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guFF04el Town of Southold oGy 4/13/2024 a P.O.Box 1179 0 o _ 53095 Main Rd y o�. Southold,New York 11971. . CERTIFICATE OF OCCUPANCY No: 45122 Date: 4/13/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 855 Anderson Rd, Southold SCTM#: 473889 Sec/Block/Lot: 50.-1-18.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/28/2011 pursuant to which Building Permit No. 36539 dated 7/6/2011 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.panel system to existing single family dwelling as applied for. The certificate is issued to 'Currie,Donald&Gladstone,Daniel of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36539 12/9/2011 PLUMBERS CERTIFICATION DATED Au o 'ze S nature TOWN OF SOUTHOLD BUILDING DEPARTMENT y s TOWN CLERK'S OFFICE oy . SOUTHOLD-,. NY 0 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#: 36539 Date: 7/6/2011 Permission is hereby granted to: Currie, Donald &.Gladstone, Daniel PO BOX.182 Southold, NY 11971 To: install roof mounted electric solar panel system as applied for. . .At premises located at: 855 Anderson Rd, Southold SCTM # 473889 Sec/Block/Lot#'50.-1-18.7 Pursuant to application dated' 6/29/2011 and approved by the Building Inspector. To expire on 1/4/2013. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector Form No.6 D E C E U U E TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL DEC 1.9 2011 765-1802 BLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCC ANCY TOWN OF SOUTHOLD This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that.the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building,:industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior.to April 9, 1957) non-conforming uses,or buildings and "pre-existing".land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic .features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: V'' (check one) Location of Property: �JJ GA�eff{Vn t`C CJyt DL—b House No. Street Hamlet Owner or Owners of Property: �� Suffolk County Tax Map No 1000, Section. 50 Block Lot {� Subdivision �J t Filed Map. Lot: // Permit No. �U� Date of Permit. 4 z / Applicant:Aw c 4-,(Gr1J4-J rl� Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: // (check one) Fee Submitted: $ 60 Applicant Signature oF so�ryol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • �� roper.riche rtO-)town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Daniel Gladstone Address: 855 Anderson Rd City: Southold St: NY Zip:, 11971 Building Permit#: 36539 Section: 50 Block: 1 Lot: 18.7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Go Solar Inc License No: 35972-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke'Defectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment: PHOTOVOLTAIC SYSTEM to include, 16 Kyocera panels, 1 Fronius 4000 invertei Notes: Inspector Signature: Date: Dec 9 2011 81-Cert Electrical Compliance Form OF SO(/r��lo . :Nos, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [yq ELECTRICAL (FINAL) REMARKS: roa- DATE - INSPECTOR OF SOpr�olo cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ' [ ] FOUNDATION 1ST [XROGH PLBG. FOUNDATION 2ND [ LATION FRAMING/STRAPPING [ L [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE - INSPECTOR Zbho Sign Document ID:2A768FFA-8CV2SBW71-9RRF06VKWGOBSYAYIB7ANJOKW3VEC10ZK Town of Southold November 27th, 2023 Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Subject: Roof Mounted Solar Panels at the Gladstone Residence 855 Anderson Rd. Southold, NY 11971 To Town of Southold: I hereby state that it is my professional opinion that the subject plans comply with the 2020 Residential Code of New York State, the 2017 National Electric Code, ASCE 7-16, and NFPA-70. These code requirements include the fact that the roof framing is adequate to support the additional loads from solar panels as well as roof ridge and peak access to first responders. I have evaluated the structural framing of the existing roof with the additional loading to account for the proposed solar panel application. Deflection and stresses of the structural components remain within the allowable for the existing roof for wind pressures from 140 mph, 3-second gust, and Exposure B with a ground snow load of 20 pounds per square foot. Mounting locations and methods are as indicated in the submitted plans. From the site inspection and analysis, and as evidenced by previous roof loads withstood, it is my professional opinion that the existing building and roof framing is structurally adequate to support the reactions of the solar panels in addition to the existing code required for live and dead loads. Also, the wind analysis concluded that the mounting system as shown on the plans is adequate to resist the calculated uplift pressure. The dead load of the heaviest solar panel assembly in this evaluation is approximately 2.7 pounds per square foot. Please contact me if you have any questions or comments about the above. Sincerely, Gennaro Anthony Giustra. P.E. OF- NE1,D,Y Great Eastern Services, Inc. CO- PO Box 240 G. 24 Harvey Rd 0 = ' w Riverhead, NY 11901 z �� Mobile: 631.235.0189 �oA 103443 Email: jerrygiustra@gmail.com RoFESS1oNP� ' F MD ItEPT DATE COMIVNTS. FOUNPATION(IST) •ice TN �NN�N. �N � � • FOUNDATION(2ND) 1I t� ROUGH PPLAAMNO& PLUMBING INSUL•ATXON Pit N.'Y. y STATE ENERGY CODE 0Q FINAL MAI ADDITIONAL COMMENTS Z z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health, SOUTHOLD, NY 11971 4 sets of Building Plans TEL? (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check r. Septic Form N.Y.S.D.E.C. i Trustees ` Flood Permit Examined ,20-4 Storm-Water Assessment Form Contact: Approved 71( 120 Mail to: Disapproved a/c Phone: =aa Expiration 20/� %) /Building Inspector APPLICATION FOR BUILDING PERMIT. JUN .2 g 2011 Date l0 g J , 20� BLo� DEp1. INSTRUCTIONS 100 OF SOUTHOID a., )cation MUST be completely fillediin by typewriter or in ink and submitted'to the Building Inspector with 4- sets of plans, accurate plot plan to scale. Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,-and waterways. C. The mork covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to,the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within,"!8 months from such date. If no zoning amendments-or other regulations affecting the`- property have been enacted in the interim,thd'B1tilding`Ihspector may authorize;in,writing,'the extension of the permit for an addition six months.Thereafter, a new permit shall be required. . --APPEJCAT.ION IS HEREBY MADE,to the Building Department for the issuance cif a Building Permit pursuant to the Building Zone Ordinance of t1ie,Town of.S'oufhold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions; or 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 for necessary inspections. (Signature of applicant or name,if a corporation) (Mailing address of a licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Naive of owner of premises D.6�� (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. 3 o1'_Y1�C Other Trade's License No. , 1. .Location of land on which r posed work ill be don 55 ( ,n�uee� Cl - Rl House Number Street. i Hamlet County Tax Map No. 1000 Section Ps '"Lot Subdivision `s t�: ' Na Lot Filed Map, OS,a I .VV d vi:C{:. 1 lei➢ii:i+i;�6i&D 2. State existing use and occupancy of pre Wises d i end d use and occupancy of proposed construction: a. Existing use and.occupancy K251 ` 1 b.' Intended use and occupancy 9 Avr4 3. Nature of work (check which applicable): New Building Addition A teratio Repair R_e ova rgion Other Work 0 Wo ��rS><ai s 0/-R� Sy ai0 / Ra4JvS /� 4. Estimated Cost Fee . / j fps� (To be paid on filing this pplication) 5. If dwelling, number of dwelling units ,✓ Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature;and extent of each type'of use. 7. Dimensions of existing structures, if any: Front Rear 4 J Depth Gib Height 2 5 Number of Stories ?- _ Dimensions of same structure with alterations or additions: Front i , -._.� R_ ear Depth - Height Number of Stories ' 8. Dimensions of entire new construction: Front Rear ! Depth Height Number of Stories i 9. Size of lot: Front 1 Rear P7/ Depth ` �"" 7 �- r 10. Date of Purchase Name of Former Ownerl w b l gr 'fib e i1 11. Zone or use.district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be're-graded? YES NO,,"""Will excess fill be removed from premises? YES NO 14. Names of Owner of premises D,gAld aLW64 Address?STQeRSon N Phone No. `3l'76s,�2.S0 Naive of Architect Address Phone No Name of Contractor q0 .5440wra. Address a a. NtIA .Eo( Phone No. b,$PrA7—zz A50 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YE7 NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. _ b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY,,BE,REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at"any point on property is At,10,fe6t or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A',COPY. STATE OF NEW r(Y-ORK) SS: COUNTY 0is(r1,TSd _ �Ol A I e S rM Q being duly sworn, deposes-and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith.— Sworn to before me this day N 20 ,_ ) Ic-XI v Z.=!=�6ND . Notary Public _ Notary Public, State-of New Yor4 Signature of Applicant No.01 CA6137178 Oualified in Suffolk County $ Commission Expires Nov. 14,20 L Town of Southold: o N g Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM ! o I y PROPERTY LOCATION: S.C.T.M.q- THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A y01�j /�fJQ Sjj ,73TORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN is ct e3 cUon B t CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YOWL SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? Will this Project Retain All Storm-Water Run-Off (Induce Total Area of all Parcels located within the Scope of Work for Proposed Construction) Generated by a Two(2")Inch Rainfall on Site? (s F//�) ' (This-item will include all run-off created by site — ❑ b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? (s F/Acres) impervious surfaces.) 1 2 Does the Site Plan and/or Survey Show All Proposed i PROVIDE BRIEF PROJECT DFSCRIP'TION (provide Additional Pages as Needed) Drainage Structures Indicating Size$Location?This Item-shall include all Proposed Grade Changes and • i Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion and sediment control practices that will be used to ❑ control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. I 4 Will this Project Require any Land Filling,Grading or Excavation.where there is a change to the Natural j Existing Grade Involving,more than 200 Cubic Yards ! of Material within-any Parcel? 