HomeMy WebLinkAbout36040-ZTown of Southold Annex
54375 Main Road
Southoid, New York 11971
5/1/2011
CERTIFICATE OF OCCUPANCY
No: 34920
THIS CERTIFIES that the building
Location of Property:
Date: 5/1/2011
SOLAR PANEL
9625 Main Bayview Rd, Southold, NY 11971,
SCTM #: 473889 Sec/Block/Lot: 88.-3-23.1
Subdivision: Filed Map No.
conforms substantially to thc Application for Building Permit heretofore
11/15/2010 pursuant to which Building Permit No.
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:
accessory ground mount solar panels as applied for.
Lot No.
filed in this officed dated
36040 dated 11/19/2010
The certificate is issued to
Homes Anew I Ltd
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36040 4/11/11
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. 36040 Z Date NOVEMBER 19, 2010
Permission is hereby granted to:
HOMES
for :
ACCESSORY GROUND MOUNT ELECTRIC SOLAR PANEL AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 088
purse, ant to application dated NOVEMBER
Building Inspector to expire on MAY
9625 MAIN BAYVIEW RD SOUTHOLD
Block 0003 Lot No. 023.001
15, 2010 and approved by the
19, 2012.
Fee $ 100.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
-- ~ Form No. 6 ~
C'~ x. ~ ~"~'*¥ / 765-1802 ~
~' ~' APPLICATION FOR CERTIFICATE OF OCCUPA~NCY
This application must be filled in by typewriter or ink and submitted to the Building Departmet
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 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00 ,
3. Copy of Certificate of Occupancy-$.25 ~x,j/,) J/
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Old or Pre-existing Building: x/~ (check one)
Street Hamlet
Block OOo~ Lot 0~3,00 )
New Construction:
Location of Property:
House No.
OwnerorOwnersofProperty: ~t~ [~g-l OL~c~ i-
Suffolk County Tax Map No 1000, Section ~'
Subdivision Filed Map.
PermitNo. "~(,oqo DateofPermit. ttl~ff{l° Applicant:
Lot:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~'o'
C.oB
Final Certificate:
~ (check one)
- '~ p~ant Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone(631)765-1802
Fax(631)765-9502
rofler, riche~.town southo d ny us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Homes Anew LTD
Address: 9625 Main Bayview Road City: Southold St: NY Zip: 11971
Building Permit #: 36040 Section: 88 Block: 3 Lot: 23.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Empower Solar LicenseNo: 47932-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commedcal 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 ~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures~.~ Time Clocks
Exit Fixtures [~ TVSS
photovoltaic system, 12.7 kw, 56 SER-228panels, 2 Sun Power 5000m and
I Sun Power 3000m inverters
Inspector Signature:
Date: April 11 2011
81-Cert Electrical Compliance Form
/ INsPECTION
[//]'FOUNDATION 1ST [ ] ROUGH PLBG.
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
[ ] FOUNDATION 2ND
] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIlI~RF. SlST4#TCO~b"IllUCTION [ ] RRERESST~WI'I~ENETRATI0#
REMARKS~
INSPECTOR
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 CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) .~] ELECTRICAL (FINAL)
\
REMARKS:
DATE
INSPECTOR~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTIO/N
[ ]FOUNDATION 15T [ ] R~OH PLBG.
[ ]FOUNDATION 2ND [ ] iNSULATION
[ ]FRAMING / STRAPPING [~/~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
To: Town of Southold Page I of 1
221 Long Beach Rd,,
Island Park, NY 11558
2011-04-18 19:18:57 (GMT)
Gregory Sachs, PE
From: David Schieren
(516)-.509-39/2
sachsg@gmail.com
Town of Southold
Buildin§ Department
54375 Main Road
P.O. Box 1179
~outhold, New York 1&97:[-0959
APR 18 2011
BLDG. DEPT,
TOWN OF SOUTHOLO
April 14, 201:1
To Whom It May Concern:
The Solar Electric installation at 9625 Main Bayview Road, (Section: 88 Block: 3, Lot: 23.1, Bldg
Permit #36040) has been completed in compliance with structural engineer's requirements. The project
is consistent with the specifications set forth in the perm,. ,~
su,cer~y,I ~/~ :-'~
1- ~.~ \.~.'1.'-,~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALK"
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined [¢ ~, 20 /
O
Approved /ill c~ 20[0
Disapproved a/c
Expiration
PERMIT NO. ~ dO q/O
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 Fom~
Contact:
Mail to:
.~-~--'~~~F~ Building Inspector
~.~/ lq0~] '15 20~0 :I~L~}/ Date A~t43'~t ]~,. ,20'0
I ~ / INSTRUCTIONS --
I sp c or w th
set~umt~lot 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 wate~ays.
c. The work covered by this application may not be commenced before issuance of Building Pemit.
d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pemit
shall be kept on the promises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector
issues a Ce~ificate of Occupancy.
f. Evew building pe~it shall expire if the work authorized has not commenced within 12 months a~er the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the
prope~y have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pe~it for an
addition six months. Thereafter, a new pe~it shall be required.
