Loading...
HomeMy WebLinkAbout35413-ZFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34675 ~te: 11/10/10 THIS c~KTIFIES that the building SOLAR PANELS Location of Property: 700 TEEPEE TRAIL SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 2 I~t 25 subdivision Filed Map NO. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 2010 purs%~nt to which Building Petit No. 35413-Z dated NL~RCH 25, 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 ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & CAROL PUFAHL (OWNER) of the aforesaid building. SUFPOLK COUNTY DEPARTMENT OF H~ALTHAPPROVAL N/A EL~O£KICAL U~aTIFICATH NO. 10-6132 08/25/10 PLIERS U~KTIFICATION DA'r~u N/A 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 FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35413 Z Date MARCH 25, 2010 Permission is hereby granted to: ROBERT & CAROL PUFAHL 700 TEEPEE TRAI SOUTHOLD,NY 11971 for : INSTALLATION OF AN ELECTRIC SOLAR PANEL SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 700 TEEPEE TRAIL SOUTHOLD County Tax Map No. 473889 Section 087 Block 0002 Lot No. 025 purs,,~nt to application dated MARCH 3, 2010 and approved by the Building Inspector to ex, Dire on SEPTEMBER 25, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be f'flled 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, p?operty 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 certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit P1 .anning Board Approval of completed site plan requirements. Be 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 completod 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. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00~ Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. UpdatedCertificateofOccupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 New Construction: Location of ProPerty: ~00 Date. Old or Pre-existing Building:. House No. Street Hamlet (check one) Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~'q [ B Health Dept. Approval: Planning Board Approval: Date of Permit. Filed Map. Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) --Applicant Signatur~e Electrical Inspectors, Inc. 308 East Meadow Avenue East Meadow, NY 11554 Office: (516) 794-0400 (631)396-7474 Fax: (516) 794-5854 Website: www.elec~ calinspectors.com Email: in fo~electficalinspectors.com Mail To: Sun Power Systems Scot~ A. Maskin 1217 Montauk Highway Oakdale, NY 11769 Licenseg: 33412-ME Certificate Number: 10-6132 Municipality: Southold, Town Of Inspector: 124 lsstte Date: 8/25/2010 Property Address: Robert Puihal 700 Tee~e Trai~~ Southold, ELECTRICAL APPROVAL . RTIFICA TE AREAS LISTED BELOW ARE APPRO~/gD/~Y INSPECTION No visual dcfecB were found for the electrical inspeciion proviZ. No obvio~satisfactory conditions were found in the areas herein b~low only. ~ / Residential Inspection ~ 8775 B~ Roof Mounted Solar Photovoltaic System lnflttffding: 1- 6~OB~ lnverter. 1- 3000[F lnverter, 39- 225W Modules, 1- 60Amp Single Phase A/C Disconnect. 2- 30~~~D~nects. 1- Combiner Panel/6Ckts/5 Used.* Richard M. Bivone President Philip F. Goehfing Chief Electrical Inspector Not valid unless signed by an authorized Ell Agent TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [t.