HomeMy WebLinkAbout44461-Z �gUEf Town of Southold 7/25/2020
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P.O.Box 1179
C, -
- • r 4 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41282 Date: 7/25/2020
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 1645 Westphalia Road,Mattituck
SCTM#: 473889 Sec/Block/Lot: 141.4-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/19/2019 pursuant to which Building Permit No. 44461 dated 11/25/2019
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 on existing single-family dwelling as applied for.
1
The certificate is issued to Moss,John
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44461 2/7/2020
PLUMBERS CERTIFICATION DATED
Autho ' ed Signature
�fen�,r TOWN OF SOUTHOLD
�o� 000y BUILDING DEPARTMENT
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#: 44461 Date: 11/25/2019
Permission is hereby granted to:
Moss, John
PO BOX 593
Mattituck, NY 11952
To: install roof-mounted solar panels on existing single-family dwelling as applied for.
At premises located at:
1645 Westphalia, Mattituck
SCTM # 473889
Sec/Block/Lot# 141.-1-6
Pursuant to application dated 11/19/2019 and approved by the Building Inspector.
To expire on 5/26/2021.
Fees:
SOLAR PANELS $50.00
ELECTRIC $100.00
CO -ALTERATION TO DWELLING $50.00
tal: $200.00
Buildin Inspector
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. November 13, 2019
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 1645 Westphalia Road Mattituck
House No. - Street Hamlet
Owner or Owners of Property: John Moss
Suffolk County Tax Map No 1000, Section 141 Block 1 Lot 6
Subdivision Filed Map. Lot:
Permit No. L4 Date of Permit. Applicant: GreenLogic LLC
Health Dept.Approval-. Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ 50
A icant Signature
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
S residing at t-b —f>n 59 3 ,)�TK P I1
(Print property owner's name) (Mailing Address)
do hereby authorize GreenLogic LLC
(Agent)
to apply on my behalf to the
Southold,Building Department.
)aw3o - /q
(Owner's re (Date)
:;o j-1 m V 1 0 sS
(Print Owner's Name)
CONSENT TO INSPECTION
J o f f-tet �40 SS , the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 1645 Westphalia Road, Mattituck, NY 11952
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 141 , Block 1 , Lot 6
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Roof mounted solar electric system
That the undersigned do(es)hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated:
(Sign e)
Ja � bsS
(Print Name)
(Signature)
(Print Name)
rjv so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road AD , Fax(631)765-9502
P.O.Box 1179 sean.devlin(a)-town.Southold.ny.us
Southold,NY 11971-0959 .�
COW
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: ,John MOSS
Address: 1645 Westphalia Rd city,Mattituck st: NY zip: 11952
Building Permit#• 44461 Section: 141 Block 1 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Green Logic License No: 43858ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Solar X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 1 Switches 4'LED Exit Fixtures Pump
Other Equipment 5.400kW Roof Mounted PV Solar System w/ (15) Sun Power ZSPR-X22-360W-
E-AC Panels with Micro Inverters
Notes*
Inspector Signature: Date: February 7, 2020
S. Devlin-Cert Electrical Compliance Form.xls
�a0F50UlyO 16u�W .sr� Lr�
# # TOWN OF SOUTHOLD BUILDING DEPT.
°`�courm N 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE-&CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)S;o
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: _
T I r `7a
DATE . -02-o-1711INSPECTOR
J A M E S J. S TOUT A R C H I T E C T & Assoc .
2 G REG L ANE E AST NORT11PORT N. Y. 631 — a58 9388
Post Installation Letter
December 10, 2019
RE: Moss Residence
1645 Westphalia Road
Mattituck, NY 11952
To Whom It May Concern:
This letter is to confirm that as of December 10, 2019 I, James J Stout, NYS license
021633 have personally inspected the placement and installation of the roof top solar
panels at 1645 Westphalia Road, Mattituck, NY. The solar panels have been installed
as per manufacturer's guidelines and specifications. The racking system design and
installation complies with the 2017 NYSRC and 2017 NYSUCS building code and
provisions of ASCE 7-10. The installation was done as per plan.
Thank you for your cooperation in this matter.
James J. Stout
Architect
F E 8 - 5 2020 D ARC/
J.S pp TSO
021633
�rF OF NE��.� '�'
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
-------------------------7----------
C
FOUNDATION (2ND)
CA
y �
ROUGH FRAMING& t� ^
PLUMBING y 1
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITION4L COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILPING"bEPARTMENT Do you have or need the following,before applying?
TOWN HALL
SOUTHOLD,NY 11971 Board of Health
TEL: (631) 765-1802 4 sets of Building Plans
FAX: (631) 765-9502 Planning Board approval
Southoldtownny.gov PERMIT NO. (�If Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
I� � l C.O.Application
Examined l J 20_ff Flood Permit
Single&Separate
Truss Identification Form
Storm-Water Assessment Form
4kn
Contact:
Disapproved a/c
Approved '20 Mail to: GreenLogic LLC
97 North Sea Road, Southampton, NY
06
Phone: 631-771-5152
Expiration 20
!`.. L _ ^` %r ti Buil
NOV 1 9 2019 APPLICATION FOR BUILDING PERMIT
Date November 13 , 20 19
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 w$ole 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.
