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f Oyu Ot Town of Southold �o� oGy 10/5/2021 P.O.Box 1179 0 o • 53095 Main Rd ti�01r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42400 Date: 10/5/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 520 Private Rd#27, Southold SCTM#: 473889 Sec/Block/Lot: 78.-7-32.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore riled in this office dated 5/14/2021 pursuant to which Building Permit No. 46334 dated 6/2/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof mount solar panels on existing single family dwelling as applied for. The certificate is issued to Dunn,Peter&Barbara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46334 7/7/2021 PLUMBERS CERTIFICATION DATED A tho z d Signature �o�SufFo. TOWN OF SOUTHOLD ay BUILDING DEPARTMENT C, x TOWN CLERK'S OFFICE "o • r SOUTHOLD, NY y oma. 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#: 46334 Date: 6/2/2021 Permission is hereby granted to: Dunn, Peter 520 Private Rd 27 Southold, NY 11971 To: Install roof mount solar panels on existing single family dwelling as applied for. At premises located at: 520 Private Rd #27 SCTM # 473889 Sec/Block/Lot# 78.-7-32.6 Pursuant to application dated 5/14/2021 and approved by the Building Inspector. To expire on 12/2/2022. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Building Inspector ®�*pE SOUPS,®! Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 s y� sean.devlin(c�town.Southold.ny.us �yC®UNTI,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Peter Dunn Address: 520 Private Rd #27 city.Southold st: NY zip: 11971 Building Permit#: 46334 Section: 78 Block: 7 Lot: 32.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Long lasland Power Solutions License No: 36178ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 11.84kW Roof Mounted PV Solar Energy System w/ (32) Ig370n 1 K-A6 Panels, 38.72A PV Disconnect, Enphase IQ Combiner 3 w/220x3 215x1 Notes: Solar ` Inspector Signature: �,- Date: July 7, 2021 S.Devlin-Cert Electrical Compliance Form As so 2�7 # # TOWN OF S UTHOLD BUILDING DEPT-. ulmvl ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING- [ ] FRAMING/STRAPPING [ ] FINAL [. ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) r [ ] CODE VIOLATION [ ] PRE C/O REMARKS:- DATE INSPECTOR c # # TOWN OF SOUTHOLD BUILDING DEPT: 765-1802 INSPECT-ION [ ` ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ } FOUNDATION 2ND [ ] SULATION/CAAULKING [ ] FRAMING/STRAPPING [ FINAL�io�A�/ [ ` ]-FIREPLACE & CHIMNEY' [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: t DATE INSPECTOR Fisher Engineering Services, P.C. 509 Sayville Blvd • Sayville •New York 11782 Phone: (631) 786-4419 July 18,2021 Southold Building Department 54375 NY-25 Southold,NY 11971 Subject: Solar Energy Installation for Dunn Residence 520 Private Road#27, Southold,NY 11971 Fisher Engineering Services, P.C. has reviewed the solar energy installation at the subject address on June 22, 2021. The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawings. The installation meets the requirements of the 2020 Residential Code of New York State,2018 International Residential Code(2018 IRC), Long Island Unified Solar Permit Imitative (LIUSPI), and National Electric Code 2017, and the provisions of ASCE 7-16. To the best of my knowledge,the work summarized in this document is accurate, conforms with the governing codes applicable at the time of submission, conforms with reasonable standards of practice, with the view to the safeguarding of life, health,property and public welfare. NE�y Regards, ,tL- William G. Fisher, , . 07 Licensed Professional Engineer Architectural Design•Residential•Light Commercial Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting•Inspections FIELD INSPECTION REPORT DATE COMMENTS t� FOUNDATION(IST) y ------------------------------------ C FOUNDATION(2ND) O O ROUGH FRAMING& tr1 PLUMBING i W r INSULATION PER N.Y. y STATE ENERGY CODE Al Ilk FINAL ADDITIONAL COMMENTS Gu. 6 ZI -7 s a`t-21 + b o z x �x d _ b y J TOWN OF SOUTHOLD—BUILDING DEPARTMENT is Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPUCAMN FOR BUMM PERK 7 For Office Use Only ' „-` {j �v PERMIT NO. ?J Building Inspector: MAY 1 4 2021 Applications and forms must be filled out in their,entirety. Incomplete applications will not be accepted.,Where the Applicant is not the owner,,an Owner's Authorization form(Page 2)"shall be completed. Date:5/13/2021 OWNER(S)OF PROPERTY:' Name:Peter & Barbara Dunn FCTM #1000-078,00-07,00-032,006 Physical Address:520 Private Road # 27, Southold, NY 11971 Phone#:516-729-3815 Email:petedunn1 @aol.com Mailing Address:520 Private Road # 27, Southold, NY 11971 CONTACT PERSON: " Name:Sue