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�o�OSOFfD1 Town of Southold 3/23/2022 P.O.Box 1179 y 53095 Main Rd WoO �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42940 Date: 3/23/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 220 Selah Ln.,Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-9-4.7 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. 47002 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 on existing single-family dwelling as applied for. The certificate is issued to Scheer C F Irry Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47002 11/23/2021 PLUMBERS CERTIFICATION DATED Authorized Signature Fill/( TOWN OF SOUTHOLD �y BUILDING DEPARTMENT C, x TOWN CLERK'S OFFICE o • � SOUTHOLD, NY y oma. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47002 Date: 10/18/2021 Permission is hereby granted to: Scheer C F Irry Trust 220 Selah Ln Mattituck, NY 11952 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 220 Selah Ln., Mattituck SCTM #473889 Sec/Block/Lot# 106.-9-4.7 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-ALTERATION TO DWELLING $50.00 Total: $200.00 Bui ding Inspector O�aOfr SO(/r�ol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q sean.devlinCaD-town.Southold.n us Southold,NY 11971-0959 y BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Scheer C F Irry Trust Address: 220 Selah Ln city:Mattituck st: NY zip: 11952 Building Permit* 47002 Section: 106 Block: 9 Lot: 4.7 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: 6.290kW Roof Mounted PV Solar Energy System w/ (17) LG370N1 K-A6 Modules, Enphase IQ3 Combiner w/ 220x2 215x1 Notes: Solar It Date: November 23, 2021 Inspector Signature: S.Devlin-Cert Electrical Compliance Form OE SObTyO� ( 00 t5 # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND - [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: cyDATE I ( Z INSPECTOR sy �O,*OP SOUTholo u`l0 * # TOWN OF SOUTHOLD BUILDING DEPT. �o • �o 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND. [ ]'INSULATION/CAULKING [ ] FRAMING /STRAPPING ]. FINAL [ " ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE /C, /O REMARKS: AercJf, oq I it DATE _ INSPECTOR /Z/A4'77� Pacifico Engineering PC i Engineering Consulting 700 Lakeland Ave, Suite 2B ( Ph:631-988-0000 Bohemia, NY 11716 I �jr? solar@pacificoengineering.com November 29;..2021.; Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Charles Scheer Section-Block-Lot: 106-9-4.7 220 Selah Lane Mattituck, NY 11952 have reviewed the solar energy system installation at the subject address on November 29,2021.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 Rai p®� sneer D L`' 2 0 202 NY 066182/N 4GF-110' 306/FL 87297 'Z-* ,- a 49T DEPT. FIELD:INSPECTION REPORT'. DATE FOUND�ATI:ON(1ST) ; FOU GATZON-(2ND) ; . .. . ROUGI I FRAMING} H' PI VT BIN.G' r. INSL3LAlTION PER N.Y, y STATE _N RGY CODE 2T Selo✓ • � � � �. •QdS- �.y�. �cu�s• Scs�.. •-Lc�o% FINAL' . TIQiyAX.GQ1YT " .•i . . W f -,•\ g fF�kcoG% . TOWN OF SOUTHOLD—BUILDING DEPARTMENT ?' Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Q4, - a�" Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtowmy.jzov Date Received A PLICATM FOR BUILDING PERMT For Office Use Only D EC EH E PERMIT NO. s� Building Inspector: OCT o 7 2021 Applications and forms must be filled out in their entirety.Incomplete BUILDING DEPT. applications will.not be accepted. Where the Applicant is not the owner,an TOWN OF SOUTHOLD Owner's Authorization form(Page 2)shall be completed. Date:October 6, 2021 OWNER(S)OF PROPERTY: Name:Charles Scheer SCTM #1000-106.00-09.00-004.007 Physical