HomeMy WebLinkAbout44429-Z q�$UFFa���AG Town of Southold 2/26/2020
'{ y P.O.Bog 1179
o • 53095 Main Rd
'f o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41102 Date: 2/26/2020
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 3675 Nassau Point Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-942
Subdivision: Fled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/7/2019 pursuant to which Building Permit No. 44429 dated 11/19/2019
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 Hermer,David&Campo, Silvia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44429 01/14/2020
PLUMBERS CERTIFICATION DATED
I
Authorize Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
?sQ1 � ya
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#: 44429 Date: 11/19/2019
Permission is hereby granted to:
Hermer, David-& Campo, Silvia
9 College PI Apt 4D
Brooklyn, NY 11201
To: install roof-mounted solar panels as applied for.
At premises located at:
3675 Nassau Point Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 111.-9-4.2
Pursuant to application dated 11/7/2019 and approved by the Building Inspector.
To expire on 5/20/2021.
Fees:
SOLAR PANELS $50.00
-ALTERAT O DWE G $50.00
ELECTR C $100.00
T tal: $200.00
Buildi s ector
i
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. (. = N ,
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3U-IS NO-IbSaLk � Roacd r Q192_
House No. 11 l Street p Octmlet
Owner or Owners of Property: I IU �tf'f mp=c (�C] �L�J jL- l M Ro
Suffolk County Tax Map No 1000, Section Block q Lot 4.2-
Subdivision
.Z.Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ✓ (check one)
Fee Submitted: $
c
Applicant Signature
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 � sean.devlinatown.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To David Hermer
Address: 3675 Nassau Point Rd city.Cutchogue st: NY zip. 11935
Building Permit#: 44429 Section 111 Block 9 Lot 4.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Element Energy LLC License No: 52689-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment- 23 kW Roof Mounted Photo Voltaic Solar w/73- Qcell Qpeak G5 315w Modules,
73- Enphase IQ7-60-2-US Micro Inverters, Sub Panel Disconnect
Notes: Solar
Inspector Signature: Date: January 14, 2020
S Devlin-Cert Electrical Compliance Form As
of soolyo� t-4 H 4 29 36 7S Ajet sJa 07-r
# # TOWN OF SOUTHOLD BUILDING DEPT.
���rourm ' 765-1802
=
INSPECTION
[ ] FOUNDATION 1ST _ [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND_ [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE 4 CHIMNEY =y :[ -] FIRE.SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O -
REMARKS:
DATE I y INSPECTOR sz
Town of Southold December 31st, 2019
Building Department
Town Hall Annex Building
54375 Route 25
P.O. Box 1179
Southold, NY 11971
Subject: Roof Mounted Solar Panels at the Hermer Residence, 3675 Nassau Point Road,
Cutchogue, NY 11935
To Whom It May Concern:
I have reviewed the solar energy system installation in the subject topic on December 27th,
2019. The Units have been installed in accordance with the manufacturer's installation
instructions and the construction drawings approved by the Building Department, Town of
Southold, New York.
The solar panel installation is in compliance with the requirements of the 2015 International
Residential Code (IRC), the 2017 NYS Supplement to the Uniform Code, SEI/ASCE 07-10
"Minimum Design Loads for Buildings and Other Structures", NFPA Standard 70 "National
Electrical Code" and current industry standards and practices and based on documentation and
data supplied by Element Energy at the time of this report. Markings in accordance with Section
690.53 of the National Electrical Code are provided.
To the best of my belief and,knowledge, the work in this document is accurate, conforms to the
governing codes and standards applicable at the time of submission and conforms with
reasonable standards of practice with the view to the safeguarding of life, health, property and
public welfare.
Sincerely,
E Vv l
°;-
James Deerkoski, PE
260 Deer Drive
F E B 2 5 2020 1,J fi W
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Mattituck, NY 11952 m �.
