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HomeMy WebLinkAbout44562-Z Town of Southold 7/25/2020 P.O.Box 1179 53095 Main Rd pr, Southold,New York 11971 i CERTIFICATE OF OCCUPANCY No: 41283 Date: 7/25/2020 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 225 Pine St,Mattituck SCTM#: 473889 Sec/Block/Lot: 141.4-36.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/17/2019 pursuant to which Building Permit No. 44562 dated 12/26/2019 was'issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for ti which this certificate is issued is: roof-mounted solar panels on an existing one family dwelling as applied for. The certificate is issued to Nuon, Sarann&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44562 2/7/2020 PLUMBERS CERTIFICATION DATED Authorized ignature �o�suFFo TOWN OF SOUTHOLD aye BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE o • SOUTHOLD, NY 0 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#: 44562 Date: 12/26/2019 Permission is hereby granted to: Nuon, Sarann & Ors. 34 Hempstead Dr Sound Beach, NY 11789 To: install solar panels as applied for At premises located at: 225 Pine St, Mattituck SCTM #473889 Sec/Block/Lot# 141.-1-36.3 Pursuant to application dated 12/17/2019 and approved by the Building Inspector. To expire on 6/26/2021. Fees: SOLAR PANELS $50.00 CO-ALTERATION TO DWELLING $50.00 ELECTRIC $100.00 otal: $200.00 Building 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. 11/7/19 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 225 Pine Street Mattituck House No. Street Hamlet Owner or Owners of Property: Mary Cecelia Bush Suffolk County Tax Map No 1000, Section 141 Block 1 Lot 36.003 Subdivision Filed Map. Lot: 'l Permit No. 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 Applicant Signature of Town Hall Annex ., ,.fes®r� Telephone(631)765-1802 54375 Main Road `zJ' `' r Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 sean.devii n(aD-town.Southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Sarann Nuon Address: 225 Pine St city Mattituck st: NY zip- 11952 Building Permit# 44562 Section. 141 Block 1 Lot- 36.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Logic LLC 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: 14.715kW Roof Mounted PV Solar System w/25 Spr-E20-327w-E-AC Panels with Micro Inverters Notes* Inspector Signature: Date: February 7, 2020 S Devlin-Cert Electrical Compliance Form As Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, ffl-wACe (af"k residing at 22.6 A n t? Dt (Print pr erty owner's name) (Mailing Address) r utl- C �y do hereby authorize GreenLogic LLC (Agent) to apply on my behalf to the Southold Building Department. o (Owner's Signature) (Date) rQCS�• (Pr'(Prha Owner's Name) CONSENT TO INSPECTION �LC4\ ,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 225 Pine Street, Mattituck, NY 11952 , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 141 ,Block 1 ,Lot 36.3 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: l� 3fl I i q 44wk (Signature) C (Print Name) (Signature) (Print Name) SOUTyo� I...+ 1 562, SZ✓ -PI"S # # TOWN OF SOUTHOLD BUILDING DEPT. = `�courm e�' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING ' [ '] FRAMING /STRAPPING [ ] FINAL [. ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ],FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) SQ [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR J .AMES J. S TOUT A R C H I T E C T & Assoc . 2 G REG L ANE E AST NoRTHP0RTN. Y. 631 - 8 58 9388 Post Installation Letter January 24, 2020 RE: Bush Residence 225 Pine Street Mattituck, NY 11952 To Whom It May Concern: This letter is to confirm that as of this date January 24, 2020 I, James J Stout, NYS license 021633 have personally inspected the placement and installation of the roof top solar panels at the above listed address.All of 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 all related provisions.The installation of panels was done as per plan. James J. Stout Architect 1 ��FtE AR &0 SES Tp, �1 021633 '�OQ� 0 FIELD INSPECTION REPORT -DATE COMMENTS FOUNDATION (1ST) -- -------------------------------------- FOUNDATION H --------------- ---------------- FOUNDATION (2ND) cloH �. ROUGH FRAMING& � PLUMBING H cn r , INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS C * pj O Z O . a H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 l