HomeMy WebLinkAbout50190-Z �o�OS1S1F01eel � Town of Southold 7/21/2024
P.O.Box 1179
53095 Main Rd
,"o4 . �ao� F� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45375 Date: 7/21/2024
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 700 Gagens Landing Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-10-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/6/2023 pursuant to which Building Permit No. 50190 dated 1/8/2024
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
roof-mounted solar panels to existing single-family dwelling as applied for.
The certificate is issued to Fleisher BM Revoc Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50190 4/3/2024
PLUMBERS CERTIFICATION DATED
Authtri(j SignatujV
�o�S�EFnt,r�o TOWN OF SOUTHOLD
a BUILDING DEPARTMENT
N 2
TOWN CLERK'S OFFICE
"may • o� SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 50190 Date: 1/8/2024
Permission is hereby granted to:
Fleisher BM Revoc Trt
PO BOX 569
Southold, NY 11971
To: install roof-mounted solar panels to existing single-family dwelling as applied for.
At premises located at:
700 Gagens Landing Rd, Southold
SCTM # 473889
Sec/Block/Lot# 70.-10-22
Pursuant to application dated 12/6/2023 and approved by the Building Inspector.
To expire on 7/9/2025.
Fees:
SOLAR PANELS $100.00
ELECTRIC $125.00
CO-ALTERATION TO DWELLING $100.00
Total: $325.00
Building Inspector
pF SO!/T�ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 �0 • �o sean.devlinitown.southold.ny.us
�yCOWN,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Fleisher BM Revoc Trt
Address: 700 Gagen Landing Rd city,Southold st: NY zip: 11971
Building Permit#: 50190 Section: 70 Block: 10 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: GreenLogicLLC License No: 43858ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Solar X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 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 11 Sump Pump
Other Equipment: 9.24kW Roof Mounted PV Solar Energy System w/ (22)SunPowerU420W Modules,
50A Fused AC Disconnect, AC Combiner Panel, Line Side Tapped
Notes: Solar
C—Inspector Signature: Date: April 3, 2024
S.Devlin-Cert Electrical Compliance Form
OP SOUTy�Io J of 90 L/ V
# TOWN OF SOUTHOLD BUILDING EPT.
`y10 ,� 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:
DATE LA, INSPECTOR
/ OE SOUIyo
6000 # # TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm��' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [vf'FINAL SOke—,
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: ras� /i►s'�-�� Ce��7�icac
DATE S-�"oZ�G INSPECTOR
J A M E S J. S TOUT A R C H I T E C T & Assoc.
2 G R E G LANE EAST NORTHPORT N. Y. 631 — 8 58 9388
Post Installation Letter
February 27, 2024
RE: Fleischer BM Revocable Trust
700 Gagens Landing Road
Southold, NY [` JUL 1 2 2024
L
Permit#50190 dated 1/8/2024taFt ;;a 0�9��
To Whom It May Concern:
This letter is to confirm that as of this date February 27, 2024, I, James J Stout, NYS
license 021633 have inspected the placement and installation of the roof top solar
panels at the above listed address. The solar panels have been installed as per
manufacturer's guidelines and specifications. The racking system design and
installation complies with the 2020 NYSRC and provisions of ASCE 7-16. The
installation was done as per approved Building Department plans.
This certification letter must be presented to the municipality within 120 days of the
issuance date to ensure compliance with safety procedures and continuity of service.
Thank you for your cooperation in this matter.
James J. Stout
� J
0,2I 33 p4`
FIELD INSPECTION REPORT DATE COMMENTS
ro
FOUNDATION (IST)
--------------------------------------
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FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING A y
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INSULATION PER N.Y. y
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
-0959
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971
Telephone(631) 765-1802 Fax(631) 765-9502 hl�2s://www.southoldtomnn ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only E C E E
PERMIT NO. Building Inspector: DEC 6 2023
ii� �t b e"' He
rns qcomp e e
pplj�opibr�apq�f6e U d UtJ t h I
aiioi i6ti6hs-wi I 1'-�oi 6-6-ac�epfe�.'� he 6Wner.'an'-
Town Of Southold
e
Ow'ia&!s Author-kitibn-i6i- k0l,b'e' c-omple
Date:11/8/2023
r
W,
N SCTM#1000-70-10-22
Pr Fjecr t Ad
Phone#:646-732-1066 Email:,Cscbmt@pjqlRix.com
Mailing Address:
SON'i
CONTACT PER
Name:Barbara - GreenLoaic LLC
MaIIII,n I g I Addr.es-s-917 N.O.rt,h,,Sea Road, Southamptlo.n,,,-NY 11968
Phone#:631-771-5152 X1 17 '77EMail AMOGreenlogic.com
1,GNPRPFESSIONAL-.INF.OR,MATION
-PES
Name:James J. Stout Architect & Associates
Ma.1-li,n-g A.dd.ress.:-.2 Greg t
_t4nq,'gAs Northport., -NY 11731
Phone#:631-858-9388 Email:stouthubC@iamesstoutarch-com
CONTRAC OR INFORMATION:,,�r
Na-me:GreenLogic LLC
M.ai I li ng Addr-ess-.917-North Sea-Road,I-Sopt-hamptpip,
1968
Ph,on,e I'�#,:�6311�--1771.-.5�-1,152�"�'..'� -��",r' 'l�"''.. .�-11�,- �-,�.I..,.,.�-,,,�.1. 1 Email:AM@Q.rqpnlpgic.com
.DESCRIPTION PROPOSED:CONSTRUCT
El New Structure 11 Additi on RAlterat ion EIRepair [:]De mol i tion Estimated Cos t of P roject:
20ther Solar Panels $ 32,000
Will the lot be re-graded? E]Yes R No Will excess fill be removed from premises? E]Yes WNID
PROPERTY INFORMATION
Existing use of property: �Q e5 i� �;o Q 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 o IF YES, PROVIDE A COPY.
IN 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 220.45 of the New York State Penal Law.
Application Submitted By(print name):GreenLogic LLC BAuthorized Agent ❑Owner
Signature of Applicant: f/ Date 2—
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 before me this
day of �' 9r ,20A,:5
Notary Public
BARBARA A CASciOTTA
Notary Public-State of New York
No. 01-CA4894969
PROPERTY OWNER AUTHORIZATION Qualified in Suffolk County
(Where the applicant is not the owner) Commission Expires May 11_2=
IPI'eo, residing at D rtyi
do hereby authorize GreenLogic LLC to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
kt A3 /23
Owner's Signat re Date
,Wr(-4 W s4e-iL-
Print Owner's Name '
2
�S�ffttLk� BUILDING DEPARTMENT- Electrical Inspector
Off' �G TOWN OF SOUTHOLD
c0 yc .
