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Home My WebLink About50217-Z O�OSUFFUL�p Town of Southold 3/30/2024 y� P.O.Box 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45086 Date: 3/30/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 610 Park Ave Ext,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-8-28.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/11/2023 pursuant to which Building Permit No. 50217 dated 1/16/2024 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 on existing seasonal single family dwelling as applied for. The certificate is issued to JJS Edgewater LLC. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50217 2/28/2024 PLUMBERS CERTIFICATION DATED n r\ Aut ri ed g ature o�guFFDt�co TOWN OF SOUTHOLD Gyp BUILDING DEPARTMENT N TOWN CLERK'S OFFICE "oy • o� SOUTHOLD, NY .a� 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 #: 50217 Date: 1/16/2024 Permission is hereby granted to: JJS Edgewater LLC 685 Track Ave Cutchogue, NY 11935 To: install roof-mounted solar panels on existing seasonal dwelling as applied for with flood permit. i At premises located at: 610 Park Ave Ext, Mattituck SCTM #473889 Sec/Block/Lot# 123.-8-28.6 Pursuant to application dated 12/11/2023 and approved by the Building Inspector. To expire on 7/17/2025. Fees: SOLAR PANELS $100.00 ELECTRIC $125.00 CO-ALTERATION TO DWELLING $100.00 Flood Permit $150.00 Total: $475.00 Building Inspector OF SO!/jg�l � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviina-town.southold.ny.us Southold,NY 11971-0959 Q�ycOUNT`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: JJS Edgewater LLC Address: 610 Park Ave Ext city:Mattituck st: NY zip: 11952 Building Permit#: 50217 Section: 123 Block: 8 Lot: 28.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: GreenLogic LLC Llc.43858ME 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: 10.2kW Roof Mounted PV Solar Energy System w/ (24) SunPower SPRM425 ModulE SunPower Monitor, AC Combiner Notes: Solar Inspector Signature: - Date: February 28, 2024 S. Devlin-Cert Electrical Compliance Form OF 50Ulyo� �� ✓-L # # T N SOUTHOLD BUILDING DEPT. °y o rm��' 631-765-1802 [NSPECTION [ ] 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: DATE INSPECTOR �o�aOF SOGTyO� * # TOWN OF SOUTHOLD BUILDING DEPT. Cou 631-765-1802 o ---r INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAAULKING [ ] FRAMING /STRAPPING [ FINAL 4 9lov [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Up [SLlk DATE 3 Y ?A INSPECTO J A M E S J. S T0UTI A RCHITECT & Assoc . 2 G REG L, A N E E AST NORTHPORT N. Y. 831 - 8 58 9388 I I Post Installation Letter i February 15, 2024 j RE: AS Edgewater LLC MAR ? 2024 610 Park Ave Ext. Mattituck, NY Permit#50217 dated 1/16/2024 I To Whom It May Concern: This letter is to confirm that as of this date February 15, 2024, 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 +I � 02, O� FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION (1ST) N ------------------------------------ c FOUNDATION (2ND) z 0 c cn y ROUGH FRAMING& Q y PLUMBING \Y3 1 i � r r� INSULATION PER N.Y. STATE ENERGY CODE ovAw �V FINAL i rh� ADDITIONAL COMMENTS z�l 2Y v roc o CtOl on X r � b 0 z x r� x d r� b ,040_=_*1X4 W'r wt , TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631)765-9502 hLtps://www.southoldtomm.a Date Received APPLICATION FOR BUILDING PERMIT -For Office Use Only PERMIT NO. 561,�_ Builcling Inspector: B"llesn(i DO n O�sou%. K 06t 66�filie4' "in, �bry` I �ppte Tow 'hei ,q"wn"e__'r.`,_an- _ 0Wn er-s�Aiit 6n ir fo Date:12/4/2023 0 RTY Name:JIJS.-,Edgewater L.LQ. S_CTM#1000-11.2.378-2�8,6 Proj e c t Addre ss:.6_1-0--P1ark1.Avenue..,E?�t, Phone#:631-25.5-.4028 Email:scottO.,n.f-wo.o,dwor-ks,.c,o,m- Mailing Address:685 Track Avenue, I ue, NY 11935 PERSON CON TACT_ Name:Barbara - GreenLooic LLC Mail in I g.Ad.d.ress:97 r North Sea Rqa0.,,,�aqqthqmp I ........ tpn,,_NY 11968 Phone#:631-771-5152 x-1 1117�_. ..- .--1-11 1._. I __ I _ ] T!7i.l:AM@Greenlogic.com -ION: - DESIbN PAOF'ESSi 41LINFOk MAT' -, ". I I�. , ,. ,,, I - , . -1^1�,,_17- I Name:James J. Stout Architect & Associaies Ma i.1 11 1 ngAd.dress:_2,1G-reg.Lapp,J�A�j NQqhp -pq, ,NY 1173 1 Phone#:631-858-9388 Email:StoUthUb@iamesstoutarch.com INFORMAT OW " CONTRACTOk I Name:GreenLogic LLC Mailing Address:97 North Sea Road, Southampton,_NY 11968 Phone#:631-771-5152 Email;AMCaGreenl,o,alic.c_o,.m.,,-,-,,,,-_,, S ED:CONSTRIJICI'_164__,��!� - Yj k ...... EINewStructure CAddition 5RAlteration E]Repair ElDemolition Estimated Cost of Project: lil0ther Solar PaneLs $ 32P 50 I the lot be re-graded? DYes W No Will excess fill be removed from premises? 