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HomeMy WebLinkAbout49940-Z p�OSUIFCpG, Town of Southold 3/9/2024 . y� P.O.Box 1179 0 53095 Main Rd y� p., Southold,New York 11971 � CERTIFICATE OF OCCUPANCY No: 45045 Date: 3/9/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 59945 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 56.-3-9 . Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated i 10/11/2023 pursuant to which Building Permit No. 49940 dated 10/24/2023 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 an existing_single-family dwelling as applied for. The certificate is issued to Haspel,'Ira i -of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49940 3/4/2024 PLUMBERS CERTIFICATION DATED A o iz d ignature o�SafFotK�o TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE 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#: 49940 Date: 10/24/2023 Permission is hereby granted to: Haspel, Ira 59945 Route 25 Southold, NY 11971 To: Installation of roof mounted solar panels to an existing single-family dwelling as applied for per manufacturers specifications. At premises located at: 59945 Route 25, Southold SCTM #473889 Sec/Block/Lot# 56.-3-9 Pursuant to application dated 10/11/2023 and approved by the Building Inspector. To expire on 4/24/2025. Fees: SOLAR PANELS $100.00 CO-RESIDENTIAL $100.00 ELECTRIC $125.00 Total: $325.00 Building Inspector oF so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlin(&-town.southold.ny.us Southold,NY 11911-0959 COU�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ira Haspel Address: 59945 Route 25 city:Southold st: NY zip: 11971 Building Permit#: 49940 Section: 56 Block: 3 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Harvest Power LLC License No: 64508ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph 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: 11.31 kW Roof Mounted PV Solar Energy System w/ (29) Swolaria PowerX390R Modules, AC Combiner Notes: Solar Inspector Signature: Date: March 4, 2024 S.Devlin-Cert Electrical Compliance Form i OE so//Tyo� # # TOWN OF SOUTHOLD BUILDING DEPT. `ycou 631-765-1802 i�qqD - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]rULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL 4k`ft/ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: H6 0 LZ—1 DATE INSPECTOR OE SOUlyOlo 1 q q I V S ol q ,-I s, Mqll - - * * TOWN OF SOUTHOLD BUILDING DEPT. um, 631-765-1802 INSPECTION [ ] 'FOUNDATION 1ST/ REBAR [ '] 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: l� � e DATE `� �i INSPECTOR ` Building Comaultmnta& Expeditors (631) Fax(631) 969-0115 �- January Si2O34 � / J — -- ]8N � ' ~— � � 2024 `--' Town ofSouthold Building Department Town Hall Annex P.O. Box 1179 Southold, NY11971 Re: Haspe| Residence—5994S Main Road,Southold, NY11971 SCTK8#1OOO-OS6-O3'OO9 Permit No.4994O-11.31kVV Rooftop Solar Photovoltaic System To Whom |t May Concern, Please be advised that I have inspected the solar roof array at 1155 Lighthouse Rd, Southold, NY 11971 and have determined that it has been performed in accordance with the manufacturer's recommendations, and the approved building permit.The installation meets the 2020 NYS Building Code, 3O1Q International Code, and AS[E7-16. |f you have any further questions, do not hesitate tocall. r MELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------------------------------------- cn FOUNDATION (2ND) m f k, cn ROUGH FRAMING& CA PLUMBING INSULATION PER N.Y. STATE ENERGY CODE 41, • FINAL A ADDITIONAL COMMENTS �.j ILI rrrurr aFOt 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 h�s:l/www.southoldtownny�ov �'�'rmol.iF Date Received APPLICATION FOR BUILDING PERMIT (� C For Office Use Only PERMIT NO. I D Building Inspector: V D C E OWE E Applications and forms must be filled out in their entirety.Incomplete ' applications will not be accepted. Where the Applicant_is not the owner,an OCT 11 2023 Owner's Authorization form(Page 2)shall be completed. Date: 16 6_ a 3 Budding Depalrtment OWNER(S)OF PROPERTY: -- Name: -Ira k14wl SCTM#1t000- i�� _ 3 Project Address: `S�G S A47n aoO �i(,�CFlo( (q11 Phone#: j (� 3�g-$-t 3( Email: Mailing Address: G S /"10%l1 rOCJ' avA0(J N4 ��Q� CONTACT PERSON: - - Name: Sarah Yarbrough Mailing Address: 2941 Sunrise Hwy, Islip Terrace, NY 11752 Phone#: (631) 647-3402 Email: hppermitting@harvestpower.net DESIGN PROFESSIONAL INFORMATION': Name: Michael Dunn, R.A. Mailing Address: 256 Orinoco Dr, Brihtwaters, NY 11718 Phone#: (631) 665-9619 Email: Bayblueprint@aol.com CONTRACTOR INFORMATION: Name: Harvest Power LLC Mailing Address: 2941 Sunrise Hwy, Islip Terrace, NY 11752 Phone#: (631) 647-3402 Email: hppermitting@harvestpower.net DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration []Repair ❑Demolition Estimated Cost of Project: ❑Other $ L0 a31 Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property: Residence Intended use of property: (no change) Zone or use district in which premises is situated: Are there any covenants and restrictions.with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. ® Check Box After Reading: The owner/contractor/design professional is responsible for-all drainage and storm water issues is provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State.Penal Law. Application Submitted By(print nam ): ►uthorized Agent ❑Owner + Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF 5JMlkSQIZA� ) /b being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contrac bove named, (S)he is the (Contract=(or orporate Officer,etc.) of said owner or owners, and is duly authorized t 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 c�day of 6A - .20 "3 Notary Public @fA"Y'PUBLIC-STAT®OF NSW TT P_R®PERKY ®OIi01VER-QUTH©RIZA'�!®11�.' - (Od ere a app cant rs no a owner A . ...... .e�fi��w,f�@I; residingat 59945 MAIN ROAD SOUTHOLD, NY 11971 do hereby authorize Harvest Power LLC to apply on my U11he o of South Building Department for approval as described herein. fy471 Zf�02� r;.. -" rg;�� Date Print Owner's Name 2 i r j CONSENT TO INSPECTION I the undersigned,do(es)hereby state: Owner(s)Name(s) i That the undersigned(is)(are)the owner(s)of the premises in the Town of { Southold,located at 59945 MAIN ROAD, SOUTHOLD, NY 11971 rwhich is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block 3 ,Lot . ! That the undersigned(has)(have)filed,or cause to be filed,an application in the Southold Town Building Inspector's Office for the following: �.,nSk�l(A.t�rrow � G 11031 i,w S�L�r Y�V fwlllr►• L� �� �2a�fM�+k� �u�S That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws,ordinances,rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections;do(es)so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws,ordinances,rules or regulations of the Town of Southold. -na et ;(Print Name)>' !` (S'igriature) 0l?r'i t Name).a r 7 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I,�f/2g residingat. 59945 MAIN ROAD (Print property owner's name) (Mailing Address)' SOUTHOLD, NY 11971 do hereby authorize Sarah Yarbrough (Agent) Harvest Power LLC to apply on my behalf to the Southold Building Department. Q. r s Si 74 rr )�. 21 CO b (iPri `lTOMP TANa e ' BUILDING DEPARTMENT- Electrical Inspector �O Gym TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 o € - Southold, New York 11971-0959 y �� Telephone (631) 765-1802 - FAX (631) 765-9502 �Ql. rogerr(@,southoldtownny.gov southoldtownny.gov - seand(@,southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Alf Information Required) Date: Company Name: Harvest Power LLC Name: John Randazzo/Harvest Power LLC License No.: 64508-ME email: p ermitting@harvest ower.ne Address: 2941 Sunrise Hwy, Islip Terrace, NY 11752 Phone No.: (631) 647-3402 JOB SITE INFORMATION (All Information Required) Name: 4Gt N 61-5 Address: 5aq M�%h �6�� (1a (�. y Cross Street: Phone No.: 1.3( Bldg.Permit#: q email: ;rC �rkYjaed� Tax Map.District: 1000 Section: Block: 3 Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installation of a V kW Solar Pv System w/ ( ��) Roof-Mounted Panels Circle All That Apply: Is job ready for inspection?: Y / 1-4Rough In Final Do you need a Temp Certificate?: YE / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: �d r�s 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 Form.xls \�-\ �OSUFFO(, BUILDING DEPARTMENT- Electrical Inspector SS*"- TOWN OF SOUTHOLD y ; Town Hall Annex - 54375 Main Road - PO Box 1179 '** Southold, New York 11971-0959 y �p� Telephone (631) 765-1802 - FAX (631) 765-9502 roge.rr(cDso.utholdtownny.:gov_-�!.sea nd(@-south.oldtownny_gov APPLICATION FOR ELECTRICAL INSPECTION I ELECTRICIAN INFORMATION (Alf Information Required) Date: ZU- 6-a3 Company Name: Harvest_Power- LLC Name: John Randazzo/Harvest Power LLC License No.: 64508-ME email'; permitting@harvest ower.ne Address,: 2941 .--Sunrise Hw_y_,___ Islip Terrace, NY 11752-__-.__ Phone No. (631) 647-3402 -- JOB SITE INFORMATION (All Information Required) Name: Ct5 Address: =5a9--- -Mu��► __ ae,l Cross Street:= - Phone No.: Bldg.Perm ---. it#:- -1 email:_ -i�� �- i�e (�N► --- , -- Tax Map: District: 1000 Section: Block: 3 VLot:' Li BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installation of -a_ .AkkW Solar Pv System ,.w/ ( `a5) - Roof-Mounted Panels_ Circle All That Apply: Is job ready for inspection?: Y / Rough In Final Do you need a Temp Certificate?: YE - / NO Issued On Temp Information; (All information required) Service Size 1 Ph 3 Ph Size: 9-a S 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 VOTH APPLICATION Request for Inspection Form.As \� JA iv d 2024 H A R V E S T P 0 W E R Harvest Power LLC 2941 Sunrise Hwy., Islip Terrace, NY 11752 Office: 631F-6,47•=3402 Fax: 63.1-647-3404 January 8,2024 Town of Southold