Loading...
HomeMy WebLinkAbout39074-Z s r SUFFOLK CO. HEALTH DEPT. APP'R'CWAL H. S. NO. 55"S ?-Z5 �.ree ------------- apA 2-7929 STATtIff Itt IMTEN'r THE (NATER SUPPLY AND SElllt/1"DISPOSAL iAl "' SYSTEMS FOR THIS R&*MDKNCE .WILL ` E:ONFt}1�N TO TH9, STANDAR€$ OP THE 1 \ rawf�c SURt?rOE.K. CO., DEPT. OF HE-ALT1 SERVICES. SUFFOLK COUNTY HEALTH DEPA IMENT �._.: : '� n al lewN SINGLE FAMILY DWELLING ONLY( � Fa.f;o. sJ1�01,K COUNTY DEPT. "Off" HEALTH _ ., lBRV"ICL3 `-- FOR" APPROVAL OF* A�-E — �, ` t, v DATE: T E QE DISPOSAL AND WATER SUPPLY r 'CILITIES\FOR THIS `" A0046VED:` FO O HAVE, BEEN INSPECTED BY THIS T AND t Z5 6 t' SUFFOLK CO TAX MAP DESIGNATION: DIST. .SHOT. BLOCK.: PCL.. --l-'Ch'ief a� � of astewater Manemen t e on � � 4.1 ADVIKS& k CLQ+-:'...f-�fu��.i�,+�ty. 11935 DEEDr`'t..2Q5t P 2:$ _ '_ E �' 1"( Ir� r'�V 1�C....' - _ i, r•lr..:.•Yi 8:�aroJlOn,,.A' �5.'Dlt .....ry o Jidation aif to' Ir c:ar_,j()n ;5:y of ths:NOWYak SmNB r" trr[f Lar— C/3 a. 1 L Educed ; - _v ii � +-- - _ ----• ----------•------ Tl:p vi ,__,. .. �suntweeis emb."ad•anal shO nabs b l t T-f^� }�r , ' i D Y to tw a valid tress coP76 LOAM, Guarsm�indicotad V*AM tr1 ®C? gyp _ m only to the person for ►an f 2�1�s co y yy+C �t r+i k 4 -. • ' is v�ewra4 and on t fs la"If sow A + +h!(l31 OF S ��a.� jan& iRfopNsi and rep herattn to the saoipnaaa d tha Iwo"inMl' SAND tution.Guaram"m We nal lcartataaYlfa . t t to addi w"trtatim"w or sub"*" } MAP M NoEu.-t�'1A'S�z'L1986 T 5r NEW F"EEU-rQ MEAN `56A f„� 1,. A�5►_�t�L'�1�?, .:; . � ,j� � CC �o _ R0QZR V A 14 TU L,P.E. s t LICENSED LANG SURVEYORS J-- LAND GREENPO" NEW YORK DYlY!t�pST MAN& TOWN OF SOUTHOLD FFocr�a� BUILDING DEPARTMENT ar yam, ` TOWN CLERK'S OFFICE C4 ar 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#: 39074 Date: 7/31/2014 Permission is hereby granted to: Rehm, Christopher & Rehm, Adrienne 390 Alois Ln Mattituck, NY 11952 To: install a roof mounted electric solar panel system as applied for. At premises located at: 390 Alois Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 123.-6-4.13 Pursuant to application dated 7/18/2014 and approved by the Building Inspector. To expire on 1/30/2016. Fees: SOLAR PANELS $50.00 CO -ALTERATION TO DWELLING $50.00 Total: $100.00 Building Inspector 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: A. 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. B. 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 or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. 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-Residential $15.00,Commercial $15.00 Date. -lc/G i e, 2,C ¢ New Construction: Old or Pre-existing Building: X (check one) Location of Property: 3 70 L v/S House No. Street y� Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lott: Permit No. Date of Permit. Applicant: le—uc Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �— —� `Applicant Signature Town Hall Annex JL Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.sox 1179 roger.richert(�town.southold.ny.us Southold,NY 11971-0959 42 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Christopher Rehm Address: 390 Alois Ln City: Mattituck St: NY Zip: 11952 Building Permit#: 39074 Section: 123 Block: 6 Lot: 4.13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Majestic Son & Sons Inc License No: 41174-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 9,010 W roof mounted PHOTOVOLTAIC SYSTEM to include, 34-pm250mo1 pan( 2-sma4000tl-22 inverters,2-DC disconnects,2-AC disconnects Notes: Inspector Signature: Date: Sept 18 2014 81-Cert Electrical Compliance Form.xls i OF SOUjy�lo enufm TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: fiv DATE , INSPECTOR k Fisher Engineering Services, P.C. PO Box 30 . Oakdale •New York 11769 IV Phone: (631) 786-4419 September 15, 2014 Town of Southold Building Department P.O. Box 1179 Southold, NY 11971 Subject: Engineer Statement for Solar Roof Installation Rehm Residence—390 Alois Lane, Mattituck, NY 11952 Permit No. 39074 1 have verified the adequacy and structural integrity of the existing roof rafters for mounting the solar collector panels and their installation satisfies the structural roof framing design load requirements of the Residential Code of New York State. I have reviewed and certify that the manufacturer's guidelines and equipment for the photovoltaic equipment for the above residence meet the requirements for wind and snow load and that the roof structure is adequate to carry the new loads imposed by the System. For the installation of the solar mounting, the rails are securely anchored to the rafters utilizing lag screws that have been designed for wind speed criteria of 120 mph Exposure C and snow ground criteria of 20 psf. Wind loads will exceed seismic loads. Other climate and geo design criteria are not applicable to this solar installation. The solar collector system and the mounting assemblies comply with the applicable sections of the Residential Code of New York State- "Solar Systems" and loading requirements of roof-mounted collectors and the minimum requirements for buildings and structures of ASCE 7-05. This system has been installed properly at the above referenced residence. The installation is in accordance with the minimum requirements certified by this letter. I hope that this letter serves and meets with the approval of the Building Department. Sincerely, G. William G. Fisher, y s' Licensed Professional Engineer W wr2 2 �O 074659 Architectural Design•Residential•Light Commercial t> ^rt .r Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting•Inspections FIELD INSPE ON REPORT DATE C vZONTS FOUNDATION(IST) FOUNDATION(2ND) � O rA ROUGH F] 1CF& H PLUMBING