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�O��FFDt�Q9" Town of Southold 4/17/2021 O y� P.O.Box 1179 o - o _ 53095 Main Rd y.�joly Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41910 Date: 3/27/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 3105 Ole Jule Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-5-18 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. 45287 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 on existing single-family dwelling as applied for. The certificate is issued to Irby,Cathy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45287 3/22/2021 PLUMBERS CERTIFICATION DATED uthoriz ignature TOWN OF SOUTHOLD 4�o°S�FFn1,r�oy BUILDING DEPARTMENT 0 TOWN CLERK'S OFFICE Al o .� ' SOUTHOLD NY jv} 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#: 45287 Date: 10/6/2020 Permission is hereby granted to: Irby, Cathy 3145 Ole Jule Ln Mattituck, NY 11952 To: install roof-mounted solar panels on existing single-family dwelling as applied for with flood permit. At premises located at: 3105 Ole Jule Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 122.-5-18 Pursuant to application dated 9/24/2020 and approved by the Building Inspector. To expire on 4/7/2022. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Flood Permit $100.00 Total: $300.00 g 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$15.00 Date. I,3 J2_0 New Construction: Old or Pre-existing Building: f (check one) Location of Property: 3145 0(y Ju(k L.AFVL House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section (aa 00 Block OS- 00-Lot 01 F�,QU) Subdivision ° Filed Map. Lot: Permit No. Y5Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ Applic ignature DocuSign Envelope ID,4A3D48B3-7FAE-4927-9EF1-F8F9507B81F0 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) ,,Cathy Irby residing at 3145 Ole Jule Lane (Print property owner's name) (Mailing Address) Matti tuck, NY 11952 do hereby authorize PATRICIA GIBSON (Agent) Element Energy LLC to apply on my behalf to the Southold Building Department. Doou8lgned b- Y 9/17/2020 wne 'S`5ignature) (Date) Cathy Irby (Print Owner's Name) ®� ®F SOUr�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlin(D-town.southold.ny.us Southold,NY 11971-0959 ® �® ®lac®U 9� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Cathy Irby Address- 3105 Ole Jule Ln city Mattituck st: NY zip: 11952 Budding Permit# 45287 Section- 122 Block- 5 Lot, 18 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 X Solar X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment, 8.84 kW Roof Mounted PV Solar Energy System w/ (26) Qcell Qpeak Duo G6 340 Modules , IQ7 Combiner w 220x2 215x1 Notes Solar Inspector Signature: .,• Date: March 22, 2021 S.Devlin-Cert Electrical Compliance Form.xls soulyOlo H ,52-&"7 U '� - — # # TOWN OF SOUTHOLD BUILDING DEPT. courm,��'' 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 REMARKS: AA n- t ,4- /,0 -ove)cd lAk�lj- e (Q- a-��alyq cL,,.?, kt �� . , 4--' In In - DATE �" INSPECTOR s - -- OF 50UTy0lo # # TOWN OF SOUTHOLD BUILDING DP-Pr.- 765-1802 P .765-1802 INSPECTION [ ] 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: � �L"Z 7 L 2 /07- DATE INSPECTOR �aOF SOUTyo7 # # T WN OF SOUTHOLD BUILDING` DEPT. �yCou 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 REMARKS: DATES INSPECTOR R C Town of Southold � December 29th, 2020 Building Department7 I Town Hall Annex Building M 5 2021 54375 Route 25 P.O. Box 1179 -,V; Southold, NY 11971 '� LU Subject:,Roof Mounted Solar Panels at the Irby Residence, 3145 Ole Jule Lane,Mattituck-NY .11952 To Town of Southold: I have reviewed the solar energy system installation in the subject topic on December 29th, 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, SEIJASCE 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. din rely, y0 i x James Deerdcoski, PE 260 Deer Dry a cu Mattituck, NY 1952 `t�Q o 631-774-7355 , 1 Town of Southold ; �.� c- `Ly .•t(� ' t� 'ry,� �`'.