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37780-Z
�o�SUFF Town of Southold Annex 6/24/2013 P.O.Box 1179 54375 Main Road oy �g Southold,New York 11971 a CERTIFICATE OF OCCUPANCY No: 36312 Date: 6/24/2013 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 280 ROSENBURG ROAD EAST MARION, SCTM#: 473889 Sec/Block/Lot: 21.-1-23.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/5/2010 pursuant to which Building Permit No. 37780 dated 1/29/2013 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: electric solar panels on existing accessory building as applied for. The certificate is issued to JESSE PERETZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO: 37780 5/20/10 PLUMBERS CERTIFICATION DATED Auth d Sigealiure TOWN OF SOUTHOLD �Sv�nt�-gyp• BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37780 Date: 1/29/2013 Permission is hereby granted to: JESSE PERETZ C/O THE CLARK ESTATES INC. ATTN: WILLIAM T. BURDICK ONE ROCKEFELLER PLAZA , 31st FLOOR NEW YORK, NY 10020 To: INSTALLATION OF ELECTRIC SOLAR PANELS ON ACCESSORY BUILDING.REPLACES EXPIRED B.P. # 35473 At premises located at: 280 ROSENBURG ROAD EAST MARION SCTM # 473889 Sec/Block/Lot# 21.-1-23.1 Pursuant to application dated 4/5/2010 and approved by the Building Inspector. To expire on 7/29/2014. Fees: PERMIT RENEWAL $50.00 CO -ADDITION TO DWELLING $50.00 Total: $100.00 Build n ctor FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT •MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35473 Z Date APRIL 14, 2010 Permission is hereby granted to: , JESSE PERETZ 5795 ROCKY POINT RD EAST MARION,NY 11939 for INSTALLATION OF ELECTRIC SOLAR PANELS ON ACCESSORY BUILDING at premises located at 280 ROSENBURG RD EAST MARION County Tax Map No. 473889 Section 021 Block 0001 Lot No. 023 . 001 pursuant to application dated APRIL 5, , 2010 and approved by the Building Inspector to expire on' OCTOBER 14, 2011. Fee $ 100 . 00 Author° zed Signature COPY Rev. 5/8/02 t Form No.6 TOVVN OF SOUTHOLD. BUILDING DEPARTMENT 'FOWL HALL jLN g� 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 inept.of water supply and sewerage-disposal(S-9 form). I. Approval of electrical installation from Board of Fire Underwriters. 4. •Swom statement from plumber certifying that the solder used in system contains less thap 2/10 of 1%lead- s_ Commercial building,industrial building,multiple residences and similar buildings and ipstallations,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 9,195.7)non-conforming uses,or buildings and"pre-existing"litnd uses* 1_ Accurate survey of property showing all property Iines,streets,building and unusual natural or topographic features. 2. A properly r9mpleted application and consent to inspect signed-by the applicant. If a Certificate of Occupancy is denied,the Building Inspector sha11 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$50:0% Swi:mmitig 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 $15.0%Commercial$15.00 Date. 1 New Construction: Old or Pre-existing Building: T ,. (check one) Location of Property: 9©S60 6P Q 12 D 'f20*6' `7�t House-No. Street - Hamlet Owner or Owners of Property: �Ts-su a 1.- ,g_f'2_ Suffolk County Tax Map No 1000,Section 0 a I Block V-0451 % Lot 0-3.3 00 Subdivision _ i - Filed Map. Lot: Permit No. - Date of Permit.