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HomeMy WebLinkAbout39630-ZTown of Southold P.O. Box 1179 53095 Main Rd Southold, New Fork 11971 No: 37647 Date: THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1795 Bayview Ave, Greenport SCTM #: 473889 Subdivision: Sec/Block/Lot: 52.-5-6 Filed Map No. 7/8/2015 7/8/2015 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/19/2015 pursuant to which Building Permit No. 39630 dated 3/31/2015 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: ROOF MOUNTED SOLAR PANELS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to McEvily, Charles & McEvily, Stephanie of the aforesaid building. ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 39630 06-25-2015 Authorized Signatur ,7~ l�r� TOWN OF SOUTHOLD BUILDING DEPARTMENT a TOWN CLERK'S OFFICE o 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 #: 39630 Date: 3/31/2015 Permission is hereby granted to: McEvily, Charles & McEvily, Stephanie 68 Roxen Rd Rockville Centre. NY 11570 To: Installation of roof -mounted solar panels as applied for. At premises located at: 1795 Bayview Ave, Greenport SCTM # 473889 Sec/Block/Lot # 52.-5-6 Pursuant to application dated To expire on Fees: 9/29/2016. 3/19/2015 and approved by the Building Inspector. SOLAR PANELS $50.00 CO - ALTERATION TO DWELLING $50.00 Total: $100.00 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-18®2 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: AA9' 5 . .Q.. L j Q . S House -No. jStreet Hamlet Owner or Owners of Property: c aC _nkS CC- E_\6 Lk Suffolk County Tax Map No 1000, Section 1J `� Block �� Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signatu e Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roger. richert@town.southoId.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Charles McEvily Address: 1795 Bayview Avenue City: Greenport St: New York Zip: 11944 Building Permit #: 39630 Section: 52 Block: 5 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Catizone Electrical License No: 36178 -ME SITE DETAILS Office Use Only Residential X Indoor 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: 3900 Watt Roof Mounted Photovoltaic System to Include 13 LG 300 Panels with Micro Inverters, Back Feed to Electric Panel Notes: Inspector Signature: Date: June 25, 2015 Electrical 81 Compliance Form.xls rjf so cou 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: ri--Ixjg4� 4-z� 6 r --- DATE -INSPECTOR2��'�� - v Thursday, June 04, 2015 Municipality Having Jurisdiction Town of Southold 53095 Route 25 Southold, NY 11971 Project: Solar Photo Voltaic Panel Installation for: 646 Main Street, Suite 202 / Port Jefferson, NY 11777 Voice 631.509.6800 / Fax 877.524.2732 www.PaulCataidoRA.com Charles McEvily Section: 52 1795 Bayview Ave Block: 5 Southold, NY 11971 Lot: 6 I have certified the solar photo voltaic panel system installation at the above referenced address. The units have been installed in accordance with the manufacturer's instructions and the approved construction drawings dated 03.25.15. I have determined that the installation meets the requirements of the 2010 NYS Building Code, and ASCE7-05. The work is complete accurate and conforms with the governing codes having jurisdiction and applicable at the time of submission, conforms with reasonable standards of,practice, with the view to the safeguarding if life, health, property and public welfare. Respectfully Submitted Paul Cataldo RA Registered Architect `t 1 l� iIF-IEl II I U JUNg r �te�r future 6L DS. DEPT r04,IM OF SOUTHOLD FIELD INSPECT CSN xtE'O�`i DATE CO�'IlY� lm FOUNDAAITOX (1ST) C 1 FOUNDAZION (2ND) I. ROUGH FRAMNQ & PLUMBING y ,INSULATION PER N. Y. STATE ENERGY C®EEClf .. H . FINAL 'I �J7��I Ica ... M S r O� 'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined .20 Approved 120. Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans PERMIT NO. �?�50 Z-7 1Q qAQP I f LI I Penrn� irr, l —I IIIVLU Storm -Water Assessment Form Contact: 1d Expiration 204 APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. la4 ' (Signature of apphcant or naive, if a c rporaton) Mailing address of applicant) s -i State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (� lrt-c'�✓ GLu� ,�sca� �/%/L�i/GC, (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. Location of land on which proposed work will be done: E House Number d Street Hamlet County Tax Map No. 1000 Section 5"k Block 5 Lot a/, h r Subdivision Filed Map No. Lot State existing use and occupancy of premises and 'intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ��� \S�\ �Q,,� cs\-, (DescriptionMc=4- 4. Estimated Cost �? Irl, ,1 .on Fee If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7 A Dimensions of existing structures, if any: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Depth 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Rear 10. Date of Purchase Name of Former Owner Depth Rear 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re -graded? YES NO�Will excess fill be removed from premises? YES NO 14. Names of Owner of premisesaGl.'(�)Mj L�(� lu Address Name of ArchitectTo-4Ccs }dD—JAddress Name of Contractor 1 cnr, M %,sry Cil W, my Address 3'1Z1 No. CAU - 2,22 •0202 ""Phone No .ion eNo. U -V ML) 1�-iLlc( 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, PROSE A COPY. STATE OF NEW YORK) SS: COUNTY OF a\ ZA being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)abovenamed, (S)He is the � 0 `�' °� a (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. / Al t before me this day, of 2 ...:..r / i-SETTEESTABROOKE //l��%Lv�/✓ G ',4'3 r9 Jif clic, State of NewYordf TF EVIL 4.: Notary ( ybl+'j tjbNew rk Qualified in Dutche sCou�ty ignature of Applicant No OC4896323 CommissionExtiresA�prili6;2f11�0 Qualified in Nassau Co my ')F v� �h Commission Expires April 27, 20` Ir Scott A. Mussell supERIns®R MAN, A\(GrIEMIEN T SOUTHOLD TOWN HALL - P. O. Box 1179 u' 53095 Main Road-SOUTHOLD, NEIN YORK 11971 � ®� � � Town of Southold CHAPTER 236 - ST®RMWATER MANAGEMENT WORK SHEET - ( TO BE COMPLETED BY THE APPLICANT) DOLES THIS PROJECT INVOLVE ANY OF THE 1FOL LO7A'INTO: (CHECK ALL THAT APPLY) A. Clearing, grubbing, grading or stripping of land which affects more than 5,0.00 square feet of ground surface. B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. C. Site preparation on slopes which exceed 10 feet vertical rise to. 100 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one -hundred -year f loodplain as depicted on FIRM Map of any watercourse. F. Installation of new or resurfaced impervious surfaces of 1,000 square 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. ;lG 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 vour Building Permit Auulication. APPLICANT. (Property Owner, Design Professional, Agent, Contractor, Other) T;. NAME. G f 1 �r �✓�C >rdiG " Contact Information -°a 5W.3 - C/L 17P naEtpma N­b�t is Property Address I Location of Construction Work: 5 ^ a_Lm* to &Q —.. .._ _......._.,...._..,_-..__... _......_.....