The URL can be used to link to this page

Home My WebLink About49789-Z S�FFQ �� Town of Southold 1/21/2024 a P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44883 Date: 1/21/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 515 Gabriella Ct,Mattituck SCTM#: 473889 Sec/Block/Lot: 108.-4-7.41 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/7/2023 pursuant to which Building Permit No. 49789 dated 9/27/2023 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof mounted solar panels to existing single family dwelling as applied for. The certificate is issued to, Mclean,Derek of the aforesaid building. SUFFOLK'COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49789 12/14/2023 PLUMBERS CERTIFICATION DATED Au o zed r �osuFFo TOWN OF SOUTHOLD BUILDING DEPARTMENT C. x 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#: 49789 Date: 9/27/2023 1 Permission is hereby granted to: Mclean, Derek PO BOX 500 Mattituck, NY 11952 To: Install roof mount solar to existing single family dwelling as applied for. At premises located at: 515 Gabriella Ct, Mattituck SCTM #473889 Sec/Block/Lot# 108.-4-7.41 Pursuant to application dated 9/7/2023 and approved by the Building Inspector. To expire on 3/28/2025. Fees: r SOLAR PANELS $50.00 ELECTRIC $100.00 CO-RESIDENTIAL $50.00 Total: $200.00 Building Inspector o��OF SOUT��I � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 CA Southold,NY 1 1 97 1-0959 ;;20 o sean.devlin(a�town.southold.ny.us �OUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Derek Mclean Address: 515 Gabriella Ct city:Mattituck st: NY zip: 11952 Building Permit#: 49789 section: 108 Block: 4 Lot: 7.41 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: GreenLogic License No: 43858ME - SITE DETAILS Office Use Only Residential X Indoor X Basement X Solar X Commerical Outdoor X 1st Floor X 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 Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 7.6kW Roof Mounted PV Solar Energy System w/ (19) Waare WSMD 40OW Panels, AC Disconnect, AC Combiner Panel Notes: Solar Inspector Signature: Date: December 14, 2023 S.Devlin-Cert Electrical Compliance Form ho��pF SOUIyO� # # TOWN F SOUTHOLD BUILDING DEPT. °`�courm N 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] 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: -� DATE 1 2 INSPECTOR OP SOUTyOIo # # TOWN OF SOUTHOLD BUILDING DEPT. co 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL QWV"00' [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: aAi/ l� DATE 1101 INSPECTOR /�� _ re ` � a �s �. bib- 1 41 IL` 'F t MELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) 0�1 Alt ------------------------------------ v� � FOUNDATION (2ND) z 0 v� c ROUGH FRAMING& ` PLUMBING v Q r INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS �ctac- L _ o o �'• ILA ASAS tv' oon Ati i.� z Slzru v3 a e\A zvaj� c 0 �. P�lG van', ns -- .R P1311 - No 'j�P c - fir " z x H x d b H TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 1 Telephone (631) 765-1802 Fax (631) 765-9502 litti)s://www.southoldtownny_gov Date Received APPLICATION FOR BUILDING PERMIT �f For Office Use Only D PERMIT NO. / Building Inspector: SEP 7 2023 ,,.Applications and forms must be filled out in their entirety.Incomplete applications,will not be accepted. Where the Applicant is not the owner,an Building Department Town of Southold Owner's Authorization form,(Page 2)shall be colmaleted. Date: a3 OWNER(S).OF PROPERTY; Name:Derek McLean SCTM#Z000-108-4-7.41 Project Address:515 Gabriella Court, Mattituck, NY 11952 Phone#: Email: Mailing Address:P.O. Box 500, Mattituck, NY 11952 CONTACT PERSON: Name:Barbara.-.GreenLogic LLC„ Mailing Address:97 North Sea Road, Southampton, ,NY 11968 µ Phone#:631-771-5152 x117 Email:Barbara@ Green logic.com DESIGN PROFESSIONAL INFORMATION Name:James J. Stout Architect & Associates Mailing Address:2 Greg lane, East Northport, NY 11731 Phone#:631-858-9388_ Email.stouthub@jame.sstoutarch.com, ,..,,._,,.. CONTRACTOR INFORMATION:` Nam e:GreenLogic„LLC „ Mailing Address:97 North Sea Road, Southampton,-.NY 1.1968 Phone#:631-771.-51,52... . . . ......._....... ,._.._._..,_.... .... Email:,AM_@Greenlogic.com.... .._.__. DESCRIPTION 0I"P116 OSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther Solar Panels $ 30,000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 'PROPERTY INFORMATION " Existing use of property: t Intended use of property:Pjc,(A Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes KNo IF YES, PROVIDE A COPY. B.Check .g.