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HomeMy WebLinkAbout47315-Z OSOFF041' Town of Southold roti pGy 3/23/2022 P.O.Box 1179 0 53095 Main Rd Wo��jo! ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42941 Date: 3/23/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 2855 Boisseau Ave., Southold SCTM#: 473889 Sec/Block/Lot: 55.-5-12.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/10/202.1 pursuant to which Building Permit No. 47315 dated 1/10/2022 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 accessory barn as applied for. The certificate is issued to Norcross,Kenneth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47315 2/23/2022 PLUMBERS CERTIFICATION DATED Authorized Signature BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE rn SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 47315 Date: 1/10/2022 Permission is hereby granted to: Norcross, Kenneth 2855 Boisseau Ave Southold, NY 11971 To: install roof-mounted solar panels on existing accessory barn as applied for. At premises located at: 2855 Boisseau Ave., Southold SCTM # 473889 Sec/Block/Lot# 55.-5-12.1 Pursuant to application dated 12/10/2021 and approved by the Building Inspector. To expire on 7/12/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $200.00 Building Inspector oF SO!/r�,Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 w �Q Sean.devi in Cci_)town.south old.ny.us Southold,NY 11971-0959 QIyC®UIY BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Kenneth Norcross Address: 2855 Boisseau Ave city:Southold st: NY zip: 11971 Building Permit#: 47315 Section: 55 Block: 5 Lot: 12.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Greenl-ogicLLC License No: 43858ME 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 X INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 50A 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: 4.92kW Roof Mounted PV Solar Energy System w/ (12) SunPower SPR-A410-G-AC, Combiner Panel 220x2 215x1, Sub has Backfed 50A Strapped Breaker Notes: Solar Inspector Signature: �� Date: February 23, 2022 S.Devlin-Cert Electrical Compliance Form oF sours h0� 06 # # TOWN OF-SOUTHOLD BUILDING DEPT. 765-1.802 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)--' ll. ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 9 cz C-r f t, c DATE 1 � " INSPECTOR SOUIyO� �� � TOWN OF SOUTHOLD BUILD NG DEPT. 7654802 IN-SPECTION [ ] 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 VIOLATIONS -] PRE C/O REMARKS: ctnc--- -F M DATE Z INSPECTOR 41-5L�� �aOF SOUTy� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] - FOUNDATION 1ST [ ] ROUGH PLBG. a [ ] ,FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING ivo(FINAL [ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]"ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 77 ItZ-1 -7 INSPECTOR , . . ..:.i .: COIVIMENS, • FIELD.-INS PE,C 'IO RSP 1T DATA ". ., . . FOUNDATION;(1ST) H . 5 iws ! . . �, FOUNDATION(2ND) . . . . . v l� I., . k . i . „ .. t�.. . , ,. 4 i st ' .:,'.ta 1. � O -94I,\, j F .. „' ' i 1:1- . . {{ . ; t .... CA1?1 .Y 1 F .l{ i J S • )-.3 V ROUGH ? ING.&, . r °r '. , •r .� � , !� � Unv:G k ..:. t { 1 k. ...o.— ' .F'- \ • . . INSULATIQN PORN `'. I. H. STATE 61� CObE E 4 i . . .. LL. x� . + , t # w ! �k . . r c•tL q 1 r,. r, a . . . .. / j_. 7>,^ } y ,?�bC?1YtL G Nfis .. Q a . G f 1 �11- 5 .. "� m - �.. 4 . Z• 1 . .. . . .. , . ..•.: :�•. •. ...:.: . . . ',-.� M ♦ . ' f C l j{II .,1 V. 1 y _t. .. {' y r' / . ry {I , , �- s e t �' ..'.:. . . . R ;C. y s h , ! fif �, ',� b H. % 3"! y, aft ' ' 1 t, ' �. f F } TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 ¢sol Sao Telephone (631) 765-1802 Fax (631) 765-9502 https://v ww.southol.dtownny.Rov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only C E v�n E PERMIT NO. Building Inspector: IDU _ DEC 1 0 2021 Applications and forms must be-filled out m their entirety Incomplete applications will not be accepted Where the Applicant fs not the owner,an BUILDING DEPT. TOWN OF SOUTHOLD Owner's Authorization form,(Page 2)shall be completed � Date:11/4/2021 6 - ti- 01 NER(S)OFPROPERTY Name:Kenneth Norcross scTM#1000-55-5-12.1 Project Address:2855 Boisseau Avenue, Southold,_NY Phone#:917-375-0879__._.. _.__.____w_ ______.. .__ ..W_w.._____ Email:ken norcross@gmailTcom Mailing Address:2855 Boisseau Avenue, Southold, NY CONTACT PERSON g . =t Name:Barbara - GreenLogic4LLC W° Mailing Address:97 NorthSeaRoad Southampton NY 11968 Phone#:631-771--5152 x117Email:BarbaraOGreenlogiµc.com =DESIGN PROFESSIONAL INFORMATION „ Name:James J. Stout & Architect & Associates Mailing Address 2,Greg„Lane, EastNorthport, NY 11731 Phone#•631-858-9388stouthub@jamesstoutarch com .. . CONT"CTOR_INFORMATION ,, .3 a Name:GreenLogic LLC_. ._... v..,._.