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HomeMy WebLinkAbout34992-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34088 ~te: 11/23/09 TNIS u~TIFIES that the building SOLAR PANELS Location of Property: 350 LAUREL WAY LAUREL (HOUSE NO.) (STREET) (HAMLET) County Ta~ }{ap NO. 473889 Section 125 Block 4 Lot 24.19 Subdivision Filed Map ~o. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 4, 2009 pursuant to which Building Per~tit No. 34992-Z dated SEPTEMBER 11, 2009 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 SOLAR PANELS ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN J & EILEEN O'BRIEN (OWNER) of the aforesaid building. S[~F~LKCOY]I~YDEPART?{ENT OF }~;%L~"~_PPRO~L~L N/A ELR~-rKIC~J~ ~TIFICA~ NO. 11277 09/30/09 PLI]I~ERS u~-rIFICATION DA'£~U3 N/A Rev. 1/81 New (twelli~g $25-~0~ A.ddifio~s to'dwelling $25. . House No. .' Co~m~T~ i~ No t000, ~ection ~ sion for:. Temporary C~'l~ificale Final Cen~fi~ae: ~/ (check one) I8/I8 39~d N3I~80 E~18865I£9 ZI:aa 900~/~0/P0 SUF~OLK+~ BUREAU o'r F~L E~I'F''CAL INS PE C 'I OF:S, 40 Nottingham Drive, Middle Island. NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 * E-Maih SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Green Logic Rough lin inspection Date: September 30,2OO9 Application No.: 11277 LIPA Solar App No.: 08 4144 County Tax Map No.: 473889 125 0004 024.019 Certificate No.: Final Inspection Date: Building Permit No.: 11277 September30,2009 34992 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: 3ohn Obrien Site Location: OBrien, 350 Laurel Way, 350 Laurel Way, Laurel, NY 11948 Owner's Address (if different): ~ Residential ~ L~ Indoor ~ Basement ,'~ Sew'ce ~ Shed ~- Commercial ~ Outdoor [] First Floor ~ Pool [] Hottub L_ New [] Renovation [] Second Floor ~ Attic ~ Garage ~Addition []Survey Other: photovoltaic system INVENTORY Single Phase Heat Duplex Recpt Ceiling Fixture HID Fixtures Three Phase Hot Water GFCI Recpt Wall Fixture Smoke Main Panel AC Cond Single Recpt Recessed Fixture CO Detect Sub Pane~ AC Blower Range Recpt Flourescent Pumps Transfon~er Appliances D~yer Recpt Emergency Time Clock Disconnect Switches Twist Lock Exit Fixtures TVSS GFCl Breaker Heat Pump Electric Heat POOl Luminaire Exhaust Fan Other Equipment photovo~taic system to incJude 24 so~ar panels, I inverter, 1AC & 1DC disconnect The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Green Logic Inspected By: Gene Surdi Signature: J/~ License No.: 43858ME Date Of Certificate: Oct 07,2009 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34992 Z Date SEPTEMBER 11, 2009 Permission is hereby granted to: JOHN J & EILEEN O'BRIEN PO BOX 363 LAUREL,NY 11948 for : INSTALLATIC~OF SOLAR PANELS TO AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 125 pursuant to application dated SEPTEMBER Building Inspector to expire on M~LRCH 350 LAUREL WAY LAUREL Block 0004 Lot NO. 024.019 4, 2009 and approved by the 11, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN,'/"#ATION DATE INSPECTOR ~-*~?