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`fP`I�r �o�0S1Iff0lKCOGy Town of Southold 9/17/2022 a ''33 P.O.Box 1179 o _ 53095 Main Rd y�jCl �ao�Y Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43419 Date: 9/17/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1245 Gillette Dr.,East Marion SCTM#: 473889 Sec/Block/Lot: 38.-3-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/2/2022 pursuant to which Building Permit No. 47918 dated 6/6/2022 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 Joyce,Timothy&Joan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47918 8/30/2022 PLUMBERS CERTIFICATION DATED Autfiori e Signa4e �o�SUFFoI, o TOWN OF SOUTHOLD Cot BUILDING DEPARTMENT TOWN CLERK'S OFFICE ca oy • 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#: 47918 Date: 6/6/2022 Permission is hereby granted to: Joyce, Timothy 83 Capital Ave Williston Park, NY 11596 To: Install roof mount solar to existing single family dwelling as applied for. At premises located at: 1245 Gillette Dr., East Marion SCTM #473889 Sec/Block/Lot# 38.-3-5 Pursuant to application dated 5/2/2022 and approved by the Building Inspector. To expire on 12/6/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-RESIDENTIAL $50.00 Total: $200.00 Building Inspector pf SO!/��ol 0 Town Hall Annex Telephone(631)765-1.802 54375 Main Road P.O.Box 1179 sea n�.devlin(d-)town.south old.ny.us Southold,NY 11971-0959 COUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION: Issued To: Timothy Joyce Address: 1245 Gillette Dr city:East Marion st: NY zip: 11939 Building Permit#: 47918 section: 38 Block: 3 Lot: 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Long Island Power Solutions License No: 36178ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 5.92kW roof mounted pv solar energy system w/ 16 LG370W modules Notes: Solar Inspector Signature: C? Date: August 30, 2022 S.Devlin-Cert Electrical Compliance Form ti�BOE SOUTyIo ------__ * # TOWN OF SOUTHOLD BUILDING DEPT. `ycouto, 631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) Vie] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: oy� bdd AcG ass DATE 2Z 27i INSPECTOR pF SOUTyolo L-4-7q r s s , -- # # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm, 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 ]c PRE C/O [ ] RENTAL REMARKS: V DATE 7 INSPECTOR SOUT �7q /6 1 S �( I / 104Ve7�e, TOWN OF SOUTHOLD BUILDING DEPT. �ycourm1 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: 770 K DATE 3 7-Z INSPECTOR OF SOUK,°lo # # TOWN OF SOUTHOLD.BUILDING DEPT. �� • cou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 SULATION/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: DATE �� 3 oZ�' INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS ro FOUNDATION (1ST) � y ®Q� ------------------------------------ C FOUNDATION (2ND) z N ° H ROUGH FRAMING& PLUMBING • �H 7 OQ W �7 1 INSULATION PER N.Y. STATE ENERGY CODE -/3• OOL x-- C. v - FINAL ADDITIONAL COMMENTS p J _ -5 '�` Z �s � y �O � z x , y x d b H TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0.Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only D E C PERMITNO. 4??Ik _ Buildinginsi MAY 2 2022 Applicat ions and forms'must be filled out in their entirety.Incomplete H D applications will not be accepted. Where the Applicant is not the owner,an TO BUILDING DEP'r Owner's Authorization form(Page 2)shall be completed. WN OF SOUTH6LD Date:April 29th, 2022 OWNER(S)OF PROPERTY,: Name:Timothy Joyce SCTM#1000-38.-3-5 Physical Address:1245 Gillefte Drive, East Marion, NY 11939 Phone#:516-507-9094 1 Email: ppjQ605 gmail.com Mailing Address:83 Capital Ave Williston Park, NY, 11956 CONTACT PERSON: Name:Sue Estabrooke/Lonq Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:sue(ED-lon island powersol utions.com DESIGN PROFESSIONAL INFORMATION: Name:Pacifico Engineerin , P.0 Mailing Address:700 Lakeland Avenue,. Suite 2B Bohemia, NY 11716 Phone#:631-988-0000 Email:Solar Pacific' oengineerin-g.com CONTRACTOR INFORMATION: Name:Michael Catizone/Lona Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@lo[lgiLsilanadpowersoiutions.com DESCRIPTION OF PROPOSED CONSTRUCTION 5 E]NewStructure OAddition MAlteration EIRepair ElDemolition Estimated Cost of Project: R Other Proposed( 14 )panel roof mounted array. ( 5,600 )kW System $13,923.84 Will the lot be re-graded? E]Yes W No Will excess fill be removed from premises? OYes R No PROPERTY INFORMATION Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ii No IF YES, PROVIDE A COPY. B Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Catizo E ectrical/Long Island Power Solutions Application Submitted By(pri t me): 17Authoriz gent Ow er Signature of Applicant: _e Date: _ STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Michael Catizone being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Swornbefore me this 20 OTARY PUBLIC,STATE OF NEW YORK Notary Public Registration No.OIES6259997 Qualified in Dutchess County R PERTY OWNER AUTHORIZATION Commission Expires April 16,202 here the applicant is not the owner) I, cY1c�Iflr4—Tc"4C.e residing at 12L4E) C'�ille�E� T)ciVe+r-anz+ viarl Michael Catizone/Long Island Power Solutions NPr p� Vc�rh,. 1 lq 3°l do hereby authorize to apply on my behalf to the Town Southold Building Department for approval as described herein. lit 2� Owner's Sign ture Date 61 Print Owner's Name 2 gan ING DEPARTMENT-Electrical Inspector , guw)ING A TOWN OF SOUTHOLD N Q co 1q':r'5;won Hall Annex- 54375 Main Road - PO Box 1179 C Southold, New York 11971-0950 Telephone (631) 765-1802 - FAX (631) 765-9502 .rogerr@so-utholdto.wnn.y-.gov=seand0southoldtownnv.qo APPLICATION_FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required)' Dat4l. 04/29/2022 Company Name: Catizone Electrical/Long Island Power Solutions Name:Michael Caizorie License No.: 36-178--ME- email: sue@longislandpowersolutions."c-o-m' Address: 2060 Ocean Avenue,Ronkonkoma,NY llt 9 I Phone No.: 631-348-0001 JOB SITE INFORMATION (All Information Required) Name:- Timothy-Joyce Address: Cross Street: Manor Road Phone No.: .