Address:220 Selah Lane, Mattituck, NY 11952 Phone#:631-833-5570 1Email:cfmhscheer@optoniine.net Mailing Address:220 Selah 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 DESIGN PROFESSIONAL INFORMATION: Name:Pacifico Engineering, P.C. Mailing Address:700 Lakeland Ave., Suite 213, Bohemia, NY 11716 Phone#:631-988-0000 Email:solar@pacificoengineering.com CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 TFm;ll.mike@longislandpowersolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project: ®Other Proposed(17)panel roof mounted solar array. (6.290)kW System $26,007.48 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling 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 El ctrical/Long Island P wer Sol tions Application Submitted By(pri me): ��\ � BAuthorized Agent ❑Owner Signature of Applicant: Date: 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 �daY of O�— 20 LYNDE SUSETTE ESTABROOKE Notary Public N TARY 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, ra�c �5 �e�� residing at �v V\ Michael Catizone/Long Island Power Solutions a o hereby authorize to apply on my behalf to the o of Southol Building Department for approval as described herein. aw� - C)wn,er's-SgrratTare LYNDE SUSETIEZOYMIA NOTARY PUBLIC,STATE OF EW YBRtk �Y Registration No. OIES6259997 Print Owner's Name Qualified in Dutchess County CommissiQq Expires Ap it 16,20 LONG ISLAND QDOW ER 2060 Ocean Ave Ronkonkoma, NY 11779 T 10 N 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 permit(s) on behalf of the property owner(s). I, 6"car '� h, '- , Owner of the property located at: Street Town State Zip Tax Map ID#:VSM— Oq •O(l 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. (Property Owner) Print Name (Pr_aperty-0wr�er) Sig -re'- Sworn To B,,efore Me This Day Of , 201�,\ LYNDE SUSETTE ESTABROOKE (NOTARY PUBLIC SIGNATURE) NOTARY PUBLIC,STATE OF NEW YORK Registration No. OIES6259997 i 1 Qualified in Dutchess County ;R Commission Expires April 16,2024 j Notary Stamp Go Green Save Green j4 rpg p Q BUILDING DEPARTMENT-Electrical Inspector I TOWN OF SOUTHOLD M. Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 G�E gum o�Soy +p1-D Telephone (631) 765-1802 - FAX (631) 765-9502 ,4 ' z,¢Y` TowN rogerr ai southoldtownn- ov seandsoutholdtownny.gov- APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 10/6/21 Company Name: Catizone Electrical/Long Island Power Solutions Name:Michael Catizone �z License No.:36178-ME email: sue@longislandpowersolutions.com i i Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 `' Phone No.: 631-348-0001 s# JOB SITE INFORMATION (All Information Required) Name: Charles Scheer P Address: 1220 Selah Lane, Mattituck, NY 11952 Cross Street: West Mill Rd Phone No.: 631-8 3-5570 Bldg.Permit#: email: pfhruz@yahoo.com i Tax Map District: 1000 Section: 106.00 Block: 09.00 Lot:004.007 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed(17)panel roof mounted solar array. I (6.290)kW System Circle All That Apply: i> 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) ti Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# .li New Service- Fire Reconnect- Flood Reconnect-Service Reconnected-Underground -Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N i Additional Information: Modules: (17) LG 370W Inverters: (17) Enphase IQ-7 PLUS ' Support: Iron Ridge XR-100 PAYMENT DUE WITH APPLICATION Request for Inspection FormAs j 0 }; Suffolk County Dept;of Labor,Llcensl"&Consumer Affalrs 1,%S7ER ELECTRICAL LICENSE Name MICHAEL J CATIZZONS �w Cudtrl®ss!tame This cendias that Uw_ hQWgrts,ddy frn ise•II Cat zap cfeM csi