~ Pacifico Engineering PC PO Box 1448 Say~ville, NY 11782 www.pacificoengineering.com Engineering Consulting Ph: 631-988-0000 Fax: 631-382-8236 engineer@pacificoengineering com November 4, 2009 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Jack O'Bden 350 Laurel Way Laurel, NY 11948 I have reviewed the solar energy system installation at the subject address. The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets the requirements of the 2007 NYS Building Code, and ASCE7-05. To my best belief and knowledge, the work in this document is accurate, conforms with the governing codes applicable at the time of submission, conforms with reasonable standards of practice, with the view to the safeguarding of life, health, property and public welfare Regards, Ralph Pacifico, PE Professional Engineer ~r~,OI~,~CrIos~ORT VAT~ ] COMPilerS ~O~A~ON (2~) ~ · ROUGH ~G & ~S~ON P~ N. Y, ~ STA~ E~R~ CODE ~D~ION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Disapproved PERMIT NO. Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following before applying? Board of Health 4 sets of Buildthg Plans Planning Board approv~ N,Y.S.D,E.C, Flood Permit Storm-Water Assessmem Form APPLICATION FOR BUILDING PERMIT Date/~. INSTRUCTIONS ,20 0q ' be completely fdled m by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate 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 areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon appmval of this application, the Building Inspector will issue a Building Penuit to the applicant. Such a permit shall be kept on the pranUses available for inapection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months fi.om such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Deparmaent for the issuance ora Building Permit pursuant to the Building Zone Ordinance oftbe Town of Soathold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the cons~a'uction of builduigs, additions, or 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 for necessary inspections. (.or t ton tc CrC (Signature of applicant or name, if a. coroomtion) -- (Mailing ~dress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises d ~)[~LF'~ (~)1 on to. or,at.st If ' ' , signature of duly authorized officer G"v(I~ame~le of c6rpomte officer) Builders License No. t~Ooq ~'~"~1'{' ~'~tL~c~t-' ~ ~ Plumbers License No. Electriciuns License No. q'4~'.~'~' ~ ITl ~: Other Trade s License No. 1. Location of land Qn which prol~osed work will be done:~ -~'o ~) [ {[[A"irOJ ~A~teLLI, i L~l.~ d .,' '}~, House Number Street Hamlet County Tax Map No. 1000 Section I0~ Block 0L~ Lot ~q. Iq Subdivision Filed Map No. Lot State existing use and occupancy of premises and intepded.nse and occupancy ofpropnsed construction: a. Existing nse and occupancy ~'~O.~tt[O~_'k/LI} f~'14a .t~l~ b. Intended use and occupancy ~1~ 4. 5. 6. 7. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost o~/,, q~.g//. ~ If dwelling, number of dwelling units If garage, number of cars Addition Alteration OtherWork l~_g$Otl ~tff~e- I,,M_ ~ (Description) Fee (To ~ p~d on filing ~is application) N~b~ of dwelling mi~ on e~h floor 10. DateofPurchese ~,0~ Name ofFormer Owner L.~ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~I~/A' Dimensions of existing structures, if any: Front ~,,t, Rear .~2.r' Depth //5* Height Number of Stories ~ Dimensions of same structure with alterations or additions: Front JVC- Rear Depth Height. Number of Stories Dimensions of entire new construction: Front ~,fa' Rear Depth Height Number of Stories Size of lot: Front q/ t, Rear .