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HomeMy WebLinkAbout47468-Z Z=.� t�Q EFO(k y Town of Southold 12/11/2022 oP.O.Box 1179 o _ 53095 Main Rd �roj dao Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43684 Date: 12/11/2022 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 2705 Eugenes Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-3-20.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/26/2022 pursuant to which Building Permit No. 47468 dated 2/18/2022 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof-mounted solar panels to existing single-family dwelling as applied for. The certificate is issued to Zuhoski,William&Stephanie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47468 3/17/2022 PLUMBERS CERTIFICATION DATED () z Aut ri ed 1 nature SortEot TOWN OF SOUTHOLD BUILDING DEPARTMENT c x TOWN CLERK'S OFFICE "oy • O� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47468 Date: 2/18/2022 Permission is hereby granted to: Zuhoski, William 2705 Eugenes Rd Cutchogue, NY 11935 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 2705 Eugenes Rd., Cutchogue SCTM #473889 Sec/Block/Lot# 97.-3-20.2 Pursuant to application dated 1/26/2022 and approved by the Building Inspector. To expire on 8/20/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Building Inspector pF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlina-town.southold.ny.us Southold,NY 11971-0959 �ycOUNT`I BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: William Zuhoski Address: 2705 Eugenes Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 47468 Section: 97 Block: 3 Lot: 20.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Sunrun Installation Sery License No: 33878ME 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 t ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches 4'LED Exit Fixtures Pump 11 Other Equipment: 7.11 kW Roof Mounted PV Solar Energy System w/ (18) LG395Q1 C-A6 Modules, AC Disconnect 25A, PV Rapid Shutdown DC Disconnect 30A, 35A Backfed Breaker Notes: Solar Inspector Signature: Date: March 17, 2022 S.Devlin-Cert Electrical Compliance Form SOUly�6 Y I H 6(5 2--7 # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] _INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL f ] FIREPLACE & CHIMNEY : [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) . [ ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O' REMARKS: ��/_j4� 0 K_ DATE �� INSPECTOR �o,*pF 50UTy�lo # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 -. -INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND- [ ]`INSULATION/CAULKING [ ] FRAMING /STRAPPING [py FINAL OA- [ ] . FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS:()I�C-SZ/// 46Q&TP-66 To 45,fr er . TT#E,I/ 0,4- rep- Cor- 0 - DATE INSPECTOR ® � IInICII1'11 DEI; TO E M LD March 25, 2022 GG ENGINEErl2a� Subject: Post Installation Approval Letter Job Number: 216R-705ZUHO; Rev:A2 Client: Bill Zuhoski Address:2705 Eugenes Rd, Cutchogue, NY, 11935 Attn:To Whom It May Concern The purpose of the review was to verify the installation is in conformance with the permitted plan set and that any potential modifications from those plans meet the intent of the permitted plan set. The PV racking system's attachments have been observed to be installed in conformance with the permitted plan set.The installation complies with the code provisions listed below. 2020 NYS CODE BOOKS WITH 2018 IRC/IBC/IEBC,ASCE 7-16, NDS 2018 •Basic Wind Speed V= 128 mph, Exposure: B •Ground Snow Load=25 psf OF NEIN Paul Zacher,P.E. 1 M* Professional Engineer t- C} W T:916.961.3960 x101 - k; w email: paul@pzse.com O xP�91366- ARCFESSIONP . . ,r:::!:, .`. i..•: "' :i.*, :1' - FIEL;DI NSP T.-io, P ItT.. ,-.. 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'r• :,r:` . - H -z%: , , i''�:..: .,ro:%+r—:. ,...., :': I'm >y. i:: :,.. ' . 9& TOWN OF SOUTHOLD—BULLDING DEPARTMENT ojTown Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 hLtps://www.southoldtgynn _-_y.gov Date Received APPLICATION FOR BUILDING PERMIT I For Office Use Only E C E E PERMIT NO. Building Inspector: JAN 2099 U Applications and forms must be filled out In their entirety. Incomplete BUILDlr4G DEPT TO\NN OF SOUTHOLD applicat-ions will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. )J . jLq 1g,I :A OWNER(S)OF PROPERTY: t�Re. U TM#l000-Oq-7-00-03-00- 62-o- oD?- Tic 4,�Iojr,f �MFFM�i ;t70C Qj C IMS 4-10ne#7-z Email- Mailing Address: R-d. Cukhtoqve 1,L4 /lq3,s- CONTACT PERSOM Name: bal';:�naLl r Mailing Address: / 77 (Idw-hique k o ct- P-d- fi)- 9,0-hoql . A.,k4 Phone#: Email: I r-m Pstln rvn em DESIGN PROFESSIONAL INFORMATION: Name: P2-59 Mailing Address: 9-� Phone#: Email: CONTRACTOR INFORMATION: Name: - , Mailing Address: CJ1- / 2:2 E X�Ll //S 17 Phone#: Email: 57� DESCRIPTION OF PROPOSED CONSTRUCTION E1NewStruq;pre ElAddition. ElAlteration EIRepair ElDemolition EstimaUd Cost of Project: s 26, 7f7, 0- . 60 Will the lot be re-graded? ElYesQK10*� Will excess fill be removed fro m' premises? 11Yes 2Ko'- PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to 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 15 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 210AS of the New York State Penal Law. Application Submitted By(print name): uthorized Agent ❑Owner Signature of Applicant: bpclree lve Kuo S Date: STATE OF NEW YORK) SS: .COUNTY OF 0,5C?Ck'1j\ ) 1j,h/ /,]/) .2L1h0,5)6-;0,5)/-; being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (5)he is the (Contract�r,Agent,C porate Officer,etc.) of said owner or owners, and is duly authorized t 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 there it . COLE THOMAS GARTMAYER Sworn before me this NOTARY PUBLIC,STATE OF NEW YORK - Registration No.01GA6424684 Qualified in Z� Nassau County day of �AA .20 Commission Expires 11/mo Notar ublic PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) residing a w2.JQ.Gw& c. r l Ig3.015 do hereby authorize Ddir—aL�J to apply on my behalf to the Town of Southold Building Department for approval as described herein. •°" OTq /'�'�i Oinin __- �atu re-l' _� 9�%•• Date �: — - _ __— ; :'Ivo. 01l'E6386887: p QUALIFIEDSUFFOLK coU com �Pnnt_Owner's_Name_- %N o2 .Z ax�.