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HomeMy WebLinkAbout45858-Z �O�OS�FFQtirI4, Town of Southold 4/17/2021 P.O.Box 1179 0 C. - 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41951 Date: 4/17/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1020 Vanston Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.42-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/12/2021 pursuant to which Building Permit No. 45858 dated 2/26/2021 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 accessory garage as applied for. The certificate is issued to O'Brien,Kenneth&Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45858 3/25/2021 PLUMBERS CERTIFICATION DATED Authorized Signature ��o�gOFFQI�-cy TOWN OF SOUTHOLD a BUILDING DEPARTMENT y TOWN CLERK'S OFFICE Way • ,� SOUTHOLD, NY poi Sao 7 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#: 45858 Date: 2/26/2021 Permission is hereby granted to: O'Brien, Kenneth 1020 Vanston Rd Cutchogue, NY 11935 To: install roof-mounted solar panels on existing accessory garage as applied for. At premises located at: 1020 Vanston Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 104.-12-11 Pursuant to application dated 2/12/2021 and approved by the Building Inspector. To expire on 8/28/2022. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ACCESSORY BUILDING $50.00 Total: $200.00 B & ding Inspector Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �� sean.devlinetown.Southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To, Kenneth O'Brien Address. 1020 Vanston Rd City Cutchogue st: NY zip. 11935 Building Permit#: 45858 Section 104 Block: 12 Lot 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: GreenLogic LLC License No: 43858ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Solar X Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 10.08kW Roof-Mounted PV Solar Energy System w/ (28) SunPower SPRX22-360 Modules, SunPower Monitoring Sysyem PVS6, 100A Backfed Sub w/220x3 and 215x1 Notes Solar Inspector Signature: q Date: March 25, 2021 S Devlin-Cert Electrical Compliance Form.xls �o�,aoF soaryo� LA 58 58 � 2_0 VA-Mf, f # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [: ] FOUNDATION 2ND . [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL A ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: C L --cam. DATE ANSPECTOR ���� J A M E S J. S TOZJA'��l' � A R C H I T E C T & Assoc . 2 G REG L ANE E AST NORTHP0RTN. Y. 631 - 8 58 9388 Post Installation Letter i ; March 24, 2021 A P R - 1 2021 RE: O'Brien Residence =�Tr 1020 Vanston Road Cutchogue, NY 11935 To Whom It May Concern: This letter is to confirm that as of March 24, 2021, I, James J Stout, NYS license 021633 have personally inspected the placement and installation of the roof top solar panels at the above mentioned location. The solar panels have been installed as per manufacturer's guidelines and specifications. The racking system design and installation complies with the 2020 NYSRC and 2020 NYSUCS building code and provisions of ASCE 7-16. The installation was done as per plan. Thank you for your cooperation in this matter. James J. Stout Architect ED ARC, 5 l 021633 T�OF NE`N FIELD INSPECTION REPORT DATE COMMENTS . ►d FOUNDATION(IST) U ------------------------------------ C FOUNDATION(2ND) z o ROUGH FRAMING& y l PLUMBING INSULATION PER N.Y: y STATE ENERGY CODE FINAL ADDITIONAL CO NTS LUC . Tf z ' rn H z d r� b H TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowM.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. v Building Inspector: FeB 2 A P,Olicat,6 did' n rmsrhusWkiefilled-out;intheft a -*-'�- pp[ictrorrs`iiv'tlt not lie Qd.�,--Whefe t e q �op fcaj, 3, - 40 ne,s (fiat c�, -bi,'Z6'Ir 4&" s Date:2/5/2021 77- ,,0WNk% ),,,QF PROPERTY,. -Z, Name.Kenneth O'Brien SCTM#1000-104-12-11 Project Address: 1020 Venston Road, Cutchogue, NY Phone#:201-602-0382 Email:kiobl 963@ rn _gMail-co Mailing Address: Y- z 771 '-42 4, , Name:Barbara - GreenLogic LLQ Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 X 117 Email:BarbaraOGreenloaic.com ---------——---, I-- I W 77 , 7-7 7 7 7, 7 ES1�1q'WPR0FESS10NAQNF0R` Aillid Name:James J. Stout Architect & Associates Mailing Address:2 Greg Lane, East Northport, NY Phone#:631-858-9388 Email:StouthubC@iamesstoutarch-com J Name:GreenLoaic LLC Mailing Address:97 North Sea Road, Southampton. NY 11968 Phone#:631-771-5152 Email:AMPGreenlogic.com IN goe", 00�PFWOSEDCONST E]NewStructure OAddition ®Alteration DRepair ElDemolition Estimated Cost of Project: [i]other Solar Panels $36,000 Will the lot be re-graded? E]Yes WNO Will excess fill be removed from premises? E]Yes W No ROPERWINFORMATION Existing use of property: :�:--A Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to ..v._.