HomeMy WebLinkAbout49788-Z EFQ1k�OG Town of Southold 2/16/2024
y� P.O.Box 1179
0
y - 53095 Main Rd
4; o ,?' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44990 Date: 2/16/2024
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 1820 Wells Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-3-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/7/2023 pursuant to which Building Permit No. 49788 dated 9/27/2023
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
roof mounted solar panels to existing single family dwelling as applied for.
The certificate is issued to Calvo,Agustin&Romo,Melissa
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49788 12/15/2023
PLUMBERS CERTIFICATION DATED
Author'zed Ugnature
o�SUFFec,r�o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H 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#: 49788 Date: 9/27/2023
Permission is hereby granted to:
Calvo, Agustin
812 Grand St Apt 219
Hoboken, NJ 07030
To: Install roof mount solar to existing single family dwelling as applied for.
At premises located at:
1820 Wells Ave, Southold
SCTM #473889
Sec/Block/Lot# 70.-3-20
Pursuant to application dated 9/7/2023 and approved by the Building Inspector.
To expire on 3/2812025.
Fees:
SOLAR PANELS $50.00
ELECTRIC $100.00
CO-RESIDENTIAL $50.00
Total: $200.00
Building Inspector
pF SDUj�Olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 ��l� �o sean.devlin(g�town.southold.ny.us
OOUNT`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Agustin Calvo
Address: 1820 Wells Ave city,Southold st: NY zip: 11971
Building Permit#: 49788 Section: 70 Block: 3 Lot: 20
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: GreenLogic License No: 43858ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Solar X
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 10.8kW Roof Mounted PV Solar Energy System w/ (27) SunPower SPR U 40OW
Modules , AC Disconnect, AC Combiner
Notes: Solar
Inspector Signature: Date: December 15, 2023
S.Devlin-Cert Electrical Compliance Form
SOUIyp� V1 �] � D -
# TOW OF'SOUTHOLD BUILDING EP .
`yCrourm, 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: Ack
�-4 , 4- _ i c
DATE t2— 1S INSPECTO
OF SOGTyo�
TOWN OF SOUTHOLD BUILDING DEPT.
�O •
oou io
rm,��'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [� FINAL �o%L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION /[ ] PRE C/O [ ] RENTAL
REMARKS:
lk
c 0/0 1M
DATE INSPECTOR
i
G RisG L ANE E As. T NO. RTHn .0RT N. Y., aa,i -- a, 5a ea, a. B
Post Installation Letter
November 21, 2023
RE: Romo Residence
1820 Wells Ave,
Southold, NY 11971
Permit#49788-Issued: 9/27/23
SCTM: 70-3-20
To Whom It May Concern:
This letter is to confirm that as of this date November 21, 2023, I, James J Stout, NYS
license 021633 have inspected the placement and installation of the roof top solar
panels at the above listed address. The solar panels have been installed as per
manufacturer's guidelines and specifications. The racking system design and
installation complies with the 2020 NYSRC and provisions of ASCE 7-16. The
installation was done as per approved Building Department plans,
This certification letter must be presented to the municipality within 120 days of the
issuance date to ensure compliance with safety procedures and continuity of service,
Thank you for your cooperation in this matter.
James J. Stout
C�NCO S /
0,2
:ELD INSPECTION REPORT DATE COMMENTS
"0
FOUNDATION (1ST)
--------------------------------
O �
FOUNDATION (2ND)
z
0
CP
N
G \3
ROUGH FRAMING& ,�
PLUMBING
1
N
INSULATION PER N.Y�
STATE ENERGY CODE
OA
FINAL
ADDITIONAL COMMENTS S
9�1`r?�1-1.
sz� m
a
W
H_
N O
.. z
x
H
x
d
b
H
�� Foa TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 httl)s://www.southoldtownny.Pov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only D E C OWE
PERMIT NO. O Building Inspector: SEP ' 7
2023
Applications and,fcirms must,6e,hlled.out iri their entirety..Incomplete,,
applications willnot•.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: 8/7/2023
,OWNER(S)OF PROPERTY
Name:Melissa Romo SCTM#1000-70-3-20
Project Address:1820u Wells MAvenue, Southold, NY 11971 ..._.... .............. .._.._ . .. ..._.__...__.........._._...._._.. _...__..
µPhone#:201-401-6238 7Email:melissatromo gmail.com
Mailing Address:81_2 Grand St, Apt 219, Hoboken, NY 07030
CONTACT PERSON:
Name:Barbara - GreenLogic„LLC
Mailing Address:97 North Sea uRoad, Southampton, NY 11968
Phone#:631-771-5152 x117 Email:Barbara-@,Greenlogic,com_
QESIGN PROFESSIONALINFORMATION:
Name:James J. Stout Architect & Associates
Mailing yAddress:2 Greg Lane, East.Northport, NY 11731
Phone#:631,-85.8.-9388__... Email:stouthub.0iamesstoutarch.com„„
..CONTRACTOR INFORMATIONc'
Name:GreenLogic.LLCr. _ __..__......_.._.... _......___........._,......._._. . ..._.__.._........ ._.. ..._.__.. . .._..... _ ._.__ ._._.__. ____
Mailing Address:97 North_Sea Road, Southampton, NY 11968
Phone#:631-7715152 _..m. _., _ _._m_-.._... . _. Email:AMGreenlogiccom
I,IscRlPTioN of PROPosED cPNSTR, CTION
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
lilother Solar Panels $ 39,000
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes [60 IF YES, PROVIDE A COPY.
;B:Check BOX`AftL'r,ReadliBg:°"The ovirnerJcontractor/design oral is responsible for,all drainage and storm water issues as provided by
Chapter 236 of.the Town Code.'APPLlcATl0N;IS,HEREBY MADE,to the Building Department for the.issuance of a Building,Permit pursuant to the Building Zone
i'Ordinance of the Town of Southold,°Suffolk,County;New York arid.other applicable Laws,Ordinances of Regulations,for the construction-of Buildings,
additioris,alterations orfor removal or demolition as herein described.The applicant agrees,to comply with all a0plica6l0aws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premi'esg and5in building(s)for necessary inspections:False state merits made Herein are
punishable as a Class A inisdemeanoupursuantto Section 210AS of the(dew York State Penal,ow..' '
Application Submitted By(print name):GreenLogic LLC ®Authorized Agent downer
Signature of Applicant: Date: St 5t 3
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Ne.sim Albukrek
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Contractor
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
a5 day of , 20 01,5 hwtht, VA�qkiw-,
Notary Pub64BARAACASCIOT rA,
Mary Public-81me of Now Ybik'
NO.OICA4894969ed In Co *'
PROPERTY OWNER AUTHORIZATION Cemf1 mExpr siftalk l 11.2
��y �
(Where the applicant is not the owner)
residing at 6WA (62-0 U)-d -Ayv-
do hereby authorize GreenLogic LLC to apply on
my behal the Town of Southold Building Department for approval as described herein.
