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HomeMy WebLinkAbout46228-Z � SUEFO �o� Town of Southold 9/19/2021 y� P.O.Box 1179 0 53095 Main Rd W�yjjol �oo� � Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42344 Date: 9/19/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1855 Depot Ln, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-1-9.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/14/2021 pursuant to which Building Permit No. 46228 dated 5/11/2021 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 on existing accessory barn as applied for. The certificate is issued to 1855 Depot Lane LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46228 6/22/2021 PLUMBERS CERTIFICATION DATED tho 'zed i ature o�SUFFnt,��o TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT C* x TOWN CLERK'S OFFICE "o • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46228 Date: 5/11/2021 Permission is hereby granted to: 1855 Depot Lane LLC 1855 Depot Ln Cutchogue, NY 11935 To: Install roof mount solar panels on existing barn as applied for. At premises located at: 1855 Depot Ln SCTM # 473889 Sec/Block/Lot# 102.-1-9.1 Pursuant to application dated 4/14/2021 and approved by the Building Inspector. To expire on 11/10/2022. Fees: ACCESSORY $50.00 CO-ACCESSORY BUILDING $50.00 Total: $100.00 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. April 7, 2021 New Construction: Old or Pre-existing Building: X (dheck one) Location of Property: 1855 Depot Lane Cutchogue House No. Street Hamlet Owner or Owners of Property: 1855 Depot Lane LLC Suffolk County Tax Map No 1000, Section 102 Block 1 Lot 9.1 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: GreenLoglc LLC Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 50 plicant Signature Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, \�•.�� residin at D--_-s�JNT (Print property owner's name) (Mailing Address) do hereby authorize GreenLogic LLC (Agent) to apply on my behalf to the Southold Building Department. K/ - Ll (Owner's Signature) (Date) Print Owner's Name CONSENT TO INSPECTION the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at 1855 Depot Lane, Cutchogue, NY 11935, which is shown and designated on the Suffolk County Tax Map as District 1000, Section 102 , Block 1 , Lot 9.1 That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Roof mounted solar electric system That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Signature) (Print Name) (Signature) (Print-Name) pf SOUr�®! Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • o sean.devlinCcD-town.southold.ny.us Southold,NY 11971-0959 sc` BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 1855 Depot Ln LLC Address: 1855 Depot Ln city Cutchogue st: NY zip: 11935 Building Permit#: 46227&46228 Section: 102 Block: 1 Lot: 9.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: GreenLogic LLC License No: 43858ME777771 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 Surrey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 17.280M Roof Mounted PV Solar Energy System w/ (48) Sunpower SPR-E20327- E-AC Panels, Sun Power Monitor , 100A Sub w/240x4 Notes: Solar Panels on Barn and House Feeding House Inspector Signature: Date: June 22, 2021 S Devlin-Cert Electrical Compliance Form �ofsoUly — # # TOWN 'OF SOUTHOLD= BUILDING DEPT. °`y�ouam ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ NSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL S40�V/ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION z [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [. ] PRE C/O REMARKS: DATE ! '� INSPECTOR FIELD INSPECTION REPORT D? COMMENTS FOUNDATION(IST) Ory --------------------------------- FOUNDATION -------------�-----FOUNDATION (2ND) ROUGH FRAMING& A PLUMBING —r INSULATION PER N.Y. STATE ENERGY CODE FINAL on ADDITIONAL COMMENTS cl -Z �i n =a � Z rn , ' � y O z • x ' 0fat TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 littps://wwxv.southoldtowiiny..gov Date Received APPLICATION FOR BUILDING PERMIT 4 (+/ For Office Use Only PERMIT N0. b Building Inspector- be and`orms"dist be lle"d;©ut in'itiai enti�eiy,,"incoinpl"ete "s ', �ippl"ications°will'riotebe, cc``epted" 1Nhere 1i ca nnt,the owner;a»`" E ,- Owner's:Aiitl i rwtioh,f&ri (#gage=2}3shall be.co"repleted - a _.0 .4,"- Date:5/5/2021 E?Si1111tM �S�Of PR0PERTY;,' Er ",.,2.A,. wfs,r Name: 1855 Depot Lane LLC " " _ " SCTM#1000-102-1-9.1 Project Address: 1855 Depot Lane, Cutchogue,NY Phone#:631-379-6166E7il:bruce.brown awellstonybrook.edu Mailing Address:185.5_Depot Lane,yCutchogue, NY 11935 a �CO 3 ='#-�INTA�I''!?ER$DiV Name:Barbara -acreenLogicµLLC Mailing Address:97 North Sea Road, Southampton,"NY 11968 Phone#:631-771-5152__x117 Email:Barbara Greenlogic.com �D6iii NmPR0FE4S Ol1L-,1 bR'MAfION.t Name:James J. Stout ARchitect & Associate Mailing Address:2 Greg Lane, East Northport, NY 1.1731 Phone#:631-858-9388 Email:stouthub9jamesstoutarch corn _ " " F©Ri1V1ATdON:" COT1fTRAiCf©R't�f ,��- Name:GreenLogic LLCw „ µ - Mailing Address:97 North Sea Road. Southampton, NY 11968 r Phone#:631-771-5152 Email:AM0Qreen1og1c.com__..w_._._.