Loading...
HomeMy WebLinkAbout50742-Z �oA FOt Town of Southold 10/3/2024 a y� P.O.Box 1179 0 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45617 Date: 10/3/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1575 Gabriella Ct,Mattituck SCTM#: 473889 Sec/Block/Lot: 108.4-7.34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit.heretofore "filed-in this office dated 4/16/2024 pursuant to which Building Permit No. 50742 dated 5/24/2024 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. Y The certificate is issued.to Perez, Salvadore&Concepcion of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50742 7/24/2024 PLUMBERS CERTIFICATION DATED i A o z S gnature TOWN OF SOUTHOLD BUILDING DEPARTMENT y z. TOWN CLERK'S OFFICE 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#: 50742 Date: 5/24/2024 Permission is hereby granted to: Perez, Salvadore 1575 Gabriella Ct Mattituck, NY 11952 To: Install roof mounted solar panels to an existing single-family dwelling as applied for per manufacturers specifications. Additional certification may be required. At premises located at: 1575 Gabriella Ct, Mattituck SCTM #473889 Sec/Block/Lot# 108.-4-7.34 Pursuant to application dated 4/16/2024 and approved by the Building Inspector. To expire on 11/23/2025. Fees: SOLAR PANELS $100.00 CERTIFICATE OF OCCUPANCY $100.00 ELECTRIC $125.00 Total: $325.00 Building Inspector oF so�ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q y �� sean.devlin(c�town.southold.ny.us Southold,NY 11971-0959 couff l,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Salvadore Perez Address: 1575 Gabriella CT city:Mattituck st: NY zip: 11952 Building Permit#: 50742 section: 108 Block: 4 Lot: 7.34 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: SunRun Install. Serv. License No: 33878ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1 st 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: 4.8kW Roof Mounted PV Solar Energy System w/ (12) Hanwha QcellQpeakML-G10+ T400 Modules, SE3800H+USMN 380OW Inverter, 30A AC Disconnect, 20A Fused Disconnect Notes: LineSide Tapped in Main Panel Solar �Inspector Signature: Date: July 24, 2024 S.Devlin-Cert Electrical Compliance Form Copy pF SOUTyo� # # TOWN OF SOUTHOLD BUILDING DEPT. . "you 631-765-1802 ��-+qINSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ` [ . ] SULATION/CAU KING [ ] FRAMING /STRAPPING [ FINAL SD, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]. FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: L �- DATE - INSPECTOR �alaF SOUIyOI� T�vi�� `t 2' �� ���� N OF SOUTHOLD BUILDING EPT. 'cou 631-765-1802 INSPECTION ' [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [. ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ .] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O [ ] RENTAL REMARKS: e 0 I� omd a \. ' 4v Je4d U ( , � cIC4, 0,8 d - o �� . DATE q - . INSPECTOR /■' M 1 G H TY ■ ENGINEERING CO. DRIVEN TO EXCEED EXPECTATIONS July 03,2024 Subject: Post Installation Approval Letter Job Number: 216R-575PERE Client: CONCEPCION PEREZ Address: 1575 GABRIELLA CT,MATTITUCK,NY, 11952 Building Permit: 50742 To Whom It May Concern The purpose of the review was to verify the installation is in conformance with the approved plan set and that any potential modifications from those plans meet the intent of the approved plan set. I certify that the PV racking system's attachments have been observed to be installed in conformance with the approved plan set. The installation complies with the code provisions listed below. -Applicable Codes=2020 NEW YORK STATE RESIDENTIAL CODE WITH 2O18 IRC/IBC/lEBC, ASCE 7-16 and 2018 NDS • Basic Wind Speed V=128 mph,Exposure:B • Ground Snow Load=25 Psf Sincerely, �,oF NEWS, Digitally signed 0~Pr E C N 9 CIF by Humphrey K r. Kariuki m '" � Date:-2024.07.03 095450 ® ��' pR°�E.110 06:40:33-04'00' JUL 2 5 2024 Building Department Town of Southold Mighty Engineering Co 11708 Roxborough Rd Charlotte,NC 282111(980)689.97761 info@mightyengineeringco.com FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------------------------------------ C FOUNDATION (2ND) (r O 00 r H ROUGH FRAMING& PLUMBING !� x, D n INSULATION PER N.Y. Q r STATE ENERGY CODE C ID mml, 6, i .0 FINAL Q14 VA ADDITIONAL COMMENTS rolMg-Ll d �� + o Z � m z x r� x d b H ,5 25 ... ....., .rr.:FaE .. ... .. ..... .. ..... .. .. ..... .. ... .. ..... .. .. SuvFac,r�oq. TOWN"OF SOUTHOLD="BUILDING DEPARTMENT �� y2`nqnry Ton Hall:Annex 54375 Main Road P. O. Box 1179:Southold;NY'1197:1�Q959 w N Z oy t f• V, Telephone(631) 765-1802 Fax (631) 765-9502:https://www.southoldtowiin � "•' " Date Receive d 'APPLICATION FOR.BUILDING PERMIT- . .. . ... .. .. . . i :,.I... For Office Use Only �.7: PERMIT N0. Building Inspector: APR ? 6...ZR 24: - AppliCatit.ons'and forms must'be filled out in their entiretyancomplete • ��,;:�fuf�i�,;';:r;.,•,FrnF� n_ . applications will:not be accepted:"Where the-A_ pplicant is not the-owner,an .. '. Cy!.1ao i max,.��.•Y t^,,�,,�y5.: Owner's Autho�izatiori form(Page 2)shall be completed. Date:4-12-24 OWNER(S)OF"PROPERTY: Name.'CO:NCEPCION PEREZ StTM:#:100.0 108-00-04-00=007-034 ... ProjectAddress:.1:575 GABRIELLA:CT MATTITUCK NY 'l1 ; ._:•_. Phone.# .". . •631 494-6.660 " Email: ... MailingAddress:1575 GABRIELLA..CT MATTITUCK NY .11952 .... '. CONTACT PERSON: Name:MICHELE CARDON IVlailing Address:177:CANTIAGUE-ROCK ROAD,�WESTBURY; NY 11590 Phone# 516-318-403.5: EmaiI;LIPERMITS SUNRUN.COM DESIGN PROFESSIONAL INFORMATION::: ` " q. Name:-HUMPHREY.:K: KARIUKI . Mailing Address:1708 Roxborough Rd Charlotte, NC:28211 'Phone#:�980)-_ 89�9776info@mightyengin.e.eringco:com . .. . . CONTRACTOR INFORMATION: Name: : '. SUNRUN INSTALLATION _ � _�� Mailin Address: g . 177 CANTIAGUE ROCK'ROAD,_WE. STBURY, NY 11590_: ;ph0ne#:516:318-'4035 :::: . 