__.......-.-.. this property? [--]Yes;KNo IF YES, PROVIDE A COPY. eck,Bdx After.1144ding:-46-1 1g_n professional is-�respo— risible for all drainage and storm water issues as provided by ng,Dbpart '�,,ihe ermiipuisuantto the Buildinj'zone,- Chapter-236 of the tbwn-'64e.,APPLICATION IS HEREO MADE to the Buildt ment io nFe�,,, a Building P Wh"Of'south"Old's co trpct, of ordinance of the-To risl on" b- n uiwi�is rde Icant agrees to.,,i -41 dditiRpi,,a lt;`iratioiii orjiirieino�ia 1,o I ot�as,h'ereindesc�ib�d.i-heap�p-l- comiplj�;Iih-,A��p`pilciibie laws,4:idindntes,buildingl, e, 'hous ng code aqdibkulatilons�-a 14,io I aut or 9 JRspectors on premises and" ''.6pildink(s),for necessary insoections�'*alse state`mdAi made herein are u -New York enal tai�: a mean" antto ctl�06.45ofl:6 ,p61nishabl.'as'.d sde Application Submitted By(print name):Green Logic LLC ®Authorized Agent ElOwner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk Nesim Albukrek being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of jC-10YUarU 20� Ij Notary Public BARBARA A CASCIOTTA Notary Public State of New York No.01-CA4894969 PROPERTY OWNER AUTHORIZATION No. in Suffolk County (Where the applicant is not the owner) Commission Expires May 11.2023 Kenneth O'Brien residing at [D20 ve. AcA o do hereby authorize GreenLogic LLC to apply on j my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature /Date Kenneth O'Brien Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector ' TOWN OF SOUTHOLD F gay Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ti Telephone (631) 765-1802 - FAX (631) 765-9502 � �` rogerr@southoldtownny.gov — seand0southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date; 2/5/2021 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@ Green logic.com Address: 97 North Sea Road, Southampton, NY 11968_ Phone No.: 631-771-5152 JOB SITE INFORMATION (All Information Required) Name: Ken O'Brien Address: 1020 Vanston Road, Cutchogue, NY Cross Street: Phone No.: 201-602-0382 Bldg.Permit#: �j� email:knobl 963agmaii.com Tax Map District: 1000 Section: 104 Block: 1.21 Lot: 11 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system (28) SunPower SPR-X22-360-E-AC modules, (28) SunPower SPR-X22-360-E-AC inverters, (1) SunPower monitor PVS6 System Size: 10.080kW Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES NO Issued On, Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#. New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: -PAYMENT DUE WITH APPLICATION I Request for Inspection Form,xls Pz ; SURVEY OF LOT 199 J AMENDED MAP A OF 11 MING NASSAU POINT F XAVISR PLfi 01-L - 9 FILE No 156 FILED AUGUST 16, 1922 �/ YV11 SITUATED AT LOT(E) NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK \ � 120.00' bH S.C. TAX N0. 1000-104-12-11 ° \ N 82°04'40" E .e GFS Wu I0. SCALE 1"=20' P FEBRUARY 2, 2006 • DONG uow vPxRE ' WHN 'oF �O, DECEMBER 20, 2006 ADDED PROPOSED ADDITIONS - °•\ 'B• t p JANUARY 31, 2007 ADDED BUILDING COVERAGE AUGUST 31, 2007 REVISED PROPOSED ADDITIONS Tt' OCTOBER 3,2007 ADDED ADDITIONAL OFFSET FROM ADDITION TO PROPERTY LINE ST6APAGREA o pp_ JANUARY 4,2017 UPDATE SURVEY 5 Ilk _ 6 ; t^ AREA = 25,695 sq. ft. a Qp ° \ �• I (TO TIE UNE) 0 590 UC . a !�\\ o>/• CO.vim"•° '� �� I NEB p \`• .b .E vNA A� �° \• ^ �a RT iRANE o Ti HOUSE v C. Bey �� A 9G �0 \ �. a11 19 3 � a s1 e1 0 IN A, sYCIE THEEY..IUIe1SxEDu ♦ • • / ��-�.(e• ��' `Oyo V.�?NYS B'�r'1r2 IJJLLS -RED.Bmw ,a\ • Q �5�0�E HI 1NE NEv!Mldt SIAIE UwT . ° V .e NYS U. No 50467 Nathan Taft Corwin III G.°72 "'-' N mcnoN Tzpa ar THE NEN wRN surf A Land Surveyor T..1� LNNDFSUM�El— N�N�OF�NO ry TO BE E AVS iE pTl y BE CoNs.