Loading...
HomeMy WebLinkAbout34972-ZFORM 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. 34972 Z Permission is hereby granted to: KEVIN PADBERG 575 RUCH LA GREENPORT,NY 11944 Date SEPTEMBER 1, 2009 for : INSTALLATION OF SOLAR PANELS TO DWELLING & ACCESSORY GARAGE AS APPLIED FOR at premises located at 575 RUCH LA County Tax Map No. 473889 Section 052 pursuant to application dated AUGUST Building Inspector to expire on MARCH GREENPORT Block 0003 Lot No. 005 20, 2009 and approved by the 1, 2011. Fee $ 300.00 / Authorized Signature ORIGINAL Rev. 5/8/02 FIELD INSPECTION RE~ORT DATE cOMMENTS ~] ,.~ FOUNDATION (1S~ ~ ~o~ (~) ~ , ROUGH ~G & ~ PL~G ~ ~8~ON P~ N. Y. STA~ E~ CODE ~ , ~ , ~ ~DmO~,CO~TS , ,~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ,20 Approved ....... 20 Disapproved~c Expiration__ 20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Heallh 4 sels of Ballding Plans Planning Board approval Check Septic Form NYSDEC Trustees Flood Permit Mail to:'~"'3' DCVO~'I.~'¢ ('J. Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a~ This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or 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 par~ for any propose what so ever until the Building Inspector issues a Certificate of Occupancy. £ Every building permit 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 regulations affecting the property have been enacted in the intenm, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION iS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southdid, 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,~using code. and regulations, and to admit andi°rized inspect°rs °n premises and in building f°r necessary inspecti°ns' I ] _.~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of promises (As on th~ tax roll or latest deed) If ~ll~plicant is a corioorgt~,~signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Tmde's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~'.~ Block '~o Lot ~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of predlaises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Addition f Alteration Repair Removal Demolition Other Work (Description) Estimated Cost Fee Ii ~ ~1~_ (To be paid on filing this application) If dwelling, number of dwelling units [. _Number of dwelling units on each floor I If garage, number of cars ~ If business, commercial or mixed occupancy, specify natam and extent of each type of use. Dimensions o£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 Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: From Rear Depth 10. Date of Pumhase Name of Former Owner 11. Zone or use district in which premises are situated 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be m-graded? YES NO JWill excess fill be removed from promises? YES NO 14. NamesofOwnerofpmmises~'~-v',lx ~>O~[J:~C~ Address,~'~5 Name of Architect - ( O Address 15 t~ 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. ls 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 properly? * YES NO/~, · IF YES, PROVIDE A COPY. STATE OF NEW YORK) s~4~K ss: COUNTYOF_ ) ~ __/__ ~c~/V/~/4i.(~'~-- ~-C2',b(.~ ~ being duly swom, deposes and says that (s)he is the applicant "~am e of individual signing contract) above named, (S)He is the ~ ~4~ (~----'AF~.V f/x (ContractorOtgent, 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. Sworn to belbre me this ~ /~ ~ dayof ~'~' / .~ 20o7 / / Notary Public, State of New York ~/ No. 01G05061135 Qualified in Suflelk Courtly Commission Expiras Juno ~,~*/P Signature of Applicant TOWN OF SOUTHOLD BUJLDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (6~1) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~///~ ,20__ Approved ~[ [1 q , ~ / ' Disapproved a/¢ PImMIT so. ,5.~ q ? ~ ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? 4 sets of Building Plans plarmmg Board approval Survey Septic Form Flood Permit Sterm-Water Assessment Form Phone:_(>2Q) c/ '7{~-t"},XO ~ ( Buil~{ing ~ ~PPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS lpletcly filled in by Wpewtiter 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 stxrcets or areas, and waterways. c. Thc work coved by this application may not be commenced be far~ issuance of Building P~rmit. d. Upon approval of this application, the Building insp~tor will issue a Building Permit to the applicant. Such a pomit shall be kept on the premises available for inspectiun 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 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 fi.om 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. Tbe~eafter, 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 thc construction of binldlngs, additions, or alterations or for removal or demolition as herein described. Thc applicant agrees to comply with all applicable laws, ordinances, building code, hou~g code, and regulations, and to admtt authorized inspectors on premises and in building fi~r necessary inspections. /~ ! _~ /~/~ (Signature of applicant or name, ifa corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises K~vin POd (As on the t~ roll or latest deed) ;pplicant is a ~o[po~j:~mrsignature of duly authorized officer ' (Iqamet~a~'[tl~'ofcorporate officer) Builders License No. ~ ~ ~ 6({4 ~ Plumbers License No. [,I / ~ Electricians License No. ~X. ~ ~ Other Trade's License No. ,~¢ cJ~ -x t4 1. Location of,2gnd on,which proposed work will be done: House Number Street Hamlet Co~w T.