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45703-Z
y` TOWN OF SOUTHOLD �O�gllfFal�-`,O �y BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY 'y V f 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#: 45703 Date: 1/21/2021 Permission is hereby granted to: Touhey, Evan 26 West St Apt 7G Brooklyn, NY 11222 To: install accessory ground mounted solar panels as applied for. At premises located at: 1450 Horton Ln, Southold -J3- I - Q y- I V d SCTM#473889 Sec/Block/Lot# 63.-1-12.1 Pursuant to application dated 1/8/2021 and approved by the Building Inspector. To expire on 7/23/2022. Fees: SOLAR PANELS $50.00 CO-ACCESSORY BUILDING $50.00 ELECTRIC $100.00 Total: $200.00 Q\,.-�ildingispector l Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. 302�110 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 1450 HORTONS LANE, SOUTHOLD, NY 11971 House No. Street Hamlet Owner or Owners of Property: EVAN TOUHEY Suffolk County Tax Map No 1000, Section 063.00 Block 01.00 Lot 012.001 Subdivision s� Filed Map. Lot: (,5 / Permit No. 7 d� Date of Permit. Applicant: SUNG LEE/MOMENTUM SOLAR Health Dept.Approval: Underwriters Approval: Planning Board Approval: 7 Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ Jy Applicant Signature COMMENTS, t.„ FIELD INSPECTION REPORT DATE b ;. O FOUNDATION(IST) --- -------------------------------- FOUNDATION (2ND) z fir;; o SIS ROUGH FRAMING& y ' PLUMBING' t}' INSULATION PER N.Y. " STATE ENERGY CODE FINAL ADDITlONjkL.COMMENTS: ' FFrAA 7"7lo �. E,. Z rn e" fa. n y 5: t (� z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST ,BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey Southoldtownny.gov PERMIT NO. �j a103--Z— Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Truss Identification Form Storm-Water Assessment Form Z( Contact: Approved ,20 Mail to: Disapproved a/c /V1G;I4Vi-eW, N 1 1190- ' Phone: 2-18 S-914 Expiration ,20 /2 _ Bui g Inspector ? -APPLICATION FOR BUILDING PERMIT JAN - 8 2021 L Date ptit n btr 3 , 20 INSTRUCTIONS a.Thi s,application MUST=b&completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. 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,or alterations or for removoTr demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,ho in code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. �OIM�dI U Vn YU Vii b- Signature of applicant or name,if a corporation) 45 Fairchild Ave. Suite B. Plainview, NY 11803 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Gontrartnr Name of owner of premises EVAN TOUHEY (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer SUNG LEE/MOMENTUM SOLAR (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. 37608-ME Other Trade's License No. 1. Location of land on which proposed work will be done: 1450 HORTONS LANE SOUTHOLD, NY 11971 House Number Street Hamlet County Tax Map No. 1000 Section 063.00 Block 01.00 Lot 012.001 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1-FAMILY RESIDENTIAL b. Intended use and occupancy 1-FAMILY RESIDENTIAL 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work INSTALLATION OF SOLAR PANELS $45,108 (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO x 13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO x 14.Names of Owner of premises EVAN TOUHEY Address 1450 HORTONS LANE Phone No. 9176480583 Name of Architect Daniel Dunzik Address 370 BURNT HILL ROAD Phone No (908)872-3664 Name of Contractor Sung Lee Address 45 FAIRCHILD AVE Phone No. 516 218 5824 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO x * IF YES, D.E.C.PERMITS MAY BE REQUIRED. 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property? * YES NO x * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SO 1 SS: S} COUNTY OF Sung Lee being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Contractor (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief,and that the work will be performed in the manner set forth in the application filed therewith. Swo to fore me this I') day-of 1/-y 20 Katherine Weisburg. Notary Public,State of New York a w.No..01 WE6383oar Notary Public Qualifiied.in Nassau County Signature of Applicant Commission Expires December 3,2022 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) CLA k4 residing at 1 qS0 40r40 U►S LG M f/soLAI�a jd )Vy f (Print property ow er's name) n(Mailing Address) do hereby authorize J yM 4f om-Ch-If um Sol& r ( ent) to apply on my behalf to the Southold Building Department. 12 3 0 U 20 (Owner's Signature) (Date) t\(6 VI 00Uhe �l (Print Owner's Name) f 1 :: �' �¢ t�• BUILDING DEPARTMENT-Electrical Inspector copy.'