line olar storage tank (with bac
heat exchanger)
E
"* A ' HO
'outlet
~lle~ back-up
ena~nel heat
exchang~ Temperature and
with flow codt pressure relief valve
technology
Boiler t
Surface mounted
solar seflsor
Enamel lined tank with flee foam
flow coat t~chnolm3y Inflation
Solar powered enamel
heat exchang~
flow coat technology
Dimensions
MODEL # GAL
A B C D E F G H
TFF 0801204US 80 23" 71]/'-" 601A" 81A'' 8" 34" 43" 55V-,"
TFF 1201204US 119 27" 64" 51'/," 11" 10~/," 28" 36" 47"
MODEL # GAL Heat exchanger outlet size Inlet / outlet size Shipping weight (lbs)
TFF0801204US 80 i"NPT 1]/_," NPT 286
TFF 120 ]204US 119 1" NPT 1]/~" NPT 367
Recovery of hack up
HX volume gallons Heated water volume in minutes Boiler output for test First draw*
MODEL # of back up recovery
Solar Boiler 65°dse I 90~rlse 65°dse 90*dse
TFF 0801204US 2 gal l gal 37 gal 17 rain ! 24 min 90,000 BTU/HR 38 gal 26 gal
TFF1201204US 2gal 1gal 67gal 22min I 31mln IO0,O00BTU/HR 70gal 46gal
* AMOUNT OF WATER DRAWN OUT OF STORAGE TANK WITHOUT ANY ENERGY iNPUT
VELUX reserves the fight to make product changes or updates without notice. VELUX will not be held liable for typographical
errors in literature. For questions, please consult the factory.
VELUXglassllnedsolarstoragetank(wlthback-uphaatexchanger) - Part 5: Speclficaflons - 35
CERTIF ATE 0F LIABILITY INSU t. NCE
PRODUCER ' THIS C~<HFICATE IS ISSUED AS A MATTER OF INFORMATION
;. ~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brookhaven Agency, Inc. ~ HOLDER. THiS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. BOX 850 i ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
150 Main Street
SL h .:!L INSURERS AFFORDING COVERAGE NAIC #
East Setauket NY 11733 "
iNSURED Greenlogic, LLCL ......... r; ,I { !'~!~;,~;__~__ INSURERA: NGM INSURANCE COMPANY
425 County Road 39A Suite 101 ~NSURERB: MERCHANTS PREFERRED INS CO
Southampton NY 11968 INSURER C:
~VERAGES
THE POLICIES O FINSU RAN CE LISTED BELOW HAVE BEEN I SSU ED T OTHEINSURED NAMED ABOVE FOR THE POLICY PERI ODIN D I CAT ED. N OTWITH S TAN DING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR
MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLJUMS.
GENERAL LIABILITY EACH OCCURRENCE $1 ~000~000
A X X COMMERCIALGENERALLIABILITY MPP1681L 01131110 01131111 DAMAGE TO RENTED
I CLAIMSMADE [] OCCUR MEDEXP{Anyoneperson) $ 5,000
X XCU PERSONAL & ADV INJURY ~; 11000,0(30
~' CONTRACTUAL LIAB GENERAL ^GGREOATE $ 2,000,000
GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 1~000,000
AU~TOMOBILE UABILITY COMBINED SINGLE LIMIT $ 1 ~000,000
B A ~X ANYAUTO CAPI043565 06112/2009 06112/2010 (EaaCC~dent)
EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ 2,00010oo
A X ~ OCCUR [] CL~IMSMADE CUP1681L 01131110 01131111 A~GRE~TE ; 2,000,000
RETENTION $ 10,000 $
wO..ERE COMPBN~O" I .......... I IO;."'
CERTIFICATE HOLDER CANCELLATION
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
Phone:
I Fax:
ACORD 25 (2009/01)
SHOULD ANY OF THE ABOVE DESCRIBED POUCIEB BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~0 DAYS WRITrEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO OO SO SHALL
IMPOSE NO OOUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES*
AUTHORIZEDREPREi:Nii:~:{~D ~CORI~ATION. All I'lg:P:::ed.
The ACORD name and logo are registered marks of ACORD
STATE OF NEW YORK
- WORKERS' COMPENSATION BOAR~
CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE
1~ Legal Name & Address of'Insured (Use street address only)
.425. County Rood 39A, SoRe 101 .