Suryey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,2' Single&Separate I 0 Truss Identification Form Storm-Water Assessment Form Contact: Approved 20 Mail to: GreenLogic LLC Disapproved a/c 97 North Sea Road, Southampton, NY Phone: 631-771-5152 Expiration fZ0 , ` pector r NOV 1 ^�q APPLICATION FOR BUILDING PERMIT Date November 7 , 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 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 au orized inspectors on premises grid in building for necessary inspections. GreenLogic LLC C 1 �7 2019 (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 Mary Ceclia Bush (As on the tax roll or latest deed) If applicant is a corporation, si ature of duly authorized officer Nesim Albukrek, President (Name and title of corpor e officer) Builders License No. 40227-H Plumbers License No. N/A Electricians License No. 43858-M Other Trade's License No. N/A 1. Location of land on which proposed work will be done: 225 Pine Street Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 141 Block 1 Lot 36.003 Subdivision Filed Map No. 1 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 Alteration Repair Removal Demolition Other Work Roof mounted solar electric system (Description) 4. Estimated Cost $68970 Fee $200 (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?YES NO X 13. Will lot be re-graded?YES NO X Will excess fill'be removed from premises?YES NO X 225 Pine St 14.Names of Owner of premises Mary Cecelia Bush Address Mattituck, NY Phone No. ' 315-885-1448 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 Southampton, NTM68 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 knrledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. SGNd hyo* t Sworn to before me thisOP�P gGa QggA Go day of 201 �p�Q�eso o�GS�kSO\" l Notary Public o��` Signature of Applicant Scott. A. Russell ��°�� � STORMWA&T]E]k SUPERVISORMAl�.`�jA\G]EM]El`�`'.T 7C' .SOUTHOLD TOWt4 HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971Town of Southold CHAPTER 236 - STORMWATER, ANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) -. ._ DOES -THIS PROJEC-f INVOLVE ANY OF THE ]FOLLOWING. tCHECK ALL THAT APPLY) Yes No t �� ❑D A. Clearing, grubbing, grading or stripping of land which affects more than 5,000-square feet of ground surface. ❑Q B. Excavation or filling involving'more than 200 cubic yards of material F within any parcel or any contiguous area. !' ®Q C. Site-preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal d-istance. ❑E] D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. El E. ,Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑Q F. Installation of new or resurfaced 'impervious surfaces of 1,000 square 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. I W APPLICANT. {Property Owner,Design Profe�iona,.Agent,Contractor,Otheri , c.I.M. �`: WOO Date - i DLStrict 1 141 1 36.003 11/7/19 mH Section Block Lot FOR,I UI l31 G mWMEi'AT'L'rMENJ-USE ONLYm"��� �€ 631-771-5152 < 'Contact IlliDftSLltlOff' .F( )', i :� Frriepka,x`iamb:,' t €' ;S Reviewed B�: Date: Property Address[Location of Con-itruction work: , — — — — — — - -- — — Approved for processing Building Permit. t, ) 225 Pine Street E I � Stormwater Management Control Plan Not Regttlred, MattituCk, NY 11952 ? Stormwater Management Control Plan is Requu-ed. i (Forward to Engineering Department for Review.). FORM *'SMCP-TOS 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 roper rlche!i@town.soiathold.ny:us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Barbara Casciotta Date:, 11/7/19 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: AM@Greenlo ic.com Address: 97 North Sea Road, Southampton, NY 11968_ Phone No.; 631-771-5152 JOB SITE INFORMATION: (All Information Required) Name: Mary Cecelia Bush Address: 225 Pine Street, M_attituck NY 11952 Cross Street: Phone No.: 315-885-1448 Bldg.Permit#: email: Tax Map District: 1000 T Section: 141 Block: 1 - Lot:• 36.003 �j BRIEF DESCRIPTION OF WORK(Please Print Clearly) Roof mounted solar electric system (45) SunPower SPR-E20-327-E-AC panels with micro-inverters Circle All That Apply: Is job ready for inspection?: YES /E] Rough In Final Do you need a Temp Certificate?: YES NO Issued On 'Temp Information: (All information required) Service 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 GREENLOGICO ENERGY November 7, 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 Mary Cecelia Bush who has engaged us