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34972-Z
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. 34972 Z Date SEPTEMBER 1, 2009 Dih Permission is hereby granted to: KEVIN PADBERG 575 RUCH LA GREENPORT,NY 11944 for INSTALLATION OF SOLAR PANELS TO DWELLING & ACCESSORY GARAGE AS APPLIED FOR at premises located at 575 RUCH LA GREENPORT County Tax Map No. 473889 Section 052 Block 0003 Lot No. 005 pursuant to application dated AUGUST 20, 2009 and approved by the Building Inspector to expire on MARCH 1, 2011 . Fee $ 300 . 00 Aut orized Signature ORIGINAL Rev. 5/8/02 � 1 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) « ............ ...........r.or. LA FOUNDATION(2ND) • z O CPN ROUGH FRAAUNG& PLUMBING n � H INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITI6NAL COMMENTS O m L d i TOWN OF SOUTHOLD -BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: Approved 20 Mail to:a a- be Uop.-i-k fe (11 Disapproved a/c P<<(I n V i e w ti 0 Q. ((3;6 Phone&I 7b— INaO X-1 l( Expiration 20 Building Inspector APPLICATION FOR BUILDING PERMIT 8 Date * 200 _ INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.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 applicani agrees to comply with all applicable laws,ordinances,building code, using code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) �.� Q�lronsG�,:r-� (�• Pt�nUiPle�t U�. teso3 (Mailing address of applicant) 1 State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises Kevin Ala[o em (As on the tax roll or latest.deed) If licant-is a co ora tgnature of duly authorized officer ����,. ,d7" Dnminic�Toafifw 5eCre-iacuJ (Name and title of corporate officer) Builders License No. Plumbers License No. iU/A Electricians License No. 118 l Other Trade's License No. A-ecA 14 5K 8 1. Location of land on which proposed work will be done: 57S ?J.&Ck Lane Sow old. House Number Street Hamlet County Tax Map No. 1000 Section Block 3 Lot 5 Subdivision Filed Map No. Lot 2. State existing use and occupancy of pre ices and intended use and occupancy of proposed construction: a. Existing use and occupancy �S_t ctyac p b. Intended use and occupancy �r•2 d e nee 3. Nature of work(check which applicable):New Building Addition / Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee S a n (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor I If garage, number of cars a-- ✓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 �K v 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 C 11.Zone or use district in which premises are situated K 4 0 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— It Soc�$bo 14.Names of Owner of premisesKO-vs' P e Address 1't s XacA La one (G T l) a S k Name of Architect i file" Address-1(sa Q rcy&L Hvi.) e No h,3 0 q.�?-O l7/ Name of Contractor , d �*r -No far Tb Address ry o�� LO i ro) �62► a q�6 ioaU view)Aj 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) S 4411< SS: COUNTY OFF a)n/Ke_KU�-� being duly sworn,deposes and says that(s)he is the applicant ame of individual signing contract)above named, (S)He is the re:A-arr (Contractor gent,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. Sworn to b fore me this l /d day of 2QW otarpA%111.GOULD Signature of Applicant Notary Public,State of New fork No. 01 G06061136 Qualified in Suffolk County Commission Expires Juno 3,2, -_/D TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST • BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. '?9C q 7 Z-e� Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: DO Me-n t e-a Ten Arf L L 0 Approved 20. Mail to:,?,a. Qeuon--,D .re— Disapproved ale P(ai VlV ue w� to tit as o 3 1 U Phone: (5zo L17L-1`1J.0 SC-nn Ucc `J ,� IaA Buil ing Spector PPLICATION FOR BUILDING PERMIT Q BLDG.DEPT. Date kA 4 1 20.