Loading...
HomeMy WebLinkAbout37889-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/21/2013 CERTIFICATE OF OCCUPANCY No: 36243 Date: 5/17/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: SOLAR PANEL 640 Alois Lane, Mattituck, Sec/Block/Lot: 123.-6-8.3 Filed Map No. conforms substantially to the Application for Building Permit heretofore 3/18/2013 pursuant to which Building Permit No. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof mounted electric Solar Panel system as applied for. Lot No. filed in this ofliced dated 37889 dated 3/27/2013 The certificate is issued to Michael 7 Susan Angelaras (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37889 5/13/13 Aut/~6~ Sigr~ture 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 #: 37889 Date: 3/27/2013 Permission is hereby granted to: Angelaras, Michael & Ange!aras, Susan 2928 165th St Flushing, NY 11358 To: install a roof mounted electric Solar Panel system as applied for At premises located at: 640 Alois Ln, Mattituck SCTM # 473889 Sec/Block/Lot # 123.-6-8.3 Pursuant to application dated To expire on 9/26/2014. Fees: 3/18/2013 and approved by the Building Inspector. SOLAR PANELS $50.00 CO - ALTERATION TO DWELLING $50.00 Total: $100.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANcy This application must be filled in by typew~riter or ink and submitted to the Building Department with the following: A. For new buildi~ or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3.. Approval of electrical installation from Board Of Fire Underwriters. 4. Sw.om statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.. 5. Commm'~iat building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance'from architect or engineer responsible for the building; 6. Submit planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) nOn-conforming uses, or buildings and "pre-existing" land uses~ 1. Aneurate survey of property showing all property lines, streets, building and unusual natumi or topog~phie features. 2. A properly c4?mp!eted application and con.sent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant C. Fees 1. Certifica{e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $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 Temporary Certificate of Occupaucy Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. -~-' ~- ' - Old or Pre~existing Building: (check one) House No. Strut Hamlet Suffolk ~nty T~ Map No 10~, S~tion / L 5 ' Bilk .~ ~t q, ~ Subdivision Peamit No. 3 7~'~? DateofPermit. Health Dept. ApprOval; Planning Board ApprOval: Request for'. Temporary Certificate Fee Submitted: S Filed Map. Lot: '~ - ~ 7~ / ~ Applicant:. Underwriters ApprOval: Final Certificate: (check one) Applicant Signatm e Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 ro.qer.richertCb, town.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Angelares Address: 640 Alois Ln City: Mattituck St: NY Zip: 11952 3uilding Permit #: 37889 Section: 123 Block: 6 Lot: 8.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: Astrum Solar Inc License No: 50824-me SITE DETAILS Office Use Only R~sidential ~ Indcor ~ Basernent ~ Se~,iceOnly ~ Commerical Outdoor I st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Se~ice 3 ph Hat Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transfermer Appliances Dryer Recpt Disconnect Switches Twist Lcck Other Equipment: Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~_~ Smoke Detectors Recessed Fixtures ~.~ CO Datectors Fluorescent Fixture U Pumps Emen3ency Fixtures~ Time Clocks Exit Fixtures [~ TVSS roof mounted 7.84KW photovoltaic system, to include, 32-245w panels with micro inverters, 1-NC disconnect, combiner box Inspector Signature: Date: May 13 2013 Electdcal_Ce~tificate,xls TOWN OF SOUTH~.LD BUILDING DEPT,~/~ '~ ~,~1d~ 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) ~LECTRICAL (FINAL) REMARKS: DATE INSPECTOR INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSU~A'T~N FRAMING/STRAPPING [ ,~riNAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAI(I' PENETRATION ELECTRICAL (ROUG~'I) [ ] ELECTRICAL (FINAL) RE,/~IARKS: ~ / / ~/ DATE ~~J3 INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 PL~G ~ON P~ N. Y. STA~ E~ cODE ,'~OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net PERMIT NO. Examined Approved Disapproved a/¢ Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Phone: ¢o7 APPLICATION FOR BUILDING PERMIT Oate Y ,20 1 7 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 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. Tbereafier, 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 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. (Si~ature of applicant or name, ifa corporation) ]~ ~ ~ ~ '~'T ~ ~-. (Mailing address of appliean0 ~pli ' engm' e~ehe~ai con~t~' '' ' ' State whe~er c~t is o~er, lessee, agent, ~h~t~t, r~~~mlder Nameofownerofpremi~s ~~ ~A~) ~E (As on ~e ~ mil or latest ~02 If applic~t