— Succeu0t To St.BlJos.P11 A Ing gno LS C.To MSE P'�c160ap FOR W�NouON TIE�su�mMN ISNPREFARED ON HIS BE-F TO THE VIA,Surveys—Subddm,,,,— St,Ph,,— ComtmctmR LEBONt LENDING IIN5111111I0N LEEEO HEREONµD PHONE(631)727-2090 Fax(631)727-1727 TO Aa BNMaOF THE LEND NOT E OFRCES LOCATED AT MAUI AOORESS THE EXISTENCE OF RIGHT OF WAYS 1566 Nom Rcad PO a.16 ANO/Oq EASENENiS OF RECORD,IF JamesDorL Ner Yah 11947 JemespoH,Nmr York 11947 ANY,NOT SHOWN ARE NOT GUARANTEED 3 GG EENLOGICO ENERGY February 10, 2021 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Project Info: Kenneth O'Brien 1020 Venston Road Cutchogue, NY 1000-104-12-11 Dear Building Inspector: Please find attached a building permit application to install a roof mounted solar photovoltaic(PV) electric system for the above referenced property. In connection with this application, please find attached: • Building Permit application with owner authorization • Application for Electrical Inspection • 2 Surveys of the Premises • 4 Engineer's Reports • 2 Three Line Electrical Drawings • 2 Spec. sheets of the solar panels • 2 Spec. sheets for Racking System • 2 Spec.sheets for Monitoring System • GreenLogic Suffolk County Home Improvement License • GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License • Check for$200($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, J`3aJa m&ac oUa Barbara Casciotta Account Manager Barbara@Greenlogic.com GREENbSjLq�JC�ln% je![J-jgic com Tel: 631.771.5152 Fax 631.771.5156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd.,Suite 3 200 S Service Rd ,#106 Southampton, NY 11968 Rosyln Heights, NY 11577 GREENLOGIC® ENERGY March 30, 2021 The Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Projectlnfo: Building Permit 45858 Kenneth O'Brien 1020 Vanston Road Cutchogue, NY To the Building Inspector: Enclosed please find the Engineer's Certification Letter for the above referenced address. Can you please close the building permit and send the Certificate of Occupancy? Please let me know if you have any questions about the installation. Sincerely, jJ3aJaw C'a 6cio & Barbara Casciotta Account Manager Barbara@Greenlogic.com 631-771-5152 Ext. 117 GREENLOGIC LLC a www.GreenLogic corn Tel: 631.771 5152 Fax: 631.771.5156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd.,Suite 3 200 S.Service Rd ,#106 Southampton, NY 11968 Rosyln Heights, NY 11577 A�Oe CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) Fol/29/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 CONTACT Nicholas Zulkofske Brookhaven Agency,Inc. PHONE 631 9414113 Ew. 631 941-4405 E-MAIL 100 Oakland Ave,Ste 1 . Certificates@ brookhavena enc .com Port Jefferson,NY 11777 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine&General Insurance Co. INSURED INSURERS: Merchants Preferred Insurance Co. GreenLogic,LLC INSURER c: First Rehab Life Insurance Co. 97 North Sea Rd,Suite 3 INSURER D: National Liability&Fire Insurance Co. Southampton NY 11968 INSURER E: AGCS Marine Insurance Co. INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER D LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 X Contractual Liability X X GL202100012922 01/3112021 01/31/2022 MED EXP(Any oneperson) $5,000 PERSONAL&ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s2,000,000 POLICY 7X JECT [ LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER I E&O Liability $1,000,000 AUTOMOBILE LIABILITY COMBIINEEDD SINGLE LIMIT $190001000 B X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED X X CAP1043565 08/1112020 08/11/2021 BODILY INJURY(Per accident $ AUTOS ONLY AUTOS ) X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY $ UMBRELLA LUIS HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A see seperate certificate (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ C NYS Disability 0251202 04/11120 04/11/21 Statutory Limits E Installation Floater/Property SML93076366 4/15/20 4115/21 $300,000 $2,500 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is also named as Additional Insured. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ> ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD WWorkers' CERTIFICATE OF ZAYOM E =nsatlon NYS WORT{ERS' CO PENSATION INSURANCE COVERAGE 1a.Legal NameA Address of Insured(use street address only) 1b.Business Telephone Number of Insured Greenlogic LLC 631-771-5152 97 North Sea Rd Suite 3 1c.NYS Unemployment Insurance Employer Registration Number of South Hampton,NY 11968 Insured Work Location of Insured(Only requited if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) United Wisconsin Insurance Company Town of Southold Bulding Department 3b.Policy Number of Entity Listed in Box"1a" 53095 Rte 25 WC532-00243-020-SZ Southold,NY 11971 3c.Policy effective period 7/23/2020 to 7/23/2021 3d.The Proprietor,Partners or Executive Officers are included (Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to,nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with,the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Alicia Christiansen (Print nam f a thonzed representative or licensed agent of insurance tamer) Approved by: Y (Signature) (Date) ' Title.Assistant Director