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HomeMy WebLinkAbout51388-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE NMI 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#: 51388 Date: 11/18/2024 Permission is hereby granted to: Daniel Halioua 377 6th Ave Brooklyn, NY 11215 To: Install roof mounted solar panels to an existing single-family dwelling as applied for per manufacturers specifications. Premises Located at: 190 Pheasant PI, Greenport, NY 11944 SCTM# 53.-4-44.36 Pursuant to application dated 11/14/2024 and approved by the Building Inspector. To expire on 11/18/2026. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 CO-RESIDENTIAL $100.00 ELECTRIC -Residential $125.00 Total $325.00 __� Building Inspector ^~ s' TOWN OF SOUTHOLD-BUILDING DEPARTMENT r Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 hll s: vvav ,sot�llolell + n Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building lnspector•.,��._-.. Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 11/5/2024 OWNER(S)OF PROPERTY: Name: Daniel Halioua SCTM# 1000- S3 q —lq,alp Project Address: 190 Pheasant Place, Greenport, NY 11999 Phone#: (917) 428-8085 Email: dhalioua@gmail.com Mailing Address: 190 Pheasant Place, Greenport, NY 11999 CONTACT PERSON: Name: Katelyn Tornetta MaiiingAddress: 2941 Sunrise Hwy, Islip Terrace, NY 11752 Phone#: (631) 647-3402 Email: hppermitting@harvestpower.net DESIGN PROFESSIONAL INFORMATION: Name: Michael Dunn, R.A. Mailing Address: 256 Orinoco Dr, Brihtwaters, NY 11718 Phone#: (631) 665-9619 Email: Bayblueprint@aol.com CONTRACTOR INFORMATION: Name: Harvest Power LLC Mailing Address: 2941 Sunrise Hwy, Islip Terrace, NY 11752 Phone#: (631) 647-3402 Email: hppermitting@harvestpower..net DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other I Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes XNo 1 PROPERTY INFORMATION Existing use of property: Residence Intended use of property: (no change) Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. ® Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues,as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By( rint name): Authorized Agent ❑Owner Signature of Applicant:_,, Date: 111�\�� STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual Mining contract) above named, (S)he is the fC r for, Agent Corporate Officer, etc.) %. rJnt , Agent, r Corporate 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 20 day o �. � 0-1 DINAtANZA Notary Public NOTARY PUBLIC,STATE OF NEW YORK Registration No.01LA60 4 14 ualif ed in Suffolk County/ Comrrtii sign Ex fires M 2,KC OIL Y OWNER AUTHORIZATION _.... r t1 p1i is nott ►4 t�k residing idin at L V c s c r,�_fl CC do hereby authorize f '1 vL to apply on my behalf to t e Town of Southold Building Department for approval as described herein, Owner's Sigr ate La Print Owner's Name 2 � BUILDING DEPARTMENT- Electrical Inspector 2 "'� 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 ex, ia mesh southoldtownn ov -� seared southoldtownn ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Harvest Power LLC Electrician's Name: Carlo Lanza License No.: ME-68518 Elec. email:hppermitting@harvestpower.net Elec. Phone No: (631) 647-3402 ❑I request an email copy of Certificate of Compliance Elec. Address.: 2941 Sunrise Highway, Islip Terrace, NY 11752 JOB SITE INFORMATION (All Information Required) Name: Daniel Halioua Address: 190 Pheasant Place, Glreelnport, NY 11944 Cross Street: Kerwin Blvd Phone No.: (917) 428-8085 Bldg.Permit#: 5! '� email: dhalioua@gmail.com Tax Mae District: 1000 Section:53 Block: 4 Lot:44.36 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Installation of a 23 kW solar PV system with (50) REC460AA roof-mounted panels. Square Footage: Circle All That Apply: Is job ready for inspection?: YES lr l NO Rough In �✓ Final Do you need a Temp Certificate?: F YES [:] NO Issued On Temp In-formation: (All information required) Service Size'1 Ph F_�3 Ph Size: 200 A # Meters 1 Old Meter# ❑New Service❑Fire Reconnect[:]Flood Reconnect❑Service Reconnect OUnderground[]overhead # Underground Laterals 1 2 0 H Frame M Pole Work done on Service? LJ Y N Additional Information: PAYMENT DUE WITH APPLICATION lWilding Mpartment Avolication AUTHORIZATION (Where the Applicant is not the Owner) Daniel Halioua residing at 190 Pheasant Place (Print property owner's name) (Mailing Addrcu) Greenport do hereby allthoriZe Katelyn Tornetta (Agent) Harvest Power LLC to apply on my behalf to the .......... Southold Building Department. Ow�ic r'i I'L paniel,Halilolua., (PrUlt Ownct"s Name) Suffolk County DePt.of Labor,Licensing&Consrner Affairs HOME IMPROVEMENT LICENSE Name CARLO LANZA Business Name Harvest Power LLC Tttis certifies that the weer is duiy licensed License Number H118165 by the County of surtotk Issued: 11/1812010 T- R086**Y Expires: 11/01/2026 Cornrnisioner Client#: 110076 HARVPOW ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE MMIDDIYYYY) 4/16/2024 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. ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. _ _ .. — IMPORTANT:If the certificate holder is an p ed. 