Estabrooke/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:sue DESIGN PROFESSIONAL INFORMATION: Name:Fisher Engineering Services, P.C. Mailing Address:509 Sayville Blvd., Sayville, NY 11782 Phone#:631-786-4419 Email:bill@fisher-ny.com ,,CONTRACTOR INFORMATION:'-: , Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@Gopowersolutions.com DESCRIPTION OF-PROPOSED CONSTRUCTION ❑New Structure []Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: R Other Proposed(32)panel roof mounted array. (11.840)kW System $22,200.00 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property:Sin le Famil Welling Intended use of property:Sin le Famil Dwellin _9—� Y_ 9 _ _____ — __9__ Y_ _-9 Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to _ this property? ❑Yes ®No IF YES, PROVIDE A COPY. 8 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. 'Catizone Electrical/Long Island kower Solutions yvent Application Submitted By(print na C BAuthor'ze Agent Downer Signature of Applicant Dater STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Michael Catizone , being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this LYNDE SUSETTE ESTABRO CE Notary Public TARY PUBLIC,STATE OF NEW YORK Registration No.OIES6259997 Qualified in Dutchess County P ®PERTY OWNER AUTHORIZATION Commission Expires April 16,2024 Where the applicant is not the owner) I, residing at S` �C"\j p�3 -.4t 2 Michael Catizone/Long Island Power Solutions do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. VXZ,AZ Owner's Signature Date Print Owner's Name 2 F0t,,Y BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD E I� Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 "s' 4� C ' Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrOsoutholdtownny.gov sea ndCZD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date:_ Company Name: Catizone Electrical/Long Island Power Solutions Name:Michael Catizone License No.: 36178-ME email: sue@longislandpowersolutions.com s Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 Phone No.: 631-348-0001 JOB SITE INFORMATION (All Information Required) Name: Peter&Barbara Dunn Address: 520 Private Road, #27, Southold,NY 11971 Cross Street.-Wzstpha*a-Rd Phone No.: 516-729-3815 Bldg.Permit#: email:petedunnl@aol.com Tax Map District: 1000 Section: 78 Block: 7 Lot: 32.6 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed(32)panel roof mounted array. (11.840)kW System Circle All That Apply: Is job ready for inspection?: YES / N� Rough In Final Do you need a Temp Certificate?: YE / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected - Underground -Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form.xls 1 Qj t �j¢ �•, �t , BUILDING DEPARTMENT-Electrical Inspector *4%J �- TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 v Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cDsoutholdtownny.gov,� sea nd(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: Company Name: Catizone Electrical Long Island Power Solutions Name:Michael Catizone License No.:36178-ME email: sue@longislandpowersolutions.com Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 Phone No.: 631-348-0001 JOB SITE INFORMATION (All Information Required) Name: Peter&Barbara Dunn Address: 520 Private Road,#27, Southold,NY 11971 Cross Street.-VftsVha*er-Rd Phone No.: 516-729-3815 Bldg.Permit email:petedunnl@aol.com Tax Map,District: 1000 Section; 78 Block: 7 Lot: 32.6 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed(32)panel roof mounted array. (11.840)kW System Circle All That Apply: Is job ready for inspection?: YES A0 Rough In Final Do you need a Temp Certificate?: YE / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground - Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Fotm.xls �1 e PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini -Special:- Comments` Special:Comments` // 4— A rll ® 2;, F LONG ISLAND \ CMOWER 2060 Ocean Ave Ronkonkoma, NY 11779 P 1 UTIO1e 1S 631348-0001 6.. �i www.longislandpowersolutions.com May 13,2021 � `�� 1 r Ef l= ✓ LL773 TOWN OF SOUTHOLD—Building Division Town Hall Annex Building M AY 4 2021 54375 Route 25 P.O. Box 1179 Southold,NY 11971 °"C' `"" `` Dear Building Dept: As per your Building Department, enclosed please find the building permit application, submitted on behalf of our client/property owner: Property Owner: Peter& Barbara Dunn—516-729-3815 Project/Property Address: 520 Private Road, #27, Southold,NY 11971 Section/Block/Lot: 1000-78-7-32.6 Electrician/36178-ME: Michael Catizone—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Contractor/53562-H: LI Power Solutions—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Architecture&Planning: Fisher Engineering Svcs.