INSULATION PER N.Y. H STATE ENERGY CODE . , y FINAL : Z rn TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. . %Fi 71 Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: Approved ; / ,20/1-/ Mail to: �� IT Disapproved a/c Phone: Expiration ,20 ,� �� 1 r Building Inspector APPLICATION FOR BUILDING PERMIT l Date J C/ L , 20 / qt INSTRUCTIONS a. This application MUS I be.cQmpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of rate­plot 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,if a corporation) Al (Mailing address of applicant) /- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises C,� /Sim ' (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. —1771 Plumbers License No. /�Z14 Electricians License No. 7f /t✓E Other Trade's License No. 1. Location of land on which proposed work will be done: 3 5;G /I L OV-5- House /SHouse Number Street Hamlet County Tax Map No. 1000 Section " Block 46 Lot ' Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 51,,V6 b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 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_K_ 14. Names of Owner of premises ��' "//c /'!!�-///"�Address 3704Zo-s 44'eE Phone No. O��- �53� Name of Architect AIIIIi,Alf-I `%f/fes Address/'°A- .v Phone No 7efd- Name of Contractor/*T_Snc _5�iws rvc Address.5b�Y hone No. 7S?'-y 7?? 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 tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the r% x��e'-?%�e" (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 day of 20� >57-1 ublic Sig ure of Applicant Deirdre RUSS89 Notary PuNic, State of NOWYotlk , No.01RU6051978 Commission Expires Dec.11,20 Scott A. Russell °�u � ST(0)RI��IMA\T]ER SUPERVISOR AMLAUN A(G IENDENT SOUTHOLD TOWN HALL-P.O.Box 1179 0 53095 Main Road-SOUTHOLD,NEWYORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT.WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) ---_ ... ------- ------------- DOES ----------DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: I Yes No (CHECK ALL THAT APPLY) t s ❑ A. Clearing, grubbing, grading or-stripping of land which affects more than 5,000 square feet of ground surface. El[I B. Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area.. ❑IN C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑(D D. Site preparation within 100 feet of wetlands, beach, bluff or coastal } erosion hazard area. i EJ E.E. Site preparation within the .one-hundred year f loodplain as depicted on FIRM Map of any watercourse. 3 F. Installation of new or resurfaced impervious surfaces of 1,000 square . . ❑� p t feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes { in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. Date APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 D-tact �J / NAME: /vi�C�9CC GGL/CC 1 L� ' / "!✓�`1 I Section Block Lot " FOR BUILDING DEPARTNMENT USE ONL`,` "" Contact Information, - RckpMne Reviewed By: f 1 — — — — — — — — — — — — — — — — — — Date:� "� A Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — 3 7—0 '1_5711— �� � 015 L ?/vr Approved for processing Building Permit_ // y Stormwater Management Control Plan Not Required. /�17—�7Zi��� ��-/ ���S z ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) I ORM ' SMCP - TOS MAY 2014 Fisher Engineering Services, P.C. PO Box 30 . Oakdale • New York 11769 Phone: (631) 563-9028 July 14, 2014 Attention: Building Department Subject: Engineer Statement for Solar Roof Installation Christopher Rehm Residence-360 Alois Lane, Mattutuck I have verified the adequacy and structural integrity of the existing roof rafters for mounting the solar collector panels and their installation satisfies the structural roof framing design load requirements of the Residential Code of New York State. I have reviewed and certify that the manufacturer's guidelines and equipment for the photovoltaic equipment for the above residence meet the requirements for wind and snow load and that the roof structure is adequate to carry the new loads imposed by the System. For the installation of the solar mounting, the rails shall be securely anchored to the rafters utilizing lag screws that have been designed for wind speed criteria of 120 mph Exposure C and snow ground criteria of 20 psf. Wind loads will exceed seismic loads. Other climate and geo design criteria are not applicable to this solar installation. The solar collector system and the mounting assemblies comply with the applicable sections of the Residential Code of New York'State- "Solar Systems" and loading requirements of roof-mounted collectors. The installation shall be in accordance with the minimum requirements certified by this letter. The existing roof rafters are 2"x8" on 16" c.c., with a maximum span of 14'-4", with 2"x4" collar ties on 48" c.c., plywood roof decking and one roof shingle layer on the house as shown on the drawings. There are no structural modifications planned or required for the existing roof. I hope that this letter serves and meets with the approval of the Building Department. NE Sincerely, William G. Fisher, P.E. Licensed Professional Engineer 07 Architectural Design•Residential•Light Commercial Additions•Extensions•Conversions Construction Estimates/Oversight•Expediting•Inspections 41C A9PA -, M aje s ' 508 Route 112 Son & S o n S inc. Patchogue,NY 11772 info@majesticsonli.com S D I d r Energy Specialists Since 1980 631/758-0792 (phone) www.majesticsonH.com 631/627-3942 (fax) September 22, 2014 Town of Southold Building Department P.O. Box 1179 Southold, NY 11971 f i Re: Engineer Statement for Solar Roof Installation Rehm Residence—390 Alois Lane, Mattituck,NY 11952 Permit No. 39074 Dear Town of Southold Building Department: Enclosed, please find the original Engineer's Statement for the Rehm Residence located at 390 Alois Lane, Mattituck, NY 11952. Please reference permit#39074 for closeout purposes. Thank you, Anita Hapshe Director of Administration �..0""Uh\ Specializing in Solar Energy Solutions ' COMFIN g Electricity,Domestic Hot Water,and Geothermal Heating and Cooling Systems CERTIFIED Fully Licensed and Insured Installee .x o Dean Hapshe Premier Dealer Dean Hapshe #031310-95 #R032407-9 s 3 TOWN OF SOUTHOLD PROPEITZ RECORD CARD ( OWNER STREET ) VILLAGE DIST. SUB. LOT r- ii kit #t i. 1C"t Q ire N° t # */ FORMER OWNER N Cfii Mrd . E ACR. ... 