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HomeMy WebLinkAbout48066-Z ��O�QgtlFF�tX y Town of Southold 3/25/2023 P.O.Box 1179 N 'y 53095 Main Rd �yfj41 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43957 Date: 3/25/2023 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 43960 CR 48, Southold SCTM#: 473889 Sec/Block/Lot: 63.-1-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/10/2022 pursuant to which Building Permit No. 48066 dated 7/14/2022 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: additional roof-mounted solar panels to existing system on the church building as applied for. The certificate is issued to N F Utd Methodist Church of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48066 3/13/2023 PLUMBERS CERTIFICATION DATED Auto' edg tore ��o�gUFFO( TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 48066 Date: 7/14/2022 Permission is hereby granted to: N F Utd Methodist Ch PO BOX 1198 Southold, NY 11971 To: install additional roof-mounted solar panels to existing system on the church building as applied for. At premises located at: 43960 CR 48, Southold SCTM # 473889 Sec/Block/Lot# 63.-1-15- Pursuant to application dated 6/10/2022 and approved by the Building Inspector. To expire on 1/13/2024. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Building Inspector pF SOUTyoI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ sean.devline-town.southold.ny.us Southold,NY 11971-0959 Q�yCOUNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: N F Utd Methodist Church Address: 43960 CR 48 city:Southold st: NY zip: 11971 Building Permit#: 48066 Section: 63 Block: 1 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: GreenLogic License No: 43858ME SITE DETAILS Office Use Only Residential Indoor X Basement Solar X Commerical X Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures 11 Sump Pump Other Equipment: 5.23kW Roof Mounted PV Solar Energy System w/ (16) SPR E20 327W Modules, Combiner Panel Notes: Solar Inspector Signature: Date: March 13, 2023 S.Devlin-Cert Electrical Compliance Form f # TOWN OF SOUTHOLD BUILDING DEPT. °y�ourm N�' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: c& kW Ale A�0,0 civ 4C4 G� DATE INSPECTOR OE SOUIyo TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING WFINAL (MIA-,/ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE v ZO INSPECTOR ,:y t,{.. FIELD:INSPE.GTIUI k•R P. RT,: T �., `COQ;;„ ' I '= .tl ' Ii• ,NM: N �a .FOTDA (NOT . '.'f Vic,.:. r'., :``<:r,+ ;.l�"l-?:p . ;.1., . -.i, a g., :.p i::. .. . . 'I`' t' . r FOUNDATION'{{.2"' A. 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Box 1179 Southold,NY 11971-0959 `'�y • Telephone (631) 765-1802 Fax'(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ��� 0 2022 PERMIT NO. �IJC Building Inspector: BUILDING EPT TOWN OF SOD HOLD Applications and forms must be filled out in`their entirety.Incomplete, ;applications will:not be accepted. Where the.Applicant is not the owner,an :Owner's Authorization form(Page 2)shall be completed.; Date:5/3/2022 OWNER(S)OF PROPERTY:, Name:N F United Methodist Church SCTM#1000-63-1-15 Project Address:43960 Middle Road, Southold,_NY._ 11.971 Phone#:631-905-6743Email: Mailing Address:43960 Middle Road Southold, NY 11971 CONTACT PERSON! „ Name:Barbara - GreenLogic_LLC _................_.__._....._..._......................_.........._._.__.._--.--..........._.__ ..._ __..............._.__._.._.._.. Mailing Address:97 North Sea Road, Southampton,_NY 11968 Phone#:631-771-5152 x117 Email:BarbaraOGreenloci ic_.com---------------- DESIGN PROFESSIONAL INFORMATION: Name:James J. Stout Architect & Associates Mailing Address:2 Greg_Lane,_East Northport,_NY 11731 Phone#:6S1-858-9388 Err'a l stouthubC@jamesstoutarch.com CONTRACTOR INFORMATION: ; NameGreenLogic LLC..............__........ ._......__._ ..._._.._.._._. ._ _�..__.__.._._......._.._. _ . _._._. __..__._........_.........._. ._....___...._..._------._..._ Mailing Address:97 North,Sea Road,_Southampton. NY 11968 Phone#µ6S1-771-5152_._ _ Email:AM@Greenlogiccom__ _ DESCRIPTION OF PROPOSED CONSTRUCTION El New Structure ❑Addition MAI teration ❑Repair ❑Demolition Estimated Cost of Project: DOther Solar Panels- Expansion $ 20,000 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes BNo 1 P OPERTY INFORMAONTI ;. 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 B No IF YES, PROVIDE A COPY. B Cheek,BoxAfter Reading: The owner/contractor/design professional is responsible for all s drainage and storm water I g t sues as provided bY., ,- Chaptei 236 of the Town Code. APPLICATION IS HEREBY MADE.to the Building Department forthe issuance of a Building Permit pursuanfto the Building Zane Ordinance of the Town'of Southold,Suffolk;County,New York and"other applicable Laws„Ordinances or,Regulations,.for the construction ofb6ildings, .