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45804-Z
50FFUtp qrt Town of Southold 11/5/2022 a y� P.O.Box 1179 co ® a 53095 Main Rd ygj01 �a4��� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43565 Date: 11/5/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1875 Hiawathas Path, Southold SCTM#: 473889 Sec/Block/Lot: 78.-3-60 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/29/2021 pursuant to which Building Permit No. 45804 dated 2/9/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof-mounted solar panels as applied for. The certificate is issued to Mitchel,Raymond of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45804 8/11/2022 PLUMBERS CERTIFICATION DATED hori e i nature o�suF oea� TOWN OF SOUTHOLD y BUILDING DEPARTMENT CO z TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 45804 Date: 2/9/2021 Permission is hereby granted to: Mitchel, Raymond 1875 Hiawathas Path Southold, NY 11971 To: install roof-mounted solar panels as applied for. At premises located at: 1875 Hiawathas Path, Southold SCTM #473889 Sec/Block/Lot# 78.-3-60 Pursuant to application dated 1/29/2021 and approved by the Building Inspector. To expire on 8/11/2022. Fees: SOLAR PANELS $50.00 CO-ALTERATION TO DWELLING $50.00 ELECTRIC $100.00 Total: $200.00 Building Inspector pE SOUjyol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(a-town.southold.ny.us Southold,NY 11971-0959 Q IyCOUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Raymond Mitchel Address: 1875 Hiawathas Path city:Southold st: NY zip: 11971 Building Permit#: 45804 Section: 78 Block: 3 Lot: 60 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Harvest Power License No: 54016ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures 11 Pump Other Equipment: 13.68kW Roof Mounted PV Solar Energy System w/ (38) REC 360AA Modules , IQ3 Combiner, AC Disconnect Notes: Solar Inspector Signature: Date: August 11, 2022 S.Devlin-Cert Electrical Compliance Form DocuSign Envelope ID:8C5A1854-EBF7-4047-BBEC-2160087D86CB °avFFot f�0�� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631)765-9502 https://_www:southoldtow� Date Received APPLICATION FOR BUI.L®IING PERMIT .. , D ! VIE For Office Use Only PERMIT NO. Building Inspe F i ' JAN 2 9 2021 Applications and forms must be filled out in their entirety.incomplete yJ' '_a;ft= u041. , applications will not be accepted. Where the Applicant Isnot the owner,any;;,,rR`l ;T{, a l.rIO��dD Owner's Authorization form(Page 2)shall be completed. Date: 1/19/2021 OWN ER(S)'OF PROPERTY: - Name: Raymond MitchelSCTM#1000- 078-03-060 Project Address: 1875 Hiawatha' s Path, Southold, NY 11971 Phone#: (631) 765-1463 Email: Mailing Address: 1875 Hiawatha' s Path, Southold, NY 11971 CONTACT PERSON: Name: Timothy Ivins Mailing Address: 2941 Sunrise Hwy, Islip Terrace, NY 11752 Phone#: (631) 647-3402 Email: tim@harvestpower.net DESIGN PROFESSIONAL INFORMATION: Name: Michael Dunn,, R.A. Mailing Address: 1981-Union Blvd, Bay Shore, NY 11706 Phone#: (6 3 1.),6 615-9619 Email: Dayblueprint@aol . com CONTRACTOR INFORMATION: Name: Harvest Power LLC Mailing Address: 2941 Sunrise Hwy, Islip Terrace, NY 11752 Phone#: (631) 647-3402 [Email,�tim@harvestpower.net DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ 45, 000 . 00 Will the lot be re-graded? ❑Yes ®NO Will excess fill be removed from premises? ❑Yes El No 1 DocuSign Envelope ID:8C5A1854-EBF7-4047-BBEC-2160087D86CB PROPERTY INFORMATION Existing use of property: Residence Intended use of property: (no change) Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to -Residential this property? ❑Yes ONO IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations,and to admit authorized Inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. a� Application Submitted By(print name): Timothy Ivins ®Authorized Agent ❑Owner + Signature of Applic nt: - Date: STATE OF NEW YORK) SS. COUNTY OF �& being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor as Agent (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this / ---- day of 20 LNOTAPUBLIC-S Ii OF NEW YORK No.01OT6256196 ualified in Suffolk County P_ROP-ROP=E ( � .issionExpireso2-21-2024 — - -- - -- 17vnh re l e p ea-n is notes e=owner — l� Raymond Mitchel residing at 1875 Hiawatha' s Path, Southold do hereby authorize Timothy Ivins/Harvest Power to apply on my behalf to the Town of Southold Building Department for approval as described herein. —f DocuSigned by: //0,0 s1 2GW f@V�pSignature bate Raymond Mitchel Print Owner's Name 2 y A L 1 ' Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) j I, 'tier/ Al I)214( t., residing at 18'2f (Print property owner's.name) (Mailing Address) to may, 11 �l7 j do hereby authorize (Agent) Harvest Power LLC to apply on my behalf to the: Southold Building Department. Zc.)2 A(E i e.0MVE DocuSign Envelope ID:9F97D786-6B33-417B-ADCE-1E9CB8552EA1 CONSENT TO INSPECTION Raymond Mitchel , the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at 1875 Hiawathas Path, Southold , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 0.78 , Block 03 , Lot 060 That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: l3 r 8 ✓ W �o That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. DocuSigned by: Dated: 61 ZE3C9c(Rigii-ature) (Print Name) (Signature) (Print Name) �g11EfOL��v BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD '�_ Town Hall Annex - 54375 Main Road - PO Box 1179 • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX(631) 765-9502 roper.richert(Mtown.southoId.