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HomeMy WebLinkAbout47390-Z � - TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 #: 47390 Date: 1/26/2022 Permission is hereby granted to: Schwartz, Paul 1050 Park Way Southold, NY 11971 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 1050 Park Way, Southold SCTM # 473889 Sec/Block/Lot# 70.-10-43 Pursuant to application dated 1/11/2022 and approved by the Building Inspector. To expire on 7/28/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 f Total: $200.00 `amu(ding Inspector 9 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 'co, Telephone 631 765-1802 Fax 631 765-9502 hfn :�=. Eouthldt Date Received APPLICATION FOR BUILDING PERMIT or Office Use Only PERMIT N0. L Building Inspector: ` Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 1/10/2022 OWNER(S)OF PROPER Name: Paul Schwartz SCTM# 1000- 70- /6 � Project Address: 1050 Parkway Southold, NY 11971 Phone#: 516-668-1669 Email: Schwartzpaul@me.com Mailing Address: 1050 Parkway Southold, NY 11971 CONTACT PERSON: Name:Tesla Energy Operations,Inc./Anais Fernandez Mailing Address: 15 Grumman Rd West Suite 400 Bethpage, NY 11714 Phone#: 631-406-9567 Email: anafernandez@tesla.com SIGN PROFESSIONAL INFORMATION: Name:Yurianto Yurianto Mailing Address: 905 Chesterfield Dr. Lower Gwynedd, PA 19002 Phone#: 972-896-5373 1 Email: yuriy@barun-corp.com CONTRACTOR INFORMATION: Name:Tesla Energy Operations,lnc./Anais Fernandez Mailing Address: 15 Grumman Rd West Suite 400 Bethpage, NY 11714 Phone#: 631-406-9567 Email: anafernandez@tesla.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 20ther Install (26) Roof Mount solar panels 10.4kw $ 12,792 Will the lot be re-graded? ❑Yes 2No Will excess fill be removed from premises? Dyes 2No 1 PROPERTY INFORMATION Existing use of property: Residential Intended use of property: Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ZNo IF YES, PROVIDE A COPY. 12 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted Byint name): Anais Fernand- if Authorized Agent El Owner Signature of Applicant: Date: 1/10/2022 i STATE OF NEW YORK) SS: COUNTY OF Nassau Anais Fernandez 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 fK Z day of202 Notary Public ALEXANDER R. KAPLAN PROPERTY OWNERAUTHORIZATION Notary Public-SWe of New York 6191 (Where the applicant is not the owner) No. he s flue1= l �eWestchestererer County I. residing at do hereby authorize 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 BUILDING DEPARTMENT- Electrical Inspector g'i �_ 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 . °, ror�southoldtownr ov �- seand�southoldtownn� Dov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 11102022 Company Name: Jason Kane Inc. Name: Jason Kane License No.: ME-37295 email: ikane@tesla.com Phone No: 516-306-0126 ❑I request an email copy of Certificate of Compliance Address.: 127 West Blvd East Rockaway,NY 11518 JOB SITE INFORMATION (All Information Required) Name: Paul Schwartz Address:1050 Parkway Southold, NY 11971 Cross Street: Phone No.: 516-668-1669 Bldg.Permit#: - email, Schwartzpaul@me.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Install (26) Roof Mount solar panels 10.4kw Check All That Apply: Is job ready for inspection?: DYES ®NO ❑Rough In ❑Final Do you need a Temp Certificate? ®YES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph D3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground nXoverhead # Underground Laterals ❑1 ❑2 DH Frame Opole Work done on Service? ❑Y E]N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx Workers' YORE CERTIFICATE OF TAT Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured 650-963-5100 Tesla Energy Operations,Inc. 901 Page Avenue 1c.NYS Unemployment Insurance Employer Registration Numberof Fremont,CA 94538 Insured 49-892777 l Work Location of Insured(Only required if coverage is specifically limitedto certain locations in New York State,i.e.,a Wrap-Up Policy) 1d,Federal Employer Identification Number of Insured or Social Security Number 02-0781046 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) American Zurich Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" 4x75 Main Road WC 1074583-04 Southold, NY 11971 3c.Policy effective period 10/31/2021 to 10/31/2022 3d.The Proprietor,Partners or Executive Officers are ®included.(Only check box if all partners/officers included)all ❑excluded or certain partners/officers excluded. ((( This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"forworkers' 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;r eliminate the insured from the coverage indicated on this Certificate- (These notices may be seat 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 isearlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Susan B. Kendziora (Print name of authorized representative or licensed agent of insurance carrier) Approved by: ° - 10/31/2021 (Signature) (Date) Title: Vice President-Enterprise Support Operations Telephone Number of authorized representative or licensed agent of insurance carrier:800-382-2150 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.nv.aov INTERNAL USE ONLY rkr5® YORK CERTIFICATE OF INSURANCE COVERAGE Com, esatin oar 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 1 a.Legal Name&Address of Insured(use street address only) ?1 b.Business Telephone Number of Insured Tesla Energy