C:ortract ng lnc bd1M CoJnty of nt-0106 I Liconsrr Number:ME-36171 ) RosarleOrogo lesuod: 12'01r20D4 k CosnrniasWnef expires: 1210112722 Suffolk County Dept.of T Vuil Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE Name k, 5z. MICHAEL CATIZONE Business Name This certifies that the LONG ISLAND POWER SOLUTIONS INC bearer is duty licensed by the County of suffolk License Number:ME-53560 Rosalie Drago Issued: 0610612014 Commissioner Expires: 0510112022 Suffolk County Dept.of 3 Labor,Licensing&Consumer Affairs r HOME IMPROVEMENT LICENSE g ± j Name > MICHAEL J CATIZONE Business Name Thisdul that the bearerr is LONG ISLAND POWER SOLUTIONS INC is duty licensed by the County of suffolk License Number:H-53562 Rosalie Drago Issued: 0610612014 Commissioner Expires: 06101/2022 II� NY S ' r 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nyslEcom CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 irY.••* a LOVELL SAFETY MGMT CO.,LLC �. 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 9 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POWER SOLUTIONS INC TOWN OF SOUTHOLD 2060 OCEAN AVENUE 53095 ROUTE 25 RONKONKOMA NY 11779 SOUTHOLD NY 11971 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 2467 078-8 146804 4/01/2021 TO 04/01/2022 03/09/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 239995852 1111 0111100000000000091281603111�11I1III1I Form WC-CERT-NOPRINT Version 3(08/292019)[WC Policy-24670788] U-26.3 41 [ODOOOOOOOODD91281603][0001-0000246707881[##Z][15588-79][CerLNOP-IfRT_i][01-00001] YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.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"1 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"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: 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 oRic workers CERTIFICATE OF INSURANCE COVERAGE sTnae. Coti7pensation 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 60 OCEAN AVE OWER SOLUTIONS 2 6313480001 RONKONKOMA,NY 11779 Work Location of Insured(On/yrequired If coverage is specillcally 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) Standard Security Life Insurance Company of New York Town of Southold � 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: ❑X A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. n C.Paid family leave benefits only. 5. Policy covers: ® A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc'Fged above. Date Signed 8/27/2021 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 46,4C 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 k4umber 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) 111 DB-120.1 (10-17)iilo ISI Client#:83393 LONGISLI5 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 2/25/12512002121YYY) 2 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 NOME;NTACT Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700FAX 40 Marcus Drive E-MAIL Ext): ac,No):631-390-9790 3rd floor ADDRESS: certificates@cookmaran.com Melville,NY 11747-2647 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine&General Ins Co 12294 INSURED INSURER B Long Island Power Solutions,Inc. 2060 Ocean Avenue INSURERC: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTp TYPE OF INSURANCE ASR Wy R POLICY NUMBER POLICY EFF MM/uDDY YYY LIMITS A X COMMERCIAL GENERAL LIABILITY PK202100020693 2/28/2021 02/28/202 EACMH�OCCCUR�RENCE s2,000,00 0 CLAIMS-MADE �X OCCUR PREMISES E aEoccccurrence $100 000 X PD Ded:5,000 MED EXP(Any one person) s6,000 X Contractual Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 LOC PRODUCTS-COMP/OP AGG $2,000,000 POLICY� CT OTHER: $ A