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HomeMy WebLinkAbout49671-Z a� �o��g11FF0[��OG Town of Southold 5/22/2024 P.O.Box 1179 o .1 �. 53095 Main Rd �oy�oia��' I Southold,New York 11971 0 CERTIFICATE OF OCCUPANCY No: 45196 Date: 5/22/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 845 Watersedge Way, Southold SCTM#: 473889 . Sec/Block/Lot: 88.-5-63 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/21/2023 pursuant to which Building Permit No. 49671 dated 9/12/2023 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof-mounted solar panels to an existing one family dwelling as applied for The certificate is issued to Watersedge Way LLC of the'aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49671 12/15/2023 PLUMBERS CERTIFICATION DATED n C\ hor z d Signature o�surfot,��o TOWN OF SOUTHOLD a aye BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE o • SOUTHOLD, NY y�ol �oo� 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#: 49671 , Date: 9/12/2023 Permission is hereby granted to: Watersedge Way LLC 1787 Hawks Nest Ln Collegeville, PA 19426 To: Installation of roof mounted solar panels to an existing single-family dwelling as applied for. At premises located at: 846 Watersedge Way, Southold SCTM #473889 Sec/Block/Lot# 88.-5-63 Pursuant to application dated 8/21/2023 and approved by the Building Inspector. To expire on 3113/2025. Fees: SOLAR PANELS $50.00 CERTIFICATE OF OCCUPANCY $50.00 ELECTRIC $100.00 Flood Permit $100.00 Total: $300.00 Building Inspector OF SO(/ryQl � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 ' G Q �► • �o sean.devlinO-town.southold.ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Watersedge Way LLC Address: 845 Watersedge Way city,Southold st: NY zip: 11971 Building Permit#: 49671 section: 88 Block: 5 Lot: 63 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: GreenLogic License No: 43858ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service 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 CO 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: 13.3 kW Roof Mounted PV Solar Energy System w/ (38) SunPower SPR-X21 350W Modules, Combiner Panel w/220x4 Breakers, SunPower Monitor Notes: Solar Inspector Signature: Date: December 15, 2023 S.Devlin-Cent Electrical Compliance Form uF snuryolo L' 1 0 l < </-1 s - - # # TOWN OF SOUTHOLD BUILDIN DEPT. couto, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] 'PRE C/O [ ] RENTAL REMARKS: aD (2A Pn4n.-- DATE INSPECTOR ZIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) ---7-------------------------------- C FOUNDATION (2ND) j� ppz 0 ROUGH FRAMING& y PLUMBING C� � 1 w INSULATION PER N.Y. STATE ENERGY CODE 1 FINAL ADDITIONAL COMMENTS o z i�A H O z 1c,� x d m b H 0 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54376 Main Road - PO Box 1179 41 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 Lto2err sgutholdtqV nny ov—seandAsoutholdtownri -gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFO. MATION (All Information Required) Date: 8/1712023 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Phone No: 631-771-5152 �krequest an entail copy of Certificate of Compliance Address.: 97 north JOB SITE IN FORMATION (All Information Required) Name: Watersedge Way MC Address. $45W. atersedge Way, Southold, NY 11971 Cross Street: Phone No.: Bldg.Permit email: L Tax Map District*. 1000 Section,. Block: 0 Lot: 63 BRIEF DESCRIPTION OF WORK(Please Print Clearly) Roof rnctunted sour electric system 38) SunPower SPR-X21-350-BLK-E-AC.pane1s Et (38) Enphase IQ7XS micro inverters y (1) SunPower PV56 Monitor System Si` 10.200KW Check All That Apply: Is job ready for inspection?: ]YES 0V NO E]Rough In [DFinal Do you need a Temp Certificate?: FV_1YES E]NO Issued On Tprnp Information: (All information required) Service SizeE]l Ph []3 Ph Size: ______,A #Meter-5 Old Meter# ]New Service F-1 service Reconnect E]underground []overhead 1#.Underground Laterals Ell. 2 [73H Frame Pole Work done on Service? E]Y DNI Additional Information: OAYMENT QUE W11H I CATION .543 Electrical Inspection Form 2020.xlsx ID 1-73 g�FFOLK TOWN OF-.SOUTHOLD-BUILDING DEPARTMENT' Town.Hall.Annex 54375 Main Road O:Box,117.9.Southold,NY-11971=0959 Telephone(631)765-1802. Fax(631)765-9502 hqps://www.southoldtom22'ny.g'ov- Date Received APPLICATION FOR BUILDING PERMIT 1 For Office Use Onl Et E 0• - ` Y : D PERMIT NO.. Building Inspector: �! Applications and forms must.be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an DuRcHng Department Owner's Authorization form(Page 2)shall be completed. Town of.Southold Date:8/17/2023 -OWNER(S)OF PROPERTY.: Name:Watersed e Wa .