�J_ INSTRUCTIONS S0U'T ,0LD a 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,ho code,and regulations,and to.admit authorized inspectors on premises and in building for necessary inspections. ` (Signature of applicant or name,if a corporation) �1 v o n S r!e C1- PLalr>Ll�y� �rc� (Mailing address of applicant) �Lgv s State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder &f,MmS COnlCaciQr- Name of owner of premises Kell A Pad kpcci (As on the tab roll or latest deed) applicant is a rp0 ignature of duly authorized officer , � 0o m A wa Tawr iILQ 5ecI`Q N (Name itle of corporate officer) Builders License No. 3 a 5 K�{W Plumbers License No. LJIA Electricians License No. a- Other Trade's License No. CAa t.(g'c(,g 1. Location ofiand on which proposed work will be done: 5 7S uc.h ne Sau-h4h6 cd. House Number Street Hamlet County Tax Map No. 1000 Section ] o1 Block___3 Lot Subdivision Filed Map No. Lot APPROVED AS NOTED X �� ►9NOM PI%Re CERTIFICATE, DATE: t; �.P. tUZ lip l= ED FEE:- n BY: ALL CONSTRUCTln7 l SN��,�_I_ NOTIFY BUILDl1.G. DE IP,RTMENT A'I' MEET THE REC�Ui, r_; ;H�7b5-1802 8 AM TO 4 PM FOR THE CODES OF NE,i41 YQ i-. FOLLOWING INSPECTIONS: 1. FOUNDATION - T VV0 REQUIRED F0F, POURED CONCRETE 0CCUPANC%Y� OR 32.. ROUGH - FRAMING & PLUMBING INSUSE IS UNLAWFUL 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. VJ dTHOUT C F R I 1�I JATATL CONSTRUCTION SHALL MEET THE UPAN �r YORKkLQUISTATETNOT RESPONSIBLE S OF THE CODES OF NEW FOR DESIGN OR CONSTRUCTION ERRORS. 2. State existing use and occupancy of prArrises and intended use and occupancy of proposed construction: a. Existing use and occupancy 11`P Si►e1 a t�G� b. Intended use and occupancy C&e S.i d e n G e, 3. Nature of work(check which applicable):New Building Addition / Alteration Repair Removal Demolition Other Work a oo (Description) 4. Estimated Cost D, j t Fee P IQ0 (To be paid on filing this application) 5. If dwelling,number of dwelling units ( Number of dwelling units on each floor t If garage, number of cars �.. 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. �`Ix v, 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 Rear Depth i/10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 40 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 Sau0 ILA 14.Names of Owner of premises vi a ba Address 57 S �Ud,"(W- hone No.C lad 1� 8 Fs -^1 i7y Name of Architect K ev►n M CX Address.X00 Z(Wd,haUala on No Z� Ol7l Name of Contractoro'Luu 1 S-4a*e St)ar Uc Address OQ-Dei}oVA%<A-eC1 o e�� Q cc-.in view,tug 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. i 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) -K SS: C OF ) -A/e-(3, �� ? - (/� being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the j e r ce�L6`r cn (Contract di,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. Sworn to before me this --t-`o—Tlf-daY of TO 20 b tary Public Signa e o plicant G .GOULD Notary Pub ic,State of New York No. 01 G05061135 Qualified in Suffolk County commission Expires Juno 3,,w,�J0 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 5 VILLAGE DIST. SUB. ' LOT RfW ' ACR. FORME F S F . TYPE OF BUILDING auk,, �).r �v j SEAS. VL. FARM COMM. CB. MISC. Mkt. Value ND IMP. TOTAL DATE REMARKSah 6 7 �,J- G 4 i V 74'o ^q. ? ,s'.o :;^r.