Loading...
HomeMy WebLinkAbout49929-Z o��c,�FFO Town of Southold 6/27/2024 a y� P.O.Box 1179 o • 53095 Main Rd y?j�l Sao Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45310 Date: 6/27/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: . 540 Longview Ln, Southold SCTM#: 473889 Sec/Block/Lot: 88.4-52 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/10/2023 pursuant to which Building Permit No. 49929 dated 10/23/2023 was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: roof-mounted solar panels to existing single-family dwelling as applied for. The certificate is issued to Waslo,Henry&Karin of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49929 6/12/2024 PLUMBERS CERTIFICATION DATED A tho ed Signatuk TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE "oy • o�� SOUTHOLD, NY aa-.rxrc�" 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#: 49929 Date: 10/23/2023 Permission is hereby granted to: Waslo, Henry 540 Longview Ln Southold, NY 11971 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 540 Longview Ln,,Southold SCTM #473889 Sec/Block/Lot# 88.4-52 Pursuant to,application dated 10/10/2023 and approved by the Building Inspector. To expire on 4/23/2025. Fees: SOLAR PANELS $100.00 ELECTRIC $125.00 CO-ALTERATION TO DWELLING $100.00 Total: $325.00 Building Inspector OF SOUlyol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ sean.devlinCD-town.southold.ny.us Southold,NY 11971-0959 OUNTy,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Henry Waslo Address: 540 Longview Ln city:Southold st: NY zip: 11971 Building Permit#: 49929 Section: $$ Block: 4 Lot: 52 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: SunNation License No: 33412ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1 st Floor X Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Solar X INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A 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: 9.66kW Roof Mounted PV Solar Energy System w/ (23) REC420AApureR Modules, Enphase Gateway IQ4, 200A Spane Panel 32 Circuits / 32 Used Notes: Solar & New Service Panel Inspector Signature: Date: June 12, 2024 S. Devlin-Cert Electrical Compliance Form y e lt0 y' f q'�� r'y�'j r �OE SOUL° `# TOWN OF SOUTHOLD BUILDING &EPT. 631-765-1802 INSPECTION . [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] .FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [. ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]- RENTAL REMARKS: 42ce vicz DATE /2 INSPECTOR OF SOUIyo{o # # TOWN OF. SOUTHOLD BUILDING DEPT. o rm��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST] REBAR [ ] ROUGH PLBG. - [ ] FOUNDATION 2ND [ .] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [. ] ,FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL REMARKS: �b5� I n4c (� c—ak 44o ki DATE INSPECTOR Graham Associates 256-A Orinoco Drive,Brightwaters,NY 11718:: Building Consultants&Expeditors (631�665u9619 Pax(631)96699-00115 r December 1, 2023 J l� jo Town of Southold J 21 2024 Post Installation Certification Permit# 49929 g�,,DING DE&�• Waslo Residence—540 Longview Lane, Southold,`19'1 Installation Date: 11/27/2023 Inspection Date: 11/30/2023 To Whom It May Concern, The roof mounted photovoltaic system at the above referenced.residence has been installed properly in accordance with the approved plans and is certified by Michael K. Dunn, PE,to be in compliance with the minimum requirements of the 2020 New York State Residential Building Code; Town Local Code, Long Island Unified Solar Permit Initiative, (LIUSPI); and 2020 National Electric Code NFPA 70/2020 National Electric Code including ASCE7-16. If you have any further questions, do not hesitate to call. Sincerely,, kG HA_ ��tsr�RF CO � o 9Kr It n �W YORE UICALD INSPECTION REPORT DATE—F COMMENTS FOUNDATION (1ST) ------------------------------------ FOUNDATION (2ND) ROUGH FRAMING& PLUMBING u) ——--------- INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS �rlo 0 ry m Cl =�o�gOFFU(K��6 TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT or Office Use Only ® E C E 0 TE PERMIT NO. Building Inspector: A_1� 0 CT 1 0 2023 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Building Department Owner's Authorization form(Page 2)shall be completed: Town of Southold Date: lar a OWNER(S)OF PROPERTY: Name:Karin and Henry Waslo __ scTM#s000-gg-4-52 Project Address:540 Longview Lane,_Southold, NY 11971 Phone#:516.456.4045, Email:kbwaslo@gmail_com / hgwaslo@gmail.com Mailing Address:540 Longview Lane, Southold,._NY 11971 CONTACT P.ERSON: . Name: Evelyn Polvere/Sunation Solar Systems __- Mailing Address: 171 Remington Blvd_, Ronkonkoma NY 11779 Phone#: 631_-750-9454_ ext 346 itin9 s. unation.comerm -- DESIGN PROFESSIONAL INFORMATION: Name: Michael Dunn, Graham_& Associates _ Mailing Address:256A Orinoco Drive, Brightwaters, NY 11718 Phone#_631-665-9120 .__ _ Email:glenn Ova ham associates ny.com CONTRACTOR INFORMATION: Name:Scott Maskin/Sunation Solar Systems MailingA.ddress:171 Remington Blvd., Ronkonkoma,.NY 11779 Phone#: 631-750-9454 Email:permitting@sunation.com 'DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ORepair ❑Demolition Estimated Cost of Project: ❑Other $ 3`tIelIq•eo Will the lot be re-graded? Dyes RNo Will excess fill be removed from premises? Dyes NNo 1 PROPERTY INFORMATION Existing use of property:Residential Intended use of property: Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes BNo IF YES, PROVIDE A COPY. 0,Check Box After Reading: The'owner/contractor/design professional is responsible.for all drainage and storm water issues as,provided by, Chapter 236,of the Town Code. APPLICATION IS HEREBY MADE.to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable`Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for 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 210AS of the New York State Penal Law. Application Submitted By(print name): Ott Maskin BAuthorized Agent ❑Owner Signature of Applicant: Date: to151a3 STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Scott Maskin being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of Oc o-ok ,20 23 VaL Notary Publi JYMN VITA Notary Public, State of NeW Yolk Registration #OtV15068399 PROPERTY OWNER AUTHORIZATION. Qualified in Suffolk County � Iy Commission Expires Oct.28,20_. (Where the applicant is not the owner) 1, <CLe i y) P3. 09612 residing at 540 Longview Lane Southold, NY 11971 do hereby authorize Scott Maskin to apply on my behalf to the Town of Southold Building Department for approval as described herein. &!a., /.fi ? 13 21)2,3 Owner's Signature 6ate Kf�2f/) 3 1414 L� Print Owner's Name 2 E OVE Nov 9� 2023 gufffl k BUILDING DEPARTMENT-Electrical Inspector ', TOWN OF SOUTHOLD BctBuildingt�epa}Qdnt ; �•. �Gy..► c�wn�t 03t Town Hall Annex- 54375 Main Road - Pl Box 1179 o5 Southold, New York 11971-0959 toy Telephone (631) 765-1802 - FAX (631) 765-9502 • '�', r{ rogerr southoldtownny.gov sea ndCa)southoldtownnLr gov APPLICATION FOR ELECTRICAL INSPECTION' ELECTRICIAN INFORMATION (Ali Information Required) Date: Company Name: SUNation Solar Systems, Inc 4 Name: Scott Maskin E License No.: 33412-ME email: permittingsunation.com Address: 171 Remington Blvd. Ronkonkoma NY 11779 Phone No.: 631-750-9454 i ti JOB SITE INFORMATION (All Information Required) j Name: Karin & HenryWaslo Address: 540 Longview Lane, Southold, NY J 1971E Cross Street: Phone No.: 516.456.4045 Bldg.Permit#: email:kbwaslo@gmaii.com Tax Map District: 1000 Section: 88 Block:-4 _ _ Lot: 52 BRIEF DESCRIPTION OF WORK(Please Print Clearly) ? Installation of-solar panels - flat on