___._n__ pE5GRpF1'EEN C i?RUP4Ir©''C�NS1'RU_G7pN,z, :,' :,4 xY � ,mrv �...3.k ,�v ,&..amu.,EU'r 5� .�wy�✓s.,a«>.-µ ,` _'�h ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: OOther Solar Panels on barn $ Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 q, f""' -v`f `{•.f'-Y,iR�v :l .a_�3ec _g .v. sffr,rtiiT�--�9- .,,`-e- E - A - PROPERTYfI.INFORMATION x�. Existing use of property.__ -- Intended use of property:51ingle 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. Q"theck,Box After:Readln TfieawnerjcoMrartar/design°professioiiat`is les`p6nsibiq forall dralnage,and stow wa#eF issues as,providedby Chapter=2S6 of tMe ToanitC Code:APPLtCATiOiY iS HEREBY MADE to ttie Building Departmeot fol tfae issuance5of a Building I?e�i»it pursuant tq the BuilcliiigZore = il: Ordinance<oftfis Taws of S0, li d,Suff0 lt4 County,lVeur Yo lreni!othe"r appliea6le t aurs,Qrilinari or ttegulations;"fa,tlfwnstructian ofuilding+R, 4a, additions, it a0 asyheiein escr ed The applicant agrees to`cgn£piy inrith°all applicuhl®lasn s,,ordinances;tiuildeing code; w dousing code and regulations aril-ta admif'autttiorized'inspeitors i n'preniises end^in build ng( for necessary i»spections.False statenrierimade herein ere` _ m.e�3r smaM,..s <°".R44..: pools}iaEafeasaClasiAmisderrieaitoipnisu?pttcfSection;21045`of.tiieNevVYorkStateAenallaw.' ,y ra ;_ *N `y Application Submitted By(print name):GreenLogic LLC ®Authorized Agent ❑Owner Signature of Applicant: Date: S5 d / 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 A� , day of 20i;24__ I"1 Notary NWARA A CASCIOTTA Notary Public-State of New York No. 01-CA4894969 oualified in Suffolk County PROPERTY OWNER AUTHORIZATION Commission Expires May 11,2023 (Where the applicant is not the owner) I, residing at do hereby authorize GreenLogic LLC to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 Scott A. Russell 'S /r T0IKMWA1,9F]E1[.. SUPERVISOR ( '� � I��[A\lam A\G�ER�![]E�.T SOLTTHOLD TOWN HALL-P,O.Box 1139 v" 53095 Main Road-SOUTHOLD,NEW YORK 11977 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK, SHEET ( TO BE COMPLETED BY TME APPLICANT ) DOLS THIS PROJECT INVOLVE Alm OF THE FOLLOWING. �! (CHECK ALL'f HA:r APPLY) i i 1 Yes No ❑Q A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑Q B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ x❑ C. Site preparation on slopes which exceed 10 feet vertical rise to ; 100 feet of horizontal distance. ❑ x0 D. Site preparation within. 100 feet of wetlands, beach, bluff or coastal erosion hazard area. r ❑0 E. Site preparation within the ane-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑0 F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management � Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP'. Complete the Applicant section below with your Name, Signature, Contact Information,Date & County Tax'Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department-with your Building Permit Application. 3 APPLICANT (Prolmoy 0a*.�ner.De>ign Profe,+iionat,Agont,Contractor,61117101 111 }( I S{' r� �: 1000 Date. istrict NA,biE- CreenLo G(Nesim Albukrek) 102 1 9.1 4/7/2021 ? a, Section Block Lot rOR BUILDING DEPAW VILNT LSL ONLY" �- Contact information-. 631-771-5152 i Reviewed By. s - - — — — — — — — — — — — — — — - - ; Date. 'Property Address I Location of Construction Work: — — — — — — — — — — O processing — — — Approved for cessing Buttding,Permit. � s 1855 Depot Lane Stormwater Management Control Plan Not Required. ; Cutchogue, NY 11935 3 a Stormwater Management Control Plan is Required. ; (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 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(aD-southoldtownny.gov — seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 4/7/2021 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.: , omplianceAddress.: , 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (All Information Required) Name: 1855 Depot Lane LLC Address: 1855 Depot Lane, Cutchouge, NY 11935 Cross Street: Phone No.: 631-379-6166 Bldg.Permit#: 9(y WZ1 f email:bruce.brownawellCstonybrook.edu Tax Map District: 1000 Section: 102 Block: 1 Lot: 9.1 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system (48) SunPower SPR-E20-327-E-AC panels Et (48) SunPower SPR-E20327-E-AC micro inverters (1) SunPower PVS6 monitor System Size: 17.280kW (20 panels are on house/28 panels are on barn) 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 71 Ph 73 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: In garage: Swap existing 100amp subpanei with new 225amp busbar subpanel protected with 125amp breaker. In Barn: Install 100amp subpanel PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx i �� f t"xzt'34.g0a SURVEY OF � p %+ LOT 1 MAP OF `' �°��• JOSEPH & BARBARA GRATTAN FILE No. 11403 FlIPd JUNE 27,1008 . , SITUATE �, ''�;b ' j°4 CUTCH O G UE TOWN OF SOUTHOLD . � .0SUFFOLK COUNTY, NEW YORK ~ " 011 , �, 'DOT S.C. TAX No. 1000-102-01-9.1 41 � . SCALE V=30' `�}`` ``��f' I dI M�°► �`� SEPTEMBER 8, 2007 / NOVEMBER 26,2408 AOOM DRY M.M.NOTE JANUARY.23,1$09 STAKE FOUNDATI09 I ��` th,,�� °"•,,,- w,1 I FEBRUA.4Y 11. 2009 FOUNDATION LOCATx N Q,,J AREA--.80,077 ®q.fl. ROBERT BRAY JR JOYCE N.. BARRY WELLS FARGO BANK. N.A. STEWART YTiLf INSURANCE COMPANY zz pry 1�p 110 cnu poll he§-!