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o�vsgfw Ir- Town of Southold 10/5/2021 P.O.Box 1179 0 o • t 3 53095 Main Rd �oo011 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42394 Date: 10/5/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 3485 Minnehaha Blvd, Southold SCTM#: 473889 Sec/Block/Lot: 87.-3-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/19/2021 pursuant to which Building Permit No. 46377 dated 6/7/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof-mounted solar panels on existing single-family dwelling as applied for. The certificate is issued to Schwartz,Michelle of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46377 7/7/2021 PLUMBERS CERTIFICATION DATED VoriU Signature �o�sUFFoi TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y 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#: 46377 Date: 6/7/2021 Permission is hereby granted to: Schwartz, Michelle 49 E 86th St New York, NY 10028 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 3485 Minnehaha Blvd, Southold SCTM #473889 Sec/Block/Lot# 87.-3-11 Pursuant to application dated 5/19/2021 and approved by the Building Inspector. To expire on 12/7/2022. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 ui nspector oF so�,Py®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® o sean.devlin(D-town.southold.ny.us Southold,NY 11971-0959 y ®lyC®UNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Michelle Schwartz Address: 3485 Minnehaha Blvd city,Southold st: NY zip: 11971 Building Permit#: 46377 Section- 87 Block 3 Lot: 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Long Island Power Solutions License No: 36178ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect 3$q Switches 4'LED Exit Fixtures Pump Other Equipment: 12.920kW Roof Mounted PV Solar Energy System w/ (38) 340W Hanwha Qpeak-Du( Q Cell, IQ Combiner 3 220x3 215x1, 38A AC Disconnect Notes: Solar Inspector Signature: Date: July 7, 2021 S.Devlin-Cert Electrical Compliance Form Of 50U # =TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST -[ ] - ROUGH PLBG. [ ] FOUNDATION 2ND [: ]" SULATIOWCAULKING [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ]` FIRE�SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION- ELECTRICAL ENETRATION- ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR %3-1 Pacifico Engineering PC _ Engineering Consulting 700 Lakeland Ave,Suite 2B G Ph:631-988-0000 Bohemia, NY 11716 G c sola cifi�nVe1 rl��com- I July 16,2021 _ ® IC�� �t1111�� EFr Town of Southold SEP 3 0 2021 Budding Department 54375 Route 25, P.O. Box 1179 BUILDING Cit Southold, NY 11971 TOWN OF S11111UTHOLD Subject- Solar Energy Installation for Michelle Schwartz Section-Block-Lot 87-3-11 3485 Minnehaha Blvd Southold, NY 11971 1 have reviewed the solar energy system installation at the subject address on July 16,2021.The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets the requirements of the 2020 Residential Code of New York State and ASCE 7-16. To my best belief and knowledge,the work 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. Regards, Ralph Pacifico, PE Professional Engineer WE PACs®C 'p fs W Ralph Pacafi6i,-Pro essional Engineer NY 066182/NJ 24GE04744306/FL 87297 l A . f a {t 5 R u i � s i ;4. r .a, ;: Itfso yo�o L 3 7 0 `5q6 SM M ne,�� # TOWN OF SOUTHOLD BUILDING DEPT. o`yrou�,v 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE'& CHIMNEY [ 17 FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: - ' :TA N 6b o V 94 Wo Ai Al DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) y ------------------------------------ Q FOUNDATION(2ND) �z o to ROUGH FRAMING& 5 y PLUMBING r INSULATION PER N.Y. STATE ENERGY CODE S-- FINAL ADDITIONAL COMMENTS G i 0 m v d ' 1 r u O z x H � FFUIK�OGy TOWN OF SOUTHOLD—BUILDING DEPARTMENT N 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 APPLICAMN FOR MLMNG PERNT �W For Office Use Only _i ) �__�I`.. L: PERMIT NO. Building Inspector: A I�AY 