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HomeMy WebLinkAbout46077-Z �o�OS�fED Town of Southold 8/28/2021 R G �� P.O.Box 1179 in x 53095 Main Rd oy o� Southold,New York 11971 �ipl CERTIFICATE OF OCCUPANCY No: 42307 Date: 8/28/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 2020 Delmar Dr, Laurel SCTM#: 473889 Sec/Block/Lot: 127.4-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/22/2021 pursuant to which Building Permit No. 46077 dated 4/13/2021 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 to existing single-family dwelling as applied for. The certificate is issued to Jernick Jr Richard&Tara Rev Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46077 8/26/2021 PLUMBERS CERTIFICATION DATED OoricTigWature ��Su�FocX�o TOWN OF SOUTHOLD BUILDING DEPARTMENT x TOWN CLERK'S OFFICE " . SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46077 Date: 4/13/2021 Permission is hereby granted to: Jernick Jr Richard E Rev Trust 2020 Delmar Dr Laurel, NY 11948 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 2020 Delmar Dr, Laurel SCTM #473889 Sec/Block/Lot# 127.-4-21 Pursuant to application dated 3/22/2021 and approved by the Building Inspector. To expire on 10/13/2022. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Building Inspector Of so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road 'i Fax(631)765-9502 P.O.Box 1179 sean.deviina-town.southold.ny.us Southold,NY 11971-0959 ®�/C®U ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jernick Jr Richard E Rev Trust Address: 2020 Delmar Dr city:Laurel st: NY zip 11948 Building Permit#: 46077 Section: 127 Block- 4 Lot- 21 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 Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 100A A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment. 9.1 kW Roof Mounted PV Solar Energy System w/ (26) SunPower SPR-X21-350- Modules, 100A Sub/ Combiner w/220x4, SunPower Monitor Notes* Solar Inspector Signature: .,�� Date: August 26, 2021 S.Devlin-Cert Electrical Compliance Form �1f1 O� �,AOf SOUTyO # * TOWN OF SOUTHOLD BUILDING DEPT. CO 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [YINSULATIOWCAULKING FRAMING /STRAPPING [ NAL SWAto [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REM R�KDS: - _ DATE ll [)01. INSPECTOR i of 50(/Tyo� 1V 1 -7 W 2,0 -pY`�A44e � # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION, [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) �,,tfl ELECTRICAL (FINAL) _[]-CODE VIOLATIO [// ] PRE C/O REMARKS: ,. 5oLAR a ,$ k s1 �r DATE 24 Z/ INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) ----------------------------`------- ,�. cI FOUNDATION(2ND) ROUGH FRAMING& PLUMBING t INSULATION PER N.Y. y STATE ENERGY CODE t - ll t �/ FINAL ADDITIONAL COMMENTS (o 10 --7/-7/Q dt- 90 0 PROPERTY INFORMATION Existing use of property:single family dwelling Intended use of property:single family, dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. Check Box After ReadOng: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):GreenLogic LLC ®Authorized Agent ❑Owner Signature of Applicant: Date: 611 , 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 / 1 O qday of `CGI 202-1 ®" Notary Public BARBARA A CASCIOTTA Notary Public-State of New York PROPERTY (OWNED G°aMORRA` 9 H No.01-CA4894969 Qualified in Suffolk County (Where the applicant is not the owner) Commission Expires May 11,2023 --�t—,V-Oxck— residing at 2—d Z�b(dlWAr L/Qurc� do hereby authorize GreenLogic LLC to apply on m behalf to the Town of Southold Building Department for approval as described herein. / 3/�l4 Owner's Signature Date Print Owner's Name 2 -P I` ENDED L4 690�-� TOWN OF SOUTHOLD—BUILDING DEPARTMENT fi Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 hns://www.southoldtowmy.go_v Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only LL , J PERMIT N0. Building Inspector. ,.i U N 2 8 2021 Applications and forms must be filled out in their entirety.Incomplete 3 1T PYNIG DEPT. applications will not be accepted. Where the Applicant is not the owner,an � , owners Authorization form(Page 2)shall be completed. Date: .OWNE§%QF PRAPERTVF- Name:Richard Jernick =CTM#1000-127-4-21 Project Address:2020 Delmar Drive, Laurel Phone#:631-603-5092 Email:richardjemick5@gmail.com Mailing Address: CONTACT PERSON: Name:Barbara - GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 x117 Email:Barbara@Greenlogic.com DESIGN PROFESSIONAL INFORMATION: Name:James J. Stout Architect& Associates Mailing Address:2 Greg Lane, East Northport, NY 11731 Phone#:631-858-9388 Email:stouthub@jamesstoutarch.com CONTRACTOR INFORMATION: Name:GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 Email:AM@Greenlogic.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition @Alteration ❑Repair ❑Demolition Estimated Cost of Project: El Other$our Panei9 9.100kW $ 47,944 Will the lot be re-graded? ❑Yes @No Will excess fill be removed from premises? ❑Yes @No 1 PROPERTY INFORMATION Existing use of property:single family dwelling Intended use of property:single family dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes BNo IF YES,PROVIDE A COPY. Check Box After Reading: The owner/contractor/design professional is responsible for all drat inge and storm water Issues as provided by Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,ordinances or Rq ulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized Inspectors on premises and in building(s)for neoessar Inspections.False statements made herein m punishable as a Cass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): GreenLogic LLC BAuthorized Agent ❑Owner Signature of Applicant: Date: -3<1 s`2 I 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, (5)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 S d aY of ay 20 Z� �l� K� I Notary Public BARBARA A CASCIOTTA Notary Public-State of New York PROPERTY OWNER AUTHORIZATION No.01-CA4894969 Qualified in Suffolk County (Where the applicant is not the owner) Commission Expires May 11,2023 r-0%CL residing at 2-d Z4�1� LAUM do hereby authorize GreenLOg1C LLC to apply on m behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 s> j4' 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 rogerr(cDsoutholdtownny.gov — seand(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 3/18/2021 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: AM@Greenlogic.com Phone No: 631-771-5152 ®lCrequest an email copy of Certificate of Compliance Address.: , 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (All Information Required) Name: Richard Jernick Address: 2020 Delmar Drive, Laurel, NY Cross Street: Phone No.: 631-603-5092 Bldg.Permit#: Q7) email: richardjernick5Cgmail.com Tax Map District: 1000 Section: 127 Block: 4 Lot: 21 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar elecric system (18) SunPower SPR-X21-350-BLK-E-AC modules (18) SunPower SPR-X21-350-BLK-3-AC inverters (1) SunPower Monitor PVS6 System Size: 6.300kW Check All That Apply: Is job ready for inspection?: DYES ❑✓ 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 ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION �l.