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*. Town of Southold 2/15/2022 Gy- P.O.Box 1179 CO rn x 53095 Main Rd '' ' Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 42797 Date: 2/15/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1145 Meadow Beach Ln., Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-17-17.19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/7/2021 pursuant to which Building Permit No. 47003 dated 10/18/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof mounted solar panels to existing single family dwelling as applied for. The certificate is issued to Hruz Irry Family Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47003 11/17/2021 PLUMBERS CERTIFICATION DATED ('� ("",\ u hori d ignature rSUFFai�-� TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "� • SOUTHOLD, NY y�ol �aoyf�� 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#: 47003 Date: 10/18/2021 Permission is hereby granted to: Hruz Irry Family Trt 1145 Meadow Beach Ln Mattituck, NY 11952 To: Install roof mount solar panels to existing single family dwelling as applied for. At premises located at: 1145 Meadow Beach Ln., Mattituck SCTM # 473889 Sec/Block/Lot# 115.-17-17.19 Pursuant to application dated 10/7/2021 and approved by the Building Inspector. To expire on 4/19/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ADDITION TO DWELLING $50.00 Total: $200.00 Building Inspector pF SOUj�®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 c ® sean.devlina—town.southold.nv.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Hruz Irry Family Trt Address: 1145 Meadow Beach LN city:Mattituck st: NY zip: 11952 Building Permit* 47003 Section: 115 Block: 17 Lot: 17.19 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 Attic Garage INVENTORY Service 1 ph 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 Switches 4'LED Exit Fixtures Pump Other Equipment: g.ggkW Roof Mounted PV Solar Energy System w/ (27) LG370N1 K-A6 Panels, Enphase IQ3 Combiner w/220x3 215x1, PV AC Disconnect Notes: Solar Inspector Signature: " Date: November 17, 2021 p g S.Devlin-Cert Electrical Compliance Form SOUIyOIo —7 00 # # TOWN O SOUTHOLD BUILDINT. CO 765-1802 FNSPECTION �' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] `FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [" ]- FIREPLACE & CHIMNEY [ ]- FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ "I ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ���J2 DATE INSPECTOR �., laf s TOWN OF SOUTHOLD BUILDING DEPT. co 765-1-802 INSPECTION I FOUNDATION1ST ROUGHPLI3G. FOUNDATION 2ND SULATIOWCAULKING FRAMING/STRAPPING V1 -FINAL ALAY� FIREPLACE & CHIMNEY I FIRE SAFETY INSPECTION-- FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) I CODE VIOLATION -PRE C/O REMARKS: 4-1 DATE INSPECTOR*. Fisher Engineering Services, P.C. 509 Sayville Blvd • Sayville •New York 11782 Phone: (631) 786-4419 November 19, 2021F5, ® E C E � nn L� 2 Southold Building Department 54375 NY-25 SAN 2 6 gm I U I Southold,NY 11971 BUILDING DEPT. TOWN,OF SOUTHOLD Subject: Solar Energy Installation for Hruz Residence- 1145 Meadow Beach Lane Mattituck,NY 11952 Permit No..47003 Fisher Engineering Services, P.C. has reviewed the solar energy installation at the subject address on Nov 18, 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, 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. F NE`y rO� h e Regards, Y- 4- William G. Fisher, P.E. Licensed Professional Engineer Architectural Design•Residential•Light Commercial Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting-Inspections, FIELD.INSP CTIONREPQRT. DATE FOUNDIATION' 1 H r rrrrrrl; w grrr�rrwww ��'. l i n C , rn FO ATION(BNI? ' ;• �. ROUE .FRAlY1INQ:'& H 1 PUMBIN.G: i ' INSULATION TER:N.Y. ' 7. H STATEtNI;ROY CODE • � . •,• ' � is . � . ` FINAL. A�DI`I'IGNA�.