5 Will this Application Require Land Disturbing Activities 71 Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? i i 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or- El — i Submission of a SWPPP is required for all Construction activities involving soil Beach? j disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; i i Including Construction activities involving soil disturbances of less than one(1)acre where which Exceed Fifteen(15)feet of Vertical Rise to One Hundred(10U')of Horizontal Distance? — !• the DEC has determined that a SPDES permit Is required for stone water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General,Permit 8 Will'Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-040-001.) Surfaces be Sloped to Direct Storm-Water Run-Off F-1 1.The SWPPP shall be prepared prior to the submittal of the Not.The Not shall be into and/or in the direction of a Town right-of-way? submitted to the Departmentprior to the commencement of consimc1lon activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ❑ ma constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit In addition,the SWPPP shall Area?(ibis item win Nor include the Installation of Drivewa Identity potential sources of pollution which y reasonably be expected to affect the y Aprons) quality of storm water discharges. . NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice In a Box and the construction site disturbance is between 5,000•S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a storm water,Grading,Drainage&Erosion Control Plan is Required by are Town of that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: A Check Mark(4)and/or Que on is Required for a complete Application) Ne STATE OF NEW YORK, Notcalymultc, a e of w YorkNo.01 SU618b050 COUNTY F..........................................SS QualMed in SuffOlk County ' Commission Expires i Tbat L. '�..... ...................being duly sworn,deposes and says that he/she is the applicant for Permit, ......... ... ................. .............. (Name of dividuel signing Document) And that he/she is the ......................................... .. . `: .. (Owrier Contractor,Agent,Corporate Officer.etc.)......•.............................................•.......... Owner and/or representative of the 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 knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. I Sworn to before me this; \ ............ S.T.`t. ............day of. .................. 20../.� \\\ �. Notary Public: .... .kP.... - . . ................ ............... (Signature of Applicant) `7 M - 06/10 New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 Phone:(631)756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^A 300144659 GO SOLAR INC 272 MAIN RD RIVERHEAD NY 11901 POLICYHOLDER CERTIFICATE HOLDER GO SOLAR INC TOWN OF SOUTHOLD 272 MAIN RD BUILDING DEPARTMENT RIVERHEAD NY 11901 P.O.BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE 1 1346 970-5 436834 02/09/2011 TO 02/09/2012 6/14/2011 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO.1346 970-5 UNTIL 02/09/2012, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. . IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 02/09/2012 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at hops://www.nysif.com/c6rVicertval.asp or by calling(888)875-5790 VALIDATION NUMBER: 1050215290 U-26.3 STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la.Legal Name and Address of Insured(Use street address only) 1b.Business Telephone Number of Insured GO SOLAR INC 631-727-2224 1c.NYS Unemployment Insurance Employer Registration 272 MAIN ROAD Number of Insured RIVERHEAD, NY 11901 4629719 1d.Federal Employer Identification Number of Insured or Social Security Number 300144659 2.Name and Address of the Entity requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity being Iisted as the Certificate Holder) The First Rehabilitation Life Insurance Town Of Southold Building Department Company of America 3b.Policy Number of Entity listed in box 1a": Town Hall DBL176989 Southold, NY 11971. 3c.Policy effective period: 02/05/2011 to 02/04/2012 4.Policy covers: a. a All of the employer's employees eligible under the New York Disability Benefits Law b. Only the following class or classes of the 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 Benefits insurance coverage as described above. Date Signed 6/14/2011 By wid 4f (signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Title Chief Executive Officer IMPORTANT:lf box"4a"is 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"is checked,this certificate is NOT COMPLETE for the purposes of Section 220,Subd.6 of the Disability Benefits Law. It must be mailed for completion to the Worker's Compensation Board,DB Plans Acceptance Unit,20 Park Street,Albany,NY 12207. PART 2.To be completed by NYS Worker's Compensation Board (Only if box"4b" of Part 1 has been checked) State of New York Worker's Compensation Board According to information maintained by the NYS Worker's Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By (Signature of NYS Worker's Compensation Board Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS Disability 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. D13-120.1 (5-06) Additional Instructions for Form 1313-120.1 By signing this form,the insurance carrier identified in Box"T'on this form is certifying that it is insuring the business referenced in Box"la"for disability benefits under the New York State Disability Benefits Law.The insurance carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in Box"2".This certificate is valid for the earlier of one year after this form is approved by the insurance carrier or its licensed agent,or the policy expiration date listed in Box"3c". Please Note:Upon the cancellation of the disability benefits policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of NYS Disability Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability Benefits Law. DISABILITY BENEFITS LAW Section 220. Subd. 8 (a)The head of state or municipal department, board,commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article,and notwithstanding any general or special statute requiring or authorizing the issue of such permits,shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein,however,shall be construed as creating any liability on the part of such state or municipal department, board,commission or office to pay any disability benefits to any such employee if so employed. (b) The head of state or municipal department, board,commission,or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article,and notwithstanding any general or special statute requiring or authorizing any such contract,shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits for all employees has been secured as provided by this article. DB-120.1 (5-06) Reverse :® ACiDRa; CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYI� 1 011 4/2 01 0 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(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Walter P Geoghan Agency Inc LoVullo Associates,Inc. PHO"UVc,o (631)472-5000 ac No): (631)472-5611 6450 Transit Road E-MAIL ADDRESS: Depew,NY 14043 INSURERS AFFORDING COVERAGE NAIC# INSURERA: SCOTTSDALE INSURANCE COMPANY 41297 INSURED INSURER B:' Go Solar,Inc. c/o Gary Minnick INSURER C: 272 Main Road INSURER D: Riverhead,NY 11901 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR•CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM1DD/YYYY A GENERAL LIABILITY CPS1222661 10/20/2010 10/20/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 CLAIMS-MADE X❑OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 11,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILI Y Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Business Personal Prooertv CPS1222661 10/20/2010 10/20/2011 $110,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF SOUTHOLD BUILDING DEPARTMENT AUTHORIZED REPRESENTATIVE TOWN HALL SOUTHOLD,NY 11971 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 923791 LOC#: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Walter P Geoghan Agency Inc Go Solar,Inc. POLICY NUMBER c/o Gary Minnick CPS1222661 272 Main Road Riverhead,NY 11901 CARRIER NAIC CODE Scottsdale Insurance Company 41297 EFFECTIVE DATE: 1 0/2 012 01 0 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25(2010/05) FORM TITLE: Certificate of Liability Insurance This Page Intentionally Left Blank ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SO!/r�Olo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 y�4UNT`1,Nct� BUILDING DEPARTMENT TOWN OF SOUTHOLD December 13, 2011 Donald Currie & David Gladstone PO Box 182 Southold, NY 11971 Re: 855 Anderson Rd., Southold TO WHOM IT MAY CONCERN: The Fo wifl 1 s Are Needed To CompleteY u ( � �� g-tegn( ) Your Certificate of Occupancy: 4*Note: spector isMrequestingMcertification2froman architect or engineer for the fastening of the els to the requirements.Applicatupancy. (Enclosed) Electrical Underwriters Certificate. C A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. — Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 36539 — Solar Panels �, / _ _ _ __ _ _ _ -- — __ -__ _-.- - _ - - - SUFFOLK CO. HEALTH DEPTE. . APPROVAL . _- ,� ..._.. H. $. NO t " " 1 `�C�'3''L . _1 l . i. - - '�,- T 4. ; • , _ - - - - � r '' j # i , :- " s - ' {ll ; c sa ` T sic~ •':: _ i -'= ;.,, ' t _r I STATEM_ENT OF INTENT ' r - _ � - _ � * __ _ - E WATER SUPPLY AND SEWAGE DISPOSAoer ta ac"raW mddL o _ ! D ; ; - - _ TH twftw mra- md r - - -�. r_., N 23 3�`20�E . SYSTEMS FOR THIS RESIDENCE WILL ` I -I CONFORM TO THE STANDARDS OF THE ram' "` QQ "--._ SUFFOLK CO. DEPT. OF HEALTH SERVICES. ,.,�-..���-7�-,--___.,�--_�,-��,_-l 1�_.-__,�,,:.��-�-�i..-��:,,�.�.-:*1I..�-A_�,�!1.-,I"I1..-,_.--:--1-_1_I1.-,-�,_�--_'1.f,t-,_z-,,_,I�:,�,-,I-1r;..�"-.,---..-i�?I,.-'.-L I1.-,_,11�,—.,-�I�f,,__�I�"--;-_._-.7_I.-�-�-�-,�-%;_--�1-,_-_'__,.,�,I,,-,-_,I.-I,_:__:��-I�-,'__.�..__,�_L-),-,�',,-�l,.,-.�,.-__�,_,"-��� ,,.4�1-�.- k" -`_ _ ` r I.Z N';' /�''--'"'. l_ ! (5) APPLICANT �13 u' __ ,` .tti�- f - �! `o �7' SUFFOLK COUNTY DEPT. OF HEALTH t�1 i Q -j E✓AR� Cry. r"I -7?l/�}j:=� so 1 SERVICES - FOR APPROVAL OF '`-I: �--4'4 4a�t.} ,,,:;_ta;';-` _• ` I p .