AUTOMOBILE LIABILITY PK202100020693 2/28/2021 02/28/202 E°accidentSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRES ONLY X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY Per accident A X UMBRELLA LIAB X I OCCUR EX202100001789 2/28/2021 02/28/2022 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED I X RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? El N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ Use describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Town of Southold is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE ©1986-2015 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 Client#:83176 CATIELE ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE 9/223/203/2021 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 NOONT CT Commercial Support Edgewood Partners Ins.Center PHONEe xFaAcX No): 63I-390-9790(AICNEt):631-390-9700 40 Marcus Drive 3rd Floor ADDRESS. certificates@cookmaran.com Melville,NY 11747-2647 INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B: Catizone Electrical Inc. 2060 Ocean Avenue INSURER C: Ronkonkoma,NY 11779 INSURER D, INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR ISR WVD POLICY NUMBER MMIDD/YYY MM/DD/YY A X COMMERCIAL GENERAL LIABILITY Y CPP4784747 7/01/2021 07/01/202 EAACMH�OCTCURRENCE $1000000 CLAIMS-MADE ®OCCUR PREMISES EaEocNrourtence $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 HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 4766763 7/01/2021 07/01/2022 X IsPTEARTuTE IJOTH- ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? F—Y] N/A (Myandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 mDEes SCRescribe under IPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Town of Southold is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3241156/M3110173 JGRAS 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 6315090427 NEW YORK, NY 10022 Work Location of Insured(Only required ifcoverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,Le.,Wrap-Up Policy) or Social Security Number 45-5213112 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier TOnWN eOgLSOUTHOListed as the ID 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: ❑X A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑ C.Paid family leave benefits only. 5. Policy covers: A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as descyged above.DateSigned 8/12/2021 By .4Apt (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 513 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 56 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 issuep this form. D13-120.1 (10-17) IIIOIIPiuis�1ii2u0iiii1iiiiii1i0iui1�i7uiilllll� 4a4 AS MAP No. 8539 \ ' UGK D S71 o I or(�rVlEges' �i Jokn C. y�;� x shed m �✓��. .K romp 221.44Noo5- Noo wC 70, �,antr x o once o°q\ woq %K a�a \\eo � \ sf�ha ir x m Ho seer FrQme m B 6 GPrgge 16- a FE 15 1V �f, h • - - - - ioo/— i m — — — 6p` i i sr pence � ' masonry;Valk � O J � i m O® a o O X80X71044' 1 a ' a WqE001 �� 00 2 IV-71.• apron u 001 Y� ' 00/ fnrol� �Vogq`�SQ W 2� �17}51� let 0— . $001 513� xes JT POUND OUND LONG ISLAND =R 2060 Ocean Ave Ronkonkoma, NY 11779 dam SOLUTIONS 631348-0001 www.longislandpowersolutions.com October 6, 2021 TOWN OF SOUTHOLD—Building Division 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: Charles Scheer—631-833-5570 Project/Property Address: 220 Selah Lane,Mattituck,NY 11952 Section/Block/Lot: 1000-106.00-09.00-004.007 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 Lakelalnd Ave, Ste 2B,Bohemia,NY 11716-631-988-0000 Enclosed Please fmd: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of the Engineering Drawings& Specs • Liability, Disability& Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Sincerely, Sue Estabrooke,Permit Manager Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx- 631-348-0018 sue@Gopowersolutions.com Go Green Save Green r D/ ' ` V C APPROVED AS NOTED DATE: D /B.P.