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HomeMy WebLinkAbout36857-ZTown of Southold Annex P.O. Box 1179 54375 Ma'm Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 3/28/2012 No: 35513 Date: 3/28/2012 THIS CERTIFIES that the building Location of Property: SCTM ti: 473889 Subdivision: SOLAR PANEL 243 Maiden Ln, Mattituck, Sec/Block/Lot: 140.-1-8 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/7/2011 pursuant to which Building Permit No. 36857 dated 12/6/2011 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: roof mounted solar panels for an existing one family dwelling as applied for. The certificate is issued to Jayamaha Fmly Lmtd Ptnshp (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36857 3/9/12 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36857 Date: 12/6/2011 Permission is hereby granted to: Jayamaha Fmly Lmtd Ptnshp 243 Maiden Ln Mattituck, NY 11952 To: install electric solar panel system at an existing dwelling as applied for At premises located at: 243 Maiden Ln, Mattituck SCTM # 473889 Sec/Block/Lot # 140..1-8 Pursuant to application dated To expire on 616/2013. Fees: 1017/2011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $200.00 $50.00 $250.00 Building Inspector - ' 72-06-11;19:12 ; 4685200 Form No. 6 TOWN OF SOUTHOLD. BUN.DING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANcY This application must be filled in by typ~vrlter or ink and submitted to the Building D~artment wRh thc following: For new building or nov-use: !. Final survey of property with neet/rotc'location of, all buildin§s, property ltne~, streets, and unusual natural, or topographic featur6s. 2. Final Approval from H~alth De. pt. of watc~' supply and sewerage-disposal (S-9 fonn~. Approval of electrical installation from Board 6f Fu.c Underwriters. 'Sw~)m statement from pluml~r certifying that the solder used in system contains less than 2/10 of 1% lead. $. Conune~ial buildini, industrial buildin6, m~ltipI¢ residences and similar buildings and installat!ons, a certificate of Code Co .mpliaiw, e'from architect or engineer responsible for the building: .6- Submit pD,,,,ing Board Approval of completed site plan requirements. For existing buUdings (prior to April 9, 1957) 6on-conforming uSeS, or buildings and "pre-existing" I~nd uses..' 1. Accaratc survey of property showing all prope~y lines, streets, building an~ unusual natund or topographic f~tur~s, 2. A properly .,.c,~tn. pleted applicatiqn and consent to inspect signedby the applicant. Ifa Cextificate of Oecupm~cy is denied, the BUilding Inspector shall state the r~aSOns therefor in writing to the applicant. C. Fees 1. ~a~d~cai~ ~f ~c~upa~cy ~ New dwe~ing $5~ Addi~i~ns t~ dw~ing $5~ A~t~rati~ns t~ dwe~n§ $5~.~ Swimmilig po~l $50.00, ACCeSsory building $50.00, Additions to accessory building $$0.00, Businesses $50,00,. ~. Ci~tifieate of Occupancy on Pm-.~xisting Building - $100.00 3. Copy of Certificate of,Occupancy - $:25 4. Updated Ce. rtificat~ of Occupancy - $50.00 5. T~mporatT Certificate 6fOccuOancy - Residential $15.00 Commercial $15.00 Date. /~/~7/~2~// New Construction: ......... Old or Pre-existing Building: ~// ' Ho~ No. S~ . SuffolkCo~ntyT~pNo 1000, S~n ./~ 8ub~On H~dth 1;)~. Approval: Planning Board Approval: Request for:. Temp0r~ry Cerlificatc Block vi ed Applicant:. Underwriters ApprovaJ: (check one) Hamlet Final Certificate: [,// (check one) Applicant Signatm'¢ 1/ Town Hall Annex 54375 Main Road P.O. Box I 179 Southold, NY I 1971-0959 Telephone (631 ) 765-1802 Fax (63 I) 765-9502 ro,qer, richert~town southold.n¥.