� TOWN OFSOUTHOLD , C= Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 a 1� rogerrCa)southoldtownnv.gov sea ndO)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1 Z o y2o Company Name: ISLAND ELECTRIC CORP Name: JEFFREY MARINELLO License No.: ME-37608 email: ; h0monieogfutjrA r. Co�/YI Address: 76 KERRIGAN ST, LONG BEACH, NY 11561 Phone No.: 516 903 2008 JOB SITE INFORMATION (All Information Required) Name: EVAN TOUHEY Address: 1450 HORTONS LANE, SOUTHOLD, NY 11971 Cross Street: MIDDLE RD Phone No.: 9176480583 Bldg.Permit#: email: etouhey@gmail.com Tax Map District: 1000 Section: 063.00 Block: 01.00 Lot: 012.001 BRIEF DESCRIPTION OF WORK (Please Print Clearly) INSTALLATION OF SOLAR PANELS; GROUND MOUNT; 12.6 KW, 36 MODULES, 36 INVERTERS 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 I� #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: _ PAYMENT DUE WITH APPLICATION Request for Inspection Form.xls1 I • Suffolk. County Dept. of Libor, Licensing, & Consumer Affairs. . HOME IMPROV I TENT LICENSE 2 4. Name sly NG LEE Business- -{dame 'i"hic nartifiac that tha . —r- V.M. •�r�V �� ��1•• �� •V 's dul Licensed PRO CUSTOM SOLAR LLC DBA bearer i_ y by the County or suffolk; License. Number: H-57578 Rosalie-DragoIssued: 1 ,/0:0/201 6 .CommissionerExpire: 10101 12022 ` .t ,�Yo K workers' CERTIFICATE OF INSURANCE COVERAGE sTAn Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured PRO CUSTOM SOLAR LLC (732)902-6224 DBA MOMENTUM SOLAR 3096 HAMILTON BOULEVARD SOUTH PLAINFIELD,NJ 07080 1c.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage is specifically limited to Number certain locations in New York State,i.e.,a Wrap-Up Policy) 271242539 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State Insurance Fund(NYSIF) TOWN OF SOUTHOLD 54375 ROUTE 25 3b.Policy Number of Entity Listed in Box"1 a" SOUTHOLD,NY 11971 DBL 3152 68-4 3c.Policy effective period 07/01/2020 to 07/01/2021 4.Policy provides the following benefits: ® A.Both disability and paid family leave benefits B.Disability benefits only n C.Paid family leave benefits only 5.Policy covers: ® A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 7/3/2020 By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (866)697-4332 Name and Title Melissa Jensen,Director of Disability Insurance Unit IMPORTANT: If Box 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 413,4C 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 mailed for completion to the Workers'Compensation Board, DB Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200 PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 5B of Part i has 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 with respect to all of his/her 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 (10-17) Certificate Number 603429 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 New York State Disability and Paid Family Leave Benefits Law.The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Worker's 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 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 NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. 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 (10-17)Reverse DATE(MWDDNYYY) A�R�® CERTIFICATE OF LIABILITY INSURANCE 12/01/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lisa MacDonald AAI CISR NAME: Brown&Brown Insurance of Delaware Valley AICNNo Ext, (732)504-2001 AX No: (732)504-2011 2000 Midlantic Dr,Suite 440 E-MAIL Imacdonald@bbdvins.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC N Mt Laurel NJ 08054 INSURER A: Colony Insurance Company INSURED INSURER B: Zurich American Insurance Company 16535 Pro Custom Solar LLC dba Momentum Solar INSURER C: Evanston Insurance Company Momentum Home Services Holding LLC dba Momentum Home INSURERD: 45 Fairchild Ave,Suite B INSURER E: Plainview NY 11803 INSURER F: COVERAGES CERTIFICATE NUMBER: 20-21 NY Master REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 MAYBE 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. ITR TYPE OF INSURANCEAUDLISUBIR POLICY EFF POLICY EXP LIMITS INSD WVD POLICY NUMBER MM/DD MM/DDIYYYY X COMMERCIAL GENERAL LIABILI Y EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX]OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A PACES4257993 04/21/2020 04/21/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑PRI F—]LOC PRODUCTS-COMP/OPAGG $ 2.000,000 OTHER: Professional Liability $ 1,000,000 AUTOMOBILE LIABILITY (CEO, SINGLE LIMIT $ 2,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED BAP 1873088-01 12/01/2020 04/21/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIREDH NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per a.IQI $ UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAR CLAIMS-MADE MKLV4EFX102168 04/21/2020 04/21/2021 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ Hyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ CGL$5M xs$1 M Excess Limits Clarification C MKLV4EFX102168 04/21/2020 04/21/2021 Auto$4M xs$2M DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addltional Remarks Schedule,maybe attached It 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. 