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HomeMy WebLinkAbout48733-Z S�FFU( C Town of Southold 1/21/2024 a = P.O.Box 1179 0 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44884 Date: 1/21/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 3330 Eugenes Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-8-9.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this.office dated 11/28/2022 pursuant to which Building Permit No. 48733 dated 1/13/2023 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 Accurso,Richard&Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48733 5/24/2023 PLUMBERS CERTIFICATION DATED A o 'zed i ature J o�SUF QF c TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "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#: 48733 Date: 1/13/2023 Permission is hereby granted to: Accurso, Richard 3330 Eugenes Rd .Cutchogue, NY 11935 To: Install roof mounted solar panels to an existing single family dwelling as applied for per manufacturers specifications. At premises located at: 3330 Eugenes Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 97.-8-9.1 Pursuant to application dated 11/28/2022 and approved by the Building Inspector. To expire on 7/14/2024. Fees: SOLAR PANELS $50.00 CO-RESIDENTIAL $50.00 ELECTRIC $100.00 Total: $200.00 Building Inspector SOUP��I 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 • aQ sean.devlin(cL-)town.southold.ny.us Southold,NY 11971-0959 Q�yCOU�'�,�` BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Richard Accurso Address: 3330 Eugenes Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 48733 section: 97 Block: 8 Lot: 9.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: EmPower Solar License No: 65990ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures 11 Sump Pump Other Equipment: 5.81 kW Roof Mounted PV Solar Energy System w/ (14) SPR40OW Modules Combiner Panel, SunPower Monitor Notes: Solar r Inspector Signature: Date: May 24, 2023 S.Devlin-Cert Electrical Compliance Form �o�apf SOUIyOIo 'q &- �lr �e # # TOWN OF SOUTHOL BU LDING PT. cou 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) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: A Lv y1a ��f GP ` 9'` 0-7 DATE INSPECTOR OF SOUIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 qsq*-� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL SDI [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: C,,- a750-,O/ AD? �/ lJ N IUD-�,D S P DATE 1 INSPECTOR Gregory Sachs, PE 4589 Austin Blvd., (516)-544-4592 Island Park, NY 11558 permitting@empower-solar.com July 27th, 2023 ,+ ,.J � J Town of Southold Building Department JUL 2 7 2023 54375 Route 25 Southold, NY 11971 ]3U11,1DING DEFT. TOWN- .t`F cOTTJ,r.g,& Permit#:48733 3330 Eugenes Road Cutchogue, NY 11935 Section:097.00 Block:08.00 Lot: 009.001 To Whom It May Concern: The Solar Electric installation at 3330 Eugenes Road, Cutchogue, NY 11935 (Accurso Residence) has been inspected and meets the New York State Building Code standards for construction and the provisions of ASCE 7.The solar panels have been secured to the roof as per the manufacturer's attachment detail shown on the approved drawings, and are in compliance with the structural engineer's requirements.The project is consistent with the specifications set forth in the permit application. Sincerely, YOR.K [� SAC O A.. 2 W 0UWJ v, Y_ I d 5 0 /CFNsED.Pgo Gregory Sachs, PE FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) ------------------------------------- FOUNDATION (2ND) z �o ROUGH FRAMING& .� PLUMBING rb � INSULATION PER N. Y. STATE ENERGY CODE \ r ,, d p g l r� - FINAL ADDITIONAL OM NTS _ b y x d r� b �a o�Su�F°ttooG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y$ Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy�o aog Telephone(631) 765-1802 ,Fax(631) 765-9502 https://www.southoldtownny.gov l�c '1• Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only J L� U L' V PERMIT NO. I Building Inspector: .-NOV 28 2022 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 11/18/2022 OWNER(S)OF PROPERTY: Name: Richard Accurso SCTM#1000-097.00-08.00-009.001 Project Address: 3330 Eugenes Road, Cutchogue, NY 11935 Phone#: (516) 510-5469 Email: cheech99@icloud.com Mailing Address: 3330 Eugenes Road, Cutchogue, NY 11935 CONTACT PERSON: Name: Ines Fernandez (EmPower CES, LLC.) Mailing Address: 4589 Austin Blvd., Island Park, NY 11558 Phone#: (516)-544-4592 Email: permitting@empower-solar.com DESIGN PROFESSIONAL INFORMATION: Name: Gregory D. Sachs Mailing Address: 4589 Austin Blvd., Island Park, NY 11558 Phone#: (516)-544-4592 Email: permitting@empower-solar.com CONTRACTOR INFORMATION: Name: EmPower CES, LLC. Mailing Address: 4589 Austin Blvd., Island Park, NY 11558 Phone#: (516)-544-4592 Email: permitting@empower-solar.