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 inspectomon premises and in buildIing(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to,Sectlon.210.45 of the New York State Penal Law. Application Submitted B GreenLo iC LLC pp y{print name): 9 BAuthorized Agent ❑Owner Signature of Applicant: Date: S! 3 a STATE OF NEW YORK) SS: COUNTY OF suffolk ) Nesim Albukrek 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 day of / Y/ 20 Notary Public BARBARA A CASCIOTTA Notary Public-State of New York PROPERTY OWNER AUTHORIZATION No.01-CA4894969 (*11 !d in Suffolk County (Where the applicant is not the owner) Commission Expires May 11.2023 residing at do hereby authorize GreenLogic LLCto apply I on 1 m b half t t Town of S 4uthold Building Department for approval as described herein. Owner's Signature c/ Date W LL('� 'b4 %M ot=:-A dL Print Owner's Name 2 ® E E �t:ft►t BUILDING DEPARTMENT- Electrica n ectdrUN -1-02 C��Sov TOWN OF SOUTHOLD 072 =` 1L /a Town Hall Annex - 54375 Main Road - PO B&'Ncpftn"LIT 3 Southold, New York 11971-0959 nor Telephone (631) 765-1802 - FAX (631) 765-9502 ? . s rogerr(@southoldtownny.gov — seand(cb-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 5/3/2022 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 ®krequest an email copy of Certificate of Compliance Address.: 97 North Sea Road Southampton, NY 11968- JOB 1968JOB SITE INFORMATION (All Information Required) Name: NF United Methodist Church Address: 43960 Middle Road,Southold, NY 11871 Cross Street: Phone No.: 631-905-6743 Bldg.Permit#: email: Tax Map District: 106cr Section: 63 Block: 1 Lot: 15 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system (14) SunPower SPR-X22-360-E-AC panels Et (14) SunPower SPR-X22-360-E-AC micro inverters (1) SunPower PVS6 monitor System Size: 5.080kW SYSTEM EXPANSION Check All That Apply: Is job ready for inspection?: DYES ❑✓ NO ❑Rough In ❑✓ Final Do you need a Temp Certificate?: DYES ❑NO Issued On Temp Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead # Underground Laterals ❑1 02 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION C Electrical Inspection Form 2020.xlsx /��2Z AMENDED BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road - PO Box 1179 is yr Southold, New York 11971-0959 yid a®� Telephone (631) 765-1802 - FAX (631)765-9502 rogerrCa7southoldtownnv.gov- seand0southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 3/9/2023 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 ®icrequest an email copy of Certificate of Compliance Address.: 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (All Information Required) Name: NF United Methodist Church Address: 43960 Middle Road,Southold, NY 11871 Cross Street: Phone No.: 631-905-6743 Bldg.Permit#: 48066 email: Tax Map District: 1000 Section: 63 Block: 1 Lot: 15 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system -16) SunPowerSPR-E20-327-E-AC panels Et 061 SunPower SPR-E-30-327-C-AC micro inverters ° (1) SunPower PVS6 monitor System Size: 5.2321(w SYSTEM EXPANSION Check All That Apply: Is job ready for inspection?: ❑YES ❑✓ NO ❑Rough In ❑✓ Final Do you need a Temp Certificate?: EYES ONO Issued On Temp Information: (All information required) Service Size ❑1 Ph 03 Ph Size: A #Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground []Overhead #Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ON Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.x1sx AN HORIZED ALTERATION OR ADDITION N tTe ALL SLIBSDFFADE STRUCTURES: AREA — 106,156 SQ.FT. IS SO%U IS A VIOLATION OF WFTER S�JPPL,,SANITAR, SYSTEMS, papn N 7209 OF THE NEN YORK STATE DRAINAGE,DRYWELLE AIJD UTILITIES, tW.'1a11 TION IAN SHOWN ARE FROM FIELD OBSERVATIONS Z.Q�Q�ACRES S OF THIS SURVEY M,.P NOT BERRINC AND OR DATA ODTAINED FROM O'HERS. I)�✓NflCN ANG SED SEALSSAEO SEAL SHALL NOT SE COIISIOERED THE E/ISTENCE OF RGHTS OF WAY VALID TRI,E COPY ANDD,NOT S EME1OWN TAREFIRECOT ORD IF EED. NTEES INDICATEDHEREON SHALL RUN n„,RED,ANDY To THE S CN HON OIS BEHALFR V'HO TTO THEHE VEYCOMPANY.DOJERIIMENTA:..OENCY ANCIJO INSTTONL STOHEREONANCE ASSIRGIIEES OF THE LFNOII It,INSTI- N GUA ANTEES .PE NOT TRANSFERABLE 2631T .� R. T C C ,I • �R '” Op % t t a W LI t yfpTlC , Jw ilk� z WyeL O ` _ WUR STORY BUILDING(G{URCN) ¢1K ,` <\nNN6 AR\ ,.ALT AVN FAIUIING A _ tiA 61 O6 ,.I. i ��, ymm• d s' wr 4 �0p[ a_ ENe 3265T Final Survey Survey for Property situote al Southold Town of Southold vn sualErirvc Suffolk County, New York MiSO ntoville@aol.com Tax Map #1000— ec.12,15 IVIii— Scale 1"= 30' Dec.12, 2018 IT TOPOOPARHCT SURVEYSGAGE PyErS GRAPHIC SCALE LA ED PI-NNERS N NINTo PHONE/5.1,1 T2+-+e12 O1,. mare uc xa•9esz v FAx.;s31)7zA-5555 (IN FEET 1 `w r... I inch= 30 (L 93 SMIMTOWN BOULEVARD SMITBTOWN.N.Y. II7- GREENLOGICO ENERGY June 9, 2022 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Project Info: NF United Methodist Church 43960 Middle Road Southold, NY 1000-63-1-15 Dear Building Inspector: Please find attached a building permit application to install a roof mounted solar photovoltaic(PV) electric system for the above referenced property. In connection with this application, please find attached: • Building Permit application with owner authorization • Application for Electrical Inspection • 2 Surveys of the Premises • 4 Engineer's Reports • 2 Three Line Electrical Drawings • 2 Spec. sheets of the solar panels • 2 Spec. sheets for Racking System • 2 Spec.sheets for Monitoring System • GreenLogic Suffolk County