631-774-7355
FIELD INSPECTION REPORT -DATE COMMENTS
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FOUNDATION (1ST) y
------------------------------------
FOUNDATION (2ND) CIO
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ROUGH FRAMING& y �
PLUMBING
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INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITIO AL COMMENTS
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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
Fes: (631)765-9502 Suryey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
' Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
IContact: /1
Approved ,20 - Mail to: rl2,
Disapproved a/c
Phone:
Expiration ,20
Building Insp or
I J y`' NOV 7 201 PLICATION FOR BUILDING PERMIT
,, Date (. O 0 02� ,20,, --i7--,,,71,.-t-
0 l9
''-�f T cr 4' _ INSTRUCTIONS
r:�-Y,�.;7'r- ,ms`s:` .�•i G'�I.§.°i.,:'�':...�.d
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
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.
t
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whethe applicant is owner, lessee, agent, architect, engineer, general contractor,electrician,plumber or builder
91�- 9�` `tet-ccs��'i�C - - - - -- _ --_ - - - —-
Name of owner of premises auid
(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. joZ Aq-1 tE
Other Trade's License No. 43BM-H
1. Location of land on which proposed grk ill be done:
House Number Street `'''"' Hamlet
•��`i �, ��.� ::1:'t v •Ft.t :l�`! int, e
i=.t
County Tax Map No. 1000 Section I 1 1 Blocic, Lot 2
r
Subdivision • Filed Map No. Lot
i
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: i.
a. Existing use and occupancy Rizsv oiL�0
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work 22.gg6 Ku} Solme t�USus
(Description)
4. Estimated Cost Fee 4;Z
(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 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?YE5 NO
I
13.Will lot be re-graded?YES NO 'Will excess fill be removed from premises?YES NO''
CWc Cque 11835
14.Names of Owner of premises Nrylb 4ecm¢iii- Address 3(��5N0.sso�z i�f Pad phone No. 91"1- 8q2-1'l�t�
Name of Architect I Address Phone No
Name of Contractor k,(;LmL�+ P-ne2e v (iS Address -1q-ID SOiInd hyf Phone No. 1,931 '77979q3
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) j
COUNTY OF Su GFS g.±(_1)
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is theGn4
(Contra tor,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
5 day of 20_jj
A �► PATRICIA A MAY
Notary Public NOTARY PUBLIC-STATE OF NEW YORK Signature of Applicant
No. O1 MA4616634
Qualified in Suffolk County
My Commission Expires March 30, 2022
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road CA (631)7 g5Q
P.O.Box 1179 G Q roger.dchert(C�i0Wn )oaI ol5.py us
Southold,NX 1197I-0959 Q a0
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BUILDING DEPARTMENT
TOiWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
• E
REQUESTED BY: �� 1ntCK Date: ID6_120(ct
Company Name: U&IM4LLP—
Name:
LCName:
License No.: 5
Address: 'N20 ound fig. rno,4-6,L ,AL1ff( 5
Phone No.: _
I
JOBSITE INFORMATION: (*Indicates required information) j
*Name:
�P'Y1
*Address: 5 C1SSQ e c0''.
236
*Cross Street: R� f
(� - J
a
*Phone No.: 9I-7 -�F22_13�2
Permit No.: �: r - !2,.j
Tax-Map District: 1000 Section: 1 I Block: Lot: 4
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) Ec2pmou JS (xp i
Q,Lak Jun __Lt _8/5 VncjeL[jnCaaggS x2jL .M -FoRnso- iQ��?us
g2CtD (ntalerS ( 18,as Kyj k) M0- °p X�i(�t7 (Zrynkc�n
(Please Circle All That Apply) f
Is job ready for inspection: YES i,NQ Rough In .`Final
*Do,you need a Temp Certificate: YES NO'
Temp Information(if needed)
*Service Size: i Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Farm
lJ f
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
January 21, 2020
Element Energy
7470 Sound Ave
Mattituck NY 11952
Re: Hermer, 3675 Nassau Point Rd, Cutchogue
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
NOTE: Post installation letter from the engineer stating the panels were installed per NYS Building
Code required
Electrical Underwriters Certificate
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT 44429 — Solar Panels
I
mNew York State Insurance Fund
Wor,ters'CojWensaiion&Dlsabili&AVeneflisSpecitilisUSincel9l4
8 CORPORATE CENTER OR,3RD FLR,MELVILLE,NEW YORK 11747-3129
CERTIFICATE OF WORKERW COMPENSATION INSURANCE (RENEWED)
I
AAAAAA 823336604 _
ROBERT S FERE INSURANCE AGENCY
23 GREEN ST STE 102
HUNTINGTON NY 11743
SCAN TO VALIDATE
AND SUBSCRIBE
I
POLICYHOLDER CERTIFICATE HOLDER
ELEMENT ENERGY LLC TOWN OF SOUTHOLD i
DBA ELEMENT ENERGY SYSTEMS 54375 MAIN ROAD
7470 SOUND AVENUE SOUTHOLD NY 11971
MATTITUCK NY 11952
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
12449444-5 131560 07/1312019 TO 07/13/2020 71,2412019
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2449 4445, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:I11A WW..NYSIF.COMICERTICERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OFA LIMITED LIABILITY COMPANY,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NORI INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 'EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
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NEW YORK STATE INSURANCE FUND
i
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER:719279724
U•26.3
i
A�® CERTIFICATE OF LIABILITY INSURANCE DATE(M 7 W2 Q
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. '
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(tes)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such andorsement(s).
