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HomeMy WebLinkAbout41032-Z Town of Southold 11/30/2016 P.O.Box 1179 a �. 53095 Main Rd '44ol► p� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38683 Date: 11/30/2016 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 3005 Ole Jule Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-5-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/24/2016 pursuant to which Building Permit No. 41032 dated 9/27/2016 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Goldberg,Michael of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41032 11-15-2016 PLUMBERS CERTIFICATION DATED Authorized Sign re oSg ���oTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY t 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#: 41032 Date: 9/27/2016 Permission is hereby granted to: Goldberg, Michael 248 Fendale St Franklin Square, NY 11010 To: install roof-mounted solar panels on existing single-family dwelling as applied for with flood permit. At premises located at: 3005 Ole Jule Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 122.-5-17 Pursuant to application dated 8/24/2016 and approved by the Building Inspector. To expire on 3/29/2018. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Flood Permit $100.00 Total: $300.00 B ng Inspector F� Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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. ® � I Q— VJ New Construction: Old or Pre-existing Building: (check one) Location of Property: 300 S me w k ftf, m QT11T1A m House No. (� Street Hamlet W1�C�Owner or Owners of Property:_ w 1 601`6 ky a Suffolk County Tax Map No 1000, Section k 2 Z Block S Lot �1 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check ne) Fee Submitted: $ SQ ' 1 Applicant ture °F so���®l Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179a� roger.riche rtCa)town.southoId.ny.us Southold,NY 11971-0959 Comm BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Michael Goldberg Address: 3005 Ole Jule Lane City: Mattituck St: New York Zip: 11952 Building Permit#- 41032 Section: 122 Block: 5 Lot- 17 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Leaf Solar License No: 3397-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding 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 F1 Twist Lock Exit Fixtures TVSS Other Equipment: 2.925 KW Roof Mounted Photovoltaic System to Include; 9-VBHN 325 Panels, 1- SE 3000 Inverter, AC Disconnect, DC Disconnect. Notes Inspector Signature: Date: November 15, 2016 0-Cert Electrical Compliance Form.xls OF SOUr�,o� ®� Own Lk\ TOWNF H - O SOOT OLD BUILDING DEPT. 765-1802 -INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: f,V c ,�� DATE INSPECTOR--Z ` Fisher Engineering Services, P.C. PO Box 30 . Oakdale•New York 11769 4 Phone: (631) 563-9028 November 1, 2016 t Town Building Department Post Installation Certification Subject: Engineer Statement for Solar Roof Installation Goldberg Residence: 3005 Ole Jule Lane,Mattituck,NY 11952 Permit No.41032 Installation Date: 10/24/16 The roof mounted photovoltaic system at the above referenced residence has been generally observed to be installed properly in accordance with the approved plans and is certified by Fisher Engineering Services,P.C. to be in compliance with the minimum requirements of the Town,the 2015-International Residential Code and the 2016-New York State Uniform Code Supplement. �a OF 14E W yo G. Sincerely, co3 , U 2-4 William G. Fisher, \ s 074ro Licensed Professional Engineer ��PROF ESS�0 D NOV 1 8 2016 BIDING Mr. TOWN OF SOU HOLD Architectural Design•Residential•Light Commercial Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting•Inspections FIELD �5'S'��4N��''0�� AAS +C© ., S '' , • FdUNDA�'SON(1ST) ............ ... ............ FObND4MON(2NI3) r �o ROUGH YRAIYl Q PLUM3VG IMULATXON PRA N.Y. H STATE ENERGY C'OD3 SIAL _�,� 1Z,- ��� oc c O •M r it • 1 ' 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 �� 2 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form NY.SDE.0 Trustees C.0 Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Approved20 Mail to• Disapproved a/c ' Phone. �� on � 20 c Bu ector t �u� 4 201v APPLICATION FOR BUILDING PERNHT Q ` ,SU"VG G"���a• INSTRUCTIONS Date O—{�����20 To dJi+i'Of iO tion MUST be completely filled in by typewriter or to 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.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. AlS (Signature of applicant or name,if a corporation) 10$S Rouk�l2. Qor+Je�A'�g Sta.�N`��1�7�v (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder - C0Y*[U CM 1 g� y� Name of owner of premises_ @ 1 �� 01d _ fir.. —,uJorlates eed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No 50W 2—A Plumbers License No. Electricians License No ?