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���OUFf01 Town of Southold 10/1/2021 Q P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42379 Date: 9/30/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 4365 Deep Hole Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-16-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/2/2021 pursuant to which Building Permit No. 46426 dated 6/15/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof-mounted solar panels to existing single-family dwelling as applied for. The certificate is issued to Barry,Vincent&Catherine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46426 9/22/2021 PLUMBERS CERTIFICATION DATED n �\ �\\ 0 \Av�Y A/V th rize S nature ��o�Su ot��oGy, TOWN OF SOUTHOLD BUILDING DEPARTMENT a 9 TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46426 Date: 6/15/2021 Permission is hereby granted to: Barry, Vincent 4365 Deep Hole Dr Mattituck, NY 11952 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 4365 Deep Hole Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-16-25 Pursuant to application dated 6/2/2021 and approved by the Building Inspector. To expire on 12/15/2022. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 B`uding nspector 0v SO(/r�®l Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.deviin(M-town.southold.ny.us Southold,NY 11971-0959c®��y�y qo aFl Y B BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Vincent Barry Address: 4365 Deep Hole Dr city,Mattituck st: NY zip: 11952 Building Permit#: 46426 Section 115 Block 16 Lot 25 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Logic LLC License No: 43858ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey 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 Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment Roof Mounted PV Solar Energy System w/ (27) Sun Power SPR X22 360EAC Panels (1) SunPower PVS6 Monitor, 100A Sub Panel Combiner w/220x3 215x1 Notes: Solar Inspector Signature: Date: September 22, 2021 S.Devlin-Cert Electrical Compliance Form o��pE SOUTHp6 L4 (o q 2.16Li V� # # TOWN OF SOUTHO.LD BUILDING 91EPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING , [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] -FIRE SAFETY INSPECTION " [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE-C/O REMARKS: " - DATE 2 INSPECTOR �A of souryo� # * TOWN OF SOUTHOLD BUILDING DEPT. �o • a� `ycourm N�' 765-1802 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATIOWCAULKING [ ] FRAMING /STRAPPING j FINAL [ ] -FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 0 ca& DATE -c as o�D2! INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS 6� ro r FOUNDATION(1ST) ------------------------------------ t N C FOUNDATION(2ND) z o ROUGH FRAMING& PLUMBING y (� da I VN N r INSULATION PER N.Y. H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS _izo �Z m N b � O N y�y �'S y d ►d y F 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 htt-I)s://Nvww.southoldtowntiy.gov Date Received APPLICATION FOR BUILDING P MIT LSUE GIVE For Office Use Only PERMIT N0. Building Inspector: 7/ / JUN 2 2021 V, 'Applications�and,f 'filled,out,in their enttrety 00 e ;,applications will,not,,U�' Wh)ere'th U9,T)ING DEPT. Appri 7'017%,' v6wnees,AttthorUAV16 Page 21'Aall be Date:6/1/2021 q11 'W4 Name:Barry Vincent SCTM#1000-115-16-25, Project Address:4365 Deep Hole Drive, Mattituck Phone 63-1-298-4443 Email:V714Paol.coM1_1_ Mailing Address:4365 Deep Hole Drive, Mattituck, NY 11952 VMA, Name:Barbara - 'GreenLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 11968 Phone#:631-771-5152 x117 Email:BarbaraOGreenlog.ic.com 0 R _ci�s!q�F&46 LINFO Name:James-).-Stout ,Architect,&,Assoc. ---., ,-, Mailing I Address:2 Greg_Lane, East Northport, NY 11731 Phone#:63,11-858-9388 Email:stouthub,C@iamess,tolutarchl.Icom II .as CTOR INFER 4 ,�Iq Name:Green Logic--LLC," .......... I M I ailing Address:97 North Sea Road, Southamplon,NY 11968 Phone#:631-771-5152 r Email:AM@Greenlogic.com -'FNV' Q Pif%V'%� 'T Rio, 16� Pk 046�� I Avo �T NK2 ONewStructure ElAddition ®Alteration EIRepair E]Demolition Estimated Cost of Project: [i]Cith e r Solar Panels $42,000 Will the lot be re-graded? E]Yes *No Will excess fill be removed from premises? L]Yes ®No .PROPERTY INFORMATION` �- Existing use of property: 1 Fam.ReSldenCe-- .__ Intended use of property: 1_FamReSldenCe Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to _._.x_.."