GreenLogic LLC
(Signature of applicant or name,if a corporation)
97 North Sea Road, Southampton, NY 11968
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Contractor
Name of owner of premises John Moss
(As on the tax roll or latest deed)
If applicant is a corporation, si #atueof duly authorized officer
Nesim Albukrek, President AA(Name and title of corporficer)
Builders License No. 40227-H
Plumbers License No. N/A
Electricians License NO---43858-ME
Other Trade's License No. N/A
1. Location of land on which proposed work will be done:
1645 Westphalia Road Mattituck
House Number Street Hamlet
County Tax Map 1Vo. 1000 Section 141 Block 1 Lot 6 -
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy. Single family dwelling
b. Intended use and occupancy Single family dwelling
3. Nature of work(check which applicable): New Building Addition
Repair Removal Alteration
Demolition Other Work Roof mounted solar electric system
4. Estimated Cost $21,856.00Fee $200 (Description)
5. If dwelling, number of dwellingunits (To be paid on filing this application)
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
Height Number of Stories Depth
Dimensions of same structure with alterations or additions: Front
Depth '
De
P Height Number of Stories Rear
8. Dimensions of entire new construction: Front Rear
Height Number of Stories Depth
9. Size of lot: Front Rear Depth
10. Date of Purchase 9/17/18 Name of Former Owner Brian Friedman, Crystal
11. Zone or use district in which premises are situated '
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO X
13. Will lot be re-graded?YES NO X Will excess fill be r6moved from premises?YES NO X
14. Names of Owner of remises John Moss P.O. Box 593
p Address Mattituck, NY 11952 Phone No. 631-300-8966
Name of Architect James J. Stout Address_2 Greg Ln E. Northport Phone No 631-858-9388
Name of Contractor GreenLogic LLC Address97 North Sea Road Phone No. 631-771-5152
out ampton, 68
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x
* 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 x
*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 x
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
- SS:
COUNTY OF Suffolk
Nesim Albukrek being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Contractor
(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 tbefore me this
3 day of pV 6-nv- 20_LG_
Nota Public RA A CASCIOTTA
Notary Public-State of New YWA Signature of Applicant
No. 01-CA4894969
Qualified in Suffolk County
Commission Expires May 11.2023
Scott A. Russell
SUPERVISOR � MANAGEMENT
"
MAll�A\G►1E1��[]E1�.T
,SOUTHOLD TOWN HALL-P.O.Box 1139 �'
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHASTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
----- .--------._.
DOES THIS PROJECT INVOLVF, ANY of THE FOL1L(3NVING-. �
Yes (CHECK ALL THAT APPLY' €
i
❑Q .A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑0 B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area. j
a a C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑�
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
�3
erosion hazard area.
0E E, Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any,watercourse.
❑E] F. Installation of new or resurfaced impervious surfaces of 1,000 square i
feet .or more; unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant`section below with your Name,
Signature,Contact Information, Date,& County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan
and a completed Check List.Form to the Building Department with your.Building Permit Application.
APPLICANT: Wroperty Owner.Dc as>r R-ofe�ional,wAgrnt,Contractor,Cather}` S.C..T.M. 1000 Date
DLtrict
NAME: GreenLo(]�� ��(; Mesh AIbukrekl 141 1 6 11/13/2019
i Section Bloc. Lot
1
' *FQR BUILDING DEPARTNILN"C t.SL ONLY
Contact Information 7631-771-5152 '
res•y�xa�> �� 1
Reviewed By: �
3 — — — — — — — — — — — — — —
- - � Dates
Property Address/Location of Construction Work: tl — — — — — — — — — — — — — — — — — ,i
Approved for processing Building Permit.
1645 Westphalia Road
Stormwater Management Control`Plan Not Required.
Mattituck, NY11952 ii ; — — — — — — - - — — — — — — — — —
I[ QStormwater Management Control Plan is Required.
(rorvvard to Engineering Department for Review.)
FORM # sMCP-7 4S MAY 2014
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 765-9502
roger.,richert• town.southoid.nV.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Barbara Casciotta Date: 11/13/19
Company Name: GreenLogic LLC
Name: Robert Skypala
License No.: 43858-ME email: Barbara@Greenlogic.com
Address: 97 North Sea Road, Southampton, NY 11968
Phone No.: 631-771-5152
JOB SITE INFORMATION: (All Information Required)
Name: John Moss
Address: 1645 Westphalia Road Mattituck NY.
Cross Street: =
Phone No.: 631-300-8966
Bldg.Permit#: LfqLl(01 email: arkol29@hotmail.com
Tax Map District: 1000 Section: 141 Block: 1 Lot: 6
BRIEF DESCRIPTION OF WORK(Please Print Clearly) Roof mounted solar electric system
5 400kW (15) SunPower SPR-X22-360-E-AC panels with micro inverters _
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (Ali information required)
Seririce Size 1 Ph 3 Ph Size: . A #Meters, Old Meter#
New Service - Fire Reconnect- Flood Reconnect-Service Reconnected -Underground - Overhead
#Underground_Laterals 1 2 H Frame Pole Work done on Service? Y N
.Additional Information:
�PAYMENT DUE WITH APPLICATION
82-Request for Inspection FormAs
GREENLOGIC®
ENERGY
November 13, 2019
Town of Southold
Building Department
Town Hall
53095 Route 25
Southold, NY 11971
Dear Building Inspector:
Please find attached a building permit application on behalf of the John Moss who has engaged us to
install a roof mounted solar photovoltaic(PV) electric system located at 1645 Westphalia Rd, Mattituck,
NY.
In connection with this application, please find attached:
• Building Permit application
• Owner Authorization
• Consent to Inspection
• A Storm Water Assessment Run-off Form
• Certificate of Occupancy Application
• Application for Electrical Inspection
• 2 Surveys of the Premises
• 4 Engineer's Reports
• 2 Three Line Electrical Drawings
• 2 Spec. sheets of the solar panels
• 2 Spec. sheets for Racking System
• GreenLogic Suffolk County Home Improvement License
• GreenLogic Certificate of Liability Insurance
• GreenLogic Certificate of Worker's Compensation Insurance Coverage
• Installation Manager's Master Electrician's License
• Check for$200($50 Building Permit/$50 CO/$100 Electrical Inspection)
Please let us know if you need anything else in connection with this application.
Yours truly, -
J3aJmaa eiociatta.
Barbara Casciotta N0`11 1 9 2019
Account Manager
Barbara@Greenlogic.com
631-771-5152 ext. 117
GREENLOGIC LLC m www.GreenLogic.com Tel. 631.771.5152 Fax. 631 771.5156
SOUTHAMPTON ROSLYN HEIGHTS
97 North Sea Rd , Suite 3 200 S Service Rd ,#106
Southampton, NY 11968 Rosyln Heights, NY 11577
GREEL®GIC°
ENERGY
r
January 31, 2020
The Town of Southold
Building Department
54375 Route 25
P.O. Box 1179
Southold, NY 11971
Re: Building Permit No.44461
John Moss
1645 Westphalia Rd, Mattituck
To the Building Inspector:
Enclosed please find the Engineer's Certification Letter for the above referenced
address. Can you please close the building permit and send the Certificate of
Occupancy? Please let me know if you have any questions about the installation.
