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47956-Z
o�SUfFOIr Town of Southold 2/5/2023 a y� P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43817 Date: 2/5/2023 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1350 Smith Rd., Peconic SCTM#: 473889 Sec/Block/Lot: 98.-3-25.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/13/2022 pursuant to which Building Permit No. 47956 dated 6/13/2022 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 Shea,Mari of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47956 7/25/2022 PLUMBERS CERTIFICATION DATED u hori ignature o�SOFFac,�G TOWN OF SOUTHOLD BUILDING DEPARTMENT VJ $ 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#: 47956 Date: 6/13/2022 Permission is hereby granted to: Shea, Mari 71 Southgate Cir Massapequa Park, NY 11762 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 1350 Smith Rd., Peconic SCTM #473889 Sec/Block/Lot# 98.-3-25.1 Pursuant to application dated 5/13/2022 and approved by the Building Inspector. To expire on 12/13/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Building Inspector pF SO(/j�ol . 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �O sean.devlinCa�town.southold.ny.us ��yC4UN1`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Mari Shea Address: 1350 Smith Rd city:Peconic st: NY zip: 11958 Building Permit#: 47956 Section: 98 Block: 3 Lot: 25.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Long Island Power Solutions License No: 36178ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 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 Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures 11 Pump Other Equipment: 18.615kW Roof Mounted PV Solar Energy System w/ (51) QpeakQduoG 10-365W 80A Fused Disconnect, IQ4 220x4 215x1 Notes: Solar Inspector Signature: Date: July 25, 2022 S.Devlin-Cert Electrical Compliance Form oF so�ly°�o - # TOWN OF SOUTHOLD BUILDING DEPT. 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) rAELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: c�dc-i4�2 DATE 2 V INSPECTOR souryo� H * # TOWN OF SOUTHOLD. BUILDING DEPT. coum, 631-765-1802 I'NSPECTION [ ] 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: DATE S1 "2.2- INSPECTOR # TOWN OF SOUTHOLD BUILDING DEPT. coum, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATIOWCAAULKING [ ] FRAMING /STRAPPING [ FINAL �o��T►� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: �,ojiPh/ d4V (_l/ M' DATE 20?/�7 INSPECTOR Pacifico Engineering PC I Engineering Consulting 700 Lakeland Ave, Suite 2B Ph:631-988-0000 Bohemia, NY 11716 4GC solar@pacificoengineering.com September 21,2022 s' Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Martin Shea Section-Block-Lot: 98-3-25.1 1350 Smith Rd Peconic, NY 11958 I have reviewed the solar energy system installation at the subject address on September 21,2022.The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets the requirements of the 2020 Residential Code of New York State and ASCE 7-16. To my best belief and knowledge,the work in this document is accurate, conforms with the governing codes applicable at the time of submission, conforms with reasonable standards of practice,with the view to the safeguarding of life, health, property and public welfare. Regards, Ralph Pacifico, PE Professional Engineer O NSP c F 06618't Ralph Paa Engineer NY 066182/NJ 24GE04744306/FL 87297 SEP 0 2022 I ILD! FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) y -------------------------------------- FOUNDATION (2ND) ® z 0 H ROUGH FRAMING& PLUMBING St 1111% 1A INSULATION PER N.Y. � STATE ENERGY CODE Chi ✓ is alFv FINAL ADDITIONAL OM ENTS I� c� MID- 0 5�a-a E tc zm ew� r O , b H �g O V z x d ro H ��rFFat,r�oGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 oy�o!f Baa Telephone(631)765-1802 Fax(631) 765-9502 hgps://www.southoldtomm.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only D PERMIT N0. !�LBuilding Inspector: k MAY 1 13 2022 Applications and forms must be filled out in their entirety.Incomplete BUILDING DEPT. applications will not be accepted. Where the Applicant is not the owner,an TOWN OFSOUTH&D Owner's Authorization form(Page 2)shall be completed. Date: May 11th, 2022 OWNER(S)OF PROPERTY: Name:Mari Shea SCTM#1000-98-3-25.1 Physical Address:1350 Smith Road, Peconic, NY 11958 Phone#:917-273-0052 Email:marishea928@gmail.com Mailing Address:71 Southgate Circle Massapequa Park, NY 11762 CONTACT PERSON: Name:Sue Estabrooke/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:sue@longislandpowersolutions.com DESIGN PROFESSIONAL INFORMATION: Name:Pacifico Engineering P.0 Mailing Address:700 Lakeland Avenue, Suite 2B Bohemia, NY 11716 Phone#:631-988-0000 Email:Solar@Pacificoengineering.com CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@longislandpowersolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: BOther Proposed( 51 )panel roof mounted array. ( 18,360 )kW System $37,797.16 Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes BNo 1 .I PROPERTY INFORMATION Existing use of property:Single Family QWelling Intended use of property:Single Family dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. B Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE'to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Catizone Electrical/Long I land Pow r Soluti s Application Submitted By(print n ): '� ��C-�Z�Q Y\Q. IgAuthor' ed ent ❑Owner Signature of Applicant: 44?N Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Michael Catizone being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this lq _ 20 OTARY PUBLIC;STATE OF N YORK Notary Public Registration No.OIES6259997 Qualified in Dutchess County Commission Expires April 16,202?—R— PERTY OWNER AUTHORIZATION here the applicant is not the owner) I, ire _ residing at Iao 'a>rn46 !P�=A,?e-c=n; e- .Wj:4 Michael Catizone/Long Island Power Solutions �4 qS8 do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's6griature Date Print Owner's Name 2 IVA Y, 8 /4,D BUILDING DEPARTMENT ElOttrical Inspecto1P W90 !/VGo Psou 8P7- TOWN OF SOUTHOLD 1116jo Town Hall Annex=64375 Main Road PO Box 1179 Southold,New York 11971-0959 40. (631) Telephone,(6,31) 706=1802- FAX 765-9502 rogerr*.sbuth oldtow ,go nny' -vf-!..seandPsoutholdtownnv,.ciov. -.. APPLICATION FOR ELECTRICAL INSPECTION- ELECTRICIAN NSPIECTIONtbECTRICIAN INFORMATION (All Informati.on-kiequired)' Date: Co'mbahv Name: Catizone Electrical/Long Island Power Solutions N;a M e:Michael Cat-- ,"o,n- License No.:36178-MEl email, SU6 on lution'- --@,I gislandpowerso sxm Address: 206010 cean Av enue,Ronkonkoma;,NY 11779, Phone No.: 6311-348T0001 40B. SITE;INFORMATION (Ali Information Required), red), Name: Mari Shea Addr6ss: 1350 street' Indian Neck Road Lane Phone No.: -9-17-973,Qn-sq BIdg,.Permit#: -7 Jl email:madshea928@-g-M' 8-i1.cO--M- Tax Map-District: 1006 Section: -98 Block: 3 Lot:25. BRIEF DESCRIPTION OF WORK(Please Print Clearly), Proposed( 51 panel roof mounted array. 