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HomeMy WebLinkAbout46553-Z o�O��FFQtKCpG Town of Southold 10/27/2022 y P.O.Box 1179 0 co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43542 Date: 10/27/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 235 Carole Rd., Southold SCTM#: 473889 Sec/Block/Lot: 52.-2-7.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/28/2021 pursuant to which Building Permit No. 46553 dated 7/9/2021 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 as applied for The certificate is issued to Mahoney,Liam&Autumn of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46553 8/4/2022 PLUMBERS CERTIFICATION DATED riz d ignature gtlFFOl� TOWN OF SOUTHOLD �o coot' BUILDING DEPARTMENT 2 ' TOWN CLERK'S OFFICE Way • 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#: 46553 Date: 7/9/2021 Permission is hereby granted to: Mahoney, Liam 61 Hearthstone Dr Dix Hills, NY 11746 To: install roof-mounted solar panels on existing single-family dwelling as applied for with flood permit. At premises located at: 235 Carole Rd., Southold SCTM # 473889 Sec/Block/Lot# 52.-2-7.4 Pursuant to application dated 6/28/2021 and approved by the Building Inspector. To expire on 1/8/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 ui g nspector o��oF so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 iQ sean.deviinl'-town.southold.ny.us Southold,NY 11971-0959 COUNTV,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Liam Mahoney Address: 235 Carole Rd city:Southold st: NY zip: 11971 Building Permit#: 46553 Section: 52 Block: 2 Lot: 7.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Empower Solar License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 5.2kW Roof Mounted PV Solar Energy System w/ 13 40OW Modules, Combiner Panel w/220x2 & 215x1, 60A AC Disconnect Notes: Solar Inspector Signature: Date: August 4, 2022 S.Devlin-Cert Electrical Compliance Form OF SOUTy�Io VI � 55-� � # # 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 ] PRE C/O [ ] RENTAL REMARKS: GI ate v- Look <At&m /1 Cr . v- Aavp, ,pl - 6e2A DATE INSPECTOR �Of SOUIy # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL So JOV [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: oysJ VIA 0 N-00, to- ort T r DATE INSPECTOR OF SOUT # # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765.1802 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 r] PRE C/O [ ] RENTAL REMARKS: (O�� o� 1�1 kfk-v jj�V LZ,---rK c e — C) DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS , ro FOUNDATION (1ST) � y W� ------------------------------------ � C FOUNDATION(2ND) t�r1 • �No LA ROUGH FRAMING& PLUMBING r INSULATION PER N.Y. H STATE ENERGY CODE a 2 opt/ l5 o1G. (AP&O G NPwWJ✓ S4"V C vin�w� -g l� 4(t A-r,-fAe,c -I� ` u FINAL ADDITIONAL COMMENTS VOLG !00 S6 cb � Z ' rn ro z y x . e _ ro H SufFoc too =moo. aye TOWN OF SOUTHOLD—BUILDING DEPARTMENT y; x Town Hall Annex 54375 Main Road P. O.