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Home My WebLink About35501-ZFORM NO. 4 TOWN OF SOL~THOLD BUILDING DEP~JtTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34479 [~te: 07/28/10 THIS CERTIFIES that the building SOLAR PANELS Location of Property: 1530 CROWN LAND LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) Cowry Tax Map NO. 473889 Section 102 Block 7 I~t 9 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 2010 purs,,~-t to which Building Permit NO. 35501-Z dated APRIL 23, 2010 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 FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEPHEN T & LISA P TETTELBACH ( OWNER ) of the aforesaid building. SUFFOI~ CI)[R%Wl"fDEPAR~I~ITOF~THAPPROI~%L N/A EI~C"~RICJ%L uEKTIFIC3~TH NO. 35501 06/14/10 I~L~ER~ ~RTIFICATION Da'r~u N/A ~A~ho~ z/ed~Signat ure Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 35501 Z Date APRIL 23, 2010 Permission is hereby granted to: STEPHEN T TETTELBACH CUTCHOGUE,NY 11935 for : INSTALLATION OF ELECTRIC SOLAR PANEL SYSTEM AS APPLIED FOR at premises County Tax Map No. 473889 Section 102 pursuant to application dated APRIL Building Inspector to expire on OCTOBER located at 1530 CROWN LAND LA CUTCHOGUE Block 0007 Lot No. 009 14, 2010 and approved by the 23, 2011. Fee $ 200.00 '//A/~ut~ho r~ gnat ur e ORIGINAL Rev. 5/8/02 Farm No~ 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANI 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 topographic 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 C~rtificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existingbufldings(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 dweiling $25.0(~, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. CertificateofOccupancyonPrc-existingBuilding- $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: Old or Pro-existing Building: LocationofProperty: ~'~0 ~d, fio~,, ~.,~a,',b Hous~e No. Street O er or owne of Prop¢.y: · Suffolk County Tax Map No 1000, Section ~'g} ~ Subdivision PermitNo. '~-~-0 ] 'DateofPermit. Health Dept. Approval: (check one) Block O"~ Lot Filed Map. Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 0 0 Final Certificate: (check one) -- -pp i~na-ture 'l'<~wn 1 lall Ampex ,31:~7.5 Main Road I:'.O. Box 1179 Southold, N".' 11971-0939 Tclcphonc {6B 1) 76,3-1 l:~x (631) 765-9,502 ro.qer, richert~town.southold.n¥.us BI IILDING I)I~;PARTMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: S&L Tettelbach Address: 1530 Crown Land Lane City: Cutchogue St: NY Zip: 11935 Building Permit #: 35501 Section: 102 Block: 7 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Logic License No: 43858 SITE DETAILS Office Use Only Residential I~ Indo°r [~ Basement I~ Service Only~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures [~ HIDFixtures ~s~ Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixtur ~u Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures [~l TVSS Other Equipment: Photovoltaic system Notes: includes 27 Sun power panels, 1 4000 inverter, 1 ac and 1 dc disconnect Inspector Signature: Date: June 14 2010 81-Cert Electdcal Compliance Form Pacifico Engineering PC PO Box 1448 Sayville, NY 11782 www.pacificoengineering.com June 16, 2010 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Stephen Tettelbach 1530 Crown Land Lane Cutchogue, NY 11935 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 ~n 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, specific to the fastening of panels to the roof, to comply with the NYS code re: 120 mph winds. 