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HomeMy WebLinkAbout47360-Z A- Town c Tof Southold 4/22/2022 000l P.O.Box 1179 0 o _ 53095 Main Rd y?j�l ,fool; ' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43005 Date: 4/22/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1330 Donna Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-15-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/3/2022 pursuant to which Building Permit No. 47360 dated 1/19/2022 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 to existing single-family dwelling as applied for. The certificate is issued to Manning Family Irr Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47360 3/9/2022 PLUMBERS CERTIFICATION DATED Authorized Signature �suEro�t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE py • o�� 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#: 47360 Date: 1/19/2022 Permission is hereby granted to: Manning Family Irr Trt 1330 Donna Dr Mattituck, NY 11952 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 1330 Donna Dr, Mattituck SCTM #473889 Sec/Block/Lot# 115.15-15 Pursuant to application dated 1/3/2022 and approved by the Building Inspector. To expire on 7/21/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Bui g Inspector pF SOUryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlinCcD-town.southold.ny.us Southold,NY 11971-0959 couffm BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Manning Family Irr Trt Address: 1330 Donna Dr city:Mattituck st: NY zip: 11952 Building Permit#: 47360 Section: 115 Block: 15 Lot: 15 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 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X 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: 10.73kW Roof Mounted PV Solar Energy System w/ (29)LG370N1 K-AS Modules, AC Disconnect 35A, IQ3 Combiner w/ 220x3 215x1 Notes: Solar Inspector Signature: Date: March 9, 2022 S.Devlin-Cert Electrical Compliance Form O�aOF SOUIyo — � # TOWil OF SOUTHOLD BUILDING DEPT. - �o • �o `ycourm ' 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) VELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O A REMARKS: DATEINSPECTOR ho�a0f SOl/Tholc LAI 1 V * # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING , [ ] FRAMING /STRAPPING [, ] FINAL 56&1+d� [ ] FIREPLACE-& CHIMNEY [ ] -FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [" ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ]''ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: -<o 4,A k DATE -ZZ- INSPECTOR r. . FIELD;INSPECTI T REP 1tT ATIa :: CONT�VIE. . . ' . i ►o FOUNDATION:(lST� 4 , v , ugo . . f� .,: f SUfF'sp��a TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPUCATMN FOR MOM PERNT For Office Use Only C E PERMIT NO. LH3�v Building Inspector: JAN m 3 2022 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:12/30/2021 OWNER(S)OF PROPERTY: Name:Christine Manning/The Manning Family Irrev. Trust SCTM#1000-115.00-15.00-015.000 Physical Address:1330 Donna Drive, Mattituck, NY 11752 Phone#:914-240-4609 1 Email:mannworx@verizon.net Mailing Address:1330 Donna Drive, Mattituck, NY 11752 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 7F;1l:mike@longislandpowersolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: ®Other Proposed(29)panel roof mounted solar array. (10.730)kW System $17,786.08 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 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? Dyes ®No IF YES, PROVIDE A COPY. 8 Check Box After Reading: The,owner/contractor/design professional'is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATIOWS HEREBY MADE to the Building Department forthe issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town.ofSouthold,Suffolk,County,New York and other applicable Laws,ordinances onRegulations,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 toadmitauthorized Jnspectors on premises and in building(s)for necessary inspections.False statementsmade,herein are punishable as a Class A;misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Catizone Electrical/Long Island Power Solutions Application Submitted By(print ni BAuthorized Agent []Owner Signature of Applicant: Date: ' ,\%%Jop` 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 , 20 NOTAR WH-b,,'�TAT E OF NEW YORK Registration No:01 ES6259997 ualified in Dutchess County PROPER OWNER AUTHOR T mission Expires April 16,2024 (Where the applicant is not the o I, CN�ISs i@jG�-7 MA 0k-)okJC7 residing at 133® DN1Ji1 OP-- 0A-rT( 0CIC pq 0l 6S�- Michael Catizone/Long Island Power Solutions do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herei CAM�-� (,ld -htit�}f.