Loading...
HomeMy WebLinkAbout35143-Z Town of Southold 2/26/2018 P.O.Box 1179 53095 Main Rd p1 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39531 Date: 2/26/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1500 BAY AVENUE EAST MARION SCTM#: 473889 Sec/Block/Lot: 31.-8-12.9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/29/2009 pursuant to which Building Permit No. 35143 dated 11/6/2009 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 ROBERT C. GARBER&LISA DEUTSCHE of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 12100 01-12-2010 PLUMBERS CERTIFICATION DATED Authorized Signature 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. 35143 Z Date NOVEMBER 6, 2009 Permission is hereby granted to: ROBERT C GARBER/LISA DEUTSCHER 375 RIVERSIDE DR APT14E NEW YORK,NY 10025 for INSTALL SOLAR PANELS TO EXISTING SFD PER APPROVED PLANS AS APPLIED FOR at premises located at 1500 BAY AVE EAST MARION County Tax Map No. 473889 Section 031 Block 0008 Lot No. 012 . 009 pursuant to application dated OCTOBER 29, 2009 and approved by the Building Inspector to expire on MAY 6, 2011 . Fee $ 200 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 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. New Construction: Old or Pre-existing Building: (checkk ohne) 1 Location of Property: 1,500 T J� t o oe �/��"Y� ' ' 11/yri D A House No. '^ Street Hamlet Owner or Owners of Property: C�arbf, Suffolk County Tax Map No 1000, Section Block Lot �a . Subdivision Filed Map. Lot: Permit No. 3 5 � Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature 'y! SUFFOLK BUREAU of E L E C T R I C A L INSPECTORS, inc i 40 Nottingham Drive,'Middle Island,NY 11953 Telephone:631 495 8136 • Fax:631980 6455 • E-Mail:SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Green Logic Certificate No.: 12100 Rough In Inspection Date: 3anuary 12,2010 Final Inspection Date: January 12,2010 Application No.: 12100 Building Permit No.: 35143 Z LIPA Solar App No.: 08-4279-SP County Tax Map No.: 1000 31 8 12.9 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Robert Garber Site Location: GARBER, 1500 Bay Avenue E, E. Marion, NY 11939 Owner's Address (if different): ❑� Residential ❑Indoor ❑Basement ❑Service ❑Shed ❑Commercial ❑� Outdoor ❑First Floor ❑Pool ❑Hottub ❑New ❑Renovation ❑Second Floor ❑Attic ❑Garage ❑Addition ❑Survey Other photovoltaic system INVENTORY Single Phase Heat Duplex Recpt Ceiling Fixture HID Fixtures Three Phase Hut water GFCI Recpt wap Fixture Smoke Main Panel AC Cond Single Recpt Recessed Fixture CO Detect Sub Panel AC Blower Range Recut Flourescent Pumps Transformer Appliances Dryer Recpt Emergency Time Clods Disconnect Switches Twist Lodi Exit Foam TVSS GFCI Breaker Heat Pump Electric Heat Pool Luminaire Exhaust Fan Other Equipment Install Photovdiaic system which indudes:14 SunPower SPR2258LK Panels 1 SunPower SPR3000m Inverter Trial watts 3150 The electrical work and/or equipment described above were Inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Green Lonic License No.: 43858ME SWatme: . Date Of Certificate: Jan 14.2070 OF SOUIyo h �O courm,N�' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING / STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: �� � � - ie� r DATE Y INSPECTOR z. Pacifico Engineering PC Engineering Consulting PO Box 1448 000 Ph 631-988-0000 Sayville, NY 1.1782 1000alD000 Fax: 631-382-8236 www pacificoengineering com engineer@pacificoengineering com January 15, 2010 Town of Southold Building Department 54375 Route 25, P O Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Robert Garber 1500 Bay Ave East Marion, NY, 11939 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 I have determined that the installation meets the requirements of the 2007 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, Ralph Pacifico, PE Professional Engineer �P�E OF Al H R4C )O Al •o °66182 90�FSS ION P�-�� FIELD INSPECTION REPORT DATE COMN[ENTS � vl � FOUNDATION(1ST) ------------------------------------- �-C FOUNDATION(2ND) Jl Iz 0 t1j G � ROUGH FRAMING& t� PLUMBING H x INSULATION PER N.Y. y STATE ENERGY CODE FINAL d ADDITIONAL COMMENTS ry e 4rr 22 D 0 z m z I � y O 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 �j Survey SoutholdTown.Nort6Fork.net PERMIT NO. ✓ I Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined I ( �% 20� Storm-Water Assessment Form Contact: A " Approved v 0 V 1 Mail to:pS I GIAn n 9d 39A, 5c't'-- 1O I Disapproved a/c S ,CE�1c'aYY��Zar�� IJy �(q�0� i Phone:(031— 4,I —S is Z 01 20 Building Inspector D OCT 2 9 2009 APPLICATION FOR BUILDING PERMIT L Date C+d0 t' IA4 200q INSTRUCTIONS BLDG.DEPT. TOWN OF SOUT MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date:If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.