4Eri ail:LIPERMITS@SUNRUN:COM DESCRIPTION OF PROPOSED CONSTRUCTION q. El New Structure' BAddition ''DAlteration: ❑Repair ❑.Demolition .:Estimated Cost:of Project: ❑Other ':$$21,567.00 Witl tlie.lot be re-graded? :❑Yes'❑No Will excess fill be removed f�om"premises? ❑Yes ❑No: . .... . :1: PROPERTY INFORMATION Existing use of property:.. Intended use of property: Zone or use district in which premises:is situated: Are there any covenants and restrictions:with respect to . . : this property?:❑Yes ONO IF YES, PROVIDE A COPY.:'- 9 Check Box After.Reading: The ownWiontractor/design professional is responsible for all drainage a d.storm water issues'as'Pr' 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 ins pectors spectors on premises and,in building(s)for necessary inspections. statements False statemet made herein are• punishable as a Class A misdemeanor pursuant to.Section 210.45 of the New York State Penal Law. MICHELE :CARDON: : BAuthorized Agent.: DOwner Application Submitted By(print name): . .. Sigliature:of Applicant: : : Date: 4-12'24 . STATE OF NEW YORK): COUNTY OF ) . ... .. ..... -M I CH ELE CARDON —.beingdul sworn de oses and Says that s he:is the applicant duly'sworn, P. Y ( ).. pp (Name.of individual signing contract)above named,: '' SUNRUN ''INSTALLATION (S)he is the (Contractor;Agent; Corporate-Officer;:etc.) of said:owner or owners,and is duly authorized to:perform or have performed the said workand to make and file this' application;thatall:statements contained ih 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 iri the application file therewith. .Sworn before me-this. ���`` �p.S! E,GF � N 0 AR y• 'J��% day of 20.�,�.. `,� rvo. E .. ... .. .... — _ N: : — otary Publii: UN ALIFI . ... .. ..... — . . ASSA PROPERTX OWNE '� U ; ► ION ... A iC ... e I I li. ..(Wh.e.re the applicant.Is no11�the OW ner.). .. ..... I� CON.CEPCION :PEREZ 1575 GABRIELLA:CT,MATTITUCK, NY':11952 .. ..... . . residing at M'ICHELE CARDON do hereby authorize, to apply on my behalf to the. ow outhold Building:Department for.approval as described herein.:' . :.Owner's Signature. Date .. . . . .. CONCEP:CION PEREZ . Print Owner's Name . 2 g�fif0�,�c BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh(asoutholdtownny.gov- seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN IqrORIVIATION All Info mation equ• ed) Date: Company Name• Electrician's Name: License No.: Elec. a ail: 7MV Elec. Phone No: request an em it copy of Certificate of Compliance Elec. Address.: Q l � JOB SITE INFORMATION (Ail Information wired) Name: Address: Cross Street: Phone No.: BIdg.Permit #: email: Tax Map District: 1000 Section: Block: Lot: 7 3 BRIEF D CR PTI N OF WO E leaePrin, t Clearly):T `''/. fc1V1�v Square Footage: Circle All That Apply: Is job ready for inspection?: YES❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES�0 Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground[]Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? MY DN Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. WAD Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments .. .. .. _ :••L`-attar_�l:censknggCg6sumer•:Al<faia-::,' ST F ca w' si .. .. .. "�v 't:,K� .LhGTR,ICKII,:C,:.afa `Nariie••. :. ie8[y.r'sS;�Ulr: ¢r� J ini i;ix[_i;LiC in1=S ris�C.`flc �:i+e:ftisr.:edirnibet ry1G-'S4'1 y4 , :1ta ti- 1 .�I 1,...4� �•i:�1�;,` .•Y., i`1'',y' F •�,7,•jam., -e�' r,.71' a ,,)r„ t o sJt T°' 'a' Ik'-:� �k':L•. ,�� .aA•.. 4'' ��.-a`�,. t.:,.'�C:r 't"'t'`5++.• �'9'•7+. �dSf4 '.m'.n+•..�""::'", '�� - ilk.' .. .•. Of Suff6Ik.Co.unty'DeP,,. Affas y nsumer ir Lalair;.L.icensing Co, 1. I. LI ::.: . . ... . . . :..: . � .. :�. .•' : MAS•TER•ELECTRICA�• ENSE : : i 1 .��" ... Name .. ..• . SAMY MOUNAS .: t . Business Naririe . . TION SERVICES.: SUNRUN INSTAL-LP+.:. INC.This certiTes that the : . ` . . bearer Is'duty licensed a the County of suffolR . : License Number ME=33878..:::' y .. Issued• 10fQ112003' .. anz Rvya(;ii D ra yv x: . - 10101/202.5 r: E Aires:M : Commissioner r SUNRIN '-C 02. "TWANG DATE(MM/DDIYYYI): .. CERTIFICATE OF LIABILITY INSURANCE 911/2023 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. a IMPORTANT: It 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:inlieu of such endorsement(s). PRODucER License#OC36861." CONTACT Walter Tanner Alliant.Insurance Services "Inc. . :' P oNN, FAX 560 Mission St 6th F1 "" San Francisco;CA 94105 MAIL •:Walte[:Tanner Rpp @alliant;ctiin' : . ..: ' INSURERS AFFORDING COVERAGE NAIC# INSURER A:Evanston Insurance Company : . 35378 INSURER American Insurance Com an - ..: 16535 :. INSURED ..: - .. . Sulirun Installation Services;anc -INSURER c'American Zurich Insurance Com an 40142 775,Fiero Lane,Suite:200:Ph.#'805-540-7643 ..: INSURER D San LUIS,Obispo,CA 93401 . .. INSURER E :INSURER F COVERAGES' CERTIFICATE NUMBER: REVISION NUMBER: THIS IS.TO CERTIFY THAT THE POLICIES:OF INSURANCE:LISTED.BELOW HAVE BEEN ISSUED:TO THE INSURED,NAME D.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 VIRTYPE OF INSURANCE ADDL SUBR :POLICY NUMBER POLICY EFF -POLICOY EXP LIMITS , A X COMMERCIAL GENERAL LIABILITY ; ; 2,000,000 EACH"OCCURRENCE $ CLAIMS-MADE: OCCUR RENTED ' 1,000,000 . , MKLV5ENV704332 1011/2023 1O/1/2024' DAMAGE TO P E I Ea occurren MED EXP Any one •rson $" 5,000 PERSONAL&"ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIESPER: ' = " GENERAL AGGREGATE 2,000,000 X. POLICY�X JECT, I-L, PRODUCTS-COMP/OP AGG 2,000,000 ' X OTHER:Retention:.$200,000 Per Project Agg " 5,000,000 .. B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT .2,000,000 Ea accident� $ X ANY AUTO.: BAP614287102..: 1611120. . .. 23: 10/1/2024 BODILY INJURY Par arson $ OWNED "SCHEDULED AUTOS ONLY AUTOS• BODILY INJURY Per accident $ - HIRED NON-OWNED PROPERTY AMAGE X AUTOS ONLY. " AUTOS ONLY... Par.col nt Cgmp�Ded.:• X Coll.:Not Covered. LiabilityDed:; .1,000,000 UMBRELLALIAB OCCUR ' ..: :. ..: :. .. ' EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ " DED RETENTION$.. C WORKERS ID EMPLOYERS L ABILOITY '• - X PER - ERH- YIN'"". WC614287602, 10/1/2023 10/1/2024 1 000000 ANY PROPRIETOR/PARTNER/EXECUTIVE .. . OFFICER/MEMBER EXCLUDED? .':' N N/A "" "" '' EACH : .. (Mandatory in NH) : .. 