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~�oW1%guEF01�- Town of Southold 1/27/2024 - P.O.Box 1179 o 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: .44908 Date: 1/27/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 15105 Oregon Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 73.-1-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/10/2023 pursuant to which Building Permit No. 49908 dated 10/19/2023 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 existingsingle-family dwelling as applied for. The certificate is issued to 15105 Oregon Rd LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49908 1%8/2024 PLUMBERS CERTIFICATION DATED 1��\ n A tho ize 'gnature �suFEnt,r�: TOWN OF,SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "oy • o� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 49908 Date: 10/19/2023 Permission is hereby granted to: 15105 Oregon Rd LLC 1199 Park Ave New York, NY 10128 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 15105 Oregon Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 71-1-1 Pursuant to application dated 10/4/2023 and approved by the Building Inspector. To expire on 4/1912025. Fees: SOLAR PANELS $100.00 ELECTRIC $125.00 CO-ALTERATION TO DWELLING $100.00 Total: $325.00 Building Inspector OF SO(/T�OI h O Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q Jamesh _southoldtownny.gov Southold,NY 11971-0959 O�yCOU�'N� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Sharon & Craig Nassi Address: 15105 Oregon Road city:Cutchogue st: New York zip: 11935 Building Permit#: 49908 Section: 73 Block: 1 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: EmPOwer CES, LLC Electrician: Timothy Crotty License No: ME-65990 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 200 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: 26kw roof mounted solar energy system with 65 modules SPR-400w-(WAR) 65 Enphase IQ7HS-66 micro-inverters, 1 Data monitoring, 1 ac combiner panel Notes: SOLAR ENERGY SYSTEM Inspector Signature: Date: January 8, 2024 15105 oregon rd D �o�aoF soury��o �19q©� 15!o s �req®� * # TOWN F TH DING DEPT. TO O SOU OLD BWJ. � YO courm, 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) P4 ELECTRICAL (FINAL) [ ] CODE VIOLATION [ . ] PRE C/O [ ] RENTAL REMARKS: !!War AC � -rc MAA eAckosurf, AD CovAU"o ous f_r01AK5) e RC 3 neeA 1 -* !o 17�pn CO 0 6lot�f*- Jor-v. DATE 19 l s INSPECTOR -AAC�,4-4- 4*- r Of soUlyo� # TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] I SULATION/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: DATE INSPECTOR Gregory Sachs, PE 4589 Austin Blvd., (516)-544-4592 Island Park, NY 11558 permitting@empower-solar.com EC' E 6E January 11th, 2024 J A N ,1 1 2024 Town of Southold Building Department �'ggii '7 "'=,, rrct? `Y'owv;� Q7i tau*l�fi�tuet� 54375 Route 25 Southold, NY 11971 Permit#:49908 15105 Oregon Road Cutchogue, NY 11935 Section: 073.00 Block: 01.00 Lot: 001.000 To Whom It May Concern: The Solar Electric installation at 15105 Oregon Road, Cutchogue, NY 11935 (Nassi 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, ORK d� It- SAC .� Q a ', °• ,4 cf� .►; 'h� O SE D.FkO��� . Gregory Sachs, PE � ?1E LD INSPECTION REP( COMMENTS FOUNDATION (1ST) cool it ------------------------------------- F""^`°~^^~^` '~,~/ cn ROUGH FRAMING& —7k PLUMBING INSULATION PER N.Y. H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS ,��� ' o�50fFU1K�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT a� �= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtowgm.goy Date Received APPLICATION FOR BUILDING PERMIT r Office Use Only W n� D PERMIT NO. V Building Inspector: 0 CT 1 0 2023 �10 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Building DePartment Owner's Authorization form(Page 2)shall be completed. Town of Southold Date:8/23/23 OWNER(S)OF PROPERTY: Name: Sharon & Craig Nassi SCTM#1000- 073.00-01.00-001.000 Project Address:15105 Oregon Road, Cutchogue, NY 11935 Phone#:(917) 848-2772 Email: c@bcnre.com Mailing Address:15105 Oregon 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: IXOther Roof mounted solar panels $$61,924.00 Will the lot be re-graded? ❑Yes IXNo Will excess fill be removed from premises? ❑Yes DQ No 1 PROPERTY INFORMATION Existing use of property: Residential_1--Family-__ __- Intended use of property_ Residential 1__ Family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes&No IF YES, PROVIDE A COPY. IN 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 210.4S of the New York State Penal