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Home My WebLink AboutTR-7427A Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD CERTIFICATE OF COMPLIANCE # 0625C Date March 22, 2011 THIS CERTIFIES that the installation of 10kw solar panels onto the roof of the dwelling At 375 Lighthouse Lane~ Southold Suffolk County Tax Map .970-6-29.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 10/29/10 pursuant to which Trustees Wetland Permit #7427A dated 11/17/10 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 The installation of 10kw solar panels onto the roof of the dwelling. The certificate is issued to FREDERICK B. POLLERT owner of the aforesaid property. ~t~orlzed Silnam~r Jill M Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hail, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (63 I) 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 1st day of construction ~ constructed Project complete, compliance 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 (631) 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 ½ constructed ~/' Project complete, compliance inspection. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town H~lAnnex 54375M~n 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 Permit No.: 7427A Date of Receipt of Application: October 29, 2010 Applicant: Frederick B. Pollert SCTM#: 70-6-29.2 Project Location: 375 Lighthouse Lane, Southold Date of Resolution/Issuance: November 17, 2010 Date of Expiration: November 17, 2012 Reviewed by: Trustee Bob Ghosio, Jr. Project Description: To install 10kw solar panels onto the roof of the existing dwelling. 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 project plan prepared by Pacifico Engineering PC, received on October 29, 2010, and stamped approved on November 17, 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. Board of Trustees JMD:eac Jill M. Doheny, 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 (631) 765-1892 Fax (631) 765~1641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated~2~~ ¢xOO/O has been reviewed by this Board at the regular meeting of,L~:~:~_¢'l '7,,,o?t2,/0 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st 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 Doheny, President James F, King, Vice-President Dave Bergen Bob Ghnsio, Jr. John Bredemeyer P.O. Box 1179 Southold~ NY 11971 Telephone ( 631 ) 765-1892 Fax (631) 7654641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: GreenLogic on behalf of FREDERICK B. POLLERT requests an Administrative Permit to install 10kw solar panels onto the roof of the existing dwelling. Located: 375 Lighthouse Lane, Southold. SCTM#70-6- 29.2 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: __ __Administrative__Emergency Info needed: Wetland __Coastal Erosion __Amendment Pr, e-Submission __Violation Modifications: Conditions: ~,sen~re: __&King __J.Doherty __J. Bredemeyer B.~io,~ D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: D. Bergen__ 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 This is to certify that Master Electrician License 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 A T F,L,!ABILITY INSURANCE I ~ ~ ~/r* ........ ,~ ONLY AND CONFE~ NO ~GH~ U~N ~E CER~I~ Broo~aven Ag~, Inc. ~ ~ ~ ; HO~E~ ~lS CE~FI~ ~S NOT AMEND, ~D OR ; t~ ~ : ~ AL~R ~E C~GE ~F~D~ BY ~E ~U~ B~, P.O.~x~0 l; ~ ~' ~ ~ ' ~ iSURE~ AFFO~ C~E~GE ~C ~ E~t ~,J ~t NY 117~ j ~.