- Applicant~ 1-�i;�a�Q,�i%✓� R`�G� l s - , Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final-Certificate: (check one) Fee Submitted:$ 15 a 1 ALTEJF�NATIV ' Applicant Signature P.V• T jM pF SOUr�olo Town Hall Annex Telephone(631)765-1802 54375 Main Road y �e Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 �p • �� roger.richert(c�town.Southold.ny.us �yCOUNN, ' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jesse Peretz Address: 280 Rosenburg Road City: East Marion St: NY Zip: 11939 Building Permit* 5<4 7' Section: ° l Block: , Lot: a 3 , l WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Alternative Power License No: 4063-e SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect 2 Switches Twist Lock Exit Fixtures TVSS Other Equipment: Photonoltalc System Notes: 24,225 watt solar panels, 1,5000m inverter Inspector Signature: Date: May 20 2010 81-Cert Electrical Compliance Form Frank Wolfgang Uellendahl Architect 123 Central Ave POB 316 Greenport, NY 11944 t: 631.477.8624 e: frank@frankuellendahl.com June 24,2013 Town of Southold Building Department 54375 Main Road POB 1179 Southold, NY 11971 Subject: Installation of Electric Solar Panels on Accessory Building for Jesse Peretz c/o The Clark Estates Inc., Attn:William T. Burdick at 280 Rosenburg Road in East Marion SCTM# 1000-21-01-23.1 Permit#:35473 C(�� 3-7-�g b) LETTER OF CERTIFICATION I have reviewed the solar energy system installation at the above referenced property.The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets requirements of the 2010 NYS Building Code. I hereby state that the information provided above is true to my best belief and knowledge, conforms with the governing codes applicable at the time of submission,conforms with reasonable standards of practice,with the view to the safeguarding of life, health, property and public welfare. st regards, cE�ED rank Uellenda l.� SUN 2 4 2013 021. BLDG.OUT. �FN54"'Q TOWN or.SOT HOLD 3 2 rjf s 0 co TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING/STRAPPING [ FINAL s [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ILI J [ ,fl,,,,G�,J - s 4 DATE INSPECTOR FIELD INSPECTYON REPORT DATE COMMENTS AA FOUNDATION(1ST) i - --------------------------------- FOUNDATION(2ND) z, 0 rA —44 ROUGH FRAMING& PLUMBING • x INSULATION PER N.Y. H STATE ENERGY CODE t FINAL U 5 as o o v-e c.Q ut. l4� ' 7i ADDITIONAL COMMENTS z . m � H d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL ,rs 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: Disapproved a/c Phone: 7f Expiration ,20 � DBuilding Inspector L� APPLICATION FOR BUILDING PERMIT APB 5 2010 Date , 2010 BLDG.DEPi. INSTRUCTIONS TOWN OF SOUTHOLD pp ica ion T 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 regulat* s, d o admit authorized inspectors on premises and in building for necessary inspections. ( �z (Sign of applicant o ame, i a corpftion) Z po ,�oscN13��G, /,7_e f/' SST IW f}XiaN /yr /I�F J� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder l.�WN - Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. 0& Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Harrilet'' " County Tax No. 1000 S tion Block I Lot Subdivision J Filed Map'1216 ' Lot 2 2. State existing use and occupancy of premises and intended-use and occupancy of propo§�construction: a. Existing use and occupancy �lN LlG � b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work /NSj -tj� J�/11L 6�T� 5_ (Description) 4. Estimated Cost , Ifeo 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 ' - _ -_-_-_-J 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 NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises J t��� Address�i�)Ed5 &/96 4'�Phone No. Name of Architect �/ N 65l Address o°�/PN i�� ii phone No Name of Contractor Address 1.