# FEE:- BY: NOTIFY.BUILDING F')-'FARTMENT AT . 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FC-11Z C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF SOI B TOWN RA SO N-PtANN4NG BOARD S9 T50U TMTRUSTEES OCCUPANCY OR USE IS, UNLAWFUL WITHOUT CERTIFICf'; ,0F OCCUPANCY ELECTRICAL INSPECTION REQUIRED Pacifico Engineering PCWIG Engineering Consulting 700 Lakeland Ave,Suite 2B Ph:631-988-0000 Bohemia, NY 11716 solar@pacificoengineering.com October 1,2021 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Charles Scheer Section,Block-Lot: 106-9-4.7 220 Selah Lane Mattituck, NY 11952 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 Mean roof height 13.0 ft Pitch 27 degrees Roof rafter 2x8 Rafter spacing 16 inch on center Reflected roof rafter span 15.7 ft Table R802.4.1(1)max allowable 18.5 ft The climactic and load information is below: CLIMACTIC AND Ground Wind Live Load, 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 1.30 33 371 SS 5/16"dia lag bolt,5"length Weight Distribution array dead load 3.5 psf load per attachment 39.3 Ib 7' � � The subject roof has 1 layer of shingles. Panels mounted flush to roof no higher than 6 inches above roof surface. Cr Ralph Pacifico, PE Professional Engineer r NY 0661 L 87297 _1� AERIAL 4D..OWE R SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631) 348-0001 SCHEER C F IRRV TRUST RESIDENCE - - 220 SELAH LANE R1e MATTITUCK, NY 11952 631-833-5570 S: 106 B: 9 L: 4.7 �s cS'A _ PROJECT DATA: a214832 INVERTER: (17)ENPHASE IQ7PLUS-72-2-US MODULES: (17)LG370N1K-A6 RACKING: IRON RIDGE XR100 18"FIRE ACCESS ' WATTAGE: 6,290 18"FIRE ACCESS SHEET INDEX ROOF TYPE: COMPOSITION SHINGLES \ S-1 SITE PLAN WIND LOAD: -54.6PSF @ 140MPH FASTENER USE 5/16"DIA.5"LAGS S-2 DETAILS E-1 ELECTRICAL PLAN r AQP L-1 MOUNTING PLAN iGiro G� G 700 Lakeland Ave, Suite 2113 Bohemia, NY 11716 Ph- 631-988-0000 R-1 # MODULES (17) solar@pacificoengineering.com www pacificoengineering corn PITCH: 27° GENERAL NOTES AZIMUTH: 181° -ENPHASE 107 PLUS MICRO INVERTER LOCATED ON ROOF BEHIND EACH MODULE. -FIRST RESPONDER ACCESS MAINTAINED AND FROM ADJACENT ROOF. -WIRE RUN FROM ARRAY TO CONNECTION IS d 40 FEET. -COGEN DISCONNECT IS LOCATED X90 °es1e ��a� ° p �� FRONT 0 F HOUSE ADJACENT TO UTILITY METER. pNP�- N -LAYOUT SUBJECT TO CHANGE BASED ON ALTERATION OF THIS DOCUMENT EXCEPT BY 00 OCT 0 7 2021 D 3'-5" SITE CONDITIONS AT DATE OF INSTALL LICENSED PROFESSIONAL IS ILLEGAL PAPER SIZE:11"x 17"(ANSI B) a N 2021 TOWN OF SOUTHOLD 5,-g„ LEGEND DESIGN BY: / MW U ® GROUND ACCESS POINT CHECKED SG REVISIONS:: 1 1 N COGEN DISCONNECT 09.27.2021 AM ® UTILITY METER cmc FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, REPRESENTS ALL FIRE CLEARANCE MINIMUM OF 36" UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7.16, SITE PLAN S - 1 o INCLUDING ALTERNATIVE METHODS THE 2020 RESIDENTIAL CODE OF NYS 66 IrcinRid<`e XR 100 Rail OWER UFO SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631) 348-0001 SCHEER C F _. IRRV TRUST Cap -'" R ESI D E N C E rAid Comp � .` Flashing 220 SELAH LANE .. MATTITUCK, NY 11952 - 631-833-5570 Erx!Clomp S: 106 B: 9 L: 4.7 IlonRidge XR 100 Rail ` if „ PROJECT DATA: #214832 _ IrouRidge XR 100 Rail 5/16 X 5 Stainless INVERTER: (17)EN PHASE 107PLUS-72-2-US r Steel Lag Bolt MODULES: (17)LG370N1K-A6 RACKING: IRON RIDGE XR100 Solar Module WATTAGE: 6,290 Y 3/4 ROOF TYPE: COMPOSITION SHINGLES 3/8-18 HEX HEAD Ci4LT WIND LOAD: -54.6PSF @ 140MPH HUT �.. 