to install a roof mounted solar photovoltaic(PV) electric system located at 225 Pine Street, 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 XNO, 2019 • 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, DEC 1 7 2019 Barbara Casciotta Account Manager v s'c`i Barbara@Greenlogic.com 631-771-5152 ext. 117 GREENLOGIC LLC m www.GreenLogic com Tel. 631 7715152 Fax- 631 7715156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd., Suite 3 200 S Service Rd ,#106 Southampton, NY 11968 Rosyln Heights, NY 11577 • SP . LOGIC° ENERGY January 31, 2020 The Town of Southold FEB - 5 2020 Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 44562 Marcy Bush 225 Pine Street, 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, 53aJaw ea6cufta Barbara Casciotta Account Manager Barbara@Greenlogic.com 631-771-5152 Ext. 117 GREENLOGIC LLC ®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 r I I , i I i i I I , "C E,rPtF+ct m W.,m ar NNS ,..Y\WAP,tID+�•Gt4�Pr+ar+Di*t'ou. _ tA6 '! K•C^atY r ra lits fcMP.t:Y�4#Kch NV It' NJl1 W ^#rJdi t! ��N{Aw #WirC k�iv9 p q AC!{ i ,I,r Ptn an�v..+ei H r eP x.Y,✓Aa mr nM ting e4•x .���gpf I pxrYJrrrjA taH11 ar"Os WnTv kAr WI wA, *'dft4ftdW&LAW SM,OR Be 4 Oro W t p%'Is osriq[Rt0 rp •� +334 Fox shin,wallrtx a�w+x*a1 np,e+rm alfruv�+. ou a r'OW"+w.UDV b8 YMwsi/l4 M4 Itxwne afeanuy om nr+Etn:ewo t�+ �t ► � � '6 Iq I ri�ssrela W blx Inwwo.r.- PQ hr 9yyxntW AIOx Nxt rRNSFOxWr vo,, Area- 24,W 91. 40 It ti irk• - 513�5 �,re Swvey of lDewx{bed Pr+oWty saLato CI tOA Mrittl Town of Southobd Michael W. Minto. L.S.P.C, Suffolk County, New York LON"D f"Fropoms.t"n1D SumtYGM, Olstrlcl 1040 SoOlon 141 Block I Lot O ar W*44VIOW "no kale 1a= 30' Surttayed January 161, 2018 Gtlrlitlad lo: eantemaeh, M.Y. ! VZO (IRAPH1C SCALE ra{NI[/71a4 SfYA1v UQK MMq JGt4 VVW QUW W 1MRY f£4{;y5 ILIA 4nvtJ}x tax,? ree rox� WvsAc+5 WOM ICD 4A6+}'.C66) cx�>_•mw,.,,lr,®r10o�o;t c —_- gSUR tW"Ilr w5tru a L�W!'+tYi GtaftVrFED PA arc ns sucasums W1itP.AMA$.Ad ntW 1411m 5 Wt 49LO t a4 FUT� x urf• eo it I I I I , 1 I I - zz' "K: A 0 Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL MG14WAY HAUPPAUGE,NEWYORK 11788 Y�' DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY Home Improvement Contractor License This is to certifv that MARC A CLEAN ..... doing business as GREEN LOGIC LLC having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules Jr- and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTM,in the County of Suffolk. Additional Businesses NOT VALID WITHOUT AMC I DJ�PARTMEC£�x1 S f r5��<)3 INTAL SEAL AND A CURRENT CONSUMER AFFAIRS ID CARD Director ;M & J -V x ROM, W .0 ,lic- Suffolk County Executive's Office of Consumer Affairs t $ p VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 r DATE ISSUED: 12/10/2007 No. 43858-ME i SUFFOLK COUNTY _ Master Electrician License 'l This is to certify that ROBERT J 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 f NOT VALID WITHOUT DEPARTMENTAL SEAL AND W CURRENT CONSUMER AFFAIRS II)CARD Director i � f .aco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �--' Fol/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 9414405 128 Old Town Road,Suite C E-MAIL . CustomerService@ brookhavena enc .com P.O.BOX 850 INSURERS AFFORDING COVERAGE NAIC p East Setauket NY 11733 INSURER A: Southwest Marine&General Insurance Co. INSURED INSURERS: 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 ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE � OCCUR DAMAGE TO RENTED $100,000 X Contractual Liability X X OL201900012922 01/31/2019 01/31/2020 MED EXP(Any oneperson) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 PJECT LOC PRODUCTS-COMP/OP AGG $2,000,000 POLICY[j] OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ OWNEDSCHEDULED X X CAP1043565 08/11/2018 08/11/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS UAB CLAIMS-MADE X X UM201900007751 01/31/2019 01/31/2020 AGGREGATE $1,000,000 DED I I RETENTION 0 $ WORKERS COMPENSATION X 'TA LITEPER FIR AND EMPLOYERS'LIABILITY D ANY OFFICER/MEM ER EXCLUDED? NIA NIA V9WC857891 0611512018 06/15/2019 E L EACH ACCIDENT $1,000,000 (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 Disability D251202 04/11/18 04/11119 Statutory Limits E Installation Floater/Property SML93076366 4/15118 4/15/19 $250,000 $1000 Ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be 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 "W Workers' CERTIFICATE