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Commercial Support NAME:Edgewood Partners Ins.Center PHONE 631 00 FAX NEcertifo of s 6 .!� ! LAIC No Ext 40 Marcus Drive 3rd Floor E-MAIL Icbrokers.com Melville,NY 11747 ADSXeE s fames River Insurance CompanyvERAGE NAl.. # mm INSURER(S)AFFORDING COVERAGE _ _— INSURER A: 112203 INSURED... �......... ..............,__ ........... .... .m........m_..— ...... .... .-. fi _. INSURER B Lloyd's of London Harvest Power LLC, Friendly �INSURER .. ., .._._ .... .v .. _ .......... c Construction Company Inc,EZ Flashing LLC -�� '...........°° _ --� . _ 2941 Sunrise Hwy RD INSURER INSURE ...__ Islip Terrace, NY 11752 �.. nRE,RE _. .. ..... 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, iNSROGENERAL L ABILITY ..�.,AOOL SU D POLICY NUMBER, __ blpC�D 'EdYk' dNMIDIDYIYYW EACH OCCURRENCE LIMITS$ — LTR IhSR ! .. .._.n... �6.,....,.. L._...� l ..m... _ 1 q COMMERCIAL000711808 04115/2024 04/15/2025 0� 00,000 yA A, T RENTED T' CLAIMS-MADEX�,OCCUR IFdM155Emeirr,�nrrrp¢vr.�, . $SO�OOO m.. _MED EXP(An one rson) $Excluded pe OOO 000 mmXi $5 000 Ded PERSONALS A V IN Contractual Llab. Y I DJURY $1, ,� GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AG GREGATE $2,000,000 PRO. —,.... POLICY PRO E LOG PRODUCTS-COMPIOP AGG $2,000 OOO .. . AUTOMOBILE LIABILL.�.,..._„___.. ._ .......... ................_— .... .... ........_. L........... .. .e ----- .. TM t �aDI INkCLF d.WI�iT $ ANY AUTO BODILY INJURY Per person $ OWNED SCHEDULED BODILY._.__ P q ' DAMAGE dent) $ �.��... $ AUTOS ONLY AUTOS AUTOS ONLY AUUTOS ONEY f POP a INJURY Per accident) _ ---- . -._ ,.ACHOCCURRENCE..._.. ...�.$__. .... UMBRELLA ExcEss paAB 4/15/2024 04/15/202 E A �.X ...X. occuR 000711797 ..__. OO $4 000 00 AGGREGATE $4 OOO O . - --- _ --- _..m $ o _ TI(]N$ J PTATbdTF, �—..OTH. WORKERSCOMPENSATION., ...,.._ DED RETEN PER ANY PROPRIETOR/PARTNER/EXECUTIVE EYIN ACH ACCIDENT $ 'AND EMPLOYERS LIABILITY OFFICER/MEMBER EXCLUDE D N/A ' ( ) .L.DISEASE EA EMPLOYEE Mandatory in NH � �. ......._ �......,. �$.......- _.......... . If yes,describe under A -P�..... ........_ -------- .. DISEASE POLICY LIMIT $ Pollution Liab eRAnoNs below ,, 000711808 4/15/2024 04/15M26 $1 Mm ...... .........---_�._ � L MM Ea Claim/$1MM Agg B Professional Liab HPL230064 41 512024 04/15/202` $2MM Ea Claim/$2MM Agg $10K Ded Ea Claim DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O:Box 970 ACCORDANCE WITH THE POLICY PROVISIONS. South Hold, NY 11964-0000 AUTHORIZED REPRESENTATIVE La i ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S6497815/M6497588 RH002 ION4Wy Workers' CERTIFICATE OF T Compensation RK NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured HARVEST POWER LLC 1 c.NYS Unemployment Insurance Employer Registration Number of 2941 SUNRISE HWY Insured ISLIP TERRACE,NY11752-2822 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 20-4214746 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Co.of North America Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" P.O.Box 970 C72358624 Southold,NY 11964 3c.Policy effective period 10/1/2024 to 10/01/2025 3d.The Proprietor,Partners or Executive Officers are ❑X 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: Lex Smith $f' Warne pf uthoTized representative or licensed agent of insurance carrier) Approved by: it .�- ► 09/11/2024 (Signature) (Date) Title: Assistant PfCQf m Man@ger__ Telephone Number of authorized representative or licensed agent of insurance carrier: 214-721-6248 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 Acct#:2830004 NEW Workers' CERTIFICATE OF INSURANCE COVERAGE s E Compensation PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier la.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured HARVEST POWER LLC (631)647-3402 841 SUNRISE HWY NEW YORK, NY 11752-2822 1c.Federal Employer Identification Number of Insured or Social Security Number, Work Location of Insured(Only required if coverage is specifically 20-4214746 limited to certain locations in New York State,i.e., Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage(Entity 3a Name of Insurance Carrier Being Listed as the Certificate Holder) HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY Town of Southold b Policy Number of Entity Listed in Box"Ila" 53095 Rte 25 Southold, NY 11971 LNY713777882 c Policy effective period 10/01/2024 TO 09/30/2025 4.Policy provides the following benefits: ® A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑ C.Paid family leave benefits only. 5.Policy covers: ® 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 Si ned 09/30/2024 T� (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent,of that insurance carrier) Telephone Number (212)553-8074 Name and Title:Elizabeth Tello—Assistant Director,Statutory Services 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 mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers' Compensation Board (Only if Box 4C or 5B of Part 1 has 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 with respect to all of his/her employees. Date Si ned B (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title DB-120.1 (9-17) IIIIIII'°11!1�2�0 �1���0�9�!17IIIIII lH Suffolk County Dept.of Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE Name CARLO P LANZA Business Name This cerlifies that the Harvest Power LLC bearer is d Y licensed License Number ME-68518 by the County ol''suffd9'h Issued: 11/30/2023 J Cabr, .p Expires: 11/01/2025 Commissioner Client#: 110076 HARVPOW DATE(MM/DD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 4/16/2024 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 any rights to the certificate holder in lieu of such endorsement(s). g 631 390 97Support UCER NAME.