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Home My WebLink About35664-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southoid, New York 11971 2/21/2012 CERTIFICATE OF OCCUPANCY No: 35452 Date: 2/21/2012 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 135 Hill Road, Southold, SCTM #: 473889 Sec/Block/Lot: 70.-4-32 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/14/2010 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 winch tins certificate is issued is: solar panels on an existing one family dwelling as applied for. Lot No. ~ed in this officed dated 35664 dated 6/22/2010 The certificate is issued to Christopher & Charlene Lowery (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35664 8/16/10 ~Sthorized Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35664 Z Date JUNE 22, 2010 Permission is hereby granted to: C & C LOWERY 135 HILL RD SOUTHOLD,NY 11971 for : INSTALLATION OF SOLAR ELECTRIC SYSTEM TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 135 HILL RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0004 Lot No. 032 pursuant to application dated JUNE 14, 2010 and approved by the Building Inspector to expire on DECEMBER 22, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD E ~ ~ ~ ~ BUILDING DEPARTMENT TOWN HALL 765-1802 FEB I 7 2012 APPLICATION FOR CERTIFICATE Tiffs application must be filled in by typewriter or ink and submitted to the Building De B[DG DEPT. TOWN OF SO[ItHOLD g: A. For new building or new use: I. 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 tbe solder used in system contains less thm~ 2/10 of I% 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of properly 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmiug pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Busiuesses $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 Occupaucy - Residential $15.00, Comn~ercial $15.00 New Construction: Location of Property: j House No. OWner or Owners of Property: Suffolk County Tax Map No 1000, Section SuB'division Permit No. ~ 5'¢¢1-( Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~1,~, Of) Old or Pre-existing Building: Street 90 Block Filed Map. Applicant: Underwriters Approval: Final Certificate: (check one) Hamlet Lot Lot: . (check one) 'gnatu re-- To~ n Hall Annex 137,; Mare }/o;ul P.O. Box 1179 Southold, Nh' 11971-0959 Tclcphon~' (631) 76, M 802 Fax (631) 7ti3-9,;02 ro.qer, dchert~town.southold.nv.us IHIILI)IN(; 1)I';PAI/TM I';NT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Christopher Lowery Address: 135 Hill Road City: Southold St: NY Zip: 11971 Building Permit #: 35664 Section: 70 Block: 4 Lot: 32 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: 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 ~ HIDFixturess~ Wall Fixtures Smoke Detectors Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixtureu Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures [~ TVSS Other Equipment: Photovoltaic system, to include, 27 solar panels, 1 Sunpower 6000 inverter Notes; Inspector Signature: Date: Aug 16 2010 81-Cert Electrical Compliance Form 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 August25,2010 Town of Southold Building Department 54375 Route 25, P.O. Sox 1179 Southold, NY 11971 Subject: Solar Energy Installation for Chris Lower,/ 135 Hill Road Southold, NY 11971 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 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONS'mUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) //~ ELECTRICAL (FINAL) REM~KS: DATE iNSPECTOR~~~/-~'>~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION ,[~ FINAL [ ] FIRE SAI-,- ~'( INSPECTION [ ] FIRERESlSTA#I'FENETRATION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY REMARKS: ~-~ ~ ~..?c~ DATE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Sout holdTown. North Fo rk. net Approved Disapproved Expiration /?f/c)~, 20 [ I PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, ~fore applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form Trustees Flood Permit Storm-Water Assessment Form Contact: Mai to: lB~ui~spector APPLICATION FOR BUILDING PERMIT Date J{~l~ INSTRUCTIONS 2010 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 of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning 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. Thereat~er, 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. ., (Sigmtture of appliclrnt or na,l~e, ifa corporation) (Ma ng address of app icant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (As on the tax roll If applicant is a corporation, signature of duly author'ged officer C, oo (Nam~and title of corporate officer) Builders License No. q C> ~ ~ Plumbers License No. Electricians License No. t.4 :~ ~ 5 ~' Other Trade s License No. 1. Locution of land on which, I~,opqscd ~qrk will ~ done: House Number Street or latest deed) Hamlet County r~x Map No. 1000 Section ~ Block q Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises andSntended use and occupancy of proposed construction: a. Existing use and occupancy ~ ---'l~Y1 t ~ X{ ~t~'[ [ b. lntended use and occupancy _(~C~l[k] t 3. Nature of work (check which applicable): New Building_ Addition Alteration Repair Removal Demolition ~er Work ~ Ir~ ( Description ).~O I=~' 4. Estimated Cost I (.~, ~ q ~ 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 Rear Depth. .Height Number of Stodes 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Size oflot: Front 12~ Rear /5o.?r5 Depth 2%l ,0. Date of Purchase~Name of Former Owner"~ [ I. tp i 1. 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 Vt' Will excess fill be removed from premises? YES __ NO __ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor '~re'~tlLc~jt,¢-- L..(.C.- Address q~ ~.O~.e~q'~ ,~'~_ one No {~1 - ~'~'l - ~' t ~,--~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES I/ NO I~' * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES y/ 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__ NO V/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) couNTY }0 ~'~1 ~ ~ ~, ~:) ~ I~' ~ being duly sworn, deposes and says that (s)he is the applicant (Name of 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 tree 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. Town of Southold Erosion, Sedimentation & Storm-Water Run-off AaSES8MENT FOR~" I~IE FOLLOWING ACTIONS MAY REQUIRE THE ~L~m~!_"_~!~.". OF ~ Item Number: (NOTE: A Check Mad~ (~) for esch Questim is Required for a Complete App~lcetion) Yea No Will ~rds Project Retain All Slonn-Weter RumOff Gene~ed by a Two (2") Inch Rainfai~ mt Site? (This Item will include all mn-off created by ~lte clearing and/re' conslmcflo~ a~lvitlas as w~lt as all Site Improvements and the gemionont omatlon Of Im~ surfexa~.) 0o.~ the Site Plan and/or 8uwey Show Ail Proposed Drainage Stmc~Jras/ndica§ng Size & Loceltafl? V This Item shall Include all Prolx~ed Grade Changes and Slopes Controlling Surface WaterFIm,d WIll this Pr°ject Reqaim eny Lend Filling' C-mding ~ Excavatkx~ where there Is a change lo the Natural ~1 v/ Existing Grade Invaivlng more than 200 Cubic Yen:Is of Material within any Parcel? Will this Application Require Land Dis~ Aclivtilas Encompassing an Area In Excess of Five Thousand (5,000) Square Feet Of Ground Surface? Is there a Natural Water Course Running through the Site? __ Is this Pmiect within the Tmateas Judsdiation or within One Hundred (100') feet of a WetJand or Beach? Will there be Site preparation on Existing Grade Slopes which Exc~l Fifteen (15) feet of Vertical Rise to One Hundred (100') of Hndzon~ Dlstance? Will Ddvaways, Parking Areas er other Impervious Surfaces pa Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town ~tght-of-way? L~ -- Will this Project Require the Placement of MaterlaiL Removal of Vegetation and/er the Ccostmotico of r~ v/ any Item Within the Town Right-of-Way or Ro~td Shoulder Aras? (This Item will NOT Include the Installation of Ddveway Aprons.) Will this Pro~ect Require Site Pmparation within the One Hundred (t00) Year Flondp~aia of asy Watemourse? 