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HomeMy WebLinkAbout47330-Z �oc�N1 FQ(�cpG. Town of Southold 9/23/2022 P.O.Box 1179 o V' z 53095 Main Rd t Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43428 Date: 9/23/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 205 Summit Ln,East Marion SCTM#: 473889 Sec/Block/Lot: 38.-7-10.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/16/2021 pursuant to which Building Permit No. 47330 dated 1/12/2022 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 to existing single family dwelling as applied for. The certificate is issued to Goldsmith,Richard&Judith of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47330 9/20/2022 PLUMBERS CERTIFICATION DATED 0 ut o ' e ignature 4�SUF TOWN OF SOUTHOLD a BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy . 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 #: 47330 Date: 1/12/2022 Permission is hereby granted to: Goldsmith, Richard 455 Bardini Dr Melville, NY 11747 To: Install roof mount solar to existing single family dwelling as applied for. At premises located at: 205 Summit Ln, East Marion SCTM # 473889 Sec/Block/Lot# 38.-7-10.3 Pursuant to application dated 12/16/2021 and approved by the Building Inspector. To expire on 7/14/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-RESIDENTIAL $50.00 Total: $200.00 Building Inspector pf SO!/j�Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 117 Southold,NY 119711-0959 �� sean.devlinCc�town.southold.ny.us Q�yCDU�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Richaed Goldsmith Address: 205 Summit Ln city:East Marion st: NY zip: 11939 Building Permit* 47330 Section: 38 Block: 7 Lot: 10.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Tims Electric License No: 54187ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 13.6kW roof Mounted PV Solar Energy System w/40 Hanwha 340W Modules Notes: Solar Inspector Signature: Date: September 20, 2022 S.Devlin-Cert Electrical Compliance Form g SOUTy�� 4 / a61% M ti r * # TOWN OF. SOUTHOLD BUILDING DEPT. �yCoum, ' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ /] PRE C/O [ ] RENTAL REMARKS: r of 0AE d—A e &i kari m 4le G;mhilgrdamll C�� P-"(4, DATE S INSPECTOR w pf SOUTyolo # # TOWN OF SOUTHOLD BUILDING DEPT. `ycouun, 765-1802 +3W -1JNSPECT ON [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND- , [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING' [ FINAL SDLP [ ] FIREPLACE & CHIMNEY [ ] : FIRE SAFETY INSPECTION [ ] -FIRE RESISTANT CONSTRUCTION_ [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 1 G DATE 6 �'o)-o aa INSPECTOR /V Ok Bunch, Connie From: Sandra Distefano-Cruz <sdcruz@hytechsolar.com> Sent: Tuesday, September 20, 2022 9:48 AM To: Bunch, Connie Subject: Re: f,. 1 i+wir-w 4A r� On Tue, Sep 20, 2022 at 9:41 AM Sandra Distefano-Cruz <sdcruzAhytechsolar.com> wrote: Hytech Solar 205 Summit Sandra Distefano-Cruz Permitting/Expediting Office: 631.595-5500 Extension: 116 Email: sdcruz hytechsolar.com .,T'. s o I a r 1 y 733 b J A M E S J. S TOUT A R C H I T E C T & Assoc . 2 G REG LANE EAST NORTHPORT N. Y. 831 - 8 58 9388 Post Installation Letter ® E N LE April 25, 2022 MAY ®.320,22 8U.1-DMI DEPT TOWN OF BOVI'THL OLD RE: Goldsmith Residence 205 Summit Lane East Marion, NY 11944 To Whom It May Concern: This letter is to confirm that as of April 25, 2022 I, James J Stout, NYS license 021633 have inspected the placement and installation of the roof top solar panels at the above listed address. All of the solar panels have been installed as per manufacturer's guidelines and specifications.The racking system design and installation complies with the 2020 NYSRC and provisions of ASCE 7-16.The installation was done as per plan. Thank you for your cooperation in this matter. James J. Stout Architect 'DR C sJST : OCT � ti 3 9 11633 O0 ``�, 0 NES' { i,.,. I. Yi:`. bNI�VIEN' S :,;'.:: C `fi p1 'T'. 8 'EC O~ A' { FIELD:IN P 1'Ir..N' �? TE'i d3 :5't< m �'. T'i'.,`y,'.. . 1!`: 4 , o' ST ;r.{'! S':..' FOiJNDATI N:.11. , . w H . ;; r n ^r -i; Y id' , . (- ui Ns : : . : : FOUIVAu: " E . ' ~ t ' %- ;t-;: . 11:11. .` ,r ;: :; z' 47:> . . - ;.;:,ice:,,. ;t'?,z, ;:i`: /V a``. ,. �,.,... , . .. ..:._. ,...� a•r.,: ::; 4}` 'vf, tid'^ � l i `clf;?> (;:. 4. ;:.:. :i: t:''i`'>`' l i .: t; :1". .r'r y a-,.. % RQUGH F IN.G& m . . r % I ", �1'7!11, ._..: .. ..�. n. ..::,!7 :. i` H ., : ,.. : PLUMBING. ,. ..t_ I I- s r 'd... i.•. :4 n'"' 1 a��� 4 i:�i.a .'I`"';�,`':•�.r:�r'i:?�n,':'::.:!n.' . :.�+.' . •'L-;• '.;. ti' ��!i�it - . . . ... . . . . . : �:... .. . ... �. ,,":.�:','..."�:,.,�.�- .;.' .:tf-.,��;.��*;::.,:' .,-: ,*.,. . . . . . i , INSUT,ATION. RT1: H. '�: :, ;'.. . ?`; >,' ' STATE ENERGY-COI �:� " ''.f;i:l. .ih,,:::t;"".r".t';�'!Zr..�yLP,l•�V`• .:1 .�i r . _ .&5' ur. ,• %.. !� t.VA:%...�.i: v. ,.,,ta.:.:. „ �j.`::s:i::�i: �: r':t•.Y 1 1 .,�.,,I.,..ri.::. r,Y:•T .. 11 ,' F1N:t�L1. Vr:. . ).: .f: ;I• )d: (/ . :tf ?vi•'i: ` i.L+1+ .•rYS.11 ...,f.u. Sc:;:.: .':-ry,,,`;�"* ,.;�'.:.),I... 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Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https:Hwww.southoldtom-uiY.gov Date Received APPLICATION FOR BUILDING PERMIT 22 For Office Use only E C E � � E PERMIT NO, 47 J Building Inspector: OEC L1 6 2021 Applications.and forms must be filled out`in:their entirety. Inco"MiPlete'.` 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: OWNER(S) OF PROPERTY: Name: /jh I SCTM # 1000- 0j9 .GO ' O-7-UC)- ()Id.C)C)3 fh Proj:cct AddLLr.•ess:. o205 ..St-4- rnii L-Cu - E(aS Phone#:.(..J�_. s:g Address: S YYICYI l� L I"tie ' i'1 ._..a0.5� _U.....__ G... ._� _. CSS.._�_MQ.r10..._-,_._ CONTACT PERSON: = ;' Name: / ro -.Cruz _......... ...... Mailing Address: ShGr� Addy _v�IGSh.I fid_. �v�- - bG,_ __ ,_ _ � Phone;#: Email: s d.Grl✓�z h_ chS.c��. . DE*FIG.SIV}PROFESSIONAL•INFORMAT SION: !'`^ Name: Mai lingAdadress: C ) -Ln- - - Nor.1-h. .rt - N,-.. . -.....�.V73_Y_. ._._,__�...___-_........ . ..........:. Phone#: Email: 3 b I. 58 -_q 3�� ,.CONTRACTOR INFORMATION: Name: R _ _(_J.0 Mailing Address: Phone#: _.......___,.,.__ '^ Email: SC�U'U2@ h. Gh,SUI con-) u13� ,JcCS. SS_-0� DESCRIPTION OF PROPOSED CONSTRUCTION El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Other SC)LQx 130-no I C Will the lot be re-graded? ❑Yes NNo Will excess fill be removed from premises? ❑Yes JZNo 1 �S°fFa{k� 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 htips://www.southoldto\vnny-gov Date Received APPLICATION FOR BUILDING PERMIT For office Use Only PERMIT NO. Building Inspector: Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the,Applicant is not the owner,an, Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S) OF PROPERTY: i Name: SC TIM # 1000- Project Address: Phone# Email: Mailing Address: 'CONTACT PERSON: Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION:� N„ Name: lZOZ,lZ 7agola0 ,n•rsw u.R.w+=a”' !i - - Mailing Address: WaPd nawoisn3 ay71ofpw-pla slapaWW lla fa aaf - 1 d au0171ppY io as ua saa 'WlwAad'saaf3dlln Aofalq'suodsalaq pays lawo7sn•,uopapa7sul ay7 sul6aq Iova17uOJ ala/aq o.