�� 'Ie��➢ w�� � ,•, fJ/ G wave m.� WRm �WY ®_ r I! r Imo➢ Nathan 'fait Corwin III E°�r Land Surveyor T�� 1 (•, f tih q.,Me.-rt.4 i,(,a>A-Ste Marr- Cw,durlbe� Pmr 0347:7-7E➢0 rm(tutnv-Im �� a[x➢s 11d7F0•r Y➢Lsa,lo➢m �pamesr Man PL 4u IWt ._, _',��_ _,r1ra tx_No.�m tts^te➢y Wer!n➢ol [a.J�d,IIp 1aaA twm-eras -10 G E [LOGIC® ENERGY May 5,2021 Nancy Dwyer Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Project Info: 1855 Depot Lane LLC 1855 Depot Lane,Cutchogue, NY 1000-102-1-9.1 Dear Nancy: Please find attached a building permit application to install a roof mounted solar photovoltaic(PV) electric system for the above referenced property. In connection with this application, please find attached: Building Permit application for barn • 4 Engineer's Letter of Certification for Barn • Check for$100($50 Building Permit/$50 CO) As discussed you have all other information for the panels on the main house and the electrical will cover both application as it is one system. Please let us know if you need anything else in connection with this application. Yours truly, Barbara Casciotta Account Manager Barbara@Greenlogic.com 631-771-5152 ext. 117 GREENLOGIC LLC ® 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 1 s Suffolk County Executive's Office of Consumer Affairs (, TED: t \ 4 DATE ISSL 12/10/2 SUFFOLK COUNTY Master Electrician License "r 1 , This istocertify that ROBERT , .". . SKYPALA y doing business as GREENLOGIC LLC having given MASTER ELECTRICIAN with and subject to the provisions of applicable laws,rules and regulations of i Countythe of Suffolk, State of New York. Additional C r - NOT VALID WITHOUT DEPARTMENTAL SEAL .J 1 CURRENT ,f CONSUMER AFFAIRS 11)CARD Inti;. Director r � --------- a": !��T -6 •�.'f� ,.ti.�'.;.�"�•� �..;w -�� \y"n.\/�. :.�` r .ti,. y. <.: ::w. .' :' ,,w�{ ., ;v,.,:. w....`:� '' s -' \.1 \, ..ri o 4t ,:. \ ,� ,.(� J..tier N'r �.k .N( ,\. !nr�."�:-.. .,,.,. ,...,,., '-t .:��:...r �} :y r ..2', ��,•u'' :�,e ,... ,� � .,-.\r-� .r y"-. vh.� .v ''n6 ,;:'Y i:. :ti; .k a �. -._�\: 7�,1 :q.!'ivM'M' �.: 2:' ♦ �, / ... y.v,: -�. ..JC; -r" : ,5.; G .< 3 O �- 5 {,1.... S'k 'Fr 'uI ;.. _¢; ...,:,.♦.�'... ,,. c!,y�rr� -4 ;:-... _,t'rr ,. .:..; .�,�.r, ( .n.,1; � n''a. �JYY .•i;�. ,r yv (t zg.. y� .:. 3;r/ �3 y'• :. r .41 r: jy/� .�G± � ,.,i^ '�:4 '�-•. r...0 ,r s, r• v`Z'.' t - .✓ �•`..;.1 Y1�^,�.,,: �, ,/ F Ca'..,1�•�V _;.. .(�� �yn,,.:.�` „� Fy �'`�s�y -4- i'"”` F'3:'.'r;,.t 'r`' .,.±_!',.' ��.'l�..r- �:iVI- �� (f'=..�Y• ;.i-' 4 € s � ) �. iVETERANS MEMORIALSuffolk County Executive's Office of ConsumerAffairs • , `• I t � DATE 1 # I1 No. 40227-H l SUFFOLK ! i Home Improvement Contractor License This is to certifv that > doing business $ y GREEN LOGIC , - 3 � having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules 3 and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk. � d E � r Additional Bgsinesses NOTVALID WITHOUT 1 4 1J�PARTMENTAL SEAL 1 rs } 1 A CURRENT \, CONSUMER �/ £ ► CARD 1 r c sx{ Director ;�1'" `�, =1i° ! 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". � �\ .,�r tk. �". f.\,,.y 4�`k�,,,,..: J N�.V.A.," �,t. •'`n �Y ,��� 5 (:{ �'.. � :?, �5 � � .Y� r '''�' !, .i _r.'. r � r:'r � � ! r.s ,r.>�•.r� `' a ,,.. .A f ,+ 1'+ .'^+ f 3' h "!' t.'?u r,,�.-•�,..-t*__,�„n•,£r i;�`•✓.., ..Ys:.:mss �7 .:� w !. fe. 3. `� ,w.:� k' m.-,+'3 ..J" ��+.:/,�`� !n. .:,F y ,;-..,h� �n ^ 9 .4y; , ,a l v M;N+ _.y.� ff;Hl _:� /!y((F +..4, .: ::; IrJF ,.Mw t,-4� ,,. :.,../\es .,y,✓•,;: ''�'1.HS';;.: l"•M ,.3- � µtti:::1�t � "...}1��iWµ�+,; K..A'j�M��A'\, !.,..a� h, / - NEW Workers' YORIC CERTIFICATE OF INSURANCE COVERAGE 4C� ATE Compensatfort Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 4 To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier Ia.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured GREENLOGIC,LLC 631-941-4113 97 NORTH SEA ROAD SUITE 3 SOUTHAMPTON.NY I1+�66 1c.Federal Employer Identification-Number of Insured or Social Security Number Work Location of Insured(Only required itcoverage is;peoficallyllmled to certain locations in New York State,te,Wrap-Up Policy) 203801194 2.-Name and Address of Entity'Requesfing'Proof of Coverage 3a,Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) SholterPoint Life Insurance Company Town of Southold 53095 Route 25 W Policy Number of Entity Listed in Box"Ia" Southold NY 11971 DBL251,202 X Policy effective,period 04111/2020 to 04110/2021 4,'Policy provides the following benefits: A.Both disability and paid family leave benefits. F]'B,Disability benefits only, EIC.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 employees employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurancecarrierreferenced aboveand that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. 4113/2020 Date Signed By (5sinature of iniuranrecatrier'sauthortzed representative or NYS Licensed Insurance Agent of that insurance carder) Telephone Number 516-829-8100 Name and Tjtip Richard.White, Chief Executive Officer 'IMPORTANT. If Boxes 4A and SA are checked,and this form is signed by the insurance carder's•authorjzed 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,Subld.