- .)� .......... .. ... .._. .., Ed Dewood Partners Ins.Center �PHONE Commercial 00 '��� CONTACT AIC No Ext ... ,_ AtCi Not 40 Marcus Drive 3rd Floor I E-MAIL �„ - ADDRESS NEcertificates@epicbrokers.com Melville,NY 11747 FORDING COVERAGE NAIC# ...W....... INSU RERIS)AF...............m....... ---...... ..._.. � ..........,. INSURER A: River Insurance Company 112203 --— --- _ _ James .�... ..._... _. . _.... INSURED INSURERS Lloyd's of London Harvest Power LLC,Friendly INSURER C Construction Company Inc,EZ Flashing LLC I'°""" ".I 2941 Sunrise Hwy INSURERD I ____.� Islip Terrace,NY 11752 INSURERS ENSURER 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 CONTRACTOR 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. NSA .. """""""_NCE_ „„,IN$FF Wd R ER POLICY EFF POLICY EXP LTRTYPE OF LIMITS NSA INSURANCE AODL D� POLICY NUMB IMMIDDIYYYY�IMMIpD/YYYYI CLAIMS-MADE LIABILITY 000711808 4/15/2024 04/15/202 EACH OCCURRENCE :m4_$11Q9_0000 A Ry�I rr Rt NTS[� A �COMMERCIAL GENERAL X J OCCUR R YS_Ey51„j�aFc�a�rpMs'oroee) $50,000 XI Liab, &ADVINJ ^�$EXCIUded � 1 $5 000 Ded�...L _. MED EXP(Any one person) INJURY $1�000 00.0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,,000 ,,�POLICY EOT " LOC P -COMP/OP AGG_($ , , O """"" OTHER _ 000 00 RODUCTS $ - TOMOSILE LIABILITY OMBINEt. Slh)GI.F:1.4m7IYT AU E�aarr:,kdrca�t� S.,., .........__ BODILY INJURY ....w. .. person) $ _ ANY AUTO __ ..„... ........__ OWNED SCHEDULED BODILY INJURY(Per accident)($ AUTOS ONLY AUTOS (Per AUTOS ONLY NON-OWNED AUTOS ONLY CC�'ROPERTY Ohflhi4',�4GE....... ...m...�.$ .. ., UMBRELLA ----- _. ............ ........_ I U)..... 4 ... $ LIA6 occuR 000711797 "� 4115/20 A X� { 24 04/15/202 EACH occ RRENCE $4 000 000 EXCESS LIAB E� �GREGAT � ... �" E $4 000 000 CLAIMS MAD _ TONS �$ .a � � .._m . AND EMPLOYERS'LIABILITY O ...,.. Y.�,N _........n�, _,,..__._. ... ......... ............�W....._,� --- �.. .DED I RETE,N ,,._ WORKERS ION ........ 5 .... �..m L EACH OFF CERJIM N(T EIR E CLUED F?,ECUTIVE � ..DISEASE EMP $ szAZLls� P'ROP OFFICERJMEMBER EXCI..UO�.O7 � NIA NH) LOYEE. If yes,describe Y under DESCRIPTION OF OPERATIONS bellow E L DISEASE POLICY LIMIT � m .... �.,......,.,., .... A Pollution Liab. 000711808 0 4/15/2024 04/1 5/202� $1MM Ea Claim/$1MM Agg B Professional Liab HPL230064 4/1512024 04116/2025` $2MM Ea Claim/$2MM Agg $10K Ded Ea Claim DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O.Box 970 ACCORDANCE WITH THE POLICY PROVISIONS. South Hold,NY 11964-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S6497815/M6497588 RH002 New Workers' CERTIFICATE OF STA E Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Bout 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured HARVEST POWER LLC 1 a.NYS Unemployment Insurance Employer Registration Number of 2941 SUNRISE HWY Insured ISLIP TERRACE,NY11752-2822 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 20-4214746 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Co.of North America Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" P.O.Box 970 Southold,NY 11964 C72358624 3c.Policy effective period 10/1/2024 to 10/0112025 3d.The Proprietor,Partners or Executive Officers are ❑x 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: Lex Smith ('Pei r�aw�eaf authorized representative or licensed agent of insurance carrier) Approved by: 09/11/2024 (Signature) (Date) Title: Assiggnt Pro ram Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 214-721-6248 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 Acct#:2830004 Y 1N0 Workers' CERTIFICATE OF INSURANCE COVERAGE t7fRfC ;,,......�, STATE "(Yensatjtatt. PART 1.To be completed by 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 HARVEST POWER LLC (631)647-3402 2941 SUNRISE HWY NEW YORK, NY 11752-2822 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically 20-4214746 limited to certain locations in New York State,i.e.,Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage(Entity a Name of Insurance Carrier Being Listed as the Certificate Holder) HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY own of Southold 3b Policy Number of Entity Listed in Box"la" 53095 Rte 25 Southold, NY 11971 LNY713777882 c Policy effective period 10/01/2024 TO 09/30/2025 4.Policy provides the following benefits: ® A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑ C.Paid family leave benefits only. 5.Policy covers: ® 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. r Date Signed 09/30/2024 (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212)553-8074 Name and Title:Elizabeth Tello—Assistant