CONTACT
PRODUCER NAME:
ROBERT S,FERE INSURANCE AGENCY PHONE 031-35*4 rwF
Nc 6
23 GREEN STREET,SUITE 102 E-MAIL
HUNTINGTON,NY 11743 A R
Er
ROBERTS.FERE INSURANCE I;M AFFORDING COVERAGE NAlcs
INSURER A
INSURED STATE INSURANCE FUND
INSURERS:
Element Energy LLC INSURERC:AN
ELEMENT ENERGY SYSTEMS INSURER 0:
7470 SOUND AVENUE INSURER E.
MATTITUCK, NY 11952 INSURER F:
COVERAGES CERTIFICATE NUMBER-, REVISION NUMBER.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSIRLTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER A MIDOYMF MY1U&EXP LIMITS
COMMERCIAL GENERAL LIABILITY CLOO275204 7/14/2019 7/14/2020 EACH OCCURRENCE i s _ 1,400,000
CLAIMS-MADE lJ OCCUR X X PREMISESEaocwmnca I S 1100,004
A MED EXP(A one I IS 5000
PERSONAL B ADV INJURY 1 E 1000000
GEN'L AGGREGATE LIMIT APPLIES PER' GENERALAGGREGATE I $ 2,0,000
POLICY El J%A& M LOC PRODUCT$-COMPIOPAGGI S 2,400,000
OTHER I S
AUTOMOBILE LIABILITYGOMBINEO SINGLE LIMIT I S
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ANY AUTO BODILY INJURY(Per person)I s
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AUTOS ONLY AU70SULEQ BODILY INJURY(Per aeddeny S
HIRED I NON-OWNED PROPERTYDAMAflE S
AUTOS ONLY AUTOS ONLY Pair axa WI
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X UMBRELLA UAB )(I OCCUR XL00011240 7/14/2019 7114mo EACHOCCURRENCE I s 1, +000
A EXCESS UAB CLAIMS-MADE AGGREGATE S
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WORKERS COMPENSATION IX SER OTH-i
AND EMPLOYERS'LIABILITY YIN 24494443 T
ANY PROPRIETORIPARTNERIEXECUTWE 711412x19 7114/2x2x
B OFFICERIMEMBER EXCLUDED N I A X EL EACH ACCIDENT I S 40
(Mandatorysr in NH) E.1.DISEASE-EA EMPLOYE S
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DESC IPTIONOFOPERATIONStielcw
1 NY State Disability WDL10279340 7/14/2019 7/14/2020 statutory
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddIdonal Remelts Schetlule,may be sRsohed H mon Space Is required)
CERTIFICATE HOLDER LISTED IS AN ADDITIONAL INSURED
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CERTIFICATE HOLDER
CANCELLATION
Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
54375 Main Road TME EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Southold,NY 91971 ACCORDANCE HATH THE POLICY PROVISIONS.
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AUTWMED REPRESENTATIVE
7R06e tS- Pedes Sr.
01888 2015 ACORD CORPORATION. All tights reserved.
ACORD 25(2018/03) The ACORD name and 1090 are registered marks of ACORD
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A P P el 0 V[ED Irk i%!,OT E,
COMPLY ALL
DATE/4 �•� �- B.P � NEW YORK STIWATE & TOTH WN
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O N CODES
FEEI� ----.�,
Byj_a e� AS REQUIRED A O OF
NOTIFY BUILDING D,-PAR I AEN T AT
765-1802 8 A; TO 4 PM FOR THE SO
FOLLOWING INSPECTIONS: S NPLANNINGBOARD,
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE SO WN TRUSTEES
2. ROUGH - FRAMING & PLUMBING � DEC
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW Additional
YORK STATE. NOT RESPONSIBLE FOR, Certification
DESIGN OR CONSTRUCTION -ERRORS. May Be Required.