____. FORM # mSMCP - TOS MAY 2014 m :S.C:T.M. #: 1000 Date: District 15 6 ection Block Lot **** FOR BUILDING DEPARTMENT USE ONLY **** Reviewed By: �VV { Date: ' S Approved for processing Building Permit. Stormwater Management Control Plan Not Required. Slornlwater Management Control Plan is Required. (Forward to Engineering Department for.Review,) Town Hatt Annex 54375 .Main road P.O. Box 1179 Southold, NY 11971-0959 Company Name: Name: Telephone (631) 765-1802 (63 roenriche own. oUM5636.n .us BUILDING 1 ITAR` M NT TOWN OF SO'Cl''THOL D APPLICATION FOR ELECTRICAL INSPECTION No.. A0 s: �'�. iX�c eSS JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: 'Phone No.: Permit No.: Tax -Map District: \10 - 1000 Section: Block: �(e Lot: Io •— *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ``sc�R Y (Please Circle Ali That Apply) *Is job ready for inspection: YES ON. Rough In Final *Do -you need a Temp Certificate: NO Temp Information (if -needed) *Service Size: 1 Phase , 3Phase 10 *New Service: Re -connect Underground Additional Information: B241equest for Inspection Form 0 150 200 300 350 400 CH r Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION Is, A TOWN OF SOUTHOLD PROPERTY OWNER STREET f VILLAGE DIST. SUB. L0-111 eAw-fi v LAND IMP. TOTAL PRMER OW, N v E ACR. tA, S z TYPE OF BUILDING RES. 0 /SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS SO'LD(FlAmikV) TELL]Mp, IV 76 gsGg mlko z Ile) 0 C'L L 9,6.9 ? _ :.L I M fA h goth Ll 'PA IAL -71,-) 3 2- - L 6a& p 39, 1 a" n 0 Y& 7,o e2 wI 44-120MG 4 17-q - 1 -7 0 'lob i3p#-3�141- dexx — --------- — R 3 I_ N NEW NORMAL BELOW ABOV'E, FARM Acre Value Per Value Acre Tillable, --I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH Me), BULKHEAD Iven, Toto I DOCK I- '0122*, L EM ■■ Permit # Name Homeowner Property Add ress—,,mwff"-Ah' Phone Number 51�) 2ZZ�02-02-- =I EN -CONSULTANTS 131.9 NOR I H SCA ROAD SOUTHAMPTON, NY 11968 1-9A i0 _I - ----- 357-2/0000g -nua�r .ti� RAYVI EW I � 1 STORM RESTOF RENOUI (SEE N ADJ.�SEAWALL RETURN TO BE REMOVED AND q" _ Ono VIA TERRACING. MENT. AND REVEGETATION i FOR DETAILS) +51' WOOD TIE WALL TO REMOVED & REPLACEC A �d 5uf'fdk C=*A Na*,brom Map No. 44 t 11 - r '7r V-ln NoL-s: 1. Purpose: Res arl5h, rew'*t ted, aid stabll2e embabrin t eroded datnq Hirricana 5ai4 2. Datum: MSL - O' O" -5. Plan based on sirveti prepaed 64 John C. Enders I.a l 5rvetpr, dated May 30, 200 4. 5ta6#w tae of embardctrient l adwad of the tidal weda wls barday, with coutlivais terrace retalrii M wall catslzti q of pressure treated woad bonds ad cialvanired sled pipe 5. fhe exact nm6er, locations, and lmgt6 of terraces to be established on face of em6a kned we to be determined by cv*aetor at tkne of project hnplemmtatrm based on then arrest slopes aid vecietative condition of mb&- kw t 6. 6m6aikmerit 15 to be rera t4zd with up to 15 aiblc gads of deet sandy fill to be trucked in from ai approved uplad sorce aid used to backfill pro posed terracing 7. KI terraced ad dimmix'd porta-,m of mbawhier:t, are to be vegetated or revegetated with native vegetation, eq, Gape ¢ Aniericah beach q-". swltcliqass, Viropia rose, ad/ or 6A6e n B. % heavy machwq K to be placed or operated seawall of the tap of the ff"+nient 9. Plan aid crossview dUq'ans we 56hertiatic in nahrre aid are Intended oiy to e5tabl15h project location, snipe, and basic caist wUm details for pemtittM pirposes ad we rot mtended to serve as or substihite for erV eerN or construction plans for carstnhctlon ptrposes +59' 10. Project loraboi: 1795 paivtew Avenue, 5ahthdd: Ex. +5° u_t13' 50rM No.1000-52-5-6 PLATFORM/STEPS BE \ PROP. +26 WOOD TIE WALL AT TOP OF IBANK OF SLOPE RELOCATED TO PROPER r— LINE i(SEE APPLICATION +14 PROP. +9T TERRACE WALL ALONG BY GASeOtd FAMILY. LLC �2`J —• — BANK HmTOE (LANDWARD OF TWB) Rpp `t1000US O E80- y w TERRA WNERE EED 0 ` W W w BO OM Of SLOPE w ACEW w ANW y w v v r W 1m W W e W W W W /W d• W / c W •Y dr W ..(L �.