~5-" Depth t/~i~ ~ 13. Will lot be re-graded? YES__ NO Will excess fill be removed fi.om premises? YES NO ~ ~'~o Ltu~*t t~ra.q O3/- zq ~-- 14. Names of Owner ofpremises~Address ~ , h~ Phone No. ~/g~ Name of Architect Address Phone No Name of Conh'actor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidai wetland? * YES NO L/ * 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) coum¥ or q' tC Ik~LWt' ~,~0~ being duly sworn, ~poses ~d says ~t (s)he is ~e ~plic~t ~e of ~divid~ sing ~) a~ve ~ed, (Conm~or, Agem, Co~rme Officer, etc.) of s~d o~er or omen, ~d is d~y a~o~ed to ~ffo~ or ~ve per fomed ~e s~d work ~d to m~ ~d ~e ~s ~plic~on; · ~ ti smtemen~ ~n~ed ~ ~s applic~ion ~e ~e to ~e best of~s ~owledge ~d ~lief; ~d ~at ~e work MI1 ~ ~ffo~ed ~ ~e m~er set fo~ ~ ~e applic~ion ~ed ~e~. Sworn to before me this.n '~ 0 ~ yof Notary Pu~ic 0 Tow. n of Southold ·ro$1on, Sedimentation & 8total-Water Ru~-off A8$E~8MENT FOR~ 8. T JLa: . _'~__E__FO.._L~__ NO ACTION8 MAY I~QUIRE THE 8U~s~__P~_!~H OF A IBlo~ L~ C~B~ ~ ar ~uu BY A ]Gr~iu~ PRGrr. ooIONAL IN Tile IITATE OF NE1N y~mr Item Numbec (NOTE: A Cheek Idark (~) f~ eseh Question Is Required fl:N' a Complete Application) Yes Ho I v~, Ihb Pn:~e~ Retain All Storn~Water Run4~ff Im~ ~ ~e ~t ~ ~ ~ 8u~.) 2 ~ ~e si~ ~ ~or 8uw~ ~ I~ s~ I~ude ~ P~ Om~ 3 ~1; ~is P~ ~ any ~d FII~, ~ng 4 ~, ~ ~pli~ ~ ~d F~ ~ous~d (5,~) Square F~ of G~ 8u~? Is ~is P~ ~In ~e T~ ~dsd~ 6 ~11 ~e be SI~ ~ ~ ~n9 Grade O~ Hund~ (1~') ~ H~n~ ~? 7 ~11 Ddv~, Pa~ng ~ m ~r Impious in~ ~dlor ~ ~ dl~ ~ a T~ ~ 8 ~'l~is P~R. uim~ePia--MofMa.flal;R--~V~a~e~s~of ~ ~ ~y Item ~In ~e T~ ~(~f-Ww ~ I~m Mil N~ ~elu~ 9 N~: ~ ~y Aes~ ~ Q~floes One ~mugh Nl~ Dml~ge & ~lon Co~I P~n Is ~lmd EXEMPTION.' Does this project rnaat the minimum stand.,ds foe cl~lfl~ es.~ Aofiuultural PmJeot? Yes No STATE OF N~V YORK, _ ^ ,, couNw o~ .......~..~/~.. ............ ss That I i~ ~,, h~/,h~ i, ~, .................................................. Cax~ ........................... : ................ ' Owner and/or representative of thc Owner of Owners, and is duly authorized to perform or have performed thc said work and to make and file this apl~icatlon; that all statements contained in this application are true w the best of his knovdedge and befiefi, and dm the work will be performed in the rranner set forth in ~he application filed herewith. Sworn to before me · ........... ~.~ ..................... .... RADHARA A FORM - 06/07 Notary Public-State of New York No. 01-CA48~969 .............. Qualified m Suffolk County - .~.~ .......................................... My Commission Expires May 11 ,c,"-,~// STREET ..,~ ,~' ~ 1 ~I-L~,G E ACR. ~ Z, ~EMARKS OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD I D~ST~[ .... ~U B~---~'~)T TYPE OF BLD. LAND '2.-qO 0 IMP. \~o /~?0o PIv~ L TOTAL DATE FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL 125,-4-24J9 2/05 M. Bldg. /,~.~.~ r3\a~.~<~, Foundation ~ Bath Dinette ~& ~t -- 2 ~2~ Ext. Walls ux~ c~ Interior Finish ~ Heat D.R ~x~nsio ~ ~ %~ - ~2~ FirePlace PaSo [ ~ Woodstove BR. Porch ~ x Il ~ ~{~ ~ ,~ ~ Dormer Fin. B. ~ ~ ~%~ ~ ,2~ ~q Rooms 1st Floor Garage 5~ ~ ~ ~3 Driveway Rooms 2nd Floor ~o~ ~ N. 7'6°44'42 CER TIFIET TO, JOHN J. O' BR/EN EILEEN P. O'BRIEN AREA = 3[299 sq. ft. ANY AL ?ERA TION OR ADDITION TO THiS ~JRVEY IS A VIOLA TTON OF' ~CTION 7~09 O~ THE NE. Fi YORK STATE EDUC~ATION LAFI. EXCEPT AS P~J~ SECTJ~2N XEO9 - ,5'U~DI~/75701~ Z. ALL CERrlFIC. ATiON$ HEREON ,ARE vALID FOR ~ MAP AND COPIES THEREOF' ONLY IF SAID MAF O~ COP~$ ~ THE' ~PRESSED SEA"_ OF Tile SURVEYOR ADDI~ONALL Y TO CO#~L Y ~ITH ,~,,A¢ I.