__._-.. ..__....._.._... Mailing Address:97 North Sea Road Southampton NY 11968 .,,, _,_ Phone#:631-771-5152Email:Barbara@Greenlogic.com � DESCRIPTION OF PROPOSED CCT ONSTRUION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: R Other Solar Panels $19,000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTYWINFORNIATION , Existing use of property:Sin le famil dwellin Intended use of property:Single family dwellinci 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. Check Box After Reading: The ownerJcontractorJd%sign professional-Is responsible for all drainage andstorm water issues as provided by Chapter 2,36 of the Town Code..APPUCATION is HEREBY MADE,to the Building Department for the issuance of a,Building Permit pur'suan to the Building Zone: York and other applicable Laws,0'rdin.ances or Regulations;for the,construction oFbuildings, Ordinance of the Town of Southold,Suffolk,`Cou4tyrNew additions,.aIterations or for rem oval 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"ori premises and in buildings)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210 45 of the'New York State.Penal Law. Application Submitted By(print name):GreenLogic LLC ElAuthoriize�Id Agent ❑Owner Signature of Applicant: Date: /02~0 l 02,I STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Nesim Albukrek 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 Nday ofUM6, far ,20 1A 0 ' Notary Public BARBARA A CASCIOTTA Notary Public-State of New York PROPERTY OWNER AUTHORIZATION No. 01-CA4894969 (Where the applicant is not the owner) Qualified in Suffolk County Commission Expires May 11, 2023 I, ���� L 1�1OFl", S residing at Z05i�_ &)Is_�em, 40-&AW? . Sptic�ll'� I� I I�Q7 do hereby authorize GreenLogic LLC to apply on my behalf to the Town of Southold Building Department for approval as described herein. I///q Owner's Signature Date 1A 16& ass Print Owner's Name 2 c,UFF01 �c 1 �`�O�- 1B )ING DEPARTMENT—Electrical Inspector TOWN OF SOUTHOLD r' e���oFso � Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr ,southoldtownny..qov — seand(a)-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 12/9/2021 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 R9krequest an email copy of Certificate of Compliance Address.: . 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (All Information Required) Name: Kenneth Norcross Address: 2855 Boisseau Avenue, Southold, NY 11971 Cross Street: Phone No.: 917-375-0879 Bldg.Permit#: L.! �I �j email: ken.norcross@gmail.com Tax Map District: 1000 Section: 55 Block: 5 Lot: 12.1 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system on detached garage(12) SunPower SPR-A410-G-AC panels Ft (12) Enphase IQ7XS-96-ACM-US inverters (1) SunPower PVS6 monitor System Size: 4.920kW Check All That Apply: Is job ready for inspection?: ❑YES 0 NO ❑Rough In OFinal Do you need a Temp Certificate?: DYES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph . Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground [:]Overhead # Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.x1sx �� Qt. .S` ��%��� it�� �, •.� --. J/ ya � - f S.C.T.M. NO. DISTRICT: 1000 SECTION: 55 BLOCK: 5 LOT(S): 12.1 AlIDDLE ROAD X LAND N/F OF DONALD & LORNA TUTHILLR'1y U.P. w N8101 6'50"E 278.95' `^ MON. Q WOODPRAIL FENCE 0 a b w o w o w J O - W vQi z C� Cb a w O N : o 2 STY. � = BARN w v M.H. ............... .......... . .......... . Zz 32.2' (rte \ ON DECK ,6.8 nGRADE 130:.... 6.q,.:.::............ I 9.4':: :.: .:D ST41,Y FR>tif:.:..:: 5' N:... .. i/2755G io cl�tlV 28 4':............ V RAGE n p ::........::::: \. `\ �� 6 ........ O w q UP o ::::: to 5'' :.... ::::: ::: : o .�-�. . :� . '- :::::::::1 d N GRAVEL.ORIVEWRY 24.2, : �.. FENCE 0.3'E p 38" MAPLE 0.4'N 4' CHAINLINK 0.5'N 4' WIRE FENCE 0.5'N —� MON. STOCKADE FENCE FENCE MON. S61_16'50"W 247.81 2.z,W THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL 0.5N LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. LAND N/F OF JOHN & TERESA QUINN AREA: 40,001 S.F. OR 0.92 -ACRES ELEVATION DATUM: ---------7--------------- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK .STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED. TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: KENNETH NORCROSS; MAP OF: WELLS FARGO BANK, N.A.; FILED: FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC; SITUATED AT: SOUTHOLD TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 PHONE (631)298-1588 FAX (631) 298-1588 FILE �} 15-88 SCALE: "=30' DATE:JUNE 10, 2015 N.Y.S. USC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk A111116 I Ct GREENLOGIC° ENERGY December 9, 2021 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Projectlnfo: Kenneth Norcross 