Sincerely,
J3av 6zma ea6cu:tta
Barbara Casciotta
Account Manager
Barbara@Greenlogic.com FEB - 5 2020
631-771-5152 Ext. 117
GREENLOGIC LLC a www.GreenLogic.com Tel- 631 771.5152 Fax. 631.771 5156
SOUTHAMPTON ROSLYN HEIGHTS
97 North Sea Rd ,Suite 3 200 S. Service Rd ,#106
Southampton, NY 11968 Rosyln Heights, NY 11577
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ACS CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
01/31/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 endorsement(s).
PRODUCER CONTACT
Brookhaven Agency,Inc. PHONE 631 941-4113 Fax 631 941-4405
128 Old Town Road,Suite C EMAIL CustomerService@ brookhavena enc .com
P.O.BOX 650 INSURERISI AFFORDING COVERAGE NAIC p
East Setauket NY 11733 INSURER A: Southwest Marine&General Insurance Co.
INSURED INSURER B: Merchants Preferred Insurance Co.
GreenLogic,LLC INSURER C. First Rehab Life Insurance Co.
97 North Sea Rd,Suite 3 INSURER D: National Liability&Fire Insurance Co.
Southampton NY 11968 INSURER E: AGCS Marine Insurance Co.
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR TYPE OF INSURANCE AODL SUBR POLICY EFF POLICY EXP
LTR POLICY NUMBER LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $19000,000
A CLAIMS-MADE FX OCCUR DAMAGE TO RENTED $100,000
X Contractual Liability X X GL201900012922 01/31/2019 01/31/2020 MED EXP(Any oneperson) $5,000
PERSONAL&ADV INJURY $1,000,000'
M'OTHER
L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 2 000 000
POLICY jE 7]LOC PRODUCTS-COMP/OP AGG $2 000 000
$
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
B X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED X X CAP1043565 08/1112018 08/11/2019 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X HIRED X NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAB CLAIMS-MADE X X UM201900007751 01/31/2019 01/31/2020 AGGREGATE $1,000,000
DED I I RETENTION 0 $
WORKERS COMPENSATION X PER OTH-
AND EMPLOYERS'LIABILITY
D OFFICER/MEMBER EXCLUDEDANY XECUTIVE YIN NIA V9WC857891 06/15/2018 06/15/2019 E L EACH ACCIDENT $1 OOO OOO
(Mandatory in NH) E L DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $1,000,000
C NYS DisabilityD251202 04/11/18 04/11/19 Statutory Limits
E Installation Floater/Property SML93076366 4/15118 4115119 $250,000 $1000 Ded
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required)
Certificate holder is also named as Additional Insured.
CERTIFICATE HOLDER CANCELLATION
TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS.
53095 ROUTE 25
SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Y,r- Workers' CERTIFICATE OF
STATE d
Board
oarCompensationNYS WORKERS' COMPENSATION INSURANCE C'OVERAGE'
�3oarr!
1a.Legal Name&Address of Insured(usestreet #b.Business Telephone Number of insured ;eet address only} P
631-771-5152
Greenlogic LLC,
97 North Sea Road Suite 3 1c.NYS Unemployment insurance Employer Registration Number of
Southampton NY 11968 Insured
Work Location of insured(Only required if coverage Is specifically li»xted to 1 d.Federal Employer Identification Number of Insured or Social Security
certaln locations in New York State,i,e.,a-vvrap-Up Policy) dumber
203801104
2.Name•and Address of Entity Requesting Proof of Coverage 3a.Name of insurance Carrier
{Entity Being Listed as the Certificate Holder} National Liability&fire Ins Co
Town of Southold 3b.Policy Number of Entity Listed in Box"1a"
Building Dept,53095 Route 25 V9WCO23041
Southold NY 11971
3c.Policy effective period
06116/2019 to 06115/2020
3d.The Proprietor,Partners or Executive Officers are
included.(Only check box if all partnersloNicera Included)
�X all excluded or certain partnerstoficers excluded.
This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in bok"1 a"for workers'
compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A
on the INFORMATION PAGE of the workers'compensation insurance policy), The Insurance Carrier or its licensed agent will send
this Certificate of Insurahce'to the entity listed above as the certificate holder in box"2".
The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days,IF a policy is canceled
due to,nonpayment of premiums oe within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or
eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this
Certificate is valid for one year after this form is approved by the Insurance.carder or Its licensed agent,or until the policy
expiration date listed in box"36",whichever Is earlier,
This,certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,
extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the
referenced policy.
This certificate may be used as evidence of a Workers'Compensation contract of insurance only while,the underlying policy is in effect.
Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be
named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a
new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the
mandatory coverage requirements of the New York State Workers'Compensation Law.
Under penalty of perjury,I certify that i am an authorized representative or licensed agent of the insurance carrier referenced
above.and that the named insured has the,coverage as depicted on this form.
Approved by: Nicholas Zulkofske
(Pnrit name enzed representative or licensed agent or insurance carrier)
Approved by (si ature) (Date)
Title: Authorized Agent
Telephone Number of authorized representative or licensed agent of insurance carrier: 631-941-4113
Please Note:Only insurance carriers and their licensed agents-are authorized to Issue Form C-105.2.insurance brokers are NQ1
authorized to issue it.
C-105.2(9-11) wvwv.,wcb.ny.gov
a n t r -
Suffolk County Executive's Office of Consumer Affairs
_ p
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED: 12/10/2007 No. 43858-ME
SUFFOLK COUNTY P
Master Electrician License
This is to certify that ROBERT 3 SKYPALA
doing business as GREENLOGIC LLC -
having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance
with and subject to the provisions of applicable laws,rules and regulations of
the County of Suffolk, State of New York. [,
Additional Businesses
NOT VALID WITHOUT
DEPAR'I'MiENTAL SEAL
ANDA'CURRENT
CONSUMER AFFAIRS
IT)CARD
Director
slow
__J m
xvt.
