HomeMy WebLinkAbout36235-Z gUFFQt/(cd Town of Southold 8/23/2016
0
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38464 Date: 8/23/2016
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 28100 Route 25, Orient
SCTM#: 473889 Sec/Block/Lot: 18.-6-22.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/1/2011 pursuant to which Building Permit No. 36235 dated 3/11/2011
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
roof mounted solar panels as applied.for.
The certificate is issued to Smith,Andrew&Smith, Jennifer
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36235 9/29/2011
PLUMBERS CERTIFICATION DATED
Authorized Signature
®�uFFot, 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#: 36235 Date: 3/11/2011
Permission is hereby granted to:
Smith, Andrew & Smith, Jennifer
26 Lefurgy Ave
Hastings-on-Hudson, NY 10706
To: construct electrical solar panel system to an existing dwelling as applied for
At premises located at:
28100 Route 25, Orient
SCTM # 473889
Sec/Block/Lot# 18.-6-22.1
Pursuant to application dated 3/2/2011 and approved by the Building Inspector.
To expire on 9/9/2012.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ADDITION TO DWELLING $50.00
Total: $250.00
Building Inspector
Pacifico Engineering PC Engineering Consulting
PO Box 1448 Ph: 631-988-0000
Sayville, NY 11782 Fax: 631-382-8236
www.pacificoengineering.com engineer@pacificoengineering.com
August 5, 2016
Town of Southold
Building Department
54375 Route 25, P.O. Box 1179
Southold, NY 11971
Subject: Solar Energy Installation for
Andrew Smith
28100 Main Rd
Orient, NY, 11957
1 have reviewed the solar energy system installation at the subject address. The units have been installed In
accordance with the manufacturer's installation instructions and the approved construction drawing. I have
determined that the installation meets the requirements of the 2010 NYS Building-Code, and ASCE7-05.
To my best belief and knowledge, the work in this document is accurate, conforms with the governing codes
applicable at the time of submission, conforms with reasonable standards of practice, with the view to the
safeguarding of life, health, property and public welfare
Regards,
o C�C�L�DdC�
Ralph Pacifico, PE d
Professional Engineer AUG
BUILDING DEM.
TOWN OF SOUTHOLD
OF NEW),:
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NY 0 4744306
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN FALL
765-1802
APPLICATION FOR,CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building 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).
1, Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 of 1%-lead.
5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6, Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957) non-conforming uses, or buildings'and"pre-existing"land uses:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features. '
2. A properly completed application and consent to inspect signed by the applicant- 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$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
- 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: V0 b R10 t&-e, -
House No., Street Hamlet
Owner or Owners of Property:
Suffolk E bunty Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot: .
Permit NQ. LO_�._� .Date of Permit. Applicant
---------------
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: c ck one)
Fee Submitted.- $ �50 ,
ADolica-nt Sip-nature.
pF SOUry®lo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G ao roger.richert(a)-town.southold.ny.us
Southold,NY 11971-0959
®lyc®UI1�1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Andrew Smith
Address: 28100 Main Rd City: Orient St. NY Zip: 11957
Building Permit#. 36235 Section: 18 Block: 6 Lot 22.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Eastern Energy Systems License No: 47657-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS El
Other Equipment- photovoltaic system including, 36-250w solar panels, 1 Sunny Boy 8000 inverter
8280w system
Notes:
r
Inspector Signature: Date: Sept 29 2011
81-Cert Electrical Compliance Form
i
OF SO(/r�,o`o 4
x1o� t4(
TOWN OF SOUTHOLD BUILDING=DEPT: -
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) 091.ECTRICAL (FINAL)
REMARKS:
DATE,-- INSPECTOR
1+ .D SON P'p1t�' DATE
co
r" ! VOUNIPA?'I N(IST) i
1!
bLA
FOUNDATION(2ND)
PLUMBING G3
INRi -ATION PER N.Y. � y
STATE EMAGY CbDE
IF
FINNAL
ADDITIONAZ COM .NTS
.E-
CED
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7
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 / Suryey
SoutholdTown.NorthFork.net PERMIT NO. AOC47 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 31 J f ,20 �� Storm-Water Assessment Form
Contact:
Approved (1,20 f Mail to:
Disapproved a/c
Phone:
Expiration ,20 jot
c
Building Inspector
r,1 PLICATION FOR BUILDING PERMIT
Date January 10 20 11
g�DG OEPj• INSTRUCTIONS
NOF SO�THOlO
a. Th' T a ion MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets p ans,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. 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 regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
EA5574TAI 6VIT&Y SYSTEM 5,_rNC.
(Signature of applicant or name,if a corporation)
7470 Sound Avenue,Mattituck,NY 11952
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Agent
Name of owner of premises Andrew Smith
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
Joseph D Tilton;Logistics Facilitator
(Name and title of corporate officer)
Builders License No.43889-H
Plumbers License No.
Electricians License No.47657-ME
Other Trade's License No.