53095 Middle Road AUTHORIZED REPRESENTATIVE Southold NY 11971 — ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD n'w Workers' CERTIFICATE OF STATE I Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name Address of Insured(use street address only) 1b.Business Telephone Number of Insured CoAdvantage Resources 51,Inc.Labor Contractor,for leased workers to: (813) 935-2000 Pro Custom Solar,LLC dba:Momentum Solar 1c.NYS Unemployment Insurance Employer Registration Number of insured 45 Fairchild Ave Ste B Plainview,NY 11803 1d.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage is specifically limited to certain Number locations in New York State,i.e.,a Wrap-Up Policy) 27-1242539 2.Name and Address of Entity Requesting Proof of Coverage(Entity Being 3a.Name of Insurance Carrier Listed as the Certificate Holder) American Zurich Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" 53095 Middle Road WC 11-25-632-02 3c.Policy effective period Southold, NY 11971 4/1/2020 to 4/1/2021 3d.The Proprietor,Partners,or Executive Officers are included.(Only check box if all partners/officers inclued) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3 insures the business r ferenced above in box"la"for workers'compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box 3c,whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,licese or contract issued by a certificate holder,teh 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 refemced above and that the named insured has the coverage as depicted on this form. Approved by: Douglas Jones (Print name of authorized representative or licensed agent of insurance carrier) Approved bv: � i�',� +� 3/30/2020 (Signature) (Date) Title: Vice President Telephone number of authorized representative or licensed agent of insurance carrier: (480)951-4177 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) ww.wcb.ny.gov 71-P Samuel Dekyem Engineer-PE 11T VEDAS6 1 Pro Custom Solar LLC 732-902-6224 �° � � � �v PL`( WI i H ALL COI�i.� Ot- 3096EHamilton Blvd December 29,2020 / �.r, NEW YORK STATE & TOWN CODES South Plainfield,NJ 07080 DATE:I Z A7TOWNA F - FEE: � ` �—. BY: �.._ h�S REQUIRED Re:Proposed Photovoltaic Solar Panel Installation NOTI Y BUILDING DEPARTMENT AT _$O Evan Touhey 1450 HORTONS LANE 765-1802 8 APJI TO TiONM 'FOR THE SOD SOUTHOLD,NY 11971 FOLLOWING INSP.1. FOUNDATION -..TWO REQUIRED _ SODear Plan Reviewer: FOR POURED CONCRETEN. 2. ROUGH - FRAMING.& PLUMBING Certification:I have reviewed the engineering testing reports for the racking and attachments to be used on this 3• INSULATION project and I certify that the products are capable of supporting the code required loads and are suitable for this FINAL - CONSTRUCTION MUST installation when installed in strict compliance with the manufacturers printed instructions. 4. FI COMPLETE FOR C.O. Regarding the solar panel array installation on the above referenced project please note that an inspection was ALL CONSTRUCTION SHALL MEET THE performed by a representative of the Architect/Engineer of Record and we recommend installation of the array in theREQUIREMEPJTS OF THE CODES OF NEW ". 6 ag a following manner: R 5�,} -_ U i g J s.� � YORK STATE. NOT RESPONSIBLE FOR 1.The array will be installed in the location as per the Site Plan prepared by the contractor. DESIGN OR CONSTRUCTION ERRORS. 5 g L ai Li b ,tet' 9 T CE 2.The system shall consist of photovoltaic modules secured to the"Iron Ridge"ground mounting system.The ! f� �R system will be installed in strict compliance with the manufactureres printed instructions. ¢6-• O°, 1 fly 3.The layout and attachments are determined by the racking manufacturers specifications for installation in areas with wind speeds in excess of 130 miles per hour,three second gusts.Refer to manufacturers specifications. Structural Design Loads per ASCE 7-10: r`T;}i�I e L r I.r 1;RL!n,i L n pP l r4�N u F r n[iA4^:1A,`VT 0 C�tiiP1ER LJ5 Dead Loads=10 psf+2.6 psf(new solar panels)=12.6 psf; Ground Snow Load=25 psf i •,-� 9�• Basic Wind Speed=130 mph; Exposure=B r I n 0 i-iE ►0aul` C0Ei E. Wind Loads per ASCE 7-10,Ch.30 method 1&using an area of 10 SF(wind loads from Figure 30.5-1): Zone 1=-31.4 psf; Zone 2=110.9 psf; Zone 3=47.2 psf Uplift per attachment=31.4 psf x 10 SF=314 lbs Iron Ridge XR Rail:Pull out strength of 5/16"bolt in rail=W'=526 lbs>314 lbs OK 4.Solar modules shall be UL-1703 