-5167507-9094 email: .t#: -.tppj06O5@gmaii.com Tax Map District- _- 1000. SectiOrr; 38--- Block: 3 Lot:5 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed 14 panel roof mounted array. 5,600 )kW System Circle All That Apply:. Is job ready for inspection?: YES t NO Rough In Final, Do you need a Temp Qortifi,cate?: YES, NO' Issile- d On, Temp Information: (All information required) Service Size 1 Ph 3 Ph #IVleters,. _______ Old Mdter# ! New Service- Fire Reconnect-Flood Reconnect Service Reconnected-Underground -Overhead V :1#Underground Laterals 1 -2 H Frame -_Pole-_._ Mork done on Service? Y N .-Modules: (-14)-Hanwha-Q.--PEAK,-DU-O-BLK400—W-.--.--..------------. Inverters: (14) Enphase IQ-7PIus -Support Iron Ridge (R_1 00 .PAYMENT-QUE-WIT-114-APPLICATION. ot ;,�. Requett for Ifispedion Forin.xis .................. . ...... ---------- .................. .......... STAKE W S 26'36'30" EE 100.03'OF W FOUND —— PIPE C H CE FE 0.7N FOUND 0.6'W LAMPPOST POST238' LdW :.z F:2 z a¢,'0 . .. . . (3 ]2W_� U1 b 21.6' N 11.7' o 1 STORY. W F O W < r: DWELLING aM f 3 O -1 tt FE N No. 1245 a N 0 0.5N O t: w_ FE O 21.7' a 35.1• O 8'N GATE O GATE FE r t� 0.4N PORCH 0.9'N' r O Q Z I MANHOLE 3 � ' ' RI � a U 0 � 0 O p O C) 0 O ZZ Q 375.0' PIPE m FOUND O TREE ROW STAKE FOUND N 25008'50" W ® 100.00' GILLETTE ' DRIVE Uk- SURVEY VIEW: SURVEY The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not intended to guide in the erection of fences,retaining walls, pools,patios,planting areas,additions to buildings and any other constriction. Subsurface and environmental conditions were not examined or considered as a part of this survey. Easements,Rightsof-Way of record,if any,are not shown.Properly comer monuments were not placed as a part of this survey. © 2016 BBV PC VBarrett Tax Map: DISTRICT 1000 SECTION 38 BLOCK 3 LOT 5 Bonacci & Unaullmrized alteration or addition to a.: Map of: MARION MANOR this survey is a violation of Section \11, Van Weele, PC 7209 of*4 York State t°drrca6ar law Civil Engineers 175A Commerce Drive Map Lot 53 Map Block: -- Surveyors Hauppauge, auppaug,1N1111788 County: Filed: 3/18/1953 No.: 2038 Coun SUFFOLK Planners F 631.435.1022 www.bbvpc.com Situate: EAST MARION,TOWN OF SOUTHOLD �- Certified to. Tide No.:3020-815564 Revision By Date Copies of this surrey map not bear- TIMOTHY earTIMOTHY P.JOYCE&JOAN M.JOYCE Ing the land surveyor's embossed FIRST AMERICAN TITLE INSURANCE COMPANY seal and signature shall not be co- sidered to be a true and valid copy RIDGEWOOD SAVINGS BANK Surveyed by. R.B. Drafted b. J.F. Checked 6y: C.W. its successors and/or assigns Scale: 11"= 30' Date: NOVEMBER 1 2016 Project No.: A160676 K:NDa16W60676\DwQW60676.dwq,A160676,11/8/201611:45:39 AM.Barrett,Baracd&Van Weele,P.C.]F Suffolk County Dept Of Ln"r,Litxnsing A Cgnsumer Affairs,p 1AA5T_ER ELECTRIC,+L LicEN H 'Name ' ?A;CHAEL J CATiZONE cu:,ir+e3s!tame Tnle x;@0149 thal the. bower is dulyFce,sei! CaEwr4 5adACEIIConlracteiglnc ,blt Ilt9 Cointy.oiau4orR'. Llrense Number.ME-35178 FvIIs311efirogo_ Issued:' 1NO11204. Comrniseor�/ Expire-k 17JU1?2022. Suffolk County Dept:of i; "7 Labor,Licensing&Consumer Affairs { MASTER ELECTRICAL LICENSE' Name, MICHAEL CATIZONE Business Name "ThiscerIfflies that the LONG ISLAND POWER SOLUTIONS INC .bearer is duly licensed by the County of sunolk License Number:ME-53560 Rosalie Drago Issued: 06106/2014 Commissioner Expires: 06/01/2022 Suffolk County Dept of ' Labor,Licensing&Consumer Affairs i HOME IMPROVEMENT LICENSE I' Name MICHAEL J CATIZONE Business Name This cerfi ies that the LONG ISLAND POWER SOLUTIONS INC bearer is duly licensed by the County of suffonc License Number,H-53562 RosageOrago issued: 06;0612014 C°mnuss'w'er Expires: 06/01/2022 it r Client#:83176 CATIELE DATE(MM/DD/MY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 9/23/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CON Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 FAX 631-390-9790 A/C No Ext: A/C,No 40 Marcus Drive E-MAIL certificates@cookmaran.com 3rd Floor ADDRESS: Melville,NY 11747-2647 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Utica Mutual Insurance Company 25976 INSURED Catizone Electrical Inc. INSURER B: 2060 Ocean Avenue INSURER C: Ronkonkoma,NY 11779 INSURER D: INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SUBRI LTR TYPE OF INSURANCE IANSRL WVD POLICY NUMBER MMfDDY EFF MPIOLDp�XP LIMITS A X COMMERCIAL GENERAL LIABILITY Y CPP4784747 7/01/2021 07/01/2023 EACHOCCURRENCE $1,000,000 CLAIMS-MADE Ful I OCCUR PREMISES Ea occ rrr nce $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY 51,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 X POLICY El ECOT L1 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT F�accident $ ANY AUTO I BODILY INJURY(Per person) $ OWNED SCHEDULED j j BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 4766763 7/01/2021 07/01/202 X PR STATUTE IER OT - ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N EL EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $5OO OOO If yes,describe under DESCRIPTION OF OPERA71ONS below E.L DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it mon: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(2016103) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S3241156/M3110173 JGRAS Y R;C workers'STATE I Compensation CERTIFICATE OF INSURANCE COVERAGE 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 CONTRACTING, INC. 2060 OCEAN AVE 646-383-3599 RONKONKOMA, NY 11779 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 (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York TOWN OF SOUTHOLD Y P Y 53095 ROUTE 25 3b.Policy Number of Entity Listed in Box"1a" SOUTHOLD, NY 11971 R97483-000 3c.Policy effective period 1/1/2015 to 12/15/2022 4. Policy provides the following benefits: Q A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. r] 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 de sc' d above. Date Signed 12/16/2021 By 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 carriers authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 513 