(U l� I N� - Electrical Inspection Form 2020.xlsx 4 I I 1 MENDED BUILDING DEPARTMENT- Electrical Ids tnr �5V �� L�74 b- �� TOWN OF SOUTHOLD + L,•� C* =` �9 ,,o''flown Hall Annex- 54375 Main Road - P Bo�(�17�9g 2021 �- 1 v' '' '`' Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 76Kr , 'S 1 ' � rogerr _southoldtownny.gov - sea nda-southafidtownr�Lgov-rrq � APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: 3/18/2021 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: AM@Greenlogic.com Phone No: 631-771_5152 ®krequest an email copy of Certificate of Compliance Address.: 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (AII Information Required) Name: Richard Jernick Address: 2020 Delmar Drive, Laurel, NY Cross Street: Phone No.: 631=603-5092 BIdg.Permit#: 46077 email: richardjernick5Cgmail.com Tax Map District: 1000 Section: 127 Block: 4 Lot: 21 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar elecric system (26) SunPower SPR-X21-350-BLK-E-AC modules (26) SunPower SPR-X21-350-BLK-E-AC inverters (1) SunPower Monitor PVS6 System Size: 9.100kW Check 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 M_ eter# _____ _ ❑New Service ❑ Service Reconnect ❑Underground ❑Overhead # Underground Laterals ❑1 ❑2 ❑H Frame[:]Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.Asx PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fans fridge HW Exhaust Oven W/-D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service -Amps Have Used. - - Special: `��Comm ents � v VAM far/ W 3 GREENLOGICO ENERGY March 18, 2021 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Dear Building Inspector: Please find attached a building permit application on behalf of the Richard Jernick who has engaged us to install a roof mounted solar photovoltaic(PV)electric system located at 2020 Delmar Drive, Laurel, NY. In connection with this application, please find attached: i Building Permit application • 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#18158—Please use check you have for an application submitted for the same home in November, 2020. Please let us know if you need anything else in connection with this application. Yours truly, DaJaw ewdojja i 1 117 Barbara Casciotta MAR 2 2 2021 Account Manager Barbara@Greenlogic.com 631-771-5152 ext. 117 - GREENLOGIC LLC o www.GreenLogic.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 June 24,2021 L;� JUN 2 8 2021 KT-7z ,T-?T'NTG DE1IDTe Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Dear Building Inspector: Please find attached an amended building permit application on behalf of the Richard Jernick, permit No.46077. In connection with this application, please find attached: • Amended Building Permit application • Amended Application for Electrical Inspection • 2 Surveys of the Premises • Amended 4 Engineer's Reports • Amended 2 Three Line Electrical Drawings Please let us know if you need anything else in connection with this application. Yours truly, 244a=ecociatta Barbara Casciotta Account Manager Barbara@Greenlogic.com 631-771-5152 ext. 117 GREENLOGIC LLC o www.GreenLogic.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 ,eco CERTIFICATE OF'LIABILITY INSURANCE DATE(MM/DDmYY) i. Fol/2912021 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(les) 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). NT CT Nicholas Zulkofske PRODUCER CO Brookhaven Agency,Inc. PHONE 631 941-4113 FAx 631 941-4405 100 Oakland Ave,Ste 1 E-MAIL , Certificates@ brookhavena enc .com Port Jefferson,NY 11777 INSURERS AFFORDING COVERAGE NAIL# INsuRERA: Southwest Marine&General Insurance Co. INSURED INSURER B: Merchants Preferred Insurance Co. GreenLogic,LLC INSURER C. First Rehab Life Insurance Co. 97 North Sea Rd,Suite 3 INSURER 0: 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 !NSRTYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLIDY EFF F POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE XI OCCUR DAMAGE TO RENTED $100,000 X Contractual Liability X X GL202100012922 01/3112021 01131/2022 MED EXP An one person) $5,000 PERSONAL&ADV INJURY $1,000,000 M'OTHER L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 2 000 000 POLICY®JECT TLOC PRODUCTS-COMP/OP AGG $2,000 000 E&O Liability $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED X X CAP1043565 08M 112020 08/1112021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Par accidpnt) UMBRELLA LIAB HOCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION "TAT[ITP rR PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YN/A see separate certificate E L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ C NYS Disability D251202 04/11/20 04/11121 Statutory Limits E Installation Floater/Property SML93076366 4115120 4115121 $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. CORD 25(2016103) The ACORD name and logo are registered marks of ACORD AD �ORIcIkel ' CERTIFICATE OF TATF Board,Comp �s���c�l� ISYS WORKERS' COMPENSATION INSURANCE NCE COVERAGE 1a.Legal Name&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 specificatly limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in Alew 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 Building Department 3b.Policy Number of Entity tasted 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. Thls.