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�?suEFoi` opo coGy Town of Southold 9/24/2023 P.O.Box 1179 co 53095 Main Rd whA o`g�T Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 44569 Date: 9/24/2023 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 580 Old Shipyard Ln, Southold SCTM#: 473889 Sec/Block/Lot: 64.-2-45 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/20/2022 pursuant to which Building Permit No. 47982 dated 6/21/2022 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof mounted solar panels to existing single family dwelling as applied for. The certificate is issued to Keller SA Revoc Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47982 1/18/2023 PLUMBERS CERTIFICATION DATED Aut ori d Signature �o�g�fF TOWN OF SOUTHOLD ,� ay BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • o�� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47982 Date: 6/21/2022 Permission is hereby granted to: Keller SA Revoc Trt 11 Moffitt Blvd Bay Shore, NY 11706 To: Install roof mount solar to existing single family dwelling as applied for. Disconnects must be located on the exterior, labeled, and readily accessible as per code. At premises located at: 580 Old Shipyard Ln, Southold SCTM #473889 Sec/Block/Lot# 64.-2-45 Pursuant to application dated 5/20/2022 and approved by the Building Inspector. To expire on 12/21/2023. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-RESIDENTIAL $50.00 Total: $200.00 . n Building Inspector so�ryQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a sean.deviinCcD-town.southold.ny.us Southold,NY 11971-0959 Q�yCOUn�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Keller SA Revoc trt Address: 580 Old Shipyard Ln city:Southold st: NY zip: 11971 Building Permit#: 47982 Section: 64 Block: 2 Lot: 45 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: EmPower CES LLC 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 X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect 2 Switches 4'LED F� Exit Fixtures Sump Pump Other Equipment: 9.78kW Roof Mounted PV Soalr Energy System w/ (23) SPR425W Modules , 200A Disco, 60A Disco, Sunpower Monitor, Combiner Panel Notes: Solar Inspector Signature: Date: January 18, 2023 S.Devlin-Cert Electrical Compliance Form OF 50UTyo L o P Alp # # TOWN-OF SOUTHOLD BUILDING DE . 765-1802 .., J NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [° ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ .] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: /VC7C C DATE INSPECTOR f o�aOF SOUTy�! S , ----�/ o q T._ � # # ILDI / = TOWN OF SOUTHOLD BU IVB �`y�OUrm� 631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] 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: Gd wire � G DATE /9--7/5INSPECTOR _ 0F SO pT�o� TOWN OF SOUTHOLD BUILDING DEPT. °ycoum, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL Sa fot✓ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]' RENTAL REMARKS: C� DATE INSPECTOR Gregory Sachs, PE 4589 Austin Blvd., Island (516)-544-4592 Park, NY 11558 permitting@empower-solar.com April 17th, 2023 Town of Southold Building Department APR 2 8 J L 2023 54375 Route 25 , Southold, NY 11971 -COMM OFSOIIuhS�P_n Permit#:47982 580 Old Ship Yard Lane Southold, NY 11971 Section: 064.00 Block:02.00 Lot: 045.000 To Whom It May Concern: The Solar Electric installation at 580 Old Ship Yard Lane, Southold, NY 11971(Keller 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, Y O Ric SAC OLJJ o�y �� " 4 a " . • ���� gam° 0 cFNsE Gregory Sachs, PE J FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION (1ST) -------------------------------------- FOUNDATION ----------------------------------FOUNDATION (2ND) z 0 ROUGH FRAMING& H PLUMBING 90 S I NZ S r INSULATION PER N.Y. �3 STATE ENERGY CODE Z� My Fo FINAL [kill u ADDITIONAL COMMENTS o � Ig I Z3— E ec+ t' a erg- . �Z rn O C� k y O z y x e b H ��SUfFO(�O TOWN OF SOUTHOLD—BUILDING DEPARTMENT H x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 htti)s://www.southoldtownny.ROV Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® PERMIT NO. / 0 Building Inspector: MAX 219099 Applications and forms must be filled out in their entirety.Incomplete BUILDING DEPT. applications will not be accepted. Where the Applicant is not the owner,an TOWN OF SOUTHOLD Owner's Authorization form(Page 2)shall be completed. Date: 5/17/2022 OWNER(S)OF PROPERTY: Name: Stephanie Keller SCTM#1000--a6_4 Project Address:580 Old Ship Yard Lane, Southold, NY 11971 Phone#: (631)-666-0200 Email: skeller nlckersoncor com Mailing Address: 580 Old Ship Yard Lane, Southold,NY 11971 CONTACT PERSON: Name: Sara McCaffrey Mailing Address: 4589 Austin Blvd.,-Island Park,_NY_11558� ___ Phone# 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 Estimated Cost of Project: gOther Solar PV $ 30,695.05 Will the lot be re-graded? ❑YesX]No Will excess fill be removed from premises? ❑Yes No 1 � 1 PROPERTY INFORMATION Existing use of property: Residential 1 Family _ 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 LINO 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): Sara McCaffrey KlAuthorized Agent ❑Owner Signature of Applicant: Date: 4/13/2022 STATE OF NEW YORK) SS: COUNTY OF ) Sara McCaffrey 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 �g,f day of ,202—L _ ___ Notary PE3WiicIV•.i+•Zc;ser NOTARY PUry�IC, TATE Ol�N' IEE YORK Reoistraticn No.01MO6412506 Qualified in Nassau County PROPERTY OWNER AUTHORIZATI Nommission�x;:lres Decamber26,2024 (Where the applicant is not the owner) ' I, Stephanie Keller residing at 580 Old Ship Yard Lane, Southold, NY 11971 do hereby authorize Sara McCaffrey to apply on my behalf to the Town of Southold Building Department for approval as described herein. 