~ G~nlogic LL~ ~ ................... ~SU;~A: NGM INSU~NCE CO.ANY 425 Cou~ Road 3~ Sure 1~. .. ~R~B: MERC~NTS PREF~RED INS CO NSURER O: MPPI681L 01131110 1131111 XCU C~T~UAL LIAB 2,~0,000 1 ,~,000 COMBINED St%JG[E UblIT 1,000,000 ~12/2009 06112/20t0 01131110 11311tl ~,-ATiFiCATE HOLDER TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 Phone: I Fax: ACORD 2B (2009/01) CA.UnI=~ ~ ~,'nON ~ 1988-200~ ACORD r,;G A,~,~..,A~ION. Afl Hght~ The ACORD namo and logo are registered martcs of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name & Address of Insured (Use street address only) Greenlogic, LLC 425 County Road 39A Suite 101 Southampton, NY 11968 Work Location of Insured (Only required if coverage is specifically limited to certain locations in New York State, i.e., a Wrap-Up Policy) 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holder Town of Southold BuildingD~ept; 53095 Route 25 Southold, NY 11971 Sguthha[d lb. Business Telephone Number of Insured (631)771-5152 lc. NYS Unemployment Insurance Employer Registration Number of Insured 1 d. Federal Employer Identification Number of Insured or Social Security Number 20-3801194 3a. Name of Insurance Carrier New Hampshire Insurance Co 3b. Policy Number of entity listed in box "la" WC1602420 3c. Policy effective period 08/11/2010 -8/11/2011 3d. The Proprietor, Partners or Executive Officers are [] included. (Only check box if all partners/officers included} all excluded or certain partners/officers excluded. This certifies that the 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 10 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 from 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 carrier or its licensed agent, or until the policy expiration date listed in box "3c'; whichever 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, I 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. Approved by: Approved by: Thomas P. Tertw, CPCU (Print name of authorized representative or licensed agent of insurance cartier) 08/03/2010 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: (631) 283 -8000 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C- 105.2 (9-07) www.wcb.state.ny.us 10/25/2010 10:38 FAX 003/008 10/25/2010 10:39 FAX ~]00§/005 Jo.,"/4=~ I 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 To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: November 15, 2010 Re: Proposed Wetland Permit for GREENLOGIC, LLC SCTM# 1000-70.-6-29.2 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 Town of Southold Board of Trustees Application Office Use Only Coastal Erosion Permit Application~ ZWetland Permit Application ~.~ Administrative Permit __Amendment/Trans~[er~ension Received Applicati~on~ Received Fee:$ ~' ~_Completed Applicati on ' ~Q~._~ __Incomplete __SEQRA Classification: Type I Type Il Unlisted Coordination:(date sent) ~LWRP Consistency Assessment Form CAC Referral Sent: ~...Date of Inspection: ~ ~ ~ 1(3~ __Receipt of CAC Report:' __Lead Agency Determination: ~Teehnical Review: ~blic Hearing Held: ! ~ ! lr~ !!0 Resolution: NameofApplicant-4~rcAertc~[~- ~-'~. ~"~0[[~ Address2~'5 Phone Suffolk County Tax Map Number: 1000 Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT: & reen Loc_.3 to._ (If applicable) 10/25/2010 10:39 FAX ~007/009 Board of Trustees Application Land Ama (in square feet):___ Area Zoning: GENERAL DATA Previous u:ie of property: Intended uae of property: Covenants and Restrictions: Yes _~,'" No If"Yes", please provide copy. Does this Froject require a variance from the Zoning Board of Appeals __ If "Yeg', p lease provide copy of decision. Prior perm.