-. W � -� x '•(��d\/ryq((U ®�E _ -• •'-- AR's 14 Ago " ND j p0 PkOPO%12 W5f01 A11ON OF 5TOPA WOMP WDANKMENr FOR CME5 ANn StpN E MCWLY ON AU"OMOOLE PONn, 50UT OLL9, SUFFOLK COUNTY, NY 5 ff f I OF 2 CATIZOO OP ID: AB ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/18/2015 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, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Joseph P. Price Agency, Inc. 1150 Portion Road, Suite 14(AIC.No Holtsville, NY 11742 Joseph P. Price CONTACT Christine Pubins PHONE FAX EMI: 631-698-7400 ac No: 631-698-5494 E-MAIL c ubins oe riceinsurance.com ADDRESS: p P INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Arch Specialty Ins. Co. 21199 INSURED Long Island Power Solutions, Inc. 3122 Expressway Drive South Islandia, NY 11749 INSURER B : Standard Security Life Ins. 69078 INSURERC: INSURER D : INSURER E: INSURER F: CAVFROPFS CFRTIFICOTF NUMBER- REVISION NUMBER: THIS 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DDL I SO UBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP M/DD LIMITS A X COMMERCIAL GENERAL LIABILITY A v ' EACH OCCURRENCE $ 2,000,00 CLAIMS -MADE a OCCUR AGL002269100 02/2812015 0212812016 -DAMAGE TO RENTED PREMISES Ea occurrence). $ 150,00 MED EXP (Any one person) $ 10,00 PERSONAL&ADV INJURY $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,00 POLICY ❑ PRO JECT ❑ LOC PRODUCTS -COMP/OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY CEaMaccidenOBINEDt SINGLE LIMIT $ BODILY INJURY (Per person) $ , ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE $ Per accident NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE- $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N SPTEROTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑N / A (Mandatory In NH) E.L. DISEASE- EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ B Disability Benefit R97411 01/0112015 01/01/2016 Statutory Limits DESCRIPTION OF OPERATIONS,/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SOUTHOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Townof Southold h THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE, POLICY PROVISIONS. Route Southold, NY 11971 AUTHORIZED REPRESENTATIVE A v ' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD New Y®rrk Stene Insurance Wund rn. Workers ° Compensation & Disability Beisefrts .Specialists Since 1914 199 CHURCH STREET, NEW YORK, N.Y. 10007-1100 Phone: (888) 997-3863 AAAAAA 271175107 LOVELL SAFETY MGMT CO., LLC 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 POLICYHOLDER LONG ISLAND POWER SOLUTIONS, INC 3122 EXPRESSWAY DRRVE S ISLANDIA NY 11749 i CERTIFICATE HOLDER i TOWN OF SOUTHOLD , 53095 ROUTE 25 SOUTHOLD NY 11971 i i l POLICY NUMBER [CERTIFICATE NUMBER I PERIOD COVERED BY THIS CERTIFICATE DATE G2354 803-5 663923 02/28/2015 TO 04/01/2016 3/17/2015 j THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2354 803-5 UNTIL 04/01/2016, 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. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 04/01/2016 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 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. I THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT CATIZONE MICHAEL VICE PRESIDENT JOSEPH MILILLO i LONG ISLAND POWER SOLUTIONS, INC 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 DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/cerYcertval.asp or by calling (888) 875-5790 VALIDATION NUMBER: 157257766 U-26.3 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier Ia. Legal Name and Address of Insured (Use street address only) lb. Business Telephone Number of Insured LONG ISLAND POWER SOLUTIONS INC 6316786685 3122 EXPRESSWAY DRIVE SOUTH lc. NYS Unemployment Insurance Employer Registration j ISLANDIA, NY 11749 Number of Insured PENDING I Id. Federal Employer Identification Number of Insured or Social Security Number C 27-1175107 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage (Entity Being Listed as the Certificate Holder) i Town of Southold Standard Security Life Insurance