~PLICATION IS HEREBY M~E to the Building Depaament for the issuance ufa Building Pe~it pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces 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 necessaw inspections.
(~na~e ~f applicant ~me, if a co¢oration)
(Mailing add{ess of appli~ant~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name ofownerofpremises ~t~,,~)t ~l&~-~} ~-~w,,.~_ ,ZZ~e_~,/O
(As on the tax roil or latest deed)
If. applic,mit las a corlitoration, sign,a, ture of duly authoriz~i' officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No. td'lq~2..- ~IE
Other Trade's License No.
Location of land on which proposed work will be done:
House Number ~treet
Hamlet
County Tax Map No. 1000 Section
Subdivision
Block ~
Filed Map No.
Lot
2. State existing use and occupancy of premises and intended.use and occupancy of proposed constru~t,ion:
a. Existing use and occupancy {~ ~.,~t'cs ~J ~uj'ld, ~
b. Intended use and occupancy (./3 na mort'~ d ~Vd/dt .,~/
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
Fee
Addition Alteration
Other Work
(Description)
(To be paid on filing this application)
5. If dwelling, number of dwelling units
If garage, number of cars
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear
Height. Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth. Height Number of Stories
Dimensions of entire new construction: Front Rear
Height Number of Stories
Depth
Rear
Depth
Size of lot: Front Rear Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
l 2. 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 Owner ofpremises ~q~'[~l ~Z{$1-h~e't~l Address/~[ ;v~t~-~[[0~?~'~o~bl?No.~~'~6 ~0 15'
Name of Architect ~s~ ~c~ ~,~ Address I[~]~¢ ~ 5~hone No ~~
Name of Contractor ¢~ ~L~ Address~Phone No. g/~- X~q~
15 a. Is this prope~y within 100 feet of a tidal wetland or a freshwater wetland. YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this prope~y within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF )
J.~{,u4 ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) a~ove named, '~
O
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application am true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
01-24-11;20:33 ;
15167061789
Oompan:[;,.Name:
Nar~:.
APPLICATION FOR ELEO_TRICA£ INSPI~.OTi0N
,%,
z$,/ '.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold~ New York 11971-0959
Telephone (631 ) 765- 1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 21, 2011
Homes Anew I Ltd
191 Sweet Hollow Road
Old Bethpage, NY 11804-1314
RE: 9625 Main Bayview Rd, Southold
TWO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of 50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1184)
__ Trustees Certificate of Compliance. (Town Trustees #765-1892)
Final Planning Board Approval,
Final Fire Inspection from Fire Marshall.
__ Final Landmark Preservation approval.
BUILDING PERMIT: 36040-Z ground mount solar panel
OF DESCPISED PROPEHTY
S~fUATED AT
BAY'C2EW, TOWN OF SOUTHOLD
SUFfOLE COUNTY, NE~ YOlkY
S.C.~.M. NO.
A~E4 = 41.552 S~. ~T.
~ ~' ~5 ~ ~ RO~, ~0~, N.~
RICHARD WILHELM ~
PROFESSIONAL LAN{) SURVEYORS
328A Main Street 41 Centre Street
3g O ~ ~ ~ Cen~er Moriches, NY 11934 ~lle, New Yo~ 11782
'%%%%~m ~'-~' ~z~~m' ~.~ ~) ~. ._ / (63U 878-0120 F~:(~I) 878-71~ (6JI) 567-4775
~ NO, ~02 ~: l" = 30' DA~: 3/29/2~1
SPR3COOm INVERTER: 1 STRING OF 10 DWG 1
3000m & 4000m INVERTERS
EXCEPTIONAL RELIABILITY AND PERFORMANCE
The SunPower inverters 3000m and 4000m provide
exceptional reliability 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 1 O-year warranty.