Town Hall Annex - 54375 Main Road - PO Box 1179
pry Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(aD-southoldtownny gov -- seand(a-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 12/4/2023
Company Name: GreenLogic LLC
Name: Robert Skypala
License No.: 43858-ME email: Barbara@Greenlogic.com
Phone No: 631-771-5152 x❑I request an email copy of Certificate of Compliance
Address.: . 97 North Sea Road Southampton, NY 11968
JOB SITE INFORMATION (All Information Required)
Name: Fleisher BM Revocable Trust
Address: 700 Ga ens Landing, Southold NY 11971
Cross Street: r
Phone No.: 646-732-1066
Bldg.Permit qb email: cscbmf@panix.com
Tax Map District: 1000 Section: 70 Block: 10 Lot: 22
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system
**(22) REC REC420AA PURE-R panels If (24) Enphase IQ7XS micro inverters
(1) SunPower PVS6 monitor System Size: 9.240KW
Check All That Apply:
Is job ready for inspection?: DYES ❑✓ 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 ❑ Service Reconnect ❑ Underground []Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ON
Additional Information:
** Panels also known as SunPower SPR-U-420-BLK-R-DC
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
BUILDING DEPARTMENT- Electrical Inspector
@Q ®�i TOWN OF SOUTHOLD
- Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
` Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a southoldtownny.00v — seand(,@-southoldtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 12/4/2023
Company Name: GreenLogic LLC
Name: Robert Skypala
License No.: 43858-ME email: Barbara@Greenlogic.com
Phone No: 631-771-5152 x❑I request an email copy of Certificate of Compliance
Address.: . 97 North Sea Road Southampton, NY 11968
JOB SITE INFORMATION (All Information Required)
Name: Fleisher BM Revocable Trust
Address: 700 Ga ens Landing, Southold NY 11971
Cross Street:
Phone No.: 646-732-1066
Bldg.Permit#: 6()(qb email: cscbmf@panix.com
Tax Map District: 1000 Section: 70 Block: 10 Lot: 22
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Roof mounted solar electric system
"(22) REC REC420AA PURE-R panels Et (24) Enphase IQ7XS micro inverters
(1) SunPower PVS6 monitor System Size: 9.240KW
Check 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 ❑ Service Reconnect ❑ Underground [—]Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N
Additional Information:
** Panels also known as SunPower SPR-U-420-BLK-R-DC
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
GREENLOGICO
ENERGY
December 4, 2023
Town of Southold
Building Department
Town Hall
53095 Route 25
Southold, NY 11971
Project Info:
Fleisher BM Revocable Trust
700 Gagens Landing
Southold, NY
1000-70-10-22
Dear Building Inspector:
Please find attached a building permit application to install a roof mounted solar photovoltaic(PV)
electric system for the above referenced property.
In connection with this application, please find attached:
Building Permit application with owner authorization
• Application for Electrical Inspection
• 2 Surveys of the Premises
• 4 Engineer's Reports
• 2 Three Line Electrical Drawings
• 2 Spec. sheets of the solar panels
• 2 Spec. sheets for Racking System
• 2 Spec. sheets for Monitoring System
• GreenLogic Suffolk County Home Improvement License
• GreenLogic Certificate of Liability Insurance
• GreenLogic Certificate of Worker's Compensation Insurance Coverage
• Installation Manager's Master Electrician's License
• Check for$325 ($100 Building Permit/$100 CO/$125 Electrical Inspection)
Please let us know if you need anything else in connection with this application.
Yours truly,
Xwdiimaa ea,3ciattac
Barbara Casciotta
Account Manager
Barbara@Greenlogic.com
GREENICfiC7yf�f ffgpjljic.com Tel: 631.771.5152 Fax: 631.771.5156
SOUTHAMPTON ROSLYN HEIGHTS
97 North Sea Rd.,Suite 3 200 S.Service Rd.,#104C
Southampton, NY 11968 Rosyln Heights, NY 11577
GREENLOGIC°
ENERGY
July 9, 2024
The Town of Southold
Building Department
54375 Route 25
P.O. Box 1179
Southold, NY 11971
Projectlnfo:
Building Permit No. 50190 E2
Fleisher BM Revoc Trust ® V
700 Gagens Landing Road
Southold, NY JUL 1 2 2024
To the Building Inspector: Building Department
Town of Southold
Enclosed please find the Engineer's Certification Letter for the above referenced
address. Can you please close the building permit and send the Certificate of Occupancy
after inspection? Please let me know if you have any questions about the installation.
Sincerely,
J3a y6wm 'ecocul!&
Barbara Casciotta
Account Manager
Barbara@Greenlogic.com
631-771-5152 Ext. 117
GREENLOGIC LLC•www.GreenLogic.com Tel: 631.771.5152 Fax: 631.771.5156
SOUTHAMPTON ROSLYN HEIGHTS
97 North Sea Rd.,Suite 3 200 S. Service Rd.,#104C
Southampton, NY 11968 Rosyln Heights, NY 11577
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Workers'
vOR CERTIFICATE OF
STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE
Board
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 1 c.NYS Unemployment Insurance Employer Registration Number of
Suite 3
South Hampton,NY 11968 Insured
Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security
certain locations in New York State,i.e.,a Wrap-Up Policy) Number
203801194
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder)
United Wisconsin Insurance Company
3b.Policy Number of Entity Listed in Box"I 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"1 a"for workers'
compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A
on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send
this Certificate of Insurance to the entity listed above as the certificate holder in box"2".
The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled
due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or
eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this
Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy
expiration date listed in box"3c",whichever is earlier.
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,
extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the
referenced policy.
This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect.
Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be
named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a
new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the
mandatory coverage requirements of the New York State Workers'Compensation Law.
Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced
above and that the named insured has the coverage as depicted on this form.
Approved by: Alicia Christiansen
(Print name of authorized representative or licensed agent of insurance carrier)
Approved by: At ( /1�LLdtGGZ�ZtZ+zdl� lZ ZI 21�ZZ
(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
V'3.
W:� -.4 i� Z.
.............
1,4
Suffolk County Executive's 0 ce of Consumer Affairs
U
VETERANS MEMORIAL I-IIGHWAY HAUPPAUGE, NEWYORK 11788
DATE ISSUED:
5/25/2006 No. 40227-H
-ZA
SUFFOLK COUNTY
A
Home Improvement Contractor License
This is to certifv that
MARC A CLEJAN
doing business as
GREEN LOGIC LLC
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 of New York is hereby licensed to conduct business as a HOME 4��"
WROVEMENT CONTRACTOR,in the County of Suffolk.
-- -------------
Additional Businesses
NOT VALID WITHOUT
DIEPARTMENTAL SEAL
AND A CURRENT
CONSUNJElk AFFAIRS
ID CARD
4,11
V�S
Director
'ZA
IMM
M011110 —Aso
Suffolk County Executive's Office of Consumer Affairs
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED: 12/10/2007 No. 43858-ME
SUFFOLK COUNTY
.Master Electrician License �
This is to certify that ROBERT J SKYPALA
doing business as GREENLOGIC LLC
having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICIAN in accordance
with and subject to the provisions of applicable laws,rules and regulations of
the County of Suffolk, State of New York. �[
Additional Businesses
NOT VALID WITHOUT j
DEPARTMENTAL.SEAL
AND A CURREN T
CONSUMER AFFAIRS ; E'
ID CARD
a
Director
WON
DATE(MM/DD/YYYY)
A,00RRO• CERTIFICATE OF LIABILITY INSURANCE Fol/26/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the 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 ORLEssa Certificates@ brookhavena enc .com
Port Jefferson,NY 11777 INSURERS AFFORDING COVERAGE NAIC tl
INSURER A: Southwest Marine&General Insurance Co.