Building Department P.O. Box 1179 Southold,NY 11971 Re: Engineer's Post-Install Letter Haspel Residence—59945 Rte 25, Southold—BP#49940 Dear Town of Southold Building Department: Enclosed, please find the Engineer's post-install letters for the PV solar installation completed at the above referenced residences. We follow up to schedule the final electrical and building inspections. Thank you for your attention to this matter. If you need any further information,please contact me at(631) 647-3402 or via email at hnnermitting@harvestpower.net. Very truly yours, Sarah Yarbrough Expeditor Licensed, insured & bonded License # Nassau County: H0811250000 License # Suffolk County: 48165-H Suffolk County Dept.of Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name }" CARLO LANZA E _ "+ Business Name Th;s certifies that the bearer IS duly Ilcensed H avest power LLC by the County of suffolk License Number:H-48165 Rosalie Drago Issued: 11/18!2010 Commissioner Expires: 11/1'/2024 Client#: 110076 HARVPOW ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/18/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 FAX 631-390-9790 40 Marcus Drive 3rd Floor E-MAIL Ext: A/C,No ADDRESS: NEcertificates@epicbrokers.com Melville,NY 11747 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:James River Insurance Company 12203 INSURED Harvest Power LLC, Friendly INSURER B:Lloyd's of London Construction Company Inc,EZ Flashing LLC INSURERC: 2941 Sunrise Hwy INSURERD: Islip Terrace,NY 11762 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY) MM/DD/YYW A X COMMERCIAL GENERAL LIABILITY 000711806 04/16/2023 04/15/2024 EACH OCCURRENCE $1 00O 000 CLAIMS-MADE �OCCUR PREMISES(ERENTED rrrence) $50,000 X Contractual Liab. MED EXP(Any one person) $Excluded X $6,000 Ded. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LI MIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY F7X JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED Pea cidentDAMAGE $ AUTOS ONLY AUTOS ONLY $ A UMBRELLA LIAB X OCCUR 000711796 04/16/2023 04/15/2024 EACH OCCURRENCE $5 000 000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 DED RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y/N T ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Pollution Liab. 000711806 04/16/2023 04/15/202 $1MM Ea Claim/$1MM Agg B Professional Liab HPL210230 04/15/2023 04/15/202 $2MM Ea Claim/$2MM Agg $10K Ded Ea Claim DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance 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 P.O.Box 970 ACCORDANCE WITH THE POLICY PROVISIONS. South Hold, NY 11964-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S5492438/M5492227 CCRAN DocuSign Envelope ID:23FFBA00-E993-4182-B944-CC46A4AB8E3B NEW Workers' CERTIFICATE OF YORSTATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name_&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured HARVEST POWER LLC 2941 SUNRISE HWY 1c.NYS Unemployment Insurance Employer Registration Number of ISLIP TERRACE,NY 11752-2822 Insured 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 20-4214746 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Co.of North America Town of Southold 3b. Policy Number of Entity Listed in Box"1 a" P.O.Box 970 C55973957 Southold, NY 11964 3c.Policy effective period 10/01/2023 to 10/01/2024 3d.The Proprietor,Partners or Executive Officers are ❑X 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"T'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: Lex Smith Docu119MW hriine of authorized representative or licensed agent of insurance carrier) lye, - 9/8/2023 Approved by: (Signature) (Date) Title: Assistant Program Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 214-721-6248 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 Acct#:2830004 vo K Workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board under the NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by 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 HARVEST POWER LLC 2941 SUNRISE HWY ISLIP TERRACE, NY 11752-2822 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically 204214746 limited to certain locations in New York State,i.e., Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage(Entity 3a Name of Insurance Carrier Being Listed as the Certificate Holder) HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY Town of Southold 3b Policy Number of Entity Listed in Box"la" P.O.Box 970 South Hold, NY 11964-0000 LNY713777882 3c Policy effective period 10/01/2023 TO 09/30/2024 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: ® 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 10-01-2023 £ 7_eW4f5I- (Signature of Insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212)553-8074 Name and Title:Elizabeth Tello—Assistant Director,Statutory Services 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 413,4C 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 