1,000,000 . . If yes,describe under E.L.DISEASE CIEA EMPLOYEE$ 1,000 000: . .. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ' S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD:101,Additional Remarks Schedule,maybe attached If more space Is required) Workers'Compensation Policy WC614287601 Deductible:$1,000,000, 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 DELNERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY.PROVISIONS: . " Southold,NY 11971 - : 'AUTHORIZED REPRESENTATIVE : .. ... .. .. ' v ACORD 25(2016/03): : .. ©1988-2016 ACORD CORPORATION..Alf rights reserved.. The ACORD.name and logo are registered marks of ACORD.: wew Workers' YORKATE Compensation C.ERTIFICATE.OF.INSURANCE OVERAGE 1— STORK Board 'NYS DISABILITY:A .0 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 la.Legal Name.&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured. Sunrun Installation Services Inc. :: . 202 Commerce Dr.,:Ste. 7 : . . Moorestown, NJ 08057.. d 1 c.Federal Employer Identification Number of Insure Work Location of Insured(onlyrequiied if.coverage is specificallylimited,to or Social:Secudty Number ' certain locations in New York State,i.e.,Wrap-Up Policy)' . .. ... :. 2.Name and Address of Entity Requesting:Proof of'Coverage. : 9a.'Name of Insurance Carver (Entity Being Listed as the certificate Holder) The Prudential Insurance'Company of America.: Town of Southold " 53095 ROut2 25 3b.;Policy Number of Entity Listed in Box 1a ... CG-52830-NY Southold, 11971 . : . . . 3c.Policy Effective Period . . : .1/1/2024 To 12/31/2024 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;t 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. ti : .. : .. Date Signed January 02 :2024 .By (Signature of insurance carrier's authorized representative or NYS licensed Insurance agent of that insurance carrier) -telephone Number 215-658-7318. : Name and Title:Carolynrl Smith -.VP Contracts. : 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:if 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 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 Box 49,: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 Disabil .and'Paid Family.Leave.BenefitsLaw Article 9 of the,Workers'Com ensation'Law.):with respect to all of theirem to e es. . . Date Signed -':By (Signature ofAuthorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and Paid Family Leave.be.neriits.insurance:policies and NYS licensed insurance agents of those insurance-carriers are authorized:to issue:Fonn DB-120.1.Insurance brokers are NOT authorized to issue this form. D13-120.1 (12-21) ::; .: :: . : : : . :: �� . ..: " IIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIII . . : YORK Workers' CERTIFICATE OF STATE; c6hiper seltloll .: :� Board : NYS WORKERS COMPENSATION INSURANCE COVERAGE- Board Legal Name&Addre'ss.of Insured(use street:address only) 1b:Business Telephone Number of Insured 'Sunrun Installation'Services inc. 225 Bush Street Suite 1400 San Francisco;CA 94104 1c.NYS Unemployment Insurance Employer Registration Number.of.:: Insured . . . . .50-66426 4 Work.Location of insured(Only requln:d if coverage is specifically limited to certain locations ln'New York State,i.e., . : ld.Federal.Employer Identification:Number^of Insured or Social'Security a.Wrap-UpPdlic Number. y) . . .. 2.Name and Address of Entity Requesting Proof of Coverage(Entity. 3a.Name of Insurance Carrier Being tisied as:the Certificate,Holder) . ..: AMERICAN ZURICH INSURANCE COMPANY Town of Southold.: 3 ..Policy Number of Enti Listed in Box"la" •• Town Hall Annex Building .. .. �• � .. .. � ty 54375 Route 25 P.O.Box 1179 WC fi142871ir 02 Southold,NY 11971. : '3c..Policy effective period •. 10/01/2023: . : to 10/01/2024 3d.The Proprietor,Partners or Executive.Officers are :. . 0 : .. : .. .. Q included. (Only check box ail partners/fficers included)- • . . .. . .. •. :�all excluded or certain partners/officers excluded. This certifies that the insurance Barrier 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-cif theworkers'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 carver must notify the,above certificate:holder.and the Workers'Compensation Board within 10 days IF a policy:ls.cancele'd due to nonpayment of premiums or within 30 days IF there are.reasons other than nonpayment of premiuinsthat 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.Thhis.certificate does,not amend, extend or alter the coverag...afforded by the:policy listed,nor does it,confer any rights or responsibilities beyond those contained in the referenced policy.: . : This certificate maybe used as evidence of a Workers'.Compensation contract.of insurance only while the.underlying policy is h 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'&Workers'Compensation Coverage or'.other authorized'proof that the business is.complying with the- mandatory coverage requirements of the New York State Workers'Compensatiion.Law. Under penalty of:perjury,I certify that I am an:authorized representative or licensed' ent.of the insurance carrier.referenced above and that the named insured has the coverage as depicted on this form. Approved.b :. Mark A bi : . ..: . . ... A Y (Print.name of authorized representative or licensed agent of insurance carrier) Approved by: .: Y G. 10-01-2023 . ..: (Signature). (Date) V P/Underwriter :: . . ..Title:. . . . ... . . ... 415 946-7500: . ..: Telephone,Number of authorized representative or-licensed agent of insurance carrier: . :) Please Note:Only insurance carriers.arid their licensed agents are authorized to issue-Form C-105.2.Insurarice-brokers are NOT:. ' . . . . . . . . . . authorized to issue it. C-1.05.2(9-17) . ..: www.wcb.ny.gov. . MIGHTY :: __ : . . .. . ENGINEERING:C.O. :April 12,2024 RE: :. _ .. :. CERTIFICATION.LETTER Project Address: .CONCEPCION PEREZ RESIDENCE :- 1575 GABRIELLA 6 MATTITUCK,NY;11952 .Design.Criteria: -Applicable Codes=2020 NYSRC,2018 IRC/IBC/IEBC,ASCE 7-16 and 2018 NOS -Risk Category.