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�.� CpGy, Town of Southold 7/30/2020 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41301 Date: 7/30/2020 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1240 Inlet Ln., Greenport SCTM#: 473889 Sec/Block/Lot: 36.-2-24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/11/2020 1 pursuant to which Building Permit No. 44859 dated 6/11/2020 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof-mounted solar panels to existing single-family dwelling as applied for. The certificate is issued to 1240 Gull Pond LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41301 7/23/2020 PLUMBERS CERTIFICATION DATED Authorized Signature rr TOWN OF SOUTHOLD ��o�g11FFo(,�CO�y BUILDING DEPARTMENT TOWN CLERK'S OFFICE W_ . g 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#: 44859 Date: 6/11/2020 Permission is hereby granted to: 1240 Gull Pond LLC 115 Sutton St Brooklyn, NY 11222 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 1240 Inlet Ln., Greenport SCTM # 473889 Sec/Block/Lot# 36.-2-24 Pursuant to application dated 5/14/2020 and approved by the Building Inspector. To expire on 12/11/2021. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Total: $200.00 ilding Inspector Form No.6 ; =`TOWN OF�SOUTHOLD F ,BUILDING.DEPARTMENT j'TOWN HALL" i 1 765-1802 APPLICATIONYOR 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''accurat'e:location.of all buildings,property lines,,streets,and unusual,natural or topographic'features.' f-Final Approval from Health Dept. of water supply and sewerage-disposal(S-91orm): 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. 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-N,ew'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.,t New Construction: Old or,Pre-existing Building: X (check one) Location of Property:' 1240 Inlet Lane Greenport House No. Street Hamlet Owner,or Owners of Property: 1240 Gull Pond LLC Suffolk County Tax Map No 1000, Section 36 Block 2 Lot 24 Subdivision Filed Map. Lot: Permit No. S 1,' Date of Permit. Applicant: -GreenLogicLLC Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 50 Ayplicant Signature Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, Andreas Kanner residing at 1240 Inlet Lane, Greenport, NY' (Print property owner's name) (Mailing Address) do hereby authorize GreenLogic LLC (Agent) to apply on my behalf to the Southold Building Department. 04/30/2020 (Owner's Signature) (Date) Andreas Pfanner (Print Owner's Name) , CONSENT TO INSPECTION Andreas Kanner , 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 1240 Inlet Lane, Greenport, NY , which is shown and designated on the Suffolk County,Tax Map as District 1000, Section , 36, ,Block 2 ' , Lot 24 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: 04/30/2020 (Signature) Andreas Pfanner (Print Name) (Signature) (Print Name) ®' ov s®v��®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA Southold,NY 11971-0959 • y� sean.devlint'aD-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To 1240 Gull Pond LLC Address: 1240 Inlet Ln city,Greenport st: NY zip: 11944 Building Permit* 44859 Section: 36 Block: 2 Lot: 24 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 X 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 Fixture Time Clocks Disconnect 1 Switches 4'LED Exit Fixtures Pump Other Equipment: 11.880M Roof Mounted PV Solar System w/ (33) Sun Power SPRO-X22-360-E-AC Panels with Micro Inverters, Sun Power Solar Disconnect w/2-220 Breakers and 1-215 Breaker Notes: Solar Inspector Signature: Date: July 23, 2020 S.Devlin-Cert Electrical Compliance Form As rat soulyOlo L4 4 �S'� ?