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Home My WebLink About50104-Z �o�Osu y Town of Southold 1/24/2024 P.O.Box 1179 53095 Main Rd y�j�l �aoa}r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44888 Date: 1/24/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 405 Eds Rd, Southold SCTM#: 473889 Sec/Block/Lot: 79.-6-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/17/2023 pursuant to which Building Permit No. 50104 dated 12/8/2023 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 Katsikas,Robert&Diane of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50104 1/09/2024 PLUMBERS CERTIFICATION DATED -------------------- Authorized gnature i-l _ TOWN OF SOUTHOLD ay * BUILDING DEPARTMENT H x TOWN CLERK'S OFFICE "oy • SOUTHOLD, NY .col 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#: 50104 Date: 12/8/2023 Permission is hereby granted to: Katsikas, Robert 170 Little Worth Ln Sea Cliff, NY 11579 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 405 Eds Rd, Southold SCTM #473889 Sec/Block/Lot# 79.-6-14 Pursuant to application dated 11/17/2023 ,and approved by the Building Inspector. To expire on 618/2025. Fees: SOLAR PANELS $100.00 ELECTRIC $125.00 CO-ALTERATION TO DWELLING $100.00 Total: $325.00 Building nspector ho��pF SO(/T�,QI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q �. • �o Jamesh ,�southoldtownny.gov Southold,NY 11971-0959 QIGCOMMw`� BUILDING DEPARTMENT- TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Robert Katsikas Address: 405 Eds Road city:Southold st: New York zip: 11971 Building Permit#: 50104 Section: 79 Block: 6 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Sunrun Installlations Electrician: Samy Mounas License No: ME-33878 SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey 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 200a 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: 7.29kw roof mounted solar energy system with 18 modules ML-G10+ 405, 1 6000 wa inverter SE6000H-USSN, 1 AC disconnect 60amp Notes: SOLAR ENERGY SYSTEM Inspector Signature: Date: January 9, 2024 405 eds rd oFSOUIyo� �V �V - (U z) # TOWN OF SOUTHOLD BUILDING DEPT. `ycouMv��' 631-765-1802 INSPECTION [ ]- FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) U(] ELECTRICAL (FINAL) [ ] CODE VIOLATION r [ ] PRE C/O [ ] RENTAL REMARKS: So(.Ar DATE 1 . 0( J °� l INSPECTOR %f SOUT,�O� TOWN OF SOUTHOLD BUILDING DEPT. �ycourm 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ q'FINAL S-v1RVL- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [_ ] CODE VIOLATION ,_ PRE C/O [ ] RENTAL REMARK^ Y15 C �C �Yl. O Vl/t I�1.2Qit heed a� 44 �- DATE INSPECTOR /■' MIGHTY ■ ENGINEERING CO. DRIVEN TD EXCEED EXPECTATIONS i N ``, January 23,2024 D '-`',` "' �,o !=E r` Subject: Post Installation Approval Letter J A N- 2 4 P-024 Job Number: 216R-405KATS Client: ROBERT KATSIKAS Address:405 EDS RD, SOUTHOLD,NY, 11971 Building Permit: 50104 To Whom It May Concern The purpose of the review was to verify the installation is in conformance with the approved plan set and that any potential modifications from those plans meet the intent of the approved plan set., I certify that the PV racking system's attachments have been observed to be installed in conformance with the approved plan set. The installation complies with the code provisions listed below. -2020 NEW YORK STATE RESIDENTIAL CODE WITH 2O18 IRC/IBC/IEBC ASCE Version 7-16,NEC 2017,NDS 2018 • Basic Wind Speed V= 128 mph,Exposure:B • Ground Snow Load=25 Psf Sincerely, Digitally signed by 'Humphrey Kari uki ss•so`�r Date.2024.01.23 11:33:00-05'00' Mighty Engineering Co 1708 Roxborough Rd Charlotte, NC 28211 1(980)689.9776 1 info@mightyengineeringco.com GELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) ----------------------------------- [s7 FOUNDATION (2ND) z O - t ) H � ROUGH FRAMING& H PLUMBING 7,-z, �n r t� INSULATION PER N.Y. H STATE ENERGY CODE i FINAL ADDITIONAL COMMENTS AA E r ( Z ins o � X �o � z x x d r� b H Z-4L 4 e °F TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 oy • o� Telephone(631) 765-1802 Fax(631)765-9502 https://www.southoldtoy=.gov ..u.su��srr Date Received APPLICATION FOR BUILDING PERMIT F r Office Use Only PERMIT NO. Building Inspector: NOV 1 7 2023 Applications and forms must be filled out in their entirety Incomplete I3�allc9ing I7�par4mertt applications will not be accepted Where the Applicant is.not the;owner,;an �ovy�y o¢South Owners.-Authoriiation,forrri:(Page 21 shall ei completed:: , Date: jf/5-2aj OWNER(S),OF°PROPERTY: x Name:1?() SCTM#1000- _ �._....._............... .--.....�,___...._...._._...�,... . -1._°1 to Project Address: J...:�... ...� ......: _ ye d l /�..7./..._....... 4 _.. _._. Phone#: Email: • - Mailing Address: NTACT PERSON: Name: ----------- Mailing Address: - o/ ........_.....,,�._...................... ... ._. .:_..,CCIm�.a V ... t2D � _:-.� ....,_._.LW, .,S-fb.Jr�......o...N...L.Y.. .�...�3(�..._........-.,.,._..:......�...,..�..- Phone#: Email: . ..........___.....��/.(�......_ _ ......�.___..:".__..,.....__...............:..� ..-.,..._.�...,_.. ..._... . . ham. ��•ccJ,. ,DESIGN PROFESSIONAL INFORMATION: Name: ' Mailing Address: Li Phone#: l Email:` CONTRACTOR INFORMATION: Name:�Unl- /1 // d� �. .. _:.1... s.. _.,.c� ,._ ..5... Mailing Address: Phone#: Ema il: rn� Cc/✓1 _-.