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Woodard - 1945 Village Ln (2)
Mariella Ostroski,Chairperson out uni4v Town Hall Annex Anne Surchin,Vice Chair `,.�.0 e tie^ 54375 Route 25 Allan Wexler `�� ' ��: �'w� PO Box 1179 Fabiola Santana a Town m Southold,NY 11971 MUTHOLD Tara Cubie Ll==. ° Telephone: (631)765-1809 Jeri Woodhouse V , FNQ Cd �� o kimf@southoldtownny.gov Kim E. Fuentes, Coordinator o9�c RFSERVAT1ON Town of Southold Historic Preservation Commission Certificate of Appropriateness DECEMBER 8,2022 RESOLUTION #12.08.22.2 Owner: Judy Woodard RE: 1945 Village Lane, Orient, NY. SCTM# 1000-25-3-11 RESOLUTION: WHEREAS, 1945 Village Lane, Orient,NY, is on the Town of Southold Registry of Historic Landmarks; and WHEREAS, as set forth in Chapter 170 of the Town Code(Landmarks Preservation Code)of the Town of Southold, all proposals for material change/alteration must be reviewed and granted a Certificate of Appropriateness by the Southold Town Historic Preservation Commission prior to the issuance of a Building Permit; and WHEREAS, the applicant's representative, Sue Estabrooke of Long Island Power Solutions, submitted a proposal on October 6, 2022, to install solar panels on the roof of a single family dwelling and an accessory building/barn; and WHEREAS, the scope of work includes the installation of 59 black on black, anti-glare, anti- reflective panels solar panel on the roofs of the Main House and a rear yard Barn, facing south. Each panel will be installed with individual inverters with mounting to be adjustable and sitting three inches above the plane of the roof, and WHEREAS, the applicant's representative presented Commissioners with Engineered Plans(Site Plans, Elevations, Renderings)prepared by Ralph Pacifico, L.P.E., last June 17, 2022; and WHEREAS, during the Public Hearing on December 8, 2022,the applicant made a request to amend the application to limit the installation of the Solar Panels only to the roof of the Accessory Structure/Barn. NOW THEREFORE BE IT RESOLVED,that the Southold Town Historic Preservation Commission determines that the installation of Solar Panels upon the roof of an Accessory 'Structure/Barn in the above referenced application meets the criteria for approval under Section 170-8 (A) of the Southold Town Code; and Certificate of Appropriateness, HPC,Woodard, SCTM No. 1000-25-3-11 BE IT FURTHER RESOLVED,that the Commission approves the request for a Certificate of Appropriateness, subject to approvals by all involved agencies; and BE IT FURTHER RESOLVED, that a Building Permit may not issue until revised Engineering Plans depicting the approved installation of Solar Panels on the Barn Roof, only; and BE IT FURTHER RESOLVED,that this approval shall not be deemed effective until the required conditions have been met; and BE IT FURTHER RESOLVED,that any deviation from the approved plans referenced above may require further review from the commission. Motion made by: Commissioner Cubie Motion seconded by: Commissioner Santana VOTES: AYES: Commissioners Wexler, Santana, Cubie, and Woodhouse. NAYS: Chairperson Ostroski and Commissioner Surchin(4-2) RESULT: Passed Signed: 4L Kim E.Fuentes Coordinator for the Historic Preservation Commission Date: December 8,2022 Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave, Suite 2B Ph:631-988-0000 Bohemia, NY 11716 G c solar@pacificoengineering.com December 9,2022 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for �� U Judy Woodard 1945 Village Lane Orient, NY 11763 Sp�tH�o M�sS�ON D�NOFVP��ON I have reviewed the roofing structure at the subject address.T e struct its rt the additional weight of the roof mounted system.The units are to be installed in accordance wi acturer's installation instructions. I have determined that the installation will meet the requirements of th 0 Residential Code of New York State and ASCE 7-16 when installed in accordance with the manufacturer's instructions. Roof Section A B Mean roof height 18.0 ft 14.0 ft Pitch 32 degrees 17 degrees Roof rafter 2x4 2x6 Rafter spacing 24 inch on center 16 inch on center Reflected roof rafter span 7.5 ft 10.0 ft Table R802.4.1(1)max allowable 8.2 ft 14.6 ft The climactic and load information is below: Ground Wind Live Load, CLIMACTIC AND Exposure Snow Speed,3 Pnet per Point GEOGRAPHIC DESIGN pullout Fastener Type Category Load,Pg, sec gust, ASCE 7, CRITERIA load,Ib psf mph psf Roof Section A B 20 130 18 204 SS 5/16"dia lag bolt,3-1/2"length B 33 623 SS 5/16"dia lag bolt,5"length Weight Distribution �®f-NLS, array dead load 3.5 psf load per attachment 39.7 Ib CO The subject roof has 1 layer of roofing. Panels mounted flush to roof no higher than 6 inches above roof surface. ` Ralph Pacifico, PE ' Professional Engineer CoA 18-` RX, Ra ®�_o �ngineer ''CCBB�811 82 ADO R 'WISOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 PROJECT DATA:#225722 INVERTER:(35)ENPHASE 1Q7PLUS-72-2-US MODULES:(35)Q.PEAK DUO BLK-G10+360 RACKING:IRON RIDGE XR100 WATTAGE:12.600 11 LI LLL ROOF TYPE:COMPOSITION SHINGLES —11 11 IT II III YF, r 111 WIND LOAD:-54.6PSF @ 140MPH -11 IT I i 11111 L r I �4 1 1 1 111 1 11 FASTENER:5/16"DIA.5'SS LAGS ut M I I 1 11 _�_11 11 IT 11 1111 U 1111 11 1 11 IT 1! 1111 11 11 IT 11 1 IT 11 11 IT 11 111111 11 111T 11 111111 1111 11 111 11 111 11 11 11 IT 11 11 111 ' I11 11 IT 11 111111 111111 1111 11 1111 1 1111 11 11 111T 11 11 IT 11 11 111 IIITII IIITFII 111fill 1111 111] 11 11 1 .Tj c . - V 700 Lakeland Aye, Suitt 26 Bohemia NY '11716 1111 11 11 IT 11 1111 11 Ii 1111 11 1 11 u 11 u u 1 11 11 IT II II IT 1 11 1111 11 11 11 111 11 11 11111 1 IT I _ff 11 1111 111 11 IT 11 1111 F11 Ph-63,1-988-000Q 11 IT 11 1111 1 IT 11 11 IT 11 11 11 1111 i' 11 1 1 1111 11 11 IT 1 1111 1 solar@ pa"c ificoeng i neem ng_c orri T7-n -TT7= YPI I E,M I ILI I IT III I BFE+2 EL:8.0' www-pacificaengineering-com BFE EL:6.0' AVERAGE GRADE EL:4.5' ~ icic ss Jy �D MAIN HOUSE SOUTH ELEVATION O� NOT TO SCALE ALTERATION OF THIS DOCUMENT EXCEPT BY A Q �� ` n J\_ Q .'-1�• J LICENSED PROFESSIONAL IS ILLEGAL ��0` PAPER SIZE:11"x 17"(ANSI B) {r G lr G �yG Q DATE: 6/17/2022 C14N O F5 �O DESIGN BY: MW CHECKED �OQP 5 PSP REVISIONS:Y1 zisizzOo ° G N ELEVATION m A-1 ELEVATION DATA BASED ON NAVD 88.DATUM pOWER LUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 PROJECT DATA:#225722 INVERTER:(35)ENPHASE IQ7PLUS-72-2-US MODULES:(35)Q.PEAK DUO BLK G10+360 RACKING:IRON RIDGE XR100 WATTAGE:12,600 ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH II IT 11 111' FASTENER:5116"DIA.S'SS LAGS 11 11 IT 11r1 IT 1 11 11 IT 11 I IT II II IT 11 11 IT 11 11 111 11 IT 11 11 HIT II 1 } ;I 700 Lakeland Ave, Suitt 213 1 141 11 IT 11 11 IT I _T 11 111 11 11 1 1 Bohemia,NY 11716 I 111 11 u U-11A 1111111H lui METER Ph:631"-988-0000 ■ ■ solar@pacit<ooengineering-com BFE+2 EL: 8.0' www.pacificoengineering_com 11 1 11 1 1111 IT 11 11 BFE EL:6.0' \ \\\\\\ \\\\ \\ \\\ \\\\\\\\\\\\\\\ \\\\\\\\ \\\\\\\\\\\\\\\\ \\ \\\\\\\\\ \\\\\\ \ \\\\\\ \\\\\�AVERAGE GRADE EL:4.5' l s- T f MAIN HOUSE EAST ELEVATION. ®�- l®� NOT TO SCALE ALTERATION OF THIS DOCUMENT EXCEPT BY A U LICENSED PROFESSIONAL IS ILLEGAL Q ^ PAPER SIZE:I1•x 17•(ANSI B) r 1� 1� 202 DATE: 6/17/2022 04 Q�C �NO�p �`SS�pN DESIGN BY: MW go ON�OM CHECKED BY: KO REVISIONS: 12/9/22 KO m ELEVATION A'2 ELEVATION DATA BASED ON NAVD 88.DATUM AOOWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 PROJECT DATA:#225722 INVERTER:(35)ENPHASE IQ7PLUS-72-2-US MODULES:(35)Q.PEAK DUO BLK-G10+360 RACKING:IRON RIDGE XR100 WATTAGE:12,600 11 IT 1111-1-T 11 11 ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH FASTENER:5116"DIA.5"SS LAGS FF77FTF- TI TPI I --- 700 Lakeland Ave, SURE 2B NY 11716 p m i.a, ® Ph-w 631'-988-0000' IDa I I I I I I III I I I I I I I BFE+2 EL: 8.0' solar@pacificoe.ngineefing_com www.pacificoengineering-com 1110 BFE EL: 6.0' \\ \\ \\\ \\ \/\ \ \\\\\\\ \\\\\ \ \\\\\\\ \\\\\\\ \ \\\ \\ \ \ \\ \\ \ \ \\ \ \\ \\ \ \ \\ \\ \ \ AVERAGE GRADE EL:4.5 , � / // // // /f // // // / /�1/ // // // //�j // fj /f//////>// f//f// / f//f/////f///// / f//f//f///f�f/ f f/ �' w •1 e � C f MAIN HOUSE NORTH ELEVATION NOT TO SCALE a ALTERATION OF THIS DOCUMENT EXCEPT BY A c pLICENSED PROFESSIONAL IS ILLEGAL PAPER SIZE:11"x 17"(ANSI B) N l� DATE: 6/17/2022 2022 DESIGN BY: MW CHECKED BY: KO DEC 14 REVISIONS: 12/9/22 KO R N RE OF SOUHO D ISON A_T►ON F11S7pRIC PERV 3 ELEVATION A-3 g ELEVATION DATA BASED ON NAVD 88.DATUM OWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 PROJECT DATA:#225722 INVERTER:(35)ENPHASE IQ7PLUS-72-2-US MODULES:(35)Q.PEAK DUO BLK-G10+360 11 11 IT II II IT RACKING:IRON RIDGE XR100 11 IT 11 11 1 WATTAGE:12,600 11 IT il I ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH FASTENER:5/16"DIA.5'SS LAGS _ Gfi l G 700 Lakeiand Ave, Sugg 2B Bohemia, NY 11716 Ph_-631-9887,000Q- I I I I I I I I I I III III I I BFE+2 EL: solar@pacificoengineering_corim 1�1 1 www.paclficoengineering_com II II iT II II 1 II T-I . 11 Jill 11 111 , it -i 1 BFE EL:6.0' I I: \; j\�\ \�A\\ \ � AVERAGE GRADE EL:4.5'%\j\ �� ifs PqL°/ ®� 3 MAIN HOUSE WEST ELEVATION �sse®��� - c NOT TO SCALE D ALTERATION OF THIS DOCUMENT EXCEPT BY A lll��� D LICENSED PROFESSIONAL IS ILLEGAL � 2022 PAPER SIZE:11'x 17°(ANSI B) N DEC 14 N TOWtV OF HOLD DATE: 6/17/2022 HISTORIC PRESERVATION COMMISSION DESIGN BY: MW CHECKED BY: KO REVISIONS: 12/9/22 KO o � 0 N ELEVATION A.4 In ELEVATION DATA BASED ON NAVD 88.DATUM AMU w =OR SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 PV MODULES PROJECT DATA:#225722 INVERTER:(35)ENPHASE I07PLUS-72-2-US MODULES:(35)Q.PEAK DUO BLK G10+360 RACKING:IRON RIDGE XR100 WATTAGE:12,600 ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH FASTENER:5/16"DIA.5"SS LAGS PV MODULES f F G1. 