� C) l/V LC-f L AJ. # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION _ [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: ,f(111.E L L `�2<<�'C.� .r�loS� i�'l t�,� — Ok DATE hx) INSPECTOR Pacifico Engineering PC ___ Engineering Consulting 700 Lakeland Ave, Suite 2B �[, Ph-631-988-0000 Bohemia, NY 11716 �� 6[ G c solar@pacificoengineering.com July 14,2020 - Town of Southold Budding Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject. Solar Energy Installation for Andreas Pfanner 1240 Inlet Lane Greenport, NY 11944 1 have reviewed the solar energy system Installation at the subject address on July 14,2020.The units have been Installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets the requirements of the 2017 NYS Residential Code(2015 International Residential Code-2nd Printing modified by the NYS Building Standards and Codes 2017 Uniform Code Supplement)and ASCE7-10. To my best belief and knowledge,the work in this document is accurate, conforms with the governing codes applicable at the time of submission, conforms with reasonable standards of practice,with the view to the safeguarding of life, health, property and public welfare. Regards, Ralph Pacifico, PE Professional Engineer Z�Of N6 H PAc � 1 R i li= i 068182 Ne j Ralph P ngineer D NY 066162/NJ 24GE04744306/FL 87297 J U L 2 4 2020 BUMPING DEPT. Tin°'T . ,_ _ 7 TTHOLD FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) U) y ------------------------------- FOUNDATION(2ND) m z ' o - c ROUGH FRAMING& y PLUMBING INSULATION PER N.Y. H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS C, Li c 5 -� q-X-0 Com- asp �n s GIN m t� y , �O z H x d r� b y TOWN,'OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING'DEPARTMENT Do you have or need the following,before applying? TOWN,HALL, ofHealth Board` SOUTHOLD,NY 11971 4 sets of Building Plans TEL:,(631)`765-1802 .`E° Planning Board approval FAX:'(631) 765-9502, ',, s Survey,' Sout6ldtownny:gov ° PERMIT NO. Check 1; Septic Form : , N.Y.S.D.E.C. "'Trustees C.O.Application ' Flood Permit Examined l.�/i ,20 Single&Separate 15',,;' ,, ,i, .;,,,j;; `4: ,. „ ; rTruss Identification FO 'Storm-Water AssessmentForm� 1Coutaetc Approved' ,'20 Mail to: GreenLogic LLC Disapproved a/c 97.North Sea Road,,Southampton,'NY' { Phone: 631-771-5152 Expiration ,20 j 'APPLICATION FOR BUILDING PERMIT M AY 1 " '2020 „ I i Date 20P " ` . , ; • 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,prexnises,relationship to adjoining premises or public streets or areas,and waterways. ^ 6.t The work covered by this application'iriay'not be commenced before issuance of Building Permif. a.'Upon approval of this application;ihe: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`18months 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'constructiori`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 oVnaTne,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 1240 Gull Pond LLC (As on the tax roll or latest deed) If applicant is a corporation,'signature of duly authorized officer Nesim Albukrek, President ' (Name and title of corporate officer) Builders License No. 40227-H r, Plumbers License No. N/A' " Electriciansticense�No. 43858-ME '{ Other;Trade's License No. N/A 1.. Location'of land on-which proposed work will be done: 1240 Inlet Lane Greenport House Number Street Hamlet County Tax Map No. 1.000 Section 36 Block 2 ` Lot 24 Lot-, Subdivision'' Filed,Map No. 