_ _. . _. ._.._u . .v_.. ._ ....__...__..__..,... .__.., ..____.. _._...._..__ this property? ❑Yes XNo IF YES, PROVIDE A COPY. G Teck BO�C1� i,R�a��Ir9 :a7hegwner Contractor desi F rofessioriatis,r s on i lefo\all'drai � a ri 5 -a gn p e p s b r nage and starni w termsues as provided,-v----y Chapter'236 of,the Town Code. APPtICATIONIS HEREBY'MADE to the Building Department fomite Issuance of a Building permit pursuant-tothie Building Zone Ordinance of the Town of Southold,Suffolk,County;New York and other applicable 6wis,Ordinances or,Begulationnf s,,for the construction- buildings;- - _ additions,'alterations or for removal or demolition�as;tieiein desciitjed:°The appliciint agreesto`ca rply vrlfh all aptilicable Inoue,ordinanc&,building code; housing code and,reguiations and taadmita tf�orized inspector§on'premises and in buildPng(s).fornecessaryinspections.False stat ements-madeharein are;<< punishable as Class A misdemeanor pursuant tb Sectiaii 216:45 of,the;NewYork-State�Penal ' Application Submitted By(print name):GreenLogic LLC ®Authorized Agent ❑Owner Signature of Applicant: Date: t 1 /.1 1 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 S� day of J W G 120.21 Notary Public BARBARA A CASCIOTTA Notary Public-State of New York PROPERTY OWNER AUTHORIZATION No 01-CA4894969 (Where the applicant is not the owner) qualified in Suffolk County Commission Expires May 11,2023 I, y 1V)cAt'1-� V 1��� residing at do hereby authorize GreenLogic LLC to apply on my behalf to the Town of Southold Building Department for approval as described herein. „r.C,�-- S 412-+12-1 Owner's Signature Date U<"Carvyj Sac T!j Print Owner's Nam 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD C =` Town Hall Annex - 54375 Main Road - PO Box 1179 w, Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny.gov -- seand(cb-southoldtownny.gov r APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 6/1/2021 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 ❑✓ l request an email copy of Certificate of Compliance Address.: . 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (All Information Required) Name: Vincent Barry Address: 4365 Deep Hole Drive, Mattituck, NY Cross Street: Phone No.: 631-208-4443 Bldg.Permit#: %Zemail: V714@aol.com Tax Map District: 1000 Section: 115 Block: 16 Lot: 25 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system (27) SunPower SPR-X22-360-E-AC panels It (27) SunPower SPR-X22-360-E-AC micro inverters (1) SunPower PVS6 monitor System Size: 9.760kW Check All That Apply: Is job ready for inspection?: ❑YES Fv-1NO ❑Rough In OFinal Do you need a Temp Certificate?: OYES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A #Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx C1 1/ 1 PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fans `F-ridge HW - Exhaust Oven W/D Smokes DW Mini Carbon - _ ._ ._ Mlfi ro „ G'ene'rator, Combo , :_ .. `Co'oktbp r.,. ,Transfer' AC -•AH , .. .. .., - Hood,- ,,. - . . ._• ._. . . .-_. ... Service - Amps Have'"" 'Used Specials. _.._ .. M. Comments 0FOL 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�Dsouth oldtownny.g_ov -- seand(cb-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 6/1/2021 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 ❑✓ I request an email copy of Certificate of Compliance Address.: . 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (All Information Required) Name: Vincent Barry Address: 4365 Deep Hole Drive, Mattituck, NY Cross Street: Phone No.: 631-208-4443 Bldg.Permit#: email: V714@aol.com Tax Map District: 1000 Section: 115 Block: 16 Lot: 25 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system (27) SunPower SPR-X22-360-E-AC panels Ft (27) SunPower SPR-X22-360-E-AC micro inverters (1) SunPower PVS6 monitor System Size: 9.760kW Check All That Apply: Is job ready for inspection?: DYES R]NO ❑Rough In QFinal Do you need a Temp Certificate?: QYES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground [—]Overhead # Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx L11/91 GREENLOGICO ENERGY June 1, 2021 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Project Info: Vincent Barry 4365 Deep Hole Drive Mattituck, NY 11952 1000-115-16-25 Dear Building Inspector: Please find attached a building permit application to install a roof mounted solar photovoltaic(PV) electric system for the above referenced property. In connection with this application, please find attached: • Building Permit application with owner authorization • Application for Electrical Inspection • 2 Surveys of the Premises • 4 Engineer's Reports • 2 Three Line Electrical Drawings • 2 Spec. sheets of the solar panels • 2 Spec. sheets for Racking System • . 