Operations, Inc. 901 Page Avenue Fremont, CA 94538 1 c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) i 02-0781046 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) The Prudential Insurance Company of America Town of Southold I 3b.Policy Number of Entity Listed in Box"1 a" 154375 Main Road CG-51526-NY Southold, NY 11971-0959 i 3c.Policy effective period 01/01/2021 to 12/31/2022 4. Policy provides the following benefits: j ❑X A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑ C.Paid family leave benefits only. 15. Policy covers: ❑X 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: I i '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 i insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed November 25, 2020 By (S gnature&insurance carri. �auftrized representative or NYS Licensed insurance Agent cr.hat insurance carrier) Telephone Number 215-658-5178 Name and Title H. Richard Brummett-Statutory Disability Coordinator ' i 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 1 Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers' Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title i Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. p DB-120.1 (10-17) 111111[ G- 1111 12 0.1 (10-1 . — ATE{ CERTIFICATE F LIABILITY INSURANCE DMM/DDIYYYY) DATE 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(i )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 elndorsement(s). PRODUCER CONTACT Kayla Ferrell fv",,ARSE+RISK& INSURANCE SERVICES NAME: FOUREM ARCADER0 GENT,ER SUITE 1100 PHONE 415-743-8025 1 AX CALIA lA [ t nr £A.'C,No-EM 013;153 E-MAIL Kavla.fenrelf@rriarsh,corn SAN FRANCISCO,CA 94311 A[DRMS: NI..Sat`randsco.Certs@marsh+.corn r FAX 212-948-0398 INSURER(S)AFFORDING COVERAGE NAIC# CN'C497528 i-ST ND-GA^v'VUE 21- INSURER A 7uric1h.American Insurance Company 15535 _.INSURED .... _. .. .... Tena Energy Ooerat!ons,Inc- INSURER-B.Stead'ast+isurance Company 901 Page Avenue ! INSURER C Arnerican 7+J cY Insurance Cornoanv Fre'nont;CA 94538 INSURER D Allianz v ooal Risks US Insurance Company 3 51,3 0 0 . INSURER,E: _. ......... _ .... INSURER F: COVERAGES CERTIFICATE NUMBER: S X003418'0928 REVISION NUMBER: 9 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 PaDCLJR ._. ......... _... ..... LTR TYPE OF INSURANCE INc W POLICY NUMBER MM/DDS M°1lpp�l LIMITS A X COMMERCIAL GENERAL LIABILITY .GLO"v"4588-+'4 ! ,vl� _ _ 02.— 10/31i 2.22 . 0.00H Includes Host Liquor ab fit; eC CLAIMS-MADE X _OCCUR yam„ _ t> - R IMRSES(Eanp, L,e e X SIR &00 B X Toll Cant aC_iab.No XCU Excl SXS 7420352 02(Excess G - `a,v _ G'31 2022 ,- C ' uEis`L AGGREGATE LIMIT APPLIES PER 1 T+f:$6,7510,000 excess of�,r:-nary GENERALAGGREGATE t• .... ...... pRO _. _. 31-imi s on ,ghl;applies to PRODUCTS-GOtvi Pi..P AGO v b .000.. a 5 Solar Products Only) h_ A AUTOMOBILE LIABILITY bA.P 107458H4 1ij.3 1 2021 1-. - -'_ "--- ,"B NEO INCL r ti d.(�,icE 10,000,000 Y ANY AUTO BODILY tv.,uE�, , ..._.. , •J u (Per person! 5 OWNED SCHEDULED _ AUTOS ONLY .. AUTOS EC: !�` ...;R P_ vaide 'r-REG -NON-OWNEDPROPERTY DANIAGE ........ _.. AUTOS ONLY ATOS ONLY Mer 5 2 -. _. 1 15.090.400 UMBRELLALIAB OC..UR .�`SLOU544221 ii�.:�`�1 L EACH OCCURRENCE 5--_. sh EXCESS LAB CLAIMS-MADE: RtTFN'IvNa.SEE PAGE 2 AGGREGATE IS -. DED RETENTION4 _ c.._. C WORKERS COMPENSATION Viv 10745834-04u�,i;S? :a"':200 - - t� A AND EMPLOYERS'LIABILITY rE - F_. _ "� ANYPROPRIETORIPARTNERIEXECUTIVE Yr•N d�1G174584 LaT iMA,-'+I% �1i1- + 1 1 -= c` ACCIDENT A OFFICER/MEMBER EXCLUDED? � EACH N/A --- -- Y (Mandatory In NH) CA XS4W Fi"'S`0745 u=t4($5LV Is +, XS 0' L 2 2 e 00 If yes,describe under $10M E.�� DISEASE...EA r ALO EE DESCRIPTION OF OPERATIONS below 0M S,R;$11r EE/EA is XS$10M SIR) EL DISEASE-POLICY Littl 0e,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of insurance- CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 54375 feta'•"•Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold,NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE n 940,144M SOU46W ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Suffotk CountyDept of Later,lensing&Consumer r#Lfairs HOME IMPROVEMENT UCENSE Name CHARLES J PICARD Business Name this ceitfies!hat the dily fice TESD ENERGY OPERATIONS INC License Number:HI-62558 RasalLe Dra a Issued: 12!201 cAnr t G[3 r Expires. 00-j'01,12023 SUFFOLK COUNTY GOVERNMENT DEPARTMENT OF LABOR, LICENSING,AND CONSUMER AFFAIRS COMMISSIONER ROSALIE DRAGO P.O. BOX 6100, HAUPPAUGE, NY 11788 (631)853-4600 Today Date: 03/22/2021 Application: ME-37295 Application Type: Master Electrical License Receipt No. 421664 Payment Method Ref. Number Amount Paid Payment Date Cashier ID Comments Check 149 $400.00 03/22/2021 CHRIST11 Renewal Contact Info: JASON KANE INC JASON KANE 127 WEST BLVD EAST ROCKAWAY, NY 11518 Work Description: Suffolk County Dept.of Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE Name JASON KANE Business Name This certifies that the bearer is duly licensed JASON KANE INC by the County of suffalk License Number:ME-37295 Rosalie Drago issued: 04/20/2005 Commissioner Expires: 04/01/2023 ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A'AMPERE AC ALTERNATING CURRENT BLDG 1. THIS SYSTEM IS GRID—INTERTIED VIA A UL—LISTED BUILDING CONC CONCRETE DC DIRECT CURRENT POWER—CONDITIONING INVERTER. EGC EQUIPMENT GROUNDING CONDUCTOR (E) 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. EXISTING EMT ELECTRICAL METALLIC