1 c 700 Lakeland Ave, SuitE 2B Bohemia,NY 11716 CONDUIT FROM PV Ph:63,1'-988-0000 LOAD CENTER-----,. BFE+2 EL: 8.0' solar@pa6fiooengineefng_com — www-pacificoengineering_corn AC DISCONNECT -+I mBFE EL:6.0' 9t� ®���'rs V BARN SOUTH ELEVATION �� ®"6r)'�` NOT TO SCALE �ESSI® - c ALTERATION OF THIS DOCUMENT EXCEPT BY A` LICENSED PROFESSIONAL IS ILLEGAL Q PAPER SIZE:11"x 17"(ANSI B) 04 DATE; 6/17/2022 N DESIGN BY: MW DEC 14 2022 CHECKED BY: KO REVISIONS: 12/9/22 KO TOWN HISTORIC OF SOUTHOLD HISTORIC PRESERVATION COMMISSION ELEVATION A'5 ELEVATION DATA BASED ON NAVD 88.DATUM AN OWER "NISOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L:,11 PROJECT DATA:#225722 INVERTER:(35)ENPHASE IQ7PLUS-72-2-US MODULES:(35)Q.PEAK DUO BLK-G10+360 PV MODULES RACKING:IRON RIDGEXR100 WATTAGE:12,600 ...................... ::::-..:::: :.:.:-.::.....::::::::::::::: :::..:,.......,..,.........:.:.:.......... ........... .... OOF COMPOSITION SHINGLES ............ .................. .................. ........................ ........................................................................ .. ...................-......... ....... ............................. WIND LOAD:-54.6PSF @ 140MPH FASTENER: 116"DIA.5"SS LAGS r r 1.1� Gc 700 Lakeland Ave., SURE[213 - Bohemian NY 11716 Ph:61-31-988-0000 BFE+2 EL:8.0' soFar__@pacificoengineeiing_com www-pacificoengin eering-com BFE EL:6.0' tt 0�-N * &\�\\�/\\�j\\//\\//\ j�\�j\\j\\//\\//\\�\\j\ \\\ \ \ \ \ \j\\ \ AVERAGE GRADE EL:4.15' j �� �Q� 04G0��' BARN EAST ELEVATION NOT TO SCALE OF UN LC, J L►� �f L� ALTERATIOD7 OF OCUMENT EXCEPT BY A 3DLICENSED PROFESSIONAL IS ILLEGAL- Q PAPER SIZE:11"x 17"(ANSI B) N DEC 14 2022 DATE: 6/17/2022 TOWN OF SOUTHOLD DESIGN BY: MW HISTORIC PRESERVATION COMMISSION CHECKED BY: KO REVISIONS: 12/9/22 KO a 0 m ELEVATION A'6 ELEVATION DATA BASED ON NAVD 88.DATUM - SO LU®WER TIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 PV MODULES - PROJECT DATA:#225722 - INVERTER:(35)ENPHASE 1Q7PLUS-72-2-US MODULES:(35)Q.PEAK DUO BLK-G10+360 RACKING:IRON RIDGE XR100 WATTAGE:12,600 ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH FASTENER:5116"DIA.5"SS LAGS PV MODULES E G.c�. 700 Lakeland Ave, Suit(i 2B bohemia,-NY 11716 Ph:631-988-000Q BFE+2 EL:8.0' solar@padficoengineedng_com www-pacificoeng i n eeri ng_com _ BFE EL:6.0' FFM. � °OF 'E tTril i I I I Ll I m . %�%� a BARN NORTH ELEVATION NOT TO SCALE D SSSI® ALTERATION.OF THIS DOCUMENT EXCEPT BY A DEC 14 2022 LICENSED PROFESSIONAL IS ILLEGAL E 4 PAPER SIZE:11"x 17'(ANSI B) N N TOWN OF SOUTHOLD DATE: 6/17/2022 N HISTORIC PRESERVATION COMMISSION DESIGN BY: MW -0 CHECKED BY: KO REVISIONS: 1219/22 KO �— O 0 N ELEVATION A'7 g ELEVATION DATA BASED ON NAVD 88.DATUM sog' ER SOLUTIONS ONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 PROJECT DATA:#225722 INVERTER:(35)ENPHASE IQ7PLUS-72-2-US MODULES:(35)Q.PEAK DUO BLK-G10+360 RACKING:IRON RIDGE XR100 WATTAGE:12,600 ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH FASTENER:5116"DIA.5"SS LAGS MODULES ...........- ...... .......... 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Bolq6riiiaf NY 11716 Ph--631--988-0000 BFE+2 EL: 8.0' -splbr@pacificoengineeting,,coM www.PaGificoenjineering-com BFE EL:6.0' A 'A RA 0 5 RA� Yy f I..f Ole R6 -q BARN WEST ELEVATION NOT TO SCALE ALTERATION OF TMS DOCUNIENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL E < w E JD PAPER SIZE:11"x 17°(ANSI B) Lo DATE: 6/17/2022 C\l DEC 14 2022 1 DESIGN BY: MW CHECKED BY: KO —TOWN oF sourkom REVISIONS: ION COMMISSION 12/9/22 KO HISTORIC PRESERVAT0 0 ELEVATION A-8 ELEVATION DATA BASED ON NAVD 88.DATUM I ,� AERIAL OWER d!!� ' SOLUTIONS 2060 OCEAN AVENUE, � RONKONKOMA, NY 11779 (631)348-0001 -110 WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 R-5 #MODULES(22) PROJECT DATA:#225722 PITCH: 17° INVERTER:(35)ENPHASE IQ7PLUS-72-2-US (� AZIMUTH:271' -�"ACCESS PATHWAY MODULES:(35)Q.PEAK DUO BLK-G10+360 RACKING:IRON RIDGE XR100 0 %-ACCE-A W k WATTAGE:12,600 o S H E ET I N DEX ROOF TYPE:COMPOSITION SHINGLES C) S-1SITE PLAN WIND LOAD:-54.6PSF @ 140MPH FASTENER:5/16"DIA.5'SS LAGS i� S-2 DETAILS r O Ww 0 E-1 ELECTRICAL PLAN WLu L-1 MOUNTING PLAN E IN Gc 700 Lakeland Ave_ Suite 26 0 Bohemia, NY 11716 Ph:631-988-0000 36"ACCESS PATHWAY sotar@pacificoengineering.com R-a GENERAL NOTES www.pacificoengin eering.com #MODULES(13) G PITCH: 32° -ENPHASE 107 PLUS MICRO INVERTER OF Ntq,`i AZIMUTH: 91° LOCATED ON ROOF BEHIND EACH MODULE. �A �QN 04r,/ 10,0 -FIRST RESPONDER ACCESS MAINTAINED * a. AND FROM ADJACENT ROOF. -WIRE RUN FROM ARRAY TO CONNECTION IS t, 40 FEET. N 2 -COGEN DISCONNECT IS LOCATED f ) ADJACENT TO UTILITY METER. O�ESSIpNP i D -LAYOUT SUBJECT TO CHANGE BASED ON ALTERATION OF THIS DOCUMENT EXCEPT BY LICENSED PROFESSIONAL IS ILLEGAL iSITE CONDITIONS AT DATE OF INSTALL jDEC 1 4 2022 Q PAPER SIZE:11"x 17"(ANSI B) CN CN N HfSTORICPR SERV Tl �co""Mlss LEGEND DATE: 6/17/2022 N DESIGN BY: MW ® GROUND ACCESS POINT CHECKED BY: KO COGEN DISCONNECT REVISIONS: 12/9/22 KO UTILITY METER �� Z 0 2. � 1 FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, REPRESENTS ALL FIRE CLEARANCE MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16. SITE PLAN o INCLUDING ALTERNATIVE METHODS THE 2020 RESIDENTIAL CODE OF NYS 66 ......... AERIAL OWER SOLUTIONS 2060 OCEAN AVENUE, r .:. RONKONKOMA, NY 11779 -T — --- (631) 348-0001 WOODARD RESIDENCE ' 1945 VILLAGE LANE ORIENT, NY 11957 +�. - 2- 17 91 7 59 0 0 : 25 B: 3 L: 11 R-5 S #MODULES(22) j PITCH: 17° PROJECT DATA:#225722 --�' :,".�'� _ '��,�,'�. (� AZIMUTH: 271° INVERTER:(35)ENPHASE IQ7PLUS-72-2-US C F�ACCESS PATHWAY 4 .. MODULES:(35)O.PEAK DUO BLK-G10+360 C:) RACKING:IRON RIDGE XR100 8'AC Ess P—W ik WATTAGE:12,600 ZS H E E T I N D EX ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH O o S-1 SITE PLAN FASTENER:5116"DIA.5"SS LAGS F� S-2 DETAILS z 7-1 E-1 ELECTRICAL PLAN C) Q < 0 LLLL L-1 MOUNTING PLAN E GIN G� F9QF:s'UTH0E 700 Lakeland Ave, Suite 2B Bohemia) NY 11716 125' 14 2022 Ph:631-988-0000 36"ACCESS PATHWAY solar@pacificoengineering_com pLD WWW_pacificoengineering.com R-4 GENERALI ICPRESER RATION #MODULES(13) PITCH: 32° -ENPHASE IQ7 PLUS MICRO INVERTER ,C�QF NEk AZIMUTH: 91° LOCATED ON ROOF BEHIND EACH MODULE. qV 04p, O -FIRST RESPONDER ACCESS MAINTAINED * AND FROM ADJACENT ROOF. -WIRE RUN FROM ARRAY TO CONNECTION IS W 40 FEET. -COGEN DISCONNECT IS LOCATED 9p� NPS ADJACENT TO UTILITY METER. ESS10 -LAYOUT SUBJECT TO CHANGE BASED ON ALTERATION OF THIS DOCUMENT EXCEPT BY SITE CONDITIONS AT DATE OF INSTALL LICENSEDPAPER 1ONAL ISSIB)ILLEGAL Q PAPER SIZE:11"x 17'(ANSI B) N CN LEGEND DATE: 6/17/2022 N DESIGN BY: MVV CHECKED BY: KO ® GROUND ACCESS POINT REVISIONS: COGEN DISCONNECT 2'9'22 K° UTILITY METER 0 ® ``a REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, 3 MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16. SITE PLAN S■1 o INCLUDING ALTERNATIVE METHODS THE 2020 RESIDENTIAL CODE OF NYS - - UTO IronRidge XR 100 Rail OWER SOLUTIONS 2060 OCEAN AVENUE, •:'� !.� RO (6331)3408 001 Y 11779 WOODARD Ca - - RESIDENCE "AJ` - Flashing 1945 VILLAGE LANE --'- ORIENT, NY 11957 917-592-0170 End c cr"p S: 25 B: 3 L. 11 lwiiRidhr XR I"u Reil = , PROJECT DATA:#225722 IrooRidge XR 100 Rail 5/1601 x 5,� Stainless INVERTER (35)ENPHASE IQ7PLUS-72-2-US Steel Lag Bot MODULES:(35)Q.PEAK DUO BLK-G10+360 RACKING:IRON RIDGE XR100 Solar Module r WATTAGE:12,600 a X 3/4 HEX HEAD �T ROOF TYPE:COMPOSITION SHINGLES F[LANQE,HUT VN � ti �/�'1 ND LOAD:-54.6PSF @ 140MPH FASTENER:5/16"DIA.5'SS LAGS T P C r E GIN G� GENERAL NOTES- GENERAL NOTES FOR ROOF R-4: 700 Lakeland Ave, Suite 2B -L FEET ARE SECURED TO ROOF RAFTERS @ 80" O.C. -L FEET ARE SECURED TO ROOF RAFTERS @ 48" O.C. Bohemia, NY 11716 USING 5/16" x 5" STAINLESS STEEL LAG BOLTS. USING 5/16" x 3" STAINLESS STEEL LAG BOLTS. sol s31-98a-�o0 -SUBJECT ROOF HAS ONE LAYER. -SUBJECT ROOF HAS ONE LAYER. D [ @ [ d solar@pacificoengineering.com D www.pacificoengineering_com -ALL PENETRATIONS ARE SEALED AND FLASHED. -ALL PENETRATIONS ARE SEALED AND FLASHED. DEC 14 2022 ��OfNtsy TOWN OF SOUTHOLD �A P�Qv 04 HISTORIC PRESERVATION COMMISSION � J � � f ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES R4 320 211x6" TR 2"x4"@24"O.C. 9'-811 0" ESS10 R5 170 2"x8" 211x6"@16"O.C. 12'-411 1211 ALTERATION OF THIS DOCUIv1ENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL PAPER SIZE:11'x 17'(ANSI B) DATE: 6/17/2022 C L DESIGN BY: MW CHECKED BY: KO REVISIONS: 12/9/22 Ko 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 BARN PHOTOVOLTAICS: SOLUTIONS (35) Q.PEAK DUO BLK-G10+ 360 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 INVERTERS: (631)348-0001 (35) ENPHASE IQ7PLUS-72-2-US WOODARD CIRCUITS: (2) CIRCUITS OF (12) MODULES RESIDENCE NEMA 3R (1) CIRCUIT OF (11) MODULES 1945 VILLAGE LANE JUNCTION BOX ORIENT, NY 11957 BLACK-L1 917-592-0170 RED- L2 ENGAGE CABLE S: 25 B: 3 L: 11 WHITE-NEUTRAL PROJECT DATA:#225722 GREEN-GROUND INVERTER:(35)ENPHASE 107PLUS-72-2-US MODULES:(35)O.PEAK DUO BLK-G10+360 RACKING:IRON RIDGE XR100 WATTAGE:12,600 RPATOAC'( ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH METER FASTENER:5/16"DIA.5"SS LAGS UTPUTS 42.35 A NOMMAL 240 V P C l E GIN G� PHOTOVOLTAIC LINE SIDE TAP 700 Lakeland Ave, Suite 26 MAIN SOLAR SYSTEM Bohemia, NY 11716 125A LOAD CENTER AC DISCONNECT ATS Ph- 631-98840000 solar@pacificoengineering_com (1)-20A BREAKER www_pacificoengineering.com PER CIRCUIT 60A FUSED SERVICE MAIN SERV V RATED DISCONNECT D .C�OF NE`y , DISCONNECT ,tP QN 04(y� O 60A FUSE DEC 14 2022 * PPS ENVOY *.� ovvrl of souTHow WARNING k HISTORI PRESERVATION COMMISSION I 3 INVERTER OUTPUT CONNECTION DD NOT RELOCATE THUS #6 AWG THWN #6 AWG THWN OVERCUIRRENT DEVICE (1)LINE 1 (1)LINE 1 ��E$Sl� C n ro (1)LINE 2 ( ) ALTERATION OF THIS DOCUMENT EXCEPT BY A 1 LINE 2 E (1)NEUTRAL (1)NEUTRAL LICENSED PROFESSIONAL IS ILLEGAL (1)EGC (1)EGC AC DISTRIBUTION PANEL PAPER SIZE:11"x 17"(ANSI B) N OR SUB PANEL �( N IN 14" PVC CONDUIT (1)GEC U 22 DATE: 6/17/2022 IN 1j"PVC CONDUIT \� DESIGN BY: MW CHECKED BY: KO REVISIONS: 12/9/22 KO a 0 0 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.ASCE?-16. ELECTRICAL PLAN E-1 ° 60A FUSED SERVICE RATED DISCONNECT In `�MF�i►,'wM W� .T� I' , r ► OWER SOLUTIONS 2060 OCEAN AVENUE, lFa _ 'C' ' . .f.`� '+ ' ;r «�'•' '' RONKONKOMA, NY 11779 ay - •- :. ;� ' . (631) 348-0001 WOODARD t-. RESIDENCE r Arr t ' 1945 VILLAGE LANE _ r ORIENT, NY 11957 917-592-0170 •� , . _`^' I S: 25 B. � 3 L: 11 PROJECT DATA:#225722 f; r t`, sJ� �• " r• ;. + INVERTER:(35)ENPHASE IQ7PLUS-72-2-US 4 #4 MODULES:(35)Q.PEAK DUO BLK-G10+360 i RACKING:IRON RIDGE XR100 . 