Director,Statutory Services 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 413,4C 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 mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200, Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board (Only if Box 4C or 5B of Part 1 has 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 with respect to all of his/her employees. Date Si ned B (Signature of Authorized NYS Workers'Compensation Board Employee) Te4eph+�ne Number Name and Title 11 1111DB-120.1 (9-17) —1.7 IH , 5138(i� ,ss�ssc�Rs Graham. Associates 256 Orinoco Drive, Suite A Brightwaters,NY 11718 Planning& Design (631)665-9619 November 5, 2024 5 -'� �� 36 Town of Southold Building Department 54375 Rt. 25 Southold, NY 11971 Re: Daniel Haliqua Residence 190 Pheasant Place Greenport, NY Proposed 23.00 kWDC, 19.00 kWAC PV System To Whom It May Concern, Please be advised that I have analyzed the existing roof structure at the above-mentioned premises and have determined that it is adequate to support the additional load of the solar panels and a 140 mph wind load and 20 psf snow load without overstress, in accordance with the following: The 2020 New York State Uniform Fire Prevention and Residential Building Code; Town of Southold 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 y further questions, do not hesitate to call. ,S,RED Ajy 02981 �OF Mic nn, RA PHOTOVOLTAIC ROOF MOUNT SYSTEM 50 MODULES-ROOF MOUNTED - 23.00 kWDC, 19.00 kWAC I f RVEST`"#^"A'Mn 190 PHEASANT PL, GREENPORT, NY 11944, USA HA HARVEST POWER LLC --- 2941 SUNRISE HIGHWAY ISLIP SYSTEM SUMMARY: ,S E,NY 11752 (N)50-REC SOLAR REC460AA PURE-Rx(460W)MODULES GOVERNING CODES: SHEET INDEX je 89-3585 2017 NATIONAL ELECTRICAL CODE(NEC) PV-0 COVER SHEET �L�� a t owernet (N) U-JUNCTION B E IQ8X-80-M-US MICRO-INVERTERS 2020 BUILDING CODE OF NYS PV-1 SITE PLAN WITH ROOF PLAN (N)JUNCTION BOX 2020 RESIDENTIAL CODE OF NYS PV-1.1 ENLARGE VIEW `� 0 (E)200A MAIN SERVICE PANEL WITH (E)200A MAIN BREAKER 2020 EXISTING BUILDING CODE OF NYS PV-2 ATTACHMENT DETAILS co (N) 100A FUSED AC DISCONNECT Z PV-3 THREE LINE DIAGRAM '�": f71 (N) 125A SOLAR LOAD CENTER 2020 FIRE CODE OF NYS --� 2020 PLUMBING CODE OF NYS PV-4 PLACARDS&WARNING LABELS D` Z n 2020 MECHANICAL CODE OF NYS PV-5 ADDITIONAL NOTES p� y DESIGN CRITERIA: Pv-6+ SPEC SHEETS �� 17 ROOF TYPE:-ASPHALT SHINGLE N YO sloN NUMBER OF LAYERS:-1 ROOF CONDITION: GOOD DES RIPTION DATE REV. ROOF FRAME: -2"X8"RAFTERS @16"O.C. BLDG.PERMIT 11/05/2024 0 STORY: -TWO STORY SNOW LOAD: -25 PSF WIND SPEED :-130 MPH WIND EXPOSURE:-D GENERAL NOTES: 1. INSTALLATION IN ACCORDANCE WITH MANUFACTURER a RECOMMENDATIONS. ARRAY LOCATIONS T Pro-,"Mot�.+ 2. ENGINEER TO INSPECT PROJECT AFTER INSTALLATION CERTIFYAND 3. PRO ECTTO E INSTALLED WITH CODE COMPLIANT PROJECT SITE RACKING INSTRUCTIONS FOR UNI-RAC SOLAR MOUNT ARSHAMOMAQUE PROJECT NAME SYSTEM. 4. FOLLOW BALLASTING SCHEDULE ON ROOF PLAN. 25 Q 5. HARVEST POWER, LLC., THE SOLAR INSTALLATION aeertson Ln U) CONTRACTOR, COMPLIES WITH ALL LICENSING&ALL Lighthouse Marine Z:) J RELATED REQUIREMENTS OF THE GOVERNING 'r loServices,Inc. Q — O MUNICIPALITIES AND THE LOCAL ELECTRIC UTILITY :D a_ It J AHJ'S. p 0') 6. THIS PROJECT WILL COMPLY WITH THE CURRENT NEC REQUIREMENTS INCLUDING ARTICLE 690 SOLAR <'� s �c Q Q Q U) 0 PHOTOVOLTAIC PV SYSTEMS. ' zs) _ U) Z Z CL LL_ Q 0 7. THE ROOF WILL HAVE NO MORE THAN A SINGLE LAYER �: W = z ~ Z OF ROOF COVERING IN ADDITION TO THE SOLAR EQUIPMENT. 4' SafeB Q 8. INSTALLATION WILL BE FLUSH-MOUNTED, PARALLEL 190 Pheasant PI, �� Z TO AND NO MORE T `� . O THAN 6.5"ABOVE ROOF Greenport,NY 11944, Q Z 9. MAINTAIN A MINIMUM OF 18"CLEARANCE AT RIDGE United States P LU AND AT ONE GABLE EAVE. + Brlck Cove LL.I 10. THIS DESIGN COMPLIES WITH 130 MPH WIND +++ Q REQUIREMENTS OF THE RESIDENTIAL CODE OF N.Y.S North Fork Adventures 11. WHEREVER THE ROOF PLAN DOES NOT COMPLY WITH ` Ciarterr Bloc Boa ACCESS AND VENTILATION REQUIREMENTS OF THE SHEET NAME UNIFORM CODE, HARVEST POWER PROPOSES THAT y COVER SHEET ALTERNATIVE VENTILATION METHODS WILL BE EMPLOYED. REVIEW AND APPROVAL SHALL BE AT THE DISCRETION OF THE MUNICIPALITY IN WHICH THIS SHEET SIZE DOCUMENT HAS BEEN FILED. ANSI B 12. THE DESIGN PLANS COMPLY WITH THE 2020 NEW YORK STATE UNIFORM FIRE PREVENTION AND 11" X 17" RESIDENTIAL BUILDING CODE. 1 AERIAL PHOTO 2 VICINITY MAP SHEET NUMBER PV-0 SCALE: NTS PV-0 SCALE: NTS PV-O MODULE TYPE, DIMENSIONS & WEIGHT ROOF ACCESS AREA: NUMBER OF MODULES =50 MODULES SHALL BE LOCATED IN AREAS THAT DO NOT REQUIRE THE PLACEMENT OF GROUND MODULE TYPE= REC SOLAR REC460AA PURE-RX(460W) MODULES OVER OPENINGS SUCH AS WINDOWS OR DOORS,AND LOCATED AT STRONG POINTS OF MODULE WEIGHT= 51.58 LBS/23.4 KG. BUILDING CONSTRUCTION IN LOCATIONS WHERE THE ACCESS POINT DOES NOT MODULE DIMENSIONS= 68.03"X 47.44"=22.41 SF CONFLICT WITH OVERHEAD OBSTRUCTIONS SUCH AS TREE LIMBS, WIRES OR SIGNS. UNIT WEIGHT OF ARRAY=2.30 PSF HARVEST ""'*10 HARVEST POWER LLC 941 SUNRISE HIGHWAY ISLIP REO R 80E)9 9 3 85AC ,NY z N s harvest owernet i SEE ENLARGE Sal �� ' \ �` VIEW ON PV-1.101 VERSION Q� / •'' DESCRIPTION DATE REV. :. • '" - \ 6LDG.PERMIT 11/052024 0 � /STj� / • "` • \ TWO-STORY ' FGy C'i _ • • • '•• •• `� HOUSE s �y. Q � A ` PROJECT NAME ` O v, \ Q ? J % Q 0 _ T (E) GATE �� �� ,` �`. Q_ Q >- Z cp co LL ��> Q Z *k O JLLJ (E) FENCE ti ' �a`�� �� ` .