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HomeMy WebLinkAbout46615-Z 'r v �o`'uFFDt�-cp . Town of Southold 9/2/2021 ago Gym P.O.Bog 1179 0 x 53095 Main Rd Wo Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42316 Date: 9/2/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 2250 Mill Creek Dr., Southold SCTM#: 473889 Sec/Block/Lot: 51.-6-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/15/2021 pursuant to which Building Permit No. 46615 dated 7/26/2021 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 mount solar panels to existing single family dwelling as applied for. The certificate is issued to Czartosieski,Christopher&Amanda of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46615 8/1 021 PLUMBERS CERTIFICATION DATED 0 A o 'zed i ature rte , ` TOWN OF SOUTHOLD rte 4fol't BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE �y • o� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46615 Date: 7/26/2021 Permission is hereby granted to: Czartosieski, Christopher 2250 Mill Creek Dr Southold, NY 11971 To: Install roof mount solar panels to existing single family dwelling as applied for. At premises located at: 2250 Mill Creek Dr., Southold SCTM #473889 Sec/Block/Lot# 51.-6-5 Pursuant to application dated 7/15/2021 and approved by the Building Inspector. To expire on 1/25/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ADDITION TO DWELLING $50.00 Total: $200.00 Building Inspector OF SO�jI�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q sean.devlin(D-town.southold.n .us Southold,NY 11971-0959 �® y ®lyC®UNTV,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Christopher Czartosieski Address: 2250 Mill Creek Dr city Southold st: NY zip: 11971 Budding Permit# 46615 Section: 51 Block. 6 Lot: 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Long Island Power Solutions License No: 36178ME 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 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 Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment. 23.94kW Roof Mounted PV Solar Energy System w/ (63) Hanwha Qpeak Duo380W, 76.23A Disconnect, Combiner 220x5 215x1 Notes: Solar Inspector Signature: - Date: August 12, 2021 S.Devlin-Cert Electrical Compliance Form J f - SOUTyo� # # TOWN OF SOUTHOLD BUILDING DEPT. `ycouff 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ j FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) -/- ELECTRICAL (FINAL) [ ] CODE VIOLATION [/] PRE C/O REMARKS: L � UK DATE INSPECTOR �— %f SOUIyo� # * TOWN OF SOUTHOLD BUILDING DEPT. cOU765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND- ' = - [ =] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL S4� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE Q41 1 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) y ----------------------------------- `n FOU"ATION (2ND) ROUGH FRAMING& H PLUMBING H INSULATION.PER N.Y. STATE ENERGY CODE FINAL• i . ADDITIONAL COM1uIENTS S"� Z 0 z • W z TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 oy�o ao��s Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPUCA` ION FOR SUMONG PERNTi For Office Use Only � � D, PERMIT NO. �[��GJ Building Inspector: JUL 1 5 2021 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the,owner,an BUILDrNTG DEPT. Owner's Authorization form(Page 2)shall be completed. Gy SOITTITOLD Date: OWNER(S) OF PROPERTY: Name:Christopher Czartosieski SCTM #1000-51-6-5 Physical Address:2250 Mill Creek Drive, Southold, NY 11971 Phone#:631-375-4577 Email:amandagayle@gmail.com Mailing Address:2550 Mill Creek Drive, Southold, NY 11971 CONTACT PERSON: Name:Sue Estabrooke/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:sue@longislandpowersolutions.com DESIGN PROFESSIONAL INFORMATION: Name:Fisher Engineering Services, P.0 Mailing Address:509 Sayville Blvd., Sayville, NY 11782 Phone#:631-786-4419 Email:bill@fisher-ny.com CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@longislandpowersolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: ®Other Proposed( 63 )panel roof mounted array. ( 23.940 )kW System $57.890.38 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY'INFORMAT ION 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 Reading: The owner/contractor/design'professional is responsibleforall drainage,and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION,ISMEREBY 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 Regplatibns,for the con_struction'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 admihauthonzed inspectors on premises and in