-LLC -.. _:- scTnn#.s000-88:5-63_.. _�._ g Y . _ #1 - — - -- -== ---- -- - - Project Address:845 Watersedde WaY; Southold,. NY 11971 Phone#: : Email: Mailing Address:: CONTACT PERSON: Name:Barbara:- GreenLogic LLC Mailing Address.97 North Sea 4"Road, Southampton,:NY, 11968_ Phone#:631-771-51-52 X117. _ Email:BarbaragQreenlogic.com DESIGN PROFESSIONAL INFORMATION: Name:James:J. Stout Architect-& Associates Mailing Address:2 Greg, Lane; East'Northport, NY 11731� Phone#:6317858-9388 _ _ Email:stouthu_b@jamesstoutarch_com CONTRACTOR INFORMATION: Name:GreenLogic LLC _ Mailing Ai9dress:97 North Sea Road; Southampton; NY 11:968_ - Phone#:631-771-5152 �,Erriail: - _ ---- _-_Barba__raOGreenlogic.com- - __:. DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure. ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: -Elothec Solar ELectric-System $ 51;000 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? '❑Yes. ®No ' PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes rAo 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 hapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):GreenLogic LLC BAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Nesim Albukrek being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn beforeme this t day of 5� 20 Notary Public BARBARA A.CASCIO T TA Notary P&ic, State of New York No.01-CA4894809 PROPERTY OWNER AUTHORIZATION OLialiflerd in C_c V!; "'c,-nty (Where the applicant is not the owner) Commission Expirr-II;,ofit, POW& residing at /do hereby authorize GreenLOgIC LLC to apply on my behalf to the Town of Southold Building Department for approval as described herein. 4 Fl ���kj< �1 c.v I--o-� Owner's Signature U Date Print Owner's Name 2 �su�tacr`�a 4 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 https://Nvww.sotitlioldtownnv. ov Floodplain Development Permit Application P.RQE , e1[ FORII #f1 :Y Flood Zone: FIRM Panel: SCTM#1000-$$-rj-63 Address:845 Watersedge Way City:Southold Zip:11971 dBarbara - GreenLo is LLC #. PIrRoty: Name:B g Phone •631-771-5152 x117 Mailing Address:97 North Sea Road, Southampton, NY 11968 Porµcsir �,wrx0nl Roof mounted solar electric system .,_..: . :. �=:: - ui. 'il�t.. ,�drL3� ✓K-}:� ,..%Yi4 �.51<.UG�FklRA k�l.E1.gRMEN�� .� • A.+F:t.. T- ...'a ,•{-.:.....wy�,- iC?f.:�is;r,+ - _ .'x', '4 � a'-''s:. .R z!3 { +�+ rw"�„°z,2-�w,�'. ,,.,..,y,�Y5'm? ..n,-..,.-.<sx:.':`•3.a.s:- .: ifa"•.x=.l4r,<v.✓.:„ i:"'�"-xr:'.:. is '1.; R Residential(1 to 4 families) ❑New structure ❑Residential (more than 4 families) ❑Demolition of existing structure ❑ Combined use ❑ Replacement of existing structure ❑Non-residential ❑ Relocation of existing structure ❑ Elevated ❑Addition to existing structure ❑ Flood proofed(attach certification) R Alteration to existing structure ❑Manufactured Home ❑ Other: ❑ Located on individual lot ❑Located in manufactured home park MEt"�rr,,, li. ,. ,k�NTRG°�, .EG "�t�::T�,,[�T��:1`P#PLX .�.�•, ��:,c:,.: w e��< t.•Y•.'. ..J^a..�; ..fix.a�n:. .,ti✓�. -�.: .��'?..�, ,»�is�i_'';�S;a r,.3';t .,d _ '„�'::a'S, ,_sK:E:.3 ,y _ ,..�_:v[�::.•.-a.,r `.�t`T�' '�":'.; >�< _,r.,x re'�: rm �-.'wzA..a`R `.:r"a.a':»:.a�;.t,W.�i,;_ _ ..�;,r;:., �,x,„,.cb a•�.u,,, �_� ❑Clearing of trees,vegetation or debris FED Mining ❑ Grading ❑ Drilling ❑ Dredging ❑Connection to public utilities or services aving ❑ Placement of fill material ❑ Drainage improvement(including culvert work) oadway or bridge construction ❑ Fence or wall construction ❑Watercourse alteration(attach description) ❑ Excavation(not related to a structured development) ❑ Other development not listed (specify): F: t^�,=::'e'.:4e.?:tt�oq�f tT'_a^'^^° c,,7-':ii1r^i:°�eti.}ineLd'•'^»t;a.�eft„'+tad;.iii a'-;f`.+�'rsk:zy.ay.•_w. �rf.e:rt�ki';fy', 6 af::t �.beio perM ,an, r ' ; t paii ;anc1 ,cutael;�unt ct#iat'rio:virbrinay until e 1tis, p' er v r y '.. �#'.i.�,,. T'.ht;,.... mdt a G �•- � �« ,i �.» �J4e ,1 -oC�'F►i .ss S?"'t: :'"a-, ;r.' „ 'wjy�i :.,,.:; ,: i:.;i+. :s<°'•<t ,i�t�nced:w ._�►�:' a �; sofa �.ttce�C)#lit s.° .� ( . -.. - �+ ..+�'�;5 „a:<,, �":•:i•fir":,;,•g i,!.-cs;,;'.},a-.�'��X,r•,# r4� _�y�,,'r� - ���. ,.k:,. .. r: ,. �1,t�` r; .���„ Y.�,�'r.,,�,.�;, •��»._•s.;, ,.�. �,��P,�.,.,., u�at!?;;".aic�;iasaM4��6[e�i,.. �`ris� . .y�,. ��:aR: ^��• �.u,.: ,+si+; �:.: �c?n..".T�i' ^a:'.r','r. ,:�,?t�: _ � ;a'";' .� ;:_t.��r`.::., ,X::{� ..k: .s ;.;.,�.. �:' .Y@Yi ,CtI. .11a - �rM .tr.`+� •, u,, ».i~f,. .fi,,.�..:�,� Tc:, "1....<*� ..f.;.F; .r �,:. ��r �.4:.. - ,.