`, '� i December 29th, 2020 Building Department ;, r i Town Hall Annex Building VII " D E C, 3 7 2020 54375 Route 25 P.O. Box 1179pu- z Southold NY 11971 ' 14, Subject: Roof Mounted Solar Panels at the Irby Residence, 3145 Ole Jule Lane,Mattituck,NY 11952 To Town of Southold: I have reviewed the solar energy system installation in the subject topic on December 29th, 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. Sin erely, N. DEQ y0 James Dee4oski, PE 260 Deer Drip+e r, LU Mattituck, NY 1952 QA 0 631-774-7355S10yP� t FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) ! -------------------------------- FOUNDATION(2ND) ROUGH FRAMING& ® y PLUMBING r� 9 r 1 - INSULATION PER N.Y. y STATE ENERGY CODE FINAL AD ZONAL CGMMEN'TS fl�� d owlo-At loo tZ�, 7,/I's d 6n6 + io / lam✓ om X eft®���FOC�.�• BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 a �t' rogerr(&southoldtownny.gov- sea nd a0southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali information Required) Date: Ol 23 21) Company Name: I-&— Name: License No.: 52(9$9- He email: Address: )Lk-lc) Riy k( A) II s Phone No.: 431 9 - 7993 JOB SITE INFORMATION (All Information Required) Name: E, Address: t� Il qS Z Cross Street: c 69 Phone No.: (,e3( - S5-� Bldg.Permit I 7 email: ShaLQ_'fa_422222W 00.con Tax Map District: 1000 Section: Mg.UQ ' Block: 05.00 Lot: $,cx;kD BRIEF DESCRIPTION OF WORK (Please Print Clearly) R04 mna nLd 16 ' /, 2(p Q od i L1�tc-Iplik G A 340 , QCQ En?hgda %(Y)-(go -/?-- I aIs ficrocnr��r�el5: >x— t o KW Ac. Circle All That Apply: E Is job ready for inspection?: YES NO Rough InC Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form.xls 1 �1 0 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATI N•CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plan TEL: (631) 765-1802 Planning Board approval- FAX: (631)765-9502 �( � Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C.i Trustees C.O.Application I l(Xn Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-water Assessment Form �� Contact: CW_ U i Approved ,20 Mail to: 0 nnI Disapproved a/c 1410lswgn t11f2_ mc"-��elc Phone: �D 3.I ��((K99-3 Expiration 20 _ Bui din ctor D�J � 0V IDAPPLICATION FOR BUILDING,PERMIT CEP 2 A 2020 Date 9 - 2 3 ,2o2o INSTRUCTIONS Xc, sapplicatioP, I[-JJ�ST�be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of Is,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 theapplicai 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 fing 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 regula'ons 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. I APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permi 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, sing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspection . 1/0 M gin 4 0M ;C 47(911�ma--e of applicant'ormname,if a corpora ) 7LnU SwA6 (Mailing address of applicant) t y2 State wh ther ap li ant is wner less e, agent architect, engineer, general contractor, electrician,plunber or builder Name of owner ofprd-rdfges - -- = - - - -- — -- - - - - ` s on the tax r 11 or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 4?)FF5 Plumbers License No. I Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 3145 ®L.Q House Number Street ' ' ` '` '-'' Hamlet County Tax Map No. 1000 Section �a, Blocki'(j S..C7Q Lot ()I bQ0 Subdivision I 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 n l r o rl i n� b. Intended use and occupancy �DSlc�on�c►/ 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work Sola 2 (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 i Dimensions of same structure with alterations or additions: Front Rear Depth i 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 premisesoafilL Address 3)45 ole ju Ie IQL Phone No. 1e31-(�FiO- 557 Name of Architect Address Phone No Name of Contractor E(o m o i\� kn c�i R lddress 1 Phone No. (p6l 1?9 X993 Attr UC[c 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO / * IF YES, Sol OLD 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. i 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) CO TY OF okL) being duly sworn, deposes and says that(s)he is the applicant Y (Name of indi'idual signing contract)above named, (S)He is the OQnA Gn6dny- U (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 m1 this . day df 200 Y /NOTPATRICIA jA (A ARY PUBLIC-STA w�f�u Notary Public No. O1 MA4676634 Signature of -pplicant Qualified In Suffolk County My Commission Expires March 30, 20 oc°�- NYSIF New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 823336604 ROBERT S FEDE INSURANCE AGENCY 23 GREEN ST STE 102 HUNTINGTON NY 11743 o a 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 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 ;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:IANWW.