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Julie Ott Date: Company Name: Harvest Power Name: John D'Aries/Fulton Electric Inc. License No.: 54016-ME email: jott@harvestpower.net Address: 2941 Sunrise Hwy. , Islip Terrace, _NY 11752 Phone No.: (631) 647-3402 JOB SITE INFORMATION: (All Information Required) Name: Raymond Mitchel- Address: 1875 Hiawathas Path, Southold, NY 11971 Cross Street: Nokomis Road Phone No.: (631) 765-14G3 Bldg.Permit ffS email: Tax Map District: 1000 Section: 0 7 8 Block: 03 LOt 0 GO BRIEF DESCRIPTION OF WORK(Please Print Clearly) 13 . 68 kW Solar Pv System w/ (38)REC360AA Roof-Mounted Panels Circle All That Apply: Is job ready for inspection?: YES / NO Rough In CFin Do you need a Temp Certificate?: YES/ O Issued On Temp Informatio (All information required) Service Size 1 Ph Ph Size: 2 0 0 A #Meters -( Old Meter# ew Service- e Reconnect- Flood Reconnect-Service Reconnected -Underground -Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �1 Avc l 712,3 82-Request for Inspecdon Form ads 2 D Z/ (4,4 5O ��OF SOUIyo — - h� �O # .TOWWOF SOUTHOLD BUILDING DEPT. �o • ,o `ccom, 765-1802 1 NSPECTION [ ] FOUNDATION 1ST [ ]- ROUGH PLBG. [ ] FOUNDATION 2ND' [ ] SULATION/CAULKING [ ] FRAMING/STRAPPING [ FINALSaAlL- [ ] FIREPLACE & CHIMNEY [ ] .FIRE SAFETY'INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ' = [ ] CODE VIOLATION [ ] PRE C/O REMARKS: J�J,q. ,", N._� %-,0001 DATE < < 3 O I—Z.-24 INSPECTOR WZ J of sol �a Hp * # TOWN OF SOUTHOLD BUILDING DEPT. `ycouHn��'' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: C _ DATE �" Z� INSPECTOR Graham Associates 1981 Union Blvd. Bay Shore,N.Y. 11706 Building Consultants& Expeditors (516) 665-9619 Fax(516) 969-0115 February 24, 2021 Town of Southold Building Department Town Hall Annex P.O. Box 1179 Southold, NY 11971 Re: Mitchel Residence—1875 Hiawathas Path,Southold, NY 11971 SCTM#1000-078-03-060 Permit No.45804—13.68 kW Rooftop Solar Photovoltaic System To Whom It May Concern, Please be advised that I have inspected the solar roof array at 1875 Hiawathas Path,Southold, NY 11971 and have determined that it has been performed in accordance with the manufacturer's recommendations, and the approved building permit.The installation meets the NYS Building Code, 2015 International Code,and ASCE 7-10. If you have any further questions, do not hesitate to call. Sincerely, �ERED ARc y MELD FNSPEC'�iON REBOORT DE+i T FOU".-ATION(1ST FOLrNDATI'ON(ZND) �A ' . RO'U.GH FRAMING& ZLUMBING yI+IS[;L,4TION:PEA N..Y. STATE ENERGY COI?E �. . ze ::FINAL . • .. , . . ...:. : •� ..: .,ter. : .. : : .. � . - . . , gip ,:'c� � f�t��: .• ... . . . .. • � X ' ' o��OE SO!/j�,ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 • Southold,NY 11971-0959 �yOOUNT`1,� BUILDING DEPARTMENT February 8, 2022 TOWN OF SOUTHOLD Mitchel, Raymond 1875 Hiawathas Path Southold, NY 11971 RE TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy Application for Certificate of Occupancy. (Enclosed) X Electrical Underwriters Certificate. A fee of$50.00. Final Survey with Health Department Approval. Plumbers Solder Certificate or Pex Affidavit Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval from Town Engineer Spray Foam Insulation certification from a NYS licensed architect or Engineer BUILDING PERMIT: 45804-Z Solar ,acoR®® CERTIFICATE OF LIABILITY INSURANCE r ATE(MM/DD/YYYY) Ili, 4/13/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Capacity Group of NY LLC PHONE Margarita Kaminski FAx One International Blvd. AD No Ext:646 459-2470 a/c No:646-459-2470 Suite 300 E-MAIL Mahwah NJ 07495 ADDRESS: mkaminski Ca aci n .com INSURERS AFFORDING COVERAGE NAIC# INSURER A:National Liability&Fire Insurance Company 20052 INSURED 2476 Harvest Power LLC INSURER B:Endurance American Specialty Insurance Company 41718 2941 Sunrise Highway INSURER C:Travelers Insurance Company 25674 Islip Terrace NY 11752 INSURER D:James River Insurance 12203 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1741459260 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE WVQ. POLICY NUMBER POLICY M DDY/YYYY MM DD/YYXYY LIMITS C X COMMERCIAL GENERAL LIABILITY 107080166 4/15/2020 4/15/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR DAMAGE PREMISES O a occurRENTrence) $50 ,000 X Contractual Liab MED EXP(Any one person) $Excluded X Primary-NonContr PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY�JEST LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER: Ded Liab$5,000 Contractors Pollutio $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Per accident $ $ D X UMBRELLA LIABX OCCUR 000711794 4/15/2020 4/15/2021 EACH OCCURRENCE $5,000,000 EXCESS LBCLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION V9WC071830 4/15!2020 4/15/2021 PER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED) N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 B Inland Marine IMP10004799606 4/15/2020 4/15/2021 Contents Limit: 250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Subject to Policy Terms&Conditions... Certificate