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HomeMy WebLinkAbout50070-Z � C41 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50070 Date: 11/28/2023 Permission is hereby granted to: Diviney, Daniel 400 Bay Rd Greenport, NY 11944 To: install roof-mounted solar panels to existing single-family dwelling as applied for with flood permit. At premises located at: 400 Bay Rd, Green 3ort SCTM #473889 Sec/Block/Lot# 43.-5-8 Pursuant to application dated 11/9/2023 and approved by the Building Inspector, To expire on 5/29/2025. Fees: SOLAR PANELS $100.00 ELECTRIC $125.00 CO-ALTERATION TO DWELLING $100.00 Flood Permit $150.00 Total: $475.00 Bu Spector TOWN OF SOUTFIOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 lits s://WWw. OLitlloldtowilii .',ov Date Received BUILDINGAPPLICATION FOR For Office Use Only PERMIT NO. `� Building Inspector; NOV 2023 Applications and forms must be filled out in their entirety.Incomplete r ,® applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. 6 Date:10/23/23 OWNER(S)OF PROPERTY: Name:Daniel Diviney scrM#1000-43-05-08 Project Address:400 Bay Road Greenport NY Phone#:631-275-6690 Email:youthmindiv@gmail.com Mailing Address:400 Bay Road Greenport NY CONTACT PERSON: Name:Louis Boccio / New York Solar Solutions Mailing Address:PO Box 1014 Miller Place, NY 11764 Phone#:516-446-0093 Email:lou@newyorksolarsolutions.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: b" - SAU Am — ?� Phone#: S 8 Email: S CONTRACTOR INFORMATION: Name: New York Solar Solutions Mailing Address:PO Box 1014 Miller Place NY 11764 Phone#:516-446-0093 Email:lou@newyorksolarsolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project (]Other roof mounted solar $100,000 Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of property:residential Intended use of property:residential 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. ® 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 name):Louis Boccifl BAuthorized Agent ❑Owner Signature of Applicant: Date: * ` ' STATE OF NEW YORK) SS: COUNTY OF Suffolk ) LOUIS Boccio being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Solar 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 therewit . JACQUELINE RUM NOWYPUBLIC, OFNEWYOP& Sworn before me this RelOrIttion, OIR X73, j 2026 (146 day of ` fit: 20 2 3 ' No .. IX., PROPERTY OWNER lNER AUTHORIZaATION uualified73q),* -rmTo, Cor:: :. (Where the applicant is not the owner) I, Daniel Diviney residing at 400 Bay Road Greenport, NY do hereby authorize LOUIS Boccio to apply on my behalf to the To f S. A ou hold Building Department for approval as descri ed herein. Owner's SignDate Daniel DivinatLr Print Owner's Name 2 Building Department Application (Where the Applicant is not the Owner) 1, Daniel Diviney residing at 400 Bay Road Greenport,NY (Print property owner's name) (Mailing Address) do hereby authorize Louis Boccio/New York Solar Solutions (Agent) to apply on my behalf to the Southold Building Department. aexs Signature) `p (Date) Daniel Diviney (Print Owner's Name) <No RK workers' CERTIFICATE OF INSURANCE COVERAGE ATt 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) 1 b.Business Telephone Number of Insured INTEGRATED ELECTRICAL SOLUTIONS INC. 631-245-1442 PO BOX 1162 SOUND BEACH, NY 11789 1 c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 205021895 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 MAIN ROAD 3b.Policy Number of Entity Listed in Box"l a" SOUTHOLD NY 11971 DBL597354 3c.Policy effective period 12/12/2022 to 12/11/2024 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: ❑X A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penafty of penury,I certify that I am an authorizedrepresentative 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 10/24/2023 By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title RlChard White Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board (only if sox 413,4C or 56 