SoUthampton, NY 11968
WorkLoeatiou ofl~sured (O~y reqm~dgco~o~ge is spec~c~//y
lim_a~ W cardin locat~ous ~n Ne~ York ~ L~, a
Pot~) '.
2. Name and Address of the Entity RequeSting Proof of
Coverage.(~ntity Being Listed ns the Cerfiflente Holder)
Town Of $outhoM Budding Dept.
~ Route 25
Soathold, NY 11971
lb. Business Telephone Number of Insured
631-77I-$152
le. NYS Unemployment Insurnnce EmPloyer
Registration: Number of Insured
ld. Federal Employer Identifleafion Number of Insured
or Soeial ~ecuHty Number
20-3~0119
3a. Name of Insurance Carrier
National Union Fire Insurnnce
3b. Policy Number of entry listed in box "la"
WC~09924195
~ Policy effective period
' 08/11/2009 to 08/IlR0JO
3d. The Proprietor, Partners or Executive Off-w. ers are
~] included. (only eheek ~x if all par~ez~/oW~eers ineluded)
O aH excluded or certoin imrtners/officers excluded.
This cetfi~es that the insmnnce carrier indicated above in box ~3" insures the business ref¢,enced above in box "la" for workers'
compensation under tbe New York Stal~ Workers' Compensation Law. (To nsc this form, New York (NY) mnst be listed onder Item 3A
on the INi~RMA'iION PAGE of the workers' cempensa~on losurnnce pelk-y). The lnsm~uce Carrier or i~s licensed ngem will send
this Certificate of Instmmce to lhe envy listed above as lhe certificate holder in box "2".
The Insurance Carrier will also notify the above co~ificate holder within 10 days IF a policy is canceled due to nonpayment of premiums
or within 30 da~s IF there are reasons other ttgm nonpayment of pr~nhans that cancel the policy or eliminate the insared from the
coverage indicated on this Ce. rtificat& (]~-~e nofic~ m~/ be so~t by regular maiL) Otiteanvise, tkis CetKf'wwle is valid for one year after
~is farm is approped by tke hmoxmce ~arrier or Hs licotsed oge~ or tm~H tke policy e~q~hw/~on ~_~,, Hs~_d ht box ~3c~, wh~ckeper is
Please Note: Upon the eancellotion of the workers' eompemmtion policy indiented on this form, il'the business continues to be
named on a pemR, license or eontraet issued by a certificate homer, the business must provide that certRicete homer with a new
Certificate of Workers' ~ompemnfion Coverage or other authorized proof that the business is complying with the mandatory
eovernge requirements of the New York State Workers' Compensation Law.
Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance cerfier referenced
above and that the named insured has the cevernge ns depicted on this form.
App,uved by:
Thomas P. Tert~.
(Print nan~ of authorized repze~mml~o of Ik:ensed sgmt of immance ~u, ~r)
(s~) '.-o (i~)
T~e: Amhorized ~
Telephone Nnsaber of auflmm~z~i ~c. la ~sentafive or licensed agent of insmm,ce carrie~. __631-283-8000
Please Note: Only insurance corriers and their licensed agents are authari~ed to issue Form C-105.2. Insurance brol~rs ore NOT
attthorized to issue iL
C-105.2 (9-07) www.wcb.state~ny.us
Suffolk County Executive's Office 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, rules and regulations of
the County of Suffolk, State of New York. - ' ~
Additional Businesses
NOT VALID WITHOUT
DEPARTMENTAL SEAL
AND K CURRENT
CONSUMER AFFAIRS
' ID CARD
Director
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY 11971
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
Jill Doherty, President
To: Town of Southold Board of Truste(
From: MarkTerry, Principal Planner k,
LWRP Coordinator
Date: May 14, 2010
Re: Proposed Wetland Permit for GREENLOGIC LLC (~G.~1
SCTM# 1000-92.-1-5
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the
Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy
Standards. Based upon the information provided on the LWRP Consistency Assessment
Form submitted to this department, as well as the records available to me, it is my
recommendation that the proposed action is EXEMPT from LWRP review pursuant to:
§ 268-3. Definitions. MINOR ACTIONS item "11" which states:
II. Additions to an existing building or rebuilt residential structure which results in no net
increase in ground area coverage, except where the parcel is located in a coastal erosion
hazard area;
Cc: Lori Hulse, Assistant Town Attorney
Office Use Only
Coastal Erosion Permit Applicatio~
ZWetland Permit Application ~ Administrative Permit
AmendmenffTransfer/Extension
ece~-ved Application .~ q/O,7~//O
eceived Fee:$ 5~> ~ t
i/Completed Application Incomplete
SEQRA Classification:
Type I Type 11 Unlisted
~wordination:(date sent).