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. (firc�rlLoglc LLGf s (�i�a of applicant o,PameH t cJ W–�,t.) to rJ LQGft 'ling address of applicant) State whether applicant is owner,lessee a&4w-,�r ent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises R06t + (As on the tax roll or latest deed) If applirant is a corporation,signature of duly authorized officer to e-5 I M Rb rek. i C 00 (Vne and title of corporate officer) Builders License No. Co--)� Plumbers License No. Electricians License No. 4 3 95 Other Trade's License No. 1. Looatifn of land o which pro sed work will be done: � oo �a� .,�. House Number Street Hamlet i 10 County Tax Map No. 1000 Section 3 Block 19 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occppancy of proposed construction: a. Existing use and occupancy n-e- -FaM<<t,l d t�Gl t r1G1 b. Intended use and occupancy frJn� rdy►�►t �Lt wC t 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work ruS-ja((iEqivvot44iiZ 5otae5ds4e,-n (Description) 4. Estimated Cost I0, q 1-5 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 9. Size of lot:Front �' �4 Rear a 34- U q Depth 10.Date of Purchase -1 '(g 0 rr Name of Former Owner 11.Zone or use district in which premises are situated / 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO 13.Will lot be re-graded?YES_NO "'Will excess fill be removed from premises?YES_NO_ (S-00 pay !4� 14.Names of Owner of remises��+'FGa"6� AddressE�r� N Phone No. Name of Architect RCA rnL0ertti Address POB (-� V. -.740410 No gg 'DO0D Name of Contractor re Z LLC- Address Phone No. 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 NO ✓ *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property?*YES NO ✓ *IF YES,PROVIDE A COPY. STATE OF NEW YORK) pl COUNTY OF S�t401 SSS M A �6t-Lk r e � being duly swom,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Orr-"u C4-0 v--- (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sw m to before me this day of 20� NotaryPublic ARRAA A.CAS afore of Applicant Notary Public-State of New York No.01-CA4894969 Qualified in Suffolk Ctwnty My Commission Expires May 11, l f - Town of Southold Erosion Sedimenta $ � , tion & Storm-Water Run-off ASSESSMENT FORM 1c� PROPERTY CATION: 34JAUt THE FOLLOWING ACTIONS MAY REQUIRE TIME SUBMISSION OF A _R 11-9 aTo ATE' G - LINAGE ANEP EROSIONP 0 Dlatrfe! section Stook Lot CERTIFIED BY A-d-E—SIGN PROFESSIONAL IN TME OTATE OF NEW YOKIL ' W ` Rom Number: (NOTE: A Check Mark(*/)for each Question is Required for a Complete Application) Yes No `_ — Will ftProject Retain All Storm-Water Run-Off Generated by a Two(2")Inch Rainfall on Site? (This stern will Include all run-off created by site Gearing and/or construction ac tivttles as well as all Site — Improvements and the permanent creation of Inipervlous surfacers.) Q Does the Site Plan and/or Survey Show Al Proposed Drainage Structures indicating Size&Location? This item shall include all Proposed Grade Changes and Slopes Controlling Surface Watemowi -- $ will this Project Require any Land Filling,Grading or Excavation where there is a change to ft Natural a Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? --- 4 Wil this Application Require Land Disturbing AclivlUes Encompassing an Area in Excess of ❑ ✓ Five Thousand(5,000)Square Feet of Ground Surface? — . 5 Is there a Natural Water Course Running through the Site? M ✓ Is this Project within the Trustees jurisdiction or within One Hundred 0W)feet of a Wetland or Beach? — s Witt there be Site preparation on Existing Grade Slopes which Exceed RHteen(15)feet of Vertical Rise to ❑ ✓ One Hundred(1W)of Horizontal Distence? u 7 Will Driveways,Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-off /❑ 1✓ into and/or In the direction of a Town dght-of�way? — 8 Will this Project Require the Piacement of Material;Removal of Vegetation andlor the Construction of a / any Item Within the Town Might-of-Way or Road Shoulder Area? ]L (This item will NOT Include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred(100)Year Floodptaln of any Watercourse? ❑ NOTE: if Any Answer to Questions One through Nine Is Answered with a Check Mark in the Box, a Storm Water,Grading, Drainage&Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! _` _r T_ EXEMPTION! Yes No Does this project meet the minimum standards for classification as.an Agriculture!Project? Note: if You Answered Yes to this Question,a Storm Water,Grading,Drainage&Erosion Control Plan Is NOT Requlnen — — ---------------------------------------------------- STATE OF NEW YORK, r r- COUNTY OF.�u..!..'...:K...........SS That T, ..N�s...... .....�4..I�u.K�e being duly swom,deposes and says that he/she is the applicant For Permit, (Name of hWMdual sVft Doo W) Andthat he/she is the .................................... .� ............................................... ...... ......................... (owner.Contractor,Agent.Corporate oft-.etc) Owner and/or representative of the Owner of Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief,and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ...........A C5........................day of................................... ,tad A)� No Public: Lary ............................... ...�............................................ ............................ .. . .. .......... 13AR13ARA A.CASCIOTTfq slgnewmofAp*ant! FORM - 06/07 No.01-CA4894969 Qualified in Suffolk County - ---'' CORirt1!1'3tOfAT�7i9`. . 3 GREENLOGIC® ENERGY October 28, 2009 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Dear Building Inspector: Please find attached a building permit application on behalf of Robert Garber who has engaged us to install a roof-mounted (flat to the roof) solar photovoltaic (PV) electric system for his home on 1500 Bay Avenue, East Marion, NY. In connection with this application, please find attached: • A.building Permit application A Storm Water Assessment Run-off Form • Survey of Premises • Four Engineer's Reports (2 originals and 2 copies) • A One Line Diagram • A Visio Diagram-of-the-proposed system • Sp ,she tse of the solar panels (Su:P wer SPR:225-BLK) • Spec. sheets of the inverter (Sun Power-SPR,-3000m) • GreenLogic Suffolk County Home Improvement License • GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License Please let us know if you need anything else in, onnection with this application. Yours truly, ?'