~approvals for site improvements: Yes No __ No prior permits/approvals for site improvements, Has any permitJapproval ever been revoked or suspended by a governmental agency? .,,,'~No Yes Ifyas, pro~4de explanation: Project De.,cription (use attachments if necessary): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity:./~q~ff"~t ~ IrOt~- ~r~O0-~ c~ Are wetlands present within 100 feet of the proposed activity? No ,// 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) ~oard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Ir~ ~[ ~ ~r2Z~ ~Ot~O0-r~'~ 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 If yes, 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): 10/25/2010 10:40 FAX 009/009 Boarc~ of Trustees Application County of :guffolk DESC~BED PERMIT(S) AND T~AT ALL $TATEM~T$ CONTAINED HE~IN A~ TRUE TO T~ BEST OF ~S/~R ~OWLEDGE ~D B~IEF, AND T~AT ALL WORK WILL BE DONE IN THE MA~ER SET FORTH ~ THIS APPLICATION AND AS ~Y BE APPROVED BY THE SOUTHOLD TO~ BOA~ OF TRUSTEES. THE APPLICANT AG~ES ~0 HOLD T~ TO~ OF SOOTHOLD AND T~ TO~ TRUSTEES ~E~S AND F~E FROM ~Y ~D ~L DA~GES AND CLA~S ~IS~O UNDER OR BY VIRTUE OF SAID PE~IT(S), iF G~NTED. IN CO~LETINO THIS APPLICA?ION, I HE.BY AUTHO~ZE THE TRUSTEES, THEIR AOENT(S) OR ~P~S~ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISE~; IN CONJ~CTION WITH ~VIEW OF THIS~ICATION. Signature swo~ ~o ~e~o~ ue ~.~s ~5*-~ ~ o~~,20 t~ -N~hu~l Public -- I(I~I~T1FI M. K~LLY 10/25/2010 10:89 F^X 008/009 Boa~ o£ ~2s~.ees AUTHORIZATION (where thc applicant is not thc owner) (print ~er of pm~ny) (mailing address) do hcmb? authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code &Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is (Last name, first name, middle initial, unless you are applying in 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"Other", 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 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 applicant/agent/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% of the shams 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 1 Submitted this o~ ~, day of ~C.[o,{::~j~ 20il 0 Signature Print Name PROJECT ID NUMBER PART 1 · PROJECT INFORMATION 1. APPLICANT / SPONSOR 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR 3.PROJECT LOCATION: PROPOSED ACTION: ~New ~ Bp~sl~ ~ M~ifl~ / alemllon DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: InitiaNy acres Ultimately acres 8. W1LL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~es [] No I1 no, describe bdefly: [~RAT iS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) esldential r--IlndusMa, ~lcommercia, ~lAgriculture I---[ Park / Forest / Open Space []Other(describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY O3~IER GOVERNMENTAL AGENCY (Federal. State or Local) [~Yes [] No if yes. list agency name and permit I approval: 11. DOES ANY.~_~$PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? '--']Yes L~No If yes. list agency name and permit / approval; I . AS A RE LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date; If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II ~ IMPACT ASSESSMENT (To be completed by Lead A~lenc)') * A. DOES ACT1ON EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR~ PART 617.47 ff ye~, ~=~xdinate the mV~ew process and use the FUU.. EAF. B. W~I-L ACTION RECEIVE COORDINATED REVlEW AS PROVIDEOFORUNUSTEDACT1OI~IN6NYCRR, PART617.67 IfNo, aflega~ve C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCJATEO WITH THE FOLLOWING: (Answem may be ham~m~le~, if legible) C6. ~ tefra, shpfl term, eamu(aflve, or other* effec(s not idmtfjfled ~ 01-C57 Expioin briery:. Do ~ THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARA~TICS'I~IAT CAUSED mE ESTABLISHMENT OF A CRITI( ENVI'RONMENTAL AREA (CEA)? (If yea, explain bdefi.f: . INS3~,,ICTIOHS~ F~se~hadver~ee~e~tidenti~edab~ve~detem~uaw~ether~tissubstentiaL~arge~imp~ttent*~n~ Each eft%~ should be assessed in conse~o~ wi~ its (a) setting (i.e. ~ m' rural); (b) probebllily of o~; (0) dmalinn; (d) Irreuar~, (e) eufl~tent dete#'t° sh°w Ihat all relevant adveme Impacts have bee~ Identified a~ ~ ~. If queslion d of parHi was checked yes, the,de~'miuaflon of significance must evaluate the potmttlalintpa~ oftbe prolx~ action o~ [he e~virseme~tel chamcte~ttus oftbe CEA. .,Board of Trustees Name of Lead Agency Jill M~ Doherty ,.me President Title of Responsible Officer SIgflatum of Preparer (If dfffermd from responsible officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PRO ERIY LOCATION: $.C.?.M. ~. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A SCOPE OF WORK - PROPOSF. D CONSTRUCYION l'f. lfiM#/WORKASSESSMENT [ Yes No lhe Scope of Work for Proposed Conctructron) Generated by · Two (2') Inch Ralnfar] on Site? ./['"'"1 constmcUon aclivily? Impervious surfacss.) (,.F., ,~s, 2 Does the Site Plan and/or Survey Show Al, Proposed ZF 4 VV~II this Project acquire any Lend Fining, Grading or Excavation where there is a change to ,e Natuml r~ S Will this Application Require Lend Drsturbing Activities ~ / Site? Is this Project within the Tmatees jurisdiction STATE OF NEW YORK, q, ,2..~/~' COUNTY O¥ ..,....,...,,_,..............~,v, , ,,..:....., ~. ......... SS ............. [~'~/d~i'//~'~;6 ........... "h' .... ~ng y , p y e/ ' app' orPennit, Owner and/or representative of the Owner or Owners, and is duly authorized to perfom~ or have performed the said work and to make and £de this application; that all ~t~emen~ contained in this applieat/on are m~e to the best of hi~ kno~declge and belief; md that the work wi. Il be performed in the manner set fo~h in the application £ded herewith. Sworn to before me drip; ............. ................... ......... FORM - 06110 ._ &~RB~& CASCIOTTA E.~ May lt, 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 SCTM# ~f'O ~:> - ~2-cl.'~ 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: c Location of action: Site acreage:_ Presentland 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: ~ ~t~ ~ ~ t C~ L4~~'~ (b) Mailing address: L{,:,~.~ ~COUU"~"~ ~ ~.~c~, ~:~ (c) Telephone number: Area Code ~ ~':~'l' ~ ~ ~ '~' (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~] No [--~ |lyes, 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 infrastructnre, 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 [---~Not 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 [-~Not 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 [- Not 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. [] Ye~ No [~/rNot 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 ~Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Pecoulc 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 Ill - 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 11.'20 AM iC GREENLOGIC® ENERGY October 26, 20:10 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 Frederick Pollert who has engaged us to install a roof-mounted (flat to the roof) solar photovoltaic (PV) electric system for his home on 375 Lighthouse Lane, Southold, NY. In connection with this application, please find attached: · 2 applications · 2 Transactionaldisclosure Forms · 2 Short environmentalAssessment Forms · 2 LWRP Consistency Assessment Forms · 2 Surveyof Premises · 2 Engineer's Reports · 2 One Line Diagrams · 2 Visio Diagrams of the proposed system · 2 Spec. sheets of the solar panels (SunPower SPR-210BLK) · 2 Spec. sheets of the inverters (SunPower SPR4OOOm and 6000m) · GreenLogic Suffolk County Home Improvement License · GreenLogicCertificate of Liability Insurance · 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 GREENLOGIC. LLC · www GreenLoglc.com Tel: 877.7714330 Fax: 8777714320 SOUTHAMPTON/CORPORATE: 425 County Rd 39A Southamptom NY ] 1968 CUTCHOGUE: 1070 Depot Lane Cutchogue, NY 11935 MANORVILLE: 40 Woodlar~d Aver~ue Mar~£)rville, NY } ]949 FIRE ISLAND: 125 Duneway Seaview, NY 11770 ROSLYN HEIGHTS: 200 S Service Rd, #108 Rosyln Heights, NY 11577 P'acifico Engineering PC PO Box 1448 Sayville, NY 11782 www. pacificoengineering.com October 26, 2010 Engineering Consulting Ph: 631-988-0000 Fax: 63t-382-8236 engineer@pacificoengineering corn Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installatio Betsey Potlert 375 Lighthouse Lane Southold, NY 11971 for ' ~-~ ~' ' OF SOUTF:OLD L,;,:,' Ii- ! 7-/0 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 14 ft pitch 7 in/12 roof rafter 2x10 rafter spacing 16 in OC Reflected roof rafter span 16.9 ft Table R802.5.1(1) max 20.6 ff collar tie 2x4 collar tie spacing 16 in OC The climactic and load information is below: CLIMACTIC AND Wind Speed, 3 GEOGRAPHIC DESIGN Category sec gust, CRITERIA mph Roof Section A C 120 Ralph Pacifico, PE Professional Engineer Live load, pnet30 per ASCE 7, psf 31 point pullout load, lb 163 Fastener type 5/16" dia screw, 4-1/2" length ~, Pacifico Engineering PC PO ~ox 1448, Sayville, NY 11782 631-988-0000 www~D&cificoe nQineer~nQ .COrn Ralph Paciflco, P£ NYS License 066182 GreenLogic, LLC Proposed Pollert, Betsy 10.5kW PV 375 Lighthouse Lane Southold Ny 11971 631.943.7018 -, Layout Created By: BCA 10.5 kW 50 SunPower 210w UniRac Sunframe Azimuth = 179° Pitch = 30° Scale 1/8" = 1.0' Panel Dimension = 61.39" x 31.42" Array Length = 613.9" Array Height = 163.1" Surface Dimensions = 71'11" x 22'3.5" Magic # = 32.17" SunPower 210w · UniRac L-Foot UniRac SunFrame Rail t I 2xl0"DouglasFir Rafter 16" on center Date: 10.26.2010 GreenLogic, LLC Proposed 10.5 kW Panel Dimension = 61.39" x 31.42" I SunPower 210w Poller[, Betsy 10.5kW PV 50 SunPower 210w Array Length = 613.9" 375 Lighthouse Lane UniRac Sunframe Array Height = 163.1" · UniRac L-Foot Southold Ny 11971 Azimuth = 179° Surface Dimensions = 71'11" x 22'3.5" UniRac SunFrame Rail 631.943.7018 Pitch = 30° Magic # = 32.17" I I 2x10" Douglas Fir Scale 1/8" = 1.0'~ ~ Rafter 16" on center ·. Layout Created By: BCA Date: 10.26.2010 2 Strings of 10 SunPower 210 W panels, Each string 2100 watts Array total of 4200 Watts II All panels to be grounded as per NEC code 2, 30 AMP two pole DC switches fTom panels to inverter SUNPOWER SPR 4000 INVERTER 24O VAC{ 1 240 VAC fi-om inverter to a 30 Amp switch near utility meter 3 Strings of 10 SunPower 210 W panels, Each string 2100 watts Array total of 6300 Watts II II II II II II II II II II All panels to be grounded as per NEC code 2, 30 AMP two pole DC switches from panels to inverter SUNPOt/~ER SPR 6000 INVERTER 240 VAC (~ 240 VAC fi.om inverter to a 30 Amp switch near utility meter 210 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND PERFORMANCE The SunPower 210 Solar Panel provides industry leading efficiency and performance. Utilizing 72 next generation SunPower all back-contact solar cells and an optimized panel design, the SunPower 210 delivers an unprecedented total panel conversion efficiency of 16.9%. The 210 panel's reduced voltage-temperature coefficient and exceptional Iow-Jight performance attributes provide far higher energy delivery per peak power than conventional panels. SunPower's High Efficiency Advantage - Up to Twice Ifle Power SPR-21 O-WHT 'l~in Film Watts / Panel 65 Efficiency 9.0% kWs 90 ConvenlionaJ 12.0% 210 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND PERFORMANCE Peak Power (+/-5%I Pmax 210W Rated Voltage Vmp 40.0 V Rated Current Imp 5.25 A Open Circuit Voltage Voc 47.7 V Short Circuit Current Isc 5.75 A Maximum System Voltage IEC, UL IO00V, 600 V Temperalure Coefficienls Po'.