of Part 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 benerits 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) DB-120.1 (10-17) 1 _ ) Additional Instructions for Form 1313®120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in box 1 a"for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed 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 cancelled 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 coverage indicated on this Certificate. (These notices my 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 Disability and/or Paid Family Leave Benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or paid family leave benefits 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 NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) 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 employment as defined in this article, and not withstanding 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 the payment of disability benefits and after January first,two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. 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 disability benefits to any such employee if so employed. (b)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 employment as defined in this article and 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 the payment of disability benefits and after January first,two thousand eighteen,the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (10-17)Reverse YYORK workers' CERTIFICATE OF srATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Catizone Electrical Inc 631348-0001 060 Ocean Avenue Ronkonkoma, NY 11779 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 455213112 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Utica Mutual Insurance Company 3b.Policy Number of Entity Listed in Box"1 a" Town of Southold 4766763 53095 Route 25 Southold, NY 11971 3c.Policy effective period 07/01/2021 to 07101/2022 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"l 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 <- EW RK 1Noikers' CERTIFICATE OF INSURANCE COVERAGE Are Copensation 186Mard 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 2BA NEW YORK 0 0 OCEAN AVE OWER SOLUTIONS 2060 6313480001 RONKONKOMA,NY 11779 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 27-1175107 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold, NY 11971 R97411-000 3c.Policy effective period 1/1/2015 to 8/26/2022 4. Policy provides the following benefits: X❑ A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: 0 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,1 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 descyqed above.. Date Signed 8/27/2021 By Aait (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 5B of Part i has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) 111 1011111 'IIilumIIIIIImullIIpIII���IIi I I III Additional Instructions for Form D13-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in box"1 a"for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed 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 cancelled 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 coverage indicated on this Certificate. (These notices my 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 Disability and/or Paid Family Leave Benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or paid family leave benefits 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 NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) 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 employment as defined in this article, and not withstanding 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 the payment of disability benefits and after January first, two thousand and twenty-one,the payment of family leave benefits for all employees has been secured as provided by this article. 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 disability benefits to any such employee if so employed. (b)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 employment as defined in this article and 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 the payment of disability benefits and after January first, two thousand eighteen,the payment of family leave benefits for all employees has been secured as provided by this article. DB420.1 (10-17)Reverse Client#: 83393 LONGISL15 DATE(MM/DD/Y ACORDTM CERTIFICATE OF LIABILITY INSURANCE YYY) 2/07/2022 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 i CONTACT Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 F/C 631-390-9790 40 Marcus Drive (A/C,OIL Ext: A/C,No ADDRESS: NECertificates@epicbrokers.com 3rd Floor Melville,NY 11747-2647 I INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine 8 General Ins Co 12294 INSURED INSURER B Long Island Power Solutions,Inc. DBA New York Power Solutions INSURER C 2060 Ocean Avenue INSURER D; INSURER E: Ronkonkoma,NY 11779 I INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE +ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR iINSR WVD POLICY NUMBER MM/DD/YYYY MM/DD A X COMMERCIAL GENERAL LIABILITY PK202200020693 02/28/2022 02/28/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR PREMISES(E.RENTED ) $300,000 X PD Ded:5,000 i MED EXP(Any one person) $10,000 X Contractual Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: j GENERAL AGGREGATE $2,000,000 PRO- POLICY a JECT LOC ! PRODUCTS-COMP/OP AGG $2,000,000 OTHER: j $ A AUTOMOBILE LIABILITY I PK202200020693 02/28/2022 02/28/202 COEa aMBINEDccidentSINGLE LIMIT $ s 1,000 000 i ANY AUTO I BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED I PROPERTY DAMAGE $ AUTOS ONLY Per accident ED $ A X UMBRELLA LIAR X OCCUR EX202200001789 02/28/2022 02/28/2023 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE i AGGREGATE $5,000,000 DED I X I RETENTION$10000 $ WORKERS COMPENSATION ; PER �OTH- AND EMPLOYERS'LIABILITY Y/N 'T T11E PR ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If 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 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 #S3438616/M3437780 LJACO 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 ...T ❑� LOVELL SAFETY MGMT CO.,LLC } 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POWER SOLUTIONS INC TOWN OF SOUTHOLD 2060 OCEAN AVENUE 53095 ROUTE 25 RONKONKOMA NY 11779 SOUTHOLD NY 11971 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 2467 078-8 146804 04/01/2021 TO 04/01/2022 03/09/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 239995852 (� I®M®M000000000000®2816311®Il Form WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-246707881 U-26.3 41 [00000000000091281603][0001-000024670788][##Z][15588-79][Cert�.NoP-CERT_1][01-00001] LONG ISLAND AMMOWER 2060 Ocean Ave Ronkonkoma, NY 11779 SOLUTIONS 631348-0001 www.longislandpowersolutions.com 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: Timothy Joyce-516-507-9094 Project/Property Address: 1245 Gillette Drive, East Marion, NY 11939 Section/Block/Lot:. 1000-38.-3-5 Electrician/36178-ME: Michael Catizone—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Contractor/53562-H: LI Power Solutions—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Architecture&Planning: Pacifico Engineering—700 Lakelalnd Ave, Ste 2B,Bohemia,NY 11716-631-988-0000 Enclosed Please fmd: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of the Engineering Drawings & Specs • Liability, Disability&Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Sincerely, Sue Estabrooke, Permit Manager Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx- 631-348-0018 sue@Gopowffsolutions.com Go Green Save Green OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE APPROVED AS NOTED OF 0 CCU PAN CY DATE: B.P. FEE:,59 de-0,&D BY: NOTIFY. BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION -. TWO REQUIRED FOR POURED CONCRETE oMPL`� WITH ALL CODES OF 2. ROUGH - FRAMING & PLUMBING C ATE & TOWN CODES 3. INSULATION MUST NEW YORK REQUIREDANDCONDITIONS OF 4. FINAL - CONSTRUCTIONAS R BE COMPLETE FOR C.O. SOUTHOLD TOWN ZBA ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW SOUTHOLr' 'OWN PLANNING BOARL YORK STATE. NOT RESPONSIBLE FOR SOUTHOLDTCWNTRUSTEES DESIGN OR CONSTRUCTION ERRORS. N.Y.S.DEC RETAIN RM WATER RUNOFF �' N OF THE TOWCODE TER 236 powered by DUO . m YR • Q �-TOP-BRAND-PV- EUROPE 202' Warranty O CELLS Product&Performance Yield Security BREAKING THE 20%EFFICIENCY BARRIER Q.ANTUM DUO Z Technology with zero gap cell layout boosts module efficiency up to 20.9%. THE MOST THOROUGH TESTING PROGRAMME IN THE INDUSTRY _ Q CELLS is the first solar module manufacturer to pass the most comprehen- sive quality programme in the industry:The new"Quality Controlled PW of v� the independent certification institute TUV Rheinland. INNOVATIVE ALL-WEATHER TECHNOLOGY (5: Optimal yields,whatever the weather with excellent low-light and temperature behavior. ENDURING HIGH PERFORMANCE Long-term yield security with Anti LID Technology,Anti PID Technology',Hot-Spot Protect and Traceable Quality Tra.Q7M EXTREME WEATHER RATING High-tech aluminum alloy frame,certified for high snow(5400 Pa)and wind loads(4000 Pa). �g A RELIABLE INVESTMENT Inclusive 25-year product warranty and 25-year 1 — linear performance warrantyz. 'APT test conditions according to IEC/TS 62804-1:2015,method A(-1500V,96h) P See data sheet on rear for further information. THE-IDEAL SOLUTION FOR: (10 Rooftop arrays residential buildings Engineered in Germany OCELLS MECHANICAL SPECIFICATION Format 74.0 in x 41.1in x 1.261n(including frame) (1879 mm x 1045 mm x 32 mm) mm) Weight 48.5lbs(22.Okg) 42 e'(1088 Front Cover 0.13in(3.2mm)thermally pre-stressed glass with b =992"(1260 mm) b anti-reflection technology 4.oame9Ro03e•(4.s.m) Pmme Back Cover Composite film 39Y(998mm) Frame Black anodized aluminum ® 4u•11oa6m.) Cell 6 x 22 monocrystalline Q.ANTUM solar half cells Junction Box 2.09-3.98in x 1.26-2.36in x 0.59-0.71in (53-101mm x 32-60 mm x 15-18mm),IP67,with bypass diodes z49Try260mm) Cable 4mm2 Solar cable;(+)z49.2in(1250mm),(-)>_49.2in(1250mm) 9•Dt°I°°9e Mea 1 4•Mam Ad°PETAILA) Connector Staubli MC4;IP68 I I +11116•(32 mm) DEIAILA I 0.96'(24.6..)I�T0.33•ps..) ELECTRICAL CHARACTERISTICS POWER CLASS 385 390 395 400 405 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC'(POWER TOLERANCE+5 W/-OW) Power at MPP' PMPP [W] 385 390 395 400 405 E Short Circuit Current' ISO [A] 11.04 11.07 11.10 11.14 11.17 M Open Circuit Voltage' Voc [V] 45.19 45.23 45.27 45.30 45.34 S Current at MPP IMPP [A] 10.59 10.65 10.71 10.77 10.83 Voltage at MPP VMPP [V] 36.36 36.62 36.88 37.13 37.39 Efficiency' rl [%] z19.6 >_19.9 220.1 220.4 220.6 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT2 Power at MPP PMPP [W] 288.8 292.6 296.3 300.1 303.8 E Short Circuit Current Isc [A] 8.90 8.92 8.95 8.97 9.00 E Open Circuit Voltage Voc [V] 42.62 42.65 42.69 42.72 42.76 c Current at MPP IMPP [A] 8.35 8.41 8.46 8.51 8.57 Voltage at MPP VMPP [V] 34.59 34.81 35.03 35.25 35.46 'Measurement tolerances PMPP±3%;Isc;Voc±5%at STC:1000 W/m2.25±2°C,AM 1.5 according to IEC 60904-3.2800 W/m2,NMOT,spectrum AM 1.5 Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE DceLs ua r_____� z 3 9° _m° ,_-ate° At least 98%of nominal power during first year.Thereafter max.0.5% z °0 96 ----• ------------------------------ degradation per year.At least 93.5% of nominal power up to 10 years.At W z least 86%of nominal power up to $� 94 6=ldCMI-_-_', - ------------ 25 years. 99 --r-----i------I------li-----i z aZ All data within measurement toleranc- 8° I N ----- --------------"" es.Full warranties in accordance with 90 a the warrant terms of the Q CELLS 200 40o 6W aoo loon o y IRRADIANCE[W)m17 .