>)2u� Barbara Casciotta Account Manager GreenLogic Energy GREENLOGIC, L\• www GreenLogic com SOUTHAMPTON/CORPORATE SOUTHO.L-D-' MANORVILLE ROSLYN HEIGHTS 425County, Rid 39A, #101 52875 Main Rd.,Box 435 40 Woodland Avenue 200 S Service Rd ,#108 Southampton, NY'1-1968"-'--Southold, NY 11971 Manorville, NY 11949 Rosyln Heights, NY 11577 Tel 631 771 5152 Tel 631 765 0404 Tel 631 771 5152 Tel 516 625 6880 Fax 631 771 5156 Fax. 631 771 5156 Fax 631 771 5156 Fax. 516 625 6881 GREENLOGIC® ENERGY January 21, 2010 10 2 1 ?410 TOwN SpEPr Ujy��� The Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 35143 Robert Garber 1500 Bay Avenue, East Marion To the Building Inspector: Enclosed please find the Engineer's Certification Letter for the post install and the Electrical Underwriter's Certificate for Robert Garber's photovoltaic solar system, which we installed at 1500 Bay Avenue, East Marion. Please arrange to send him the certificate of compliance and close out the building permit. Please let me know if you have any questions about the installation. Sincerely, 4,Aot4— &4-ct�-- Barbara Casciotta Account Manager GreenLogic LLC 631-771-5152 ext. 117 GREENLOGIC, LLC • www Green Logic corn SOUTHAMPTON/CORPORATE. CUTCHOGUE MANORVILLE FIRE ISLAND- ROSLYN HEIGHTS. 425 County Rd 39A 1070 Depot Lane 40 Woodland Avenue 125 Duneway 200 S Service Rd ,#108 Southampton, NY 11968 Cutchogue, NY 11935 Manorville, NY 11949 Seaview, NY 11770 Rosyln Heights, NY 11577 Tel 631 771 5152 Tel 631 765 0404 Tel 631 830 0102 Tel 631 741 6400 Tel 516 625 6880 Southold Town Building Department P.O.Box 1179 Permit#: 35143 54375 Main Road Southold,New York 11971 Permit Date: 11/6/2009 A�go!# �aoT' (631) 765-1802 Expiration Date: 5/6/2011 Parcel ID: 31.-8-12.9 BUILDING PERMIT RENEWAL LETTER Dated: 2/14/2012 Applicant: ROBERT C. GARBER/LISA DEUTSCHER Location: 1500 BAY AVE EAST MARION Work Description: SOLAR PANEL INSTALL SOLAR PANELS TO EXISTING SFD PER APPROVED PLANS AS APPLIED FOR A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: ROBERT C. GARBER Address: 375 RIVERSIDE DRIVE APT-14E NEW YORK, NY 10025 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department P.O. Box 1179 Permit#: 35143 54375 Main Road Southold,New York 11971 Permit Date: 11/6/2009 (631) 765-1802 Expiration Date: 5/6/2011 Parcel ID: 31.-8-12.9 Dated: 2/25/2013 Applicant: ROBERT C. GARBER& LISA DEUTSCHER Location: 1500 BAY AVENUE EAST MARION Work Description: SOLAR PANEL INSTALL SOLAR PANELS TO EXISTING SFD PER APPROVED PLANS AS APPLIED FOR. 7010 1060 0001 1573 7698 Owner: ROBERT C. GARBER& LISA DEUTSCHER Address: 375 RIVERSIDE DRIVE APT-14E NEW YORK,NY 10025-2127 Your BUILDING PERMIT #35143 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the-receipt fo this letter to submit a check made out to the Town of Southold in the amount-of$' 0 0, to renew the building permit, or legal action will be taken against you. Should you have any questi ns, call the building department between the hours of 8:00 a.m. and 4:00 p.m. o g t'.,n. S Respectfully Yours,. 5D Michael Verity: ief Buil m" g Inspector Southold Building Department Southold Town Building Department S1A cp. P.O. Box 1179 54375 Main Road Permit#: 35143 • Southold,New York 11971 Permit Date: 11/6/2009 D ate' (631)765-1802 Parcel ID: 31.-8-12.9 Expiration Date: 5/6/2011 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 5/10/2012 Applicant: ROBERT C. GARBER/LISA DEUTSCHER Location: 1500 BAY AVENUE EAST MARION Work Description: SOLAR PANEL INSTALL SOLAR PANELS TO EXISTING SFD PER APPROVED PLANS AS APPLIED FOR A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: ROBERT C. GARBER Address: 375 RIVERSIDE DRIVE APT-14E NEW YORK, NY 10025-2127 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. 7oZy 2970 p -�- 000 4 X 86 29 0 1 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. N SCDHS Ref. # RIO-03-0145 • I� SURVEY OF PROPERTY Y A T EAST MARION TO WN OF SO UTHOLD `P N X05 SUFFOLK COUNTY, N. Y. -� �. P� 1000-31-08-12.9 SEPTIC AEASU�REMENCS D J��p Ja GP���_ SCALE.' 1'-50' P OCTOBER 6, 2003 ST 14.3' 25' GR� ��C.' ��, LP 41.5 31.5' G� zp G �QJO �i, 2004 r G� 0.Q `p�� �pg�aGl o Aug' (evisi4�s ()� `� 5( \ �s O J�/y 27 2on7I/rhsC � 4�) JAN 16,20708c(%unWA�11on1 "'a9 Jdn. 31, 2008 (LIPA Easement) o JUL Y 23, 2008 (final) TEST HOLE OG iP�O� / ��, ems. �'r �O��aG� AUG. 4, 2008 (cerlilicafions) 3/30/04 IO IF ��o� + st P �P. ,� ��' •u+ AUG. 14, 2008 (REVISIONS) BROWN CLAYEY SANG SC �� •(`/ 5 ,�` �iq,� i', J `1-1 PALE BROWN FAC TO COARSE G 2 20`\ q,0�� i ' 4 ` '� .�1{• �•F. �J , Q y ,� sAren sw �, 10 SW T 'b_ _ fEo g do �, X55 o0 150' 1oti .`�• - SER �`' 'p P, G vA o� J N 16 ` \ \� 0 Q v° C © . Cyd �`aG� 5 , a N v� P s // o 1 PROPOSED SEPTIC SYSTEM �r .2 i E�' o s OIC ISI 2O' 4 BEDROOMS 12 !! - 1000 gal. SEPTIC TAK �.