— un M Other Trade's License No. --- 1. Location ofw be done. t h ro osed wo will Solo 5 land on at .�u►1e v� �Y10�1 acic House Number Street Hamlet County Tax Map No.1000 Section 122 Block 6 Lot �� Subdivision Filed Map No. Lot 2. State existing use and occupancy of premisesd intended use and occupancy of proposed construction. a. Existing use and occupancy Q Y\ "h Ed f0of ryiouwkL Solar D Kii 114siuiI coxv, b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work S`6 (a✓ AIZ (Description) 4 Estimated Cost' u Qu u.00 Fee (To be paid on filing this application) 5 If dwelling,number of dwelling units a" 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 Stones 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 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_N0_L/_ 13.Will lot be re-graded9 YES_NO Will excess fill be removed from premises?YES NO Ck 14 Names of Owner of premises 4WD Address UT 01bylk LA K Phone No.#N" '���a Name of Architect Address Phone No Name of Contractor 56kilift WAW Address4OUROU4tUt.?;[—$,*o No. .It� 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES (NO V *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE QUIRED. b Is this property within 300 feet of a tidal wetland?*YES NO-7 *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� *IF YES,PROVIDE A COPY STATE OF NEW YORK) CO 0n (G)4 A{it4OLO�r being duly swom,deposes and says that(s)he is the applicant m i Es i 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 knowle ge and belief,and that the work will be performed in the manner set forth in the application filed therewith. ' Sworn to before me thi da 20L Notary lic Signature of App JAMES JOHN MEEHAN Notary Public-State of New York NO.01 ME6288068 LP Qualified in Suffolk Countyy Commission Expires Aug 26, 2017 of so�ryo! Town Hall Annex Telephone(631)765-1802 54375 Main Road 3 `�51 P.O.Box 1179 Q roper.dchertdtOw(6n.1)sou765oQ2,nV us Southold,NY 11971V59 'Q! BUILDING DEPARTMENT TOWN OF SOUTHOLD, � APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: a V— Date: N ompany Name: IC 1 c co Company rn License No.: 108' Address: _ Phone No.: I 1 JOBSITE INFORMATION: (*Indicates required information) *Name-. ( *Address: �' Ole Au *Cross Street: *Phone No.: .. ' Permit No.: y Tax-Map District: 1000 Section: 122- Block: Lot: t"1 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) r n a-� i - p 4(d (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough In Final *Do you need a Temp Certificate: YES/ NO Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 450 - 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters -Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION - E2-Request for Inspection Form �6� APPLICATION ' a PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION `Phis form is to be filled out in duplicate. SECTION-1- GENERAL PROVISIONS APPLICANT to read and si 1. No work_may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. b. Applicant is hereby informed that other permits may be required to fulfrll local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE,TO THE BEST'OF MY KNOWLEDGE,TRUE AND ACCURATE. (APPLICANT'S Sfb*ATURE) DATE v-I�" _ SECTION 2• PROPOSED DA-LOPMENT (1-b a be completed by APPLICAN n NAME ADDRESS e �pTELEPH/yONE APPLICANT& �IC'C/1/ ��® � �Qe lI�'� t 'I� Y I IUITI��UL�t�� 110V BUILDER eo U l 12 (o31 —SM-09" PRO= LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. 300 s re A� q s� 1 ZZ — FDP(93) _ A.PPLIC ATI On ; - PAGE 2 OF a DESCRIPTION OF WORK (Check all applicable boxes): A STRUCTURAL DEVELOPMENT ACTIVITY STRUCTUR_F_ TYPE O Naw Structure 0 Residential (1-4 Family) ❑ Addition- ❑ Residential (More- than 4 Family) ❑ Alteration O Non-residential (Floodproofing? ❑ Yes) ❑ Relocation El Combined Use (Rcsidenual & Commercaal) © Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT �� �l"IU•OD B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining . '❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements.(Including Culvert Work) ❑ Road, Street or Brridge Construction O Subdivision (New or Expansion) ❑ Individual Water or Ser System ❑ Other (Please Specify), After completing SECTION 2, APPLIC.AW should submit form to Local Administrator for review. SECTION 3: FLOODPLAIN DETERMINATION ffo be evmfeted by LOCAL ADMTIdT TRATOR The proposed development is located on FIRM Panel No•_. _�. � Dated The Proposed Development: 13 is i�'l=located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone deaigaation is 100-Year-flood elevation at the site is: Ft. NGVD (MSL)" ❑ Unavailable ❑ The proposed development is located in a-floodway. I+BFM Panel No. Dated U See Section 4 for additional instructions SIGNED DATE Ai'l'►..II�H l 11.11 +v .�.,.