�) CONSTRUCTION ONLY s �. .,` _ . ":. C;7=# C?FJ"_ 'il✓E "• �`�' ____ DATE: h H. S. REF. NO.. $ i` 3`tc s. �v o� APPROVED: _ � :- I "" � s�'`' +, _' �. SUFFOLK CO. TAX-MAP DESIGNATION: r _ ' •" _°}' DIET. SECT- BLOCK PCL. { , �,: r-� iY1 t a _ _ ':.G { L 1.i .". �,. �, 3 � > N RS ADDRESS: } +,; t., OW E NOW 14,E `c �` { Kp" -N 670 4,,/ �w=I iJu} 1�k.. , k Errs, i-- `r - - - ; ` �';J W. a'- --- DEED: L.2` - P. I : ' ' i� t A-�-_" _ - TEST HOLE STAMP ( �. !f'�Y s ,''.,` 1 4 ttn.s�narrr^�J a»a..kcirm er aetasPt ► . : :�;C :- -, ._ r._ y, 64 W.wwwAy is a viobtion of _ n 720'sof he(was Yortc tifc¢a J - - - - _ _ _ _ _ _ - _ ,(_ - 8 to be a velGK4 d e ra _ - Vv a +P WAyMM 2 "- title oa--ehe,5efa d a -srte.7s rm ) t`> i inattaNw icted onc3 r — <ti' _; totheMlAa - 0 y i kyl - 1 ` -r t` r ` ` b setiarsot laee9ion6 K aYkssq ti , e,t_ _• CJ .,. ( sL Y SEAL - -, s . ' - N r I- t i :J ,,l "t k Q ly Y a'- - - r.._1 -.i S 4A.•+=l_ L•,;, i tom;• - .1 _ -:i - r 4 ✓- t� 4' _ � t_�A'. . v F _ '? r. _A : ;. ! ,_ ` ,',1.. !- #0�� IS AG< +r 1• - r� ¢ r �;. r•.;::.r, --: a s s s - R DER f C AN TU P C o ay ,ti y. ,,r a r , r 3 t Y_ %t: V:-• I -�"'-`, ?s, [5 25 S�QCt — -- - - _ f'� D SUR LAND -- . N - - - . - Y LICENSED LA VE ORS - - , �``.- GREEN R W 'OR _-. - - Ridge woodstove vent KD210 KD210 KD210 KD210 KD210 KD210 KD210 KD210 KD210 KD210 KD210 KD210 KD210 KD210 KD210 KD210 North Daniel Gladstone 16 Kyocera KD210 1 Fronius IG3000 UniRac SunFrame D . PV MODULE FRAMING AND MOUNTING SYSTEM FOR PITCHED ROOFS ©Splices safely extend rails. O Aluminum or Steel Standoffs (optional) in a range of heights sup- port L-feet above tile or shake roofs. ° UniRac offers appropriate flashings. ru U Clear or dark finishes on all visible ° above-roof components,from L-feet to screw heads, match the frames of your PV modules. Component Specifications _ Rails, cap strips,two-piece standoffs, Splices, and L-feet: 6105 T5 aluminum extrusion. End caps: UV resistant plastic. One-piece standoffs: Service Module Compatibility Components Condition 4 (very severe) zinc-plated Use SunFrame with PV modules ®Inter-Module Rails support welded steel. from these major manufacturers: modules as little as 2.125 inches Fasteners: 304 stainless steel. BP Solar,GE Energy,Isofoton,Kyocera, above the roof. Mitsubishi,Photowatt,RWE Schott, ©Full Length Cap Strips secure www.unirac"com Sanyo,Sharp. modules and finish the array topside Call UniRac or your PV dealer for forming a gap-free frame. Self- See our i pricing,installation SunFrame page for complete tion: r informaon:p manufacturers not listed. tapping screws at 16-inch intervals provide the holding power. instructions appropriate to your build- ing code, and minimum requirements Code Compliance ©Push-Fit End Caps neatly finish for the number and type of modules the rail ends. you plan to mount. SunFrame is designed to comply with the Uniform and California building O L-Feet attach directly to asphalt codes when installed according to shingle roofs and support the rails SunFrame installation instructions. one-half to three-quarters of an inch Call UniRac concerning status of above the roof surface to provide International Building Code compliance. convective ventilation. ® THE STANDARD IN PV MOUNTING STRUCTURE S TI UniRac, Inc. 3201 University Boulevard SE,Suite 110 505.242.6411 Pub 050206.Ids • February 2005 info@unirac.com Albuquerque NM 87106-5635 USA 505.242.6412 Fax ©2005 UniRac,Inc.All rights reserved. 10 year limited Product Warranty,5 year limited Finish Warranty Uniltac,Inc,warrants to the original purchaser("Purchaser')of practices specified by AAMA 609 &610-02—"Cleaning and the use of the Product by Purchaser under any circumstances. product(s)that it manufactures("Produce)at the original instal- Maintenance for Architecturally Finished Aluminum" If within the specified Warranty periods the Product shall be lation site that the Product shall be free from defects in material (www.aamanet.org)are not followed by Purchaser.This Warranty reasonably proven to be defective,then Unillac shall repair or and workmanship for a period of ten(10)years,except for the does not cover damage to the Product that occurs during its replace the defective Product,or any part thereof;in UniRac's sole anodized finish,which finish shall be free from visible peeling,or shipment,storage,or installation. discretion.Such repair or replacement shall completely satisfy cracking or chalking under normal atmospheric conditions for a This Warranty shall be VOID if installation of the Product is not and discharge all of Unillac's liability with respect to this limited period of five(5)years,from the earlier of 1)the date the instal- performed in accordance with Unillac's written installation Warranty.Under no circumstances shall UniRac be liable for lation of the Product is completed,or 2)30 days after the purchase instructions,or if the Product has been modified,repaired,or special, indirect or consequential damages arising out of or of the Product by the original Purchaser("Finish Warranty). reworked in a manner not previously authorized by UniRac IN related to use by Purchaser of the Product The Finish Warranty does not apply to any foreign residue WRITING,or if the Product is installed in an environment for Manufacturers of related items,such as PV modules and fleshings, deposited on the finish.All installations in corrosive atmospheric which it was not designed.UniRac shall not be liable for may provide written warranties of their own.UniRac's limited conditions are excluded.The Finish Warranty is VOID if the consequential,contingent or incidental damages arising out of Warranty covers only its Pmduct,and not any related items. ST" THE STANDARD IN PV MOUNTING STRUCTURE %i !