` � P T8' 0 -.12'DEEP LEAC /NG POOL 0,6 �P�( g toy ZOG ' it 6•,\NO,�\ �i S� �— —~- �` 19 �p� �� ��ou a. �� 00 by MCDONALD GEOSC/ENCE `��' ��' \o-o y�� '�' G'�0 o5e \ 2 OO DW DRYWELL I am familiar with the STANDARDS FOR APPROVAL \\ 5 8 AND CONSTRUCTION OF SUBSURFACE SEWAGE p� 5 �Po A�2� DISPOSAL SYSTEMS FOR SINGLE FAMILY RE.SIDF_NCES `ko �'\ n'Z a ;I- 9 g5 .14 and will abide by the conditions set forth therein and on the permit to construct. t (, RTIFIED TO, �r�OF Ne;p The location of wells and cesspools shown hereon are OBERT C. GARBER ��� �i>_ O,p from field observations and or from data obtained from others. ISA DEUTSCHER � rbc 'f ELLS FARGO, N.A. ANY ALTI;'RATION OR ADD177ON TO THIS SURVEY IS A VIOLATION FIDELITY NATIONAL TITLE• INSURANCE f ,. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW p y //_. COMPANY EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIMICA710NS 294� �G �Z I I ., r r �• Ir( j ' HEREON ARE VALID FOR THIS tiIAP AND COPIES TlIEREOF ONLY IF Y• LIC. NO. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYORv, / l E P.C. WHOSE SIGNATURE APPEARS HEREON. I �, �, n / ' f, A =MONUMENT C'�' �'% %- _ (6,31 (631) 765-1797 • —PIPE ELEVATIONS AND CONTOUR LINES ARE REFERENCED P.O. 80. AREA=46,396 SQ. FT. TO THE FIVE EASTERN TOWNS TOPOGRA PH/CS MAPS (N.G.V.D.) ����h 1230 TRAVELER STREET X Serf SOU�THOLD, N. Y. 11971 03-260 / 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 631-771-5152 Greenlogic,LLC 425 County Road 39A,Suite 101 lc.NYS Unemployment Insurance Employer Southampton,NY 11968 Registration-Number of Insured Work Location of Insured(Only required ifcoveragetvspecftally ld.Federal Employer Identification Number of Insured liinited to certain locations in New York State, Le., a Wrap-Up or Social Security Number Policy) 20-380119 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) National Union Fire Insurance Town of Southold Building Dept. 3b.Policy Number of entity listed in box"la" 53095 Route 25 WC009924195 Southold,NY 11971 3c. Policy effective period 08/11/2009 to 08/11/20i0 3d. The Proprietor,.Partners or Executive Officers are ❑ included. .(Only check box if all partners/officers included) ❑ all excluded or certain.partners/officers excluded. This-certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A " on the INFORMATION PAGE 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"2". The Insurance Carrier will also notify the above certricate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certir7cate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year of ter 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: Thomas P.Terry (Print name of authorized representative or licensed agent of insurance carrier) Approved by: C�*"Q 08/27/2009 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier._631-283-8000 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 ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID ABOC DATE(MM/DDIYYY1r) GREEN-7 01/19/09 PRODUCER GREE CERTIFICATE IS ISSUEQ AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Access General Agy,Inc. (CL) HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 365 CROSSWAYS PARK DRIVE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WOODBURY NY 11797 Phone: 516-799-8222 INSURERS AFFORDING COVERAGE MAIC# INSURED INSURER A: National Grange Mutual Ina Co 14788 INSURER B: Greenlogic LLC INSURER C: 425 County Rd. 39A Suite 101 INSURER D: South Hampton NY 11968 INSURER E:- COVERAGES :COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM®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 CCNDMONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1"K RLMAJ LTR INS LICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DA tMMID WE MWD LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X X COMMERCIALGENERALLIABIL" MPP1681L 01/31/09 01/31/10 PREMISESTaocouence $50,000 CLAIMS MADE F—]OCCUR MED EXP(Any one person) $5,000 PERSONAL SADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCES-COMPAOP AGG $1,000,000 POLICY X PRO- JECT El LOC AUTOMOBILE LIABILITY ANY AUTO (�d��NILE LIAR $ ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (�P—) $ HIRED AUTOS BODILY INJURY $ ' NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (PeracddeM) GARAGE LIABUM AUTO ONLY-EA ACCIDENT S ANY AUTO EA ACC S OTHER THAN � . AUTO ONLY, AGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR EICLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND VK;51ATU-TORY UMTS ER EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE E.L.EACH ACCIDENT $ OFIlCERIMEMBEREXCLUDED? EL DISEASE-EA EMPLOYE $ rc yes,describe under SPECIAL PROVISIONS below E.L.DISEASE,-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWNSOH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 53095 ROIITE 255 IMNY KI TOWN OF SOIITHOPOSE NO OBLIGATION OR LIAWLITY OF AND UPON THE INSURER,ITS AGENTS OR SOUTHOLD NY 11971 REPPESENTATIVM A ATTI/E G� ACORD 26(2001/08) 0 ACORD CORPORATION 1988 , 1 ; 1 •I • 1 1 , 1,1 • • • • .,,, , t . r t/•• .....1 •','1111 I•.'Ir,' `R'1/1' 1,111/1', ' •' No, -r' • , 1 ,•,1'• I'.• , 11 •''\ "1 '' !fief ••'1 , 11.•Ir ► 1 'I 1 •' rl'• 4 I ►• Illyt N, 1 1, 1 1 1 II11'I I I1' I.V , '•,1••11'1•,,,•1, •fief ' R ''. ' •y Ii 1 1 1 •, Iiw1'''1 "'11jt 1 'l.4'/,� '/1 ,rh,•'1 11'1R}!' �''1 'I�I' ''•'1l;ir '•' •'1' '$14, I',• 1'�A'• ,•Oil 1,1, • x1,4 fes ''11♦''•'q�'R'•;�rl'''1'1 d r• •\,' • M,t I 1 r / /•. 1,1►,'1 ,• •,, , • I • • 1 1! .1• 1 • , • • 1 1 I 'I' ,• I',//, , 1 1 , ' 1 1 rt't�1, ' I u /�1•M . 