� :' r .. ,g p p ck Box After Readin The owner/coMraetor/desi n; rofessional is re; onsible for all,drainage,and'storm water issues as.provided by- Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE,to the Building Departmentfor 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 210.4S of the New York State Penal Law. Application Submitted By(print name):GreenLogic LLC I7Authorized Agent ❑Owner Signature of Applicant: Date: 1 (o 02 3 STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Nesim Albukrek being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (Contractor,Agent, Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this Lo day of SA►PY►')6CV ,20a3 -t'.G otary Public BARBARA A CASCIOTTA Notary Public-State of New York No.01 CA48949G9 _ PROPERTY OWNER AUTHORIZATION "Iffled In Suffolk County (Where the applicant is not the owner) Commission Expires May 11,2W YM EL 19 AkJ residing at .S I C T GreenLogic LLC do hereby authorize to apply on my behalf to the T wn of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 "4 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny.gov -- seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 9/6/2023 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 ffl request an email copy of Certificate of Compliance Address.: 97 North Sea Road Southampton, NY 11968 JOB SITE INFORMATION (All Information Required) Name: Derek McLean Address: 515 Gabriella Court, Mattituck, NY 11952 Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: 108 Block: 4 Lot: 7.41 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system **(19) Waare WSMD-400 panels Et (19) Enphase IQ7HS micro inverters (1) SunPower PVS6 monitor System Size: 7.600KW Check All That Apply: Is job ready for inspection?: DYES ❑✓ 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 ❑ Service Reconnect ❑ Underground [:]Overhead # Underground Laterals ❑1 ❑2 ❑H Frame [—]Pole Work done on Service? ❑Y ❑N Additional Information: ** Panels also known as SunPower SPR-4-400-BLK-W-DC PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx SCDHS REF. NO. RIO-97-0034 �.�p` ., •�.� `;ate � . V� Roy N9v C� ��;� SURVEY OF . t s�o. C p LOT, 17 `,_, ° "ELIJAHS LANE ESTATES, SECT 2 F[ED OCT.B,1996 FXEN0.9912 A T MA TTITUCK TOWN OF SOUTHOLD 3 " 'M SUFFOLK COUNTY, N.Y, 1000-108-04-Z41 Scale: 1"=40' Dec. 4, 1996 y2\y2 �O a2 c Qa AUG. 12,.1997 (foundation) \ a• b26 (�� JaE23,1998 (f47d) NOV.14, 2005 O �5F Qy S5 PGOJ� asSa� CERTIFIED To, DEAEK 9 BRD N A[PTON NATIONAL BANK 0 SWERIOR ABSTRACT CORPORATION MEU iEs yl• COWW OF�LYOTRKKE`N$WEVIICE AREA =43,646 sq.ft ,, ARr ALT�A;•ar pq AOp7/gy TO T7ss St,�gyE.r u A rq� /cm.famlllor wilh the SI ANJAROS FOA APPROVAL t aF s£C1tMI 72os to Me rAEW roph STATE EDIKATKw ► The lacalions of wells and cesspools WCON AS PER sEcn9N 720y-SL�dpVLSGv y ALL cGt ASTgYS AND CONSTRUCRON 09'SUBSURFACE L FWAGt shm'n hereon CIO�/�nn l/eld observoNons NEREaw AFE YALD Fat T 67fAp AM Caius T Eqe OAt r F DISPOSAL SYSTEUS FOR SINGLE FAMIL"RESh+ENC£S SA®.YAP OR COPIES BEAR TI£W%I£SSm SEAL or/tL SLRVEYCq and wil!abide br.1ha caad!/.'ans se!lorlh/he nln�.nd on the a"d cc from data obtained from o/hers. L 0. 49Ef8 NNOsE SICNATORE APP£,4tt rERCON4 permit fO coni/ru 1 h _ ADDITIONALLY ro G+wL V ATN SAP LAW rf1E Telly%LTERED BY' £CONK SU MUST BE vse;Br ANr Apo ALL SLRVfYORJ vrV M'A capr Isl6)763-3 tMp ' a=ANOThER SURVEYOR'S MA/: /FJN4t SLl71 AS'MY£CTFM AhD ELEVA DONS AAE R£FEAFJX£O P.0.BOX 909 9ROfdGNi-TO-DATE•ARF our N cOiflWKrr Jqn/rhC LAM TO AN AS..T AR OATUAL 12J0 TRAVELER STREET 07-23-sBr�rirlon SOUTHOLD, MY, 11971 96-317 17 1 A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) Foi/26/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CON TACT Nicholas Zulkofske Brookhaven Agency,Inc. PHONE 631 941-4113 Fax 631 941-4405 100 Oakland Ave,Ste 1 E-MAIL Certificates@ brookhavena enc .com Port Jefferson,NY 11777 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Southwest Marine&General Insurance Co. INSURED INSURERB.- Merchants Preferred Insurance Co. GreenLogic,LLC INSURER c: First Rehab Life Insurance Co. 97 North Sea Rd,Suite 3 INSURER D-. National Liability&Fire Insurance Co. Southampton NY 11968 INSURER E: AGCS Marine Insurance Co. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLDDY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000 000 CLAIMS-MADE [XIOCCUR DAMAGE TO RENTED $10O 000 X Contractual Liability X X GL202300012922 01/31/2023 01/31/2024 MED EXP(Any oneperson) $.5 000 PERSONAL&ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000.. POLICY®JECT PRO-- LOC PRODUCTS-COMPIOP AGG s2,000,000 OTHER: E&O Liability $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 000 000 B X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED X X CAP1043565 08/11/2022 08/11/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED X NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY UMBRELLA LIAB HOCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A see separate certificate (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ C NYS Disability D251202 04/11/2022 04/11/2023 Statutory Limits E Installation Floater/Property SML93076366 04115/2022 04/15/2023 $300,000 $2,500 Ded . DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is also named as Additional Insured. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 63095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ> @ 1988-2015 ACORD CORPORATION..All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD va'w 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 carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured GREENLOGIC,LLC 631-941-4113 97 NORTH SEA ROAD,SUITE 3 SOUTHAMPTON,NY 11968 SOUTHAMPTON,NY 11968 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) 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold Building Department 3b.Policy Number of Entity Listed in Box"1a" 53095 Route 25 DBL251202 Southold, NY 11971 3c.Policy effective period 04/11/2022 to 04/10/2024 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: Q 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 4/4/2023 By �/G�d 4f (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 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 48,4C or 5B have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. D13-120.1 (12-21) III 11°°°1°°°°1°°1°°°°1°°°°°�IIIIIII DB-120.1 (12-21) YORIc Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Greenlogic LLC (631)771-5152 97 North Sea Rd 1 c.NYS Unemployment Insurance Employer Registration Number of Suite 3 Insured South Hampton, NY 11968 Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 203801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) United Wisconsin Insurance Company 3b.Policy Number of Entity Listed in Box"I a" TOWN OF SOUTHOLD WC605-00090-023-SZ BUILDING DEPARTMENT 53095 ROUTE 25 3c.Policy effective period SOUTHOLD,NY 11971 01/01/2023 to 01/01/2024 3d.The Proprietor,Partners or Executive Officers are ❑ Included.(only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,1 certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Alicia Christiansen (Print name of aau/utthorized representative or licensed agent of insurance carrier) Approved by: ,�1� ( A zd7`GCl2tZP.yL /2�/Z/ 210ZZ- (Signature) (Date) Title: Director of Sales Operations Telephone Number of authorized representative or licensed agent of insurance carrier: 941-306-3077 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov .............. q V vd� 2 Suffolk County Executive's 0 ce of Consumer Affairs ft- ffi ... . ...... VETERANS MEMORIAL FUG14WAY HAUPPAUGE,NEW YORK 11788 M DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY Home Improvement Contractor License i This is to certifv that MARC A CLEJAN doing business as GRF,EN LOGIC LLC having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules olk, State of New York is hereby licensed to conduct business as a HOME and regulations of the County of Suff IMPROVEMENT CONTRACTOR,in the County of Suffolk. Additio!Lal Businesses NOT VALID WITHOUT DIEPARTMENTAL SEAL pw AND A CTJR"NT ........... CONSUNAER AFFAIRS ID CARD 51, Director -A N� AIN ................ 'X 15,4A %AILI ..1'h� \; /� \��s-�R .. .`\ I f ., � :TF., \�,�/ ' ,.�(t ri1�4,, �\ /j y.F;�l ti,. \\// j fV 1 ��.,./� :`,� .�D�� \,7F��' "•�,„� •.v 1� l .I-J� � • � I it • �: ' INJ DI PZ4 WWWA 6 \\. y (wl fi'\;e Yr�` t,�`�\ 3 '1 li \\ i �� /1 \\. s, `��' : /i \\ ��cp. . f/ \\ tom �F GREENLOGICO ENERGY September 6, 2023 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Projectlnfo: Derek McLean 515 Gabriella Court Mattituck, NY 1000-108-4-7.41 Dear Building Inspector: Please find attached a building permit application to install a roof mounted solar photovoltaic(PV) electric system for the above referenced property. In connection with this application, please find attached: • Building Permit application with owner authorization • Application for Electrical Inspection • 2 Surveys of the Premises • 4 Engineer's Reports • 2 Three Line Electrical Drawings • 2 Spec. sheets of the solar panels • 2 Spec. sheets for Racking System • 2 Spec. sheets for Monitoring System • GreenLogic Suffolk County Home Improvement License • GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License • Check for$200($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, J3wdfwta ewcioUac Barbara Casciotta Account Manager Barbara@Greenlogic.com GREENL&RC#f 5 Cjfpq.qo%ic.com Tel: 631.771.5152 Fax: 631.771.5156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd., Suite 3 200 S. Service Rd., #106 Southampton, NY 11968 Rosyln Heights, NY 11577 APPROVED AS NOTED OCCUPANCY OR _a BPS USE IS UNLAWFUL DATE-2-2 WI FEE" -'0D BY: TROUT CERTIFICAT' FE NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST . COMPLY-W1T`4A.LL CODES QF BE COMPLETE FOR C.O. NEW YORK.S,TA�`j-$ '-"' .C.OD.�S ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW AS REQUTA -AND4d0,DITh*S0F YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS MA . Mh hAN M ANNINGBOAAD SOUTTOWN TRUSTEES- :N�;S:-AEA' Tale RETAIN STORM WATER RUNOFI PURSUANT TO CHAPTER 236 OF THE TOWN CODE, GREENLOGICO ENERGY GreenLogic,LLC Approved McLean,Derek 515 Gabriella Court Mattituck,NY 11952 Surface#B- Total System Size:7.600kW Array Size:4.4001(W 1 circuit of 6 on a 20A breaker 1 circuit of 5 on a 20A breaker Azimuth:143" Pitch:23° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-U-400-BLK-W-DC Racking:SunPower Invisimount Panel:75.T'X 40.8" Array:31'15/16"X 12'8 1/8" Surface:32'8"X 15'2" Magic#:Invisimount 7-7 U Legend: x I x 11 SunPower 40OW Panels ® SunPower Invisimount Rail • 241ron Ridge Flash Foot 2 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 7-777 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: �REi) ARC 5� 02 i 63�' yOQ R bF't4 i Drawn By:MMB Drawing#4 of 8 Date:8/1/2023 REV:A Drawing Scale:3/16"=1.9 J AMES. J. S TOUT A R C H I T E C T & Assoc . 