2855 Boilleau Avenue Southold, NY 1000-55-5-12.1 Dear Building Inspector: Please find attached a building permit application to install a roof mounted solar photovoltaic(PV) electric system for the above referenced property. In connection with this application, please find attached: • Building Permit application with owner authorization • Application for Electrical Inspection • 2 Surveys of the Premises • 4 Engineer's Reports • 2 Three Line Electrical Drawings • 2 Spec. sheets of the solar panels • 2 Spec. sheets for Racking System • 2 Spec. sheets for Monitoring System • GreenLogic Suffolk County Home Improvement License • GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License • Check for$200($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, Barbara Casciotta Account Manager r GREENLgi6 &e+efl1*rogWMom Tel: 631.771.5152 Fax: 631.771.5156 ext. SOUTHA ROSLYN HEIGHTS 97 North Sea Rd.,Suite 3 200 S. Service Rd.,#106 Southampton, NY 11968 Rosyln Heights, NY 11577 ,4co CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) v" 01/29/2021 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONrNA acr Nicholas Zulkofske Brookhaven Agency,Inc. PHONE 631 941-4113 Fax 631 941-4405 100 Oakland Ave,Ste 1 ArDRLEsse Certificates@ brookhavena enc .com Port Jefferson,NY 11777 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine&General Insurance Co. INSURED INSURER 0. Merchants Preferred Insurance Co. GreenLogic,LLC INSURER c: First Rehab Life Insurance Co. 97 North Sea Rd,Suite 3 INSURER D: National Liability&Fire Insurance Co. Southampton NY 11968 INSURER E: AGCS Marine Insurance Co. 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. INSR TYPE OF INSURANCE AODL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRX COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 TO A CLAIMS-MADE FX I OCCUR DAMAGE PREMISES (RENTED $100,000 X Contractual Liability X X GL202100012922 01/31/2021 01131/2022 MED EXP(Any oneperson) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY®JEST LOC PRODUCTS-COMP/OP AGG s2,000,000 OTHER: E&O Liability $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 ()00,0(10 B X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSONLY AUTOS X X CAP1043565 08111/2020 08/11/2021 BODILY INJURY(Per accident) $ �( HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY -(Per arxirlent) $ UMBRELLA LIM HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION $ WORKERS COMPENSATION I PER I OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A see seperate certificate (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C NYS Disability 0251202 04M1120 04/11/21 Statutory Limits E Installation Floater/Property SML93076366 4115/20 4115/21 $300,000 $2,500 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is also named as Additional Insured. 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 BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ> @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD YORK �kel's' CERTIFICATE OF STATE =nsatlon NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of insured(use street address only) 1b.Business Telephone Number of Insured Greenlogic LLC 631-771-S152 97 North Sea Rd.,Suite 3 1 c.NYS Unemployment Insurance Employer Registration Number of South Hampton,NY 11968 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 Poricy) Number 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) United Wisconsin Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" Building Department 53095 Route 25 WG589-00169-021-SZ Southold,NY 11971 3c.Policy effective period 12/01/2021 to 12/01/2022 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 Lava.(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 7'. The insurance carrier must notify the above certificate holder and the Workers'Compensation Hoard 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 referencedpolicy. 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: Alicia Christiansen (Print name of authorized representative or licensed agent of insurance carrier) Approved by: (Signature) (Date) Title:Director of Sales Operations Telephone Number of authorized representative or licensed agent of insurance carrier. 941-306-3077 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. C405.2 (9-17) www.wcb.ny.gov El workers' CERTIFICATE OF INSURANCE COVERAGE sia Compensatton 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 la.