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HomeMy WebLinkAbout45251-Z a� �o�gUFFt?t��pG$�� Town of Southold 10/20/2020 o P.O.Box 1179 o _ 53095 Main Rd 't.Jjo1 y5SP Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41545 Date: 10/20/2020 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 415 Village Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 114.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/18/2020 pursuant to which Building Permit No. 45251 dated 9/28/2020 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 on existing single-family dwelling as applied for. The certificate is issued to Clark,Terrence&Michelle of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45251 10/15/2020 PLUMBERS CERTIFICATION DATED n (� 0 /? \Lk - t or0 Signature o�SUFFo TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT CA TOWN CLERK'S OFFICE Wes . R ,it SOUTHOLD, NY fjpl 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#: 45251 Date: 9/28/2020 Permission is hereby granted to: Clark, Terrence & Michelle 415.Village Ln Mattituck, NY 11952 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 415 Village Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 114.-6-7 Pursuant to application dated 9/18/2020 and approved by the Building Inspector. To expire on 3/30/2022. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Total: $200.00 ui Spector 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. ? New Construction: Old or Pre-existing Building: X (check one) Location of Property: 415 Village Lane Mattituck House No. Street Hamlet Owner or Owners of Property: Michelle Clark Suffolk County Tax Map No 1000, Section 114 Block 06 Lot 007 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 50 Applicant Si na e i I i Building Department Application 1 j AUTHORIZATION I (Where the Applicant is not the Owner) residing at 4 ! (Print property owner's name) (Mailing Addr• s) do hereby authorize I(,Ztdd Vii( (Agent) Harvest Power LLC to apply on my behalf to the Southold Building Department. i 1 FX7(,/a O (Owner's Signawre) (Date) C,&-rk- (Print Owner's Name) 4 CONSENT TO INSPECTION i /� j �I ckelza CIO-r ,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 4�l S y/ 4a-me , which is shown and designated on thg Suffolk County Tax Map as District 1000, Section `l , Block_, Lot That the undersigned (has)(have) filed,or cause to be filed,an application in the Southold Town Building Inspector's Office for the followin : q. v 3roG - 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 fcomply 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_ i Dated: 1���1,I - (S•gnature) (Print Name) (Signature) (Print Name) ®��OFsoUri,®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 117 Southold,NY 11971-0959 �� roger.richerta-town.southold.ny.us �° BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: T.&M.Clark Address: 415 Village Ln City: Mattituck St: New York Zip: 11952 Building Permit# 45251 Section: 114 Block 6 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Harvest Power-Fulton Elec License No: 54016-ME SITE DETAILS Office Use Only Residential X Indoor x Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment 9.0 KW roof mounted photovoltaic system to include, 25-360w solar panels, with 25 micro inverters,combiner box,rapid-shut down,AC disconnect Notes* Inspector Signature: Date: October 15 2020 81-Cert Electrical Compliance Form.xls . e gv SO//1,�°� # # TOWN OF SOUTHOLD BUILDING DEPT'. ' 765-1802 INSPECTIO,N - s [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL -FIREPLACE & CHIMNEY -[ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION ���[ ��,] PRE C/O REMARKS: iw cm Z- DATE INSPECTOR` Graham Associates 1981 Union Blvd. Bay Shore,N.Y. 11706 Building Consultants& Expeditors (516) 665-9619 Fax(516) 969-0115 October 7, 2020 Town of Southold Building Department Town Hall Annex P.O. Box 1179 Southold, NY 11971 Re: Clark Residence-415 Village Lane, Mattituck, NY 11952 SCTM#1000-114-06-007 Permit No.45251—9.0 kW Rooftop Solar Photovoltaic System To Whom It May Concern, Please be advised that I have inspected the solar roof array at 415 Village Lane, Mattituck, NY 11952 and have determined that it has been performed in accordance with the manufacturer's recommendations,and the approved building permit.The installation meets the NYS Building Code, 2015 International Code, and ASCE 7-10. If you have any further questions, do not hesitate to call. Si re�y`� ,ED AI'C' rpt 0CT - 9 2020 Mic ajIK.'-Duji_rf;'RA j7j�vr"'T,r DEFT. d� , _. FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) ------------------------------- FOUNDATION(2ND) y ROUGH FRAMING& y PLUMBING INSULATION PER N.Y. STATE ENERGY CODE nZ.1 FINAL ADD ''iiN COMMENTS- Cf b .se, c ' C T" r V N 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 n�' Survey Southoldtownny.gov PERMIT NO. heck Septic Form N.Y.S.D.E.C. Trustees C.O.Application x Flood Permit Examined ,20 6 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved q1 66so '20 Mail to: Disapproved a/c Phone: Expiration ,20 Bu' 'n spector 1% -APPLICATION FOR BUILDING PERMIT SEP 1 8 2020 Date ?ilp , 20 Ti(J 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 authorized inspectors on premises and in building for necessary inspections. Carlo Lanza/Harvest Power LLC (Signature of applicant or name,if a corporation) 2941 Sunrise Hwy, Islip Terrace 11752 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Agent/Contractor Name of owner of premises Michelle Clark (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 48165-H Plumbers License No. Electricians License No. 54016-ME Other Trade's License No. 1. Location of land on which proposed work will be done: 415 Village Lane Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 114 Block 06 Lot 007 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Residence b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work Solar (Description) 4. Estimated Cost Fee $200 . 