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HomeMy WebLinkAbout48731-Z og11FF0trt Town of Southold �o� oGy 9/24/2023 0 P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44579 Date: 9/24/2023 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 485 Gillette Dr.,East Marion SCTM#: 473889 Sec/Block/Lot: 38.4-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/28/2022 pursuant to which Building Permit No. 48731 dated 1/13/2023 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 an existing single family dwelling as applied for. The certificate is issued to Cervone,David&Barbara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48731 6/6/2023 PLUMBERS CERTIFICATION DATED /7 Ole Au or ed i ature Tf= - TOWN OF SOUTHOLD �osUFFn� � BUILDING DEPARTMENT .. y?� 0 TOWN CLERK'S OFFICE SOUTHOLD, NY y of 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 #: 48731 Date: 1/13/2023 Permission is hereby granted to: Cervone, David 485 Gillette Dr East Marion, NY 11939 To: Install roof mounted solar panels to an existing single family dwelling as applied for per manufacturer specifications. At premises located at: 485 Gillette Dr., East Marion SCTM # 473889 Sec/Block/Lot# 38.4-1 Pursuant to application dated 11/28/2022 and approved by the Building Inspector. To expire on 7/14/2024. Fees: SOLAR PANELS $50.00 CO-RESIDENTIAL $50.00 ELECTRIC $100.00 Total: $200.00 Building Inspector pf SO!/jy�l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviina-town.southold.ny.us Southold,NY 11971-0959 �yc4UNT`t,N ' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: David Cervone Address: 485 Gillette Dr city:East Marion st: NY zip: 11939 Building Permit#: 48731 Section: 38 Block: 4 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: EmPower Solar License No: 65990ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 15.525kW Roof Mounted PV Solar Energy System w/ (35) SPR415W Modules Combiner Panel 100A w/220x5, SunPower Monitor, Line Side Tapped Notes: Solar Inspector Signature: Date: June 6, 2023 S.Devlin-Cert Electrical Compliance Form pFSOUTy # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: O Va �y e 117 IrAAC MV �r� l D DATE INSPECTOR OE SOUTyOlo b l( # # TOWN OF SOUTHOLD BUILDING DEPT. 631.765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATIO CAULKING [ ] FRAMING /STRAPPING [ FINAL i'✓ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Pc✓ � Q DATE R INSPECTOR Gregory Sachs, PE 4589 Austin Blvd., Island (516)-544-4592 Park, NY 11558 permitting@empower-solar.com September 11th, 2023 Town of Southold E lb(� E E Building Department ® 54375 Route 25 23 Southold, NY 11971 SEP 2 2� Permit#:48731 BulldIng Department Town of Southold 485 Gillette Drive East Marion, NY 11939 Section:038.00 Block:04.00 Lot: 001.000 To Whom It May Concern: The Solar Electric installation at 485 Gillette Drive, East Marion, NY 11939 (Cervone Residence) has been inspected and meets the New York State Building Code standards for construction and the provisions of ASCE 7.The solar panels have been secured to the roof as per the manufacturer's attachment detail shown on the approved drawings, and are in compliance with the structural engineer's requirements.The project is consistent with the specifications set forth in the permit application. Sincerely, %? ORI( d SAC O7 (` Z � ' � +� c9 ti !•"% '? 0 C, C-) D D � Gregory Sachs, PE FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) W y ------------------------------------- CIOC FOUNDATION (2ND) %p z O CSS. ROUGH FRAMING& «�- PLUMBING . r0 C71, INSULATION PER N. Y. STATE ENERGY CODE SN FINAL ADDITIONAL COMMENTS L G �i�ID rr_ O z rn -- a �z 3 c x d b o\PS°FF°c�_44TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT Q For Office Use Only D F (, iL PERMIT NO. 0 Building Inspector: IC ..IIII I� II 1V/ Applications and forms must be filled out in their entirety.Incomplete ED BUILDIPJGDEPS applications will not be accepted. Where the Applicant is not the owner,an --^Mnrwi n&erw nuns n Owner's Authorization form(Page 2)shall be completed. Date: 11/15/2022 OWNER(S)OF PROPERTY: Name: David Cervone SCTM#1000- 038.00-04.00-001.000 Project Address: 485Gillette Drive,_Eas.tMarion,_N--Y-11939 Phone#: (6_31_) 2_5_5_8_0_86 Email: mybobbi@hotmail.com Mailing Address: 485 Gillette Drive, East Marion, NY 11939 CONTACT PERSON: Name: Ines Fernandez (EmPower CES, LLC.) Mailing Address:-4589 Austin Blvd., Island Park, NY 11558 Phone#: (516)-544-4592 Email: permitting@empower-solar.com