~r ~).38%/~C Vo~ge (Voc) -132.5m V,/~ Current (Isc) 3.5m A,,eC Series Fuse Rating 15 A Peak Power per Unit Ama 169 W/m2, 15.7 W/~ CEC PTC Rating 193.7 W Solar Cells 72 SunPow~r all back. contact r'n~eocrystolllne Front Glass 3.2mm (1/8 in.) lernpered Junction Box lpg5 rated wilh 3 bypass diodes O~tput Cables 900rnrn length cal:~e / MultiContoct coenedors Frame Anodized aluminum alloy lype 6063 Weight 15kg, 33lbs 7.0 6.0 5.0 4.0 e00w/~ 2.0 5oo w/m2 1.0 0.0 0 10 Temperalure -40~C to +85° C ~,O°F to + 185°Fl Max load 50p~f (2400 Pmcals) fret and bad~ Impact Resistance Hail- 25mrn (1 in.J at23 rn/s J52mphJ Warranly 2.5 y~ar limited power warranly 10 y~ar limited product warranty Certifications IEC 61215, Sa~y tested IEC 61730; gL Jisled (UL 1703), Class C Fire Raling CAUI1ON: READ SAFEI'Y AND INSTALU~ON INSTRUC11ONS BEFORE USING THE PRODUCT. Go to www. sunpewercorp.com/paneJs 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 higl'~performance solar panels, roof tiles and lrackers deliver significantly more energy than competing systems. ~e~ Printed on recycled paper sunpowercorp.com 3000m & 4000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE The SunPower inverters 3000m and 4000m provide exceptional rdiabilily combined with superior performance. Innovative design and advanced testing have been brought together to create a durable inverter that enables optimal system performance over the long term. Both models come with a standard lO-year warranty. SPR-3OOOm and SPR-4OOOm ~¥w. sunpowercorp.com 3000m & 4000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE SPR-3OOOm SPR-4OOOm 3500 W @ 208 V / AC Pawer 3000 W 4000W0 240V AC ~lxJmum vv'l~" ~urr~l' 15A, 12.5A 17A, 16~6A (O ~08V, 240V) AC Nominal Vohage / Range 183 - 229 Ve20~ VAC 183 - 229 V e 208 VAC 211 - 264 V~*240VAC 211- 264 V ~ 240 VAC AC F~ / Range 60Hz/59.3Hz- 60Hz/59,3Hz- 60.5 Hz 60,5 Hz SPRm Efficiency Curves I00 95 2~o vd~d~,.~ j ' ~e eo ~ovac~/'~ ~' ~ova~ ~E 75 % of Rated Oulput Power Power Factor 1 1 Shipping Dimensions W x H x D inches 23.5" x 18.5# x 16.0' ...................... Unit Dimensions W x H x D inches 17.8' x 13.8# x 9~3" Peak In,,~erter Ef~cieflcy 96.6% 96.8% Invader Weight aa lbs CEC Weighted Ef~cieecy 95.o % · 2oe v 95.5 % o 200 v 95.$ % ~ 240V 96.0 % ~ 240 V Re~ommellded Array IiIput 3600 W 4800 W Power (aC e STCl EX: Input Voltage Range 200-500 v e 208v 250 - 600 v a 208 VAC Peak Power Tracking Voltage ieo-~ve20ev*: DC Max. Input Currant ~7A 18A NO. oF Fused String Inpu~ 4 Power Comumplkm: <zw/0.1 w Slondby / Nighttime Grounding P~.i~ Gmu.d Shipping Weight 94 lbs Cm~ing Forced Air/Sealed Ambiera Temperate m Range -13 to+113 °F 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 signlflcandy more energy Ihan competing systems. 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 SPRm line of Solar Inverters can be easily applied in 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 SPRm Efficiency Curves 100 SPl~-5OOOm SPR-6OOOm SPR-7OOOm AC Power 5ooow ~ooow ~ooow e 3,0 vd~-- / 9O AC Max Output Current (O 208V, 24A, 20.8A, 18A 29A, 25A, 21.6A 34A, 29A, 25.3A 240V, 277V): 183-229ve20G~f~.C 183-229VQ2G~VAC 183-329VO208'~C ACNominal 211-264Ve240VAC 21~-2~4V~*240VAC 211-264V~240VAC Efficiency L,~-ommeeded (Dc · voltage Range Peak Power 250 - 480 V 250 - 480 V 250 - 480 V No. af Fu~ed 4 String Inl~lS Powe~ ¢oflsump: ~,~, / Fu~ ~ &AC <7W/0.25W 75 70 % of Raled Oulput Power , Shlpping Dimensions W x H x D inclm~ 23.$' x 31.0° x 16.0' Uflit Dimensions W x H x D inches 18.4' x 24.1# x 9,5" Inverter Weigld 143 lbs Shipping We~lht 154 lbs C~ling Forced Air / Sealed EleclronJcs 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