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HomeMy WebLinkAbout33786-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33336 Date: 10/16/08 T~IS CERTIFIES that the building ACCESSORY Location of Property: 600 TUCKER LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax b~ap No. 473889 Section 63 Block 5 Lot 2 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 2008 pursuaxlt to which Building Permit No. 33786-Z dated APRIL 3, 2008 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 ACCESSORY SOLAR PANELS AS APPLIED FOR. The certificate is issued to KEITH & ELISABETH BEAVAN ( OWNER ) of the aforesaid building. SLIFFOLK COLRFI~fDEPARTMENT OF ~EALT~APPROVkL N/A ELE~ICJKL CERTIFICA~ NO. 3056427 09/11/08 I~L~ERS CERTIFICATION DA'r~ N/A /~~A thoriz~ Rev. 1/81 I:orm IN o. 6 TOWN OF SOUTtIO1,D BUILDING DEI'ARTM I'.;NT IOWN HALL 7654802 APPI,ICATION FOIl CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or iak attd subnfitied to/itc lhildmg D~partment with thc Ibllowirg: A, For new builtling or new use: I, Final survey of prope.,ly with accurate locatiou of all buildings, propealy liues, streets, aud u,msual natural or topographic t~atures. 2. Final Appro'val from Hcallh Dept. of wa~r Supply and scwc~gc-disposal ($-9 fo~n). 3. Approval ofclcctHcal inslail~*lim~ from ~mrd pi'Fire U.dcrwfiLcr~. 4, Swum stat~cnt from plumber certifying tho thc solder us~ in system ~mtaim Ivss than 2/I t) of 1% lead. 5. Commercial building, industrial building, multiple I'esideac~ and similar buildings and installatiolm, a c~ificate of Code Compliance fi'om amhit~t or engineer r~Nnsible fei' th~ building. 6. Subsoil Pta~ing Board Approval of compktcd sltc pla, r~ui~n~n~ts.. B. For exisgng buildings (prior to April 9, 1957) non-conforming uses, or btdld|llp and "pr~exlsfing" la,d 1. Accurate survey of properly showing all properly |incs, strc~:is, building Ired unusual, ru, ural or i~pogmphie t'*muros. 2. A properly c~m~pleted application at~d conset~t to inspect sigl~ed by the applicant. If a Certificate of Occupancy ix denied, the Building Inspector simll state tile reasons theretix in writing to tile applicant Swimming pmfl .'125.00, Acccm',~y building $25.01.), Addilio~ts to accessory buikHg $25.0(}, L4u~incs~us $50.00. 2. Certil~catenl'Occupancym~Pre-existingBuildiug- $100.00 3. Copy u[ Ccrtificalc of Occupancy- $.25 4. Utxlatcd C;a'tificntc ofOccup~ncy - $50.00 5. 'l'¢mporary Ccrtitkatc of Ocl:uplmcy - Kc~idcntial $15.00, Commemial $15.00 S[,bdivisio. I-Icaith 'l'k,'pl. Approval: ~lX/k Planning Board Approval: Date of Permit. I~ /~I O~ Request for: Temporary Cc'rtl Ik~l.¢ .... Fee Subrnitltxl: $1 ~'-5 ' ~3 .... (check .['J.il ri1 ]d. Applicam:~_~.( d Undcrwritcr~ A!~rl,vah .._ ·. Final Cetliflm~lc: ~ (check one) A.pplical~t Signature ~o - ~ -~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by GREEN LOGIC ELISABETH BEAVAN ~I~i~I~I~WA~J:EliC~E 600 TUCKERS LANE I~¢~U'B~)N.a~51PTON, NY 11968, SO UTHOLD, NY 11971 BRIDGE ~PTON, N.Y. 11932 600 TUCKERS LANE SOUTHOLD, NY 11971 Located at Application Number: 3056427 Certificate Number: 3056427 Section: Block: Lot: Building Permit: 0 BDC: ns11 as a Residential occupancy, wherein the premises electrical system consisting of Described electrical devices and wiring, described below, located in/on the premises at: photovoltaic,Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the