is a co.ration, silage of dulY aU~oflzed o~cer , FO~ LQL~JIrh:~ %~ CTION~: (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 5 2.,a - ME 1. Location of land on which proposed work will be done: -io House Number Street County Tax Map No. 1000 Section Subdivision FOi~ POU <~D :- STRAPPIMG ~ IN,libel'ION 4 FINAL. CONSTF:~t~ t~'' ~US~ BE C{? ALL CONSTRU ~EQUI~EMEN ! S YORK STATE Hamlet Block ~ Lot~-- ~ Filed Map No. Lot 2. State existing use and occupancy of promises and intended use and occupancy of proposed constructi°n: a. Existing use and occupancy b. Intended use and occupancy -~0~-~_ 3. Nature of work (check which applicable): New Building Addition Alteration r~ Repair Removal Demolition Other Work - (Description) 4. Estimated Cost J ] [~ ~(O I Fee (To be paid on filing this application) 5. Number of dwelling units on each floor If dwelling, number of dwelling units if garage, number of cam 6. If business, commemial 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 Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase 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 Will excess fill be removed from promises? YES NO 14. Names of 0)~9~er of premises ~ff'~. ~ ~'~-'~- Address *- Name of A-[dl~ect kl~-.~P,.~-~.~. Address ~os> ~.'~L,~'~-~P),~r~e No~ Name of Contractor ~,~-~-~-- ¢:H~ S~-- Ad~es~ ' ~ ~0 ~ ~one No. E~ff3~~ff¢05 15 a. ls ~is prope~ wi~in 100 feet of a tidal wetl~d or a ~eshwater wetl~d? *YES NO · IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~ITS ~Y ~E~EQUI~D. b. Is this p~pe~ within 300 f~t of a tidal wetland? * ~S NO x · IF YES, D.E.C. PERMlTS ~Y BE REQUI~D. 16. Provide su~ey, to scale, with accurate foundation pl~ ~d dis~nces to pro~ lines. 17. If elevation at any point on pro~ is at l0 feet or ~low, must provide topo~aphical dam on su~ey. 18. Are there any covenants ~d res~ictions wi~ ~s~ct to this pro~? * YES NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~/~, L~.~\ Cv'~t~ \~ being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (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 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swo~.~fore me this day of ~f~ ~--~gnature of Applicant To~n Hall im~ 54~$ Mai~ R~d P.O. ~ 1179 So,hold, NY 11~14)959 (631) 76~-18~ BU~I~G DI~AItTM~NT TOWN OF 8OUTHO~.n APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY' ' Name: Name: License No.: D, o: .C- 7-1 3 ~-0 $~z~- P~ F JOBSITE INFORMATION:. (*Indicates required information) *Cruse Street: *Phone No.: Permit No.: Tax,Map DistriCt: 1000 . Section: I ~ 3 Block: ~ Lot: <~. ~ *BRIEF DESCRIPTION OF WORK (Ploa~ Print Clea~y) ~ ~ou~ u~v~ y~ U *Is job ready for inspection-. ~_~ ~I NO ' ' --- ~3~ In Temp Information (If. needed) *Ben/ice Size: 1 Phase 3Phase 100 150 200 300 350 .400 Olher PAYMENT DUE WITH APPUCATION Additienal Informalion: 82~lfluest f~ Inspec~en Form ' Town Hall Annex 54375 Main Road RO. Box 1179 Southold, NY 11971 0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTItOLD May 14, 2013 Michael Angelaras 2928 165th St Flushing, NY 11358 RE: 640 Alois Lane, Mattituck TO WHOM IT MAY CONCERN: /~he Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: nAn Architect or Engineer is required to Certify the fastening of the panels to the roof are in compliance with the NYS Building Code. Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. __ Final inspection by Building Dept BUILDING PERMIT: 37889- Solar Panels CONSENT TO INSPECTION 04mcr(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at {~ ~O ,~[0/$ ]-a ~ which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block , Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: ~ ~ ~,-,_-3 ~ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, roles and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ~]~ign*lture) (Print N/h'he) \ OF- I-- IA ~ L-".. r~, I',,1 A N I~[:PAR I H'[ 'B~, ~PR Z68,~5 I N~R261984 ,, .. ~. ~,. #, I<~ So99 this department ~d ~oun~ ~Lef ~ Oen,~l ~g~m,eri~ Se~ieea SCALF2 - 50'" I" ~ :-' h,J () lq. A ~ ~%~A 14 E _,blA. P AHENDED ~JAJ%P_7, G UAF~ANTE E.O: TI~- ITI~E. Fll"~'r. Ai'dE ~iCAN - - RODERIC~ VAN TUYL P.C. LICENSED LAND SURVEYOR~ GREEN~RT NEW YORK SUFFO~J'I~ ~O. HEALTH DEPT. APP'ROVAL 1 H.