1 9 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 l s r•. ,z. Owner's Authorization form(Page 2)shall be completed. Date:5/18/21 OWNER(S)OF PROPERTY: Name:Michelle Schwartz SCTM#1000-87-3-11 Physical Address:3485 Minnehaha Blvd., Southold, NY 11971 Phone#:718-812-4417 Email:cedwardsimon@gmail.com Mailing Address:3485 Minnehaha Blvd., Southold, NY 11971 CONTACT PERSON:. ;. Name:Sue Estabrooke/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:sue@longislandpowersolutions.com `DESIGN PROFESSIONAL INFORMATION: Name:Pacifico Engineering, P.C. Mailing Address:700 Lakeland Ave., Suite 2B, Bohemia,_NY 11716 Phone#:63l-988-0000 7Email:Solar pacificoengineering.com CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@longislandpowersolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION [:]NewStructure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: ®Other Proposed(38)panel roof mounted array. (12.920)kW System $30,116.52 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 r PROPERTY INFORMATION Existing use of property:Single FanAy_QWelling Intended use of property:Single FarTfity DW@IIIng 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. B 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 Power Solutions Application Submitted B4(prname): IRAuthon ed gent ❑Owner Signature of Applicant: Dated_ Z4 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 �n day of \A 2011 LYNDE SUSETTE ESTABROOK Notary Public OTARY 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) residing at v,�\o q"l do hereby authorize Michael Catizone/Long Island Power Solutions to apply on my behalfto the Town of Southold Buildin epartment for approval as described herein. r ��bwner's Signature Date Print Owner's Name 2 i BUILDING DEPARTMENT- Electrical inspector �P 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 ro err southoldtownny.gov — seand@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: Michelle Schwartz Address: 3485 Minnehaha Blvd., Southold,NY 11971 Cross Street: Owaissa Ave Phone No.: (718) 812-4417 Bldg.Permit#: email: cedwardsimon@gmail.com Tax Map District: 1600 Section: 87 Block: 3 Lot: 11 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed(38)panel roof mounted array. ; (12.920)kW System Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected- Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: Inverters: (38)Enphase IQ-7 Modules: (38)Hanwha Q.Peak Duo, Q-Cell 340W Support: Iron Ridge XR 100 PAYMENT DUE WITH APPLICATION 1 � Request for Inspection Form.xls ?A� �O 4"-'0FF0Z'& 1 BUILDING DEPARTMENT-Electrical Inspector k TOWN OF SOUTHOLD l: ,r, Town Hall Annex- 54375 Main Road - PO Box 1.179 IS -1X a, a Southold, New York 11971-0959 Telephone (631) 765-1902 - FAX (631) 765=9502 ; - rogerr0-southoldtownn) .gov— seandOD-southoldtownny.gov APPLICATION FOR.ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Catizone ElectricaMong Island Power Solutions Name:Michael Catizone -J 0 Q License No.: 36178-ME email: sue@longislandpowersolutions.com Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 Phone No.: 631-348-0001 JOB SITE INFORMATION (AII Information Required) Name: Michelle Schwartz Address: 3485 Minnehaha Blvd., Southold,NY 11971 Cross Street:Owaissa Ave Phone No.: (718) 8t2-4417 Bldg.Perm it#: email:cedwardsimon@gmail.com Tax Map District: 1600 Section: S7 Block: 3 Lot: 11 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed(3 8)panel roof mounted array. (12.920)kW System Circle All That Apply: Is job ready for inspection?: - YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground -Overhead -; r S #•Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: Inverters: (38)Enphase IQ-7 M Modules: (38)Hanwha Q.Peak Duo, Q-Cell 340W Support: Iron Ridge XR 100 PAYMENT DUE WITH APPLICATION A Request for Inspection FormAs 1 (� 1 PERMIT# Address:, Switches Outlets G FI's i 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' - 0 L 5URVE'r or- PPIOPERTY SITUATE, 500THOLD N TOINNi 5OUTHOLD SUF9--OLK COUNlY, NY SONEYED 03-1!3 02 E VaNPATION M Q-1-39 C�,2 F�N^l 01-0a 02,SEM)45 obs, r,UrtCL< Cc1M17' lAx M �Cwjo e WFOO'C,&-Ty DEPOr or-AL r- 5tWIC-ES,PEF M 12:0 -C; 0146 iCqltpleo T'o umA rolj5TRVrtoN CCQP OY. No *00. AREA 11,241 5F Oa 026 JOHN C. EHLERS LAND SURVEYOR b PA9 I MAIN STRH-t 114 Y s MV No 50.1w (sQ APF,C -56 A,f 20 RIVERIMAD'Illy 11901 ltj:j,\,jjp sen Gl6hJl'jk0SqQ-,P pi. suffCilk county Dept of Labor,Licensing&Consumer Affairs A WSTER ELECTRICAL LtCEN BE '4 Name ?