Company of New York; 53095 Route 25 3b. Policy Number of entity listed in box "la": Southold, NY 11971 R97411-000 3c. Policy effective period: f 1/1/2015 to 3/15/2016 s 4. Policy covers: a. r All of the employer's employees eligible under the New York Disability Benefits Law b. f ' Only the following class or classes of the employer's employees: I i Under penalty of perjury, I certify that I am an authorized representative or licensed p agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. t Date Signed 3/17/2015 By a Signature of insuran e, carrier's a thorized representative or NYS Licensed Insurance Agent of that insurance carrier)' Telephone Number (212) 355-4141 Title SUPERVISOR-DBUPOLICY SERVICES ! IMPORTANT. If box "4a" is checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier, this certificate is COMPLETE. Mail it directly to the certificate holder. If box "4b" is checked, this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the Disability Benefits Law. It must be mailed for completion to the Workers' Compensation Board, DB Plans Acceptance Unit, 20 Park Street Albany, New York 12207. f PART 2. To be completed by NYS Workers' Compensation Board (Only of box "4b" of Part 'I has been checked) State Of New York j Workers' Compensation Board f According to information maintained by the NYS Workers' Compensation Board, the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. l Date Signed B ! Y (Signature of NYS Workers' Compensation Board Employee) ' Telephone Number Title Please Nate! Only rNer/rn"r -q- ]i n, 7 s _ ruin F.- - -- - - •� •�"��� •� ry. «r 1"0 uesuauuy aeneJrrs Insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB -120.1. Insurance brokers are NOT authoriZed to issue this form. DB -120.1 (5-06) STATE OFNEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS, COMPENSATION Y IOlit H1VSURANCE COVERAGE I a. Legal Name and address of Insured (Use street address only) I b. Business Telephone Number of Insured 631-543-0282 Catizone Electrical Contracting, Inc. lc. NYS Unemployment -Insurance Employer. Registration 3122 Expressway Drive South Number of insured Islandia, NY 11749 Id. Federal Employer -Identification Number of Insured or Work Location of Insured (Only required if coverage is specifically Social Security Number limited to certain locations in New York State, i.e. a Wrap -Up 45-5213112 Policy) i 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage (Entity Being Listed as the Certificate Bolder) Utica Mutual Insurance Company Town of Southold 53095 Route 25 3b. Policy Number of entity Iisted in box "la": i Southold, NY 11971 4766763 3c. Policy effective period: 07/01/14-07/01/15 i 3d. The Proprietor,. Partners or Executive Officers ate:! included. (Only check box if all partners/officers included) X all excluded or certain partners/officers excluded. I i l his certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York. State Workers' Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier -or its -licensed agent will send this Certificate of Insurance to the.entity listed above as the certificate holder in box "211. The Insurance Carrier will also notes the above certificate holder within 10 days IF a policy is canceled due to nonpayment, of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail) Otherwise, this Certificate is valldfor one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date IistedFin boa:"3e'; ivIdchever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license oi• contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business -is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Linder penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Approved by: (Print naqe)of aMt��§ representative or licensed agent of insurance carrier) (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: 631-698-7400 Please Note. Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form. Insurance brokers are NOT authorized to issue it. C-105.2 (9-07) www.Wcb/state.nv.us STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier � la. Legal Name and Address of Insured (Use street address only) f Ib. Business Telephone Number of Insured CATIZONE ELECTRICAL CONTRACTING, INC. 631-256-6022 } 3122 EXPRESSWAY DRIVE lc. NYS Unemployment Insurance Employer Registration ISLANDIA, NY 11749 Number of Insured PENDING 4 Id. Federal Employer Identification Number of Insured or Social Security Number 45-5213112 2. Name and Address of the Entity Requesting Proof of E 3a Name of Insurance Carrier Coverage (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold 53095 Route 25 3b. Policy Number of entity listed in box "la": j Southold, NY 11971 R97483-000 3c. Policy effective period: j 1 1/1/2015 to 3/15/2016 j ,E 4. Policy covers: a. jX_' All of the employer's employees eligible under the New York Disability Benefits Law j b. Only the following class or classes of the employer's employees: 1 i Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. I i Date Signed 3/17/2015 By l l Signature of insurance carrier's au orized representative or NYS Licensed Insurance Agent of that insurance carrier)` Telephone Number (212) 3554141 Title SUPERVISOR-DBUPOLICY SERVICES IMPORTANT- If box "4a" is checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that j carrier, this certificate is COMPLETE. Mail it directly to the certificate holder If box "4b" is checked, this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the Disability Benefits Law_ It must be mailed for completion to the Workers' Compensation Board, DB Plans Acceptance Unit 20 Park Street, Albany, New York 12207. PART 2. To be completed by NYS Workers' Compensadon Board (Only if box "4b" of Part I has been check6d) State Of New York Workers' Compensation Board According to information maintained by the NYS Workers' Compensation Board, the above-named employer has complied with the NYS j Disability Benefits Law with respect to all of his/her employees. Date Signed By (Signature of NYS Workers' Compensation Board Employee) Telephone Number Title i Please Nate_ Only in.evrlynra arna -L___, '12� 1__- _____. ..10 us—urrrty uerxjus insurance pontes analvrJ' licensed insurance agents Of those insurance carriers are authorized to issue Form DB -120.1. Insurance brokers are NOT authorized to issue this foram. DB -120.1 (5-06) i CATIZ-0 OP ID: CP � CERTIFICATE F LIA ILIY NSA NCE DAI)� X COMMERCIAL GENERAL LIABILITY 03/1712615 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDERS THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ! I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). I PRODUCER Joseph P. Price Agency, Inc. 1150 Portion Road, Suite 14 Holtsville, NY 11742 Joseph P. Price CONTACT Christine Pubins NAME: AI�NN E :631-698-7400 A C No: 631-698-5494 E-MAIL ADDRESS: cpubins@joepriceinsurance.com INSURER(S) AFFORDING COVERAGENAIC # INSURED CatiZone Electrical Contracting, Inc. Michael Catizone 3122 Expressway Drive South Islandia, NY 11749 INSURER A: Utica Mutual Insurance Company 25976 INSURER B: Utica National Assurance Co. 1060 INSURERC: INSURER D INSURER E: j INSURER F: PREMISES(Ea occurrence) $ 100,000 ------- ---- ICC11101Vrtl WUlY101=11: THIS 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I INSROUL BR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDpY EFF MIOWLDI D EXP LIMITS X X COMMERCIAL GENERAL LIABILITY SOUTHOL Town of Southold 53095 Route 25 SHOULD ANY OF THE ABOVE DESCRIBED THE EXPIRATION DATE THEREOF, ACCORDANCE WITH THE