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HomeMy WebLinkAbout37052-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 11/7/2012 CERTIFICATE OF OCCUPANCY No: 36041 Date: 11/7/2012 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 13015 MAIN ROAD MATTITUCK, SCTM #: 473889 Sec/Block/Lot: 140.-3-40 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 11/30/2009 pursuant to which Building Permit No. 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 building as applied for. Lot No. filed in this officed dated 37052 dated 3/9/2012 The certificate is issued to ABIGAIL A WICKHAM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 4520 12/22/09 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37052 Date: 319/2012 Permission is hereby granted to: ABIGAIL A WICKHAM P.O. BOX 718 CUTCHOGUE, NY 11935 To~ INSTALLATION OF SOLAR PANELS TO AN EXISTING BUILDING AS APPLIED FOR. REPLACES EXPIRED BP # 35196 At premises located at: 13015 MAIN ROAD MATTITUCK SCTM # 473889 Sec/Block/Lot # 140.-3-40 Pursuant to application dated To expire on 9/9/2013. Fees: 1113012009 and approved by the Building Inspector. PERMIT RENEWAL CO - ADDITION TO DWELLING Total: $125.00 $50.00 $175.00 Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35196 Z Date DECEMBER 4, 2009 Permission is hereby granted to: ABIGAL A WICKHAM PO BOX 718 CUTCHOGUE,NY 11935 for : INSTALLATION OF SOLAR PANELS TO AN EXISTING BUILDING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 140 pursuant to application dated NOVEMBER Building Inspector to expire on JUNE 13015 MAIN RD MATTITUCK Block 0003 Lot No. 040 30, 2009 and approved by the 4, 2011. Fee $ 250.00 orized Signature Rev. 5/8/02 COPY 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 following: Ae For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural ortopograpbic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Resideutial $15.00, Commercial $15.00 New Construction: v" .... Old or Pre-existing Building: Location of Property: t/':~'''9 t/~~'- House No. , Street Owner or Owners of Property: /~/~.,~,4-~.~/ Suffolk County Tax Map No 1000, Section (check one) ,.,/~ // .... Hamlet Block ~ Lot 77Z~ Filed Map. Lot: Date of Permit. Su6division Permit No. Health Dept. Approval: Planning Board Approval' Request for: Temporary Certificate Fee Submitted: $ Applicant: Underwriters Approval: Final Certificate: ~ .... (check one) .... ,~ Applic~.nt Sig~mture + SUFFOLK IBUREAUo, ELECTRICAL INSPECI~ ORS,~nc. 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough [n Inspection Date: Application No.: LIPA Solar App No.: County Tax Map No.: GO SOLAR Tnc. Certificate No.: 11965 December 18 ~2009 Final Inspection Date: December 18 ~2009 11965 Building Permit No.: 35196 4520 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: Gall Wickham Site Location: W:ICKHAI~I, 13015 Main Road~ Nattituck~ NY 11952 Owner's Address (if different): [] Residential [] Indoor [] Basement [] Service [] Shed [] Commercial [] Outdoor [] First Floor [] Pool [] Hottub [] 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 GFCl Recpt Wall Fixture Smoke Main Panel AC Cond Single Recpt Recessed Fixture CO Detect Sub Panel AC Blower Range Recpt Flourescent Pumps Transformer Appliances Dryer Recpt Emergency Time Clock Disconnect 60a a Switches Twist Lock Exit Fixtures TVSS GFCI Breaker Heat Pump Electric Heat Pool Luminaire Exhaust Fan Other Equipment: Installation of roof mounted Solar Energy System consisting of 39 Kyocera 180 GX Modules, and 1 Fronius Inverter - and Uni Rac Mounting System 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: GO SOLAR Inc. Inspected By: Roger Richert License No.: 35972-ME Date Of Certificate: Dec 22,2009 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 PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR -"~, ~ Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road Mattituck, New York 1t952 631-298-1986 Fax 631-298-2651 September 16, 2012 Mr. George Gillen Building Inspector