-509 Sayville Blvd., Sayville,NY 11782—631-786-4419 Enclosed Please find: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of the Engineering Drawings & Specs • Liability, Disability&Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Sincerely, \ Sue Estabrooke Permit Manager Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx- 631-348-0018 sue@Gopowersolutions.com GO Green Save Green t �,ctra fir �,fsrntt tD;io �:cr�a� �a eLocx ? Lr�77s7.r�rr 1 caEu t w^ YA417rN/T WriS�U PS=ll1'-'.Y`i lhYPnr n v Or I` WsT rF� W^wc mmq P Y 0 4 LW:Cl j/I I GtRi50N f 83009'40"E 229.87' T� G`SW.!K -FLNCE a'S�DCVAIYC FEr.Gt EL I8 5 i EL 10,7 £L IS 6 q m LAnD N/F Q W, I 5Chtt 8 WDaawAL 4 FROPOSEO SOI. pxFuuxA N , aroca M. AREA N4 w/fl18UC NATER W lz • L� tA.10 MIT` a � " � turlt 2 o EL t 0 0 EL 136 WOOD EL 155 ti _ Orcxn aae/. p, - dz ? r--„- -gno•a [L1 W .y0-PzcL a „ g' 1 rG 80 PROPOSED 'e tl' ti 816'DI1CP Q gy , 0R7 WELLt V 9'a;ati-DLCP��' r 5rr FRU y-� ti 1 6*5 LAM)It,7FW r STE S'•. 0 VNEUtNG it rl �a Q 1 `�'. U 1 . 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OV sY '1''a^ r }a -a+ w"" ..�r�wi�i ¢'i�r' 1)fE WA7ER °;""iP .j•,xx�<„ .Wi' - i LOCA TtQYS AND ClE'VANW DA -71671 or ThE NEW YORK SAME_., tir7S� qf6 70 a A VAt/D IRV-'COPY To THE DILE COWANY,CotfRN>41y - �s.,< 1,°•', fS ARE N07 TRAdS.FfRAW y, 714r STRUCIV S ARE FOR A SPEWV 1:��7 C7NW t1i'tVV"S.ADOII mtAt S7RUL7L1 CERPREl7 vg t a P.4.'Bo�t'163 Aquebo;urn I y �''`'�' i'flDN6(pl12.3as^I58E taUC? �-' No,050882 W t.tct°j tE.re;ays a(Itrlo+1. h'. 5 1 Suffolk County Dept of Lntror,Licensing&Cgrisurrier Affairs MASTER ELECTRICAL L?CEN BE ; f Name MICHAEL J CAT4:0NE :fZvgir7@Ss Mame Thisl the beEser1r.duip Frtsed Catizune Eiett4wl Cont-azu'1�Inc $ by IN Codnlly or su oN Llu:onse Number.ME-36170 Rosalie Drage issuod: i22+01r404 Commissioner Expires. 1Z'MV2022 ;4 �l Suffolk County Dept.of Labor,Licensing&Consumer Affairs - - MASTER ELECTRICAL LICENSE uo Name MICHAEL CATIZONE i Business Name This certifies that the LONG ISLAND POWER SOLUTIONS INC bearer is duty licensed by the.County of suffotk License Number:ME-53560 Rosalie Otago Issued: 06/06/2014 Commissioner Expires: 06/0112022 Suffolk County Dept.of Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE {�p,--e•Rfr„ i t3,* Name MICHAEL J CATIZONE Business Name This certde l licensed that the bearents duty LONG ISLAND POWER SOLUTIONS INC by the County of suffolk License Number.H-53562 Rosalie Drago Issued: 0610612014 Commissioner Expires: 06/0112022 t t ACORD. � Client#:83393 LONGISL15 ACO iQ®. CERTIFICATE ®F' LIABILITY INSURANCE D2/25/ /DDIYYYY) 2/25/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 FAX A/C No Ext: A/C No 631-390-9790 40 Marcus Drive E-MAIL 3rd Floor ADDRESS: certific.ites@cookmaran.com Melville,NY 11747-2647 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine&General Ins Cc 12294 INSURED INSURER B Long Island Power Solutions,Inc. INSURER C: 2060 Ocean Avenue INSURER D: Ronkonkoma,NY 11779 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �TR TYPE OF INSURANCE INSR WV R POLICY NUMBER POLICY EFF MM/LIDD�P LIMITS A X COMMERCIAL GENERAL LIABILITY PK202100020693 2/28/2021 02128/2022 EACH OCCURRENCE $2 000 000 CLAIMS-MADE ®OCCUR PREMISES Eao�N,xTu"an, $100 000 X PD Ded:5,000 MED EXP(Any one person) s5,000 X Contractual Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 JECOT- LOC PRODUCTS $2,000,000 POLICY a OTHER $ A AUTOMOBILE LIABILITY PK202100020693 2/28/2021 02/28/202 E�acccidentSINGLE LIMIT 1'000'000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY Per accident A X UMBRELLA LIAB X OCCUR EX202100001789 2/28/2021 02/28/2022 EACH OCCURRENCE s5,000,000 EXCESS LIABCLAIMS-MADE AGGREGATE s5,000,000 DED I X RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY E ANY PROPRIETOR/PARTNER/EXECUTIVEY/N EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED9 N/A (Mandatory In NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Town of Southold is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2962740/M2962525 CPRAV sST if workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured LONG ISLAND POWER SOLUTIONS INC 2060 OCEAN AVE 6313480001 RONKONKOMA, NY 11779 Work Location of Insured(only required if coverage is specifically limited to 1 c. Federal Employer Identification Number of Insured certain locations In New York State,i.e.,Wrap-Up Policy) or Social Security Number 27-1175107 2.Name and Address of Entity Requesting Proof of Coverage 3a,Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southold Standard Security Life Insurance Company of New York 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold, NY 11971 R97411-000 3c.Policy effective period 1/1/2015 to 9/14/2021 4. Policy provides the following benefits: Q A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: Q A All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees- Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as descpqed above. Date Signed 9/15/2020 By A94. 