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured GREENLOGIC,LLC 631-941-4113 97 NORTH SEA ROAD,SUITE 3 SOUTHAMPTON,NY 11968 1c.Federal Employer Identification Number of Insured Work Location of Insured(Onty►equired II coverage is specifically limited to or Social Security Number certain locations in New York state,le.,Wrap-up Policy) 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"16" Southold, NY 11971 DBL251202 3c.Policy effective period 04/11/2020 to 04/10/2022 4. Policy provides the following benefits: © 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 employees 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 described aove. Y Date Signed 4/7/2021 B wid 9 (Signature of insurance carrier's authorized representative or NYS Ucensed Insurance Agent of that Insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer 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 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 Issuethis form. DB-120.11 (10.17) �I�IIPDuufl12�0 m1 1����(�1 0 �O�17) ���I� -T/ .77v� 'X, `Z- -4 S. W 4. .V-v CN C }n Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEW YORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY . Home Improvement Contractor License �N . This is to certifv that MARC A CLEJAN doing business as GREEN LOGIC LLC having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk,State of NewYork is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk. Additional Businesses NOT VAL11D WITHOUT DIEPARTMENTAL SEAL �'k AND A CURRENT CONSUI�Mk AFFAIRS ID CARD -YR Vk- Director f , ., ...,,, •�k ,..•.. 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(u:., i"+- ..:..,. tvY•.5�. - - ..'�..�p�\.r�:.:,. ..:?a �t, 1:"�.�� � '��-.:�: i'wq `i �� �"" b4 , '...1�... �.�u4 b ��.:'vf�T+ `sfi J � '��yr4. � ;.. � �,�a� ..�j,:���•- �� _ .��� � � '<�' i " �- 1•'.�" J / .fit \F/� tik.^,` Y%/ `�'r--`:Eye ..- � �•�,:;•'� �--=��` 9 J A M E S J. S TOUT A R C H I T E C T & Assoc . 2 G REG LANE E AST NORTHPORTN. Y. 631 - 8 58 9388 COMPLY WITH ALL CODES OF Letter ofCertificafion NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF November 29,2021 SOt9�8b�`id �IF�-�gARD Norcross Residence UT 2855 Boisseau Ave STEES Southold NY 11971 �. To Whom it may concern: I, James J. Stout,registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above- mentioned address and have determined the structure and the panel attachment to be adequate to support the new additional load imposed by the proposed solar panel system and complies with the 140-mph wind design load as per 2020 Residential code of NYS (RCNYS), 2020 building code of NYS(BCNYS)residential code,2020 Energy conservation construction code of NYS(ECCCNYS),the Long Island Unified Solar Permit Initiative(LIUSPI)and the 2017 National Electric Code NFPA 70/2017 National Electric Code, and the ASCE 7-16. The existing 2"x 6°@ 24"o.c rafters will provide adequate supOCCUPANCY OR Thank you for your understanding in this matter. USE, IS UNLAWFUL WITHOUT CERTIMAT. James J.Stout OF OCCUPANCY Architect APPROVED AS NO ED DATE: B.P.# FEE: BY: QED qac NOTIFY BUILDING DEPARTMENT AT � 765-1802 8 AM TO 4 PM FOR THE S T F� FOLLOWING INSPECTIONS: �Q 1. FOUNDATION - TWO REQUIRED c � FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 21.633 y0 4. FINAL - CONSTRUCTION MUST F F'NES BE COMPLETE FOR C.O. I,r' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR ELECTRICAL DESIGN OR CONSTRUCTION ERRORS. SPEC 1100 REWRIED i ' AAM,a LOGICaV `l GreenLogfc,LLC Approved Norcross,Kevin 2855 Boisseau Avenue Southold,NY 11971 Surface#A: i Total System Size:4.920kW 1 circuit of 6 on a 20A breaker 1 circuit of 6 on a 20A breaker Azimuth:163° PRch:32° N Monitoring.System: SunPower Pand/Anny Spec i ons: Panel:SPR-A410-GAC Racking:SunPower Invisimount Panel:72.2"X 40.0" Array:36'5"X 6'8 3/4" Surface:41'X 16'r' Ma is#:Invisimount Legend: 12 SunPower 410W Panels �— SunPower Invismount Rail • 30 Quick Mount 5 Lag 8 2x6"Douglas Fir Rafter 24"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Quick Mount,SunPower Added Roof load of PV System:2.54psf Engineer/Architect Seal: f_D ARC 5� J. eST, rc`, F d"^ 021633 y�Q TF OF NES Drawn By:MA Drawing#1 of 5 Date:11124/20,'g REV:A Drawing Scale:3/16'=1.0' wF. LOGIC` creencog(c,LLC Approved Norcross,Kevin 2855 Boisseau Avenue Southold,NY 11971 Surface#A: Total System Size:4.920kW 1 circuit of 6 on a 20A breaker 1 circuit of 6 on a 20A breaker Azimuth:163° Pitch:32° Monitoring System: SunPower 0 PanellArray Specifications: Panel:SPR-A41 D-GAC Racking:SunPower Invisimount Panel:72.2"X 40.0" ° Array:36'5"X 6'8 314" Surface:41'X 16'T' Magic*Invisirmunt Legend: 12 SunPower41OW Panels �— SunPower Invisinount Rail • 30 Quids Mount E Lag B U 2x6"Douglas Fir Rafter 24"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Quids Mount,SunPower Added Roof load of PV System:2.54psf En neerlArchitectSeal: aF-o ARC'y, CP02161 pQ' A,)., OF IN y Drawn By:MA Drawing#2 of 5 Date:11/2412021 1 REV:A Drawing Scale:3!16"=1.0' � . M -LOGIC' C, cogfa,ccs Approved