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) �I I (iiiiiiouiiiiiii����� 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 1 a 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. D13-120.1 (12-21)Reverse A 10/224/22 0 2 F CERTIFICATE OF LIABILITY INSURANCE DATE / ) 023 3 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 NAME CONICT Cheryl'Kfefnenick National Insurance Brokerage of New York,Inc. PHONE (631)273.4'242 AIC N a (631)273-8990 Ewtt 175 Oval Drive t-MALE S: ckremenick{dn1bony=rn ADR INSURER(s)AFFORDING'COVERAGE NAIC# Islandia NY 11749 INSURERA: Merchants Mutual Insurance Co 23329 INSURED INSURER B Integrated Electrical Solutions Inc. INSURERC: PO BOX 1162 INSURER D: INSURER E: Sound Beach NY 11789 INSURER F COVERAGES CERTIFICATE NUMBER: Master 23-24 REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED„ NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICYNUMBER MMADD/YYYY MMIDD/YYYY LIMITS LTR IN WVD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR ISEP 500,000 PREMISE'S.IEa�pccutC9arvr.�4�. $ MED EXP(Amy one person). $ 15,000 A BOP1104596 07/24/2023 07/24/2024 PERSONAL&ADV INJURY $ 1,000,000 vvG��ErrN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO ❑ LOC PRODUCTS COMP/OPAGG $ 2,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea swidt5nt. ANYAUTO BODILY INJURY(Per person) $ AOWNED SCHEDULED BOP1104596 07/24/2023 07/24/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS IX HIRED 'NON-OWNED PROPER Y A'E� $ AUTOS ONLY AUTOS ONLY Par acddond UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION STR. TE XTH- ETH AND ILITY YIN NER/EXECUTIVE � El-EACH AAACC _ A L_..__J NIA WCA9102392 08/13/2023 08/13/2024 ACCIDENT $ 600,000 ANY PROPRIETOR/PART OFFICEWMEMBER EXCLUDED? 500,000 (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under $ 500,000 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) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN TOWN OF SOUTHOLD ACCORDANCE WITH THE POLICY PROVISIONS. 54375 MAIN ROAD AUTHORIZED REPRESENTATIVE SOUTHOLDNY 11971 !' m r, ' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Integrated Electrical Solutions Inc. 631-245-1442 PO Box 1162 Sound Beach, NY 11789 1c.NYS Unemployment Insurance Employer Registration Number of 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 205021895 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Merchants Mutual Insurance Co. Town of Southold 54375 Main Road 3b.Policy Number of Entity Listed in Box"1 a" Southold, NY 11971 WCA9102392 3c.Policy effective period 08/13/2023 to 08/13/2024 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"I 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 containedin the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Frank Cormio (Print name of authorized representative or licensed agent of insurance carrier) Approved by: r . 10/24/2023 (Signature) (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: 631-273-4242 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1, 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 a hazardous employment defined by this chapter, and notwithstanding 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 compensation for all employees has been secured as provided by this chapter. 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 compensation to any such employee if so employed. 2.. 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 a hazardous employment defined by this chapter, 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 compensation for all employees has been secured as provided by this chapter. C-105.2 (9-17) REVERSE Suffolk County Dept.of Labor,Licensing&Consumer Affairs p NOME IMPROVEMENT LICENSE Name LOUIS d BOCCIO Business Name This earer Is dolly licensed exert as ice a neaNEW YORK SOLAR SOLUTIONS LLC :�y the County of Suffolk License Number:H-53125 Roselle Drago Issued: 0312712014 �rren'Iiraar Expires: 03/0112024 c. STNEW workers' CERTIFICATE OF INSURANCE COVERAGE ATE Compensation ` m 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 1 a. Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured NEW YORK SOLAR SOLUTIONS,LLC 516-446-0093 ATTN: LOUIS BOCCIO 25 HEATHER LANE MILLER PLACE,NY 11764 1 c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 262092321 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 Main Rd. 3b.Policy Number of Entity Listed in Box"1 a" PO Box 1179 DBL594547 Southold, NY 11971 3c.Policy effective period 01/01/2022 to 12/31/2023 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 carries referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 10/14/2022 By (Signature or insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier, this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 413,4c 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. D8.120.1 (12-21) III �iiiiiuiiiiiumiiiiiiiiiuuiiiiiiiuiii�llll NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) A A A A n n 262092321 ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES INC 30 CENTURY HILL DR STE 200 LATHAM NY 12110 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER NEW YORK SOLAR SOLUTIONS, LLC TOWN OF SOUTHOLD 25 HEATHER LANE 54375 MAIN ROAD MILLER PLACE NY 11764 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12472513-7 321812 05/02/2023 TO 05/02/2024 5!17/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2472 513-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/IWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY AFFORDS COVERAGE TO THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. LOUIS BOCCIO OWNER THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND 4 IRECTOIR,INS' ANCE FUND UNDERWRITING VALIDATION NUMBER: 1050425405 U-26.3 DATE(MMIDD/YYYY) AtCCOR0 CERTIFICATE OF LIABILITY INSURANCE 111%�, 1 12/19/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), ACT PRODUCER Arthur J. Gallagher Risk Management Services, Inc. PHO E 518-824-2010men,CN i ENato AiN N JIII T BD 2 Country Club Road, Suite 1 91W9,N"X0L___,. cN 518- 83 8x54 IT ITIT E-MAIL Queensbury'NY 12St74 )aDtxs B�BNouweragoDD INSURER(S)AFFORDING COVERAGE E...... ...... ..RAGE NAIC# ._­ INSURER A,Kinsale Insurance Company! 38920 µµwww INSURED INSURERS erc ants Mutual Insurance Com panym _ 23329 New York Solar Solutions, LLC INSURERS:March 25 Heather Lane _ ........ _.m...._...... R: Miller Place NY 11764 wsuRER D _ITITITITIT_m INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:1038125086 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. 1�5R. ,..---TYPE OF INSURANCE POLICY NUMBER.,..N....._.... ..__. ._.-. ........m .m... ........ ..... .m............. ._.. ----.......... TR ADDL S4V IdPIMIDOY 8FF MNWDD EXP LIMITS A X, I COMMERCIAL GENERAL LIABILITY 01002180860 12/11/2022 12/11/2023 EACH OCCURRENCE $1,000,000 �LI RliT"�"G'EA CLAIMS-MADE X OCCUR P'REIMNE ' Ea artrcq) $100,000 MED EXP(Any one person) $5,000 ._... PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X_ POLICY[]JECT LOC PRODUCTµwwwS-COMP/OP AGG_ $2,000,000 „w , OTHER: Deductible $2,500 B AUTOMOBILE LIABILITY CAP1083299 12/11/2022 12/11/2023 COMMNED SINNL97177 $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE � $ X AUTOS ONLY `X AUTOS ONLY "eld'9?)'�. ... ....�. $ A X UMBRELLALIAB XI OCCUR 101002181050 12/11/2022 12/11/2023 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED 7 RETENTION $ WORKERS COMPENSATION } STATUTE, I ERm. Carrier Issues AND OFFICER/MEMBEREXCLUDED7 '' $ (Mandatory ibn NNd f1ABILITY YY/N E,L DISEASE EA EMPLOYEE $ ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L EACH ACCIDENT If yes,descri DESCRIPTION OF OPERATIONS below E,L DISEASE-POLICY LIMIT $ f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 54375 Main Rd PO Box 1179 AUTHORIZED REPRESENTATVE Southold NY 11971 � 7 r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD FI A F,O�� OO 04 F`,F,��oo r111`JI a S,SI�NI QZI`d� 0. fob i �w r N YI N ° ai N 4 i b P- p � M 33 4 O W n �8 e a d g IMEn coS yj W W Z Z J J W W FF vii En ci IS 1�1N1 D 00 u N. a N m '�S1B't',' .