1~'1 / NOTE: If Any Answer to Questions One through Nine la Answered with a Check Mark in the Bex, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Perndtl EXEMPTIONt Yea No Does this project meet the minimum standards for classification asan Agricultural Pm.Mcr? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Dmtunge & ErOsion Control Plan Is NOT Requlmdl -- V/ Sworn to before me tJ~is; ................... /..../. ......... .. FORM. 06/07 STATE OF NEW YORK, ,.-- /- ,. ............................................................................... being dtuy sworn, depoaea and says that ha/she ia the applicant for Pr. no/t, And that he/she is the C (~"Wc~ C~"~Ov/ . . Owner and/or representative of thc Owner of Owner's, and is duly authorized to perform or have pedormcd thc ~id work and to n~kc and tile th/s application; that ail statcmcnt~ conta/ned in thi~ application arc wac to thc be~t ofhb knowledge and belief; and that. the work will be pcrformed in the ma Janet sci £orth in thc application filed herewith. W A. ~st. Mkt. Value ITOTAL DATERE~u~P, KS " /.q,~-e' /,~o~ -,,,I ~/~, ~ ~ ~,~ ~1/~1~ Z', 7~/ A /~ - AGE BUILDING CONDITION ~. '. . i .. . .. - , _ l ~ , -: NEW NOeL BELOW ABOVE FRONTAGE 0~ WATER Farm Acre Value Per Ac~'e Value FRONTAGE ON ROAD /,,~ ~-~ ' Tillable i. BULKHEAD Tillable 2 . DOCK H~ plot Total Extension Garage Porch Both -~ ~.~,,f~/7_.,/~/.,,~ t Int e~- io r Finish Roof Type Porch Ro~ms 1st FJoor Rooms 2nd Floor JDormer -1 P.O. Box 1179 Southold, NY 11971-0959 Telephone (63l) 765-1802 ~ax (631) 76,~-.95q~ roger, richert(O, town. sou~no~a, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Date: Address: Phone No.: JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: (*Indicates required information) Permit No.: ._~ (¢,(~ UC Tax Map District: 1000 Section: --~ Block: /-~ Lot: *BRIEF DESCRIPTION Of WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES/N~____~ Rough In Final ~NO--~ I0 (~':~(--~l 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form ,GREENLOGIC t N E R (~ Y June 11, 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 Christopher Lowery who has engaged us to install a roof-mounted (flat to the roof) solar photovoltaic (PV) electric system for his home 135 Hill Road, Southold. In connection with this application, please find attached: · A building Permit application · AStorm Water Assessment Run-off Form · 2 Surveys of Premises · Four Engineer's Reports (2 originals and 2 copies) · AOne Line Diagram · A Visio Diagram of the proposed system · Spec. sheets of the solar panels (SunPower SPR-210BLK) · Spec. sheets of the inverter (SunPower SPR6000m) · 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. You~rs truly, Barbara Casciotta Account Manager GreenLogic LLC SOUTHAMPTON/CORPORATE: CUTCHOGUE: MANORVILLE: FIRE ISLAND: ,'125 Cou~/[y Rd 39A 1070 Depot Lane 40 Woodland Average 125 Duneway S()u[hampl()n NY 11968 Cutchogue, NY 11935 Manorville NY 11949 Tel 631.7715152 Tel: 631.765.0404 Vel 63] 830 0102 ROSLYN HEIGHTS: 200S Service Rd #108 Seaview. NY 11770 Rosylr/ Heights NY 11577 Tel: 631.741.6400 Tei: 5166256880 C GREENLOGIC August 12,2010 The Town of Southold Building Department 54375 Route 25 P.O. Box 1:179 Southold, NY 11971 AUG BLDG. tO~N Or $0 j HiOLD Re: Building Permit No. 35664 Christopher Lowery 135 Hill Road, Southold To the Building Inspector: Enclosed please find the Engineer's Certification Letter for the post install for Christopher Lowery's photovoltaic solar system, which we installed at 135 Hill Road, Southold. Please arrange to send him the certificate of compliance 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 63:1-77:1-5:152 