1z 4/13/2022 O 4ner's Signature Date Stephanie Keller Print Owner's Name 2 I DING DEPARTMENT-Electrical inspector MAY 2'•11 202 TOWN OF SOUTHOLD - ToD-all Annex- 54375 Main Road - PO Box 1179 BUILDING DEPT Southold, New York 11971-0959 0hi?.y 'OWN OF SOUTHOLD . Telephone (631) 765-1802 - FAX (631) 765-9502 � GIG ."i seandCcDsoutholdtownny.go Lo -gerr(ED-south-oldtownny.gov. q APPLICATION FOR ELECTRICAL INSPECTION, ELECTRICIAN INFORMATION (All Information Required) Date: 5/17/2022 Company Name: EmPower CES, LLC. Name: Timothy Crotty License No.: ME-65990 email: permittinq(@empower-solar.com Address:- 4589 Austin Blvd., Island Park, NY 11558 Phone No.: (516)-544-4592 JOB SITE INFORMATION (All information Required) Name: Stephanie Keller Address: 580 Old Ship Yard Lane, Southold, NY-11971 Cross Street: Phone No.: (631)-666-0200 Bldg.Permit#: email: skeller@nickersoncorp.com I Tax Map District: 1000 3 oc Lot: 045.000 ---SPOLIQM-064.00- b K�_02.00_ BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installation of roof mounted solar panels (28)SPR-360w ACPV modules 10.08kW 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 Informatiod". .PAYMENT--DUE WITH-APPLICATION Request for Inspection Form.As 00 r FFOL 1 BUIL6IN �D� PARTMENT- Electrical Inspector �C l II n 11JTbWN OF SOUTHOLD ox 1179 ;�- Town Hall ArineX- 54375 Main Road - PO B �e 3111L�IF��: �c �7 ne� ,,;r�,�x_Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.riche rl:P—town.south old.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: 7t;_ 3 YQ � email: u rv�fs l ec4si .2 &, 00- C Address: Phone No.: r7CeS - JOB SITE INFORMATION: (All Information Required) Name: )V S 0 -S Cr Address: A/IC C��v.Lr Cross Street: Phone No.: email: ; G —0L,-�� Bldg.Permit#: �{'�--9-�-2 `°- "; ! `-;; ��-� �U�rnv�.�ca.s '� Block: Lot: Tax Map District: 1000 Section: BRIEF DESCRIP Print arl Circle All That Apply: 3 Is job ready for inspection?: Y /Q ISO Rough In Do you need a Temp Certificate?: YES NO Issued On �Sd ---------------- Temp Information: (All information required) Service Size 1 3 Ph Size 3O b-' A # Meters= Old Meter# : New Service - Fire Reco nect - Flood Recon ct - Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Fram Pole Work done on Service? Y Additional Information. PAYMENT DUE WITH APPLICATION 4P2,-2; Request for Inspection Form-As ?A- f. 01 _ • i I� c, I� I� ,�/ IEPn DING DEPARTMENT- Electrical Inspector ,_ MAS TOWN OF SOUTHOLD Toll Annex- 54375 Main Road - PO Box 1179 rg,GO BUILDING DEPT. Southold, New York 11971-0959 OWN OF SOUTHOLD Telephone (631) 765-1802 - FAX (631) 765-9502 ro.gerr@southoldtownny.gov— sea nd@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 5/17/2022 Company Name: EmPower CES, LLC. Name: TimothV Crott License No.: ME-65990 email: ermittin em ower-solar.com Address: 4589 Austin Blvd., Island Park, NY 11558 Phone No.: 516)-544-4592 JOB SITE INFORMATION (All information Required) Name: Stephanie Keller Address: 580 Old Ship Yard Lane, Southold, NY 11971 Cross Street: Phone No.: (631)-666-0200 Bldg.Permit#: y-� q <�2- email: skeller nickersoncor .com Tax Map District: 1000 Section: 064.00 Block:02.00 Lot: 045.000 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installation of roof mounted solar panels ( )SPR-425,w ACPV modules I.-775kW total system size Circle All That Apply: Is job ready for inspection?: YES X 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 Request for Inspection Formals a PERMIT # Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments bo ri q92- EMPOWER S O L A R STRING C STRING B STRING 4589 AUSTIN BLVD A t S� ISLAND PARK,11558 (4)SPR-36OW MODULES (12)SPR-360W MODULES (12)SPR-36OW MODULES TEL:516-837-3459 DC STC POWER:1.44kW DC STC POWER:4.32kW DC STC POWER:4.32kW FAX:516-706-1789 (4)ENPHASE 107X3-96 MICR04NV (12)ENPHASE 107XS-96 MICR04NV (12)ENPHASE IO7XS-96 MICR04NV WWW.EMPOWER-SOLAR.COM TOTAL AC POWER:1.2BkW TOTAL AC POWER:3.84kW TOTAL AC POWER:3.84kW - THE INFORMATION DISCLOSED HERIN IS THE SOLE CONTINUEAS CONTINUE AS CONTINUE AS ENCLOSURE- UTILITY PROPERTY OF EMPOWER CES,U.C.UNAUTHORIZED REOUIREDFOR INV... REQUIRED FOR INV.... REOUIREDFOR INV... NEMA3R METER REPRODUCTION OR DISTRUBUTION OF THIS SPECIFIED STRINGING S>EORED STRINGING SPECIFIED STRINGING MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION. ACA AC1 AC7 M TO MAIN TO PROFESSIONAL ENGINEER (1)SPR-360W MODULES (1)SPR-36OW MODULES (1)SPR-36OW MODULES SERVICE ` UTILITY (1)ENPHASE MICRO INV. INV 2 (1)ENPHASE MICRO INV. I '2 (1)ENPHASE MICRO INV. INV 2 PANEL _i �.leitID C7i- U �V ACA AC1 ACI SUNPOWER DATA AC DISCONNECT (1)SPR-360W MODULES (1)SPR-360W MODULES (1)$PR-360 W MODULES MONITORING (1)ENPHASE MICRO INV. INV.1 (1)ENPHASE MICRO INV. INV.1 (1)ENPHASE M ICROINV. INV.1 100A,2P CB,89L Li Lj Li Li L7 L2 N ACA Act AC1 G 15A,2P CB PROFESSIONAL SEAL 20A,2P CB AC 20A,2P CB 20A,2P CB AC PROJECT NAME: Keller,S.RESIDENCE TO RACKING G PROJECT LOCATION: GROUND NEMA3R (1)#6 AWG,EGC ENCLOSURE 580 Old Ship Yard Lane AC COMBINING MLO PANEL Southold,NY 11971 1-PHASE 120/240V a NOTES PROD.PHASE: PROPOSAL 1.NEUTRAL&GROUND ARE BONDED TOGETHER(OR GIN OF GEC FOR SOLAR ELECTRIC SYSTEM) LABEL DESCRIPTION LABEL DESCRIPTION 2.GEC FROM SOLAR ELECTRC SYSTEM BONDED TO EXISTING GEC IN THE MAIN SERVICE PANEL USING IRREVERSIBLE SPLICE DATE: 3/28/2022 3.USE TAP RULES FOR SIZING TAP CONDUCTORS(NEC 240 21) AC1 SPR AC CABLE AC2 1-1l1"PVC 4.SIZE GECAND EGC AS PER NEC 240.66,NEC240.122 RESPECTIVELY (2)912 AWG (6)910 AWG DESIGNED BY: SA 5 USE MC CNLY IF INCLUDED DEC ISADEOUATELY SIZED. (1)910 AWG,EGC AC3 3/4-PVC AC4 1-1/2"PVC CHECKED BY: GS (3)910 AWG (3)93 AWG (1)910 AWG,EGC (1)94 AWG,GEC SCALE: NTS I. TITLE: PV ELECTRICAL SYSTEM 3-LINE DIAGRAM R a oF souryolo (�qG� - Jr' 6001J- TOWN 01J- S D`COIi # TOWN OF SOUTHOLD BUlL®IN� EPT. 631-765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEG. [ ] 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:164w—tre si!z e�s� a6 ACI` Lko OK DATE INSPECTOR _ AD E -n m MAY 9110 9n99 LOT 79, U Ll TEST HOLE i 'SUBDIVISION MAP OF FOU61,qgjffWAT-fS- E1-=18•+ 1914 E\ FILED 10 MAY,1927AS FILE mOfP nuNOFSOUTHOLn BlownClayey Sand S.0 "o AT SOUTHOLD, 3' TOWN OF SOUTHOLD Tc 19.40 19.10EG. -allkSt-o�11 -OR A C014STRUCTIO31-1 T'OR P6 SUFFOLK CO.,N.Y. FL 8.95 -�l-,PROVAL \qr Blown Fine Sand SP NG 19.39. v'T--.S%oZNcr CuLy DATE OF TEST HOLE.21 AUG,2020 c' a--7 WATER TIGHT EP 18.92?. INSECTPROOF 21.3FF CAST IRON B'DMX12'PRECAST BY.'MCDONALD GEOSCIENCE nvi.140. 