* , Z 212n3
Owner's Signature Date
Print Owner's Name'
2
VaF044/er BUILDING DEPARTMENT- Electrical Inspector
Q �!✓, TOWN OF SOUTHOLD
- Town Hall Annex - 54375 Main Road - PO Box 1179 r
"' Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.gov-- seand(a)-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 8/29/2023
Company Name: GreenLogic LLC
Name: Robert Skypala
License No.: 43858-ME email: BarbaraCGreenlogic.com
Phone No: 631-771-5152 ❑I request an email copy of Certificate of Compliance
Address.: , 97 North Sea Road Southampton, NY 11968
JOB SITE INFORMATION (All Information Required)
Name: Melissa Romo
Address: 1820 Wells Avenue, Southold, NY 11971
Cross Street:
Phone No.: 201-401-6238
Bldg.Permit#: Lf q-7:j:�" email: melissatromo@gmail.com
Tax Map District: 1000 Section: 70 Block: 3 Lot: 20
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system
(27) SunPower SPR-U-400-BLK panels Et (27) Enphase IQ7HS micro inverters
(1) SunPower PVS6 monitor System Size: 10.800KW
Check All That Apply:
Is job ready for inspection?: DYES ❑✓ NO ❑Rough In ❑✓ Final
Do you need a Temp Certificate?: ❑✓ YES ❑NO Issued On
Temp Information: (All information required)
Service Size ❑1 Ph ❑3 Ph Size: A #Meters Old Meter#
❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.x1sx
Vv l
SURVEY -Of PPOPEPTY
51TUATE: 5OUTHOLD ®�
TOWN: 5OUTHOLP E I
SUFFOLK COUNTY, NY
SURVEYED 10-02-2020 S
SUFFOLK COUNTY TAX# 9
1000-10 -3-20 -�
C;l1RTEO TO:hMM i
ROMO
AGUS I CALV fi r
AOIJST1Pt CALd®R®M®
OLIDA)BP MUC TITIZ CO.
Pq
V9\ -� � Q�
0
-O
Ai J Q
x o Q
t
r(n)
O.
x r•
• x
I I p m��
x Q
O
A
DR LT
IVEWAY
p� FFZ. 1'
i p �
SHED
NOTES: },v -4 ����ce sa'nYtlssee!obv Wnb IL
I • MONUMENT FOUND \ 50UTHOL
uN x.,•.n. u+xnue,vol,,o i
-o—o—o— voop FENCE y TOW
-X-X—x— CHAIN LINK FENCE
_ JOHN C. EHLERS LAND SURVEYOR
Area = 21 S21 50 FT OR 0.64 ACRES 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
6RAPHIC SCALE I"= 4O' RIVERHEAD,N.Y.11901 369-8288:Fax369-8287 ,
REF-C\LTsm\lobn\DmpboxVMOX2020-157.pro i
GREENLOGICO
ENERGY
August 29, 2023
Town of Southold
Building Department
Town Hall
53095 Route 25
Southold, NY 11971
Projectlnfo:
Melissa Romo
1820 Wells Avenue
Southold, NY
1000-703-3-20
Dear Building Inspector:
Please find attached a building permit application to install a roof mounted solar photovoltaic(PV)
electric system for the above referenced property.
In connection with this application, please find attached:
Building Permit application with owner authorization
Application for Electrical Inspection
2 Surveys of the Premises
• 4 Engineer's Reports
2 Three Line Electrical Drawings
2 Spec.sheets of the solar panels/inverters
• 2 Spec. sheets for Racking System
• 2 Spec. sheets for Monitoring System
• GreenLogic Suffolk County Home Improvement License
• GreenLogic Certificate of Liability Insurance
• GreenLogic Certificate of Worker's Compensation Insurance Coverage
• Installation Manager's Master Electrician's License
• Check for$200($50 Building Permit/$50 CO/$100 Electrical Inspection)
Please let us know if you need anything else in connection with this application.
Yours truly,
`Bwdfcvca exociotta
Barbara Casciotta
Account Manager
Barbara@Greenlogic.com
GREENL(� I�-1�1iC1.5 C�rj.njjgc.com Tel: 631.771.5152 Fax: 631.771.5156
SOUTHAMPTON ROSLYN HEIGHTS
97 North Sea Rd.,Suite 3 200 S. Service Rd.,#106
Southampton, NY 11968 Rosyln Heights, NY 11577
G R E E N LOG I C°
ENERGY itIJ
F E B - 2 2024 `
January 30, 2024
The Town of Southold
Building Department
54375 Route 25
P.O. Box 1179
Southold, NY 11971
Projectlnfo:
Building Permit No.49788
Melissa Romo
1820 Wells Avenue
Southold, NY
To the Building Inspector:
Enclosed please find the Engineer's Certification Letter for the above referenced
address. Can you please close the building permit and send the Certificate of Occupancy
after inspection? Please let me know if you have any questions about the installation.
Sincerely,
J3wdwna Cc6cia#tac
Barbara Casciotta
Account Manager
Barbara@Greenlogic.com
631-771-5152 Ext. 117
GREENLOGIC LLC•www.GreenLogic.com Tel: 631.771.5152 Fax: 631.771.5156
SOUTHAMPTON ROSLYN HEIGHTS
97 North Sea Rd.,Suite 3 200 S.Service Rd.,#104C
Southampton, NY 11968 Rosyln Heights, NY 11577
Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
01/2612023
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 HAcr
Nra Nicholas Zulkofske
Brookhaven Agency,Inc. PHONE 639 941-4113 Fax N 631 941-4405
100 Oakland Ave,Ste 1 E-Mpg
AIL Certificates@ brookhavena enc .com
Port Jefferson,NY 11777 INSURERS AFFORDING COVERAGE NAIC#
INSURER A: Southwest Marine&General Insurance Co.
INSURED INSURER B: Merchants Preferred Insurance Co.
GreenLogic,LLCI INSURERc: First Rehab Life Insurance Co.
97 North Sea Rd,Suite 3 INSURER D: National Liability&Fire Insurance Co.
Southampton NY 11968 INSURER E. AGCS Marine Insurance Co.