roof Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: -A #Meters Old Meter# . New Service- Fire Reconnect- Flood Reconnect-Service Reconnected-Underground - Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection FormAs E V E N 0V — 9 2023 BUILDING DEPARTMENT-Electrical Inspector 1' j. ��S";, TOWN OF SOUTHOLD iBF,®?r'I g D.epa�;�:ent =` ' Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro err _southoldtownnygov -_seand(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: SUNation Solar Systems, Inc Name: Scott Maskin License No.: 33412-ME email: permittingQsunation.com Address: 171 Remington Blvd. Ronkonkoma NY 11779 Phone No.: 631-750-9454 JOB SITE INFORMATION (All Information Required) Name: Karin & HenryWaslo Address: Cross Street: Phone No.: 5 704J5 Bldg.Per ,it. �� � email:kbwaslo@gmaii.com Tax Map District: 000° �.� ��e"ion: 88 Block: 4 Lot: 52 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installation of solar panels - flat on roof Circle All That Apply: - - Is job ready for inspection?: YES / NO Rough In Final Do y-ou-need--a- Certificate?: YES / NO Issued On TeFtip I11 tion.- (All information required) ewice Size 1- 3 Ph Size: %A # Meters Id Meter# New Se ice - Fire Reconnect-`Flood Reconnect-Service Reconnect�6dergrouqd - Overhead # round Lateral 1 2 1 , H Frame Pole Work done on Service? Y N 'Additional Information: PAYMENT DUE WITH APPLICATION Gil 7 P& loL) rtc Request for Inspection Formals l C770 _�— de-ch S��nr�ee PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fridge HW POOL Panel Fans Mini Fr. W/D Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Water Bond Carbon Micro GrbDis Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Minisn t Blower Combo Cooktop Nli AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments L/ 7�9 LJ N Y S ' F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAA"A 753118816 0 0 GCG RISK MANAGEMENT INC AN NFP COMPANY 100 CHURCH STREET-SUITE 810 Oti NEW YORK NY 10007 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SUNATION SOLAR SYSTEMS INC TOWN OF SOUTHOLD 171 REMINGTON BOULEVARD 54375 ROUTE 25 RONKONKOMA NY 11779 SOUTHOLD NY 11971 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 2160 6' 598021 01/01/2023 TO 01/01/2024 12/08/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2160 670-2, 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 YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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 //,*" 4 DIRECTOR,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 959308854 I1In111 Illm00mm0u0nu0m0uu0lm0u0mu0m0u1m1®0iu3im0m1u2mu2m1u 1l11 m Im Forth WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-21606702] U-26.3 64 [00000000000110301221][0001-000021606702][#*Z][16030.19][CertNoP-CERT 1][01-00001] Additional Instructions for Form D13-120.1 By signing this form,the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1 a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage(Certificate)to the entity listed 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 cancelled 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 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 NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave 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 Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a 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 not withstanding 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 and after January first, two thousand and twenty-one, the payment of family leave 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 a 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 and after January first,two thousand eighteen,the payment of family leave benefits for all employees has been secured as provided by this article. 