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HomeMy WebLinkAbout37780-Z '"SYr Town of Southold Annex 6/24/2013 ~~~~t ~ ~ P.O. Box 1179 54375 Main Road ~ ~~tiQ Southold, New York 11971 ^K°- 4 CERTIFICATE OF OCCUPANCY No: 36312 Date: 6/24/2013 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 280 ROSENBURG ROAD EAST MARION, SCTM 473889 Sec/Block/Lot: 21.-1-23.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofiiced dated 4/5/2010 pursuant to which Building Permit No. 37780 dated 1/29/2013 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: electric solar nanels on existing accessory building as applied for. The certificate is issued to JESSE PERETZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37780 5/20/10 PLUMBERS CERTIFICATION DATED r ~ - - Auth Suture TOWN OF SOUTHOLD BUILDING DEPARTMENT A ? TOWN CLERK'S OFFICE 'ffi~ 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 37780 Date: 1/29/2013 Permission is hereby granted to: JESSE PERETZ CIO THE CLARK ESTATES INC. ATTN: WILLIAM T. BURDICK ONE ROCKEFELLER PLAZA , 31st FLOOR NEW YORK, NY 10020 To: INSTALLATION OF ELECTRIC SOLAR PANELS ON ACCESSORY BUILDING.REPLACES EXPIRED B.P. # 35473 At premises located at: 280 ROSENBURG ROAD EAST MARION SCTM # 473889 Sec/Block/Lot # 21.-1-23.1 Pursuant to application dated 4/5/2010 and approved by the Building Inspector. To expire on 7/29/2074. Fees: PERMIT RENEWAL $50.00 CO -ADDITION TO DWELLING $50.00 Total: $100.00 Build n ctor FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35473 Z Date APRIL 14, 2010 Permission is hereby granted to: ' JESSE PERETZ 5795 ROCKY POINT RD EAST MARION,NY 11939 for INSTALLATION OF ELECTRIC SOLAR PANELS ON ACCESSORY BUILDING at premises located at 280 ROSENBURG RD EAST MARION County Tax Map No. 473889 Section 021 Block 0001 Lot No. 023.001 pursuant to application dated APRIL 5,.2010 and approved by the Building Inspector to expire on OCTOBER 14, 2011. Fee $ 100.00 '~~C%~ Author zed Signature COPY Rev. 5/8/02 form No. 6 Towle as souTaoLD. BUILDING DEPARTMENT p ~ 1'~` TOWN HALL ~ `L/" s c6 agG{~ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or inlc and submitted to the Building Department with the following: A. For new baildipg or ue»~ use. 1. Final survey of propeaty with aceurate'location of all buildings, property lines, streets, and umtsual nature} or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical i~taliation from Board of Fire Underwriters. 4. Swom statement from plumber certifying that the solder usod in system contains less than 7110 of 1 % lead. - 5. Commercial building, iudttsuial building, mtiltipte residences and similar buildings and jnstallations, a certificate of Code Compliauce•frotn architect or engineer responsible for the btrildiagc , 6. Submit Planning Board Approval of completed site plan requirements- B. For eziating buildings (prior to. Apr}19, 1957) non-rnnforming uses, or buildings aml "pre-existing" lsed uses: 1. Aaarrate survey of property showing all property lines, streets, building and unusual natural or topographic features- . 2. A properly spmpleted application and cpnsent 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. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling 550.00, Swimming pool X50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses 550.00: 2. Certificate of Occupancy on Pre-szisting Bnitding - $100.00 3. Copy of Certificate of.Occupancy - $:25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. t ' a-~ ` 1 New Construction: /n~ Old or Pcccxisting Building: (check one) Location of Property: ~ $0 >SOSEa r9 Q ~ f`Jts f f~r'}'RJO~ House No. p Street Hamlet Owner or Owners of Property: 3^!%SS g / ~-r~ f Z Suffolk County Tax Map No 1000, Section oa.1 Block 17.170 / Lot ?,2 3 . PO Subdivision ~ Filed Map. Lo/t:~ Permit No. 3 -7 7 -~y _ Date of Permit.- ~ . Applicant:: /~d~iif?~gr~r'?y /~a'J ~ac~' ~l Healt3r Dept. Approval: Underwriters Approval: Planning Board Approval: Request for. Temporary Certificate Fina} Certificate: (check one} Fee Submitted: $ ,7 O. }~;_-t-o-_tN„l-~,~-= Applicant Signatu~r~ej Frank Wolfgang Uellendahl Architect 123 Central Ave POB 316 Greenport, NY 11944 t: 631.477.8624 e: frank@frankuellendahl.com June 24, 2013 Town of Southold Building Department 54375 Main Road POB 1179 Southold, NY 11971 Subject: Installation of Electric Solar Panels on Accessory Building for Jesse Peretz c/o The Clark Estates Inc., Attn: William T. Burdick at 280 Rosenburg Road in East Marion SCTM# 1000-21-01-23.1 Permit #:35473 ~ re~sr-~ 3~ ~ Qb~ LETTER OF CERTIFICATION I have reviewed the solar energy system installation at the above referenced property. 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 requirements of the 2010 NYS Building Code. I hereby state that the information provided above is true to my best belief and knowledge, 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. st regards, c,.~ER ARC u ~ I ~ iD ank Uellenda ~ I ~ 7~t I I ~~w 2 2~~3 ~lo~_ oEP,. ~NEVd~ Town or so~~~r~+o~o TOWN OF SOUT410LD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS ION [ ]FRAMING /STRAPPING [ FINAL ~a L~,L [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: . - ~ c o t T~ ~ ? DATE / ~ INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ~ Jro FOUNDATION (1ST) ~ ~ , ~ FOUNDATION (2ND) ~ ~ z 0 o~~% C~ ROUGH FRAMING & PLUMBING INSULATION PER N. Y. `j STATE ENERGY CODE s ~ i~-- S- rJ 5 0 u ~ re ~GCt-~' , ADDTTIONAL COMMENTS CJe-1 V - N O 'z m n ~ ~ °z d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying'? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined , 20 Storm-Water Assessment Fomt Contact: Approved , 20 Mail to: Disapproved a/c p j` hone: 7~ 9~D ~ Expiration , 20 /~~'KC ~nD.P~ UGC ~ D 2 ~ ~5 ~ ~ Building Inspector LS D APPLICATION FOR BUILDING PERMIT APA 5 2010 Date , 20 ~ o BLDG. DEPT. INSTRUCTIONS TOWN OF SOUTNOID tca ton 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 afrer 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. 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 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 regulaf d o admit authorized inspectors on premises and in building for necessary inspections. (Sign of applicant o ame, i a corpo anon) ~sr /~t~i~N NY 939 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ WN b~- Name of owner of premises ~ C~jl~~ ~7~~2~~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. (p Other Trade's License No. 1. Location of land on which proposed work will be done: ?QO ~Sr~r~~-~ ~ ~~~~I' fylA~UoN N'( 111 House Number Street Hamlet County Tax ~~P No. 1000 Se lion I Block ~ Lot oG ~ ' Subdivision lV1{~21DN ~I ~C(~1p,041N Filed MaplVo: Lot 17 g ~q t~ 2. State existing use and occupancy of premises and intende use and occupancy of propo~ onstruction: a. Existing use and occupancy ,slN ~ ~ ~ ~/L ~ ~~lD~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work /NSTiYl~L Sdz-/j/G~ ~,t (Description) 4. Estimated Cost .t/ Zstdoo 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 Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear ~ ` Depth Height Number of Stories l 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 1 1. 