1 +� " ; tr • ? �` WATTAGE:12,600 ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH • 'i — , FASTENER:5116"DIA.5"SS LAGS IN G� i 700 Lakeland Ave, Suite 26 Bohemia, NY 11716 t �' }� at. r. , # ' Ph: 631-988-0000 1 741AlIv K + . , • '" "{.�1,-.`�� tet.ifi '; r, '�.w, ',wr � solar@paciflcoengineering-com .. 44 c. www-pacificoengineering.com 44 • 04 ,kt-..-" ;A - .:. _ r /y S1014 -�', h - �``Y. t� a ti ►+ - µ " - +r( d ALTERATION OF HIS DOCLT NT EXCEPT BY A ,yLICENSED PROFESSIONAL IS ILLEGAL ' ria • PAPER SIZE:11"x 17"(ANSI B) WNI DATE: 6/17/2022 A �� DESIGN BY: MVV J F� •. CHECKED BY: KO r _ REVISIONS: lzisizz Ko ik , O >O 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK ST OVERALL SITE TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16. RENDERING TOWN OF SOUTHOLD R.1 o MISSION HISTORIC PRESERVATION COM -- OWER ' • �:. SOLUTIONS ♦ i '74 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631) 348-0001 J, � ." WOODARD � ' " , •� � F _r - � ;.� � _'� -:� RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 ` r.. 917-592-0170 s & 25B-. 3L- 11 PROJECT DATA:#225722 s Y ' ~ ► INVERTER.(35)ENPHASE IQ7PLUS-72-2-US MODULES:(35)Q.PEAK DUO BLK-G10+360 +; RACKING:IRON RIDGE XR100 �M WATTAGE:12,600 Y ROOF TYPE COMPOSITION SHINGLES WIND LOAD-54.6PSF @ 140MPH 1_+♦ { *- ° r, y s .., „ g .z s a ,r .. FASTENER:5116"DIA.5"SS LAGS , .. .. GIN 19G� 700 Lakeland Ave, Suite 2B Bohemia, NY 11716 � a 1 Ph: 631-988-0000 a *,€#- solar@pacificcengineenng_com www.pac oengin rings ific ee om low Aw of INStV df Y Y yL t . cy Pit `f • 1 L N1 7 a x :. .. - ,. f 90FESt -kd a 'Yy \1-'IFR.\TION OF THIS DOCUMENT EXCEPT BY A L yah ✓ y. Y ',�". �ro i ai d - r fi •» s + ''� -•few LK ENSED PROFESSIONAL IS ILLEGAL G r l� " e # PAPER SIZE:11"x 17"(ANSI B) DATE: 6/17/2022 N �"'�` •, , - - . . * DESIGN BY: MW 4. CHECKED BY: KO REVISIONS: 1219122 KO ! . DE( i -1 Lu�L 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK ST TE, TOWN OF SOUTHOLD 3 MAIN HOUSE ROOF TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16. HISTORIC PRESERVATION COMMISSION RENDERING R'2 OWER F, SOLUTIONS 2060 OCEAN AVENUE, �. alk, RONKONKOMA, NY 11779 (631)348-0001 . ..� WOODARD a RESIDENCE 'sG k+ 1945 VILLAGE LANE e ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 PROJECT DATA:#225722 INVERTER:(35)ENPHASE 107PLUS-72-2-US MODULES:(35)O.PEAK DUO 3LK-G10+360 ' RACKING:IRON RIDGE XR100 „.q WATTAGE:12,600 ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 140MPH FASTENER:5/16”DIA.5"SS LAGS - E 1N Gc 700 Lakeland Ave, Suite 2B a., Bohemia, Y 11716 • ,r. r = _ _ : - _ Ph-631-988-0000 -h solar@pacificoengineering.com A _ tt www.paGificoengineering.com - ry ,. M i - i �s V A y. v 04 s f w ��ESS10 ALTERATION OF THIS DOCUMENT EXCEPT BY A 4: - ' - LICENSED PROFESSIONAL IS ILLEGAL 4S 3 PE SIZE:11" PAPER I 17 (ANSI S S - _ ..,.� AIS •; "Sz`x DATE; 6/17/2022 DESIGN BY. • CHECKED BY: KO - . n �' .,t • r 7� REVISIONS M W 12/9/22 KO r NIML < o 2022 }S BARN ROOF 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7.16. TOWN of sourHOL� RENDERING HISTORIC PRESERVATION COMMISSION R'3 w 4DOWER , - SOLUTIONS 2060 OCEAN ANUE, RONKO KOMA,NY 11779 (631)348-0001 WOODARD _4 RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 917-592-0170 S: 25 B: 3 L: 11 PROJECT DATA:#225722 INVERTER:(35)ENPHASE 107PLUS-72-2-US 1 _ r MODULES (35)Q.PEAK DUO 8L K G10 360 — �. ,.. . ' .,. ~ � y�+`• RACKING:IRON RIDGE XR100 WATTAGE: 12,600 ROOF TYPE:COMPOSITION SHINGLES e WIND LOAD:-54.6PSF @ 140MPH FASTENER:5116"DIA.5"SS LAGS .� E1N G 700 Lakeland Ave, Suite 2B Bohemia, NY 11716 r -� Ph:631-9884)000 solarc@pacificoengineering.com • i www.pacificoengineenng.com 3L IV SOF NF � AQP?vj. 04 v6 � m 618 � �FFSSION c ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL Q PAPER SIZE:11'x 17'(ANSI B) N N DATE: 6/17/2022 N DESIGN BY: MW CHECKED BY: KO REVISIONS: 12/9/22 KO 0 0 0 C 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STAT BACK OF BARN TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7.16, DEC 14 LO22 RENDERING R'4 HISTORIC PRESERVATION COMMISSION ORIGINAL TOWN OF SOUTHOLD HISTORIC PRESERVATION COMMISSION Instructions for "CERTIFICATE OF APPROPRIATENESS" Application required for Building Permit on Registered Landmarks ITEMS TO BE INCLUDED:, [� 1. Application: (1 page) [� 2. Notice of Disapproval: issued by the Building Department, dated within sixty(60) days. Q 3. Agent Authorization Letter: for Owner's consent when using a representative. [� 4. Submission Materials: provide 3 copies of each of the following, to present the overall plan and details of the proposed project for review by the HPC Commission, ❑/ 5. Building Checklist: to be completed with all applicable items marked. 6. Photos of building, surrounding area and adjacent buildings, labeled; 4x6, attached to copy paper. ❑/ 7. Property Survey and Site Plan: showing existing structures and proposed addition. 8. Drawings: (3) sets of proposed improvements at%"scale, to include: Floor Plans (if applicable) of existing structure and proposed improvements; Building Elevations of all sides affected, with building heights and all exterior finish materials; include construction and ornamentation details; Outline Specifications: Window & Door Schedule, or references shown on drawings to include- manufacturer, exterior finish, style, types of sash lites & muntins, door designs, profile, trim casing, notes& details. ❑ 9. Samples, supporting materials: may be requested. All Submission Materials to be included with application. Failure to submit drawings and materials may result in delays in the approval process. It is strongly suggested that the applicant review the HPC Handbook and request a Pre-Application Meeting before submitting a formal application. Meetings are on the third Tuesday.of each month at 4:00 pm in Town Hall Annex Executive Board Room. All applications must have a representative at the hearing in order to be reviewed. Sections of local laws authorizing review by the Historic Preservation Commission of proposed work on designated town landmark properties are in Chapter 170 of the Southold Town Cade. TOWN OF SOUTHOLD HISTORIC PRESERVATION COMMISSION APPLICATION OWNERS NAME Judy Woodard DATE ADDRESS 1945 Village Lane Orient, NY 11957 PROPERTY ADDRESS 1945 Village Lane Orient, NY 11957 OWNERS REPRESENTATIVE ._Long Island-Power Solutions/Michael Catizone, PHONE 631-34B-0001 E-MAIL . 5ue0_GoPowerSolutions-00m TAX MAP NO, 25-3-11 DATE ACQUIRED STATUS: LOCAL LANDMARK IN LANDMARK DISTRICT NATIONAL HISTORIC REGISTER PROPERTY ZONE EXISTING USE Single Fannily Dwelling, PROPOSED USE Electrical Generation PROPOSED WORK: REPAIR . ADDITION RENOVATION NEW WINDOWS.. NEW DOORS REPLACE SIDING + REPLACE ROOFING .. NEW FENCE... NEW SIGN: APPROVALS REQUIRED: ZBA TOWN TRUSTEES PLANNING BOARD SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Roof Top Solar Panels CONSTRUCTION SCHEDULE TBD I understand and agree that no work on this request shall commence until written approval has been given by the Building Department if a Building Permit is required. If no permit is required (such as replacing fagade materials or new fence), written approval must be received from the Historic Preservation Commission. * OWNERS SIGNATURE LONG ISLAND ®W E K 206L ..rean Ave Ronkonkoma, NY 11779 S O LV T I ON S 631348-0001 www.longislandpowersolutions.com October 4, 2022 TOWN OF SOUTHOLD—HISTORIC PRES � 5 ORIGINAL Town Hall Annex Building D 54375 Route 25 2422 P.O. Box 1179 taCj Southold,NY 1197114 of sou�HO�OIss VA�ION� Dear Building Dept: HISZ®R►�P SER Enclosed please find the Historic Preservation Commission Application, submitted on behalf of our client/property owner: Property Owner: Judy Woodard—917-592-0170 Project/Property Address: 1945 Village Lane, Orient,NY 11957 Section/Block/Lot: 1000-25-3-11 Electrician/36178-ME: Michael Catizone—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Contractor/53562-H: LI Power Solutions—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Architecture&Planning: Pacifico Engineering—700 Lakelalnd Ave, Ste 2B,Bohemia,NY 11716- 631-988-0000 Enclosed Please find: • Application • Notice of Disapproval • Agent Authorization Letter • Survey • Photos • Engineering Drawings & Specs Should you require anything further,please contact me. Sincerely, Sue Estabrooke, Permit Manager Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx-631-348-0018 Sue@GoPowerSolutions.com Go Green Save Green Btfllding Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, Judy Woodard residing at 1945 Village Lane : (Print property owner's name) (Mailing Address) Orient, NY 11957 do hereby authorize Long Island Power Solutions & (Agent) Michael Catizone to apply on my behalf to the Southold Building Department. z ( caner' gnature) _ (Date) Judy Woodard (Print Owner's Name) 0 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: August 26, 2022 TO: Sue Estabrooke/Long Island Power Solutions (Woodard) 2060 Ocean Ave. Ronkonkoma,NY 11779 Please take notice that your application dated July 13, 2022: For permit: to install roof-mounted solar panels on existing dwelling and accessory_ building at: Location of property: 1945 Village Lane, Orient,NY County Tax Map No. 1000—Section 25 Block 3 Lot 11 Is returned herewith and disapproved on the following grounds: The construction is not permitted pursuant to Section 170 of the Southold Town Code and is subject to Historic Preservation Commission approval. Authorized Si ature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Landmarks TOWN of SOu1 XD OFFICE OF BUILDING INSPECTOR Town Hall Annex Receipt No.10 2 6 6 3 Southold, New York 11971 Date Reived of Lo t!1 .� Ger SoLdi -OM XX /100Dollars For ❑ Fee for /Fee for ❑ Fee for ❑ Fee for ❑ Fee for ❑ Fee for Rental /\ Disapprovals Building Permit Certificate Electrical of Occupancy Inspection Check# �/ ❑ Credit Card / $ J�/ no Cash ./ ) uilding Department 0 LAW* v Q New Y o a All, � a.v �v6BpPG'youK/ /37:os�' 'V�y�poo; . I , �eyEy.�•e. ✓yairH k/c�av oev AVrHavy N/ r�-`srA•vooic��,rc�' L.Aivv 9aeyE�.�� tc�c�oricw•4.PiE.vr. r w.va�'.5yu>rX�to,M Y, ral&rgF.VTEEO M•✓u0/Till Y�DOAiCl)f /%+Eit/CL�T�/F�+ �i�f/.r Oat -4TEN/i�/�TTi 12,f Go,�.