*Box 1179 Southold,NY 11971-0959 • Telephone 631 765-1802 Fax 631 765-9502 https://www.southoldtowm.gov Date Received APPLICATION FOR BUILDING PERMIT D 2Q DIVE D For Office Use Only PERMIT NO. IL5.50 Building Ins ector: JUN 2 2021 p 8 Applications and forms must be filled out in their entirety.Incomplete RU DrNG DEPT, applications will not be accepted. Where the Applicant is not the owner,an R•, E ;,`r ;,r, Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: Liam Mahoney SCTM# Z000- 52000200007005 Project Address: 235 Carole Road, Southold, NY 1197.1 Phone#: g1.7_X576=5057 Email: Ipmahoney_@gmail.com Mailing Address: 2 1 CONTACT PERSON: Name: Sara McCaffrey Mailing Address: 4589 Austin Blvd. Island Park, NY 11558 Phone#: (516)-544-4592 Email: permitting@empower-solar.com DESIGN PROFESSIONAL INFORMATION: Name: Gregory D. Sachs Mailing Address: 4.589 Austin_Blv_d.,_IsIand_P_ark,-N-Y_11558_-______. Phone#: (516)-544-4592 Email: permitting@empower-solar.com CONTRACTOR INFORMATION: Name: EmPower CES, LLC. Mailing Address: 4589 Austin Blvd., Island Park, NY 11558 Phone#: (516)-544-4592 Email:permitting@empower-solar.com DESCRIPTION OF PROPOSED CONSTRUCTION El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: NOther Solar $ $24,897.81 Will the lot be re-graded? ❑Yes RI No Will excess fill be removed from premises? ❑Yes N No 1 PROPERTY INFORMATION.'" Existing use of property: Residential Intended use of property: Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Eyes Q No IF YES, PROVIDE A COPY. ® 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 Yor'kand 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 21MS of the New York State Penal Law: Application Submitted By(print name): Sara McCaffrey ®Authorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) Sara McCaffrey being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (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___V, Notary Public PROPERTY OWNER AUTHORIZATION_ (Where the applicant is not the owner) I, Liam Mahoney residing at 235 Carole Road, Sot i hold, NY 11971 do hereby authorize Sara McCaffrey to apply on m al f to the Town of Southold Building Department for approval as described herein. 61 a.d Ovu Sigtur Date Lr") -5) G Print O.wneNayrrj.e 2 vSUFFp�'�,e BUILDING DEPARTMENT- Electrical Inspector �Gy� TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 y p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogernjj southoldtownny.gov — seand(c.southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: �j p Cross Street: Phone No.: Bldg.Permit#: S 6 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square. Footage: Circle All That'Apply: Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (AII information required) 1 PhF-13 Ph Size: A #Meters Old Meter# Service Size F1 ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 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 Young k Young, Land Surveyors 0`� 400 Oaarandlr AV—,R—rArad. New nark f1901 $16-727-2909 iii' ig aung ` 0 //?�` �) Ifd•n I Young,P.nfyk L.S.(19DB-1991) young �69- Themru C W Y, Prol•�nunal enai,,... a Xmn•!A F.Ayr1 Lane Survrym OJoAn Schnurr. anY Sururyar � ow ot9X°GC`' ryi' 0 C hC{e oo % S 0(\`1 oGC` e I : ry 9:5 01 oe� °Ce\, ge•� a'y1" o<tot QoC1`O 9ra1 \oma>iY;;a °wr°\p9 44 o-0 Oc M 000 a" /°�\ c°w / 9 01 50, \ Oa�ao� / \ t F ea°°NO Soy 41o1o or Ct \(,1T e10 os / \ e NONE...MONUMENT rOU D 2 AREA s 17!45 SF ' t e e vao(te E SURVEY FOR: THOMAS BRENNAN r � eM� At: ARSHAMOMOOUE Town of: SOUTHOLD di1A Suffolk County, Now York SMff.Co Tax Map: 1000 52 2 74 0 71 R `, r_ P ,r ' A CATE .OFC 12.199] 0' SCAE JOB V0. :97-0911 �lb 91EET NO.:I OF 1 �a 0 60159 (9]08110nL) YORK workers' CERTIFICATE