0 C_� (Signature of Insurance carrier's authoriz d representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only if 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-120.1. Insurance brokers are NOT authorized to issue this form. D13-120.1 (10-17) IllllIID°11�°°!°!°!�°�!°�°!�!��!�°�!°!°°IIIIIII NYSIF 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nySlf.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 [NO �LOVELL SAFETY MGMT CO.,LLC 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POWER SOLUTIONS INC TOWN OF SOUTHOLD 2060 OCEAN AVENUE 53095 ROUTE 25 RONKONKOMA NY 11779 SOUTHOLD NY 11971 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 2467 078-8 146804 4/01/2021 TO 04/01/2022 03/09/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS' COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 239995852 0l '121816031I1II11/111/111101100000000000911111111 Fonn WC-CERT-NOPRINT Version 3(08/292019)[WC Policy-24670788] U-26.3 41 [00000000000091281603][0001-000024670788][##Z][15588-79][CerLNoP{ERT_11[01-00001] vOK workers' CERTIFICATE OF INSURANCE COVERAGE ST Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured CATIZONE ELECTRICAL INC 575 LEXINGTON AVENUE,4TH FLOOR 646-383-3599 NEW YORK, NY 10022 Work Location of Insured(Only required if coverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 45-5213112 2 Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southhold Standard Security Life Insurance Company of New York 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold, NY 11971 R97483-002 3c.Policy effective period 1/1/2020 to 9/15/2021 4. Policy provides the following benefits. Q A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. n C.Paid family leave benefits only. 5. Policy covers: 0 A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc' d above. Date Signed 9/16/2020 By &J-- !�-C-� (Signature of insurance carrier's authoriz d representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 413,4C 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-120.9. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) 111111 DB 120.1 (10-17) INEWRWorkers' CERTIFICATE OF aTE Corrtpensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Catizone Electrical Inc 631348-0001 75 Lexington Avenue,4th Floor - New York, NY 10022 1 c.NYS Unemployment Insurance Employer Registration Number of 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 State,i.e.,a Wrap-Up Policy) Number 455213112 Flame and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Utica Mutual Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" 53095 Route 25 766763 3c.Policy effective period Southold,NY 11971 07/01/2020 to 07/01/2021 3d.The Proprietor,Partners or Executive Officers are ❑ included.(only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2'. The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after'this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Leonard Scioscia (Print name of authorized representative or licen-seed'agent of insurance carrier) Approved by: v 9/17/20 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631-390-9700 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov Client#:83176 CATIELE DN ACORD. CERTIFICATE OF LIABILITY INSURANCE D6/17/ATE 020YM 6/17/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NOaMNEACT Cook Maran Cook Maran&Associates H Ne Ext,6313909700 FAX A/C No): 40 Marcus Drive E-MAIL certificates@cookmaran.com 3rd Floor ADDRESS: Melville,NY 11747-2647INSURER(S)AFFORDING COVERAGE MAIC# INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B Catizone Electrical Contracting Inc. 2060 Ocean Avenue INSURER C: Ronkonkoma,NY 11779 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR I SR WVD POLICY NUMBER MWDD/YYY MM/DD/YY A X COMMERCIAL GENERAL LIABILITY CPP4784747 7/01/2020 07/01/2021 EAACCH�OCCCURRENCE $1,000,000 CLAIMS-MADE ®OCCUR PREMISES EaENurrence $100,000 MED EXP(Any oneperson) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $2,000,000 X POLICY[_1JECOT [7 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION 4766763 7/01/2020 07/01/2021 X PER ER RH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? ® N/A (Mandatory In NH) E L DISEASE-EA EMPLOYEE $500,000 DEes SCRescribe under IPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO14 DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2534247/M2522457 CPRAV y APPROVED AS NOT D OCCUPANCY O DATE: B.P.