2 G R E G L A N E E AST Na. RTHP0R TN. Y. 631 - 8 58 9388 Letter of Certification August 4, 2023 RE: McLean Residence 515 Gabriella CT Mattituck, NY 11952 To whom it may concern: I, James J. Stout, registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above mentioned address and have determined the structure and the panel attachment to be adequate to support the new additional load imposed by the proposed solar panel system and complies with the 140-mph wind design load as per 2020 Residential code of NYS (RCNYS), 2020 Energy conservation construction code of NYS (ECCCNYS), the Long Island Unified Solar Permit Initiative (LIUSPI) and the ASCE 7-16. The existing 2"x 8"@ 16"o.c. roof rafters will provide the required support. Thank you for your understanding in this matter. James J. Stout Architect � e DAgC ��S �21 33 pQ TF� NEB-1 GREENLOGICO ENERGY GreenLogic,LLC Approved McLean,Derek 515 Gabriella Court Mattituck,NY 11952 Surface#A: Total System Size:7.600kW Array Size:3.200kW 1 circuit of 8 on a 20A breaker Azimuth:143' Pitch:14° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-U-400-BLK-W-DC Racking:SunPower Invisimount Panel:75.7"X 40.8" Array:19'9/16"X 10'3 15/16" Surface:22'6"X 14' Magic#:Invisimount Legend: 8 SunPower 40OW Panels o SunPower Invisimount Rail • 28 Iron Ridge Flash Foot 2 8 2x8"Douglas Fr Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: ERV-O AaC C i Drawn By:MMB Drawing#1 of 8 Date:8/1/2023 REV:A Drawing Scale:3/16"=1.9 GREENLOGIC° ENERGY GreenLogic,LLC Approved McLean,Derek 515 Gabriella Court Mattituck,NY 11952 Surface#A: Total System Size:7.600kW Array Size:3.200kW 1 circuit of 8 on a 20A breaker Azimuth:143" Pitch:14' Monitoring System: 2 SunPower Panel/Array Specifications: Panel:SPR-U-400-BLK-W-DC Racking:SunPower Invisimount Panel:75.T'X 40.8" Array:19'9116"X 10'3 15116" Surface:22'V'X 14' Magic#:Invisimount Legend: ®i 8 SunPower 40OW Panels ® SunPower Invisimount Rail • 28 Iron Ridge Flash Foot 2 B W"Douglas Fr Rafter 16"O.C. Notes, Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower TH H H H 9 Added Roof load of PV System:3.5psf Engineer/Architect Seal: GRED ARC 021.E ae i Drawn By:MMB Drawing#2 of 8 Date:8/1/2023 REV:A Drawing Scale:3/16"=1.9 GREENLOGICO ENERGY GreenLogic,LLC Approved McLean,Derek 515 Gabriella Court Mattituck,NY 11952 Surface#A: Total System Size:7.600kW Array Size:3.200kW 1 circuit of 8 on a 20A breaker Azimuth:143" Pitch:14' Monitoring System: SunPower 10 Panel/Array Specifications: Panel:SPR-U-400-BLK-W-DC Racking:SunPower Invisimount Panel:75.7"X 40.8" 1 Array:19'9/16"X 10'315/16" Surface:22'6"X 14' Magic#:Invisimount Legend: 1 ® 8 SunPower 400W Panels o SunPower Invisimount Rail • 28 Iron Ridge Flash Foot 2 W"Douglas Fir Rafter 16"O_C. 1 Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: EREl) ARC �` 021�33 Oe qTF bF�14 Drawn By:MMB Drawing#3 of 8 Date:8/1/2023 REV:A Drawing Scale:3/16"=1.0' GREENLOGIC® ENERGY GreenLogic,LLC Approved McLean,Derek 515 Gabriella Court Mattituck,NY 11952 Surface#B: Total System Size:7.600kW Array Size:4.400kW 1 circuit of 6 on a 20A breaker 1 circuit of 5 on a 20A breaker Azimuth:143" Pitch:23° Monitoring System: SunPower PanelVArray Specifications: Panel:SPR-U-400-BLK-W-DC Racking:SunPower Invisimount Panel:75.7"X 40.8" Array:31'15116"X 12'8 1/8" Surface:32'8"X 15'2" Magic#:Invisimount o Legend: ® 11 SunPower 400W Panels -� SunPower Invisimount Rail • 24 Iron Ridge Flash Foot 2 8 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: BRED ARC �21.633 OQ` 9TF bF t4 f' Drawn By:MMB Drawing#5 of 8 Date:8/1/2023 REV:A Drawing Scale:3/16"=li ff GREE LOGICO ENERGY GreenLogic,LLC Approved McLean,Derek 515 Gabriella Court Mattituck,NY 11952 Surface#13: Total System Size:7.600kW Array Size:4.400kW 1 circuit of 6 on a 20A breaker 1 circuit of 5 on a 20A breaker Azimuth:143° Pitch: Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-U-400-BLK-W-DC Racking:SunPower Invisimount Panel:75.7"X 40.8" Array:31'15116"X 12'8 1/8" 2 3 3 Surface:32'8"X 15'2" Magic#:Invisimount T7 o Legend: ®1 11 SunPower 400W Panels ® SunPower Invisimount Rail • 241ron Ridge Flash Foot 2 8 W"Douglas Fir Rafter 16"O.C. 2 3 Notes: Number of Roof Layers:1 7"T Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: �aED ARC 9TF �F'tdE`�y i Drawn By:MMB Drawing#6 of 8 Date:8/1/2023 REV:A Drawing Scale:3/16"=1.0' GREENLOGICO ENERGY GreenLogic,LLC Approved McLean,Derek 515 Gabriella Court Mattituck,MY 11952 Total System Size:7.600kW 1 circuit of 8 on a 20A breaker I circuit of 6 on a 20A breaker I circuit of 5 on a 20A breaker JOB MATERIAL UST Azimuth:143* Monitoring System: SunPower Panel/Affay Specifications: Panel:SPR-U-400-BLK-W-DC Racking:SunPower Invisimount Panel:75.7"X 40.8" Material List QW. Rail Material List QW. Magic#:Invisimount Legend: 19 SunPower 40OW Panels SunPower Invisimount Rail Cast Aluminum Mounting Blockw/Black Aluminum Flashing 52 52 Iron Ridge Flash Foot 2 5/16'x4.75"Hex-Head Lag Screw 52 2x8"Douglas Fir Rafter 16"O.C. 5/16"x1.25"Fend-erWasher 52. Notes: Number of Roof Layers:1 Height above Roof Surface:W' Materials Used:Iron Ridge,SunPower Added Roof load of PV System:3-5psf Engineer/Architect Seal: vF-D Aftc C3 A-, A Drawn By:MM13 Drawing#8 of 8 Date:81112023 REV.A Drawing Scale:3/32"=1.0' t - 'A SunPowerO EnergyLink TM Residential and Commercial PVS6 Improve Support, Reduce Maintenance Costs SunPower EnergyLink—Plug-a rid-Play Installation An intuitive monitoringwebsite enables you to: y This CC.Mple,r solui.iol'1 fC)r reSlue'ltiui dntj cornrnerclal rr,or,ltorin and See a visual ma of customer sites - •::�• - P ._,mrrol ir:.cl+..c,es tie:,unr'o pr F'�a 1,-n.