of Sales Operations Telephone Number of authorized representative or licensed agent of insurance carrier: 941-306-3077 Please Note:Only insurance carriers and their licensed agents are authorized to issue Foran C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov a 3 STAITte CcomWorkers'ation CERTIFICATE OF INSURANCE COVERAGE scarpens Board DISABILITY ARID PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of insured GREENLOGIC.LLC 631-941-4113 97 NORTH SEA ROAD,SUITE 3 SOUTHAMPTON,NY 11968 1c.Federal Employer Identification Number of Insured Work Location Of Insured(Only required rfcoverage isspecifically limited fo or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) 203801194 2.Name,and Address of Entity Requesting Proof of Coverage 3a.Name of insurance Carrier (Entity Being Listed as the Certificate Holder) 5helterPoint Life Insurance Company i Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold NY 11971 DBL251202 3c.Policy effective period 04/11/2020 to 04/10/2021 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. Z Date Signed 4/13/2020 By �(IIIJ41101,W/ (Signature of insurance carrier'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 4B,40 or 513 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit, PO Box 5200,Binghamton,NY 13902-5200. E PART 2.To be completed by the NYS Workers'Compensation Board(Only If Box 4C or 58 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 o: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-120.7.insurance brokers are NOT authorized to issue this form. DB.120.1(10-17) �� I�D&�� 111(2Il0 (ll(�0�€—IIt )l � A Xv ZV 4C Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEWYORK 11788 DATE ISSUED: 5125/2006 No. 40227-H SUFFOLK COUNTY Home Improvement Contractor License NN . '' * This is tocertifv thac. t MARC A CLEJAN doing business as GREEN LOGIC LLC having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk,State of New York is hereby licensed to conduct business as a HOME ............ IMPROVEMENT CONTRACTOR,in the County of Suffolk. Additional Businesses NOT VALID WITHOUT D)EPARTMENTAL SEAL AND A CURRENT CONSUNIER AFFAIRS ID CARD Director ....... .... f Suffolk County Executive's Office I s fi r/ .ti of Consumer ANIrsf r� Ww VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEWYORK 11788 t_ ^ 12/10/2007 • I I� r rSUFFOLK COUNTY Master Electrician License This is to certify that ROBERT J SKYPALA doing business as GREENLOGICLLC having given satisfactoryevidenceof competency, licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws,rules and regulations of i Countythe 1 Suffolk, State of New York. Additional Businesses ` ri NOT VALID WITHOUT DEPARTmENTALSEAL ` W CURRENT , CONSUMER AFFAIRS I. IV CARD a ' Director '� rr: ' 1�t., 1..�' is i. ' r a, 77W_514" ,W 777% 141 ZVI Nt F, W low Improve Support;,_ educe-Maimeriance ,CosLs SunPower En ergyLi ri k—Pl l rid-Play Installation ll mcnit.oring viebsi,e erial you'o, This,--ornplete solution lot resice-it al a,id cormne-clal mol I and SCe,, 1,ViSUQl niao of cusLcmer sitescunt~of Includes 01"Surlrlow,,el PV S,.oel C)(r'VS6)which improves, ,,teMCL61VIT,,iriage[ILIlidredsoisi,p-s Ti,e instakmion process,overall systeryi ellabilily,and cl 3ece've elecdkie sysul',rn I fs -elic(, 1.6cote.)yte in issues&r1c reiricLel�dICgr,ose Co,ii fcotpr tit for in-piruved aestheLic-S Diagnose iss,i6s'online Robust clo,-d conriectivizzy and con-II),eir-ensive Kcal connectivity w Pexible--owligor al of devices dil installation Drill do' fqr the'sLa'tus"o—ndMcual cevices Consumption rneter,ng Revenue-grade pr cid,icoon­nelel(pending) - Web-based conmissioning Remote diagnostics of PVS6 and inverters -re reduces mairterance cos-,s Avllrll�_ ­� _'). Durable UL Tvre 3R enclosure Easyn,leg"al vvil SunPosver e-BOS Add Value for-Custorners W::h thp SunPoweir Mcnitoring_1,i Robust Cloud Connectivity 'customers,cal Multiple options to rMlinu)ri oplirnal +'y Vii' -or-neclIVII'V See.'}hat the r'solar'systeni prcluces eac-i 'ay,month,,or yearHardwired Etneriet V OPLIi.heir solar nves,,rnen-,end sa,,/e,cn f A�'', W14 I energy expet-,ses Cell,ila,backup SLp their energy use and est~rated bil sa'vings: -,, Seetheir sola*sy'stem's pe. 1ce.using the Sul mon,conngii o, mobile app AF � �"G���� �,�'� ..-�;' �U�a��"'�� �i,` �k•r' 'yew '�s tow I SUnPower Monitoring Websites PVSe SunPower AC Modules 1.1 X; ^^ 1 7,­ Multiple communication options include ` Ethernet,Wi-Fi,and cellular. ' TIMM Number of SunPower AC mcdules 85 reriiperature 22°F to {'r30oP{ 301C Lo+60 Q supporred per RV% I lumidity{maximum) 9595,non-conoensrng H:$h speed rnterrat access v,a accessible Internet access router or switch Payer 100-240 VAC{i.l!