~F/ ~ ' AL I~ BY ~ BE U~ BY ~Y Ai~ ALL 6URV~ U~G A C~Y ' ~OU~T - TO - DATE ' ARE NOT ~ C~ ~ T~ L~. SCDH$' REF ~.' R /© '"02 - 0/77 180.00 50. g The locations o/ we/Is and cesspools shown hereon are /rom /ie/d observol/ons and or [rcm data obtained from others. NO TE' LOT ',UMBERS REFER TO "M~.P OF L,,~UREL LINKS" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON NOV. 23, ZOO1 AS FILE NO. 10712 I am lamfliar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS ~'OR SINGLE FAMILY RESIDENCES and will abide by th~ conditions set forth therein and on the perrnif to consfrucL SURVEY oF PROP~E~T'~ ..... A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 125 - 04 24.19 SCALE: I" = 30' JUL Y 17, 2002 JUl. Y 24, 2002 (pro~ DEC. 18, 2002 (STK. HSE.) MA Y /, 2003 ( foundation loc. ! MARCH 15, 2004 ( FINAL I ×Ir_CONiC ' ~q~..c. / / (6311 765 .~. - 1797 1230 TRAVEL~E~ ~ SOUTHOLD~ N. [')9_ 'Pacifico Engineering PC PO Box 1448 Sayville, NY 11782 www.pacificoengineering.com September 1, 2009 Engineering Consulting Ph: 631-988-0000 Fax: 631-382-8236 engineer@pacificoengineering.com Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Jack O'Brien 350 Laurel Way Laurel, NY 11948 APFEOVED AS NOTED ~' .... ; , $?/ENT AT ~ ' '' . FOR THE EQU~RED 2. ¢~;- ~-,.,. ,- ~ PLUMBING 4 ~-d~,&; .- - - , E': '"" : AL CON~TRL'~TON SHALL MEET THE I have reviewed the roofing structure at the subject address. Ti~'MrlJi~b'~a~n ~il3'll)t~12~)~l(~e~lVweight of the roof mounted system. The units are to be installed in accohS;t~t~e,9~it~iffhet,t~ina~(~'l~[u~stl~O~ion instructions. I have determined that the installation will meet th~:f~Hr~ie~l~S~,JE3~O~l'EEIl:liBR~ljng Code, and ASCE7-05 when installed in accordance with the manufacturer's instructions. Roof Section A B mean roof height 25 ft 25 ft pitch 7 5/8 in/12 7 5/8 in/12 roof rafter 2x10 2x10 rafter spacing 16 in OC 16 in OC Reflected roof rafter span 19.2 ft 9.2 ft Table R802.5.1(1) max 20.6 ft 20.6 ft collar tie 2x8 2x8 collar tie spacing 16 in OC 16 in OC The climactic and toad information is below: CLIMACTIC AND GEOGRAPHIC DESIGN CRITERIA Roof Section A B Category B Wind Speed, 3 sec gust, mph 120 Ralph Pacifico, PE Professional Engineer Live load, pnet30 per ASCE 7, psf 26 26 JSE !!-; UNLAWFU '/'?i ;;,!T CERTIFk point pullout load, lb 267 137 Fastener type 5/16" dia screw, 4" length, 2 per 5/16" dia screw, 4" length, 2 per ~~0_ ALL CON ?-"~ ,. · ',._-,,_~,.-~.,~'~'~'~ ',.EET THE F. EQU~ ~; &4T.; C S1 4.05 kW SunPower 225w UniRac Sunframe Azimuth = 212° Pitch = 32.5° Scale 3/16" = 1.0' ,1~. P.,cifico Engineering PC R~ph PIK~I~o, PE NYS ~ 0~1~. /__ Panel Dimension = 31.42" x 61.39" Array Length = 157.1" Array Height = 250.81" Magic # = 62.14" SunPower 225w I I 2xl0"DouglasFir Rafter 16" on center -- UniRac SunFrame Rail · UniRac L-Foot Layout Created By: BCA Date: 8/19/2009 Panel Dimension = 31.42" x 61.39" Array Length = 157.1" Array Height = 250.81" Magic # = 62.14" S1 4.05 kW SunPower 225w UniRac Sunframe Azimuth = 212° Pitch = 32.5° Scale 3/16" = 1.0' / \ ~ pnctlico Engineering PC R~:~h P~::iflco, PE NYS Lic;en~ 066182 SunPower 225w I I 2xl0"DouglasFir Rafter 16" on center -- UniRac SunFrame Rail · UniRac L-Foot Layout Created By: BCA Date: 8/19/2009 S2 1.35kW SunPower 225w UniRac Sunframe Azimuth = 212° Pitch = 32.5° Scale 3/16" = 1.0' ]~.. Paciflco Engineering PC RMIMI Pm:if~o, PE HYS License 066182 Panel Dimension = 61.39 x 31.42" Array Length = 163.75" Array Height = 195.27" Magic# = 32.17" SunPower 225w I I 2xl0"DouglasFir Rafter 16" on center UniRac SunFrame Rail · UniRac L-Foot Layout Created By: JPHS Date: 5~20~2009 S2 1.35kW SunPower 225w UniRac Sunframe Azimuth = 212° Pitch = 32.5° Scale 3/16" = 1.0' ,~, Paciflco Engineering PC Ratph Pacif~o, PE NYS ~ 0~6182 Panel Dimension = 61.39 x 31.42" Array Length = 163.75" Array Height = 195.27" Magic # = 32.17" I Layout Created By: BCA SunPower 225w 2x10" Douglas Fir Rafter 16" on center UniRac SunFrame Rail UniRac L-Foot Date: 8/18/2009 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name & Address of Insured (Use street address only) Grcealogic, LLC 425 County Road 39A Suite 101 Southampton, NY 11968 Work Location of Insured (On/y requ/red 0~cove~e b spec .~,_ _!/y limited to certoin locations in Ne~ York ~tote, L~, n Wrap-Up ~ol~o,) 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holderl TOWN OF SOUTHOLD BUILDING DEPARTMEN S309fl ROUTE 2S SOUTHOLD NY 11971 lb. Business Telophone Number of Insured 631-771-SIS2 lc. NYS Unemployment Insurance Employer Registration Number of Insured Id. Federal Employer Identification Number of Insured or Sochl Security Number 20-3801194 3a. Name of Insurance Carrier National Union Fire Insurance Company 3b. Policy Number of entity listed Jn box "la" 99~419~J 3c. Policy effective period 8/11/2009 to 8/11/2010 3d. The Proprietor, Parmers or FAseutive Officers are X included. (Oaly check box ir all p~rmergoffice~ iaehded) [~ all excluded OF certain portoers/officers excluded. This certifies that the insurance carrier indicamt above in box "3" insures the business referenced above in box "la" for workers' compensation onder the New York State Workers' Compcosalion Law. (To use this form, New York (NY) must be ~ under Item 3A on the INFORMATION PAGE of the workers' compousation insurance policy). The Insurance Cerrier or its licen.~ed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box "2". The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within $0 days IF there ore reasons other than nonpayment of premhtrns that cancel the policy or eliminate the insured from the coverage indicated on this C~rtlfwote. (These notices may be sent by regular mall.) Otherwise, tkis ~e is valid far ont ycor nfler tkls f~n is approved by t~e lnsurance catrier ~r ~is ~en~ed agmt~ ~r unt~ t~e ~licy ~p~a~n d~te ~isted in bax ~$c~ wMchevar ir Please Note: Upon the cancellation of the workers' compensation policy indicated on this form, ffthe business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that cefltflcate holdeF with a new Certfficote 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 pooalty of perjury, I certify that I am un 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: Approved by: Title: Autho~xd Ancot Telephone Number of authorized represcoUUive or licensed agcot of insurance carrier: 631-941-4113 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. (9-O7) www.wcb.state.ny.us Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 12/10/2007 SUFFOLK COUNTY DATE ISSUED: Master Electrician License No. 43858-ME This