„._..v. PAGE 3 OF a i✓CTINJN AQQ('rIOtNI`i, tNFUTtMA`t I(7N REUIJIl2 U�`Co {ye cors_ i�___nleYed by i3OCAI ADM1N15T12ATnR1 The applicant must submit the documents checked below before the application can be processed: C1 A site plant showing the location of'all e)asting structures, water bodies, adjacent roads, lot dimensions and proposed-development. C3 Development plans, drawn to scale, and specifications,including where applicable:details for anchoring structures,proposed elevation of lowest floor (including basement), types of water resistant materials used below the first floor,details of floodprooluig of utilities located below the first floor and details of enclosures below (he first floor. Also ❑Subdivision or other development plass (If the subdivision or other development exceeds 50 lots or S acres, whichever is the lesser, the applicant must provide loo-year flood elevations if they are not otherwise available). ❑ plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill_elevation ^Ft. NGVD (MSL). ❑ Flood -roofing protection level (non-residential only) Fl:NGVD (MSL). For �' licant must attach certification from rc&tered engineer or flo*i-oofed structures, app architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway in the height of the loo-year flood. A copy of all data and will not result in an increase calculations supporting�t-his finding must also be submitted. ❑ Other: E 5: PERMIT DETERMIN TI N C co leted L A nK41NI RAT R I have determined that the proposed activity. A.❑ Is B.O Is not - � conditions in coaformaner with provisions of Local Law # lg The permit is issued subject to the attached"to and made part of this permit. SIGNED , DATE Ifs A t5 C!]GC1 Cd, the Local Administrator may issue a Development Permit upon payment of designated tee. of deftciencies. Applicant may 1f 8O3C 8 is checked, the Local Administrator will provide a written SummaryOf a hearing from the Board of revise and resubmit an application to the Local Administrator or mayrequest Appeals APPLICATION a PAGE a Or a APPEALS Appealed to Board of Appeals'? O Ycs ❑ No Heasmg date: Appeals Board Decision --- Approved? Yes O No Condition-S SECTION G: AS-BUILT'EL£VATIONS (To be submitted by APPLICANT` before Certtftcate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a Uceused land surveyor (or attach a certification to this application). Complete I or 2 below. I. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: Fr. NGVD (MSL). 2. Actual (As-Buil() Elevation of floodproofiug protection is FI'. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7• COMPLLANCE ACTION (To be completed by LOC_AL, ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project co ensure compliance with the community's local law for flood damage prevention. INSPtCTIONS: DATE BY DEFICIENCIES? O YES 0 NO DATE BY DEFICIENCIES? 0 YES © NO DATE BY DEFICIENCIES? O YES 0 NO SECTION 8• CERTIFICATE QF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B t SAMPLE CERTIFICATE OF COMPLIANCE Al for Development in a Special Flood Hazard Area . TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HE, CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_ SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) r rF t www.GoGreenLeafSolar.com 631-509-1747 August 31 , 2016 To whom it may concern, We applied for a building permit application on August 24, 2016 for solar panels. The plans that we submitted say that Michael Goldberg's home at 3005 Ole Jule Lane, Mattituck will have 6 panasonic 330W. The plans have changed so that the Goldberg residence will be receiving 9 Panasonic 325W. If there are any questions please feel free to contact our office. Thank you and have a great day! f r Town of Southold Name: Goldberg Residence Address: 3005 Ole Jule Lane. Mattituck, NY 11952 Included: / • 4 Sets of Plans • Engineer Letter • Signed Notarized Building Permit Application J • Application for Electrical Inspectiow • Stormwater Management Work Sheet • Survey v CONSENT TO INSPECTION l QA 1 © L , the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 3o!� 0I e Jule five . MH %i UC161 N Y 1052 , which is shown and designated on the Suffolk County Tax Map as District 1000, Section ►Z Z , Block S , Lot 11 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 500"t pave-ems \yt StWA M"U n +ie-a, (00-fmo U VI+-eel 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, rules 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: U (0 - Signature MICE ' L UC �'0 � (Print Name) (Signature) (Print Name) q. � lk. n s Ruler w ry Pm • 7- 6,, a a e e a 6. Feet Save .r ✓ s X�� 5 ati., fir. TOWK . OF -$0UT11OW -,."PROPERTY, RECORD. CARD OWNER0'e �j YGc�d��Q!'u STREET6.