Southold Town Building Department 54375 Main Road Southold, New York 11971 Re: Photovoltaic Module installation at the Wickham, Bressler, Gordon, Geasa Law Offices at 13015 Main Road in Mattituck New York. Dear Mr. Gillen: I have inspected the Photovoltaic Modules installed on the roof of the Wickham, Bressler, Gordon, Geasa Law Offices at 13015 Main Road in Mattituck New York and found the panels to be installed in accordance with the plans provided by Go$olar, the installer, and UniRac, the manufacturer of the roof top mounting hardware and as outlined in my letter to Mike Verity dated November 23, 2009. If you have any questions regarding this letter, please call me at 298-1986. Yours truly, OCi'' 5 2012 BL[)G. I)EPT, TO/t,,"l~J OF SOUTi!OI D Iqi/;LD INSPE~,~I'ION REPORT DATEI , COMMENTS FOUNDATION (1ST) .. I*OUNDATIOI~ (2ND) · ROUGH ~R~N~ & PLUMBING -' INSULATION PER N. Y. STATE ENERGY CODE _ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined /~:~/~, 20_~ Approved /6~ 20.~_~ Disapproved a/c Expiration PEItMIT NO. 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.SD.E.C. Trustees Flood Permit Storm-Water Assessment Form (Mail Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date November 2 ,20 09 >e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 ;cale. 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, jeode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.~ ff /~/j/ / ,/ ~ /Sign~.ture of applicant oi: name, ifa corporation) PO Box 1424, Mattituck, NY 11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /~/~J~ ~-~. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 35972-ME 1. Locmion of land on which proposed work will be done: 13015 Main Road, Mattituck, NY House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block Lot Filed Map No. Lot 2. State existing use and occupancy of premises and i~.d~d use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy .~ C.~, 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Installation of solar PV system. (Description) 4. Estimated Cost $50,000 Fee (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 cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Business only 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 ofentlre new construction: Front Height Number of Stories 9. Size oflot: Front .5~(_.) Rear ~-~_}') I0. Date of Purchase /~7~ Name of Former Owner 11. Zone or use district in which premises are situated Rear Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO x 13. Will lot be re-graded? YES__ NO X Will excess fill be removed from premises? YES NO 14. Names of Owner of premises/~/~'~a, c~ ~/~: ':W-~flt~s /~dr~/g/[Z 7' PhoneNo. ~/ gq g Name of Architect . _ / Address Phone No Name of Contractor ?/~o ~ff?cv.~t..-~ Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS 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 ~X(. KERRI A. MCCARTHY · IF YES, PROVIDE A COPY. NOTARY PUBLIC- STATE OF NEW YORK NO. 01-MC6045~ STATE OF NEW YORK) QUALIFIED IN SUFFOLK COUNTY OF.(~ .c/~2w~/: _ MY COMMISSION EXPIRES 07-31-20J~ COUNTY )~ >Z~//~. /~J/~~bgingdulyswom, deposes and says that (s,heisthe applicant (l~arn'e oft~ividual 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 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 2_~'b ~ day of~o~,/.~._ 20 ~ ~ ~ - ~ ~t~ Public/ - ~ ' Signature-of AppLicant -- Town..of, Southoid, ,, , Erosion, Sedimentation & Storm'water, Run-off ASSESSMENT'FORM' Oi~'l~t S'~' '-~ Let C ,ERTIFIED ,BY ~ DEStGH'PROF~SlO~C IH' ~E STATE OF N~ ' It~ Num~P. (NO~: A ~ M~ (J) f~ ea~ Q~ b R~U~ f~ a ~te ~i~n) Yes ~,_ .- ...~..~.