��..>cr b jP��w••.•rhlch improves Remotely manage hundreds of sites tie installation process,overall system reliability,and CUStOrTler Receive elective system.reports experience. Locate system issues and remotelv diagnose Co'Tlp,:3Ct footprint for irroroved aesthetics Diagnose issues online Robust cloud Conriecti'dlty and cofr:prehensive local connectivity Drill down for the status of individual devices Flexible configuration of devices d! rit,g Installation Consumption metering R'venue�=racae lard.c.lciaon rrleteri, g(pen;ing) Web-based commissioning �II II `` iiII .z i _ Rernote\diagnostics of r VS6 and inverters Durable ULTI'pe 3R ilnclosul-e reduces najnten rice costs . -- Easy integration with SunPcwer eBOS Add Value for Customers With the SunPowerlvlenitoringSystem Robust Cloud Connectivity E P;'u til::de options to rnairltain optirnai c ustomers can: • See what their solar system produces each connectivity: day,month,or year Hardwired Ethernet IMP Optimize their solar Investment and save on Wi f=i energy expenses rR` Cellular backup See their energy use and estimated bill savings See their solar system's performance using the. t.� s SunPower monitoring website or mobile app :•>i', D. _- F SunPower Monitoring Websites PVSG SunPower AC Modules Multiple communication options include14° uu�� llf(.111f� d Ethernet,Wi-Fi,and cellular. ' • "-e 'Operating-CondItIgns- Number of Sur Po}rhr„C modules iernperature. -221F to.1-140'F(-30'C a)+bG*Q supported per P,/.>6 85 Humidity(maximum; 95%,non cordensino interner access High-speed irrcernet ao_ess via accessible Power 100-240 VAC(L-N),50,or;:0'F1z • -08 VAC(L-L In--ol")ase), Fz S-485 invf:rters and ^eter> • One channel of revenue-grade productfcr;metering ( ate`tvletcring - • i�Na C:'lanncrlc pi ConSi.inil.'tifln tTlftering -- Weight 5.5 Ibs,2 ilk; C:i'tE'i'�t'-t I LAN It?,`?ptlonii t{'t1,�,M port Dimensions 1 1.8 x 8.0 x 4.2 in.(30.5 x 20.5 x 10.8 cm) FLC for SunP vvef F:C, cdules Enclosure racing UL--)OE Type 3n rJ!-rl SO %1,b1;;fn 2.4 GHz a:"td 5 GHz _._..-......._-._._._..... ---+----- --- ----..._....------ --.....----.............._.__.._... <ekilat 1.M Cat 4vI1/3Gu;NITS gcs'E? 1�EF_802.19.4 L?AC.,2.40FIz IS1`0 band aT �_:ta'to. - 0 days _ G lston:e,site m.��li4G `-_at 1 C:Q4l'�C:S.(2rn -- -- ___---_------.._..._-------- --- -.._..---...—_...... _...- Jpgrad s Auh,rna:,.t,r VVXe upzra.;ieS Partner site i,`, rrfarnt.us.s(,n o`Ner cons ro user F efio<.Safari,and Chrcme :L!obile dEnkes iFhor,e'-',iPad�and Androic" Ca:>tarner app 1.Create accoun an ine at:trat?Itrr..:Ss(.lnn,o,e cam. • • 2 Of r.'?In L,I,(.(.'1e'yi<2, 1t)hV!17a.G Cae..�l.l rli'i.�Ai"r I`o16('Ut;f T1,4., r r. r' id he.- Warranty 10 ear Limited Warranty app from Apple Aop Store"or Google Play-'`=_tore. 3. ign in using accaun;email and cass.vnrd. Certifications UL,cl L,CE,UL 610`0-1 and-2,FCC Fart 15(Class B) C&S LEM FCC ID:YAW529027 E503346 0 • R c, changewithamno6ce SUN P WE Simple and Fast Installation ' n|nce� Tedmodu|e�o�aUgnounding ' Pre-assembled mid and end clamps ' Lpvcahng mid clamp for easy placement ' Mid dampwidth fad|icaos consistent,even module spacing ' simp|e,pre'dhUod rail splice ' UL27O3 Listed integrated grounding. Flexible Design ' Addresses nearly all sloped residential roofs Design in landscape and portrait ' Rails enable easy obstacle management Custom eF Preferred Aesthetics ' #1 module and-#1moundngaesthetics ' Besc'in'dacssysceroaesthetics Elegant Simplicity ' Premium.|ow-uor-|edesign ' Black anodized components SunpOvver= |Ov1SiMOUntTIAis aSUnP0VVer'deSigned ' Hidden mid clamps and end damps rail-based rnOUnhng Sys{enD, The |nvisiMnunt, system and capped,flush rails addresses reSidenUa| sloped roo�s and cornbinesf,,.)s[er Part OfSUp2[|Or|SVstern installation tirnc, desi,pn flexibility, and superior aesthetics. ' Built for use with SuoPowe/D[and 4Cmodules The |nv|3i�4ount prOdUciwas sp2[if|ca||y envisioned and ' 8esr'in'c|asssy�emre||ab||ig'andaes�heocs - ' Combine with 5onPnwer modules and engineered tO pair with SU0POvverOl0dV|eS. The resulting monho,ingapp systern |eve| approach will amplify the aesthetic arid installation henef|ts for both homeowners and installers. SUOpOVVe[[OOO N YE ' Mob ile*;Mid Clamp and Pail Module*i Erd Clamp and Rail Mid Clamp End CI amp Rail K Ra!!*lice (;rcl.!nd Lt>;.ssemhly End Cap 1} e Comlmnent j lvlaren,31 ;F JI., ... .. ._ C(...IC !=to 19'Fenroeracure '�1rt°C ro n0°. ...._._--_.........._...__.—__- ._._—__...__._.___.—._....._. . . „n ..11..( ................ :................................