19.18A� D;ar CONC.SLAB Coym LE4CHINGPGOL 17' WE 19.7 NO NG EL=2.4 -Y CRAWLSPA I& MIN 2A "IN ComiTents.,No Water Enwuntered przOVAL I&OIN �n9�5�M MIN.4-' 17.7 1M 1-- 17.01M U' APPROVED PIPE 11500 GAL 18• X9.45 rl TYPICAL ST 'ST �1 122 .-(&a (5.0 MINI g*G c'O NOTES: BLDPOLIAP 19.60,' Ag- AC:ASPHALT AP.ANGLE POINT 511. ELGIAN BLOCK AFINYCLEANSAND 0 B ANDGRAM--i' ... ..... BID.BUILDING O'D "00'g.0 RUNE 7-1 0, CUCENTE 1. 01 EX-EXISTING 0�61111 o3p.0 EX SS.LAT.:EXIST .-.. -.0-nos- 'p NG 1905 of- SEWER LATERAL 60.00 Ag. a FIT:FINISH FLOOR a,. 0. --'*. " 0 FHV HYDRANT VALVE oo, 1.10 % CA. GS;GRADE BREAK .061ou o'iA ' % S�IL*/ � 63 GL.GAS LINE 7. NG:NATURAL GROUND Opf- vo PCC:CONCRETE POU POINT ON LINE GS T (-PROPOSED) Pp"9.ih 00. 10 0 S t�v lei D-p 100, SRF:SPLIT RAIL FENCE 'j G SSMH:SEWER MANHOLE -4- ?I%- 6,v 3, Gu .10 REMOVED BE C&fFD 17.46 A?,1 5' S'Alf TBR:*TO oo .0 T w 64 TC:TOP OF CURB 17.28 SRFSG D A9.6 TC,TOP OF goto5o I etp GRATE S1�011 60- TH:TEST HOLE 96 f'P. .55 9 C's T2- SM• -0 m SON? jo 78.41 EP TW:TOP OF WALL o jig I I& 41. tt. • UR.:UPPER LEVEL S' 0. UIP:UTILITY POLE AC WATER VALVE TC vs VF: • 178 VINYL FENCE qp %- Ci 9155 E 18.86 16-30FL cp G v. "?9',, NG 01 "9 WF*. SDAP 20.09 ANIG3, EG WOOD FENCE oc'l� TCPOC 19.30 18.9, '(60 laso WV.' ou t.0 AA-4 0-CONC.MONUMENT moc 18.86 "q 4�0 K 0 19 E P j9AA .18.21 o 8cia78 NE BC 18.93 wSv CA SURVEYED:11 SEPT 2020 UX;e�t :�-'9' 0.00 1&50 UPDATE.,05 JAN 2021 PROP.BLD.FOOTPRINT IF - kfo AS w�EC ,t;. 41 . va(mo UPDATE:06 JAN 2021 SETBACKS,BLD DIM.,COVERAGE �18.801 �40C v 011. odo A 9. THE OFFSETS OR DIMENSIONS SHOWN HERON PROW THE PROPERTYLINES TO T�L% 016 YAREE 0 THE STRUCTURESARCrOR A SPECIFIC PURPOSE&USE THEREFORE; 18.47 THE NOTINTENDCD TOACONUATNT THEPROPERTYLWES OR TO GUIDE THEEREcnoN OF g. FENCES,ADDITIONAL STRUCTURES OR ANY OTHER WROVEWENT. Q SG ig RECEIVEfr UNAUTHORFZED ALTERATIONS CRADDITIONS TO THIS SURVEYISA WOLATFOH OF "ji '450 SECTION rMSUBMWSON WOF THENEW YORK STATEEDUCA77ONLAW.COPIES LOT-11,25D$.F. ACRES-0.26 Or THIS SURVEY 6W NOT GEARING THE LAND SURVEYOR'S INXED SE41.OR G LAND 50869 JAN 19 EMBOSSED SEAL SHALL NOTBECONSIDERED rOBEA VALID TRUECOPY. h 4,Nw OUSTING BUILDING:1,5823 SF-13.9% P.O.BO GE,NY 11961 COM?CATIONSINDICATEDHEREONSHALL RUNONLY TO THEPERSONFOR WHOM THESUAVEYIS PREPARED,AM ON THMSEFIALF TO THE TITLECOMPAAM GOV- PROPOSED BUILDING:1,832I SF-16.3'/ 951.640.4899 SUFF.Co-ritALI-hZi ;VICES, ERAMIEUTAGENCY AND LENDING INS=nON LISTED HEREON.CERffIC4TMS ARENDT TR4AZFER4UETOADDf"OMALINSnTZMONS ORSUSSEQUENrOWNERS. UNDERGROUND UTIL[ITY LOCATIONS BY OTHERS MO RESPONSISILITYISASSUAIEDBY THE UNDERSIGNEDFORANYSURFACE.Slfi� SURFACE.AERIAL EASEWENTS,SUB-SURFACE UnUnES A=ORS TRUCTURES ELEVATIONS SHOWN HEREON ARE REFERENCED TO NAVV 88 INUOR IT OF EASEMENTS IF SO PROVIDED SCTM 1000-64.02-45 D E C E 0 WE TEST SEP 2023 LOT 79, cow EL=19.4 -SUBMISION MAP OF FOUNDERS ESTA TES Brown Clayey Sand SC t', FILED 10 MAY, 1927 AS FILE NO. 834 Building Department 3' µ E" / Town of Southold AT SOUTHOLD, _4DE V SEP P 4- 2023 TOWN OF SOUTH90LDlo- ---1 ' SUFFOLK CO., N.Y. 0' 0- Brown Fine Sand SP " o -fi- SCALE. 1'=20' WATER TIGHT DATE OF rEsT HOLE: 21 AUG, 2020 \ G��\ �� INSECT PROOF `EY:McDONALD GEOSCIENCE CAST IRON 8'DIA.X 12'PRECAST 21.3 FF 61MIN - LEACHING POOL- COVER 17, CONC.SLAB 19.5 NG EL=2.4 CRAWL SPACE 19.7 NG 7—777-7777�,- Comments:No Water Encountered A ' �0 IN 20 MIN 1% 17.9 18.0 IN M -::::: .. 11v— i :MIN.4- o MIN.4'�- 7.2 OUT 17.0 IN 1,500 GAL APPROVED PIPE TYPICAL PRECAST 0 MIN (6.0 ) . �A (5.0 MIN) 12.2 (8.0 MW)... C4 NOTES., .... AC:ASPHALT AP:ANGLE POINT N BB:BELGIAN BLOCK MIN XCLEAN SAND BLD:BUILDING AND GRAVEL-- CL:CENTERLINE Ex=E)USTING i C'& .p � �r �.:��� �'' ,j�y�N6. \ ® / EX SS.LAT.:EXIST 2,4- S%3? jjj%, SEWER LATERAL 10, it G FR FINISH FLOOR 61.CPsl dg, FHV:HYDRANT VALVE GB:GRADE BREAK GL:GAS LINE roe NG:NATURAL GROUND ?; PCC:CONCRETE at 101% P OL:POINT ON LINE \ �"' �� �A� get 0-, (=PROPOSED) 00 SRF:SPLIT RAIL FENCE y- S, SSMH:SEWER MANHOLE —ate TBR:TO BE REMOVED TC:TOP OF CURB • S TG:TOP OF GRATE CP TH:TEST HOLE Q TIN:TOP OF WALL UIL:UPPER LEVEL 01 (P UIP:UTILITY POLE C Z7\ WF:WOOD FENCE �4 WV-WATER VALVE 0q0v VF:VINYL FENCE as M =CONC.MONUMENT OA -x SURVEYED: 11 SEPT 2020 '13 os UPDATE:05 JAN 2021 PROP. BLD. FOOTPRINT, ®r. X. G UPDATE:06 JAN 2021 SETBACKS, BLD DIM., COVEAGES. 10.1 1" FINAL:28 JAN 2023 q INA- 10 UPDA TE: 13 SEPT 2023, REMOVE SUNROOM ANNO. I f P? 4 Gv f, olf"D THE OFFSETS OR DIMENSIONS SHOWN HERON FROM THE PROPERTY LINES TO tko THE STRUCTURES ARE FOR A SPECIFIC PURPOSE&USE.THEREFORE,THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT- iL6T=11,250 S.F. ACRES=0.26 UNAUTHORIZED ALTERATIONS OR ADDITIONS To THIS SURVEY IS A VIOLATION OF 4 EXISTING BUILDING:1,562.3 SF=13.9% SECTION 7209 SUBDIVISON 20 OF THE NEW YORK STATE EDUCATION LAW- COPIES P EN OF THIS SURVEY MAP NOT BEARING THE LANE) SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BEA VALID TRUE COPY- PROPOSED BUILDING:1.832.1 SF=16.3% LAND SURVEYOR NY LIC. 50869 CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR M40M Ps FINAL BUILDING:1,864-64 SF=16.7% P.O. BOX 704 RIDGE, NY 11961 THE SURVEY IS PREPARED, AND ON THEIR BEHALF:TO THE TITLE COMPANY,GOV- ERNMENT AGENCY AND LENDING INSTITUTION LISTED HERE ON. CERTIFICATIONSUNDERGROUND Urjj-ITIY LOCATIONS BY OTHERS 951.640.4899 ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. ELEVATIONS SHOWN HEREON ARE REFERENCED TO NA VD 88 SCTM 1000-64-02-45 No RESPONSIBILITY IS ASSUMED BY THE UNDERSIGNED FOR ANY SURFACE, SUB- SURFACE, AERIAL EASEMENTS,SUB-SURFACE UTILITIES AND/ OR STRUCTURES IN OR OUT OF EASEMENTS IF SO PROVIDED. NY S 1 F PO Box 6W9,Albany,NY 122M New York State Insurance Fund I nysilcom CERTIFICATE OF WORKERS' COMPENSATION INSURANCE n A A A A n 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 SOUTHOLD 4589 AUSTIN BLVD 54375 ROUTE 25 ISLAND PARK NY 11,458 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 2546 6,' 563452 05/01/2022 TO 05/01/2023 04/12/2022 THIS 18 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' COMPENSATIOWUNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY; INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY 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 IIIIlomo OOOOOOOOu103M3NE5841"11 Form WCZMT-NOPRW Version 3(08292019)[WC PoUq-254662441 U-26.3 163 [aoa000=OOla333esaa)la Cl-MomM66z44)[s+Zl[>sess-7s]MffUNOP-CW-1I01-=13 YORK workers' CERTIFICATE OF INSURANCE COVERAGE STATE 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 carrie 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured EMPOWER CES LLC DBA EMPOWER SOLAR 310-534-7994 4589 AUSTIN BOULEVARD ISLAND PARK,NY 11558 1c.