�w�s�j Ia7ouluuap 3awossn0 pound uo(la11a7uoo Phone#: Aap ssaulsnq r£)aa�y7 ay7 la7Ja JI'aul 9a1a5 4?a7AH y IM vonuoa ayl_Bwu67 fo awlLay7 70,.uo/7opaouoo .,- __^'^^- _"'- =°'" pau l.apun ay1 _ lr ' CONTRACTOR INFORMATION_ �NIOV321 ONV1d31J38dO1N3W390373MONNJV %'E'•• r( Name: ra,nI ra,n,aaas=,aAae1 Mailing Address: ,j raWO, ra n,aa6,S g7aAna) Phone#: f; N0113VSNVYI SIHI J�41pa�13H I _ - - - - ` �{ ^q� T• 'NOLLVW803N113V1NO3 ONV 55380OV 3WYN 8nOA _ DESCRIPTION OF PRO POSED{tC13DIl`STRNYJUIRf7/Uwa 3N1 Nl'.1.l.'I)]AW 73JNV3,..7.11VW33H ..LV0]'pIROSH73UHID0iN/ - 71 Ol ON35 ONV NVJS 'NO/S 3SV37d•Wand, 71VW3 NI N011V7WNV3 SIKI'1d33X3 COY MM .5-5—a313V AVO 553NIS08 081H1 3H1 i0 1HO/NOIW NYHl 8311/7 ON 80LST a0A ❑New Structure ❑Addition' CL9'" ''a7;�,'�91 � amorN�3uNo1'Wvaaavld Nstimated Cost of Project: O LL OA 1V ONV MON V WAI730 a0 IG3101 O3a �i M13-13V Nan13a'031JLLU3371VkV NOLL7VSNVdl SIH1733NV301'0373JNV738771M NOLL3VSNVtl13H130117O ON ' ❑Other 1SMUNi Al'an33S ANY ONV'3J110N NOI1V7733NV3 anOA",=n 0 a3n35 3H7 Aa tdla._ R3 SO _ OLNlHlm.03N8n13838.nIMnOAAe•O31N3X3,1N3Wn81SN1378V0003NANVONtl l a �N�- -'-�-mom• -s®-l nOA AR 30 VW UWWAVd ANY NI 030VN1 AldJdOYd ANY'737NY3 nOA it 31V0 3AO8V 3H1 wool SAVO Sm m8 Will the lot be re-graded'? �Ye�"' N 011`8080A17VN3dANV1nOH1IM'NOIIJ-Wit,pexeemffl7cberemovedfrompremises? [:]Yeses ❑No . �'iKtt9' IL ANON~ 1 I ORO'PRTYINFORMATION"" Existing use of propertya(p (,( �t�91111 1eS1C(El'1C� Intended use of property:Sli j.C, -CCLr »I r-eSl'den6e Zone or use district in which premises is situated: M1rtf_�a Are there any covenants and restrictions with respect to this property? ❑Yes �No IF YES, PROVIDE A COPY. -Ch eck.6ox,After.Rec Ing: The owner/contractor/design professional is responsible for all drainage and storm water issues as provid'ed'by ~� Chapter 236 of.the,Town.Code:APPLICATION IS HEREBY MADE to-the Building.Department,fot,the issuance of a Building Permit pursuant,to the Building-Zone. Ordinance of the Town of Southold;Suffolk;County;New York and other applicable Laws;Ordinances or Regulations,for the construction of buildings; additions,alterations or-'for removal or•demolition°as:herein described:The applicant agrees to comply with alLapplicable laws,or'dinances,bu ld" 'c-de; housing code and regulationa:and to admita uthorized inspectors on premises an din building(s)for necessary inspections:FaIsestatements,made herein are. .punishable as a dlass A"'misdemeanor pursuantto'Section 210:45 of the New York State Penal Law.' Application Submitted By(print name):TI(Ylethy 4cxZtCY1 (Authorized Agent ❑Owner ...__O .._. Signature of Applicant: j Date: STATE OF NEW YORK) SS: COUNTY OF 1-imb-t-hA 40USt-Dr) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the (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 , 11 Ion,` Not ••01���i Cn PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) VX Z. �'L�5 � ..tds• . ��e{�163 o 0.4 gyp, A� 00 X11 •e I, Ri Chard 6 01 d,Sm l t-h residing at a05 SUMM, I i- LLL1'1Q' CI,t I on do hereby authorizeTIVY-Qt`1 kAbl.6 bn & t1�I tCch .SoVo_c to apply on my behalf t- the n of Southold Building Department for approval as described herein. Owner's Signature /� Date K r C!�✓,�-vU�l (_b Lo,(y ./ Print Owner's Name 2 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, residing at ()05 SUmm l fi LC —1e. (Print property owner's name) (Mailing Address) E%S Mar(bO , N� do hereby authorize ffi J-CC� )ICLr (Ag) Inc to apply on my behalf to the Southold Building Department. (Owner's Signature) (Date) /�, (-,'�'w (Print Owner's Name) BUILDING DEPARTMENT- Electricahnspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 "y Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a�southoldtownny.gov - seand(a south oldtownny.gov APPLICATION FOR ELECTRICAL.INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: ` 1 Company Name: m IS Qcc-IT I C Name: Tirnofih -ftOUS+C�n License No.: ��-5�41 g� email: 1�ala c� QOl •CO rYl Phone No:lA31• "Oq QI request an email copy of Certificate of Compliance Address.: , 2tp SGACt'SCr-\ CrCSC C Orf l l�l JOB SITE INFORMATION (All Information Required) Name: Ich rdl C-lodsm i th Address: t Cas-t r,Ac --ion NJ G4- Cross Street: Phone No.: (v31 . WT • C CLI Bldg.Permit #:=:U�2email: cul . Tax Map District: 1000 Section: C)3,8 .CC) Block: p-I . o Lot-.0tO.C�3 BRIEF DESCRIPTION OF WORK (Please Print Clearly) 1 nStnl I Soar py s QStc m - eco-r- tz� 137C MOS f <SOMS for dP i-cues Check All That Apply: Is job ready for inspection?: =YES [ENO =Rough In ❑Final Do you need a Temp Certificate?- ®YES [:]NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect F-1 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.xlsx •."' Suffolk County Dept. of Labor, Licensing & Consumer Affairs MASTER ELECTRICAL LICENSE Name TIMOTHY HOUSTON Dushness Name ?5 This certifies that the HYTECH SOLAR INC bearer is duly licensed by the County of su`Poik License Number: ME-54187 Rosalie Drago Issued: 10103/2014 Commissioner Expires: 10/01/2022 i A�® CERTIFICATE OF LIABILITY INSURANCE DATE (MM21 12/00 9�) 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 CONTACT Danielle Polonczyk NAME: Brown&Brown Insurance of Delaware Valley PHONE (856)552-6330 F (856)840-8484 aC No Ext): (NC No): 2000 Midlantic Dr,Suite 440 1:-MAJL dpolonczyk@bbdvins.