2 Spec. sheets for Monitoring System • GreenLogic Suffolk County Home Improvement License • GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License • Check for$200($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, 53a%6a%a e,wdotta Barbara Casciotta Account Manager Barbara@Greenlogic.com GREEN.YJI9-�J%1_vyv6.)re1,j1pgic.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 2 Rosyln Heights, NY 11577 ,Aco DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE Fol/2912021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nicholas Zulkofske Brookhaven Agency,Inc. PH°NE 631 FAx 941-4113 631 941-4405 100 Oakland Ave,Ste 1 EMAIL Certificates@ brookhavena enc .com Port Jefferson,NY 11777 INSURER(Sl AFFORDING COVERAGE NAIC A 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. INSRTYPE OF INSURANCE DO SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE X�OCCUR DAMAGE TO RENTED $100,000 X Contractual Liability X X OL202100012922 01/3112021 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[j]JE� F7 LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER E&O Liability $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED X X CAPI043565 08M112020 08M1/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS A HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per arrident) UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER LITE OTH- AND EMPLOYERS'LIABILITY Y/N AT EFZ ANY OFFICER/MEMBER EXCLUD D7 ECUTIVE❑ E L EACH ACCIDENT $ NIA see seperate certificate (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ C NYS Disability D251202 04/11/20 04/11/21 Statutory Limits E Installation Floater/Property SML93076366 4/15120 4115/21 $300,000 $2,500 Ded DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate holder is also named as Additional Insured. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ> @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NEorkers' CERTIFICATE OF YORK TATIr C. L� ; � I3 �r NYS ORKERS' C® FENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Greenloglc LLC 631-771-5152 97 North Sea Rd Suite 3 1c.NYS Unemployment Insurance Employer Registration Number of South Hampton,NY 11968 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York Staten i.e.,a Wrap-Up Policy) Number 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) United Wisconsin Insurance Company Town of Southold Building Department 36.Policy Number of Entity Listed in Box"la" 53005 Rte 25 WC532-00243-020-SZ Southold,NY 11971 3c.Policy effective period 7/23/2020 to 7/23/2021 3d.The Proprietor,Partners or Executive Officeware n included' (Only check box if all partners/officers included) E] 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,l 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 nam f a thonzed representative or licensed agent of insurance earner) r Approved by: rt : (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-4052.Insurance brokers are NOT authorized to issue if. C-105.2(9-17) www.wcb.ny.gov 1"'NEW STATE ation Workers! CERTIFICATE OF INSURANCE COVERAGE Compens Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family leave Benefits Carrier or Licensed Insurance Agent of that Carrier la.Legal Name 8 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 11968 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required it coverage Is specificallylimited to or Social Security Number certain locations In New York State,Le.,Wrap-Up Policy) 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) SholterPolnt Life Insurance Company Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"ll a" Southold, NY 11971 DBL251202 3c.Policy effective period 04/11/2020 to 04/10/2022 4. Policy provides the following benefits: © A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: ® A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the Insurance carrier referenced above and that the named Insured has NYS Disability and/or Paid Family Leave Benefits Insurance coverage as described above. Date Signed 4/7/2021 By CSU/G (Signature of insurance canter's authorized representative or NYS Licensed Insurance Agent of that Insurance carner) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,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 513 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,f.Insurance brokers are NOT authorized to Issue this form. DB-120.110.17, IIOIIPDuuoiooiogigllll�(ioQioii®ii�l� �R '7 �MR" T' �V r 47 .4 Suffolk County Executive"s 0 ce of Consumer Affairs VETERANS MEMORIAL FIIGHWAY HAUPPAUGE,NEWYORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY ....... ... Home Improvement Contractor License ........ ...... This is to certifv that MARC A CLEJAN doing business as GREEN LOGIC LLC having ftimished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk. 0 N1. K.: Additional Businesses ...... NOT VALID WITHOUT DIEPARTMENTAL SEAL AND A CURRENT CONSUNAEk AFFAIRS ID CARD Director .0" & 4 x, � M 1 nor i' a • •' a: ' ♦. , •. •. a / ;•, ', • • ���r.. ck } r IF, i �a \' - Z/C.meq•�.� � - .�'T t c s :f�. � ,`f, - \`� l r � -.�� ..i;:.'� .:.1- �S� �� r 'y � ��� _ .� �'�r�1� `�l. .. // \\ fr �\-.-� fi �` f. •�\. ' '!(\\. 1, �'��." '` /t t1 lig\\ J A -IBES J. S TOUT A R C H I T E C T & Assoc . 2 'G REG L ANE E AST NORTHPORT N. Y. 631 - 858 9388 c� COMPLY WITH ALL CODES OF Letter of Certification NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF May 24,2021n��tTmu�=n7niarni�a� RE: Barry Residence OUT BOARD 4365 Deep Hole Drive S4 EES Mattituck, NY 11952 N YDS Dom_ 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 6" @ 16"o.c. roof rafters will provide adequate support. Thank you for your understanding in this matter. James J. Stout Architect AP ROVED AS NM OTD ,ED Arc f DATE:, B.P.# J. FEE: BY: c�S T �n NOTIFY;BUILDING DEPARTMENT AT 765-1802 8'AM- TO 4 PM FOR THE s � FOLLOWING,INSPECTIONS: 1. FOUNDATION. --TWO REQUIRED FOR POURED CONCRETE X21 33 �O 2. ROUGH-_FRAMING & PLUMBING NES 3. INSULATION 4. FINAL T- CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW OCCUPANCY ® YORK STATE. NOT, RESPONSIBLE FOR USE IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE ELECTRICAL OF OCCUPANCY iINSPECTION REQUIRED �� N L WDz ENERGY GreenLogic,LLC Approved Barry,Vincent 4365 Deep Hole Drive Mattituck,NY 11952 Surface#A: Total System Size:9.720kW Array Size.3.960kW 1 circuit of 11 on a 20A breaker Azimuth: 172° Pitch:39° Monitoring System: N SunPower Panel/Array Specifications: Panel SPR-X22-360-E-AC ' Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:20'10 7/8"X 10'3 1/2" Surface:22'7"X 15'7" Magic#:Invisimount p Legend: II ® 11 SunPower 3601Jl!Panels ® SunPower Invisimount Rail 0 19 Quick Mount E Lag 8 8 2x6"Douglas Fir Rafter 16"O.C. Notes. Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: ED 4 � Opt qtr• - i ,�. 021 33 OQ' Drawn By-MA Drawing#1 of 8 • Date:5/19/2021 REV:A Drawing Scale: 1/4!'=1.0' c .�G LMV L ENERGY GreenLogic,LLC Approved Barry,Vincent 4365 Deep Hole Drive Mattituck,NY 11952 Surface#A: Total System Size:9.720kW Array Size:3.960kW 1 circuit of 11 on a 20A breaker Azimuth:172° Pitch:39° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-X22-360-E-AC M YA IRK Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:20'10 7/8"X 10'3 1/2" Surface.22'7"X 15'7" Ma is#:Invisimount Leaend: Q 11 SunPower 360W Panels ® SunPower Invisimount Rail ® 19 Quick Mount E Lag B 8 2x6„Douglas Fir Rafter 16"O.C. Notes: HV Number of Roof Layers:1 \IV Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof Ioad of PV System:2.84psf Engineer/Architect Seal: BRED Ci) y 0210 yOQ Drawn By.MA Drawing#2 of 8 Date:5/19/2021 REV,A Drawing Scale: 1/4"=1.0' E E N LCGOC ENERGY GreenLogic,LLC Approved Barry,Vincent 4365 Deep Hole Drive Mattduck,NY 11952 Surface#A: Total System Size:9.720kW Array Size.3.960kW 1 circuit of 11 on a 20A breaker Azimuth:172° Pitch:39' N) Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" 1 Array:20'10 7/8"X 10'3 1/2" Surface:22'7"X 15'7" Magic#:Inwsimount Legend: y W V y ® 11 SunPower 360W Panels ® SunPower Invisimount Rail i 19 Quick Mount E Lag 1 8 2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:2.84psf Engineer/Architect�Sea�l: / RED '�- , NC t � 'q 021633 y0� TF�OF E� Drawn By MA Drawing#3 of 8 Date:5/19/2021 REV:A Drawing Scale:1/4"=1.0' 6'4, GREENLOOCO �. ENERGY GreenLogic,LLC Approved Barry,Vincent 4365 Deep Hole Drive Mattituck,NY 11952 Surface#B: Total System Size,9.720kW Array Size:5.760kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:262" Pitch:11" Monitoring System. SunPower Panel/Array Specifications: Panel SPR-X22-360-E-AC Racking.SunPower Invisimount Panel:61.39"X 41.18" Array:28'3 3/4"X 10'3 1/2" Surface:31'2"X 13'3" Magic#:Invisimount Legend: ® 16 SunPower 360W Panels Ix x x ® SunPower Invisimount Rad o 28 Eco-Fasten Fast Feet x x x x x B 8 2x6"Douglas Fir Rafter 16"O.C. Notes Number of Roof Layers. 