00 (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 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 415 Village Lane,- 14.Names of Owner of premises Michelle Clark Address Mattituck,NY 11952 phone No. (63 1) 334-4511 Name of Architect Michael Dunn Address 1981 union Blvd, Bay Shorephone No (63 1) 665-9619 Name of Contractor Harvest Power Address2941 sunrise Hwy Phone No. (631) 647-3402 Islip Terrace, NY 11752 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO...� * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) pp,,� SS: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the CLt (Contractor,Agent,Corporate Officer,etc-) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of 20 �/ JULIE OTT Not y Public N Y PUBLIC-STA OF NE No.01 OT6256196 i Sig at e of Applicant Qualified in Suffolk County My Commission Expires 02-21-2024 O�guFFat,�EO BUILDING DEPARTMENT- Electrical Inspector k: TOWN OF SOUTHOLD x' Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roper.richertatown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Julie Ott Date: Company Name: Harvest Power Name: John D'Aries/Fulton Electric Inc._ License No.: 54016-ME email: jott@harvestpower.net Address: 2941 Sunrise Hwy. , Islip Terrace, NY 11752 Phone No.: (631) 647-3402 JOB SITE INFORMATION: (All Information Required) T Name: Michelle Clark Address: 415 Village Lane, Mattituck,__NY_ 11952 Cross Street: Main Road Phone No.: (631) 334-4511 Bldg.Permit#: l�lj2S I - - -- email: -Fax Map District: 1000 Section: 114 Block: 0-6__ _Lot: o07 BRIEF DESCRIPTION OF WORK(Please Print Clearly) D kW Solar PV System w/ (K) P4,,a;/,047rRoof-Mounted Panels Circle All That Apply: Is job ready for inspection?: YES /�d�) Rough In Dal Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size �Ph Ph Size: -JVI�_A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect-Service Reconnecte -Undergroun -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 a A HARVEST POWE R Harvest Power LLC 1 2941 Sunrise Hwy., Islip Terrace, NY 11752 1 Office: 631-647-3402 Fax: 631-647-3404 October 7,2020 Town of Southold Building Department P.O. Box 1179 Southold,NY 11971 Re: Engineer's Post-Install Letter&Final Electrical Inspection Request Clark Residence—415 Village Lane, Mattituck—BP#45251 Dear Town of Southold Building Department: Enclosed, please find the Engineer's post-install letter and electrical inspection application for the PV solar installation completed at the above referenced residence. We would like to schedule the final electrical inspection at the Town's earliest convenience. Thank you for your attention to this matter. If you need any further information, please contact me at(631) 647-3402 or via email at jott@harvestpower.net. Very truly yours, 7Julie Ott Expeditor D LEd 0 CT - 9 2020 L-7k Licensed, insured & bonded License # Nassau County. H0811250000 License # Suffolk County 48165-H l f } t Suffolk County Dept.of A i Labor,Licensing&Consumer Affairs 1 HOME IMPROVEMENT LICENSE Name CARLO LANZA JR ( Business Name f HARVEST POWER LLC I This certifies that the bearer is duly licensed License Number H-48165 i by the County of Suffolk Issued: 11118/2010 _ Commissioner Expires: 1110112020' I CERTIFICATE OF LIABILITY INSURANCE FDA E(MIDD[Y ) 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(ies)must 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 Capacity Group of NY LLC NAME Margarita Kaminski P Y P PHONE FAX One International Blvd (MC,No Ext:646-459-2470 (..JC, Arc No:646-459-2470 Suite 300 ADDRESS: mkaminskig-capacityny.com Mahwah NJ 07495 INSURERS AFFORDING COVERAGE NAIC# INSURER A:National Liability&Fire Insurance Company 20052 INSURED 2478 INSURER B•Endurance American Specialty Insurance Company 41718 Harvest Power LLC 2941 Sunrise Highway INSURER C:Travelers Insurance Company 25674 Islip Terrace NY 11752 INSURER D:James River Insurance 12203 INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER:1741459260 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 I�7R TYPE OF INSURANCE AINSD DDL 38BaSUBR POLICY NUMBER MM DDY/YYYY MEFF MiDDY/YWY LIMITS C X COMMERCIAL GENERAL LIABILITY 107080166 4/15/2020 4/15/2021 EACH OCCURRENCE $.1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $50,000 X Contractual Liab MED EXP(Any one person) $Excluded X Primary-NonContr PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER Ded Liab$5,000 Contractors Polluho $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ D X UMBRELLA LIAB X OCCUR 00071179-4 4/15/2020 4/15/2021 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION V9WC071830 4/15/2020 4/15/2021 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? F N/A (Mandatory in NH) E L DISEASE-EA EMPLOY:EJ$1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1$1,000,000 B Inland Marine IMP10004799606 4/15/2020 4/15/2021 Contents Limit 250,000 DESCRIPTION OF OPERATIONS r LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Subject to Policy