�JICHAEL J CATfiti")NE no3iness Name Thia corl-lian 01251 & Cat¢amZ�HejriCgl enrL-.,=tvIq Incbearer is dwy Em-nied Ise IN cojnty&S-2fulk License Nuffiber'.PAE-36170 f R,05agle Otago 1**uod: 1?J13 i r2004 Expires; 1210112022 Suffolk County Dept.of Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE Name MICHAEL CATIZONE Business Name This certifies that the LONG ISLAND POWER SOLUTIONS INC bearer is duly licensed by the County of suffolk License NumbervME-53560 Rosalie Otago Issued: 0610612014 Commissioner Expires: 06101/2022 Suffolk County Dept.of Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name MICHAEL J CATIZONE Business Name This certifies that the bearer Is duty licensed LONG ISLAND POWER SOLUTIONS INC by the County of suffolk License Number:H-53562 Rosalie Drago Issued: 0610612014 Commissioner Expires: 0610112022 I Client#:83393 LONGISLI5 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 NAME: Commercial Support Edgewood Partners Ins.Center acNN ;631-390-9700 FAX, No: 631-390-9790 40 Marcus Drive E-MAIL 3rd Floor ADDRESS: certificates@cookmaran.com Melville,NY 11747-2647INSURER(S)AFFORDING COVERAGE NAIC# INSURER A.-Southwest Marine&General Ins Co 12294 INSURED INSURER B Long Island Power Solutions,Inc. 2060 Ocean Avenue INSURER C: INSURER D Ronkonkoma,NY 11779 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR 1 SR D POLICY NUMBER MM/DD/YYY MM/DD(YY A X COMMERCIAL GENERAL LIABILITY PK202100020693 2/28/2021 02128/2022 pEAACCH�OCTCURRENCE $2 OOO OOO CLAIMS-MADE ®OCCUR PREMISES EaE. rrence $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 POLICY®JECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER. $ A AUTOMOBILE LIABILITY PK202100020693 2/28/2021 02/28/202 Ea accidentSINGLE LIMIT 1,000'000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY Ix AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EX202100001789 2/28/2021 02/28/2022 EACH OCCURRENCE s5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED I X I RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY F ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? F7 N/A (Mandatory In NH) E L.DISEASE-EA EMPLOYEE $ If Yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT Is DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It 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 r NYSIF199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 0 ..•r LOVELL SAFETY MGMT CO.,LLC o- 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 �• Y 1 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 04/01/2021 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://WVM.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 I1I��I111111 Hill Hill 000000000O100912I816I03�I�III�III�I Form WC-CERT-NOPRINT Vcrsion 3(08/29/1019)[WC Policy-24670788] U-26.3 41 [00000000000091281603][0001-000024670788][##Z][15588-79][CertNoP-CERT_1][01-00001] YORK 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 1c.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: ®❑ A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. n C.Paid family leave benefits only. 5. Policy covers: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc' d above. Date Signed 9/15/2020 By bA. !�-(—� (Signature of insurance carrier's authonz 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 SB 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 pard 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) 1111111111°°!