4Z,
1,61
--f i-vi; -4
tive' Office of Consumer Affairs
AJ J
Suffolk County Execu s
VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEWYORK 11788
DATE ISSUED: 5/25/2006 No. 40227-H
- -----------
SUFFOLK COUNTY
Home Improvement Contractor License
...........
This is to certifv that MARC A CLEJAN
doing business as
GREEN LOGIC LLC
having Ru-nished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules
and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME
IMPROVEMENT CONTRACTOR,in the County of Suffolk.
Additional Businesses
NOT VALID WITHOUT
DFPARTME.NTAL SEAL
AND A CURRENT
CONSIJI�IER AFFAIRS
ID CARD
Director
----------
f
lR
J A M E S J. S TOUT A R C H I T E C T & ASSOC.
2 G RSG L ANE E AST NORTHPORT N. Y. 831 — 8 5a 9388
Letter of Certification
November 7, 2019 OCCUPANCY OR
USE IS UNLAWFUL
Moss 645 Westphalia Road WITHOUT CERTIFICATE
Mattituck, NY 11952 OF OCCUPANCY
To Whom It May Concern:
I,James J. Stout, registered architect NYS license number 021633 would like to
submit the following. I have inspected and analyzed the roof structure at the above-
mentioned address and have determined the structure and the panel attachment to
be adequate to support the new additional load imposed by the proposed solar panel
system and complies with the 130-mph wind design load as 2017 New York State
Uniform Code(2017 NYSUC),2017 New York State Residential Code(2017
NYSRC)= (2015 International Residential Code(2015 IRC)(2^d Printing)and 2017
New York State Uniform Code Supplement(2017 NYSUCS)as well the Long Island
Unified Solar Permit Initiative(LIUSPI) and the 2014 National Electric Code NFPA 701
2014 National Electric Code, and the ASCE 7-10.
The existing 2" x 4" @ 24" o.c and the existing 2" x 8"@ 16" o.c. roof rafters will
provide the required support.
AP /,//
ED AS NOTED
Thank you for your understanding in this matter DATE: s B.P.#
FEE: ° BY:
James J. Stout NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-- TWO REQUIRED
��REp Arc FOR POURED CONCRETE
CO LY WITH ALL CODES OF 5 hi 2. ROUGH = FRAMING & PLUMBING
�� �5 J.S TO TF
NEW RK STATE & TOWN CODES 3. INSULATION-
AS
� ,�,.. � c,,
S RE IRED AND CONDITIONS F .' 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
filf6tB�6d - � ALL CONSTRUCTION SHALL MEET THE
OUTHOLD T � OARD REQUIREMENTS OF THE CODES OF NEW
021633 � YORK STATE. NOT RESPONSIBLE FOR
S _ TEES OF NEW DESIGN OR CONSTRUCTION ERRORS.
ELECTRICAL
INSPECTION REQUIRED
EENLO C"
ENERGY
GreenLogic,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
Surface#A:
Total System Size:5.400kW
Array Size:2.880kW
1 circuit of 8 on a 20A breaker
Azimuth:107°
Pitch:
Monitorinrin
g System: Z
SunPower
PaneVArray Specifications:
Panel:SPR-X22-360-E-AC
Racking:SunPower Invisimount
Panel:61.39"X 41.18"
Array:23'4 1/4"X 10'3 1/2"
Surface:24'11"X 14'
......17 Magic#:Invisimount
Legend:
® 8 SunPower 360W Panels
® SunPower Invisimount Rail
® 17 Quick Mount E Lag
2x4"Douglas Fir Rafter 24"O.C.
Notes:
Number of Roof Layers:1
V 7 Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
Engineerl Seal:
EDA
J.'s T�
i
021633
TF OF NO�
Drawn By:MA Drawing#1 of 11
Date:11/8/2019 REV:A
Drawing Scale:1/4"=1.0'
GREENLOGICO
ENERGY
GreenLogic,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
Surface#A:
Total System Size:5.400kW
Array Size:2.880kW
1 circuit of 8 on a 20A breaker
Azimuth:107°
Pitch:
Monitoring System: *:7
SunPower
PaneUArray Specifications:
Panel:SPR-X22-360-E-AC
Racking:SunPower Invisimount
Panel:61.39"X 41.18"
Array:23'4 114"X 10'3 1/2"
Surface:24'11"X 14'
Magic#:Invisimount
Legend:
® 8 SunPower 360W Panels
® SunPower Invisimount Rail
i 17 Quick Mount E Lag
8 2x4"Douglas Fir Rafter 24"O.C.
Notes:
Number of Roof Layers: 1
Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
D ARcy/A
C� SES J S TO �•
L
• T 021633
F OF NENN
Drawn By:MA Drawing#2 of 11
Date:11/8/2019 REV:A
Drawing Scale:1/4"=1.0'
C GREENLOGOCO
ENERGY
GreenLogic,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
Surface#A:
Total System Size:5.400kW
Array Size:2.880kW
1 circuit of 8 on a 20A breaker
Azimuth:107"
Pitch:
Monitorinrin
g System: z'
SunPower
Panel/Array Specifications,
Panel:SPR-X22-360-E-AC
Racking:SunPower Invisimount
1 1 Panel:61.39"X 41.18"
Array:23'4 1/4"X 10'3 1/2"
Surface:24'11"X 14'
Magic#:Invisimount
xv Ny Legend:
® 8 SunPower 360W Panels
® SunPower Invisimount Rail
® 17 Quick Mount E Lag
1 H 2x4"Douglas Fir Rafter 24"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
Engineer/ tett Seal:
SO ARCy�r
021633 yOQ-
qTF OF NES
Drawn By:MA Drawing#3 of 11
Date:11/8/2019 REV:A
Drawing Scale:1/4"=1.0'
GREENUDGM0
ENERGY
GreenLogic,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
Surface#B:
Total System Size:5.400kW
Array Size:0.720kW
1 circuit of 7 on a 20A breaker(shared w/
S#C)
Azimuth:107°
Pitch:37"
Monitoring System:
SunPower
Panel/Array Specifications:
Panel:SPR-X22-360-E-AC
Racking:SunPower invisimount
Panel:61.39"X 41.18"
Array:10'3 1/2"X 3'5 1/8"
Surface:12'X 5'6"
Magic*Invisimount
Legend:
® 2 SunPower 360W Panels
® SunPower invisimount Rail
® 6 Quick Mount E Lag
8 2x8"Douglas Fir Rafter 16"O.C.