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion td the Wdrkers'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 ch4cked) State of Now York Workers' Compensation Board According to infortnatibn maintained by the NYS WorkeW,Compensation Board,the above-named employer has,corripli6d with the NYS Disability and,Paid Family Leave Benefits Law with respect to all of histher employees, Date Signed By (Signature of Authorized NYS Workers'Compensatlon'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 carriem'are authorized to issue Form DB-?20.1.Insurance brokers*o NOT authodked to issue this form. 013-120.1(10-17) DB-1 <110 l; corkers' CERTIFICATE OF ATE =nsatlon NYS WORi�ERS' COMPENSATI®N INSURANCE COVERAGE 7a.Legal NameA Address of insured(use street address only] 1 b.Business Telephone Number of insured Greenlogic LLC 631-771-6152 97 North Sea Rd,Suite 3 1c.NYS Unemployment Insurance Employer Registration Number of South Hampton,,NY 11968 Insured Work Location of Insured(Only required ff coverage is specificaf/y limited to 1d.Federal Employer identification Number of insured or Social Security certain locations in New York State ie.,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 3b.Policy Number of Entity Listed in Box"ia" Building Department 53005 Rfe 25 WC532-00243-020-SZ Southold;NY 11971 3c.Policy effective period 7/23/2020 to 7123/2021 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) all excluded or certain partnerstofficers excluded. This°certifies that the insurance carrier indicated above in box"3"insures the business referenced,above in box"1a",for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must,be listed under item 3A on the INFbRMATION PAGE of the workers'compensation insurance policy); The Insurance Carrier orits 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'yeduafter 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 po 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 of 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 canceNation 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 1 am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Alicia Christiansen (Print namf a thonzed representative or licensed agent of insurance camer) Approved by: X 1 (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-105.2.1nsurance broker's are NOT Authorized to issue it. C-105.2(9-17) www.wcb.ny,gov AC v CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �" Fol/29/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONT,AMEACT Nicholas Zulkofske 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# INSURER A: 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 D: National Liability&Fire Insurance Co. Southampton NY 11968 INSURER E: AGCS Marine Insurance Co. INSURER F- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE [XI OCCUR DAMAGER(RENTED $100,000 X Contractual Liability X X GL202100012922 01131/2021 01/31/2022 MED EXP(Any oneperson) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $2,000,000 POLICY�JECT F LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER* E&O Liability $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 1 000 000 B X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED X X CAP1043565 08/1112020 08M112021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS x HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Par accident) UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N FR ANY OFFICERIMEMBER EXCLUDED?ECUTIVE❑ NIA see seperate certificate E L EACH ACCIDENT $ (Mandatory In NH) E L DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ C NYS Disability D251202 04/11/20 04/11/21 Statutory Limits E Installation Floater/Property SML93076366 4/15120 4/15121 $300,000 $2,500 Ded DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Certificate holder is also named as Additional Insured. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ> ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD •. ",t arm,'":. ;+: 'xvv°' :d�;'�5 Ion Q ® ® am Simple and fast Installation - lntegrate-'module-to-rail grouno ng - Pre-assembled raid and end c'amD Levitating mid clamp for easy placernenr � Mid clamp wid'h facilitates consistent,even modu,e spacing Simple,p'(_�-drilled rail splice U_2/0'4 Listed`nrograted grcun::ing ' f=lexible Design Addresses nearly all slooedl res dcntial roof's Cosign it landscape an«portra;L Rails endHe easy obstacle manage,en-, Customer-Preferred Aesthetics rodule and#' rrount'ng aesthetics Bes,-ir-class system aesthetics Elegant Simplicity PremlUrn,Sow-prof;le design B ack anodized components SunPowera Invisii'vlountTR` is a SunPower-des,gned Bidden m;d clamps and-end camps rail-based mount,ng sys,em The InvisWOurt system and capper,t1usn rai addresses r esidprtia' sloped roofs and combires faster Part of Superior System installation time, design flexibility. and superior aesthetics, B,jdt`or use witn sunPowe,IDS_and AC mocules Bes:-in-casssyster^rehanility and aestheticsI he Ir,visiMount product was specfically e nvis,oned and - C:omr)me%%,,h`;unPo,,^eereroclUesand engineered to pair With SunPower modules The resulting monitorirg app system-level approach will amplify the aesthesic and installation benefirs for both homeowners and installers. • x �nj Idyll/! V sunpower.com vf- — 41 . V" AF-7 af AM M7 gill ID 1 MIT.. .... FINNIM b' ll d W� riI I "-�-e 111%1212119--�-'-"" P"NININ Modi-&r MICI rIL;mp and Rail Module,i End Clamp and Ra I 77 Mid Clamp End Clamp Pail&Rai;SpPce C,ourdLug Asserrbly End Cap <qr15111" lernp-e-ature --4C'Ctci_90*__C(-40';-to .9/*F, Component Material wpigh, Max -oad(EKED) 3000 Pa uplift Padownforce MIC Clamp Blade oxide stainless steel AISI 504 g 63 (2 2 oz) 6000........