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HomeMy WebLinkAbout35737-ZFORM NO. 4 TOWN OF SOL~fHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34582 ~te: 09/28/10 THIS CERTIFIES that the building SOLAR PANELS Location of Property: 2175 DEEP HOLE DR (HOUSE NO.) Cottnty Tax ~ap No. 473889 Section 115 Subdivision MATTITUCK (STREET) (HAMLET) Block 14 Lot 15 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 2010 pursuant to which Building Permit No. 35737-Z dated JULY 29, 2010 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 PETER & SANDRA B COLEMAN ( OWN E R ) of the aforesaid building. SUFFOLK COUN~"fDEPARTI~ENTOF HEALTH APPROVAL N/A EI~c-rKICAL C~TIFICATH NO. 35737 09/01/10 PLU~ERS CERTIFICATION D~£~ N/A Rev. 1/81 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. 35737 Z Date JULY 29, 2010 Permission is hereby granted to: PETER COLEMAN PO BOX 364 MATTITUCK, NY 11952 for : INSTALLATION OF A SOLAR ELECTRIC SYSTEM AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 115 pursuant to application clated JULY Building Inspector to expire on JANUARY 2175 DEEP HOLE DR MATTITUCK Block 0014 Lot No. 015 9, 2010 and approved by the 29, 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF ocCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the For new bnildi~ or new use: "1. Final surly of property with accurate location of all buildings, property l~es, s~ets, and unusual natural or topographic fentures. 2. Final ApprOval from Health Dept. of water supply and sewerage-disposal (S-9 form). · 3. Approval ofele,~rical installation'from Board of Fire Underwriters. : 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead., '5. C°mmercial building, industrial buildi'n~, multiple rcaldences and Similar buildings and installations, a certificate of Code Compliance from architect, oi: engineer responsible for the building. 6. Submit Planning Boerd Appr0val of~6ompleted site plan requirements' "B..]For exisfing.buDdings.(prior to April 9, 1957) non.conforming nses~ or buildings smd ~pre-existing' land uses: 1. Aceurate survey o f property showing all property lines, streets, building und unusnal natural or topographic features. ' ' 2. A pr°per!y completed application ~md consent to inspect signed by the applicant, if a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in Wfitfftg to the applicant. C. Fees 1. Certificate of 0ccupancy - New dwelling $25.00, Additious to dwelling $25.00, Alterations to dwelling $25.00' Swirnmln~o pool $25.00, Accessor~ building $25.00, Additions to accessory building ~25.00, Businesses $50.00. Certificate ofOccupaneyon Pre~existing Building - $100.00 Copy ~fCertificate of Occupancy - $.25 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate o£Occupancy _ Residential $1 $.00, Commercial $15.00 t~ew construction: .... Loc~ion of ProperS. -~ I Hons¢ N& - 8. uff9lk County Tax Map No 1000, Section Subdivision ~ Permi~ No.. ~ 5'7 3 .k/ :nat~ 0fPermit. Health Dept. ApprOval: -'/~/~ . Piannlug Board APproval: /~ / t~ Request for: Temporary Certificate Fee Submitted: $ ~ ~' ~ Date. t~ /it,z//O · (' ! Old or Pre-eXisting Building: ~ (check One) " t3~e-,~/4ot~ Dc-' . . Ur~ t~'T/~'r~c.r.. Street Hamlet [! ~ Block. '.l~ ';'~1~ Lot / b/ Filed Map. .~-- Lot: '~ APP.cent: 10 -r- t' " Undenvriters Approval:. ' Final Certificate: Applicant Signature 'l'oxx~ 1 tall Annex 3 ~373 Main Road P.(). Box 1179 5;~mthold, NY 11!t71-0!t.59 Telephone (63 I) 76,3-180~ Ir;tx (631) 76,5-9.502 ro.qer, richert~,town.southold.ny.us BI IILI)ING I)EPARTMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Peter Coleman Address: 2105 Deep Hole Dr City: Mattituck St: NY Zip: 11952 Building Permit #: 35737 Section: 1 1 5 Block: 14 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS office Use Only Residential [~ Indoor ~ Basement ~ ServJceOnly ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCi Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Ceiling Fixtures I~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed FixturesR CO Detectors Fluorescent Fixture ~l Pumps Emergency Fixtures~.