`�Q tr1`I' ; Imo,. ' •• . • � „ o 'I ' •+. II ktH rQv®�uFFat rco�� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 "off a�g Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDINGPERMIT pECCDVE For Office Use Only OCT 0 7 2021 PERMIT NO. Building Inspector: BUILDING DEPT. TOWN OF SOUTHOLD Applications'an dforms 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.(Pa ge 2)shall be completed..., Date:October 6, 2021 OWNER(S)OF PROPERTY Name:Peter & Joanne Hruz SCTM#1000-115,00-17.00-017.019 Physical Address:1.145 Meadow Beach Lane, Mattituck, NY. 11952 Phone#:631-298-8466 Email:pfhruz@yahoo.com Mailing Address:1145 Meadow Beach Lane, Mattituck, NY 11952 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 DESIG14 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 Add res Ocean Ave.., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@longislandpowersolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION " ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: R Other Proposed(27)panel roof mounted solar array. (9.990)kW System $19,765.21 Will the lot be re-graded? Dyes BNo Will excess fill be removed from premises? []Yes ®No 1 PROPERTY INFORMATION Existing use of property:Sin le Familv Dwelling Intended use of property:Sin le Family Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ANo 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 210AS of the New York State Penal Law. Catizone Electrical/Long Island Power Solutions Application Submitted By(pri t ame): \l C BAuthorized Agent ❑Owner Signature of Applicant: Date 0 Vu- 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 4-VI xv - .k'I- \ __day of o ,20 La LYNDE SUSETTE ESTABROOKE Notary Public OTARY PUBLIC,STATE OF NEW YORK Registration No.01ES6259997 PROPERTY OWNER AUTHORIZATION Qualified in Dutchess County Commission Expires April 16,2024 where the applicant is not the owner) I, �- residing at \k5ado hereby authorize Michael Catizone/Long Island Power Solutions to apply on my b If to the Town of Southold Buil ng Department for approval as described herein. < 9 2 qY 2 SUSETTE ESTABROOKE Owner's SignatureNOTARb&BLIC,STATE OF NEW YORK Registration No. OIES6259997 pcliz e. �1✓� ///. � Qualified in Dutchess County Print Owner's Name Commission Expi es April 16,2024 2 �B L I G DEPARTMENT-Electrical Inspector OCA TOWN OF SOUTHOLD Tor Hall Annex- 54375 Main Road - PO Box 1179 ,t Bu►ofSoun+O'-D Southold;. New'York 11971-0959 06 Telephone 631 765-1802 - FAX 631 765-9502: p ( ) ( ) ro err southoldto nn ov seand southold#owns_ ov APPLICATION FOR ELECTRICAL INSPECTION' ELECTRICIAN INFORMATION (All Information Required) Dalte 10/6/21 Company Name: Catizone ElectricaMong Island Power Solutions Name:Michael Catizone License No.:36178-ME eillall:sue@longislandpowersolutions.com Address: 2060 Ocean Avenue,Ronkonkoma NY 11779 Phone No.: 631-348-0001 _ ._. I ....... ,:.. JOB SITE INFORMATION (All Information Required) Name:.. Peter & Joanne Hruz Address: 11.45 Meadow Beach Lane 'Mattituck NY 11952 Cross Street: Halls Creek Drive Phone No.: $31-298=8466 Bldg.Permit#: Q email: pfhruz@yahoo.com : Tax.Map.District .:. 1000 ,. Section 115.00 Block: 17.00 1ot,017.019 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed(27)panel roof mounted solar array. (9.990)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:: Modules: (27) LG 370W Inverters: (27) Enphase IQ-7 PLUS Support: Iron Ridge XR-100 PAYMENT DUE WITH APPLICATION o � � Request for Inspection Form.xis I V Suffolk County:Dept,of } Labor,Licensing&Consumer Affairr, MASTER ELpCrRil:rJ_LwCENSE Name ' MICHAEL J CATiZONE evalimoss Name Trnls cAnfian Enat 6•e bgKermcdaly Im"se�i! Catiwns u�..iet'11'iM"ill(:pn��;iing Ino by IN Coanty or;:rrolk License Number:ME-36170 i RoWle Drago fsxued: 12,1311;404 Com<nlguro uar Expires: 