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Mt Laurel NJ 08054 INSURERA: Southwest Marine and General Insurance Company 12294 INSURED INSURERS: New Jersey Manufacturers Insurance Company 12'122 Hytech Solar Inc INSURER C: 6 Washington Avenue INSURER D: INSURER E: Bayshore NY 11706 INSURER F: COVERAGES CERTIFICATE NUMBER: 12.11.2021 MASTER 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. NLTR TYPE OF INSURANCE POLICY EFF POLICY EXP I SO WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A PK202100015171 12/11/2021 12/11/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X JET LOC PRODUCTS-COMP/OPAGG $ 2.000,000 POLICY F-1 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLALIAB X OCCUR EACH OCCURRENCE. $ 5,000,000 A EXCESS LIAB CLAIMS-MADE EX20210001722 12/11/2021 12/11/2022 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATIONPER O YIN TH- AND EMPLOYERS'LIABILITY X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICERIMEMBEREXCLUDED4 NIA W42088-521 12/11/2021 12/11/2022 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Installation Floater Single Location 100,000 A PK202100015171 12/11/2021 12/11/2022 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2018103) The ACORD name and logo are registered marks of ACORD DocJSign Envelope ID:2A371119-1D73-4C05-8A6E-F3DCA1EC270B ' Workers' vc -, 'CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Boar 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured : . - . . , �. - , ,. .631-595-5500 .. . ' • ; '. i��• ,, . . Hytech Solar Inc 6 Washington Avenue 1c.NYS Unemployment Insurance Employer.Registration.Number of Bayshore,_NY 11706 Insured Work Location of Insured(Only required if coverage is.specifically limited to'' 1 d.Federal Employer Identification Number of Insured or Social Sec_urity certain locations in New York State,i.e.,a Wrap-Up Policy); Number - 81-2376682 C. 2.Name"and Address of Entity Requesting Proof of Coverage '3a:Name of Insurance Carrier (Entity Being Listed as,the Certificate Holder) New Jersey Mariufacfurers'Insurance Company 3b:'Policy Number of Entity,Listed in Box"1a" Town of Southold W42088-5-21 PO Box 1179 3c.Policy effective period Southold,NY 11971 19/11/91 to 19/11/99 3d.The Proprietor,Partners or Executive Officers are Q included.(Only check box If all partnerstoficers 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 3 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: Danielle Polonczyk Print name of authorized representative or licensed agent of insurance carrier) ftauftned by: Approved by: 5 M.4,m PA"o 61SFn'-7*06153Fij nature) (Date) Title: Broker Agent/Insurance Producer Telephone Number of authorized representative or licensed agent of insurance carrier: 856-552-6330 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 DocuSign Envelope ID:2A371119-1 D73-4C05-8A6E-F3DCA1 EC270B Morkers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter,-and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to_any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection;with.,any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that compensation for all employees has been secured as provided by this chapter. C-105.2(9-17) REVERSE SNEW workers' CERTIFICATE OF INSURANCE COVERAGE ATE 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) 1b.Business Telephone Number of Insured HYTECH SOLAR INC 631-595-5500 6 WASHINGTON AVENUE BAY SHORE,NY 11706 1c.Federal Employer Identification Number of Insured Work Location Of Insured(Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) 812376682 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 3b.Policy Number of Entity Listed in Box"1 a" 53095 Route 25 DBL486077 PO Box 1179 3c.Policy effective period Southold, NY 11971 05/06/2020 to 05/05/2022 4. Policy provides the following benefits: ® A.Both disability and paid family leave benefits. El B.Disability benefits only. 0 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. r7 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 above. Date Signed 4/22/2021 By AW, 4� _ (Signature of insurance carrier's authorized representative or NYS Licensed 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 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 Fart 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (10.17) 11111111����������o�o���������������o������������1111111 ;ACCPR CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY1) 09/09/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Carol Perilio NAME: Newbrook Insurance Agency PHHONN (631)473-7059 FAXEtl: (AIC No; (631)473-7592 14 Roosevelt Ave ADDRESS: certificates@newbrookins.com INSURER(S)AFFORDING COVERAGE MAIC# Port Jefferson Stat NY 11776 INSURERA: Merchants Preferred Insurance Company 12901 INSURED INSURERS: Merchants Mutual Insurance Company 23329 Tim Houston INSURER C: Dba Tim's Electric INSURER D: 126 Jackson Crescent INSURER E: Centerport NY 11721-1055 INSURER F: COVERAGES CERTIFICATE NUMBER: CL219904495 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 MAYBE 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. TR TYPE OF INSURANCE PO CY EFF POLICY EXP I SD D POLICY NUMBER MM/DD MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE OCCUR DAMAGE TO RENTO PREMISES Ea occurrence $ 500,000 MED EXP(Any one person) $ 15,000 A Y CTR1002052 09/07/2021 09/07/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2.000,000 X POLICY JECT �LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLAUAB X OCCUR EACH OCCURRENCE $ 1,000,000 B EXCESS LIAB CLAIMS-MADE CUP1003087 09/07/2021 09/07/2022 AGGREGATE $ 1,000,000 DED I X1 RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Town of Southold is included as additional insured when required by a written contract or agreement,subject to the terms and conditions of the general liability insurance policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©198888-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD YORK Workers' Certificate of Attestation of Exemption STATE Compensation from New York State Workers' Compensation and/or (Board Disability and Paid Family Leave Benefits Insurance Coverage "This form cannot be used to waive the workers'compensation rights or obligations of any party.** The applicant may use this Certificate of Attestation of Exemption ONLY to show a government entity that New York State specific workers'compensation and/or disability and paid family leave benefits insurance is not required. The applicant may NOT use this form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which you are requesting a permit,license or contract. This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Building Permit TIMOTHY HOUSTON 126 JACKSON CRESCENT From:TOWN OF SOUTHOLD CENTERPORT,NY 11721 PHONE:631-423-0904 FEIN:XXXXX0091 The location of where work will be performed is 205 SUMMIT LANE,EAST MARION,NY 11944. Estimated dates necessary to complete work associated with the building permit are from December 14,2021 to December 14,2022. The estimated dollar amount of project is $50,001-$100,000 Workers'Compensation Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The business is owned by one individual and is not a corporation. Other than the owner,there are no employees,day labor,leased employees,borrowed employees,part-time employees,unpaid volunteers(including family members)or subcontractors. Disability and Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: 1) owned by one individual; OR 2) is a partnership(including LLC,LLP,PLLP,RLLP,or LP)under the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation,with