POLICY PROVISIONS. POLICIES BE CANCELLED BEFORE NOTICE WILL BE DELIVERED IN Southold, NY 11,971 CLAIMS -MADE ®OCCUR AUTHORIZED REPRESENTATIVE In pp �f t��� iwl,Ji.. CPP 4784747 07/01/2014 07/01/2015 EACH OCCURRENCE S 1,,000,000 PREMISES(Ea occurrence) $ 100,000 MED EXP (Any one person) $ j 10,000 PERSONAL &ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: RPOLICY F—] JECT PRO- F]LOC GENERAL AGGREGATE $ 2,000,0010 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ I BODILY INJURY (Per accident) S t PROPERTY DAMAGE Per accident $ $ i UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ i DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH)and If Yes, describe under DESCRIPTION OF OPERATIONS below A N I A 4766763 07/01/2014 07/01/2015 $ STATUTE ERH E.L. CH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE -POLICY LIMIT S 500,1000 I i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) i i CFRTIGIrATG unl nco v -I aaa-z04 At;uKu t;URPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD i ..AIV IiCLLA A I V Itl I I SOUTHOL Town of Southold 53095 Route 25 SHOULD ANY OF THE ABOVE DESCRIBED THE EXPIRATION DATE THEREOF, ACCORDANCE WITH THE POLICY PROVISIONS. POLICIES BE CANCELLED BEFORE NOTICE WILL BE DELIVERED IN Southold, NY 11,971 AUTHORIZED REPRESENTATIVE In pp �f t��� iwl,Ji.. v -I aaa-z04 At;uKu t;URPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD i v , 1 ED 127 646 Main St so I - t c �1�.8.� .2 32 �,I DAT com } _ FEE: B NOTIF BUILDING DEPARTMENT AT March 14, 2015 �� t rl , �, ,_� 'E, e f . �{�, c n� 765-1802 8 AM TO 4 PM FOR THE *-J o: 'l' .. 'i•fai�.6..ES VF FOLLOWING INSPECTIONS: s? �04IPJ GC)�ES Municipality Having Jurisdiction N E, VV & `�`' % ` ". .} ° • 1. FOUNDATION - TWO REQUIRED Town of Southold ' ' ' AS R" QU H ��:: „ ' % FOR POURED CONCRETE 53095 Route 25 2. ROUGH - FRAMING & PLUMBING Southold, New York 11971 t; i i i �� 3. INSULATION. Project: Solar Photo Voltaic Pane allaii�n f�+r �s rsIIi i ',�''� FLA"dNING BOARD 4. FINAL - CONSTRUCTION MUST Charles McElvily EE COMPLETE FOR C.O. 1794 Bayview Avenue �9 " ® �1' i " 'Block: X96 ALL CONSTRUCTION SHALL MEET THE Southold, NY 11971 f�•Y J. jos`, Lot: 6 REQUIREMENTS OF THE CODES OF NEW t YORK STATE. -NOT RESPONSIBLE FROS A review has been prepared for above listed residence regarding solar panel installation on roof Site visit ogrg',gNo09s *i��T��}�eWIWtigq O specific site information, based on that information an evaluation of the structural capacity of the existing roof system to support the additional loads imposed by this solar panel installation. Description of residence: The existing gable roof structures are typical wood framing construction consisting of 2x12 roof rafters spaced at 16" on center, ridge is 2x12. Lumber species assumed to be Douglas Fir #2 in an unfinished attic. Ceiling joists are 2x6 spaced at 16" on center. Both roofs have a single layer of asphalt shingles assumed to be 3 PSF. Gypsum board ceiling is attached to the ceiling joist and not the roof rafters. Code References: NY State Building Code and Residential Building Code 2010 American Society of Civil Engineers Minimum Design Loads for Buildings and Other Structures 7-05 National Design Specification for Wood Construction 2005 Exposure Category "D" Surface Terrain * Net Design Wind Pressure adjustment factor for building and exposure multiplier = 1.67 Roof framing lumber Douglas Fir #2 All panels assumed to be in Roof Zone 3 "- IS UI�LAir��FUL V'ITNOUT CE�TIFIC�TE OF OCCUPA CY I have reviewed the roofing structure at the project address. The structure can support the weight of the roof mounted solar photovoltaic array The system is to be installed as per manufacturer's instructions. I have determined the installation as designed will m • ements of the NYS Building Code 2010, and ASCE7-05 when installed as per manufacturer's instructions. 