1313-120.1 (12-21)Reverse 1 CERTIFICATE OF LIABILITY INSURANCE DATE i9/a23YYY' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT The Horton Group PHONE I FAX 10320 Orland Parkway 708-845-3000 i (IUC,No): Orland Park IL 60467 ADDRESS: certificates@lhehortongroup.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Evanston Insurance Company 35378 INSURED SUNASOL-01 INSURERB:The Continental Insurance Company 35289 SUNation Solar Systems, Inc. I 171 Remington Blvd INSURERC:Axis Surplus Insurance Co., 26620 Ronkonkoma NY 11779 INSURERB:Travelers Property&Casual Company of America 25674 INSURER E:Bums&Wilcox Ltd. INSURER F: I COVERAGES CERTIFICATE NUMBER:703220016 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 ADOLSUBRTYPE OF INSURANCE IN9n MD POLICY NUMBER IDDNYYYI EFF MOMILDD F.XP : LIMITS LTR A X COMMERCIAL GENERAL LIABILITY Y Y 121 CTR 0212775-00 2/112023 2/11/2024 I EACHACCURRENCE S 1,000,000 CLAIMS-MADE �OCCUR PREMISE (Ea�occurrence) $300.000 i MED EXP(Any ono poison) S 10,000 PERSONAL B ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS-COMP/OPAGG I S2,000,000 OTHER: Is B AUTOMOBILE LIABILITY Y Y 7018308202 2/112023 2/112024 (CEO,adentSINGLE LIMIT S 1,000,000 IANY AUTO BODILY INJURY(Per porson) S OWNED X SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acddent C X UMBRELLALIAB X OCCUR Y Y P-001-00079519502 2/112023 2/112024 EACH OCCURRENCE S3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000.000 DED I I RETENTIONS I S WORKERSCOMPENSAT10N STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNERIEXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERWEMBEREXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s D Builders Risk Y I Y QT-630-2T010874-TIL-23 2/11/2023 2/112024 Umit, 500.000 E Professional/Po11utionLiability 1000704865 2/11/2023 2/112024 Urrgt, $1,000,000 0 Leased/RentedEquipment QT-630-2T010874-TIL-23 2/11/2023 2/11/2024 Umt� $250,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more apace is required) Additional Named Insureds:SUNation Service Inc;SUNation Electric Inc;SUNation Commercial Inc;SUNation Cares Inc Additional Insured on a primary and non-contributory basis With respect to general liability,Automobile and Pollution Liability coverage when required by written contract Waiver of subrogation applies to general liability,Automobile and Pollution liability in favor of the stated additional insureds when required by written contract.Excess follows form. Town of Southold is included as an additional insured as required by written contract and the CG 2012(State,Governmental agency,or Political subdivision permits or authorization)is included on the policy. 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 54375 Main Road Southold NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Suffolk County Dept. of Labor, Licensing & Consumer Affairs MASTER ELECTRICAL LICENSE Name SCOTT A MASKI N Business Name SUNATION SOLAR SYSTEMS INC This certifies that the bearer is duly licensed License .Number ME-33412 by the County of suffolk Issued: 06/24/2003 R prago- Expires: 06/01/2025 Commissioner SUNATION ENERGY ® ECE " E J U N 1 7 2024 Building Department TowgA@q,4h20124 Fee for Electrical Upgrade. Enclosed is a check for $100 for the electrical panel change at 540 Longview Lane, Southold for our clients Karin & Henry Waslo. I understand,that the inspections have been completed, and they have passed. This check is to pay for the change to the installed`SPAN panel. Please call me with any questions. Best regards, Evelyn Polvere Permit Manager projectmanagement@sunation.com office: 631-750-9454 ext. 346 cell: 631-459-6202 • BOULEVARD - • • RONKONKOMA, �® AR T 1� KLU /f a <$� � UTILITY 0 Enphase A/C Branch Circuit(typ.) - SERVICE Enphase Microinverter(typ.) M C10 SUNATION N - Et-4ERGY