_._..........___......._......._........._..................... .. ............_............... Pal;Clamp Eau c:zl;,:'s;;init•r :re:':FJSI 50r1 6 61000 Pa dn••:;:rf;3rn:e { :4° �FDi ;,,,.., l u..; End Clamp Dark 2.:oiilZed alu!riinum alloy S„) ,Tu 110 g Rail j Black a nodized alurnlnum alloy r:)US'i 6 psi:;err)(9 oz;ft) j Rail Split:c., I Ahvnin,:rn aCo�,•6C�05'S i R30;gym •a oz:ft) 25'year product-warranty . ........................._......_........_ .........__._................_._........----.._._......._.__......_..._....._....__....__._ ._...........__..__.. ................._ f' r r,r•l I s : - ` Assribly (A%'i`,boll '1n-p!At,d Or Qel! .,.._ _ l .r..C. ....................... ....._........ ......J..f_�af..'L.......... •YVf.-............._.._.........._........................._..........._..._..._............ 10-6 /ir:'i finiSh 1.............. ..... .......'.... ...__._............_._. .._...........----............—_..._.._.__.... ...........__. ..........^................._c.........._ End Cap Lack a:.ecal;PQp,+l r;k:n;yrr er 10.4 (f.)37 n*.), C�rrfi�aticr.s °s a s • C!as�A-Fire Rar?d s • i Comoo 'Oon S!,!ngi? • (-or^r�os;non'st;In;laRuof�at.i;r•�;A;Uirarnt�nt ° • s Aplsi_atian • !_.:_!r'•.•ed al::;;_at Tar i:b::r,vtr-,{!rin'r:�a•C ' Ur*-;vers.al Interface fo!'`_her Roof ktachrtlenm R.t:` r c^roof aCR I'f ie:.1r hafl,`F:al' R63nU 3Ci;:"er',:i c!:menra,ion. 7.ir;.:ilelmmr,_,,;r scnm!':a-Juk.w:th!he:!n'y!.si 1,,,.ur.tsyitom.:•gcire!fc:r!:.1.i,�.,rvmunc,r:.rabdi!.;. 1,t,� ,.,r .i.>!.in�oa�mr..nper.atl-,r. gFi1 t5 .CSGiVCL1. ..,d: ror...:�, t.l) „t!�.� .R l.,.a Ifw!SI r,JrlT are CfR..:7."^:y'ks ."rc:{;IStt•rerl trsd^marks of,urp;yv,er:n�Pura:.'+n. !other tr ac^. ark:a.e tae f='rperty of tL+elr resc,>..,,:came.; >t nt?Ovder.COr'n Specificabcns it:;.lue�ti:r!Pas aarr;i�eel'are subjarr a:c.hanf;e;vnh;,i�t notice. Document#509506 RevC rti.,.... K-t, EnphaserMic(roinvicerters \e,(lice,n.!A i�,�lE t'{ r.` Enphase 1Q7HS The high-powered smart grid-ready scr inverter Enphase IQ7HS Microinverter'" with integrated MC4 connectors dramatically simplify the installation process while achieving the highest system efficiency. The IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install Lightweight and simple • Faster installation with improved,lighter two-wire cabling • Built-in rapid shutdown compliant(NEC 2014,2017&2020) Efficient and Reliable Optimized for high powered 66-cell*modules • Highest CEC efficiency of 97.0% More than a million hours of testing EN'f Class II double-insulated enclosure UL listed Jim Smart Grid Ready Complies with advanced grid support,voltage and frequency ride-through requirements Remotely updates to respond to changing grid requirements • Conrigurable fur varying grid profiles Meets CA Rule 21 (UL 1741-SA) *The IQ7HS is required to support 66-cell modules. AS E' To learn more about Enphase offerings,visit enphase.com '� Enphase IQ7HS Microinverter INPUT DATA(DC) IQ7HS-66-M-US Comii,only":used`module parings' Module compatibility 66-cell PV modules Msicirrium'iriput D_G voltage 59.V' Peak power tracking voltage 38 V-43 V Operatih ran e;, ;` % :,'=7 . ..9• 9 :: 20 V: 59 V; Min/Max start voltage 30 V/59 V Max,DG short circuit cu'r.rerjfi Overvoltage class DC port II DGPorf backfeed:currerit PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) @240 VAC @208 VAC Peak'output.power .,_,..,..:..., ..>::_ 384 VA....., 369-VA Maximum continuous output power 384 VA 369 VA Norrifn h(L-.L).voitage/rangez 24D V/211 264 V 208 V/1'83 229 V Maximum continuous output current 1.60 A(2.40V) 1,77 A(208V) Nominal, requency ` 60 Hz 60 Hz Extended frequency range 47 to 68 Hz 47 to 68 Hz AC:sliort oircuit,fat7lt.cur(ent over 3 cycles 4,82 A . 4.82 A Maximum units per 20 A(L-L)branch circuit3 10 9 Overvoltage class'AC:port;• ;' ; s>:,.;,:_. , ,':."'III:. ,.• III AC port backfeed current 18 mA 18 mA Pow erfactorsetting- • ` ' I 1.0 Power factor(adjustable) 0.85 leading...0.85 lagging 0.85 leading...0.85 lagging EFFICIENCY @240 V @208 V .CEC;Wbighted.,eff6!2noy,,, 97.0% 96.5`yo MECHANICAL DATA Ambient temperature range -400C to+60°C Relative humidity range 4%to 100%(condensing) Connector type Staubli'made MC4 Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1.08 kg(2.38 Ibs) Cooling Natural convection-No fans Approved,for-wet Ibcations Pollution degree PD3 Enclosure ' Class II,corrosion resistant polymeric enclosure Environmental category/UV exposure rating NEMA type 6/outdoor Altitude 2000m FEATURES Communication Power Line Communication(PLC) Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break disconnect means required by NEC,690 and C22.1-2018 Rule 64-220. Compliance CA Rule 21 (UL 1741=SA),HECO v1.1 UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B,-ICE9=0003:GIass:B,',`, : ';G CAN/CSA-.C22.2 NO,107.1=01 This product is UL Listed as PV Rapid Shut Down Equipment;arid'co'nforms witfi'NEC-2614�t4EC- 2017•section 690.12,.NEC 2020 and C22.1-2015•Rule 6421E'Rapid sf irtdown:ofiPU;Systems,for Ada DC conductors;when installed according to manuf.cture'r'sJnstrUctioris. 