�. z II II .F M.YJS 9D. N O Lo Lo 00 00 W vel , / ^-..\ e O W O Z ,"`. � —�..w �vv V- Q Q Zsl CA G 'apy, g e FR oky'C Eia" 100` ♦L' 125' ,".. � r .� WF'KS:W METER 39, BAY FCA[ w� PUBl1C WATER W'SSY+tiEl' 5050, 75. o IP u u m y3 S SITE MAP GENERAL NOTES JOBNO. S06770 1. SOLAR PANELS WILL BE (16) MIDSUMMER SLIM 95W & (16) MIDSUMMER i SLIM 125W & (56) MIDSUMMER SLIM 165W PV MODULES AND (36) ENPHASE 107X & (8) ENPHASE IQ7+ MICROINVERTERS Lo 2. PROVIDE A.C. DISCONNECT: AS PER APPROVED ELECTRICAL LINE DIAGRAM. W 3. THE AC DISCONNECT WILL BE LABELED AS "UTILITY DISCONNECT AND Z PHOTOVOLTAIC SYSTEM LOCK-OUT' LOCATED AT A.C. COMBINER BOX. O O Tr__ 4. IF IT IS NOT PRACTICAL TO LOCATE THE AC DISCONNECT WITHIN VIEW OF ci) LuZ THE UTILITY METER, THEN A WEATHERPROOF PLAQUE SHOWING THE LOCATION > OF THE SWITCH MUST BE INSTALLED WITHIN VIEW OF THE ELECTRIC UTILITY W Q METER. c d 5. ALL WIRING TO MEET THE NATIONAL ELECTRICAL CODE. po 6. THE RAFTERS AS INDICATED HAVE BEEN ANALYZED AND DEEMED \ Q J L - SUFFICIENT TO SUPPORT THE ADDED LOAD OF THE SOLAR PANELS AND CONNECTORS. N � < r � N Ld W 00 0 00 00 ' W W d- Q 0000 Z O OCL 0) Q _ ZONING INFORMATION STREET ADDRESS: 400 BAY ROAD 0 GREENPORT, NY 11944 q �, W - I —OI Q Z z Z co 0 LINE DIAGRAM CIRCUIT 1 ( CONNECTED TO PV MODULES ) 7 Ld z CL CIRCUIT 2 ( CONNECTED TO PV MODULES ) >. O > Q a O O CIRCUIT 3 ( CONNECTED TO PV MODULES ) 0 CL Q m W C� Z CIRCUIT 4 ( CONNECTED TO PV MODULES ) 3 W � `� CIRCUIT 5 ( CONNECTED TO PV MODULES ) 0 O WQ CL LL W CIRCUIT 6 ( CONNECTED TO PV MODULES ) [L' co AC Cu-) g j LTJ COMBINER 0 -1 EXISTING EXISTING NEMA 3R W _J 0 Z w TILITY 200 METER PANEL�IN 20) MOLE AMP > Z 0 HOUSE BREAKER W z 0 Q N DC O z 0 p W DISCONNECT O V) Z g TOTAL SYSTEM SIZE: 12.76 KW 0 >_ ._ O 00 00 w U) 00 J_ D u ``I�NI 111111//J/,' •� N•Z� ujo JOB NO. 2023—SO6770 Lo z UL 0 0 o CN z W Y ROAD W � < BA ............. J N V) U N Z O W o _ 000 0 PRIOR TO CUTTING OR ORDERING OF MATERIAL r- ..J U m OR 00 PLACEMENT OF THE L-FOOT ATTACHMENT, THIS PROPERTY PRODUCES THE z W W REQUIRED GROUND ACCESS TO THE FIELD VERIFICATION OF EXACT RAFTER Z 00 ROOF ACCESS PATHWAYS AS DRAWN. ¢ U LOCATIONS ARE REQUIRE TO COMPENSATE FOR o o PREEXISTING RAFTER IRREGULARITY THAT MAY r- a EXIST. THESE DRAWING COMPLY WITH THE WV) 2018 IBC CODE & 2020 NEW YORK Q STATE SUPPLEMENTAL CODE. 7CE THESE DRAWINGS COMPLY WITH THE p z C) w � 0 � w z 2018 IRC AND 2020 NEW YORK 0 z STATE RESIDENTIAL BUILDING CODE. 7 p W C z V) 5: a_ F } 0 > Q 0 0 m OL p m w b- O p W O �- O O 0� O w o a- LL t o cr / o oX u. .a U w cf) o 5 2 1 2 � Of J (n w> - W 7 a g 'az � N °C � p o0 O0U 8 : ¢ z} a v 6 3 o � n W 4 L co GROUND ACCESS POINTS ARE NON-OBSTRUCTED PER 2018 IRC AND 2020 NEW YORK STATE RESIDENTIAL BUILDING CODE. I `��� ...�•��,�!�,��� THESE DRAWINGS HAVE BEEN DESIGNED IN ROOF PLAN/PANEL LOCATION o;Z= ACCORDANCE WITH THE (AF & PA) WOOD SCALE 3/32"=1'-0" =fito';o FRAME CONST. MANUAL FOR ONE AND TWO FAMILY DWELLINGS. %,r • P~� Q�fff/IIIIIIIII+ PRIOR TO CUTTING OR ORDERING OF MATERIAL JOB NO.2023—S06770 OR PLACEMENT OF THE L-FOOT ATTACHMENT, FIELD VERIFICATION OF EXACT RAFTER 2" X 4" COLLAR TIES LOCATIONS ARE REQUIRE TO COMPENSATE FOR 48" O.C. PREEXISTING RAFTER IRREGULARITY THAT MAY 2" X 10" ROOF RAFTER @ Ln EXIST. 12 16" O.C. O O MIDSUMMER SLIM Z 95W SOLAR MODULE Z THESE DRAWINGS COMPLY WITH THE STANDING SEAM METAL O z 2018 IRC AND 2020 NEW YORK ROOF > uj STATE RESIDENTIAL BUILDING CODE. ¢ a Q THIS PROPERTY PRODUCES THE _I REQUIRED GROUND ACCESS TO THE ROOF ACCESS PATHWAYS AS DRAWN. N < N V) z W THESE DRAWING COMPLY WITH THE z O 00 2018 IBC CODE & 2020 NEW YORK I-- P"4 � STATE SUPPLEMENTAL CODE. -I U *-q L LD z �' x00 GROUND ACCESS POINTS ARE NON-OBSTRUCTED CL 0) PER 2018 IRC AND 2020 NEW YORK STATE ROOF CROSS SECTION (� RESIDENTIAL BUILDING CODE. O o SCALE 1/4"=l'-O" Uj . � U w THESE DRAWINGS HAVE BEEN DESIGNED IN p Q Z