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Home My WebLink About51061-Z of SO(lryo!° Town of Southold * P.O. Box 1179 CA ig 53095 Main Rd COUFM ' Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45928 Date: 02/01/2025 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 350 Harbor Ln Cutchogue, NY 11935 Sec/Block/Lot: 97.-6-5 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 06/17/2024 Pursuant to which Building Permit No. 51061 and dated: 08/12/2024 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 with 3 Tesla power wall/energy storage systems to existing single family dwelling as applied for. The certificate is issued to: 350 Harbor Ln LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51061 01/23/2025 PLUMBERS CERTIFICATION: ut ri d ignature �o�su Eat 0 TOWN OF SOUTHOLD c� BUILDING DEPARTMENT ~ y � TOWN CLERK'S OFFICE o SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51061 Date: 8/12/2024 Permission is hereby granted to: 360 Harbor Ln LLC 13235 Main Rd Mattituck, NY 11952 To: Install roof mounted solar panels and 3 tesla powerwall/ energy storage systems to an existng single-family dwelling as applied for per manufacturers specifications. Additional certification may be required. At premises located at: 350 Harbor Ln, Cutchogue SCTM #473889 Sec/Block/Lot# 97.-6-5 Pursuant to application dated 6/17/2024 and approved by the Building Inspector. To expire on 2/11/2026. Fees: SOLAR PANELS $100.00 ELECTRIC $125.00. CERTIFICATE OF OCCUPANCY $100.00 Total: $325.00 Building Inspector o��oF so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • �Q Southold,NY 11971-0959 �O COUNT BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 350 Harbor Ln LLC Address: 350 Harbor Ln City: Cutchogue St: NY Zip: 11935 Building Permit#: 51061 Section: 97 Block: 6 Lot: 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Tesla Energy Operations License No: 51331 ME SITE DETAILS Office Use Only Indoor rv— Basement 1- Service (— Solar Outdoor rV1- 1st Floor Pool r Spa F Renovation I— 2nd Floor r Hot Tub r Generator (- Survey (— Attic (— Garage Battery Storage . 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 Other Equipment: 14.175kW Roof Mounted PV Solar Energy System w/ (35) HanwhaQpeak ML-G10+/ TS 405W Modules (3) Tesla Powerwa113, Testa Backup Gateway, 200A AC Disconnect Notes: Solar & Battery Storage Inspector Signature: X Date: January 23, 2025 Sean Dev in Electrical Inspector sean.deviin(a�town.southold.ny.us 350HarborLnSolar&Batt OF SOUTyO<o * TOWN OF SOUTHOLD BUILDING DEPT. o�m�a� 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]. NSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL QfV 13 a0-o"�o> [ ] FIREPLACE & CHIMNEY [. ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION :[ ] FIRE RESISTANT PENETRATION- [ ] _ ELECTRICAL (ROUGH) [ ] ELECTRICAL.(FINAL) [ ] '.CODE VIOLATION [ . ] PRE C/O [ ]. RENTAL REMARKS: I - DATE INSPECTOR pp- OF SOUIyO� TOWN OFSOU.THOLD BUILDING DEPT. 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: U1 1e DATE INSPECTOR r SOfI�,�o e r `. TOWN OF SOUTHOLD 6UILDING DEPT. � ` V o -7 -180 1 i VI IN, PECTIOpi� JQ N 23 2025 FOUNDATION 1 RT / REEAR [ ] ROUGH PLBG, ] FOUNDATION 2ND [ ], INSULATIGW AUI.,.I► M 'c"'faw.,�¢ ] FRAMING I-STRAPPING [ ] FINAL FIREPLACE & CHIMNEY , [ 1 FIRE SAFETY-INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) F EL'ECTRI.CAL (FINAL) CODE VIOLATION [ ] PRE C/O -DENTAL IEM ARKS: i IM" Lan ic co Yi .r; JA N 2 3 BufldIng Town of Sc::;; tii i } rc � c p r 7 1 V. r l� 1 _ J a I � a V pi 5pld w "ter t FIELD INSPECTION REPORT DATE COMMENTS ICY 45' FOUNDATION (1ST) -- kil I ---------------------------------------- - (1ST) FOUNDATION (2ND) -------------- cn ROUGH FRAMING& PLUMBING INSULATION PER N. Y. STATE ENERGY CODE et FINAL ADDITIONAL COMMENTS 2-W 6f tD (P-,S- 6y- cl da 0 ��o�sutFoctioGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny..ov Date Received APPLICATION FOR BUILDING PERMIT _ For Office Use Only IE 9CM DIV PERMIT No. 51 Building Inspector: !1 t D JUN 1 7 2024 Applications and forms must be filled out in their entirety..lncomplete„ ' applications will not be accepted. Where the Applicant is.not the owner,an " Owner's Authorization.form.(Page 2)shall be completed EUMDING DE€''T' . TOWN"�X SOVI -7 OWNER(S):OF PROPERTY.; ame: SCTM# 1000- pq 7 o 0C)_0(0,00-.0®GC,000 Project Address: Phone#: (�� Og�r 1.5 Email: Mailing Address: et mt ac 'Aav CONTACT-PERSON: Name: _)V__ p _ Mailing Address:15 Grumman Road West Suite 400, Bethpage, NY 11714 Phone#: �',(®tea-13 , I°C1 Sq _ Email: DESIGN PROFESSIONACINFORM' ATIONy , Name: " Mailing Address: p b(„rN 6ft{ Phone#_, (O_�9 Email: CONTRACTOR INFORMATION:' , Name: Tesla Energy Operations, Inc. Mailing Address:15 Grumman Road West Suite 400, Bethpage, NY 11714 Phone; j' 16 Q-7'7j, 015 C) Email: BethpagePIC@Tesla.com DESCRIPTION-OF PROPOSED CONSTRUCTION ®®❑New Structure ❑Addition ❑Alteration ❑Repair ❑ emolition �eg� -strmated�j-C-ost i Pro,et I JOther Install (35)r'oo,FMan4I�ec�9,1,,,Panz�.S aid 3�sla�o�au�l)s/sue $ � Will the lot be re-graded? ❑Yes VNo Will excess fill be removed from premises? ❑Yes No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: _ _--P-es.IdeI�a-I._--- _-- - - --_ . ►d.� h& ----- Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes o IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as providedby 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(print name): I M03—ftll Agent ❑Owner 5 of Applicant Date: STATE OF NEW YORK) SS: COUNTY OF J ) being duly sworn,deposes and says that(s)he is the applicant (Name of indivifivai signing contract)above named, ,`I (S)he is the C0 ra cbr (Contractor,Agent,Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me thiis� ao day of , 20R9 _ 00-P` 4r_ Notary Pub Ic PATRICIA M. ZULLO PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC-STATE,OF NEW YOR (Where the applicant is not the owner) No.01ZU00015819 Qualified In Suffolk County @v MY F'aOMMIssIon Expires 02=15-2027 I, Day I m-nuzz 1 residing at 3JrQ i4a r 6n tr rye__ 11�,ht� Y do hereby authorize 10 GA � to apply on " my eha to the Town of ilding Department for approval as described herein. wner'S Sign�tu�� Date bQV C1-J U z_Z) -adbQrl d Si9re.r&' Ptri` tOwner'sName 35b Iinfr Lca+'K-Lhe- 2 QgufFO( `,: BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o z Town Hall Annex - 54375 Main Road - PO Box 1179 o <y - Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a)-southoldtownny.gov — seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information.Required) Date: y Company Name: Tesla Energy Operations Inc. Electrician's Name: Jason Kane License No.: ME-51331 Elec. email: JKane@Tesla.com Elec. Phone No: 516-306-0126 ❑I request an email copy of Certificate of Compliance Elec. Address.: 127 West Blvd East Rockaway, NY 11518 JOB SITE INFORMATION (All Information Required) (�(am bay, cL Jctn A92Zi Address: 35-0 Harbor cL +Ck Cross Street: Phone No.: -3 1• d . I )L57 Bldg.Permit#: 5 1 Q (o l email: Tax Map District: 1000 Section:bq . Ov Block: 06 ,00 Lot:0 S, 0 0 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Installation of: (35) RO©-F Ql�, Moun+ed-,SbIcpr-Pqf)eIS I'IB 1751<w PV Arm C3) P-Wa, PckkerLoal) /Efvr5l dl-bmy SyscAIZ q0,5 KW1� Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES 0 NO ❑Rough In ❑ Final Do you need a Temp Certificate?: F\71 YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground©Overhead # Underground Laterals 1 2 H Frame F1 Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION A RECEIPT L . SUFFOLK_COUNTY GOVERNsMENT DEPARTMENT OF LABOR, LICENSING, AND CONSUMER AFFAIRS COMMISSIONER ROSALIE DRAGO P.O. BOX.6100, HAUPPAUGE; NY 1178B (631)853-4600 Today Date: 03/01/2023 Application: ME-5`1331-REN01 , License#: ME-51331 Application Type: Master Electrical License Renewal Fee Allocation: Fee Item Description Fee Amount Amount Paid Amount Paid Total Balance Du License Renewal $400.00 $400.00 $400.00 $0:C .......................................................... ................ .. $400. -. ...-------- .. --------- --Total: $400. $4. '--------------------------------------------------------------.---------------- --------------------------------- Receipt No. 458419' Payment Method Ref. Number Amount Paid Payment Date Cashier 1D Comments Check 1171400503 $400.00 03/01/2023 VDEMASI Renewal Total: ... ------- ------ ---- $400:00--------------------------------------------------------- --- Contact Info: TESLA ENERGY OPERATIONS INC JASON KANE 15 GRUMMAN RD SUITE 400,3055 CLEARVIEW WAY SAN MATEO CA 94402 BETHPAGE, NY 11714 Work Description: Suffolk County.Dept.of ;i Labor,Licensing:&Consumer Affairs +`s MASTER ELECTRICAL LICENSE Name JASON KANE Business Name This certifies that the nearer is duly licensed TESLA ENERGY OPERATIONS INC {- ,y.the County of suffolk License Nu flee ME-51331 Rosalie Drago Issued: W /M01 7 Commissioner Expires, /011025 F � _ Q Deparmen of Labor. Licensing Co.nsu�nr A,ffats 'VETMAM M.E_IViORIA'L. HI"'"WAY.. HAUPPAIIG , NEW PORK 178$ ISSED 4/O5 I70047DATA 04 H -2 - S 'FFQLI COUNTY oeixa �oveen Cosntacto� Licensee V - 4 This is to G. rti- _that : : - fY - aon P >�ane = - - - - -- - -- 461 bus!=iness.a's _ Tesl_a E,n - O_ Pera--i, og han, Earn)shed.there a em.; , . - _ q__ r ants set forth an aEccordantee with and s.ub�ec.,t to. the provisions of apphe�abl- jhas rulfes and re=ulati d:.f .; :NOW - - g- _ons of the Cour�ry of Suffolk, State of.New York is hereby licensed to Gonduic_t busines s a HO ' .E IMP`.'RO�'.'EMEN"IT 'C-1 ON RA�CTOI°�, :}n the:County of Su�?olk.. ..- NOT VA Wf wm' DEPAR,TMEN?IrAL SAI_ . .:Addl�tionalrBusine'sses:, A1�rD'A CI7RRI�T - Suffolk County Dept.of CaO�Ts[1iVTER:AMFFQ►IR = _ Labor,Licensing 8 Consumer Affacrs jID CA12A HOME OM IMPROVEMENT LICENSE Name R - - - a JASON P KA'NE - '_ - - - Business Name - Tesla Energy'Operations Inc This certifies that the - bytherCouuntyofsuffolk License Number�H170�4T _ - .. sued 04YF x?024t IIVa,tine T:o 'R'og°;ers w4y r. y exp ; Tres: fl41Q1I,206 -- �- 1 - t Commissioner -- — . _ __ , PORKWorkers' ' STATE Compensation CERTIFICATE OF INSURANCE COVERAGE Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1 a.Legal Name 8 Address of Insured(use street address only) 1 b. Business Telephone Number of Insured .l�s®NNEjINC� 516-343-0529 l$1l2EST BO�}I LEVAR 7 W D E6ST-ROGKAWAX,MY-1,1518 1c.Federal Employer Identification Number of Insured Work Location of Insured (Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i.e., Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier �(Entity'Be�ng Listed as the Certificate Holder) ShelterPoint Life Insurance Company �owv!sMholdM3b. Policy Number of Entity Listed in Box"1a" 4 _ oad, DBL470938 �rSoitth -'I`'h971 3c.Policy effective period �a081.017i/r202%2 -to 08 q 12-0-2 4. Policy provides the following benefits: 0 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 Signed 8/4/2023 By Val/-4� (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier, this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers' Compensation Board (only if Box 46,4C or 5B have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-21) 1111111 PJ III ° °��°��°��°°��IIIIIII 1 Additional Instructiong for Form D13-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1 a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage (Certificate)to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in Box 3c, whichever is earlier. This Certificate is issued as a matter of information only and confers no rights upon the certificate holder. This Certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This Certificate may be used as evidence of a NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits policy indicated on this form, if the bus!ness'coritin'ues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (12-21) Reverse JASOKAN-01 DTRINCERI ACORO� CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 4/12/2024 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: RCM Insurance Agency Holdings,Inc. PHONE FAx 950 Franklin Ave.STE 100 (A/C,No,E:t): (516)294-1072 (A/C No):(516)294-1764 Garden City,NY 11530 ADDRESS:service@contractorsinsurance.org INSURERS AFFORDING COVERAGE NAIL# INSURER A:UTICA FIRST INSURANCE COMPANY 15326 INSURED INSURER B: Jason Kane Inc., INSURER C: 127.West BLvtl INSURER D: .vwt ✓?9C�"PJv; ast'R kawayA 11518 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IN DL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD MM DD A X COMMERCIAL GENERAL LIABILITY _ 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE X OCCUR ART3000129980 4/15/20 4 4/.1�5/20�2$" DAMAGE TO RENTED 50,000 X Z L SAP PREM SES Ea occurrence $ MED EXP(Any oneperson) $ 1,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PE� LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ F] DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of Southold INCLUDED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE w ofikiold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN f ACCORDANCE WITH THE POLICY PROVISIONS. 