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 [,],~,N~ULATION [ ] FRAMING / STRAPPING [~~L [ ] FIREPLACE & CHIMNEY /~IRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT FENETRATION DATE June 21, 2010 The Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 35501 Stephen Tettlebach 1530 Crown Land Lane, Cutchogue To the Building Inspector: Enclosed please find the Engineer's Certification Letter for the post installation for Stephen Tettlebach's photovoltaic solar system, which we installed at 1530 Crown Lane Lane, Cutchogue. Please arrange to send him the certificate of compliance and close out the building permit. Please let me know if you have any questions about the installation. Sincerely, Barbara Casciotta Account Manager GreenLogic LLC 631-771-5152 ext. 117 QREENLOGIC, LLC · www'.GreenLog~c corn SOUTHAMPTON/CORPORATE: 425 County Rd 39A Southampton, NY 11968 Tel: 631 771 5]52 CUTCHOGUE: 1070 Depot Lane Cutchogue, NY 11935 ~h631.765.0404 MANORVILLE: 40 Woodland Avenue Manorville, NY 11949 Tel: 631.830.0102 FIRE ISLAND: 125 Duneway Seaview, NY 11770 Tel: 631741.6400 ROSLYN HEIGHTS: 200S Service Rd, #108 Rosyln Heights, NY 11577 Tel 516 625 6880 FIELD. DATE , FO~A~O~ (lS~ FO~A~ON (2~) . RO~ ~ & PL~G ~8~ON PER N. Y. STA~ ~ CODE T~WN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.Nor~hFork. net PERMIT NO. ~ed ~//~ 9, :o /'~ Approved t~//~2~ ~20 ~ e2 Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 set~ of Building Plans planning Board approval ION FOR BUILDING PERMIT Date INSTRUCTIONS .20. lO B~DG DtPI. a. This appll6)~]fi t :d in by typewriter or in ink and submitted to the Building Inspector with 4 sets of ~t]~I~,~, ac~'~ate plot plan to scal~ Fee accordin to schedule. b. Plot plan showing location of lot and of bthldings on premises, reladonsltip to adjoining premises or public streets or areas, and wa~rways. 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. f. Every building ponnit 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 from 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 pemut for an addition six months. Thereafrer, a new pormit shall be required. APPLICATION IS HEREBY MADE to the Building DeparUnem for the issuance of a BuildIng Pennit pursuant to the Bdildmg 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. (Signature of appl/~ant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, les/s~e, agent, architect, engineer, general contractor, electrician, plumber or builder Sameofownerofpremises 3--'- Te4-Cel/ ega ~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) I+._r-. Builders License No. ,t./O2->.-~ - ~ Plumbers License No. Electricians License No. ~t ~ et,b--8 /~/~'-- Other Trade's License No. 1. Location ofland on '~aich proposed w, orkwill~eqone:/5.~O C/~gt)-~ /~t~ ,/~- ~~M~ House N~ber Street H~let Co~ T~ Map No. 1000 Section lO~ Block ~ Lot q Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and oeeup0ncy of proposed construction: a. Existing use and occupancy ~lt~[~ --4~:~y~ I [~ b. Intendeduseandoccupancy ct e/ l ,nfl 3. Nature of work (cheek which applicable): New Building_ Addition Alteration Repair Removal Demolition Other Work ~rt:~% (Description) ff~'l~ ~O/-~ t 4. Estimated Cost ~.