RP Consistency Assessment Form
e of Inspection:
Receipt of CAC Report:
Lead Agency Determination:__
~uChnical Review:
bile Hearing Held: ~'{
Resolution:
Address [~L['O t~__.e~'C~..~v: '/)O,~'JF ,~1~ ~------~,"'1I- qr,~g:r~c.--l'D~ J
Phone Number:(
Suffolk County Tax Map Number: 1000 - C;]
Property Location: /B4C:> Ge'c/Or /90in{-
(provide LILCO Pole #, distance to cross streets, and location)
(If applicable)
Address:
~oard of Trustees Application
GENERAL DATA
Land Area (in square feet):
Area Zoning:
Previous use of property: ~/~"
Intended use of property: (')/q~
Covenants and Restrictions: Yes fi' No
If "Yes", please provide copy.
Prior permits/approvals for site improvements:
Agency Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by · / No
If yes, provide explanation:
a governmental agency?
Yes
Project Description (use attachments if necessary): In .:~'~1 /
k-c.,of r~ow,,4~ ~e/o~- I~ ~ oo~) ~o~ot~,e
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose ofthe proposed operations: l/~.~r~[I ~'~(~
Area of wetlands on lot: square feet
Percent coverage of lot: %
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: feet
Does the project involve excavation or filling?
v/ No Yes
lfyes, how much material will be excavated?
How much material will be filled?
Depth of which material will be removed or deposited:
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
cubic yards
cubic yards
feet
Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by
reason of such proposed operations (use attachments if appropriate):
B~oard of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposesofproposedactivity:
Are wetlands present within 100 feet of the proposed activity?
No v/ Yes
Does the project involve excavation or filling?
~/' No Yes
If Yes, how much material will be excavated?
(cubic yards)
How much material will be filled?
.(cubic yards)
Manner in which material will be removed or deposited:
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
617.20
PROJECT ID NUMEER APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1 - PROJECT INFORMATIOH ( To be completed by Applicanl or Project Sponsor)
I.APPLICANTISPONSOR 12, PROJECT NAME
SEQR
4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or ;~rovide mae
5. IS PROPOSED ACTION: ~ New [] Expansion [] Mndiflcatio~t / alteration
7. AMOUNT OF LAND AFFECTED:
Initially acres UIUmately acres
8. WILL PROPOSED ACTION COMPLY W1TH EXISTING ZONING OR OTHER RESTRICTIONS?
[~es [] No I! no, das~ibe briefly:
9. WHAT iS PRESENT LAND USE ~N VICINITY OF PROJECT? (Choose as many as apply.)
~r'Resi~entlal Olndusbia, •Commercial F1Agriculture r--'lParklForestlOpenSpaoa OOther (,ese. ri.)
t0. DOES AC'I'ION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY O~-IER GOVERNMENTAL
AGENCY (Fede~l, State or Local)
r~Yes L~No if yes, list agency name and parmil / appl'oval:
11. DOES ANY A~PECT OF THE ACTION HAVE A DU~ENTL¥ VALID PERMIT OR APPROVAL? ~]Ye$ I ~rNo If yes, list agency nalT~ and permit / approval:
1 . AS A RE LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
If the action Is a Cos~l Area, and you are a s~ agency,
complete the Coas~l Assessment Form ~fom preceding w~ this assessment
PART II -: IMPACT ASSESSMENT {To be completed by Lead Agency),
A. DOES ACTION EXCEED ANY TYPE I THRESHOLO IN 6 NYCRR, PART 617A? ff yes, ~G~-~;nate the review ~_~ and uce the FULL EAF.