� . :A 3 l jj- ) ,) �o tl`n�L BUILDING DEPARTMENT:- Electrical I sp ct 2 ;�� Gym. ►oNiQoratd n .; TOWN OF SOUTHOLD IS Town Hall Annex- 54375 Main Road - PQ ox�h 'I� 6 2022 LJ Southold New York 11 971-095aU n • ING DEPT .. OSP 3e(429ne 631 765-1802 - FAX 631 765R95.f�2�soUTHaLD orr(a-southoldtownny.gov -.seand(�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information:Required) Date: 22 Ia oda - Company__Name: jn f14 1( Electrician's Name:-. Eamw M(JUf�CI License No.: - - Elec. email: LI rr y?ly-s SUYIJ�?l17.•�0jt/I Elec. Phone No:. - ��c�j. EI request an email copy of Certificate-of Compliance EIec. Address.: U2ZoeZ_d, k)-Pbtl L - JOB SITE INFORMATION. (All Information Required) Name: zuhasb Address: a 0 S U1W 11q Cross Street:'! - -Phone No.: (13 a 13Idg.P6r.rnit,#: ;7 email: 2(1hoEk L4rbliar Tax Map District: 1000 Section: 67:7 Block: :: Lot: o? U, 2 C-�'�- BRIEF DESCRIPTION OF-WORK, INCLUDE SQUARE FOOTAGE (Please Print-Clearly): /Ila-16619 U� G c� c/ sv/ter 4e/s- Square' .Footage: Circle All That Apply: Is job.ready for inspection? YES NO Rough In Final Do:you need a Temp Certificate?: - ❑ YES �O Issued On _ Temp Information: (All information required) Service Size❑1 Ph 1—]3 Ph Size: A - # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service:Reconnect❑Underground❑Overhead # Underground LateralsE]1 2. -. . H Frame Pole.Work done on Service? -- Y -. N- Additional Information: RAYMENT DUE WITH APPLICATION - ,ray nEQ . Bu��e. Sou-rKo�-o ',o� D. IoW. 3 11FfQ� ,C ,D� BUILDING DEPARTMENT- Electrical c f� n� s, '�.... C L� oq�rai `I TOWN OF SOUTHOLD o; Town, Hall Annex- 54375 Main Road - ox Q 6 2022 LJ Southold, New York 11971-095 0. ZZ�Z BU ING DEPT. u : eine (631) 765-1802 - FAX (631) 765 F SC)UTHOLD 1� o erra_southoldtownny.gov seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION(Aii Information.Required) Date: a oo? `22 a _ .. . - Company Name: rtv -r-0 Electrician's Name: U License No.: Elec. email: (,l ��n� Sur�r�n•�ar� Elec. Phone No: ED1 request an email copy of Certificate of Compliance -Elec. Address.: ve c , D-� 6� - Ls o JOB SITE INFORMATION. (All Information Required) Name: 'Pill Address: p . aeneS Cross Street: .:: - Phone No.: 03 1. go Bfdg:Permit#: Tax=Map District: -1000*, Section: �:"7 Block:- .. . :Lot: 02 C�,:2 y - BRIEF DESCRIPTION:QF WORK; INCLUDE SQUARE FOOTAGE (Please�Prinf;Clearl ,) war. IL Square Footage: Circle'All That Apply: Is job ready for inspection?: YES [ NO 0 Rough InEl Final Do you need a Temp Certificate?: . .. 0 YES �O Issued On - Temp Information: (All information required) Service SizeF Ph�3 Ph :Size: A # Meters Old Meter# ❑New Service[-]Fire ReconnectOFlood Reconnecd bervice Reconnect❑Underground QOverhead # Underground Laterals 1 2 F H Frame F1 Pole Work done on Service? Y N Additional Information: UJRPAYMENT DUE WITH APPLICATION :`► Bv��o�Soy �2Z � PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini `Carbon Micro .: Generator Com.liq Cooktop. Transfer AH Hood . Service Amps : ..`...Have Used Special: . Comments: S/4. �� � [o VMCONN6NMC9TVCTVAHT0M1 A26TXVTM7MCAWWC.1I MK majecT rmcft TG IDRPODl AND DDC ANO THIMM CARL NOT AND IDIOINNO PARClL71AT P,OVIDID IDR M! DP rcxm.WA`"`WALL!,moo,PATIOD. MVARAWNor MIDDDRVV.A050000I WEM Lot tS-T.C.T.M. "1000-97—.3-20.00, , tDNW AND ANlDMR COItlTRDCfIDN. DOH NOT DEWYHE MTBICC W DAMG N 07'51'00'W 370.8G' Proj. # 17055 Lot 2 Map of Minor Subdivision Prepared for Scott Kaufmai Situated at East Cutchogue z Town of Southold N °' Suffolk County, Np New York 50 N Lot 2 DG,' �• O Surveyed t N cl /•' M D N Y zp,t ;,A jP, December 18th, 2017 l.r n W rz705 50 Rev. 4/13/21: Add Detached Garai .i.r 3y, ---------. TA 76.7 .., _ "---r MUNICIPAL LAND SURVEY, At -- _ 213 to a YLM LANR afIDDL$ISLAND. NEW 1(lRBC-11953 _ ygoafaa.D. I. - -. --- .. --------------- � _ A'P• � m 2Ca �'' - Y'A4':Ek•C!y'�w2�i- __ - r p,72a-a-,W p r14 C r�ll-11 . i 351.97 °""" aUI- bd OFSO THOLO DIRr DEPT. 07'51'00°E cuarmm D.s� 0 4.22 U TOWNWN OF S D r Lot 3 MSW,� , 0 -M W,Dr N ,.A14 DD E5a ri Street Docu fta Certificate Of Completion Envelope Id:0810F16002E84031B9F277F362985403 Status:Completed Subject:Design Plans REPLACE—FOR[[RecipientName]](PK434A9VLARZ:001-K) Source Envelope: Document Pages:1 Signatures:1 Envelope Originator: Certificate Pages:4 Initials:0 Sunrun eSignAdmin AutoNav:Enabled 595 Market St. Envelopeld Stamping:Enabled 29th Floor Time Zone:(UTC-08:00)Pacific Time(US&Canada) San Francisco,CA 94105 sunrun—esign—admin@sunrun.com IP Address:13.110.74.8 Record Tracking Status:Original Holder:Sunrun eSignAdmin Location:DocuSign 11/30/2021 3:11:11 PM sunrun_esign_admin@sunrun.com Signer Events Signature Timestamp In Person Signer Events Signature Timestamp In Person Signing Host: oasr,-dby: Sent:11/30/2021 3:11:12 PM Sunrun eSignAdmin 11!WD491032450 Viewed:11/30/2021 3:11:30 PM sunrun—esign_admin@sunrun.com ... Signed:11/30/2021 3:11:41 PM In Person Signer: Bill Zuhoski Signature Adoption:Pre-selected Style Security Level: Using IP Address:104.246.85.87 .Email ID:5e42d953-bai e-4674-a8ea-03b3096f8eab 11/30/2021 3:11:14 PM Electronic Record and Signature Disclosure: Accepted:11/30/2021 3:11:30 PM ID:2cd0fd7e-9x67-4d67-b457-9fbca316be4c Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/30/2021 3:11:12 PM Certified Delivered Security Checked 11130/20213:11:30 PM Signing Complete Security Checked 