OCCUPANCY O
USE 9S UNLAWFUL "*MMONMMRW
WITHOUT CERTIFICATE
OF OCCUPANCY
Town of Southold October 31, 2019
Building Department
Town Hall Annex
54375 Main Road
Southold, NY 11971-0959
Subject: Roof Mounted Solar Panels at the Hermer Residence, 3675 Nassau Point Rd.
Cutchogue. NY 11935
To Whom It May Concern:
I hereby state that it is my professional opinion that the subject plans comply with the 2015
International Residential Code, the 2017 Uniform Code Supplement, ASCE 7-10, and NFPA-70
(2014 National Electric Code). These code requirements include the fact that the roof framing is
adequate to support the additional loads from solar panels as well as roof ridge and peak
access to first responders.
e
I have evaluated the structural framing of the existing roof with the additional loading to account
for the proposed solar panel application. Deflection and stresses of the structural components
remain within the allowable for the existing roof for wind pressures from 130 mph, 3 second
gust, Exposure B with a ground snow load of 20 pounds per square foot. Mounting locations
and methods are as indicated in the submitted plans.
From the site inspection and analysis, and as evidenced by previous roof loads withstood, it is
my professional opinion that the existing building and roof framing is structurally adequate to
support the reactions of the solar panels in addition to the existing code required live and dead
loads. Also the wind analysis concluded that the mounting system as shown on the plans is
adequate to resist the calculated uplift pressure. The dead load of the heaviest solar panel
assembly in this evaluation is approximately 3.1 pounds per square foot.
Please contact me if you have any questions or comments about the above.
Sincerely,
.�E OF NFA
CO g J Cir �O
James Deerkoski, PE �P r .. a °
260 Deer Drive M c 'x
Mattituck, NY 11952 N
631-774-7355 •oR zs� ��
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` LEGEND CONSTRUCTION NOTES
DESIGN 6 DRAFTING BY.
�EasuNG U'Ru7Y MEM 1.)ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE ELEMENT ENERGY LLC
MAIN sERwcE Paha MANUFACTURER'S INSTALLATION INSTRUCTIONS. REVIEW BY J.M.NABCEPCERTIFIE
M NEW PV SUB-PANELS p, 051112-129
92aEcr 2.)ALL OUTDOOR EQUIPMENT SHALL BE RAINTIGHT WITH MINIMUM NEMA 3R RATING. /d
3.)ALL LOCATIONS ARE APPROXIMATE AND REQUIRE FIELD VERIFICATION. f,
e 00 ELE07RODE REVI51ON5
e_=, PV NQUL / DFSCRIFTION ( DATE I REV
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GOOD CONDITION
❑POTEN71AL SHADING ISSUES
1RIMAURWE AS NECESSARY °'%, ----- ELEMENT ENERGY. LLC.
7470 SOUND AVE
MATTI T UCK, NY 1195
LICENSE# 43889-H
LICENSE# 52G89-ME
19'-0211
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36"FIRE 5ET5ACK/ACCE55 PATH DRAWING SCALE
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-- -- -- ------ 1 111- _ ---------------- ---- --Y
-70-92 �36"x 36"GROUND ACCESS'fYP.
SHEET NUMBER
FV-2
TAX MAP: 1000-1 1 1 .000-0'a.00-004.200
LEGENDDE51GN 4 DRAFTING BY:
CONSTRUCTION SUMMARY ELEMENT ENERGY LLC
SMNSERVICE
MEER
BMAAINPP ARRAY#4 ARRAY#5 (73)QCELL Q.PEAK DUO-BLK G5 315 WATT PV MODULES REVIEW BY J.M.NABCEP CERTIFl
SNEIN PV SUB-PANELS 4 MODULES 4 MODULES 3 (73) ENPHA5E IQ7-GO-2-U5 MICRO INVERTERS
051112-129
A C 11, W MECT 3tt_-� 20°PITCH 20101 PITCH --- �+ -� ° (218)ATTACHMENT POINTS @ G4"OC MAX.
INVERTERS 247°AZIMUTH G7°AZIMUTH 4
�iNER I I q• (753.7) LF IRONRIDGEXRI00 MOUNTING SYSTEM. REVISIONS
@ GND ELECTRODE �— ROOF TYPE =ASPHALT SHINGLE
11 DESCRIPTION DATE 1 REV
Q PV MODULEc-3r-20t9
—RAOaNG RAR. - -`
___ __ CONSTRUCTION NOTES
0 ATTACHMENT PONT ! 1.)ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE I
___Rw�RS ` ARRAY#3 WITH THE MANUFACTURER'S INSTALLATION INSTRUCTIONS.
*-ROOF PITCH ANGLE --- J-t ;-' t - I r! I } - -- 15 MODULES 2.)ALL OUTDOOR EQUIPMENT SHALL BE RAINTIGHT WITH
®SUNRUN METER 23°PITCH MINIMUM NEMA 3R RATING.