B. WILLACTION RECEIVE COORDiNATED REVIEWAS PROVIDEDFORUNUSTEDACTIONSiN6NYCRR, PART617.67 IfNo, enegative
C. CCX, IL, D ACTION RESULT IN NiY ADVERSE EFFECT8 ASSOCiaTED WITH 'R-IE F(X.LOWING: (Ai1swem may be ~, If le~)
INo '
I
C5. Growth, slJbsequerd devel,¥,,~tL or related ac~vt ,~es Ilke(y to be induced by Ihe IIx~pmsed actkxl? ~ bdefly:
I,° I
No
O. ~ THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACl~ERISTICS THAT CAUSED THE ESTABLISHMENT OF A
E 18 THERE, OR IS THERE LIKELY TO BE~ CONTROVERSY RELATED TO'POTENTI,N. ADVERSE ENVIRONMENTAL IMPACTS? If
p.4~ III. o= u ,-KaliNA3mfl OF SleNFICANCE (To be oompleted ~ Agency)
INST/~JO'I'IOfl8: Foeeach adverse effect idenfIfied above, determine whether it Is substantial, large, impmtantorothenV, se significant. Each
effe(~ should be aSSE~ in oonnection with its (a) ee(Ung (I.e. Ul~ m- rural); (b) p,-~ Of ooountng; (i) du~; (~ ~ (e)
· uffictent detail, to show that all mlevent adveme impacts have been ide~ltifled and adequatldy addressed. If quesUofl d Of part Ii was checked
~ the,detemlinatlon Ofslgnificanoe must evaluate the potenUal Impect Of the proposed Elctkm off the envfl'onmentaf dmm~tsUcs Of the CEA.
WILL NOT result In any significant adverse envlroflmefltal Impacts AND provide, on sttaclxne~s as _ne~e~___~_~y, the reasons sup~ thl
B~ard of Trustees
Name of Lead Agency
Jill M. Doherty
~:~N: ~~ad Agency
President
TIOe of Responsible Officer
SIgn~tire of Prepare~ (If dlffere~l from res~ officer)
Board of Trustees Application
County of Suffolk
State of New York
NtiS! ~ ]~ I bl/~ re]d'- BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMiT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. 1N COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
SWORN TO BEFORE ME THIS
Signature
DAY OF ~, / ,20.
Notary Public
~ARBARA A. CA$CIOTTA
I~ Public, St.te of New yolk
No. 01~8~9
~.~ In S~otk Cou~
~n E~ims May 11, ~
Boa~:d o£ Tx'us~.~s
AUTHORIZATION
(where the applicant is not the owner)
(print owner of'property) (mailing adedres$)
~'r~.o~r-~ /~" dg?0,~c)~- do hereby authorize /'~/e$,'e'~
· / (Agent)
to apply for permit(s) from the
S°Tyd~/{ZJwner~s signat u~r )/of Town Trustees on my behalf.
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of town officers and emnlovees. The nuroose of
this form is to provide information which can alert the town of possible conflicts oflnterest and allow it to take whatever action is
necessary to avoid same.
(Last name, first name, middle initial, unless you are applying m the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Otber', name the activity.)
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business,
including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation
o
in which the town officer or employee owns more than 5 ~ of the shares.
YES NO
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself (the applicanffagent/representative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply):
__A) the owner of greater than 5% oftbe shares of the corporate stock of the applicant
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-corporate entity (when the
applicant is not a corporation);
__.C) an officer, director, partner, or employee of the applicant; or
__D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS I
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area (which includes all of Southold Town).
If any question in Section C on this form is answered "yes", then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained in the consistency review law.
Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a
determination that it is consistent to the maximum extent practicable with the LWRP policy
standards and conditions. If an action cannot be certified as consistent with the LWRP policy
standards and conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
The Application has been submitted to (check appropriate response):
TownBoard [] Planning Dept. [] Building Dept. ~ BoardofTrustees
Category of Town of Southold agency action (check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capital
construction, planning activity, agency regulation, land transaction)
(b) Financial assistance (e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification:
Nature and extent of action:
Location of action:
Site acreage:.
Present land use:
Present zoning classification:
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: ~caStnq ~r[~:~re~ C~,'~'~'rl~O::~ I C-- [C~~)
(b) Mailing address: ~o3.~ O011r~'~ ~0,~-~ ~ ~
(c) Telephone number: Area Code ~b~. 3-31 - g~ ~ 9_.
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ~] No ~ If yes, which state or federal agency.'?
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation
criteria.
[] Yes [] No [~'Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III - Policies Pages 3 through 6 for evaluation criteria
~'~ Yes [] No [~Not Applicable
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III - Policies Pages 6 through 7 for evaluation criteria
[-~ Yes ~ No [~Not Applicable
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III - Policies Pages 8 through 16 for evaluation criteria
[-~ Yes [-~ No ~ Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
- Policies Pages 16 through 21 for evaluation criteria
Yes ~ No I~ot Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22
through 32 for evaluation criteria.