11/30/20213:11:41 PM Completed Security Checked 11/30/2021 3:11:41 PM Payment Events Status Timestam s Electronic Record and Signature Disclosure DocuSign Envelope ID:0810F160-02E8-4031-B9F2-77F362985403 my uusiom JOlar U@SIg n Prepared by Eric Petterson, 11/24/2021 My Information ' Bill Zuhoski --- 2705 Eugenes Rd Cutchogue, NY 11935 System �. Annual Usage 9,120 kWh .a Estimated System Size 7.11 kWp Estimated Annual System Production 9,664 kWh Estimated Energy Offset 106% s Modules (18) LG Electronics,LG395Q1 C-A6 J1 Inverters 1 x SolarEdge Technologies SE6000H-USS3 rt 0 Electrical Panel Location(Garage) Inverter Location(Exterior) Roofs Approval I have reviewed My Custom Solar Design and approve of the placement of solar panels identified above. I understand that the actual number of panels and their precise placement may vary based on engineering, installation, and solar energy production considerations, including roof type, shade, and other factors. I\S DocuSi/pn�e,�d by: V \11y30/2021 WD491032450... -- -- —- Customer Signature Date YORK :Compensaworker's' CERTIFICATE OF INSURANCE COVERAGE .: aTE: Botionard 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 la.Legal Name&Address of Insured:(use street address only) 1b.Business-Telephone Number.of Insured Sunrun_Installation Services Inc. 595 Market street (8.45)'2168-2595: :, ._ . 29th-Floor:-. San Francisco, CA 94105 1 c.Federal Employer:ldentificatio_n Number-of Insured Work Location of Insured(Only required if coverage is specifically limited to certain' orS6cial Sedu'rity Numbe[ locations in New York State;i.e.,Wrap-Up'Policy) 77-0471.407 . ' 2.Name'and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Halder) The Prudential Insurance Company of America Town of Southold 3b.Policy Number of Entity Listed in Box 1 a" 54375 Route 75 CG-52830-NY P.O. Box 1179 Southold, NY 11971 3c.Policy effective period 01/01/2022 to 12/31/2022 4. Policy provides the following benefits: ❑X A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑ C.Paid family leave benefits only. 5. Policy covers: ❑X A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Datesigned January 19, 2022 By &, ,,�, _ -Signatur,e of insurance carrier's autfio?tied representative or NYS Ucensed Insurance Agent of that insurance carrier) Telephone Number (215)784-2883 Name and Title Vice President,Contracts IMPORTANT: If Boxes 4A.and 5A are checked,and this form is signed by the insurance carrier's authorked-�epresentative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 56 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit, PO Box 5200,Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board-(only if Box 4C or 5B of Part i has been checked) . State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with'the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. . Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-12a 1. Insurance brokers are NOT authorized to issue this form. DB-120.1(10-17) IIIIIP°1°°1°210°1°11(101°117)°MIO YORK Workers' CERTIFICATE OF STA_& Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Sunrun Installation Services Inc. (415)946-7500 225 Bush Street,Suite 1400 San Francisco,CA 94104 1 c.NYS Unemployment Insurance Employer Registration Number of . Insured 50-86426 4 Work Location of Insured(Only required if coverage is specific! limited to 1 d.Federal Employer Identification Number of Insured or Social,Security . 'certain locations in New York State,i.e.,a Wrap-Up Policy) Number: 77-0471407 2.Name and Address of Entity Requesting Proof of Coverage. 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) AMERICAN ZURICH INSURANCE COMPANY Town of Southold 3b.Policy Number of Entity Listed in Box"la" Town Hall Annex Building 54375 Route 25 WC 6142876-00 P O Box 1179 Southold,NY 11971 3c.Policy effective period 10/01/2021 to 10/01/2022 3d.The Proprietor,Partners or Executive Officers are ❑X included.(Only check box if all partnersl'officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"for workers' .. . compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send. this,Certificate of Insurance to-the entity listed.above as the certificate bolder 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 Were 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 confe.r'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: Samantha Furlan_ (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �'ayiuuri��cit� Op ZZ—ZD21 (Signature) (Date) Title: Underwriter Telephone Number of authorized representative or licensed agent of insurance carrier: (415)538-7125 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 SUNRINC-02 TWANG CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/10/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY.OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the politiy(ies)must have ADDITIONAL INSURED 'provisions or be endorsed. If SUBROGATION IS WAIVED, subject_to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder iii lieu:of such endorsement(s). PRODUCER -CONTACT.Walter Tanner _ .. NAME: Alliant Insurance Services,Ind. PHONE "" FAX, " 575 Market St Ste 3600 (A/C;No,Ext): (Arc,No). . San Francisco CA 94105' E-MAIL r .ADDRESS: � Walter.Tariner alliant.com . - - INSURER(Sj AFFORDING COVERAGE "NAIC# INSURER A:NBvI ators Siae6iailti Insurance Company 36056 INSUREDINstiriER B:Zurich American m insurance Coari 16535 Sunrun Installation Services,Inc. INSURERC:-American Zurich Insurance.Com "an 40142 775 Fiero Lane;Suite 200 Ph#805-540-7643 INSURER D: . San Luis Obispo,CA 93401 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION'NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS_TE_D BELOW HAVE BEEN ISSUED TO THE INSUREDNAMEDABOVE FOR THE POLICY PERIOD .INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR'CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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. INT R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DI DY EFF POLICIYYYY DY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY. EACH OCCURRENCE $. 