z ACCORDANCE WITH THE (AF & PA) WOODQ W 0 z o FRAME CONST. MANUAL FOR ONE AND TWO FAMILY DWELLINGS. � z O x O > Q co � o THE ACTUAL IN-FIELD ATTACHMENT TO z W CL ILL THE ROOF WILL MEET OR EXCEED NYS O p W O RESIDENTIAL CODE REQUIREMENTS Q o 0- LL d- o w w z ALL ELECTRICAL EQUIPMENT SHALL BE ac ck _ n a PLACED AT MINIMUM 2 FEET ABOVEgLd FLOOD ZONE ELEVATION o :DJ 0_ J � gQz V, .d. w N U) o 006 } U a Z z00 O O caEE 00 FIRST FLOOR E.L. 9'-O" � GARAGE E.L. 8'-0" %It rurrrgrrr� GRADE E.L. 6'-0" J� �;7'�y A.E6 =�•'� �t� PROPOSED COMBINER -�• :Z PROPOSED RAPID Boo o;Z= BOX LOCATED ON THE SHUTDOWN SWITCH sUJ;`n =o';o INTERIOR GARAGE WALL ��rrHrrun�H�� JOB NO. ROOF 4 ROOF 3 2023—SO6770 38'_9„ 24'-3" SYSTEM LENGTH = Ln SYSTEM LENGTH = 21 '-6 1/2" 0 11 '-11 1/2" RIDGE LINE Z ° 3X 7�. 18 MINIMUM w VENT AREA LuQ ftil Ix xj(]x `4Y1 to MIDSUMMER SLIM 165W SOLAR Q N II �a , 7 MODULES N U 1 a: �� N _ X�x W -�►N . ► \ Z ,r i S�-Yn 00 0 00 Lrk tiles a .^qy W 1--+ opo Q Q M NOTE: THIS SYSTEM IS EQUIPPED WITH - o >l MICRO-INVERTERS AND NEMA �. I � COMPLIANT RAPID SHUTDOWN SO THAT V) }- (n 3 ANY WIRE PRESENT UNDER THE RIDGEQ Z F- w NOTE: THIS ROOF WILL HAVE (28) MIDSUMMER SLIM I I WILL BE DE-ENERGIZED VIA EMERGENCY (n 0 z DISCONNECTO 165W PANELS WITH KW OUTPUT OF (4.62 KW ) AND __� __� F- >- o (14) ENPHASE IQ7+ MICRO INVERTERS SOLAR PANEL LAYOUT ROOF jE3&4 L►-I Z >- a x L310'° SCALE 3/16"=1'-0" m O m Z J O z CL Lj w NOTE: THIS ROOF WILL HAVE (8) MIDSUMMER SLIM 95W o CL 35-011 CK � w NOTE: PREASSEMBLED MIDSUMMER PANELS & (8) MISUMMER SLIM 125W PANELS WITH KW z FLEXIBLE PV MODULE PANELS WILL BE BONDED TO THE SURFACE OF METAL OUTPUT OF (1 .76 KW ) AND (4) ENPHASE IQ7X MICRO o J g j w ROOF WITH HELIOBOND PVA 600BT, I VERTERS & (4) ENPHASE IQ7+ MICRO INVERTERS o o z x EFFECTIVE AT TEMPERATURES FROM —40'F TO 250'F I ¢ Q z w N REFERENCE PG. C-2 FOR DETAIL II w O Z 0 w MIDSUMMER SLIM 125W } Lo a: NOTE: FLEXIBLE MIDSUMMER PV M � o� SOLAR MODULES Z Z J ,� W MODULES ARE RATED FOR WALKING, p 0 a THEREFORE MAY BE INSTALLED WITHIN ������ * 00 L Q (n00 � J AN ACCESS PATH j V ' w I I o - r'- w I '< it C3) (n t ``�`�I� IIIINUU/ ��/ MIDSUMMER SLIM 95W , ° ; ;: ; . ' bi 1 , � L� .... -,'�.. '••.do' SOLAR MODULES SYSTEM LENGTH = SYSTEM LENGTH = 18" MINIMUM 9'-6 3/4" 9'-6 3/4" =�:o VENT AREA �� :w= •� N•Z� 4• O• it- RIDGE LINE Li �N 4?0 z- 27'-9" ROOF SOLA PANEL LAYOUT ROOF 5&7 ����'�,����;••••••••' �,��` ROOF 5 ������anuuuaa SCALE 3/16"=l'-O" 3'-0 31-011 JOB NO.NOTE: THIS ROOF WILL HAVE (28) MIDSUMMER SLIM NOTE: PREASSEMBLED MIDSUMMER 2023—S06770 FLEXIBLE PV MODULE PANELS WILL BE I. 165W PANELS WITH KW OUTPUT OF (4.62 KW ) AND BONDED TO THE SURFACE OF METAL (14) ENPHASE IQ7X MICRO INVERTERS ROOF WITH HELIOBOND PVA 60013T, .... EFFECTIVE AT TEMPERATURES FROM o LL N Xis -40°F TO 250'F z 0 xli� REFERENCE PG. C-2 FOR DETAIL o Ln { uj >V— I X � „ NOTE: THIS SYSTEM IS EQUIPPED WITH ccCD LwuQ MICRO-INVERTERS AND NEMA N >�\� X= COMPLIANT RAPID SHUTDOWN SO THAT II \ ' ! ANY WIREPRESENT UNDER THE RIDGE J [--+ X ': ;; WILL BE DE ENERGIZED VIA EMERGENCY Q . N V 1 ,�, � r X' DISCONNECT z w > XI 00 O �' 00 co w � ��; MIDSUMMER SLIM 165W SOLAR -� i� MODULES w co cn > XI, Z d- x °° Qd- -- 18" MINIMUM ° CL 0) U a a� r VENT AREA ct le SYSTEM LENGTH = 21'-6 1/2" RIDGE LINE vj 5 SYSTEM LENGTH = 28'-2 3/4" - 0 Q z SOLAR PANEL LAYOUT ROOFS z 9'-6 1/2' L&2 O �-: SCALE 3/16"=1'-0" 0 o SYSTEM LENGTH = -' Li > Q 0 �- 38'-9" 2'-4 1/2" m O p m z Lij W �, z. ROOF 2 ROOF 1 ROOF 2 O o w Z cn 0� pOQY Q Q CL LL a z ROOF 8 27,-9„ ROOF 6 0 w RIDGE LINE °w J g O z SYSTEM LENGTH = SYSTEM LENGTH = 18" MINIMUM g I > .o. z W N 9'-6 3/4" 9'-6 3/4" VENT AREA w O z O Q w (n0 Oou MIDSUMMER SLIM 95W "' � n x SOLAR MODULES \ _= II NOTE: FLEXIBLE MIDSUMMER PV z Z w a '- ''� o 1x == MODULES ARE RATED FOR WALKING, 3 O00 w ;. IX o THEREFORE MAY BE INSTALLED WITHIN < V) co 't 1'x T AN ACCESS PATH - ti U-JC.0 EE: ,� 'n r � W rn 0��� uuUgq�i�i K,�,>, MIDSUMMER SLIM 125W ••••.