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�o�Osljffa��-cpG, Town of Southold C 10/1/2022 P.O.Box 1179 o - �: 53095 Main Rd Ar— Southold,,New York 11971 CERTIFICATE OF OCCUPANCY No: 43462 Date: 10/1/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: . 965 Edwards Ln, Orient SCTM#: 473889 Sec/Block/Lot: 18.-3-20 1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/16/2022 pursuant to which Building Permit No. 47561 dated 3/17/2022 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 Yahalom,Joachim&Judith of the aforesaid building. I SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47561 5/4/2022 PLUMBERS CERTIFICATION DATED Auth riz gnature n ` TOWN OF SOUTHOLD oos��Fot BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 47561 Date: 3/17/2022 Permission is hereby granted to: Yahalom, Joachim 965 Edwards Ln Orient, NY 11957 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 965 Edwards Ln, Orient SCTM # 473889 Sec/Block/Lot# 18.-3-20 Pursuant to application dated 2/16/2022 and approved by the Building Inspector. To expire on 9/16/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Building Inspector ho��oF so�ryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a sean.devlina-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Joachim Yahalom Address: 965 Edwards Ln City:Orient st: NY zip: 11957 Building Permit#: 47561 Section: 18 Block: 3 Lot: 20 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Long Island Power Solutions License No: 36178ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey 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: 27.6kW Roof Mounted PV Solar Energy System w/69 Hanwha Qpeak 40OW Module Notes: Solar Inspector Signature: Date: May 4, 2022 S.Devlin-Cert Electrical Compliance Form q4f so # # TOWN OF SOUTHOLD BUILDING DEPT. �o • ,o `ycourm��' 765-1802 INSPECTION [ ] FOUNDATION 1ST j ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: SC1 -� i re c)4iedwild o a N o — 5- A - 4j d .r? -DATE INSPECTOR SOF SOUTyo# 1 TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION_/CAAUULKING [ ] FRAMING /STRAPPING [ FINAL .�'✓ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMA S: I\1-5 Lor DATE ?f 1/ INSPECTOR Fisher Engineering Services, P.C. 509 Sayville Blvd • Sayville •New York 11782 Phone: (631) 786-4419 May 16, 2022 Southold Building Department 54375 NY'25 Southold,NY 11971 Subject: Solar Energy Installation for Yahalom Residence 965 Edwards Lane, Orient,NY 11957 Permit No.47561 Fisher Engineering Services, P.C. has reviewed the solar energy installation at the subject address on May 12, 2022. The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawings. The 'installation meets the requirements of the 2020 Residential Code of New York State, Long Island Unified Solar Permit Imitative (LIUSPI), and National Electric Code 2017, and the provisions of ASCE 7-16. To the best of my knowledge, the work summarized in this document is accurate, conforms with the governing codes applicable at the time of submission, conforms with reasonable standards of practice, with the view to the safeguarding of life,health,property and public welfare. NELy rb Regards, 1 William G. Fisher, P.E. Licensed Professional Engineer Architectural Design•Residential•Light Commercial Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting•Inspections < r. t ♦.[pKp.r{t WIN WID S�Umoft curuv xrn wau 1 9/20/2022, 10:02 AM ra ro•.,.cww�r�t i 'i 1 tS � � , •- `.._.``.may. W -, , � �� ,vie ���� �t.• ,. •-ei� �•' {��� `�' •M7• PHOTOVOLTAIC §OLAR DISCONNE SOURCES UT&ny GRJD AN vHorovotrac srsrer O�c o�scoNNEcr p SOLAR r WITH RAPID SHUTDOWh caunpu oor.oraysrut I of 1 9/20/2022, 10:02 AM wdrwrw.laws tv nus AwEt ` q r �t �. jar •� ,� � - ., ��. •R•� tir - • ,.� � ,�++► :k i N ► �'•S'�"'�ti' � '.� �- �'� �>�fir!••• �'�',y� i i A n Yf,�� _moi �i� _ 4�� � ,. .,��►• t. ice# . !'f',a�`r► _�tiV•` � {{' �,1' . �j�.� MSS '.� •�.. )-f •.� i�� "� • . _baa ••� � t� `e�'�r`r ti�+.�Y1� `_ M �rrr.J •,S�f {3 � .$'}�� "�, **'` h�.,,,.. • '�. - 4� %'��`Iii y. *, � � .- . ; tr of 9/20/2022, 10:04 if © i ; i t _ r. ami '� _ � ,u •'4y, ♦-'� { Y� � • •` �f�' .. v: �`�-J`�b.<� ,moi . /'moi '.♦ � _ ".' •/ �'I/y 1 eft � ♦ <• � t A ►. 9/20/2022, 10:04 x r, 4 �I i> a a _ x* �. ��` - a FIELD INSPECTION REPORT DATE COMMENTS • FOUNDATION(1ST) y ------------------------------------ r � FOUNDATION(2ND) t�i7 ROUGH FRAMING& A PLUMBING U INSULATION PER N.Y. C'6 STATE ENERGY CODE �p Vill Irr► % V FINAL LS ADDITIONAL COMMENTS S.? COAo 4 � 3 N Ivi z — y C� b • b i �OGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT z Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 �v • Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtowM.-aov Date Received APPLICATION FOR BUILDING PE MIT --� Irl.4 For Office Use Only PERMIT NO. Building Inspector: FEB 1 6 222 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where.the Applicant is not the owner,an r-,'!JYLD-R,1 D??1TT. Owner's Authorization form(Page 2)shall be completed. i ,.4 �1,� F c`01 TJ'r C))I) Date:February 14th, 2022 OWNER(S)OF PROPERTY: Name:Joachim Yahalom SCTM#1000-018.00-03.00-020.000 Physical Address:965 Edwards Lane, Orient, NY 11957 Phone#:917-371-2287 1Email:yahalomj@mac.com Mailing Address: 965 Edwards Lane, Orient, NY 11957 CONTACT PERSON: Name:Sue Estabrooke/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:sue@longislandpowersolutions.com DESIGN PROFESSIONAL INFORMATION: Name:Fisher Engineering Services, P.0 Mailing Address:509 Sayville Blvd, Sayville, NY 11782 Phone#:631-786-4419 Email:bill@fisher-ny.com CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@longislandpowersolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project: BOther Proposed(69 )panel roof mounted array. (27.600)kW System $51.166.00 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes IiNo 1 PROPERTY INFORMATION Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. 8 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. _ Catizone Electri I/Long Island Power Solutions Application Submitted By(print na BAuth HZE d Agent ❑Owner Signature of Applicant: LYNDE SUSETTE ESTABROOKE 2 �� NOTARY PUBLIC,STATE OF NEW YORe ' STATE OF NEW YORK) Registration No.01ES6259997 SS: Qualified in Dutchess C06nty COUNTY OF Suffolk ) commission xpires A ril 12024-\ Michael Catizone being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of , 20 LYNIij TTE ESTABROOKE NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZ TIO gistration No.OlES6259997 ualified in Dutchess County (Where the applicant is not the o nT%mmission Expires April 16,2024 I,�6<'Ql=ini�TCfl lCl �r�d residing at G LO5- E&t)auC1--' Lon-( (7 n' Michael Catizone/Long Island Power Solutions do hereby authorize to apply on my o Town of So ing Department for approval as described herein. 7, Ow-nes Owner's Signatu Date UCLC li M Print Owne s Name 2 's �j 't -Electrical Inspector BUILDING DEPARTMENT -. TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road: PO Box 1179 j Y ^� Southold, New York 1197170959 Telephone (631) 765-1802-- FAX03.1) 765-9502, ro err .southoldtownn-y-gov—� s-eand_@southoldtownny:gov. AP9?LICATION FOR-ELECTRICAL INSPECTION '1 ELECTRICIAN INFORMATION-(All Information Required), Dato ' - - Company:Name:-Catizone Electrical/Long Island Power Solutions Name:Michael Catizone License No.: 36178-ME email:_7 sue@longislandpowersolutions.com - 2060_Ocean Avenue,Ronkonkoma,NY 11779 Address:. Phone' -No.: 631-348-0001 _ --- , JO_ B SITE INFORMATION (All Information Required) Name:,_. Address: - __9_.65 Edwards Lane. Orient N-Y__1-1957__.-__-._..____—_.__.___-_-. Cross Street: Main Road-_ -- - - _— - Phone No.:. 9 1 7_3_7 287 — Bldg.Permit#: - email: ahalom mac.com _ Tax Map District:_ -- 1000 - _Section; 1-8 _— _ Block:-- 3___ _ - .- Lot: 20 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed( 69)panel roof mounted array. ( 27.600)kW System z to Circle All That Apply: Is job ready for inspection?: YES / NO Rough.In -Final- Do you need a Temp Certifcate?: YES / NO, IssuedOn_.__ Temp lnformation: (All information-required) - kf Service:Size 1 Ph 3 Ph Size-.'------__-_A #Meters:- _--_- _ - .Old Meter#'.- New Service== Fire Reconnect-Flood Reconnect-Servicee-Reconnected-Underground-Overheads #Underground Laterals. 1 2 H Frame .-Pole_._ Work done on Service? Y N "AdditionalTnformation:. -- - - -(69)_Hanwha_Q-PEAK,DUO BLK 400W Inverters:-(69)Enphase.IQ-7PIus.___._.______ - -- - - --- -- - -- --- ----- - - - - - - ---- -- - - Support: Iron Ridge XR-100- -- - ---- --- -- - - - - - ___ -- - .PAYMENT-DUE_WITH_APPLICATION - i Request•.for Inspection Forrn.xls + if# Su>t Uj, BUILDING DEPARTMENT-Electrical Inspector � `- TOWN OF.SOUTHOLD Town Hall Annex.- 54375 Main Road_- PO-Box 1170 Southold,; New York 11071=095.9 �t .,°�.��•. :-C��, Telephone _ ,$1) 7 -1,002- FAX roge�rCa��southoldtowrany c�}Qv seated.CM-southald#ouvrtriuou- P?L1410N FOR:'-_ELECTRI_CAL I:NS:PECTJ;O ELECTRICIAN INFORMATION (Aii(nforriiatioq Re aired Date' j company Name: Catizone Electrical/Long Island Power Solutions `---T- Name:Michael Catizone F License No.:36178-ME ern—il sue@longislandpowersolutions.com Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 -u Phone No.: 631-348-0001 M. 410- J:OB SITE INFORMATION (All Information Required) Name: -.Joachim, Address: 965 EdWards Cross Street: Main Road Phone No.- 1 , -r2-28_7- __--_ - - - . BIdg.Permlt#: c j 75 j0y_ email: ahalom mac.comV__ yMa Dlstnct.-- 1000 S.ectiorr18. Block: 3_ "" -_'" i Proposed( 69)panel roof mounted array. >: BRCEF3ESCRIPT4ON°OF°IUO.RK<=(Please.Piint Clearly) : ( 27.000)kW.System - - rleYll`That Apply: ._ Is jd' ready for inspection? Y I NO Rr. "" h=[a nal } Da yoau need a.Temp CrerE�cate?: =YES/ NO :_ ---- - 44 aon:-- p (Ash 16 �d #equ"red r �lnformtrrola R _ J�. Service Size 1 Fh 3 Ph :Si e .T�A #l [elecs �:0 NevSi�ee:- Fire Reconnect=Food recti:nect-Sen'ce..fte []t1 - = _ RN 0Q0 ----- ___.. . _ _._eot_._ =lJl def oai�nrd C lereac l3nieGgintin'tl"d-La als. 1 =2= H Frame Pelle, Work ctot�'en sevi'Ee? Y N - -k_ ..iii - 4�dif�a�Tnforixa#ioinr �.