® 33&AZIMUTH 3.)ALL LOCATIONS ARE APPROXIMATE AND REQUIRE
VENT r I t' FIELD VERIFICATION. I
OPLUMBING VENT - —
®SKY LIGHT _
_ , , , _� CONTRACTOR
®CHIMNEY -------- — — -
C0MP0SffE SHINGLES
om CONDITION
DP07MIAL SHADING ISSUESd \
iRIM/REMovE AS NECESSMY ELEMENT ENERGY, LLC.
7470 SOUND AVE
'g•All �w t+ n� MATTITUCK, NY 1195
_ LICENSE# 43889-H
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12 MODULES [ -'. - �.� ` I I CL - 29"PITCH 2 _ 7 O
29°PITCH — i 158°AZIMUTH N = = ^/
158°AZIMUTH I �Q L �� L.L
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3G°FIRE SETBACK/ACCE55 PATH R
5HEET NUMBER
�3 ` / 2\3G"x 30 GROUND ACCE55 TYP. 1pV —J
TAX MAP: 1000-1 1 1 .000-09.00-004.200
LOAD CALCULATIONS ARRAY#I ARRAY#2 ARRAY#3 ARRAY#4 4 5 EREVIEW
N E DRAFTING BY-
Modu e Wei ht 41 20 Lbs 4 120 Lbs 4 h i 'ITEM I DESCRIPTION ARRAY#1 �#2 ARRAY#3 ARRAY#4 t-5 ENT ENERGY LLC
#of Modules 121 38 ` a Rafter 2"X 10"D FIR I G"O.0 2"X 10"D. FIR Ccs I G"O.C. 2"X 1 O"D FIR , I G"O.C. .M.NA5CEPCERTIFI
Total Module WeI ht 494.4 Lbs 15G5.G Lbs i G 18 Lbs I Ge-8 i(D) Deckin 15/8"PLYWOOD 5/8"PLYWOOD (5/8"PLYWOOD 51+I2-129
Total Len th of Rad t 34 FtI 406.3 Ft !50 8 Ft i (J) Joist ,2"X I O'D. FiR I G"O.G. 12"X 1 O"D. PIR 1 G"O.0 2"X 1 O'D. FIR I G"O C.
Rail WeI ht Per Foot 1 O.GB Lbs 0.G,5 Lbs G8_J p s I I(P) Pitch 29° 123° 20° REVISIONS
I Total Rad Weictht I 91.1 Lbs 276.3 Lbs I 102.5 s . (RB) Rid a 15oard/6eam 2"X 12"D FIR. 2"X 12"D. FIR 12"X 12"D. FIR w5cRirrlON DATE MV
I#of Standoffs 32 102 ' (H) 5 an Width of Rafter(R)1150"MAX i 100" IMAX 150"MAX CwGUA, 10-3-20;9
Wei ht per standoff 2 Lbs 2 Lbs I 2 Lb I b I (� Knee Wall 2"X 4"STUD WALL CP I G"O C 2-X 4"STUD WALL 1 G"O C 2"X 4"STUD WALL
Total Standoff Wei ht G4 Lbs 204 Lbs A0 Lb5I i
Total Array Weight 649 5 Lbs 2045.9 Lbs I 508.5 Lb5l 22G I lbs (R) (R13) I
Point Load 20.3 Lbsi 20 1 Lbs 1 18.4 Lbs I 1 1 3 11 s I
Total Array Area 218 5 5c, Ftl G91.8 51 Ft ! 273.1 SQ Ft 72 8 Sq- ft�+
Array Dead Load 1 3 O Lbs/Sg Ftl 3,0 Lbs/5g Ft ; 30 I_bsl5�Ft 3 1 Lbs/5a Ft
CONTRACTOR
�� 11 ,
ELEMENT ENERGY, LLC.
i I , 7470 SOUND AVE
As er ASCE 7-Method I: i - a e - I �l�. I MATTITUCK, NY 1 195
P net =!< I Pnet3 a G-2 t sec .5.7 I + ne a e - ��% �—(K) LICENSE# 43889-H
CLIMACTIC AND ( Ground Wmd Speec Live load, Point i Max fastener `�_ LICENSE # 52G89-ME
GEOGRAPHIC DESIGN Category Snow Load 3 sec gu5tfpnet30 pe pullout load Fastener Type spacing along
CRITERIA Pg mph A5CE7, ps Ib. 1 rads, in.