1210117422 e Suffolk County Dept.of Labor,Licensing&Consumer Affairs �i MASTER ELECTRICAL LICENSE a `1 Name MICHAEL CATIZONE Business Name This certifies that the LONG ISLAND POWER SOLUTIONS INC bearer is duty licensed by the County or suffolk License Number:ME-53560 Rosalie Drago Issued: 06/06/2014 Commissioner Expires: 06/0112022 t TMmnm Suffolk County Dept.of Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name a' MICHAEL J CATIZONE Business Name This certifies that the bearenia duty licensed LONG ISLAND POWER SOLUTIONS INC by the County of suffolk License Number:.H-53562 Rosalie Drago Issued: 06106/2014 Commissioner Expires: 06/01/2022 t i NOERWK 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 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured LONG ISLAND POWER SOLUTIONS INC DBA NEW YORK OWER SOLUTIONS 60 OCEAN AVE 2 6313480001 RONKONKOMA,NY 11779 Work Location of Insured(Onlyrequired ifcoverage 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) Standard Security Life Insurance Company of New York Town of Southold tY P Y 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 8/26/2022 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: ❑X A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: 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 8/27/2021 By �&A- 4Ay&J_ (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 513 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.S 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) 11111111 IIIIIIIIIIIIIIIIIIlIIIII�IIIIoi�Ii�mll�ll111 Client#:83393 LONGISL15 ACORN,, CERTIFICATE OF LIABILITY INSURANCEDATE(MWDD/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 CT Commercial Support Edgewood Partners Ins.Center PHONEo EaLE4):631-390-9700 INC,No): 631-390-9790 40 Marcus Drive ADDRESS: certificates@cookmaran.com 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747-2647 INSURER A Southwest Marine&General Ins Co 12294 INSURED INSURER a Long Island Power Solutions,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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYY MM/DD/YY LIMITS A X COMMERCIAL GENERAL LIABILITY PK202100020693 2/28/2021 02/28/202 EAACHq�OCTCURRENCE s2,000,00 0 CLAIMS-MADE OCCUR PREMISES Ea'urrence $100 000 X PD Ded:5,000 MED EXP(Any one person) $5,000 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 COMBINED SINGLE LIMIT " 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRES ONLY AMAGE $ AUTOS ONLY Per accident A X UMBRELLA LIAB X OCCUR EX202100001789 2/28/2021 02128/2022 EACH OCCURRENCE $5,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE s5,000,000 DED I X RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY OFFICERO/MEMBERREXCLUDED,ECUTIVE� N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE.EA EMPLOYEE $ Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 NYSIF199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York state Insurance Fund nysitcom CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 •••r 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 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://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 11111101111110 0 0 0 0 0 0 0 0 0 0 0 9 Form WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-24670788] U-26.3 41 [00000000000091281603][0001.000024670786][##Z1[1558&79][CertNoP-CERT_1][o1-00001] jST"EWK W®rkers° CERTIFICATE OF ATF Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Catizone Electrical Inc 631348-0001 060 Ocean Avenue Ronkonkoma, NY 11779 1c.