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MO DDY EFF MMLICY DD1 EXP LIMITS
R
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000 000
A CLAIMS-MADE FX1 OCCUR DAMAGE TO REor NTED $10O 000
X Contractual Liability X X GL202300012922 01/3112023 01/31/2024 MED EXP(Any oneperson) $5 000
PERSONAL&ADV INJURY $1 00O 000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 000
POLICY X�PRO ❑LOC PRODUCTS-COMP/OP AGG 2 000 000
JECT
OTHER: E&O Liability $1,000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 00O 000
B X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED X X CAP1043565 08/11/2022 08/11/2023 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
X AUTOS ONLY X AUTOS ONLY
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED I I RETENTION $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A see separate certificate
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under ,
E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS below
C NYS Disability D251202 04/1112022 �04111112023 Statutory Limits
E Installation Floater/Property, SML93076366 04/1512022 04/15/2023 $300,000 $2,500 Ded
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required)
Certificate holder is also named as Additional Insured.
CERTIFICATE HOLDER CANCELLATION
TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS.
53095 ROUTE 25
SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ�
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
� R workers' CERTIFICATE OF INSURANCE COVERAGE
STOA E Compensation
Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW
PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier
1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured
GREENLOGIC,LLC 631-941-4113
97 NORTH SEA ROAD,SUITE 3
SOUTHAMPTON,NY 11968
SOUTHAMPTON,NY 11968
1 c.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) 203801194
2,Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company
Town of Southold
Building Department 3b.Policy Number of Entity Listed in Box"la"
53095 Route 25 DBL251202
Southold, NY 11971 3c.Policy effective period
04/11/2022 to 04/10/2024
4. Policy provides the following benefits:
A.Both disability and paid family leave benefits.
B.Disability benefits only.
C.Paid family leave benefits only.
5. Policy covers:
Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law.
❑ B.Only the following class or classes of employer's employees:
Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named
insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above.
Date Signed 4/4/2023 By (W.
(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 46,4C 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) I (iiiiiiiiiiiiiiiii������
voRK Workers' CERTIFICATE OF
STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE
Board
1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured
Greenlogic LLC (631)771-5152
97 North Sea Rd 1c.NYS Unemployment Insurance Employer Registration Number of
Suite 3 Insured
South Hampton,NY 11968
Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security
certain locations in New York State,i.e., a Wrap-Up Policy) Number
203801194
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder)
United Wisconsin Insurance Company
3b.Policy Number of Entity Listed in Box"1a"
TOWN OF SOUTHOLD WC605-00090-023-SZ
BUILDING DEPARTMENT
53095 ROUTE 25 3c.Policy effective period
SOUTHOLD,NY 11971 01/01/2023 to 01/01/2024
3d.The Proprietor,Partners or Executive Officers are
❑ Included.(Only check box if all partners/officers included)
❑ all excluded or certain partners/officers excluded.
This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers'
compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A
on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its-licensed agent will send
this Certificate of Insurance to the entity listed above as the certificate holder in box"2".
The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days'IF a policy is canceled
due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or
eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this
Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy
expiration date listed in box"3c",whichever is earlier.
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,
extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the
referenced policy.
This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect.
Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be
named on a permit, license or contract issued by a certificate holder,the business must provide that certificate,'holder with a
new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the
mandatory coverage requirements of the New York State Workers'Compensation Law.
Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced
above and that the named insured has the coverage as depicted on this form.
Approved by: Alicia Christiansen
(Print name of authorized representative or licensed agent of insurance carrier)
Approved by: ,�� ( �l1ZGd /2�20�1i IZZ ��ZZ
(Signature) (Date)
Title: Director of Sales Operations
Telephone Number of authorized representative or licensed agent of insurance carrier: 941-306-3077
Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT
authorized to issue it.
C-105.2 (9-17) www.wcb.ny.gov
",ire
"As
-y
A—
...........
Suffolk County Executive's Office of Consumer Affairs
VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEWYORK 11788
J-)A I r, ISSUED: 5/25/2006 No. 40227-H
SUFFOLK COUNTY
Home Improvement Contractor License
I This is to certifv that MARC A CLEJAN
doing business as
GREEN LOGIC LLC
having ftu-nished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules
and regulations of the County of Suffolk, State of New York.is hereby licensed to conduct business as a HOME
... ........
IMPROVEMENT CONTRACTOR, in the County of Suffolk.
Additional Businesses
NOT VALID WITHOUT
SEAL
MR )
DJ�PARTMENTAL
AND A CURRENT
CONSUNIER AFFAIRS ...........
ID C&RD
Director
41,
I
Suffolk County Executive's Office of Consumer Affairs
airs
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED: 12/10/2007 No. 43858-ME
SUFFOLK COUNTY
,Master Electrician License �
This is to certify that ROBERT J SKYPALA
doing business as GREENLOGIC LLC ; I
having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance
with and subject to the provisions of applicable laws, rules and regulations of
the County of Suffolk, State of New York. �[
Additional Businesses
I
NOT VALID WITHOUT
DEPARTMENTAL SEAL
AND N CURRENT
CONSUMER AFFAIRS
II)CARD
Director
L
MOM
r
APPROVED AS NOTED DATE OCCUPANCY
• OR ..F
e.P�
FEE USE IS OD gY, UNLAWFUL '
NOTIFY BUILDING DEPARTMENTAT WITHOUT CERTIFICATE
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS: OF OCCUPANCY
I. FOUNDATION-TWO REQUIRED ^
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE i' > �-
REQUIREMENTSOFTHECODESOFNEW �o i��L°� WI-�`N,ALL: QDES 0k :
YORK STATE. NOT RESPONSIBLE FOR ���Y®RIC STA''Ir&TOWN,CODE$
DESIGN OR CONSTRUCTON ERRORS AS REf UI ED ANL��':_ONDJT,16 �S,OF'
'SOUi 0TOWNM
SOUTHOLD"TOWN PLANNINaWpR :
.SOMOLD TOWN TRUSTEES
N;Y.3 DEC
Tam omme "FzQufm
RETAIN STORM W APTER 2uNo36FF
PURSUANT TO CH
OF THE TOWN CODE.
. e
J A M E S J. S TOUT A R C H I T E C T & Assoc.
2 G RE L AN EAST NORTHPORT N. Y. 631 - 8 58 9388
Letter of Certification
August 3,2023
RE: Romo Residence
1820 Wells Ave.
Southold, NY 11971
To whom it may concern:
I, James J. Stout, registered architect NYS license number 021633 would like to
submit the following. I have inspected and analyzed the roof structure at the above
mentioned address and have determined the structure and the panel attachment to
be adequate to support the new additional load imposed by the proposed solar panel
system and complies with the 140-mph wind design load as per 2020 Residential
code of NYS (RCNYS), 2020 Energy conservation construction code of NYS
(ECCCNYS), the Long Island Unified Solar Permit Initiative (LIUSPI) and the ASCE
7-16.