1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: / ?,ED RC j 1021$3' -k- 1 I �bF/N �DrawnBy:MA Drawing#4 of 8 Date:5/19/2021 REV.A Drawing Scale:3/16"=1.0' GREENLOUCO E.NIRGY GreenLogic,LLC Approved Barry,Vincent 4365 Deep Hoie Drive Mattituck,NY 11952 Surface#B: Total System Size,9.720kW Array Size.5.760kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:262° Pitch: 11* Monitoring System: SunPower Panel/Array Specifications: Panel.SPR-X22-360-E-AC Racking-SunPower Invisimount Panel:61.39"X 41.18" Array:28'3 3/4"X 10'3 1/2" Surface:31'2"X 13'3" Magic#.Invisimount Legend: iv © 16 SunPower 360W Panels ® SunPower Invisimount Rail 28 Eco-Fasten Fast Feet VAC 8 2x6"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: ED rq o21 X33 yOQ, U Drawn By:MA Drawing#5 of 8 Date:5/19/2021 REV:A Drawing Scale:3/16"=1.0' EEL®CBC° ENERGY GreenLogic,LLC Approved Barry,Vincent 4365 Deep Hoie Drive Mattituck,NY 11952 Surface#B: Total System Size:9.720kW Array Size:5.760M 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:262° Pitch- 11° Monitoring System. SunPower Panel/Array Specifications: Panel SPR-X22-360-E-AC Racking.SunPower Invisimount Panel:61.39"X 41.18" Array 4 5 Surface:31'Z'X 13'3" Ma is#:Invisimount Legend: ® 16 SunPower 360W Panels ® SunPower Invisimount Rail o Q 28 Eco-Fasten Fast Feet 4 5 B 2x6"Douglas Fir Rafter 16"O.C. Notes• Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System.2.84psf Engineer/Architect S I �`�� S 21 fp33 ��Q Drawn By:MA Drawing#6 of 8 Date.5/19/2021 REV:A Drawing Scale.3/16"=1.0' No Vent Popes Will Be Covered By The Solar A radG R E E N LOG iC® _ ENERGY Legend: Green Logic,LLC Approved Barry,Vincent AR-Access Roof AP-Access pathway,36" minimum width SVO—Setback at ridge 4365 Deep Hole Drive per R202 definitions per R324.6.1 as per R324.6.2.1 Mattituck,NY 11952 Total System Size:9 720WV 1 circuit of 11 on a 20A breaker 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:262° _12*Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-X22-360-E-AC Racking.SunPower Invisimount Panel:61.39"X 41.18" Meter Surface: 75'3"X 20'11" Surface:81'X 40' Magic#:Invisimount I I I I Legend: I 1 I I Q 27 SunPower 360W Panels IAPI IAPI _J 1 SunPower Invisimount Rail I I I IAP > I • 19 Quick Mount E Lag J L________——_J L 1 I X X ® 28 Eco-Fasten Fast Feet syO I I SVO I d X X OU 2x6"Douglas Fir Rafter 16"O.C. Notes- I I Number of Roof Layers:1 1 I Height above Roof Surface:4" I I Materials Used:Quick Mount,Eco-Fasten, I I SunPower Added Roof load of PV System:2.84 sf 16 SunPower Engineer/Architect Seal: 36OW Panels 11 SunPower 360W Panels ��ED RC aZ u U Drawn By MA Drawing#7 of 8 Date:5/19/2021 REV:A Drawing Scale:1/16"=1.0' ENERGY GreenLogic,LLC Approved Barry,Vincent 4365 Deep Hole Drive Mattitudk,NY 11952 Total System Size,9.720kW 1 circuit of 11 on a 20A breaker 1 circuit of 8 on a 20A breaker - - - - -- - - - — - -- - - crrcuft of 8 on a 20A breaker - - --- --- -------- --------- - - - - Material List Qty_ Rail Material ListtV. Azimuth,262' Monitoring System. Cast Aluminum Mounting Block w/Black Aluminum Flashing 19 s SunPower - -- ------ ---- - - -- - - - -- - - - ,_ 5/16"x7/8"EPDMSealingPlug 19 Panel/Array Specifications: -- - ---- - - - - - - - - Panel:SPR-X22-360-E-AC 5/16"x5.5"Hex-Head Lag Screw 19 Racking:SunPower Invisimount 5/16"x1.25"Fender Washer Panel:61.39"x 41.18" - - - - - - - - - Array:75'3"X 20'1 V Surface:81'X 40' Eco-Fasten"Fast Feet"Base Plate 28 Magic#.-- - - - - . nwsrmoun Legend: Eco Fasten"Fast Feet"Aluminum Block 28 I 11 27 SunPower 360W Panels SunPower nvis'mou ntRailEco-Fasten"Fast Feet"EPDM Flashing 28 #14-13x5"DPI ConcealerScrew 56 0 19 Quick Mount E Lag #14-13x3"DPI Concealer Screw 168 ® 28 Eco-Fasten Fast Feet _ - li Q 2x6"Douglas Fir Rafter 16"O.C. • Notes- Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Quick Mount,Eco-Fasten, SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: EKED RC qT 021 63' -l0 Drawn By:MA Drawing#8 of 8 Date:5/19/2021 REV,A ' Drawing Scale:1/16"=1.0' _ - NON EQJIPMENT EXISTING S'F L1CI= PV-SA-1 ' 2COA # 1 f By V AC-COMBINEER PANEL PV-SA-2 --CIA13-1 I (-V Lens ONLY) AC DISCONNECT • w w 13 AC;-DSC;-1 ( It . . . 