Norcross,Kevin 2855 Boisseau Avenue i Southold,NY 11971 Surface#A: Total System Size:4.920WV 1 circuit of 6 on a 20A breaker i 1 circuit of 6 on a 20A breaker i Azimuth:163" Pitch:32° Monitoring System: SunPower Pand/Arrav Specifications: 1 Panel:SPR A410-GAC Racking:SunPower Invisimount Panel:72.2"X 40.0" Array:36'6"X 6'8 3/4" Surface:41'X 16'r' 2 Maaic#:Invis[mount Legend: 12 SunPower 410W Panel —� SunPower Invisimount Rad • 30 Quids Mount E Lag B I 24"Douglas Fir Rafter 24"O.C. Notes: Number of Roof Layers:l Height above Roof Surface:4" Materials Used:Quids Mount,SunPower Added Roof load of PV System:2.54psf Engineer/Architect Seal: F_0 AIRC'gi C ��5 it Drawn By:MADrawing#3 of 5 Date:11/24/2021 REV:A Drawing Scale:3/16!'=1.0' No Vent Pipes Will Be Covered By The Solar Array LOGIC vo'4 Legend: GreenLagfc,LLC Approved Norcross,Kevin AR-Access Roof AP-Access pathway,36"minimum width SVO—Setback at ridge 2855 Bolsseau Avenue per R202 definitions per R324.6.1 as per R324.6.2.1 Southold,NY 11971 Total System Size:4.920kW 1 circuit of 6 on a 20A breaker 1 circuit of 6 on a 20A breaker Azimuth:163* Monitoring System: SunPower Panel/Army Spectficadom: Detached Panel:SPR-A410.G-AC Garage Racking:SunPower Invisimount Panel:72.2"X 40.0" Surface:41'X 33!Z' Magic#:Invisimount Legend: 12 SunPower 410W Panels SunPower Invisimount Rai 0 30 Quick Mount E Lag j 2x6-Douglas Fir Rafter 24-O.C. Main House Notes: Number of Roof Layers:1 Height above Roof Surface:4!' Materials Used:Quick Mount SunPower Added Roof load of PV System:2.50sf Engineer/Architect Seal: 12 SunPower i� F_D AR Fic 41OW Panels c 'S 04 Meter 02163 lF F N Drawn By:MA I Drawing#4 of 5 Date;11124/2021 1 REV:A. Drawing Scale:1116'=1.0' "=LOGIC CkeenLogic,LLC approved Norcross,Kevin 2855 Boisseau Avenue JOB MATERIAL LIST Southold,NY 11971 Total System Size:4.920WV 1 circuit of 6 on a 20A breaker 1 circuit of 6 on a 20A breaker Azimuth:163° Material fist QW. Rail Material Listtv. Monitoring System: SunPower PanellArray S cificatlons: Cast Aluminum Mounting Block wJBlack Aluminum Flashing 30 Panel:SPR-A410-G-AC Racking:SunPower Invisimount 5/16"x7/8"EPDM Sealing Plug 30 Panel:72.2"x 40.9" Surface:41'X 33'2" 5/16"x5.5"Hex-Head lag Screw 30 Magic#:Invisimount 5/16"x1.25"FenderWasher 30Legend: ® 12 SunPower 41OW Panels SunPower Invisimount Rail • 30 Quids Mount E Lag 2x6"Douglas Fir Rafter ZV O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Quids Mount,SunPower Added Roof load of PV System:2.54psf Engineer/Architect Seal: raED ARC S 1- 011633 9r¢OF N��-1 Drawn By:MA Drawing#5 of 5 Date:11/24/2021 1 REV:A Drawing Scale:1/16"=1.0' .< a g\ y: r. - - mi::i Nz 1 IN ® m M Simple and Past Installation 1 I Integrated module.o-rail grounding i Pre-assembled mid and end damps Levitating mid clamp for eaTy plsacerne..nt I Mid clamp v cth f acilltace_s consistent.even moue,pacing Simple,pre-C.11.illed rail slice UL 2703 Listed integrated grounding Flexible Design • Addresses nearly all slooe:.=residential roofs ,�- Design in landscape and porir ai. ` Rails enable easy obstacle Managerrent Customer-Preferred Aesthetics module and#1 rnount:ng aesthetics Best-in-class system.aesthetics Elegant Simplicity Premium,low-prof.-He design Rack anodized components SunPonrer' lnvisi[VIOUntTl�' is a SunPower-designed Hidden mid clamps and end cramps rail-based mounting system. The InvisiMount system . and cappe ,ill:;l gals addresses residential sloped roofs and combines faster Part of Superior System installation time, design flexibility, and superior aesthetics. Built for use with SunPower DC and AC modules The InvisiMount product was specifically envisioned and Lies, in-c=ars syste ,reliability and aesthetics Combine slnPo`•ler modules and engineered to pair with SunPower rTiodUles. The resulting monitoring app systern-level approach will arnplify the aesthetic and installation benefits for both homeowners and installers. <7_ sunpower.com Q 'r _:� > ' � �✓`,J/nye` a�'1'� '� /P"s qs a YhG" .s- Fy S � ;•w'.....1.! /� , aa,e.„s`.., ,w r... :, .>",,. ',,.,. �h "� g��c3g'ap y� r " IN $ i I .I I Module'*li Mid Clamp and Pail PAoci le*I End Clamp and Rail a Lv r. 9 3p �:R`e- d 3l3°3's< ago Mid Clamp nd C lal Rail&Rail Splice Ground Lug Assembly End Cap �I „ 3 t �� e 'A5 q O o a o tea.. -. . • . = t Off T mperatu t 40 C to 90 r(--40'<F to 1 F) Component Material I i weigh: l— -- - ... ——--- - . - _ --- - - ---- --- ........------------- Max.Load(EKED) 30U0 Pa uplift Mid Clamp Black oxide rainless steel AISI 304 163 g(2.2 oz) l 6000 Pa dev;;;fort:e — -- — — End Clamp Black anodized alurnlnurn alloy;6063-T6 110 g C3.88 oz) Rail Black anodized aluminum alloy;6005•T6.i 330 g/m C•9 oz/ft) ° Rail Splice Aluminum alloy 600S-TS 330 g/rn(9 oz/ft) 25-year product warranty Ground Luh; 304 stainless warranties Assembl f r f:i p g 10(:.5 g/n=.; 75 oz) � 5-fear finish waril A2-70 bolt;tint-,ated_oa er iu ) ........