18,360 )kW System Circle All That Apply: is job fbady fof iflspecti6n?: YES NO Rough In, Final Do ypu need a Temp Certificate?.- YES`/ NO Issued-Oh. Temp Infbir m- atlon': (All informationrequired). Ser iid6,Size lPh 3P A #Meters r . - - - - 'Old Meter# New Service-Fire Reconnect-Flood Redonnect-Service Reconnected-Underground-Overhead I#Underground Laterals 1 . 2, H Frame Pole-_-- -Work done on Service? Y N -- Modules:- 51) Hanwh6-(!.-PEAK DUO_91 k-380-W- lnverters:.(51) Enphase IQ-7Plus.-__ S600-6ft.-I-roh Ridge XR1-00 PAYMENT-DUE,WITH APPLICATION 0A 13equest 1br InspactlDn Fbrmift j ,c Dg��FU$y BUILDING DEPARTMENT-Electrical Inspectop Viv0"' '0,�Pr TOWN OFSOUTHOLD Town Hall-Annex-54375 Main Road,- PO Bax 1179 Southold, New York 11.971-0959 Telephone(639) 765-1802- FAX (631) 765-95.02 SY rogern0southoldtowriny_gov�_seand(@southoldtowhny.,goy APPLICATION FOR.ELECTRICAL.INSPECTI,ON, ELECTRICIAN INFORMATION (All rnformation Required) Date: ' Company Name: Catizonc ElectricaVLong Island Power Solutions M - -- - - Name:IYTichael Catizone _._ - License No.:36178-ME eniail: sue@toflgislandpowersolutions.com Address: 2060 Ocean Avenue,Ronkonkoma NY, , Y 11779T - N1 _ - Phone No.: 631-348-0001 JOB SITE INFORMATION (Ni Information Required) Name: Mari Shea Address: 1350._Smith-Road- Peconic _NY 11.958__ Cross Street: Indian Neck Road Lane Phone No.: - --- -- - .. --___ _ Bldg.Permit U-7 email:Marishea928 mail.corrl Tax Map District: 100 Section; _g$ - _-- - Block: 3 Lot:25.1 BRIEF DESCRIPTION OF WORK(Please Print Clearly) Proposed_( 51 )panel roof mounted array. ( 18,360 )kW System Circle All That Apply: Is job ready for inspection?: YES I-NO Rough In Final Do you need a Temp Certificate?: YES/ NO Issued.On Temp Information: (All.iriformation required) Service Size 1 Ph 3 Ph Size:.._-_._ _ A #Meters Old Meter# New Service-FireReconnect-Flood Reconnect-Service Reconnected-Underground-Overhead #Underground Laterals 1 2 H Frame j;Pote Work done on Service? Y N -Adittoriai Information: - IVlodules,_(.51) Hanwha Q..PEAK_D_uogBlk,3-6- OW-1--1. Inverters: (51) Enphase IQ-7 Plus~_ "Support: Iron Ridge XR1_-00 PAYMENT DUE WITH.APP IJCATION Request for Inspection FoimAs t I n PERMIT# Address: Switches Outlets G FI's Surface Sconces H H's LIC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator - Transfer Combo - - - Cooktop AC AH Mini Special: Comments: � Ll LONG ISLAND OWER2060 Ocean Ave Ronkonkoma, NY 11779 SOLUTIONS 631348-0001 www.longislandpowersolutions.com TOWN OF SOUTHOLD—Building Division Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold,NY 11971 Dear Building Dept: As per your Building Department, enclosed please find the building permit application, submitted on behalf of our client/property owner: Property Owner: Martin&Mari Shea Project/Property Address: 1350 Smith Road, Peconic,NY 11958 Section/Block/Lot: 1000-98-3-25.1 Electrician/36178-ME: Michael Catizone—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Contractor/53562-H: LI Power Solutions—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Architecture&Planning: Pacifico Engineering—700 Lakelalnd Ave, Ste 2B,Bohemia,NY 11716-631-988-0000 Enclosed Please find: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of the Engineering Drawings & Specs • Liability, Disability&Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Smc rely, Escaylin Rivera Permit Assistant Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx- 631-348-0018 sue@GopowersoMons.com Go Green Save Green FAINDIAN NECK ROAD LOT �t s KutsTvw ° � 174.67' ,FIOV o�1C coR e�-fir J` L AY N. 79'37'00' E. sman°c ppT ELL--E / BG O'4 ` cn 7mP _ __ LA r� ccopc _----- o Cn w 7a7' m C��-�- - � [STY• LOT Z 'j19oK 740' ? Fe � v0 czV x ot 0 o S.770__2 I.�f A. 4l D e STOO O.430 At Ow LOT S� .A Psi N _ O - Cd oQL o � 0 _ 166.49' sfoa leo6c fsa�Q �O.SY S. .7_q-37'00' W. LOT 9f SURVEY OF PROPERTY A T PECONiC TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000 - 98 - 03 - 24 & 25' SCALE 1" = 30' OCT. 20, 2003 NOTE,LOT NUMBERS ARE REFERENCED TO NAP-OF IND/AN NECK PARK 'FILED IN THE SUFFOLK COUNTY-CLERKS OFFICE ON MAY 27, 1813 AS MAP NO.551 AREA= 36,116 sq. ft Si•�' ANY ALTMTM OR ADDMON TO THS SLRVEY IS A V/OLA7A7W OF_-CcIXW 7109 OF 7f£AEW YORK STATE EDUCATM LAI. '/ EXCEPT AS PER sECT1CW FZW-SLBAM1QSAW 2 ALL CER FF=7XW /J H74ECW ARE VALD FM IM IUP IAD COFgS 7TH Q1tY F (<� 49618 SAD YAP OR C0fE5 EFJR 7)E AAYtESS£D SEAL OF 77E SLifVEM, ham- ,O. sfaMOSE �� AAPFatLs PECOMC SURVEYORS,P.C. �DDrrjO16tLLY TO CARPLY 11SAD LAI TER(!'ALTERED BY' (630 755-5020 FAX(631) 765-1797 ANST DE{lSFD TH BY ANMR4 Y AAD ALL SLOWYOLMA"A CONY P. O. 80X 909 OF AN07Tff I sCHVEYAFfS YAP AA TEFW Sual'NVECM' D BRQ(J�01iT-TO-DATE-ARE NOT AV COI/LUIVCLE WTM 7W LAI. z3o.OLO,/N.EY. TR ET COUT87- 734 soffolk county Dept of Labor,Licensing&Consumer Affairs MFi57ER El EGTRICRL LICENSE Name AICKAEL J CATIZONE OUSIrmss Name' T!tis e4+nd'la,eit�ur: be"rIs.duty fceiseS^ Inc by IN CorJrty.of gttfdR License Number:ME-361713 Rosi®Draga Issued; 12�'0MAD04 Commissioner @bores: 1210112022 , — ! Suffolk County Dept.of 1 Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE � t Name MICHAEL CATIZONE Business Name This certifies that the LONG ISLAND POWER SOLUTIONS INC bearer is duly licensed by the County of sulfolk License Number:ME-53560 Rosalie Drago Issued: 06/0.612014 Commissioner Expires: .0610112022 Suffolk County Dept of = Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE >-- t Name MICHAEL J CATIZONE Business Name This cues that the bearer is duly licensedLONG ISLAND POWER SOLUTIONS INC by the County of suffolk License Number:H53562 Rosalie Drago Issued: 05/06/2014 Commissioner Expires: 06/01/2022 Ap--qb N\*,I, N Y S ' F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 0 'R LOVELL SAFETY MGMT CO.,LLC , 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POWER SOLUTIONS INC TOWN OF SOUTHOLD 2060 OCEAN AVENUE 53095 ROUTE 25 RONKONKOMA NY 11779 SOUTHOLD NY 11971 POLICY NUMBER I CERTIFICATE NUMBER . POLICY PERIOD DATE Z 2467 078-8 539135 04/01/2022 TO 04/01/2023 03/08/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,ISURANCE FUND UNDERWRITING VALIDATION NUMBER: 396794370 pn IM111000000000001102106564 MMOR Form WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-246707881 U-26.3 198 [00000000000102106564][0001-000029670788][##Z][15840-36][Cert_NoP{ERT 1][01-00001] Y RK Workers' CERTIFICATE OF INSURANCE COVERAGE STATE ComPensa. Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured LONG ISLAND POWER SOLUTIONS INC DBA NEW YORK POWER SOLUTIONS 2060 OCEAN AVE 6313480001 RONKONKOMA,NY 11779 Work Location of Insured(Only required if coverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 27-1175107 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 53095 Route 25 3b.Policy Number of Entity Listed in Box"1a" Southold, NY 11971 R97411-000 3c.Policy effective period 1/1/2015 to 8/26/2022 4. Policy provides the following benefits: ❑)c 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. F] B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc' d above. Date Signed 8/27/2021 By &A- 4(lait (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 4B,4C or 513 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit,PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) �IaIIP11milim°° °1° 1111°III III11111l11°11 Client#:83393 LONGISL15 DATE(MM/DD/YYYY) AC®RDTM CERTIFICATE OF LIABILITY INSURANCE 1 2/07/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). ACT PRODUCER NAME: Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 FAX 631-390-9790 A/C,No,Ext: AIC,No 40 Marcus Drive E-DRESS: L%MAIL ADNECertificates@epicbrokers.com icbrokers.com 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC# Melville, NY 11747-2647 INSURER A:Southwest Marine&General Ins Co 12294 INSURED INSURER B: Long Island Power Solutions,Inc. INSURER C: DBA New York Power Solutions INSURER D: 2060 Ocean Avenue Ronkonkoma, NY 11779 ;INSURER E: j INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TY OF INSURANCE €ADDL�SUBR! POLICY EFF POLICY EXP I LIMITS LTR !INSR,WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY I !PK202200020693 02/28/2022 02/28/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $3OO OOO X PD Ded:5,000 MED EXP(Any one person) S10,000 X Contractual Liab. i PERSONAL&ADV INJURY 51,000,000 r,OTHER: LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE 52,000,000 �� y;PRO- i PRODUCTS-COMP/OP AGG $2,000,000 POLICY I X!JECT FLOC i 'I S BINE A AUTOMOBILE LIABILITY PK202200020693 02/28/2022 02/28/2023; ao accdeDISINGLE LIMIT 51,000,000 ANY AUTO I BODILY INJURY(Per person) S OWNED SCHEDULEDI AUTOS ONLY AUTOS i i BODILY INJURY(Per accident) S X HIRED X NON-OWNED i i ROP c den DAMAGE S AUTOS ONLY AUTOS ONLY I $ A X UMBRELLA LIAB X I OCCUR IEX202200001789 2/28/2022 02/28/2023 EACH OCCURRENCE s5,000,000 EXCESS LIAR i CLAIMS-MADE 1 ;AGGREGATE s5,000,000 DEDi X RETENTION 510000 I $ WORKERS COMPENSATION ' I PER OTH- AND EMPLOYERS'LIABILITY ( ! T E YIN; ANY PROPRIETOR/PARTNER/EXECUTIVE I i I E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 1NIA ; (Mandatory in NH) i E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I ;E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of Southold is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3438616/M3437780 LJACO NY S ' F 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 Irl, LOVELL SAFETY MGMT CO.,LLC 110 WILLIAM STREET 12TH FLR NEWYORK NY 10038 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POWER SOLUTIONS INC TOWN OF SOUTHOLD 2060 OCEAN AVENUE 53095 ROUTE 25 RONKONKOMA NY 11779 SOUTHOLD NY 11971 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 2467 078-8 146804 04/01/2021 TO 04/01/2022 03/09/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS:UWWW.NYSIF.COM/CERT/ CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 239995852MIUMMEM��j��ppp ijp HEMKI Ill 11111 00 00 000 09 28 60301HID Forth WC-CERT-NOPRINT Version 3(08/292019)[WC Policy-246707881 U-26.3 41 [00000000000091281603][0001-000024670788][##Z][15588-79][Cert_NoP{ERT 1][01-00001] vORRK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS° COMPENSATION INSURANCE COVERAGE Board 1a. Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Catizone Electrical Inc 631348-0001 2060 Ocean Avenue Ronkonkoma, NY 11779 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 455213112 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Utica Mutual Insurance Company 3b.Policy Number of Entity Listed in Box"1a" Town of Southold 4766763 53095 Route 25 Southold, NY 11971 3c.Policy effective period 07/01/2021 to 07/01/2022 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) © all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Leonard Scioscia (Print name of authorized representative or licensed agent of insurance carrier) C_ Approved by: `L 6/9/21 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631-390-9700 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov Client#: 83176 CATIELE DN AC®RDTM CERTIFICATE OF LIABILITY INSURANCE D9/2ATE 312021yYY) 9/23/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME,ACT Commercial Support Edgewood Partners Ins.CenterPHOIC,NE 631-390-9700 FAX 631-390-9790 (A N40 Marcus Drive E-MAIL Ext): A/C,No 3rd Floor ADDRESS: certificates@cookmaran.com INSURER(S)AFFORDING COVERAGE NAIC# Melville, NY 11747-2647 ! Utica Mutual Insurance Company INSURER A: P Y 25976 INSURED Catizone Electrical Inc. INSURER B: 2060 Ocean Avenue INSURER C: Ronkonkoma, NY 11779 INSURER D: 1 INSURER E: INSURER F, COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL�SUBR� POLICY EFF POLICY EXP LIMITS LTR INSR IWVD; POLICY NUMBER MM/DD/YY MM/DD/YY A X COMMERCIAL GENERAL LIABILITY Y `:CPP4784747 7/01/2021 07/01/2022 EACH OCCURRENCE 51,000000 CLAIMS-MADE FX,OCCUR I PREMISES(Ea occur°nce) S 100 000 MED EXP(Any one person) S 10 000 j PERSONAL&ADV INJURY S1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 POLICY C JECT LOC ! j PRODUCTS-COMP/OP AGG 32,000,000 OTHER: i S AUTOMOBILE LIABILITY I I ;COMBINEDSINGLE LIMIT ' (Ea accident S ANY AUTO i BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS I I 'BODILY INJURY(Per accident) S HIRED NON-OWNED !PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) S S UMBRELLA LIAB H1 OCCUR ' I EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S I DED j RETENTIONS 1 S A WORKERS COMPENSATION ER OTH- 14766763 07/01/2021 07/01/2022 X !STATUTE ERR AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE � I !E.L.EACH ACCIDENT S500,000 OFFICER/MEMBER EXCLUDED? � N/A i 1 (Mandatory in NH) ;E.L.DISEASE-EA EMPLOYEE 3500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5500,000 I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of Southold is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE •ia @ 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3241156/M3110173 JGRAS YORK Workers' CERTIFICATE OF INSURANCE COVERAGE A TE 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 CATIZONE ELECTRICAL CONTRACTING, INC. 2060 OCEAN AVE 646-383-3599 RONKONKOMA, NY 11779 Work Location of Insured(Only required if coverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 45-5213112 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) TOWN OF SOUTHOLD Standard Security Life Insurance Company of New York 53095 ROUTE 25 3b.Policy Number of Entity Listed in Box"I a" SOUTHOLD, NY 11971 R97483-000 3c.Policy effective period 1/1/2015 to 12/15/2022 4. Policy provides the following benefits: ❑o A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: nm 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 descF4ged above. Date Signed 12/16/2021 By ��-_!