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 4C or 5B of Part 1 has 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 with respect to all of his/her employees. Date Signed B (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 benelits 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(9-17) IIIIIII�!n11111111°1°1111°0IIIIII: IH r �r _T C) APPROVED AS NOTED _ DATE: 26 B.P# 4990 FEE R N-OD BY: COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS REQUIRED AND CONDITIONS OF 631-765-1802 8AM TO 4PM FOR THE swm=zm FOLLOWING INSPECTIONS: �G� FOUNDATION-TWO REQUIRED UMM D�� AM FOR POURED CONCRETE ROUGH-FRAMING&PLUMBING ILma INSULATION wc FINAL•CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ELECTRICAL INSPECTION REQUIRED Additional Certification May Be Required. . � �►S�onnec-<' mu5�- loca+rd outs�G�e, Iabcltd and r(od l gCcessl,�� . / 1 ,-<IA SOLAR SOLARIA POWERX-39OR(390W) MODULES BILL OF MATERIALS -4PHASE IQ8PLUS-72-2-US MICRO-INVERTERS EQUIPMENT QTY DESCRIPTION �O bRANCHES OF 10 MODULES& SOLAR PV MODULE 29 SOLARIA SOLAR SOLARIA POWERX-39OR(390W)MODULES (01) BRANCH OF 09 MODULES CONNECTED IN PARALLEL PER BRANCH INVERTER 29 ENPHASE IQ8PLUS-72-2-US MICRO-INVERTERS COMBINER BOX 1 ENPHASE IQ COMBINER BOX SYSTEM SIZE:-29 x 390W= 11.31 kWDC JUNCTION BOX 1 600V,55A MAX,4 INPUTS,MOUNTED ON ROOF FOR WIRE&CONDUIT TRANSITION HARVESTi, R� 4 29 x 290VA= 8.41 kWAC HARVEST PGw"v'r��L p AC DISCONNECT 1 AC DISCONNECT 60A FUSED,WITH 50A/2P FUSES,240V NEMA 3R,UL LISTED 2941 SUNRISE HIGHWAY I: t T11752 I - w sr an�Ast ow q � 10 MICRO-INVERTERS IN BRANCH CIRCUIT#1 ` C�� k BI-DIRECTIONALAV a II II - II UTILITY METER N DESCRIPTI DATE f(, / / 1 120V/240V,6 Hz I ————— ———————— —————— BLDG.PERMIT 0 9/2 812 0 2 3 ( 10 MICRO-INVERTERS IN BRANCH CIRCUIT#2 � I . 4 SUPPLY TAP WITH L } • • • I JUNCTION TAP BOX li I (N)JUNCTION BOX (N)12X12X6 AV J (N6 AC DISCONNECT JUNCTION FUSED,WITH TAP BOX ----- -------- 50AFUSES,240VAC Pin �! ------ I (N)ENPHASE COMBINER BOX •� IQ GATEWAY \`ti tE 200A PROJECT 1 2 .. 09 MICRO-INVERTERS IN BRANCH CIRCUIT#3 i-H (E)225A MAIN O SERVICE PANEL O . . . 15A _ ——_ W/(E)200A Iti O MAIN BREAKER ❑ O OI20 -20A I � (TOP FED) J QJ� � I� WG THWN z O (nI ——— G ——— G THWN GND--- -------- ------ (3)#8AWGTHWN Q Z00 CONDUIT I / (1)#8 AWG THWN GND 1p Q ❑ 1"PVC CONDUIT i S� tJ = J Cfl }- --- dam,. X o ----J o� O CD (29)ENPHASE IQ8PLUS-72-2-US cl� o MICRO-INVERTERS EXISTING GROUNDING TERMINATOR CAP ON LAST CABLE, (3)Q-CABLE (`6)#�0 AWG THWN-2' SYSTEM Q CONNECTOR Q CABLE(TYP) (1)#6 BARE COPPER GND (1)#8 WG THWN-2 GND IN 1"PVC CONDUIT RUN SHEET NAME SINGLE LINE DIAGRAM SHEET SIZE ANSI 11" X 14 SINGLE LINE DIAGRAM SHEET NUMBER SCALE: NTS PV_3 Graham Associates 256 Orinoco Drive, Suite A Brightwaters,NY 11718 Building Consultants & Expeditors (631)665-9619 October 2, 2023 Town of Southold Building Department 54375 Rt. 25 Southold, NY 11971 Re: Ira Haspel Residence 59945 Main Road Southold, NY 11971 Proposed 11.31 kWDC, 8.41 kWAC PV Rooftop Solar System To Whom It May Concern, Please be advised that I have analyzed the existing roof structure at the above-mentioned premises and have determined that it is adequate to support the additional load of the solar panels and a 140 mph wind load and 20 psf snow load without overstress, in accordance with the following: The 2020 New York State Uniform Fire Prevention and Residential Building Code; Town of Southold Local Code, Long Island Unified Solar Permit Initiative, (LIUSPI); and 2020 National Electric Code NFPA 70/2020 National Electric Code including ASCE7-16 If you have any further questions, do not hesitate to call. car 1 O a � Q ; vas a 0 ��� ��•�hrael \ RA PHOTOVOLTAIC ROOF MOUNT SYSTEM 29 MODULES-ROOF MOUNTED - 11 .31 kWDC, 8.41 kWAC HL 59945 MAIN ROAD, SOUTHOLD, NY 11971 USA HARVESTPOWER HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP SYSTEM SUMMARY: SHEET INDEX TERRACE�lit' NY 1752 (N)29-SOLARIA SOLAR SOLARIA POWERX-39OR(390W)MODULES GOVERNING CODES: (N)29-ENPHASE IQ8PLUS-72-2-US MICRO-INVERTERS 2017 NATIONAL ELECTRICAL CODE(NEC) PV-0 COVER SHEET e net (N)JUNCTION BOX 2020 BUILDING CODE OF NYS PV-1 SITE PLAN WITH ROOF PLAN (E)225A MAIN SERVICE PANEL WITH (E)200A MAIN BREAKER 2020 RESIDENTIAL CODE OF NYS PV_1.1 ENLARGE VIEW (N)60A FUSED AC DISCONNECT 2020 EXISTING BUILDING CODE OF NYS PV-2 ATTACHMENT DETAILS �V '�� �A (N) ENPHASE IQ COMBINER BOX 2020 FIRE CODE OF NYS PV-3 SINGLE LINE DIAGRAM 2020 PLUMBING CODE OF NYS PV-4 PLACARDS&WARNING LABELS 2020 MECHANICAL CODE OF NYS PV-5 ADDITIONAL NOTES PV-6+ SPEC SHEETS DESIGN CRITERIA: CRITERIA: >• 0298A'1 ;C ROOF TYPE:-ASPHALT SHINGLE stOtJ NUMBER OF LAYERS:-1 ROOF CONDITION:GOOD DESCRI 9N TE REV. ROOF FRAME:-2"X8"RAFTERS @24"O.C. BLDG.PERMIT 09/28/2023 0 STORY:-TWO STORY SNOW LOAD:-25 PSF WIND SPEED:-130 MPH WIND EXPOSURE:-C GENERAL NOTES: ,.< .