�1 .o W Z H zap Q -� 9' 0) Z O w LLJ _ K }�t (E)TREE (TYP.) 0�G �, SHEET NAME Q SITE PLAN WITH ROOF PLAN ♦A SHEET SIZE �r (E) DETACHED /' �J ) STRUCTURE ANSI B 11" X 17" PLAN WITH ROOF PLAN SHEET NUMBER SCALE: 1/32"= T-0" PV-1 MODULE TYPE, DIMENSIONS & WEIGHT o��h ROOF ACCESS AREA: NUMBER OF MODULES=50 MODULES Q�`L�Q SHALL BE LOCATED IN AREAS THAT DO NOT REQUIRE THE PLACEMENT OF GROUND MODULE TYPE = REC SOLAR REC460AA PURE-RX(460W)MODULES P� �, OVER OPENINGS SUCH AS WINDOWS OR DOORS,AND LOCATED AT STRONG POINTS OF MODULE WEIGHT=51.58 LBS/23.4 KG. BUILDING CONSTRUCTION IN LOCATIONS WHERE THE ACCESS POINT DOES NOT MODULE DIMENSIONS— 68.03"X 47.44"=22.41 SF - CONFLICT WITH OVERHEAD OBSTRUCTIONS SUCH AS TREE LIMBS,WIRES OR SIGNS. UNIT WEIGHT OF ARRAY=2.30 PSF ROOF#1 HARVEST "d'°''All ' (10) REC460AA PURE-RX (460W) HARVEST POWER LLC RAFTERS=2"X8"@16" O.0 2941 SUNRISE HIGHWAY ISLIP 305°AZIMUTH, 22°TILT TERRACE,NY 11752 TEL:(801)989-3585 �� ♦ ��� �G�ST R si .harvest ower.net H E£/ram C, s (50) ENPHASE �a\�� - Z m Z n IQ8X-80-M-US MICRO-INVERTERS o 2 ROOF#3 O 981 (18) REC460AA PURE-RX(460W) �� FL ERSION RAFTERS=2"X8" 16" O.0 E D 5 ION DATE REV. ROOF#2 125°AZIMUTH, 3@4°TILT BLDG.PERMIT lvosrzoza o (11) REC460AA PURE-RX (460W) i '% RAFTERS=2"X8"@16" O.0 305°AZIMUTH, 34°TILT ♦ � ♦ ♦ ♦ ♦ O 4� Q- ROOF#7 Rz; (01) REC460AA PURE-RX (460W) RAFTERS= 2"X8"@16" O.0 ` PROJECT NAME 215°AZIMUTH, 31°TILT ♦'` ,�� ♦ ♦ ♦ ♦ Q ♦ o porn CD D Q �// / ♦ ROOF#4 z a Q /�' ; �: / ♦ ♦ ♦ (03) REC460AA PURE-RX (460W) Q p� Z 0 RAFTERS= 2"X8"@16" O.0 LU ♦ 125°AZIMUTH, 11°TILT LLI (N)JUNCTION BOX Ur Q ROOF#6 G �� h ROOF#5 SHEET NAME (02) REC460AA PURE-RX (460W) �v �� `��P (05) REC460AA PURE-RX (460W) RAFTERS= 2 X8 @16 O.0 ENLARGE VIEW 125°AZIMUTH, 31°TILT (N) 1" PVC CONDUIT RAFTERS= 2„X8 @16„ O.0 RUN 7/8"ABOVE ROOF 125°AZIMUTH,31°TILT SHEET SIZE (N) 125A SOLAR LOAD CENTER (E)200A MAIN SERVICE PANEL ANSI B (N) 100A FUSED AC DISCONNECT WITH (E)200A MAIN BREAKER(INSIDE) 11�� X 17" ,� ENLARGE VIEW (E) UTILITY METER (E) CHIMNEY SHEET NUMBER SCALE: 1/8"= 1'-0" PV-1 .1 PV MODULES 't I p �= HARVEST '"`"" -`" HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP E,NY 11752 G\CJT 9-358 SEE ENLARGED VIEW S @ 16, O�+ 2 \G <.� owernet (E) ASPHALT SHINGLE ROOF n O298 GENERAL NOTES: / 1. RAILS TO BE INSTALLED TWO PER PANELS AS SHOWN IN DETAIL. D DATE REV. 2. ALL PENETRATIONS TO BE MADE@ 48"O.C. BLDG.PERMIT 11/05/2024 0 3. BOLTS TOBE INSTALLED INTO RAFTERS. 4. MINIMUM 2.5" PENETRATION INTO WOOD FOR CODE COMPLIANCE. 1 ATTACHMENT DETAIL NOTE:- "ACTUAL ROOF CONDITIONS AND RAFTERS(OR SEAM) LOCATIONS MAY SCALE: NTS VARY. INSTALL PER MANUFACTURER(S) INSTALLATION GUIDELINES AND ENGINEERED SPANS FOR ATTACHMENTS." END/ MID CLAMP PV MODULES PROJECT NAME 1b U � J O a- 4 J � 01-- T- (AZ) L-FOOT J Z -r-- Q W O 2 C ) Z Z a- LL. O (E) ASPHALT SHINGLE ROOF I j = � z H Z O J (N) UNIRAC ROOF/ DECK MEMBRANE Q o � Q !- p SM STANDARD RAIL rn Z D LLI LLI (E) 2"X8" RAFTERS @ 16" O.0 O 2.5" MIN. EMBEDMENT SHEET NAME ATTACHMENT FLASH KIT PRO FLASHING DETAIL SHEET SIZE BUILDING STRUCTURE ANSI B 5/16" STAINLESS STEEL LAG BOLT 11�� X 17" WITH SS EPDM BONDED WASHER, 2 ATTACHMENT DETAIL ENLARGE VIEW) 2-1/2" MIN. EMBEDMENT. SHEET NUMBER SCALE:NTS PV-2 (50) REC SOLAR REC460AA PURE-RX(460W) MODULES BILL OF MATERIALS (50) ENPHASE IQ8X-80-M-US MICRO-INVERTERS EQUIPMENT QTY DESCRIPTION SOLAR PV MODULE 50 REC SOLAR REC460AA PURE-RX(460W)MODULES p (05) BRANCHES OF 10 MODULES CONNECTED IN PARALLEL PER BRANCH INVERTER 50 ENPHASE IQ8X-80-M-US MICRO-INVERTERS LOAD CENTER 1 125A SOLAR LOAD CENTER HARVEST '^'°"2'- SYSTEM SIZE:-50 x 460W=23.00 kWDC JUNCTION BOX 1 600V,55A MAX,4 INPUTS,MOUNTED ON ROOF FOR WIRE&CONDUIT TRANSITION 50 x 380VA= 19.00 kWAC HARVEST POWER LLC AC DISCONNECT 1 AC DISCONNECT 100A FUSED,WITH 100A/2P FUSES,240V NEMA 3R,UL LISTED 2941 SUNRISE HIGHWAY ISLIP TERRACE,NY 11752 TEL:(801)989-3585 harvest ower.net AFC 10 MICRO-INVERTERS IN BRANCH CIRCUIT#1 O �y Co �� G 1 —I ; z m a z n _ ';�\ o y s ,V i ti i IJ TO UTILITY GRID � 7 R------ -------- E N 1---------1 L1 L2 N I DATE REV. 10 MICRO-INVERTERS IN BRANCH CIRCUIT#2 I IT 11/05/2024 0 BI-DIRECTIONAL I M UTILITY METER I SUPPLY TAP WITH 1-PHASE,3-W, I JUNCTION TAP BOX 120V/240V _ _ I Iv ^' �' I i (N)125A SOLAR —j------- `—�------- J--------- I LOAD CENTER 10 MICRO-INVERTERS IN BRANCH CIRCUIT#3 i (N) 12X12X6 JUNCTION I M` IQ-GATE WA TAP BOX I • • I I 1 (N)AC DISCONNECT 100A V ti I ,V i (N)JUNCTION BOX 15A FUSED,VISIBLE LOCKABLE PROJECT NAME -_----- ----------- �j I LABELED, VA FUSES, 240 VAC 10 MICRO-INVERTERS IN BRANCH CIRCUIT#4 i L1 100A 200A - FUSES O Q L1 �--�� L1 0 (E)200A MAIN J I— j L2 L2 o SERVICE PANEL O 1- � (D � - I W/(E)200A J Z � LLI O ------- ^�'-- ^' ) I u L N N o`: MAIN BREAKER Q Q } Cn (n --------- -- ----------i - --- ------ G ------ -- -------------� o (TOP FED) _ � Z Z 0- LL Q i u 7120A i J LLI �- I i N LLI = Z i 10 MICRO-INVERTERS IN BRANCH CIRCUIT#5 