2'000'000 FLA21CGL2303211C 10!1/2021 10/1/2022 PRAEMAISESOREoNTrEDre n. . $ CLAIMS-MADE — OCCUR 1,000,000 MED FRCP(Any one erson $ 5'000 PERSONAL 8 ADV INJURY $ .. 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $. 2'000'000 X. POLICY❑X JEC LOC. PRODUCTS-COMP/OPAGG $ 2,000,000 X X I OTHER:Retention:.$100,000 Per Project Agg $ 10,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 E accident) X ANY AUTO . . . . ..287700 10/1/2021 10/1/2022, .BODILY INJURY Per, erson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ X F$r88o Ded.: X Coll.:Not Covered Liability Ded.• 250,000 $UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION �( PER OTH- AND EMPLOYERS'LIABILITY Y r N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE WC614287600 10/1/2021 10/1/2022 1,000,000 OFFICER/MEMBER EXCLUDED? ❑N N r A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 [fps describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation Policy WC614287600 Deductible:$1,000,000. Evidence of insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Route h ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and loco are registered marks of ACORD ,f.--ti t� it,ti�•'a`^'.N91..�r�;`/.r.ii r1 t��.. ,.r r.�Pr'• :�,,•y;__ee�,`'.:' :•i ::4.:.`".'' �,. .n� 't s'�: ;.;.,. `r,J." ..'?•, .Y.. r,.;...:,.y5`�•'-n .i:�^' •,,,'• ;.,{tu t{(�jp/t r•" pr •.'�`,,,•tt > }1.'',.�..�;r }�'tr. .�_.�,f;.. ,t.Li r`rt a.� ;,� .r•1' ;�1�...,:['".�ti;,;r��:•i%r-,�?:'rs'r._-.v:' :=<"a�• '"��_...�.. �`:;�i'Yi'rt',,.' t.. / uy��,u "K9.'o".� L ..:$ �� "7 L "✓uru�� �:-..� �;!��� � _::r•-.• `�3 tlxj� -r...:.. '':..11w ✓•�'.:..'..._,,,:-,"^v y!''•'%..,�_....."__ 17 i� ..tJ.. �i;g' ..�'.. ``'r;;i ti..�v.,� L:�";�' •�:?,•+ W',1� Y,�?::r`.v;.s=.:, .�� � x,..'r.'�,t,,, 1� .S 1.r ':e��'� rf,U ;�. w\ ' ( ,:mac. �_4••^•:fa.ui��:.. t.11i'-:V�kV w.n/a-y.�y.:.:...:z:�•�;....V,�it � 4::Qt�'`.:,",a�•�. fr�a•, ".6:r' ,•-:: ,:, s;:v'CFI 9°��'•. `L'.. -P--: }17ILJ• •.�rr. ill ;;~' ;": ..,;:-a,a �: � 'm't• .p. ;�,.' 1 � ..; .. } - '.^�w �';��� f:,"` '`r� ,:heC.. .�Ll"'�..y,icv,";�1�::r t'F: ~'a v':'• �•'(::tt�:. ��''� i-...p.., �,, t.�' .t,, t`s,^�� (�. �,,`.•.'"7. ..� � tom.. ''•'";;;;i •� AwlLa�c^„^5� a�".Ll` `�aScr ..II ti S.0 olk County. Depa t ent of Labor, Licensing & ConsueA#40 mer rsy VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE.ISSUED`;,: 1:011%2003.'. No. 33878-N1E. s =�, SUFFOLK CO Master kctr an L *cense jl Timis,is ta-certi .fi'that. ! ' SANT,A.MOUNAS: don business as ' SUNRUN INSTALLATION SERVICES INC i r V ti - � •.. .. . having;given satisfactory evidence:of compi Oency, s hereby'-lioci e..d as MASTER ELECTRICIAN in.accordance +� . ' with-and subpc :to the provisions;of=applicaN.laws,;rules:and regulations of l t the County;of Suffolk;State:of New York, OR I . ; Additional Businesses � t NOT VALID WI.THPUT w; r✓ :DUARTMENTAL SIAL AND:A.CUREEN.T -�, 'COIVSUMEk AFFAIRS Fi `ID:CARD •. { Acting Commissioner Y 1 1 !4 1 �,.. (�� ^' ''+v`" :�1:.�:'•f':)'i1�F="S�:'.'y`^�<`>:'.4:J4.WiE5i::,4',C:4:.:i!::.. � i^ �.'yv• .7 i•;.VM. w'l --"'�� ^•"^,�?�`.. r.t•� w�•^f:� ''4...e - e�'tl-'^.^t_•W�-�i. " �'.+'!L:i�ii�:..•'..':« ._ _ _ ;v �,, .y �,Y={ ;� « �' ;d '. i'. :(: rhe-�•�• ",C' ! ?�- .,'�.' •'4•`,' .d •r,ZS F sl:.,/.a.�.. 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'�1 f.w�'+r, � tk v�v;"^}•^p•Z:gS':6:u'�" � .Ps.i:=�a"l� !"'4 �"�`t.�,•f'..:1�,' 4` i �• s� f dK, ,A ';� y,;f 7 � � •;� �Rt chi fir I,��i�, i• 2��•� rn r �,'=r If �1: January 5,2022 _ Astra v.1.60 P-Zo CAT COA :Subject:Structural Certification for Proposed Residential Solar Installation. SLI'UCUt-clI Job Number:216R-705ZUHO;Rev A2 ENGINEERS Client:Bill Zuhoski Address:2705 Eugenes Rd,Cutchogue,NY,11935 Attn:To Whom It.May Concern Afield observation of the existing structure at the address indicated above was performed by a site survey team from Sunrun.Structural evaluation of the loading was based on the site observations and the design criteria listed below. .Design Criteria: 2020 NYS Code Books w/.2018 IRC/IBC/IEBC,7-16 ASCE&2018 NDS •Basic Wind Speed V=128 mph,Exposure B •Ground Snow Load=25 psf Based on this evaluation,I certify that the alteration to the existing structure by the installation of the PV system meets the requirements of the . applicable existing and/or new building code provisions referenced above. Additionally,I-certify that the PV module assembly including all attachments supporting it have been reviewed to be in accordance with the manufacturer's specifications. iSC6nn-e4-� m uS+ -lot, (ece4d : ou-k5ld ey Results Summary Hardware Check Includes Uplift Check on Attachments/Fastener,Structure Check Considers Main Structure) Orientation Attachment Spacing/Cantilever Configuration GoDCRng Result Landscape 64/25 . . . Staggered 38% Pass AR-01 Portrait 48/24 Staggered 42% I Pass Roofing Material. -_Pltch Structure Check.- Comp Shingle. 