� � c_ �;.,E k. :; r • i..,_ r ,,:-:, 1. INSTALLATION IN ACCORDANCE WITH MANUFACTURER RECOMMENDATIONS. of � ,. . :-; ;. R t;:,'::•_,. �` r r,r;7; ' ARRAY LOCATIONSAsa rook 2. ENGINEER TO INSPECT PROJECT AFTER INSTALLATION fE; PROJECT SITE :4 r _ • �, AND CERTIFY COMPLIANCE. 3. PROJECT TO BE INSTALLED WITH CODE COMPLIANT RACKING INSTRUCTIONS FOR UN I-RAC SOLAR MOUNT : 1 µY ,ra°_' ° is=: '�'^ - - -- - -L.�.. .z, :..,,• ,t- PROJECT NAME SYSTEM. - 4. FOLLOW BALLASTING SCHEDULE ON ROOF PLAN.HARVEST5. POWER, LLC. THE SOLAR INSTALLATION O J CONTRACTOR,COMPLIES WITH ALL LICENSING&ALL00 :_ O 0 RELATED REQUIREMENTS OF THE V GO ERNING MUNICIPALITIES AND THE LOCAL ELECTRIC UTILITY ~`" ="= ' " = I J Q CD J AHJ'S. h ;'•._ . `4. ' LLI O pp C7 6. THIS PROJECT WILL COMPLY WITH THE CURRENT NEC W O REQUIREMENTS INCLUDING ARTICLE 690 SOLAROng-lsltnd Sound,:' ;.• ;.; °' :,;.',;1'..' ' ` �( =' co ZZ O (n U) PHOTOVOLTAIC PV SYSTEMS. (, Q 0 _ = CO 7. THE ROOF WILL HAVE NO MORE THAN A SINGLE LAYER - _ - `' .:'= _ ;;< 0 OF ROOF COVERING IN ADDITION TO THE SOLAR EQUIPMENT. - _ �:•� . �, Z __ •y(599455MSineRd,'8�`G ' "'v�,` � 2 O ,J/.'r iY 8. INSTALLATION WILL BE FLUSH-MOUNTED, PARALLEL O — "Southold-NY.11.971k �+ o 0 O TO - �AND - NO MORE -�� E THAN - 6 5 ABOVE ROOF � x� 'y _ ;United states- ," H 1 9. MAINTAIN A MINIMUM OF 18 CLEARANCE AT RIDGE -�--='---��---'� ••��__F..: _, � O AND AT ONE GABLE EAVE. .:�'_, - -- - - .�, r•, - ;;• � �_ Z - -9 10. THIS DESIGN COMPLIES WITH 130 MPH WIND = -_ _ • • •' • ' � _- _ REQUIREMENTS OF THE RESIDENTIAL = ,3 ���IA CODE OF N.Y.S �`-,�=""'���s�- � �'' :� 0- Q AND ASCE 7-16. :r� `i.•-s _ :r=' u'� '' _Y- '� _�",�y z-`: � i .° :��' 11. WHEREVER THE ROOF PLAN DOES NOT COMPLY WITH ^ ACCESS AND VENTILATION REQUIREMENTS OF THE }� ;� z FcoitPc Be s 4.�; - '"� s" y `ti psi=f _ Y� pa' i SHEET NAME UNIFORM CODE HARVEST P _- - �"��� 1 `;`-•-`r'RIVP.rhead•,'�'�" ;.�;:yt :, North S � OWER PROPOSES THAT METHODS WILL BEi's::.Sol�thp0rt ALTERNATIVE VENTILATION COVER SHEET ME EMPLOYED. REVIEW AND APPROVAL SHALL BE T a' �e '° 'h`' r `' .r`' ' "' ''`` .' ° on A THE .:� '• ,.. . _ .. :. _ ,<,, u ': ---.� �Southampton�"...,._ DISCRETION OF THE MUNICIPALITY IN WHICH THIS F ' ` ` - n 'lslnrids4 - ^Hampton - S r--- SHEET SIZE DOCUMENT HAS BEEN FILED. . `^ ''ll�. cBB S._ ANSI B 12. THE DESIGN PLANS COMPLY WITH THE 2020 NEW 11�� X 17" YORK STATE UNIFORM FIRE PREVENTION AND RESIDENTIAL BUILDING CODE. 1 AERIAL PHOTO 2 VICINITY MAP SHEET NUMBER PV-0 SCALE:NTS PV-0 SCALE: NTS �r Pv_O MODULE TYPE, DIMENSIONS & WEIGHT ROOF ACCESS AREA: ` NUMBER OF MODULES=29 MODULES SHALL BE LOCATED IN AREAS THAT DO NOT REQUIRE THE PLACEMENT OF GROUND + MODULE TYPE=SOLARIA SOLAR SOLARIA POWERX-39OR(390W)MODULES �� A'A0 OVER OPENINGS SUCH AS WINDOWS OR DOORS,AND LOCATED AT STRONG POINTS OF A MODULE WEIGHT=48.7 LBS/22.1 KG. o BUILDING CONSTRUCTION IN LOCATIONS WHERE THE ACCESS POINT DOES NOT MODULE DIMENSIONS= 67.8"X 44.7"=21.05 SF /�./ 3, `��j�- CONFLICT WITH OVERHEAD OBSTRUCTIONS SUCH AS TREE LIMBS,WIRES OR SIGNS. UNIT WEIGHT OF ARRAY=2.31 PSF � HARVESTPO ER % HARVEST POWER LLC i �J 2941 SUNRISE HIGHWAY ISLIP 752 (E)TREE(TYP.) %% F � Q, (E) SHED O t>oo ��� ` DESCRIPTION DATE REV. Q� to ��✓ BLDG.PERMIT 09/2a/2023 0 c J (E) FENCE � ` � Ffw` `` SEE ENLARGE VIEW PV-1.1 ` ,n PROJECT NAME ` (E)DETACHED % �r��`; (C� �' �:; \ c4� CD O 0 STRUCTURE(TYP.) r ^'��C '� �' y F a _ ti O Q v � O H cr a_ SHEET NAME SITE PLAN WITH % ' ROOF PLAN 0 1 SHEET SIZE ANSI B 11" X 17" SITE PLAN WITH ROOF PLAN SHEET NUMBER Pv_1 MODULE TYPE, DIMENSIONS & WEIGHT ROOF ACCESS AREA: NUMBER OF MODULES=29 MODULES SHALL BE LOCATED IN AREAS THAT DO NOT REQUIRE THE PLACEMENT OF GROUND MODULE TYPE=SOLARIA SOLAR SOLARIA POWERX-39OR(390"MODULES OVER OPENINGS SUCH AS WINDOWS OR DOORS,AND LOCATED AT STRONG POINTS OF :It y MODULE WEIGHT=48.7 LBS/22.1 KG. BUILDING CONSTRUCTION IN LOCATIONS WHERE_THE ACCESS POINT DOES NOT MODULE DIMENSIONS= 67.8"X 44.7"=21.05 SF CONFLICT WITH OVERHEAD OBSTRUCTIONS SUCH AS TREE LIMBS,WIRES OR SIGNS. UNIT WEIGHT OF ARRAY=2.31 PSF HARVESTPOWER HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP T2 i ® sit o(de� UAll Lu I 02951k O RpOF E p, 55 RpOF DESCRIPTION DATE REV. PREP ACCESS BLDG.PERMIT 09/28/2023 0 PREP • ROOF • ACCESS ROOF#3 PREP (10)SOLARIA POWERX-39OR(390W) • RAFTERS=2"X8"@24"O.0 • "0.S� Y 345°AZIMUTH, 14°TILT • Oise O 5 (N)JUNCTION BOX(E) CHIMNEY(TYP.) • • O I (N) 3/4"PVC CONDUIT PROJECT NAME je RUN 1/2"ABOVE ROOF O (N) ENPHASE IQ COMBINER BOX O • • • (N)60A FUSED AC DISCONNECT Q 1- 0) 0 • • • • U J Q � o zi • • (E)225A MAIN SERVICE PANEL >- c W O (29) ENPHASE IQ8PLUS-72-2-US WITH (E)200A MAIN BREAKER Z O (n (n • (INSIDE BASEMENT) Q Z O a MICRO-INVERTERS • • • • (E) UTILITY METER = (D }- O • Q O Z ROOF#2 = O (05)SOLARIA POWERX-390R(390W) • � O ? 