0 r S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 12- 60 o- S y j z/f7 15#r 1 S_r93 z6 74-0 o S,ry, r' tD �t 1�S J ✓ M 6x,ca (' 800 8 ©0, � �s �'v S P#. - coyy � � L> TIOD 44e zoo 6600 -7$�n i 0 4 700 5 7 0 03 i -,S L 13 W-510b Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total r 5 r y i 121-6-4.13 11/11 M. Bldg. -.4w a10 t te t - Foundation i� , Bath -7 Extension Basement Floors 'I�V! Extension ' �' 1:7 Fxt. Walls i-- St5,—T-vr-- Interior. Finish Extension x � , Z— .% � Fire Place Heat "0 sure 2,b x $ 7 0 0 976— Porch 76—Porch . Pool Attic Deck1X23 : .� � , 2. *'" ,� Patio Rooms 1st Floor seenway L-, �, R; f Driveway Rooms 2nd Floor Garage .- o. B tooV7 5 8/0 $hs, 19 p0 V,) New Fork State Insurance Fund 1V0rkers'auompensati-on cg Disability Benefits SpecialistsSince 1914 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 Phone:(888)997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A r,h n n a 593825805 HAMOND SAFETY MANAGEMENT LLC 6800 JERICHO TURNPIKE SMITE 105W SYOSSET NY 11791 POLICYHOLDER CERTIFICATE HOLDER MAJESTIC SON&SONS INC TOWN OF SOUTHOLD 508 ROUTE: 112 54375 ROUTE 25 PATCHOGUE NY 11772 P.O.SOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE Z 1441941-0 502703 01101/2010 TO 01101/2015 1019,12013 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO, 1441941-0 UNTIL 01101/2015, 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 01101/2015 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 MAYS 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 tN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS POLICY ROES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. DEAN HAPSCHE(PRES) JOSEPH PATTI(VP)OF MAJESTIC SON&SONS INC TWO PERSONS CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY, NEW YORK STATE INSURANCE FUND f DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https:/lwww.nysif.com/cert/certval.asp or by calling(888)875-5790 VALIDATION NUMBER:23237263 U-263 5561CD51711-20/1709 STATE OF N' W YORK WORKERS"COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1.Ta be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carder. 1a. Legal Name and Address of insured(Use street address only) 1b.Business Telephone Number oaf Insureds (631)758.0792 MAJESTIC SON AND BONS INC. 1c,NYS Unemployment Insurance Employer Registration Number of insured 508 MEDFORD AVENUE PENDING PATCHOGUE,NY 11772 1d.Federal Employer Identification Number of Insured or Social Security Number 59-3825905 2.Name and Address of the Entity Requesting Proof of 3a.Nam of Insurance Carrier Coverage(Entity Being Listed as the Certificate Halder) STANDARD SECURITY LIFE INS,CO„OF NEW YORK TOWN OF SOUTHOLi3 13b,Policy Number of entity listed in box"1a": P,O.BOX 1179 54375 ROUTE 25 R94784-WO SOUTHOLD NY 11971 3c. Policy effective period: 0 110 1124 1 4 to 01118=15 4.Poky covers. a. Q All of the employer's employees eligible under the New York Disability Benefits Law b. ®Only the following class or clasm of the employees employees= Under penalty of perjury,i certify that I am an authorized rep r tine or licenis agent of tA insurance carrier referenced above and that the named insured hes NYS Disability Senefits insura co rt'it a as cribeci a Date Signed 01/1712014 By (Sl urs of insimrcets armed r tatl.rx YS Umnsed InaunincoAgent of that inowance corer) Teleprione Number (212)3554141 Title SUPERVISOR-DBUPOLICY SERVICES IMPORTANT, H box"4a"lei armed,and this foam is signed by the insutwm carry's authorized representative or NYS Lloen ed lasurameApritofhaat carrier,this cerb`teate is COMPLETE,Mail it directly kr t.+ae cartrilmle holder, it box"4tt is dxckec,this certillCsts is NOT COMPLETE for pimiles of section M.5ubd.8 of the Disability B"Is Law.It must be matted for compialion to the Wo*ers'Compenaation Board,W Plans Arcaptance Unit,20 hark Street,Albany,Now York 12207. PART 2.To be completed by NYS tftforkera'Compensation Board(only if box"4b"of Parl 1 has been checked) State of New York Workers'Compensation Board According to information maintainer by the NYS Workers'Compensation Board,the above-named employer has compiled with the NYS Disability Benefts Law with respect to all of hlslher employee& Date Signed By tSQrabae of NYS kers°Gonapensatktr Board f byree) Telephone Number Title Please Note:Only Insurance carriers licensed to write NYS disability benefits,insurance policies and NYS licensed insurance ams of those carries are authorized to Issue harm UB-120.1_insurance brokers are NOT authorized to Issue this form. Dt3-120.1 (5-06) Accw& CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EKTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE Of INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED R03RESEIWTATM OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certillicats holder Is an ADDITIONAL INSURED,the poitcy(les)must be widorsidT N SUBROGATtON IIS WAIVED,su bject to the term am condM*nS of the Policy,Certain P0JIC*s may require an endorsement. A suitternent on tM cerWicate does not comer rights to the