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. 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 YTOARK TE workers' CERTIFICATE OF INSURANCE COVERAGE STATCompensation 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 la 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(Onlyrequired 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 12/31/2021 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 (Wd#t (Signature of insurance carner's authorized representative or NYS Licensed Insurance Agent of that 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 413,4C 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 carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. D13-120.1 (10-17) �I�IIPiiiiiii1i2ii0i1i1iiiii(i1ii0iiii1ii7i)°011�I A`C?Roma® 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 AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUFER(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 provi ions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorse ant. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME' ROBERT S.FEDE INSURANCE AGENCY PHONE - - FAX _ _ 23 GREEN STREET,SUITE 102 A/C No Ext: A/c o): E-MAIL HUNTINGTON,NY 11743 ADDRESS: ROBERTS.FEDE INSURANCE INSURERS)AFFORDINGCOVERAGE I NAIC# AILA TIC INSURER INSURED INSURERB:STATE INSURANCE FUND 523930 Element Energy LLC INSURERC: ELEMENT ENERGY SYSTEMS INSURERD: 7470 SOUND AVENUE INSURER E: MATTITUCK, NY 11952 INSURER F: COVERAGES CERTIFICATE NUMBER: 7,788 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. INS TYPE OF INSURANCE ADDL SUBR LTRPOLICY EFF POLICY IXP SD WV0 POLICY NUMBER (MMIDDIYYYYIMM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CL00275204 EACH OCCURRENCE 3,000,000 X X 7/14/2020 7/14/2021 i $ CLAIMS-MADE OCCUR PREMISES Ea occurrence i AGI TO RENTED $ 100,000 A MED EXP(Any one person) I I$ 5000 TCF1132060001201 7/14/2020 7/14/2021 PERSONAL&ADV INJURY L $ 3000000 GEN'LAGGREGATELIMITAPPLIESPER GENERAL AGGREGATE I $ 3,000,000 POLICY❑jECOT- F-1LOCPRODUCTS-COMP/OP AGG $ 3000000 OTHER* AUI Is TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per acciderit) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY PeracGdent $ UMBRELLA LIAB I $ OCCUR EACH OCCURRENCE I $ EXCESS LIAR HCLAIMS-MADE AGGREGATE I $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N 124494445 X STATUTE OT ANY PROPRIETOR/PARTNER/EXECUTIVE 7/13/2020 7/13/2021 B OFFICERIMEMBER EXCLUDED? F N/A E L EACH ACCIDENT Is 1 000000 (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMI I $ NY State DBL DBL567527 1/01/2020 1/01/2021 Statutory DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached rf 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 '1R&be,tS. Fed e, Sr. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD r APPLICATION W ' PAGE 1 of 4 - TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTi N 1: GENERAL PROVISIONS APPLICANT to read and si 1. No work may start until a permit is issued. Z The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. b. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFX THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE,TO BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. (APPLICANTS SfF,*ATURE) DATE 10 SECTION 2• PROPOSER DI: .LOPMENT fTo be comnlctcd by APPLICAh'T1 - NAME M A!-DDRESS y�1 l e T(ELEP NE APPLICANT-�4 f 1JKI �LI l� I�P 11J� �Lt IlL�I17�� r BUILDER ENGINEER -PR-QJ LOCATION: • To avoid delay in processing the application, please provide enough iafor mation to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. on-&u A 3145 01 -r , 'di Cb �' ' r `� g FDP(93) APPLICATION PAGE 2 OF 4 ---- DESCRIPTION OF WORK (Check all applicable boxes) A. STRUCTURAL DEVELOPMENT ACTIV17Y STRUCTURE- TYPE ❑ New Structure fff Residential (1-4 Family) ❑ Addition 0 Residential (More than 4 Family) Q Alteration ❑ Non-residential (Floodproofing? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifica(ions) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or $tA•tdge ConstruCtlon ❑ Subdivision (New or Expansion) ❑ Individual Water or Ser System - a Other (Please Specify)'_ Sous `�11 1 KA D)k t Flit Oil After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3. FLODP DETERMINATION a 'Mn' d by L.O AL ADMINl TRATOR The proposed development is located on FIRM Panel No. Dated The Proposed Development: O Isij+OT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED)' O Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD {MSL) ❑ Unavailable ❑ The proposed development is located in a floodway F$FM Panel No. Dated ❑ Sec Section 4 for additional instructions. SIGNED DATE APPLICATION s PAGE 3 OF 4 SECTION 4: ADDITIONAL INFORMATION REQUIRED To he comi2leted by LOCAL ADMINISTRATOR The applicant must submit the documents checked below before the application can be processed• ❑ A site plan showuig the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposcd development. ❑ Development plans, drawn to scale, and specifications,including where applicable:details for anchoring structures,proposed elevation of lowest floor(including basement), types of water resistant materials used below the Fust floor,details of floodproofing of utilities located below the first floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are, not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodprooiing protection level (non-residential only) Ft.•NGVD (MSL). For = 5 , fl ooilliroofed structures, applicant must attach certification from registered engineer or architect. ❑ Certificado E from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting-�t-his finding must also be submitted. ❑ Other: SECTION 5 PERMiT,DE'IER.MIN&TION (To be completed by WC L ADMINISTRATORI I have determined that the proposed activity. A.❑ Is B.0 Is not in conformance with provisions of Local Law # , 19 The permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deCaciencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals APPLICATION a _ PAGE 4 OF 4 APPEALS Appealed to Board of Appeals? O Yes O No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Couditiorts SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a Gccused land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard ea , bottom of lowest structural member of the lowest floor, excluding piling and columns) is: Fr. NGVD (MSL). 2. Actual (As-Built) Elevation of floodprooftng protection is FT. NGVD (MSL)- NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. .4t ,SECTION 7- COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPP-CTIONS: DATE BY DEFICIENCIES? ❑ YES 0 NO DATE BY DEFICIENCIES? 0 YES ❑ NO DATE BY DEFICIENCIES? 0 YES ❑ NO 5ECTiON 8 CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B t SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. - 61 q n I c�-_j�1 1,,, LE) PERMIT DATE pu Z lt,a-- •co— pl R, o—xD OWNERS NAME AND ADDRESS: CHECK ONE: COA ❑ NEW BUILDING 3145 oic-A Toe Lr" R EXISTING BUILDING M a A-V,-VLA 111 I lq c� ❑ VACANT LAND THE LOCAL ADMINIS'T'RATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HE, CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 1.9 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: CIC(93) APPROVED AS NOTED DATE: �P o7� B.P.# ' 7 FEE: `6� BY: NOTIFY BUILDING DEPARTMENT AT - ELECTRICAL 765-1802-' 8 AM TO 4 PM FOR THE INSPECTION REQUIRED 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. FLOOD ZoiyE_A_L-L SLY WITH CHAPTER 149 FLM DAMAGE PREVINnft COMPLY WITH ALL CODES OF S0=40L O NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF ARD KL� g WP TEES OCCUPANCY OR USE IS, UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Town of Southold September 17th, 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 Irby Residence, 3145 Ole Jule Lane, Mattituck, NY 11952 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 2.7 pounds per square