Terms&Conditions.. Certificate Holder is hereby Included as Additional Insured,With regards to work being performed for them by the Insured,subject to the policy terms,conditions &as required per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN _Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 P O Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD YORK CERTIFICATE CERTIFICATE OF sTATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la Legal Name&Address of Insured(use street address only) 1b Business Telephone Number of Insured 631-647-3402 Harvest Power LLC 1 c NYS Unemployment Insurance Employer Registration Number of 2941 Sunrise Hwy Insured Islip Terrace,NY 11752 Work Location of Insured(Only required if coverage is specifically limited to 1d Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i e,a Wrap-Up Policy) Number 20-4214746 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) National Liability&Fire Insurance Company 3b Policy Number of Entity Listed in Box"l a" Town of Southold V9WC195204 53095 Route 25 3c Policy effective period P O Box 1179 4/15/2020 to 4/15/2021 Southold NY 11971 3d The Proprietor,Partners or Executive Officers are included (Only check box if all partners/officers included) x all excluded or certain partners/officers excluded. This certifies that the Insurance carrier Indicated above in box"3"Insures the business referenced above in box"l a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or Its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2" The Insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the Insured from the coverage indicated on this Certificate. (These notices may be sent by regular mall) 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 listed in box"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 policy indicated on this form, if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by Pamela L Waqner (Print name of authorized representative or licensed agent of insurance carrier) Approved by 6L), 4 , W 11.4/L 04/14/2020 (Signature) U (Date) Title SVP Workers'Compensation Underwriting Telephone Number of authonzed representative or licensed agent of Insurance carrier 215-600-0749 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www wcb ny gov YORK workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a Legal Name&Address of Insured(use street address only) 1 b Business Telephone Number of Insured HARVEST POWER LLC 2941 SUNRISE HIGHWAY 631-647-3402 ISLIP TERRACE, NY 11752 Work Location of Insured(Only required d coverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i e,Wrap-Up Policy) or Social Security Number 20-4214746 2 Name and Address of Entity Requesting Proof of Coverage 3a Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold Y P Y 53095 Route 25 3b Policy Number of Entity Listed in Box"1 a" PO Box 1179 35488-78 Southold, NY 11971 3c Policy effective period 10/31/2018 to 10/5/2020 4. Policy provides the following benefits: A Both disability and paid family leave benefits B Disability benefits only. C Paid family leave benefits only 5 Policy covers 0 A All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law B.Only the following class or classes of employer's employees: 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 NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc' d above. Date Signed 10/7/2019 By (&A- Aaa (Signature of insurance carrier's authonz d representative or NYS Licensed insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT. If Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE Mail it directly to the certificate holder If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200 PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 56 of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carvers are authorized to issue Form DB-120 1 Insurance brokers are NOT authorized to issue this form. D13-120.1 (10-17) 111�IIIPiiiiuuiioiiiiiuiiiiii( 111111ll APPROVED AS NOTED DAT1' � � B.P.# S FEE: �� BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8-AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1.-FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL_CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF �OUTHOL tl-Z -- S01- #J BOARD WEES OCCUPANCY OR USE 1S UNLAWFUL WITHOUT CERTECA7 OF OCCUPANCY ELECTRICAL INSPECTION REQUIRED t Graham Associates 1981 Union Blvd. Bay Shore,N.Y. 11706 Building Consultants & Expeditors (631)665-9619 Fax(631)969-0115 September 16, 2020 Town of Southold Building Department 54375 Rt. 25 Southold, NY 11971 Re: Clark Residence 415 Tillage Lane Southold, NY 9.00 kWDC, 7.25 kWAC Rooftop Solar Photovoltaic Systems To Whom It May Concern, Please be advised that I have analyzed the existing roof structure at the above-mentioned premises and have determined that it is adequate to support the additional load of the solar panels and a 130 mph wind load without overstress, in accordance with the following: The 2020 New York State Uniform Fire Prevention and Residential Building Code; Town of Southold Local Code, Long Island Unified Solar Permit Initiative, (LIUSPI); and 2020 National Electric Code NFPA 70/2020 National Electric Code including ASCE?