tertilicaft holder In lieu of such endorsement(s). PRMfCFR wj&"_Newbridge qqvom Corp LoVullo AssoclWas,Inc. PHOWE L4 s56 785-9172 6450 Transit Road .11.1 ......................... , - ADOPM- Dopm,NY 140A3 Wice-'- ",sLoEpt A AMH SPECIALTY TRANCE COWANY 21199 .............. INSURED Majestic Son&Sons Inc iksuacR a 44AT1ONAL UNION FIRE INSURANCE COP 19446 SO Route 112 Patchogue,NY 11772 INVURER C ........................................... thStIRIER E WSISUER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TH'S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUREMENT,TERM OR COND171ON OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO WHICH THIS CER11FICAff: MAY HE ISSUED OR MAY PERIAtN, IHk- INSURAWE AFFORDED BY CHE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SU(--l-1 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS, Nary L TYK OF DISUPA14CE POLICYINIUUNMMSER I YYYI f91ND0fYYYYj I A 0ENrR^L LbKMrrY AGLOM095-M 01/121M4 01112WS EALH 00CURRENCE t X �T�DRENTX COMMERCIAL GEN EKA�LMUTY 'L'�, __ Wo_Ajqt__ 7 CI At MS MAff "ll,7X CCCQ V.Fr)P XD(Ay $10,000 ERSONAL 8 ADV NJURY $ silmlow (U-NFRA1 Arr.W('.ATF 9 $2,DOO,000 .. ................. ---------------- -- GIDN'L AGGKCATE UNT A,'P,IE3 PER -f"=TS-COMP?01 AM 1 X jpqO PDKI Ec' I 0C ALn)0W1Of§LF UARK FrY COMBNED 3NGLf LtWT ANY A--o ALL OWNED SCHF.DUlt FU WANLY N'URY(Nr A-'06ant) AWL)b AU 0�1 :PROPERTY rkAMAV.r IRE C AUTOS AUTOS ------- UVAMLLA I" 8E019899743 FACH(X(A1RRFNff7P .. .... ... — x FXCFSS t]AS AGGREGATI L, PxTEw.r,)Ns WC STATJ, ani. AND 004.0YOWLIABILITY YIN AMPROFRETORIPARTNEREXIECLM F FACH ArOWW I OFFIC (NkwKtmtwy h—1 E.L.DIXASE-EA EMPLOYE1 S F! DIRFASI--PCI tCl I I'Aft I 1 DE3CWPnON OF OPERATKM;LOCAT0043 I VEHICLES tAtach ACORD 14'1,Adatmal Ken fks SavdLdw,If Kwx*Aura}Is requ"d) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE OESCIRKWED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE OIL BE DELIVERED IN ACCORDANCE VATH THE POLICY PROVISIONS. Town of Southold AUTHORMW IMPRESENTAnvE $4375 Routs 26 Southold,NY 11971 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(201 OMS) The ACORD name and logo are registered marks of ACORD OPP ,r.. SUFFOLK COUNTY DEPARTMENT OF CONSUMER AFFAIRS HOMEIMPROVEMENT` CONTRACTOR NAW DEAN HAPSHE This certifies that the %--KAW is duly MAJESTIC SON&SONS INC licensed by the County of Suffolk oe.d.ws 41141-H 09/2&2006 1 F�WTOry p/;i[ 1 03/01/2014 SUFFOLK COUNTY 13 OCCUPATIONAL LICENSE MASTER 1 1 15 ELECTRICIAN 16 17 SUFFOLK COUNTY DEPARTMENT Dy. OF CONSUMER AFFAIRS MASTER ELECTRICIAN tome JOSEPH PATTI This certifies that the MAJESTIC SON t#SONS INC bearer is duly licensed by the ,. o.. .. County of Suffolk 09111!2066 41174-ME 09101/2014 9.01 0 W SYSTEM SIZE MODEL BENQ-PM250MO 1-265 WATT EA., 48.4#/MODULE,65.01"L x 39.OG'W x 1.57"D 42.6#(2.3#/5F) HOUSE: SOLAR MODULE ARRAY- 34 MODULES TOTAL V" s _ N 17 MODULE ARRAY: 17 MODULE ARRAY: V (I STRINGS OF 12 MODULES (I STRINGS OF 7 MODULES n XXX I STRINGS OF 5 MODULES) I STRINGS OF 10 MODULES) LU - r - Exterior PVC Conduit = Z Q-/ 11 Fort i X A o F L I LAR ,Tl'�)' J DIOSCCONNE� DILAP OSCONNE FULL 110USE ROOF PLAN �TTTTTT 1 r - SCALE:NTS W LU LU F';{� t I IJ' Li Ci:�idCR�TE LEGEND I �- < z 1i!vt� E] Inverter I ItLocation 0 Z kr PPiNG. ELECTRICAL&CAULKING 0 MSP Main Service Panel NVERTER(I)SMA' INVERTER(1)SMA' ® 5P Sub-panel 4000TL-22 4000TL-22 (� m 3 !INSULATION o UM Utility Meter 1/ F- 4. FINAL-CONSTRUCTION &ELECTRICAL ® ACD A/C Disconnect INV wv r'.IST r 61 ET r Q B Basement Location (� hiS i BE CONE E FOR 0. Q ALL CONSTRUCTION SHALL MEET THE Grounding Grounding REQUIREMENTS OF THE CODES OF NEW Electrode Electrode YORK STATE. NOT`;ESPONSIBLE FOR L DAC DISCONNECT AC DISCONNECT I DESIGN OR CONSTRUCTION ERRORS. v X X X v FASTENER REQUIREMENTS: ><><[><1><1, } O � TOTAL ARRAY AREA= 600 5F EXIST.POWER PANEL U l NOTES WIND LOAD:ASCE 7(SEE CALCULATIONS THIS SHEET)41.5 PSF PP � m TOTAL UPLIFT=41.5 PSF x 600 SF= 24,900 LBS I. An 18"wide clearing(free of solar equipment) 3. Installation of solar equipment shall be MOUNTING BRACKETS AND HARDWARE MEET OR Q U1 g � shall be provided along at least one side of the flush-mounted,parallel to and no more than EXCEED NYS CODE REQUIREMENTS FOR THE FASTENER: roof ridge on the same side as the solar 6-Inches above the surface of the roof. 18. DESIGN CRITERIA FOR THE TOWN. I W O SOLARMOUNT LAG SCREW SPEC 203.2,8/04:(FLAT WASHERS REQ TO BE equipment or on another side of the ridge that 4. Wei ht of the installed system shall � USED WITH LAG BOLTS) does not have solar equipment on it. In addition, not exceed more than 5 psf for y �Iii�THE ACTUAL IN-FIELD ATTACHMENT TO THE ROOF U Z 0 O LAG BOLT WITHDRAWAL VALUE; 5/1 G"DIA., 266 LB/IN X 2-IN THREAD DEPTH= an 18"wide pathway free of solar equipment) WILL MEET OR EXCEED NYS RESIDENTIAL CODE l(1 i' Y( photovoltaics and no more than � M EXIST.METER � � ((� Lj 532 LB.CAP. EACH shall be provided from at least one cave or gutter G-psf for residential solar hot water 201 O RCNYS REQUIREMENTS. O Ur J p MIN. NUMBER OF LAG BOLTS REQ. = 24,900 L55/532 LBS/LAG BOLT= 47 connecting to that 18"roof ridge clearing. systems. PHOTOVOLTAIC MODULE ji U Z w 3 TOTAL RAIL FEET,= 190 RAIL FT/47 BOLTS= 4'-0" 2. Roof shall have no more than a sin le layer of 5. Ride SYSTEM ONE LINE DIAGRAM (lYP) K 0- w 9 Y Any plumbing vents through the l Q W z MAXIMUM SPAN BETWEEN MOUNTING FEET BOLTS W': USE 4'-0"MAX. roof covering in addition to the solar equipment. roof are not to be cut or covered R�'I SCALE: NTS O J Z IU w for solar equipment installation. O N Q Rafter Any relocation or modification of 0 LL- p THE PV SYSTEM HAS BEEN DESIGNED TO MEET THE MINIMUM DESIGN STANDARDS FOR TOWN BUILDING