~,,a, =. m~ff'~at~ ~ site de~d~ ~ ~ns~ a~ti~ .: ;. . , ~ ~ 'D~s ~e.Site P~n ~o~ Su~y Sh~ NI P~ ~nage S~c~ indi~a~ ~ & L~aon? ,~ [. ~' __ 2 ~is. Item s~ll InClude all p~s~ Grade ~anges and Sl~s ~n~ill~ Su~ Wat~ 3 4 6 7 Will' this Project Require any Land*Filling, Grading or ExcavaUon where'them is a change to the Natural Existing Grade InvOlving more than 200~CAsbio Yard~ of Matedal within any Parcel? Will this Application Require Llmd: Distufbir~l Ac~9~itlas Enoompassing· an 'Area in Excess of Five Thousand (5,000} Square Feet of Ground Surface? Is there a Natural .Water Course Running through the' Site? Is this Proje~ within the.Trustees jurisdiction or within One Hundred [100') feet of a Wetland or Beach? Will there be.'Site preparation on Existing Grade Slopes'which EXceed. Fifteen (15) feet of Vertical Rise to One Hundred (100') of HorizOntal Distance? ~f~/ill Driveways, Parking Areas'or other Impervious Surfaces be Sloped to Direct StOrm-Water Run-Off into and/or in the direction of a T°wn right:of-way? Will this Project Require the Placement of Material; Removal Of Vegetatio~ and/or the Construction of any Item Within the Town. Right-of-Way'or Road Shoulder Area? (This item will NOT Include (he. Instaltation of Driveway' ApronS.) 9 Will this Project Require Site Preparation within the One' Hundred (100)'Year Floodplain of any Watercourse? 8 NOTE: If Any Answer.to Questions One (hr. ough Nine is Answered with a Check Mark in the BOx, a Storm-Water, Grading, Drainage & Erosion Control Plan is. Required and Must be Submit~ed. for Review Priorto Issuance of Any Building Permit -- ~ - -- -- -- ~- -- -- -- Yes. N__.~o EXEMPTION; · ' ~ · · Does this project meet the minimum ~tan~lard~ for OlasslflcaU~! as an AgdoUitural Project? Note: If You Answered Yes ta (his Question, a. Storm4Nater, Grading, Drainage &'Erosion Control Plan Is NOT Requiredl ' ' . ......... .Ss That I; ..... ~......-,, i '~,'~... ...-......'~....~...~.;}..-x~-... .......... : ..... being duly sworn, deposes and. says that he/she is*he applicant for penni,, (Name Of ~dlvlduat Stgnlng Document) - · Owner and/or representative of the. Owner of Owneffs, and is duly authorized' to perform or have performed the said work and to "make.and file this appliCation;, that all statements coritained in this. appliCation are true to the best of his knowledge and belieF,, and · that* the work will be Performed in' the manner Set forth in the application tiled herewith: Sworn to before me. this; . ' ' - , .... :.~ ....... : ....................... ~.. , ....9~, ............. :....,. .............. . . . ~. - · '- ' VICKI TOTH YOrk fled mn Suffolk Cou bt , --, ~ , Quail ,,,, ,,,, / ~ '-..~ c0mml~,,s,~, Fxu, e~ )us)/~o, TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FORMER OWNER RES. ~"~, SEAS. I_AND ! IMP. - ! J STREET / ~,~ I ~..,~, J VILLAGE - t. " DIST.J SUB. LOT ~ ~ · ~ j) I~1~ ~ ' ~ ~ ~PEOF BUILDING Vt. FARM ~% CB. MlCS. Mkt. Value ' TOTAL - DATE I RE~RKS ' ~ ~/~/ .' ,~ ~ 0 C) AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value A. cre Tillable " FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total A ,-~ ~ ~ DOCK '"COLOR TRIM M. Bldg. Extension Extension Extension Porch PorCh Breezeway Garage Patio aa Bo Total Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer Bath Dinette-- Floors K. Interidr'Fihish LR. Heat F/~'. ,~ DR. RoOms 1st Floor ...... BR. Rooms 2nd Floor FIN. B Driveway Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 2, 2012 Abigail Wickham PO Box 718 Cutchogue, NY 11935 RE: 13015 Main Road, Mattituck TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00 (check is not signed) 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 Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall, Final Landmark Preservation approval. Final inspection by Building Dept. BUILDING PERMIT: 37052-Z solar panels Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road Mattituck, New York 11952 631-298-1986 Fax 631-298-2651 November 23, 2009 Mr. Michael Verity Principal Building Inspector Southold Town Building Department 54375 Main Road Southold, New York 11971 Re - Photovoltaic Module installation at the Wickham Bressler Gordon Geasa Law Offices at 13015 Main Road in Mattituck New York. Dear Mr. Verity ' I have reviewed the planned installation of the Photovoltaic Modules on the roof of the Wickham