~AL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSI~F. CTION [ ] FIRE RESISTANT CONS~UCTION [ ] FIRE RESISTANT FEllE11~TION REMARKS: ~ ~10 Fisher Engineering Services, P.C. PO Box 30 · Oakdale · New York 11769 Phone: (631) 563-9028 November 3, 2010 Building Department Subject: Engineer Statement for Solar Roof Installation Pufhal Residence- 700 Teepee Trail Southold, NY 11971- Permit # 35413 I have verified the adequacy and structural integrity of the existing roof rafters for mounting the solar collector panels and their installation satisfies the structural roof framing design load requirements of the Residential Code of New York State. I have reviewed and certify that the manufacturer's guidelines and equipment for the photovoltaic equipment for the above residence meet the requirements for wind and snow load and that the roof structure is adequate to carry the new loads imposed by the System. For the installation of the solar mounting, the rails are securely anchored to the rafters utilizing lag screws that have been designed for wind speed criteria of 120 mph Exposure C and snow ground criteria of 20 psf. Wind loads will exceed seismic loads. Other climate and geo design criteria are not applicable to this solar installation. The solar collector system and the mounting assemblies comply with the applicable sections of the Residential Code of New York State- "Solar Systems" and loading requirements of roof-mounted collectors. This system has been installed properly at the above referenced residence. The installation is in accordance with the minimum requirements certified by this letter. I hope that this letter serves and meets with the approval of the Building Department. Si,.ncerely, 0JW~ ]~li~m G~. ~r~, e .E. Licensed Professional Engineer Architectural Design · Residential · Light Conunercial Additions · Extensions · Conversions Construction Estimates / Oversight · Expediting · Inspections cOMMENTS I~'~:LD IN~PEt,~I'xON REPORT DATE FOUNDATION (1ST) FOUNDATION (2~) PLUMBING INSULATION PF.~ N.Y. '"{ STATE ENERGY CODE //,.~_~ ~ ' /~' I ADDITIONAL CO1HMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c ~./9- J", 20 jO Expiration 7/o~gJ ,20 ff PERMIT NO. ~ ~4l ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Phone: $3/- ~g Inspe;or ~ a~This application MUST sets~of pl~scale L.~b. Plo~l~ ~n.~.location o APPLICATION FOR BUILDING PERMIT Date ~#, ,,2 ,20/0 INSTRUCTIONS apletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 Fee according to schedule. ?lot and of buildings on premises, relationship to adjoining premises or public streets or c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning aroendroents or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pcn~it for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursnant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, an~ to admit authorized inspectors on premises and in building for necessary inspections. (Signature of a~pt.i~nt or name, ifa coq~oration) (Mailing ~d~clre ss of applii:ant)' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~t'r~ / (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Nan~e an~t title of c. orpo~-ate o~cer) . . Builders License No. /V/] Plumbers License No. /,"~ Electricians License No. $ 3 ~12 -PrE Other Trade's License No. /--~r~- .~z~,.'a ~emtn ~ 1. Location of land on which proposed work will be done: House Nmber Ha~et Co~* T~ Map No. 1000 Section Subdivision Lot o~'~ Filed Map No. .5-/o?~ Lot a° State existing use and occupancy of premises and~ ~nten,ded use and occupancy of proposed consmaction: a. Existing use and occupancy //~t'ct Jro ~t / b. Intended use and occupancy t~£!'der,'/~'a / 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work ,30a/~r / (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, speci~ nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth o Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear ~ ~: ~ Depth Height Number of Stories 9. Size of lot: Front 10. Date of Purchase Rear .Depth .Name of Former Owner 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__ 14.' Names of Omer of premises Nameof~chitect ~,'/A~m ~3t~ Ad~ess~a~o~,~b~gPhoneNo Name of Conmctor 15 a. Is ~is prope~ wi~ 100 feet of a tigl wetland or a beshwater wetland? *YES * IF YES, SOU~OLD TO~ TRUSSES & D.E.C. PE~ITS ~Y BE ~QUI~D~ b. Is ~is prope~ wi~in 300 feet of a till wetl~d? * YES NO * IF y s. P m,rs 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF x~.t~ 7~[ tl~ , /~,~f'~/O beingdulysworn, deposesandsaysthat(s)heistheapplicant (Name of individual signing contract) above named, (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true 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 this Notary Public CHRISnNE C~THCART / NOTARy PUBLI~ ~I'ATE OF NEW YORK UC # 01C~4~4~ core, same ~ 0ea'/no~g~ of Applicant FOR~ER Ow~FR OF SOUTHOLD PROPERTY RECORD CARD VILLAGE . E W SUB. LOT TYPE OF BUILDING RES. .~l~'J SEAS. LAND IMP. '71o0 VL FARM NEW FARM TOTAL DATE COMM. CB, MlCS. REMARKS AGE BUILDING CONDITION NORMAL BELOW ABOVE Value Per Value Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH Tillable Woodland Mkt. Value Meadowkmd House ~.~'" BULKHEAD Total DOCK COLOR TRIM Extension Patio Total = Foundation ! Bc~ernent Ext. Walls Fire Place Type Roof Recreotlon Room Dormer 0 Both Floors ]nterior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway lLR- BP,. / ? To~n llall Annex 5tS75 Main Road P.(). Box 1179 Soud~old. NY 11971-0!).59 Telephone (631) 763-1 F:cx (631) 76,'k9302 B1 !ILl)IN(; 1)I';I~ARTMENT TOWN OF SOUTHOLD November 5, 2010 Carol Pufahl 700 Teepee Trail Southold, New York 11971 NOTE: See enclosed copy of the inspection report dated 10/26/10 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occuancy: '"'"-J Application of Certificate of Occupancy. (Enclosed) J~ Electrical Underwriters Certificate.j ~ A fee of $50.00 / __ Final Health Department approval, __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35413-Z solar panels AcCO O CERTIFICATE OF LIABILITY INSURANCE 9/8/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ilg Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 387 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakdale, NY 11769 (631) 218-3500 INSURERS AFFORDING COVERAGE NAIC# ;,SUNEO SURation Solar Systems, Inc. tNSU~R ~ Preferred Contractors Ins Co rNSURER B: 1217 Montauk Highway iNSURER C: Oakdale, NY 11769 INSURER D 1¢631~ 750-9454 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOIWiTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOVVN MAY RAVE BEEN REDUCED BY PAID CLAIMS. ~ IN~D! ~fl~E OF INSURANCE POLICY NUMBER DATE~MM/DD/YYYYI DATE~MM~OD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ I ~, 000 , 000 X COMMERC~J. GENERAL LIABILITY PREMISES (Fa occu~e~ce~ $ 50. 000 I CL~IMSMADE [] OCCUR MEOEXP(,~nyonepe4.-~n) $ 5 , 000 A PC72171H~ 06/06/09 06/08/10 PERSOt~0_ & Al~St INJBR¥ $ lt000 f000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLiES PEP PROOUCTE-COMP/OPAGG $ 1.000.000 S DESCRIPTION OF OPERATIONS / LOCATIONS 1%~EHICLES /EXCLUStONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Type of O~eration: Installation of solar panels. CERTIFICATE HOLDER Town of Southold 54375 Route 25 Southold, NY 11971 CANCELLATION ACORD25(200g/01) © Ights reserved. STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la, Legal Name and Address of Insured (Use street address only) SUNATION SOLAR SYSTEMS INC 1217 MONTAUK HIGHWAY OAKDALE, NY 11769 2. Name and Address of tho Entity requesting Proof of Coverage (Entity being listed as the Certificate Holder) Town of Southold 54375 Route 25 Southold, NY 11971 lb. Business Telephone Number of Insured 631-737-9404 lc. NYS Unemployment Insurance Employer Registration Number of Insured ld. Federal Employe~ IdentificaUon Number of Insured or Social Security Number 753118816 3a. Name of Insurance Carrier Tho First RehabilitotJo~t Lire Insurance Company of America 3b. Policy Number of Entity listed in box "la": D243442 3g. Policy effe~ive period: 11/28/2008 to 11/27/2010 4. Policy covers: a, [] All of the employer's