HomeMy WebLinkAbout44962-Z �o`pSUFFail( Town of Southold 1/6/2021
P.O.Box 1179
CM 53095 Main Rd
�y,�j� Southold,New York 11971
r�
CERTIFICATE OF OCCUPANCY
No: 41732 Date: 1/6/2021
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 3080 Bay Shore Rd., Greenport
SCTM#: 473889 Sec/Block/Lot: 53.-6-39
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/15/2020 pursuant to which Building Permit No. 44962 dated 7/9/2020
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
roof-mounted solar panels to existing one family dwelling as applied for.
The certificate is issued to Stern,Arnold&Vanzanten,Roeliena
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44962 8/21/2020
PLUMBERS CERTIFICATION DATED
�� Aut orized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERKS OFFICE
o • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 44962 Date: 7/9/2020
Permission is hereby granted to:
Rempe, Stacia
3070 Bayshore Rd
Greenport, NY 11944
To: install roof-mounted solar panels to existing single-family dwelling as applied for.
At premises located at:
3080 Bay Shore Rd., Greenport
SCTM # 473889
,Sec/Block/Lot# 53.-6-39
Pursuant to application dated 6/15/2020 and approved by the Building Inspector.
To expire on 1/8/2022.
Fees:
SOLAR PANELS $50.00
ELECTRIC $100.00
CO -ALTERATION TO DWELLING $50.00
Total: $200.00
uilding Inspector
f
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 unusua 1 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 ofl 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. J ung
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3OF50 � 1�
House No..�� rf Street amlet
Owner or Owners of Property: f"lY of A S-6n Van 2Ca.Pl4cn
Suffolk County Tax Map No 1000, Section 5-5 Block G Lot i9
Subdivision �7 N 6 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: $ 5b rr
Applicant Signature
DocuSign Envelope ID.A3D1 E345-ACE5-439C-A4F4-3E3933D42A16
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I Arnold stern residing at 3080 Bayshore Road
(Print property owner's name) (Mailing Address)
Greenport, NY 11944 PATRICIA GIBSON
do hereby authorize
(Agent)
Element Energy LLC to apply on my behalf to the
Southold Building Department.
FDocuSlgned by:
{M.ba sfuu 05/28/2020
(Owners ign74 ature) (Date)
Arnold Stern
(Print Owner's Name)
l
JUN 1 5 2020
, ,:rig;'� ��a711,•r ';,� ,
®�pF SOU��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G ® sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959 �r
®I�COUNV,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Arnold Stern
Address: 3080 Bay Shore Rd City-Greenport st: NY zip: 11944
Building Permit#: 44962 Section: 53 Block: 6 Lot: 39
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Element Energy LLC License No: 52689ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Solar X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment. 12.58kW Roof Mounted PV Solar Energy System w/ (37)Qcell Qpeak Duo-
BLK G6-340 Modules , Micro Inverters, AC Disconnect, DC Disconnect IQ Combiner 3 w/3-220 1-21(
Notes-
Solar
Inspector Signature: �- Date:
August 21, 2020
S Devlin-Cert Electrical Compliance Form.xls
/ n � Q -- --- ----------�—ems--- -
oe souryo� Li Li q 6 ` �f V a It �y 5#6u
4�?'
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ '] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[
] ,FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O So Li4�
REMARKS:
-09
DATE fi'�" _D INSPECTOR ✓'-
L-1 1 tJ•�t,`" y'., _ ,`tIF
f j1 1 11 t i
k ,
Town of Southold yt':'` ? 1 zQ2� �~ September 30th, 2020
Building Department DEC
Town Hall Annex Building
54375 Route 25 `
P.O. Box 1179 '-
Southold, NY 11971
Subject: Roof Mounted Solar Panels at the Stern Residence, 3080 Bay Shore Road, Greenport..
NY 11944
To.Whom It May Concern:
I have reviewed the solar energy system installation in the subject topic on September 30th,
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, SEI/ASCE 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.
Sincerely,'
t
co �`•' �.