+ o 34 sales organisation of your respective 14 country. YEARS Typical module performance under low irradiance conditions In c wM Vw k9Mtt p°WCLe.W° yl M4(ss SeP:mm _) comparison to STC conditions(25°C,100OW/m2) f TEMPERATURE COEFFICIENTS Temperature Coefficient of Isc a [%/K] +0.04 Temperature Coefficient of Voc R [%/K] -0.27 Temperature Coefficient of PMPP y [%/K] -0.34 Nominal Module Operating Temperature NMOT [°F] 109±5.4(43±3°C) 0 PROPERTIES FOR SYSTEM DESIGN w Maximum System Voltage Vars [V] 1000(IEC)/1000(UL) PV module classification Class II ci N Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 61730 TYPE 2 W Max.Design Load,Push/Pull' [lbs/ft2] 75(360OPa)/55(2660Pa) Permitted Module Temperature -40°F up to+185°F o Max.Test Load,Push/PU113 [lbs/ft2] 113(5400 Pa)/84(4000 Pa) on Continuous Duty (-40oC up to+850C) m 3See Installation Manual QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION m 0 UL 61730,CE-compliant, Ib 63' O 40 HC Quality Controlled PV-Tl1V Rheinland. 0A IEC IEC 6atent o16,IEC61730:2016, 0.us / / L/��� oU.S.Patent No.9,993,215(soler cells) (` (`I w,°e Horizontal 76.4in 43.3in 48.OIn 16561bs 24 24 32 QCPVCertificationongoing. CCpe,ieepackaging 1940.. 1100.. 1220.. 751 kg pallets pallets modules __D UL 61730 ID 11112202n a rn Note:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of this product. Hanwha Q CELLS America Inc. 400 Spectrum Center Drive,Suite 1400,Irvine,CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL inquiry@us.q-cells.com I WEB www.q-cells.us Data Sheet Enphase Microinverters Region:AMERICAS Enphase The high-powered smart grid-ready p Enphase IQ 7 Micro' and Enphase IQ 7+ Micro" IQ 7 and IQ 7+ dramatically simplify the installation process while achieving the highest system efficiency. Microinverters Part of the Enphase IQ System,the IQ 7 and IQ 7+ Microinverters integrate with the Enphase IQ Envoy', Enphase IQ BatteryTM, and the Enphase Enlighten" monitoring and analysis software. IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install Lightweight and simple Faster installation with improved,lighter two-wire cabling • Built-in rapid shutdown compliant(NEC 2014&2017) Productive and Reliable • Optimized for high powered 60-cell and 72-cell*modules • More than a million hours of testing • Class II double-insulated enclosure UL listed Smart Grid Ready Complies with advanced grid support,voltage and frequency ride-through requirements a w • Remotely updates to respond to changing grid requirements • Configurable for varying grid profiles • Meets CA Rule 21 (UL 1741-SA) U *The IQ 7+Micro is required to support 72-cell modules. � � To learn more about Enphase offerings,visit enphase.com ENPHASE. a J Enphase IQ 7 and IQ 7+ Microinverters INPUT DATA(DC) IQ7-60-2-US/IQ7-60-B-US IQ7PLUS-72-2-US/IQ7PLUS-72-B-US I Commonly used module pairings' 235 W-350 W+ 235W-440W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 60V Peak power tracking voltage 27 V-37 V 27V-45V Operating range 16V-48V 16V-60V Min/Max start voltage 22 V/48 V 22 V/60 V Max DC short circuit current(module[so) 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/range2 240 V/ 208V/ 240 V/ 208V/ 211-264 V 183-229 V 211-264 V 183-229 V Maximum continuous output current 1.0 A(240 V) 1.15 A(208 V) 1.21 A(240 V) 1.39 A(208 V) Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz AC short circuit fault current over 3 cycles _ 5.8 Arms 5.8 Arms Maximum units per 20 A(L-L)branch circuit' 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) T 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 1 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.Seethe compatibility calculator at https:/Lenphase.com/en-us/support/module-compatibility. atip bilitv_. 2.Nominal voltage range can be extended beyond nominal if required bythe utility. 3.Limits mayvary.Referto local requirements to define the number of microinverters per branch in your area. To learn more about Enphase offerings,visit enphase.com V EN PHAS E. ©2018 Enphase Energy.All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. 2018-05-24 � B ZIMAL, IRON RIDGE Roof Mount System 3 .. Built for solar's toughest roofs. IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified All components evaluated for superior Pre-stamped engineering letters structural performance. available in most states. Class A Fire Rating Design Software Certified to maintain the fire resistance ® Online tool generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding 20 Year Warranty ® UL 2703 system eliminates separate Twice the protection offered by module grounding components. M competitors. XR Rails XR10 Rail XR100 Rail XR1000 Rail Internal Splices Q A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions with light snow. solar mounting rail. rail for commercial projects. for seamless connections. • 6'spanning capability 8'spanning capability • 12'spanning capability • Self-tapping screws • Moderate load capability Heavy load capability • Extreme load capability • Varying versions for rails • Clear& black anod.finish Clear& black anod.finish • Clear anodized finish • Grounding Straps offered Attachments FlashFoot Slotted L-Feet Standoffs Tilt Legs 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 (j) T Bolt Grounding Lugs Q Accessories = _ _ l 4 .116 Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Mill finish &black anod. Parallel bonding T-bolt • Easy top-slot mounting Snap-in Wire Clips • Sizes from 1.22"to 2.3" Reusable up to 10 times • Eliminates pre-drilling Perfected End Caps • Optional Under Clamps Mill&black stainless • Swivels in any direction UV-protected polymer Free Resources Design Assistant A NABCEP Certified Training Go from rough layout to fully Iq 1, Earn free continuing education credits, 77 s= ---- 1 f engineered system. For free. A A. while learning more about our systems. Go to IronRidge.com/rm ®®® Go to IronRidge.com/training a>- . q��•\• 2`black- N O Nlti LG LG370N1 K-A6 37®W The LG NeONID 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 Q 0 US JMMadin. YEA USAF F lmporfeJParrs '11 1' 11• 1111 I s Features Enhanced Performance Warranty ! ``" 25 Year Limited Product Warranty a i 25rr� LG NeONO 2 Black has an enhanced I The NeON®2 Black is covered by a 25-year performance warranty.After 25 years, limited product warranty.In addition,up to$450 LG NeON®2 Black is guaranteed at least I of labor costs will be covered in the rare case 90.6%of initial performance. that a module needs to be repaired or