www. sunpowercorp.com
3000m & 4000m INVERTERS
EXCEPTIONAL RELIABILITY AND PERFORMANCE
SPR-3OOOm SPR-4OOOm
I00
95
75
SPRm Efficiency Curves
20% 30% 40% 50% ~0% 70%
% of Rated Output Power
www.sunpowercorp.com
3000m & 4000m INVERTERS
EXCEPTIONAL RELIABILITY AND PERFOR/v~ANCE
SPR-3OOOm SPR-4OOOm
SPRm Efficiency Curves
10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
% Of Raled Output Power
www,sunpowercorp,com
3000m & 4000m INVERTERS
EXCEPTIONAL RELIABILITY AND PERFORMANCE
The SunPower inverters 3000m and 4000m provide
exceptional reliabilily combined wilh 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 1 O-year warranty.
www.sunpowercorp.com
E13 / 228 SOLAR PANEL
SERIES
Serengeti' Solar Panels deliver consistent Iong~ term
performance. Rigorous quality assurance from
SunPower Corporation ensures predictable output
and proven reliability.
C~lj s
E13 / 228 SOLAR PANEL
SER~228P
Peak Power (+5~-3%) P.o.~ 228 W
, ,
Rated Current i ImPP 770 A
Power j P -045%/K
Temperature ~
NOCT (+/-2° C j 45° C
r~x 164W
Rated Voltage Vmpp 266 V
Rated Current i 6.15 A
Temperature ] -40DF to +194°F (-40~C to +90~C)
I 25 year limited power warranty
Warranty 10 year limited product warranty
Certificatlons UL1703, IEC 61215 Ed, 2, IEC 61730 (SCII)
CAUT ON: REAl) SAFETY AND INSTALlaTION INS~RUCFIOP, i$ gEt:ORE USING THE PRODUCT
25"
SUNPOWEH BER-228P P.V, PANELS
ON UNTRAC SOLARMOUNT RAIL SYSTEM
ALUMINUM SQUARE
TUBE BRACING
ANSI SCHEDULE 40
OD wi
~CAPSULEADHESIVE
ANCHORAGE SYSTEM
CONCRETE FOOllNG
~ ~ (300D PSI)
. -- 3" CRUSHED 8TONE
(or R.C.P.)
aII
SECTION 1
Scale: ~"= 1'-0"
'- SOlAR.MOUNT HD RAIL
-- 2"0 STEEL P PE
ANSI SCHEDULE 40
{4) ~"~ SALVANIZED ROD w/
HILTI HVA CAPSULE ADHESIVE
,~ ANCHORAGE SYSTEM
PENETRATION
75'.11'r
8UNPOWER s,r:R-228P P.V, PANELS
~ON UNIRAC SOLARMOUNT RAIL SYSTEM
6~4)'' 6'4)" 6'4)" 6'-0 6'-0" 6'4)" 6'~)" 6'-0" 6'-0" 6LO" 6'-0"
1'-11"
LAYOUT PLAN
Scale: ~" = 1'-0"
ILO'
DETAIL2
Scale: 1Y22" = 1'-0"
2r_10"
/
UNIRAC STEEL FLANGE (PART# 330004)
THIS IS TO CERTIFY THAT WE HAVE CHECKED T'IE MOUNTING
STRUCTURE FOR 125 MPH WIND, SNOW, UNBAU~NCED SNOW,
LIVE AND DEADI LOADS BASED ON ASCE 7 AND FOR
CONFORMANCE WITH THE 2007 NYS RESIDENTIAL CODE.
THE MOUNTING BRACKETS & HARDWARE MEET OR EXCEED
NYS CODE REQUIREMENTS. THE SYSTEM'S ATE\CHMENT TO
THE RAILS TO IMEET OR EXCEED NYS CODE REQUIREMENTS.
THIS MOUNTING STRUCTURE IS ADEQUATE TO SUPPORT THE
PROPOSED LOADS.
' 'hlf_AWFUL
CERTIFICATE
APPROVED AS NOTED
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS'
FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2 ROUGH-FRAMING, PLUMBING,
STRAPPING, ELECTRICAL & CAULKING
3 INSULATION
4~ FINAL-CONSTRUCTION&ELECTRICAL
MUST SE COMPLETE FOR C,O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMFNTS OF THE CODES OF NEW
YORK STATE NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION :R~oRS
RETAIN STORM WATER RUiIOFF
1. PANELS SPACED 1" AFfA~SUANT TO
OF THE TOWN
2, UNI-~C SOLAR-MOUNT RAILS
3. 3000 PSI CONCRETE
4. SYSTEM'S TOTAL POWER: 12.768kW
F r
C .RTIFICAT,
SUNPBWER SERENGETI PHBTBVBLTAIC PANEL SPECS
MUDEL #
56 65,35~ 38,98' 1,65" 4~,1~
Revisions:
Prolect NO. 10174
;t S-1