OF INSURANCE COVERAGE STATE I Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured EMPOWER CES LLC DBA EMPOWER SOLAR 310-534-7994 4589 AUSTIN BOULEVARD ISLAND PARK,NY 11558 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) 522407627 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"1a" 54375 Route 25 Southold,NY 11971 DBL252634 3c.Policy effective period 05/10/2021 to 05/09/2022 4. Policy provides the following benefits: © A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: © A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 5/13/2021 By &W, Gt (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White; Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 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 56 of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this ppform. DB-120.1 (10-17) ('��IIII��IWII�I�I EMPOCES-01 DWRIGHT1 CERTIFICATE OF LIABILITY INSURANCE DATE r 6/712 D/YVYY) 6/7/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#0757776 CONTACT Davita Wright Culver City,CA-HUB International Insurance Services Inc. PHONE No,Ext 310 568-5944 FAX 600 Corporate Pointe ): ) A/C,No): Suite 600 n DR'Ess:davita.wright@hubinternational.com Culver City,CA 90230 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine 8:General Insurance Company 12294 INSURED INSURER B: EmPower CES LLC INSURER C: 4589 Austin Boulevard INSURER D: Island Park,NY 11558 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE INSADDDL SUBR WVD POLICY NUMBER POLICDY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000,000 CLAIMS-MADE ® OCCUR X PK202100006109 5/4/2021 5/4/2022 PREM SESO a oNTEDence $ 500,000 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE� F LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Errors and Omis $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY ATO ONLY Pe0racci'Zt AMAGE $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS UAB CLAIMS-MADE EX202100001500 5/4/2021 5/4/2022 AGGREGATE $ 5,000'000 DED I X I RETENTION$ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE F E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 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) The certificate holder is listed as additional insured per attached endorsement#GL0202 0218. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 54375 Route 25 Southold,NY 11971 AUTHORIZED REPRESENTATIVE OAal aacG/aL ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF199 CHURCH STREET,NEW YORK,N.Y.10007-1100 -New York State Insurance Fund nySlf.Com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE .A A A A A 522407627 AMWINS BROKERAGE OF NEW YORK 200 ELWOOD DAVIS ROAD SUITE 200 LIVERPOOL NY 13088 �� Y SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER EMPOWER CES LLC TOWN OF SOUTHOLD 4589 AUSTIN BLVD 54375 ROUTE 25 ISLAND PARK NY 11558 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 2546 6, 508946 05/08/2021 TO 05/01/2022 05/11/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2546 624-4, 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 AFFORDS COVERAGE TO THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. DAVID SCHIEREN GREG SACHS EMPOWER CES LLC 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: 517876518 l01115111110I1II10000000000093309481111 Iml Form WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-25466244] U-26.3 