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Don Jayamaha a, ddress: 243 Maiden Lane City: Mattituck St: NY Zip: 11952 3uilding Permit #: 36857 Section: 140 Block: 1 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: Eastern Energy Systems Il"License No: 47657-me SITE DETAILS Office Use Only Residential I~ Ind°°r I~ Basement I~ Service Only ~l Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ 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 FixturesJ_~ Time Clocks Exit Fixtures ~ TVSS roof mounted PV system, 13 solar panels, 1 Sunny Boy 4000 inverter Notes: Inspector Signature: Date: March 9 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE ~ --/2--/~-~ INSPECTOR ARUMUGAM NALLAINATHAN, P.E. tlo.u'~ Insl)ection En!]inecr (}ut~lity Inspections Since 2007 632 952 4906office 646262 5259ce~ 53-22 Oceania Street Bayside, NY11364 NARUM17425(~AOL.COM CERTIFICATION FOR INSTALLATION OF SOLAR PANEL TO THE ROOF March 25, 2012 On March 25, 2012 the house at 243 Maiden Lane, Mattituck, NY 11952 was visited and viewed the installation of thirteen Solar panels to the single story wood frame Garage roof. These panels are fastened with screws to the 2"x 12" roof rafters. I certify that these installations were made as per Solar Panels manufacturers' specification and compliance with National building code. Arumugam Nallainathan, P.E. PE NYS/f 084653 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. north fork.net/Southold/ Examined Approved Disapproved a/c ~,20 ~( Expiration Building Inspector BUILDING PERMIT APPLICATION C~tECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check ~t ~ Septic Form N.Y.S.D.E.C. Trustees Contact: ~lc~ APPLICATION FOR BUILDING PERMIT Date ~oly ~$'~'~ ,20 I\ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 tbr any purpose what so ever until the Building Inspector issue~; a Certificate of Occupancy. fi 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 tbr an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department tbr 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 tbr necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~ ~y~ OAlff./gfi~/ ~.p.,~¢~X ~As on the ta~ll or latest deed) ~,,( lfapnlicant is ~corpgration, signature ofd~brized'0~cer ~n FEE /~v . ~ ~~, t.B:S¢:.$~}3}¢~~: NOTIFY BUILDING DEPART~ ' 765-1802 8 ~ TO 4 (Name ~nd title ofeorporate officer)[j: '' : :':J ~ F~LO~NG INSPFCT~~ Builders License No. ~:~ ~ ~:~,~: ~ 2 ~ FOR ~0t ~[:~ Co: "v~ , Plumbers License No. t d-~t,[,.~ , ' 2 ROJO > .... Electricians License No. Co~q gl~ : ~6~-~E ~ c-=~ %[ : ~ . .. Other Trade's License No. ::A~Y O~ .: ~ I. Location of land on which proposed work wilt be do~:- ' ~ ~ ~ ~ ~ .~fO~ .S~ ~.~ House Number Street ~ . ~ ~',; .... H~ , .,, '" ~ .' V ~s 6N 3~ 30NSTRUC~&~ County Tax Map No. 1000 Section Block Lot Subdivision ~ 0 Filed Map No. ~ Lot (Name) Town Hall Annex 54,375 Main Road P.O. Box 1179 Southold, NY 11971~0959 Telephone (631) 765.1802 · ax (631) 7 5 ro,qer, nchertC~,~own.sou~(~.n¥.us BY)ii .]3ING DEPARTMENT TOWN O1e SOUTHOIJ) APPLICATION FOR ELECTRICAL INSPECTION License No.: Address: 7470 ~.ou~ ~t~/~, rr~,4'7~l~UC(<. /~,'_fl~/~,2 · Phone No.: ~'~ 1.