4 5 7f MalrnRoad Drat�o4a�NY�1�1'9�1 AUTHORIZED REPRESENTATIVE A/l/i 4 \CORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 0 AA A A A 043790764 ROBERT C MANGI AGENCY INC 950 FRANKLIN AVE STE 100 GARDEN CITY NY 11530 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JAS t N�KA - TOWN OF SOUTHOLD 124 W S1%,L'VD 54375 MAIN ROAD E TROCIC/,V1IAYNY SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER " POLO=Y`ERIOD -- _.,.. DATE H2368 581-1 545491 8/07/2023 T® 08L0,+7r/202 _ 8/07/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2368 581-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/MIWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:221584564 YORWorkers' CERTIFICATE OF INSURANCE COVERAGE K' Com ensation STATE Board under the NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier Ia. Legal Name &Address of Insured (use street address only) 1 b.Business Telephone Number of Insured esla nergy Q+p V'ions, Q Page" ve } xemontSCa 94Sx38 lc.Federal Employer Identification Number of Insured or ` Social Security Number Work Location of Insured (Only required ifcoverage is specifically limited to certain locations in New York State, i.e., Wrap-Up Policy) 2. Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being _.fisted as the Certificate Holder) New York Life Group Insurance Company of NY own o. Southold 543`75 ar'�Z a 3b. Policy Number of Entity Listed in Box "la" Southold iIY 7 .-0,,9p NYD075811 3e. I?oltcyef#ec{t�e�peri6d 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 Signed December 15, 2023 By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number_1-866-761-4236 Name and Title Underwriting Director 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 Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. D13-120.1 (10-17) Additional Instructions for Form DB-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in box "la" for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in Box 3c,whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Disability and/or Paid Family Leave Benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or paid family leave benefits policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department,board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first,two thousand and twenty-one,the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein,however, shall be construed as creating any liability on the part of such state or municipal department,board, commission or office to pay any disability benefits to any such employee if so employed. (b) The head of a state or municipal department,board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (9-17) Reverse A�`� DATE 12023 /YYYY) ,�- vTO CERTIFICATE OF LIABILITY INSURANCE ,,,07,2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH RISK& INSURANCE SERVICES NAME: IFAX FOUR EMBARCADERO CENTER,SUITE 1100 A/C. o Ex A/C No): CALIFORNIA LICENSE NO.0437153 E-MAIL SAN FRANCISCO,CA 94111 ADDRESS: Attn:SanFrancisco.Certs@marsh.com I FAX 212-948-0398 INSURERS AFFORDING COVERAGE NAIC# CN 1 02460432-GAWwP-2.5M-23-24 INSURER A:Zurich American Insurance Company 16535 INSURED ---* INSURER B:N/A N/A Testa Energy Oper�afion- Inc. 1 esla Road; INSURER C:American.Zurich Insurance Company 40142 Nusti Trl X 7.$7.25 • �,�«-� INSURER D:N/A N/A INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-003418109-32 REVISION NUMBER: 9 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD MM/DD A X COMMERCIAL GENERAL LIABILITY GLO 1074588-06 0I31'I2023 10131'12024- EACH OCCURRENCE $ 2,500,000 ""'Includes Host Liquor Liability""' DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 2,500,000 X SIR:$1,000,000 MED EXP(Any one person) $ 5,000 X Tort Contrac Liao,No XCU EXCI PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 5,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP 1074586-06 10131/.2023 10/31/2024 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION WC 1074583-06(AOS) 10 31/2023 10/31/2024 X PER X OTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N WC 1074584-06(MA,WI) 1013112023 1013112024 1,000,000 A OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) CA XSWC 1074585-06($50M is XS 10/31/2023 10/3112024 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under $10M SIR;$1M EE/EA is XS$10M SIR) 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of insurance. CERTIFICATE HOLDER CANCELLATION Town o $o hold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 4375 Main Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN S itfholdNYn1'• 7!1 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE %Wa Biel¢&IccecuWM$r�tuieed ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YO K workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured ra , (650)963-5100 Tesla-E gy�0`peylnc. Tesla RI- �? 1c.NYS Unemployment Insurance Employer Registration Number of ( Austin;�TX 787,2 Insured 49-892777 Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 1 d.Federal Employer Identification Number of Insured or Social Security Number 2.Name and Address of Entity Requesting Proof of Coverage Fber surance Carrier (Entity Being Listed as the Certificate Holder) ZURICH INSURANCE COMPANY Towne c-Southold r54�375 Maim oad" of Entity Listed in Box"1a" Southold NY1197 83-06 3c. Policy effective period �12023r1 to� "� 10%3,1/2024 ,� 3d.The Proprietor,Partners or Executive Officers are QX Included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY) must be listed under Item 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: Cheryl Mamelson (Print name of authorized representative or licensed agent of insurance carrier) Approved by: el err lAw elsoh 10/31/2023 (Signature) (Date) Title: Assistant Vice President `Telephone Number of authorized representative or licensed agent of insurance carrier: (800)982-2150 ease Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT �,05.2 horized to issue it. (9-17) www.wcb.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carner'is produced in,a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2 (9-17) REVERSE 3O �I2�7QRA 1CL�0-` �orlt �tmitedY a _ymn.N v C -p O l ATG N � GAREEMEN-T AGREEMENT, dated the the 3rd day of March, 2022 by and between the undersigned members, is hereby adopted as the written Operating Agreement%* � N_�+ LL- (the"Agreement"). WHEREAS,this Agreement does not contain any provisions inconsistent with the Articles of Organization of this Company, and WHEREAS,the members wish to set forth provisions relating to the business of this Limited Liability Company, the conduct of its affairs and the rights, powers, preferences, limitations or responsibilities of its members,manager, employees or agents, as the case may be, NOW THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged,the undersigned agree as follows: ARTICLE I DEFINITIONS 1. Words and phrases set forth within this Agreement which relate to the business of this Limited Liability Company or the conduct of its affairs or the rights,powers,preferences,limitations or responsibilities of its members, manager, employees, or agents, as the case may be, or to any matter which this Limited Liability Company is required or has done under mandate of law or the fulfillment of this Agreement,shall be defined as it has been defined in Section 102 of the New York Limited Liability Company Law(the "Act") or in other applicable statues or rulings. ARTICLE II FORMATION 1. The undersigned have authorized the formation of this limited liability company by an organizer who prepared, executed and filed with the New York Secretary of State, the Articles of Organization pursuant to the Act, on September 23,2019. The name of this Limited Liability Company is 357 HARBOR LAND LLC. (hereinafter,the "Company"). 2. The Company is formed for and to engage in any lawful business purpose in the State of New York. 4. The principal place of business of this Company shall be located at 1700 Cedar Drive, Southold,NY 11971. 5. There is no individual or entity that is the Registered Agent of this Company. 6. The Secretary of State of New York is designated as agent of this Company upon whom process against it may be served,and the post office address to which the Secretary of State shall mail a copy of such process is: 3. OIM4W:016L�-A,11D�L LI-== , Olftee-of-David Ju— nnuzzi`- 1323 ain Road �O ox ITT2�VIattittuck,NY 11952 7. The Company has no specific date of dissolution,to wit,unless sooner dissolved pursuant to this Agreement or pursuant to the provisions of the Act. ARTICLE III MEMBERSIMANAGER 1. Percentage Member Manager Address Interest -jEoffli� JANJNUrAAI� 100% 2. Unless specifically set forth otherwise in the Articles of Organization or by amendment thereto, management of this Company shall be vested in the member Manager, who shall be subject to all of the rights, duties,privileges and liabilities of manager, as set forth in the Act. Such members names and addresses shall be set forth in the Books and Records of this Company. 3. A member shall not have the right to assign his interest in this Company unless he obtains the consent of two-thirds of all of the members (both managers and members) in writing which consent can be withheld in the absolute discretion of each member. In the event that such consent is obtained the assignee must agree in writing to be bound by the terms and provisions of this Agreement. A member may assign all or part of the member's interest in the Company to a family member that is currently a member of the Company without the consent of the members. 4. This Company shall keep books and records pursuant to Sec. 1102 of the Act,either in written form or in other than written form if easily converted into such written form within a reasonable time. Such books and records shall be maintained on a cash basis pursuant to this Agreement, and the Accounting Year of this Company shall end on December 31 st. 5. Each member may inspect and copy,at his own expense,for any purpose reasonably related to such member's interest as a member, the Articles of Organization, the Operating 2 Agreement, minutes of any meeting of members and all tax returns or financial statements of the Company for the three years immediately preceding his inspection,and other information regarding the affairs of this Company as is just and reasonable. 