� r VILLAGE DIST. -SSB LOT In - FO�MER QWNER Sco S;n NE ACR. S ,, , W TYPE OF BUILDING RES.21.0 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value s ell LAND IMP. TOTAL DATE REMARKS J' �--a-o '230-0 J p &-o ,j I,--�17 Ar'6 -7�cz(6`7 3��xC-' A b a o? o U �3 t2 0 0 7� 7 /`��/ 5'. ds/�G-r-o ga r ACE v/-r r e w -c. N ,/ NORMAL BELOW ABOV FA Acre Value Per Value Acre a��, '� ►"l Tillable 1 co Tillable 2 Tillable 3 Woodland ��/DALE- �/ 4 �i L+ 74'14 nobiu Swampland FRONTAGE ON WA C�p"�j'�63a Brush'land FRONTAGE ON ROAD 6 6 -r °1� �D House Plot DEPTH BULKHEAD 4283✓ Total DOCK • • -` '��ri�� ! I'� ` � "� '>,e rad ��� � ,.tn r,A 8ri _• �1 �kS ME mom MEMMINFUMESIMMOMMOMME ■ mom ....■E ■■■■It■Mlif■■■■■■■■■■■ a ' ■■■■■ ■_ ■■■■I��i�� �■'�■■■■■■■■ _.., �� � _- . _ ■■■■■■■ ■■■Eli■■■����■■■■■■■■■ ■■■■ M MM■■MMMIMIIM■■■MM■MMM■ MEMEME vamp ■MEMOSFoundation 11 NO r■■■■■■■■■■■■■■■■■■■ 8 aseTent Interior Finish Fire PI Recreation Roo Rooms 2nd Flo i • 14, SUFFOLK COUNTY DEPT OF LABOR, , LICENSING$CONSUMER AFFAIRS L. =MASTER low,{{ ELECTRICIAN �- . 3 -DOMINICK PERCOCO JR This ceftifles that the. 81S"ES$"'RE r^ `GREkNLEAF SOLAR LLC„ --bearer^is,duly . . .licensed by the -County of Suffolk `` � oma.t" F 33977ME osrovsss E%Pw,90N04TE 08!01/201,7," I, SUFFOLK COUNTY DEPT OF LABOR, LICENSING&CONSUMER AFFAIRS HOME IMPROVEMENT r" CONTRACTOR 4 r t NME Vie: I. SETH A WALKER BUSINE39 NM1E This certifies that the bearer is duly SAW CONSTRUCTION CO licensed by the 1- gem.. �� County of Suffolk 10/09/2012, 50662—H emmei.m.., I Exrw�noewl0 10/01/2016 I ' rf ' DAM I ni Ur.Ayffn CERTIFICATE OF,LIABILITY INSURANCE u�io9t�ir1S THIS CEFnEFICATF-IS ISSUED as A r9ATTER OF r PVRl alrrl ONLY AND CQNF!i,.RS NO I~tlr;HmS. UPG.I TKE QERINFIC:rt FEDLDFR THIS ti;`GRTIFTuATE DOES NOT AFFERP44711fELY OR NEGATWELY MIGNEI, OXTEND OR ALTER 7F1F GOV,EI AGE AFFORDED BY,THE�I)Oi CIF=S BELOW. THIS uEKTJFSCATE'L`J=UNSUTRANCE (3Cr—=S NOT CONSTIT41TE A CONTRACT SE"WIEEN THE P&SULaJ6 IN-5URER{S), AUTHG'RI7,FD REPRES&NTATIVE 03t PRODUCE—R,ARM 7KE CERTIFICATE HOI-DEF-- IMPORTANT- rf the c,crn f_-4e holraer is an AD13 INSURED.1ne Vies)Must tai vildogmilL If SUEROGATION&S 41J"4'IVEDr sablic�[to fh+terrrls rmd a +rtlily is�a tlzc peTllzy,et�lain PallcBc,maV- quire an en6utl_*nm4jnt A Staburnerrt an ttri�4erkT[=te mlmz slat l','gffj�Yls ka•the wrt,1l9*to,ILorder in Diu of;ueb endorsL•mom *61. ' PfLGLJC�4 'IF3:7 - . LdwW1O Agsociatmr,Inc. grookhau�ll Atem Int: 1r wE Gni ro 0490 TrangEt Road IV43_IRFFj19LAFKP91L4h1e Cd42�tS[•F ay,�� M 1'+4 ai•iA � i Ir �l IC11GE'G�17{�'{I�1FU 1118UIE0 . Ilaar 1 �w .. 3902D, E MMA*1ia Drive SalOrk,NY 11J7 -- — a sL'r,§p_n• COVERAGES E%URTIiFICATE PdIM113E�_ RE4tISJON LNU7IOSER: I I IRS iG TO CERTIPd7Hi+T'l l le Ps3LIG1EfY iaF Ihl:1lJlisA r LF51�C R_I Cr'J l lr�t U UL"Et&IS_UE[7 Tf•TtIU 1q EUriED{i6�'J41E D.',F5�I7a"T-,(�lfi a I1�Fh�LIC'f PEi�t7f1 I.'�LRIr.,IBC. Id[5e'e°aTTlF1�FiPJULW[9 i}JY t+4:i,fF.iGhfi. T5e^Srr C;4 exlFJnlrl a 4PF�rY CCkJTRdu°T lift VII1!-.R 000U'aT-Wr VATII IiL<'FL�tT TO VA-1ICH THIc 4 JiI€`F'+ic MAY I�yrtZ4*{71i PdAY z'fi2TATfd_ rIIL' IVJ vfVJCF AFf1}�?'_G E3Y THE P'd,I�IFtim D-?UCIRIEED HEREW I,. 0tjU -Gi- TGA ALL"TF,7 8 F_ _uEx V.;F'I6 C ltJT11T 1[Jt{ U=g(j{ 3 PC{IClfza LIV711I o a^Ht7d+PJ b.44Y Iigl L SLEs41¢-L7UC F.b eaS'f frlU GUtPdS. LTR C� -Terc11 1c EDP 14ep,l ul FA34Lf k171gEF[ IaLi {gy�YYY� PdArINTYlr'rlI Il47Ts A ,I!rr Lurar�er�L rrx3 LL1alI1TY = - SE���k3 E 40t`A9t'�fil�'�:��191t+91�t5 I re+.vin�{�aa9tirteLa: s 1;0kC;0lsl] CA10JR 1 rwL S p LI ¢ t�lleV�;r,.ti,:a Ser,acnro.rt ��' T041,oco l" C. ATE Uvs I ar•r +sf,fi_ } 3_!L C113i1.P hrlf 41FJyY s I411j�,dllV - ti'+EkEtvsL.cu:xtL{.�,Tyr � � p0'��1� + i I`+UCr"1� Lu L: i -V S+ld7aK76CILL:If.RLt ITV" -j I j C"{164i—fi SL"-Sa 071&I j ,.— ®tan,r,Jllt j UALL kXpax--v sr, nt?rs>re�1.LRY k,auos¢q !'s _ AIJT<J* ���--��},11Jri3a 1 KOLY W.HY ll a_rtwx�, :3 ._.._-. P1PIr1Pi I F!itiS'ht{IYik[k..,re �ICA611l LL0.LIFa 0MUR C x-$Lg Llt1t - ralr,:t�i:�.;r ,5 -- o-sFt$Alc"Q� ` dh �-a. l:'L'ie'LC+YLRS'.+_ILAI? 'PdFi 111 rFTlrra_j I �rr9ga lelnv slukrn ruTry= �HrA El.ROj4w ur r JL=Later � I I ( rc ,n_e�-�G e�s�o-91•auwel s ?� •.��•I�o-ac!9'ra4a�za'n;;a�r�Ivr, 9 a ! ��ur�:.:;r.-4�;.a.tr,Yr_�7,�,�_,. -, - Lr1s�[mt.1[a.t of er�e,34at�x a 1s-..;a�t59,�'!a•�rt,,,,�r �•�-_�_,, ._- - ,FiCanC9W, 'd.'IeGrIG[ tFener4u 3eheat,Ly ais,{ csU¢ch¢dY nwz e_3r SA"zM;rej 'CERTar=CAT,2 HoLLnm CANCELLATON SHCULD ANY Cc RiE ABOVE CE3+CRIEFO P01.1cIES BE CANCEL3,IlIuu'6EFDn 3Jr :EXPIRATION DATE MiMREOF,-NOTICE 1921-0 BE DE1rute7ED IN ACCCR12AN CE 1AWIt THE PCLICY PROW-IONS. Tawal, +LLm+M t9La1Remrr,lli; 543�11,Rouen:9 IScvthard,iVY 11071' i T958-2014 A,DOIM CORPORATIO:U_.Allrlghl_ee9tservad. ACORD 25 ra'iAI011 The ACORD mame and Eugo arc regIsWed narks of a COm AC R' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 111 1 08/10/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. 