�-4J�&t (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 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. 138_920.1 (10-17) 1111111111iiuvilIEii11iiiiiioi111111R1111'�IIIII JAPPRO ED AS NOTED DATE• 3 B.P.# 7( FEE: BY: N.OTIFY;;BUILDING DEPARTMENT AT . 765=16bi:,':8 AM--.TO. 4.PM FOR.THE FOLLOWING..INSPECTIONS:, - !.: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 AND CONDITIONS OF SO1HO_TOM P NNINf BOARD S6T#O1UTOVDt7 uTEES OCCUPANCY OR USES IS UNLAWFUL WITHOUT CERTIFIC` OF OCCUPANCY ELECTRICAL INSPECTION! REQUIRED Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave,Suite 213 Ph:631-988-0000 Bohemia, NY 11716 TE , i G cp solar@pacificoengineering.com May 6,2022 Town of Southold Building Department 54375 Route 25, P.O.Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Mari Shea Section-Block-Lot 98-3-25.1 1350 Smith Rd Peconic, NY 11958 I have reviewed the roofing structure at the subject address.The structure can support the additional weight of the roof mounted system.The units are to be installed in accordance With the manufacturer's installation instructions. 1 have determined that the installation will meet the requirements of the 2020 Residential Code of New York State and ASCE 7-16 when installed in accordance with the manufacturer's instructions. Roof Section A B Mean roof height 18.0 ft 18.0 ft Pitch 30 degrees 31 degrees Roof rafter 2x6 2x6 Rafter spacing 16 inch on center 16 inch on center Reflected roof rafter span 12.3 ft 12.2 ft Table R802.4.1(1)max allowable 14.6 ft 14.6 ft The climactic and load information is below: CLIMACTIC AND Ground Wind Live Load, Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type CRITERIA Category Load,Pg, sec gust, ASCE 7, load,Ib psf mph psf Roof Section A B 20 130 18 340 SS 5/16"dia lag bolt,5"length B 18 340 SS 5/16"dia lag bolt,5"length Weight Distribution array dead load 3.5 psf ,�eN PA y0 load per attachment 66.1 Ib *y QIP The subject roof has 1 layer of shingles. r Panels mounted flush to roof no higher than 6 inches above roof surface. Ralph Pacifico,PE _ Professional Engineer eer NY 066_ _ 6/FL 87297 ® AERIAL DOWER 4SOLUTIONS m 1 2060 OCEAN AVENUE, PJ RONKONKOMA, NY 11779 (631) 348-0001 SHEA ` RESIDENCE R-1 $.,, 1350 SMITH ROAD # MODULES (32) '$ * PECONIC, NY 11958 PITCH: 300 .► " 917-273-0052 o AZIMUTH: 68° � ' , , S: 98 B. 3 L: 25.1 +' PROJECT DATA: tt225428 INVERTER: (51)ENPHASE IQ7PLUS-72-2-US MODULES: (51)Q.PEAK DUO 13LK-G10+360 ORACKING: IRON RIDGE XR100 WATTAGE: 18,360 R-2 �I SHEET INDEX ROOF TYPE: COMPOSITION SHINGLES # MODULES (19) O WIND LOAD: -21 PSF @ 140MPH PITCH: 310 O G S-1 SITE PLAN FASTENER: USE 5/16"DIA.5"LAGS AZIMUTH: 248° S-2 DETAILS E-1 ELECTRICAL PLAN VEqG I L-1 MOUNTING PLAN Gc Q 700 Lakeland Ave; Suite 2B OBohemia, NY 11716 Ph: 631-988-0000 3'-5" solar@pacificoengineering.com 5'-8" IGENERALNOTES I w wwpacificoengineering com -ENPHASE IQ7 PLUS MICRO INVERTER OF NS LOCATED ON ROOF BEHIND EACH MODULE. -FIRST RESPONDER ACCESS MAINTAINED *Gj�QQ�QN PAC/A-, ;j� AND FROM ADJACENT ROOF. -WIRE RUN FROM ARRAY TO CONNECTION IS I Uj 40 FEET. -COGEN DISCONNECT IS LOCATED A 066182 ADJACENT TO UTILITY METER. °FFss►oNP� -LAYOUT SUBJECT TO CHANGE BASED ON ALTERATION OF THIS DOCUMENT EXCEPT BY SITE CONDITIONS AT DATE OF INSTALL LICENSED PROFESSIONAL IS ILLEGAL DII nn PAPER SIZE:11"x 17"(ANSI B) (� V LEGENDDATE: 4/9/2022 cl 'IT MAY DESIGN BY: MW N 2022 ® GROUND ACCESS POINT CHECKED BY: EE REVISIONS: Buu� COGEN DISCONNECT DEPr ?�tlnsr, r 'jT►iot® ® UTILITY METER REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, ° INCLUDING ALTERNATIVE METHODS MINIMUM OF 36" UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE?16. SITE PLAN S■1 THE 2020 RESIDENTIAL CODE OF NYS UFO IronRidge XR 100 Rail OWER P� SOLUTIONS J 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 - (631)348-0001 SHEA Cap -.� .. � .���,__- � RESIDENCE miccor"P Flashing 1350 SMITH ROAD PECONIC, NY 11958 -�, 917-273-0052 S: 98 B: 3 L: 25.1 IronRidge XR 100 Rail J� 2 ''"M �. PROJECT DATA: #226428 IronRidge XR 100 Rail 5/1 6" X 5" Stainless INVERTER: (51)ENPHASE 107PLUS-72-2-US Steel Lag Bolt MODULES: (51)Q.PEAK DUO BLK-G10+360 Solar`ludulc RACKING: IRON RIDGE XR100 WATTAGE: 18,360 3/6-16 x 3/4 HEX HEAD 60LT ROOF TYPE: COMPOSITION SHINGLES 3/B-1S FIA GE NUT 3-5/8 �/^ " WIND LOAD: -21 PSF @ 140MPH of FASTENER: USE 5/16"DIA.5"LAGS TP �C tA K E GINGc GENERAL NOTES- 700 Lakeland Ave, Suite 2B -L FEET ARE SECURED TO ROOF RAFTERS @ 80" O.C. Bohemia, NY 11716 USING 5/1611 x 5" STAINLESS STEEL LAG BOLTS. Ph: 631-988-0000 -SUBJECT ROOF HAS 1 LAYER. solar@pacificoengineering.com www.pac ificoeng ineering.com -ALL PENETRATIONS ARE SEALED AND FLASHED. pF NEW PAcz * O ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES �- R1 300 211x10" 2"x6" 16"O.C. 16'-1011 18If 06 SS101 R2 310 2"X1 0" 2"x6"@ 16"O.C. 16'-10" 18" ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL pPAPER SIZE:11'x 17'(ANSI B) 3 00 DATE: 4/9/2022 DESIGN BY: MW N CHECKED BY: EE REVISIONS: a s N DESIGNED AS PER ASCE 7-10 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, �■� m MODULES MOUNTED FLUSH TO ROOF TOWN OF SOUTHOLD CODE 2017 NATIONAL ELECTRIC CODE.ASCE7.16. DETAILS ° NO HIGHER THAN 6"ABOVE ROOF SURFACE PHOTOVOLTAICS: OWER (51) Q.PEAK DUO BLK-G10+ 360 SOLUTIONS NEMA 3R 2060 OCEAN AVENUE, JUNCTION BOX INVERTERS: RONKONKOMA, NY 11779 (631) 348-0001 BLACK-L1 ENGAGE CABLE (51) ENPHASE IQ7PLUS-72-2-US RED-L2 CIRCUITS: SH EA GREEN -GROUND (3) CIRCUITS OF (13) MODULES RESIDENCE (1) CIRCUIT OF (12) MODULES 1350 SMITH ROAD PECONIC, NY 11958 917-273-0052 S: 98 B: 3 L: 25.1 PROJECT DATA: #225428 INVERTER: (51)ENPHASE IQ7PLUS•72.2-US #12 AWG THWN FOR HOME RUNS UNDER 100' MODULES: (51)C.PEAK DUO BLK-G10+360 #10 AWG THWN FOR HOME RUNS OVER 100' „ , RACKING: IRON RIDGE XR100 (1)LINE 1 WATTAGE: 18,360 (1)LINE 2 >N ROOFTYPE: COMPOSITION SHINGLES METER r`0�CCU�f�U7CLM 161.71�, (1)GROUND "' - WIND LOAD: -21PSF @ 140MPH PER CIRCUIT _ IN 1"OR 14"PVC CONDUIT © ilk 'ilk © FASTENER: USE 5/16"DIA.5"LAGS ld� i, l t f ;9t;'a' 240 V • [0141 A , • � P c r PHOTOVOLTAIC GrrvG • MAIN SOLAR SYSTEM 700 Lakeland Ave, Suite 2B AC DISCONNECT LINE SIDE TAP Bohemia, NY 11716 Ph-- 631-988-0000 solar@pacificoengineering.com 100A FUSED SERVICE MAIN SERVICE WWW.pacificoengineering_com 125A LOAD CENTERRATED DISCONNECT 200A (1)-20A BREAKER 80A FUSE Gj�P Q�,PH PAC/•�- 0 �; PER CIRCUIT A ARNINIG DISCONNECT INVERTER OUTPUT CONNECTION DQ NOT RELOCATE THIIS #4 AWG THWN #4 AWG THWN ��10 0661 2 O'VERCUIRRENT DEVICE (1)LINE 1 (1)LINE 1 (1)LINE 2 (1)LINE 2 ESSION 1 (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL ALTERATION OF TMS DOCUMENT EXCEPT BY A (1)EGC (1)EGC OR SUB PANEL LICENSED PROFESSIONAL IS ILLEGAL IN 14"PVC CONDUIT (1)GEC PAPER SIZE:11'x 17'(ANSI B) IN 14"PVC CONDUIT 2022 DESIGN BY:cc DATE: / MW N CHECKED BY: EE REVISIONS: m t AC COMBINER: NOTE: 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, 1-PHASE, MAIN LUG LOAD CENTER, 125A ALL WIRING TO MEET THE 2017 NEC AND 2020 ENERGY CODE TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16, ELECTRICAL PLAN E.1 100A FUSED SERVICE RATED DISCONNECT 4DOWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 4,-711 (631)348-0001 SHEA ° I RESIDENCE 1350 SMITH ROAD 16'-10" ` PECONIC, NY 11958 O © L 917-273-0052 S: 98 B: 3 L: 25.1 y PROJECT DATA: #225428 INVERTER: (5 1)EN PHASE IQ7PLUS-72-2-US MODULES: (51)Q.PEAK DUO BLK-G10+360 RACKING IRON RIDGE XR100 R-1 WATTAGE: 18,360 ROOF TYPE: COMPOSITION SHINGLES # MODULES (32) WIND LOAD: -21 PSF @ 140MPH FASTENER: USE 5/16"DIA,5"LAGS PITCH : 30° - - AZIMUTH : 68° i ' GIN Xf Gcp 700 Lakeland Ave; Suite 2B 4'-7" Bohemia, NY 11716 Ph 631-988-0000 solar@pacificoengineering com www-pacificoengineering.com pF NE 16'-10CO�P�PP" Pqc' y0� 17' 23 r z 14' 10 �� R066182 1 8.5' 0 °FFssioW, O R-2 ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL 4' # MODULES (19) 0 PAPER SIZE 11'x 17"(ANSI B) ■ SPLICE BAR 20DATE: 4/9/2022 N PENETRATIONS 94 PITCH: 31 '© DESIGN BY: MW N CHECKED BY: EE UFO 116 AZIMUTH : 248° REVISIONS: 40MM SLEEVE 28 END CAPS 28 CONSUMPTION o MOUNTING PLAN CRITTER GUARD 270' L.'� powered by Q z J W . • , Quality � Controlled PV TOVRheinla d ID 1111232615 ® Q LEIIWIIIrS 9M BRAND M FMLM MLYILlL W LIYYLL�L 1Lt1 • ' 1M1\paornci.woe ruRorr 4Vw•,Y•I.�It•w -"-•• - 2021 Warranty 0 CELLS P'_u &PF' Yield Security BREAKING THE 20%EFFICIENCY BARRIER Q.ANTUM DUO Z Technology with zero gap cell layout boosts module efficiency up to 20.9%. THE MOST THOROUGH TESTING PROGRAMME IN THE INDUSTRY Q CELLS is the first solar module manufacturer to pass the most comprehen- sive quality programme in the industry:The new"Quality Controlled PV"of the independent certification institute TUV Rheinland. INNOVATIVE ALL-WEATHER TECHNOLOGY �)= Optimal yields,whatever the weather with excellent low-light and temperature behaviour. ENDURING HIGH PERFORMANCE ` Long-term yield security with Anti LID Technology,Anti PID Technology',Hot-Spot Protect and Traceable Quality Tra.QTMI. EXTREME WEATHER RATING High-tech aluminium alloy frame,certified for high snow(5400 Pa)and wind loads(4000 Pa). A RELIABLE INVESTMENT lk�� Inclusive 25-year product warranty and 25-year linear performance warranty2. APT test conditions according to IEC/TS 62804-1:2015,method A(-1500V,96h) 'See data sheet on rear for further information. THE IDEAL SOLUTION FOR: Rooftop arrays on residential buildings Engineered in Germany OCELLS MECHANICAL SPECIFICATION ' Format 1717mm x 1045 mm x 32mm(including frame) vv mm Weight 19.9 kg veomm Jefismm Front Cover 3.2 mm thermally pre-stressed glass with any--�--�� + anti-reflection technology ta(#ouMrOV 4.5 mm ,1----� Back Cover Composite film 1001.6 mm Frame Black anodised aluminium Cell 6 x 20 monocrystalline Q.ANTUM solar half cells ® I mm Junction box 53-101mm x 32-60mm x 15-18 mm Protection class IP67,with bypass diodes �_E1 ll50mm Cable 4mm1 Solar cable;(+)21150 mm,(-)21150 mm .,IAdnvYq Mm• Connector StBubll MC4;IP68 } tDEa`AI 6o,�wl�w J2 mm DEfALL A 1�� 1116 mmI�Ie.6 mm ELECTRICAL CHARACTERISTICS POWER CLASS 360 366 360 386 970 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC;(POWER TOLERANCE r5 W/-OW) Power atMPP1 PMro [W] 350 355 360 365 370 Short Circuit Current' 1,c (A] 10.97 11.00 11.04 11.07 11.10 E E Open Circuit Voltage' Voc IV] 41.11 41.14 41.18 41.21 41.24 c Current at MPP lull, [A] 10.37 10.43 10.49 10.56 10.62 f Voltage at MPP VMK IV] 33.76 34.03 34.31 34.58 34.84 Efficiency' q I%] 219.5 219.8 220.1 220.3 x20.6 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT3 Power at MPP P� IW] 262.6 266.3 270.1 273.8 277.6 E Short Circuit Current I_ [A] 8.84 8.87 8.89 8.92 8.95 E Open Circuit Voltage Voc IV] 38.77 38.80 38.83 38.86 38.90 c Current at MPP un, (A] 8.14 8.20 8.26 8.31 8.37 Voltage at MPP VMS IV] 32.24 32.48 32.71 32.94 33.17 'Measurement tolerances PMpp±3%;Isc;Voc t5%at STC:1000 W/m1,25t2'C,AM 1.5 according to IEC 60904-3.2800W/m1,NMOT,spectrum AM 1.5 O CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE wr---- ---- -----r---- At least 98%of nominal power dur- =m -rI I ing first year.Thereafter max.0.5% 3 degradation per year.At least 93.5% S �a of nominal power up to 10 years.At 4 z_ least 86%of nominal power up to I p ...__._.._.. y a,o 25 ears. p - r F� -r-----r----- -----r----- �z I I I I I p r All data within measurement toler- ances,Full warranties in accordance b with the warranty terms of the o Q CELLS sales organisation of your WssowWccn'I',." e. a respective country. Typical module performance under low irradiance conditions in comparison to STC conditions(25'C,1000 W/mJ). z TEMPERATURE COEFFICIENTS Temperature Coefficient of ix a [%/K] +0.04 Tempe-at❑re Coefficient of VV; (i [%/K] -0.27 Temperature Coefficient of Pr. y [%/K] -0.34 Mommal Module Operating Ternowature NMOT I'C] 43±3 0 PROPERTIES FOR SYSTEM DESIGN o Maximum System Voltage VM [V] 1000 PV module class"rfication Class II Maximum Reverse Current I. [A] 20 Fore Rating based on ANSI/UL 61730 C/TYPE2 Max.Design Load,Push/PuN [Pa] 3600/2660 Permitted Module Temperature -40'C-+85'C o Max.Test Load,Push/Put [Pa] 5400/4000 on Corrunuous Duty QUALIFICATIONS AND CERTIFICATES 0 W Duality Controlled PV-TUV Rheinland Vp IEC 61215:2016;IEC81730:2018. rv® Y This Betaatasheetet complies with DIN EN 50380. QCPV Conffication ongoing. n�n11mn 0 Note:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of this product. `o Hanwha O CELLS GmbH Sonnenallee 