DESIGN PROFESSIONAL INFORMATION: Name: Gregory D. Sachs Mailing Address: 4589 Austin Blvd., Island Park, NY 11558 Phone#: (516)-544-4592 Email: permitting@empower-solar.com CONTRACTOR INFORMATION: Name: EmPower CES, LLC. Mailing Address: 4589 Austin Blvd., Island Park, NY 11558 Phone#: (516)-544-4592 Email: permitting@empower-solar.com DESCRIPTION OF PROPOSED.CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Esti rr� t' 1 )slt6of Project: [XOther Roof mounted solar panels $ 4 Will the lot be re-graded? ❑Yes 1XNo Will excess fill be removed from premises? Dye's DQNo 1 I :PROPERTY INFORMATION Existing use of property: Residential 1_F_amily Intended use of property: Residential 1 Family 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. l� Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable,laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein.are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print nalTie): Ines Fernandez RIAuthorized Agent El Owner Signature of Applicant: Date: Ryan M.Moser STATE OF NEW YORK NOTARY PUBLIC,STATE OF NEW YORK Registration No.01M06412606 SS: Qualified in Nassau County COUNTY OF ) Commission Expires December 28,'2024 Ines Fernandez being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file.this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this l I?E' day of / OVP� Le� ,20�v`— Notar Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, David Cervone residing at 485 Gillette Drive, East Marion, NY 11939 do hereby authorize Ines Fernandez to apply on my behalfto Town of Southold Building Department for approval as described herein. 12-3 1-2-2— Owe s Signature Dat T:)4� I ui CeY_0) Print Owner's Name 2 'r J, BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD co x,r Town Hall Annex- 54375 Main Road - PO Box 1179 ,.- ^�r;• Southold, New York 11971-0959 yn01 _ 'apt = Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr _southoldtownnV.gov n, seand(cDsoutholdtownnV.gov APPLICATION FOR ELECTRICAL INSPECTION; ELECTRICIAN INFORMATION (All Information Required) Date;' 11/15/20.2__2 Company Name: . EmP_ower CES,_LLC. Name: --Timothy Crotty --- --- ------- - - � - License No.: ME-65990 email: Perm ittin e_mpower-so lar.com Address: 4589 Austin Blvd_.,-_Island.Park,-NY 11558 Phone No.: (516)-544-4592 JOB SITE INFORMATION (All Information Required) I 1 Name: David_Cervone Address: 485 Gillette_Drive,.East Marion,-NY 11939 Cross Street: - Phone No.:--(631) 255-8086 _ Bldg.Permit#: email: mybobbi@hotmail.com Tax_Map=District: 1000 _Sectiopi o3$.QO Block: 04.00 Lot: 001.000 . _ _ -- BRIEF DESCRIPTION OF WORK (Please Print Clearly) -- - - - ; Installation of roof mounted solar_panels-(35)SPR-415w ACPV modules, 14.53kW total_system_size Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final 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- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N ' -Additional Information;:.. ,PAYMENT.DUE-WITH-APPLICATION -- I 'eC . 103q-1l 1 Request for Inspection FormAs 410o ,'1 NY S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif eom CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAA" 522407627 AMWINS BROKERAGE OF NEW YORK 200 ELWOOD DAVIS ROAD SUITE 200 LIVERPOOL NY 13088 - SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER EMPOWER CES LLC TOWN OF SOUTHOL_D 4589 AUSTIN BLVD 54375 ROUTE 25 ISLAND PARK NY 11558. SOUTHOLD NY 11971 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 2546 624-4 563452 05/01/2022 TO 05/01/2023 04/12/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH'THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2546 624-4, COVERING THE ENTIRE,OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK;EXCEPTAS INDICATEDBELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE• AT HTTPS://YYWW.NYSIF.COWdERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO,GIVE. SUCH NOTIFICATIONS. THIS POLICY AFFORDS COVERAGE TO THE SOLE PROPRIETOR;.PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY, DAVID SCHIEREN GREG SACHS EMPOWER CES LLC THIS CERTIFICATE 'IS ISSUED' AS A MATTER OF INFORMATION ONLY AND CONFERS- NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER:.