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1 �OSHFFOL��,G Town of Southold 5/11/2023 a� y� P.O.Box 1179 H x 53095 Main Rd o fi Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44085 Date: 5/11/2023 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 53740 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 61.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/10/2022 pursuant to which Building Permit No. 48688 dated 1/4/2023 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 business building as applied for. The certificate is issued to HC Nofo LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48688 4/6/2023 PLUMBERS CERTIFICATION DATED Auth rized nature TOWN OF SOUTHOLD �gUfFQt 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#: 48688 Date: 1/4/2023 Permission is hereby granted to: HC Nofo LLC PO BOX 869 Southold, NY 11971 To: Install roof mount solar to existing business building as applied for. Disconnects must be located on the exterior, labeled and readily accessible. At premises located at: 53740 Route 25, Southold SCTM #473889 Sec/Block/Lot# 61.4-6 Pursuant to application dated 11/10/2022 and approved by the Building Inspector. To expire on 7/5/2024. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-COMMERCIAL $50.00 Total: $200.00 Building Inspector pF SO!/l�Ql - 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlinCaD-town.southold.ny.us Southold,NY 11971-0959 'QIyCOUIYV,�`C.'' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: HC Nofo LLC Address: 53740 Route 25 City:Southold st: NY zip: 11971 Building Permit#: 48688 section: 61 Block: 4 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: GreenLogic LLC License No: 43858ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New 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 Sump Pump Other Equipment: 11.772kW Roof Mounted PV Solar Energy System w/ (36) SunPower SPR 327Panel: SunPower Monitor, AC Combiner 220x3 215x1 Notes: Solar Inspector Signature: C Date: April 6, 2023 S.Devlin-Cert Electrical Compliance Form a jf so�jy°� �-��� X3'7 Ll 0 -Z+ 257 # # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 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: 71�ihat.- :t E r2tG - OK DATE 14 INSPECTOR 500Tyolo # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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: 2` Cel 'go As pe4e, c o, DATE INSPECTOR J A M E S J. S TOUT A RCHITE CT & ASSOC . 2 G REG LANE E AST NORTHPORT N. Y. o31 — 85a 5388 Post Installation Letter February 16,2023 RE: HC NOFO LLC 53740 Main Road Southold, NY 11971 To whom it may concern: This letter is to confirm that as of February 16, 2023, I, James J Stout, NYS license 021633 have personally inspected the placement and installation of the roof top solar panels above mentioned address. The solar panels have been installed as per manufacturer's guidelines and specifications. The racking system design and installation complies with the 2020 NYSRC and provisions of ASCE 7-16. The installation was done as per plan. Thank you for your cooperation in this matter. James J.Stout Architect 5 ]. OZ 1 33 pQ qrF F E�1-1 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) �y ------------------------------------ C FOUNDATION (2ND) z O W y VS ROUGH FRAMING& PLUMBING � 1 N tS� r INSULATION PER N. Y. H STATE ENERGY CODE •3•a �,; ircee„� chi s�/a�2. amAve-4-t-4w cvu hs��i%� �5 /a�n•s FINAL hs 4h�. k.._ a . ADDITI NAL COMMENTS -� 3 0 I S zz 0� to Jr c Z m X J � - b z � x d b y h TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 littps://www.southoldtownily.gov Date Received APPLICATION FOR BUILDING PERMIT VL F)) f- For Pffice Use Only PERMIT No- - Building Inspector: NOV 1 0 2022 'Applications and forrns,rnust be filled out in thele Entirety,In'complete applications the:owner,an, plicati ns will not be accepted. Where the Applicant,is no OWneesAuthorizatiorifdriii,{Page;)shall be c9m'pleted. TOWN V4 OF SOU "-OLD Date:11/1/2022 OWNER(S)OF:PROPERTY; Name:HC N01FO-ILL.C. I...... TsCTM#1000-61„-4-6 . Project Address:53740 Route 25, Southold, .NY 11971 Email:tZf@me.com Phone#:917-482-4439 Mailing Address:P.O. Box 869, Southold, NY 11971 CONTACT PERSON: Name:Barbara - GreenLogic LLQ Mailing Address:97 North Sea Road, Southampton, NY 11.968 Phone#:6317.7711-51-52I.X117 1 ail:Barbara,@Greenlogic.co.m.. I DESIGN PROFESSIONAL INFORMATION:, Name:James J. Stout Architect & Associates Mailing Address:2 Greg Lane, East Northport, NY 11731 Phone#:631-858-9388 Email:Stouthub@iamesstoutarch-com 'CONTRACTO ATI R INFORM 6N� Name:GreepLogic LLC Mailing Address:97 North Sea Road, Southampton, NY 1196,811. Phone#:631 771-5152 Email:AM@Greenlogic.com ,DESCRIPTION OF PROOOSED CONSTRUCTION E]NewStructure EAddition ®Alteration EIRepair E]Demolition Estimated Cost of Project: bother Solar Panels 41,000 Will the lot be re-graded? ElYes