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 , ,5ingle 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 Fee $200 (To be paid on filing this application) 5.' If dwelling,number,of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ' 7. Dimensions of existing structures, if any: Front Rear Depth Height ' ` ' L. .Number of Stories' Dimensions of same structure!with alterations or additions: Front Rear Depth Height' Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 9/1,0,/20,1$,,;,• Nam`e'`ofForrrie'r'Owne'r ,Laura,Clempner 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 1240 Inlet Ln 14.Names of Owner of premises 1240 Gull;Pond LLCAddress Greenport, NY Phone No. 917-327-6032 Name of Architect James J. Stout Address 2 Greg Ln, E. Northport Phone No 631-858-9388 Name of Contractor GreenLogic LLC Add_ressW'North Sea'Roa'd -Phone No. 631-771=5152 Southampton, NY 11968 15 a. Is this property within'100 feet of a tidal wetland,or a freshwater wetland? *YES ' ''NO' * IF YES, SOUTHOLD TOWN TRUSTEES&DI.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland?,* YES X' ' NO * IF YES,D.E.C. PERMITS MAY BE REQUIRED, 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10;feet.or below,must,provide topographical data on survey. 18.,Are there'any covenants and restrictions with respect to this property? * YES NO X * IF YES, PROVIDE A COPY. 1 STATE OF NEW YORK)' SS: COUNTY OF Suffolk Nesini 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. Swornt before me this`t ,� ' day of NlA 20c;L0 " Notary blic BARBARA A CASCIOTTX VSignature of Applicant' Notary Public State of New York' No.01-CA4894969 Qualified in Suffolk County > Commission Expires May 11,2023 i I• 1,�•i„ '4'; ,y" � I i i IIS I ' „ -. • , SWERVISOR MANAGEMENT SOUTHOLD TOWN HALL-P.O;'Box:1139 ' �. ,� 53095 Main Road-SOUTHOLD,NEW YORK 11931 Town of S1 u t h oG]d�La 41CHAPTER 236 - ST()RMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY'I HE APPLICANT ) - WES, THIS PROD T, INVOLVE. 'ANY.._...O1~ THE FOLLt»Vl NCT. ti Yea No ;(£HECK ALL'rHA1' APYLYI' F I I EQ A;'Clearing, grubbing, grading or stripping of land which affects more than 5,0,00 square `feet ,of ground.surf ace.,, ; t Q Q B.,EXcavation car f filling Involving more-than 200 cubic yards'of material t 'within any parcero'r any contiguous area. ®[D'''C., Site;,pr'eparation on Mopes iwhich exceed 10 feet' vertical rise to 100 feet of horizontal distance. 00 A Site preparation within 100 feet of wetlands,, beach, bluff or coastal f i erosion hazard area. , ®0 E. Site preparation within the one-hundred-year floodplain as depicted !' ; , on,FIWMap.,of any,�w-gercourse:l' r []n;,R I' ti of nevi or resurfaced impervious surfaces of,1,000 square feet or more,-unless;prior• approval of a Stormwater Management Coli'trol.'Plan was�received by the Tow'nand, the proposal includes in-kind'replacement' of impervioussurfaces. , 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'ebmpleted Cheek'List'Form,td`the Building Department,withyour Building Permit Application: j ;. �=-�-:- .-`� �,.,�.�:=_� 'S.{~.T.�1. � 100 Dare. APPt:IC'A'.V"r' (Properly Okvmr.Desig t Profesaioaaal,Agent,64ractor,Other) i3utrcci ' NAME, CreenLD(��� LLC (N Gim Alb rkr�kl l:' 36 2 24 5/11/2020 Section $tack Lot I. (011'E3LII DII C;'DLF': "I-�iC �7 LSL ONL4 Contact hiformattan 631-771-5152`, `.' f {[t STC�.LM i'yE,{VS} I �f f [ ( (((I ReviewedDad 13yt. sl'Property Address/Locatiori of Cohstkuctrtan NVork: ' 1240 Inlet Lane i Approved for processing Building Permit: ! i Storniwater ag Manement Control Plan Not Required. — — _ _ Greenport, NY 1,1944 i £ Stormwater Management Control Plan is Required',. i , Ir F1 '(Forwardto Engineering Department for Review.) E - PoRM # smc1''-Tos MAY 2014 . E cal Inspector BUILDING DEPARTMENT- Electri TOWN OF SOUTHOLD Town Hall Annex= 54375 Main Road = PO Box 1179 Southold, New York.11971-0959 ' £. Telephone I(631) 7,65-1802 FAX (631) 765-9502 ro„ger 0southoldtownny:gov' seandCa)southoldtownny.gov . jV,•y'rl til •r .,. i"� li;—' ,I I, lI,�P'i ^ire Ii.1,1, 'n ,up' , s "' — ., — •ori .. APPLLGATION FOR!ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date 5%11/2020 Company.Name: reenLo is LL Name: Robert-Skypala License No.` ,43858-ME email: AM@Greenlogic.com , Address: 97 North Sea Road,'Southampton, NY 11968 Phone No'. 631-771-5152' JOB SITE INFORMATION ;(All'Information Required) , Name: 1240 Gull Pond LLC Address: 1240''lnlet,Lane, Green ort, NY Cross Street: Phone No.:-, 917-327-6032 BIdg.Permit#: email: office@sfainteriors.com Tax.Map,District: 1-000 , Section: ;36 , Block- 2- Lot: 24 BRIEF DESCRIPTION OF WORK (Please Print'Clearly) Roof mounted,solar electric.system 11.880kW (33) SunPower SPR-X22-360-E-AC panels with micro inverters, Sun Power Monitoring .System 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: (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 lnformation: r,-:PAYMENT-DUE-WITH APPLICATION, ; Request for Inspection FormAs I �/ GREENLOGIC ENERGY May 11, 2020 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Dear Building Inspector: s Please find attached a building permit application on behalf of the 1240 Gull Pond LLC who has engaged us to install a roof mounted solar photovoltaic(PV)electric system located at 1240 Inlet Lane, Greenport, 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 C-71 • Flo dplain Development Permit Application plication 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, • 2 Spec. sheets for Monitoring 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 • heck for$200 ($50 Building Permit/$50 CO/$100 Electrical Inspection) • heck for$100 (Floodplain application) Please let us know if you need anything else in connection with this application. Yours truly, 53wdc wca 'CaacWta Barbara Casciotta GREENL'�?T1tM- M enLogiicmcom Tel. 631.771.5152 Fax. 631.771.5156 -.r�.r'. rr @i�iBgiE.661�1 SOUTHA14MMI-5152 ext. 1117SLYN HEIGHTS 97 North Sea Rd , Suite 3 200 S. Service Rd.,#106 Southampton, NY 11968 Rosyln Heights, NY 11577 GREENLOGIC° ENERGY July 22, 2020 The Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 44859 1240 Gull Pond LLC 2745 Wickham Avenue, Mattituck, NY 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, Jia t6mac C'w ao to Barbara Casciotta Account Manager Barbara@Greenlogic.com D Egg 631-771-5152 Ext. 117 VV D J U L 2 4 2020 EI YLPING DEPT. GREENLOGIC LLC ©www.GreenLogtc 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 MAP OF DESCRIBED PROPERTY LOCATED AT GREENPORT, TOWN OF SOUTHOLD, CO.OF SUFFOLK, ST. OF N.Y. SCTM NO. 1000-36-02-24 N 82°55'10'E N 82°55'50"E 2 15.00 7.56 r \ SCALE: 1"=30' A� {+ 49.50 SCTM LOT 24 \, �I t Z \ sd LANDWARD EAGRASS MHWM i/- \ �`•OP 1 � TOEOtSLOPE -_,, B/j 1 � CK ..s_.,•. _ .gD �Sa a i� •,.v .Pn� e% 1\ { � 00 ETWcl mcc 30 rr rn 01 1 '{ z 4 ' y X11 47.7 C•"_ .z.- p6:;.}9.1 z _ I 1 { g84°50-50`W 209.43 I ! 1 _ 1 I i114+1-cn m 1 � { < o ct y \a� e s 1 D Z � SCTa11 LOT 26.1 m i It ! 1 c' { :� ! 142+I- — I 1 1 t 'cm o se asw wRr a.sN 84°60'50"W 205.0+1- 1 49.50 1 GPU/P4 S RJRTIE 1 ( Rp7 WALL i GUAR. TO: STEWART TITLE INSURANCE COMPANY sn SCTfA LOT 26.1 OMNI TITLE AGENCY 1 , o 1240 GULL POND LLC SANTANDER BANK,N.A.,ISAOA/ATIMA SURVEYED:06 OCT 2018 THE OFFSETS OR DIMENSIONS SHOWN HERON FROM THE PROPERTYLINES TO THE STRUCTURESAREFOR A SPECIFIC PURPOSE IG USE THEREFORE,THEYARE NOTINTENDED TO MONUMENT 774EPROPERTYUAIES OR TO GUIDE THEERECTION 0-CONC.MONUMENT TYPICAL OF FENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT (j9AZ4NBSM11By�7N6F,7NG! UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THIS SURVEY ISAVIOLATION OF ETW=EDGE OF TRAVELLED WAY SECTION 7209 SUBDIVISON 200E THE NEW YORK STATE EDUCATION LAW COPIES PETER A. GROBEN OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY LAND SURVEYOR NY LIC.50869 CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM P.O.BOX 704 RIDGE,NY 11961 THE SURVEYIS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY,GOV- 631.849.4750 ERNMENTAGENCY AND LENDING INSTITUTION LISTED HEREON CERTIFICATIONS MANHASSET AVE. ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNER& NO RESPONSIBILITY IS ASSUMED BY THE UNDERSIGNED FOR ANY SURFACE, SUBSURFACE,AERIAL EASEMENTS,SUBSURFACE U77LI7IESAND/OR SCTM 1000-36-02-24 STRUCTURES IN OR OUT OF EASEMENTS IF SO PROVIDED -T p Suffolk County Executive's 0 ce of Consumer Affairs 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 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 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 Bgsinesses NOT VALID WITHOUT DIEPARTMENTAL SEAL AND A CURRENT CONSUIVIER AFFAIRS 4 ID CARD Director �.11-4E J" .4 2 M� WWI Suffolk County Executive's Office of Consumer Affairs I VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 12/10/2007 No. 43858-ME SUFFOLK COUNTY Master Electrician License 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 - k NOT VALID WITHOUT DEPARTMENTALSEAL ANDA'CURRENT CONSUMER AFFAIRS I1)CARD Director ter► - ACO'. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �- 01/28/2020 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 CONTNAMEACT Nicholas Zulkofske Brookhaven Agency,Inc. PHONE 631 941-4112 Fax 637 941-4405 128 Old Town Road,Suite C EMAIL . Certificates@ brookhavena enc .com P.O.Box 850 INSURER(SI AFFORDING COVERAGE NAIC# 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 0: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 ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE ®OCCUR DAMAGE PRFMIRFR(RENTED $100,000 X Contractual Liability X X GL202000012922 01/31/2020 01/31/2021 MED EXP(Any oneperson) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY[j]JECTPRO- LOC PRODUCTS-COMP/OP AGG s2,000,000 OTHER E&O'Liability $1,000,000 AUTOMOBILE LIABILITY" COMBINED SINGLE LIMIT $1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS X X CAP1043565 08/11/2019 08/11/2020 BODILYINJURY(Per accident) $ , X HIREDX NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ A EXCESS LIAR CLAIMS-MADE X AGGREGATE $ OED I I RETENTION 0 S WORKERS COMPENSATION XTP TE OTH- AND EMPLOYERS'LIABILITY I STATUTE PR ANY PROPRIETORIPARTNER/EXECUTIVE Y/❑N NIA V9WCO23047 06/15/2019 06/15/2020 E L EACH ACCIDENT $1,000,000 D OFFICER/MEMBER EXCLUDED? (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 0251202 04/11/19 04/11/20 Statutory Limits E Installation Floater/Property SML93076366 4/15119 4115/20 $250,000 $1000 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/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 <NSZ? ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Pacifico Engineering PC WIN �q- Engineering Consulting 700 Lakeland Ave,Suite 26 Ph:631-988-0000 Bohemia,NY 11716 g solar@pacificoengineering.com - April 23,2020 Town of Southold t Building;Department .54375 Route 25,P.O.Box 1179 Southold,NY 11971 Subject: Solar Energy Installation for Andreas Pfanner 1240 Inlet Lane Greenport, NY 11944 I have reviewed the roofing structure at the subject address.The structure can support the additional weight of the roof mounted system.The!units are to be installed in accordance with the manufacturer's installation instructions. I have determined that the installation will meet the requirements of the 2015 International Residential Code-2nd Printing modified by the NYS Building Standards and Codes 2017 Uniform Code Supplement),and ASCE?