OF SY OTARTI(E =nsatlon NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b Business Telephone Number of Insured 631-771-5152 Greenlogic LLC 97 North,Sea Road Suite 3 1 c:NYS Unemployment Insurance Employer Registration Number of Southampton NY 11968 Insured Work Location of insured(Only required if coverage is specifically limited to I d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i&,,a 10ap-Up Policy) Number 203801104 2.Mame 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 I'la" Building Dept,53095 Route 25 V9WCO23041 Southold NY 11971 3c.Policy effective period 0611512019 to 06/15/2020, 3d.The,Proprietor,Partners or Executive Officers are E] included.(only check box if all partneWofficers included) Ox all excluded or certain partnerstofficers excluded. This certifies that the insurance carder indicated above in box"T'insures,the business referenced above-in box'1a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed underIlmn-M on the INFORMATION PAGE of the workers`compensation insurance policy). The Insurance Carder or its licensed agent will send this'CertiFicate'of Insurance'tq 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-nonpaym6nt of premiums or within 30 days lF 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 carrier or its licensed agent,or until the policy expiration date listedinbox"3c",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,policly 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 overage 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 (Pent name cnzed representative at licensed agent of insurance carrier) Approved b -J, ature) (nate) YA#1 (Si fi - 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-106.2.Insurance brokers are NQ1 authorized to Issue it C-106.2(9-17) www:web.ny.gov J ' A "M E S J. T o U T A R C H I T E C T & Assoc . 2 GREG LANE E AST NO R T H P O_R TN. Y. 6 31 — 8 58 9388 CO3I'v►PL`r WITH ALL CODES OF Letter of Certification NrW YORK STATE & TOWN CODES AS REOUIRED WNL CONDITIOINS OF November 4, 2019 SV'4 P!��- _ 59UT4g BOARD Bush Residence S 1�EES 225 Pine Street _ Mattituck, NY 11952 L-11.5.DE 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 roolf 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) (2nd Printing) and 2017 New York State Uniform Code Supplement(2017 NYSUCS) as well the Long Island Unified Solar Pen-nit Initiative (LIUSPI) and the 2014 National Electric Code NFPA 701 2014 National Electric Code, and the ASCE 7-10. The existing 2"x 8" @ 16"o.c. and the 2"x 6" @ 16"o,c. roof rafters will provide the required support. Thank you for your understanding in this matter APPR0'E-0 A 9 N 0 9 E1) DAT f)s-P.#SY JCto_?— James J. Stout FE r,,,,..-..... W NOTIIFY 3UIL PJNG DEPARTMENT AT 755-1802 8 At,n -1-0PIMFOR THE FOLLOWING INSPECTIONS: FOUNDATION! - TVV0 REQUIRED FOR POURED CONCRETE 2. ROUGH ; FRAMING & PLUMBING 3.4. FINAL - CONSTRUCTION MUST BE COMPLETE_ F09 CO. 021633 yALL CONSTRU(:TION SHALL MEET THE OF NE`s REQUIREMEN T S OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. GREENLOGOV ENERGY GreenLogic,LLC Approved Bush,Mary 225 Pine Street Mattituck,NY 11952 Surface#A: i Total System Size:14.715kItV Array Size-8.175kW 1 circuit of 8 on a 20A breaker 1 circuit of 6 on a 20A breaker x x 1 circuit of 11 on a 20A breaker Azimuth:151' r� Pitch:36° Monitoring System: SunPower Panel/Array Specifica%ians: Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" x Array:35'4"X 28' - ='f Surface:38'1"X 34'1" Magic#:Invisimount Legend: 25 SunPower 327W Panels ® SunPower Invisimount Rail ® 64 Quick Mount E Lag B 2x8"Douglas Fir Rafter 16"O.C. - 7-77-7 Notes: Number of Roof Layers:1 i� Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof,load of PV System-3.5psf Engineer/Architect Seal: E� AR f C 10 q 021635 FN Dra y:MA Drawing#1 of 14 rDravong /2019REV A Scale:3/16"=1.0' GEEL GOC° ENERGY GreenLogic,LLC Approved i Bush,Mary 225 Pine Street Mattituck,NY 11952 Surface#A: Total System Size:14.715kW Array Size:8.175kW 1 circuit of 8 on a 20A breaker 1 circuit of 6 on a 20A breaker ------------- 1 circuit of 11 on a 20A breaker Azimuth:151* i Pitch:36° Monitoring System: 1 SunPower Panel/Array Specifications: -; Panel:SPR-E20-327-E-AC Sv ..Y��> Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:35'4"X 28' Surface:38'1"X 34'1" Magic#:Invisimount Legend: ® 25 SunPower 327W Panels SunPower Invisimount Rail ® 64 Quick Mount E Lag 