$. no~' J2-: 50',99 ' IT ,-IF HI 7,./.' H ~PM I ql STATE:MEN'T'<~"F INTENT ' THE WATER $UPPLY AND SEWAGE BI~SAL SYSTEMS FOR THIS RESIDENCE WILL ~ CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT. OF HEALTH SERVICES. (si APPLICANT SUFFOLK COUNTY DEPT, OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: I H.S. REF. NO.. ~-~'O:~ ' APPROVED: ..... SUFFOLK CO, TAX MAP DESIGNATION: I DIST. SECT. . BL~K PCL, ~ l~S 6 Plo 4 OWNERS ADDRESS: t ASTRUMSOLAR' 28 Industrial Dr~ve Pliddletown, New York 10941 PHONE 845 467.5547 FAX 315.8752666 www.astrumsolar,com LETrER OF AUTHORIZATION FOR ZONING AND PERMIT APPLICATION To Whom It May Concern: In the State of NY ]! q"'Cv'%' , as owner of the property located at , Town or City of Hereby designate Astrum Solar, Inc. as my contractor and registered agent for the purposes of the applying for Permits and Zoning Board representation regarding my solar photovoltaic generating unit, Signature: Customer: Date: SEE A SUNNY DAY TN A WHOLE NEW WAY® Suffolk County Department of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 4 4 4 DATE ISSLrED: 12/6/2012 No. 50840-H SUFFOLK COUNTY Home Improvement Contractor License This is to certify that ANTHONY FLORENCE doing business as ASTRUM SOLAR INC having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws, rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. NOT VALID WITHOUT DEPARTMENTAL SEAL AND A CURRENT CONSUMER AFFAIRS ID CARD Additional Businesses Licens~ Category Other Commissioner STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Name & Address of Insured (Use street address only) ASTRUM SOLAR INC 8955 Henkels Lane Suite 508 Annapolis Junction, MD 20701 Work Location of Insured (On!~ required if coverage is specificai~ limited to certain locations in New York State, £~, a Wrap-Up Policy) lb. Business Telephone Number of Insured 410-980-1175 lc. NYS Unemployment Insurance Employer Registration Number of Insured 49-75861 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holder) Town of Southold Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, NY 11971 ld. Federal Employer Identification Number of Insured or Social Security Number 27-1427044 3a. Name of Insurance Carrier Zurich American Insurance Company 3b. Policy Number of entity listed in box "la' WC673295600 3c, Policy effective period 1/01/2013 to 01/01/2014 3d. The Proprietor, Partners or Exeeutlve Officers are [~ included. (Only check box if all partnera/officers included) ] all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE oftbe workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box "2". The Insurance Carrier will also notify the above certificate holder within 10 days IF apo/icy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular maiL) Otherwise, this Certiflcate is vaild for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box "3c~, whichever is earlier. 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 holder, the business must provide that certificate holder with a new Certificate 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 an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Steven Johnston Approved by: ............ (Print name of authorlzcd representative or licensed agent of insurance cagier) Approved by: (Signature) (Date) Title: Account Executive r of authorized representative or licensed agent of insurance carrier: 410-433-3000 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-I05.2. Insurance brokers are NOT authorized to issue it. C- 105.2 (9-07) www.wcb.state.ny.us Workers' Compensation Law Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head ora state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a ba?~rdous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal deparlment, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2 (9~07) Reverse STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la. Legal Name and Address of Insured (Use street address only) ASTRUM SOLAR INC 8955 Henkels Lane, Suite 508 Annapolis Junction, MD 20701 Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holder) Town of Southold Town Hall Annex Building 54375 Route 25 PO Box 1179 Southold, NY 11971 4. Policy covem: lb. Business Telephone Number of Insured 410-980-1175 1 c. NYS Unemployment Insurance Employer Registration Number of Insured pending 1 d. Federal Employer Identification Number of Insured 27-1427044 3a. Name of Insurance Carrier The Hartford Life Insurance Company 3b. Policy Number of entity listed in box "la": LNY 642721 3c. Policy effective period: 01/01/2013 to 12/31/2013 a. [] All of the employer's employees eligible under the New York Disability Benefits Law b. [] Only the following class or classes of the employer's employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed 03/4/2013 By Telephone Number (800) 454-7020_ Title Manager IMPORTANT: If box ~4a' is checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of tbat carrier, this certillcate is COMPLETE. Mail it directly to the certificate holder. if box "4b' is checked, this cerlificale is NOT COMPLETE for purposes of Seedon 220, Subd~ 8 oftke Disability Benefils lmw. It mnst he mailed for completion to the Workers' Compensation Board, DB Plans Acceptance Unit, 20 Park Street, Albany, New York 12207. PART 2. TO be completed by NYS Workers' Compensation Board (Only if box "4b" of Part 1 has been checked State Of New York Workers' Compensation Board According to information maintained by the NYS Workers' Compensation Board, the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed. By. (Signature of NYS Workers' Compensation Board Employee) Telephone Number