employees eligible under the New York Disability Benefits Law b. [] Only the followingctessorclessesoftheemployer'semployees: Under penalty of per. j u~j, I eartify [hat I am an authorized representative ~ lieansed agent of the insuranea ea~rier referenced above and that the named irmured has NYS Disability Benefits insurance coverage as described above. (Si~latore of insurance carrier's authorized representative or ~YS Li~,d Insurante Agent of that Insurmtee ~an-ler) Telephone Number 516-829-8100 TiUe Sr. Vice President IMPORTANT: If box '4a" is d~erJmd, and this fm-m is signed by the Insuranm r~rrler's authorized representative or NYS LIc*m~d Insurance Agent of that gerrtar, this geritfleata is COMP~.ETE Mall it dl~,~:tly to Ute ee~lflca~ holder. If box "4b' is citegked, this ce~tiflr, ate is NOT COMPLETE for the purposes of SegUon 220, Subd. 8 of the Disability Benefits Law. It must bo mailed for completlm to [he Worker's Cemp~tsatlmt Board, DB Plar~ Acgeptall~e Unit, ZO Park Stree~ Albany, NY 122~7. PART 2. To be completed by NYS Worker's Compensation Board (Only if box "4b" of Part I has been checked) State of New York Worker's Compensation Board Date Signed. By Telephone Number Title Please Note: Only insurame carriers licensed to write NYS Disability Benefits insurance policies and NYS Licensed Imurance Agents of those insurame carriers are authorized to issue Form DB-120.1. Ir-c, uranea brokers ere NOT authorized to issue this form. DB-120.1 (5-0~) STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name & Address of Insured (Use street address only) SUNation Solar Systems, Inc. 1217 Montauk Highway Oakdale, NY 11769 Work Location of Insured (Only required if coverage is specifically limited to certain locations in New York State, i.e., a Wrap-Up Policy) lb. Business Telephone Number of Insured (631) 750-9454 1c. NYS Unemployment Insurance Employer Registration Number of Insured 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holder) Town of Southold 54375 Route 25 Southold, NY 11971 Id. Federal Employer Identification Number of l#sured or Social Security Number 75-3118816 3a. Name of Insurance Carrier AIG Insurance Company 3b. Policy Number of entity listed in box "la" WC00745408~ 3c. Policy effective period 11/28/09 11/28/10 to 3d. The Proprietor, Partners or Executive Officers are [] included. (Only check box if all partners/officers included) X all excluded or certain partners/officers excluded. This certifies that ~he insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box "2". The Insurance Carrier will also notify the above certificate holder within I0 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured fkom the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance currier or its licensed agent, or until the policy expiration date listed in box "$c", whiehever Is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, 1 certify 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. Paul J llg Approved by: Approved by: )(~[fl.(lh'int name of authorized representative or licensed agent of insurance carrier) (Signatur#) ~ (Date) President Title: Telephone Number of authorized representative or licensed agent of insurance carrier: Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT Additional Instructions for Form DB-120.1 By signing this form, the insurance carrier identified in Box "3" on this form is certifying that it is insuring the business referenced in Box "la" for disability benefits under the New York State Disability Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in Box "2". This certificate is valid for the earlier of one year al~er this form is approved by the insuranee carrier or its licensed agent, or the policy expiration date listed in Box "3c". Please Note: Upon the cancellation of the disability benefits policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of NYS Disability Benefits Coverage or other authorized proof that the business is complying with the mandator~ coverage requirements of the New York State Disability Benefits Law. DISABILITY BENEFITS LAW Section 220. Subd. 8 {a) The head of state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b) The head of state or municipal department, board, commission, or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article, and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. DB-120.1 (5-06) Reverse authorized to issue it. C-105.2 (9-07) www.wcb.state.ny.us Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a haTardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carder is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such conlract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. 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% Mom Power Waits / Panel E~icie~cy 12.0% 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND APPEARANCE Peak Powm' (+/-5%) Pmax 225 W Rated Voltage Vmp 41.0 V Rated Current Imp 5.49 A Open Cimuit Voltage Voc 48.5V Sho~t Circuit Curre~l Isc 5.87 A Maximurn 5yslmn Vo~ IEC, UL 1000 V, 600 V Temperature Coefficienl~ Power -.0.38%/~C Voltage (Voc) -132.5 mV/°C Current [Isc) 3.5 mArC Series Fuse Rofing 20 A Peak Power per Unit Area 181 W/m~, 16.8 W/~ CEC PI'C Rating 207.1 W Solar Cells 72 SunPower a~back conlact monoc~/dalfine Front CRass Junction Box 3.2 mm (I/8 Jnl lemper~ lpg5 ~aled wiJh 3 bypass diades Output Cables 900mm length cable / Mul6.Conlact connectors Frame Am~dized alum[num alby lype 6063 7.0 6.0 5.0 4.0 ~.o 1.0 0.0 IO00W/n~ ~ 0 I 0 20 30 40 50 60 Temperature -40' C Io +85' C ~40*F Io +185°F) Max load 50 p~f 12400 Pm, cab) ~ron! and back Warranty 25 year Iimiled po~er wan'a nly 10 year limiled product warmnly Certifications IEC 61215, Safe¥ le~ed IEC 61730 V~ig ht 15 kg, 33 lbs UL listed (UL 1703), Cla~z C Fire Raling CALfllON: READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. Go !o ~,~, surlpowe~corp corn. panels for detaiJs SunPower designs, manufactures and delivers high-performance solar electric technology worldwide. Our high.efficiency solar cells generate up lo 50 percent more power than conventionol solar cells. Our high-performance solar panels, roof tiles and trackers delivm significantly more energy than competing systems. ~'~ Printed on recycled paper www. sunpowercorp.com SURVEY OF [ NUNNAKOMA WATERS .~ No. 5126 ~1~0 JULY 9. 1968 SITUATE SOUTHOLD IOWH OF SODIHOLD SUFFOLK COHHIY, HEW YORK S.C. TAX No. 1000-87-02-25 SCALE 1"=20' DECEMBER 27, 2007 %. ~ ~ Nathan 'Taft Corwm Land Surveyor (5.775 kW SYSTEM SIZE MODEL SF'WP-,-225 SUNPOWER 225 WATT EA., 33#/MODULE, G I .39"L x 3 I .42"W x I .8 I"D HOUSE: 50LAR MODULE ARRAY- 39 MODULES TOTAL RI DG E RAPTE RS SOLARMOUNT ---__ I I '~ ~ SYSTEM (TYPICAL --~ d.. J> C-... -~"~ ..~ I I I J,' 'J -~ PHOTOVOLTAIC ,. ~. ~ Row DE ENT,RE , >< X ARP-,AY) (0.1¥ Two ~ [~ ~ ~__~q./'T'"~_~'-~I I I I RIDGE 'W ~ ~ ~ ~1 J I I I I~%~~ ~ ~ ,:, //~~1 I I I I ~ ~ ~% / ,2 MODM~*~Y= 27 MODUL~ k~: ~:~~' '~L '~' I I I I I ~l~~'l I I I I_ <2 ~m~,N~ o~ ~ MOOUL~>,_,%, (, ~T~,N~ 0~, MOOUL~),,%.X I ~ ~1 I I I I I AREA 50~R 50~R , DISCONNE~ DISCONNE~  ~OO~ PITC~ G:I 2 INVERTdR(I) 5D ~ INVERTER(I) 5D 5PAN: ~ ~ 3000 5000 PARTIAL HOUSE ROOP PLAN ~.v ' Groundm~ AC D'DCONNE AC DIDCONNE L FASTENER REQUIREMENTS: ~, // TOTAL AR~Y AREA = 522 5F '.x / ~'ST. POWER PANEL WIND LOAD: ASCE 7 (SEE CALCULATIONS THIS 5MEET) 41.5 PDF ~ rp o~' · ~ TOTAL UPLi~ = 41.5 psF x 522 5p = 21 ,GG3 LB5 50LARMOUNT LAG 5CREW SPEC 203.2, 8/04: (P~T WASME~ REQ TO BE i ,. ~¢uF0c ,z.~0d~.tcu-~n ( ~' ''l.