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,l certify that I am an authorized representative or licensed agent ofthe 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: (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 Form-C-105.2.Insurance bl'ekers are NOT authorized to issue it C-105.2(9-17) www.wcb.ny.gov 3 i YOe"NEW Workers' STATE 'CERTIFICATE OF INSURANCE COVERAGECOVERAGECompensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be cofnpleted by Disability and Paid Family Leave Benefits Carrier or Licensed insurance Agent pf that Carrier 1a.Legal Name&Address of insured(use street address only) 1b.Business Telephone Number of Insured GREENLOGIC.LLC 631441-4113 97 NORTH SEA ROAD,SUITE 3 SOUTHAMPTON,NY 11968 1c.Federal Employer Identification Number of insured, Work Location of insured(Only required if coverage is specifically llmled to or Social Security Number certe&t locations in New York State,i.e.,Wrap-Up Policy) 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.blame of insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"1a" Southold NY 11971 DBL251202 3c.Policy effective period 04/1112020 to 04/1012021 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 abovetand that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Dae Si 4/13/2020 B Date Signed Y (Signattire of insurance carrier's authorized representative or NYS Ucensed Insurance Agent of char 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 fort 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 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Sub3d.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only If Box 4C or 5B of Part I 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 Y (Signature of Authorized NYS vvoikers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carrfers•licensed to virite NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of(hose insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this faimm. DS-120.1 (10-17) DH-1.20.1. (10-17) 7/�- W WP-M� ov A.W� Al `12 e Nz —4, K�4 &M M 140 aa, IRN 0— irs Suffolk County Executive's Office of Consumer Affa af V "M VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEWYORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY Home Improvement Contractor License i This is to certifv that MARC A CLEAN doing business as GREEN LOGIC LLC having finnished 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 HOM E IMPROVEMENT CONTRACTOR,in the County of Suffolk. Additional Businesses NOT VALID WITHOUT DIEPARTMENTAL SEAL AND A CURRENT CONSUMER AFTAIRS ID CARD Director & iwg & A -an., - r ii 1\ i/ t'' \\ •'/ r ,ti 1n I/ ��,. ,. 1� /r Vii, -:�, I/' �. /1� i/ ;. , ';t // ... ,ter .. jz Suffolk County t - ` �5 HIGHWAY HAUPPAUGE, NEWYORKDATE ISSUED: 12/10/2007 No. 43858-MEr r; • I - �, ; SUFFOLK COUNTYMaster Electrician License } This is to certify that ROBERT J SKYPALA doing business as GREENLOGIC LLC Vr, having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffblk, State of New York. AdditionalBusinesses NOT I - �: VALID I M AND.9 CURRENT CONSUMER AFFAIRS ' . I� 1 r Director, f I i I. N, AMY K Tf74ATX7N OR AOD/TKW w THS S(.1WYEY L4 A 19OLA rw SECTAS T20t9 OF TIf""m STATE EDUP•AT�N LAN. C EYO:PT AS f�ER S£CT7gy 1709-RMIUM E AU 094)rT1CJriS WN04ESKMati1TU AW AM COM 7pM SPAR 7w� SEAL W rW SLRV M ADDILY TO COUKY WITH SAD LAN TFJAI'XnM AY' LST O MA Lg&WT BE V"BY ANY AAD ALL SIRVErM l/TL/�G A COPY �j DF rTo'SDAm. nvw NCOWicv ME LAW. w 'SURVEY OF PROPERTY AT LAUREL �n o �z340' TOWN OF SOUTHOLD SUFF�OLLK COUNTY, N.Y. SCAM r'= 20' MARCi1 25, 2002 et ® /2,2002 fCEIRTF/CATTONJ N i CL ` OF - a 1490! . STREET S. JOSEPH CERWED TO• i N07E�LOT RICHARD E JFRNCK R NLIAMS ARE D TO TARA A. JEAN/CK . KY.S LIC NO. 49678 MAS°OF LAUREL COUNTRY.ESTATES' FLATBUSH FEDERAL SAVNGS d LOAN ASSOL7AT/ON AREA = 22088 84 ft FEED N 711E SLLFFOLK COUPVTY CLERK'S ALLSTATE ABSTRACT 05CONC SU ORS,p.r- OFFICE ON J1 IVE 22,/970 AS MAP NO.5486 163/1 765-5020 FAX!6311 765-1797 BOX _STI4EET - � SOUTNOLD, ACY. -11971 02- 129 / ,tGREENLOGM ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#A: Total System Size:9.100kW Array Size,1.400kW 1 Circuit of 9 on a 20A Breaker (Shared With Surfaces D&E) Azimuth:173° Pitch 19° Monitoring System: SunPower 1) ❑ Panel/Array Specifications: Panel.SPR-X21-350-BLK-E-AC Racking.SunPower Invisimount Panel:61.39"X 41.18" Array:10'5 1/16"X 10'3 M." Surface:22'X 17'5" Magic#:Invisimount Legend: © 4 SunPower 350W AC Panels ® SunPower Invisimount Rail 18 8 Quick Mount E-Lag H2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers-1 Height above Roof Surface:4" Materials Used-QwckMount,SunPower Added Roof load of PV System.2.84psf 0 Engineer/Architect Seal: �V6ED ARC 40 4Z D 21 35 ®� Drawn By-MMB Drawing#1 of 17 Date:6/10/2021 REV:A Drawing Scale.3/16"=1.0' t GREENLOMC ' ENERGY GreenLogic,LLC Approved Jermck,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#A: Total System Size:9.100kW Array Size,1.400kW 1 Circuit of 9 on a 20A Breaker (Shared With Surfaces D&E) Azimuth:173° Pitch:19° Monitoring System* I)—SunPower Panel/Array Specifications: Panel.SPR X21-350-BLK-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:10'5 1/16"X 10'3'/Z" Surface:22'X 17'5" Magic#:Invisimount Legend: © 4 SunPower 350W AC Panels ® SunPower Invisimount Rail • 8 Quick Mount E-Lag a2x6"Douglas Fir Rafter 16"O.C. Notes* Number of Roof Layers-1 Height above Roof Surface:4" Materials Used.QwckMount,SunPower Added Roof load of PV System:2.84psf o Engineer/Architect Seal: i Col 4 w � i Drawn By.MMB Drawing#2 of 17 Date:6/10/2021 REV.A Drawing Scale:3/16"=1.0' GREENLOSHCO ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#A: Total System Size*9.100WV Array Size, 1.400kW 1 Circuit of 9 on a 20A Breaker (Shared With Surfaces D&E) Azimuth:173° Pitch 19' Monitoring System: SunPower 1) ❑ Panel/Array Specifications: Panel.SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:10'5 1/16"X 10'3%7 Surface:22'X 17'5" Magic#:Invisimount Legend: ® 4 SunPower 350W AC Panels ® SunPower Invisimount Rad 1' • 8 Quick Mount E-Lag a2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used.QuickMount,SunPower 1 Added Roof load of PV System.2.84psf 0 Engineer/Architect Seal: ED Ano �N n � Drawn By:MMB Drawing#3 of 17 �Dat , /10/2021 REV.A Drawing Scale:3/16"=1.0' • v GREENLOWCO ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#B: Total System Size*9.100kW Array Size.3.150kW 1 Circuit of 9 on a 20A Breaker