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Home My WebLink About36011-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 4/1/2011 CERTIFICATE OF OCCUPANCY No: 34883 Date: 4/1/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: SOLAR PANEL 375 Lighthouse Lane, Southold, NY 11971, Sec/Block/Lot: 70.-6-29.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/29/2010 pursuant to which Building Permit No. 36011 dated 11/9/2010 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 Pollen, Frederick (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36011 3/25/11 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. 36011 Z Date NOVEMBER 9, 2010 Permission is hereby granted to: F POLLERT PO BOX 578 SOUTHOLD,NY 11971 for : CONSTRUCTION OF ELECTRIC SOLAR PANEL SYSTEM AT AN EXISTING SINGLE FAMILY DWELLING at premises located at County Tax Map NO. 473889 Section 070 purs,,ant to application dated OCTOBER Building Inspector to expire on MAY 375 LIGHTHOUSE LA SOUTHOLD Block 0006 Lot No. 029.002 29, 2010 and approved by the 9, 2012. Fee $ 200.00 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 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 o f electrical installation from Board o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. .C. Fees 1. Certificate of Occupancy - New dwelling $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. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: '-~ '7 ~ House No. Owner or Owners of Property: Date. Old or Pre-existing Building: Street Suffolk County Tax Map No 1000, Section Subdivision (check one) Hamlet Permit No. '~1_..~ 0I Health Dept. Approval: Date Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Block ~ Lot Filed Map. Lot: Applicant: [~ ~'~C~ xl Underwritem Approval: Final Certificate: (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (63 !) 765-1802 Fax (63 l) 765-9502 rofler.richert~.town.southold.n¥.us BUILDING DEPARTMENT TOWN OF SOUTItOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Frederick Polled Address: 375 Lighthouse Lane City: Southold St: NY Zip: 11971 Building Permit #: 36011 Section: 70 Block: 6 Lot: 29.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Logic LLC License No: 43858-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Corn medcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures I I CO Detectors Fluorescent Fixtur,~ Pumps Emergency Fixture Time Clocks Exit Fixtures [~ TVSS PHOTOVOLTAIC SYSTEM, to include, 50 Sun Power 210 panels, 1 Sun Power 400m and I Sun Power 6000m inverters, 1 ac disconnect Notes: Inspector Signature: Date: March 25 2011 81-Ced Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONS11WC'rlOfl [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR ~( ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) REMARKS: [ ] ROUGH PLBG. [ ]INSULATION ]FINAL ]FIRE SAFETY INSPECTION ]FIRE RESISTANT PENETRATION ~.~. ELECTRICAL (FINAL) DATE ~__~// INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net mined /J¢.:o(° Approved [( q, 20/0 Disapproved a/c Expiration '~l ~' 20 / ~/ PERMIT NO. 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.SDEC. Trustees Flood Permit Storm-Water Assessment Form Contact: ~ tr~ L,O~ L C.~ L L Madto:q - ^ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval &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 &Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months atter 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 permit 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 pursuant 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, and to admit authorized inspectors on premises and in building for necessary inspections. Lo tc bCc (S~f~ature &applicant or nam_,e ifa corporation) (Malting address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises -'~::~ ~'~' t ~-~-- ~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be dQne: House Number ~4'eet Hamlet County Tax Map No. 1000 Section ~CO Block ~ Lot 2'e:] ' ~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of p$~mises and inll~nded use and,occupam/y of proposed construction: a. Existing use and occupancy ~lr~ '~rvl, t~ ~u,>e~ttt b. Intended use andoccupancySlr'~l~' 'a~eYtt [~ 3. Nature of work (check which applicable): New Building_ Addition Alteration Repair Removal Demolition ~er Work ~O~ ~ (Description) 4. Estimated Cost ~o~,OOO 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 occupancy, specify nature and extent of each type 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 9. Size of lot: Front 10. Date of Purchase Depth. .Height Dimensions of enfire new construction: Front Height Number of Stories Rear Number of Stories Rear .Depth Rear .Depth Name ofFormer Owner Otth, Polle + l I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO v'/ 13. Will lot be re-graded? YES NO t/'Wili excess till be removed from premises? YES NO 14. Names of Owner of~oremises~-, l::b t I~r~c' Address~ot~, ~'-~ Phone No. 1~'31 'qq~' '~rOl ~ Name of Architect P. P~ne.&.&lc o Address PO~lqq ~ ~t~n'lbe.~ Phone No ~ a,i ' q ~ · -OOo O Name ofContractor~,~M.-~jtt-- L.t..e-- Address q~b ~ aoq A Phone No. ~"~{. ~'t · ~'t $ lt. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES v'/ NO __ · IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 t)et ofatidal 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 I 0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO v/ · iF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF ~.~'~'011~'~ ~ ~O~x r'~-- being duly sworn, deposes and says that (s)he is the applicaat (Name &individual signing contract) above named, (S)He is the (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. gnature of Applicant f Town of Southold .Erosion, Sedimentation & Storm-Water Run-off A~8ESSMENT FORM · ~" 8TORM-WATER~ OgAOmOt 0RAI/MOB AND ~WO.lO# ~Ol4TRQL Iq.A/4 ~KTIF#ID BY A ~E~ION PIKGFF~,SIONAL IN THI[. rrATIE OF ~ ~ $CO]'~ O17 WORK l/V'mlt Is tile T°~J 'aa*aa ~ Ihe F~°JK~ PaK:~'S? ' "1 VVIII 1his Project Retain Ali St0m~Wator R4m-Off (lflclude Tolal Area d al Pariah Iocabd v4h~ ~enara~cl by a Tv, o (2') Inch ~ Cn Sis? 5 ~ ~Y P~ (5.~ S.F.) Sq~ F~ ~ G~ ~? ~? ~~n~T~~ ~~ ~lm~)~ O~Hun~ (1~)~ ~ ~ -- ~mx o~.........................~ .... . ................ FORM - 06/10 -'" __ :.. EN/I~ May 11, ~ .~M( Town Hall Annex --'~"~ 5437.5 M~dn Road P.O. Box 1179 Southotd, 1Nry 11971~)95~ Telephone (631) 765-180~ r -er dche~'''F~ (631) 765:..95Q2, u,q . r[~,~mwn.soumola.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOI.r~ APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: (*Indicates required information) 1000 Section: :::~' Block:.,, *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) I r~ 5Jr~ ( ~ (Please Circle All That Apply) *is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If neededt · · Service Size: 1 Phase ' 3Phase 100 · New Service: Re-connect Underground Additional InfOrmation: YES/(NO~ Rough In ~NT Final 150 200 300 350 400 Other Number of MetersChange of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form 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 A' CURRENT CONSUMER AFFAIRS ID CARD Director 10/25/2010 10:39 FAX ~ 005/008 Pacifico Engineering PC PO Box 1448 Sayville. NY 11782 www. pacificoengineering corn October 26, 2010 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Betsey Pollert 375 Lighthouse Lane Southold, NY 11971 Engineering Consulting Ph: 631-988-0000 Fax: 631-382-8236 engineer@pacificoengineeringcorn RETAIN STORM WATER RUn, OFF PURSUANT TO CHAPTER 235 OF THE TOWN CODE. 