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 till be removed from premises? YES NO ~~T.~r~rni°~/ Nt' /i~~ 14. Names of Owner of premises ~ ~ ~~T~ Address ~ ~o~~~ /Phone No. Name of Architect / ~ L~l 9N Address N-'~, °E "'z ii hone No ~ ~7/ ' - Do Name of Contractor Addres~s 8eX Z~ Phone No. 63/ 33/ 7/0/3 ~"d7f71NiYr/r~ crJMC G/6 /d.~T JE~S°^' syR ,vY~/77~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ? NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_j~ 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 dat`a/on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO 7~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFS o~Ga~/~) ~/~j~.f 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 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application tiled therewith. Sworn ~ before m~ ~ he J. We13s eh ~ York to 'c• atllioll~ l~lJ~ty Signature f Applican i;ommission ices AUgUSt 11, 20~~ ~r~ Town of Southold.. s ~ Erosion, Sedimentation 8 Storm-Water Runoff ASSESSMENT FORM Q[ y~ PROreRtt iocATlofi: s.c.T.rn: s: THE FOLLOWING ACTION8 MAY REpIIIRE THE 8UBM18SION OF A OQ'D 2 ~ ~ ~ - STORM-WA 1NG~ DRA1 R AND 0516 CO OL FipN bisrdct Sacdon abek ld CERTIFIED BYADESIGNPROFESSIO INTNE STATED ~ ppl(,- Item Number. (NOTE: A Check Matk (j) fa each Quastlon is Required for a Complete Appication) Yes No. - ~ - - - -Wik this Projed Retain All Storm-Water Iturl-0ff (3enereled by a Two (2') Inch Ratnfak on Ske? - - - - (this kem wklindude all ron-off created by. site Bearing arM/or oonsfmctionecfivikas as weN. shall Ske - Improvements and the PermaneMtxeation:of 4trparviotts surfaces.) - 2 [Mes the Ske Plan andlo[ Survey how All Proposed Drainage Structures Indicafirg Size & Locafion7 ~ ? This Item shall indude all Proposed Grade Changes and Slopes Contrdllrg. Surface WaterHowl - WiN this Pro)ed Require any Land Filling, Greding or Excavation wherethere is a change lathe Natural Existng Grede Involving nwre than 200 Cubic Yards of Material within any Panx:17 i4. Will this Appficadon Require Land Dlsturdng Adlviges Encompassing an Area in Excess of ? Flve Thousand (5,000) Square Feet of Ground Surface? Cj Is there a Natural Water Course RanMng through the Ske? ~ ? Is this Projectwithin the Trustees judsdidion or within One Hundred (100'). feet of a Wetland or Beach? 6 Will there be Site preparationon Existing Grede Slopes which Eicceed Fifteen (15) feet of Vertical Rise to ? v One Hundred (t00') of Horizontal Distance? , / 7 Will Driveways, Parking Areasbr other Impervious Surtaces be Sloped [d Diced Storm-Water Run-0g a V into and/or in the direction of a Town right-Uf-way? ~ _ $ Will this Project Require the Placement of Matedal; Removal of Vegetation and/or the Construction of ? ? any Item Within the Town. Rightaf-Wayor Road Shoulder Area? - (This item will NOT Include the Installa0on of Driveway Aprons.) ~ ~ ~ ~ ~ / 9 _ Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? ? - NOTE: If Ahy Answerla Questions One through.Nine is Answered with a Check Mark in the Box, a 9lorm-Water, Greding, - _ - Drainage 8 Erosion Control Plan is Required and Must be Submitted for Review Priorto Issuance of Any Building Permitl FJ(EMPTIONi - Yes No Oees Wis project meet the minimum standards for classificetlpt as an Agricultural project? Note: If You Answered Yesto this Question, aStorm-Water, Grading, Drainage &Erosion Control Plan 1s NOT Required) STATE OF NEW YORK, - - - - _ - - - f COUNTY OF...~r..~ FF..~I~.lL SS That I, ~7..~~ ~..t;7-~t~r being duly swam, deposes and says that he/she is the applicant For Permit, (Name of gxfiWtlual signkg Dxanenl) And that he/she is he .....~.1N1.1N.E~- (Owner, Con4aclor, Agent, Coryorale Olfipx, etc.) Owner and/or representative of the Owner of Ownet's, and is duly authorized to perFonn or have performed the said work and to make and file this application;: that all statements contained in this application are We to the best of his knowledge and belief; and that the work will be performed in the mannet set rth in the application filed herewith: Sworn to beFore~pher J. isSb ~i . .._........o blip, ~ a ~ _~Qrk....... , 2d.1. b ..,Notary Public . ...............i ualifie~ m o . (S' ¢o/Applican Foam ~'~sion Expires I P PoWE9 F. PoR.~ Alternative Power and Light Corp. Town Of Southold 1-24-13 We installed a Sun Power Solar system at Jesse Peretz home 280 Rosenburg Rd. East Marion Around 4/2010. We had an Eng. Draw plans and pull a town permit #35473for this install We also had an Electrical inspection down by the town inspector -on 5-20-2010 This system was installed as per the Eng. Plans and drawing and Alternative P+L will stand Behind our install Alternative Power and Light Corp. is a licensed electrical contractor and we have installed solar systems since 1998 Alternative P+L -John Moriarty-is a Underwriters Laboratory Certified Solar Installer We are also an I B E W loca125 electrical contractor We have taken-- Advanced P V Design and Installation classes We ask that you have your town inspector do his final inspection and send our client Jesse Peretz the Certificate of Occupancy and close out this install Thank You, John Moriarty 631-331-7643 O-- 516-987-7868 C ~AN2g1013~ Bt• ....,,,,,,,rte I~ ~f JAN ~ 91013 D BIOG. DEPT. T~'t'Y"' iii JO!'iHp(.p Southold Town Building Department P.O. Box 1179 Permit 35473 54375 Main Road ~ ~ Permit Date: 4/14/2010 Southold, New York 11971 (631) 765-1802 Expiration Date: 10/14/2011 Parcel ID: 21:1-23.1 BUILDING PERMIT RENEWAL LETTER Dated: 8/1/2012 AppGcaut: JESSE PERETZ Locafion: 280 ROSENBURG ROAD EAST MARION Work Descripdou: SOLAR PANEL INSTALLATION OF ELECTRIC SOLAR PANELS ON ACCESSORY BUILDING. A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JESSE PERETZ Address: C/O THE CLARK ESTATES INC. ATTN: WILLIAM T. BURDICK ONE ROCKEFELLER PLAZA , 31st FLOOR NEW YORK, NY 10020 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. F , ~.>4 Southold Town Budding Department ,~g''~~Fel~ ~ P.O. Box 1179 c 54375 Main Road Permit 35473 ~a Southold, New York 11971 Permit Date: 4/14/2010 1 ~tf ~y (631) 765-1802 Parcel ID: 21.