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 i Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: ER AP 163A �F NE`N Drawry y:MA Drawing#2 of 14 Da 111/1/2019 REV:A Drawing Scale:3116"=1.0' GREENLOGOV ENERGY GreenLogic,LLC Approved Bush,Mary 225 Pine Street Mattituck,NY 11952 Surface#A: 3 Total System Size:14.715kW Array Size:8.175kW 1 circuit of 8 on a 20A breaker 1 circuit of 6 on a 20A breaker I circuit of 11 on a 20A breaker Azimuth:151' Pitch-36" X3 gy\ Monitoring System: SunPower Panel/Array Speci Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:35'4"X 28' Surface:38'1"X 34'1 7 Magic#:Invisimount Legend: 25 SunPower 327W Panels SunPower Invisimount Rail a 64 Quick Mount E Lag 3 W Douglas Fir Rafter 16"O.C. 3 Notes: Number of Roof Layers:1 A, Z/\ Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System*3.5psf Engineer/Architect Seal: 3 AR S L to 3 ypQ OF N14 Drawn y:MA Drawng#3 of 14 l 1/1/2019 1 REV:A Drawing Scale,3/16"=1.0' � GREENLOGDC' " ENERGY GreenLogic,LLC Approved Bush,Mary 225 Pine Street Mattituck,NY 11952 Surface#13: Total System Size: 14.715kW Array Size:1.308kW 1 circuit of 4 on a 20A breaker Azimuth:151* Pitch:20° ............................................................ Monitoring System: ti SunPower \ PaneVArray Speciifcations: i Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:6'11 1/8"X 10'3 1/2" Surface:7'7"X 12'1" Magic#:Invisimount i Legend: i1 ® 4 SunPower 327W Panels I SunPower Invisimount Rail I ® 8 Quick Mount E Lag 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 i Height above Roof Surface:4" NV N Materials Used:Quick Mount,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: Vk AR, �-CO �5 ] ST i -9 ' 6?21635 �0 �F N 4 Draw By:MA Drawing#4 of 14 ate:11/1/2019 REV:A Drawing Scale: 1/4"=1.0' K EENL I ® ENERGY GreenLogic,LLC Approved Bush,Mary 225 Pine Street Mattituck,NY 11952 Surface#B: Total System Size:14.715kW Array Size:1.308kW 1 circuit of 4 on a 20A breaker Azimuth:151° Pitch:20° ........ ....... ........ ........ ......... ..... Monitoring System: SunPower i" PaneiiArray Specifications: Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:6'11 1/8"X 10'3 1/2" Surface:7'7"X 12'1" Magic#:Invisimount /K I Legend: ® 4 SunPower 327W Panels SunPower Invisimount Rail i ® 8 Quick Mount E Lag B 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: Vk AR ST y 02163'5 A OF NEN1 Drawn y:MATR rawng#5 of 14 r 11/1/2019EV:A Drawing Scale:1/4"=1.0' 0E L1C ENERGY GreenLogic,LLC Approved Bush,Mary 225 Pine Street Mattituck,NY 11952 Surface#B: Total System Size:14.715kW Array Size:1.308kW 1 circuit of 4 on a 20A breaker Azimuth.151' Pitch:20° ........................................................... Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" 4 Array,6'11 1/8"X 10'3 1/2" Surface:7'7"X 12'1" Magic#:Invisimount Legend: ® 4 SunPower 327W Panels ® SunPower Invisimount Rail ® 8 Quick Mount E Lag B 8 2x8"Douglas Fir Rafter 16"O.C. 4 Notes: Number of Roof Layers:1 Heiqht above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: a Aq � 9 21633 y®Q OF N�� Drawn y:MA Drawing#6 of 14 n��1/1/2019 REV:A Drawing Scale:1/4"=1.0' : EL®GOC® ENERGY GreenLogic,UC Approved Bush,Mary 225 Pine Street Mattituck,NY 11952 Surface#C: Total System Size: 14.715kW Array Size:2.289kW 1 circuit of 7 on a 20A breaker Azimuth:151' Pitch:20' Monitoring System: SunPower ON PaneliArray Specifications: Panel:SPR-E20-327-E-AC Racking.SunPower Invisimount Panel:61.39"X 41.18" Array:20'7 3/4"X 6'11 1/8" Surface:27'2"X 9'7" Magic#:Invisimount Legend: 5::P7 SunPower 327W Panels SunPower Invisimount Rail ® 18 Quick Mount E Lag ------- ----- 77 8 2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers-1 f 7 Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: Q I Sy� , .A .y OZ 1633 y0�' �F NE�J Drawn y:MA Drawing#7 of 14 11/1/2019 REV.A Dravwng Scale- 1/4"=1.0' � ENLOGOO' ENERGY GreenLogic,LLC Approved Bush,Mary 225 Pine Street Mattituck,NY 11952 Surface#C: Total System Size:14.715kW Array Size:2.289kW 1 circuit of 7 on a 20A breaker Azimuth:151' Pitch:20° Monitoring System: SunPower Panel/Array Specifications* a Panel:SPR t. Racking:SunPower Invisimount Panel:61.39"X 41.18" " ri F1 I Array:20'7 314"X 6'111/8" Surface.27'2"X 9'7" Magic#:Invisimount Legend: ® 7 SunPower 327W Panels ® SunPower Invisimount Rail ® 18 Quick Mount E Lag 2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 \ _ i Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof toad of PV System:3.5psf Engineer/Architect Seal: t AR -q 02163$ Dra y:MA Drawing#8 of 14 D 11/1/2019 REV.A Drawing Scale: 1/4"=1.0' i NEIN EQUIPMENT—.