The URL can be used to link to this page

Home My WebLink About35722-ZTown of Southold Annex 54375 Ma'm Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 9/2/2011 No: 35190 Date: 9/2/2011 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 5030 NEW SUFFOLK RD NEW SUFFOLK, SCTM #: 473889 Sec/Block/Lot: 110.-8-15 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 7/7/2010 pursuant to which Building Permit No. Lot No. filed in this officed dated 35722 dated 7/21/2010 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 Hotchkiss, Bruce & Hotchkiss, Cheryl (OWNER) of the aforesaid building. SUI~'I~'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35722 4/19/11 ~'~dldZn~ur e 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. 35722 Z Date JULY 21, 2010 Permission is hereby granted to: CHERYL HOTCHKISS 135 SUNRISE AVENUE RIVERHEAD,NY 11901 for : INSTALLATION OF A SOLAR ELECTRIC SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 110 pursuant to application dated JULY Building Inspector to expire on JAIqUARY 5030 NEW SUFFOLK RD NEW SUFFOLK Block 0008 Lot No. 015 7, 2010 and approved by the 21, 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 SEP - 1 20ii B[DG DEPT. TOWN OF SOUEHOLD APPLICATION FOR CERTIFICATE OF occUPANcy ~ application mu~t be filledin 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 al! buildings~ property lines, streets, and unusual natural- or . topographic ~'e~tures. ' · 2. Final Approval from Health D~pt- of water supply and sewemge4isposal (S_9 form). 3, Approval efeleetrieal installation f~om Board 6fFire Underwriters. 4. 8worn statemant from pluml~r e4wd~ying that the ~older used in system Contains less than 2/10 of l%'lead.. 5. C.0mmoreial building, industrial building, m~ltiPle re~idea~es ~d simi!ar buildings and installations, a ce~ifieate of Code Compliance from architect or ~gine~r r~ponsible for the building. 6, Submit P!anning Board Approval of completexl site plan requiremems. B. For existing buildings (prior to April 9, 1957)' non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property sh~owing all property line~,'streets, building and:unusual naturai or topographic features. A properly cx~mpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspeetor shall state the reasons therefor in writing to the applicant. C. Fees 1. Certifica!e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, · Swimming pogl $50?00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~ 2_ C,e~tificate of Occupancy on Pre-ex[sting BuiIding- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 ' 5. Temporary Certificate 0fOccnpancy - Reaidential $15.00' Commercial $15.00 Date. New Construction: Old or Pre--existing Building: ' House No. Street Owner or Owners or Proporty: ! D~'~bl ~ .~- guffolk .County TaxMap No 1000, Section { {'[~ Block... (check one) · ~ Lot Hamlet IT' b~dxlivisibn ?Iealth Dept. Approval: *Jnnnillg Board Approval: - ' Filed Map. · Date of Pe~mlt. Applicanl~ Und~rwriter~ Approval: request for: Temporary Certificate Submitted: $ ,.~(:~) · -- Final Certificate: //// (check one) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971 0959 Telephone(631)765 1802 Fax(631)765-9502 ro.qer, richert~.town.southo d ny us BUILDING DEPARTMENT TOWN OF' SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Cheryl Hotchkiss Address: 5030 New Suffolk Rd City: New Suffolk St: NY Zip: 11956 Building Permit #: 35722 Section: 110 Block: 8 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Logic License No: 43858 SITE DETAILS Office Use Only Residential ~] Indoor [~ Basement ~ Service Only [~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures Service 3 ph Hot Water GFCI Recpt Wal~ Fixtures Main Panel NC Condenser Single Recpt Recessed Fixtures Sub Panel NC Blower Range Recpt Fluorescent Fixture Transformer