foot. Please contact me if you have any questions or comments about the above. Sincerely, 0F NEw r0 CD D James a oski, PE7 °s 260 Deer Dri Mattituck, NY 1 952 631-774-7355 0 SS oN SCOPE OF WORK DESIGt•!E DRAFTIt•IG BY: dOLTAIC(PV)SY5TEM AT THE IRBY RESIDENCE, ATE .:_ CEMENT ENERGY LLC D AT 3 1 45 OLE JULE LANE, MATTITUCK, NY I 1952 (40.9836 1 8, -72.530595). REVIEW BY J.M.NABCEP CERTIFIE POWER GENERATED BY THE PV SYSTEM WILL BE INTERCONNECTED WITH THE UTILITY GRID THROUGH THE EXISTING - 05 112-129 �Ta�nl SFR\'I('F FOUIPMFNT. THF PV SYSTEM POE5 NOT INCLUDE STORAGE BATTERIES. -E AND HA5 AT LEAST MINIMUM 10 YEARS OF REMAINING UFE5P.AN REVISIONS DE5CRIFTION DATE FTP ARRAY# TILT AZIMUTH I 40° 104° 2 40° 104° ---- —--— SYSTEM RATING -- kW DC 5TC — - -- -- -- EQUIPMENT SUMMARY �L�.", \ "Vu [j,. u� ,t 34C vAi FV MODULES ENPHA5E IQ7-60-2-U5 MICRO INVERTERS CONTRACTOR IRONRIDGE FLASHFOOT2 FLASHING 5Y5TEM �',''MOUNTING SYSTEM _LEMENT ENERGY, I SI-1 EET INDEX N 7470 SOUND AV FV-I COVER 0 AATTITUCK, NY I I`. PV-2 51TE PLAN — LICENSE # 4388J PV-3 ROOF PV LAYOUT ' r ;-' )' NF_W r LICENSE # 52689 PV-4 STRUCTURAL/DETAILS t SECTIONS O PV-5 3-LINE ELECTRICAL DIAGRAM ° ° t�F.Ak�) �r PV-G LABELS W 270 c7 4 90 E � , A, GOVERNING CODES 240° p 120° '° .�y w_,Sl W W 2100 1500 \ � 2017 NATIONAL ELECTRICAL CODE. 1800 PROJECT NAME 2 2020 RESIDENTIAL CODE OF NEW YORK STATE. , ASCE 7-1 G AND NFPA-70. s UNDERWRITERS LABORATORIE5 (UL)STANDARDS F ��� OSHA 29 CFR 1910.2G9 P ROJ ECT LO Z GENERAL NOTES _ i U 1 . CONTRACTOR SHALL CHECK AND VERIFY ALL CONDITIONS AT �' M THE 51TE PRIOR TO STARTING TO WORK AND SHALL FAMILIARIZE W ' h�j. J HIMSELF WITH THE INTENT OF THESE PLANS AND MAKE WORK t;w- „�'. AGREE THE SAME. ' a 2. CONTRACTOR OR OWNER SHALL OBTAIN ALL REQUIRED . W W APPROVALS, PERMITS, CERTIFICATES OF OCCUPANCY, y. J INSPECTION APPROVALS, ETC., FOR WORK PERFORMED FROM 10. CONTRACTOR TO EFFECT AND MAINTAIN INSURANCE, I.E. •{ O U CONTRACTOR'S LIABILITY, WORKMAN'S COMPENSATION, AGENCIES HAVING JURISDICTION THEREOF, IF REQUIRED. COMPLETED OPERATION, ETC. ADEQUATE FOR THE PURPOSES • 3. ALL WORK SHALL CONFORM TO CONSTRUCTION CODE AND OF THIS PROJECT AND FURNISH PROOF OF SAME PRIOR TO � I t7 ALL KULE5 AND REGULATIONS OF THE RESPONSIBLE - s,. ` COMMENCING WITH WORK. ,# f ' - _ � JURISDICTION. I I . EACH SUBCONTRACTOR SHALL BE RESPONSIBLE FOR Q 4. IF IN THE COURSE OF CONSTRUCTION A CONDITION EXISTS (y)MAINTAINING SAFETY ON THE JOB 51TE DURING THE WHICH DISAGREES WITH THAT AS INDICATED ON THESE PLANS, THE CONTRACTOR SHALL STOP WORK AND NOTIFY THE CONSTRUCTION PHASE TO COMPLY WITH THE REGULATIONS . ENGINEER. SHOULD HE FAIL TO FOLLOW TH15 PROCEDURE AND AND REQUIREMENTS OF THE OCCUPATIONAL SAFETY AND _ _ �.S HEALTH ADMINISTRATION, THI5 SHALL INCLUDE, BUT ARE NOT CONTINUE WITH THE WORK, HE SHALL A55UME ALL R RESPONSIBILITY AND LIABILITY THEREFROM LIMITED TO: PROVIDING FOADEQUATE AND PROPER BRACING, SAFETY RAILINGS AND SECURE FOOTINGS FOR ALL TEMPORARY 5. ALL STRUCTURAL STEEL SHALL BE A-3G AND SHALL BE „ 1 9MEET NAME SCAFFOLDING, STAIR5, ETC.. AS WELL AS PERMANENT FABRICATED AND INSTALLED AS PER LATEST A.I.S.0 ? CONSTRUCTION. � * y ; ' ' }.r - • SPECIFICATIONS. 1 2. FIGURED DIMENSIONS SHALL GOVERN. DO NOT SCALE f * r ' COVER G. ALL ELECTRICAL WORK SHALL BE BOARD OF FIRE ;, ' DRAWINGS, WHERE DIMENSIONS ARE ESTABLISHED BY EXISTING t ,. UNDERWRITERS APPROVED AND IN ACCORDANCE WITH N.E.C. E i- r CONDITIONS. EACH CONTRACTOR SHALL VERIFY NYS CODES d REGULATIONS EXISTING _ 7. ANY DEVIATION FROM THESE PLANS WITHOUT THE WRITTEN CONDITIONS PRIOR TO ORDERING MATERIALS AND ' 1, J1; COMMENCING WITH WORK. CONSENT OF THE ENGINEER WILL NEGATE THE ENGINEERS ;� ".• �t - Ir CERTIFICATION OF THESE PLANS. 13. CONTRACTOR TO REMOVE ALL DEB . RIS CREATED BY THIS �l DRAwIrIG s Le 8. THESE DRAWINGS AS INSTRUCMENTS OF SERVICE ARE AND WORK FROM THE SITE AND DISPOSE OF IN A LEGAL MANNER ON ��t ° A WEEKLY BASIS OR SOONER IF CONDITIONS WARRANT. SHALL REMAIN THE PROPERTY OF THE ENGINEER WHETHER THE �' !• + ,� ,• �. . 