- End ainip D:acK anodized,31urnll",rT'dllOY 6063 T61110 9(3 88 07' aluminum alloy 6005 FrZI-1 — B:ack anodized alui -1,5 ! 83Cgym(Sioz/ft) j Rail Splice Aluminum alloy 6,-1,15-T5 83C gIm(9 oz:ft) 25 year product wara,,ty .................. Ground Lug iO4siajnless 106 5 g/m(3 75 oz) 5-year fin sh,.,varran,,.� Assembly (A2-70 bolt,tir-p-ated cootie*lug) 1('4 g(0 37 07) End yapRlack septal(POM)ropo,mpr- UL2/03LI'Acd Cert flcations ON Oass A Fire Rated M Compos tion-Qh,ng[p RPftPr Attachment -1204-'M'-11:12 111plication Ourvedallu:Iat Tile,Roul"Al.tad viuA Ur-.vernal 1,iterface for Otter Roof attachments Refer toroof attachment harc4.ai2 manuaczvecs documentation L s comm,oh-w.1h the Inv siWount syste-reqkjfiWarha,cware intercipo,abiky All Rig,itsRe5,oved tii.,-IcmarksorlitirPovverCorpor-i',,),I Alother ,adem7rVf:z:-etl-eproperty otti-eirre!!pe,,Elvcicv.,rei-, sunpovvei corn Specifrcatiors irduded in tars 9atasneet are subject w mzrigevithOUnote Document#509506 RevC u N POW E R0 Sun WerO E-Series: E20-327 I E19-320 � SunPower® Residential k1, AC Module Built specifically for use with the SunPower EquinoxT''system,the only fully integrated solution designed,engineered,and warranted by one manufacturer, Maximum Power. Minimalist Design. AVAFN ndusrry-leading efficiency means more power and savings �® per availaole space With fever module's required and hidden microinverters,less is trL.:y more, Highest Lifetime Energy and Savings. Designed to de'iver 60%more ene,gy over 2.5 years in real-world conditions like partial shade and high temperatures.' '"F "'`''• ',�xF,., �,'�x��v%ire cs.y`^ .xi'fr`,``-,.'.<ti,oy ca?l`r , ;..FLindcimentally D!ffere - �rl, I Up to Iries qc 60% yT amore ,' c •3oc. ,-az� !lifetime �•F7Y""`=i�<" ��,. -�< y � �.p����„ 9My"<�-rte ��,, .`� ,�.,,'. - energy LS.,A tis J :.�' ,c a3^" ` - s,,,zf, -., 35 The`'SunPoweirMaxeot =Solar,Cell`x'�'-,ti Years oPoperation Lriab`es­higgheS `r lefliy. Z17UCU c', ,dvaliaoic. Best Reliability.y. Best Warranty. = ; . .. With more than 25 million modules deployed around r? .faton,ec`spy n,etGhfo";nciation< P eve'rzs'b ` �,;sd. e, the world,SunPowerlass That's echnolcgy is proven to wh;we stand behind our module and r^icro,nverter wirh the indt,stn's nest 25-year Combined Power and ` Product Warranty,=ndiding the highest Power Warranty Z-'• in solar Factoryx'iritegr•`atecltulicro+nverte�y'` CL -2% ... d ae"Irl �?fCrt��*'vx'trf_-rriaL, frfP�Ci".t,',-5;, `4�' X12% i a�id,Sr,Ut C1L'r'tI; n ;., , c•' x V M, '° more z44r: _ .,>^ a �, r e EcgiFee`'P.ti,3�td cd.€b alet�'bu r ;.<z°.,.. e . power 'in Un�0'v'r'`u'r,,i1r' �i}Yii1°JP,fl`'r 3, ..,n'.�•° a, %s..,�s 'in dear .xFx ( s l( =o.U.'� -' `k=e" sx�o.� �'"'a6s ,Fv.. i» w„'' a ?s a0ssx' < X25 Years of operation ®. E-Series: E20-327 E19-320 SunPower"Residential AC Module V" AC�teqfioi:Dq A Inverter Model:Enphase IQ 7XS(IQ 7XS-96-ACM-US) @240 VAC @208 VAC Vex Contm,ir",1'3 Outou,po.,w'r 15 VA 315 VA :horn (L L,Voltag,,/P.m5tel(v) 240 21 1-764 208/1,0-229 Max lorit,nuous jtur Cl-ri •- 1 31 151 Wy,t.nits per 2P.A(tA)Branch Cimit- '2(s ng e phase) 10(two oole)wye -i,.rcy 97 90/b 970% Nom 60 Hi LY[Ln_uc-,--eque-,LvQ.w;,- 417-68 Hz AC Shor',0,rui Fault i Ci ri-er t rear Cycles 5 3 A rms CI=. AC P01t AC Por(3-31 kfv0C CU'l er" 18 j1A Po,uer[-act(,,Sect mg 1 0 wf-r Factor(adpjsi:aolp) 0 7 lead 0 7 lag Eheepl-ase nstalla-,--ons 2s-year Iirnfted power wail ra-:y SPR-E20-327-E-AC SPR-El 9-3270ETO 'Aarranue5 •25-Yeai lin-ated prod-c..-wai ranty Nom Po,.Ajer1(Pr iorT-)_ 3-z7%,',l 0V - ----- Power Tcl '5"'-0% UL 1!(�3 ,4 JL17 1;IEEE-1547 Module Effic envy 20 401u. 9 91v- Certificat ons and UL 1 7-1 1 AC Mod,I(-(Type 2 fire rated) UL 62109-1/I�C'52109-2 emp Coel (Pooier) -0 35kXv'C -0�5%11 C C�Jfnplwilce .'-C Part'S Class 3 F- Three bypass diodes ICES-0003 Class B Shade To[ Integrated rnodule-leve,1-TIVIMirr power l'o nt track i i.a CAN/CSA C-22 2 NO 107 1-01 CA Rulc 21('UL 1741 SA), (i-dudes'jolulVar and Reactive Power Pricr ty) UL u5te(PV Rapid Shutcown Ecuipmentf, Coera[111--rernp -40°F to+185'F(-,i0°C to ro5°C) [,.!ax Arnbieniffemp 22°F(50°Ci Enables instal ation ir-d(coi d a nc,-w-h ---- ---- NFC 690 6(AC modile) vVir,cl 62 psf,3000 Pa.304-kglm2 fro-it&back NEC b90'2 Rao'd Y1,itciown(inside anc outside the ,ray) t,,,'ax Load Snow 1 25 ps.6000 Pa,G1 I q/rn'fi apt NEC 690 �SAC Corriectors,690 33(A)-',E)(1) rImpact Re-,-11'a-n---e Ira--1--"2 S mm)diameter ha11 at 52 rr o h l23 mis) Wrien used wivi rivisiMourit Poking and InvisiMount ac;.Pssones (UL 2-703) Module grounding and bonging