--------.......... - - .....-----
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
D ARC&
SJ.STO�7FO�
J
s� 021633 _k
• ATE
OF NES
Drawn By:MA Drawing#4 of 11
Date:11/8/2019 REV:A
Drawing Scale:1/4"=1.0'
GREENLOMCO
ENERGY
GreenLogic,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
Surface#B:
Total System Size:5.400kW
Array Size:0.720kW
1 circuit of 7 on a 20A breaker(shared wl
S#C)
Azimuth:107°
Pitch:
Monitorinrin
g System: Z
SunPower
PaneUArray Specifications:
Panel:SPR-X22-360-E-AC
Racking:SunPower Invisimount
Panel:61.39"X 41.18"
Array:10'3 1/2"X T5 1/8"
Surface:12'X 5'6"
Magic#:Invisimount
Legend-
® 2 SunPower 360W Panels
® SunPower Invisimount Rail
• 6 Quick Mount E Lag
B 2x8"Douglas Fir Rafter 16"O.C.
--- -------- ------- ----••--- ...
Notes:
Number of Roof Layers: 1
Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
Engineer Seal:
ED Ajr h
�CiG CESS J S
1633 ��
TF OF NE\
Drawn By:MA Drawing#5 of 11
Date:11/8/2019 REV:A
Drawing Scale:1/4"=1.0'
GREENLOGICO
ENERGY
GreenLogic,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
Surface#B:
Total System Size:5.400kW
Array Size.0.720kW
1 circuit of 7 on a 20A breaker(shared w/
S#C)
Azimuth:107°
Pitch:
Monitorinrin
g System: Z
SunPower
Panel/Array Specifications:
Panel:SPR-X22-360-E-AC
Racking:SunPower Invisimount
Panel:61.39"X 41.18"
Array:10'3 1/2"X T5 1/8"
Surface: 12'X 5'6"
Magic M Invisimount
Legend:
® 2 SunPower 360W Panels
® SunPower Invisimount Rail
2
0 6 Quick Mount E Lag
2x8"Douglas Fir Rafter 16"O.C.
---_--------------- -------------------------•-----
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
EngineeriArc ect Seal:
.1 ED ARcy/
\� T
C� 'PEES J.S
Y
ae1 i
I
,9T 021633 OQ�
FOF NE��
Drawn By:MA Drawing#6 of 11
Date:11/8/2019 REV:A
Drawing Scale:1/4"=1.0'
_ - GREENLOMCO
ENERGY
GreenLogia,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
Surface#C:
Total System Size:5.400kW
Array Size: 1.800kW
1 circuit of 7 on a 20A breaker(shared w/
S#B)
Azimuth:107°
........................................................................................._...
Pitch:10"
Monitoring System: Z
SunPower
Panel/Array Specifications:
Panel:SPR-X22-360-E-AC
Racking:SunPower Invisimount
1XI I- t Panel:61.39"X 41.18"
O Array:10'5"X 10'3 1/2"
V V Surface:14'8"X 14'
Magic#:Invisimount
Legend:
® 5 SunPower 360W Panels
® SunPower Invisimount Rail
x x • 10 Quick Mount E Lag
B B 2x8"Douglas Fir Rafter 16"O.C.
VV Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
RED gR�,ti
,PMSS J.
n
�9T 021633
SOF NEIN-(0
Drawn By:MA Drawing#7 of 11
Date:11/8/2019 REV:A
Drawing Scale:1/4"=1.0'
ENL®M ®
-(0�..1� ENERGY
GreenLogic,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
Surface#C:
Total System Size:5.400kW
Array Size:1.800kW
1 circuit of 7 on a 20A breaker(shared w/
S#B)
Azimuth:107°
_....... .......
Pitch:10°
Monitoring System:
I A I/
SunPower
Panel/Array Specifications:
Panel:SPR-X22-360-E-AC
Racking:SunPower Invisimount
Panel:61.39"X 41.18"
o Array:10'5"X 10'3 1/2"
Surface:14'8"X 14'
Magic#:Invisimount
Legend:
/L
® 5 SunPower 360W Panels
® SunPower Invisimount Rail
® 10 Quick Mount E Lag
2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
CEFtED ARC
S SES J.S
• � -ry �
I
021633
OF fVEN
Drawn By:MA Drawing#8 of 11
Date:11/8/2019 REV:A
Drawing Scale:1/4"=1.0'
0• RELOCN ®
ENERGY
GreenLogic,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
Surface#C:
Total System Size:5.400kW
Array Size:1.800kW
1 circuit of 7 on a 20A breaker(shared wl
S#B)
Azimuth:107°
-----------------------------------------------_------------------------------------------- Pitch:10°
Monitoring System:
SunPower
Panel/Array Specifications:
2 Panel:SPR-X22-360-E-AC
Racking:SunPower Invisimount
Panel:61.39"X 41.18"
o Array:10'5"X 10'3 1/2"
Surface: 14'8"X 14'
Magic#:Invisimount
Legend:
® 5 SunPower 360W Panels
2 SunPower Invisimount Rail
® 10 Quick Mount E Lag
2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
ED ARC
EsJ.sro
02163'6
F OF NES
' Drawn By:MA [REV:
wing#9 of 11
Date:11/8/2019 A
Drawing Scale:1/4"=1.0'
No Vent Pipes Will Be Covered By The Solar Array
®00C®
LEGEND: 0 ENERGY
AR -Access roof per R202 definitions RAP -Roof access point-to be away from RWV -Roof with valley, GreenLogia,LLC Approved
overhead obstructions.doors, 18"minimum from valley Moss,John
windows,decks,fences,landscaping 1645 Westphalia Road
GA -Ground access area per R324.7.3 width AP -Access Pathway,36"minimum SVO -Smoke vent operation per Mattituck,NY 11952
to be same as AP as measured at eave width per R324.7.4 and R324.7 5 R324.7.7,18"minimum from ridge
Total System Size:5.400kW
1 circuit of 8 on a 20A breaker
1 circuit of 7 on a 20A breaker(shared
between S#B and S#C)
Azimuth:107°
Monitoring System:
Meter SunPower
Panel/Array Specifications:
Panel:SPR-X22-360-E-AC
GA GA Racking:SunPower Invisimount
Panel:61.39"X 41.18"
I I I Array:35'7"X 14'4"
I I I Surface:57'6"X 33'4"
I I I Magic#:Invisimount
A�I A�i Legend:
1 I I ® 15 SunPower 360W Panels
I I 1 SunPower Invisimount Rail
I I 1 • 33 Quick Mount E Lag
SVOI I no 2x4"Douglas Fir Rafter 24"O.C.