14. AT THE COMPLETION OF WORK, THE SITE TO BE CLEARED - '�``} �- '• PROJECT FOR WHICH THEY ARE MADE 15 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 ; + tdr LEFT BROOM CLEAN AND WORK IS TO BE COMPLETED TO THE ,- I EXTENSIONS TO THIS PROJECT f.a�' 1 TOTAL 5AT15FACTION OF THE OWNER PRIOR TO RELEASE OF ; .. `• f a J�; �1�`4.�� 9. CONTRACTOR SHALL PROTECT, PATCH AND REPAIR ALL FINAL PAYMENT. ' ``� — - ` 'jr 3MEET NUMBER EXISTING WORK ADJACENT TO HIS WORK, OR DAMAGED AS AERIAL VIEW y p\ / RESULT OF HIS WORK. I V — TAX MAP: 100012200050001 ,5000 CONSTRUCTION NOTES N DE51GI.1 6 DRAFTING 13Y: j .) ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE ELEMENT ENERGY LLC MANUFACTURERS INSTALLATION INSTRUCTIONS. 0' REVIEW BY J.M.NABCEP CERTIFIE 2.) ALL OUTDOOR EQUIPMENT SHALL BE RAINTIGHT WITH MINIMUM NEMA 3R RATING. , os I I I 2-1291 -Iz5 3.) ALL LOCATIONS ARE APPROXIMATE AND REQUIRE FIELD VERIFICATION. Rev�sioNs I O 4 2�00� 120° 0E5CRIFfI0N DATE RPV --- 3G"FIRE 5ETBACK/ACCE55 PATH 36"FIRE 5ETBACK/ACCE55 PATh 240 ° 1500 __--t—----------'-- - 21 180° -- ----- R a I GI-7 I II � 4 N N CONTRACTC)r _CEMENT ENERGY, L 7470 SOUND AV 36"FIRE 5EfBAMACCr55 1ATTITUCK, NY I I -. LICENSE # 43889 36"FIRE 5ETBACK/ACCE55 PATH f` r ° :,'F; �, ^:n ICENSE # 52G89 PROJECT NAME W N Lu z � U z W W r a a C) z �z Ile Lu W 3G'- 1411 CDU N N 1^ t� L / r 2 °L -'T � C10Q LEGEND ®o E)OSTING UTILITY METER MAIN SERVICE PANEL BNEW PV SUB-PANELS A/C DISCONNECT - COMBB'ERs O N E by YO 5HEET NAME INVER GND ELECTRODE ]PV MODULE * - i S 1 T E PLAN RACKING RAIL r �.t LU O ATTACHMENT POINT 36"FIRE 5ETBACKlACCE55 PATH 36"FIRE 5ETBACK/ACCE55 PATH RAFTERS �� ��Q DRAWING SCALE ---ROOF PITCH ANGLE �. SUNRUN METER I OF VENT ^I "T. �^J" j ® i OPLUMBING VENT ®SKY LIGHT _ 2 P-G" N G"x 36"GROUND ACCESS TYP. SHEET NUMBER ®CHIMNEY GOOD CONDITIPOTENTIAL ONS ❑ /REMOVE ASI"NECESSARY TAX MAP: 1 000 122000500018000 CONSTRUCTION NOTES CONSTRUCTION SUMMARY DE51GN E DRAFTING BY: .) ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE (2G) QCELLS Q.PEAK DUO BLK-GG+ 340 WATT PV MODULES ELEMENT ENERGY LLC WITH THE MANUFACTURER'S INSTALLATION INSTRUCTIONS. (DIMENSIONS: GG.3"x 39.4"x 1 .3") tA REVIEW BY J.M.NABCEP CERTIFIE 2.) ALL OUTDOOR EQUIPMENT SHALL BE RAINTIGHT WITH (2G) ENPHASE IQ7-GO-2-U5 MICRO INVERTERS 0° 051 1 12-125 MINIMUM NEMA 3R RATING. (42) ATTACHMENT POINTS @ G4"OC MAX. 3.) ALL LOCATIONS ARE APPROXIMATE AND REQUIRE (175.8) LF IKONRIDGE XR 100 MOUNTING SYSTEM. REVISIONS FIELD VERIFICATION, ROOF TYPE = ASPHALT SHINGLE (SINGLE LAYER) pg0°E - ^vESCRIPfION DATE R.F\' _..-- 240° dG"FIRE SETBACK/ACCESS PATH I iG"FIRE SFTPACK/ACCEBS PA AZT - --- -- j VUs . a I ARRAY#2 2 MODULES a0'FITCH CONTRACTOR 1 Oa°AZIMUTH r I ELEMENT ENERGY. 7470 SOUND A`. 2 "".TTITUCK. NY I I 36" {n1=3LTEACK/ACCCCC PA=I q.'_4D TENSE # 4388 ENSE # 52G89 1 3G"FIRE SETBACKIACCE55 PATH I I 3G"FIRE 5ET5ACK/ACCE55 PATH PROJECT IlAt It Lu fi I Ls C� Lu I I ( I C z Lu Lu LU a ai 3' ARRAY#1 O - -- 24 MODULES �— N 40'PITCH �-}- o� I � I Ca'A,71M UTH CLI V � i Q LEGEND UTILITY METER MAIN�SERMCE PANEL NENELS W PV PDISCONNECT i T I ���J// COMBINER SHEET NAME INVERTERS GND ELECTRODE ]PV MODULE GOOF DETAIL Q RACKWG RAIL c� r o ATTACHMENT POINT ---RAFTERS �— r– i'i'a W W DRAWING SCALE PROOF PITCH ANGLE 3G"FIRE 5ETBACK/ACCE55 PAH 36"FIRE SETBACK/ACCE55 PATH I � Z= BSUNRUN METER ,J ' 0725 N .T.✓ . ^: OPLUMBING VENT ®SKY LIGHT ®CHIMNEY ® SHEET NUMBER. COMPOSITE SHINGLES L' _ GOOD TIAL SHADING 36"x 36"GROUND Access Tm. TAX MAP: 1 000 1 220005000 1 8000 V J —POTENTIALsHADINc ISSUES ,._—TRIM/REMOVE AS NECESSARY ITEM DESCRIPTION ARRAY#I ARRAY#2 DESIGrI 6 DRAFTIIIG BY: LOAD CALCULATION! ARRAY# ARRAY#2 RB Rid e Beam/Board ELEMENT ENERGY LLC MODULE WEIGHT(Lbs) 43.9 43.9 R Rafters REVIEW BY J.M.NABCEP CERTIFL`-L; (D) Deckin 051112-129 #OF MODULES 24 2 (P) Pitch TOTAL MODULE WEIGHT(1_b5) 1053.6 87.8 M Ceiling.1o15t REV_I51_ON_5 (H) Horizontal Span of(� EscR MON DATE TOTAL LENGTH OF RAIL(Ft) 165.0 13.8 RAIL WEIGHT PER FOOT(Lbs) O.GB 0.G8 TOTAL RAIL WEIGHT(Lbs) 1 12.2 9.4 (�) #OF 5TRANDOFF5 38 4 WEIGHT PER 5TRANDOFF(Lbs) 2 2 TOTAL 5TANDOFF WEIGHT(Lb5) 7G 8 I I ----- — —' TOTAL ARRAY WEIGHT(Lbs) 124 1.8 105.2 I I POINT LOAD(Lbs) 32.7 2G.3 CONTRACTOR TOTAL ARRAY AREA(5ci Ft) 4GG.3 38.9 ARRAY DEAD LOAD(Lbs/56t Ft) 27 