11Yes INNo PROPERTY INFORMATION Existing use of property: Residential dwelling Intended use 6f.property: Residential dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑YesgNo IF YES; PROVIDE A COPY. ® Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk;County,New York and:other applicable Laws;Ordinances or Regulations,for the construction of.buildings, additions,alterations or for remoJal.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 Section210.45 of the New York State Penal Law. Application Submitted By(print name):GreenLogic. LLC `BAuthorized Agent ❑Owner Signature of Applicant:. Dater 12 -/4 -2 3 STATE OF NEW YORK) SS: CO U NTY OF Suffolk ). NeSln1 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;acid . that the work will be performed.in the,manner set forth in the application file therewith. Sworn before me this 4 day of ,2fC�do2.3 I otary Public, BAR BARA Yt`CASCIOTTA Notary;P,ubtic-State of New Yorlt PROPERTY OWNER AUTHORIZATION assasss 1pualified in Suffolk County (Where the applicant is not the owner) Commission Expires May 11,3ea3 I, residing at ('y_ P do hereby authorize GreenLogiC LLC. to apply on . my behalf to the T n f Southold Building Department for approval as described herein. Owner' Sign ure D to .Print Owner'same 2 . UEfj, BUILDING DEPARTMENT- Electrical Inspector �Ca ¢G TOWN OF SOUTHOLD CZ Town Hall Annex- 54375 Main Road - PO Box 1179 ZM � Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cDsoutholdtownny.gov — seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 12/4/2023 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 ®I request an email copy of Certificate of Compliance Address.: , 97 North Sea Road Southam ton NY 11968 JOB SITE INFORMATION (All Information Required) Name: JJS Edgewater LLC Address: 610 Park Avenue Ext, Mattituck, NY 11952 Cross Street: Phone No.: 631-255-4028 Bldg.Permit#: FJo E'I email: scott@nfwoodworks.com Tax Map District: 1000 Section: 123 Block: 8 Lot: 28.6 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system (24) SunPower SPR-M425-H-AC panels Et (24) Enphase IQ7HS micro inverters (1) SunPower PVS6 monitor System Size: 10.200KW Check All That Apply: Is job ready for inspection?: ❑YES 0 NO ❑Rough In ZFinal Do you need a Temp Certificate?: DYES [:]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.xlsx GREENLOGICO ENERGY December 4, 2023 Town of Southold t� Building Department Town Hall...;; Tars 53095 Route 25 Q�C Southold, NY 11971 Project Info: AS Edgewater LLC 610 Park Avenue Ext Mattituck, NY 11952 SCT M: 1000-123-8-28.6 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 • 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$325 ($100 Building Permit/$100 CO/$125 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, J`3avcPww Catsciotta Barbara Casciotta Account Manager Barbara@Greenlogic.com GREENL%1 � J .�Wn�joc.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 ,4, GREENLOGIC" ENERGY January 16, 2024 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Project Info: JJS Edgewater LLC 610 Park Avenue Ext Mattituck, NY 11952 SCT M: 1000-123-8-28.6 Dear Building Inspector: Please find attached a floodplain 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: • Floodplain Permit • Check for$150 Please let us know if you need anything else in connection with this application. Yours truly, 9a4brwm ewcioftac 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 GREENLOGIC° ENERGY March 20, 2024 CNJ The Town of Southold Building Department `" 54375 Route 25 ` ,A ZE P.O. Box 1179 I Southold, NY 11971 _ Project Info: Building Permit No. 50217 JJS Edgewater LLC 610 Park Ave Ext Mattituck, 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, `J3aJma &-ociefta 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 SURVEY OF: PROPERTY LOCATED AT MATTITUCK �o TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK S.C.T.M. # 1666-123-6-28.6 SCALE: 1"=30' 3� NOTE: THE EXISTENCE OF RIGHT OF WAYS. WETLANDS AND/OR EASEMENTS OF RECORD IF ANY. NOT SHOWN ARE NOT GUARANTEED. p PROPERTY ALSO KNOWN AS e P/O LOT No. 8 AS SHOWN ON DEEP HOLE &9 MAP OF MARRATOOKA POINT (G A R D I NER ',S) 6 ELEVATIONS REFER TO 1988 NAVO CREEK 2 6,2,00., LAND N/F 4 F LEIGH WICKHAM 8 ELEVATIONS SHOWN THUS .�++ �� STACY SHEPPARD be 1. S 3 6�1NE5 a� S", tP'W"i lie N 0't� RES Ij OF j?"k gIG� WATER \ �S ° CESS Sp METER Oy 2 ® COVER q Q m AC is is GRAVEL N UNITS OF-Eft DRIVEWAY £ 9 5 p 6 0 SHED 12.5'/E DEEGE a "S•p 6 R� n 4 2 O= m0 Q J7 pE�GE ��' Ne f p02 00 F . F . O; !y CONC SURVEYED BY: COLUMN z6 2• m6 •�, � �,�,� �_ LAND N/F � PAUL BARYLSKI LAND SURVEYING MATTITUCK PROPERTY OAKDALE NY 11769 FAMILY TRUST PHONE 631-294-6585 FAX 631-627-3186 c+ 6 Al <zi � � A N D Sv�' PAULBARYLSKI®YAHOO.COM APRIL 2, 2822 _ N 84059'39"{�/ S -7 3 53, S UNAUTHOR17ED ALTERATION OR ADDITION TO THIS SURVEY 1S A VIOLATION 50.13 OF SECTION 7209 OF THE MEN YORK STATE EDUCATION LAW_ COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED T OR GUARANTEES SEAL SHALL ION BE CONSIDERED TO S A VALID TRUE COPY. G R E A 1 P E C O N I C GUARANTEES OR CERTIFICATIONS INDICATED HEREON 9111LL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION R A T T LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. r GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEGUENT OWNERS. 