�.��._a T- --Modules:}69 Hanwha� -PE-� DUO BLK 400W_� -� ^� •- AL - - In�erte „(6,9).Enphase_I_Q-7Plus. >.Supnort:..Iron Ridge XR -- -- - -- PAX1f N21JSlE N.1TNJP-.LtCAIIHON- i Request for Inspection Fomt.x(s PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC- AH Hood Service Amps Have Used Special: Comments: D SCDHS REF# RI0-16-0030 SURVEY OF PROPERTY AT ORIENT NTOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-18-03-20 smM 1'=50' s.0' OCIl7BER 15,2015 FEB. 16.2016(B.O.H.) SEPT. 7.2016(PROP.HOUSE) NOV.2 2016(PROP.HOUSE) ;1NOV. 9.2016(STAKES) ail1k7'$�5V 0) A9 ` a FEBRUARY 21,2017(FOUNDA77ON LOCA710N) oP'la 0�W, ,�q5 �,q. \�.a. JANUARY 8,2019(FINAL) DEm maP _7 �----------------,moo---- g.�. 6 y 6th eea �� ar mcE cuvO. E Q_ 831tcLDCAt10N � EN6MV1¢ 7 A. g S or I Jr I 5v �5� a�5 .s�� simlE w.ws •�. � \ LP 5P' ro' ea nuEu rano � ,Ep 'bv `,�9 Munn 5°'dx" A' VA LLOCAEION =56 ,�'40 s. wBSIs a�f IN' m..5' TEST HOLE DATA % ' b s li w ' ,�uNns y N 4LF09OENCE % \ � ® /a O+PJ �� •50 �J op ¢Jao• crow Etuu a y`yP..yy 'vl • ® � 4 ,9E' S '`To.S. _____ O5' 'Y. d ,p5 PALE BROW SVDY$T 1L �d sm¢ rwo PAEe IAww 91rr sAra sr a10��. ---- •a' OEtPa 'P ¢ ' y'00 E OROME fB'S 1D CYl/A5E S1M SII �� Nfi5q;g6 r Je' p JB•x55• raxB a.r•- ----- MwDR a ea01rl En¢rD cnur�sAno m � ��c� �lo�0v of MOIL MTOT EMMIMTD3D JW dlDM 9 AX j KEYRERAR i/ o•E \ �cryAyO 2FJ� ® a HELL e STAKE / \ O B EST HOLE1` pt 1" • PIPE ■ MONUMENT' r�(( m WETLAND FLAG gyp., URUIY POLE V JSP, ELEVATIONS ARE REFRENCED AND CONTOUR LINES TO NLA VA W I AM FAMILIAR MRI THE STANDARDS FOR APPROVAL AND CONSIRUCRON OF SUBSURFACE SEWAGE DISPIOSAL SYSTEMS FOR 9NGTE FAMILY REWDENCES AND KL AMC aa BY THE D OFORMFORM7MOMJ AND ON THE •/%; W PERMa ro LnNSTRNsmuCT.cr. N.Y. Ur-NO. 49618 ANY ALIERATION OR ADDITION TO TIOS SURVEYS A NOIATICN 6 PECONIC SURVEYORS,P.C. S7:CTION 720.96 THE NEW YORK STATE EDUCARCN LAM.fiXW T AS TOTAL PER SECTION 7209-SUBWVOV 2 ALL CERMNITONS HEREON (631)765-5020 FAX(6JI)765-1797 ARE VALID FOR TNS MAP AND COPIES THEREOF ONLY IF SAID MAP AFEE-100,845 80.FT.or 23M Acres P.O. BOX 909 OR CORMS REAR THE IMPRESSED SEAL OF THE SURVEYOR WOSE 9TNANRE APPEARS HEREON. TRAVELER 51 SOUTRAVELER N.Y. 11971971 15-189 LONG ISLAND OWER2060 Ocean Ave Ronkonkoma, NY 11779 S O L1 T I O t�1 S 631348-0001 V �I www.longislandpowersoIutions.com February 15a'2022 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: Joachim Yahalom Project/Property Address: 965 Edwards Lane, Orient,NY 11957 Section/Block/Lot: 1000-18-3-20 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: Fisher Engineering Svcs.-509 Sayville Blvd., Sayville,NY 11782—631-786-4419 Enclosed Please find: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of the Engineering Drawings & Specs • Liability, Disability & Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Sincer y, caylin Rivera Permit Assistant Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx- 631-348-0018 sue@Gopowersolutions.com Go Green Save Green Suffolk County Dept.of Labor.LlcerisiN d Consumer Affairs MASTER ELECTRICAL L CENSE Name MCHAEL J CATIONS 8usirless Name Tris cerlir"s Dial IMe basrw 4 dilly Im-ued Catm+e E*d"ca'Co^racbnr,Ix by Uro County d surd, Ik i rise Number:NIE-36178 Rosalie Drago Issued: 12)01 Q004 I:r)T'nI9b O`er FAOrss: 12101!2022 Ir0 IL ' Suffolk County Dept.of Labor.Licensing A Consumer Affairs MASTER ELECTRICAL L CENSE • Name MICHAEL CATIZONE Business Name This can lies that the LONG ISLAND POWER SOLUTIONS INC bearer is duy licensed by the County of suffolk License Number:ME-53580 Rosalie Drago Issued: 06;06'2014 Commissioner Expires: 0&01!2022 Suffolk County Dept.of Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name MICHAE,-CATTZONE Business Name This certifies that the bearer is duty licensed LONG ISLAND POWER SOLUTIONS RAC by the County of Suffolk License Number:-1-53562 Rosalie Drago Issued: 06`062014 Comm.-ssioner Expires: 06101i'2022 Client#:83176 CATIELE ACORD. CERTIFICATE OF LIABILITY INSURANCE DAT23/20D/YY 9/23/2021YY) 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 NAME: Commercial Support Edgewood Partners Ins.Center PHONE631-390-9700 AX 631-390-9790 AIC No,Ext: A1C,No 40 Marcus Drive E-MAIL certificates@cookmaran.com 3rd Floor ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC#Melville,NY 11747-2647 INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B: Catizone Electrical Inc. 2060 Ocean Avenue INSURER C: Ronkonkoma,NY 11779 INSURER D: INSURER E, INSURER - 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICYNUMBER MMMD M/DDIYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y CPP4784747 7/01/2021 07101/2022 EACH OCCURRENCE S190001000 CLAIMS-MADE I x i OCCUR PREMISES E.occurrence) S100,000 MED EXP(Any one