-10 If yo ny further questions, do not hesitate to call. �� eD ARC K. S'®� f _ e A � OF N� +� SOLAR'S MOST TRUSTED REC Af I s ,r Kt a R. `Pva 4 EXPERIENCE 375 RE[ 25 YEAR PR❑TRUST WP WARRANTY POWER ELIGIBLE FOR PERFORMANCE REC ALPHA BLACK SERIES PRODUCT DATASHEET r 1721±25 167 15 x0 I; ► R 1 802[31 51 455[17.91 CERTIFICATIONS IEC 61215 2016.IFC 51730 2016,U 1.1703.Ut 61730 + IEC 62804 PID 1000[391 IEC 61701 Salt Mist IEC 62716 Ammonia Resistance IS01192S-2 Ignitability(Class E) IEC 62782 Dynamic Mechanical Load o IEC 61215-2.2016 Hailstone(35mm) a a v g N AS4040.2 NCC 2016 Cyclic Wind Load 150140012004,ISO 9001:2015,OHSAS 180012007 IEC 62941 * * I l7VE SAtake@nray o V o " 11±0.2 I rn .o[043±0.81 c % rake e-w WEEEc pii WARRANTY' I g ro 780±0 081 I 1 1200[47] — Standard REC ProTrust L--- �� Installed by an REC Certified Solar Professional No Yes Yes ` 621±3[24 S±0 12] System Size All 425 kW 25-500 kW ► 45[1.5] 22.5[0.91 . .. o -- - Product Warranty(yrs) 20 25 25 ,30[1 181 power Warranty(yrs) 25 25 25 Measurements in mm[in) Labor Warranty(yrs) 0 25 10 ♦GENERAL DATA Power in Year 1 98% 98% 98% 120half-cutcells with REC StaubliMC4PV-KBT4/KST4(4mmz) Annual Degradation 025% 025% 0.25% Cell type heterojunction cell technology Connectors in accordance with IEC 628S2 Power in Year 25 92% 92% 92% 6 strings of 20 cells In series IP68 only when connected See warranty documents for details Conditionsapply Glass. 3.2 mm solar glass with Cable- 4mm2solarcablej0m+1.2m ♦MAXIMUMRATINGS ants-reflection surface treatment in accordance with EN 50618 Highly resistant Operational temperature. -40 +85°C Backsheet polymeric construction(black) Dimensions 1721 x 1016 x 30 mm(l 75 m) y g Maximums stem voltage- 1000 V Frame Anodized aluminum(black) Weight: 19 5 kg Design load(+):snow 4666 Pa(475 kg/M2)' Maximum test load(+)- 7000Pa(713kg/m2)" Junction box. 3-part,3 bypass diodes,IP67rated Singapore i in. Made n � in accordance withlEC62790 Origin. Design 2666Pa(272kg/m)' Maximum test load(-p 4000 Pa(407 kg/m2)' It ELECTRICAL DATA Product Code*:RECxxxAA Black Max series fuse rating. 25A Power Output-P,,i,ix(Wp) 355 360 365 370 37S Max reverse current: 25A t Calculated using a safety factor of 15 Watt Class Sorting-(W) -0/+5 -0/+5 -0/+5 -0/+5 -0/+5 ; 'See installation manual for mounting instructions Nominal Power Voltage-V_(V) 364 36.7 371 374 378 TEMPERATURE RATINGS' u Nominal Power Current-I (A) 9 77 982 985 99 994 F- Mw Nominal Module Operating Temperature: 44'C(± 2°C) Lin Open Circuit Voltage-Voc(V) 436 439 440 441 442 Temperature coefficient ofPMAx 026%/°C a Short Circuit Current-Ix(A) 1047 1049 1052 loss 10 58 Temperature coefficient of Vol -0 24%/°C _ Power Density(W/ml) 20285 20571 208.57 21142 21428 Temperature coefficient of Isc. 004%/'C Panel Efficiency 1%) 203 206 20.9 212 214 'The temperature coefficients stated are linear values Power Output-PW, (WP) 271 274 278 282 286 LOW LIGHT BEHAVIOUR F Nominal Power Voltage-V,,p(V) 343 346 350 352 356 Typical low irradiance performance ofmoduleatSTC. o g Nominal Power Current-IMpp(A) 789 793 7.96 800 803 Z a Open Circuit Voltage-Voc(V) 411 414 415 416 416 N 0 Short Circuit Current-I,(A) 846 8.47 8.50 8.52 855 W" N Values at standard test conditions(STC air mass AM 1.5,irradiance 1000 W/M2,temperature 25'Q based on a production spread with ¢ atolerance ofP_Vx&Ix±3%within one wall class Nominal module operating tempera Lure(NMCT avmassAMl S,Irradiance ,m - m - - ,,,, a 800 W/m2.temperature 20°C.windspeed lm/s)'Wherexxx indicates the nominal powerclass(P_)atSTC above Irradtance(W/m2) REC Group is an international pioneering solar energy company dedicated to empowering ® ^E C It consumers with clean,affordable solar power in order to facilitate global energy transitions '1` j Committed to quality and Innovation,REC offers photovoltaic modules with leading high quality, V -- { backed by an exceptional low warranty claims rate of less than I 00ppm.Founded in Norway in 1996, wwwrecgroup: r 1 REC employs 7.000 people and has an annual solar panel capacity of'?GW.With over 10 GW installed worldwide,REC is empowering more than 16 million people with clean solar energy REC ❑� '❑ ' Group Is a Bluestar Elkem company with headquarters in Norway,operational headquarters in +� � Singapore,and regional basesin North America.Europe,and Asia-Pactfic. Data Sheet Enphase Microinverters Region US The high-powered smart grid-ready Enphase Enphase IQ 7 Micro`" and Enphase IQ 7+ Micro•°" IQ 7 and IQ 7+ dramatically simplify the installation process while achieving the highest system efficiency. Microinverters Part of the Enphase IQ System, the IQ 7 and IQ 7+ Microinverters integrate seamlessly with the Enphase IQ Envoy", Enphase Q Aggregator'" Enphase IQ Battery'", and the Enphase Enlighten'" monitoring and analysis software. IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install • Lightweight and simple • Faster installation with improved,lighter two-wire cabling • Built-in rapid shutdown compliant(NEC 2014&2017) Productive and Reliable • Optimized for high powered 60-cell and 72-cell*modules More than a million hours of testing • Class II double-insulated enclosure 1 • LIL listed Smart Grid Ready • Complies with advanced grid support,voltage and frequency ride-through requirements • Remotely updates to respond to changing grid requirements Configurable for varying grid profiles • Meets CA Rule 21 (UL 1741-SA) U *The IQ 7+Micro is required to support 72-cell modules. L Z ENPHASE To learn more about Enphase offerings,visit enphase.com %./ Enphase IQ 7 and IQ 7+ Microinverters INPUT DATA(DC) IQ7-60-2-US 107PLUS-72-2-US Commonly used module pairings' 235W-350W+ 235 W-440 W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 