- 7'1~ ~ 4 oo ,~ JOBSITE INFORMATION: (*Indicates required information) *Name: '~r,J ~].~tVAr~AH/t ' *Address: *Cross Street: Phone No.. ~,~ I- 77~- 4oo~F . Permit No.: Z6~;~ 7 Tax Map District: 1000 Section: 14o Block: I 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: ~-I 3Phase *New Service: Re-connect Additional Information: Y~') NO Rough In ~/NO (~i Final 100 150 ~ 300 350 400 Other Underground Number of Meters ~ange of Sewi~- Overhead PAYMENT DUE WITH APPLICATION 82~Request for Inspection Form '~ I~)0 '~) 0 18-26-'11 13:57 FRO~-e2sys FAX 6314665288 T-828 P0002/0004 F-265 cCI3, L~I II Cll~lGy ~y3~Ll::lll:); IIIq,, 7470 Sound Avenue $ Mattltuck, NY 22LS52 re{ · 631.779.4004 fox, 6~1,466.52i]0 w'ww.e2sys,com The Power of Independence O~tober26,2011 Town of Southold, Main Road, NY To whom It m~y ~oncam, Rag: Building Permit Application for Don Jayamahe for a Solar PV system Project Location: 243 Maiden Lane, Mattitu~k, NY 11952 Please find the attached load analysis from the manufacturer of the mounting system that silows that the systmn as designed can withstand 120 m.p.h. We propose to install the system es suggested by tho manufacturer with ALL their recommendations to make sure the array will withstand fie same 120 m.p.h. Please review the attachment and feel free to contact us with any questions or concerns regarding this project. Sincerely, Pradeep Mohenraj Engineer Eastern Energy Systems, Inc. SOLAR '~ GEOTHERMAL ~J~ WIND Pradeep Mohanraj O ~-ngineer (631) 779-4004 X107 ON)//(631) 466~5200(F) PMohanrajOe2sys.com ~ EASTEI0 OP ID: LB .~CO~ u CERTIFICATE OF LIABILITY INSURANCE I THIS CERnPICATE IS ISSUED AS A MATI'ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the c~fica~ holder is an ADDITIONAL INSURED, the policy('ss) must be endomed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate do~s not confer rights to the certificate holder in lieu of such endomement(st. PROOUCER Neefus-Stype Agency, Inc. 631-722-3600 CONTACTNAME: 711 Union Avenue 631-722-3591 PNONE FAX P*O. BOX 2340 E-MAIL Aquebogue, NY 11931-2340 ACtrESS: A.Joseph Stepnoski INSURER(Si AFFORDING COVERAGE I NAIC # iNSURER A: Peerless Insurance Company 24198 INSURED Eastern Energy Systems, Inc PO Box 623 INSURER S: Laurel, NY 11948 INSURER C: CE~t ~ IHCATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD rNDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W1TH RESPECT TO WHICH THIS CERTIFICATE MAy BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS EACH OCCURRENCE $ 1,000,00( A i i PERSONAL & ^Or'N JURY S 1,000,00C 'i GENERAL AGGREGATE $ 2,000,00( ~.o-I [ PROOU_CTS - COMP/OP ^G( $ 2,000,00C , ']'1 ANY AUTOJ BODILY INJURY (Per person) $ A ! EXCESS LIAB~ CLaIMS-MADE CU8867575 07114/12 5,000,000 OBG I X [ RE~EN~,O~$ 10000 i 07114/11 s CANCELLATION Don Jayamaha 243 Maiden Lane Mattituck, NY 11952 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD New York State Insurance Fund Workers' Compensation & Disability Benefits Specialists Sittce 1914 8 CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK 11747-3129 Phone: (631) 756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 204209085 EASTERN ENERGY SYSTEMSINC 7470 SOUND AVENUE MA'CI'ITUCK NY 11952 POLICYHOLDER EASTERN ENERGY SYSTEMS INC 7470 SOUND AVENUE MATTITUCK NY 11952 CERTIFICATE HOLDER DON JAYAMAHA 