replaced. Solid Performance on Hot Days Roof Aesthetics T LG NeON°2 Black performs well on hot ®J LG NeON°2 Black has been designed with days due to its low temperature coefficient. _ ) aesthetics in mind using thinner wires that appear all black at a distance. When you go solar, ask for the brand you can trust: LG Solar About LG Electronics USA,Inc. �� LG Electronics is a global leader in electronic products in the clean energy markets by offering solar PV panels and energy storage systems.The company first embarked on a solar energy source research program In 1985,supported by LG Group's vast experience In the semi-conductor,LCD,chemistry and materials Industries.In 2010,LG Solar successfully released its first MonoX°series to the market,which Is now available in 32 countries.The NeONa(previous MonoXe NeON),NeON02,NeONe2 BlI acial won the"Intersolar AWARD"in 2013,2015 and 2016,which demonstrates LG's leadership and innovation in the solar industry. Life's Good LG Ne®N®2 Black LG370N1K-A6 General Data Electrical Properties(STC*) Cell Properties(Material/Type) Monocrystalline/N-type Model LG370N1 K A6 Cell Maker LG Maximum Power(Pmax) [VO] 370 Cell Configuration 60 Cells(6 x 10) MPP Voltage(Vmpp) [V] 35.5 NumberofBusbars 12EA MPPCurrent(Impp) [A] 10.43 Module Dimensions(L x W x H) 1,740mm x 1,042mm x 40 mm Open circuit Voltage(Voc t 5%) 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/O,cell temperature 25°C,AM 1.5 Measurement Tolerance of Pmax:t 3% !unction Box(Protection Degree) IP 68 with 3 Bypass Diodes Cables(Length) 1,100mmx2EA Connector(Type/Maker) MC 4/MC Operating Conditions Operating Temperature [*C] I -40-+85 Certifications and Warranty Maximum System Voltage [V] 1,000(UL/IEC) IEC 61215-1/-1-1/2:2016,IEC 61730-1/2:2016, Maximum Series Fuse Rating [A] 20 UL 61730-1:2017,UL 61730.2:2017 MechaniralTestLoad•(Front) [Pa/psf] 5,400 Certifications ISO 9001,ISO 14001.ISO 50001 MechanicalTestLoad*(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 per53'Container [EA] B50 *Improved:I"year 98.5%,from 2-24th year.-033%/year down,90.6%at year 25 Packaging Box Dimensions(L x W x H) [mm]' 1,790 x 1,120 x 1,213 Temperature Characteristics Packaging Box Dimensions(LxwxH) [in] 70.5 x 44.1 x 47.8 Packaging Box Gross Weight [kg] 500 NMOT* [*C] 42 t 3 Packaging Box Gross Weight [Ib] 1,102 Pmax [9'V°C] -0.35 Voc [MC] -0.26 Isc NMI 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(Sim or Short Side) Electrical Properties NM 10020/39.4(DistarcebetveenGmundmgBMo."HWas) Model LG370N1K-A6 40.0/1.57 175.0/6.9 MaximumPower(Pmax) [1N] 277 t6-ao.3o/a.3xo.1 MPP Voltage(Vmpp) M 33.3 Orin Haes 8-043/02 (') (+) MPP Current(Impp) [AJ 8 32 Groendeg Wes l mcd°n B. Open CircuitVoltage(Voc) M 39.4 e-a5x12o/113x0s Short CQaritCurrent(Ise) (A] 8.81 M-t gHoles x° x° IN Curves 1100/43.3 § N Cable Length 12.0 100ow 10.0 80ow $ 3 8.0 60ow ry g `a 6.0 9 40OW � 4.0 20OW 20 0.0 q OA 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 Vote[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-solarcom ©2021 LG Electronics USA,Inc.All rights reserved. Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave,Suite 2B Ph:631-988-0000 Bohemia,NY 11716 c solar@pacificoengineering.com April 25,2022 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for TIMOTHY JOYCE Section-Block-Lot: 38-3-5 1245 GILLETE DRIVE EAST MARION, NY 11939 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 15.0 ft 15.0 ft Pitch 19 degrees 31 degrees Roof rafter 2x8 2x8 Rafter spacing 16 inch on center 16 inch on center Reflected roof rafter span 5.3 ft 2.5 ft Table R802.4.1(1)max allowable 16.0 ft 16.0 ft The climactic and load information is below: CLIMACTIC AND Ground Wind Live Load, Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type Category Load,Pg, sec gust, ASCE 7, CRITERIA psf mph psf load,Ib Roof Section A B 20 130 33 379 SS 5/16"dia lag bolt,5"length B 18 207 SS 5/16"dia lag bolt,5"length Weight Distribution �e� Q kj array dead load 3.5 psf load per attachment 40.2 Ib The subject roof has 2 layers of shingles. ) Panels mounted flush to roof no higher than 6 inches above roof surface. 2 Ralph Pacifico, PE Professional Engineer Ralph ®FkPPeY2� ngineer NY 066182!NJ 24GE04744306/FL 87297 AERIAL 4DOWER K SOLUTIONS 2060 OCEAN AVENUE, y RONKONKOMA, NY 11779 �P (631)348-0001 Q P X55 JOYCE . . .: RESIDENCE 1245 GILLETTE DRIVE EAST MARION, NY 11939 516-507-9094 S: 38 B: 3 L: 5 PROJECT DATA: #22U83 / INVERTER: (14)ENPHASE IQ7PLUS-72-2-US MODULES: (14)Q.PEiAK DUO BILK ML-G10+400 RACKING: IRON RIDGE XR100 WATTAGE: 5,600 � SHEET INDEX ROOF TYPE: COMPOSITION SHINGLES S-1 SITE PLAN WIND LOAD: -29.4PSF @ 140MPH CP FASTENER USE 5/16"DIA.5"LAGS S-2 DETAILS _ E-1 ELECTRICAL PLAN j L-1 MOUNTING PLAN E GIN G c ;� cV 700 Lakeland Ave, Suite2B D Bohemia, NY 11716 �P� MAY - 2 2022 Ph-631-988-0000 9 BUILDING DEPT R-1 QP� ')WN OF SOUTHOLD Sour@pacificoengineering.com # MODULES (6) 5 GENERAL NOTES www.pacificoengineering.com PITCH- 190 P�' -ENPHASE I07 PLUS MICRO INVERTER OF NEW �0 AZIMUTH- 2330 LOCATED ON ROOF BEHIND EACH MODULE. Q��QN QA���Yp� 5QP -FIRST RESPONDER ACCESS MAINTAINED AND FROM ADJACENT ROOF. �► '' R-2 -WIRE RUN FROM ARRAY TO CONNECTION IS ;,: 40 FEET. # MODULES (8) -COGEN DISCONNECT IS LOCATED Zd' 3 -5 PITCH: 31 ° ADJACENT TO UTILITY METER. �A9 NPS F AZIMUTH- 233° -LAYOUT SUBJECT TO CHANGE BASED ON FION TBYA . NAL IS LL EG 6 -211 SITE CONDITIONS AT DATE OF INSTALL `SFERSIZES,°. ,7"(ANSIB) LEGEND DATE: 4/18/2022 DESIGN BY: MW GROUND ACCESS POINT CHECKED BY: EE REVISIONS: COGEN DISCONNECT a UTILITY METER a FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, REPRESENTS ALL FIRE CLEARANCE MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7.16. SITE PLAN S■1 INCLUDING ALTERNATIVE METHODS THE 2020 RESIDENTIAL CODE OF NYS • IronRidge XR 100 Rail OWER SOLUTIONS . 