TUBING FSB 3. A NATIONALLY—RECOGNIZED TESTING LABORATORY FIRE SET—BACK GALV GALVANIZED GEC GROUNDING SHALL LIST ALL EQUIPMENT IN COMPLIANCE WITH ELECTRODE CONDUCTOR GND GROUND HDG HOT ART. 110.3. DIPPED GALVANIZED I CURRENT Imp CURRENT AT 4. WHERE ALL TERMINALS OF THE DISCONNECTING MAX POWER Isc SHORT CIRCUIT CURRENT kVA MEANS MAY BE ENERGIZED IN THE OPEN POSITION, KILOVOLT AMPERE kW KILOWATT LBW LOAD A SIGN WILL BE PROVIDED WARNING OF THE BEARING WALL MIN MINIMUM (N) NEW NEUT HAZARDS PER ART. 690.17. NEUTRAL NTS NOT TO SCALE OC ON CENTER PL 5. EACH UNGROUNDED CONDUCTOR OF THE PROPERTY LINE POI POINT OF INTERCONNECTION MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY PV PHOTOVOLTAIC SCH SCHEDULE S STAINLESS PHASE AND SYSTEM PER ART. 210.5. STEEL STC STANDARD TESTING CONDITIONS TYP 6. CIRCUITS OVER 250V TO GROUND SHALL COMPLY TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V WITH ART. 250.97, 250.92(B). VOLT Vmp VOLTAGE AT MAX POWER Voc VOLTAGE 7. DC CONDUCTORS EITHER DO NOT ENTER BUILDING ` AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT OR ARE RUN IN METALLIC RACEWAYS OR ENCLOSURES TO THE FIRST ACCESSIBLE DC DISCONNECTING MEANS PER ART. 690.31(E). 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY UL LISTING. 9. MODULE FRAMES SHALL BE GROUNDED AT THE UL—LISTED LOCATION PROVIDED BY THE ij MANUFACTURER USING UL LISTED GROUNDING HARDWARE. 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE BONDED WITH EQUIPMENT GROUND CONDUCTORS. i 11� JAN 1 12022 la% L VUVtm OF SOUTIiZVLD VICINITY MAP INDEX = Sheet 1 COVER SHEET Sheet 2 SITE PLAN Sheet 3 STRUCTURAL VIEWS Sheet 4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES - Sheet 5 THREE LINE DIAGRAM �� Cutsheets Attached 1. ALL WORK SHALL COMPLY WITH THE 2020 NYS ' UNIFORM CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2017 NATIONAL ELECTRIC CODE. 3. ALL WORK SHALL COMPLY WITH THE 2020 NYS FIRE CODE. MODULE GROUNDING METHOD: ZEP SOLAR 4. ALL WORK SHALL COMPLY WITH THE 2020 AHJ: Southold Town BUILDING CODE OF NYS. _ REV BY DATE COMMENTS 5. ALL WORK SHALL COMPLY WITH THE 2020 o IH izizz�zl IMAGERY RESET RESIDENTIAL CODE OF NYS. REV A NAME DATE COMMENTS 6. ALL WORK SHALL COMPLY WITH THE 2020 UTILITY: PSE&G—Long Island EXISTING BUILDING CODE OF NYS. JB-1 192349 O O CUSTOMER. DESCRIPTION. DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN [MODULES: OB NUMBERPaul Schwartz 10.4 KW PV ARRAY Isak Hrvacic T 5 L n CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT TESLA INC., NOROUNTING SYSTEM: 1050 Parkway SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH Southold, NY 11971 THE SALE AND USE OF THE RESPECTIVE (26) Tesla # T400H TESLA EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: SHEET: REV: DATE PERMISSION OF TESLA INC. 7,6 kW Tesla Inc 1538000-00—F 240V 516-668-1669 COVER SHEET 1 12/22/2021 PITCH: 140 (3:12) ARRAY PITCH:141 (3:12) MP1 AZIMUTH: 158 ARRAY AZIMUTH: 158 MATERIAL: Comp Shingle STORY: 2 Stories PITCH: 230 (5:12) ARRAY PITCH:231 (5:12) pF NEW NY MP2 AZIMUTH:249 ARRAY AZIMUTH: 249 ® �LEI GMA70R CO -co YVR y0�p,� MATERIAL:Comp Shingle STORY: 2 Stories PITCH: 140 (3:12) ARRAY PITCH:140 (3:12) Sv / 0 * yt MP3 AZIMUTH:338 ARRAY AZIMUTH:338 / F58Digitally signed Y ianto 3 //o Yunanto t MATERIAL: Comp Shingle STORY: 2 Stories A Y u ri a n _to cn=Yunant nt0 LADDER ACCESS / 2 US o=UnafTili / \ \ \ I \ \ n4 ,0p 7C BF250000A7A2Yurianto Rea / sa0nomt l " this A �9 Date 2021-12-30 ROFESSIONP� 1948-0600 d \ \ By Yuri at 7.47.43 PM,12/30/2021 SV sV A \ \\ LEGEND LADDER ACCESS � \ \ (E) UTILITY METER & WARNING LABEL 0 INVERTER W/ INTEGRATED DC DISCO M ER A & WARNING LABELS o `" © DC DISCONNECT & WARNING LABELS AC AC DISCONNECT & WARNING LABELS DC JUNCTION/COMBINER BOX & LABELS DISTRIBUTION PANEL & LABELS Lc LOAD CENTER & WARNING LABELS 0 ODEDICATED PV SYSTEM METER RSD RAPID SHUTDOWN Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR o®® CONDUIT RUN ON INTERIOR GATE/FENCE 0 HEAT PRODUCING VENTS ARE RED r,_-i It `I INTERIOR EQUIPMENT IS DASHED L—'J SITE PLAN N TOTAL ARRAY AREA (SF): 564 Scale:1/16" = 1' TOTAL ROOF AREA (SF): 3074 w E TOTAL ARRAY AREA IS a 18.34 Im FROM 101A 01' 16' 32' PERCENT OF TOTAL ROOF AREA s CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER: CUSTOMER: DESCRIPTION: DESIGN: CONTAINEDDSHALL NOT BE USED FOR THE JB-1192349 Q O Paul Schwartz 10.4 KW PV ARRAY Isak Hrvacic T 5 L n BENEFIT OF ANYONE EXCEPT TESLA INC., NOR MOUNTING SYSTEM. SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert 1050 Parkway PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: Southold, NY 11971 THE SALE AND USE OF THE RESPECTIVE (26) Tesla # T400H TESLA EQUIPMENT, WITHOUT THE WRITTEN INVERTER.- PAGE NAME SHEEL REV: DATE PERMISSION OF TESLA INC. 7.6 kW Tesla Inc 1538000-00—F 240V 516-668-1669 SITE PLAN 2 12/22/2021 S1 (N) PV MODULE (E) MOUNTING PLANE (MP) ��pF NEW Y NY TYPICAL PV SIDE VIEW 5(�PN�O YVR�92 Sv 'i NTSDigitally slgned by Yunanto 1 1 V Yunanto n tO DN cn=Yunanto Yunanto c=US 0=Unaffiliated ou=A 01410D00000176B07CB �2 a n to F250000A7A2 1019g0 Reason I am the author of this document Location PV MODULE ARoFEssioNP� Date 2021-12-30194&0600 5/16"x1.5" BOLT WITH By Yuri at 7.47.45 PM,1213012021 5/16" FLAT WASHER INSTALLATION ORDER ZEP LEVELING FOOT LOCATE RAFTER, MARK HOLE ZEP ARRAY SKIRT (1) LOCATION, AND DRILL PILOT HOLE. --------- --- -------- ZEP MOUNTING BLOCK (4) ATTACH FLASHING INSERT TO ZEP FLASHING INSERT (2) MOUNTING BLOCK AND ATTACH (3) TO RAFTER USING LAG SCREW. (E) COMP. SHINGLE (1) L�'211,MIN. INJECT SEALANT INTO FLASHING (E) ROOF DECKING (2) (3) INSERT PORT, WHICH SPREADS SEALANT EVENLY OVER THE ROOF PENETRATION. 