COMBINER N Module J-Box(typ.) M PANEL BUSBAR RATING=225A S 171 R n Solar Systems MAIN BREAKER=200A 171 Remington Blvd. j INVERTER(S)OUTPUT CIRCUIT=30.13A Ronkonkoma,New York 11779 200A (631)-750-9454 PV Module(typ.) MAIN 30.13A x 125%=37.6625A NYSERDA 37.6625A+200A=237.662A 4355 - ENPHASE GATEWAY INSTALLER EGC Attached To Rail(typ.) (No bads,mondonng only) 37 662A 0 2702A70A NUMBER 2P15A 225ABUSBAR x12oi=270A JOB NUMBER 270A-200A MAIN=70A 70Ax80%=56A 23640 / ENPHASE BRANCH CIRCUIT#1 % 2P20A The m C rnum2017 mve er output current is 56A Circuit#1 pPr NEC 20i1r7 7,05.1�21J,(2)(3 CONDUIT AND CONDUCTOR SCHEDULE ENPHASE BRANCH CIRCUITlY2 I - 2P20A 2P40A 2P20A TAG CONDUCTOR CONDUIT RUN EGC Circuit �.\ 10 combiner sense TENS ENSE MONITOR TYPE GAUGE QUANTITY TYPE SIZE LENGTH G G (Naroaa:.modwe qo�m ENPHASE 1 Enphase Q-Cable 12 4 N/A N/A 15' 1 j .3 10 COMBINER MAIN SERVICE c 2 Type NM 10 4 N/A N/A 30' ROOF ATTIC EXTERIOR Wain service panel 3 HWN-2 10 4 PVC SCH.80 1.25" 15' to A replaced with 0) N ;4� SPAN smart panel T N GC CV- 1 PVC SCH.80 1.25" 15' } j 4 HWN-2 8 3 PVC SCH.80 1.25" 10, — Z O BUILDING - O GC 8 1 PVC SCH.80 1.25" 10, GROUNDING Z 0) :2T ELECTRODE o c 0 ' a o 7 E O :3 CD Cz r � N U Z O O cz Circuit# PV Module Oty. Micro-Inverter aty. Maximum AC Operating Current 1 REC420AAPureR 12 Enphase IWX-96-2-US 12 15.72 A m 2 REC420AAPureR 11 Enphase IWX-96-2-US 11 14.41 A 0 o � J � O � LO Maximum AC Operating Current(Total) 30.13 A E1 = 1 ONE-LINE DIAGRAM _ T -PLAN KEY ®.SERVICDISCUTILITY a PROPOSED RESIDENTIAL Q-SERVICE DISCONNECT (EXT) PV1-0 COVER SHEET ®-SUPPLY SIDE CONNECTION Q Al-1 PARTIAL ROOF PLAN M-•AUTOMATICTRANSFERSWITCH MSP P H O T O V O L T A I C S YSTEM A1-4 ROOF ACCESS PLAN e-GAS METER o (B) S1-1 STRUCTURE ®-MAIN SERVICE PANEL ®-SUB PANEL ❑ N OLAR SYSTEMS S ERDA E1-1 ONE-LINE DIAGRAM 171 REMINGTON BOULEVARD INSTALLER ®-WIRELESS ROUTER E2-1 PV LABELS ®-INVERTER RONKONKOMA,NEWYORK 11779 NUMBER 4355 G1-1 PV PHOTOS ®, -ENPHASE 1000MBINER Waslo Residence EC-PANEL PHOTOVOLTAIC ELECTRIC- - 540 Longview Lane, Southold, NY 11971 ❑3 ®-ENPHASE ENVOY ®-SENSE CONSUMPTIONMoNITOR RCHITFC rawn By:T. MacCallum-10/05/2023 ®•AD DISCONNECT o-TESLA GATEWAY ❑ (/`� �D ®•TESLA POWERWALL ❑ ®-ENPHASE 10 SYSTEM CONTROLLER IM-ENPHASE IO LOAD CONTROLLER , \ ELECTRICAL -ENPMASE IO IO BATTERY � ' O ❑ +u� INSPECTION REQUIRED ®-ENPHASE 10 3 BATTERY ®-GENERATION PANEL ®-BACKED UP LOADS CENTER 0-VENTPIPE s?-ATE OF EXTERIOR LOCATION AREA RESERVED FOR P.E. �• - IST FLOOR LOCATION - - - Building Review Note - Y •-BASEMENT LOCATION 3 Town building examiner has received the enclosed document for minimum acceptable --GARAGE LOCATION _ ; plan submittal requirements of the town as specified in the building and/or Residential Code of the State of New York. This review does not guarantee compliance with that o code. that responsibility is guaranteed under the seal and signature of the New York ACCESS ACCESS ' D: State licensed design professional of record. That seal and signature has been PROPOSED PV SYSTEM ROOF ROOF o interpreted as an attestation that,to the best of the licensee's belief and information the work in this document is: Module Type/Q MIRE 20AAP. �w' • Accurate • Conforms with governing codes applicable at the time of submission Module Dimension: 68.1"x 44"x 1.21' - • Conforms with reasonable standards of practice and with view to the �s=VENTILATION Z safeguarding of life,health,property and public welfare is the responsibility of the Module Weight/PSF: 47.4 Ibs/2.3 PSF licensee. Micro Inverter: (23)Enphase IQ7X-96-2-US W Structural Statement System DC Rating: 9.66 kW o � Estimated AC Production: 9,363 kWh/yr00> = The existing structure is adequate to support the new loads imposed by the ® � ® photovoltaic module system including uplift and shear. The