2060 OCEAN AVENUE, . z RONKONKOMA, NY 11779 (631)348-0001 JOYCE Cap---. -� RESIDENCE ""`aC Flashing 1245 GILLETTE DRIVE EAST MARION, NY 11939 516-507-9094 Eric Clomp Ldool °' S: 38 B: 3 L: 5 IrotAbdge XR 100 RailL - , ll PROJECT DATA: #225483 IronRia¢z XR too Rail 5/16 x 5n Stainless INVERTER: (14)ENPHASE IQ7PLUS-72-2-US SteelLag Lag Bolt MODULES: (14)Q.PEAK DUO ELK ML-G10+400 Solar%IuSu(0 LJ RACKING: IRON RIDGE XR100 I WATTAGE: 5,600 3/8-16 X 3/4 HEX HEAD e{JlT ROOF TYPE: COMPOSITION SHINGLES 3/8-16 WIND LOAD: -29.4PSF @ 140MPH FLANGE NUT �. 3-5/8., FASTENER: USE 5/16"DIA.5"LAGS P C t - GIN Gc GENERAL NOTES- 700 Lakeland Ave, Site 2B -L FEET ARE SECURED TO ROOF RAFTERS @ 80" O.C. Bohemia, NY 11716 USING 5116" x 5" STAINLESS STEEL LAG BOLTS. Ph:631-9x8-0000 solar@pa-SUBJECT ROOF HAS TWO LAYERS. www.p cifico oengineen-com www.pac ificoengineeri ng-com -ALL PENETRATIONS ARE SEALED AND FLASHED. NIS 04C/���� ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES z j R1 190 2 x10 2 x8 @16 O.C. 131-511 16 KNEEWALL R2 310 2"x10" 211x8"@16"O.C. 8'-211 15'I KNEEWALLALTELICENSED 9oFE 10NP�A tT LIICCENSED PROFESSION.IL IS 111 E'AT 3 PAPER SIZE:11-x 17"(ANSI B) m N DATE: 4/18/2022 DESIGN BY: MW s CHECKED BY: EE REVISIONS: DESIGNED AS PER ASCE 7-10 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, S■2 MODULES MOUNTED FLUSH TO ROOF TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16. DETAILS NO HIGHER THAN 6"ABOVE ROOF SURFACE PHOTOVOLTAICS: OWER (14) Q.PEAK DUO BLK ML-G10+ 400 SOLUTIONS NEMA 3R 2060 OCEAN AVENUE, JUNCTION BOX INVERTERS: RONKONKOMA, NY 11779 BLACK-L1 ENGAGE CABLE (14) ENPHASE IQ7PLUS-72-2-US (631)348-0001 RED-L2 JOYCE GREEN-GROUND CIRCUITS: (2) CIRCUITS OF (7) MODULES RESIDENCE 1245 GILLETTE DRIVE EAST MARION, NY 11939 516-507-9094 S: 38 B: 3 L: 5 PROJECT DATA: #225483 INVERTER: (14)ENPHASE IQ7PLUS-72-2-US #12 AWG THWN FOR HOME RUNS UNDER 100' METER MODULES: (14)Q.PEAK DUO ELK ML-G10+400 #10 AWG THWN FOR HOME RUNS OVER 100' „ *. + j r RACKING: IRON RIDGE XR100 (1)LINE 1 WATTAGE: 5,600 (1)LINE 2 i0 (1)GROUND ROOF TYPE: COMPOSITION SHINGLES PER CIRCUITWIND LOAD: -29.4PSF @ 140MPH IN 1"OR ta'PVC CONDUIT © � RNING © F£�►1�i(IIC C�PITTCi ( 16.94 A FASTENER: USE 5/16"DIA.5"LAGS M01691W1 CpERATW AI;VOLTAM 240 V ELECTRIC . • ) PGX �DO NOT TOUCH TERMINALS TERMINALS ON BOTH THE LINE AND PHOTOVOLTAIC Gc LOAD SIDES MAY BE ENERGIZED MAIN SOLAR SYSTEM 700 Lakeland Ave, Suite 2B IN THE OPEN POSITION AC DISCONNECT Bohemia, NY 11716 MAIN SERVICE Ph:631-988-0000 200A solar@pacificoengineering com www.pacifi ng com 125A LOAD CENTER — -- -- 30A BREAKER LOAD SIDE TAP �P��Q�A 04�,7��yO� (1) -20A BREAKER P PER CIRCUIT 4 KING DISCONNECT N MIV ERTER OUTPUT CONNECTION : R`Q,p DO NOT RELOCATE TEAS #8 AWG THWN AC DISTRIBUTION PANEL R0 OVERCURRENT DEVICE (1)LINE 1 OR SUB PANEL SESSION .o..� . (1)LINE 2 (1)NEUTRAL ALTERATION OF THIS DOCUMENT EXCEPT BY A 3 (1)EGC LICENSED PROFESSIONAL.IS ILLEGAL M IN 1T"PVC CONDUIT PAPER SIZE:11'x 17"(ANSI B) c N DATE: 4/18/2022 T DESIGN BY: MW o CHECKED BY: EE E REVISIONS: U U T O s 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 31 '-711 OWER SOLUTIONS 2060 OCEAN A , 4RONKO KOMA,VENUENY 11779 (631)348-0001 JOYCE RESIDENCE 1245 GILLETTE DRIVE EAST MARION, NY 11939 516-507-9094 R-1 S: 38 B: 3 L: 5 # MODULES (9) PROJECT DATA: #225483 INVERTER: (14)ENPHASE IQ7PLUS-72-2-US PITCH: 19' MODULES: (14)Q.PEAK DUO ELK ML-G10+400 RACKING: IRON RIDGE XR100 AZIMUTH: 2330 WATTAGE: 5,600 ROOF TYPE: COMPOSITION SHINGLES WIND LOAD: -29.4PSF @ 140MPH FASTENER: USE 5/16"DIA.5'LAGS p Erir G 6,_7„ +' 700 Lakeland Ave, Suite 26 Bohemia, NY 11716 Ph-631-988-0000 solar@pacificoengineering.com www.pacificoengineef-ing.com 8'-211' .0 OF NES~o � 17' 8 Z W N 2 141 11' 4 8.5' 0 �FESSIONP 0 .ALTERATION OF TF1IS UNIENT EXCEPT BY A 3 4' LICENSED PROFESSIONAL IS ILLEGAL co 0 PAPER SIZE:11"x 17"(ANSI B) 00 N ■ SPLICE BAR 8 R_2 DATE: 4/18/2022 © PENETRATIONS 37 DESIGN BY: MW E UFO 36 # MODULES (8) CHECKED BY: EE � REVISIONS: 8 40MM SLEEVE 16 PITCH: 31 ' END CAPS 16 In cm CONSUMPTION AZIMUTH: 233° 3 MOUNTING PLAN o CRITTER GUARD 130' L'1 LONG ISLAND OWER2060 Ocean Ave Ronkonkoma, NY 11779 SOLUTIONS 631 348-0001 www.longislandpowersoIutions.com August 4,2022 TOWN OF SOUTHOLD—Building Division AS BUILT/Permit Amendment 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 AS BUILT for: PERMIT# 47918 Property Owner: Timothy Joice Pi•oject/Property Address: 1245 Gillete Drive,East Marion,NY 11939 Spction/Block/Lot: 1000-38-3-5 Electrician/1105: Michael Catizone—2060 Ocean Ave Ronkonkoma,NY 11779—(631)348-0001 Contractor/H2409580000: Long Island Power Solutions 2060 Ocean Ave Ronkonkoma,NY 11779—631-348-0001 Architecture& Planning: Pacifico Engineering—700 Lakelalnd Ave, Ste 213, Bohemia,NY 11716- 631-988-0000 CHANGES: Inverters: from (14)Enphase IQ-7 Plus to(16)Enphase IQ-7 Plus Modules: from (14)Hanwha Q.Peak Duo 40OW to(16) LG 370W Wattage: from 5.60kW to 5.920kW Layout Change on R-2. Kindly mail the Approved Drawings to Long Island Power Solutions,2060 Ocean Ave Ronkonkoma,NY 11779. Should you have any questions or require anything further please call the office. Sincerely, 4 l.� Sue Estabrooke Permit Manager Long Island Power Solutions 2060 Ocean Ave Ronkonkoma,NY 11779 Ph-631-348-0001 Fx-631-348-0018 sue(i�longislandpowersolutions.com Go Green Save Green Dacifico Engineering PC Engineering Consulting 700 Lakeland Ave, Suite 2B Ph: 631-988-0000 Bohemia, NY 11716 IN G c solar@pacificoengineering.com July 28, 2022 — Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for TIMOTHY JOYCE Section-Block-Lot: 38-3-5 1245 GILLETE DRIVE EAST MARION, NY 11939 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 15.0 ft 15.0 ft Pitch 19 degrees 31 degrees Roof rafter 2x8 2x8 Rafter spacing 16 inch on center 16 inch on center Reflected roof rafter span 5.3 ft 2.5 ft Table R802.4.1(1) max allowable 16.0 ft 16.0 ft The climactic and load information is below: CLIMACTIC AND Ground Wind Live Load, Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type CRITERIA Category Load,Pg, sec gust, ASCE 7, load,Ib psf mph psf Roof Section A B 20 130 33 378 SS 5/16"dia lag bolt,5"length B 18 207 SS 5116"dia lag bolt,5"length Weight Distribution array dead load 3.5 psf '��OF NF�/ N PACy load per attachment 40.1 Ib C�QP�Q7��0 