•�''�., SOLAR MODULES •'�7': .z y NOTE: THIS ROOF WILL HAVE (8) MIDSUMMER SLIM 95W =o;� H osZ= PANELS & (8) MISUMMER SLIM 125W PANELS WITH KW �:� OUTPUT OF (1 .76 KW ) AND (2) ENPHASE IQ7X MICRO ��,��,�•;••••••••.• Al SOLAR PANEL LAYOUT ROOF #61&8 INVERTERS & (4) ENPHASE IQ7+ MICRO INVERTERS LS-0- " SCALE 3/16 =1 -0 JOB A 2023—SO6770 III UI�■lil • . • uj • LLJcc... i 1 �;i _ c�11���) LI��?�`�lJLf� �))1J`li•1 t�� 1'`'I( �"`ii�ls �I r1�pJl) llt7��l��!_�u�LbLl7'Z�JI��fS�,"� �•J_��1�,�.c4� � .. . 00 REFLECnVE LABEL(S) SHALL BLd _ r1f r WARNiNG_ DUAL POWER ., LOCATEDSOURCE. MULTIPLE SOURCES OF SERVICE 11 MAIN PANEL OR 4LITY AND SOLAR CL '1 I • I • •• • • • ELECTRIC SYSTEM � '\.(dl) .. .1.24'tlfll.��1�{(1�yl'��.'1i� 'Y.��ir . •• _-- MAX AC OPERATING CURRENT: ;'ACK NOMINAL OPERATING VOLTAGE240 RANJ�J�C(��Jr AwAIRN 1 N G A TURN OFF PHOTOVOLTAIC AC • • WORKING INSIDE PANELLd z � ' ` : : • ■ ``ll ���� WARNING- ©UAL POWER SOURCE < 0 y EVERY • • RACEWAY.LOCATED: ��)��)i f �))1 ����L''l,J�{( ��al�.' �S�J_ti 1110 SECOND SOURCE IS PV SYSTEM ^. . �i . • . • I- I WAFNINGA LABELBE • ON I ; • • of ELE,CT.RIC SHOCK. HAZARDSERVICE PANEL ORPODNOF Q (L LL LQ DO I EI•C• • TERMINALS ON BOTH LINE AND LOAD SIDES MAY BE ENERGIZEDLABEL SHALL BE LOCATED: IN THE OPEN POSITION ON • • • ' DISCONNECr • ^C V) uj >- 5 > Z ■ ���LrGr�� SLI; • ■ . SHALLui LABEL • . " • •. NEC • • • i •0 Ld � \ , •• y co ■ • .y Iq�lil JOB NO. Uqu'illpct Enphase The Enphase IQ Combiner 4/4C with Enphase 2 0 2 3-S O 6 7 7 0 ' Enphase Micr0lnvert<rs IQ Gateway and integrated LTEM1 cell 9Zrl.'%•I AaL194%•' IQ Combiner 4/4C modem(Included only with IQ Combiner 4C) X-IQ-AM7-240-4 consolidates Interconnection equipment ^ ' X-IQ-AM1-240-4C Into a single enclosure and streamlines IQ `v ---- -- ----- -- microlnverters and storage installations by Enphase The high-powered smart gid-ready, providing a consistent,pre-wired solution for 0 O Enphase IQ 7 Micro'and Enphase IQ 7+Micro' - - -•- residential applications.It offers up to fou Z IQ 7 and IQ 7+ dramatically simphfythe 7ristalliallon process while 2-pole Input circuits and Eaton BR series Z �- Mieroinverters achleving the highest System efficiency. :. Z husbar assembly. Part of the EnphaselQ System,the 107 and ( Q IQ 7+Microinverters Integrate with the Enphase ; rw IQ Cnvoy',Enphase IQ Banery'",and the Enphase �•� Smart W V r Enhghten"monitonng and analysts software. •memdeswceteway mrcgmmumanpnana cgmrol a v IQ Series Microimeners eMend the reliability (i •1nc'udes Enphase Mobile Connectcellula,modem X standards set forth by prevlous generatlons end !L (CELLMOCEM•MI-06 SP-05),Includ9d only N•Lh lg Combiner 4C Undergo over amillion h0UfS Of power-on testing, �I, Includes Wit-shield to match E1pM1ase lO Battery warbling En ph ase to 5yearlde an indUSlfy-Ieading a.,Ihruce and deflect heat Fledbla networI surts ppoW4Fl, J warranty of up to 25years. ,I Ethernet,or cellular Optional AC receptacle.v:.ble fo PLC bridge \ •Protides praductl-metering and consumption r 1 ------- ----- monnorinq r� v Easy to Install Simple Z / '� I •Ughtwerghtandmmple ` •Faaterlmtaliaban vnmknprov<d,Ilghter tvromire cetLrq Centered mounting brackets support single \ 00 I =��X, I� stud mounting •Buat-ir.rapid shd:do,vncomp0ant(NEC 201452017) - •Supports bottom,back and side-dua entry O GQ Cl) •Up to tour 2-pole branch circuits fo'240 VAC Productive and Reliable _ (not rJ • 00 Opiimlcedforhighp-ad EC-ce111120 half-flend 72. _ BOA total PV branch 7 �� eo V143 haH-ee.l'motivlea k'IQ.MtIJ.e02Cy� 80A total PV Or storag¢EranN elrO,na " 7W !-� In •more manammmn bpL,a°omen"g lir �'' Reliable ¢ L O -_ •ULII lldouble insu'atd endeaure VLllate0 • d Durable NRTL certlped NEMAtype3Renclosure /'� •FI-year 11m11ed-,,.Cry 11 V) tD Smart Grid Ready •Toro years labor reimbursement proiramcwerage t-L mcluaad roc Dath the la CombinerSKUs r O •fr"Ll ea lse-th.,gh quC,nerI,vWtege antl VL fisted lreq°ency setthroughrgwremenb ' •Remotely uptlete,is respond to changing gddrtGLiremens •Conflpurable forvarynggrld Ambles _ `}. Meet.CARuie21 NL1741.54) u, %10-Ft+n-240-0Y V / O us7En roela7+hl ttaampmratlrceuvPcrt a3 r<u!144nda rann<a,taA Tolearn more about Enphase offerings,visitenphasercpm u ENPHASE. O O Z � Z To learn more about Enphase o(ferings,visit enphase.com 8 ENPHASE. - Enphase IQ Combiner 4/4C - --- Q N 0 ic.