i G z O Q IJ� I I I -CT] f • • • I u 11 i (3)#2 ELK RED THHN L---------- I I 1 #6 THHN STRANDED (2)1) BILK RED THHN -`- 0 Z I ( ) (1)#6 WHT THHN -_-_ Ll.l GREEN GROUND IN 1 1/4" (1)#6 THHN STRANDED GROUNDING Lll _ I N I PVC CONDUIT RUN GREEN GROUND IN 1 1/4" _ V ------- b ti i G n J I PVC CONDUIT RUN ELECTRODE SYSTEM Q � ----------- ------- 1 -------- ---- -- -- ----- --- ----- N Ur I ----------- --- SHEET NAME (50)ENPHASE IQ8X-80-M-US (5)Q CABLE THREE LINE DIAGRAM MICROINVERTERS(240V) (1)#6 BARE CU GND (LOCATED UNDER EACH PANEL) (10) 10 AWG THWN-2 SHEET SIZE TERMINATOR CAP ON LAST CABLE (1)#6 THHN STRANDED ANSI B CONNECTOR Q-CABLE(TYP) GREEN GROUND IN 1"PVC CONDUIT 11" X 17" *THREE LINE DIAGRAM SHEET NUMBER SCALE: NTS PV-3 y _ _ 4 'AWARNING ARNING } ELECTRICAL SHOCK HAZARD PHOTOVOLTAIC SYSTEM SOLAR PV SYSTEM EQUIPPED COMBINER PANEL WITH RAPID SHUTDOWN TERMINALS ON LINE AND LOAD DO NOT ADD LOADS HARVEST SIDES MAY BE ENERGIZED IN HARVEST POWER LLC THE OPEN POSITION LABEL LOCATION: H PHOTOVOLTAIC AC COMBINER(IF ,S E HIY 11752 7 Z ISLIP LABEL LOCATION: APPLICABLE). -3585) 1 owecnet INVERTER(S),AC DISCONNECT(S),AC 3 TURN RAPID SHUTDOWN COMBINER PANEL(IF APPLICABLE). SWITCH TO THE"OFF" /SOLARLECTRIC ?NELS POSITION TO SHUT DOWN Z m PV SYSTEM AND REDUCE 2 0 SHOCK HAZARD IN THE o y ARRAY. RSION FOR • ■ PV SYSTEM DESCRIPTION DATE REV. LABEL LOCATION: BLDG.PERMIT 11/05/2024 0 ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE LABEL LOCATION: DISCONNECTING MEANS TO WHICH THE PV SYSTEMS UTILITY SERVICE ENTRANCE/METER,INVERTER/DC ARE CONNECTED. DISCONNECT IF REQUIRED BY LOCAL AHJ,OR OTHER LOCATIONS AS REQUIRED BY LOCAL AHJ. AWARNING POWER SOURCE OUTPUT CONNECTION DO NOT RELOCATE THIS RENT DEVIC PROJECT NAME O� VERCUR LABEL LOCATION: < Q ADJACENT TO PV BREAKER AND ESS Z) J QCPD(IF APPLICABLE). BUILDING SUPPLIED BY UTILITY a_ GRID AND PHOTOVOLTAIC 0 I— T- c� Z) SYSTEM _j Z � Q LLI 0 J LLJ F- Z ■ • ■ SOURCE ■ W_ _ w a_ H Z Z a- O Q J3: LABEL LOCATION: Q O Q_ H O INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, Z Z �- AT EACH TURN,ABOVE AND BELOW PENETRATIONS, z Lij W ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. W u _ 0 Q 0 PHOTOVOLTAIC AC DI SHEET NAME CURRENT:MAXIMUM AC OPERATING (E)MAIN SERVICE PANEL PLACARD & NOMINAL . OPERATING . . . VOLTAGE: ,, . (INSIDE) m (E)UTILITY METER WARNING LABELS (N)AC DISCONNECT SHEET SIZE LABEL LOCATION: AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF IN)SOLAR LOAD CENTER ANSI B INTERCONNECTION. 11" X 17" LABEL LOCATION: SHEET NUMBER POINT OF INTERCONNECTION (PER CODE:NEC690.56(B),NEC705.10,225.37,230.2(E)) PV-4 1. EACH MODULE TO BE GROUNDED USING THE SUPPLIED CONNECTION POINT PER MANUFACTURER'S REQUIREMENTS. ALL SOLAR MODULES, EQUIPMENT, AND METALLIC COMPONENTS ARE TO BE BONDED. IF THE EXISTING GROUNDING ELECTRODE SYSTEM CAN NOT BE VERIFIED OR IS ONLY METALLIC WATER PIPING, , POWER LLC IT IS THE CONTRACTOR'S RESPONSIBILITY TO INSTALL A SUPPLEMENTAL �� GH IP 752 GROUNDING ELECTRODE. we q 11585 752 .1 e t owernet � c � 2. ALL PLAQUES AND SIGNAGE REQUIRED BY THE LATEST EDITION OF NATIONAL c ELECTRICAL CODE. LABEL SHALL BE METALLIC OR PLASTIC, ENGRAVED OR k o y MACHINE PRINTED IN A CONTRASTING COLOR TO THE PLAQUE. PLAQUE SHALL 9 BE UV RESISTANT IF EXPOSED TO SUNLIGHT. 3. DC CONDUCTORS SHALL BE RUN IN EMT AND SHALL BE LABELED, "CAUTION DC VERSION CIRCUIT" OR EQUIV. EVERY 5 FT. DESCRIPTION DATE REV. BLDG.PERMIT 11/05/2024 0 4. EXPOSED NON-CURRENT CARRYING METAL PARTS OF ELECTRICAL EQUIPMENT SHALL BE GROUNDED IN ACCORDANCE WITH 250.134 OR 250.136(A). 5. CONFIRM LINE SIDE VOLTAGE AT ELECTRIC UTILITY SERVICE PRIOR TO CONNECTING INVERTER. VERIFY SERVICE VOLTAGE IS WITHIN INVERTER VOLTAGE OPERATIONAL RANGE. 6. OUTDOOR EQUIPMENT SHALL BE NEMA-3R RATED OR BETTER. PROJECT NAME 7. ELECTRICAL CONTRACTOR TO PROVIDE CONDUIT EXPANSION JOINTS AND ANCHOR CONDUIT RUNS AS REQUIRED PER NEC. c/) O 8. ALL WIRING MUST BE PROPERLY SUPPORTED BY DEVICES OR MECHANICAL a _ MEANS DESIGNED AND LISTED FOR SUCH USE, AND FOR ROOF-MOUNTED O J H Q Up U) Q Q '- SYSTEMS, WIRING MUST BE PERMANENTLY AND COMPLETELY HELP OFF OF THE = Q Z z a- � ROOF SURFACE. NEC 110.2 - 110.4 / 300.4 J UU �_7 Z 9. ALL ROOF PENETRATIONS MUST BE FLASHED. SIMPLY CAULKING DOES NOT z a p Q � SUFFICE. Q rn Z O w w C7 Q SHEET NAME ADDITIONAL NOTES SHEET SIZE ANSI B 11" X 17" SHEET NUMBER PV-5 REC RE[ ALPHA PLIRE-RX SERIES SOLAR'S MOST TRUSTED C C .. HARVEST HARVEST POWER LLC 2941 SUNRISE HIGHWAY ISLIP GENERAL DATA :s 11752 Cell type: 88 half-cut REC bifacial,heterojunction cells with lead-free,gaplesstechnology Glass: 3.2 mm solarglass with anti-reflective surface treatment T �2in accordance with EN12150 �� ��,• Backsheet: Highly resistant polymer gill& "`e (n ® Frame: Anodized aluminum(black) �! _ + D O I Z m Junction 4-part,4 bypass diodes,lead-free f (� RE[ ALPHA IP68 rated,4 PV-accordance BT4/KST4 462790 mm-) 02 y Connectors- StSubli MC4 PV-KBT4/KST4(4 mma) � � 98 in accordance withlEC 62852.IP68 only when connected in PURE-RX 5ERIE5 Cable 4 mr1205 err cable,(2.087 ) t^ , �i in accordancewith EN 50618 i- Dimensions: 1728x1205x30mm(2.OSn� t t as sw 3 DESCRI DATE REV. Weight: 23.4kg as PRODUET 5PEEIREATION5 Origin: Made lnSingapore T. BLDG.PERMIT 11/O5/2024 0 00 Measurements in mm ELECTRICAL DATA Product Code':RECxxxAA Pure•RX CERTIFICATIONS i Power Output-P.