Title Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brolters are NOT authorized to issue this fornt DB-120.1 (5-06) Additional Instructions for Form DB-120.1 By signing this form, the insurance carder identified in box "3" on this form is certifying that it is insuring the business referenced in box "la" for disability benefits under the New York State Disability Benefits Law. The Insurance Cartier or its licensed agent will send this Curtificate of Insurance to the entity listed as the certificate holder in box"2". ThisCertificateisvalidfortheearliero£oneyearaflerthis form is approved by the insurance carrier or its licensed agent, or the policy ~cpiration date listed in box Please Note: Upon the cancellation of tho disability benefits policy indicated on this form, iftbe business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of 31YS Disability Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements oftbe New York State Disability Benefits Law. DISABILITY BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b) The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article, and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. DB-120.1 (5-06) Reverse 705 General Washington Avenue, SuRe 650 AS}R U M SO fAR' www,~t~-~mso~r~¢~m March 1, 2013 Angeiaras~ Michael Residence Electrical Rev[ew 640 Alois Eh, MattituCk, NY, 11952 (5uffoi~ County) New York Office: Michael 8,. (32) Hanwha 245 Po~y Panels with {32} M235 Inverters PV meter type: Hiateah Emu location: in the garage by the PV pane~. tnternet Connection: Bridge Ch-cuit Calculations: 32 M215 inverters x 9 / h~verter = 28.8 Amps x 1.25 = 36 FLA. ?V combiner with (3) ~5 Amp, 2 po~e circuit breaker, (1) 15 Amp, i pole circuit breaker (for EMU} interconnecdon calculation: N/A, Line Side Tap Interconnecdon will be a line-side-tap in the gutter space of the existing main panel. R'om the EST install wiring to a 100 Amp main circuit bleaker enc[osnre with a 40 Amp circoit breaker mounted adjacent to the main sen~ice panel (The enclosure must be listed for service entrance use and wiring for the tap must be at least 60 Amp rated) W~dng from this d~cuit breaker enclosure will install to a 60 Amp fused disconnect located next to the utility meter' From the disconnect wire into the garage thru the PV meter and into the PV panel (w~f need to mount a backer board). From the PV panel run conduit up into the attic. Run conduit across the attic to the soiadeck located under the array. From tt~ soladeck run conduit across the racking under the panels to the juncdon box located under the array on the lower roof. There w~[I be three c[[cu~ts of [nverte~'s. Standard wire s~ze and type ~ior the array w~ring [s THHN-THWN-2 Install an oudet for the EM U at the ¢ocation where the EMU will be mounted, if this location is in a garage or basement instal~ a GFEt o(Jtlet, Wring for this outlet witl be from the PV combiner panel and can be UF type cable, An§elaras Residence 7.84 kW Photovoltaic Solar Array 640 Aiois Lane Mattituck, NY 13.952 LIPA Account Number: 961-0S-4302-Z ~,. , ,,.~ ~ ,, PV A/C Disconnect to be Located i Within I0' of the Existing Utility Meter I SystemSite D~g ram Displaying 32 Ha nwha 24S Po~Bto Existinglack So Utiliwlar M°dul es AC Disconnect Will Be Located Ne~ Meter PD-1 Typical Section Description of Work 7.84 kW Photovoitaic Solar Array ..... This solar Installation Is comprised of 32 Hanwha 245 Polv Black solar panels. The panels are mounted using the ~/~ .~ ~x.\ stdng. The wiring then runs to AC disconnects located outside the house ~ear the ut,lty meter and then ~nto ~ '~ ~ ~,~:~ .~ ~'~;', ~s~ . ~ o,: ~ C waterproof Junction box for a supply-side connection. ~'~ ~'~ ~' . ~ produce more power thae is used by the building, the excess power flows ~ck into t~e utility grid throug~ a net ~ ~ ~ Horizontal System Square Footage 569 sq ~ Roo/Suppo~ 2"xg"& 2'rx6'* rafters ~ocking Weight 597 ihs Point L~d 5pacing 4 ft Note ~; Use 5/26'x 4"Hex Heod Staintess 5teal Log 5crews ~icro4nveHer Weight [40.8 Mem~m are Hem, Fir (No~) allowing 235 lbs Note 2: R~/ Sup~o~ Membe~ ore the 2 "xg'& 2 "x6" ra~ers ~r in~ ~read Variables - ~ GIo~ ;~ of re~s for Load Colculat~ns on Sheet SD~ Load Combina~ons ~ ~ 18 ~ o 3 ~ Pne[ ~own~orce 2~.7 ~sf D~ ~D2 D3 ~ ~ 23 ~ ~ind Down~o~ce 23.~ ~sf Pnet Upl~~sf Dead Load ~ 3.g; 3,S 3.9 2.3 psf : Snow load 20 psf Exposu~ Catego~ B ~/,~ _ ~ ~ ~ -'-OWL: ~sign Wind Load *~* Absol~ ~l~s are Ind~a~d ~r the calculat~ quanti~es o~ P-UplJ~ and O 1 :D 2 D 3 Uplift :) 3,9 35 3.9 2.3 ~sf 20.c O.C 15,0 0.0 ~sf =net O.C 23.7 [7.8 -30.3 ~sf ~*** 23.S 27.~ 36.; 28.0 psf #*** 64.8 74.~ 99.z 75.8 OWL** =net 0.C I 23.7 [7.8 -30.3 psf ~ a~ Total Load ~*** 23.S 27,~ 36.71 28.0 psf I =: _~ z )istrib TL #*** 64.81 74.8 99,41 75.8 plf I Iv O = wMax 99 plf _.m -- ~_ Max Span S ft _aa Actual Span 4 ft <~' ~.o ~ Rd ~95 lbs RU 303 lbs Required Thread Depth 1.19 In P D- 2 Actual Thread Depth ;~.15 in EJ~ F)ment Schedule ~,~ Description i Part Number Quantity Notes av String ' N/A 2 One of 2 strlnBs is shown; AddRional strings follow same wiring to PV Load Center ; ~olar PV Module HSL6OP6-PA-4-24STB 32 Total of 32 modules In system which are split into 2 strings. Max of [7 ~er string. 