^"';r o 570 O z 2-L *Z 7�'O o 00 'd 3 331 D AGE BUILDING CONDITION �` �(� t � bw It" deck. -t miobY G)lfttro mayx5 NE,W NORMAL BELOW ABOVE cz zn o FARM Acre Value Per Value Acre a Tillable 1 Tillable 2 - NJ f illable 3C GC Noodland iwompl.and FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD 3�� , _ �� 6-1/ -iouse Plot DEPTH BULKHEAD Total DOCK 4 a \e t Nl a A J ?r11fh ',Fq, q S ' rSkry.'yi,j`3 ars ,yu`i'`� a{ !,7 `ia ',/,,,f,•y''+ ('',< ` d: JU�'ad _' 5t a ■■■O■■ ■■■■�����■N■■■■■■■■ t�.'�Q P 9Q Jrcy — + NOON■■■ ■■■■■■■■�/O�O ■■■■ ® t - y NOON■ ■■■■■■■■■■■■■■■■■■■ ■■■MIME ■■■■■■■■�■■■■■■■■■■I �! � NOON■ ■ _. , � ? ,it G • .' �L r'�` � . j � �°t; AY, �a. _ NOON■■■ NEON�■■_�_I©■■■EE�*�e�■ NONE■ ■ ■�G■■■■6.�1■■■■■■Nil■■■ ix T7�*..J■■■■■■■ Ef■EEE■�fE■■E■■■■■■■ 'u t ■■■■■■E Nei■■■■■I ■■■■■■■■■■ tt }� � � 3.. i ? t tl.. •/ NOON■■■ 016E■■E■BI,E■E■■■■E■0■ / J , �- ' _. E■■■E■■ ■■i■■■■■■SEE■■■E■■■■■ �t J ✓a 11f s r i 8 �{(�A ; ■NEON■■ ■■rig■_■��■NEE■■E■E■■ i 4\ ��}/ L� Y� S I ` , 1t/d _a 1, I , i 1J i/ '.l EE■■E■NEE■�� ��■■EEEEEEEE■■ �,,. - :� �-` , , ;,-� + :.:., I' f,:" .. .�t; ,.. _�,.• . .' ' . ..:.. • EEEE■■■ EE■■SEE®■■EEE■■■■■■ •• � , b Foundation :• t Pasement l.nter.ior Finish Rooms 1 st Floor 'Rooms 2nd Floor Driveway r I 0 J ® O ritv"n ♦ . W ,i/�-� d A�+s �-$7�smv'airy L t'h�� r ae 1 FIR �� •lA !I� l� i +/0�/� ��y ti1Y F*pT kiY�1 l��r.3 � .lwon �� �� �f��/' � i- � ✓ ��` �.�Kgti t ESN i 1� v iOR : ./ � ■■ ■ ■ ■■■ S� ■■ Ow man Icing RUNmum ��������� a am Extensionr --------------- 7 MEN MENEM 1MENEM . NONE AMEN AMENMEN NONE , NEW MEN NONE y, NONE MSENS low 4{x rL ■■■■■■N no���■®�REMEM MEMEMEMEME ■■ I i 9XVeY OF aA s +NO-04AMMAaX I .x cex�xrr,Kr I i 1 calrv"To. s¢ vamc-rtitonlu+esta'vrurt S � 1 i t '11 Al KYGa�.xrra.�ti tiL�dc. ! Nnv Maud!6:Q r• I 1 ( 1 I ' 1fJ � t I A I bz J I a i r {{ ANNI f d ; c • �i�v�to Raab �' ►ti:a a uyD Y cc f.0 rcC:9 i 1OHZd C.MILURRS LAND SURVEYOR{i ArAm OISM"1 1 u�-rrera.er,_.;3sR:n'n�lxw��-aosui-a,:.�co � Solar arrays Prepared for: Prepared by: Kevin Padberg QUAD STATE SOLAR,Inc. 575 Ruch Lane 22 Devonshire Court Plainview, NY 11803 Southold, NY 11971 516 935-3273 Drawn by: Date: Scale: Full Filename: Jonathan Lane 7/05/2009 3/16 in.=1 ft. Plot Plan 22'-0" STPR 2xx yyy (w/ PSP) Width i 'Length CV .. ._. ._... I Panels °Inches Feet Inches Feet 1 3_2.014 2 67"61 9843 5.17 2 64.028 5 34; 123.971 10.33 A6 A7 A8 A9 ........ i_ ......._ . 3 96 0414 8 00. 185 95 i 15.50 co _._ __• 4....... 128.06 10.67 247 94' 20.66 5� ( 160.W07r' 13.34 309.92g 25.83 `V 6 �192.0816 01 371 9, 30.99 N ;. .. .. .. .... 7 224.1 18.67: 433 89. 36.16 8 ! 256.111 21.34 495.871 41.32 ' A5 A4 A3 A2 Al o 9 288.121 24 01557 51 46.49 320.141 26.68: 619 841 51.65 11 352 15 29 35. 681.82y 56.82 Garage .4:] D 4R 0 � � '71 N W ,r b 4 PST2 PST1 PSP rail 3 panels contiguous Size of existing rafter: 2"x 8" Rafter acing: 16" o.c. House Tile Trac Lag Bolt Point 1 Rafter span: 12'6" C �Roof pitch: 4/12 Additional support provided: N/A� �� Q W� Shingle Perimeter ._._._ The existing roof rafters at this resti�ncOcarl adequately support the proposed Prepared for. Prepared b solar panel assembly(5 lbs. PSF) and the snow loads (25 lbs. PSF). In QUA STATE SOLAR,Inc. addition,the 3.5"lag screws installed at 4'o.c. meet the uplift requirements of Kevin Padberg 22 Devonshire Court 575 Ruch Lane Plainview,NY 11803 4.screw minimum per assembly, 6 screws are provided. This installation meets Southold,NY 11971 516 471-1920 the requirements of the Residential o�ofew caleYork State and has been p S : F..found to be acceptable by my office. Kevin McCray, R.A. Jonathan Lane 7/15/2009 3/16 in.= 1 ft. Roof Details.vsd