°!1111111°1°11111°111!°!1!°1111111 YORK 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 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. ❑ C.Paid family leave benefits only. 5. Policy covers: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc' d above. Date Signed 9/16/2020 By (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 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. '' DB-120.1 (10-17) 111111111iiiiiiisiiiiiiiuiiiiiii�iiiiiiiiiviii�iif111l1 YORK Workers' CERTIFICATE OF STATE Coarynsation NYS VUORMCERS' COMPENSATION INSURANCE COVERAGE B®aid 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Catizone Electrical Inc 631348-0001 575 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 1d.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"1a" 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 licensed agent of insurance carrier) Approved by: 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 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cook Maran Cook Maran&Associates PAX A No E)d,6313909700 Arc No 40 Marcus Drive MAIL ADDRESS: certificates@cookmaran.com ADDRESS. 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC 0 Melville,NY 11747-2647 INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B: Catizone Electrical Contracting Inc. INSURER C 2060 Ocean Avenue INSURER D Ronkonkoma,NY 11779 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR ISR D POLICY NUMBER MM/DD/YYY MM/DD/YYY A X COMMERCIAL GENERAL LIABILITY CPP4784747 0710112020 07/01/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR PREMISES Esocaurrence $100000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 X LOC PRODUCTS $2,000,000 POLICY[_1 E T OTHER $ AUTOMOBILE LIABILITY COBINED SINGLE LIMIT Ea Maccident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PeOPE Y DAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB IOCCUR EACH OCCURRENCE $ EXCESS LIAR I CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION 4766763 7/01/2020 07/01/2021 X PER OTH- ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N E L EACH ACCIDENT $500OOO OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E L.DISEASE-EA EMPLOYEE s500000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1$500OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 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 LONG ISLAND 2060 Ocean Ave Ronkonkoma, NY 11779 CaPOWER LU T I®N G+ 631348-0001 •7 www.long islandpowersolutions.corn May 18,2021 r;;n !! TOWN OF SOUTHOLD—Building Division ; "-� =='' V Town Hall Annex Building 54375 Route 25 MAY 1 9 2021 P.O. Box 1179 Southold,NY 11971 L?i,, 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: Michelle Schwartz- (718) 812-4417 Project/Property Address: 3485 Minnehaha Blvd., Southold,NY 11971 Section/Block/Lot: 1000-87-3-11 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: Pacifico Engineering—700 Lakeland Ave, Ste.2,Bohemia,NY 11716/631-988-0000 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 G® Green Save Green i oxct'll APPROVED AS NOTED DATE: B P # FEE: BY: NOTIFY. ~BUILDING DEPgRTME 765-1 '' S AM TO Q P AT FOLLOWING`INSPECTIONS;,FOR THE I. 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 YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF seolooT9WN75� t0ffH8L6 f6WPL4NNING BOARD N TRUSTEES U SZEP OCCUPANCY OR USE I'&UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Pacifico Engineering PCEngineering Consulting 700 Lakeland Ave, Suite 2B C — Ph-631-988-0000 Bohemia, NY 11716 I G c solar@paciflcoengineering com May 12,2021 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Michelle Schwartz Section-Block-Lot- 87-3-11 3485 Minnehaha Blvd. Southold, NY 11971 1 have reviewed the roofing 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 ASCE 7-16 when installed in accordance with the manufacturer's instructions. Roof Section A B Mean roof height 20.0 ft 8.0 ft Pitch 29 degrees 14 degrees Roof rafter 2x8 2x8 Rafter