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HomeMy WebLinkAbout45289-Z �o�SUFFa Town of Southold 12/30/2020 P.O.Box 1179 Go 53095 Main Rd Southold,New York 11971�, CERTIFICATE OF OCCUPANCY No: 41718 Date: 12/30/2020 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 4870 Stillwater Ave, Cutchogue SCTM#: 473889 See/Block/Lot: 137.-2-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application,for Building Permit heretofore filed in this office dated 9/24/2020 pursuant to which Building Permit No. 45289 dated 10/6/2020 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 as applied for. The certificate is issued to Schreiber,Richard&Margarita of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45289 11/23/2020 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD g�o�gUFF01�COG BUILDING DEPARTMENT TOWN CLERKS OFFICE y z Wo,� • o��¢T 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#: 45289 Date: 10/6/2020 Permission is hereby granted to: Schreiber, Richard 147 E 97th St Apt 2W New York, NY 10029 To: install roof-mounted solar panels as applied for. At premises located at: 4870 Stillwater Ave, Cutchogue SCTM #473889 Sec/Block/Lot# 137.-2-10 Pursuant to application dated 9/24/2020 and approved by the Building Inspector. To expire on 4/7/2022. Fees: SOLAR PANELS $50.00 CO-ALTERATION TO DWELLING $50.00 C $100.00 Tot 1: $200.00 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. 9137.0 New Construction: Old or Pre-existing Building: (check one) n Location of Property: LW 0 �'}1 t j()C� 7� p2(Ug- LCt�"ool Ap House No. Street H mlet Owner or Owners of Property: RtCkD,7q (c&exi_Lyr Suffolk County Tax Map No 1000, Section ]3-7. 00 Block OZ,00 Lot O 10, 000 Subdivision Filed Map. Lot: Permit No. S?i Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 60 Applicant Signature DocuSign Envelope ID.5AD79F65-E18B-4C28-8D45-09E492B207D5 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) IRichard Schreiber residing at 4870 Stillwater Avenue , (Print property owner's name) (Mailing Address) Cutchogue, NY 11935 do hereby authorize PATRICIA GIBSON (Agent) Element Energy LLC 7470 Sound Ave to apply on my behalf to the Southold Building Department. OocuSigned by: 6/30/2020 wneIP's�''ignature) (Date) Richard Schreiber (Print Owner's Name) OF SOUr�®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � sean.devlin(a)-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. Richard Schreiber Address: 4870 Stillwater Ave city:Cutchogue st: NY zip: 11935 Building Permit#: 45289 Section: 137 Block. 2 Lot. 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Element Energy License No- 52689ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph 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 Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump ri Other Equipment 7.82kW Roof Mounted PV Solar Electric System w/ (23) Enphase Qcell Qpeak Duo BK G6- 340 Modules and (23) IQ7-60-2-US Microinverters, AC Disconnect Notes, Solar Inspector Signature: Date: November 23, 2020 S. Devlin-Cert Electrical Compliance Form As �o�,oFsooryo6 Li Is # # TOWN OF SOUTHOLD BUILDING- DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ °] 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: ___�_. Z DATE 2 INSPECTOR �`L �r Town of Southold DEC 2 1 2020 November 30th, 2020 Building Department Town Hall Annex Building 54375 Route 25 P.O. Box 1179 k Southold, NY 11971 Subject: Roof Mounted Solar Panels at the Schreiber Residence, 4870 Stillwater Avenue.. Cutchogue, NY 11935 To Town of Southold: I have reviewed the solar energy system installation in the subject topic on November 20th, 2020. The units have been installed in accordance with the manufacturer's installation instructions and the construction drawings approved by the Building Department, Town of Southold, New York. The solar panel installation is in compliance with the requirements of the 2020 Residential Code of New York State, the 2017 National Electric Code, SEIIASCE 07-16 "Minimum Design Loads for Buildings and Other Structures", NFPA Standard 70 and current industry standards and practices and based on documentation and data supplied by Element Energy at the time of this report. Markings in accordance with Section 690.53 of the National Electrical Code are provided. To the best of my belief and knowledge, the work in this document is accurate, conforms to the governing codes and standards applicable at the time of submission and conforms with reasonable standards of practice with the view to the safeguarding of life, health, property and public welfare. t S'n erely, a DEF O .,�`' ,p R'f0 'A James Deer oski, PE 260 Deer Drive� Z .. � Mattituck, NY 1,1 952 �� �! Op 0 631-774-7355 J I _ , FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) -------------------------------- VN FOUNDATION(2ND) O ® rte r ROUGH FRAMING& y PLUMBING INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADD4,10NA L CONZIEN'TS _ elL(" y- i r\4 z m . b H i TOWN OF SOUTHOLD BUILDING PERMIT APPLICATI N,CHECKLIST BUILDING DEPARTMENT Do you have or need the follow ng,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plan TEL: (631)765-1802 Planning Boaid-approval FAX: (631)765-9502 Suryey Southoldtownny.gov PERMIT NO. Check � Septic Form . N.Y.S.D.E.C.! Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Fc rm Stone-Nater Assessm-,nt Form Contact: Approved ,20Mail to: Y I�MgAt E:mcQiA K Disapproved a/c - )0 Sotxnr9 Ave IfO441kapu( tgSZ Phone: lQ 3 1 - `J g 3 Expiration ,20 R1Q9 ,} rng Ins sector ! ; i P�-3 SEP 2 4 2U20g `;APPLICATION FOR BUILDING PERMIT SEP 2 4 2020 - -Date of�290 ,20 w B��.�I•�q�♦P:��,P•,�po INSTRUCTIONS T��i,.�T.�'lI{E �'.1 I ". a.`�his ap�lic ion MUSS'Abe 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:applicai it. 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 Buil Jing 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 th 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 d scribed.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. (Signature of applicant'orn ime,if a corporation jq4 o soma AX_ V&44ua +R I1�SZ (Mailing address ofapplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,pl ber or builder -—Namd of owner of1- rerfrges s-t �i - (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. y 388 -0 Plumbers License No. Electricians License No. 52(9$9-R6 Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street „ -Hamlet County Tax Map No. 1000 Section ISI.yy :=:Block ,„d2 UO:, Lot 610,0G0 i I Subdivision Filed Map No. Lot 2. State existing use and occupancy of pregises and intended use and occupancy of proposed construction: a. Existing use and occupancy I�51 aur��c� b. Intended use and occupancy &si&. a l 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work S01O,r r-C4 MoZrn ec (Description) 4. Estimated Cost Fee (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 II 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 i 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 14.Names of Owner of premises Kl&w�Sc6p t k(- Address 4-Vo%i(Lcak '� Phone No. 9 -9 q-012-71 Name of Are h--litect Address Phone No Name of Contractor � Qmosn� L-�u kc— Address `ql0 -i)p, Phone No. U21- 779- 7993 j - 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHbLb TOWN TRUSTEES &D.E.C.PERMITS MAYBE REQUIRED. b. Is this prope within 300 feet of a tidal wetland? * YES NOS * IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. i 17.If elevation atl 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,PROLE A COPY. STATE OF NEW YORK) COUNTY OF Q�4,0e) dTfl G 'C 13Son being duly sworn,deposes and says that(s)he is the applicant - (Name of individual signing contract)above named, (S)He is the (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�ontained 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 mi this day f 20 ,-jc PATRICIA A MAY NO Notary Public �' LIC-STATE OF No. O1 MA4676634 Signature of Applicant Qualified In Suffolk County My Commission Expires March 30, 20D-A BUILDING DEPARTMENT-Electrical Inspector Irr TOWN OF SOUTHOLD =` Town Hall Annex - 54375 Main Road - PO Box 1179 CIO Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a�southoldtownn r�gov seandCa�southoldtownn rLgov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: g Zo 120 Company Name: L� Name: ' iL - - License No.: 52(Q%9. He email: t-}�_ ers Address: 'ly'1© _ Sbt�.at - - /J Phone No.: R - 7993 JOB SITE INFORMATION (All Information Required) Name: Sc Address: Cross Street: Phone Bldg.Permit#:-72i- email: 1CU orn Tax Map District: 1000 Section: 1$7 00 _Block:_d �� Lot: 010-006 J BRIEF DESCRIPTION OF WORK (Please Print Clearly) vno�un hr4 `1.F�2k�� Sbl0.r `I V m 23-0C`otl.(`J.-PPnk duo 2 C,UC - 3-4n - z3 EaLbajg I-Q') • Cao Z- 1 a:rc>n 'X2-IUD VIns�L�ca Ilaqmnun e� _Plw:,, .Qadu�4 SuS-AelYl- _ 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 Information:, .P_AYMENT_D.UE WITH-APPLICATION P& �P - Request for Inspection Formals /rm ,\ !0 J-1)Z'6 OF SO(/r�Ql Town Hall Annex O Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 'Q l�COUNT`1,� December 1, 2020 BUILDING DEPARTMENT TOWN OF SOUTHOLD Element Energy LLC 7479 Sound Avenue Mattituck, New York 11952 RE:-Schreiber, 4870 Stillwater Avenue, Cutchog fNOTE ',Post installation certification required. U TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (631-765-1802) A fee of$50.00. Final Board of Health survey. Plumbers Solder Certificate or Pex Affidavit Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Storm Shutters required for all glazing Energy Test Results and Manuals required Final elevation certificate from surveyor. Spray Foam Insulation Certification from a NYS licensed architect or Engineer BUILDING PERMIT: 45289-Z Solar Panels A`CORvim® CERTIFICATE OF LIABILITY INSURANCE DATE(MM7/177/20 0 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 AFFORDEb BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUf'ER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 endorserr♦ent. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT ROBERT S.FEDE INSURANCE AGENCY PHONE - 23 GREEN STREET,SUITE 102 AIC No Ext aC tJo: E-MAIL HUNTINGTON,NY 11743 ADDRESS: ROBERTS.FEDE INSURANCE XFLANINSURERS)AFFORDING COVERAGE NAIC# INSURERA: INSURED INSURERB:STATE INSURANCE FUND 523930 Element Energy LLC INSURER C: ELEMENT ENERGY SYSTEMS INSURER D. 7470 SOUND AVENUE INSURER E: MATTITUCK, NY 11952 INSURERF. COVERAGES CERTIFICATE NUMBER: 7,786 REVISION NUMBER) THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FO 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 ADDL SUER LTR TYPE OF INSURANCE SD POLICY NUMBER POLICY EFF MM%DD� LIMITS COMMERCIAL GENERAL LIABILITY CL00275204 EACH OCCURRENCE X X 7/14/2020 7/14/2021 DAMAGE TO RENTED $ 3,000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence Is 100,000 A TCF1132060001201 MED EXP(Any one person) $ 5000 7/14/2020 7/14/2021 PERSONAL 8,ADV INJURY $ 3000000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000 POLICY❑JE 4 r7 LOC PRODUCTS-COMP/OPAGG $ 3000000 OTHER' I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I $ Ea accident ANY AUTO BODILY INJURY(Per person $ OWNEDSCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Peraccide t)I$ HIRED AUTOSNON-OWNEDONLY PROPERTY DAMAGE IS AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIARI $ OCCUR EACH OCCURRENCE $ -_ HEXCESS LIAB CLAIMS-MADE AGGREGATE I $ DED RETENTION$ $ WORKERS COMPENSATION _ AND EMPLOYERS'LIABILITY Y/N 124494445 X STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE 7/13/2020 7/13/2021 B OFFICERIMEMBER EXCLUDED? and If yes,describe under N/A E.L EACH ACCIDENT $ 1.000,000 (Mandatory in E L DISEASE-EA EMPLOYEE $ 1000-000 DESCRIPTION OF OPERATIONS below i E L DISEASE-POLICY LIMIT $ 1-non non NY State DBL DBL567527 1/01/2020 1/01/2021 Statutory DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER IS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 54375 Main Road THE EXPIRATION DATE THEREOF, NOTICE WILL �BE DELIVERED IN Southold, NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE lR&LvwtS. Fede/,, Sr. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD N Y S ' F New York state Insurance Fund 8 CORPORATE CENTER DR.3RD FLR,MELVILLE,NEW YORK 11747-3129 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE D D AAA^A A 823336604 ■ ROBERT S FEDE INSURANCE AGENCY 23 GREEN ST STE 102 HUNTINGTON NY 11743 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ELEMENT ENERGY LLC TOWN OF SOUTHOLD DBA ELEMENT ENERGY SYSTEMS 54375 MAIN ROAD 7470 SOUND AVENUE SOUTHOLD NY 11971 MATTITUCK NY 11952 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12449444-5 1 431321 07/13/2020 TO 07/13/2021 8/11/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2449 444-5, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT jTO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.! IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:I/WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. i THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:737801881 U-26.3 YORK workers'STATE Compensation CERTIFICATE OF INSURANCE COVERAGE 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 ELEMENT ENERGY LLC 7470 SOUND AVE MATTITUCK,NY 11952 1c.Federal Employer Identification Number of Insured Work Location Of Insured(Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i e.,Wrap-Up Policy) 823336604 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 54375 Main Road 3b.Policy Number of Entity Listed in Box"l a" Southold, NY 11971 DBL567527 3c Policy effective period 01/01/2020 to 12/3112021 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. © 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 described above. Date Signed 7/17/2020 By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent ofthat insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer 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 513 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 5B 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 carriers are authonzed to Issue Form DB-120.1.Insurance brokers are NOT authorized to Issue this form. D13-120.1 (10-17) �IIIIIP1°�°�1°2°0°!�!°�ii(i1i°11°�1°7�)°IIII�I APPROVED AS HO E" DATE:,�Q" LIDB.P.;B _ q 2- GC,\fPLY WITH ALL CODES OF BY:.