2 B A S N 4f BKR-^ PV-SA-3 Com,) —�MAIN m E3 s s • 1 I`J j ° JD ; A B N B _ B B ECC ecc EGC EXIS'ING AC PANEL GEC EXISTING Ec f IRRE'VERS COLE SPLICE 6 Cu 9.720kW DC 8.640kW AC PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Barry, Vincent GREENLOGICO 4365 Deep Hole Drive '7 kl- m' ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1 ) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Barry-3LD1 Revision: 1 Revised: 5/6/21 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 10-MODULES PV-SA-2 PV SUB-ARRAY SPR-X22-360-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 10-MODULES PV-SA-3 PV SUB-ARRAY SPR-X22-360-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 7-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX. AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3600 WATTS 211-264 VAC 14.64 A AC 240 V,AC PV-SA-2 3600 WATTS 211-264 VAC 14.64 A AC 240 V,AC PV-SA-3 2520 WATTS 211-264 VAC 10.25 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS _ REVISIONS Barry, Vincent rGREENLOGIC° 4365 Deep Hole Drive ENERGY Mattituck, IVY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Barry-3LD1 Revision: 1 Revised: 5/6/21 fr EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH, 3-WIRE BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-3 CIRCUIT BREAKER, PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 50 CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 1-1/2" PVC-40 4 / 4 C THWN-2 1-1/2" EMT 4 / 4 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUITTO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIREMENTS. 4.) NOTE: GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER MINIMUM. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Bar ` x, � � .A 4�10Barry, Vincent sx 4365 Deep Hole Drive ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENE9GY 1 ) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Barry-3LD1 Revision: 1 Revised: 5/6/21 I 1 SUNPOWER III SnvverO -Series: X22-370 I X22-360 � = SunPower" Residential AC M s' Built specifically for use with the SunPower Equinox system,the only fully integrated solution designed,engineered,and warranted byone manufacturer. FV Maximum Power. Minimalist Design. AVRAW Industry-leading effic ency means more power and savings per availabe space With fewer modules required 3nc hicden inicroirverters,less is truly more. Highest Lifetime Energy and Savings. Designed to deliver 60%more energ} over 25 years in real-world conditions life parol shade and high temperatures' FUnd l enaII Different sv p";,, d ,; iz lup to 'And-Bettersu�: 5 �60% tw ieos', more c 'lifetime • ��•r�.g.:liT 4r��n k,.tti � ,� d w�.�s '�' 5%— r�� a.5 ll,6 y" ',:e;^ 0,$ �� u » � '� energy „ r -,e N The'SUnPower 'Maxeori�;SOlar Ceil. Years of operation •�'�L'n�tiie�'hi�hes-c`t.cielicy'^ •-�:�" :y°,a' , ... ,ric �lidiy)rtal;Pc:r.... utiol` Best Reliability. Best Warranty. �Az-s r rr=' gar"l i;��rsa c i �' With more than 25 million Modules deployed around :.,,: T`'w T_= � " '' =s:;,:';� 7 the world,S anPo+:ver technolcb, is proven to last That`s whywe stand behind our module and micro'nverter with The industry's best 25-year Combined Power and Product Warranty,including the highest Power Warramy in solar Factory,integratedMicroinverterTe, ,:{imolcr`faster-installat,or, .,•y '+ •eyz'e�Fta„ x�,,x`, `e .y",n � ,..x �. .v5r, Y,ii„ i .;°._',In.*ra,,yte,d Niee'rlah:'asg: meat", ,r:`Yd7ldc;ul(jowl I yO 'y 6 zc' ''• `Eri�irie2�e'CKl'' 'Cail�rutet7-b;J„-,n;;Fi` ��:�e, ^„,t%" y' he , ,r y, '12%E 'r Off g z„vfAwxMxmore e a_tnFotie 'ar'Surh' se � power - -�•'-�,x"�.n-.,'`: �x�^^''^�_��� .L Y;?�'a'��;�r� ;�,r,°=;,a�r,�„ '""�� jin year LG Years of operation v. ,. X-Series:X22-370 I X22-360 SunPowerO Residential AC Module Inverter Model-Enpl-ase IQ 7XS(IQ:XS-96 ACM-US) @240 VAC CZ1208 VAC 320 A 31'VA N'! 240/21'-264 208 183-129 maa C,)"t nlic"'s 0,jt,ur 131 Mla>, Unit 0 P� o c,I ,%,y e N f er 20 A�ILQ 2(s�i igl t�phase) N,)m Fr.