spacing 16 Inch on center 16 inch on center Reflected roof rafter span 12.5 ft 13.6 ft Table R802.4.1(1)max allowable 18.5 ft 18.5 ft The climactic and load information is below- CLIMACTIC Wind Live Load, CLIMACTIC AND Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type CRITERIA Category Load,Pg, sec gust, ASCE 7, load,Ib psf mph psf Roof Section A B 20 130 18 343 SS 5/16"dia lag bolt,5"length B 33 629 SS 5/16"dia lag bolt,5"length Weight Distribution array dead load 3.5 psf OF hl,��{�� load per attachment 66.7 Ib Cij�PpH PA }Qti The subject roof has 1 layer of shingles. �X, Panels mounted flush to roof no higher than 6 Inches above roof surface. n Ralph Pacifico, PE I Professional Engineer Ra QlfDIE NY 0661 OCa t FRONTAERIAL -_ OF HOUS LogIsland� POWER SOLUTIONS 2060 OCEAN AVENUE, ' RONKONKOMA, NY 11779 (631)348-0001 SCHWARTZ RESIDENCE 3485 MINNEHAHA BLVD. SOUTHOLD, NY 11971 718-812-4417 ES ACCS RoOF S: 87 B: 3 L: 11 m PROJECT DATA: #214389 INVERTER' (38)ENPHASE IQ7-60-2-US MODULES (38)Q PEAK DUO BLK-G6+340 RACKING IRON RIDGE XR100 rr WATTAGE 12,920 8 FIRE ACCESS SHEET INDEX ROOF TYPE COMPOSITION SHINGLES WIND LOAD -46.2 PSF @ 140MPH S-1 SITE PLAN FASTENER' USE 5/16"DIA 5"LAGS S-2 DETAILS — E-1 ELECTRICAL PLAN R-1 L-1 MOUNTING PLANJ.j�, p # MODULES (23) 700 Lakeland Ave, $06 2B PITCH: "29' Bohemia,NY 11718 AZIMUTH: 188° GENERAL NOTES Ph:631-988-0000 ' -ENPHASE IQ7 MICRO INVERTER LOCATED ON ROOF BEHIND EACH MODULE. �solar@pacificoengineering_com www.pacificoengin eenng_com -FIRST RESPONDER ACCESS MAINTAINED AND FROM ADJACENT ROOF. ,�� nl OF eg,',6 -WIRE RUN FROM ARRAY TO CONNECTION IS ��� �" PAc/ ®� 40 FEET. -COGEN DISCONNECT IS LOCATED r ADJACENT TO UTILITY METER. -LAYOUT SUBJECT TO CHANGE BASED ON SITE CONDITIONS AT DATE OF INSTALL 31-511 R-3 ILEGEND ALTERATION OF THIS DOCUMENT EXCEPT BY A co # MODULES (15) ® GROUND ACCESS POINT LICENSED PROFESSIONAL IS ILLEGAL v 5 -9 PAPER SIZE 11°x1T(ANSIB) PITCH: 14° COGEN DISCONNECT NLD ® UTILITY METER DATE:03/26/2021 DESIGN BY: MW AZIMUTH: 188° SKYLIGHT CHECKED BY:MW N REVISIONS: 1 MW m 04/15/2021 3 L U FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEWYORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, 3 REPRESENTS ALL FIRE CLEARANCE MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE ASCE7-10. SITE PLAN S— 1 o INCLUDING ALTERNATIVE METHODS THE 2020 RESIDENTIAL CODE OF NYS IronRidge XR 100 Rail UF0 " Long Island POWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 SCHWARTZ Cap - "� _ ---� RESIDENCE ' MCto"'� Flashing 3485 MINNEHAHA BLVD. SOUTHOLD, NY 11971 718-812-4417 S: 87 B: 3 L: 11 IroDRldge XR loo Rail =; e._ "; �-� -; PROJECT DATA:#214389 5/16�� x 5" Stainless INVERTER (38)ENPHASE IQ7-60-2-US -1IronRidge XR 100 Rail Steel Lag Bolt MODULES (38)Q.PEAK DUO BLK-G6+340 �— Solar Module RACKING IRON RIDGE XR100 3/846 X 3f� in � WATTAGE 12,920 HEX HISAD 43CI-T � ROOF TYPE COMPOSITION SHINGLES 3f6-1 6 VXVX FLANGE — �(1 WIND LOAD 46.2 PSF @ 140MPH FASTENER USE 5/16"DIA.5"LAGS Gam, 700 Lakeland Ave, Suite`2B Bohemia, NY `11716 Pfi-631-988-0000 solar@pacificoengineering_c om WWW.Pacificbengin eering_com GENERAL NOTES: OF N��� -L FEET ARE SECURED TO ROOF RAFTERS @ 80" O.C. USING 5/16" x 5" STAINLESS STEEL LAG BOLTS. ° r -SUBJECT ROOF HAS ONE LAYER. -ALL PENETRATIONS ARE SEALED AND FLASHED. ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES ALTERATION OF THIS DOCUMENT EXCEPT BYA LICENSED PROFESSIONAL IS ILLEGAL co cn PAPER SIZE 11"x 17°(ANSI B) R1 290 2"x10" 2"x8"(@16"O.C. 16'-3" 12" a) DATE:03/26/2021 DESIGN BY: MVV R3 140 N/A 2"x8"016"O.C. 15'-10" 12" CHECKED BY:MVV REVISIONS: 1 MW c — 04/15/2021 U Cn 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.ASCE740. DETAILS — NO HIGHER THAN 6"ABOVE ROOF SURFACE PHOTOVOLTAICS: Long Island (38) Q.PEAK DUO BLK-G6+ 340 POOWER SOLUTIONS NEMA 3R 2060 OCEAN AVENUE, JUNCTION BOX INVERTERS: Ro�63 348 0001 11779 BLACK-L1 ENGAGE CABLE (38) ENPHASE IQ7-60-2-US RED-L2 SCH WARTZ WHITE-NEUTRAL CIRCUITS: GREEN-GROUND (2) CIRCUITS OF (13) MODULES (1) CIRCUIT OF(12) MODULES RESIDENCE 3485 MINNEHAHA BLVD. SOUTHOLD, NY 11971 718-812-4417 S: 87 B: 3 L: 11 PROJECT DATA: #214389 INVERTER (38)ENPHASE IQ7-60-2-US #12 AWG THWN FOR HOME RUNS UNDER 100' MODULES (38)Q PEAK DUO BLK-G6+340 #10 AWG THWN FOR HOME RUNS OVER 100' } RACKING IRON RIDGE XR100 (1)LINE 1 WATTAGE 12,920 (1)LINE 2 ' METER ROOF TYPE COMPOSITION SHINGLES (1)NEUTRAL WIND LOAD -46 2 PSF @ 140MPH (1)GROUND ® 1 38 A PER CIRCUIT ` FASTENER USE 5/16"DIA.5"LAGS IN 1"OR 14"PVC CONDUIT TMGACVMT 240 V lob . o PHOTOVOLTAIC �' �1,�- �; �:p MAIN SOLAR SYSTEM 700 Lakeland Ave, S06 M ®. Bohemia,NY `11116 AC DISCONNECT LINE SIDE TAP Ph:"631-988-Q000- 'solar@pacjficoengineering-com 60A FUSED SERVICE MAIN SERVICE witwv-pacificoengineering_com 125A LOAD CENTER RATED 200A DISCONNECT ,_,��OF NFA (1)-20A BREAKERcoH PAO��, -- PER CIRCUIT 50A FUSE WA'G ' DISCONNECT INVF-RTER OUTPUT CONNECTION GENERATOR Dig RqOT RELOCATE;TKS #6 AWG THWN #6 AWG THWN BREAKER ***GENERATOR OVERCURRENT DEVICE (1)LINE 1 (1)LINE 1 LOCKOUT (1)LINE 2 (1)LINE 2 10860 (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL TO BE INSTALLED*** ALTERATION OF THIS DOCUMENT EXCEPT BYA (1)EGC (1)EGC OR SUB PANEL LICENSED PROFESSIONAL IS ILLEGAL v (1)14"PVC CONDUIT (1)GEC PAPER SIZE 11"x 17°(ANSI B) N IN 14"PVC CONDUIT DATE:03/26/2021 DESIGN BY: MW CHECKED BY:MW — REVISIONS: 1 MW 04/15/2021 cu s cn U m ' AC COMBINER. NOTE: 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, 1-PHASE,MAIN LUG LOAD CENTER, 125A ALL WIRING TO MEET THE 201 T NEC AND 2020 ENERGY CODE TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-10. ELECTRICAL PLAN E- 1 60A FUSED SERVICE RATED DISCONNECT Long Island POWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 SCHWARTZ RESIDENCE 3485 MINNEHAHA BLVD. SOUTHOLD, NY 11971 718-812-4417 36'-8" , 35'-511 S: 87 B: 3 L: 11 PROJECT DATA: #214389 INVERTER (38)ENPHASE IQ7-60-2-US MODULES (38)Q.PEAK DUO BLK-G6+340 RACKING IRON RIDGE XR100 0 I WATTAGE 12,920 I ROOF TYPE COMPOSITION SHINGLES WIND ID`I 15'-1 O" FASTENER USE 51 6F 16 '3" DIA.5' LAGS - _ f Pifm t G,c 700 Lakeland Ave, SuR6 2B Bohemia,,NY 11716 Ph:631-988-0000 R-1 R-3 solar@pacificoengineerdng_com # MODULES (2 3) # MODULES (15) www.padficoenglneedng_com PITCH: 29° PITCH: 14° 0 AZIMUTH: 188° AZIMUTH: 1880 " PAc,,���o� _r n 1� 17' 14 12 11' 17 slo _ ALTERATION OF THIS DOCUMENT EXCEPT BY A 'a 0 LICENSED PROFESSIONAL IS ILLEGAL co 4' 031-511 PAPER SIZE 11"x1T(ANSI B) M V ■ SPLICE BAR 18 DATE:03/26/2021 N © PENETRATIONS 78 DESIGN BY: MW CHECKED BY:MW UFO 901 11 REVISIONS: 1 MW cu 40MM SLEEVE 28 5 -9 04/15/2021 END CAPS 28 N CONSUMPTION CRITTER GUARD 205' MOUNTING PLAN L- 1 �," , �si�,�� powered by 7 �',,rF3L y.r r DUO I - l rli 1 � r OCCUS nEinsEcumrr BRAND PV f OuaBty Tested � �. ia�a� EUROPE ;,". �.• �, "�,° �209 9 —VDenfa wm ID 40032587 Q.ANTUM TECHNOLOGY,LOW LEVELIZED COST OF ELECTRICITY Higher yield per surface area,lower BOS costs,higher power classes,and an efficiency rate of up to 19.5%. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields,whatever the weather with excellent low-light and temperature behavior. ENDURING HIGH PERFORMANCE Long-term yield security with Anti LID and Anti PID Technology', Hot-Spot Protect and Traceable Quality Tra.QTm. EXTREME WEATHER RATING High-tech aluminum alloy frame,certified for high snow (5400 Pa)and wind loads(4000 Pa) p A RELIABLE INVESTMENT Inclusive 25-year product warranty and 25-year linear performance warranty2. STATE OF THE ART MODULE TECHNOLOGY r S Q.ANTUM DUO combines cutting edge cell separation and innovative wiring with Q.ANTUM Technology. 