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"1a" 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 bove. Date Signed 5/9/2022 By Ahlhf (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 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. D13-120.1 (12-21) 111111°1°°11EIM11 °°�1°111°°°I�I1I Additional Instructions for Form 1313-120.1 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. DB-120.1 (12-21)Reverse w r + Suffolk County Dept.of Labor,Licensing&Consumer Affairs 's I HOME IMPROVEMENT LICENSE 1 Name GREGORY SACHS is Business Name s certifies that the firer is duly licensed EMPOWER CES LLC DBA he County of surolk License Number:H-50211 Rosalie Drago Issued: 05/30/2012 t Connniss:oner Expires: 51112024 Suffolk County Dept.of Labor,Licensing&Consumer Affairs t� * MASTER ELECTRICAL LICENSE k, Name TIMOTHY M GROTTY Business Name This certifies that the' Empower CES LLC DBA ,)earer is duly licensed :)y the County of suffolk License Number:ME-65990 Rosalie Drago Issued: 11/12/2021 Commissioner Expires: 11/01/2023 4 EMPOCES-01 ABELLO CERTIFICATE OF LIABILITY INSURANCE DATE(MMID 22) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#0757776 NACOME:NTACT HUB International Insurance Services Inc. �n/ A Hc"N,EM):(310)568-5900 FAX,No):(310)568-9098 600 Corporate Pointe Suite 600 E-MAILDS: Culver City,CA 90230 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine 8r General Insurance Company 12294 INSURED INSURER B:James River Insurance Company 12203 EmPower CES LLC INSURER C: 4589 Austin Boulevard INSURER D: Island Park,NY 11558 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 ADDINSp SUBR WVDPOLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCURPK202200006109 5/4/2022 5/4/2023 DAMAGE TO RENTED 500,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JjECT LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: AUTOMOBILE LIABILITY EO acBad.n SINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIREDONLY NON-OWNED PROPERTY AMAGE Fer accident $ B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000'O00 X EXCESS LIAB CLAIMS-MADE 001306870 5/4/2022 5/4/2023 AGGREGATE 5,000,000 DED RETENTION$ WORKERS COMPENSATION STAT E ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? N f A Mandatary In NH) 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#GL02202 0218. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Route h ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE GtGc�GtGrQ,L�. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JAN t 4 2023 BUILDINGl41Et'7: 1 2 3 4 5 6 7 B 9 10 11 12 73 �TMTE ITYBRANCH C BRANCH B BRANCH A ER I 1 4589 AUSTIN BLVD (S)SPR425W MODULES (9)SPR425W MODULES (9)SPR425W MODULES UTILITY TOTAL OC STC POWER:2.125 kW TOTAL DC STC POWER:3.825 kW TOTAL DC STC POWER:3.825 kW GRID ISLAND PARK,NY 58 o TEL:516-837-3459 IS)ENPHASEIOWE MICRO INV (9)TOTAL OWERIQ7HS MICRO INV (9)TOTAL OWER MICRO INV FAX:516-706-1789 TOTAL AC POWER:1.92 kW TOTAL AC POWER:3.456 kW TOTAL AC POWER:3.456 kW I www.em power soler.cam CONTINUE AS CONTINUE AS CONTINUE AS REQUIRED FOR INV.... REQUIRED FOR INV.... REQUIRED FOR INV.... I mEixwxuenoxws¢osmneaEo+amssaLe H SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING I H > > SERVICE B�Pp��."� T DISCONNECT "TEBIIL149TR1TLVP0. Act act act EXTERIOR INTERIOR L7 LZ N G DISC,2P CB PROFESSIONAL SEAL T NN (1)SPR425W MODULE (;)SPR-025W MODULE (1)SPR425W MODULE AC4 (I)ENPHASE MICRO INV.INV'2 (1)ENPHASE MICROINV.Imo'2 (1)ENPHASE MICRO INV.INV.2 G G ACI ACI ACI L1 N (1)SPR425W MODULE (1)SPR-425W MODULE (1)SPR425W MODULE G (1)ENPHASE MICRO INV.INV'I (1)ENPHASE MICRO INV.Imo'I (1)ENPHASE MICRO INV.INV'1 F ACI AC1 ACI I F TO L1 2 N G I HOUSE LOADS I E SOLAR AC I E DISCONNECT MAIN SERVICE PANEL 60A,2P CB 1-PHASE 1201240V TO RACKING G GROUND NEMA3R D (1)#6 AWG,EGC ENCLOSURE SUNPOWER D REV. DescwpnoN: DATE: PROJECT NAME: DATA MONITORING KELLER RESIDENCE LABEL DESCRIPTION LABEL DESCRIPTION L1 L2 N ACI SPR AC CABLE AC2 1-112°PVC G 20A,2P CB PROJECT LOCATION: D (2)#12 AWG (6)#10 AWG I C 580 as Snip Yer4 Lena (1)610 AWG,EGC I 20A,2P CB sannda,NY 11971 AC3 3/4'PVC AC4 2'PVC I AC (3)#10 AWG (3)#6 AWG (1)#10 AWG,EGC (1)#8AWG,GEC 20A,2P CB PROJECTa: PROD.PHASE: PERMIT 20A,2P CB DATE: 0110412023 B I B DESIGNED BY. IVNK CHECKED BY: XX AC2 I SCALE: NTS NOTES: AC COMBINING MLO PANEL TITLE. THREE UNE 60A,1-PHASE 120/240V ELECTRICAL SCHEMATIC LNEC RO SOLAR GROUND ME IC SYSTDEDEM MBON ER(ORIGINEXISTIFGECFOR THESOLMAI SERVICE PANEL) 2.GEC FROM SOLAR ELECTRIC SYSTEM BONDED TO EXISTING GEC IN THE MAIN SERVICE PANEL USING IRREVERSIBLE SPLICE A 3.USE TAP RULES FOR SONG TAP CONDUCTORS(NEC 240.21) - - TOTAL SYSTEM SIZE:9.775 kW 'A SHEET: 4.SIZE GEC AND EGC AS PER NEC 240.66,NEC240.122 RESPECTIVELY - S.USE MC ONLY IF INCLUDED GEC IS ADEQUATELY SIZED. I (23)SPR-425W MODULES I (23)ENPHASE IQ7HS MICRO-INV. SE-0 ,000 1 2 3 4 5 8 7 B 9 10 11 12 13 Gregory Sachs, PE 4589 Austin Blvd, (516)-544-4115 Island Park, NY 11558 permitting@empower-soIar.com May 16, 2022 To Whom It May Concern: The purpose of this letter is to certify that the existing roof structure located at: 580 Old Ship Yard Lane,Southold,NY 11971 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 Code 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 i Rafter Snow Wind Max Span Layers of Roof Surface (ft) spacing Cross Section Load Speed Kneewall Collar Ties Shingles (in) (psf) (mph) SouthWest 1 17.17 16 Nominal 2x10 20 135 No Yes 1 Sincerely, Gregory Sachs, PE 1 2 3 4 5 B ] 8 9 10 11 12 13 EMPOWER SOLAR 4589 AUSTIN BLVD ISLAND PARK,NY 11556 TEL:516-B37-3459 RESIDENTIAL ..FAX:516-706-1789 w.emPuwer-a alar.cum „ SOLAR PROJECT „ TME,xr � � x� PROJECT TEAM: I"11EC111CPEIIIS1101 PROFESSIONAL SEALTax OWNER: Stephanie Keller G G PHONE:(631)666-0200 ENGINEER OF RECORD: P SOLAR INSTALLER: GREGORY SACHS,PE F EMPOWER SOLAR 4589 AUSTIN BLVD 4589 AUSTIN BLVD ISLAND PARK,NY 11558 ISLAND PARK,NY 11558 PHONE:516-837-3459 E PHONE:516-837-3459 E _ 580 Old Shipyard Ln. D Southold,NY 11971 0 REV: DESCRIPTION: DATE: PROJECT LOCATION DATA: SHEET INDEX: PROJECT NAME: \ Stephanie Keller ADDRESS:580 Old Ship Yard Lane, ST-01 COVER SHEET Southold,NY 11971 S-01 EQUIPMENT LOCATIONS •�" 03" `, PROJECT LOCATION: %X ` Ol S-02 STRUCTURAL C .'