James Deerkoski, PE
260 Deer Drive ;; + , , a�u " - z
Mattituck, NY 11952
631-774-7355 cA 0125
.I
i'
FIELD INSPECTION REPORT DATE -COMMENTS
X. '
FOUNDATION (IST)
------------------------------------ CCC
C)�d
FOUNDATION (2ND)
O
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ROUGH FRAMING& y
PLUMBING
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS V,,
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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 sats of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: (631)765-9502 �j� Survey
Southoldtownny.gov PERM_IT NO. Check
Septic Form
N.Y.S.D:E.C.
Trustees
C.O.Application
Flood Permit
Examined 20kb Single&Separate
Truss Identification Form
Storm-Water Assessment Form
)p Contact:
Approved 20 Mail to: Lu"Aa L,= EWACn-i X
Disapproved a/c ?14`10 Sound Aux aa�-},)V PL.
AQ Phone: Ltbt p(DI S9a3
Expiration 2
f
Buil ' g Inspector
APPLICATION FOR BUILDING PERMIT
Date J unel ,20 as
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.
_Ozwwu_� E
c�1LC
(Sigrfafture of applicant or name,if a corporation)
'1 Q-10 Sco-n, r flue. MaA44ark t t I 11 q S:4
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician,plumber or builder
,E Cec ^i-c
Name
(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. '-V'S H
Plumbers License No.
Electricians License No. 5 268q-r"
Other Trade's License No.
1. Location of land on which proposed work will be done:
3x80 ZaA4Sh6(?_
House Number Street Hamlet,, ;r,
County Tax Map No. 1000 Section 53 Block E„ ,f+�CP,: <1 Lot 3 5 r'
Subdivision Filed Map No. Lot
2. State existing use and occupancy of pre ises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Ve
b. Intended use and occupancy__ &%1& aQ
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work So Io- 10.S�a jj a�
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number 6f 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
e
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`J
14.Names of Owner of premises iqrrio Id S-6n Address 3o8o .slw V) Phone No. 31 `-71 JEJ
Name of Architect Address Phone No
Name of Contractor 1r mon¢ Voo_mAddress (P?oSowld Phone No. [P51 --? I ct-- 993
(Aa.:-1 -6 �' Y
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO e
* IF YES, SO'UTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY BE QUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO �/RE
* 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 onproperty 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)
— - -- —SS: �- -- - -- - - -- - -- _ -
COUNTY OF O ff,��<
aCoe� ,17h'Sll being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the t A,,,,-- -
(Con acto ,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 d
PATRICIA A MAY
Pte - ll� NOTARY 21 181 IC-STATE OF NEW V^^"
Notary Pub]V No. O1 MA4676634 Signature of Applicant
Qualified In Suffolk County
My Commission Expires March 30, 20�1;p—
Subdivision
Filed Map 14o. Lot
2. State existing use.and occupancy of pr ises and in nded use and occu aricy of proposed con ction:
a. .,Existing us'e'a d ocdupaney
b- Intended-use d occupanby
3. Nature of work(chec which applicable:New Buildgddtion A teration
Repair temoval, l ! Demolitio IOthe Work olctr
escr$tion)
4. Estimated Cost ., Fee
I
( oI epai -otifilingthi application)
5. If dwelling,•number`,t f,dt 611'ing.0nits i Niber of dwe ling i s on a 'ch floor
If garage;;R!�Tber-
, f,cars.
.Y,
6. If business,commerc al or mixed Ioccup�cy, specify nature and extent c f each ty ie of use.
7: Dimeriplops,ofexisift g structures!if any:Front Rear Dep
Height ,;,iNumbe of Stories;
Dimensions of Sam structure 'With alterations or additions: ' nt ear
Depth Height (F��Qum er of St ries
8. Dimensions of entire new construetion:Front R ar Depth
,Height 1VU mer.of 8tot16
I • 'I
9: Size of lot:Front i . Rear �pth
10.Date of Purchase Name of Former Owner
11.Zone or use district ir which premises at situated
12.Does proposed construction violate any oning law,ordinance or re _' on2 YES, NO-�
i
1 ,
13.Will lot be re-gradedYES 1110 111 excess fill be remove d from premis 's?YES O
� porgy
14.Names of owner of p emisesArnaicl S-I r'n Address 9M No. I a/_q31 '7119
Name'of Architect ' I Ac dress__ ' hone No
Name of Contractor I151Dmon o�om _LLL Address WO Phone No. tj 51 - 3
AU
15 a.Is this property within 100 feet of a tidal wetland or a freshwater Wetland`'I*YES NO
*IF YES, SOt7THOLD TOWN TRUSTEJ1�-"S &D.E.C'. ERMITS MAY BE�Q D.
b.Is this property wi 309 ffi`et of a tid wetland? *YES NQ
*IF YES,D.E.C.PE TS MAYBE REQUIRED
16.Provide survey,to segle,fwith.acculrate foundation pl` aa and distanc to roperty li es.