Home Improvement License • GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License • Check for$200($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, ffaldawa 1&a4edolfa Barbara Casciotta Account Manager GREEAffNR-rPRGr�n.W(S i corn Tel: 631.771.5152 Fax: 631.771.5156 629 771 5152 ext 197 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd., Suite 3 200 S. Service Rd., #106 Southampton, NY 11968 Rosyln Heights, NY 11577 GRE NLOGICO ENERGY March 9, 2023 Town of SoutholdI / t Building Department MAR 13 2023 Town Halll�l��tJ�U� 53095 Route 25 �flWiv0F"30 mos Southold, NY 11971 Project Info: NF United Methodist Church 43960 Middle Road Southold, NY 1000-63-1-15 Permit:-4806.6_ Dear Building Inspector: Enclosed please find the below revised documents as the system changed. • Amended Electrical Inspection • 2 Amended Plansets • 2 Electrical Drawings • 2 Spec.sheets of the solar panels Please let us know if you need anything else in connection with this application. Yours truly, MavcPaw ea 6cioftac Barbara Casciotta Account Manager Barbara@Greenlogic.com 631-771-5152 ext. 117 GREENLOGIC LLC •www.GreenLogic.com Tel: 631.771.5152 Fax: 631.771.5156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd., Suite 3 200 S. Service Rd., #106 Southampton, NY 11968 Rosyln Heights, NY 11577 GEiVLOGIC® , MAR 3 0 202 ENERGY 3 1 � March 9, 2023 MJILI)j� j�u � March 24,2023—2"d submittal flUUr�G�S�� � Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Projectlnfo: NF United Methodist Church 43960 Middle Road Southold, NY 1000-63-1-15 Permit:48066 Dear Building Inspector: Enclosed please find the below revised documents as the system changed. • Amended Electrical Inspection • 2 Amended Plansets • 2 Electrical Drawings • 2 Spec. sheets of the solar panels Please let us know if you need anything else in connection with this application. Yours truly, J3wdfc cac emch*a Barbara Casciotta Account Manager Barbara@Greenlogic.com 631-771-5152 ext. 117 GREENLOGIC LLC • www.GreenLogic.com Tel: 631.771.5152 Fax: 631.771.5156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd., Suite 3 200 S. Service Rd.,#106 Southampton, NY 11968 Rosyln Heights, NY 11577 DATE(MM/DD/YYYY) .aco CERTIFICATE OF LIABILITY INSURANCE 02101/2022 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nicholas Zuikofske Brookhaven Agency,Inc. PHONE 631 941-4113 Fax 631 941-4405 100 Oakland Ave,Ste 1 E-MAIL . Certificates@ brookhavena enc .com Port Jefferson,NY 11777 INSURER(SI AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine&General Insurance Co. INSURED INSURER B: Merchants Preferred Insurance Co. GreenLogic,LLC INSURER C: First Rehab Life Insurance Co. 97 North Sea Rd,Suite 3 INSURER o:National Liability 8r Fire Insurance Co. Southampton NY 11968 INSURER E: AGCS Marine Insurance Co. 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTRTYPE OF INSURANCE POLICY NUMBER D X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE �OCCUR DAMAGE TO RENTED $100,000 X Contractual Liability X X GL202200012922 01/31/2022 01/31/2023 MED EXP(Any oneperson) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY Y)ECT 7 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHE y E&O Liability $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED X X CAP1043565 08/11/2021 08/11/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY UMBRELLALIAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PERTII F OTH- AND EMPLOYERS'LIABILITY ' YIN N ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A see separate certificate (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C NYS Disability I D251202 04/11/2021 04/1112022 Statutory Limits E Installation Floater/Property SML93076366 04/15/2021 04115/2022 $300,000 $2,500 Ded DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is also named as Additional Insured. 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 BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NEw Workers' CERTIFICATE OF YORSTATE BoardCompensation01 NYS WORKERS' COMPENSATION INSURANCE COVERAGE �®ai'd 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Greenlogic LLC 631-771-51.52 97 North Sea Rd.,Suite 3 1 c.NYS Unemployment Insurance Employer Registration Number of South Hampton,NY 11968 Insured Worts Location of Insured(Onlyrequired if coverage is specfil�ca!ly limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up POBOA Number 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of insurance Carrier (Entity Being Listed as the Certificate Holder) United Wisconsin Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"l a" Building Department 53095 Route 25 WC589-00169-021-SZ Southold,NY 11971 3c.Policy effective period 12/01/2021 to 12/01/2022 3d.The Proprietor,Partners or Executive Officers are F1 included.(Only check box if all partnersfofiicers included) E] all excluded or certain partnerslofficers excluded. This certifies that the insurance carrier indicated above in box 7'insures the business referenced above-in box°1a"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 Carder.or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box 7'. 