Law. Application Submitted By(print name): Ines Fernandez C4Authorized Agent ❑Owner Signature of Applicant: W014,2 Date: 8/23/23 Ryan M. Moser STATE OF NEW YORK) NOTARY PUBLIC,STATE OF NEW YORK SS: Registration No.'01MO6412506 COUNTY OF ) Qualified in Nassau County Commission Expires December 28,2.024 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 met is day of 20--.23 Notar Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I� Sharon & Craig Nassi residing at 15105 Oregon Road, Cutchogue, NY 11935 do hereby authorize Ines Fernandez to apply on my behalf to Town of South Id uilding Department for approval as describ d her 'n. �— o 2 ner's Signature Date IV4-5-5 - cr-wt IIA4 Print Owner's Name 2 �._" ° BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD z0 Town Hall Annex- 54375 Main Road - PO Box 1179 . .' Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 err southoldtownn . ov seand southoldtownn . ov <....� APPLICATION FOR ELECTRICAL INSPECTION. ELECTRICIAN INFORMATION (All Information Required) Date: 1/8/2024 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 11558 Phone No.: (516)-544-4592 JOB SITE INFORMATION (AII Information Required) Name: Sharon & Craig Nassi Address: 15105 Oregon Road Cutcho ue NY 11935 Cross Street: Phone No.: _ 917 848-2772 Bldg.Permit#: email: therichterreco@gmail.com Tax Map District: 1000 Section: 073.00 Block: 01.00 Lot: 001.000 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installation of roof mounted solar panels (64)SPR-400w ACPV modules 26.00kW total system size Circle All That Apply: Is job ready for inspection?: ®E / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground -Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information:. PAYMENT DUE WITH APPLICATION Request for Inspection FormAs AFCEIVED 0 nav 16 2022 CfF!C.0 F OF WA9icTT CO. qA '.SERVIEE9 a�R,r1 i O— "��irexxsnr q'A ` KEY MAP O— NN v Qc SCALE 1'=600' MNLL'L t cn➢V8 t n�. eccwsI 15.89 '\ dN 1125.10• J o• \ A! �v \ SURVEY OF PROPERTY `•\ SITUATED AT •�\• CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-73-01-01 SCALE 1"=50• `\ MARCH 20,2021 B •\ DULY 18.=1 RMSE P—MEO NWSE �d •\ NWLU9ER 16,2021 FOUNN.IM)N LOGTION �.• •\ OCfOBER 21, U2�2 CbCXlE2NULIV�APOlRIONNOF ORNLWAY •B \ TOTAL AREA=253,280 eR.N. \`\ o\ an mrrwsu�Cn1mAMY � '�\ rt\ N •\ fiur•waccu>nrczFaa;ucNT c-1FSL1NasmcEs ,� � \ \� - ASDlGLLF 0-nFE 7 o �AwaR1N,Q.� / \ . Ltd��� - •�+. ' ����� � 9 I ��\\\ .41 Nathan Taft Corwin 111 ���` o Land Surveyor rxmx 1A611m-xs6 wxss arum u .e.r<n 1uw �+�+ EMPOCES-01 TKARLINA ACORO" DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 5/8/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER License#0757776 COmEACT Arta Bello HUB International Insurance Services Inc. HOONIu 600 Corporate Pointe ,Ext):(310)568-5977 jA c,No): E-MAIL Suite 600 ADD Ess•ana.bello@hubinternational.com Culver City,CA 90230 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine&General Insurance Company 12294 INSURED INSURER 8: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 ADSDL SUER POLICY NUMBER fP0/LDIpY EFF POLICY EXP LIMITS fMMIDDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR X PK202300006109 5/4/2023 5/4/2024 DAMAGE TO RENTED 500,000 S a occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 HPOLICY L JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: PER PROJECT AGG $ 5,000,000 IN AUTOMOBILE LIABILITY COMB 0 eccc!eDtSINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS yyN p BODILY INJURY Per accident $ V OS ONLY AUUTOS ONLY PPeOr acEciRdent AMAGE $ B UMBRELLA LIAR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB HOCCUR CLAIMS-MADE 001306871 5/4/2023 5/4/2024 AGGREGATE $ 5,000,000 DED I RETENTION$ $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY YIN S TU E E ANY PRRROl!PRIETOERIPARTNER/EXECUTIVE ❑ NIA E.L.'EACHACCIDENT $ FFIC toM In NH EXCLUDED? ( cry ) 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 endorsements#G20100413&#CG20370413 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 -0 N**I NI- N Y S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 522407627 im AMWINS BROKERAGE OF NEWYORK 200 ELWOOD DAVIS ROAD SUITE 200LIVERPOOL NY13088 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER EMPOWER CES LLC TOWN OF SOUTHOLD 4589 AUSTIN BLVD 54375 ROUTE 25 ISLAND PARK NY 11558 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 2546 624-4 256986 05/01/2023 TO 05/01/2024 04/25/2023 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://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY AFFORDS COVERAGE TO THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. DAVID SCHIEREN GREG SACHS EMPOWER CES LLC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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: 1057999100 11111111100000000000114835091u1��ll�ll� Form WC-CERT-NOPRINT Version 3(08/292019)[WC Policy-25466244] U-26.3 69 [00000000000114835691][0001-DOOD25466244][##Z][I6124-21][Cer1_NOP-CERT 1][01-00001] PORK workers'STATE CERTIFICATE OF INSURANCE COVERAGE Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured EMPOWER CES LLC DBA EMPOWER SOLAR 310-534-7994 4589 AUSTIN BOULEVARD ISLAND PARK,NY 11558 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specillcally limited to or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) 522407627 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company TOWN OF SOUTHOLD 54375 ROUTE 25 3b.Policy Number of Entity Listed in Box"I a" SOUTHOLD, NY 11971 DBL252634 3c.Policy effective period 05/10/2023 to 05/09/2024 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: ❑X A.All of the employers employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employers 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 5/12/2023 By (WUr (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,SUbd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit,PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4B,4C or 56 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) Nllllll�Du1°11°1°0m1°1°I�121°21�1°IIIIIII 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 §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first,two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand eighteen,the payment of family leave benefits for all employees has been secured as provided by this article. 1313-120.1 (12-21)Reverse 82�22123 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER OSOLAR TO I 4589 AUSTIN BLVD UTILITY UTILITY ISLAND PARK,NY 11558 CD METER GRID TEL: 516-837-3459 BRANCH D BRANCH C BRANCH B BRANCH A D (10)SPR-400W-(WAR)MODULES (10)SPR-400W-(WAR)MODULES (10)SPR-400W-(WAR)MODULES (10)SPR-400W-(WAR)MODULES FAX: TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:4.00 kW w w w.emp p o o w w e e rr-s o I a r.c o m 6-1789 L1 L2 N (10)ENPHASE IQ7HS-66 MICRO INV(10)ENPHASE IQ7HS-66 MICRO INV(10)ENPHASE IQ7HS-66 MICRO INV(10)ENPHASE IQ7HS-66 MICRO INV TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW n G AC4 THE INFORMATION DISCLOSED HEREIN IS THE SOLE H H PROPERTY OF EMPOWER CES,LLC.UNAUTHORIZED REPRODUCTION OR DISTRIBUTION OF THIS CONTINUE AS CONTINUE AS CONTINUE AS CONTINUE AS MATERIAL IS STRICTLY PROHIBITED WITHOUT n PRIOR SPECIFIC WRITTEN PERMISSION REQUIRED FOR INV.... REQUIRED FOR INV.... REQUIRED FOR INV.... REQUIRED FOR INV.... n SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING PROFESSIONAL SEAL• F ftf r n t I AC1 AC1 AC1 AC1 S a n l�( t G (1)SPR-400W-(WAR) (1)SPR-400W-(WAR) (1)SPR-40OW-(WAR) (1)SPR-40OW-(WAR) TO n G MODULE INV.2 MODULE INV.2 MODULE INV.2 MODULE INV.2 5! (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. HOUSE y 1Y ' (1)ENPHASE MICRO INV. t ! n ! I LOADS n Q ' AC1 AC1 AC1 AC1 'ja.i--. (1)SPR-40OW-(WAR) (1)SPR-400W-(WAR) (1)SPR-400W-(WAR) (1)SPR-400W-(WAR) MODULE INV.1 MODULE INV.1 MODULE INV.1 MODULE INV.1 F 1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV.Li 1i MAIN SERVICE PANEL AC1 AC1 ACl AC1 1p c?r 7 y, 1 - PHASE 120/240V '' rt SUNPOWER DATAx� E AC DISCONNECT �[ E --� --:�, MONITORING °' > > 150A, 2P CB L1 L2 IN �' sJ n G 20A, 2P CB n 20A, 2P CB D AC1 AC1 AC1 TO RACKING _R=�_ G AC3 D REV: DESCRIPTION: DATE: GROUND NEMA 3R n 20A, 2P CB PROJECT NAME: (1)SPR-400W-(WAR) (1)SPR-400W-(WAR) (1)SPR-400W-(WAR) ENCLOSURE MODULE INV.1 MODULE INV.1 MODULE INV.1 (1)#6 AWG, EGC An 20A, 2P CB NASSI RESIDENCE (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. AC1 AC1 AC1 AC2 /n1 20A, 2P CB PROJECT LOCATION: LABEL DESCRIPTION LABEL DESCRIPTION C C 15105 OREGON ROAD (1)SPR-400W-(WAR) (1)SPR-400W-(WAR) (1)SPR-400W-(WAR) AC1 SPR AC CABLE AC2 1-1/2"PVC n 20A 2P CB CUTCHOGUE,NY 11935 MODULE INV.2 MODULE INV.2 MODULE INV.2 (2)#12 AWG (14)#10 AWG ' (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)#10 AWG,EGC AC1 AC1 AC1 AC3 3/4"PVC AC4 2"PVC n 20A, 2P CB PROJECT#: (3)#12 AWG (3)#1 AWG PROJ.PHASE: PERMIT (1)#12 AWG,EGC (1)#6 AWG,GEC n 20A, 2P CB DATE: 12/1812023 B CONTINUE AS CONTINUE AS CONTINUE AS g DESIGNED BY: RD REQUIRED FOR INV.... REQUIRED FOR INV.... REQUIRED FOR INV.... SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING CHECKED BY: ED AC COMBINING MLO PANEL SCALE: NTS BRANCH E BRANCH F BRANCH G 1 - PHASE 120/240V (10)SPR-400W-(WAR)MODULES (10)SPR-400W-(WAR)MODULES (5)SPR-400W-(WAR)MODULES TITLE: TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:2.00 kW THREE LINE (10)ENPHASE IQ7HS-66 MICRO INV(10)ENPHASE I07HS-66 MICRO INV (5)ENPHASE I07HS-66 MICRO INV NOTES: ELECTRICAL SCHEMATIC \ TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW TOTAL AC POWER:1.92 kW TOTAL SYSTEM SIZE: 26.00 kW A 1.NEUTRAL&GROUND ARE BONDED TOGETHER(ORIGIN OF GEC FOR SOLAR ELECTRIC SYSTEM) A 2.GEC FROM SOLAR ELECTRIC SYSTEM BONDED TO EXISTING GEC IN THE MAIN SERVICE PANEL USING IRREVERSIBLE SPLICE (65)SPR-400W-(WAR) MODULES SHEET: 3.USE TAP RULES FOR SIZING TAP CONDUCTORS(NEC 240.21) (65) ENPHASE IQ7HS-66 MICRO-INV. 4.SIZE GEC AND EGC AS PER NEC 240.66,NEC240.122 RESPECTIVELY C C�0 .0 00 5.USE MC ONLY IF INCLUDED GEC IS ADEQUATELY SIZED. S C 1 2 3 4 5 6 7 8 9 10 11 12 13 t K 0d� r Gregory Sachs, PE 4589 Austin Blvd, (516)-544-4115 Island Park, NY 11558 permitting@empower-solar.com October 18, 2023 To Whom It May Concern: The purpose of this letter is to certify that the existing roof structure located at: 15105 Oregon 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 and not covered with photovoltaic panels are iri 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 Roof Surface Max Span spacing Cross Section Load Speed Kneewall Collar Ties Layers of (ft) (in) (psf) (mph) Shingles Flat 1 25.67 16 Nominal 2x12 20 130 Yes No 1 Sincerely, ppp 0 ED AS N TED COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODES Gregory Sachs, PE AS,REQUIRED AND CONDITIONS OF OAT38.P.! 3 $ SOUTHOLD TOW A BY SOUTHOLD TO N aLANNING BOARD; NOTIFY BUILDING DEPARTMENT AT 631-765.1802 8AM TO 4PM FOR THE SOUTHOLD WN TLSTEES . FOLLOWING INSPECTIONS: N,Y.S.D I. FOUNDATION-TWO REQUIRED SO LD HPC FOR POURED CONCRETE SC 2. ROUGH-FRAMING&PLUMBING 3. INSULATION �EOF Iyk 4. FINAL-CONSTRUCTION MUST O���J_ BE COMPLETE FOR C.O. I ,F FG ALL CONSTRUCTION SHALL MEET THE OCCUPANCY 0R C CQ i''s ; •: %•� REQUIREMENTS OF CODES OF NEW USE IS UNLAWFUL } tq ,y- m ,�;��., ,� YORK STATE. NOT RESPONSIBLE FOR !�} `==r ' "' cr DESIGN OR CONSTRUCTON ERRORS WITHOUT CERTIFICATE E OF OCCUPANCY ELECTRICAL INSPECTION REQUIRED 7777771 Ty'• �:�, .�'.. �tA•�• "r SA,.,1„ 4ni- •'1.:�.hi. .k..t• ��'•,` �S«'�, •.nF. Ynv;: '".1i''•�i,' '�}-�� �'���l�r[ .:,wka�' r>L�e4d1�Mt`x'�' '�'�r.��t`.,... ;.;j%n�...4? >;?RcJY:;�, —- `�'r.'' ��^` Ldp�}$�t`' ` '4k, :a�w::,y,r>��' 1 f.��»ygYy_,} � •,�.G^ y •:s, � vt �•�S�.. i .C. "1^ 15,'A�' ,. �+ ���';.•' •, 03��•� �''•iilxT?"+:'�d:k�'_Ay�=�i�i•ci,�✓i.t�: ^i"evi''.�.'h-*, '�.'.��,' _ ..J�, e0 ..i§L'� 2,f���•_RF."Tt.•,:...M3�.p•Y,'I,`,�r�'• Y. f, i• _ :�.f}�a w. n .)' F'tta,('�'!.' �'N`K'R',:5i'at�.�..` :,b.• ;ire°,'..r;., - "-L" •r ,r.,..$'.,�..,rj, eL gr J-. � '.�,.'��> .x.. _ " — ,:k. �i ".:zl�' :.#€���.- .••,-i':°.1=,f;: w';�,AL{a�:t .r ��2��;yam�t•,-..r."�-• �:[�.: fj i • • © • I I Simple and Fast Installation -- Integrated module-to-rail grounding : Pre-assembled mid and end clamps r. ; Levitating mid clamp for easy placement = Mid clamp width facilitates consistent,even module spacing UL 2703 Listed integrated grounding — - -- Flexible Design Addresses nearly all sloped residential roofs _ - Design in landscape and portrait with up to 8' f rail span Pre-drilled rails and rail splice Rails enable easy obstacle management ' Customer-Preferred Aesthetics #1 module and#1 mounting aesthetics Elegant Simplicity Best-in-class system aesthetics Premium,low-profile design SunPower' InvisiMountTM is a SunPower-designed Black anodized components rail-based mounting system.The InvisiMount system Hidden mid clamps and new capped,flush addresses residential sloped roofs and combines faster end clamps installation time, design flexibility, and superior aesthetics. Part of Superior System The InvisiMount product was specifically envisioned and Built for use with SunPower DC and AC modules Best-in-class system reliability and aesthetics engineered to pair with SunPower modules. The resulting • New optional rooftop transition flashing,rail- system-level approach amplifies the aesthetic and mounted)-box,and wire management rail clips installation benefits—for homeowners and for installers. Combine with SunPower modules and SunPower EnergyLinkr'monitoring app - --� sunpower.corn f F` fllfllll�ll�fl��ll�Illlii�llll ��= �} :`� . ,4. `y'• !fie �� Datasheet Module'/Mid Clamp and Rail Module'/End Clamp and Rail p—..m wm� Mid Clamp End Clamp Rail&Rail Splice Ground Lug Assembly(for DC systems onty`, .