ig No Will excess fill be removed from premises? EJYes ®No 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 No IF YES, PROVIDE A COPY. Ch e k o fter' 1 : The owner eontraator/desi rofessional:iS-responsibie forall drai g / gn;p nage ands#orm.uratr issues as provided by, Chapter 236.of the Tdwn Cade.APPUCAT!ON i5 HERE9Y MADE to.the Building,Department fn`r die issuance:of a Building}+ertrtit pursuant.to the Building zone ordinance of the,Towri;ttf Southold,Suffolk,County,'New York and other applobfe,l aws,ordinances or Regulations;for the construction df buildings, additions,alterations dr for renicirator demolition as herein described.The applicant agrees to cdmply+nritli.allappf[cable lavers,ordinances,building Ode,', housingicde avid regulations and to,admit authorized iiispeciv rs;on premises and in building(spfor necessary inspedinits.`False;tdtements,made herein arre panishabl�as a£Sass°A nil§demeanor pursuant to Section 210:45 of the New York State penal E ave::.:.;. :.:>;.; ` Application Submitted By(print name):GreenLogie LLC BAuthorized Agent ❑Owner Signature of Applicant; Date: 1/1 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 s day of 20 a Notary Public BARBARA A CASCIOTTA E Notary Public-State of New York PROPERTYNo. 01-CA4894969 Where the applicant is not the owner Qualified in Suffolk County ( pp ) Commission Expires May 11,2023 Todd Feuerstein, I, Managing Partner HC NOFO LLC residing at 53740 Main Rd, Southold, NY 11971 do hereby authorize GreenLogic LLC to apply on my behalf to Town of Southold Building Department for approval as described herein. 5/12/2022 Owner's Signature Date Todd Feuerstein Print Owner's Name 2 Afl BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 ,� ru Squthold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cr�southoldtownny.gov -- seand(ab-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 11/1/2022 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 SITE INFORMATION (All Information Required) Name: HC NOFO LLC Address: 53740 Route 25 Southold NY Cross Street: Phone No.: 917-482-4439 Bldg.Permit#: email: tzf@me.com Tax Map District: 1000 Section: 61 ; Block: 4 Lot: 6 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system (36) SunPower SPR-E20-327-E-AC panels ft (24) Enphase IQ7XS-96-ACM-US micro inverters (1) SunPower PVS6 monitor System Size: 11.772KW Check All That Apply: Is.job ready for inspection?: ❑YES 0 NO ❑Rough In OFinal Do you need a Temp Certificate?: ❑✓ YES ❑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 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: ` L.�n it PAYMENT DUE WITH APPLICATION � y N 0 V 1 0 2022 Electrical Inspection Form 2020.xlsx u'U.> ,.STAT� PTITT. T� N Cid'�3�G�a'!1,L'D LOGIC ENERGY November 1, 2022 i "''�7"�� _.n. } E0 , Town of Southold NOV 0 2022 Building Department Town Hall -JTJLDR G DEFT 53095 Route 25 TOWN OF SOU I-11DUO Southold, NY 11971 Project Info: HC NOFO LLC 53740 Route 25 Southold, NY 1000-61-4-6 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, Xa4fia w ewcWta Barbara Casciotta Account Manager Barbara@Greenlogic.com GREEsibdiz1.t5a52,vextGM7,Logic.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 GREENLOGIC@ ENERGY D MAY 0 3 2023 SUIL01 ; May 2, 2023 T0W11J 0FS0i3-1H0LD The Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Project Info: Building Permit No. 48688 HC NOFO LLC 53740 Main Road Southold, NY To the Building Inspector: Enclosed please find the Engineer's Certification Letter for the above referenced address. Please let me know if you have any questions about the installation. Sincerely, 53ajwm CaacWta 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 LC7 f NOV 1 0 2022 MAI N ROA D.- P,'T i 7 PS E P-T vg 7T--�o- ...... MAP OF PROPMTY 5URVEYED FOR -1ES T DUBOVI C14- AND B -)C)4 h,' DUBQV- VIC Fa 2-STO s FRAME BUILDING a !BOUTHOLD TOWN OF �THOILDKY _;dq cs %&E-2dW a. 0 EI'MONUMF-NT suFrco.rAymA96xrA. '=-MI-4-6 J MAF WAII Y'_oLr)SaICK w r-VAIIAN7r-170 110 Mr.-N _ _JAN 16,19e,4 A5 5;�RY6p 7E RODER IC14 VAN-TUYL.PIC. SO Vx,"J A -LOF04 LICENt', 2! F-0 LA e ........ ....... C, :pfqrog�r,N Y Sal314F1�.. METHODIST CHURCH C, ACIDI eCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmYY) `� 02/01/2022 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nicholas Zulkofske Brookhaven Agency,Inc. PH631 941-4113 Fax ONE 631 941-4405 100 Oakland Ave,Ste 1 E-MAIL Certificates@brookhavenagency.com Port Jefferson,NY 11777 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Southwest Marine&General Insurance Co. INSURED INSURER B: Merchants Preferred Insurance Co. Greer ic,LLC INSURERC: First Rehab Life Insurance Co. 97 North Sea Rd,Suite 3 INSURER D: National Liability&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 FORTHE 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 POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE 1 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 JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: E&O Liability $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 B XANY 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 ONLYX AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY y/N 'TA I JTF FIR ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEM ER EXCLUDED? ❑ N/A see separate certificate E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C NYS Disability D251202 04/11/2021 04/11/2022 Statutory Limits E Installation Floater/Property SML93076366 04/15/2021 04/15/2022 $300,000 $2,500 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/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(2016/03) The ACORD name and logo are registered marks of ACORD Yom Workers' CERTIFICATE OF TATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b:Business Telephone Number of Insured Greenlogic LLC 631-771-5152 97 North Sea Rd.,Suite 3 1c.NYS Unemployment Insurance Employer Registration Number of South Hampton,NY 11968 Insured Work Location of Insured(Only required if coverage Is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 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"1 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 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 carder referenced above and that the named insured has the coverage as depicted on this form. Approved by: Alicia Christiansen �(Pnt name of authorized representative or licensed agent of insurance carrier) Approved by: Z (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-705.2.Insurance brokers are NO authorized to issue it C-105.2(9-17) www.wcb.ny.gov YORK workers' CERTIFICATE OF INSURANCE COVERAGE TATE 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 carriell la.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured GREENLOGIC,LLC 631-941-4113 97 NORTH SEA ROAD,SUITE 3 SOUTHAMPTON,NY 11968 1 c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to or Social Security Number 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. F1 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 wid 4f (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 46,4C 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 4B,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) 111111111 1111111 l tf i', t'ff'r'' >�. � .,k L-� tY�' ?' y'�-{lT ;/� ✓. �i�.ry r a :�' y: .,t Ytti'9 na,y :w'4.y w;'s rF. rc�`�'".. �.X 6> � 3.' �+ r • 4 � � .? ,Yb1/r;F r �ti r �`� ��' �'Z,y'' ./' "na _ �� r' s��, •s.. xy'� tir sb" f .,:f,�- 1` r-F' i fi`'. x e �' -„4:i`�`f a > ? s'1 r, � ii' V�".= f \il '..v a'!i' :: ' s' r ' o? e <� r lk z VETERANSORIAL HIGHWAY HAUPPAUGE, 1 • • . . DATE ISSUED: 5/25/2006 No. 40227-H 47 r +hI4 SUFFOLK Home Improvement Contractor License.doing business as ,f1'` e•S t This is to certifv that }\ K I $ f GREEN LOGIC LLC i havin fiumished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and,regulationsoftheCounty • • State1NewYork hereby1 toconductbusiness HOME RttFF IMPROVEMENT CONTRACTOR,in the County of Suffolk. Additional Businesses NOT VALID WITHOUT 5 �s 1 F' 4 JL4 k f r/1 \tel1 ONSUNJER RID CARD �'"'•1''� s x + J f ,s_4Director ; R?T i ,A �.. ?,r� v r,, f rTa 4 e� 3.�`� �"'� �; r� x..4i.d' t, \ r Lr Y � � S r.[” Y t- �s=}$,ti,` •:..�, .r1.,\4ti '. •k ..,.,r �Z.�,�._;�+. ,i '%..;."""j ., f ...c 4R'�e y, ti �;r,`�.� %Y�..� l {.. ':- 1.'`•:t G1�';:'+.a. �.�.�.. � `�,.. '.4t ry ,k,�..- .3: t`a^ :: S 'J� �r hn. S . ',+,� .`Ml ^ � '�,, •'i xi 5 - r�`JM'� .:�`..f� .. �;.,..o^ .r. \ •. Yr' /. .y., y\ .•��1 r2�n �' 1i\ �' \ � *�✓lF �� Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 12/10/2007 No. 43858-ME 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 DEPARTMENTAL SEAL ANDA'CURRENT CONSUMER AFFAIRS Ip CARD �. a Director ._J WAMMr- r NEW EQUIPMENT --- -- -- -- --� EXISTING SERVICE Fc- (TYPICAL SYSTEM SCHEMATIC, I 120/240, 1 PH, 3W MAR 2 a 2023 FINAL INSTALLATION MAY VARY, REQUIRES LOCAL AHJ AND UTILITY APPROVAL) AC-COMBINER PANEL 200A KWH T0WN OFSOIjTHOLU AC—CMB-1 (PV ONLY) PV-SA-1 A (EXTERIOR) B N " ' 2 1 TYP. PV ARRAY i 1OOA I MAIN PV-SA-N A I VA ,[E N BKR-1 _ � MAIN ———— — — I BKR—N TYPICAL PV MODULE WITH I I I A B N INTEGRAL DC/AC INVERTER I I T BKR—M I I J• PM-1 LIPA FEEDER: 8137K6 I I N C II UL 1741 RAPID I N SHUTDOWN CERTIFIED i EGc MAIN c/T EGC I I MBS II I ' -ACCOUNT No.: 9650115478 1 1 1 AC DISTRIBUTION I I NEW EGC N. (NON—CRITCAL LOADS)I METER No.: 96769662 -------1--- #-----------_�-------_--1 IRREVERSIBLE BOND, TYP. i EXISTINGIGEC REVISIONS HC NOFO LLC ��E°"R° � - cGp\ ���3L�GIC o53740 Main Road 5r5.) UPDATED AS-BUILT 3-LINE ELECTRICAL DIAGRAM �`" > 4.) CORRECTED THE AC OUTPUT POWER SPECIFICATIONS ¢ ENERGY Southold, NY 11971 3.) ADDED INVERTER MODEL NUMBER, UTILITY DETAILS *� P` 2.) REVISED PV MODULE SPECIFICATIONS&QTY. ozie�� o ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION9'F of NE�y L' Page 1 of 5 Drawing No: HCNOFO-3LD5 Revision: 5 Revised: 3/15/2023 SYSTEM SUMMARY TOTAL KW RATING: (AC POWER) 11.340 kW TOTAL PV KW RATING: (DC POWER) 11.772 Kw QTY. COMPONENT SPECIFICATION SUNPOWER BRAND, MODEL: SPR-E20-327-E-AC 36 PV MODULE: 327 W DC (NOMINAL), EACH SUNPOWER BRAND, MODEL: SPR-E20-327-E-AC 36 PV INVERTER: (INTEGRAL TO MODULE) INVERTER MODEL: IQ7XS-96-ACM-US, 315 VA, 1.31 A, 240V AC, EACH NOTE: SUNPOWER MODEL SPR-E20-327-E-AC INVERTER SETTINGS COMPLY WITH SECTION 7.5.2 AND 7.5.3 OF THE "PSEG LONG ISLAND'S SMART GRID SMALL GENERATOR INTERCONNECTION TECHNICAL REQUIREMENTS AND SCREENING CRITERIA FOR OPERATING IN PARALLEL WITH LIPA'S DISTRIBUTION SYSTEM" REVISIONS HC NOFO LLC r 53740 Main Road 5.) UPDATED AS-BUILT 3-LINE ELECTRICAL DIAGRAM ¢^PES sr4?FCA - f +` ''7✓ `�, E E a v LOGIC© Southold, NY 11971 4.) CORRECTED THE AC OUTPUT POWER SPECIFICATIONS 'c � ENERGY ELIMINATING THE COST OF ENERGY 3.) ADDED INVERTER MODEL NUMBER, UTILITY DETAILS - * 2.) REVISED PV MODULE SPECIFICATIONS&QTY. #r 021639 O 1.) INITIAL SUBMITTAL WITH APPLICATION 9TR OF NbNy U� Page 2 of 4 Drawing No: HCNOFO-3LD5 Revision: 5 Revised: 3/15/2023 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-E20-327-E-AC, 1-CIRCUIT OF 12-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-E20-327-E-AC, 1-CIRCUIT OF 12-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-E20-327-E-AC, 1-CIRCUIT OF 12-MODULES PM-1 PV SYSTEM POWER MONITOR SUNPOWER BRAND, MODEL: PVS-6 AC-CMB-1 AC COMBINER PANEL, CRITICAL LOADS 250V, 100A, NEMA-311, 1-PH, 3-WIRE BKR-1...BKR-3 CIRCUIT BREAKER, PV-SA-1...PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-M CIRCUIT BREAKER, PM-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 15A ELECTRICAL LOAD SUMMARY,AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3,780 WATTS 211-264 VAC 15.72 A AC 240 V,AC PV-SA-2 3,780 WATTS 211-264 VAC 15.72 A AC 240 V,AC PV-SA-3 3,780 WATTS 211-264 VAC 15.72 A AC 240 V,AC HC NOFO LLC REVISIONS 5. UPDATED AS-BUILT 3-LINE ELECTRICAL DIAGRAM cro C,�.S, r" � { 53740 Main Road ) Eel' A' ",�� E L0GIC� 4.) CORRECTED THE AC OUTPUT POWER SPECIFICATIONS e Ir ENERGY Southold NY 11971 3.) ADDED INVERTER MODEL NUMBER, UTILITY DETAILS ► 2.) REVISED PV MODULE SPECIFICATIONS&QTY. r ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION �9�OF'NE�yOe L% Page 3 of 4 Drawing No: HCNOFO-3LD5 Revision: 5 Revised: 3/15/2023 CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/UF 3/4" PVC-40 10 / 6 B THWN-2 2" PVC-40 4 / 6 C THWN-2 2" PVC-40 12 / 12 1.) CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUIT TO BE MINIMUM PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIRMENTS. 4.) NOTE: EQUIPMENT GROUNDING CONDUCTOR TO BE#6 COPPER, MINIMUM REVISIONS HC NOFO LLC 53740 Main Road � sD � , LE IN L.®GIC° 5.) UPDATED AS-BUILT 3-LINE ELECTRICAL DIAGRAM �F� rF � ✓ 4.) CORRECTED THE AC OUTPUT POWER SPECIFICATIONS ¢,P�. �� Southold, NY 11971 3.) ADDED INVERTER MODEL NUMBER,UTILITY DETAILS e* N E(�CY 2.) REVISED PV MODULE SPECIFICATIONS&QTY. '0?163'' o ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION OF NE�y Page 4 of 4 Drawing No: HCNOFO-3LD5 Revision: 5 Revised: 3/15/2023 ,L APPR VED AS NOTED OCCUPANCY OR DATE: - "a3 B.P.# USE IS UNLAWFUL FEE1e;';'0V'6V BY: WITHOUT CERTIFICATE NOIFYEPARTMENT AT 6311-76 6802 8AMUILDING DT0 PM FOR THE OF OCCUPANCY FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL,-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE -,C) PL`s WITH ALL CODES OF REQUIREMENTS OFTHE CODES OF NEW NEW YORK STATE & TOWN CODES YORK STATE. NOT RESPONSIBLE FOR AS REQUIRED AND CONDITIONS OF DESIGN OR CONSTRUCTON ERRORS SOUTHOLD TOWN ZBA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Yt S,DEC e�eettlato�t.tere�� 4 RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE, S 1 r J A M E S J. S TOUT A RCHITECT & Assoc . 2 G REG L ANE E AST NORTHP0RTN. Y. 631 - 8 58 9388 Letter of Certification October 24, 2022 s em' ` � '� L l� ' RE: HC NOFO LLC NOV 1 0 2022 53740 Main Road Southold, NY 11971 BTM?I �TqIvTC'��,0�� To whom it may concern: I, James J. Stout, registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above listed 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 2"x 8"@ 24"o.c roof rafters will provide the'required support. James J.Stout Architect f-D A1� r 3. Jy &wnLog/c,LLC Approved HC NOFO LLC 53740 Main Road Southold,NY 11971 Surface#A: Total System Size:11.772kW Array Size:10.464kW 1 circuit of 12 on a 20A breaker 1 dreuit of 12 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:152" Pitch:20" Monitoring System: SunPower 0— Pand/ArrayIflcatlorns: Panel:SPR-F20-327-E-AC El Panel: SunPower Wisimount Panel:61.39"X 41.18" Array:41'10 3/8"X 15'5 5/8" Surface:464"X IT 9" Ma is#:Invisimount Legend: 32 SunPower 327W Panel SunPower Invisimount Rad 86 IronRidge Flash Foot 2 BTrue 2x7"Douglas Fir Rafter 24"O.C. Notes. Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:IronRidge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: QED ARCy� 3 S TOUR A s�q 021633 y0� Drawn By: of 8 Date:10113/2022 :A Drawing Scale:1/8"=1.0' A, ",LOGIC ..Y.,.�. r..... .,L - GreenLog/c,LLC Approved HC NOFO LLC 53740 Main Road Southold,NY 11971 Surface#A: Total System Size:11.772kW Array Size:10.464kW 1 dreuit of 12 on a 20A breaker 1 adreuit of 12 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:152° Pitch:20" N Monitoring System: SunPower Panel/ArraSpecifications: Panel:SPR-E20-327-E-AC Raddng:SunPower InVisimount AJL Panel:61.39"X41.19" Array:41'10 318"X 15'5 5/8" Surface:454"X i T 9" Magic#:Invisimount Legend: ® 32 SunPower 327W Panels -- SunPower Invisimount Rall • 86 lronRidge Flash Foot 2 B True 2x7"Douglas Fa Rafter 24"O.C. Notes. Number of Roof Layers:1 o Height above Roof Surfaoe:4" Materials Used:IronRidge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: QED ARC �C9�c ES J S 7-,0 I � O �NE� Drawn By:MA Drawing#2 of 8 Date:10113/2022 REV-A Drawing Scale:1/8"=1.0' GreenLoglc,LLC Approved HC NOFO LLC 53740 Main Road Southold,NY 11971 Surface#A: Total System Size:11.772kW Array Size:10.464WV 1 dreuit of 12 on a 20A breaker 1 dreuit of 12 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:152° Pitch:20° Monitoring System: SunPower 0 Pand/Away§jiecifications: Panel:SPR-E20-327-E-AC ❑ ❑ Raddng:SunPowerinvisimount Panel:61.39"X 41.18" Array:41'10 318"X 15'5 518" N N Surface:45!,V X 1T 9" Ma is#:Invisunount Legend: ® 32 SunPower 327W Panels t N N N -r— SunPower Invisimount Rail co co c 86 lronRidge Flash Foot 2 True 2x7"Douglas Fir Rafter 24"O.C. 2 Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:IrcnRidge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: D ARCy w 021633 1FP7 NMI Drawn By:MA g#3 of 8 Date:10/13/2022 REV:A Drawing Scale:118"=1.0' � LOGIC�' „ C '1-, GreenLogic,LLC Approved HC NOFO LLC 53740 Main Road Southold,NY 11971 Surface#B: Total System Size:11.772kW Array Size:1.308kW 1 circuit of 4 on a 20A breaker Azimuth:332° Pitch:20° N Monitoring System: SunPower Pand/Affay Specifications: Panel:SPR-E20-327-E-AC ❑ Raddng:SunPower lnvisimount Panel:61.39"X 41.18" Array:13'11"X 5'13/8" Surraae:45'4"X 1T 9" Magic*Invisimount Legend: ® 4 SunPower 327W Panels SunPower Invisirnount Rail 0 16 IronRidge Flash Foot 2 B True 2x7"Douglas Fir Rafter 24"O.C. Notes: Number of Roof Layers:1 Height above Roof Surfaoe:4" Matefials Used:IronRidge,SunPower Added Roof load of PV System:3.51351' En 'neer/Architect Seal: D ARC, S S?-,T Ory/T�� .a_ 021633 y0� F OF NEIN Drawn By:MA rawing#4 of 8 Date:10/13/2022 REV:A Drawing Scale:118"=1.0' - " *LOGIC GreenLogfo,LLC Approved HC NOFO LLC 53740 Main Road Southold,NY 11971 Surface#B: Total System Size:11.772WV Array Size:1.308kW 1 circuit of 4 on a 20A breaker Azimuth:332" Pitch:20" N Monitoring System: SunPower Pand/Affay Specifications: Panel:SPR-E20-327-E-AC Raddng:SunPowerinvisunount Panel:61.39"X 41.18" N�z EA Array:13'11"X 5'1 318" Surface:46 4"X 1 T 9" Magic*Invisimourit Legend: ® 4 SunPower 327W Panels —�- SunPower Invisimount Rail 16 IronRidge Flash Foot 2 8 True 2xr Douglas Fir Rafter 24"O.C. Notes: Number of Roof Layers:l Height above Roof Surface:4" Materials used:IronRidge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: D ARCy J S?-, F OF NE`s Drawn By:MA Drawing#5 of 8 Date:10/13/2022 REV:A Drawing Scale:1/8"=1.0' 1 LOGIC° GreenLogic,LLC Approved HC NOFO LLC 53740 Main Road Southold,NY 11971 Surface#B: Total System Size:11.772kW Array Size:1.30BkW 1 circuit of 4 on a 20A breaker Azimuth:332' Pitch:20* N Monitoring System: SunPower Pand/Array Specifications: Panel:SPR-E20-327-E-AC ❑ Racking:SunPowerinvislmount Panel:61.39"X 41.18" Array:13'11"X 5'1318" Surface:45'4'X 1 T 9' 4 Mactic#:Invisimount Legend: ® 4 SunPower 327W Panels SunPower Invisimount Rail • 16 IronRidge Flash Foot 2 Tno 2xr Douglas Fir Rafter 24"O.C. Notes: - Number of Roof Layers:1 Height above Roof Surface:4' Materials Used:IrcnRkIge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seat: ��ZlE°AROh� is l 021633 y0� F OF NE`N Drawn By:MA Drawing#6 of 8 ` Date:10113/2022 1 REV:A Drawing Scale:118"=1.0' No Vent Pies Will Be Covered By The Solar ArravLOGIC® . Legend: GneenLogfc,LLC Approved HC NOFO LLC AR-Access Roof AP-Access pathway,36"minimum width SVO—Setback at ridge 53740 Main Road per R202 definitions per R324.6.1 as per R324.6.2.1 Southold,NY 11971 Total System Size:11.772kW 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker 1 circuit of 8 on a 20A breaker 1 circuit of 4 on a 20A breaker Azimuth:152° Monitoring System: SunPower I i Pand/Array Specifications: I I API IAP Panel:SPR-E20-327-E-AC I Racking:SunPower Invisimount I I Panel:61.39"X 41.18" Surface:46 4"X 69' IAPBIAP