__.._.-.._________._......__..--------- __� EXISTING SERVICE --PV---SA---1 A: AC-COMBINER PANEL 120/`2401, 1PH, 3W AC-CMB-1 - ................._....._..__......... • • • } (PV LOADS ONLY) 200A KWH i .... PV-SA-2 I ; X-. Fml,. . . I A 6 N t f iE -• I _ ' I ----, I BKR-1 AC DISCONNECT � } E II BKR-2 PV-SA-3FM 0 I ' II V� BKR-3 d f }- MAIN B I I III BKR-4 fFlU_SED , A PV—SA-4FM [T * � I. • . ! I I N IEGC 3 ! I I � N TYPICAL PV MODULE WITH I i 1 INTEGRAL DC/AC INVERTER III ( ECC13 EGC IIII I I + I EXISTING AC PAN EXITING Lvi__....-----__.____-_____L ._ ._._ _ c cu ------ s PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Bush, Marcy rmf GREENLOGIC 225 Pine Street ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Bush-3LD1 Revision: 1 Revised: 10/4/19 EQUIPMENT& COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 12-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 12-MODULES PV-SA-3 PHOTOVOLTAIC SUB-ARRAY EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 12-MODULES PV-SA-4 PHOTOVOLTAIC SUB-ARRAY EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 9-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX. AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3924 WATTS 211-264 VAC 15.95 A AC 240 V, AC PV-SA-2 3924WAT FS 211-264 VAC 15.95 A AC 240 V, AC PV-SA-3 3924 WATTS 211-264 VAC 15.95 A AC 240 V, AC PV-SA-4 2943 WATTS 211-264 VAC 11.96 A AC 240 V, AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Bush, Marcy GREENLOGICO 225 Pine Street Ct ENERGY Mattituck, NY 11952 ELIMINATING THE COSI' OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION �. Page 2 of 3 Drawing No: Bush-3LD1 Revision: 1 Revised: 10/4/19 EQUIPMENT& COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMBP AC COMBINER PANEL 25OV, 200A, 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 BKR-3 CIRCUIT BREAKER, PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-4 CIRCUIT BREAKER, PV-SA-4 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 60A CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 2" PVC-40 4 / 6 C THWN-2 2" EMT 4 / 6 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUIT TO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE RE- QUIREMENTS. 4.) NOTE: GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Bush, Marcy LOGIC. 225 Pine Street ENEMY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Bush-3LD1 Revision: 1 Revised: 10/4/19 SUNPOWER' j SunPower'll' E-Series: E20-327 I E19-320 SunPoweCR" Residential AC Module Built specifically for use with the Sun Power Equinox"system,the only fully integrated solution designed,engineered,and warranted by one manufacturer, Maximum Power. Minimalist Design. ll/ A Industry-leading efficiency means more power and savings per availaole space With fewer modules required and hidden rnicroinverteis, less is truly more Highest Lifetime Energy and Savings. C ell Designed to deliver 60%more energy over 25 years in real-world conditions like partial shade and h gh temperatures.' ,5Li ,<: Fundamentally Different. And Better. 04 Up to T 60% W more d e lifetime v y aoro energy conventional Module N The SunPower,'MaxeciWiSolar Cell Years of operation • kir abes'righes*-efficiency IT':DUieS aVdli3ble. Best Reliability. Best Warranty. • U-mat'rhed r i,ahiaty' • [later,ed solll d metal fou.ndalion With more than 25 million modules deployed around prever:.ts bre:, age an cor'c o;, the world,SunPower technology is proven to last That's ' why we stand berind our module and micro everter with the indUstrys best 25-year Combined Power and Product Warranty;Including the highest Power Warranty In solar 4v L Factory-integrated Microinverter a v • Sit q)ler,faster irlstallat;c: : .Z� • Int':F-rted w re rna^agem ' c t. SunPowerl 12% raoid s."utdown ate, S81% more h 9, • Engineered a:-,:,J caibrated by cconventional Module power ` Y,C95 Y S'unF'wker`or SunPowe-rrodi le_ in ear � alp. �i 83% 25 Years of operation Datasheet E-Series: E20-327 I E19-320 > A!- vji�r ki,-,idermal AC Module Inverter Model:Enphase IQ 7XS(IQ7)(S-96-ACM-US) @240 VAC @208 VAC ................................................................................... ...........-.1-1-1-1.1.1.1.11-1--.......................................................... Peak O,jtput Power 320vA 320 VA ...........