ttth Day of September, 2008. Name OTY Rate Rating Circuits Tv~ AdditionalCharges photovoltaic system Alarm and emergency equipment Inverter Unit 2 0 0 Solar Panel 42 0 0 Service Service Rating200Amperes Wiring And Devices Disconnect 4 0 1-30 amp seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~)ING PERMIT {THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33786 Z Date APRIL 3, 2008 Permission is hereby granted to: KEITH & ELISABETH BEAVAN SOUTHOLD,NY 11971 for : CONSTRUCTION OF ACCESSORY SOLAR PANELS (GROUND MOUNT) AS APPLIED FOR at premises located at 600 TUCKER LA County Tax Map No. 473889 Section 063 pursuant to application dated MARCH Building Inspector to expire on OCTOBER~/~3, 2009. ~ Fee $ 100.00 ~ Authorized, re SOUTHOLD Block 0005 Lot No. 002 26, 2008 a~d approved by the ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [~J~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE FO~ATION (1ST) ~ ~ FO~DATION (2ND) ~ ROUGH F~G & ~ PLI~G ~ _ ~ ~" LNSI~ATION PER N.Y. -- STATE ENERGY CODE ~ ~DITION~ COUNTS ~ ~m TOWN OF $OUTHOLD BUlLDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9~02 SoutholdTown. NorthFork.net PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or he. at the following, b~fore applying? Board of HealO~ 4 sets of Building Plans Planning Board Septic Form ~/'~ N.Y.S.D.E.C. Examined ~ 20 Flood Permit Approved 20~ Disapproved a/c .... Expiration .20 Building Inspector ,,'~' ~ ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 0. This application MUST be completely fiilcd in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or mv~s, and waterways. c. The wonk covered by this application may oct be commenced before issuance of Building Permit d. Upon approval ofthls application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inapceti~ throughout the work. e. No building shall be occupied or used in whole or in pa~t for any ~ what so ever until the Building Inspector issues a Certificate of Oeanpeocy. f.. Every building permit shall expire if'he work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months fram such date. If oc zoning mwendments or other regulations affecting the property have been enacted in the ink,m, the Building Inspector may authorize, in writing, the extension of the permit for oc addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamuent for the issuanca ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law~, Ordinance~ or Regulations, for the constraelaan of bmldiags, addinons, or alterations or for removal or demolition as herein described. The appli .c.ant .a~rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neca~ary inspections. (Signature of applicant or name, ifa corporation) (~Ma~ing addr~ ~f applicant) State whether applicant is owner, lessee, agent, orchiteet, engineer, ~aneral contractor, electrician, plumber or builder Name ofowner ofpremises ~ I I ~el.~yl (As on the tax roll or latest deed) If applicant js,a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ~ ~- Plumbers License No. ~/~- Eleetrlcians License No. ~ . Other Trade's License No. ~0;,~,:~ - ~4 (Xa36~, In~m~ i~C0~/~m-O'-Jo ) I. Location of land on which, pro .gosed work will be done: In00 qucEoy' ! n lP : House Nt~nber ~tmet - Hamlet County Tax Map No. 1000 Section b-~ Block t~ Lot Subdivision Filed Map No. Lot I Iqsz. 2. State existing use and °ccupancy of premises ~d,intonded use and occupancy of proposed construction: a. Existing use and occupancy _ ~ I ~ b. Intended use and occupancy ~ 3. Nature of work (check which applicable): New Building Addition Alteration Repair. Removal Demolition Other Work I~-~,("~.tl 4. Estimated Cost ~ _'~ ~/~ Fee (Descrlp~ion) (To be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor If garage, number of cam .tO ~--' .. 