� Application Submitted By(print name):Nesim Albukrek - GreenLogic LLC Signature of Applicant: Date: �!a a 3 r - GREENLOGIC° ENERGY August 17, 2023 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Project Info: Waters Edge LLC 845 Watersedge Way Southold, NY 1000-88=5-63 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: a Building Permit application with owner authorization 0 Application for Electrical Inspection e 2 Surveys of the Premises e 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 Y GreenLogic Certificate of Liability Insurance a GreenLogic Certificate of Worker's Compensation Insurance Coverage 0 Installation Manager's Master Electrician's License Check for$200($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, M a4&mac eweiatta Barbara Casciotta Account Manager Barbara Greenlogic,com GREEN6Iq�IC�f�1 w eir ftgic.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 GREENLOGICO ENERGY September 12, 2023 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Project Info: Waters Edge LLC 845 Watersedge Way Southold, NY 1000-88-5-63 Dear Sue: Please find attached an Application for Electrical Inspection, Floodplain Application along with the floodplain fee of$100. Please let us know if you need anything else in connection with this application. Yours truly, 33wdu vcac ew ciottaa 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., #106 Southampton, NY 11968 Rosyln Heights, NY 11577 CERTIFICATE OF LIABILITY INSURANCE 101126/2023 DAT D THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 140 RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this Certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nicholas Zulkofske Brookhaven Agency,Inc. PHONE 631 941-4113 FAx 631 941-4405 100 Oakland Ave,Ste 1 E•MAIL Certificates brookhavena enc .com Port Jefferson,NY 11777 INSURER(S)AFFORDING COVERAGE NAIC# NsuREg A I Southwest Marine&General Insurance Co. INSURED q 1 Merchants Preferred Insurance Co. GreenLpgic,LLC �p irst Rehab Life Inst,ranoe Ca.. 07 North Sea Rd,;oils 3 _Wq"_'qD, National Liabili &Fire Insurance Co. -- Southampton NY 11960e Ns RER E• AGGS Marne Insurance Co. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEI4 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 SUER POLICY UMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE X1 OCCUR DAMAGE TO RENTED curt ncel $100,000 X Contractual Liability X X GL202300012922 01/31/2023 01131/2024 MED EXP(Any one person $5 000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,006,000 POLICY®PRO- LOG PRODUCTS-COMP/OP AGG $2 000,000' JeCTOTHER: 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 08/11/2032 08/1112023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY Ix AUTOS ONLY (Ea c l n4 $ UMBRELLA LIAR OCCUR EACH OCWRRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ED I I R TEN 10 $ WORKERS COMPENSATION PER` OTH- AND EMPLOYERS'LIABILITY STATI ANY PROPRItTOR/PARTNERIEXEOUTIVE YIN .EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? NIA see separate certificate (Mandatory In NH) E.L.DISEASE-FA EMPLOYEE S If yyes,describe under ESC I TION OF OPE TIONS below E.L.DISEASE•POLICY LIMIT $ C NYS Disability D251202 64111/20222 04/11/2023 Statutory Limits E Installation Floater/Property SML93076366 04/15/2022 04/15/2023 $300,000 $2,500 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Certificate holder Is also named as Additional Insured. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE.WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <N$Z> - . . a 1100-4015 ACORD COAFOI>lATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks 9f ACOR. D Vol Workers' CERTIFICATE OF INSURANCE COVERAGE voRtc STATE ;Gomperasation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Fapaily Leave benefits carrier or licensed insurance agent of that carriell 1a.Legal Name&Address of Insured(use street address only) 1 b,Business Telephone Number of Insured GrieGNLOGIO.LLO 631-941-4113 ' 97 NORTH SSA ROAD,SUITE 3 SOUTHAMPTON,NY 1.90q 691)Tk1ApAPd4N.NY 71E60 • 1a,Federal En]p1gyer ldentifieption Number of InwrW or S¢Clol Security Number WQrk l ecatlen Qf Ins_ured Poly mquiroy if cpvP!Pgo is 110# 0 in cwtairr,wotions in Now York sti0o,Lv,,Wfap,(_ip Polley) 203801194 .Namo and Address pf entity requesting Proof of Covr age- e �_a.