building(s)founecessary,inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. - - Catizone Electrical/Long Island Power Solutions Application Submitted By(print name): BAuthorized Agent ❑Owner Signature of Applicant: — Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Michael Catizone 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 ,20_V LYNDE SUSETTE ESTABROOKE Notary Public OTARY PUBLIC,-STATE OF NEW YORK Registration No.01ES6259997 PROPERTY OWNER AUTH0MZATi0N Qualified iir Dutchess County Commission Expires April 16,2024 here the applicant is not the owner) I,Cbnc ,!mak - CZy±U&- 5\C residing at 2250 1-_ok cx�__ _ Di?. sci_> c d NSI Michael Catizone/Long Island Power Solutions i I G-1 t \0111 do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. 0 er's Signature Date Print Owner's Name 2 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD p `' Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rooerr _southoldtownny.gov sea nd(&-southoldtown ny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: Catizone Electrical/Long Island Power Solutions Name:Michael Catizone License No.: 36178-ME email: sue@longislai dpowersolutions-com - Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 Phone No.: 631-348-0001 JOB SITE INFORMATION (All Information Required) ; Name: Christopher_ Czartosieski Address: 2250 Mill _Creek Drive, Southold, NY 119 1_. Cross Street: Phone No.. _ Bldg.Permit#: o(0/ email: Tax Map District: 1000 ..Section: Block: _ 6 Lot: 5 ; BRIEF DESCRIPTION OF WORK Please Print Clearly) Proposed(63 )panel roof mounted ( 23.940 )kW System may' 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: Inverters: (63)Enphase IQ-7 Modules:(63)Hanwha'Q.Peak Duo, 380W Support : Iron Ridge XR 100 PAYMENT DUE WITH APPLICATION Request for Inspection Form.xis 1� 2 �1 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: Comments b `' � L� qz" Suffolk County Dept.of Latmr,Licensinf3&Cansuenef Affairs jy 9: MASTER ELECTRICAL LZENK Name tACMEL J CATLxONE CNglness Name b eIS wstJrr fws that five atsom Efnttrioaing Inc 3•:ctf��fceisrd Cl Cortrat b'e lt'a C¢Jnty of sAds Licenses Number:ME-361 TB � Roselle Drago Issued: 12011(2004 Comsnissioner Expires: 12'01=22 Suffolk County Dept.of , Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE I Name MICHAEL CATI20NE Business Name This certifies that the LONG ISLAND POWER SOLUTIONS INC bearer is duty licensed by the County of suffoik License Number:ME-53560 Rosalie Drago Issued: 0610612014 Commissioner Expires: 06/01/2022 Suffolk County Dept.of Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE G' ` ''��`• Name �i MICHAEL J CATI20NE Business Name This certifies that the bearer is duty licensed LONG ISLAND POWER SOLUTIONS INC by the County of suffolk License Number:H-53562 Rosalie Drago Issued: 05106/2014 Commissioner Expires: 06/01/2022 Client#:83176 CATIELE ACORD. CERTIFICATE OF LIABILITY INSURANCE DADD/YYYY) 6//09/209/2021 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 pollcy(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NININIEACT Commercial Support Edgewood Partners Ins.CenteraCNN �,631-390-9700 AXA/CNo): 631-390-9790 40 Marcus Drive E-MAIL certificates@cookmaran.com 3rd Floor ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747-2647 INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B: Catizone Electrical Inc. INSURER C• 2060 Ocean Avenue INSURER D Ronkonkoma,NY 11779 INSURER E 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 CONTRACTOR 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 LIMITS LTR 1 R WV POLICY NUMBER MM/DD/YYY MM/DD/YY A X COMMERCIAL GENERAL LIABILITY CPP4784747 7/01/2021 07/01/2022 EACHOCCURRENCE $1000000 CLAIMS-MADE Al OCCUR NASA. ED.nce $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $2,000,000 PR - X POLICY 7 JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PerOacc�denDAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION4766763 7/01/2021 07/01/202 X PER OH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE Y/N E L EACH ACCIDENT $500OOO OFFICERIMEMBER EXCLUDED? ® N/A (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $500,000 It yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 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 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE rLaaciA __J ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3111026/M3110173 CPRAV ZiYORK workers' CERTIFICATE OF INSURANCE COVERAGE s'rATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured CATIZONE ELECTRICAL INC 575 LEXINGTON AVENUE,4TH FLOOR 646-383-3599 NEW YORK, NY 10022 Work Location of