is to certify that ROBERT J SKYPALA GREENLOGIC LLC doing business as having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws, roles and regulations of the County of Suffolk, State of New York. Additional Businesses NOT VALID WITHOUT DEPARTMENTAL SEAL AND A' CURRENT CONSUMER AFFAIRS ID CARD Director ACORO. CERTIFICATE OF LIABILITY INSURANCE om~r~-7 Ol/19/o9 ONLY ~D ~NFE~ NO ~ U~N ~E CER~ATE ~cess ~neral ~,Inc. (CL) ~LDE~IS~R~FICA~T~ND,~END~ 365 C~S~S P~ D~ ~R ~E ~E ~O~ BY ~E ~CI~ ~LOW. ~DB~Y ~ 11797 Phone: 516-799-8222 iNSU~ ~FO~ING CO~GE ~C 425 Co~ ~. 39A Suite 101 SOU~ ~ton ~ 11968 L~ ~ ~ O; ~qC~ ,~)ucy ~R Lmrm ~L ~ ~ ~R~ S 1,000,000 A X ~ME~NE~L~ ~P1681L 01/31/09 01/31/10 ~,u~=..~ 50.000 ~C~M~ ~m um~) ~5,000 -- pE~a~ s 1,000,000 ~~ s 2,000,000 CERRFICATE HOLDER TOWN OF SOOT~OLD 53095 ROUTE 25 SOUTHOLD NY 11971 TO~NSOH CANCELLA~ON ACORD 25 (200t~8) © ACORD CORPORAllON 1988 3 Stdngs of 8 SunPower 225 panels, Each string 1800 watts Array total of 5400 Watts All panels to be grounded as per NEC code 2, 30 AMP two pole DC switches from panels to inverter SUNPOWER SPR 6000 INVERTER 240 VAC 240 VAC fi`om inverter to a 30 Amp switch near utility meter 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND APPEARANCE The SunPower 225 Solar Panel provides a revolutionary combination of high efficiency and attractive, uniform appearance. Utilizing 72 next generation SunPower all- back contact solar cells and an all-black backsheet, the SunPower 225 elegantly delivers an unprecedented total panel conversion efficiency of 18.1%. The panel's reduced voltage-temperature coefficient and exceptional Iow-light performance altributes provide far higher energy delivery per peak power than conventional panels. SunPower's High Efficiency Advantage - up to 50% Mom Power SPR-225-BLK Watts / Panel Etficiency kWs 12.0% 3.0 ~ CE 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND APPEARANCE Peak Power (+/-5%) Pmax 225 W Rated Voltage Vmp . 41.0V Rated Current Imp _ O~pen C!rcuit Voltage Voc ........ Short Circuit Current Isc 5.87 A Maximum System Voltage IEC, UL 10(X) V, 600 V Temperature Coefficients Power -0.38%/°C Voltage (Voc) -132.5 mV/°C Current (Isc) 3.5 mA/°C Series Fuse Rating 20 A PealS- P~ower per Unit Area ' i~i W/m2, i-~.~ w/f~ CEC PTC Rating 207.1 W IV Curve 7.0 6.0 4.0 ~ 1.0 0.0 ~'~' ~ ~ ~ 0 10 20 30 40 50 60 Max load 50 psf (2400 pa~.als) fmel and back ~ Impact Resistance Hail-25~m (1-~n)al ~3'~s (52 mph) Solar Cells 72 SunPower al~oack contact monocrystalline Front Glass 3.2 mm I1/8 i~) t~mpered .... !~' i. Junction Box IP.65 raled with 3 bypass diodes Warranty 25 year limi ~t~d~r_w~r!a~ty output Cables 900mm length cable / MultiConlact conneclors ~10 y~ar lim?~~ produ¢l~va__r~nty Frame Anodized aluminum alloy lype 6063 Certifications IEC 612 ~ 5, Sa~ely lesled IEC 61730 Weight 15 kg, 33 lbs UL lisled (UL 1703), Class C Fire Raling .Il- :: L[: "' CAUTION: READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. Go to www. sunpowercorp.com/panels for details SunPower designs, manufactures and delivers high-performance so)ar electric technology worldwide. Our high.efficiency solar ce)N generate up 1o 50 percent more power lhan conventional solar cells. Our high-performance solar panels, roof files and trackers deliver significantly more energy than competing systems. ~1~ Printed on recycled