60 V Peak power tracking voltage 27 V-37 V 27 V-45 V Operating range 16 V-48 V 16V-60V Min/Max start voltage 22V/48V 22 V/60 V Max DC short circuit current(module Isc) 15A 15A Overvoltage class DC port II II DC port backfeed current 0 A 0 A PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ 7 Microinverter IQ 7+Microinverter Peak output power 250 VA 295 VA Maximum continuous output power 240 VA 290 VA Nominal(L-L)voltage/range' 240 V/ 208V/ 240 V/ 208V/ 211-264 V 183-229 V 211-264 V 183-229 V Maximum continuous output current 1.0 A 1.15 A 1.21 A 1.39 A Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz AC short circuit fault current over 3 cycles 5.8 Arms 5.8 Arms Maximum units per 20 A(L-L)branch circuit' 16(240 VAC) 13(240 VAC) 13(208 VAC) 11 (208 VAC) Overvoltage class AC port III III AC port backfeed current 0 A 0 A Power factor setting 1.0 1.0 Power factor(adjustable) 0.7 leading..0 7 lagging 0 7 leading...0.7 lagging EFFICIENCY @240 V @208 V @240 V @208 V Peak CEC efficiency 97.6% 97.6% 97.5% 97.3% CEC weighted efficiency 97.0% 97.0% 970% 97.01% MECHANICAL DATA IQ 7 Microinverter Ambient temperature range -40°C to+65°C Relative humidity range 4%to 100%(condensing) Connector type MC4(or Amphenol H4 UTX with additional Q-DCC-5 adapter) Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1.08 kg(2.38 lbs) Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Environmental category/UV exposure rating NEMA Type 6/outdoor FEATURES Communication Power Line Communication(PLC) ~� Monitoring Enlighten Manager and MyEnlighten monitoring options. Both options require installation of an Enphase IQ Envoy. Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break disconnect required by NEC 690. Compliance CA Rule 21 (UL 1741-SA) UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22.2 NO.107.1-01 This product Is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions 1 No enforced DC/AC ratio.Seethe compatibility calculator athttps7//enphase.com/en-us/support/module compatibility 2.Nominal voltage range can be extended beyond nominal if required by the utility. 3 Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. To learn more about Enphase offerings,visit enphase.com u E N P H AS E -,2019 Enpnase Energy All rights reserved All trademarks of brands used are the property of Enphase Energy,Inc 2018-02-08 a e 1 a PHOTOVOLTAIC ROOF MOUNT SYSTEM ^ P 25 MODULES-ROOF MOUNTED - 9.00 kWDC, 7.25 kWAC J ' 415 VILLAGE LN, MATTITUCK, NY 11952 USA HARVESTPOUVER HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP SYSTEM SUMMARY: GOVERNING CODES: SHEET INDEX TERRACE,NY 11752 TEL-(801)989-3585 (N)25-REC SOLAR REC360AA(360W)MODULES 2017 NATIONAL ELECTRICAL CODE(NEC) PV-0 COVER SHEET website www haivestpowernet (N)25-ENPHASE IQ7PLUS-72-2-US MICRO-INVERTERS 2018 INTERNATIONAL BUILDING CODE(IBC) PV-1 SITE PLAN WITH ROOF PLAN (N)JUNCTION BOX 2018 INTERNATIONAL EXISTING BUILDING CODE(IEBC) PV-2 ATTACHMENT DETAILS (E)200A MAIN SERVICE PANEL WITH(E)200A MAIN BREAKER 2018 INTERNATIONAL RESIDENTIAL CODE(IRC) PV-3 SINGLE LINE DIAGRAM (N)60A FUSED AC DISCONNECT 2018 INTERNATIONAL MECHANICAL CODE(IMC) PV-4 PLACARDS&WARNING LABELS 2018 INTERNATIONAL FIRE CODE(IFC) PV-5 ADDITIONAL NOTES 2020 RESIDENTIAL CODE OF N.Y S(RCNYS) PV-6+ EQUIPMENT SPEC SHEETS DESIGN CRITERIA: ROOF TYPE--ASPHALT SHINGLE VERSION NUMBER OF LAYERS.-01 DESCRIPTION DATE REV ROOF FRAME.-2"x6"RAFTERS @16"O.C. STORY'-ONE STORY SNOW LOAD -25 PSF WIND SPEED:-127 MPH WIND EXPOSURE:-B ENGINEER'S STAMP GENERAL NOTES: GAEL 1. INSTALLATION IN ACCORDANCE WITH MANUFACTURER RECOMMENDATIONS '` ARRAY LOCATIONS �';,, PROJECT SITE 2 ENGINEER TO INSPECT PROJECT AFTER INSTALLATION --- - - -- - --- - o AND CERTIFY COMPLIANCE. ys^.` 3 PROJECT TO BE INSTALLED WITH CODE COMPLIANT ' (CPARACKING INSTRUCTIONS FOR UNI-RAC SOLAR MOUNT j; '+ e SYSTEM ' ` brth 4 FOLLOW BALLASTING SCHEDULE ON ROOF PLAN. ° § °' ' 5 HARVEST POWER, LLC ,THE SOLAR INSTALLATION CONTRACTOR, COMPLIES WITH ALL LICENSING&ALL 'x RELATED REQUIREMENTS OF THE GOVERNING °'t' t < 00 0 MUNICIPALITIES AND THE LOCAL ELECTRIC UTILITY J AHJ'S ;�'` �^ ti 0 Lu CD 6. THIS PROJECT WILL COMPLY WITH THE CURRENT NECK,' .� F ' J N O = Z LoH REQUIREMENTS INCLUDING ARTICLE 690 SOLAR s, �, I " #, - -. i f`f —� ,J O � PHOTOVOLTAIC PV SYSTEMS. =s' y - 5 , fi '+,.- ;>; ;°, ,'` W CD 0 = W 7 THE ROOF WILL HAVE NO MORE THAN A SINGLE LAYER Ur O (n OF ROOF COVERING IN ADDITION TO THE SOLAR _ _ '- i V Q O EQUIPMENT. F w; P', e'x 25 'All ` J Z 0 8. INSTALLATION WILL BE FLUSH-MOUNTED, PARALLEL �- � �:"-` 4T5'Vi�lg _L�ne ,, J Z TO AND NO MORE THAN 6.5"ABOVE ROOF *; , (� O 9 MAINTAIN A MINIMUM OF 18"CLEARANCE AT RIDGE AND AT ONE GABLE EAVE. ,r $ � Htr y,tea . Q �_ 00 0 10 THIS DESIGN COMPLIES WITH 130 MPH WIND ~ ^{,' W - 'SQA,, '�a,. .b„°' ''` �; `_-^_` • ' 1,' ` C) REQUIREMENTS OF THE RESIDENTIAL CODE OF N Y S Z AND ASCE 7-16 " `. ,- 1,• >- `' ^ s __ - R a+yo Q 2 11 WHEREVER THE ROOF PLAN DOES NOT COMPLY WITH r ' ; ' ' a .