`+ NEW YORK STATE & TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS REQUIRED A7TOWN OF t 5-1802 B AMi To 4 PPA FOR THE FOLLOWING lidSPECTIONS: SO FOUNDATION - TWO REQUIRED S OARD FOR POURED CONCRETE2. ROUGH - FRAMING & PLUI,MBING SO3. INSULATION 4. FINAL - CONSTRUCTION PMUST � . BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEEW YORK STATE. NOT RESPONSIBLE FOR 0 P�ANCY ', DESIGN OR CONSTRUCTION ERRORS. � � L A%Nf- WTHOU T CERTIFICATE ELECTRICAL iNpWnO%REQUIRED OF O C C U PAN CY RETAIN STORM %LATER RUPIOFF PURSUANT TO CHAPTER 236 OF THE TOVVN CODE. ' Town of Southold September 11th, 2020 Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Subject: Roof Mounted Solar Panels at the Schreiber Residence, 4870 Stillwater Avenue, Cutchogue, NY 11935 To Whom It May Concern: I hereby state that it is my professional opinion that the subject plans comply with the 2020 Residential Code of New York State, the 2017 National Electric Code, ASCE 7-16, and NFPA-70. These code requirements include the fact that the roof framing is adequate to support the additional loads from solar panels as well as roof ridge and peak access to first responders. I have evaluated the structural framing of the existing roof with the additional loading to account for the proposed solar panel application. Deflection and stresses of the structural components remain within the allowable for the existing roof for wind pressures from 130 mph, 3 second gust, Exposure B with a ground snow load of 20 pounds per square foot. Mounting locations and methods are as indicated in the submitted plans. From the site inspection and analysis, and as evidenced by previous roof loads withstood, it is my professional opinion that the existing building and roof framing is structurally adequate to support the reactions of the solar panels in addition to the existing code required for live and dead loads. Also the wind analysis concluded that the mounting system as shown on the plans is adequate to resist the calculated uplift pressure. The dead load of the heaviest solar panel assembly in this evaluation is approximately 3.0 pounds per square foot. r Please contact me if you have any questions or comments about the above. Sincerely, CO o James Deerkoski, PE 260 Deer Drive Mattituck, NY 11952 631-774-7355 ss� SCOPE OF WORK DESIGN*DRAFTING BY: f _ _ ELEMENT ENERGY LLC TO INSTALL A 7 82 KW SOLAR PHOTOVOLTAIC(PV)SYSTEM AT THE SCHREIBER RESIDENCE, _ �,�a„� `^ -=-:-r`ti�= =v ' REVIEW BYJ.M NABCEPCERTIFIED LOCATED AT 4870 STILLWATER AVENUE, CUTCHOGUE, NY 1 1935. � � - 051 1 12-129 THE POWER GENERATED 8Y THE PV SYSTEM W11 L BE INTERCONNECTED WITH THE UTILITY GRID ; THROUGH THE EXISTING ELECTRICAL SERVICE EQUIPMENT REVISIONS _ THE PV SYSTEM DOES NOT INCLUDE STORAGE BATTERIES - — -- _ DESCRIPTION DATE REV SYSTEM RATING _ _ ' �- ` _ - O RNAL 0')-11.20201 :��� ��� . 7.82 kW DC STG EQUIPMENT SUMMARY x/270'© ©900 E '. .y --�— 23 QCELL Q,PEAK DUO-BLK GG+ 34 240° 120o 0 PV MODULES <` 23 ENPHASE IQ7-GO-2-US MICRO INVERTERS 2100 1500 = coNTRAcroR I IRONRIDGE XR100 MOUNTING SYSTEM 1800 SHEET INDEX ELEMENT ENERGY, LLC, PV-I COVER - . PV-2 SITE PLAN - '-'• � �3 - � =' , -- _ - 7470 SOUND AVE PV-3 ROOF PV LAYOUT �\ -_ - ' ' CJ► NC MATTITUCK, NY I 1552 PV-4 STRUCTURAL/DETAILS SECTIONSj-0 { LICENSE # 43889-1i PV-5 3-LINE ELECTRICAL DIAGRAM >,v - _ �i F y r. t f� •.p `°r`''' LICENSE# 52689-ME PV-G LABELS �� .' r ;.� GOVERNING CODES 2017 NATIONAL ELECTRICAL CODE, � 'i 2020 RESIDENTIAL CODE OF NEW YORK STATE. M $ �Op r#25n.• Lu ASCE 7-1 G AND NFPA-70. ��F�ssIONP�' W UNDERWRITERS LABORATORIES (UL)STANDARDS OSHA 29 CFR 1910.269 - �' L GENERAL NOTES PROJECT LOC TION o Q = 1 . CONTRACTOR SHALL CHECK AND VERIFY ALL CONDITIONS AT THE SITE PRIOR TO STARTING TO WORK AND SHALL FAMILIARIZE _ � - ' s W W ” HIMSELF WITH THE INTENT �/ {— OF THESE PLANS AND MAKE WORK :[ AGREE THE SAME. =,;ya rr(:+ . ^~ �' d W 2. CONTRACTOR OR OWNER SHALL OBTAIN ALL REQUIRED °' '" '' ,_ #� �°�y �-^- ` = t+` R/ APPROVALS, PERMITS, CERTIFICATES OF OCCUPANCY, a. �"._ <' +, r �' ` 10. CONTRACTOR TO EFFECT AND MAINTAIN INSURANCE, I.E. � ' '�4 ` Lu J f '`T3' k INSPECTION APPROVALS, ETC., FOR WORK PERFORMED FROM r , ': %*;� {` 'A,° - - ri ; Kms- Rr z`.€e ` '¢`>A-",= CONTRACTOR'S LIABILITY, WORKMAN'S COMPENSATION, °` rte{` '+4 _- '� ' + .F ��� r '=l AGENCIES HAVING JURISDICTION THEREOF, IF REQUIRED. '� �.r, y _ ire -�¢ ,.y',,y- COMPLETED OPERATION, ETC. ADEQUATE FOR THE PURPOSES ,_, ` ` �' r y z , ` q,,- lL! O 3. ALL WORK SHALL CONFORM TO CONSTRUCTION CODE AND OF THIS PROJECT AND FURNISH PROOF OF SAME PRIOR TO �` ' �' '°� °z" T ALL RULES AND REGULATIONS OF THE RESPONSIBLE "; +, µ r �` JURISDICTION. COMMENCING WITH WORK. I I . EACHSUBCONTRACTORSHALL BE RESPONSIBLE FOR �•'_ 4. IF IN THE COURSE OF CONSTRUCTION A CONDITION EXISTS �,,� MAINTAINING SAFETY ON THE JOB SITE DURING THE }4 WHICH DISAGREES WITH THAT AS INDICATED ON THESE PLANS - ` CONSTRUCTION PHASE TO COMPLY WITH THE REGULATIONSTHE CONTRACTOR SHALL STOP WORK AND NOTIFY THE ... ? •r'.° R,K, , Ff, ,t %('kE . '�. Rk T`?�' .k ! '-' sisal r AND REQUIREMENTS OF THE OCCUPATIONAL SAFETY AND �° � :� -'" A *a - � "' ENGINEER. SHOULD HE FAIL TO FOLLOW THIS PROCEDURE AND � - , � _�` �°:�`"�..