~. USED WITH ~G DOLTS) 2. LAG BOLT WITHD~WAL VALUE; 5/I G" DIA,, 2GQ LB/IN X 2-IN THREAD DEPTH= ~IDT. M~ER M 3. 532 LB. CAP. EACH ~ ALL CO~mU MIN. NUMBER OF ~G BOLTS REQ.= 21 ,GG3 LBS t 532 LDS/~G BOLT = 4 I TOTAL~ILFEET,231 ~ = 231 ~IL~/41 DOLTS = / M~IMUM SPAN ~ETWEEN MOUNTING ~EET DOLTS: 5.g' USE 45" M~. /p $Y$TEM ONE LI NE DIAG~M ULL HOUSE ~OOP PLAN SCALE: NTB DCALE: NTb OCuLh Wind Load Calculabon:..~ ~ ,,4JT CERTIFICATE ADCE 7-02: Parbally Enclosed Dmldm~ Design (Assume Wors~ Ca5¢) UN,~C ~,L ,5 DESIGNED AND WAR~NTED BYTHE Low Riss DulJ~m~; h< =GOFB: Mean Mglgh~; h=30~ ~IL ~.) MANUFACTURER FOR LOADS UP TO 50 LBS/SQ. ~. mUILOIN~ REVI=W NOTE MOUNTING ~E~ POSITIONED (APPROX. '25 MPH WIND) WHeN INSTALLED A5 J glr~C~lonallBy ~a~Boc: KM p~c 5~bon G.5.~.~, ~a~l~ G-G): Kd=0.85 over ROOF ~ER MEMBERS R~QUIKED BY THE MAUNU~A~U~R. TOWN BUILDING P~N~ ~AMINE~ H~ ~VIEWED THE ~NCLOSED ' MOUNTIING POOT W/ PER MPG'~ REQUIREMENT5 DOCUMENT POR MINIMUM AC~ABLE P~N SUBMI~AL ~QUI~MENT5 2. Im~orBance ~c~op: ~gr ~C~lOn G,5.5, ~gblg G-l) Ca~a~o~ Il; I= J.O BU~L ~UBB~R MEMB~NE OPTHETO~A5SPECI~IEDiNTH~BUImlNGAND/OR~IDENTIALCODE 3. V~Jo~l~y ~P~Ur~ Co~lCl~n&: ~h ~p ~6c~lon ~.~.~.~ B~WE~N TOOT * ~HOTOVOLTAIC MODULE NOTE: THE MOUNTING ~T MUST B~ A~ACHED TO o~ THE STATE OF N~ YO~ THIS ~EVIEW DOE~ NOT GUA~NT~ (~X~OSUP~ Ca~a~ory C ~r ~.5.~ ~abl~ ~-3); Kh =0.~ RO0~ ~HINGLE P~R R~51DENTIAL / THE BUILDING ~ER5 OR P~MING (NOT JUST THE UNOEKTHE SEAL AND 51GNATU~ O~ THE 5TATE OF NEWYO~ LICENSED RO0~ DECKING). USE 5/I G" OR 3/8" DIAM~ER ~G DESIGN PROFE55~ONAL OP ~CO~D. THAT SEAL AND ~IGNATU~ H~ BEEN 4. Topographic ~acbor: ~B per Section Q.5.7 (Lon~ I~Jand); ~B= I CODE O~ NEW YORK STATE RO0~/ UNI~C ~IL BOLT5 AND DRILL PILOT HOLE. PINALTIGHTRNING INT~RPR~D AS AN A~STATION THAT, TOTHEBESTOFTH~ LICENSE,'5 5. GUS~ ~2c~OP: G ~r G.5.~. ] , g:O.~5 PENET~TION5 CHAPTER e ~) / '~-~ BELIEF AND INFO~ATION THE WORKIN THE DOCUMENT IS: TALNFEET J ~% 5HALL DE DY HAND. ALL INDTAL~TION PROCEDURE5 'ACCU~TE  ?r 5HALL BE PER MANUFA~URER'5 ~QUIREMENTS. 'CONFOEM5 WITH GOVERNING CODE5 APPLICABm AT THE TIME or TH~ G. Exposur~ Cla55ificaelon: per ~¢Celon G.5.~ = H ' '~"""~""~"~¢ ~ "x" (M~ 5rAN) 'CONFORM55UBMI5510NwITM ~ONAB~ STANDARD5 OF P~ICE AND WITH VIEW 7. In~¢rnal Pr¢55ur8 Coe~lcien~: GCp F~r ~¢ctlon G.5, I I. ], Table 6-5; GCF~=0.55 ~ % _~ . ~. External Pr~55ur8 Co¢¢fiClCn~: ~CFf per ~¢¢$1on ~.5. ~ ] ,2.I, Figure G-I O; ~ MAX, SPAN 3ETWEEN TO THE SAFEGUARDING OF LIFE, HEALTH, FROPEA~AND PUBLIC ~LFA~ ~C~O,~O ~ MBUNTING FEET = '48' NOTE: 15 THE ~SPONSIBILI~ OF THE LICENSEE ~, Velocity Pr¢55ure: qh per ~¢c$1on G.5. I O: ~ ~=~ Mo~ul¢~ an~ pan~l~ and any moun~,n~ har~war~ prov,~¢~ ~hal[ wl~hsSan~, wlShou~ Cvl¢6mc~ of ~bru~ural or 5TRUCTU~L STATEMENT qh=(O.OO25G)(Kh)(~)(~)(V ~ 2)(0 PHOTOVOLTAIC MODULE SECTION m~chanlcal failure, I .5 $1m¢5 ~h¢ ~¢51~ Ioa~ when ~h=(O.OO25G)(O.98)( I )(0.85)( I 20 ~ 2)( I ) TOTAL ROOF DEAD LOAD I 0¢/5F NOTE: downward(positive) or upward (negat,ve). All glaz, ng IMPOSED BYTHE PHOTOVOLTAIC MODU~ 5~TEM INCLUDING UPLI~ ~h=~0'7 (ROOF) + 2.5¢/5P (MODULE) PADTENE~ 5HALL NEVE~ ~CEED 48" BETWEEN ~IL 5H~AA. THE ~ISTING ~d~51ZE5 $ DIMENSIONS CONEOAM TO ~CN~ I O. Design WmM Loa~ p~r 5¢c~on G. 5. I 2 = I 2.5¢/5~ TOTAL PEET PER MANUFACTURER member5 5hall be of such 5~r~n9th to w~bhs~and ~hese TABLE ~802.5. I(I)- ~E~DPAN5 loads. The module5, panel5 and any moun~m~ hardwar~ p=~h(GCpf-GCpO MODEL 5PW~-225 5UNFO~A 225 WA~ EA., 5hall be factory ~es~ed under ~h858 Ioad5 for a p~nod of ~=30.7(+0.~0+0.55) UNI~C ~IL INDTAL~TION 33C/MODULE, G I .3~"L x 3 I ,42"W x I .81 "D (2.5¢/5P) 30 mmu~es. (Downward ~ upward forcea 5hall not be ~=~0.7( I .35) GUIDEUNE5 ~EE MANUPACTUAE'5 MOUNTING D~CKET MATERIALS AR~ applied 51multan¢oualy. ~=4 I .5 ~sf REQUIREMENTS NON-COMBUSTIBLE IN ACORDANCE WITH ~M2301.2.2 AND CONSIST O~ ALUMINUM L