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: Alicia Christiansen (P'nt name of authorized representative or'licensed agent of insurance carrier) r Approved by: 4 ? (Signature) (Date Title:Director of Sales Operations Telephone Number of authorized representative or licensed agent of insurance carrier. 941-306-3077 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NO authorized to issue it. C405.2(9-17) www.wcb.ny.gov r� YORK Workers'5YAYE CERTIFICATE OF INSURANCE COVERAGE Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1a.Legal Name 8 Address of Insured(use street address only) 1 b.Business Telephone Number of Insured GREENLOGIC,LLC 631-941-4113 97 NORTH SEA ROAD,SUITE 3 SOUTHAMPTON,NY 11968 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required it coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company TOWN OF SOUTHOLD BUILDING DEPARTMENT 3b.Policy Number of Entity Listed in Box"1 a" 53095 ROUTE 25 DBL251202 SOUTHOLD, NY 11971 3c.Policy effective period 04/11/2021 to 04/10/2023 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 4/7/2022 By . wwk . (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 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 emailed to PAU@wcb.ny.gov or it can 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 46,4C or 5B have 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(Article 9 of the Workers'Compensation Law)with respect to all of their 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 (12_21) III 111111111111111111111111ii�iiiiiiiiiiiiiiiii1111111 V 7, T 2- NO J, A A- Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEWYORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY Home Improvement Contractor License This is to certifv that MARC A CLEAN doing business as GREEN LOGIC LLC sN; 5 having ftu-nished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk. Additional Businesses I.......... NOT VALID WITHOUT DIEPARTMENTAL SEAL AND A CURRENT 0 CONSUNkElt AFFAIRS ED CARD Director A. -OG( ,sm� 'A —k!7 R� �WC ��31 Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 12/10/2007 No. 43858-ME i SUFFOLK COUNTY Master Electrician License This is to certify that ROBERT J SKYPALA doing business as GREENLOGIC LLC having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk, State of New York. Additional Businesses NOT VALID WITHOUT DEPARTm ENTAL SEAL ANDA CURRENT CONSUMER AFFAIRS 11)CARD a. I Director SUMP WER° SunPower®E-Series: E20-327 I E19-320 SunPowero Residential AC Module Built specifically for use with the SunPower Equinox1m system,the only fully integrated solution designed,engineered,and warranted by one manufacturer. Maximum Power. Minimalist Design. Industry-leading efficiency means more power and savings iii per available space.With fewer modules required and hidden microinverters,less is truly more. Highest Lifetime Energy and Savings. 16 Or a Designed to deliver 60%more energy over 25 years in real-world conditions like partial shade and high temperatures.' ' 150% F---------------------------------- 3 140% Fundamentally Different. 30% And Better. 10 120% SunPowerlUp to r 110% 60% 100% more C 90% lifetime d >- 80% energy A 70% (�1 CiLt111ak1JY3 N 60% 0. 5 10 15 20 25 The SunPower®Maxeon®Solar Cell Years of operation • Enables highest-efficiency modules available.2 Best Reliability. Best Warranty. • Unmatched reliability • Patented solid metal foundation With more than 25 million modules deployed around = : . prevents breakage and corrosion the world,SunPower technology is proven to last.That's i why we stand behind our module and microinverter ' with the industrys best 25-year Combined Power and I Product Warranty,including the highest Power Warranty in solar. 0) 100% Factory-integrated Microinverter °o. 96% a • Simpler,faster installation —,M 94% 92% C • Integrated wire management, E 90% 111111111111111111111111 12% rapid shutdown 3 88% more 41 a6% f2f auk r ` owe • Engineered and calibrated by M a4% p SunPower for SunPower modules o az% in year e0% 25 0 5 .10 15 20 25 Years of operation Datasiheet E-Series: E20-327 I E19-320 SunPower®Residential AC Module AC Electrical Data Inverter Model:Enphase IQ 7XS(IQ7XS-96-ACM-US) @240 VAC @208 VAC Peak Output Power 320 VA 320 VA Max.Continuous Output Power 315 VA 315 VA Nom.(L-L)Voltage/Rangel(V) 240/211-264 208/183-229 Max.Continuous Output Current(A) 1.31 1.51 Max.Units per 20 A(LL)Branch Circuit3 12(single phase) 10(two pole)wye CEC Weighted Efficiency 97.5% 97.0% Nom.Frequency 60 Hz Extended Frequency Range, 47-68 Hz AC Short Circuit Fault Current Over 3 Cycles 5.8 A rms Overvoltage Class AC Port III AC Port Backfeed Current 18 mA Power Factor Setting 1.0 Power Factor(adjustable) 0.7 lead./ 0.7 lag. No active phase balancing for three-phase installations DC Power Data Warrandes,Certifications,and Conidiance SPR-E20-327-E-AC SPR-E19-320-E-AC Warranties 25-year limited power warranty Nom.Power 6(Pnom) 327 W 320 W 25-year limited product warranty PowerTol. +5/-0% +5/-0% UL 1703 Module Efficiency 20.4% 19.9% Certifications UL 1741/IEEE-1547 y and UL 1741 AC Module(Type 2 fire rated) Temp.Coef.