=II• -Wind Speed=128 mph,Exposure'Category B,Partially/Fully Enclosed Method " . Ground Snow Load=:25 psf ROOF AR-01 &AR-02;2,x,10 @ 16"OC,Roof DL=9 psf;Roof LUSL=15 psf(Non-PV),Roof LUSL=,8.4 psf(PV) To Whom It May Concern, . • • . .. . :A structural evaluation of loading was conducted for the above address based on the design criteria listed:above'. Existing roof:structural framing has been reviewed for'additidnal loading due to installation of.PV Solar System bn'the roof.The structural' review applies-to-the sections of roof that is directly supporting the solar PV system. Based on this evaluation, I certifythat the alteration to:the:existing structure by.installationr of the PV system:meets the prescriptive . ::: compliance requirements of the'applicable.existing building and/or new building provisions adopted/referenced.6bove.. .. = Additionally,the PV module assembly includirig attachment hardware has been reviewed to be in accordance with.the manufacturers.. 'specifications and to meet and/or-exceed the requirements-set forth by the referenced codes. A. d MV5 D Sincerely, OF NE�r i ita:ll: S ned b APP R VED AS NOTED : . .. . . :Humph rey K. :. DA B.P 5�7 a. ,. �, 2 W / Kariuki 49545� — a e-2024.04� 2 NOTIFY BUILDING DEPARTMENTAT. 631-765=1802:SAM TO 4PM FOR THE pR��ESSI�NP� 06:48:05 704 00 INSPECTIONS. FOLLOWING I DNS: L :. A OA : FOUNDATION-TWO REQUIRED COMPLY-WITH ALL CODES OF : CertifiC8tibn FOR POURED CONCRETE ' NEW YORK STATE&TOWN CODES : ..... Ma Be Required,' ROUGH-'FRAMING&PLUMBING.. Y .:: : . q : . . .. . S:REQ IRED AND:CONDITIONS OF : : INSuwTION:: �:.. FINAL-CONSTRUCTION MUST SQt1lOLOTOWNPIANMNG�IIA�: _ . ELECTRICAL BE COMPLETE FOR C.O. :: _NMT0WN1 IN SPECTION REQUIRED :,: ::.ALL CONSTRUCTION SHALL MEETTHE-•: :: _ 'ICY& i REfaUIREMENTS OF THE CODES OF NEW ORK A NOT RE NS E • ��� � Y •ST TE.. N SPO IBL FOR .. .. . . . DESIGN OR CONSTRUCTION ERRORS Mi t En i rig o 1708 Roxborou h Rd'C'har:lotte,NC 28211.; 98p 689.9776• Y g I: g:� I:(. ) I info@rniglityengineeringco.com.::•: .• pg 1 of 4 5-0 7 V Z- Fe rem° SITE PLAN-SCALE=1/16"=1%0" ® FAC C� MP ,�oVNEvV SITE PLAN DETAIL-SCALE=1/64"=1'.0*' , o KA q 0PF INV AC SE Z� C O Lu ROOF PATHWAYS (E)DRIVEWAY '� m r d 2 (3,TYP) =C2 095450 � (N)ARRAY AR-01 (E)GATE q G�9 ROFESSIONP� dp i (E)STORAGE i• (E)STORAGE ''" o (E)RESIDENCE (E)SHED \\> c ey FIRE SETBACKS o (18..TYP) o (N)ARRAY AR-02 7� 0 ROOF PATHWAYS R� (E)FENCE (3'TYP) (E)SKYLIGHT s u n ru n 00825-ME 177 CANINOUE ROCK ROAD,WESR3URY,NY 115M PFWNE eos.s®sm� FAXBA53NI.ROT2 CUSTOMER RESIDENCE: ARRAY TRUE MAG PV AREA CONCEPCION PEREZ PITCH AZIM AZIM (SQFT) 1575 GABRIELLA CT, AR-01 44° 235° 247° 42.3 MATTITUCK,NY,11952 AR-02 44° 146° 158° 211.4 TEL.'(631)494-6660 APN:1000-108-00-04-00-007-034 SOLAR PROJECT NUMBER: MODULES 216R-575PERE LEGEND AC ELECTRIC VEHICLE MICROGRID GROUNDING DESIGNER: (415)580-6920 ex3 SM SUNRUN METER AC DISCONNECT(S) EV SUPPLY EQUPMENT MD INTERCONNECT DEVICE ELECTRODE JOHN PAUL TECSON SCALE:NTS NOTE:NOTALL ffEM31N LEGEND DC ENERGY STORAGE ❑ INTERIOR EQUIPMENT SHEET W[LA PPEAR IN SITE PLAN pM DEDICATED PV METER O Mr DC DISCONNECT(S) MA SYSTEM METER ADAPTER L J SHOWN AS DASHED TOPSPEED SITE PLAN ® ❑ � &_COMMUNICATION MOUNT SE SERVICE ENTRANCE SP SUB-PANEL INV INVERTER(S) AM ACREL METER BI BACKUP INTERFACE BG BACKUP GATEWAY REV:A 4/10/2024 MP MAIN PANEL LC PV LOAD CENTER SEM SOLAREDGE METER a IQ COMBINER BOX BP BACKUP LOADS PANEL M STORAGE OWERWALL ENER SYSTEM Y GP GENERATION PANEL PAGE PV_2.0 ti 120/240 VAC P,�of NEW yo SINGLE PHASE KAVj4 P� SERVICE METER#: NOTE:TOTAL PV BACKFEED=20A r W OM PSEGLI80569258 USED FOR INTERCONNECTION CALCULATIONS ACCOUNT#: 106286 UTILITY GR D 9626542342 �op�QFE$$IONO��� SUPPLY SIDE TAP Digitally signed 4 by Babak (N)LOCKABLE Kaviani I EXISTING 150A BLADE TYPE MAIN BREAKER FUSED AC (N)LOCKABLE SOLAREDGE TECHNOLOGIES: Date:2024.04.1 2 DISCONNECT BLADE TYPE SE380OH-USMN i AC DISCONNECT 3800 WATT INVERTER JUNCTION BOX PV MODULES 06:49:46-04'00' EXISTING 3 3 2 oR EQUIVALENT 1 HANWHA Q-CELLS:Q.PEAK DUO ELK 4.� ML-G10+/T 400 200A MAIN ✓PANEL — (12)MODULES FACILITYOPTIMIZERS WIRED IN: (1)SERIES OF(12)OPTIMIZERS LOADS caou oSQUARE D SQUARE D LOAD RATED DC DISCONNECT D222NRB DU221RB WITH AFCI,RAPID SHUTDOWN LAREDGE POWER OPTIMIZERS 3R,60A 3R,30A,2P COMPLIANT S440 120/240VAG 120/240VAC CONDUIT SCHEDULE GENERAL NOTES: S u n r u n TAP DEVICE MUST BE MARKED"SUITABLE FOR USE ON THE 0 CONDUIT CONDUCTOR NEUTRAL GROUND LINE SIDE OF THE SERVICE EQUIPMENT'OR EQUIVALENT. 1 NONE (2)10 AWG PV WIRE NONE (1)6 AWG BARE COPPER 2 1"PVC OR EQUIV. (2)10 AWG THHN/THWN-2 NONE (1)10 AWG THHN/THWN-2 00825-ME 3 1"PVC OR EQUIV. (2)10 AWG THHN/iHWN-2 (1)10 AWG THHN/THWN-2 (1)8 AWG THHNITHWN-2 FAx E6369.F13 4 1"PVC OR EQUIV. (2)6 AWG THHN/THWN-2 (1)8 AWG THHN/THWN-2 (1)8 AWG THHN/THWN-2 CUSTOMER RESIDENCE: CONCEPCION PEREZ 1575 GABRIELLA CT, MODULE CHARACTERISTICS S440 OPTIMIZER CHARACTERISTICS: MATTITUCK,NY,11952 HANWHA Q-CELLS:Q.PEAK DUO BLK MIN INPUT VOLTAGE: B VDC ML-G10+/T 400: 400 W MAX INPUT VOLTAGE: 60 VDC TEL.(631)494-6660 OPEN CIRCUIT VOLTAGE: 45.55 V MAX INPUT ISC: 14.5 ADC APN:1000-108-00-04-00-007-034 MAX POWER VOLTAGE: 38.09 V MAX OUTPUT CURRENT: 15 ADC PROJECT NUMBER: SHORT CIRCUIT CURRENT: 12.18 A 216R-575PERE SYSTEM CHARACTERISTICS-INVERTER 1 SYSTEM SIZE: 4800 W DESIGNER: (415)560 6s2o ax3 SYSTEM OPEN CIRCUIT VOLTAGE: 12 V JOHN PAUL TECSON SYSTEM OPERATING VOLTAGE: 380 V SHEET MAX ALLOWABLE DC VOLTAGE: 480 V ELECTRICAL SYSTEM OPERATING CURRENT: 12.63 A SYSTEM SHORT CIRCUIT CURRENT: 15 A REV:A 4/10/2024 PAGE PV-4.0 w. .•`: .-$HEET�INDEX .� : .� SCOPE-OF WORK • : .�• GENERAL NOTES PAGE# .:DESCRIPTION.:: SYSTEM:kE:480OW DC,3800W AC ALL WORK SHALL COMPLY WITH 2O20 NEW YORK STATE RESIDENTIAL.CODE PV-1.0 COVER SHEET"' MODULES:(12)HANWHA Q-CELLS:Q.PEAK DUO BLK WITH 2O18 IRC/IBC/IEBC,:7-16 ASCE&2018 NDS,MUNICIPAL CODE,AND ALL ML-G10+/T 400. .. MANUFACTURERS'LISTINGS AND,INSTALLATION INSTRUCTIONS.