SVO SVO SVO
on 2x8"Douglas Fir Rafter 16"O.C.
____
Notes:
4 Number of Roof Layers:1
-- ---- ---------------- TX--\ X 74 Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
Englneer/A
_ESWIect Seal:
DA C
'S'i
J. STO TF
2 SunPower 8 SunPower
360W Panels 5 SunPower 36OW Panels c�'
360W Panels
021633
F OF NO
Drawn By:MADrawing#10 of 11
Date:11/8/2019 REV:A
Drawing Scale:3/32"=1.0'
� RL® O ®
ENERGY
GreenLogic,LLC Approved
Moss,John
1645 Westphalia Road
Mattituck,NY 11952
JCBrVATEFWLff
Total System Size:5.400kW
1 circuit of 8 on a 20A breaker
I circuit of 7 on a 20A breaker(shared
between S#13 and S#C)
Azimuth:107'
j-
'7
Qt. -&"ZVI
Monitoring System:
SunPower
T.-—7--1
Panel/Array Specifications:
Panel:SPR-X22-360-E-AC
CwtAiLrdn=MxrdrgElockvVElad(ARacking:SunPower Invisimount
5WV/,9' uTinimHadirg 33
I I Panel:61.39"X 41.18"
6UVEEdirgPILg $
3
4- — Array;35'7"X 14'4"
33
5(31529'FeSurface:57'6"X 33'4"
Magic#:Invisimount
�1r&rMhw 33
------ Legend:
r-------- 15 SunPower 360W Panels
SunPower Invisimount Rail
--------------- ------ --------
0 33 Quick Mount E Lag
2x4"Douglas Fir Rafter 24"O.C.
DD 2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:I
Height above Roof Surface:4"
Materials Used:Quick Mount,SunPower
Added Roof load of PV System:3.5psf
En Seal:
J.S
21633 OQ�
qTF OF N
Drawn By:MA Drawing#11 of 11
Date:11/8/2019 � REV:A
Drawing Scale:3132"=1.0'
--------NEW EQUIPhdENT-------------------------
EXISTING SERVICE
I— — 120/240, 1 PH, 3W
r "
I PV—SA-1m E3 A ! 200AL B
KW H
r
___- _ a f
AC—COMBINER PANEL
i PV—SA-2 T(K' I AG—CMB-1
I (PV LOADS ONLY) *� AC DISCON14ECT f ��
®
® • • • ® AC—DSC-1 f t
r CzI • • • � �I I (
SKR-
I I E3 a 1831
MAIN
8KR-2 f
" II
' I I FUSEE)
II I
I
c
l� f
II
II I
I
I I 4 EGC f I N
I r
I
;EGc
II I I
II I r
f " EXISTING AG PANEL
11 I I I I EXISTING
'
_1-4---_...—...__------,------------_..-- �__— r GEC _jGEC
IRREVERSIBLE SPLICE--''— 6 CU
L-------------------------------------------------------!
PROPOSED 3-LINE ELECTRICAL DIAGRAM
REVISIONS
Moss, John
�1645 Westphalia Road ENERGY,
R OY,
Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY
1 ) INITIAL SUBMITTAL WITH APPLICATION
Page 1 of 3 Drawing No: Moss-3LD1 Revision: 1 Revised: 11/11/19
EQUIPMENT& COMPONENT SCHEDULE
TAG DESCRIPTION SPECIFICATION
PV-SA-1 PV SUB-ARRAY SPR-X22-360-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 10-MODULES
PV-SA-2 PV SUB-ARRAY SPR-X22-360-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 5-MODULES
ELECTRICAL LOAD SUMMARY
AC CIRCUITS
TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL
RANGE CURRENT
PV-SA-1 3600 WATTS 211-264 VAC 14.64 A AC 240 V,AC
PV-SA-2 1635 WATTS 211-264 VAC 6.65 A AC 240 V,AC
PROPOSED EQUIPMENT SPECIFICATIONS
REVISIONS
Moss, John to
�l
1645 Westphalia Road �e ENERGY
Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 2 of 3 Drawing No: Moss-3LD1 Revision: 1 Revised: 11/11/19
�.
EQUIPMENT& COMPONENT SCHEDULE
TAG DESCRIPTION SPECIFICATION
AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH, 3-WIRE
BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 50
CONDUCTOR SCHEDULE
TAG TYPE CONDUIT AWG. / EGC
A USE-2/PV/UF 3/4" PVC-40 12 / 6
B THWN-2 1-1/2" PVC-40 4 / 4
C THWN-2 1-1/2" EMT 4 / 4
1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND
DERATING FACTORS.
2.) ELECTRICAL CONDUITTO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS.
3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND
LOCAL CODE REQUIREMENTS.
4.) NOTE: GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER MINIMUM.
PROPOSED EQUIPMENT SPECIFICATIONS
REVISIONS
'^ a
Moss, John GREEINLOGIC0
1645 Westphalia Road ENERGY
Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 3 of 3 Drawing No: Moss-3LD1 Revision: 1 Revised: 11/11/19
XS U N P WE R
unftwerOX-Series: 22-370 I X22-360
u n Power" Residential
AC Modu
Built specifically for use with the SunPower Equinox''-'system,the only fully
integrated solution designed,engineered,and warranted byone manufacturer.
AWN Maximum Power. Minimalist Design.
OffIff ndu.stry-leading e`ficlency means more power and savings
per available space With fewer modules required and
hidden rnicro!nverters, less is truly—ore
N Highest Lifetime Energy and Savings.