��i gnaw Mid Clamp Black oxide stainless steel 300 series 53 g(2.2 oz) Temperature it -40°C to 901 C(-40°F Lo'l94°F) End Clamp Black anodized aluminum 6000 series 110 g(3.88 oz) 13000 Pa uplift Max.Load(EKED) i Rail Black anodized aluminum 6000 series 830 g/m(9 oz/ft) _ 6000 Pa downforce Rail Splice Aluminum alloy 6000 series 830 g!m(9 oz/ft) Ground Lug 304 stainless steel `'•• s • ••• -• • IY- •• Assembly (A2-70 bolt:tin-plated copper lug) 106.5 g/m 1,3.75 oz) Corposition Shingle Rafter Attachment Application Composition Shingle Roof Decking Attachment Curved and Flat Tile Roof Attachment amp- • Universal interface for other roof attach:nlents Mid Clamp Uplift 664 lbf Shear 540 lbf • • - • i Uplift 899 lbf 25-year product warranty End Clamp Warranties Shear 220 lbf 5-year finish varranty Moment upward 548 lbf-ft Pail UL 2703 Listed Moment:downward 580 lbf-ft Certifications Class A Fire Rated Moment:upward 548 Ibf-ft — Rail Splice IJioment:downward 580 lbf-ft •• • Uplift 1000 lbf F L-foot Shear 390 Ikif Refer to roof attachment hardware manufacturers documentation. 'Module frame that is compatible with the InvislMount system required for hardware interoperability. 2 SunPower recommends that all Equinox"',InvisiMount',and AC module systems always be designed using the SunPower Design Tool.If a designer decides to instead use the component capacities listed in this document to design a system,note that the capacities shown are Load and Resistance Factor Design(LRFD) design loads,and are NOT to be used for Allowable Stress Design(ASD)calculations;and that a licensed Professional Engineer(PE)must then stamp all calculations. Should you have any questions please contact SunPower Technical Support at 1-800-SIJNPOYVER(1-800-786-7693). sunpower.com 0 2017 SunPower Corporation.All Rights Reserved.SUNPOWER,the SUNPOWER logo,EQ;N0,1.and IN ISIMOUNI at e trademarks or registered trademarks of Sun Poner corporation. 509506 RevE All other trademarks are the property of their respective owner s.Specifications included ii this datasheet are subject to change without notice. DatasheetPOWE Re Data Sheet Enphase Microinverters Region AMERICAS Enphase Q7HIS The high-powered smart grid-ready M iroirer Enphase IQ7HS Microinverter'" with integrated MC4 connectors dramatically simplify the installation process while achieving the highest system efficiency. The IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install Lightweight and simple Faster installation with improved,lighter two-wire cabling Built-in rapid shutdown compliant(NEC 2014,2017&2020) �ri Efficient and Reliable Optimized for high powered 66-cell*modules Highest CEC efficiency of 97.0 io More than a million hours of testing 0 Class II double-insulated enclosure • UL listed NJ Ills-, Smart Grid Ready Complies with advanced grid support,voltage and frequency ride-through requirements Remotely updates to respond to changing grid requirements Configurable for varying grid profiles Meets CA Rule 21 (UL 1741-SA) *The IQ7HS is required to support 66-cell modules. To learn more about Enphase offerings,visit enphase.com E N P H A S E: Enphase 1Q7HS Micr®ilnverter INPUT DATA(DC) IQ7HS-66-M-US Commonly used module pairings' 320 W-460 W+ - 4 Module compatibility 66-cell PV modules Maximum input DC voltage 59 V Peak power tracking voltage 38 V-43 V Operating range 20 V-59 V Min/Max start voltage 30 V/59 V Max DC short circuit current(module Isc) 15 A Overvoltage class DC port II DC port backfeed current 0 A PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) @u 240 VAC @208 VAC Peak output power 384 VA 369 VA Maximum continuous output power 384 VA 369 VA Nominal(L-L)voltage/rangez 1 240 V/211-264 V 208 V/183-229 V Maximum continuous output current 1.60 A(240V) 1.77 A(208V) Nominal frequency 60 Hz 60 Hz Extended frequency range 47 to 68 Hz 47 to 68 Hz AC short circuit fault current over 3 cycles 4.82 A 4.82 A Maximum units per 20 A(L-L)branch circuit3 10 9 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 leading...0.85 lagging 0.85 leading...0.85 lagging EFFICIENCY @a 240 V @a 208 V CEC weighted efficiency _ 97.0 pia 96.5°i MECHANICAL DATA Ambient temperature range -400C to+60°C Relative humidity range 4%to 100°i(condensing) Connector type Staubli made MC4 Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1.08 kg(2.38 Ibs) Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Enclosure Class Il,corrosion resistant polymeric enclosure Environmental category/UV exposure rating NEMA type 6/outdoor Altitude 2000m FEATURES Communication `� ^� —�-� Power Line Communication(PLC) — Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break disconnect means required by NEC 690 and C22.1-2018 Rule 64-220. Compliance CA Rule 21 (UL 1741-SA),HECO v1.1 UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22.2 NO.107.1-01 This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014,NEC- 2017 section 690.12,NEC 2020 and 022.