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 263370983 1111ro0000000000 03338084„"' Form WC-ERT-lOP=T Vczdm 3(0029,2019)IWC Polioy-244662441 U-26.3 163 [0000000=103338SSq[=1.0000254662wII+#Z1[L%0-791IICmLNoN=-1j01-=1j EMPOCES-01 ABELLO ACORU® CERTIFICATE-OF LIABILITY INSURANCE DATE(MM/DD/YYYY) � 5/s/2o22 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 License#0757776 CONTACT NAME: HUB International Insurance Services Inc. PHONro,Ext):(310)568-5900 FAX Nol:(310)568-9098 600 Corporate Pointe Suite 600 EMAIL Culver City,CA 90230 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine 8r General Insurance Company 12294 INSURED INSURERB:James River Insurance Company 12203 EmPower CES LLC INSURER C: 4589 Austin Boulevard I INSURER D: Island Park,NY 11558 INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS TR NS WVD M IDD/YYYY MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000'000 CLAIMS-MADE �OCCUR X PK202200006109 5/4/2022 5/4/2023 PREM SES ERENTED occcu ence $ 500'000 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000'000 POLICY ECLOC 2,000,000JT - OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per accident $ B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5'000'000 X EXCESS LIAB CLAIMS-MADE 001306870 5/4/2022 5/4/2023 AGGREGATE $ 5'000'000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ISTATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ (Mandatory in NH)EXCLUDED? N/A E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required( The certificate holder is listed as additional insured per attached endorsement#G L0202 0218. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Townof Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Route h ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE qtr ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YORK workers'TATE 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&Address of Insured(use street address only) 1b.Business Telephone Number of Insured EMPOWER CES LLC DBA EMPOWER SOLAR 310-534-7994 4589 AUSTIN BOULEVARD ISLAND PARK,NY 11558 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) 522407627 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 54375 Route 25 3b.Policy Number of Entity Listed in Box"I a" Southold, NY 11971 DBL252634 3c.Policy effective period 05/10/2021 to 05/09/2023 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: © 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.. Signed Date Si 5/9/2022 gY wid4f 9 (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 56 is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be 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 513 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. II DB-120.1 (12-21) � 1111111 Additional Instructions for Form D13-120.1 By signing this form,the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage(Certificate)to the entity listed 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 cancelled 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 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 NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits 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 Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first,two thousand and twenty-one,the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (12-21)Reverse 1 i a Suffolk County Dept.of Labor,Licensing&Consumer Affairs } ' HOME IMPROVEMENT LICENSE i . ( Name ` GREGORY SACHS Business Name s certifies that the firer is duly licensed EMPOWER CES LLC DBA :he County of suffolk License Number:H-50211 Rosalie Drago Issued: 05/30!2012 Commissioner Expires: 5/1/2024 4 J Suffolk County Dept.of Labor,Licensing$Consumer Affairs f MASTER ELECTRICAL LICENSE Name TIMOTHY M GROTTY Business Name This certifies that the Empower CES LLC DBA nearer is duly licensed ` �y the County of suffolk License Number:ME-65990 Rosalie Drago issued: 11/12/2021 Commissioner Expires: 11/01/2023 C. l 1 2 3 4 5 6 7 0 9 � 10 it 12 13 UTILITY TO 1 4569 AUSTIN BLVD o METER UTILITY ISLAND PARK.NY 11559 BRANCH D BRANCH C BRANCH B BRANCH A GRID TEL:516-637-3459 (5)SPR-415W MODULES (10)SPR41SW MODULES (10)SPR.415W MODULES (70)SPR,4iSW MODULES FAX:516-70B-1769 TOTAL DC STCPOWER2.075kW TOTAL DC STC POWER 4.15 kW TOTALDCSTCPOWER:4.15kW TOTALDCSTCPOWER:4.15kW www.empo Wer-Ola—OM (5)ENPHASE 107HS MICRO MV (10)ENPHASE 107HS MICRO INV (10)ENPRUE 107HS MICRO INV (10)ENPHASEIQ7HSMICRO INV FN H TOTAL AC POWER:1.92 kW TOTAL AC POWER:3.94 kW TOTAL AC POWER 3.84 kW TOTAL AC POWER:3.94 kW ACA H TNExaaunoN miaos®TaREeIotT�oaE REPRODUCTION OR DI9IRISMIOOF T® CONTINUE AS CONTINUEAS CONTWUEAS CONRNUEAS rEaussTwCnr REQUIRED FOR INV— REQUIRED FOR WV._ REQUIRED FOR MV.