Azimuth:173° Pitch:19° Monitoring System- SunPower Panel/Array Specifications: Panel-SPR X21-350-BLK-E-AC Racking:SunPowerinvisimount Panel:61.39"X 41.18" Array:20'10 7/8"X 8'7 5/16" Surface:29'3"X 12' Magic#:Invisimount Legend: ® 9 SunPower 35OW AC Panels ® SunPower Invisimount Rail 17 x x x x x • 18 Quick Mount E-Lag a2x8"Douglas Fir Rafter 16"O.C. Notes- Number of Roof Layers:1 Height above Roof Surface,4" Materials Used.QuickMount,SunPower Added Roof load of PV System,2.84psf Engineer/Architect Seal: i f-D ARC C2 C3 I n� Q Drawn By:MMB Drawing#4 of 17 Date:3/2/2021 REV.A Drawing Scale:3/16"=1.0' GREENLOGOC ENERGY GreenLogic'LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#B: Total System Size,9.100kW Array Size:3.150kW 1 Circuit of 9 on a 20A Breaker Azimuth.173° Pitch:19° Monitoring System* N SunPower Panel/Array Specifications: Panel:SPR X21-350-BLK-E-AC Racking:SunPower Invisimount Panel-61.39"X 41.18" Array.20'10 7/8"X 8'7 5/16" Surface:29'3"X 12' Magic#:Invisimount Legend: Q 9 SunPower 350W AC Panels ® SunPower Invisimount Rail • 18 Quick Mount E-Lag a2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 LI Height above Roof Surface:4' Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: i VkED ARC �e� �5 , P 1 21 3'j ®� mge'14 Drawn By:MMB Drawing#5 of 17 Date.3/2/2021 REV.A Drawing Scale.3/16"=1.0' GREENLOGHCO ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#B: Total System Size:9.100kW Array Size:3.150kW 1 Circuit of 9 on a 20A Breaker Azimuth:173° Pitch: 19° Monitoring System, N SunPower Panel/Array Specifications: Panel:SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel 61.39"X41.18" Array:20'10 7/8"X 8'7 5/16" Surface:29'3"X 12' Magic#:Invisimount 2 Legend: ® 9 SunPower 350W AC Panels ® SunPower Invisimount Rail ® 18 Quick Mount E-Lag 2 8 a 2x8"Douglas Fir Rafter 16"O.C. Notes- Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf En ineer/Architect Seal: i �IkED 'SRC Z � 1 � o 21 33 �Q Drawn By MMB Drawing#6 of 17 Date.3/2/2021 REV:A Drawing Scale-3/16"=1.0' t � GREENLOOT ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#C: Total System Size:9.100kW Array Size:2.800kW 1 Circuit of 8 on a 20A Breaker Azimuth:173° Pitch:30° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:20'7'/"X 6'11 1/8" Surface:24'11"X 10'10" Magic#:Invisimount Legend: ® 8 SunPower 350W AC Panels ® SunPower Invisimount Rail • 20 Quick Mount E-Lag 8 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface 4" Materials Used-QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: ARC w 4 � 21 33 ®Qa Drawn By:MMB I Drawing#7 of 17 Date:6/10/2021 REV.A Drawing Scale:3/16"=1.0' GREENLOMC ENERGY GreenLogic,LLC Approved Jernidk,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#C: Total System Size:9.100kW Array Size:2.800kW 1 Circuit of 8 on a 20A Breaker Azimuth:173° Pitch*30° Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel,61.39"X 41.18" Array:20'7%"X 6'11 1/8" Surface:24'11"X 10'10" Magic#.Invisimount Legend: ® 8 SunPower 350W AC Panels ® SunPower Invisimount Rail • 20 Quick Mount E-Lag H2x8"Douglas Fir Rafter 16"O.C. Notes. Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: �kE® AR 5 T A e � 6 � 21 3 ®� Drawn By.MMB Drawing#8 of 17 Date:6/10/2021 REV:A Drawing Scale:3/16"=1.0' `U' ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#C: Total System Size.9.100kW Array Size:2.800kW 1 Circuit of 8 on a 20A Breaker Azimuth.173° Pitch 30° Monitoring System: N SunPower Panel/Array Specifications: Panel.SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel 61.39"X 41.18" Array:20'7'/a"X 6'11 1/8" Surface:24'11"X 10'10" Magic#:Invisimount 2 Legend: ® 8 SunPower 350W AC Panels ® SunPower Invisimount Rail • 20 Quick Mount E-Lag 2 DB2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers.1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal:/ �kED A&C f �-A 21 33 OQ Drawn By:MMB Drawing#9 of 17 Date.6/10/2021 REV.A Drawing Scale:3/16"=1.0' EELaC® ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#D: Total System Size,9.100kW Array Size.1.050kW 1 Circuit of 9 on a 20A Breaker (Shared With Surfaces A&E) Azimuth:173° Pitch.30' Monitoring System, N SunPower Panel/Array Specifications: Panel:SPR-X21-350-BLK-E-AC Racking.SunPower Invisimount Panel:61.39"X 41.18" Array:10'3'/x"X 6'11 1/8" Surface:18'5"X 10'4" ZZZZIP Magic#:Invisimount Legend: i f 3 SunPower350WAC Panels SunPower Invisimount Rad • 10 Quick Mount E-Lag B2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal:: Vkf-D ARC A 4 7 21 33 ®� A� ge'$ Drawn By MMB Drawing#10 of 17 Date.6/10/2021 REV:A Drawing Scale:1/4"=1.0' GREENLOMCO ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#D: Total System Size:9.100kW Array Size:1.050kW 1 Circuit of 9 on a 20A Breaker (Shared With Surfaces A&E) Azimuth:173° Pitch:30° Monitoring System: N SunPower Panel/A rray Specifications: Panel,SPR-X21-350-BLK-E AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array: 10'3%z'X 6'11 1/8" Surface:18'5"X 10'4" Magic#:Invisimount Legend: I i 3 SunPower 350W AC Panels SunPower Invisimount Rad 10 Quick Mount E-Lag B8 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used.QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: �t.i�kF—® ARS' n � i 213 Drawn By:MMB Drawing#11 of 17 Date:6/10/2021 REV:A Drawing Scale:1/4"=1.0' U�,GRELGGOC ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#D: Total System Size:9.100kW Array Size:1.050kW 1 Circuit of 9 on a 20A Breaker (Shared With Surfaces A&E) Azimuth:173° Pitch.30° Monitoring System- SunPower I)— Panel/Array Specifications: Panel:SPR X21-350-BLK-E-AC Racking SunPower lnvisimount Panel:61.39"X 41.18" 1 Array:10'3 M."X 6'11 1/8" Surface:18'5"X 10'4" ZZZ23P[110-1111-14 Magic#.Invisimount Legend: 3 SunPower 350W AC Panels ® SunPower Invisimount Rad 1 • 10 Quick Mount E-Lag 2x8"Douglas Fir Rafter 16"O.C. Notes: - Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal:/ RkE ARS, / A AF 21 3� ®� N� Drawn By:MMB Drawing#12 of 17 Date:6/10/2021 REV.A Drawing Scale:1/4"=1.0' ��GREENLGWC ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#E: Total System Size 9.100kW Array Size.0.700kW 1 Circuit of 9 on a 20A Breaker (Shared With Surfaces A&D) Azimuth:83° Pitch:19° 1 19L Monitoring System: SunPower Panel/Array Specifications: Panel.SPR-X21-350-BLK-E-AC Racking-SunPower