40• Pass APPR ED AS NOTED COMPLYWITH ALL CODES OF DATE:1� NEW YORK STATE & TOWN CODES S:REQUIRED AND CONDITIONS OF FEE: c BY: JTHOI 0 TOVIN 7 NOTIFY BUILDING DEPARTMENT AT . v 765-1802: 8 AM T 0 4 PPS FOR THE � . ., , BOARD. . FOLLOWING INSPECTIONS: SO i USTEES 1. FOUNDATION - TWO REQUIRED - OF NEIti� FOR POURED CONCRETE K• ZAcy�0 2. ROUGH - FRAMING & PLUMBING coQ 3. INSULATION . _oF 4. FINAL - CONSTRUCTION MUST _1,6CUPANCY OR BE.COMPLETE FOR C.O. �+ �+ �A� ALL CONSTRUCTION SHALL MEET THE JSE 'IdS.:UNLAWFUL :: �,oR°91365P�,�=C� REQUIREMENTS OF THE CODES OF NEW �FESSION YORK STATE. NOT RESPONSIBLE FOR WITHOUT CERTIFICA I DES aul'RhC OBSTRUCTION ERRORS. OF l�1)�t/1;� �P�1A��( Professional Engineer 1478 Stone Point Dr.Suite 190;R�Ss� lte'CA,J'586�1'�I P (916)961-3960 T: 916.961.3960 x101 E-mail:paul@pzse.com ELECTRICAL INSPECTION REQUIRED SCOPE OF WORK GENERAL NOTES LEGEND AND ABBREVIATIONS TABLE OF CONTENTS PAGE# DESCRIPTION •SYSTEM SIZE:7110W DC,6000W AC •ALL WORK SHALL COMPLY WITH 2020 NYS Code Books w/2018 IRCABCAEBC, SOLAR MODULES PV-1.0 COVER SHEET •MODULES:(18)LG ELECTRONICS:LG395Q1C-A6 MUNICIPAL CODE,AND ALL MANUFACTURERS'LISTINGS AND INSTALLATIONSE SERVICE ENTRANCE •INVERTERS:(1)SOLAREDGE TECHNOLOGIES: INSTRUCTIONS. PV-2.0 SITE PLAN SE6000H-USS3 •PHOTOVOLTAIC SYSTEM WILL COMPLY WITH NEC 2017. PV-3.0 LAYOUT •RACKING:SNAPNRACK RLU,RL UNIVERSAL,SPEEDSEAL MP MAIN PANEL TRACK ON COMP,SEE DETAIL SNR-DC-00436 •ELECTRICAL SYSTEM GROUNDING WLL COMPLY WITH NEC 2017. PVA.O ELECTRICAL •PHOTOVOLTAIC SYSTEM IS UNGROUNDED.NO CONDUCTORS ARE SOSUB-PANEL SNR MOUNT PV-5.0 SIGNAGE GROUNDED IN THE INVERTER.SYSTEM COMPLIES WITH 690.35. LIDLY SP SNR MOUNT&SKIRT •MODULES CONFORM TO AND ARE LISTED UNDER UL 1703. LC PV LOAD CENTER ® CHIMNEY •INVERTER CONFORMS TO AND IS LISTED UNDER UL 1741. Q SM SUNRUN METER ATTIC VENT RACKING CONFORMS TO AND IS LISTED UNDER UL 2703, FLUSH ATTIC VENT OF NEpy SNAPNRACK RACKING SYSTEMS,IN COMBINATION WITH TYPE I,OR TYPE II PM DEDICATED PV METER o PVC PIPE VENT y �.K.Zg MODULES,ARE CLASS cyPO,p� •RAPID SHUTDOWN REQUIREMENTS MET WHEN INVERTERS AND ALL INV INVERTER(S) 6 METAL PIPE VENT C ti CONDUCTORS ARE WITHIN ARRAY BOUNDARIES PER NEC 690.12(1). ® T-VENT C� •CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(G). AC AC DISCONNECT(S) ,oV 91365- SATELLITE DISH SSIONP RO� ARRAY DC CONDUCTORS ARE SIZED FOR DERATED CURRENT. DC ®DC DISCONNECT(S) FIRE SETBACKS For Structural Only •11.29 AMPS MODULE SHORT CIRCUIT CURRENT. 0 •17.64 AMPS DERATED SHORT CIRCUIT CURRENT[690.8(a)&690.8(b)). CB 10 COMBINER BOX Ec HARDSCAPE INTERIOR EQUIPMENT —PL— PROPERTY LINE L J SHOWN AS DASHED SCALE:NTS A AMPERE s u n ru n AC ALTERNATING CURRENT AFCI ARC FAULT CIRCUIT INTERRUPTER - AZIM AZIMUTH VICINITY MAP COMP COMPOSITION 00825-ME DC DIRECT CURRENT (E) EXISTING S GVRLOTTE AVE.MCKWLLE NV ttppl ESS ENERGY STORAGE SYSTEM ' V EXT EXTERIOR 75•, INT INTERIOR CUSTOMER RESIDENCE Blue Ins Bed 8 Breakfast MAG MAGNETIC BILL ZUHOSKI MSP MAIN SERVICE PANEL 2705 EUGENES RD, �/ © NT)S NEW SCALE ♦ CUTCHOGUE,NY,11935 g(6tchogae Eas• OC ON CENTER TEL.(631)926-5866 Ele'11enta'y School PRE-FAB PRE-FABRICATED APN:1000-097-00.03-00-020-002 PSF POUNDS PER SQUARE FOOT ER: U N CT MB PV PHOTOVOLTAIC PROJECT T NUMB RSD RAPID SHUTDOWN DEVICE HO TL TRANSFORMERLESS 415 560-6920ex3 TYP TYPICAL DESIGNER: ( ) S V VOLTS SAKAR SARIN •2705 Eugene5 W WATTS SHEET Rd,Cutchogue.NY REV NAME DATE COMMENTS COVER SHEET 0 V REV:A2 05-01-2022 PAGE PV-1.0 ARRAY TRUE MAG PV AREA SITE PLAN DETAIL-SCALE=3/32"=V-0" SITE PLAN-SCALE=3/256"-1'-0" PITCH AZIM AZIM (SOFT) ® ® AR-01 40° 172° 164' 351.1 (E)RESIDENCE PL MP AC ili'! ACCESS ROOF INV 0 SE i 0 L PL EUGENES RD FIRE SETBACKS s u n ru n (18"TYP) 00825-ME P CIWtLO]]E AVE,HICI(SYLLE NV 118D1 VHONE BD351 FAX B15 ME A232 CUSTOMER RESIDENCE: (E)RESIDENCE BILL ZUHOSKI 2705 EUGENES RD, (N)ARRAY AR-01 CUTCHOGUE,NY,11935 TEL.(631)926-5866 APN:1000-097-00-03-00-020-002 OF NELyY PROJECT NUMBER: K.Z,4c 0p� 216R-705ZUHO 9 * DESIGNER: (415)580-0920 ex3 LU SAKAR SARIN xi=o i SHEET oORp9ESSIo P� SITE PLAN For Structural Only REV:A2 05-01-2022 PAGE PV-2.0 ROOF INFO FRAMING INFO ATTACHMENT INFORMATION DESIGN CRITERIA Max OC Max Landscape Max Landscape Max Portrait Max Portrait MAX DISTRIBUTED LOAD:3 PSF Name Type Height Type Span Spacing Detail OC Spacing Overhang OC Spacing Overhang Configuration SNOW LOAD:25 PSF WIND SPEED: 13'- RL UNIVERSAL,SPEEDSEAL TRACK ON AR-01 COMP SHINGLE-RLU 2-Story 2X8 RAFTERS 9" 16" COMP,SEE DETAIL SNR-DC400436 5-4 2'-1" 4'-0- 2'-0" STAGGERED 128 MPH 3-SEC GUST. S.S.LAG SCREWS: 5/16":2.5"MIN EMBEDMENT S.S. LAG SCREWS: D1-AR-01-SCALE:1/4"=V-0" 5/16":2.5"MIN EMBEDMENT PITCH:40° STRUCTURAL NOTES: AZIM:172° • INSTALLERS SHALL NOTIFY —3_ 26'-10" 4'-9"— ENGINEER OF ANY POTENTIA STRUCTURAL ISSUES OBSERVED PRIOR TO PROCEEDING W/ INSTALLATION. • IF ARRAY(EXCLUDING SKIRT) IS WITHIN 12"BOUNDARY 3-g REGION OF ANY ROOF PLANE EDGES(EXCEPT VALLEYS), THEN ATTACHMENTS NEED E3 E3 El TO BE ADDED AND OVERHAN REDUCED WITHIN THE 12" BOUNDARY REGION ONLY AS FOLLOWS: ••ALLOWABLE ATTACHMENT SPACING INDICATED ON PLANS TO BE REDUCED BY 50% ••ALLOWABLE OVERHANG INDICATED ON PLANS TO BE 1/5TH OF ALLOWABLE 13'-10" ATTACHMENT SPACING INDICATED ON PLANS sunrun 00825-ME 18CW1RL0TiERVE.HION DENY 11- W E8055105x8) F.B/5 288]U11 CUSTOMER RESIDENCE: BILL ZUHOSKI 2705 EUGENES RD, CUTCHOGUE,NY,11935 TEL.(631)9265866 APN:1000-097-00-03-00-020-002 OF NEt1 Y PROJECT NUMBER: K.ZAC,y�0 216R-705ZUHO i P ' DESIGNER: (415)580-6920 ex3 _ of w SAKAR SARIN AR 1365;Ie2 �� SHEET LAYOUT SS REV:A2 05-01-2022 SEE SITE PLAN FOR NORTH ARROW PAGE PV-3.0 120240 VAC SINGLE PHASE SERVICE METER#: M PSEGLI98313603 UTILITY ACCOUNT#: GRID 9624056503 1 EXISTING C 150A MAIN BREAKER 1 SOLAREDGE TECHNOLOGIES: SE6000H-US WITH REVENUE y EXISTING GRADE METERING(PN 200A (N)LOCKABLE SE6000H-USS3),6000 WATT ,, MAIN BLADE TYPE INVERTER FACILITY PANEL AC DISCONNECT 6000 WATT INVERTER JUNCTION BOX PV MODULES LOADS 3 3 2 OR EQUIVALENT 1LG ELECTRONICS:LG395Q1C-A6 / (18) ODULES OPTIMIZERS WIRED IN: `Y (1)SERIES OF(9)OPTIMIZERS (1)SERIES OF(9)OPTIMIZERS (N)35A SQUARE DLOAD RATED DC DISCONNECT PV BREAKER ATLOU222RB WITH AFCI,RAPID SHUTDOWN SOLAREDGE POWER OPTIMIZERS OPPOSITE END3R,60A,2P COMPLIANT P401 ONDUIT SCHEDULE # CONDUIT CONDUCTOR NEUTRAL GROUND 1 NONE (4)10 AWG PV WIRE NONE (1)6 AWG BARE COPPER s u n r u n 2 1"PVC OR EQUIV. (4)8 AWG THHNITHWN-2 NONE (1)8 AWG THHWTHWN-2 3 1"PVC OR EQUIV. (2)8 AWG THHWTHWN-2 (1)10 AWG THHN/THWN-2 (1)8 AWG THHWTHWN-2 00825-ME 15CHSRLOTTE RVE.HiCI ILLE NY 11801 FHONE 806 Sq.5N] FAC&5.'95 AI2 MODULE CHARACTERISTICS P401 OPTIMIZER CHARACTERISTICS: CUSTOMER RESIDENCE: LG ELECTRONICS:LG395Q1C-A6: 395 W MIN INPUT VOLTAGE 8 VDC BILL ZUHOSKI OPEN CIRCUIT VOLTAGE: 43.6 V MAX INPUT VOLTAGE: 60 VDC 2705 EUGENES RD, MAX POWER VOLTAGE: 37 V MAX INPUT ISC: 11 75 ADC CUTCHOGUE,NY,11935 SHORT CIRCUIT CURRENT: 1129 A MAX OUTPUT CURRENT: 15 ADC TEL.