-10 when installed in accordance with the manufacturer's instructions. Roof Section A Mean roof height 22.0 It Pitch 4 degrees Roof rafter 11-7/8"TJI.560 Rafter spacing 16 inch on center Reflected roof rafter span 16:8 ft' Rafter span max allowable 30.6 It The climactic and load information is below: CLIMACTIC AND Ground Wind Live Load, point 1 GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type CRITERIA Category, Load,Pg,- sec gust, ASCE 7, load,lb psf mph psf Roof Section A C' 20 130 26 356 (2)5"&(6)3"#14-13 13121 concealer screws Weight Distribution array dead load 3.5 psf load per attachment 47.9 Ib The subject roof has 1 layer of shingles. r- Panels mounted flush to roof no higher than 6 inches above roof surface. o Q " W Ralph Pacifico, PE Professional EngineerRal ' {fh s NY 066182/ I � L 87297 GREENLOGIC° ENERGY GreenLogic,LLC Approved Andreas Planner 1240 Inlet Lane Greenport,NY 11944 Surface#A: Total System Size:11.880kW i Array Size:11.880kW 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:265° Pitch: Monitoriri ng System: - SunPower Panel/Array Specifications, 771, A x Panel:SPR-X22-360-E-AC s Racking:SunPower Invisimount Panel:6139"X 41.18" Array:24'5"X 31' _ Surface:22'5"X 33'5" Magic#:Invisimount K - Legend: 33 SunPower 360W Panels SunPower Invisimount Rail 62 Eco-Fasten Fast Feet _ TJI 560x12 Rafter 16"O.C. _ Notes: Number of Roof Layers:1 G _ Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:3.5psf —X--77 Engineer/Architect Seal: - _ OF NE%AA PA W y W . 086182 ^-ssl - Drawn By:MVP Drawing#1 of 5 Date:4/22/20 REV:A Drawing Scale:3/16"=1.0' ori I SIR i '1101.0 i I i to - I ,-� j --.I�_ j ,I, I _,I, + I ''I II ! � i I , III .. .� .::� �•-. -. - I I 1 I ,, Lail IS 1. •• 1� \ %1 '�II\ -_ - I I, IF WIN I I I _•� I I I I ( I ME Imo��� ■ !,I■�1,,1.1E I I I I I I I I I I I I•I lil I, i I ,I I� A i •� • I I ! I I I I� � l I�I► r I I I I I I oil '' - 11■I�i I I1� 11� • NIB� j ; ,l 11 1.i I■!�Ii�ial,l,ila�li'I.!,,1�i 01 IRS 11 w j , - - -- I-------- I, � � it I• --I --•;--• �-- I► I �� I I \i� I I I� I i I I Ali mI�III��I\;�,%I■I\�!�1111►�!\.� `'. GREENLOGIC® ENERGY GreenLogic,LLC Approved Andreas Pfanner G 1240 Inlet Lane Greenport,NY 11944 Surface#A: Total System Size:11.880kW 3 Array Size:11.880kW 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:2650 Pitch: ri - Monitoring System: 3 2 SunPower Panel/Array Specifications: Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39"X 41:18" Array:24'5"X 31' 2 Surface:22'5"X 33'5 Magic#:Invisimount gggzi Le Bend: �n' ' w r - �k-�� ,� ��; Y� 33 SunPower 360W Panels "" �-r -- SunPower Invisimount Rail 62 Eco-Fasten Fast Feet 2 B 9 TJI 560x12 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 0 Engineer/AF_O-ltect Seal: OF NEWZL 1 - * 4 yt r— io �op9O 66182 FESSION Y Drawn By:MVP �Dnn�3of Date:4/22/20 Drawing Scale:3/16"=1.0' u GREENLOGIC" ENERGY GreenLogic,LLC Approved Andreas Pfanner 1240 Inlet Lane Greenport,NY 11944 Surface#A: Total System Size:11.880kW Array Size:11.880kW - 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker - - _ 1 circuit of 9 on a 20A breaker Mew ut - Azimuth:265° Pitch 4* Q ____ _ Monitoring System: SunPower Ea0 F t� FfEI'AIU17RXT1�Oti( Q -- •- _ -- -- - Panet(Array Specifications: Ea)•Fbste 'r-AFeef'8Mashrg Q - - - - -- Panel:SPR-X22-360-E-AC #141MMC,a103JerS3EW 32Racking:SunPower Invisimount Panel:61.39"X 41.18" #14WM C mAer&rw 924 - - _ Array:24'5"X 31' Surface:22'5"X 33'5" - Magic#:Invisimount Legend: ® 33 SunPower 360W Panels -� SunPower Invisimount Rail 62 Eco-Fasten Fast Feet B B TJI 560x12 Rafter 16"O.C. -- - - Notes: Number of Roof Layers:1 - Height above Roof Surface:4" Materials Used:Quick Mount,-SunPower - i Added Roof load of PV System:3.5psf Engin eal�: - — �Q'C QH PAc�'�i y" \ 086182 ��FSSlOr1P Drawn By:MVP Dr�ofDate:4/22/20 RE Drawing Scale:1/8"=1.0' No Vent Pipes Will Be Covered By The Solar ArrayENERGY GREENLOGICO LEGEND. Cf AR -Access roof per R202 definitions RAP -Roof access point-to be away from RWV -Roof with valley. GreenLogic,LLC Approved overhead obstructions,doors. 