-WmMODEL W z C) 1 1 4Cumbmcll(%ID ArdIgiO4)i I1110.,+'.r<nM Fryhata;CGa..reyp h35111),rmdr•am'egmle5re•mm,.•yrvC.•i•e lva,lwlrvnmetulq(AIMJ O W .1110.,a -.1("111),Wclraas ea:.vxo'arffaHlp.menJ,tse 1p oaVery svten aW Enphase I 7 and IQ 7+Microinverters acy=temparnrWkRwMWd<n tI at. ^ ', f O P Q 9 CamErm,dC 1.IO AMI x9q rill Ipcpmb�r«wcwhtD pMalp cnttt.mmi,ma<ecvhbamma.m y:a:<a,c,,,r°cgttt't><•p,aaJ.roanwmay LL LLJ ;ebslel22a'A aSv and pmt PymrlpNtalWq Tal-25x)Imwne 1PIL+s+r4ohle rrrwdeevrlarnaatm O �y'y 7 O INPUT DATA(DC) IQ7"60.2-US Ig7pLU5-J2•LUa ___ ______ _____ •CF11 MlY�LMMI{6 Si ni).aplvg endp'<k'IMusnIL-Sredettll meEtm lcrtyrzmtlR 1060,nicrolrv<rtetz, r Co L COmmpNy used mOtlu:epalrinpa`�ry ^<35 LY 350 V/♦ Y235W-440Wa�' �� (Avt�wL•Ic•NNe VS.Car.aa,M-P.-Weo,ana WC Us Vrtgln:slanfa.whersl'Vt<Ia wlequplecullulvservivcN Lu /k Q � � z Votlulecompabbsbty 60.ceIV120haH ctli PV modules Ea<e11r120h0-lieW72- Nelvlpl'0:on nrer]MLaz:er.vzr4alu<hWW tometNUelOnenery nnalpryatamconndk•r.vldmdetknneat- I`IY on,; ce1V134 tral!se3 PVtrwduree ACCESSORIESAN D REPLACEMENT PARTS (not(,,IWod order separately) Feamunnhw OC.....e 4dV 6aV iMle[vmmatJcalWin Nil-�'--_ 1u•�WUCOMNc y,Ii01 en]CCLLMO:IEM h1111�bSP 05'xlljis)ra SVtnt•hWylarl«�---" O O W sN pw.nHUecH,q wUage 27V-37V 27V-45V CD'NSS�YILM00EMMl-a6 Em<mba circ: opersing-ris 16V-48V 16V-6. CELLAI2UEM M1-Ob-HP Cb -4G Cv^c1LTF-hll ceilula•.wtlemrAui Yem Hp,lrt sis Plat O O 1 NiNMaa-vobaas ZZV/38V 22V/Wv L'ELLMCOEvl i 06 AT 05 -dG base]L1 E-411 ttuu'ar Ind-Alftsync nTST aalaplar. -..J7 Msx OCanprtdlCOa currem(mWPle Rc) ISA ISA Crru.t&rnkttc Sccpvtls Eater 94210,9P215,93210,BR230,3R2 W.afl250.a,d aR3e0chrsl btaktrs. O I r r� C.-ftagedees DCport 11 II ePl(-ICA 2240Y .'WW Ottakm.2 pall lOq Enon bRlln {„L v CCpOnba<kreed Con ant, OA CA 9RK 15A 2240V CI:rWi bea{dr.i-EA.E. eOsIs w PVeraycoMgInn'on tat vngllscedaney;NO,ddltiorel CCside protection requbed SPIV-12- -6A- P.IV-124w glcul,'xtakel.2p01e,2CA,Ealvn 91120 z AC aitic ProteC.;en requ'roa moa 2W Per bench cimvrt U-6A-7Pn40vU em Slaeter.2 pole,15.4.IntnO NRI150 wilt Fda Coxnkit,cPpOrt B.20A 1Pt40v 8 4«un'a:Vvtar,2yLat 2CA,Eaton a32249wiU hv�4 dgxn k'1 aLPr+mt OUTPUT OAT0.(4C) IO7 MlerolnveMar IQ7.M111r<Imerter FFLC 01 - Pewel linecan:nr;cemnwnkallon Mragtpaill,qu¢nury anepah M /'1/ c oak output power -��� 250 VAVA, Kn�SOL1NSHIEl0�F8 Ra]lannent sda'syle!d to:l3Candn•rd/dC 0.L LL h+aa'mum COMimmus oNpulpm,er 40 VA 2901'4 1.' -'In41(L-L)VOhagsA.r2v 2. 208V/ 040Vr 20OV/ z4 FLLG 1203 ActtssPi9lttcylrit WrFb„erL'rt Cnnlc!(n 10CumNrwre/4C(mgWred`nr mlC 01) 'R _OA(2 183-MV 211-2d3V tda A,2 mans rp catz.,4Y Para.dcmit Mara(P<0)fcr LtmNnzra!ac V V Vd2mum Cominugus0utpul ttrttnt l0A(240 Vj 115A(3C9 V) 1,11 A(240 Vj 139A(?CAV) z4�LfA-113 Replace Q J O z r� Flominali:equMe/ 60 Hz � 60 Hi 41U�NA HO�115A - HdA a<x,4n fm Eerc1art416t+aaerwlT mens � � J Enxtendedfregitreyrarge 47-68 Hz 47.66 I2 - ELECTRICAL SPECIFICATIONS _ -__-_- yp„ art- 9 /r1 W - \. 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CEC-Ithte-I 97.-•r., �17.% 97,81 � CECvmlgfaN e!feienry 9J04c 97.OYa 970E 370 Tr Pc eE,tcr,ERsenes OlatdbWca Geller•acn(pG)breakertorJy lmthv.Waed) -U+ MECHANICAL DATA Vav tate1 b--.1 c-Ift b-rs,n,OnPLI) e0A nl0:srrL'vsM gane:elon1 a.with 14Garev,aybeakerirxWdzd Ambent tempGraWre Hoge--"-- - 30'CIO MS"C M1oauctlo,mC,rrny CT 2.1 A se11 roe pn-�--ii:W Nhe]to le fwtu,'ay Relaavehunnal.mage 4'nt,NC Cirondensc,u oooYlinttg Ortyp¢ _ _ 0"m'<v<v IW,H2Oj 325aayss i50cm(in]5sN5a663).H<ighliqx .�ISSSscm)with�mr,4n9 MMarkets. 