0 RAFTERS=2"X8"@24"O.0 � 165°AZIMUTH, 30°TILT RppF ROOF#1 Z 2 PcCESS (14) SOLARIA POWERX-39OR(390W) a PREP RAFTERS=2"X8"@24" O.0 Q Q 165°AZIMUTH, 300 TILT SHEET NAME ENLARGE VIEW SHEET SIZE ANSI B N ?,ONO 11" X 17" 1 ENLARGE VIEW ��� � SHEET NUMBER Pv_1 .1 i a f 4 Q HARVESTPOWER p HARVEST POWER LLC t 2941 SUNRISE HIGHWAY ISLIP >? 11752 (N) PV MODULES cya:'(4n 8 5 e►annv hary s w net I � O G 4 I (E) ASPHALT SHINGLE ��S e° 2 sA 02gSN ROOF Cn� ENLARGE VIEW DESCRIPTION DATE REV. I BLDG.PERMIT 09/28/2023 0 GENERAL NOTES: 1. RAILS TO BE INSTALLED TWO PER PANELS AS SHOWN IN DETAIL. 2. ALL PENETRATIONS TO BE MADE@ 48"O.C. 3. BOLTS TOBE INSTALLED INTO RAFTERS. 4. MINIMUM 2"PENETRATION INTO WOOD FOR CODE COMPLIANCE. ATTACHMENT DETAIL NOTE:_ 1 ACTUAL ROOF CONDITIONS AND RAFTERS(OR SEAM)LOCATIONS MAY SCALE: NTS VARY.INSTALL PER MANUFACTURER(S) INSTALLATION GUIDELINES AND ENGINEERED SPANS FOR ATTACHMENTS." END / MID CLAMP PROJECT NAME PV MODULES o p o I� O) O J Q o J H L-FOOT W O o (7 p Z Z o u a) (E) ASPHALT SHINGLE ROOF Q Q oo a LL 2 (o O Q � � o Z J ROOF/ DECK MEMBRANE rn o = O � O ~ UNIRAC SM LIGHT RAIL z _ 2.5" MIN. a Q UNIRAC FLASH KIT PRO EMBEDMENT SHEET NAME ATTACHMENT 5/16" STAINLESS STEEL LAG BOLT DETAIL WITH 2-1/2" MIN. EMBEDMENT BUILDING STRUCTURE SHEET SIZE AND SS EPDM WASHER ANSI B VIE 11" X 17" 2 ATTACHMENT DETAIL (ENLARGE W)SCALE: NTS SHEET NUMBER PV-2 • a � (29)SOLARIA SOLAR SOLARIA POWERX-39OR(390W) MODULES BILL OF MATERIALS (29) ENPHASE IQ8PLUS-72-2-US MICRO-INVERTERS EQUIPMENT QTY DESCRIPTION (02) BRANCHES OF 10 MODULES & SOLAR PV MODULE 29 SOLARIA SOLAR SOLARIA POWERX-39OR(390W)MODULES ` (01) BRANCH OF 09 MODULES CONNECTED IN PARALLEL PER BRANCH INVERTER 29 ENPHASE IQ8PLUS-72-2-US MICRO-INVERTERS COMBINER BOX 1 ENPHASE IQ COMBINER BOX SYSTEM SIZE:-29 x 390W= 11.31 kWDC JUNCTION BOX 1 600V,55A MAX,4 INPUTS,MOUNTED ON ROOF FOR WIRE&CONDUIT TRANSITION HARVEST�� E HARVEST POWER LLC 29 x 290VA= 8.41 kWAC AC DISCONNECT 1 JAC DISCONNECT 60A FUSED,WITH 50A/2P FUSES,240V NEMA 3R,UL LISTED 2941 SUNRISE HIGHWAY ISLIP 19BRAGENX 11752 W. wwv_ jat oAloo� et 10 MICRO-INVERTERS IN BRANCH CIRCUIT#1 q .0 BI-DIRECTIONAL BI-DIRECTIONAL 02 UTILITY METER op;o ti 1-PHASE,3-W, DESUMPTIO DATE REV. ----- -------- ______ 120V/24DV,60Hz BLDG.PERMIT 09/28/2023 0 IF 10 MICRO-INVERTERS IN BRANCH CIRCUIT#2 I SUPPLY TAP WITH L } • • • i JUNCTION TAP BOX I I (N)JUNCTION BOX (N)12X12X6 'IV I I (N)AC DISCONNECT JUNCTION 1 I 60A FUSED,WITH TAP BOX ————— ———————— —————— I (N)ENPHASE COMBINER BOX 50A FUSES,240 VAC PROJECT NAME 09 MICRO-INVERTERS IN BRANCH CIRCUIT#3 I • • • I IQ GATE-WAY r—— ——— OA FUSES —— ——-I 200A O (E)225A MAIN O 0 SERVICE PANEL O W/(E)200A - 1­ 0) _ O 220 MAIN BREAKER 0 (3) O 0 J_ (TOP FED) ..I Q 0 --I o I -� I I I I I >- MWO J (3)#BAWGTHWN (3)#6 AWG THWN I Z O U) (n � ——— G ——— (1)#8 AWG THWN GND '� Z ---- -------- ------� - O � (1)#8 AWG THWN GND 1' PVC CONDUIT I Q O LL 1"PVC CONDUIT i = O L� Z I --- --- G� � = o -----� - rn o ? O (29)ENPHASE IQ8PLUS-72-2-US cl� U7 O MICRO-INVERTERS �- Z TERMINATOR CAP ON LAST CABLE (3)Q-CABLE G OIU a- Q (6)#10 AWG THWN-2 SYSTEM Q CONNECTOR Q CABLE(TYP) (1)#6 BARE COPPER GND (1)#8 AWG THWN-2 GND IN 1"PVC CONDUIT RUN SHEET NAME SINGLE LINE DIAGRAM SHEET SIZE ANSI B 11" X 17" 1 SINGLE LINE DIAGRAM SHEET NUMBER SCALE: NTS PV-3 411 WARNING QWARNIUS ELECTRICAL SHOCK HAZARD PHOTOVOLTAIC SYSTEM SOLAR PV SYSTEM EQUIPPED COMBINER PANEL WITH RAPID SHUTDOWN TERMINALS ON LINE AND LOAD DO NOT ADD LOADS HARVESTPOWE t SIDES MAY BE ENERGIZED IN HARVEST POWER LLC THE OPEN POSITION LABEL LOCATION: 2941 SUNRISE HIGHWAY ISLIP PHOTOVOLTAIC AC COMBINER(IF 11752 LABEL LOCATION: APPLICABLE). bsi haw 5 et INVERTER(S),AC DISCONNECT(S),AC 3 TURN RAPID SHUTDOWN P COMBINER PANEL(IF APPLICABLE). SWITCH TO THE"OFF" i SOLAR ELECTM 'PV PANELS ✓ POSITION TO SHUT DOWN PV SYSTEM AND REDUCE s SHOCK HAZARD IN THE RAPID SHUTDOWNARRAY. �= IX 0298 1 �...`� SWITCH FOR SOLAR DESCRIPTION` DATE REV. PV SYSTEM LABEL LOCATION: BLDG.PERMIT 09n8n023 0 ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE LABEL LOCATION: DISCONNECTING MEANS TO WHICH THE PV SYSTEMS UTILITY SERVICE ENTRANCE/METER,INVERTER/DC ARE CONNECTED. DISCONNECT IF REQUIRED BY LOCAL AHJ,OR OTHER LOCATIONS AS REQUIRED BY LOCAL AHJ. ®WARNING POWER SOURCE OUTPUT CONNECTION DO NOT RELOCATE THIS OVERCURRENT DEVICE PROJECT NAME LABEL LOCATION: p ADJACENT TO PV BREAKER AND ESS 0 J ocPD(IF APPLICABLE). BUILDING SUPPLIED BY UTILITY J o CD 0") J 2 GRID AND PHOTOVOLTAIC w O o c7 d- cc m w 0 SYSTEM U) Z Z o cn co WARNING: PHOTOVOLTAIC (o - I- o LABEL LOCATION: O 0 O p ? 