'APT test conditions according to IEC/TS 62804-12015,method B(-1500V.168h) Y See data sheet on rear for further information THE IDEAL SOLUTION FOR: Rooftop arrays residential buildings Engineered in Germany GICELLS _ L MECHANICAL SPECIFICATION Format 68 5 x 40 6 x 126 in(including frame) (1740 x 1030 x 32 mm) —ee 6•(naa mm) iso(a3o m6 38b8'(BBOmm) Weight 43.9 0.13ibs(19 it Front Cover 0.131n(3 2mm)thermally pre-stressed glass + 3*0160 } with anti-reflection technology 4.6tou4ngpalnb (4 6nun) F2me J� Back Cover Composite film 3e.62,tonmm) Frame Black anodized aluminum ® 406•(1030mm) Cell 6 x 20 monocrystalline Q ANTUM solar half cells Junction Box 2.09-3 98 x 126-2 36 x 0.59-0 71in(53101 x 32-60 x 15-18mm),Protection class IP67,with bypass diodes 1e d� 463'l]60mm) Cable 4mm2 Solar cable,(+)a45 31n(1150 mm),(-)a45 3in(1150 mm) 3°a•�6e 1 Connector Steubli MC4,Hanwha Q CELLS HQC4,Amphenol UTX, + 4•M=th9dW(DETAILA) Renhe 05-6,Tongling TL-Cable01S,JMTHY JM601;IP68 or I u6•(3:mm) DETaLA QB30 a8 Nn) Friends PV2e;IP67 0965•(246mm)I-�10336'(86mm) ELECTRICAL CHARACTERISTICS POWER CLASS 330 335 340 345 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC'(POWER TOLERANCE+5 W/-0 W) Power at MPP' PMPP [W] 330 335 340 345 Short Circuit Current' Isc [A] 1041 10 47 10 52 1058 3 Open Circuit Voltage' Voc [V) 4015 4041 4066 4092 5 Current at MPP IMPP [A] 991 997 10.02 10.07 Voltage at MPP VMPP IV] 3329 3362 3394 3425 Efficiency' q [%] 2184 >--187 2190 x193 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT2 Power at MPP PMPP [W] 2470 2507 2545 2582 E Short Circuit Current IS, [A] 839 843 848 852 E Open Circuit Voltage Voc [V] 37.86 3810 3834 3859 E Current at MPP IMPP [A] 780 784 789 793 Voltage at MPP VMPP [V] 3166 3197 3227 32.57 'Measurement tolerances PMpp±3%,Iso;Voc±5%at STC 1000 W/m',2512°C,AM 15 according to IEC 60904-3•'800 W/m2,NMOT,spectrum AM 1.5 Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE U0 - Z e�9a ° At least 98%of nominal power during -T -� ®Wmvy,bde,ab W°mww D I I I I p3 „ ____ _°_'_'9fe1tla_r°�0e'OPog1i°"' firstyear Thereaftermax 054% g degradation per year At least 931% 300 --------- of nominal power up to 10 years At M Z'z °° least 85%of nominal power up to gs 25 years fio --r---------- -----*-----' w0 R All data within measurement toleranc- „ as.Full warranties in accordance with °0 300 900 600 600 1 a00 m the warranty terms of the Q CELLS IRRADIANCE)W/m'I Id 18 sales organization of your respective country 2 sw,4.... ..ow YEARS Typical module performance under low Irradiarice conditions in "v° comparison to STC conditions(25°C,1000 W/m2)• v TEMPERATURE COEFFICIENTS M m Temperature Coefficient of Isc a [%/K] +004 Temperature Coefficient of Voc [%/K] -027 Temperature Coefficient of PMPP y [%/K] -0.36 Normal Module Operating Temperature' NMOT [°F] 109±5 4(43±3°C) m 0 PROPERTIES FOR SYSTEM DESIGN Maximum System Voltage Vsrs [V] 1000(IEC)/1000(UL) Safety Class II o N Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 1703 C(IEC)/TYPE 2(UL) d Max.Design Load,Push/Pull' [lbs/ft2] 75(3600 Pa)/55(2667 Pa) Permitted Module Temperature -40°F up to+185°F o Max.Test Load,Push/PUI13 [lbs/ft2] 113(5400Pa)/84(4000Pa) °n Continuous Duty (-40°C up to+85°C) o m 3 See Installation Manual QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION _m UL 1703,VDE Quality Tested,CE-compliant,IEC 61215 2016,IEC 61730 2016, Number of Modules per Pallet 32 8 J Application Class II,U S Patent No 9,893,215(solar cells) Number of Pallets per 53'Trailer 28 : ��® Number of Pallets per 40'HC-Container 24 0 DVE C cpUa Pallet Dimensions(L x W x H) 715 x 45 3 x 48 0 in(1815 x 1150 x 1220mm) Pallet Weight 1505 lbs(683 kg) a Note:Installation Instructions must be followed See the Installation and operating manual or contact our technical service department for further Information on approved Installation and use of this product. Hanwha O CELLS America Inc. 400 Spectrum Center Drive,Suite 1400,Irvine,CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL inquiry@us q-cells com I WEB www q-cells us Bata Sheet Enphase Microinverters Region:AMERICAS The high-powered smart grid-ready Enphase Enphase IQ 7 Micro"' and Enphase IQ 7+ MicroTm K7 n � 7+ dramatically simplify the installation process