paper ~vww. sunpowercorp.com 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND APPEARANCE Peak Power (+/-5%) Pmax 225 W Rated Voltage Vm~ 41.0 V Rated Current mD 5.49 A Open Circuif Voltage Voc 48.5 V Short Circuit Current Isc 5.87 A Maximu rn System Voltage IEC, UL 1000 V, 600 V Temperature Coefficients Series Fuse Rating Peak Power oer Jnit Area CEC PTC Rating Power -0.38%/°C Voltage (Voc] -132.5 mV/°C Current [Isc) 3.5 mA/°C 20 A 181 W/m~, 16.8 W/~ 207.1 W Solar Cells Front Glass .unction Box Outeut Cables Frame 72 SunPower alPaack conloct monocrystolline 3.2mm 1/8inl lemoered Weight 15 kg, 33 lbs 7.0 6.0 5.0 4.0 t.o i.o o.o l~eOW/n~ 800 W/m~ 0 10 20 30 40 Vol,se (V) Temperature 40° C to +90° C (-40°F to +194°F) Max load 50 psf (2400 pascals) fTonl and back Jmpacl Resistance Hail -25mm (1 in) at 23 m/s (52 mph) Certifications 25 year fimiled power warranty 10 year limited product warranty IEC 61215, Safety tesled I£C 61730 UL lisled JUL 1703), Class C Fire Rating CAUTION: READ SAFm' AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. Go to www sunpowercorp.com/panels for details SunPower designs, manufactures and delivers high-performance solar electric technology worldwide. Our high-efficiency solar cells generate up to 50 percent more power lhan conventional solar cells. Our high1:~erformance solar panels, roof tiles and trackers deliver significantly more energy than competing systems. ~'~ Printed on recycled paper ~vww.sunpowercorp.com SPR-225-BLK 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND APPEARANCE The SunPower 225 Solar Panel provides a revolutionary combination of high efficiency and allractive, uniform appearance. Utilizing 72 next generation SunPower all- back contact solar cells and an all-black backsheet, the SunPower 225 elegantly delivers an unprecedented total panel conversion efficiency of 18.1%. The panel's reduced voltage-temperature coefficient and exceptional Iow-light performance attributes provide far higher energy delivery per peak power than conventional panels. SunPower's High Efficiency Advantage - up to 50% More Power kWs 3.0 500Om, 6000m & 7000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE The SunPower inverters 500Om, 6000m & 7000m provide exceptional reliability and market-leading design flexibility. The SPRm line of Solar Inverters can be easily applied in residential or commercial installations. All models come with a lO-year warranty. SPR-5OOOm, SPR-6OOOm & SPR-7OOOm www. sunpowercorp.com 500Om, 6000m & 7000m INVERTERS EXCEPTIONAL RELIABILITY AND PERFORMANCE AC Max Ou~ 240V, 277Vk Pov,~r Fac'mr ~ Reemnmended Anay In~ut Pew~' $3o0 w 6400 w 7500 w (DC ~ SI~ [~ Inlxst 250 - 6~O V 250 - 600 V 250 - 600 V volta~ ~nge Peak Pow~' 250 - 480 V 250 - 480 V 250 - 480 V Tracking Vohage Input Cu~e~' DC Verge Standby/ <7w/o.25w Nighrdme SPRm Efficiency Curves 75 8O% 9O% 100% Shipping Dimemiem W x H x D inclms 23.5' x 31.0~ x 16.0* Unit Dimens~ns W x H x D inehee 18,4# x 24.1~ x 9.5' Shipping Weight 154 lb: SunPower designs, manufactures and delivers high-performance solar electric technology worldwide. Our high-efficiency solar cells generate up lo 50 percent more power than conventional solar cells. Our high-perfarmance solar panels, roof tiles and trackers deliver significantly more energy than competing systems. www.sunpowercorp.com