0 INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, AT EACH TURN,ABOVE AND BELOW PENETRATIONS, Z ( Z ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. _ � Q Q v rn rn PHOTOVOLTAIC AC DI • L SHEET NAME MAXIMUM AC •- • AMPS , PLACARD & NOMINAL OPERATING AC V• WARNING LABELS LABEL LOCATION: (N)COMBINER BOX SHEET SIZE AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF (N)AC DISCONNECT ANSI B ( MAIN SERVICE PANEL 11" X 17" INTERCONNECTION. (INSIDE SIDE BASEMENT) (E)UTILITY METER LABEL LOCATION: SHEET NUMBER POINT OF INTERCONNECTION (PER CODE:NEC690.56(B),NEC705.10,225.37,230.2(E)) PV-4 1. EACH MODULE TO BE GROUNDED USING THE SUPPLIED CONNECTION POINT PER MANUFACTURER'S REQUIREMENTS. ALL SOLAR MODULES, EQUIPMENT, AND HP METALLIC COMPONENTS ARE TO BE BONDED. IF THE EXISTING GROUNDING HARVESTPO ER ELECTRODE SYSTEM CAN NOT BE VERIFIED OR IS ONLY METALLIC WATER PIPING, HARVEST POWERLLC IT IS THE CONTRACTOR'S RESPONSIBILITY TO INSTALL A SUPPLEMENTAL 2941 ISLIP GROUNDING ELECTRODE. 68 b "e. a e. er 2. ALL PLAQUES AND SIGNAGE REQUIRED BY THE LATEST EDITION OF NATIONAL ELECTRICAL CODE. LABEL SHALL BE METALLIC OR PLASTIC, ENGRAVED OR , MACHINE PRINTED IN A CONTRASTING COLOR TO THE PLAQUE. PLAQUE SHALL N� r� - BE UV RESISTANT IF EXPOSED TO SUNLIGHT. -q 0298A �® �O 1p 3. DC CONDUCTORS SHALL BE RUN IN EMT AND SHALL BE LABELED, "CAUTION DC CIRCUIT" OR EQUIV. EVERY 5 FT. DESCRIPTION I DATE REV. BLDO.PERMIT 09/28/2023 0 4. EXPOSED NON-CURRENT CARRYING METAL PARTS OF ELECTRICAL EQUIPMENT SHALL BE GROUNDED IN ACCORDANCE WITH 250.134 OR 250.136(A). 5. CONFIRM LINE SIDE VOLTAGE AT ELECTRIC UTILITY SERVICE PRIOR TO CONNECTING INVERTER. VERIFY SERVICE VOLTAGE IS WITHIN INVERTER VOLTAGE OPERATIONAL RANGE. 6. OUTDOOR EQUIPMENT SHALL BE NEMA-3R RATED OR BETTER. PROJECT NAME 7. ELECTRICAL CONTRACTOR TO PROVIDE CONDUIT EXPANSION JOINTS AND o p ANCHOR CONDUIT RUNS AS REQUIRED PER NEC. O J < ti m O 8. ALL WIRING MUST BE PROPERLY SUPPORTED BY DEVICES OR MECHANICAL J Q � o MEANS DESIGNED AND LISTED FOR SUCH USE, AND FOR ROOF-MOUNTED W O - o (5 p D_ � >- coWO SYSTEMS, WIRING MUST BE PERMANENTLY AND COMPLETELY HELP OFF OF THE z z oo co cn ROOF SURFACE. NEC 110.2 - 110.4 / 300.4 = Q p 0 . UO 9. ALL ROOF PENETRATIONSQ Lo o z MUST BE FLASHED. SIMPLY CAULKING DOES NOT SUFFICE. m j o I- O LoO p ~ z Q Q SHEET NAME ADDITIONAL NOTES SHEET SIZE ANSI B 11" X 17" SHEET NUMBER PV-5 3 Solaria PowerX � DC Panel SOLARIA SOLARIA Solaria PowerX-400R HARVESTPO ER HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP Performance1 1 1 TERRACE NY 11752 ® Solaria PowerX- 390R 395R 40OR Cell Type Monocrystalline Silicon w 1�ilest owe. t® ® ' � . Max Power(Pmax) [W] 390 395 400 Dimensions(L x W x H) 67.8" x 44.7" x 1.4 Efficiency [%] 20.0 20.2 20.5 1723mm x 1134mm x 35mm �Gj PrvL K 22.1 Weight k Open Circuit Voltage(Voc) [V] 36.9 37.1 37.3 Wei 9 g/48.7 Ibs Short Circuit Current(Isc) [A] 113.52 13.60 13.68 Glass Type/Thickness AR Coated,Tempered/3.2mm Achieving over 20.5°i°efficiency,Solaria PowerX Performance solar panels feature Max Power Voltage Vm Frame Type Black Anodized Aluminum � g ( p) [V] 30.6 30.8 31.0 YP Solaria's core cell cutting technology,offering higher-power and attractive black-on Cable Type Max Power Current(Imp) [A] 12.73 12.82 12.9 /Length 12 AWG PV Wire(UL)/1100mm black aesthetics compared to conventional solar panels.Solaria has been the market Power Tolerance [%] -0/+3 .0/+3 -0/+3 Connector Type Staubli MC4 leader in cut-cell technologies for over a decade.With a comprehensive 25-year Junction Box IP68/3 diodes tf�A J r Peffo`rr�ance :11W/ml,20'C Amb,Wind Front Load 5400 Pa/113 psf* 02981 = warranty,PowerX delivers the latest in power and reliability for homeowners. Max Power(Pmax) [W] 290 293 297 Rear Load 2400 Pa/50 psf* t Open Circuit Voltage(Voc) [V] 34.3 34.5 34.7 Refer to Solaria installation manual for details DESCRIPTI 15,4T REV. Short Circuit Current(Isc) [A] 11.01 11.10 11.13ons BLDG.PERMIT 09/28/2023 0 High Efficiency, High Power Max Power Voltage(Vmp) [V] 28.50 28.60 28.76 At 400 watts and 20.5°i°efficiency,Solaria PowerX solar panels Max Power Current(Imp) [A] 10.20 10.26 10.32 Certifications UL 61730/IEC 61215/IEC 61730 are one of the highest power residential panels available. . , cs. Fire Type(UL 1703) 2 NOCT ["Cl 45+/-2 Power,Parts&Labor 25 years* High Quality and Reliability Temp.Coeff.of Pmax [%/oC] -0.36 Warranty 9 Y Y Temp.Coeff.of Voc [%/°C] -0.28 *Warranty details at www.solaria.com State-of-the art cell cutting technology and advanced panel Temp.Coeff.of Isc [%/°C] 0.048 construction ensure that PowerX panels are highly reliable 1. , ■, , Stacking Method Vertical/Palletized and designed to far exceed the industry-leading 25-year Operating temperature [°C] -40 to+85 Panels/Pallet 31 warranty. Max System Voltage [V] 1000 Pallet Dims(L x W x H) 69.3"x 44.3"x 49.3" 1760mm x 1125mm x 1253mm Max Fuse Rating [A] 25 PROJECT NAME Pallet Weight 745 kg/1642lbs Bypass Diodes [#] 3 Pallets/40-ft Container 26 All Black Aesthetics . I I Panels/40 ft Container 806 O ❑ Compared to conventional panels,Solaria PowerX panels • IV O + have a more uniform all black appearance. - 1 11 - 16 - - �;� lO Corporation has crea •e I�� �<a ❑ 2 one of 14 ', mom iusm � � _ J Q O J H the indu"str"Y's most ■ 12 A • 6�e . . O (5 Z) o Best System Value 'portfo e a '° is Z o Lij 0�� Solaria PowerX solar panels produce more power per squarepen ,, and a (n Z w O LL meter area.This reduces installation costs due to fewer module o •-e q - -o 6 \,��� Q ❑ O �" 0 balance of system components. 