The existing 2"x'8" @ 16"o.c. roof rafters will provide the required support.
Thank you for your understanding in this matter.
James J. Stout
Architect
�f
ARC3.
f 21 ��
�-SO AR
,r 3 3.-
--^_________________NEW EQUIPMENT--- -----_ _ __ ________ i *,`- - * EXISTING SERVICE
240,12Q AC-COMBINER PANEL Q� 1 PH, 3W
PV-SA-1 �-� 0 3 �
AC-CMB-1
t�I • • • , (PV LOADS ONLY) t-- ;W)H
I I
I ................
._...................._.. ...........
rmn PV-SA-2 _ I
• • AC-DSC-1
BKR-1 AC DISCONNECT ( +
V I I !
I
BKR-2
° PV-SA-3F01.
. . .
N! . . . Z f I ( 8KR-3 'I i
1�l 6 l ' }---�MAIN
i III BKR-4 + A B N
I
PV-SA-4FM
j FUs�D
• • •
. . . 2 1 ! II N IF7
I i l I C
N H
TYPICAL PV MODULE WITH IIII I
INTEGRAL DC/AC INVERTER II ' I EGC R
EGC
IIII I I
IIII I I # I
10.800kW DC i j I i I i EXISTING AC PAN EXITING
LI __-0_368kW AC __ �__ �__ L��-�®� ___—_L________________�___ GEC
_
PROPOSED 3-LINE ELECTRICAL DIAGRAM
REVISIONS
Romo, Melissa GREENLOGICO
1820 Wells Avenue ct ENERGY
Southold, NY 11971
ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 1 of 3 Drawing No: Romo-3LD1 Revision: 1 Revised: 5/12/23
EQUIPMENT& COMPONENT SCHEDULE
TAG DESCRIPTION SPECIFICATION
PV-SA-1 SUB-ARRAY WAAREE WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 8-MODULES
PV-SA-2 SUB-ARRAY WAAREE WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 8-MODULES
PV-SA-3 SUB-ARRAY WAAREE WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 8-MODULES
PV-SA-4 SUB-ARRAY WAAREE WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 3-MODULES
ELECTRICAL LOAD SUMMARY
AC CIRCUITS
VOLTAGE MAX.AC
TAG POWER, MAX VOLTAGE, NOMINAL
RANGE CURRENT
PV-SA-1 3200 WATTS 211-264 VAC 13.00 A AC 240 V, AC
PV-SA-2 3200 WATTS 211-264 VAC 13.00 A AC 240 V,AC �ti��a Aqe
PV-SA-3 3200 WATTS 211-264 VAC 8.13 A AC 240 V, AC
PV-SA-4 1200 WATTS 211-264 VAC 4.88 A AC 240 V, ACi.
'jyr 21 U3� yqQ
bF NEB
PROPOSED EQUIPMENT SPECIFICATIONS
REVISIONS
Romo, Melissa GREENLOGICO
1820 Wells Avenue ENERGY
Southold, NY 11971 ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
- Page 2 of 3 Drawing No: Romo-3LD1 Revision: 1 Revised: 5/12/23
w a
EQUIPMENT& COMPONENT SCHEDULE
TAG DESCRIPTION SPECIFICATION
AC-CMBP AC COMBINER PANEL 25OV, 200A, NEMA-1, 1-PH, 3-WIRE
BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
BKR-3 CIRCUIT BREAKER, PV-SA-3 MATCH AC COMBINER�PANEL BRAND, 2-POLE, 20A
BKR-4 CIRCUIT BREAKER, PV-SA-4 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 100A, NEMA-1, FUSED; FUSE RATING: 100A
CONDUCTOR SCHEDULE
TAG TYPE CONDUIT AWG. / EGC
A USE-2/PV/UF 3/4" PVC-40 12 / 6 v
B THWN-2 2" PVC-40 4 / 6
C THWN-2 2" EMT 4 / 6
1.) CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS.
�,E.O ARC
2.) ELECTRICAL CONDUITTO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. p
��\y��k /r;9•r
3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE RE-
QUIREMENTS.
4.) NOTE:GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER. sr�gT 21, 33 yOQ
i �bF NEB
PROPOSED EQUIPMENT SPECIFICATIONS
REVISIONS
Romo, Melissa ct LOGIC"
1820 Wells Avenue ENERGY
Southold, NY 11971 ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 3 of 3 Drawing No: Romo-3LD1 Revision: 1 Revised: 5/12/23
A�'gP�C ABC
__—_-_____--NEW EQUIPMENT-----------_-------------------- *, � ,. - EXISTING SERVICE
PV-SA-1 A`> AC-COMBINER PANEL �j o e� 1201/140, Pt1, 'a'gr
i y Z 163 y0 .... ......._........
AC-CM13-1 rF bF N6`�
. . . '...
N • • • 1 (PV LOADS ONLY)
' 200A (KWH)
..._........._..............
PV-SA-2 A�Fm
I
. • . A e N 1 :,C ter,
. . . I AC-DSC-
N I kBKR— AC DISCONNECT
! I
I BKR-2
' PV—SA-3FSFI
. e e Fan
—<
o �`I e o • II BKR—3 a }�MAIN
BKR-4 JFUSED
PV—SA-4 ( � I
a
N
IEGC t�
N
rrPtCAL PV MODULE WITH
INTEGRAL DC/AC INVERTER I I EG('
IIII { EGC
i flil I I �
IIII I I � 1
10.800kW DC EXISTING ICISTING AC PAN IGE ING
10.368kW ACcu ----__ _ .
PROPOSED 3-LINE ELECTRICAL DIAGRAM
REVISIONS
Romo, Melissa E E N LOG ICo
1820 Wells Avenue ENFRGY
Southold, NY 11971 ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 1 of 3 Drawing No: Romo-3LD1 Revision: 1 Revised: 5/12/23
k
EQUIPMENT& COMPONENT SCHEDULE
TAG DESCRIPTION SPECIFICATION
PV-SA-1 SUB-ARRAY WAAREE WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 8-MODULES
PV-SA-2 SUB-ARRAY WAAREE WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 8-MODULES
PV-SA-3 SUB-ARRAY WAAREE WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 8-MODULES
PV-SA-4 SUB-ARRAY WAAREE WSMD-400 ENPHASE IQ7HS, 1-CIRCUIT OF 3-MODULES
ELECTRICAL LOAD SUMMARY
AC CIRCUITS
TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL
RANGE CURRENT
PV-SA-1 3200 WATTS 211-264 VAC 13.00 A AC 240 V, AC
PV-SA-2 3200 WATTS 211-264 VAC 13.00 A AC 240 V, AC ERA0 Aq
PV-SA-3 3200 VVATTS 211-264 VAC 8.13 A AC 240 V,AC
PV-SA-4 1200 WATTS 211-264 VAC 4.88 A AC 240 V, AC ;1
021633 y0�
bF N�`�
PROPOSED EQUIPMENT SPECIFICATIONS
REVISIONS
Romo, Melissa R E E LOG IC'
1820 'Wells Avenue ENERGYNmOF
Southold, NY 11971 ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 2 of 3 Drawing No: Romo-3LD1 Revision: 1 Revised: 5/12/23
-—--—----- ___ ____ __ __ EXISTING SERVICE
NEW EQUIPMENT
300A KWH ( 120/240, 1 PH, 3W
(TYPICAL SYSTEM SCHEMATI.