person) S10,000 PERSONAL&ADV INJURY 51,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 X POLICY 1-1 ECT El LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO i BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY i (Per ..Z S UMBRELLA LIAR [d OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I I RETENTION$ $ A WORKERS COMPENSATION 4766763 7/01/2021 07/01/202 X PER STATUTOTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT Soo,= OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I EL DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of Southold is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3241156/M3110173 JGRAS YAnsation workers' CERTIFICATE OF INSURANCE COVERAGE STTE Coimpe Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured CATIZONE ELECTRICAL 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. n C.Paid family leave benefits only. 5. Policy covers: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that 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 des ted above.. Date Signed 12/16/2021 By Aail— (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 representafive 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 complefion 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 58 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'rompensation 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-120.9. Insurance brokers are NOT authorized to issue this form. 1313420.1 (1047) � fl�DB-120.1 (10-17) 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"l 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. D13420.1 (1047)Reverse ORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Catizone Electrical Inc 631348-0001 060 Ocean Avenue Ronkonkoma,NY 11779 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 455213112 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Utica Mutual Insurance Company 3b.Policy Number of Entity Listed in Box"l a" Town of Southold 4766763 53095 Route 25 Southold, NY 11971 3c.Policy effective period 07/01/2021 to 07/01/2022 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) © all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a°for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Leonard Scioscia (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 6/9/21 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier. 631-390-9700 Please Note:Only insurance carriers and their licensed agents are authorized to issue Foran C405.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.web.ny.gov <11Fl;xv��ricerCERTIFICATE OF INSURANCE COVERAGE ATE Cornpensa�iflt>Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured LONG ISLAND POWER SOLUTIONS INC 2 60 OCEAN AVE BA NEW YORK OWER SOLUTIONS 6313480001 RONKONKOMA,NY 11779 Work Location of Insured(Only required ifcoverage is specilically limited to 1c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) Or Social Security Number 27-1175107 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southold Standard Security Life Insurance Company of New York 53095 Route 25 3b.Policy Number of Entity Listed in Box"l a" Southold, NY 11971 R97411-000 3c.Policy effective period 1/1/2015 to 8/26/2022 4. Policy provides the following benefits: ® A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑ C.Paid family leave benefits only. 5. Policy covers: X❑ A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc t ed above.-Aail— (Signature Date Signed 8/27/2021 By AA-of insurance carrier's authoriz•d represen�ve 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 sox 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issuethisform. DB-120.1 (10-17) 11111[(� �lllJ�®I��� 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 (1047)Reverse Client#:83393 LONGISL15 ACORD. CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 2/25/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES 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 CONTACT NAME: Commercial Support Edgewood Partners Ins.Center PHONE -390-9700 FAX, Ext): A/CNo): 631-390-9790 40 Marcus Drive E-MAIL certificates@cookmaran.com 3rd Floor ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747-2647 INSURER A:Southwest Marine&General Ins Co 12294 INSURED INSURER B Long Island Power Solutions,Inc. INSURER C: 2060 Ocean Avenue INSURER D: Ronkonkoma,NY 11779 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. W p TYPE OF INSURANCE 'INSRL WV D POLICY NUMBER MMO/LDDSUB DNEFF MPIO�LIDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY II PK202100020693 2/28/2021 02/28/202 EACH OCCURRENCE s2,000000 CLAIMS-MADE I—XI i I PREMISES EaEoccccuurrenceS100,000 X PD Ded:5,000 MED FRCP(Any one person) $5,000 X Contractual Liab. i PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY®ECT LOC j PRODUCTS-COMP/OP AGG $2,000,000 OTHER: j S A AUTOMOBILE LIABILITY PK202100020693 2/28/2021 02/28/202 COMBINED SINGLE LIMIT 1 I Ea accident S ,000,000 ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED I BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED ONLY X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY Per accident S A X UMBRELLA LIAB X !OCCUR EX202100001789 2/28/2021 02/28/202 EACH OCCURRENCE s5,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE S5,000,000 DED I X RETENTION$10000 $ WORKERS COMPENSATION ; PEATU OTH- AND EMPLOYERS'LIABILITYTA TE ANY PROPRIETOR/PARTNER/EXECUTIVE YIN' I F-L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? ❑I N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of Southold is included as additional insured for general liability coverage as required by written contract CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2962740/M2962525 CPR" NYS 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 11100 0 0 00 00000®®8 603'1®11 Form WC-CERT-NOPRINT Version 3(08/292019)[WC Policy-24670788] U-26.3 41 [00000000000091281603][0001-000024670788][SSZ][15588-79][CerLNoP-CERT_i][01.00001] ROA-b ,- PHOTOVOLTAICS: OWER (69) Q.PEAK DUO BLK ML-G10+ 400 1SOLUTIONS NEMA 3R 2060 OCEAN AVENUE, JUNCTION BOX INVERTERS: D L� �Gj i� RONKONKOMA, NY 11779 BLACK-L1 ENGAGE CABLE (69) ENPHASE IQ7PLUS-72-2-US (631)348-0001 RED-19 MAY - 4 2022 WHITE-NEUTRAL CIRCUITS: ' YAHALOM �� GREEN-GROUND (5) CIRCUITS OF(12) MODULES BUILDING DEPT. To`NN OF SOUTHOLD (1) CIRCUIT OF (9) MODULES RESIDENCE 965 EDWARDS LANE ORIENT, NY 11957 917-371-2287 AS BUILT S: 18 B. 3 L- 20 PROJECT DATA: #225162 IMJERTER: (69)ENPHASE IG7PLUS-71-1-US _#12AWGTHVVN FOR HOME RUNS UNDER 100' MODULES: (69)Q.PEAK DUO BLK ML-G1O+400 #10 AWG THWN FOR HOME RUNS OVER 100' r .HOTOVLTAIRACKING: IRON RIDGE XR100 (1)LINE 1 "ID -I, SYSTEM (1)LINE 2 ) , DISCONNECTA 400A SERVICE WATTAGE: 27,600 (1)NEUTRAL METER ROOF TYPE: COMPOSITION SHINGLES WIND LOAD: -30.8PSF 140MPH (1)GROUND @ PER CIRCUIT i 1 © raTMACOUTf�!lTCUOM 8 3.4 9 A FASTENER USE 5116"DIA.5"LAGS IN 1"OR 171"PVC CONDUIT NWKrMATWACnTAM 240 un ELECTRIC0 c O DO NOT TOUCH TERMINALS PHOTOVOLTAIC ku TERMiNALS ON :• w 'S ( �'S6; LOAD SIDES�.EN MAIN SOLAR SYSTEM IN THE POSITION AC DISCONNECT _ LINE SIDE TAP Z =m Z 0 200A FUSED SERVICE MAIN SERVICE MAIN SERVICE 3 125A LOAD CENTER RATED DISCONNECT 200A 200A (1)-20A BREAKER 125A FUSEGI R► PER CIRCUIT L ! RNI ` G �X- DISCONNECT INVERTER OUTPUT CONNECTION ,�.Q?, °O.o;`�s59 � DO NOT RELOCATE THIS #1 AWG THWN #2 AWG THWN OVERCURRENT DEVICE (1)LINE 1 (1)LINE 1 r, (1)LINE 2 (1)LINE 2 (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL ALTERATION OF nflS DOCMIErrr EXCEPT BY A (1)EGC (1)EGC OR SUB PANEL LICENSED PROFESSIONAL IS ILLEGAL IN 1}"PVC CONDUIT (1)GEC PAPER SIZE I1'riT(ANSI B) 3 IN 1Z'PVC CONDUIT DATE: 01/11/2022 DESIGN BY: MW CHECKED BY: EE REVISIONS: 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.ASCE746. ELECTRICAL PLAN E-1 200A FUSED SERVICE RATED DISCONNECT i APPROVED AS NOTED DATE: 3 a B.P.# FEE: _ BY: NOTIFY ,BUILDING PE''ARTMENT AT 765-1802 8A%4 TO ' PiM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRICTION MUST L BE COMPLETE FCR w.0. �SCd h e c-f I�YI US� ALL CONSTRUCTION SHALL MEET THE f REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FORou- DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF .•GL I'HD "Tn 4!4RA S BOARD v�J USTEES .J1=i�r- UCL :jCCURANCY OR USE I'S UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ELECTRICAL INSPECTION REQUIRED Fisher Engineering Services, P.C. 509 Sayville Blvd • Sayville •New York 11782 Phone: (631) 786-4419 February 8,2022 Attention: Southold Building Department 54375 NY-25 Southold,NY 11971 Subject: Solar Energy Installation for Yahalom Residence 965 Edwards Lane, Orient,NY 11957 I have reviewed the roof 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 ASCE7-16 when installed in accordance with the manufacturer's instructions. Roof Section RI Mean roof height 16 ft Pitch 0 deg Roof Rafter 117/8 TJI Rafter spacing 16 cc Reflected roof rafter span 13.0 ft Table R802.4.4(1)max allowable 23.6 ft The climactic and load information is below: Ground Wind Live Load, Point CLIMATIC AND Exposure Snow Speed,3 Pnet per Pullout Fastener Type GEOGRAPHICAL DESIGN Category Load,Pg, sec gust, ASCE 7, Load, CRITERIA sf mph Psf lb Roof Section RI B 20 140 39 743 SS 5/16"dia lag bolt, 5"length Weight Distribution Array dead load 2.5 psf Load per attachment 27.2 lb Subject roof has one layer of shingles. ��QF NE r� Panels mount flush to roof no higher than 6 inches above roof surface. y,`�• rP , Sincerely, William G. Fisher,P.E. Licensed Professional Engineer Architectural Design•Residential•Light Commercial Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting•Inspections powered by I i f - YR `TOP-BRAND PV- EUROPE Warranty 2021 ®CELLS Product&Pedormence Yield Security T_ BREAKINGTHE 20%EFFICIENCYBARRIER nn/II Illlnllll�IIS 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- Q sive quality programme in the industry:The new"Quality Controlled PW of v� the independent certification institute TUV Rheinland. INNOVATIVE ALL-WEATHER TECHNOLOGY 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.QTM. EXTREME WEATHER RATING High-tech aluminum alloy frame,certified for high snow(5400 Pa)and wind loads(4000 Pa). A RELIABLE INVESTMENT �� 7Inclusive 25-year product warranty and 25-year lr--r linear performance warranty2. 