those individuals owning all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own at least one share of stock); OR 4) is a business with no NYS location. In addition,the business does not require disability and paid family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (Independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law.) I,TIMOTHY HOUSTON,am the Sole Proprietor with the above-named legal entity. I affirm that due to my position with the above-named business I have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true,that I have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that I understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,the above-named legal entity will immediately acquire appropriate New York State specific workers'compensation insurance and/or disability and paid family leave benefits coverage and also immediately furnish proof of that coverage on forms approved by the Chair of the Workers'Compensation Board to the government entity listed above. HERE Signature: �_ Date: Z ; . e. i:. -Received 1 Egemptlo n:C m tate,Numfier. '. December 14, 2021 '2021-077533.'-` _ - I NYS,Workers'."ensation'Boaird'£i CE-200 01/2018 ENP MR RODF4IDOUTSIDE OUTSIDE 1 I BASEMENT BASEUENTj$OUTSIDE NP SEA UNDER MODULE TRANSITION CABLE, 0 I \ rR S70MFR•5 WIERNET I I UTILITY 5 1 En CONNECT@I I IMkm lmadan IIrr��IIrl 672 ANE THAN-$H..wwiw„ ®iz AWO TTRWWNN-7. 1 MunIJiV(E) z G6.P ]40N Ed meek Odd, •••••• rcm m 612 AWC MNN-2 1 720240 r saneddle BSI Pvc TgIsGIND (1�-NemNa-O.PFJV(000 BLKGS.]40-NodvYa ASCOKUPENPHASEACCABLE SOLAR SEFMCDISCE -INSLATED PIERCING126ASER VICEIN FREE AIR UNDER MOOUIE, tRANSITIDx CARIE 5217 -CTS(2)AC SUBP _ LATTITUDE 20/24OV,10, Enphase 10.7 - _` J J rr-1 L1 41.117044 Mian lmemn MAINE) I , z59A i � , LONGITUDE (15)-HarrvAa-G. HamA, H„w„ -„ Hmw I -72.347392 _ www UO B G6'340DNaduka \ Ne4als Nmd, MaeW aNede 2PWA (�L LOAD(E) i_ I MAIN BREAKER N (15)-Hanwlw-OJ'EAK DUO BLK-Gee]e0-Wauhe mT ->-=, cC- OC I " PHASE AC CABLE ROOFTOP I IN FREE UNDER MODULE-, TRANSITION CABLE-� JUNCTION 00k { 217.1 15A , I (U m (OU(S ECC MO (8j Enphaw SS-- I I 1 l E%ISNNG 200A MAIN Ep s��n _ 250.88 25G6B Mi I ne i I SEiMCE PANEL 120240 V I , � 1 ' DOB STAMPSrSIGNAMREb Ij Ii s2rn12P.z0A HOMEOWNER: a-Ha was-G. _ Ha e w H W. w Richard&Judilh PEAK DUO BLK- saw ] ]sow m. NmWe Ne aamm I ' 5217.12Pc20A 1 Rm 6fi ANE TxNN-2, - Goldsmith GW 3d0-MceJpa (I)BU(96 ANE THE COLD WATER SERVICE(E) (()) I QRWNDWG ELEDMWE, i s 1 W11T 66 AWO THWN-2. ODUPIIES PATH NEC "'UND RDD iI- _I I I 1 (%U1 66 AWO THWN-2 GND 250s2(A), it DIA,B LONG 5-12P.IOA (9)-NarrMa-O.PFJIK DUO BLK<i6.]40-NOtlJea II I IN 1•Schedule DO PVC I Cl1MPLIES IN NEC ADDRESS: AC80C OROUNOINO CONDUCTORS 250.52(A)S(B) PER NEC ARTICLE 69.,CHM THRU(� , 205 Summit lane, 1 LOCATION OFOVERCURPEM CONNECTEDASPER699A6,6 , East Marion,NY I PROTECTION AS POR NEC 11112=”" 11944 is ARTCLE 705.]1:Overcurrem prptecnan/sr el<mric power prcdumlon scarce cpnduclpra, NOTE:VEWFYOROUNDINOELECTIiODE nc<ted to the supply side 01 IF NONE INSTALLNEW. CONTRACTOR: I_0 � the aerWce diacermenin0 means - in eccardance with 706.13(Aj, -naD hekokawilMn]m RSI n( Hyteeh Solar-Hytech Soler of mepmm where the elecvie -K.41CRAnINGOFALLEIREAKERS.13ATIOK parer prpduenpn a ADDRESS: Idpmara are o.—d b the v (2 2)RED610 AWG MWN-Z ELK 610 AWG MWN ae Ice, pLLCONDUCTORSARE COPPER UNLESS NOTEDOMEfM75E ( -'1, (t) GND 6VYashingNYAve,Bay Shore, GRN 66 AWG MNN-211706 V �•_ NV ONE IN i•Scheduk 90 PVC Q—Jul eomramar rp veriy IMerepnrcenpn requfiemema Wth El—i W Utility,tar mien Satish and akndvds Ekchictl epmractertp proWde eryarislpn j01nk ab archprinD of a1 wntlWt r.-.u per JALLE-111MOUNTED NEC mAuiremcma PHONE COMBINERS,JUNCTIONB0""C PrEUCTFdOAlGM mnakNEQUlilyoenmctienwnh• Wth,O-CUSTOMEROWNED 831-595-5500 MROUGHS,dSCONNECRSAAMRATEL. ELECIPoCAL OENORATIOX E PwfEf2TC0IPV.YED•with epWCPrkte hazertl antl SHALLBEIIDN.NEMA]R RATID. otput mUr•.W o1PV sy:km EMAIL �UEyIfE'1V� W4.0.7 ROOFTOP CONDUITS AND PIPING.TO M %IM E MAUM EXM TEPRACiMABLE, iconneat@Hytechwhirwm CONDUITS, POWER OUTPUT-PTC 40RATING%d UODULES%MJWEFF INCLUDINGCABLE TRAYS,AND PIPING SHALL BEINSTALLEOAT ROOFTOP WMASTER ELECTRICIAN: n W IONSHORE 915.1. .0.97-1n,lna ® TN EY OO NOT OBSTRUCT ROOFTOPACCESS LANDINGS,CLEAR PAM OF REQUIRED 34TOTAL-12L28 Timothy HDU6tdn PIPING SHALL RI9IMPRACTICABLE TOAVOID MESEAREA9.CANOURSAND ME-54187 V PIPING SHALL BE SYSTEM OUTPUT RATING HAZARDS. E INSTALLED TO FACILRATEACCESSANO MINIMAE TRIPPING HAURDS,6TEP5 PV Mq%OC OUTPUT 134 kW PHOTO-VOLTAIC OR VIDEDM(ORPLATFORMS VIRH 6TEP5,RAMPS OR LADDERS)SHALLBE PVMA%ACOUTPUT-1Dkw CONSTR 0ELECTRICAL 3-LINE ATARE ill CONSTRUCTED OF NONCONBUS7IBLE MAlER1AL EOUIPPFJ)MATH RAIDNGS,ANO NOMINA OPERATING CURRENT-SSA DIAGRAM NOMINA O DESIGNEDTO LOPEMTINO VOLTAGE-240V yyymmmlll fV (f� HHEIGH ANVCONOUROR PIPING INSTALLATIONS THAT E%CEOIIFOOT(]OSMId)IN DRAM BY, Ka 11 ABOVE ME ROOF SURFACE,OR MORE ME 24 INCHES(61DMM)IN WDTH,TO BE Brancnl Brancn3 t EB READILY BRANCH VOLTAGE=24P/ BRANCHVOLTp -240V TRAVERSE STEPS. PLAMORMSAND LADDERS SHALL NOT BE PLACED IN SCALE:M6 yv� (2)SET OF INVERTER AMP-1 INVERTER AMP.1 PROJECT/: l (1)REp 612 AWE MWH-2, ARw BRANCHVOLTAGE-16 BRANCH VOLTAGE-9 AMALINEMMINER TNAT NOULOOBSTRUCTANV DOOR OR MEANS OF EGRE63.ALL BRANCH VOLTAGE-20 BRANCH VOLTAGE-t135 E-100,00 X. (1)ILK 612 AWG MWN-2, OGNOURSAND �1)CRN/6 O MKT(-2 GND PIPING INSTALlAl10N5 SHALL BE COLORCODED VM CONTINUOUS,DURABLE he ` IN 1•Scdofme BO PVC AND Br1V-`T JI WEATHERPROOF REFIECTNE OR LUMINESCENT MARKINGS ASI FOLLOW',AND BRANRANCHVOLTAGE.240V FOR THEINVERTER ANP-1 CONDUITAND PIPING INSTALLED JULY 1,20f4,SHALL BE CONTINUOUSLY LABELED BRANCH VOLTAGE-15 AN O INBRANCH VOLTAGE 1 HIGHVOLTA NERELAT LNG_RED. IT CONTENTS 1.HIGH VOLTAGE VNRINO-RED.2.LOW VOLTAGE WRING-ORM, GE PAGE 1 OF 1 l APPROVED AS NOTED B DATE �'�a' •P•# 3 OCCUPANCY O FEE: BY: . USE IS UNLAWFUL NOTIFYSUILOING DEPARTMENT AT � 765-1802.- BAM TO 4 PM FOR THE WITHOUT CERTIFICATE FOLLOWING INSPECTIONS: OF OCCUPANCY CCUPA CY 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 'G( I�iPL` WITH ALL CODES OF OR CONSTRUCTION ERRORS. NEW YORK STATE & TOWN CODES .AS REQUIRED AND CONDITIONS OF SOUTHOLD TOWN ZBA SOUTHOLD TOWN PLANNING BOARD" KCAL MSP=ON REeuMW SOUTHOLD TOWN TRUSTEES N.Y.S.DEC RETAIN ST0RR4 tAJATER RUNICi PURSUANT TO TO CHAPTER 236 OF THE TOWN CODE. J A M E S J. S TOUT A R C H I T E C T Bc Assoc . 2 G REG L ANE E AST NORTHP0RTN. Y. 631 — 8 58 9388 Letter of Certification December 13, 2021 Goldsmith Residence 205 Summit Ln East Marion, NY 11939 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 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 7-10 The existing 2"x 12"@ 16"o.c roof rafters will provide the required support. Thank you for your understanding in this matter. James J. Stout ��RED A& S J STS y sV� 021633 O OF NE�� ' = 4 W ag 3 o rm W pm W UR-4o . .