��: �` CONTINUE WITH THE WORK, HE SHALL ASSUME ALL HEALTH ADMINISTRATION. THIS SHALL INCLUDE, BUT ARE NOT ` " LIMITED O: PROVIDING :, RESPONSIBILITY AND LIABILITY THEREFROM T FOR ADEQUATE AND PROPER BRACING a ; - _ 5. ALL STRUCTURAL STEEL SHALL BE A-36 AND SHALL BE SAFETY RAILINGS AND SECURE FOOTINGS FOR ALL TEMPORARY s==w 'F, ,y�� . '_I� �° _' ;° = 't »_ ., SHEET NAME FABRICATED AND INSTALLED A5 PER LATEST A.I.S.0 SCAFFOLDING, STAIRS, ETC.. A5 WELL AS PERMANENT _ ,t -f .P CONSTRUCTION. SPECIFICATIONS, n F ;„°d ., �, 12. FIGURED DIMENSIONS SHALL GOVERN. DO NOT SCALE � ��� a.� __ � rR Y� �����m ���.� ”` ,®„` � :�. �-° _ =�.x'-��, `�` COVE 6. ALL ELECTRICAL WORK SHALL BE BOARD OF FIRE ~.- `` f v _ `}' '' �'• �, a �:t ,'�- _ #'�.i`.*.'if,x•� ;4'`4 �w..'.`��, r... . . yam.. DRAWINGS, WHERE DIMENSIONS ARE ESTABLISHED BY EXISTING UNDERWRITERS APPROVED AND IN ACCORDANCE WITH N.E.C. � ,�;�z : NYS CODES REGULATIONS CONDITIONS. EACH CONTRACTOR SHALL VERIFY EXISTING CONDITIONS PRIOR TO ORDERING MATERIALS AND 7. ANY DEVIATION FROM THESE PLANS WITHOUT THE WRITTEN �,.�_;�z �, - '>,e--�.� ` ..�, COMMENCING WITH WORK. F �?"" ,�CONSENT OF OF THE ENGINEER WILL NEGATE THE ENGINEERS �� to"'. *•, twF F, DRAwINGscALE 1 3. CONTRACTOR TO REMOVE ALL DEBRIS CREATED BY THIS =: "s ,,. .?*'" :''.` :w � a 'y% CERTIFICATION OF THESE PLANS. r 4 ti` WORK FROM THE SITE AND DISPOSE OF IN A LEGAL MANNER ON `' 8. THESE DRAWINGS AS INSTRUCMENTS OF SERVICE ARE ANDrip ¢� I V .T.S. A WEEKLY BASIS OR SOONER IF CONDITIONS WARRANT. =' a`"""" e =' :s - ;_ `. ��"`� .- ' :�: SHALL REMAIN THE PROPERTY OF THE ENGINEER WHETHER THE ��� '.';�';- ar �.� 14. AT THE COMPLETION OF WORK,THE SITE TO BE CLEARED r. ' :: ; 4�,«= jr_ F`` �, -• ; , '„ PROJECT FOR WHICH THEY ARE MADE IS EXECUTED OR NOT THEY ARE NOT TO BE USED ON ANY OTHER PROJECTS OR OF ALL DEBRIS AND EXCESS MATERIALS. THE FACILITY 15 TO BE EXTENSIONS TO THIS PROJECT LEFT BROOM CLEAN AND WORK 15 TO BE COMPLETED TO THE +-* ° `. r,b ;;°_.,{_,. _ _;,• r�dk ka d ;#O,'4e:. .d' r � �,a� „ r ,`' ai SHEET NUMBER TOTAL SATISFACTION OF THE OWNER PRIOR TO RELEASE Of =,f"i r`; „�•' 1'Sz *�' :� ;a "f':I, ,:ter ,•.g 9. CONTRACTOR SHALL PROTECT, PATCH AND REPAIR ALL �� ` EXISTING WO J FINAL PAYMENT. " " ;,� „ r . ^ �X-. '' f," p RESULT OF HIS ENT TO HIS WORK, OR DAMAGED AS AERIAL VIEW ! V I TAX MAP: 1000137000200010000 —• LEGEND CONSTRUCTION NOTES DESIGN t DRAFTING BY: BEXISDNG UTILITY METER ELEMENT-ENERGY LLC ®MAIN SERVICE PANEL 1.)ALL EQUIPMENT SHALL BE INSTALLED IN'ACCORDANCE WITH THE REVIEW BYJ:M.NABCEP CERIIFIE ,NE*PV sus-PANELS MANUFACTURER'S INSTALLATION INSTRUCTIONS, 051112-129 A/C DISCONNECT COMBINER . <<a-,r 2.)ALLOUTDOOR EQUIPMENT SHALL BELRAINTIGHTWITH MINIMUM NEMA 3R RATING. INvaTrE>:s 3.)ALL LOCATIONS ARE APPROXIMATE AND REQUIRE FIELD VERIFICATION. 6'GND ELECTRODE" REVISIONS 1PV MODULE' { �. DESCR1PfION - DATE- REV �RACIONG RAIL_ „ -r s'_` ORtG�tty '0.9-11-2020 r i' `' o Am(omENT POINT- - - - ---RAFTERS' -* -ROCF PITCH ANGLE a x p- 'flSUNRUN s :.,. ®VENT s" .U. ooLumBINO VENT - -_®SKY.LTGHT CONTRACTOR =fn�t; IMCCMPOSITE SHINGLES CONDITION POTENTIAL SHADING ISSUES' I mI"EMOVE AS_NECESSARY :>tq j y ___3 2 _3-.J_ co ELEMENT ENr:PGY,-'LLC, . fi y yarw-',, .7 .70 St?UND AVE MATTE'TUCK, NY 1 195 18„. FIRE SETBACK@RIDGz` =�xr ��' "p�'^ - ms's" 1•moi`.- Vii', 'a"' r •r a s <�,�,. s`s -":ny r x,Ja�;;....,s.r'm;�`s`ty",�' ._-•Y: .,� �, ` -LICENSE 4868941#_rg,t,":a'�a s`s'�=s�=� '.ier"{.. _ :�,•'-��'sa,fi� I .� ,- ;� LICEN5E# 52G59—ME S 18'FIRE ETH4CK @,RIDGE :.4, PROJECT NAME' Lu t v'it�' V�3 . 311 = :xa� - . , - =¢� ' ^ • ` - Lu :j z c� - ; ! Lu > _ . w W z s'— � Q L.i Lu _, - ZO„ F_r_szP1 ' . • f M't.�£�.>a:�� fti. -✓v 2"x. Jf s�r`�.'•+`i_ten. - � - W - 0 36" x 3G" GROUND ACCESS TYP. Dj- , l0 71_7 I II c� �� SHEET NAME mq� 51TE 'PLAN A O,�5�' 4 X20 - "DRAWING SCALE v N .T.5. 5HEET NNUMBER - PV-2 _ TAX MAP: 1 000 13 70002P00 10000, -LEGEND Q DESIGN�.DRAFTING BY RDOSTING UTILITY METER *NOTE: ELEMENT ENERGY LLC MAIN SERVICE PANEL ,`.•�t��-� s ' {-' AS PER IRC G05.1 1 1.22 EXCEPTION REVIEW BYJ.M NABGEP GERTIFIE NEW PV SUB—PANELS M"` '''-m- = `=' THE SLOPE OF THE ROOFS ARE LE55 051 1 I2-129 A/C DISCONNECT �° �'�� r COMBINER == THAN 5'(2:12) INVERTERS ' V, REVISIONS �D GND-ELECTRODE -'--OPV MODULE -DMrFJPil0N I� DATE C4-li.2o20 RACKING RAIL o ATTACHMENT POINT ,r -;RAFTERS >.Lry *--ROOF PITCH ANGLE (�. y U; II ®SUNRUN METER .U i"; •`,;`U { s ®VENT ARRAY#2 ARRAY#I OPLUMBING VENT 4,MODULES I I MODULES ®sir ucHT 42°PITCH. 42°PITCH ; '� 1 ;1a-? �,� � ! CONTRACTOR ®CHIMNEY ;�Y_ 21 G°AZIMUTH- 21 G°AZIMUTH ,t{ i "r C !i" t ys COMPOSITE SHINGLES co, GOOD CONDITION POTENTIAL SHADING ISSUES °r'.F�•;:;;i'�'^1C.:.i3 L"r-��,.'fir»�f.%,.,��r'r.:`�=.;t,�'t",<^i»"�-rJwt�•�.in..;i`�r`--..�'-����"1tIL•`r;>�y,''s'";!._-.-.,F...-�ri,�..?.��:.�a't.-.�=..;_y<;�-f3'3�..r-}.=�,.��_.,-`.f-��r. f-`;(1'.}�`�`--..,.-.-"xiI.�.`..._-.,.