6. No member shall be personally liable for any debts, obligations or liabilities of this Company or of any other member,solely by reason of his being a member of this Company,whether such debt arose in contract,tort or otherwise. However,such member shall be personally liable for the payment of his Capital Contribution or for any other matter which may be set forth in this Agreement. A member shall have the option to waive such limitation of liability pursuant to Section 609 of the Act and may be legally liable pursuant to other applicable law in his capacity as a member. 7. The Company shall be managed by one(1)manager�D-VID I !1`7i-�f was been elected Manager and shall continue to serve as member Manager in accordance with the provisions of this Agreement. In case of any vote for the election of Manager all members agree to vote for Deborah Rivera only. The vote of one manager only shall be required to approve the sale,exchange, lease,mortgage,pledge or other transfer or disposition of all or substantially all of the assets of this Company and all documents relating thereto shall be signed by the manager and no other signature will be required and no person shall inquire into the authority of said manager to execute such docuunents as the act and deed of this Company. 8. If the Articles of Organization provide that the management of this Company shall be vested in a manager or managers or class or classes of managers, then the management of this Company shall be so vested in accordance with the Act, subject to any provision of the Articles of Organization,the Operating Agreement and Section 419 of the Act. a) The names and addresses of the manager or managers or class or classes of managers are set forth herein and in the Books and Records of this Company. A manager may,but need not be,a member of this Company. The manager can appoint or employ another person or company as managing agent in their sole discretion. b) Should there at any time be less than one manager because of the death,retirement, resignation, or incapacity as adjudicated by a competent court of jurisdiction of a manager, the decision to continue this Company and the election of a new manager shall be made by vote or written consent of at least eighty percent(80%)in interests of all members entitled to vote thereon. c) The manager shall have the power and authority on behalf of this Company to do all things as set forth in Sec. 202 (a)-202(q) of the Act. d) If the management of this Company is vested in a manager or managers then no member,by reason of being a member, is an agent of this Company for the purpose of its business unless authority has been delegated to such member by the manager or by some other provision of this Agreement. e) The manager shall perform their duties as manager in good faith and with that degree 3 of care which a reasonable and prudent person in a like position would use under similar circumstances. Each manager's liability to this Company or to its members for damages for any breach of duty in such capacity is eliminated, except if there is a final judgment or adjudication adverse to the manager that established that his acts or omissions were in bad faith or involved intentional misconduct or a knowing violation of law or that he personally gained in fact a financial profit or other advantage to which he was not legally entitled or that results in a distribution in violation of Section 508(a)of the Act. There may not be any elimination of liability for any act or omission committed prior to the adoption by this Company of a provision eliminating such liability. f) A manager shall not be required to manage this Company as his sole business interest but may,without liability to this Company or its members,be involved in the management of other entities and activities that do not adversely affect his capacity to exercise his obligations to this Company. 9. Except as set forth in Article III, paragraph 3 of this Agreement, no member shall have the right to give,sell,assign,pledge,hypothecate,exchange or otherwise transfer to another,all or any part of his Membership Interest in this Company. ARTICLE IV MEETINGS 1. Special Meetings may be called for any purpose by the manager or any member or group of members holding not less than twenty-five percent(25%) of the Membership Interest. 2. Whenever it is anticipated that members will be required or permitted to take any action by vote at a meeting, written notice shall be given stating the place, date and hour of the meeting, stating the purpose of such meeting, and under whose direction such meeting has been called. Such notice of meeting shall be given personally or by first class mail,not less than ten nor more than fifty days before the date of such meeting. Such notice of meeting need not be given to any member who submits a signed waiver of notice, in person or by proxy,whether before or after the meeting. 3. A majority in interest of the members, in person or by proxy, entitled to vote shall constitute a quorum at a meeting of members for the transaction of any business. The members present, despite not being a quorum,may adjourn the meeting. No notice of adjourned meeting is necessary if the time and place of the adjourned meeting is announced at the meeting at which the adjournment is taken. At a meeting in which a quorum is initially present, such quorum is not broken by the subsequent withdrawal of any member,despite the fact that such withdrawal results in less than a quorum being present and all votes taken are binding upon the members of this Company. All acts at a meeting of members at which a quorum is present, shall be the act of all the members and be binding upon them,except such vote requires a greater proportion or number of membership interests pursuant to the Act, or the Articles of Organization or this Agreement. 4. A member may vote in person or by proxy executed in writing by a member. Every 4 proxy so executed shall be revocable at the will of the member. Such proxy shall automatically be revoked, if prior to its use, the death or incompetence of the member occurred, and notice of such death or adjudication of incompetence is received by the Proxy Holder. ARTICLE V MONEY MATTERS 1. Each member of this Company shall contribute the amount set forth under his name as set forth in the Book's and Records of this Company as the sole Capital Contribution to be made by him. The failure of a member to make any required contribution shall be of a majority in interest of the remaining members who shall be entitled to vote thereto: a. Reduction or elimination of the defaulting memberMs interest; and/or b. Subordination of the defaulting memberMs interest to that of the non-defaulting members; and/or C. Forced sale of the defaulting memberMs interest; and/or d. Forfeiture of the defaulting member[As interest; and/or e. The lending by the other members of the amount necessary to meet the defaulting memberlas commitment; and/or f. Any other reasonable and lawful method to rectify such memberOs failure to meet his obligation. 2. An Account denominated as a Member Capital Account shall be maintained for each member. Profits shall be distributed as follows: An amount equal to 6%per annum, computed on the balance in each capital account shall be paid to each member and managing member on a preferred basis. Any profits remaining after the foregoing distribution has been made will be distributed to the members and the managing members in accordance with their percentage interest in the Company. 3. In the event that there are insufficient funds to operate the property then at the option of the manager the following may occur: (1) a cash call of all the members may be made , in the event of such a cash call any member who fails to provide the requested stun will be subject to dilution of the members membership interest in the Company; or (2) in lieu of a cash call, the managing members may lend to the Company a sum sufficient to run the property on a sound basis and in return the managing members will receive interest on the loan computed at the rate of 2% above the prime rate of Chase Manhattan Bank or 12%o,per annum, whichever is higher. The managing members will allow members to participate in the loan to the Company on a proportionate basis if they so desire.Any loan owed to a member by this Company shall have priority in payment over other distributions. 4. No member shall receive from this Company any part or portion of his Capital Contribution until all liabilities and debts of this Company have been paid and there remains sufficient assets in this Company sufficient to pay them, without placing the solvency of this 5 Company in a reasonably disabling position. A statement from the Company's accountant to this effect shall be placed in the Books and Records of this Company. 5. No distributions shall be made which render this Company insolvent. Notwithstanding anything herein contained to the contrary all proceeds received by this Company from the sale or refinance of the Property (the "Proceeds") shall first be applied proportionately to the Capital Contributions of the members in reduction thereof. If after the Capital Contributions have been fully repaid,any proceeds remaining shall be distributed to the members in proportion to their percentage interest in this Company as set forth in Article III hereof. The Managing Members, however, shall have the right to withhold a reasonable portion of the proceeds received from refinancing the Property for repairs or improvements of said Property or for any other good business purpose which in their sole judgment they deem necessary. 6. No member shall be entitled to interest on his Capital Contribution nor is such member entitled as a matter of right, to a return, in part or in whole, of his Capital Contribution, notwithstanding anything to the contrary herein. 7. All necessary federal and state tax returns for this Company shall be prepared and filed in a timely manner. Each member shall fiunish any information in his possession that may be necessary and pertinent to the preparation of such returns. 8. The Company shall: a) Adopt the calendar year as its Fiscal Year. b) Adopt the cash basis as its method of accounting and keep its books and records on such basis. c) If a distribution as described in Sec. 734 of the Internal Revenue code occurs or if a sale or transfer of a Membership Interest described in Sec. 743 of the Internal Revenue Code occurs,upon the written request of any member,to elect to adjust the basis of the property of the Company pursuant to Sec. 754 of the Internal Revenue Code. d) Elect to amortize the organizational expenses of this Company and the start-up costs of this Company under Sec. 195 of the Internal Revenue Code ratably over a period of sixty months as permitted by Sec. 709(b) of the Internal Revenue Code. e) To make any other election permitted by law that the manager may deem appropriate and in the best interest of the members. 9. Neither this Company nor any member may make an election for the Company to be excluded from the application of Subchapter K of Chapter 1 of Subtitle A of the Internal Revenue Code or any similar provisions of applicable state law,and no provisions of this agreement shall be interpreted to authorize any such election. 