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: CXOther Roof mounted solar panels $ Will the lot be re-graded? ❑Yes [XNo Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property: Residential 1_F_amily Intended use of property: Residential 1 Family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes X No IF YES, PROVIDE A COPY. Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): Inds Fernandez NAuthorized Ag nt ❑Owner Signature of Applicant: Date: Rya M.M er STATE OF NEW YORK) NOTARY PUBLIC,STATE OF NEW YORK SS: Registration No.01M06412506 Qualified in Nassau County COUNTY OF ) Commission Expiress 28,2024 Ines Fernandez being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file.therewith. Sworn before me this day of 20�� Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I� Richard Accurso residing at 3330 Eugenes Road, Cutchogue, NY 11935 do hereby authorize Ines Fernandez to apply on my behalf to Tow of Southold Building Department for approval as describ d her 23 Z� Ower'ns Signature Date C AO-v-d A rC u V--5 D Print Owner's Name 2 i �frl,MrT� , BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD 6 ti; its.a ij Town Hall Annex- 54375 Main Road - PO Box 1179 f w ^ Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 F rogerr(aD-southoldtownny.gov_-!o seandasoutholdtownny.gov_ APPLICATION FOR ELECTRICAL INSPECTION` ELECTRICIAN INFORMATION (Aii Information Required) Date; 11/18/22 _ Company Name: Empower CES, LLC. Name: Timothy Crotty License No.: ME-65990 email: permitting em ower-solar.com ` Address: 4589 Austin Blvd.,_Island_Park,_NY 1-1558 Phone No.: (516)-544-4592 JOB SITE INFORMATION (All Information Required) Name: Richard_Accurso_ Address: 3330 Eu en_es Road, Cutcho ue,_NY 1-1935 I Cross Street: Phone No.: .— 516 510-5469_ Bldg.Permit#: email: cheech99@icioud.com Tax Map-_District:_ 1000 Section: 097.00 _ Block_ 08.00 _ Lot: 009.001 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installation of roof mounted solar-panels_(14)SPR-400w ACPV modules 5.81 kW total.system size... Circle All That Apply: Is job ready for inspection?: YES / N Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: _ A # Meters Old Meter#_. New Service- Fire Reconnect- Flood Reconnect=Service Reconnected= Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N -Additional Information:- -PAYMENT-DUE-WITH_APPLICATION '. Request for Inspection FormAs SVFEp[ G' BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD ?t CO t Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a�southoldtownny.gov seand(cr�,southoldtownny.goy f. APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 11/18/22 Company Name: EmPower CES, LLC. Name: Timothy Crotty License No.: ME-65990 email ermittin em_ ower-solar.com Address: 4589 Austin Blvd., Island Park, NY 11558 Phone No.: (516)-544-4592 JOB SITE INFORMATION (All Information Required) Name: Richard Accurso Address: 3330.Eu enies .Road, Cutcho ue, NY 11935 Cross Street: I Phone No.: 516 510-5469 Bldg.Permit#: email: cheech99@icloud.com Tax.Map District: 1000 Section: 097.00. _ .. . Block:, 08.00 Lot: 009.001 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installation of roof mounted solar panels (14)SPR-400w ACPV modules 5.81 kW total system size_ Circle All ThatApply: Is job ready for inspection?: YES /6N Rough In Final Do you'need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect-Service Reconnected - Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION i Request for Inspection Form.xls /10 NY S I F PO Box 66699,Albany,NY 12206 Now York State Insurance Fund I nysifaom CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A w it e 522407627 �. '❑� AMWINS BROKERAGE OF NEW YORK 200 ELWOOD DAVIS ROAD SUITE 200 LIVERPOOL NY 130M SCAN M VALIDATE AND SUBSCRIBE' POLICYHOLDER CERTIFICATE HOLDER EMPOWER CES LLC. TOWN OF SOUTHO_ LD 4589 AUSTIN BLVD 54375 ROUTE 25 ISLAND PARK NY 11558 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 2546 624-4 563452 05/01/2022 TO 05/01/2023 64/12/2022 THIS.'IS TO CERTIFY THAT THE,POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2546 624-4, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR.WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION,LAW WITH,RESPECT TO,ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY;, INCLUDING ANY NOTIFICATION OF CANCELLATIONS,-OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://IMWWAYSIF-COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO.GIVE SUCH NOTIFICATIONS. THIS POLICY AFFORDS COVERAGE TO THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED:LIABILITY COMPANY: DAVID SCHIEREN GREG SACHS EMPOWER CES LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS- NO RIGHTS NOR; INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER: THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE . AFFORDED BY THE POLICY, NEW YORK STATE INSURANCE FUND DIRECTOR,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 263370983 I101r00000000000103=3385NJ1111. Poffi WC-MT-NOPRINT Vcmion 3(08292019)[WC Polity-25466244] U-263 163 [000000000001033385&i](=l-600�5966M4gf0Z1I751 -79]ImiJ'loP�irJI�1-00001] EMPOCES-01 ABELLO ACORO® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/6/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 License#0757776 CONTACT NAME: HUB International Insurance Services Inc.. PHONE FAX 600 Corporate Pointe (A/C,No,Ext):(310)568-5900 (A/C,No):(310)568-9098 Suite 600 EDDRE S: Culver City,CA 90230 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine 8r General Insurance Company 12294 INSURED INSURER B:James River Insurance Company 12203 EmPower CES LLC INSURER C: 4589 Austin Boulevard INSURER D: Island Park,NY 11558 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR D WVD MMIDD MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PK202200006109 5/4/2022 5/4/2023 DAMAGE TO RENTED 500,000 X P E Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PE� LOC PRODUCTS $ 2,000,000 POLICY X OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ p PeOr P dent AMAGE $ A�T OS ONLY AUUTOS ONL� B UMBRELLA LIAB H�X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE 001306870 5/4/2022 5/4/2023 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER STATUTE OERTH- AND EMPLOYERS'LIABILITY Y/N OFFICER/MEMBER/EXCLUDED ECUTIVE ❑ANY NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is listed as additional insured per attached endorsement#GL0202 0218. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Route ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD zf YORK workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation ll�� 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 carve 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured EMPOWER CES LLC DBA EMPOWER SOLAR 310-534-7994 4589 AUSTIN.BOULEVARD ISLAND PARK,NY 11558 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 522407627 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 54375 Route 25 3b.Policy Number of Entity Listed in Box"I a" Southold, NY 11971 DBL252634 3c.Policy effective period 05/10/2021 to 05/09/2023 4. Policy provides the following benefits: © A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: © A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or;classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 5/9/2022 By Via.VI i (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 BoxAB,4C or 513 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 513 have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits.Law(Article 9 of the Workers'Compensation Law)with respect to all of their.employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-21) IIIIIIIPiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiuiiiiiiii'lllll� Additional Instructions for Form. D13-120.1 By signing this form,the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1 a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage(Certificate)to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier .or its licensed agent, or until the policy expiration date listed in Box 3c,whichever is earlier. This Certificate is issued as a matter of information only and confers no rights upon the certificate holder. This Certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This Certificate may be used as evidence of a NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits policy indicated on this form, if the business.continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. . NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW i §220:Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the,chair,that the payment of disability benefits and after January first, two thousand and twenty-one,the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. j (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into l any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of.disability benefits and after January first, two thousand eighteen, the payment of.family leave benefits for all employees has been secured as provided by this article. DB-120.1 (12-21),Reverse Epp i, i t iY ,y a � r Suffolk County Dept.of Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE I. Name ' GREGORY SACHS { Business Name s certifies that the i irer is duly licensed EMPOWER CES LLC DBA :he County of suffolk ( License Number:H-50211 11 Rosalie Drago Issued: .05/30/2012 Commissioner Expires: 5/1/2024 I - I � } fI i ,i - Suffolk County Dept,of Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE Name TIMOTHY M CROTTY Business Name This certifies that the Empower CES LLC D6.A Dearer is duly licensed Dy the County of suffoik License Number:ME-65990 Rosalie Drago Issued: 111121202-1 Commissioner Expires: 11101I2023 4 i r ( 4 ' l Gregory Sachs, PE 4589 Austin Blvd, (516)-544-4115 Island Park, NY 11558 permitting@empower-solar.com November 17,2022 To Whom It May Concern: The purpose of this letter is,to certify that the existing roof structure located at: 3330 Eugenes Road,Cutchogue,NY 11935 can support the additional load of the solar energy system, in addition to wind,snow and gravity. Portions of roof structure covered an'd not covered with photovoltaic panels are in compliance with R324.4.1.1. Furthermore, it has been determined that the structure complies with the 2020 Residential Code of New York State including the ASCE 7. Please see Table 1 below for specific data relating to the calculations for each roof structure involved in the solar energy system installation. Table 1 Rafter Snow Wind Max Span Layers of Roof Surface (ft) spacing Cross Section Load Speed Kneewall Collar Ties Shingles (in) (psf) (mph) South-East 1 16.00 16 Nominal 2x8 20 135 No No 1 Sincerely, Gregory Sachs, PE �Oe OP o R Y 10 U ��p�84-31 G\�� FSsrolvA��`� i/ 1 2 3 4 5 6 7 8 9 10 11 12 13 SETBACK LEGEND EMPOWER ® 36"CLEAR PATH S O L A R 4589 AUSTIN BLVD ISLAND PARK,NY 11558 o ® TEL:516-837-3459 18"RIDGE SETBACK FAX:516-706-1789 www.empaw er-soIar.c o m E U G E N E S ROAD TNEINFORMATIONOWERCSECHEREIN UNAUTHORIZED H ACCESS ROOF H OPERTY OF RMATIOPOYJER SEED LLC.UN IS THE SOLE REPRODUCTION OR DISTRIBUTION OF THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL G G D. 141 `ny OrlJ r F m Rl E ° EQUIPMENT LEGEND: E ElMODULES o 0 4 2 UTILITY METER D D REV: DESCRIPTION: DATE: 2 PROJECT NAME: 5 INVERTERS ACCURSO RESIDENCE 1 SOUTH-EAST-1 ROOF: 3 14 SUNPOWER 415VTACPV PANELS 4❑ SOLAR DISCONNECT PROJECT LOCATION: O TOTAL POWER:5.81 kW O 3330 FUG ORIENTATION:152°;PITCH:25' TYPE 1:FLASHLOC DUO CUTCHOGUE, ROAD E,NY 11935 N SOLAR ACCESS:96% ❑5 MAIN SERVICE PANEL TSRF:93% PROJECT#: PROJ.PHASE: PERMIT DATE: 08/01/2022 B B DESIGNED BY: ED DRIVEWAY CHECKED BY: S SCALE: NTS TITLE: EQUIPMENT LOCATIONS ROOFLAYOUT A NOT TO SCALE A SHEET: S-01 1 2 21 4 5 1 6 13 9 10 11 12 13 ®j rr 1 2 3 4 5 6 7 8 9 10 11 12 13 ENCLOSURE UTILITY NEMA3R METER EMPOWER SOLAR BRANCH B BRANCH A O 4589 AUSTIN BLVD o (7)SPR-415W MODULES (7)SPR-415W MODULES TO MAIN TO ISLAND PARK,NY 11558 TOTAL DC STC POWER:2.905 kW TOTAL DC STC POWER:2.905 kW SERVICE UTILITY TEL:516-837-3459 (7)ENPHASE IQ7HS MICRO INV (7)ENPHASE IQ7HS MICRO INV FAX:516-706-1789 TOTAL AC POWER:2.688 kW TOTAL AC POWER:2.688 kW PANEL GRID www.ampowa r-so Iar.cam AC4 CONTINUE AS CONTINUE AS H REQUIRED FOR INV.... REQUIRED FOR INV.... SUNPOWER THE INFORMATION DISCLOSED HEREIN IS THE SOLEH PROPERTY OFEMPOWERCES•LLC,UNAUTHORMED SPECIFIED STRINGING SPECIFIED STRINGING DATA REPRODUCTION OR DISTRIBUTION OF THIS Act AC1 MONITORINGALlL2 AC DISCONNECT MATERIAL SPECIFIC PERMITHOUT ISSION PRIOR SPECIFIC WRITTEN PERMISSION 60A,2P CB PROFESSIONAL SEAL (1)SPR-415W MODULE (1)SPR-415W MODULE 20A,2P CB (1)ENPHASE MICRO INV. INV•2 (1)ENPHASE MICRO INV. INV.2 GAC1 AC120A,2P CB G O 6rc0� AC3 (1)SPR415W MODULE (1)SPR-415W MODULE 20A,2P CB �� �r D• S�-(C' (1)ENPHASE MICRO INV. INV.1 (1)ENPHASE MICRO INV. INV.1 Q� '_'4' 10 Lu- F �LTP: w AC1 AC1 >� ) z I / QD :I is',O r.Ra53 ? E �h� O� AC2 E TO RACKING G AC COMBINING MLO PANEL D GROUND NEMA 3R 1 -PHASE 120/240V ENCLOSURE D REV: DESCRIPTION: DATE: (1)#6 AWG, EGC PROJECT NAME: LABEL DESCRIPTION LABEL DESCRIPTION ACl SPR AC CABLE AC2 1-1/2"PVC ACCURSO RESIDENCE (2)#12 AWG (6)#10 AWG (1)#10 AWG,EGC PROJECT LOCATION: C AC3 3/4"PVC AC4 2"PVC (3)#10 AWG (3)#2/0 AWG C 3330 Eugenes Road (1)#10 AWG,EGC (1)#4 AWG,GEC Cutchogue,NY 11935 PROJECT#: PROJ.PHASE: PERMIT B DATE 11/18/2022 B DESIGNED BY: IV CHECKED BY: XX SCALE: NTS NOTES' TITLE: THREE LINE 8 GROUND ARE BONDED TOGETHER(ORIGIN OF GEC FOR SOLAR ELECTRIC SYSTEM) ELECTRICAL SCHEMATIC 2.GEC FROM SOLAR ELECTRIC SYSTEM BONDED TO EXISTING GEC IN THE MAIN SERVICE PANEL USING IRREVERSIBLE SPLICE TOTAL SYSTEM SIZE:5.81 kW A 3.USE TAP RULES FOR SIZING TAP CONDUCTORS(NEC 240.21) (14)SPR-415W MODULES A SHEET: 4.SIZE GEC AND EGC AS PER NEC 240.66,NEC240.122 RESPECTIVELY 5.USE MC ONLY IF INCLUDED GEC IS ADEQUATELY SIZED. (14)ENPHASE IQ7HS MICRO-INV. S E-02 1 2 3 4 5 6 7 8 9 10 11 12 13 APPROVED AS NOTED 2 DATE- ±- 3__ 3 B.P.