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). PRODUCER CONTACT , NAME; Brookhaven Agency Inc LoVullo Associates,Inc. a/CC, oExt: (631)941-4113 IXNo:(631)941-4405 6450 Transit Road E-MAIL ADDRESS. Depew,NY 14043 INSURERS AFFORDING COVERAGE NAIC# INSURERA:EVANSTON INSURANCE COMPANY 35378 INSURED GreenLeaf Solar LLC INSURER 8 5 Magnolia Drive INSURER C: Selden,NY 11784 INSURER D: INSURER'E: INSURER F: , COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR SD WVD POLICY NUMBER MM/DD/YYYY MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY 3EG5187 09/09/2016 09/09/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X DAMAGE TO RENT OCCUR PREMISES Ea occurrED an.) nce $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY' $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO -BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERdentTY DAMAGE $ AUTOS Peraca UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E L DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold AUTHORIZED REPRESENTATIVE 54375 Route 25 Southold,NY 11971 ©1988-2014 ACORD_ CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD yogic Workers' CERTIFICATE OF INSURANCE COVERAGE STATE oatlipensatiort: UNDER.THE FLYS DISABILITY BENEFITS LAW I�aard PART 1.To be,completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier Ia.Legal Name and Address of Insured(Use street address only) 1b.Business Telephone N umber of Insured GREENLEAF SOLAR, ,LLC 631-698-7000 is NYS Unemployment Insurance Employer Registration Number of Insured 1085 ROUTE 112 1d.Federal Employer Identification Number of Insured PORT JEFFERSON STATION, NY 11776 or Social Security Number 901035896 2 Name and Address of the Entityrequesting Proof of Coverage 3a.Name ofInsurahceCarrier (Entity being listed asthe Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 3b.Policy Number of Entity listed In box"1a": 54375 Route 25 DBL490893 Southold, NY 11971 3c.Polley effective period: 07/22/2016- to 07/21/2017 4.Policy covers: All of the empioyer'sempioyeeselIglbieunder the New York Disability BenefItsLaw a. F b.Fj Only the following ciassorciassesofthe employer's employees: Under penalty of perjury,I certify that Ilam an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has N YS Disability Benef its insurance coverage as descri bed above. Date Signed 8/8/2016 B Y (Signature of insurance carrier's authorized representative or NYS Licensed I nsuranceAgent of that insurance carrier) -Tel ephoneNumber 516-829-8100 Title Chief Executive Officer I M PO RTA N T:I f box"4a"is diecked,and this form is signed by the insurance carrier's authorized representative or N YS Licensed I nsurance Agent of that carrier,this certificate is COM PLETE.Mall it directly to the certificate holder. If box"4b"is checked,this certificate is NOT COM PLETE for the purpose;of Section 220,Subd.B of the Disability Benefits Law. It must be mailed for completion to the Worker's Compensation Board,D B Plans Acceptance Unit,328 State Street,Schenectady,NY 12305. PART 2. To be completed by NYS Worker's Compensation Board'(Only if box "0" of Part 1 has been checked) State of New York Worker's Compensation Board According to information maintained by the N YS Worker's Compensation Board,the above-named employer hascomplied with the NYS Disability Benefits Law with respect to all of his/her employees. D ate Signed By (Signatureof N YS Worker's Compensation Board Employee) Telephone N umber Title Please Note:Only insurance carriers licensed to write N YS Disability Benefits Insurance pol ides and N YS LI tensed I nsurance Agents of those Insurance carriers are authorized to Issue Form DR-120.1.Insurance brokers are N OT authorized to issue this form. D B-120.1(9-15) STATE'OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured 631-816-5824 Avitus,Inc.; dba: Avitus Group Labor Contractor,for leased workers to: GreenLeaf Solar,LLC lc.NYS Unemployment Insurance Employer 1085 Route 112,Ste B Registration Number of Insured Port Jefferson Station,NY 11776 48-398831 Work Location of Insured(Only required if coverage is specifically ld.Federal Employer Identification Number of Insured limited to certain locations in New York State, i.e., a Wrap-Up or Social Security Number Policy) 90-1035896 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) American Zurich Insurance Company 3b.Policy Number of entity listed in box"la" Town of Southold WC 10-17-997-00 54375 Route 25 Southold,NY 11971 3c. Policy effective period _07/22/2016 to_04/01/2017_ 3d. The Proprietor,Partners or Executive Officers are included. (Only check box if all partners/officers included) X 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 of the 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"T'. The Insurance Carrier will also note the above certificate holder within 10 days IF apolicy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment ofpremiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices maybe sent by regular mail.) Otherwise,this Certificate is valid 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. Approved by: Douglas Jones (Print name of authorized representative or licensed agent of insurance carrier) Approved by: _07/30/2016 (Signature) (Date) Title: Vice President Telephone Number of authorized representative or licensed agent of insurance carrier: (480) 951-4177 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb.state.ny.us Workers' Compensation Law v'"^� '.L.f'.,.a .: �`; 1 1a'+..