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 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Utica Mutual Insurance Company 3b.Policy Number of Entity Listed in Box"l a" Town of Southold 4766763 53095 Route 25 Southold, NY 11971 3c.Policy effective period 07/01/2021 to 07/01/2022 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) © all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"la"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 1 am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Leonard Scioscia (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 6/9/21 (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 voaK workers' E Compensation CERTIFICATE OF INSURANCE COVERAGE STAT 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) Ib..Business Telephone Number of Insured CATIZONE ELECTRICAL INC 575 LEXINGTON AVENUE,4TH FLOOR 6315090427 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 TOWN Being OF SOUTHOLD to Holder) Standard Security Life Insurance Company of New York 53095 ROUTE 25 3b.Policy Number of Entity Listed in Box 1 a" R97483-002 SOUTHOLD, NY 11971 3c.Policy effective period 1/1/2020 to 8/11/2022 4. Policy provides the following benefits: 0 A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: X❑ A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: 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 descyl7ed above. Date Signed 8/12/2021 By Ct (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 i 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 issuethis form. DB-120.1(10-17) 11111111111111111111111111111 IIIIIIIIOIIIIIIIII;IIIIIII� Client#:83176 CATIELE DATE(MM/DD/YYYY) ACRD. CERTIFICATE OF LIABILITY INSURANCE 9/23/2021 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 CONTNAME: Commercial Support Edgewood Partners Ins.CenterPHONE 631-390-9700 FAX 631-390-9790 A/C No Ext: AIC No 40 Marcus Drive E-MAIL ADDRESS: certificates@cookmaran.com 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747-2647 INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B: Catizone Electrical 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD%YYYF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y CPP4784747 7/01/2021 07/01/2022 EAACHp�OC7CURRENCE $1000000 CLAIMS-MADE a OCCUR PREMISES EaEoNcaurre11. $100,000 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 POLICY ECT LOC PRODUCTS-COMP/OPAGG $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 AUTOS ONLY AUTOS ONLY Peer accidentDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION 4766763 7/01/2021 07/01/2022 X ISPTEARTUTE 0TH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? F N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 Ifes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I 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 #S3241156/M3110173 JGRAS 1 LONG ISLAND QD ER 2060 Ocean Ave Ronkonkoma, NY 11779 T O S 631 348-0001 OLUwww.longislandpowersolutions.com OWNER AUTHORIZATION This affidavit certifies that Long Island Power Solutions has been granted permission to sign for and obtain ermit(\s) on behalf of the property owner(s). I' Owner of the property located at: Street Town State Zip Tax Map ID#:\6W-\\S,m-V\ ,C�O -O\''\.O\\ Do hereby give: Long Island Power Solutions permission to sign all applications and to have the permit(s) sent directly to: Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Attn:Permit Dept. F. / �V AIJAI t� (Property Owner) Print Name n � (Property Owner) Signature Sworn To kefore Me This Day Of , 20J�L_ LYNDE SUSETTE EST_ABROOKE (NOTARY PUBLIC S1GNATUREjNOTARY PUBLIC,STATE OF NEW YORK I Registration No. 01ES6259997 Qualified in Dutchess County ` Commission Expires April 16,2024 I Notary Stamp Go Green Save Green LONG ISLAND ®W E R 2060 Ocean Ave Ronkonkoma, NY 11779 S®LUT IONS 631348-0001 www.longislandpowersolutions.com October 6, 2021 TOWN OF SOUTHOLD—Building Division 71 Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold,NY 11971 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&Joanne Hruz—631-298-8466 Project/Property Address: 1145 Meadow Beach Lane, Mattituck,NY 11952 Section/Block/Lot: 1000-115.00-17.00-017.019 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. S'ncerely, 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 i ' t oRN� 7'g3! Lot 27- 00!, , Lot 28 I Lot 26 S.65°08'04"E.lJ I . 