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according to manufacturer's instructions. 1.No enforced DC/AC ratio.See the compatibility calculator at https//enohase com/en-us/support/module-compatibility. 2.Nominal voltage range can be extended beyond nominal if required by the utility. 3.Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. To learn more about Enphase offerings,visit enphase.com ©2022 Enphase Energy.All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. B P�B_p AA �° 10-1 a-2022 a� kl �D 6 1 e7 ARKA SERIES WSMDi-395 to WSMDi-415 one With the Sun Highest reliability& Better performance Split junction box Reduced power PID resistant Sustain heavy M6 Mono enhanced crack f under all losses up to with long wind&snow loads PERC cells tolerant 9BB climatic conditions 1/4 times term reliability (2400 pa&5400 pa) module 14 VARIATION WITH IRRADIANCE a I.—Imua.-1000 W— a00 2 W 0 IneWent Irtaa.•e00 Wmt ]20.0 Inciaem Imoa.•a.W/m § 2a03 IneWent lmtl.-a00 WW ,Se.9W a IneMenl Imo.-200 W/m• 77.1 W 2- 00 10 20 30 a0 a0 va yM 114 VARIATI BN WITH TEMPERATURE ,3 9 E a_ - Incbont lnoa.-t000 W/m• Can+amp•2a C.pm •n003W 3 �Cpua Mmp-55•C.Pmpp•]059W `/ppwpM w e0 90 The Graphs are for reference purpose only.Please consult Waaree technical team for further clarifications. ,Dave INTERNATIONAL & aaaov%, ®Weer Performance Warranty NATIONAL CERTIFICATIONS ^ 91 Bs% �S Standard Performance Warranry IEC 61215 1 IEC 61730 UL61730 O IEC T5 62804-1C E LISTED e ,2 22 ISO 9001:2015 1 IS014001:2015 1 ISO 45001:201 B Independent assessment of factories by BLACK&VEATCH www.waaree.com 1 i ARKA SERIES AREE . WSMDi-395 to WSMDi-415 one (fvith the Sun ELECTRICAL CHARACTERISTICS Pmax(W) Vmp(V) Imp(A) Isc(A) Vac(V) Models Module Eff.(%) STC I NOCT STC NOCT STC NOCT STC NOCT STC NOCT WSMD-395 395 296.8 37.77 34.70 10.47 8.55 11.24 9.08 45.00 42.10 19.78 WSMD-400 400 300.6 38.00 34.90 10.54 8.62 11.32 9.14 45.22 42.30 20.03 WSMD-405 405 304.4 38.22 35.10 10.81 8.68 11.40 9.21 45.44 42.50 20.28 WSMD-410 410 308.2 38.44 35.30 10.68 8.74 11.48 9.27 45.66 42.70 20.53 WSMD-415 415 312.1 1 38.66 1 35.40 10.75 8.81 11.57 1 9.34 45.B8 42.90 20.7E 'Standard Test Conditions ISTO.1000 WK irradiance,Air Mass 1.5 and 25°C cell temperature.Nominal Operating Cell Temperature IIJOCD-800 W/m2 irradiance,Air Mass 1.5,Ambient temperature 20'C and Wind speed 1 m/s. Average power reduction of 4.5%at 2D0'NK as per IEC 60904-1.Measuring Uncertainty±Wo. System Voltage 1500 V Series Fuse Rating 22 A �iECHAIVICAL CHARACTERISTICS Length x Width x Thickness(L x W x T) 1924 mm M x 1038 mm(W)x 35 mm(T) Weight 22 kgs Solar Cells per Module(Units)/Arrangement 132 cells/(11x6 11x6) Solar Cell Type&Size Mono PERC,B3 x 166 mm Front Glass 3.2 mm Low Iron and Tempered glass with ARC coating Encapsulate PID Free&UV Resistant Junction Box(Protection degree/Material) IP68/Weatherproof PPO Cable&Connector(Protection degree/Type) IP68 rated/Staubli MC4 Connector Cable cross-section&Length 4 mm'&1200mm Frame Anodized Aluminium Alloy,Anodization thickness>_15 micron Fire rating Type 2 DESIGN SPECIFICATIONS � THERMAL CHARACTERISTICS Temperature coefficient of Current(Isc),a(°/a/'C) 0.055 Temperature coefficient of Voltage(Voc),B(%/eC) -0.285 Temperature coefficient of Power(Pm),y(%/°Cl -0.365 I 5 NOCTI'M 43±2 e' Operating temperature range PC) -40 to 85 O Waaree Energies Ltd.is amongst the top Solar Energy Companies and has the I I i country's largest Solar PV Module manufacturing capacity of 5 GW.In addition,it I j_€• is committed to provide top notch EPC services,project development, rooftop j solutions,solar water pumps and also in an Independent Power Producer.Waaree has its presence in over 325+locations nationally and 68 countries globally. If you need specific product certificates,and if module installations are to deviate from our guidance specified in our installation manual,please contact your local Waaree sales and technical repres6ntatives. 