'APT test conditions according to IEC/TS 62804-1:2015,method A(-1500V,96h) ]See data sheet on rear for further Information. THE IDEAL SOLUTION FOR: "`!/ Rooftop arrays on (110 residential buildings Lr Engineered in Germany OCELLS MECHANICAL SPECIFICATION Format 74.Oin x 41.1in x 1.26in(including frame) (1879 mm x 1045 mm x 32 mm) 74.0'(1879,.) 42.8'(1088 mm) ]5.8•(399bmm) Weight 48.5 lbs(22.0 kg) Front Cover 0.13 in(3.2mm)thermally pre-stressed glass with L x49Y(115011) s anti-reflection technology a 0.18•(a smm) rmme Back Cover Compositefilm 39Y199amm) Frame Black anodized aluminum 4u•uo4b mm) Cell 6 x 22 monocrystalline G1.ANTUM solar half cells ® Junction Box 2.09-3.98in x 1.26-2.36in x 0.59-0.711n (53-101mm x 32-60mm x 15-18mm),IP67,with bypass diodes =49s•(us0mm) Cable 4mm2 Solar cable;(+)249.2in(1250mm),(-)249.2in(1250mm) e•DmI4�9•rw„ 4•M-o Od(DETAIL A) 3 Connector Staubli MC4;IP68 II II I 12V(32 mm) DETAILA 063•ll6mm) I II 0.96•(24bmm)I�/I033•(8.8 mm) ELECTRICAL CHARACTERISTICS POWER CLASS 385 390 395 400 405 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC1(POWER TOLERANCE+5 W/-OW) Power at MPP' PMPP [W] 385 390 395 400 405 E Short Circuit Current' Sc [A] 11.04 11.07 11.10 11.14 11.17 E Open Circuit Voltage' VDc [V] 45.19 45.23 45.27 45.30 45.34 -E 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 [%] 119.6 119.9 220.1 220.4 220.6 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 ISD (A] 8.90 8.92 8.95 8.97 9.00 E Open Circuit Voltage VDc [V] 42.62 42.65 42.69 42.72 42.76 E Current at MPP IMM [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;Vcc±5%at STC:1000W/ml,25±2°C,AM 1.5 according to IEC 60904-3-'800 W/M2,NMOT,spectrum AM 1.5 I O CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE �F 100 < ae 110 --T-----f'-----i---- --_--� z� .4Iiii awsAt least 98%of nominal power during T first year.Thereafter max.0.5%LLQ oe ---------------------- degradation per year.At least 93.5% 100 L_____L_____I of nominal power up to 10 years.At z least 86%of nominal power up to >40 ------------ 25 years. F 90 --r-----r-----I------'-----� z ° All data within measurement toleranc------ - - I I I ¢ w es.Full warrantees in accordance 80 a the warranty terms of the O CELLS 200 .00 eoo eoa 100° o IRRADIANCE(W.1 .y ° ss organisation of your respective swam immN 10 :o count yN reammo lowwma+•r YEARS Typical module performance under low irradiance conditions in o �P �wani2o14(aa.s,�e,m141 comparison to STC conditions(26oC,1000W/m2) ' m TEMPERATURE COEFFICIENTS I o Temperature Coefficient of Isc ° [%/K] +0.04 Temperature Coefficient of Voc R [%/K] -0.27 S Temperature Coefficient of PMPP y [%/K] -0.34 Nominal Module Operating Temperature NMOT [°F] 109±5.4(43±34C) m 0 PROPERTIES FOR SYSTEM DESIGN ° w Maximum System Voltage Vsr9 [V] 1000(IEC)/1000(UL) PV module classification Class II p 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/Pull' (lbs/ft2] 113(5400 Pa)/84(4000Pa) on Continuous Duty (-404C up to+850C) 3See Installation Manual (QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION m UL 61730,CE-complient, AL Controlled PV-TUV Rheinland, IEC Ery O�-`O-'] I40.HCI a IEC 61215:2016,IEC 81730:2018, U.S.Patent No.9,893,215 Horizontal 76.4in 43.31n 48.01n 1656lbs 24 24 32 a QCPV Certification ongoing. C US packaging 1940mm 1100mm 1220mm 751kg pallets pallets modules _ C4N8ed _ UL 81730 10 1111220ZP n va 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. Hanwhe 0 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 The high-powered smart grid-ready Enphase 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 Battery', and the Enphase Enlighten" monitoring and analysis software. IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install • Lightweight and simple • Faster installation with improved,lighter two-wire cabling • Built-in rapid shutdown compliant(NEC 2014&2017) Productive and Reliable Optimized for high powered 60-cell and 72-cell*modules • More than a million hours of testing • Class II double-insulated enclosure • UL listed ®_ Smart Grid Ready • Complies with advanced grid support,voltage and frequency ride-through requirements Remotely updates to respond to changing grid requirements Configurable for varying grid profiles Meets CA Rule 21 (UL 1741-SA) U *The IQ 7+Micro is required to support 72-cell modules. EN PHAS E, To learn more about Enphase offerings,visit enphase.com 4 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 p Commonly used module pairings' 235W-350W+ 235 W-440 W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 60V