Designed to deliver 60%more energy over 25 years in
real-world conditions like partial shade and N&temperatures.`
Fundamentally Dif erent,
And etter' i a 'up to
A
yo i�s :more
d
C 0% lifetime
s:;st: energy
Conventional Module
e
The SunPower"'MaxeoW'Solar Cell Years of operator,
rocue .a,raiOol--:
Best Reliability. Best Warranty.
a.r k �` 1,;u0s, Or'! With r-,ore than 25 million modUle5 deployed around
a the world,SunPower techriolorny is proven to last.Thais
why we stand behind our modu:e and micro€n,verter
i .
tet,
wrtn the industrys best 25-year Combined Power and
Product Warranty,including the highest Power Warranty
in solar.
Factory-integrated Microinverter In'.
,1C,,faster rista.
CL
• E(':,�`,1nn e�`rr':...i alib;-aced lby
E SunPowerl 12%
:more
rF e( i (r�r ..
� ',power
b
s.c. in year
m 25
Years of operations
Datasheet
• R
X-Series:X22-370 I X22-360 SunPowrer'0 Residential AC Module
Inverter Model:Enphase IQ 7XS(IQ7XS-96-ACM-US) @240 VAC 0208 VAC
....._.........._................................-._._................._._.._........................................-
Pec-'k Output'oyer 32f3 VA 320 VA
--- -..............- _.._.....---- -.._......_.._. ._.......- — -- ---
May Cor till uous CxJruut Po'•4vr'r 31 S VA 3115 VA
Nom (L L Vvlra#;,IF:an;e';V) 240/211-264 208/183-229
--..._.......__._...... _...- -..... ........................ ............... ................._-__.......... .. ........-........... .....__........_......... .....................................__.___........................................... ..................----....................
M,?.,K 'or't ri'_Ka::S Output Co,rent(A) 31 1 51
..................-----...........-- -----.-........._ -..._............----....-- ------......__..... --......._._- --...--- .._._.—_..........------
May l.;r:i;per 20 u.(l.l.;Branch C rcLni'' "2(sinze phase) 10(tyro pole)wye
-- ............ - --........ _._................._.. ......._....._.....----....................--....._........._...... --------...............--
CEC Weignte.1 E",ien(.y 1475% 97 046
Nom Fri.,gli,i,-y 60 H7
.................'_............................--'--._._.............._.._.._..................................................................................._. _..............................-.--_.............._..... .__.- .... ..................................
re -
tyfE -. r(.,r1t.:eflcy'i<ci Cie4 `68 H7
.._......._.......--._._.._..._..........____.._......_................_..___................................_._.__..._............................_...._.. _...._.......... ............................._._
AC`—ri Cir,lli'.(a;lit C:rrert r)V?r z Cj'C le 58A this
OV-'ra?'.sgY lIaSS.�{. P(dt ill
AIA port ti+Efre(":{_f:rl er"* 18 mA
Povuer f-actGr j.:'rt:n}'., 1 0
P,.i'+d, f d(t'•r fa 1
0-/lead / 0/:a),
t'. .il lr:ili. "of
l..
''`5-year iim¢ed power warranty
SPH-X22-370-E-AC SPR-X22-360-E-AC ; Warranties
Norninai Porter' t:r .........._._.....__....._...... 25 year i,rniteu.'....._.......__._..............._ ..............._...-_ -_
(r ori) 37C`;4' 36C W
_ .._..............._...___............-.........----- -._......._......._._._._............._. _-._.............-- .............__.... x
_ oc+
Power Tolerance -5v-0911 UL .!0
............-.---..........._._........_----._..........._._....-- ................................... --..................._...._...._....... ............__.._............
w y
Cei-ti*icaGCrts 'ld X741 f iFFF-1547 i
Module Efffc ency', 2"'7�, 22 1% UI. 1741 AC ModL4e(Type 2 fire rated)
-.................. ---.....__.-.._..- ............................`_._.._...................._......----- --._._._........._._..... .......
and
Temp Coef (Power) 0 29�:/°C 0 294x,!°C UI.62 tOr?-1/IFC 62109-2
...._................_..........._..._._...................__.._........._.__....__..._.._..............._....................._... .--_..............._.......... _........_......_ cn. li<..1.e -
C' FCC P-�rt1�Ca ,R
r hree bypass diodes ICES0003 Class 7
Shade'olerarce r,terrated module levei rrailimutrl CAN CSr",C222"d0 '107': 01 i
power pont track-rig CA Rule 21(UL 174?SAY
(includes Volt/Var aro Reactive Power Priority)
UL Listed PV Rapid Snutdowrl Equ:pmer:t`'
Ooeraung Temp -40°F to+ 40'F(-4C°C tU+60°q
nabl(`s rtstaliat:op in i(coroarue vmth
I.4ax Arnhiem Temp 122°F(50"C) NEC 690 6(AC module;
`✓ino.62 pst 30000 Pa,305 kg/m'ff on:&back NPC C90 11 Raoid Shutdown(inside and outside The array)
l:'ax Load g"
Snow 1 i5,psf 6000 Pa.611 k 1m - fit c r_..__'.__...............__....----...._ NEC 690 15 A_Connectors,onnectors,690 33(A.)-(E)(1)
--h(2 , at Resistance .,.,�.,.rim` li=raet�r hail at`=rrpl';==r31ls)
When;sed Gvrh Ir:visiivlUunt rack ng and InvislRleura accessories l
(UL 2703)
SUiai(e:is c 6 mo'or'yslalli :1. ,e,_:I
Modu:e grounding and bonding through Irwsilfturt
ClassAfife rated
High-transrniss„r t T`1P0ret When used with AC module Q Cables aria accessories(UL 6703 and
Front Glass anti iC efettive,coaun; 2Q+"
� 22,
Ervironnrltmai Rating Module Outdco: rated Rated fortoad J,-eanect
P I,Test f otLnDa-inti c ee
...................... Inverter NEb1AT}p E...lassii .......... a.iat.c; r-
PramK ss 1 bia anodi,ed iiighest AAMA rating)
:Neigh, 42 9 It,(19 5 kg)
Recon-imended[Aax 5 n: 133 rm)
Module Spacing
.__.— -..__._........__.........