- 3+v' --'`"' ---''- . °„_t=-±..s__ .T�..,^�.-...�:�"'_>."_."_____{r�a •. ._ --�_._:��.....� .,.M�� _�'_'.r-.::..='-_._.._._—_ _,._... .._.. .a: '..!�`�,. i"¢'4„ {.9t �,� '%�,�h'-'�`t°' �� %.,J. �r"?`1... ��. la..,�c,D1 7,,, �,`�-•�. � .. .,.._ �.. i _ G� :..._ �. ��Tom.�`��" �`>�`tk=., ;''9t'�,L�w-_• '�1.�:`,�� ;;..�.,a9+-�,�"�,... TO T::IS SCr:V CY IS t• Vi,^.LAT*N OF , LCj r, 1`-•� C,; E� SEcN Ew Yaar, STATE r:�Na7---C,9' �� �.. EDUC'jJON LAW. CCP1E5 OF THIS 'U-VEf F'-•t' �{CT THE LAND SUCVE'-" INY•E: SEAL OR E7iSGSSLD SE„L :4.'l GE CCNSiCERED i^ .-,: yr TO EE A VALID TRUE CGPY ;U�RJ,NiEES It.�:CLTE6 {rcnECli SHALL RUNT �`, �� �j` qgA `41 C;;1:,Y TO THE FUSC:: :,? �,V4CM THE SURVEY R� Z,�,,ACn�$p.(}..t� J,- P6°?ACED AN'D CM ;:I: PENi•LF To THE �'S' ,r-p �. I U 4L- CG;rIiPN`i, G{?yE;'. ,riT:-L AGENCY AND � JPOei a'��•• It-hT•TUT{ON 11S'FT7 i{E*,EUN, AND r �""s ,�,U.- � �1 's�' �•� > TG THE ASSIGNEES OF ::,E LENC{NG INSTi- ,Ile _- ;' Tom, r• TUTION, GUARANTEES AIE NOT TRANSFERABLE TO F.C�IiIC .. s+Y',iJi' t1R SUSSE,,�UFs '• � _`, tor. L Qs a T f -'t Cr” ' i Zk d t i kk(cc; i ✓ e �'1,ri ��k" ,✓� f a'.'.0 o'• -�.... C. �°� o Via....:_,;.- k';y.- � P }.r��� ."wi-.'+J�"'^. 1 '^ �'Y'�"�. �i'-'^•iy r , ,r '�-r•� �., a � w �_ �«�'-,.+ .._ `�^r^ >i� �.ate'' . � i �.�- '�fi _ ,�.- �:,a�'••.4 � �yY�t� `�`+.�',1�.+...,�: ��_.•r".' `^, p.` .�.,�{ � r i� ��r� Fisher Engineering Services, P.C. PO Box 30 . Oakdale -New York 11769 ra Phone: (631) 563-9028 September 6, 2016 L SEF 2 6 2016 Attention: Building Department DL Subject: EngineeGoldberg Statement g Residence- 31005or 1ar Ole Juleoof Lane,Installation NY 11952 TO OFs®�OLD r' I have verified the adequacy and structural integrity of the existing roof rafters for mounting the solar collector panels and their installation satisfies the structural roof framing design load requirements of the Residential Code of New York State. I have reviewed and certify that the manufacturer's guidelines and equipment for the photovoltaic equipment for the above residence meet the requirements for wind and snow load and that the roof structure is adequate to carry the new loads imposed by the System. For the installation of the solar mounting, the rails shall be securely anchored to the rafters utilizing lag screws that have been designed for wind speed criteria of 120 mph Exposure C and snow ground criteria of 20 psf. Wind loads will exceed,seismic loads. Other climate and geo design criteria are not applicable to this solar installation. The solar collector system and the mounting assemblies comply with the applicable sections of the Residential Code of New York State- "Solar,Systems"and loading requirements of roof-mounted collectors. The proposed solar collector system and the mounting assemblies comply with the applicable sections of the Residential Code of New York State- "Solar Systems" and loading requirements of roof-mounted collectors-2010 and the minimum requirements for buildings and structures of ASCE 7-05. The installation shall be in accordance with the minimum requirements certified by this letter. The existing roof rafters are 2"x6" on 16" c.c.,with an actual span of 10'-0", with plywood roof decking and one roof shingle layer on the house as shown on the drawings. There are no structural modifications planned or required for the existing roof. I hope that this letter serves and meets with the approval of the Building Department. Sincerely, F NE>Ly ro -6 William G. Fisher, P.E. Licensed Professional Engineer l Architectural Design•Residential•Light Commercial Additions-Extensions-Conversions Construction Estimates/Oversight-Exp6diting-Inspections OCCU PAN CY OR 2 925 KW SYSTEM SIZE USE IS UNLAWFUL 9PANASONIC414575x IG(325W) OF F A���fi�ply/ �j�q�t �q 62 598"L x 4 1457°W x 1378"H �` O D� ` S NOTED FLOOD ZONE -( 4081#/MODULE(22G47#/SF) c,`�\;,am /1 O WITHOUT CERTIFICATE DATE: P.4 MPLY WITH CHAPTER 148 OF OCCUPANCY FEE: (2BY. FLOOD DAMAGE NP EVE TION y NOTIFY &IILD�v DEPARTM� ., ATS UTHQL�TCW 765-18'''2 8 AM TO 4 PIS FOR THE O� �O.074659 FOLLCI•/INC INSPECTIONS: ELECTF�ICAd.. ��FfSSIONP\-�` 1. FOi ' DATION' - TWO REQUITED 1N���(iTl®N REQUIRED FOF, 'OURED CONCRETE ROU.;H - FR=:WNG & PLUCi 3. IN&. .kTION'' N In 4. FINAL - CCT, t;LIN MUST CD BE _OMP LE T E