�;.
17.If elevation t,any,po nt on prope t is'61 10 feet orb low,must provide top6grapbical data on si irvey.
18.Are there any coven is and restrictions with respect to this prope ? * s ' NO
*IF YES,PROVIDE A COPY:`
STATE OF NEW YORK)
COUNTY OF �,,,%K
��LIII? 1 i being duly sworn,de oses and says at(s)he is the ,pplicant
(Name of mdividual si ` "g coitfikf)above'named,--- l `� -
(S)He is the
(Contfagtof,Agent,Corporate Officer,etc.) (' _ '
of said owner or owners,ani is duly authorized to perform or' ave performed i�e said d to make and file this application;
that all statements contain in this application are true to the test of his know edg a belie • and that the ork dill be
performed in the manner sel forth in the apphcatfion filed there •th.
Sworn to before me,this
day of ' '20
PATRICIA A MAY
-STATE OF RE
Notary Pub' ! No. O1'MA4b766 1 `tune of Applicant
6�ualifle In Suffolk C unfy
r '
NIy;Commisai In Expltea Match 30.20-z"
I � I
TO -OF SOUTHOLD. BUILDING PERMIT•AP�LICATION•CHECKLIST
BUILDING DEPARTMENT Do you have or needs the following,before applying?
TOW X HALL Board of Health
SOU HOLD,NY 11971 4 sets of B ''lding Plans '
AL: (631)765-1802 Planning Board approv —
I
FAX: (631)765-9502 Survey i
South ldtownny.gov PERNUT NO.- Check
j Septic Form
Trustees;
C.O.Application
Flood Perm�t x••_
Exam' ed- ' _ 20 Single&S parate
_ :Truss Identification Form,,
Storm-Wa'�r''Assessmiiiil rm''
n Contact:
A�pro ed 2' Mail to: �c�%
Disapproved a/c
! Phone: LL151 UP159a3,.a
E�pira on 2
Buil; Yinspector i
APPLICATION FOR BVILI)V r''ERMT !
- .Date Jone.11 20"-;10-
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets o i 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, md 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 t e applicant. Such a permit
shall b kept on the premises available for inspection throughout the work.r
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 thedate 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,anew permit shall,be required:
APPLICATION IS HEREBY MADE to the Building Department for,the issuance of a Building Permit pursuant to the
Building one Ordinance of the Town of Southold,Suffolk County,N9T,York,and other appllcsblq,Laws,Ordinances;or
Regul tions,for the construction of buildings,additions,or alterations o for removal:or demolition hexeiu described:The
applic t agrees to comply with all applicable laws,ordinances,building'code,housing code,and regulations;and to admit
author zed inspectors on premises and in building for necessaryinspections.
(Si attire of applicant or name,if a corporation)
• (Mailing-ail�dzess ofapp cent} _.
State whether applicant is owner, lessee,agent, architect,engineer, general contractor,electrician,plumberor builder
1 am ofowner of premises" ;=nota
(Aron the--tax•roll or;latest:dei tiO, ;. .
If app licant,is a corporation; signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. u3%%'Ok—H
Plumbers License No. - - • '
Electricians License No. '-S'2&8q= 1.6
Other Trade's License No.