-c4 60 Hi L>ce,i-,,ed'-eq we r_y,-,,,i L, 4'-681 AL Snc_r.C-rur Fau-,(t r-e,t Over S Cyc s 3 A i ms )v.fv,_, AC PG.q Ej-,HC•zC Cf.'t e11* 18 mA f=&ctc- 10 I-w 0 7 lean: / 3 7 N,Dc-1-,e;J-zisr- Tee p,asE: rSt a W- is SPR-X22-370-E-AC SPR-X22-360-E-AC .21),,war mite ncdrerr,'irr my i Po,-,,e--(Droml 370 Vv F,,r i e s IV 16LI HL 70`� I Povver-clerance Ceitffi�_c,ions L 1 7-11!;FFF-15,17 '.lodule Eff"C'y 22 1'1)� 221St U '74"AC Mod.le(Type 2 P-e ated) )nd - emo Coe (rovie", 0 290,61'C 0 2'Y46/'C G1 6210'-1-1 ",FC 62'U,-2 COFT rilla'Ice 70C Part 1 S C,)'-r, -nree bwas-,diores ICES 0003 Claims ER 1 ShadeTole-afce, nte�o'Zed module eve n-,a>mium CAN/(-1,,--C22 2 NC i C 7 1 01 oower pint tack ng CA P-de 21 OJIL 1741 3A1' ,includes Vo ttVp,arc React.vc "ower Pr.of t£;'; UL Lisccd PVRapid Shutdcwri Equprre,`' Coc,azing, ernp -10'F to- 40'P(-z0°C co-eC'C) El x AmbenrTemp 22"F(5G,'0 Enaolec.l'ISLALLOn in a(cnrdan,e.wil-i -NEC 690 6(`IC rr-dule; N'ax Load 10-ind 62134,BCOC Pa 305lk�,,."T � V Pon:&uack 1,FC 690 I:Rmd Shutdown(inside a-d Outs oe:he array; S-o,,,, `2`)p, 501GG Pa 011 kg/m,'ft w' NEr 6-)0 1 S AC Co-ne-tet, 690 33(A)-(r)(1', md,r_'5 m in)Ji meter had 52 n-Oh nisi When i-sed t ackin.-jnd ac (U--2!03) .r%/od,,-e grourdirg asci bonding:h,ough Irvisir0ount Sc,ar Cells CC,Mcnori- Lalline Maeon Gen ill C I ,as!z A fi,e i-ted I-cr,6lass h jh-tran,,rnissum k-TIPCIT(101 glass W-L- Vdien:,,,ed vlilh AC module Q Cab'es rmd„_,,es,nrie,.(UI 6703,aria anti-eflec.1vc co 111rill: UL 2238"- Erviroiimenual?at,ng Modu.e Outdco, rated Rated for bad brLakiiscc...iec, I 1^,vi,tt2f NEW Typ, 6 Cl,)'s I- PID res-, Pozent ai-induc2c!c;zgra-lation°-er Fame ass 1 black anodized AAWA rat rig; """'eigh: 42 9 It 9 S kg) Recc,irmended Klox 1 3 ir (-33 rnrnl Modu e SiDacing On 7,1-'e”,"UnDcrove.wf Ite P&n-,210131, 4C,mm L 1 Si-rillower-,no Wco,nparcd to.onw,.n0vi,,,rrl,,(IU'e Cli Sjole>'le'lart.ys(2M 114,16',, eff-ent,ap pr ox 1 C IT 7),41b�o r C t�ll e'Sy p E'r ltm-e(I"I t-11 r'I-pe rty mnj I,"; char:denzat on 2 La 5e d on�ear,h of d *�.�,,i eet vl-,u es Pom uieb P,u f Lop'0 r,a n im ia,ou re,�ner I H S j,o 0 i � 2 irql jwii_iry2Ol1 3t`ra•i,iri"Frdtir,•ioiet-IVCt•a'v lowe, N1,�gaiinL,A',S`arr,pLaj,Z et,J"S-JfnPWe SUr''01,VerWrilte p 1pe%2JI 4 Far, ,cryseztoj-_ 4 C A:'jkl 1,defa-ilt se,t i,pS p-of �set cluring its 5 r,j cc'1t 510r,Ig 51�e lu,rox"IsWilatio'!Gotue z� 8"C1'v rnwe in f,,rm4'on SSTest Conawon,,(l X0W/m'rra{hzncF,�,M' ,2S'G) L, ',,ndord T sta'Wat d t,0`.k,c L irr en i, I-wl d'r Itage All Df-v')l t ag,-_-s"ll'y L)n-,)),ed w,hir if e modUir 437 tin 6 its pmautct 15 UL List— arc co,lorrnswiti NE,2014ond NEC'_It 1690 12 £17a in.) anc 1,22 1 -JI 5 Pule 64 21':anti Shutdcrn of;1V system for 1C al C,L,'-corduc o whet ir"t,41ed oe_ordwg to ,=e V4-'Vw SU np,`)V,0'co,V'act,-,far mo,,-i efe-er,e information3Y. caroatsfar,r-v O O FIN r-ore deuds sre extimed damslrjeet www,,,jr-nowel c-cm,k1arce,� LISTED Decif lat—is indtilec ir'his datasnee:Fsub):'t rc,change wm.rtci�itho -e WERS U P ,r�,Km 8-UnPowe�Corperwion.4 1 Right,Re,t-,,d�,UNPQ'lh R he mu.r-F.Aor.-.Tyw 2 SJNP c j VVER Ici-o maNIAX, 1 ore i ogmler,d Vadernarks,o'SunPowei 531945 RevA Corocrationir,zh-US 1 SWCUNPOY• l �„F,�' ��,r�,w%t.'��;C���.�'"^`,•�,.�`�. � �� z" ,;; °�� w R..p', L�' �u� �� l v m ® o ® ® w Simple and Fast Installation • Ir,egratec module-.o-ra I ground ng Y ° r Pre-,assembled-id and'end Camos Levirating mrd clamp f<,r,ea ,v placemE-'Ir j2 MIddamp,.vir.,',h Eacllltpi-es conslslerlt,ever - modu e spacing irrr7plc�,pre-,'•filled rail srilice 2/03 Listed nr;grated grcunjing Flexible Design Addresc,es nez,riy all slo6co'res'demid! rc;ofi; Design ir,landscape ana porirart (fails erable easy obstacle rnar•ager;en, _ •• Customer-Preferred Aesthetics f —odule and#' rr>cunt ng aesthetics Bes,it-crass system aesthetics Elegant Simplicity Prerrium,Iow-profile desigr Backanodizea components SunPower` InvisiMountT"' is a SunPower-designed Hidden m,d damps and end c;amos rail-based mounting system The InvisiMourt system and cuppec,t1usn rats addresses esidential sloped roofs and combines faster Part of Superior System inscalialion time, design flexibility, and superior aesthetics, • P,�riltfc-rr use 4ti�rtn surPo�:�e'-Dc and AC mo^ales The IrvisiMount producr was specifically envis oned sand Best-it-crass system reliarnhtr and aesthetics i omoinP vv;'n SC nPov:.er ��odt:(es anci engineered to pair with SunPower it odules I he resulting monitonn,aop system level approach will amplify the aesthetic a.,-.d installation benefits for both homeowners and installers. -. 