�6 Pgx zz6 Phone No. 6-W ;JP*( 7&o�3_ ,f47W1v,M01e AP&C if 4/6 Ph,-Jar-5° 1 -AA 01177<,- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V-'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) SS: COUNTY OFS uicv"Pi, Jy-�7 &:j�j being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ©�liGu t�yL (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. Sworn t before in. ri he J. Weiss ach I L Q York to `. 1 c• Suffolk County Signature f Applicant Commission Expires August 11, 20]( Town .-,of So ut#o Erosion, Sed'rmentafiion & Sfor m Wader Run-off ASSESSMENT"FORM PROPERLY LOCATION: s.C.LMa THE FOLLOWING ACTIONS MAY REQUIRE THIS SUBMI$SlON'OF A. STORtN=WATE#Z,G p1NGy pFtA1NAGE'AND EROSION CONTROL PLAN T Cerra IrIev 81r p DESIGN PROFESSIONAL IN THE STgTE OP NEW 1fONK. District Section . .Block Lot Item NuOlb (NOTE: A Check Mark(4 for each Question is Required for a Complete Appiicaticn) Yes No, Will this Project Retain All.StomrWater Run-Off Generated by.a'Two(2")Inch.Rainfall on Bite? — (This9tem will•include all run-off created by,site:clearing andfor construction'acovities as welt as.all Site linprovelrnents and the pennanentcmation.of impervious surfaces:) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location? .,This Item shail include all Proposed.Grade Changes and,Slopes.ControlUng:Surface UVaterFlowl — 3 Will'this Project-Require any Land-Fllltng,Grading or Excavation where'there is a change to the.Naturai (� Existing Grade.lnvolving more than 200;06bio.Yards of Material within any Parcel? — t'i.. Will this Application Require Land�bisturbing ActiVlties Encompassing an Are in'Excess of: Five Thousand(5,000).Square Feet of.Ground Surface? — 5 Is there a Natural Water.Course Running:through the Site? . Is(his Project..within the Trustees jurisdiction or within One Hundred(100').feet of a Weffand or Beach? a. — 6 Will there be.Site preparation on Existing Grade Slopes which Exceed:Fifteen(15)feet of Vertical Rise to One Hundred(1004)of Horizontal Distance? _ 7 Wilt Driveways,Parking Areas or other Impervious Surfaces be Sloped to DirectStohm-Water Run-Off. ' into and/or in the direction of a�Town nght-of-way? $ Will this Project Requtreahe Placement of Material;Removal of Vegetation and/or-the,Construction of any Item Within the Town Rrghf of:Way-or Road Shoulder Area? (This item will.NOT include the InstMlatlowof Driveway Aprons'.) p / 9 Will-this Project Require Site Preparation, the One Hundred(100)'Year Floodplain of any Watercourse? NOTE: If Any-Answerto Questions One through.N fne 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 Priorto Issuance of Any Building.Permit! EXEMPTION- — 'Yes NO Does this project meet the minimum standards for'classifrcall n as an Agricultural Project? :- Note: If You-Answered Yes to this Question,a.Stonn-Water,Grading,Drainage&Erosion Control Plan is.NOT Requiredf" — STATE.OFIVEWYORK, -------- ---------- COUNTY OOF..'�.E.FAt SS. That ••••-••••.•......:....,being duly s�torn,deposes and says That he/she is:the applicant for Perinit,(Name of individual signing Document). And that he/sheis the .4P.If WF.'