-1-23.1 Expiration Date: 10/14/2011 sp,. BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 12/6/2012 Applicant: JESSE PERETZ Location: 280 ROSENBURG ROAD EAST MARION Work Description: SOLAR PANEL INSTALLATION OF ELECTRIC SOLAAR PANELS ON ACCESSORY BUILDING. U _ h A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JESSE PERETZ Address: C/O THE CLARK ESTATES INC. ATTN~ WILLIAM T. BURDICK ONE ROCKEFELLER PLAZA , 31st FLOOR NEW YORK, NY 10020 The permit listed nbove has expired. Plense contact our office as soon ns possible to begin the renewnl process. All work on the project must stop on the expiration dote. 4 bp35 yS~Q QOp1 8gq ~o1j `T ~ l~~~V~ 5U P~ so . THANK YOU, p ~ SOUTHOLD TOWN BUILDING DEPT. IJJ~ 1/~v~~ ~o~~pF SOUTyolo Town Hall Annex Telephone (631) 765- 1802 54375 Main Road ~ ~ Pax (631) 765-9502 P.O. Box 1179 G Q Sou hold, NY 11971-0959 ~ ~~y00UNT1 BUILDING DEPARTMENT TOWN OF SOUTHOLD February 4, 2013 John Moriarty Alternative Power and Light PO Box 220 Port Jefferson, NY 11776 Re: Peretz, 280 Rosenburg Rd, East Marion TO WHOM IT MAY CONCERN: The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: 'NOTE: Inspector is requesting stamped Certification by an Engineer of the fastening of the panels to the roof as per 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 CertlflCate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (town Trustees # ass-~sez) Final Planning Board Approval. (Planning # ass-938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT : 37780 -Solar Panels ~ ~ ~ z3 ! _ _ I _ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET i VILLAGE OEST. SUB. LOT s{~3 M AQ~o~ 3 2 _ , ACFZ 31 ~ REMARKS TYPE OF BLD. a 5soet-~,~ . PRA - ~ o ~ 3 ~ ~ l 1 ~ o PROP. CLAS ~ J l Z- ~ 3 I t'o z Q GQ_ Q ~ z, l O l ~T ~ a f/~~ tc~ce LAND IMP. TOTAL GATE + Z ~ - I -T~ - ~ f L/ Q~76 i(Q n7U 5~l0~ ~O3no II '700 z r 9v 3 3 (.3(~4 1'~J k~-lerwcti ~-cGre~S~~~or<a1~~1 t-~ sx~-i-~' ~e,/ b PaR. 12 Zao T ~ ~ --I `f l 7~t-G done ~s i-t- A'tc< . o O ~O 1Z '4 ,_.j..-a5P 5~'.iZi~~a7s(3Q4, ~lv LF-~.caG~«~(2~~2{`i_~ "t` ~Cr14i ~IzK~Sc,I.~wQVH+aa,~•uwduG~o~c~~2l-l-L~ z ~ - w K E 3~~~ ~ ~Q 3~~0 'GlS it" Od~~ ti4rtS Gt,lt tau _L - ~n ~z sSo Q~ JJPYT ~g~~ d m t~7mS I j ~ ~ P~P# 33~ro G(.dtclr+~f-rans + ~#io~, • 33 GO og P~P# oa • o~~~v i { I FRONTAGE O1V WATER TELLABLE FRONTAGE ON ROAD 'T WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL _ ~ T'OWN OF SOUTt1EOtD ~'OPERTY RECORD CARD u~ ;J ~ - OWNER STREET VILLAGE DISTRICT SUB. LOT - E ACREAGE y 3~9 FORMER OWNER N L ~ /E'O-mot.<. f < `1 S ~ ~LL + TYPE OF BUILDING R7;5. a p' SEAS. VL. FARM CON~M. ~ II~D. CB. ~ MISC. LAND IMP. TOTAL DATE REMARKS ~ _ ~ i 1 ~ oo zo i i, ~(s G Ode 1 r- ~ AGE BUILDING CONDITION KEW NORNtAL ~ BELOW ABOVE 1 ~ : ~ ~ ~ ~ ~ ~ Form Acre '~olue Per Acre Value . z` yy _ ~ p ~o - ~z~~~~-~~ ~~-lmv-=. Tii(abfe 3 ?G- c - r Tillable Z Ti [{ubie. 3 ~ Woodland ~ Swampland Brushlond v House Plot ~ - Totes I l - ~ z ~ . }Zug a~_~~ I ~ i _ I I ~ '3l~K ~ 3 _ + i ~ ~ ;l ~ _ ~ _ ~ s , .Vs. Bidg. 3~-x '~~3~ Foundotion Bath ~ _xtension ~ u , 3 ~ _ ? Basement !;a ~ ~ Floors y, Extension ~ :Walls Interior Finish war ~ is s. ~ Gc />s-t ~ Extension Fire Place I Heat ~r r S G - r i~ ~ ~O ? Porch ~ Attic Porch Rooms lst Floor 5 Breezewoy `S~ e i ~otio Rooms 2nd Floor Goroge..G' aJ ~zx: i ~ s, /1 ~r ~ / riveway ~J`.{ w ~ oO 'z Qo J~ ~fti0 _V. B. fA ~ .i 7 it t - ~ _ 1~C L-PJl}it~ ....,o. vast. ~ K coLOa .