Appliances Dryer Recpt Emergency Fixtures Disconnect Switches Twist Lock Exit Fixtures Other Equipment: HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS photovoltaic system, 3870 watts, 18 solar panels, 1 Sun Power 4000 inverter Notes: Inspector Signature: Date: April 19 2011 81-Cer[ Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~//~AL - FIREPLACE & CHIMNEY [ ] FIRE IF..SlSTANT CONS'TRUCI'ION [ REMARKS: /~/~ r~ ~-/~ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION TOWN OF $OUTHOLD BUILDING DEPT. 766-1802 INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUC'TION [ ] RRE R~ANT PENETRATK)N [ ] ELECTRICAL (ROUGH) ,,~'] ELECTR~AZ. (FII~L4L) REMARKS: DATE iNSPECTOR~' TOWN OF SOUTHOLD Bl~IILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net ~x*min~d Approved Disapproved Expiration 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 Trustees Flood Permit Storm-Water Assessment Form Building Inspector INSTRUCTIONS PERMIT Date M~N{ .~-t-~ 20 to :r or in ink and submitted to the Building inspector with 4 3 schedule. I of buildings on premises, relationship to adjoining premises or public stxeets or areas, and watorways. 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. £ Every building pannit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the proper~ 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 ora 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 conslruction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees m 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. .. (Si~ature of apL~cant or narge, ifa corpora/ion) (Mai lng address of appllcam) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises"'~!~ ~'g' X/'l ~h~ s ~ (As on the tax roll or latest deed) If.applicant is a corppr.at, ion, signature of duly auth~l'ized officer (Name and title of corporate officer) Builders License No. L~ O~.~"~ Plumbers License No. Electricians License No. ~ ~'~ ~' Other Trade's License No. 1. Location~:$o~oOf land on,whichI.4 '~t~,Dpr°p°sed~u, wrg~[~. [d.~will be dogg:/ House Number Street Hamlet County Tax MapNo. 1000 Section [ [ 0 Block Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy {'"~t~'_ -4~rv'}.l [ ~, ~ I,a.,~[[It~ b. lntended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work I~,~[ [ 4. Estimated Cost I~::~, .'~c~5 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 Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories 8. Dimensions of entire new construction: Front Rear Number of Stories Height. 9. Size of lot: Front 10. Date of Purchase Depth Rear Depth 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 P/ Will excess fill be removed from premises? YES NO__ 14. Names of Owner of premise~qO'¥/ ~"~r~ ~5~dress Phone No. Name of Architect Address Phpne No Name o f Contractor~/~O. g.,o~,~t ~ LL. e2-~ Address q..~"/~otan, lx/a..d-a~l~l~i~e No~ ~ ~ l · :3::} f · 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a 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 OV~LqLf:f~£ ~ l'de l r J% being duly sworn, deposes and says that (s)ha is the applicant ~e ofindividu~ sing mn~act) ~ove n~ed, (S)He is ~e UOn~ c%~ (Contramor, Agent, Coq~orate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are ~rue 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 _1 day of ~ 20[0 Notar~.P~'RSARA A. CA$CIOTTA II~ Public, State of New Yo~ No. 01-CA48949§9 Oualifiedtn Suffolk Counl~ · t · 4~mis$ion Expires May 11, ~ [ / · [,~ i'~ture of Applicant TOWN OF SOUTHOLD P~OpERTY RECORD CARD OWNER FORMER OWNER 1 TILLAGE DISTRICT SUB. ACREAGE LOT SEAS. VL. FARM Est. Mkt. Val~e LAND IMP. TOTAL 1 AGE BUILDING CONDITION NEW NORMAL Farm Acre Tillable 1 Tillable 2 BELOW Value Per Acre ABOVE Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK Tillable 3 woodland Swampland Brushland House Plot Total M. Bldg. E×tension Extension Ext~ension Garage ,/,,~ /~ I L F~l~dation Ext. Wails Fire Piece Porch Bath Floors Interior Finish Heat Roof Type · Rooms 1 st Floor Rooms 2nd Fleer Dormer ! Town of $outhoid ,Erosion, 8eden ~--~~ A88P__-9-9_MENT Yes NOTE: Draanage & Erosion GOI~Ol F~Ul b Required and Mest be Submitted for Review prior to i~esnee of Any Bul~lklg PemdU EXEMPTIOn: No~e: If You Answ~ed Yes to f~b Quea~m, m 8tofln-Weter, Grading, Omlnag~ & En~k)fl Co114r~ ptln b NOT ~! STATE OF NEW YOP~ ~-- ~. r . '-- co~-n,o~......