},St}&<60 I Iz • =08 VAC(L-L rr 3-phase),63 Hz RS-��35 Inverters and meters . One channel of revenue-grade production rreterrhg I'S An u"`{ � ,nt2nrateC Meterino • Poo criarim, Is Qf fons'!mptlnn metering Weight S 5 los(2.5 log} Ethernet ---- LAN(or optional IAIAN)port Dimension, ;1.8 x 8.0 x 4 2 in.(30 5 x 20 s x 10 8 cm) pLC PLC`or SunPuvver AC mcdules Enclosure rating U-50E Type 3R Vvl E" 802.11 begin 2,4 GHz and 5 G !z Cellular LTE Cat M1/3G MATS z1v3ee i•FF 802 15 4 NIAC,2 4dGH7 ISM nand a� iii «z � -)ata 3towc 60 days Customer site tnoni.or us sunp_o.ver.corn -- -- -- es ----- Jpgrades H,a�oma"r frtmvaare upgrade_: Partner Site ttusmgrnt,_is-sur�po,,vercom Growlers, Firefox,Safan,and Chrome Moble devices iPhone",iP<,da,and AndrojcF" Customerapp 1 Create account oniincat monitor ussunpmverfrom 2.Ori a mobile device,dovx3loaa tie SunPo•ter P,fionkonn4 Warranty 10-year Limited Warranty app from Apple App Storms',or Google Player store 3.Sign inusing accoun-ema I aro pass'worc. Cettiflcauons UL;cUL,CE,UL 61010-1 and-2,FCC Part 15(Class B) CC us t�TO FCC ID:YAW529027 E503346 J ANTES J. S TOUT A R C H I T E C T & Assoc . 2 G ]SEC, L ANE E AST NORTHP0RT N. Y. 631 - 858 9388 Letter of Certification COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES January 25, 2021 AS REQUIRED AND CONDITIONS OF --WMOLD TOWN ZBA O'Brien Residence SOU IiVO BOARD 1020 Vanston Road 6ttt�RUSTEES Cutchogue, NY 11935 To Whom it may concern: I, James J. Stout, registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above- mentioned address and have determined the structure and the panel attachment to be adequate to support the new additional load imposed by the proposed solar panel system and complies with the 130-mph wind design load as per 2020 Residential code of NYS (RCNYS), 2020 building code of NYS (BCNYS) residential code, 2020 Energy conservation construction code of NYS (ECCCNYS) and the 2017 National Electric Code NFPA 70/2017 National Electric�Code, and the ASC 6 6CUPANCY OR The existing 2"x 6" @ 16" roof rafters will provide adequate supportUSE IS UNLAWFUL Thank you for your understanding in this matter. WITHOUT CE RTI F F v OF OCCUPANCY James J. Stout Architect AP ROED AS NOTED J� DATE: .? 02b B.P.# E0 ARC FEE: BY. NOTIFY BUILDING -E°Fin AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION - TVA O REQUIRED ' - FOR POURED C()NCRETE 2. ROUGH - FRAMING & PLUMBING >t 021 -3 y0� 3. INSULATION ! @ NE 4. FINAL - CONSTFU--iON MUST BE COMPLETE F C 0. ALL CONSTRUCTI01`. SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ELECTRICAL YORK STATE, NOT RESPONSIBLE FOR INSPECT90N REQUIRED DESIGN OR CONSTRUCTION ERRORS. GREENLOGUCO ENERGY GreenLogic,LLC Approved O'Brien,Ken 1020 Vanston Road Cutchogue,NY 11935 Surface#A: Total System Size: 10.080kW 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:156° Pitch:23° Monitoring System: SunPower 0 Panel/Array Specifications: Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:36'2 1/4"X 13'11" Surface: Magic#:Invisimount Legend: ® 28 SunPower 360W Panels ® SunPower Invisimount Rail 0 64 Quick Mount E Lag 8 2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: / RED C i 0Z Drawn By:MA Drawing#1 of 5 Date: 1/22/2021 REV.A Drawing Scale:3/16"=1.0' GREENLOOC" ENERGY GreenLogic,LLC Approved O'Brien,Ken 1020 Vanston Road Cutchogue,NY 11935 Surface#A• Total System Size:10.080kW 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:156° Pitch:23° Monitoring System: SunPower Panel/Arra Specifiications: Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" NII Array:36'2 1/4"X 13'11" Surface:40'4"X 165" Magic#:Invisimount Legend: ® 28 SunPower 360W Panels SunPower Invisimount Rail ® 64 Quick Mount E Lag 8 2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers.1 Height above Roof Surface.4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: ED 3. 