6 10. DAVID JUDE JANNUZZI is hereby designated as "tax matters partner" of this Company pursuant to Sec.6231 (a)(7)of the Internal Revenue Code and shall take all actions as may be necessary to cause each other member to become a"notice partner" within the meaning of Sec. 6222 of the Internal Revenue Code. ARTICLE VI DISSOLUTION 1. This Company shall be dissolved and its affairs wound up on the first to occur of the following: a) The latest date on which this Company is to dissolve, if any, as set forth in the Articles of Organization, or by a judicial decree pursuant to Sec. 702 of the Act. b) The vote or written consent of the manager. c) The bankruptcy,death,expulsion,incapacity or withdrawal of any manager,unless within six months after such event,this Company is continued and a new manager elected to replace said manager either by vote or written consent of a majority in interest of all the remaining members. 2. Upon dissolution of this Company,the members or manager may,in the name of and on behalf of this Company, prosecute and defend suits, whether civil, criminal or administrative, settle and close this Company's business,dispose of and convey this Company's property,discharge this Company's liabilities and distribute to the members any remaining assets,all without affecting the liability of each and every member. 3. Upon dissolution,the assets of this Company shall be distributed as follows: a) To creditors, including members who are creditors,to the extent permitted by law, in satisfaction of liabilities of this Company,whether by payment or by establishment of adequate reserves,other than liabilities for distribution to members under Sec.507 or Sec. 509 of the Act. b) To members in satisfaction of liabilities for distribution under Sec. 507 or Sec. 509 of the Act. c) To members first for the return of their Capital Contributions,to the extent not previously returned, and second, respecting their Membership Interests, in the proportions in which the members share in distributions in accordance with the foregoing provisions of this Agreement. 4. Within ninety days following the dissolution and the commencement of winding up 7 the affairs of this Company,or at any other time there are no members,Articles of Dissolution shall be filed with the Secretary of State of New York. Upon such filing of Articles of Dissolution by the Secretary of State of New York,the Articles of Organization shall be deemed to be canceled. 5. Upon liquidation of this Company within the meaning of Sec. 1.704-1(b)(2) (ii)(g) of the Treasury Regulations, if any member has a deficit Member Capital Account (after giving effect to all contributions, distributions, allocations and other adjustments for all Fiscal Years, including the Fiscal Year in which such liquidation occurs)the member shall have no obligation to make any Capital Contribution,and the negative balance of any Member Capital Account shall not be considered a debt owed by the member to this Company or to any other person for any reason. 6. If not otherwise provided by this Agreement and if permitted by applicable law,upon dissolution,each member shall receive a return of his Capital Contribution solely from the assets of this Company. If, after payment or discharge of the debts and liabilities of this Company, such assets are insufficient to return any Capital Contribution of any member,such member shall have no recourse against any other member. ARTICLE VII GENERAL CONSTRUCTION 1. When the masculine gender is used in this Agreement and when required by the context,the same shall include the feminine and neuter genders and vice versa. 2. No failure of a member to exercise and no delay by a member in exercising any right or remedy under this Agreement shall constitute a waiver of such right or remedy. No waiver by a member of any such right or remedy under this Agreement shall be effective unless made in writing duly executed by all members and specifically referring to each such right or remedy being waived. 3. This Agreement contains the entire agreement among the members with respect to the operation of this Company,and supersedes each and every course of conduct previously pursued or consented to and each and every oral agreement and representation previously made by the members with respect thereto,whether or not relied or acted upon. No amendment of this Agreement shall be effective unless made in writing duly executed by all members and specifically referring to each provision of this Agreement being amended. No course of conduct or performance subsequently pursued or acquiesced in and no oral agreement or representation subsequently made, by the members, whether or not relied or acted upon, shall amend this Agreement or impair or otherwise affect any members' obligations,rights or remedies pursuant to this Agreement. 4. Any notice, demand or other communication required or permitted to be given pursuant to this Agreement or under the Act shall have been sufficiently given for all purposes, if given pursuant to the provisions of this Agreement or as set forth in the Act, as the case may be. 5. Where this Agreement refers to consent or vote or any other action of members, 8 members shall include members and managing members except where this agreement gives special rights to the managing members. ARTICLE VIII MISCELLANEOUS PROVISIONS 1. The members have formed the Company under the Act,and expressly do not intend to form a partnership under either the New York State Partnership Act nor the New York State Limited Partnership Act. The members do not intend to be partners one to another,or partners as to any third party. To the extent any member,by word or action,represents to another person that any other member is a partner or that the company is a partnership,the member making such wrongful representation shall be liable to any other member who incurs personal liability by reason of such wrongful representation. 2. This Agreement is entered into among the Company and the members for the exclusive benefit of the Company,its members,and their successors and assignees. This Agreement is expressly not intended for the benefit of any creditor of the Company or any other person. Except and only to the extent provided by applicable statute,no such creditor or third party shall have any rights under this Agreement or any agreement between the Company and any member with respect to any Capital Contribution or otherwise. 3. This Agreement can be executed in counterparts. IN WITNESS WHEREOF, the persons signing this Agreement below conclusively evidence their agreement to the terms and conditions of this Agreement by so signing this Agreement. Members David Jannuzzi 9 T = 5 L n Energy Price Override Tool David Jannuzzi Job Number:JB-1193081-00 djjlaw@icioud.com Reservation Number: EN8333039 350 Harbor Ln,Cutchogue, NY 11935, USA PSE&G-Long Island (999475) VV Design 14.175 kW+3 Powerwalls+1 Gateway Primar Created:5/22/2024 4961 kWh/yr,305% Offset Create New Quote Pricing 05/06/2C Quote Confirmed:5/24/20241 Pricing 05/06/2024 System Cost Panels $8,716.77 Inverter $3,062.65 Balance Of System $1,177.94 Mounting Hardware $1,845.44 Installation $21,281.49 Miscellaneous $3,180.46 14.175 kW Discount -$1,417.50 Tax $0.00 Equipment Location Request-Exterior-Labor $351.00 Equipment Location Request-Exterior-Material $189.00 Subtotal $38,387.25 P)werwall System Cost 3 Powerwalls $24,600.00 Accessories $200.00 Installation Fee $7,200.00 1 Powerwall Gateway $900.00 Bundling Discount -$7,700.00 Tax $691.64 Equipment Location Request-Exterior-Labor $819.00 Equipment Location Request-Exterior-'Material $441.00 Subtotal $27,151.64 Piyment Details Deposit -$100.00 Subtotal -$100.00 P,bates to Customer NY Solar Tax Credit-25% 8 -$5,000.00 US Federal Tax Credit-30% -$19,499.67 ttal Contract Price $65 53.8.89 tal Amouag^ ue $65,538.89 llrst Cost $41 039.2 lance After p4ay�menu 65,438.89 ® 15 Grumman Road W Suite 400, Bethpage, NY 11714 P. 631.358.0673 Town of Southold Building Dept Annex 54375 Main Road PO BOX 1179 Southold NY 11971631-765-1802 Dear Sir/Madam: I am submitting a permit application for(35) Roof Mounted Solar Panels 14.175 KW PV ARRAY (3)Tesla Powerwall/Energy Storage Systems 40.5 KWH For the below Homeowner and Address: LC�: 30 HARBOR LANE LL Homeowner: David Jannuzzi (authorized Signer Paperwork included) Address: 350 Harbor Lane Cutchogue, NY 11935 Tax Map: 1000-097.00-06.00-005.000 Job# 1193081 COST of CONSTRUCTION: $65,538.89 CHECK#: 1171401012 AMOUNT: $200.00 1 am the applicant Timothy Hand with Tesla Energy Operations, Inc. My contact information: Phone. 516-273-0159 Email. BethpagePIC@tesla.com Mailing Address.Tesla Energy Inc. 15 Grumman Rd W, Suite 400, Bethpage NY 11714 Please contact me if there is anything else that you need. Also, if you could contact us when the Permit is ready, and someone from Tesla will come in to pick it up. Thank you, Timothy Hand ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES CURENT LDG 1. THIS SYSTEM IS GID-INTER BUILDING E CO CACONCRETE LTERNATING DC DIR ECT CURRENT POWER-CONDITIONI GR INVERT R11ED VIA A UL-LISTED ALL WORK TO COMPLY WITH SECTION R327 OF THE 2020 RESIDENTIAL CODE OF NYS. APPROVED AS NOTED EGC EQUIPMENT GROUNDING CONDUCTOR (E) 2. A NATIONALLY - RECOGNIZED TESTING EXISTING EMT ELECTRICAL METALLIC TUBING FSB LABORATORY SHALL LIST ALL EQUIPMENT IN DA E:g 1z 2 B•P# FIRE SET-BACK GALV GALVANIZED GEC GROUNDING COMPLIANCE WITH ART. 110.3. ELECTRODE CONDUCTOR GND GROUND HDG HOT 3. WHERE ALL TERMINALS OF THE DISCONNECTING COMPLY WITH ALL CODES OF F �00. 00 By DIPPED GALVANIZED I CURRENT Imp CURRENT AT MEANS MAY BE ENERGIZED IN THE OPEN POSITION, NEW YORK STATE&TOWN CODES NOTIFY BUILDING DEPARTMENT AT MAX POWER Isc SHORT CIRCUIT CURRENT kVA A SIGN WILL BE PROVIDED WARNING OF THE AS EQUIRED AND CONDITIONS OF 631-765-1802 8AM TO 4PM FOR THE KILOVOLT AMPERE kW KILOWATT LBW LOAD HAZARDS PER ART. 690.17. BEARING WALL MIN MINIMUM (N) NEW NEUT 4. EACH UNGROUNDED CONDUCTOR OF THE T(" FOLLOWING INSPECTIONS: NEUTRAL NTS NOT TO SCALE OC ON CENTER PL MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY TOMMM FOUNDATION-TWO REQUIRED PROPERTY LINE POI POINT OF INTERCONNECTION PHASE AND SYSTEM PER ART. 210.5. FOR POURED CONCRETE PV PHOTOVOLTAIC SCH SCHEDULE S STAINLESS 5. CIRCUITS OVER 250V TO GROUND SHALL COMPLY ROUGH-FRAMING&PLUMBING STEEL STC STANDARD TESTING CONDITIONS TYP WITH ART. 250.97, 250.92(6). Nyl0 TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V 6. DC CONDUCTORS EITHER DO NOT ENTER BUILDING INSULATION VOLT Vmp VOLTAGE AT MAX POWER Voc VOLTAGE OR ARE RUN IN METALLIC RACEWAYS OR �� FINAL-CONSTRUCTION MUST AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT ENCLOSURES TO THE FIRST ACCESSIBLE DC BE COMPLETE FOR C.O. DISCONNECTING MEANS PER ART. 690.31(E). 7. ALL WIRES SHALL BE PROVIDED WITH STRAIN �F NE ALL CONSTRUCTION SHALL MEET THE RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY <<c- W y REOUIREMENTS OF THE CODES OF NEW UL LISTING. ELECTRICAL �Q p3IAly �� WORK STATE. NOT RESPONSIBLE FOR 8. MODULE FRAMES SHALL BE GROUNDED AT THE UL INSPECTION REQUIRED +�P x�F DESIGN OR CONSTRUCTION ERRORS - LISTED LOCATION PROVIDED BY THE MANUFACTURER USING UL LISTED GROUNDING 1- 1 HARDWARE. �COnY1tC rnvts4 i�c- IOCa t 9. MODULE FRAMES, RAIL, AND POSTS SHALL BE ,1 t Additional BONDED WITH EQUIPMENT GROUND CONDUCTORS. 0�}S� 1 �A��C(� an(it 105800 �� o �. Certification rtad; l acce��.