4631 DATE(MMIOD/YYYY) .acoizn CERTIFICATE OF LIABILITY INSURANCE Lam" Fol/26/2023 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 terns 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 CONTAMIECT Nicholas Zulkofske Brookhaven Agency,Inc. PHONE 631 941-4113 Fax 631 941-4405 100 Oakland Ave,Ste 1 EA -MIL • Certificates@ brookhavena enc .com Port Jefferson,NY 11777 INSURERS AFFORDING COVERAGE NAIC ti INSURER A: Southwest Marine&General Insurance Co. INSURED INSURERB: Merchants Preferred Insurance CO. GreenLogic,LLC INSURER c: 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. LT R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 00O 000 A CLAIMS-MADE OCCUR DAMAGE TO RENTED $1OO OOO X Contractual Liability X X GL202300012922 01/31/2023 01/31/2024 MED EXP(Any oneperson) $5 000 PERSONAL S ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 00O 000 POLICY®jE LOC PRODUCTS-COMP/OP AGG s2,000,000 OTHER: E&O Liability $1,000 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 000 000 B X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED X X CAP1043565 08/11/2022 0811112023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PERT[JTF OTH- AND EMPLOYERS'LIABILITY Y/N 'TA ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A see separate certificate (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C NYS Disability D251202 04/11/2022 04/11/2023 Statutory Limits E Installation Floater/Property SML93076366 04/15/2022 04/15/2023 $300,000 $2,500 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be 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 STAT Workers' CERTIFICATE OF INSURANCE COVERAGE sra>:re 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 Carrie 1 a.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"1 a" 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: I I i i 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 (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 I 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 5B 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) DB-120.1 (12-21) PORK Workers' CERTIFICATE OF srArE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE �oalrel 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Greenlogic LLC (631)771-5152 97 North Sea Rd 1c.NYS Unemployment Insurance Employer Registration Number of Suite 3 South Hampton,NY 11968 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 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"la" TOWN OF SOUTHOLD WC605-00090-023-SZ BUILDING DEPARTMENT 53095 ROUTE 25 3c.Policy effective period SOUTHOLD,NY 11971 j 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: ,�1� ( IJLtdZLr2�Z�Z0�rt� I�r 2-02—L (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 V7� i 'Z� U, 4--t 4 4"- Suffolk County Executive's 0 ce of ConsumerAffairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEW YORK 11788 .... ...... DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY f:A Home Improvement Contractor License This is to certifv that MARC A CLEJAN doing business as -GREEN-LOGIC LLC having fin-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 olk. IMPROVEMENT CONTRACTOR,in the County of Suff Additional Businesses NOT VALID WITHOUT D9PARTMENTAL SEAL 3 AND A CURRENT CONSUMER AFFAIRS ID CARD Director NO I Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 12/10/2007 No. 43858-ME SUFFOLK COUNTY . j Master Electrician License � This is to certify that ROBERT J SKYPALA doing business as GREENLOGIC LLC - k 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 NOT VALID WITHOUT DEPARTMENTAL SEAL AND A'CURREN T CONSUMER AFFAIRS 11)CARD Director E a ►'� Y � q � 9 � — 1 � G r �. 9 EXISTING SERVICE\ �r PV-SA--1 AC-COMBINER PANEL 120/240, 1PH, 3W\ AC---CMB-1 (�j, • e • �--„_— (PV LOADS ONLY) 200A {AWN j ' PV-SA-2 - • • • - �� ! A B N � I--�C j • AC-- 1-1 N � i BKR-� AC DISCONNECT f I PV-SA-3 �-{A� � BKR-2 FM • • • ; tt I . . . 2 f— BISR-3 I N ___-^ �.��_.�� i � � � �•--�MAIN BKR-4 i A 6 N I ! f FUSED ' PV-SA-$ - o . . . Mml 2 1 - i - -Fu -N - - - - - - --- -- ®- EGG TYPICAL PV MODULE WITH INTEGRAL DC/AC INVERTER I I l f EGG f ��EGC f ! ! ! I ! EXISTING AC PANI'LEXISTING ' lllf I f IGEC LLB t ________.