—............. May Corilinucu,,Output Power 317 VA .315 VA Nom lL-QVc;IragP/Ran8e-1Ui 240!21'-264 208/183-229 —.1.............................I................................ .................................. ................ ...........................................----..................................... ........... ....... .........._- Max ......... Max (A) 131 1 S1 ................................... Ma), (huts Fier 20 A(1-1)B,-arjrh.C jr(ult 12(singie phase) 10(two pole)wye . ............... ........................-- ...................... CE:C Weighted Fff,r:Er1.(y 97 S% 97 0-4-'j Nom Freqi pn,7-/ 60 H-7 ............. ....... ..................... ..................................... ...........- ....... ............ ..................... . . ........................ .......... ......... ................................ ......................... ................................................. E>coni-jed Crequericy Range 47-68 H7 ........... ........................................................................................... ........... . ....... ................... .............................-............................................................... .............. AC.`_short Circuit Fault Currerit Over-5 Cyde-,, 5 8 A rens O-,PrV0Irj9e CIZISS AC PC", K-Port Ba(l-fved Curtert 18 mA ............. Pawpr r atter ttrtt 1 0 Pip we Factor 0 7 leap I 0 7 sag Nc active pha�E fc:,;gree pl�a�,e nsta 13 ......................... .................... —------ . . .............. SPR-E20-327-E-AC SPR-E19-320-E-AC 25-yeai limited power wai rarT Warranties ..................... ----................... .... 25-year limited prod-j—, wet rarity NomPower (Priapi) 3 W 320 W ................ ... .................. ..........................-................... ........................................ ................... ....................... .. Ut 1703 Power Tot +51-0% -S/-Olt Ut 17»1/IFFF-1547 Certificjt�cins i99% Module Effictency 20 UL 1741 AC Module(Type 2 fire rated) arid 0 35%/'C -0 35%!*C -C 62109-2 :emp Coef(Power) UL 62109-1!IEC•FCC Part'15 Class B -Threel)v ass diodes p 0003 Class B Shade 7ol. ­ntograted rrodule level maximum CAN/CSA C22 2 NO 1071 01 power point tracking CA Rui e 21(UL 1741 SA). (Includes VoltNar and Reactive Power Prici,ty) UL Listerl PV Rapid Shutdowr.Equiornen't, Operating Temp -401F to+185'F(-40'C to+85°C) ................................................................. :es:nstaIIai&io!)::atter(lance win .......... Max Ambient Temp i227(50-C) Fnao ,NFC 690 6(AC module) ............................................-.................................................................. ................... --........................... Wind 62 p,.;f 3000 Pa.305 kg/rn.2 front&back NEC;-;90 12 Rapid ShUtclown kin5ide and outside the array) t:+ax :padSnow 125psf.600OPa,611 kgIrnIft-ont NEC 64015 A'Connectors;,690 33(A)-(E)(1 .................................................................... .................... ....................... ....................... ........................ :'mr-h(2.3 rn./S) Wrier:used watt InvisiMount racking and Invisilvlount accessories �nical D---la (UL 27G3) Module grounding and octroling througi-,invisiMount Solar Cells96 Monocrysta.line Ma:eon C,en Ili Class A fire rated ............. . ..................................................... ............-------- HiHightransmiss:on tempered glass warn W;en used witn AC module Q Cables and a(tesso,itm,f1A.6703 and Pr ont Class ani-reflective-eating UL 2238'P Erivronryiental Rating OutdooF rated Ratej for load creak d-sconnect Frame Class I black anodized(highe,;i AAMA rating) Pi D Test Potential nduced degradation free .. ...... ............................. ...... .......... ............................................................................... i--_...._....- Wei-ht -12 9 lbs(l 9 S kg) -!,- - -------------------------- --- -------------------- . ............................_._..........-- i .................. Recommended Max 13 in (33 rnm) Module Spacing 1 Suntirwer 360 W compared to a conventional module or,same-sizedarrays(260 W,16",5 46 mm effirtent,approx,6 m-),4%,nore energy per watt(based on thi rd panymoduie characteri?ation and PvSim).0 154.1y,slower degracip-11 on(Czmpeati,Z etal"SunPower Module Degradation Rate,"SunPower whize pacer,20131. 