— REQUIRED FOR INV._ valoR SPECIFIC MIEN PERRUlenon SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING PROFESSIONAL SEAL ACI AC1 ACI ACI ' G (1)SPR-415W MODULE (1)SPR415WMGDULE (1)SPR�I5W MODULE (1)SPR-4I6WLAODULE TO G (1)ENPHASE MICRO INV.INV•2 WENPHASEMICROINV.INV•2 (1)ENPHASEMICROINV.INV•2 (1)ENPHASE MICRO MV.BN•2 HOUSE .ql y_alRk LOADS �� SAD dd AC, ACt ACI ACI O AO' y w 'U (1)SPR-415W MODULE (1)SPR./15W MODULE (1)GPR4I5W MODULE (I)SPR415WMODULE (i)ENPHASEMICROINV.I. (i)ENPHASE MICRO INV.INV.1 (1)ENPFNSE MICRO MV.INV.1 (1)ENPFTASE MICRO INV.WV F F Y 2 N MAIN SERVICE PANEL 3F QepiA 5`Q —ACI act Act Act 1-PHASE 1201240V rJC�A;SP PFQF SUNPOWER DATA E MONITORING AC OA'2P CgNECT E L1 L2 G 20A,2P CB 20A,2P CB D TO RACK NG G AC D REN. DESCRIPTION: DATE GROUND NEMA 3R 20A,2P CB PROJECT NAME: (1)#6 AWG,EGC ENCLOSURE 20A,2P CB CERVONE RESIDENCE LABEL DESCRIPTION LABEL DESCRIPTION 20A,2P CB PROJECT LOCATION: C ACI SPR AC CABLE AC2 1-12`PVC c 495 GDeee De- (2)#12 AWG (8)#10 AWG Ed Meds.,NY 11939 (1)#10AWG,EGC ' AC3 374"PVC AC4 2"PVC (3)#10 AWG (3)#4 ANG PROIECie: (1)#10 AWG,EGC (1)#4 AWG,GEC PROD.PHASE PERMT DATE: 004=23 0 D DESIGNED BY: FK CHECKED BY: XX SCALE NTS AC COMBINING MLO PANEL TITLE - 1- , 1-PHASE 1201240V THREE LINE 1.NEUTRAL S GROUND ARE BONDED TOGETHER(ORIGIN OF GEC FOR SOLAR ELECTRIC SYSTEM) - , - ELECTRICAL SCHEMATIC A Z GEC FROM SOLAR ELECTRIC SYSTEM BONGED TO EXISTING DEC IN THE MAIN SERVICE PANEL USING IRREVERSIBLE SPLICE v _ TOTAL SYSTEM SIZE:15.525 WV3.USETAP RULES FOR SITINGTAP CONDUCTORS(NEC 24021) A 4.SITE GEC ND AEGC AS PER NEC 240.66,NEC24D.122 RESPECTIVELY (35)SPR-415W MODULES SHEET: 5.USE MD ONLY IF INCLUDED GEC IS ADEQUATELY SIZED. (35)ENPHASE IQ7HS MICRO-INV. SE-01.000 1 2 3 4 5 6 9 10 11 12 13 Gregory Sachs, PE 4589 Austin Blvd, (516)-544-4115 Island Park, NY 11558 permitting@empower-solar.com November 17, 2022 To Whom It May Concern: .i The purpose of this letter is to certify that the existing roof structure located at: 485 Gillette Drive,East Marion,NY 11939 can support the additional load of the solar energy system, in addition to wind,snow and gravity. Portions of roof structure covered and not covered with photovoltaic panels are in compliance with R324.4.1.1. Furthermore, it has been determined that the structure complies with the 2020 Residential rCod e of New York State including the ASCE 7. Please see Table 1 below for specific data relating to the calculations for each roof structure involved in the solar energy system installation. Table 1 Max Span Rafter Snow Wind Layers of Roof Surface (ft) spacing Cross Section Load Speed Kneewall Collar Ties, Shingles (in) (psf) (mph) South-West 1 15.50 16 Nominal 2x8 20 135 No No 1 North-East 1 1 15.50 16 Nominal 2x8 20 135 No No 1 Sincerely, Gregory Sachs, PE i °F NF LU 2 (P �.o 08453A ��� Fo C101 APPROVED AS NOTED DATE' 3"a3 B.P.#� FEE:�a60 , BY._�A Y BUILDING DEPARTMENT AT ' 2 3 4 s 6 T s s 10 11 12 13 765-1302 8 AM TO 4 PM FOR THE LL WING INSPECTIONS: E M, `CJ W _ f UNDATION-TWO REQUIRED SOLAR FC R POURED CONCRETE AUSTIN BLVD ARNY 1152. R UGH-FRAMING,PLUMBING, o TEL:516-837-3459 STRAPPING, ELECTRICAL&CAULKING RESIDENTIAL wwFAX:516-706-17sy9 i^' ULATION w.empower-solaXI: SOLAR PROJECT 4. FINAL-CONSTRUCTION&ELECTRICAL H PROPERWOFEMNCP WERCES.LLC.UNAUTHOR�I1 T BE COMPLETE FOR C.O. H REPRODUCTION OR OISTRI PROHIBIT./eQF T NSTRUCTION SHALL MEET THE PROJECT TEAM. MATERIAL SPECIFIC STRICTLY WRITTEN ITE��{I PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL KEQUREMENTS OF THE CODES-OF.NEW YORK 3TATE. NOT RESPONSIBLE FOR OWNER: David Cervone , DESIG q OR CONSTRUCTION ERRORS. G G •�`� { D. 0 -*j lsconne4 mu4 PHONE: (631)255-8086 q ENGINEER OF REIN (n �n/J� F SOLAR INSTALLER: GREGORY SACFISCPED C� I �`aU LU •"' EMPOWER SOLAR - 4589AUSTIN BLVD11 4589 AUSTIN BLVD ISLAND PARK,NY 11558 �� r J _ �N < ISLAND PARK,NY 11558 �2) �^ `t PHONE:516-837-3459 �O=�SS\O� E PHONE:516-837-3459 E Additional Certification DD REV: DESCRIPTION: DATE: May Be Required. Marlon,.NY 119�. 485`GiHette.Dr,East39, ' %,, � ,'� • ' PROJECT LOCATION DATA: SHEET INDEX: PROJECT NAME: 390 '� r, David Cervone ti ADDRESS:485 Gillette Drive,East ST-01 COVER SHEET Marion,NY 11939 S-01 EQUIPMENT LOCATIONS PROJECT LOCATION: S-02 STRUCTURAL 485 Gillette Drive,East ELECTRICAL SE-01 ELECTRICAL c " amu\ \\ . sTa�,"'.'\ Marion,NY 11939 INSPECTION REQUIRED �' y e� SCTM:1000-038.00-04.00-001.000 PROJECT#: PO PROJ.PHASE: PERMIT ` DATE: B ti4 `\ ;`. ds5 "+ '+� B DESIGNED BY: "' ED \ c"SDKInAmp HALL CODES OF SCALE: MAP Tt4EW YORK ST TE &TOWN CODES S R91AED AND CONDITIONS OF A A C ET: ., SO OLDTOIVZBq ` �•e.:�f;l_":�:F.,:F,.r.