_.........._.........— — —--- — --...------'— — - .......... End Cap Black acetal(PQM)copolymer 110.4 g(0.37 oz) UL 2703 Listed "M Certifications RK Class A Fire Rated I • Comln5tinn 5n!ngla RafterArtachmer;; i � Composition Shingle Roof Detking Attachment Application Curved and FIntTile RoofAtrachinenr I Universal Interface for Other,Roof Attachments l Refer to roof attachment hardware manufacturers documentation. I i i °1od;jle frame that is compar_ble with the InvlsiMoUnt Sy.'gVT!regUiVPd for hardware Inte-ropera lllCy'. ,..)201 5 S!snPower col potation. All Rights Reserved.St.tN?()Y.':=R the SUNPOWiER logo,and iNVISIN.OU�IT are trademarks or registered trademarks of%r:Power Corporation. Ali other trademarks are the property of their respective cv.111T, sunpovvet.orni Specifications included in this clata;hect:are subject to change without notice. Document 4509506 RevC I ® P r & m e , 7, M, 14 .......... Improve Su���ort, ` Red•uce,Mairiteriance Costs SunPower EnergyLink—Plug-and-Play Installation tit ir,ult;ve:monitoring websi.e enables you to: . This complete solution for residential and commercial rnonitorinIg and d"vi sle I rnup of Cl siL C 1CC StLes Contr'01 includes the SurlPc;wer"PV St,JerVisc;r. G(PVSS)which improves f�erYir rely rr.arrage hundred of s'tes - die instaliaricn process,aver�lll system:reliability,and customer :`e eive`elective system reports experience. Locate sy effl Issies and.reTloteley(4;inose Corrlpact`aotprir"t for tmw�rG`.'eC.aesthetics F iagnose iss Ivs or rine Robust Cial.!d CcnnectfVf y and compre'`ensive local Connectivity 'Drill.dow for,the S aLUS of Ind,vidu I device.." Flexible configuration of devices during Installation �•.»i . M Consumption metering Revenue-grade production metering(pending) Web-based commissioning V * fr. Remote diagnostics of RVSE and inverters a Durable UL Type 3R enclosure reduces maintenance costs Easy integration with SunPo4rer eBOS Add Value for Customers Robust Cloud Connectivit J �w 11p , e SunPoer M nitorifrg System y iN "� N IvIlultl:leo:at:orn to m:jint ain o:Urnal cus+&ners can f 6 I h Seev�1hat't{ter solar Sfste,n�rCCi1JCP_s ec c l ,& a cC r1ne..Ct'rl1:y: 4 #��U edernetlay Mont{ 01 Hai � f Opti nine their solai u.testTne'r utld S3✓�'--oil t1Vl f 1 energy expenses II� ti Cellula.r backup '.T.See,tlirelr e nerg;V,use a rid e s rriac ed l Ile s a v ris. See their,solar SVE'Le ns fie ornlarfcc using the StinPo rarer rmanicorir g ti,,46 site sir rvriobile:app` • jt � l 1' r r a re , VA - ` �i�ea� SunPower Monitoring Websites PVS6 SunPower AC Modules r,V Multiple communication options include P. Ethernet,Wi-Fi,and cellular. y g a m », a 'h {i Ix"I'' E a ti gb R Number of SunPower AC modules 35 Terrrperatu=e -22°F to+140°F HVC to+6010; A supported per Pvlf> Humidity(maximum) 095%,nor;-condensing High-speed Internet access v a accessible Interna.access router or switch 100-240 VAC(L-N),50 or 60 I-lz Power • 208 VAC(L-L in 3-phase').60 HZ RS-435 Inverters and meters ® one channel of revenue-prade production metering F ra v i.. o u r br'0 chanriels O'cons rnpticn metering �� 1��.��.....a .. ,...>� ..........:... _ mss.... .??. a"�.�x. .A a.. -:.23...._.x... .............. _._..._._..................._..---------"--'--........_..........-...................-_.....................--...._...... _ Weight 5.5 los(2.5 Vg) Rhernet 1 L 4(nr optional'NAN)port Dimensions 19.3 x 3,0 x 4.2 in.(30.5 x 20.5 x 10.3 cm) Pi_C PLC for SunPower AC?nodules Enclosure rating UL50E Type.3P, t VVI F! 842.11 Ligln 2.4 GHz and 5 GHZ Cellular LTE Cat:M113G UMTS -— 3s sk x kv #• v9A ll�?eP: I=::t':.i:8()2.35,4 MRC,2.4(.3Hz.ISM NInd Data Storage 50 days Custorner site IT, itor: s_ t ripgver cqrr3 _.._._..-�-- ---.-...... Upgrades Au ornatic fiir,Tivyare upgraraes P rtner site p}gr.gm*.ussunoower.com P;rowsers Firefox,Safari,and Chrome Mobile dc-Mce:> Phone`-,rPadl,and Android' ' CJStQTii£:r app, 1.Create<l Cf3U'T Ol,iine at:monitor.Ll5.StlilH_.,ryei.liJ';'?. u� a +_� R 0a ...,a.._.,.,� .. .... r. _.G. .., .... ....., 2.on a mobile device,download the SunPowcr Monitoring Warranty 10-year Limited Warranty app from Apple App Store'''or Google Play�store. 