17-21,06766 Bitterfeld-Wolfen,Germany I TEL+49(0)3494 66 99-234441 FAX+49(0)3494 66 99-230001 EMAIL sales@q-cells.com I VJM www.q-cells.com Engineered in Germany QCELLS Data Sheet Enphase Microinverters Region:AMERICAS Enphase The high-powered smart grid-ready Enphase IQ 7 Micro'M and Enphase IQ 7+ MicrOTM Q 7 and IQ 7+ dramatically simplify the installation process while achieving the highest system efficiency. Microinverters Part of the Enphase IQ System,the IQ 7 and IQ 7+ Microinverters integrate with the Enphase IQ Envoy", Enphase IQ Battery'", and the Enphase EnlightenTImonitoring and analysis software. IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install • Lightweight and simple • Faster installation with improved,lighter two-wire cabling • Built-in rapid shutdown compliant(NEC 2014&2017) Productive and Reliable • Optimized for high powered 60-cell and 72-cell*modules • More than a million hours of testing • Class II double-insulated enclosure • UL listed _ Smart Grid Ready Complies with advanced grid support,voltage and frequency ride-through requirements • Remotely updates to respond to changing grid requirements • Configurable for varying grid profiles • Meets CA Rule 21 (UL 1741-SA) U *The IQ 7+Micro is required to support 72-cell modules. ® E- �0: ENPHASE To learn more about Enphase offerings,visit enphase.com Enphase IQ 7 and IQ 7+ Microinverters INPUT DATA(DC) IQ7-60-2-US/IQ7-60-B-US IQ7PLUS-72-2-US/IQ7PLUS-72-B-US Commonly used module pairings' 235W-350W+ 235W-440W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48 V 60V Peak power tracking voltage 27 V-37 V 27V-45V Operating range 16 V-48 V 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 0 A 0 A PV array configuration 1 x 1 ungrounded array,No additional DC side protection required, AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ 7 Microinverter IQ 7+Microinverter Peak output power 250 VA 295 VA Maximum continuous output power 240 VA 290 VA Nominal(L-L)voltage/range2 240 V/ 208 V/ 240 V/ 208 V/ 211-264 V 183-229 V 211-264 V 183-229 V Maximum continuous output current 1.0 A(240 V) 1.15 A(208 V) 1 21 A(240 V) 1.39 A(208 V) Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz AC short circuit fault current over 3 cycles 5.8 Arms 5.8 Arms Maximum units per 20 A(L-L)branch circuit' 16(240 VAC) 13(208 VAC) 13(240 VAC) 11 (208 VAC) Overvoltage class AC port III III AC port backfeed current 0 A 0 A Power factor setting 1.0 1.0 Power factor(adjustable) 0.7 leading..-0.7 lagging 0.7 leading...0.7 lagging EFFICIENCY @240 V @208 V @240 V @208 V Peak CEC efficiency 97.6% 97.6% 97.5% 97.3% CEC weighted efficiency 97.0% 970% 97.0% 97.0°i MECHANICAL DATA Ambient temperature range -40°C to+65°C Relative humidity range 4%to 100%(condensing) Connector type(IQ7-60-2-US&IQ7PLUS-72-2-US) MC4(or Amphenol H4 UTX with additional Q-DCC-S adapter) Connector type(IQ7-60-B-US&IQ7PLUS-72-B-US) Friends PV2(MC4 intermateable). Adaptors for modules with MC4 or UTX connectors: PV2 to MC4:order ECA-S20-S22 PV2 to UTX:order ECA-S20-S25 Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1 08 kg(2.38 lbs) Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Erwironmental category i UV exposure rating NEMA Type 6/outdoor FEATURES Communication Power Line Communication(PLC) Monitoring Enlighten Manager and MyEnlighten monitoring options. Both options require installation of an Enphase IQ Envoy. Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break disconnect required by NEC 690. Compliance CA Rule 21 (UL 1741-SA) UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22.2 NO.107.1-01 This product Is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions. 1 No enforced DC/AC ratio-See the compatibility calculator at https://enphase.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 E N P H A S E 6 2018 Enphase Energy.AN rights reserved.A/trade rnaft or brands used are the property of Enphase Energy,Inc 2018-05-24 IRONRIDGE Roof Mount System Fw Rtfilt for Snlar'c; tniiahnst rnnf- IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified All components evaluated for superior ® Pre-stamped engineering letters structural performance. available in most states. Class A Fire Rating Design Software Certified to maintain the fire resistance Online tool generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding 20 Year Warranty ® UL 2703 system eliminates separate Twice the protection offered by module grounding components. competitors. XR Rails XR10 Rail XR100 Rail XR1000 Rail Internal Splices Q A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions with light snow. solar mounting rail. rail for commercial projects. for seamless connections. • 6'spanning capability 8'spanning capability 12'spanning capability Self-tapping screws • Moderate load capability Heavy load capability Extreme load capability Varying versions for rails • Clear& black anod.finish Clear& black anod.finish Clear anodized finish Grounding Straps offered Attachments - -- – - - FlashFoot Slotted L-Feet Standoffs Tilt Legs A& 1L -t - %, 26_-_ LLM*R� Anchor, flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware High-friction serrated face Works with vent flashing Attaches directly to rail • IBC& IRC compliant Heavy-duty profile shape Ships pre-assembled Ships with all hardware • Certified with XR Rails Clear& black anod.finish 4"and 7" Lengths Fixed and adjustable Clamps & Grounding End Clamps Grounding Mid Clamps = T Bolt Grounding Lugs = Accessories Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Mill finish & black anod. Parallel bonding T-bolt Easy top-slot mounting Snap-in Wire Clips • Sizes from 1.22"to 2.3" Reusable up to 10 times Eliminates pre-drilling Perfected End Caps • Optional Under Clamps Mill & black stainless Swivels in any direction UV-protected polymer Free Resources - -- — J=- aengineered esign Assistant ♦ NABCEP Certified Training o from rough layout to fully v Earn free continuing education credits, system. For free. while learning more about our systems. o to IronRidge.com/rm Go to IronRidge.com/training LONGISLAND ! ,1 ONEW WVW E R 2060 Ocean Ave Ron onkoma, NY 11779 (SOLUTIONS "' 631348-0001 www.long islandpowersolutions.com September 29,2022 9 -19 5 LI� 0 TOWN OF SOUTHOLD-Building Division AS BUILT/Permit Amendment Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold,NY 11971 Dear Building Dept; rr As per your Building Department,enclosed please find AS BUILT for: 1 i I� SEP 3 0 2022 PERMIT# 47956 _; J ; Property Owner: Martin Shea Project/Property Address: 1350 Smith Road,Peconic,NY 11958 Section/Block/Lot: 1000-3&375 ,� 10 4 ( 1�, 11' t 111 11 l r Kindly mail the Approved Drawings to Long Island Power Solutions,2060 Ocean Ave Ronkonkoma,NY 11779. Should you have any questions or require anything further please call the office. ncerely, Sue Estabrooke Permit Manager Long Island Power Solutions 2060 Ocean Ave Ronkonkoma,NY 11779 Ph-631-348-0001 Fx-631-348-0018 Sue@GoPowerSolutions.com Go Green Save Green a Pacifico Engineering PC Engineering Consulting 7b0 Lakeland Ave, Suite 2B Ph:631-988-0000 Bohemia, NY 11716 G c solar@pacificoengineering.com September 21,2022 Town of Southold rr Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 SEP'. 