The subject roof has 2 layers of shingles. * D 5% Panels mounted flush to roof no higher than 6 inches above roof surface. f � Ralph Pacifico, PE N Professional Engineer ca6lrbElti�� NY 0 rRQ 87297 Koaal 1 AERIAL OWER g.j�,Qa{a SOLUTIONS �1'►N ; 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 JOYCE 6 PGG �'�+� RESIDENCE 1245 GILLETTE DRIVE EAST MARION, NY 11939 516-507-9094 S: 38 B: 3 L: 5 PROJECT DATA: #225483 INVERTER: (16)ENPHASE IQ7PLUS-72-2-US MODULES: (16)LG370N1K-A6 RACKING: IRON RIDGE XR100 // WATTAGE: 5,920 SHEET INDEX ROOFTYPE: COMPOSITION SHINGLES WIND LOAD: -29.4PSF @ 140MPH s S-1 SITE PLAN FASTENER: USE 5/16"DIA.5"LAGS S-2 DETAILS E-1 ELECTRICAL PLAN p j L-1 MOUNTING PLAN CI1V G c 700 Lakeland Ave; Suite 26 Q�l AUG 5 . Bohemia, NY 11716 Ph. 631-988-0000 BUiLDING D FL R-1 QP' Tlllplll^t OF ')V',1H0Ls sofa riopacificoengineering.ccm 5 www.pacificoengineering com # MODULES (8) GG�S GENERAL NOTES �O PITCH: 19° y -ENPHASE IQ7 PLUS MICRO INVERTER AZIMUTH: 233° j P��� LOCATED ON ROOF BEHIND EACH MODULE. ��®F ,�` N �,y -FIRST RESPONDER ACCESS MAINTAINED P �QH PA O AND FROM ADJACENT ROOF. *� QP °ate Oil 3�P R-2 -WIRE RUN FROM ARRAY TO CONNECTION IS # MODULES (8) 40 FEET. O -COGEN DISCONNECT IS LOCATED N 2 PITCH: 31 ° ADJACENT TO UTILITY METER. -R 066182 AZIMUTH: 2330 -LAYOUT SUBJECT TO CHANGE BASED ON ALTERAT70 sS PTBYA SITE CONDITIONS AT DATE OF INSTALL LICENSED LEGAL ccj PAPER SIZE 11"x 17"(ANSI B) N ILEGEND DATE:4/18/2022 N DESIGN BY: MW y ® GROUND ACCESS POINT CHECKED BY:EE REVISIONS: 1 COGEN DISCONNECT 6/17/22 KO ® UTILITY METER m FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, REPRESENTS ALL FIRE CLEARANCE MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16. SITE PLAN s— 1 INCLUDING ALTERNATIVE METHODS THE 2020 RESIDENTIAL CODE OF NYS . IronRidge XR 100 Rcu UFOI OWER SOLUTIONS +�*. 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 JOYCE RESIDENCE Moo c3orvmP Flashing 1245 GILLETTE DRIVE "= " = EAST MARION, NY 11939 516-507-9094 Er%J ckm-u> S: 38 B. 3 L: 5 IronRidge XR 140 Rail . u n PROJECT DATA: #225483 IruuRidge XR 100 Rail 5/16 16 ix 5 Bolt INVERTER: (16)ENPHASE IQ7PLUS-72.2-US _ Steel Lag Bolt MODULES: (16)LG370N1 K-A6 RACKING: IRON RIDGE XR100 Solar Module 3J3-16 X 3/4 _. WATTAGE: 5,920 HEX HEAD 61�T � � ROOF TYPE: COMPOSITION SHINGLES 3/8-16 I) WIND LOAD: -29APSF @ 140MPH FLANGE NUT L /[� rD"1� +J j'v( FASTENER: USE 5/16"DIA.5"LAGS Pt f E. GIN G c GENERAL NOTES: 700 Lakeland Ave, Suite 2B -L FEET ARE SECURED TO ROOF RAFTERS @ 80" O.C. Bohemia, NY 11716 USING 5/1611 x 5" STAINLESS STEEL LAG BOLTS. Ph:631-9W0000 -SUBJECT ROOF HAS TWO LAYERS. solar@pacificoengineering.com m www.pac ificoengineeri ng.cam -ALL PENETRATIONS ARE SEALED AND FLASHED. of NELY QPypH PaC/>�oo'A� ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES ' w R1 190 2"x10" 2"x8"@16"O.C. 13'-5" 16" KNEEWALL 61 SS R2 31 ° 2"x10" 2"x8"@16"O.C. 8'-2" 15" KNEEWALL S6+ P ALTERATION OF THI CUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL PAPER SIZE:11"x 17"(ANSI B) DATE:4/18/2022 N DESIGN BY: MW CHECKED BY:EE REVISIONS: 1 6/17/22 KO 4 C 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 — J. NO HIGHER THAN 6"ABOVE ROOF SURFACE PHOTOVOLTAICS: OWER (16) LG370N 1 K-A6 SOLUTIONS NEMA 3R OCEAN AVENUE, ONK JUNCTION BOX INVERTERS: RONKONKOMA, NY 11779 BLACK- L1 ENGAGE CABLE (16) ENPHASE IQ7PLUS-72-2-US I (631)348-0001 RED- L2 JOYCE GREEN -GROUND CIRCUITS: (2) CIRCUITS OF (8) MODULES RESIDENCE 1245 GILLETTE DRIVE EAST MARION, NY 11939 516-507-9094 S: 38 B: 3 L: 5 PROJECT DATA: #225483 INVERTER: (16)ENPHASE IQ7PLUS-72-2-US #12 AWG THWN FOR HOME RUNS UNDER 100' METER MODULES: (16)LG370N1K-A6 #10 AWG THWN FOR HOME RUNS OVER 100' ,, z , RACKING: IRON RIDGE XR100 (1)LINE 1 I WATTAGE: 5,920 (1)LINE 2 i I)t r' ROOF TYPE: COMPOSITION SHINGLES (1)GROUND PER CIRCUIT (�� app��j'p��5�t��¢� WIND LOAD: -29.4PSF @ 140MPH IN 1"OR 14"PVC CONDUIT © • - © RYtr�RYllf VIri61Pal 19.36 FASTENER: USE S/16"DIA.S"LAGS W)m*LCfERATWAr'rjLTAGE 240 ELECTRIC SHOCK HAZARIO P 'c r .. . PHOTOVOLTAIC E '` •' ' ' MAIN SOLAR SYSTEM 700 Lakeland Ave Suite 2s ZTERMINALS ON BOTH THE LINE AND Bohemia, NY 11716 ,Z AC DISCONNECT ��, •, MAIN SERVICE Ph: 631-988-0000 C (00' _ �j solar@pacificoengineering com www.pacificoengineenng com 125A LOAD CENTER 30A BREAKER LOAD SIDE TAP of NES,Y (1)-20A BREAKER ---- --- --------- - ------ �Q' �QN PAc'�i O,A *� PER CIRCUIT � : `YE ARNING DISCONNECTLU INVERTER.OUTPUT CONNECTION DO NOT RELOCATE THIS #8 AWG THWN AC DISTRIBUTION PANEL �� 06618 OR SUB PANEL OVEER'r;URRENT DEVICE (1)LINE 2 _esslOx'1'�� (1)NEUTRAL ALTERATION OF THIS DOCUMENT EXCEPT BY A (1)EGC LICENSED PROFESSIONAL IS ILLEGAL IN 1q'PVC CONDUIT PAPERSIZE:11"x17"(ANSI B) r cc v - DATE:4/18/2022 CN DESIGN BY: MW CHECKED BY:EE 0 REVISIONS: 1 6/17/22 KO AC COMBINER: NOTE: 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, 1-PHASE,MAIN LUG LOAD CENTER, 125A ALL WIRING TO MEET THE 2017 NEC AND 2020 ENERGY CODE TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7.16. ELECTRICAL PLAN E- 1 v 60A FUSED SERVICE RATED DISCONNECT -:31 '- - OWER SOLUTIONS 2 OCEAN AVENUE, RONKNKONKOMA, NY 11779 (631)348-0001 _ 13'-5" JOYCE RESIDENCE 1245 GILLETTE DRIVE EAST MARION, NY 11939 516-507-9094 R-1 S: 38 B: 3 L: 5 # MODULES (8) PROJECT DATA: #225483 INVERTER: (16)ENPHASE IQ7PLUS-72-2-US PITCH: 19 MODULES: (16)LG370N1K-A6 RACKING: IRON RIDGE XR100 AZIMUTH: 233' WATTAGE: 5,920 ROOF TYPE: COMPOSITION SHINGLES WIND LOAD: -29.4PSF @ 140MPH FASTENER: USE 5/16"DIA.5"LAGS FPG ,El 6'-711 7001Lake and Ave, Suite2B Bohemia, NY 11716 Ph-631-988-0000 solar a@pacificoengineering.com www.pac ificoengineeri ng.com 8'-211 ,, OF Nje PVPµ PAC7�- 0 17' 0 14' 8ass 1 a2 11 8 A9 8.5' 0 °FFssI 0 ALTERATION OF THIS DOCUMENT EXCEPT BY A 4, LICENSED PROFESSIONAL IS ILLEGAL �j 0 PAPER SIZE:11 x 17"(ANSI B) co N ■ SPLICE BAR 8 R_2 DATE:4/18/2022 L © PENETRATIONS 42 CHECKED DESIGN : mw EE E UFO 42 # MODULES (8) REVISIONS: 1 U40MM SLEEVE 20 PITCH: 31 6/17/22 KO END CAPS 20 CONSUMPTION AZIMUTH: 233° o CRITTER GUARD 200' MOUNTING PLAN L— 1