-......._.. J��..,�/�-. v�-,_..W................ ...... L./.,./�_....._.......�fS to c��'t��. DESCRIPTIOR OF PROPOSED CONSTRUCTION 11 NAW Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: C210ther Ot2z2g-1 S $ Will the lot be re-graded? ❑Yes []No Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ❑No IF YES,PROVIDE A COPY. Check BOX After Reading The owner/contractor/design professional is responsible for all drainage and storm water issues as•providedly Chapte�¢36 of the,Town Code.-APPLICATION IS HER 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;,forthe 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 toadmit authorised inspectors on,premises arid'in bullding(s)for necessary'inspections false`statemenfsrnade herein are " punishable-as a class.A'migderneanor.pursuant tbrSection-216A5 of the New York State.Penal,law.fi; Application Submitted By(print name): RIC12t/c C'Gr_1&7 OAuthorized Agent ❑Owner Signature of Applicant:�Ull L"(�("C- STATE OF NEW YORK) SS: COUNTY OF A14&Sav ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the 4a� -/,7 (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 day of WN.Y 202 _ O. PROPERTY OWNER AUTHORIZATION:No.o�o�6ssg9ss';a LiFi Ou� (Where the applicant is not the owner) I, 62dhr�� ka L d S Si/Lcc S residing at /05 � r , do hereby authorize_S,gJarLM SAr—//Cyyo/r to apply on my behalf to the Town of Southold Building Department for approval as described herein. &-4,* Owner's Signature Date 4)!>er+ I _4'sr�)n S. Print Owner's Name 2 `� fFp14 � BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 O� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a-southoldtownny.gov- seand(,5-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: zh Company Name: su/7run Electrician's Name: OU170 S License No.: /�` - 3.Ig-)� Elec. email:/,/ fir, s�scQ (50,7!'L) , 'C-cJ Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.:/77 ' tea ► ,�2vdL : � 4 W I JOB SITE INFORMATION (All Information Required) Name: A& - S Address: $ y Cross Street: Phone No.: &- ft-/D 3 BIdg.Permit#: o t ,®Lf email: ,?// Tax Map District: 1000 Section: Block: to L/ Lot: I BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): of 5�/c,_�/atev� o� :a oA rlo✓n-led sd1102 P/�S ACM -7-a-9� Square Footage: 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 Reconnect❑Underground❑Overhead #Underground Laterals 0 1 2 H Frame Pole Work done on Service? D Y ON Additional Information: PAYMENT DUE WITH APPLICATION . _,...,` ._. a . ... ,Contac#:ln o: SUNRUL i' STALLATI:ON SERVICE I:Ne` Pi4U'C JflYCE i =7, . CANTIAGU5- ROCK RD V1/.ESTBU.RY; NY.:1.1;�90 - Si;ffolk•County.Dept.of•... u 1 LaF�or,Licensing &Cons me��Affa'rs i L.I CENs s. -` F2Q�rEtulEtVT Narne . Business.NaMe. . h... rnS c�.rtrfes theta _r , Si -al orvice.lnc:.. lea ier is;duiy:licensed �rrun:Ir►5 Iatit:n:S }y 11i6,,Curi[y of s,614alk License-Number, M4140 s. RosaliaMrago S 23f01 sued:" Del2 . . . 4 . .. . . C ommssaoner Expirdc 9 D (17.11`2024 . . a. .. "rg:''.: '�F�Y"'qt�:;.,:e,<W,, Vic. • -d �• f` 'a �aF _ G w. sm Suffolk County'pept Labor,.Liicerisrng &consume r Affairs.. MASTER'ELECTRICgL LICENSE .. r, :..... erne r. N ":.SAMY MO UNAS gus�ness Warne " ..... ,. . SUNRUN INSTALTION SERVICES •• " INC.'- This certifies that the bearer is duly' licensed Of Suffolk License Number-ME-33878 by.the County 1010 I12003 Issued: . P . Qrog . 1010112025. . .. .::. Ex ices: Commissioner .. �^ '1 SUNRINC-02 TWANG ACORO" CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDrYYYY) 9/1/2023 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 endorsements. PRODUCER License#OC36861 Co T CT Walter Tanner NA Alliant Insurance Services,Inc. PHONE FAX 560 Mission St 6th FI ac,No,Ext: A/C,No): San Francisco,CA 94105 A-D%DIkss:Walter.Tanner@alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Evanston Insurance Company 36378 INSURED INSURERB:Zurich American Insurance Company 16535 Sunrun Installation Services,Inc INSURER C:American Zurich Insurance Company 40142 775 Fiero Lane,Suite 200 Ph#805-540-7643 INSURER D: San Luis Obispo,CA 93401 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY 2,000,000 EACH OCCURRENCE CLAIMS MADE �OCCUR MKLV5ENV104332 10/1/2023 10/112024 DAMAGE TO RENTED 1,000,000 F,MLSJ*�.39S�U.2QDCe MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X JECT LOC PRODUCTS-COMP/OP AGG 2,000,000 X OTHER:Retention:$200,000 Per Project Agg $ 5,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO BAP614287702 10/1/2023 1011/2024 BODILY INJURY Per person) $ AURRTEOS ONLY SCHEDULED BODILY INJURY Per accident $ ALTOS ONLY AUTOS ONED PFte08 EcRde I AMAGE $ X F50,06Ded.: Ix Coll.:Not Covered Liability Ded.: 1,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED I I RETENTION$_ C NDEPLERSLARY xAMOY PER OTH- ANYPROPRIETOR/PARTNER/EXECUTIVE YIN WC614267602 10/1/2023 10/1/2024 E.L.EACH ACCIDENT 1,000,000 �FFICERIMEMB��EXCLUDED? ® NIA 7andatory In NH) E.L.DISEASE-EA EMPLOYE $ 1'000'O00 If es,describe under 11000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers'Compensation Policy WC614287601 Deductible:$1,000,000. Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Route ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE U ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Sunrun Installation Services Inc. (415)946-7500 225 Bush Street Suite 1400 1c.NYS Unemployment Insurance Employer Registration Number of San Francisco,CA 94104 Insured 50-86426 4 Work Location of Insured (Only required if coverage is specifically limited to certain locations in New York State,i.e., 1d.Federal Employer Identification Number of Insured or Social Security a Wrap-Up Policy) Number 77-0471407 2.Name and Address of Entity Requesting Proof of Coverage(Entity 3a.Name of Insurance Carrier Being Listed as the Certificate Holder) AMERICAN ZURICH INSURANCE COMPANY Town of Southold Town Hall Annex Building 3b.Policy Number of Entity Listed in Box"ia" 54375 Route 25 P.O.Box 1179 WC 6142876-02 Southold,NY 11971 3c.Policy effective period 10101/2023 to 10/01/2024 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) Xall excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"'Ia"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3 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,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named Insured has the coverage as depicted on this form. Approved by: Mark Albi (Print name of authorized representative or licensed agent of insurance carrier) Approved by: .�lt�G 10-01-2023 (Signature) (Date) Title: VP/Underwriter Telephone Number of authorized representative or licensed agent of insurance carrier: (415)946-7500 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 YTAT 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 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Sunrun Inc. 225 Bush Street, Suite 1400 San Francisco, CA 94104 1c.Federal Employer Identification Number of Insured Work Location of Insured(only required ifcoverage is specifically limited to or Social Security Number certain locations In New York State,Le.,Wrap-Up Policy) 26-2841711 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) The Prudential Insurance Company of America Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box 1 a Southold, NY 11971 CG-52830-NY 3c.Policy Effective Period 11112023 To 12/31/2023 4. Policy provides the following benefits: ❑■ A.Both disability and Paid Family Leave benefits. ❑ B.Disability benefits only. ❑ C.Paid Family Leave benefits only. 5. Policy covers: ❑■ A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS disability and/or Paid Family Leave benefits insurance coverage as described above. t ' Date signed August 18, 2023 By (Signature of Insurance carrier's authorized representative or NYS licensed Insurance agent of that insurance carrier) Telephone Number 215-658-7318 Name and Title Carolynn Smith -VP Contracts 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 4B,4C or 511 have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note.Only insurance carriers licensed to write NYS disability and Paid Family Leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB.120.1 (12-21) 111111111°11111 °llmil �1111°°��111°IIIIIII MIGHTY ENGINEERING CO. November 8,2023 RE: CERTIFICATION LETTER Project Address: KATSIKAS RESIDENCE 405 EDS RD SOUTHOLD,NY, 11971 Design Criteria: -Applicable Codes=2020 NYSRC,2018 IRC/IBC/IEBC,ASCE 7-16 and 2018 NDS -Risk Category=II -Wind Speed=128 mph,Exposure Category B,Partially/Fully Enclosed Method -Ground Snow Load=25 psf -ROOF AR-01:2 x 6 @ 16"OC,Roof DL=8 psf,Roof LUSL=19 psf(Non-PV),Roof LUSL=13.5 psf(PV) -ROOF AR-02:2 x 6 @ 16"OC,Roof DL=8 psf,Roof LUSL=20 psf(Non-PV),Roof LUSL=19.3 psf(PV) To Whom It May Concern, A structural evaluation of loading was conducted for the above address based on the design criteria listed above. Existing roof structural framing has been reviewed for additional loading due to installation of PV Solar System on the roof.The structural review applies to the sections of roof that is directly supporting the solar PV system. Based on this evaluation,I certify that the alteration to the existing structure by installation of the PV system meets the prescriptive compliance requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally,the PV module assembly including attachment hardware has been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed the requirements set forth by the referenced codes. $1 OCCUPANCY "ORSincerely, C,�p�o KAN� rO,Q� t' Digitally signed by USE IS UNLAWFUL Humphrey K Kariuki WITHOUT CERTIFIC `, 2 Date:,2023.11 .08 �F OCCUPANCY APPR VED AS 0 «=.