[-~ Yes [-~ No [~qot Applicable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria.
[] Yes [] No ~,~ot Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria.
[-~ Yes ['~ No [~Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria.
~-~ Yes~ No ~/Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold~s water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria.
[] Yes [] No [~ot Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
Yes [] No [~Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages
62 through 65 for evaluation criteria.
Yes [~ No [--~Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III - Policies; Pages 65 through 68 for evaluation criteria.
[-~ Yes [] No [--~Not Applicable
Created on 5/25/05 ll:20AM
i GREENLOGIC®
ENERGY
Town of Southold
Town Trustees
Town Hall
53095 Route 25
Southold, NY 11971
Dear Trustees:
Please find attached a building permit application on behalf of Barbara Mahoney/Jack May who have
engaged us to install a roof-mounted (flat to the roof) solar photovoltaic (PV) electric system and
domestic hot water solar system for their home on 1340 Cedar Point Drive East, Southold, NY.
In connection with this application, please find attached:
· An application
· A Transactional disclosure Form
· AShort environmentalAssessment Form
· A LWRP Consistency Assessment Form
· Surveyof Premises
· Engineer's Report
· AOne Line Diagram
· AVisio Diagram of the proposed system
· Spec. sheets of the solar panels (SunPower SPR-215WHT)
· Spec. sheets of the inverters (SunPower SPR4OOOm)
· Spec. sheets of the hot water system (Velux)
· GreenLogic Suffolk County Home Improvement License
· GreenLogic Certificate of Liabilitylnsurance
· 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
GreenLogic LLC
Gf-~EENI OGIC, LLC · w,¥w Creenl oglm oom
SOUTHAMPTON/CORPORATE:
425 County Rd 39A
Southampton, NY 11968
lei 631 771 5152
CUI'CHOGUE:
1070 Depot Lane
Cutchogue, NY 11935
Tel: 631.765.0404
MANORVILLE:
40 Woodland Avenue
Manorville NY 11949
icl: 6318300102
FIRE ISLAND:
125 Duneway
Seaview, NY 11770
Tel: 631.741,6400
ROSLYN HEIGHTS:
200 S Service Rd . #108
Rosyln Heights, NY 11577
Tel: 516625 6880
Apri129,2010
Town of Southold
Town Trustees
Town Hall
53095 Route 25
Southold, NY 11971
Dear Trustees:
Please find attached a duplicate of our the permit application on behalf of Barbara Mahoney/Jack May
who have engaged us to install a roof-mounted (flat to the roof) solar photovoltaic (PV) electric system
and domestic hot water solar system for their home on 1340 Cedar Point Drive East, Southold, NY.
I submitted the application on Wednesday; however, there was only one copy of the package. As
requested, below are duplicate items.
Please find attached:
An application
· ATransactional disclosure Form
· A Short environmentalAssessment Form
· A LWRP Consistency Assessment Form
· Surveyof Premises
· Engineer's Report
· AOne Line Diagram
· A Visio Diagram of the proposed system
· Spec. sheets of the solar panels {SunPower SPR-215WHT)
· Spec. sheets of the inverters (SunPower SPR4000m)
· Spec. sheets of the hot water system (Velux)
Please
let us know if you need anything else in connection with this application.