# +��✓ a 5 6 , 6 9 ,o. „ ,z ,3 Y BUILDING DEPARTMENT AT z 3 765-1 02 8 AM TO 4 PM FOR THE CF�LL WING INSPECTIONS: E M p G W I 1 FOR POURED CONCRETE 4589REQUIRED S O.LA R 4589 AUSTIN BLVD ISLAND PARK,NY 1155 R UGH-FRAMING,PLUMBING, o TEL:516-837-3459 STRAPPING, ELECTRICAL&CAUL KIN RESIDENTIAL FAX:516-706-178� INSULATION www.em power-so Iar4D`�I AL-CONSTRUCTION&ELECTRICAL „ SOLAR PROJECT H T EINIFTY ATIONDWCLOSEDLLC UNISTHESORI ST BE COMPLETE FOR C.O. THE INFORNATION DISCLOSED HEREIN IS THE E PROJECTTEAM. REPRODUCTION OR DISTRIBUTION HI HE MATERIAL IS STRICTLY PROHIBITED ' ONSTRUCTION SHALL MEET T PRIOR SPECIFIC WRITTEN PER IREMENTS OF THE CODES-OF NEW PROFESSIONAL SEAL YORK STATE. NOT RESPONSIBLE FOR OWNER: Richard Accurso DES113N OR CONSTRUCTION ERRORS. G G �o�Y° S �Q-� Additional PHONE: (516)510-5469 S Certification ENGINEER OF RECORD: r C� t°�a ` �' F May Be Required. SOLAR INSTALLER: GREGORY SACHS,PE LL EMPOWER SOLAR n 4589 AUSTIN BLVD 4589 AUSTIN BLVD ISLAND PARK,NY 11558 PHONE:516-837-3459 �84 531 ISLAND PARK,NY 11558 O'ORp� � E PHONE:516-837-3459 ELECTRICAL E Sg�ON� INSPECTION REQUIRED o�i5ccnn,-+ m& p p REV: DESCRIPTION: DATE: PROJECT LOCATION DATA: SHEET INDEX: PROJECTNAME: ADDRESS:3330 Eugenes Road, ST-01 COVER SHEET Richard 1a1xjfCj and Cutchogue,NY 11935 S-01 EQUIPMENT LOCATIONS PROJECT LOCATION: a ,: S-02 STRUCTURAL r C SE-01 ELECTRICAL C 3330 Eugenes Road, \ ' a Cutchogue,NY 11935 ��' •3330_Eugenes'Rd, SCTM:1000-097.00-08.00-009.001 CutchogUe,NY 11935 _ PROJECT#. PROJ.PHASE: PERMIT , DATE: B B DESIGNED BY: ED CHECKED BY: GS NTS MAP T'VOMPLYWITHALLCODES OF :$ NEW YSTAT & TOWN CODES A A CONDITIONS OF SOUTH LD TOWN ZBA 1 2 3 4 5 6 7 8 9 10 11 12 13 LD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC i 1 2 3 4 5 6 7 8 9 10 11 12 13 SETBACK LEGEND EMPOWER ® 36"CLEAR PATH I S O L A R 4589 AUSTIN BLVD ISLAND PARK,NY 11558 o ® TEL:516-837-3459 18"RIDGE SETBACK FAX:516-706-1789 ww w.em pow er-so Iar.c o m ED HMEIN ISTHE SOLE H EUGENES ROAD FA ACCESS ROOF H REPRODUCTIONNO R DISTR LLC IBUTIONUNAUTHORIZED THIS REPRODUCTION OR DISTRIBUTION IT THIS MATERIAL IS STRICTLY PROHIBITER WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL G G Al D r F m m c71 kEl : mi y - E ° EQUIPMENT LEGEND: E ❑ MODULES o 4 Q D ±E± UTILITY METER D HEE REV: DESCRIPTION: DATE: 2 5 3❑ INVERTERS PROJECT NAME: ACCURSO RESIDENCE 1 SOUTH-EAST-1 ROOF: 3 SOLAR DISCONNECT PROJECT LOCATION: 14 SUNPOWER 415W-ACPV PANELS 4❑ C TOTAL POWER:5.81 kW C ORIENTATION:152°;PITCH:25' 3330 EUGENES ROAD curctlocuE,NY 11935 TYPE 1:FLASHLOC DUO SOLAR ACCESS:96% El MAIN SERVICE PANEL TSRF:93% PROJECT#: PROJ.PHASE: PERMIT DATE: 08/01/2022 B - B DESIGNED BY: ED DRIVEWAY CHECKED BY: GS SCALE: NTS TITLE: EQUIPMENT LOCATIONS ROOF LAYOUT A NOT TO SCALE A SHEET: S-01 1 2 3 4 5 6 1 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER SOLAR VD SUNPOWER MODULES AND PARK.AUSTI NY 115 ISLAND PARK,NY 11558 o ON INVISIMOUNT RACKING TEL:516-837-3459 SHINGLES FAX:516-706-1789 www.empower-solar.cortl THE INFORMATION DISCLOSED HEREIN IS THE SOLE H H PR OPERTYOFEMPCWERCES,LLC.UNAUTHORIZED RAFTERS REPRODUCTION OR DISTRIBUTION OF THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL G G ' � i F7�. IL F TYPICAL ROOF SECTION F � NOT TO SCALE -� SUNPOWER PANEL SPECS E MODULE POWER(Wdc) QTY MODEL# LENGTH WIDTH DEPTH WEIGHT TABLE S-1.1:MAX.ATTACHMENT SPACING E ,.'� '4" SPR-415 14 SPR-A-SERIES-AC 72.2" 40.0" 1.57" 46.5 LB PORTRAIT: 5 LANDSCAPE: SPR-E/X-SERIES-AC 61.4" 41.2" 1.811, 42.9 LB D D REV: DESCRIPTION: DATE: NOTES: PROJECT NAME: 1. TOTAL SYSTEM DC POWER:5.81 kW 2.RACKING SYSTEM INSTALLED IN ACCORDANCE WITH CODE-COMPLIANT INSTALLATION Richard Accurso MANUAL 3.ATTACHMENTS TO BE SECURED TO ROOF ASSEMBLY USING 5 mm STAINLESS STEEL SCREWS PROJECT LOCATION: D AND/OR 5/16"STAINLESS STEEL LAG BOLTS SPACED ACCORDING TO TABLE S-1.1 c 3330 Eugenes Road, 4. ALL ATTACHMENTS TO ROOF, MOUNTING BRACKETS & HARDWARE MEET OR EXCEED NYS Cutchogue,NY 11935 CODE REQUIREMENTS 5.INSTALLATION TYPICALLY MAINTAINS 7/8 INCH SPACING BETWEEN MODULES 6.SIZES OF STRUCTURAL MEMBERS THAT WERE NOT ACCESSIBLE FOR DIRECT MEASUREMENT PROJECT#. ARE BASED ON OBSERVATIONS OF ACCESSIBLE MEMBERS, CONSTRUCTION DEPTH OR PROJ.PHASE PERMIT BOTH IN ADDITION TO KNOWLEDGE OF STANDARD CONSTRUCTION PRACTICES AT THE DATE: B TIME OF CONSTRUCTION B DESIGNED BY: ED 7. THIS DOCUMENT CERTIFIES THAT THE ROOF STRUCTURE HAS BEEN CHECKED FOR WIND, CHECKED BY: GS SNOW, UNBALANCED SNOW, LIVE AND DEAD LOADS BASED ON ASCE 7-10 CHAPTER 30- SCALE: NTS WIND LOADS-COMPONENTS AND CLADDING (C&C)AND FOR CONFORMANCE WITH THE TITLE' 2020 RESIDENTIAL CODE OF NEW YORK STATE.THIS CERTIFICATION DOES NOT APPLY TO STRUCTURAL ANY ADDITIONAL ROOF ALTERATIONS AFTER THE DESCRIBED