� �` �a� SE-01 ELECTRICAL c 580 Old Ship Yard Lane, • `t\ Southold,NY 11971 y, SCTM:1000-064.00-02.00-045.000 PROJEcra: PROJ.PHASE: PERMIT 1 DATE: B ,�o�;. 1 - B DESIGNED BY: ED CHECKED BY: GS SCALE: NTS MAP TITLE: COVER SHEET A A SHEET: ST-01 1 2 3 4 5 6 ] B 9 10 11 12 13 1 2 3 4 5 6 7 B 9 10 11 12 13 EMPOWER SOLAR 4589 AUSTIN BLVD ISLAND PARK,NY 11558 TEL:516-837-3459 FAX:516.706-1789 ww W. m Power aol a,cam H EQUIPMENT LEGEND: ---- ---- H .... ..... 2 l P1101 SIEC111C Nnieal�t ..TL, D1_1.1 s EN01a �Oa MODULES PROFESSIONAL SEAL 2 UTILITY METER 4 G 0 G 3❑ INVERTERS 5 r 4❑ SOLAR DISCONNECT F UA F MAIN SERVICE PANEL 22, _ V E / E D D SOUTH-WEST-1 ROOF: D REV: DESCRIPTION: oarE 23 SUNPOWER 425W-ACPV PANELS 3 PROJECT NAME TOTAL POWER:9.775 kW ORIENTATION:231%PITCH:31" TYPE 3:S5 CLAMP KELLER RESIDENCE SOLAR ACCESS:93% J PROJECT LOCATION: D TSRF:84% L D 5800 D SHIPYARD LANE SOUTHOUTHOLD,NY 11971 PROJECTC 5412 SETBACK LEGEND PROD.PHASE PERMIT DATE: 06107/2022 B rJ(, a 36"CLEAR PATH DESIGNED BY: ED PCVh'I CHECKED BY: GS DRIVEWAY SCALE NTS 18"RIDGE SETBACK rrrLE. EQUIPMENT LOCATIONS ® a ROOFLAYOUT ACCESS ROOF NOT TO SCALE A SHEET: S-01 1 2 3 d 5 6 T B 9 10 11 12 13 1 2 3 4 5 6 7 8 6 10 11 12 IS EMPOWER SOLAR 4559 AUSTIN BLVD SUNPOW ER MODULES ISLAND PARK,NY 11555 o ON INVISIMOUNT RACKING TEL:516_837-3459 SHINGLES FAX :516-706-1789 www. r.—m R H RAFTERS Ta"PERMISSION PROFESSIONAL SEAL G G F TYPICAL ROOF SECTION F NOT TO SCALE SUNPOWER PANEL SPECS E MODULE POWER(Wdc) QTY MODEL# LENGTH WIDTH DEPTH WEIGHT TABLE S-1.1:MAX.ATTACHMENT SPACING E SPR-425 23 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: PROJECTNAME: 1. TOTAL SYSTEM DC POWER:9.78 kW Stephanie Keller 2.RACKING SYSTEM INSTALLED IN ACCORDANCE WITH CODE-COMPLIANT INSTALLATION 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 c 580 Old Ship Yard Lane, 4.ALL ATTACHMENTS TO ROOF,MOUNTING BRACKETS&HARDWARE MEET OR EXCEED NYS Southold,NY 11971 CODE REQUIREMENTS 5.INSTALLATION TYPICALLY MAINTAINS 7/8 INCH SPACING BETWEEN MODULES 6.SIZES OF STRUCTURAL MEMBERS THAT WERE NOT ACCESSIBLE FOR DIRECT MEASUREMENT PROJECTq: ARE BASED ON OBSERVATIONS OF ACCESSIBLE MEMBERS,CONSTRUCTION DEPTH OR PROD.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, CHECKED BY: 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 B.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 19 1 2 3 < 5 8 7 8 9 10 11 12 13 EMPOWER NOTES: S O L A R 4589 AUSTIN BLVD ISLAND PARK W11558 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 ......pourBf BOI..... ' STANDARD INVERTER ASSEMBLY: SERVICE PANEL USING SPLIT-BOLT CONNECTOR H 3.IN SOME CASES POWER FOR DATA MONITORING ENCLOSURE MAYBE H .�Ea o o DERIVED FROM MAIN SERVICE PANEL PRIOR SPECIFIC LLK PERIISSION 4.CONNECT UTILITY SIDE TO PANEL LUGS 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 ARRAY 1 B.FINAL SCHEMATIC SPECIFIC TO THIS INSTALLATION AVAILABLE UPON REQUEST INVERTER(S) AC DISCONNECT F F E E STANDARD EXTERIOR INTERCONNECTION: STANDARD INTERIOR INTERCONNECTION: D D REV: DESCRIPTION: DATE: PROJECT NAME: INTERIOR FA EXTERIOR INTERIOR EXTERIOR Stephanie Keller PROJECT LOCATION: C c 580 Old Ship Yard Lane, MAIN SERVICE 11;d O 1 BREAKER SERVICE O MAIN Southold,NY 11971 PANEL PANELETTE PANEL PROJECTM: UTILITY UTILITY PROJ.PHASE: PERMIT METER METER DATE: B B DESIGNEDBY: ED CHECKED BY: GS SCALE. NTS TITLE: ELECTRICAL A A SHEET: SE-01 1 2 3 4 5 6 7 B B 10 11 12 13 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? M Part of the SunPower Equinox*Solar System € E Seamless aesthetics m larger• Compatible with mySunPower monitoring Highest Lifetime Energy and Savings i Designed to deliver 60% more energy over 25 years in real-world conditions like partial shade and high temperatures.' 15056 ' 140;L - _--- --- - Factory-integrated a5 130% _0 0' Up to Microinverterov 60% 100% More • Highest-power integrated E 90% Lifetime AC module in solar w s0 Energy ;Conventional Panel Q 70% • Engineered and calibrated 0 5 .0 15 20 25 by SunPower for SunPower Years of Operation AC modules � �aly 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 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. M425-BLK I M415-BLK M410-BLK SunPower Residential Black AC Module ACElectrical Data Inverter Model:Type H(Enphase IQ7HS) @240 VAC @208 VAC Max.Continuous Output Power(VA) 384 369 Nom.(L-L)Voltage/Range'(V) 240/211-264 208/183-229 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. WarrantiesCertifications,and, Compliance SPR-M425-BLK-H-AC SPR-M415-BLK-H-AC SPR-M4107K-H-AC Warranties '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)s TeSted Operating ConditionsCertifications (includes Volt/Var and Reactive Power Priority) Operating Temp. -40°F to+185°F(-40°C to+8S°C) and UL Listed PV Rapid Shutdown Equipment2 Compliance Enables installation in accordance with: Max.Ambient Temp. 122°F(50°C) NEC 690.6(AC module) Max.Test Load' 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) Max.Design Load Wind:75 psf,3600 Pa,367 kg/m2 back NEC 690.15 AC Connectors,690.33(A)-(E)(1) Snow:125 psf,5400 Pa,550<g/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)7 •Rated for load break disconnect PID Test 1000 V:IEC 62804 Mechanical.Data Solar Cells 66 Maxeon Gen 6 • •Configuration 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) Pallet gross weight 1300 Ib(590 kg) Weight 48 Ibs(21.8 kg) Recommended Max. 13 inPallets per container 32 Module Spacing . .