�1� :'� % _ _- __ Q Q ACCESS AND VENTILATION REQUIREMENTS OF THE UNIFORM CODE, HARVEST POWER PROPOSES THAT ` ° ' N �,, Y � '` tr ittit4 dk _pivlt-,uf_luPd ALTERNATIVE VENTILATION METHODS WILL BE EMPLOYED REVIEW AND APPROVAL SHALL SHEET NAME BEAT THE DISCRETION OF THE MUNICIPALITY IN WHICH THIS { AA DOCUMENT HAS BEEN FILED - " " { COVER SHEET 12. THE DESIGN PLANS COMPLY WITH THE 2020 NEW AERIAL PHOTO VICINITY MAP YORK STATE UNIFORM FIRE PREVENTION AND SHEET NUMB RESIDENTIAL BUILDING CODE SCALE: NTS 2 SCALE NTS PV-0 ER MODULE TYPE DIMENSIONS & WEIGHT ROOF ACCESS AREA: a ` ' SHALL BE LOCATED IN AREAS THAT DO NOT REQUIRE THE PLACEMENT OF NUMBER OF MODULES=25 MODULES GROUND OVER OPENINGS SUCH AS WINDOWS OR DOORS,AND LOCATED * MODULE TYPE=REC SOLAR REC360AA(360W)MODULES AT STRONG POINTS OF BUILDING CONSTRUCTION IN LOCATIONS WHERE ' MODULE WEIGHT=43 LBS/19 5 KG THE ACCESS POINT DOES NOT CONFLICT WITH OVERHEAD MODULE DIMENSIONS= 67 8"X 40 0"= 18.83 SF OBSTRUCTIONS SUCH AS TREE LIMBS,WIRES OR SIGNS UNIT WEIGHT OF ARRAY=2.28 PSF HARVESTP "olUC HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP TERRACE,NY 11752 TEL (801)989-3585 (E)GATE Q jOe� j ROOF#3 website wwwharvestpowernet (3) REC SOLAR REC360AA (360W)MODULES REMOVE TREES / "� RAFTERS=2"x6"@16"O C \c\G ` �j 151°AZIMUTH, 14°TILT (E)TREES(TYP) �•�\���P� t \ iia ` � O ROOF#2 VERSION rLGJ , \ (10)REC SOLAR REC360AA DESCRIPTION DATE REV � lo l� \ ( ULES RAFTS SOD2"x6'@16"O.0 61°AZIMUTH,20°TILT rf r�� rf �� �) ENGINEER'S STAMP ROOF#1 (12) REC SOLAR REC360AA (E)200A MANi "� RAFTERS 62 6@ 6U0 C 0W)MODLES SERVICE P EX, WITH (E)200 241°AZIMUTH,20°TILT MAIN BREAK 3�� FPt ej (INSIDE) A/' SEE ENLARGE (N)JUNCTION BOX VIEW ON PV-1/2 •� ��-� 4 ,��1> � /+" `, � 3/4"EMT CONDUIT RUN � Q O � (E) FENCE 1/2"ABOVE ROOF (n O ��„ J Z O p cp ��' 9P�s = w 0 0 (y \� V 0 O (N)COMBINER BOX O LL O QUO Z (N)60A FUSED AC DISCONNECT J Y Z (E)UTILITY METER > (.) O o O 0 U � H *k Z 2 < Q Q SHEET NAME SITE PLAN WITH ROOF PLAN SITE PLAN WITH ROOF PLAN ENLARGE VIEW SHEET NUMBER 1 SCALE- 1/32"=1'-0" SCALE: 1/16"=1'-0" PV-1 ` P � ENLARGE VIEW (PV-2/2) HARVEST O E'R HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP ,NY 11752 PV MODULES TERL.(801)989-3585 website www harvestpowernet S @16, O G (E) ASPHALT SHINGLE VERSION ROOF (TYP.) DESCRIPTION DATE REV GENERAL NOTES: 1 RAILS TO BE INSTALLED TWO PER PANELS AS SHOWN IN DETAIL. 2 ALL PENETRATIONS TO BE MADE@ 48"O C. ENGINEER'S STAMP 3 BOLTS TOBE INSTALLED INTO RAFTERS. ��RED 4. MINIMUM 2"PENETRATION INTO WOOD FOR CODE COMPLIANCE �`� A ATTACHMENT DETAIL NOTE:- �� ��aEL 4. �� 1 "ACTUAL ROOF CONDITIONS AND RAFTER(OR SEAM)LOCATIONS MAY O SCALE- NTS' VARY. INSTALL PER MANUFACTURER(S)INSTALLATION GUIDELINES AND ENGINEERED SPANS FOR ATTACHMENTScn " a � 0 PV MODULESE 0 C) n ti O w CD UNIRAC SM LIGHT RAIL -J Z Lo oo L-FOOT = W T o Q C) FLASH KIT PRO Q Z C) LL (E) ASPHALT SHINGLE J Y ROOF (TYP.) ROOF/ DECK MEMBRANE Lo ? o Q o O U BUILDING STRUCTURE 5/16" STAINLESS STEEL LAG BOLT Q a _ OR 2-1/2" MIN. EMBEDMENT AND SS EPDM Q 2.5" MIN. WASHER EMBEDMENT SHEET NAME ATTACHMENT DETAIL ATTACHMENT DETAIL (ENLARGE VIEW) SHEET NUMBER SCALE NTS PV-2 lzq 7-7 (25),REC SOLAR REC360AA(360W) MODULES BILL OF MATERIALSs (25) ENPHASE IQ7PLUS-72-2-US MICRO-INVERTERS EQUIPMENT QTY DESCRIPTION >� (01) BRANCH OF 13 MODULES & SOLAR PV MODULE 25 REC SOLAR REC360AA(360W)MODULES T ` (01) BRANCH OF 12 MODULES INVERTER 25 ENPHASE IQ7PLUS-72-2-US MICRO-INVERTERS COMBINER BOX 1 ENPHASE COMBINER BOX SYSTEM SIZE:-25 x 360W= 9.00 kWDC JUNCTION BOX 1 600V,55A MAX,4 INPUTS,MOUNTED ON ROOF FOR WIRE&CONDUIT TRANSITION I HARVESTROWER 25 x 290W=7.25 kWAC AC DISCONNECT 1 60A FUSED, 40A/2P FUSE,240V NEMA 3R,UL LISTED, HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP TERRACE,NY 11752 TEL (801)989-3585 website wwwharvestpowernet BI-DIRECTIONAL UTILITY METER 1-PHASE,3-W, 120V/240V,60Hz IF VERSION DESCRIPTION DATE REV SUPPLY TAP WITH L JUNCTION TAP BOX (N)12X12X6 JUNCTION R'�S MP TAP BOX 13 MICRO-INVERTERS IN BRANCH CIRCUIT#1 _I (N) ENPHASE COMBINER BOX 200A JA • • • o\ A ENVOY CELL (E)200A MAI '7 r�l (N)JUNCTION BOX p n MODEM (N)AC DISCONNECT. SERVICE PA L t 600 V,NEMA 3 60A FUSED,/W 40A/2P UL LISTED W/(E)200A FUSES,240V NEMA 3R, MAIN BREAKER AV I ti I ti I UL LISTED, ^ (TOP FED) 10A l`NAME — — — — — — — — — — — — — — 40A/2P FUSE 20A \_ _ 12 MICRO-INVERTERS IN BRANCH CIRCUIT#2 2LQA `j Q p p J — G - - - - - - - G - - — - - G - - - - - - - � W Z) F_ 0 MIT . • . I - - J J Z LLo oo Lu o (3)#8 AWG THWN-2 (3)#6 AWG THWN-2 = LU mco O (1)#8 AWG THWN-2 CU GND (1)#8 AWG THWN-2 CU GND EXISTING V Q >_ O ti ti A (4)#10 AWG THWN-2 3/4"EMT CONDUIT 3/4"EMT CONDUIT — Q O 0 — — — — — (1)#8 AWG THWN-2 CU GND GROUNDING J Z — — — J SYSTEM J — — — — — — 3/4"EMT CONDUIT Q = C) i O (25)ENPHASE IQ7PLUS-72-2-US (2)Q-CABLE MICRO-INVERTERS (4)#12 AWG TRUNK CABLE z "7 (1)#6 BARE COPPER GND < Q Q TERMINATOR CAP ON LAST CABLE CONNECTOR AC TRUNK CABLE(TYP) SHEET NAME SINGLE LINE DIAGRAM 1 SINGLE LINE DIAGRAM SHEET NUMBER SCALE. NTS PV-3 `` 'AWARNING AWARNING ELECTRICALSHOCK HAZARD PHOTOVOLTAIC SYSTEM SOLAR PV SYSTEM EQUIPPED P COMBINER PANEL WITH RAPID SHUTDOWN HARVESTP �� TERMINALS ON LINE AND LOAD DO NOT ADD LOADS SIDES MAY BE ENERGIZED IN HARVEST POWER LLC THE OPEN POSITION LABEL LOCATION- 2941 SUNRISE HIGHWAY ISLIP PHOTOVOLTAIC AC COMBINER(IF TERRACE,NY 11752 LABEL LOCATION APPLICABLE) TEL ww.h 989-3585owe wehsrte www.harvestpowernet INVERTER(S),AC DISCONNECT(S),AC 3' TURN RAPID SHUTDOWN COMBINER PANEL(IF APPLICABLE). SWITCH TO THE"OFF" /SOLUARELECTRIC ANELS POSITION TO SHUT DOWN PV SYSTEM AND REDUCE SHOCK HAZARD IN THE ARRAY. VERSION ® , 10 IB DESCRIPTION DATE REV a♦ LABEL LOCATION ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE LABEL LOCATION: DISCONNECTING MEANS TO WHICH THE PV SYSTEMS UTILITY SERVICE ENTRANCE/METER,INVERTER/DC ARE CONNECTED DISCONNECT IF REQUIRED BY LOCAL AHJ,OR OTHER LOCATIONS AS REQUIRED BY LOCAL AHJ. ENG