A # { 20 130 # 4G8 1 511 G"x G"Stainless Steel
Roof Section G4" I 1i
5 # I TYP, TYP , # T(P• Lag Bolts
(J) — PROJECT NAME
For SI:1 pound per square foot=0.0479 kPa,1 mile per hour=0.447 m/s. Q In
a. Weathering may require a higher strength concrete or grade of masonry than necessary to satisfy the structural LLJ (�
requirements of this code.The weathering column shall be filled in with the weathering index,"negligible,""moderate"or"severe"for concrete as U l�
determined from Figure R301.2(3).The grade of masonry units shall be determined from ASTM C 34,C 55,C 62,C 73,C 90,C 129,C 145,C 216
or C 652. _
b. The frost line depth may require deeper footings than Indicated in Figure R403.1(1).The jurisdiction shall fill in the frost line depth column with 177 W O
the minimum depth of footing below finish grade. ROOF FRAMING DETAIL - I Q (L C. The jurisdiction shall fill in this part of the table to Indicate the need for protection depending on whether there has been a history of local
subterranean termite damage. LU Q
d. The jurisdiction shall fill in this part of the table with the wind speed from the basic wind speed map[Figure R301.2(4)A].Wind exposure I/ Lu
category shall be determined on a site-specific basis in accordance with Section R301.2.1.4. D
e. The outdoor design dry-bulb temperature shall be selected from the columns of 971/2-percent values for winter from Appendix D of the
International Plumbing Code.Deviations from the Appendix D temperatures shall be permitted to reflect local climates or local weather experience MODULE MOUNTING CLAMP O
as determined by the building official.
f. The jurisdiction shall fill In this part of the table with the seismic design category determined from Section R301.2.2.1. SOLAR MODULES
g. To establish flood hazard areas,each community regulated under Title 19,Part 1203 of the Official Compilation of Codes,Rules and STAINLESS STEEL 3/8^
Regulations of the State of New York NYCRR shall adopt a flood hazard ma and supporting data.The flood hazard ma shall include,ata BOLT AND NUT �' W U
9 ( ) P P PP 9 P � ]EE O
minimum,special flood hazard areas as Identified by the Federal Emergency Management Agency in the Flood Insurance Study for the community, CO
as amended or revised with: * YA "—
I.The accompanying Flood Insurance Rate Map(FIRM),
j•` RONRIDGEALUMINUMRAII—'
IL Flood Boundary and Floodway Map(FBFM),and
Ill.Related supporting data along with any revisions thereto. , ALUMINUM°L°BRACKET---- Z r w
The adopted flood hazard map and supporting data are hereby adopted by reference and declared to be part of this section. -'�` _
h. In accordance with Sections R905.1.2,R905.4.3.1,R905.5.3.1,R905.6.3.1,R905.7.3.1 and R905.8.3.1,where there has been a history of �` ALUMINUM FLASHING 02-25 ` �C� SHEET NAME
local damage from the effects of Ice damming,the jurisdiction shall fill in this part of the table with"YES."Otherwise,the jurisdiction shall fill In this
/ '�,Q
part of the table with"NO." , --��� f �`�- O�SSIONA STRU CTU RA
I. The jurisdiction shall fill in this part of the table with the 100-year return period air freezing Index(BF-days)from Figure R403.3(2)or from the
o ASPHALT SHINGLE ROOF_/
100-year(99 percent)value on the National Climatic Data Center data table"Air Freezing Index-USA Method(Base 32 F).° sll G^x s°STAINLESS
J. The jurisdiction shall fill in this part of the table with the mean annual temperature from the National Climatic Data Center data table"Air STEEL LAG BOLT WITH
Freezing Index-USA Method(Base 32"F)" z PENETRATION SEALED I/2"MIN THREAD
k. In accordance with Section R301.2.1.5,where there is local historical data documenting structural damage to buildings due to topographic wind WITH GEOCEL 4500 DRAWING SCALE
speed-up effects,the jurisdiction shall fill in this part of the table with"YES."Otherwise,the jurisdiction shall indicate"NO"in this part of the table. (EQUIVALENT OR BETTER)
I. In accordance with Figure R301.2(4)A,where there is local historical data documenting unusual wind conditions,the jurisdiction shall fill in this AS NOTED
OTE
part of the table with"YES"and
m. In accordance with Section R3012.1.2.1,the jurisdiction shall Indicate the wind-borne debris wind zone(s).Otherwise,the jurisdiction shall
indicate"NO"in this part of the table.
n. The ground snow loads to be used in determining the design snow loads for roofs are given in Figure R301.2(5)for sites at elevations up to
1000 feet Sites and elevations above 1000 feet shall have their ground snow load increased from the mapped value by 2 lbs/1112 for every 100 feet SHEET NUMBER
above 1000 feet. _
(") See Figure R301.2(4)B.