��,siy �CT������G✓'���`•// ID��LQU4tu'MONUM�*/YT�s?ut/D - V D Ir 8 Woodard 1945 Orient,NY 11957 111 _ _ L ; f r —� - - rrrra rr�'�� r ■■rr■■r F■Js■■ s■■■rr■■■man ■■■■ ■■r a�t��y�y■Fi � . Woodard 1945 Village Lane Orient,NY 11957 1000-25-3-11 i r. Y son Me e �S Y- Woodard 1945 Village Lane Orient,NY 11957 1000-25-3-11 �= h J. .,,,• fir� "�y. .� - �'•• p t* �= L:.:+ •, i� � yP' _ t• �- � `-.�a�} S _ — �+s';- S�ii..yyyju,��j,,,,,,� . r _ 4 A f F r V - w ),�''`��^� .� � �y�e ^t tib, � � ,K- s �y�•.ao-9'`! 'kTi ,`;�.1 Woodard 1945 Village Lane Orient,NY 11957 1000-25-3-11 r`� �,� , _ �. �� f �;' _t' �I,... �� -- '3,1,.. �.. �Z':.5�:a '�'�'- � 'Wit• _ _ `` �r � ilr _"\ � {axe r� �.. :-- e�. ,.��- / o , � - i� �' ,/ reg i y I � �+� _ �f� jj ' ' � � .�_:. ' '��. - i -� r^; .Y♦ �..r. a ��" .S�_',.,t . �,� _ ��. '4 . A., � . S ,t, y K 1�; t _. _� ,�..' -, 1��. � �� • � ��� 1 y Y r Alf '� 'Ara':_,,r „P• ._�;: - -. 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Box 1179 Southold,NY 11971 Dear-Building Dept: As per your Building Department;enclosed please find the building permit ap_plication,submitted oil behalf of our client/property owner: Property Owner: Judith Woodard-(917)592-0170 Project/Property Address: 1945 Village Lane., Orient,NY 11957 Section/Block/Lot: 1000-25.-3-11 Electrician/36178-ME: Michael Catizone-2066 Ocean Ave.,Ronkogkoma,-NY 11779-(631)348-0001 Contractor/53562-H: LI Power Solutions-20.60 Ocean Ave.,Ronkonkoma,NY 11779-(631)348-0001 Architecture&Planning: Pacifico Engineering-700 Lakelalnd Ave,Ste 2B,Bohemia,NY 11716-631-988-0000 Enclosed Please find: • AppIication Fee: $200.00 • Permit Application • (4)Copies of the Property Survey • (4) Copies of the Engineering Drawings&Specs • Liability,Disability&Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions: Should you require anything further; please contact me. Sincerely, Sue Estabrooke,Permit Manager Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph-631-348-0001 Fx-631-348-0.018 sue@Gopo�ti:e rso l,ut o ns:com; GoGreen.Save Green ,; TOWN OF SOUTHOLD"BUILDING DEPARTMENT {H xJz TownHallAnnex 54375-Main Road P.D.Box,1179Southold,NY 11971=0959 T Telephone(631)765-1802 Fax(631)765-9502 httas%%wwvv.southoldtowlmy.` ov Date Received APPLICATIONTOR WILDING PERMIT For office use only PERMIT NO. Building Inspector: Applicatiotis-and forms must be filled out in'their entirety.Incomplete applications will not be accepted. Where"the Applicant,is not the owner,an Owners Authorization form'(Page 2)shall bd cbmpleted. Pate 019/30/2022 OWNERS)OF PROPERTY: Name:Judith Woodard scrM#1000-25.-3-11 Physical Address:1945.Village Lane.;:Orient; NY 11957 Phone#:917-592-0170 I'Email-.jwoodard@nyc.rr.com Mailing Address:1945 Village Lane., Orient, NY 11957 CONTACT PERSON: Name:Sue Estabrooke/Long Island Power Solutions Mailing Address:2060 Ocean Ave.,;Ronkonkoma, NY 11.779 Phone#:631-348-0001- Email:_sue@longislandpowersolutions:com DESIGN PROFESSIONAL INFORMATION Name:Pacifco Engineering, RC Mailing Address:700 Lakeland Avenue., Suite 29., Bohemia, NY 117416 Phone#:631-988-0000 Email:-Solar@pacificoengineer Ing.com. CONTRACTOR INFORMATION: - Name:-Michael Cetizone/Long Island Power Solutions 'Mailing Address:2060Oman-Ave.,Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@longislandpowersolutions.com, DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure (]Addition BAlteeation" 'ElRepair ElDeniolition Estimated Cost Qf Project: Bother Proposed( 59 )panel roof mounted array:. ( 21,240, )kW System $4 5,718.80 Wilt the lot be re-graded? ,QYes BNo Will excess fill be removed from premises?' Yes BNo 1 i 1 PROPERTY INFORMATION Existing use of property_,•Sh le 8mll Dwellin. Intended iise of property:Sin le:Tamil DWelhn _ - = _ =- 9- --- Y-- -- -9 ---- - -- ---- 9- _— Y_ 9 Zone or use district i_ri which premises is situated: Are thefe.any covenants and,edsteictions with respect to ���;J s�,:,,�4►o�0; � y �'~ _ -this property?-,OYes BNo'IF YES;PROVIDE A COPY. B Check Box,After�Reading: The owner/contractor/design professional Is responsible for altdrainage and storm water issues as provided by Chapter 236 of the Town Code.APPLCATION 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 taws,Ordinances or Regulations,for the construction of buildings,, additions,alterations orfor 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 210AS of the New York State Penal taw. Catizone Electrical/Loiielsiand Powew-Solutions Application Submitted By(print name);> BAuthorized Agent 'OOuuner Signature of Applicant:: - - - Date:. 6 ,I 3 ZL I_ I 'STATE OF NEW YORK) r.. SS: COUNTY OF Suffolk ) MICha@I CiatIZOnE' being duly sworn,deposes and says that(s)he'is the applicant (Name.of individual.signing contract)above named, .,(S)he is,the Contractor - (Cofitractoe A&M,Corporate Officer,etc.), of said owner or owners,and is duly authdrized to perform or have performed the said work and to make and file this 40piication;that all statements contained in this application are.t�ue-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 y of NOV ESCAYLIN CRISOL RIVERA.RobRIGUEZ ` NOTARY PUBLIC-STATE"OF NEW YORK 'No: 01816434031 - nuanfied in Suffolk County 'PROPERT1f,OWNER.AUTHORIZATION1 My Commission Expires 05-31-2026 (Where the'.applicant isnot the owner' LA -Michael.Catitone/Long-Island Power Solutions, do'hereby_auttioriie -_... _ - _ -_ :_ to apply.on my behalf-to:the Town of Southold Building Department for'approvafas de-scribed Herein: _ Owner-s.Signature, Date. �J��•,+ ' Uzi Print OWnef s Name Z f BUILDING,DEPARTMENT.6 Electrical-Ins ecior TOWN OFSOUTHOLD rt T01W1 Hall Annex-54375.Main Road-PO.Box 1179; itt.s -' �- "� Southold,.New York 11971-0959 ,;ra �► . Telephone'(6 .31)76,5-190 2:-FAX (631)166-96 02 i rogerrC7a ny. y�:..�. . - -- - — _ - - - - - w - APPLICATION FOR-ELECTRICAL INSPECTION ELECTRICIAN`INFORMATION,011 Information Requires!).' Date: 06/30/2022 .Company Name: Catizone Electrical/Long Island Power Solutions Name:Michael Cafizone "sue Ion island owersolutions.com License:No. 36179;ME email: 4 g:- P - Address: 2060 Ocean Avenue,,Ronkonkoma;NY 11779 Phone:No'::63 I-348=0001 JOB,SITE INFORMATION (,411 information Required)' Name:,Judith Woodard Address: 1.945.Villa a Lane.;Orient,'NY 14957 Cross,Street: Fletcher Street,. Phone,No.: 917-592=0170 Ridg.Perrhit#: email:jwoodard@nyc.rr.comm Tax Map District: 1000; Section:. 25 Block: -3, Lot: 11 BRIEF DESCRIPTION OF WORK-(Piease Print Clearly) 'Proposed( 59 )'panel.roofrmiountedarray: , ( 21,240 )kW System 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: (41[1.nformation.required) Senrice Size,1. Ph :3-Ph Size: A -#Meters Old Meter#' New Service-Fire Reconnect-Flood Reconnect=,Service Reconnected-Underground_Overhead #Underground Laterals 1 2 H Frame Pole: Work-done-on Service? Y -N. Additional Information: Modules_ (59)Hanwha.Peak=Duo:Inverters-: (59)Enphase IQ=T,PIus Support:.Iron'Ridge XR100, `PAYMENT'DUE WITH.'APPLICATION Request fof inspection.Foau* OFFICE ADDRESS: - TOWN OF SQYTT1-1Q1_ G ' OFFICE FIOXRS&PI10NE 5300b ROUTE 25-P.O.BOX 1 100 REA1_ PROPER- Y TAX SYY..I, MON-TRI 8:00 AM TO 4-00 Phi $U U1i�ULU.NY i1971.01AA ULCI:MBER 1.20'21-NOVEMBER S0,2022-TAXES BECOME A LIEN UECEN1813111.2021 631.766-1803 FAX;631-T65-.5118;1 IN= 0 9 •o ., IF THE WORD-ARREARS'IS PRINTED HERE SEE • = :` iQOT€CE pF ARRE.ap5 ON REVERSE SIDE. � •iI 473889 25.-3-11 477 01 k 2967 7g • Emma• 1 0 .m' IV, 1945 VILLAGE LN 0.31 E 318,304,995 3,178,55MMM1 E 210 171Family Res o WOODARD JUDITH BURKS MYRNA R 12/07/2021 800 8,100 1945 VILLAGE IN ° ° • ° PO BOX 402 WOODARD JUDITH ORIENT, NY 11957 BURKS MYRNA R e o o o s Q a 1st Halt 2968 $3,423.89 12/18/2020 ASSESSED VALUE I RATIO ifift%0FFUL1 VALUE 2nd Half 2968 $3,423.90 12/18/2020 8,100 WHICH 0.88 OFFTSJ 920,455 Is; 01 EU I LEVY% TAXABLE VALUE A AE &918010015 H ,iG TAX AMOUNT TOTAL TAX AMOUNT OYSTER PONDS SCHOOL 38.35% 8,100 333.76 1 -8.60% 2,703.46 OYSTER PONDS LIBRARY 3.97% 81100 34.529 ; 100.00% 279.68 , { i f 1 t 42.32% ® D ® 2,983.14 SUFFOLK COUNTY TAX 1.91% 7wo 8.100 16.620 E 0.00% 134.62 SC COMMUNITY COLLEGE 0.20% 8,10 1.771 j 0.00$ 14.35 2.1196 ME 148.97 SOUTHOLD TOWN TAX 38.98% ,100 I 4 ! 2,747.7 3 s ® 38.98% ® ® 2,747.71 MTA PAYROLL TAX 0.07% 8,100 0.587 -8.80% 4.75 OUT OF CTY SCCC 0.06% 6,100 0.517 1 -44.10% 4.19 NYS REAL PROP TAXLAW 1.61% 2 81100 13.994 1258.70% 113.35 ORIENT FD 10.68% 8,100 92.988 1 4.30% 753.20 ORIENT MOSQ DISTRICT ( 1.42% 8,100 12.326 ; 1.805% 99.84 ORIENT-E MARION PARK 0.37% 8,100 3.209 E-24.10% 25.99 SOLID WASTE DISTRICT 2.39% 8,100 20.766 I 2.90% 168.20 1 111 • �.,dg���Raa4 . sic wO �U' � 9 M 31 '-- ��•�lr9.P0 CO//,.%-,tl , O Opp y',oo It �ot".�ocr' ic% Y, 0.d, c��8 G�lJJH4�1�,N.Y, C���ANy �c'r'M�/cao—,23-Q3// me�Gcavc,�trrlrla�yru�w•7"�v�wo Vv Tf co LAW* 44a . * � ©- 1p 4L op new aP r Vi b ' 'k) d.a• NGB�ZG'�oyw l3Toy' 'poaa: . ; t r J.e✓EY.ao•�• ✓�v�ry /c�,v algid .4A rh44:WY •� w.r�.�r>oyc�g,�.• laGorfcw• . LiPrvv�c%t-y�.r_ IV Y, 41WS O�ld•�iCyC,�/j?j7� p A'4V AA-- ,L vp r�Cy�,/�/ag�-25-03�/ Ad�Ga�cr�Maw��rr•'�vy J To search Licensed Contractors,-dick ier,:. Holme Environmental.Ctiapiy Create an Application Record H-53562: H®me lrhprpvement License Record Status:Active Expiration Date:06/01!2024 RaCordlrif0� va monis: CUnai 1componcclt 2060 OCEAN AVENUE RONKONKO.`M,Ny 1,n, Ylew Atltlrironal Locatruns» Recor etafts Applicant: Uccenzed professional: MICHAEL J CA7IZOIJE MICHAEL CAbZONE Burn Dare:09ro5/1870 LONG LLAND POWER SOLUTIOTr5 INC Suffolk'County Dept of Labor,Licensing&CrinsumerAffaim �A VASTER ELECTRICAL LICENSE I Name = S7ICHAEL CATIZONE i Y Business'NarM Tns cedfies fiat tro LONG ISLAND-- SLAND PO 7ER SOWTIONS INC tearer is Caly licensed t1j tt-e Camtyof Suffolk. _ License N_urinber:lJlE-53560 Rosalie O. go Issued: 0610612014- _Comrrissiorer Expires: 06/01/2024 _ 9uffolkCounly D61pL of. - Labor,LlcenMnq B Cort.umer Affairs Mk5I R ELEC RiCAi LiiENS` l�atiio s sdrsu9 Natrie Tnif, Crmv I-- - ir?s7'L•1ufy 1;m9^d C1"=4fn L NU',ia;Co-iti.c Ir- ITf.