1. Location of land on which proposed work will be done:
28100 Main Road Orient
House Number Street Hamlet
County Tax Map No. 1000 Section 18 Block 06 Lot 22.1
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 1 family residence
b. Intended use and occupancy 1 family,residence
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work Installation of Solar PV(electric)panels
(Description)
4. Estimated Cost-$47,196.00 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor
If garage, number of cars N/A
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N/A
7. Dimensions of existing structures, if any: Front 582 Rear 28.3 Depth 102'
Height Number of Stories'
Dimensions of same structure with alterations or additions: Front N/A Rear N/A
Depth N/A Height N/A Number of Stories N/A
8. Dimensions of entire new construction: Front N/A Rear N/A Depth N/A
Height N/A Number of Stories N/A
9. Size of lot: Front 150' Rear 151.35' Depth 330'
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 X
13. Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO X
14.Names of Owner of premises Andrew smith Address 26 Lefurgy Avenue,Hastings on Hudson,w Phone No. (212)455-7939
Name of Architect Address Phone No .
Name of Contractor Eastern Energy systems,Inc. Address 7470 sound Ave.,Mattituck Phone No. (631)779-4004
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of,a tidal wetland? * YES NO X
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO X
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Joseph D.Tilton being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Agent
(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 tha6&Aygr6%&&
performed in the manner set forth in the application filed therewith. Notary Public,State of New York
No.01 BU61 SM50
Sworn to before me this Qualified in Suffolk County
day of 20 L ZCOleston Expires April 14,2�1
Notary Public Signature of Applicant
OF SO�Iy®!
o
Town Hall Annex J f Telephone(631)765-1802
54375 Main Road (631)765- 5t�$
P.O.Box 1179 roaer.richert to`wn.soutio .nv.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
661/0- Qua Date:
Company Name: �a ��n 5I'em5,
Name: Cud Alder
License No.: q 765-1-M
Address: MO S and 6rve Nla GK W1 0,50 ,
Phone No.: &N) 779- gcoL1
JOBSITE INFORMATION: (*Indicates required information)
*Name: WwV 694
*Address: A60 main 4�61 rierl+ N IIQ57
*Cross Street: !J)A
*Phone No.: (21Z) 5-7q�
Permit No.:
Tax-Map District: 1000 Section: I`b Block: Lot; e
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) r
6jar Pv
(Please Circle All That Apply)
*Is job ready for inspection: YE ! NO Rough In Final
*Do you need a Temp Certificate: ES NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION -4$t o
1
82-Request for Inspection Form 1 4L
L ���a ir� "The Power of IndependeneeTM"
ENERGY SYSTEMS 7470 Sound Avenue
Mattituck, NY 11952
631.779.4004 fax 631.466.5200
o CC�COVC�
August 15, 2016
DD
A_UG 18 2016
Town Of Southold
PO Box 1179 1 BUMDIlM DEPT.
Southold, NY 11971-0959 TOWN OF SOUTHOLD
Attn: Building Dept.
Re:Andrew Smith, Building Permit#36235
Dear Sir/Madam,
Please find enclosed an Engineer's Certification letter forthe photovoltaic system installed at 28100
Main Rd. in Orient. Please advise if there is anything else you need before the Certificate of
Occupancy can be issued. Thank you for your assistance in-this matter.
Sincerely,
Lisa McNamara
Fulfillment Specialist '
Enclosure
SOLAR WIND GEOTHERMAL , ENERGY AUDITS
DESIGN ENGINEERING I PROJECT MANAGEMENT I INTEGRATION
7470 Sound Ave, Mattituck, NY 11952
info@e2sys.com
OF SOUTH®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road sv� Fax(631)765-9502
P.O.Box 1179 G
Southold,NY 11971-0959 r®
l
August 18, 2016
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Eastern Energy Systems
7470 Sound Ave
Mattituck NY 11952
RE: Smith, 28100 Rt 25, Orient
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy.
NOTE: Certification required stating the panels were installed to the roof per NYS Building Code.
This is an old file which we never received the certification so we can close it out.
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
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.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 36235 — Solar Panels
SURVEY OF PROPERTY
N AT DRIENT
TOWN OF SOUTHOLD
SUFFOLK- COUNTY, N.Y.
1000-18-0622.1
SCALE• 1'30'
SEPTEMBER21, 2010
OCT.20,2010:25,16,t
010•plON.F/m.)
AIN � _ 1 .
ppR� � _ � RI
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CERTIFIED TO. c�
ANDREW SM17HNe
`
JENNIFER SMITH p� pR�pfK'Y
FIRST AMERICAN TITLE INSURANCE COMPANY �1 4+• a4•AhE1�c
CITIMORTGAGE, ,INC., ITS SUCCESSORS OR ASSIGNS �� F
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AREA-739,773 80. FT.
■ =MONUMENT
t =PIPE' ' 618
ANY ALTERA770N OR ADDI77ON TO THIS SURVEY IS A WOLA77ON CONIC OR ,
OF SEC77ON 7209OF 7HE•NEW YORK STATE EDUCA770N,LAW" (631) 765-5020 FAX (6 765-1797
EXCEPT AS PER SEC77ON 7209-SUBDIWSION 2 ALL CER77RCA77ONS P.0. BOX 909
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET10-210
1N•IOSI=SIGNATURE APPEARS HEREON. S0117HOLD,(N.Y" 11971
M E R Y L K R A M E R
a r c h i t e c t
Ms. Patricia Conklin
Southold Town Building Dept.