150 f0000000000009330SMlr0001-0000254662441f##Z1f15633-01lrCert NoP{ERT 11x01-000011 ti 4 "+ae Simple and Fast installation Integrated module-to-rail grounding Pre-assembled mid and end clamps Levitating mid clamp for easy placement Mid clamp width facilitates consistent,even t �r _P module spacing UL 2703 Listed integrated grounding Flexible Design Addresses nearly all sloped residential roofs Design in landscape and portrait with up to 8' rail span Pre-drilled rails and rail splice Rails enable easy obstacle management Customer-Preferred Aesthetics #1 module and#1 mounting aesthetics Elegant Simplicity Best-in-class system aesthetics Premium,low-profile design SunPower=' InvisiMountTM is a SunPower-designed Black anodized components rail-based mounting system. The InvisiMount system Hidden mid clamps and new capped,flush addresses residential sloped roofs and combines faster end clamps installation time, design flexibility, and superior aesthetics. Part of Superior System The InvisiMount product was specifically envisioned and Built for use with SunPower DC and AC modules Best-in-class system reliability and aesthetics engineered to pair with SunPower modules. The resulting • New optional rooftop transition flashing,rail- system-level approach amplifies the aesthetic and mounted J-box,and wire management rail clips installation benefits—for homeowners and for installers. Combine with SunPower modules and SunPower EnergyLinO monitoring app o sunpower.com I _ ,tea «. _. . F� x - a �t 0 INWe Miml 1 • • InvisiMount Components Module'/Mid Clamp and Rail Module'/End Clamp and Rall Vid Clamp End Clamp Rail&Rail Splice Ground Lug Assembly(for DCsystems only) ComponentInvisiMOLint Operating Conditions Mid Clamp Black oxide stainless steel 300 series 63 g(2.2 oz) Temperature -40'C to 90°C(-40°F to 194°F) End Clamp Black anodized aluminum 6000 series 110 g(3.88 oz) • 3000 Pa uplift Max.Load(LRFD) 6000 Pa downforce Rail Black anodized aluminum 6000 series 830 g/m(9 oz/ft) Rail Splice Aluminum alloy 6000 series 830 g/m(9 oz/ft) Ground Lug 304 stainless steel Roof Attachment Hardware Supported • Assembly (A2-70 bolt;tin-plated copper lug) 106.5 g/m(3 75 oz) • Composition Shingle Rafter Attachment Application Composition Shingle Roof Decking Attachment Curved and Flat Tile Roof Attachment • Universal interface for other roof attachments Uplift 664 Ibf Mid Clamp Shear 5401bf InvisiMount Uplift 899 Ibf 25-year product warranty End Clarrp Warranties Shear 220 Ibf 5-year finish warranty Rail Moment:upward 548 Ibf-ft UL 2703 Listed Moment downward 580 Ibf-ft Certifications Class A Fire Rated Moment:upward 548 Ibf-ft Rail Splice Moment:downward 580 Ibf-ft R• of Attachment Hardware Warranties Uplift 1000 Ibf L-foot Refer to roof attachment hardware manufacturer's documentation. Shear 390lbf Module frame that is compatible with the InvisiMount system required for hardware interoperability. z SunPower recommends that all Equinox1m,InvisiMountTM,and AC module systems always be designed using the SunPower Design Tool.If a designer decides to instead use the component capacities listed in this document to design a system,note that the capacities shown are Load and Resistance Factor Design(LRFD) design loads,and are NOT to be used for Allowable Stress Design(ASD)calculations;and that a licensed Professional Engineer(PE)must then stamp all calculations. Should you have any questions please contact SunPower Technical Support at 1-800-SUNPOWER(1-800-786-7693). sunpower.com y 2017 SunPower Corporation.All Rights Reserved.SUNPOWER,the SUNPOWER logo,EQUINOX,and INVISIMOUNT are trademarks or registered trademarks of SunPower corporation. 