140.98' _ 4 (0 s� �a Lot Area-42897 s.f. 'aLl: m 1 •P n.,r !c'�m \ (o\ \\\ r 0' yo3 �•. C O , 4�'eo M1�`ea egye "� e' Lot.24 % 3 o• I. \ �•l. - 1� v!J � w F` E R= 500; W. Ir ! �, O� E sF�LANDs ��, SURVEY.FOR JULY 20, 1995 } OGT. 19, 1994 PETER F .HRUZ .a JOANNE;M,-.'HRUZ sEPT.15,1994 LOT NO. 25, "HARBOR VIEW ATMATTITUCK" SEPT. 9, 1994 �• SEPT,15, 1993 AT MATTITUCK DATE' JUN'.V5,1993 TOWN OR SOUTHOLD SCALE I"= so' SUFFO•LW COUNTY, NEW YORK N0• (33=0432 • ::[ .. CERT,I.FIED TO! a L 'PETER F. HRUZ L JOANNE M.HRUZ n , S IF.F.OLK COUNTX NATIONAL 8'A FIRST AMERICAN TITLE JNSU RANCE __ _ __ _ „� v; Yrs• '- a. COMPANY OF NEW YORK i 4,_1 i. .r PC°A CST• ,+d ,S ry... ,.,9, »I f r 1 r 1 r raeF:a':wA.K.NAS it roAT oo IIs a _e` �12.IP q,H[q( AW 'XiON'LLl M) Y w ['[ ')74Lq YAK i�� S SF�'dY 4Y° ;•r a•Trli ATEA ld" Ar+l'{(p di iSPJfA 4.S LN nrA ;PLi•GE 1 fl 5 f: a F] ,I, ,_/1 �J u!LL C9T641i [ Ir[ fAK(hAi,B •'4L d!tl,l-('4`u ;'fPAP' YL 1- G f I ( A 1j' _ Jf MI/f� -y Q�N( L K D[�',C.4 ♦•C B E [ 9 S UU (/ff AwL�Cniv , w, °, � • AOnq LSS 03 ?A DE l?AVENUE- _ YOUNG- YOU MG RIv�a1� c.Nr!a vnRk NOTE •-STAKEFOUNDa=MONUMENTFOUND SUBDMSION,MAP FILED IN THE OFFICE OF THE CLERK OF _SUFFOLK CO ON AUGUST 721,1987 AS FILE N0:8377, t I Ark.LNAfCM Car>s'f1L(M'V,SLfT':ArMf];10 C[Sr+:v Sf:PS yY,(MK rxn +, ,, 1 AAL}-A<i3 FI["..D(%i1FRW>'n. O°--ji Ct.uwo aq C.i—il!- WS OCCUPANCY O APPROVED AS NOTED USE IS UNLAWFUL DATE: /0-/*--1-1 B.P.# q-706S WITHOUT CERTIFICATE FEE:-4 aov vy BY: )l) OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE 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 COMPLY WITH ALL CODE=S OF REQUIREMENTS OF THE CODES OF NEW NEW YORK STATE & TOWN CODES YORK STATE. NOT RESPONSIBLE FOR AS REQUIRED AND CONDITIONS OF DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN zaA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC RETAIN STORM WATER: PURSUANT TO CHAP T I-.� 23`S OF THE TOWN COBE, SLECTpjM VepWROR REQUIRW G Fisher Engineering Services, P.C. 509 Sayville Blvd • Sayville •New York 11782 Phone: (631) 786-4419 September 30,2021 Attention: Southold Building Department 54375 NY-25 Southold,NY 11971 Subject: Solar Energy Installation for Hruz Residence- 1145 Meadow Beach Lane Mattituck,NY I 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 R1 R4 R7 R9 Mean roof height 23 ft 23 23 23 Pitch 20 deg 20 20 20 Roof Rafter 2x10 2x10 2x10 2x10 Rafter spacing 16 cc 16 16 16 Reflected roof rafter span 12.8 ft 8.3 8.9 12.6 Table R802.4.4(1)max allowable 22.6 ft 12.5 22.5 22.5 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-RX 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. Sincerely, f NEyi r0� William G. Fish P Licensed Professional Engineer 1 r p�,ofl Architectural Design•Residential•Light Commercial Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting•Inspections 9 1, LG N O' N'2 Black Y L070W K-A6 370W 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. C uL us 25- YEAR NO Madeln r� �' USAF komlmportedParrsO Erfi r, t.r Features I y - Enhanced Performance Warranty"��'s 25 Year Limited Product Warranty 25,E LG NeON®2 Black has an enhanced The NeON°2 Black is covered by a 25-year performance warranty.After 25 years, 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. Solid Performance on Hot Days Roof Aesthetics d I � V® LG NeON®2 Black performs well on hot LG NeON°2 Black has been designed with days due to its low temperature coefficient. l t aesthetics in mind using thinner wires that 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 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 LG released its first MonoX°series to the market,which is now available in 32 countries.The NeONe(previous MonoXe NeON),NeONe2,NeOV2 BiFacial won the"Intersolar AWARD'in 2013,2015 and 2016,which demonstrates LG's leadership and Innovation in the solar industry. Lifers Good w; LG Ne®N®2 Black LG370N1K-A6 General Data Electrical Properties(STC*) Cell Properties.