FCR C.0. W END U 9 MODULE ARRAY y 5 CC��S T RUCTION SHALL MELT T Z — uENT I/I 14%12•/g5'TALL EQUI"� -EMENTS OF THE CODES 0 ®N I Inverter Location �Tl W g �L in•x iz•/as•rALL IJ r Exterior PVC Conduit ® ORI< FTATE. NOT RESPONSIBLE FQ@ MSP Main Service Panel SOLAR L� C) W DESIGN OR CONSTRUCTION ERR f�. SP Sub-panel DISCONNECTL�' W _ � UM Utility Meter Y a/- ACID ACD A/C Disconnect0 LLJ LLJ*XXX XXX I __JX I - z B Basement Location O COMPLY WITH ALL CODES OF ® V Vent CID M U NEW YORK STATE & TOWN CODE. INVERTERS(TYP) INV C) O AS REQUIRED AND CO�,DlT!ONS OF O Om FULL HOUSE ROOF PLAN Grounding ZlMaMfi 11A SCALE NTS YT AC DISCONNECT Electrode I S8 ii � �FRS- PP EX15T POWER PANEL V' FASTENER REQUIREMENTS U U-) NOTES TOTAL ARRAY AREA= IG2.195 SF equipment MOUNTING BRACKETS AND HARDWARE MEET OR WIND LOAD ASCE 7(SEE CALCULATIONS THIS SHEET)41 5 PSF I An 18"wide clearm 9(free of solar equipment) 3 Installation of solar q P ment shall be tfit m TOTAL UPLIFT=4 1.5 PSF x I G2 195 5F= G,73 I I L55 shall be provided along at least one side of the flush-mounted,parallel to and no more than EXCEED NYS CODE REQUIREMENTS FOR THEW O M EXIST METER Q Uj CD roof ridge on the same side as the solar 6-Inches DESIGN CRITERIA FOR SOUTHOLD above the surface of the roof Q R/ U m FASTENER equipment or on another side of the ridge that 4 Weight of the installed system shall 78" W Q O SOLARMOUNT LAG SCREW SPEC 203 2,8/04 (FLAT WASHERS REQ TO BE does not have solar equipment on+t In addition, not exceed more than 5-psf for mid THE ACTUAL IN-FIELD ATTACHMENT TO THE ROOF I- _l �/ Z USED WITH LAG BOLTS) an 18"wide pathway(free of solar equipment) photovoltaics and no more than WILL MEET OR EXCEED RCNYS 201 O AND ASCE Z W LAG BOLT WITHDRAWAL VALUE,5/1 G"DIA.x 4", 2GG LB/IN X 2-IN THREAD shall be provided from at least one eave or gutter G-psf for residential solar het water 7-OG REQUIREMENTS SYSTEM ONE LINE DIAGRAM (TYP) ] O N J O DEPTH=532 LB CAP EACH connecting to that 18"roof ridge clearing systems PHOTOVOLTAIC MODULE SCALE M5 O r, Z LLi MIN NUMBER OF LAG BOLTS REQ=G,731 I L55/532 LBS/LAG BOLT= 13 2 Roof shall have no more than a single layer of 5 Any plumbing vents through the Ridge V TOTAL RAIL FEET= G2 1855 RAIL FT/ 13 BOLTS= 4'-1 O" roof covering in addition to the solar equipment roof are not to be cut or covered Rail Q W Z MAXIMUM SPAN BETWEEN MOUNTING FEET BOLTS'X" USE 4'-0"MAX for solar equipment m5tallation O J Z IL Any relocation or modification of Rafter BUILDING REVIEW NOTE 0 U s Q THE PV SYSTEM HAS Bvent requires a plumbing permit and > W BEEN DESIGNED TO MEET THE MINIMUM DESIGN STANDARDS FOR TOWN BUILDING PLANS EXAMINER HAS REVIEWED THE ENCL05ED DOCUMENT FOR MINIMUM BUILDING AND OTHER STRUCTURES OF THE ASCE 7-05 11;RCNYS 201 O Inspection ACCEPTABLE PLAN SUBMITTAL REQUIREMENTS OF THE TOWN AS SPECIFIED IN THE BUILDING AND/OR 0 O ly/ MOUNTING FOOT W/ RAIL(TYP J - Roof Span RESIDENTIAL CODE OF THE STATE OF NEW YORK THIS REVIEW DOES NOT GUARANTEE COMPLIANCE Wind Load Calculation BUTYLI RUBBER MEMBRANE MOUNTING FEET POSITIONED WITH THAT CODE THAT RESPONSIBILITY 15 GUARANTEED UNDER THE SEAL AND SIGNATURE OF THE I— L O ASCE 7-05 Partially Enclosed Building Design(Assume Worst Case) BETWEEN FOOT t OVER ROOF RAFTER MEMBERS ROOF SECTION(Typ) STATE OF NEW YORK LICENSED DESIGN PROFESSIONAL OF RECORD THAT SEAL AND 51GNATURE HAS Low Rise BUllding,h<=GOft Mean Height, h=30ft ROOFiSHINGLE OR NO CALK PER MFG'S REQUIREMENTS SCALE NT5 BEEN INTERPRETED AS AN ATTESTATION THAT,TO THE 5E5T OF THE UCEN5EE'S BELIEF AND In ,c6 x FLASHING 3"STANDOFF INFORMATION THE WORK IN THE DOCUMENT 15 3 IL I Directionality Factor-Ka per Section G 5 4 4,(Table G-G) Kd=O 85 MOUNTING FEET PER RESIDENTIAL HOTOVOLTAIC MODULE RFIL IS DESIGNED AND WARRANTED BY THE MANUFACTURER FOR 'ACCURATE ED CODE OF NEW YORK STATE ROOF 'CONFORMS WITH GOVERNING CODES APPLICABLE AT THE TIME OF THE S- 2 Importance Factor per Section G 5 5, (Table G-I)Catagory II, 1=I O LOADS UP TO 50 LB55Q FT (APPROX 125 MPH WIND)WHEN PENETRATIONS CHAPTER 9(Tl'P) INSTALLED AS REQUIRED BY THE MAUNUFACTURER SUBMISSION 3 Velocity Pressure Coefficient Kh per Section 6 5 G 4 RAIL 'CONFORMS WITH REASONABLE STANDARDS OF PRACTICE AND WITH VIEW DATE: 09/6/16 (Exposure Catagory C per G 5 G(fable G-3),Kh=O 98 -N NOTE THE MOUNTING FEET MUST BE ATTACHED TO THE BUILDING TO THE SAFEGUARDING OF LIFE,HEALTH,PROPERTY AND PUBLIC WELFARE 4 Topographic Factor Kzt per Section G 5 7(Long Island), Kzt=I E P P 3/8° OR FRAMIN G(NO TS AND OT JUST E ROOF DECKINGHOLE) USE 5/10 15 THE RESPONSIBILITY OF THE LICENSEE Scale- DIAMETER Gust Factor.G per G 5 8 1,G=O 85 48"(MAX FOOT SPAN) TIGHTENING SHALL BE BY HAND ALL INSTALLATION PROCEDURES STRUCTURAL STATEMENT 3/1 G" = 1 -0" G Exposure Classification per Section G 5 9 = If SHALL BE PER MANUFACTURER'S