# 3 ' USE IS UNLAWFUL FEE:`= BY: WITHOUT E NOTIFY BUILDING DEPARTMENT AT CERTIFICATE 765-1802 8 AM TO 4 PM FOR THE OF OCCUPANCY FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED-CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION._MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW COMPLY WITH ALL CODES OF YORK STATE. NOT RESPONSIBLE FOR NEW YORK STATE & TOWN CODES DESIGN OR CONSTRUCTION ERRORS. AS REQUIRED AND CONDITIONS OF SOUTHO'LD TOWN ZBA SOUTHOLr TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC oN Fisher Engineering Services, P.C. 509 Sayville Blvd • Sayville •New York 11782 Phone: (631) 786-4419 March 5,2021 Attention: Town of Southold Building Department 54375 NY-25 Southold,NY 11971 Subject: Solar Energy Installation for Dunn Residence 520 Private Road#27, Southold,NY 11971 1 have reviewed the roof structure at the subject address. The structure can support the additional weight of the roof mounted system. The units are to be installed in accordance with the manufacturer's installation instructions. I have determined that the installation will meet the requirements of the 2020-Residential Code of New York State and ASCE7-16 when installed in accordance with the manufacturer's instructions. Roof Section RI Mean roof height 21 ft ,Pitch 35 deg Roof Rafter 2x4truss Rafter spacing 16 cc Table R802.4.4(1)max allowable 9.8 ft The climactic and load information is below: Ground Wind Live Load, Point CLIMATIC AND Exposure Snow Speed,3 Pnet per Pullout Fastener Type GEOGRAPHICAL DESIGN Category Load,Pg, sec gust, ASCE 7, Load, CRITERIA sf mph psf lb Roof Section R1 B 20 140 39 743 SS 5/16"dia lag bolt, 5"length Weight Distribution Array dead load 2.5 psf Load per attachment 27.2 lb Subject roof has one layer of shingles. Panels mount flush to roof no higher than 6 inches above roof surface. NE�y Sincerely, William G.Fisher,P.E. 1 Licensed Professional Engineer . 07 r Architectural Design•Residential•Light Commercial Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting•Inspections AERIAL 'Long Island `s POWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 4,11 - DUN N ° r RESIDENCE 520 PRIVATE ROAD#27 SOUTHOLD, NY 11971 516-729-3815 S: 78 B: 7 L: 32.6 PROJECT DATA: #274476 INVERTER (32)ENPHASE 1Q7PLUS-72-2-US i MODULES (32)LG370NlK-A6 RACKING. IRON RIDGE XR100 �v WATTAGE 11,840 SHEET INDEX ROOF TYPE- COMPOSITION SHINGLES f7 WIND LOAD- -21 PSF @ 140MPH S-1 SITE PLAN FASTENER: USE 5/16"DIA.5"LAGS Q. S-2 DETAILS LO E-1 ELECTRICAL PLAN W o L-1 MOUNTING PLAN o V-J }0 1 ul R� q� W n y� c� /.� zNo °Fsss ��P z 0 v / w 'E NOTES I ,PG -ENPHASE IQ7 PLUS MICRO INVERTER F LOCATED ON ROOF BEHIND EACH MODULE. ����- G�£ � / -FIRST RESPONDER ACCESS MAINTAINED ��� ��� AND FROM ADJACENT ROOF. " 0, -WIRE RUN FROM ARRAY TO CONNECTION IS / 40 FEET. ,y R-1 -COGEN DISCONNECT IS LOCATED A 0746�4 � D/` # MODULES (32) ADJACENT TO UTILITY METER. � PITCH: 35° -LAYOUT SUBJECT TO CHANGE BASED ON ALTERATION OF THIS DOCUMENT EXCEPT BY A � AZIMUTH: 22 0 SITE CONDITIONS AT DATE OF INSTALL LICENSED PROFESSIONAL IS ILLEGALPAPER SIZE.11"x17°(ANSI B) V 3'_511 LEGENDDATE: 04/19/2021 DESIGN BY: MW " 51_9 ® GROUND ACCESS POINT CHECKED BY: SG COGEN DISCONNECT REVISIONS: 04/30/2021 a 0 ® UTILITY METER REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEWYORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, INCLUDING ALTERNATIVE METHODS MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE ASCE7-10. SITE PLAN S- 1 THE 2020 RESIDENTIAL CODE OF NYS IronRidere XR 100 Rail <,:,y`�,��z,..=y-; . , - - ,-.. � a� ^�'''*•,:" » _ `��=.... ' €d�'� Long Island POWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 DUN N Ca A RESIDENCE pqy , �'' dashing 520 PRIVATE ROAD#27 SOUTHOLD, NY 11971 516-729-3815 � d clan =` - - 41 S: 78 B: 7 L: 32.6 PROJECT DATA: #214416 IronRidgeXR 100 Rail 'I 11 5116 x 5 Stainless INVERTER: (32)ENPHASE IQ7PLUS-72-2-US 1IroaRidg,XR 100 Reil Steel Lag dolt MODULES: (32)LG370N1K-A6 Solar Module RACKING. IRON RIDGEXR100 WATTAGE: 11,840 '3/a 16 X 3J4 ROOFTYPE• COMPOSITION SHINGLES B4I=X HEAD 8<?PLT .3/9-1 S FLANGE NUT � 3-5/8_���11 WIND LOAD. S 5/1 " 14.5"L FASTENER USE 5/16"DIA.5"LAGS (J m U) N r V O N GENERAL NOTES: N o� ` J Q z ZW -L FEET ARE SECURED TO ROOF RAFTERS @ 80" O.C. w Q - wW Z Nogg USING 5/16" x 5" STAINLESS STEEL LAG BOLTS. z u�< w � 01 -SUBJECT ROOF HAS ONE LAYER. 