\,,.-,FRA E0 Add Aesthetics to the Benefits of PV Power With your array in full view, it has to look great. SunFrame delivers the - visual appeal you and your neighbors expect. Properly installed, SunFrame complies with the Uniform and California Building Codes. It also meets UniRac's own high standard of installation friendliness, both initially and whenever modules need replacement. But it is aesthetics that truly sets SunFrame apart. It's the only PV module mounting system designed from the outset to enhance the appearance of the home. A completed installation blends handsomely into the roof, becoming as natural a part of the house as a skylight. -7 FRONIUS IG FRONIUS41 / 1 5100 1 /-LV - Specificatio DC Input Data FRONIUS IG 4000 FRONIUS IG 5100 FRONIUS IG 4500-LV Recommended PV power 3000-5000 Wp 4000-6300 Wp 3600-5500 Wp Max.DC input voltage 500 V 500 V 500 V Operating DC voltage range 150-450 V 150-450 V 150-450 V Max.usable DC input current 26.1 A 33.2 A 29.3 A AC Output Data FRONIUS IG 4000 FRONIUS IG 5100 FRONIUS IG 4500-LV Maximum output power @40'C 4000 W 5100 W 4500 W Nominal AC output voltage 240 V 208 V Utility AC voltage range 212-264 V 240 V+10%/-129/o 183-227 V Maximum AC current 16.7 A 1 21.3 A 21.6 A Maximum utility back feed current 0.0 A 0.0 A 0.0 A Operating frequency range 59.3-60.5 Hz 60 Hz nom) Total harmonic distortion <5% Power Factor cos hi) 1 General Data FRONIUS IG 4000 FRONIUS IG 5100 FRONIUS IG 4500-LV Max.efficiency 95.2 % 95.2% 94.4% Consumption in stand-by <0.15 W night Consumption during operation 15 W - Enclosure NEMA 3R Size(Ixwxh) 28.4 x 16.5 x 8.8 in (720 x 418 x 223 mm) Weight 42 lbs. 19 kg) Ambient temperature range -5 to 122 OF -20 to+50°C) Cooling controlled forced ventilation z Integrated DC and AC disconnects standard UL approved DC&AC disconnects Protections - Ground fault protection Internal GFDI,in accordance with UL 1741 DC reverse polarity protection Internal diode Islanding protection Internal,in accordance with UL 1741,IEEE 1547 Over temperature Output power derating E Surge Protection Internal DC&AC protection,Tested to 6 kV '3 Compliance e Safety UL 1741 EMI FCC Part 15;Class A&B - - Anti-Islanding protection UL 1741,IEEE 1547 Ground fault detector and interrupter Compliant with NEC Art.690 requirements,UL 1741 „a Miscellaneous - Maximum AC over current protection Two-pole,30 A circuit breaker 3 AC wire sizing Use maximum AWG 6 194T(90°C)copper wire o 3 DC wire sizing Use maximum AWG 6 194°F 90°C)copper wire AC disconnect 32 A a DC disconnect 40 A d Warranty 10 year Premium Warranty is Standard T m Distributed by � T O A E E Fronius USA LLC Solar Electronic Division 10421 Citation Drive Suite 1100 Brighton, Mi 48116 Phone:810-220-4414 Fax: 810-220-4424 E-Mail: pv-us@fronius.com o www.fronius-usa.com E r rn;'j i r•• w FRONIUS IG GRID-TIED INVERTERS FOR PHOTOVOLTAIC SYSTEMS Light Weight At 42 Ibs,the FRONIUS IG inverters are the lightest grid-connected inverters making them both easy and cost-effective to install. More Energy MIXTm Concept allows your system to output more energy under part-load conditions. Lower Cost Integrated UL approved DC &AC disconnects which reduce installation time and complexity- often eliminating the need for additional disconnects. LCD Display User-friendly and comes standard with every FRONIUS IG;tracks more than 20 critical system performance parameters. Powerful At 4000, 4500 and 5100 watts,these inverters deliver more power output for higher performance installations. Reliable Fronius has been in business for over 60 years and has more than 200,000 FRONIUS IG inverters installed worldwide. Warranty 10 year Premium Warranty. amm POWERING YOUR FUTURE r AI THE NEW VALUE FRONTIER KY01ERa KD21 OGX=LP HIGH EFFICIENCY MULTICRYSTAL f PHOTOVOLTAIC MODULE i �L E k LISTED HIGHLIGHTS OF t. KYOCERA PHOTOVOLTAIC MODULES t Kyocera's advanced cell processing technology and automated production facilities produce a highly efficient i multicrystal photovoltaic module. k The conversion efficiency of the Kyocera solar cell is over 16%.MODEL M1 These cells are encapsulated between a tempered glass cover i and a pottant with back sheet to provide efficient protection from the severest environmental conditions. The entire laminate is installed in an anodized aluminum frame to provide structural strength and ease of installation. Equipped with plug-in connectors. APPLICATIONS KD21OGX-LP is Ideal for grid tie system applications. •Residential roof top systems •Water Pumping systems •Large commercial grid tie systems •High Voltage stand alone systems •etc. QUALIFICATIONS •MODULE:UL1703 listed •FACTORY:ISO9001 and ISO 14001 QUALITY ASSURANCE Kyocera multicrystal photovoltaic modules have