rated.Refer to manufacturers specifications sheets. CAL INSpECTION REQUIRED V.EM 5.All aspects of the installation shall comply with the 2020 Residential Code of New York State,ASCE-7-16,2017 National Electric Code,All Local Governing County and Municipal Ordinances adopted by reference or enacted by law. If you have any questions relating to this matter,please contact me at your earliest convenience.Thank you. Digitally signed by OE pzW _ Samuel Dekyem DN:cn=Samuel * y * Dekyem,o=Momentum Samuel Dekyem,P.E. v Solar,ou=Engineering, NY.Lic.No.093431 2s email=sdekyem@mome 1%A0934-N ntumhome.com,c=US Date:2020.12.29 R�Pessvo 23:28:49-05'00' PLAN KEY SYSTEM INFORMATION BILL OF MATERIALS PV-1 COVER PAGE MODULE LG LG 350N1C-V5 SH MODULES 22 momentum NON SH MODULES 14 PV-2 PANEL LAYOUT INVERTER ENPHASE IQ7PLUS-72-2-US INVERTERS 36 SOLAR PV-3 LAYOUT DETAIL RACKING IRONRIDGE GROUND MOUNT COUPLING ASSEMBLY 35 PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR PV-4 ELECTRICAL SYSTEM SIZE (DC) 12.6 KW ENPHASE COMBINER BOX 1 3096 HAMILTON BLVD.BUILDING B SOUTH PLAINFIELD,NJ 07080 (732)902-6224 PV-5 EQUIPMENT LABELS MOMENTUMSOLAR.COM LOCATION 41.0665020,-72.4331400 60A FUSIBLE AC DISCONNECT z STRUCTURAL 60A FUSES 4 ENGINEERING GENERAL NOTES: 125A LINE TAPS 2 DANIEL W.DUNZIK RA LEED-AP LICENSE#039534 - (908)872-3664 UT LL THIS PV SYSTEM HAS BEEN DESIGNED TO MEET THE MINIMUM DESIGN STANDARDS SKILLMAANN,Ni 8558D aFOR BUILDING AND OTHER STRUCTURES OF THE ASCE 7-16, 2020 NYS BUILDING ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WINDAND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& CODE AND 2020 NYS RESIDENTIAL CODE NEC 2017 AND ALL LOCAL CODES & ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE / COMPLIANCE.WARNING THAT IT IS A VIOLATION OF THE LAW FOR ORDINANCES. ANY PERSON,UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. LG LG 350N1C-V5 350 WATT MODULE AR 66.4" X 40" X 1.57" : INVERTER PLACEMENT: ��� �w o chip (SEE DATASHEET) �'N�� SYSTEM UTILIZES "ENPHASE" MICRO-INVERTERS WITH RAPID SHUTDOWN CONTROL CLIMATIC & GEOGRAPHIC DESIGN CRITERIA LOCATED ON THE BACK SIDE OF EACH MODULE. r� , TABLE R301.2(1) GROUND SNOW LOAD 30 LBS/SFy0�- ,.. ; SPEED (MPH) 130 TOPOGRAPHIC EFFECTS B SPECIAL WIND REGION NO WIND BORNE DEBRIS ZONE 2 CUSTOMER SEISMIC DESIGN CATEGORY C INFORMATION CLIMATE ZONE 5A EVAN TOUHEY-MS67318 WIND EXPOSURE CATETORY B 1450 HORTONS LANE SOUTHOLD,NY 11971 9176480583 JURISTICTION:SOUTHOLD UTILITY: PSEGLI UTILITY ACCT#:9654047900 UTILITY METER#:98345876 PV SYSTEM INFORMATION SYSTEM SIZE(DC): 12.6 KW 36 MODULES:LG LG 350N1C-V5(SH MODULES:22) 36 INVERTERS: ENPHASE IQ7PLUS-72-2-US PROJECT INFORMATION INITIAL DATE:12/22/2020 DESIGNER:AL REV: DATE: DESIGNER: REV: DATE: DESIGNER: COVER PAGE PV- 1 ROOF MODULE COUNT TILT AZIMUTH SHADING R1 36 25° 180° 78% 01momentum SCALE: 1/8" = 1'-0'° / SOLAR / \ PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR 3096 HAMILTON BLVD.BUILDING B SOUTH PLAINFIELD,NJ 07080 (732)902-6224 15FT PROPERTY MOMENTUMSOLAR.COM �' _ SETBACK STRUCTURAL \ ^'325 00 ENGINEERING ' 1 NDERGROUND20'-11q'1 DANIEL W.DUNZIK RA LEED-AP 2 2 LICENSE#039534 72-3664 08) TRENCH -8 „ 3BURNTHILL ROA 08558 D20, 2SKILLMAN,NI ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND �++� AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE ° b COMPLIANCE.WARNING THAT IT IS A VIOLATION OF THE LAW FOR ANY PERSON,UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. 15FT PROPERTY ELECTRICA EQUIPMEN SETBACK � - ° MSP o = L W.3(j "IX 39 \ O DISC f ' - ;' Q .✓, Y/ ' � \ F `�`�-, Off` S`•� �/,�. �`i 39'-0" (POOL ;` -•+"�'. .—�r �\ / r fxF�i t*� J o jy Q I ' \ lop }^ X 3()534 1 0) � \ / t ° - _� //� ♦ �'.k-TI-t ��'of�,���'� J ` °.s1� •• / N,}err,'/. SHED " / \ S � � ��• � / `�Q_° ; r • �` (,/ CUSTOMER ADDITIONAL DWELLING �'p � � � � ,� � � \ INFORMATION f 1' SHED EVAN TOUHEY-MS67318 1450 HORTONS LANE <� SOUTHOLD, NY 11971 f .;';'10-0 e` 5����.�'✓.�� ��'.�" 9176480583 Q JURISTICTION:SOUTHOLD RESIDENCE °Q Q Q d° / b UTILITY:PSEGL UTILITY ACCT#I 9654047900 Q CC ;, w�' � '• .t e \ UTILITY METER#:98345876 0 0 0 0 0 D \ c11 13 a a a a1 PV SYSTEM T o D D D D D INFORMATION 20-6 I SYSTEM SIZE(DC): 12.6 KW O �;- •/ Rl I 36 MODULES: LG LG 350N1C-V5(SH D D o o MODULES:22) 36INVERTERS: ENPHASE yp tP b DRIVEWAY Ac ?J \ IQ7PLUS-72-2-US Q DISC p t2 cs .