4 'Q P-% r 9T 103 Drawn By:MA Drawing#2 of 5 Date: 1/22/2021 REV:A Drawing Scale:3/16"=1.0' � C� L(0(G0C ° c� ENERGY GreenLogic,LLC Approved O'Brien,Ken 1020 Vanston Road Cutchogue,NY 11935 Surface#A: Total System Size:10.080kW 1 c4rcuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:156° Pitch:23° Monitoring System: SunPower 0 Panel/Array Specifications: Panel:SPR-X22-360-E-AC 3 Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:36'2 1/4"X 13'11" Surface: Magic#,Invisimount 2 Legend: ® 28 SunPower 360W Panels ® SunPower Invisimount Rail 2 1 ® 64 Quick Mount E Lag 8 2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers- 1 1 Height above Roof Surface:4' Materials Used:Quick Mount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal:/ S / OZ 1 f�33 OQ 19rfi F ��y V Drawn By:MA Drawing#3 of 5 Date: 1/22/2021 REV A Drawing Scale:3/16"=1.0' No Vent Pipes Will Be Covered By The Bader ,4rra� �GREENLOUC9 LEGEND: _C0 ENERGY AR -Access roof per R202 definitions RAP -Roof access point-to be away from RWV -Roof with valley, GreenLogic,LLC Approved overhead obstructions,doors. 18"minimum from valley O'Brien,Ken windows,decks,fences,landscaping 1020 Vanston Road GA -Ground access area per R324 7 3 width AP -Access Pathway,36"minimum SVO -Smoke vent operation per Cutchogue,NY 11935 to be same as AP as measured at eave width per R324.7.4 and R324.7.5 R324.7.7,18"minimum from edge Total System Size*10.080kW 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 7 on a 20A breaker Detached Garage Azimuth:156° Monitoring System: SunPower Panel/Array Specifications: Panel-SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:36'2 1/4"X 13'11" Surface:40'4"X 30'10" Magic#:Invisimount Legend: ® 28 SunPower 360W Panels SunPower Invisimount Rail ® 64 Quick Mount E Lag Q 2x6"Douglas Fir Rafter 16"O.C. Notes 28 SunPower Number of Roof Layers:1 36OW Panels Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: Main House FRED c J r � 1 � �9 021C�33 O� Meter Drawn By:MA Drawing#4 of 5 / Date. 1/22/2021 REV:A �/ Drawing Scale:1/16"=1.0' _ � EEL®r1oc� JOB MATERIAL LIST � ENERGY LC Approved - - - -- ------ -� --- - - - ----- -- -'-- -._ � -:- ;- _ O'Brien,Ken 1020 Vanston Road Cutchogue,NY 11935 Total System Size. 10.080kW 1 circuit of 12 on a 20A breaker - - -- - - - - - ` - 1 circuit of 9 on a 20A breaker Material Listthy. Rail Material List My. 1 circuit of 7 on a 20A breaker _-.--_- ------- W Azimuth:156° , Cast Aluminum Mounting Block w/Black Aluminum Flashing 64 L __.- .. .g. / g ' Monitoring System: 5/16"08"EPDM Sealing Plug 64 + SunPower 5/16"x5.5"Hex-Head Lag Screw 64 - Panel/Array Specifications: - - - - - - -- --- - -- - - - - -- - - - - Panel:SPR-X22-360-E-AC 5/16"X1.25"Fender Washer 64 Racking:SunPower Invisimount - - -- - - - - - -- - - - - - - - - -, -- ,- - - - Panel:61.39"X 41.18" Array:36'2 1/4"X 13'11" Surface:40'4"X 30'10" Magic#:Invisimount _. _ - -- - --- - - - -' - -- - - -' - - - - - - ------- ---- ------- - - Legend- ® 28 SunPower 360W Panels -- --- -- -- -- ---- -- - - - - !- - ; - - - - -- - -- - - SunPower Invisimount R ail G 64 Quick Mount E Lag B 2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used.Quick Mount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: / �E D 3. i 1 Q� �Z 103' O • Drawn By:MA Drawing#5 of 5 Date: 1/22/2021 REV:A Drawing Scale: 1/16"=1.0' 7 7 "77 �.a, ;;`>'a`,,y,t',:`L', .4?. .g k`>N», �'t�X,• .:, �rrr`,','r n ,.. , '` f „» ., t` o ,`"s r� "y r Y` � "�1'u„�• Y�` {' r �f'>. ire x a2' F x' Simple and l=ast Installation - Ir,;egrater module-.o-reel ground ng I Pre-assembled-id anc erd cams Lewatn mrd damp for easy g lacernent Rt11d clamp i°JIC'itl fa cllltaws consistent,even - ca X rnod!J'e spiking Simple',pre,-,irIIl,,d rad splice A 2703 Listed integrated grcrin:;ing Flexible Design Addresses nearly all stooed res:denrial roofs Design ir•landscape Tana Kion.air R_-As endA.le te,3sy{cb, ,t cle rnarager­en; .� RIMPTIMI!k # Customer-Preferred Aesthetics #, rocule and#' rncunt ng aesthetics Cgs in class system aesthetics Flegant Simplicity Premium,lobi-profile deslgr Rack anodizeacomponents SunPowerO InvisiMOUnt7"' is a SunPower-designed Bidder m,d clamps and end damos rail-based mount-ig system. The Invis,Mourt system and capped,flus-i rads addresses ,-esidertial sloped roofs and combines faster Part of Superior System ir,5tallation time, design flexibility, and superior aesthetics • Guilt for use witn SunPerier hC and AC mooules File 1,?Vislmollrlt produc-T was Specifically envisioned and Pes.