(tti3 Co"Irtya9s;ftzkf Ucanse NuniUer-ZME-361 iii l RosanoO:ago •Issurd: 120 vZoo- C&V:Tfi_Om-+h"r Expire5: 12.b 1.12022 Client#:83176 CATIELE ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 6/27/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:It the certificate holder is an ADDITIONAL INSURED,the pollcy(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 MPCF Commercial Support Edgewood Partners Ins.Center PHONE INC.No Fit: ACC N 3ro: 40 Marcus Drive E-MAIL NECertificates@epicbrokers.com 3rd Floor Melville,NY 11747-2647 INSURER(S)AFFORDING COVERAGE MAIC a 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 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. LIR TYPEOFINSURANCE ADDL UBR POLICY F POLICY EXP INR POLICYNUMBER MIDD LIMITS A X COMMERCIALGENERALLIABILITY X CPP4784747 7/0112022 07/011202 EDAACMHpOfCCURRENCE $1000000 CLAiMS-MADE �OCCUR PREMISES Eaoccurrence) S100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000000 GEMLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52000000 X POLICY F�JECT LOC PRODUCTS-comp/op AGG 62,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acedent S ANY AUTO BODILY INJURY(Per person) S AUTOS AM ONLY BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY I 41eraccident) S $ UMBRELLA LIABOCCUR EACH OCCURRENCE S EXCESS LU18 HCLAIMS-MADE AGGREGATE $ OED RETENTIONS S A woRKERScotfmtaysaTlON 4766763 7101/2022 07/01/202 _XT OTH- AND EMPLOYERS'LIABILITYTUTE ANY PROPRIETORIPARTNERIEXECUTIVE Y!N E.L.EACH ACCIDENT $500.000 OFFlCERIiNEMBER FJ(CLUDED? N I A (Mar'"Wry'in NN) EL DISEASE-EA EMPLOYEE s500,0110 If yes,dasmbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES(ACORD 181,AddIdanal Remarks Schedule,may be attached If more space Is required) Town of Southold is Included as additional Insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ®1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S4115391IM4115046 KOS01 l . YQIiK Workers! CERTIFICATE OF INSURANCE COVERAGE SFATE CptTt BoardrnpenSatipn 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 8 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 it coverage is spefcally 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 Carter TOWN eOFLSOUTHOLD Listed as the Certificate Holder) Standard Security Life Insurance Company of New York 53095 ROUTE 25 3b.Policy Number of Entity Listed In Box^1 a^ SOUTHOLD, NY 11971 R97483-000 3c.Policy effective period 1/1/2015 to 12/15/2022 4. Policy provides the following benefits: Q A.Both disability and paid family leave benefits. [] B.Disability benefits only. [] C.Paid family leave benefits only. 5. Policy covers: Q A.Ail 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 descAled above. Date Signed 12/16/2021 By (Signature of insurance(arrier's authoriz d representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT. If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 56 of Part i has been checked). State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee( Telephone Number Name and Title Please Note.Only insurance carriers licensed to write NYS dlsabildy and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form D8-120.1. insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) �I�iIP!B-120.1��' �1 � � °SIN Workcre CERTIFICATE OF �TNR ATE com'Board nsatit�n i30�rd NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Catizone Electrical Contracting Inc. 63134$-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 certain locations in New York State,i.e.,a Wrap-Up Policy) 1d.Federal Employer Identification Number of Insured or Social Security Number 202241963 2.Name and Address of Entity Requesting Proof of Coverage(Entity 3a.Name of Insurance Carrier Being Listed as the Certificate Holder) Utica Mutual Insurance Company 3b.Policy Number of Entity Listed in Box"1 a" Town Southold 766763 3095 Route 25 3c.Policy effective period Southold,NY 11971 07/01/2022 to 07/01/2023 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partnerstofficers included) all excluded or certain partnerslofficers excluded. This certifies that the insurance carrier indicated above in box 7"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 earner. 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 per)ury,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: 6124/22 (Signature) (Date) Tie: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier. 631-390-9700 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(947) www.wcb.ny.gov Client#:83393 LONGISLI5 ACORD:.: CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DDIYYYYI 2107/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUR£R(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 1S 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). PRoouc£R No"TTA Commercial Support Edgewood Partners Ins.Center PANNE----- __......---.-.-._ _.__............____ _......,..-..._ —._.._.-_.........-- 40 Marcus Drive �c._No,aq:631-390-9700-- -` --- - (n/ca9k - " 631 390 9790 7. £MAIL NEC ertificates a is 3rd Floor y.AflDitEss:__-__-__-_ _. @ p brokers.com INSURER(S)AFFORDING COVERAGE1 NAIC9 Melville,NY 11747-2647 INSURER A:Southwest Marine&General Ins Co _ 12294 INSURED •INSURER B: 1 Long Island Power Solutions,Inc. DBA New York Power Solutions INSURER C: INSURER 0: 2060 Ocean Avenue - Ronkonkoma,NY 11779 !INSURERE: i i INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONOITION 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 1S SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ------- .--------------_._...__-.___......__ADDLI9U01i--------...---....--_.._..._.__._..---POIaEYF.. EF .r.POI.ICYE%p i----....._.-.__.......,..__._.._...-----------............. .......... LTR I TYPE OF INSURANCE 4NSR!WVO< POLICY NUR/BER MMIDO/YYYY (MMIDDIYYYY): LIMITS COMMERCIAL GENERAL LIABILITY ° - I A X PK202200020693 212812022!02128(20231 EACH OCCURRE.YCE 51,000,000 .�...._ ! +V.IAG TO RENTED '�...---'--._...___._..___.._...... ]CLAIMS-M1AOE (.XOCCUR i ?BREI.+Is sirsocc,,,rence�_ s300000 X� PD Ded:5,000 M!ED EXP(Aey one person)- S10,000 ----- i :( Contrac#ualLiab. 3 `PERSONALdADVINJURY $1,000,000 GENT-AGGREGATE LIM11T APPLIES PER: !; ,GENERAL AGGREGATE _ 52,000,000 RC- POLICY C JE T I'LOC ! :PRODUCTS-COM;P/OP AC-G I s2,000,000 OTHER: 1 5 A AUTOMOBILE LIABILITY - PK202200020693 212812022 i 021'2$12023'COMBINEU SINGLE LWIT Eaaccldant 81,000,000 ANY AUTO i `BODILY INJURY(Per parson; S O'NN�D SCHEDULED AUTOS ONLY AUTOS : € ;BODILY NJURY(Par acd)ent} S .._._ ..........-......_..,......._........_ HIRED 'NON-D01NED !PROPERTY DAMAGEX AUTOS ONLY X I AUTOS ONLY -- .. - ._._..._._............ .._.....— --- - -.._.. .....- - Is - A I X UMBRELLA IIA$ i X OCCUR ; EX202200001789 21281202210212812023 EACH OCCURRENCE - $5,000,000 EXCESS UABCLAI";5-MADE; I .. •._..._._..._.__......__ _-- ---.-_- ..____�..... ........_.._..___-. aGCRccATE ___ _.. 55'000,000 oeD X�RETENTION 510000 _ S WORKERS COMPENSATION ! !PER 1 ;DTH- AND EMPLOYERS'LIABILITY _ STATUTE ANY PROPRIETOWPARTNERIEXECUTIv- OFFLCERlM1EM;BER EXCLUDED? Y!N`N J A! I Ell: 's E.L.EACH ACCIDENT S I (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $ If yes,describe under i DESCRIPTION OF OPERATIONS uelow i E.L.DISEASE-POLICY LIMIT I S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached it more space Is required) Town of Southold is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATWE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S34386161M3437780 LJACO Additional Instructions for Fora 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"1a"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 after 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 mandatary coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §224. 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. D8-120.1(10-17)reverse <11EV blockers`A�. Compensation CERTIFICATE OF INSURANCE 'COVERAGE Board DISABILITY AND PAIDFAMILY LEAVE BENEFITS LAW' PART I:Tobe completed b Dtsabi1 ` .and'Paid Fami1 .Leave Benefits Carrier or Licensed"Insurance_ p Y X11 Y - , . Agent of.that Carrier 1a.'Legai Name&Address of Insured(use street address•onW 1b.Business Telephone Number of Insured__ LONG ISLAND POWER SOLUTIONS INC DBA NEVV YORK POWER SOLUTIONS 2066 OCEAN AVE ,63"13480001 RONKONKOMA,NY.11779 Work location of,Insured(Onlyrequred ilcoverage is speclicaly_limited to 1c.Federal Employer Identification Number of Insured certain moations in New vatic Stare,b.,,Wrap-IJp.Po§cy) or Social Security Number _ 27-1175:1.07 2.Name.and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance-Cameo (Entity Being Listed as the Certificate Holder) Standard-Security Life Insurance Company of New York Town.of Southold �Y _ - P . Y..,.... ,.. .<:.:, , 53095_Route 25 36.Policy Numberof Entity LiWAe i i Box"ia" Southold, NY11971 R9741.17000 3c Pa_ri_by effeclive-period 111/2015 - to 8/26!2022 4. Policy provides the failowing benefits: Q A.'Both disability and paid family leade.benefits:,, Q B.Disability"benefits only: Q C.Paid family leave benefits only. 5. Policy covers: Q A.All of the-employer's employees eligible under.the NYS Disability and Paid.Fa_m__ily Leave Benefits Law. E] B.Only the fblloWing class oe clas-sm.of employer's employees: Under penally of perjury,I eertif}i that I am an auttiorizeii representative or licensed agent of ttie insaiance carrier reference_d above ar_id.ltiai_the nam_ed insured has NYS Disability and/or"Pa_id Family Leave Benefits insurance coverage as des ` _d above. Date Signed 8/27/2021 By (Signature of insurance carrier's authoriz d representative or NY5 Licensed insuraiue Agent orthat insuraece carrier) TelephorieNuMber- (212) 355-4141 Name and Title,_SUPERVISOR=DBUPOLICY'SERVICES- IMPORTANT: If Boxes 4A and SA-are checked;and this form is signed by the insurance tamer's authorized representative or NYS Licerised Insurance Agent of that carrier,-this-certificate is:COMPLEME Mail it directly to the certificate holder. If Box 4B;4C or 5B is checked,this certificate"is NOT COMPLETE for purposes ofSedon 220,Subd:8-of the NYS' Disability and Paid Family Leave Beinefiis Law.It must be mailed for cornpletion to the Workers';Compensation, Board;Plans Acceptance Unit,PO Boz 5200:Binghamton,NY 13902-5200. PART 2:To be completed OV the NYS-Workers'-Compensation Board(Only ff Box 4C or 513 of Part 1 has been diecked) State of New York 'Workers! Compensation Board -According to information maintained by the.NYS Workers'Compensation Board;the above-nam_ed employer has compl'ied'with the NYS Disability-and Paid:Family Leave Benefits Law with respect to.all of his/her employees. Date Signed By - " (Signature ofAuthoriied NY5 workers'Compensation Board Employee), - Telephone Number Naine'and'fitle_ Please Note.Only,insurance carriers.licensed'to,write`NYS disability and paid family leave-benel is"insurance polic(es`and NYS 7icensetl insurance, agents of those"insurance carriers are-authorized to issue.Form DB-120:1:.Insumnce'brokers are NOT author(zed.to Issue thh;form., p n DB420.1(10-17) N ! . l F,. PO 66X"Is "Altiany;NY`1 i- 6: New York State InsuranceFund; $If.CORi - (! _. dERTIFICATE.OF•UVORKERS'COMPENSATION INSURANCE, n n e AWA 271175107 0` _i� ° 0VELL SAFETY_MGMT CO.,LLC: 110 WILLIAM STREET 12TH FLR• NEVI/YORK NY 10038 §CAN TO VALIDATE- ANDSUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER, LONG ISLAND POWER SOLUTIONS_INC;. 