Holder is hereby included as Additional Insured,with regards to work being performed for them by the insured,subject to the policy terms,conditions &as required per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 P O Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD oRRK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured 631-647-3402 Harvest Power LLC 1c.NYS Unemployment Insurance Employer Registration Number of 2941 Sunrise Hwy Insured Islip Terrace,NY 11752 Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York.State,i.e.,a Wrap-Up Policy) Number 20-4214746 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) National Liability&Fire Insurance Company 3b.Policy Number of Entity Listed in Box"I a" Town of Southold V9WC195204 53095 Route 25 3c.Policy effective period P O Box 1179 4/15/2020 to 4/15/2021 Southold NY 11971 3d.The Proprietor,Partners or Executive Officers are Included.(Only check box if all partners/officers included) x all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"l a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Pamela L.Waqner (Print name offauthorized representative or licensed agent of insurance carder) Approved by: QiX.1-6Q kaC. 04/14/2020 (Signature) (Date) Title: SVP Workers'Compensation Underwriting Telephone Number of authorized representative or licensed agent of insurance carrier: 215-600-0749 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov Y� workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured HARVEST POWER LLC 2941 SUNRISE HIGHWAY 631-647-3402 ISLIP TERRACE, NY 11752 Work Location of Insured(Only required it coverage is specifically limited to 1c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 20-4214746 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold Y P Y PO Box 1179 3b.Policy Number of Entity Listed in Box"l a" Southold, NY 11971 35488-78 3c.Policy effective period 10/31/2018 to 10/11/2021 4. Policy provides the following benefits: Fi A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑ C.Paid family leave benefits only. 5. Policy covers: Fi A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: t Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc` ed above. Date Signed 10/12/2020 By �14�� (Signature of insurance carrier's authoriz d representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 46,4C or 513 is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 56 of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) I11111111111111111111111111111111111111111111111 DB-120.1 (10-17) I j_j_3a--. HARVEST P ® W E R Harvest Power LLC 1 2941 Sunrise Hwy., Islip Terrace, NY 11752 Office: 631-647-3402 Fax: 631-647-3404 March 1, 2021 Town of Southold "' M A R - 2 2021 Building Department P.O. Box 1179 Southold,NY 11971 Re: Engineer's Post-Install Letter&Final Electrical Inspection Request Mitchel Residence- 1875 Hiawatha's Path, Southold-BP#45804 Dear Town of Southold Building Department: Enclosed, please find the Engineer's post-install letter and electrical inspection application for the PV solar installation completed at the above referenced residence. We would like to schedule the final electrical inspection at the Town's earliest convenience. Please call me at(631)647-3402 to schedule. Thank you for your attention to this matter. If you need any further information, please contact me at(631) 647-3402 or via email at jotte harvestpower.net. Very truly yours, y Timothy Ivins VP Administration Licensed, insured & bonded License # Nassau County: H0811250000 1 License # Suffolk County: 48165-H APPROVED AS NOTED DATE:a4�114 B.P.# NOTI Y BUILDING DEPARTMENT AT 766-1802 8 AM TO 4 PM' FOR THE FOLLOWING INSPECTIONS: -1. FOUNDATION -.TWO"REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING_& PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION_MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET-THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. comPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED A ITIONS OF SOUTHOLD TOWN A SOUTHOLD TO PLANNING BOARD SOUTHOL OWN TRUSTEES N.Y.S. C Additional Certification May Be.Required. ELECTRICAL INSPECTION REQUIRED Graham Associates 1981 Union Blvd Bay Shore,N.Y. 11706 Building Consultants & Expeditors (631)665-9619 Fax(631)969-0115 November 5, 2020 Town of Southold Building Department 54375 Rt. 25 Southold, NY 11971 Re: Mitchel Residence 1875 Hiawathas Path Southold, NY 13.68 kWDC, 11.02 kWAC Rooftop Solar Photovoltaic Systems To Whom It May Concern, Please be advised that I have analyzed the existing roof structure at the above-mentioned premises and have determined that it is adequate to support the additional load of the solar panels and a 130 mph wind load without overstress, in accordance with the following: The 2020 New York State Uniform Fire Prevention and Residential Building Code; Town of Southold Local Code, Long Island Unified Solar Permit Initiative, (LIUSPI); and 2020 National Electric Code NFPA 70/2020 National Electric Code including ASCE?