INSURED INSURERS: Merchants Preferred Insurance Co.
GreenLogic,LLC INSURER c: First Rehab Life Insurance Co.
97 North Sea Rd,Suite 3 INSURER o. National Liability&Fire Insurance Co.
Southampton NY 11968 INSURER E: AGCS Marine Insurance Co.
INSURER F-
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTRX COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 000 000
A CLAIMS-MADE X�OCCUR DAMAGE TO RENTED $10O 000
X Contractual Liability X X GL202300012922 01/31/2023 01/31/2024 MED EXP(Any oneperson) $5 000
PERSONAL&ADV INJURY $1 000 000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000
POLICY[j]jE O LOC PRODUCTS-COMP/OP AGG s2,000,000
OTHER: E&O Liability $1 000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 00O 000
B X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED X X CAP1043565 08/11/2022 08111/2023 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
X AUTOS ONLY X AUTOS ONLY (Per nrrprignt)
. $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB HCLAIMS-MADE AGGREGATE $
DED I I RETENTION $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY
Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A see separate certificate
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
C NYS Disability 0251202 04/11/2022 04/11/2023 Statutory Limits
E Installation'Floater/Property SML93076366 04/15/2022 04/15/2023 $300,000 $2,500 Ded
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Certificate holder is also named as Additional Insured.
CERTIFICATE HOLDER CANCELLATION
TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS.
63095 ROUTE 25
SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ>
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
RArc Compensation°`ke`�� CERTIFICATE OF INSURANCE COVERAGE
ST
Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW
PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier
1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured
GREENLOGIC,LLC 631-941-4113
97 NORTH SEA ROAD,SUITE 3
SOUTHAMPTON,NY 11968
SOUTHPAIPTON,NY 11968
1 c.Federal Employer Identification Number of Insured
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company
Town of Southold
Building Department 3b.Policy Number of Entity Listed in Box"1a"
53095 Route 25 DBL251202
Southold, NY 11971 3c.Policy effective period
04/11/2022 to 04/10/2024
4. Policy provides the following benefits:
P1 A.Both disability and paid family leave benefits.
B.Disability benefits only.
C.Paid family leave benefits only.
5. Policy covers:
Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law.
B.Only the following class or classes of employer's employees:
Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named
insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above.
Date Signed 4/4/2023 By (Wo
4
(Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier)
Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer
IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS
Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder.
If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS
Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for
completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200.
PART 2.To be completed by the NYS Workers'Compensation Board (only if sox 48,4C or 5B have been checked)
State of New York
Workers' Compensation Board
According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the
NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees.
Date Signed By
(Signature of Authorized NYS Workers'Compensation Board Employee)
Telephone Number Name and Title
Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance
agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form.
DB-120.1 (12-21) III I I I IiII�I'I��II�II��I�IIIIIIII�II��II'lll�lllll III
lIII
DB-120.1 (12-21)
S �
----------------------------------- NEW EQUIPMENT---- EXISTING SERVICE
PV-SA-1 A (TYPICAL
SYSTEM
CHE VARY,
120/240, 1 PH, 3W
T
' • ® AC-COMBINER PANEL AND UTILITY REQUIRES
L CAL AHJ)
N • • ' 2 1 AC-CMB-1 B 200A KWH 40
PV-SA-2 A ' MAIN
• • • A B N I DISC. 1
N • • • � 1 BKR-1 i I
I
TYPICAL PV MODULE WITH I I BKR-2 i
INTEGRAL DC/AC INVERTER II i
I I
I I
TYP. PV ARRAY II
I
' i I BKR-N MAIN
BKR-M }--j
I I
PV-SA-N
N • • • 2 1 I BFB I
' ---- - ---� i � N Pm-1 ' I
TYPICAL PV MODULE WITH
INTEGRAL DC/AC INVERTER III
EGC
III I MAIN C/T I N
I I
III I EGC
III I I o-a-�r4
I I
I j l j AC DISTRIBUTION I
III GC I (EXISTING
-1-------�s cu —————————————————————I_ � I I
EC 1GEC
\-
- "------------------ IRREVERSIBLE-BOND,-TYP. � 4 CU=
- -------------------
REVISIONS
Fleisher, Beth GREENLOGiIC®
700 Gagens. Landing Rd C+
Southold, NY 11971 . . ENERGY
2.) AS BUILT CONFIGURATION ELIMINATING THE COST"OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 1 of 4 Drawing No: FLSHR 3,LD1 Revision: 2 Revised: 3/14/2024
SYSTEM SUMMARY'
TOTAL KW RATING: (AC POWER) 6.930 (PV)
TOTAL KW RATING: (DC POWER) 9.240 (PV)
CITY. COMPONENT SPECIFICATION
SUNPOWER BRAND, MODEL:SPR-U-420-BLK-R-DC
22 PV MODULE:
420 W DC(NOMINAL), EACH
ENPHASE BRAND, MODEL: IQ-7HS-66-M-US
22 PV INVERTER: (INTEGRAL TO MODULE)
384 VA, 1.60 A,240V AC, EACH
REVISIONS
Fleisher, 'Beth GREEN LOGIC®
700 Gagens Landing Rd
Southold, NY 11971 � C+ ENERGY
2.) AS BUILT CONFIGURATION ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
i
Page 2 of 4 Drawing No: FLSHR-3LD9 Revision: 2 Revised: 3/14/2024
EQUIPMENT&COMPONENT SCHEDULE
TAG DESCRIPTION SPECIFICATION
SUN POWER SPR-U-420-BLK-R-DC, 1-CIRCUIT OF 5-MODULES
PV-SA-1 PHOTOVOLTAIC SUB-ARRAY
INVERTER: ENPHASE IQ7HS-66-M-US
SUN POWER SPR-U-420-BLK-R-DC, 1-CIRCUIT OF 8-MODULES
PV-SA-2 PHOTOVOLTAIC SUB-ARRAY
INVERTER: ENPHASE IQ7HS-66-M-US
SUN POWER SPR-U-420-BLK-R-DC, 1-CIRCUIT OF 9-MODULES
PV-SA-3 PHOTOVOLTAIC SUB-ARRAY
INVERTER: ENPHASE IQ7HS-66-M-US
PM-1 PRODUCTION MONITORING SYSTEM SUNPOWER PVS6, POWER MONITOR
AC-CMBP AC COMBINER PANEL 25OV, 100A, NEMA-311, 1-PH,3-WIRE /
BKR-1...BKR-3 CIRCUIT BREAKER, PV-SA-I... PV-SA-3 MATCH AC COMBINER PANEL BRAND,2-POLE, 20A
BKR-M CIRCUIT BREAKER, PRODUCTION MONITOR MATCH AC COMBINER PANEL BRAND,2-POLE, 3SA
BFB-1 CIRCUIT BREAKER,GRID TIE BREAKER, MATCH MAIN PANEL BRAND, RATING:2-POL_ 40A j
I
REVISIONS
Fleisher, Beth
700 Gagens 'Landing Rd G@
GREEIVLQGLC
ENERGY
Southold, NY 1'�971 2.) AS BUILT CONFIGURATION ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 3 of 4 Drawing No: FLSHR-3i_D1 Revision: 2 Revised: 3/14/2024
ELECTRICAL LOAD SUMMARY,AC CIRCUITS
TAG POWER,MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL
RANGE CURRENT
PV-SA-1 1,920 WATTS 211-264 VAC 8.0 A AC 240 V,AC
PV-SA-2 3,072 WATTS 211-264 VAC 12.80 A AC 240 V,AC
PV-SA-3 3,456 WATTS 211-264 VAC 14.40 A AC 240 V,AC
CONDUCTOR SCHEDULE
TAG TYPE AWG. / EGC
A =NM ,�� / 10 / 10
B PVC 40 U 8 / 8
C NMB / n 14 f 14
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:PV ARRAY EQUIPMENT GROUNDING CONDUCTOR TO BE#6 COPPER,MINIMUM
REVISIONS
Fleisher, Beth
700 Gagens Landing Rd GREEN LOG iCO
Southold, NY 11971 E,N,ERGY
2.) AS BUILT CONFIGURATION ELIMINATING THE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 4 of 4 Drawing No: FLSHR-3.LDI Revision: 2 Revised: 3/1412024
.J' A, MES' J. S" TOUT AIRC I T E C T Assoc.