PLANS EXAMINER HAS REVIEWED THE ENCLOSED DOCUMENT FOR MINIMUM Z vent requires a plumbing permit and ACCEPTABLE PLAN SUBMITTAL REQUIREMENTS OF THE TOWN AS SPECIFIED IN THE BUILDING AND/OR O OQ BUILDING AND OTHER STRUCTURES OF THE ASCE 7-05 E RCNYS 201 O. inspection. ROOF Span RESIDENTIAL CODE OF THE STATE OF NEW YORK. THIS REVIEW DOES NOT GUARANTEE COMPLIANCE MOUNTING FOOT M RAIL(TIN.) WITH THAT CODE. THAT RESPONSIBILITY I5 GUARANTEED UNDER THE SEAL AND SIGNATURE OF THE I--� IU % Q Wind Load C2ICUIatIOn: BUTYL RUBBER MEMBRANE MOUNTING FEET POSITIONED I ti OVER ROOF RAFTER MEMBERS STATE OF NEW YORK LICENSED DESIGN PROFESSIONAL OF RECORD. THAT SEAL AND SIGNATURE HAS _ O L � cry A5CE 7-05: Partial) Enclosed Building Design(Assume Worst Case) BETWEEN FOOT 6 ROOF SECTION(f ) BEEN INTERPRETED AS AN ATTESTATION THAT,TO THE BE5T OF THE LICENSEES BELIEF AND ~ (� X Partially q ROOF SHINGLE OR NO CALK PER MFGS REQUIREMENTS YP m Low Rise Buildin h<=GOft: Mean Hei ht; h=30ft 5CALE: NTS INFORMATION THE WORK IN THE DOCUMENT 15: = IL O �' q FLASHING 3"STANDOFF HOTOVOLTAIC MODULE RAIL 15 DESIGNED AND WARRANTED BY THE MANUFACTURER FOR 'ACCURATE Q. m n I. Directionality Factor:Kd per Section 6.5.4.4,(fable 6-G):Kd=0.85 MOUNTING FEET PER RESIDENTIAL LOADS UP TO 50 LBS SQ.FT.(APPROX. 125 MPH WIND)WHEN CONFORMS WITH GOVERNING CODES APPLICABLE AT THE TIME OF THE O CODE OF NEW YORK STATE ROOF INSTALLED AS REQUIRED.FT. (APPROX. MAUN1 25 MP R. SUBMISSION IL 2. Importance Factor:per Section 6.5.5,(Table 6-1)Catagory II; 1=1.0 PENETRATIONS CHAPTER 9(TYP) IL 'CONFORMS WITH REASONABLE STANDARDS OF PRACTICE AND WITH VIEW Date: 3. Velocity Pressure Coefficient: Kh per Section 6.5.6.4 d NOTE:THE MOUNTING FEET MUST BE ATTACHED TO THE BUILDING TO THE SAFEGUARDING OF LIFE,HEALTri,PROPERTY AND PUBLIC WELFARE 7-12-14 RAFTERS OR FRAMING(NOT JUST THE ROOF DECKING).USE 5/1 G" IS THE RESPONSIBILITY OF THE LICENSEE Scale: 3/ 6" (Exposure Catagory C per 6.5.6(Table 6-3);Kh=0.98 iriau." ni CR 3/8"DIAMETER LAG BOLTS AND DRILL PILOT HOLE. FINAL 4. Topographic Factor:Kzt per Section 6.5.7(Long Island); Kzt=I "X"(MAX FOOT SPAN) s TIGHTENING SHALL BE BY HAND. ALL INSTALLATION PROCEDURES STRUCTURAL STATEMrNT 5. Gust Factor:G per 6.5.8.1,G=0.85 )E7yEEN SHALL BE PER MANUFACTURERS REQUIREMENTS. G. Exposure Classification: per Section 6.5.9 = 11 iaurtmc FEET-•� THE EXISTING STRUCTURE 15 ADEQUATE TO SUPPORT THE NEW LOADS IMPOSED BY THE Job#14050 p p NOTE: PHOTOVOLTAIC MODULE SYSTEM INCLUDING UPLIFT t SHEAR. THE EXISTING RAFTER 7. Internal Pressure Coefficient:GCpi per Section G.5.1 1.I,Table 6-5;GCpi=0.55 Z�1- SIZES 6 DIMENSIONS CONFORM TO RCNY5 TABLE R802.5.1(1)-RAFTER SPANS Sheet No. 8. External Pressure Coefficient: GCpF per Section G.5.1 1.2.I,Figure 6-10; PHOTOVOLTAIC MODULE SECTION Modules and panels and any mounting hardware provided shall withstand, GC f=0.80 10. Design Wind Load per TOTAL ROOF DEAD LOAD 10#/5F SCALE: NTS without evidence of structural or mechanical failure, 1.5 times the design CLIMATIC 4 GEOGRAPHIC DESIGN CRITERIA-TABLE R301.2(l) p Section 6.5.12 (ROOF)+2.5#/SF(MODULE) NOTE' load when tested as specified below. The design load is to be 30 psf 9. Velocity Pressure:qh per Section 6.5.10: = 1 2.5#/SF TOTAL FASTENERS SHALL NEVER EXCEED 48"BETWEEN RAIL downward(positive)or upward(negative). All lazin members shall be of qh=(0.00256)(Kh)(Kzt)(Kd)(V^2)(I) p=gh(GGpf-GCpi) RAIL INSTALLATION GUIDELINES FEET PER MANUFACTURER 9 9 GRouND SEISMIC SUBJECT TO DAMAGE BY wNTER a ni D FLOOD SNOW DESIGN DESIGN "ceRinv- HAZARDS such strength to withstand these loads. The modules,panels and any 5 d P o5T DNE qh=(0.00256)(0.98)(I)(0.85)(I 20^2)O p=30.7(+0.80+0.55) PER MANUFACTURE'S MOUNTING BRACKET MATERIALS ARE LOAD im`� CATEGOR NTATNERING oePrn TERMITE TPMP �o,�D 30.7(1.35) REQUIREMENTS mounting hardware shall be factory tested under these loads fora period of NON-COMBUSTIBLE IN ACORDANCE WITH RM2301.22 qh=30.7 p=4 1.5 psf AND CONSIST OF ALUMINUM L BRACKETS 30 minutes. (Downward i upward forces shall not be applied simultaneously). 20 P5F 120 a SEVERE sw M WTO dig NA a NIEW 9,010 W 5Y5TEM 51ZE yl! MODEL BENQ-PM250MOI-2G5 WATT EA., 48.4#/MODULE,65.01"L x 39.OG"W x 1.57"D 43'-7• 42.G#(2.3#/5F) HOUSE: RIDGE 50LAR MODULE ARRAY- *► 34 MODULES TOTAL O0 X 0hXXXXXw a Nu L0 �— I 0c @) N N l.C) ROOF AREA Lu z lL :� 0 w >1 RIDGE (L RIDGE O z Q ,0 c) PHOTOVOLTAIC V, m MODULE(TYP) _ ~ U Q. . �U X b ipU N� x0 N0 02— .'� K @) ROOF MOUNTED I 00 SYSTEM(TYPICAL 1 RAIL ACROSS EACH j� ROW OF ENTIRE ARRAN(Only Two 6 Shown for Clarity) U r xx X X G) m Qlu ui ><><>< Z 0 W o - N Jo U z W 22'-10• IL I- Ll i z =10 Ld 0 I E o '8- LLl `6 yo_ 0 = m L � o L L CO PARTIAL HOUSE ROOF PLAN PHOTOVOLTAIC MODULE SCALE: 3/1 G" = 1'-0" Rid9e Date: 7-12-14 ROOF PITCH 4:12 Pail Scale: 3/1 G"= 1'-0" RAFTERS: 2"x8" @ I G"C.C. MAX. SPAN: 12 FT Rafter Job#14050 Plywood Roof Sheathing Sheet No. One Shingle Layer 14'-4• 2"x4"Collar Ties @ 48"c.c. ROOF SECTION(Tyr) SCALE: NTS A 5MI00TI, US SUNNY BODY 300"OTILA"JS 4000T,�' ........................ fi §W/7111��', A R Ms 21 -FO 111W Rw W ,497 2%...... W" 600,0 r7 rests oI`NEC 201I690.11 ICO$e of odd-boo Shoda GWvl Peak MPP ftocking temporok"Mn" SUNNY BOY 3000TL-US 4000TL-US 5000TL-US Setting new heights in residential inverter performance The Sunny Boy 3000TL-US/4000TL-US/5000TL-US represents the next step in performance for UL certified inverters. Its transformerless design means high efficiency and reduced weight. Maximum power production is derived from wide input voltage and operating temperature ranges.Multiple MPP trackers and OptiTrac-Global Peak mitigate the effect of shade and allow for installation at challenging sites.The unique Emergency Power Supply feature provides daytime power in the event of a grid outage. High performance,flexible design and innovative features make the Sunny Boy TL-US series the first choice among solar professionals. y ' f� 5, S C eC, ' A NEW GENERATION OF INNOVATION THE NEW SUNNY BOY TL- Tronsformerless design Increased energy production US RESIDENTIAL SERIES HAS The Sunny Boy 3000TL-US / 4000TL-US OptiTracTm Global Peak, SMA's shade- YET AGAIN REDEFINED THE / 5000TL-US are transformerless inverters, tolerant MPP tracking algorithm, quickly CATEGORY. which means owners and installers benefit adjusts to changes in solar irradiation, from high efficiency and lower weight. A which mitigates the effects of shade and wide input voltage range also means the results in higher total power output. And, inverters will produce high amounts of power with two MPP trackers, the TL-US series can under a number of conditions. ably handle complex roofs with multiple orientations or string lengths. Additionally, transformerless inverters have been shown to be among the safest string An extended operating temperature range inverters on the market.An industry first,the of -40 °F to +140 °F ensures power is TL-US series has been tested to UL 1741 and produced in all types of climates and for UL1699B and is in compliance with the arc longer periods of time than with most fault requirements of NEC 2011. traditional string inverters. Emergency Power Supply Leading monitoring and control solutions One of many unique features of the TL-US residential series is its innovative Emergency The new TL-US residential line features Power Supply ability. With most grid-tied more than high performance and a large inverters,when the grid goes down,so does graphic display.The monitoring and control the solar-powered home. SMA's solution options provide users with an outstanding provides daytime energy to a dedicated degree of flexibility. Integrated Zigbee®, power outlet during prolonged grid outages, a wireless communications standard often providing homeowners with access to power used for home energy management, and as long as the sun shines. numerous wired options allows for a highly controllable inverter and one that can be Simple installation monitored on Sunny Portal from anywhere on the planet via an Internet connection. As a transformerless inverter, the TL-US Whether communicating through Zigbee®, residential series is lighter in weight than RS485,or SMA's new wired,plug-and-play it's transformer-based counterparts, which WebConnect, installers can find an optimal makes lifting and transporting the new solution to their monitoring needs. inverter easier than before. A new wall mounting plate features anti-theft security and makes hanging the inverter quick and easy.A simplified DC wiring concept allows the DC Disconnect to be used as a wire raceway,saving labor and materials. Y on NN More efficient Shade management Easier Broad temperature range Emergency Power Supply Flexible communications Tits tttirs t�►cI UmW nay 3WOT1,U$ Sa oy400Mom iih 20&Y AC240 V AC 24* 24 *kC 2i 1 A 24*t/AC',' Input(DC) Max.GC povar(@•mss 4p l ` _ 3200 W 42 W XIMW. MLFx f *oltaga 600Y V vo,ho"r 1755-480v l_:; Min.00 / � 125/150Y 125!'150V 12$ :iTP_ :.Max irrPut csrrrant/string. 15 A/1$A 15 At T$A 1$,A,/,I Number of MPP;*odcers/ sga par MPP tro&W 2/2 Output(AC) AC nomitui power 3000 W 404tT W4550 W $00L1 W Max,AC wonart Power 3000 YA 40W VA 4550 VA MWMA' ° 1 •AOS"/'or us►abls 20$V/0 240 V1+ 208 Y/* 240V/*. 400,Y/0 " 240'W, ti AG volttge rangy 183-229V 21"1... 64 Y -183t 229 Y+ 211 -264"V. 183=224 Y .211=264 V a AC grk("•h-#w*q'n a 60 Ms f 59J-46,5 Hz 64 Hz/59.3-60,41* l Vit/$51 :" GQ S"NZ Max outtxx current 15"0 20A - Otopot"04*0*/: »e cor€r€eeHens T/2 1/2 :: 1"12 Harmonics <4 4% <4x Efficiency Max.elE oncy 96,$% 97A% 96.8% 97.2% 46t 8% 97.1% CEC afkclaecy 96°i 97% 96% 97% 96% 97% Protection devices KAWoRosiolloo device R �:tnonitoring/Grid men€€arir� it~/s AC shah circuit Protection s) - A4*6 sa tsi ft rooWcurrent mat ng�un€t Arc"Fauk clrtuit"ice(AFC1}•corviplont to UL 16498 "Pry Fkas/oveNc4ageryI j',IV General data bloiensions W/H/M In mon(its) 490/519,/185 (194/21),517,311 000 ownect dlmeWonifW1 H/D)in mm(in) 187/297/190 (7.4/1 T.7/7,51 _ dimensions 1 f1 H/p)in mm(in} 617/547/266 (24.3.1 23,5/10,$) t1C'i tlscon acct "�llrrians€o+s'(W f t'1"/D)In Min M 370/240/%WfV4 "/9.4/11.41 Wolght/DCDisconnect weight 24 kg.{53::81)/3.5 Its,it 11 *cIkI §,w*W/0C E3issorrett€pcieic€ng.wegiht 22 kw�46 )!$5 :t8',1bt Op ting teptperowns rorfie.. 40" ..+60 aC (-40°f +140"F) #+1asenison(tYp }. 2$d8(A} K 25 dB(A)" ill co"W"401.okofnight <I W , a 1'W <1 W 1cagY Tr4x+sfcrcmerlsss Tran. Transformers - Cooling concept Convection agion Convection" Electronics Protection rating NBMA U NOAA 3R Features 3 r Ernorg+bcy, Power Supply r; • Iilspkllr'gliic '• !, � RS48$/YY ahycnneeF 0/O 010 Q/0 rtofoos.2lg asr' 4 d 0, Worr0W,10/I$/210y,ears"' 010/0 r!/t?/b i►/?/#3.3. C�e�d"tiara+trsfirrK»"eavaHabla�ruas#} tri1?d1,i ,.1 .tAs1C+'99B, f5d7,.E `PettA�B��N+1/f.�� 1� 7"T�3 . ' r NMLIS inverters ship With gray lids Type-deslg tan $B 3 kQTWS--22 S5 4E X22 'S6.;� E —" •«�. ^^ Efficiency curve SUNNY 80Y 5000TL-US t ......�^ ^•• � �$f ' .. c 90IN NEW= 77, t � i SWt1Mtso 77 MMM, 142 w i trtWa, N ..... Ela IV., 175 VI !? 