5/16" DIA STAINLESS LOWEST MODULE SUBSEQUENT MODULES STEEL LAG SCREW INSTALL LEVELING FOOT ON TOP C(4) OF MOUNTING BLOCK & (E) RAFTER SECURELY FASTEN WITH BOLT. #-5TANDOFF CONJB—119 2 3 49 00 CUSTOMER: DESCRIPTION: DESIGN: CONFIDENTIALA THE INFORMATION HEREIN JOB NUMBER: Paul Schwartz 1 0.4 KW PV ARRAY Isak Hrvacic T 5 L n CONTAINED SHALL NOT BE USED FOR THE � � BENEFIT OF ANYONE EXCEPT TESLA INC., NOR MOUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert 1050 Parkway PART TO OTHERS OUTSIDE THE RECIPIENTS THE AS IALEnA D USEEOF ITHE O RESPECTIVE NNECTION 1H (26) Tesla # T400H Southold, NY 11971 TESLA EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: MEET REV: DATE: PERMISSION OF TESLA INC. 7.6 kW Tesla Inc 1538000-00—F 240V 516-668-1669 STRUCTURAL VIEWS 3 12/22/2021 Jobsite Specific Design Criteria Design Code ASCE 7-16 Risk Category II Table 1.5-1 Ultimate Wind Speed V—Ult 130 Fig. 1609A Exposure Category C Section 26.7 Ground Snow Load pg 30 Table 7-1 Edge Zone Width a 7.7 ft Fig. 30.3-2A to I OF NEZW NY -Vo 5 N-Vo Y(JR� ��'� MP Specific Design Information JQ�P q2�, * ,k MP Name MP1 MP2 MP3 Digitally signed yY panto - Yurianto Yunanto +, Roofing Comp Shingle Comp Shingle Comp Shingle DN cn=Yunanl wt nto c=US o=Unaffili 09=001417000 once = ZS Com V4 w ZS Com V4 w ZS Com V4 w Yurianto Reason Iamt Standoff p p p Reason lam thea .5 1019g0 , Flashing—Insert Flashing—Insert Flashing—Insert L.cadocument t1 Date 2021-12-30 19 48-0 AROFESSIONP� Pitch 14 23 14 By Yuri at 7.47.47 PM, 1213012021 SL/RLL: PV 19.4 16.3 19.4 SL/RLL: Non—PV 20.8 20.8 20.8 Standoff Spacing and Layout MP Name MP1 MP2 MP3 Landscape X—Spacing 48 72 48 Landscape 20 24 20 X—Cantilever Landscape Y—Spacing 41 41 41 Landscape Y—Cantilever Portrait X—Spacing 32 24 32 Portrait X—Cantilever 11 15 11 Portrait Y—Spacing 74 74 74 Portrait Y—Cantilever — — — Layout Staggered Staggered Staggered X and Y are maximums that are always relative to the structure framing that supports the PV. X is across rafters and Y is along rafters. JB-1192349 0 0 CUSTOMER: DESCRIPTION: DESIGN: CONFIDENTIAL A THE INFORMATION HEREIN JOB NUMBER: Paul Schwartz 1 0.4 KW PV ARRAY Isak Hrvacic T 5 L n CONTAINED SHALL NOT BE USED FOR THE � � BENEFIT OF ANYONE EXCEPT TESLA INC., NOR MOUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert 1050 Parkway PART TO OTHERS OUTSIDE THE RECIPIENTS Southold,h01 d ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: , NY 11971 THE SALE AND USE OF THE RESPECTIVE (26) Tesla # T400H TESLA EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PAGE NAME: MEET: REV: DATE: PERMISSION OF TESLA INC. 7.6 kW Tesla Inc 1538000-00—F 240V 516-668-1669 UPLIFT CALCULATIONS 4 12/22/2021 MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE Panel Number:QOC40US Inv 1: DC Ungrounded INV 1 - (1) 7.6 kW Tesla Inc 1538000-00-F(240V) - (26) Tesla #T400H Meter Number:98366910 PV Module, 40OW, 371.5 PTC, 40MM, Black Frame, MC4/MC4-EV02, ZEP, 1000V Overhead Service Entrance INV 2 Voc: 45.3 Vpmax: 37.13 INV 3 1 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 200A MAIN SERVICE PANEL Inverter 1 IND E) 20OA/2P MAIN CIRCUIT BREAKER 4 1 (E) WIRINIiIAIN SERVICE PANEL 7.6 kW Tesla Inc 1538000-00—F (240V) A 20OA/2P 5 zaav DG MP 2: 1x8 (E) LOADS DC+ ------------------------------------- EGC------------- 2`• a DG- _F r z 1 DC+ DC+ T 4OA/2P DC-EGC DC+ I 3 DC MP 1: 1X9 AF-————————————————————————————————————————————----- --- ---i DG DC MP 3: 1x9 B I GND EGC— V('1)C..d.',t — -----——————————————————————————————— EGC————————————— ----� I I Kit; 3/4" EMT _J � EGCIGEC � GEC —— —i (E) CRITICAL LOADS PANEL* Z I E GENERATOR B GENERAC TO 120/240V I 14000W SINGLE PHASE UTILITY SERVICE I j (E)LOADS • EGC ON ROOF TO BE ROUTED WHERE NOT SUBJECT TO —� PHYSICAL DAMAGE. WHEN ROUTED SUBJECT TO PHYSICAL *NOTE: FEEDS VARIOUS ESSENTIAL ELECTRICAL SYSTEMS IN HOUSE DAMAGE THE SIZE MUST BE INCREASED TO #6 SOLID BARE COPPER. Voc* — MAX VOC AT MIN TEMP GD Please see MCI wiring detail page for more information POI (I)SQUARE D J�QQ240 PV BACKFEED BREAKER /� /� 'FU / „ ^ (1)EE-000550-001 MC4 Y-Connector, Receptacle D� Breaker, A 2P, 2 Spaces, Plug-On —(1)EE-000550-000 MC4 Y-Connector, Plug —(1)Groygd Roo 5 8 x 8, Copper PV (9)Tesla MCI, 60OV, 13A � (1)AWG #8, THWN-2, Black (2)PV Wire, AWG 10, Black Voc* =473.75VDC Isc =22.28 ADC (2)PV Wire, AWG 10, Black Voc* =421.11 VDC Isc =11.14 ADC O IoF-(1)AWG #8, THWN-2, Red O (1)AWG #6, Solid Bare Copper EGC Vmp =334.17 VDC Imp=21.54 ADC O (1)AWG #6, Solid Bare Copper EGC Vmp =297.04VDC Imp=10.77 ADC LL�-LL(1)AWG #10, THWN-2, Green EGC Vmp =240 VAC Imp=32 AAC ,(1 Conduit Kit; 3/4" EMT (1 Conduit Kit; 3/4" EMT —(1)Conduit Kit;,3/4" EMT. .. . . . . . . . .. (2)PV Wire, AWG 10, Black Voc* =421.11 VDC Isc =11.14 ADC (4)PV Wire, AWG 10, Black Voc* =473.75VDC Isc =11.14 ADC ® (1)AWG #6, Solid Bare Copper EGC Vmp =297.04VDC Imp=10.77 ADC O (1)AWG #6, Solid Bare Copper EGC Vmp =334.17 VDC Imp=10.77 ADC (1)Conduit Kit; 3/4"_EMT (1)Conduit Kit; 3/4"_EMT J B-119 2 3 4 9 0 0 CUSTOMER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN [INVERTER: B NUMBER: Paul Schwartz 10.4 KW PV ARRAY Isak Hrvacic T 5 