-10 E�tED AR further questions, do not hesitate to call. �L S 9 , RA OF NES SOLAR'S MOST TRUSTEDREC �t ZA 1ti J TAM ft- 4 At w; EXPERIENCE REE 375 25 YEAR PROTRUST /�/p WARRANTY a v v f POWER ELIGIBLE FOR PERFORMANCE RECALPHA BLACK ins r PRODUCT DATASHEET 17.21+25[67.75±0.1] r28[1.11 802[31.51 455[17.91 ♦CERTIFICATIONS + -- IEC 61215-2016,IEC 61730:2016.UL 1703,UL 61730 + IEC 62804 PID j 1000(391 IEC 61701 Salt Mist IEC 62716 Ammonia Resistance IS01192S-2 Ignitability(Class E) _ _ IEC 62782 Dynamic Mechanical Load 1 W IEC 61215-2:2016 Hailstone(35mm) + ■ m AS4040.2 NCC 2016 Cyclic Wind Load 15014001:2004,ISO 9001201S,OHSAS18001:2007IEC 62941 +1 N � n It±0.2 C `rpt take�tivay [0.43±0.811 D E c us C ♦ "�`•"+,°�'ivEEe��w�rr �d - KKws scn«,e i Fol - -~ _ - 20.5±0.5 ' ' WARRANTY- [0 78±O 081 ARRANTY'[o.7s±o.081 1200[471 - Standard v RECProTruist In stalled by an REC Certified y t r Solar Professional No Yes Yes + ' ' System Size All 425 kW 25-500 kW 45[7.51 22.5[0.91 � 621 33[24.5 10.121 _... _. 30[1.181 Product Warranty(yrs) 20 25 25 -- + Power Warranty(yrs) 25 25 25 Measurements in mm[in) Labor Warranty(yrs) 0 2S 10 GENERAL DATA Power in Year 1 98% 98% 98% 120 h alf-cu t cells w ith REC StaubliMC4PV-KBT4/KST4(4mm2) Annual Degradation 0.2S% 0.25% 0.25% Cell type: heterojunction cell technology Connectors: inaccordancewithIEC 628S2 Power in Year 25 92% 92% 92% 6 strings of 20 cells in series IP68 only when connected See warranty documents for details.Conditions apply. Glass: 3.2 mm solar glass with Cable: 4mm2 solar cable,1.0m+1.2m ! MAXIMUM RATINGS anti-reflection surface treatment in accordance with EN 50618 Backsheet: Highly resistant Dimensions: 1721 x 1016x30mm(1.75m') Operational temperature: -40...+85'C polymeric construction(black) Maximum system voltage: 1000V Frame: Anodized aluminum(black) Weight: 19.5 kg Design load(+):snow 4666Pa(475kg/m2)' (+): Junction box: 3-part,3bypass diodes,IP67rated Maximum test load 7000 Pa(713 kg/m')* - .. in accordance withIEC 62790 Origin: Made in Singapore Design load I+wind 2666Pa(272kg/m2)- Maximumtest load(+ 4000Pa(407kg/m2)* ft ELECTRICAL DATA Product Code':RECxxxAA Black Maxseries fuse rating: 25A Power Output-PMAx(Wp) 355 360 365 370 37S Maxreversecurrent: 25A t Watt Class Sorting-(W) 0/+S 0/+5 0/+5 0/+5 0/+5 Calculated using a safety factor of 1.5 a See installation manual for mounting instructions c° Nominal Power Voltage-V,,1,(V) 36.4 36.7 37.1 37.4 37.8 0 u Nominal Power Current-IMee(A) 9.77 9.82 9.85 9.9 9.94 TEMPERATURE RATINGS- ll- Ln ATINGS N Nominal ModoleOperating Temperature: 44°C(±2°C) : Open Circuit Voltage-Voc(V) 43.6 43.9 44.0 44.1 44.2 N Temperature coefficientofpMAx: -0.26%/'C c Short Circuit Current-Isc(A) 10.47 10.49 10.52 10.55 10.58 - - - --- Temperature coefficient of Voc: -0.24%/'C c Power Density(W/m') 202.85 205.71 208.57 211.42 214.28 Temperature coefficient of Isc: 0.04%/"C c Panel Efficiency 1%) 20.3 20.6 20.9 21.2 21.4ul 'The temperature coefficients stated are linear values Power Output-PMAx(WP) 271 274 278 282 286 tLOW LIGHT BEHAVIOUR G Nominal Power Voltage-VM,(V) 34.3 34.6 35.0 35.2 35.6 Typical low irradiance performance ofmoduleatSTC: m a Z Nominal Power Current-IM,(A) 789 7.93 7.96 8.00 8.03 Open Circuit Voltage-Voc(V) 41.1 41.4 41.5 41.6 41.6 �� I d a Short Circuit Current-Isc(A) 8.46 8.47 8.50 8.52 8.55 N Values at standard testconditions(STC:airmass AM1.S,irradiance 1000W/m',temperature 25'C),based onaproductionspreadwith a tolerance of P-1 Vic&Isc±3%within one watt class.Nominal module opera ting t empera ture(NMOT:air mass AM 1.5,irradiance � BOO W/m2.temperature 20°C,windspeed lm/s).*Where xxx indicates the nominal power class(P..)at STC above. m � W Irradiance(W/m') m a REC Group is an international pioneering solar energy company dedicated to empowering e cIt REC onsumers with clean,affordable solar power in order to facilitate global energy transitions. Committed to quality and innovation,REC offers photovoltaic modules with leading high quality, backedbyan exceptional low warranty claims rate of le55than 100ppm.Foundedin Norwayin 1996, wwwrecgioup.com REC employs 2,000 people and has an annual solar panel capacity of 1.8 GW.With over 10 GW installed worldwide,REC is empowering more than 16 million people with clean solar energy.REC ❑� '�. _ Group is a Bluestar Elkem company with headquarters in Norway,operational headquarters in 1 .rt apore,and regional bases in North America,Europe,and Asia-Pacific. 1 A. ' Data Sheet Enphase Microinverters Region:US Enphase' The high-powered smart grid-ready p Enphase IQ 7 Micro"' and Enphase IQ 7+ MicroTM 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 seamlessly with the Enphase IQ EnvoyTM, Enphase Q Aggregator TM, Enphase IQ BatteryTM, and the Enphase Enlighten TM monitoring and analysis software. IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install • Lightweight and simple • Faster installation with improved,lighter two-wire cabling i • Built-in rapid shutdown compliant(NEC 2014&2017) Productive and Reliable • Optimized for high powered 60-cell and 72-cell*modules • More than a million hours of testing • Class II double-insulated enclosure • LIL listed D Smart Grid Ready PEI • Complies with advanced grid support,voltage and frequency ride-through requirements 'A Remotely updates to respond to changing grid requirements • Configurable for varying grid profiles • Meets CA Rule 21 (UL 1741-SA) U� *The IQ 7+Micro is required to support 72-cell modules. To