� /i Owner's Signature Date C h Y i�w�nan� 1 Jsc- P+1. Grier NOTARYf'lI3LIC,SiXl-E OF NEW YORK Print Owner's Name Registration No.01GR6399126 oualified in Suffolk County V Commission Expires October 15,20_a 2 e Ito ,4F BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD r : Town Hall Annex- 54375 Main Road - PO Box 1179 Southold,_ New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a�soufholdtoW. qov seandl&southoldtownnygov. APPLICATION FOR ELECTRICAL INSPECTION. ELECTRICIAN INFORMATION (Ali information Required) Date: -- --C-ompany-Name:Catizone-Electrical/L-ong-Island-Power-Solutions----- ---- ----- - - - — — — - ----- — Name:Michael Catizone License No.:36178-ME email: sue@longislandpowersolutions.com Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 Phone No.: 631-348-0001 JOB SITE INFORMATION (All Information Required) Name: Christine h.r..i..st...i.n..e:..M. a...nnin. 'he Manning Family Irrev. Trust ti Address: 1330 Donna Drive,Mattituck,NY 11752 Cross Street:Theresa Drive Phone No.: 914-240-4609 Bldg.Permit#: email: mannworx verizon.net Tax.Map District:., 1000 Section .115.001.5.00_ Lot:. 015.000 ` BRIEF DESCRIPTION'OF WORK (Please Print Clearly) Proposed(29)panel roof mounted solar array. (10.730)kW System F, Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final w 'Do you need a Temp Certificate?: YES / NO Issued On.. Temp information: (All information required) Service Size 1 Ph 3 Ph Size:.. _A #Meters .._ Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected-Underground -Overhead # Underground Laterals 1 2 H Frame .Pole. . Work done on Service? Y N Additional Information;. 10.730 kW System Inverters: (29)Enphase IQ-7 PLUS M6dules:-(29)LG 370W A PAYMENT DUE WITH APPLICATION ^c' Request for Inspection FormAs PERMIT# Address:- Switches ddress:Switches Outlets G F I's Surface Sconces H H's UC Lts Fans : ....:... ...:. . Fridge ..,.. ,. . .- H.W . - t Exhaust Oven W/D Smokes DW Mini Garbori IVlicro.: Generator Combo Cooktap _...._.. .. .. Transfer' , AC AH Hood Service AmpsHave Used Special:. : __.. Comments: <-) 1z _ 2iS Surolk.County bept.of Latvia,Llcensi"&Consumer Affairr, l gel MASTER ELECTRICAL L,LEN5E Name 09_ WCHAEL J CATIYONE Ousitiess.Name Tills ron1los tnat ww__ baErerlc duty fcansrd Gat;zu".-EEeCfeiCdl Cnrtla Ung Int bd"Il'•e Cndnty of sltfol:t Licensu Number:NIE-36176 Rosalie Drago isju4'd: 1Zt3IrL034 Commissioner Expires: 12,'010%722 �_ Suffolk County Dept,of Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE Name MICHAEL CATIZONE Business Name This certifies that the LONG ISLAND POWER SOLUTIONS INC bearer is duly licensed by the County of suffolk License Number:ME-53560 Rosalie Drago Issued: 06/06/2014 Commissioner Expires: 06/01/2022 ` ? Suffolk County Dept.of cw Labor,Licensing S Consumer Affairs HOME IMPROVEMENT LICENSE Name MICHAEL J CA71ZONE Business Name This camas that the bearer is duty licensed LONG ISLAND POWER SOLUTIONS INC by the County of suffolk License Number:H-53562 Rosalie Drago Issued: 0510612014 Commissioner Expires: 06/01/2022 YORK Workers' CERTIFICATE OF INSURANCE COVERAGE 'STATE Compensa#ion 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(Only required if coverage is specifically limited to 1c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 27-1175107 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southold Standard Security Life Insurance Company of New York 53095 Route 25 3b.Policy Number of Entity Listed in Box"1a" Southold, NY 11971 R97411-000 3c.Policy effective period 1/1/2015 to 8/26/2022 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: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that 1 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 descolled 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 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 513 of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) 111111111oiiiiuiiiiiiiiiiuiiii�iiiiiiuioiiiiii'1111111 Client#:83393 LONGISL1 5 ACORM CERTIFICATE