Magic#:Invisimount Meter AP_____ end: 36 SunPower 327W Panels I I I — SunPower Invisrtr►ount Rail AP API • 102 IronRidge Flash Foot 2 ' A6I True 2xT Douglas Fir Rafter 24"O.C. Notes: ——-Q'— Number of Roof Layers:1 4 SunPower Height above Roof Surface:4" 327W Panels Materials Used:IrcnRidge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: 32 SunPower a�C 327W Panels \� ES J ST y/T D; 1 � T X21633 F OF NE`s Drawn By:MA g#7 of 8 Date:10113/2022 1 REV:A Drawing Scale:1/16"=1.0' LOGIC`. GreenLoglc,LLC Approved HC NOFO LLC 53740 Main Road Southold,NY 11971 JOB MATERIAL LIST Total System Size:11.772WV 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker 1 circuit of 8 on a 20A breaker 1 circuit of 4 on a 20A breaker Azimuth:152° Monitoring System: N Material List tv. Rail Ma_ terial List QtY: SunPower PanellArra ificaf➢oris: Panel:SPR-E20-327-E-AC Raddng:SunPowerinvislmount CastAluminum Mounting Block w1 Black Aluminum Flashing 102 Panel:61.39"X 41.18" 102 Surface:45'4"X 69' 5116"x0.75°Fender Washer magic*.Invisimount 5116"x4.75"Hex-Head Lag Screw 102 acrd: ® 36 SunPower 327W Panels -- SunPower Invistmount Rail 102lronRidge Flash Foot True 2x7"Douglas Fir Rafter 24"O.C. Notes: Number of Roof Layers:1 Height above Roof Surfaoe:4" Materials Used:IronRidge,SunPower Added Roof load of PV System:3.5psf En neerfArohitect Seal: ARS' � SES J S X21633 40 F 1 Drawn By: g#8 of 8 Date:10/13/2022 REV:A Drawing Scale:1116"=1.0' - -- ----- -- -- -- ----- ----- --- NEW EQUIPMENTEXISTINGSERVICE SYSTEM PV—SA-1 A AC—COMBINER PANEL RNNAAL I INSTALLATION MAY VARY. 120/240, 1 PH, 3W ' AC—CMB-1 REQUIRES LOCAL AHJ • • • B AND UTILITY APPROVAL) LIPA FEEDER: 81137 1%b 200A K W H 11 UL 1741 RAPID PV—SA-2 q iJBKR-1 AIN(---( SHUTDOWN CERTIFIED • • • A B N I C AC—DSC-1 I AC DISCONNECT I i BKR-2 i II TYP. PV ARRAY I TYP. PV—SA—N q I I BKR—N • • • I I MAIN N . . . 2 1 A B N ---- — --1 I I FUSED TYPICAL PV MODULE WITH I I I N INTEGRAL DC/AC INVERTER III III 4 EGC IEGC n r o LE3III I I N LJ I = I I I MBJ EGC N 0 V 1 0 2022 I l i I B I j I AC DISTRIBUTION I s�Tr t TVY I I I I I I (NON—CRITCAL LOADS) n �:` �✓ i sa Wit,, -.F. �..T L�----------------------------1— ---- — EC z,_ , .xar:=-=.-__ss7 i----- EXISTINGJG IRREVERSIBLE BOND, TYP. I� #4 CU - -- -- ----- -- -- -- --—-- -- -- -- -- -- ---- PROPOSED 3-LINE ELECTRICAL DIAGRAM HC NOFO LLC REVISIONS GR - 53740 Main Road C+ EENLOGIC® Southold, NY 11971 ENERGY 2.) REVISED PV MODULE SPECIFICATIONS&QTY. ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 5 Drawing No: HCNOFO-3LD2 Revision: 2 Revised: 9/18/2022 SYSTEM SUMMARY TOTAL KW RATING: (AC POWER) 11.520 kW TOTAL PV KW RATING: (DC POWER) 11.772 Kw QTY. COMPONENT SPECIFICATION SUNPOWER BRAND, MODEL: SPR-E20-327-E-AC 36 PV MODULE: 400 W DC (NOMINAL), EACH SUNPOWER BRAND, MODEL: SPR-E20-327-E-AC 36 PV INVERTER: (INTEGRAL TO MODULE) 320 VA, 1.33 A, 240V AC, EACH HC NOFO LLC REVISIONS 53740 Main Road GREENLOGICO Southold, NY 11971 la ENERGY 2.) REVISED PV MODULE SPECIFICATIONS&QTY. ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 4 Drawing No: HCNOFO-3LD2 Revision: 2 Revised: 9/18/2022 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-E20-327-E-AC, 1-CIRCUIT OF 12-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-E20-327-E-AC, 1-CIRCUIT OF 12-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-E20-327-E-AC, 1-CIRCUIT OF 12-MODULES AC-CMBP AC COMBINER PANEL, CRITICAL LOADS 250V, 200A, NEMA-1, 1-PH, 3-WIRE BKR-1...BKR-3 CIRCUIT BREAKER, PV-SA-1...PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 200A, NEMA-1, FUSED; FUSE RATING: 150A ELECTRICAL LOAD SUMMARY,AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3840 WATTS 211-264 VAC 15.96 A AC 240 V,AC PV-SA-2 3840 WATTS 211-264 VAC 15.96 A AC 240 V,AC PV-SA-3 3840 WATTS 211-264 VAC 15.96 A AC 240 V,AC HC NOFO LLC REVISIONS REGENLOGIC® 53740 Main Road Southold NY 11971 ENERGY z.) REVISES PV MODULE SPECIFICATIONS&QTY. ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 4 Drawing No: HCNOFO-3LD2 Revision: 2 Revised: 9/18/2022 CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 2" PVC-40 2/0 / 2 C THWN-2 2" PVC-40 2/0 / 2 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUITTO BE MINIMUM PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIRMENTS. 4.) NOTE: EQUIPMENT GROUNDING CONDUCTOR TO BE#6 COPPER, MINIMUM PROPOSED ELECTRICAL LOADS HC NOFO LLC REVISIONS 53740 Main Road GREENLOGICO Southold, NY 11971 ct ENERGY 2.) REVISED PV MODULE SPECIFICATIONS&QTY. ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 4 of 4 Drawing No: HCNOFO-3LD2 Revision: 2 Revised: 9/18/2022 - i:• \�^, .��"�Mu °_ .�"".^:,,phi:,;.�xr...,...W ���_w_ •�n.