� 34'-5Z" s �'`� � 15FT PROPERTY \ �y2 \ o ,:,� �� ELECTRICAL EQUIPMENT PROJECT INFORMATION \ D / SETBACK \ / INITIAL DATE:12/22/2020 DESIGNER:AL REV: DATE: DESIGNER: o , \ 15FT PROPERTY REV: DATE: DESIGNER: �` ° Qia'f / SETBACK a SCALE: 1/16" = 1'-0" PANEL LAYOUT SCALE: 1/32" = 1'-0" — _ PV-2 -------- --- --- ---- ---------- IRONRIDGE UNIVERSAL r T T 1 3' •J,� III (03 MODULE, OBJECT , IIIIII 3PV MODULE FRAME IIIII IRONRIDGE UNIVERSALIIII momentum IRONRIDGE RAILGEL FASTENING OBJECT IRONRIDGE PDUE FRAME SOLAR RAIL IRONRIDGE UNIVERSAL ONNECTOR FASTENING OBJECT IRONRIDGE RAIL 3"SCHEDULE 40 GALV.CCROSS PIPE PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLA R 3096 HAMILTON BLVD.BUILDING B SOUTHPZ�9IIELDNJJ 07080 •mFE' I22MOMENTUMSOLAR.COM PVMODUE IONRIDGE I I I STRUCTURAL PIPE FITTINGS DETAILTOP_ I E DETAIL MID CLAMP PLAN I DETAIL,MID CLAMP FRONT IRONRIDGE STOPPER SLEEVE I O Scale:3"=T-0" I Scale:6"-V-0" I r Scale:6"=I'-0" ENGINEERING D —————�{--———— —— — — —�•— ——— ——— —I DANIEL W.DUNZIK RA LEED-AP I I IRONRIDGE STOPPER SLEEVE I LICENSE#039534 ' 1 " IRONRIDGE UNIVERSAL (908)872-3664 FASTENING OTOECf NODULE, 3"SCHEDULE 5 I I IRONRIDGE RAIL I IRONRIDGE UNIVERSAL I 370 BURNT HILL ROAD 2"SCHEDULE BY OTHERS SKILLMAN,NI 08558 F 40 GALV.PIER�_ �� 4 I IR NRI RAIL I PV MODULE FRAME I FASTENING OBJECT I ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND 40 GALV.PIPE IRONRIDGE PIPE I IRONRIDGE UNIVERSAL PV MODULE FRAME AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& DIAGONAL 3"RAIL t• t• ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE U"o BRACING @ I - CONNECTOR I FASTENING OBJECT I _ IRONRIDGE RAIL I COMPLIANCE.WARNING THAT IT IS A VIOLATION OF THE LAW FOR H EVERY POST I I IRONRIDGE STOPPER I I ANY PERSON,UNLESS ACTING UNDER THE DIRECTION OFA SLEEVE LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. 3"DIA.SCHEDULE 40 GALV.STL POSTS TYP. EKED 3•PIPE� � CPN W.OG y HELICAL FOOTING v 1 REFER TO DETAIL I D PIPE FITTINGS DETAIL I G DETAIL END CLAMP PLAN I H DETAIL END CLAMP FRONT 7._1 111 L- --Scale:3"=1 0--- ------Scale-6"-1-0-- - ---- Scale:6--,-0"--J 4 PIPE FITTINGS DETAIL3953_ ?� t' 53 4 USE THIS ON ALL JOBS XR-1000 RAIL TOP CAP CUSTOMER POST LOCATION INFORMATION EVAN TOUHEY-MS67318 1450 HORTONS LANE SOUTHOLD,NY 11971 9176480583 JURISTICTION:SOUTHOLD UTILITY:PSEGLI UTILITY ACCT#:9654047900 UTILITY METER#:98345876 PV SYSTEM INFORMATION SYSTEM SIZE(DC): 12.6 KW 36 MODULES:LG LG 350N1C-V5(SH MODULES:22) 36 INVERTERS:ENPHASE IQ7PLUS-72-2-US PROJECT INFORMATION INITIAL DATE:12/22/2020 DESIGNER:AL REV: DATE: DESIGNER: REV: DATE: DESIGNER: LAYOUT D ETAI L PV-3 momentum 36 LG LG 350N1C-V5 35OW MODULES PAIRED WITH SOLAR 36 ENPHASE IQ7PLUS-72-2-US MICRO-INVERTERS PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR 3096 HAMILTON BLVD.BUILDING B BRANCH CIRCUIT A SOUTH PLAINFIELD,NJ 07080 12 MICRO-INVERTERS EXISTING 150A MAIN (732)902-6224 BRANCH CIRCUIT B SERVICE PANEL 240 V MOMENTUMSOLAR.COM 12 MICRO-INVERTERS STRUCTURAL BRANCH CIRCUIT C MAIN BREAKER:150A 12 MICRO-INVERTERS ENPHASE 80A AC ENGINEERING COMBINER BOX INE SIDE DANIEL W.DUNZIK RA LEED-AP + - -I- - + - W/ENVOY IQ HOT TAP LICENSE B 039534 (908)872-3664 370 BURNT HILL ROAD SKILLMAN,N]08558 150A ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND CT SQUARE-D 60A FUSIBLE SQUARE-D 60A FUSIBLE GRID AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE AC DISCONNECT AC DISCONNECT COMPLIANCE.WARNING THAT IT IS A VIOLATION OF THE LAW FOR g ANY PERSON,UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. 8 0 A&I ELECTRICIAN PRO CUSTOM SOLAR,D M SOLAR ROOF 10A BREAKER so96 AMUTINEeIv 1POWER UTILITY I�� � `g`" Q JUNCTION (ENVOY) SOUTH PL/UNFJEf�(� C BOX 20A BREAKER(A} -GROUND METER T (732)902i62Y� W 1 2A-C 3 3-TRENCH 4 TERMINATION CAP 20A BREAKER(B) INSTALLED ON 20A BREAKER(C) "325 UNDERGROUND END OF CABLE TRENCH . L• rlva ' ?� 039534 �0 OF N � ELECTRICAL NOTES: 5.ALL CONDUCTORS ARE SIZED BASED ON NEC 2014 ARTICLE 310 10.SYSTEM COMPLIES WITH 690.12 RAPID SHUTDOWN AND ASSOCIATED CUSTOMER 1.ALL CALCULATIONS FOR VOC,VMAX, IMP AND ISC HAVE BEEN 6.ALL EQUIPMENT INSTALLED IS RATED AT 75°C UNLESS NOTED LABELING AS PER 690.56(C).AC VOLTAGE AND SYSTEM OPERATING CALCULATED USING THE MANUFACTURED STRING CALCULATOR BASED ON 7. INVERTER NOC(NOMINAL OPEN CURRENT)OBTAINED FROM CURRENT SHALL BE PROVIDED AS PER 690.52. INFORMATION - ASHRAE 2%HIGH AND EXTREME MINIMUM TEMPERATURE COEFICIENTS. EQUIPMENT DATA SHEET 11.CONDUCTORS IN CONDUIT ARE AC CONDUCTORS-BRANCH 2. THE ENTIRE ARRAY IS BONDED ACCORDING TO (NEC 690.46 - 250.120 8.GROUNDING CONDUCTOR RUN WITH PHASE CONDUCTOR IN CIRCUITS AND NOT PV SOURCE CIRCUITS 690.6. EVAN TOUHEY-MS67318 PARAGRAPH C). THE SAME CONDUIT. 12.ALL GROUNDING SHALL COMPLY WITH 690.47(A)IN THAT THE AC 1450 HORTONS LANE 3. THIS SYSTEM COMPLIES WITH NEC 2014 9. SYSTEM IS CONSIDERED AN AC MODULE SYSTEM. NO DC MODULES SHALL COMPLY WITH 250.64. SOUTHOLD,NY 11971 4. BRANCH CIRCUIT CALCULATION FOR WIRE TAG 1 DISPLAYS THE LARGEST CONDUCTORS ARE PRESENT IN CONDUIT,COMBINER,JUNCTION 13.NO TERMINALS WILL BE ENERGIZED IN THE OPEN POSITION IN THIS 9176480583 BRANCH CIRCUIT IN SYSTEM.OTHER BRANCH CIRCUITS WILL HAVE LOWER BOX,DISCONNECT.AND COMPILES WITH 690.6-NO DC. AC MODULE SYSTEM 690.6,690.17. DESIGN CURRENT THAN THE ONE SHOWN. DISCONNECT AND ASSOCIATED DC CABLING ARE REQUIRED. 