___l Time Clocks Exit Fixtures ~ TVSS Other Equipment: photovoltaic system, consisting of-18 kyocera 210 panels, 8 kyocera 185 panels, I xantrex inverter, and disconnects Notes: Inspector Signature: Date: Sept 1 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONS'IRUCTION [ REMARKS: ~ [ ] ROUGH PLBG. [ ] INSULATION [~ FINAL [ ] FIRE SAFETY IHSPECTION ] FIRE RESISTANT PENETRATION DATE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examkned 7/~ , 20 Approved Disapproved a/c Expiration //..~, 20 / o% PERMIT NO. ..~5 Zav 7 Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS (~o ,20/D a. This application MUST be completely filled 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 areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection 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 from 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 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, 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. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e._lectricia~.zn, plumber or builder Name of owner of premises ~"/'e-/P, O0 ]~- tO a_ ~ (As on the tax roll or latest deed) If,.app~~z~ ~//.t/~ j/.~¢.~' nt is c%rp.gqrationT signature~of duly authorized, officer ' iName gnd title of corporate ofl~er) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be do. ne: a 105- tn V. i/¢.5-.z, House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Lot l~' Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy A.~/'d ~_~6 ~ b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee Addition Alteration Other Work aJ-d2~ .d. ~[tbe-~V) ~ -£~0 ~'- "(Descripti'oh) (To be paid on filing this application) It' dwelling, number of dwelling units 5( ]~ t.s ,'d.~C.~urhber of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of usey 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Depth_ Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front / 20 Rear q~ Rear .Depth Depth /5"[ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~¢$ t~ e~ 4l~ . 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES __ NQ~ Will excess fill be removed from premises? YES/~NO d/,,q/4.-- 14. NamesofOwnerofpremises I0'c-~- ~0dtt~.,- Address "~'"'"'"'"'"~tg{I'I~'~V~' PhoneNo. Name of Architect ?/"' Address Phone No NameofContractor {JO 53{,-/¥~tJ~6 Address c277- D~n ~ . PhoneNo. 0 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 ora 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 · IF YES, PROVIDE A COPY. NO "/- STATE OF NEW YORK) COUNTY O~k-'/~S: ~ '~~'~' ~ being duly sworn, deposes and says that (s)he is the applicant (Name of incFlvi, tlual signing contract) above named, (S)He is the ~(Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be pertbm~ed in the manner set forth in the application filed therewith. Sworn to before me this ~ ~,,'0 d a y o f ~T~'x.19,~/ 20//-_./ / Notary ~'-'--~- Town Hall Annex 51.;17,3 Main Road P.(). Box 117!t Soulhold, NY 11971-0959 Tclcllhone (631) 765-1802 Fax (631) 7t;5-9502 BI ;II A)IN(; I)EPAII, TMICNT TOWN OF SOUTHOLD September 10, 2010 Peter Coleman PO Box 364 Mattituck, New York 11952 RE: 2175 Deep Hole Drive, Mattituck TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Beard approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35737-Z solar panels 08/27/2010 13:57 F^× 16317783344 60 SOLAR INC. ~001/001 548?5 Main Ro~d P.O. Box 1179 Southold, N'Y 11971-0959 BUILDING DEPA,RTMY..NT TOWN OF SOl.FI'HOLD APPLICAT.I_ON..FO_R ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: *Name: *Address: *Cross Street'_ *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: (*Indicates required information) ooo ': ock: Lot: 'BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Tamp Certificate: Tamp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: "~j 'NrO NO Rough In Final 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of San, ice Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form ~ ' · ':'OWN OF SOUTHOLD PROPERTY RECORD CARD ~NER R~ - ~ S~S. "c VL FARM L ~u~'~ .... ~ ~[ iMP. TOTAL DATE ~ AGE NEW ---~AP~ TiJlable woodland Meadowland Hous~ Plot NORMAL Acre BUILDING CONDITION BELOW Value Per Acre ABOVE Vrdue FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK 11~.-14-15 !/07 M. Bldg. Extension ~x~ension Extension p Porch To~l ~ Foundation Bmh Dinette ] ~, .?esement {Ext. Walls Fire Place !Recreation Room /J. ~. ] iDOrmer Floors Interior Finish Heot Rooms ]st Floor Rooms 2nd Floor Driveway JK. I J LR. { ~ JBR. Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A S OR'-WATER. D' D,.G.D' ,.AOEA.DEROS,O. CO.TROLP . ~ District Section Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. CONSTRUe'IlION I~M # / WOrK ~S~SM~N~ I Yes No SCOPE OF WORK PROPOSED a, What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within I Will this Project Retain AIl Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed Construction) ts.F. / Acres) (This item ,Mil include all run-off created by site r~ b. What is the Total Area of Land Clearing cleadng and/or construction activities as well as all -- and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? impervious surfaces.) ts,F./~) 2 Does the Site Plan and/or Survey Show AIl Propesed PROVIDE BRIEF PRO~ECT DESCI~PTION (P~lvJde Additional Pages as Needed) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and --L~J  Slopes Controlling Surface Water Flow. i~):;lC¢~'~ _R$~" ~ ~r ~ 3 Does the Site Plan and/or Survey descdbe the erosion ~,~'~'~o~'"~/~0~/~ K~)~J.O~t,~]..$c~"~ and sediment control practices that will be used to D control site erosion and storm water discharges. This -- ~0 ~-~ ~(~ /~ /)V,~/~ ?/}At~/~ itemmustbemaintainedthroughouttheEntire Construction Period. f~/.0-~ / ~/}~/~-)~ (~,: 5.0 ~- 4 Will this Project Require any Land Fil]ing, Gradingor ./ Excavation where there is a change to {he Natural [~ ~i~-t~J/~llL~'~"~-i~.J}'~J~'/qq0~'?~'~ -~/~(/&/'g' ExistingGradelnvolvingmorethan200CubicYards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is lhis Project within the Trustees jurisdiction !General DEC SWPPP Requlremenls: Or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required for all Conslmction activities involving soil Beach? disturbances of one {1) or more acres; including disturbances of less than one acre that 7Will there be Site preparation on Existing Grade Slopes are pad of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to including Construction activriies involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? Ihe DEC has determined that a SPDES permit is required for storm water discharges. SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious 'or Storm Water Discharges from Construct{on activity - Permit No. GP-0-10-OOt ,) Surfaces be Sloped to Direct Storm-Water Run-Oft 1. The SWPPP shall be prepared prior to the submittal of the NOL The NOI shall be into and/or in the direction of a Town right-of-way? submitted lo the Department prior to the comm~ncernect of conslruction acUvity. 2. The SWPPP shall deschba the erosion and sediment contrct practices and where 9Will this Project Require the Placement of Material, constructed to reduce the pollutenls in storm wate¢ discharges and to assure Item Within the Town Right-of-Way or Road Shoulder~ -- COUNTY OF ....................... ~. SS Owner and/or representative of the Owner or Owners, and is duly authorized to peffom~ or have performed the said work trod to make and file this application; that all statemen[s contained in this application m'e tree to the best of ltis l~owledge and belief; and that the work will be performed in the mmmer set forth in the application filed herewith. Sworn to before me this; FORM - 06/10 'D£Ep i4Ot..