(MaterialtType) Monocrystalline/N-type Model LG370N1K A6 Cell Maker LG Maximum Power(Pmax) [W] 370 Cell Configuration 60 Cells(6 x 10) MPP Voltage(Vmpp) [VJ 35.5 NumberofBusbals 12EA MPP Current.(Impp) [A] 10.43 Module Dimensions(Lx W x H) 1,740mm x 1,042mm x 40 mm Open Circuit Voltage(Voc t5%) [V] 41.9 Weight 18.6 kg Short Circuit Current(Isc t 5%) [A] 10.96 Glass(Material) Tempered Glass With AR coating Module Efficiency [%] 20.4 Backsheet(Color) Black PowerTolerance [%] 0-+3 Frame(Material) Anodized Aluminium *STC(Standard Test Condition):Irradiance 1000 W/m',cell temperature 25°C,AM 1.5 Measurement Tolerence of Pmax:t 3% Junction Box(Protection Degree) IP 68 with 3 Bypass Diodes Cables(Length) 1,100mm x 2EA Connector(type/Maker) MC 4/MC Operating Conditions Operating Temperature [°C] 40-+85 Certifications and Warranty Maximum System Voltage M 1,000(UL/IEC) IEC 61215-1/-1-1/2:2016,IEC 61730-1/2:2016, Maximum Series Fuse Rating [AJ 20 UL 61730-1:2017,UL 61730-2:2017 Mechanical Test Load*(Front) [Pa/psf] 5,400 Certifications ISO 9001,150 14001,ISO 50001 Mechanical Test Load"(Rear) [Pa/psf]' 4,000 OHSAS 18001 *Based on IEC 61215-2:2016(Test Load-Design Load xSafety Factor(1.5)) Salt Mist Contusion Test IEC 61701:2012 Severity 6 Mechanical Test Loads 6,000Pa/5,400Pa 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 Umited Number of Modules per 40'Container [EA] 650 Solar Module Output Warranty Linear Warranty* Number of Modules per53'Container [EA] 850 *Improved:11 year 98.5%,from 2-24th year.-0.33%/year down,90,15%at year 25 Packaging Box Dimensions(Lx W x H). [mm] 1,790 x 1,120 x 1,213 Temperature Characteristics -Packaging Box Dimensions(L x W x H) [in] 70.5 x 44.1 x 47.8 NMOT* 42 t 3 Packaging Box Gross Weight [kg] 500 [°C] Pmax [9'J°C] -0.35 Packaging Box Gross Weight [lb] 1,102 Voc [9N°C] 0.26 Isc [g'd°C] 0.03 Dimensions(mm/inch) *NMOT(Nominal Module Operating Temperature):Irradiance 800 W/m',Ambient temperature 20°C, Wind speed 1 m/s,SpeRmm AM 1.5 1041,0/41,0(51.of Sh-Side) Electrical Properties NMOT 1002.0139.4(DistanrebebveenG-dd g&M.,"Holes) Model LG370N1 K-A6 40.011.57 Maximum Power(Pmax) [1N] 277 ns.D/6.9 16-90a3A/03n0.1 MPP Voltage(Vmpp) M 333 DH.I. ( ) ({) MPP Current(Impp) [A] 832 �101uO"B°"Open Circuit Voltage(Voc) [v] 39.4e- Short Circuit Current(Ist) [A] 8.81 Mant4gHdes m � x x i-V Curves 1100/433 Cable Length 12.0 1000W € 9 g g � 10.0 800W 8.0 60OW y ` H 6.0 � 400W g 4.0 20OW 20 0.0 `q ° 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 n N N Voltage M LG Electronics USA,Inc. Product specifications are subject to change without notice. LG Solar Business Division LG370NlK-A6_AUS.pdf 02000 Millbrook Drive 020221 Lincolnshire,IL 60069 Life's Good www.19-solar.com ©2021 LG Electronics USA,Inc.All rights reserved. Data Sheet Enphase Microinverters Region:AMERICAS The high-powered smart grid-ready Enphase Enphase IQ 7 MiicroT' and Enphase IQ 7+ Micro' 7 and 7+ dramatically simplify the installation process while achieving the highest system efficiency. craieverters Part of the Enphase IQ System,the IQ 7 and. IQ 7+ Microinverters integrate with the Enphase IQ Envoy"", Enphase IQ Battery'm,and the Enphase Enlighten'"' 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. 