(33 mm) Net weight per container 18,880 kg 73.7 in FRAME PROFILE 1 Based on datasheet review of websites of top 20 manufacturers per IHS,as ofjuly 2021. [1872 mm' �i 2 Maxeon 435 W,22.5%efficient,compared to a Conventional Panel on same-sized arrays(300 W,19%efficient, -....-_....- ._�___-__--_ -_.-.�..._ ....._..... approx.1.6 m�),7.9%more energy per watt(based on PVSyst pan files for avg.US climate),0.545/yr slower 1 - degradation rate Qordan,et.al."Robust PV Degradation Methodology and Application:'PVSC 2018). Groten iin Holes E 3 Based on search of datasheet values from websites of top 10 manufacturers per IHS,as of)une 2021. 4 Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. c E 5 Factoryset to IEEE 1547a-2014 default settings.CA Rule 21 default settings profile set during commissioning. o 6 Standard Test Conditions(1000 W/mz irradiance,AM 1.5,25°C).All DC voltage is fully contained within the module. (Aj Lon Side:1.3 in(32 mm) UL Listed as PVRSE and conforms with NEC 2014 and NEC 2017 690.12;and C22.1-2015 Rule 64-218 Rapid g Shutdown of PV Systems,for AC and DC conductors;when installed according to manufacturers instructions. Short Side:0.9 in(24 mm) 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. WAD SKUV{bRi UINV 02022 SunPower Corporation.All rights reserved.SUNPOWER,the SUNPOWER logo and EQUINOX are 544400 RevA registered trademarks of SunPower Corporation in the U.S.MAXEON is a registered trademark of Maxeon Solar FO0°'""' Technologies,Ltd.For more information visitwww.maxeon.com/legal. LISTED E478330t&d.6Fi.hr6m TM January 2022 211 POWER o• • Simple and Fast Installation Integrated modu|e-tn-ra||grounding ' Pre-assembled mid and end clamps ' ' Levitating mid clamp for easy placement ' Mid clamp width facilitates consistent,even ` module spacing ' VL27O3Listed integrated grounding Flexible Design ' Addresses nearly all sloped residential roofs ' Design inlandscape and portrait withupco8' rail span ' Pre-drilled rails and rail splice ' Rails enable easy obstacle management CUstorner'PreferredAestheti[s ' #1 module and#1 Mounting aesthetics Elegant Simplicity ' Besdn-c|aosystem aesthetics ' Premium,|ow'profi|edesign SUnpovve[O |nvisiMount" is a SunPovver-designed ' Black anodized components rail-based mounting system.The |Ov|s|MountsyStenn ' Hidden mid clamps and new capped,flush addresses residential sloped roofs and combines faster end clamps installation time, design flexibility, and superior aesthetics. Part ofSuperior System The |nv|s|Mnuntproduct was specifically envisioned and ' Built for use with SunPowerD[and A[modules engineered to pair with SUOPOVVer modules.The resulting ' Best-in-dasssystem reliability and aesthetics ' New optional rooftop transition flashinL,'rai|' SYStern| amplifies mounted J'box.and wire management mi|clips installation benefits—for homeowners and for installers. ' Combine with SunPowermodules and SunPowerEnergyl_ink,�'monitoring app SUnpOVV2r.[ODl "rye°—7—, <.r': ".x:+ -'";'»•::arc.- a'^:s-."":a"'- '" :%3:...F As, . ..a.;,`�f...�', '^`s .�; •iL:p<'?� "r*+: Ff r`.`;"-".._j.' .r. ra .. «g,. .:<r,Pr,^"-:^.;:},.- ,. ? :.>�•...;. ,i .�?;f..,r• •-;P'°.a `,.Y`>t• �� s:::.c, t:.g.•t°x �: ,:, di`^,.'ca";,:?>•,>r,.a.g ,r.a .#:_ �; >;!` .;�" :;:..,..,d:�n r. *• .T:'. -$ .✓mrw�. .y '. ✓' :: ,✓'.. 41 I Q R reNTST"T 0 NOW llill • r r• Module'/Mid Clamp and Rail Module'/End Clamp and Rail ,w_•I wM M� ,YII w Miw Aid Clamp End Clamp Rail&Rail Splice Ground Lug Assembly(for DC systems only) Sr•�� �N�r/III MIMi� Mid Clarnp Black oxide stainless steel 300 series _63.g(2.2 oz) Temperature -40°C to 90°C(-40°F to 194°F) End Clamp Black anodized aluminum 6000 series 110 g(3.88 oz) 3000 Pa uplift Max.Load(LRFD) 6000 Pa downforce Rail Black anodized aluminum 6000 series 830 g/m(9 oz/ft) Rail Splice Aluminum alloy 6000 series 830 g/m(9 oz/ft) Ground Lug 304 stainless steel ;Roof Autment fiardware, •r r ^• r ®- •r Assembly106.5 g/m(3.75 oz) (A2-70 bolt;tin-plated copper lug) Composition Shingle Rafter Attachment Application Composition Shingle Roof Decking Attachment Curved and Flat Tile Roof Attachment Universal interface for other roof attachments Uplift 664 Ibf Mid Clamp Shear 540 Ibf a • • Uplift 899 Ibf 25-year product warranty End Clamp Warranties Shear 220 Ibf 5-year finish warranty Rail Moment:upward 548 Ibf-ft UL 2703 Listed Moment:downward 580 Ibf-ft Certifications Class A Fire Rated Moment:upward 548 Ibf-ft Rail Splice Moment:downward 580 Ibf-ft °•r • Uplift 1000 Ibf L-foot Shear 390 Ibf Refer to roof attachment hardware manufacturer's documentation. t Module frame that is compatible with the InvisiMount system required for hardware interoperability. z SunPower recommends that all Equinoxr"',InvisiMount�,and AC module systems always be designed using the SunPower Design Tool.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 are NOT to be used for Allowable Stress Design(ASD)calculations;and that a licensed Professional Engineer(PE)must then stamp all calculations Should you have any questions please contact SunPower Technical Support at 1-800-SUNPOWER(1-800-786-7693). sunpower.com ©2017 SunPower Corporation.All Rights Reserved.5UNPOWER,the SUNPOWER logo,EQUINOX,and INVISIMOUNT are trademarks or registered trademarks of SunPower Corporation. 509506 RevE All other trademarks are the property of their respective owners.Specifications included in this datasheet are subject to change without notice. Datasheet POWER OCCUPANCY OR USE IS UNLAWFUL APPROVED AS NOTED WITHOUT CERTIFICATE DATE: B.P.: OF OCCUPANCY FE:i deD.OD BY: N-07IFY.,-. BUILDING DEPARTMENT AT 7 862 AM TO 4 PM FOR THE . OWING INSPECTIONS: FOUNDATION..-:-TWO REQUIRED r--ORPOURED,CONCRETE bNCRETE rOKAPLY WITH ALL CODES OF, :: 2 "TOUGH & PLUMBING NEW Y01RK STATE & TOWN CODES 3. CONDITIONS OF INSULATION AS REQUIRED AND 4. Fth11AL..