>�1�-��_-..^?.a-.f��°.r."'.".�-.;;r�;..�`,�.s=�s-I".�.B jl��afIII._:�.,.1IVi�-`--,'i.'-.--ii,;fi-.."-.yE'E.`"�-,.."g"�•!1`t1{t1If� �\/\`'/',ti'.'���/\//II�7;��1�k�1...,..._..,_.;f;...-.w.iL..�-.�-�..,..r;,«-.�y....,..+.,..-;;�f,.,:.,_',.�,si,_tv;'_{If�.{�4:F.,�t.- ,.�#..•4.Js.x.��`_i;,'��_"_....a��.,��,""}t�;-�3F-5•...,.a.y.xm..,;y..-„...,._..,.»1.'i-..,�,'._...a.i-r.,,.,...µ_`,.Itala..,=}.'�'gy'Z1p,--.t,�'=�_t6��3I_.2s'tIr .om;i�{t a-.”4)�.�` IJ a TRIM/REMOVE AS NECESSARY .-t.,.. ;,. ELEMENT ENERGY, LL C . I sFIRe,sETBACK @RbG`e7470 SOUND AVE MATTITUCK NY 1155e: EIRELICENSE 43689-H F LICENSE # 52G89 ME .; 7 4r T' sr.7� ..�a } . m.� .I 1 PROJECT NAME taVIL!. ,-..;..I-. < _ �:k 'i i�g_. } � w I•t ( J s' :I z s'4 �" {{`� _ L Ln If } IpQpI--]]' ....t..�l......,.._ It, r I k �i i f # S 1 s 3 ks i .d irca• = } W:' ..•6 1_1K411 1 v ll J i_1� Lu i"_ -�" -n '�-T"#-`i r �-•- �--f.- t '.., ,wy ., _° 3._ ..i.-.�-......, � --P-..;.."--4-.'i _ _.n.. I e 1 I I _- -s-} ARRAY #3 � ,- o-• a--�y ��I I 1=-, ! 8 MODULES Fn ry }- .. LIJ O°PITCH Lu 210 AZIMUTH rr {�� 1_0311_,_,_,_ I I_OaII__.! _ ��`='` ''' V n.r �'r' V F NEWV--LU F- O 3G"x 3G" GROUND ACCESS TYP. 07 `� r'. Os O U _. U �uX CV �O 07 PC-ssk- 5HEET NAME CONSTRUCTION 5UMMARY _Y _, . _ _ ___ _� -� �. __ _ __ _I ROOF DETAI •(23)QCELL Q.PEAK DUO-BLK GG+ 340 WATT PV MODULES (DIMENSIONS: G8.5"x 40.6"x 13") (23) ENPHASEIQ7-GO-2-U5 MICRO•INVERTERS, M (54)ATTACHE �O NT POINTS @ 48"OC MAX. V (I G7.8) LF IRONRIDGE XR 100 MOUNTING SYSTEM. DRAMNGSCAtE ROOF TYPE = ASPHALT SHINGLE(SINGLE LAYER) 'CONSTRUCTION NOTES 10 O -1.)ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE MANUFACTURER'S INSTALLATION INSTRUCTIONS. ti� GJ 2.) ALL OUTDOOR EQUIPMENT SHALL BE RAINTIGHT WITH 5HEET NUMBER MINIMUM NEMA 3K RATING. �� /_a 3.)ALVL LOCATIONS ARE APPROXIMATE AND REQUIRE J FIELD VERIFICATION. TAX MAP: 1 000 137000200010000 LOAD CALCULATION ARRAY#I ARRAY#2 ARRAY#3 ITEM DESCRIPTION ARRAY#I t.#2 ARRAY#3 DE51GN DRAFTING BY Rafter 2"X 8" D. FIR 1@ 24"O.C. 2"X 8" D. FIR(off 1 G"0.0 ELEMENT ENERGY LLC MODULIf WEIGHT(Lbs) 43.90 43.90 43.90 (D) Deckm 112- PLYWOOD 112" PLYI+VOOD REVIEW 13Y J M.NABCEP CERTI FIE (P) Pitch 42° 01 051112-129 #OF MODULES 1 1 4 8 (RB) Picicle Board/Beam 2"X 10" D. FIR N/A TOTAL MODULE WEIGHT(Lbs) 482.9 175.G 351.2 (H) San Width of Rafter(R) 72"MAX. I OG" MAX. REVISIONS TOTAL LENGTH OF RAIL(Ft) 75.8 27.7 G4 3 (�)- Ceilin IOISt 2"X 8"D. FIR 24"O.C. N/A DE5GRIP I.N DATE— REV (K) I Knee Wall 2"X 4"STUD WALL CaD24" O.C.I N/A [OFFIGINAL !;as-i-2020 RAIL WEIGHT PER FOOT(Lbs) O.GB 0.G8 O.GB TOTAL RAIL WEIGHT(Lbs) 51.5 18.8 43,7 #OF 5TRANDOFF5 22 12 20 WEIGHT PER 5TRANDOFF(Lbs) 2 2 2 -- (R6 TOTAL STANDOFF WEIGHT-(Lbs) 44 24 40 (R) TOTAL ARRAY WEIGHT(Lbs) 578.4 218.4 434.9 (D) POINT LOAD(Lbs) 2G.3 18,2 21`.7 CONTRACTOR TOTAL ARRAY AREA(5q Ft) 200.5 72.9 145.8. 't I ARRAY DEAD LOAD(Lbs/5q Ft) 2.9 3.0 3.0 ELEMENT ENERGY, LLC, 7470 SOUND AVE 9 er 5CE 7 - Method i - a e - f{ i MATTITUCK, NY I 1552 net = t I net (e - t Sec I ne a e - # I ----- --- (") -- LICENSE# 43589-t1 , CLIMACTIC AND Ground Ind Spee -Live load, Point Max fastener (P- (� LICENSE # 52G59-ME GEOGRAPHIC DESIGN Category Snow Load 3 sec gust pnet30 pe pullout loo Fastener Type Spacing along (p CRITERIA Pg mph A5CIf7,'p5i Ib. rails, in: A # 20 1"30 # 468 5/I G"x G"5tainle55 Steel Roof Section B # TYP. TYP. # TYP. Lag Bolts G4 # (J) — PROJECT NAME W For SI: 1 pound per square foot=0.0479 kPa,1 mile per hour=0.447 m/s. W D Ln a. Weathering may require a higher strength concrete or grade of masonry than necessary to satisfy the structural [ARRAY # 11 [ARRAY #21 CJ :7 en requirements of this code.The weathering column shall be filled in with the weathering Index,"negligible,""moderate"or"severe"for concrete as W determined from Figure R301.2(3).The grade of masonry units shall be determined from ASTM C 34,C 55,C 62,C 73,C 90,C 129,C 145,C 216 W or C 652. Q < b. The frost line depth may require deeper footings than indicated in Figure R403.1(1).The jurisdiction shall fill in the frost line depth column with the minimum depth of footing below finish grade. ROOF FRAMING DETAIL n 1 c. The jurisdiction shall fill in this-part of the table to indicate the need for protection depending on whether there has been a history of local W subterranean termite damage. k— d. ' The jurisdiction shall fill In this part of the table with the wind speed from the basic wind speed map[Figure R301.2(4)A].Wind exposure category shall be determined on a site-specific basis in accordance with Section R301.2.1.4. Q/ LuLu e. The outdoor design dry-bulb temperature shall be selected from the columns of 971/2-percent values for winter from Appendix D of the W J International Plumbing Code.Deviations from the Appendix D temperatures shall be permitted to reflect_local climates or local weather experience (D _I as determined by the building