- ' PV-2.0 SITE PLAN -INVERTERS:(1);SOLAREDGE TECHNOLOGIES: •PHOTOVOLTAIC SYSTEM WILL COMPLY WITH NEG2017. PV-3.0. LAYOUT' 5E3800H-USMN." •RACKING:TOPSPEED,ATTACHMENT DETAIL,MOUNT TO ELECTRICAL SYSTEM GROUNDING WILL COMPLY.WITH NEC 2017. OF NEW j PV-4 U ELECTRICAL WOOD DECK:SNR-DC-30004 a �p ICANj O¢� PV-5.0' SIGNAGE :. :. GR .THE .SYSTEM LIE 5. ' .. * �� PHOTOVOLTAIC SYSTEM IS UNGROUNDED.N0:CONDUCTORS ARE SOLIDLY. a OUNDED IN EINVERTER STEM COMPLIES 690 3• •MODULES CONFORM:TO AND ARE LISTED:UNDER UL'61730. INVERTER'CONFORMS TO'AND IS LISTED UNDER UL 17'41. ?� 095450 � v • •RACKING CONFORMS TO AND IS LISTED UNDER UL 2703. sAROFESSIONP •SNAPNRACK RACKING SYSTEMS;IN COMBINATION WITH TYPE I,OR TYPE II MODULES,ARE CLASS AFIRERATE0. DI,gitally SIgILCI�i COND RAPID UCTORSARE.WITHINIARRAYB UNDARIESPER NEC 690.2�MET WHEN INVERTERS AND .L` b. H mphrey V CONSTRUCTION F O PLACE CONDUIT RUN• NSTRUCT FOREMAN T CE COND N PER (G). Ka I U k •ARRAY DC CONDUCTORS ARE SIZED FOR DEBATED CURRENT. Date::2024.04: .2. . •12.18 AMPS MODULE SHORT CIRCUIT CURRENT. 06,48.29 7-04'00.' .. •.15.23 AMPS.DEBATED SHORT.CIRCUIT CURRENT(690.8(A)&690.8(B)). a sunrun._ . . . .. . . . .. :. :. ••• �.. 00825-ME ABBREVIATIONS:, VICINITY MAP. '.' '.. 'mcaarwoue RCLI(ROAp,wEsrsusY,Nr�iaao"' A .AMPERE .. - .. .. .. .. .. .. .. .. .. .. FAX6a6ssa1022. AC ALTERNATING CURRENT . AFC: 'ARC FAULT clRcurtiNiERUPTER .. .. .. .. .. .. .. ,. CUSTOMER RESIDENCE:: CONCEPCION PEREZ AZIM AZIMUTH •s: _; 1575GABRIELLA CT,:: MA 1 119 z COMP COMPOSITION .. ... ... ... ... ... ... .. ... , , .. TT TUCK NY 5 DC. DIRECTCURRENT - .. - .. . (E): EIasTBic " - .. .. .. .. .. .. .. TEL.(631)494-0fi60' - APN:1000-108.00-04-00-007-034 ESS ENERGY STORAGE SYSTEM - - - - -- PROJECT NUMBER: MSP MAIN SERVICE PANEL • �l - 216R-575PERE NEW ... ... '.:.-: - 9 ... ... ... ... ... ... ... ... 2U B 5)580-69 x3 PRE-FAB PRE-FABRICATED .. .. .. .. .- .. .. .. .. .. .. .. .. DESIGNER (41 JOHN PAULTECSON PSF POUNDS PER SQUARE FOOT � � � � � � - PV' PHOTOVOLTAIC. . .. .'.•.. .. .. .. .. .. .. .. .. .. .' .' SHEET... . RSD RAPID SHUTDOWNDEVICE •'• "' ... .. •. •• .COVER SHEET TL TRANSFORMERLESS ... .. ... ... ... ... ... ... . . .. .. V' VOLTS, .. .. .. .. .. .. .. .. .. E . w: wens• .. :. REV:A 024 PAG PV 1 0 INVERTER 1 PHOTOVOLTAIC . , DISCONNECT • NOTES AND SPECIFICATIONS: •SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE NEC 2017 ARTICLE 7E'MlNAl-S HOCK HAZARD PHOTOVOLTAIC SYSTEM 110.21(B),UNLESS SPECIFIC INSTRUCTIONS ARE REQUIRED BY SECTION 690,OR • 480 . IF REQUESTED BY THE LOCAL AHJ. COMBINER PANEL MAXIMUM CIRCUIT CURRENT15 • •SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE LINE AND LOAD DO NOT ADD LOADS WORDS,COLORS AND SYMBOLS. ENERGIZED IN MAXRATED• • •LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENTOR WIRING LABEL LOCATION: METHOD AND SHALL NOT BE HAND WRITTEN. POSITION • '• ••. •. . . 15 ADC LABEL SHALL BE OF SUFFICIENT DURABIUTY TO WITHSTAND THE ENVIRONMENT PHOTOVOLTA C AC COMBINER OF INVOLVED. .�(�0 NEWAPPUCAB y LABEL LOCATION: PER CODE(S):CEC 2019:705.12(B)(2)(3)(c), LABEL LOCATION: •SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535.4.2011,PRODUCT SAFETY A,Q' K KA INVERTER(S),ACIDC DISCONNECT(S), NEC 2017:705.12(B)(2)(3)(c) INVERTER(S),DC DISCONNECT(S). SIGNS AND LABELS,UNLESS OTHERWISE SPECIFIED. 'ei• V/,' �P.� AC COMBINER PANEL OF APPLICABLE). PER CODE(S):CEC 2019:690.53,NEC 2017:690.53 •DO NOT COVER EXISTING MANUFACTURER LABELS. * 0 PER CODE(S):CEC 2019:690.13(B),NEC 2017:690.13(B) r W DUAL POWER SUPPLY r 106286 ���aTTPUT�+NECTI+ SOURCES:UTILITYGRID A D NOT RELOCATE THIS AND PV SOLAR ELECTRIC '�OFESSIONP OVERCURRENT DEVICE SYSTEM LABELLOCATION: LABEL LOCATION: ADJACENT TO PV BREAKER OF UTIUTY SERVICE METER AND MAIN APPLICABLE). SERVICE PANEL. PER CODE(S):CEC 2019: PER CODE(S):CEC 2019:705.12(B)(3),NEC 705.12(B)(2)(3)(b),NEC 2017: 2017:705.12(B)(3) 705.12(B)(2)(3)(b) A a FOR • 1R PV SYSTEM LABEL LOCATION: BUILDING SUPPLIED BY UTILITY INSTALLED WITHIN 3'OF RAPID SHUT DOWN s u n r u n SWITCH PER CO).IFC CEC 205.1.1,IF(2018:NEC GRID AND PHOTOVOLTAIC 2017:890.58(C)(3),IFC 2012:805.11.1,IFC 2018: 1204.5.3,CFC 20I9:1204.5.3 4" k SYSTEM PHOTOVOLTAIC AC DISCONNECT SOLAR PV SYSTEM EQUIPPED 00825-ME MAXIMUM AC.- VOLTAGE:NOMINAL OPERATING AC WITH RAPID SHUTDOWN "' xx .N"FNIb6.Ml.M3 LABEL LOCATION: AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF CUSTOMER RESIDENCE: INTERCONNECTION. CONCEPCION PEREZ PER CODE(S):CEC 2019:690.54,NEC 2017:690.54 1575 GABRIELLA CT, 3„ TURN RAPID SHUTDOWN MATTITUCK,NY,11952 Los SWITCH TO THE"OFF •^�„ , • • 60 POSITION TO SHUT DOWN TEL.(831)49 0-0 APN:1000.10"8-00-04-00-007-034 PV SYSTEM AND REDUCE LLABEL LOCATION: SHOCK HAZARD IN THE PV SYSTEM m PROJECT NUMBER: INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, ARRAY DISCONNECT 216R-575PERE AT EACH TURN,ABOVE AND BELOW PENETRATIONS, ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. DESIGNER: (415)50M920 ex3 PER CODE(S):CEC 2019:690.31(G)(3),690.31(G)(4), JOHN PAUL TECSON NEC 2017:690.31(G)(3),690.31(G)(4)IFC 2012: 805.11.1.4 LABEL LOCATION: POINT OF INTERCONNECTION SHEET LABEL LOCATION: (PER CODE:NEC690.56(B),NEC705.10,225.37,230.2(E)) ON OR NO MORE THAT 1 M(3 FT)FROM THE SERVICE S IG NAGS DISCONNECTING MEANS TO WHICH THE PV SYSTEMS ARE CONNECTED. REV:A 4/10/2024 PER CODE(S):CEC 2019:690.56(C)(1)(a),NEC 2017: 690.56(C)(1)(a) PAGE PV-5.0 Powered by � OUo r it • • CA MLs TOP BRAND PV �� owuy Te•cea 2 z c ` 19 VOENO OO�r VD.4000i2587 Q.ANTUM TECHNOLOGY:LOW L£VELISED COST OF ELECTRICITY Higher yield per surface area,lower BOS costs,higher power classes,and an efficiency rate of up to 19.996. INNOVATIVE ALL-WEATHER TECHNOLOGY C9- Optimal yields,whatever the weather with excellent low-light and temperature behaviour. ENDURING HIGH PERFORMANCE Long term y eld security with Anti LID Technology,Anti PID J Technology,Hot-Spot Protect and Traceable Quality Tra.0m. EXTREME WEATHER RATING High-tech alum num alloy frame,cart fied for high snow(5400Pa)and wind loads(4000 Pa). p A RELIABLE INVESTMENT Inclusive 12-year product warranty and 25-year linear performan-:e warranty. STATE OF THE ART MODULE TECHNOLOGY 1 _ Q.ANTUM DUO combines cutting edge cell separation and innovative wiring with Q.ANTUM Technology. APT test conditions according to IEC/TS 62804-1:201`,method 9 f-1500v,168h► See data sheet on rear for further information THE IDEAL SOLUTION FOR: Rooftoparrays in Rooftop errorson residential buildings commercial and industrial but dings Engineered in Germany OCIELLS MECHANICAL SPECIFICATION 'ormat 663init39.4inx1.26in(inc ludingframe) (1685mmx1000mmx32mm) - »rnasmm, Weight 41.2lbs(18.7kg) Front Cover 0.13in(3.2mm)thermally pro-stressed glass with + + anti-rellaCion technology .