.. ......, (Owner Contractor.Agentl Corporate Ofricer.etc.) Owner and/or representative of.theO wner of Owner's,•and is duly authonzed 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 die work will.be performed in the mtanner set rth.in.tlie appjication fled'herewith: Sworn:to befog E.I op her ubli� 20 6 Notary Public : ... ';y� . . .. ...a r ...:.......... '. - U8l1leC� lii ® (Sign t re of ApPlican FO`I'tM` Scion.Eames ugu >' v Alternative Power and Light Corp. SOt.a Y9 COOL SOLAR L9 COOL 631-331-7643 631-331-7643 Town Of Southold 1-24-13 We installed a Sun Power Solar system at Jesse Peretz home 280 Rosenburg Rd. East Marion Around 4/2010. We had an Eng. Draw plans and pull a town permit 435473for this install We also had an Electrical inspection down by the town inspector—on 5-20-2010 This system was installed as per the Eng. Plans and drawing and Alternative P+L will stand Behind our install Alternative Power and Light Corp. is a licensed electrical contractor and we have installed solar systems since 1998 Alternative P+L—John Moriarty-is a Underwriters Laboratory Certified Solar Installer We are also an I B E W local 25 electrical contractor We have taken--Advanced P V Design and Installation classes We ask that you have your town inspector do his final inspection and send our client Jesse Peretz the Certificate of Occupancy and close out this install Thank You, John Moriarty 631-331-7643 O-- 516-987-7868 C JAN 2 2013 �e i'o�vpaPova� onyyy��p9 v JAN ? N2013 BLDG. DEPT. TOWN OF SOUTHOLD Southold Town Building Department = O�c,11FfOC,�Cd� P.O.Box 1179 Permit#: 35473 . 54375 Main Road r►, Southold,New York 11971 Permit Date: --4/1'4/2010 (631) 765-1802 Expiration Date: 10/14/2011 Parcel ID: 21.4-23.1 BUILDING PERMIT RENEWAL LETTER. Dated: 8/1/2012 Applicant: JESSE PERETZ Location: 280 ROSENBURG ROAD EAST MARION Work Description: SOLAR PANEL INSTALLATION OF ELECTRIC SOLAR PANELS ON ACCESSORY BUILDING. A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JESSE PERETZ - Address: C/O THE CLARK ESTATES INC. ATTN:WILLIAM T. BURDICK ONE ROCKEFELLER PLAZA, 31 st FLOOR NEW YORK,NY 10020 The permit listed above has expired. Please contact our office as soon as possible to begin the-renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. = Southold Town Building Department o',0004 OG P.O.Box 1179 54375 Main Road Permit#: 35473 o - o • g} Southold,New York 11971, Permit Date: 4/14/2010 4% o� (631) 765-1802 0 `i Parcel ID: 21.4-23.1 Expiration Date: 10/14/2011 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 12/6/2012 Applicant: JESSE PERETZ Location: 280 ROSENBURG ROAD EAST MARION Work Description: SOLAR PANEL INSTALLATION OF ELECTRIC SOLAR PANELS ON ACCESSORY BUILDING. A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JESSE PERETZ Address: C/O THE CLARK ESTATES INC. ATTN: WILLIAM T. BURDICK ONE ROCKEFELLER PLAZA , 31st FLOOR NEW YORK, NY 10020 The permit listed 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. y aaq b��5 a 6 • PJt- �D THANK YOU, SOUTHOLD TOWN BUILDING DEPT. � *pF SO(/l�olo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 40. • a0 ycOUNT'I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD February 4, 2013 John Moriarty Alternative Power and Light PO Box 220 Port Jefferson, NY 11776 Re: Peretz, 280 Rosenburg Rd, East Marion TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: *NOTE: Inspector is requesting stamped Certification by an Engineer of the fastening of the panels to the roof as per NYS Building Code. Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT : 37780 — Solar Panels TOWN OF SOUTHOLD PROPERTY RECORD CARD t , OWNER STREET i VILLAGE DEST_ SUB. LOT 4. Yur 70 kd*' F, M A ACR� 3 � REMARKS TYPE OF OLD. Ate -, PROP.CLAS� LAND IMP. TOTAL DATE (2d 7 - 5 �#oc� �3na a I �7aa ;-'z, � 90 `� t -�� 4�31�}4 � 1�1• t-�¢�rc�� �G�r�t� ��,M,a�ec����_t.