~ ~ap No. 1000 Se¢Oon .'--~ Block Subdivision Filed Map No. Lot Al' ?30VEg, AS NOTED 1. F~' %O';OH - ? ' f SQUIRED OCCUPAr' C; OR INSUDNTION USE IS UNLAWFUL 4. [m -co,s] ucT o UUST BE COMPLETE FO~ C.O. ', .,!THOU b~Uf'hlUaT~L CONSTRUOT!O~ SHALL MEST THE ,'* ? ,*' ~ iD ¢~ k~m ', REQUIREMENTS OF THE CODES OF NEW . tj~ .,r r,~L~) YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 2. State existing use and oceupancy of pr, g,.>rnises and iotended use and occupancy o f proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Buildin& Addition /'~ Alteration Repair Removal Demolition Other Work ~ 4. Estimated Cost [$ ,~, ~ Fee ~ '~00. C~?,_.__~ (Description) - ' (To be ~id on filing this application) 5. If dwelling, number of dwelling units [ Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Froot 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 Size of lot: Front Rear .Depth _Depth Rear /8. Depth t,)~ ~/ 9. ~ 10. Date of PurchaSe Name of Former Owner 11. ~ne or u~ dis~ct in which premiss ~e sit~d ~ ~ 0 12. D~s pm~sed cons~ction viola~ ~y zoning law, ordin~ or m~lation? ~S NO / 13. Will lot be m-graded? YES NO ~- Will excess fill be removed from premises? YES NO '4. Names of Owner ofpremises~"~vlfl Dq~.Address ~']~ ~c~, ~_h~neO~No.~(.~t~h NameofArchitem ~ev(l~ l~feC~f'o.~,~ °Address,%aO [~6. h~aa[~ll~nq.N_,o' Name of Contracto~Address ~l~o'~e~t~6P 15 a. Is this pro~ wi~i~ 100 feet of a fi~l wetl~d or a ~shwatcr wetl~d? *YES NO * IF YES, SOUTHOLD TO~ TRUSSES & D.E.C. PE~ITS ~Y BE ~QUIRED. b. Is this p~ wffhin 3~ f~t of a ti~ wetl~d? * YES NO * IF YES, D.E.C. PERMITS MAY BE ~QUIRED. 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 '~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: C~I~OF ), ~ ~¢/>F- ~, /~ I'{L~ ~ingdulyswom, d~s.dmysffiat(s)beis~e~li~t ~e of ~du~ si~i~ ~n~0 a~vc n~ (S)He is ~e (Con~, Ag~ Co~mte Offi~r, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; ~md that the wofl~ will be performed in thc manner set forth in the application filed therewith. Sworn to before me this ~ /z~'~d~yot ~-~/~ ~- 20~ a~ ~ULD Notary Public, State of New ~rk No, 01GO50~11 afl Qualified in Suffo~ CO~ ~'2-?-~- TOWN OF SOUTHOLD PROPERTY RE4 :ORD CARD OWNER STREET "-~7"~ VILLAGE DIST. SUB.' LOT ~ '~t~'~'~ , I~,D S~S. VL FA~ COMM. CB. MISC. Mkt. Value '~ IMP. TOTAL DATE REMARKS ~. AGE BUILDING CONDITION' N~ ~O~L ~LOW ~OVE FA~J~ Acre Value Per Value Acre Tillable ] ((~ U Tillable 2 rrllable 3 1~ L~-.~ ~o~la~d ~a~pl~d fRONTaGE ON WAT~ ~m~kia~d F~ONTAGE ON ROAD 4ouse Plot DEPTH ~" "~ ,=- "~ BULKHEAD Fatal DOCK 52.-3-5 10/06 ~ension Fire Place Heat ,' ~ ~ DR. f ~' ~ , ~ ~ ~ Type Roof R~ms 1st Floor BR. / ~ ~ ~ ~ ~ ~~g~ion Room Rooms 2nd Floor ~FIN. B. Patio I~~ t ~ 4 ~ Total COLOR M. Bldg. Extension Foundation Basement Bath Dinetl i Extending, Foundotion Solar arrays Prepared for: Kevin Padberg 575 Ruch Lane Southold, NY 11971 Drawn by: Jonathan Lane Prepared by: QUAD STATE SOLAR, Inc. 22 Devonshire Court Plainview, NY `1'1803 516 935-3273 Date: Scale: Full Filename: 7/05/2009 3/16 in. = 1 ft. Plot Plan SPR-2xx-yyy (Wi pSp) Width Length Panels Inches Feet Inches Feet I 32.014 2.67"61.984 5.i7 2 64.028 5.34"123197 10.33 3 96.04i 8.00 ~'185.95 15.50 4 128.06 10.67"~247.94 20.66 5 160107 i3.34~309.92 25183: 6 192108 ;1~i01~' 37119 30.99 7 224 i i8.6~'433 89 36.16~ 8 ~6.'11 ~1134"495187 4i.32 9 ~88i2 240i~'55785 46491 10 ~2~i~ 26168r6i9184 5i.65 11 352 15 29 35'681 82 50 821 PSP rail 3 panels contiguous Size of existing rafter: 2" x 8" Rafter,~pacing: 16" o.c after span. 12 6 /..~.~.~C~.Roof~p~tch: 4/12 Additional support provided: N/A ~,~..~ ,~.~..~'~/_~ ~)~,~O The existing roof rafters at this res~e~'~nc~can a~equa~'ely support the proposed solar panel assembly (5 lbs. PSF) and the snow loads (25 lbs. PSF). In addition, the 3.5" lag screws installed at 4' o.c. meet the uplift requirements of 4 screw minimum per assembly, 6 screws are provided. This installation meets lhe requirements of the Residential C~ocl~f ~ew York State and has been found to be acceptable by my office.'~,~-- ~o¢-~ Kevin McCray, R.A. Tile Trac Lag Bolt Point Shingle Pedrneter Kevin Padberg 575 Ruch Lane Southold, NY 11971 Jonathan Lane ~15/2009 Prepared b : QUA~ STATE SOLAR, Inc. 22 Devonshire Court Plainview, NY 11803 516 471-1920 ~'716 in.: 1 ff. I ~;'(~rDetails'vsO