3-5/8 FASTENER: USE 5/16"DIA.5"LAGS lf _ pPLC I E G� GENERAL NOTES: 700 Lakeland Ave, Suite12B -L FEET ARE SECURED TO ROOF RAFTERS @ 80" O.C. Bohemia, NY 11716 USING 5/16" x 5" STAINLESS STEEL LAG BOLTS. Ph- 631.988-0000 -SUBJECT ROOF HAS ONE LAYER. solar@pacificGengineering.com ing.c m www-pac ific Deng in Bering.com -ALL PENETRATIONS ARE SEALED AND FLASHED. Wf ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES q °e 82 N R1 270 2"x10" 2"x8"@16"O.C. 19'-711 12" ALTERATION OF THIS DOCUMENT EXCEPT LICENSED PROFESSIONAL IS ILLEGAL 00 N PAPER SIZE:11'x 17'(ANSI B) DATE: 09/20/2021 DESIGN BY: MW CHECKED BY: SG REVISIONS: 1 09.27.2021 AM U 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.ASCE7.16. DETAILS — g NO HIGHER THAN 6"ABOVE ROOF SURFACE OWER PHOTOVOLTAICS: (17) LG370N1K-A6 SOLUTIONS NEMA 3R 2060 OCEAN AVENUE, JUNCTION BOX INVERTERS: RONKONKOMA, NY 11779 (631)348-0001 BLACK-L1 ENGAGE CABLE (17) ENPHASE IQ7PLUS-72-2-US RED- L2 I SCH EER C F WHITE-NEUTRAL CIRCUITS: GREEN-GROUND (1) CIRCUIT OF (8) MODULES IRRV TRUST (1) CIRCUIT OF (9) MODULES RESIDENCE 220 SELAH LANE MATTITUCK, NY 11952 631-833-5570 S: 106 B: 9 L: 4.7 PROJECT DATA: #214832 INVERTER: (17)ENPHASE 107PLUS-72.2-US #12 AWG THWN FOR HOME RUNS UNDER 100' MODULES: (17)LG370N1K-A6 #10 AWG THWN FOR HOME RUNS OVER 100' • Mi . METER RACKING: IRON RIDGE XR100 (1)LINE 1 WATTAGE: 6,290 (1)LINE 2I ( ROOF TYPE: COMPOSITION SHINGLES (1)NEUTRAL ' © .. (1)GROUND WIND LOAD: -64.6PSF @ 140MPH PER CIRCUIT © MTMACt>(lPPUTCW"20.57A WARNING IN 1"OR 1 "PVC CONDUIT PI +lAt iAT1ACVCfl.T> 240 vFASTENER: USE 5/16"DIA.6"LAGS ELECTRICO HAZARD ..M .e..�... - PSI"TER ' PHOTOVOLTAICEGG •' ' SIDES MAY BE ENERGIZED MAIN SOLAR SYSTEM 700 Lakeland Ave, Suite 2B IN THE OPEN POSITION AC DISCONNECT Bohemia, NY 11716 MAIN SERVICE Ph:631-988-0000 150A solar@pacfcoengineering.com www.pac ificoengin eering.com 125A LOAD CENTER LOAD SIDE TAP _ (1)-20A BREAKER PER CIRCUIT �t YAR N I N j DISCONNECT ir INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS #8 AWG THWN AC DISTRIBUTION PANEL 618 � OVERCURRENT DEVICE (1)LINE 2 OR SUB PANEL (1)NEUTRAL ALTERATION OF THIS DOCUMENT EXCEPT BY A (1)EGC LICENSED PROFESSIONAL IS ILLEGAL IN 1T"PVC CONDUIT PAPER SIZE:11"x 17"(ANSI B) DATE:09/20/2021 DESIGN BY: MW CHECKED BY: SG REVISIONS: 1 " 09.27.2021 AM s 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.ASCE7-16. ELECTRICAL PLAN E- 1 ° 60A FUSED SERVICE RATED DISCONNECT OWER O SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 SCHEER C F IRRV TRUST RESIDENCE 220 SELAH LANE MATTITUCK, NY 11952 43' 631-833-5570 S: 106 B: 9 L: 4.7 PROJECT DATA: #214832 INVERTER: (17)ENPHASE IQ7PLUS-72-2-US MODULES: (17)LG370N1K-A6 © RACKING: IRON RIDGE XR100 A WATTAGE: 6,290 ROOF TYPE: COMPOSITION SHINGLES WIND LOAD: -54.6PSF @ 140MPH v FASTENER: USE 5/16"DIA.5"LAGS 191_711 - - P c t - ,� O E GIN GG v v 700 Lakeland Ave, Suite 26 Bohemia, NY 11716 Ph- 631-988-0000 R-1 solar@pacificoengineering.com www.pa c i fi c oeng i n eeri ng.c om # MODULES (17) PITCH: 270P AZIMUTH: 181 *`. 17' 4 CPO Q 14' 7 .o 4 182 0� 11' 9�'�FS 10NP�'�a 8.5' 0 NO ALTERATION OF THIS DOCUMENT EXCEPT BY A c LICENSED PROFESSIONAL IS ILLEGAL 00v 4' 0 PAPER SIZE:11"x 17"(ANSI B) N ■ SPLICE BAR 831_511 DATE:09/20/2021 PENETRATIONS 46 DESIGN BY: M © - CHECKED BY: SG LL UFO 44 REVISIONS: 1 r 40MM SLEEVE 20 5._9.. 