__: r r 545 �= 09.52:L11 -05 00 E s10NP� oA Ig.P# COMPLY WITH ALL CODES OF FEE BY: NEW YORK STATE &TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS REQUIRED AN CONDITIONS OF 631-765-1802 8AM TO 4PM FOR THE SO OLD TOWN ZBA FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED UTHOLD TOWN PLANNING BOARD ELECTRICAL FOR POURED CONCRETE OUTHOLD TOWN TRUSTEES INSPECTION REQUIRED 2. ROUGH-FRAMING&PLUMBING 3. INSULATION NXS,DEC 4. FINAL-CONSTRUCTION MUST SOUTHOLD HPC BE COMPLETE FOR C.O. SCHD ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OFTHHE,caCODES OF NEW YORK §Wn�`�i'I �C�I I6tPTW Rd Charlotte,NC 2821F(980)689.9776 1 info@mightyengineeringco.com Pg 1 of 5 DESIGN OR CONSTRUCTON ERRORS SHEET INDEX LEGEND SCOPE OF WORK GENERAL NOTES PAGE# DESCRIPTION SYSTEM SIZE:729OW DC,6000W AC •ALL WORK SHALL COMPLY WITH 2O20 NEW YORK STATE RESIDENTIAL CODE SE SERVICE ENTRANCE MODULES:(18)HANWHA CELLSPEAK DUO ELK WITH 2O18 IRC/IBClIEBC,MUNICIPAL CODE,AND ALL MANUFACTURERS'LISTINGS Of NEW Q- :Q. PV-1.0 COVER SHEET (� )� ML-G10+405 AND INSTALLATION INSTRUCTIONS. •� .1 Kqj4 •Q PV-2.0 SITE PLAN •INVERTERS:(1)SOLAREDGE TECHNOLOGIES: PHOTOVOLTAIC SYSTEM WILL COMPLY WITH NEC 2017. P�P� k MP MAIN PANEL SE6000H-USSN ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH NEC 2017. Q PV�.O LAYOUT RACKING:TOPSPEED,SEE DETAIL SNR-DC-30004 PHOTOVOLTAIC SYSTEM IS UNGROUNDED.NO CONDUCTORS ARE SOLIDLY PV4.0 ELECTRICAL GROUNDED IN THE INVERTER SYSTEM COMPLIES WITH 690.35. SP SUB-PANEL MODULES CONFORM TO AND ARE LISTED UNDER UL 61730. m PV•5.0 SIGNAGE INVERTER CONFORMS TO AND IS LISTED UNDER UL 1741. LC PV LOAD CENTER RACKING CONFORMS TO AND IS LISTED UNDER UL 2703. 095450 k�� 1-1 SNAPNRACK RACKING SYSTEMS,IN COMBINATION WITH TYPE 1,OR TYPE 11 a MODULES,ARE CLASS A FIRE RATED. ROFESSIONP •RAPID SHUTDOWN REQUIREMENTS MET WHEN INVERTERS AND ALL SM SUNRUN METER CONDUCTORS ARE WITHIN ARRAY BOUNDARIES PER NEC 690.12(1). '7 CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(G). DI Ita Il 5 i.• ned, ARRAY DC CONDUCTORS ARE SIZED FOR DERATED CURRENT. 7--_ �_ _--- PM DEDICATED PV METER 11.17 AMPS MODULE SHORT CIRCUIT CURRENT. 17.45 MPS DERATED SHORT CIRCUIT CURRENT 1690.8(A)&690.8(B)]. b�I Hfu m ph rey K INV INVERTER(S) Ka'riuki OAC DISCONNECT Date: S)DC DC DISCONNECT(S) 2023.11.08 09:52:28 -05'00' CB IQ COMBINER BOX ABBREVIATIONS F--i INTERIOR EQUIPMENT A AMPERE L—J SHOWN AS DASHED AC ALTERNATING CURRENT s u n r u n AFC ARC FAULT CIRCURINTE0.UPTER ® CHIMNEY A21M AZIMUTH COMP COMPOSITION DC OIRECTCURRENT ATTIC VENT 00825-ME (E) I EXISTING FLUSH ATTIC VENT VICINITY MAP mcnuruXalERXxx aoAO.InEsreuRr.Nr TiNn _ nay mssm.scal ESS ENERGY STORAGE SYSTEM G PVC PIPE VENT :.1,- %` ExT EXTERIOR ® METAL PIPE VENT .!?`, ..4 '.- - "s.a;,. CUSTOMER RESIDENCE: wr INTERIOR ROBERT KATSIKAS MSP MAIN SERVICE PANEL ® T-VET F' - �' R"iy-- '5�11` 405 EDS RD,SOUTHOLD,NY, Pe 11971 m NEW SATELLITE DISH s p h" NTS NOTTGSCALE C' as TEL(516)680-1043 oc ON CENTER APN:1000-079-OD-06-0D-014A00 PREFAB PRE-FABRICATEDFIRE SETBACKS y -- - PROJECT NUMBER: PSF POUNDS PER r:.,-::r$a` .., �. .,' 216R405KATS HARDSCAPE �r PV PHOTOVOLTAIC ARE FOOT .�r l _, -"E :G .,.- y;.' DESIGNER: (415)580-6920 ex3 RSD RAPID SHUTDOWN —PL— PROPERTY LINE p` f_�'. ;' SIBGATULLAHW TL TRANSFORMERLESS #T.PPEED MODULES o SCALE:NTS SHEET TYP TYPICAL a'=$tl-"''". - '` '" `. - _ REV NAME DATE COMMENTS COVER SHEET VPOR V OLTS t?aln,AaYPlCf$' Ts -Ay'-. - •_ REV:A3LA 11/82023 RARE MOUNT -- - tAialn�aYY'Crr^;„ PAGE PV-1.0 remprere wool a.o.s7 SITE PLAN-SCALE=3164"=1' r� (E)POOL FIRE SETBACKS (18"TYP) (E)FENCE rMP AC INV SE [] ROOF PATHWAYS 4EOf NE{y k, (3'TYP) pqF P (E)GATE (N)ARRAY AR-01 O `' z ROOF PATHWAYS ROOF PATHWAYS 3'TYP A assasa �� (3,TYP) ( ) HpPE5S10NP (E)GATE (E)SKYLIGHT E (N)ARRAY AR-02 8 (E)RESIDENCE sunrun ENGOIF£R AOGFESS. �25 SUSHST,SUIfE 1400 SAID FPNLLSCO,CA 911 DO P.8a9.lB3OA3 00825-0+IE a m LANfIAGUE Roac rray.�sreurn.rry nsso FHor�E eos.smsam Q FPx864a0� CUSTOMER RESIDENCE: ROBERT KATSIKAS (E)DRIVEWAY 405 EDS RD,SOUTHOLD,NY, 11971 NOTES: •y,".•' a • RESIDENCE DOES NOT CONTAIN ACTIVE FIRE TEL(516)680.1043 SPRINKLERS. APN:1000-079-00-06-00-014.000 \ ARRAY DETAILS: PROJECT NUMBER • 216R-0OSKATS TOTAL ROOF SURFACE AREA 1885 SOFT.TOTAL PV P( EOS • ARRAY OVERAGE:SO DESIGNER: (415)580d920 ex3 PERCENTAGE RO SIBGATULLAH W (TOTAL PV ARRAY AREA/TOTAL ROOF SURFACE AREA)'100=20.2% SHEET FARRAY TRUE MAG PVAREA SITE PLAN AZIM AZIM (SOFT) REV:A3 11/8/2023 AR-01196" 208° 21 ..4PAGEPV-Z.O AR-02196° 208° 169.1 T..pWa_rerskn 4.0.87 ROOF INFO FRAMING INFO ATTACHMENT INFORMATION DESIGN CRITERIA OC Minimum Number of Mounts per Up-Slope Max Landscape Max Portrait MAX DISTRIBUTED LOAD:3 PSF Name Type Height Type Max Span Spacing Detail Edge Overhang Overhang SNOW LOAD:25 PSF WIND SPEED: AR-01 COMP SHINGLE- 1Sto 2X6 RAFTERS 1V-V 16, TOPSPEED,SEE DETAIL SNR-DC 22 1'-5" 0'-10" 128 MPH 3-SEC GUST. TOPSPEED -story S.S.LAG SCREW COMP SHINGLE- (4)#14 X 2.25"SS SEALING AR-02 TOPSPEED 2-Story 2X6 RAFTERS 13'-1" 16, TOPSPEED,SEE DETAIL SNR-DC-30004 2/2 1'-5" U-101, WASHER WOOD SCREWS FULLY PENETRATING THROUGH WOOD D7-AR-01-SCALE:3116"=V-V' DECK A27M:196° PITCH:28° 6'-2" I i oF�w1- 7'S 5 spy t<,r-�A x tj C W I I t3 {-3'— 40'-4' 6'-2" { a 085460 �2 RO�EsstoNP�' D2-AR-02-SCALE:IW'=V-0" AM:196° su n ru n PITCH:12° /—i- 1 3 00825-ME ll]CMTIAGUEROGf ROPD,KE3fR1RY.NV t1590 PHGlJE BOS.SmSCa! FA%a65269]OII CUSTOMER RESIDENCE: ROBERT KATSIKAS 405 EDS RD,SOUTHOLD,NY, 11971 12'S" TEL(516)680.1043 APN:1000-079-00-06.00-014.000 (E)SKYLIGHT PROJECT NUMBER: 216R-405KATS DESIGNER: (415)58"920 ex3 SIBGATULLAH W SHEET I I LAYOUT REV:A3 11/8/2023 PAGE PV-3.0 Temparo velsian 4.0.87 120/240 VAC SINGLE PHASE SERVICE NOTE:TOTAL PV BACKFEED= METER M 31.25A ® PSEGLI 99302696 USED FOR INTERCONNECTION ACCOUNT#: CALCULATIONS UTILITY 9632450906 GRID 1 EXISTING �,OF NE / 200A MAIN `T BREAKER �atQ•��R HO�� I EXISTING 200A (N)LOCKA13LE SOLAREDGETECHNOLOGIES: _ W MAIN BLADE TYPE SE6000H-USSN 4i FACILITY PANEL AC DISCONNECT 6000 WATT INVERTER JUNCTION BOX PV MODULES „ V LOADS 200 A 3 3 2 OR EQUNALENT 1 HANWHA Q-CELLS:Q.PEAK DUO BLK 108135 tv� �\ MAIN BUS f + /! ML-G10+405 I .I'll ego _ _ ! (18)MODULES ~ OPTIMIZERS WIRED IN: � (1)SERIES OF_(9)OPTIMIZERS Digital) Mgned (N)35A c airio SQUARE D LOAD RATED DC DISCONNECT (1)SERIES OF(9)OPTIMIZERS =! ^—=� PV BREAKER-AT DU222RB WITH AFCI,RAPID SHUTDOWN SOLAREDGE POWER OPTIMIZERS b Nestor W OPPOSITE END 3R,60A,2P COMPLIANT S440 �.