official. MODULE MOUNTING CLAMP f. The jurisdiction"shall fill in this part of the table with the seismic design,category determined from Section R301.2.2.1. , O g. To establish flood hazard areas,each community regulated under Title,19,Part 1203ofthe Official Compilation of Codes,Rules and SOLAR MODULE ry Regulations of the State of New York(NYCRR)shall adopt a flood'hazard'map and supporting data.The flood hazard map shall include,at a �- 5TAINLE55 5TEEL 3/8" minimum,special flood hazard areas,as identified by the,Federal Emergency Management Agency in the-Flood Insurance'Study for the community, BOLT AND NUT as amended or revised with: I.The accompanying Flood Insurance Rate Map(FIRM), ii.Flood Boundary and Floodway Map(FBFM),and '` -~"' °�= LU iii.Related supporting data along with any revisions thereto. _y -tRONRIDGE ALUMINUM RAIL The adopted flood hazard map.and supporting data are hereby-adopted by reference and declared to be part of this section. Y ALUMINUM 1"BRACKET Z�F h. , In accordance with Sections R905.1.2,R905.4.3.1,R905.5,3.1,'R905.6.3.1,R905.7.3.1 and R905.8.3.1,where there has been a history of 0 �� SHEET NAME local,damage from the-effects of ice damming,the jurisdiction shall fill in this part of the table with"YES."Otherwise,the jurisdiction shall fill in this ALUMINUM FLASHING �OFESS�ON part of the table with"NO.", p -�-� 1. The jurisdiction shall fill in this part of the table with the 100-year return period air freezing.Index(BF-days)from Figure R403.3(2)or from the 5T'\ C I 100-year(99 percent)value on the National Climatic Data Center data table,°Air Freeiing Index-USA Method(Base 320F). j. , The-jurisdiction shall fill in this part of the,table with the mean annual temperature from the_National,Climatic Data Center data table"Air ASPHALT SHINGLE ROOF Freezing Index-USA Method(Base'32'F)." 5/1 G"x G"STAINLESS k. In'accordance with Section R301.2.1.5,where there is local historical data documenting structural damage to buildings due to topographic wind STEEL LAG BOLT WITH DRAWING SCALE speed-up effects,the jurisdiction shall fill in this part of the table with"YES."Otherwise;the jurisdiction shall indicate"NO",in this part of the table. 2 1/2"MIN THREAD PENETRATION SEALED I.• In accordance with Figure R301.2(4)A,where there is local historical data documenting unusual wind conditions,the jurisdiction shali'fill in this, WITH GEOCEL 4500 A6\NOTED part of the table with"YES"and (EQUIVALENT OR BETTER) f'i i V i m. In accordance with Section R301.2.1.2.1,the jurisdiction shall indicate the wind-borne debris wind zone(s).Otherwise,the jurisdiction shall indicate"NO"in-this part of the table. n. The ground snow loads to be used in determining the design snow loads for roofs are given in Figure R301.2(5)for sites at elevations up to 1000 feet.Sites and'elevations above 1000 feet shall have their ground snow load increased from the mapped value by 2 Ibs/ft2 for every 100 feet 5HEET NUMBER above'1000 feet /� (*) See Figure R301.2(4)B - � I p U""-T SAX MAP: 1 000 137000200010000 MOUNTING DETAIL SOLAR ARRAY ON MAIN HOUSE 7 82 kW DESIGN E DRAFTING BY: (23)QCEH Q PEAK DUO-BLK G6+ 340 PV MODULES ELEMENT ENERGY LLC (1)STRING OF(1 5)MICRO-INVERTERS t(1)STRING OF(8)MICRO-INVERTERS REVIEW BY J.M.NABCEP CERTIFIE `(2)STRING5 TOTAL OLAR MODULE TYPICAL 051112-129 TO UTILITY GRID REV1510N5 STRING #I _ _ _ _ _ _ DESCRIPTION r-DATE ,2V r- -------------------n, �� ti II l� I� yy _ {{ _ tttt - �1 _ �� _ ! I �I �I ENPHASE �V _ - _ _ _�-_ �� .. _ �- _ _ BRANCH N ORIGINAL 09-11 2 i BI-DIRECTIONAL _� t1 j El iLm-- IL- TERMINATOR O -- __--_- -li �JL� -JLm-- IL __ TYPICAL 0 UTILITY METER 1 _��_- �__ _--��_ -�� _ �J�__-----_«�NN;JJJ NNNJII I-PHASE,240 V _ j - - 'ERNE 4a 21(6,i l 690 CAW - 1 STRING #2 3 LENGTH OF TAF,CONOUC"TOR5 I _ _ - I = = a- 5HA1 NOT EYCEEJ 10 FT `1# fl _ JL-,..,_ -J�..,.,.." I3{L ��G/// -JL..._ -J�.._.__ -JL ' N CONTRACTOR I _______ _� ®____- +^�_-1_^--__--^-_--.�_^��. -_® _ 2,10MAIS°I CO A i7i`,�tJhNFGT -- 2AtJV.tCOA 1 I ENPHA5E BRANCH CIRCUIT CABLE TYPICAL ELEMENT ENERGY, LLC. { 7470 SOUND AVE AC DISCONNECT MATTITUCK, NY 1 1952 MICRO-INVERTER 1 ENPHA5F;Q7-so-2-U5 EQ a 0223NR6 LICENSE # 43889-H 240 VAT. J.0 A 240 VAC,GOA LICENSE# 52689-ME 5755 CEM-4N I NEMA 3R.UL LlS`£f1 - 5 UL L1 EFF N L' LI Ic Is N L' Li NEMA 6,.UL LI5TED (2)30 A PU-IM 1 1 TYPICAL (,21 A BOA t MAIN SERVICE PANEL PROJECT NAME N. a LU I I-PN,3-dJ ' ----_ _______________________________��_---------------_--- I-1 1 (__ ___- 6 4 i , 240 vAu W I AC COMBINER BOX I L N 00A ( 1 (Y� 240 VAC,CO A I 1 v I tJMIA-R.UL U9TED I I G _I z N 1 2)20 A DOUELE PCLr ENEAKEM- I I t 1 j r I j I I W EXI5TING GROUNDING Q --__--_----J i ELECTRODE SYSTEM ^/ ! () z LJLW 1 R/ Q 1 'V 1R/ W WIRE CONDUIT SCHEDULE W J CIRCUIT CIRCUIT CIRCUIT CONDUCTOR CONDUCTORS MAX. CONDUCTOR CONDUIT FILL CONDUCTOR GROUND GROUND GROUND TYPE CONDUIT CONDUIT AMBIENT TEMP ESTIMATED Voltage Drop(% jfj O I D.