Insured(Only required if coverage is specifrcallylimrted to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i e.,Wrap-Up Policy) or Social Security Number 45-5213112 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southhold �' P Y 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold, NY 11971 R97483-002 3c.Policy effective period 1/1/2020 to 9/15/2021 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: Q 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 desc' d above. Date Signed 9/16/2020 By ''A (Signature of insurance carrier's authoriz d representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT- If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if sox 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.9. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) 1111111111!°!°!°°�0°°11°1°�°1�°�°��!°°!°!°1111111 YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address'only) 1 b.Business Telephone Number of Insured Catizone Electrical Inc 631348-0001 060 Ocean Avenue Ronkonkoma, NY 11779 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to id.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 455213112 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Utica Mutual Insurance Company 3b.Policy Number of Entity Listed in Box"1 a" Town of Southold 4766763 53095 Route 25 Southold, NY 11971 3c.Policy effective period 07/01/2021 to 07/01/2022 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"1 a"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: Leonard Scioscia (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 6/9/21 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631-390-9700 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.web.ny.gov Client#:83393 LONGISL16 ATE(MM/DD/YYYY) ACORa CERTIFICATE OF LIABILITY INSURANCE D2/25/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Commercial Support Edgewood Partners Ins.Center PHONE631-390-9700 FAX 631-390-9790 A/C No Ext: A/C No 40 Marcus Drive E-MAIL ADDRESS: certificates@cookmaran.com 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747-2647 INSURER A Southwest Marine&General Ins Co 12294 INSURED INSURER B Long Island Power Solutions,Inc. INSURER C: 2060 Ocean Avenue INSURER D: Ronkonkoma,NY 11779 INSURER E: 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 CONTRACTOR 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 LIMITS LTR 1 SR WVD POLICY NUMBER MM/DD/YYY MM/DD/YY A X COMMERCIAL GENERAL LIABILITY PK202100020693 2/28/2021 02128/2022 EACH OCCURRENCE s2,000,000 CLAIMS-MADE 51OCCUR PREMISES EaEoNccTurrence $100,000 X PD Ded:5,000 MED EXP(Any one person) $5,000 X Contractual Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 C JE LO POLICY® C PRODUCTS-COMP/OP AGG $2,000,000 OTHER $ A AUTOMOBILE LIABILITY PK202100020693 2/28/2021 02/28/202 E°acccidentSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per.accident $ A X UMBRELLA UAB I X OCCUR EX202100001789 2/28/2021 02128/2022 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5 OOO OOO DED I X I RETENTION$10000 $ WORKERS COMPENSATION PERTUTE OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? r N/A (Mandatory In NH) E L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Town of Southold is included as additional insured for general liability coverage as required by written contract. 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 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2962740/M2962525 CPRAV ZsoTATE Compensation Ric Workers' CERTIFICATE OF INSURANCEINSURANCE COVERAGE Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured LONG ISLAND POWER SOLUTIONS INC 2060 OCEAN AVE 6313480001 RONKONKOMA, NY 11779 Work Location of Insured(Only required if coverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,Le,Wrap-Up Policy) or Social Security Number 27-1175107 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold, NY 11971 R97411-000 3c.Policy effective period 1/1/2015 to 9/14/2021 4 Policy provides the following benefits: 0 A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. F] 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 de sc' d above. Date Signed 9/15/2020 By (Signature of insurance carrier's authoriz d representative or NYS Licensed Insurance Agent of that insurance carver) Telephone Number 12 12) 355-4 14 1 NameandTitle SUPERVISOR-DBL/POLICY SERVICES 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 46,4C or 5B is checked,this certificate Is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200 PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) 1111111111111111 