�le . Ago a� y E SI May Be Required. VICINITY MAP INDEX Sheet 1 COVER SHEET ' Sheet 2 SITE PLAN Sheet 3 STRUCTURAL VIEWS Sheet 4 UPLIFT CALCULATIONS LICENSE GENERAL NOTES Sheet 5 MOUNTING DETAILS �� `= Sheet 6 ESS LOCATION 1. ALL WORK SHALL COMPLY WITH THE 2020 NYS Sheet 7 THREE LINE DIAGRAM UNIFORM CODE. Cutsheets Attached 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2017 NATIONAL ELECTRIC CODE. , 3. ALL WORK SHALL COMPLY WITH THE 2020 NYS FIRE CODE. MODULE GROUNDING METHOD: ZEP SOLAR 4. ALL WORK SHALL COMPLY WITH THE 2020 AHJ: Southold Town BUILDING CODE OF NYS. REV BY DATE COMMENTS 5. ALL WORK SHALL COMPLY WITH THE 2020 REV A NAME DATE COMMENTS RESIDENTIAL CODE OF NYS. 6. ALL WORK SHALL COMPLY WITH THE 2020 UTILITY: PSE&G-Long Island EXISTING BUILDING CODE OF NYS. * x r.a � .. r � � s � -' I � 1. � r • � + s x x x J B-119 3081 0 0 CUSIMR: DESORPTION: Dc": _ CONFIDENTIAL A THE T BE USED HEREIN TDB r David Jannu zzi 14.175 KW PV ARRAY ya T = 5 L n CONTAINED SHALL NOT BE USED FOR THE Pfl nka George SHALL IT BE DISCLOSED IN MOLE OR IN T OF ANYONE EXCEPT III INC., NOR 10UNTNG srsTEM: 350 Harbor Ln PART TO OTHERS OUTSIDE THE RECIPIENT'S ZS Comp V4 w Flashing-Insert 40.5 KWH ENERGY STORAGE SYSTEM ORGANIZATION, EXCEPT IN CONNECTION WITH MODULE, Cutchogue, NY 11935 THE SALE AND USE OF THE RESPECTIVE 35) Hanwho # Q.PEAK DUO BLK ML-G10+/TS 405 TESLA EOIAPMENL WITHOUT THE VATTEN PAGE NAME: SHEET: REV: DATE: PERMISSION OF TESLA INC. �Powe 6316801157 1 A 5 Powerwalf 3 240V 1707000-25-G 11.5 kW 13.5 kWh COVER SHEET /22/2024 ' PITCH:240(5:12) ARRAY PITCH:24°(5:12) HATCHING INDICATES WIND PRESSURE MPi AZIMUTH:45 ARRAY AZIMUTH:45 ZONES. SEE THE STANDOFF SPACING MATERIAL:Comp Shingle STORY: 2 Stories AND LAYOUT TABLE FOR MORE PITCH:240(5:12) ARRAY PITCH:240 (5:12) INFORMATION. MP2 AZIMUTH:315 ARRAY AZIMUTH:315 MATERIAL:Comp Shingle STORY. 2 Stories PITCH:240(5:12) ARRAY PITCH:24° (5:12) OF NEW MP3 AZIMUTH:225 ARRAY AZIMUTH:225 �pOJIAN 0 MATERIAL:Comp Shingle STORY: 2 Stories PITCH:24°(5:12) ARRAY PITCH:240(5:12) * * MP4 AZIMUTH:225 ARRAY AZIMUTH:225 MATERIAL:Comp Shingle STORY: 2 Stories PITCH:24°(5:12) ARRAY PITCH:240 (5:12) (E)DMMAY _^ �= MP5 AZIMUTH:135 ARRAY AZIMUTH:135 {J- 105800 �� MATERIAL:Comp Shingle STORY. 2 Stories `� AROF S. Np\' PITCH:240(5:12) ARRAY PITCH:24°(5:12) c(� MP6 AZIMUTH:45 ARRAY AZIMUTH:45 7 MATERIAL:Comp Shingle STORY: 2 Stories O.f.... �, o�.:: :��.::;�:. LEGEND v� Front Of House ❑ E UTILITY METER & WARNING LABEL INVERTER W/ INTEGRATED DC DISCO L ;; ::::�:•:.:::: :.: - �:�::.:�. :�:::`.• Sy Inv & WARNING LABELS ...Fsa © AUTOMATIC RELAY I DC DISCONNECT & WARNING LABELS oc ...... ...... ..'. T ... .. .. AC AC DISCONNECT & WARNING LABELS ...... .. .. DC JUNCTION/COMBINER BOX & LABELS ell, A / O ENERGY STORAGE SYSTEM FOR STAND ❑ ALONE OPERATION ° r DISTRIBUTION PANEL & LABELS LOAD CENTER & WARNING LABELS EXTERNAL DISCONNECT SIMTCH `= O DEDICATED PV SYSTEM METER QQ RAPID SHUTDOWN Q STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR CONDUIT RUN ON INTERIOR GATE/FENCE 0 HEAT'PRODUCING VENTS ARE RED r,�-1 It +1 INTERIOR EQUIPMENT IS DASHED L=�J TOTAL ARRAY AREA (SF): 759 SITE PLAN N TOTAL ROOF AREA (SF): 2341 Scale:1/16" = 1' IN E TOTAL ARRAY AREA IS a 32.42 01' 16' 32' PERCENT OF TOTAL ROOF AREA S CONFIDENTIAL—THE INFOIWATION HEREIN JOB m8mJ B-119 3 0 81 0 0 1Q�` DESCfs EOW DESIGN: CONTAINED SHALL NOT BE USED FOR THE David Jannuzzi 14.175 KW PV ARRAY Priyanka George BE T _ .5 L n BENEFIT OF ANYONE EXCEPT TESTA INC.,NOR IIOIRnNG Sym SHALL IT BE DISCLOSED IN NIIOLE OR IN ZS Comp V4 w Flashing—insert 350 Harbor Ln 40.5 KW ENERGY STORAGE SYSTEM PART TO OTHERS OUTSIDE THE RECIPIENT'S uaou>Es Cutchogue NY 11935 ORGANIZATION, EXCEPT IN CONNECTION WTH THE SALE AND USE OF THE RESPECTIVE 35 Hanwha # Q.PEAK DUO BLK ML—G10+ TS 405 PAGE xAt�E SHEET- REV DAMTESLA EQUIPMENT,WITHOUT THE WRITTEN INVMTM PERMISSION OF 1TSLA INC Powerwall 3 [240VI # 1707000-25—G 11.5 kW 13.5 kWh 6316801157 SITE PLAN 2 A 5/22/2024 S1 (N) PV MODULE (E) MOUNTING PLANE (MP) F NEW), �'tQ'Epp 3 1 A N�'i�•�'p� TYPICAL PV SIDE VIEW sv W NITS ti sF� 105800 PV MODULE Is 5/16"x1.5" BOLT WITH I 5/16" FLAT WASHER INSTALLATION ORDER ZEP ROCKIT OCATE FRAMING MEMBER, MAR ZEP LEVELING FOOT (1) HOLE LOCATION, AND DRILL ZEP ARRAY SKIRT PILOT HOLE. ZEP MOUNTING BLOCK ATTACH FLASHING INSERT TO ZEP FLASHING INSERT (3) (2) MOUNTING BLOCK AND ATTACH TO FRAMING MEMBER USING LA (E) COMP. SHINGLE SCREW. (1) 22"MIN. -11 (E) ROOF DECKING (2) INJECT SEALANT INTO FLASHING (3) INSERT PORT, WHICH SPREADS 5/16" DIA STAINLESS LOWEST MODULE SUBSEQUENT MODULES SEALANT EVENLY OVER THE STEEL LAG SCREW ROOF.PENETRATION. (E) FRAMING MEMBER C(4)INSTALL LEVELING FOOT ON TOP OF MOUNTING BLOCK & S STANDOFF „ — , SECURELY FASTEN WITH BOLT. Scale: 1 1/2 — 1 CONNFlDENTIAL-THE INFORMATION HEREIN ,J B-119 3081 0 0 CUSTOM DEMTXN: OEM CONTAINED SHALL ANYONE E E USED FOR THE David Jannuzzi 14.175 KW PV ARRAY Priyanka George T 5 L n BENEFIT OF ANYONE EXCEPT IESLA INC.,Nat MOUNTING SrS1Elk SHALL O O DISCLOSEDOUTSIDE IN WHOLE OR N ZS Com V4 w Flashing—Insert 350 Harbor Ln 40.5 KWH ENERGY STORAGE SYSTEM PART To OTIIERs ET IN THE CONNECTION T YCOM- Cutchogue NY 11935 THE s�AND USEOF THE cmEwTM (35) Hanwha Q.PEAK DUO BLK ML—G10+/TS 405 7ESLA EQUIPMENT,IWTIMT THE WRITTEN IiU4H1Fk PAGE NAYS StffET REM DALE PEIIssRxt OF tEslA ING Powerwall 3 240V 1707000-25—G 11.5 kW 13.5 kWh 6316801157 STRUCTURAL VIEWS 3 A 5/22/2024 k Damp ade ASM 7-16 urr cotem I ratio f.s-t tiftare mad steed v-ut 138 A;IOWA EV—cataga7 c Section 2f.7 Qmod 9ner Led p9 SO -Tdb 7-1 UP 4mft DWp bfonnDm YP tbme un 1P2 1P3 UV IP6 In Rm" "sam* GNP 9*0 anw SM'tgb Cane 994e Comp staple cm 2*40 sm,a�1 a at w V4. 2S crow V4. a Omp V4 er a amp V4 er a oo,ap V4■ 2S Cmw V4a f>aee9-ra.t nwr+o-n-t n***4nu1 Rashtw-nrrt pm 24 24 24 24 24 24 S,Au PV 152 159 159 /19 I19 Mg SLAL Nao-PV 2DA 2DA 20A 2118 298 29A _ Edge Ian am 4.4R CAR 4.4R A4R 4.4R 4AR Ad uth 45 315 225 225 US 45 Stab 2 2 2 2 2 2 Of NE yr y Rafter sb/spefn w 4Rr oc w err oc ad air oc w r as wme oc 2s or oc a s a/Soaetg w err oc US we ac w air cc 2d«r a w Me DD 2i Sir ere Epp J IA N�"i�• �A w lbte an W2 smdoR W3 IP4 W5 tPe #A"wad Imne 1 1 1 t 1 1 and AN" -1% -t5.54 -,sere AW AW -15.54 r— X-sp" 64 s4 a 54 64 54 X-ftew" 24 24 24 24 24 24 ZL-ft pe Y-40" 41 41 41 41 41 41 1 5800 tv�` Y� - - - A/Q�FESs Portrait X- 49 45 48 45 48 45 Patrrit Y-*" 74 15 15 15 15 15 portrait Y-SbadM 74 74 74 74 - 74 74 J Patr*R Y-0mum lalwt Staggered Staggered Staggered Staggered %""led Staggered Aypged wM 2aterry •:.•,,,.:.2i 2,3:,.... •:•:::. b 2,S:::•::•::•:::'::24 2'.3:::•::::::::•::2e,2r,31. •::':�: 2r 3:::•: :::::: 2e,2,3:.::::,:,: glad Proeoe -22.58 -2258 -2255 -22M -2238 -2255 fad-Pe X-400*9 54 a e4 a 54 54 X 24 24 24 24 24 24 Lad-"Yip 41 41 41 41 41 41 PartraR X-*0*4 32 32 32 32 32 32 Patron X-omtkw % 14 14 14 14 14 PabaS Y-*Ckq 74 74 74 74 74 74 P~Y-Cmtkw - - - - _ toped Staggered Staggered Staggered Staggered Stagpued Staggered A4pWd wbd Zww% :•:i 2e.2,3 :d:•i:':•i:4i 2e,2,3:iii:•:•i:4:•i 2e,?.3 i{•i;•:'::•i:F let 2.3 i.i::;`�: 2e,2►.3•�i:::• ^i:�26 2,S ii:•?? wud Passm -2258 -2258 -22S5 -2258 -2258 -22A tatderape X-%M tg 84 64 54 64 54 64 X 24 24 24 24 24 24 Lord-"Y-Spadom 41 41 41 41 41 41 Uldone Y-anmum - - - - PartraR X-spld,g 32 32 32 32 32 32 Palb X-cmum 14 14 14 14 14 14 Portrait Y-* tg 74 74 74 74 74 74 Portrait Y-0mtlerf - - - - - L*d Staggered Staggered Staggered Staggered Staggered stowed Rotor 1.X and Y an mmWemm Nat am dwye nbtke to tte etnKtira fine6g Nat mpporb Bu PV.X b om n eaftre and Y b i aeg eaitar. 2 IkWip b Appbd wad Ion rm oareeperde to hatclin m 9b 14aa CONRDENTIAL- THE INFORMATION HEREOd aoe NUMeE1t J B-119 3 081 0 alsmum DEMIM OEM CONTAINED SNALL NOT BE USED FOR THE David Jannuzzi-BENEFIT14.175 KW PV ARRAY Priyanka George T = 5 L n OF ANYONE EXCEPT TESIA INC.,NOR MOU M MIEM: SHALL IT BE asaoSEn IN WOLE OR IN . ZS Comp V4 w Flashing—Insert 350 Harbor Ln 40.5 KWH ENERGY STORAGE SYSTEM PART TO OTHERS OUTSME 1HE RECIPIENT'S OROANIZATON,EXCEPT IN cwNEcnoN B11H moD m, Cutchogue, NY 11935 RE SALE AND USE of 1HE RESPECTIVE (35) Hanwha # Q.PEAK DUO BLK ML—G10+ TS 405 PAGE NAME sHEEr REW DATE' TESLA EQUIPMENT. ,�THOUT THE WR TT?I NVLmFR '"I�10N oF'�`"u�a Powerwall 3 240V 1707000-25-G 11.5 kW 13.5 kWh 6316801157 UPLIFT CALCULATIONS 4 A 5/22/2024 r SCHEDULV POWERWALL INSTALLATION INFORMATION: POWERWALL FASTENER WALLPER WALL TYPE MODEL DIAMETER EMBEDMENT CORNER ESR# UNISTRUT REQUIRED? wow slw WOOD s M 1f f yd' L NA YES NO CJ 1. POWERWALLS TO BE INSTALLED PER FASTENER SCHEDULE BASED ON WALL TYPE CONCIMM CUMEW Som w, w 0OR cmu AND SITE SPECIFIC CONDITIONS. samm7NENXD w• �1,� 2. DO NOT MOUNT BELOW OR ABOVE WINDOWS OF THE SAME STORY. OR COE. rmn a+-u w• lw 0 (°° ' NA 3. IF LOCATION NEEDS TO BE . CHANGED, PLEASE CONTACT DESIGN TEAM. amm NM WK C"U x. ,r I NA �► 4. ANY UNUSUAL-. FRAMING NEAR THE POWER-WALL THAT MAY COMPROMISE THE WALL I MCK NXimsumw xti ; 1 M-4143(D STRUCTURAL INTEGRITY SHALL BE RELAYED TO THE DESIGN TEAM PRIOR TO INSTALL. sue ' " >sy. '` "" NO 0 1. INSTALLER TO CHOOSE FASTENER BASED ON"FIELD CONDITIONS, WALL-TYPE, AND EASE OF INSTALL 5. WHEN INSTALLING POWERWALL+ THE INVERTER IS A SINGLE UNIT AND CANNOT BE 2. 1 -CONCRETE & CMU NON—ESR FASTENER CAN BE USED WHEN UNIT(S) ARE MOUNTED ON THE GROUND AND SEISMIC ss (SPA STACKED. WHEN INSTALLING A STACKED ARRANGMENT, ONLY ONE POWERWALL+ AND AT SHORT PERIOD) IS AT OR BELOW S. = 1.25. 3. 1 .CONCRETE do CMU ESR FASTENER CAN BE USED WHEN UNIT(S) ARE MOUNTED.ON THE GROUND AND SEISMIC SS (SPA AT ONE ADDITIONAL POWERWALL CAN BE INSTALLED. THE LARGEST STACKING 4. SHORT D FORMED STEEL MINIMUMa 5 AGE REQUIRES REGIONAL FAS;EIERSPEED CORNER. BUT ND GISF)ASTENER PER COMER IS AT OR BELOW CANBE USED CONFIGURATIONS ALLOWED BY THE MOUNTING BRACKETS ARE 3 POWERWALL UNITS '""E" STEEL sruosAREa GAUGE OR nI�ICER OR 1 POWERWALL+ AND 1 POWERWALL UNIT = WHEN.BOX IS CHECKED DIVERSITECH PAD ACP24362 IS-APPROVED FOR A SINGLE OUTDOOR POWERWALL GROUND MOUNT AND DIVERSTTECH PAD AC036362 IS APPROVED FOR UP'TO 2 STACKED USING A POWERWALL+ AND A POWERWALL UNIT OR 2 POWERWALL UNITS POWERWALL UNIT WALL OF NEW), REFER�MBER OF SCHEDULE PER Comm EXAMPLE Ar * ONE FASTENER o o a o IN ANY HOLE P CORNER EKW_ 2 A 105800 �� HOLE FASTENER o o 0o IN FASTENER TO WALL ROF S, �P PER CORNER PER FASTENER SCHEDULE q� POVOWALL+ - I WALL BRACKET (N)POWERWALL BRACKET. POWERWALL UNIT NOT SHOWN FOR CLARIFY WALL ATTACHMENT: WALL MOUNT SIDE VIEW ONE POWERWALL wrs ATTACHMENT: FRONT VIEW POWERWALL NTS CONFIDENTIAL-THE INFORMATION HEREIN aoe NmR J B-119 3081 00 CUSTOMER: DES�11�: DERK- CONTAINED SHALL NOT BE USED FOR THE David Jannuzzi 14.175 KW PV ARRAY Priyanka GeorgeBEINEF T _ 5 L n SHALL'T e ANYONE o��IOUE OSLA R"N NOR Y01�""c 350 Harbor Ln 40.5 KWH ENERGY STORAGE SYSTEM PART TO OTHERS OUTSIDE THE RECU�I rS Zs Comp V4 w Flgshin —insert ORGANIZATION,EXCEPT IN CONNECTION WITH MODULM- Cutchogue, NY 11935 THE SALE AND USE OF THE RESPECTIVE 35) Hanwho # Q.PEAK DUO BLK ML—Gt 0+ TS 405 PAt;E NAME SHEET- REY oATE TESLA EQUIPMENT. WITHOUT THE WRITTEN PER►IlssoN OF TTJ1 INC. Powerwall 3 r24OVI # 1707000-25-G 11.5 kw 13.5 kWh 6316801157 MOUNTING DETAILS 5 A 5/22/2024 _A � I � s_ t I F ry i 7 _ _ `'-_ ,� � ,� �,f.�a�`•�� 'fir ., _ _ .;� -- -- 'r�` " a�A'^�� ' '_#(F i`.'6 .`ram,"" . •�ti ft ff Nei ESS UNTIS TO BE MOUNTED ON THE EXTERIOR GARAGE WALL 3' AWAY FROM WINDOWS/DOORS. CONFIDENTIAL - THE INFORMATION HEREIN JOB NUMBER: J B-119 3 0 81 O O CUSTOMER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE David Jannuzzi 14.175 KW PV ARRAY Priyanko George T 5 L n BENEFIT OF ANYONE EXCEPT TESLA INC., NOR MOUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert 350 Harbor Ln 40.5 KWH ENERGY STORAGE SYSTEM PART TO OTHERS OUTSIDE THE RECIPIENTS CU i Ch 0 U 2, N Y 11935 ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES 9 THE SALE AND USE OF THE RESPECTIVE (35) Hanwho # Q.PEAK DUO BLK ML—G10+/TS 405 PAGE NAME: SHEET: REV: DATE: TESLA EQUIPMENT, WITHOUT THE WRITTEN INVERTER: PERMISSION OF TESLA INC. POwerwall 3 [240VI # 1707000-25—G 11.5 kW 13.5 kWh 6316801157 ESS LOCATION 6 A 5/22/2024 (E) WIRING BACKUP GATEWAY AC DISCONNECT (N) 225A LOAD CENTER Tesla Powerwall 3 EGC ON ROOF TO BE ROUTED WHERE NOT SUBJECT TO PHYSICAL DAMAGE. E-stop WHEN ROUTED SUBJECT TO PHYSICAL DAMAGE THE SIZE MUST BE INCREASED AlB C 12v wife TO #6 SOLID BARE COPPER. 