09.27.2021 AM END CAPS 20 CONSUMPTION CRITTER GUARD 155' MOUNTING PLAN L— 1 !q. SOF LG N O'N'2 Black LG370N1 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. ' ,F q 01- C UL Us fT ; I25- ) Madein h YEAR ®USAF dtt F bnyvrudF ,c Features Enhanced Performance Warranty "" 25 Year Limited Product Warranty 25yn: g 'i5 LG NeON®2 Black has an enhanced { ; The NeON°2 Black is covered by a 25-year performance warranty.After 25 ears, — limited product warranty.In addition u to$450 P Y Y P tY P 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. r Solid Performance on Hot Days �'+"--�"� Roof Aesthetics .. LG NeON®2 Black performs well on hot !�� LG NeON®2 Black has been designed with days due to its low temperature coefficient. M _ _J 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 LG Electronics is a global leader in electronic products in the dean energy markets by offering solar PV panels and energy storage systems.The company first embarked on a solar energy source research program in 1985,supported by LG Group's vast experience in the semi-conductor,LCD,chemistry and materials industries.In 2010,LG Solar successfully released its first MonoX'series to the market,which is now available in 32 countries.The NeONo(previous MonoXe NeON),NeONe2,NeONe2 BiFacial won the"Intersolar AWARD"in 2013,2015 and 2016,which demonstrates LG's leadership and innovation in the solar industry. Life,s Good t * r LG NeON'2 Black ®SSA- LG370N1 K-A6 General Data Electrical Properties(STC*) Cell Properties(Material type) Monocrystalline/N-type Model LG370NlK-A6 Cell Maker LG Maximum Power(Pmax) [W] 370 Cell Configuration 60 Cells(6 x 10) MPP Vohge(Vmpp) [V] 35.5 NumberofBusbars 12EA MPP Current(Impp) [A] 10.43 Module Dimensions(L x W x H) 1,740mm x 1,042mm x 40 mm Open Circuit Voltage(Voct5%) M 41.9 Weight 18.6 kg Short Circuit Current(Isc t 5%) [A] 10.96 Glass(Material) Tempered Glass with AR coating Module Efficiency [%] 1 20.4 Backsheet(Color) Black PowerTolerance [%] 1 0-+3 Frame;(MateriaQ Anodized Aluminium *STC(Standard Test Condition):Irradiance 1000 W/m',cell temperature 25°C,AM 1.5 MeasurementTolerence of Pmax t 3% Junction Box(Protection Degree) IF 68 with 3 Bypass Diodes Cables(Length) 1,100mm x 2EA Connector(Type/Maker) MC4/MC Operating Conditions Operating Temperature [°C] -40-+85 Certifications and Warranty MaximumsystennVoltage [V] 1,000(UUIEC) _ IEC 61215-1/-1-1/2:2016,IEC 61730-1/2:2016, Maximum Series Fuse Rating [A] 20 UL 61730-1:2017,UL 61730-2:2017 Mechanialliest Lead*(Front) [Pa/psf] 5,400 Certifications' ISO 9001,ISO 14001,ISO 50001 Mechanicalliest Load*(Rear) [Pa/psf] 4,000 OHSAS 18001 *Based on IEC 61215.2:2016(Test Load-Design Load x Safety Factor(1.5)) Salt Mist Corrosion Test IEC 61701:2012 Severity 6 Mechanical Test Loads 6,000Pa/5,40OPa based on IEC 61215:2005 Ammonia Corrosion Test IEC 62716:2013 Module Fire Performance Type 2(UL 61730) Packaging Configuration Fire Rating Class C(UL 790,ULC/ORD C 1703) Number of Modules per Pallet [EA) 25 Solar Module Product Warranty 25 Year Umited Number of Modules per 40'Container [EA] 650 Solar Module OutputWanwq UnearWarranty* Number of Modules per53'Container [EA] 850 *Improved 11 year 98.5%,from 2-24th year.