1 L cation of land on which proposed work will be done:
3080
H use Number
XS10,V W314 10
C unty'Tax Map No.•1000 Section" 573 Lott
• Q� .US dafaRfl zBN�.��nr�i8ztmnrG�Ybi
1
,moo off, �
Town Fall AnnexR J�[ Telephone(631)7654 302 i
54375 Main Road yc(631)765Q2�' ;
P.O.Box 1179 @ roger rlcherti WK1s)679 O1taa1!ny.us ;
Southold,NX 1197I-0959 Q �O
BUH DING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: -t cla Date;
10
Company Name:
• Name: i
License No.: SaLpsq _
HE
Address:
Phone No.: -7 � -
JOBSITE INFORMATION: (*Indicates required information)
*Name: pf d
c
*Address:
*Cross Street:
*Phone No.: ata3 139
Permit No.: (o- -- — —�
-Tax Map Qistncf.----1a0�--Section:5 3 Block: Lot: 3 — —
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
® 9
-L h V
el- -M
(Please Circle All That Apply)
*Is job ready for inspection: YES/ NO Rough in Final
*Do-you need a Temp Certificate: YES I NO
Temp Information(if.neededl
*Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
B2=11equest for Inspection Form
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New York State Insurance Fund
Workers'Compensation&Disability Benefits Specialists Since 1914
8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
n1"W.UmA A A AA 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 131560 07/13/2019 TO 07/13/2020 7/24/2019
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2449 4445, 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 TO 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://WWW.NYSIF.COWCERTICERTVAL.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.
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:719279724
U-28.3
A� CERTIFICATE OF LIABILITY INSURANCE D"TE�7t2551 o Q
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 policypes)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER Or
ROBERT S.FERE INSURANCE AGENCY PHONE FAT(
23 GREEN STREET,SUITE 102 EMAIL AIC No•
HUNTINGTON,NY 11743 A R :
ROBERT S.FEDE INSURANCEINSURERS AFFORDOINGCOVERAGE NAtca
Ulm
INSURER A
INSURED INSURER 8:STATE INSURANCE FUNI)
Element Energy LLC IN URERC:
ELEMENT ENERGY SYSTEMS INSURER D:
7470 SOUND AVENUE INSURERS:
MATTITUCK, NY 11952
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_
IN
TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY YM�DICWY Y LIMITS
COMMERCIAL GENERAL LIABILITY X X CL00275204 7/14/2019 7/14/2020 EACH OCCURRENCE f 1,000,000
CLAIMS-MADE �OCCUR PREMIE Eao=rmnca $ 100,000
A MED EXP(Arl one pmws 5000
PERSONAL&ADV INJURY S 1000000
GEN'LAGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE f 2,000.000
POLICY JEC L_I LOC PRODUCT$•COMPIOP AGO S 2,000,000
OTHER S
AUTOMOBILE LIABILITY COMBINEDSIN6 LIMIT 8
Ea a0 M
ANY AUTO BODILY INJURY(Per person) S
OWNED SCHEDULED BODILY INJURY(Peraccidard) S
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPE:RTYDAMAGE S
AUTOS ONLY AUTOS ONLY Per ecadent
s
X UMBRELIALIAB X OCCUR XL00011240 7/14/2019 7114/2020 EACH OCCURRENCE S 1,1000
A EXCESS LIAB CLAIMS-MADE AGGREGATE II
DED I I RETENTION r S
WORKERS COMPENSATIONPER OTR-
AND EMPLOYERS•LIABILITY YIN 24494445 7/14/2019 7/14/2020 X S
ANY PROPRIETORlPARTNERIEXECUTIVE
EL EACH ACCIDENT S 1,000,000
B OFFICERIMEMBER EXCLUDED? � NIA X
(Mandatory In NH) E.L.DISEASE•EA EMPLOYEE i
0yes,devAbe under
DESCRIPTION OF OPERATIONS t claw EL.DISEASE-POLICY LIMIT S
NY State Disability WOL10279340 7/14/2019 7/14/2020 statutory
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 401,AddWonal Remarks Sahsdula,maybe atuched R more space Is requirod)
CERTIFICATE HOLDER LISTED IS AN 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
Rt beftS- Fede, Sr.
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
/
I
i '
G�
AAPPRD AS NOTED
DATEB.P.#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. ELECTRICAL
ALL CONSTRUCTION SHALL MEET THE INSPECTION REQUIRED
REQUIREMENTS OF 1 HE 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
3� ' N SBA
SQ- a E D m�A!n+R A +n G BOARD
SOUTHOLD TOWN TRUSTEES
N,Y D c
OCCUPANCY OR
USE 'IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
,
Village of Southold June 30th, 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 Stern Residence, 3080 Bay Shore Road, Greenport:
NY 11944
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, 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.