0A 20 2P 200A 60Af2P 9 8 4 2 1 S1 u� 2 1 SZ F n n 2 1 S3 iTT 6 T TO 120/240V 200AJ2P SINGLE PHASE \ Teslo Powerwall 3 UTILITY SERVICE E-stop E, * t2v.'ve E (E) LOADS 60A 2P 5 3 1 S4A (E) 200A S413 DISTRIBUTION 3 1 S5A PANEL F1 © 1 S5B EXTERNAL DISCONNECT SWITCH T 60A2P H POWERWALL r---------------------- ------- i iI Emergency Stop Button (E-Stop) i i Rapid Shutdown Initiation Device per Article 690.12(C) of the NEC i izv: Disconnecting Means as defined in Article 100 of the NEC Connection to generation sources with 12V, 1A communication wire L---------------------------------- K'CONDUCTOR TABLE Ref Qty Description Ref Type Qty Size (AWG, Cu) EGC (AWG, Cu) Conduit Isc (ADC) Imp (ADC) Product String Module per MCI per Voc' Vmp Mounting A 1 200A Main Circuit Breaker, 2-Pole, 240V, 10kAIC 1 PV Wire 2 #10 SBC #06 3/4' EMT 11.17 10.83 Ref Ref String String (VDC) (VDC) Plane 1 Tesla #1841000-01-C: Back-up Gateway 3.0 NA for PW 2 S1 5 2 256.08 186.95 MP4 _ TF{yyN-2/THyyN 2 (J10 �10 3/4' EMT 11.17 10.83 1 Disconnect; 200A, 240Vac, Fusible, NEMA 3R: 2P, 3W, Lockable 3 THWN-2/THWN 2 #08 #10 3/4" EMT 22.34 21.66 D S2 3 1 153.65 112.17 MP3 t Ground/Neutral Kit; 200A General, Heavy Duty(DG, DH), NEMA 1, 3R S3 9 3 460.94 336.51 MP5 B ® 9 �� S4A 6 2 307.30 224.34 MP1 2 Fuse; 200A, 250V, Class RKS: Time Delay, 200kA I.R. Size (AWG) Min EGC Conduit Length Imp Vmp S48 6 2 307.30 224.34 MP1 1 Class R Fuse Kit Ref Type Qty AWG, AC VAC E 1. GROUND NEUTRAL BOND TO BE COMPLETED IN SERVICE EQUIPMENT (A) (Cu) (AI) ( Cu)) (Cu) (AI) (ft) ( ) (VAC) S5A 3 1 153.65 112.17 MP2 2. CONDUIT RUNS MAY BE CONDENSED DUE TO SITE CONDITIONS AND/OR 3 Breaker, 60A/2P, 2 Spaces 4 THWN-2 3 #06 #04 #10 PVC Jacketed MC 1' EMT 5ft 48 240 S5B 3 1 153.65 112.17 MP6 INSTALLATION EASE. ALL CONDUIT FILL DERATES AND PROPER CALCULATIONS C 1 Eaton B BRP20NC200R: Load Center (BR Convertible), 200A, NEMA 3R, 10 kAIC, 1P, 5 THWN-2 3 g06 #04 #10 PVC Jacketed MC 1' EMT 5ft 48 240 HAVE BEEN COMPLETED PER NEC CHAPTER 9, TABLE 4. 20 Spaces, 120/240 V 3. SOLAR SHUTDOWN DEVICE TO BE INSTALLED FOR SYSTEM RAPID SHUTDOWN D 1 Powerwall 3 [240V]# 1707000-25-G 11.5 kW/13.5 kWh 6 THWN-2 3 #2/0 #4/0 #06 2' PVC 2" PVC 2ft - 240 (RSD) IN ACCORDANCE WITH ARTICLE 690 OF THE APPLICABLE NEC. 7 THWN-2 3 #06 #04 #10 PVC Jacketed MC 1' EMT 50ft - 240 4. CONDUIT TYPE CAN CHANGE DUE TO SITE CONDITIONS AND WILL FOLLOW E 1 Powerwall 3 [240V]B 1707000-25-G 11.5 kW/13.5 kWh THE NEC REQUIREMENTS FOR THAT CONDUIT TYPE F 2 JUNCTION BOX, 4 STRING B THWN-2 32/0 iy4/0O6 2' PVC 2' PVC 2ft 240- G 6 Tesla MCI, 650V, 12A 9 THWN-2 3 #2/0 $4/0 #05 2' PVC 2" PVC 5ft - 240 6 Tesla MCI, 650V, 12A Main Panel Rating (E) 200A Hanwha N Q.PEAK DUO BLK ML-G10+/TS 405: H 1 Powerwall 3 [240V]# 1707000-25-G 11.5 kW/13.5 kWh Main Breaker (E) 200A PV Module, 405W, 376.3WPTC, ZEP, Black Rating Frame, MC4, 1000V I 1 UL 5 88 Emergency Stop Device - NEMA 4X General Notes DC Ungrounded Qty 35 Inverters Voc 45.34 Panel Number Vmp 37.39 Meter Number 98361040 Isc and Imp are in the DC Conductor Table Service Entrance Underground CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B-1193081 00 CUSTOMER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE David Jannuzzi 14.175 KW PV ARRAY Priyanka George BENEFIT OF ANYONE EXCEPT TESLA INC., NOR MDUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert 350 Harbor Ln 40.5 KWH ENERGY STORAGE SYSTEM PART TO OTHERS OUTSIDE THE RECIPIENTSORGANI MODULES CUtCi1O U2, NY 11935 THE SALE¶A D USE EOF PT ITHE RESPECTIVE N CONNECTION WTM (35) Hanwha # Q.PEAK DUO BLK ML—G1O+/TS 405 9 TESLA EQUIPMENT. WITHOUT THE WRITTEN PAGE NAME MEET: REV: DATE PERMISSION OF TESLA INC. INVERTER: 631 68011 57 7 A 5 22 2024 Powerwoll 3 240V 1707000-25—G 11.5 kW 13.5 kWh THREE LINE DIAGRAM / / Label Location: Label Location: WARNING:PHOTOVOLTAIC POWER SOURCE Label • • WARNING WARNING ' Per Per ..- NEC ELECTRIC SHOCK HAZARD ELECTRIC SHOCK HAZARD 690.31.G.3 DO NOT TOUCH TERMINALSNEC • 1 13 THE DC CONDUCTORS OF THIS Label Location: TERMINALS ON BOTH LINE AND PHOTOVOLTAIC SYSTEM ARE PHOTOVOLTAIC DC Per Code: LOAD SIDES MAY BE ENERGIZED UNGROUNDED AND IN THE OPEN POSITION MAY BE ENERGIZED NEC DISCONNECT .•1 Label .13.13 Label Location: • • PHOTOVOLTAIC POINT OF •• MAXIMUM POWER- INTERCONNECTION Per _ POINT CURRENT(Imp)�A , WARNING: ELECTRIC SHOCK Code: ' Per CEC : MAXIMUM POWER- HAZARD. DO NOT TOUCH POINT VOLTAGE(Vmp)-vNEC 690.53TERMINALS.TERMINALS ON MAXIMUM SYSTEM BOTH THE LINE AND LOAD SIDE VOLTAGE(Voc)_V MAY BE ENERGIZED IN THE OPEN SHORT-CIRCUIT POSITION. FOR SERVICE CURRENT(Isc)_A DE-ENERGIZE BOTH SOURCE AND MAIN BREAKER. PV POWER SOURCE MAXIMUM AC A OPERATING CURRENT MAXIMUM AC Label Location: OPERATING VOLTAGE v WARNING ' Per ..- ELECTRIC SHOCK HAZARD 6•1 4 1.13 IF A GROUND FAULT IS INDICATED NORMALLY GROUNDEDLabel L• • CONDUCTORS MAY BE CAUTION • UNGROUNDED AND ENERGIZED DUAL POWER SOURCE Per Code: NEC SECOND SOURCE IS 1 5.12.13.3 PHOTOVOLTAIC SYSTEM Label • • WARNING Per ELECTRICAL SHOCK HAZARD 1 CAUTION ' Location:'• DO NOT TOUCH TERMINALSCEC TERMINALS ON BOTH LINE AND Per Code: LOAD SIDES MAY BE ENERGIZED PHOTOVOLTAIC SYSTEM 690.64.13.4 IN THE OPEN POSITION CIRCUIT IS BACKFED DC VOLTAGE IS ALWAYS PRESENT WHEN SOLAR MODULES ARE EXPOSED TO SUNLIGHT Label • • WARNING '• Per ..- INVERTER OUTPUT Label • • CONNECTIONN EC 1 • PHOTOVOLTAICAC P• DO NOT RELOCATE Disconnect DISCONNECTPer Code: THISODEVCERRENTConduit NEC •.1 :. Panel(D): Distribution (DQ: DC Disconnect (IQ: Interior Run Conduit IntegratedLabel Location: (INV): Inverter With DC Disconnect MAXIMUM AC ' '• - OPERATING CURRENT A .. Code Meter(M): Utility MAXIMUM AC OPERATING VOLTAGE _ vNEC ••1 (POI): Point of • • LabelSC BACKUP LOAD CENTER CAUTION . .Label Location: Label Location: •_ Code TRI POWER SOURCE Per Code: NEC 408.4 ,84 SECOND SOURCE IS PHOTOVOLTAIC SYSTEM , THIRD SOURCE IS ENERGY STORAGE SYSTEM Label • • CAUTION DO NOT ADD NEW LOADS Per ••': Label Location: NEC ' (MS') Per ..- THIS EQUIPMENT FED BY•- • • NEC � MULTIPLE SOURCES.TOTAL CAUTION �DEV COES,EXCOL to]DING MA NNT THIS PANEL HAS SPLICED FEEDPerCode: SUPPLY OVERCURRENT DEVICE, THROUGH CONDUCTORS. SHALL NOT EXCEED AMPACITY LOCATION OF DISCONNECT AT ENERGY OF BUSBAR. .STORAGE BACKUP LOAD PANEL NOMINAL ESS VOLTAGE 120f240V Label Label Location: , Location: CAUTI 0 N MAX AVAILABLE SHORT Per ••- DUAL POWER SOURCE Per ..- CIRCUIT FROM ESS_ 32A Per 1• 7(D) label t• •- marked in field SECOND SOURCE IS ARG FAULT CLEARING ENERGY STORAGE SYSTEM TIME FROM ESS: B7tTtS Label DATE.OF Location: CALCULATION: �� ENERGY STORAGE SYSTEM ON SITE LOCATED WITHIN LINE OF SIGHT Per •• Label • • ENERGY STORAGE SYSTEM ON SITE LOCATED ON ADJACENT WALLPer •• Label • • ENERGY STORAGE SYSTEM ON SITE LOCATED ON OPPOSITE WALLPer •• Label • • ENERGY STORAGE SYSTEM ON SITE LOCATED INSIDEPer •• AC Disconnect Backup Load Center (MSP): Main Service Panel •. • Label Gateway 3 Tesla Gateway 3 controls connection to the grid in a Powerwall system, automatically detecting outages and providing seamless transition to backup power. It provides energy monitoring that is used by Powerwall for solar self-consumption, time-based control,and backup operation. Performance Model Number 1841000-01-y AC Meter Revenue accurate(+/-0.5%) -- -- - - -- - - - - -- - - --- -- ---- - - ---- - - - - -------- Specifications Nominal Grid Voltage 120/240 V AC Communication CAN ---- ----------------------------------- ----------- Grid Configuration Split phase User Interface Tesla App Grid Frequency 60 Hz Backup Transition Automatic disconnect for seamless backup Continuous Current 200 A Rating Overcurrent 100-200 A Maximum Supply 22 kA with Square D or Protection Device Service entrance rated Eaton main breaker Eaton CSR, BWH,or BW,or Short Circuit Current Square D QOM breakers 25 kA with Eaton main breaker' Internal Panelboard 200 A IEC Protective Class Class I 8-space/16 circuit breakers -- - - — -------- Eaton BR,Siemens QP,or Overvoltage Category Category IV Square D HOM breakers 'Only Eaton CSR or BWH main breakers are 25 kA rated _ rated to 10-125A — Warranty 10 years Environmental Operating Temperature -20°C to 50°C(-4°F to 122'F) Specifications Operating Humidity(RH) Up to 100%,condensing Maximum Elevation 3000 m (9843 ft) Environment Indoor and outdoor rated Enclosure Type NEMA 3R Compliance Certifications UL 67, UL 869A, UL 916, UL 1741 PCs, Information __ _ —_ CSA 22.2 107.1, CSA 22.2 29 Emmissions FCC Part 15, ICES 003 Mechanical Dimensions 660 x 411 x 149 mm Specifications (26 x 16 x 6 in) Weight 16.4 kg (36 Ib) T g 9 L Mounting options Wall mount 660 mm �411 mm F14m9 Gateway 3 Datasheet 2023 PV HAZARD CONTROL SYSTEM BIPV PV HAZARD CONTROL SYSTEM I GENERIC PV ARRAY UL 3741 REPORT DATE 01-27-23 UL 3741 REPORT DATE 01-27-23 Tesla Inverter Based PVHCS, Consisting of Tesla Inverters,Tesla MCI and other PV RAPID SHUTDOWN ARRAY PV RAPID SHUTDOWN ARRAY listed components to create the system WARNING:To reduce the risk of injury, read all instructions. WARNING:To reduce the risk of injury,read all instructions. PV HAZARD CONTROL EQUIPMENT AND COMPONENTS PV HAZARD CONTROL EQUIPMENT AND COMPONENTS Function Manufacturer Model No. Firmware Versions Certification Standard Function Manufacturer Model No. Firmware Versions and Checksums Certification Standard and Checksums PVRSE Mid Circuit Tesla MCI-1,MCI-2 N/A UL 1741 PVRSE Inverter,Powerwall+,or 7.6 kW: 1538000' V4,CEA4F802 Interrupter(MCI) Powerwall 3 Tesla 3.8 kW:1534000' V4,FF7BE4E1 UL 1741,UL 1998, 7.6 kW:1538000' V4,CEA4F802 7.6 kW:1850000' V4,CEA4F802 PVRSS/PVRSE Inverter,Powerwall+,or Tesla 3.8 kW: 1534000' V4,FF7BE4E1 UL 1741,1998 11.5 kW`1707000' V1,0x3282A1 Powerwall 3 7.6 kW: 1850000' V4,CEA4F802 PVRSS/PVRSE 11.5 kW:1707000' V1,0x3282A1 Mid Circuit Interrupter(MCI) Tesla MCIA,MCI-2 N/A UL 1741 PVRSE PV Module Tesla SR60T1,SR72T1, N/A UL 61730 The PVHC PV modules must be listed by a NRTL to UL 1703 and/or UL 61730-1 and UL 61730-2(excluding Class 0 SR72T2,SR72T3R PV Modules and Class I). PVHCS Initiator Dedicated PV system AC circuit breaker or AC disconnect switch,labeled per NEC 690.12 N/A The PV mounting system must comply with one of the following: (PV Inverter) requirements. PV Mounting System Listed by NRTL to UL 2703 and rated for use with the specific PV modules noted above. PVHCS Initiator Emergency stop device(NISD)-Listed"Emergency Stop Button"or"Emergency Stop UL 508 or UL 60947 The non-certified combinations of mounting and PV modules shall be evaluated for loading,mounting and (Powerwall+,Powerwall 3) Device"or"Emergency Stop Unit". Parts 1,5-1 and 5-5 grounding per the NEC and other applicable installation codes. The following PV connectors may be used to connect to the Tesla MCIs: PVHCS Initiator On/Off Enable switch located on Powerwall 3,when labeled as Rapid Shutdown initiator per Staubli type PV-KST4/611-UR or type PV-KST4-EV02(male), (Powerwall 3) NEC 690.12 requirements UL 1741 PV Connectors Staubli type PV-KBT41611-UR or PV-KBT4-EV02(female), • Staubli Branch Socket PV-AZB4 and Branch Plug PV-AZS4, 'Applies to variations of this part number with suffix of two numbers and one letter. Connectors evaluated by an NRTL for intermatability with the connectors above. Note:PVHCS installation requirements may reduce the effective equipment and component ratings below the individual equipment and component PVHCS Initiator Dedicated PV system AC circuit breaker or AC disconnect switch,labeled per NEC N/A PVRSE ratings in order to achieve PVHCS shock hazard reduction requirements. (PV Inverter) 690.12 requirements. PVHCS Initiator Emergency stop device(NISD)-Listed"Emergency Stop Button"or"Emergency Stop UL 508 or UL 60947 Parts PVHCS INSTALLATION REQUIREMENTS (Powerwall+,Powerwall 3) Device"or"Emergency Stop Unit". 