REQUIREMENTS THE EXISTING STRUCTURE 1$ADEQUATE TO SUPPORT THE NEW LOADS IMPOSED BY THE Job#16038 7 Internal Pressure Coefficient GCpi per Section G 5 1 1 1,Table G-5,GCpi=O 55 1 PHOTOVOLTAIC MODULE SYSTEM INCLUDING UPLIFT S$HEAR THE EXISTING RAFTER 8 External Pressure Coefficient GCpf per Section G 5 112 I,Figure G-10, PHOTOVOLTAIC MODULE SECTION NOTE mounting hardware provided shall withstand, SIZES 6 DIMENSIONS CONFO Jv TO RCNYS TABLE R802 5 I(I)-RAFTER SPANS Sheet NO SCALE NT5 Modules and panels and any GCpf=O 80 10 Design Wind Load per without evidence of structural or mechanical failure, 1 5 times the design CLIMATIC*GEOGRAPHIC DESIGN CRITERIA-TABLE R301.2(i) 9 Velocity Pressure qh per Section G 5 10 TOTAL ROOF DEAD LOAD I(MODULE) NOTE Section 6 5 12 load when tested ass Specified below The dell n load Is to be 30 sf qh=(0 0025G)(Kh)(Kzt)(Kd)(V^2)(1) (ROOF)+2 I IOTA (MODULE) FASTENERS SHALL NEVER EXCEED 48"BETWEEN RAIL P 9 P p=gh(GCpf-GCpi) = 1 2 1 s#/5F TOTAL FEET PER MANUFACTURER downward(positive)or upward(negative) All glazing members shall be of GROUND SEISMIC i SUBJECT TO DAMAGE BY wiNTER icEsnielo FLOOD qh=(O 0025G)(0 98)(1)(0 85)(1 20^2)(1) such strep th to withstand these loads The modules,panels and an scow DESIGN DE51GN uN�xur HAZARDS qh=30 7 p=30 7(+0 80+0 55) RAIL INSTALLATION GUIDELINES MOUNTING BRACKET MATERIALS ARE mountin hardware shall be facto tested under these Dads for period of LOAD (_') rATEW WEATIlrPWX pEPR uriE TERMITE TEMr p=30 7(1 35) PER MANUFACTURE'S NON-COMBUSTIBLE IN ACORDANCE WITH RM2301 2 2 9 N P 0 PSF eousl lt lied p=41 5 psf REQUIREMENTS AND CONSIST OF ALUMINUM L BRACKETS 3b minutes (Downward$upward forces shall not be appsimuany) 2120 13 SEVERE 3'-0° MoD To g NA 'vols MOD I I deE AM T • 2 925 KW SYSTEM SIZE 9 PANASONIC V13HN325SAI G(325W) �! OF G2 5951 x 41 457W x 1378"H 40 81#/MODULE(2 2647#/5F) �Q \��a m �•F,' r s�A�14/0-0740 •07405 fSS 1mk\- N L() ( I)ROOF W 140°TRUE; 30°TILT; 7/12 PITCH z W —_ (9) MODULES Q RIDGE p J (2/ l.0 p VENT W SOLAR MODULE ffl 4"X 12"/4 5" �TALL \ ffvq X 12"14 5"TALL LU LU u � � z W (�VENT U 2"0 PVC x 0 Q p U N O C) D IRON RIDGE RAIL �j (TYPICAL ACROSS �J EACH ROW OF ENTIRE ARRAY)(Only Two Shown for Clarity) x x RI 32'-8" GUTTER m v �r m U Ln Q� � p m/ U m Fes- Zlu z - 2"x8" 00 0 m z o Rldge SOLAR MODULE Q W � w z 0 Z a� >>y 0 0 z Q 2 oL > w LL- < r 0 0 w 0 C) a �Ra I I ! F= = m e j r@2g PARTIAL HOUSE ROOF ROOF P�N 3 L m m O C SCALE 3/1 G"= 1'-0" 0 FINISHED DRYWALL CATHEDRAL CEILING I DATE: 09/G/I G ROOFt STRUCTURE ROOF I Scale: Actual Span 10'-0" RAFTFR/SPACING 2"x G"@ 24"O C 3/1 G" = 1'-0" 5offlt ROOF PITCH 7 12 Job #16038 j ACTUAL SPAN 10'-0" Sheet-No. ROOF SECTION Exterior Wall SCALE NTS SHEATHING PLYWOOD �' COLLAR TIES. N/A J TYPE/LAYERS ASPHALT/ I STRING INPUT 1-9 PANELS ELECTRICAL ONE-LINE DIAGRAM SCALE NTS N N w m WARNING LU Z 9 PANELS s oc D U g - 1 STRING © K*-T l.—KNawIO Ix Ly MAXAC OUTPUT@240VA (n � >- 12 SAX 1.25.15625A UTILITY ly 3 NEC4190 e(A)(2) 200A 60AMP DISTRIBUTION K O ® INVERTER (AC)INVERTER SINGLE THROW PANELAS PER UI w Isceo3Ax158=9aoe9 3fCVll SUB-PANEL(MLO) FUSED NEG70512(D)(1-8) a O z O NEC4i90 a(A)(B) NEC-690 57 "BLADE TYPE" Ln U © zP,2Dq SERVICE RATED O D ® DISCONNECT O H ISO 603 Ax1SO-9409 NEC-23079(D) EXISTING O m — NECE90e(A)(B) PSEG METER UI Q SERVICE RATED FUSE O O WAR ING DISCONNECTBTTBOX .n ® F NOTE I The PV system Is .2111-11()2111 Interconnected on the supply side of the © I wdsOng ct O � O L_ f— discannad DC DISCONNECT Al MAXAC OUTPUT 9240VAC,15.625A I,o NEC-70512(D)(2) r WARNING ELECTRICAL NOTES WARNING THE CONTRACTOR SHALL INSURE THE EQUIPMENT U wsl[xE 1xiyDLTsurFLy AND UNDERWRITERS LABORATORIES INC (UL)1741, Q INSTITUTE OF ELECTRICALAND ELECTRONIC p � o ENGINEERS(IEEE)1647,AND THE NYS PUBLIC SERVICE COMMISSION(PSC)REQUIREMENTS Z O �i NT REGARDING PV INSTALLATIONS THE CONTRACTOR M N = SHALL SPECIFYAND INSTALL FUSED DISCONNECT 16 LL 0 AND GROUND FAULT PROTECTION BASED UPON Z Q 9 APPLICATION O —1 w = J m wb2 �? v 2 a UIN CONDUIT& CONDUCTOR SCHEDULE EQUIPMENT SCHEDULE L J W O ® DESCRIPTION AWG NUMBER OF CONDUIT TYPE CONDUIT SIZE TAG DESCRIPTION PART NUMBER NOTES CONDUCTORS (MIN) 1 PV WIRE 1 PV MODULE VSHN325SAIS PANASONIC 2 COPPER EQ GROUND 6 1 _ _ 2 FUSED DISCONNECT BOX - SERVICE RATED 3 THWN-2 10 3 PVC,SUNLIGHT 1„ 3 DC DISCONNECT - - D" DD�zalc RESISTANT 4 THWN-2 10 3 PVc,SUNLIGHT 1„ 4 DC/AC INVERTER SE-3000A-US SOLAREDGE,240VAC s�l� RESISTANT 114•=I.4 5 THWN-2 8 3 PVC,SUNLIGHT V. 5 DC/AC INVERTER - - race I or I e THWN-2 6 INVERTER PANEL(AC) 200A - D—Bn 7 THWN-2 8 3 PVC,SUNLIGHT 1- 7 MAIN PANEL,200A EXISTING CONTRACTOR TO CONFIRM MAIN Nlawexnexr SS 1/4n PANEL ISADEQUATE 8 _ - _ - - B POWER OPTIMIZER(S) P400 SOLAREDGE 9�No 9 DC GROUNDING ELECTRODE] 8 SOL 1 1 1 9 1 BLADE TYPE DISCONNECT - 60AMP FUSES 10 1 COMBINER BOX ��