L n CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT TESLA INC., NORUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN S Comp V4 w Flashing—Insert 1050 Parkway PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH ULE Tesla # T400H Southold, NY 11971 THE SALE AND USE OF THE RESPECTIVE TESLA EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEEP REV: DATEPERMISSION OF TESLA INC. .6 kW Tesla Inc 1538000-00—F 240V 516-668-1669 THREE LINE DIAGRAM 5 12/22/2021 WARNINGPHOTOVOLTAIC e O POWER SOURCELabel Location: Label Location: Label Location: (C)(CB)(JB) PHOTOVOLTAIC (INV) SOLAR PV SYSTEI' SolarEdge and,Delta M-Series and,Telsa Inverter Per Code: a .. , ... , Per Code: EQUIPPED lr+ll'ITH RAPID Per Code: NEC 690.31.G.3 SHUTDOWN NEC 690.56.C.3 SHUTDOWN 690.56(C)(1)(a) Label Location: T@IRf�RAPiO PHOTOVOLTAIC D (DC) (INV) Sgt+ dO�THE DISCONNECT Per Code: � 'oFX"posmam �� NEC 690.13.B SHUTwd'R1FV PfFAMNE S Label Location: SYSMI AND REDUCE • • (POI) WN ICKHAM DUAL POWER SOURCEPer Code: WTHEARM?. VOLTAGEMAXIMUM Label Location: •SEC; ;O SOURCE NE705.12.B.3 VLTAIC SYSTEM MAXIMUM CIRCUIT CURRENT (DC) (INV) Per Code: MAX RATED OUTPUT CURRENT NEC 690.53 OF THE CHARGE CONTROLLER OR DC-TO-DC CONVERTER Label Location: (IF INSTALLED) WARNING (POI) INVERTER Per Code: OUTPUTCONNECTION NEC 705.12.B.2.3.b NOT Label Location: ■• RELOCATE • WARNING (DC) (INV) DEVICE ELECTRICSHOCK HAZARD Per Code: IF AGROUND ■ , 690.41.13 NORMALLY -e ■ ■ CONDUCTORS MAY BE Label Location: UNGROUNDED AND ENERGIZED WARNING (DC) (INV) ELECTRIC SHOCK HAZARD THE DC CONDUCTORS OF PHOTOVOLTAIC Label Location: UNGROUNDEDAND PHOTOVOLTAIC A (AC) (POI) MAY BE ENERGIZED DISCONNECT Per Code: NEC 690.13.13 ■ . Label Location: SOLASYSTEM ABB/Delta Solivia Inverter Label Location: EQUIPPED WITH RAPIDPer Code: MAXIMUM AC A (AC) (POI) SHUTDOWN 690.56(C)(1)(b) OPERATING Per Code: TURN RAPID OPERATINGMAXIMUM AC VOLTAGE NEC 690.54 SHUTDOWN SWITCH TO THE"OFF" POSITION TO SHUT • DOWN CONDUCTORS OUTSIDE THE ARRAY. CONDUCTORS WITHIN Label Location: THE ARRAY REMAIN ( )( ) AC POI ENERGIZED IN SUNLIGHT (AC):AC Disconnect ELECTRIC SHOCK HAZARD Per Code: (C): Conduit ■e • • NEC 690.13.6 (CB): Combiner Box TERMINALS ON BOTH LINE AND (D): Distribution Panel •• . (DC): DC Disconnect IN THE OPEN -e • (IC): Interior Run Conduit (INV): Inverter With Integrated DC Disconnect (LC): Load Center (M): Utility Meter (POI): Point of Interconnection Label Set T = 5 Ln GENERAL NOTES • DRAWING OF STANDARD MCI WIRING DETAIL FOR ANY GIVEN STRING LENGTH • IF INITIATED, RAPID SHUTDOWN OCCURS WITHIN 30 GD SECONDS OF ACTIVATION AND LIMITS VOLTAGE ON THE ROOF TO NO GREATER THAN 165V (690.12.B.2.1) • MID CIRCUIT INTERRUPTER (MCI) IS A UL 1741 PVRSE CERTIFIED RAPID SHUTDOWN DEVICE (RSD) DC+ J-BOX J-BOX J-BOX J-BOX J-BOX J-BOX MCI MCI RETROFIT PV MODULES DC- • MCIS ARE LOCATED AT ROOF LEVEL, JUST UNDER THE PV MODULES IN ACCORDANCE WITH 690.12 REQUIREMENTS 1 • THE QUANTITY OF MCIS PER STRING IS DETERMINED BY STRING LENGTH — NUMBER OF MODULES BETWEEN MCI UNITS = 0-3 — MAXIMUM NUMBER OF MODULES PER MCI UNIT = 3 J-BOX J-BOX J-BOX J-BOX — MINIMUM NUMBER MCI UNITS = MODULE COUNT/3 MCI *Exception: Tesla (Longi) modules installed in locations where the max Voc for 3 modules at low design temperature exceeds 165V shall be limited to 2 modules between MCIs. PLEASE REFER TO MCI CUTSHEET AND PVRSA INSERT FOR 1 (2)AWG, PV Wire, 60OV, Black DC MORE INFORMATION T = SLM GENERAL NOTES 0 DRAWING OF STANDARD MCI WIRING DETAIL FOR ANY GIVEN STRING LENGTH • IF INITIATED, RAPID SHUTDOWN OCCURS WITHIN 30 SECONDS OF ACTIVATION AND LIMITS VOLTAGE ON THE ROOF TO NO GREATER THAN 165V (690.12.B.2.1) GD • MID CIRCUIT INTERRUPTER (MCI) IS A UL 1741 PVRSE CERTIFIED RAPID SHUTDOWN DEVICE (RSD) DC+ DIODE DIODE DIODE DIODE DIODE DIODE DIODE DC- MCI SOAR ROOF TMCIS ARE LOCATED AT DECK LEVEL, JUST UNDER THE 1 DIODE DIODE DIODE DIODE DIODE DIODE DIODE MCI TILES IN ACCORDANCE WITH 690.12 REQUIREMENTS • THE QUANTITY OF MCIS PER STRING IS DETERMINED BY STRING LENGTH — NUMBER OF TILES BETWEEN MCI UNITS = 0-10 DIODE DIODE DIODE DIODE DIODE DIODE DIODE — MAXIMUM NUMBER OF TILES PER MCI UNIT = 10 MCI — MINIMUM NUMBER MCI UNITS = TILE COUNT/10 DIODE DIODE DIODE DIODE PLEASE REFER TO MCI CUTSHEET AND PVRSA INSERT FOR 1 (2)AWG, PV Wire, 600V, Black DC MORE INFORMATION SOLAR INVERTER Tesla Solar Inverter provides DC to AC conversion and Integrates with the Tesla ecosystem, P - , Including Solar Panels,Solar Roof,Powerwall,and vehicle charging,to provide a seamless ' T T a s L A sustainable energy experience. KEY FEATURES Integrated rapid shutdown,arc 2x the standard number of MPPTs for fault,and ground fault protection high production on complex roofs i • No neutral wire simplifies Installation ELECTRICAL SPECIFICATIONS MECHANICAL SPECIFICATIONS MODEL NUMBER 1534000-xx-y 1538000-xx_yT Dimensions 660 mm x 411 mm x 158 mm(26 in x 16 in x 6 in) OUTPUT(AC) ---_—`—_T 3.8 kW- -- -- 7.6 kW Weight - 52 lbs Nominal Power 3,800 W 7,600 W Mounting options Wall mount(bracket) Maximum Apparent Power 3,328 VA at 208 V 6,656 VA at 208 V 3 Door and bracket can be removed for a mounting weight of 37 Ib -3,840 VA at 240 V 7,680 VA at 240 V A Maximum Continuous Current 16A 32A 0000 rcurrent Breaker(O P 20 A 40 A o0 ve Protection) t d .� -- ------- 4 0 H L F5 o0 3 Nominal Power Factor 1 -0 9(leadeng/lagging) THD(at Nominal Power) <5% �o Asa^� ilk, INPUT(DC) �',-,� � a _ • _ 1 _.