~ OF' ,"\T M,[-~T'I' l '1' U ClX sou'rHoto,, ,"4.,.Y,. 6LIAr4AI'ITF-'F-'D 'FO'FI. IE $OL)TI.IOI.D /¢,¢,;:.;'-.....~;,' ;~.,, .'2 ..... K IDEEREI 185 WATT HIGH EFFICIENCY MULTICRYSTAL PHOTOVOLTAIC MODULE KD185GX-LPU NEC 2008 Compliant UL1703, Class C IEC 61215 CUTTING EDGE TECHNOLOGY As a pioneer with 35 years in solar, Kyocera demonstrates leadership in the development of solar energy products. Kyocera's Kaizen Philosophy, commitment to continuous improvement, is shown by repeatedly achieving world record cell efficiencies. Kyocera Quality Built In: New frame technology allows for end mounting with 2400 Pa (50 psf) or wind speeds of 130 mph (ASTM E1830) and traditional mounting with 5400 Pa (113 psf) to support increased snow load UV stabilized, aesthetically pleasing black anodized frame Supported by major mounting structure manufacturers Easily accessible grounding points on all four corners for fast installation Proven junction box technology Quality locking plug-in connectors to provide safe & quick connections Kyocera manufactures and assembles solar cells and modules at its own worldwide production sites using a true vertical integration process. This superior approach gives Kyocera complete control over every step of the manufacturing process, producing modules with the industry's tightest power tolerance, promising high quality and efficiency. Superior Built-In Quality Proven Superior Field Performance Tight Power Tolerance 20 Year Warranty 5 Year Workmanship Warranty KD185GX-LPU ELECTRICAL CHARACTERISTICS Current-Voltage characteristics of Photovoltaic Module KD185GX-LPU at various cell tern ,eratures IRRADiANCE; AM1.5, lkWlm~ Current-Voltage characteristics of Photovoltaic Module KD185GX-LPU at various irradiance levels SPECIFICATIONS · Ph fsical Specifications u~:~c~.l 12.5 (0.Sin.) 965 (38.0in,) 12,5 (0.5in,) 1 D8 (4.25in.) Installation Hole. 108 (4.25in.) · Specifications · Electrical Pe~ormence under Standard Teet CondlfimlS (*STC) Maximum Power (Pmax) 185W (+5%/-5%) 23.6V Maximum Power Voltage (Vmpp) Maximum Power Current (Impp) Open Circuit Voltage {Vo~) 29.5V Short Circuit Current (Isc) 8.58A Max System Voltage Temperature Coefficient of Voc Temperature Coefficient of Isc · Cells Number per Module I 48 7.84A · Module Characteristics Length x Width x Depth 600V -1.06x10-1V/~ 5.15x10-3 A/~C Maximum Power (Pmex} 131W Maximum Power Voltage (Vmpp) 21.0V Open Circuit Voltage (Voc) 26.7V Short Circuit Current (Isc) 6.96A ISO 9001 and ISO 14001Certified and Regmtered 800-223.-9580 toll free 800..523-2329 fax Weight 16kg(35,31bs,) Cable (+)760mm(29.gin),{-)1840mm{72.4in) · Jun~ffion Sex Characteristics Length x Width x Depth IP Code I IP65 · Otha~s *Operatin~ Temperature -40~C ~90=C Maximum Fuse 5A K IDEERa The Xantrex GT 5.0 offers value and reliability in a package you're already comfortable with Xantrex takes our proven GT Series design to the next level with a five kilowatt inverter. Our high performance photovoltaic string inverter offers high efficiency, clean aesthetics, high reliability as well as lower installed cost through time saving installation and included features. The GT 5.0 also offers best-in-class efficiency and the best price- to-performance ratio in the industry. The result is a high performance inverter that makes utility interactive installations easier and more cost effective. Technology: Proven high frequency design in a compact enclosure Integrated DC/AC disconnect that is NEC compliant to eliminate the need for external DC (PV) Large heat sink offers extraordinary heat dispersion without