3 DC/AC Inverter M215-60~2LL-S22 32 Micro-inverters are mounted under solar panels 4 ~unctlon ~ox Carton 6 x 6 x 4 PVC i Junction box groups multiple strings. One is typica) per continuous roof surface. 5 PV Load Center ~IQ Amp Subpenel ~. MLO -Solar PV load center, (I) 2-pole circuit breaker per circuit 6 PV ProducUon Meter Revenue Grade Meter 1 Included when applicable 7 Disconnect Cuttler Hammer, C-H DG222NRB ~. V~slbte Break Disconnect; Minimum of 60 Amps and sized accordlngto system output 8 Existing CB Panel N/A N/A System will interconnected using a Line Side Tap connection in the Waterproof J-Box and not by Electrical Diagram f~r An~elaras · · PV Load ~ Panel Utility Net Meter --i t- 0 0  uit and Conductor $~h,dul~ 1 PV Wire 12 2 (slnBle) N/A N/A ~olar Panel to ]averter (Typ) Enphase Branch Cable 12 3 N/A N/A ~ola r A~ray Inverters to J -Box 2 Bare Copper EQ, Ground Conductor 6 1 N/A N/A ~rray rack bonding THWN-2 Insulated Copper l0 6 I-Box to ~olar PV Load Center MIn 3/4" 3 THWN-21nsulatedCopper Grounding ~ 8 1 ' 4 PVC MIn 3/4" Copper Grounding Electrode 6 lunctlon bo~ to home CB panel and to meter for line- S Aluminum 4 MIn 3/4" 6 SEU Utility Service Cable 4/0 3 N/A N/A ~xlsting service cable to net meter i I E~II4~ ~ment Schedule ~,~ Description Part Number Quantity Notes ~V String N/A 2 One of 2 strings is shown; Additional strings follow same wiring to PV Load Center ~olar PV Module HSL6OP6-PA-4-24STB 32 Total of 32 modutes tn system which are split into 2 strings, Max of ~7 ~er string. 3 :)C/AC Inverter M2~.S-BO~2LL-S22 32 Micro-inverters are mounted under solar panels 4 ~unctlon ~ox Carton 6 x 6 x 4 PVC ~. Junction box groups multiple strings. One is typical per continuous roof surface. 5 PV Load Center ~IQ Amp Subpenel ~. MLO -Solar PV load center, (~.) 2-pole circuit breaker per circuit 6 PV Production Meter Revenue Grade Meter ~. Included when applicable 7 Disconnect Cuttler Hammer, C-H DG222NRB ~. V~slbie Break Disconnect; Minimum of 60 Amps and sized accordlngto system output 8 Existing CB Panel N/A N/A System will interconnected using a Line Side Tap connection in the Waterproof J-8ox and not by backfeedlng the existing circuit breaker panel. Description or Conductor Type Conduit Type Conduit Size Notes Conductor Number of Gau~e Conductors PV Wire 12 2 (slngie) N/A N/A ~olar Panel to inverter (Typ} Enphase Branch Cable 12 3 N/A N/A ~olar ~'ray Inverters to J-Box Bare Copper EcL Ground Conductor 6 ~ N/A N/A ~rray rack bonding THWN-2 Insulated Copper l0 6 I-Box to ~olar PV Load Center PVC MIn 3/4" THWN-2 Insulated Copper Grounding 4 AWG Alumtnum 4 4 ~olar PV Load Center Disconnect to kWh Meter PVC MIn 3/4" Copper Grounding Electrode 6 4 AWG Aluminum 4 4 PVC MIn 3/4" ~nctlon bo~ to home CB panel a~d to meter for line- ~lde tap, SEU Utility Service Cable 4/0 3 N/A N/A ~xlsting service cable to net meter PV Module Ratings ~i~ STC Module Make Hanwha Solar Module Model HSL60P6-PA-4-245TB Max Power-Point Current (Imp) 8.25 Max Power-Point Voltage (Vmp) 29.7 Open-Circuit Voltage (Voc) 37.2 Short-Orcuit Current {Isc) 8,8 Max Series Fuse (OCPD) ~.5 Maximum Power {Pmax) 245 Max Voltage (TYP 600V/DC) 600 Voc Temp Coeff -0,35 Inverter Ratings Inverter Make~ Enphase Energy Inverter Model M2[S-60-2LL-S22 Max DC Voltage Rating 45 V Max Power ~ 40 Degrees C 2~.5 W Nominal AC VoltaBe 240 V Max AC Current 0.9 A Max OCPD Rating 20 A Sign for AC Disconnect AC O~tp~t Current 36 A Nominal AC Voltage ~ 240 V THIS PANEL FED BY TWO SOURCES (UTILITY AND SOLAR) Notes for Array Circuit Wiring 1, Lowest expected ambient temperature based on ASHRAE minimum mean extreme dry bulb temperature for ASHRAE location most similar to installation location. Lowest expected ambient tamp is -~.4 degrees Celcius. 2. Highest expected ambient temperature based on ASHRAE minimum mean extreme dry bulb temperature for ASHRAE location most simUar to installation location, Highest expected ambient tamp is 32 degrees Celdus. 3. Microinverters and solar panels are bonded to rails with WEEB grounding devices 4, Rails are bonded with #6 Bare Solid Copper Wire. Ground conductor is continuous from rooftop to ground at main panel, All splices of the ground are made with compression connectors. Notes for Inverter Circuits 1, If utility requires a visible-break switch, does this switch meet the requirement? YES 2r If generation meter required, does this meter socket meet the requirement? YES 3 MC4 connectors are for AC load disconnects per micro* inverter manufacturer, 4. Size of inverter output circuit {AC) conductors according to inverter 20 A OCPD ampere rating. S, System has a total of 2 strings of Enphase M215*60-2LL- 522 micro-inverters. Interconnection is between utility meter and the bullding's main CB panel, Glossary of Terms for Load Calcu latlons h gutldln8 Height H Building Least Horizontal RoolPitch Roof Pitch V ~asic Wind Speed Snow Load Snow Load Reef Zone Roof Zone E Effective Roof Area a Roof Zone Setback Length ~, cD pR O~:r..