14.WHERE APPLICABLE, INTERCONNECTION SHALL COMPLY WITH JURISTICTION:SOUTHOLD 705.12(D)(3),705.12(D)(2)(3)(B),705.12(A)AS PERMITTED BY 230.86(6) UTILITY: PSEGLI UTILITY ACCT#:9654047900 UTILITY METER#:98345876 PV SYSTEM INFORMATION SYSTEM SIZE(DC): 12.6 KW 36 MODULES:LG LG 350N1C-V5(SH Wire Temp. Wire Temp. Conduit Derated Inverter NEC Design Ground Ground Wire MODULES:22) Wire Tag Conduit Wire Qty Gauge Wire Type Rating Ampacity(A) Derate Fill Derate Ampacity(A) Qty NOC(A) Correction Current(A) Size Type 36 INVERTERS: ENPHASE IQ7PLUS-72-2-US 1 OPEN AIR 2 12 AWG Trunk Cable 90°C 30 0.96 1 28.80 12 1.21 1.25 18.15 12 AWG Trunk Cable 2A 1" PVC 2 10 AWG THWN-2 90°C 40 0.96 0.8 30.72 12 1.21 1.25 18.15 08 AWG THWN-2 PROJECT INFORMATION 26 1" PVC 2 10 AWG THWN-2 90°C 40 0.96 0.8 30.72 12 1.21 1.25 18.15 08 AWG T REHWN-2 INITIAL DATE:12/22/2020 DESIGNER:AL V: DATE: DESIGNER: 2C 1" PVC 2 10 AWG THWN-2 90°C 40 0.96 0.8 30.72 12 1.21 1.25 18.15 08 AWG THWN-2 REV: DATE: DESIGNER: 3 1" PVC 3 02 AWG THWN-2 75°C 115 0.96 1 110.40 36 1.21 1.25 54.45 03 AWG THWN-2 ELECTRICAL 4 1" PVC 3 02 AWG THWN-2 75°C 115 0.96 1 110.40 1 36 1.21 1.25 54.45 03 AWG THWN-2 PV-4 - AG LABEL QUANTITY LOCATION NOTE EXAMPLES 1 AT EVERY SEPARATION BY -&WARNING 12 DC CONDUITS ENCLOSURES/WALLS/ r_' • momentum PARTITIONS/CEILINGS/FLOORS PHOTOVOLTAIC POWER • - OR NO MORE THAN 10' SOLAR PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR . ® PHOTOVOLTAICNING © 3096SOUTH PLAINFIELD,NJ 0 080 B • •' • •• -6224 J - • 1 AT ANY JUNCTION BOX OR DC (732)902 1 COMBINER BOX MOMENTUMSOLAR.COM COMBINER IF USED STRUCTURAL PHOTOVOLTAIC •• - SOURCE ENGINEERING O DANIEL W.DUNZIK RA LEED-AP LICENSE-#039534 (908)872-3664 _ 370 BURNT HILL ROAD SKILLMAN,NJ 08558 - A - - ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE i� COMPLIANCE.WARNING THAT IT IS A VIOLATION OF THE LAW FOR ANY PERSON,UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. J - • •• 1 AT ANY JUNCTION BOX OR DC s; 1 JUNCTION BOX o • Y; •• • • COMBINER IF USEDTERMINALS _ON BOTH LINE AND opo xao LOAD SIDES MAYBE ENERGIZED IaTHE OPEN POSITION' _ .J. ��w.D U T ' O • • O Dill CONNECT ZLWARNING ••ERA IpJqCURRENT, 1 OF EACH AT FUSED ACJ ELECTRICAL J -SHOCK -• DISCONNECT3 T 0395 G DO s 1 AC DISCONNECT COMPLETE VOLTAGE AND �" L �� •• -• s e i • :• KLINE • CURRENT VALUES ON © Z F N; : ••.SIDES MAYBE ENERGIZED DISCONNECT LABEL IN THE,OPEN ROSITION -,; �1?� CUSTOMER ;:. INFORMATION IN EV ® .Yy",�fi{t` : J`% AN TOUHEY-MS67318 ® `�- j `�` 1450 HORTONS.LANE . 1 MAIN DISCONNECT 1 OF EACH AT BUILDING MAIN I �II "� i;" - •� SOUTHOLD, NY 11971 DUAL POWER SOURCE O PANEL DISCONNECT PANEL �y 9176480583 = JURISTICTION:SOUTHOLD - -_- UTILITY: PSEGLI- UTILITY ACCT M 9654047900 UTILITY METER#:98345876 PV SYSTEM • -• - - 1 UTILITY METER 1 AT UTILITY METER QE INFORMATION SECON6 SOUT�CE IS PHOTOVOLTAIC SYSTEM SIZE(DC): 12.6 KW ( . SYSTEM 36 MODULES: LG LG 350N1C-V5 SH Ia i r MODULES:22) 36 INVERTERS: ENPHASE MEANS OF INTERCONNECTION LOCATION NOTE Ei:; -; e I ' ' IQ7PLUS-72-2-US MAIN SERVICE G BACKFEED BREAKER 1 PANEL OR PER 705.12(13)(2)(3)(c) PROJECT INFORMATION DISCONNECT - ! I INITIAL DATE:12/22/2020 DESIGNER:AL REV: DATE: DESIGNER: - d REV: DATE' DESIGNER: LINE SIDE TAP 1 MAIN EL ORE PER 705.12(D)(2)(3)(c) © DISCONNECT EQUIPMENT LABELS PV-5 ./,� IRON RIDGE Ground Mount System Ac a 1� l z1 360°Product Tour Visit ironridge.com Substructure �- n Top Caps Rail Connectors Diagonal Braces Cross Pipe&Piers Mount Oii all terrains, in no time. The IronRidge Ground Mount System combines our XR1000 rails with locally-sourced steel pipes,or mechanical tubing,to create a cost-effective structure capable of handling any site or terrain challenge. Connect vertical and cross Attach Rail Assembly to Optional Brace provides Steel pipes or mechanical _ Installation is simple with only a few structural components and no drilling,welding,or heavy machinery pipes. horizontal pipes. additional support. tubing for substructure. required. In addition,the system works with a variety of foundation options,including concrete piers and driven piles. Rail?assembly - --- — XR1000 Rails Top-Down Clamps Under Clamps Accessories Rugged Construction PE Certified U i r Engineered steel and aluminumPre-stamped engineering letters components ensure durability. _: '' available in most states. Iwo, - 1 - Simple Assembly Design Software Curved rails increase Secure modules to rails Alternative clamps for pre- Wire Clips and End Caps Just a few simple components Online tool generates engineering spanning capabilities. and substructure. attaching modules to rails. provide a finished look. and no heavy equipment. values and bill of materials. Resources Flexible Architecture 20 Year Warranty _ __ _ Design Assistant A NABCEP Certified Training Multiple foundation and array Twice the protection offered by configuration options. competitors. Go from rough layout to fully Earn free continuing education credits, engineered system.For free. 4A while learning more about our systems. FA __. p Go to ironridge.com/gm 9 Go to ironridge,com/training r!P" /.,r14MmeT,Z:Clfi'a aa r, 0-G'.