6. If business, c°mmercial or mixed occupancy, specify nature und extent of each type of use. 7. Dimensions of existing structures, if any: Front ~ Rear "~ Depth Height Number of St~)ries Dimensions of same stnJcture with alterations or additions: Froot ~ t, Rear Depth, - ~ ~'~ Height,, Number of Stodes '~ - 8. Dimcnsions ofcntire new construction: Front "~ # Rear '~a~t Depth_ I~ Height Number ~~ 9. Size of lot: Front Rear Depth t~ 10~ St 10. DateofPurchase Iol IgJaq Name ofrormer Owner ~]~'1/~) '~ Je ~(LI il. Zo.e orn which premise i, atod 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES NO _l~Will excess fill be removed from premises? YES NO NameofArchiteet ,~,L _ ,,,-,~ w ~ rnoneeqo.~.~ *~ ~ Address .Phone No Name ofContractor~~,~Address ~ ~ It ~ Phone No. 15 a. Is this Property withln 100 feet of a tidal wetland or a freshwater~wetland? YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM/TS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO ~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) co . ~f~ h$ ~f~ ~ (~1 ~'C h I~1~'- ~hg duly sworn, ~s ~d ~ys ~m (s)be is ~e a~li~, ~e of ~ivid~ ;i~g ~n~) ~ve ~ (Con~h Agen~ Co~mte 0~, 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 ail statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed ther~vith. I~otury Public NO. 01 ~A(~I ~$1 ~ ~ignature of Applicant OommlQuaJIfied in Suffolk Oounty /~- ~3;s-~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNE~ STREET " VILLAGE DIST. SUB. LOT .)'~'1 ~.,~ ~ ~''*/ rear, ok ~ ~ ~iler ~ ~ s w ~PE OF BUILDING ~ES.~/A S~S. VL FA~ ~. CB, ~ISC. ~kt, Value ~ND I~P. TOTAL DATE RE~ARKS ~ ~-~o FA~ Acre Value Per Pol0e Acre Tillable 1 ./~ Tillable 2 Tillable 3 ' .? ~w=mpl~nd FRONTAGE ON WATER ]rusM~nd FRONTAGE ON ROAD acute Pict DEPTH ~ ~ ~. ~ BULKH~D rot=l DOCK Extension Extension Extension Porch Porch Breezeway Garage Patio Total Foundation JExt. Walls Fire Place Bath ,:;-~ ~-:~ Dinette k . Type Roof Recreation Roorr Dormer Driveway Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor DR. BR. FiN. B. March 18, 2008 To: Building Department/Construction Official From: James A. Marx, Jr. P.E. Re: Engineer Statement for Beavens Residence, 600 Tuckers Ln, Southold, NY Solar Ground Installation & footing design I have verified the adequacy and structural integrity of the Unimc U-LA system for mounting of Conergy solar panels and their installation will satisfy the structural design- loading requirements of the New York State Building Code based upon the model International Building Code - 2000 (for this solar structure the New York State Residential Code that is based upon the International Residential Code is not applicable. As indicated on the Solar Center drawings, the Unimc frame posts are embedded in concrete sonatube footings that are the recommended installation method of Unirac and meets the site design conditions for wind loading -120 mph Exp C and snow loading - 45 psf. Thereby, I endorse the solar panel installation