through inv,siMoL nt Solar Cells 96 Monomstalline Waxeon Gen lil Class Aflli-L rated ----High--ransmiss,-otitempered glass with tAlr:n used vain 1 AC rnoriule Q Caples and au f scones,ill T J air d k I c:ront Goss ant-re lecove coauna UL 2238)" Env,roriniental Ratq,g Outdoor rated Ratec wr load break disconnect D--st Potential-i-clUced degradation free -Farr,�, Cla-,,;1 bla�k arodr�oc(hi;h&;i:AAMA r-Fting) Weight 42 9 Ihs(19 5 lg) Recommended lvax 1 3 in (33 i-ur) Mocule Spacing 1 Sun Power 3,�o)w ror-nrarel rn a crinventionni mcmile on-,amo-,.zfd arrays(26'0 W,W6 effrienk,arprox I nm-) pariyrnodt.,e Ueinf etzl'S,Jmower Module Mfrraaanon Rate,"Sun'owpr wh,-e pp.,)er 2013; 2 Based on-,varrh ct dace-,nt,,-tvalues fromw6s),es of top,0 r,arufaclui ors per HS,as of IC46 nim 30MM_ jiouay2017 (412 lr) "i 2m) 34'rankin Fraunnofei-WD-ab t, Part',"PVrecll,:',),qLr Nlagzzme,2015 ,9Mpe1J,7 Ctal pap,-r 2013 CAR-ile2l 393 mm romm i-mr.fnix,Seeme bl,ij n ox,nstallaulin Guice-6 1 F'01'o-more informati-I 55 andardTesrCnnditon,(i�CCVJ?rn=readwnce,�ldt 5125'C,NREI-rilmtori stanaard IzOMScurrerll LACCSFPz:nd,4ciiig(,..Ail[)Cvottaixe s fully contomecwithin tte modules. 43'mm 6-lispiocuct,sUt Lis,eoas P'URSF anc.con-oi msv.ah NEC 2014 and NEC 20'71,69012, -4 0 7 2 in,) aria C"_2 1-tai 5;Rul e fit-2.1 8 Rapid Shi i I d own at FIV is,fo r A,'ark_'D=ro idij,',D-, wllcnllnstallcld In.SWIC.Tumsr See VJVNJ AW " PIPOeU'VlfaCtS TKAm arp refe,trxe ir rqi m ") an, , li`r�ra Fri,moi.details,see exter c•ed d atzrshce-mw sirpow-r con ddata5neots S,:iecjf,caun��oinclude cl.i� his datasneet,,e,-u bjeccc dial ige without no,•L LISTED¢a7eaapS SLUMS-,lite M.6N 1. . 2 UNPOWER SUMPOWERlego nd WA)CECIN are registereo trademarks of SunPowcr Corocritionii-heUS i-803-SLINKANER Plea,,v ivatc,th.-Safety ,id rlstakitmm ton deum's 931948 RevA o® om-- ti PV SA—1 _ NEWEQUIPMENT _ _ E ISTINr, SERVICE 1 A --CCDM INER PANEL 120,11/240, 1 PH, a+ • • I s ir4C C MI3_,..1 z I i (PV Lt7.'ADS ONLY) I j 4 CA t 3 mm '_'fit`✓... • i • 7 BKR-1 . . . � AC DISCONNECT IAV--'SA--4, ; ISI _—. BIS 3 _ . PV-SA- _ BKR--4 MAIN Z-ff ON * • R 9 ii • B :R-5 A B N F FUSED rUSED f'""'�"'..CJ . IJT�.R-6 Fm i . • . I S"R-7 € I I r' N f ._a N � EGC EXISTING QAC PAN 1XISTING —- GEO GEC __j 06 CU _- PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Brownawell, Bruce 1855 Depot Lane ENERGY Cutchogue, NY 11935 LII I TIN THE COST'OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Brownawell-3LD1 Revision: 1 Revised: 12/15/20 EQUIPMENT& COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PV SUB-ARRAY SPR-X22-360-E-AC ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 12-MODULES PV-SA-2 PV SUB-ARRAY SPR-X22-360-E-AC ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 6-MODULES PV-SA-3 PV SUB-ARRAY SPR-X22-360-E-AC ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 6-MODULES PV-SA-4 PV SUB-ARRAY SPR-X22-360-E-AC ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 6-MODULES PV-SA-5 PV SUB-ARRAY SPR-X22-360-E-AC ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 6-MODULES PV-SA-6 PV SUB-ARRAY SPR-X22-360-E-AC ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 6-MODULES PV-SA-7 PV SUB-ARRAY SPR-X22-360-E-AC ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 6-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 4320 WATTS 211-264 VAC 17.56 A AC 240 V,AC PV-SA-2 2160 WATTS 211-264 VAC 8:79 A AC 240 V, AC PV-SA-3 2160 WATTS 211-264 VAC 8.79 A AC 240 V, AC PV-SA-4 2160 WATTS 211-264 VAC 8.79 A AC 240 V,AC PV-SA-S 2160 WATTS 211-264 VAC 8.79 A AC 240 V, AC PV-SA-6 2160 WATTS 211-264 VAC 8.79 A AC 240 V, AC PV-SA-7 2160 WATTS 211-264 VAC 8.79 A AC 240 V, AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Brownawell, Brucervtj*- - 1855 Depot Lane GY Cutchogue, NY 11935 I� 1 I ATIt TH -c T OF ENE 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Brownawell-3LD1 Revision: 1 Revised: 12/15/20 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMBP AC COMBINER PANEL 250V,200A, 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 BKR-4 CIRCUIT BREAKER,PV-SA-4 MATCH AC COMBINER PANEL BRAND,2-POLE,20A BKR-5 CIRCUIT BREAKER,PV-SA-5 MATCH AC COMBINER PANEL BRAND,2-POLE,20A BKR-6 CIRCUIT BREAKER, PV-SA-6 MATCH AC COMBINER PANEL BRAND,2-POLE,20A BKR-7 CIRCUIT BREAKER, PV-SA-7 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 2"PVC-40 4 / 6 C THWN-2 2"EMT 4 / 6 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. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Brownawell, BruceE - " "r 1855 Depot Lane _ ENERGY Cutchogue, NY 11935 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Brownawell-3LD1 Revision: 1 Revised: 12/15/20 tba--f n APPROVED AS NOTEP OCCUPANCY OR DATE: .s= ` B.P.# 4 USE IS UNLAWFUL FEE: BY: WITHOUT CERTIFICATE NOTIFY BUILDING DEP41 T-V-VT AT OF OCCUPANCY 765-1802 8 AM rO a PkI - AFI THE FOLLOWING, INSPI:,,T IONS 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUG i - FRAMING & PLUMBING 3. INSULATION Cedditional 4. FINAL - CONSTRUCTION MUST • BE COMPLETE FOR C.O. doll ALL CONSTRUCTION SHALL MEET THE ZwaY Be Required. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. C01',41PLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF OUTHOLD TOWN ZBA - SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC J A M E S J. S TOUT .A R C H I T E C T & Assoc. 2 G REG LANE E AST NORTHP0RT N. Y. 631 - 058 9388 Letter of Certification May 3, 2021 RE: Brownawell Residence 1588 Depot Lane Cutchogue, NY 11935 To Whom it may concern: I,James J. Stout, registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above- mentioned address and have determined the structure and the panel attachment to be adequate to support the new additional load imposed by the proposed solar panel system and complies with the 130-mph wind design load as per 2020 Residential code of NYS(RCNYS), 2020 building code of NYS(BCNYS) residential code, 2020 Energy conservation construction code of NYS(ECCCNYS)and the 2017 National Electric Code NFPA 7012017 National Electric Code, and the ASCE 7-16. The existing 2"x 4" @ 24"o.c. roof rafters will provide adequate support. Thank you for your understanding in this matter. James J. Stout Architect D Aj? �5 J s T �� w F 0 E`N GREENS IC® ENERGY GreenLogic,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,NY 11935 Surface#A: Total System Size: 17.280kW Array Size:7.200kW 1 Circuit of 10 on a 20A Breaker 1 Circuit of 10 on a 20A Breaker Azimuth:131° Pitch*40° Monitoring System: 2 Lj SunPower Panel/Array Specifications: Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:25'9 7/8"X 13'11" Surface:27'3"X 17'2" Magic#:Invisimount Legend: ® 20 SunPower 327W AC Panels SunPower Invisimount Rail • 70 S5!-S Clamps 8 B Snap Lock Aluminum Standing Seam Roof spaced 20"on center Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:S5!,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: ��kED ARC na 4 n � 1 21 33 OQ Drawn By:MMB Drawing#I of 11 Date:3/25/2021 REV.A Drawing Scale:1/8"=1.0' ' L®QNC® ENERGY GreenLogic,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,NY 11935 Surface#A• Total System Size:17.280WV Array Size:7.200kW 1 Circuit of 10 on a 20A Breaker 1 Circuit of 10 on a 20A Breaker Azimuth:131* Pitch:40° Monitoring System: 2 SunPower Panel/Array Specifications: Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" cm Array:25'9 7/8"X 13'11" Surface:27'3"X 17'2" Magic#:Invisimount Legend: ® 20 SunPower 327W AC Panels SunPower Invisimount Rail • 70 S5!-S Clamps B 8 Snap Lock Aluminum Standing Seam Roof spaced 20"on center Notes: Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used.S51,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: V�ED ARC O� A ` � - 1 2 33 ®Q• Drawn By:MMB Drawing#2 of 11 Date:3/25/2021 1 REV:A Drawing Scale:1/8"=1.0' GREENLOGIC ENERGY GreenLog/c,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,.NY 11935 Surface#A: Total System Size-17.280M Array Size:7.200WV 1 Circuit of 10 on a 20A Breaker _ 1 Circuit of 10 on a 20A Breaker Azimuth:131' Pitch:40° Monitoring System: 2 SunPower Panel/Array Specifications: -71 Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount 2 Panel,61.39"X 41.18" Array:25'9 7/8"X 13'11" Surface:27'3"X 17'2" Magic#:Invisimount Legend: 2 ® 20 SunPower 327W AC Panels SunPower Invisimount Rail • 70 S5!-S Clamps 8 Snap Lock Aluminum Standing 1 Seam Roofs aced 20"on center Notes: Number of Roof Layers-1 Height above Roof Surface:4" 1 Materials Used.S5!,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: BRED ARS' 5� �5J. T 21 33 ®� iV_0 Drawn By.MMBI-Drawing#3 of 11 Date:3/25/2021 REV-A - Drawing Scale:1/8"=1.0' GREENLOWCO ENERGY GreenLogic,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,NY 11935 Surface#B: Total System Size:17.280kW Array Size:5.040M 1 Circuit of 7 on a 20A Breaker 1 Circuit of 7 on a 20A Breaker Azimuth:131' Pitch:37° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 13/16"X 10'3 W Surface:25'7 X 11'9" Magic#:Invisimount Legend: ® 14 SunPower 327W AC Panels SunPower Invisimount Rail • 34 S51-S Clamps 8 Snap Lock Aluminum Standing Seam Roof spaced 20"on center Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:S51,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: C52 3. a 21 33 ®Q, TF NE�y Drawn By.MMB Drawing#4 of 11 Date:3/25/2021 REV.A Drawing Scale:1/8"=1.0' GREENLOGNC ENERGY GreenLowc,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,NY 11935 Surface#B: Total System Size:17.280kW Array Size:5.040kW 1 Circuit of 7 on a 20A Breaker 1 Circuit of 7 on a 20A Breaker Azimuth:131' Pitch:37" Monitoring System: 2 SunPower Panel/Array Specifications: Panel SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 13/16"X 10'3'/z Surface:25'7 X 11'9" Magic#:Invisimount Legend:------------- — ® 14 SunPower 327W AC Panels SunPower Invisimount Rail • 34 S5!