111111111111111111111 I�I III NYSIF199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nysif.coln CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 0 ••* LOVELL SAFETY MGMT CO.,LLC } 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POWER SOLUTIONS INC TOWN OF SOUTHOLD 2060 OCEAN AVENUE 53095 ROUTE 25 RONKONKOMA NY 11779 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 2467 078-8 146804 4/01/2021 TO 04/01/2022 03/09/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 239995852 1111�1101110II0000�000�00010091218160l3110111111 Form WC-CERT-NOPRiNT Version 3(08/29/2019)[WC Policy-24670788] U-26.3 41 [0000000000OD91281603][0001-0OOD24670788][##Z][15588-79][CerLNoP-CERT_3][O1-00001] at OCCUPANCY OR USE IS UNLAWFUL APPROVED AS NOTED WITHOUT CERTIFICATE DATE: 7 B.P.# - OF OCCUPANCY FEE:4ae'-w•e BY NOTIFY BUILpING DEPARTMENT AT 765-1802', 8 AM TQ= 4 PM FOR THE FOLLOWING INSPECTIONS:' 1. FOUNDATION --TWO REQUIRED FOR POURED'CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION COMPLY WITH ALL CODES OF 4. FINAL - CONSTRUCTION MUST NEW YORK STATE & TOWN CODES BE COMPLETE FOR C.O. AS REQUIRED AND CONDITIONS OF ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW SOUTHOLD,TOWN ZBA YORK STATE. NOT RESPONSIBLE FOR SOUTHOLD TOWN PLANNING BOARD DESIGN OR CONSTRUCTION ERRORS. SOUTHOID TOWN TRUSTEES N.Y.S.DEC RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE, LONGISLAND C:m OWER 2060 Ocean Ave Ronkonkoma, NY 11779 PLUTIOI�iS 631348-0001 www.longislandpowersofutions.com July 14, 2021 TOWN OF SOUTHOLD—Building Division Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold,NY 11971 Dear Building Dept: As per your Building Department, enclosed please find the building permit application, submitted on behalf of our client/property owner: Property Owner: Christopher Czartosieski—631-375-4577 Project/Property Address: 2250 Mill Creek Drive, Southold,NY 11791 Section/Block/Lot- 1000-51-6-5 Electrician/36178-ME: Michael Catizone—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Contractor/53562-H: LI Power Solutions—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Architecture&Planning: Fisher Engineering Svcs.-509 Sayville Blvd., Sayville,NY 11782—631-786-4419 Michael E.Miele,PE—705 Orrs Mills Rd,New Windsor,NY 12553—845-629-9693 Enclosed Please find: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of the Engineering Drawings & Specs • Liability, Disability& Workman's Comp Insurance Certs Please send the Receipt and Permit to'Long Island Power Solutions. Should you require anything further, please contact me. S"stabrooke S Permit Manager Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx-631-348-0018 sue@Gopowersolutions.com Go Green Save Green N SURVEY OF PROPERTY / AT SOUTHOLD TOWN OF SOUTHOLD + SUFFOLK COUNTY, N.Y. y SCALR 1'=30' DECEMBER 11, 20I MARCH 1$ 2014 (WF7LANDS) CERTIFIED TO: ANGELICA CATALA a rya TITLE AMERICA LAND SERVICES INC. ? OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY 'OZ F� o� yF Boa � 1� EDGE OF AERANDS AS D£7ERWINm n BY l Q� ` e P£CONIC SURWYORS 3/11/2014 dF N� 5�P 3• Yi .Y.S LIC. NO. 49618 ANY ALTERAAON OR ADD/7701V TO ALIS SURVEY 1S A NOLA77ON W MORS, P.C. OF SEC710N 7209OF THE NEW YORK STATE EDUCA77ON LAW (631 ( )—5020 FAX 631 765-1797 �\ EXCEPT AS PER SECAON 7209-SUBDIV/SION 2. ALL CER77RCA77ONS \ HEREON ARE VALID FOR AHS ANAP AND COPIES THEREOF ONLY 1F X=MONUMENT P.O. BOX 909 • \ SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR =PTFE 1230 TRAVELER STREET AREA 16,857 SQ. FT. MOSS 9GNAWRE APPEARS HEREON SOuniOLD N.Y. 11971 13-305 t , Fisher Engineering Services, P.C. 509 Sayville Blvd • Sayville •New York 11782 Phone: (631) 786-4419 July 6,2021 Attention: Town of Southold Building Department D � ���� h 54375 NY-25 U Southold, NY 11971 JUL 1 5 2021 Subject: Solar Energy Installation for Czartosieski Residence RUMD1NTG DEPT, 2250 Mill Creek Drive, Southold,NY 11971 7'G".V-T�T G1+SD1r TITD1LD I have reviewed the roof structure at the subject address. The structure can support the additional weight of the roof mounted system. The units are to be installed in accordance with the manufacturer's installation instructions. I have determined that the installation will meet the requirements of the 2020-Residential Code of New York State and ASCE7-16 when installed in accordance with the manufacturer's instructions. Roof Section Rl R2 R3 Mean roof height 14 ft 14 14 Pitch 24 deg 24 27 Roof Rafter 2x6 2x6 2x6 Rafter spacing 16 cc 16 16 Reflected roof rafter span 12.1ft 14.1 7.9 Table R802.4.4(1)max allowable 14.6 ft 14.6 14.6 The climactic and load information is below: Ground Wind Live Load, Point CLIMATIC AND Exposure Snow Speed,3 Pnet per Pullout Fastener Type GEOGRAPHICAL DESIGN CategoryLoad,Pg, sec gust, ASCE 7, Load, CRITERIA sf mph psf lb Roof Section Rl-R3 B 20 140 39 743 SS 5/16"dia lag bolt, 5"length Weight Distribution Array dead load 2.5 psf Load per attachment 27.2 lb Subject roof has one layer of shingles. Panels mount flush to roof no higher than 6 inches above roof surface. Sincerely, ��NEZy William G.Fisher,P.E. Licensed Professional Engineer I r Architectural Design•Residential•Light Commercial Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting•Inspections �.,.,., w^^.s.,-;.