��� �rQc� UR-60 (n r z Solar Mounting Solutions features two rail profiles,,. • U o Ultra Rail W z _ ¢ a with all existing mounts,;module clamps,and accessories foneasie of install. 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Allmu BB%otrwrwul0w,v tivfiO �•u�- r •• i OptSnetyt�,wne—fire vJeeVlar unto Cr%. a:mwar TlwemmrmA..(Is4% 4 t - mR•deemw RwymcNl.an calx ' OAxA'4+R bw•fgh[and t2n+pOmtaro txsw•ior, Ln. ! dmnwwpoveruab101<•:%AI pl�. 1 I aF kai,es%w>.wrJM or•.oraaro � I i Z F ENDURING HIGH PERFORMANCE ,w mrd..,tl:t a,axa„mw:n lawa4x. _ O O Long-02rmrLld tect and ty with Ami TreoeableQlD andAnt flO Technology'. I a.fur wenvnwan --.w m-- xarN'„ I N Hot-Spot Protect end Traceable Ouati[YTraO" f� moww�rn t,xmsalmoccu.sm ,... 5• I O d ��«a•nrra,masavn.•roome ., '. M1:°' EXTREME WEATHER RATNO �.„-�,,:;a,Y.,^. "x^ tn�mwDenvmmm wnmaasa4ememam ^ I C00 Q UJ j O j High-techs Rtimm dlorlteme,Car90ud br high snow _,_-.____„___-__.._.-._._- .__.____. �COO�O°r�•las•C.lonow/mq ^^`___ s [O F ' m 7/ (5400P.)aid Wind food,(4000 Pa} TEMPERATURECOEFFICIEMB W tamPa•nlun>w•11lewntot:.e v (%/Kj •O.OA Vi¢mys:nb.rR cnd,lts+,nt al v,.. p I%/KI "0� i I O c ❑ U r.1 A RELIABLE INVESTMENT _amyv_.#o,e Coefik Icor of ver T 1%,K] -026 Mua:;eomxnu:.9 TrarPmm.ac NMOI 1'FJ 109xs4030•C)- a 'y H.. •D f InWsbOlsYenr PI dic[ retnd 25-Year ��f Yn2nr . port—ncowanant>r. PROPERTIES FOR SYSTEM DESIGN i Cl X ul YAAr:mem• nvnta,In Vo-.s ..-i�F....-....•_-..•i000(1LC)/1000NU s:.;=r Cl,-.._._-_._.-...._......._.._...._._�_.-_____.SII STATE OFTHE ART MODULETECHNOLOGY __:n xn*:oa Pv,a Rem J4 pCJ - _ 10 yav Rannl)bcsctl an ArtSli Uk lY03 � C(ILC)/-Lx(UL) y N m jV OANNMDUOcrn3+blra nigecWe l epareLbn ^,x!cw::9�io<a,w�•,;r,,:l• pns/hi n136o0Pa)/a5 f."60aPe) mn:oaMx:.:.ton:aurn:rhe v AO•F w,ro•16S•Fu o r N () 0 ill ' t�J and kin-tnewid.9 1h OANTUM Tod-1 gy M»:ost tv,c.:'vs..liNn- 9uv/tt•7 I3]15'300Pa)/84(4000Py cn Cam:moue ourJ (-40•cuD> eb-cl Z j w W 1 I ssw kaaetnn Meow > raPT Nnro4xmm:oN.3atEGTa6]89410m5.nvlm0P1-150oV.1aePo i "�tl#eR,aa m:vb W!vemhfwmetim J I QQ (] O 1 m QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION }b t UL iJ0.t.VD[o-,n,Taite4CE-carylenC:ZC 61z35TpI6.ICC-00016. Nurbar or Muauloo R•,aaLel - �y_�V--- 32 s O Aryfmvm ClAsa n,U9 Da.eerM.9,893,a16lrrxar w4l --- � � t i Ncmcsr a vsadta nor v'rak>r r C E k aaWl�r,tk d,�.�m„nm._ THE IDEAL SOLUTION FOR: OVE Sp° �,�pn:n,..>:m„ia.v✓,:rr( )11.,As3.Ae.Omnets.llso>laionmj Q P1 O O ' R:>u�urrJzw vnvdr vl.IRnl _ _ _1505'Da H683kg1 i Q• ^ i dLLmn+uWb.:ea Nob:lrvtdmmnker•uclvry maOv bbwotl.Sm lM e:veB#ArmwvxaP'q msuela cveacim�'nKM snvra tlover:rtmt(m tuNa•u:rama:m maOOrovna viNe9e:h+mi um F ^ 0 W ems. m R RNRm� } F p: a i o Z W C�CELIS Nw.�e�lk.. ainx N , o m_W o Engineered In Germany 400 SDoculm Cvrxvr cn-8unv140D,Irvvo,CA 9x618.U3A l-1009WS 50901[MAILwPnry�if p u%co:nl WFAwrvwa-cauaw D -j J a. 1 UI 0 1- Z W i F as u a NZ • i 7 NW � 4' W • W Ory LLJ ] p FM L r- OV W S or Enphase IQ 7 and IQ 7+Microinverters Enphase Microinveriers INPUT DATA(OC) 107.60-2-U9 107PLU3-72.2-US xl`:dot i.e. - U W ' Corranonlyusetl module painn99` 235W-350W. 239 W-d40 W. Modulecompallbllby 60-ceIV120 halfceil PV modWes 60-111120 half-celland 72. W v t .1, cell/144 h¢If-call PV modulas rl Z Maslmum Input DC voltage 48v 60V Lr peak porrsr veckdng vollaBe 27V-37V 27V-45V U1 C m y` E DperalingranB. 16V-48V 164.604 ry Q u MI MA.start voltage 32 V 148V 22V/60V LJ. ho The high-powered smart grid-ready 1.1 DCshaneveue,wment(mOdWelae) 15A ISA W o Enphase Overvollage class OC par, 11 11 Y H Enphase IQ7 Micro"and Enphose IQ 7+Micro" ocportbackf,edaunam oA oA vE w N u IQ7 and IQ 7+ dramaticafysimplifytheinstaliatonprocesswhile Pvarroyconrau•ition Ix1ungnondedamy;NoaddrionalDCsideprotectja,required. I W v y o AC side protection mourns max 20A per branch cbcult C C 3 > p achieving the highest system efficiency. OUTPUT DATA AC l0 7 Mmratnvener IQ 7.MloroN ne, m = lin Microinverters Pea avrovwwrer) zsovA 29sva @� th Part o`the Enphase IQ System,the IQ 7 and z o MaxhOun conLn....utput pOYler 240 VA 290 VA �O E IQ7+Microinverters integrate with the En hast S 9 F Nomnal(�L)wttag,/targe' 2404/ 2032/ 2404/ 2934/ N E IQ Envoy',En hase IQ Battery', 211-z6av 183.2294 27]-2644 133-2294 1L m y p ry",end the Enphase i 1T— 'o In onto htaximun cOminuous output wrrent 1.0 A(240 V) 115A(203V) 1.21 A(240 V) 139 A(203 V) LL Al N on Enlighten-monitoring and arlalys's software. nominm trequenq eo Hz 69 Hz J Al N � Extended fmiluem —g¢ 47-68 Hz 47-68 Hz = IQ Seees Microinverters extend the reliability y ❑ AC then circult fault current wer3 cycles 58Anna 5.6 Arms In W standards set forth bypreviousgenereConsand Maximare units par 20A(L-L)branch cectcO 76(240 VAC) 13(2OSVAC) 13(240 VAC) 11(208 VAC) In J undergo over a million hours ofpower-on testing, 0—xipage.1s.zACma W It W Z it U ACperlbackfeedc nmI 78 mA 18 mA enabling Enphase to prov;de anindustry-leading Power rotor aomg 1,0 1.0 J W O ❑ warranty of lip to 25 years. Power factor(mt.a able) 085leadN9-085 Wgging 0.65 leiminc..0.851egolnO F-• O Q N EFFICIENCY [Ic240V @308y @24UV �20av P ¢f6clency--'--�'- 97.6:. 97.6'% —^-97.5% ----97.3','-- � Z eak CECweightedefficiency 970% 970., 97.0% 9702 MECHANICAL DATA Amblmliemperatumomm .ac-C to dWc �- EasytoInstall R¢bilvehtnntddyrange 4Y,to t00`.(candehsmg) _ comecfor type MC4(or Amphenal H4 UTX wdh eddalcnel Q-0CC-5 adapter) Lightweight and simple O;mam:ions()IxWxD) 212 mmx 175 mmx 302 mm(wdh—bracket) 1 ` ;- faster Installation with unproved,lighter two-wire cebhng Weight 108 kg(238:bs) z Coelin Nomml conveawn-No fans •Built-in rapid shutdown c—pllanl(NEC 2014 S 2017) 9 Approved for wet hcation4 Yes O 1 a 1 j POIIWIon degree P03 ! ppQ 10 rn Productive and Reliable Encloeae claasndovo-!e-mswat,d,corrosion res+atam poymerlpemlosme i ko ~ VJ •OpbmfZed for high powered 60-Cell/120 half-cell and 72- EmInmenenlal cafeOory I UV exposure ramp NEMA Type 6l outdoor , i in Will 44 heif•cell^motlules FEATURES p C /L W •More lhanamlllion hours of testing Cemmuni aba1.-.-'----�---'---- power LM¢Cammun¢at�°n(PLC)�--�y----�--'-•-��-"��-"- � OF � O i � •Class 11 double-195uleted enclosure Monitertng EnlightenManager and MyEnlghlen nwn4orit,g apbons. Np 2 C r�rEnt Both opf—eii.k.6 11 7efall.