�,� : 1 2 3 4 5 6 7 a 9 10 11 12 13 SO OLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES NYS.DEC : : 1 2 3 4 5 6 7 8 9 10 11 12 13 41 I 2 4 1 4589 AUSTIN BLVD ISLAND PARK,NY 11558 0 5 TEL:516-837-3459 FAX:516-706-1789 www.em p o w e r-sol ar.c o m INFORMATION DISCLOSED H H PROPERTY OFEM POWER CES,U.C.UNAUTHOR ZED REPRODUCTION OR DISTRIBUTION OF THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT SETBACK LEGEND PRIOR SPECIFIC WRITTEN PERMISSION DRIVEWAY ® PROFESSIONAL SEAL 36"CLEAR PATH G ® G 18"RIDGE SETBACKtl O ® ACCESS ROOF co �cj � 9�y F rE 0 Ll I Wc � EQUIPMENT LEGEND: = d ?� QA 08453 F� 1..1.. MODULES E E 1�1.� RoFEss��N UTILITY METER WIJITITITTII �3 INVERTERS 1 D ❑ 3 NORTH-EAST-1 ROOF:20 SUNPOWER 415W-ACPV PANELS D REV: DESCRIPTION: DATE: L1J SOLAR DISCONNECT TOTAL POWER:8.30 kW PROJECT NAME: ORIENTATION:52°;PITCH:26° TYPE 1:FLASHLOC DUO CERVONE RESIDENCE J MAIN SERVICE PANEL SOLAR ACCESS:83% TSRF:54o/D PROJECT LOCATION: C C 485 GILLETTE DRIVE ♦A EAST MARION,NY 11939 V 1 SOUTH-WEST-1 ROOF: pROJECTz 3 15 SUNPOWER 415W-ACPV PANELS pROJ.PHASE: PERMIT TOTAL POWER:6.225 kW DATE: 11/17!2022 B ORIENTATION:232°;PITCH:26° B DESIGNED BY: ED TYPE 1:FLASHLOC DUO CHECKED BY: GS SOLAR ACCESS:93% SCALE: NTS TSRF:83% TITLE: EQUIPMENT LOCATIONS ROOF LAYOUT A NOT TO SCALE A SHEET: S-01 1 2 3 4 5 6 7 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 EMBOWER SOLAR 4589 AUSTIN BLVD SUNPOWER MODULES ISLAND PARK,NY 11558 o ON INVISIMOUNT RACKING TEL:516-837-3459 SHINGLES FAX:516-706-1789 www.empower-solar.com WE INFORMATION DISCLOSED HEREIN IS WE SOLE H H PR OPERTYOFEMPOOWERCES,LLC.UNAU HORIZED RAFTERS REPRODUCTION OR DISTRIBUTION OF THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL G G �4 F TYPICAL ROOF SECTION z NOT TO SCALE J SUNPOWER PANEL SPECS E MODULE POWER(Wdc) QTY MODEL# LENGTH WIDTH DEPTH WEIGHT TABLE S-1.1:MAX.ATTACHMENT SPACING E J�`SS��� SPR-415 35 SPR-A-SERIES-AC 72.2" 40.0" 1.57" 46.5 LB PORTRAIT: 5'-4" LANDSCAPE: 8'-0" SPR-E/X-SERIES-AC 61.4" 41.2" 1.81" 42.9 LB D D REV: DESCRIPTION: DATE: NOTES: PROJECT NAME: 1. TOTAL SYSTEM DC POWER:14.53 kW 2.RACKING SYSTEM INSTALLED IN ACCORDANCE WITH CODE-COMPLIANT INSTALLATION David Cervone MANUAL 3.ATTACHMENTS TO BE SECURED TO ROOF ASSEMBLY USING 5 mm STAINLESS STEEL SCREWS PROJECT LOCATION: C AND/OR 5/16"STAINLESS STEEL LAG BOLTS SPACED ACCORDING TO TABLE S-1.1 D 485 Gillette Drive,East 4. ALL ATTACHMENTS TO ROOF, MOUNTING BRACKETS & HARDWARE MEET OR EXCEED NYS Marion,NY 11939 CODE REQUIREMENTS 5.INSTALLATION TYPICALLY MAINTAINS 7/8 INCH SPACING BETWEEN MODULES 6.SIZES OF STRUCTURAL MEMBERS THAT WERE NOT ACCESSIBLE FOR DIRECT MEASUREMENT PROJECT#. ARE BASED ON OBSERVATIONS OF ACCESSIBLE MEMBERS, CONSTRUCTION DEPTH OR PROJ.PHASE: PERMIT BOTH IN ADDITION TO KNOWLEDGE OF STANDARD CONSTRUCTION PRACTICES AT THE DATE: B TIME OF CONSTRUCTION B DESIGNED BY: ED 7. THIS DOCUMENT CERTIFIES THAT THE ROOF STRUCTURE HAS BEEN CHECKED FOR WIND, CHECKEDBY: GS SNOW, UNBALANCED SNOW, LIVE AND DEAD LOADS BASED ON ASCE 7-10 CHAPTER 30- SCALE: NTS WIND LOADS - COMPONENTS AND CLADDING (C&C)AND FOR CONFORMANCE WITH THE TITLE: 2020 RESIDENTIAL CODE OF NEW YORK STATE.THIS CERTIFICATION DOES NOT APPLY TO STRUCTURAL ANY ADDITIONAL ROOF ALTERATIONS AFTER THE DESCRIBED INSTALLATION A 8.THIS ROOF STRUCTURE AS SHOWN IS ADEQUATE TO SUPPORT THE PROPOSED LOADS A SHEET: 9.REFER TO STRUCTURAL LETTER FOR SITE SPECIFIC AND ROOF SURFACE DATA S-02 1 2 3 4 5 6 7 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER NOTES: , S 0 L.A R 4589 AUSTIN BLVD ISLAND PARK,NY 11558 1.NEUTRAL&GROUND ARE BONDED TOGETHER(ORIGIN OF GEC FOR SOLAR TEL:516-837-3459 ELECTRIC SYSTEM) FAX:516-706-1789 2.GEC FROM SOLAR ELECTRIC SYSTEM BONDED TO EXISTING GEC IN THE MAIN www.em power-soiar.com STANDARD INVERTER ASSEMBLY: SERVICE PANEL USING'SPLIT-BOLT CONNECTOR' N IS THE SOLE H 3.IN SOME CASES POWER FOR DATA MONITORING ENCLOSURE MAYBE H PFOPERONOOFnEM DPOWERCES.LLC.UISCLOSED INAUTHORQED REPRODUCTION OR DISTRIBUTION OF THIS DERIVED FROM MAIN SERVICE PANEL MATER IAL IS STRICTLY PROHIBITED WITHOUT 4.CONNECT UTILITY SIDE TO PANEL LUGS PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL 5.USE TAP RULES FOR SIZING TAP CONDUCTORS(NEC 240.21) 6.SIZE GEC AND EGC AS PER NEC 250.66,NEC 250.122 RESPECTIVELY 7.PROTECT GEC AND EGC SUBJECT TO PHYSICAL DAMAGE AS PER NEC G SOLAR 250.64(B),NEC 250.120(C) G 1 8.FINAL SCHEMATIC