3 ALL PENETRATIONS ARE SEALED AND FLASHED. OF ''°m G, 0 .074669 \ ' ALTERAnON OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL 3 ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES PAPER SIZE II"x17°(ANSI B) a CO DATE:04/19/2021 N R1 350 N/A 2"x4"@16"O.C. 22' 23" EXISTING TRUSS SYSTEM CDESIGN BY.HECKED BY:sG REVISIONS: 2 MW a 04/30/2021 a _ c' DESIGNED AS PER ASCE 7-10 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, MODULES MOUNTED FLUSH TO ROOF TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE ASCE7-10. DETAILS — NO HIGHER THAN 6"ABOVE ROOF SURFACE e (. Long Island "`✓POWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 DUNN RESIDENCE 520 PRIVATE ROAD#27 SOUTHOLD, NY 11971 516-729-3815 S: 78 B: 7 L: 32.6 91-611 PROJECT DATA: #214416 INVERTER: (32)ENPHASE IQ7PLUS-72-2-US \ \ \ MODULES: (32)LG370N1K-A6 CL RACKING IRON RIDGE XR100 WATTAGE' 11,840 ROOFTYPE• COMPOSITION SHINGLES '=b'-a =0_==1 WIND LOAD: -21 PSF @ 120MPH FASTENER' USE 5/16"DIA.5"LAGS 21 tL in N r r ee n w Oz�—m \ mQ Z W B 0— _ILJ �_ V W Z N��`o W d N \ _ � � 3 R1 # MODULES (32) PITCH: 35° 17' 2 .074659 2 AZIMUTH: 220' 11' 16 71 0 ALTERATION OF THIS DOCUMENT EXCEPT BY A 4' LICENSED PROFESSIONAL IS ILLEGAL 0 (�G 11 PAPER SIZE,11'x 17°(ANSI B) 3 J ® SPLICE BAR 10 DATE: 04/19/2021 © PENETRATIONS 54 DESIGN BY: Mw CHECKED BY UFO 76 51_911 : SG REVISIONS: 2 MW 40MM SLEEVE 24 04/30/2021 END CAPS 24 N CONSUMPTION CRITTER GUARD 172' MOUNTING PLAN L- 1 PHOTOVOLTAICS: f Long Island ` (32) LG370N1 K—A6 ( POWER SOLLITIONS NEMA 3R 2060 OCEAN AVENUE, JUNCTION BOX INVERTERS: Ro(60 30$0001 11779 BLACK-L1 ENGAGE CABLE (32) ENPHASE IQ7PLUS-72-2-US RED-L2 � DUNK WHITE-NEUTRAL CIRCUITS: GREEN-GROUND (2) CIRCUITS OF (11) MODULES (1) CIRCUIT OF (10) MODULES RESIDENCE 520 PRIVATE ROAD#27 j SOUTHOLD, NY 11971 f . i 516-729-3815 S: 78 B: 7 L: 32.6 PROJECT DATA: #214416 I INVERTER (32)ENPHASE IQ7PLUS-72-2-US #12AWG THWN FOR HOME RUNS DER 100' I MODULES: (32)LG370N1K-A6 #10 AWG THWN FOR HOME RUNS OVER 100' C - RACKING: IRON RIDGE XR100 (1)LINE 2 I WATTAGE: 11,840 (1)NEUTRAL I� - METER ROOF TYPE, COMPOSITION SHINGLES WIND LOAD. -21 PSF @ 140MPH PIER CIRCUIT '� RA70P-QraTPU�WFS,11'38 72 FASTENER: USE 5/16"DIA.5"LAGS IN 1"OR 1�'PVC CONDUIT .. 9i�, �TIIJ�A;V�.T V u ® 1 Ln0L Wo •• : :. PHOTOVOLTAIC °� � ® '- MAIN SOLAR SYSTEM K r Z w ® ® AC DISCONNECT LINE SIDE TAP z s i'g V z '��< W V N E W N L = I 60A FUSED SERVICE MAIN SERVICE 3 125A LOAD CENTER RATED DISCONNECT 200A (1)-20A BREAKER — �---A--__~_--_ 50A FUSEG st+ .F -- PER CIRCUIT �` �� r�s0 WARNI G 41 DISCONNECT -INVERTER OUTPUT CONNECTION DO BBOT'RELOCATE THIS #6 AWG THWN #6 AWG THWN .a,�,w ,074 OVERCURRENT DEVICE (1)LINE 1 (1)LINE 1 I ,�• ``�`�`$S �- ,.,,,d, (1)LINE 2 (1)LINE 2 (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL ALTERAT]ION OF TMS DOCUMENT EXCEPT BY A (1)EGG (1)EGC OR SUB PANEL LICENSED PROFESSIONAL IS ILLEGAL 3 IN 14"PVC CONDUIT (1)GEC PAPER SIZE I I'x 17'(ANSI B) IN 1�'PVC CONDUIT I DATE:04/19/2021 DESIGN BY- MW N - CHECKED BY: SG w REVISIONS: 2 MW a 04/30/2021 0 AC COMBINER: NOTE: 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, 1-PHASE,MAIN LUG LOAD CENTER, ALL WIRING TO MEET THE 2017 NEC AND 2020 ENERGY CODE TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE ASCE740. ELECTRICAL PLAN E- 1 g 60A FUSED SERVICE RATED DISCONNECT 7 VAT r a� LG J, 0 't N12B;,I,a 5 LG370N1 K-A6 37®W The LG NeON°2 is LG's best selling solar module and one of the most powerful and versatile modules on the market today.The cells are designed to appear all-black at a distance,and the performance warranty guarantees 90.6%of labeled power output at 25 years. a; C uL US f' 'I �i Made in rms YEAR USA® Fmm LnpMNY i s,xr, ci 3: - rF Features f Enhanced Performance Warranty ; d - 25 Year Limited Product Warranty 25yrs is' LG NeON°2 Black has an enhanced ! The NeON®2 Black is covered by a 25-year _-...,_..j performance warranty.After 25 years, a. n _ limited product warranty.In addition,up to$450 LG NeON®2 Black is guaranteed at least of labor costs will be covered in the rare case 90.6%of initial performance, that a module needs to be repaired or replaced. ----- ------- --------------- - --- ------------------------- g Solid Performance on Hot Days ; '+{ Roof Aesthetics �V® LG NeON°2 Black performs well on hot ® LG NeONO 2 Black has been designed with days due to its low temperature coefficient aesthetics in mind using thinner wires that 1 appear all black at a distance When you go solar, ask for the brand you can trust: LG Solar About LG Electronics USA,Inc. LG LG Electronics is a global leader in electronic products in the clean energy markets by offering solar PV panels and energy storage systems The company first embarked on a solar energy source research program in 1985,supported by LG Group's vast experience in the semi-conductor,LCD,chemistry and materials Industries In 2010,LG Solar successfully released its first MonoX°series to the market,which is now available in 32 countries The NeON®(previous MonoXe NeOM,NeON02,NeONe2 BlFacial won the"Intersolar AWARD'in 2013,2015 and 2016,which demonstrates LG's leadership and innovation in the solar Industry Life's Good LG Ne®N®2 Black Musa= LG370N1K-A6 General Data Electrical Properties(STC*) Cell Properties(MatenaVType) Monocrystalllne/N-type Model L3370N1 K A6 Cell Maker LG Max mum Power(Pmax) [WJ 370 Cell Configuration 60 Celts(6 x 10) MPP Voltage(Vmpp) [V] 355 NumberofBusbars 12EA MPP Current(Impp) [A] 1043 Module Dimensions(Lx W x H) 1,740mm x 1,042mm x 40 mm Open Circuit Voltage(Voc t 5%) [V] 419 Weight 186 kg Short Circuit Current(Isct5%) [A] 10.96 Glass(Material) Tempered Glass with AR coating Module Efficiency [%] 204 Backsheet(Color) Black Power Tolerance [%] 0-.3 Frame(Material) Anodized Alummium `STC(Standard Test Condition)Irradiance 1000 W/m',cell temperature 25°C,AM 1 5 Measurement Tolerence of Pmax t3% Junction Box(Protection Degree) IP 68 with 3 Bypass Diodes Cables(Length) . 