2.7 I F LEMENT LNERGY, y 7470 SOUND A\ s er ASCE 7 - Method 1 : I - (table -1 (P) i 'AATTITUCK. NY I I net =A Fzt I rnet-150e - t sec I 77aMe - CLIMACTIC AND Ground Ind Spee LICENSE # 52Live load, Point Max fastener i LICENSE # 2 8689 9 GEOGRAPHIC DESIGN Category Snow Load 3 sec gust pnet30 per pullout loac Fastener Type spacing along (J) CRITERIA Pg mph A5CE7, p5i Ib. rally, 1n. I A # 20 130 # 4G8 5/1 G" x G" 5talnle55 Steel 64„ Roof Section B # TYP. TYP. # TYP. Lag 501t5 ----------------------- # PROJECT NAME 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 requirements of this code.The weathering column shall be filled in with the weathering index, "negligible,""moderate"or"severe"for concrete as 1 LLJ I 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 i Z or C 652. W Q �J 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 U —1 the minimum depth of footing below finish grade. ROOF FRAMING DETAIL I I Z 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. C) Z 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. 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 0Z —) U International Plumbing Code. Deviations from the Appendix D temperatures shall be permitted to reflect local climates or local weather experience O as determined by the building official. MODULE MOUNTING CLAMP—\5 >_ f. The jurisdiction shall fill in this part of the table with the seismic design category determined from Section R301.2.2.1. CD Lo g. To establish flood hazard areas, each community regulated under Title 19, Part 1203 of the Official Compilation of Codes, Rules and 50LAR MODULE }-- Regulations of the State of New York(NYCRR)shall adopt a flood hazard map and supporting data.The flood hazard map shall include,ata — h— STAINLE55 STEEL 3/8" Q minimum,special flood hazard areas as identified by the Federal Emergency Management Agency in the Flood Insurance Study for the community, BOLT AND NUT c as amended or revised with: I.The accompanying Flood Insurance Rate Map(FIRM), ii.Flood Boundary and Floodway Map(FBFM),and iii. 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 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 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 FLA5HING part of the table with "NO." NE I p pp A� 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 y 7TKU CTU I1^ 100-year(99 percent)value on the National Climatic Data Center data table"Air Freezing Index-USA Method (Base 320F)." f Q� t �:Fh� 0 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 A5PHALT 5HINGLE ROOF Freezing Index-USA Method(Base 32'F)." 5/1 n '` '�• v # 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 5TEEL LAG RLT I a 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°Iv11NJ n E D : w DRAWING SCAL I. 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 PENETPATI J E ED part of the table with"YES"and (EQUIVALEN 1-\5 NO ILL 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 Al indicate"NO"in this part of the table. F_= c,O In. 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 NUMBER above 1000 feet. p� (") See Figure R301.2(4)B. � I V —� TAX MAP: 1 000 122000500018000 MOUNTING DETAIL / I I SOLAR ARRAY ON MAIN HOUSE 8.84 kW DE51GN E DRAFTING BY: (2G)QCELL Q.PEAK DUO-BLK GG+ 340 PV MODULES ELEMENT ENERGY LLC (1)STRING OF(I G)MICRO-INVERTERS '(2)5TRING5 TOTAL REVIEW BY J.M. 1CERTIFIE 051 112-2-112929 TO UTILITY GRID REV15ION5 STRING # i ------ - DATE RE,,. ..................... �- - �_i - ►--� - -1- 1 N BI-DIRECTIONAL 1 : l PILTY -- t- ------------------- -__ -- __ -- - ---- �I_... METER ��� ���_ ��� ��_ ��� ���- ��� ��� ���- A5E.240 V I _ Ii- -- - -- - - .�__� t w ------- - I � ��.---► �-_-- ----���----'��-_--� _- �-__-� ��.---- �-___� CONTRACTOR 1 1 1 1 INPHA5E BRANCH I CIRCUIT CABLE TYPICAL I I MENT ENERGY, LLC. i T 470 SOUND A\ AC D15CONNECT ITITUCK, NY I I TENSE # 4355` ,I EN5E # 52G89 N L LI ivl N L I I I i 1 � I N N MAIN SERVICE PANEL PROJECT IlAME Ie ----- a -----------------------------------------------------n AC COMBINER 5CX N j G KILIX UE-3- EX15TING GROUNDING W Q ELECTRODE 5Y5TEM U —} I I I LZ J L----------------------------------------------------� (� WIRE t CONDUIT SCHEDULE � J U CIRCUIT CIRCUIT CIRCUIT CONDUCTOR CONDUCTORS MAX. CONDUCTOR CONDUIT FILL CONDUCTOR GROUND GROUND GROUND TYPE CONDUIT CONDUIT AMBIENT TEMP ESTIMATED Voltage Drop(% O I.D.