- CONSTRUCTION ,MUST BE,COMPLETE FOR C.O. SOUTHOLD TOWN ZBA L CONSTRUCTION SHALL,MEET THE --SOUTHOLD TOWN PLANNING.BOARD �EQUIREMENTS OF THE CODES OF NEW SOUTHOLD TOWN TRUSTEES ./ORK STATE. NOT RESPONSIBLE FOR )ESIGN'OR CONSTRUCTION ERRORS. N.Y.S.DEC RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE ,y Gregory Sachs, PE 4589 Austin Blvd, (516)-544-4115 Island Park, NY 11558 permitting@empower-solar.com May 16, 2022 To Whom It May Concern: The purpose of this letter is to certify that the existing roof structure located at: 580 Old Ship Yard Lane,Southold, NY 11971 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 Code 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 Rafter Snow Wind Max Span Layers of Roof Surface (ft) spacing Cross Section Load Speed Kneewall Collar Ties Shingles (in) (psf) (mph) SouthWest 1 17.17 16 Nominal 2x10 20 135 No Yes 1 OF NEIMy ¢Y D• Sincerely, co G ,Z� S,9C, Gregory Sachs, PE 4 4 �,y W �QA4531 P�Cr RoFESS��N 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER NOTES: , S o L w 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 w W W.e m power-sol a r.c o m STANDARD INVERTER ASSEMBLY: SERVICE PANEL USING'SPLIT-BOLT CONNECTOR' THE INFORMATION DISCLOSED HEREIN IS THE SOLE H 3. IN SOME CASES POWER FOR DATA MONITORING ENCLOSURE MAYBE H PROPERTY OF EMPOWER CES,LLC.UNAUTHORIZED REPRODUOF THIS DERIVED FROM MAIN SERVICE PANEL MATERIAL IS STRICTLY PROHIB TION ORIED WITHOUT 4. CONNECT UTILITY SIDE TO PANEL LUGS PRIOR SPECIFIC WRITTEN PERMISSIONPROFESSIONAL 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 ARRAY 1 8. FINAL-SCHEMATIC SPECIFIC TO THIS INSTALLATION AVAILABLE UPON REQUEST OF NEWy INVERTER(S) ()?,y D. 's, 0 AC � DISCONNECT C' F F r (� �°�= ± Na-' n W ip O A�O��SS,ONP E E STANDARD EXTERIOR INTERCONNECTION: STANDARD INTERIOR INTERCONNECTION: D D REV: DESCRIPTION: DATE: PROJECT NAME: INTERIOR EXTERIOR INTERIOR EXTERIOR Stephanie Keller PROJECT LOCATION: C c 580 Old Ship Yard Lane, MAIN TAP BREAKER MAIN Southold, NY 11971 SERVICE ENCLOSURE M 0(-_ PANELETTE SERVICE O PANEL 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 7 8 9 10 11 12- 13 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER SOLAR 4589 AUSTIN BLVD ISLAND PARK,NY 11558 TEL: 516-837-3459 RESIDENTIAL FAX: 516-706-1789 www.empower-solar.com H SOLAR PROJECT H THE INFORMATION Y OF DIWCLOSEDER CES,HEREIN IS THE SOLE PROIZED REPRODUCTION OR DISTRIBUTION OF THIS PROJECT TEAM MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL OWNER: Stephanie Keller G G �C)f NEW), Q� OXY D. S O� PHONE: (631)666-0200C. ENGINEER OF RECORD: N F cr- SOLAR INSTALLER: GREGORY SACHS, PE � t W EMPOWER SOLAR " �as 4589 AUSTIN BLVD , �q', 4589 AUSTIN BLVD ISLAND PARK, NY 11558 ISLAND PARK, NY 11558 10 PHONE: PHONE: 516-837-3459 ��FESS�ONP E PHONE: 516-837-3459 E D 9 580 Old Shipyard Ln, Southold,NY 11971 D REV: DESCRIPTION: DATE: PROJECT LOCATION DATA: SHEET INDEX: PROJECT NAME: Stephanie Keller ADDRESS:580 Old Ship Yard Lane, ST-01 COVER SHEET Southold, NY 11971 S-01 EQUIPMENT LOCATIONS Z9 S-02 STRUCTURAL PROJECT LOCATION: C SE-01 ELECTRICAL c 580 Old Ship Yard Lane, Southold, NY 11971 `'', SCTM: 1000-064.00-02.00-045.000 PROJECT#: PROJ.PHASE: PERMIT •,,1 i���r: ,� DATE: B f�a0R, 1 B DESIGNED BY: ED CHECKED BY: GS SCALE: NTS MAP � � � � ��] U TITLE: COVER SHEET A JUN 15 2022 DA SHEET: SUILDIN'G DEPT. TOW;L O.SnI,:THJLD ST-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 EMPOWER SOLAR 4569 AUSTIN BLVD ISLAND PARK,NY 11558 � TEL: 516-837-3459 FAX: 516-706-1789 www.empower-soIar.com THE INFORMATION DISCLOSED HEREIN IS THE SOLE " EQUIPMENT LEGEND. H PROPERTY OF EMPOWER CES,LLC.UNAUTHORIZED 2 REPRODUCTION OR DISTRIBUTION OF THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION MODULES PROFESSIONAL SEAL UTILITY METER 4 G O G 3❑ INVERTERS 5 0j: NEW ), 4❑ SOLAR DISCONNECT O. F V/ F t F5] MAIN SERVICE PANEL w r— I "lr. w E 1 E ARpTESS\p�P D` 1 D SOUTH-WEST-1 ROOF: 3 D REV: DESCRIPTION: DATE: 23 SUNPOWER 425W-ACPV PANELS PROJECT NAME: TOTAL POWER:9.775 kW ORIENTATION:231°; PITCH:31° TYPE 3: S5 CLAMP ,\ KELLER RESIDENCE SOLAR ACCESS: 93°/D c PROJECT LOCATION: TSRF: 84°/D C 580 OLD SHIPYARD LANE SOUTHOLD,NY 11971 PROJECT#: 5412 SETBACK LEGEND PROJ.PHASE: PERMIT DATE: 06/07/2022 B 36"CLEAR PATH 1 B DESIGNED BY: ED CHECKED BY: GS DRIVEWAY SCALE: NTS ® 18" RIDGE SETBACK TITLE: EQUIPMENT LOCATIONS A � ROOF LAYOUT ACCESS ROOF NOT TO SCALE A SHEET: S-01 1 2 1 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 SOLAR SUNPOWER MODULES AUSTIN BLVD ISLAND PARK,NY 11558 o ON INVISIMOUNT RACKING TEL: 516-837-3459 SHINGLES FAX: 516-706-1789 www.empowe r-sola r.com THE INFORMATION DISCLOSED HEREIN IS THE SOLE H H PROPERTYOF EMPOWER CES,LLC.UNAUTHORIZED RAFTERS REPRODUCTION OR DISTRIBUTION OF THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL G G OFNEWY D. F TYPICAL ROOF SECTION F NOT TO SCALE C-9 ' SUNPOWER PANEL SPECS P MODULE POWER(Wdc) QTY MODEL# LENGTH WIDTH DEPTH WEIGHT E TABLE S-1.1: MAX.ATTACHMENT SPACING E SPR-425 23 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:9.78 kW Stephanie Keller 2. RACKING SYSTEM INSTALLED IN ACCORDANCE WITH CODE-COMPLIANT INSTALLATION 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 c 580 Old Ship Yard Lane, 4. ALL ATTACHMENTS TO ROOF, MOUNTING BRACKETS & HARDWARE MEET OR EXCEED NYS Southold, NY 11971 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, CHECKED BY: 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 9. REFER TO STRUCTURAL LETTER FOR SITE SPECIFIC AND ROOF SURFACE DATA SHEET: S-02 1 2 3 4 5 6 7 8 9 10 11 12 13 ;may _ - s�-:.