Please contact me if you have any questions or comments about the above.
Sincerely,
S
SOF NEW.,
44 4ti
DEP 0
James Deerkosi,PE
r °° ''
260 Deer DriveOC�� � .. ���
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Mattituck, NY 11952 J U L - 2 202 E ;. z
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REVIEW BY J.M.NABCEPCERTIFIE'
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DE'CRIP(!ON DATE REV
SYSTEM RATING
kW DC STC
EQUIPMENT SUMMARY
CONTRACTOR.
S11EET INDEX
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Pv-I COVER \. 7470 50UND AVP
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PV-4 STRUCTURAU DETAILS t SECTIONS UEER0 •"`'-N5E # 52
PV-5 3-LINE ELECTRICAL DIAGRAM hP��S �O 'I-
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2017 NATIONAL ELECTRICAL CODE. 0' PROJECT NAME
2020 Rt51DENTIAL CODE OF NEW YORK.ASCE 746 AND NFPA-70 ?72 5 ��.
UNDERWRITERS LABORATORIE5 (UL)STANDARDSO�$\O�
OSHA 29 CFR 1910.269 ' Q
GENERAL NOTE _ W27oC1 iso E PROJECT LOCATION U R//
240 120 ---__-.__ - _- _ _ _ --_ -- �—. _ __:__ -. .____._ _ -._.__-_-__ Z W
I. CONTRACTOR SHALL CHECK AND VERIFY ALL CONDITIONS AT THE 210° 1500 \ Q a/
51TE PRIOR TO STARTING TO WORK AND SHALL FAMILIARIZE HIMSELF 1800 ° — 0 Z
WITH THE INTENT OF THESE PLANS AND MAKE WORK AGREE THE S � � � +%`�+' 'I, + _
SAME. t ++
2. CONTRACTOR OR OWNER SHALL OBTAIN ALL REQUIRED
APPROVALS, PERMITS, CERTIFICATES OF OCCUPANCY, >- 0Z
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10. CONTRACTOR TO EFFECT AND MAINTAIN INSURANCE, 1.E. z Q O
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3. ALL WORK SHALL CONFORM TO CONSTRUCTION CODE AND
INSPECTION APPROVALS, ETC., FOWORK PERFORMED FROM r'tl 'i
AGENCIES HAVING JURISDICTION THEREOF, IF REQUIRED. CONTRACTOR'S LIABILITY, WORKMAN'S COMPENSATION, K.�� 'Y "�/�
COMPLETED OPERATION, ETC. ADEQUATE FOR THE PURPOSES e W Z
OF THI5 PROJECT AND FURNISH PROOF OF SAME PRIOR TO 1'
ALL RULES AND REGULATIONS OF THE RESPONSIBLE ,. �-- Q Lu
COMMENCING WITH WORK.
JURISDICTION. I^ t '�
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4. IF IN THE COURSE OF CONSTRUCTION A CONDITION EXISTS
I I. EACH SUBCONTRACTOR SHALL BE RESPONSIBLE FOR
MAINTAINING SAFETY ON THE JOB SITE DURING THE O
WHICH DISAGREES WITH THAT A5 INDICATED ON THESE PLANS,
THE CONTRACTOR SHALL STOP WORK AND NOTIFY THE
CONSTRUCTION PHASE TO COMPLY WITH THE REGULATIONS r
ENGINEER. SHOULD HE FAIL TO FOLLOW THIS PROCEDURE AND AND REQUIREMENTS OF THE OCCUPATIONAL SAFETY AND
OWN
HEALTH ADMINISTRATION.THIS SHALL INCLUDE, BUT ARE NOT " •
CONTINUE WITH THE WORK, HE SHALL ASSUME ALL
LIMITED TO: PROVIDING FOR ADEQUATE AND PROPER BRACING,
RESPONSIBILITY AND LIABILITY THEREFROM LATE SCAFFOLDING,STAIRS, ETC.. AS WELL AS PERMANENT RAILINGS AND SECURE FOOTINGS FOR ALL TEMPORARY ;' '+ ... '� SHEE,NAME
5. ALL STRUCTURAL STEEL SHALL BE AND SHALL BE
FABRICATED AND INSTALLED AS PER LATEST A.I.S.0
SPECIFICATIONS. 120
G. ALL ELECTRICAL WORK SHALL BE BOARD OF FIRE , FIGURED DIMENSIONS SHALL GOVERN. DO NOT SCALE I �� + COVER
DRAWINGS, WHERE DIMENSIONS ARE ESTABLISHED BY EXISTING ` s
UNDERWRITERS APPROVED AND IN ACCORDANCE WITH N.E.C. CONDITIONS. EACH CONTRACTOR SHALL VERIFY EXISTING "
NYS CODES E REGULATIONS CONDITIONS PRIOR TO ORDERING MATERIAL5 AND r s
7. ANY DEVIATION FROM THESE PLANS WITHOUT THE WRITTEN COMMENCING WITH WORK. . .• , ' `�
CONSENT OF THE ENGINEER WILL NEGATE THE ENGINEER'S + h,, DRAWING.,c
CALE
CERTIFICATION OF THESE PLANS.