# ORIGIN DESTINATION 51ZE PER POLE QUANTITY DERATE INSULATION SIZE QUANTITY INSULATION (CU/AL) TYPE 51ZE TEMP DERATE DISTANCE ^/ In 310.15(B)(3) 310.15(5)(2aX3c) az INVERTERS COMBINER PANEL AWG#10 1 4 0.8 U5E-2/PV Wire AWG#8 1 BARE CU FREE AIR I.. 700C O.G5 0.8% OR EMT Q COMBINER PANEL AC DISCONNECT 1 3 1 THWN-2 I THWN-2 CU PVC 0,87 O.G% c AC DISCONNECT MAIN PANEL I 1 3 1 THWN-2 I THWN-2 CU PVC 0.87 0.G% ELECTRICAL NOTESQ c )E.0 yf CALCULATIONS FOR CURRENT CARRYING CONDUCTORS SHEET rlAt,rr TO BE LISTED BY UL OR OTHER NRTL,AND LABELED FOR ITS APPLICATION, ALL CONDUCTORS SHALL BE COPPER, RATED FOR GOO V AND 90'C WET ENVIRONMENT. PV Source Circuit Wire Ampacity Calculation CONFIGURATION * CC WIRING, CONDUIT,AND RACEWAYS MOUNTED ON ROOFTOPS SHALL BE ROUTED DIRECTL` [NEC G90.8(B)(I)1: , '(I.56)- 20 Modules per 5tnn,3 r- a w 3-LINE D I A TO,AND LOCATED AS CLOSE A5 P0551BLE TO THE NEAREST RIDGE, HIP, OR VALLEY. ^G#10,ampacity' Temp Derate = 20.5 A :a > a,.r •: c a.:e _, �. Modules per Inverter WORKING CLEARANCES AROUND ALL NEW AND EXISTING ELECTRICAL EQUIPMENT SHALL i 2 ' Number of Inverters S COMPLY WITH NEC I 10.26. Inverter Output Wire Ampacity Calculation � pZ 5p'b era a output 1 DRAWINGS INDICATE THE GENERAL ARRANGEMENT OF SYSTEMS. CONTRACTOR SHALL Inverter Max Am P 9 tNut'( .25) Record low tem A� FURNISH ALL NECE55ARY OUTLETS, 5UPPORT5, FITTINGS AND ACE55ORIE5 TO FULFILL Voc Temp Coefficient OFE S\ DRAWIIKb APPLICABLE CODES AND STANDARDS. DC SYSTEM SPECIFICATIONS CALCULATIONS WHERE SIZES OF JUNCTION BOXES, RACEWAYS, AND CONDUITS ARE NOT SPECIFIED, R:- Inverter Output Wire Ampacity Calculation THE CONTRACTOR SHALL 51ZE THEM ACCORDINGLY. Inverter Max Amperage output'(1.25) Operatinel Current ALL WIRE TERMINATIONS SHALL BE APPROPRIATELY LABELED AND READILY VISIBLE. Operatinq Voltacle N • MODULE GROUNDING CLIP5 TO BE INSTALLED BETWEEN MODULE FRAME AND MODUI Max. System Volta e SUPPORT PAIL, PER THE GROUNDING CLIP MANUFACTURER'5 INSTRUCTION. Short Circuit Current MODULE SUPPORT RAIL TO BE BONDED TO CONTINUOUS COPPER G.E.C. VIA WEEB LUG AC SYSTEM SPECIFICATIONS OR IL5CO GBL-41DBT LAY-IN LUG. SHEET NUMBER. .)THE POLARITY OF THE GROUNDED CONDUCTORS IS(positivefiegahMax AC Output Currentve) Operatinq AC Voltacle 240 V PV- `STEM 15 UNGROUNDED AND SHALL COM1""- i TAX MAP: 1 000 1 220005000 1 8000 DESIGN 8 DRAPTUIG BY RGY LLC SERVICE METER 01 DIPOLAR SOURCE © INDICATING AC DISCONNECT INSTALLATION NOTE ELYJ.M.NNECErcE REVIEW BY J.M.NABCEP CERTIFIE 1 ( 1 ) ALL LABEL SHALL BE INSTALLED IN 0511 i2- Z0 0 Z\WARNING a WA R N I N G I ACCORDANCE WITH THE 2014 NEC REVISION5, T REQUIREMENTS. �E5 RFTIONI -._ DATE F. THIS SERVICE METER TURN OFF PHOTOVOLTAIC (2) ALL LOCATIONS ARE APPROXIMATE AND SOLAR AC LOAD CENTER IS ALSO SERVED BY A AC DISCONNECT PRIOR TO REQUIRE FIELD VERIFICATION. - PHOTOVOLTAIC SYSTEM WORKING INSIDE PANEL (3) LABELS, WARNINGS) AND MARKING SHALL BE IN ACCORDANCE WITH NEC -- 0 0 0 1 1 0.2 1 (B). 0 AT PV SYSTEM AC COMBINER70 AT THE POINT OF DISCONNECT (4) THE MATERIAL USED FOR MARKING MUST BE WEATHER RESISTANT. IN � oR CONDUIT RACEWAYS WARNING � _ COMPLIANCE WITH NEC 1 10.2 I (B)(3). © (5) THE PV SYSTEM CIRCUIT CONDUCTORS MENT ENERGY. LLC 0 PHOTOVOLTAIC SYSTEM ! !jm SHALL BE LABELED INSTALLED IN 470 50UND AVE COMBINER PANEL COMPLIANCE WITH NEC 690.3 1 . 1TUCK, NY 1 195. ® AC DISCONNECT �3EN5E # 43889-ti DO NOT ADD LOADS EN5E # 52689-Mf RAPID SHUTDOWN SWITCH SEE NOTE (3) (RACEWAYS) PH07VOL7AIC O AC DISCONNECT• PROJECT NAME OPERATING CURRENT AMPS owl", W cV Ln MAIN SERVICE PANEL �' "'h • • z ® RAPID SHUTDOWN SWITCH g © �9 DC DISCONNECT o Cn LU LU AC DISCONNECT/BREAKER • • • • >-� 0 OR COMBINER BOX • ' ' ' , , • CD Ln NNEC � 0 ® OPERATING • mS 05 INDICATING RAPID SHUTDOWN SYSTEM OPERATING O� E AX SYSTEM Y i • , • ' R. � •• F.�� Dr�� SNEGT NAME _. n. • �.. . �: ' , LABELS r tL • ' ' , , • l�Z� JS e �. V FESS\O DRAWING 5CALE N .T. SHEETNUMBER P V/—Gl TAX MAP: 1 000122000500018000