18"minimum from valley Andreas Pfanner windows.decks,fences,landscaping 1240 Inlet Lane GA -Ground access area per R324.7.3 width AP -Access Pathway,36-minimum SVO -Smoke vent operation per Greenport,NY 11944 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 Surface#A• Total System Size:11.8801(W Array Size:11.880kW 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker A\ x 1 circuit of 9 on a 20A breaker Azimuth:265° Pitch: - 33 SunPower Monitoriri ng System: RZ \V W \V 360W Panels SunPower Panel/Array Specifications: Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount RAP ° x Panel:61.39"X 41.18" _ Array:24'5"X 31' j Surface:22'5"X 33'5' - Maglc#:Invisimount I Legend: 17X�74 74 I I ® 33 SunPower 360W Panels I I - I I �— SunPower Invisimount Rail I I • 62 Eco-Fasten Fast Feet 8 8 TJI 560x12 Rafter 16"O.C. SAP i I- I - I_ I- X ' 44AA _ Notes: _ I I Number of Roof Layers:1 Height above Roof Surface:4" GA Materials Used:Quick Mount,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: -OF NFA __ y,�t�► �Q14 PAC��'1'p cc = �FESS-1 Drawn By:MVP Drawing#5 of 5 Date:4/22/20 REV:A Meter Drawing Scale:1/8"=1.0' r MWIN 1r77rove Support, Reduce Maintenance Costs SunPower EnergyLlnk—Plug-and-Play Ins�Lallation An intuitl,•,,e monitoring vvebsi e enaul s yout(I This complete solution for residential and commercial ironrtoring and See a visual ria;)of r_us Greer sites control Includes trie SunPower'"PV Suoervsor e(PVS6)which improves aerrotely manage hundreds of soles the Installation process,overall system reliability,and customer teceve elecii•<e system reports experience :..Grate J'y's E'('iI ISSue'_s and rernotel`y't:;<<;gr":,C)�e Compact r n Compact Footprint for i riOrc- ea aesthetics ?agrlose,issues or' HMI Robust Cloud connectivity and comprehensive local connectivity Drill dcv,: :fr,r the smtus oP indiMdru l devices Flexible configuration of devices during installation Consumption metering Revenue-grade production metering(pending) Web-based commissioning Remote diagnostics of PVS6 and Inverters fill Durable UL Type 3R enclosure reduces maintenance costs Easy integration wrlh SunPower eBOS Add Value for CustorY'ers ' W.: SunPower Monitoring System Robust Cloud Connectivity cus:orners can: Mumple options to maintain optimal "A F See L;l'dt .he:r'olar cyst rn produces eacIn iC;t nPC IVItY RJR MK See Cray,MO.n t h,Ur:eaT Hardwreca Ethernet • oPi.Ir':IIZC, '£_ir �oie,l n eSt(it-n <Fcl save an WI-I I energy experses • Celluar backup See t'leir energy Gse and _,t 1 a;ell t II ,aVinGs See their 5,01ar System's fir :orrrlanr c using the S'rrIP")'H'e mon: ,ori rIg:•deb ce Mobile app 0 1 Datisheer SUNP WER VA -1 EnergyLinklm Residential and Commercial PVS6 SunPower Monitoring Websites PVS61 SunPower AC Modules rn[u�i AIJ11 filla ll '. � .. e„xklwttd ezaKttY' ...,. .... Multiple communication options include .f Ethernet,W-Fi,and cellular. Number of SunPower AC mcidules 85 Temperature -22°F to+140°F{-30°C to+60°C} suppertea per PLSCi Humidity(maximum), 95%,nor:-condensing Internet access H.gh speed internet access via accessible router or switch Power 1 W-240 VAC(L-N},50 or 60 Hz 208 VAC(L-L in 3-phase),60 Hz PS-485 Inverters and meters • One channel of revenue.grade production metering integrated Metering . Two channels of consumption metering Weight 5.5 lbs(2S —...