ext. :1:17 SOUTHAMPTON/CORPORATE~ CUTCHOGUE: MANORVILLE: FIRE ISLAND: ROSLYN HEIGHTS: 4250xmtyRd 39A 1070 Depot Lane 40Woodland Avenue 125 Duneway 200S Service Rd #108 SB]thampton NY 11968 Cutchogue, NY 11935 Manorvile NY I1949 Seaview, NY 11770 Rosyln Heights NY 11577 ie 631 7715152 Tel: 631.765.0404 Tel: 631.830.0102 Tel: 631.741,6400 Tel: 5166256880 Tova~ 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 $OUTHOLD September 10, 2010 Christopher Lowery 20 Sargent Place Manhasset, NY 11030 RE: 135 Hill Road, Southold TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00, __ Final Health Department approval. __ Plumbers Solder Certificate. (~dl permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal, __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35664-Z solar panels Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ NY 11971 0959 September 13, 2011 BUILDING DEPARTMENT TOWN OF :SOUTItOLD Christopher Lowery PO Box 238 Southold, NY 11971 Re: 135 Hill Rd, Southold TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: ,/// Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ~// A fee of $25.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT ' 35664- Solar Panels Telephone (631 ) 765-1802 Fax (631) 765-9502 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 Janua~ 11,2012 BUILDING DEPARTMENT TOWN OFSOUTHOLD Christopher Lowery PO Box 238 Southold, NY 11971 Re: 135 Hill Rd., Southold (3rd REQUEST) TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: // Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees#?65~1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 35664 - Solar Panels CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MA'I'rER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brookhaven Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 856 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 150 Main Street East Setauket NY 11733 INSURERS AFFORDING COVERAGE NAIC # iNSURED Greenlogic, LLC INSUREN^: NGM INSURANCE COMPANY 425 County Road 39A Suite 101 ~NSURENB: MERCHANTS PREFERRED INS CO Southampton NY 11968 ~NSUREN C: INSURER D: COVERAGES TH E P O L I C IES O FIN S U RAN C E L ISTE D B E LOW HAVE B E E N ISS U E D TO TH E IN S U RED NAM E D ABOVE F OR TH E PO LICY P E RIO DIN DICATE D. N OTWITH S TAN DIN G ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. GENERAL UABIUTY EACH OCCURRENCE 1,000,000 A X X COMMERCIALGENERALLP, SILITY MPP1681L 01131/10 01131111 DAMAGETORENTED =~;u~ ~ ..... ~ $ 50,000 I CLAIMSMADE [] OCCUR MEDEXP(An¥oneperson) 5,000 X XCU PERSONAL & ADV iNJURY ; 1,000,000 X CONTRACTUAL LIAB GENERALAGGREGATE $ 2,000,000 B A X ANYAUTO CAPI043565 0611212009 06/12/2010 A X ~ OCCUR [] CLAIMSMADE CUP1681L 01/31/10 01131111 AGGREGATE $ 2,000,000 RETENTION $ 10~000 $ wo~s co~.=~o. I ....... I I°;~.' CERTIFICATE HOLDER TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 Phone: I Fax: ACORD 25 (200910t) CANCELLATION t,8. 009 ACORDCOR ,.a,v, . The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKEI~' COMPENSATION BOARD C3~RTIFICATE OF NY$ WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name & Address of Inenred (Use street address only) Greenlogie, LLC 42S County Road 39A Suite 101 Southampton, NY 11968 Work Location of Insured (On/y requ/red~covera~eis limited to certain Ioca~ons ~ New Yorl~ ~tnte, L~, a Wrap-Up 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holderl TOWN OF SOUTHOLD BUILDlNG DEPARTMEN $3095 ROUT~ 2S SOUTHOLD NY 11971 lb. Business Telephone Number of Insured 631-771-SIS2 lc. NYS Unemployment lnenrunce Employer Registration Number of Insured ld. Federal Employer Identification Number of Insured or Social Security Number 20-3801194 3a. Name oflnsurence Carrier National Union Fire Insurance Company 3b. Policy Number of entity li~ted in box "la" 992419~ 3c. Policy effective period 8/11/2009 to 8/11/2010 3d. The Proprietor, Partners or Executive Oflleers are