~[! [ l~l(~ 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 oeeupancy, specify nature and extent of each typo of use, 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Heigh[ 8. Dimensions of entire new construction: Front Height Number of Stories 9, Size of lot: Front Rear 10. Date of Purchase ~' ~ ' tgi ~ Number of Stories Rear .Depth Name of Former Owner ~'tA.) I. ~ Rear .Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO 13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES NO __ of premise~ -/-;/~~~: [NO~o~ ~ 14. Names of Owner Address--~--~~ ~ Phone No. Name of Architect Address Phone No Name of Contractor ~-:I ~'e'~'~ ~ LLC~ Addresst4~/l~Id.~qA 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. b. Is this property within 300 feet of a tidai 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 sutwey. 18. Are there any covenants and restrictions with respect to this property? * YES NO ~/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) ~- Ft~ SS: COUNTY 0¥~1~ T J N'~ ~r~ ~1'~l/Ol~r~'/~ berg d~y sworn, deposes ~d says ~a (s)he is ~e applic~t ~e of ~vid~ si~g mn~act~ove n~ed, (S)He is ~e (Contractor, Agent, Co.orate 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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me ~ . ~ day of ~'~1 2010 Notat3/Pul~RBAR~ ~. CASCIO~A ~ Publi~ State of New Yoffi No. 01~A4894969 ~alified tn Suffolk Coun~ - ~n E~ires May 11,~ ffignature of Applicant 1 2 4 5 6 7 8 9 One I-~,,,;,~ (lo(r) d t4atnmbd ~nc~ i;~ urns ~ nmt~ mmm~dmmn s~mdmlm b'dmmdamu~ Im~m~dmmd PnYAd~ NaI: ifym,, Amq,med y~s to.Ods QuesOoa. a Skma.Wabr. ~ ~ & ~ ~ Ptm is NOT Reqdndl . co~<~t~ o~. 8ARI~RA A. CAS¢IOTTA .... No. FORM - 06/07 Qumm.d m 8~ffo,~ coua~.__..~ (kz~tfltl~JoIt Expiml k~y 1t, Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 (631) 76 5 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: "~'~-¢~,~t~P- ~ (~ / 0 rrT, q- Company Name: qame: _icense No.: ~,ddress: Phone No.: Date: JOBSlTE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: lO 7.-- Block: 0 ? Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) (Please Circle All That ~ply) *Is job ready for inspedion: *Do you ne~ a Temp Ce~ifi~te: YE~S~ Rough In /(,Final) ~9//NO Temp Information (If needed} *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form ~OWNE~, FORMER OWNER RES. ,~2 t~ SFJ~. LAND IMP. Ti[[~bie W~lond ~e~dowlond Total OF $OUTHOLD PROPERTY RECORD CARD TOWN STREET J ,~'~ V, LLAGE D .j SUB. ,OT N E ACR. J , I S W ~PE ~ BUILDING VL. ~ FARM CO~,. CB. Mics. Mkt V~lue TOTAL DATE REMARKS I FRONTAGE ~ WATE~ FRONTAGE ON ROAD / ~ ~E~TH , ~ ~ ~ ~ ~' /~0o /~0~ BULKH~D COLOR. TRiM ' I1 1 i' Extension J l,o,h Foundation ~:~ Basement ~c-, Porch ~ .: ~ 7 2_~-$ ,~) \2-~ ~¢oL\ Floors K. / .%v~Lf~. 1"5~ ~r ,, ~(t. nterior Finis1~ LR- Porch 5 ¥.~'~: ~ Waits ~/ ,~\ ¢_~, , ~ DR. Fire Place (k ~ Heat 0 ~ \ Breezewmj Garage ~ ! ~ ~, ~ -~ ~ ,~ ~'~--- ~'1~ T~e Roof R~ms 1st FJoot ~ P~io ~ eTe~ iRecreation ~m ~oms2ndFio~r ~ A~ ~ ~ ~ [ Dormer Driveway O.B. T~al Town Ilall Annex ,5137:) Mare Road P.(). Box l 5oul]l{)ld, NY 119714)939 Telephont (ti31) 765-1802 l:ax (631) 76,5-9,502 BI !ILI)ING DEPARTMI';NT TOWN OF SOUTHOLD June 28, 2010 Stephen & Lisa Tettelbach 1530 Crown Land Lane Cutchogue, NY 11935 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: 35501-Z solar panels I//? 