TAX MAP: 1000- 1 1 1 .000-09.00-004.200 MOUNTING DETAIL
1
DE51GN 8 DRAFTING BY.
SOLAR ARRAY ON MAIN HOUSE 23.0 kW✓
ELEMENT ENERGY LLC
(73)QCELL Q PEAK DUO-BLK G5 3 1 5 PV MODULES
REVIEW BY M.NAWFP
(4)STRINGS OF(I G)MICRO-INVERTERS (I)STRING OF(9)MICRO INVER--EP,5 0511122--129129 CERTIFlE
'(5)5TRING5 TOTAL ON MAIN HOUSE
--�l— -- TO UTILITY GRID
—f ❑ ❑ �] ❑ ❑ p F ❑ �' REVISIONS
STRINGS #1 4 _ v I — _ 18 ^� I DESORPTION DATE I REV
n %, n n n n n n ti - ti n �1i 2 jN 1 o�G�sAL i IC-s1-20te
-- --------------- -- '_- --G
+ - - -- -- -- -` - -- - - --� -- -` - --� --� - - V BI-DIRECTIONAL l
UTI METER
i.- -_ _ . �- U P!- J ` J I-PHASE,240 V
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FO,NT OF OhiEF;COl:NECtICN � 1
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- -- -- `- - - -' `- - I ! f: CONTRACTOR
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k NPHA5E BRANCH MICRO-INVERT ER - f
CIRCUIT CABLE TYPICAL ENPrtA5E107-OD-2-L'5 a ELEMENT ENERGY, LLC.
2e0 NAC. I QA_ �t,
97-CEC4/iDGMTEDEFP -" 7470 SOUND AVE
NEMA G,JL L+5T�D l ( I I MATTITUCK, NY 1 195'
AC DISCONNECT
cct�D�.TFOR STRINGS#1 -3 Tr>�CAL I - LICENSE#43889-H
1 I) CONDUIT FOR S T P,'NG5 f,4 s 5 50 U D^c23NP5 l
240 VAC. I00A LICENSE# 52659-ME
jI TOTAL(2)Ct.\DUtT51d?.,,EWAYS _ ff {
_ _ NIVA 3R.;:L U5`W1
� (2,95 A FU5F5
�-r-i N L L1 N L !I � 1 1
I v v
PROJECT NAME
1
MAIN SERVICE PANEL
20 YAG Ln
r----- l 200A
1 AC COMBINER BOX
1
241,VAC,.00 n l I
11VIA:31.UL u5W I , crI. " X X 1 U - 0�
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G N 2 1 +5)2c A DGL'SVLE H7L el ArZR5 ) i
l i i I i i EX15TING GROUNDING W O
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WIRE CONDUIT SCHEDULE pL (
CIRCUIT CIRCUIT CIRCUIT CONDUCTOR CONDUCTORS jIW
MAX.CONDUCTOR CONDUIT FILL CONDUCTOR I GROUND GROUND GROUND TE CONDUIT CONDUIT AMBIENT TEMP ESTIMATED Voltage Drop(% W O
I.D.# ORIGIN DESTINATION 512E PER POLE ( QUANTITY DERATE INSULATION SIZE QUANTITY + INSULATION (CU/AL) TYPE 51ZE TEMP DERATE DISTANCE
I 310.15(51(3) IS10.15(5)(2a)/(3c)
INVERTERS COMBINER PANEL I AWG#1 O I 6 0.8 U5E-2/PV Wire AWG#8 i 1 BARE I CU FREE AIR I" I 700C 0.65 I I O FT 0.8% W
I OR EMT j = [� �—
COMBINER PANEL AC DISCONNECT AWG#2 1 3 1 f THWN-2 1 AWG#8 { 1 THWN-2 CU PVC I° 45-C 0.87 _ 5F N 6%
AC DISCONNECT MAIN PANEL AV'✓G#2 1 , 3 I I THWN-2 { AWG#8 1 THWN-2 CU PVC 1" 450C 0.87
ELECTRICAL NOTES (j t =d_ K� x * SHEET NAME
CALCULATIONS FOR CURRENT CARRYING CONDUCTORS S CONFIGURATION m