'Easyto Install Lightweight and simple Faster installation with improved,lighter two-wire cabling • Built-in rapid shutdown compliant(NEC 2014&2017) N_} Productive and Reliable k.a> • Optimized for high powered 60-cell and 72-Cell*modules • More than a million hours of testing • Class II double-insulated enclosure • UL listed 0 ' Smart Grid Ready NO • 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. ENHAS E• 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-72-0-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 16 V-48 V 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/ 268V/ 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 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 IIF III AC port backfeed current 0 A OA 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% 97.6% 97.5% 97:3 CEC weighted efficiency _9_7.0% 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(IQ!-60-2-US&IQ713LUS-72-2-US) MC4(or Amphenol H4 UTX with additional Q-DCC-5 adapter) Connector type(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(Wxkxb) 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 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 httpsil/enphase.com/en-us/s-upport/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 ENPHASE. ©2018 Enphase Energy.All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. 2018-05-24 RON RI DGE Roof Mount System I)SI � { L I 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. 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. D _ XR Rams XR10 Rail XR100 Rail XR1000 Rail Internal Splices Q low 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 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 (B T Bolt Grounding Lugs Accessories aP � I� } 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 - Go from rough layout to fully qO v Earn free continuing education credits, engineered system. For free. b- while learning more about our systems. i' Go to IronRidge.corn/rm V 4 Go to ironRidge.corn/training �R AERIAL «� A Long Island POWER SOLUTIONS 2060 OCEAN AVENUE, RON ONKOMA NY 11779 631) 34$-0001 R-9 # MODULES (3) .- PITCH: 440 r H R U Z AZIMUTH: 500 _ R: 1` RESIDENCE '.r I�s s 1145 MEADOW BEACH LANE R- MATTITUCK, NY 11952 •f s9'y' 631-298-8466 v� S: 115 B: 17 L- 17.19 PROJECT DATA: #203655 ACCESS ROOF AINVERTER: ENPHASE 107PLUS-72-2-US � ' MODULES: (27) LG370N 1 K-A6 5 0 ? RACKING: IRON RIDGE XR100 WATTAGE: 9,990 �P ® R-1 ROOF TYPE:COMPOSITION SHINGLES # MODULES (15) SHEET INDEX WIND LOAD:-21 PSF @ 140MPH PITCH: 36° FASTENER:USE 5116"DIA.5"LAGS AZIMUTH: 140° S-1 SITE PLAN tjIn S-2 DETAILS R-4 E-1 ELECTRICAL PLAN alb MODULES (6) L-1 MOUNTING PLAN ^ Y, PITCH: 380I f;; u 'Qp ass AZIMUTH: 500 GENERAL NOTES ]� a -ENPHASE IT PLUS MICRO INVERTER LOCATED ON ROOF BEHIND EACH MODULE. Q O 00" -FIRST RESPONDER ACCESS MAINTAINED AND FROM ADJACENT ROOF. qE R-7 -WIRE RUN FROM ARRAY TO CONNECTION IS t�' cr► G. ��' ppm # MODULES (3) 40 FEET. Oi\ PITCH: 370 -COGEN DISCONNECT IS LOCATED AZIMUTH: 1400 ADJACENT TO UTILITY METER. 0 ' -LAYOUT SUBJECT TO CHANGE BASED ON F C/nn SITE CONDITIONS AT DATE OF INSTALL . �'° 0746 p F c E �(J V� LEGEND ALTERATION OF THIS DOCUMENT EXCEPT BY A GROUND ACCESS POINT LICENSED PROFESSIONAL IS ILLEGAL OCT 01 2021 COGEN DISCONNECT PAPER SIZE:11"x17"(ANSI B) BUILDING DEPT 3.5„ UTILITY METER DATE:06/19/2020 TOWN OF SOUTHOLD DESIGN BY: MW S SKYLIGHT CHECKED BY: SG 5_gP. REVISIONS: 1 MW 05/12/2021 2 SG 05/13/2021 / REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK 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.ASCE?-10. SITE PLAN S- 1 THE 2020 RESIDENTIAL CODE OF NYS r k F0 lranRidge XR 100 Rail „s Long Island POWER SOLUTIONS a 2060 OCEAN AVENUE, RON ONKOMA NY 11779 x . ,... 