7/ CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CER'nFICATE IS ISSUED AS A MATt'ER 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 150 Main Street East Setauket NY 11733 INSURERS AFFORDING COVERAGE NAIC # I,SO*~D Greenlogic, LLC INSURE^: NGM INSURANCE COMPANY 425 County Road 39A Suite 101 ~NSURERE: MERCHANTS PREFERRED INS CO Southampton NY 11968 INSURER C: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMEDABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDI NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE iSSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. GENERAL UABIUTY EACH OCCURRE~JCE $ 1,000,000 A X X CCMMERCIALGENEEALL~.BiLITY MPP1681L 01131110 01131111 DAMAGETORENTED pRFU~ I~A ~-~,n~nr~l $ 50,000 I CLAIMSMADE ~ OCCUR MHD EXP(Anyo~e peg'=on) $ S,000 X XCU PERSONAL & ADV INJURY $ 1,000,000 ~ CONTRACTUAL LIAB GENERALAGGREGA~ $ 2,000,000 G'~N'LAGGREGATELIMITAPPLIESPER: PROOUCTS-COMPK~PAGG $ 1,000~000 AU...__~MOBILE UABlUTY COMBINED SINGLE LIMIT $ 1,000~000 B A X ^,YAU~O CAPI043565 06112/2009 0611212010 ~aac~n~) EXCESS ! UMBRELLA UABIU~Y EACH OCCURRENCE $ 2,000,000 A X _~ OCCUR b.--J CLAIMSMADE CUP1681L 01131110 01131111 AGGREGATE $ 2,000,000 $ RETENTION ~ 10,000 ~ CERTIFICATE HOLDER TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 Phone: I Fax: ACORD 25 (2009101) CANCELLATION The ACORD name and logo am registered marks of ACORD STATE OF NEW YORK - WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE 10-'LegsI Nme & Address of Insured (Use street address only)' .42S County Road 39A, SuRe 10! .. Work L°co~ou ofInsured (o~y ~r~gc~-~ a sp~c~ M~-M ~o c~ /oc~ow M Nf~ Yor/; ~d; L', U WmpJJp Nume and Address of the EntRy Requesting Proof of Coverage.(Entit~. Being Listed as the CeFtificote Holder) Town Of SouthoM BuiMlog Del~ S309S Route ~S Southold, NY 11971 This certifies that the insurance carrie~ ind;~:i above in box ~" lb. Busine~ TelePhone Number of Insured 631-771-5152 lc. NYS Unemployment Insurance Employer Re~istratinn Number of Insured ld. Federal Employer Identification Number of lasured or Social Security NumboF 20380119 30. Name of Insurance Carrier National Union Fire Insurance . 3b. Policy Nmber of entity Ibted in box WCOO992419S 3q% Policy effective period 3d. The Proprietor, Partners or Executive Officers are [] included. (ouly ~eck box if~# ~rtueu/~ iuchded) [] all excluded or certein parlners/officers excluded. compensation undertbeNew York State Workers' CmnpcosnfioflLaw., To asetbis form, NewYork(NY) must belbted underltem 3A on the INFORMATION PAGE oftheworkers* compeasaflon insuranca polley). TheinstmmceCan'ie~or its licemedagentwill send this Ceflificote of Insurance to the entity listed above ns the certificate holder in box "2"- TI~ lnmrance Carrler will also notify the above c~t;flcate holder withM 10 days IFa policy is ca~celed due to nonpay~ of premhom or with~ 30 days IF the~e are reasons other thtm mmpayment of premha~ that ca.vel the policy or elimi~te the inmred from the coveroge im~ic~ted on tkis Certifwa~ ffl~re notices may be smt by regfdar maR) Or~fr~be, llfb Cfrf~ ls pMid f~r ~e ye~ 4r~fr tkis f~rm ~s dr~pr~ed by ~ke ins~rm~ce carrier ~r I~s--~-~c~sed ag~rd~ ~r urd~ ~ke p~ ~~ ~ ~ b ~ ~3¢% pk~&~ b Please Note: Upon the concolhtion of the workers' compensation policy Jndleated on this form, ff the business continues to be named on a permR, license or contract bsued by a certif~cote holder, the basiness must pFovide that eest'dJcote hokler wRh a new Certificate of Workers' Compensation Coverage OF other authorized pFoof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I ceFtify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Thomas P. Teny (Print rmmc of mihat~l m~M~lli~ m' ~ ~mlt of imurance ~m ~;~t') (sis,,aa,~) (om) Title: Authorized R,q~ese~h,five Telephone Number of authorized represeff~Jve or licensed agcot of imm a,ice carrier:..