Bressler Gordon Geasa Law Offices at 13015 Main Road in Mattituck New York. Based on information from GoSolar, the installer, and UniRac, the manufacturer of the roof top mounting hardware, and inspection of the roof framing at the building, it is my professional opinion that the module installation and roof, will have the ability to withstand pressures from 1~20 mile per hour wind speeds as stipulated in the New York State Building Code and the roof will be capable of s~e weight of the propos~e.d.modules, if installed in accordance with~he provisions Ii§ted below: ALL CONS-ri i', Provisions: MEET THE ~': Ii'.,, _,.~., · Photovoltaic Modules- Kyocera Model KD180-LP CODES OF N?: · 39 Modules on the western facing roof slope over the reaflnorthern end of the building. · Module Orientation - Portrait - Low profile. · UniRac SunFrame mounting rails and hardware - Installed in accordance with the manufactureFs specifications and in accordance with the following: Maximum Spacing = 42 inches - Stagger "L" feet on rafters 2 rails per column Footing withdrawal load= 697.5 lbs. · Recommended "L" mounting lag screws = 5/16" Diame~e~ /.- [J.P. · Total Length 4~" with 2%" Thread Length ~.~5-~ ~ .. If you have any questions regarding this letter, please call me at 298-1986. .;, ,~:u ':,i- FRAMING a :.;~ CO;¢,PLETE FO;; C.,':. ~ '.qUIREMENTS OFTHE C:: :'~ "u,;K STATE. NOT R~::~,"~; .~ DESIGN OR CONSTRUCTION Yours truly, . E dNLAWFU,. ::,, ,. CERTIFICATE !PANCY 7 ~RWRITER$ CERTIFICATE ,,REQUIRED ~ ; ~ A VAUO ~U~ C~FY. ( ~ARANTE~S ;~Di:A~O :{~REON S~ ;LV TO T~: ~. SO. ~R WHOM SUrVey '~ ~A~$ A~E NOT A~[IONA~ I~[I~UTI~ O~ W'/L L/,4~ 14//CK/-/A4// ~ '~ ~ 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~,300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A^AAA^ GO SOLARINC 272 MAIN RD RIVERHEAD NY 11901 POLICYHOLDER GO SOLAR INC 272 MAIN RD RIVERHEAD NY 11901 CERTIFICATE HOLDER TOWN OF SOUTHOLD BUILDING DEPARMENT TOWN HALL SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THI$ CERTIFICATE DATE 11346970-5 579480 02/09~009TO 02/0~2010 11/30~009 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1346970-5 UNTIL 02/09/2010, 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 02/09/2010 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 SO 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 MATTER OF INFORMATION ONLYAND CONFERS 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: 76580459 CERTIFICATE OF LIABILITY INSURANCE I PRODUCER THiS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LoVulloAssociates, lnc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 64.50 Transit Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Depew, NY 1404:3 INSURERS AFFORDING COVERAGE NAIC# ~NSURED GO Solar, Inc. ~NSURER A: SCOTTSDALE INSURANCE COMPANY 41297 cio Gary Minnick i ~SURER B: SCOTTSDALE INSURANCE COMPANY 41297 272 Main Road ~NSURER C: Riverhead, NY 11901 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 INSUFL~,NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. INSRADD'L POLICY EFFECTIVEPOLICY EXPIRATION L'IRNSRDTYPE OF INSURANCE POLICY NUMBER DATE (MM/OD/YY~YI DATE IMM/DD/YYYYt LIMITS A GENERAL LIABILITY CPS0934428 10/20/2008 10/20/2009 EACH OCCURRENCE $ t,000,000 -- DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES (La occurrence) I Ct-~IMS MADE X~ OCCUR MED EXP (Any one person) $ 5,OOO PERSONAL & ADV INJURY $ 1,000,CO0 GENERAL AGGREGATE $ 2,000,OD0 GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS - COMP/DP AGG X'~ ~ PRO- POLICY I I JE~-'~ I I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (La accident) ALL OWNED AUTOS BODILY INJURY (Per per,on) SCHEDULED AUTOS HIRED AUTOS BODII~y INJURY $ NON-OWNED AUTOS (Per eccldenl) PROPERTY DAMAGE (Per accidenl) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT$ ANY AUTO OTHER THAN EAACC $ ___ AUTO ONLY: AGG $ ExcEss ~ U..B.ELL~ L~B,L,T~ EACH OCCURRENCE $ '~ OCCUR ~ CLAIMS MADE AGGREGATE $ $ ___q DE~CTIBI. E $ RETENTION $ $ WORKI~R $ COMPENSATION IToRyWC STATU-11M,TS I O'I*H-ER AND EMPLOYERS' LI~LIW y/. ^NY PROPRIETOR~ARTNER£XECUT~VE I E-L. EAC~ ACC~C~NT $ OFFICEPJMEMBER EXCLUDED7 (Mandatory in NH} , E.L DISEASE - EA EMPLOYEE $ I¢ yes. desc~be under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A OTHER Property C PS0934428 t0/20/2008 10/20/2009 Business Personal 90,000 Deductible t,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 SHOULD ANY OF '[HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WIII ENDEAVOR TO MAil '~0 DAYS WRIT'[EH NOTICE rD THE CERTIFICA'[E HOLDER NAMED '/O THE LEFI. BU.