(Wp) 450 460 470 IEC 61215:2021,IEC 61730:2016,UL 61730 Watt Class Sorting-(W) 0/+10 0/+10 0/+10 IEC62804 PID IEC 61701 Salt Mist Nominal Power Voltage-V_IV) 54.3 54.9 55.4 IEC62716 Ammonia Resistance Nominal Power Current-IN,(A) 8.29 8.38 8.49 IS0119252 Ignitability(EN 13501-1 Class E) ^ (V) 65.1 65.3 65.6 IEC 62782 Dynamic Mechanical Load 226 'vz Open Circuit Voltage-Va IEC61215-2-2016 Hai(stone(35mm) Short Circuit Current-IX(A) 8.81 8.88 8.95 EC62321 Lead-freeacc.to RoHS EU 863/2015 Power Density(W/mg 216 221 226 :EC61730-22016 Fire Class C(as per UL 790) Panel Efficiency(%) 21.6 1 22.1 22.6 ISO 14001,150 9001,IEC 45001.IEC 62941 PowerOutput-P.(Wp) 343 350 358 ♦ ,'' «er,w .wrame:d,.� PROJECT NAME Nominal Power Voltage-V.,(V) 512 51.7 SZ2 r tn:eaaa�a NOminalPOWerCUrrent-I.(A) 6.70 6.77 6.86 wu a c°�" < Q Declare. Z Open Circuit Voltage-Voc(V) 61.3 61.6 61.8 ' - J TEMPERATURE RATINGS Short Circuit Current-Ix(A) 7.11 7.17 7.23 _ _ O Values at standard test conditions(STC.air mass AM 1.5,bradiame 1000 WIrn,temperature 25'Cl based on a production spread with Nominal Module Operating Temperature- 44'C(**2°C) r-tJr-sqt tolerance ofPyyxr Vim.&I,�.x3%within one watt class.Nominal module operating temperature(NMOT:airmass AM 1.5,aradence 800 W/me. Temperature coefficient ofP -0.24%/'C a .a temperature r1_Zndspeed I m/sl`Where indicates the nominal power class(P.)at STC above. P rtuc' V �r� MAXIMUM RATINGS Temperature coefficient ofVoc: -0.24%/'C O_ r L/ Temperature coefficient of Is,: 0.04%/'C J Z r Q W Q Opera tionaltemperature: -40...+85°C Standard RECProTrst - Q The temperature coefficients stated are linear values Q Cp (n Maximums system 1000V Installed by an REC w U) Z Z a R Y voltage: No Yes Yes DELIVERY INFORMATION Q _ MODULE Cer[ified5olarRofessxxial �� 1 Maximum test load(front): +7000PaVl3kg/m=f LL System Size All c25kW25-500kW w } Maximum test load rear: -4000Pa 407k m�' Panels perpallet: 33 N � Z (rear): ( g/ ) Product 20 25 25 w N Max series fuse rating: 25A Power Warranty(yrs) 25 25 25 Panels per 40ftGP/high cube contaiier: 594(18pallets) _ - a � 0- J Z Max reverse current: 25A Labor Warranty(yrs) 0 25 10 Panels per 13.6 in truck; 660(20pallets) T Z O Q 'See installation manual for mountinginstructions. Power in Year 98% 98% 98% q-, < a O r Z Design load-Test load/1.5(safety factor) Annual Degradation 0.25% 0.25% 0.25% r � Typical low irradiance performance of module at STC: ,;, w Power in Year 25 92% 92% 92% o w 25 YEAR The RECProTrustWarranty isonlyy available on panels purchased a, r throughan REC Certified Solar Professional installer.Warranty - w LL conditions apply.See wwwrecgroup.com for more details. �t -.. oc /f'► 3 lJ .. r .Y 7t # LEAD-FREE _ Available from: knu.ru(W/m� - SHEET NAME SPEC SHEET 40 a . SHEET SIZE + t.,;e " - •�y�7 RECSdarPTE.LTD. ANSI B 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 20 TuasSouth Ave.14 ® 1`� 1 1 t t /� 1 7 t r Sin a ore637312 w � «."s..�•` 'w!r•. a carbon footprint in the solar materials and solar panels it manufactures.Headquartered in Norway with operational g P •° 't post@recgroup.com www.rec rou com headquarters in Singapore,REC also has regional hubs in North America.Europe,andAsia-Pacific 8 P SHEET NUMBER ` PV-6 SOLARMOUNT OF U N I RA i' 1 I I 1 1 1 1' ' 1 .II 1 1' 1 i!�'�'�� • - BETTER DESIGNS /. T1; r � �n' TRUST THE INDUSTRYES BEST DESIGN TOOL CONCEALED UNIVERSAL o 1 �� : 1 I "1 1 1 1 •, 1 Start the design process for every project in our U Builder on-line design tool. ENDCLAMPS ® I It's a great way to save time and money. BETTER SYSTEMS %I ;r ONE SYSTEM-MANY APPLICATIONS DESCRIPTION Quickly sot modules flush to the root on steep pitched roofs.Orient a large variety of modules in Portrait or Landscape.Tilt the system up on flat or low slow roofs. END CAPS INCLUDED --- '` Components available in mill,clear.and dark finishes to optimize your design financials WITH EVERY ENDCIAMP and aesthetics. --- BETTER RESULTS MAXIMIZE PROFITABILITY ON EVERY JOB CONCEALED Trust Unkac to help you minimize both system and labor costs from the time the job is UNIVERSAL quoted to the time your teams get off the roof.Faster installs.Less Waste.More Profits. CLAMPS UNIVERSAL SELF r:•UNIRAC BETTER SUPPORT STANDING MIDCLAMPS 25 WORK WITH THE INDUSTRIES MOST EXPERIENCED TEAM Professional support for professional installers and designers.You have access to --U YEAR our technical support and training groups.Whatever your support needs,we've got e • I 1 'I OPTIONAL you covered.Visit Unirac.com/solarmount for more information. j FRONT TRIM fllElS`iiEh9 v I , , 11J R AN1Y U-BUILDER ONLINE DESIGN TOOL SAVES TIME&MONEY 9 :o MECHANICAL LOADING BONDING&GROUNDING Visit design.unuac..cum a UL2703SYSf �EMFIRECLASSIFICATION . LU • UNIRAC CUSTOMER SERVICE MEANS THE HIGHEST LEVEL OF PRODUCT SUPPORT • -- - — • , a =� : cD . • UNMATCHED CERTIFIED ENGINEERING BANKABLE DESIGN PERMIT r 'II 1 !1• ' 1 1 I 11 1 I 1 .1 EXPERIENCE