the need for a cooling fan Backlit, two-line, 16-character liquid crystal display (LCD) indicates instantaneous power, daily and lifetime energy production, photovoltaic array voltage and current, utility voltage and frequency, time online ~selling' today, fault messages. Installer customizable screens LCD vibration sensor allows the tap of a finger to turn backlight on and display screen cycling Bright LED indicators provide system status at a glance integrated RS232 and Xanbus R J45 communication ports Free PC software for remote monitoring and system troubleshooting available online Installation: Module selection and sizing are extremely flexible due to wide PV input MPPT tracking voltage range A lightweight and versatile mounting bracket simplifies installation The modular design allows inverters to be mounted side-by-side, using each wiring box as a wiring raceway Easy access DC (photovo~taic) and AC (utility) terminal block simplifies wiring Integrated Iockable AC/DC disconnect saves installation time and balance of system component cost Rugged NEMA 3R inverter enclosure allows reliable outdoor and indoor installations Performance: 95.5% (CEC listed) 94% peak efficiency maximizes investment and energy harvest Fast MPPT tracking algorithm ensures maximum energy harvest from the array under any conditions Excellent thermal performance FCC Part fi compliance means less potential interference with communication, radio, and consumer electronics Serviceability: 5-year standard warranty (10-year extended warranty available) Sealed inverter enclosure can be separated from the wiring box allowing DC/AC connections to remain intact in the unlikely event that the inverter needs to be serviced For more information about the GT Series, access to the Xantrex string sizing tool, and free download of GT View, please visit: www.xantrex.com/gridtie vwwv. xantrex.com Xantrex Grid Tie Solar Inverter Series E)ectrical Specifications Models GT 5.O-NA-DS-240 Maximum AC power output 5000 W AC output voltage (nominal) 240 Vac AC output voltage range 211 - 264 Vac AC TTequency (nominal) GO Hz AC frequency range 59,3 - 60.5 Hz Mmdmum continuous output current 23A Current THe < 2% Power factor > 0,g DC input voltage range 235 - G00 Vdc Peak power tradcing voltage range 235-550 Vd¢ Peak inverter efficiency 96.5% CEC efficiency 95.5% Night-time power consumptio~ 1 W Output over-aJrrent protection 1 S A Mechanical Specifications Operating telaperature range -~3F to +149F (-25°C to +65°C) Enclosure type NEMA 3R Unit weight 57.0 lbs (25.8 kg) Shipping weight 60.0 lbs (27.2 kg) Shipping dimensions (H x W x D) 34.1 × 20,4 x 10.3. (86.6 x 51.g x 26.2 cra) inverter dimensions {H x W x D) 28.5 x 15.9 x 5.7 ' (75.5 × 40.3 x 14.6 em) Mounting Wall mount (mounting brad(et included) Features PWtitllity diKonnect Eliminates need for external PV (DC) disconnect. Complies with NEC requirements. Cooling Convection cooled, no fan required. Display Bad(lit, 2-line, 16-character liquid crystal display JodJcat~s instantaneous power, daily and lifetime energy production, PV array voltage and current, utility vcitage and frequency, time online · selling ' today, fault message[ Installer customizable screens. Communications RS 232 and ~wo Xanbos R J45 po~ Wiring box PV, ntili~ ground, and communications connestions. Wiring box can be separated from the inverte~ Warranty 6.year parts (16.year ex~ended warranty available) Part number 864-0118 Options Positive grounding Positive grounding configurations available for the GT2.6.NA-D5-240, GT3.3-NA-D6.2a0, and GT3.3-NA-D6.208 inverters THE NEW VALUE FKONTIEK KD210GX-LP HIGH EFFICIENCY MULTICRYSTAL PHOTOVOLTAIC MODULE KBOEERa USeD HIGHLIGHTS OF KYOCERA PHOTOVOLTAIC MODULES Kyocera's advanced cell processing technology and automated production facilities produce a highly