OF LIABILITY INSURANCE D2/251 roDnYY`n 2/25/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES IVOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CT Commercial Support Edgewood Partners Ins.Center ACONEo NExt):631-390-970A/C No631-390-9790 40 Marcus Drive E-MAIL ADDRESS: certificates@cookmaran.com 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC N Melville,NY 11747-2647 INSURER A Southwest Marine&General Ins Co 12294 INSURED INSURER B Long Island Power Solutions,Inc. INSURER C: 2060 Ocean Avenue 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. LTR TYPE OF INSURANCE INR WVD POLICY NUMBER POLICY EFF MM/uDSM LIMITS A X COMMERCIAL GENERAL LIABILITY PK202100020693 2/28/2021 02128/2022 EEAACCH��OECTCURRENCE s2,000,000 CLAIMS-MADE ®OCCUR PREMISES EaEoaa rrDence $100,000 X PD Ded:5,000 MED EXP(Any one person) $5,000 X Contractual Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY�ECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY PK202100020693 2/28/2021 02/28/202 COMBINED ccientSINGLELlMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Per.accident $ A X UMBRELLA LIAB X OCCUR EX202100001789 2/28/2021 02/28/2022 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X RETENTION$10000 $ WORKERS COMPENSATION PER ATUTE OTH- AND EMPLOYERS'LIABILITY IER ANY PROPRIETORIPARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 71 N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Town of Southold is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2962740/M2962525 CPRAV NY S I F 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 0 •••r LOVELL SAFETY MGMT CO.,LLC �. 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 �• Y 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 NUMBERPOLICY PERIOD DATE Z 2467 078-8 146804 04/01/2021 TO 04/01/2022 03/09/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF-TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. I NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 239995852 II I' I011IIlulplll011IN"1'11111111[EII11911111I"'�°11111111111"mm III II�IIIII�I 00000000000091281603�J Fowl WC-CERT-NOPRAIT Version 3(08/292019)[WC Policy-24670788] U-26.3 41 [00000000000091281603][0001-000024670788][##Z][15588-79][Cerl_NoRCER7_1][01-00001] NEW YORK workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Catizone Electrical Inc 31348-0001 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 1d.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 Client#:83176 CATIELE �4C®RM CERTIFICATE ®F LIABILITY INSURANCE312021 DATE 9/2(MM/DD(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Commercial Support Edgewood Partners Ins.Center PHONE x -390-9700 F c -390-9790ac No Et:631 A/ 631 40 Marcus Drive E-MAIL certificates@cookmaran.com 3rd Floor ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747-2647 INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B Catizone Electrical Inc. INSURER C: 2060 Ocean Avenue 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. LTAR TYPE OF INSURANCE NSRL WV R POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y CPP4784747 7/01/2021 07/01/2022 EEAACMHp�OCCCURRENCE $1,000,000 CLAIMS-MADE ®OCCUR PREMISES Eao ou ence $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 F]ECT [—]LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ ER A WORKERS COMPENSATION 4766763 7/01/2021 07/01/202 X PER oTH- TUTE AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION 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 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured CATIZONE ELECTRICAL INC 575 LEXINGTON AVENUE,4TH FLOOR 6315090427 NEW YORK, NY 10022 Work Location of Insured(Only required if coverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 45-5213112 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier TOntity WN Being SOUTHOLLIsted 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: ® 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 desc' d above. Date Signed 8/12/2021 By W64A. 0-411u;t (Signature of insurance carrier's authoriz d representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 413,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) 111111111iiiioiu►i�iiiiiiiiiiii�iiiiiiiiiiiiiiii'1111//) Solar Commercial Operation Letter - PAM-2021-164653 [ ref:_00D5ABptz._5006e1aHR7H:ref] PSEG-LI-PAMlnterconnect <pseg-li-paminterconnect@pseg.com> Thu 3/17/2022 2:19 PM To: Cindy Zimbardi <cindy@gopowersolutions.com> Cc: Cindy Zimbardi <cindy@gopowersolutions.com>;mannworx@verizon.net <mannworx@verizon.net> LONG 0 PSEGISLAND 1%,make dhings ruork jor you. RE: PHILIP MANNING Residence - 1330 DONNA DR, MATTITUCK, NY 11952— 8.41 kW Residential Net Metered PV System, PAM-2021-164653 Dear PHILIP MANNING, This correspondence concerns your 10.73 kW DC/8.41 kW AC, Residential photovoltaic net meter system located on 1330 DONNA DR, MATTITUCK, NY 11952 associated with PSEG Long Island acct# 9620144403 have been technically satisfied to operate in parallel with LIPA system as of 3/17/2022. In addition, the net meter was installed and is active. Please note that you are responsible for obtaining all building permits and any other governmental approvals that may be required. Once you have obtained all such permits, you may begin commercial operation of your photovoltaic system. If you are a residential customer or a commercial customer on a non-demand Service Classification, who has installed photovoltaic system or submitted closeout documents on or after January 1, 2022, you will be billed monthly for the Customer Benefit Contribution (CBC) Charge as per the current tariff. Furthermore, your project is effective as of the operational date referenced above. Unused energy credits will roll over to next billing period for the full 20 years and energy credits remaining after the twentieth year will be forfeited for Residential or Small Commercial Service Classifications that are not billed for demand. Please contact 1-800-490-0025 for net meter billing inquires. If you have any questions, please feel free to contact us at (516) 949-7004. Thank you. PSEG Long Island Power Asset Management (PAM) Reply at: PSEG-LI-PAMlnterconnect@pseg.com LONG ISLAND 2060 Ocean Ave Ronkonkoma, NY 11779 4S O�u ONS G+ 631348-0001 N S www.long islandpowersolutions.com December 30,2021 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: Christine&Philip Manning/The Manning Family Irrev. Trust Project/Property Address: 1330 Donna Drive,Mattituck,NY 11752 Section/Block/Lot: 1000-115-15-015 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 find: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of the Engineering Drawings& Specs • Liability, Disability & Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Sincerely, Sue Estabrooke, Permit Manager Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx- 631-348-0018 sue@lopowersolutions.com Go Green Save Green Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave, Suite 2B Ph:631-988-0000 Bohemia, NY 11716 l G c solar@pacificoengineering.com March 3,2022 Town of Southold Building Department E C E E 54375 Route 25, P.O. Box 1179 Southold, NY 11971 MAR 2 3 1622 [D Subject: Solar Energy Installation for BUILDING DEPT. PHILIP MANNING TOWN OF SOUTHOLD Section-Block-Lot: 115-15-15 1330 DONNA DRIVE MATTITUCK, NY 11752 1 have reviewed the solar energy system installation at the subject address on March 3,2022.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 N PAC 01 CO � I Ralph PadOF� i`eer NY 066182/NJ 24GE04744306/FL 87297 .�ti March 21, 2022 D E C E H E MAR 2 12&2 BUILDING DEPT. Building Inspector's Office TOWN OF SOUTHOLD Town of Southold 54375 Route 25 P.O. Box 1179 Southold,NY 11971 Building Permit#47360 Certificate of Occupancy Dear Sir, Enclosed please find the Building Permit Notice for Permit#47360. I am returning this notice as the work has been completed and inspected by the Building Department Inspector. A copy of his inspection report is enclosed. In addition,the utility has issued an operation letter indicating that the photovoltaic system is operating as required. I hereby request that the town issue a Certificate of Occupancy for the system (8.41 kW Residential Net Metered PV System,PAM-2021 -164653) Please advise if there are any additional requirements. Respectfully, Philip Manning 1330 Donna Dr Mattituck,NY 11952 LONG ISLAND OWER2060 Ocean Ave Ronkonkoma, NY 11779 SOLUTIONS www.longislandpowersolutions.com olutions.com Town of Southold Building Department 54375 Route 25, PO Box 1179 Southold, NY 11971 Enclosed is the paperwork needed to close Permit#47360 for 1330 Donna Dr. Mattituck. Final building inspection has been scheduled for April 14, 2022. Should you have any questions,please feel free to contact me. Sincerely, Cindy Zimbardi Long Island Power Solutions 631-348-0001 cindy@gopowersolutions.com Go Green Save Green eL:r�.e5a.aoieAu�•n+r D16MT.AF+TROY �.