11 y"1 /'I ,111 ,,1, ' 00�, rh , 1'11 1,1./ Af 1,, '; ,,11, ,, 1, VI;, t„''ll to *4 R, 1 / /• 0 •1,1 I r l,y r '1 1 • • I , • 1 1` 1It ' 1 , / 1 R1 ,•.1�/ �. Iy., 1111,,,,/a to '1"I',1�•. II'1'I'•,1'1'1 .4 :,•;1�1�1; ''11 Il,l,li rR`rlllyr�•'I.1,11.41,/',� III I,M'j',I IR I 1 !•"'1'•Ip1�.1V1 so Is 'rA�11 V ,1, ', •11,,1 '1/�1 �• i 1%, / ' Y r 1• ! • • 1 •• 1 r,• •,t1 1 �'1 .• 1 • I 1 1/e/1,,;,••• I' • Ir! 1 ' •I' 1 •I •,•, i• 5♦ 1 • •• 1 r • 1 . 4' ,I, 1, I • 'w ,J r 1 1 • /, 1 /,, y 1' 1 ,• 1' • .. a 1•�! t" I. • 'I I! / •• • 1/r •/•'! • • 1111 , 1 I 1 I'1•l,,;r 1� , 11x1►,, ,.11 I , I li•' ►1 1 L111 •11 II' A tl , ► '' 1.1,11 l M III 1 1 1 14 1 � / , 1 1 1 • 1' 1 IR• I 1, .• 11 I• 1 • 11'1 • 1 �• jI.�r4//. �yQa'1��,r/� R►'.11 1111 /', • 14 1 •' ' • ' '1 'I rryyl �i,1 4' I (JCj• l • 1 0014 , wIl 1 �' r,l •• , 110,Ir ••� '/tl I I • • I • 1'1 1 41 '1• • .41 I rp'r'P I , •1 • t a ,I'I,Ilfl I 1 x1 1 41Is#0 ' rl l•,R /,,' r`x11 11�r' r•,►,',� • (., • • I • 1• • 11 •' 1 •" 111 'I \' 1 •.' 11 1 1 a 1 Nh 1 IJ'Y'rpa,y • '► •// l/1+•• 1h •• 'N1• ' 1' ” / '• 11 , ,1 . t 1 11 •/ •I .1r a1 , / ••h41/1.1 •11 1 .4 • Ilr/V'•�,1Aft.4 .0 1' /1 '•0:1 4 V�IVP.� •. 1. „1•! .4 �, � • 1 N •.4 /1 •'' 1 1 011,1, 111 r• 1Y V hf . • , 1 1 1 .4•► 11 of•� • r (11' '' ' ' '1R' ; l-,I I1 , , 1/1 '1, • I t 1 1 y l,1, •'1'i1.11` 1' • •• ► I I r , IIYt1 ,pI �1�1 • I / ''• 1' 1�1•' r�4 '1'ldl ts,11 '1 '11'11 • 111 1' 11/� ,I,I I�IIIIIIr��;, / 1 //Ir,yll,,I�l► I's 1/1;1110►,• / •Rl04144 ' '1111"AIsso l'f 111111,,1•�'I' 1. 1�;�,1, I,�y',X Is St. 11' • III ' ♦ /l.4'111• Il „1 t l 1 II 1 11 1 1 h/11 r 111 l 1 • 0 4, '1 11 r l 1 l 1111 1 I .4 / 11 1R'l W I of 1' I , • '1' 11'►I t 1,1 t ,111 1�F get, %4.10 111111111'11 11 111♦1'Y` r 11 11 11 111 ,'• 111!•.1 •'J, 111.1 �'"1�I11II t l • 1 f /1,I,1 11 1 '1 1 1 • 11 0 •11 1 11, /�. �1 l ,1 1 1 y'• V 11 1 t 1 h ''11 1 ,• / 1' 1I I 11111 , 1111 t jJ 1',• 1 oft, Y ,!1 1 ,l 1 • ,••••♦ Id 1'.t/11'�I 1/Q(� 1 1 I.1'j� •, � p►111 11•!, •� r 1'1•',11, •111�l 1'111 1 1 1 11 �I'/• 1►r'1 ♦ 4/ • 1 I 1 • • LTJ 1 r I r • fJj.{, 1 r 1 1 1 1 1 . IJ • r Ifl '1 ' �•,' r '• �II 1'1111 Id fief , 1 ,11' ,IsI •,,I • p •'• 1 . I /, 1 1 d 1 1't 1 11 ti. /,I' N, � 1,11 1 . ,A1 y, 1 • \ 1 ! 1 R! 1•R111 1' 11/ • y 1 111 /1 11 it 1• 7x11 ' • . 1 1 1 Y R1 • 1 1 J V •1 r 1, 1 , r 1 • ,1 Its / .. • `h l l d 1 1 1 1 1 r • 1 Ad 1"Ir , „ / •I • ttI • 1•,Ir I.4V/'.111 11,111 /'11 t`/ '_fluff 1 ,1••1'1`1'1 �11••1•''I�t,l,';/ AM d1M 'Ii•',d/1•t • 1//'11 WIl�1l'�,�{{,,4,, 1111* t/fof r0•,1 ,I/d11`1,111R „ . 0/1.1111oo Itl'1/10'1111111'111'1 111 '1r i`I,I''I'1/ ,'1� ,,'1 ' t 1 11, 1 0. to Ill r'1/0/1 111/1 /yl'I'1�4'N/'i'1l.Ir 1/ 1. , �• '11,1/1. / 1•,I./• r1 /I /111111, r1 I ti 1 Jtt • 11► t • r1 ,rt /1 . +t. a r ,1 1 1 • Ir I ••'11 1/••`{\11 1 111t 1' r • too It 1 111 r,d. 1, A:• I' 1'1/ •l/l 4 /It.11%l • /t1 , 1, 11 1,,1•,1�1, 1 1 1 �11 ;� t��•11'`� , M \•1'• 4, is 1/ II • I' `IdI II 111 • I 4/* 1 4 1, 1 1\• 1 `' 1 ,' • N•1� I, • 11 , 11'1' •ri tYl 11,1 Itl♦ •,11 1 • I 1 • 1 1 `• '•1 I ' • 1 //, 1 1 1 ! '1 I , 11 111'11 1 • 10/1w al II • • L II 1 I 1 , t �I, I I '1 RI p Ill ISt1A , 1 1• 1111/1 0,141`/jr,' 11,1 ' / •IIx•,II 1' M 1,,111 d,. , 1 1 / 11 II 11 I l l ` 1 1 11111 • 1 / / II / t l Iy •11 l lI 1 eto 1 1 V `11 '11 r / / 1 l'•1 1 1. 1. 111 ' 1 /j11y, 1 .4,h 1a •Nr11.1, N 1,l1 s' N ! 1 1 , r I'1 { 1 1 111. OrrII 'llIli1/ l 1l! ' 1 / ' ► TI 1 / J• (ry .1' a 'IYIII411I1j�1�,1r/ay'1. '1 t 11 / • \1 • • 1 •Inl. I • , 1 1 / h 1 4 1t 1 r 1 1 +s • r 1 'R • 1 1/ d 1 1' 1 1 Id d11 r'1 a 1 1, 11 1 rr( s ! • 0 It • r 1 • • I I � • 1 1 f 11 II d 1/ ►' /• • ar 0Y,4 Il�pl Id/ 1 •� 1 / 111 It 11 I 41`1 I'0 / • tll'l11',Y�d1y 1/ r' •/ /•1 1�1 • 1 I�IIt Il 1 , 1'''11•' 1/f 11. 1 1y.r r..rt 1 / 1 t ,hep rV.t I 11 Its Is, ,11 /rr 11 • t/N 111 1 �,�N II 1j�1 4,/rt 11 111, It'11/r••Y,IIf14/1�t 1'r�1`N dr/t It It1a `/I► / I,Id,ltf / `411/111` /•1'V 1/i /1, 1h 111 ,1;•.14% 1•,Sotos 1�1/1.1''11/i d'1 'i 1a 111.11 t,i,.;1.,It111h,'pl%�1,1'j't;.,r1,1,�f, hddrl4'1is,r/l 11 Il ' 1♦1• • �1, I�`1;,"i'M�1�,;�1,�••;;11 NII tl1�•,I Ilr�l`.'�I p1'11�f�!' 1• , P ` ` •'1 3',1 cep 11�1� I I 1 • .4 I • • I+ t •,I 1 1•1 1 •, 1 h 1 '�/ 1'41 d 1 'I►„j Il, I 1'1 s 1 / \ • 1�,1 • 1 tt ,/1 1t 1 1• M 4W'�I x�l',•!�'�S ., l '�YbaG,;� 4 1 In N4 1 1 .4 • •. / • �p4Y111 r 1 111 h�' 1 •, d /1� 11. 1 1 I'1 41, ' '/ p • 1 / 11•U AJ1 1 I•1 Ih' ' l 1 /of Of•d1,ll/,\1,'lI/ 111 ,Y�11;11. 110111] /1 1 •r 1rl 11 IVT/• wl, t1 ♦ / •.4„,1•,�1 11Y / ,11111111• ,1 1a 1 1 11� 11. 1Ir /t' al1( 'tl n I,1// 1 ' 1 , 11 1t111 141tlrtl,S,1 ,�. R1 ((.11.�� erl,1Y, ,pip t • tll ®D •I tl r l ' { ”4 ��j����`��� ' . 1 W�•11'1,'11a� `+•,� 1 ��r„A'ryr ', {j1�p��{yl 1• J/��'J�1 t, !'1'! 1 I"1-1x1 I �p{�, 1 1 �,yr I�`�a”" • '•1 is I �{�7p11'• I Il r 1.,'�1 Jy9'at�' 'yu rl TI P 1�7""�p�l�'�1•'1^+^ TV• /„�IJ•'d'5'it _�v: 1 •,l 11111 � "l T. "i"• ������ t ^i���l Y �r 1 Ai �'1 t' 1 11 , '• !', •' , '►� IIII R 1 111 / 1 1 1 1 . 1 •!. 1 ' • ,' 1, • 1 I ! 11 • r r • / r • I r + , • I, 1 1 Ilt 1,„y I.l 1 1 1 1 ,1` r 1 , ! I i� I ' I • • 11' 1 I I � 1• • • 1/ 1 Y I 111' l x.111 , rl 11 1 1 1� . n•,,V,\1 1•, ,1.,' y ' I ii 1 'i11r1I/ 1,1,I,1,►11{1.//11'1'1111 I'' ' f Ilyllr t�l,� 1 1l'+�Q9��1Irl•,1 r• r, •;I�r 1 i 1 •. , ` T `` ••�' f '^" '' r►ll It h 1 I1` 11 •�I X1.1 1 1 ' 1 ,l 1 r114t'� „•''I''tt'�'11�t/��t1 Al''• 11111 r Iy'11/'0\/'' Ir'1 R♦•'.1, 1'1111/•1'\I o'IJ!'I•;'1 r'•1'�111rl/ ,It 111111 /, 1111111,111'110',41,1'1!•11' IN i" 1 p11111N� a;',+!