2 Eased on search of top 10 rnanufactuiefs per IHS,a5of January 2017. �-30M.— 3#1 rank in"Ft aunhofer PV Durab;:;ty Initative for Solar Modu et,Part.',"PVTerh Dower Maga7ine.20151 Campeau,2 etal"SunPower Nlod tile Degradat ion Rate."SunPower white paper 2013 4 Factoryset to I F47a.2014 default,settings CARWe2l defFultnefla,gsprol'siel,"during 393 MM commissioning See the Equinox installation Guiue#5!a101 foirmoreinformation (15 sin) 5 Standard Test Conditions(1000 WrW irradiance,AM ..5,25`C)NPEL ralibration fi standard.SOMS current,L.ACCS FF and vol All DC voltage is fully contained within the V .......................-- ......................... ..........—---- module I as PVRSF and ronform5 with NEC 2014 and NEC2 011-1 691)12, 4�1— 6 Thi�p�orlurt is Ut.Listed 7 2 in) and C22 i-2015 Rule&1-218 Rapid S iiii(down of PV systems,for AC and DC rt;rductors, when installed according to manufacturer's instructions See www.,,unpower.cornifial-ts,for more refeterice information. For more details,see extended datasheet",rw sunpower.con i/datasheet- a U Sciecifications included in this datasheet.-a E4=10 NPOWER ;t:,2018 SunPowef Corporation All Rights Rese,ved SUNPOWER,the Aho"Fire Pepto maze Type 2 SUNPOWER le-go and MAXL-C;N are registerei.]tradernarks CfSun Power 531948 RevA Corporatior: i heUS and oiltiercountries askell 1-800-SUNPOVVER pleaceieadthm;Safety-3!I'd:nstal.avon invn tic"wom ton detzji-s sunpower.com Simple and Fast Installation Ir c- r3 re m .duln o r- I-ro nc:ng Pre .sse k I cl rrid iC erdOR HIM I_ev. t: g, id carni for ea r. la erre: t a � •i�lx�'i:x(lF .alfiirl{1 Ilit..F.es ..,n sfsl�.7t.,P-'�^, l n"n�to E pacing `airy p p, ,rdledi ail i.-lif.e iO3 List_ii :=ii r,at%:'d re;r,E :.rig Flexible Design AddJe.ss('.>'ic:rlyall 5lt)of 1 ide1 t.h. rftoi'�. De.sign ire I ridscap .emd, fro Hak f', .s a is r a�sy o0stacle maragemer-11. Customer Preferred Aesthetics777 .__ h ou_,ir unci 1. n ounr ng at stl eti._s Bee ir. crass system aesthetics Elegant Simplicity err: rr: Rack anodizeu,components SunPower," InvisiMountlm is a SunPower-designed nWlen rr d .l til ps and er-,,i c drnos rail-based mounting system. The InvisiMount system and cai.tpec,tlusI rdis addresses residential sloped roofs and combines faster Part of Superior System installation time, design flexibility, and superior aesthetics, lilt ror use itn Srar'rv.e DC-and ftc mocJle'. The InvisiMount product was specifically envisioned and Be r t o _i ste r ahilit and aes herx, ;'t.mi ine ..l , ifi( . ..er dules ,n. engineered to pair with SunPower modules. The resulting n"oritorir'o;a=nr, system-level approach will amplify the aesthetic and installation benefits for both homeowners and installers. sunpower.com Module';f'vlitl Cl:;r:ip d Rd' Moc';ole*;E :d:larrp e)d RO I Mid Camp End Clamp Rail k Rail Splice Ground Lug Assemnly Eno Cap "4 -Oja Ni TeniDe,acure -40 C to 90 C(-40'F to 194'F) Component tJatenaa :'.,e`,h -- - - -- -..........: ) . -- -.............._.. -- ....-- ----__..---— Max i oao(I-RFD) JJt .a upl tt Mid Clamp B aitc oxide s,alnlesL teei AISI 304 63 g(2 l oz) 6000!'a lnwr(orce _ — ..............__......................_. ...__. ..----------- ---' End Clamp B acs arou+zed aluminum alloy 5063 TCi 1'I 0 g(3 88 oz) Rad Baca anodized aluminum alloy 5005 16 830 gim(9 Oz;fi) Rall Solite Aluminum alloy 5005 TS 830 g/m(9 oZ:`ft) 25 y<aar product warrarsty Grour:o Lug 304 stam',ess Warranties Assembly (A2-i0 bolt,Ill-plate o topper ug) 106 5 girt(3 75 or) 5 year fir.:-h varranty End . _ ....._................. ......._............................. ....... _.... — Cap Bark x:cetal(ROPvp apoym er 10 4 g(0?i c:<) - -....._._...._..__.. CIL _ 2103 seed G��rfitaucrs ..., Clasp A Fire Rased (:nripusi.u:)--Shingle Rafter Aaarhmeni Compos i.ion Shingle Roof Det,Ing Attacni-neni t,olau:a onCorded and-iat Tile Roof Air ict u'r,eri Un vernal Interface,for 0-her Roof Attainments Wei to roof at arl-rrient hardWaie manu`ac�rets documentation kMoe;:.de trime that:s corn pac:blr w,h Che Irn•.siMount s-y54—!n req uIied for hi,dwarr,meeroperab!Irty Power c or poration All Rights P,ezeived SUNPOvJ-R,the SUNPOW R logo..ar:d INVISIMO,UNT rite trot,,;m.arxs or registered a.=torr s of Sr�rPowE r Corporal:nn Ai;other tradeYnzrks arc ti:e rroperty of tLerr resrer::vc cwre!, s.nptrcvcrY Cum .;,e:�'::.;3i.ere�rclr.cSe:J:n s.nis data;hecr are sub)e;;to change.v�tho€:t nrt!ra Document#509506 RevC SUNP r