and certify this design to be structurally adequate. Sincerely, James A. Marx. Professional Engineer NY 56467 10 High Mountain Road Ringwood, NJ 07456 ~; 0~ ALL CONoT[ ,LS ,'L; S;;),LL MEET THE REQUIREME~TS OF THE CODES OF NEW YOrgK STATE. cc: Gree~o¢c, LLC APPROVED AS NOTED DATE:"~' q/3/~/B.P, #~ NOTIFY BUILDING E 7ARTMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECT'.ONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAM 4G & PLUMBING 3. INSULATION 4. FINAL- CO'*~''¢T''''~ MUST BE COYP~ ~. ALL CONSJ: , b Lt "-ET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTtON ERRORS. UNDERWRITERS CERTIFICATE REOUIREO ~r~3ff.611/16. ( Mmmting Rail GreenLogic, LLC Proposed Beavans 7.35 kw (42) Conergy 175MU Azimuth = 180 degrees Pitch = 30 degrees Scale 3t16" -- 1.0' Panel Dimension = 62.2" x 31.8 Array Length -- 435.4" Array Height = 16' 1 3/8" Layout Created By:PJM Date:2/22/08 ¢ SECTIONA-A,~ Design Criteria Wind 120 mph Exp Snow 45 psf ~' 3" ASTM A53B Scheddle 40 Steel James A. Marx Jr. Eng~r Liee~ 56~7 ~eavelis 600 Tuckers Lane Southold, NY 11971 Live Search Maps 60( ;kers Ln, Southo~d, NY 1197!.3044 8' 10.5" Conergy S 175MU con RG Optimized performance ~ High-transmissivity, Iow-iron tempered glass i 13.7% module efficiency Built for long service life Robust, lightweight, clear anodized aluminum frame EVA (ethylene vinyl acetate) encapsulated cells provide high UV resistance and electrical isolation Rigorous optical, mechanical and electrical quality assurance testing ensures high product quality and consistency Simple installation ~ 8 pre-drilled mounting holes ! Polarized Muiti-Contact MCIII DC-rated connectors Warranties and certifications 12-year warranty on 90 % of Pmin1 25-year warranty on 80 % of Pmin~ 5 year product warranty~ UL 1703 Po~e~ t~lerm'tce -2/+3 % ~c~~ ~.2v ~p_ ~ ~ ~ P~ -0.48 ~oc ~ ~ ~ ~ 0.01~ ~C ~ ..... ~8~---~2~c Number of cells 72 Cell di~ ............ ~x~mm ........ m~LxWxH) ............... ~":~-~§~'~r~- (1580 x 808 x 35 mm) wmgm 34.2 ms (,5.5 ............................. ~; -~ -~ -m-p~ I~l~/s~m,e Impa? _l~el?tance ACORD CERTIFICATE OF LIABILITY INSURANCE I DA , M O ' ,O=O 12909 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LoVullo Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6450 Transit Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Depew NY 14043 INSURERS AFFORDING COVERAGE NAIC # INSURED GreenLogic, LLC INSURER A: SCOTTSDALE INSURANCE COMPANY 41297 PO BOX 38 INSURER B: Bridgehampton, NY 11932 INSURER C; INSURER D~ I INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !INSR ADD'[ POLICY EFFEC~v[' pbI~ICY E~pIRATION LTR NSR[ TYpE OF INSURANCE POLICY NUMBER DATE~ OATE~MM!D~} . LIMITS CLS1462918 0113112008 0113112009 DAMAGE TO RENTED __ __1 CLAIMS MADE X~ OCCUR MED EXP(AIlyone person) $ 5,000 ~ OCCUR [~ CLAIMS MADE AGGREGATE $ WORK RS CO PENS*,ION A.O ITO.YL=T I- CERTIFICATE HOLDER CANCELLATION Town of Southold 53095 Route 25 Southold, NY 11971 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CER33FICATE HOLDER NAMED TO IHE LEFT, BUT FAILURE TO DO SO SHALL iMPOSE NO OBLIGATION OR LIABILIT~ OF ANY KIND UPON THE INSURER, ITS AGENTS OR © ACORD CORPORATION 1988 New York State Insurance Fund Workers' Compensation & Disab'dity Benefits Specialis~ Since 1914 8 CORPORATE CENTER DR. 3RD FLR, MELVILLE, NEW YORK 11747,-3129 P~ (~) ~oo CERTIFICATE OF WORKERS' COMPENSATION