--_--�- ° --- --�- -_-_---- - -—- --- - - - -------- — 660 mm oo I MPPT 2 4 000 I - -- - - - Input Connectors per MPPT 1-2 1-2-1-2 i Maximum Input Voltage - - 600 VDC- - - - DC Input Voltage Range 60-550 VDC ° r DC MPPT Voltage Range 60-480 VDC' -------- -- ---- , �# Maximum Current per MPPT(I.,) 13 A mm158 � <t -n Maximum Short Circuit mm - Current per MPPT(I,c) 15A ENVIRONMENTAL SPECIFICATIONS PERFORMANCE SPECIFICATIONS operating Temperature -300cto450c(-220Fto1130F)l Peak Efficiency 98%at 208 V 98 4%at 208 V Operating Humidity(RH) Up to 100%,condensing 98 1%at 240 V 98 6%at 240 V Storage Temperature -300C to 70°C(-22°F to 158°F) SOLAR INVERTER CEC Efficiency 97 5%at 208 V 97 5%at 208 V ---- - - -- - --- - - - 97 5%at 240 V 98 0%at 240 V Maximum Elevation 3000 m(9843 ft) 3.8 kW 17.6 kW Allowable DC/AC Ratio 1 Environment Indoor and outdoor rated - -- - --- - -- --- - - -- - - - - - - - - ----- - -- - - - Customer Interface Tesla Mobile App Enclosure Rating Type 3R Internet Connectivity WI-Fi(2 4 GHz,802 11 b/g/n). Ingress Rating IP55(Wiring compartment) Tesla Solar Inverter completes the Tesla home solar system,converting DC power from solar to AC power for home consumption Tesla's Ethernet,Cellular(LTE/4G)' _-- - - - - --- - - - - - renowned expertise In power electronics has been combined with robust safety features and a simple installation process to produce an Pollution Rating PD2 for power electronics and terminal wiringAC Remote Metering Support Wi-Fi(2 4 GHz,802 11 b/g/n), compartment,PD3 for all other components outstanding solar Inverter that Is compatible with both Solar Roof and traditional solar panels Once Installed,homeowners use the Tesla RS-485 Operating Noise @ 1 m <40 db(A)nominal.<50 db(A)maximum mobile app to manage their solar system and monitor energy consumption, resulting In a truly unique ecosystem experience ---- --- ---------- - -- -- - Protections Integrated arcrc fault circuit interrupter -- -- ------- ----------- -- - ------ -- ------- --- - --- (AFCI),Rapid Shutdown ^For the 7 6 kW Solar Inverter,performance may be de-rated to 6 2 kW at KEY FEATURES ----------- -- - ----- ---- - ---------- - -- - 240 V or 5 37 kW at 208 V when operating at temperatures greater than Supported Grid Types 60 Hz,240 V Split Phase 45°C • Built on Powerwall 2 technology for Designed to integrate with Tesla Powerwall and Tesla App 60 Hz,208 V Wye exceptional efficiency and reliability COMPLIANCE INFORMATION • 3.8 kW and 7 6 kW models available 'Maximum current _ • WI-Fi, Ethernet,and cellular connectivity Cellular connectivity subject to network operator service coverage and signal Grid Certifications UL 1741,UL 1741 SA,IEEE 1547,IEEE 1547 1 with easy over-the-air updates strength Safety Certifications UL 1741 PVRSS,UL 1699B,UL 1998(US),UL 3741 Emissions EN 61000-6-3(Residential),FCC 47CFR15 109(a) T =— S L n I,A iG_ I-1,, -u' TESLA COM/ENERGY SOLAR SHUTDOWN DEVICE The Tesla Solar Shutdown Device is part of the PV system rapid r shutdown(RSD)function in accordance with Article 690 of the applicable NEC When paired with the Tesla Solar Inverter, solar array shutdown is initiated by any loss of AC power om ELECTRICAL SPECIFICATIONS MECHANICAL SPECIFICATIONS Nominal Input DC Current Rating(I,,,P) 12 A Electrical Connections MC4 Connector { Maximum Input Short Circuit Current(Iso) 15 A Maximum 600 V DC System Voltage Housing Plastic Dimensions 125 mm x 150 mm x 22 mm (5inx6inxlin) Weight 350 g(0 77 Ib) RSD MODULE PERFORMANCE Mounting Options ZEP Home Run Clip M4 Screw(#10) — - ---- --- ---- -- - -- - Maximum Number of Devices per String 5 M8 Bolt(5/16") -- ------ -------- Nail/Wood screw Control Power Line Excitation --- - -- -- - - --'- -- Passive State Normally open --- — - Maximum Power Consumption 7 W Warranty 25 years -- -- 250 mm ----0 M4 Screw COMPLIANCE INFORMATION o 650 mm 150 mm M8 Bolt Certifications UL 1741 PVRSE,UL 3741, PVRSA(Photovoltaic Rapid a o Shutdown Array) Nail/ RSD Initiation Method PV System AC Breaker or Switch Wood Screw Compatible Equipment See Compatibility Table below ENVIRONMENTAL SPECIFICATIONS — H 125 mm 22 mm I Ambient Temperature -400C to SO°C(-40oF to 1220F) ---------- ----- -- ----- ------------------------ - Storage Temperature -300C to 700C(-22°F to 1580F) Enclosure Rating NEMA 4/IP65 — UL 3741 PV HAZARD CONTROL (AND PVRSA) COMPATIBILITY Tesla Solar Roof and Tesla/Zep ZS Arrays using the following modules are certified to UL 3741 and UL 1741 PVRSA when installed with the Tesla Solar Inverter and Solar Shutdown Devices.See the Tesla Solar Inverter Installation Manual for detailed instructions and for guidance on installing Tesla Solar Inverter and Solar Shutdown Devices with other modules Brand Model Required Solar Shutdown Devices Tesla Solar Roof V3 1 Solar Shutdown Device per 10 modules Tesla Tesla TxxxS(where xxx=405 to 450 W,increments of 5) 1 Solar Shutdown Device per 3 modules' Hanwha Q PEAK DUO BLK-G5 1 Solar Shutdown Device per 3 modules Hanwha Q PEAK DUO BLK-G6+ 1 Solar Shutdown Device per 3 modules 'Exception Tesla solar modules installed in locations where the max Voc for three modules at low design temperatures exceeds 165 V shall be limited to two modules between MCIs T - -- L F; rJ,4 2(T1-J=a TESLA COM/ENERGY Tesla Photovoltaic Module Module Specifications T395H, T400H, and T405H -- - - — - - - - Electrical