__._L________________-J_ GEC ____- 10.200kW DC 9.216kW AC PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Edgett, Scott GREENLOGICO 610 Park Ave Ext C+ ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Edgett-3LD1 Revision: 1 Revised: 10/12/23 ---- - -- -- -- ----- ---—--—-- --— - NEW EQUIPMENT — - PV-SA-1 AC-COMBINER PANEL (TYPICAL SYSTEM SCHEMATIC, FINAL INSTALLATION VAY VARY, • • • AC-C M B-1 REQUIRES LOCAL AHJ • • • < (EXTERNAL NEMA-3R) B AND tMUTY APPNOVAL) EXISTING SERVICE N 120/240, 1 PH, 3W i 100A PV-SA-2 A MaN 200A K W H t • • • N I • • • BKR-1 TYPICAL PV MODULE WITH J� I I 9KR-2 INTEGRAL DC/AC INVERTER I I II TYP. PV ARRAY II BKR-N } --)MAIN BKR-M i PV-SA-N j i I i A B N • • • . . . W21 , BFB - -- i N PM_i TYPICAL PV MODULE WITH INTEGRAL DC/AC INVERTER I I I i ip EGC C ^ I I i I MAIN C/T N I I v ► I I I EGC AC DISTRIBUTION I GEC 6 CU I (EXISTING) I #4 CU L ------- --L---------------------i--------- IRREVERSIBLE BOND, TYP. � --- - - - - -- -9- -- -- --- -- -- - - - ---� REVISIONS Edgett, Scott 610 Park Avenue Ext. GREENLOGIC ENERGY Mattituck, NY 11952 2.) AS BUILT CONFIGURATION ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 4 Drawing No: EDGT-3LD1 Revision: 2 Revised: 2/18/2024 SYSTEM SUMMARY r . TOTAL KW RATING: (AC POWER) 91216 (PV). TOTAL KW RATING: (DC POWER) 10.200 (PV) QTY. COMPONENT SPECIFICATION SUNPOWER BRAND, MODEL: SPR-M-425-H-AC 24 PV MODULE: 425 W'DC(NOMINAL), EACH; ENPHASE BRAND, MODEL: IQ-7XS 24 PV INVERTER: (INTEGRAL TO MODULE) 384 VA, 1.60.A, 240V.AC, EACH _ !REVISIONS Edgett, Scott G R E E N L®C IC® 610 Park Avenue, Ext. Cf ENERGY Mattituck, NY 11952 2.) ASBUILT CONFIGURATION ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL,WITH APPLICATION Page 2 of 4 Drawing No: !EDGT-3LD1 Revision: 2 Revised: 2/18/2024 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUNPOWER"SPR-M-425-H-AC, 1-CIRCUIT OF 6-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUNPOWER'SPR-M-425-H-AC, 1-CIRCUIT.OF 6-MODULES PV-SA-3 PHOTOVOLTAIC SUB-ARRAY SUNPOWER'SPR-M-425-H-AC, 1-CIRCUIT.OF 6-MODULES PV-SA-4 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-M-425-H-AC, 1-ClRCUIT,OF'6-MODULES PM-1 PRODUCTION MONITORING SYSTEM SUNPOWER!PVS6, POWER MONITOR AC-CMBP AC COMBINER PANEL 250V, 100A, NEMA-311, 1-PH, 3-WIRE BKR-1...BKR-4 CIRCUIT BREAKER, PV-SA-1 ... PV=SA-4 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-M CIRCUIT BREAKER, PRODUCTION'MONITOR MATCH AC COMBINER PANEL BRAND, 2-POLE, 15A BFB-1 CIRCUIT BREAKER, GRID-TIE BREAKER, MATCH MAIN PANEL BRAND, RATING: 2-POLE, 50A Edgett, SCOtt REVISIONS 610 Park Avenue Ext. Cf GREL®G��® ENERGY Mattituck, NY 11952 2.) AS BUILT CONFIGURATION ELIMINATING THE COST'OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 31,of 4 Drawing No: EDGT-3LD1 Revision: 2 Revised:: 2/18/2024 ELECTRICAL LOAD SUMMARY,AC CIRCUITS 'i TAG POWER MAX VOLTAGE MAX.AC VOLTAGE,,NOMINAL ' RANGE 'CURRENT PV-SA-1 2,304 WATTS 211-264 VAC 9.60 A AC 240 V,AC: PV-SA-2 2,304 WATTS 211-264 VAC 9.60 A AC 240 V,AC PV-SA-3 2,304 WATTS 211-264 VAC 9.60 A AC 240 V,AC, PV-SA-4 2,304 WATTS 211-264 VAC 9.60 A AC 240 V,AC CONDUCTOR SCHEDULE TAG TYPE AWG. / EGC A NMB 10 / 10 B PVC740 6 / 8 ----- - - C - --- -- NMB 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: PV ARRAY EQUIPMENT GROUNDING CONDUCTOR TO BE#6 COPPER, MINIMUM Edgett, Scott REVISIONS 610 Park Avenue Ext. ct GEENi..U `I�® EN ERG Mattituck, NY 11952 2.) AS BUILT CONFIGURATION ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 4 of 4 Drawing No: EDGT-3LD1 Revision:.2 Revised: 2/1.8/2024 t. /J A M E S J. S TOUT A R C H I T E C T & ASSOC. 2 G R E G L ANE E AST NoRTHPOR TN. Y. 831 — 8 58 9386 4�- Letter of Certification October 11,2023 i i RE: Edgett Residence 610 Park Ave. Mattituck, NY 11952 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 6" @ 24"o.c. roof rafters will provide the required support. COMPLY WITH ALL CODES OF Thank you, OCCUPANCY CY OR NEW YORK STATE&TOWN CODES James J. Stout AS REQUIRED AND CONDITIONS OF Architect USE IS UNLAWFUL SOUTHOlD7WN ZBA WITHOUT CERTIFICA ,�_,.