learn more about Enphase offerings,visit enphase.com �.0 E N P H AS E, Enphase EQ 7 and 9Q 7+ Microinverters INPUT DATA(DC) IQ7-60-2-US IQ7PLUS-72-2-US Commonly used module pairings' 235 W_-350 W+ 235 W-440 W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 60V Peak power tracking voltage 27 V-37 V 27 V-45 V Operating range 16V-48V 16 V_-60 V Min/Max start voltage 22 V/48 V 22 V/60 V Max DC short circuit current(module Isc) 15A 15A Overvoltage class DC port II II DC port backfeed current 6A- 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/ 208 V/ 240 V/ 208V/ 211-264 V 183-229 V 211-264 V 183-229V Maximum continuous output current 1.0 A 1.15 A 1.21 A 1.39 A -- --- - - -- - - -- - - -- -- -- - -- 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(240 VAC) 13(208 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 IQ 7 Microinverter Ambient temperature range -40°C to+65°C Relative humidity range 4%to 100%(condensing) Connector type MC4(or Amphenol H4 UTX with additional Q-DCC-5 adapter) 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.Seethe 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 V ENPHASE. @ 2018 Enphase Energy All rights reserved All trademarks or brands used are the property of Enphase Energy,Inc. 2018-02-08 • a � PHOTOVOLTAIC ROOF MOUNT SYSTEM 38 MODULES-ROOF MOUNTED - 13.68 kWDC, 11 .02 kWAC 1875 H IAWATHAS PATH SOUTHOLD, NY 11971 , USA HARVESTPO 'ER HARVEST POWER LLC SUNRISE HIGHAY SYSTEM SUMMARY: GOVERNING CODES: SHEET INDEX 2941 TERRACE,Y117521SLIP (N) ( 2017 NATIONAL ELECTRICAL CODE(NEC) TEL:(8.h Lestpo85 N 38-REC ALPHA REC360AA 360 MODULES (NEC PV-0 COVER SHEET website:w�wv.haroestnowernet (N)38-ENPHASE IQ7PLUS-72-2-US MICRO-INVERTERS 2020 NEW YORK STATE UNIFORM FIRE PREVENTION AND PV-1 SITE PLAN WITH ROOF PLAN (N)JUNCTION BOX RESIDENTIAL BUILDING CODE PV-2 ATTACHMENT DETAILS (E)200A MAIN SERVICE PANEL WITH(E)200A MAIN BREAKER PV-3 SINGLE LINE DIAGRAM (N)60A NON-FUSED AC DISCONNECT PV-4 PLACARDS&WARNING LABELS (N)ENPHASE IQ COMBINER BOX PV-5 ADDITIONAL NOTES PV-6+ EQUIPMENT SPEC SHEETS DESIGN CRITERIA: ROOF TYPE:-ASPHALT SHINGLE VERSION NUMBER OF LAYERS:-01 DESCRIPTION DATE REV ROOF FRAME:-2"X8"RAFTERS 16"O.C. BLDG.PERMIT 11/04/2020 0 STORY:-TWO STORY SNOW LOAD:-25 PSF WIND SPEED:-130 MPH i WIND EXPOSURE:-B J' f Z i goo � GENERAL NOTES: - - - - f!, 1. INSTALLATION IN ACCORDANCE WITH MANUFACTURER � •'•'f - " " - - - " �-•-�,: Vii,. ' RECOMMENDATIONS. PROJECT SIT . ARRAY LOCATIONS E 9 2. ENGINEER TO INSPECT PROJECT AFTER INSTALLATION _ f` i �7 �— IC5 AND CERTIFY COMPLIANCE. ..; 3. PROJECT TO BE INSTALLED WITH CODE COMPLIANT _ � �roR� RACKING INSTRUCTIONS FOR UNI-RAC SOLAR MOUNT - ^"1 SYSTEM. ^'.Myr; ti PROJECT NAME � - f...� -� �` 4. FOLLOW BALLASTING SCHEDULE ON ROOF PLAN. 43 ,.- 5. HARVEST POWER, LLC.,THE SOLAR INSTALLATION CONTRACTOR, COMPLIES WITH ALL LICENSING&ALL O RELATED REQUIREMENTS OF THE GOVERNING �� _ < C) MUNICIPALITIES AND THE LOCAL ELECTRIC UTILITY ;., rf ;r +; 2 � O 0 6. THIS PROJECT WILL COMPLY WITH THE CURRENT NEC ,!/ Vii ? - =a J C3 J REQUIREMENTS INCLUDING ARTICLE 690 SOLAR ~ DuCA VdalY,Ylneyards `—1 W (n O O PHOTOVOLTAIC PV SYSTEMS. 1, �' co W0 7. THE ROOF WILL HAVE NO MORE THAN A SINGLE LAYER yPe nic 75 ter•, = Q O OF ROOF COVERING IN ADDITION TO THE SOLAR •; i -- U = � O �- fr , Os��rey's ODrrtirlon, / .rr` O LL EQUIPMENT. Q z pp *k I f = ` _ ti 8. INSTALLATION WILL BE FLUSH-MOUNTED, PARALLEL V"` II � ' '' �°� > � O I- Z TO AND NO MORE THAN 6.5"ABOVE ROOF ,BQ ✓ _ �r f Q 9. MAINTAIN A MINIMUM OF 18"CLEARANCE AT RIDGE 10. THIS DESIGN COMPLIES WITH 130 MPH WIND a J O J AND AT ONE GABLE EAVE. % h _ 0 O F- O f 1875 Hiavrathas Path U _ �• h REQUIREMENTS OF THE RESIDENTIAL CODE OF N.Y.S �.: .. �� t c Z =j AND ASCE 7-16. a- ll. ` ;�--, ~ _ r 0 = 11. WHEREVER THE ROOF PLAN DOES NOT COMPLY WITH ' �J r w Q ACCESS AND VENTILATION REQUIREMENTS OF THE - 1. i, _ UNIFORM CODE, HARVEST POWER PROPOSES THAT ALTERNATIVE VENTILATION METHODS WILL BE EMPLOYED. REVIEW AND APPROVAL SHALL BE AT THE . J ° u__r� `r; -% I,�^ SHEET NAME DISCRETION OF THE MUNICIPALITY IN WHICH THIS DOCUMENT HAS BEEN FILED. COVER SHEET 12. THE DESIGN PLANS COMPLY WITH THE 2020 NEW AERIAL PHOTO VICINITY MAP YORK STATE UNIFORM FIRE PREVENTION AND RESIDENTIAL BUILDING CODE. SHEET NUMBER 1 SCALE: NTS 2 SCALE: NTS C� PV-0 MODULE TYPE, DIMENSIONS & WEIGHT ROOF ACCESS AREA: r 8 NUMBER OF MODULES=38 MODULES SHALL BE LOCATED IN AREAS THAT DO NOT REQUIRE THE PLACEMENT OF GROUND OVER OPENINGS SUCH AS MODULE TYPE=REC ALPHA REC360AA(360W)MODULES WINDOWS OR DOORS,AND LOCATED AT STRONG POINTS OF BUILDING CONSTRUCTION IN LOCATIONS WHERE THE a ! MODULE WEIGHT=43 LBS/19.5 KG. ACCESS POINT DOES NOT CONFLICT WITH OVERHEAD OBSTRUCTIONS SUCH AS TREE LIMBS,WIRES OR SIGNS. MODULE DIMENSIONS= 67.8"X 40"= 18.83 SF UNIT WEIGHT OF ARRAY=2.28 PSF (E) DETACHED PROPER LANE HAFRVESTPOWE STRUCTURE — HARVEST POWER LLC _ 2941 SUNRISE HIGHWAY ISLIP _ TERRACE,NY 11752 E CHIMNEY TYP. website www.haroestnowernet 989-3586 ( ) ( ) _ � (N)JUNCTION BOX _ \ (N)3/4"EMT CONDUIT RUN 1/2"ABOVE ROOF (E)200A MAIN SERVICE PANEL O EXISTING WITH (E)200A MAIN BREAKER DRIVEWAY (INSIDE) W \ i VERSION DESCRIPTION DATE REV R1 \ JB BLDG.PERMIT 11/04/2020 0 ROOF#2 N_ (06) REC360AA(360W) RAFTERS=2"x8"@16"O.0 ,yg t 21'- 0" G,°°"s �/ 1A°,. 