509506 RevE All other trademarks are the property of their respective owner s.Specifications included in this datasheet are subject to change without notice. SUNP WER" 420-390 W Residential AC Module SunPower°Maxeon®Technology Built specifically for use with the SunPower EquinoxTM system,the only fully me �.. integrated solution designed,engineered,and warranted byone manufacturer. monoHighest Power Density Available. nno IF] SunPower's new Maxeon'Gen 5 cell is 65%larger than oF� prior generations,delivering the most powerful cell and highest-efficiency module in residential solar.The result is more power per square meter than any commercially available solar. I T - Ln . - Fundamentally Different. N P And Better. Highest Lifetime Energy and Savings. Designed to deliver 60%more energy over 25 years in real-world conditions like partial shade and high temperatures. Sun Powerl'Maxeon®Technology • Most powerful cell in home solar' 3 taxa. ------ ----- - d • Delivers unmatched reliability 3 a 130% V o t I2oae Up • Patented solid metal foundation prevents r 0� Up t breakage and corrosion 100116 more c 90% lifetime d A sow, energy Conventional Module 70% N b0ae 10 15 20 25 Years of operation i Best Reliability. Best Warranty. �..,..., With more than 25 million modules deployed around Factoryintegrated Microinverter(MI) the world,SunPower technology is proven to last.That's • Highest-power integrated AC module why we stand behind our module and microinverter in solar with the industrys best 25-year Combined Power and • 60%lighter than prior SunPower MIs Product Warranty,including the highest Power Warranty • Engineered and calibrated by SunPower for SunPower AC modules in solar. A-Series:A420 I A415 I A410 A400 A390 SunPower®Residential AC Module Inverter Model:SPWR-A4 0240 VAC 366 VA ower - 349 VA U Voltage/Rangel(V) 240/211-264 ,r Current(A) 1.45 - 3ranch Circuit -C Weighted Efficiency 97.0% Non, -rY 60 Hz }x Range 47-68 Hz A' 5+o Clrcult r? _ 5.8 A rms -- __.. ..-- -- .__............._. 18 mA =actor 5 1.0 oo, OJ lead./ 0 7 lag. -- PowerDC �, c-A� ti1 A410-G-AC A400-G-AC A390-G-AC 25-year limited power Warranty ------ — --- --- Warranties 25 limited roduct Nom.Power 5(Pnom)W 420 415 410 400 390 25-year P warranty PowerTol. -5/-095 UL 1703 Module Efficiency ?25 223 22.0 21.5 20.9 Certifications UL 1741/IEEE-1547 and UL 1741 AC Module(Type 2 fire rated) Temp.Coef(Power) -0.2945/'C Compliance UL 62109-1/IEC 62109-2 . Shade Tol Integrated module-level max,power point tracking FCC Part 15 Class B — ------ ICES-0003 Class B CAN/CSA-C22.2 NO.107.1-01 Tested Op- CA Rule 21(UL 1741 SA)' - - (includes Volt/Var and Reactive Power Priority) Operating Temp. -40"F to-185 F(--0'c to+85'C) UL Listed PV Rapid Shutdown Equipment` Max.Ambient Temp. 122°F(50°C) Wind:62 psf,3000 Pa,305 kg/m'front&back Enables installation in accordance with: Max.Load Snow:125 psf,6000 Pa,611 kg/ml front NEC 690.6(AC module) NEC 690.12 Rapid