___ SOUTHOLDPLANNINGBOARD PRO AS NOTED F C C U P , /S. 0 TOWN TRUSTEES OA B.P. J 60�evHPC IFUNDAT BUILD N DEPARTMENT AT ASO 631 .1802 A TO 4PM FOR THE `' J. FOWING 1 S ECTIONS: r j. O -TV4,�OREQUIRED �k 'a1I I1GW CQuffM�'-hi R POU E CONCRETE 2�2V Q-�cL 2. R UGH-FRAMING&PLUMBING 3. I SULATI N , 4. F NAL-CON! TRUCTION MUST B COMP E E FOR C.O. A ONSTR C ION SHALL MEET THE FLVUY(�VN�R IREMEN S F THE CODES OF NEW YC RK STATE. NOT RESPONSIBLE FOR COMPLY WITH CHAPTERS N46* p I N'TRUCTON ERRORS ELECTRICAL =LOOD DAMA,QE PREVENTION INSPECTION REQUIRED III JTHOLD TOWN CODE. GREENLOGICO ENERGY GreenLogic,LLC Approved Edgett,Scott 610 Park Avenue Ext. Mattituck,NY 11952 Surface#A: Total System Size:10.200kW Array Size: 10.200kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:138° Pitch:27' Monitoring System: Z SunPower Panel/Array Specifications: Panel:SPR-M-425-H-AC Racking:SunPower Invisimount Panel:73.7"X 40.6" Array:49'6 W X 10'3 3/8" Surface:51'3"X 14'3" Magic#:Invisimount Legend: ® 24 SunPower 425W Panels gg E H® SunPower Invisimount Rail • 60 Iron Ridge Flash Foot 2 2x6"Douglas Fir Rafter 24"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:2.54psf Engineer/Architect Seal: 1 �tdE Drawn By:MMB Drawing#1 of 5 Date:9/25/2023 PREV:B Drawing Scale:1/8"=1.0' C Plot E L. ICO ENERGY GreenLogic,LLC Approved Edgett,Scott 610 Park Avenue Ext. Mattituck,NY 11952 Surface#A: Total System Size:10.200kW Array Size:10.200kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:138° Pitch:27° Monitoring System: 2 SunPower Panel/Array Specifications: Panel:SPR-M-425-H-AC Racking:SunPower Invisimount Panel:73.7"X 40.6" Array:49'6 W X 10'3 3/8" Surface:51'3"X 14'3" Magic#:Invisimount Legend: ® 24 SunPower 425W Panels ® SunPower Invisimount Rail 71— • 60 Iron Ridge Flash Foot 2 2x6"Douglas Fir Rafter 24"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:2.54psf Engineer/Architect Seal: �aED ARc Drawn By:MMB Drawing#2 of 5 Date:9/25/2023 REV:B Drawing Scale:1/8"=1.0' EEL1 O ENERGY GreenLogic,LLC Approved Edgett,Scott 610 Park Avenue Ext. Mattituck,NY 11952 Surface#A: Total System Size:10.200kW Array Size: 10.200kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:138° Pitch:27° Monitoring System: 2 SunPower Panel/Array Specifications: Panel:SPR-M-425-H-AC Racking:SunPower Invisimount Panel:73.7"X 40.6" Array:49'_6 W X 10'3 3/8" Surface:51'3"X 14'3" 3 Magic#:Invisimount Legend: 2 ® 24 SunPower 425W Panels ® SunPower Invisimount Rail 1 • 60 Iron Ridge Flash Foot 2 2x6"Douglas Fir Rafter 24"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:2.54psf Engineer/Architect Seal: 1. T Drawn By:MMB Drawing#3 of 5 Date:9/25/2023 REV:B Drawing Scale:1/8"=1.0' No Vent Pipes Will Be Covered By The Solar Array ENERGY LOGIC° Legend: (3� - GreenLogic,LLCApproved AR-Access Roof AP-Access pathway, 36" minimum width SVO—Setback at ridge Edgett,Scott per R202 definitions per R324.6.1 as per R324.6.2.1 Mat Park Avenue 52 p P p Mattituck,NY 11952 Total System Size:10.200kW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker Azimuth:138' Monitoring System: 2 Meter SunPower Panel/Array Specifications: Panel:SPR-M-425-H-AC Racking:SunPower Invisimount Panel:73.7"X 40.6" Magic#:Invisimount Legend: ® 24 SunPower 425W Panels AR ®- SunPower Invisimount Rail • 60 Iron Ridge Flash Foot 2 2x6"Douglas Fir Rafter 24"O.C. ------ -------------------- ---- SVO Notes: __________________SVO ___,_———--————————— Number of'Roof Layers:1 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:2.54psf Engineer/Architect Seal: Rim �IkE ARC n 24 SunPower "@ 425W Panels A, 'Ar 1 N�� ` Drawn By:MMB Drawing#4 of 5 Date:9/25/2023 REV:B Drawing Scale:3/32"=1.0' GREENLOGICO ENERGY GreenLogic,LLC Approved Edgett,Scott 610 Park Avenue Ext. Mattituck,NY 11952 Total System Size:10.200kW I circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker I circuit of 8 on a 20A breaker ...... Azimuth:138' JOB MATERIAL LIST Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-M-425-H-AC Racking:SunPower Invisimount ............ ................ ...........-- ...................................... .............. ................... .......... ........... ......... . ............ ............ ........... ........- Panel:73.7"X 40.6" .......... ......... ............. ....... Magic#: Invisimount . .. Qty. Material List QtV. Rail Material List .......... ............... Legend: .............. ------ ................... .......... 24 SunPower 425W Panels -----_-__-_----_................ SunPower Invisimount Rail 9 60 Iron Ridge Flash Foot 2 Cast Aluminum Mounting Block w/Black Aluminum Flashing 60 2x6"Douglas Fir Rafter 24"O.C. 5/16"x4.75"Hex-Head Lag Screw 60 Notes: 5/16"xl.25"Fender Washer 60 Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:2.54psf Engineer/Architect Seal: .............. ........ ,`BRED ARC, ........... ........... ............. ....... Drawn By:MMB Drawing#5 of 5 Date:9/25/2023 REV:B Drawing Scale:3/32"=1.0' NE t EQUIPMENT—---- --__—_ EXISTING SERVICE sPV-SA-1 AC-COMBINER PANEL 120/240, 1 PI-I, 3W ' Fml,. . . � � AC-CMB-1 � i �---- _------ I ! r 1 • • • �—� (PV LOADS ONLY) 200A ' K W i l Zf L PV-SA-2 - • • • M �—� � A E3 N I r(',j AC-CSC-1 r AC DISCONNECT I I ( I ¢ BKR-2 t I PV-SA-3 AFM � I . . . ! It I • • • 2 1 BKR-3 9 1 V ( i MAIN ---- —i -__7 BKR-4 — - -— -- - -—- - - - A B N PV-SA-4 o j I i FUSED • • . I II II�► • s • L I I N y� 1,1 ---- —'��----I I i I EGG c^ I I , N TYPICAL PV MODULE WITH IIII I INTEGRAL DC/AC INVERTER IIII EGC I IIII I I EGC I IIII I I IIII I I r EXISTING AC PANEII.EXISTING ' IIII I I r I GEC LLI1_ - ------ _--- _---®- _ _--_I--- GEC ----- --- S CU 10.200M DC 9.216kW AC PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Edgett, Scott G�GREENLOGIC'b 610 Park Ave Ext ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Edgett-3LD1 Revision: 1 Revised: 10/12/23 EQUIPMENT& COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PV SUB-ARRAY SPR-M-425-H-AC ENPHASE IQ7HS, 1-CIRCUIT OF 6-MODULES PV-SA-2 PV SUB-ARRAY SPR-M-425-H-AC ENPHASE IQ7HS, 1-CIRCUIT OF 6-MODULES PV-SA-3 PV SUB-ARRAY SPR-M-425-H-AC ENPHASE IQ7HS, 1-CIRCUIT OF 6-MODULES PV-SA-4 PV SUB-ARRAY SPR-M-425-H-AC ENPHASE IQ7HS, 1-CIRCUIT OF 6-MODULES ELECTRICAL LOAD SUMMARY AC Cl RCU ITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 2550 WATTS 211-264 VAC 10.37 A AC 240 V, AC PV-SA-2 2550 WATTS 211-264 VAC 10.37 A AC 240 V, AC PV-SA-3 2550 WATTS 211-264 VAC 10.37 A AC 240 V, AC PV-SA-4 2550 WATTS 211-264 VAC 10.37 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Edgett, Scott GREENLOGIC0 610 Park Ave Ext Mattituck, NY 11952 gym'\ ENERGY ELIMINATING THE COST'OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION -Page 2 of 3 Drawing No:" Edgett-3LD1 Revision: 1 Revised: 10/12/23 i EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMBP AC COMBINER PANEL 250V, 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 ------- 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. 2.) ELECTRICAL CONDUIT TO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 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. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS K Edgett, Scott 610 Park Ave Ext EN G Mattituck, NY 11952 ELIMINAT)NC THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Edgett-3LD1 Revision: 1 Revised: 10/12/23 SUNP WER® 420-44 sl entlal AC Module SunPovier`I Nlaxeon`sTeichnology Built specifically for use with the SunPower Equinox system,the only fully ' f integrated solE r solution designed,engineered,and warranted by one company. K, Highest Power AC Density Available. Th 21 e patented,solid-copper foundation Maxeon Gen 6 cell is over 5% larger than prior generations, delivering the highest efficiency AC solar panel available.* r c E 1 1 !' ui lS: larger -1, Pai-t;df the,Sun ia iRrer E Solar Systern Compatible with Highest Lifetime Energy and Savings mySunPowerT monitoring " . Designed to deliver 60% more energy over 25 years in Seamless aesthetics _ real-world conditions like partial shade and high temperatures? Lip to 41 t'ti'a 60`6 'P tR;7;5 More 30w. -ears of bpe.rod0r. Factory-integrated M,icroiinverter. y; Highest-power integrated':, Best Reliability, Best Warranty AC moduie in solar With more than 42.6 million and 15 GW modules deployed around 'Engineered_and cAbrated, ' the world, SunPower technology is proven to last.That's why we oy SunPower for SunPower stand behind our module and microinverter with the industry's """"AC modules best 25-year Combined Power and Product Warranty. F w -Series: M440 I M435 M430 A M425 I M420 SunPower° Residential AC . o. Inverter.Model:Type H(Enohase IQ7HS) @240 VAC @208 VAC Max.Continuous Output Power(VA) 384 369 i Nom.(L-L)Voltage/Rangez(V) 240/21 1-264 208/183-229 -. _ ...... ._..... ---- Max.Continuous Output Current(Arms) 1.60 1.77 Max.Units per 20 A(L-L)Branch Circuit; 10 9 1 CEC Weighted Efficiency 97.0% 96.5% i Nom.Frequency 60 Hz Extended Frequency Range 47-68 Hz j AC Short Circuit Fault Current Over 3 Cycles 4.82 A rins j i Overvoltage Class AC Port III AC Port Backfeed Current 18 mA i Power Factor Setting 1.0 Power Factor(adjustable) 0.85(inductive)/0.85(capacitive) i SPR-M440- SPR-M435- SPR-H4.30- SPR-M425- SPR-tv1420- ' •25-year limited power warranty H-AC H-AC H-AC H-AC H AC Warranties _ _ � i 25-year limited product warrant' Nom.Powers(Pnom)W 440 435 430 425 420 UL 1741 1 IEEE-1547 - UL 1741 AC Module(Type 2 nre rated) Power Tolerance +5/-096 UL 62109-1/IEC 62109-2 _...--._._...._..-----._................._.........----.........._.. - -----............... ---.._._....._.__....- --- Module Efficiency 22.8% 22.5% 22.3% 22.0% 21.796 FCC Part 15 Class B j ICES-0003 Class B Temp_Coef.