INSUELANCE GREENLOGIC LLC 24 SUNRISE AVE PO BOX38 BRIDGEHAMPTON NY 11932 POLICYHOLDER GREENLOGIC LLC 24 SUNRISE AVE PO BOX 38 BRIDGEHANIPTON NY 11932 CERTIFICATE HOLDER THE TOWN OF SOUTHOLD BUILDING DEPT 53095 ROUTE 25 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE I 1486 061-3 882013 08/11/2007 TO 08/11/2008 8/8/2007 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1486061-3 UNTIL 08/11/2008. COVERING THE ENTIRE C~LIGATION OF THIS POUCYHOI.DER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THESTATE OF NEW YORK, EXCEPT AS INDICA~I=U BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDERS REGULAR NEW YORK STATE EI~°LOYEES ONLY. IF SAID POi. ICY IS CANCELLED, ORCHANGED PRIOR TO 08/11/2008 IN SUCH M/~NNERAS TO AFFECT THIS CERTIFICATE, 10 DAYS WRult:N NOTICE OF SUCH CANCEU~TION WILL BE GIVEN TO THE CERTIFICATE HGLDER ABOVE. NOTICE BY RE~ MAIL SO ADORESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUI~E ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTIDE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIRCATE HOLDER~ THIS CERTIFICATE DOES NOT AMEND, IEXTENO OR ALTER THE C~ AFFORDED BY THE POLICY. U~26.3 NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND t..~N ~RmNG This cerlJficate can be validated o~ o~r web site at hSps://www, nysif.com/cer'dcen'val.asp or by calling (888) 875-57g~ VALIDATION NUMBER: 914681542 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM Cr---~i iri~.~ BY A DIE~N ~RO~.~ IN THE STATE OF NEW YORK. THE FOU.OWING ACllONS MAY ~ THE 8UBMIS~ION OF A ~.H.mbec. p, lo-m! ^Cbe~Mark{,D~e~'~Oues~F~,uirod~aComFme~) 1 2 3 4 5 6 7 8 9 W~II this Project Relain AIl Stne~Water Run-Off G~me~ed by a Two (2") Inch Ra~,;~ on Site? 0~is llem will include ali mn-off created by slle ck~ and/or constm~ine acll~s as wMI as alt S~ Duas Ihe Site Plan and/~' Su~ey Show NI Pm~ Dra~ S~uciu~s In~ Size & L(x:atlne? Th~ Item shall indude ali Proposed Grade Cbenges and Slodes C~-~,u;,',',',',',',',',~ Su~,aoe Wat~FTo~ Five Itmusand (5,000) Square Feet of G~x~nd Su~fa~e? Is tbere a Natural Water Course Running lhrou~ Ibe Slle? is this Pmje~ wllhin the Trustees Julis~r~:~x)n or wllNn One ~ (160') feet of a Welland ar Beach? Will ~ be Site PreParation on F_~ds~g Grade Slopes vn~dn F. xoeed Fifteen (15) fne~ of Ve~ical Rise to One Hundred (100') of Hodzontat Dbtance? WIll this Project Require the Placement of Mate~l. Removal of Vegela~n and/or the Conetn~:llon of any Item Wtb~n the Tovm Right-of-Way or R~ad Shcxdder Ama? 0-his ~ will NOT Include the Installation of Will this Project Require Slle Preparallon wllhin tbe One Hundred (100) Year FtooG,.,k~i of any Walemoume? D NOTE= If Any Ahswer to Questions One through Nine is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be 5ubmittod for Review Prior to Issuance of ~ Building Permifl EXEMPTION: Yes N._.~o Note: If you Answered yes to this Question. a Stmm-Waler, Gradin~ Drainage & Ero~ton Cor~b~l Pisn Is NOT ~1 __ ~ STATE OF NEW YORK, ~~) / ............... ......... ....................... -- (~,~,~ ~.~) ~ ~c ~ ~ ~ ~o~ ~ ~e ~ ~t fo~ ~ ~e app~fi~ ~ h~ S~m to ~fom me ~s; .......... ....................... FORM - 06107 3 strings of 8 CONERGY 175 ~att panels. 1.4 kw each stdng. · NTay total of 4,2kW II II FRONIUS IG 4000 INVERTER All panels to be grounded as per NEC code 30 AMP three pols DC switch from panels to inverter 240 VAC 240 VAC fi'om inverter to a 30 Amp switch near utility meter 30 AMP 3R utility meter 2 strings of9 CONERGY 175 watt panels. 