(Power) -0.35%/°C -0.35%/°C Compliance UL 62109-1/IEC 62109-2 FCC Part 15 Class B -Three bypass diodes ICES-0003 Class B Shade Tol. •Integrated module-level maximum CAN/CSA-C22.2 NO.107.1-01 power point tracking CA Rule 21(UL 1741 SA)4 (includes Volt/Var and Reactive Power Priority) TI�Sted OperathE Cond"itionsUL Listed PV Rapid Shutdown Equipment6 Operating Temp. -40°F to+185°F(-40°C to+85°C) Max.Ambient Temp. 122°F(50°C) Enables installation in accordance with: NEC 690.6(AC module) Max.Load Wind:62 psf,3000 Pa,305 kg/m2 front&back - NEC 690.12 Rapid Shutdown(inside and outside the array) Snow:125 psf,6000 Pa,611 kg/m2 front NEC 690.15 AC Connectors,690.33(A)-(E)(1) Impact Resistance 1 inch(25 mm)diameter hail at 52 mph(23 m/s) When used with InvislMount racking and InvisiMount accessories _.Mechanical Da�a (UL 2703): Solar Cells 96 Monocrystalline Maxeon Gen III Module grounding and bonding through InvisiMount Class A fire rated Front Glass High-transmission tempered glass with When used with AC module Q Cables and accessories(UL 6703 and anti-reflective coating UL 2238)6: Environmental Rating Outdoor rated •Rated for load break disconnect Frame Class black anodized(highest AAMArating) PID Test Potential-induced degradation free Weight 42.91bs(19.5 kg) ------_.------- 1558mm(61.3In.) ------- - Recommended Max. 1.3 in.(33 mm) Module Spacing I, 1 SunPower 360 W compared to a conventional module on same-sized arrays(260 W,16% i 46 mm efficient,a pprox.1.6 m2),4%more energy perwatt(based on third-party module characterization and PVSi m),0.75%/yr slower degradation(Ca mpeau,Z.et al."Su n Power Module Degradation Rate,"Sun Power white paper,2013). 2 Based on sea rch of clatasheet values from websites oftop 10 man ufacturers per I HS,as of 1046mm 30M.— January 2017. (41.2 in.) (1.2 in.) 3#1 rank in"Fraunhofer PV Durability lnitiativeforSolarModules:Part 3."PVTechPower Magazine,2015.Campeau,Z.etal."Sun Power Module Degradation Rate,"Sun Powerwhite d j paper,2013. 4 Factory setto 1547a-2014 default settings.CA Rule 21 default settings profile set during 393 mm commissioning.See the Equinox Installation Guide#518101 for more information. (115.5in.) 5 Standard Test Corditlons(1000 W/m2 irradiance,AM 1.5,25'C).NREL calibration standard:SOMS current,LACCS FF and voltage.All DC voltage is fully contained within the L. ._—..t. module. mm 6 This product is UL Listed as PVRSE and conforms with NEC 2014 and NEC 2017 690.12; -" q37 437 M".) and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors; when installed according to manufacturer's instructions, uMoaaa UL cam vuaoarumrtr See www.sunpower.com/facts for more reference information. m w�rancl"E (� I I �I p w For more details,see extended datasheet www.sunpower.com/datasheets notice, ��0 J V 1 \ 1 � ♦ E RO Specifications included inthis datashee[are subjecttochangewithoutnotice. LI$TED E°°�°0 ©2018 Sun Power Corporation.All Rights Reserved.SUN POWER,the Module Fire Performance:Type 2 SUNPOWERlogo and MAXEON are registered trademarks of SunPower 531948 RevA Corporation in the U.S.and other countries as well.1-800-SUNPOWER. Please read the Safety and Installation Instructions for details. power.cosunm f` EXISTING ARRAY PV-SA-E1 q � (TYPICAL SYSTEM SCHEMATIC, EXISTING SERVICE ® i FINALREQUIRES INSTALLALOALTION MAHJAY VARY, 120/240, 1 PH, 3W • AC-COMBINER PANEL AND UTILITY APPROVAL) N • " • 2 1 AC-CMB-1 B 200A KWH ———— — —— TYP. PV ARRAY MAIN PV-SA-EX A I A B N C • � � I i BKR—E1 AC-DSC-1 N • • 2 1 I AC DISCONNECT iTYPICAL PV MODULE WITH I i BKR-EX INTEGRAL DC/AC INVERTER NEW EQUIPMENT -- BKR—N1 PV-SA-N1 A F-M-1 MAIN I • • • 2 1 I I BKR—NX o/ A B N i _ FUSED TYP. PV ARRAY N ° Ff II13 L PV-SA-NX I I i 4 EGC EGC A II I II I I N N • • . 2 � I B i MBJ EGC ---- - 1I I TYPICAL PV MODULE WITH III I I AC DISTRIBUTION I INTEGRAL DC/AC INVERTER I (NON-CRITCAL LOADS)III -- -- -- -- -- -- EXISTINGIGEC - IRREVERSIBLE BOND, TYP. #4 CU = NF Ltd. Methodist Church REVISIONS 43960 Middle Road "E°A LOGIC° ¢p r��. r hi1� Southold NY 11971 � � � -� � ENERGY 2.) ADDITIONAL PV �, X21633 ,OQt ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: NFMC-3LD2 Revision: 2 Revised: 2/23/2023 EXISTING PV EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-E1 PHOTOVOLTAIC SUB-ARRAY (EXISTING) SUN POWER SPR-X22-360-E-AC, 1-CIRCUIT OF 7-MODULES PV-SA--E2 PHOTOVOLTAIC SUB-ARRAY (EXISTING) _ SUN POWER SPR-X22-360-E-AC, 1-CIRCUIT OF 7-MODULES BKR-E1 CIRCUIT BREAKER, PV-SA-1 (EXISTING) MATCH AC COMBINER.PANEL BRAND, 2-POLE, 20A BKR-E2 CIRCUIT BREAKER, PV-SA-1 (EXISTING) MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-CMB-1 AC COMBINER PANEL 250V, 200A, NEMA-1, 1-PH, 3-WIRE AC-DSC-1 AC DISCONNECT SWITCH 250V, 200A, NEMA-1, FUSED; FUSE RATING: 150 NEW PV EQUIPMENT&COMPONENT SCHEDULE TAG - DESCRIPTION SPECIFICATION PV-SA-N1 PHOTOVOLTAIC SUB-ARRAY (NEW) SUN POWER SPR-X21-327-E-AC, 1-CIRCUIT OF 8-MODULES PV-SA-N2 PHOTOVOLTAIC SUB-ARRAY (NEW) SUN POWER SPR-X21-327-E-AC, 1-CIRCUIT OF 8-MODULES BKR-N1 CIRCUIT BREAKER, PV-SA-N1 (NEW) MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-N2 CIRCUIT BREAKER, PV-SA-N2 (NEW) MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A PROPOSED EQUIPMENT SPECIFICATIONS