Characteristics Power Class - --_-- -W------------ "--�------ T395H -----I - -- _ T400H- -- I- - - T405H -The Tesla module Is one of the most powerful residential photovoltaicTest Method STC NMOT STC NMOT STC NMOT modules available and exceeds Industry engineering and quality standardsN Max Power,Pnnx(W) 395 2963 400 Soot 405 3038 Featuring our proprietary Zep Groove design,the all-black module mounts Open Circuit Voltage,VPS(V) — — 4527 4269 j 4530 4272 4534 4276 close to your roof for a minimalist aesthetic Modules are certified to IEC/ E 1 — ---------- - ------ - -- - ----- -- -- - -----_T- - - o' Short Circuit Current I.0(A) 1110 895 1714 897 1117 900 UL 61730-1,IEC UL 61730-2 and IEC 61215 ___ 35 mm/1 378 1n Max Power Voltage,VMp(V) I 36 88 3503 3713 3525 3739 35 46 Max Power Current,Imp(A) 1 1071 846 1077 851 1083 8 57 Module Efficiency(%) I >_201 >_20 4 >_20 6 STC 11000 W/m',25-C AM15 NOCT - ,---_ _ 800 W/m2,20"C,AMI 5,wind speed 1 m/s Mechanical Loading Temperature Rating(STC) F - —--------- - Front Side Test Load 6120 Pa 1 128 Ib/ft2 Refer to module and system [Temperature Coefficient of Isc +0 04%/eC Rear Side Test Load 6120 Pa 1128 Ib/ft2 Installation manuals for perature Coefficient of Vo _ — -0 277. -C -- ------- - ------------ - allowable design loads,foot - ------------ - -- ----- -- - - - - Front Side Design Load 4080 Pa 185 Ib/ft2 spacings,and cantilever Temperature Coefficient of PM,x(W) -O 34%/-C I Rear Side Design Load 4080 Pa 185 Ib/ft2 --specifications Hailstone Test 25 mm Hailstone at 23 m/s 1 7046 mm 1412 In _ ---- --- ----- -- - - -- ) 40+/-O5 mm I Mechanical Parameters 157+/-0020 1n ' Cell Orientation 132(6 x 22) •� Junction Box IP68,3 diodes Cable 4 mm'1 12 AWG,1200 mm 1 472 in Length Connector Staubh MC4 or MC4 compatible Front Cover O 13 in(3 2 mm)thermally pre-stressed glass Frame Black Anodized Aluminum Alloy 1 c Weight 23 5 kg 1 518 Ib ^� "- - - - -- - 1890mm x 1046 mm x 40 mm - --_--- _ - - - - c c Dimension E 7441 n x 412 in x 157 m iv\- O Operation Parameters — E - EE Operational Temperature -401C up to+851C o Power Output Tolerance - -O/+5 W Vpr&It,.Tolerance +/-S%- Max /-5%Max System Voltage DC 1000 V(IEC/UL) - - Max Series Fuse Rating 20 A ! " nF Safety Class Class 11 nH _ Fire Rating UL 61730 Type 2 L Linear Power Warranty I Materials and Processing 25 years ------------- Extra Linear Power y Output 25 ears I LL p ___ _ At least 98%of nominal power during first year Thereafter max O 5%degradation per ' - year At least 93 5%of nominal power up to 10 years At least 86%of nominal power up I e to 25 years 1 .... -- - "- --- ---- - - - - --- -- - -- --- - - 21 _• u I p y IV Curves i - Current vs Voltage Power vs Voltage Current vs Voltage ' 12 r Call I—=25 C ^5D r Cell Temp=25"C 12 Incident Irrad,ance= 1 400 4 1000 w/— lo 1000 W/m' 350 1000 W/m 10 I _C,.II Tc P=25°c - BOO W/m. 300 800 CeII 1mp=31C 250 Cell Rmp—C 600 W/m 600 W/m' Q 63 6 Call Temp=55°C 400 W/m' 200 <OO w/m' 4 —200 W/m' 0 150 200 W/m Q Cell Temp=65^C V t n 100 U Cell Temp=)5•C 0 0 10 20 30 a0 s0 0 10 20 30 40 50 0 10 20 30 40 s0 Voltage lV) ­tag'(v) Voltage(V) Tesla Module Datasheet T = S L n Tesla Module Datasheet T E3 S L_ R (TEPV-DS-0011-21) (TEPV-DS-0011-21) QpOMPATje ROOFING SYSTEM SPECIFICATIONS ��, FIGROUND ZEP F-1 LEVELING FOOT (meq V cOMPPS�� --— -- -- —------- — Listed to UL 2703 Listed to UL 2703 DESCRIPTION PV mounting solution for composition shingle roofs. Part#850-1511 Part#850-1397 Works with all Zep Compatible Modules. Auto bonding UL-listed hardware creates structural and electrical bond. ®;a„� O p0 '— i I` SPECIFICATIONS Designed for pitched roofs. Installs in portrait and landscape orientations. F-1 DC WIRE CLIP F-1 HOME RUN CLIP Engineered for spans up to 72”and cantilevers up to 24". Listed to UL 1565 Listed to UL 1565 Part#850-1509 Part#850-1510 ZS Comp has a UL 1703 Class"A" Fire Rating when installed using modules from any \ manufacturer certified as"Type 1" or"Type 2". Attachment method UL listed to UL 2582 for Wind Driven Rain. ZS Comp supports 50 psf(2400 Pa)front and up to 72 psf(3450 Pa) rear side design load rating for Portrait module orientation per UL 2703. ZS Comp supports 50 psf(2400 Pa)front side and up to 72 psf(3450 Pa) rear side design ARRAY SKIRT F-1 END CAP load rating for Landscape module orientation. Listed to UL 2703 Listed to UL 2703 Engineered compliance with ASCE 7-05, 7-10, and 7-16 wind load requirements. Part#850-1608 Part#850-1586(Left) d f g p a Part#850-1588(Right) Zep wire management products listed to UL 1565 for wire positioning devices. ZS Comp grounding products are listed to UL 2703 and UL 467. ZS Comp bonding products are listed to UL 2703. <I MOUNTING BLOCK 1:1 FLASHING INSERT SKIRT GRIP INTERLOCK Listed to UL 2703 Listed to UL 2703 and UL 2582 for Wind Driven Rain Listed to UL 2703 Listed to UL 2703 Part#850-1633 Part#850-1628 Part#850-1606 Part#850-1613 O O l � i CAPTURED WASHER LAG F-1 HYBRID INTERLOCK Part#850-1631-002 and#850-1631-004 Listed to UL 2703 Part#850-1281 O O T S S L n ZS COMP DATASHEET 2 T = S L ri ZS COMP DATASHEET 3 PV HAZARD CONTROL SYSTEM I ZS PVHCS PV HAZARD CONTROL SYSTEM PVHCS I CERTIFICATION UL 3741 REPORT DATE 10-20-21 (APPLICABLE TO ZS COMP, ZS SPAN, ZS RAMP, AND ZS SEAM) UL 3741 REPORT DATE 8-12-21 PV RAPID SHUTDOWN ARRAY, UL 1741 CATEGORY QIJR PV RAPID SHUTDOWN ARRAY, UL 1741 CATEGORY QIJR, REPORT DATE: 