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"I a" 53095 Route 25 DE31L251202 So0hold, NY 11071 39,Pcliay effective period 04/11/2022 to 04/10/2024 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. E] S.Disability benefits only. E] C.Paid family leave benefits only. 5, Policy covers: A.All of the employer's employees eligible under the NYS Disehliity,and Paid Family Leave Benefits Law. B.Only the following class or classes of employees employees: Under penalty cf perjury,I cartihj that I am an authorized rep re'sentative orlicensed agent of t e insurance carrier r®ferenced above and'that the named Insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. f�f Z/ Date signed4/4/202 By �Ue u (wi�natuie 9 in,a1a1Z carrlr;r'6 @ut119iCed representative oar NYS licanssd InsUmn-Ce A6e' of that Insurance carrigr) Telephone Nu,.mber -8100 Name and TItIQ Rim White Chief EXecutlyp Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance Carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,thlq certificate IS NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Raid Family Leave Qenefits Law, It must be emailed to PAUQwcb.ny.gov or it can be mailed for completion to the Workers'eornpenraation Board, Plans Acceptance Unit,PO Box 5200, Binghamton,NY 13902-5200, ARC 2.To be completed by the NYS Workers'tornpensatilon Board (only if Box 40,4e or 56 have been checked) ,5tate of New York 'orRers' Co pensataon Bard According to information maintained by the NYS Workers'Qompensalian Board,the abovo-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 .y � ,.- -. i5ipnaturo of Authorized Nv¢Workers'Gompansatistn Board Employes) Telephone Number Name and Title Please Note;Only insurance oarders licensed to Write NYS dicabllity and paid Family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are ,authorized tQ issue Form 08-120.1.Insurance brokers are NOT authorized to Issue this foram. DB_120.1 (12-21) �IIIIIIP°Biiil1ii2li0il�l1lllll(l1l�lllll2bl1l)iillll�l NW Workers' CERTIFICATE OF sTATIE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE B 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 Insured South Hampton,NY 11968 Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,l.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 11 a" TOWN OF SOUTHOLD WC605-00090-023-SZ BUILDING DEPARTMENT 53095 ROUTE 25 3c.Policy effective period SOUTHOLD,NY 11971 01/01/2023 to 01/01/2024 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 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'Oompensation 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: T .l9E /�i�1�1�_GQ.d'ld�d1. (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 N.� I•07F > VO N I Suffolk County Executive's Office of,ConsumerAffairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEWYORK 11788 k DATE ISSUED: 5/25/2006 No. 40227-H SUFFO LK COUNTY Home Improvement Contractor License 7 This is to certifv that Al"C A CLEJAN doing.business as t Frei. GREEN LOGIC LLC J having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk,State-off New York is hereby licensed to conduct business asa HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk. N"'; Additional Businesses NOT VALID WITH OUT WARTMEINTAL SEAL AND A CURRENT CONSUN�Elt AFTAIRS 1A.......... ED CARD I Director -lC�`�'i�l— —"`-`,.fi��j,j���� 'i',;%a��` r'\ �� \`- ' ��J4�+��\�:•d�� �F� \--��J��";r��3�i.'; ..,1` }� �.t�:��`/`.\�� r/ :�'.y�ti� + _ ._.., eN w� Al Suffolk Count ' t 1 t � 1 tSU"OLKCOUNTY �, mot ,: AThis is to certify that ROBERT J SKYPALA Master Elechician License c doing business as having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICL4N in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of { StateofNewYork. r •y 11 AdditionalBusinesses f1 \ :YNOT VALID WITHOUT flitDEPARTMENTAL SEAL ! ,. \. ' / t, �.. 4� 11)CARD j' I � . Director y s/ S 5-�i he ��'d:...``/..�✓ �,�k ���'� � ��L--�.,r' -r-f`�' .St-rya' .3 ,a Jl,', )'(� .�x5�-'=�'a y �'�e.-.3�`�� r xel--. —i1\a 7 �i �� ��. !� \\` ,�t�''�f-ice s �� f!�",�.��. ���° !� •�\���� .`" l`'��_`/ ,,, -� !`�� � � r ��_f�,, ��� j V Y .. S.C.T,M. NO. DISTRICT: 7000 SECTION: 88 BI-OCK: 5 L 0 r(S):5 3 C4 ZZI 100,0q MON. 6k,Q49 100c 1Daf. LOT 52 LOF 53 b RON ullp sfom� 20J* (-QMmUNIIY cpRgpE 400 I Sly FRK DWELLING L.P. GA!", r R i R Or 0 z DCCK WOOV DECK, .to P., OkA'Itc A'40 WC)OD Bu JA V,00 STEPS c IHE WAIER SUPPLY, WELLS, ORYWELLS AND CESSPOOL 7EMA MAP#361000166H LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS EFT. 09/25/2009 AND OR DATA OBTAINED FROM OTHERS. AREA: 16,389 SQ.FT. or 0.38 ACRES ELEVAPON 0AIU1d; LINAUTHORIZED AL FERA RON OR AODIRON TO THIS; -1;URV,'Y IS 4 V101-ARI1V OF SECTION 72C)61 OF THE NEW YORK $7/IfC EDUCATION LAW COPIES OF THIS SURVEY .WAP NOt BEARING THE kANO 55URVF}*01,`S bVtOOSS,10 S1,AL StIA11 N-7t Ht TO 13C A VAIhQ IRLIF COPY G-1-1ARANII.,'ES INViCATF9 HEREON SHALL PUN ONJ Y TO THE PERSON FOr,' WHOM THE SURVEY IS Pflt'PARC D AND ON Hi'1� %HAV TO G-iC