(Power) -0.29%/°C CAN/CSA-C22.2 NO.107.1-01 Shade Tolerance Integrated module-level max.power point tracking i CA Rule 21(UL 1741 SA)4 (includes Volt/Var and Reactive Power Priority) Certifications •UL Listed PV Rapid Shutdown Equipment' i a ®o • v • and i Operating Temp. -40'F to+185'F(-40'C to+85'C) I compliance Enables installation in accordance with: 1 NEC 690.6(AC module) Max.Ambient Temp. 122'F(50'C) _ NEC 690.12 Rapid Shutdown(inside and outside the i Wind:125 psf,6000 Pa,611 kg/m2 back array) i Max.Test Lead' Sneer.187 psf,9000 Pa,917 kg/m'front NEC 690.15 AC Connectors,690.33(A)-(E)(1) Max.Design Load -- Wind:75 psf,3600 Pa,367 kg/m2 back I When used with AC module Q Cables and accessoriesl Snow:125 psf,6000 Pa,611 kg/r112 front I 1 (UL 6703 and UL 2238)6, , Impact Resistance 1 inch(25 mm)diameter hail at 52 mph(23 m/s) --_ - Rated for load break disconnect j i PID Test 1000 V:IEC 62804 B Solar Cells 66 Maxeon Gen 6 piiaq v Front Glass High-transmission tempered glass with anti-reflective coa ing " Environmental Rating Outdoor rated Modules per pallet_ " 25 Packaging box dimensions 1915*1072*1220 mm Frame Class 1 b:ack anodized(highest AAMA rating) Weight 48 Ibs 1,21.8 kg) Pallet gross weight 590 kg Recommended Max. 1 Pallets per container 32 Module Spacing 1.3!n.(33 min) Net weight per container 18,880 kg i 73.7 in *Based on datasheet review of websites of top 20 manufacturers per l.,ood Mackenzie US PV-eaderboard Q3 2021. U872 mm1 FRAME PROFILE 1 Maxeon 435 W.22.5%efficient,compared to a Conventional Panel on same-sized arrays ys(260 w,16%efficient, 1 approx.1.6 m=),7.09b more energy per watt(based on PVSyst pan files for avg.US climate),0.59c1yr slower ei Grounding Hales E £ degradation rate(Jordan,et.al."Robust PV Degradation Methadolog7 and Application."PVSC 2018). ng ! $ 2 Voltage range can be extended beyond nominal if required by the utility. �' I � 3 Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. iI 7 4 Factory set to IEEE 1 S47a-2014 default se-ffrgs.CA Rule 21 defauk settings profile set during commissioning. _, ! 1 (A)Long Side:1.3 in(32 min) S Standard Test Conditions(1000 W/m2 irradiance.AM 1.5,25'Q.A l DC vo tage is fully contained within the module. Short Side:0.9 in(24mm) 6 L4 Listed as PVRSE and conforms with NEC 2014 and NEC 2017 690.12;and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors;when instal ed according to manufacturers Instructions. 7 Please read the safety and installation instructions for more information regarding load ratings and — mounting configuratlons Please rear'the safetyy and installation instructions for details. See"mv.sunpower.com/company for more reference information. Specifications included in this datasheet are subjectto change without notice. Kwn.e �Mf.0.M'IrvF I L:anT 02021 SunPower Corporation All rights reserved.SUNPOWER,the SUNPOWER logo,SUNPOWER EQUINOX "� E °H'0G'" 539973 Rev B/LTR_EN and MYSUNPOwER are trademarks or registered trademarks of SunPower Corporation in the U S.MAXEON is a LISTED I,— registered trademark ofMaxeon Solar Technologies,Ltd For more inform3tion visit mm, maxeon.com/legal. Anod,leFimPe,Form—Typ,2 Publication Date: October2021 11-�e ' ® e• • s;P ......... .°Sirmle'and'Fast Installati on r module w- I regrated m.6. rail grounding 7! 1 M s sse,-3 c a p —pre mblO.cl'mid'an�d:end 'Levitating cl mp t.-: ri 'Levil mid, ia' f6r easy Olacemen -,'Mid clanip Width even. moc[Llle,spacing �.,!�, P66 11� 1, ------ 1 UL'2703 Listed,fnteg6tecl grounding, I x e. 6s n L i6l'�: D' ig' -"'Addr6ssc-s:,,iebrlv all slope.d.r(-sidentiai roofs,,.;.': 'D esip-Oh landscape and,'*pbrVait',`.,�, 1:-`Rnils.e�,Ible eas�i.obstacl&,rnanagf�v.en'�-:., -n CUstOr er-PreferredAesthetics% i ni 141 odule and#!,ti.,iounting,aesthetic Best-in-class system aesihetics-:' Elegant Simplicity emium,low-profile deli ggn:;:;: lack anodized,components SunPowe,"I InvisilviountTI11 is a SunPower-designed B I fidden mid clarrips and end ciamps rail-based mounting system.The Invisilviount system and*iped,flush rails addresses residential sloped roofs and combines faster Part bf:Suberibr:Svstem installation time, design flexibility, and superior aesthetics. B.;,Iilt for use with SunP'ower DC and'AC modules.- TV-ie InvisiMount product was specifically envisioned and ass s' Ii reiaD ility'and aesthetics''ern SE lo -i's n • engineered to pair with SunPower modules.The resulting Com ine wid LI Power rriodules pnd.., 6nitorirg a0p M n approach will arnpiify the aesthetic and syker level appr installation benefits for both homeowners and installers. 7� 77 sunpower.com 7- Datasheet SUNPOWER7 41, A v 9,4 Module"I'l-Mid Clamp and Rail Module" End Clamp and Rail Mid Ciarnf) End Clamp Rail Rail Splice Ground Lug Assembly End Cap lit wry A LUX I 'rernoe,-ature C to 90°C(-40°F to 1 F) ComponentMaterial Weight ..................................... ......................................)................ ....................... ........................... 