(631)926-5866 APN:1000.097-00-03-00-020-002 SYSTEM CHARACTERISTICS-INVERTER 1 PROJECT NUMBER: SYSTEM SIZE: 7110 W 216R-7052UH0 SYSTEM OPEN CIRCUIT VOLTAGE: 9v SYSTEM OPERATING VOLTAGE: 380 V DESIGNER: (415)5808920 ex3 MAX ALLOWABLE DC VOLTAGE: 480 V SYSTEM OPERATING CURRENT: 18 71 A SAKAR SARIN SYSTEM SHORT CIRCUIT CURRENT: 30 A SHEET ELECTRICAL REV:A2 05-01-2022 PAGE PV-4.0 "ONLINE !WARNING NVERTERI NOTES AND SPECIFICATIONS: •SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE NEC 2017 ARTICLE PHOTOVOLTAIC SYSTEM 888 • • 8110.21(8),UNLESS SPECIFIC INSTRUCTIONS ARE REQUIRED BY SECTION 690,OR K HAZARD IF REQUESTED BY THE LOCAL AHJ. OMBINERPANEL MAXIMUM SYSTEM •LTAGE: 480r .SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE E AND LOAD DO NOT ADD LOADS 30 a WORDS,COLORS AND SYMBOLS. •LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WIRING ERGIZED IN METHOD AND SHALL NOT BE HAND WRITTEN.SITION LABEL LOCATION: •• • .LABEL SHALL BE OF SUFFICIENT DURABILITY TO WITHSTAND THE ENVIRONMENT PHOTOVOLTAIC AC COMBINER(IF APPLICABLE). CONTROLLER•• • • 15ADa INVOLVED. LABEL LOCATION: PER CODE(S):CEC 2019:705.12(Bx2)(3)(c), •SIGNS AND LABELS SHALL COMPLY WITH ANSI 2535.4-2011,PRODUCT SAFETY INVERTER(S),AC/DC DISCONNECT(S), NEC 2017:705.12(B)(2)(3)(c) LABEL LOCATION: SIGNS AND LABELS,UNLESS OTHERWISE SPECIFIED. AC COMBINER PANEL(IF APPLICABLE). INVERTER(S),DC DISCONNECT(S). •DO NOT COVER EXISTING MANUFACTURER LABELS. PER CODE(S):CEC 2019:690.13(8),NEC PER CODE(S):CEC 2019:690.53,NEC 2017:690.53 2017:690.13(8) II A ` 710NOARNING DUAL POWER SUPPLY T E OUTPUT CONNECTION SOURCES:UTILITY GRID RELOCATE THIS AND PV SOLAR ELECTRIC RRENT DEVICE SYSTEM LABEL LOCATION: LABEL LOCATION: ADJACENT TO PV BREAKER(IF UTILITY SERVICE METER AND MAIN APPUCABLE). SERVICE PANEL. PER CODE(S):CEC 2019: PER CODE(S):CEC 2019:705.12(B)(3),NEC 705.12(Bx2)(3)(b),NEC 2017: 2017:705.12(Bx3) 705.12(BK2X3)(b) FOR • 4■ PV SYSTEM LABEL LOCATION: INSTALLED WITHIN T OF RAPID SHUT DOWN SWITCH PER CODE(S):CEC 2019:690.56(Cx3),NEC 2017: C ( IFC2012:605.1 1.1,IFC 2018: 1204.5.3, FC 2019:1204.5. BUILDING SUPPLIED BY UTILITY s u n r u n 4" GRID AND PHOTOVOLTAIC SYSTEM SOLAR PV SYSTEM EQUIPPED 00825-ME tSCYMRLOTTE�VE.HIG(SVILE NY IIIOf ■ # A WITH RAPID SHUTDOWN ° POWER SOURCE ® CUSTOMER RESIDENCE: BILL ZUHOSKI LABEL LOCATION: 2705 EUGENES RD, INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, CUTCHOGUE,NY,11935 AT EACH TURN,ABOVE AND BELOW PENETRATIONS, 3„ TURN RAPID SHUTDOWN ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. SWITCH TO THE"OFF" TEL.(631)926-5866 PER 2017.69:CEC(3),69.31(GX4)IF890.31(G)(4), POSMON TO SHUT DOWN •r�..u• APN:1000.097-00-03-00-020-002 NEC 2017:690.31(G)(3),890.31(G)(4)IFC 2012: 605.11.1.4 PV SYSTEM AND REDUCE PROJECT NUMBER: SHOCK HAZARD IN THE PV SYSTEM ARRAY. DISCONNECT 216R-705ZUH0 PHOTOVOLTAIC AC DISCONNECT I •. DESIGNER: (415)580920 ex3 ��. SAKAR SARIN rNOMINAL OPERATING AC VOLTAGE: 240 VAC LABEL LOCATION: LABEL LOCATION: SHEET AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE LABEL LOCATION: SIGNAGE INTERCONNECTION. DISCONNECTING MEANS TO WHICH THE PV SYSTEMS POINT OF INTERCONNECTION PER CODE(S):CEC 2019:690.54,NEC 2017.690.54 ARE CONNECTED. (PER CODE:NEC690-56(B),NEC705.10,225.37,230.2(E)) REV:A2 05-01-2022 PER CODE(S):CEC 2019:690.56(C)(1)(•),NEC 2017: 690.56(C)(1)(a) PAGE PV-5.0 LG N ON'2 Black LG370N1 K-A6 370W The LG NeON°2 is LG's best selling solar module and one of the most powerful and versatile modules on the market today.The cells are designed to appear all-black at a distance,and the performance warranty guarantees 90.6%of labeled power output at 25 years. 2 C&US 5 YEAR WARONTY Features Enhanced Performance Warranty 25-Year Limited Product Warranty ?Syrs LG NeON°2 Black has an enhanced The NeON°2 Black is covered by a 25-year performance warranty.After 25 years, limited product warranty.In addition,up to$450 LG NeON°2 Black is guaranteed at least of labor costs will be covered in the rare case 90.6%of initial performance. that a module needs to be repaired or replaced. Solid Performance on Hot Days + Roof Aesthetics _r LG NeON°2 Black performs well on hot � LG NeON°2 Black has been designed with days due to its low temperature coefficient. aesthetics in mind using thinner wires that appear all black at a distance. When you go solar, ask for the brand you can trust: LG Solar About LG Electronics USA,Inc. OLG La Llea;cni.,III global_IJ I,��,._1•.c.,,,�1_;: d"Cts in the clean energy markets by offering solar PV panels and energy storage systems.The company first embarked on a solar energy source research program in 1985,supported by LG Group's vast experience in the semi-conductor,LCD,chemistry and materials industries.In 2010,LG Solar successfully released its first MonoX®series to the market,which is now available in 32 countries.The NeON®(previous MonoX*NeON),NeON02,NeONO2 BiFacial won the"Intersolar AWARD"in 2013,2015 and 2016,which demonstrates LG's leadership and innovation in the solar industry. Life's Good LG 'NeON'2 Black LG370N1K-A6 General Data Electrical Properties(STC*) Cell Properties(Matenal/Type) Monocrystalline/N-type Model LG370N1K-A6 Cell Maker LG Maximum Power(Pmax) [W) 370 Cell Configuration 60 Cells(6 x 10) MPP Voltage(Vmpp) [V] 