SPECIFIC TO THIS INSTALLATION AVAILABLE UPON ARRAY /1 REQUEST Y p �O Is INVERTER(S) AC � �, ? �C DISCONNECT 0I. F r C7 A.7 - FESS\4�`'r E E STANDARD EXTERIOR INTERCONNECTION: STANDARD INTERIOR INTERCONNECTION: D D REV: DESCRIPTION: DATE: PROJECT NAME: INTERIOR EXTERIOR INTERIOR EXTERIOR David Cervone PROJECT LOCATION: 485 Gillette Drive,East MAIN TAP BREAKER MAIN Marion,NY 11939 C SERVICE O 1 SERVICE O PANEL ENCLOSURE PANELETTE PANEL PROJECT# UTILITY UTILITY PROJ.PHASE: PERMIT METER METER DATE B B DESIGNED BY: ED 1 CHECKED BY: GS SCALE: NTS TITLE: ELECTRICAL A A SHEET: SE-01 1 2 3 4 5 6 1 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 ENCLOSURE UTILITY NEMA 3R METER E M'POWER 1 SOLAR BRANCH D BRANCH C BRANCH B BRANCH A E�­To 4589 AUSTIN BLVD (5)SPR-415W MODULES (10)SPR-415W MODULES (10)SPR-415W MODULES (10)SPR-415W MODULES TO MAIN ISLAND PARK,NY 11558 o - TOTAL DC STC POWER:2.075 kW TOTAL DC STC POWER:4.75 kW TOTAL DC STC POWER:4.15 kW TOTAL DC STC POWER:4.15 kW SERVICE UTILITY TEL:516-837-3459 (5)ENPHASE IQ7HS MICRO INV (10)ENPHASE IQ7HS MICRO INV (10)ENPHASE I07HS MICRO INV (10)ENPHASE IQ7HS MICRO INV FAX:516-706-1789 TOTAL AC POWER:1.92 kW TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW PANEL GRID w w.em p 0 w e r-sol ar.com AC4 CONTINUEAS CONTINUEAS CONTINUEAS CONTINUEAS _� THE INFORMATION DISCLOSED HEREIN IS THE SOLE H REQUIRED FOR INV.... REQUIRED FOR INV.... REQUIRED FOR INV.... REQUIRED FOR INV.... SUNPOWER - H PROPERTY OF EMPOWER CES,LLC.UNAUTHORIZED ' SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING DATA REPRODUCTION OR DISTRIBUTION OF THIS AC DISCONNECT MAT ERIAL IS STRICTLY PROHIBITED WITHOUT MONITORING AL1L2 PRIOR SPECIFIC WRITTEN PERMISSION AC1 Y _1 ACI ACI AC1 2P CB PROFESSIONAL SEAL (1)SPRd15W MODULE (1)SPR-415W MODULE (1)SPR�15W MODULE (1)SPRAISW MODULE 20A,2P CPQ'LL, (1)ENPHASE MICRO INV. INV.2 (1)ENPHASE MICRO INV. INV.2 (1)ENPHASE MICRO INV. INV.2 (1)ENPHASE MICRO INV. INV.2 G 20R,2P CBGt-AC1 AC1 AC1 AC1 AC3O (1)SPR-415W MODULE (1)SPR-415W MODULE (1)SPR-415W MODULE (1)SPR-415W MODULE ll 20Q,2P CB �P�CORY D. S Y,p (1)ENPHASE MICRO INV. INV.1 1(1)ENPHASE MICRO INV. INV.1 (1)ENPHASE MICRO INV. INV.1 (1)ENPHASE MICRO INV. INV.1Li Li �: r 20A,2P�E13 �T►. cn F AC1 AC1 AC1 AC1 n 20A,2P M I O ,84 531 AR�FESS\0\' , E E AC2 TO RACKING G AC COMBINING MLO PANEL GROUND NEMA 3R 1 -PHASE 120/240V ENCLOSURE p REV: DESCRIPTION: DATE: (1)#6 AWG,EGC PROJECT NAME: CERVONE RESIDENCE LABEL DESCRIPTION LABEL DESCRIPTION PROJECT LOCATION: C AC1 SPR AC CABLE AC2 1-1/2"PVC C 485 Gillette Drive- (2)#12 AWG (6)#10 AWG East Marion,NY 11939 (1)#10 AWG,EGG AC3 3/4"PVC AC4 2"PVC PROJECT# (3)#10 AWG (3)#2/0 AWG (1)#10 AWG,EGC (1)#4 AWG,GEC PROJ.PHASE: PERMIT DATE: 11/17/2022 B B DESIGNED BY: IV CHECKED BY: XX SCALE: NTS TITLE: NOTES: THREE LINE ELECTRICAL SCHEMATIC 1.NEUTRAL&GROUND ARE BONDED TOGETHER(ORIGIN OF GEC FOR SOLAR ELECTRIC SYSTEM) 2.GEC FROM SOLAR ELECTRIC SYSTEM BONDED TO EXISTING GEC IN THE MAIN SERVICE PANEL USING IRREVERSIBLE SPLICE TOTAL SYSTEM SIZE:15.525 kW A 3.USE TAP RULES FOR SIZING TAP CONDUCTORS(NEC 240.21) A 4.SIZE GEC AND EGC AS PER NEC 240.66,NEC240.122 RESPECTIVELY (35)SPR-415W MODULES SHEET: 5.USE MC ONLY IF INCLUDED GEC IS ADEQUATELY SIZED. (35)ENPHASE IQ7HS MICRO-INV. ' SE-02 1 2 3 4 5 6 7 8 9 10 11 12 13 M SUNP ®WER° 425-410 W Residential Black AC Module - SunPower"Maxeon°Technology Built specifically for use with the SunPower Equinox®system,the only fully integrated solution designed, engineered, and warranted by one company. Highest Power Density Available {� The patented,solid-copper foundation Maxeon Gen 6 cell is over 5% larger than prior generations, delivering the highest-efficiency all-black AC solar module available? rPart of the SunPower Equinox'Solar System ! E �E � � ii •Seamless aesthetics N larger I •Compatible with mySunPower I monitoring i e ori , o, Highest Lifetime Energy and Savings L Designed to deliver 60% more energy over 25 years in t real-world conditions like partial shade and high temperatures.2 i15095 r - - - - - - - - -- -- - - 1-^.0% Factory-integrated v 130% I 0 I Up to Microinverter _ ! v 11045 601/6 es 100M More d • Highest-power integrated c X095 Lifetime AC module in solar i w soy, Energy i ! T7045 Conventional I • Engineered and calibrated N 60% by SunPower for SunPower 0 5 10 15 20 25 Years of Operation AC modules I, f Best Reliability, Best Warranty With more than 42.6 million and 15 GW of modules deployed around the world, SunPower technology is proven to last.That's I ! tAI ; why we stand behind our module and microinverter with the { industry's best 25-year Combined Power and Product Warranty, including the highest Power Warranty in solar. Datasheet M425-BLK I M415-BLK M410-BLK SunPower Residential Black AC Module AC Electrical Data Inverter Model:Type H(Enphase IQ7HS) @240 VAC @208 VAC Max.Continuous Output Power(VA) 384 369 Nom.(L-L)Voltage/Range'(V) 2401211-264 208/183-229 Max.Continuous Output Current(A) 1.60 1.77 Max.Units per 20 A(L-L)Branch Circuit4 10 9 CEC Weighted Efficiency 97.0% 96.5% Nom.Frequency 60 Hz 60 Hz Extended Frequency Range 47-68 Hz 47-68 Hz AC Short Circuit Fault Current Over 3 Cycles 4.82 A 4.82 A Overvoltage Class AC Port III III AC Port Backfeed Current 18 mA 18 mA Power Factor Setting 1.0 1.0 Power Factor(adjustable) 0.85(inductive)/0.85(capacitive) 0.85(inductive)/0.85(capacitive) DC Power Data Warranties,Certifications,and Compliance SPR-M425-BLK-H-AC SPR-M415-BLK-H-AC SPR-M410-BLK-H-ACWarranties '25-year limited power warranty Nom.Power (Pnom)W 425 415 410 25-year limited product warranty Power Tolerance +5/-0% +5/-0% +5/-0% UL 1741/IEEE-1547 UL 1741 AC Module Module Efficiency 22.0% 21.5% 21.2% UL 61730(Type 2 fire rated) Temp.Coef.(Power) -0.29%/°C -0.29%/'C -0.29%/'C UL 62109-1/IEC 62109-2 FCC Part 15 Class B Shade Tolerance Integrated module-level max.power point tracking ICES-0003 Class B CAN/CSA-C22.2 NO.107.1-01 CA Rule 21(UL 1741 SA)' Tested Operating • • • Certifications (includes VoltNar and Reactive Power Priority) Operating Temp. -40°F to+185°F(-40°C to+85°C) and UL Listed PV Rapid Shutdown Equipment? Compliance Enables installation in accordance with: Max.Ambient Temp. 122°F(50°C) NEC 690.6(AC module) Max.Test Loade Wind:125 psf,6000 Pa,611 kg/m2 back NEC 690.12 Rapid Shutdown(inside and outside the Snow:187 psf,9000 Pa,917 kg/m2 front array) Wind:75 psf,3600 Pa,367 kg/m2 back NEC 690.15 AC Connectors,690.33(A)-(E)(1) Max.Design Load Snow:125 psf,5400 Pa,550 kg/m2 front - When used with AC module Q Cables and accessories Impact Resistance 1 inch(25 mm)diameter hail at 52 mph(23 m/s) (UL 6703 and UL 2238)' •Rated for load break disconnect Mechanical Data PID Test 1000 V:IEC 62804 Solar Cells 66 Maxeon Gen 6 PackagingConfiguration Front Glass High-transmission tempered glass with anti-reflective coating Environmental Rating Outdoor rated Modules per pallet 25 Frame Class 1 black anodized(highest AAMA rating) Packaging box dimensions 75.4 x 42.2 x 48.0 in.(1915 x 1072 x 1220 mm) Weight 48 lbs(21.8 kg) Pallet gross weight 1300 Ib(590 kg) Recommended Max. 13 inPallets per container 32 Module Spacing . .(33 mm) Net weight per container 18,880 kg 73.7 in 1 Based on datasheet review of websites of top 20 manufacturers per IHS,as ofjuly 2021. [1872 mm]~ FRAME PROFILE 2 Maxeon 435 W,22.5%efficient,compared to a Conventional Panel on same-sized arrays(300 W,19%efficient, ] approx.1.6 m2),7.9%more energy per watt(based on PVSyst pan files for avg.US climate),0.5%/yr slower 1 E degradation rate gordan,et.al."Robust PV Degradation Methodology and Application"PVSC 2018). Grounding Holes E 3 Based on search of datasheet values from websites of top 10 manufacturers per IHS,as of June 2021. + 4 Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. E 5 Factoryset to IEEE 1547a-2014 default settings.CA Rule 21 default settings profile set during commissioning. ,o N ❑ 6 Standard Test Conditions(1000 W/m2 irradiance,AM 1.5,25°Q.All DC voltage is fully contained within the module. v BKIM 7 UL Listed as PVRSE and conforms with NEC 2014 and NEC 2017 690.12;and C22.1-2015 Rule 64-218 Rapid (A)Long Side: .in(32 mm) Shutdown of PV Systems,for AC and DC conductors;when installed according to manufacturer's instructions. Short Side:0.9 in(24mm) 8 Please read the safety and installation instructions for more information regarding load ratings and mounting configurations. See www.sunpower.com/company for more reference information. Please read the safety and installation instructions for details. For more details,see extended datasheet:www.sunpower.com/solar-resources. Specifications included in this datasheet are subject to change without notice. 