INSTALLATION A 8.THIS ROOF STRUCTURE AS SHOWN IS ADEQUATE TO SUPPORT THE PROPOSED LOADS A SHEET: 9.REFER TO STRUCTURAL LETTER FOR SITE SPECIFIC AND ROOF SURFACE DATA S-02 ' 1 2 3 4 5 6 7 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER I NOTES: , SOLAR 4589 AUSTIN BLVD ISLAND PARK,NY 11558 C. 1.NEUTRAL&GROUND ARE BONDED TOGETHER(ORIGIN OF GEC FOR SOLAR TEL:516-837-3459 ELECTRIC SYSTEM) FAX:516-706-1789 2.GEC FROM SOLAR ELECTRIC SYSTEM BONDED TO EXISTING GEC IN THE MAIN www.em powe r-so IBr.DO STANDARD INVERTER ASSEMBLY: SERVICE PANEL USING'SPLIT-BOLT CONNECTOR' THE INFORMATION DISCLOSED HEREIN IS THE SOLE H 3.IN SOME CASES POWER FOR DATA MONITORING ENCLOSURE MAYBE H PROPERTY OF EMPOWER CES,LLC UNAUTHORIED REPRODUCTION OR DISTRIBUTION OF THIS DERIVED FROM MAIN SERVICE PANEL MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION 4.CONNECT UTILITY SIDE TO PANEL LUGS PROFESSIONAL SEAL 5.USE TAP RULES FOR SIZING TAP CONDUCTORS(NEC 240.21) 6.SIZE GEC AND EGC AS PER NEC 250.66,NEC 250.122 RESPECTIVELY 7.PROTECT GEC AND EGC SUBJECT TO PHYSICAL DAMAGE AS PER NEC G SOLAR 250.64(B),NEC 250.120(C) G ARRAY 1 8.FINAL SCHEMATIC SPECIFIC TO THIS INSTALLATION AVAILABLE UPON REQUEST .� OZYc INVERTER(S) AC DISCONNECT F - : ... E E STANDARD EXTERIOR INTERCONNECTION: STANDARD INTERIOR INTERCONNECTION: D D REV: DESCRIPTION: DATE: PROJECT NAME: INTERIORtENCLOSURE XTERIOR INTERIOR EXTERIOR Richard Accurso PROJECT LOCATION: 3330 Eugenes Road, MAIN TAP K MAIN Cutchogue,NY 11935 SERVICE O 1 PANELETTE SERVICE O PANEL PANEL PROJECT# UTILITY UTILITY PROJ.PHASE: PERMIT METER METER DATE: B B DESIGNED BY: ED CHECKED BY: GS SCALE: NTS TITLE: ELECTRICAL A A SHEET: SE-01 1 2 3 4 5 6 7 8 - 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 E UTILITY NCLOSURE NEMA3R METER EMPOWER 1 I SOLAR VD BRANCH B BRANCH A O AND PARKIN Y 115 c (7)SPR-015W MODULES (n SPR-015W MODULES TO MAIN TO ISLAND PARK,NY 11558 TOTAL DC STC POWER:2.905 kW TOTAL DC STC POWER:2.905 kW SERVICE UTILITY TEL:516-837-3459 (7)ENPHASE IQ7HS MICRO INV (7)ENPHASE 1Q7HS MICRO INV PANEL GRID FAX:516-706-1789 TOTAL AC POWER:2.688 kW TOTAL AC POWER:2.688 kW ww w.am p o w e r-so Iar.c o m JAG.4 CONTINUE AS CONTINUEAS H REQUIRED FOR INV.... REQUIRED FOR INV.... SUNPOWER THE INFORMATION DISCLOSED HEREIN IS THE SOLE H PROPERTY OFEMPOWERCES,LLC UNAUTHORIZED SPECIFIED STRINGING SPECIFIED STRINGING DATA REPRODUCTION OR DISTRIBUTION OF THIS AC DISCONNECT MATERIAL IS STRICTLY PROHIBITED WITHOUT MONITORING PRIOR SPECIFIC WRITTEN PERMISSION 5 5 AC1 AC1 60A,2P CB PROFESSIONAL SEAL L1 L2 N (1)SPR-415W MODULE (1)SPR-415W MODULE n G 20A,2P CB (1)ENPHASE MICRO INV. INV.2 (1)ENPHASE MICRO INV. INV.2 G G AC1 AC1 AC3 20A,2P CB O YO✓J (1)SPR-015W MODULE (1)SPR-015W MODULE 20A,2P CB c) (1)ENPHASE MICRO INV. INV.1 (1)ENPHASE MICRO INV. INV.1 F _ ]4 �,�• Ln w AC1 AC1 UT _Z f' C ngACOPE 5 P E E AC2 TO RACKING G AC COMBINING MLO PANEL GROUND NEMA 3R 1 -PHASE 120/240V p p REV: DESCRIPTION: DATE: LABEL DESCRIPTION LABEL DESCRIPTION (1)#6 AWG,EGC ENCLOSURE PROJECT NAME: AC1 SPR AC CABLE AC2 1-1/2"PVC ACCURSO RESIDENCE (2)#12 AWG (6)#10 AWG (1)#10 AWG,EGC PROJECT LOCATION: C AC3 3/4"PVC AC4 2"PVC C 3330 Eugenes Road (3)#10 AWG (3)#2/0 AWG Culchogue,NY 11935 (1)#10 AWG,EGC (1)#4 AWG,GEC PROJECT#. PROJ.PHASE: PERMIT DATE: 1 1/1 812 0 2 2 B B DESIGNED BY: IV CHECKED BY: XX SCALE: NTS TITLE: NOTES: THREE LINE 1.NEUTRAL&GROUND ARE BONDED TOGETHER(ORIGIN OF GEC FOR SOLAR ELECTRIC SYSTEM) ELECTRICAL SCHEMATIC 2.GEC FROM SOLAR ELECTRIC SYSTEM BONDED TO EXISTING GEC IN THE MAIN SERVICE PANEL USING IRREVERSIBLE SPLICE TOTAL SYSTEM SIZE:5.81 kW A 3.USE TAP RULES FOR SIZING TAP CONDUCTORS(NEC 240.21) (14)SPR-415W MODULES A SHEET: 4.SIZE GEC AND EGC AS PER NEC 240.66,NEC240.122 RESPECTIVELY 5.USE MC ONLY IF INCLUDED GEC IS ADEQUATELY SIZED. (14)ENPHASE 1Q7HS MICRO-INV, S E-02 1 2 3 4 5 5 1 8 9 10 11 12 13 M SUNP®WER° 425-410 W Residential Black AC Module SunPower*Maxeon'Technology Built specifically for use with the SunPower Equinox®system,the only fully integrated solution designed,engineered,and warranted by one company. Highest Power Density Available I[ The patented,solid-copper foundation Maxeon Gen 6 cell is over 5% larger than prior generations, delivering the highest-efficiency all-black AC solar module available? i Part of the SunPower Equinox Solar System � E c: E % •Seamless aesthetics I m larger •Compatible with mySunPower I monitoring 1 2°• Highest Lifetime Energy and Savings `--nn11�� L�,,� 1� a - — Designed to deliver 60% more energy over 25 years in real-world conditions like partial shade and high temperatures.' e i 140% - — — - -- - — i Factory-integrated Q 13056 120% Up to Microinverter { v 1095 60 { • integrated � 1009' More Highest-power g � v C °ovs Lifetime AC module in solar � w Energy Conventional Panel T 70% • Engineered and calibrated i N °% by SunPower for SunPower I ° 5 °. 