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O I micr inverters aid storage Installations by marv.m.end.m.1—laeanorrnnaor>mJylrmraa.awny _ tREaotrxeoae<n,.,ibrJry<Im,.t:fr<a L providn9 a corrslsta'li,prewired scluticn crearrcmwd°TmnDr.:,.p:<.r<, for ssAppmn<,vve..`,s.arrmrr.pwrxxae:•vbF.utmaD xTr/ residential applications.It offers up to fcur Technical Properties 2-pole Inpit ofTuits and Ealcn BH series S '¢° ...aa'k ` f,'� aa" '• 1. bulbar assembly. cio:. ... m s • a Nvrmxmrlm)bmovarawa ,"+ 10 _ ---'--- Mini atlst and elegant Scandinavian r tlH .aN midsummer tlaslgn-Adapted for pdvate homes as Smart L•Rrea fonng krtazoe 4s•c .11-C well as eommerclal antl histone bulloTgs. m:�arngm More than a metal roof tl thoutd argln'g the cries_InalarWtc-aural J r � •' kmlv�9lgGetx..aylareemmwicatbnandconh0l qA, - ry,! gn- IN J l •In<luks Enphase LOWO Connect mlli,W modem �'�ror a'� PCH - Midsummer SLIM is a combination of thin soar Made In Sweden-Midsummer owaslhe \ C—Ii(CIE .IOC EM t:t-05 SPOi),included only,mLh 10 'fin^�n'�'T veYCDm _ vMWm panels and a forded metal roof,where the end entire Value chain from dawlopment to �{ DOmNnp!de MpMnepemryury:amlLm 1000 ,W'C - - r product becomes a discreet soar roof.Tha plate delivery and nos She entire pfotludlm In •Inckd,ssoiarahleldlo match En hvselOaauery - " for Ml dsummer SUM has the same told widthas the Jarfaga outside Stockholm.This means V p FMtlassr9e0ar,EN 195011 -Al elm Al ata y. s+hWM and dc0ect heat - solar panel to maximize the instated power without tleivery security,low climate factorials •Hexlde network is GULpcns I.R. Cost^Pdad''r<u"d'°mNzrk<•tL°caa0 ®I'^ S°Lr° claiming the tllscreet de sign, entl decent working conditions /�) Elnem<I.or cel'uar co+xrca)uo., res Thesheet metal entl soar panels ten be ta'lored to Sale antl corn late Inatadalian V �f• +� •CpaoaalAC mcaptxle evadable for PLC Mrdgo o!vmaYmm^ 5ffiGgs32WD.s39Co s300LgstA(p.53YC0 thed.&l'I.11h.from B55 mm up to 4025 mm.It is throughout SWetlen-Alltlstlmmer tulles \ z •Prcvleu ptoduc°m meter ng.M Consump,lon 'Prrc<omaL _C'm _ '2Tsyma also possible to Join the panels up to a total length d our customers through the entire prxess momtodng MMakHpaTesr owmn a.— 12 meters.When joining,the wiring is covered with a and offers turnkey installations-react/lo O � � 4 dlsaee[sheet metal protection. go. 00 as�I:raw•• lose-ts6a- ,poi-,scomm . • Simple m.'rm •,m.m,a>n•NrIre.rta„L,.Aya....n,.,aa.-.yme„sae:,,,,.v,r.,mr,..,a,pa,e,rar„a.,>n.v+a„rtmv;y,<e,r CoMbining roof replacement and Installation of solar 90%lower—bon dioxide emissions T J � M . penrmemleu—e.,woereraav.:u.le,e.drm,o•,a,sysrwa.,,. panels is both Smooth,safe and cost•effecuva. co pared to traditional solar panels. l •CentaxEm ,,;bmckenmlppDrrsingle N.m.+mnnwnr. wn<v Ony 12.219 Cr0]perol nstalletl Sour •a ''I z ~~ 00 Mmountln9 panel ndentthVer art revieKrdUgtO W O 00 - � Independent third-party review � z 1 •suFOn+e baton,0ackard a'decond0.tenlry .Y% L/L r - UDta torr:Fol±branch ckeulte for 240 VAC !a:_ f Supeddr shading pertormanee eT plug m breakers(not mcletxd) The bypa9s technology between each O\ %ipnNi-]W4C ^ .J •BCA tole)PY or storagx branch clm0lic Cell ensures that shading on one or/Wore /•� Reliatya T Oter cells only affects the current cels 0) IT - Instead of the entirepanel. Mlnlmal nOwl.enables easy and sale C /� O •OurOHe NRTL<a.'Lp�NEMAtypo3Rrne.'emrrc NStaflat:On wlthOutparleasy and .I� w •Fvalea lib.,d,vnaenry High Pproonng layer of the roof. •Two y<e.'sbtorrcimbursemem program<olrerge High pawero/47,7 W/k9.%"l his less than 20%of the weight for the same irx`udetl forbcLl thxlp Ce'nbmer SY.'1¢ power for traditional solar panels, O ' UL rskd Q y Flozlble molar Panels avowThe pare”.on Q .'�� MADE WN r C curved surfaces and roofs,The pare".can O c-a SWEDEN " also ba lvalked on during maintenance. (]� z+oAMlzaw- Highly el gdentarscellswithout O z LISTED eau toxic cadmium the to our unique L �ENPHASE. 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