35.5 Number of Busbars 12EA MPP Current(Impp) [A] 10.43 Module Dimensions(L x W x H) 1,740mm x 1,042mm x 40 mm Open Circuit Voltage(Voc±5%) [V] 41.9 Weight 18.6 kg Short Circuit Current(Isc±S%) [A] 10.96 Glass(Material) Tempered Glass with AR coating Module Efficiency [%] 20.4 Backsheet(Color) Black PowerToleance [%j 0-+3 Frame(Material) Anodized Aluminium *STC(Standard Test Condition):Irradiance 1000 W/m',cell temperature 25°C,AM 1.5 Measurement Tolerence of Pmax:t 3% Junction Box(Protection Degree) IP 68 with 3 Bypass Diodes Cables(Length) 1,100mm x 2EA Connector(Type/Maker) MC4/MC Operating Conditions Operating Temperature [°C] -40-+85 Certifications and Warranty Maximum System Voltage M 1,000(UL/IEc) IEC 61215-1/-1-1/2:2016,IEC 61730-1/2:2016, Maximum Series Fuse Rating [A] 20 UL 61730-1:2017,UL 61730-2:2017 Mechanical Test Load*(Front) [Pa/psf] 5,400 Certifications ISO 9001,ISO 14001,ISO 50001 Mechanical Test Load*(Rear) [Pa/psf] 4,000 OHSAS 18001 *Based on IEC 61215-2:2016(Test Load-Design Load x Safety Factor(1.5)) Salt Mist Corrosion Test IEC 61701:2012 Severity 6 Mechanical Test Loads 6,OOOPa/5,40OPa based on IEC 61215:2005 Ammonia Corrosion Test IEC 62716:2013 Module Fire Performance Type 2(UL 61730) Packaging Configuration Fire Rating Class C(UL 790,ULC/ORD C 1703) Number of Modules per Pallet [EAJ 25 Solar Module Product Warcanty 25 Year Limited Number of Modules per 40'Container [EA] 650 Solar Module Output Warranty LinearWarranty' Number of Modules per 53'Container [EA] 850 *Improved:1"year 98.5%,from 2-24th year:-0.33%/year down,90.6%at year 25 Packaging Box Dimensions(L x W x H) [mm] 1,790 x 1,120 z 1,213 Temperature Characteristics Packaging Box Dimensions(L x W x H) [in] 70.5 x 44.1 x 47.8 Packaging Box Gross Weight [kg] 500 Packaging Box Gross Weight [lb] 1,102 Pmax [%/°C] -0.35 Voc [%PC] -0.26 Isc [%/°c] 0.03 Dimensions(mm/inch) *NMOT(Nominal Module Operating Temperature).Irradiance 800 W/m',Ambient temperature 20°C, Wind speed 1 m/s,Spectrum AM 1.5 1042.0/41.0(Size of Short Side) IN Electrical Properties(NMOT) 1002.0/39.4(Distance between Grounding B Mounong Holes) Model LG370N1 K A6 40.0/1.57 175.0/69 Maximum Power(Pmax) [W] 277 16-6.0x3.0/03x0.1 MPP Voltage Nmpp) M 33.3 Drain rm(.s ) MPP Current(Impp) [A] 8.32 8-043/0.2 )unction Box G-Mirg Holes Open Circuit Voltage(Voc) M 39.4 8-8.5x12.0/03x0.5 Short Circuit Current(Isc) [A] 8.81 n9 Hae: i IN Curves 1100/,33 € Cable Length E � 12.0 1 Wow g g 8 10.0 800W 8.0 600W �n a 6.0 0 g g 400W u' 40 200W 2.0 0.0 0 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 Volta9e M ® LG Electronics USA,Inc. Product specifications are subject to change without notice. LG Solar Business Division LG370N1 K-A6.pdf 2000 Millbrook Drive 020221 Lincolnshire,IL 60069 Life's Good www.Ig-solar.com 0 2021 LG Electronics USA,Inc.All rights reserved. solar - • • • Single Phase Inverter with HD-Wave Technology • for North America SE3000H-US/ SE380OH-US/ SE5000H-US/ SE6000H-US/ SE760OH-US/ SE10000H-US/ SE1140OH-US solar---a ,,,HD f� • solar, ,?(' —Him �pverte� W?25 iia r1 e c7 0 • • • • r o 0 n � � e � e � o � e Optimized installation with HD-Wave technology Specifically designed to work with power optimizers Record-breaking efficiency Fixed voltage inverter for longer strings Integrated arc fault protection and rapid shutdown for NEC 2014 and 2017, per article 690.11 and 690.12 UL1741 SA certified,for CPUC Rule 21 grid compliance Extremely small — High reliability without any electrolytic capacitors — Built-in module-level monitoring IIIIIIIIIII'W-M D — Outdoor and indoor installation Wave — Optional: Revenue grade data,ANSI C12.20 Class 0.5(0.5%accuracy) www.solaredge.us solar " • • Single Phase Inverter with HD-Wave Technology for North America SE3000H-US / SE380OH-US / SE5000H-US / SE6000H-US/ SE760OH-US / SE1000OH-US / SE1140OH-US SE3000H US SE3800H US SESOOOH US L SE6000H US SE7600H US SE10000H-US I SE1140OH-US OUTPUT .................... —...._. Rated AC Power Output 3000 3800 @ 240V 50006000 @ 240V 7600 10000 11400 VA ............................................ 3300,@ 208V................ .5000.P°.208V. ................ ................ ................ ........... Max.AC Power Output 3000 3800 @ 240V 5000 6000 @ 240V 7600 10000 11400 VA ............................................ ................ 3@ 300, 208V................ .5000,a�@,208V, AC Output Voltage Min.-Nom.-Max. ✓ - V, - - - Vac ..183,-208;229)......................... AC Output Voltage Min-Nom-Max. ✓...... .......✓....... .......✓...... .......✓....... .......✓....... .......✓....... .......V....... ...Vac (211-240.;264)......................... ................ ................ ............... ................I................ ................ AC Fre uenc Nominal ........9....Y�.........�................. ................ ................ ............... 59.3:60:60:51'1............... ................ ................ Hz Maximum Continuous Output Current 16 24 A 8V 20 Maximum Continuous Output Current 12.5 16 21 25 32 42 47.5 A GFDI Threshold 1 A Utility Monitoring,Islanding Protection, Country Configurable Thresholds I Yes INPUT Maximum DC Power @240V 4650 5900 7750 9300 11800 15500 17650 W 1. ........... ........... Max: DC Power * I.... 5100 I.....7750 5...... ................ ................ ................ ........... Transformer-less,Ungrounded Yes ................ .................................................................................................... ................. ........... Maximum Input Voltage................. .........................................................480..... ..Vdc.... ........................ 6 ...................... . Nominal DC Input Voltage............... 380 .. ,. 400 „Vdc Maximum Input Current 208V ....... 