15 20 25 Years of Operation AC modules i t I Best Reliability, Best Warranty € With more than 42.6 million and 15 GW of modules deployed d around the world, SunPower technology is proven to last.That's w why we stand behind our module and microinverter with the 1 industry's best 25-year Combined Power and Product Warranty, I including the highest Power Warranty in solar. a M425-BLK I M415-BLK M410-BLK SunPower Residential Black AC Module, AC Electrical Data Inverter Model:Type H(Enphase IQ7HS) @240 VAC @208 VAC Max.Continuous Output Power(VA) 384 369' Nom.(L-L)Voltage/Range'M 240/211-264 208/183-229 Max.Continuous Output Current(A) 1.60 1.77 Max.Units per 20 A(L-Q Branch Circuit4 10 9 CEC Weighted Efficiency 97.0% 96.5% Nom.Frequency 60 Hz 60 Hz Extended Frequency Range 47-68 Hz 47-68 Hz AC Short Circuit Fault Current Over 3 Cycles 4.82 A 4.82 A Overvoltage Class AC Port III III AC Port Backfeed Current 18 mA 18 mA Power Factor Setting 1.0 1.0 Power Factor(adjustable) 0.85(inductive)/0.85(capacitive) 0.85(inductive)/0.85(capacitive) DC Power Data Warranties,Certifications,and Compliance SPR-M425-BLK-H-AC SPR-M415-BLK-H-AC SPR-M410-BLK-H-AC Warranties '25-year limited power warranty Nom.Power6(Pnom)W 425 415 410 25-year limited product warranty Power Tolerance +5/-0% +5/-0% +5/-0% UL 1741/IEEE-1547 UL 1741 AC Module Module Efficiency 22.0% 21.5% 21.2% UL 61730(Type 2 fire rated) Temp.Coef.(Power) -0.29%/°C -0.29%/°C -0.29%/°C UL 62109-1/IEC 62109-2 FCC Part 15 Class B Shade Tolerance Integrated module-level max.power point tracking ICES-0003 Class B CAN/CSA-C22.2 NO.107.1-01 CA Rule 21(UL 1741 SA)' Tested Operating Conditions Certifications (includes Volt/Var and Reactive Power Priority) Operating Temp. -40°F to+185°F(-40°C to+85°C) and UL Listed PV Rapid Shutdown Equipment? Compliance Enables installation in accordance with: Max.Ambient Temp. 122°F(50°C) NEC 690.6(AC module) Max.Test Load' Wind:125 psf,6000 Pa,611 kg/m2 back NEC 690.12 Rapid Shutdown(inside and outside the Snow:187 psf,9000 Pa,917 kg/m2 front array) Wind:75 psf,3600 Pa,367 kg/m2 back NEC 690.15 AC Connectors,690.33(A)-(E)(1) Max.Design Load Snow:125 psf,5400 Pa,550 kg/m2 front When used with AC module Q Cables and accessories Impact Resistance 1 inch(25 mm)diameter hail at 52 mph(23 m/s) (UL 6703 and UL 2238)7 •Rated for load break disconnect Mechanical .. PID Test 1000 V:IEC 62804 ta Solar Cells 66 Maxeon Gen 6 Packaging Configuration Front Glass High-transmission tempered glass with anti-reflective coating Environmental Rating Outdoor rated Modules per pallet 25 Frame Class 1 black anodized(highest AAMA rating) Packaging box dimensions 75.4 x 42.2 x 48.0 in.(1915 x 1072 x 1220 mm) Weight 48 Ibs(21.8 kg) Pallet gross weight 1300 lb(590 kg) Recommended Max. Pallets per container 32 Module Spacing 1.3 in.(33 mm) Net weight per container 18,880 kg 73.7 in 1 Based on datasheet review of websites of top 20 manufacturers per IHS,as of July 2021. I [1872 mm] I FRAME PROFILE 2 Maxeon 435 W,22.5%efficient,compared to a Conventional Panel on same-sized arrays(300 W,19%efficient, I approx.1.6 m2),7.9%more energy per watt(based on PVSyst pan files for avg.US climate),0.5%lyr slower 9 E degradation rate(Jordan,et.al."Robust PV Degradation Methodology and Application."PVSC 2018). Grounding Holes E 3 Based on search of datasheet values from websites of top 10 manufacturers per IHS,as of June 2021. 3 4 Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. E -)- 5 Factory set to IEEE 1547a-2014 default settings.CA Rule 21 default settings profile set during commissioning, o ry M❑ 6 Standard Test Conditions(1000 W/m2 irradiance,AM 1.5,25°C).All DC voltage is fully contained within the module. o 7 UL Listed as PVRSE and conforms with NEC 2014 and NEC 2017 690.12;and C22.1-2015 Rule 64-218 Rapid (A)Long Side:1.3 in(32 mm) Shutdown of PV Systems,for AC and DC conductors;when installed according to manufacturers instructions. Short Side:0.9 in(24 mm) 8 Please read the safety and installation instructions for more information regarding load ratings and mounting configurations. See www.sunpower.com/company for more reference information. Please read the safety and installation instructions for details. For more details,see extended datasheet:www.sunpower.com/solar-resources. Specifications included in this datasheet are subject to change without notice. cec urrarunm 02022 SunPower Corporation.All rights reserved.SUNPOWER,the SUNPOWER logo and EQUINOX are ©l ""2 544400 RevA registered trademarks of SunPower Corporation in the U.S.MAXEON is a registered trademark of Maxeon Solar LASTED F4723° Technologies,Ltd.Formoreinformationvisitwww.maxeon.com/legal. M°d.i°n,°P°,r°,,,..