-!g.1,ritI-Z!_r-1tIi1Fr—'LNW_-�f /� � Data Sheet Enphase IQ 7 and IQ 7+ Microinverters Enphase Microinverters Region:AMERICAS INPUT DATA(Dc) IQ7-60-2-US IQ7PLUS-72-2-US Commonly used module pairings' 235 W-350 W+ 235 W-440 W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules M- - aximum Input DC voltage 4113 V � _ _ 60_V Peak power tracking voltage 27 V-37 V 27V-45V Operating range 16 V-48 V _16V-66V Min/Max start voltage 22 V/48 V 22V/60V Max DC short circuit current_(module Isc) 15A 15A En p ��� The high-powered smart grid-ready over voltage class DC port Enphase IQ 7 Micro-and Enphase IQ 7+Micro' DC port backfeed current b A OA PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; IQ 7 and 17+ dramatically simplify the installation process while AC Side protection requires max 20A per branch circuit achieving the highest system efficiency. OUTPUT DATA(Ac) IQ 7 Microinverter IQ 7+Microinverter Microinverters ,Peak output power 250 VA 295 VA ` Part of the Enphase IQ System,the IQ 7 and Maximum continuous output power 240 VA 290 VA IQ 7+Microinverters integrate with the Enphase .Nominal(L L)voltage/range2 240V/ 208 V1 240 v/ 208 vi 9 P 211-264 V _ 183-229 V 211-264 V 183-229 V IQ Envoy'",Enphase IQ Battery"',and the Enphase Maximum continuousoutput current 1.0 A(240 v) 11.15 A(208 V) 1.21 A(240 V) 1.39 A(208 V) ,, Nominal frequency 60 Hz 60 Hz Enlighten mOnitOfingandanalysiSSOftWare. ExtendedfregUencyrange 47-68Hz 47-68 Hz IQ Series Microinverters extend the reliability Ac short circuit faint current ovar3 cycles 5.8 Arms 5s Arms Maximum units per 20 A(L-L)branch circuit' 16(240 VAC) 13(208 VAC) 13(240 VAC) 11(208 VAC) standards set forth by previous generations and Over rvoltage class AC Port ul M " " undergo over a million hours of power-on testing, AC port backfeed current 0 A 0 A Fowerfactor setting 1.0 enabling Enphase to provide an industryleading _: 1.0 ; -Power factor(adjustable) 0.85 leading...0.85 lagging 0.85 leading...0.85 lagging Warranty of up to 25 years. EFFICIENCY @240 V @208 V @240 V @208 V Peak efficiency 97.6% 97.6% 97.5% 97.3% CEC weighted efficiency 97.0% 97.0% 97.0% 97.0% MECHANICAL_DATA Ambient temperature range V 740°C to+65°C ' Relative humidity range 4%to 100%(condensing) Easy to Install Connector type(IQ7-604-US&_IQ7PLUS-72-2-US) M64(or Amphenol H4 UTX with additional Q-DCC-5'adapteo' q Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Lightweight and simple Weight 1.08 kg(2.38 lbs) Faster installation with improved,lighter two-wire cabling Cooling Natural convection-No fans Built-in rapid shutdown compliant(NEC 2014&2017) Approved for wet locations Yes Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Productive and Reliable Environmental category/UV exposure rating NEMA Type 6/outdoor Optimized for high powered 60-cell and 72-cell*modules FEATURES More than a million hours of testing 'Communication _ Power Line Communication(PLC) o Class II double-insulated enclosure Monitoring Enlighten Manager and MyEnlighten monitoring options. Both options require installation of an Enphase IQ Envoy. UL listed Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break m disconnect required by NEC 690. Smart Grid Ready compliance Ca Rule 21(UL 1741-SA) UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B. CAN/CSA-C22.2 NO.107.1-01 Complies with advanced grid support,voltage and This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and .e+s frequency ride-through requirements - NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC --_ Remotely updates to respond to changing and DC conductors,when installed according manufacturer's instructions. grid requirements Configurable for varying grid profiles Meets CA Rule 21(UL 1741-SA) The IQ 7+Micro is required to support 72-cell modules. 1.No enforced DC/AC ratio.See the compatibility calculator at https•//enphase.com/en-us/support/module-compatibil*t. U` 2.Nominal voltage range can be extended beyond nominal if required by the utility. 3.Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. ® To learn more about Enphase offerings,visit enphase.com EN PHASETo learn more about Enphase offerings,visit enphase.com EN PHAS E. �.✓ . D 2019 Enphase Energy All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. 2019-3-26 - LG NeONO2 ® `Ri LG345N1C-V5 I LG350N1C-VS - General Data Electrical Properties(STC*) LG345N1C—V5 LG350N1C-V5 CeBPropeties(MaterfaVType) Nlonocrystafte/N-type Model i LG345N1C-VS LG350N1C-VS Co Maker - LG Maximum Pa.,(P.-)- I[W] 345 350 Cell Configuranon 60 Cells(6 x 10) MPP Voltage(Vmpp)' [V] 34.9 35.3 Number of Busbars--_ ---_.�----�— 12EA - -- MPP Cunent(ImpP) I[A] 9.89 --- 9.92 3 4 5 W 13 5 0 W Module Dimenswns(Lx W x H) 1,686mm x 1.016-40m. Open Circuit Voltage(VoalS%) -,[V 41.2 41.3 We'ght 17.1 kg Short Circuit Current(Isc,!5%) 1[A] 10.57 10.61 Glass(Material) a Tempered Glass with AR Coating Module Effiaelxy I[%) 20.1 20.4 The LG NeON®2 is LG's best selling solar module,and is one of the mo Back heet(Color) T White Pos-Tolerance ;(%] 0-.3 powerful and versatile modules on the market today.Featuring LGFrame(Material) Anndu:ed Aluminum's Ce _ 'STC(standakTest ennanan):Imaaiana lo0owmr.cell temperature zs•cANf 1s • p Junction Box(Protection Degree) 1 'Prig with 3 Bypass Diodes — "Measure rnTolerance:!3% Technology,the LG NeON 2 increases power output.New updates inc cab�es�le m� - -r 1.00Ommx2Ea an extended performance warranty to 90.08%to give customers high( Cmme(Length) MC nurnx performance and reliability. Operating Conditions Certifications and Warranty operatingTmpant.. (°c] -40-+90 V• IEC 61215-1/-1-1/22016,IEC 61730-1/2-2016, Maximum System Voltage [V] 1,000 D E L U� pg CcnUL 1703 Max mum Series Wse Ra ng [A] 20 ..xan Oeruficatwns 1509001,15014001;15050001 �— ~ MedlankalTert Load(Front) 1[Pa/psi] 5,4001113 tlll CHSA518OO1 MedtSnfcai7est Load(Rea) i[pa/psf] 4,000/83.5 Saf[M�rt Corrosion Test �j IEC 61701:20125ererrty6 •MxhamalTert lead 5,400Pa/4,O00Pa bascdonlEC 612152:2016 4 Ammonia Corrosion Test /] IEC 627162013_ Test load-Des.gn load.Safety Factcr(1.5) Module F Performance _�` Type 1(UL 1703) Fire Rating _ —�_—� Class C(UL7L'LUORO C 1703) 1 L � f solarMoeweProduct wamanry 25� 2svears Packaging Configuration r Solar Module Output warranty J linear Warranty• Number of Modules per Pallet [EA] 25 .s, 'Improwd-lst year 98%,from 2-24th year.033%/year dawn,after 25th year,90.08% Numberaf Modules per 4Oft HQ Container 650 Packaging Box Mmensions(Lx1Mx H) (mm] 1,75ox1,T2Ox1,221 Temperature Characteristics P.a ` —W"—' — -- agingBoxGross eight [kg] 464 NMOT• (°C] 42 t 3 -0.36 Iw [%1•c] D0 Dimensions(mm/inch) •NMOr(Nomirul Alodu'e Operaur19Te n:iaaw,e Inatlwxxe 800 W/m',Ambi*.t tempcaature 20'r Wrnd speed 1 nV spectrum AM 1.5 Features Electrical Properties(NMOT) Model LG34SNl C-VS LG350N1 C-VS Enhanced Performance Warranty Enhanced Product Warranty M--Power(Pmax) ![w]! 259 _ 262 F,�� 25rrt... MPP Va11a9n(VmpP) (V] 1-- 32.8 33.2 LG Ne0N0'2 has an enhanced LG has extended the warranty of the 'nnpvcmron:pmpp) aj! 7.89 7s1 performance warranty.After 25 .._ NeON®2 to 25ears including labor, - --' — - 25years � Open Circuit Voltage(Voc) j [V] I 38.8 38.9 years,LG NeON°2 is guaranteed at which is top level in the industry. shnnCircuit epment(Ist) [A] 849 8.52 least 90.08%of initial performance. 1-V Curves ��• * 12.0 mi g1 i _ _ I _ 21 dl �• l000-v Better Performance on a Sunny Day "J Roof Aesthetics IOU 9 d 6 + 1®i LG NeONO 2 now performs better on LG NeON°2 has been designed with Ro """' f sunny days,thanks to its improved (, _ j aesthetics in mind using thinner wires so a"" temperature coefficient. that appear all black at a distance.The LG NeON°2 can increase the aesthetic value 60 --- --- "tr' ---- of your home with a more modern design. 2=1 ~� 1.0 ------------- - -------- -— 0.0 IIqII a 0.0 IOU 20.0 300 400 T When you go solar,ask for the brand you can trust: LG Solar Voltage( About LG Electronics LGElectromcsmc Produlspe rfiononsaresubjecttochange vnthoutnouce, Q ❑� LG Electrons is a global leader in electronic products in the clean energy markets by offering soar PV panels and energy storage systems The company first embarked on a solar I LG S01ar Busness Divinon LG345-35ON1 C-VS.pdf LG Solar ® 2O0OMdlhrook GO6 energy source research program m 1985,supported by LG Group's vast expenente m the sank,nductor,LCD,ch—stryand matenals,ndustnes.In 2010,LG Solar successfully Uncolnshire,IL 60069 released its firs[.201S a sones to the market watch is nae,a...h,p m 32—ton in The,I,G d(prenous ManoX°NeON),NeON°2,NeON02 B,Fatul an the'Intertalar O 2019 LG Electronics.All rights reserved !J AWARD'in 2013,2015 alk 2016,which demonstrates LG's leadership and innovation in the solar industry. 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