• N.�.Ne. ?,c--V. CNARL eS ,B41a'L L. f 6R1roc'/JV Av�'n/u it DEC 0 71978 . # , G t?AT� H. D REF. '�'41QNE.dI P41 fb� //9�/ xha 41,I.O,al en13 ,"tater surlplT' 7,7--/o— W55) • !. s b I' .4 a 13' VAP luant Lon hmrobeen iL,JI Gutod h f tills LD-pa.rf..0ant ad fa=d -c.a /N Qhist of General lbSinserinp. �A, Bsrviooa Laf 63 (r�ids.7re� .:• ...b�frJlad+ r7ronu»+e�ras itra'r- Gor-�.-, n S. 97" J 9'2 n"4155'. /3:0.3.Z- O �+ Fl scAs.fLt '0 0 ����'�• 1 � � :dim�vssa�Otaof Q � _ 4FU=W AITMATION o0"DIM" MIS P 5'10AYAr O A VIOLUxM of LK 'ON 7209 OF 1119IIBw YOUAT1 11 acv. e PICC aF 5'.:U SM."rhP NOT OEk" MND Et0..Ys d,4.D —u oA ED SEAVALIDTU L llu'%Ll 1rI.U��M MM I'tfTTS 13'6 i � 1 i1JuLOft '., •i h4�YsY6q .//.. i ALM,AVD C4 3 5 (YC's) r � n • C��i� CCL9Chd.�..5,,,. ,_ldGl�.yl.AIND t lKST.it•I.r.i Ls..lui'7pt.,gl�q • 41'ifLRTLK. yc,f�.�P•IIS�¢G7 /Inr'P�✓.0<<blN+' MAP 6,9- 40 7- .1.-- 110 fir,ix-ikl 7 we and • /N awranim cu''s e EeAL. /yD41 e C.Rs-e-l<Fs7—AT " ''Nr'r{+e r. J41a✓rLt/� 15rtll4: CPA 60upAj A&? n/e.fz.x6� t/,Ov,,Zd,1y?i3. Ar RMEMCK Y" Tuyl- P. c. WA r Ti 7-"iGlc, !V. LIC.LAND SUftMaH8.aRX .N.Y, 76. We MEW BUM 00.Dzirr.OF HWALTH sowla ! aTAT6fi lWr CF I!MW r w FOR APPROVAL O� CONBT t s DATRt D10f, M1l� ! THtd fl�1. ,( DENGi W".6cdNA4iqft To THE R I�� CC. CWT. 3 H.IL RP.ir.1140.34+8 'L'ANOA�yi SUVV f0 pl.I� APPROVRk APPLI tY' APPR VED AS NOTED DATE: o� B.P.# ELECTRICAL. FEE: BY: A2 114SPECTION REQUIRED NOTIFY BUILDING DEPARTMENT AT . 765-1802, 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. d( ' con use COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES +s' C�� l ��l t AS REQUIRED AND CONDIT',ONS OF D� ( l "Tk l�-MWN ZRA Q cC J f'JI 'Qi r� Y I I BOARD SSI TOWN TRUSTEES OCCUPANCY OR USE, IS UNLAWFUL WITHOUT CERTIFICATE+ Y OCC 'l ° ^'" 1 M1 Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave, Suite 2B 01 C Ph: 631-988-0000 Bohemia, NY 11716 l G c solar@pacificoengineering.com December 23,2021 a Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for PHILIP MANNING Section-Block-Lot: 115-15-15 1330 DONNA DRIVE MATTITUCK, NY 11752 1 have reviewed the roofing structure at the subject address.The structure can support the additional weight of the roof mounted system.The units are to be installed in accordance with the manufacturer's installation instructions. I have determined that the installation will meet the requirements of the 2020 Residential Code of New York State and ASCE 7-16 when installed in accordance with the manufacturer's instructions. Roof Section A B Mean roof height 14.0 ft 14.0 ft Pitch 22 degrees 23 degrees Roof rafter 2x6 2x8 Rafter spacing 16 inch on center 16 inch on center Reflected roof rafter span 13.5 ft 12.0 ft Table R802.4.1(1)max allowable 14.6 ft 18.5 ft The climactic and load information is below: Ground Wind Live Load, CLIMACTIC AND Point Exposure Snow Speed,3 Pnet per GEOGRAPHIC DESIGN Category Load,Pg, sec gust, ASCE 7, pullout Fastener Type CRITERIA psf mph psf load,Ib Roof Section A B 20 130 33 747 SS 5/16"dia lag bolt,5"length B 33 747 SS 5/16"dia lag bolt,5"length Weight Distribution array dead load 3.5 psf load per attachment 79.2 Ib C9 The subject roof has 1 layer of shingles. Panels mounted flush to roof no higher than 6 inches above roof surface. �s Ralph Pacifico, PE Professional Engineer ngineer NY 066182 h Z3 0 7443061 FL 87297 LG370N1 K—A6 370 The LG NeON®2 is LG's best selling solar module and one of the most powerful and versatile modules on the market today.The cells are designed to appear all-black at a distance,and the performance warranty guarantees 90.6%of labeled power output at 25 years. C uL us {` i ifs.. Made in® ,` USA tio,r R,nnty� `•tr;,.. of�. J� Features Enhanced Performance Warranty _ 25 Year Limited Product Warranty 25y s 25P+ LG NeON°2 Black has an enhanced r The NeON®2 Black is covered by a 25-year t T performance warranty.After 25 years, limited product warranty.In addition,up to$450 LG NeON®2 Black is guaranteed at least of labor costs will be covered in the rare case 90.6%of initial performance. that