Shutdown(inside and outside the array) Impact Resistance inch(25 mm)diameter hail at 52 mph(23 m/s) NEC 690.15 AC Connectors,690.33(A)-(E)(1) Mechanical Data When used with InvisiMount racking and InvisiMount accessories (U L 2703): Solar Cells 66 Monocrystalline Maxeon Gen 5 Module grounding and bonding through InvisiMount Front Glass -4igh-transmission tempered glass with Class A fire rated ant- --........._ i-reflective coating When used with AC module Q Cables and accessories(UL 6703 and -------------------- ..____ Environmental Rating Outdoor rated UL 2238) Rated for load break disconnect Frame Class 1 black anodized(highest HAMA rating) PID Test Potential-induced degradation free Weight 46.5 lbs(21.1 kg) Recommended Max. 1.3 in.(33 mm) Module Spacing - 72.2(1&35) 1 SunPower 415 W,22.3°x6 efficient,compared to a Conventional Panel on same-sized j � � 1.57(40) arrays(260 W,16%efficient,approx.1.6 m=),7.9%more energy per watt(based on i PVSyst pan files for avg.US climate),0.595/yr slower degradation rate(Jordan,et.al. t0 'Robust PV Degradation Methodology and Application'PVSC 2018), 2 Based on search of datasheet values from websites of top 10 manufacturers per IHS,as of p r� in.(mm) 1.2(30) _ January 2019. 3#1 rank in"Ftaunhofier PVDurability Initiative for Solar Modules:Part 3-"Pvrech Power Magazine,2015.Campeau,Zet al."Sun Power Module Degradation Rate,"SunPower white ` paper,2013. - 4Factory set to1547a-2014default settings.CA Rule 21 default settings profile set during 1.57(40) commissioning. 5 Standard Test Conditions(1000 W/in2irradiance,AM 1.5,25'C).NREL calibration standard: SOMS current,LACCS FF and voltage.All DC voltage is fully contained within the module. 6 This product is UL Listed as PVRSE and conforms with NEC 2014 and NEC 2017 690.12; 0.87(22) - and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors; when installed according to manufacturer's instructions. See www.sunpower.com/facts for more reference information. For more details,see extended datasheet www.sunpower.com/datasheets Specifications a euounev lm included in this datasheet are subject to change without notice. rvrwo wroov ®2019 SunPower Corporation.All Rights Reserved.SUNPOWER,the SUNPOWER logo, LIMB S U N P W E R wwww Equinox,and MAXEON are registered trademarks of SunPower Corporation in the U S.and Mod„le rkx Perf�cv Type 2 other countries as well.1-800-SUNPOWER. Please read the Safety and Installation Instructions 532628 for additional details. 534092 RevA sunpower.com '1 Gregory Sachs, PE 4589 Austin Blvd, (516)-544-4115 Island Park, NY 11558 permitting@empower-solar.com June 9, 2021 To Whom It May Concern: The purpose of this letter is to certify that the existing roof structure located at: 235 Carole Rd,Southold, NY 11971 can support the additional loads due to wind and gravity from the solar energy system. Furthermore, it has been determined that the structure complies with the 2020 Residential Code of New York State including the ASCE 7. Please see Table 1 below for specific data relating to the calculations for each roof structure involved in the solar energy system installation. Table 1 Rafter Snow Wind Max Span Layers of Roof Surface (ft) spacing Cross Section Load Speed Kneewall Collar Ties Shingles (in) (psf) (mph) South 1 10.00 16 Nominal 2x8 20 140 No No 1 ELECTRICAL APP OVED AS NOTED INSPECTION REQUIRED O� NE DATE: - B.P.