—-----------"—"- g � Ethernet 1 LAN(or optional WAN)port Dimensions 118 x 8 0 x 4.2 in (30.5 x 20.5 x 10 8 cm) PLC PLC for SunPower AC modules Enclosure rating ULE Type 31Z WI-F. 802.11 bjg/n 2.4 GHz and 5 GHz -- Cellular LTE Cat,M1/3C UMTS Zig-Bee IEEE 802.15.4 MAC,2 4VHz ISM band Data Storage 60 days Customer site mg-ml r_m5-auIIPQMr,= Upgrades Au-omatic f€rrnrvare upgrades Partner site pvsmgrrit.us.sunoower.com Browsers Firefox Safari,and Chrorrw Mobile devices iPhonel' iPad'D and Android" Customer app 1.Create account online at.monitor.us.sunoower.com. 2 On a mobile device,download the SunPower Monitoring Warranty 10 year Limited Warran,y app from Apple App Store'or Google Play'vstore 3.Sigr in using account email arc password Certillcatiors UL,LUL,CE,UL 61010-1 aaC nd-2.FCC Fart 15(Class B) C �� is LEM FCC ID:YAW529027 E503346 5_30536 RevC _ SunPower'�") EnergyLink TM Residential and Commercial PVS6 Improve Support Reduce Maintenance Costs SunPower EnergyLlnk—Plug;-arid-Play Installation An intuitive monitoring twebsi c enaules you;o: This complete solution for resident al and comme!aal mon[torng and See a Visual maci of customer sites control includes the SunPower*PV Suoery sor e(PVS6)which improves `ternotely rranage hundreds of sites the installation process,overall systern reliability and customer elective system reports experience c c,te system i sues arc remoteP;ragnose Compact footprint for improved aesthetics Diagnose,i sues onar r> Robust cloud connectivity and comprehensive local connectivity Drill rli;v,?r for the ;pis o`' 'vide.al evices Flexible configuration of devices during installation Consumption metering Revenue-grade production metering(pending) Web-based commissioning Remote diagnostics of PVS6 and inverters Durable UL Type 3R enclosure reduces i -tenance costs Easy ntegration with SunPower eBOS Add Value for Custorflers Wirt he SuriPow•er M nitoring S stern Robust ClouC' Conr1eCClVlty customers can: 31,s , `l )WEA Murtiple options to maintain optima See�„f,attl-e. .r solar stern produces each connectivity gay,month,or year , Hardwired Ethernet Or) it ize eir scilar investrTgent an l save'cn titifi-Fi energy expenses Cellular backup See their tner4- use and est ria ed bil sav rigs See their solar syste•r's performance using the Sant=ower rnon.orirr website. m bile app SUNP WER - o. SunPower0" EnergyLnK""' Residential and Commercial PVS6 SunPower Monitoring Websites PVS6 SunPower AC Modules K M� Multiple communication options include Ethernet,Wi FI,and cellular. Number of SunPower AC modules 85 Temperature -22°F to}140°F(-30°C to+60°C) supported per P%' > Humidity(maximum) 95%,non-condensing H:g r-speed internet access via a:cess'ble Internet.access router or switch • 100-240 VAC(L-Nj,50 or 60 Hz Power 208 VAC(L-L in 3-phase).60 Hz I.r:-4t35 Inverters and meters . One channel of revenue-g-ade production metering Integi ated Metering , Two channels of consumption metering p� g ......._......__.........__...._......_...... -... —_—...._................---._......._.......- ------..........................._......_.........._ Weight 5.5 Ib s(2.5 6;k) Ethernet. 1 LAN(or optional'NAN)port Dimensions 11 8 x 8 0 x 4 2 in (30 5 x 20 5 10.8 cm) PLC PLC for.SunPower AC;nodules Enclosure rating UL50E Type 3R WI F 80_.11 btgln 2.4 GHz and 5 GHz Cel uiar' LTE.Cat M113G UMTS 11r3ee IEEE 802.15.4 MAC,2 46Hz ISM band Data Storage 60 days Customer site ironi:or.us.sunRower corn --.— -.._.._.--....----.---.—.-._-. Upgrades Auromatic firmware upgrades P�Irtner site P=gmtuS.suroower.com Browsers Firefox,Safari,and Chrome Mobile devices iPhone",iPactl,and Android-'x' Customer app 1.Create account online at:monitor,us.sunoower.com 2.On a mobile device,download the SunPower Monitoring Warranty 1C-year Limited Warranty app from Apple App Stores'or Google Play"Istore. 3 Sign:in using account email anc password. Cervficatiors _UL,CE.UL 61010FCC -11 and-2,FCC Part 15(Class i3) C M US tlii� FCC ID:YAW529027 E503346