•; ,1) 1 I R I r 1 1 r h 1 A'•1 lr, I ,11011111.40,/,,, • 11111 It f,l 11 4'1 /lilt Id 1 1 1�hep' • ,II 111.1aII'111 1 014 til' �, 1 1 1•y ,'!!h1 N 1.•1'14,Ile ,►11' 1 1' I 11 0 1 y •• 1 ♦11 1 ' 1'r '•1 1 1 1 r 1 1 I l d / , f 1, I 1 , • 1•x11 1111'/1 1•, ,• 111 d1,4h• / r •' 1/,11.1 1,♦ 11x1 1 M,1t`111r•,1,0�IId•'►/ 11h11 11 • 111'!1 �1)'t11,11y1 0. 1.l� ! Pisti r 1 ,1l / 1 ♦ I l I 11 4 II 1 1 1 I t I r 1 1 ' l Y , ' - - 1'1'1 f 1 P d'lt�r' e .4�r1 1'h 11t1Y11/1�11�1•11.1��1/�1 MII1;h,'ti``1'r•1 /`'�i� ♦�'Iti,'rlt 1•1`��tt'1,4V i' 1.1'1.4'/1'l Il•hr I'I.1 d1�1 hl�"dl�;',�"11., 1 ♦ a1 • 1 11`11 '1 r 1• i O/!I l,l� I�lyl ! �• I �i • '14.1' lIM1' 1'1 'IRI llh/1 '"111'1 1 7/ 10101 1.1110111 �1'!•y1�01r'�,hyl,j' '1'Yr�rlh•tl�/•�h ,'Illi "fief/i1il��l,i•�•. 4 �I�i«�1��1♦tl �/,1�;�1�•`1,4�1�,�i1,�f1111M1� 110',i it /1 /Plifl Y 11•{ ' it 1'I/l brlp • 11 V l,h Al r�' • ar''Ihll,/a NInJ V'� jrd�ll 't 1'. ,' 1 ll ' • r1 '1't�' 1 l;►� 1 r'1 , � I 1 ,. 1 t Iti • 1 ✓ y{ 11 1 1 1, 1 1 • / r'• I / N M 1 ,lIV t `1 0 411 11 /t V 1',,r 1 1,1 I r .4 i • 1 1 I IIi 111 •I 1" 1J t♦ I/''ti\ '• • '1111 \ , • I I I 1 ` 1 1 1+•r/ 1•� ,1 M.S `•1' h! J 1�/•• •1 1 h • f" t/r 11 1 x01. . I, I '1 1 I•1 1 .1• 111 / / rill 1,X1'11 , ,x,,,•1.11.11�1 1 'r 1''III 1411,1• til r 1.1't/III, 1;x10/1,♦♦•1,J t11r r /t�,1� • • h1 A ,1�R 1/1 r' 1,• IV/ Ijd• •`lI" 11 11 '•' 1� 0� 1• I •1'111 I'I11•I ',ti 1,0,r11M r, VII al 1 ' 11 / ' 11 h •111.4 Ir'r1111111 Ijr 1 1,,•�1' •VV;lyl••t- t 1 1 , ♦ A'1. 11 tI 1 I • N •Ill' 0. ►h • dh 1 /1• 1 • 11•1 Ial •N4 11 I I r 1 sk,,1 1 1 111 h V 4 I 1 4• / 1 0 `1 J� '1� ' . •V 1 0 h 1 �il ♦V t �. 111± 11►.Ir�'►V11 1'/'•1V/111,�h111/�;111.11 t1,1�1h�A11, 1 1` 1 /•11 IA ,, 11tt\ 1' 't M'1'/' 1• Nsit 1r • ' 141 1 t`1�'ll(i: 0 • I �1 �• , /' 1 I I 111 I , �/r 1 1, I I 1 ty 1 / 1`y 11' 0 1 I1 L"tII'Il, '/!•�t�ll lt� •I 0%,0400 r1ISI•0tp•,//f1'1,11�a11 Il'SON O�ly••�I;d�'4 It I a0/Illll�,r�l'ltal�, 1\ 11 4V t „�,�'/lof it 1 11,"�I/� 1 /y ••NY 11 ,�AI1 r d' 1 •/1, r , 1 I 1 111 r �•;�,I'•1 1 1 • /Ill • /0 a //j 1 1 1 " , ♦• ►, '1 1 ,I til I,Itl l '• 1 1 1 11' 1 1 AR 1 1 ' i 1 \/ • , / 1 1Y1 I i, 1 11 11 1(.: •r 111 'l/ 1I V, I 1111' rl d 1St n ' r• y� �/ r1 1t 1 r.4 , 1 • 1 11t� 1 1 1It 1 1 A r, of •,'.11,1 • ,l'N 411 1► 1 1 1• 1 {• •iM• / 1,1 I�Id11r/1 41 1111• 1I ♦ 1 % 1 0.1% 1 1 4I', 1►Id �. 1t,, , 1+ 1' I'1 1 r 1 ll /1 ,1 •r1 11 t 1� / r 111 11� .•.1•A 1 d1 1,I/ 1 11� 1 111.4/' VII 1 1 • • '.4 1 f1� 1d'y 1., 1 • p 1 1•Itd 1,•/•I 1 ► 1 ' r d 11�1 I1Y t •1 111111'w,\I'I 11''11 ,NII'�i • I,1 , y / Y 111.1 'III / 1 ' `flrljl 1'17 dJJ 1 0 1 1 1 /I I / 111 1 /,/11 /111,1 1.11 1 •'tl l' j1, 1r�1 1111 •1.1••111► r1�11•• ' �Itl 'd11 `MI • 1,�I1`11• h� •�4l 1 /11 Yr 1 'jtlr''tl\j•1 11'1 11 • rr1,1b,111' 11 V. T' 1 • III r1 'l III LIA� 1 111 ' • 1 •1 '11,11••'1 ' lll' 1sos l .4/ 1 I/ I� I 1/ / 1 11', • • •/ , 1 1.1 ,`, / 1 1 1l I ''41 N N/ 1 Its fief I II d 1 1 r I J I 1 1 ' ^'1 1.1 1 ,l' N • 11, �1 , 4 f 11 1 1 • •1 1 ' /'.1. {'. 1 1 a1,'a / J 1 1' r •, 11II' 1 P 1' • , '1,M,♦ '0 11101)”/11 I' .1 r '1 '1 111.1' fief •y. 1 !'1 It!1 /, , t / / • /� lr 11� lV; . / iII't 1• t •1',111'tl"/t1 1. / • • 1 •I 1 • t 11„Y1 � ,►♦ • r••, '/ 11111 l!t •! 'aft'1 '1 11' I.11'h t' 1 l / "� Irl •11 l t1 It'I%\. I�• I, 1 ,111,1 I, t•r 1 111�/l1 11 1 1 • Clio* I 111 r r 1 AI 1 /I,•; '1 1'/ '1111 ♦ 11 /{MITI • ��ddl #1., 1 1, 1 1 II . 11. Joe's11 114 t/ It, I r '.4 11/1'1 • • 'r •�'i 1 I'1 /Ir�. 'I,p,t1'I''•1' V 1 1 11 I 1 1 t,1 tl 1 y11 I t ; 111 t t 11 t 1 1 1 r l I I II R,1 �• 1 IVI 11 1 h,l ,,, r l th1 1 l.1 1 1 V 1 11, `' •I•' 4 r/I 1 1..�!I '11 '_�1 ♦�,,��y��A,/ 1•JN•\'�l',NI I r t w •1 1''M 1 • 1 t r N • 1 4 1 r/1 1 M 11, I NI/.IIl0wa I._.�"7—• J r I , 1 , 1 , ►1 1' 111 l/'1' ltil 1' rt x11''1 II I, 1 0.44.4, . i 1 1 V l r 1111 1r/,Ir' l 1 1 1 1 So I V / r V .1t • tl1 11111111• t 1 f• / 1' • r 1' .I I •, 1 1 /I• 1• r 1 •' 1 IVI 11 /1// , 1/1,•1 .t1.4 •. 1 I /r l It,'l r 1 1 11'11 1" 1111 W.,1/ t , 1 1.1'1 , 1,• 1 , 1 1 .1 • • //_�/11 ;11 11 h , ; 111 All yAl /toff, 1• N • 1x!,1111•'00•I1 � 11 /l/� 1 / �1 •'l1� '1 11'�• ;t 1. 11" r11V;�•l,;;r,"�'/� A:a11,•,l' • 1•,' `•11 A,• 1, 111/ � 1 11 1 / , •' 1 1 ,1/1 1 / /'• 1•'1 N I ' 4 1 I 11 l 1 1 /1 1 1 1 I 1 • 11 / ✓'1 . 1 , 1 1• .•'.• 1111.1Ir 1,1 I''' 1 t 1.1•' ' 1;/'I'r 111/1'/''Ar1� (11'11,�+1' 141 ''t l '1''1i1,Ik .0 1114 1 l'1�1 I•' .4�1, 1 p11��1'111'I l 1 I�1/1• 1/lt;�1�14r'�1 ,111'I I,/•,I Il t,,1,,1;1 1 ) 1 Ip H 1•I • • • t 1 1; , ,,111 \ ! • ,, r•1 ./,l. 1 r1/ III x•111 11j 11'' 1'I a 111'1l l`•'/1'' •)• 11'141'',tlt ,Ir,• ; ' , thrl II•�1• ,tl !lar l•,;It 11' / •1, 0 ,1 6044 fo 11 1 IdI 1 • ' 111.11, 1 '! ' ►•111 l t'/ l' �'1j 11 jl 1 f' Ii 11 l/ / 11,1/ 11 1, 1 •;V 1 •d •a rl 11►t1�1•trI 11,.• '1/1V 111'' 1'•1110 I"1'"f. .x.111' 1,0'111 •11'11•,,/,I ,1; 'I�•; •:''!'/'i '''11 1r Il ��� i Q11 I�I�11rt111/111.11.11•Il /Id,l, Il Jpltl f•11l' / "1R 1' '1,,It'' 111 I/ '1/11•rt l •,,r• 11 1 l t 1 .114; 1 ' ► 0`01. 1 /1 11 , 1111 �,'1 •'� 44�,1St 1 •b 1 I I �1 /1 • f 1, '1 '1;1,•,11 I I ••., .4111'• 1 • 111, t r t'/1 110• t,'' l ti 1111• ••�'1'' /,.%•'11111�'•l 'Irf. I ,I I. r1� ',111•''•41�/� 1 • '( I ✓r '4 I I I 1 / �...•••• • u IA 1 r I 1' 1 h Q 1 111 / '•� 1 ,11111' 1 �, 1 „' • 11',11 A l•/1 11//11t,th1,1 / Irl 111 1 U t ,1.1NR, , / ,11,111 ••1 1 1 S. Is 1,I'1 Il •I ra'1.'