# � 0FtY D, s,r�,p FEE: Ta Sincerely, NOTIFY 0 * �G �9y� BUILDIId� .'L-r-'4 4ENT AT 765=1802 8 AM, 'TO ,,pl lip. FOLLOWING INSFEC T;.', FOR THE _= n I. FOUNDATION - NS' m TV"d0 RcQUIRED FOR POURED CC),�-, — �O 0845S" �= 2. ROUGH - FRAU:,. C PLUMBING Gregory Sachs, PE A �, 3. INSULATION FESS\C) 4. FINAL - COnIT: MUST BE COMPL.E';_ ALL CONSTRUCT;,-•�•.. 0. ShALL MEET THE REQUIREMENTS OF Tr-,F CODES OF NEW COMPLY WITH ALL CODES OF YORK STATE. NOT RESPONSIBLE FOR NEW YORK STATE & TOWN CODES DESIGN OR CONSTRUCTION ERRORS. AS REQUIRED AND CONDITIONS OF BOARD OCCUPANCY OR _ STEES USE IS-UNLAWFUL N.Y. WITHOUT CERTIFICATE OF OCCUPANCY 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER I I SOLAR 4589 AUSTIN BLVD ISLAND PARK,NY 11558 o TEL:516-837-3459 RESIDENTIAL FAX:516-706-1789 www.empower-solar.com SOLAR PROJECT THE INFORMATION DISCLOSED HEREIN IS THE SOLE H H PROPERTY OF EMPOWER CES,LLC.UNAUTHORIZED REPRODUCTION OR DISTRIBUTION OF THIS PROJECT TEAM. MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL OWNER: G MAHONEY RESIDENCE G 235 CAROLE RD OF NEIV SOUTHOLD, NY 11971 ORY D. 0 PHONE:917-576-5057LL ENGINEER OF RECORD: r C9 N F SOLAR INSTALLER: GREGORY SACHS, PE F m = i EMPOWER SOLAR y 4589 AUSTIN BLVD N 4589 AUSTIN BLVD ISLAND PARK, NY 11558 o 084 531 ISLAND PARK, NY 11558 SS10N� PHONE: 516-837-3459 E PHONE:516-837-3459 E I D 235 Caroli Rd, D REV: DESCRIPTION: DATE: 06t,hold, NY 1 1971 � � PROJECT LOCATION DATA: SHEET INDEX: PROJECT NAME: ADDRESS: ST-01 COVER SHEET MAHONEY RESIDENCE S-01 EQUIPMENT LOCATIONS f 235 CAROLE RD S-02 STRUCTURAL PROJECT LOCATION: C �l SOUTHOLD, NY 11971 SE-01 ELECTRICAL 235 CAROLE RD % yl` SOUTHOLD,NY 11971 SCTM: 1000052000200007005 yY' PROJECT#: i' PROJ.PHASE: PERMIT !' DATE: B B DESIGNED BY: ED CHECKED BY: GS SCALE: NTS MAP TITLE: COVER SHEET A A SHEET: ST-01 1 2 3 4 5 6 7 8 9 10 11 12 13 r 1 2 1 3 4 1 5 1 6 1 7 8 9 10 11 12 13 EMPOWER SALAR 4589 AUSTIN BLVD ISLAND PARK,NY 11558 o TEL: 516-837-3459 FAX: 516-706-1789 www.empower-soIar.com THE INFORMATION DISCLOSED HEREIN IS THE SOLE H PROPERTY OF EMPOWER CES,LLC.UNAUTHORIZED H REPRODUCTION OR DISTRIBUTION OF THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL G G SOF NEty 1 �PSG()R S D. 5�0 SOUTH-1 ROOF: ,k ��. ,: P�0 13 SUNPOWER 40OW-ACPV PANELS F TOTAL POWER: 5.2 kW F m U] ORIENTATION: 137°; PITCH:23° Z Z TYPE 1: FLUSH MOUNT NCO sem^ a 53 E E 2 D 4 D REV: DESCRIPTION: DATE: PROJECT NAME: EQUIPMENT LEGEND: SETBACK LEGEND 5 MAHONEYRESIDENCE Fil MODULES � 36" CLEAR PATH PROJECT LOCATION: C 235 CAROLE RD. SOUTHOLD,NY 11971 UTILITY METER ® 18" RIDGE SETBACK PROJECT#: 3❑ INVERTERS PROD.PHASE: PERMIT DATE: 06/09/2021 B B DESIGNED BY: ED CHECKED BY: GS 4] SOLAR DISCONNECT SCALE: NTS TITLE: MAIN SERVICE PANEL EQUIPMENT LOCATIONS ROOF LAYOUT A NOT TO SCALE A SHEET: S-01 1 2 3 4 1 5 6 7 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER S O L A R 4589 AUSTIN BLVD SUNPOWER MODULES ISLAND PARK,NY 11558 o ON INVISIMOUNT RACKING TEL:516-837-3459 FAX: 516-706-1789 SHINGLES www.empower-solar.com THE INFORMATION DISCLOSED HEREW IS THE SOLE H PROPERTY OF EMPOWER CES,LLC.UNAUTHORIZED " RAFTERS REPRODUCTION OR DISTRIBUTION OF THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL G G OF NEp,. pRY D O F TYPICAL ROOF SECTION Fes` c? U) W