Southold Town Hall
PO Box 1179
Southold, NY 11971
August 2,2011
RE: Smith Residence
Tax Map# 1000-18-06-22.1
Permit#36235
Dear Pat,
As per our telephone conversation this afternoon, I am providing the building department with details for the
structural reinforcement of the roof for the above mentioned project. Once the roof structure is reinforced
according to the drawings dated July 29,2011 it will meet the standards of the New York State Building Code
for snow load and the additional dead load of the solar panels.
Please let me know if you require further documentation regarding this permit application.
Best Regards,
Weryler, IA LEED AP
Cc: Andrew and Jennifer Smith
East End Energy Systems
' r
218 FRONT STREET P 0. BOX 683 GREENPORT, NY 11944 631-477-5736 WWW.MKARCHITECT.COM
Pacifico Engineering PC Engineering Consulting
PO Box 1448 Ph. 631-988-0000
Sayville, NY 11782 Fax- 631-382-8236
www.pacificoengineering.com engineer@pacificoengineering.com
August 4, 2011
Town of Southold
Building Department
54375 Route 25, P.O. Box 1179 j �S ft
Southold, NY 11971
Subject: Solar Energy Installation for D -
Andrew Smith
28100 Main Rd AUG 8 2411
Orient, NY, 11957
BLDG.DEPT
TOWN OF SOUTHOLD
I have reviewed the proposed solar energy installation at the subject address. The units are to be installed in
accordance with the manufacturer's installation instructions. I have determined that the installation will meet the
requirements of the 2010 NYS Building Code, and ASCE7-05 when installed in accordance with the
manufacturer's instructions.
Roof Section A
mean roof height 15 ft
pitch 8 m/12
The climactic and load information is below:
CLIMACTIC ANDWind Live load,
Ground -Speed,3 pnet30 per Point
GEOGRAPHIC DESIGN Category Snow Load, sec gust, ASCE 7, pullout Fastener type
CRITERIA Pg mph psf load, Ib
Roof Section A C 20 120 32 217 S-5-U MINI clamp with S-5 PV
Kit, mounted every seam, 15"
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Ralph Pacifico, PE m ` �JLU
Professional Engineer
X610 06616
Ra p AactficQ,f o(La ro a�`Engineer
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NY 068 82'1�{Vnl:T1tCE04744306
Pacifico Engineering PC
PO Box 1448,Sayville,NY 11782
631-988-0000 www pacificoencimeenna com
Ralph Pacifico, Professional Engineer
NY Lic 066182 NJ Lic 24GE04744300
'11ftimum mgaoired ft PV: 44 salm, -15" apaot
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Eastern Energy Systems
11' Date: 01-/05/2011
s
-23'1/16' Revision: A
Panels :Trina TSM-PA05 230 Location: 28100 Main-Road, Orient, NY
Length : 64.96"
Width :39.05" Customer: Andrew Smith
Wattage :8,280 watts View: Top
1
See Det. 1
r�
Eastern Energy Systems
Date: 01/05/2011
Revision: A
Location: 28100 Main Road, Orient, NY
Customer: Andrew Smith
View: Cross Section
s
PV Mounting Assembly PV Mounting Assembly
Field Condition Edge Condition
SEE INSTALLATION
E INSTRUCTIONS,STEP E
5,FOR DETAILS ON
BREAKING EXTERIOR E
F ARM OFF PV GRAB ,
. I 1 .
D
PERFORATED MODULE PERFORATED ; MODULE
NODEPLACEMENT NODE PLACEMENT
BEVEL i BEVEL
' C P(—C
�B �13
A A
A.STANDING SEAM METAL ROOF
A.STANDING SEAM METAL ROOF B.SSI MINI CLAMP(Sddseparately)
B.S31 MINI CLAMP(Sold separately] C.MOUNTING DISC
C.MOUNTING DISC D.STAINLESS STEEL MS-1.2508mm UNIVERSAL PV STUD(Tensioned between 160 and 160 Inch pounds)
D.STAINLESS STEEL MS-1.2548mm UNIVERSAL PV STUD(Tensioned between 140 and 160 inch pounds) E.PV MATERIAL
E.PV MATERIAL F MODULE FRAME CROSS SECTION(Rams thIcknnB from 1.3"I33mm]to2S"IGammD
F MODULE FRAME CROSS SECTION(Framethidmeae from 1.7 133mm]to 2.5"(GlmmD G.PV GRAB
G.PV GRAB H.STAINLESS STEEL MB-1.25 HEX FLANGE NUT(Tensioned between 100 and 120 Inch pounds)
H.STAINLESS STEEL M8-1.25 HEX FLANGE NUT(rensloned between 100 and 120 Inch pounds) I.STAINLESS STEEL M8-1.25 HEX FLANGE NUT
Eastern Energy Systems
Date: 01/05/2011
Revision: A
Location: 28100 Main Road, Orient, NY
Customer: Andrew Smith
View: Typical Connection Detail 1