~....a.....42o.._!.~ ....... ss Ne~, t ~u,.k,~-F-- · . ThatL ................. ....~.....~.. .................................... being duly sworn, depoees and says that he/she sa the appllcant for Pennk, And that he/she is the ................................. ' . Ii,at the work will be performed in the manner ~et fo~b. in the appli~tlon filed herewith. Sworn to before me this; . ............ ./ ............ .................... ...................................... ~1}~ ~ubli~, 8tat~ Of New FORM - 06107 Qualified in Suffolk Coun~n~:) /[ __~e~m_.~on E~?_~y_..!]_, ............. Town FI~ Annex 54375 M~in Ro~d P.O. ~ 1179 Sou~old, ~ 11971~959 Telephone (6,31) 765-1802 rorer dehertdt~na!s) o~6u~o~, ny. us BUILDING DEPARTMENT TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: ~,ddress: No.: Date: '~-..,3_,(~. 10 Sou.:+hzr p'k , ox.I JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: iw ~OE~:zC~~ _ ~u.~ ~cL,~--f:-c~tK~ f~c'/ .' *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: I { 0 Block: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) Lot: pho'bvol% c_. (Please Circle All That Apply) *Is job ready for inspection: ,Do you need a Temp Certificate: Temp Information (If needed) ' *Service Size: 1 Phase 3Phase 100 *New Service: Re-connect Underground Additional Information: YES/(~) {~)/NC. Rough In Final 82-Request for Inspection Form 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 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 [~ doing business as GREENLOGIC LLC 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 GREENLOGIC® June 30, 2010 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Dear Building Inspector: Please find attached a building permit application on behalf of Cheryl Hotchkiss who has engaged us to install a roof-mounted (flat to the roof) solar photovoltaic (PV) electric system for her home 5030 New Suffolk Road, New Suffolk, NY 11956. In connection with this application, please find attached: · A building Permit application · A Storm Water Assessment Run-off Form · 2 Surveys of Premises · Four Engineer's Reports (2 originals and 2 copies) · AOne Line Diagram · AVisio Diagram of the proposed system · Spec. sheets of the solar panels (SunPower SPR-215WHT) · Spec. sheets of the inverter (SunPower SPR-4OOOm) · GreenLogic Suffolk County Home Improvement License · GreenLogic Certificate 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 SOUTHAMPTON/CORPORATE: CUTCHOGUE: MANORVILLE FIRE ISLAND: ROSLYN HEIGHTS: 425C/LmtyRd 39A 1070 Depot Lane 40 Woodlar/d Avenhe 125 Duneway 200S $orvico Rd. #10S S;uthampton, NY ]19G8 Cutchogue, NY 11935 Manorville NY 11949 Seaview, NY 11770 Rosyln Heights NY }}5// I(l: 631 7715}b2 Tel: 631.7650404 Tel: 631830.0}02 Tel: 631.7416400 Tel: 5166256880 Pacifico Engineering PC PO Box 1448 Sayville, NY 11782 www. pacificoengineering.com Engineering Consulting Ph: 631-988-0000 Fax: 631-382-8236 engineer@pacificoengineering.com April 11,2011 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Bruce Hotchkiss 5030 New Suffolk Rd New Suffolk, NY I have reviewed the solar energy system installation at the subject address. The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets the requirements of the 2007 NYS Building Code, and ASCE7-05, specific to the