NOT TO SCALELp _ zL �. SUNPOWER PANEL SPECS 14 08453", MODULE POWER Wdc QTY MODEL# LENGTH WIDTH DEPTH WEIGHT R`CSS10��� E ( ) TABLE S-1.1: MAX.ATTACHMENT SPACING E 400 13 SPR-A-SERIES-AC 72.2" 40.0" 1.57" 46.5 LB PORTRAIT: 5'-4" LANDSCAPE: 8'-0" SPR-E/X-SERIES-AC 61.4" 41.2" 1.81" 42.9 LB D REV: DESCRIPTION: DATE: D NOTES: PROJECT NAME: 1. TOTAL SYSTEM DC POWER: 5.20kW 2. RACKING SYSTEM INSTALLED IN ACCORDANCE WITH CODE-COMPLIANT INSTALLATION MAHONEY RESIDENCE MANUAL 3.ATTACHMENTS TO BE SECURED TO ROOF ASSEMBLY USING 5 mm STAINLESS STEEL SCREWS PROJECT LOCATION: C AND/OR 5/16"STAINLESS STEEL LAG BOLTS SPACED ACCORDING TO TABLE S-1.1 C 235 CAROLE RD 4. ALL ATTACHMENTS TO ROOF, MOUNTING BRACKETS & HARDWARE MEET OR EXCEED NYS SOUTHOLD,NY 11971 CODE REQUIREMENTS 5. INSTALLATION TYPICALLY MAINTAINS 7/8 INCH SPACING BETWEEN MODULES 6. SIZES OF STRUCTURAL MEMBERS THAT WERE NOT ACCESSIBLE FOR DIRECT MEASUREMENT PROJECT ARE BASED ON OBSERVATIONS OF ACCESSIBLE MEMBERS, CONSTRUCTION DEPTH OR PROD.PHASE: PERMIT BOTH IN ADDITION TO KNOWLEDGE OF STANDARD CONSTRUCTION PRACTICES AT THE DATE: B TIME OF CONSTRUCTION B DESIGNED 7. THIS DOCUMENT CERTIFIES THAT THE ROOF STRUCTURE HAS BEEN CHECKED FOR WIND, CHECKED BYY:: S ED SNOW, UNBALANCED SNOW, LIVE AND DEAD LOADS BASED ON ASCE 7-10 CHAPTER 30 - SCALE: NTS WIND LOADS - COMPONENTS AND CLADDING (C&C) AND FOR CONFORMANCE WITH THE TITLE: 2020 RESIDENTIAL CODE OF NEW YORK STATE.THIS CERTIFICATION DOES NOT APPLY TO STRUCTURAL ANY ADDITIONAL ROOF ALTERATIONS AFTER THE DESCRIBED INSTALLATION A 8.THIS ROOF STRUCTURE AS SHOWN IS ADEQUATE TO SUPPORT THE PROPOSED LOADS A SHEET: 9. REFER TO STRUCTURAL LETTER FOR SITE SPECIFIC AND ROOF SURFACE DATA S-02 1 2 3 4 5 6 7 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER NOTES: S ° L A R 4589 AUSTIN BLVD ISLAND PARK,NY 11558 1. NEUTRAL&GROUND ARE BONDED TOGETHER(ORIGIN OF GEC FOR SOLAR TEL:516-837-3459 ELECTRIC SYSTEM) FAX:516-706-1789 2. GEC FROM SOLAR ELECTRIC SYSTEM BONDED TO EXISTING GEC IN THE MAIN www.empower-solar.com STANDARD INVERTER ASSEMBLY: SERVICE PANEL USING'SPLIT-BOLT CONNECTOR' 3. IN SOME CASES POWER FOR DATA MONITORING ENCLOSURE MAYBE THEINFORMATIONOF OPOWE DISCLOSED HEREIN LITHO SOLE H H PROPERTY OF EMPOWER CES,LLC.UNAUTHORIZED DERIVED FROM MAIN SERVICE PANEL REPRODUCTION OR DISTRIBUTION IT THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT 4. CONNECT UTILITY SIDE TO PANEL LUGS PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL 5. USE TAP RULES FOR SIZING TAP CONDUCTORS(NEC 240.21) 6.SIZE GEC AND EGC AS PER NEC 250.66, NEC 250.122 RESPECTIVELY 7. PROTECT GEC AND EGC SUBJECT TO PHYSICAL DAMAGE AS PER NEC G SOLAR 250.64(B), NEC 250.120(C) G ARRAY 1 8. FINAL SCHEMATIC SPECIFIC TO THIS INSTALLATION AVAILABLE UPON OF NEW)_ REQUEST ,`Q� ORY �• .S O,p INVERTER(S) AC DISCONNECT F F f Ur E � m ' � �O 08453 E E STANDARD EXTERIOR INTERCONNECTION: STANDARD INTERIOR INTERCONNECTION: D D REV: DESCRIPTION: DATE: PROJECT NAME: INTERIOR EXTERIOR INTERIOR EXTERIOR MAHONEY RESIDENCE PROJECT LOCATION: C C 235 CAROLE RD MAIN SERVICE TAP O 1 BREAKER MAIN SERVICE O SOUTHOLD,NY 11971 PANEL ENCLOSURE PANELETTE PANEL PROJECT#: UTILITY UTILITY PROD.PHASE: PERMIT METER METER DATE: B B DESIGNED BY: ED 1 CHECKED BY: GS SCALE: NTS TITLE: ELECTRICAL A A SHEET: SE-01 1 2 3 4 5 6 7 8 9 10 11 12 13