4 ten, o "" _in 2 O U „ i o Z technology•p ra o 0 5 10 15 20 25 30 35 40 \ I Q J Improved Shading Tolerance i • ' energy. VOLTAGE(V) - � ❑ O 0 t[ [ -10°0 W/m"2 -80D W/m^2 -60°W/m^2 -40°W/m"2 -20o W/m^2 I '0O AT Sub-strings are interconnected in parallel,which dramatically Q� V/ l///�l � A A " A _I lowers the shading losses and boosts energy yield- , , • ----- . --- -- -- -- Z _ mN. Cvoc- 100% 25-year Power,Parts and Labor from Solaria ® - --- ,,m. - a " -- Q 98% u'u4au imo"n"rae Tier 1 Indu0stry warranty 0 I , Low Light Performance °. , 10.omm - 90% r SHEET NAME PowerX maintains high efficiency at low irradiance further 9 9YY "86% 35� SPEC SHEET ensuring maximum energy yield. o.osm]_ 803ilTypical .�81°b i.3mm I SHEET SIZE 27.smm 5 10 15 20 25 Years 9.Rn 35.0.nm. ANSI B The Solaria Corporation 45700 Northport Loop East,Fremont,CA 94538 P:(510)270-2507 www.solaria.com Copyright©2023 The Solaria Corporation The Solaria Corporation 45700 Northport Loop East,Fremont,CA 94538 P:(510)270-2507 www.solaria.com Copyright©2023 The Solaria Corporation 11 rt X 1 7" Product specifications are subject to change without notice. SOL-DAT-0010 Rev 04 2-2023 Product specifications are subject to change without notice. SOL-DAT-0010 Rev 04 2-2023 SHEET NUMBER PV-6 ' LAM NT N I RAC ff SO R ou uHARVEST POWER LILC r t :E93585 ,14�ttzl 11 I 1 1 I • 1 , I 1 1 1• I BE/,!I ER DESIGNS ' TRUST THE INDUSTRY'S BEST DESIGN TOOL CONCEALED UNIVERSAL o 1 r �' 1 1 •, 1 Start tlig`design process for every project In our U.Builder online design tool. ENDCLAMPS It's a Qrcat way to save time and money. BETTER SYSTEMS -,ONE SYSTEM-MANY APPLICATIONS SF Quickly pt modules flush to the roof on steep pitched roofs.Orient a large variety 0 of modules in Portrait or Landscape-Tilt the system up on flat or low slow roofs. END CAPS'INCLUDED --- _. .,. , Components available in mill,clear.and dark finishes to optimize your design financials WITH EVERY ENDCLAMP --- and aestfieLcs. w , BETTER .,RESULTS MAXIMIZETROFITABILITY.ON EVERY JOB CONCEALED Trust Unirac to help you minimize both system and labor costs from the time the job is UNIVERSAL qu1;taCtly-the time yourleamsgot off the roof,Faster.Installs.LessWastc,More Profits. t CLAMPS', :, 5� UNIVERSAL SELF : Lltv'Rac BE . ER SUPPORT STANDING*MIDCLAMPS 25WORT WI`FH THE INDUSTRIES MOST EXPERIENCED TEAM. Proles4bal support for prolessiooal installers and desiguers,-You have access to PROJECT NAME our tecl6cal•support and training groups.Whatever your support neods,we've.got OPTIONAL YEAH you coi ed.Visit Onlrac.com/sotarmounttormore information. • 4, ' ' �` FRONT TRIM f(IILSYSiEhif �# . • WAR MIT ff a r • �. TOOL SAVESTIME&MONEY . • BON01N(y&OROUNOINC ` - " 0 :• Visit designuoirac.conn . • rn UL2703SYSTEMMECHANICALIOANNG _=_�� �� •. FIRE CLASSIFICATION • j, . = LL UNI AC CUSTOMER SERVICE MEANS THE HIGHEST LEVEL OF PRODUCT SUPPORT • LO _ '' _ * i = • ' • I I 11H F.11,111 k]Will IIIII I IIJUA WA kk111I 47111111118Ul MATCHED CERTIFIED ENGINEERING BANKABLE DESIGN PERMIT , ,i. I ii , i,• , �•r , .E E,PERIENCF DUALITY EXCELLENCE t4ARRANTY TOOLS DOCUMENTATION a TECHNICAL SUPPORT CERTIFIED:QUALITYPROVIDER BANkABLE WARRANTY Unira6j'o.Imical support team;is dedicated toanswering Uniracisthe only PV mounting vendor with ISO Don't$ave your project to chance,Unirac has the questlops&addressing issues in real time.Anonline certifications for 900t:2008,14001:2004 and OHSAS 8nanctrol strength to back our products and reducoyoui risk. SHEET NAME librar}+dil ocumentsincludingengincenngreports. 18001:2007.whichmeanswedetivei the highcststandards Nave,peaceofmmtlknowngyouareprovidingproducsul THE PROFESSIONALS CHOICE FOR RESIDENTIAL RACKING stamp' lettersand echnicaldatasheelsgreafly for6t;form,and function.These certifications demonstrate exceplfonafquality.SOLARMOUNTis covered hya25year SPEC SHEET simplifos your permitfing and pro jecfplanningprocess. ourexcellence and commidmonito firs tclassbusinesspractices. Gmildproductwarrantyanda:5yearlhiited finish warranty., SHEET SIZE i0nunninmpunuwuunlnnmm�mninumunnnnnuni0nnnjmumm�mnnuq.tim I uw I irnuminmI 11a u".11 nningnmmuunf l Imtmn�nninrmm,1.1 1 unnumm�nn.gO 1"'Im"In filn,ununmuuumuuuun.mu.11 nnuuunnntl, t• RESTINSTALLATION'EXPERIENCE•CURBAPPEAL•COMPLETE SOLUTION*UNIRACSUPPORT • � ENHANCE YOUR REPUTATION WITH QUALITY RACKING SOLUTIONS BACKED BY ENGINEERING I:XCELLENCE.AND ASUPERIOR SUPPLY CHAIN ANSI B FOR QUEST.lONS OR CUSTOMER SERVICE VISIT UNIRAC.COM OR CALL (505) 248 2702 Poo.4,vPiotannat FOR QUESTIONS OR CUSTOMER SERVICE VISIT UNIRAC.COM OR CALL (505} 248-2702 ' i SHEET NUMBER