[ FAILURE ,O DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IGNO UPON THE INSURER, ITS AGENTS OR REPRESEN'[ ATIVES. AUTHORIZED REPRESENTATIVE 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. O~/Z~/ZOUB 11:~ FAA ~uu~uu~ IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Cedificate 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 (2009/01) PV MODULE FRAMING AND MOUNTING SYSTEM FOR PITCHED ROOFS U.S. and o&er paten~ pending. PV MODULE FRAMING AND MOUNTING SYSTEM FOR PITCHED ROOFS Module Compatibility Use SunFrame with PV modules from these major manufacturers: BP Solar, GE Energy, Isofoton, Kyocera, Mitsubishi, Photowatt, RWE Schott, Sanyo, Sharp. Call UniRac or your PV dealer for manufacturers not listed. Code Compliance SunFrame is designed to comply with the Uniform and California building codes when installed according to SunFrame installation instructions. Call UniRac concerning status of International Building Code compliance. Components ~ Inter-Module Rails support modules as little as 2.125 inches above the roof. Full Length Cap Strips secure modules and finish the array topside forming a gap-free frame. Self- tapping screws at 16-inch intervals provide the holding power. Push-Fit End Caps neatly finish the raft ends. L-Feet attach directly to asphalt shingle roofs and support the rafts one-half to three-quarters of an inch above the roof surface to provide convective ventilation. ~i:!:~ Splices safely extend rafts. ~ Aluminum or Steel Standoffs (optional) in a range of heights sup- port L-feet above tile or shake roofs. UniRac offers appropriate flashings. Clear or dark finishes on all visible above-roof components, from L-feet to screw heads, match the frames of your PV modules. Component Specifications Rafts, cap strips, two-piece standoffs, splices, and L-feet: 6105-T5 aluminum extrusion. End caps: UV resistant plastic. One-piece standoffs: Service Condition 4 (very severe) zinc-plated welded steel. Fasteners: 304 stainless steel. See our SunFrame page for complete information: pricing, installation instructions appropriate to your build- ing code, and minimum requirements for the number and type of modules you plan to mount. UniRa¢, Inc. 3201 University Boulevard SE, Suke 110 info@unirac.com Albuquerque NM 87106-5635 USA 10 yea~ limited Product Wammty, 5 y~ar limited lVmish Warranty UniRac, Inc., warrants to the original purchaser ("Pmcha~') of product(s) that it menufactums (q~coduo2~) at the original instal- lation site that the Product shall be fi~e f~m defects in material end workmanship for a period of ten (10) yea~, except for the enodized finish, which finish shall be fize fram vis~le peeling, or cracking or chalking under normal atmospheric conditions for a period of five (5) years, flora the earlier of 1) the date the instal- lation of the Product is completed, or 2) 30 daya after the pumhase of the Product by the original Punzhaser ('~Finish '~arranty"). The Finish Warrenty does not apply to any foreign residun deposited on the finish. All installations in corrosive atmospheric conditions are excluded. The Finish Warranty is VOID if the 505.242.6411 505.242.6412 Fax practices spedfied by AAMA 609 & 610-02 - "Cleaning end Maintenance for Architecturally Finished Aluminum" (www..aamanet.org) are not followed by Purchaser. This ¥~Parrenty does not cover damage to the Product that occurs during its shipment, storage, or