13. CONTRACTOR TO REMOVE ALL DEBRIS CREATED BY THIS ' #_r
8. THESE DRAWINGS AS INSTRUCMENTS OF SERVICE ARE AND WORK FROM THE SITE AND DISPOSE OF IN A LEGAL MANNER ON
SHALL REMAIN THE PROPERTY OF THE ENGINEER WHETHER THE A WEEKLY BASIS OR SOONER IF CONDITIONS WARRANT.
PROJECT FOR WHICH THEY ARE MADE IS EXECUTED OR NOT. 14. AT THE COMPLETION OF WORK, THE 517E TO BE CLEARED
THEY ARE NOT TO BE USED ON ANY OTHER PROJECTS OR OF ALL DEBRIS AND EXCESS MATERIALS. THE FACILITY IS TO BE t
EXTENSIONS TO THI5 PROJECT LEFT BROOM CLEAN AND WORK 15 TO BE COMPLETED TO THE 11116-1 _ F
TOTAL SATISFACTION OF THE OWNER PRIOR TO RELEASE OF
9. CONTRACTOR SHALL PROTECT, PATCH AND REPAIR ALL 5EET vun�BER
EXISTING WORK ADJACENT TO H15 WORK, OR DAMAGED AS FINAL PAYMENT. AERIAL VIEW
RESULT OF H!S WORK.
TAX MAP: 1000053000600039000
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MANUFACTURERS INSTALLATION INSTRUCTIONS.
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2.}ALL OUTDOOR EQUIPMENT SHALL BE RAINTIGFiT WITH MINIMUM NEMA 3R P�4TING. {
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CON5TRUCTION NOTES �� - 31- - - } - - +--- , - - i I ��1 - _ _ __�I = -w_— .c'' asoz ROOF:: Dff ,L
1.)ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE _ ___ __ { +_.__ +__ -" ---- I------- --- ---- — --_ I SSION
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WITH THE MANUFAC i UP.Ep S INSTALLATION IN5TRUCTIONS. I = _I-_--•--+- :_' `;—-- 1, _ ; -- ;�_ -_ I' _-�'"... -
2.)ALL OUTDOOR EQUIPMENT SHALL BE RAINTIGHT WITH —__
MINIMUM NEMA 3R RATING.
3.)ALL LOCATIONS ARE APPROXIMATE AND REQUIRE _—a. — —--- --- `T +--=— -- --- i CF=Ae.I%G SCA_=
FIELD VERIFICATION. ( _
CONSTRUCTION SUMMARY tI E I 4I .T. 55 ,
(37) QCELLS Q.PEAIC DUO 13LK-G6+ 340 PV MODULES
(DIMENSIONS.- 68.5"x 40.6"x 1 .3")
(37) (=NPHASE IQ7-60-2-U5 MICRO INVERTERS
(70) ATTACHMENT POINTS @ G4"OC MAX.
(295.7) LF IRONRIDGE XRI 00 MOUNTING SYSTEM. 36"x 36`GROUND ACCESS EYP.