2 G R, E G LANE EAST NOWTHPORT N. Y. 6 3"1. ^ 8 5 s. 9 3 'a a
Letter of Certification
November 17, 2023
RE: Fleisher Residence
700 Gagens Landing Rd.
Southold, NY 11971
To whom it may concern:
I, James J.Stout, registered architect NYS license number 021633 would like to
submit the following:
I have inspected and analyzed the roof structure at the above mentioned address
and have determined the structure and the panel attachment to be adequate to
support the new additional load imposed by the proposed solar panel system and
complies with the 140-mph wind design load as per 2020 Residential code of NYS
(RCNYS), 2020 Energy conservation construction code of NYS(ECCCNYS),the
Long Island Unified Solar Permit Initiative (LIUSPI)and the ASCE 7-16.
The existing 2"x 6&2"x8"@ 16"o.c. roof rafters will provide the required support.
ou
y YORK STATE&TOW C OF
OF
NEW N C ,(Thank , COMPLY WITH
James J. Stout AS REQUIRED AND CONDITIONS 0
Architect
P D AS NO E $0000 TOWN ZBA
OLD TOWN PLANNING BOAT
CAIB.R# �rl / OLD TOWN TRUST
EES
By N.Y.S.DEC
NO IF
BUILD N DEPARTMENT AT SOUTHOLD HPC
631 6 1802 TO 413M FOR THE
FOI LOWING I S ECTIONS: �,���E c ! SCHD
1. UNDATI -TWO REQUIRED
R POU E CONCRETE
$. UGH- MING&PLUMBING _
S. N ULATI
4. I AL-C RUCTION MUST
COMP T FOR C.O. Apr 021 33 ypq` OCCUPANCY
ALL C NSTRU TION SHALL MEET THE F fi E�
OR
RE UI EMENT F TH E CODES OF N EW USE IS UNLAWFUL
YO K TATE. NC T RESPONSIBLE FOR
DESIG OR co S rRUCTONERRORS WITHOUT CERTIFICATE
ELECTRICAL OF OCCUPANCY
INSPECTION REQUIRED
GREENLOGICO
ENERGY
GreenLogic,LLC Approved
Fleisher,Beth
700 Gagens Landing Road
Southold,NY 11971
Surface#A:
Total System Size:9.240kW
Array Size:2.100kW
1 circuit of 5 on a 20A breaker
Azimuth:167"
Pitch:23"
Monitoring System:
SunPower
Panel/Array Specifications:
Panel:SPR-U-420-BLK R-DC
Racking:SunPower Invisimount
Panel:68.1"X 44.0"
Array:11'415/16"X 9'4 7/8"
Surface:15'1"X 12'4"
Magic#:Invisimount
Legend:
® 5 SunPower W Panels
5 IQ-7XS Microlnverters
® SunPower Invisimount Rail
• 121ron Ridge Flash Foot 2
11 W"Douglas Fr Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:2.32psf
Engineer/Architect Seal:
jklED ARC
3.
Qi
rAr
02
Drawn By:MMB Drawing#1 of 8
Date:11/17/2023 REV:A
Drawing Scale:3/16"=1.0'
GREENLOGIC®
ENERGY
GreenLogic,LLC Approved
Fleisher,Beth
700 Gagens Landing Road
Southold,NY 11971
Surface#A:
Total System Size:9.240kW
Array Size:2.100kW
1 circuit of 5 on a 20A breaker
Azimuth:167"
Pitch:23"
Monitoring System: N
SunPower
Panel/Array Specifications:
Panel:SPR-U-420-BLK-R-DC
_ Racking:SunPower Invisimount
Panel:68.1"X 44.0"
Array:11'415116"X 9'4 7/8"
Surface:15'1"X 12'4"
Magic#:Invisimount
Legend:
® 5 SunPower W Panels
5 IQ-7XS Microlnverters
Fx ® SunPower Invisimount Rail
• 12 Iron Ridge Flash Foot 2
8 W"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:2.32psf
Engineer/Architect Seal:
ARJ.
°.A
r;
T��21
q•1E
Drawn By:MMB 11 Drawing#2 of 8
Date:11/17/2023 li REV:A
Drawing Scale:3/16"=1.0'
GREENLOGIC®
ENERGY
GreenLogic,LLC Approved
Fleisher,Beth
700 Gagens Landing Road
Southold,NY 11971
Surface#A:
Total System Size:9.240kW
Array Size:2.100kW
1 circuit of 5 on a 20A breaker
Azimuth:167"
Pitch:23'
Monitoring System: N
SunPower
Panel/Array Specifications:
Panel:SPR-U-420-BLK R-DC
Racking:SunPower Invisimount
Panel:68.1"X 44.U'
Array:11'415116"X 9'4 7/8"
1 Surface:15'1"X 12'4"
Magic*Invisimount
Legend:
AN
® 5 SunPower W Panels
5 IQ-7XS Microlnverters
® SunPower Invisimount Rail
1 • 12 Iron Ridge Flash Foot 2
W"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:2.32psf
Engineer/Architect Seal:
ED A
tr
021 33 yOQ-
Drawn By:MMB Drawing#3 of 8
Date:11/17/2023 REV:A
Drawing Scale:3/16"=1.9
GREENLOGICS
ENERGY
GreenLogic,LLC Approved
Fleisher,Beth
700 Gagens Landing Road
Southold,NY 11971
Surface#B:
Total System Size:9.240kW
Array Size:7.140kW
1 circuit of 9 on a 20A breaker
1 circuit of 8 on a 20A breaker
Azimuth:257"
Pitch:
Monitorinrin
g System:
SunPower
PanellArray Specifications:
Panel:SPR-U-420-BLK R-DC
Racking:SunPower Invisimount
Panel:68.1"X 44.0"
Array:28'7 9/16"X 14'10'/�"
Surface:35'2"X 17'7"
Magic#:Invisimount
Legend:
® 17 SunPower W Panels
17 IQ-7XS Microlnverters
® SunPower Invisimount Rail
0 0 • 461ron Ridge Flash Foot 2
2x6"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:2.32psf
Engineer/Architect Seal:
RE,D Ai;c
3.