---------------.... afi nim :,
I Sunflower 360 w compared to c oriventiona:rnoduie cr:arne-sized arrays(260 IN,154'a t1>R:r3
effident,approx`b rr I'1 4%more enerp per+,Jat hoed on tt,it d-part d modole
c.haraci'erizalipn and PJSimi,ri .hy:s4ower Cegradat:cr:(Carnpaau,Z.e:a1"iunP£rver ! i
NfibduieDe.,adatcn 2 e"Sur,Powerwt ep'pet,2013;
s ttl4sa mm ,..,.+...��1..-
fiase d on,ear:hi:, da hoot vat esfr;rn nob+.res of top-0 r*,ar:ufacwurer;,per HS s�of 14t.2 im)
January 201'7
t>1rarikin"FrdUnhofer?VD:•aka,:.tyininh vefor r-olarl wiiiiespart3."imCch?ower
tl:gazine,201S Carnpea,,,Z Etat SunPowerN9adufe DegradationRite."Surf'o~verwnite
Paper,2013 343 rrao
4Fact oryset to?54'ra-014defaultsetongsC,i;..11e-,I default se:tir:gsprof::eset during t+s.s .I
L Of11n1:S51+or�:ng Ser the Equinox:n5tdllation G ae#S',a1 of for more information `
5 tandardlestCoriditonsii-ObO 4irri'irradiance,AM'5,25`C)NRft.caiihranortI-
>tdneard SOMS Current,LACCIS FI:and voltage.All DCvoliage:s fullycontained vvichir,the
37 mm
moduEe --••-� --
(:1 his proo-irt is UL Ltsted as PVRSE ar:o conforms with NEC 2014 and NEC 201 7 690.12; 071 and
and C22 1-<01S Rule 64-115 Rt riid Shutdown of PV Systems for AC and DC ccriduci,ors,
wheri installed according to ina ufacturer :ristruc-:ons. wc,xxu:
r aavnu t�:�
See w^dfw 5urfpovP rts o 3'afor m7 eiefP e ninfcrmatior ypapa y�ri�wN SUN
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I or more details c. eXtenced dziasher a skw s anprwer c-midatasheets LISTED�'�° W �� �
Stienf aUnlsindudec mr hisdata.hee esiub)1 erhtnge,withoutno-Cc
2fnP unPowe Crrror anon rilftht,Re c c SUNP WER the M.41a Fk.Pelf«mance Typ•2
Sul NPOL"fE:fc less and MIAXIFON are i egist trademarks cSunPrvder mtru< 531945 ReVA
corporation in the U.S.and other ccnmtru->as well.1&UQ SUNPOM R
sunpower.com
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Simple and Fast Installation
Integrate:module-ro-rail grounding
Pre assembled mid and end c.:amps
Lev.:ating mid clamp for easy placement:
Mid clamp wicth facilitates consistent,even
rrio k1 e spacing
Simple,pre::Till;d rail•splice
703 Listed integrated grounding
Flexible Design
Addresses nearly all sop': residenri-ai roots
Design it landscape and po gait.
Rails er able easy o astacle management
Custorner-Preferred Aesthetics
'.cc Wyle and#" n-.ount:ng aesthetics
Bestir-class sysierr.aesthetics Elegant Simplicity
Prernium,low pro*le design
Flack anodized components SunPowerO InvisiMountT" is a SunPower-designed
Bidder nrd damps and end camps rail-based mounting system. The InvlsiMount system
and capped,flush rais
addresses residential sloped roofs and combines faster
Fart of Superior System installation time, design flexibility, and superior aesthetics.
P_Tilt for usevvithi Sun Povver DC and AC modules
The InvisiMount product was specifically envisioned and
Bpst-in-class system reliability and aesthetics
Combine , ;unF� er odiales andengineered to pair with SunPower modules. The resulting
mo^ir:orir. 31-,p system-level approach will amplify the aesthetic and
installation benefits for both homeowners and installers.
` sunpower.Com
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i
ModOe*%fetid Clamp and Ra: °•acclule*i End Clamp and Ral
Mid Clamp End Clamp Rail R Ra:I Spl,:e Ground Lug Assemoly End Cap
Ternaerdture C•'C[e 90 (-Jr"
tn 194'F)
Component Material Weight - - — .... 3000 Pa up..ft ........— _.......... ..
_....... Max . ,ae(LRFD)
�__.... 6000 Pa dnwrl rrce l
kid Clam, B:ack oxide s-Lainless steel AISI 304 63 0z)
End Clamp Black anodized alumun,m alloy 6063 T6 110 g(3 88 oz)
Rad Black anodized aluminium alloy r,005-16 830 g/m 0 ozlft)
Rad Splice Aluminum alloy 6005 TS 830 gim(9 oz.,t) 25 year product warranty
War•artres
Ground Lug 304 stainless 106 S ghr:(3 75 oz) 5-year finish,.varranty
P=_sembly (A2-70 boih tin-p ated copper - - ...............-....... ---....--...-----.-..-._...._
.._......_.......................... ................---............ -..........................._. .............._...:
! _.._...._...._..........__ a;rer _....I_.n.__d...._g......(..0..�i }End Cap Black acetal(POM)rop ....... ............ —
.
_ UL'703 Listed
Certikdtlons
Gass A Fire Rated
I
Compostion Sh ngle Rafter Attachment
Application
Composition Shingle Roof Deciang Atta(hrrient
Curved anu Fldt Tile Roof Attic!anent
Un versa)I^terface for Other Roof Attachments Refer to roef ara.hment hard care manufacturers documentation
*N40d ile frame rnat:s cornp bole with the;€nvsiMount system required for ha•cware interoperability
&2015 SunPower Cot poration All Rights Reserved SUNPOWER,the SUNPOWER logo.and INVISIMOU*1T are uaa:rnarKs or registered
v ademarKs of Sur:Power CrnporaE on A:oilier t ademarkt.are tl+e pr open ty of their respe(!ave evrne'; Sunpowe!Com
Specifications Inducleci in this date nest.are subject to cnange witho!t notice Document#509506 RevC
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