5, sunpower•com WV -N 'N' Mla ModL,e"1 Mic Clamp 3^d Rai' .,Icdule*/Erd Clamp and RaJ U ti id clamo End Clamp Rail K Rai'Splice G,ou,d Lug Asserooly End Cap 'GOMM I Component N/laterial Wei& Terra e-.3cu r e- -"'109--°C(-40°F to 19 dfl.P i -- M8X Load "o'6 "UPI ft h9 c Clamp Black oxicv stainless steel AISI 3,04 i 63 g 1,2 2 o,', CifiO dcon,furce . . ...... ................. d 1 ED iClamp MaCK anodized alurniliurn 0110Y 6063 TG 1 110 g(3 88 oz) rM.11 Back anodized aluminum alloy soo.5 16 830 g/nn(9 ortfl) Rad Splice Aluminum alloy 6005-rS 810 g/m(9 oz/fc) GrourdLug 304<,iainjss5-yearfini-,I--wariantv Assembly (A2-70 ho.t,tir-p:ateu co mel ug) 1 C61 5 (3 75 c End Cap 13 ark acetal IPONI)copolymer- 10 4 g(0 37 oz) L,L 2/103 L sLed D " p C&t-ficir'1011S , l� Cass A Fire Rated 0 0 0 , W Compuc;'*,ion--hngle Rahpi-Machrrent Compos,non Sh nale Root DeLI(irg Actachi rient Applicat-on G-11"Ved alIG"Idt Tile Rouf Alt--+u unerl: Un,versal Interface for Other roof Attachments i i Relpr to oof attachment harckNai e mant-lfacn-rers clocurriertatior -Aor A game that s cornpz-blevv,th the lrrv�siMount systc�-equh en for harormi e interop—abliv., ,,.2015SL,nPo*erC-ciperation All RiptsRese-ved tizI^marksofcljnPowt,,Corporat,),i A.othe,lraci-2marY,,z,,ctl-epjo,-)eityciti-eirrecreCLIVC'C]V."el-I sunpovve- orn irducled it tits lata-ineerare subjerto cn7ngew,thoij noti,e Document#509506 RevC 77 T-7ow, -4 "M U, Alk-P 4" go M '�4 E flli 0 Z 111 110: =10 UW improve Support, Reduce Maimenarice CosLs SunPower EnergyLink—Plug-and-Play Installation An iniuit^ve mcnit ort-rig wcbsi,c enarI yI Tn�s comple'e�olution III res,cent dl a,id comme,ciA irontorrg and See a visual map of clus-or-,ier sites -ont,of tridi.des 0 e I )Wer``:PV`�jptnrvisor 6 vIihich rriprovE-. Remotely manage hundreds of saes -r-e itistal;aLICII process,overall system,rel,ability,and Customer teceive elective system repo-ts exper,e,ice a a -'ripact'ootpr rit for irrip,ovecl Pb0ieU(.s Locete�)y�,celn i�;sue, T,.d ternoLel, diagrobe Co ;diagnose jss,ios or-ire Robust dol"d I:cnreciviv and comprehensive Iccal connecriviry Pexible configurauon of devices dUnirg installation Di dcwr For I staLIS of individi,1 devices Cons,irription I ng Revenge gi ade Pardue tum meter,i (pending} Web-hased commissioning '7— Remote diapnost,cs of PWSG and inverters Hill111111111 Durable UL Type 3R enclosure reduces maintenance costs LaSV,ni-eg-al-ioi with SunPower clBOS Add Value for Custorners,' Robust Cloud Connectivity W;rfl-,hp SunPower Mcrilitoring Systt?,r )ll I ytE cus-orrers can. Multiple opt ons to Md1r)(IDIrl 01)tl�-TIJ' r fir. See what their solar systern Preduces ep.,c -onrleclivily.h iWk W da Hardwr-edl Ethernet y,month,or yep, b -iize so,ar rvestment arid save on ptir �,eit, "4 energy expenses, Cellular backup See1i&ier et-,ergy use and est,ra,"ed bill savings See their solar systeri,'-s pe.r.'ormance-using the S-,jnPower -T-Ion, c r Ing viebsite or no bi I app A stir. N v 'ev SunPower Monitoring Websites PVS6 SunPower AC Modules w, -11111111 9111,I)IJ114(iA �w\mF �p m.. , t '�5'�exk�R�'] ; wH` If Multiple communication options include Ethernet,Wi-Ft,and cellular. Number of SunPower At modules 85 Ferripeiature 2211I-to 40°F(-30°C to 60'Q supporte--per FVS6 FlumidiEy(maximum) 950/5,non-conoensing High-speed internet access v a ac-CeSSUe Internet access roLter or switch PaNer 100-240 VAC(L-N),50 or 60 Hz • 208 VAC(L-L in 3-phase),60 Hz mpown, RIZ-zL8� Inverters arameters oie cnannel of revenue-g-ace production metering Int.—tated Metering -1 wo cnannols:o'const.mptiori metering VVeight 5 5 los 1,2 5 ky,' Ethernet LAN(or optional WIAN)port Dimensions 3I.8x80x4.2In (3O5x205x1O8cm) PLC P-C`b-SunPowei AC=nodules Enclosure rating UL90E Type 3R VF i-17 1 1_!� 21 b/gIn 2.4 GHz a-id 5 G-iz CeLulat LIE Cat.1vI113GUNITS IH-F SO-, 1 S4NIAC,2 4G'17 ISM."tendwm 4Data Storage 60 days C'istomer site Lr Upgrades A-11ornatic faryrware upgrades Partner sie jjysm_gm-..as sunnower cam Browsers R-efox,Safan,and Chrome M o 1)11 e devices iPhone",iPdd�and Androvi"a Customer app 1,Create accounr onime at mocitor.us sunimvverxom 2 Ona rricUle device,download ux SunPo*,er k4onitoring Warranty 10-year L-mited Warranty app froom Apple App Stores"or Google Plarstore. 3.Sign in ussng accourr emi-I andpasw4ord Certifications UL,,,UL,CE,UL 611010-1 and-2,FCC Part 15(Class B) C&us FCc UNIM FCC ID:YAW529027 E503346