�< CA
r �
j
h,9T��2I 3�ypQ'
i N
Drawn By:MMB Drawing#4 of 8
Date:11/17/2023 REV:A
Drawing Scale:3/16"=1.0'
GREENL-OGIC®
ENERGY
GreenLogic,LLC Approved
Fleisher,Beth
700 Gagens Landing Road
-Southold,NY 11971
Surface#B:
Total System Size:9.240kW
Array Size:7.140kW
1 circuit of 9 on a 20A breaker
1 circuit of 8 on a 20A breaker
Azimuth:257°
Pitch:
Monitorinrin
g System:
SunPower
PaneUArray Specifications:
Panel:SPR-U-420-BLK-R-DC
-----ZK
Racking:SunPower Invisimount
Panel:68.1"X 44.0"
Array:28'7 9/16"X 14'101W
Surface:35'2"X 17'7"
Magic#:Invisimount
Legend:
17 SunPower W Panels
17 IQ 7XS Microlnverters
SunPower Invisimount Rail
• 46 Iron Ridge Flash Foot 2
8 2x6"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:2.32psf
Engineer/Architect Seal:
� ED ARc f
C�
21 3 �L®�
i NE
Drawn By:MMB Drawing#5 of 8
Date:11/17/2023 REV:A
Drawing Scale:3/16"=1.0'
GREENLOGIGO
ENERGY
GreenLogic,LLC Approved
Fleisher,Beth
700 Gagens Landing Road
Southold,NY 11971
Surface#B:
Total System Size:9.240kW
Array Size:7.140kW
1 circuit of 9 on a 20A breaker
1 circuit of 8 on a 20A breaker
Azimuth:257°
Pitch: rin
Monitoring System:
SunPower
Panel/Array Specifications:
3 Panel:SPR-U-420-BLK R-DC
Racking:SunPower Invisimount
Panel:68.1"X 44A"
Array:28'7 9/16"X 14'10%"
Surface:35'2"X ITT'
3 Magic#:Invisimount
Legend:
® 17 SunPower W Panels
17 IQ-7XS Microlnverters
�- SunPower Invisimount Rail
2 O o 40 46 Iron Ridge Flash Foot 2
W"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
2 Height above Roof Surface:4"
Materials Used:Iron Ridge,SunPower
Added Roof load of PV System:2.32psf
Engineer/Architact Seal:
IED,A
S
s
21
Drawn By:MMB Drawing#6 of 8
Date:11/17/2023 REV:A
Drawing Scale:3/16"=1.0'
No Vent Pipes Will Be Covered By The Solar Array GREENLOGIC®
ENERGY
Legend:
GreenLogic,LLC Approved
AR-Access Roof AP-Access pathway,36"minimum width SVO—Setback at ridge Fleisher,Beth
700 Gagens Landing Road
per R202 definitions per R324.6.1 as per R324.6.2.1 Southold,NY 11971
Total System Size:9.240kW
1 circuit of 9 on a 20A breaker
1 circuit of 8 on a 20A breaker
1 circuit of 5 on a 20A breaker
Azimuth:257° —Ilse
Monitoring System:
SunPower
PaneUAnay Specifications:
� I
I Panel:SPR-U-420-BLK R-DC
1 I Racking:SunPower Invisimount
1 I Panel:68.1"X 44.0"
I t
I 1 Magic#:Invisimount
AP
Legend:
1 I 22 SunPower W Panels
Meter I I ® 22 IQ-7XS Microlnverters
I SunPower Invisimount Rail
I ICO Cl) 5 SunPower • 58 Iron Ridge Flash Foot 2
I 10 O 420W Panels a 2x8"Douglas Fr Rafter 16"O.C.
I 2x6"Douglas Fir Rafter 16"O.C.
I
L————— SVO — ------------ I
Notes:
I Number of Roof Layers:1
SVO Height above Roof Surface:4"
1 j I Materials Used:Iron Ridge,SunPower
I I I Added Roof load of PV System:2.32psf
I I
17 SunPower J Engineer/Architect Seal:
420W Panels ° ° AP E A
).
02 i 33 ypQ'
Drawn By:MMB Drawing#7 of 8
Date:11/17/2023 REV:A
Drawing Scale:3/32"=1.0'
GREENLOGIC°
ENERGY
GreenLogic,LLC Approved
Fleisher,Beth
700 Gagens Landing Road
Southold,NY 11971
Total System Size:9.240kW
1 circuit of 9 on a 20A breaker
1 circuit of 8 on a 20A breaker
1 circuit of 5 on a 20A breaker
Azimuth:257"
Monitoring System:
SunPower
JOB MATERIAL LIST - ^ - Panel/Array Specifications:
_-.... . .__-.___ ._.__-•--____-.__-__ - _--_-- _ ---_-- -- --_- -- Panel:SPR-U-420-BLK R-DC
----- -- ----_-__-- _ _--_--------_-._ _----._-- _------- -- Racking:SunPowerinvisimount
Panel:68.1"X 44.0"
- -------- � —-_--- -- --—�--------- _---- --- Magic#:Invisimount
— - --- --- ---- ----..� -- ---- ---------- -------- ------ Legend:
- - _-Material List- try Rail Material List �t� _ -- -- - ® 22 SunPower W Panels
----- - - - ---------------- -------------------- ------ -
22 IQ-7XS Microlnveriers
-- -- -------- -- --------------
---------___._ ---- ------ SunPower Invisimount Rail
--. ---___--------_-.--- ------_-- -------_.___---__—_------------_-.__-- • 58 Iron Ridge Flash Foot 2
- --- -- - ---- -- - -- - -- - - -- -- - -- - - - -- - ---- - - - -- --- -- 2x8"Douglas Fr Rafter 16"O.C.
Cast Aluminum Mounting Blockw/Black Aluminum Flashing 58 — -- 2x6"Douglas Fir Rafter 16"O.C.