I )ALL EQUIPMENT TO BE LISTED BY UL OR OTHER NRTL,AND LABELED FOR iT5 APPLICATION �—
#1 FV Source Circuit Wire Am act Calculation Modules per 5trm3 1 I G, I G. 16. N
2.)ALL CONDUCTORS SHALL BE COPPER,RATED FOP.6C0 V AND 902C U�"T EtJVIROtiMEPlT p � �Q "< `'� �
3.)WIRING,COtIDUIT.AND RACEWAYS MOUNTED ON ROOFTOPS SHALL BE ROUTED DIRECTLY (NEC 690.8(B)(1)]: (I5c)'(#of 9trmgs)'(1.25)- 20 A t i G 9 ��? 3-LINE DIA.2
TO,AND LOCATED A5 CLOSE AS P055113LE TO THE NEAREST RIDGE, HIP,OR VALLEY. I AWG I 10.ampacity'Temp Derate'Conduit Fill Derate= 20.8 A
i 20 8 A> 20 A,therefore AC lire size Is valid, Modules per Inverter
A.)WORKING CLEARANCES AROUND ALL NEW AND EXISTING ELECTRICAL EQUIPMENT SHALL Number of Inverters 73 x$$10
COMPLY WITH NEC I 10.26 #2 Combined Inverter Output Wire Ampacity Calculation l Record low temp 102C 1
5.)DRAWINGS INDICATE THE GENERAL ARRANGEMENT OF 5Y5TEM5.COfITRACTOR SHALL Inverter Output Circuit OCP Calculation(Inverter Imp)'(1.25) = 91 25 A
FURNISH ALL NECESSARY OUTLETS.SUPPORTS,Fl i iING5 AND ACES50RIES TO FULFILL AWG#2,derated 1 Voc Temp Coefficient -0 24%PC DRAWING SCALE
�
APPLICABLE CODES AND 5TANDARDSDC SYSTEM SPECIFICATIONS CALCULATIONS 1
i 13 I A>91 25 A,therefore AC wire size is valid
G)1A/MERE SIZES OF JUNCTION 5OXE5,RACEWAYS.AND CONDUITS ARE NOT SPECIFIED, Operating Current 9 4A =(#of strtn s)'(lmp) N o T e
THE CONTRACTOR SHALL SIZE THEM ACCORDINGLY #3 Combined Inverter Output Wire Ampacity Calculation O eratin Volta e
7)ALL WIPE TERMINATIONS SHALL BE APPROPRIATELY LABELED AND READILY VISIBLE 1 33.5\ _(#modules in senes)'(Ump)
P Inverter Output circuit OCP Calculation(Inverter Imp)'(I era =9 125 A Max,S tem Volta e ! 44 2 V = (#modules 1n series)'((((-## oV12G'O 1)'(Lo Temp �C-25))'(Voc))+(Voc)]
8)MODULE GROUNDING CUPS TO BE R15TAl1ED BE iWA�EN MODULE FRAME AND MODULE I A4"✓G#2,derated ampac�ty'(Temp Derate)'(Condul'-Fill Derate)= 113 A I � 9
SUPPORT RAIL.PER THE GROUNDING CLIP MANUFACTURERS INSTRUCTION. 11 13 1 A>91 25 A.therefore AC vire 51ze is valid Short circuit Current I 12 a A =( of strrnys}'(Isc)'(I 25)per Art 690 8(A)(1)
9)MODULE SUPPORT RAIL TO BE BONDED TO CONTINUOUS COPPER G E.C.VIA WEER LUG I AC SYSTEM SPECIFICATIONS 5HEET NUMBER
OR ILSCO GBL-41DBT LAY-IN LUG �,Max AC Output Current 91.25 A FV-5
`/
1 O.)THE POLARITY OF THE GROUNDED CONDUCTORS I5(po5it:ve✓necjative} 1 V -5
0R Operatin�AC Volta�e 240 VVolta�e 240 V
10.)THE DC SIDE OF THE PV SYSTEM 15 UNGROUNDED AND SHALL COMPLY VATH NEC C90 35. TAX MAP: 1000-1 1 1 .000-09.00-004.200