QUALITY EXCELLENCE WARRANTY Toots DOCUMENTATION TECHNICAL SUPPORT CERTIFIED QUALITY PROVIDER BANKABLE WARRANTY Unnac's technical support team is dedicated to answering Unirac is the only PV mounting vendor with ISO Don't leave your project to chance.Unirac has the questions&add ressing issues inrealtime.Anonline certifications for 9001:2008.140012004 and OHSAS financial strength to back our products and reduce your risk. SHEET NAME THE PROFESSIONALS' CHOICE FOR RESIDENTIAL RACKING stamped eocuments dtechnicaldng tasheetgreports, 1800t2007,m,andfh means .Tesecertier certifications onsdemohest nstrt Have ceptiopeace of mind .SOLAknowing YOU are pcoveredbproducts 5yearsiampedleflersandtechnicaltlatasheetsgreatly for fit,form,and function.These certifications demonstrate exceptional quality.SOLARMOUNTiscoveredbya25year SPEC SHEET simplifies your permitting and project planning process. our excellence.and commitment to first class business practices. I imited product warranty and a 5 year limited finish warranty. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII I Illllllllllltlll1111111111111111IIIIIII IIII11111111111IIIIIIIIIIIII I IIIIIIIIIIilllllllllll IIIII II I1111111111IIIII11111111111111I III11111111111I IIII IIIII I IIIIIIII IIIIIII II I IIIIII IIIIIIIIIIII III II IIIIIIIIIIIIIIII I I III IIII I I II IIIII III IIIIIIII I IIII IIIIII I I III IIIIIIII I III I IIII I IIII I IIII III II IIIIIIII IIIII I I111111111111I I II BEST INSTALLATION EXPERIENCE-CURB APPEAL*COMPLETE SOLUTION•UNIRACSUPPORT FOR QUESTIONS 0 R CUSTOMER SERVICE VISIT U N I R A C.C 0 M 0 R CALL (5 0 5) 248 2702 ENHANCE YOUR REPUTATION WITH QUALITY RACKING SOLUTIONS BACKED BY ENGINEERING EXCELLENCE AND A SUPERIOR SUPPLY CHAIN FOR QUESTIONS OR CUSTOMER SERVICE VISIT UNIRAC.COM OR CALL (505) 248 2702 Unirac State Letter-NY fii1SlRllPn HARVEST Tectonic Tecton is Tectonic WO#:125524 HARVEST POWER LLC August 12,2024 2941 SUNRISE HIGHWAY ISLIP T S 1�� [ �N8Y17523585August 12, 2024 ■ Metal Roof: Standing Seam Attachments, PM-9000s, and PM Adjust Slotted � ower.ner • Tile Roof: Solar hooks, Flashkit Tile Replacement JR) � Unirac If Attn: Engineering Services Department The U-Builder Tool should be used under the responsible charge of a registered 1411 Broadway Boulevard NE professional engineer required by the authority having jurisdiction. The design tool Cn Z M Albuquerque, NM 87102-1545 and Unirac do not evaluate the existing roof structure, or the PV panels themselves. Z I TEL: (505)242-6411 See the construction and installation drawings and manuals for additional o� information provided by Unirac. RE: ENGINEERING CERTIFICATION LETTER FOR THE UNIRAC SOLARMOUNT (SM) ROOF PV PANEL SUPPORT SYSTEM Sincerely, ' W YO SION STATE: NEW YORK ��or NEt7,Y IX-TON DATE REV. TECTONIC WORK ORDER#: 12557.25 Tectonic �P !9 A. G&.1 0,9 BLDG.PERMIT 11/05/2024 0 *� �° �% The Unirac SOLARMOUNT (SM) Photovoltaic Panel Su Q �' Ir ( Support System is a proprietary framed photovoltaic panel support system that is installed on a roof. Tectonic m i N C Engineering Consultants, Geologists & Land Surveyors, D.P.C. (Tectonic) has -row ?� reviewed the SM design methodology along with the U-Builder tool; a Unirac online °,o 0712g9 design tool. The review included the following SM products, SM Light, Heavy Duty, s10" 08/12/2024 and Standard rail with both the standard and pro hardware. Antonio A. Gualtieri, P.E. Tectonic has determined that the design is a rational approach and follows the Executive Vice President structural requirements of the following reference documents: Codes/Standards: • 2020 Building Code of New York State. PROJECT NAME • 2018 International Building Code by International Code Council. • ASCE/SEI 7-16 Minimum Design Loads for Buildings and Other Structures, by U) 0 American Society of Civil Engineers with provisions from SEAOC PV-2-2017. Q J • 2020 Aluminum Design Manual, by Aluminum Association. J O EL - H This letter certifies that the structural analysis of the racking members,connections, 0 O and components directly related to Unirac's system are in compliance with the i z < LLI 0 above codes. The design methodology is acceptable under components and < Q — C/) Cn cladding loads associated with the building's roof structure when the system is = Z Z LL. installed in accordance with manufacturer specifications. If the loading criteria does J W Z } O not meet Unirac's specifications, owner shall contact Unirac for a site-specific W = � a_ Z certification. Z a 0 Q J Q o (L H 0 Attachments approved for the SM system to the structure include the following W and is installed per Unirac's U-Builder report and installation guides: W • Shingle Roof: L-Foot Flashkit Pro, Standoffs, Flashloc Comp, Flash Loc Duo, O Q and Flash Kit Pro SB SHEET NAME Project Contact Info Project Contact Info 1279 Route 300 I Newburgh,NY 12550 1279 Route 300 I Newburgh,NY 12550 SPEC SHEET 845.567.6656 Tel 1 845.567.8703 Fax 845.567.6656 Tel 1 845.567.8703 Fax SHEET SIZE tectonicengineering.com tectonicengineehng.com page 2 of 2 ANSI B Equal Opportunity Employer Equal Opportunity Employer 11" X 17" SHEET NUMBER PV-8