~z t ~ c t TRIM i 3- 21: 1-23.1 4109 ear o N ~ C" ~ 15tC2~= 37s~ ,~S gat 2nd Bl g. Y~1 3tS a Foundation Pc DER Bath ~ Dinette emu. con~eo j Extension 3t % Basement ~2 Ftoors ~uj ~,;r inrPa Kit. ? ns'on ~ Y~~' 1i 4 ~(2 a0~ 5~$ Finished B. Interior Finish 4e L•R- Extension 31 ~ - 1~a4 Eire Place ~ Heat a~A D.R. Ga ge K22 -4(34 (Q®5 Ext. Walls C's~, BR' 1 J ' Porch ~t2y ` Z' Dormer Baths ~ a.~ ~k , 5fl 3-t~. _ to X 2+3 = Fam. Rm. Dedc/Patio a 20 ~ 5 100 ~ <Q~. Pool 5 X r ~ ~ ~ . ~T Foyer Laundry A.C. ~ o.B. ry~ l Docx `~.R,or f to,,,..~ ~o mo 3~ to,,,~~ =tots e'b~ o~e4 8. P. # 3S~ 73 BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted: ~ S ~~,,Dppate Reviewed: Applicant: ~ Owner: /"~~hP~ Architec lsngieeeK: ~u%~-a-e-~ ~o-~1 Estimated Cost: a'S a oo - SCTM# 1000- off- ~ - ~ - ~3, ~ Subdivision: /ec:c~an~_ Zone: Conforming? Property Address: oZgO , City: Caa~`~a~a~ Pre COs? DES a-~- Building Permits (,O en/Expired): BP 3~ e'~z / G z- `F3~t; Info: BP3s~7~}Z / C/0 Z-3 0, Info: -g~~i BP33I ~ o -Z / C/0 Z-J~i6o0 ,Info: ~.-LQ33 s~Z / C/0 Z-O ~ Info: BP -Z / GO Z- ,Info: _ Single & Separate SearJc{h Required? Y o>~Deterri?ination: REQ. Lot Size: ~ ACT. Lot Size. ~•q9C 13o SooSFREQ, Lot Cov. ACT: Lot Cov. REQ. Front ACT. Front R1?Q Side ACT. Side REQ. Rear PROP. Rear REQ. Height . ACT. Height Project escrip lon: ~ ~ d~-- Waterfront ? If yes, water body: ~'-Z~ s~ panel# Flood Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y or®- If yes, *Bed#: _ *Date: *Permit#: Town Septic: Y o>~ - If uo, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 9/1/75 Y Or N~ Date: Permit or NJ Letter -Notes: Southold Trustees: Y o>~ Date: permit or NJ Letter -Notes: Southold ZBA: Y o~ Date: Permit -Notes: Southold Planning: Y or~ Date: 1_!_ Permit -Notes: Town Landmark C of A: Y o TJI DTE: *NYS CODE Complianco (page 2)~r N Notes cQ . ~ ~ir..- 9/.~ .~a~,.~t U Fee Structure: Calculation: Foundation: SF 1. (_SF)- ~_SF)= SF X $ First Floor: SF + Initial Fee: $ Second Floor: SF + Additional Fee $ Other: i~SF 2. ~_SF)- ~SF)= SF X $ Total: SF + Initial Fee: $ + Additional Fee $ CGzc~c,l TOTAL: ~ 0' 00 NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: O~ Gropntl Snow Load: 20~ Wind Speed: 120ML~H_ Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: M-H _ Decay: S-M ' Design Temp: 11 ~ Ice Shield Underlay: YES Flood HaEards: USE/OCCUPANCY CLASSIFICATION: HEIGHTfFIltE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS• Y~I O f ~ IiEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: YM FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: Y/N , WINDOW AND DOOR SCHEDULE: NIBBLE TEST REQUIRE114ENTS: Y/N EGRESS 5.7 S.F.: Y/N + LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF P'IItE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: YM ENERGY CALCS Y/N TOTAL COMPLIENCI (RETURN TO PAGE ONE) r l I__ I Iu ~ Brooks Engineering r~ ' Certificate of Com letion p I ~ , 4, , is hereby granted to I John H . Moriart y r~ I to certify that they have completed to satisfaction { ~ Advanced PV Design and Installation ~ Granted: April 20, 2006 ~i~ I Bill Brooks, Instructor r ~mt~`~~,`,°~o"~,',y"~ ~ ~K ~F~~C~ICS p' I NrcP s _,.._m_._.-_..._-~._....