�..,,.�.�,rte....... -.,.,i. _ .Yi.' x` ..c\\<..�\....��..;,.c 4 i^^,^..G�s�..-...wr,^�^y+^^,^+..,—"°""-'"^---�p;•.-" t owered b ::, ,• 4�"�ia;t"r ® an . e ■ ■ �• YR 'TOP�BRAND4P.V., -'41.1111 P Warranty ®CELLS Product&Performance Yield Security BREAKING THE 20%EFFICIENCY BARRIER Q.ANTUM DUO Z Technology with zero gap cell layout boosts module efficiency up to 20.6%. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields,whatever the weather with excellent low-light and temperature behavior. ENDURING HIGH PERFORMANCE Long-term yield security with Anti LID Technology,Anti PID Technology',Hot-Spot Protect and Traceable Quality Tra.QM. EXTREME WEATHER RATING High-tech aluminum alloy frame,certified for high snow(6000 Pa)and wind loads(4000 Pa). A RELIABLE INVESTMENT �A■�7 Inclusive 25-year product warranty and 25-year linear performance warranty2. STATE OF THE ART MODULE TECHNOLOGY 1 , Q.ANTUM DUO combines cutting edge cell separation and innovative 12-busbar design with Q.ANTUM Technology. 1 APT test conditions according to IEC/TS 62804-12015,method B(-1500V,168h) x See data sheet on rear for further Information THE IDEAL SOLUTION FOR: 61nRooftop arrays residential buildings Engineered in Germany CELLS f I MECHANICAL SPECIFICATION Format 72 41n x 40 61n x 1261n(Including frame) (1840 mm x 1030 mm x 32 mm) n a•(1940 mm) Iso Ina mro 429'(1Da9mm) Weight 43.0 lbs(19 5 kg) Front Cover 0111n(2 8mm)thermally pre-stressed glass with urclzoomml anti-reflection technology a.o.a.d 9wm.°ole i4amm> F­ — Back Cover Composite film s9a•t9aLmm) Frame Black anodized aluminum ® ao s•11030 mm) Cell 6 x 22 monocrystallme Q ANTUM solar half cells Junction Box 2 09-3 98 in x 126-2 361n x 0 59-0 711n (53-101mm x 32-60mm x 15-18mm),IP67,with bypass diodes 1eD 472•I32oomm) Cable 4mm2 Solar cable,(+)?472 in(1200mm),H;t47 21n(1200mm) e.Drm°.94Wo f 4,1V—rgd.biDETXLA) Connector Steubll MC4;IP68 —�I--12ala1mm) DErNLA°G3'D'_I 09V(245—)I- I039`Iaamm) ELECTRICAL CHARACTERISTICS "P0INERCLASS \ \ 365' 380 ',' 7385 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC1(POWER TOLERANCE+5 W/-0 W) Power at MPP' PMP, [W] 365 370 375 380 385 Short Circuit Current' Ise [A] 1040 1044 1047 1050 10.53 E Open Circuit Voltage' VDc [V] 44.93 44.97 4501 45,04 4608 G Current at MPP IMP [A] 987 992 998 1004 1010 Voltage at MPP VMPP [V] 3699 3728 37.57 37.85 3813 Efficiency' q [°h] 2193 ?195 2198 2:20.1 x203 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT2 Power at MPP PMPP [W] 2733 277.1 2808 2846 2883 E Short Circuit Current ISD [A] 838 841 843 8.46 848 E Open Circuit Voltage VDc [V] 4237 42.41 4244 42.48 42.51 Current at MPP IMpp [A] 776 781 786 791 796 Voltage at MPP VMPP [V] 3523 3548 3572 3596 3620 'Measurement tolerances PM ±3%;Isc;VDc±5%at STC 1000 W/m2,25t2°C,AM 15 according to IEC 60904-3.2800 W/M2,NMOT,spectrum AM 15 Q DELLS PERF,ORNIANCE 1NARRANTY, " \\r1` ;' ', M \ _77PERFORIV(ANCEAT,LOIIV RADIANCE „• : \\ \ 140 °Ca 110 ---- ----- ®m __T_ r_____I �_____� At least 98%of nominal power during 1 I , I s 4s =---------------------------- first year Thereafter max 054% z $ degradation per year At least 931% 100 z „ ------------ of nominal power up to 10 years At I I I least 85%of nominal power up to 25y ears a" --r-----------i-----+-----' 5 i i i i1 ���,�•� . � All data within measurement tolerenc- I I I I eo o �o es Ful l warranties In accordance with =°0 40o sea Doo Me 11 the warrant terms of the O CELLS 9 IRRADIANCE p y 0 [w1.9 U 23 sales organisation of your respective _ ses a°a mr,emeu.wm..r°ueloweanunies 21 YEARS country. N Typical module performance under low Irradiance conditions In comparison to STC conditions(25°C,1000 W/m2) 3EINPERATyRECOEF,ICIENTS '� :�y\, :�•' ,� �� ��� :;,::'����'%4,a. �:���.�..� .���..:�.