existing rafter sizes 0 and dimensions conform to RC-NYS 2020 table R802.4.1(2)-Rafter Spans. Production Source: Aurora � 0 Cc LL PV Notes 1. This PV system has been designed to meet all current and applicable fire (23)PROPOSED PV MODULES prevention setback pathways per 2020 NYS Residential Code. Proper ground clearance,roof access points,access Pathways and ventilation systems shall be - provided where necessary. An in depth description of each applicable code AREA RESERVED FOR AHJ: APPROVED AS NOTED reference and exception for any codes is depicted on the PV-1 plate of this drawing package. 2. Roof shall have no more than a single layer of roof covering in addition to the solar equipment. B.P.0 3. Installation of solar equipment shall be flush-mounted,parallel to and no more 7� 4. than 6-inches above the surface of the roof. [/ 1109 Weight of the installed system shall not exceed more than 5-psf FEE BY 5. Any plumbing vents are not to be cut or covered for solar equipment installation. NOTIFY BUILDING DEPARTMENTAT inspection.ation or modification of the vent requires a plumbing permit and FULL HOUSE ROOF PLAN 631 765-1802 8AM TO 4PM FOR THE SCALE:N.T.S. This PV system has been designed to meet the minimum design standard for building FOLLOWING INSPECTIONS: and other structures of the ASCE 7-16 and the 2020 New York State Residential 1. FOUNDATION-TWO REQUIRED Code. FOR POURED CONCRETE OMPLY WITH ALL CODES OF PV1m0 2. ROUGH-FRAMING&PLUMBING N REYORK STATE&TOWN CODES , JOB# 23640 3. INSULATION QUIRED AND CONDITIONS OF OCCUPANCY OR COVER PAGE 4 BE COMPLETE FOR FINAL- OON MUST I S011THOLDTOWN USE IS UNLAWFUL REVISION # N/A ALL CONSTRUCTION SHALL MEET THE SOMOLDTO NINO BOARD WITHOUT CERTIFIC� C+ ��� ® REQUIREMENTS OFTHE CODES OF NEW $Q( OILDj TR(S �7 YORK STATE. NOT RESPONSIBLE FOR N,Y$, OF OCCUPANCY ENERGY REVISED BY N/A DESIGN OR CONSTRUCTON ERRORS I $O HPC K DUNS rrj ZP � W p✓ � O * S 02996N �qT 0F� 43' RIDGE SUNATION (NP)CAPPING ENERGY SUNation Solar Systems 1 0 171 Remington Blvd. Ronkonkoma,New York 11779 . . . . . . . . . . . . . . . . . .. ROOF 1 (631)-750-9454 SERDA IN A&I INSTALLER • O NUMBER %P55 t5 ROOF AREA JOB NUMBER PHOTOVOLTAIC MODULE (TYP.) 0 CIRCUIT 1 GUTTER CIRCUIT 2 0 C5 Z } xp O z o 0 mt E mm a V LLL tr m Z o ca co U)-1 2 H � � ~ CO) T .rn m � 3 o L Attachment Spacing:Portrait Attachment Spacing: Landscape Roof# Roof Description Modules Azimuth Tilt Pitch Interior Edge Corner Interior Edge Corner 1 Southwest Roof 23 2060 300 8/12 64" 32" 16" 64" 48" 48" 3/16"=V-0" Al =1 PARTIAL ROOF PLAN SOLAR ENERGY SYSTEMS (NY) R324.6 Roof access and pathways. Roof access, pathways and (EXT) F setback requirements shall be provided in accordance with Sections �p ARC/y�T R324.61 through R324.6.2.1. Access and minimum spacing shall be =_ !` K C required to provide emergency access to the roof,to provide pathways MSP C �4 Vi�� -X to specific areas of the roof, provide for smoke ventilation opportunity V`Z areas and to provide emergency egress from the roof. O (B) LU Y Exceptions: 1. Detached, nonhabitable structures, including but not limited to detached garages, parking shade structures, carports, solar J. 0 trellises and similar structures, shall not be required to provide F roof access. 2. Roof access, pathways and setbacks need to be provided where the building official has determined that rooftop operations will not be employed. 