fastening of panels to the roof, to comply with the NYS code re: 120 mph winds. To my best belief and knowledge, the work in this document is accurate, conforms with the governing codes applicable at the time of submission, conforms with reasonable standards of practice, with the view to the safeguarding of life, health, property and public welfare Regards, Ralph Pacifico, PE Professional Engineer C GREENLOGIC® April28,2011 The Town of 5outhold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 35722 Hotchkiss 5030 New Suffolk Rd, New Suffolk To the Building Inspector: Enclosed please find the Engineer's Certification Letter Bruce Hotchkiss' solar electric system, which we installed at 5030 New Suffolk Road, New Suffolk. Please arrange to send him the Certificate of Occupancy and close out the building permit. Please let me know if you have any questions about the installation. Sincerely, Barbara Casciotta Account Manager GreenLogic LLC 631-771-5152 ext. 117 B~DG DEPI lOV~k OF SOU~HOtD ,} [ } ~ let: 877 771.4330 Fax: 877 771 4320 SOUTHAMPION/CORPORATE: CU¥CHOGUE: MANORVILLE: FIRE ISLAND: ROSLYN HEIGHTS: ,l' ( ur/fy R,J 39A 1070 Depot Lane 40 Woo(:dl!d AV(IIi O ]25 Duneway 200 S S[~vl(: R(' /108 S(~tSa'm)tcn NY 11968 Cutchogue, NY 11935 M~norv,lle NY )1949 Seaview, NY 11770 R>,yh Height! NY 1/ / 'l'oxxa~ 1 lall Annex ,5~375 Main Road P.O. Box 1179 Southold. NY 11971-0959 Tclcphonc 163D 715,3 18112 l:ax 1631) 765-9502 IH!II,DING 1)EPAI/TMENT TOWN OF $OUTHOLD May 3, 2011 Bruce & Cheryl Hotchkiss 135 Sunrise Avenue Riverhead, NY 11901 RE: 5030 New Suffolk Road, New Suffolk TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: x"x-/ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. x'x,,j 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: 35722-Z solar panels Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971-0959 Telephone (631) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD August26,2011 Bruce & Cheryl Hotchkiss 135 Sunrise Ave Riverhead, NY 11901 Re: 5030 New Suffolk Rd., New Suffolk TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: · JApplication for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ~/A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 35722 - Solar Panels 04D S ?$'21 '00', 25'21'00, ~., I. i/2 r~ Sroe~ 1J6.3O, ~ ~ 139.04, SURVEY OF PROPERTY $ITUA T£ NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-110-08-15 SCALE 1"=20' FEBRUARY 17, 2010 AREA = 6,884 sq. fi. 0.158 oc. N.Y.S. Lic. No. 5046? Nathan Taft Corwin III Land Surveyor PHONE (631)727-2090 Fox (631)727-1727 OFFICES LOCAFED AT MA~ING ADDRESS CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CER'nFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brookhaven Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 850 ALTER THE COVERAGE AFFOROED BY THE POLICIES BELOW. 150 Main Street East Setauket NY 11733 INSURERS AFFORDING COVERAGE NAIC # ~NSURED Green!ogic, LLC INSURERA: NGM INSURANCE COMPANY 425 County Road 39A Suite 101 ;NSURERB: MERCHANTS PREFERRED INS CO Southampton NY 11968 iNSURER G: INSURER D: I INSURER E: COVERAGES TH E POLICIES O F INSU RANGE LISTED BELOW HAVE SEEN ISSUED TO TH E INSURED NAMED ABOVE FOR THE POLICY PERI ODIN D ICATED. N O'FVVITHSTAN DING 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EACH OCCURRENCE ~ 1,000,000 A X X COMMERCiALGENERALL~.EiLiTy MPP1681L 01/31/10 01/31111 pp;u~;~,; ...... I $50,000 I CLAIMS MADE [] OCCUR MED EXP(Anyonepe~son) ; 5,000 X XCU PERSONAL & ADV INJURY $1,000,000 X CONTRACTUAL LIAB GENERALAG~REGATE $ 2,000,000 GEr~L AGGREGATE LIMIT APPLIES PER: PRCOUCTS - COMP/OP AGG $ AUTOMOBILE LIAB4UTY COMBINED SINGLE LIMIT $ 1 ~000~000 B A X AN~AUTO CAPI043565 06/1212009 0611212010 (Eaaccident) SCHEDULED AUTOS (Per person) (Per eC~dent) $ ANY AUTO AUTO ONLY: AGG EXCESS ! UMBRELLA MABILnY