ER'S STAMP ®rte-reRE®�3 fs � AWARNING-. �� POWER SOURCE OUTPUT CONNECTION DO NOT RELOCATE THIS `D OVERCURRENT DEVICE ®�917 LABEL LOCATION ADJACENT TO PV BREAKER AND ESS OCPD(IF APPLICABLE). O BUILDING SUPPLIED BY UTILITY U) 0 0 GRID AND PHOTOVOLTAIC J _ N o = SYSTEM J z rn o . z (n 0 O LABEL LOCATIONz 4 O INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, A Y Y r Z AT EACH TURN,ABOVE AND BELOW PENETRATIONS, 0 > V ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS < Q Lr) O O IT! FS— z ♦ ♦Y ®o o♦ ® ~♦ SHEET NAME LABEL LOCATION. (N)COMBINER BOX AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF (N)FUSED AC DISCONNECT (E) MAIN SERVICE PANEL PLACARDS & INTERCONNECTION (E)UTILITY METER (INSIDE) WARNING LABELS LABEL LOCATION SHEET NUMBER POINT OF INTERCONNECTION (PER CODE NEC690 56(B),NEC705 10,225 37,230 2(E)) PV-4 d . 1. EACH MODULE TO BE GROUNDED USING THE SUPPLIED CONNECTION POINT PER MANUFACTURER'S REQUIREMENTS. ALL SOLAR MODULES, EQUIPMENT, AND METALLIC COMPONENTS ARE TO BE BONDED. IF THE EXISTING GROUNDING HARVEST120CUIJER ELECTRODE SYSTEM CAN NOT BE VERIFIED OR IS ONLY METALLIC WATER PIPING, HARVEST POWER LLC SUNRISE IT IS THE CONTRACTOR'S RESPONSIBILITY TO INSTALL A SUPPLEMENTAL 2941 TERRACE, NY117ZISLIP GROUNDING ELECTRODE. TEL s-asss website.wwwharvhamestpower net 2. ALL PLAQUES AND SIGNAGE REQUIRED BY THE LATEST EDITION OF NATIONAL ELECTRICAL CODE. LABEL SHALL BE METALLIC OR PLASTIC, ENGRAVED OR MACHINE PRINTED IN A CONTRASTING COLOR TO THE PLAQUE. PLAQUE SHALL BE UV RESISTANT IF EXPOSED TO SUNLIGHT. 3. DC CONDUCTORS SHALL BE RUN IN EMT AND SHALL BE LABELED, "CAUTION DC VERSION CIRCUIT" OR EQUIV. EVERY 5 FT. DESCRIPTION DATE REV 4. EXPOSED NON-CURRENT CARRYING METAL PARTS OF ELECTRICAL EQUIPMENT SHALL BE GROUNDED IN ACCORDANCE WITH 250.134 OR 250.136(A). MP 5. CONFIRM LINE SIDE VOLTAGE AT ELECTRIC UTILITY SERVICE PRIOR TONEL CONNECTING INVERTER. VERIFY SERVICE VOLTAGE IS WITHIN INVERTER VOLTAGE OPERATIONAL RANGE. 6. OUTDOOR EQUIPMENT SHALL BE NEMA-3R RATED OR BETTER. 7. ELECTRICAL CONTRACTOR TO PROVIDE CONDUIT EXPANSION JOINTS AND E ANCHOR CONDUIT RUNS AS REQUIRED PER NEC. 8. ALL WIRING MUST BE PROPERLY SUPPORTED BY DEVICES OR MECHANICAL Q o MEANS DESIGNED AND LISTED FOR SUCH USE, AND FOR ROOF-MOUNTED W z) o O SYSTEMS, WIRING MUST BE PERMANENTLY AND COMPLETELY HELP OFF OF THE J Z CN o ROOF SURFACE. NEC 110.2 - 110.4 / 300.4 I j J M � O W o U) 9. ALL ROOF PENETRATIONS MUST BE FLASHED. SIMPLY CAULKING DOES NOT Q Z SUFFICE. Y j Y o Z < L = o O Q o Z 2 < Q Q SHEET NAME ADDITIONAL NOTES SHEET NUMBER PV-5 f IMF It i• eF i � vt%t .r9' w 1.'^Ai4 ev�'r` 3• '9r'Re `.- �t - "'. P tt,. � „ r4e .^'.y, ! ;_ y:�• S 6 ' j"` �'+e �,, »1 1' 3 s ':-,, ,- ISI••I• ... ,, +:fi. ����.� UN q � .. � ' IRAHARVEST POWER LLC , z sr', y - !�. r 2941 SUNRISE HIGHWAY ISLIP TERRACE,NY 11752 r, (801)989-3585 website www • 1 , 1. 1 1 . 1 1 1 • I 11 OPTIMIZED COMPONENTS . . / C • � 1 I • II 1 1 1 . 111• / I I I rl 1 'I 1 �. , INTEGRATED BONDING&PRE ASSEMBLED PARTS ff • 1 ' 'I 1. 1 1 ' 1 1 1' ' '1 . i I +w R,$��Com�onenls are pie assembled and optlnrzed to reduce�nstallaUun`sleps and`saue "+ Iabdiltime�0uriiei+gountlm &bondni 'iocessehminatescok erwueantl iountlm INTEGRATED BONDING h w PP t �- B, g: , x , 'MID 1 1 1 1. 1 •. . ..,� CLAMP• ` andingJumperstarerlucecdsfs;Ulilize'the:microinverterrnountwith`arwlfe' • 1 1 . I d .1 1 ', straps orb x' h nt' for an easiei'mstallahon`.6- in 1UERSATILITFY{ ENDS n .. ®� n Uo � DESCRIPTION 1 CAPS 0.rt A 4 r;Nl aI s fONEPRODUCTMANYAPPLICATLONS < < " purckly set�rtiodJfes flush to the foul or at ardesretl tril angle Cha'ngexmodule " INTEGRATED`.:B;DNDING � orienlatlun'lopnriradorlandscapesvhllesecuringalaigevailrEyofframedrnodules on ' SPLICEBIR ` -__ flatlo:wSlapeor"s(ecpprfahetlroots Auail'ablcmmrjl cicarand , v�, dark anotlrzetl:fmishes, iPwtvrF`.-11,6,,(1`F "k>sa ^a?.t�' r,. �5,to,eu,t erfurm-your roectsgfmancialaod`aesthehcaEWA,, ir"a�ti � �� " � + r �� acFx �� �r„ �`•�---�— Sco h_ P Ps P a yc t S" •ii 1x ^, .y yt�',�'�'`a.. s.�^+�;y'f �� '•r'; ' a„ ,,t.„'fin. 7. 7 i T,s"k •� ,.��. ��,r ..a `�`”kr2+ � yK,,.r�.•- �r CAUAmMATED DESi,GN }TOOL$..1�. � r .�,s.+ ta ,DESIPLATFO.RMAT�YOURSERVICE.'; N t tr �' ® INTEGRAIEDBDNDING' ? 1 , Creating a 6dlmaterials islusl a:few,chcks awaYwrth U-DuiJder a povJeiful online „ ®x Ik,•'rh.+'��.�Y,n111•'a ,r.r. iw`:�r. ,x. a,;`s«,...-; ntre�ac. - y a /T.BOLT. 3, D tool t(iatlsl"eamlmesthelpr;ocessofdesignmgcotlecomphantsolarmounUpgsystem L"PORTW -' ,�"� '. ,E-`.'err^ 'r ' ® '- -� `, S`, •c Save+tj;me�c a4fn9Mser.prafile,andrecalhpref rencesaq �golec'tsau.lomatrcally�'. -, f�f �' .^T:'1➢1,�`ill..: t/''>I'�1. �'r, ac :'o® ,c:. .. t..i '•fir - sa.�T( 7r� 3 nw,ou log m You svrfl enloy� Y• .f. 3 ''. � ojecis svrthcustoyr�lers there s no _ Kr'>" N'�: ,.. , 1 '�,:<•: �., -'s's�'f� I tho abflilYao shaic pr ,�,,,, need,fo pfiiit iesultrand send'to,a dlst�ibuior lust click and.share. ! • • � ! 4 F 1 FRONT �' e w7 rsINTEGRATED INOUNTw/ € k r l E EN WIRIRE MANAGE M BONDING&GROUNOIN6t - C_ MECHA l6,jMML�O�DING 0 L jS STEM IKL(3 MAS, Aid �= _ ; .: �,z -, UJI • 3 'M �,� •_ri'1 s #R 3 N iii,• : • J Aft LU I'` 1 . v'� '• k.�., 7AN . • •TH �IGHFCT SUPPOR? f r a `-\ J ."A ( I I' UNMATCHED ,< GERIIFIEO ENGINEERING ;6ANKABLEDESIGN PERMIT 1. 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Ifni ed rotluctwa«and a-'a (5) earlgnrtetl hhlsirwarran . . lm 4 ..au$: eomttm.;and.. re of l- tonna oeess excellencea d:,rommdmenl.to:,fifst classb iu— mcfices.. .. t Y. Y b P Y P g I P g_ p I II I IIIIIIIII IiIII lllllllllllllllll 11 11 1111111111 III 1111 I II I _< _. x.. "... , :.. ft"N Alm, „ SPEC SHEETS , .. .