TilIX COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION ,jSI1.0 I-IFREON, ANO 10 Alf AS51IGNH-S OF THE IL-NOING )NS11WHON, GUARANTEES AA'' NOI THANSFERAH1.6' rHE OFFSETS OR &MLASiONS SHOWN HEREON FROM 1HE PROPrRTY IINE-S TO 7HF STRUCTURE ARE'FOR A SPe"CIFI(.'PURPOSE AND I)SE THEREFORE THEY ARE NOT WFENI)E4) TO MONUMENT R-!r PROPERTY LINES OR TO COIDE 7HE ERECTION OF FENCES, ADDITIONAL $FRUCTURE-S QR AND OTHER IMPROVEMENTS E-A5E-M-;7,VrS AND/OR SUBSURFACE STRUffURCS RECORDED OR UNRE(-OROEO ARE NOT GUARANTEED Ut-,,LrSS PHYSICALLY EVIDENT DIV THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOF 53 etv CCRTIFIFt) TO, Qf N LtUYER- MAP OF:: BAY HAVEN M. BANK- Fii,ED: JANUARY 22, 7959 No.29 10 G TITLE CO SIIUATED AT: SOUTHOLD 0. TOWN OF: SOUTHOLD 11 C) KENNETH M 1V0YCHUK LAND SURVEYING, PLLC Professional Surveying and Design SUFFOLK COUNTY, NEW YORK 32 1. 1 11-0. Box 150 Aque.bogge, New York 11931 SCALE: i I)AI JULY 7, -2022 PIIONL' FAX (631) 200-15136 Fi..E 222-97 k.jw records of J. lk-une-y & K-nn.Lh M. W.y.huk 7 Toed ` APPROVED AS NOTED COMPLY WITH ALL EPODES OF NEW YORK STATE &TOWN CODES DAT}E 12-23 B.P.# ��7•� AS REQUIRED AND CONDITIONS OF y aoo oo `V.,`N ' FEE: BY SOUTHOLD TOWN ZBA NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ._SOUTHOLD TOWN PLANNING80ARD 1. FOUNDATION-TWO REQUIRED ;'° .,,,• FOR POURED CONCRETE SOUTHOLD TOWN TRUSTEES 2. ROUGH-FRAMING,PLUMBING, \ '` STRAPPING. ELECTRICAL&CAULKING ` N.Y.S.DEC 3. INSULATION 4. FINAL-CONSTRUCTION&ELECTRICAL I MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. FLOOD ZON COMPLY WITH CHAPTER"46" ELECTRICAL FLOOD DAMAGE PREVENTION INSPECTION REQUIRED SOUTHOLD' TOWN CODE. i xonm4 mush oca -!mil dui dc.) I abdca and r-fadi IBC acCcebI 6v .. �, A M E S J. S T 0 U T A R C H I T E C T & Assoc . 2 G 7REG LANE E AST NO7RTHPO1RT N. Y. es 1 — 856 9 388 Letter of Certification July 27,2023 RE: Waters Edge LLC 845 Watersedge Way Southold,NY 11071 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 (RCN'YS), 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 6n and the 2" x 8" aQ 16" o.c, roof rafters will provide the required support.. Thank you for your understanding in this maker, James J, Stout Architect a A-JA��GR r ENERGY GreenLogic,LLC Approver! The Water-edge LLC(Honig Residence) 845 Watersedge Way Southold,NY 11971 Surface M. _ Total System Size:13.300MAI Array Size:5.250kW 1 circuit of 8 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuttx 206' Pitch:"10" Monitoring System: SunPower PaneMrray_Specifications: Phnef:SPR?f24350-81t<-E AC Rackfng:SunPower Invisirnount - - ` Panel:6.1.3"'X 412' Array:2T 9 718"X 10'S 1116" Surface:2S'6"X IT 4" Magic#:tnvisimount Loaerd.- 15 SunPower-35OW Panels — SunPower Invisimount Rail 0 36 lion Ridge Ftash Foot 2 - 2x6"Douglas Fir Rafter 16'O.C. Rotes: i Number of Roof Layers:1 t _ Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof toad of PV System:2.84psf - EngineerMrchftect Seat.• ^ V_D A1,C eA Drawn BT.[411Aa_ Drawing#1 of 1'l Date:5127/2023 REV:A Drawing-Scale:3116"=1.t3` �j1%GR EENLOG I C'11 . ENERGY GreenLogic,LLC Approved The Watersedge LLC(Honig Residence) M Watersedge Way Southold,NY 11971 Surface�dA: Total System Size:13.300M Array Size:5250M 1 circuit of 8 on a 20A breaker 1 circuit of 7 on a 20.4 breaker Azimuth:2W Pitch:l0° ` Monitoring System: SunPovmr PanellArmy Specifications: Panel:SPR-X21-350 BLK-E-AC Racking:SunPower Invisimouni - - Panel:SIX X 412' - Army.269718 Xi0'51/16" Surface:28'6"X 13'4" tragic#:invisimount NI Legend. Q 15 SunPower 350W Panels SunPower trrrisimount Rail ® 36 Iran Ridge Flash Foot 2 -" - 2)V Douglas Fir Rafter 16'O.C. Dotes Numberof Roof Layers:I Height above Roof Surface:4" Materials Used:Iron Ridge,SunPower Added Roof load of PV System:2.84psf. Engineer/Architect Seal: r" V!�'SD ABC f t bF �J Drawn By:MMB Drawing#2 of 11 Date.-612712023 REV:A Drawing Scale:3116"=1.0 LOGIC ' 'Y N ENERGY GreenLogie,LLCApproved The Watersedge LLC(Honig Residence) 846 Watersedge Way Southold,NY 11971 Surface•#A: Total System Size,13.300M Array Size:5250M 1 circuit of 8 on a 20A breaker 1 circuit-of 7 on a 20A breaker Azimuth:206° Pitch-.10' Manharing System: t SunPower PanoVArray Specifications: Panel:St'tr'L-X21.35"LK-E AC Racking:SunPower(nvisknount r Panel:61.3 X 412" Array:25'9 718"X 10'5111G' l 1 Surface:28'6"X 13'4" Magic,*(frAsimount -- — M Legend: 15 SunPower 35M Panels 2 1 ---- SunPower lnvisimount Rad 36-iron Ridge Flash Foot 2 i W"Douglas Fir(gaffer 16"O.C. 2 Notes: number of Roof�Layers:1 Height above Roof Surface:4" Materials Used:iron.Ridge,SunPower Added Roof load of PV System:2.84psf Engineer/Archttwt Seal: �NC D A.9 x -% 02 I pie3p� �pQ, s Drawn By:MMB Drawing#3 of 11 Date:5/27/2023 REV:A Drawing Sole:3116"=I ff V I 'v j. ENERGY GreenLogic,LLC Approved The:Watersedge LLC(Honig Residence) M Watersedge Way Southold,W 11971 Surface#B• .Total System Size.13.30OW1 Array Size:4MO W 1 circuit of7 on a 20A breaker 1 circuit of 6 on a 20A.breaker. 