5/16"x4.75"Hex-Head Lag Screw — 58 Notes:
,- 5/16"xl.25"Fender Washer--- 58 -- -- -i - --- — Number of Roof Layers:1
Height above Roof Surface:4"
--' —-_- - ------- ---- ---`- - --`-- "--- `-' `----- — `- `-` — Materials Used:Iron Ridge,SunPower
------ - ------ ---- — -- - - ---- ------- ---:-------- ----, Added Roof load of PV System:2.32psf
- -- - ------- --- --- - - - --- - Engineer/Architect Seal:
--- ------ - -- --- ------- ----- ---- -- - - IS D AR
ci��� C
C�
- Kv
r �
- '9rF zi 3�yoe
Drawn By:MMB Drawing#8 of 8
Date:11/1712023 REV:A
Drawing Scale:3/32"=1.0'
NER EQUIPMENT 20I�TI40 SEVHLI its
PV-SA-1 A3
R R
AC-COMBINER PANEL
PV-SA-2 ;t) AO-CMG--1
��� {3J LC�S t}P.J1.Y) AC DISCONNECT
(�� . . . 2 1
a e a II
MR-_.1
I PV-SA-3 `A MAIN
• i • ® 9KR-'
1
8 B 9 rl
Btft B-
? { UGC i
i N
{ EGG
I
EGO III EXISTING AC PANEL
EXISTING
IRREVERMBLE SPLICE__- -1
9.240kW DC
8.448kW AC PROPOSED 3-LINE ELECTRICAL DIAGRAM
REVISIONS
Fleisher, Beth s
700 Gagens Landing Road
ENERC
Southold, NY 11971 ELIMINATING THE COU WENER.GY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 1 of 3 Drawing No: Fleisher-3LD1 Revision: 1 Revised: 11/7/23
EQUIPMENT& COMPONENT SCHEDULE
TAG DESCRIPTION SPECIFICATION
PV-SA-1 SUB-ARRAY REC420AA PURE-R ENPHASE IQ7HS-66-M-US, 1-CIRCUIT OF 8-MODULES
PV-SA-2 SUB-ARRAY REC420AA PURE-R ENPHASE IQ7HS-66-M-US, 1-CIRCUIT OF 8-MODULES
PV-SA-3 SUB-ARRAY REC420AA PURE-R ENPHASE IQ7HS-66-M-US, 1-CIRCUIT OF 6-MODULES
ELECTRICAL LOAD SUMMARY
AC CIRCUITS
TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL
RANGE CURRENT
PV-SA-1 3360 WATTS 211-264 VAC 13.66 A AC 240 V,AC
PV-SA-2 3360 WATTS 211-264 VAC 13.66 A AC 240 V,AC
PV-SA-3 2520 WATTS 211-264 VAC 10.25 A AC 240 V,AC
PROPOSED EQUIPMENT SPECIFICATIONS
REVISIONS
Fleisher, Beth '4GREENLOGIC0
700 Gagens Landing RoadENERGY
Southold, NY 11971 EUMINATIN.G TxE COST OF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 2 of 3 Drawing No: Fleisher-3LD1 Revision: 1 Revised: 11/7/23
EQUIPMENT& COMPONENT SCHEDULE
TAG DESCRIPTION SPECIFICATION
AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH, 3-WIRE
BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
BKR-3 CIRCUIT BREAKER, PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A
AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 50
CONDUCTOR SCHEDULE
TAG TYPE CONDUIT AWG. / EGC
A USE-2/PV/UF 3/4" PVC-40 12 / 6
B THWN-2 1-1/2" PVC-40 4 / 4
C THWN-2 1-1/2" EMT 4 / 4
1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND
DERATING FACTORS.
2.) ELECTRICAL CONDUIT TO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS.
3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND
LOCAL CODE REQUIREMENTS.
4.) NOTE: GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER MINIMUM.
PROPOSED EQUIPMENT SPECIFICATIONS
REVISIONS
claP�
Fleisher, Beth
700 Gagens Landing Road
ENERGY
Southold, NY 11971 ELIMINATING THE COST OF.ENEW
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 3 of 3 Drawing No: Fleisher-3LD1 Revision: 1 Revised: 11/7/23
SOLAR S:-MOST TRUSTED -
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REWLPHA PURER 5ERIES R E C-
PRODUCT SPEEFCATION5 SOLAR'S MOST TRUSTED
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Eq'#kER_-AL�DA-TA - I- . - . ... -, .-i ..'80(1�� __ -
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86 half-cut REC bifacial,heterojunction cells with
Cell type.
02 [a
leadjree,gapl6s�tecknoto
gy
A I
Glass: 033in(3.2 mm)solarglass with anti-ref lective surface treatment
inaccordancewithEN12150
Backsh6ef: Highly resistantpolymer(black) 17001671 1700[6711
Frame: Anodized aluminum(black)
4-part,4,bypass diodes,lead-fre6• 7Junctionjbox':'.•.
68 rated,in accordance with IEC 62790
Connectors:
St5ubl!MC4'PV-KBT4/KST4(12AbPIG)
in accordance with IEC 62852,IP68 onlywher.connected
1.7 m)m. +67 in(1.7'
1)PV'vvIre,6�
Cable:
in accordance with EN 50618
.............
Dimensions: 68.1 x 44.0 x 1.2 in(20.77 ft2) 1730 x 1118 x 30 mm(1.93 m2)
45[1.81 ..........
sv
e, 47.4 lbs(21.5 kg)
I�Alell3ht'
Origin: Made in Singapore Measurements in inches Imm)
fry
M Proddict Code*iRECxxxAA PURC4
Cjfi�XiA,' N�'
Power Output-P, (Wp '400, 410 430
PID
Watt Class ,rting,-(W IEC62804 0/+10 0/+10 0/+io IEC6170i -Saltmist
'NorrinalPower V6[tage-Vm,,(V) 48,8 49.4 50,0 50,5''
IEC 62716 Ammonia Resistance
t..j Nominal Power Current-Impp(A) 8.20 8.30 6.40 8.52 UL61730' Fire,Type Class 2
Ln Op -eQCjrcujiV6ttagq,_Vo (V) 58.9 59.2 _59A 59.7-- IEC62782 Dynamic Mechanical Load
IEC612IS'-2:20'I6 kailstone(jSmm: )
Short Circuit Current-Is,(A) 8.80 8.84 8.88 8.91 IEC62321 Lead-freeacc.toRoHSEUB63/2015
Power Density(Wlftz),, 19.26 19.74 '20.22 -20.70 IS01400],IS09001,]EC45001,IEC62941
, I . _ 4 I I . I - ! I
Panel Efficiency(%) 20.7 21.2 21.8 22.3. 0 -
.................................-."* 7.. 1=
_ C E 11:11
PowerOutp6t-P- W r�Wd�k Bos 312 320 327
Nominal Power Voltage-V,,p(V) 46.0 46.6 47.1 47.6
J
0 Nominal Power C&rentl I (A) 6,64 6.70,: -,6.80' 6i88,,
Nominal Module OperatingT6mperatu're: 44'C(t2*C)
Z . ' ' ' ' - I
Open Circuit Voltage-Voc(V) 55.5 55.8 56.0 56.3 Temperature coefficient of PMAX: -0.24%/'C
Short Circuit Current-1s'(A)1 7,11 7.16 7.20 724 efficient of -0.2 '/o/*C
-sc Temperature co V6,:
Values at standard test conditions(STC:air mass AM 1.5,irradiance 10.75 Wlsq ft(1000 W/m2),temperature 77°F(25*Q,based on a production spread
with a tolerance of R�,V,&1�,±3-k within one watt class.Nomiral module operatingtemperature(NIVIDT.airmass AM 1.5,irradiarce 800 W/m� Temperature coefficient of isc: 0.04%/-C
temperature 68'F(j0'Cj windspeed 33 ft/s(I m/s).*Wherexxx indicates the nominal powercla5s(P,,)at STC above. 'The temperature coefficients stated are linear values
LM4�kly WAARA114 Y
Pperationat temperature:' m
--40,..+85'C Standard',' RECProTrust ,Panesperpzllet:y.W 33
Systemvoltage: 1000V Installed byan REC No Yes Yes Panels per 40 ft GP/high cube container. 858(26 pallets)
Certified Solar Professional
Panels p6r52ifttruck:' 6"pa(lbts),'
System Size All '25 kW 2 858(2
Test'load(front
_5-500kW
Yr
Test load(rear): -4000 Pa(83.5 IbS/ft2)*
Product Warranty(yrs) 20 25 25
jjoUj�F7777�7%
Series fuse rating: 25 A. Power Warranty(yrs) 25 25
Reverse current: 25A Labor Warranty(yrs) 0 25 10 Typical low irradiance performance of module at STC:
'See installation manual for mounting instructions. Power in Year 1 '98'% 9,8% 98%
o
Design load-Test load/1+5(safety factor
Annual Degradation 0.25% 0.25% 0.25% .......................... .2
Power in Year 25 92% 92% 92% ........ ........ .........