FINAL INSTALLATION MAY VARY, i
REQUIRES LOCAL AHJ
AND UTILITY APPROVAL) j
I E
,
i
PV=SA-1 A
AC-COMBINER PANEL
AC=CMB-1
T 2 1 (PV ONLY) B EXISTING EXTERIOR
-� AC DISCONNECT FUSEDC11 FUSED
TYP. PV ARRAY n j 100A �/
MAIN �l
PV-SA-N A I A B N
BKR-1
I
N • • .• 2 1 150A 150A
MAIN }- MAIN
---- . U- - I BKR-N BFB-1
TYPICAL P.V MODULE WITH I I
AC DISCONNECT A B N A B N
INTEGRAL DC/AC INVERTER
BKR-M
II � .
II P
II
� I N
II13 N N
I I PM-1
I I EGC CF9 :��MBJ EGC MBJ EGC
II
I '
/
MAIN AC DISTRIBUTION I AC DISTRIBUTION I
NEW EGC -L- NON-CRITCAL LOADS) (NO
I I #6CU ---- C T ---
�--I ------- -N-CRITCAL LOADS)
--- - -- ( -------J
I
---- IRREVERSIBLE�------------- BOND, TYP, -� EXISTING1GEC
PROPOSED 3-LINE ELECTRICAL DIAGRAM
REVISIONS
Romo; Melissa JaGREENLOGIC!G
1820 Wells Ave
ENERGY
SOUtI'IOId, NY 11971 2.) REVISED TO.REFLECT ASBUILT CONFIGURATION ILIMIKATING THE LOST OF ENERGY
1.) INITIAL SUBMITTAL WITH PV APPLICATION
Page 1 of 4 Drawing No: ROMO-3LD2A Revision: 2 Revised: 12/06/2023
SYSTEM SUMMARY
TOTAL KW RATING: (AC POWER) 10.368 (PV)
TOTAL PV KW RATING: .(DC POWER) 10.800 (PV)
QTY. COMPONENT SPECIFICATION
SUNPOWER BRAND, MODEL: SPR-U-400-BLK-W-DC
27 PV MODULE:
400 W DC (NOMINAL), EACH
ENPHASE BRAND, MODEL: IQ7HS-66-M-US
27 PV INVERTER: (INTEGRAL TO MODULE)
384.VA, 1.60 A, 240V AC, EACH
Romo, Melissa REVISIONS
1820 Wells Ave LOGIC
Southold; NY 11971 ENERGY
2.) REVISED TO REFLECT ASBUILT CONFIGURATION EEIMINJOIN G THE:COST OF ENERGY
1.) INITIAL SUBMITTAL WITH PV APPLICATION
Page 2 of 4 Drawing No: ROMO-3LD2A Revision: 2 Revised: 12/06/2023
EQUIPMENT& COMPONENT SCHEDULE
TAG DESCRIPTION SPECIFICATION
PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-U-400-BLK-W-AC, 1-CIRCUIT OF 9-MODULES
PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-U-400-BLK-W-AC, 1-CIRCUIT OF 9-MODULES
PV-SA-3 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-U-400-BLK-W-AC, 1-CIRCUIT OF 9-MODULES
PM-1 PRODUCTION MONITOR SUNPOWER PVS-6
AC-CMB-1 AC COMBINER PANEL, CRITICAL LOADS 250V, 100A, NEMA-1, 1-PH, 3-WIRE
BKR-1...BKR-3 CIRCUIT BREAKER, PV-SA-1...PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
BKR-M CIRCUIT BREAKER, PM-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
BFB-1 AC DISCONNECT BREAKER (GRID TIE) MATCH MAIN PANEL BRAND, CIRCUIT BREAKER RATING: 60A, 2-POLE
REVISIONS
Rom, Melissa
1820 Wells Ave G GRLOGIC
Southold, NY 11971 EiVER:GY
2.) REVISED TO REFLECT ASSUILT CONFIGURATION :ELIMINATING THE:C.OST OF ENERGY
1.) INITIAL SUBMITTAL WITH PV APPLICATION
Page 3 of 4 Drawing No: ROMO-3LD2A Revision: 2 Revised: 12/06/2023
ELECTRICAL LOAD SUMMARY,AC CIRCUITS
TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL
RANGE CURRENT
PV-SA-1 3,456 WATTS 211-264.VAC 14.40 A AC 240 V,AC
PV-SA-2 3,456 WATTS 211-264 VAC 14.40 A AC 240 V,AC
PV-SA-3 3,456 WATTS 211-264 VAC 14.40 A AC 240 V,AC
CONDUCTOR SCHEDULE
TAG TYPE CONDUIT AWG. / EGC
A NMB 3/4" PVC-40 10 / 10
B THWN-2 1" PVC-40 6 / 10
C THWN-2 1" PVC-40 12 / 12
1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS.
2.) ELECTRICAL CONDUITTO BE MINIMUM PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS.
3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS-TO COMPLY WITH NEC AND LOCAL CODE REQUIRMENTS.
4.) NOTE: EQUIPMENT GROUNDING CONDUCTOR TO BE#6 COPPER, MINIMUM
PROPOSED ELECTRICAL LOADS
Romo, Melissa REVISIONS
1820 Wells Ave C+GREEINILOGI'C�
Southold, NY 11,971 ENERGY2.) REVISED TO REFLECT ASBUILT CONFIGURATION ;ELIMINAbNIG THE COST OF ENERGY.
1.) INITIAL SUBMITTAL WITH PV APPLICATION
Page 4 of 4 Drawing No: ROMO-3LD2A Revision: 2 Revised: 12/06/2023
LOG ICO
ENERGY
GreenLogic,LLC Approved
Romo,Melissa
1820 Wells Avenue
Southold,NY 11971
Surface#A:
Total System Size:10.800kW
Array Size:10.800kW
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
Azimuth:256°
Pitch:
Monitorinrin
g System:
SunPower
Panel/Array Specifications:
Panel:SPR-U-400-BLK-W-DC
Racking:SunPower Invisimount
Panel:75.7"X 40.8"
o Array:57'3 3/16"X 10'3 15/16"
Surface:61'2"X 18'
Magic#:Invisimount
Legend:
® 27 SunPower 350W Panels
®-- SunPower Invisimount Rail
• 72 Iron Ridge Flash Foot 2
2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
O�
Aqc
5� 1.