-S Clamps B Snap Lock Aluminum Standing Seam Roof spaced 20"on center Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:S5!,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: D A/? Ir - V � 21 33 ®� Drawn By:MMB Drawing#5 of 11 Date:3/25/2021 1 REV.A Drawing Scale:1/8"=1.0' ENERGY GreenLogic,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,NY 11935 Surface#B: Total System Size:17.280kW Array Size:5.040kW 1 Circuit of 7 on a 20A Breaker 1 Circuit of 7 on a 20A Breaker Azimuth:131' Pitch:37° Monitoring System: 2 SunPower Panel/Array Specifications: Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 13/16"X 10'3 W 4 Surface:25'7 X 11'9" Magic#:Invisimount Legend: ® 14 SunPower 327W AC Panels SunPower Invisimount Rail • 34 S51-S Clamps D 8 Snap Lock Aluminum Standing 3 Seam Roof spaced 20"on center Notes Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used:S5!,SunPower Added Roof load of PV System.2.84psf Engineer/Architect Seal: �V�ED AF?c na Drawn By:MMB Drawing#6 of 11 Date:3/25/2021 REV:A Drawing Scale: 1/8"=1.0' GREENLOGIC OD ENERGY GreenLogic,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,NY 11935 Surface#C: Total System Size:17.280kW Array Size:5.040M 1 Circuit of 7 on a 20A Breaker 1 Circuit of 7 on a 20A Breaker Azimuth:311° Pitch:37° 40%11— Monitoring System: XT SunPower Panel/Array Specifications: Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 13/16"X 10'3 W Surface:25'7 X 11'9" Magic#:Invisimount Legend: ® 14 SunPower 327W AC Panels SunPower Invisimount Rail • 34 S5!-S Clamps B 8 Snap Lock Aluminum Standing Seam Roofs aced 20"on center 7x x x -x 7 Notes: Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used:S5!,SunPower Added Roof load of PV System,2.84psf Engineer/Architect Seal: %kED ARC w � 21 TF Drawn By:MMB Drawing#7 of 11 Date:3/25/2021 REV.A Drawing Scale: 1/8"=1.0' ((37 �GREENS I ® ENERGY GreenLogic,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,NY 11935 Surface#C: Total System Size:17.280kW Array Size:5.040kW 1 Circuit of 7 on a 20A Breaker 1 Circuit of 7 on a 20A Breaker Azimuth:311° Pitch:37° Monitoring System: 2 SunPower Panel/Anray Specifications: _ Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 13/16"X 10'3 W Surface:25'7 X 11'9" Magic#:Invisimount Legend: ® 14 SunPower 327W AC Panels SunPower Invisimount Rad • 34 S51-S Clamps B B Snap Lock Aluminum Standing Seam Roof spaced 20"on center Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:S5!,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: EAED qRL, 6 - NE Drawn By:MMB Drawing#8 of 11 Date:3/25/2021 REV.A Drawing Scale:1/8"=1.0' REENLOGICS -' ENERGY GreenLogic,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,NY 11935 Surface#C: Total System Size. 17.280kW Array Size:5.040kW 1 Circuit of 7 on a 20A Breaker 1 Circuit of 7 on a 20A Breaker Azimuth:311° Pitch:37° Monitoring System: 2 SunPower Panel/Array Specifications: Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 13/16"X 10'3 W Surface:25'7 X 11'9" 6 Magic*Invisimount Legend: ® 14 SunPower 327W AC Panels SunPower Invisimount Rail • 34 S5!-S Clamps 5 Snap Lock Aluminum Standing Seam Roof spaced 20"on center Notes: Number of Roof Layers:1 Height above Roof Surfaoe:4" Materials Used:S5!,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal-RED ARC 5 �S 3 T 1 21 Drawn By:MMB Drawing#9 of 11 Date:3/25/2021 REV:A Drawing Scale:1/8"=1.0' No Vent Pipes Will Be Covered By The Solar ArrayEL Legend: ENERGY GreenLogic,LLC Approved AR-Access Roof AP-Access pathway,36"minimum width SVO—Setback at ridge Brownawell,Bruce and Anne per R202 definitions per R324.6.1 as per R324.6.2.1 Cutc Depot Lane utchogue,NY 11935 M ter Total System Size:17.280WV 1 Circuit of 10 on a 20A Breaker 1 Circuit of 10 on a 20A Breaker 2 Circuits of 7 on 20A Breakers 2 Circuits of 7 on 20A Breakers Azimuth:131' ! Monitoring System: 2 I SunPower I Panel/Array Specifications: I I Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" I Magic#:Invisimount D Legend- 0 ® 48 SunPower 327W AC Panels _X SunPower Invisimount Rad �+ • 138 S5!-S Clamps B Snap Lock Aluminum Standing Seam Roof spaced 20"on center 406 O Notes: 14 SunPower 'rt Number of Roof Layers:1 327W Panels 0 I Height above Roof Surface:4" I Materials Used:S5!,SunPower = I _ _ Added Roof load of PV System:2.84psf AP' j I En ineer/ArchitectSeal: m i AP o L----- -------I ��ED ASC to ___SVO__ 5� J. cD 20 SunPower Q� 327W Panels I r Ar I r �� I 21 33 O I TF I Drawn By:MMB Drawing#10 of 11 14 SunPower MDate:3/25/2021 REV:A 327W Panels Drawing Scale:3/32"=1.0' e,,,%,GREENLOGIV ENERGY GreenLogic,LLC Approved Brownawell,Bruce and Anne 1855 Depot Lane Cutchogue,NY 11935 Total System Size:17.280kW Material list s Qt1L Rail Material List 1 Circuit of 10 on a 20A Breaker 1 Circuit of 10 on a 20A Breaker _ _._'...?__._ 2 Circuits of 7 on 20A Breakers ii 2 Circuits of 7 on 20A Breakers , mu z ____.�_ _ �--_______t ' -i .-f•- AZ the 131* 551-S Clamps__, 138 �. Monitoring System: � _.... . . .. . ....... .. ...._ - __. __ _,,._ . .._,_ ___,_, .._ .__i _ .___ ; .,__,._ .. .___, .__, __ SunPower Panel/Array Specifications: PaneI:SPR-E20-327-EAC i Racking-doing•SunPowerinvisimount___._ -- _-_-__ -----__,__._- Panel: 61.39"X 41.18" _ _._ _ ___�_. Magic#:Invisimount , i Legend: Z 48 SunPower 327W AC Panels SunPower Invisimount Rail , • Clamps s Snap Lock Aluminum Standing , Seam Roof spaced 20"on center ii : Notes: _ ____ ___. . _ , . , _, Number of Roof Layers:1 Height above Roof Surface:4" i ! Materials Used.SR SunPower Added Roof load of PV System-2.84psf Engineer/Architect Seal: �V�ED ARC �0 �`' 3• A tA t 21 Drawn By:MMB I Drawing#11 of 11 Date,3/25/2021 REV.A Drawing Scale:3/32"=1.0'