% OF BUSBAR 120/240VAC Houghton Date: 2023.11.08 CONDUIT SCHEDULE 09:53:35 -05'00' # CONDUIT CONDUCTOR NEUTRAL GROUND 1 NONE (4)10 AWG PV WIRE NONE (1)6 AWG BARE COPPER 2 1"PVC OR EQUIV. (4)10 AWG THHN/THWN-2 NONE (1)10 AWG THHNITHWN-2 s u n r u n 3 1"PVC OR EQUIV. (2)8 AWG THHN/THWN-2 (1)10 AWG THHN/THWN-2 (1)8 AWG THHWTHWN-2 OG825-ME m cnRrw R ROAD,—.Wl— PHWE MI5.5m.5 di FPXB43.769.104 CUSTOMER RESIDENCE: ROBERT KATSIKAS 405 EDS RD,SOUTHOLD,NY, 11971 MODULE CHARACTERISTICS S440 OPTIMIZER CHARACTERISTICS: TEL(516)680-1043 HANWHA Q-CELLS:Q.PEAK DUO BLK MIN INPUT VOLTAGE: 8 VDC APN:IDOO-079-00-06-00-014-000 ML-G10+405: 405 W MAX INPUT VOLTAGE: 60 VDC PROJECT NUMBER: OPEN CIRCUIT VOLTAGE: 45.34 V MAX INPUT ISC: 14.5 ADC 216R-405KATS MAX POWER VOLTAGE: 37.39 V MAX OUTPUT CURRENT: 15 ADC SHORT CIRCUIT CURRENT: 11.17 A DESIGNER: (415)5SM920 ex3 SIBGATULLAH W SYSTEM CHARACTERISTICS-INVERTER 1 SYSTEM SIZE: 7290 W SHEET SYSTEM OPEN CIRCUIT VOLTAGE: 9 V ELECTRICAL SYSTEM OPERATING VOLTAGE: 380 V MAX ALLOWABLE DC VOLTAGE: 480 V REV:A3 11/8/2023 SYSTEM OPERATING CURRENT: 19.19 A SYSTEM SHORT CIRCUIT CURRENT: 30 A PAGE PV-4.0 tempera ve�or��.o.a7 t , RN1NG � �i1NAR INGI INVERTERI NOTES AND SPECIFICATIONS: ,) �� u 1 i1 6 PHOTOVOLTAIC • . . DISCONNECT . •SIGNS AND LABELS SHALL MEETTHE REQUIREMENTS OF THE NEC 2017 ARTICLE ELECTRICAL SHOCK HAZARD PHOTOVOLTAIC SYSTEM IF REQUESTED BY THE LOCAL AHJUCTIONS ARE REQUIRED BY SECTION 890,OR COMBINER PANELMAXIMUM SYSTEM VOLTAGE qgpVDC •SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE TERMINALS ON LINE AND LOAD DO NOT ADD LOADS WORDS,COLORS AND SYMBOLS. SIDES MAY BE ENERGIZED IN • •LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WIRING LABEL LOCATION: • ! METHOD AND SHALL NOT BE HAND WRITTEN. THE OPEN POSITION PHOTOVOLTAIC AC COMBINER OF •LABEL SHALL BE OF SUFFICIENT DURABILITY TO WITHSTAND THE ENVIRONMENT APPLICABLE). ! •• • ! • ! ! 15 •SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535.4-2011,PRODUCT SAFETY LABEL LOCATION: PER C017:70:CEC 20(3)(c) .12(B)(2)(3)(c), SIGNS AND LABELS,UNLESS OTHERWISE SPECIFIED. AD COMBINER AANECIDC DISCONNECT(S), NEC 2017:705.12(B)(2)(3)(c) LABEL LOCATION: •DO NOT COVER EXISTING MANUFACTURER LABELS. AC COMBINER PANEL OF APPLICABLE). INVERTER(S),DC DISCONNECT(S). PER CODE(S):CEC 2019:690.13(B),NEC PER CODE(S):NEC 2017:690.53 2017:690.73(B) i IN am- 1 T9 11 fr .. I .., r !,1fllRN1NGd: VAlR"N� 'N.G] DUAL POWER SUPPLY POWERSOURCEOUtcoNNECTION SOURCES:UTILITY GRID DO NOT RELOCATE THIS AND PV SOLAR ELECTRIC OVERCURRENT DEVICE SYSTEM LABEL LOCATION: LABEL LOCATION: ADJACENT TO PV BREAKER OF UTILITY SERVICE METER AND MAIN APPLICABLE). SERVICE PANEL F,of NEPER CODE(S):CEC 2019: {y PER CODE(S):CEC 2019:705.12(B)(3),NEC 705.12(B)(2)(3)(b),NEC 2017: 2017:705.12(B)(3) y'�QS 094 HO(/C fOip'f 705.12(B)(2)(3)(b) • , ■ \ PV SYSTEM J� 108135 aV �pRNFESSI�NP�� LABEL LOCATION: INSTALLED WITHIN T OF RAPID SHUT DOWN SWITCH PER CODE(S):CEC 2019:690.56(C)(3),NEC 2017:690.56(C)(3),IFC 2012:605.11.1,IFC 2018: BUILDING SUPPLIED BY UTILITY sunrun 1204.5.3,CFC 2019:1204.5.3 GRID AND PHOTOVOLTAIC 4" SYSTEM 00825-ME I� ITI na esmsaonn.wEs eu .rv„sso 1 ��II{I !ay It1e (I f��ltl�� ''.•�eli�I■! 'Y tlIY� I�4'll �I Yam➢ OI� Y I � FA%BmTOM POW, e SOURCE ® CUSTOMER RESIDENCE: ROBERT KATSIKAS LABEL LocanoN: 405 EDS RD,SOUTHOLD,NY, INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, 11971 AT EACH TURN,ABOVE AND BELOW PENETRATIONS, 3„ TURN RAPID SHUTDOWN I �_ ON EVERY JBIPULL BOX CONTAINING DC CIRCUITS. SWITCH TO THE"OFF" TEL(516)680-1043 PER CODE(S):CEC 2019:690.31(G)(3),690.31(G)(4), POSITION TO SHUT DOWN I a� NEC 2017:690.31(G)(3),690.31(G)(4)IFC 2012: APN:1000-079-0046.OD-014-000 605.11.1.4 PV SYSTEM AND REDUCE SHOCK HAZARD IN THE MAIN PANEL ONT) PROJECT NUMBER: PHOTOVOLTAIC ARRAY 216R-405KATS DISCONNECT •_ PV SYSTEM DISCONNECT DESIGNER: (415)590-6920 ex3 MAXING CURR12NT-.�AN PS LE 1 405 EDS RD NS.SOUTHOLD,NY,11971-3720 SIBGATULLAH W NOMINALOPERATING AC VOLTAGE, 240 LABEL LOCATION: SHEET LABEL LOCATION: LABEL LOCATION: POINT OF INTERCONNECTION S I G NAGE AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE (PER CODE:NEC690.56(B),NEC705.10,225.37,230.2(E)) INTERCONNECTION. DISCONNECTING MEANS TO WHICH THE PV SYSTEMS PER CODE(S):CEC 2019:690.54.NEC 2017:69D.54 ARE CONNECTED. PER CODE(S):CEC 2019:690.56(C)(1)(a),NEC 2017: REV:A3 11/8/2023 690.56(C)(1)(a) PAGE PV-5.0 Tem{rafq--fiv 4.0.87 • :.vOP,BRAND PV- o..... 2019' ID.4p032587 - Q.ANTUM TECHNOLOGY:;LOW LEVELISED COST OF ELECTRICITY Higher yield per surface area,lower BOS costs,higher power classes,and an efficiency rate of up to 19.9%. r;. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields,whatever the weather with excellent low-light and temperature behaviour. F ENDURING HIGH PERFORMANCE �- Long-term yeid security with Anti LID Technology,Anti PID Technology',Hot-Spot Protect and Traceable Quality Tra.QTM. EXTREME WEATHER RATING High'-tech alum"nium alloy frame,certgfled for high snow(5400Pa)and wind loads(400013a). A RELIABLE INVESTMENT Inclusive 12-year product warranty and 25-year linear performarie warranty-'. STATE OF THE ART MODULE TECHNOLOGY Q.ANTUM DUO combines cutting edge can separation and innovative wiring with Q.ANTUM Technology. k APT test conditions according to IEC/TS 62804-1:2015.method 8(-1500V.168 h) See data sheet on rear for further information. THE IDEAL SOLUTION FOR: Rooltop arrays on Roof top arrays on residential binldings commercial and industrial bul dings Engineered in Germany OCELLS MECHANICAL SPECIFICATION Format 66.3 in x 39.4 in x 1.26 in(including frame) (1685mm x 1000mm x 32mm) 66T16e'"" „o•rssos°,q Weight 41.211is(18.7kg) Front Cover 0.13in(3.2mm)thermally pre-stressed glass with _ anti-reflection technology �.ay.wrooameosrrtrsrW , Beck Cover Composite film Frame Black anodized aluminum Cell 6 x 20 monomystalline Q.ANTUM solar half cells Junction Box 2.09-3.981n x 1.26-2.361n x 0,59-0.711n uw-♦� °4`"^+, (53.101mm x 32-60mm x 15-18mm).IP67,with bypass diodes Cable 4'mm2 Solar cable;(+)>-43.3in(1100mm),(-)a43.3in(1100mm) s•o.�a.�r. Connector Stdubli MC4,Hanwha Q CELLS HQC4,Amphenol UTX, - Renhe05-6,TongiingTL-Cable01S,JMTHYJM601;IP68or I'«,x•us,.n oru�•0b0'I10n^I Friends PV2e:IP67 l�jo su p r�u ELECTRICAL CHARACTERISTICS POWER CLASS',: :. .-- ,':::._ ;. ,':;' _:::, 316 Si::; 326 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC'(POWER TOLERANCE+6 W/-O W) Power at MPP' PMpp (W) 315 320 325 330 Short Circuit Current' I, [Al 9.99 10.04 10.10 10.15 EOpen Circuit Voltage' Vec IV) 39.84 40.10 40.36 40.62 Current at MPP IMP, [A) 9.51 9.56 9.61 9.67 Voltage at MPP Vr,pp (VI 33.14 33.47 33.81 34.14 Efficiency' q 1%) t18.7 a19.0 >_19.3 z19.6 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT', POWerat MPP P,,,,, (W) 235.9 239.6 243.4 247.1 IE Short Circuit Current Isc (A) 8.05 8.09 8.14 8,18 E Open Circuit Voltage V-C IV) 37.56 37.81 38.06 38.31 .E Current at MPP IMpp [A] 7.48 7.52 7.57 7,61 Voltag;�'at MPP V,,pp IV) 31.53 31.85 32.17 32.48, .'Measurement lolerences Py.p t3%,I,,,;Vo,t5%at STC 1000 W/ms,25t2°C,AM 1.5 according to lEC 60904-3•s8OO W/m2,NMOT,spectrum AM 1.5 G CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE d.ttitle leastAt 9 %of nominal mez power 544uring 6 Lo -r___„', r. hereafter re ............... - a degradation per year,At least 93.1% 101 W` r of nortdna r u to 10 years At . 1powe p ` L f c - `'-'= least86%ofnominalpowerupta v 25years. o (s _ Ap data within measurement tolerane- " a w- es.Full warranties in accordance with goo 400 „p 'ea, ,000 >. the warranty terms of the Q CELLS as sn •xrr,ar;t _ _ sales organisation of your respective Country. veans Typical module performance under low Irradiance onnditfrnsin o ••vmn v,e<•maw.r,.a,e,-ra rs•nw:ti. comparison to STC conditions(25°O,1000WImT) d. :TEMPERATURE COEFFICIENTS 4 M Temperature Coefficient of Isc 6 (%%K] +0.04 Temperature Coefficient of V� (f 1%/K) -0.27 � H Temperature Coefficient of P„pp y I%IKI -0.35 Normal Module Operating Temperature NMOT j°F) 109t5A(43t3°C) d PROPERTIES FOR SYSTEM DESIGN Maximum System Voltage V_;..a IV] 1000(IEC)/1000(UL) Safety Class Maximum 5erioc'Fusa Rating (A DCI 20 Fire Rating based on ANSI/UL 1703 C(IEC)/TYPE 2(UL) gg M ex.Design Load,Push/Poll' jibs/ftj 75(360OPa)/55(2667Pe) Permitted ModuleTompereture -40'Fupto+185°F ®. Max.Test Load,Push/Pull' (Ibs/ft2) 113(540OPa)/84(4000Pa) on Continuous Duty (-40°Cupto+851C) 0 'See Installation Manual QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION UL'1703,VOE Quality Tested,CE-compliant,IEC 61215:2016.190ti"I '2016 Number of Modules per Pallet 32 p{'*icAt,on Cl9ss II,U.S.Patent No.9,893,215(solar cells) Number of Pallets per 63'Trailer 30 R Number of Pallets per 40'HC-Container 26 C E CVE "Its Pallet Dimensions(Lx W x H) 69.3 x f15.3:46.9m(1760 x 1150 x 1190mm) Pallet Weight 14151bs(642kg) Nate:Installation instructions must be followed.See the installation and oporatmg manual or contact our technical service department for further Informationon approved installation end use of etas product. Hanwhe G CELLS America Inc. 400 Spectrum Center Drive,Suite 1400.Irvine.CA92618.USA I;l I,'*1 949 748 59 961 h!fitLinquiiy@usq-celiscomI+nO www.q•cells.us solar ® ® ® :. Single Phase Inverter with HD-Wave Technology for North America SE3000H-US/SE380OH-US/SE5000H-US/ SE6000H-US/SE7600H-US/SE10000H-US/SE11400H-US solar r, Solar MT _.HD . ;.. s`12.25 • O timiied installation'wiith HD-Wave'techraolo Specifically,designed to-work with power o,ptimi,zers . Aff Record-breaking „ . Rec' g effic'iency ®. Fixed voltage inverter for longer strings ' Integrated arc fault protection'and rapid shutdown for-,NEC2014 and 2017,per article,690:11 and 690.12 UL1741 SA certified,,for CPUC Rule 21,grid.complian-ce Extremely small High reliability with autariyelectrolytic capacitors •. 