���\`. _„�. Temperature Coefficient of Isc a [%/K] +004 Temperature Coefficient of Voc [%/K] —027 Temperature Coefficient of PMpP y [%/K] —0.35 Nominal Module Operating Temperature NMOT [°F] 109±5 4(43±3°C) m 0 PROPERTIES FOR SYSTEM DESIGN a w Maximum System Voltage Vsrs IV] 1000(IEC)/1000(UL) PV module classification Class II o Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 61730 TYPE 2 W Max.Design Load,Push/Pull' [lbs/ft2] 84(4000 Pa)/55(2660 Pa) Permitted Module Temperature —40°F up to+185°F 0 Max.Test Load,Push/Pull' [lbs/ft2] 125(6000 Pa)/84(4000 Pa) on Continuous Duty (-40°C up to+85°C) m DSee Installation Manual t U QUALIFICATIONS AND CERTIFICATES PACKAGING AND TRANSPORT INFORMATION 0 UL 61730,,2E-6omplient, � C� Ib ss• O n IEC 61215.2016, SAm ® b� �—Ct 14aHCl o IEC 81730 2016, US Patent No 9,893,215 .avw,.w..a Horizontal 74.41n 42.51n 4761n 1458lbs 28 24 32 (solar cells) C6.raawUS packaging 1890mm 1080mm 1208mm 661kg pallets pallets modules U UL61710 ID 1111Y19ZJ) p U) Note:Installation instructions must be followed See the Installation and operating manual or contact our technical service department for further information on approved Installation and use of this product Hanwhe O CELLS America Inc. 400 Spectrum Center Drive,Suite 1400,Irvine,CA 92618,USA I TEL+1949 748 59 961 EMAIL inquiry@us q-cells corn I WEB www q-cells us Data Sheet Enphase Microinverters Region AMERICAS The high-powered smart grid-ready Enphase Enphase IQ 7 Micro'' and Enphase IQ 7+ Micro'' I 7 and M 7+ dramatically simplify the installation process while achieving the highest system efficiency. Microinverters Part of the Enphase IQ System,the IQ 7 and IQ 7+ Microinverters integrate with the Enphase IQ Envoy'M, Enphase IQ Battery',and the Enphase Enlighten T11 monitoring and analysis software IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install Lightweight and simple Faster installation with improved,lighter two-wire cabling Built-in rapid shutdown compliant(NEC 2014&2017) Irk J]^ W' r Productive and Reliable • Optimized for high powered 60-cell and 72-cell*modules • More than a million hours of testing • Class II double-insulated enclosure • UL listed Q Smart Grid Ready • Complies with advanced grid support,voltage and frequency ride-through requirements 1,,2\ Remotely updates to respond to changing ` grid requirements • Configurable for varying grid profiles • Meets CA Rule 21 (UL 1741-SA) U *The IQ 7+Micro is required to support 72-cell modules. L 0`1 ENPHASE. To learn more about Enphase offerings,visit enphase.com %-.$ Enphase IQ 7 and IQ 7+ Microinverters INPUT DATA(DC) IQ7-60-2-US I IQ7-60-B-US IQ7PLUS-72-2-US/107PLUS-72-B-US ELL "Cbmonlypairings Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules -,­:­q M­q E Peak power tracking voltage 27V-37V 27V-45V Min/Max start voltage 22V/48V 22 V 60 V overvoltage class DC port II II Frtt 77- ��7 Z PV array configuration I x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ 7 Microinverter IQ 7+Microinverter 14 Maximum continuous output power 240 VA 290 VA AQ6F(C-�-)7 g VT -20&V/',' J,V" W '6,4,,,,V 18 3�2,N V,`��%:,- T�264 X,',,- V�, Maximum continuous output current 1.0 A(240 V) 1.15 A(208 V) 1.21 A(240 V) 1.39 A(208 V) Extended frequency range 47-68 Hz 47-68 Hz Power factor(adjustable) 0.7 leading.. 0.7 lagging 0 7 leading 0.7 lagging EFFICIENCY @240 V @208 V @240 V @208 V ff !qen�y, CEC weighted efficiency 97.0% 97.0% 97.0% 97.0% MECHANICAL DATA 6 OC--"-,, 5 7- 77,77 '77,77,77,77,77,77 Relative humidity range 4%to 100%(condensing) __'`:R�16r't Connn� i ee ortyp Adaptors for modules with MC4 or UTX connectors: PV2 to MC4:order ECA-S20-S22 PV2 to LITX:order ECA-S20-S25 Approved for wet locations Yes E Enclosure Class If double-insulated,corrosion resistant polymeric enclosure 7 �77 3 P FEATURES t* Power.1ine, LC) _—L-4 _OL Monitoring Enlighten Manager and MyEnlighten monitoring options. Both options require installation of an Enphase IQ Envoy. LDil 'o'_ �q7 Eanc—e Co p CA Rule 21 (UL 1741 SA) UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22 2 N0.107.1-01 This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions. 1.No enforced DC/AC ratio See the compatibility calculator at com/en-us/support/module-compatibility. 2.Nominal voltage range can be extended beyond nominal if required by the utility. 3.Limits may vary Refer to local requirements to define the number of microinverters per branch in your area. To learn more about Enphase offerings,visit enphase.com EKIPHASE. @ 2018 Enphase Energy All rights reserved All trademarks or brands used are the property of Enphase Energy,Inc 201"5-24 ZZ! , IRON RIDGE Roof Mount System ,'oc iL ,`e���l ,77,777,;u¢ :•,,dr ,.kyu � :� a(L:%a z i�T>.,r,$L.i. ..y`,.'