-it-class system rehandity and aes.heru-s Comoine%vitn`=Pov er n,odr res anc engineered to pair With SunPower modules. The resulting monitcarir app system-level approach will arnplify the aesthetic ar d installation benefits for both homeowners and installers. suinpower.com ar`ult iFE, "All p", ""A _;IXIII 41 'n IR 411111, Module*i Mia Clamp L;-d Ra,; rviccule,i End Clamp and Roil Mid Cla;ro End Chrrip Rai!2C Ra:Splwe Cround Lug Aqsernnly --nd Cal) Tenloe'c)ture 40'C to 90°C(-40'F to 191 F) Component Kilatenal We gl,'. Max t_oaa(I RFD) 3000 11.3 uplift 000, -1 dowrfurce i d B,'I C ox(i srainksL Stec'Al�l iOel 63 g(2?oz) clamr i V - - Ent]Clari,p Uac,<anod,zcdj.jrTlIlILrTI 0110Y G063 T6 110 9(3 88 o7) Rall S,ac'Kanodized alurnut.rn a 110Y 300546 83C S/rn(9 oz/fo Rail Solice Alorninurn alloy 6005 T5 830 g/m(9 oz/ft) 25 year product warranty i VVarr3r,*ie3 Gfounc Lug 304 1 Assrenioly (A2-70 bat,U-plateo copoer!U,'�) 106 5 K.hr(3 71,c,7'j 5-year finish warranty End Cap Black acetal,p01'.11)cop-N'mer If,4 g(0 j U L 2/03 1-�Aed A Cias5 A Fire Pared V C ornpos,tion Sh ogle Ra I Lei-ktachmer-, Anphca:icin Curved wd Flat Tile RoulAtUCI VICIIII. Unversdj Interface f.j,Cher RoofAttadiments Mel to roof araCI-(Tient harcv%,ai c manufacturer's doc.�mentation ,o20'51,-nPower-cipor-'i'von All RIF;Izs Pe'C­4­1 o,registe'ed A'othe,*,aderri_arks arc 0—r,Opel ty of their respe-ve cwre, "unpuo.'en'orn Speatications indu&d in tausdata-,hect are subjerttv cwrigewitho,'notice Docurnent#509506 RevC X-Series:X22-370 4 X22-360 SunPowerO Residential AC Module inverter Model:Enphase IQ 7XS(IQ7XS-96 ACM US) @240 VAC @208 VAC -- --- ------------ -- ------ -- - --------- - -------- -- ----- - - - - ------ - Pf-,,�<Ci Jtou'!,ov,•er 320 V i 320 VA Niax Cs,t4noJS Ciuu.)w do.,rer - -- ,1 VA 315 VA Nut n (L L)VJ11)g,/Ranger(V'; 240/211-264 208/183-229 ------ --- -- ----------- - --- ---- - - - - --- -- - - - -- - - -- - - ----- - - - - 'Aax Contin_€a_€s i jr,ut Cu-r,�-rr(A) i 31 151 t a>r t-ni 3 per 210 A,LL)Brarch C,=cwr> -- 12(s ngie phase) — -- 10(two pole)wye --- C Vv(_igntaa_f`rif_n(y - - - -- - - 97 S% 9704b - `dorn Frt,gt.cn`/ 60 tiz ----- ---- - -- ------ -- - - -- ------ ---- -------- -- - --------- - - cvb'l;F,r,rrofluc•:yRrn­ 47 68 Hz ACS>r,)r;(i"nn'(au t C_'_r•e•t Over z Cyrhs --- - - -- -- -------- -- 5 3 A:n1s------ -- - --- - Ov�r Jrha;`e i_Iss r".0 Por;--- ------ - - -- -- SII ----- -- A.:0(rt 3;-1lex Ctzier 18 mA - ------ ------- - - ------- - ------ - ----------- - - ------- --------- - - -------- Dov.er(-acro, tt^> 1 0 - ---- --- ------ -- --- --- - -------- -- - ---- - -- -- - -- ---------- 1'u r f ac tr:r(ad;,s:at"aJ 0-le3d I J:lag --- -- - - - ------ Nv acr°r,,oh,--e talar-ng fc-i-,ree priasz aura i•�ao'is - - -- --- - - ---------- - * •• ®. • • Aan SPR-X22-370-E-AC SPR-X22-360-E-AC VVarranUe= 25 fear limited;toomr,varranty' 25 year limited product,,varrenty � hlorriinal Pcwti'(Prom) 370'r'v 360 W _ _ Oovver I_olerance ----a -- .UL 1703 ------ --- - - -- i _ -----TS/-it`,i—_---_- /-i)",p Eftlaera, - - -- 2%',u - -- 2214f,- Cei;dicaacns U 1:1"I FEE-ISd7 !-Module -i---' - -- - --- ---- - --- - and UL 1741 AC h.iodL'le(Tyke 2 r-e•a'ed) rnp Co?f(Powe) -0 29116/1C C G9¢6/'C UI-62 10,-1;IEC 1621 J9-2 I Compliance FCC Part 15 Class B Three bypar modes ICES 000.E Class B ShadeTole-arce ircegated module;eve'n-a)iniuin CAN/CSA C222 NC 1071-01 power point track ng •CA Rule 21(UL"Al 5,=,1` (Includes Vo;VVar arc Reactive Power Pnoritv _ ; ® -r.' • • •UL LJsced PV Rapid Snutdown Equ'prrer:`= i Ooeraung-einp -40*Ftor,40°F(-40°C to+60°C) Max Ambient Temp 122° F(50°C) En,=ulrs rhtali atiar€n accordancewith NEC 690 G(AC module) Winc 62 psf,3000 Pa,305 kgtrnl frons&back NEC 690 i 2 Ranid Shutdown inside and outs cle the array) I PJ,ax -Odd ( } - S^n,v 1')5 Ps`,COCO Pa,611 1m; ront -- - NEC 690 13 AC Co'tnec:ors 690 I'noa t Rcsist<,nc;.' 1 i•,ch(_S min)J€ameter had<,t 52mol,;23 m' -- --- ------ Jhrn iced wi'h Pivis&1ount i ack ng ar•dir'visif curt 3cczssorles ig- (UL 2603) i Solar('ells ;61v1ennmrstalli e Maxecri Ger 111 Mod,le grounding and bonds-through IrvJs'Mourt j ---- -- - --- - -- - - - Class Afire rated filth-transmission tempered glass;wt,t When tised wi,h AC module r�?Cables Gna acce�,sones(UL 6703 and' F�ci;t Glass , amu;erecnve coJnng UL 22381,' Environmental Rating Module Oucdco' rated Rased fci :oad Lrea'<disccimeci InLeil2r_NEMA Type 6 Class I_ - PID Test Fotenbaknduccc degradation free- - Frame - -- Gass 1 blank anodized(^ghest AAMA rat"g, - -- ------- -- - - -- Weigh, ----- -- - 42 9 Ib 09 5 kg) I Recommended i'.