^.:� ..r °^e' : y f =�s r �I y lfT7prove"Support," Reduce Maintenance Costs Sun?ower EnergyLink—Plug-arid-Play Installation An intuitive monitoring ivebsite enables you co: This cornplete solution for residential and conrrner�ial rr7on Loring and See,a"Visual map of customer sites control Includes the>>unPower'''PV Suuervisor 6{PVSi�)which improves 2emctely manage hundreds of saes -e irrstalladcr)process,ove•all system reliability,and customer Receive elective system reports ex perier"rce. :.state syser:n issues.and rernotelv diagnose Compact'cotprint for improved aesthetics Diagnose issues oniine Robust clod connectivity and comprehensive local connectivity Drill ric}.^.n for the status,.i t.is o`' nd !icual r;evrr.:es Flexible configuration of devices dunrr�;Installation x.•«,z:•:•, Consumption metering .._. ".. Revenue-grade production rrret:er:ng(pending) web-based commissioning r I - Remote diagnostics of PvS6 and inverters ^ . / c re u 7 r Cr.irable ULT}rye 3R encle.ure duces rn :i,tenonce toss Easy integration'with SunPower eBOS Add Value for Customers ap, Robust Cloud Connectivity t, ,+ he ~unPovver vonitoringSystem customers can: " Multiple options to mairita'n optima! See.. PJraT the'r sols system prcduce..0 each t' „t "" ., C:nr:E C Vlt.y': day,month,or yea~ ",q, Hardwired Ethernet i Opmirnize Lheir solar investment and save on i; ' bvi i=i energy expenses Celluiar backup .See"their ever gy use arid estin•ated bili savings See ? See their sclar system's performance using the, SunPower monimring evebsite o,mobile app x SunPower Monitoring Websites PVS6 SunPower AC Modules ®r a. , .. ..._ 1 1 rf `^ w- Multiple communication options include Ethernet,Wi-Fi,and cellular. a 3 Number of SunPower AC modules 85 Ternperatme -L2°F to+`.4G°F(-30°C to+60°Ci supported per P'J56 Humidity(maximum) 955,non-condensing Internet access Hign-speed Internet access vla accessible router or switch 10!7-2401 VAC(E..-N},50 0'G(l i-iz ' Power • 208 VAC(L-L in 3-phase),60 Hz RS-485 Iniverters and meters • One channel of revenue-grade production metering integrated Metering 1M.."_1 ,.. • w . 1 wo channels o-consurnotion metering --......... Weight 5.51bs(2,5 kg) Ethernet 1 LAN(or optional`NAN)port Dimensions 11.8 x 8.0 x 4.2 in.(30.5 x 2.0.5 x 10.8 cm) PLC PLC for SunPower AC r~odules Enclosure rating UL50E Type 3R Vv'i-Fi 802.11 bfgln 2.4 GHz and 5 GHz Cellular _ LTE Cat-M1/3G U.IVTS Ifgi3ee1_=E?.E 802.15.4 i'AAC,2.4Gs iz ISM band Data Storage 160 days Customer site f.7.tt?f..rltt?L? _ 5lli� 5 GQLtt Upgrades Au omat farnware upgrades Partner site pvsmgmr.ussunoovrer.com Browsers Rrefox,Safari,and Chrome Mobile devices iPhon&",iPadll and Android:' x - Customer aPP 1.Create account online at:monitor,us.sunpQver.com. ^ '• g " Y 2.On a fflobiie device,dovinload the SunPo:ver M0rritoring Warranty 10 year Limited Warrantyapp from Apple App Stony`''or Google Play�`store. 3.Sign in using account email and pass-word. Certifications UL,cUL,CE,UL 61010-1 and-2,FCC Part 15(Class B} 1 V C@us LMTM FCC ID:YAW529027 E503346 i SUNPoWER" 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. ;Viii sii 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. Designed to deliver 60%more energy over 25 years in real-world conditions like partial shade and high temperatures.' 150% ---------------------------------- 3 140% ---- Fundamentally Different. a 130% ° 120% Up to And Better. >, 110% 60% 10096 .- more C 90% lifetime d e0% energy 70% N 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 With more than 25 million modules deployed around • Patented solid metal foundation prevents breakage and corrosion the world,SunPower technology is proven to last.That's why we stand behind our module and microinverter with the industrys best 25-year Combined Power and Product Warranty,including the highest Power Warranty in solar. 9a%aFactory-integrated Microinverter 96% -- • Simpler,faster installation 94% 7r1 • Integrated wire management, E 90% 12% rapid shutdown a ae% +i;' f more • Engineered and calibrated by S4 power SunPower for SunPower modules az% ' In year 25 0 5 10 15 20 25 Years of operation Datasheet 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/Rangez(V) 240/211-264 208/183-229 Max.Continuous Output Current(A) 1.31 1.51 Max.Units per 20 A(LL)Branch Circult3 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 Warranties,CerCifications,and Compliance 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 Power Tol. +5/-0% +5/-0% UL 1703•UL 1741/IEEE-1547 Module Efficiency 20.4% 19.9% and and UL 1741 AC Module(Type 2 fire rated) Temp.Coef.(Power) -0.3545/°C -0.35%/oC 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-022.2 NO.107.1-01 power point tracking CA Rule 21(UL 1741 SA)4 Teste• •- • • • (includes Volt/Var and Reactive Power Priority) UL 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: 12 psf, ,6 0 Pa,305,611 kg/ front t 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 InvisiMount racking and InvisiMount accessories - (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 1 black anodized(highest AAMA rating) PID Test Potential-induced degradation free Weight 42.9 lbs(19.5 kg) 1558mm(613in.) --------- Recommended Max. Module Spacing 1.3 in.