EACH OCCURRENCE $ 2,000,000 A X ~GGcuR ~] CLAIMS MADE CUP1681L 01131110 01/31111 AGGREGATE $2,000,000 $ RETENTION $ 10,000 OFFICER/MEMBER CERTIFICATE HOLDER TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 Phone: I Fax: ACORD 25 (200910t) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBEDPOi.lClES BE CANCELLED BEFORE THE EXFIRATION The ACORD name and logo are registered marks 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) Creenh~ie, LLC 425 Count~ Road 39A, Suite 10! Work Looatioa of Insured (o~ re~ 0'covm~e b~tty IMLited M cetmM ~ IB N~ Yod AVate, L~, a Wrap-Up Policy) 2. Name and Addres~ of the Entity Requesting Proof of Coverage.(Enti~. Being Listed as the Certificate HoMer) Town Of Soathold Building Dept ~ Route 25 SouthoM, NY ]197~ lb. Basine~ Telephone Number of Insured 631-771=5152 1c. NYS Unemployment Insurance Employer Registration:Number of Insured ld. Federal Employer ldentifiration Number of Insured or Sceinl Security Number 20380119 3a. Name of lnsuranee Carrier National Union Fire lasuranee . 31). Policy Number of entity listed in box "la' WC009924195 3c. Policy effective period 3d. The Proprietor, Parmers or ~xecuflve Officers are [~ included. (Ouly cheek box if all tM~riue~/oflieetn included) [] aH excluded or certain peFtneFs/officers excluded. This certifies that the iasunmce carrier indicated above in box "3" iasums the business refeFenced above in box "la~ for workers' compensmion under ~he New YoFk State W~' Compeasntion Law. (To use this form, New York (NY) must be #sted ~ I~ 3A on the INFORMATION PAGE oftheworkers' eompensatioa insurance polley)~ The Insurance Cartier or its licemed agent wfll send this Ceflificnt~ of Ina~ance to the ~atlty listed abow as the cmfificate holder Jn box "2". The Insurance Carrier will also notify the above cr~iiflcale holder within 10 days IF a policy is canceled due to nonpayment of prerninrns or within 30 days IF there are reasons other than nonpaymertt of preminms that cancel the policy or eliminate the insared from the coverage kndicated on this C~rtO~cat& 07tese notices may he s~n~ by regular ~) Otker~ise, tkis ~ is wtlld fo~ one ymw aft~ t~is f~nn ~s a~Pra~d by ~ke ins~wmfce ~y~er ~r #s ~iemsed ag~f~ ~r Jm~l ~e p~i~y ~*f `~`~ lfsted M b~x ``$~"~whiclfever is e~. 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 homer, the busJnese must provide that certificate holder wi~ a new Certifirate of Workers' Compensation Coverage OF other aatho¢~m~d proof bt the business is complying with the mandatory coverage requ/rements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or ficeasod agent of the insurance carrier referenced above oad that the named imured has the coverage ns depicted oa this form. Approved by:. Thomas P. Terry (print tmm~ of~.,~ ~d ~.~ er licemed a~mt of insurance cartier} Title: Authorized Represm,tatlve Telephone Number of nu{horized repre~ntnfive or liceased agent of insm-ance cnrrie~. __631-293-8000 Please Nofe: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue iL C-105~. (9-07) www.wcb.stnte.ny.us Paciflco Engineering PC PO Box 1448 Sayville, NY 11782 www. pacificoengineering.com June 28, 2010 Town of Southold Building Department 54375 Route 25. P,O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Bruce Hotchkiss 5030 New Suffolk Rd New Suffolk, NY Engineering Consulting Ph: 631-988-0000 Fax: 631-382-8236 engineer@paciflcoengineering.com APPROVED AS NOTED DATE' 7/g?/° BP # g5~7,¢ NOTIFY BUILDING DE;',~rME~- 765-1802 8 AM TO 4 ?.q :2~ A ~AIE/I FOLLOWING INSPECTIO~ ~VVr~- 1. FOUNDATION-~:~L dlRED ~TI~ .... , ,.