Yours truly,
Barbara Casciotta
Account Manager
GreenLogic LLC
,R EE N[ OGI6, [ [ C · w~vw GreenLoglc
SOUTHAMPTON/CORPORATE:
425 County Rd 39A
Southampton. NY }1968
lei: 631.77] 5152
CUTCHOGUE:
1070 Depot Lane
Cutchogue, NY 11935
~1:631.765.0404
MANORVILLE:
40 Woodland Avenue
Manorville. NY }]949
Tel: 631830 0102
FIRE ISLAND:
125 Duneway
Seaview, NY 11770
Tel: 631.7416400
ROSLYN HErGHTS:
200 S. Service Rd. #108
Rosyln Heights, NY 11577
Tel: 516.625 6880
Pacifico Engineering PC
PO Box 1448
Sayville, NY 11782
www.pacificoengineeringcom
December 22, 2009
Town of Southold
Building Department
54375 Route 25, P.O. Box 1179
Southold, NY 11971
SubJect: Solar Energy Installation for
May Mahoney
1340 Cedar Point Dr E
Southold, NY 11971
Engineering Consulting
Ph: 631-988~0000
Fax: 631-382-8236
engineer@pacificoengineering.com
Roof Section A
mean roof height 25 ft
pitch 81/2 in/12
roof rafter 2x8
rafter spacing 16 in OC
Reflected roof rafter span 9.1 ft
Table R802.5.1(I) max 16.8 ff
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 Buildina Co e,
and ASOE7~05 when installed in accordance with the menu tcturer's
iA pRt::)VED
BY
BOARD OF TRUSTEES
TOWN OF $OUTHOLD
The climactic and load information is below:
CLIMACTIC AND Wind
GEOGRAPHIC DESIGN Category Speed, 3
CRITERIA sec gust,
mph
Roof Section A B 120
Live load,
pnet30 per
ASCE 7,
Ralph Pacifico, PE
Professional Engineer
point
pullout Fastener type
psf
26
load, lb
61
Concealor #14-13 x 3" DP1
O GREENLOGIC
Gr~'d.o~ic, LLC Pro~
2 Panel Velux
Domestic Hot Water
Azimuth = 184°
Pitch = 35°
Scale 3/16" = 1.0'
.~: Pacifico Engineering PC
Ralph Pacific, o, PE NYS License 066182
Velux DHW Collector
I I 2x8"DouglasFirRaffer
16" on center
Layout Created By: BCA Date: 12/4/2009
GREENLOGIC
Gi~e~ogi¢, LLC ~
2 Panel Velux
Domestic Hot Water
Azimuth = 184°
Pitch = 35°
Scale 3/16" = 1.0'
.~, Pacifico Engineering PC
Ralph Paciflco, PE NYS License 066182
Velux DHW Collector
2x8" Douglas Fir Rafter
16" on center
2" self-tapping stainless
·
steel mounting screw
Layout Created By: BCA Date: 12/4/2009
Pacifico Engineering PC
PO Box 1448
Sayville, NY 11782
www.pacificoengineering.com
December 22, 2009
Town of Southold
Building Department
54375 Route 25, P.O. Box 1179
Southold, NY 11971
Subject: Solar Energy Installation for
May Mahoney
1340 Cedar Point Dr E
Southo~d, NY 11971
Engineering Consulting
Ph: 631-988-0000
Fax: 631-382-8236
engineer@pacificoengineering.com
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 ASCE7-05 when installed in accordance with the manufacturer's instructions.
Roof Section A
mean roof height 25 ft
pitch 81/2 in/12
roof rafter 2x8
rafter spacing 16 in OC
Reflected roof rafter span 9.1 ft
Table R802.5.1(1) max 16.8 ff
The climactic and load information is below:
CLIMACTIC AND Wind
GEOGRAPHIC DESIGN Category Speed, 3
CRITERIA sec gust,
rnph
Roof Section A B 120
Ralph Pacifico, PE
Professional Engineer
Live load,
pnet30 per
ASCE 7,
psf
26
point
pullout
load, lb
137
Fastener type
5/16" dia screw, 3-1/2" length, 2 per
LOGIC
2.15 kW
10 SunPower 215w
UniRac Sunframe
Azimuth = 184°
Pitch = 35°
Scale 3/16" = 1.0'
.~bm. Pacifico Engineering PC
Ralph Pacifico, PE NYS License 066182
Panel Dimension = 61.39 x 31,42"
Array Length = 245.56"
Array Height = 98.76"
Magic# = 32.17"
SunPower 215w
2x8" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
UniRac 4" Two Piece
Flat Topped Standoff