Invisimount Panel:61.39"X 41.18" Array:6'4 1/4"X 6'11 1/8" Surface:26'3"X 17'10" Magic#:Invisimount Legend: ® 2 SunPower 350W AC Panels SunPower Invisimount Rad • 4 Quids Mount E-Lag B8 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used.QuickMount,SunPower Added Roof load of PV System,2.84psf Engineer/Architect Seal: CO C 1 21 Drawn By:MMB Drawing#13 of 17 Date 6/10/2021 REV A Drawing Scale.1/4"=1.0' � EENLOOM ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#E: Total System Size:9.100kW Array Size:0.700kW _ 1 Circuit of 9 on a 20A Breaker (Shared With Surfaces A&D) Azimuth:83° Pitch: Monitorinrin g System- SunPower ystemSunPower Panel/Array Specifications: Panel.SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:6'4 3/a"X 6'11 1/8" Surface:26'3"X 17'10" Magic#:Invisimount Legend: l l 2 SunPower 350WAC Panels ® SunPower Invisimount Rail • 4 Quick Mount E-Lag B2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface,4" Materials Used,QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: i ci �' 3 21 35 N Drawn By,MMB Drawing#14 of 17 Date:6/10/2021 REV:A Drawing Scale:1/4"=1.0' (CLj,�� '' ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#E: Total System Size 9.100kW Array Size:0.700kW 1 Circwt of 9 on a 20A Breaker (Shared With Surfaces A&D) Azimuth:83° Pitch: 19° Monitoring System, SunPower Panel/Array Specifications: Panel:SPR X21-350-BLK-E-AC Racking*SunPower Invisimount Panel:61.39"X 41.18" 1 Array:6'4 9/"X 6'11 1/8" Surface:26'3"X 17'10" Magic#:Invisimount 77 q�q Legend: FI-Tj 2 SunPower 350W AC Panels ® SunPower Invisimount Rail 0 • 4 Quick Mount E-Lag B0 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers-1 Height above Roof Surface.4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: f- ARC 5 J. T 21 3"N 1VE Drawn By MMB Drawing#15 of 17 Date:6/10/2021 REV.A Drawing Scale:1/4"=1.0' No Vent Pipes Will Be Covered By The Solar Array PGREENLOGICOLegend: `` ENERGY AR-Access Roof AP-Access pathway,36" minimum width SVO—Setback at ridge G rnick,Richard tic Approved Jernidc,Richard per R202 definitions per R324.6.1 as per R324.6.2.1 2020 Delmar Drive Laurel,NY 11948 Total System Size:9.100kW 1 Circuit of 9 on a 20A Breaker 1 Circuit of 9 on a 20A Breaker 1 Circuit of 8 on a 20A Breaker Azimuth:173° Monitoring System: N SunPower 2 SunPower 350W Panels Panel/Array Specifications: r—___svo----_1 _______ Panel:SPR-X21-350-BLK-E-AC Racking:SunPowerinvisimount Panel:61.39"X 41.18" NV 'IV NV 1 I AR I I Legend: I I ® 26 SunPower 350W AC Panels I I 1 I SunPower Invisimount Rail I • 60 Quick Mount E-Lag ly� 10 q 9 SunPower I I 350W Panels I I Notes: I Number of Roof Layers:1 4 SunPower �� 0 Height above Roof Surface:4" 350W Panels i Materials Used:QuickMount,SunPower i QQ 3 SunPower Added Roof load of PV System:2.84psf 350W Panels Engineer/Architect Seal: ED Arnj AR �G� �S , T �� A Ar Meter ----- Q----- 21 3 F3 ®Q�- 8 SunPower Drawn By.MVP Drawing#16 of 17 350W Panels Date:5/13/2021 REV:A Drawing Scale:1/16"=1.0' • G R E E N LOG IC° ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 - - - - - Total ystem Size'9 100kW Material list qty. Rail Material List qty. 1 Circuit of 9 on a 20A Breaker -_ ._ ..;_ � - 1 Circuit of 9 on a 20A Breaker 1 Circuit of 8 on a 20A Breaker Cast Aluminum Mounting Block w/Black Aluminum Flashing 60 Azimuth:173° 5/16"x7/8"EPDM Sealing Plug 60 N - .- ----- -• - - -- -- - Monitoring System: 5/16"x5.5"Hex-Head Lag Screw 60 SunPower - - -- ------ - -- - - - - - -- - - -- Panel/Array Specifications: 5/16"x1.25"Fender Washer 60 - Panel'SPR-X21-350-BLK-E-AC doing:SunPower Invisimount - - - - - -- --• - -- -- Ra nPo Panel:61.39"X 41.18" Legend: 26 SunPower 350W AC Panels - SunPower Invisimount Rall • 60 Quick Mount E-Lag - - - - - - - - -- � - -. - - Notes - Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: VkED ARS, / 3. a � 21 Drawn By MVP Drawing#17 of 17 Date:5/13/2021 REV A Drawing Scale: 1/16"=1.0' _---°—NEW EQUIPMENT----__—___._.-_—_-_ ___—__®-__ EXISTING SERVICE 120/240, IPH, 3W PV-SA-1 00A � KWH F . . . 1e , ' ® a e ' _V _ AC-COMBINER PANEL r PV--SA- A I AC-CMB-1 { I (PV LOADS ONLY) AC DISCONNECT • w • W I' I AC-DSC-1 F to F • • • 1 I ; N13.r__ _ _ ® El _ _ I t — F PV-SA-3 �i BKR-a MAIN VM 11 Cit • c ♦ 1 t 1 1 9 [ F BKR-s F itl � 1 I I IEGC ISI ISI I III I ISI I ! II I ecc III S F III 4 EGc ' EXISTING AC PANELI ill I F IIB l I EXISTING -a, -..,..-.--.,,-----_....,., L.......-,-.--.,-...__,._.-.,.-...P,.-w,... F GEC t OEC IRREVERSIBLE SPLICE , - 9.100DC kW 8.320AC kW PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Jernick, Richardm., O C_ i �.2020 Delmar Drive ENERGY Laurel, NY 11948 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Jernick-3LD1 Revision: 1 Revised: 5/27/21 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PV SUB-ARRAY SPR-X21-350-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 9-MODULES PV-SA-2 PV SUB-ARRAY SPR-X21-350-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 9-MODULES PV-SA-3 PV SUB-ARRAY SPR-X21-350-E-AC EN PHASE 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 3150 WATTS 211-264 VAC 12.81 A AC 240 V,AC PV-SA-2 3150 WATTS 211-264 VAC 12.81 A AC 240 V,AC PV-SA-3 2800 WATTS 211-264 VAC 11.39 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Jernick, Richard _: G"R EEN LOGIC 2020 Delmar DriveC." 'iENERGY Laurel, NY 11948 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Jernick-3LD1 Revision: 1 Revised: 5/27/21 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 THWN-2 1-1/2" EMT 4 / 4 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUITTO 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 Jernick, Richard GREENLOGICO 2020 Delmar Drive ENERGY Y Laurel, NY 11948 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Jernick-3LD1 Revision: 1 Revised: 5/27/21 t J AM' EJ. S TOUT A R C H I T E C T & ASSOC. 2 G REG L, AME E AST NoRTHPORT N. Y. 831 - 8 58 9388 COMPLY WITH ALL CODES OF Letter of Certification NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF November 6,2020 A Jemick Residence SQll 19 6LkW G BOARD 2020 Delmar Dr 301 III,1014 9 INJkSTEES Laurel, NY 11948 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 ASCE 7-16. The existing 2°x 6"@ 16"o.c. roof rafters will provide adequate support. Thank you for your understanding in this matter. James J.Stout Architect OCCUPANCY OR APPROVED AS 7E! USE L FUL DATE: B.P.