� . . .. -. -: ,�: :. ;.: ,_ . _ . ' .... :3�PONENTS VERSATILITY DESLGN TOOLS UALITY PROVIDER. _ PROTECT YOUR,REPUTATION WiTN UALITY RACKING OLUTIONS BACKA B' NGINEERING EXCELLENCE AND A=SUPERIOR;SUPP.LY CHA „Q Q P • 8 � 1 r 'Z Pza P_ 0--9ARVESTPOWE HARVEST POWER LLC structural structural 2941 SUNRISE HIGHWAY ISLIP ENGINEERS ENGINEERS TERRACE, 8 552 TEL (801)989-3585 webstemww.hanestpowernet June 6,2020 Installation Orientation: See SOLARMOUNT Rail Flush Installation Guide. Landscape-PV Panel long dimension is parallel to ridge/eave line of roof and the PV Unirac panel is mounted on the long side. 1411 Broadway Blvd.NE Portrait-PV Panel short dimension is parallel to ridge/eave line of roof and the PV panel Albuquerque,NM 87102 is mounted on the short side. Attn.:Unirac-Engineering Department Components and Cladding Roof Zones: Re:Engineering Certification for the Unirac U-Builder 2.0 SOLARIVIOU NT Flush Rail The Components and Cladding Roof Zones shall be determined based on ASCE 7-05,ASCE 7-10&7-16 Component and VERSION Cladding design. DESCRIPTION DATE REV PZSE,Inc.-Structural Engineers has reviewed the Unirac SOLARMOUNT rails,proprietary mounting system constructed Notes: 1)U-builder Online tool analysis is only for Unirac SM SOLARMOUNT Rail Flush systems only and do not from modular parts which is intended for rooftop installation of solar photovoltaic(PV)panels;and has reviewed the U- include roof capacity check. builder Online tool.This U-Builder software includes analysis for the SOLARMOUNT LIGHT rail,SOLARIVIOUNT 2)Risk Category II per ASCE 7-16. STANDARD rail,and SOLARMOUNT HEAVY DUTY rail with Standard and Pro Series hardware. All information,data and 3)Topographic factor,kzt is 1.0. analysis contained within are based on,and comply with the following codes and typical specifications: 4)Array Edge Factor YE=1.5 �� � P 1. Minimum Design Loads for Buildings and other Structures,ASCE/SEI 7-05,ASCE/SEI 7-10,ASCE/SEI 7-16 5)Average parapet height is 0.0 ft. �,N��L (f �A 2. 2006-2020 New York State Building Code,by International Code Council,Inc and New York State Department of 6)Wind speeds are LRFD values. 0 State. 7)Attachment spacing(s)apply to a seismic design category E or less. \ 0 3. 2006-2020 New York State Residential Code,by International Code Council,Inc and New York State Department 1 of State. Design Responsibility: 4. 2006-2018 International Building Code,by International Code Council,Inc.w/Provisions from SEAOC PV-2 2017. The U-Builder design software is intended to be used under the responsible charge of a registered design professional p ` 5. 2006-2018 International Residential Code,by International Code Council,Inc.w/Provisions from SEAOC PV-2 where required by the authority having jurisdiction.In all cases,this U-builder software should be used under the �Q817 : 2017. direction of a design professional with sufficient structural engineering knowledge and experience to be able to: ®� W �� 6. AC428,Acceptance Criteria for Modular Framing Systems Used to Support Photovoltaic(PV)Panels,November 0 Evaluate whether the U-Builder Software is applicable to the project,and .RDyE- `(fAME 1,2012 by ICC-ES. 7. 2015 Aluminum Design Manual,by The Aluminum Association,2015 Understand and determine the appropriate values for all input parameters of the U-Builder software. Following are typical specifications to meet the above code requirements: This letter certifies that the Unirac SM SOLARMOUNT Rails Flush,when installed according to the U-Builder engineering (n O� report and the manufacture specifications,is in compliance with the above codes and loading criteria. O W O = Design Criteria: Ground Snow Load=0-100(psf) J Z `CV 00 Basic Wind Speed=85-190(mph) This certification excludes evaluation of the following components: W _J O O Roof Mean Height=0-60(ft) 1) The structure to support the loads imposed on the building by the array;including,but not limited to:strength = W r O 0 Roof Pitch=0-45(degrees) and deflection of structural framing members,fastening and/or strength of roofing materials,and/or the effects (� Q >_ O Exposure Category=B,C&D of snow accumulation on the structure. J Z d' 0 Attachment Spacing: Per U-builder Engineering report. 2) The attachment of the SM SOLARMOUNT Rails to the existing structure. .J r 3) The capacity of the solar module frame to resist the loads. Y Y Z Cantilever: Maximum cantilever length is L/3,where"L"is the span noted In the U-Builder online O O tool. This requires additional knowledge of the building and is outside the scope of the certification of this racking system. J f— O 0 Clearance: 2"to 10"clear from top of roof to top of PV panel. OFA V *k If you have any questions on the above,do not hesitate to call. � y Z Tolerance(s): 1.0"tolerance for any specified dimension in this report is allowed for installation. Y. Zq�y 0 Q a- _ Prepared by: * * Q _ PZSE,Inc.-Structural Engineers r Of a Roseville,CA P��13652 SHEET NAME 1478 Stone Point Drive,Suite 190, Roseville,CA 95661 1478 Stone Point Drive,Suite 190, Roseville,CA 95661 AROFESSIONP� T 916.961.3960 F 916.961.3965 W www.pzse.com T 916.961.3960 F 916.961.3965 W www.pzse.com SPEC SHEETS Experience I Integrity I Empowerment Experience I Integrity I Empowerment SHEET NUMBER PV-7