installation. This Warranty shall be VOID if installation of the Product is not performed in accordance with UniRac's written installation insnxuctions, or ff the Product has been raodified, repahed, or reworked in a manner not previously authorized by UniRac IN WRITING, or if the Product is installed in en environment for which it was not designed, UniRac shall not be liable for consequential, contingent or incidental damages arising out of Pub 050206.1ds · February 2005 © 2005 UniRac, Inc. All rights reserved. the use of the Product by Puxrhaser under any circumstances. If within the specified Warranty periods the Product shall be reasonably proven to be defective, then UniRac shall repair or replace the defective Product, or any part thereof, in UniRac's sole discretion. Such repair or replacement shall completely satisfy and discharge all of UniRac's liability with respect to this limited Warranty. Under no circumstances shall UniRac be liable for special, indirect or consequential damages arising out of or related to use by Purchaser of the Product. Menufacture~s of related items, such as PV mothdes alld flashings, may provide written warrenties of their own. UniRac's limited Warrenty covers only its Product, and not eny related items. Fronius USA LLC - Products - Grid-connected PV inverters Page 1 of 3 Products Grid-connected PV inverters Fronius IG Plus Fronius IG Plus 5.0-1 uni - 7.5-1 uni Fronius IG Plus 5.0-1 uni- 7.5-1 uni + Maximum Earnings Security + Highest Reliability + First Universal Inverter This two power stage inverter is available in 5.0, 6.0 and 7.5 kW and is fieldl programmable to 208, 240 or 277 volts. Best suited for residential and smaller commercial applications. Available Fronius IG Plus Two Stage Inverters: 5.0-1 UNI 6.0-1 UN~ 7.5-1 UNI Operating Manual Technical Data Fronius IG Plus Input data Recommended PV-Power (Wp) MPPT-Voltage range Max, Input voltage range (at 1000 W/m2 14°F (-10°C) in open circuit operation) Nominal Input Current Max. usable Input Current Admissible conductor size (DC) Output data Nominal output power (PAC nom) Max. continupous output power 104°F (40°C) 208 V / 240 V / 277 V Nominal AC output voltage Operating AC voltage range (default) 208 V 240 V 277 V 5.0-1UNI 6.0-1UNI 7.5-1UNI 4250-5750 230 - 500 V 600 V 13.8 A 23.4 A NO. 14-6 AWG 5100.8900 6350-8600 16.6 A 20.7 A 28.1 A 35.1 A 5000 W 6000 W 5000 W 6000 W 208 V / 240 V / 277 V 183 - 229 V (-12 / +10 %) 211 - 264 V (-12/+10 %) 244 - 305 V (-12 / +10 %) 7500W 7500W http ://www.fronius.com/cps/rde/xchg/SID-F 10528E5-6ETB44FB/fronius_usa/hs.xsl/2714... 11/30/2009 Fronius USA LLC - Products - Grid-connected PV inverters Page 2 of 3 Maximum continuous output current 208 V 24.0 A 240 V 20.8 A 277 V 18.1 A Admissible conductor size (AC) No. 14 - 4 AWG Max. continuous utility back feed 0 a current Nominal frequency 60 Hz Operating frequency range 59.3 - 60.5 Hz Total harmonic distortion < 3 % Power factor 1 28.8 A 36.1 A 25.0 A 31.3 A 21.7 A 27.1 A General data Max. Efficiency CEC Efficiency 208 V 240 V 277 V Consumption in standby (night) Consumption during operation Cooling Enclosure Type Unit Dimensions (W x H x D) Power Stage Weight Wiring Compartment Weight Admissing ambient operating temperature Compliance Safety equipment Ground fault protextion DC reverse polarity protevtion Islanding protection Over temperature 96.2 % 95.5 % 95.5 % 95.0 % 95.5 % 96.0 % 95.5 % 96.0 % 96.0 % 96.0 % <IW 15W Controlled fomed ventilation, variable fan speed NEMA 3R 17.1 x 36.4 x 9.6. in. 57 lbs. (26 kg) 26 lbs. (12 kg) -4 ... 