- FORPOUREDCONCRE;E '"i~/~ ;~¢ 2; ROUGH - FRAMING, PLUM~";G, OF OL. .' STRAPPING, ELECTRICA.. t SAULKING 3 INSULATION 4 FINAL- CONSTRUCTION & ~.ECTPICAL MUST BE COMPLETE FOR C ALL CONSTRUCTION SHALL Mb I have reviewed the roofing structure at the subject address. The structure the roof mounted system. The units are to be installed in accordance with theYi~T~.r~CC~Ti~Li: FOR instructions. I have determined that the installation will meet the requirement~)F~lC~(~)~'~)~T~t~T~t~,, and ASCE7-05 when installed in accordance with the manufacturer's instructions. Roof Section A RETAIN STORM WATER RUNOFF mean roof height 18 ff PURSUANT TO CHAPTER 236 pitch 8 1/2 in/12 OIE THE TOWN CODE roof rafter 3x6 UNDERWRITERS CERT FICA: rafter spacing 24 in CC REQUIRED Reflected roof rafter span 10.1 ft Table R802.5.1(1) max 13.3 ft based on 2x6, 16" CC is equA/L~.eofo~,~/X6, 24" CC collar tie 2x4 MEET THE REQLi. collar tie spacing 24 in OC ,-,, ;r',::. The climactic and Icad information is below: CODES Or N ~,:, ': t~, ,., b FATE. CLIMACTIC AND Wind Live Icad, GEOGRAPHIC DESIGN Category Speed, 3 pnet30 per point pullout Fastener type CRITERIA sec gust. ASCE 7, toad, lb mph psf Roof Section A C 120 33 173 5/16" dia screw, 4-1/2" length Ralph Pacifico, PE Professional Engineer Pac~fico E~gi~eerir~g PC Ralph Pacifico, PE NYS License 066182 No Rafters 10" overhang No Rafters 10" overhang GreenLogic, LLC Proposed Hotchkiss, Bruce 3.87kW PV 5030 New Suffolk Road New Suffolk, NY 11956 631.727.II13 Layout Created By: BCA 3,87 kW SunPoWer 215w UniRac Sunframe i Azimuth = 195° ~ Pitch = 35° I Scale 3/16" = 1.0' Date: 6.28,2010 Pane D mension = 61,39" x 3t,42" SunPower 2t5w Array Length = 306.95" ~¢ UniRac L-Foot Array Height = 130.93" Surface Dimensions = 30' x 15'2" UniRac SunFrame Raid Maq~c # - 32.17 I ,~ ,. Pacifico Er~Gi~eeri~ PC Ra ph Padfico, PE NYS License 066182 No Rafters 10" overhang No Rafters 10" overhang ] raditional 2x6" Framing GreenLogic, LLC Proposed Hotchkiss, Bruce 3.87kW PV 5030 New Suffolk Road New Suffolk, NY t 1956 631.727.1113 Layout Created By: BCA 3.87 kW Sun Power 215w UniRac Sunframe Azimuth = 195° Pitch = 35° Scale 3/16" = 1.0' Date: 6.28.2010 Panel Dimension = 61.39" x 31.42" SunPower 215w Array Length = 306.95" e UniRac L-Foot Array Height = 130.93" UniRac SunFrame Rail Sud:ace Dimensions = 30' x t5'2" Ma c # = 32,17" Rafter 30 AMP two pole DC i inverter 215 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND PERFORMANCE The SunPower 215 Solar Panel provides industry leading efficiency and performance. Utilizing 72 next generation SunPower all-back contact solar cells and an optimized ponel design, the SunPower 215 delivers an unprecedented total panel conversion efficiency of 17.3%. The 215 ponel's reduced voltage-temperature coefficient and exceptional Iow-light performance attributes provide far higher energy delivery per peak power than conventional ponels. SunPower's High Efficiency Advantage - Up to Twice l~e Power Thin Film Canventional Watts/Panel 65 165 Efficiency 9,0% 12,0% kWs 90 120 3000m & 4000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE SPR-3OOOm SPR-aOOOm SPRm Efficiency Curves % of Ra~ Ou~ut Power ~oof tiles and trackers de iver www. sunpowercorp,com 3000m & 4000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE The SunPower inverters 3000m and 4000m provide exceptional reliability combined wilfl 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 215 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND PERFORMANCE [+ '-$%) Pmax 215 W Rated VoJtage Vmp 39.8 V Rated Current ~mp 5.40 A Open Circuit Voltage voc 48~3 v Shod' Circuit Current ~sc 5.80 A Maximum System Voltage [EC, U[ 1000 V. 600 . Temperature Coeffioents Series Euse J~atl~g Peak Power Der UIIi[ Area CEC PTC Rating Front GIrJss JuncJ~on J~Ox Output Cab,es Frame Weight 15A 173 W/m2 16.1 W/ft~ ]98.5W 7.0 5.0 4.0 2.0 0 10 20 30 40 50 Warrant/ 25 Certificahons IFC 61215 ~ Safely le~led IFC 61730; UL listed JUL 1703h Class C Fire Ra~ng ~ Printed on paper www, sunpowercorp.com