See Warranty documents for details.Conditions appi
Available from: Irradiance(W/m2)
O
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Cc
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Founded in 1996,REC Group is an international pioneering solar energy company dedicated to empowering consumers with clean,affordable solar power.As
Solar's Most Trusted,REC is committed to high quality,innovation,and a low carbon footprint in the solar materials and solar panels it manufactures.
Headquartered in Norway with operational headquarters!nSingapore,REC also has regional hubs in North America,Europe,and Asia-Pacific. www.recgroup.com
Data Sheet
Enphase Microinverters
11
R,eglon.AMi-FtIGAS
Enphase IQ7HS The high-powered smart grid-ready
MicroinVerter
Enphase IQ7HS MicroinverterTM with integrated MC4
connectors dramatically simplify the installation
process while achieving the highest system
efficiency.
The IQ Series Microinverters extend the reliability
standards set forth by previous generations and
undergo over a million hours of power-on testing,
enabling Enphase to provide an industry-leading
warranty of up to 25 years.
Easy to Install
Lightweight and simple
• Faster installation with improved,lighter two-wire cabling
• Built-in rapid shutdown compliant(NEC 2014,2017&2020)
Efficient and Reliable
• Optimized for high powered 66-cell*modules
• Highest CEC efficiency of 97.0%
• More than a million hours of testing
i
• Class 11 double-insulated enclosure
• UL listed
Smart Grid Ready
Complies with advanced grid support,voltage and frequency
ride-through requirements
• Remotely updates to respond to changing grid requirements
• Configurable for varying grid profiles
Meets CA Rule 21 (UL 1741-SA)
*The IQ7HS is required to support 66•cell modules.
To learn more about Enphase offerings,visit enphase.com - E N P H AS ER
Enphase IQ7HS Microinverter y
INPUT DATA(DC) IQ7HS-66-M-US
Commonlyus6d:Tpoulo,pairinus!:",." `,•,320`W-46,0 W,+
Module compatibility 66-cell PV modules
:Maximum•in
w
R 9
Peak power tracking voltage 38 V.-43 V
M ..._,._. ......,_,,.,.....,.,...
-.>
Operating range ;, 20 V=59
Min/Max start voltage 30 V 159 V
M_ax DC-short circuit current(module Ise) 15 A
77
_
Overvoltage class DC port 11
port backfeed current.. O:A
PV array configuration 1 x 1 ungrounded array;No additional DC side protection required;
AC side protection requires max 20A per branch circuit
OUTPUT DATA(AC) @240 VAC @208 VAC
,P,,eak,,output pouier 384 VA: 369•VA-" _w
Maximum continuous output power 384 VA 369 VA
Nominal(L L)voitagelr...... •;. 24{l V. 2fi-2i 4 V Zt 8 V/183;229 V'
r....
Maximum continuous output current 1.60 A(240V) 1.77 A(208V)
Nominal fre ueric fi0 Fiz CiO.Hz- _
Extended frequency range 47 to 68 Hz - _ 47 to 68 Hz
"AC short circuit,fault current over 3<cycles .4,82 A tlA82"A'
Maximum units per 20 A(L-L)branch circuit3 10 9
Overvoltage class AC por:tfi III" " f11:
AC port backfeed current 18 mA 18 mA
Powerf actor setting, _._<.>.... 1.0 9.0_°` ..... _. ._. ..,.__ ,,. _.. ...... _ F
Power factor(adjustable) 0.85 leading...0.85 lagging 0.85 leading...0.85 lagging
EFFICIENCY @240 V @208 V
•CEC weighted efficiency, " 9.7..0;°i°
MECHANICAL DATA
-Ainbient temperature range - -409C'to+60;°C N°
a z
Relative humidity range 4%to 100%(condensing)
to i'Connec YPe rt „, <:; ;_: ;, Staub 1�made MG4
r'x >.
Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket)
, .
Weight,.: 1.0 kg2.381bs}
Cooling Natural convection-No fans
,,APP roved for wet locations.
Pollution degree PD3
`m YClass ih:corrosion resistant polymenc•enclosure -'
Environmental category/UV exposure rating NEMA type 6/outdoor
Altitude, " 2000m, -
FEATURES
Communication Power,Line.Communic&tidn(P.LC)
Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break
disconnect means required by NEC 690 and C22.1-2018 Rule 64-220.
µH,,.,....,,,,,.,,.,.......,... .,..,.,.. _ .
Com Nance :.; `,,- x':m CA Rule,21 UL 1.741=,SA,HECO.v1.1. na --
UL 62109-1,UL1741/IEEE1547,FCC Part 1"5 CIa`ss'B, ICES 0003.CIass B, :t
;.,;. CANICSA-C22.2rNQ;107.1=01``. •. a,�,;;�.
This;product,is t1L'Listed as PV Rapid Shut bcrwil Equipment- d.'conf6rms with,Nk 2014;
(: _;.;` .: :: :; ::" •.:: '' 2017 section-690.12,NEC 2020 and C22:9;2015 Rule'S4 218 Rapid Shu;dawn`of_PV Systems;,for .;;
AC and DC conductors vJhen Installed according to manufacturers Instructions
1.No enforced DC/AC ratio.Seethe compatibility calculator at htt sp.//and)hase.com/en-us/supoortlniodLile-coral ati� illiIity.
2.Nominal voltage range can be extended beyond nominal if required by the utility.
3.Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area.
To learn more about Enphase offerings,visit enphase.com
(0 2.022 Enphase Energy.All rights reservers All trademarks or brands used are the property of Enphase Energy,Inc N® A
10 18-2022 Y �"
< "
t w�
-ti qyf. •.�.Y. _,.�k• ..,.Y<'mcxlie %,k.
y�
Simple and Fast Installation
Integrated module-to-rail grounding
Pre-assembled mid and end camas
Levi+ating mid clamp for easy placernent
Mid'damp width facllltFce..s consistent,even
w �
module spacing g =r..