77°AZIMUTH, 37°TILT j;, '� c G � O Y N D � O o \ YOR MSP / \ • '% ° ROOF#1 \ \ GD uM /// PROJECT NAME \ / (03) REC360AA(360W) GB RAFTERS=2"x8"@16"O.0 167°AZIMUTH, 37°TILT _ o Q Z) O 0 (N) ENPHASE IQI j � O 0 ROOF#3 / \ (29) REC360AA \ — COMBINER BOX (360W) `' >"� (N)60A NON-FUSED AC }- 00 aLL RAFTERS= 0,.7\ ��~ �'`� DISCONNECT Q z 000 2"x8"@16 O.0 ( )E UTILITY METER O Z 257°AZIMUTH, ( Q J C) _I 37o TILT i'� \ J 1 — R�SINE = 0 O I-- 0 ENLARGE VIEW co0 z SCALE: NTSU) < Q t � SEE ENLARGE SHEET NAME VIEW ON PV-1/2 (E)TREE(TYP.) SITE PLAN WITH ROOF PLAN ET NUMBER SITE PLAN WITH ROOF PLAN SHEET NUMBER SCALE: 1/16"=T-0" ENLARGE VIEW (PV-2/2) HARVESTPOW R HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP TERRACE,NY 11752 PV MODULES TEL:(801)989-3585 website:www.h a/vestpowernet O G (E)ASPHALT SHINGLE VERSION ROOF(TYP.) DESCRIPTION DATE I REV BLDG.PERMIT 11/04/2020 0 GENERAL NOTES: 1. RAILS TO BE INSTALLED TWO PER PANELS AS SHOWN IN DETAIL 2. ALL PENETRATIONS TO BE MADE@ 48"O.C. 3. BOLTS TOBE INSTALLED INTO RAFTERS. / ® � 4. MINIMUM 2"PENETRATION INTO WOOD FOR CODE COMPLIAN Z ATTACHMENT DETAIL "ACTUAL ROOF CONDITIONS AND RAFTER(OR SEAM)LOCATIONS m 1 VARY. INSTALL PER MANUFACTURER(S)INSTALLATION GUIDELIN O y SCALE:NTS AND ENGINEERED SPANS FOR ATTACHMENTS." 87> �wYOR� PROJECT NAME PV MODULES 0 0 3f C) O JL J 0- tio ~ UNIRAC SM LIGHT RAIL L-FOOT Z � M W O U = c) U) cn LL FLASH KIT PRO Q z ti O (E)ASPHALT SHINGLE ROOF (TYP.) ROOF/ DECK MEMBRANE Q o J = 05F0 L0 n P 00 Z BUILDING STRUCTURE5/16" STAINLESS STEEL LAG BOLT O a.. _ 2.5" MIN. OR 2-1/2" MIN. EMBEDMENT AND SS EPDM Cn Q Q EMBEDMENT WASHER SHEET NAME ATTACHMENT DETAIL ATTACHMENT DETAIL (ENLARGE VIEW) SHEET NUMBER 2PV-2 SCALE: NTS a (38)'REC ALPHA REC360AA(360W) MODULES BILL OF MATERIALS}}! (38) ENPHASE IQ7PLUS-72-2-US MICRO-INVERTERS EQUIPMENT QTY DESCRIPTION -%,✓` (02) BRANCHES OF 13 MODULES & SOLAR PV MODULE 38 REC ALPHA REC360AA(360W)MODULES i (01) BRANCH OF 12 MODULES INVERTER 38 ENPHASE IQ7PLUS-72-2-US MICRO-INVERTERS COMBINER BOX 1 ENPHASE IQ COMBINER BOX SYSTEM SIZE:-38 x 360W= 13.68 kWDC JUNCTION BOX I 1 160OV,55A MAX,4 INPUTS,MOUNTED ON ROOF FOR WIRE&CONDUIT TRANSITION HARVESTPOWER 38 x 290W= 11.0 kWAC AC DISCONNECT 1 60A NON-FUSED,/w 60A/2P FUSES,240V NEMA 3R,UL LISTED, HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP TERRACE,NY 11752 TEL:(801)989-3585 website:www.harvestpowernet BI-DIRECTIONAL UTILITY METER 1-PHASE,3-W, 120V/240V,60Hz 13 MICRO-INVERTERS IN BRANCH CIRCUIT#1 IF SUPPLY TAP WITH L f VERSION JUNCTION TAP BOX DESCRIPTION DATE REV = I� BLDG.PERMIT 11/04/2020 0 ^v 3/4"3/4"EMT CONDUIT RUN (N)12X12X6 (6)#10 AWG THWN-2 JUNCTION (1)#8 AWG THWN-2 GND TAP BOX MICN. �Q 13 MICRO-INVERTERS IN BRANCH CIRCUIT#2 I (N)ENPHASE IQ Zj `Z -7 COMBINER BOX (� 200A / {t` y O I ENVOY CELL o� � `? • • • II 1 � MODEM (E)2OO f�yl ��. (N)JUNCTION (N)AC DISCONNECT: SERVIC P y BOX 10A 60A NON-FUSED,/w W/(E)200 ,� 60A/2P FUSES,240V MAIN BR F -- I NEMA 3R,UL LISTED, (TOP FED) Y K 20A 60Al2P FUSE OJECT NAME 20A 2 A O 12 MICRO-INVERTERS IN BRANCH CIRCUIT#3 ` __ _ _ . __ — __ __ __ � � __� . � ._ __ _ _ � _ --�� ---_ _ — _ __ _. _. � — � � _ o O • • • J a o = Q � ce) W O ! _EdJ O (A (A - --- _ I (3)#6 AWG THWN-2 EXISTING V = O d (1)#8 AWG THWN-2 CU GND G SYSTEM G � < Z � � Q ` I (3)Q-CABLE 3/4"EMT CONDUIT �� _ - - _ , - _�� _ - _.� (1)#6 BARE COPPER GND Q O O _ Z _ O _ c 0 Lo O z (38)ENPHASE IQ7PLUS-72-2-US = = MICRO-INVERTER r O Q Q TERMINATOR CAP ON LAST CABLE CONNECTOR AC TRUNK CABLE(TYP) SHEET NAME SINGLE LINE nlrl I nI DIAGRAM SHEET S 1 S I 1 tl dJ L L'1 Y ®IA�1 V 11 V 1 HEET NUMBER SCALE: NTS PV-3 A f 4" .r AWARNINGAINARNING ` D), ELECTRICAL SHOCK HAZARD PHOTOVOLTAIC SYSTEM SOLAR PV SYSTEM EQUIPPED COMBINER PANEL TERMINALS ON LINE AND LOAD DO NOT ADD LOADS WITH RAPID SHUTDOWN HARVESTPO Eft SIDES MAY BE ENERGIZED IN HARVEST POWER LLC THE OPEN POSITION LABEL LOCATION: 2941 SUNRISE HIGHWAY ISLIP PHOTOVOLTAIC AC COMBINER(IF TERRACE,NY 11752 APPLICABLE). TEL:(801)989-3565 LABEL LOCATION: website:www.harvestoowernet INVERTER(S),AC DISCONNECT(S),AC 3TURN RAPID SHUTDOWN COMBINER PANEL(IF APPLICABLE). SWITCH TO THE"OFF" /SOLARLECTRICNELS POSMON TO SHUT DOWN PV SYSTEM AND REDUCE SHOCK HAZARD IN THE ARRAY. ' ' ' i ® •T'll Trul VERSION FOR SOLAR • • DESCRIPTION DATE REV LABEL LOCATION: BLDG.PERMIT 11/04/2020 0 ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE LABEL LOCATION: DISCONNECTING MEANS TO WHICH THE PV SYSTEMS GIST UTILITY SERVICE ENTRANCE/METER,INVERTER/DC ARE CONNECTED. MIC U DISCONNECT IF REQUIRED BY LOCAL AHJ,OR OTHER LOCATIONS AS REQUIRED BY LOCAL AHJ. t) a�C y G = �a a� Z AWARNING. o y POWER SOURCE OUTPUT CONNECTION �r� YORt! DO NOT RELOCATE THIS OVERCURRENT DEVICE LABEL LOCATION: PROJECT NAME ADJACENT TO PV BREAKER AND ESS OCPD(IF APPLICABLE). O BUILDING SUPPLIED BY UTILITY = ? o 0 GRID AND PHOTOVOLTAIC Q o _ -r SYSTEM ® w � c:) O U = � oao O LL. Q O LABEL LOCATION: ti U) C) O z INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 _ Q J C:) J AT EACH TURN,ABOVE AND BELOW PENETRATIONS, , Q ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. = O O P: O Q ul 00 Z = PHOTOVOLTAIC AC DISCONNECT \Fm < MAXIMUM AC•. .. . • OPERA ! •• SHEET NAME LABEL LOCATION: AC DISCONNECT( N)COMBINER