.'-8�, s£�,k�nxra,�:�r "� ...`;:��i�..o�.�-•''„'yX�.:,'..�.:�,..:..."_•+.� 3� �s J'Fi ^"1„x'3 f „•..,t�1�b��(J'� S��•vdw:=. �0 r'-.+.:,.�'�'•- 5�..,""p`.?.;.—,n,.�.... Built for so0ar's toughest roofs. IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. , Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified ' All components evaluated for superior Pre-stamped engineering letters structural performance. - - "' available in most states. Class A Fire Rating ;Design Software Certified to maintain the fire resistance a Online tool generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding ;.. 20 Year Warranty UL 2703 system eliminates separate '<<��',N - Twice'the protection offered by module grounding components. , w';:, competitors. � p, s,�u�, ,,,,� '�,'"'i�'-", .+ '�:1! �Ft '�Y a - x..°• _ � �p,gy XR Rails --- - - --- XR10 Rail XR100 Rail XR1000 Rail Internal Splices 0 CIA& A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions with light snow. solar mounting rail. rail for commercial projects. for seamless connections. • 6'spanning capability • 8'spanning capability • 12'spanning capability • Self-tapping screws • Moderate load capability • Heavy load capability • Extreme load capability • Varying versions for rails • Clear& black anod.finish • Clear&black anod.finish • Clear anodized finish • Grounding Straps offered Attachments FlashFooit Slotted L-Feet Standoffs Tilt Legs _4}4'a� 2:�j•=:J'`:,n' k,s; ,�, ,-�w�:,r {r.,,-,r-.^.'^f ""_'-.} '_x.o - - - '�="w-.=... ..c...�,�."^„"' �"--'^`�1"'�.�-+� ���_,.,�.� Anchor,flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware • High-friction serrated face Works with vent flashing • Attaches directly to rail • IBC& IRC compliant • Heavy-duty profile shape Ships pre-assembled - Ships with all hardware • Certified with XR Rails • Clear& black anod.finish 4" and 7"Lengths • Fixed and adjustable Clamps & Grounding End Clamps Grounding Mid Clamps (B T Bolt Grounding Lugs @ Accessories 7P j Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Mill finish & black anod. • Parallel bonding T bolt • Easy top-slot mounting • Snap-in Wire Clips • Sizes from 1.22"to 2.3" • Reusable up to 10 times • Eliminates pre-drilling • Perfected End Caps • Optional Under Clamps • Mill &black stainless • Swivels in any direction • UV-protected polymer Free Resources Design Assistant p A, NABCEP Certified Training II Go from rough layout to fully Q V, Earn free continuing education credits, engineered system. For free. d © while learning more about our systems. _ . - - Go to fronRidge.corn/rn A V Go to IronRidge.com/training AERIAL r, LOn Island . SOLUTIONS ,,rr 2060 OCEAN AVENUE, '' KONKOMA, NY 11779 ` RON -uK- _ ;. (631)348-0001 y# :LL�i -���..����::���- CZARTOSIESKI RESIDENCE 2250 MILL CREEK DRIVE _ ,«=:_; �.` • '°"gj` ' =' = " SOUTHOLD NY 11971 631-3754577 R-1 — 8 # MODULES (16) s� gcc F -� Y{m ° S° 51 B' 6 L° 5 - ' ., PROJECT DATA: #214s99 PITCH. 24" s, INVERTER: (63)ENPHASE IQ7PLUS-72-2-US AZIMUTH: 301° — . —T -- y I ` . . ( ) xF,'.fit '' MODULES. 63 Q.PEAK DUO ELK ML-G9+380 �.r�� —! �..•s #�;����, sub:=,- s' RACbNG. IRON RIDGEXR100 O WATTAGE: 23,940 t 1a _ r / •S�HEET'INDEX _ ROOF TYPE COMPOSITION SHINGLES Go R-3 :°z 1., WIND LOAD. -39 PSF @ 140MPH # MODULES (5) S-1 SITE PLAN FASTENER- USE 5/16"DIA.5"LAGS �P ° S-2 DETAILS U N PITCH. 27 E-1 ELECTRICAL PLAN o AZIMUTH: 211° w L-1 MOUNTING PLAN �� Y o zw- 10 � o_ � w az_ R-2 Z z U- # MODULES (42) " 0 O PITCH: 240 'CIO�I w E � = AZIMUTH: 1210 -ENPHASE IQ7 PLUS MICRO INVERTER QE N€� _ 4 LOCATED ON ROOF BEHIND EACH MODULE. Q- �a� G•�,�g f© 4.F -FIRST RESPONDER ACCESS MAINTAINED AND FROM ADJACENT ROOF. � -WIRE RUN FROM ARRAY TO CONNECTION IS q y_ � 40 FEET. �� 'I'o,a74s59 , ` -COGEN DISCONNECT IS LOCATED ',>• `'ESS �- ADJACENT TO UTILITY METER.Lo -LAYOUT SUBJECT TO CHANGE BASED ON ALTERATION OF THIS DOCUMENT EXCEPTBYA " SITE CONDITIONS AT DATE OF INSTALL LICENSED PROFESSIONAL ISIILEGAL t PAPER SIZE'I I'm 17°(ANSI B) LEGEND ; - DATE: 06/10/2021 DESIGN BY: MW ® GROUND ACCESS POINT CHECKED S:Y' 1 nKO REVISINN COGEN DISCONNECT 06/16/2021 N ® UTILITY METER U 3 REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEWYORK STATE,2020 ENERGY CONSERVATION CODE OF NEWYORK STATE, / INCLUDING ALTERNATIVE METHODS MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OFSOUTHOLDCODE,2017NATIONALELECTRIC CODE.ASCE740. SITE PLAN S■1 THE 2020 RESIDENTIAL CODE OF NYS MJF 1ronRidcr,e XR 100 Rail Long Island 40� POWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 r ' (631)348-0001 ''x"...,� �. - "'.,. '°"x'"'1.,�,-G-'• - „e_.