~ Adjustment Factor for height Importance Factor of I for a single family residence Module length perpendicular to beams Point Load - Maximum Downforce B- Suburban singIe farnll¥ dwelling PD-4 ASTRUMSOLAR' 8955 Henkels Lal~e, Suite 508 Am~apolis 3unction, ND 2070~. PHONE 1.800.903.6~.30 FAX 443,267.0036 www.astrumsolar.com March 13th, 2013 Town of Southold Building Department Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Subject: Structural Certification for Installation of Solar Panels Angelaras Residence 640 AIois Lane Mattituck, NY 11952 To whom it may concern: A design check for the subject residence was done on the existing roofing and framing systems for the installation of solar panels over the roof. From a field inspection ofthe building, the existing roof support structures were observed as follows: Roof A The roof structure consists of asphalt shingle on plywood sheathing that is supported by nominal 2"x8" rafters at 16" oc, paired with 2"x10" ceiling joists. The rafters have a maximum span of 12'-8" and a slope of 13 degrees. The rafters are connected to a continuous 2'x8" header board at the pitch, and load bearing walls on either side. There are 2"x6" collar ties at 16" oc for structural stability. Roof B The roof support structure consists of asphalt shingle on plywood sheathing that is supported by nominal 2"x6" rafters that are spaced at 16" oc, paired with 2"x10" floor joists. The rafters have a horizontal span of approximately 12'-8" and a slope of 32 degrees. The rafters are connected to a continuous 2"x8" header board at the pitch, and load bearing walls on either side. There are 2"x6" collar ties at 16" oc, along with 2"x4" partition walls on either side of the roof to form room-in-attic truss system. The solar array will add approximately 4 psf of dead load to the roof. The existing roof framing systems are judged to be adequate to support the loads that are imposed by the installation of solar panels. No reinforcement is necessary. The finished solar installation will be flush mount and will be approximately 6" above the original roof surface. There is a minimum of 18" around all edges of the roof. The spacing of the solar attachments shall be kept at 48" oc with a staggered pattern to ensure proper distribution of loads. The solar mounting will be composed of Unirac Solarmount rails that are attached to Ecofasten L-foots at 48" oc. The L-foots are fastened by a 5/16" diameter lag with for a minimum of 2 N" thread SEE A SUNNY DAY 'rNA WHOLE NEW WAY® ASTRUM$OLAR' 8955 Henkels Lane, Suite 508 Annapolis ]unction, MD 20701 PHONE 1.800.903.6130 FAX 443.267.0036 www.astrumsolar,com embedment, all sealed by a layer of flashing that's tugged under the asphalt shingles on the upper side. The specifications are included with the structural letter and all the connection components are able to withstand the local regulations for wind and snow loads. I further certify that all applicable loads required by New York Residential Code were applied to the Unirac SolarMount rail system and analyzed. The applicable loads are indicated in the load combination table and the summation of maximum loads indicated on permit plan sheet PD-2, which is part of this submittal package. Furthermore, our installation crews have been thoroughly trained to install the solar panels based on the specific roof installation instructions developed by Unirac for the racking system, and by EcoFasten for the roof connections. Finally, I accept the certifications indicated by the solar panel manufacturer for the ability of the panels to withstand high wind and snow loads. Sincerely, Structural Engineer AstrumSolar SEE A SUNNY DAY 'tN A WHOLE NEW WAY® ASTRUMSOLAR' 28 Industrial Drive Middietewn, New York 10941 PHONE 845467.5547 FAX 315.875.2666 May 14, 2013 Town of Southold Building Department Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: C of O Document for Permit # 37889 Please find enclosed our Engineer's Certification Letter for issuance of the Certificate of Occupancy for Michael and Susan Angelaras at 640 Alois Lane in Mattituck, NY 11952 If VOU have any questions regarding our submittal, please do not hesitate to contact me. Sincerely, MichaelBroo~ Project Lead michael.brooks@astrumsolar.com 845-239-6903 ASTRUMSOLAR~ 28 Industrial Drive F4iddletown, New York 1094] PHONE 8~5 467.554/ FAX 315,875.2666 www.astrumsolar.com March 15, 2013 Town of Southold Building Department Town Hall Southold, NY 11791 Re: Building Permit Application Please find enclosed our Building Permit Application for Michael Angelaras