___ , I O • 0 S B • ? ? ? iA / /A ~ f~ ~y ^ t t`1 f ' ~,2, ? L; F~Cf7ilJ~C~C~e~~+C, St~~e University O F N E W Y 4 R R Solar Energ~r Center This certificate is awarded to John Moriarty for successfully completing ~°Residential Photovoltaic System Installation and Maintenance workshop held from Mazch 29 to April 1, 2004 at the Solar Energy Center of Farmingdale State University of New York. Proj. Yelleshpur N.Dathatri, Venkttas r, PhD Director, Solar Energy Center Dean, S of Engineert g Technologies . i _ _ _ x TIFIED j~HOTOVOLTAIC YSTEIVI jNSTALL CER ER UL University issues this certificate in recognition that on September 17, 2010, JOHN MORIARTY successfully completed the requirements to be recognized as a certified photovoltaic system instal]er in accordance with the PV System Installer scheme U~ 6ERTIFIED PV SYSTEM k-, . '.:r..: INSTALLER - Certificate Number ! 4 F 1 go D. Hoover President - UL University Personnel Cerflflpflon Manager Expiration Date: September 17, 2013 i~ ° CERTIFICATE OF LIABILITY INSURANCE DnrE(MMmD/rm') 4/5/2010 PROOUCea (631) 751-4653 FAX: (631) 751-4512 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mill Creek Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 97 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite R Stony Brook NY 11790 INSURERS AFFORDING COVERAGE ' NAIC # INSURED INSURERA3COttarlale Insurance Co Alternative Power S Light Corp INSURER B:Merchants Mutual Insurance CO 23329 P.Q. BOX 220 INSURER C: INSURER D: POrt Jefferson NY 11776 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH 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 ORiUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADO'J - _ - I POLICY EFFELTWE PODCY EXPIRATION-- _ - - POLICY NUMBER LIMITS GENERAL DABILITY I .EACH OCCURRENCE _ 1,000,000 DAMAGE 0~ Nom. X COMMERCIAL GENERAL LIABILITY _ PREMISES (Ea ocarrence) , S_ 50 , 000 A CLAIMS MPDE X OCCUR OPS3050303 '11/6/2009 11/6/2010 MED EXP (Any ona person) ~S 5,000 PERSONALBAOV INJURYE 1,000,000 _ GENERAL AGGREGATE 5 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. 'PRODUCTS-COMP/OP AGG'E 1, GOO, OOO X ~ POLICY PRO- ' LOC ~ _ - _ _ _ . AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT § 1,000,000 X ' ANV AUTO I (Ea accident) B ALL OWNED AUTOS CAp1099650 9/20/2009 9/2O/2010 I'BODILV INJURY SCHEDULED AUTOS (Per person) § HIRED AIfTOS BODILY INJURY E NON-OWNED AUTOS (Per acotlent) - - PROPERTY DAMAGE E (Par acddenU GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT E ANV AUTO ' ~ OTHER THAN EA ACC E _ _ _ _ AUTO ONLY: AGG E EXCESS/UMBRELLA DABILITY I EACH OCCURRENCE ~ E OCCUR LJ CLAIMS MADE ~ '.i AGGREGATE _ E E_ DEDUCTIBLE a ' RETENTION E E WORKERS COMPENSATION WC STATU- OTH- ANOEMPLOYERS' LIABWTY V / N .TORY LIMITS. _ _ ER . ANV PROPRIETORIPARTNERIEXECUTIVE ? I E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ~ - - - - - (Mandatory in NH) II E.L. DISEASE - EA EMPLOYEE $ I(yea, tlesrnbe untlar - - SPECIAL PROVISIONS below ~ E.L. DISEASE -POLICY LIMIT ' E OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THOSE USUAL TO INSUREDS OPERATIONS. CERTIFICATE HOLDER CANCELLATION SNOULO ANY OF TXE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TXE EXPIRATION JESSE PERETZ GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O OAYE WRITTEN 280 ROSENBURG RD NOTCE TO THE CERTIFICATE HOLDER NAMEDTO THE LEFT, BUT FAILURE TO DO SO SHALL EAST MARION, NY 11969 IMPOSE NO OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER, ITS AGENTS Oft REPRESENTATIVES. AUTNORRED REPRESENTATIVE C Scott Heaney/ALEXIS ACORD 25 (2009/01) ©1988.2009 ACORD CORPORATION. All rights reserved. INS025 tzooeol) The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). I DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, eMend or alter the coverage afforded by the policies listed thereon. 