X Included. (O~ly check box it all pumerVof~cen imduded) O all excluded or certain paFtners/officers excluded. This ~es that the iusursnce carrie~ indicated above in box "3" losures the business referenced above in box "la" for workers' compeusat/on undc~ the New Y o~ Stale Workers' Compeusmion Law. (T o use this form, New York ~ must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurunce policy). The Insurance Carrier or i~s liceused a~ent will send fl~s Cortificam of Iusumncc to the entity ~ above as the certificate holder in box "2". The Insurance Carrier will also notify the above ce~,t~cate holder within 10 days IF a poli~y is canceled due to nonpayment of premhans or within $0 days IF there are reasons other than nonpayment of premlurns that cancel the policy or eliminate the insured f~om the coverage indicated on this Certificate. (These notices may be sent by regular mail.} Olherwlse, this Ctrtlflcate ls valid for one yenr ~er #tls form Is approved by the ~mmnce tnttfler or its licensed ngtm, or tmdl the pollcy fxplmtion d~_!,_ listed hi box ~$c ; wMckever is e~ilte. Please Note: Upon the cancellation of the workeFs' compensation potiey indicated on this form, if the business continues in be named on a permit, license or contract hued by a ceFtJfirate homer, the business must provide that ceFtJficate holder with a new Certiflente 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 un authorized reprasentative 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: (Printjtqmc of m]lbai~azd ~vc or licc~cd qcat of insunmcc can~) (~) Title: Authorized A~ent Telephone Number of authorized representative or liceused agent of insurance carrier: 631-941-4! 13 Please Note: Only insurance carriers and their licensed agents ere authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-07) www.wcb.stete.ny.us VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 12/10/2007 No. 43858-ME SUFFOLK COUNTY Master Electrician License doing business as GREENLOGIC LLC having given satisfactoE~ 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. DEPARTMENTAL SEAL AND A' CURRENT CONSUMER AFFAIRS ID CARD Director Paciflco Engineering PC PO Box 1448 Sayville, NY 11782 www. pacificoengineering.com April 17, 2010 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Engineering Consulting Ph: 631-988-0000 Fax: 631-382-8236 engineerl~pacificoengineedng.com Subject: Solar Energy Installation for Chris Lowery 135 Hill Roacl Southold, NY 11971 APPROVED AS NOTED '~,~1 / NO"~ 3U._DING DEPARTMENT AT 7G~ ',.8.2 8 :,M '-O 4 F~I FOR THE F O~. LC'vVINC: iNSPECTIONS: ,have review. ~e r~fing stru~u~ at the subj~ addre.. The struc~re the r~f mount~ system, ~e uni~ am to ~ ins~ll~ in a~an~ wi~ instruc[o~s, I have determi~ that the ins~lla~on will m~t the ~uirements O~~gL~LKtN~ and ASCE7-05 ~en installed in a~rdan~ ~ the manufamumPs ins~n~SU~TlON Roof Section A mean roof height 20 ft pitch g 114 in/12 roof rafter 2x10 rafter spacing 16 in CC Reflected roof rafter span 9.0 ft Table R802.5.1(1) max 20.6 ft collar tie 2x4 collar tie spacing 32 in CC The climactic and load information is below: CLIMACTIC AND Wind GEOGRAPHIC DESIGN Category Speed, 3 CRITERIA sec gust, mph Roof Section A C 120 Ralph Pacifico, PE Professional Engineer 4 FINAL-CONS-RUCTION & ELECTRICAL MUST BE COMP: E~£; :~ C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS CF T~E CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. EETAI?J 8~ORM WATE~ R!ff.