Layout Created By: BCA Date: 12/4/2009
I GREENLOGIC
2.15 kW
10 SunPower 215w
UniRac Sunframe
Azimuth = 184°
Pitch = 35°
Scale 3/16" = 1.0'
.... Pacifico Engineering PC
Ralph Pacifico, PE NYS License 066182
ITIT /
Panel Dimension = 61.39 x 31.42"
Army Length = 245.56"
Array Height = 98.76"
Magic # = 32.17"
SunPower 215w
I J 2x8" Douglas Fir Rafter
16" on center
~-- UniRac SunFrame Rail
· UniRac 4" Two Piece
Flat Topped Standoff
Layout Created By: BCA Date: 12/4/2009
I (pal,~l~G R E E N LOGiC
~ogk:, LLC Propo~
2,15 kW
10 SunPower 215w
UniRac Sunframe
Azimuth = 184°
Pitch = 35°
Scale 3/16" = 1,0'
~ Pacifico Engineering PC
PO Box 1448, Sayville, NY 11782
Ralph Pacifico, PE NYS License 066182
Panel Dimension = 61.39 x 31.42"
Array Length = 245.56"
Array Height = 98.76"
Magic # = 32.17"
SunPower215w
2x8" Douglas Fir Rafter
16" on center
UniRac SunFrame Rail
· UniRac 4" Two Piece
Flat Topped Standoff
Layout Created By: BCA Date: 12/4/2009
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SURVEY OF
MARCH 3, 2009
T,OT 98
MAP OF
CEDAR BEACH PARK
FILE bio. 90 FILED DECEMBER 20, 1927
SITUA TED A T
BAYVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
$.C. lAX No. 1000-92-01-05
SCALE 1 "=20'
MAY 22, 2006
JUNE 3, 2007 ADDED SITE PLAN
SEPTEMBER 16, 2008 REVISED SITE PLAN
SET LATH FOR SITE INSPECTION, ADDED PROP. WATER LINE &
MARCH 19, 2009 ADDED NON-TURF BUFFER
dUNE t7, 2009 ADDED DRAINAGE CALCULATION
OCTOBER 7, 2009 FOUNDATION LOCATION
ELEV. DATUM
AREA = 28,451.17 sq. ft.
{TO TIE LINE) 0.65.3 ac.
NOTES:
1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
2. FLOOD ZONE INFORMATION TAKEN FROM:
FLOOD INSURANCE RATE MAP No. 56105C0169 0 ZONE AR: BASE FLOOD ELEVATIONS DETERMINED
ZONE X*: AREAS OF 500-YEAR FLOOD; AREAS OF IO0-YEAR FLOOD WITH AVERAGE
DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN
1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM IO0-YEAR FLOOD.
ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN.
g o~,~
0=
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TOp OF BAN
TIE LINE ALONG APPARENT HIGH
WATER MARK ON MAy 22, 2006
84"13'56" W N
52.13' ? l °2 0 ,p .~
48. ~,<
20
POST
~_TEST HOLE
..7 ~ONE X*
ZONE AE (EL.
WALL
a)
TEST HOLE DATA
(TEST HOLE DUG BY McDONALD GEOSCIENCE ON APRIL 17, 2006)
EL 15.4'
DARK BROWN SANDY LOAM
BROWN CLAYEY SAND SC
123'
WATER IN BROWN CLAYEY SAND SC
2£'
WATER IN PALE BROWN FINE SAND SP
PR~ARE~ IN ACCO~ t~ 'IHE MINIMUM
~ FOR 'OTLE ~ AS r..~u,~BLIS~IED
BY lite LI..~.LS. AND APPRO~ AND ADO~iu)
FOR SUCH USE BY THE NEW 'YORK Sl'A1[ LAND
~ ,ASSOCIATION.
N.Y.S. LJc. No. 50467
O.8'E. ~- UNAUI~OF(IEJ~ )J.~RA'RON OR ADDITION
(~ ~ WATER MARK SEC'I10N 7209 OF THE NE~ YORK STAT[
.O COPIES OF IHIS SURVEY MAP NOT BCARB4G
'IHE LAND SURVEYOR'S INKE~ SEAL OR
EMBOSSED SEAL SHALL NOT BE CONS~DEREO
TO BE A VALID 1RUE COPY.
Ct.,~wqCARONS INDICATED HEREON ~ RUN
ONLY TO 11-1E PERSON FOR WHOM THE SURVEY
IS PREPA.~ AflD ON HIS BE]tN.F TO 1'dE
TITLE COMP. MtY, GO--ME)ri'AL AGENCY AND
LE]~DING IN:~III~N U~IP.U H~REON, .MklD
1UTION- Ce.me'ICATIONS AR[ NOT 1RANSrc.m,~LF..
THE EXISTENCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD. IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
Lan d Surveyor
-- Site Plans -- Construction Layout
Fax (631)727-1727
P.O. Box 1931
River'head, New York 11901-0961
TrUe Su~eya -- SubdMsions
PHONE (631)727-2090
OFFICES LOCAir. u AT
1856 Main Road
Jameaport, New York 11947