•�v, -.:,. __ 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 nearly all sloped residential roofs -- Design in landscape and portrait with up to 8' rail span Pre-drilled rails and rail splice Rails enable easy obstacle management Customer-Preferred Aesthetics #1 module and#1 mounting aesthetics Elegant Simplicity Best-in-class system aesthetics Premium,low-profile design SunPower° InvisiMountrm is a SunPower-designed Black anodized components rail-based mounting system. The InvisiMount system Hidden mid clamps and new capped,flush addresses residential sloped roofs and combines faster end clamps installation time, design flexibility, and superior aesthetics. Part of Superior System The InvisiMount product was specifically envisioned and • Built for use with SunPower DC and AC modules engineered to pair with SunPower modules. The resulting Best-in-class system reliability and aesthetics New optional rooftop transition flashing,rail- system-level approach amplifies the aesthetic and mounted J-box,and wire management rail clips installation benefits—for homeowners and for installers. Combine with SunPower modules and SunPower EnergyLink®monitoring app -IIII II'� IIII sunpower.com AM r} -) a� Datasheet r , 1 rel; fnAiMount cqrnk)•Fiqnts Module'/Mid Clamp and Rail Module'/End Clamp and Rail Mid Clamp End Clamp Rail&Rail Splice Ground Lug Assembly(for DC systems only) (0,AsNouf lat ComporiantD-t-aiis- ln-vNlVlouratO•' • • • Mid Clamp Black oxide stainless steel 300 series 63 g(2.2 oz) Temperature -40°C to 90'C(-40°F to 194°F) End Clamp Black anodized aluminum 6000 series 110 g(3.88 oz) 3000 Pa uplift Max.Load(LRFD) 6000 Pa downforce Rail Black anodized aluminum 6000 series 830 g/m(9 oz/ft) Rail Splice Aluminum alloy 6000 series 830 g/m(9 oz/ft) Ground Lug 304 stainless steel Roof Attachiment Hardware Supported by Design Tool, 106.5 g/m(3.75 oz) Assembly (A2-70 bolt;tin-plated copper lug) Composition Shingle Rafter Attachment Application Composition Shingle Roof Decking Attachment Curved and Flat Tile Roof Attachment Universal interface for other roof attachments • • •• - ° ® a Uplift 664 Ibf Mid Clamp Shear 5401bf ]�i),ZlsfMou,'nt'W,arranti.'e-qAn°"Ce-rt Otioris Uplift 899 Ibf 25-year product warranty End Clamp Warranties Shear 220 Ibf 5-year finish warranty Rail Moment:upward 548 Ibf-ft UL 2703 Listed Moment:downward 580 Ibf-ft Certifications Class A Fire Rated Moment:upward 548 Ibf-ft Rail Splice Moment:downward 580 Ibf-ft '•• - Hardware Shear 3901bf Uplift 10001bf L-foot Refer to roof attachment hardware manufacturer's documentation. 'Module frame that is compatible with the InvisiMount system required for hardware interoperability. z SunPower recommends that all Equinox"',InvisiMount"',and AC module systems always be designed using the SunPower Design Tool.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 are NOT to be used for Allowable Stress Design(ASD)calculations,-and that a licensed Professional Engineer(PE)must then stamp all calculations. Should you have any questions please contact SunPower Technical Support at 1-800-SUNPOWER(1-800-786-7693). sunpowercom K)2017 SunPower Corporation.All Rights Reserved.SUNPOWER,the SUNPOWER logo,EQUINOX,and INVISIMOUNT are trademarks or registered trademarks of SunPower Corporation. 509506 RevE All other trademarks are the property of their respective owners.Specifications included in this datasheet are subject to change without notice. Datasheet O ., ►� 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 �[ y 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' Part of the SunPower f Equinox'Solar System E E • Seamless aestheticslarger i mLn i • Compatible with mySunPower i monitoring 1 u zo;_ Highest Lifetime Energy and Savings L ' Designed to deliver 60% more energy over 25 years in real-world conditions like partial shade and high temperatures.2 � caoa—. — - — __ —--_ — i 150ry - - - - — — -- -- - - -- - -- - -- -- 140% - - - - --- - Factory-integrated Microinverter up to y 110% 60% Iool�b More • Highest-power integrated Lifetime AC module in solar i w 80% Ener Conventional Panel'• i 1 70%Engineered and calibrated N 60% ' 0 5 io i5 20 25 by SunPower for SunPower Years of Operation AC modules ' i i - 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 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. V425-BLK 'l M415-BLK I 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 3 M 240/211-264 208/183-229 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-AC Warranties 25-year limited power warranty Nom.Powers(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)s • •' • • • • Certifications (includes VolWar 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 Load' 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)7 •Rated for load break disconnect Mechanical Data PID Test 1000 V:IEC 62804 Solar Cells 66 Maxeon Gen 6 Front Glass High-transmission tempered glass with anti-reflective coating Packaging Configuration 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) ll Recommended Max. 1.3 in.(33 mm) Paets per container 32 Module Spacing 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. I 11872 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),0.546/yr slower , i TE degradation rate(Jordan,et.al."Robust PV Degradation Methodology and Application."PVSC 2018). Grounding Hales o 3 Based on search of datasheet values from websites of top 10 manufacturers per IHS,as of June 2021. i 4 Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. E A- 5 Factoryset to IEEE 1547a-2014 default settings.CA Rule 21 default settings profile set during commissioning. n E 6 Standard Test Conditions(1000 W/m2 irradiance,AM 1.5,25°Q.All DC voltage is fully contained within the module. `"o 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:1.3 in(32 mm) Shutdown of PV Systems,for AC and DC conductors;when installed according to manufacturer's instructions. Short Side:0.9 in(24 mm 8 Please read the safety and installation instructions for more information regarding load ratings and mounting configurations. IT t 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. GAO$LPGOATIIMY 02022 SunPower Corporation.All rights reserved.SUNPOWER,the SUNPOWER logo and EQUINOX are 544400 RevA registered trademarks of SunPower Corporation in the U.S.MAXEON is a registered trademark of Maxeon Solar Ate"e Technologies,Ltd.For more information visit www.maxeon.com/legal. LISTED E478= Module r;,,P,rf,rm°,.,:Type 2 January 2022 :11 '• •• •