243 MAIDEN LANE MATTITUCK NY 11952 I t455 663-3 l CERTIFICATE NUMBER POLICY NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE 681300 06108/2011 TO 06/08/2012 8/25/2011 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1455 663-3 UNTIL 06/08/2012, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND. WITH RESPECT TOQPERATIONS OUTSIDE OF NEW YORK, TO THE POLiCYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 06/08/2012 iN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL SE GIVEN TO THE CERTIFICATE HOLDER ABOVE NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. (A ONE PERSON CORP) JAMIE J MiNNICK PRESIDENT OF EASTERN ENERGY SYSTEMS INC THIS CERTIFICATE IS iSSUED AS A MATDER OF INFORMATION ONLY ANDCONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. U-26 3 NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www, nysif, com/cer'dcer~,al.asp or by calling (888) 875-5790 VALIDATION NUMBER: 877315621 Town Hall Annex 54375 Main Road P.O. Box I 179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (63 I) 765-9502 March 16, 2012 BUILDING DEPARTMENT TOWN OF SOUTHOLD Jayamaha Fmly Ltd Partnership 243 Maiden Lane Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: ** Please Note: Need Certification from an Architect or Engineer to certify installation of Solar Panels to the roof. __ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) 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. (Planning # 765-1938) __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 36857 - Solar Panels Mal;t. ituck Creek Inter~ Ticlal Marsh -~_~. :: ! Inter-Tidal ..... :L ........ ' ....'-.. Marsh 13:57 ~-e2sys ~k~ 6~1466520~ T-~O P~OO~Z~O~ ~-~§5 Solarmount / Sunframe Configurator - Project Specs I of 2 10/26/2011 12:28 PM 1~-26-' 11 1:3:58 FBOt~-e2sys F~: 6214565200 T-82~ P0~4/88~4 F-265 2 of 2 10/2~/2011 12:28 PM GENERAL NOTES ROOF CROSS SECTION Rool peak ~__--w ~______~._~-w I; Roof Section A Reflected roof rafter span ~.2,4 fie Mean Roof Ht. 14 ft ~ Table R802.5.1(1) max A Pitch 5 in/12 allowable 13.3 ft ~ ~, -- Align slider L '~ Roof Rafter 3xlO Collar tie 2x6 centerhole Rafter Spacing 48 in OC Collar tie spacing 64 in OC A DC FROM ARRAY h INVERTER METER vo~es DIS- DIS- ~ RISER DIAGRAM SHOWN FOR REFERENCE 1 ~' TYPICAL CONNECTION DETAIL 1 Design Wind Speed: 120 m.p.h Don Jayamaha 2 ]o/,o,! Asbuil! diagram Revision ~ [ 5 [ 243 Maiden Lane, Mattituck, NY 11952 - ~ 3 -:': 10/04/2011 Solar PV Installation 4 ~'~ 7470 Sound Ave, Mattituck, NY 11952 Tel: 631-779-4004 r i 5 PV Panel Manufacturer: Trina Panel: 235 PA05 Quantity: 13 Length: 65" Width: 39.]" Watts: 3,055 W Trl~la235 panel TrlnaZ~ipa~l Trina 235penel Tr~la 235 i~mel Trina23~ panel Tdna 235 panel 65' x 39.1'* 65' x 39.1" ,riSs x 39.1" 65' x 39.1' 65' x 3g.1" 65" x 39.1~ T~ila 235 panel TrlnaZ35panel t~.,2~,, T~,.~,~ TrMa235pm~ Trina 2351~nel Trlr~Z~l~n~ 65" x ~9.1" 65" x ~9.1" 65" x 39.1" 65" x 39.1" 5~' x 39.1" 6~' x 39.1' 11 Don ]ayamaha 243 Maiden Lane, r4attituck, NY ]1952 10/04/2011 REVISIONS Solar PV Installation ~ ~ ~':: 7470 Sound Ave, Mattituck, NY 11952 Tel: 631-779-4004 :5 ~][] i0-~6-'21 i4:04 FBOM-e2sys F~X 63i4665200 T-8£2 P0003/0006 F-266 Solarmount / Sunframe Configurator - Project Specs ~Tnna I of 2 10/26/2011 12:28 10-26-'11 14:04 FROH-e2svs FAX 6214665200 T-822 ?0004/0006 F-266 2 of 2 10~6/201l 12:28 PM