of 640 Alois Lane in Mattituck, NY 11952 Included is the submittal package for your review, including the required insurance certificates. If you have any questions regarding our application, please do not hesitate to contact me. Sincerely, Michael Brooks Project Lead michael.brooks~ast rumsolar.com 845-239-6903 BII;G Dt J. ASTRUMSOLAR' Project: Angelaras Residence Client: Astrum Solar Location: 640 Aiois Lane, Mattituck, NY 11952 Date: 3/13/2013 Engineer: Elaine A Huang, PE 8955 Henkels Lane, Suite 508 Annapolis Junction, MD 20701 PHONE 1.800.903,6].30 FAX 443.267.0036 www.astrumsolar,com Load and Load Combination: Dead Load: Plywood Roof Deck = 5 psf (ASCE-7 Table C3-1) Asphalt Shingles = 2 psf (ASCE-7 Table C3-1) Insulation = 1 psf Solar Panels = 4 psf (Given by product catelog) Total Dead Load = 5 + 2 + 1 + 4 = 12 psf Live Load: Tributary area of each rafter < 200 ft2 Slope of roof = 13° and 32° From IRC Table R301.6, the minimum roof live load is 16 psf. Snow Load: Ground Snow Load, Ps: Town of Mattituck, NY = 20 psf (NY Residential Code, 2010) Elevation: 18 ft Flat Roof snow load = P~ = 0.7 C, Ct I p~ = 0.7 x 0.9 x 1 x 1 x 20 psf = 13 psf (ASCE-7, Eq. 7-1) Ce = exposure factor = 0.9, (ASCE-7, Table 7-2), Terrain B, fully exposed Ct = thermal factor = 1.0 (ASCE-7, Table 7-3), heated structure I = importance factor = 1.0 (ASCE~7, Table 7-4), occupancy category II Sloped roof snow load Ps = C~ P~ = 1.0 x Pf = 13 psf (ASCE-7, Equation 7-2) Wind Speed: Basic Wind Speed: Town of Mattituck, NY = 125 mph (NY Residential Code, 2010) Wind Pressure: Ct = slope factor = 1.0 (ASCE-7 Fig. 7-2a), Cold roofs with Ct = 1.0 ~ From IRC Table R301.2 (2), Wind Load for Components and Cladding (Solar panels) Roof pitch = 13' and 32* Roof zone = 3 Effective Wind Area = 20 ft2 Wind Pressure = 1S psf (downward) or -49 psf (uplifting) for exposure B (surburban) SEE A SUNNY DAY IN A WHOLE NEW WAY® ASTRUMSOLAR' 8955 Henkels Lane, Suite 508 Annapolis 3unction, ND 20701 PHONE 1.800.903.6130 FAX 443.267,0036 www.astrumsolar.com From ASCE-7, for Main Wind Force Resisting System (wood rafters) O~ = 0.00256 Kz K~ Kd V2 I (ASCE-7, Equation 6-15) K~ = velocity pressure exposure coefficient = 0.70 (ASCE-7, Table 6-3), 30' building Kzt = topographic factor = 1.0 (ASCE-7, Section 6.5.7.2) Kd = wind directionality factor = 0.85 (ASCE-7, Table 6-4), main wind force resisting system V = 125 mph (Mass Residential Code, 780CMR, 8~h Ed.) I = 1.0 (category II) Therefore, qz = 0.00256 x 0.70 x i x 0.85 x 1252 x 1 = 24 psf (downward) From ASCE-7 Figure 6-2, Design Wind Pressures for Main Wind Force Resisting System (enclosed building), Wind Vertical Pressure = -30 psf maximum (uplift) Use 24 psf downward force and -49 psf upward force for calculation to maximize load forces. Downward Load Combination IASD): D+L=28psf D+W=36psf D + 0.75W + 0.75L = 42 psf (controls) Uplift Load Combination (ASD ) D+L=28psf D + W = -42 psf D + 0.75W + 0.75L = -13 psf Roof Structures Roof A The roof structure consists of asphalt shingle on plywood sheathing that is supported by nominal 2"x8" rafters at 16" oc, paired with 2"x10" ceiling joists. The rafters have a maximum span of 12'-8" and a slope of 13 degrees. The rafters are connected to a continuous 2"x8" header board at the pitch, and load bearing walls on either side. There are 2"x6" collar ties at 16" oc for structural stability. Roof B The roof support structure consists of asphalt shingle on plywood sheathing that is supported by nominal 2"x6" rafters that are spaced at 16" ac, paired with 2"x10' floor joists. The rafters have a horizontal span of approximately 12'-8" and a slope of 32 degrees. The rafters are connected to a continuous 2"x8" header board atthe pitch, and load bearing walls on either side. There are 2"x6" collar ties at 16" ac, along with 2"x4" partition walls on either side of the roof to form room-in-attic truss system. Structural Analysis and Calculation SEE A SUNNY DAY TN A WHOLE NEW WAY® ASTRUMSOLAR' Roof A Roof Rafters: Member Size = 2"x8" Spacing = 16" O.C. Span Length = 12.7' maximum w = 42 psf x 16 in/(12 in/ft) = 56 Ibs/ft Check moment capacity of wood rafters: M =wL2/8 = 56 Ibs/ft x (12.7 ft)2/8 = 1129 Ibs-ft S = bd2/6 = 13.14 in3 M/S = 1129 Ibs-ft x 12 (in/A) / 13.14 in3 = :103:1 psi Fb (DFL no :1/no 2) = 900 psi x Cr X CD X CF = 900 psi X :1.:15 X :1.60 X 1.2 = :1987 psi, OK Q = repetitive factor = :1.:15 (2" width) (NDS Table 4A) C0 = duration factor for wind load = :1.6 (NDS Table 2.3.2) CF = shape factor = :1.2 (2"x8") (NDS Table 4A) Check uplift moment capacity of roof rafters: M = wL2/8 = 56 Ibs/ft x (12.7 ft)2/8 = :1129 Ibs-ft S -- bd2/6 = 13.:14 in~ M/S = 1:129 Ibs-ft x (:12 in/ft) / :13.:14 in3 = :103:1 psi Fb (DFL no :1/no 2) = 900 psi x Cr X CD X CF X CL = 900 psi X :1.15 X 1.6 X :1.2 X 0.55 = :1062 psi, OK Cr = repetitive factor = :1.:15 (2" width) (NDS Table 4A) CD = duration factor for wind load = :1.6 (NDS Table 2.3.2) CF = shape factor = :1.2 (2"x8") (NDS Table 4A) 8955 Henkels Lane, Suite 508 Annapolis 3unction, MD 20701 PHONE 1,800,903.6130 FAX 443.267.0036 v~vw.astrumsolar.