1.No enforced DC/AC ratio-See the compatibility calculator at ht s7//enphase cam/en-us/support/mocfule-com tatibility. 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 u3 2022 Enphase Er:.ergy All rights reserver. All trademarks or brands used are the pronerty of Enp!-ase Energy,Inc.,., G I V P H /�S E: 1 i-1 B-2022 1�1 0'1 1 ARKA SERIES WAA Its '° WSMDi-395 to WSIVIDi-415 one with the sun ELECTRICAL CHARACTERISTICS Plnax(W) Vmp M Imp(A) Isc(A) Voc(V). :;;:.,M6d%Is. '; ...... ..-I .. Module:Eff.`(°!aI STC'.:,,;; .,NOCT STC`:` NOCT- STC. ;.•'.."NOCT STC --NOCT STC . .'--NOCT . WSMD-395 395 296.8 37.77 34.70 10.47 8.55 11.24 9.08 45.00 42.10 19.78 WSMD-400 400 300.6 38.00 34.90 10.54 8.62 11.32 9.14 45.22 42.30 20.03 WSMD-405 405 304.4 38.22 35.10 10.61 8.68 11.40 9.21 45.44 42.50 1 20.28 WSMD-410 410 308.2 38.44 35.30 10.68 8.74 11.48 9.27 45.66 42.70 20.53 WSMD-415 415 312.1 38.66 35.40 10.75 8.81 11.57 9.34 45.88 42.90 20.78 'Standard Test Gamins(STC)-1000 Whr2 irranance,Air Mass 1.5 and 25"C cell temperature.Nominal Operating P ll Temperature IPIO"TI-8601N;m2 radiance,A;r klas 1.5,AmKem temperature 202C and'Vine speed 1 rus. Average pourer rea n tion of 4.5%at 200 4Wm2 ss par IEC OOSO4-1 Nieavu iing Uncerainty.-z 3%. System Voltage 1500 1 Series Fuse Rating 22 A MECHANICAL CHARACTERISTICS Length x Width x Thickness(L x W x T) 1924 mm(U x 1038 mm[W)x 35 mm[Tl Weight - 22 k s Solar Cells per Module(Units)/Arrangement 132 cells/(11x6 i 11x61 Solar Cell Type&Size Mono PERC,.83 x 166 mm Front Glass 3.2 mm Low Iron and Tempered glass with ARC coating Encapsulate PID Free&UV Resistant Junction Box(Protection degree/Material 1 IP68/Weatherproof PPO Cable&Connector(Protection degree/Type) IP68 rated/Staubli MC4 Connector Cable cross-section&Length 4 mm'&1200mm Frame Anodized Aluminium Alloy,Anodization thickness.�15 micron Fire rating Type 2 RESIGN SPECIFICATIONS THERMAL CHARACTERISTICS Temperature coefficient of Current(Isc),a(o/n/aC) 0.055 Temperature coefficient of Voltage(Voc),6(%/oC) -0.2B5 cN ;, ............... .; Temperature coefficient of Power(Pm),y(°/a/oCl -0,365 1, (� NOCT(aC) 43±2 Operating temperature range(°C) -40 to 85 'aee o4em , 13E0 WcI.CC 1�;N.l.x it n' li - �I, s�...........r Waaree Energies Ltd.is amongst the top Solar Energy Companies and has the country's largest Solar PV Module manufacturing capacity of 5 GW.In addition,it Iis committed to provide top notch EPC services,project development, rooftop solutions,solar,water,pumps and also in an Independent Porter Producer.Waaree has its presence in over 325-locations nationally and 68 countries globally. ri "If-you need,ipeck product remificates,and if module installations are to deviate trcm our guidance soecifiedin our instailatiunmanual,plesserortscr,your lorakklaaree sales andCerhnicalrapresentatives. 12 Years Product Warranty o 27 Years Power Output Warranty •The electrical data given here is for reference purpose only, •Please eungrm yuurexdct requ!rements rrith tha sales repr^aseneacve„h'sle placing your order. •Refer installation Marual instructions&Waaree warranty statement for terms&conditions. •Waaree Reserves the right to change the specifications vA,thout prior mice z WEUE&PO/395-415/132JMPMC/CMZ101/27.07.2022 EQUIPMENT& COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH, 3-WIRE BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-3 CIRCUIT BREAKER, PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 50 CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B TH W N-2 1-1/2" PVC-40 4 / 4 C THWN-2 1-1/2" EMT 4 / 4 1.) CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND _ DERATING FACTORS. 2.)_ELECTRICAL CONDUIT TO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. �af-D ARC 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND `�� 5 J. LOCAL CODE REQUIREMENTS. 4.) NOTE: GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER MINIMUM. PROPOSED EQUIPMENT SPECIFICATIONS I �� 21 3 yo _ NE REVISIONS McLean, Derek L®GIC0 515 Gabriella Court ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: McLean,-3LD1 Revision: 1 Revised: 6/26/23 ti NEW EQUIPMENT EXISTING SERVICE 120/240, IPH, 3Vl PV-SA-1 WH ) A, i i 1 AC-COMBINER PANEL AC-CI,49-1 PV-SA-2 (PV LOADS OWY) AC DISCONNECT U3 AC-OSC-11 PV-SA-3 MAIN r\ E3-P.-A 2 1 I �FU S EED 8 BE B B i B E31 K R"-a, II N N EGC RSl) ARC L E2E 1 EXISTING AC PANELII J. GEC j _ _ 11 -A 96 rV IRREVERSIBLE SPLICE---- 4 7.6OOkW DC 21: 3`5 7.296kW AC PROPOSED 3-LINE ELECTRICAL DIAGRAM IN REVISIONS McLean, Derek GREEN LOG ICO 515 Gabriella Court ct ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: McLean,-301 Revision: 1 Revised: 6/26/23 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PV SUB-ARRAY Waaree WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 8-MODULES PV-SA-2 PV SUB-ARRAY Waaree WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 8-MODULES PV-SA-3 PV SUB-ARRAY Waaree WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 3-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3200 WATTS 211-264 VAC 13.00 A AC 240 V,AC PV-SA-2 3200 WATTS 211-264 VAC 13.00 A AC 240 V,AC \�'�EaE D ARC3. ! ti PV-SA-3 1200 WATTS 211-264 VAC 4.88 A