C1 T
Drawn By:MMB Drawing#1 of 5
Date:7/25/2023 REV:A
Drawing Scale:1/8"=1.0'
GREENLOGICO
ENERGY
GreenLogic,LLC Approved
Romo,Melissa
1820 Wells Avenue
Southold,NY 11971
Surface#A:
Total System Size:10.800kW
Array Size:10.800kW
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
Azimuth:256°
Pitch:20* -list
Monitorinrin
g System:
SunPower
Panel/Array Specifications:
Panel:SPR-U-400-BLK-W-DC
Racking:SunPower Invisimount
Panel:75.7"X 40.8"
o Array:57'3 3/16"X 10'3 15/16"
Surface:61'2"X 18'
Magic#:Invisimount
Legend:
® 27 SunPower 350W Panels
® SunPower Invisimount Rail
• 72 Iron Ridge Flash Foot 2
2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
J�
A�� /
s%
r
Drawn By:MMB Drawing#2 of 5
Date:7/25/2023 1REV:A
Drawing Scale:1/8"=1.0'
GREENLOGICO
ENERGY
GreenLogic,LLC Approved
Romo,Melissa
1820 Wells Avenue
Southold,NY 11971
Surface#A:
Total System Size:10.800kW
Array Size:10.800kW
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
Azimuth:256'
Pitch:
Monitorinrin
g System:
SunPower
Panel/Array Specifications:
Panel:SPR-U-400-BLK-W-DC
Racking:SunPower Invisimount
Panel:75.7"X 40.8"
Array:57'3 3/16"X 10'3 15/16"
Surface:61'2"X 18'
3 Magic#:Invisimount
Legend:
® 27 SunPower 350W Panels
2 SunPower Invisimount Rail
• 72 Iron Ridge Flash Foot 2
1 H 2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
vkEl)ARC
Ar
iAr1 ti
33 yOQ�
_ Drawn By:MMB Drawing#3 of 5
Date:7/25/2023 REV:A
Drawing Scale:1/8"=1.0'
No Vent Pipes Will Be Covered By The Solar ArrayG� I °
ENERGY
Legend:
GreenLogiq LLC Approved
AR-Access Roof AP-Access pathway, 36" minimum width SVO—Setback at ridge Romo,Melissa
1820 Wells Avenue
per R202 definitions per R324.6.1 as per R324.6.2.1 Southold,NY 11971
Total System Size:10.800kW
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
Azimuth:256" Ise
Monitoring System:
SunPower
Panel/Array Specifications:
Panel:SPR-U-400-BLK-W-DC
Racking:SunPower Invisimount
Panel:75.7",X 40.8",
Magic#:Invisimount
Legend:
® 27 SunPower 350W Panels
® SunPower•lnvisimount Rail
AR • 72 Iron Ridge Flash Foot 2
2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
—------------------------- ------------------ —
SVO Height above Roof Surface:
Meter SVO Materials Used:Iron Ridge,SunPower
----------------------------------------------- Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
?21
2�7 SunPower
0 anels
Drawn By:MMB Drawing#4 of 5
Date:7/25/2023 REV:A
Drawing Scale:3/32"=1.0'
GREENLOGICO
ENERGY
GreenLogic,LLC Approved
Romo,Melissa
1820 Wells Avenue
Southold,NY 11971
Total System Size:10.800kW
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
1 circuit of 9 on a 20A breaker
JOB MATERIAL LIST -��- � Azimuth:256°
;...___._ _..__ ....__._._..._................... ._ .__.._....._. . .._:_.._._._...._ __. _... . _.__
Monitoring System:
...___._.. . _..._........_._.._ .-. .. ..__.._.__;.----....._,._... . _'
SunPower
Panel/Array Specifications:
Panel:SPR-U-400-BLK-W-DC
Racking:SunPower Invisimount
_......__............ .....__..,._..,._.. _ .._._,_, . ... _...._ _.... - ..._...... .__.__ _ Panel'75.7 X 40 8"
Material List gt1L Rail Material List Magic#.Invisimount
_....._..............._........... .. Legend:
. ............ .. ............ _........................_._............_...:.................. .... .. ..................._................. ......
® 27 SunPower 350W Panels
... ....... .......... _......_ .........._- ........__..................... :. ........... . ......... ........ ..........._..............._...
SunPower Invisimount Rail
........................_...... .._._...._........_........._.... ..__.....__......................_.... ............. . .... ............................................................................................................................... ........_............_...€......__._....._....... ....................... ..
Cast Aluminum Mounting Block w/Black Aluminum Flashing 72 • 72 Iron Ridge Flash Foot 2
5/16"x4.75"Hex-Head Lag Screw 72 2x8"Douglas Fir Rafter 16"O.C.
__._ .._...._.__..._...__._..._._......__..... . _...._............._..... .._......_........._... _.. _.......... ...................._._ . _........
5/16 x1.25 Fender Washer 72 Notes:
_..._._...._........_....._.........._........._ ............ ...... _ ..... _.___._,_..,-............_. . ;_ ....__....... _ ._.....�__... __..__ _. ......._......._...........
Number of Roof Layers:1
.._....... __..... ..._................._....... _.._.............. ..._.. .... ._........_ _. ._
Height above Roof Surface:4"
____.....__._ _._.,..___.._.._..._.._._,.__.,,__..__...__......__.......__ .___.__._ _._._ ._..._......._... _____._.._ . ....... Materials_......_...._...
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
� t
F
iF 1 33
Drawn By:MMB Drawing#5 of 5
Date:7/25/2023 REV:A
Drawing Scale:3/32"=1.0'
a
1
• Q rNIN-MAIN . . •
Simple and Fast Installation
Try_ yf�w�.. r�>f.>�3,�:s`.9,,-_h* YJ. ,st"^�J..�.'.4:a`•___ _ `J
Integrated module-to-rail grounding
Pre-assembled mid and end clamps : =<r>, t, ,a• -``sz: �.4. .a<..: : :.: . _ ' ;c-
�,�,u'g. ,,;'`' ;:Y•; "`, ":y,.�� art::'.��'-�`,Ps;`:ti,;,.: -
Levitating mid clamp for ea placement
J'
Mid clamp width facilitates consistent,even
module spacing-
Simple,pre-drilled rail splice
UL 2703 Listed integrated grounding
I
Flexible Design -
Addresses nearly all sloped residential roofs
Design in landscape and portrait
Rails enable easy obstacle management �^*
Customer.-Preferred Aesthetics`
40 module arid#1 mounting aesthetics
Best-in-class system aesthetics Elegant Simplicity
Premium,lo,,v-profile design
SunPower� InvisiMountT',' is a SunPovver-desi ned
• Black anodized components g
Hidden mid damps and end clamps rail-based mounting system. T he InvisiMol.;nt system
and capped,flush rails
addresses residential sloped roofs and combines faster
Part of Superior System insti^alladon time:, design flexibility, and superior aesthetics.