•a..ra o..e.o,rr,°t..,l 'V� Back Cover Composite film Frame Black anodizedalunrnum or.u000.a Celt 6 x 20 manocryslelline Q.ANTUM solar half callsi®'v,, 4 Junction Box 2.09-3.981n x 1.28-2.36in x 0.59-0.71in (53.101 mm x 32.60mm x 15-18mill IP67,with bypass diodes 0" Cable 4mmo Solar cable;(+)>_43.3in(11OOmm),(-)>:43.3in(1100mm) s•o-..,.� � x•Yw,y,q,er•IOETrwp � Connector St3ubb MC4,Hanwha Q CELLS HOC4,Amphenol UrTX, Renhe 05-8°Tongling TL-CableOlS,JMTHY JM601,IP68 or ,,•„: , orr�A Friends PV21%IP67 To ass a o.o ELECTRICAL CHARACTERISTICS POWER CLASS - 320 325 730 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC'(POWER TOLERANCE+5 W/-0 W) Power atMPPI P. (WI 315 320 325 330 E Short Circuit Currents Isc [Al 9.99 10.04 10.10 10.15 c Open Circuit Voltage' Voc IV) 39.84 40.10 40.36 40.62 E Current at MPP I (A) 9.51 956 9.61 9,67 Voltage at MPP Vuw IV) 33,14 33.47 33.81 34.14 Efficiency' rl (%) 2:18.7 >_19.0 >_19.3 >_19.6 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT Power at MPP P r, (WI 235.9 239.6 2434 247.1 E Short Circuit Current Isc (Al 8.05 8.09 8.14 8.18 E Open Circuit Voltage Voc IV} 3756 3781 38.06 38.31 E Current at MPP IM [A] 7.48 7.52 7.57 7.61 Voltag, at MPP Vsm IV) 31.53 3185 32.17 32.48 Measurement IoterenotrsPg o t3%,Ir,Voc t5%at STC 1000W/m=25t2°C,AM 1.5 according to lEC 60904-3•'80OW/mt,NMOT,spectmm AM 1.5 Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE u u - '^ At least 98%of nominal power during W .,...w,vr..,..r.., first year.Tfx3reaftarmax.0.54% , I , 735 degradation per year At best 93.1% �sro►__�____-4 ,�,.,r w of nominal power up to 10 years.At it z ~ least 85%of nominal power up to I , 25 ears - y aAll data within rin"sureteientlolexanc- es.Fun warranties in accordance with " » sea ow ow oao seas i the warranty terms of the Q CELLS ,4v �,-, � ,I °u N ° sales organisation of your respective q r N N M country o§ Eeu` Typical module performance under low ltradianceu-,ndltionsin Q comparison to STC conditions(25°C,1000 W/ms) m TEMPERATURE COEFFICIENTS $ npe.an re Goa(oc er;; I;s o I%/1r) +0.04 Temperature Coefficient of Voa i8 I%/KI -0.27 M Temperature Coefficient of P_ T (%/R; -0.35 Normal Module Operating Temperature NMOT I°F) 109t5.4(43t3°C) � PROPERTIES FOR SYSTEM DESIGN Maximum System Voltage [VI 1000(IEC)/1000(k) Ss+ :,.;:,,, 0 Maximum Series Fuse Rating (ADC) 20 Fire Rating based on ANSI/UL 1703 C(IEC) TYPE 2(UL) Max.Design Load,Push/Pull' [bs/ftj 75(3600Pa)/55(2667Pa) Permitted Module Temperature 40°F up to+185 F Is ContinuousDut 40°Cur to+85° o SIP [bs/tls( 113(5400Pa)/84(4000Pa) Y ( P ee Instal at Ma at QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION UL 1703.vt I ty Tested,CE-complwnt,IEC 61215:2016.IEC 61T302016. Number of Modu1- 3? 1 App6oMon Class 11.U.S.Patent No.9,893.215(solar cats) Number of Pallets per 53 Trailer 30 C SP• Number of Pallets per 40'HC-Container 2 E1VE c v,.,Pus Pallet Dimensions(L x W x H) 69.3 x 45 3 x 46.9,r r176 x 115 x 1190m u ° Pallet Weight 141 Ibs(642kg) Note:Installation Instructions must be lollowed.See the instal ation and operating manual or contact our technical service department for further irf rrna n oo approved nstallau n and se of this product. Hanwha Q CELLS America Inc. 400 Spectrum Center Drive,Suite 1400.Irvine,CA 92618.USA I IMF+1 949 748 59 96 1 EMAIL inquuy@us q-cells com I will www.q-cells.us solar=@@ Single Phase Inverter with HD-Wave Technology for North America SE3000H-US/SE380OH-US/SE5000H-US/ SE6000H-US/SE760OH-US/ SE1000OH-US/SE1140OH-US 4 solar-@,- 0 solar --> Apr arts, ,N2rta 1Y o q e O e a 0 V top 0 Optimized installation with HD-Wave technology - Specifically designed to work with power optimizers - Record-breaking efficiency Fixed voltage inverter for longer strings - Integrated arc fault protection and rapid shutdown for NEC 2014 and 2017, per article 690.11 and 690.12 UL1741 SA certified,for CPUC Rule 21 grid compliance - Extremely small — High reliability without any electrolytic capacitors — Built-in module-level monitoring 11111111111d Wit L — Outdoor and indoor installation wave — Optional: Revenue grade data,ANSI C12.20 Class 0.5(0.5%accuracy) www.solaredge.us solar • • Single Phase Inverter with HD-Wave Technology for North America SE3000H-US/ SE380OH-US/ SE5000H-US , SE6000H-US/ SE760OH-US / SE10000H-US / SE1140OH-US SE3000H-US SE380OH-US SESOOOH-US SE6000H-US SE760OH-US SE100OOH-US SE1140OH-US OUTPUT _ Rated AC Power Output 3000 3800 @ 24OV 5000 6000 @ 240V 7600 10000 11400 VA ............................................ ................ 00.Q°,208V.33 ................ .5000 @,208V. ................ ................. ................. ........... Max.AC Power Output 3000 3800 @ 240V 5000 6000 @ 240V 7600 10000 11400 VA ............................. .... ........... ............ 3300.@.208V. ................ .5000 @,208V. ................ ................. ................. ........... AC Output Voltage Min:Nom. :.Max. Vac (183 208 229) ...... ............... ................ ................ ............I.... ................ ................. ................. ........... AC Output Voltage Min.-Nom:Max. ✓ ✓ Vac .141.-240-264)...............I.,......... ................ ................ ................ ................. ................ ................. I................ ........ AC Fr g!fegry.4Nominal� 59.3-60-60.9) ............... ................ . ............... . z ............... ................. ................. ........... Maximum Continuous Output Current 16 24 - A 208V Maximum Continuous Output Current 12.5..... .......ifi...... .......21...... .......25....... .......3Z....... .......42....... ......4..7...5. ....A..... GFDI Threshold 1 A . . (Iii....................................1 .......................................................... .......... UtilftyMonitoring,IslandingProtection, � . . . . . ........ .. . . ........... ........��� Country Configurable Thresholds Yes INPUT Maximum DC Power @240V 4650 5900 7750 9300 11800 15500 17650 W Maximum DC Power @2O8V 5100 7750 - ......... ........... ................ .....I.......... ................ ................. ................ ................. ................. ........... Transformer-less,Un rounded Yes Maximum In ut Volta a 480 Vdc .......P.........8.................... .................................................................... .................................................... ........... Nominal DC Input Voltage 380 I I 400 Vdc ..... .. . . .... .... .... ..... .. Maximum Input Current 2O8V 9 13.5 . . . Maximum Input Current @240V .. 8.5. . 10.5 13.5 16.5 20 27 30.5 Adc Max.Input Short Circuit Current 45 Adc _ -- _ ........................... ........... Reverse•Polarity Protection Yes Ground-Fault Isolation Detection 6OOkn Sensitivity Maximum Inverter Efficiency 99 I 99.2 % _.._ ..._ ... ......... CEC Weighted Efficienty 99 % Nighttime Power Consumption <2.5 W ADDITIONAL FEATURES Supported Communication Interfaces RS485,Ethernet,ZigBee(optional),Cellular(optional) Revenue Grade.Data,,ANSI.C12.2O Optional(') m Rapid Shutdown-NEC 2014 and 2017 690.12 I Automatic Rapid Shutdown upon AC Grid Disconnect _ STANDARD COMPLIANCE Safety UL1741,UL3741 SA,UL1699B,CSA C22.2,Canadian AFCI according to T.I.L.M-07 Grid Connection Standards IEEE1547,Rule 21,Rule 14(HI) _Emissions FCC Part 15 Class B INSTALLATION SPECIFICATIONS AC Output Conduit Size/AWG Range ?IA"minim /14 6 AWG 3/4"minimum/14 4 AWG ... ............................. DC Input Conduit Size/IIIof Strings/ 3/4"minimum/1-2 strings/14-6 AWG 3/4"minimum/1-3 strings/ AWGRang?................................ .................................I.............. .................................... ............14-6 AWG ........... Dimensions with Safety Switch(HxWxD) 17.7 x 14.6 x 6.8 /450 x 370 x 174 21.3 x 14.6 X i /540 x 370 in/mm . ....._....................... ....... ... ................ ...... .I......... ht with Safety g Wei Switch 22/SO 25.1/11.4 26.2/11.9 38.8/17.6 Ib/ . Y Noise <25 <50 deA Cooling Natural Convection Natural convection Operating Temperature Range 13 to+140/ 25 to+600I(-40'F/-40'C option)(') 'F/'C _... Protection Rating NEMA 3R(Inverter with Safety Switch) Itl For other regional settings please contact SolarEdge support RI Revenue grade inverter P/N:SEn H-USOOONNC2 Isl For power de-rating Information refer to:https://v .solaredge.com/sites/default/files/se-temperature-demtlng-note-na.pdf I`)-40 version P/N:SE�H-USOOONNU4 Technologies, reserved. • logo,OPTIMIZED SITE PLAN-SCALE=1116"=V.0" ® C MID (�OF NEW Y AC SITE PLAN DETAIL-SCALE=1/64"=V-0" �'�P�E� KAN�9 0'P,� j w ROOF PATHWAYS (E)DRIVEWAY (3-TYP) / \ 095450 ��(9 (N)ARRAY AR-01 (E)GATE v 4 C� ROFESSIONP ��F (E)STORAGE C! (E)STORAGE 0 (E)RESIDENCE 4 (E)SHED 'o FIRE SETBACKS o (18 TYP) o (N)ARRAY AR-02 0 ROOF PATHWAYS (E)FENCE (3 TYP) / (E)SKYLIGHT Isunrun 00825-ME cANrwoue Rorx ROAD,w URr,NY iisea PLANE eos.sao.saei rAx sas.zee.zozz CUSTOMER RESIDENCE: ARRAY TRUE MAG PV AREA CONCEPCION PEREZ PITCH AZIM AZIM (SOFT) 1575 GABRIELLA CT, AR-01 44° 235° 247° 42.3 MATTITUCK,NY,11952 AR-02 44° 1 146° 158° 211.4 TEL.(631)494-6660 AP N:1000-108-00-04-00-007-034 tMODULE'S PROJECT NUMBER: 216R-575PERE LEGEND AC ELECTRIC VEHICLE MICROGRID GROUNDING DESIGNER: (415)580-6920 ex3 SM SUNRUN METER AC DISCONNECT(S) EV SUPPLY EOUPMENT MD INTERCONNECT DEVICE Ul ELECTRODE JOHN PAUL TECSON WALE:NTS EEI WILL NOTE:NOT ALL SrMS M LEGEND ❑ DC M ENERGY STORAGE ❑ F-1 INTERIOR EQUIPMENT NOTE,APPEARNLLI ITEMS PLAN p(y1 DEDICATED PV METER O DC DISCONNECT(S) �F MA METER ADAPTER SHEET SYSTEM L J SHOWN AS DASHED ED SITE PLAN ® ❑ O WI ESUNICATION MOUNT SE SERVICE ENTRANCE SP SUB-PANEL INV INVERTER(S) AM ACREL METER BI BACKUP INTERFACE BG BACKUP GATEWAY REV:A 4/10/2024 MP MAIN PANEL LC PV LOAD CENTER EM SOLAREDGE METER CB IQ COMBINER BOX BP BACKUP LOADS PANEL Z STOWERWASYSTEM ESS) GP GENERATION PANEL PAGE PV-2.0 ROOF INFO FRAMING INFO ATTACHMENT INFORMATION DESIGN CRITERIA Name Type Height Type Max OC Detail Minimum Number of Mounts per Up-Slope Max Landscape Max Portrait MAX DISTRIBUTED LOAD:3 PSF Span Spacing Edge(Landscape/Portrait) Overhang Overhang SNOW LOAD:25 PSF ND SPEED: AR-01 COMP SHINGLE- 1-Story 2X10 RAFTERS 8'-3" 16" TOPSPEED,ATTACHMENT DETAIL,MOUNT 2/21'-6" 0'-10" 1128 MPH 3--SEC GUST. TOPSPEED TO WOOD DECK:SNR-DC-30004 FASTENERS: AR-02 COMP SHINGLE- 1-Story 2X10 RAFTERS 10'-0" 16" TOPSPEED,ATTACHMENT DETAIL,MOUNT 2/2 T-6" 0'-10" (4)#14 X 2.25"SS SEALING TOPSPEED TO WOOD DECK:SNR-DC-30004 WASHER WOOD SCREWS FULLY D1-AR-01•SCALE:3/16"=1'-0" PENETRATING THROUGH WOOD AZIM:235° 5'-7 6'-2„— 8'-2" DECK PITCH:44° �i INSTALLERS SHALL NOTIFY ENGINEER OF ANY 2' POTENTIAL STRUCTURAL ISSUES OBSERVED PRIOR TO PROCEEDING W/INSTALLATION. OF NEWLi Y MOUNT NUMBER FOR LEADING DOWNSLOPE EDGE v KAN O,Q SHALL MATCH REQUIREMENTS LISTED ABOVE INSTALL ,rPE ,q 'f- PER TOPSPEED-INSTALLATION MANUAL. 5-11" CONTRACTOR MAY SUBSTITUTE SNAPNRACK DECKTRACK MOUNTS(SNR DETAIL SNR-DC-00453)WITH C� w A MAX OVERHANG OF 6" m 2� IF A MODULE(EXCLUDING SKIRT)IS WITHIN 12" 10 095450 OF A ROOF EAVE,RIDGE,OR GABLE END,AN ROFESSIONP' ADDITIONAL TOPSPEED ATTACHMENT MUST BE USED ON THE MODULE EDGE WITHIN THE 12" ZONE. D2•AR-02-SCALE:3/16"=1'-0" _ s u n r u n AZIM:146° } 3'— 18'-0" 7'-T' } PITCH:44° 00825-ME 2' i 171CMRNIXIER RW N£SIHURY,W 115W P110nIE BDS.SO.Stl] FN%lrt.20E.30Y! CUSTOMER RESIDENCE: CONCEPCION PEREZ 1575 GABRIELLA CT, MATTITUCK,NY,11952 TEL.