AC 240 V,AC PROP �� OSED EQUIPMENT SPECIFICATIONS NEON REVISIONS McLean, Derek GREENLOGIC0 515 Gabriella Court Ct ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: McLean,-3LD1 Revision: 1 Revised: 6/26/23 No Vent Pipes Will Be Covered By The Solar Array G�GREENLOGICO ENERGY Legend: GreenLogic,LLC Approved AR-Access Roof AP-Access pathway,36"minimum width SVO—Setback at ridge McLean,Derek 515 Gabriella Court per R202 definitions per R324.6.1 as per R324.6.2.1 Mattituck,NY 11952 Total System Size:7.600kW ` 1 circuit of 8 on a 20A breaker 1 circuit of 6 on a 20A breaker API Ap 1 circuit of 5 on a 20A breaker I � 1 � , I Azimuth:143' 1 � 2 1 _______________ Monitoring System: SVO SunPower __ SVO____—__ Panel/Array Specifications: Panel:SPR-U-400-BLK W-DC 8 SunPower Racking:SunPower Invisimount 40OW Panels 11 SunPower Panel:75.7"X 40.8" 40OW Panels Magic#:Invisimount Legend: Yr M, 19 SunPower 40OW Panels W AP SunPower Invisimount Rail ><t <O Or 0 52 Iron Ridge Flash Foot 2 I AA ><r >< 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" I Materials Used:Iron Ridge,SunPower Added Roof load of PV System:3.5psf 1 I Engineer/Architect Seal: 1 Cn I (J)I to a ED ARC �.. l 'C' ---- —AP— �-2 -.� A. �-g 421633 yOQ� TF bF NE`� i Drawn By:MM13 Drawing#7of 8 Date:8/112023 REV:A Meter Drawing Scale:3/32"=1.0' 4 NEAd EQURMENIT PV—SA—1 A' lit i -w IV L L E3 11&CDl,IDIHER PiM —SA-2 AC DISCOHI IEC:i f,?'V I.O.ADS orcy-j E3 a A B Pi—SA-3 WIN m E3 rV.11 m �'H�y SED V KR-6 EGG �V_:D ARC FXI'-,.i N G AC PANULT C' -A IRREVERSIBLE_ SPLICE RRE A 7.600kW DC 0 7.296kW AC PROPOSED 3-LINE ELECTRICAL DIAGRAM NE REVISIONS McLean, Derek GREENIOGICO - G 515 Gabriella Court N 11�_ y Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: M cLean,-3LD1 Revision: 1 Revised: 6/26/23 J r------------ ------ NEW EQUIPMENT ------------� EXISTING SERVICE (TYPICAL SYSTEM SCHEMATIC, 120/240, 1 PH, 3W FINAL INSTALLATION MAY VARY, REQUIRES LOCAL AHJ AND UTILITY APPROVAL) 200A K W H PV—SA-1 A M-LAC—COMBINER PANEL ® AC—CMB-1 AC—DSC-1 N . • . 2 1 (PV ONLY) B AC DISCONNECT C ' (TAP SWITCH) ' TYP. PV ARRAY MAON I PV—SA—N A I A e N ® ® ® I BKR-1 N • • • 2 1 60A . 200A MAIN I i BKR-N TYPICAL PV MODULE WITH I I I A B N INTEGRAL DC/AC INVERTER I I I I BKR-M I I EGC II I II N I II I N I I EGC PM-1 I MBJ EGC I MAIN C/T I AC DISTRIBUTION ' I I NEW EGC I I '(NON-CRITCAL LOADS�I #6CU MIN l-- --- 1 --� - IRREVERSIBLE BOND, TYP, i EXISTINGGEC ------ -------------------------------- � _ PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS McLean, Derek 515 Gabriella Ct. JaGREENLOGIC® MattitUck, NY 11952 ENEGY ELIMINATING THE COST OF ENERGY 1.) JNITIAL SUBMITTAL WITH, APPLICATION Page 1 of 4 Drawing No: MCLN-302. Revision: 2 Revised: 10/07/2023 SYSTEM SUMMARY TOTAL KW RATING:, (AC POWER) 7.269 (PV) TOTAL KW RATING (DC POWER) 7.600 (PV) QTY, COMPONENT SPECIFICATION SUNPOWER BRAND, MODEL: SPR-U-400-BLK-W-DC 19 PV MODULE: 400 W DC(NOMINAL),`EACH ENPHASE BRAND, MODEL: WAS 19 PV I N;VERTER: (INTEGRAL TO MODULE) 384 VA, 1.60 A, 240V AC, EACH REVISIONS McLean,,, Derek GREENLOGIC® 515 Gabriella Ct. Mattituck, NY 1111952 ENERGY ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTALWITH APPLICATION Page 2,of 4 Drawing No: MCLN-3LD2 Revision: 2 Revised: 10/07/2023 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION. SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-U-400-BLK-W-DC(IQ7HS), 1-CIRCUIT OF 5-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-U-400-BLK-W-DC(IQ7HS), 1-CIRCUIT OF &MODULES PV-SA-3 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-U-400-BLK-W-DC(IQ7H$), 1-CIRCUIT OF 8-MODULES PM-1 PRODUCTION MONITORING SYSTEM SUNPOWER PVS6, POWER MONITOR AC-CMB-1 AC COMBINER PANEL, PV LOADS ONLY 250V, 100A, NEMA-1, 1-PH, 3-WIRE AC-DSC-1 AC DISCONNECT SWITCH, (LINE TAP) 250V, NEMA-38, CIRCUIT BREAKER, 2-POLE, 60A BKR-1..,BKR-3 CIRCUIT BREAKER, PV-SA-1,,.. PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE,:20A BKR-M CIRCUIT BREAKER, MONITORING SYSTEM MATCH AC COMBINER PANEL BRAND; 2-POLE, 15A REVISIONS McLIean, Derek JaGREENLOGIC 515 Gabriella Ct. Mattituck, NY 11952 ENERGY ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 4 Drawing No: MCLN-3LD2 Revision: 2 Revised: 10/07/2023. ELECTRICAL LOAD SUMMARY,AC CIRCUITS VOLTAGE MAX.AC TAG POWER, MAX VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 1,920 WATTS 211-264 VAC 8.0 A AC 240 V,AC RV-SA-2 2,304 WATTS 211-264 VAC 9.6 A AC 240 V,AC PV-SA-3 3,072 WATT;S 21,1-264 VAC 12.80 A AC 240 V,AC CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A NMB 3/4" PVC-40 12 / 12. B THHN 1" PVC-40 4 /' 6 C THHN 1" PVC-40 4 / ,6 D THHN 3/4",PVC-40 12, / 12 1;)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS., 2.) ELECTRICAL CONDUITTO BE MINIMUM PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3:) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIRMENTS. 4:) NOTE: EQUIPMENT GROUNDING CONDUCTOR TO BE#I.6 COPPER, MINIMUM REVISIONS McLean. Derek 515 Gabriella Ct. GREENL®GIC° Mattituck, NY 11�952 ENERGY ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 4 of 4 Drawing No: MCLN-3LD2. Revision: 2 Revised: 10/07/2023