ROOF TYPE = ASPHALT SHINGLE(SINGLE LAYER)
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LOAD CALCULATIONS 1 ARRAY#I }
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Notal Module Welght I G243 Lbs{ - -____J
Total Len th of Rad 205.7 Ft!
Rail Weight eer Foot O.G8 Lbs; REVISIONS
rTotal Rad Weight 201.1 Lbs � ciziiPrloJ �ATe RtV
i#of Standoffs 701
Weight per standoff 2 Lbs.
I Total Standoff Weight 1 140 Lbsl ~
rTotal Array Wel ht i 1 OG5.1 L'c5i
Point Load i 28.! 1_b,: \~
I Total Arrav Area ,1 7.0 5a Ft. MMHB '11' .' _ ivIMl18
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1 A # i 20 130 1 # 1 4G8 i 5/1 G"x G"5tamles5 Steel „
Roof Section i I
B s # I TYP. f TYP. i # TYP. Lag Bolts I G4 I
PROJECT NAME
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For SI:1 pound per square foot=0.0479 kPa,1 mile per hour=0.447 m/s.
a. Weathering may require a higher strength concrete or grade of masonry than necessary to satisfy the structural < 'T
requirements of this code.The weathering column shall be filled in with the weathering index,"negligible,""moderate"or"severe"for concrete as W Q
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 U �/
or C 652.
-b. - The frost line depth may require deeper footings than indicated in Figure 8403.1(1).The jurisdiction shall fill in the frost line depth column with
the minimum depth of footing below finish grade. ROOF FRAMING DETAIL 1 ; 0 Cly �
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 _ Q Z
subterranean termite damage. r f� =
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 L
category shall be determined on a site-specific basis in accordance with Section R301.2.1.4.
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
International Plumbing Code.Deviations from the Appendix D temperatures shall be permitted to reflect local climates or local weather experience �y Q
as determined-by the building official: MODULE MOUNTING CLAMP— {y
f. The jurisdiction shall fill in this part of the table with the seismic design category determined from Section R301.2.2.1. ��— i {� z
g. To establish flood hazard areas,each community regulated under Title 19,Part 1203 of the Official Compilation of Codes,Rules and SOLAR MODULE—, Q Lu
Regulations of the State of New York(NYCRR)shall adopt a flood hazard map and supporting data.The flood hazard map shall Include,ata 5TAINLE55 STEEL 3/S°��
minimum,-special flood hazard areas as identified by the Federal Emergency Management Agency in the Flood Insurance Study for the community, '��~ 4, —BOLT AND NUT , R/as amended or revised with:- �-�" h'"R �.�-''"r 0
Cq
I.The accompanying Flood Insurance Rate Map(FIRM),
if.Flood Boundary and Floodway Map(FBFM),and �✓ �" y��ES''t DAF
ill.Related supporting data along with any revisions thereto. IRONRIDGE ALUMINUM RAIL—'
The adopted flood hazard map and supporting data are hereby adopted by reference and declared to be part of this section. ALUMINUM"L^BRACKET- SHEET NAME
h. In accordance with Sections 8905.1.2,8905.4.3.1,8905.5.3.1,8905.6.3.1,8905.7.3.1 and 8905.8.3:1,where there has been a history of �, '''~. m 1 sic t
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 F'
part ofthe table with"NO." STP U CTU fL
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 !r_ f-- ''` �= f O f1tr*°' -'t
100-year(99 percent)value on the Natlonal Climatic Data Center data table"Air Freezing Index-USA Method(Base 32"F)" ;' r-• A.QO ' 0 ti ��
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 5HINGLE ROOF-2 - ��� �SSIOtdP�'
Freezing Index-USA Method(Base 32°F)" , -� 5/1 G"
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
PENI. In accordance with Figure R301.2(4)A,where there is local historical data documenting unusual wind conditions,the jurisdiction shall fill in this WITH
SEAI0D _
99 J WITH GEOCEL 4500 /�C� D
part of the table with"YES"and / (EQUIVALENT OR B rI) AS
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 r�
indicate"NO"in this part of the table. i
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 SHEET NUM5ER
above 1000 feet.
(') See Figure R301.2(4)B. 1 FV-,4
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CALCULATIONS FOR CURRENT CARRYING CONDUCTORS
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