'Azimuth:206' Pitch.34° Mordioring System: SunPower Psnell nzy Spocificadwa: <------.-- Panel-SPR X21-35MLK EAC RackinT.SunPower Invistmount Panel:61.3'X 41.2" ArrW-fT S 6IW X 11'41511W Surface:—44'9"X 20`2" MacOOc!r lnvisimount _ Legend. 13 SunPower 350W Panels SunPbvmr lnvisimcsunt Rail 3t:Iron.Ridgo�sf�.t=cot 2 2xT Douglas Fir Rader 1W O.C. Notes: — Nurriber of Roof Layers:1, _: Height above Roof Surface:4" e MaWals Used:Oxon Ridge,SunPower Added Roof load of PV System:2.84psf BnginoodAmfi ltect.Seal: 4- Dratver fay:PAM[3 Drawing tx 4 of 11 Date:612712023 REV:A Etra�uiiig_Scale;f1$"=_4.0' 1 L%GREENLOGIC s ENERGY GreenLogic,UC AAproved The Watefsedge LLC(Honig Resldence� 845 Watemedge Way Southold,NY 1197T Surface f#t3: ..- Total.System Size. 13.300M May Size:4.550RW 1 circuit of 7 on a 20A breaker 1 circuit of 6 on a 20A breaker Azimuth:2OW Pitch_34 [viortifbfing.System: � `�' SunPovier PanMrray SpecificaQforts: Pane#:SPR-X21-35U-BLK-E-AC Racking:SanPovvter lr:+.fisimounf Panel:SIX X 411' - - - Army:15'S 51W X 17'4 WIG' Surface--44`9"X 20'2" � Arlagic#�imrisimount -_ Legend: �[F�-' 13 SunPower 350VV Panels. — SunPauerimrisirmuntRai4. 0 36 JronL Ridge Flash Foot 2 2x6-Douglas Fir Rafter 16"O.C. 'i, Notes: ' i Number of Roof Layers:1 IF Height above Roof Surface:4' tateriais Used:iron Ridge,SunPovrer Addsd goof toad of PV System:2.84psf Engineer?Arichitea Seal: Drawn By:11C- DrawindDrawing'�#5of 11 Date:512712REV:A. Scale:IW 1.9 CRNLI " a� ENERGY GreenLogic,UC Approved The Wafersedge LLC(Honig Residence) 845 Watersedge Way Southold,NY 11971 Surface#B-. Total System Size:13.306M Array Size:4.550kW 1 circuit of 7 on a 20A breaker 1 circuit of-6 on a 20A breaker AzftTEutti 20G i > Pitch:W Mdnitorfng System— a _ -SunPower PaaeflArray Speaificaticrts° Panel:SPR:X21-W"LK-E-AC q Rackfng::SunPower tnvisimount Panel.61.31'X 412' - Array:16 S 518"X 1T%15116" 4 Surface:,R44'9'X 2W 2" Magic#i::invisimount Legend: i 4 4. 13 SunPower 35OW Parris SunPow er-lm. -simount Rail. 1 v 3 ® 36[ton Ridge Flash Fcct 2 4 ZCDougfas.Fir Rafter l6"4.C. a i�Iofa's:. 3 Number of Roof tayers:l -- — �—- — r HC-igltl ai)ove Roof Surface:A" r" Materiafs.Used:.irun Ridge.SunPower Added Roof load,of PV System:2.84psf Engineer/Architect Soaf: ,ejeD ARC { Or OF"NON Drawn Fy:tsjtMS Drawing#6.of 11 ,.Date:5i27t2023 REV:A Draw trg-scale:1t8"=10' a GREENLOGIC 4" IERGY Green Logic,LLC Approved Site Watersedge LLG(Honig Residence) 845 Watersedge Way Soutitatd,NY 11971 Surface 9c: Total System Size:13.300M Array Size:MOM 1 circuit of ID on a 20A breaker Aziftusftr i16= ----i-- - Evtctnitoring:Sysie�n:. __-s .�. - Sunpower Panef'ArW Specificaticns: Panel-.SPFt X21-35D-OLK-G AC RacMV.SunPower invisimount �• g Panel•61.W X 412' _Army.2V 7 A X 10'S-ff16a. Surbce:-26`2"X 14' fvlage#:invis�t�nt Stt SugPov&r 3WW Fanets _ Y h sunpower tnirisirnount Rail M t(on-Ridge Rasta Foot 2 rr x a r .mri sir 2x8-DouglKrS Fir Rafte 16—O.C. Notes. Number of Roof Laye 1 —! :t{esgt*above Roof..Surface:4" Mateft-is Usect:-troy Midge,SunPower Added Rooffbad'of PV System:2.8W -_ Erl�§t�aerfr�a'ctZitea:t SFsat: a � Drawn By:muse DraMng t= t7aie:512712023 REV:iN- -Draraving Scare:3f16¢=1_.0' GREENg� gVe ENERGY Greenl.og}ic,UC Approved The Watersedge LLC(Honig Residence) 845 Watersedge Way Southoid,NY 11971. Surface#C: Total System Size:95.300M Array Size:3 v0MM 1 circuit of 10 on a.20A breaker Azimuth:116 _.. _�` _ Fitch:.34° monitoring System: SunPower l?anz tlalrray SPec nsi_ Panel:SPti X21-350-BLK-E-AC - - - lading.SunPower lnvisirnount Pane[:69X X OX S 9 J96" Surface:2V 2"X W t4Yagic 8:trrvisirx►orirtt Legend: 10 SunPower 35OW Panels Sunflower InJiskwunt Rail a 26 tron.Ridge Ftasn.Foot2 2x8"Douglas Fir Rafter 16"Q.G. 1 Notes: — _ Number-of Roof Layers 1 Height above Roof Surface:4" Materials Used-[ran Ridge,SunPower Added Roof load of PV Systscn:2.84psf EngineadArcfritez t Seal: €kawn By:MMB Drawing tF 8 of 19 Date:5127/2023 'REV;A F7rasv--r Stele:3l16"=1.0: _ -- ;;�N�,GREENLOQPC` ENERGY .......... GreenLegic,LLC Approved Thewatersedge LLC(Honig RvWence) 845 Watersedge Way Southold.MY 11971 Surface#C: Total System Size:13.300kVV Array Size:MOW 1 circuit of 1G on.a 20A breaker Pitch:34' Monitoring systenr. SwPower PanelfArray Specificatims: Panel:SPR-7ZI350-BLK-E-AC. Racking:Sun Pomr frivisimount- --- Panel:6I3 X 412' 5 AjW.2973. )CIW5-IIIV- Surface:W 2"X'14! --Legand: Fanels SunPamc ImisimountRall 26 Ifon Ridge Flash Foot 2 2.87 D..91a,Fir Rafter W O.rI_ Notes: Humber of Roof Layers:I Height atotee Roof Surface.4!' Materials Used.Iron Ridge,SunPower Added Roof load of PV System:2.84psf Engineer/Architect Seal* �V-O A-fic A. c Ni 1,6 Drawn By:MMB Drawing fA 9 of 11 Date:-6)271,2023 REV�A Drawing i -- - � W=1.0!