while o iachieving the highest system efficiency. crohiverters 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 T11 monitoring and analysis software. IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install • Lightweight and simple • Faster installation with improved,lighter two-wire cabling • Built-in rapid shutdown compliant(NEC 2014&2017) 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 Smart Grid Ready • Complies with advanced grid support,voltage and frequency ride-through requirements Remotely updates to respond to changing grid requirements • Configurable for varying grid profiles • Meets CA Rule 21 (UL 1741-SA) U *The IQ 7+Micro is required to support 72-cell modules ENPHASE. To learn more about Enphase offerings,visit enphase.com 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 27V-45V Operating range 16V-48V 16V-60V Min/Max start voltage 22V/48V 22 V/60 V Max DC short circuit current(module Isc) 15A 15 A 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/ 208V/ 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 10 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% 97.6% 97.5% 973% 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 additionalQ-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.107.1-01 This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and NEC-2017 section 69012 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-compatibility. 2 Nominal voltage range can be extended beyond nominal if required by the utility. 3.Limits may vary Refer to local requirements to define the number of microinverters per branch in your area To learn more about Enphase offerings,visit enphase.com EN PHAS E. ©2018 Enphase Energy All rights reserved All trademarks or brands used are the property of Enphase Energy,Inc 2018-05-24 e ASO IRONRIDGE Roof Mount System :tl + �� �'^at?ii••,. qtr, ,, �:.M t' .a'e iii� ;�� �'e�" c ;j FY" ', ,„�., r'^a^,,'y„"'w::,. ",�,.... 17� Guilt 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. ® 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 20 Year Warranty UL 2703 system eliminates separate Twice the protection offered by module grounding components. competitors. ---- XR Rails XR10 Rail XR100 Rail XR1000 Rail Internal Splices Q A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions with light snow. solar mounting rail, rail for commercial projects. for seamless connections. • 6'spanning capability • 8'spanning capability • 12'spanning capability • Self-tapping screws • Moderate load capability • Heavy load capability • Extreme load capability • Varying versions for rails • Clear& black anod.finish • Clear& black anod.finish • Clear anodized finish • Grounding Straps offered Attachments FlashFoot Slotted L-Feet Standoffs Tilt Legs ACT ' Anchor, flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware • High-friction serrated face • Works with vent flashing • Attaches directly to rail • IBC& IRC compliant • Heavy-duty profile shape • Ships pre-assembled • Ships with all hardware • Certified with XR Rails • Clear& black anod.finish • 4" and 7"Lengths • Fixed and adjustable Clamps & Grounding End Clamps Grounding Mid Clamps T Bolt Grounding Lugs Q Accessories �tb _ fry IL Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Mill finish &black anod. • Parallel bonding T-bolt Easy top-slot mounting • Snap-in Wire Clips • Sizes from 1.22"to 2.3" • Reusable up to 10 times Eliminates pre-drilling • Perfected End Caps • Optional Under Clamps • Mill & black stainless Swivels in any direction • UV-protected polymer Free Resources Design Assistant ®A NABCEP Certified Training i Go from rough layout to fully v�D, Earn free continuing education credits, engineered system. For free. 4 b while learning more about our systems. �- Go to lronRidge.corn/rrn V Go to IronRidge.com/training i i"1 ��Itn i:.!AJ °�1'v�c�aAAfi7.17 J.1Y l�•.JI :•-�5.°eA °�L'L'US '1B "�C4-:fes° ULIA��.UL•M1!".dRC�' ° x. � "__ _ °�Q��� ]