1,100mmx2EA a Connector(rype/Maker) MC4/MC Operating Conditions Operating Temperature [°C] -40-+B5 Certifications and Warranty MawmumSystem Voltage - [V] 1,000(UL/IEQ IEC 61215-1/-1-1/2.2016,IEC 61730-1/2 2016, Maximum Series Fuse Rating [A] 20 UL61730-1.2017,UL61730.2 2017 Mechanica(Test Load*(Front) [Pa/psf] 5,400 Certifications ISO 9001,ISO 14001,ISO 50001 Mechanical Test Load*(Rear) [Pa/psf] 4,000 OHSAS 18001 *Based on IEC 61215-2 2016(Test Load-Design Load x Safety Factor(1 5)) Salt Mist Corrosion Test IEC 61701 2012 Seventy 6 Mechanical Test Loads 6,000Pa/5,40OPa based on IEC 61215 2005 Ammonia Corrosion Test IEC 62716 2013 Module Fire Performance Type 2(UL 61730) Packaging Configuration Fire Rating Class C(UL 790,ULC/ORD C 1703) Number of Modules per Pallet [EA] 25 Solar Module Product Warranty 25 Year Limited Number of Modules per40'Corrtainer (EA] 650 Solar Module Output Warranty Linear Warranty* Numberof Modules per 53'Contamer [EA] 850 *Improved:11 year 98 5%,from 2-24th year-0 33%/year down,90 6%at year 25 Packaging Box Dimensions(L x W x H) [mm] 1,790 x 1,120 x 1,213 Packaging Box Dimensions(L x W x H) [in] 70 5 x 441 x 47 8 Temperature Characteristics Packaging Box Gross Weight [kg] 500 NMOT" [°C] 42 t 3 Pmax [%/°C] -035 Packaging Box G ross Weight [Ib] 1,102 Voc [%/°C] -026 Isc [%/°C] 003 Dimensions(mm/Inch) *NMOT(Nominal Module Operating Temperature)Irmdiance 800 W/m',Ambient temperature 20°C, Wind speed 1 m/s,Spectrum AM 15 1042.0/41 0(S=of Short Side) Electrical Properties(NMOT) 10020/394(1)atarce bei-en Gro-drag@ Mounnrg Holes) Mode( LG370N1 K A6 40A/157 MaldmumPower(Pow) [W] 271 1750/69 16-@Ox 30/03 x0, , MPP Voltage(Vmpp) [V] 333 Oran Holes (-) (*) MPP Currerrt(Impp) [A] 832 8.04.3/0.2 hncaon Box Hd�es Open GicuitVoltage(Voc) M394 8•@Sx1zoGmaMag/ LI Short Circuit Current(Isc) [A] 8.81 MountbgHdes x x IN Curves € 1100/433 pp :g cable Lergdi 120 lo00W € 9 100 J 800W h 8.0 e 60OW ,`, "1 60 400W o � 40 20OW Zo 00 `q OD 50 100 150 200 250 300 350 400 450 6 0 voltage N] ® LG Electronics USA,Inc. Product specifications are subject to change without notice LG Solar Business Diwslon LG370N 1 K A6_AUS pdf 2000 Millbrook Drive 020221 Lincolnshire,IL 60069 Life's Good wwwlg-solarcom ©2021 LG Electronics USA,Inc All rights reserved Data Sheet Enphase Microinverters Region:AMERICAS Enphase The high-powered smart grid-ready Enphase Enphase IQ 7 Micro' and Enphase IQ 7+ Micro"' Q� 7 and P 7+ dramatically simplify the installation process while iachieving the highest system efficiency. crc everters Part of the Enphase IQ System,the IQ 7 and IQ 7+ Microinverters integrate with the Enphase IQ Envoy"", Enphase IQ Battery"',and the Enphase Enlighten TM monitoring and analysis software. IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install • Lightweight and simple • Faster installation with improved,lighter two-wire cabling Built-in rapid shutdown compliant(NEC 2014&2017) Productive and Reliable • Optimized for high powered 60-cell and 72-cell*modules • More than a million hours of testing • Class II double-insulated enclosure • UL listed IQ 7r0 Smart Grid Ready Complies with advanced grid support,voltage and frequency ride-through requirements ' 1, Remotely updates to respond to changing ` grid requirements 71, • Configurable for varying grid profiles • Meets CA Rule 21 (UL 1741-SA) U� *The IQ 7+Micro is required to support 72-cell modules ENPHASE. To learn more about Enphase offerings,visit enphase.com %__19 Enphase IQ 7 and IQ 7+ Microinverters INPUT DATA(DC) IQ7-60-2-US/IQ7-60-B-US IQ7PLUS-72-2-US/IQ7PLUS-72-B-US Commonly used module pairings' 235W-350W+ 235W-440W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 60V Peak power tracking voltage 27 V-37 V 27 V-45 V Operating range 16 V-48 V 16V-60V Min/Max start voltage 22V/48V 22 V/60 V Max DC short circuit current(module Isc) 15A 15A Overvoltage class DC port II II DC port backfeed current 0 A 0 A PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ 7 Microinverter IQ 7+Microinverter Peak output power 250 VA 295 VA Maximum continuous output power 240 VA 290 VA Nominal(L-L)voltage/range2 240 V/ 208V/ 240 V/ 208 V/ 211-264 V 183-229 V 211-264 V 183-229 V Maximum continuous output current 1.0 A(240 V) 1.15 A(208 V) 1.21 A(240 V) 1.39 A(208 V) Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz AC short circuit fault current over 3 cycles 5.8 Arms 5.8 Arms Maximum units per 20 A(L-L)branch circuit3 16(240 VAC) 13(208 VAC) 13(240 VAC) 11 (208 VAC) Overvoltage class AC port III III AC port backfeed current 0 A 0 A Power factor setting 1.0 1.0 Power factor(adjustable) 0.7 leading . 