��ie:.e:. o Vent PI es Will Be Covered By The SoIaLArra G Vg IC" ENERGY Legend: GreenLagic,LLC Approved AR-Access Roof AP-Access pathway,3V minimum width SVO—Setback at ridge The watersedge LLC(Honig Residence) per R202 definitions per R324.6.1 as per R324.6.2.2 84u Southold,. 11 way p P Southold,.NY 11971 Total System Size:13.300kw 1 circuit of 10 on a 20A breaker Meter 1 circuit of 8 on a 20A breaker Y circuit of 7 on a 20A breaker 'I circuit of 7 on a 20A breaker 1 circuit of 6 on a 20A breaker Azimuth:206" t Monitoring System: Sunftiver IAP PanetJArmy Specifications: D AP t I Partek SPR-X21-350-131 K-l:AC 1 f RacMng:SunPotaertnvisimount [ D Panel:61.W X 41.2" 1 t t f, Magic O:In%isinmunt I I f egend- j38 SunPower 350w Panels 1 I SunPower In+rsimounf Bait t___________________ ——————__———————————————— _ter 1t3SunPower350w 0 98fren.Ridge:Flash Foot 2 — SVO SVO SVO Panels sxWDougIasFIrRanert6•0.C. SVO_ ___ SVO ______ SUO____ 2W Douglas FirRa2er t6•Q.C. 1. x Note& 1 Number of Roof!_ayers:l t i Height above Roof Surface:4" Materials used:Iron Ridge,SunPower ! Added Roof toad of PV System:2.84psf { t I EngineerfArchibect Seal: I — - - t t _ 1 !_ k�� 1 ! t0 - IAPD In S. {� f J. to 13 SunPower 350W 15 SunPower 3501t1/ Panels Panels AP Op'`Pt ` } Drawn By:MNtB jDramting ff 10 of 11 Date:5MV2023REV:A Drawing Scale:3132°'=1.0' S EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-350-BLK-E-AC, 1-CIRCUIT OF 6-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-350-BLK-E-AC, 1-CIRCUIT OF 7-MODULES PV-SA-3 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-350-BLK-E-AC, 1-CIRCUIT OF 7-MODULES PV-SA-4 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-350-BLK-E-AC, 1-CIRCUIT OF 8-MODULES PV-SA-5 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-350-BLK-E-AC, 1-CIRCUIT OF 10-MODULES PM-1 PRODUCTION MONITORING SYSTEM SUNPOWER PVS6, POWER MONITOR AC-CMB-I AC COMBINER PANEL, PV LOADS ONLY 25OV, 100A, NEMA-311, 1-PH, 3-WIRE, MAIN BREAKER BKR-1...BKR-5 CIRCUIT BREAKER, PV-SA-1 ... PV-SA-5 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-M CIRCUIT BREAKER, MONITORING SYSTEM MATCH AC COMBINER PANEL BRAND, 2-POLE, 15A D EC EO U E 0 CT 2 6 2023 BuIldingg Department Watersedge LLC Town of Southold REVISIONS 845 Watersedge Way r*GREENLOGIC@ Southold, NY 11971 ENERGY 2.) AS-BUILT CONFIGURATION ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 4 Drawing No: HONIG-3LD2 Revision: 2 Revised: 10/10/2023 ELECTRICAL LOAD SUMMARY,AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 2,835 WATTS 211-264 VAC 11.79 A AC 240 V,AC PV-SA-2 2,835 WATTS 211-264 VAC 11.79 A AC 240 V,AC PV-SA-3 2,835 WATTS 211-264 VAC 11.79 A AC 240 V,AC PV-SA-4 2,835 WATTS 211-264 VAC 11.79 A AC 240 V,AC CONDUCTOR SCHEDULE C E 0 WE - TAG TYPE CONDUIT AWG. / EGC A OF/NMB 3/4" PVC-40 12 / 6 0CT 2 6 2023 B THHN 1" PVC-40 4 / 8 B jilding Departmen C THHN 3/4" PVC-40 14 / 14 rown of Southold 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUIT TO BE MINIMUM PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIRMENTS. 4.) NOTE: EQUIPMENT GROUNDING CONDUCTOR TO BE#6 COPPER, MINIMUM REVISIONS Watersedge LLC GREENLOGIC° 845 Watersedge Way Southold, NY 11971 ENERGY 2.) AS-BUILT CONFIGURATION ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 4 of 4 Drawing No: HONIG-3LD2 Revision: 2 Revised: 10/10/2023 EXISTING SERVICE EMERGENCY AC 120/240, 1 PH, 3W GENERATOR - - -----------------------NEW EQUIPMENT AC-COMBINER PANEL 200A KWH PV-SA-1 A AC-CMB-1 i (PV LOADS ONLY) ® . . . naME3 EXTERIOR ACCESSIBLEa 1ODA GRID-TIE PV-SA-2 A I MAIN ® ® ® I , LINE TAP N • • • 2 1 BKR-1 e e e 1I B MAIN ---- - II BKR-2 I I iTYP. PV ARRAY ii I ATS I BKR-N II I I - PV-SA-N A II , C/T I . . . . . • I 15A 1 N 2 1 PM-1 B 6 Y-9 MAIN _ / I III � III A a N, � E CIO 0V I y EGC � � I OCTI 14 6 2023 1 I N EGC I (TYPICAL SYSTEM SCHEMATIC,, EXISTING AC PANELI I 1 1 1 I I FINAL INSTALLATION MAY VARY, III I I REQUIRES LOCAL AHJ Bullditepartment EXISTING AND UTILITY APPROVAL)- TOW11�1$OUiLhgld .......L____________ -,+ EGC #6 CU---- I GEC --_-_j REv1sloNs Watersedge LLC - 845 Watersedge Way GREENGENERGY Southold, NY 11971 z.) AS-BUILT CONFIGURATION - ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 4 Drawing No: HONIG-3LD2 Revision: 2 Revised: 10/10/2023 SYSTEM SUMMARY OCT 2 6 2023 TOTAL KW RATING: (AC POWER). 