efficient multicrystal photovoltaic module. The convemion efficiency of the Kyocem solar cell is over 16%. These cells are encapsulated between a tempered glass cover and a pottant with back sheet to provide efficient protection from the severest environmental conditions. The entire laminate is installed in an anodized aluminum frame to provide structural strength and ease of installation. Equipped with plug-in connectors. APPLICATIONS KD210GX-LP is Ideal for grid tie system applications. · Residential roof top systems · Water Pumping systems · Large commemial grid tie systems · High Voltage stand alone systems · etc. QUALIFICATIONS · MODULE: UL1703 listed · FACTORY: ISO9001 and ISO 14001 QUALITY ASSURANCE Kyocera multicrystal photovoltalc modules have passed the following tests. · Thermal cycling test · Thermal shock test · Thermal / Freezing and high humidity cycling test · Electrical isolation test · Hail impact test · Mechanical, wind and twist loading test · Salt mist test · Ught and water-exposure test · Field exposure test LIMITED WARRANTY · ~1 year limited warranty on material and workmanship · ~ 20 years limited warranty on power output: For detail, please refer to 'category IV' in Wan'anty issued by Kyccera {L~lg term output warranty shall warrant if PV Module(s) exhib~[s power ou~ut of less than 90% of ~e originst minimum rated power specified at the time of sale within ELECTRICAL CHARACTERISTICS Current-Voltage characteristics of Photovoltaic Module KD210GX-LP at various cell temperatures Current-Voltage characteristics of Photovoltaic Module KD210GX-LP at various irradiance levels 0803 SPECIFICATIONS KD210GX-LP · Physical Specifications Un~[: mm (in.) · Specifications · Electrical Performance under Standard Test Conditions ('STC) Maximum Power (Pmax) 210W (+5%/-5%) Maximum Power Voltage (Vmpp) Maximum Power Current (Impp) Open Circuit Voltage (voc) Short Circuit Current (isc) Max System Voltage Temperature Coefficient of Voc 26.6V 7.90A 33.2V 8.58A 600V Temperature Coefficient of Isc 5.15x10`3 A/'C · Electrical Perfom~ance at 800W/m2, *NOCT, AM1.5 Maximum Power (Pmax) 148W 23.5V 6.32A 6.98A 29.9V Maximum Power Voltage (Vmpp) Maximum Power Current (Impp) Open Circuit Voltage (voc) Short Circuit Current · Cells Number per Module I 54 Length x Width × Depth 1500~59.1~}×~rn{39~)x36n~t.4in) Weight 18.5kg(40.81bs.) Cabls {+)76~mm(29.~ n},(-)1840mm(72.4in) Length X Width X Depth I ~n(3.~n}×~m(4.3~}x15~m(0.6~} IP Code I IP65 *Operatin~l Temperature Maximum Fuse _40"C ~90~C 15A Please contact our office for further information K JBEERa KYOCER^ Corporation · KYOCERA Corporation Headquarters CORPORATE SOLAR ENERGY DIVISION 6 Takeda Tobadono-cho Fu~himi-ku, Kyoto 612-8501, Japan TEL:(81 )75-604-3476 FAX:(81 )75-604-3475 ht fo://w~, kyoce re. corn/ · KYOCERA Solar, Inc. 7612 East Accrue Drive Scottsdale, AZ 85260, USA TEL:(1 )480-948-8003 or (800)223-9580 FAX:(1)480-483-6431 ht fo://www, kyoce rasolar, com/ · KYOCERA Solar do Brasil Ltda. AY. Gulgnard 661, Loja A 22790-200, Recreio dos Bandelrantes, Rio de Janelro, Brazil TEL:(55)21-2437-8525 FAX:(55)21-2437-2338 htr p:#www.kycce rasole r.com .bt/ · KYOCERA Solar Pty Ltd. Level 3, 6-10 Talavera Road, North Ry<$e N.$.W. 2113, Australia TEL:(61 )2-9870-3948 FAX:(61 )2-9888-9588 htr p://www, kyocer asola r.com.a u/ · KYOCERA Fineceramics GmbH Fritz-Muller-Strasse 107, 73730 Esslingen Germany TEL:(4th711-959;34-999 FAX:(49}711-939;34-950 htr p://www, kyoceraaola r.d e/ solar ~ kyocera.de · KYOCERA Asia Pacific Pte. Ltd. 298 Tiong Bahru Road, #13-03/05 TEL:(65)6271-0500 FAX:(65}8271-0600 · Kyocera Asia Pacific Ltd. Room 801-802, Tower 1, South Seas Centre, 75 Mealy Road, T$&mshatsui East, Kowloon, Hong Kong TEL:(SS2}2723-7183 FAX;(852)2724-4501 · KYOCERA Asia Pacific Pte. Ltd., Taipei Office 1 OF, NO. 66, Nanking West