__631-283-8000 Pie~e Note: Only inmrance carrieTs ami their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue iL C-105.2 (9-07) w~nv.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, roles 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 Pacifico Engineering PC PO Box 1448 Sayville, NY 11782 www. pacificoengineering.co m March 20, 2010 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Stephen Tettelbach 1530 Crown Land Lane Cutchogue, NY 11935 Engineering Consulting Ph: 631-988-0000 Fax: 631-382-8236 engineer~pacificoengineering.com ~: ,:- ( P,_t' · · ALi.. CONSTFL'31 ')N 3FALL MEET THE I have reviewed the roofing structure at the subject address. The the roof mounted system. The units are to be installed in accordance ~v~l~. ,~'l~l~r~..f"~8~et~ai~i~BIl~l~E FOR instructions. I have determined that the installation will meet the requir~L~t,~'~'l~ and ASCE7-05 when installed in accordance with the manufacturer's instructions. Roof Section A mean roof height 24 ft pitch 7 in/12 roof rafter 2x8 rafter spacing 16 in OC Reflected roof rafter span 12.5. ,-, i CERTIFICATE Table R802.5.1 (1) max 16.8 ft collar tie 2x4 collar tie spacing 48 in OC The climactic and load information is below: CLIMACTIC AND Wind GEOGRAPHIC DESIGN Category Speed, 3 sec gust, CRITERIA mph Roof Section A B 120 Ralph Pacifico, PE Professional Engineer Live load, point pnet30 per pullout ASCE 7, load, lb psf 26 267 Fastener typo 5/16" dia screw, 4" length paciflco Engineering PC Ralph pacilico, PE NYS License 066182 iii illllJl I illlllllr,I I III I I ~ I I Il !t!ltl!!llliH!!!!ti GreenLogic, LLC Proposed Tettelbach, Stephen 6.075kW PV 1530 Crown Land Lane Cutchogue, NY 11935 631.734.2337 Layout Created By: BCA 6.075kW 27 SunPower 225w UniRac Sunframe Azimuth :216 ° Pitch: 30° Scale 3/16" = 1.0' Date: 3/15/2010 i Panel Dimension = 61.39" x 31.42" Array Length = 278.43" I Array Height = 188.67" Surface Dimensions = 37'1" x 17'0" I Magic # = 62.14" and 32.17" ~ SunPower 225w o UniRac L-Foot UniRac SunFrame Rail I ~ 2x8" D.o.uglas Fir /~Raffers 16 On Center · Pacifico Engineering PC PO Box 1448, Sawi#e, NY 11782 Ralph Pacifico, PE NYS License 066182 GreenLogic, LLC Proposed Tettelbach, Stephen 6.075kW PV 1530 Crown Land Lane Cutchogue, NY 11935 631,734.2337 6.075kW 27 SunPower 225w UniRac Sunframe Azimuth =216 ° i Pitch = 30° Scale 3/t6" = 1.0' I Panel Dimens'on = 61.39' x 31.42" Array Length = 278.43" I Array Height = 188.67" Surface Dimens'ons = 37 1" x 17'0" I Magic # = 62.14" and 32.17" SunPower 225w UniRac L-Foot UniRac SunFrame Rail 2x8" Do,uglas Fir Rafters 16 On Center Layout Created By: BCA Date: 3/15/2010 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND APPEARANCE The SunPower 225 Solar Panel provides a revolutionary combination of high efficiency and attractive, uniform appearance. Utilizing 72 next generation SunPower all- back contact solar cells and an all-black backsheet, the SunPower 225 elegantly delivers an unprecedented total panel conversion efficiency of 18.1%. The panel's reduced voltage-temperature coefficient and exceptional Iow-light performance attributes provide far higher energy delivery per peak power than conventional panels. SunPower's High Efficiency Advantage - up to 50% More Power SPR-225-BLK Conventional Walls / Panel 165 Efficiency 12.0% kWs 3.0 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND APPEARANCE Peak Pow~e_r ?