—fan E,phaeo IQ Envoy. CS X Y, W i J Misted Diacormecting means The AC and OC comectahave aevaluated ve been end approvad by UL for we as the loadhmak \ ry disc°meld required by NEC 690 I N Q : Oomph—is CA Rule 21(UL 1741-SA) tO Smart Grid Ready UL62109-C22_2 NO,EE7.1.01 FCC Part 15 Class B,ICES-0903 Class 3,CAN O m W Com II,S Ynth advanced dSU VoItO and ThIapmA-C22-2N0.707.1-0I z P 9n pppft, 9e Thls product is ULLuletl as PV llapW Shut Dawm Equipment and mnfom,s with NEC 2014,NEC 131 Z _- ftequencyride-throughrequiremems n017.and NEC 2020 section 69012 and CZ21-2015 Rut,64.218 Rapid Shutdorm of PV Systems, H, fp al and DI ccrw'uciam.when lntteiled ece0(dln MI(aptUrar61na1nfgilOn9 m Q •Remotely uptlatev to respond to changing _ 9°171 Q C) to gridrequimm.m. Q 7 0 O •Configurable forvarytng grid profiles •Meets CA Rule 21(UL 1741-SA) •rlsn/,tAr,u.o,c4u,rvlla i+e+lwrl/'2a VI<4bNr f,nru,hd,s Lhuenlu,avd D{:lA::lal'a5¢e rhe em,ax,llltly,alna.,t,a el l�W6L''n6ox4ipMenlU[CVppaVAtMWi¢41CpNLLS.Ie. a P7 Q Q ' ® 16uninal vdlegs nnpe can br naMa4ed lnY,n:A n,•r,nal I,eeo nU°Y.,c un ly. , r , nn la nxry vvv.0.cler,01pcn1 tt4u7ammisto ticrinc Ina namfn of rn r.0 irv'"tva pry binn.n:nymn a,ro . bout Enphase offerings,visit ❑ W W To learn more about Enphase offerings,visit enphase.com V`�ENPHASETo learn more aEN PHAS E. Q, eJP.p"naM•e[^ac,'-,vin^•.ocrxa Le�tsm _,e•,•r:!.u.[rx,avv'J{Er•p•+n•e l:l i-.b.>,+a-c ri a-a-e./. 0 z Z [rvsrvz�.:aa,,..v:>r..,s::e...-. e.-,.:,-r..l,°...,.,.o-.,m,,..,,�r u,e,...-,:,..1_ra,6.,x -.,,:,n�.wa.,.vc:2oc-,•: N I- m W o G 0 ❑ \ Q 7 JZ W L N WIT E c o Z W f ly U) Q E7 z 3 otW SOLAR INDIVIDUAL PERMIT PACKAGE SATELITE IMAGE CODE INFORMATION N 00 a APPLICABLE CODES, LAWS AND REGULATIONS _..I w N D m " 13.60KWGRID-TIED PHOTOVOLTAIC SYSTEM Q 0 03 o 0 0 2018 International Budding Code(IBC)i 2020 BCNYS F El- Cj in L9 ��4 2018 International Residential Code(IRC)/2020 RCNYS Q D m � 0HOMEOWNERS NAME: 2018 International Fire Code(IFC)/2020 FCNYS O :@:� J 2017 National Electric Code(NEC) o w 2018 International Ener Conservation Code IECC /2020 ECCCNYS 2 RICHARD & JUDITH GOLDSMITH Energy ( W m 0 GENERAL NOTES _ o Q PROJECT LOCATION: ! ;/ _j 0 0 1.SOLAR PANELS WILL BE(40)(Q.PEAK DUO BLK-G6+340)34OW PV MODULES, I7 AND(40)IQ7-60-S-US MICRO INVERTERS Q 0 ^ Z 2.PROVIDE A.C.DISCONNECT: 240VAC,NEMA 3R. 0 4 (631) 807-6674 3.THE AC DISCONNECT WILL BE LABELED AS'UTILITY DISCONNECT AND PHOTOVOLTAIC F W Z 3 SYSTEM LOCK-OUT'LOCATED WITHIN VIEW OF THE ELECTRIC UTILITY METER. — • 4,IF IT IS NOT PRACTICAL TO LOCATE THE AC DISCONNECT WITHIN VIEW OF THE UTILITY W O J O 0 205 SUMMIT LANE METER,THEN A WEATHERPROOF PLAQUE SHOWING THE LOCATION OF THE SWITCH MUST — -3 - BE INSTALLED WITHIN VIEW OF THE ELECTRIC UTILITY METER. 1 Q EAST MARION, NY, 11944 5.ALL WIRING TO MEET THE NATIONAL ELECTRICAL CODE. Q � 6. THE RAFTERS AS INDICATED HAVE BEEN ANALYZED AND DEEMED SUFFICIENT TO a UI F SUPPORT THE ADDED LOAD OF THE SOLAR PANELS AND� CONNECTORS. Q Q I Ln OQ 7.THE SOLAR PANELS MAY NOT BE INSTALLED ON AN EXISTING ROOF THAT HAS MORE [] TOWN OF SOUTHOLD s a, ° inw THAN 1 LAYERS OF ASPHALT ROOF SHINGLES,UNLESS ADEQUATE MEANS Of SUPPORT ARE N W W_I PROVIDED AS PER THESE DRAWINGS. UTILITY: PSEG LONG ISLAND W N L3 8,THE MAXIMUM SPACING BETWEEN THE STANDOFFS SHALL BE 64'O.C. F W 1 � 9. THE SOLAR PANEL MOUNTING SYSTEM WILL BE BY SNAPNRACK SYSTEM. z Q W AN.. Ilk aLL W O Q 0 j ATTACHMENT DETAIL LINE DIAGRAM SHEET INDEX Uw o J Z PAGE 1 (" SITE MAP -LINE DIAGRAM -DETAIL WMP SN1N $NMRIXIFING IYP. ' _ NO( FA ,UR VMMSEAL FOOT (3 u,tal�l RMF MNG, PAGE 2 � 0 (3 ROOF PLAN & CROSS SECTION 0 ULTRAP,L - d 5 N L TM""1°'B1 STRING 1 CONNECTED T PV M W 1 / O WOOD wFnR TV. ( O MODULES)) PAGE 3 H 1- STRING 2 ( CONNECTED TO PV MODULES ) ARRAY INFORMATION AND MOUNTING DETAIL 0 Q U PAGE 4O Z W STRING 3(CONNECTED TO PV MODULES) ROOF PLAN LAYOUT N 0 a :r N1p,ERlmFBIT -_.-.-------. ..._..--- wow000Ne•ee -_ -_.. . .-- PAGE 5 O I Z Ci ROOF PLAN LAYOUT N X W PEI&-M'ION DUAL -a-wAS.Ek S.s F (MAY OaO.ODE NEOPPENE TMPE�� ----------- NEW SOLAR AC 125A PAGE 6 N ' ON m D NEMA 3R SERVICE ROOF PLAN LAYOUT DZ W RATED LOAD CENTER Z 04R MUR9TEOSMFOOT ''.. EXISTING DISCONNECT W IS FILIM WITH SFMANF-M EXISTING BrAP "�MDMO= ! 200 AMP PAGE 7 Q � m Q THE ROOF PENETRATION UTILITY F-- MAIN BREAKER =GDA 0 mom Mo6NPF m METER ' PANEL IN I SOLAR PANEL LAYOUT Q 0 HOUSE (3) 2 POLE 20 AMP L � BREAKER PAGE 8 RED p SOLAR STICKERS Q m \�'C� s s Rcy� 7x TD Roof OEOONG- lv )Q G� FOR USE WITH�PPMVJCXXUULTRA SMES RAILS SfRUC MMEMB (FAPNA, TOTAL SYSTEM SIZE: 13.60KW 0 ED 7 Imo _ � M In 9T yOQ- W ; Mo OF E� Q19z '� ''NW -- — — Z-- N rn z l'V s 00 Summit Lane ❑ w [a 2ARD fi GOLDSMITH I0 7 ,D E O 05 SUMMIT LANE `A- � Ej N FAST NAft10N,NY,1194r U ❑ 40 PANELS M J J N z m Z D In rn W In N z Y J W W= L >. i Q W 1 I L DRIVEWAY \\ — w ❑ > Z \ 0 m 11 _ ° z 2" X 14" RIDGE �/ Q ❑ IT ° ❑ 0 �... ❑ z L9 _ BONDING 2"X 12" ROOF --- a CLAMP RAFTER @ 16" (� F w Z Io Q.PEAK DUO BLK-G6+340 % O.C. M a A '� \ p z 340WSOLAR MODULES j � i j I� �� z ❑ Q 0 BONDIN,:� '� / MID CLAMP Q 2 Q ATTIC - N Ix a ,� 03 A 4-—xm�, , I o 4 1 SnopNRark UR-40 \ s SnuSeat F / Lt. ULTRA RAIL -- peedseal Foot \, LL U N W ❑ ly N W "a \ / W W i S.S. Lag Screw �,� �`.-.v�� /-�� ❑ W J U) _1 0 Q U U EXISTING ASPHALT ROOF SHINGLES ✓ 6.. J /% (MAX 1 LAYER) ON 15# BUILDING PAPER ON 1/2" PLYWOOD SHEATHING r O Q O O Q Z RCE CR ❑ S `C CECT ❑ N -- i iID0.� S>CALE 1//4'=l/-0" / O z � n I! m x�. O i Z l W N O0 DI 0 w ftw O I Z _ ' I _ X (� W ROOF p.Awr wEL wcATON N F Cq o m 11 W j 0 m a . Q m PRIOR TO CUTTING OR ORDERING OF MATERIAL OR PLACEMENT OF THIS PROPERTY PRODUCES THE REQUIRED GROUND NOTE: ALL ROOF MOUNTING BRACKETS SHALL GROUND ACCESS POINTS ARE NON-OBSTRUCTED PER 2018 IRC AND THE I_-FOOT ATTACHMENT, FIELD VERIFICATION OF EXACT RAFTER ACCESS TO THE ROOF ACCESS PATHWAYS AS DRAWN. BE PROPERLY SECURED TO A ROOF RAFTER. 2020 NEW YORK STATE RESIDENTIAL BUILDING CODE. _.. LOCATIONS ARE REQUIRE TO COMPENSATE FOR PREEXISTING RAFTER Q m IRREGULARITY THAT MAY EXIST. � D �ESS octij� THESE DRAWINGS COMPLY WITH THE 2018 IRC AND THE ACTUAL IN-FIELD ATTACHMENT TO THE ROOF WILL THESE DRAWINGS HAVE BEEN DESIGNED IN ACCORDANCE WITH THE (AF & PA) NOTE: WHENEVER POSSIBLE PLACE -i 2020 NEW YORK STATE RESIDENTIAL BUILDING MEET OR EXCEED NYS RESIDENTIAL CODE WOOD FRAME CONST. MANUAL FOR ONE AND TWO FAMILY DWELLINGS. SMALLER SPAN BETWEEN ATTACHMENTSUl CODE. REQUIREMENTS POINTS T❑ AN OUTSIDE EDGE OR OPENING IN A RUN. W L79 N Q m? - NE`N -3 N W --- L------ -- — ----- --- m i w Ln w co0 0 0 7 %o Z) N H ❑ 0 0 - - ---- F 0 !, r ° ,Nn - -- -. _-� J ^ J �A4I ARRAY INFORMATION =®- ` ON N - --- - - -— --- : : z o Lp --------- MAX---- - --- -- Z — ❑ W ENETRATI ROOF PITCH ROOF AZIMUTH ROOFING TYPE RACKING TYPE ATTA1CfPE ENT- FRAMING TYPE FRAMING SIZE O/C SPACING P N PATTERMAX ! ATTACHMEN SPACING T TOVERHANG I ` > _ - -- - ROOF 1 400 _ 1730(S) COMP SINGLE RAILED SNR L-FOOT WOOD RAFTER 2"X 12" 16" STAGGERED 64" 17• ❑ LLI I � m m -- - -- --- - ---- - - _ w ROOF z 400 263°(W) COMP SINGLE RAILED SNR L-FOOT WOOD RAFTER 2"X 12" 16" STACKED 64" 17• �.