Built for use with SunPower DC and AC modules
The InvisiMount:prodUCt:was specifically envisioned and
Best-in-class system reliability and aesthetics
Combine with SunPower modules and engineered to pair with SUnPower modules. The reSUlting
monitoring app system-level approach will amplify the aesthetic and
installation benefits for both Homeowners and installers.
��.• L (,�, iJ,fJlll ��.
r ._a sunpower.com
Datasheet
fM r- • a i°�•• tir•
�1
'r
i
iS
:.r •
r,
r.s ,
.04
Li
tTM
SunPowerO InvisiMoun Residential Mounting System
L9013 •
Ivlcdtie*i Mid Clamp and Rail ;.ledule*i End C!amc and Rail
ter
Mid Clamp End Clamp Rai!&Rail Sp!!ce Ground Lug assembly :nd Cap
,w
o I I • • • • s
!
I ' rerr;oer'aau'e r'°C C'-'d C° to'94'
_?
Iat rI
_....._......._...._...._.........Componen F:�i: - ........................._...._...._........... ........_
3000 3 u
t•:I,^ChJrn . ti „ - 61000 Pa do-,t'`IOrce
r
'd Dt •
e, «..
End Clamp Black anodized alurninurn alloy ui)u T6 11 C:g :1.88 oz)
Rail Slack antxi!zcc1 alurninurn alloy!,005.'f;, 8:i{i: ,rr,)ni oJf!'}
•
Rail Splice AID onir:,•rn allay 6005.E 5 830:'m(9 o:;ft) 25.Year product warranty
----1' - --.._..----..---- ------- -._....
Ground Lug i ]:J�l Siail`!85 i ? .. ....__.._._._. .aG J .ues
li S';!r:(i.'•5i 07.). .r. Syea ..rfin_ ..arfam
Assembly fA -iu bolt tin-plated cuu..er alarl ! '• `
t._....._...---'--.._....._..........-- -------'--..........................._.._..__.....—................ __-___..._...............--.._._— ...._--'--'-------'---._......._.._—..-----'—'--------..
End Cac. I Black=.cc.tal!PC01,•,.)cop.iyrrer I r; g(t;i;o:}_...._.
i
r'.rtincaticrs !
• Cias A Fire Ratecl
ingle .......................—- - ----- — ....._.._._.._._.._..------....-......_ _........------- --. .................
Compas;tion Sh Raft?r+ttachrn=r„ _...
CL,r..pos-::on Shintgle Roof Decking,Aaachmer!, ` • •
Aop;icatlon I _
r od anti Flat Ue :;:;!r rt:.rc'•!rricri,
Un versal Interface for Cher R:3pf Attavtrienr-s. R,`:;r co roof a¢achment hardt ar'e rrnanufaccurer`s Ciocurrientauor,,
.... ..................................... ......_........................................................ .......................................... .. ................................... ................. .._._........... .._......--- ......................._._ ..........._.....—..._..............
---' —'
'Module innnt+liar's e.nrrihat:i:irr.ti•!:ir rhe:Ir'va0,9:,ur::sy.,te.-,•r:quurd tc;r h.ir:^,yore it':!r.�rory::rahr6ty. !
.. .,'-'
. ,::c. �,::�..
a;,; ,�!.:n ovier:.t,rpora;ion. At'Ripi�csf;e;eryed. �ti;^dPCPr!.:n,the.�lJ;d?C4J_k'!cro,a::alU>„Ia,....:.l:,retr::rmtrksorrrr;isrerr-d
trademarks of Sur?ov,er Crrporat!on. All other!raderriarks .c•tn-prr>etty of i.err reme.:.e es:-s. >r.!npo,•:... :Jm
Spe!ficadors included:n this data'oheet are sub!e.d to chj, .withc a nrtice. Docurnen[#509506 RevC
Da 1 Sh
Enphase Microinverters
e g on:ANA..:.6;Il;r.S
Enphase 1
WHS The high-powered smart grid-ready
Microinverter Enphase iQ7HS MicroinverterT"' with integrated MC4
connectors dramatically simplify the installation
process while achieving the highest system
efficiency.
The IQ Series Microinverters extend the reliability
standards set forth by previous generations,and
undergo over a million hours of power-on testing,
enabling Enphase to provide an industry-leading
warranty of up to 25 years.
Easy to Install
Lightweight and simple
Faster installation with improved,lighter two-wire cabling
Built-in rapid shutdown compliant(NEC 2014,2017&2020)
Efficient and Reliable
Optimized for high powered 66-cell*modules
Highest CEC efficiency of 97.0%
More than a million hours of testing
Class II double-insulated enclosure
UL listed
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 IQ7FiS is required to support 66 cell modules. E 1 V Y•�g� ®H i'�'1 qS E,
To learn more about Enphase offerings,visit enphase.com
l
Enphase 9Q7HS Microinverter
INPUT DATA(DC) IQ7HS-66-M-US
.:.Coirirriodly;usad'iiiodule-pairin'gs "320 W='460 W+
Module compatibility 66-cell PV modules
Maximum input DG;voitage 59 V
Peak power tracking voltage 38 V-43 V
Min/Max start voltage 30 V/59 V
Max DC short circuit current;(rriod'ule:)sc)
Overvoltage class DC port II
Dil porf fiack•feed outrent';
1�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) @240 VAC @208 VAC
;Peak`outputpower'`v" ,: - 384:VA' " '. ` 369 VA
Maximum continuous output power 384 VA 369 VA
*6iM►ar ,'vol l.,L ts eZran e. '; 24bv-/211-264�V... 201341183-229 V
(` `} 9 92
Maximum continuous output current 1.60 A(240V) 1.77 A(2.08V)
`NoEiiirial:frequency:" y:',;,.::.` 66Nz- 60,'Hz
_. . ,
Extended frequency range 47 to 68 Hz 47 to 68 Hz
AG'stiort;circuit;faut current'oVer'3;cycI 4,.,82,A �3
l .82 A
t,
Maximum units per 20 A(L-L)branch circuit3 10 9
Ovetvoltage class AG:pork }r+'sy.. _, �, Illi ,. III
AC portMbackfeed current 18 mA 18 mA
Power factor setiing ;dt.,'.i'r 't rx; . 10^<.. 1.0
Power factor(adjustable) 0.85 leading...0.85lagging 0.85leading...0.85 lagging
EFFICIENCY @240 V @208 V
CECWplgfited;efficiency 97.0% 96.5%
MECHANICAL DATA
Ai iblent.10m' perature range 400C to+60°C
Relative humidity range 4°i to 100!u(condensing)
Connectar'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 location's Yes
Pollution degree PD3
Enclosure Class 11,corrosion,resistant polymeric enclosure
Environmental category/UV exposure rating NEMA type 6/outdoor
Altitude. 200t7rr1` ". „rj.-,,;..:;{.,n4r.:
,r.