0.7 lagging 0.7 leading...0.7 lagging EFFICIENCY @240 V @208 V @240 V @208 V Peak CEC efficiency 97.6% 976% 97.5% 97.3% CEC weighted efficiency 97.0% 97.0% 97.0% 97.0% MECHANICAL DATA Ambient temperature range -40°C to+65°C Relative humidity range 4%to 100%(condensing) Connector type(IQ7-60-2-US&IQ7PLUS 72-2-US) MC4(or Amphenol H4 UTX with additional Q-DCC-5 adapter) Connectortype(IQ7-60-B-US&IQ7PLUS-72-B-US) Friends PV2(MC4 intermateable). Adaptors for modules with MC4 or UTX connectors: -PV2 to MC4:order ECA-S20-S22 -PV2 to UTX:order ECA-S20-S25 Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1.08 kg(2.38 lbs) Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Environmental category/UV exposure rating NEMA Type 6/outdoor FEATURES Communication Power Line Communication(PLC) Monitoring Enlighten Manager and MyEnlighten monitoring options Both options require installation of an Enphase IQ Envoy. Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break disconnect required by NEC 690. Compliance CA Rule 21 (UL 1741-SA) UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22.2 NO 1071-01 This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions 1.No enforced DC/AC ratio See the compatibility calculator at https Henphase com/en-us/support/module-com ata ibilily. 2.Nominal voltage range can be extended beyond nominal if required by the utility 3 Limits may vary Refer to local requirements to define the number of microinverters per branch in your area To learn more about Enphase offerings,visit enphase.com E N P H AS E @ 2018 Enphase Energy All rights reserved All trademarks or brands used are the property of Enphase Energy,Inc 2018-05-24 IRON RIDGE Roof Mount System u>3� w.w! Built for solar's toughest roofs® IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. n® Strength Tested PE Certified All components evaluated for superior Pre-stamped engineering letters structural performance. available in most states. Class A Fire Rating Design Software Certified to maintain the fire resistance ® Online tool generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding a 20 Year Warranty UL 2703 system eliminates separate _. • Twice the protection offered by module grounding components. competitors. ' ^ XR Rails XR10 RmUU XR100 Rail XR1000 Rail Internal Splices (B Alow-profile mounting rail The ultimate residential A heavyweightmounUng All rails use internal splices for regions with light snow. solar mounting rail. rail for commercial projects. for seamless connections. ^ G'upann|ngcapobi|ity ^ 8'mpanninQcopabi|ity ~ 12`opanningcapabi|ity ^ Self-tapping screws ^ Moderate load capability ^ Heavy load capability ^ Extreme load capability ^ Varying versions for rails ^ Clear& black onud.finish ^ Clear& black onud.finish ^ Clear anodized finish ^ Grounding Straps offered ---' Attachments FlmmhFmmt Slotted L-Feet Standoffs Tilt Legs in Anchor,flash, and mount Drop-in design for rapid rail Raise flush ortilted Tilt assembly todesired with aU'in'oneattachments. ottanhmenL systems tovarious heights. angle, upto45degrees. ^ Ships with all hardware ^ High-friction serrated face ^ Works with vent flashing ^ Attaches directly borail ^ IBC & IRC compliant ^ Heavy-duty profile shape ^ Ghipopne'oaaomb|od ^ Ships with all hardware ^ Certified with XRRails ` Clear&black anod. finish ^ 4''and 7^ Lengths ^ Fixed and adjustable ---' Clamps & Grounding End Clamps Grounding Mid Clamps (j) T-Bolt Grounding Lugs Ej) Accessories 7 6vc Slide inclamps and secure Attach and ground modules Ground system using the Provide ofinished and modules atends ofrails. inthe middle ofthe rail. rail's top slot. organized look for rails. ^ Mill finish &black onod. ^ Parallel bonding T-bo|t ^ Easy top-slot mounting ^ Snap-in Wire Clips ^ Sizes from 1.22,'to2.8" ^ Reusable upbo1Otimes ` Bimincdespre'driUing ^ Perfected End Caps ^ Optional Under Clamps ^ yWiU &black stainless ~ Swivels in any direction ^ UV-protected polymer --- Free Resources Design Assistant A NABCEP Certified Training Go from rough layout to fully N107 Earn free continuing education credits, engineered system. For free. while learning more about our systems. ZIL Go to xmonRmge'oomm//mn V Go to lronRidge.com/training