3. These requirements shall not apply to roofs with slopes of two SUNATION units vertical in 12 units horizontal(17-percent slope)or less ENERGY [NY] R324.6.1 Pathways. Not fewer than two pathways, on separate s 171 R n solar systems roof lanes from lowest roof edge to ridge and not less than 36 inches on Remington Blvd. P 9 9 Ronkonkoma,New York 11779 (914 mm)wide,shall be provided on all buildings. Not fewer than one (631)a50-9454 pathway shall be provided on the street or driveway side of the roof. For each roof plane with a photovoltaic array, a pathway not less than 36 inches 914 mm wide shall be provided from the lowest roof edge INSTALLER /� 355 ( ) P 9 INSTALLER(� to the ridge on thee same roof plane as the photovoltaic array, on an NUMBER adjacent roof plane, or straddling the same and adjacent roof planes. Pathways shall be over areas capable of supporting fire fighters JOB NUMBER accessing the roof. Pathways shall be located in areas with minimal 23640 obstructions such as vent pipes, conduit, or mechanical equipment. Pathways on opposing roof slopes shall not be located along the same F-1 plane as the truss, rafter, or other such framing system that supports the pathway. Exception: 1. Access pathways shall not be required on roof slopes containing photovoltaic modules, panels, or an array where the opposing r N co or adjacent roof slope is an access roof. T o Z Z O O o Access Roof-A roof surface that: >- H o 1. Can be accessed from the ground by the fire service. W W M o 2. Is capable of providing fire service access to the ridge or peak O a) of an opposing or adjacent roof surface that contains p Z o ro co photovoltaic modules,panels,or an array. ACCESS ACCESS lY W �J 3. Is relatively free of vents,skylights,conduits,mechanical ROOF ROOF. O F m E- equipment and other such obstructions. H W rn m LU 4. Does not contain photovoltaic modules, panels or an array,or is W 03 a single ridge roof where the maximum edge to edge width of the photovoltaic panel system does not exceed 33 percent of LO the ridge length. O -18"-VENTILATION Z [NY] R324.6.2 - Setback at ridge. Photovoltaic arrays shall not be Q located less than 18 inches(457 mm)from a horizontal ridge. LL, low" I [NY] R324.6.2.2 - Emergency escape and rescue opening. Panels W and modules installed on dwellings shall not be placed on the portion O O of the roof that is below and emergency escape and rescue opening. A pathway not less than 36 inches(914 mm)wide shall be provided to = O the emergency escape and rescue opening. u- I— Z O N.T.S. cc LL (23)PROPOSED PV MODULES Al 4 ROOF ACCESS PLAN Typical Attachment Method AKD RC& RIDGE SNAP'N'RACK ULTRA AIL PHOTOVOLTAIC 16'-3" �L-FOOT AND RAIL ASS _ $1-X �O MODULE ® � T 0 9 3/4"MODULE SPACING BETWEEN ROWS AND (2)S.S.304 5.OMM X 60MM COLUMNS(TYP.) WOOD SCREW FASTENER I SUNATION ENERGY RT-MINI ROOF ATTACHMENT SUNation Solar Systems RAIL MOUNTED TO 171 Remington Blvd. RAFTER Ronkonkoma,New York 11779 (631)-750-9454 RAFTER (1)LAYER SHINGLASPHALT c INSTALLER 4355 SHINGLE(TYP.) INSTALLER 2" X 10"/16" O.C. �/ NUMBER JOB NUMBER 23640 PLYWOOD DECKING (TYP.) SOFFIT WOOD FRAMING EXTERIOR (TYP-) WALL ATTACHMENT TYPE APPLIED TO-ROOF"TYP" 12'-10.5" — rl- cM ROOF SECTION (TYP.) - ROOF "1" °' N T O SCALE: N.T.S. r N z o z SOLAR MODULE FRAME c U O NOTE:3/4°SPACING +�+ E BETWEEN MODULE ROWS Q Rafter Size/Spacing Max Span Layers Sheathing AND COLUMNS. O Roof# P 9 P Material Y 9 T f� m CO as 1 2"x 10"/16"O.C. 12'-10.5" Composite Shingles 1 Plywood 5'S° HEIGHT ADJUSTABLE LL ai L-FOOT(TYP.) ? O Co (CCU END CLAMP W J G (TYP.) CZ (D SNAP'N'RACK MM&6.0" ULTRA RAIL > m l�(TYP.) HEIGHT OFF OF o ROOF SURFACE O as 't 0 FIT MINI 2 L0 (TYP.) Typical Module PEST WRAP CUT AWAY FOR Side Profile CLARITY CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA - TABLE R301.2(1) WIND DESIGN SUBJECT TO DAMAGE ICE BARRIER MEAN ANNUAL SEISMIC DESIGN WINTER DESIGN UNDEQUIREDNT FLOOD HAZARD AIR FREEZING INDEX S 1 1 GROUND SNOW SPEED(MPH.) TOPOGRAPHIC SPECIAL WIND ZONE WIND BORNE DEBRIS CATEGORY WEATHERING FROST LINE DEPTH TERMITE TEMPERATURE REQUIRED TEMPERATURE LOAD EFFECTS ZONE 20 PSF 140 B YES 2 B SEVERE 3'-0" MODERATE TO 15 DEG N/A SEE PLANS 599 51 HEAVY EXAMINER