-0.33%/year dawn,90.6%at year 25 - Packaging Box Dimensions(L x W x H) [mm] 1,790 x 1,120 x 1,213 Temperature Characteristics Packaging Box Dimensions(Lx W x H) [in] 70.5 x 44.1 x 47.8 Padmging Box Gross Weight [kg] 500 NMOT* [°C] 42 t 3 Packaging Box Gross Weight (Ib] 1,102 Pmax [%I°C] -0.35 Voc [%/,C] -0.26 Isc [%/°C] 0.03 Dimensions(mm/inch) *NMOT(Nominal Module Operating Temperatum):Irrediance 800 W/m',Ambient temperature 20°C, Wind speed 1 m/s,Spectrum AM 15 10420/41.0(Sim of Sh=Side) Electrical Properties(NMOT) 10020/39.4(0rstanrp behveen Grouranga Mounting Hiles) Model LG370N1K-A6 40.0/157 175.0/6.9 MaximumPower(Pmax) [W] 277 _ 16-&0x30/03x0.1 MPPVolcage(VmpP) M 333 Hles 'MPP current(linpp) [A) 832 ��g (-) (})mncnon eox ,Open.Circuit Voltage(Voc) [V] 39.4 e-8.59120/alxa5 Short Circuit CurrentQsc) [A] 8.81 MWrNvHoles $ x IN Curves 1100/43.3 Cable Length 12.0 1000W 'S 10.0 800W . B 8.0 y 60OW u 6.0 g g 400W u 4.0 20OW 2.0 0.0 1 a 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 0 vohage M LG Electronics USA,Inc. Product specifications are subject to change without;notice. ® �� 201a0Business Division 0202211 K-A6J{US.pdf 2000 Millbrook Drive 020221 Uncolnshire,IL 60069 Life's Good www.ig-solarcom O 2021 LG Electronics USA,Inc.All rights reserved. Data Sheet Enphase Microinverters Region:AMERICAS The high-powered smart grid-ready Enphase Enphase IQ 7 Micro"" and Enphase IQ 7+ Micro"" 7 and Q Q 7+ dramatically simplify the installation process while achieving the highest system efficiency. Nuchverters 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"" 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 If double-insulated enclosure • UL listed NPHASE 0 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. To learn more about Enphase offerings,visit enphase.com �N PHA5 E° Enphase IQ 7 and IQ 7+ Microinverters INPUT DATA(DC) IQ7-60-2-US/IQ7-60-B-US IQ7PLUS-72-2-US/I07PLUS-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 16V-48V 16V-60V Min/Max start voltage 22V/48V 22 V/60 V Max DC short circuit current(module Isc) 15 A 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/ 208 V/ 211-264 V 183-229 V 211-264 V 183-229 V Maximum continuous output current 1.0 A(240 V) 1.15 A(208 V) 1.21 A(240 V) 1.39 A(208 V) Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz AC short circuit fault current over 3 cycles 5.8 Arms 5.8 Arms Maximum units per 20 A(L-L)branch circuit3 16(240 VAC) 13(208 VAC) 13(240 VAC) 11 (208 VAC) Overvoltage class AC port III III AC port backfeed current 0 A 0 A Power factor setting 1.0 1.0 Power factor(adjustable) 0.7 leading...0.7 lagging 0.7 leading...0.7 lagging EFFICIENCY @240 V @208 V @240 V @208 V Peak CEC efficiency 97.6% 97.6% 97.5% 97.3% CEC weighted efficiency _ 97.0% 97.0% 97.0% 97.0% MECHANICAL DATA Ambient temperature range -40°C to+65°C Relative humidity range 4%to 100%(condensing) Connector type(IQ7-60-2-US&IQ7PLUS-72-2-US) MC4(or Amphenol H4 UTX with additional Q-DCC-5 adapter) Connectortype(IQ7-60-8-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 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions. 1.No enforced DC/AC ratio.See the compatibility calculator at https:Henphase.com/en-us/support/module-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 -,A EN PHAS E. @ 2018 Enphase Energy.All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. 2018-05-24 . fid I RON RI DGE Roof Mount System f - 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. 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 It 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 Q T Bolt Grounding Lugs (j) Accessories --1 - - _J -Al ca y ` 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 4 NABCEP Certified Training --= j Go from rough layout to fully v 7 Earn free continuing education credits, engineered system. For free. d while learning more about our systems. ✓ I Go to IronRidge.com/rrn Go to IronRidge.com/training .6i Ll•N'J�e'" i e'-�Ull9]Li1A1 J °�LC�1�,RA9.:b1M.7l�iAih.t2��°�°�4LLLI 10 1 • R 9A'.17�15�.°�c UA11,"�1.fAAL•LLl1F A:1Jt73°FY!iJkil� ����