a module needs to be repaired or replaced. A. e Solid Performance on Hot Days � Roof Aesthetics LG NeON®2 Black performs well on hot EI—J,} LG NeON°2 Black has been designed with '. i days due to its low temperature coefficient. ( aesthetics in mind using thinner wires that I appear all black at a distance. When you go solar, ask for the brand you can trust: LG Solar About LG Electronics USA,Inc. LG Electronics is a global leader in electronic products in the clean energy markets by offering solar PV panels and energy storage systems.The company first embarked on a solar energy source research program in 1985,supported by LG Group's vast experience in the semi-conductor,LCD,chemistry and materials industries.In 2010,LG Solar successfully released its first MonoX®series to the market,which is now available in 32 countries.The NeON®(previous MonoXe NeON),NeON02,Ne0Ne2 SiFacial won the"Intersolar AWARD`in 2013,2015 and 2016,which demonstrates LG's leadership and innovation in the solar Industry. Life's Good z LG Ne®N®2 Mack AS S LG370N1K-A6 General Data Electrical Properties(STC*) CeltProperties(Material/Type) Monocrystalline/N-type Model LG370N1 K-A6 Cell Maker LG Maximum Power(Pmax) [WJ 370 Cell Configuration 60 Cells(6 x 10) MPP Voltage(Vmpp) M 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(Voc t5%) .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 [%].. 20.4 Backsheet(Color) Black Power Tolerance [%] 0-3 Frame(Material) Anodized Aluminium *STC(Standard Test Condition):Irradiance 1000 W/m',cell temperature 251C,AM 1.5 Measurement Tolerence of Pmax: 3% Junction Box(Protection Degree) IP 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 MiDdmum System Voltage M 1,000(UL/IEC) ` - IEC 61215-1/-1-112:2016,IEC 61730-1/2:2016, Maximum Series Fuse Rating [A] 20 UL 61730.1:2017,UL 61730-2:2017 Mechanical Test Load'(Front) [Pa/psf] 5,400 "Certifications ISO 9001,ISO 14001,ISO 50001 Mechanical Test Load*(Rear) [Pa/psf], 4,000 OHSAS 18001 *Based on IEC 61215-2:2016(Test Load-Design Load x Safety Factor(1.5)) Salt Mist Corrosion Test IEC 61701:2012 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 Limited - Number of Modules per 40'Container [EA]' 650 Solar Module Output Warranty Linear Warranty` Number of Modules per 53'Container - {EA] 850 *Improved:1�year 98.5%,from 2-24th year.-0.33%/year down,90.6%at year 25 - - Packaging Box Dimensions(Cx 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 NMOTn' [.°Cj` 42:t3 Packaging Box Gross Weight [kg] 500 Pmax [%/°C] -0.35 Packaging Box Gross Weight. [Ib] 1,102 Voc [96/°C] -0.26 Isc C%rc] 0.03 Dimensions(mm/inch) •NMOT(Nominal Module Operating Temperature):Irradiance 800 W/m',Ambient temperature 20°C, Wind speed 1 m/s,Spectrum AM 1.5 10420/41.0(SIS of short side) Electrical Properties(NMOT) 1002.0 139.4(Disr beb-Groundng B M.."Holes) Model LG370N1K A6 40.0/1.57 175.0/19. MaximumPower(Pmax) [W] 277 76-eAx30/03x0.1 MPP Voltage(Vmpp) M 33.3 Drain Hiles MPP current(Impp) [A] 832 Gmundmg Hiles lwction aex Open CircuitVoltage(Voc) M 39.4 9-8.5x12A/a3x 0.5 Short Circuit Current(Isc) (A] 8.81 Mwn Lg Hales IN Curves 1100/43.3 c " Cable Length g 12.0 1o00W 9 10.0 800W g QJ 8.0 o 60OW ry 6.0 a 'd 40OW 4.0 20oW 20 0.0 , R OA 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 4 0 Vohage(V] ® LG Electronics USA,Inc. Product specifications are subject to change without notice. LG Solar Business Division LG370NlK-A6_AUS.pdf 2000 Millbrook Drive 020221 Lincolnshire,IL 60069 Life's Good www.ig-solar.com ©2021 LG Electronics USA,Inc.All rights reserved. Data Sheet Enphase Microinverters Region:AMERICAS Enphase The high-powered smart grid-ready Enphase IQ 7 Micro' and Enphase IQ 7+ Micro" Q 7 and M 7+ dramatically simplify the installation process while achieving the highest system efficiency. Micro everters Part of the Enphase IQ System,the IQ 7 and IQ 7+ Microinverters integrate with the Enphase IQ Envoy", Enphase IQ Battery"',and the Enphase Enlighten TM monitoring and analysis software. IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install • Lightweight and simple • Faster installation with improved,lighter two-wire cabling Built-in rapid shutdown compliant(NEC 2014&2017) 11-04, Productive and Reliable • Optimized for high powered 60-cell and 72-cell*modules `7 • More than a