Road, Taipei, Taiwan · KYOCERA (Tianjin) Sales & Trading Corp. (Belling Offlce)Rcom 2107, Belling Huabin International Building, NO.8 Yong Ar, Dong Li, Jian GUO Men Wai Road, Chad Yang District, Belling, 100022, China TEL:(86) I 0-8528-8838 FAX:(Se)lO-8528-8839 · KYOCERA Korea Co., ltd. Diplomatic Center Room #406, 1376-1, SeCChO-2Dong, Seocho-Ku,$eoul, 137-072, Korea TEL:(82)2-3483-3538 FAX: (82)2-3463-3539 htt p://www, kycce ra.co.kr/ Kyocera reserves the right to modify these specifications without notice LIE/110A0711 -SAGM STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la. Legal Name and Address of Insured (Use street address only) GO SOLAR INC 272 MAIN ROAD RIVERHEAD, NY 11901 lb. Business Telephone Number of insured 631-727-2224 lc. NYS Unemployment Insurance Employer Registration Number of Insured 4629719 ld. Federal Employer Identification Number of Insured or Social Security Number 300144659 2. Name and Address of the Entity requesting Proof of Coverage (Entity being listed as the Certificate Holder) 3a. Name of Insurance Carrier The First Rehabilitation Life Insurance Town of Southold Building Department Town Hall Southold, NY 11971 Company of America 3b. Policy Number of Entity listed in box "la": DBL176989 3c, Policy effective period: 02/05/2010 to 02~04~2011 4. Policy covers: a. [] All of the employer's employees eligible under the New York Disability Benefits Law b. [] Only the followingclassorclassesoftheemployer'semployees: Under penalty of per. jury, 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 Benefits insurance coverage as described above. Date Signed_ 3/8/20 10 By , '~',~ ~~.. (Signature of insurar~e carriers authorized representative or~YS Licked Insurance Agerlt of that insurance carrier) Telephone Number 516-829-8100 Title. Sr. Vice President IMPORTANT:I f box "4a" is 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 certifigate holder. If box "4b" is checked, this certificate is NOT COMPLETE for the puq~oses of Bestlon 220, Subd. 8 of the Disability B~mefits Law. It must be mailed for ~pletion to the Werker'$ Compensation Board, DB Plans Acceptar~e Unit, 20 Park Street, Albany, NY 12207. PART 2. To be completed by NYS Worker's Compensation Board (Only if box "4b" of Part I has been checked) State of New York Worker's Compensation Board According to information maintained by the NYS Workers Compensation Board. the above-named employer has complied with the NYS Disability Benefits Law with respect t~ all of his/her employees. Date Signed By Telephone Number Title (Signature of NYS Wo~heds Compensation Board Employee} Please Note: Only insurance carriers licensed to write NYS Disability Benefits insuran~ 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 (5-06) CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MA'ri'ER OF INFORMATION LoVulloAssociates, lnc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6450 Transit Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Depew, NY 14043 INSURERS AFFORDING COVERAGE NAIC # ~NSUR~D GO Solar, Inc. INSURER .~ SCOTTSDALE IN SU RANCE COMPANY 41297 cio Gary Minnick ~NSURER ~ $COTTSDALE IN SU RANCE COMPANY 41297 272 MeJn Road INSURER Cz Riverhead, NY 11901 INSURER D; 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. GENERAL LIAB; UTI* CPS1056624 10120/2009 10/20/2010 EACH OCCURRENCE $ 2'000'000 I CLAIMS MADE [~ OCCUR MED EXP (Any OhS persm) $ 5,0{]0 EXCESS I UMBRELU LIABILITY EACH OCCURRENCE $ $ OTHER Business Personal Property CPStO56624 10/2012009 10/20/2010 $110,0{]o A Deductible $1,000 DESCmP~O~ OF O~t~RATIO~S / LOCA~ONS I VEHICLES I EXCLUSIONS AODEO BY EN ~O~SEU~T / SPECIAL PROWSION S CERTIFICATE HOLDER CANCELLATION TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD For more Information contact: Walter P Geoghan Agency Inc at 631-472-5000. IMPORTANT If the cedificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cedificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (200910t) New York State Insurance Fund Workers ' Compensation & Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK 11747-3129 Phone: (631) 756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE GO SOLAR INC 272 MAIN RD RIVERHEAD NY 11901 POLICYHOLDER GO SOLARINC 272 MAIN RD RIVERHEAD NY 11901 CERTIFICATE HOLDER TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER 11346 970-5 995019 PERIOD COVERED BY THIS CERTIFICATE DATE 02/09/2010 TO 02/09/2011 3/8/2010 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1346 970-5 UNTIL 02/09/2011, 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 SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 02/09/2011 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL $O ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE IS ISSUED AS A MA~I'ER OF INFORMATION ONLYANDCONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. U-26.3 NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www, nysif, com/certJcertval.asp or by calling (888) 875-5790 VALIDATION NUMBER: 306965270 ~ Roof Section A B GENERAL NOTES mean roof height 14ft pitch 6 in/12 I CONTRACTOR SHALL CHECK ^NO VERIFY ALL CONOrrlONS AT THE 11. THE OWNER SHALL SELECT ALL FINISH MATERIALS AND COLORS, roof rafter 2x6 : ' APPROVED AS NOTED ^o.~ w,~. ~E. .o.w.,c. THey ^.~ ~^~,S EXECUTEO O..O. ~.E~ ^"E Reflected roof rafter span 10.2ff '~T.~ 2. CONTRACTOROROWN~RSHALLOSTAINALLREQLIIR~DAPPROVALS,NOTTOBEUSEDOf~A~N¥OTHERPROJECTSOREXTENSJC~STO ~/ · . DATE___./ B.P # PERMfTS, C{~"T,FICATE$ OF ~CUPANCY, ~S~CTIONTHIS P~ECT EXCE~ BY AGREEaENT '" wRm. G *.o W,TH Table R802.5.1 (1) max allowable 10.8 ff ~.U[~S~D.EeU~SOF~e.~SmLe~U.,S~.C~O" .,~SS.~L~O~O~T~S"~<[ST=~*~. collar tiespacing 48inOC NC,~ :Y BUILDING DEPARTMENT SUPE~ISEDaYTHECONTRACTOR. 755 "502 8 ~ TO 4 PM FOR THE WHICH OfSAGREESWlTH T~TASINDICATED~ THESE "~"S. C~EN~ C~D~T~ ~C ~E~A~T~.~s~ms~C~*~ FOE [ ~NG INSPECTIONS ~ECONT~CTORSHALLSTOP~KANDNOTt~THEE~INEE. FU~. ~ ~ ~ P~ TO~ ~. I FOUNDATION - T~ REQUIRED ~*amC*TEO ~o ~.ST*~O *S .~. ~TESr *.,.S.C. S'RAPPING. ELEC~ICAL & CAULKING T.,C~ ~ss m.~,s~ .OTTO. m~ TO ~TE.~SA.0 ~E.CaS~H~ ~ ~ FINAL - C0NSTR~TION & E~CTRICAL coo~s ~ .E~U~S. ~.T~Cm. ~L ~EEP S~ FREE m c~sm~ ~s ~D ~ S~ ~Ut~*CCESmS~E ALL CONS~UC~N S~LL ~ THE ~E '~S PARTS F" T~'R ~OP~"LY. ~TE~S. THE FACILI~ IS TO BE LE' "~M CLaN AND ~K ISTO BE C~E~ TO~ N.T.S T,ETOTA~SFACn~ ~THE~.E~Pm~OeEL~EOFF~LP*~a,NT. ~ ~E IAII~ blUHM WAIER RUNOFF II PURSUANT T0 CHAPT~ 236 OF THE TOWN CODE m,,w ~ot ~e, ~o Io ~,e* CONDUIT It lET THE BEC'_ ':~ ~ w~.~. . SERVICE -- -- DETAIL ~ ~ To my best ~lief and information the work in this document is accurate, conforms with the N..S. T~SSSECT~F~E~CTS~E) governing codes applique at the time of submission, conforms with reasonable standards Revisit3 ~PICAL CONNEXION D~AIL ~ A~ ROOF PENE~ONS ARE TO ~E ~EALED of practice, with the view to the safeguarding of life, health, prope~ and public welfare, ~ PANEL wt~ SI~FLEX OR EQUIVALENT ~EA~NT and is the responsibiliW of the licensee. Revision 1 as per ASCE7, Me~ 1: X (fig ~2) 1.194 I (table 6-1) 1 P net=AKztlP ~t3o (eq 6-2) K~ (sec 6.5.7) 1 P na30 (fig 6-3) ~7,9 ~~~~~~ ~O~ox ~8, ~A~I~LE, NY ~78~ CUMACTIC AND Wi~d S~, Live Icad, point pullout Fastener ~ ~st~er ~ ~ ~/~ ;~"~ ~ GEOG~PHIC DESIGN Catego~ 3 sec gust, pnet30 ~r Icad, lb spacing along ~ CRITERIA mph ASCE 7, psf rails, in = 48'- 0" =j ROOF ~YOUT ~'~ ~ PAClFICO EN~INEERIN~ PC Kyocera Kyocera of t~ ~mou~ s~tem The un~ are to ~ins~ll~ in a~dan~th ~ ~n~flurefsins~Jlation WIDTH: 39 in 39 in ~-~~/ ~ENE~L NOTES, ROOF 5E~ON, DATA, DETAI~ AND SPECS instru~s~ I have dete~ined ~at ~e installation ~[I m~t ~e r~uimments ~e 2007 NYS Building C~e, and ASCE7~5 ~en ins~l~ in a~d~ ~th ~ manu~urer's instm~s. WA~S: ~70 07/~/~J