(33 mm) --� 1 SunPower 360 W compared to a conventional module on same-sized arrays(260 W,16% i 46 mm efficient,approx.1.6 M2),4%more energy perwatt(based on third-party module characterization and PVSI m),0.75%/yr slower degradation(Campeau,Z.et al.'•SunPower Module Degradation Rate,"SunPower white paper,2013). I 1 2 Based on search of datasheet values from websites oftop 10 manufacturers per IHS,as of 1046 mm January 2017. (at.2ln1 30mm...- 3#1 rank in•'FraunhoferPV Durability lnitiativefor5olar Modules:Part 3."PVTech Power I (1.2 in.) Magazine,201 S.Campeau,Z.eta]."Sun Power Module Degradation Rate;'Sun Powerwhite paper,2013. 4 Factorysetto 1 547a-2014 default settings.CA Rule 21 defaultsettings profile set during 393 mm commissioning.See the Equinox Installation Guide#518101 for more information. (15.5 In.) 5 Standa rd Test Conditions(1000 W/m2 irradiance,AM 1.5,25°C).N REL cali bration l standard:SOMS current,LACCS FF and voltage.All DC voltage is fu Ily contained withi n the module, 6 This product is UL Listed as PVRSE and conforms with NEC 2014 and NEC 2017 690.12; -.,1 437 mm and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors; (17.21n.) when installed according to manufacturer's instructions. xMoaxE U` Iocr umnr See www.sunpower.com/facts for more reference Information. HIEW o N For more details,see extended datasheet www.sunpower.com/datasheetst notice. E4 S U M P W E R� Specificationsincluded inthis datasheetare subjecttochangewithoutnotice. FISTED�-0 02018 Sun Power Corporation.All Rights Reserved.SUNPOW ER,the Module Fire Pedormenm:Type 2 SUNPOWERIogo and MAXEON are registered trademarks of SunPower Corporation in the U.S.and other countries as well.1-800-SUNPOWER. Please read the Safety and Installation Instructions for details. 531 948 ReVA r:l"19 = i •r • - Simple and Fast Installation - integrated module-to-rail grounding Pre-assembled mid and end clamps Levitating mid clamp for easy placement I s• --: Mid clamp width facilitates consistent,even module spacing Simple,pre-drilled rail splice UL 2703 Listed integrated grounding Flexible Design Addresses nearly all sloped residential roofs l f °stb } -=—r— Design in landscape and portrait Rails enable easy obstacle management Customer-Preferred Aesthetics - ,✓ _ _ __ _ _ _� #1 module and#1 mounting aesthetics Best-in-class system aesthetics Elegant Simplicity Premium,low-profile design Black anodized components SunPower® InvisiMountTm is a SunPower-designed Hidden mid clamps and end clamps rail-based mounting system. The InvisiMount system and capped,flush rails addresses residential sloped roofs and combines faster Part of Superior System installation time, design flexibility, and superior aesthetics. Built for use with SunPower DC and AC modules The InvisiMount product was specifically envisioned and Best-in-class system reliability and aesthetics Combine with SunPower modules and engineered to pair with SunPower modules.The resulting monitoring app system-level approach will amplify the aesthetic and installation benefits for both homeowners and installers. •.N U sunpower.com Y � I � N ., 1 e i !W�� * •,i, � to �'�� _i 1pvt5ilM c ),Lfint Cop• Module*/Mid Clamp and Rail Module*/End Clamp and Rail s !Z1 n Mid Clamp End Clamp Rail&Rail Splice Ground Lug Assembly End Cap i } I n e • • De • • ^• • • •is Component Material Weight Temperature -40°C to 90°C(-40°F to 194°F) Max.Load(LRFD) - 3000 Pa uplift Mid Clamp Black oxide stainless steel AISI 304 63 g(2.2 oz) 6000 Pa downforce End Clamp Black anodized aluminum alloy 6063-T6 110 g(3.88 oz) Rail Black anodized aluminum alloy 6005-T6 830 g/m(9 oz/ft) InvTsJM® ® • ns Rail Splice Aluminum alloy 6005-TS 830 g/m(9 oz/ft) 25-year product warranty Ground Lug 304 stainless Warranties Assembly (A2-70 bolt;tin-plated copper lug) 106.5 g/m(3.75 oz) 5-year finish warranty End Cap Black acetal(POM)copolymer 10.4 g(0.37 oz) • UL 2703 Listed Certifications • • Supported• Class A Fire Rated lnvisNountDeSign Tool Composition Shingle Rafter Attachment Application Composition Shingle Roof Decking Attachment '•• Curved and Flat Tile Roof Attachment Universal Interface for Other Roof Attachments Refer to roof attachment hardware manufacturer's documentation. *Module frame that is compatible with the InvisiMount system required for hardware interoperability. ©2015 SunPower Corporation.All Rights Reserved.SUNPOWER,the SUNPOWER logo,and INVISIMOUNT are trademarks or registered trademarks of SunPower Corporation.All other trademarks are the property of their respective owners. sunpower.com Specifications included in this datasheet are subject to change without notice. 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