12 Years Product Warranty • 27 Years Power Output Warranty •The electrical data given here is for reference purpose only. •Please confirm your exact requirements with the sales representative while placing your order. •Refer installation Manual instructions&Waaree warranty statement for terms&conditions. •Waaree Reserves the right to change the specifications without prior notice.z www.waaree.com WEUE&PD/395-415/132/MP/HC/CMZ/01/27.07.2022 0 1 2 3 4 5 6 7 8 9 10 11 12 13 ENCLOSURE UTILITY NEMA3R METER EMPOWER S O L A R VD BRANCH D BRANCH C BRANCH B BRANCH A M ND AUSTIN Y 115 (10)SPR-40OW-(WAR)MODULES (10)SPR-40OW-(WAR)MODULES (10)SPR-40OW-(WAR)MODULES (10)SPR-40OW-(WAR)MODULES TO MAIN TO ISLAND PARK,NY 58 o TEL:516-837-3459 TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:4.00 kW SERVICE UTILITY (10)ENPHASE IQ7HS-56 MICRO INV(10)ENPHASE IQ7HS-66 MICRO INV(10)ENPHASE IQ7HS-66 MICRO INV(10)ENPHASE IQ7HS-66 MICRO INV FAX: 6-1789 TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW PANEL GRID www.empower-r-solar.com AC4 CONTINUE AS CONTINUE AS CONTINUE AS CONTINUE AS THE INFORMATION DISCLOSED HEREINISTHESOLE H REQUIRED FOR INV.... REQUIRED FOR INV.... REQUIRED FOR INV.... REQUIRED FOR INV.... SUNPOWER H PROPERTY OF EMPOWER CES.LLC.UNAUTHORIZED SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING DATA REPRODUCTION OR DISTRIBUTIONPROHIBITEDOF THIS AC DISCONNECT MATERIAL ECIFICW ITTENPRMISSI N MONITORING PRIOR SPECIFIC WRITTEN PERMISSION AC1 AC1 AC1 AC1 150A,2P CB PROFESSIONALS L1 L2 N (1)SPR-400W-(WAR) (1)SPRAOOW-(WAR) (1)SPRAOOW-(WAR) (1)SPR40OW-(WAR) n r, 20A,2P CB MODULE INV.2 MODULE INV.2 MODULE INV.2 MODULE INV.2 {7)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. G n f AC1 AC1 AC1 AC1 AC3 20A,2P CB OC E n 20A,2P CB �y.� D. 5'7O�g- (1)SPR-40OW-(WAR) (1)SPR-400W-(WAR) (1)SPR4 4 0OW-(WAR) (1)SPR0OW-(WAR) MODULE INV.1 MODULE INV.1 MODULE INV.1 MODULE INV.1 •7 (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. n 20A,2P CB 44. F AC1 AC1 AC1 AC1 n 20A,2P CB r II n 20A,2P CB _ � 1 • n 20A,2P CB E O O FEE SS�p�P E AC2 n 20A,2P CB Act Act Act TO RACKING G AC COMBINING MLO PANEL GROUND NEMA 3R 1 -PHASE 120/240V p p REV: DESCRIPTION: DATE: (1)SPR-40OW-(WAR) (1)SPR400W-(WAR) (1)SPR400W-(WAR) ENCLOSURE MODULE INV.1 MODULE INV.1 MODULE INV.1 (1)#6 AWG, EGC PROJECT NAME: (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. LABEL DESCRIPTION LABEL DESCRIPTION AC1 AC1 HCi AC1 SPR AC CABLE AC2 1-1/2"PVC NASSI RESIDENCE (2)#12 AWG (14)#10 AWG (1)#6 AWG,EGC PROJECT LOCATION: (1)SPR41OW-(WAR) (1)SPR40OW-(WAR) (1)SPR400W-(WAR) C MODULE INV.2 MODULE INV.2 MODULE INV.2 AC3 3/4"PVC AC4 2"PVC C 15105 OREGON ROAD (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (1)ENPHASE MICRO INV. (3)#10 AWG (3)#1 AWG CUTCHOGUE,NY 11935 (1)#10 AWG,EGC (1)#4 AWG,GEC t-AC1 t-AC1 AC1 PROJECT# _ CONTINUE AS CONTINUE AS CONTINUE AS PROJ.PHASE: PERMIT REQUIRED FOR INV.... REQUIRED FOR INV.... REQUIRED FOR INV.... / DATE: 10/04/2023 SPECIFIED STRINGING SPECIFIED STRINGING SPECIFIED STRINGING B B DESIGNED BY: RO BRANCH E BRANCH F. BRANCH G CHECKED BY: ED (10)SPR40OW-(WAR)MODULES (10)SPR400W-(WAR)MODULES (5)SPR40OW-(WAR)MODULES SCALE: NTS TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:4.00 kW TOTAL DC STC POWER:2.00 kW (10)ENPHASE IQ7HS-66 MICRO INV(10)ENPHASE IQ7HS-66 MICRO INV(5)ENPHASE IQ7HS-66 MICRO INV TITLE: TOTAL AC POWER:3.84 kW TOTAL AC POWER:3.84 kW TOTAL AC POWER:1.92 kW NOTES: THREE LINE ELECTRICAL SCHEMATIC 1.NEUTRAL&GROUND ARE BONDED TOGETHER(ORIGIN OF GEC FOR SOLAR ELECTRIC SYSTEM) A 32.GEC FROM SOLAR ELECTRIC SYSTEM BONDED TO.USE TAP RULE FOR OR SIZING TAP CONDUCTORS(NEC EXISTING DING GEC IN THE MAIN SERVICE PANEL USING IRREVERSIBLE SPLICE TOTAL SYSTEM SIZE:26.00 kW A SHEET: 4.SIZE GEC AND EGC AS PER NEC 240.66,NEC240.122 RESPECTIVELY (65)SPR-400W-(WAR) MODULES 5.USE MC ONLY IF INCLUDED GEC IS ADEQUATELY SIZED. (65)ENPHASE IQ7HS-66 MICRO-INV. SE-01.000 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 S O L A R 4589 AUSTIN BLVD ISLAND PARK,NY 11558 ` o — TEL:516-837-3459 RESIDENTIAL FAX:5706-1789 www.empowe r-solar.com H SOLAR PROJECT H PROPEROv OFTENOPOWER DISCLOSED HEREIN IS THE SOLE LLC.UNAUTHo¢ED REPRODUCTION OR DISTRIBUTION OF THIS PROSC^T jC/�nn. MATERIAL IS STRICTLY PROHIBITED WITHOUT I\ G\.I 1 GM'V, PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL OWNER: Craig Nassi G G PHONE: (917)848-2772 F ENGINEER OF RECORD: LLJ Or SOLAR INSTALLER: GREGORY SACHS,PE EMPOWER SOLAR _ 4589 AUSTIN BLVD 4589 AUSTIN BLVD ISLAND PARK,NY 11558 4 5 ISLAND PARK,NY 11558 O PHONE:516-837-3459 _CSS\0�1P E PHONE:516-837-3459 