95 _.... AL t NJ 86 �a�i• 9:V, is a00 v1 r teco o Eta IV., 480 VI g Vw.IV] R> a dsV 10.2 Ok0,6 ik&- t•p 09andot bat", 0op"OrIalf7tlsiN r p—/Ro€sd p— # -- - flops e¢t�Io7tt4RltRris 01a.c Toll Free+1 888 4 SMA USA www.SMA-America.com SMA America, LLC � � 4 tom' ��lIII R. lee w�� ® 1411 Broadway Boulevard NE an UNI RAC Albu u r N - q e que, M 87�oz X545 USA A HILTI GROUP COMPANY r Unirac Inc. makes no warranty of any kind with regard Unirac Inc. to this material, including, but not limited to, the Marketing Department implied warranties of merchantability and fitness for a 1411 Broadway Boulevard, NE particular purpose. Albuquerque, NM 87102-1545 The information in this document is subject to change © Unirac Inc., 2009. All rights reserved. without notice. SOLARMOUNT ITM is a trademark of Unirac Inc. in the Unirac shall not be liable for errors contained herein or United States of America and other countries. for incidental or consequential damages in connection with the furnishing, performance, or use of this material. This document contains proprietary information that is protected by copyright. All rights are reserved. No part of this document may be photocopied, reproduced, or translated to another language without the prior written consent of Unirac. mi r s SOLARMOUNT ITM BEFORE YOU BEGIN Thank you for choosing SolarMount-IT"". 1 Verify that all of the components are included and This quick start.guide provides easy step-by-step consistent with your order. installation instructions. For additional information, please visit us at www.unirac.com. 2 To avoid conflicts, never modify or combine Unirac's SolarMount-ITA° with components that are not made for SolarMount-I. Doing so will void any warranty associated with SolarMount-I. COMPONENTS Beam Mid Clamp SolarMount-I 1.0 Beam = 1.094" Height (1)Stainless steel hex bolt 144" Length (1)Stainless steel flange nut SolarMount-I 2.5 Beam = 2.5" Height (1)Slider - 144" and 192" Lengths (1) Mid Clamp End Clamp (1)Stainless eel hex bolt (1) Stainless steel flange nut 2 Flange Connection * (1)Slider Shown without butyl option (1) End Clamp ' x (2)#14 X 3" ConcealorT"' screws (1)2 Flange Connector 1 Flange Connection UGC-2 Grounding (1)5/16" x 3-1/2" Zinc Plated Lag Bolt 3! (1) Stainless steel washer (1) 1 Flange Connector Beam Splice ** * Butyl (optional with 2 Flange Connection) Shown without grounding option (2)Stainless steel hex bolt **WEEB 9.5 Grounding (optional with Grounding Splice Kit) (2)Stainless steel flange nut (1) Beam Splice 2-Piece Aluminum Standoff (2)5/16 x 3-1/2" Zinc Plated Lag Bolt (1) 1 Flange Connection (1) 3/8" x 3/4" Hex Head Bolt (1) 3/8" x 1-3/4" EPDM Washer CreoTecc Tile Hook (Top) (2) 5/16" x 3-1/2" Zinc Plated Lag Bolt (1)3/8-16 x 3/4" Hex Head Bolt (1)3/8" Hex Head Nut PV Quick Mount (1)5/16" x 3-1/2" Stainless Steel Lag Bolt (1) 5/16" Sealing Washer (1)5/16" EPDM Washer (1) 1 Flange Connection The installation can be laid out with beams parallel to Peak the rafters or perpendicular to the rafters. Note that SolarMount-ITM Beams make excellent straight edges for doing layouts. Center the installation area over the structural members as much as possible. Leave enough room to safely move around the array during installation. Some building codes require minimum clearances around such installations, and the Low-profile user should be directed to also check 'The Code'. W High-profile mode w The width of the installation area equals the length of mode one module. The length of the installation area is equal to: • The total width of the modules, • Plus 1 inch for each space between modules (for Gutter mid-clamp), • Plus 3 inches (11/2 inches for each pair of end 0NOTE:Most installations do not overhang on attachment more clamps). than 18"of beam. To speed installation, mark beam at approximate proper foot space before clicking connections to beam. EcMMI'l Step 1: Attach beam to 2 Flange Connection or 1 Flange Connection Q! NOTE:Always engage the double-wall side before clicking connection into beam. NOTE:Do not use connection if the engagement features on the connection are bent or damaged. Beam i 0'. NOTE: When installing on pitched roof configurations, locate double-wall section of connection on the downhill side of roof slope. Double- Roof wall side of connection Step 2: Attach 2 Flange Connection or 1 Flange Connection to rafter 0 NOTE:When using 2 Flange Connection w/Butyl Pad, remove liner before installing screws. Lag Bolt Concealor Screw v a 2 Flange Connection Option 1 Flange Connection Option Step 3: Install appropriate number of sliders and optional UGC-2 grounding clips 0 Slider UGC-2 (optional) Hex Bolt Step 4A: Install Splices (Option 1) - Use when splicing two beams at a connection ®NOTE.Tighten nut to 10 foot pounds with anti-seize y 4=0 171 ® Splice Bar Optional Grounding Clip Step 413: Install Splices (Option 2) - Use when splicing at mid-span. Place one additional splice to act as a retaining clip over a connection every 24 feet of beam. This may require field drilling. Q NOTE:Tighten nut to 10 foot pounds with anti-seize a � n, Mid-span Splice Splice as Retaining Clip (field drill holes ij as required) ON T# ER14 SOt A# +fN7#+s; i mn�ntixe,-#h its ref t#sa expansion by,�wvnig t#re t3eairrs tis c! t; ntrt=#rcepenitir between ion- " rs atter riiirriiize the''• :of tfa#rrrsrf restrktcont1huous bearer#ends to fedt or stand t3eam lengths. 