•1ox 1 3 if, (33 rnrn) --- - -- -- ,_ Modu e Spacing -- -- -------- 4c mm 1 Suns'owe•ebu Vr compared to a convent=., rno(•ule cn same-s,7ed arrsys(263'N,16V tt.asn3 efficient,dpprox`6 n1'), v,*=€ore e oe g;•pe"V'allibt ec°ort=tied-(arty tadt`e ch.ir,cderizatioraedC.15'-Pyisiowe•debrada'ier,(Lamoea.,,Le,a "Sun6o✓r'e' h^oduleDega(iat,nn za(e"Burr>owei;Jt•€•epaoc1,2U1s', SiY:Gmm - aBased onwarcrio°datacneetvaluesfrG(»',veL,i:eb of Lo)'Cn1ar,,lfj`wrers oer:HS a,oi ° so MM ^•- t2mr (12ix3 Jany«ry2017 341ra�,kin'Fraunnc`erPVD aid.tyir„ a,.vefor Solar N"!,<JWes Part :'UVle4h•'ower 1 RFagarine,201 Carnpea,l,1 etas” iJr1C'ovre,'vix?ule�egrad�tionRate:SurPower',rn to ( ` paper,2013 393 mm 1 4 f ac:ory sel to 154 Ta:014 aerauIt seL,ngs CA Rule 21 def<,,)it se,ur vs p of e yet duns ig (t55 0•.1 con)rnissior ng See the EqumOX IrIFAdIldhon(-W iCEO:;"8'C1'V more rnforma+Jon 5 Standard Test Condit ons(I OGC VW,rn'irade.not',•;FJ'.N,251C)'^<(iCt stan(:ard SOMScurren[,LACCSFFand oltdge All UCv'oitage,s;ullyr-on )lrec.evrhtrtt•e module nal irm �- 6 `us prcc3(t Is UL L€_stea as PURSE wt.onlonn,+with I,.K 2J14.ind NEI 2D'1 b90AZ (t3.21fl.1 axJ C22 1-201 S>?ul e bCz18 trrnd shut(town of 1'V,yste•ns,f x r^C ai at G C ccr riuctus, rv'ne�i irstatled ru ording to rttantfactu;er<,rnstrt.c!ions ,�,,,� ,NMP lPP'RSU'k� 8MO U P 'W E �� S.-ev ter sunpowor tint,°act fer more iefernrc�irfcrrmabnn ROD%VW%N I or r-•ore retails see extmued datash•,et,w.r;,v,rno,ver ccn idaiasnecto E4:s LISTED ra3so S tnfreatiensindudecir:hi>datasneetsr subJec[icchangrwithau:nalcz °?2(71?SunPovre=Crrl)orauon Ad Rights Resen d ine m dale ri,e Pe,f.,--Typa 2 SJNpt7,'CR is o anC tv AYi CN re t i Ii,ter^ b ademar! c'SunR)t'er ['lease i eau the Safety=nd'nstal a('an nsiruU'ons for Ce(ei s 531945 RevA Carperanon in ln,U S and o,ner countries as evel, 1 600,JNP(7•:v,I suppowyercom X SU P WER Sun owerO X-Series: 2-370 I X22-360 SunPower' Residential AC Module M Built specifically for use with the SunPower Equinox' system,the only fatly R ` integrated solution designed,engineered,and warranted byone manufacturer. Maximum Power. Minimalist Design. AWA ndustry-leading efficiency r^eans more rower and savings ANVALC per avadab:e space With Fewer-noddles reclul"ed and hiccen mlcromverters,less is tn_aly mo!e Highest Lifetime Energy and Savings. Designed to deliver 60%more eneigy over 25 years in ir_;;1=+;gild I-ondiLions like partial shade and I'lgh temperatures' F,ur dAM6h allyDifferent. '�An"'Olet er.,""",' up to 60% IDDi imore lifetime energy .xr :•,e .,mo X905„ep,,.�q';�n tip' ."�`o•.,, in .Thhe`SunP,oWer�Maxeon'^Solar',Cell x Years of operation ','�'r� Er`labse]';alghes;;e€t�cier�cy-•,' Y` ' 4H''�''.tT?OCu`�z5'dvulG��lt2c _ ed Best Reliability. Best Warranty. Patera:a-sO id ra"Ata-1 fb,-J dation­ ,; pr verts brea'� Sze arid`car;`: — NBN EQJIPMENT _ _ — EXISTING SFRVICE 120/240, 1PH, 3W FV—SA-1 I 20103A I ® a , AC—COMBINER PANEL PV—SA-2 AC—GMCl-1 s 3 i C'v LC�s�s ONLY) ` AC DISCONNECT © • v t d © 1 I� �� AC—CSC �i 2 El e e A BKP 1 PV—SA-3 }'--�MAIN i ® B 0KR-2 • • IFUSED A B N B 8 0 r # BKP.-3 I ESC Ecc EXIS ING AC PANEL _ L I EXISTING rEC _.....--.,GEC IRRIVERS BLE SPLICE PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS O'Brien, Kens 1020 Vanston Road P ENERGY Cutchogue, NY 11935 ELIMINATING THE OST OF,ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: O'Brien-3LD1 Revision: 1 Revised: 1/20/21 EQUIPMENT& COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PV SUB-ARRAY SPR-X22-360-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 10-MODULES PV-SA-2 PV SUB-ARRAY SPR-X22-360-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 10-MODULES PV-SA-3 PV SUB-ARRAY SPR-X22-360-E-AC ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 8-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3600 WATTS 211-264 VAC 14.64 A AC 240 V,AC PV-SA-2 3600 WATTS 211-264 VAC 14.64 A AC 240 V,AC PV-SA-3 2880 WATTS 211-264 VAC 11.70 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS O'Brien, KenGREENLOGICO 1020 Vanston Road ENERGY Cutchogue, NY 11935 ELIMINATING THE COST 0E-.ENE9W 1 ) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: O'Brien-3LD1 Revision: 1 Revised: 1/20/21 •� r 4 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH, 3-WIRE BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-3 CIRCUIT BREAKER, PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 100A, NEMA-1, FUSED; FUSE RATING: 100A CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 1-1/2" PVC-40 4 / 4 C TH W N-2 1-1/2" EMT 4 / 4 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUIT TO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIREMENTS. 4.) NOTE: GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER MINIMUM. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS O'Brien, Kenn�J--` 1020 Vanston Road ENERGY Cutchogue, NY 11935 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: O'Brien-3LD1 Revision: 1 Revised: 1/20/21