° Typ°z - January2022 X All Ys �. SunPowerO lnvisiMountlm Residential Mounting Simple and Fast Installation Integrated module-to-rail grounding Pre-assembled mid and end clamps Levitating mid clamp for easy placement — Mid clamp width facilitates consistent,even module spacing UL 2703 Listed integrated grounding Flexible Design --" -�" Addresses sloped and low-sloped residential roofs Design in landscape and portrait with up to 8' "' _ rail span - Pre-drilled rails and rail splice Rails enable easy obstacle management Elegant Simplicity Customer-Preferred Aesthetics Best-in-class system aesthetics SunPower° InvisiMountl' is a SunPow&--designed Black anodized components rail-based mounting system.The InvisiMount system Low-profile mid clamps and capped,flush addresses residential sloped roofs and combines faster end clamps installation time, design flexibility, and superior aesthetics. Part of Superior System Classic InvisiMount is specifically envisioned and engineered. Best-in-class system reliability and aesthetics to pair with SunPower modules; Universal InvisiMount is Optional rooftop transition flashing,rail- mounted J-box,and wire management rail clips compatible with a wide range of modules. The resulting Combine with SunPower modules and system-level approach amplifies the installation and mySunPowerO monitoring app aesthetic benefits—for homeowners and for installers. sunpower.com -- zY SunPower© lnvisiMountTIVI Residential . • • System • • ®• goo Rail and Rail Splice Mid Clamp Ground Lug Assembly Universal Mid Clamp Ground Lug Assembly p Rail and Rail Splice Row-to-Row Spacer Row-to-Row Grounding Clip End Clamp Row-to-row Grounding Jumper Universal End Clamp (Dyn6Bond) Invisi'Mount ComponentD-tails I Visi'Mount Operating Conditions Classic mid clamp Black oxide stainless steel 300 series 63 g(2.2 oz) Temperature -40'C to 90'C(-40'F to 194'F) Universal mid clamp Black anodized aluminum 6000 series 60 g(2.1 oz) Classic end clamp Black anodized aluminum 6000 series 110 g(3.88 oz) '•• Har-dware Warranties Universal end clamp Black anodized aluminum 6000 series 103 g(3.63 oz) Refer to roof attachment hardware manufacturers Rail Black anodized aluminum 6000 series 830 g/m(9 oz/ft) documentation. Rail splice Aluminum alloy 6000 series 830 g/m(9 oz/ft) Rail bolt M10-1.5 x 25 mm;custom T-head SS304 18 g(0.63 oz) InvisilMount • °° R •° Rail nut M10-1.5;DIN 6923 SS304 nominal Classic Uplift 6641bf Ground lug assembly SS304;A2-70 bolt;tin-plated copper lug 106.5 g(3.75 oz) Mid clamp Shear 540 Ibf Row-to-row grounding clip SS 301 with SS 304 M6 bolts 75 g(2.6 oz) Universal Uplift 9621b Row-to-row grounding jumper Stainless steel 300 series 10 g(0.35 oz) Mid clamp Shear 4371b Row-to-row spacer Black POM-grade plastic 5 g(0.18 oz) Classic Uplift 899 Ibf •®• ROM End clamp Shear 220 Ibf InvisiMount Comp Shingle Attachment with Pegasus Universal Uplift 605 Ib InvisiMount Flat Tile Replacement Attachment with Pegasus End clamp Shear 242 Ib InvisiMount S-Tile Replacement Attachment with Pegasus InvisiMount W-Tile Replacement Attachment with Pegasus Moment:upward 5481bf-ft Rail Moment:downward 580 Ibf-ft nvisiMountAndCer-11fications Moment:upward 548 Ibf-ft 25-year product warranty Rail splice Warranties 5-year finish warranty Moment:downward 580 Ibf-ft UL 2703 Listed Uplift 1000 Ibf Certifications Class A Fire Rated L-foot Shear 3901bf With Classic InvisiMount,a module frame that is compatible with the InvisiMount system is required for hardware interoperability;modules without this frame may be used with Universal InvisiMount. a SunPower recommends that all Equinox',InvisiMount',and AC module systems always be designed using the Invisilvount Span Tables#524734.If a designer decides to instead use the component capacities listed in this document to design a system,note that the capacities shown are Load and Resistance Factor Design(LRFD)design loads,and are NOT to be used for Allowable Stress Design(ASD)calculations;and that a licensed Professional Engineer(PE)must then stamp all calculations.If you have any questions please contact SunPower Technical Support at 1-855-977-7867. SUnpOwer.COm 0 2022 SunPower Corporation.All Rights Reserved.SUNPOWER,the SUNPOWER logo,EQUINOX,and INASIMOUNT are trademarks or registered trademarks of SunPower Corporation. 509506 RevG All other trademarks are the property of their respective owners.Specifications included in this datasheet are subject to change without notice.