`� � .c���• © o0 �2)-t�4e#•2tiR-on �c-� - - ' 'a5 i�'' �;c fi ans t 0.11t 'ors fy ?1:3) �P 33�ro G2.Ifriro '-rs + . #,`ors �3(n 00 FRONTAGE ON WATER TELLABLE FRONTAGE OFF ROAD `- +� WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL Y_ TOWN OF SOUT OL '^'YROPERTY RECORD CARD OWNER STREET` VILLAGE DISTRICT SUB. LOT FORMER OWNER ICI E ACREAGE Z -1 I TYPE OF BUILDING 7� S RtS. 0. SEAS. VL. FARM comm. D. I CB. MISC. LAND IMP. TOTAL DATE 1 REMARKS rL awLrc I � �� �, � � Q � �_ •` ,i, � / �'-;��.-�� ��. -<ul' l=� , ems. /►�t�GcJ .� ' { BUILDING CONDITION NEW REORNu4L BELOW ABOVE r Farm i Acre Value Per Acre Value L TlllaWe 3 h4h1 . n C! - r Tillable 2 Tillable. 3 Woodland s Swampland i r s Brushland 1 Haase Plot Total 1 1 71 I 31�C iM. Bldg. I Foundation �,, Both f =xtension I ,3 f _ ✓ Basement Floors Interior' Finish Extension ✓I ' a� D, "Walls xtension Fire Place I � � Feat tr£S ✓ Porch :- Attic s Porch Rooms l st Floor _ S _ V Breezeway 9`. ..5.0 L—s atio Rooms 2nd Floor Garoge,fl aJr- �-�._ y x i= i !.I Jf ® :.% riveway op z 40 /. -0C r 1 25 .,° - ?` l�l�� �iiil�HERRONFrio ■■i■■!'mom r � AM - ��liiri■!■�■ 4h■»!■RJ1�iil�V�■�sr� �!■ ONION 0 Finished , :.0 , _ :_ - _ __ _ _ ��■■!■■■■■■ilia■�QC■!■■■!■■■!i■■ Ate!■i���■■■■■■■■■!■■■■!■■■■!!■■�■ B. mX- ,W Iva MORON go dot • . •' _ - mill B,P. 3-5-Y 73 BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted; —s r/a Date Reviewed: ^�3�C7 Applicant: v Owner: Architec &Mifteer,: Estimated Cost: 6 oo— SCTM# 1000- I - C _ °23. Subdivision: Zone: Conforming? Property Address: / � ® r City: Pr COs? Building Permits O en/Expired : BP:�1 OTZ/GO Z- _VL,Info: BP3X7o6Z/C/O Z-3A4 a,Info: BP�3 I�o-Z/C/0 Z-XT6o0,Info:CI -Z/CIO Z- ,Info: BP -ZC/0Z- ,Info: Single& Separate Search Required? Y odVDetertiiination: ' REQ. Lot Size: ACT. Lot Size.-x,gg4 l30 .SooSFREQ Lot Cov. ACT: Lot Cov. REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear REQ. Height._ ACT. Height ) /� - Project Waterfronts ? If yes, water body: "�;- �tea` Panel# Flood Zone: -- Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y or®- If yes, *Bed#: _ *Date:_/_/ *Permit#: Town Septic: Y oi® - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 9/1/75 Y or No Date: / / Permit#: or NJ Letter— Notes: Southold Trustees: Y o oN Date: / /_ Permit#: or NJ Letter—Notes: Southold ZBA: Y oo Date: _/ / Permit#: —Notes: Southold Planning: Y orto Bate: `/ / . Permit#: —Notes: Town Landmark C of A: Y o&TE: / / *NYS CODE Compliance (page 2) Yor N Notes: ��. ,''� Fee Structure: Calculation: Foundation: SF 1. _SF)- (_ SF)= SF X $ =$ First Floor: SF + Initial Fee: $ Second Floor: 09 SF +Additional Fee Other: SF 2. (_ SF)- ( SF)— SF X$ =$ Total: SF +Initial Fee: $ +Additional Fee $ TOTAL: -p 0, pp NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC IaESIGN CRITERIA: 0 Ground Snow Load:20 Wind Speed: 120MPH Seismic Design Category:B Weathering: Severe Frost Depth: 36" . Termite: M-H Decay: S-M Design Temp: I Ice Shield Underlay:YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGIA/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTSCJ�" HEADERS: Y/N'' WALL STUDS:Y/N GLRDERS: YIN CEILING JOISTS: Y/N FLOOR JOISTS:Y/N ROOF RATTERS: Y/N LUMBER SPECIES AND GRADE: Y/N WINDOW AND DOOR SCHEDULE: -MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N ti LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: YIN MEANS OF EGRES S: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: YIN TRUSS DESIGN: Y/N CERTIFICATION: YIN ENERGY CALCS: Y/N TOTAL COMPLIENC (RETURN TO PAGE ONE) .. f"• :]{ if r.:,1 � qii Brooks Engineering a Certificate of Completion hh a is hereby granted to � I, J h H Morldrty !