631) 34$-0001 z HRUZ RESIDENCE Flash it�4� 1145 MEADOW BEACH LANE MATTITUCK, NY 11952 631-298-8466 S: 115 B: 17 L: 17.19 11011Rlcige XR 1001Lu1 } L PROJECT DATA: #203655 ItmRidgeXR 100 Rail SI!L) X S�� Stainless PROJECT ENPHASE 1O7PLUS-72-2-US Steel Lag BUIL MODULES: (27)LG 370N 1 K-A6 Solar Module RACKING: IRON RIDGE XR100 3/6-16 x 3/4 WATTAGE:9,990 _.x ..,eArJ s"i.JI.T ROOF TYPE:COMPOSITION SHINGLES /8-15 }I A;��,t=: ML:, �`'��,�, �_��� F ISD LOAD-RUSE 5 96°DIA.5MLAGS tj L: m ni F GENERAL NOTES: x= ZW�>x —L FEET ARE SECURED TO ROOF RAFTERS @ 80" O.C. Z!s Q?y USING 5/16" x 5" STAINLESS STEEL LAG BOLTS. a —SUBJECT ROOF HAS ONE LAYER. =i if —ALL PENETRATIONS ARE SEALED AND FLASHED. ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES ' `'�, a°,07469 R1 360 2"x1011 2"x10"@16"O.C. 17' 1211 ALTERATION OF THIS DOCUMENT EXCEPT BY A R4 380 2"x 10" 2"x 10"@ 16"O.C. 11 —1011 1011 1211 LICENSED PROFESSIONAL IS ILLEGAL PAPER SIZE:11"x 17"(ANSI B) R7 370 2"X10 it 2"x 1011@1 6110.0. 12'-511 12" DATE:06/19/2020 DESIGN BY: MW R 9 44° 2"x 10" 2"x 10"@ 16"O.C. 18'-11 " 12" REVISIONS: 1 MW 05/12/2021 2 SG 05/13/2021 DESIGNED AS PER ASCE 7-10 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, MODULES MOUNTED FLUSH TO ROOF TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-10. DETAILS S— NO HIGHER THAN 6"ABOVE ROOF SURFACE PHOTOVOLTAICS: Lang Island 4� NEMA 3R (27) LG370N 1 K-A6 POWER SOLUTIONS 2060 OCEAN AVENUE, JUNCTION BOX RONKONK 34$-000111779 BLACK-L1 ENGAGE CABLE INVERTERS: ll RED-L2 I (27) ENPHASE IQ7PLUS-72-2-US H R U Z WHITE-NEUTRAL GREEN-GROUND CIRCUITS: RESIDENCE (3) CIRCUITS OF (9) MODULES 1145 MEADOW BEACH LANE MATTITUCK, NY 11952 631-298-8466 S: 115 B: 17 L: 17.19 PROJECT DATA: #203655 #12 AWG THWINVERTER: ENPHASE 107PLUS-72-2-USN FOR HOME RUNS UND R 100' MODULES: (27)LG370N 1 K-A6 #10 AWG THWN FOR HOME RUNS OVER 100' (1)LINE 1 PHOTOVOLTARACKING: IRON RIDGE XR100 WATTAGE: 9,990 (1)LINE 2 ' METER ROOF TYPE:COMPOSITION SHINGLES (1)NEUTRAL PERGROUND WIND LOAD:-21 PSF @ 140MPH PER CIRCUIT ♦ � © RAT®ACOUTPUT(�RBdT 32.67 A FASTENER:USE 5/16"DIA.5"LAGS IN V OR 14'PVC CONDUIT ELECTRIC HAZARD NOMINAL OPERATING AC VOLTAGE 240 V j 77 `•TERNOAORPHOTOVOLTAIC ______ 9 u b LOAD ' ' MAIN SOLAR SYSTEM o J yn; IN THE OPEN POSITION AC DISCONNECT _ LINE SIDE TAP Z +` Ry s 60A FUSED SERVICE MAIN SERVICE 125A LOAD CENTER RATED 200A (1)-20A BREAKER DISCONNECT om G.F /� q pRRNPER CIRCUIT 50A FUSE ��� WA �NG DISCONNECT INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS #6 AWG THWN #6 AWG THWN o .0746' � OVERCURRENT DEVICE (1)LINE 1 (1)LINE 1 (1)LINE 2 (1)LINE 2 (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL ALTERATION OF TMS DOCUMENT EXCEPT By.A (1)EGC (1)EGC OR SUB PANEL LICENSED PROFESSIONAL 1S ILLEGAL IN 14'PVC CONDUIT (1)GEC PAPER SIZE 11"x 17"(ANSI B) IN 14"PVC CONDUIT DATE:06/19/2020 _ DESIGN BY: MW CHECKED BY: SG REVISIONS: 1 MW 05/12/2021 2 SG 05/13/2021 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 2017 NEC AND 2020 ENERGY CODE TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE740. ELECTRICAL PLAN E- 1 60A FUSED SERVICE RATED DISCONNECT 0'-511 Long Island POWER SOLUTIONS 2060 OCEAN AVENUE, RON ONKOMA NY 11779 631) 34$-0001 ° HRUZ 22' _ RESIDENCE 1145 MEADOW BEACH LANE ❑ 1 ' MATTITUCK, NY 11952 ❑ �� 631-298-8466 S: 115 B: 17 L: 17.19 Ll PROJECT DATA: #203655 INVERTER: ENPHASE 107PLUS-72-2-US MODULES: (27)LG370N1 K-A6 RACKING: IRON RIDGE XR100 WATTAGE:9,990 R-4 ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-21 PSF @ 140MPH R-1 # MODULES (6) FASTENER:USE 5/16"DIA.5"LAGS # MODULES (15) PITCH: 380 PITCH: 36° AZIMUTH- 500 AZIMUTH- 1400 2 -an 13,-8„ �a w Ij 19,-8„ G. Op 0 12'-5" 18'-11 17' 2 �u.Q 40 074659 14' 19 – 4 ALTERATION OF THIS DOCUMENT EXCEPT BY A R LICENSED PROFESSIONAL IS ILLEGAL 4 0 1 \—7 PAPER SIZE:11"x 17"(ANSI B) SPLICE BAR 2 © PENETRATIONS 81 # MODULES (3) R-9 DESIGN BY: UFO 87 PITCH: 37° # MODULES (3) 31511- REVISIONS: 1 MW 05/12/2021 PITCH: 44 2 SG 05/13/2021 40M END LCAPS 65 AZIMUTH: 140° ° 5'_9,. AZIMUTH: 50 CONSUMPTION CRITTER GUARD 300' MOUNTING PLAN L— 1