3000 Pa uplift Max.Load(LRFD,, Mid Clamp B:ack oxide stainless steel AISI 304 63 g(2.2,o7) 6000 Pa downforce ................. .............................. End Clamp Flack anodized aluminum alloy 6063-T6 110 V3.88 ciz! 7 Rail -iodize a Black anodized aluminum alloy r,005:1,6 8,w girn o 0�:mo Rail Splice Aluminum allo'i 600575 830 g/rn(9 oz/ft) 25-year product war rarity Warranties Ground LuS, 304 sminless i 106 5 g/ni(3.75 oz) i �)-Year finiShevarrantv Assembly (A2-70 bolt;tin-plated copper ug,) .................... . ... ... .............................................................................. ..................................... I..._—..._.._.._...------_...._.... .. ............. .. .................... --—--------------------- End Cap Black acetal(Pol.,A)copoll, polymer 10.4 g(0.37 o7.) UL 2703 Listed Certifications Class A Fire.Rated "M .......................... Cornpos;tion Shingle Rafter Atfachmeni. a, Application �N i� Composition Shingle Roof Decking Attachment Curved and at Tile RoofAutachi nenu Un'versal Interface for 0-,her Roof Attachments Refer Co roof attachment hardware manufacturers clocurricritation. .......................... ............................. ................................................................................................'zI,Aaftlle frame that is COMPO"Ok.with the:inViSiMOUnt system!r qui,ed for hardware interop,7robili(Y. T are traclem,,.,rks or rogitered 2015 Sunpower Corporation. All Rights Peser,4ed.SUNPOWER,the SUNN OWER(igo,and INVISIMOUN All other tradernarksare the property of their respective owneis. sunpovver.corn Specifications included in this latmheet are subject to change without notice. Document#509506 RevC N f �.�'',``�.;rv��r. :_.•^'1#,y.� `d3``<' ,^;`:.: �J'n i {'''s�t' > .. g:•i.",�_`'i,c..P .t. 77777777 y !ILLY .'rak" tk .Improve Support, . Reduce Wintenance Casts SunPower EnergyLink—Plug-and-Play Installation An in[ult;,,'e monitoring i. ebsite enables you Co: This co 7 r.rplete solution fir residential and commercial monitoring and See a visual wrap or cuscorner sites . conl:roi in:.cludes the SunPo+.'er"TV Sc;pervisor 6(PVS6)which improves Remotely manage tumdreds of sites tl ie Installation process,OVE C811 5`•/s[erYt reliability,drld CUSCG"Tier' ZeCei elkLive'sy/st_'rn reports e-r!e'ricL i_ocate systerrr issues ar"d'rei7iotelyd agrlose Co;npact footprint for improved aesthetics Diagnose issues or.line Robust cloud connectivity and comprehensive local connectivity rill.dour!for the staals of individu;,l devices Flexible configuration of devices during installation . Cons;.lmptlon metering ~ Revenue-grade production metering(pending) Web-based commissioning f` Remote diagnostics or""?VS6 and inverters •<;� Ur.rrable UL Type 3R enclosure reduces mauntenance costs Easy Integration with SunPower e60S Add>Value for Custorners, Robust Cloud Connectivity WItf e Sun Pow r'v1CniT.oring System ! I customers can: h:`ui,.lf.,tiplam options to maintain cptirna See trh<;t tl ie:r;Mar Sy'Ste!"n prod ures each day,month,or year Hardwired Ethemet Oo_inrize tr eir solar'Ir?vestrnen:and save on Wi_Fi energy expenses ; i 5 Cellular backup See their erer@y use and estimated Lill savings See their:solar systerY:'s pe!.."bi rriance Using the k, � SunPo^her monicoririg vfebsite or mobile app s, -- SUnPower Monitoring Websites PVS6 SunPower AC Modules _. , . ri. €s:rr:11dibbil If Multiple communication options include Ethernet,Wi-Fi,and cellular: Number of SunPoavcr RC modules 85 .Cernperature 22"F to {14Cs°F{ 30"C'to{"60`Cj supported per PVS6 Humidity(maximum) 95%,non-condensing Nigh-speed internet access via accessible Internet access router cr switch Power i 00-2.40 VAC(I_N),S0 or 60 Flz. • 208 VAC(L-L in 3-phase).60 Hz RS-485 Inverters and meters • One channel of revenue-grade production metering :+ � Integrated Metering • Two channels of consumption metering Weight 5.5Ibs(15kg) 1 L RiJ ti .............._.... ........_._..---........__...._............................._.......... _.---..._. thernet (or opona(`,hA N;pert Dimensions 1 1.8 x 8.0 x 4.2 in.(30.5 x 20.5 x 10.8 cm) PLC PLC sor SunPower AC rnodules Enclosure rating UL.50E Type 3# WI-Fl &02.11 btgrn 2.4 GHz and 5 GHz Cellular LIT Cat4vi1/3G WT'i --- Lig(:?c.e 802.15.4 Mi 2.4i:i,-tz ISM band Data Storage 60 days Customer site €ronit_US UmP_Qmr_,Corn — Upgr'ades Autornatic firmware upgrades Partner site ptismgmt.:;s>unoawer.carn Browsers Firefox,Safari,and Chrome Molale devices iPhone,iRadl',anal Android Customer app 1.Create account online at.monitor.ussunpowe,com. 2.On a mobile device,download the SunPower Monitoring Warranty 1 o-year Limited Warranty app from Apple App Store?'or Google Play'store. 3.Sign in using account email and passvrord. Certifications UL,cUL,CE,UL 61010-1 and-2,FCC Part 15(Class B) C&US lEM FCC ID:YAW529027 E503346 a other tra&n)af1l the pmn>eftyqftfW1l