• 11 • 1 11'11 It ll ''1 ,,111 i' •R• 1dI1,•11 i11 •,1.11111.1• • /•�t • I 1j1 1 R1 /1 l • f fief di 5'� r 1'''l rt iI 111111. -l11 ' 1'11•• V, Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEWYORK 11788 DATE ISSUED:. 12/10/2007 No. 43858-NM SUFFOLK COUNTY Master Electrician License This is to certify that ROBERT J SKYPALA doing business as GREENLOGIC LLC , fkr I having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws, rules and regulations of the County of Suffolk, State of New York. Additional Businesses NOT VALID WITHOUT DEPARTMIENTAL:.SEAL � �_ , `. .9 CURRENT' CONSUMER AFFAIRS K 1J)47ARD Director K. gW , % n V, 12 41 -) r. V i Lw 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 October 20, 2009 APPROVED AS NOTED Town of Southold DATE:A. B P.# Building Department 54375 Route 25, P.O. Box 1179 FEE: 6 l bD BY- Southold, NY 11971 NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE Subject: Solar Energy Installation for FOLLOWING INSPECTIONS: Robert Garber 1. FOUNDATION - TWO REQUIRED 1500 Bay Ave FOR POURED CONCRETE East Marion, NY, 11939 2. ROUGH - FRAMING & PLUMBING 3. INSULATION RETAIN STORM WATER RUNOFF 4. FINAL - CONSTRUCTION MUST UNDERWRITERS CERTIFICATE BE COMPLETE FOR C.O. PURSUANT TO CHAPTER 236 .REQUIRED ALL CONSTRUCTION SHALL MEET THE OF THE TOWN CODE. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR t DESIGN OR CONpS�'�W"hd5 9f�eight of I have reviewed the roofingstructure at the subject address. The structure can su the roof mounted system. 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 2007 NYS Building Code, and ASCE7-05 when installed in accordance with the manufacturer's instructions. Roof Section A OCCUPANCY OR mean roof height 21 ft pitch 7 iN12 USE IS UNLAWFUL roof rafter 2x8 rafter spacing 16 in OC WITHOUT CERTIFICATE Reflected roof rafter span 16.8 ft Table R802.5.1(1) max 16.8 ft 01- OCCUPANCY collar tie 2x4 collar be spacing 48 in OC ALL CONSTRUCTION SHALL The climactic and load information is below: MEET THE REQUIREMENTS OF THE CLIMACTIC AND Wind Livefo S Opoin 0 STATE. Speed,3 pnet30 per GEOGRAPHIC DESIGN Category sec gust, ASCpullout Fastener type mph psf CRITERIA E 7, load, Ib Roof Section A - C 120 34 348 5/16"dia screw, 4" length, 2 per b CERTIFICATION OF oF NE�� NAILING & CONNECTIONS 14 PAC/'c�,O'9 REQUIRED. m w Ralph Pacifico, PE d W Professional Engineer 106 1/a� OFESSIONP 3.15 kW 14 SunPower 225w ftm Pacifico Engineering PC GLREENLOGI PO Box 1448,Sayville,NY 11782 UniRac Sunframe 631-988-0000 www.pacificoengineerin-g.com Azimuth = 110* Ralph Pacifico, PE NYS License 066182 re enLo' gic, LLC Pro6losed -Garber beuts,dh6r f Pitch = 30* Scale 3/16" 1.0' -i.-5ob 8ay.A4"-` ­� -Sast Marion, Now York ,Phone-#..,: ! In %KRM! 8 N 111INIXIMINIM 11 wig a A NIIIIINIMIM12116 in MIN U141111615MIn"V it 114HIMININIM MI" K III IMINIMIN Flu III a a i i a a w RR KIIIIIIIIIISIM sip 0 1111 INIGISIM NINE min 11HIMINIIIIIIIII IFININiMIMIN wl-� M a III WIMINIX MIN w w U IIIIIIIIIIII0111111111 Q n F9 M 2 ARIMID1.12IF ILN :W! 00 IMIffIwI0 viol 9 111101 M MIN A MIN W OF NE A, vim 0 19 11 IMINIMIN ITIM a E M Wk WE ANN wl" 1 12 a X 81 INI on - 79 R IN as aN N 1511111111111 mid MI 9 Rif Mi M w HINIM r. ............ 1­1........ ...... %A MIDII INININIMINIII AINPf ::d�A6.RRARARN tell allNS R@'diAreve.r El a N MIMAII.N191plidla 11 1K Is 4 120""11 A0 OFESSIOpP SunPower225w Panel Dimension W" Douglas Fir Rafter 31.42" x 61.39" .16" on center Array Length = 220.94" Array Height = 126.53" UniRac SunFrame Rail Surface Dimensions = 247' x 22'5" UniRac L-Foot Magic# = 62.14" Layout Created By: VDC Date: 10/16/09 3.15 kW GREE�ILOGICkV 14 SunPower 225w irN�'KGY UniRac Sunframe Pacifico Engineering PC PO Box 1448,Sayville,NY 11782 - Green Proposed" Azimuth = 1100 831-988-0000 www.pacificoengineering.com Garber Deu.tscher Pitch = 30° Ralph Pacifico, PE NYS License 066182 1500-Bay Ave: Scale 3/16" = 1.0' -i ast, rion., New York Phone # �P(;OF NFy, 0 IL MJAL I " Z cc 'o �s6182 C��r 90�FSSIONP�-�� SunPower225w Panel Dimension = 31.42" x 61.39" 2x8" Douglas Fir Rafter Array Length = 220.94„ 16” on center , Array Height = 126.53" e UniRac SunFrame Rail Surface Dimensions = 247" x 22'5" UniRac L-Foot Magic# = 62.14" o Layout Created By: VDC Date: 10/16/09 3000m & 4000m INVERTERS S U N ROWE R EXCEPTIONAL RELIABILITY AND PERFORMANCE BENEFITS Reliable and Robust Design Proven track record for durability and longevity High Efficiency ®� `. Weighted CEC efficiency over 95% and peak efficiency over 96% Reduced Installation Cost Integrated DC disconnect with fuses lowers material costs and labor requirements Attractive Aesthetics Integrated disconnect eliminates need for visible conduits to inverter Ideal Output Ideal for residential applications The SunPower inverters 3000m and 4000m provide exceptional reliability combined with superior performance. Innovative design and advanced testing have been brought together to create a durable inverter that enables optimal system performance over the long term. Both models come with a standard 10-year warranty. SK-3000m and SPR-4000m www.sunpowercorp.com F1 3000m & 4000m INVERTERS S U N ROW E R EXCEPTIONAL RELIABILITY AND PERFORMANCE Electrical Data SPRm Efficiency Curves ,00 SPR-3000m SPR-4000m 9s50•V AC Power 3000 W 3500 W 0 208 V/ ae 90 310 Vdt 4000 W a 240 V 480 y 85 AC Maximum Output Current 15A,12.5A 17A,16.6A S+ Bo (@ 208V,240V) 75 AC Nominal Voltage/Range 183-229 V®208 VAC 183-229 V a 208 