/-5 %) Pma_x ...... __2~_5 ?V- Rated Voltage Vmp 41 .O V Rated Current imp 5.49~A .... Open_~!r?!! Vo?a ge ...... Vo_c~ ....... _48.5 V Short Circuit Current Isc 5.87 A Maximum System Voltage IEC, UL 1000% 60OV Temperature Coefficients Power -0.38%/°C Voltage (Voc) -132.5 mV/°C Current (Isc) 3.5 mA/°C Series Fuse Rating 20 A 5.0 lO0OW/,~ '~ 4.0 8°° W/m~ ~3.0 2.0 soo W/m2 1.0 0o0 1000 W/m~ at 50 ~C 0 10 20 30 40 50 60 Voltage (V) Peak Power per Unit ,~r~ ?_1 W_~m~,.1 ~.8 W/f~ ~ -~ , CEC PTC Rating 207.1 W Te~p~era~r~ -~?~_~. ~ +___90°~C (,-40'*F~ ~- 194°!) Max 10ad 50_psf~ ~s~a!s~.~a~ ~ck _ Im~ct Resis~nce Hail -25mm (1 in) at 23 m/s [52 mph) Sola~ Cells . 7~.~u~Po_?~l~?? ~n~cLmo?~s~lli.~ Junction Box lpg5 ra~ wi~ 3 b~ass diode* Warran~ 25 ~r limJ~ ~r warran~ Frame Anodi~ aluminum ~!~ ~ 6063 Certifications IEC 61215, ~ ~s~d IEC 61730 Weight 15 kg, 33 lbs UL lis~d (UL 1703), Class C Fire Ra~ng l CAUTION: READ SAFETY AND INSTALL6.TION INSTRUCTIONS BEFORE USING 1HE PRODUCT. Go to wv.~v, sunpowercorp.com/panels for details SunPower designs, manufactures and delivers high-performance solar electric technology worldwide. Our high-efficiency solar cells generato up to 50 percent more power than conventional ~olar cells. Our high-performance solar panels, roof tiles and trackers deliver significantJy more energy than competing systems. Printed on recycled paper www.sunpowercorp.com 500Om, 6000m & 7000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE The SunPower inverters 500Om, 6000m & 7000m provide exceptional reliability and market-leading design flexibility. The SPRrn line of Solar Inverters can be easily applied Jn residential or commercial installations. All models come with a 1 O-year warranty. SPR-5OOOm, SPR-6OOOm & SPR-7OOOm www. sunpowercorp.com 5000m, 6000m & 7000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE SPR-5000m SPR-6000m SPR-7000m AC Max Oul~t 240V, 277V): Efficiency Anay Input Power 5300 W 6400 W 7300 W (DC · s~c) DC Input 25O - 600 V 250 - 600 V 250 - 600 V Peak Power 250 - 480 v 250 - 480 v 250 - 480 v Tracking Vollage SPRm Efficiency Curves 75 % of Raled Oulput Power Shipping Dimemions W x H x D inches 23.5" x 31.0' x 16.0" Unit Dimeedons W x H x D inche~ 1s.4~ x 24.1" x 9.5' Inverter Weight 143 ~bs Shipping Weight 134 lbs Coding For~d Air / Sealed Electronics Er~losure Endasure NE,VA 3R Mounting Wall Mount Bracket Standard DC Jg~x. 21A 25A 30A Inpest Current DC Vdtage <5% Rippb No. d r'u~l 4 Slandby / < 7W/0.25 w Fuzed DC & AC Slandard; Complies wil~ NEC Standards 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 significantly more energy than competing systems. www. sunpowercorp.com 3 Strings of 9 SunPower 225 W panels, Each string 2025 watts Array total of 6075 Watts All panels to be grounded as per NEC code 2, 30 AMP two pole DC switches from panels to inverter SUNPOWER SPR 6000m INVERTER 240 VAC 240 VAC f~om inverter to a 30 Amp switch near utility meter