02022 SunPower Corporation.All rights reserved.SUNPOWER,the SUNPOWER logo and EQUINOX are U� 544400 ReVA registered trademarks of SunPower Corporation in the U.S.MAXEON is a registered trademark of Maxeon Solar LISTED EMMTechnologies,Ltd.For morelnformationvisitwww.maxeon.com/legal. M°dui°Fir.P°d°­ Typ°2 January 2022 Simple and Fast Installation Integrated module-to-rail grounding Pre-assembled mid and end clamps Levitating mid clamp for easy placement " Mid clamp width facilitates consistent,even - module spacing UL 2703 Listed integrated grounding Flexible Design Addresses sloped and low-sloped residential roofs >a. Design in landscape and.portrait with up to 8' � rail span - Pre-drilled rails and rail splice Rails enable easy obstacle management Elegant Simplicity Customer-Preferred Aesthetics Best-in-class system aesthetics SunPower° InvisiMountTm is a SunPower-designed Black anodized components rail-based mounting system.The InvisiMount systern Low-profile mid clamps and capped,flush addresses residential sloped roofs and combines faster end clamps + installation time, design flexibility, and superior aesthetics. i i Part of Superior System P Y Classic InvisiMount is specifically envisioned and engineered Best-in-class system reliability and aesthetics to pair with SunPower modules; Universal InvisiMount is Optional rooftop transition flashing,rail- ; mounted J-box,and wire management rail clips compatible with a wide range of modules.The resulting a Combine with SunPower modules and system-level approach amplifies the installation and mySunPowerO monitoring app i aesthetic benefits—for homeowners and for installers. sunpower.com � f I D. --------- Sun:PowerO lnvisiMountlm Reside ntlal Mounting System inviSlyount.components . -V Mid Clamp Ground Lug Assembly Rall and Rail Splice Universal Mid Clamp Ground Lug Assembly _ P Row-to-Row Spacer Row-to-Row Grounding Clip End Clamp Row-to-row Grounding Jumper Universal End Clamp (DynoBond) InvisiMount Component Details InvisiMount Operating Conditims Classic mid clamp Black oxide stainless steel'300 series 63 g(2.2 oz) Temperature -40°C to 90°C(-40°F to 194°F) Universal mid clamp Black anodized aluminum 6000 series 60 g(2.1 oz) Classic end clamp Black anodized aluminum 6000 series 110 g(3.88 oz) °•• Hardware Universal end clamp Black anodized aluminum 6000 series 103 g(3.63 oz) Refer to roof attachment hardware manufacturer's Rail Black anodized aluminum 6000 series 830 g/m(9 oz/ft) documentation. Rail splice Aluminum alloy 6000 series 830 g/n1(9 oz/ft) Rail bolt M10-1.5 x 25 mm;custom T-head SS304 18 g(0.63 oz) InvilsiMountCompR° - ° Rail nut M10-1.5;DIN 6923 SS304 nominal Classic Uplift 6641bf Ground lug assembly SS304;A2-70 bolt;tin-plated copper lug 106.5 g(3.75 oz) Mid clamp Shear 540 Ibf Row-to-row grounding clip SS 301 with SS 304 M6 bolts 75 g(2.6 oz) Universal Uplift 9621b Row-to-row grounding jumper Stainless steel 300 series 1 10 g(0.35 oz) Mid clamp Shear 4371b Row-to-row spacer Black POM-grade plastic 5 g(0.18 oz) Classic Uplift 899 Ibf .®• .® End clamp Shear 220 Ibf InvisiMount Comp Shingle Attachment with Pegasus Universal Uplift 6051b InvisiMount Flat Tile Replacement Attachment with Pegasus End clamp Shear 2421b InvisiMount S-Tile Replacement Attachment with Pegasus InvisiMount W-Tile Replacement Attachment with Pegasus Moment:upward S48 Ibf-ft Rail Moment:downward 580 Ibf-ft InvisiMount • Certifications Moment:upward 548 Ibf-ft Warranties 25-year product warranty Rail splice Moment:downward 580 Ibf-ft 5-year finish warranty UL 2703 Listed Uplift 10001bf Certifications Class A Fire Rated L-foot Shear 3901bf I With Classic InvisiMount a module frame that is compatible with the InvisiMount system is required for hardware interoperability;modules without this frame may be used with Universal InvisiMount. i SunPower recommends that all Equinox"',InvisiMount',and AC module systems always be designed using the InvisiMount Span Tables#524734.If a designer decides to instead use the component capacities listed in this document to design a system,note that the capacities shown are Load and Resistance Factor Design(LRFD)design loads,and ar a NOT to be used for Allowable Stress Design(ASD)calculations;and that a licensed Professional Engineer(PE)must then stamp all calculations.Ifyou have any questions please contact SunPower Technical Support at 1-855-977-7867. sunpower.com 0 2022 SunPower Corporation.All Rights Reserved.SUNPOWER,the SUNPOWER logo,EQUINOX,and INVISIMOUNT are trademarks or registered trademarks of 5unPower Corporation. 509506 RevG All other trademarks are the property of their respective owners.Specifications included in this datasheet are subject to change without notice. Datasheet