~SFF PURSUANT TO CHAPTER 236 OF ~HE TOWN CODE. Live load, pnet30 per ASCE 7, psi point pullout load, lb 348 ALL C(~I~'ti&~-tON SH ~,.L.. MEET THE REQUIREMENTS OF Tt LltZ,~ ~li~ rs~[~,~ #~tt~tSTATE. UNDERWRITERS CERTIFICATE REQUIRED .... ,JGUPANG,, , U3E IS UNLAWFUL -',OUT CERTIFICATE GreenLogic, LLC Proposed Lowery, Chris 5.67kW PV 135 Hill Road Southold, NY 11947 631.765,8599 5.67 kW 27 SunPower 210 UniRac Sunframe Azimuth = 204° Pitch = 37.5" Scale 3/16" = 1.0' Panel Dimension: 61.39" x 31.42" ~ SunPower 210w Array Length: 345.62" m UniRac L-Foot Array Height = 188.67" ..... UniRac SunFrame Rail Surface Dimensions = 34'10" x 29'6" Magic#: 62.14" I [I 2xl0"Douglas Fir Rafter 16" on center Layout Created By: BCA Date: 3/30/2010 Kneewall Rafters join at this point, See photos GreenLogic, LLC Proposed Lowery, Chris 567kW PV 135 Hill Road Southold, NY 11947 631.765.8599 5.67 kW 27 SunPower 210 UniRac Sunframe Azimuth = 204° Pitch = 37,5° Scale 3/16" = 1.0' Panel Dimension = 61.39" x 31.42" Array Length = 345,62" Array Height = 188,67" Surface Dimensions = 34'10" x 29'6" Magic # = 6214" SunPower 210w UniRac L-Foot UniRac SunFrame Rail I I 2xl0"DouglasFir Rafter 16" on center Layout Created By: BCA Date: 3/30/2010 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 Ihe Power SPRo21 O-WHT Waits / Panel Efficiency kWs T~in Film Conventional 65 165 9.o~, i~.~ 210 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND PERFORMANCE Peak Power (+/-5%I Pmax 210 W Ral~l Vo~ge ........ y_m.~p~ __ _ 40._0?_ Raled Curm? .... Im~p ..... 5.25A~ Open Circuit Voltage Voc 47.7 V Short Circuit Current Isc 5.75 A Maximum Sysl~m Vollage IEC, UL 1000 V, 600 V Temperalure Coefficients Power .0.38% Voltage (Voc) -132.5m V/~C Current (~) Series Fuse Raling 3.5m A/~ 15A 7.0 6.0 5.0 4.0 '~.0 1.0 0 10 20 30 40 50 Peak Power per Unit Area CEC PTC Ra~ng 169 W/m2, 15.7 W/~ Temperature Max load -40~C to +85° C {-40°F to +185°F) 50~f (2400 Pascals) {toni and back Imped Resislance Hail- 25mm (1 in.) at 23 m/s (52mph) So Jar Cells 72 SunPow~r all back-canlact rnonoaystolline Front Glass 3.2mm (1/8 in.) Imnpered Output Cables 900mm lengif, cable / MultiConlact connectors 10 year limibld product warranty Frame ?.n~odiz~d ~ I~ n~!~ _u.r~ ~!.1o~_ _ ~_ty~e~ ~6063 ........ Certifications IEC 61215, Safely ~ted IEC 61730; Wight 15kg, 33lbs UL lisled (LIL 1703), Cla~s C Fire Ra~ng CAUTION: READ SAFELY AND INSTALLA11ON INS'II~UCI1ONS BEFORE USING THE PRODUCT. Go to www.sunpowercorp.com/panels far details SunPower designs, manufactures and delivers high-perfarmance solar electric technology worldwide. Our high. efficiency solar cells genera~ up to 50 percent more power than conventional solar cells. Our high-performance solar panels, roof tiles and h'ackers deliver significanlty more energy Ihan 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. AIJ models come with a 1 O-year warranty. SPR-5OOOm, SPR-6OOOm & SPR-7OOOm www. sun powercor p,co rn 5000m, 6000m & 7000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE SPRm Efficiency Curves SPR-500Om SPR-6OOOm SPR-7000m AC ~ 5ooo w 6000 w AC Max Output Cun~e~t (O 208V, 24A, 20.8A, 18A 29A, 25A, 21.6A 34A, 29A, 25.3A 240% 183-229VO208'~C 183-229V~*208VAC 183-229VO208VAC ACNomhl~J 211-264Ve240VAC 211-264V~'2~10~4C 211-~4Vf~24OVAC Effkiency Racemmmded (m: · Tracking Va~age DC Vobage <5% No. d Fused S~ng Inputs Standby/ Nig~flJme % ~ Ra~l Ouq~' ~er Shipping Dimemiom W x H x D inche~ 23.5~ x 31.0" x 16.0' Unit Dimensions W x H x D inches 18.4~ x 24.1 ' x 9.5~ Illvet'ler WeJgJlt 143 lbs Shipl~ng Weight 154 lbs C~ing Forced Air / Sealed Electronics Ambient Temperature 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 significantly more energy than competing systems. ww~v.sunpowercorp.com / / / / / / / / / / / / / / / I I I ?/ OCTOBER FEBRUARY SURVEY OF PROPERTY SITUA TED A T $OUTHOI,D TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-04-,52 SCALE 1"--20' SEPTEMBER 9, 1997 2, 1997 REVISED PROPOSED HOUSE LOCATION 10, 2000 REVISED PROPOSED HOUSE LOCATION APRIL 8, 2000 FOUNDATION LOCATION DECEMBER 11, 2000 FINAL SURVEY JUNE 18, 2007 UPDATE SURVEY AREA = 33,330.57 sq. ff. (TO TIE LINE) 0.765 ac. CERTIFIED TO: CHRISTOPHER J, LOWERY CHARLENE M. LOWERY LAND AMERICA COMMONWEALTH CITIMORTGAG~, INC. N.Y.S. Uc, No, 49668 Nathan Taft Corw~n III Land Surveyor PHONE (651)727-2090 Fax (631)727-1727