3.Sign in using account emM and passarord. Certifications UL,WL,CE,UL 61010-1 and-2,FCC Part 15(Class B) / �i C @ us lHIM FCC ID:YAW529027 E503346 e F S U N P 420-390 W Rev e I AC Module SunPowerO MaxeonOTechnology Built specifically for use with the SunPower tquinoxlm sys ern,the only fully iritegrated solution designed,engineered,ed,and war'r'anted byone rnanufacturer. Highest Power Density Available. ILJ SunPower's new fvlaxeonl�"Gen 5 cell is 65%larger than prior generations,delivering the most powerful cell and highest-efficiency module in residential solar.The result is more power per square meter an any commercially ava':lable solar. A' (XMM — 1 F * aE o E an nlarger fundamentally Different Highest Lifetime Energy and Savings. Designed to deliver 60%more energy over 25 years in real world conditions like partial shade and high temperat!res.� SunPower Plaxeon`'Technol& se ------------------------- -------- h 1a: pane:f it tc I n. cm scar z 14��s -______..-•-_-._ Dol very z � Pker ed .,)Od rr eia',tc;F n s,i!;r rare cuts �+ ,` !Up to h l'akrr,�c'n' of=����Ci 1'3 50°!0 133 . � more C � 1Y1 a m4 rq�et� 8 %: energy N �3' l i mak. 15 20 25 {¥[[ Years of operation k $Y Best Reliability. Best Warranty. 1Nitl r,ere t}ran 25 rnillian n�rodulcs deployed arour:.d Factory it rtegr`atedYM crarnverEer(fVilj`° ! the world,SunPower technolcg, is proven to last.That`s f t `est �ctiv-rJ(It rutF i At r)r,iuie r whywe stand behind our module and microinverter r solar with the industr`Is best 25-year Combined Power and r"-% gt,Cr th9� s Product Warranty,including the highest Power Warranty • f n�in�e-eo a?d�a�b �[ed bye o Ei S nPo�ti r oraur o,, rC modules in solar. A-Series:A420 I A415 ( A410 1 A400 0 A390 SunPower"Resider,tiial AC Module +' b- Inverter Model:SPWR-A4(Enphase IQ 7AS) @240 VAC -- -----..-_...._._...__..._._....._....._.._.....- ....._..._......................................................................._ _.._....__...__...._._....--...-...__..._. ..... ...._............ .. .. Peak':A.1tp!a('owt=r X06 Vl•, Pf1ar. C_unhr;ucus Out(.)Ut Po:•ecar - -- 3=9 VA Norn.(L L)Voltage/R,r ge t.rj 240/211-'264 ......._........-....._.`..__........_.....__'...............(.......r............�_.._.........._..,.-...._......-...._........---....._......---...__..._...__._......---..._.._........ ............................. 1:a>:.Ct;n_r; ors Output Cur er'"A'. 1.45 Max.Units per 2C P,((..-(..) ;sect:C'rcuit' -------- --- --.......-.......... --.-...-.-.- CEC`•AI:.it:fed Erficle;',cy 97.0% F!r_.rri.Frr_q rencd 60 1-1z ----------_......._........_......._......__...................................................................._..-.......__..__._...-_.....__....-...._-.._-...-----..._.......-......._.............................................._.......__....-- --.-...---.._..--.._._......_..--...._....__................__................. Extended Flcouency Ran;ge 47-68 Hz _..._..._........-..............._.__.._....---...- --.._..._.._..._..__.._.. ....- ----...__.._....................... •...S of;..:.lrr-'Jit.-a'.:i'C.u,rent Over 3 C.ycl-. 5.8 A rtes cr•.ut ry Class f."art III 1. At.- E<ackfeed Current. 18 mA ..___.......__.....,-_.._._______..__.___.._..._.........._......_......_......... yvver actor}aclJ:..,...:!le" u.7 lead./ 0.1'af. A420-G-AC A415-G'-AC A410-G-AC .4400-G-AC -1390-GAC 25-year Ilmaec Power warrar:ty W ' ......._.........:........._.........._._......................................._....._..._..-_.....-_.....---....---........__......_.._......_.._......__......_........_.._....................... arrant--s " � ;,r 23, 415 4':0 400 390 -5--vearlimitedpreductwarranty yore.Pcwer=(:nota,i. . t• t-...... -- --.-.....-_........................._........_ UL 170; Po+..ger Tol. UL 1741 'IEEE.!S47 Module Efficiencv 22.5 223 23.0 21S 23.9 Cer[iucatiorls 41 e(type 2 fire r3.+d) ....._......._..... .................._.. ---- - o plias e LiL 1 A' P•irdtil and 'emp.Coef.(Po+,ver) -r.a9^6.°c. C m .1-11-621-39.1/IEC 62109-2 shade To I. - Integrated module level me):pvver poirn:t:zckir:g I FCC 5 Class• `art s�B --- ...--..._._...__......................................_...... IC'ES-0003Class B "AN/CSA-C22.2 NO.'107.1-01 CA R:.lie 21(UL 17.1.1 SA)' Operating Temp. -40'F to yl 85'F(-40"C to 85'C) (iilrudes Vc(!.•'ar and Reactive Pcvger Priority) _....__.........._........_..........................._......._........._ Max.An Temp. 122-F(50oC) UL Listed PV Rapid Shutdcvv�n Equipment' I._........ - -......_.._...__......_...._._._.__......._.........._......__......._........._......... ............................................................. 144%ird:187 osf,9000 Pa,917 kg/m2 back I;•1ax.Test Load Snova:187 cvt:CCC Pa,917 k 'm'front Enables installation in ac drdance vrlth: ---....._...... ..__.-.._._ _-.............. NEC 690.6(AC.module) r Wird:62 p sL•'3000 Pa;305 kg/m-bark NEC 690.12 RaJICi Snutde;•vn(inside and outside the ar y) ! Design Load Snow 125 osf:6000 Pa,61'1 kgh-92 fror t _ - g NEC.590.15 AC Connectors,6`90.33(n, (E)(1) ! impact Resistance inch(25 rnrn)diameter hail at 52 mph(2 3 m/S) i •/veen t;sed'•;rit.h InvisiMount racking and InvislMour:. accessories ®< (UL 2703). Solar Cells 6'6 Monoerystailine re':areon Gen 5 Mcjd lin and t 0. Ina tIiYOL' '1 Irl b.MJUrI. UA fire rated ;'tont Class High-transmission tempered glass•.vith j .IJhen tiled with AC module C)Cables and accessories(IDL 6703 and anti-reflective coating l.p..!