122°F (-20 ... + 50°C) UL 1741-2005, IEEE1547-2003, IEEE 1547.1, ANSI/IEEE C62.41, FCC Part 15 A&B, NEC Article 690, C22.2 No. 107.1-01 (Sept. 2001 ) Intemal GFDI (Ground Fault Detector/Interrupter); in accordance with UL 1741-2005 and NEC Art. 690 Internal diode Internal; in accordance with U L 1741-2005, IEEE 1547-2003 and NEC Output power derating / active cooling The dght to make technical modifications is reserved. Equipment features Grounding selectable on site. http://www~fr~nius~c~m/cps/rde/xchg/S~D-F~ ~528E5-6E7B44FB/fr~nius-usa/hs~xs~/27~ 4~~~ 11/30/2009 Fronius USA LLC - Products - Grid-connected PV inverters Page 3 of 3 Decide on site what type of grounding is required as the Fronius IG Plus is field programmable for either positive or negative module grounding. Designed for indoor and outdoor installations. All Fronius IG Plus inverters have a robust, well designed aluminum housing. UV resistance and corrosion protection enable them to be used either indoors or outdoors. Fronius is proud to be one of the only inverters tested and approved to operate at 122° F. Integrated DC disconnect. No external DC disconnect installation or cabling is necessary. The Fronius IG Plus comes complete with an approved, built-in, Iockable and load breakable DC Disconnect. The new power plug system. The connection area and power stages are installed separately from each other. Very easy and extremely safe: The connection area is attached to the wall as normal. Then the power module is simply plugged in. The power plug connects both parts into one secure unit. If service is required, the connector remains on the wall maintaining all settings and configurations. Field Programmable AC output voltage. The Fronius IG Plus inverter line from 3.0 to 11.4 kW is field programmable to 208, 240 or 277 volts (Fronius IG Plus 12.0 kW only availabale in 277 volts), eliminating the need to install different inverter models to accommodate three-phase installations. Technology Three efficiency peaks. Greater power harvest for every system size: The unique automatic transformer switching function of the Fronius IG Plus makes enables not one, but three equal efficiency peaks. The result: Consistantly high efficiency over a wide input voltage range. In comparison: The efficiency of inverters without transformer switching declines steadily with an increasing input voltage. Devices without a transformer only have one efficiency peak. With a 96.2 % maximum efficiency, the Fronius IG Plus series scores the highest grade among HF devices. MIXTM Concept. Get the maximum power harvest out of partial load ranges, e.g. on cloudy days, through a clever combination of multiple power stages in each inverter. The power stages in Fronius inverters divide up the work depending on operating hours and only operate as many power stages as required to efficiently process available power from the PV array. Module ManagerTM. Tho Module ManagerTM keeps all Fronius IG inverters at the maximum power point (MPP) with fast and exact MPP tracking, ensuring that you get the most power out or each ray of sunlight. This is especially important for amorphous modules whose MPP can be more challenging to track. Smart Ventilation Design. Disruptive ambient factors such as dust or moisture remain on the outside: The reason: Cooling air is drawn in on the wall side and routed through a closed channel over the heat sink. This prevents contact with the cimuit board. At the same time, the components are kept cool - the device operates with a stable consistency. http ://www.fronius.com/cps/rde/xchg/SID-F 10528E5-6E7B44FB/fronius_usa/hs.xsl/2714... 11/30/2009 KD180GX-LP HIGH EFFICIENCY MULTICRYSTAL PHOTOVOLTAIC MODULE THE NEW VALUE FRONTIER : KYOCERa LBTED HIGHLIGHTS OF KYOCERA PHOTOVOLTAIC MODULES Kyocera's advanced cell processing technology and automated production facilities produce a highly efficient multicrystal photovoltaic module. The conversion efficiency of the Kyocera 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 KD180GX-LP is ideal for grid tie system applications. · Residential roof top systems · Water Pumping systems · Large commercial grid tie systems · High Voltage stand alone systems · etc. QUALIFICATIONS · MODULE: UL1703 listed QUALITY ASSURANCE · FACTORY: ISO9001 and ISO 14001 Kyocera multicrystal photovoltaic 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 · Light 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 Warranty issued by Kyocam (Long term output warranty shall warrant if PV Module(s) exhibits power output of less than 90% of the original minimum rated power specified at the time of sale within 10 yearn and less than 80% within 20 yearn after the date of sale to the Customer. The power output values shall be those measured under Kyocera's standard measurement conditions. Regarding the warranty conditions in detail, please refer to Warranty issued by Kyocera) ELECTRICAL CHARACTERISTICS Current-Voltage characteristics of Photovoltaic Module KD180GX-LP at various cell tern )eratures IRRADIANCE: AM1.5. lkW/m= 0 10 20 30 Voltage {V) Current-Voltage characteristics of Photovoltaic Module KD180GX-LP at various irradiance levels 0802 SPECIFICATIONS KD180GX-LP · Physical Specifications ~ (1.4~.) 36 (1.41n.) Unit: mm (in.) 22 (0.gin.) 946 (37.2in.) 22 (0.9in.) ___ __ (+) I · Specifications · Electrical Performance ur,der Standard Test Conditions (*STC) Maximum Power (Pmax) 180W (+5%/-5%) Maximum Power Voltage (vmpp) 23.6V Maximum Power Current (Impp) 7.63A Open Cimuit Voltage (voc) 29.5V Short Cimuit Current 0sc) 8.35A Max System Voltage Temperature Coefficient of Voc 600V -1.06x10-~ V/°C Temperature Coefficient of Isc 5.01 xl 0.3 A/°C *STC: Inadiance 1000W/rn=, AM1.5 speclmm, cell temperture 25'(; · Electrical Performance at 800W/m2,*NOCT, AM1.5 Maximum Power (Pmax) 127W Maximum Power Voltage (vmpp) 20.8V Maximum Power Current (Impp) 6.10A Open Cimuit Voltage (voc) 26.5V Short Cimuit Current (~sc) 6.80A *NOCT (Nominal Operating Cell Temperature): 49~C · Cells Number per Module I 48 · Module Characteristics Length X Width x Depth Weight 1341mm(52.8in)x990mm(39.0in}x36mm(1.4in) (+)760mm(29.9in),(-)1840mm(72.4in) Cable 16.5kg(36.41bs.) · Junction Box Characterlstica Length x Width x Depth 100mm(3.9in)x108mm(4.3in)x15mm(0.6in) IP Code IP65 · Others *Operatin~l Temperature -40°C ~90°C Maximum Fuse 15A *This temperature is based on cell temperature. Please contact our office for further information K IOEERa KYOCERA Corporation · KYOCERA Corporation Headquarters CORPORATE SOLAR ENERGY DIVISION 6 Takeda Tobadono-cho Fuahimi-ku, Kyoto 612-8501, Japan TEL:(81)75-604-3476 FAX:(81)75-604-3475 http://www, kyoce ra.com/ · KYOCERA Solar, Inc. 7812 East Acoma Drive Scottsdale, AZ 85260, USA TEL:(1}480-948-8003 or (800)223-9580 FAX:(1)480-483-6431 htt p://www, kyocerasola r. com/ · KYOCERA Solar do Brasil Ltda. Av. Guignard 661, Loja A 22790-200, Recreio dos Bandeirantes, Rio de Janeiro, Brazil TEL:(55)21-2437-8525 FAX:(55)21-2437-2338 http://www.kyocerasola r. com .br/ · KYOCERA Solar Pty Ltd. Level 3, 6-10 Talavera Road, North Ryde N.S.W. 2113, Australia TEL:(61)2-9870-3948 FAX:(61 )2-9888-9588 hit p://www, kyoce rasolar, com.au/ · KYOCERA Fineceramics GmbH Fritz-Muller-Strasse 107, 73730 Esslingen Germany TEL;(49)711-93934-999 FAX:(49)711-93934-950 h ffp://ww~v, kyocerasola r. da/ solar @ kyocera.de · KYOCERA Asia Pacific Pte. Ltd. 298 Tiong Bahru Road, #13-03/05 Central Plaza, Singapore 168730 TEL:(65)6271-0500 FAX:(65)6271-0600 · Kyocera Asia Pacific Ltd. Room 801-802, Tower 1, South Seas Centre. 75 Mody Road, Tslmshatsui East, Kowloon, Hong Kong TEL:(852)2723-7183 FAX:(852)2724-4501 · KYOCERA Asia Pacific Pte. Ltd., Taipei Office 10F, No. 66, Nanking West Road, Taipei, Taiwan TEL:(886) 2-2555-3609 FAX:(886)2-2559-4131 · KYOCERA (Tianjin) Sales & Trading Corp. (Belling Office)Room 2107, Belling Huabin International Building, No.8 Yong An Dong Li, Jian Guo Men Wai Road, Chao Yang District, Belling, 100022, China TEL:(86) 10-8528-8838 FAX:(86) 10-8528-8839 htt p://www, kyoce ra.com.cn/ · KYOCERA Korea Co., Ltd. Diplomatic Center Room #406, 1376-1, Seocho-2Dong, Saocho-Ku,Seoul, 137-072, Korea TEL:(82)2-3463-3538 FAX:(82)2-3463-3539 htr p://w~wv, kyocera.co.kr/ Kyocera reserves the right to modify these specifications without nofice LIE/I10C0711-SAGM