# WITHOUT CERTIFICATE FEE:. � BY: NOT BUILDING DEPARTMENT AT C 765-1802 8 AM TO 4 PM FOR THE OFOCCUPANCYU FLED ARcy� FOLLOWING INSPECTIONS: SES J sroG �� 1. FOUNDATION - TWO REQUIRED �A FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION CONS,RU,r'T 4. FINAL - ION MUST ..r f CONSTRU BE COMPLETE FOF- ;0. 021633 y0� ALL CONSTRUCT!ON SHALL MEET THE F OF NE`N REQUIREMENTS OF THECODS OF NEW ` YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED l G L®td O O ENERGY GreenLogfc,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#A: Total System Size:6.300kW Array Size:3.150kW 1 Circuit of 9 on a 20A Breaker Azimuth:173° Pitch:19' Monitoring System: SunPower 1) ❑ Pand/Array Specifications: Panel:SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:20'10 7/8"X 10'3'/" Surface:33'6"X 17'S" Magic#:Invisimount Legend: ED 9 SunPower 350W AC Panels ® SunPower Invisimount Rail • 17 Quick Mount E-Lag a2x6"Douglas Fir Rafter 16"O.C. Notes: "Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf ° xEngineer/Archtect Seat: / f f 4u y X21 33 yob Drawn By:MMB_ Drawing#1 of 8 Date:3/2/2021 REV:A Drawing Scale:3/16"=1.0' EENLOM® EN F RGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#A: Total System Size:6.300kW Array S ize-3.150kW 1 Circuit of 9 on a 20A Breaker Azimuth:173° Pitch 19° Mondoring System: SunPower 1) Panel/Array Specifications: Panel:SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:20'10 7/8"X 10'3'/" Surface:33'6"X 17'5" Magic#,Invisimount Legend: 9 SunPower 350W AC Panels SunPower Invistmount Rail ® 17 Quick Mount E-Lag IX 8 2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used Quicidrllount,SunPower Added Roof load of PV System:2.84psf ° Engineer/Architect Seal: i n� �y 02103-5 yOQ Drawn By:MMB Drawing#2 of 8 Date:3/2/2021 REV:A Drawing Scale:3/16"=1.0' GREENLOOdCo ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#A: Total System Size:6.300kW Array Size:3.150kW 1 Circuit of 9 on a 20A Breaker Azimuth:173° Pitch:19° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR X21-350-BLK-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:20'10 7/8"X 10'3 M." Surface:33'6"X 17'5" Magic#:Invisimount Legend: Q 9 SunPower 350W AC Panels ® SunPower Invisimount Rail ® 17 Quick Mount E-Lag H2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Matenals Used:QuicldVlount,SunPower 1 Added Roof load of PV System:2.84psf o En ineer/Architect Seal: / W \V ED C S 3. S 4 / ' 9 0210 yoQ, Drawn By:MMB Drawing#3 of 8 Date:3/2/2021 REV.A Drawing Scale*3/16"=1.0' i @ N LTJ\:,..3 o ce ENERGY GreesLogic,LLC Approved Jernidc,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#B: Total System Size:6.300kW Array Size:3.150kW 1 Circuit of 9 on a 20A Breaker Azimuth:173° Pitch-19° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:20'10 7/8"X 8'7 5/16" Surface:29'3"X 12' Magic#:Invisimount Legend: Q 9 SunPower 350W AC Panels SunPower Invisimount Rail x x x ® 18 Quids Mount E-Lag X—I 8 2x8"Douglas Fir Rafter 16"O.C. NI Notes. Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: // Ike lcg� 3 � -A i y�, 011 33 yOQ Drawn By:MMB Drawing#4 of 8 Date:3/2/2021 REV:A Drawing Scale.3/16"=1.0' C`� ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#B: Total System Size*6.300kW Array Size:3.150kW 1 Circuit of 9 on a 20A Breaker Azimuth: 173° Pitch:19° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-X21-350-BLK-E-AC Racking:SunPowerinvisimount Panel:61.39"X 41.18" 71 Array:20'10 7/8"X 8'7 5/16" Surface:29'3"X 12' Magic#:Invisimount Legend: ® 9 SunPower 350W AC Panels ® SunPower Invistmount Rail ® 18 Quick Mount E-Lag a2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal:/ 4u Drawn By:MMB Drawing#5 of 8 Date:3/2/2021 REV.A Drawing Scale:3/16"=1.0' �GREENLOGOV ENERGY GreenLogic,LLC Approved Jernick,Richard 2020 Delmar Drive Laurel,NY 11948 Surface#B: Total System Size:6.300kW Array Size.3.150kW 1 Circuit of 9 on a 20A Breaker Azimuth:173° Pitch:19° Monitoring System. N SunPower Panel/Array Specifications: Panel:SPR-X21-350-BLK-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:20'10 7/8"X 8'7 5/16" Surface:29'3"X 12' Magic#:Invisimount 2 Legend: Q 9 SunPower 350W AC Panels SunPower Invisimount Rail • 18 Quick Mount E-Lag 2 8 a 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used-QuickMount,SunPower Added Roof load of PV System.2.84psf Engineer/Architect Seal: / ED Cy�5 C, 3. S r4F $� ®Q 19Tfi �y Drawn By MMB Drawing#6 of 8 Date:3/2/2021 REV-A Drawing Scale:3/16"=1.0' No Vent Pipes Will Be Covered By The Solar Array LOMC® Legend: ENERGY AR-Access Roof AP-Access pathway,36"minimum width SVO—Setback at ridge GreenLog1c,LLC Approved Jernidk,Richard per R202 definitions per R324.6.1 as per R324.6.2.1 2020 Delmar Drive Laurel,NY 11948 Total System Size:6.300kW 1 Circuit of 9 on a 20A Breaker 1 Circuit of 9 on a 20A Breaker Azimuth: 173° Monitoring System. SunPower I Panel/Array Specifications: \� I ♦\ 9.0� Panel:SPR X21-350-BLK-E-AC Racking:SunPower Invisimount �� �♦ f ————svo-----� Panel*61.39"X 41.18" svo I Legend: lrx Yk 18 SunPower 350W AC Panels I i I I SunPower Invisimount Rail I I ® 35 Qubk NbuntE-Lag I� 2x6"Douglas Fr Rafter 16"0 C(S#A) 1001 9 SunPower 2x8"Douglas Rr Rafter 16"o.0(S#B) I 35OW Panels I I Notes: I Number of Roof Layers:1 9 SunPower �� 0 Height above Roof Surface:4" 350W Panels i Materials Used:QuickMount,SunPower /P Added Roof load of PV System:2.84psf i Engineer/Architect Seal: / i �-k Meter �y �2itj33 yoQ� f TF F E`l3 Drawn By:MMB Drawing#7 of 8 Date:3/2/2021 REV.A Drawing Scale:1/16"=1.0' G RE EN LOS V ENERGY GreenLogic,LLC Approved Jernidc,Richard 2020 Delmar Drive Laurel,NY 11948 Total System Size:6.300kW 1 Circuit of 9 on a 20A Breaker 1 Circuit of 9 on a 20A Breaker Material List � Rail Material List QtV. Azimuth: 173° -- -- --- ----- -- --- -- -- - - -- -- --- --- --- -- - -- -- --- --- --- - ---- -- - -- --- --- ---- -- -- - -- - --- - -- - - --- - Monitoring System: SunPower Cast Aluminum Mounting Block w/Black Aluminum Flashing 35 Panel/Array Specifications: 5/16"x7/8"EPDM Sealing Plug 35 - g Screw 35 - -- - - Panel:SPR X21-350-BLK-E-AC 5/16"x5.5"Hex-Head La - - -- _ - - — - - - — - - -- - - - along:SunPower Invisimount 5/16"x1.25"Fender Washer 35 Panel:61.39"X 