E `'"�... _ >,rt D D REV: DESCRIPTION: DATE: PROJECT LOCATION DATA: SHEET INDEX: PROJECT NAME: Craig Nassi `r ADDRESS:15105 Oregon Road, ST-01 COVER SHEET Cutchogue,NY 11935 S-01 EQUIPMENT LOCATIONS S-02 STRUCTURAL PROJECT LOCATION: c SE-01 ELECTRICAL c 15105 Oregon Road, Cutchogue,NY 11935 SCTM: 1000-073.00-01.00-001.000 PROJECTtk PROJ.PHASE: PERMIT DATE: 10/04/2023 g B DESIGNED BY: ED _ CHECKED BY: GS SCALE: NTS MAP TITLE: COVER SHEET A A SHEET: ST-01 1 2 1 3 1 4 1 5 1 6 7 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 ....... ......w»W........... EQUIPMENT LEGEND: SETBACK LEGEND _ 4589 AUSTIN BLVD ISND PARK,NY 11558 a MODULES ® 36"CLEAR PATH TEL:516-837-3459 FAX:516-706-1789 ww w.em power-so Iar.c o m UTILITY METER ® 18"RIDGE SETBACK THE INFORMATION DISCLOSED HEREIN IS THE SOLE H H RE ROTYOFEMPO R DISTRIBUTION IONNAU HORIZED OF THIS REP ROOD CT ION OR OI STRmBITED IT THIS [3 INVERTERS INVERTERS ® ACCESS ROOF MATERIAL IS STRICTLY PROHIBITER WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL SEAL 4❑ SOLAR DISCONNECT G G Y 5 MAIN SERVICE PANEL 5 yO z Y C 49 4 r co 5 F r ` "" w C) A uj �Q 45�1 ARoFESSO E E 0I t D REV: DESCRIPTION: DATE D �J� 3 -FCPV{WMIPPNELS . oral cw•,-R.>.s m rn PROJECT NAME: ORIENTATION.tST:PRCH.O rYPE2ROOFIEC O SOLM ACCESS 90H TSRF ezr. NASSI RESIDENCE Z O ' PROJECT LOCATION: C 7 C 15105 OREGON ROAD CUTCHOGUE,NY 11935 PROJECT*. PROJ.PHASE: PERMIT DATE: 1 010 412 02 3 B DRIVEWAY B DESIGNED BY: ED CHECKED BY: GS SCALE: NTS TITLE: EQUIPMENT LOCATIONS ROOF LAYOUT A A NOT TO SCALE SHEET: S-01 1 2 3 4 5 6 7 8 9 10 11 12 13 1 2 3 4 5 6 7 8 9 10 11 12 13 EMPOWER SOLAR 4589 AUSTIN BLVD SUNPOWER MODULES ISLAND PARK,NY 11558 o ON INVISIMOUNT RACKING TEL:516-837-3459 FAX:516-706-1789 SHINGLES www.empower-solar.com THE INFORMATION DISCLOSED HEREIN IS THE SOLE H PROPERTY OF EMPOWER CES,U.C.UNAUTHORIZED RAFTERS REPRODUCTION OR DISTRIBUTION OF THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT PRIOR SPECIFIC WRITTEN PERMISSION PROFESSIONAL 5 G G D F TYPICAL ROOF SECTION = "TPA`? ji - NOT TO SCALE =�1 SUNPOWER PANEL SPECS ��O p 4 531 E MODULE POWER(Wdc) QTY MODEL# LENGTH WIDTH DEPTH WEIGHT TABLE S-1.1:MAX.ATTACHMENT SPACING E 'OROFESS�O�P SPR-400 165 SPR-M-SERIES-AC 73.7" 40.6" 1.57" 48.0 LB PORTRAIT: 5'-4" LANDSCAPE: 8'-0" SPR-A-SERIES-AC 72.2" 40.0" 1.57" 46.5 LB SPR-E/X-SERIES-AC 61.4" 41.2" 1.81" 42.9 LB D D REV: DESCRIPTION: DATE: NOTES: PROJECT NAME: 1. TOTAL SYSTEM DC POWER:26.00 kW Craig Nassi 2.RACKING SYSTEM INSTALLED IN ACCORDANCE WITH CODE-COMPLIANT INSTALLATION MANUAL 3.ATTACHMENTS TO BE SECURED TO ROOF ASSEMBLY USING 5 mm STAINLESS STEEL SCREWS PROJECT LOCATION. AND/OR 5/16"STAINLESS STEEL LAG BOLTS SPACED ACCORDING TO TABLE S-1.1 O 15105 Oregon Road, 4. ALL ATTACHMENTS TO ROOF, MOUNTING BRACKETS & HARDWARE MEET OR EXCEED NYS Cutchogue,NY 11935 CODE REQUIREMENTS 5.INSTALLATION TYPICALLY MAINTAINS 718 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 PROD.PHASE: PERMIT 23 BOTH IN ADDITION TO KNOWLEDGE OF STANDARD CONSTRUCTION PRACTICES AT THE DATE 10/04/20 B TIME OF CONSTRUCTION B DESIGNED 7. THIS DOCUMENT CERTIFIES THAT THE ROOF STRUCTURE HAS BEEN CHECKED FOR WIND, CHECKED BYY:: S ED SNOW, UNBALANCED SNOW, LIVE AND DEAD LOADS BASED ON ASCE 7-10 CHAPTER 30- SCALE: NTs TITLE: WIND LOADS - COMPONENTS AND CLADDING (C&C) AND FOR CONFORMANCE WITH THE 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 NOTES: S o L w R 4589 AUSTIN BLVD ISLAND PARK,NY 11558 O 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 power-so Iar.com STANDARD INVERTER ASSEMBLY: SERVICE PANEL USING'SPLIT-BOLT CONNECTOR' THEINFORMATION DISCLOSED HEREIN ISTHESOLE H 3.IN SOME CASES POWER FOR DATA MONITORING ENCLOSURE MAYBE H PROPERTY OF EMPOWER CES.LLC UNAUTHORIZED DERIVED FROM MAIN SERVICE PANEL REPRODUCTION OR DISTRIBUTION THIS MATERIAL IS STRICTLY PROHIBITED WITHOUT HOUT 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 18.FINAL SCHEMATIC SPECIFIC TO THIS INSTALLATION AVAILABLE UPON ARRAY /\ REQUEST �Y10 INVERTER(S) AC DISCONNECT Lu LLI 40 08453 P� E E pROFEss�O STANDARD EXTERIOR INTERCONNECTION: STANDARD INTERIOR INTERCONNECTION: D p REV: DESCRIPTION: DATE: PROJECT NAME: INTERIOR EXTERIOR INTERIOR EXTERIOR Craig Nassi PROJECT LOCATION: 15105 Oregon Road, c MAIN MAIN Cutchogue,NY 11935 TAPSERVICE ENCLOSURE O 1 EBRRE0L ETT SERVICE O PANEL PANEL PROJECT# UTILITY UTILITY PROJ.PHASE: PERMIT METER METER DATE: 10/04/2023 ' a B DESIGNED BY: E 1 CHECKED BY: GS SCALE: NTS TITLE: ELECTRICAL A SHEET: S E-01 1 2 3 4 5 6 7 8 9 10 11 12 13