1.57 Kw each string Array total of 3.15 Kw Alt panels to be grounded as par NEC code FRONIUS IG 3000 INVERTER 30 AMP two pole DC switch fi'om panels to 240~/~VAC 240 VAC from inverter to a 30 Amp switch near utility meter 30AMP 3R switch near utility meter FRONIUS IG GRID-TIED INVERTERS FOR PHOTOVOLTAIC SYSTEMS Light Weight More Energy Lower Cost LCD Display Powerful Reliable Warranty At 42 lbs, the FRONIUS IG inverters are the lightest grid-connected inverters making them both easy and cost-effective to install. MIXTM Concept allows your system to output more energy under part-load conditions. Integrated UL approved DC & AC disconnects which reduce installation time and complexity - often eliminating the need for additional disconnects. User-friendly and comes standard with every FRONIUS lC; tracks more than 20 critical system performance parameters. At 4000, 4500 and 5100 watts, these inverters deliver more power output for higher performance installations. Frenius has been in business for over 60 years and has more than 200,000 FRONIUS IG inverters installed worldwide. 10 year Premium Warranty. POWERING YOUR FUTURE ~c ~.p~ o= ! FRONtUS'G 4O00 / mON~US ~G 6400 F.O,'US ~G 4~O-LV Recommended PV power\ 3000 - 5000 Wp ,/ 4000 - 6300 Wp 3600 - 5500 Wp Mex. DC input voltage ~. 500V / 500 V S00 V Operating DC voltage range~V 150 - 450 V 150 - 450 V Me;<. usable DC input current 26.1 A 33,2 A 29.3 A AC Output Data FRONIUS IG 4000 FRONIUS IG 5100 FRONIUS IG 4500-LV Maximum output power @40° C 4000 W 5100 W 4500 W Nominal AC output voltage 240 V 208 V Utility AC voltage range __ 212 - 264 V (240 V +10%/-12%) 183-227V Maximum AC current 16.7 A I 21.3 A 21.6 A Maximum utility back feed current 0.0 A[ 0.0 A 0.0 A Operating frequency range 59.3 - 60.5 Hz (60 F~z nom) Total harmonic distortion < 5 % Power Factor (cos phi) 1 General Data FRONIUS IG 4000 I FRONIUS IG 5100 I FRONIUS IG 4500-LV Max. efficiency 95.2 %I 95.2 %I 94.4 % Consumption in stand-by < 0.15 W (night) Consumption dudng operation 15 W Enclosure NEMA 3R Size (I x w x h) 28.4 x 16.5 x 8.8 in (720 x 418 x 223 mm) Weight 42 lbs. (19 kg) Ambient temperature range -5 to 122 °F (-20 to +50 °C) Cooling controlled forced ventilation Integrated DC and AC disconnects standard UL approved DC & AC disconnects Prote~lons Ground fault protection Internal GFDI, in accordance with UL 1741 DC reverse poladty protection Internal diode Islanding protection Internal, in accordance with U L 1741, IEEE 1547 Over temperature Output power derating Surge Protection Internal DC & AC protection, Tested to 6 kV Compliance Safety UL 1741 EMI FCC Part 15; Class A & B Anti-Islanding protection UL 1741, IEEE 1547 Ground fault detector and interrupter Compliant with NEC Art. 690 requirements, UL 1741 Miscellaneous Maximum AC over current protection Two-pole, 30 A circuit breaker AC wire sizing Use maximum AWG 6 194°F (90 aC) copper wire DC wire sizing Use maximum AWG 6 194°F (90 °C) copper wire AC disconnect 32 A DC disconnect 40 A W~arranty 10 year Premium Warranty is Standard Distributed by Fronius USA LLC Solar Electronic Division 10421 Citation Drive Suite 1100 Brighton, Mi 48116 Phone: 810-220~4414 Fax: 810-220-4424 E-Mail: pv-us@fronius.com www.fronius-usa.com OF' '¢~3U'FNQI~D ~ lq,Y, t