- In I - < 0 - - ---- - t— ----- --r - ° I ° z O ROOF 3 40° 83°(E) COMP SINGLE RAILED SNR L-FOOT WOOD RAFTER 2"X 12" I 16" STAGGERED 64• 17• Q UI J m u� ° --- --- - - - -- Lc o i - - i Z � 3 W Z .o LL Z < Z o Z ] Fo -- - 1�16 a FIGURE 3: MOUNTING CLAMP — ° TABLE 2: PENETRATION GUIDE FOR INSTALL } Q Na] X, -r_- POSITIONING DETAILS Q 0 0 o W J TWO OR MORE ROWS OF MODULES Z N 13 17" Q Q Z � w Ul W p J — W U Q u] N �l r d a a a . in a Z o o ° 91e uo W SD a aj e m a n na tl] m -- Z STACKED STAGGERED FULLY STAGGERED 0ir Z Q N o ° p ? Q Eq X rn F _ 1�, ONE ROW OF MODULESJ N o m W ° W ! Z 3 a I m a ° -3in in p m 0 Q D ARC _moi— ---- .`� SEs is TO y�T IF -- in �_° - v I - --- 0 Z F FULLY STAGGERED STACKED/STAGGERED Q,PEAK DUO BLK-G6+ 340 m •RAILS SHALL BE POSITIONED IN THE NON-CROSS O r *CHECK TABLE 1 FOR MAX.. PENETRATION SPACING AND PENETRATION PATTERN FOR EACH ARRAY. HATCHED REGIONS a L7 Z 3 NW LEGEND Piece v Count a ♦�/'� _____= S�Nm UR 1 385 Ft. N in W m QCEu 3a w: W 3 0 Q.VEAK DUO B"-A.310 Q ^^ ^ ❑ 66.50'%LTM ❑ L' F • ❑ U ❑ 6&SWXPHOTOVO .SSISana 40 Pc. ♦• r 0 N RAN aennsoa"eI soeo Tor F Z , I N C� W MIN.VENT AREA - -J 13 --- } J r.. `\ Z 0 L 3 Ir 36`MIN.0.00E ACCESS ❑ N ? O -- ---- ----------- H ISI L -36"GROUND ACCESS AREA I j W mQ a _ - W Z E%ISTING UTILITY METER ❑ !n 14Q Z Ul O -j 2 m G 0 ---1'-- -8" -8"— -4' 5'-4 5'-4" '-4" -8" 5'-4" -8" J i _ } 3 Ridge Line-- J �- W Z 18" Min. ------- - - -- -- — --- Z Vent Area w :3 j< ZO -- ---- -- - -- - z k Ex.vent Q Q 13� LQ < Ln U3 N = O Q LL U N W ❑ In U) l- - i- W '- 2'-6" W 0p J I 22 V-5' W U Q \ U) \ J j' t� / 21-11 19'-7" SYSSTETT M \ F-5- HEIGHT F_ O Q W 0 IL 0 a � i \ \ \ Z C) \ O - 0) / Ex.vent ` - M = Z SnapNrack L-Foot \ (V I Q N � X SnapNracic UR-40 Uftra Rail 36" Min. N H Ex. Chimney Roof N N m D (O.PEAK DUO BLK-G6+340)340W SOLAR Access 0 W MODULES W Z 3 0„f1/ ----- 48'-7" SYSTEM LENGTH 0 7 O p X9'-6° Q .n 1110 0000 ,��FtED ARc \SES J NOTE: THIS ROOF WILL HAVE ( 19 ) (Q.PEAK DUO BLK-G6+ 340) 340 WATT PV MODULE PANELS WITH KW SOLAR PANEL LAYOUT #1 OUTPUT OF ( 6.460 KW) AND ( 19 ) I07-60-B-US MICRO INVERTERS. ---- ------- 0 SCALE 3/16"=1'-0" F 7 k W m 6 Q c9 z° 3 rota Fnece LEGEND------ count ------- ----------- _ SrI4PNncR l-Feat 99 PC. g ,^ N Y / s oo ---- ULTRA PAIL 385 Ft. (() W (1) Q{ELL 340 W: QPEAK 0110 BUC-G6.340 Q EDS I`�' P"Or K 4055 40 PC. `_ H' L' ❑ ❑ ❑ PMOTOV 40.Sr$OIM L �} PANEL(—PAR41 WKf M F !'� ❑ VLn r V Ln rneR da ft) m Z l'1 �j1I� � LL N 1 18'MIN.VENTARFA JJ D . I A, Z ❑ Ln � J Rte• 1 N ► , a T '� 'Ij1` W to P7 MIN.ROOF ACCESS ' I7 U 10 — -- f TT to > 36'GROUND ACCESS AREA 1 I- m mU --- - ❑ - W a ex1mNG 1m1m ME'IF0. —'d`--- 4"- 5'-4" =�.-4„_ Q 1 0 Q Z Z -_— J (pU! O ❑ Z J N I } 3 J wz W Z \ 7 ❑ L - a ] � 2 a Q U Nw O \ j \\ ❑ to\` - ❑ to� \ z m W I I w_ o - J ❑ U k0 EXISTING VENT PIPE-- -- \ 22-5” ' U Q U) P— J c \ SYSTEM O / HEI HT D Q 0 M W %0 ►- a �o Q D ' z ; Z 0 17'-4' - -- t- Q' Q 3 " f SYSTEM LENGTH Roof n N O ❑ SnapNrack L-Foot N = Z Access v X U] � W L— SnapNrack UR-40 Ultra Rail N F N O > ij Q N m '.t O MODULES.PEAKUO BLK-G6+340)340W SOLAR 0 W Z W m Q O p m O Q 'GRED ARC, NOTE: THIS ROOF WILL HAVE ( 6 ) (Q.PEAK DUO BLK-G6+ 340) 340 WATT PV MODULE PANELS WITH KW SOLAR PANEL LAYOUT #2 ' C SEs i sTo ti's OUTPUT OF ( 2.040 KW) AND ( 6 ) IQ7-60-B-US MICRO INVERTERS. — - _ SCALE 3/16"=1'-0" ❑ } F- ��► z N l9 1-- N� A- 33 w Li < M -33M z C N E14 -3 N W LEGENDcounoun t @ W es^"nck L•rooe 99 PC. (V 5uPNT ML-0 385 Ft. Ln uR W ry� Q-CELL 340 W: W ❑ `, - AK DUO B +} 'SOL10 ?0 O ❑ F E3Q.PE PN MMTAIC for 4U PC. f F 'T ❑ O Ln N Z r L -] j 0 1B'MIN.VENT AREA 0 ► Y o Ln 36•MIN.0.00E ACCESS � .--- � W N � O In 36•GROUNO ACCBS MFA � , � L Q 0 - _ ❑ E%ISTING UfICITV NEfEN 5'-4" —4" —5'-4" —4" —4" ❑ U) > Z 5'-4" —4" —4" —4" —4" � In V o Q p z QJ 0) N o m I a EXISTING VENT J w Z W < Z Q EXISTING VENT PIPE o \ 0. U] F EXISTING LL L7 D W O Ri ge,Line j 1 "Min. ❑ iri _ �_---- L J. — I _ _-- — V nt Area ❑ i w �- z 0� II \ V 5" a/ W - o J o U ko U Q UJ �- 22'-5" 11'-6" \\ \SYSTEMm HEIGHT \ I \ / O \ / O p O Q Z \� \ W .� 0 F-5" %0 W F- \ a 0 En to 0 [1Z W \ \ SnapNrack L-Foot O N c)0 �•� -- SnapNrack UR 40 Ultra Rail ❑ = Z F— Y, 42'-4" \—(Q-PEAK DUO BLK-G6+340)340W SOLAR SYSTEM N X Q LENGTH MODULES N N m - - -X3'-10" e 0 Z W -- - W Z Q Q m -3 D NOTE:THIS ROOF WILL HAVE ( 15 ) (Q.PEAK DUO BLK-G6+ 340) 340 WATT PV MODULE PANELS WITH KW SOLAR PANEL LAYOUT #3Q FtEDq OUTPUT OF ( 5.100 KW) AND ( 15 ) IQ7-60-B-US MICRO INVERTERS. _ __ \5��eS J s P- SCALE 3/16"=1'-0" oG� 0 J W M 1633 Q [D z F N E�1 N W Summit Lane N o% Wm a RICHARD&JUDITH GOLDSMITH p D j to 2 p 205 SUMMIT LANE EAST MARION, NY, 11944 t F3 I r, o in 40 PANELS FRONT a r o �? ���. a in OF Jr � N . Z ON HOUSE � ` o W o �-- _ N > O R 16"Min. m Roof 0 1; Ass Vent Area a N Q Z DRIVEWAY Ex.vent Q o O 36'Min. Q Ground = ) 3 Access H W Z m W J Z O Z 3 F � CL o � � M U) U N W W J Ex,vent pipe J N Q U p z M w U) O J 0 U Q EO W O J Z H O Xr o Q O p O Q fZ LOCATION OF ELECTRIC METER m -3 O AND AC DISCONNECT W �- a QQ o Z U] O Z W Ex.vent r O Q Ex.vent 0 = Z N rn r X UJ W N O ' Q r NO m W � w Z 3 ry 36"Min. m Roof " Access - O 0 ED ARC �5 Es.i s 36"Min. Ground O Access F U) 36"Min. Hoof I Access 10:Z 021633 COQ' Ex.vent Ex.Chimney 36"Min. Ground Q FF NE`N Access 7 N : WARNING: PHOTOVOLTAIC z job-- A N L' Q ' • - • - O � WARNIN WARNING In W � - W :0)NEC 690.31 (G) (3)(4) W ELECTRIC SHOCK HAZARD � O ] 0 f o Q W • CONDUIT LABEL (1) PER 10 FT v (TURN OFF PHOTOVOLTAIC I - - - --- - F - 'Z 'T o ❑ o i � U N � r C7 � N TERMINALS ON THE LINE AND r O AC DISCONNECT PRIOR TO Q o : a N • LABELS SHALL APPEAR ON EVERY SECTION OF THE LOAD SIDES MAY BE ENERGIZED > m WORKING INSIDE PANEL N • . z o Lp �I,1� WIRING SYSTEM THAT IS SEPERATED BY IN THE OPEN POSITION I� m p ! ENCLOSURES, WALLS, PARTITIONS, CEILINGS, OR ---- — ---- -- o W FLOORS. ' � NEC 110.27 (C) NEC 690.13 (B) —�----1 En > O' Foy, t— � mUa ❑ ul It • • • • _ — Q Z RAPID • ■ 0 I ❑ z ❑ • ' 40.00 • • , 0 Z W � r !NOMINAL OPERATING • 240 NEC 690.56 (C) (3) _ } a w/ • SHALL BE LOCATED ON OR NO MORE NEC 690.13 (B) Z Z D ii Z NEC 690.54 THAN 3FT FROM THE SWITCH U -0 , 0 O a W -3 � a � iQ O V WARNIN I WARNING ul o I W//� 0 ; ELECTRI_C_SHOCK HAZARD ' � N F --- POWER SOURCE Q in Ul Q TERMIOUTPUT CONNECTION. NALS ON THE LINE AND S o Q W LOAD SIDES MAY BE ENERGIZED DO NOT RELOCATE THIS U N W J o IN THE OPEN POSITION Ir Q , . _ _ OVERCURRENT DEVICE. W U 0 F W W NEC 690.13 (B) NEC 690.13 (B) J NEC 705.12 (B)(2)(C) Q C 00 O• • w LO W• CONNECTIONA ARNG ELECTRIC SHOCK HAZARD LINE SIDE TAP INSIDE TERMINALS ON THE LINE AND x � O ! Ij j 0 Q Z W . LOAD SIDES MAY BE ENERGIZED 14 , CAUTION ■ O 0 IN THE OPEN POSITION p ■ Q — ♦ SOURCE. — � Z'Z • • • - O mi o POWER TO THIS BUILDING IS ALSO wOZ ' • ' %0a o • AWARNING aoC 1` 0FROM THE FOLLOWING Z a Z V TURN OFF PHOTOVOLTAIC SOURCES WITH DISCONNECT(S) 0 Z N z •' 40.00 AC DISCONNECT PRIOR TO N O Q W •, _ 240 WORKING INSIDE PANEL p i Z O - -- Z LOCATED AS SHOWN:==�� - S NEC 690.54 ( ) ( ) —T-iL3IJ-Y FIC 1 CK X W G NEC 690.13 B & 110.27 C M N Z I _ N 0 >- > a O ° W Z 3 N • SOLAR PV SYSTEM EQUIPPED WN RAPID SHUTDSWITCH SOLAR LOAD WITH A WARNING ! CENTER/DISCONNECT 0 o m TURN RAPID ELECTRIC SHOCK HAZARD \ ° SHUTDOWN — - NEC 690.56 (C) (3) _ Q m FOR SOLAR PV SYSTEM SWITCH TO THE TERMINALS ON THE LINE AND • SHALL BE LOCATED ON OR NO MORE 'OFF"POSITION ..,\ LOAD SIDES MAY BE ENERGIZED ❑ �RED ARC low UjTHAN 3FT FROM THE SWITCH TOSHUTDOWN IN THE OPEN POSITION I MAIN SERVICE - ° \5� ES.l S PV SYSTEM AND ! PANEL ° ° / F- )P -TOGS W REDUCE NEC 690.13 (B) SHOCK HAZAR ° 0 A WARNING DUAL POWER SOURCE - IN ARRAY L� NEC 690.56 (C) (1)(A) PHOTOVOLTAIC -3 H SECOND SOURCE IS PHOTOVOLTAIC SYSTEM . SHALL BE LOCATED NO MORE THAN 3FT ARRAY ON ROOF w W o 633 NEC 705.12 (B)(3-4) & 690.59 FROM THE SERVICE DISCONNECTING MEANS TO WHICH �O THE PV SYSTEMS ARE CONNECTED. - --- - Q O F NE`N -73 205 LANE _ N ENPHASE AC CABLE IN t REQ AIR UNDER MODULE TRANSITION CABS�EEM LE ROOF"OUTSIDE OUT ,�' BASff BASEMENT'',OU. S (15) Enphase CUSTOMERS INTERNET 1 UTILITY � m Enphase IQ-7 t)t) ENPHASE CONNEC110N I I ( o Micro Inverters "� ENVOY _ 0 Lu (1)RED#12 AWO THIN-2, t n/� (15) Hanwha Q. t Xi vt,n Han.a ... Hstwha ItMWfe L O (t) BLK 4'1?AWG THWN-2, I�/I = PEAK DUO BLK 3apv 3a0w •'• 3/Ow ypw -.-'- (1) MATT N 12 AWG THYM-2, ( + TO UTILITY(E) Z o 0 G6+340-Modules Module Modub Madek Modde - (1) GRN p 17 AWG THWN-2 t20l240 O GND IN 1"Schedule 80 PVC 1 Of Lij ENPHASE AC CABLE 05)-Hanwha-O.PEAK DUO BLK-G8+340-Modula SOLAR 89LAC DISCONNECT ILSCO KURL-TAPr'LI m IN FREE AIR UNDER MODULE TRANSITION CABLE 126A SERVICE RATED INSULATED PIERCING ACCOUNT NUMBER 5217 I CT'S(2) 9674069302 AC SUBPANEL 1 (13) Enphase r t 120 2aov, te, 3w, 125AU LATTITUDE EnphaselQ-7 �) / Micro inverters f k1AINtF: 41.117042 LP:0 14 P (13)-Hanwha-Q. Hawe,a [�.�nwha 2 oA LONGITUDE PEAK DUOBLK- 340v •. ..• H3 Qv� 1M -------- - - -72.347390 G6+340-Modules Madub b Module Modal 2P 60A a LOAD(E) I� I MAIN BREAKER f N (13)-Hanwha-Q.PEAK DUO BLK-G6+340-ModulaECC_ ENPHASF AC CABI.E NFRFF AIR UNDFR MODULE TRANSITION CABLE ROOFTOP JUNCTION BOX52R-1 IBA �(1) #6 AWG (1) #15 AKC, (12) Lnphase r r EXISTING 200A MAIN CU CU GEC Enphase IQ-7 Micro Inverters 3A y� SERVICE PANEL 12(Y240V 250..6666 250.66 .- DOB STAMPS/SIGNATURES 53T-1 2P.20A HOMEOWNER: (12)-Harw.ha-0 Hanwrte HanwM ... ... NwMra f4N"m* Richard &Judith PEAK DUO BLK- 340e 340w 34Qv 34pw G6+340-Modules Madub Module Madule Modxe 521T•1 2P 20A Goldsmith 1 RED H6 AWG THWN-z, (1) BLK u6 AWG THWN-2, COLD WATER SERVICE (E) GROUNDING ELECTRODE I_ I 7u (1) WT p6 AWG THWN-2, COMPLIES WITH NEC GROUND ROD (12)-Hanwha-Q.PEAK DUO BLK-G8+340-Modules 537-12R 15A (1) GRN#6 AWG THWN-2 CND 250.52(A)l ir DIA, 8' LONG IN 1"Schedule 80 PVC COMPLIES WITH NEC ADDRESS: EAD GROUNDING CONDUCTORS 250.52(A)5(8) C ARTICLE 690.43(A)THRU(F) 205 Summit lane, L.00ATIONOFOVFRCURRENT TED AS PER 250,1 2 690.46,6 East Marion, NY PROTECTION A0 PER NEC SIZED PER 250.122 ARTICLE 7011,31:Owemu rwlt 11944 jprobedon far ele, k power prtlduedon solace conductors, NOTE:VERIFY GROUNDING ELECTRODE. fG canrlsctsd to the supply side 0f IF NONE INSTALL NEW. dr service dscome Ung mans CONTRACTOR: w In accordance with 705.12(A), -- --" - sheN be localled wNhln 3al 110 ft) Hytech Solar-Hytech Solar oldnpolntwalre t oolectrlc K-AIC BAITING OF ALL BREAKERS RATED AT 10K power production source conductors we connected toADDRESS: (2) RED N 10 ANG TH MM-2, serviceALL CONDUCTORS ARE COPPER UNLESS NOTED OTHERWISE. 2A (2) BLK N 10 AWG THWN-2. (1) GRN M6 AWG THWN-2 GND 6 Washington Ave,Bay Shore, IN 1"Schedule BD PVC -Electrical contractor to verify Interconnection requirements with Electrical Utility for NY 11706 connection location and standards - Electrical contractor to provide expansion Joints and anchoring of all conduit runs as per ALL EXTERIOR MOUNTED NEC requirements PHONE: COMBINERS,JUNCTION BOXES. Provide laboUplacard at existing utility connection with"WARNING-CUSTOMER OWNED THROUGHS,DISCONNECTS.ETC. ELECTRICAL GENERATION EQUIPMENT CONNECTED"with appropriate hazard and 631-595-5500 SHALL BE MIN.NEMA 3R RATED. output ratings of PV system EMAIL: iconnect@Hytechsolar.com 504 4.7 ROOFTOP CONDUITS AND PIPING TO THE MAXIMUM EXTENT PRACTICABLE, CONDUITS, POWER OUTPUT=PTC RATING X M MODULES X M.INV EFF MASTER ELECTRICIAN: INCLUDING CABLE TRAYS.AND PIPING SHALL BE INSTALLED AT ROOFTOP LOCATIONS WHERE 318.1 x 40 It 0.97=12342.28 THEY DO NOT OBSTRUCT ROOFTOPACCESS LANDINGS.CLEAR PATH OF REQUIRED TOTAL-12342.28 Timothy Houston CLEARANCES.IF IT IS IMPRACTICABLE TOAVOID THESE AREAS.CONDUITS AND ME-54187 PIPING SHALL BE DESIGNED AND INSTALLED TO FACILITATE ACCE SS AND MINIMIZE TRIPPING SYSTEM OUTPUT RATING HAZARDS.STEPS PV MAX DC OUTPUT=13.6 kW PHOTO-VOLTAIC OR RAMPS(OR PLATFORMS WITH STEPS.RAMPS OR LADDERS)SHALL BE PROVIDEDTHATARE PV MAX AC OUTPUT=10 kw ELECTRICAL 3-LINE CONSTRUCTED OF NONCOMBUSTIBLE MATERIAL,EQUIPPED WITH RAILINGS.AND BMAX AC OPERATING CURRENT=55 A DIAGRAM DESIGNED TO NOK41NAL OPERATING VOLTAGE=240V ALLOW ANY CONDUIT OR PIPING INSTALLATIONS THAT EXCEED 1 FOOT(305MM;IN to HEIGHT DRAWN BY: ABOVE THE ROOF SURFACE.OR MORE THE 24 INCHES(610MM)IN WIDTH.TO BE Branch t _ Branch 3 EB READILY BRANCH VOLTAGE=240V BRANCH VOLTAGE=240V (2)SET OF TRAVERSED.STEPS,RAMPS.PLATFORMS AND LADDERS SHALL NOT BE PLACE D IN INVER'TERAMP-1 INVERTER AMP-1 SCALE �. AREAS OR IN (1) RED N 12 AWG THWN-2 . A MANNER THAT WOULD OBSTRUCT ANY DOOR OR MEANS OF EGRESS.ALL BRANCH VOLTAGE=15 BRANCH VOLTAGE-12 (1) BLK M 12 ANG THWN-2 CONDUITS AND BRANCH VOLTAGE=18.75 BRANCH VOLTAGE=15 tuS i (1) GRN #8 AWG THWN-2 GNO PIPING INSTALLATIONS SHALL BE COLOR-CODED WITH CONTINUOUS.DURABLE 011 Y IN 1"Schedule 80 PVC AND Branch 2 WEATHERPROOF REFLECTIVE OR LUMINESCENT MARKINGS AS FOLLOWS,AND BRANCH VOLTAGE•240V FOR THE INVERTER AMP=1 ri CONDUIT AND PIPING INSTALLED JULY 1,2014,SHALL BE CONTINUOUSLY LABELED BRANCH VOLTAGE=13 IN AN BRANCH VOLTAGE=16.25 7fr APPROVED MANNER TO INDICATE IT CONTENTS: 1.HIGH VOLTAGE WIRING-RED.2.LOW VOLTAGE WIRING-ORANGE.