¢om Check shear capacity of roof rafters: SEE A SUNNY DAY TN A WHOLE NEW WAY~ ASTRUMSOLAR' 8955 Henkels Lane, Suite 508 Annapolis ]unction, MD 20701 PHONE 1.800.903.6130 FAX 443.267.0036 www.astrum$olar.com V = wL/2: 56 lbs/ftc x 12.7 ft/2 = 356 lbs Vm~x = 3V/2A = [3 (356 lbs)]/[2 (10.88 in2)]: 49 psi Fv = 150 psi, OK Check deflection of roof rafters: ~ot~ = 5wL4/384El = (5 x 0.056 K/ft x 12.74 ft4 x 123 in3/ft3)/(384 x 1600 psi x 47.63 in~) = 0.430" L/180 = 12.7' x (12 in/ft)/180 = 0.847 in, OK (IRC Table R301.7) Roof B Roof Rafters: Member Size = 2"x6" Spacing = 16" O.C. Span Length = 7.5' maximum w = 42 psf x 16 in/(12 in/ft) = 56 Ibs/ft Check moment capacity of wood rafters: M =wL2/8 = 56 Ibs/ft x (7.5 ft)2/8 = 394 Ibs-ft S = bd2/6 = 7.56 in3 M/S = 394 Ibs-ft x 12 (in/ft) / 7.56 in3 = 625 psi Fb (DFL no 1/no 2) = 900 psi x Cr x CD X CF = 900 psi X 1.15 X 1.60 x 1.3 = 2153 psi, OK Cr = repetitive factor = 1.15 (2" width) (NDS Table 4Al CD = duration factor for wind load = 1.6 {NDS Table 2.3.2) CF = shape factor = 1.3 (2"x6") (NDS Table 4Al Check uplift moment capacity of roof rafters: M = wL2/8 = 56 Ibs/ft x (7.5 ft)2/8 = 394 Ibs-ft SEE A SUNNY DAY IN A WHOLE NEW WAY® ASTRUMSOLAR' 8955 Henkels Lane, Suite 508 Annapolis Junction, MD 20701 PHONE 1.800,903.6130 FAX 4q3,267.0036 www,astrumsolar,com S = bd~/6 = 7.56 in3 M/S = 394 Ibs-ft x (12 in/E) / 7.56 in3 = 625 psi Fb (DFL no 1/no 2) = 900 psi x Cr x CD x CF X CE = 900 psi X 1.15 X 1.6 X 1.3 X 0.64 = 1378 psi, OK Cr = repetitive factor = 1.15 (2" width) (NDS Table 4A) CD = duration factor for wind load = 1.6 (NDS Table 2.3.2) CF = shape factor = 1.3 (2"x6") (NDS Table 4A) Check shear capacity of roof rafters: V = wL/2 = 56 Ibs/ft x 7.5 ft/2 = 210 lbs Vmax = 3V/2A = [3 (210 lbs)I/[2 (8.25 in~)] = 38 psi Fy = 150 psi, OK Check deflection of roof rafters: Atota~ = 5wL4/384EI = (5 x 0.056 K/ft x 7.54 ft4 x 123 in3/ft3)/(384 x 1600 psi x 20.79 in4) = 0.120" L/180 = 7.5' x (12 in/ft)/180 = 0.500 in, OK (IRC Table R301.7) SEE A SUNNY DAY IN A WHOLE NEW WAY~ Attachments secure, roof intact. Attachments Secur~'~] No need to remove any shingles if you can locate the rafters. · Drill, socket drive for lag bolt, tape measure, stud finder, chalk line, etc. /~. 1. Locate the rafters and snap horizontal and vertical lines to mark the -~/ 2. Center the Green-Fasten over the rafter. ~ 3. Drill a pilot hole for the lag bolt. 4. Insert the flashing so the top part is under the next row of shingles and the ] hole lines up with the pilot hole. I 5. Insert the lag bolt through the neoprene-bonded washer, the top compression component (Z-Bracket pictured) and the Casketed hole in the flashing and into the rafter. The lag bolt should be tightened to approximately 97 inch pounds to ensure a watertight seal. Consult an engineer or go to www. eco-fasten.com for engineering data. Document version: 04.22.2009 Ecu-Fasten 289 Harrel Street · Morrisville, VT 05661 Toll Free Phone 1.888.766.4273 · Toll Frae Fax 1.888.766.9994 E-mail info@ecu-fasten.cum © Copyright 2009 Eco-Fasten, a division of Vermont Slate & Copper Services, Inc /~ade in Vermont, USA from recycled materials ASTRUMSOLAR' 8955 Henkels Lane, Suite 508 Annapolis Junction, ND 20701 PHONE 1.800.903,6130 FAX 443,267,0036 www.astrumsolar,com May 9th, 2013 Town of Southold Building Department Town Hall Annex Building 54375 Route 25 P.O. 8ox 1179 Southold, NY 11971 Subject: Structural Affidavit for Installation of Solar Panels Angelaras Residence 640 Alois Lane Mattituck, NY 11952 To whom it may concern: I am writing in regards to the solar panel installation project at Angelaras Residence on 640 Alois Lane, Mattituck, NY. A field inspection was conducted upon the completion of installation and the following is a summary of my findings. The solar panels add approximately 4 psf to the existing roof structures. The standoff attachments are staggered as specified. The products that were used in this project, such as the PV panels, racking systems, and accessories are consistent with these on the permit plan sheets. The installation crews have been thoroughly trained to install the solar panels based on the specific roof installation instructions developed by Unirac for the racking system, and by EcoFasten for the roof connections. I further certify that all applicable loads required by NYS 2010 Residential Code were applied to the Unirac rail system and analyzed. Finally, I accept the certifications indicated bythe solar panel manufacturer for the ability of the panels to withstand high wind and snow loads. If I may be of further assistance, please not hesitate to contact me at my office at 978-406-8921. Sincerely~, Structural £ngineer AstrumSolar SEE A SUNNY DAY IN A WHOLE NEW WAY®