BOX INTERCONNECTION.N.PHOTOVOLTAIC SYSTEM POINT OF ((N)AC DISCONNECT �N)MAIN SERVICE PANEL CARDS & (E)UTILITY METER ANING LABELS LABEL LOCATION: SHEET NUMBER POINT OF INTERCONNECTION (PER CODE:NEC690.56(B),NEC705.10,225.37,230.2(E)) PV-4 a 1 1. EACH MODULE TO BE GROUNDED USING THE SUPPLIED CONNECTION POINT PER e " MANUFACTURER'S REQUIREMENTS. ALL SOLAR MODULES, EQUIPMENT, AND HD2� METALLIC COMPONENTS ARE TO BE BONDED. IF THE EXISTING GROUNDING HARVESTPOtVER ELECTRODE SYSTEM CAN NOT BE VERIFIED OR IS ONLY METALLIC WATER PIPING, HARVEST POWER LLC SUNRISE IT IS THE CONTRACTOR'S RESPONSIBILITY TO INSTALL A SUPPLEMENTAL 2941 TERRACE,NY117ZISLIP -3585 GROUNDING ELECTRODE. ite.ul Dawe !g website:www.harvestpowernet 2. ALL PLAQUES AND SIGNAGE REQUIRED BY THE LATEST EDITION OF NATIONAL ELECTRICAL CODE. LABEL SHALL BE METALLIC OR PLASTIC, ENGRAVED OR MACHINE PRINTED IN A CONTRASTING COLOR TO THE PLAQUE. PLAQUE SHALL BE UV RESISTANT IF EXPOSED TO SUNLIGHT. 3. DC CONDUCTORS SHALL BE RUN IN EMT AND SHALL BE LABELED, "CAUTION DC VERSION DESCRIPTION DATE REV CIRCUIT" OR EQUIV. EVERY 5 FT. BLDG.PERMIr 11!04/2020 0 4. EXPOSED NON-CURRENT CARRYING METAL PARTS OF ELECTRICAL EQUIPMENT SHALL BE GROUNDED IN ACCORDANCE WITH 250.134 OR 250.136(A). GIST �C MICyq Q 5. CONFIRM LINE SIDE VOLTAGE AT ELECTRIC UTILITY SERVICE PRIOR TO �;?ra�'�= CONNECTING INVERTER. VERIFY SERVICE VOLTAGE IS WITHIN INVERTER -If VOLTAGE OPERATIONAL RANGE. m � . ° m 0 ®� 6. OUTDOOR EQUIPMENT SHALL BE NEMA-3R RATED OR BETTER. 9'OR 7. ELECTRICAL CONTRACTOR TO PROVIDE CONDUIT EXPANSION JOINTS AND PROJECT NAME ANCHOR CONDUIT RUNS AS REQUIRED PER NEC. 8. ALL WIRING MUST BE PROPERLY SUPPORTED BY DEVICES OR MECHANICAL = o MEANS DESIGNED AND LISTED FOR SUCH USE, AND FOR ROOF-MOUNTED o O SYSTEMS, WIRING MUST BE PERMANENTLY AND COMPLETELY HELP OFF OF THE a o ROOF SURFACE. NEC 110.2 - 110.4 / 300.4 = C/) m M W U = o c 9. ALL ROOF PENETRATIONS MUST BE FLASHED. SIMPLY CAULKING DOES NOT F- Z � a. LL SUFFICE. � � p o Z Q J O J = 001- 0 OC) Z) Z � O Q Q SHEET NAME ADDITIONAL NOTES SHEET NUMBER PV-5 �UNIRA■E■SOLARMOUNT C LLC ` 2941 SUNRISE HIGHWAY ISLIP TERRACE,NY 11752 (801)989-3585 OPTIMIZED COMPONENTS . • 1 1 • ' 11 1 11 ' • I I I' ' ' 1 . 1 1 '1 I '1 1 INTEGRATED BONDING&PRE-ASSEMBLED PARTS It 1• 1 • •I I, I 1 • I 1 1• • •1 1 1 Components are pre-assembled and optimized to reduce installation steps and save r labor time,Ournewgrounding&bondmgpfocesseliminates copperwireandgrounding INTEGRATED BONDING 1 1 I I' 1 1. ,_•• I 1 1' •1 •' straps or bondingjumpers to reduce costs..Utilize the mfcronver(er mount with a vine MIDCLAMP i 1 manageme clfp foran easier installation. r I I• , 1 ' •1 'I 1 , • VERWICITY END CAPS ONE PRODUCT-MANY APPLICATIONS ' Quickly set modules flush to the roof or at a desired tilt angle._Change module INTEGRATED BONDING orientation Co portrait or landscape wh(lesecuring a largo variefyoff rallied muduleson SPLICE BAR flat,low slope orsteep pitched roofs,Available in mill,clear%d dark anodized finishes to outperform your projects financial and aesthetic aspirations. ' 1 AUTOMATED DESIGN TOOL DESIGN ` PLATFORM AT YOUR SERVICE ► ,r.. .r D z I Creaking a INTEGRATED BONDING ill of materials jdst a few clacks away with U Builder,a powerful online ® r tool that str6amlines the process of designing a code compliant solar mouilting system. L-FOOTW7TBOLT Save timelty creating userprofile,and recall preferences and protects automatically ® (p� "<�• f when you leg in.'You will enjoy{he ability to share projects with customers;there's no ® '+ need toptiriplts and sendto a distributor,just click and share. `I NAME i • ' FRONT ! INTEGRATED BONDING PROJECT I i ' ' ► TRIM MICROINVERTER MOUNT yvl 1• 1 L •, ,•• WIRE MANAGEMENT BONDING&GROUNOWG • MEC4ANICAL LOADING B" LIL2703 RESEW SYSTEM FIRECLASSFICA11ON , • • UNIRAC CUSTOMER SERVICE MEANS THE HIGHEST LEVEL Of, PRODUCT SUPPORT - • -- ✓ CnC) ILLc enphase . f f - _ �T; • r • 1 ( • • • ' : I I r L I UNMAMED CERTIFIED ENGINEERING BANKABLE 1DESIGN PERMIT • ����,1,17511111111wfI I EXPERIENCE QUALITY EXCELLENCE WARRANTY ,4GOLS DOCUMENTATION � • � i Ill- TECHNICAL-SUPPORT CERTIFIED QUALITY PROVIDER BANKABLE WARRANTY •• Unirac's technical support;team is dedicated to answering Uniracistheonly l'Vmountingvendor With(SO certifications Dont leave your project to chance,Uniiic has the financial questions,&addressing issues in real time. An online for 9001:2015, 14001.2015 and OHSAS 18001:2001. strength�o back our products and reduce.your risk.Have peace library of documents including engineering reports: which means we deliver the highest standards for tit of mindh knowing you are receiving products of exceptional FAST INSTALLATION. SUPERIORAESTHETICS stamped letters and technical data sheets greatly form, and function. These certifications demonstrate our quality.#ARMOUNT is covered by a twenty five(29 year simplifies your permitting and project Planning process. excellence andcommitment to first class business practices. limited ly{1oduckwanantyandafNe(5lyearlimited firosh.varmnty. SHEET NAME IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII41111111111111111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111111111111111 ' - OPTIMIZED COMPONENTS VERSATILITY. • DESIGN TOOLS • QUALITY PROVIDER ' PROTECT YUUR REPUTATION WITH QUALITY RACKING SOLUTIONS BACKED BY ENGINEERING EXCELLENCE AND A SUPERIOR SUPPLY CHAIN SPEC SHEETS .. wlginrrrByx<<RIrFR SHEET NUMBER - t A 1 • y I�/'\il� o H-L Pz Pz HARVESTPOWER HARVEST POWER LLC StrUME raIstru cturaI2941 SUNRISE HIGHWAY ISLIP ENGIRS ENGINEERS TEL:TERi>89-358NY 5 website.