NF Ltd. Methodist Church REVISIONS 43960 Middle Road S�PEOAR°y GREENLOGICO ENERGY Southold, NY 11971 2.) ADDITIONAL PV '�r'oats3'��oer ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION L, F°F Nfi Ra e 2 of 3 Drawing No: NFMC-3LD2 Revision: 2 Revised: 2/23/2023 ELECTRICAL LOAD SUMMARY STATUS TAG POWER, MAX VOLTAGE RANGE MAX. VOLTAGE, NOM. CURRENT EXISTING PV-SA-E1 2,240 WATTS 211-264 VAC 9.31 A AC 240 V,AC EXISTING PV-SA-E1 2,240 WATTS 211-264 VAC 9.31 A AC 240 V,AC NEW PV-SA-N1 2,520 WATTS 211-264 VAC 10.40 A AC 240 V,AC NEW PV-SA-N1 2,520 WATTS 211-264 VAC 10.40 A AC 240 V,AC CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. /, EGC A USE-2/PV/UF 3/4" PVC-40 10 / 6 B THWN-2 2" PVC-40 2/0 / 4 C THWN-2 2" PVC-40 2/0 / 4 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUIT TO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIRE- MENTS. EQUIRE- MENTS. 4.) NOTE: GROUNDING ELECTRODE CONDUCTOR TO BE#4 COPPER, MINIMUM NF" Ltd. Methodist Church REVISIONS / {{�� ppJ 43960 Middle Road t�V,DAR N"5 I� E LOGIC® Qti,F,5�.�T G P� V �7 0 R 15® Southold, NY 11971 �"". ENERGY 2.) ADDITIONAL PV ��, oQr ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION �OF NEN Pa e 3 of 3 Drawing No: NFMC-3LD2 Revision: 2 Revised: 2/23/2023 GREENLOGIC@ >=� ENERGY GreenLogi'c,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 Surface#A: Total System Size:5.232kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:177' Pitch:37" Monitoring System: N SunPower hn SunPower PandIArra Specifications:Panels highlighted in gray Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:69'10"X 15'5 5/8" Surface:129'X.26'3" Magic#:Invisimount Legend: 1 16 SunPower 360W Panels SunPower lnvisimount Rail 24 Quick Mount E Lag I I 2x12"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4' Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.84psf En ineerfArchitect Seal: } Drawn By:M brewing#1 of 6 Date:4/21/2022 REV:A Drawing Scale:1/16"=1.0' i y 4 f_t•" ._3 i GreenLogic,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 Surface#A: Total System Size:5.232kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:177° Pitch:37" Monitoring System: N SunPower 40 Existing SunPower Panel/Arra Specifications: ifications: Panels highlighted ingray Panel:SPR-E20-327AC Racking:SunPower Invisimount 1111111 till Panel:61.39"X 41.18" Array:69'10"X 15'5 5/8" Surface:.129'X 26 3" Ma is#:Invisimount Legend: 16 SunPower 360W Panels SunPower Invisimount Rail 24 Quick Mount E Lag so 2x12"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers---I Height above Roof Surface:4 Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.84psf En neer/Architect Seal: ., t . DrawnBy:MAe Drawing 4 2 of 6 . Date:4/21/2022 REV:A Drawing Scale:1/16"=1.0' L , - GR,EENLOGIC° FNF.RGY GreenLogic,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 Surface#A: Total System Size:5.232kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth-177" Pitch:37" Monitoring System: N 40 Existing SunPower SunPower ) . Panels highlighted in gray PandIArra cMcations: Panel:SPR-E20-327-E,AC Racking:SunPower Invisimount Panel:61.39"X 41.18" AN A Array:69'10'.X 15'5 5/8" 1 2 x I Surface:129'X 263" Magic#:Invisimount 3 x 1 4 x I Legend: MA-j- 16 SunPower 360W Panels SunPower Invisimount Rail • 24 Quick Mount E Lag I I 2x12"Douglas Fir Rafter 16"O.C. Notes. Number of Roof layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.84psf En neer/Architect Seal: Drawn By:M dB Drawing#3 of 6 Date:4/21/2022 REV:A Drawing Scale:1/16"=1.0' No Vent Pipes Will Be Covered By The Solar ArraX =�f rI�EEE,, LOGIC Legend: GreenLogic,LLC Approved AR-Access Roof AP-Access pathway,36"minimum width SVO—Setback at ridge NF Ltd Methodist Church per R202 definitions per R324.6.1 43960 Middle Road P P as per 8324.6.2.1 Southold,NY 11971 Total System Size:5.232kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:177° Monitoring System: N Meter SunPower Pand/Array S cificatlons: Panel:SPR-E20-327-E-AC Raddng:-SunPower Invisimount Panel:61.39"X 41.18" Legend: —� 16 SunPower 327W Panels SunPower lnvisimount Rail 24 Quick Mount E Lag 1 2x12"Douglas Fir Rafter 16'0.C. Notes: I Number of Roof Layers:1 I Height above Roof Surface:4" �nP Materials Used:Eco-Fasten,SunPower I Added Roof load of PV System:2.84psf 40 BdstingSunPower Panes Ngeigmed h gray I E.n "neer/Archftect Seal: lA C,; APIix LXIXI 1XIXIXISIX, C 16 SunPower 327W Panels Drawn By:MMB Drawing#4 of 6 Date-4/21/2022 REV:A Drawing Scale:3/64"=1.0' 0"REENLOGICe Green Logic,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 Labels Installed as per NEC Total System Size:5.232kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker 1. Warning: Photovoltaic Power Source Label on PV Conduits 2. Photovoltaic AC Disconnect Label with Amperage and Voltage notations. Azimuth:177' 3. Labeling of PV circuits. Monitoring System: N 4. Warning Label on Utility Meter noting dual power supply (PV and Utility). SunPower 5. Label on Utility Meter noting location of AC Disconnect Panel/Array Specifications: 6. Label on PV combiner panel. Caution: Do not install additional loads in this panel. Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Legend: f f • +�i� 16 SunPower 327W Panels r . • • r SunPower Invisimounl Rail 24 Quick Mount E Lag 1: BA 2x12"Douglas Fir Rafter 16'O.C. Notes: Number of Roof Layers: 1 CAUTION DO NOT + Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower ADDITIONAL ! + r PANEL i Added Roof load of PV System:2.84psf En 'neer/Architect Seal: WARNING: POWER SOURCE- SOLAR r• • R DISCONNECT LOCATED ADJACENT TO MAIN BASEMENTELECTRICAL PANEL IN Drawn By:MMB' I Drawing#5 of 6 Date:4/21/2022 1 REV:A Drawing Scale:3/64"=1.0' G R E E i\l LOG IC' ENERGY GreenLogic,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 Total System Size:5.232kW JOB MATERIAL LIST 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:177" Monitoring System: N SunPower PandlArray Specifications: Material List gtV. Rail Material Ust gtV. Panel:SPR-E20-327-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Cast Aluminum Mounting Block w/Black Aluminum Flashing 24 5/16"x7/8"EPDM Sealing Plug 24 Legend: 5/16'x5.5"Hex-Head Lag Screw 24 Q 16 SunPower 327W Panels 5/16"x115"FenderWasher 24 — SunPower Invisimount Rail 24 Quick Mount E Lag 11 202"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eoo-Fasten,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: i, �f Drawn By:MMB Drawing#6 of 6 Date:4/21/2022 REV:A Drawing Scale:3164"=1.0' J A M E S J. S TOUT A R C H I T E C T & ASSOC. 2 G REG L ANE E AST NORTHP0RTN. Y. 831 - 8 58 9388 U� Letter of Certification April 27, 2022 D E C E " E RE: NF Ltd Methodist Church SUN .1 O 2022 3D 43960 Middle Road Southold, NY 11971 BUILDING DEPT. TOWN OF SOUTHOLD To whom it may concern: I, James J. Stout, registered architect IVYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above- mentioned address and have determined the structure and the attachment to be adequate to support the new additional load imposed by the proposed solar system and complies with the 140-mph wind design load as per 2020 Residential code of NYS(RCNYS), 2020 Energy conservation construction code of NYS(ECCCNYS), and the ASCE 7-16. The existing 2"x 12" @ 16"o.c. roof rafters will provide adequate support. James J.Stout Architect OW UP CY OR APPROVED AS NOTED p DATE: A B P # U ItisLIN LAWFU.L FEE: U BY: HOU CERTIFICA " �E�AR NOTIFY'BUILDING DEPARTMENT AT q 5�� O'�i 765-18J.02. 8 AM TO 4 PM FOR THE OF OCCUPANCY C-6 ,P�tis. �TQ& �0- FOLLOWING INSPECTIONS: I. FOUNDATION - T Vo REQUIRED FOR POURED CONCRETE l - 2. ROUGH FRAMING & PLUMBING OMPL ITH ALL CODES, fy 3. INSULATION N YORKTATE & TOWN"C � �' �� 4. FINAL - CONS �_� �, -� '633 � �; OIJ MUST A REQUIRED AND CONDI IQ, ` NE�y BE COMPLETE :O;- ,0 ALL CONSTRUCT;,,N ; ,ALL MEET THE S�UT�fOC[TTO REQUIREMENTS OF THE CODES OF NEW _ - SO4WP,1i. A1NING BOARD YORK STATE. NOT RESPONSIBLE FOR _SOUT-R9L-B-TBWN-TRUSTEES DESIGN OR CONSTRUCTION ERRORS. N.Y�-BE6— ELECTRICAL INSPECTION REQUIRED �GREENLOGIC' ENERGY GreenLogic,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 Surface#A: Total System Size:5.080kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:177° Pitch:37" Monitoring System: N SunPower 40 Existing SunPower PandArray Specifications: Panels highlighted in gray Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39'X 41.18" Array:69'10"X 15'5 5/8" X Ir Surface:129X X 26 3" Magic#:Invisimount Legend: ® 14 SunPower 360W Panels SunPower Invisimount Rail 21 Quick Mount E Lag 1 2x12"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.84psf En meer/Architect Seal: ,e ipEDARC SES J STC 0 63'3 SOF NEI`l Drawn By:MMB Drawing#1 of 6 Date:4/21/2022 REV:A Drawing Scale:1/16"=1.0' ENL®Gic® ENERGY GreenLogic,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 Surface#A- Total System Size:5.080kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:177° Pitch:37" Monitoring System: N SunPower 40 Existing SunPower Panel/Array Specifications: Panels highlighted in gray Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:69'10"X 165 5/8" Surface:129 X 263" Ma is#:Invisimount Legend: ® 14 SunPower 360W Panels OL SunPower Invisimount Rail 21 Quick Mount E Lag 8 2x12"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.84psf En 'neer/Architect Seal: 'C, �ED ARC S J S poG'y�j� is eC n� .a titi � 4,S 9TH ;«21633 ��Q' Drawn By:MMB Drawing#2 of 6 Date:4/21/2022 REV:A Drawing Scale:1/16"=1.0' ENERGY GreenLogic,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 Surface#A: Total System Size:5.080kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Aa muth:177° Pitch:37" Monitoring System: N SunPower 40 Epsting SunPower Pand]Array Specifications: Panels highlighted in gray Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" AN Array:69'10"X 15'5 5/8" 1MX4 Surface:129'X 26'3" Magic#:Invisimount 3 Legend: ® 14 SunPower 360W Panels SunPower Invisimount Rail • 21 Quick Mount E Lag 2x12"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal: A&C i� s UroG�/T�n P i y 21633 - oo FNE� Drawn By:MMB Drawing#3 of 6 Date:4/21/2022 REV:A Drawing Scale:1/16"=1.0' No Vent Pipes Will Be Covered By The Solar Arrax r��—p GREENLOGIC® ENERGY Lege nd: GreenLogic,LLC Approved AR-Access Roof AP-Access pathway,36"minimum width SVO—Setback at ridge NF Ltd