million hours of testing • Class II double-insulated enclosure • UL listed Smart Grid Ready S• Complies with advanced grid support,voltage and frequency ride-through requirements - Remotely updates to respond to changing grid requirements • Configurable for varying grid profiles • Meets CA Rule 21 (UL 1741-SA) U� *The IQ 7+Micro is required to support 72-cell modules. ENPHASE. To learn more about Enphase offerings,visit enphase.com Enphase IQ 7 and IQ 7+ Microinverters INPUT DATA(DC) IQ7-60-2-US/IQ7-60-B-US IQ7PLUS-72-2-US/I07PLUS-72-D-US Commonly used module pairings' 235W-350W+ 235 W-440 W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 60V Peak power tracking voltage 27 V-37 V 27 V-45 V Operating range 16 V-48 V 16V-60V Min/Max start voltage 22V/48V 22 V/60 V Max DC short circuit current(module Isc) 15A 15A Overvoltage class DC port II II DC port backfeed current 0 A 0 A PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ 7 Microinverter IQ 7+Microinverter Peak output power 250 VA 295 VA Maximum continuous output power 240 VA 290 VA Nominal(L-L)voltage/rangez 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) Connector type(IQ7-60-B-US&IQ7PLUS-72-B-US) Friends PV2(MC4 intermateable). Adaptors for modules with MC4 or UTX connectors: PV2 to MC4:order ECA-S20-S22 -PV2 to UTX:order ECA-S20-S25 Dimensions(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://enphase.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 '0 E N P H 1015 E. ©2018 Enphase Energy.All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. 2018-05-24 z Z. �'IRONRIDGE Roof Mount System Mt } 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 l 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 EEM 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 Railer 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 • S'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 r _... ti AC�F_ Anchor,flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware High-friction serrated face • Works with vent flashing • Attaches directly to rail • IBC& IRC compliant Heavy-duty profile shape • Ships pre-assembled • Ships with all hardware • Certified with XR Rails Clear& black anod.finish • 4"and 7"Lengths • Fixed and adjustable Clamps & Grounding End Clamps Grounding Mid Clamps T Bolt Grounding Lugs (j) Accessories 1qrjJ 411n,7 L i_OJ 111 � I ? t 4 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 d A NABCEP Certified Training - - Go from rough layout to fully �D Earn free continuing education credits, engineered system. For free. 4 b- while learning more about our systems. Go to lronRidge.com/rm V Go to IronRidge.com/training Ca Y3•/lFi4 '�°" UAL2iZ%ai:i °V a3�Ta`J.�, tiA�.]AS�iA'i�A:k�AA:�°.. ° °��ll :A o�iA°Ai'�.`�`W14:IAAAlJJI:dIt U:.iR7l•A4t 2f� - //e��� AERIAL OWER r SOLUTIONS 2060 OCEAN AVENUE, i RONKONKOMA, NY 11779 (631)348-0001 MANNING RESIDENCE I 1330 DONNA DRIVE r, MATTITUCK, NY 11752 914-240-4609 T S: 115 B: 15 L: 15 PROJECT DATA: misois INVERTER: (29)ENPHASE 107PLUS-72-2-US z MODULES: (29)LG370N1K-A6 RACKING: IRON RIDGE XR100 WATTAGE: 10,730 R-1 " SHEET INDEX ROOF TYPE: COMPOSITION SHINGLES # MODULES (11 ) ' M WIND LOAD: -46.2PSF @ 130MPH � _ M N S-1 SITE PLAN FASTENER: USE 5/16"DIA.5"LAGS PITCH: 220 m ) C) S-2DETAILS f AZIMUTH: 261 ° O cl) E-1 ELECTRICAL PLAN ; t O O L-1 MOUNTING PLANj'j N T O T 700 Lakeland Ave. Suite 2B Bohemia, NY 11716 w Ph:631-988-0000 rn P. solar@pacificoengineering_com czu IT- E p m www.pacificoengineering com GENERALNOTES i -ENPHASE IQ7 PLUS MICRO INVERTER G f vt 1a"FIRE ACCEss LOCATED ON ROOF BEHIND EACH MODULE. '/K ACCESS 18"FIRE A �� -FIRST RESPONDER ACCESS MAINTAINED „� 1a"FIRE FIACCESS 0 AND FROM ADJACENT ROOF. 18" RE N -WIRE RUN FROM ARRAY TO CONNECTION IS 40 FEET. crab O -COGEN DISCONNECT IS LOCATED ADJACENT TO UTILITY METER. �f8S10 J -LAYOUT SUBJECT TO CHANGE BASED ON ALTERATION OF THIS DOCUMENT EXCEPT BYA 3 SITE CONDITIONS AT DATE OF INSTALL LICENSEDPAPER 11 x17NAL IS(ANSI ILLEGAL PAPER SIZE:11'x 17"(ANSI B) R-4 LEGEND DATE: 12/2/2021 a # MODULES (18) DESIGN BY: SG ® GROUND ACCESS POINT CHECKED BY: EE PITCH: 230 REVISIONS: COGEN DISCONNECT AZIMUTH: 171 ' ® UTILITY METER N 3 REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, o INCLUDING ALTERNATIVE METHODS MINIMUM OF 36" UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE?-16. SITE PLAN S.1 THE 2020 RESIDENTIAL CODE OF NYS { IronRidge XR l00 Rail 4p OF SOLUWE R TIONS 2060 OCEAN AVENUE, " RONKONKOMA, NY 11779 (6 1)3 348-0001 MANNING yap--- RESIDENCE Mxj c`cwr�' Flashing 1330 DONNA DRIVE MATTITUCK, NY 11752 914-240-4609 L4001«ot End char S: 115 B: 15 L: 15 '- IronRidge XR 100 Rail '` '�. ,t PROJECT DATA: #215015 lronRidgc XR 100 Rail 5/16 X 5" Stainless INVERTER: (29)ENPHASE 107PLUS-72-2-US Steel Lag Bolt MODULES: (29)LG370N1K-A6 Solar NlodUlc RACKING IRON RIDGE XR100 WATTAGE: 10,730 3/8-t 8 7a 3/4 HEX HEAD 80LT ROOF TYPE: COMPOSITION SHINGLES 3/8-18 FLANGE NUT \� _�/`7�J(1' WIND LOAD: 46.2PSF @ 130MPH FASTENER: USE 5/16"DIA.5"LAGS p }r E GIN G_cP GENERAL NOTES. 700 Lakeland Ave, Sucre 2B -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@pacificoengineering.com www.pacificoengineering.com -ALL PENETRATIONS ARE SEALED AND FLASHED. CO O I i ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES R1 220 2"x8" 211x6"@16"O.C. 17'-6" 24" �FES810�P� R2 230 2"x10" 2"x8"@16"O.C. 14'-511 T 6" ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL �j PAPER SIZE:11"x 17'(ANSI B) DATE: 12/2/2021 Q DESIGN BY: SG Z CHECKED BY: EE a REVISIONS: r_ N 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 o NO HIGHER THAN 6"ABOVE ROOF SURFACE PHOTOVOLTAICS: OWER (29) LG370N1K-A6 SOLUTIONS NEMA 3R 2060 OCEAN AVENUE, JUNCTION BOX INVERTERS: RONKONKOMA, NY 11779 (631)348-0001 BLACK- L1 ENGAGE CABLE (29) ENPHASE IQ7PLUS-72-2-US RED-L2 MANNING WHITE-NEUTRAL CIRCUITS: GREEN -GROUND (2) CIRCUITS OF (10) MODULES (1) CIRCUIT OF (9) MODULES RESIDENCE 1330 DONNA DRIVE MATTITUCK, NY 11752 914-240-4609 S: 115 B: 15 L: 15 PROJECT DATA: #215015 INVERTER: (29)ENPHASE IQ7PLUS-72-2-US #12 AWG THWN FOR HOME RUNS UNDER 100' MODULES: (29)LG370N1K-A6 #10 AWG THWN FOR HOME RUNS OVER 100' - 9. RACKING: IRON RIDGE XR100 (1)LINE 1 WATTAGE: 10,730 (1)LINE 2 ,i l (1)NEUTRAL METER ROOF TYPE: COMPOSITION SHINGLES WIND LOAD: -46.2PSF @ 130MPH (1)GROUND �, PMAT1M06�I,�TIssIvM 35.09A PER CIRCUIT a © FASTENER: USE 5/16"DIA.5"LAGS IN 1"OR 14"PVC CONDUIT WMj, A1.C:;K; T1f Ar nT 240 V . m .e.....�. - 0 ELECTRIC SHOCK , .D P •• TOUCH:. ` PHOTOVOLTAIC E 'N I G� LOAD SIDES : 700 Lakeland Ave, Suite 2B �, POSITIONEN � MAIN SOLAR SYSTEM Bohemia NY 11716 IN THEAC DISCONNECT LINE SIDE TAP .,� Ph:631-988-0000 solar@pacificoengineering.com 60A FUSED SERVICE MAIN SERVICE www.pacificoengineering_com 125A LOAD CENTER RATED 200A DISCONNECT (1)-20A BREAKER PER CIRCUIT 50A FUSE 1� ARN I N DISCONNECT INVERTER OUTPUT CONNECTION LSO NOT RELQuCATE.THIS #6 AWG THWN #6 AWG THWN p86148Q �" OVERCLIRRENT DEVICE (1)LINE 1 (1)LINE 1 .�.. .n> (1)LINE 2 (1)LINE 2 (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL ALTERATION OF THIS DOCUMENT EXCEPT BY 3 (1)EGC (1)EGC OR SUB PANEL LICENSED PROFESSIONAL IS ILLEGAL IN 14"PVC CONDUIT (1)GEC PAPER SIZE:11"x 17"(ANSI B) IN 14"PVC CONDUIT DATE: 12/2/2021 DESIGN BY: SG N SZ tCHECKED BY: EE IL — REVISIONS: C6 r _ R r AC COMBINER: NOTE: 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, E- 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 60A FUSED SERVICE RATED DISCONNECT POWER LUTIONS 72' 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 MANNING RESIDENCE 1330 DONNA DRIVE 17' MATTITUCK, NY 11752 914-240-4609 S: 115 B: 15 L: 15 PROJECT DATA: #215015 INVERTER: (29)ENPHASE 107PLUS-72-2-US MODULES: (29)LG370N1K-A6 RACKING: IRON RIDGE XR100 WATTAGE: 10,730 ROOF TYPE: COMPOSITION SHINGLES WIND LOAD: -46.2PSF @ 130MPH R-1 FASTENER USE 5/16"DIA.5"LAGS # MODULES (11 ) P PITCH: 22° E GrN #- P AZIMUTH : 261 ' 700 Lakeland Ave, Suite 2B Bohemia. NY 11716 Ph, 631-988-0000 45'-3" solar@pacificoengineeriiig.com www pacificoengineering com co 14'-511 17' g m w 14' 4 11. 0 " 8.5' 4 -- 2 ALTELIICCENSED PROFETION OF TMSSSSIIONAL IS ILLEGAL CNT EXCEPT BY A 4' 0 PAPER SIZE:11"x 17"(ANSI B) ■ SPLICE BAR 8 DATE: 12/2/2021 © PENETRATIONS R-4 DESIGN BY: SG 46 - ADDITIONAL CONSTRUCTION ITEMS: CHECKED BY: EE UFO 68 # MODULES (18) REVISIONS: 40MM SLEEVE 20 (X) BOLLARDS TO PROTECT BATTERY END CAPS 20 (1) 10YR SEALED BATTERY SMOKE DETECTOR/ALARM WITH PITCH: 23' FUTURE INTERCONNECT CAPABILITIES (WIFI OK) AS PER NYS CONSUMPTION CODE 327.7 AZIMUTH: 171 ' L 1 0 MOUNTING PLAN CRITTER GUARD 220' TYPE X GWB ON WALLS AND CLG (XXSF GWB)