11.970 (PV) Building Department TOTAL KW RATING: (DC POWER) 13.300 (PV) Town of Southold QTY. COMPONENT SPECIFICATION SUNPOWER BRAND, MODEL:SPR-X21-350-BLK-E-AC 38 PV MODULE: 350 W DC (NOMINAL), EACH SUNPOWER BRAND, MODEL:SPR-X21-350-BLK-E-AC (IQ7AS) 38 PV INVERTER: (INTEGRAL TO MODULE)- 315 VA, 1.31 A, 240V AC, EACH NOTE: SUNPOWER MODEL SPR-X21-350-BLK-E-AC INVERTER SETTINGS COMPLY WITH SECTION 7.5.2 AND 7.5.3 OF THE "PSEG LONG ISLAND'S SMART GRID SMALL GENERATOR INTERCONNECTION TECHNICAL REQUIREMENTS AND SCREENING CRITERIA FOR OPERATING IN PARALLEL WITH LIPA'S DISTRIBUTION SYSTEM" Watersedge LLC REVISIONS 845 Watersedge Way G R EEf�LOGGY Southold, NY 11971 ENERGY 2.) AS-BUILT CONFIGURATION ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 4 Drawing No: HONIG-3LD2 Revision: 2 Revised: 10/10/2023 '�.�- •s` � '�, � ;�" ,:may n '°t-•`^� -•'�w;r,>:x:�a;w �: .1�u''� '4 ''�'�' ;i�u` `¢.v+�`¢.t�: ,�;: ."✓,-.t.:�ra' ,.,3y � ,�_. "'y f•Y• �# P 4� •" � ZS�� - F Improve Support, ; R ,r.fce Maintenance CostS: ..::t ;'_ ; .:`: .; SunPower EnergY�ink - Plug-end-Piny Installation ` OinW?JSlte enables- 'ntultiye rnonit ring y ,t0: .', a This complete solution for residential and COMmer'cial n1onitoring and See:a visual reap of customer sites • control includes the SunPower"I PV Supervisor 6(PVS6)which improves Remotely manage hundreds or sites the installation process,overall system reliability,and customer Receive_f?iedive system reports. - experience. Locate system issues-and remotely diagnose Compact footprint for improved aesthetics Diagnose issue'.erriirie Robust cloud connectivity and comprehensive local connectivity Drill down for the status of i 1dividua}•devices Flexible configuration of devices during installation consumption retering Wm»•..., cvm+:+o '•- ',."'�—'z- ¢.sssaalwH M+ha ' - Revenue-grade production metering(pending) Web-based commissioning Remote diagnostics of PVS6 and inverters r ° c r"nairltP,.nanCP.COST. �,,,. ;�,°•-.•. �,.,,,��;a,- Durable tJl..Type 3R enclosure reduce.., s Easy integration with SunPower eBOS r.. 'Add Value for Customers - , Robust Cloud Connectivity With the SunPower f'Jonitoring System;• ,,•. , l.yfy., Multiple options to maintain optirrral eusComers can: - c system •: �:';m.;.C'"' `''6;ox?'r2;" r connectivity: See-what their solar pro 'uces each, ;,.' ��:-�<, day,month,or year - `. �•.• F-iardwired Ethernet ..:; Optimize their solar investment and sage on '„``-' " _ Wi-Fi energy expenses "..-•: ,- - . _ _ :. _.�`' -u{ : _- - ; Cellular backup Sex thcair ener.;�use and estir-hated bill sa'vinga . .. ;.,> ;'..•, : =:,See their soiar.System" C l h 's-uiiPbwer monitoring websitebuirlOb_il app' . - - - • - .- I- - it?R - -,a,. <<'i� ,_�.w�_-;"•- -`°� 7,7" 7 7, r • SunPower Monitoring Websites PVS6 SunPower AC Modules a• lie weww_nnn1tr! li Illit .......,.................. :,. Mrs y: • ' fK„ •' a 'x`x,rn u.k Multiple communication options include d � E"15"41'.; @ ��,�'x�,=:�> Ethernet,WI-Fi,and cellular. , Number of SunPower AC modules SS Temperature -220F to+1401F(-30°C to-�60°C) supported per PV56 Humidity(rnaximorn) 95%,non-condensing High-speed Internet access via accessible Internet access router or switch 100-2,10 VAC(L-'N),50 or b0 Hz Power 208 VAC(L,-L In 3-phase),601•iz RS-485 Inverters and meters . One channel of revenue-grade production metering integrated Metering ® Two channels of consumption metering Weight' 5.5 Ibs(2.5 kg) Ethernet 1 LAN(or optional WAN)port Dimensions 11.8 x 8.0 x 4.2 in,(30.5 x 20.5 x 10.8 cm) p4_C PLC for SunPowHrAC modules Enclosure rating ULSOE Type 3R ---- W{-FI 802.11 btgtn 2A GHz and 5 GHz Cellular I,.TE•:Cat-M1121G UM1'S ^m 7_Pg6ee IEEE 802.15.4 MAC,2.4GHz ISM band Data Storage 60 days Customersite > 1> er r,C4m _..............-._-...................-...._.. _. �._-- _. ..._.._......,._..-___._......_. Upgrades Automatic firmware upgrades Partnersitemgmtla, s�ro ���rr� Browsers F{refox,5afar{,and Chrome Mobile devices Whone,iPadl,and Android'"' Customer apP 1,Create account online at:monitor w suppowc r-corn. I c 2.On a mobile device,download the SunPower Monitoring Warranty 10-year Limited Warranty app from Apple App Store,'or Google PI-estore. 3.Srgn in using account email and password. Certifications UL cUL,CE,UL 61010-1'and 2 FCC Part 15(Class E3) G@us FCC I Q:YAVV529027 E503346 0