passed the following tests. •Thermal cycling test •Thermal shock test •Thermal/Freezing and high humidity cycling test •Electrical isolation test •Hail impact test •Mechanical,wind and twist loading test •Salt mist test •Light and water-exposure test •Field exposure test LIMITED WARRANTY X 1 year limited warranty on material and workmanship X20 years limited warranty on power output:For detail,please refer to'category IV'in Warranty issued by Kyocera (Long term output warranty shall warrant If PV Module(s)exhibits power output of less than 90%of the original minimum rated power specified at the time of sale within 10 years and less than 80%within 20 years after the date of sale to the Customer.The power output values shall be those measured under Kyocera's standard measurement conditions.Regarding the warranty conditions in detail,please refer to Warranty Issued by Kyocera) ELECTRICAL CHARACTERISTICS Current-Voltage characteristics of Photovoltaic Current-Voltage characteristics of Photovoltaic Module KD210GX-LP at various cell temperatures Module KD21 OGX-LP at various irradiance levels g IRRADIANCE:AM1S,IkW/m' g CELL TEMP.25'C 1000W/m' B B 7 7 25'C BOOWIm' 6 50'C 6 5 75'C ¢ 5 600W m' rC3 4 4 400W m' 3 3 2 2 2WW m• 1 0 0 0 10 20 - 30 0 10 20., 30 40 voltage M - Voltage M 0803 SPECIFICATIONS KD210GX-LP ■ Physical Specifications Unit:mm(in.) ( 36 1.4in.9 "946(37.210" 990(39.0in.) - zz 22(0.91nJ I NO 6 ❑ 1 j .36(1.41n.) { . . . . ■Specifications '■Electrical Performance under Standard Test Conditions('STC) ■cells Maximum Power(Pmax) 210W(+5i/-5/) Number per Module 54 Maximum Power Voltage(vmpp) 26.6V Maximum Power Current(Impp) 7.90A ;■Module Characteristics Open Circuit Voltage(voc) 33.2V Length X Width X Depth 1500mm(59.1ro)x990mm(39.(n)x36mm(1.4in) Short Circuit Current(Isc) 8.58A Weight 18.5kg(40.8lbs.) Max System Voltage 600V Cable (+)760mm(29.9in),(-)1840mm(72.4in) Temperature Coefficient of Voc —0.120 W*C Temperature Coefficient of Isc 5.15x10-3 A/°C ;■Junction Box Characteristics. ) 48TC:IrrerUa 1GDOW/m2,AMlbspectrum,call temperatureMt Length X Width X Depth 100mm(3,9in)X108mm(4.3in)x15mm(0,6in) ■Electrical Performance at 800W/m2,`NOCT,AM1.5 i IP Code IP65 Maximum Power(Pma1) 148W Maximum Power Voltage(vmpp) 23.5V f Maximum Power Current(Impp) 6.32A ■'Others' Open Circuit Voltage(voc) 29.9V "Operating Temperature —40°C^-90 C Short Circuit Current(Isc) 6,98A Maximum Fuse 15A •NOCT(Nominal operating Cell Temperature):49L 'This temperature Is based on cell temperature. Please contact our office for further information 19KyOCERa KYOCERA Corporation ■ KYOCERA Corporation Headquarters a KYOCERA Asia Pacific Pte. Ltd. CORPORATE SOLAR ENERGY DIVISION 298 Tiong Bahru Road,#13-03/06 6 Takeda Tobadono-cho Central Plaza,Singapore 168730 Fushimi-ku,Kyoto TEL:(65)6271-0500 FAX:(65)6271-0600 612-8501,Japan TEL:(81)75-604-3476 FAX:(81)75-604-3475 • Kyocera Asia Pacific Ltd. http://www.kyacera.com/ Room 801-802,Tower 1,South Seas Centre, Road,T Imshatsul East,Kowloon, • KYOCERA Solar, Inc. TEL.(52)2723 7183 FAX:(852)2724-4501 Hong Kong 7812 East Acorns Scottsdale,AZ85 6o USA • KYOCERA Asia Pacific Pte. Ltd.,Taipei Office TEL:(1)480-948-8003 or(800)223-9580 FAX:(1)480-483-6431 1 OF,No.66,Nanking West Road,Taipei,Taiwan http://www.kyocerasolar.com/ TEL:(886)2-2555-3609 FAX:(886)2-2559-4131 e KYOCERA Solar do Brasil Ltda. • KYOCERA (Tianjin) Sales &Trading Corp. Av.Gulgnard 661,Loja A (Beijing Office)Room 2107,Beijing Huabin International Building, 22790-200,Recrelo dos Bandelrantes,Rio de Janeiro,Brazil No.8 g g An Doug LI,Jlan Guo Men Wai Road,Chao Yang District, TEL:(55)2%2437-8525 FAX:(55)21-2437-2338 http://www.kyocerasoler.com.br/ TEL:(86)10-8528-8838 FAX:(86)10-8528-8839 http://www.kyocera.com.cn/ • KYOCERA Solar Pty Ltd. • KYOCERA Korea Co., Ltd. Level 3,6-10 Talevera Road,North Ryde Diplomatic Center Room#406,1376-1, N.S.W.2113,Australia Seocho-2Dong,Seocho-Ku,Seoul,137-072,Korea TEL:(61)2-9870-3948 FAX:(61)2-9888-9588 TEL:(82)2-3463-3538 FAX:(82)2-3463-3539 http://www.kyocerasolar.com.au/ http://www.kyocera.co.kr/ • KYOCERA Fineceramics GmbH Fritz-Muller-Strasse 107,73730 Esslingen Germany TEL:(49)711-93934-999 FAX:(49)711-93934-950 http://www.kyocerasolar.de/ solarO kyocera.de Kyocera reserves the right to modify these specifications without notice LIEAl OA0711-SAGM r� ry 3,3GO W SYSTEM SIZE Q� MODEL KD210 KYOCERA 210 WATT EA., U y 40.8#/MODULE, 59. 1 "L x 39"W x 1 .4"D (2.G#/5F) z = HOUSE: I.LJ SOLAR MODULE ARRAY- Q I G MODULES TOTAL Q O (1) O >- W LL1 /<XXAXIXXX LU z z z O PHOTOVOLTAIC j XX LO � RAFT ERS R/ —j M OD U LC (TYP) , 211x 10" @ I G" O.C. (TYP) - - - RIDGE p O �_-� � I G MODULE ARRAY: Q � � ROOF (2 STRINGS OF 8 MODULES) ,� Q AREA Ln Q j Exterior PVC Conduit Ln UNIRAC-5UNFRAME 50LARMOUNT \\ XXX (Tl SOLAR 5Y5TEM (TYPICAL DISCONNECT RAIL ACR055 EACH ROW OF ENTIRE ARRAY) (Only Two Shown for Clarity) INVERTER ( I ) FRONIUS 4000G -- --- - ----- -- - - - - I NV j Grounding ,^�// a` Electrode L� Ln O F PIT H I : I Q W R O C 2 2 AC DISCONNECT I I U SPAN: 8'-0" j Q L/ -- w o 6 FULL HOUSE ROOF- FLAN � � Q � � U) -� w LL- SCALE: NT5 z O 6 FASTENER REQUIREMENTS: 0 � z3r -- W TOTAL ARRAY AREA = 25G SF APPROVED AS NOTED EXIST. POWER PArJEL 7�l WIND LOAD: A5CE 7 (SEE CALCULATIONS TH15 SHEET) 41 .5 P5F PP DATE'---(c—B.P. o #__., s _ Q W >0 TOTAL UPLIFT = 41 .5 P5F x 2 5 G SF = 10,G 24 LB5 FEE: -2- BY �� rZn 0 z NOTIFY BUILDING DEPAkTMENT AT O J v J 765-1802 8 AV ?0 4 PM FOR THE CDFASTENER: j FOLLOWING INSPECTICNS O O Z o 50LARMOUNT LAG SCREW 5PEC 203.2, 8/04: (FLAT FOR POURED CONCRETE WA5HER5 REQ TO BE �• FOUNDATION - TWO REQUIRED � > w o USED WITH LAG BOLTS) 2. ROUGH-FRA,M'NG °.11P,"n";NG. N O ry STRAPDI E h_1 LAG BOLT WITHDRAWAL VALUE; 5/ 1 G" DIA., 2GG LB/1N X 2-IN THREAD DEPTH= s. INSULATION "ECT�'c,�.'