STRUCTURE �p AlR T —----- ------- --- �� P�`K Uti ->` - ----- --------- -- ----- — LU P. t Y 1UTILITY v� Enphase A/C Branch Circuit(typ.) SERVICE Enphase Microinverter(typ.) - M SUNATI®N COMBINER ENERGY Module J-Box(typ.) PANEL BUSBAR RATING=225A SUNation Solar Systems MAIN BREAKER=200A 171 Remington Blvd. INVERTER(S)OUTPUT CIRCUIT=30.13A Ronkonkoma,New York 11779 200A (631)-750-9454 PV Module(typ.) MAIN 30.13Ax 125%=37.6625A ENPHASE r><+TEwnv 37.6625A+200A=237.662A NYSERDA 43 5 5 EGC Attached To Rail(typ.) (No Baas,monitoring c*) 225A x 120%=270A NUMBER INSTALLER 237.662A<270A 2P15A 225ABUSBAR x120%=270A JOB NUMBER EW—GV° 270A-200A MAIN=70A 70A x 80%=56A 23 640 ENPHASE BRANCH CIRCUIT#1 2P20A The maximum inverter output current is 56A CONDUIT AND CONDUCTOR SCHEDULE circuit ut per NEC 2017 705.12(B)(2)(3)(b) ENPHASE BRANCH CIRCUIT#2 2P20A 2P40A 2P20A Circuit#2 IQ Combiner Sense TAG CONDUCTOR CONDUIT RUN EGc TYPE GAUGE OUANTITY TYPE SIZE LENGTH I ENSE MONITOR G G �o�mmnoa�g°M„ 1 Enphase Q-Cable 12 4 N/A N/A 15' 1 2 3 ENPHASE MAIN SERVICE IO COMBINER PANEL 2 Type NM 10 4 N/A N/A 30' ROOF ATTIC EXTERIOR •Main service panel 3 HWN-2 10 4 PVC SCH.80 1.25" 15' 4 to be replaced with O N SPAN smart panel - O GC 10 1 PVC SCH.80 1.25" 15, T N 4 HWN-2 8 3 PVC SCH.80 1.25" 10' — Z O GC 8 1 PVC SCH.80 1.25" 10' BUILDING GROUNDING z N — TO ELECTRODE O U O 1 O O U. CC 6 z O c co co Circuit# PV Module atY• Micro-Inverter Oty. Maximum AC Operating Current � 1 REC420AAPureR 12 Enphase I107X-96-2-US 12 15.72 A w ~ a 2 REC420AAPureR 11 Enphase IQ7X-96-2-US 11 14.41 A o c CD -.J � O c- to Maximum AC Operating Current(Total) 30.13 A E1 = 1 ONE-LINE DIAGRAM LABEL LOCATION: LABEL LOCATION: ARC WARNING:PHOTOVOLTAI CONDUITS:1 AT EVERY SEPARATION BY ENCLOSURES/WALLS/PARTITIONS Service Disconnect MAIN DISCONNECT PANEL: 1 AT EACH AND AT BUILDING MAIN SERVIC • •URCE CEILINGS/FLOORS OR MORE THAN 10'. DISCONNECT IF APPLICABLE. � �� �P tit NEC 2017 690.31(G)(3) NEC 2017 705.10 (L LABEL LOCATION: Second Disconnect PHOTOVOLTAIC ° a Y MAXIMUM AC• SOURCE CIRCUITS: 1 AT EACH AC DISCONNECT,COMPLETE VOLTAGE AND • • next • SA 9a� �0 • -• CURRENT VALUES ON DISCONNECT LABEL. NOMINAL ,9T� F NEC 2017 690.54/NEC 2017 690.13(B) NOTE:ATTENTION STICKER GETS PLACED ON UTILITY METER IN ADDITION TO THE BUILDING MAIN SERVICE DISCONNECT. This building a equipped with an _ Disconnect Interconnected Electric Power SUNATION Production Source ENERGY ELECTRIC SHOCK HAZARD ° NOT REMOVE THIS TAG s 17ation solar systems Source Type: '' ' - - 171 Remington Blvd. DO NOT TOUCH TERMINALS Solar Photovoltaic Ronkonkoma,New York11779 (631)-750-9454 TERMINALS ON BOTH THE LINE AND Service • - Disconnect is Located: Interior. LOAD SIDES MAY BE ENERGIZED Located Service in Main Panel Basement_ Garage:_ Exterior._ NYSERDA 3 5 5 INSTALLER IN THE OPEN POSITION :r-Front_ Rear.—LH Side:_ NUMBER PHOTOVOLTAIC MODULES PRODUCE DCVOLTA E _��RH Side:_ Other Location: wHENEVERTHEVAREEXPOMTOSUNLIGHT '. -SUNation Solar systems SOLAR�SYSTEM EQUIPPED -63•-75oa454 WITH RAPID SHUTDOWN .loB NUMBER wwwsunaUon.com -- TURN RAPID SHUTDOWN 23640 SWITCHTOTI-E • 'OFF'POSITIO -ro w.av SHUTDOWNPVSYSTEM ,j EQUIPPED WITH RAPID ANDREDUCETHE SHOCKHAZARD SHUTDOWN INARRAY Lu O N � O r N } Lo Z o Z O O C.) O O O 0) as U. a� z O C: as a, m C J as O L to E2=1 PV LABELS R y/T Y ec ti A i 2 9 41 0 w-WN- SUNATION A - - SUNation Solar Systems on Remington Ronkonkoma, koma,New York 11779 (631)-750-9454 y r l J SERDA 4355 A IN INSTALLER NUMBER ,!► • • • JOB NUMBER — 23640 ARRAY LOCATION(S) ARRAY LOCATION(S) SATELLITE IMAGE - VIA GROUND VIA ROOF co � N T O T N > LO z o U o r.-..+ Q E o O � Cn c� + u 0) U .. Z O M (z e Y cz >, rn m c � e _ r O .lie J cz T o _ SOUTH VIEW PROPOSED PV EQUIPMENT EXISTING UTILITY METER VIA ROOF LOCATION AND MDP PV PHOTOS