'TOWN OF,SOUTHOLD ?Q60-00 AVENUE' `53095 ROUTE 25 RONKONKOMA MY 11779 ;SOUTHOLD NY-1197i - POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD' 22467,078-8 539135. _ - '04/01/2022 TQ 04!01%2'023 03/08/2022 THIS IS rfO CERTIFY THAT THE POLICYHOLDER NAMED.ABOVE IS'INSURED WITH THE NEW YORK,STATE;_INSURANCE. '.FUND UNDER.POLICY NO. 2467 078-8; COVERING_fiHE ENTIRE:OBLIGATION.OF THIS POLICYHOLDER•FOR WORKERS' COMPENSATION:UNDERTHE+NEW YORK.WORKERS',COMPENSATION LAIN.VIIITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW-YORK,EXCEPT AS INDICATED,BELOW., •IF -YOU WISH TO RECEIVE NOTIFICATIONS ,REGARDIN'G_tAID;, POLICY, INCLUDING .ANY 1NOTIFICATi'_ OF CANCELLATIONS,•]OR. TO VALIDATE THIS'CERTIFICATE;-'VISIT OUR WEBSITE AT 'HTTP$://VUWW:NYSIF.COM/CERT/, "NERTVAL.ASP.THE NEWYORK.STATE INSURANCE FUND IS NOT LIABLE IN. TWEVENT OF:FAILURE TO.GIVE`SUCH. OTIFICATIONS, THIS,POLICY DOES NOT COVER CLAIMS OWSUITS'THAT:ARISE FROM-BODILYINJURY SUFFERED.PY THE:OFFICERS OF THE I_NS_UR_ED;CORPORATION: •PRESIDENT MICHAEL;CATIZONE VICE PRESIDENT -JOSEPH MILILLO TWO=OF TWO OFFICERS LONG:ISLAND,.POWER,SOL UTIONS lNC THE POLICY INCLUDES A WAIVEA.OF SUBROGATION ENDORSEMENT'UNDER WHICH NYS IF AGREES TO WIVE,ITS RIGHT ;OF SUBROGATION TO'BRING AN•ACTION AGAINST .THE"CERTIFICATE,•HOLDEW 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 C,ERTIFICATE,HOLDER.HAS°ENTERED_`INTO`A WRITTEN CONTRACT*4i OUR,INSURED THATREQUIRES THATeSUCH.RIGHT OF SUBROGATIQN BE:INAIVED.. . 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 ORALTER THE COVERAGE: AFFORDED BY THE POLICY: - . _ _.. NEWYORKSTATE,INSIJAs RANCEFUND. . !!!/ Di RL SURANCE FUND,UNDERUIfRITING VALIDATION NUMBER: 396794370 Ul 000.0.0.0.000010210�®�®minus®Qi®ti656.41MM fll �FuimWGCE'RTNOPR1ivTVorsioo3(08¢9/2019)[1VCPaGry.24610788� , - - -U-26.3 06 laiooaoaaaaoiuiioesw)[aogi i mea7[aazg o w)[ce a cEnr_gCoi 0000il i powered by 3 IDUO .• Q TOP BRAND PV- ® EUPO�E ASSEMB� �2029 USA Warranty 0 CELLS Nod,clb Pedor mze Yield Security Q.ANTUM TECHNOLOGY.LOW LEVELIZED COST OF ELECTRICITY Higher yield per surface area,lower BOS costs,higher power classes,and an efficiency rate of up to 20.6%. 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 J Technology',Hot-Spot Protect,Traceable Quality Tra.QM. EXTREME WEATHER RATING High-tech aluminum alloy frame,certified for high snow(5400 Pa)and wind loads(4000 Pa). A RELIABLE INVESTMENT Inclusive 25-year product warranty and 25-year r, linear performance warranty2. Q� STATE OF THE ART MODULE TECHNOLOGY r ,J Q.ANTUM DUO Z Technology and the integrated high-powered Enphase IQ 7+Microinverter achieving maximum system efficiency. RELIABLE ENERGY MONITORING Seamless management with the intelligent Enphase Enlighten'm monitoring system. RAPID SHUTDOWN COMPLIANT Built-in rapid shutdown with no additional components required. THE IDEAL SOLUTION FOR: I APT test conditions according to IEC/TS 62804-1:2015,method A(-1600 V.96 h) 'See data sheet on rear for further Information Rooftop arrays on residential buildings Engineered in Germany OCELLS i MECHANICAL SPECIFICATIONS Format 67.6 In x 41.1 in x 1.571n(including frame) (1717 mm x 1046 mm x 40 mm) ®.s'(1717-) u s'(seea•ua) sae'(esamm) Weight 46.31bs(21.Okg) Front Cover 0.131n(3.2 mm)thermally pre-stressed glass + ; with anti-reflection technology a•c was a Pa ro°o vr(aamm) a. Back Cover Composite film 3aspoo2.emm) Frame Black anodized aluminum a11'paaammj Cell 6 x 20 monocrystalline Q.ANTUM solar half cells Junction Box 2.09-3.96 x 1.26-2.36 x 0.59-0.711n(53-101 x 32-60 x 15-16mm), Protection class IP67,with bypass diodes Cable 4mm2 Solar cable;(+)z45.3in(1150mm),(-)a33.51n(850mm) B.oae2a Moa a•Mweenaaw(DErA2A) Connector Steubll MC4;IP68 DETAILA o.esa'(remm) aa37'(2LZ-)I-Olo.ses'(esmm) AC OUTPUT ELECTRICAL CHARACTERISTICS 107PLUS-72-ACM-US OR 1Q7PLUS-72-E-ACM-US Peak Output Power [VA] 295 AC Short Circuit Fault Current over 3 Cycles 6.8 Arms Max.Continuous Output Power [VA] 290 Max.Units per 20A(L-L)Branch Circuit 13 Nominal(L-L)Voltage/Range [V] 240/211-'264 Overvoltage Class AC Port III Max.Continuous Output Current [A) 1.21 AC Port Backfeed Current 18mA Nominal Frequency [Hz] 80 Power Factor Setting 1 Extended Frequency Range [Hz] 47-68 Power Factor(adjustable) 0.85 leading...0.85 lagging DC ELECTRICAL CHARACTERISTICS POWER CLASS 360 365 360 365 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC'(POWER TOLERANCE+5 W1-0W) Min.Power at MPP' PMPP [W] 360 365 Min.Current at MPP IMPP [A] 10.49 10.56 Min,Short Circuit Current' im [A] 11.04 11.07 Min.Voltage at MPP VMPP [V] 34.31 34.58 Min.Open Circuit Voltage' Voc [V] 41.18 41.21 Min.Efficiency' 9 [%] >_20.1 >_20.3 'Measurement tolerances Pn,PP t3%;lec;Vm±5%at STC:1000 W/m2,25±2°C,AM 1.6 according to IEC 60904-3 O CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE jF M --T-----t-----n-----r---- oa m.°..�a.. At least 98%of nominal power during i W first year.Thereafter max.0.6% + ----- degradation per year.At least 93.5% of nominal power up to 10 years.At It least 86%of nominal power up to w w5 >0 - 25 years. r-----i a �z z ou All date within measurement tolerenc- es.Full warranties in accordance with B0 200 aoa Wo No woo o' � the warranty terms of the D CELLS IRRnolaracspv/m0 „ •, sales organisation of your respective o m 2. country. s�� � a YEARS Typical module performance under low Irradiance conditions In comparison to STC conditions(25°C,1000W/M2) o m TEMPERATURE COEFFICIENTS a Temperature Coefficient of IsD a [%/K] +0.04 Temperature Coefficient of V_ (f [%/K] -0.27 0 Temperature Coefficient of PMPa y [%/K] -0.34 Nominal Module Operating Temperature NMOT [°F] 109±5.4(43±3°C) m 0 PROPERTIES FOR DC SYSTEM DESIGN o ]L Maximum System Voltage Vsrs [V] 1000 PV Module Classification Class II 0 Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 61730 TYPE 2 y Max.Design Load,Push/Pull3 [lbs/ft2] 75(360OPa)/55(266OPe) Permitted Module Temperature -40°F up to+185'F o Max.Test Load,Push/Pull' [lbs/ft2] 113(540OPa)/84(4000Pe) on Continuous Duty (-40°C up to+85°C) 3See Installation Manual m QUALIFICATIONS AND CERTIFICATES U d O Solar module:UL 81730, U U.S.Patent No.9,893,215(solar cells); ?' D Enpheae micro Inverter:UL 1741-SA,UL 62108-1, UL1741/IEEE1547,FCC Pert 15 Class a, o ICES-0003 Class B,CAN/CSA-C22.2 NO.107.1-01, ` Rapid Shutdown Compiler per NEC-2014 - &2017&C22.1-2015 w Note:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of this product. Hanwha Q CELLS America Inc. 400 Spectrum Center Drive,Suite 1400,Irvine,CA 92618,USA I TEL+194974859 961 EMAIL Inquiry®us.q-cells.com I WEB www.q-cells.us Data Sheet Enphase Microinverters Region:AMERICAS Enphase The high-powered smart grid-ready 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 /q Lightweight and simple • Faster installation with improved,lightertwo-wire cabling ,- - • Built-in rapid shutdown compliant(NEC 2014&2017) Productive and Reliable i- • Optimized for high powered 60-cell and 72-cell*modules • More than a million hours of testing • Class II double-insulated enclosure • UL listed 0 Smart Grid Ready • Complies with advanced grid support,voltage and frequency ride-through requirements W " ' Remotely updates to respond to changing grid requirements • Configurable for varying grid profiles • Meets CA Rule 21 (UL 1741-SA) U` *The IQ 7+Micro is required to support 72-cell modules. n ENPHASE• To learn more about Enphase offerings,visit enphase.com %..## Enphase IQ 7 and IQ 7+ Micr®inverters INPUT DATA(DC) IQ7-60-2-US/IQ7-60-B-US IQ7PLUS-72-2-US/IQ7PLUS-72-B-US Commonly used module pairings' 235W-350W+ 235W-440W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 60V Peak power tracking voltage 27 V-37 V 27 V-45 V Operating range 16V-48V 16V-60V Min/Max start voltage 22V/48V 22 V/60 V Max DC short circuit current(module Ise) 15A 15A Overvoltage class DC port II II DC port backfeed current 0 A 0 A PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ 7 Microinverter IQ 7+Microinverter Peak output power 250 VA 295 VA Maximum continuous output power 240 VA 290 VA Nominal(L-L)voltage/range2 240 V/ 208V/ 240 V/ 208 V/ 211-264 V 183-229 V 211-264 V 183-229 V Maximum continuous output current 1.0 A(240 V) 1.15 A(208 V) 1.21 A(240 V) 1.39 A(208 V) Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz AC short circuit fault current over 3 cycles 5.8 Arms 5.8 Arms Maximum units per 20 A(L-L)branch circuit3 16(240 VAC) 13(208 VAC) 13(240 VAC) 11 (208 VAC) Overvoltage class AC port III III AC port backfeed current 0 A 0 A Power factor setting 1.0 1.0 Power factor(adjustable) 0.7 leading...0.7 lagging 0.7 leading...0.7 lagging EFFICIENCY @240 V @208 V @240 V @208 V Peak CEC efficiency 97.6% 97.6% 97.5% 97.3% CEC weighted efficiency 97.0% 97.0% 97.0% 97.0% MECHANICAL DATA Ambient temperature range -40°C to+65°C Relative humidity range 4%to 100%(condensing) Connector type(IQ7-60-2-US&IQ7PLUS-72-2-US) MC4(or Amphenol H4 UTX with additional Q-DCC-5 adapter) Connectortype(IQ7-60-B-US&IQ7PLUS-72-B-US) Friends PV2(MC4 intermateable). Adaptors for modules with MC4 or UTX connectors: -PV2 to MC4:order ECA-S20-S22 -PV2 to UTX:order ECA-S20-S25 Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1.08 kg(2.38 lbs) Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Environmental category/UV exposure rating NEMA Type 6/outdoor FEATURES Communication Power Line Communication(PLC) Monitoring Enlighten Manager and MyEnlighten monitoring options. Both options require installation of an Enphase IQ Envoy. Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break disconnect required by NEC 690. Compliance CA Rule 21 (UL 1741-SA) UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22.2 NO.107.1-01 This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions. 1.No enforced DC/AC ratio.See the compatibility calculator at https:Henphase.com/en-us/support/module-compatibility. 2.Nominal voltage range can be extended beyond nominal if required by the utility. 3.Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. To learn more about Enphase offerings,visit enphase.com EN PHAS E. ©2018 Enphase Energy.All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. 2018-05-24 ®IQ IRONRIDGE Roof Mount System y I 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 XR10 Rail XR100 Rail XR1000 Rail Internal Splices I� A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions with light snow. solar mounting rail. rail for commercial projects. for seamless connections. • 6'spanning capability • 8'spanning capability 12'spanning capability • Self-tapping screws • Moderate load capability • Heavy load capability Extreme load capability • Varying versions for rails • Clear&black anod.finish • Clear&black anod.finish Clear anodized finish • Grounding Straps offered Attachments FlashFoot Slotted L-Feet Standoffs Tilt Legs = i Anchor,flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware High-friction serrated face Works with vent flashing • Attaches directly to rail • IBC& IRC compliant Heavy-duty profile shape Ships pre-assembled Ships with all hardware • Certified with XR Rails Clear& black anod.finish 4"and 7"Lengths Fixed and adjustable Clamps & Grounding End Clamps Grounding Mid Clamps Q T Bolt Grounding Lugs (j) Accessories MYra - ire.— _. '�.�-s•— -q -- Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Mill finish & black anod. • Parallel bonding T-bolt Easy top-slot mounting • Snap-in Wire Clips • Sizes from 1.22"to 2.3" • Reusable up to 10 times Eliminates pre-drilling • Perfected End Caps • Optional Under Clamps • Mill &black stainless Swivels in any direction • UV-protected polymer Free Resources _- = Design Assistant A NABCEP Certified Training - Go from rough layout to fully r T, Earn free continuing education credits, -� engineered system. For free. A , while learning more about our systems. _ - Go to IronRidge.com/rm �'I Go to IronRidge.com/training Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave,Suite 2B id Ph:631-988-0000 Bohemia, NY 1171614j G solar@pacificoengineering.com July 7,2022 - Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Judy Woodard 1945 Village Lane Orient, NY 11763 I have reviewed the roofing structure at the subject address.The structure can support the additional weight of the roof mounted system.The units are to be installed in accordance with the manufacturer's installation instructions. I have determined that the installation will meet the requirements of the 2020 Residential Code of New York State and ASCE 7-16 when installed in accordance with the manufacturer's instructions. Roof Section A B C Mean roof height 16.0 ft 18.0 ft 14.0 ft Pitch 22 degrees 32 degrees 17 degrees Roof rafter 2x6 2x4 2x6 Rafter spacing 16 inch on center 24 inch on center 16 inch on center Reflected roof rafter span 6.8 ft 7.5 ft 10.0 ft Table R802.4.1(1)max allowable 14.6 ft 8.2 ft 14.6 ft The climactic and load information is below: Ground Wind Live Load, CLIMACTIC AND Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type CRITERIA Category Load,Pg, sec gust, ASCE 7, load,Ib psf mph psf Roof Section A B 20 130 33 623 SS 5/16"dia lag bolt,5"length B 18 204 SS 5/16"dia lag bolt,3-1/2"length C 33 623 SS 5/16"dia lag bolt,5"length Weight Distribution array dead load 3.5 psf C7A- 9V 04�'��`�„O'A load per attachment 66.1 Ib The subject roof has 1 layer of shingles. Panels mounted flush to roof no higher than 6 inches above roof surface. W Ralph Pacifico, PE Z�F Professional Engineer �A u��l>�° Ralp er NY 066182/ J 6/FL 87297 AERIAL DOWER 4tom' SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 f� WOODARD RESIDENCE 1945 VILLAGE LANE ORIENT, NY 11957 �.r. • �•, 917-592-0170 R-5 �� •z S. 25 B. 3 L-. 11 #MODULES(22) "'` _ PROJECT DATA:#225722 Ljj PITCH: 17° 56 1� AZIMUTH271° * INVERTER (59)ENPHASE 107PLUS 72-2-US Q : �4 MODULES(59)O.PEAK DUO 6LK-G10+360 RACKING IRON RIDGE XR100 2WATTAGE:21,240 co ROOF TYPE.COMPOSITION SHINGLES U O SHEET INDEX WIND LOAD.-54.6PSF@140MPH O a o S-1 SITE PLAN FASTENER 5/16'DIA.S'SS LAGS 1� co S-2 DETAILS — 18'FRE ACCES E-1 ELECTRICAL PLANS O a A Q _. L-1 MOUNTING PLAN E. SIN Gc LL a 700 Lakeland Ave, Suite 2B N Bohemia, NY 11716 ® - ---- 125' Ph: 631-988-0000 R-1 #MODULES(24) 36 ACCESS PATHWAY solar@pacificoengineering_com PITCH 22` www pacificoengineering com AZIMUTH. 187° R-a GENERAL NOTES #MODULES(13) PITCH: 32° -ENPHASE IQ7 PLUS MICRO INVERTER AZIMUTH:91° LOCATED ON ROOF BEHIND EACH MODULE. �����qV. PA 0, -FIRST RESPONDER ACCESS MAINTAINED AND FROM ADJACENT ROOF. -WIRE RUN FROM ARRAY TO CONNECTION IS 40 FEET, -COGEN DISCONNECT IS LOCATED ,o 06(318'4 ADJACENT TO UTILITY METER. SIONP� -LAYOUT SUBJECT TO CHANGE BASED ON %1_TERATIONOFTHIS D000NIENTEXCEPT e) .A SITE CONDITIONS AT DATE OF INSTALL LICENSED PER g�ES,0x1�(SANILLEGAL ) N LEGEND DATE: 6/17/2022 DESIGN BY: MW CHECKED BY: KO ® GROUND ACCESS POINT REVISIONS: 6/21/22 ti COGEN DISCONNECT rev 1 mw ® UTILITY METER 3 REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEWYORK 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 S• THE 2020 RESIDENTIAL CODE OF NYS Fuentes, Kim From: Judith Woodard <jwoodard@nyc.rr.com> Sent: Wednesday, November 2, 2022 7:04 AM To: Sue Estabrooke Cc: Fuentes, Kim; Sky;Justin Roche Subject: Re: Historic Preservation Commission -Woodard, 1945 Village Lane - Solar Panels Sue- I look forward to attending the meeting on Nov 10 pre-submission conference Judy Judith H Woodard iwoodard@nvc.rr.com 917-592-0170 On Oct 7, 2022, at 2:32 PM, Sue Estabrooke<sue@gopowersolutions.com>wrote: Hi Kim, Thank you so much, I've forwarded this to our Engineering department for scheduling. Best Regards, Sue Estabrooke Permit Manager <Outlook-3ighax1epng> LI/NY Power Solutions #1 Independent Solar Dealer on L.I. 2060 Ocean Avenue Ronkonkoma, NY 11779 P: 631.348.0001 F: 631.348.0018 Sue(x)GoPowerSolutions.com From: Fuentes, Kim <kim.fuentes@town.southold.nv.us> Sent: Friday, October 7, 2022 1:53 PM To:Sue Estabrooke<sue@gopowersolutions.com> Cc:jwoodard@nyc.rr.com <iwoodard@nyc.rr.com> Subject: Historic Preservation Commission -Woodard, 1945 Village Lane-Solar Panels Hi Sue, i I forwarded your application to the Commission and indicated that the matter can be placed on the November 10, 2022 agenda for a pre-submission conference. Please let me know if you have any concerns with this meeting date. The Commission will meet at 3:00 PM at the Town Hall Meeting Room. Thank you. Kim E. Fuentes Board Assistant Zoning Board of Appeals Coordinator, Historic Preservation Commission 631-765-1809 kima southoldtownny.a�ov Location: 54375 Main Road Mail:P.O. Box 1179 Southold, IVY 11971 2 r TOWN OF SOUTHOLD HISTORIC PRESERVATION COMMISSION SOUTHOLD,NEW YORK AFFIDAVIT OF In'the Matter of the Application of POSTING Judith Woodard/Long Island Power Solutions (Name of Applicants) COUNTY OF SUFFOLK -' STATE OF NEW YORK I, /� � �' ���e.'� residing at 2060 Ocean Avenue Ronkonkoma ,New York,being duly sworn,depose and say that: I am the( ) Owner or(X)Agent for owner of the subject property On the—//,q^ day ofArmee /,/ , 20,9-d-, I personally placed the Town's Official Poster on subject property located at: 1945 Village Lane Orient, NY 11957 The poster shall be prominently displayed on the premises facing each public or private street which the property involved in the application or petition abuts, giving notice of the application or petition,the nature of the approval sought thereby and the time and place of the public hearing thereon. The sign shall be set back not more than 10 feet from the property line. The sign shall be displayed for a period of not less than seven days immediately preceding the date of the public hearing of 12/8/2022 (Owner/Agent Signature) VN Sworn to before me this V-\ Day of a�t�c ,20 (Notary Public) LYNDE SUSETTE ESTABROOKE NOTARY PUBLIC,STATE OF NEW YORK Registration No.01ES6259997 Qualified in Dtitchess County Commission Expires April 16,2024 TOWN OF SOUTHOLD HISTORIC PRESERVATION COMMISSION SOUTHOLD,NEW YORK AFFIDAVIT OF In the Matter of the Application of: MAILINGS Judith Woodard/Long Island Power Solutions (Name of Applicant/Owner) 1945 Village Lane Orient, NY 11957 SCTM No. 1000- 25.-3-11 (Address of Property) (Section, Block&Lot) COUNTY OF SUFFOLK STATE OF NEW YORK I, ( ) Owner, (X )Agent Sue Estabrooke residing at 2060 Ocean Ave., Ronkonkoma New York, being duly sworn, deposes and says that: On the 18th day of November , 2022,I personally mailed at the United States Post Office in Copiague ,New York,by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in Prepaid envelopes addressed to current property owners shown on the current assessment roll Verified from the official records on file with the Southold Town Assessors for every property which abuts and is across a public or private street, or vehicular right-of-way of record, surrounding the applicant's property. LA__1_'x -- (Signature) Sworn to before me this ESCAYLIN CRISOL RIVERA RODRIGUEZ qday of V,o ,207.E NOTARY PUBLIC-STATE OF NEW YORK 1Z No. 01 R16434031 s-- Qualified in Suffolk County /Notary Public) My Commission Expires 05-31-2026 PLEASE list on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. All original USPS receipts and mailing confirmations to be submitted to the HPC Office along with this form completed, signed and notarized. i 4 i UNITED QsdSERVICE.. COPIAGUE 695 MARCONI BLVD COPIAGUE, NY 11726-2-819 (800)275-8777 11/18/2022 09:12 AM Product Qty -Unit Price Price First-Class Mail@ _ ..i_ $0.60 Letter Orient, NY' 11957 Weight: 0 lb 0:80 oz Estimated Delivery Date Mon 11/21/2022 ce-�t i• • $4.00 Tracking #: 70180040000076354836 Return Receipt $3.25 Tra'dhirn-I1---- 9590 9402 6962 1225 499 72 Total $7.85 Fi"rst- Zz;-*��� Letter New York, NY 10280 Weight': 0 lb 0.80 oz Estimated Delivery Date , Mon 11/21/2022 Cc . 