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"(tJL 1741-8A),HECO v1.1
UL 62109-1,:60741AEEE1547,FCC Part 15 Class B, ICES'0003,.ClaswB s>-�'
CAN/CSA-C22.2 N0:.107.1-01
tl:•,,t'`° �.,�i^ 'h;�: r •r'tar ..
This product is'UL Listed as•PV Rapid Shut Down Equiprh6iit��nd)tc,'onfgrdi§wWiith NECa2014a NEC-
2017sect1onr690,12:.NEC 2020 and C22.1 2015 Rule 64 218iRapid;Siiutdotivn of'PU Systerris,for
AC and bC`cond6ctors;when installed according to mari�facturer s instructioiis> ;
1.No enforced DC/AC ratio.Seethe compatibility calculator at httos7Nenphase com/en-us/sup port/module-compatibilily,
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
:r 2022 Enphase Energy.All rights reserved All trode.marks or brands used are the!:rop?rty e`:-nphase Fnergy,Inc ENPHA
S E,
1 -18 2 22 �+
• a l
—-----------
ARKA SERIES ALRFX QD
WSMDi-395 to WSMD-415 One with the Sun
.............. ..........
Highest reliability& Better performance. Split junction bDX' Reduced power PID resistant Sustain heavy M6 Mono
enhanced crack under all losses up to with long wind&snow loads PERG cells
tolerant 98B climatic conditions 1/4 times term reliability (2400 pa&5400 pa)
module
1-V VARIATION WITH IRRADIANCE
— a—
a..
1-V VARIATION WITH TEMPERATURE
59 1. 25
The Graphi are,for reference pur.pose qnly.Pease consult Waves tLcirlica:team for hirther 018F]facatiu'.N.
1DK
9800%
INTERNATPONAL & 0 linear Paf.m....Warranty
91.95% Cl Standard Performance Warranty
NATIONAL CERTIFICATIONS
IEC61215 I 1EC61730 UL6'1730
IEC TS 62804-1
CE
LISTED
5 12 27
IS09001:2015 I IS014001:2015 1 11304,5001:20118
Independ6nt assessment of factories by BLACK&WATCH
................
0
ARKA SERIES IMAREE
WSIVIDi-395 to WSIVIDi-415 one with the Sun
ELECTRICAL CHARACTERISTICS
ff ax,(Wl.:... !mp(A) Isc(A) Voc(�
;`,(IU(t dels Modullel 8ff 1YbP,'
;(YOGI STC,' fdOCT STG`" :NOCT: STC NOCTI _ •: >
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.G2 11.32 9.14 45.22 42.30 20.03
WSMD-405 405 304.4 38.22 35.10 10.61 8.68 11.40 9.21 45.44 42,50 1 20.28
WSMD-410 410 308.2 1 38.44 35,30 1H8 8.74 11.48 9.27 45.66 42.70 20.53
WSMD-415 415 312.1 1 38.66 35.40 10.75 8.81 11.57 9.34 45.88 42.90 20.78
,tand€rd Test Conditans i,STCI-1000 NO irrdeiame,Air fvtass 1.5 and 25'C cell temperature.N06pal Operating fill Te'nper ure IEI O-890 W02irradiance,Xr Mnss 1.5;Amh;en,tempera!,jra 20'C end Wind sped 1 r1A.
Average pacer reucdon°f 4.5%at 20O Pi;m2 as c.r IEC o0904-1.EAeas ng Uncsrrainty=3%.
l
System Voltage 1500 1 Series Fuse Rating 22 A
MECHANICAL CHARACTERISTICS
Length x Width x Thickness(L x W x T) 1924 mm(U x 1038 mm(W)x 35 mm(Tl
Weight 22 k s
Solar Cells per Module(Units)/Arrangement 132 cells/(11x6 11 11x6)
Solar Cell Type&Size Mono PERC,8,31x 166 mm
Front Glass 3.2 mm Low Iran 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
:,ro Temperature coefficient of Current(Isc),a(0/b/1C1 0.055ewao
-
m I, " ja Temperature coefficient of Voltage(Vocl,8(%/°Cl -0.285
aN j�
Temperature coefficient of Power(Pm),y(°/a/°Cl -0.365
7 NOCT(°Cl 43-*2
:t6
j Operating temperature range(°C) -40 to 85
e.g:' I ......._r Waaree Energies Ltd.is amongst the to Solar Energy Companies and has the
9•r 9•• P 91 P
country's largest Solar PV Module manufacturing capacity of 5 GW.In addition,it
! # is committed to provide top notch EPC services,project development,rooftop
I solutions,solar water pumps and also in an Independent Power Producer.Waa ee
} has its presence in over 325 locations nationally and 68 countries globally.
'if you need specific product certificates,and if module installations are to devieta n•cm our yuidance
snecifiedinournstallatinnmanual,pleasacnntcctyourluualwaaree sales and wchnicalrepresentatives.
12.ears Product Warranty • 27`fears Power Output Warranty
-!.The elacuroldategvenhereisferr(raencepurposeonP�, ;,.' ;J i
''.•.PI-aasncmnfirmyqurarza¢regmrom�nt�-vvvittitii'araln�iipcusentatirmti,EvJmptacdngpmu@acdas„".�..................c .,..,,.,.. :,.
"` �ReferinstagaGnnlrtanuel;pstrue�onsfiWaoreeNiarrantystatE�rieiitEorterinsfisun;fdons:''-' ,"" ,•
�WzereaReservesilierigfitCddiangeth'espeei5catorstmLhmiC'ribraotiea.z':''
nWN e.Waa.. .,.,.
in ^rn wry
:.., .`-.�;WE[1EfiA[)/395-495]132)MP.n•IC/GMZ/U1127:07:2Q22.:, 1`.'•'.:' �: .