- & CAULKING EXIST. METER M a FINAL-CONSTR� MUST JCTION 8 ELECTRICAL O (�532 LB. CAP. EACH ALL CONSTRUCTION SHALL MEET O 3 MIN. NUMBER OF LAG BOLTS REQ. = I 0,G24 LB5 / 532 LB5/LAG BOLT = 20 LL �?EErTHE = L REQUIREMENTS OF THE CODES OF NE L TOTAL RAIL FEET,78 FT = 78 RAIL FT / 20 B PORK STATE. NOT RESPONSIBLE FOR LT = DESIGN OR CONSTRUCTION ERRORS. � MAXIMUM SPAN BETWEEN MOUNTING FEET BOLTS: 3'- 10" MAX. SYSTEM ONE LINE DIAGRAM (TYF) ' Seal THE PV 5Y5TEM HA5 BEEN DESIGNED TO MEET THE MINIMUM DE51GN STANDARDS FOR SCALE: NTS 0� N1� BUILDING AND OTHER STRUCTURES OF THE A5CE 7-05 j`s Wind Load Calculation: BUILDING REVIEW NOTE a A5CE 7-05: Partially Enclosed Building Design (Assume Worst Case) LU TOWN BUILDING PLANS EXAMINER HA5 REVIEWED THE ENCLOSED Low Rise Buildincl; h< =GOft: Mean Height ; h=30ft RAIL � ) UNIRAC RAIL IS DESIGNED AND WARRANTED BY THE DOCUMENT FOR MINIMUM ACCEPTABLE PLAN SUBMITTAL REQUIREMENT5 MOUNTING FOOT W/ MOUNTING FEET POSITIONED MANUFACTURER FOR LOADS UP TO 50 LBS/SQ. FT. OF THE TOWN A5 SPECIFIED IN THE BUILDING AND/OR RESIDENTIAL CODE A 01*'4659 tL�' (APPROX. 125 MPH WIND) WHEN INSTALLED AS I . DirectionalityFactor: Kd per Section G.5.4.4 (TaEfle G-G): Kd-0.85 BUTYL RUBBER MEMBRANE C THE STATE IT NEW YORK. THIS REVIEW DOES NOT GUARANTEE '�O�P_rr4 p ' BETWEEN FOOT � OVER ROOF RAFTER MEMBERS REQUIRED BY THE MAUNUFACTURER. COMPLIANCE WITH THAT CODE. THAT RESPONSIBILITY 15 GUARANTEED lrJ`�lQ.�,�L.. 2. Importance Factor: per Section G.5 .5, (Table G- 1 ) Catacgory II; I= 1 .0 ROOF SHINGLE OR NO CALK PER MFG'5 REQUIREMENTS UNDER THE 5EALAND SIGNATURE OF THE STATE OF NEW YORK LICENSED DE51GN PROFE5510NAL OF RECORD. THAT SEAL AND SIGNATURE HA5 BEEN 3. Velocity Pressure Coefficient: Kh per Section G.5-G.4 FLASHING 3" STANDOFF INTERPRETED AS AN ATTESTATION THAT, TO THE BE5T OF THE LICENSEE'S MOUNTING FEET PER RESIDENTIAL BELIEF AND INFO PHOTOVOLTAIC MODULE NOTE: THE MOUNTING FEET MUST BE ATTACHED TO ��MATION THE WORK IN THE DOCUMENT 15: -- (Exposure Catacgory C per G.5.G (Table G-3); Kh=0.98 THE BUILDING RAFTERS OR FRAMING (NOT JUST THE CODE OF NEW YORK STATE ROOF 'ACCURATE 4. Topographic Factor: Kzt per Section G.5.7 (Long Island); Kzt= I PENETRATIONS CHAPTER 9 (TYP) — UNIRAC PAIL ROOF DECKING). USE 5/ 1 G" OR 3/8" DIAMETER LAG r OBMISSION WITH GOVERNING CODES APPLICABLE AT THE TIME OF THE Date: G-2G- I I 5. Gust Factor: G per G.5.8. 1 , G=0.85 BOLTS AND DRILL PILOT HOLE. FINAL TIGHTENING SHALL BE BY HAND. ALL INSTALLATION PROCEDURES 'CONFORM5 WITH REA50NABLE STANDARDS OF PRACTICE AND WITH VIEW G. Exposure Classification: per Section G.5.9 = 11 TALL FEET TO THE SAFEGUARDING OF LIFE, HEALTH, PROPERTY AND PUBLIC WELFARE Scale: AS SHOWN • •'8®"alumhum SHALL BE PER MANUFACTURER'S REQUIREMENTS. 15 THE RE5PON51BILITY Of THE LICENSEE 7. Internal Pressure Coefficient: GCpi per Section G.5. 1 I . 1 , Table G-5; GCpi=0.55 m , "X" (MAX SPAN) 8. External Pressure Coefficient: GCpf per Section G.5. 1 1 .2. 1 , Figure G- 10; �' �' Max, SPAN BETWEEN STRUCTURAL STATEMENT # GCpf=O.SO s 1 M❑UNTING FEET = "48" NOTE: Aga,• Modules and panels and an mountm hardware provided THE EXISTING STRUCTURE IS ADEQUATE TO SUPPORT THE NEW LOAD ELECTRICAL 9. Velocity Pressure: c1h per Section G.5. 1 0: p y g p IMPOSED BY THE PHOTOVOLTAIC MODULE 5Y5TEM INCLUDING UPLI�f PECTION REQUIRE Sheet No. qh=(0.0025G)(Kh)(Kzt)(Kd)(V ^ 2)(1) PHOTOVOLTAIC MODULE SECTION shall withstand, without evidence of structural or 5HEAR. THE EXISTING RAFTER SIZES * DIMEN5ION5 CONFORM TO RCNY5 cl,h=(0.0025G)(0.98)( 0(0.(55)( I 20 ^ 2)( I SCALE: NTS mechanical failure, 1 .5 times the design load when tested TABLE R802.5. 1(1) - RAFTER 5PAN5 ) TOTAL ROOF DEAD LOAD I 0#/5F NOTE: as specified below. The design load Is to be 30 psf c1h=30.7 FASTENERS SHALL NEVER EXCEED 48" BETWEEN RAIL downward(po5ltive) or upward (negative). All glazing 10. DeSi Wind Load per Sect G.S. 12 (ROOF) + 2.5#/SF (MODULE) members shall be of Such strength to withstand these CLIMATIC � GEOGRAPHIC DESIGN CRITERIA - TABLE R30 I . 2( I ) gn ln oa p ion — 12.5#/SF TOTAL FEET PER MANUFACTURER loads. The modules, panels and any mounting hardware p=gh(GCpf-GCpi) shall be factory tested under these loads for a period of GROUND 505MIC SUBJECT TO DAMAGE BY WINTER ICE SHIELD FLOOD —30.7(+0.80+0.55) SNOW DESIGN DESIGN UNDERLAY- HAZARDS p UNIRAC RAIL INSTALLATION 30 minutes. (Downward * upward forces shall not be LOAD Speed CATEGORY WEATHERING FR05T LINE TERMITE TEMP MENT p=30.7( I REQUIRED SEE 4 1 -5 5f REQUIREMENTS 20 PSF 5EVERE 31_p11 MOD. TO I I deg NA PLANS p-- p NON-COMBUSTIBLE IN ACORDANCE WITH RM2301 .2.2 120 B HEAVY EXAM. AND CON515T OF ALUMINUM L BRACKETS