•www.harvestg2wer.net June 6,2020 Installation Orientation: See SOLARMOUNT Rail Flush Installation Guide. Landscape-PV Panel long dimension is parallel to ridge/eave line of roof and the PV Unirac panel is mounted on the long side. 1411 Broadway Blvd.NE Portrait-PV Panel short dimension is parallel to ridge/eave line of roof and the PV panel Albuquerque,NM 87102 is mounted on the short side. Attn.:Unirac-Engineering Department Components and Cladding Roof Zones: Re:Engineering Certification for the Unirac U-Builder 2.0 SOLARMOUNT Flush Rail The Components and Cladding Roof Zones shall be determined based on ASCE 7-05,ASCE 7-10&7-16 Component and VERSION Cladding design. DESCRIPTION DATE REV PZSE,Inc._-Structural Engineers has reviewed the Unirac SOLARMOUNT rails,proprietary mounting system constructed BLDG.PERMrr 11/04/2020 0 from modular arts which is intended for rooftop Installation of solar photovoltaic(PV) Notes: 1)U-builder Online tool analysis is only for Unirac SM SOLARMOUNT Rail Flush systems only and do not p p' p )panels;and has reviewed the U- include roof capacity check. builder Online tool.This U-Builder software includes analysis for the SOLARMOUNT LIGHT'rail,SOLARMOUNT 2)Risk Category II per ASCE 7-16. STANDARD rail,and SOLARMOUNT HEAVY DUTY rail with Standard and Pro Series hardware. All information,data and pEG IS 3)Topographic factor,kzt is 1.0. analysis contained within are based on,and comply with the following codes and typical specifications: 4)Array Edge Factor YE=1.5 MiCy, 1. Minimum Design Loads for Buildings and other Structures,ASCE/SEI 7-05,ASCE/SEI 7-10,ASCE/SEI 7-16 5)Average parapet height is 0.0 ft. ((n' (�, 2. 2006-2020 New York State Building Code,by International Code Council,Inc and New York State Department of 6)Wind speeds are LRFD values.State. 7)Attachment spacings)apply to a seismic design category E or less.3. 2006-2020 New York State Residential Code,by International Code Council,Inc and New York State Department of State. Design Responsibility:4. 2006-2018 International Building Code,by International Code Council,Inc.w/Provisions from SEAOC PV-2 2017. The U-Builder design software is intended to be used under the responsible charge of a registered design professional5. 2006-2018 International Residential Code,by International Code Council,Inc.w/Provisions from SEAOC PV-2 where required by the authority having jurisdiction.In all cases,this U-builder software should be used under theYORK 2017. direction of a design professional with sufficient structural engineering knowledge and experience to be able to: 6. AC428,Acceptance Criteria for Modular Framing Systems Used to Support Photovoltaic(PV)Panels,NovemberPROJECT NAME • ft Evaluate whether the U-Builder Software is applicable to the project,and 1,2012 by ICC-ES. • Understand and determine the appropriate values for all input parameters of the U-Builder software. 7. 2015 Aluminum Design Manual,by The Aluminum Association,2015 Following are typical specifications to meet the above code requirements: This letter certifies that the Unirac SM SOLARMOUNT Rails Flush,when installed according to the U-Builder engineering = W Cp report and the manufacture specifications,is in compliance with the above codes and loading criteria. 0 c) 0 Design Criteria: Ground Snow Load=0-100(psf) Q O J Basic Wind Speed=85-190(mph) This certification excludes evaluation of the following components: W � O (� Roof Mean Height=0-60(ft) 1) The structure to support the loads imposed on the building by the array;including,but not limited to:strength = M U) Roof Pitch=0-45(degrees) and deflection of structural framing members,fastening and/or strength of roofing materials,and/or the effects (� _ O Exposure Category=B,C&D of snow accumulation on the structure. Q Z � 0 Attachment Spacing: Per U-builder Engineering report. 2) The attachment of the SM SOLARMOUNT Rails to the existing structure. < Q O Z 3) The capacity of the solar module frame to resist the loads. Cantilever: Maximum cantilever length is L/3,where"L"is the span noted in the U-Builder online Q = O C5 —I tool. This requires additional knowledge of the building and is outside the scope of the certification of this racking system. �O F-- O In = f Clearance: 2"to 10"clear from top of roof to top of PV panel. OF NEW � If you have any questions on the above,do not hesitate to call. �G y Z = Tolerance(s): 1.0"tolerance for any specified dimension in this report is allowed for installation. �,� K•Zg0y�O,A� 0 Q Q Prepared by: ,r t PZSE,Inc.—Structural Engineers `— Roseville,CA 2 P 7 1 SHEET NAME 1478 Stone Point Drive,Suite 190, Roseville,CA 95661 '°���136 1478 Stone Point Drive,Suite 190, Roseville,CA 95661 �FESSION T 916.961.3960 F 916.961.3965 W www.pzse.com T 916.961.3960 F 916.961.3965 W www.pzse.com SPEC SHEETS Experience I Integrity I Empowerment Experience I Integrity I Empowerment SHEET NUMBER PV-7