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A:iV(iPdN c4:c~t.anans d ' O:?5Pi133.1i:!itdti'i Hi.'i43fi1PdONi>NiT:T ` m" Y13H~I<f 3ti53f !ff!:G A' „'g~ ~C10331'da'vfiC ~ ~ ZZ ~u~rPo-;t~~uut awl. r Stt'L•':TYl 031tJ'aSCI x ~ i~ l'G GSN kNii 1, 1~~ ; . ,'.ff;i5d3'>$.'3f-2?v:fCl'f7.~~.+;fis aj. $r V: y :}•.(~:~~"v(~ii :'Si l`''ea i» i{t~(E'V(`tA~..dL(E~V F~Et 1p?p~{'~ffE Eql.{i(.:Ey }~tIf }F„~314~ [ ~O kyc, a` \ ~+T ~ LF ii.f 3~i..&I fVJ :d 4i 1`~fY1V.L r3 ~`Cf FCi 1i SY 1.a~~ ~ ci..\ T wy ~ v A;+ dT, ~ IvCJ4~~t~'1..~112iii Jyy,,Rtt1ry/E~I~{pt~4^ry~~7~t^U ~i.~i~ciC)~lc~ `Y~/'1~ ``^.a .ir r, LAti 3~ IY4s~3€bl~..l GiE `3~t aon3nnrn ENSPIRE Design Group, PLLC Architect ENSPIRE DESIGN GROUP, PLLC 700-A KOEHLER AVENUE RONKONKOMA, NEW YORK, 1177g Phone: 651-471-950D Fax: 651-z~71-9510 C, ONTINIJOUe f~lI~ VI~NT MICHAEL F. MORBIIIO, AIA - Principal 2 x ~ RI~2~E BI2. New York State LTcense f~25202 ¢¢J~oO~ 5ut~oHt~; ~OHL=~ MechanTcal, Electrical, Plumbing Consultant ~NPO~R = ~ ~ ~oo~ PA.~L I ~ General Notes AC 5 TION TYPICAL DIA¢ AM I DESIGN LOADING: Ice shield GROUND WIND SEISMIC SUBJECT TO DAMAGE FROM Winter underlay- ^Ir , SNOW DESIGN -Frost line Design · LOAD SPEED (mph) CATEGORY Weaalerlng depth Terml~ DeCay Temp required hazards Index APPROVED AS NOTED 3EILING LIVE LOAD: 20 P.S.F. FEE:~ BY~ 2ND, FLOOR LIVE LOAD: 30 P.S.F. NOTIFY BUILDING DEPAR~E~NT AT ~ -- SO~R PANEL DEAD LOAD: 3 P,S,F. 7654802 8 AM TO 4 PM FOR THE ~OOF LOAD: 30 P.S.F. FOLLOWING ]NSPECTIqNS: ~ 1. FOUNDATION - TWO REQUIRED SNOW LOAD (GROUND): 25 P.S,F. FOR POURED CONCRETE WIND LOAD: 35 P,S.F, (120 MPH) 2, ROUGH - FRAMING & PLUMBING SEISMIC LOAD: C ZONE (EXEMPT, SEE R301.2.2) 3, INSULATION AVENGE DEAD LOAD (~LASSEMBLIES): 10 P.S.F, 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C,O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ~ ~ ~ ~ ~ ~ ~ ~ N~ ~ ~A~ · ~ YORK STATE, NOT RESPONSIBLE FOR No, Date Re~ Deepen 2~ ~ DESIGN OR CONSTRUCTION ERRORS. ~%A~ oF CObIPLV WITH ALL CODES OF m m I. CON~OTOR 5HA~ OHEOK A~ ~IPT ALL OONDITION5 AT TH~ 51~ P~IOR TO 5TARTIN¢ TO HORK A~ 5HALL FAHILIARIZE NEW YORK STATE & TOWN CODES ~ ~ 'N~// (24) ~N ~E MOmEL 225-- ~ AS REQUIRED~T''CNS OF TOP H~T ~IL 5Y~H ' ~ ~E HITH 5AHE. ~LOTOWN~ ~. ~ ~ ~ ~ON~O~ TO N.~.~. ~o.~T,o. ~ ~.~ ~ ' LAYOUT 5. ALL ~THOD5 DP CONS~U~TION mNoLupm~ Po~ ~o~K AND CERTIFICATION OF FOR THE TH[ CON--eTOn. NAIL N~ ~ CONNECTIONS PERETZ RESIDENCE ~. m~ mN THE GOUGE OF ~ONS~TmON A ~ONDmTmON EXIST5 ~Hm~H REOUIRED. plSA~ ~m~ ~T ~ mN~m~A~ ON TH~ PLAN~, TH~ 280 ROS~B~G ROAD ~ ~ ~N~m~E~. ~UL~ H~ ~Am~ TO FOLLOH THIS ~CEDU~ A~ EAST ~RION, NEW V~ ~ONTINU~ ~m~ ~ ~o~K, HE 5H~L AS~HE ALL ~oN~m~mLm~ A~ ~mA~)Lm~ ~. ALL CONSTRUCTION SHALL 1. A~ ELEO~)C~ ~RK 5HALL EE ~A~ OF FI~ U~E~mTE~5 ~EET THE REQUIREMENTS OF THE FmTLE SHED: A~O~P AN~ mN A~O~ANO~ HmTH N.E.C. ~U~TmONS. CODES OF NEW YORK STATE. R~F PLAN CON~NT OP THE ARCHI~OT HILL NE¢A~ T~mi GENER~ NOTES CEETIFICATION OF ~ESE PLANS. I SECT~N & R~ ~ ~ ~ ~ ANP / O~ OBSERVATION5 OF THE OONS~CTION. UNDERWRITERSCERT/iCA~ PR~[~ NO. IO-P~TZ SHED NO. ~E, I/4"=ILO'' I0. DO NOT ~ALE ~lN~. H~ll ~EN DIHENSION5 ~PE~EDE ~D DATE' ~ALEP DIMENSIONS. I1. THESE D~IN~ A5 I~T5 OF 5ERVIOE A~ AND 5HALL D~eN ~