3TE dWSES =" Ai feast arty spl#ce most be'01 ed aver on attachrn nt ear 24. et�a'act as a poWn#np cop. Step 5: Installing Grounding Lugs I? i Grounding Lug Step 6: Install modules using top mounting hardware Qj NOTE: Tighten nut to 10 foot pounds with anti-seize. Mid Clamp End Clamp Module Module Module °n� 10 year limited Product Warranty Unirac,Inc.,warrants to the original purchaser This Warranty shall be VOID if installation of the defective,then Unirac shall repair or replace the ("Purchaser")of product(s)that it manufactures Product is not performed in accordance with defective Product,or any part thereof,in Unirac's ("Product")at the original installation site that Unirac's written installation instructions and sole discretion.Such repair or replacement shall the Product shall be free from defects in material design specifications therein,or if the Product completely satisfy and discharge all of Unirac's and workmanship for a period of ten(10)years, has been modified,repaired,or reworked in a liability with respect to this limited Warranty. from the earlier of 1)the date the installation of manner not previously authorized by Unirac Under no circumstances shall Unirac be liable the Product is completed,or 2)30 days after the IN WRITING,or if the Product is installed in for special,indirect or consequential damages purchase of the Product by the original Purchaser. an environment for which it was not designed. arising out of or related to use by Purchaser of The Warranty does not apply to any foreign Unirac shall not be liable for consequential, the Product. residue deposited on the finish.All installations contingent or incidental damages arising out of Manufacturers of related items,such as PV in corrosive atmospheric conditions are excluded. the use of the Product by Purchaser under any modules and flashings,may provide written This Warranty does not cover damage to the circumstances. warranties of their own.Unirac's limited Warranty Product that occurs during its shipment,storage, If within the specified Warranty period the covers only its Product,and not any related items. or installation. Product shall be reasonably proven to be SolarMount- ITM INSTALLATION MANUAL www.unirac.com GreenTriplex PM250mo I Mono-Crystalline y;_, Power Range Photovoltaic Module i 255-280Wp a .► *" v W, Highly Strengthened Design Module complies with advanced loading tests to meet 5400 Pa loading requirements Resistance to Salt Corrosion and Humidity 1-3-550 Module complies with IEC 61701: Salt Mist Corrosion Testing IP-67 Rated Junction Box it Advanced water and dust proof level i" Optional AC Photovoltaic Integrated with aMicro-inverter,the modules has highs and stable AC power output via panel level MPPT Flammability Test Low ignitability ensuring fire safety NK Ammonia Test ..... Reliable in ammonia rich environment PID-Free n At PV CYCLE Now ICIM y� BenQ Solar GreenTriplex PM250MO1 (255-280Wp) Electrical Data Dimensions mm(inch) Typ.Nominal Power Phi 255W 260 W 265W 27OW 275W 28OW 38.70)983 ,)s, Typ..Module Efficiency 15.8% 16.1% 16.4% 16,8% 17.1% 17.4% Typ.Nominal VoltageV,±(V) 30.3 30.8 31.3 31.8 32.3 32.7 Typ.Nominal Current lm¢(A) 8.42 8.45 8.47 8.50 832 8.57 Typ.Open CircuitVohageVoc M 37.8 36.0 38.2 38.5 38.7 38.9 j Typ.Short Circuit Current)sc(A) 8.94 8,96 8,98 9.01 9.03 9.06 1639 Maximum Tolerance of Pi, 0/+3% 64 52) •Above data at the effective measurement at Standard Test Conditions{STC) • STC:' 1000 Wirt',spectral distribution AM I.S. ra 5.temperature 2S t 2°C,in accordance with EN 60904-3 .. .... •'The g' n aleccrical data are nominal values which account for basic measurements and manufacturing tolerances of t 10%.with the excel aa n of P.The 6ssihaduns is performed according to P. •Black backsheet n utifaed for power tinge 255-275W;White backsheet is for 255-280VV Temperature Coefficient LL NOCT 46±2'C 936' Typ.Temperature Coefficient of Pci -0.44%1 K (36.85) y TyRTemperature Coefficient ofVoc -0.30*41 K junction 11s . (D 45) i Temperature Coefficient of k ...... c 0.06%1 K Mounting Holes x 4 •NOCT.Normal Operation CellTemperamre,measuring condiuons.irradwice 800 W/m',.AM 1.5,air temperature 20•C.wuid speed I nJs '-- "T 40 4 a., 14 i(I.ST Mechanical Characteristics (0.35) (oss) - Grounding t .. 32 Dimensions(L xw x H) 1639 x 983 x 40 mm(64.53 x 38,70 x 1.57 in) Holes x 4 983. (126) ' 04 '�(38,70) '"'` Weight 18.5kg(40.79 lbs) A-Acrosssection Front Glass High transparent solar glass(tempered),3.2 mm Cell 60 monocrystalline solar cells,156 x 156 mm(6"x 61 Cell Encapsulation EVA H (1) 32 Back Sheet Composite film A A y (12.91) Frame Anodized aluminum frame Disance of Mounting Hole function Box IP-67 rated with 3 bypass diodes I-V Curve 4 Grounding Holes Connector Type& TYCO FU+.ix4mma(0.044.16 inch'),Length:each 1.0m(39.31 inches) IN curve vs diff,irradiance Cables YUKITA YS2%YS•255:Ix4mm'(0.04x0.16 inch'),Lengtic each 1.065 m(41.93 inches) 9.0 8.0 low-W/ma, 7.0 . ........... .........._....__.._.. Operating Conditions 800 VV/m 2 6.0 ._ ..__.._..... _ ._............ __...._. Operating Temperature 40-+85^C c 5.0 Ambient Temperature Range -40-+45°C e 4.0 500 W/tn' Max.System Voltage IEC/UL IOOOVTIOOOV 3.0 ®® Serial Fuse Rating ISA 2.0 Maximum Surface Load Capacity Tested up to 5400 Pa according to IEC 61215(advanced test): @1 0.0 0 .5 10 1.5 20 25 30 35 40 Warranties and Certifications Voltage IV) ProduetWarranty _ Maximum 10 years for material and workmanship Current/voltage characteristics with dependence on irradiance and module temperature. Performance Guarantee Guaranteed output of 90%for 10 years and 80%for 25 years Certifications According to IECIEN 61215,IEC/EN 61730 and UL 1703 guidelines "Please confirm other certifications with official dealers Packing configuration Container 20r GP - 40'GP --4Q HQ-- Pieces per pallet 26 26 26 Pallets per container 6 14 28 tff ilei `�,aa 1� Pieces per container 156 364 728 _ ......... _...__...... AU Optronics Corporation No.1,Li-Hsin Rd.2,Hsinchu Science Park,Hsinchu 30078,Taiwan Tel:+886-3-500-8899 E-mail:BenQSolar@auo.com www.BenQSolarcom s BenQ a • BenQ Solar is a division nk AU Optronics nus datatn o rtpunted awithng sur kik Solar _'__ ©Copyright April 2013 All Opvonics Corp.All rights reserved.ludomuoan nay cbange witbxxrt rxHi<e:.