`'-•_,- -- - _ - � FAUN `�, g- -r ",--, - � . -"'`'�;box z�a.__- -d ..''�,F ;• _._�""w- _ - - - __ �„� �•� �^' "'_f -, - - • �� �``� - ��• - � -� - CZARTOSIESKI _ Capi�'� r� � I RESIDENCE Flashino, 2250 MILL CREEK DRIVE Im SOUTHOLD, NY 11971 631-375-4577 En S: 51 B: 6 L: 5 ` a-° ' PROJECT DATA: #2i4s99 IrollRidee xR 100 Rail •��^'""--.'J _�°--. "----, �� =�' - 5/I6" x 5" Stainless INVERTER: (63)ENPHASE IQ7PLUS-72-2-US 3IronRidp XR 100 Rai] MODULES (63)Q.PEAK DUO BLK ML-G9+380 Seel Lag -Bolt Solar Module RACKING: IRON RIDGEXR100 WATTAGE: 23,940 EX C X 3/4 ROOF TYPE COMPOSITION SHINGLES HEX HEAD �471.T a/5-1E FILAHCE HUT ' � 3-5/811 WIND LOAD:US39 E 5/1 @ IA.5"L FASTENER. USE SN6"DIA.5"LAGS � N U) W 0° C) � 0Z r / N Jm�yQ GENERAL NOTES: z w!q -L FEET ARE SECURED TO ROOF RAFTERS @ 80" O.C. z s 3 "- v USING 5/16" x 5" STAINLESS STEEL LAG BOLTS. w K E -SUBJECT ROOF HAS ONE LAYER. -ALL PENETRATIONS ARE SEALED AND FLASHED. r— ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES .�A 07463 �Cs� 3 R1 240 2"x8" 2"x6"@16"O.C. 17'-8" 48" LO R2 240 2"x8" 2"x6"@ 16"O.C. 17'-8" 24" _ ALTERATION OF THIS DOCUMENT EXCEPT'BY A N LICENSED PROFESSIONAL IS ILLEGAL R327° 2"x8" 2"x6"@16"O.C. 10'_4" 16" PAPER SIZE„•x,T(AN518) DATE: 06/10/2021 DESIGN BY: MW CHECKED BY: KO REVISIONS: 1 MW c 06/16/2021 0 r N U DESIGNED AS PER ASCE 7-10 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, �� MODULES MOUNTED FLUSH TO ROOF TOWN OF SOUTHOLD CODE 2017 NATIONAL ELECTRIC CODE.ASCE710. DETAILS NO HIGHER THAN 6”ABOVE ROOF SURFACE 8 \Long Is9ancl ° PO�1 ER SOI_QDTI®INS 2060 OCEAN AVENUE, _ RONKONKOMANY 11779 1 CZARTOSIESKI o--- � 171_811 01.311 \\ _ \ RESIDENCE 2250 MILL CREEK DRIVE q r SOUTHOLD, NY 11971 631-375-4577 - S: 51 B: 6 L: 5 ®3 PROJECT DATA:#274599 INVERTER: (63)ENPHASE IQ7PLUS-72-2-US �{ MODULES � j MODULES (63)Q.PEAK DUO BLK ML-G9+380 # tl 6/u®®ULE (5) RACKING: IRON RIDGE XR100 PITCH: 2 7 0 R-2 WATTAGE: 23,940 //�� / # MODULES (42) ROOF TYPE COMPOSITION SHINGLES AZ I M U T H, 211 0 WIND LOAD: -39 PSF @ 140MPH PITCH: 2 4 0 FASTENER USE 5/16"DIA.5"LAGS in U m AZIMUTH: 1210 Lu U N 81_11 15 0. U Amo 'T W W �N Z LL. 6 K E \ L = E 3 171_711 _ �=-, .�- N 17' 12 A °•0 46 11' 24 IN `n ; ° g� 1 ALTERA7TON OF TM DOCUMENT EXCEPT BY A 1 N LICENSED PROFESSIONAL IS ILLEGAL 4' ° M®®ULES 16) PAPER SIZE 11°x 17°(ANSI B) 0 N SPLICE BAR 45 DATE: 06/10/2021 © PENETRATIONS 107 RTCH. 240 CHECKED MW CHECKED BY: KO 'n UFO REVISIONS: 1 MW N 40I�M SLEEVE 364 AZIMUTH: 301 ' 06/16/2021 0 co END CAPS 36 CONSUMPTION MOUNTING PLAN CRITTER GUARD 400' L.'� PHOTOVOLTAICS: '± Long Island (63) Q.PEAK DUO BLK ML-G9+ 380 POWEIz SOLUTIONS NEMA 3R 2060 OCEAN AVENUE, JUNCTION BOX INVERTERS: RO X60)308 0001 11779 BLACK-L1 ENGAGE CABLE (63) ENPHASE IQ7PLUS-72-2-US RED-L2 CIRCUITS: CZARTOSIESKI WHITE-NEUTRAL GREEN-GROUND (3) CIRCUITS OF(11) MODULES (3) CIRCUIT OF(10) MODULES RESIDENCE f ! 2250 MILL CREEK DRIVE SOUTHOLD, NY 11971 631-3754577 ! S: 51 B: 6 L: 5 PROJECT DATA:#214599 INVERTER (63)ENPHASE IQ7PLUS-72-2-US 12 AWG THWN FOR HOME RUNS U DER 100' MODULES: (63)Q.PEAK DUO ELK ML-G9+380 � � 1�1 , , #10 AWG THWN FOR HOME RUNS OVER 100' I . d RAGING: IRON RIDGE xF:1ooI ) i; (1)LINE 1 I I p WATTAGE: 23,940 (1)NEUTRAL ' ` g METER ROOF TYPE: COMPOSITION SHINGLES (1)GROUND fps /q� WIND LOAD. -39 PSF @ 140MPH PER CIRCUIT /�,�\M At,R U f � � � `76,23`�$ FASTENER: USE 6116"DIA.5"LAGS IN V OR 1j"PVC CONDUIT r" '• �$U t� `�, N(X1r 11w8 T 240 V (j 0) C � ID ' ® ° 0 w 0 PHOTOVOLTAIC ; � - � Z i N �-°' ! ©•ryry�° � DC ° MAIN SOLAR SYSTEM i z w�°8 [AStiP LW171SfN Q 0© n �+ ! w a = � nom_ AC DISCONNECT LINE SIDE TAP z sg�� u N N o.+o® msi Z �- W N W i3 100A FUSED SERVICE MAIN SERVICE 125A LOAD CENTER RATED DISCONNECT 300A (1)-20A BREAKER -- --_-- - - --- - - 100A FUSE ,r,� _ PER CIRCUIT x WFIG DISCONNECT INVERTER OUTPUT CONNECTION cm DO NOT RELOCATE THIIS #4 AWG THWN #4 AWG THWN .0746 � ,). ��`�`$� 1, a f, \(ERCURRENT DE\nCE (1)LINE 1 (1)LINE 1 I/(/ (1)LINE 2 (1)LINE 2 P„ (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL ALTERATION OFUHSDOCIMONCEXCEPTBYA N (1)EGC (1)EGC OR SUB PANEL IICENSEDPROFESSIONAL ISILLEGAL L IN 1j”PVC CONDUIT (1)GEC PAPER SIZE-11•x,7•(ANSI B) g IN 1�'PVC CONDUIT DATE: 06/10/2021 DESIGN BY: MW -=I---- CHECKED BY: KO N -- REVISIONS: 1 MW N 06/16/2021 0 N U AC COMBINER: NOTE: 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, 1-PHASE,MAIN LUG LOAD CENTER,125A ALL WIRING TO MEET THE 2017 NEC AND 2020 ENERGY CODE TOWN OFSOUTHOLD CODE,2017 NATIONAL ELECTRIC CODEASCE7.10. ELECTRICAL PLAN E'1 100A FUSED SERVICE RATED DISCONNECT