Simple},pre-drilled Pail splice:'
UL 2703 Listed irate ratted grounding
Flexible Design
Addresses ne arl�!all SIUue';residentiai roofs
i
Design in landscape and portral;, •
Rails enaLle easy obstacle mar:ager-ent
Customer-Preferred Aesthetics
1 !nodule and#' mounting a«esthetics
Best-in-class system aesthetics Elegant Simplicity
Premium,lore-profile design
Black anodizedcomponents SunPower," InvisiMount"I" is a SunPower-designed
Hidden mid damps and end damps rail-based mounting system.The InvisiMount.system
ar•d capped,flush rails '
addresses residential sloped roofs and combines faster
Part of Stapdrior System installation time, design flexibility, and superior aesthetics.
Built'or use with SunPotrer DC-and AC modules
The lrViSiMOUnt product was specifically envisioned and
Best-ir-class system reliability,and aesthetics
camoine wti+th SrmFoti er m»odi.;ies andengineered to pair with SunPower modules. The resulting
monitoringapp: system-level approach will arnplify the aesthetic and
installation benefits for both homeowners and installers,
;_ sunpower.com
ww""77M
ME
Module*i Mid Claryip and Roil Module* End Clamp and Rail
Mid Clamp End Clamp Rail&Rail Splice Ground Lug Assembly End Cap
remoerature 01 C to 90' (-d0°F to 194*P
_41.......... ............. .... .. ..........................
Component' Material Neiiht ...................
_5�'6'66 1:�]U,p I I ft
Max.Load(LRFD) 6000 Pa downforce
i Mid Clamp Black oxide stainless steel NISI 304 163 g(2.2 oz) ....................
End Clamp Black anodized alUrninUrn alloy 6063 T6 110,9(3-88 07)
Rail Black anodized aluminum alloy 600546 830 g/rn(9 oz1fl)
1 Rail Splice Aluminum alloy 6005-75 830 g/rn(9 cizir-O 25-year product warranty
. .................
i Ground Lug 304 stainless Warranties
I Assembly (A2-70 bolt;tin-plated copper 1U.51) 106 5 g/m(3.75 oz) 5-year finishwarranty
End Cap Black aceral(POlvII)copollyrner 10.4 g(0.37 o7.)
I U-L_1703'Listed
1 Certitications
Class A Fire Rated
Composition hingle Rafter Attachment+
•
Application Cury.ed and r-lat Tile RoofAutachlT el+i(
Universal Interface for tither Roof Attachments Refer to roof attachment hardware manufacturer's documentation.
........................................................._..........................
frame that s compatible with the.InvisirVIount system rcquh ed for hardware interoPeraWlity.
-,l,,? .1 ER logo,.and INVISIMOUNT are trademarks or registered
o 5 SunPower Corporation. All Rights Peser4ed. SUNPOWrR,thc,SUNPOVE
trademarks of$urPclwer Corporation. AN other trademarks arc.,the property of their resPcct:lvc,owner 7, sunpower.rom
Specifications included in this data7heet are subject to change without notice. Docurnent#509506 RevC
W E R7 s U WO
r
. 8
"'��r :�,_..l;y�, r.. g u;�_: , vim'• ',� �,y'"
rlln Al
improye Support
Reduce Maintenance Casts SunPower EnergyLink—Plug-and-Play Installation
An intuiti,e rnonitpring website enables you to: This complete solution for residential and commercial rr,onitoring and
See a visual reap of c ustorner sites control includes the SunPowe,01 PV Supervisor 6(PVS6)which improves
the installation process,overall systenn reliability;and customer
i2emotely rrnanage hundreds of sites
Receive elecd've systern reports experience.
_crate system issues and rernbtely.diagnose Cornpact footprint for improved aesthetics
Diagnose issues online Robust cloud connectivity and comprehensive local connectivity
Drill down for the siatu s of inai"Vidu'al devices Flexible configuration of devices during installation
Cornsurnption metering
~ Revenue-grade production metering(pending)
Web-based commissioning
Remote diagnostics of PVS6 and inverters
Durable uL Type 3R enclosure reduces maintenance costs
Easy integration with SunPower eBOS
Add Value for Customers
Robust Cloud Coririeccivity
With the SunPower Monitoring System
,-
� MiJit.iple options to maintain opLirnal
custot ers can:
connectvity:
See\,what ti-ieir solar systern produces er.ch r ,,,,Y r�:;,s`°
ray,month,car year : .. `- r Hardwired EtheZy
rnet
Optin"rize their solar hvestrne nt and save on , wi-Fi
energy expenses
Cellular backup
See their energy use and estimated bill savings
See their solar systeri",s performance using.the
f .
Sunflower monitoring oiebsite or mobile app ;
.. ..........
wd "
s
SunPower Monitoring Websites PVS6 SunPower AC Modules
�.... ... .w..: .: ..' {
r.
i,
.
K._m. e...,..
Multiple communication options include
"�1���� 1��1�E1��a;1�;-•``'gig-=��:�;" Ethernet,Wi-Fi,and cellular.
Number of SunPower mC modules 85 Temperature -22°F to+140°F(-30°C to+60*Q
supported per PVS6 Humidity(maximum) 95%,non-condensing
High-speed Internet access via accessible
Internet.access router or switch
Power 100-240 VAC(L-Nj 50 or 60 Hz
• 208 VAC(L-L In 3-phase),,60 Hz
RS-485 NM 1n,,rte,,and meters
• One channel of revenue-grade production metering
r :' i Integrated Metering • T'wo channels of consumption met<:.ring
_............ --........--- ................._.--..._........................--
Weight 5.5 Ibs(2.5 kb) ---
Ethernet 1 IAN(or optlonal IRAN)port
Dimensions 113 x 8.0 x 4.2.in.(30.5 x 20.5 x 10.8 crn) PLC PLC for SunPower AC modules
Enclosure rating UI SOE Type 3R
VJI-F1 802.11 b/gFn 2.4 GHz and 5 GHz
Cellular LTF Cat-M113G UMTS -
1_igiiee f IEEE 802.15.4 IMAC,2.4GHz ISM hand
Data Storage b0 days
Customer site rncnit,Qr.tLs_S.tdI3,r3ower 4Qm ---- ----
Upgrades Autornatic firmware upgrades
Partner site pvsmgrnt.us.sunooWrer.com
Browsers. Firefox,Safari,and Chrome
Mobile devices iPhone=',iPad�and Android"'
Customer app 1.Create account online at:monitors is.sunpovver,com.
2.On,)mobile device,download the SunPmver Monitoring Warranty 10-year Limiced Warranty
app from Apple App Store$F"or Google Play'store.
3.Sign in using account email and password, Certifications UL,cUL,CE,UL 61,010-1 and-2,FCC Part 15(Class 8)
1 �I C V4 US
!i$i50
FCC ID:YAW529027 E503346
It