�' •Ili rI;+II' � ' a I r 1 I Irby i to certify that they have completed to satisfaction Advanced PV Design and Installation Granted; April 20, 2006 ' p I I i! k •• I,. Bill Brooks, Instructor I CONS"), AE p 4 �B.I.RV. as NPCP ENGINE R G I,; I Ill•l,� .r, A ►�T���U . ��V.T►fir ►V.-- ��, r ,- ,1 Tt In rr- "N T. - _. .- -... ..... _ _ _- ...; i•+ ,�1��� � °� �/►i t ' ' ! . r . . �l �I►r�r. � U G►1 _`S � ►lr r, �q��►Vi�... of A►nlr�. ��IY.i ►Igr/r,� .Q�gt1A p'V. tlt /►1 -... •q � y �+ �`41`7 y ', � i �.=/� . ;, (l'1 v+1 VIA a. .40 IWO MV Y 0 c r �'>�f► '"� �7` ,t ` -�1 , E�H a�it tl tI H 11 R. Solar -erAmCe This certificate is awarded to John Moriarty ,V►�III Q. r,1i • for successfully completing "Residential Photovoltaic System Installation and Maintenance workshop held from March 29 to April 1, 2004 at the Solar Energy Center of Farmingdale State University of New York. Director Solar Energy Center ineer ies 1 • _ ° F ���f..'tt. ny,)1`1 �.. i � 'aY 4i. •. �.Cx ` a» 1•�?€ .-A/ `; ft�+ �tij ,r� lid` ���. .l�.Y.:,y III �[ /lll�•�,...� �/ ( \�� l/i 1 i/roPl'.�I'1 . .t �/ , a IJ 1+'+. `l \..,4�. r ..��, °!, �, , � i1 �\ .q,'/ � `�Y r.� Il�r� x..� � _4' /P � ` -f l Ya 11 - 111.1p .9 LYt 11d .h trl d. Rl c.11d�. .r1 La v0 1 („�►o °r�Ai Dp, rill Ll.1�►Il k:U►� �llv.Ab• gL�l4.p✓.. l VOLTAIC SYSPioTOTE ' 1NSTALLER IF I-ED UL University issues this certificate in recognition that on September 17,2010, JOHN MORIARTY. successfully completed the requirements to be recognized as a certified photovoltaic system installer in accordance with the PV System Installer scheme CERTIFIED 4 PV SYSTEMa:,. ; INSTALLER ����.:_ Certificate Number rick Bo n;D.Hoover . President-UL University Personnel Certification Manager Expiration Date:September 17,2013 -77__._ _ E c a iS� ,, 1: a Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/5/2010 PRODUCER (631)751-4653 FAX: (631)751-4512 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mill Creek Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 97 Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite R Stony Brook NY 11790 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Scottsdale Insurance Co Alternative Power & Light Corp INSURER B:Merchants Mutual Insurance Co 23329 P.O. BOX 220 INSURER C: INSURER D: Port Jeflferson NY 11776 INSURERE: COVERAGES 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 OISUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR DD'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYYYY DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence) $ 50,000 A CLAIMS MADE OCCUR CPS1050303 11/6/2009 11/6/2010 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 B ALL OWNED AUTOS CAP1049650 9/20/2009 9/20/2010 BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F_ICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N T RY LIMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THOSE USUAL TO INSUREDS OPERATIONS. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION JESSE PERETZ DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 280 ROSENBURG RD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL EAST MARION, NY 11989 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE C Scott Heaney/ALEXIS ACORD 26(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. INS026(200901) The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2009/01) INS025(200901) SUR;r'EY OF DESCRIBED PROPERTY AND LOTS 7,8,E lsz I SUBDIVISON MAP sou, PROPERTY OF MARION G.RIB HARDSON EAST MARIO ,TOWN OF SOUTHOLDSUFFOLK COUNTY,N.Y �t�, � F•- t:: h ",�j.2yn INN% , mac• °� ^d r� K FILE-()DEC 31:1927 Y GLfsRAN''F'EEDTO: :':J'EL-IF45 C.O. SURVEYF'J:10 IANUARY 2OC- w� ISM AREA•-:30(*S.F. OR ttaax• ^`. 21996 Al'.';ES .% :Mny mt Oc i�1:e>?:t t�?t.''#: S%fa?aE�`Eii?"�'� �'�?'r':st�`Et'•"t3: +2 \t n;ur `.:: 1.t)f 7 � ^A Wit" � la�'I.�• !SLi tR.C� w '� .. .t.�............................•.... •:t7=u:;ru; yi{1Ci 3 FRA'vYR Kl :_ ..- :. ".".ww....w••..w� .w.�•.mow...w.w.• .......... ..... ,wwr �.rw.K•i7)3wN :vwx Ot FN va ^n oW). y n RAIME 22.1 ti :exryv .. ..... ..., Wc:f: I'NiFKAN ei V a ): S�',�EAr^R,fYD SURVEYED 3Y :''rifiAi'"i:•t::O;Ys!iat£x.:,: C t r t Ja KS N j t{>:!J:N::ixStttt:t'k ,l:l:v:af?H£kk''xC.v':D Jn.� L.i��'#.IJtYF�J o V�JR. :ctviir.a>:r.H<rcr, rf�r:!,:•x_:�:s7t7tat,). RO.BOX.294• MINER:. NEW SUFE-01.K.NX 1195 Fi:i 1�::1�o-5F135 lex.�::r.Cf:i:Y.0 k.t p,t,P,G!3 UR.7:1f)NJ9ai1 �S+ r;f?kF.Y N.'ACt.'Spe7f Eia�.?�5Txid:1. ............................................... .A)Rvfl'Ck>t"nt: '713Ye.i:)tr!'f'fifi ti!:•+i::fi!, LICENSED i ANID SURVSURVEYORt.h9:i,:i tty.R. .i:. ^• c•:r; 1tiY5 Lit.,No,49 pia 07if(5b3 Arm =N!F"kP1RE Design Group,PLLC Architect ENSPIRE DESIGN GROUP, PLLC 700—A KOEHLER AVENUE RONKONKOMA, NEW YORK, 11779 Phone: 631-471-9500 Fax: 631-471-9510 CONTINUOUS RIDGE VENT MICHAEL F. MORBILLO. AIA — Principal (8) (8) (8) 2 x 8 RIDGE BD. New York State License #25202 5UNPOWE 5UNP0 POWER 25 KATT5 225 KATT5 225 HATTE Mechanical, Electrical, Plumbing Consultant 400# ARCHITECTURAL ASPHALT SHINGLES W/ ICE SHIELD MIN 2' FROM INSIDE OF WALL OVER 15 # FELT PAPER OVER GDX 5HEATHING OVER 2x(b ROOF RAFTERS ® 16" O.G. 2x6 COLLAR TIES ® 4&" O.G. 600W DG OIS' " G.W.B. OVER 2X6" GLG. JOISTS N #10 THHN 12 5ONPOWER -� 5000 M 12 INVERTER ATTIC These drawings and all documents prepared by the Architect are instruments of the Architect's service, and are to remain the property of the Architect. The designs contained herein are intended for the specific location indicated and are not to be used at any other I ocations without the express written consent of the Architect. It is a #10 THHN violation of the law for any person, unless acting under the authority of the Architect, to alter these documents in any way. These documents are copyrighted and their use sholl be limited to the construction of this project, once only. The Architectural Works IOOA Copyright Protection Act, adopted by Congress in 1990 and METER incorporated into the United States Copyright Act of 1976 (Title 17, AG U.S. Code, sections 101 and 102) provides potentially very severe 240H penalties for infringement, including criminal penalties. These SUB PANEL O ERVIGE documents may not be used for any other purpose. #4 THHN I OOA PANEL AG General Notes VICE I55. R00r- SECT 1 ON 7)'F I GAL RISER D I AC RAM C��56ALE: 1/4"=1'-O" N.T.5. DESIGN LOADING: GROUND WIND SEISMIC SUBJECT TO DAMAGE FROM Ice shield Winter underlay- Air SNOW DESIGN Frost line Design ment Flood Freezing LOAD SPEED(mph) CATEGORY Weathering depth Termite Decay Temp required hazards Index �tPS99R®IPg"C1 pt ��1�"4g^ ED 20 120 C Severe T-0" Moderate ig t to 11 Yes 10/94 452 APPROVED