41.18" Legend: -- - - - - -•___-- _. __ '_-- -_ ® 18 SunPower 350W AC Panels - - - - - . -- -- - - -•.. - - - t SunPower Invisimoun Rail 4D 35 Qugk NbuntE-tag 2x6"Douglas Fir Rafter 16"0 C(S#A ) 2x8"Douglas Fir Rafter 16"O C(S#B) Notes, Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:QuickMount,SunPower Added Roof load of PV System:2.84ps Engineer/Architect Seal S J. Ar 0Z1�33 ypQ Drawn By:MMB Drawing#8 of 8 Date:3/2/2021 REV:A Drawing Scale:1/16"=1.0' W, E�I, jjli IM : , Rg M go �m(jrove Support, Reduce Maintenance Costs SunPower EnergyLink—Plug-and-Play Installation An intuit'>ve rncnit6nng,,vebsi,e eriaultiSyou o: Th.s complete solLmon fo: res ce,it,al and comme-cial i,or-iLor,rV and ont,of ircmdes I ip Sunr-ower,"FIV S,:oer%,,sot 6(PV%) h reproves `ternctely manage hundreds ots'ces *,-e instakaiion p,ocess,overall system el,auihty,and CUStOO'ner 'ZeLe ve elewve systorri re0orts' t2rice qCate&ys-,ern iStijesl arc reincteky(Jagr,ose Compact footprint for imp,oved aesthetics Diagnose lsq�J8_s orlire Robust cloud cr-nneczivity and con-pr&en�;ive Iccal connectivity Drill dcwn for the's+atus of;nd'vic, I devices Fexible WrIfIgJfdLIO[I of devices dirirg It'SLallation Consumption meter ng Revenue-grace production—ieter--g(pending) Web-based commissioning r Ren-o-,e diagnostics-.fPVS6 and irwerters -e rc -naint -_QS[S Durable JL T,,c)e 3R criclosw -Cluces i -ranCe C Easy in,cgr@LIOn WILh SunPovver eBOS Add Value for-Cdstbrners W,tf-ThFp SunPovvcr Mcnfto,ing Sysiom Robust Cloud Connectivity c,isorrers canM,tiple options to maintain opi,ma _7 See vvhat cher solar system produces each 7 R cay,montl,,or yea, Hardvv-ed Etiernet 0 ,cir'�o ar irve� ,e onVVI-I Ddrnize L' tr i ent d sa energy,expepses cellua,backup See Oeir ere,gy use and est,ry,.a-ed bil sav'r.gs See theii,sola,systern's peror rnanc'e usIn8 tho' S,inPower monlrdwig website o,mobile app 4 10� Al 4 D `�eN � •�,� ez ypu vt Fix 4" x' SunPower Monitoring Websites PVS6 SunPower AC Modules �. .. �� x ", � Multiple communication options include ' Ethernet,Wi-Fi,and cellular. Number of SunPavter AG modules 85 -rernpefature -22"F to+i 40°F{ 30"C to+60"C) supportea perFVS6 -lumidi:y(maximum) 9595,non-conaensing High-speed inter net access v,a accessible Internet access rot,ter or avitch • 00-2410 VAC(L-N j 53 o=GO I-Iz Power • 208 VAC(L-L in 3-phase).60 Hz y ��� u..-c ��` :a -485 l�venters and meters . one channel of revenue g,ade production rnetering :ntebrated Metering , Iwo channels o;consumption metering 5.1111 WAR Weight 5.5 lbs(2.5 kg: Ethernet -- 1 LAN(or opt'onai IRAN)poi — -- - -- Dimensions '113 x 8 0 x 4 2 in (30.5 x 20 5 x 10.8 cm) PLC P_C fo,SunPower RC,nodules Enclosure rating UL.50E Type 3R WI-F] 802.11 b/gtn 2.4 GHz and 5 G lz CellJrai LTE Cat-U11136 LIMES - - ,® _ IigBee IE LE 802 15 A NIAC,2 4G-Iz ISM hand Data Storage 6G days Customer site r rogitor u&sunpo ver com Jpgrades t,.xtomat'c firmware upgrades Partner si,e P•smgmt Js SUnoovrer com Browsers WefoK Safari,and Chrcme Mobile devices Phone",iPadl'and Android" „ - ,.� pn�na a .s-ys Awa—�" •�, ..� ,a�,- � _� ;a `�' Customer app 1.Create account onilne at,monitor i,s.sunpower c_om AFF 2 on a mobile device,dov4nload Circ SunPower Monitoring Warranty 10-year Limited Warranty app from Apple App Store,o-Google Play store 3.Sign in Using ar_coun,ema-1 arc paswmro Cer tifications UL,LUL,CE,UL 61010-1 and FCC Part 15(Class 8) F { 9 u� US tMM FCC ID:YAW529027 E503346 Simple and Fast Installation Ir.egratec module;o-rail groi..nc ng l Pre-assembled mid and end camps Lev:ating m1r1 clamp for easy placerne,;t L Mid clamp wic,:h fac lllt aces consistent,PVPn 'rM m,,ocIve spacng - Simple,pro-a,ilieil rail solu-e 2I03 Listed-nL,�ratetf gr<;ttni,ing Flexible resign Addrscs rie:,rly all sloped rtes denflal roofs Cosign it landscape ant:, pori-ai, Rails e^ai,le easy east,cle rnaragerren, y Customer-Preferred Aest;-ietics moc_rle and#, mci,nt n g aesthetics Best-ir-class system aesthetics Elegant Simplicity Prerniurn.love-p.of,le desigr cackanodized components SunPower" InvisiMountT" is a SunPower-des,gned Bidder mid clamps and encs camps rail-based mount,ng sysrem The InvisiMoun,system and capped,flush ai's addresses residertia; sloped roofs a-d combines faster Part of Superior System i-stal;ation time, design flexibility. and superior aesthetics, • HUnit.or use with SunPowQY oc and•AC mocules The IrvisiMount product was specifically envis-oned and Hes.-in-class system relianility and aesthPrics comorne wim SunPov.,er modules anc engineered to parr with SunPovver modules, f he resulting mo^itorirg app sysLern-level approach will amplify the aesthetic a,,d irstakatior berefits for both homeowne-s and installers. P �' f�,'� rim"., z•� sunpower.com E- X+k W 4 �r;6'A, ISI 41"'4w .1y --------------- R 77 ,- T IA IN 'win;NOW A M&�.,SIAI LsAIN ModL el iMid Clamp arcl Rali Module*J End Clamp and Rail 'Z -77 -WANE= Vid Cvro End Clamp Rail R Ral,Splice Ground Lug Asscrruly End Cap M kil I LIQ01-1273 feniperotLire -40'CIL,,90'I­,-40*E=to 19/*P'.C3mponent Miatenal We ght, — -. — i Max Loac(LRFD) 3000 Pa upVt is C-larnr. Back oxine s:.�inless sceei AISI 30e11 63 g,2 2 oz, —----- 0001)Pa dcwnforce — End Clamp Black arocIzEd aluminum alloy 6053 T6 1 110 g(3.88 07) ;K��_.,A!026 Rail BlaCK anodized alumini,.m allOY 500SI 6: 8309/m(9 07/1") Rad Sullt.e Aluniinuinallo,/60,-15-TS 830?/m P o2/(t) 25 y-,ar prudl.Xt vvarrjri�y Warranties GrounC Lug 304 stainless 106 S i,/rn 71,017) 5-year finiSnvva rra rity Assmoly (Ai-7r)bolt,tv-p aced Wpnel 11.1g) End Cap Black acetal(PONI)copolymer 10 4 g(n-37o7. UL 270_;L.stcd Cei Oicauons a_ Ciass A Fire Rated w ggg- C omposition Shingle Ralter At;3,-hm-en, Application Cciripos,no�i Shingle Roof Decmg ktachment Curved art.,FldtT,IL Roo,Altac-unem Uri vernal IAerface'o,Odier Roof Attachments Rerei to roof atzachmegi:harcv..at e manufac-,urers doci_;mentation ----------- I_ - ___ ___ ----- L— __ .__ I scompz-olowthffic .:7.7"S SunPnrrer Ccrperaiwn All ftntsRene ved sunpoweir zom Specuications included in rmisdatashetn are subjertto mongr,vinhoul notice Docurneril.