(631)4944MO 13'-11" APN:1000-108-00.04-00-007-034 PROJECT NUMBER: 216R-575PERE DESIGNER: (415)580,6920 ex3 JOHN PAULTECSON SHEET i LAYOUT 2'-1" 7 i REV:A 4/10/2024 PAGE PV-3.0 VAC �triF NEW SINGE PHASE ��0'e�K KAFj'r0, SERVICE METER#: NOTE:TOTAL PV BACKFEED=20A W PSEGLI 80569258 USED FOR INTERCONNECTION O ACCOUNT#: CALCULATIONS C 106286 UTILITY GR D 9626542342 O R1FE$$IONP� SUPPLY SIDE TAP Digitally signed 4 by Babak (N)LOCKABLE Kaviani EXISTING 150A BLADE TYPE MAIN BREAKER FUSED AC (N)LOCKABLE SOLAREDGE TECHNOLOGIES: Date; 2024.04.1 2 1 DISCONNECT BLADE TYPE SE380OH-USMN AC DISCONNECT 3800 WATT INVERTER JUNCTION BOX PV MODULES 06:49:46-04'00' EXISTING 3 3 2 OR EQUIVALENT 14S.OLAREDGE HANWHA Q-CELLS:Q.PEAK DUO BLK 00 200A MAIN f (12)MODU ESPANEL — � (12)MODULESFACILITY 20A FUSES OPTIMIZERS WIRED IN: LOADS FActim (1)SERIES OF(12)OPTIMIZERS cr+ D SQUARE D SQUARE D LOAD RATED DC DISCONNECT D222NRB DU221RB WITH AFCI,RAPID SHUTDOWN POWER OPTIMIZERS 3R,60A 3R,30A,2P COMPLIANT S440 1201240VAC 120/240VAC CONDUIT SCHEDULE GENE S: S u n r u n • TAPRA DEVICE MUST BE MARKED"SUITABLE FOR USE ON THE 0 CONDUIT CONDUCTOR NEUTRAL GROUND LINE SIDE OF THE SERVICE EQUIPMENT'OR EQUIVALENT. 1 NONE (2)10 AWG PV WIRE NONE (1)6 AWG BARE COPPER 2 1"PVC OR EQUIV. (2)10 AWG THHN/THWN-2 NONE (1)10 AWG THHN/THWN-2 00825-ME 177 cunuous Aoac A ,wfereuaY,rry ii 3 1"PVC OR EQUIV. (2)10 AWG THHNrrHWN-2 (1)10 AWG THHNITHWN-2 (1)8 AWG THHNrrHWN-2 AiorE eos w-7 nx ee.zee.xmz 4 1"PVC OR EQUIV. (2)6 AWG THHNrrHWN-2 (1)8 AWG THHN/THWN-2 (1)8 AWG THHN/THWN-2 CUSTOMER RESIDENCE: CONCEPCION PEREZ 1575 GABRIELLA CT, MODULE CHARACTERISTICS S440 OPTIMIZER CHARACTERISTICS: MATTITUCK,NY,11952 HANWHA Q-CELLS:Q.PEAK DUO BLK MIN INPUT VOLTAGE: 8 VDC ML-G10+(f 400: 400 W MAX INPUT VOLTAGE: 60 VDC TEL.(631)494-6660 OPEN CIRCUIT VOLTAGE: 45.55 V MAX INPUT ISC: 14.5 ADC APN:1000-108-00-04-00-007-034 MAX POWER VOLTAGE: 38.09 V MAX OUTPUT CURRENT: IS ADC PROJECT NUMBER: SHORT CIRCUIT CURRENT: 12.18 A 216R-575PERE SYSTEM CHARACTERISTICS-INVERTER 1 SYSTEM SIZE: 4800 W DESIGNER: (415)580-6920 ex3 SYSTEM OPEN CIRCUIT VOLTAGE: 12 V JOHN PAUL TECSON SYSTEM OPERATING VOLTAGE: 380 V SHEET MAX ALLOWABLE DC VOLTAGE: 480 V ELECTRICAL SYSTEM OPERATING CURRENT: 12.63 A SYSTEM SHORT CIRCUIT CURRENT: 15 A REV:A 4/10,2024 PAGE PV-4.0 • 4jkSystem designed with All parts fit in a box for easy maximum versatility for any logistics ` arrays including staggered Drop-in features make the � install process intuitive and fast Simple design allows system to be installed by single installer Listed to UL Standard 2703 for on the roof Grounding/Bonding and Fire Classification SnapNrack RL Universal is designed to provide the fastest, most intuitive install experience for residential roofs. The direct mount system features four basic components for easy material management. Features incredible flexibility with a single Universal mounts that fit module heights from 32 - 40 mm and the highest spans I`s Flash Track with Patented Umbrella Technology • Single Umbrella lag screw secures flashing and flash track to roof in one complete action • Umbrella technology provides weatherproofing with a long- lasting mechanical seal • Flash track is designed for maximum versatility with 6 inches of North-South adjustability for all Mounts Mounts • Single mount used at all locations on array • Extreme time saver by eliminating link interference through the flexibility of the Mount to change orientation • Features a rock-in channel nut design for easy attachment to Flash Track • Slotted riser provides leveling for easy height adjustments Links • Simple design provides mounting platform between two to four modules • Clamps onto top of modules securing them in place while providing !W 00%h row-to-row bonding ' • Next row of modules easily slides into place as with the Mounts Skirt • Easily locks to bottom of module mounts and links for clean aesthetics • Ensures a strong structure for leveling and alignment of first row of modules • Skirt length is compatible with both portrait and landscape module orientations Quality. Innovative . Superior. SnapNrack Solar Mounting Solutions are engineered to optimize material use and labor resources • improve overall installationquality and . • DESCRIPTION: DRAWN BY: SNAPNRACK, RL UNIVERSAL, MOUNT mwatkins .5anClupN F(ac k ' REVISION: PART NUMBER(S): A 595 MARKET STREET,29TH FLOOR•SAN FRANCISCO,CA 94105 USA SC., PHONE(415)580-6900•FAX(415)580E902 THERODUC ION IN THIS UDRAWING USE CONFIDENTIAL OHI PROPRIETARY.ANY REPRODUCTION,DISCLOSURE,OR NSE THEREOF IS PROHIBITED WITHOUT THE WRITTEN CONSENT OF SUNRUN SOUR1 LLC. 10 5 0 e 4 3 � 8 1 2 o 6 PARTS LIST ITEM QTY DESCRIPTION 1 1 SNAPNRACK, RL UNIVERSAL, RISER, MILL 2 1 SNAPNRACK, RL UNIVERSAL, LEVELER, MILL 3 1 SNAPNRACK, RL UNIVERSAL, MOUNT BOTTOM, MILL 4 1 SNAPNRACK, RL UNIVERSAL, MOUNT TOP, BLACK 5 1 SNAPNRACK, RL UNIVERSAL, BONDING CLIP 6 1 SNAPNRACK, DROP IN/ROCK IN CHANNEL NUT 7 1 BOLT, FLANGE, 5/16IN-18 X 3/4IN, CLEAR, SS 8 1 BOLT, FLANGE, SERRATED, 5/16IN-18 X 1IN, SS 9 1 SNAPNRACK, RL UNIVERSAL, MOUNT SPRING, SS 10 1 BOLT, FLANGE, SERRATED, 3/8IN-16 X 2-3/4IN, 1/2IN TRIM HEAD, 1.2IN THREAD, BLACK, SS MATERIALS: 6000 SERIES ALUMINUM, STAINLESS STEEL OPTIONS: DESIGN LOAD (LBS): 623 UP, 674 DOWN, 505 SIDE ULTIMATE LOAD (LBS): N/A TORQUE SPECIFICATION: 12 LB-FT CERTIFICATION: UL 2703, FILE E359313 WEIGHT (LBS): 0.73 DESCRIPTION: DRAWN BY: SNAPNRACK, RL UNIVERSAL, MOUNT mwatkins Snap.Nvuck REVISION: PART NUMBER(S): A 595 MARKET STREET 29TH FLOOR•SAN FRANCISCO,CA 94105 USA PHONE(415)58"900•FAX(415)SBM902 242-02155 THE INFORMATIONIN THIS DRANINGIS CONFIDENTIAL AND PROPRIETARY ANY REPRODUCTION.DISUM.E,OR USE HEREOF IS PROHIRITEDINT OUT THE MITTEN CONSENT OF SUNRUN SOUM LLt. 1.50� 3.41 1.50 F' 2.35 1.50 1.55 .66 2.00lFr I - 1.24 1.00 a` SLOT '+ 2.63—� —1.50� ALL DIMENSIONS IN INCHES