# ORIGIN DESTINATION SIZE PER POLE QUANTITY DERATE INSULATION SIZE QUANTITY INSULATION (CU/AL) TYPE SIZE TEMP DEBATE DISTANCE ((� 310.15(15)(3) 310.15(13)(2aX3c) �+ L {' INVERTERS COMBINER PANEL AWG#,10 1 4 0.8 U5E-2/PV Wi AWG#8 1 BARE CU FREE AIR I" 709C 0,65 I I O FT 0.8% = O ' OR EMT COMBINER PANEL AC DISCONNECT AWG#10 I 3 I THWN-2- AWG#8 1 THWN-2 CU PVC I" 45QC 0.87 2 0,6% O AC DISCONNECT MAIN PANEL AWG#G I 3 1 THWN-2 AWG#8 I THWN-2 CU PVC I'" 45-C 0.87 i4J i f,Glr Y 0:6% U GD ELECTRICAL NOTES * + ��' SHEET NAME CALCULATIONS FOR CURRENT CARRYING CONDUCTORStC(tl 1.)ALL EQUIPMENT TO BE LISTED BY UL OR OTHER NRTL,AND LABELED FOR ITS APPLICATION, ~ Q #I PV Source Circuit Wire Am acit Calculation CONFIGURATION C7 ' r t1l 2.)ALL CONDUCTORS SHALL BE COPPEP., RATED FOR 600 V AND 90 C WET ENVIRONMENT, p y (''' 3,)WIRING,CONDUIT,AND RACEWAYS MOUNTED ON ROOFTOP5 SHALL BE ROUTED DIRECTLY [NEC 690.8(B)(1)]: (Isc)'(#of stnngs)'(1.25) = 18.75 A Modules per String 15$8 Z� „-;`,�#`Y 3-LINE DIA. TO,AND LOCATED AS CLO5E AS POSSIBLE TO THE NEAREST RIDGE;HIP, OR VALLEY AWG#10,ampactty'Temp Derate'Conduit Fill Derate= 20.8 AModules per Inverter` i �U 75 t'` �� 4)WORKING CLEARANCES AROUND ALL NEW AND EXISTING ELECTRICAL EQUIPMENT SHALL 20.8 A> 18,75 A,therefore AC wire size is valid A y A� COMPLY WITH NEC 1 10.2G. _ �QFES 10 5.)DRAWINGS INDICATE THE GENERAL ARRANGEMENT OF SYSTEMS.CONTRACTOR SHALL #2 Combined Inverter Output Wire Ampaaty Calculation Number of Inverters 23 Inverter Output Circuit OCP Calculation(Inverter Imp)'(1.25) = 28.75 A Record low tem IOQC FURNISH ALL NECESSARY OUTLETS,SUPPORTS,FITTINGS AND ACE55ORIE5 TO FULFILL AWG#10, derated ampacity'(Temp Derate)'(Conduit Fill Derate)= 34.8 A Voc Temr Coefficient -0.240/c/s2C DRAWING 5CALE -APPLICABLE CODES AND STANDARDS 34,8 A> 28.75 A,therefore AC wire size is valid DC SYSTEM SPECIFICATIONS CALCULATIONS Q G.)WHERE SIZES OF JUNCTION BOXES, RACEWAYS,AND CONDUITS ARE NOT SPECIFIED, Operating Current 10.0 A =(#of strmasj•{Imp) 1�{ °T o S e THE CONTRACTOR SHALL 51ZE THEM ACCORDINGLY. #3 Combined Inverter Output Wire Ampacity Calculation . 7.)ALL WIRE TERMINATIONS SHALL BE APPROPRIATELY LABELED AND READILY VISIBLE. O eratinVolta e 33 9 J =(#modules In senes)'(Vm ) Inverter Output Circuit OCP Calculation(Inverter ImpFill era = 28.75 A ) p ))`(Voc))+(Voc)) 8.)MODULE GROUNDING CLIPS TO BE INSTALLED BETWEEN MODULE FRAME AND MODULE Max.System Voltage '44,5 V = (#modules in series`-[(((-###%V/QC'.O I)°(Lo Tem ##QC-25 SUPPORT PAIL,PEP.THE GROUNDING CLIP MANUFACTURER'S INSTRUCTION. AWG 5 A derated A,therefore berate)size Fill berate)=65.25 A 65.25 A> 28.75 A,therefore AC vnre size is valid. Short Circuit Current 13.0 A =(#of stnngs)'(Isc)`(1.25)per Art 690 8(A)(1) 9)MODULE SUPPORT RAIL TO BE BONDED TO CONTINUOUS COPPER G.E.C.VIA WEEB LUG OR 1L5C0 GBL-4DBT LAY-!N LUG, AC 5YSTEM SPECIFICATIONS 5HEET NUMBER 10.)THE POLARITY OF THE GROUNDED CONDUCTORS 15(positiveJnegative) Max AC Output Current 28 75 A FV- 5 y y-1- OR O eratinAC Voltage 240 V ( v J 10.)THE DC SIDE OF THE PV SYSTEM 15 UNGROUNDED AND SHALL COMPLY WITH NEC 690.35, TAX MAP: 1 000 137000200010000 DE51GH t DRAFTING BY: ELEMENT ENERGY LLC SERVICE METER O DIPOLAR SOURCE © INDICATING AC D15CONNECT INSTALLATION NOTE REVIEW BYJ.M.NABCEPCERTIFIE ( 1 ) ALL LABEL SHALL DE INSTALLED IN 051112-129 _ Oj �y h W ®�` G ACCORDANCE WITH THE 2014 NEC REVi51QN5 " ,&WA - .�r.-.".--s✓ _.-...e-.- E-«—...c<.._.s2:.wa_.e»,..p._. V^ .4= ..�Y'..-...-,vim.. REQ U I REM ENT5. DE5CR7PfION DATE REV - I (2) ALL LOCATION5 ARE APPROXIMATE AND ORIGIN – 09-11-2020 THIS SERVICE METER F TURN OFF PHOTOVOLTAIC REQUIRE FIELD VERIFICATION. _ SOLAR AC LOAD CENTER_ s IS ALSO SERVED BY A AC DISCONNECT PRIOR TO (3) LABELS, WARNING(5) AND MARKING PHOTOVOLTAIC SYSTEM WORKING INSIDE PANEL SHALL BE IN ACCORDANCE WITH. NEC ----- T– — 0 1 10.2 1 (B). 02 AT PV SYSTEM AC COMBINER Q AT THE POINT_OF DISCONNECT (4) TH'E'MATERIAL U5ED FOR MARKING {-- _ MU5T DE WEATHER RE515TANT, IN CONTRACTOR CONDUIT RACEWAYS- COMPLIANCE WITH NEC 110.21 (5)(3). &WARNING' � � c� (5) THE.PV SYSTEM CIRCUIT CONDUCTORS �-� D � ELEMENT ENERGY, ILC. . . 03 PHOTOVOLTAIC,SYSTEM :; 5HALL BE LABELED IN5TALLED IN 7470 SOUND AVE COMBINER PANEL `, COMPLIANCE WITH-NEC G90.31 . MATTITUCK, NY I 1052 DISCONNECT � � LICENSE# 43889-M ® AC DO NOT ADD LOADS ucNSE # 52689-ME RAPID SHUTDOWN SWITCH 03 SEE NOTE -(3) (RACEWAYS) PHOTOQIQOUNC SYRTER FROJEW NAME Ac BROOM' CT Lu D Ln Pam f��qy� � � 0 n c a�� o o a ❑ U W LTJ =ME cm MAIN SERVICE PANEL ® RAPID SHUTDOWN SWITCH – - © Q DC DISCONNECT W W Lu CD oyffm FOR AC DISCONNECT/BREAKER, Fu O OR COMBINER BOX a 0z _ IL U 0 Q INDICATING RAPID SHUTDOWN ® o p Q U SYSTEM o a o a & C�n •, ` , fi'/r NO'f�r 5HEET NAME LABEL5 wo �- 'IbFSS10N`� DRAWING 5CALE N .T.5. 5HEET NUMBER TAX MAP: 1000137000200010000