111 111 I Built-in module-level monitoring 11111. ,Mm Outdoor and indoor installation .,Wove' Optional, Revenue grade data,ANSI C12.2Q Class 0.5,(0:5%accuracy) www.solaredge.us solar=@@ Single Phase Inverter with HD Wave Technology for North America SE3000H-US/SE380OH-US/SE5000H-US/ SE6000H-US/ SE760OH-US/SE1000OH-US/SE1140OH-US SE3000H-US SE3800H-US'I SE5000H-US SE6000W'US SE760OH-US' SE10000H US .SE11400H'US :.OUTRUT ' Rated AC Power Output 3000 3800 @ 240V 5000 6000 @ 240V 7600 10000 11400 VA ............................................... ................ 3300,9 208V, 50000.208V. . Max.AC Power Output 3000 3800 @ 240V 5000 6000 @ 240V 7600 10000 11400 VA 3300,9 208V. 5000 208V- ................ . ...... ................ ................. ................. ........... AC Output Voltage Min:Nom:Max. Vac �183:208;229).......................... ................ ................ ......... ..... ................. .......... ....... ................. ........... ................. . AC Output Voltage Min.-Nom:Max. ✓ ✓ / ,/ ,/ Vac �211,240.264Z........................... ................ ................ ................ ................. ................ ................. ................. ........... AC Frequency(Nominal) 59.3 60-60.5111 Hz ............................................... ................ ................ ................ ......-........... ................ ................. ................. ........... Maximum Continuous Output Current 16 24 - A ..2.08V... ......................................... ................ ................ ................ ................. ................ ................. ................. ........... Maximum Continuous Output Current 12.5 16 21 25 32 42 47.5 A 24OV..................................................... ................ ................ ................. ................ ................. ................. ........... GFDI Threshold 1 A ..................rotecti.... on,.... ...........................................................Yes.......................................................... ........... Utility Mo nit ring,islan oding P Country Confi urable Thresholds INPUT:." Maximum DC Power @240V 4650 5900 7750 9300 11800 15500 17650 W ........................ ................ ................ ................ ................. ................ ................. ................. ........... Maximum DC Power @208V 5100 7750 ..................................................... ................ ........ ..... ................ ................. ................. .............. Transformer:less,Un&rounded............ Yes ..................................................................................................:...................... ........... Maximum Input Volta$?................... ..........................................................480 Vdc ..... .................................................... . ... Nominal DC Input Voltage 380 400 Vdc Maximum In ut Current 208V _...... .....9..... ......_...... ....13.5..... ....._...... ......_....... ........ p.............................. .. ................. . . ................. ............... ................. Maximum Input Current @240V 8.5 10.5... .. 13.5 16:5 20 27 30.5 Adc .......................................... .......... .. ................ .I............... ................. ... ....... Max.Input Short Circuit Current 45 Adc Reverse-Polarity Protection Yes Ground.Fault Isolation Detection 600ku Sensitivity ................................ ................ Maximum Inverter Efficiency 99 99.2 ............................................... . .... . ............. .......................................................................................... ........... CEC Weighted Efficiency 99 % ................... ............................................ ........................................................... .... Nighttime Power Consum lion <2.5 W ADDITIONAL FEATURES"-." _�.:,: -_, . :•_, �,:, .. _:;:, =' _ - Supported Communication Interfaces RS485t Ethernet,ZigBee(optional),Cellular(optional) ..... ........................... .................... Revenue Grade,Data,ANSI C12.20 „-„--„ ,-,--,-„ Opllonal(2i,,,,,,,,, ,,,,,,, , „-,.,-, ,,,--,-_--,,.-,--,,,, ........ ................................ .......... Rapid Shutdown-NEC 2014 and 2017 Automatic Rapid Shutdown upon AC Grid Disconnect 690.12 STANDARD,COIMPLIANCE Safety UL1741,UL1741 SA,UL1699B,CSA C22.2,Canadian AFCI according to T.l L.M-07 .................... ........................ ............... Grid Connection Standards IEEE1547,Rule 21,Rule 14(HI) ......................... ....... Emissions FCC Part 15 Class B ANSTALLATIOKSPECIPICATIONS. AC Output Conduit Size/AWG Range 3/4:'minimum/14-6 AWG 3/4"minimum/14-4 AWG ................................ ........... DC Input Conduit Size/#of Strings/ 3/4"minimum/1-2 strings/14-6 AWG 3/4"minimum/1-3 strings/ AWG,Range................................ ... ...........146 AM.................................................................................. . ............ ........... Dimensions with Safety Switch(HxWxD) 17.7 x 14.6 x 6.8 /450 x 370 x 174 21.3 x 14.6 x 7.3/540 x 370 in/mm x 185 Weight with Safety Switch.................. ...........22/.10........ ..I..251..11.4..I...........26.2 f 11:9........... ...............388/17.6........... Ib kg Noise <25 <50 c1BA .. .... ... . ......... .. .............. Cooling Natural Convection Natural convection ....................... . . Operating Temperature Range 13 to+140/-25 to+60i3j(-40 F/ 40 C option)i") F/°C .......................................... ... ................................ . ......... Protection Rating NEMA 3R(Inverter with Safety Switch) For other regional settings please contact SolarEdge support Revenue grade Inverter P/N:SExxmH-USOOONNC2 lal For power de-rating information refer to:https://www.solaredge.com/sites/default/files/se-temperature-demdng-note-na.pdf (4)-40 version P/N:SExxnH-US000NNU4 - f RoHS _cIge'Tbchnotog!es,Inc.All riems reserved.$OLAREDGE.the SolarEdge logo,OPTIMIZED BY SOLAREDG-E, are tradu irks of llieir respective owner&Date;0712018NOVENG NAK SulYiett to change without notice. I' t ` �;t SnapN rack Solar Mounting Solutions RL Universal - mil^ wv'c-�. .:.>.: ..,.-. 'rr'•�w .-.Xf-r,,, �� .. ..+.- _ ••w.• .f - '� } � '°.` * _�a .u,.... _ 7 yi. '4.� ..'.�-t i �. '.n - ..fit- r m F ;�+' �;,•r 4- .,alp• � t • ,J�- +'^ ^ ,� -ani, a4 a. A's.' _ A 4 a- +� «c � ;�� ,pji4 -w �"'� .,;,.;�'..yt7 F _G�"�i"': Ate,,.'�x.�- a_, w'�� 4' y *t.•. rr�' �d� - ;.i*�;.-• . �1J t _'�"w •-i s1- - - Y�':,a .a�t.1 �r •, ,jai' t,i" t _ _ Z,afY, 't � ��,�� .. t,�.�aaP� " K ?- ;�� • - %fir �.T�,�,Gf- _ �",��'�'•.i• vim•3 -�y ,amt .k�E n. _•'+w. p - ''a? t VV z-y�'y agkM ih, � ..+.��' 4if•"-.�i.-__ ',p�R �{I•� NF.+, ,�.o Installing Solar Has Never Been This Fast & Easy System designed with 491 All parts fit in a box for maximum versatility for '%, logistics including, staggered, Drop-infeatures ClassificationSimple design allows system to install process intuitive and fast be installed by sing,le installer Listed to UL Standard 2703 for on the roof GroUnding/Bon'ding and :F[re SnapNrack RL Universal is designed to provide the fastest, most intuitive install experience for residential roofs. The direct mount system features four basic components for easy material management. Features incredible flexibility with a single Universal mounts that fit module heights from 32 - 40 mm and the highest spansof any current rail less system. Flash Track with Patented Umbrella Technology • Single Umbrella lag screw secures flashing and flash track to roof in one complete action y • Umbrella technology provides weatherproofing with a long- lasting mechanical seal : f. • Flash track is designed for maximum versatility with 6 inches of North-South adjustability for all Mounts Mounts `, • Single mount used at all locations on array \<- , • Extreme time saver by eliminating link interference through the flexibility of the Mount to change orientation • Features a rock-in channel nut design for easy attachment to Flash Track • Slotted riser provides leveling for easy height adjustmentse Links • Simple design provides mounting platform between two to four 71 modules • Clamps onto top of modules securing them in place while providing V r '►. _,..; y:, row-to-row bonding `ra� f.:_.-:;`'=`.; .,. • Next row of modules easily slides into place as with the Mounts Skirt • Easily locks to bottom of module mounts and links for clean aesthetics • Ensures a strong structure for leveling and alignment of first row of modules • Skirt length is compatible with both portrait and landscape module orientations Quality. Innovative . Superior. SnapNrack Solar Solutions are engineered to optimize material use and labor resources • improve overall installationquality and . • www.snapnrack.com .nta ct@s nap n ra,c LCO (2019 by SnapNrackSolat • Solutions.All rights reserved DESCRIPTION: DRAWN BY: SNAPNRACK, RL UNIVERSAL, MOUNT mwatkins REVISION: Solar Mounting Solutions PART NUMBER(S): A 595 MARKET STREET,29TH FLOOR•SAN FRANCISCO,CA 94105 USA PHONE(415)580b900•FAX(415)580-8902 242-02155 THE INFORMATION IN T IS DRAWINOIS CONRDENTIALAND PROPRIETARY.ANY REPRODUCTION DISCLOSURE,OR USE THEREOF IS PROHIBITED WITKIIRTHE ' NCODS OFSUNRUNSOUfHLLG 10 5 0 e 4 3 7 8 1 2 6 PARTS LIST ITEM QTY DESCRIPTION 1 1 SNAPNRACK, RL UNIVERSAL, RISER, MILL 2 1 SNAPNRACK, RL UNIVERSAL, LEVELER, MILL 3 1 SNAPNRACK, RL UNIVERSAL, MOUNT BOTTOM, MILL 4 1 SNAPNRACK, RL UNIVERSAL, MOUNT TOP, BLACK 5 1 SNAPNRACK, RL UNIVERSAL, BONDING CLIP 6 1 SNAPNRACK, DROP IN/ROCK IN CHANNEL NUT 7 1 BOLT, FLANGE, 5/16IN-18 X 3/4IN, CLEAR, SS 8 1 BOLT, FLANGE, SERRATED, 5/16IN-18 X 1IN, SS 9 1 SNAPNRACK, RL UNIVERSAL, MOUNT SPRING, SS 10 1 BOLT, FLANGE, SERRATED, 3/8IN-16 X 2-3/4IN, 1/2IN TRIM HEAD, 1.2IN THREAD, BLACK, SS MATERIALS: 6000 SERIES ALUMINUM, STAINLESS STEEL OPTIONS: DESIGN LOAD (LBS): 623 UP, 674 DOWN, 505 SIDE ULTIMATE LOAD (LBS): N/A TORQUE SPECIFICATION: 12 LB-FT CERTIFICATION: UL 2703, FILE E359313 WEIGHT (LBS): 0.73 DESCRIPTION: DRAWN BY: SNAPNRACK, RL UNIVERSAL, MOUNT mwatkins 5flopHruch- REVISION- Solar Mounting Solutions PART NUMBER(S): A 595 MARKET STREET,29TH FLOOR•SAN FRANCISCO,CA 94105 USA PHONE(415)58M9N•FAX(415)58M902 242-02155 THE INFORMATON IN THIS DRAWM IS COWDENRALAND PROPMETARY.ANY REPRODUCTION,DISCUJNCOMERUSETHEREOF M10{USITED WITHOUTTHE YJRRTENCONSNT OF 6UNRUNS SOUTH LLC. 3.41 T Fso 1.50 2.35—� 1.50 1.55 tj .66 2.00- 1.24 1.00 SLOT sy 2.63 ►� --1.50-- ALL DIMENSIONS IN INCHES