VAC 70 211-264 V 0 240 VAC 211-264 V®240 VAC o% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% %of Rated Output Power ACFrequency/ an 60 Hz/59.3 Hz- 60 Hz/59.3 Hz- Rto 60.5 Hz 60.5 Hz Mechanical Data Power Factor 1 1 Shipping Dimensions W x H x D inches 23.5'x 18.5'x 16.0' Unit Dimensions W x H x D inches 17.8'x 13.8'x 9.3' Peak Inverter Efficiency 96.6% 96.8% Inverter Weight 88 lbs CK Weighted Efficiency 95.0%a 208 V 95.5%0 208 V Shipping Weight 94 lbs 95.5%®240 V 96.0%0 240 V Forced Air/Sealed COOII"g Electronics Enclosure Recommended Array Input 3600 W 4800 W Power(DC @ STC) Enclosure NEMA 31Z Mounting Wall Mount Bracket Standard DC Input Voltage Range 200-500 V®208V 250-600 V 0 208 VAC 200-500 V 0 240V 250-600 V®240 VAC Ambient Temperature Range -13 to+113°F V�1,��� 180-400 V®208 VAC 220-480 V @ 208 VAC Warranty and Certifications Peak Power Tracking Voltage 200-400 V®240 VAC 250-480 V 0 240 VAC Warranty 10 year limited warranty DC Max.Input Current 17 A 18 A Certifications Compliance:IEEE-929,IEEE-1547,UL 1741-2005, UL 1998,FCC Part 15 A&B DC Voltage Ripple <5% • r , No.of Fused String In" 4 DD ca i Power Consumption: <7 W/0.1 W Standby/Nighttime O Fused DC Disconnect Standard;Complies w NEC Standards ID Grounding Positive Ground NY- About SunPower SunPower designs, manufactures and delivers high-performance solar electric technology worldwide. Our high-efficiency solar cells generate up to 50 percent more power than conventional solar cells.Our high-performance solar panels, roof tiles and trackers deliver significantly more energy than competing systems. 01—2007 Su l`o Cwporation.AD rights resavd.Spe&atlons included in this datashest ars subject to change without notice. Document 0 001-16966,Rev•• www.sunpowercorp.com - F1 S U N POW E R 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND APPEARANCE i • f BENEFITS I Highest Efficiency Panel efficiency of 18.1% is the highest commercially available for residential applications { Attractive Design Unique design combines high efficiency and an elegant, all-black appearance E More Power Delivers up to 50% more power per unit area than conventional solar panels i Reliable and Robust Design Proven materials, tempered front glass, and a sturdy anodized frame allow r panel to operate reliably in multiple mounting configurations f i The SunPower 225 Solar Panel provides a revolutionary i. I combination of high efficiency and attractive, uniform I appearance. Utilizing 72 next generation SunPower all- back contact solar cells and an all-black backsheet, the SunPower 225 elegantly delivers an unprecedented total i panel conversion efficiency of 18.1%. The panel's reduced i voltage-temperature coefficient and exceptional low-light E i performance attributes provide far higher energy delivery per peak power than conventional panels. 1 ' E SunPower's High Efficiency Advantage-up to 50°%o More Power i - -}- Comparable systems covering 25M2/270 ftp Conventtonal SunPower Watts/Panel 165 225 18.1% Efficiency 12.0% kWs 3.0 4S d 42A � E SPR-225-BLK t ,1 c �� us S U N POWE R 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND APPEARANCE Electrical Data IV Curve Measured of Standard Test Conditions ISTCI:irradiance of 1000/mr,air plass 1.5g,and cell bmpwmvm 250 C 7.0 Peak Power(+/-5%) Pmax 225 W - - Rated Voltage Vmp 41.0 V 6.0 1000 W/m=._..- 1 _ _ _____ I_ Rated Current Imp 5 49 A 5.0 soo w/m 1 V i Open Circuit Voltage Voc 48.5 V 4.0 _ -- --- ' -----_-' _ __..____ __ Short Circuit Current Isc 5.87 A 3A soo w/rr,= I Maximum System Voltage IEC,UL 1000 V,600 V v 2.0 - - _ -----_I Temperature Coefficients 1.0 -- i _t ._ 1000 W/m2 at 50°C Power -0.38%/°C 0.0 - - - .-- -..- - - Voltage(Voc) -132.5 mV/°C 0 10 20 30 40 50 60 Current(Isc) 3.5 mA/°C Voltage M Series Fuse Rating 20A Current/vohoge characteristia with dependence on Irradiance and modu64ernperature. Peak Power per Unit Area 181 W/m2, 16.8 W/ft2 Tested O ratio Conditions CEC PTC Rating 207.1 W Temperature —40°C to+90°C(-40°Fro+194°F) Max load 50 psf(2400 pascals)front and back Mechanical Data Impact Resistance Hail—25mm(1 in)at 23 m/s(52 mph) Solar Cells 72 SunPower ol%ock contact monocrystalline Front Glass 3.2 mm(1/8 in) tempered Warranty and Certifications Junction Box IP-65 rated with 3 bypass diodes Warranty 25 year limited power warranty Output Cables 900mm length cable/MultiContact connectors 10 year limited product warranty Frame Anodized aluminum alloy type 6063 Certifications IEC 61215,Safety tested IEC 61730 Weight 15 kg,33 lbs UL listed(UL 1703),Class C Fire Rating Dimen°sions rleo t=oo e u fret V.al N7.=sl I cel 7x e..2 1.1e1 754 796 (19.69) p1..=t 915 s=2 1559 8x a A012N I=eQ 112.691 b plavl10111.611 e.I(.161 lc-.dl CAUTION:READ.SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT.Go to www.sunpowercorp.com/panels for details About SunPower SunPower.designs, manufactures and delivers high-performance solar electric technology worldwide. Our high-efficiency solar cells generate up to 50 percent more power than conventional solar cells.Our high-performance solar panels, roof tiles and trackers deliver significantly more energy than competing systems. O October 2007 SunPower Corporation.M rights(mewed.specifications included in this datashest ore subject to change without notice. Document#001.42188 Rev ob 14 Printed on recycled paper www.sunpowercorp.com