1,5-1 and 5-5. Max System Voltage 600 VDc PVHCS Initiator On/Off Enable switch located on Powerwall 3,when labeled as Rapid Shutdown initiator UL 1741 (Powerwall 3) per NEC 690.12 requirements PVHCS Maximum Circuit Voltage(Array Internal Voltage After Actuation) 165 VDc(cold weather open circuit) 'Applies to variations of this part number with suffix of two numbers and one letter. Max Series-Connected Panels Between MCIs: 10 Note:PVHCS installation requirements may reduce the effective equipment and component ratings below the individual equipment and component PVRSE ratings in order to achieve PVHCS shock hazard reduction requirements. OTHER INSTALLATION INSTRUCTIONS PVHCS INSTALLATION REQUIREMENTS 1.An MCI must be connected to one end of each series string or mounting plane sub-array string. Max System Voltage 600 VDc 2.Verification that MCIs are installed with 10 or fewer modules between MCIs shall be documented for inspection, by voltage PVHCS Maximum Circuit Voltage(Array Internal Voltage After Actuation) 165 VDc(cold weather open circuit) measurement logs and/or as-built string layout diagrams. OTHER INSTALLATION INSTRUCTIONS 3. For PV Inverter:The PVHCS initiator(AC breaker or switch)shall be sized and installed in accordance with NEC requirements.The 1.An MCI must be connected to one end of each series string or mounting plane sub-array string. specific part shall be identified on the as-built system drawings. 4. For Powerwall+or Powerwall 3:The PVHCS emergency stop initiator shall have the following minimum ratings:Outdoor(Type 3R 2.MCIs shall be installed between series connected module combinations such that the PVHC Maximum Circuit Voltage after actuation is no greater or higher), 12V, 1A,and shall be installed in accordance with NEC requirements.The specific part shall be identified on the as-built than 165V under any circumstances. The installation location coldest anticipated operating ambient temperature shall be used to calculate the PV maximum voltage in accordance with NEC 690.7. system drawings. Refer to the Powerwall installation manual for further details. 3.Verification that the MCIs are installed in accordance with 1)and 2)shall be documented for inspection,by voltage measurement logs and/or as- built string layout diagrams. 4.For PV Inverter:The PVHCS initiator(AC breaker or switch)shall be sized and installed in accordance with NEC requirements. The specific part shall be identified on the as-built system drawings. 5.For Powerwall+and Powerwall 3:The PVHCS emergency stop initiator shall have the following minimum ratings:Outdoor(Type 3R or higher),12V, 1A,and shall be installed in accordance with NEC requirements.The specific part shall be identified on the as-built system drawings.Refer to the Powerwall installation manual for further details. T - 5 L n TESR-DS-0451-22 1 T = 5 L n TEPV-DS-0023-22 1 �CpMPAl7�` ROOFING SYSTEM SPECIFICATIONS j�A GROUND ZEP LEVELING FOOT Listed to UL 2703 Listed to UL 2703 DESCRIPTION PV mounting solution for composition shingle roofs. Part#850-1511 Part#850-1397 Works with all Zep Compatible Modules. Auto bonding UL-listed hardware creates structural and electrical bond. SPECIFICATIONS Designed for pitched roofs. Installs in portrait and landscape orientations. DC WIRE CLIP HOME RUN CLIP Engineered for spans up to 72"and cantilevers up to 24". Listed to UL 1565 Listed to UL 1565 Part#850-1509 Part#850-1510 ZS Comp has a UL 1703 Class "A" Fire Rating when installed using modules from any manufacturer certified as"Type 1"or"Type 2". Attachment method UL listed to UL 2582 for Wind Driven Rain. ZS Compsupports 50 psf 2400 Pa front and u to 72 psf 3450 Pa rear side design load \ �\ PP ( ) P ( ) 9 i rating for Portrait module orientation per UL 2703. ZS Comp supports 50 psf(2400 Pa)front side and up to 72 psf(3450 Pa) rear side design ARRAY SKIRT END CAP load rating for Landscape module orientation. Listed to UL 2703 Listed to UL 2703 Engineered for compliance with ASCE 7-05, 7-10, and 7-16 wind load requirements. Part#850-1so8 Part#850-1588(Left) s g P Q Part#850-158 (Right) Zep wire management products listed to UL 1565 for wire positioning devices. ZS Comp grounding products are listed to UL 2703 and UL 467. ZS Comp bonding products are listed to UL 2703. MOUNTING BLOCK F-1 FLASHING INSERT SKIRT GRIP I INTERLOCK Listed to UL 2703 Listed to UL 2703 and UL 2582 for Wind Driven Rain Listed to UL 2703 Listed to UL 2703 Part 9850-1633 Part#850-1628 Part#850-1606 Part#850-1613 �,- ® �11 O Opp F-1 CAPTURED WASHER LAG HYBRID INTERLOCK Part#850-1631-002 and#850-1631-004 Listed to UL 2703 Part#850-1281 � J J T - S L n ZS COMP DATASHEET 2 T - 5 L n ZS COMP DATASHEET 3 Powerwall 3 Powerwall 3 Technical Specifications Power Everything System Technical Model Number 1707000-xx-y l Grid Voltage(Input&Output) 120/240 VAC Powerwall 3 is a fully integrated solar and battery system,designed to accelerate the transition to sustainable energy. Customers Specifications Nominal - -- ----- —----_ - - ---- - — can receive whole home backup,cost savings,and energy independence by producing and consuming their own energy while Grid Type Split phase - participating in grid services. Once installed,customers can manage their system using the Tesla App to customize system Frequency 60 Hz ------------ --------- ------ ----------- -- ---- -- - ---- behavior to meet their energy goals. Overcurrent Protection Device 60 A Solar to Battery to Home/Grid Efficiency 89%1.2 Powerwall 3 achieves this by supporting up to 20 kW DC of solar and providing 11.5 kW AC of continuous power per unit. It has - --- — - - -- ------ - - - ------ — --- the ability to start heavy loads up to 185 A LRA, meaning a single unit can support the power needs of most homes. Powerwall 3 Solar to Home/Grid Efficiency 97.5/0 is designed for mass production,fast and efficient installations,easy system expansion,and simple connection to any electrical Supported Islanding Devices Gateway 3,Backup Switch,Backup Gateway 2 service. Connectivity Wi-Fi(2.4 and 5 GHz),Dual-port switched Ethernet, Cellular(LTE/4G4) Hardware Interface Dry contact relay,Rapid Shutdown(RSD)certified switch and 2-pin connector,RS-485 for meters AC Metering Revenue Grade(+/-0.5%) {� Protections Integrated arc fault circuit interrupter(AFCI),Isolation Monitor Interrupter(IMI),PV Rapid Shutdown(RSD)using Tesla Mid-Circuit Interrupters Customer Interface Tesla Mobile App — — Warranty - 10 years Solar Technical Maximum Solar STC Input 20 kW Specifications Withstand Voltage -— - - --600 V DC PV DC Input Voltage Range 60-550 V DC PV DC MPPT Voltage Range 60-480 V DC MPPTs 6 Maximum Current per MPPT(Imp) - 13 A5 _ - _- Maximum Short Circuit Current per MPPT(Is.) 15 A5 Battery Technical Nominal Battery Energy _ 13.5 kWh AC2 -- -- - ;, Specifications Maximum Continuous Discharge Power _ 11.5 kWAC Maximum Continuous Charge Power 5 kW AC Output Power Factor Rating 0-1(G(d Code configurable) Maximum Continuous Current 48 A Maximum Output Fault Current 10 kA Load Start Capability(1 s) 185 A LRA Power Scalability Up to 4 Powerwall 3 units supported 'Typical solar shifting use case. 2Values provided for 25*C(77°F),at beginning of life.3.3 kW charge/discharge power. 3Tested using CEC weighted efficiency methodology. 4The customer is expected to provide internet connectivity for Powerwall 3;cellular should not be used as the primary mode of connectivity.Cellular connectivity subject to network operator service coverage and signal strength. e Where the DC input current exceeds the MPPT rating,a jumper can be used to combine two MPPTs into a single input to intake DC current up to 26 A IMP/30 A Isc• 2024 2024 Powerwall 3 Datasheet 2 Powerwall 3 Technical Specifications Powerwall 3 Example System Configurations Environmental Operating Temperature _ -20°C to 50°C(-4°F to 122°F)6 _ Powerwall 3 with Gateway 3 (Optional- Specifications Operating Humidity(RH) - Up to 100%,condensing_ _ - _ Whole Home Backup I ` ---- --- — -- --- - --- -- ---- --- —- I Storage Temperature -20°C to 30°C(-4°F to 86°F),up to 95%RH,non- I- condensing,State of Energy(SOE):25%initial I � -- I Maximum Elevation 3000 m(9843 ft) I Solar I - - - - Environment Indoor and outdoor rated Enclosure Rating----__- - (k 9 Ingress Rating IP67(Battery&Power Electronics) Meter IP45(Wiring Compartment) _ - Grid Meter socket panel Gateway 3 Load center --------------- --- ---- ---------- ----------- — Pollution_Rating PD3 Operating Noise @ 1 m <50 db(A)typical <62 db(A)maximum ��- 6 Performance may be de-rated at operating temperatures above 40°C(104°F). Backup loads Powerwall 3 Compliance Certifications UL 1642,UL 1699B,UL 1741,UL 1741 SA, UL 1741 SB,UL Information 1741 PCS,UL 3741,UL 1973,UL 1998,UL 9540,IEEE 1547- - 2018,IEEE 1547.1,UN 38.3-- _— Powerwall 3 with Backup Switch (Optional- -� Grid Connection United States Whole Home Backup I ` ► i I Emissions FCC Part 15 Class B Environmental RoHS Directive 2011/65/EU Backup Switch I I — - - - - -- — —- --- I Solar I Seismic AC156,IEEE 693-2005(high) - Fire Testing Meets the unit level performance criteria _- _ --- - -_ of UL 9540A t 4 Meter Grid Meter socket panel Load center Mechanical Dimensions ---- - 1099 x 609 x 193 mm(43.25 x 24 x 7.6 in) ----------------- ---------- -- ------------- - Specifications Weight —130 kg(287lb) ------- - ---- ----- - - - - -- - ---- --------- - ------ Mounting Options Floor or wall mount = Backup loads Powerwall 3 LO �j O o V 0 Powerwall 3 with Backup Gateway 2 - (.Optional � Partial Home Backup I i I�� I I i I Utility Meter 1 1 1099 mm I Solar I Main — - - == Breaker -- Grid Meter load center Backup Gateway:? Load center 609 mm 9 � Non-essential loads Backup loads Powerwall 3 �mm 2024 Powerwall 3 Datasheet 3 2024 Powerwall 3 Datasheet $ T = SLn GENERAL NOTES • DRAWING OF STANDARD MCI WIRING DETAIL FOR ANY GIVEN STRING LENGTH • IF INITIATED, RAPID SHUTDOWN OCCURS WITHIN 30 GD SECONDS OF ACTIVATION AND LIMITS VOLTAGE ON THE ROOF TO NO GREATER THAN 165V (690.12.B.2.1) • MID CIRCUIT INTERRUPTER (MCI) IS A UL 1741 PVRSE CERTIFIED RAPID SHUTDOWN DEVICE (RSD) DC+ J—BOX J—BOX J—BOX J—BOX J—BOX J—BOX MCI MCI DC- RETROE T PV MODULES • MCIS ARE LOCATED AT ROOF LEVEL, JUST UNDER THE PV MODULES IN ACCORDANCE WITH 690.12 REQUIREMENTS 1 • THE QUANTITY OF MCIS PER STRING IS DETERMINED BY STRING LENGTH — NUMBER OF MODULES BETWEEN MCI UNITS = 0-3 — MAXIMUM NUMBER OF MODULES PER MCI UNIT = 3 J—BOX J—BOX J—BOX J—BOX — MINIMUM NUMBER MCI UNITS = MODULE COUNT/3 MCI *Exception: Tesla (Longi) modules installed in locations where the max Voc for 3 modules at low design temperature exceeds 165V shall be limited to 2 modules between MCIs. PLEASE REFER TO MCI CUTSHEET AND PVRSA INSERT FOR 1 (2)AWG, PV Wire, 600V, Black DC MORE INFORMATION OPEAK DUO BLK ?.PEAK DUO BLK ML-G10+ SERIES IVIL-G10+ SERIES Qce11s ■Mechanical Specification <.r015D� va'poo M1 mml Format 74.4in x 41.21n*1.57in(including frame) °s Tp,5on (1890mm x 1046Tim x 40mm) a W°�^v°°°n°ow•Iamml Weight 51.8 lbs(23.5 kg) ° x 522•Ig25+n1 35t 992 mry Front Cover 0.13 in(3.2 Tim)thermally pre-stressed glass with 385-405 W 1132 Cells anti-reflection technology r nws-ml P Back Cover Composite film 20.5% Maximum Module Efficiency Frame Black anodised aluminium Cell 6 x 22 monocrystalline Q.ANTUM solar half cells Junction box 2.09-3.98in x 1.26-2.36in x 0.59-0.71in - ��-�--�mh H--aI��JJ/aLp' p„•2,pa-m9b (53-101 mm x 32-60 mm x 15-18 mm).IP67,with bypass diodes _ Cable 4 mm2 Solar cable;(+)>_52.2 in(1325 mm),(-)>_52.2in(1325 mm) D-A I-41a35rRmml MODEL',; Q.PEAK DUO BLK ML° 10+/TS � -tt Connector Staubli MC4;IP68 ■Electrical Characteristics BOWER CLASS. 