1 r $4.00 Tracking #: 70180046000076354829 $3.25 Tracking #: 9590 9402 6962 1225 4499 65 iotai $7.85 First-,Class Mair T $0.60 Letter Orient, NY 11957 Weight; 0 lb 0.80 oz Estimated Delivery Date `Mrna i 1 a 120212 Certified— Mail@ $4.00 Tracking #: 70180040000076354812 Returnlecerp $3.25 Tracking #: 9590 9402.6962 1225 4499 58 Total 'Grand Total : $23,55 :Cann $24.00 ;Change Text Your' tracking nu111b6I- to 28777 (2USPS) to get the latest status. Standard Message and Data rates may MPIV. You may also visit www.usps.com USPS Tracking or call 1-800-222-1811, Preview your Mail Track your Packages Sign up for FREE ht•tps;//informeddeIivery.LISPS.Coln A11 sales final on, stamps and postage. Refunds for gUar-anteed.services only. Thank yo(postalexperi t.ir• business. .Tell us at your e, erience. Go to: https:% nce.com/Pasor Scan this ,cowitl, your. . obi le device, postal Postal ■ , p ■ ■ ru CERTIFIED MAILD RECEIPT IT" Domestic Mail Only Domestic Mail Only ru , co co •. For delivery information,visit our website at wwmusps.corne. Or i C j (c f U-) U A L U2 EI m Certified Mall Fee a.. 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Si tura .. 4 ' ,pts ■ Print your name and address on the reuerae X/ D Agenf '„ so that we can return the card to.you. ❑Addressee ■ Attach this card to the back of,the rn lece, B eived bK(Pdnted Name) C. Date of Delivery or on the front if space permits. ="- ( 't 12-12.2 -1. Article Addressed to: _ _ _ l D. Is delivery address different from item 1? ❑Yes r'= If YES,enter delivery address below: ❑No Trust Frost Minichim Family Irrevocable Trust P.O. Box 388 Orient, NY 11957 3. Service Type ❑Priority Mail Express@ ❑Adult Signature ❑II Registered MailTb I IIIiI IIII III I III I I IIII I I II I IIIIII I III I I III 11 C Aefflfied Mali@ Restricted Delivery ❑Registered Mail Restricted. 9590 9402 6962 1225 4499 72 ❑Certified Mail Restricted Delivery ❑Signature CoMirmatlon"" ❑Collect on Delivery ❑Signature Confirmation 2. 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Revisions 06-13-97 - Fuentes, Kim From: Fuentes, Kim Sent: Tuesday, November 15, 2022 3:04 PM To: -'sue@gopowersolutions.com' Subject: FW: HPC -Woodard - Public Hearing December 8, 2022 - PLEASE READ CAREFULLY Attachments: HPC email hearing instructions December 8, 2022.docx; Chapter 55 Code.docx;Affidavit of mailing form - HPC.pdf;Affidavit of Posting form revised 9-7-2021 PDF.pdf; HPC Notice Posting-Woodard - December 8, 2022 HPC.docx,Woodard HPC - Legal Notice - December 8, 2022.doc;woodard_20221115150325.pdf Hi, Please see all forms and instructions for your public hearing on December 8, 2022. Please read carefully and let me know if you want hardcopies of the attached. On the Tax Map page, I listed Tax Map Nos. that you need to mail certified/return receipt to include your Legal Notice, your letter describing the project and your contact info. Request mailing addresses from the Town Assessor ASAP. I will be out of town between November 22 and.November 27, so-please contact me before tile with any questions�P__�w___. Kim E. Fuentes Board Assistant Zoning Board of Appeals 'Coordinator, Historic Preservation Commission 631-765-1809 kima southoldtownn1v gov Location: 54375 Main Road Mail:P.0. Box 1179 Southold, IVY 11971 0 our unigU e .� ti Ostroski,Chairperson n ^�`Q Anne Surchin,Vice Chair ¢ ;OUT dwn 1 r 54375 Route 25 Fabiola Santana ' U r=AnK • P.O. Box 1179 Allan Wexler x 'rn; z Southold,NY 11971 Tara Cubie ao Foxed IM Telephone: (631)765-1809 Jeri Woodhouse %, I^+ �� email:kimf@southoldtownny.gov Kim E.Fuentes,Coordinator A9 sEERVATION GO southoldhpc@southoldtownny.gov LEGAL NOTICE NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Southold Town Historic Preservation Commission sets a public hearing regarding the application of Judy Woodard,request for a Certificate of Appropriateness under Section 170-7 (b) of the Southold Town Code, concerning proposed installation of solar panels to an existing single family dwelling and accessory structure, located at a registered landmark property at 1945 Village Lane, Orient,NY, more particularly known as SCTM# 1000-25-3-11, on Thursday,December 8,2022, at 3:30 PM in the Southold Town Hall Meeting Room, 53095 Main Road, Southold,NY 11971 in the format of a Southold Town ZOOM Webinar Conference and "IN PERSON" Public access is available via the Town Website www.southoldtownny.gov calendar link. Dated: November 10, 2022 BY ORDER OF THE SOUTHOLD TOWN HISTORIC PRESERVATION COMMISSION, MARIELLA OSTROSKI, CHAIRPERSON By: Kim E. Fuentes, Coordinator Contact: Tele: 631-765-1809 or email: kimf@southoldtownny.gov WO TICOE OF HEARING NOTICE IS HEARBY GIVEN that a public hearing will be held by the HISTORIC PRESERVATION COMMISSION at the SOUTHOLD TOWN MEETING ROOM, 53095 Main Road, Southold, NY, concerning this property. OWNER(S) OF RECORD: JUDY WOODARD SUBJECT OF PUBLIC HEARING: 1945 VILLAGE LANE, ORIENT, NY for proposed installation of solar panels to a single family dwelling and accessory structure TIME & DATE OF HEARING: 3:30 pm — THURSDAY, DECEMBER 8, 2022 "IN PERSON", and via ZOOM Access" SOUTHOLD TOWN HISTORIC PRESERVATION COMMISSION:(631 )765-1809 2UBLIC HEARING INSTRIJL--t IONS Please see attached material to prepare for your Historic Preservation Commission public hearing on Thursday, December 8, 2022. (Please let me; ----------- ----- -- -- - -- ------ - --- --- ------- know if you-would like to pick up hardcopies of these forms) 1. List of parcels by SCTM Nos. —Please request mailing addresses from the Assessor's Office. 2. Posting Notice —post the sign by November 28, 2022 3. Affidavits of Posting and Mailing ( complete, scan and email to kimf(a�southoldtownny.gov) 4. Legal Notice MAILING INSTRUCTIONS: Please send by USPS Certified Mail, Return Receipt the following documents to all owners of property (tax map with property numbers enclosed) vacant or improved, which abuts and any property which is across from any public or private street. Do not forget to print the recipient's mailing address on the white and green USPS Certified Mail Receipt and on the Green Cards.' Mailing must be done by November 22, 2022: a. Legal Notice informing interested parties of meeting being conducted IN PERSON and via video conferencing. (Enclosed)A WEBLINK to the meeting will be provided on the Town's Website under the date of the meeting. b. Your Cover Letter should include description of improvements, your contact information, date and time of hearing,procedures for submitting written comment via email or USPS to our office. Recipients should be able to contact you for additional information. Furthermore,if recipients need to contact the HPC,they may telephone 631-765- 1809 or email me at kimf(c�southoldtownnyov. c. Link to view pending_applications: http:1124.38.28.228:2040/weblink/Browse.aspx?dbid=0 The Town's Laserfiche/Weblink files provides both location addresses and mailing addresses in their current Assessment Roll listing. (See Link Below). Also,the Town Assessor's Office can be reached at 631-765-1937. Contact us via email or by phone if you need further assistance. http://southoIdtownny.gov/DocumentCenter/View/9098/FinaIRol12022 IMPORTANT INSTRUCTIONS: #Scan and email the USPS mailing receipts, green signature cards and affidavits to kimfna,southoldtownny.gov, and THEN PROMPTLY DELIVER OR MAIL the ,ORIGINALS to the Town of Southold, HPC, P.O. Box 1179, Southold, NY 11971. POSTING OF SIGN: Affix sign on subject property, no more than 10 feet from the front yard property line. Posting should be done no later than November 28, 2022. To avoid weather damage to our sign, affix it to a sturdy surface such as plywood. If your sign is damaged, contact the office and we will provide you with another one. Please note that without your mailing receipts, and your signed and notarized affidavits, the IUPC will be prevented from conducting your hearing,pursuant to Chapter 55 of the Southold Town Code (Also enclosed). - II SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ; ■ Print your name and address on the reverseX 13Agent ; so that we can return the;card to you. 13 Addressee ■ Attach this card to the back of the maiipiece,' B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. I 1•-E�rticle_Addressed-to:._._._ ___.. D. Is delivery address different from item 17 ❑Yes ! If YES,enter delivery address below: ❑No 'Awd & Stephante.Guard 700 Rector Place ' Apt. 27E r ' York, NY 10280 -- - 3. Service 13ice Type Priority Mall Express® IIIIIIII IIII III I III I I IIII I I II 1111111 II IIII III 13 Adult Signature 13 Registered MallTM ❑Adult Signature Restricted Delivery ❑Registered Mall Restricted i 6 Certified Mall® Delivery j {9590 9402 6962 1225 4499 65 13 Certified Mail Restricted Delivery 13Signature ConfinnationTM i ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(Transfer from service'label) ❑Collect on Delivery.Restricted Delivery Restricted Delivery ; ^Insured Mall 70180040 0000 7 6 3 5 4 8 2 9 Insured Mail Restricted Delivery . (over$5091 t ; PS Form 3811;July 2020 PSN 7530-02-000-9053 Domestic Return Receipt Long Island Power Solutions ( 17 4' D scT�ER ONS 2060 Ocean Avenue �� ala®�� _ Ronkonkoma, NY 11779 L 7018 0040 0000 7635 4829 o Co ............ Edward & Stephanie Guard 200 Rector Place- K0.10'0'i"' Apt. 27E R'TUWN TO SENDER NOT D E L I VER AS A; A_,D%Nfi5 ID a Q la aa jzz.4 Z "!,ABLE T6 F,617R tea >i65 3 B