9..... --- ..... -....13.5 .. Maximum Input Current @240V $:5....... .....10:5 13:5 16:5...... 20....... .......27 30.5 Adc Max.Input Short Circuit Current45 Adc ................. ..................................................................................................................... ........... Reverse-Polarity Protection Yes Ground-Fault Isolation Detection 600kn Sensitivity ........................................ ................ ......... ................................................. ........... Maximum Inverter Efficiency............. ......99....... ................................................99:?....................... ..................... .... ........... CEC Weighted Efficiency 99 Nighttime Power Consumption ADDITIONAL FEATURES Supported Communication Interfaces RS485,Ethernet,ZigBee(optional),Cellular(optional) Revenue Grade,Data,-ANSI C12.20 Optional(?(„ ........................................... p Rapid Shutdown-NEC 2014 and 2017 690.12 Automatic Rapid Shutdown upon on AC Grid Disconnect STANDARD COMPLIANCE Safety UL1741,UL1741 SA,UL1699B,CSA 022.2,Canadian AFCI according to T,I.L.M-07 ........................ Grid Connection Standards IEEE15... Rule 21,Rule 14(HI) .......nnec ion Standards................. ...................................... .............. ................. ........... Emissions FCC Part 15 Class B INSTALLATION SPECIFICATIONS AC Output Conduit Size/AWG Range 3/4"minimum/146 AWG 3/4',minimum/144 AWG ........... DC Input Conduit Size/#of Strings/ 3/4"minimum/1-3 strings/ AWG Ran a 3/4"minimum/1-2 strings/14-6 AWG ..........g............................... ................................................................................... ...........146 AWG Dimensions with Safety Switch(HxWxD) 17.7 x 14.6 x 6.8 /450 x 370 x 174 21.3 x 14.6 x 7.3/540 x 370 in/mm x 185 . ......... .............. .. ...... . ...................... . Wei ht with Safet Switch 22 30 25.1 11.4 26.2 11.9 38.8 17.6 Ib / / / / / Noise <25 <50 dBA Cooling Natural Convection Naturalconvecti.on .... ................. ........... Operatin&Temperature Range -13 to+140/-25 to+601a((-40'F/-40 C option)(°( ............ Protection Rahn& NEMA 3R(Inverter with Safety Switch) For other regional settings please contact SolarEdge support �Z(Revenue grade inverter P/N:SEx)=H-US000NNC2 iai For power de-rating Information refer to:https://www.solaredge.com/sites/default/files/se-temperature-derating-note-na.pdf (0�-40 version P/N:S600aH-US000NNU4 ROHS Q SolarEdge Technologies.Inc.All rights reserved.SOLAREDGE, logo.OPTIMIZED are trademarks or registered trademarks••.•- 1• Snap rack- I snapnrack.coj Solar Mounting Solutions Series 100 Residential Roof Mount System The SnapNrack Series 100 Roof Mount System is engineered to optimize material use, labor resources and aesthetic appeal. This innovative system simplifies the process of installing solar modules, shortens installation times, and lowers installation costs; maximizing productivity and profits. The Series 100 Roof Mount System boasts unique, pre-assembled, stainless steel "Snap- In" hardware and watertight flash attachments. This system is installed with a single tool. No cutting or drilling means less rail waste. It is fully integrated with built-in wire management, solutions for all roof types, one-size-fits-all features, and can withstand extreme environmental conditions. Series 100 is listed to UL Standard 2703 for Grounding/Bonding, Fire Classification and Mechanical Loading. UL 2703 Certification and Compliance ensures that SnapNrack installers can continue to provide the best in class installations in quality, safety and efficiency. • Appealing design with built-in aesthetics • No grounding lugs required for modules • All bonding hardware is fully integrated • Rail splices bond rails together, no rail ^+ jumpers required • No drilling of rail or reaching for other tools required • Class A Fire Rating for Type 1 and 2 modules System Features Include r Snap in Single Tool Easy No Cutting Hardware Installation Leveling or Drilling UL Integrated Wire Preassembled Integrated bonding UL 2703 Certified Management hardware Snap rack- Solar Mounting Solutions Stainless Bolt with Stainless Steel Bonding Splice Standard Rail Split-Lock Washer Bol[with Split- Insert 015-09816 Lock Washer Bonding Adjustable End Clamp Top Bonding Splice Mid ClampBase Bonding Bonding Bonding Adjustable Channel Nut End Clamp Bottom Channel Nut Stainless Stainless Hardware with Bolt with Bonding Adjustable Split-Lock Washers Split Lock Bonding Mid Clamp Bonding Standard Washer End Clamp 242-02053 Rail Splice Ground Lug 242-02067 242- 4015 242-02101 12-6 AWG Copper Wire Ground Lug Assembly (ONE REQUIRED PER ROW OF MODULES) Universal End Clamp(UEC) Wave UEC Pull Strap i UEC Wedge Stainless Steel Bolt with Flat Washer Universal End Clamp 242-02215 Standoff Clamp Assembly Rubber Serrated Stainless Channel Channel Nut Rain Collar Steel Flange Nut Nut Stainless Serrated Stainless Flange Nut Mill Finish Steel Flange Boit 92 Degree Stainless Standoff L Foot Flange Bolt All Purpose L Foot Mill Finish Standoff Base(1-HoleL Foot Metal Roof Base Shown) Mill Finish Base Assembly L Foot Base Flashing Standoff J L L Foot Base with Flashing Metal Roof Basewith L Foot 242-92057 242-92050 242-02037 SERIES 100 TECHNICAL DATA • 6000 Series aluminum Materials • Stainless steel • Galvanized steel and aluminum flashing • Silver and black anodized aluminum Material Finish • Mill finish on select products • Silver or black coated hardware Note: Appearance of mill finish products may vary and change over time. Wind Loads 110 - 190 mph (ASCE 7-10) Snow Loads 0 - 120 psf Array Pitch 0 - 60 degrees 877-732-2860 www.snaonrack.com contact(«snaonrack.com