385 390 395 400",: .: `405. MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STCI(POWER TOLERANCE+5 W/-0 W) Power at MPP' PI,,,, [W] 385 390 395 400 405 Breaking the 20%efficiency barrier E Short Circuit Current' Isc - [A] 11.04 11.07 11.10 11.14 11.17 Q.ANTUM DUO Z Technology with zero gap cell layout E Open Circuit Voltage' Vpc M 45.19 45.23 45.27 45.3 45.34 boosts module efficiency up to 20.5%. --- --Current at MPP IM„ [A] 10.59 10.65 10.71 10.77 10.83 - - Voltage at MPP VM„ M 36.36 36.62 36.88 37.13 37.39 Efficiency' - - -- - - - - - _n_ - - [%] "- - 219.5 - -- >>>19.7 >-20.0 2:20.2-- -- -z20.5 '-' A reliable investment ➢ '`51 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT' I��"""` "' Inclusive 25-year product warranty and 25-year linear Warranty performance warranty'. Power at MPP PIP„ [W] 288.8 292.6 296.3 300.1 303.8 E Short Circuit Current Isc [A] 8.90 8.92 8.95 8.97 9.00 E Open Circuit Voltage Voc IV] 42.62 42.65 42.69 42.72 42.76 O Enduring high performance Current at MPP - - 1M [A] - - - - 8.35 - 8.41 8.46 -- - 8.51 8.57- Voltage at MPP VHxP M 34.59 34.81 35.03 35.25 35.46 Long-term yield security with Anti LeTID Technology, 'Measurement tolerances PI,,,±3%;Isc;Voc±5%at STC:1000 W/m2,25±2°C,AM 1.5 according to IEC 60904-3•2800 W/m2,NMOT,spectrum AM 1.5 cells Anti PID Technology2 and Hot-Spot Protect. Qcells PERFORMANCE•WARRANTY` PERFORMANCE AT LOW IRRADIANCE; ` r too a w At least 98%of nominal power . no Innovative all-weather technolo V97w 98 ®1n4'"%ilO'""'dar°°'°"-'°' during firstyeas Thereafter max. iiii o as ____-_-____i 0.5%degradation per year.At p wOptimal yields,whatever the weather with excellent low-light a i Ieast93.5%of nominal ower LL +� and temperature behaviour up to t0 years.At least 86%of u o nominal power up to 25 years. Z as z All data within measurement 90 a Zep compatibleTM frame design ; a5 tolerances.Full warranties in J U' F 6 _ termsaccor f the with the ales g� terms of the Qcells sales eo i High-tech black Zep CompatibleTM frame,for improved cc o a°o os 1D Is 2D 25 organisation of your respective 200 me 60o soo I.e. q aesthetics,easy installation and increased safety. YEARS country. IRRADIANCE(W/m1 'Standard terms of guarantee for the 5 PV companies vwth the Typical module performance under low irradiance conditions in RT highest production capacity In 2021(February 2021) comparison to STC conditions(25•C,1000 W/m). The most thorough testing .TEMBERATURE COEFFICIENTS- 1 m - - [% o programme in the industry Temperature Coefficient of lsc a [%!K] +0.04 Temperature Coefficient of Vpc [i [%/K] -0.27 tl Qcells is the first solar module manufacturer to pass the Temperature Coefficient of PN y [%/K] -0.34 Nominal Module Operating Temperature NMOT CF] 109±5.4 f (43±3°C) 2most comprehensive quality programme in the industry:The new"QualityControlled PV"of the independent certification o p ■Properties for System Design institute TOV Rheinland. Maximum System Voltage Vm M 1000(IEC)/1000(UL) PV module classification Class II a Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 61730 TYPE 2 0 'See data sheet on rear for further information. Max.Design Load,Push/PUI13 [Ibs/ft'] 85(4080 Pa)/85(4080 Pa) Permitted Module Temperature -40°F up to+185"F a °APTtest conditions accordingto IEC/TS 62804-1:2015,method A(-1500 V,96h) on Continuous Duty (-40"C up to+85°C) Max.Test Load,Push/Pull3 [Ibs/ft2] 128(6120 Pa)/128(6120 Pa) 'See Installation Manual Is Oualifications and Certificates - UL 61730.CE-compliant, Quality Controlled PV- TI)V Rheinland;IEC 61215:2016, W o.nPA", _ IEC 61730:2016, /�"' SP® C C ° U.S.Patent No.9,893,215 Isolarcells) •<ep � ODieri oUstE ID The ideal solution for: maw 1 °• "'° �o"P^n� w Rooftop arrays on Rooftop arrays on I T6vanawna °r } °° O �q 2022 commercial ustr ~ ° ° residential buildings mial/indial 94 „u °_°°•� DSA eoaPn�� buildings Ocells pursues minimizing paper output in consideration of the global environment. Nate:Installation instructions must be followed.Contact our technical service for further information on approved installation of this product ��"� Haawha 0 CELLS Americo Inc.40D Spectrum center Dave.Suite 1400.Irvine.CA 92618.USA I TEL*1949 748 59 96 1 EMAIL hqc-Inquiry@g w.wa.cells.com I WEB gcells.com Solar Shutdown Device 1 Technical Specifications The Solar Shutdown Device is a Mid-Circuit Interrupter(MCI) and is part of the PV system rapid shutdown (RSD)function in accordance with Article 690 of the applicable NEC. When paired with Powerwall+ or Tesla Solar Inverter, solar array shutdown is initiated by any loss of AC power. Electrical Nominal Input DC Current Rating (IMP) 12 A Specifications Maximum Input Short Circuit Current(Isc) 19 A Maximum System Voltage(PVHCS) 600 V DC RSD Module Maximum Number of Devices per String 5 Performance control Power Line Excitation Passive State Normally Open Maximum Power Consumption 7 W Warranty 25 years Environmental Ambient Temperature -40°C to 50°C (-40°F to 122°F) Specifications Storage Temperature -30°C to 70°C (-22°F to 158°F) Enclosure Rating NEMA 4X/IP65 Compliance Certifications UL 1741 PVRSE,UL 3741, Information PVRSA(Photovoltaic Rapid Shutdown Array) RSD Initiation Method PV System AC Breaker or Switch Compatible Equipment See Compatibility Table below Mechanical Model Number MCI-1 Specifications Electrical Connections MC4 Connector __ 250 mm ----0---- Housing Plastic M4 Screw Dimensions 125 mm x 150 mm x 22 mm 650 mm 150 mmO M8 Bolt (5inx6inxlin) Weight 350 g (0.77 lb) Nail/ - --- --- - -- — - — - ------ - __ tv Wood Screw Mounting Options ZEP Home Run Clip _ M4 Screw (#10) M8 Bolt(5/16") Nail/Wood screw 22 mm 125 mm UL 3741 PV Hazard Control (and PVRSA) Compatibility Tesla Solar Roof and Tesla/Zep ZS Arrays using the following modules are certified to UL 3741 and UL 1741 PVRSA when installed with Powerwall+or Tesla Solar Inverter and Solar Shutdown Devices.See Powerwall+/Tesla Solar Inverter Rapid Shutdown: Module Selection Based on PV Hazard Control System Listing for guidance on installing other modules. Brand Model Required Solar Shutdown Devices Tesla Solar Roof V3 1 Solar Shutdown Device per 10 modules Tesla Tesla TxxxS (where xxx =405 to 450 W, increments of 5) 1 Solar Shutdown Device per 3 modules' Tesla TxxxH (where xxx=395 to 415 W, increments of 5) Hanwha Q.PEAK DUO BLK-G5 or Q.PEAK DUO BLK-G6+ 1 Solar Shutdown Device per 3 modules Exception:Tesla solar modules installed in locations where the max Voc for three modules at low design temperatures exceeds 165 V shall be limited to two modules between Solar Shutdown Devices. January 31,2023 Tesla Solar Shutdown Device 1 Datasheet L �4 1 Road,Austin,TX P 650 681 681 5100 F 650 681 5101 5101 Version#97.8-1 WS(4) PIL August 8,2024 Certification Letter Project/Job#1193081 Project Address: Jannuzzi Residence 350 Harbor Ln Cutchogue,NY 11935 AHJ Southold Town Tesla Operations Center Bethpage Design Criteria: -Applicable Codes=2020 RCNYS/BCNYS/EBCNYS with 2020 NYSUCS,ASCE 7-16,and 2018 NDS -Risk Category=II -Wind Speed=130 mph(3-s Gust-Vult),Exposure Category C,Directional Procedure for Rooftop Solar Panels -Ground Snow Load=30 psf -MP4:RDL=10 psf,RSL=20.8 psf,PVSL=16 psf -MP5:RDL=10 psf,RSL=20.8 psf,PVSL=16 psf -MP6:RDL=10 psf,RSL=20.8 psf,PVSL=16 psf -MP1:RDL=10 psf;RSL=20.8 psf,PVSL=16 psf -MP2:RDL=10 psf,RSL=20.8 psf,PVSL=16 psf -MP3:RDL=10 psf,RSL=20.8 psf,PVSL=16 psf Note: Per IBC 1613.1; Seismic check is not required because Ss=0.175<0.4g and Seismic Design Category(SDC)=B<D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from Tesla.Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluation,I certify that the alteration to the existing structure by installation of the PV system meets the prescriptive compliance requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally,I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the referenced codes for loading. The PV assembly hardware specifications are contained in the plans/docs submitted for approval. OF NEWY X I AOJ I A Digitally sign XIAOJIAN XIEDate:2024.0 r- N XIE 00:43 04-04 0 � C? �� 105800 A��FESSIO�P� r '14 STRUCTURAL ANALYSIS & HARDWARE DESIGN RESULTS SUMMARY TABLES •. �- Design Standard ASCE 7-16 ^�Risk Categpry -`- _ - -- ----_I�_ Ultimate Wind Speed_ _ V-Ult _ _ _ -130 mph __ Fig.26.5�B Exposure Category_ - _ - C Section 26.7 ---.-T Ground Snow Load - --------------_ __P9-__-------, -- - ---- -30.O psf_.------- -- -- MP Specific Name MP4 MPS MP6 MP1 MP2 MP3 Roofing Comp Roof Comp Roof Comp Roof Comp Roof Comp Roof Comp Roof 0 � Standoff ZS Comp V4 with ZS Comp V4 with ZS Comp V4 with ZS Comp V4 with ZS Comp V4 with ZS Comp V4 with rn Flashing Insert Flashing Insert Flashing Insert Flashing Insert Flashing Insert Flashing Insert .y d Pitch 24° 1 24° 1 24° 1 24° 1 24° 1 24° SL/RLL:PV 16.0 psf 16.0 psf 16.0 psf 16.0 psf 16.0 psf 16.0 psf SURLL:Non-PV 20.8 psf 20.8 psf 20.8 psf 20.8 psf 20.8 psf 20.8 psf Edge Zone Width 4A ft 4.4 ft 4.4 ft 4.4 ft 4.4 ft 4.4 ft .• .. . . Layout MP Name MP4 MPS MP6 MP7 MP2 MP3 Applied Wind Zone WZ1 WZ1 WZ1 WZ1 WZ1 WZ1 Wind Pressure -15.5 psf -15.5 psf -15.5 psf -15.5 psf -15.5 psf -15.5 psf o XS acing 64" 64" 64" 64" 64" 64" u X-Cantilever 24" 24" 24" 24" 24" 24" v Y-Spacing 41" 41" 41" 41" 41" 41" Y-Cantilever NA NA NA NA NA NA J Uplift DCR 55.8% 55.8% 55.8% 1 55.8% 55.8% 55.8% -X-Spacing 48" 48" 48" 1 48" 48" 48" X-Cantilever 16" 16" 16" 1 16" 16" 16" c Y-Spacing 74" 74" 74" 74" 74" 74" a Y-Cantilever NA NA NA NA NA NA Uplift DCR 75.6% 75.6% 75.6% 75.6% 75.6% 75.6% Layout Staggered Staggered Staggered Staggered Staggered Staggered Applied Wind Zone N22e,2r,3 WZ2e,2r,3 WZ2e,2r,3 WZ2e,2r,3 WZ2e,2r,3, WZ2e,2r,3 Wind Pressure -22.6 psf -22.6 psf -22.6 psf -22.6 psf -22.6 psf -22.6 psf m X-Spacing 64" 64" 64" 64" 64" 64" u X-Cantilever 24" 24" 24" 24" 24" 24" Y-Spacing 41" 41" 41" 41" 41" 41" �o Y-Cantilever NA NA NA NA NA NA J Uplift DCR 84.0% 84.0% 84.0% 84.0% 84.0% 84.0% X-Spacing 32" 32" 32" 1 32" 32" 32" X-Cantilever 14" 14" 14" 14" 14" 14" o Y-Spacing 74" 74" 74" 74" 74" 74" a. Y-Cantilever NA NA NA NA NA NA Uplift DCR 75.9% 75.9% 75.9% 75.9% 75.9% 75.9% Layout Staggered Staggered Staggered Staggered Staggered Staggered Applied Wind Zone WZ2e,2r,3 WZ2e,2r,'3 WZ2e,2r,3 WZ2e,2r,3 WZ2e,2r,3 WZ2e,2r,3 Wind Pressure -22.6 psf -22.6 psf -22.6 psf -22.6 psf -22.6 psf -22.6 psf d XSpacing 64" 64" 64" 64" 64" 64" u X-Cantilever 24" 24" 24" 24" 24" 24" Y-Spacing 41" 41" 41" 41" 41" 41" m Y-Cantilever NA NA NA NA NA NA J Uplift I7CR 84.0% 84.0% 84.0% 84.0% 84.0% 84.0% XSpacing 32" 32" 32" 32" 32" 32" X-Cantilever 14" 14" 14" 14" 14" 1 14" c Y-Spacing 74" 74" 74" 74" 1 74" 1 74" a. Y-Cantilever NA NA NA NA NA NA Uplift DCR 75.9% 75.9% 75.9% 75.9% 75.9% 75.9% Layout Staggered Staggered Staggered Staggered Staggered I Staggered 1.X and Y are ma)dmums that are always relative to the structure framing that supports the PV. X is across framing members and Y is along framing members. 2.Where present,the green and red hatching in Applied Wind Zone rows corresponds to hatching on the Site Plan page of the plan set. Structure Qualification Results MP Name MP4 MPS I MP6 I MP1 I MP2 I MP3 11 Member Member Impact Member Impact Member Impact Member Impact Member Impact Member Impact Evaluation Results Check OK Check OK Check OK Check OK Check OK Check OK