Peak power tracking voltage 27 V-37 V 27 V-45 V Operating range 16V-48V 16 V-60 V Min/Max start voltage 22 V/48 V 22 V/60 V Max DC short circuit current(module Isc) 15 A 15 A Overvoltage class DC port II II DC port backfeed current 0 A 0 A PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ 7 Microinverter IQ 7+Microinverter Peak output power 250 VA 295 VA Maximum continuous output power 240 VA 290 VA Nominal(L-L)voltage/rangez 240 V/ 208V/ 240V/ - 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 111 III AC port backfeed current 0 A 0 A Power factor setting 1.0 1.0 Power factor(adjustable) 0.7 leading...0.7 lagging 0.7 leading...0.7 lagging EFFICIENCY @240 V @208 V @240 V @208 V Peak CEC efficiency 97.6% 97.6% 97.5% 97.3% CEC weighted efficiency 97.0% 97.0% 97.0% 97.0% MECHANICAL DATA Ambient temperature range -40°C to+65°C Relative humidity range 4%to 100%(condensing) Connector type(IQ7-60-2-US&IQ7PLUS-72-2-US) MC4(or Amphenol H4 UTX with additional Q-DCC-5 adapter) Connector type(IQ7-60-B-US&IQ7PLUS 72-B-US) Friends PV2(MC4 intermateable). Adaptors for modules with MC4 or UTX connectors: PV2 to MC4:order ECA-S20-S22 PV2 to UTX:order ECA-S20-S25 Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1.08 kg(2.38 lbs) Coaling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Environmental category/UV exposure rating NEMA Type 6/outdoor FEATURES Communication Power Line Communication(PLC) Monitoring Enlighten Manager and MyEnlighten monitoring options. Both options require installation of an Enphase IQ Envoy. Disconnecting means The AC and DC connectors have-been evaluated and approved by UL for use as the load-break disconnect required by NEC 690. T' _ 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•Men phase com/en-us/support/module-com pati biIitv_. 2.Nominal voltage range can be extended beyond nominal if required by the utility. 3.Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. To learn more about Enphase offerings,visit enphase.com EN PHAS E. @ 2018 Enphase Energy.All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. 2018-05-24 IRONRIDGE Roof Mount System s - 01 _ .: yydui:F G"•rr 1. n �-- Built for solar's toughest roofs. IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified All components evaluated for superior Pre-stamped engineering letters structural performance. available in most states. Class A Fire Rating Design Software Certified to maintain the fire resistance ® Online tool generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding 20 Year Warranty UL 2703 system eliminates separate Twice the protection offered by module grounding components. competitors. ^ ^ ----- XR Rails XR10Rei| XR100 Rail XR1000Fai| Internal Splices EE) 14 Alow-profile mounting xail The u�matereadando| Aheavyweight mnundng AUrails use internal op|�eo for regions with light onovx solar mounting rail. rail for commercial pnojecta. for seamless connections. ^ G'opanningoopobi|ity ^ 8'apanningoopobi|ity ^ 12'opanningmspabiUty ^ Self-tapping screws ^ Moderate load capability ^ Heavy load capability ^ Extreme load capability ^ Varying versions for rails ^ Clear& black anud.finish ` Clear& black anod.finish ^ Clear anodized finish ^ Grounding Straps offered ---- Attachments F|smbFoot Slotted L-Feet Standoffs Tilt Legs AIL Anchor,flash, and mount Drop-in design for rapid rail Raise flush ortilted Tilt assembly todesired with aU'in'oneattachments. attanhmenL systems tovarious heights. angle, upto46degrees. ^ Ships with all hardware ^ High-friction serrated face ^ Works with vent flashing ^ Attaches directly 0orail ^ |8C|& IRC compliant ^ Heavy-duty profile shape ` Shipepna'aoonmb|ed ^ Ships with all hardware ` Certified with XRRails ` Clear&black anod.finish ` 4^and 7^ Lengths ^ Fixed and adjustable ---- Clamps & Grounding End Clamps Grounding Mid Clamps (j) T-Bolt Grounding Lugs (B Accessories J Lij LW 74k Slide inclamps and secure Attach and ground modules Ground system using the Provide ofinished and modules o1ends ofrails. in the middle of the rail. rail's top slot. organized look for rails. ^ Mill finish & black anod. ^ Parallel bonding l-bo|t ^ Easy top-slot mounting ^ Snap-in Wire Clips ^ Sizes from 1.22^ho2.3" ^ Reusable up0o1Otimes ^ Bim|nadeapn*'driUin0 ^ Perfected End Caps ^ Optional Under Clamps ^ yWiU & black stainless Swivels inany direction ^ UV-protected polymer Free Resources F Design Assistant A NABCEP Certified Training Go from rough layout to fully if Ir Earn free continuing education credits, • m® AERIAL DOWER 4 SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 .