#509506 RevC EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PV SUB-ARRAY SPR-X21-350-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 10-MODULES PV-SA-2 PV SUB-ARRAY SPR-X21-350-E-AC EN PHASE 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 3500 WATTS 211-264 VAC 14.23 A AC 240 V,AC PV-SA-2 2800 WATTS 211-264 VAC 11.38 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Jernick, RichardGREENLOGIC(K746P> 2020 Delmar Drive ENERGY Laurel, NY 11948 ELIMINATING THE COST OF ENERGY 1 ) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Jernick-3LD1 Revision: 1 Revised: 3/16/21 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 AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 50 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 THWN-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 Jernick, Richard ("aO 2020 Delmar Drive ENERGY Laurel, NY 11948 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Jernick-3LD1 Revision: 1 Revised: 3/16/21 SUNPOWER -Series: X21-350- L ( X21-335-BL I X20-327-BLK S u n Powe rR es i d e nt i a I AC Module Built specifically for use with the SunPower Equinox",system,the only fully x integrated solution designed,engineered and warranted by one manufacturer. g` Maximum Power. Minimalist Design. NAVOindustry-lead ng eFficrenc means more pov4er and savings per ayailao'e space With fewer modules required anc hidde•7 micro'rverters,less is truly marc Highest Lifetime Energy and Savings. Designed to deliver 60%more energy over 25 years in real-world conditions like partial shade and high­temperatures' etan m A d_a ' ent �h D.",., ... =;iffdrent:,c, y -And,Better:�,a �_�5� up to 60% ioa4' more clifetime ,t ,w�a;l•�;7rj•"GipifO';e' .° _ '- ,.CS6 7�, •.I,% �� ''�'� � -energy E 77 NM In ." >, ^= *,�,,s�da'T`g,°,�, „"` ,mss ,�'�,a' ^'a<ms�s,,,.•'," dy"a° r1 .'.,a '' a The.SunPowe`r MazeoffSolar'Cell Years of operation �^ ` ��°.,Ei7ubi��`illgl)CSt-��f'CIEnCv� •. _ • �-�-, ITOCU,BS avaiiaole,= Urir'iatC , -ret��l fown�atioi Best Reliability. Best Warranty.Patcn c s01id I 'p�ev01 t:S Lr�aua e anc3to,ro�ic� With�="i yore than 25 million modeles deployed arouhd r, the world,SunPower technolo_p✓is proven to last Thats why we stand behirc our modu e and ;icranverter wtn the industry's best 25 year Combined Power anci D-oduct Warranty,including the highest Power Warranty in solar Factory'inte`gr'ated UlicroitiJerter• oos a) CL •.lntegral;d'i,ir racgerle t, n s a a, ",T .,.:�, II.• f_ `dte'd b%f' „ °�'"• �W`„# �� �i �o 2 V ; 5� yw',%,';' d Wr:� y, more =.,,nP6wer`ge,5un:' rro&1 s” ;; :r., � „' power ,' ,^• IwA " ,'„ $fl f.e, °, bY in year 25 =C 'E'p a,w ti _ s°�:°,�, `va ror//'m,•;,^ h+'v%r_�:: "�,"g;%+.;v�yJ,,"e".,, n 15 2 Years of operation ®, iL e X-Series:X21-350-BLK I X21-335-BLK X20-327-BLK SunPowerc,Residential AC Module AC Elecc�icajF'Qata Inverter Model,Enphase IQ 7XS(IQ7XS-96-ACM-US) @240 VAC @208 VAC UO,/A 320 VA Max co"t'llio-J'S O,rou,PD.""er 315 VA 315 VA Nor,i (L I(V) 240/2111-264 208/1_8�-229 '31 1 51 Ma>, Ung';F.,,-r 20 A,1 1 B!7,-d-C'(71.1113 12(s�n2le phase) 10(rwo Dale)Wye ,_Ii, Vi'nlgnte 1 r 9i IPJ `Jorri Freq.e';ry 6C h.7 e',7 68117 AC Snot C,cuit Fail',Ct,r-ert Over C yrl,s 5 3;A rats vorvo t'v'e P("t A,--Pcrt 3,,d fc.vc Ci,,ior* 18 r,tA 1 0 0 7 leac 0 No act',e phase cal2n­ng fr,--,--ee p,ase Dc PQ04t-8 X21-35e-BLK-E-AC X21-335-B-K-E-AC X20-32-1-BLK-E-AC 25-yeat Iim;tedp,)we,wai,,;­i VIVarrarlL e, 2S-yeat liniite�p,ce,jc[%vai,anty Io,n Pcv,,,er (Pnorr)- 350W 335W --32-7 W1-703- of '5/-04b Certificatio-s 'LL 1741 /IFFF- 547 Mocule Effoercy 211 S% '/ 011111— 20 40h zqd UL 17-�l AC lv'ooule(Type 2'i,e rated) - U 52119-1/IEC-62109-2 ,errp Coen (Powp,,' '0 2c)%I'r -c?0551°C -0 29%11c' rornphj,,�:e F,-C Part 15'Ia,;-P nree bypass ciocip, ICES-0033 Cl,i<,,B ShcidL7;DI nte.-aed mocule-leve -raximurn CAN/CSA C222\JC 107 1-01 ;Dower point trark,ng 'A R_le 21 (UL'74'SA) (ind.-ides Vol/Va,and Reacave FlowLi il,icnty) T�Sbed:p'ped!b obs UL Lis,ed PV Rap d Shu0cw-EqUirrient`• Ooeratmg-2nnp -40'F to+185°F(-40°C to-85°C) Max A"ribientTernp 1221F(50°C) Fri.blesinstallation naccoidance witn NFC 690 0(Ac_rrodule) Max -Gala titin tat psf 3000 Pa,303I(F/fn2 fircot&back NU 69O 12 R,,oid ShL1tdov,.­.(insidearil outslce the ar-ay) Srqw_'_25 os',6GC0_Pa,611,qiml',o-: NEC 690 In AC Cornectors,690 33(A)-(E):1 Impact Rcsistance i-ccr,(25 rnm,dianietpi rail a,52 rnP,(23 m/s) When used ivith Irvis V.0urt rdLfrig and IrvlslMount ac essay l s J Wchaolc�!�Data (UL 2703) Mod-i e grOLInCing and hording thi-01.109 111VISIMOLM' nocrsr' ysta line Ma),eor Gen III Sola! Ce!ls 96 Vo, Class A fire aced "n(G,as� -fiL,_1i-.ransrniss,on tentpe,Ld 91L;SS V,.L", Wh('n I ACrT10OUlf Q-z:b[os and,,(((­,soi ic-s(il 6703�.,nd ant-t 2'lective coating U" 2238)' -nv ro—nenral Rat rg 01.1tcloc),rated Race,-,for load beak oiscor-ect -rarne I Dla,k arnch er(highest AAMA latmg) j -)ID Test roterval-ndi.102C aegracaticrt=roe }A/eight 42 S lbs(18 S g) Recornme,ded Mak __1 :�In (33 nirr) - -- -- Modulesparing - I Surmovve,360 W compared to conventiona'mcaul,or same-'Ized irmy""260 W,I 46 rrtT Pffiflelli,,arprOX 9n, (I aim) 'SanpoNer 2 Bosed on sear-h cc,da,as-iee(value;fromv4phsi,es of top'0 r-ar Jzvturer,per E i',,as of 46 mm30 MM janua,y2017 3#'r3,ikin'Fraunh-'erPVD1,rab tylni*,itvef,�rSclarililocitiefParL2"PVI:-,ChP,�)Wer (1.2 in.) Magazine 2015 Campeei Z etas pap^r,2013 41 acictryselict 1,4/a 2r, 4cofaul,set'ng-CARJ1e21 defAA�,eltirg,,pror ewt dutirg 350 MM rorn missicir'IF,See tne Fqui nox installation G i i(,e X518.01'o-morc infcrmatv),i (155,1) 1 5 Standard res,Condit ons 1,1 000W/ml irradia-ice A'M i 4),2S'C'NREL ral rtrat on standard SO'AS cur rent LAM,FF and voltage All DC voltage s fully contai recvillhir the I module 6-rispiocortist.11 437 null zna C22 1 201�tui�V 216 Raved Shutdown Of PV Sysl erns,for AC ara DC cor du ctor,, (172,.' when irz[afled"accordirg ro manufactu,er's lnstn.ct ons Seev.,viv,,su,ipovver co,n;ldct.,for mo,e refeferce in fai matron @cxo3:raan anon I Or more details so-•xtencjed clat zth-el v,,wv,,surnowei(cm/dal ash"Is Spe E I fl(aticrs - , 0 it-clud PH it-th,da-ashcec a re subject to change wizrjout notice W71=10 '0_`e 2018SunFo,*e,Corpo,ation A'lRight,-Rese-ved SUNPOWER,tile SJN?0v'JER)Ogo dric LISTED SUNPOWER Module Fl.Perfcr­Type 2 �X ON*),e registered vademarks of Sunft;�.,er Corporauo�i in the i S are other tos,as veli 1 800 Y J N POW--P Pleire roac,th^Safety and risial'al,on n,truct,on,for details 531946 RevA anwer.com