L:tI / �/ i to Hea Moderate 5/98 DATE: CEILING _/0 CEILING LIVE LOAD: 20 P.S.F. FEE:�o,�" - BY 2ND. FLOOR LIVE LOAD: 30 P.S.F. NOTIFY BUILDING DEPARTMENT AT - SOLAR PANEL DEAD LOAD: 3 P.S.F. 765-1802 8 AM TO 4 PM FOR THE ROOF LOAD: 30 P.S.F. ? FOLLOWING INSPECTIONS: FOUNDATION - TWO REQUIRED SNOW LOAD (GROUND): 25 P.S.F. 1. FOR POURED C0^,CRETE WIND LOAD: 35 P.S.F. (120 MPH) 2. ROUGH - FRAMING & PLUMBING SEISMIC LOAD: C ZONE (EXEMPT, SEE R301.2.2) 3. INSULATION AVERAGE DEAD LOAD (ALL ASSEMBLIES): 10 P.S.F. 4. FINAL - CONY TRUCTICN MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIRDIENTS OF THE CODES OF NEW DESIGN OOAIPLIES MrtTH THE 2007 RESIDENTIAL CODE of NEW YORK STATE do WCFA1 2001 EDMON YORK STATE. NOT RESPONSIBLE FOR NO. Date Revision Description DESIGN OR CONSTRUCTION ERRORS. INVERTER LOCATION eE�I I I `ERAL N07ES sx Y A AT BASE OF . WALL >' / (24) SUN POWER MODEL 225 I. CONTRACTOR SHALL CHECK AND VERIFY ALL CONDITIONS AT THE C;()VPLY WITH h NL.L CODES OF SOLAR PANELS ON "UNIRAC" SITE PRIOR TO STARTING TO WORK AND SHALL FAMILIARIZE NEW Y0rFX STA-F E & TOWN CODES TOP MOUNT RAIL SYSTEM Q HIMSELF W . ITH THE INTENT OF THESE PLANS AND MAKE WORK AS REQUIRED , .., _ . . F :�.. SYSTEM SPECIFICATIONS: n AGREE WITH SAME. OLD TO'Jv'N Z" . 225 WATTS PER PANELS — 2. CONTRACTOR OR OWNER SHALL OBTAIN A BUILDING PERMIT PRIOR �--- 5000 WATTS TOTAL SYSTEM TO STARTING ANY WORK. :'r" T' (`I_ glsnr J i CFLF.. v�Va 6OARD 3. CONTRACTOR OR OWNER SHALL OBTAIN ALL REQUIRED APPROVALS, T..,,., T PROJECT TITLE: PERMITS, CERTIFICATES OF OCCUPANCY, INSPECTION APPROVALS, �. -D .:.;';+'J 1RU3ETC., FOR WORK PERFORMED FROM AGENGIE5 HAVING JURISDICTION 4 DECSOLARPANEL �� d THEREOF, IF REQUIRED. -----• � •-- 4. ALL WORK SHALL CONFORM TO N.Y.5. CONSTRUCTION CODE AND ALL LAYOUT LOCAL RULES AND REGULATIONS. 5. ALL METHODS OF CONSTRUCTION INGLUDING FORM WORK AND CERTIFICATION OF FOR THE PLACEMENT OF CONCRETE ARE TO BE CAREFULLY 5UPERV15ED BY THE CONTRACTOR. NAILING & CONNECTIONS PERETZ RESIDENCE 6. IF IN THE COURSE OF CONSTRUCTION A CONDITION EXISTS WHIGH REQUIRED. 22-0 DISAGREES WITH THAT AS INDICATED ON THESE PLANS, THE 280 ROSENBURG ROAD GONTRAGTOR SHALL STOP WORK AND NOTIFY THE ARCHITECT OR ENGINEER. SHOULD HE FAIL TO FOLLOW THIS PROCEDURE AND EAST MARION, NEW YORK 11939 CONTINUE WITH THE WORK, HE SHALL ASSUME ALL RESPONSIBILITY AND LIABILITY THEREFROM. ALL CONIISTRU�, 1. ALL ELECTRICAL WORK SHALL BE BOARD OF FIRE UNDERWRITERS MEET ►IHLE REQl1,RM��`S SHALL THE APPROVED AND IN ACCORDANCE WITH N.E.G. REGULATIONS. I I r TITLE SHEET: 8. ANY DEVIATION FROM THESE PLANS WITHOUT THE WRITTEN COC�v O' ����"!Yyr i o S T ATE, ROOF PLAN CONSENT OF THE ARCHITECT WILL NEGATE THE SOLARPANEL A EL ROOF FLAN A ` LA*IeCUT CERTIFICATION OF THESE PLANS. GENERAL NOTES a. THE ARCHITECT HAS NOT BEEN RETAINED FOR ON-51TE INSPECTIONS SECTION & RISER 0; SCALE: I/4"=1'-O" AND / OR OBSERVATIONS OF THE CONSTRUCTION. UhIDERWRITERSCERTIFICATE 10-PERETZ SHEET No. PROJECT NO. 10. DO NOT SCALE DRAWINGS. WRITTEN DIMENSIONS SUPERSEDE 5GALED DIMENSIONS. REQUIRED DATE: 3-22-10 11. THESE DRAWING5 AS INSTRUMENTS OF SERVICE ARE AND SHALL DESIGN BY: MKNAEL F. MORBLLO, AIA REMAIN THE PROPERTY OF THE ARCHITECT WHETHER THE PROJEGT FOR WHIGH THEY ARE MADE IS EXECUTED OR NOT. DRAWN BY: JIG THEY ARE NOT TO BE USED ON ANY OTHER PROJECTS OR EXTENSIONS TO THI5 PROJECT EXCEPT BY AGREEMENT IN WRITING AND WITH CHECKED BY:MFM APPROPRIATE COMPENSATION TO THE ARCHITECT OR ENGINEER. SCALE: AS NOTED