� YAHALOM RESIDENCE 965 EDWARDS LANE 40 ` ORIENT, NY 11957 �(1 A# 917-371-2287 VF �•; S. 18 B: 3 L: 20 PROJECT DATA: #225162 INVERTER (69)ENPHASE IQ7PLUS-72-2-US MODULES: (69)Q.PEAK DUO BLK ML-G10+400 RACKING: IRON RIDGE XR100 WATTAGE: 27,600 SHEET INDEX ROOF TYPE: COMPOSITION SHINGLES WIND LOAD: -30.8PSF Q 140MPH S-1 SITE PLAN FASTENER: USE 5/16"DIA.5"LAGS S-2 DETAILS E-1 ELECTRICAL PLAN N71 L-1 MOUNTING PLAN u . , 5; 0p Z n J o u ;per Zw wLQn w " Z L Z a w In L E, GENERAL NOTES R-1 -ENPHASE IQ7 PLUS MICRO INVERTER PITCH U0* (69) LOCATED ON ROOF BEHIND EACH MODULE. l) om Fig �- AZIMUTH:222° -FIRST RESPONDER ACCESS MAINTAINED 3` AND FROM ADJACENT ROOF. -WIRE RUN FROM ARRAY TO CONNECTION ISF� 40 FEET. o '�'�.r1�as�9�•, -COGEN DISCONNECT IS LOCATED �• � �"S `- y ADJACENT TO UTILITY METER. -LAYOUT SUBJECT TO CHANGE BASED ONALrERAFIGNOFTHIS DOCUMENT EX(EPTBYA SITE CONDITIONS AT DATE OF INSTALL LICENSED PROFESSIONAL IS ILLEGAL PAPER SIZE:11"z 17"(ANSI B) LEGEND DATE: 01/11/2022 DESIGN BY: MVV GROUND ACCESS POINT CHECKED BY: EE COGEN DISCONNECT REVISIONS: ® UTILITY METER REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE.2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, �. INCLUDING ALTERNATIVE METHODS MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE.2017 NATIONAL ELECTRIC CODE.ASCE7-16. SITE PLAN I S■1 THE 2020 RESIDENTIAL CODE OF NYS Fes_ OWER SOLUTIONS IronRidge XR 100 Rail 2060 OCEAN AVENUE, .. RONKONKOMA, NY 11779 (631)348-0001 YAHALOM RESIDENCE CkaTA Flashing 965 EDWARDS LANE ORIENT, NY 11957 917-371-2287 Enc?ClarTap S: 18 B: 3 L: 20 h n,Ridge XR 100 Rail PROJECT DATA: #225162 II HRI,1Lc%R 101 11 R.+II INVERTER (69)ENPHASE IQ7PLUS-72-2-US -lJ � MG y uAIILJ D X 3« MODULES: (69)Q.PEAK DUO BLK ML-G10+400 RACKING. IRON RIDGE XR100 Solar Module /� Self Drilling FastenerS WATTAGE 27,600 J 3/8-16 x 3/4 ROOF TYPE: COMPOSITION SHINGLES ►fEx HEAD 40CJLT 3/8-116 CLAtlOE NUTWIND LOAD: -30.8PSF @ 140MPH 3 5,,,"8" FASTENER USE 5116"DIA.5"LAGS J 0) N r w U 0 u K 0 w GENERAL NOTES: z W -L FEET ARE SECURED TO ROOF RAFTERS @ 48" O.C. w L0 Z .T�m USING (4) OMG XHD x 3" SELF DRILLING FASTENERS. Z a Uj w � N -SUBJECT ROOF HAS ONE LAYER. i 3 -ALL PENETRATIONS ARE SEALED AND FLASHED. 09 .�� m G F�& �0 ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES 46 R1 00 NA 11 7/8" TJI@16"O.C. 61 '-911 NAit -ALT FR MON OF THIS DO(F'MENT EXCEPT HlA LICENSED PROFESSIONAL IS ILLEGAL PAPER SIZE:11"x 17"(ANSI B) DATE: 01/11/2022 DESIGN BY: MW 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, �■� MODULES MOUNTED FLUSH TO ROOF TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7.16. DETAILS NO HIGHER THAN 6"ABOVE ROOF SURFACE OWER SOLUTIONS 2060 OCEAN AVENUE, - - -- RONKONKOMA, NY 11779 (631)348-0001 YAHALOM RESIDENCE 965 EDW ARDS LANE ORIENT, NY 11957 J 917-371-2287 S- 18 B-. 3 L- 20 a_ PROJECT DATA: #225162 ` INVERTER (69)ENPHASE IQ7PLUS-72-2-US i_j ___. MODULES: (69)Q.PEAK DUO BLK ML-G10+400 RACKING: IRON RIDGE XR1DO WATTAGE: 27,600 - ROOF TYPE COMPOSITION SHINGLES 4j4- WIND LOAD: -30.8PSF @ 140MPH FASTENER USE 5/16"DIA.5"LAGS Ln I " m 1 � 61 -9.. W s ]C ElJ W R-1 17 23 # MODULES (69) 5 PITCH: 0' 16 R °•074659 -- - 6 AZIMUTH: 2220 ��J• 8.5' 0 �`' ALTERATION OF THIS DOC CMENT EXCEPT BNA 0 LICENSED PROFESSIONAL IS ILLEGAL, 4 0 PAPER SIZE 11"z 17"(ANSI B) ■ SPLICE BAR 24 DATE: 01/11/2022 © PENETRATIONS 130 DESIGN BY: MW , „ CHECKED BY: EE UFO 110 39 -� REVISIONS: 40MM SLEEVE 36 61 END CAPS 36 CONSUMPTION CRITTER GUARD 220' 31-511 MOUNTING PLAN L.'� PHOTOVOLTAICS: OWER (69) Q.PEAK DUO BLK ML-G10+ 400 VISOLUTIONS NEMA 3R 2060 OCEAN AVENUE, INVERTERS: JUNCTION BOX RONKO KOMA, NY 11779 BLACK-L1 ENGAGE CABLE (69) ENPHASE 107PLUS-72-2-US (631)348-0001 RED-L2 YAHALOM WHITE-NEUTRAL CIRCUITS: GREEN-GROUND (5) CIRCUITS OF (12) MODULES (1) CIRCUIT OF (9) MODULES RESIDENCE 965 EDWARDS LANE ORIENT, NY 11957 917-371-2287 S: 18 B: 3 L: 20 PROJECT DATA: #226162 INVERTER (69)ENPHASE 107PLUS-72.2-US #12 AWG THWN FOR HOME RUNS UNDE 100' MODULES: (69)Q.PEAK DUO BILK ML-G10+400 #10 AWG THWN FOR HOME RUNS OVER 100' - RACKING: IRON RIDGE XR100 (1)LINE 1 400A SERVICE WATTAGE: 27,600 (1)LINE 2 ` �,. (1)NEUTRAL METER ROOF TYPE: COMPOSITION SHINGLES (1)GROUND WIND LOAD: -30.8PSF a 140MPH PER CIRCUIT tr1 :7 €"Ct, iI' 83.49 A FASTENER: USE 5/16"DIA.6"LAGS IN 1"OR 14'PVC CONDUIT NIS TPS AC�-q).T-A€ 240 V ELECTRIC0 . • , � v Lu n U N DO NOT TOUCH, PHOTOVOLTAIC > O wzo-� >- � �W�Q BE MAIN SOLAR SYSTEMIN THE OPEN POSITIC.' Z w��� AC DISCONNECT LINE SIDE TAP z t w I z sem ` z -- --- — w N K E lj w L — 200A FUSED SERVICE MAIN SERVICE MAIN SERVICE Ln 3 125A LOAD CENTER RATED DISCONNECT 200A 200A (1)-20A BREAKER 125A FUSE �� Ci Fly Q. •,ore+ PER CIRCUIT �� �'�� 0 '4! tSWA UNIN11 DISCONNECT 1p INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS #1 AWG THWN #1 AWG THWN ��o '��-0 46 9 OVERCURRENT DE'ACE (1)LINE 1 (1)LINE 1 (1)LINE 2 (1)LINE 2 (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL AL 1 C-1 V I\Ur 1 t11J UVl L'IVICIV 1 CAl CY I tl 5.i (1)EGC (1)EGC OR SUB PANEL LICENSED PROFESSIONAL IS ILLEGAL IN 1'-a"PVC CONDUIT (1)GEC PAPER SIZE:11 x 17(ANSI B) IN 14'PVC CONDUIT DATE: 01/11/2022 DESIGN BY: MW CHECKED BY: EE REVISIONS: 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 200A FUSED SERVICE RATED DISCONNECT