2021-06-11 (REV 8-10-21) WARNING:To reduce the risk of injury,read all instructions. WARNING.To reduce the risk of injury, read all instructions. PV HAZARD CONTROL EQUIPMENT AND COMPONENTS PV HAZARD CONTROL EQUIPMENT AND COMPONENTS Function Manufacturer Model No Firmware Versions Certification Standard Firmware Versions and Checksums Function Manufacturer Model No. and Checksums Certification Standard PVRSE Mid Circuit Tesla MCIA N/A UL 1741 PVRSE PVRSE Mid Circuit MCIA Interrupter(MCI) Interrupter(MCI) Tesla 15503791 N/A UL 1741 PVRSE 7.6 kW:15380001 V4,CEA4F802 UL 1741,1998 7.6 kW 15380001 V4,CEA4F802 Inverter or Powerwall+ Tesla 3.8 kW:15340001 V4,FF7BE4E1 UL 1741,1998 PVRSS/PVRSE Inverter or Powerwall+ Tesla 3.8 kW.15340001 V4,FF7BE4E1 7.6 kW 18500001 V4,CEA4F802 7.6 kW- 18500001 V4,CEA4F802 PVRSS/PVRSE Q.PEAK DUO BLK-G5/SC310-320 PV Module Tesla SR60T1,SR72T1 N/A UL 61730 PV Module Hanwha/Q-CELLS Q.PEAK DUO BLK G6+/SC330-345 N/A UL 1703 SR72T2 Tesla TxxxS (xxx=405 to 450) UL 61730 Diode Harness Tesla xxx=395 to 415 Tesla SRDTH N/A UL 9703 Tesla TxxxH ( ) (Not applicable to SR72T2) PV Wire Jumper(s) Tesla SR-BJ2X,SR-BJ3X, N/A UL 9703 PVHCS Initiator Dedicated PV system AC circuit breaker or AC disconnect switch,labeled per NEC 690.12 N/A SR-BJ4X,SR-BJMirn (PV Inverter) requirements. Pass-Through Box Tesla SRPTB-4 N/A UL 1741 PVHCS Initiator Emergency stop device(NISD)-Listed"Emergency Stop Button"or"Emergency Stop UL 508 or UL 60947 Parts PVHCS Initiator: Dedicated PV system AC circuit breaker or AC disconnect switch,labeled per NEC N/A (Powerwall+) Device"or"Emergency Stop Unit'. 1,5-1 and 5-5 (PV Inverter) 690 12 requirements. 1 Applies to variations of this part number with suffix of two numbers and one letter. PVHCS Initiator Emergency stop device(NISD)-Listed"Emergency Stop Button"or"Emergency Stop UL 508 or UL 60947 (Powerwall+) Device"or"Emergency Stop Unit' Parts 1,5-1 and 5-5 Note:PVHCS installation requirements may reduce the effective equipment and component ratings below the individual equipment and component Applies to variations of this part number with suffix of two numbers and one letter. PVRSE ratings in order to achieve PVHCS shock hazard reduction requirements. Note-PVHCS installation requirements may reduce the effective equipment and component ratings below the individual equipment and component PVHCS INSTALLATION REQUIREMENTS PVRSE ratings in order to achieve PVHCS shock hazard reduction requirements Max System Voltage 600 VDc PVHCS INSTALLATION REQUIREMENTS PVHCS Maximum Circuit Voltage(Array Internal Voltage After Actuation) 165 VDc(cold weather open circuit) Max System Voltage 600 VDc Max Series-Connected Modules Between MCIs PVHCS Maximum Circuit Voltage(Array Internal Voltage After Actuation) 165 VDc(cold weather open circuit) *Exception-Tesla S-Senes(TxxxS)modules installed in locations where the max VOC for 3 3* modules at low design temperature exceeds 165V shall be limited to 2 modules between MCIs. Max Series-Connected Panels between MCIs 10 OTHER INSTALLATION INSTRUCTIONS OTHER INSTALLATION INSTRUCTIONS 1.An MCI must be connected to one end of each series string or mounting plane sub-array string. 1.An MCI must be connected to one end of each series string or mounting plane sub-array string. 2.Verification that MCIs are installed with 3 or fewer modules between MCIs shall be documented for inspection, by voltage 2.Verification that MCIs are installed with 10 or fewer modules between MCIs shall be documented for inspection, by voltage measurement logs and/or as-built string layout diagrams. measurement logs and/or as-built string layout diagrams. 3. For PV Inverter:The PVHCS initiator(AC breaker or switch)shall be sized and installed in accordance with NEC requirements. 3. For PV Inverter:The PVHCS initiator(AC breaker or switch)shall be sized and installed in accordance with NEC requirements. The specific part shall be identified on the as-built system drawings. The specific part shall be identified on the as-built system drawings. 4. For Powerwall+:The PVHCS emergency stop initiator shall have the following minimum ratings:Outdoor(Type 3R or higher), 12V, 4.For Powerwall+:The PVHCS emergency stop initiator shall have the following minimum ratings:Outdoor(Type 3R or higher), 12V, 1A,and shall be installed in accordance with NEC requirements.The specific part shall be identified on the as-built system drawings. 1A,and shall be installed in accordance with NEC requirements.The specific part shall be identified on the as-built system drawings. Refer to the Powerwall+installation manual for further details. Refer to the Powerwall+installation manual for further details. UL UL Certification Mark of UL on the installation instructions is the only method provided by UL to identify products manufactured under its ' Certification Mark of UL on the installation instructions is the only method provided by UL to identify products manufactured under its ® Certification and Follow-Up Service.The Certification Mark for these products includes the UL symbol,the words"CERTIFIED"and ® Certification and Follow-Up Service.The Certification Mark for these products includes the UL symbol,the words"CERTIFIED"and "SAFETY,"the geographic identifier(s),and a file number. "SAFETY,"the geographic identifier(s),and a file number. T = S L n TEZS-DS-0020-21 1 T = Ei L n TESR-DS-0385-21 1