Methodist Church 43960 Middle Road per R202 definitions per R324.6.1 as per R324.6.2.1 Southold,NY 11971 Total System Size:5.08OkW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:177' Monitoring System: I)—Meter SunPower Pand/Array Specifications: Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Legend: ® 14 SunPower 360W Panels SunPower Invisimount Rail 21 Quick Mount E Lag B 2x12"Douglas Fir Rafter 16"O.C. I Notes: 1 Number of Roof Layers:1 1 Height above Roof Surface:4" AP Materials Used:Eco-Fasten,SunPower I Added Roof load of PV System:2.84psf 40ExisfingSunPower I Paneb highllgMed in gray Engineer/Architect Seal: I ------------ ------ ----------------- R -----J EDA C ------ ------- ------&VII------ 1lxixixixixlxlxixixixixixlxlxixix �\5 "�S J S TClXjAjXjXjXjXIXlXlXlXl - 1 �{ « , APIs `,. _ 1 � 14 SunPower T� F NO�O W Panels f l N Drawn By:MMB Drawing#4 of 6 Date:4/21/2022 REV:A Drawing Scale:3/64"=1.0' �GREENLOGIC° Green Logic,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 Labels Installed as per NEC Total System Size:5.080kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker 1. Warning: Photovoltaic Power Source Label on PV Conduits Azimuth: 177° 2. Photovoltaic AC Disconnect Label with Amperage and Voltage notations. N 3. Labeling of PV circuits. Monitoring System: 4. Warning Label on Utility Meter noting dual power supply (PV and Utility). SunPower 5. Label on Utility Meter noting location of AC Disconnect Panel/Array Specifications: 6. Label on PV combiner panel. Caution: Do not install additional loads in this panel. Panel:SPR-X22-360-E-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Legend: Q 14 SunPower 360W Panels PHOTOVOLTAIC SYSTEM AC DISCONNECT . DUAL POWER — SunPower Invisimount Rail SUPPLY 21 Quick Mount E Lag - i I SOURCES.* UTILITY GRID ANDB B 2x12"Douglas Fir Rafter 16"O.C. • SOLAR ELECTRIC Notes: ir Number of Roof Layers: 1 CAUTION. DO NOT INSTALL Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower . LOADS PANEL Added Roof load of PV System:2.84psf Engineer/Architect Seal: PHOTOVOLTAIC : �����U HSC RCF ��5 SES J S 7-POWER SOU SOLAR AC DISCONNECT l �r LOCATEDtf ELEECTRICAL PANEL IN BASEMENT 021 33 COQ' Drawn By:MMe I Drawing#5 of 6 Date:4/21/2022 1REV:A Drawing Scale:3164"=1.0' G REE N LOG IC° ENERGY GreenLogic,LLC Approved NF Ltd Methodist Church 43960 Middle Road Southold,NY 11971 _ Total System Size:5.080kW JOB MATERIAL LIST I 1 a_n.uit.of 7-on_a 20A breaker A�iml rth•.i n System: ` N noon oring PanellArray Sp3cifi . o . Material List- - _.. N QtV. Rail Material List QtV. - - SPR X22 360 E,'•AC • InPnwar Inuicimnnnt Pand:61.39",X_.._.....;__..__... ... . - --. .. . .. - __..._. _. � 4118"; int_ing Block w/Black Aluminum Flashing 21 f x7/8 EPDM Sealing Plug 21 'x5.5" Hex-Head Lag Screw 21 _.. .. ... ..... .. . ....__..,....-_. . ._. L J 14- sunrower 3titiw h'anels - _ ... :... ... _ nrnamwunt unrowe! Rail .6"x1.25"Fender Washer 21 -- a "' xrnna:¢.Fir Ra ftFr arc Nnmhar�nf Rnnf Height a ove Roof Surface: :naffs use' co-ra's eri�Suni:Iower Added.Roaf Juad.of PV.System:.2.84psf Engineer/Architect Seat: �a:RE D ARC �'g J STC ®0 9633 �0 �F NES Drawn By:MMB Drawing#6 of 6 Date:4/21/2022 REV:A _ T Drawing Scale:3/64"=1.0' 2 ��� 1IC 120/240, SERVICE Y PV—SA-1 200A H) I AC—COMBINER PANEL i PV—SA-2 i AC—CMB-1 r I (PV LaADS ONLY) AC DISCONNECT 1 . . • ® ® I AC-DSC-1 1N 13 13 a I 1 iI f� I I r F Y___D MAIN I II m`R-2 —! € EI € FUSED € A B N II r Ii ® € € II € N IEGc iI 1 I I 4 EGC 1 it I I I I i � Ecc 8 EXISTING AC PANEL i ( I I I I EXISTING i — L ----------- ---------------- �___-i GEC-------- IGEC IRREVERSIBLE SPLICE #6 CU 5.040kW DC 4.410kW AC PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS N F Ltd Methodist Church �' . 43960 Middle Road FN RGY Southold, NY 11971 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Church-3LD1 Revision: 1 Revised: 3/17/22 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PV SUB-ARRAY SPR-X22-360-E-AC ENPHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 7-MODULES PV-SA-2 PV SUB-ARRAY SPR-X22-360-E-AC EN PHASE IQ7XS-96-ACM-US, 1-CIRCUIT OF 7-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 2520 WATTS 211-264 VAC 10.25 A AC 240 V,AC PV-SA-2 2520 WATTS 211-264 VAC 10.25 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS N F Ltd Methodist Church GREENLOGIC@ 43960 Middle Road ENERGY Southold, NY 11971 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Church-3LD1 Revision: 1 Revised: 3/17/22 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH, 3-WIRE BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 100A, NEMA-1, FUSED; FUSE RATING: 100A CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 1-1/2" PVC-40 4 / 4 C THWN-2 1-1/2" EMT 4 / 4 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUITTO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIREMENTS. 4.) NOTE:GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER MINIMUM. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS N F Ltd Methodist Church �\ _ EN LOG IC O 43960 Middle Road F-, Southold, NY 11971 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Church-3LD1 Revision: 1 Revised: 3/17/22