%iin)E`: Environmental Rating Outdoor rater; Rated for load Freak disconnect Fr'arre Class 1 black anodized(highesiAA.AMating) PID Test Potential-:educed degradation free - - -- - --------------- - --...._.........__......-- - _.............. •e t' ! •): 46.5 lbs(21 A kgl :t, --......._............-................-...----- -----....--...................... ..J Recommended P:nx' 1.3 in.(33 mril) Module Spacing 1 SsnPower 413;*J;22.34 efficient,CcrnparetJ to a Conventional Panel on same-sized k----72.2(9335)' -"' ! y arrays(250 6°+•,16635 efficient,approx.U,m2),7,915 more energy per watt(based or, I PVSyst pan files for ave.USclimate),0.54/y.,slower degrOdadon rate,Jordan,et.a1. "Robust PV Degradation PAet. dology and Aapiicxion;"PVSC 2013;. 2Basedonsa:,r:h:%tfatasheetvaluc:s fromw•,bsltesoi::o};lr ar:;.t Fac:u rersperii.is.asor �y r jL.Ian,° n•'LOt 5. `� '^. CI 3lrankin"F'raunhcterP'vLiurahtiittlnig:;;ve�orSclarModuies;Part i;."PV1'ecF:Power P.lagazine.2015.Campeau,''L.er.al."StinPrtt'erlloduleDegradation Ra[.e;'SunPo.:veryshite p ; L i3?•([Y€M) � _ paper,2012t. o ; ct -,F•.,t�orys,atoi::4la-2014nefauRsettings.CAR:;le2iciefauttsettingspref<lesefdurrng � B commissioning. SStandardTe tConriitIons(1000VJim=irradiance.A.P91.5,'LS'C).tvRGLCalar tion.<,car:d rd: • Long side 1.3(32) SO(v1S currer::,LACCS;1:and voltage.AI}0C:voltage is full)certaint:d;vithin rhe module. r R 6 T:^.is product is UL Listed as PVRSE and:conforms v,'ith NFC 2014 nd N C 201;6;90.12: �• • Short side 0.9(24} and C22,1-201 q Rule 64-2 18 rapid Shutdown of PV Systems,frr AC and DC conductor. when iratalled according to manufacturers instructions. 7 Pie:se read the safety and€nstaliatian instructions for more inrormotion regarding load r ting;and mounting ronfiguriior->. U wxxac cans ;mus See rra�wsuapov.+er,corn?fact,for rnor'e refr�rerrce inforrnatierr. '"'�RACi°m F UNPOWE er more details,see exuended datasheei;v°.•,:si,npc.:'er.,rmidaYa;heel 5pecificador:s ^�n Included irahis)stall eet ar s+abject tr,,char:,e utitnout notice. LISTED Ea>330 24205 un Power 6:r oration.A'lRightsResef ed.Sli+PO`idER,theSUNPOWERio„o, Ahodc:IoPirePe,fara,anee:Yypoz N Please read the Safe: and insta'iaFor,irstruttans 5.32623 for additionai details. Equinox,and MAXEO'd ere registered vac!ernarl:s of SunPovJer Corporation in the uS.and y other rcuntriesasweil.1-330-SUNPOWER. 534092 RevB In'j �s � isuv � DEC 1 0 2021 r 2" 'Ne]:DEPT. EQUIP[SER[T.—.__—___.__.._—__—.._—-- � _ � _ � EXISTING SERVICE 120/240, IPH, 3W PV-SA-1 � � 2C1t1At��°4�� '1V3 4d s-r AC—COMBINER PANEL I i PV-SA-2AC-CMB-1 ' ( V LOADS ONLY) 17013,1 AC DISCONNECT (" ® • r • ® ® �..,.. IAC-DSC-1 I 13 El � ta( • o s � I � ,� z i JR- MINN II ( I R-2 fFUSE0 R II rc ( [ [ ( I I Q EGA [ ! N [ I e f EGC EXISTING AC PANEL I I I I i GEC i GECTINt r ------IRREVERSIBLE SPLICE l 4.920kW DC 4.392kW AC PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Norcross, Ken P_ 2855 Boisseau Avenue m ENERGY GREENLOGICO Southold, NY 11971 ELIi INATIN THI COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION , Page 1 of 3 Drawing No: Norcross-3LD1 Revision: 1 Revised: 10/28/21 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PV SUB-ARRAY A410-G-AC SUNPOWER SPWR-A4, 1-CIRCU.IT OF 6-MODULES PV-SA-2 PV SUB-ARRAY A410-G-AC SUNPOWER SPWR-44, 1-CIRCUIT OF 6-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS VOLTAGE MAX.AC TAG POWER, MAX RANGE CURRENT VOLTAGE, NOMINAL PV-SA-1 2460 WATTS 211-264 VAC 10.00 A AC 240 V,AC PV-SA-2 2460 WATTS 211-264 VAC 10.00 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Norcross, Kenpe 2855 Boisseau Avenue 11 EN EDGY Southold, NY 11971 ELIMINATING THE .COST 4F EI.E' ,GY 1.) INITIAL SUBMITTAL WITH APPLICATION `� _Page 2 of 3 Drawing No: Norcross-3LD1 Revision: 1 Revised: 10/28/21 l EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH, 3-WIRE BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 50 CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 1-1/2" PVC-40 4 / 4 C THWN-2 1-1/2" EMT 4 / 4 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUIT TO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIREMENTS. 4.) NOTE: GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER MINIMUM. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Norcross, Ken RO 2855 Boisseau Avenue Q ¢' ENERGY Southold, NY 11971 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Norcross-3LD1 Revision: 1 Revised: 10/28/21