3 0 2022 Subject: Solar Energy Installation for ILDF Martin Shea 1 Section-Block-Lot: 98-3-25.1 1350 Smith Rd Peconic, NY 11958 1 have reviewed the roofing structure at the subject address.The structure can support the additional weight of the roof mounted system.The units are to be installed in accordance with the manufacturer's installation instructions. I have determined that the installation will meet the requirements of the 2020 Residential Code of New York State and ASCE 7-16 when installed in accordance with the manufacturer's instructions. Roof Section A B Mean roof height 18.0 ft 18.0 ft Pitch 30 degrees 31 degrees Roof rafter 2x6 2x6 Rafter spacing 16 inch on center 16 inch on center Reflected roof rafter span 12.3 ft 12.2 ft Table R802.4.1(1)max allowable 14.6 ft 14.6 ft The climactic and load information is below: CLIMACTIC AND Ground Wind Live Load, Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type CRITERIA Category Load,Pg, sec gust, ASCE 7, load,Ib psf mph psf Roof Section A B 20 130 18 340 SS 5/16"dia lag bolt,5"length B 18 340 SS 5/16"dia lag bolt,5"length Weight Distribution array dead load 3.5 psf load per attachment 66.1 Ib The subject roof has 1 layer of shingles. Panels mounted flush to roof no higher than 6 inches above roof surface. Ralph Pacifico, PE y Professional Engineer Ralp A�® md11) eer ® AS-B U I LI AERIAL OWER ' SOLUTIONS ® , 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348 0001 ` SH EA RESIDENCE R-1 1350 SMITH ROAD # MODULES (32) PECONIC, NY 11958 PITCH: 30° "` 917-273-0052 o AZIMUTH: 68° T S: 98 B: 3 L: 25.1 PROJECT DATA: #225428 INVERTER: (51)ENPHASE 107PLUS-72-2-US MODULES: (51)Q.PEAK DUO BLK G10+365 ORACKING: IRON RIDGE XR100 WATTAGE: 1----- R-2 SHEET INDEX ROOF TYPE: COMPOSITION SHINGLES # MODULES (19) WIND LOAD: -21 PSF @ 140MPH O �G S-1 SITE PLAN PITCH: 31' FASTENER: USE 5/16"DIA.5"LAGS AZIMUTH: 248° WS-2 DETAILS _ . E-1 ELECTRICAL PLAN L-1 MOUNTING PLAN IIV -Gp 700 Lakeland Ave, Suite 2B OBohemia, NY 11716 Ph 631-988-0000 T-5" solar@pacificoengineering.com ._8.. GENERAL NOTES www-pacificoengineering_com -ENPHASE IQ7 PLUS MICRO INVERTER ��Qf NES y LOCATED ON ROOF BEHIND EACH MODULE. ,�.' �QN PARI O -FIRST RESPONDER ACCESS MAINTAINED AND FROM ADJACENT ROOF. -WIRE RUN FROM ARRAY TO CONNECTION IS f, W 40 FEET. -COGEN DISCONNECT IS LOCATED 1 air. ADJACENT TO UTILITY METER. FFSSI Pte. -LAYOUT SUBJECT TO CHANGE BASED ON ALTERATION OF THIS DocvMENTEXCEPT BYA LICENSED PROFESSIONAL IS ILLEGAL SITE CONDITIONS AT DATE OF INSTALL PAPER SIZE:11"x17"(ANSI B) m LEGEND DATE: 4/9/2022 00 C14 DESIGN BY: MW Ln N ® GROUND ACCESS POINT CHECKED BY: EE COGEN DISCONNECT REVISIONS:(2)9116122 MW ® UTILITY METER m FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE 2020 ENERGY CONSERVATION CODE OF NEW YORK STATE REPRESENTS ALL FIRE CLEARANCE MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7.16. SITE PLAN S-1 o INCLUDING ALTERNATIVE METHODS THE 2020 RESIDENTIAL CODE OF NYS - AS-BUILT UFO— lronRidlge xR 100 Rail OWER SOLUTIONS 2060 OCEAN AVENUE, ^ M. RONKONKOMA, NY 11779 (631)348-0001 SHEA RESIDENCE Flashing 1350 SMITH ROAD -'' PECONIC, NY 11958 E,w c� 917-273-0052 L4001L- + S: 98 B: 3 L: 25.1 GoI112idge XR 100 Rail �� n IsouRidge xx 100 Rail 5/16 x 5 PROJECT DATA: #225428 Stainless INVERTER: (51)ENPHASE 107PLUS-72-2-US Steel Lag DO�} MODULES: (51)Q.PEAKDUO BLK-G10+365 S 1. Solar Module .7l Bolt RACKING: IRON RIDGE XR100 3/8-116 X 3/4 WATTAGE: 18,615 HEX HEAD 8<XTROOF TYPE: COMPOSITION SHINGLES 8 3/8-1 FL.AHGE WUT `�`�� 3-5/(] �� WIND LOAD -21pSF@ 140MPH lXJ FASTENER. USE 5/16"DIA.5"LAGS I P' -C r `� E GIN Gc = --- GENERAL NOTES: 700 Lakeland Ave, Suite2B -L FEET ARE SECURED TO ROOF RAFTERS @ 8011 O.C. Bohemia, NY 11716 USING 5/16" x 5" STAINLESS STEEL LAG BOLTS. Ph- 631-988-0000 -SUBJECT ROOF HAS 1 LAYER. solar@pacificoengineering.com www_pacificoengineenng_com -ALL PENETRATIONS ARE SEALED AND FLASHED. OF NES . Q4 Cj0 * P Y r # ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES R1 300 2"x " 10" 2x6"@ 16110.c. 16'-10" " 18 FFSSION R2 310 2"x 10" 2"x6"@ 16"O.C. 16'-10" 18" F ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL PAPER SIZE:11"x 17"(ANSI B) 3 co DATE: 4/9/2022 Lo DESIGN BY: MW 04 N CHECKED BY: EE REVISIONS:(2)9116/22 MW s n ° DESIGNED AS PER ASCE 7-10 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, MODULES MOUNTED FLUSH TO ROOF TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16. DETAILS S-2 cn NO HIGHER THAN 6"ABOVE ROOF SURFACE AS-BUILT PHOTOVOLTAICS: OWER (51) Q.PEAK DUO BLK-G10+ 365 I SOLUTIONS NEMA 3R 2060 OCEAN AVENUE, JUNCTION BOX INVERTERS: RONKONKOMA, NY 11779 (631)348-0001 BLACK- L1 ENGAGE CABLE (51) ENPHASE IQ7PLUS-72-2-US I RED- L2 SHEA GREEN-GROUND CIRCUITS: (3) CIRCUITS OF (13) MODULES RESIDENCE (1) CIRCUIT OF (12) MODULES 1350 SMITH ROAD PECONIC, NY 11958 917-273-0052 S: 98 B: 3 L: 25.1 PROJECT DATA: #225428 INVERTER: (51)ENPHASE IQ7PLUS-72-2-US #12 AWG THWN FOR HOME RUNS UNDER 100' MODULES: (51)Q.PEAK DUO BLK-G10+365 #10 AWG THWN FOR HOME RUNS OVER 100' + • +9� I, 0 RACKING: IRON RIDGE XR100 (1)LINE 1WATTAGE: 16,615 (1)LINE 2 # ' METER ROOFTYPE: COMPOSITION SHINGLES (1)GROUND PER CIRCUIT 't � © ��' , �1•i;1,a�; 161.71�, WIND LOAD: -21 PSF @ 140MPH IN 1"OR 11"PVC CONDUIT FASTENER: USE 5/16"DIA.5"LAGS ° N M, .A1 X VOLTAGE 240 V ELECTRIC SHOCK i _NOT TOUCH TERMINALS TEG TERMINALS ON BOTH THE LINE AND PHOTOVOLTAICDO QG •`' SIDES MAY BE ENERGIZED MAIN SOLAR SYSTEM 700 Lakeland Ave, Site 2B IN THE OPEN POSITION Bohemia, NY 11716 AC DISCONNECT - LINE SIDE TAP Ph= 631-988-0000 solar@pacificoengineering.com 100A FUSED SERVICE MAIN SERVICE www-pacificoengineering com 125A LOAD CENTER RATED DISCONNECT 200A -- - - ..._ ----- -- '�EOF ke (1)-20A BREAKER 80A FUSE �P �Q14 PAC/,c �O PER CIRCUIT CO ��fRI t r Ls •'GYp� DISCONNECT : INVERTER OUTPUT CONNECTION a- DO NOT RELOCATE TF^IIS #4 AWG THWN #4 AWG THWN OVERCURRENT DEVICE (1)LINE 1 (1)LINE 1 1 9OFESSI+O � (1)LINE 2 (1)LINE 2 (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL ALTERATION OFTH19DOCUNIENTExCFPTBYA O EGC 1 (1)EGC LICENSED PROFESSIONAL IS ILLEGAL OR SUB PANEL IN 1'-,-,"PVC CONDUIT (1)GPVC CONDUIT PAPER SIZE:1rxn"(ANSI B) IN DATE: 4/9/2022 (N DESIGN BY: MW N CHECKED BY: EE CN REVISIONS:(2)9/16/22 MW cu 2 cz s AC COMBINER: NOTE: 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, ILI 1-PHASE,MAIN LUG LOAD CENTER, 125A ALL WIRING TO MEET THE 2017 NEC AND 2020 ENERGY CODE TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7.16. ELECTRICAL PLAN E-1 ° 100A FUSED SERVICE RATED DISCONNECT u� ' AS-BUILT OWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 541-711- (631)348-0001 SHEA ° RESIDENCE O Q 16'-10" 1350 SMITH ROAD Q PECONIC, NY 11958 Q Q Q © 917-273-0052 _+ S- 98 B- 3 L: 25.1 Q Q Q Q PROJECT DATA: #225428 INVERTER: (51)ENPHASE IQ7PLUS-72-2-US MODULES: (51)Q.PEAK DUO 13LK-610+365 RACKING: IRON RIDGE XR100 WATTAGE: 18,615 ROOFTYPE: COMPOSITION SHINGLES # MODULES (32) WIND LOAD -21 PSF @ 140MPH FASTENER: USE 5/16"DIA.5"LAGS PITCH: 300 -_ AZIMUTH: 680 E� ri ' G� 700 Lakeland Ave, Suite 2B 41-711 Bohemia. NY 11716 Ph: 631-988-0000 solar@pacificoengineering.com www pacificoengineering.com P��p Eby 16'-10" CO 17' 23 14' - 10 11' 0 FfSS10 8.5' 0 0 R-2 ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL 41 0 # MODULES (19) PAPER SIZE 11"x 17"(ANSI B) co ■ SPLICE BAR 20DATE: 4/9/2022 04 © PENETRATIONS 94 PITCH: 31 ' DESIGN BY: MW Ncli CHECKED BY:UFO 116 AZIMUTH: 2480 REVISIONS:(2)9E/16/22 MW 40MM SLEEVE 28 END CAPS 28 N 3 CONSUMPTION o CRITTER GUARD 270' MOUNTING PLAN L-1 powered by tl r NBE, DUO ® Q 1X N • • • ► �YR 'Q ' TOP BRAND PV ' ,`:.-twron AeSEMB USA Warranty 0 CELLS TOT nro',.&Pertmm_ Yield Security G.ANTUM TECHNOLOGY:LOW LEVELIZED COST OF ELECTRICITY Higher yield per surface area,lower BOS costs,higher power classes,and an efficiency rate of up to 20.6%. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields,whatever the weather with excellent l low-light and temperature behavior. ENDURING HIGH PERFORMANCE Long-term yield security with Anti LID Technology,Anti PID ` Technology',Hot-Spot Protect,Traceable Quality Tra.QTM. EXTREME WEATHER RATING `177 High-tech aluminum alloy frame,certified for high snow(5400 Pa)and wind loads(4000 Pa). a A RELIABLE INVESTMENT � Ae�7 Inclusive 25-year product warranty and 25-year linear performance warranty2. STATE OF THE ART MODULE TECHNOLOGY ( ' Q.ANTUM DUO Z Technology and the integrated high-powered Enphase IQ 7+Microinverter achieving maximum system efficiency. RELIABLE ENERGY MONITORING Seamless management with the intelligent Enphase EnlightenTm monitoring system. RAPID SHUTDOWN COMPLIANT Built-in rapid shutdown with no additional components required. THE IDEAL SOLUTION FOR: APT test conditions according tolEC/TS 62804-1:2015,method A(-1600V,96h) See date sheet on rear for further information _FcY Rooftop arrays on residential buildings Engineered in Germany ., CELLS MECHANICAL SPECIFICATIONS Format 67.61n x 41.11n x 1.571n(including frame) (1717 mm x 1045 mm x 40 mm) - ncnmmml Ug Imml Weight 46.3lbs(21.Okg) Front Cover 0.131n(3.2 mm)thermally pre-stressed glass # with antl-reflection technology a.anxaeY,e vo'm•o.vr N.smml rme Back Cover Composite film ee.s.wma�l Fromr Black anodized aluminum a11.11016,1m1 Cell 8 x 20 monocrystelllne Q.ANTUM solar half cells Junction Box 2.09-3.98 x 1.28-2.36 x 0.59-0.711n(53-101 x 32-60 x 15-18mm), Protection class IP67,with bypass diodes Cable 4 mm2 Solar cable;(+)a45.31n(1150mm),(-)a33.51n(850mm) •.u...,.mr Connectc.. Staubli MC4;IP68F - a.Mw•tava.loenw.Al ,< -I La'r 1e0 mm1 oEraLA oaEv�(10i m/ tear(Ills mml I�I 'eSmm) AC OUTPUT ELECTRICAL CHARACTERISTICS 107PLUS-72-ACM-US OR 107PLUS-72-E-ACM-US Peak Output Power [VA] 295 AC Short Circuit Fault Current over 3 Cycles 5.8 Arms Max.Continuous Output Power IVA! 290 Max.Units per 20A(L-L)Branch Circuit 13 Nominal(L-L)Voltage/Range [V] 240/211-264 Overvoltage Class AC Port Max.Continuous Output Current [A] 1.21 AC Port Backfeed Current 18mA Nominal Frequency [Hz] 60 Power Factor Setting 1 Extended Frequency Range [Hz] 47-68 Power Factor(adjustable) 0.85 leading...0.85 lagging DC ELECTR 4L CHARACTERISTICS POWER CLASS 350 365 360 365 1 MANCE AT STANDARD TEST CONDITIONS,STC1(POWER TOLERANCE+5W/-OW) Min.Power at MPP' PMR [Wl 360 365 Min.Current at MPP Ire„ [A] 10.49 10.56 Min.Short Circuit Current' Isc [A] 11.04 11.07 Min.Voltage at MPP VMPP [V] 34.31 34.58 Min.Open Circuit Voltage' Voc [V] 41.18 41.21 Min.Efficiency' rl [%] x20.1 120.3 'Measurement tolerances PMPP t3%;Iso;Vo�±5%at STC:1000 W/m2,26t2°C,AM 1.5 according to IEC 60904-3 0 CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE At least 98%of nominal power during r__-�-� ,-----r-----] first year.Thereafter max.0.5% ---------------------------- degradation per year.At least 93.5% rao--------- of nominal power up to 10 years.At 3least 86%of nominal power up to �n '• 25 years. ❑ so --r-----r-----r-----r-----i Q w All data within measurement toleranc- 2 as.Full warranties in accordance with •e no too •eo too No z the warrant terms of the O CELLS y IRRADIANCE nMlmq sales organisation of your respective o e • r u s a country. reAas Typical module performance under low Irradiance conditions In w•,.e nmcm,a,omv n Iaa a c e.rw.er a7M1 comparison to STC conditions(25'C,1000 W/rra) TEMPERATURE COEFFICIENTS Temperature Coefficient of lu; a [%/K] +0.04 Temperature Coefficient of Voc [%/K] -0.27 Temperature Coefficient of P., y [%/K] -0.34 Nominal Module Operating Temperature NMOT ['F] 109±5.4(43±3°C) m PROPERTIES FOR DC SYSTEM DESIGN Y Maximum System Voltage Vsn [V] 1000 PV Module Classification Class 11 Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 51730 TYPE 2 Max.Design Load,Push/PUI13 [lbs/ft9 76(3600 Pa)155(2660 Pe) Permitted Module Temperature -40•Fupto+186°F Max.Test Load,Push/Pull' [lbs/fliq 113(5400 Pa)/84(4000 Pa) on Continuous Duty (-40•Cupto+85`C) e 3See Installation Manuel QUALIFICATIONS AND CERTIFICATES Soler module:UL 81730. 9 U.S.Patent No.9,893,215(solar cells); Enpheee micro inverter.UL 1741-SA,UL 62109-1, UL1741/IEEE1547,FCC Pert 15 Class 8, o ICES-0003 Class B,CAN/CSA-C22.2 NO.107.1-01, Rapid Shutdown Complient per NEC-2014 &2017 8 0221-2015 ur Note:Installation Instructions must be followed.See the Installation and operating manual or contact our technical service department for further information on approved Installation and use of this product. Hanwhe 0 CELLS Americe Inc. 400 Spectrum Center Drive,Suite 1400,Irvine,CA 92618,USA I TEL+1949 748 59 96 1 EMAIL Inquiry®us.q-celle.com I WEB www.q-cells.us