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 NYe Building Code, and ASCE7-05 when installed in accordance with the manufacturer's instructions. Roof Section A mean roof height 14 ff pitch 7 inll Reflected roof after span 169 Table R802.5.1(1) max 20.6 ~llar tie 2x4 collar tie spacing 16 in OC The climactic and load information is below: CLIMACTIC AND Wind GEOGI~PHIC DESIGN Category Speed, 3 CRITERIA sec gust, mph Roof Section A C 120 Ralph Pacifico, PE Professional Engineer ~ ,T.r- Live load, pnet30 per point ASCE 7, pullout psf load, lb 31 163 APPROVED AS NOT !D Fastener tyl~e DATE~//,Ti//° B.P. #~(,; 5116" ' scr w -1/2" NOTIFY BUILDING DEPARTIV !NT AT 765-1802 8 AM TO 4 PM 'R THE FOLLOW/NG INSPECTIONS 1. FOUND^T ON. TWO FOR POURED CONCRETE STRAPPING, ELECTRICAL & CAULKING 3. INSULATION 4 FINAL - CONSTRUCTION & ELECTRICAL MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIPE~,~FN" ~ 3F ~F ,; ~,£:S OF ~EW - ' "'~'" :-~FOR DESIGN OR COkb [RUCTION ERR~RS UNDERWRff?e C~RTIFiCA¥ Pacifico Engineering PC PO Box 1448, Say~le, NY 11782 Ralph Paci~co, PE NYS License 066182 GreenLogic, LLC Proposed Pollert, Betsy 10.5kW PV 375 Lighthouse Lane Southold Ny 11971 631.943.7018 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 I I 2xl0"DouglasFir Rafter 16" on center Layout Created By: BCA Date: 10.26.2010 Pacifico Engineering PC PO BOX 1448, SayvilM, NY 11782 Ralph Pacifico, PE NYS License 066182 GreenLogic, LLC Proposed 10.5 kW Panel Dimension = 61.39" x 31.42" I SunPower 210w Pollert, 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: DCA Date: 10.26.2010 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-light performance attributes provide far higher energy delivery per peak power than conventional panels. SunPower's High Efficiency Advantage - Up to Twice the Power 'l~in Film Convenlbnal Waits / Panel 65 kWs 90 120 SPR-210-WHT ~,~, C ~ 210 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND PERFORMANCE Peak Power 1+/-5%) Pmax 210 W R?~.yo~e V? ......... 40.__ 0_V~ Open Circuit Voltage Voc 47.7 V Short Circuit Current Isc 5.75 A Temperature Coefficient~ Power -0.38% Current (BO) 3.5m A/~C Series Fuse Rating 15 A IV C.n~ 7.0 6.0 5.0 4.0 ].05oo w/~ moo w/~ 0.0 0 I0 20 30 ~ V~ ~ CEC PTC Rating 193.7 W-- Temperature -40°C lo +85° C ~40"F Io + 185°F) Max load 50psf (2400 Pascals) fro~t and back Impact Resistance Hail -25mm I1 in.) at23 m/s (52mph) Solar Cells 72 Su~Powe' aB bac~.contad monocrystulline Front Glass 3.2mm (1/8 in.) tempered Junction Box IP-65 raled wilh 3 bypass diode~ Warranly 25 year limiled power warranty Ouiput Cables 900mmlenglhcabb/MulF~Contacl~onnectors 10 year limited producl warranty Frame Anodized aluminum alby Iype 6063 Certifications IEC61215,SafelylestedlEC61730; Weight 15~, 331b UL lisied JUL 1703}, Cb~s C Fire Rating CAUTION: READ SAFELY AND INSTAUA11ON INSTRUCtiONS BEFORE USING 11-1E PRODUCT. Go to www. sunpewercorp.com/panels for delails 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 slgniflcanlly more energy than competing systems. Printed on recycled paper 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 warranly. SPR-5OOOm, SPR-6OOOm & SPR-7OOOm www. sunpowercorp.com 500Om, 6000m & 7000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE SPR-5OOOm SPR--6OOOm SPR-7OOOm AC Max Oulput Efficiency Recemrnended (DC c STC) 100 SPRm Efficiency Curves 75 % of Rated Oulput Power Unlt Dimensions W x H x D inches 1S.4' x 24.1" x 9.S' Shipping Weight 154 Ihs Coding Forced Air / Sealed ElecVonics Enclosure NEMA 3R SunPower designs, manufactures and delivers high-performance solar electric technology worldwide. Our high-efficiency solar cells generate up to 50 percent more power Ihan conventional solar cells. Our high-performance solar panels, roof tiles and trackers deliver significantly more energy than competing systems. www. sunpowercorp.com 2 Strings of 10 SunPower 210 W panels, Each string 2100 watts Array total of 4200 Watts All panels to be grounded as per NEC code 2, 30 AMP two pole DC swishes from panels to inverter SUNPOWER SPR 4000 INVERTER 240 VAC 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 Army total of 6300 Watts Ali panels to be grounded as per NEC code 2, 30 AMP two pole DC switches from panels to inverter SUNPOWER SPR 6000 INVERTER 240 VAC 240 VAC from inverter to a 30 Amp switch near utility meter