1 r rePTA T Roof Section 1 2 Mean Height 22 22 Pitch 7 in 12 12 in 12 Rafter Size (nominal) 2x12 2x12 Rafter Spacing (on center) 16" 16." Horizontal Rafter Span 111-0" 12'-0" Allowable Spans Table R802.5.1 Max. 22'-3" 22'-3" iE 01� Climatic & Ground Wind Live Load, Point Load Allowable Actual Geographic Category Snow Speed 3 Pnet30 withdrawal deflection Deflection Fastener Type Design Criteria Load Sec. gust per Lbs. per As per NYS Due to PSF MPH ASCE7 lag bolt Building Code Gravity loads PSF Roof Section 1 C 20 120 * -25.9 -424.5 L/180 L/1000 Use 5/16" dia. x 5" Lags Roof section 2 C 1 20 120 --25.9 -335.1 L/180 L/1000 Use 5/16" dia. x 5" Lags As Per Lag bolt manufacturer and NDS 2005, Lag bolt Withdrawal rated at 266 lbs. per inch of thread, 5" Lags to have 3-1/8" of thread length. 750 lbs of withdrawal force is used as our limit. Weight Distribution: Array dead load 3.5 PSF Paul Cataldo Registered Architect RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. - ;�; "A ,LAW, �arrtZi Cell Technology Life's Good a° man, NwNON -1 LP280MC." vF:== LG's High Efficient Cell Technology r''`"'"` ® p Driven by LG's own N -type technology, LG's high - efficiency modules will provide customers with F11% Convenient high economic benefits. Installation �� 16,Skg Light and Robust o With a weight of just 16.8 kg, LG modules are Light Weight proven to demonstrate outstanding durability against external pressure up to 5400 Pa. LG Electronics, Inc. (Korea Exchange: 06657.KS) is one of the globally leading companies and technology innovator for electronics, information and communication products. The LG Electronics currently employs more than 91,000 people worldwide in 117 companies. In fiscal year 2011, 48.97 billion USD of revenue was achieved. LG is one of the world's largest manufacturers of mobile phones, flat screen TVs, air conditioners, washing machines and refrigerators. As a future - oriented company, LG enables others to use technology consisting of renewable energies. LG's high quality solar products are being manufactured in LG's leading production facility in South Korea. APPROVED PRODUCT AVE C UL US C E �,�? \j/_ KM 564573 BS EN 61215 Photovotaic Modules Convenient Installation LG modules are carefully designed to benefit installers by allowing quick and easy installations throughout the carrying, grounding, and connecting stages of modules. 2ft 100% EL Test Completed All LG modules pass Electroluminescence inspection. This EL inspection detects cracks and ELTest other imperfections unseen by the naked eye. Reliable Warranties Positive Power Tolerance LG stands by its products with the strength of a _ - LG provides rigorous quality testing to solar global corporation and sterling warranty Linear Warranty g p 9 policies. -` D modules to assure customers of the stated power LG offers a 10 year product limited warranty and a Pcsifiv Power outputs of all modules, with a positive nominal 25 year limited linear output warranty. T lefdR°e tolerance starting at 0%. ��( Manrt Mechanical Properties Cells 6 x10 Cell vendor ---- - LG Cell type Monocrystalline Cell dimensions 156 x 156 mm2 / 6 x 6 int # of busbar 3 Dimensions (L x.W x H) 1640 x 1000 x 35 mm _ - 64.57 x 39.37 x_1.38 in _ - W Static snow load _ 5400 Pa /_113 psf- -_-_---_ _ Static wind load - 2400 Pa / 50 psf- Weight _ -- _16.8 ± 0.5 kg / 36.96 ± 1.1 Ib Connector type ^ MC4 connector IP 67 ^ Junction box IP 67 with 3 bypass diodes Length of cables 2 x 1000 mm % 2 x 39.37 in Frame Anodized aluminum 4 Certifications and Warranty Certifications IEC IEC 6173_0-1/-2, UL 17_03, 9.80 _61215, ISO 9001, IEC 61701(In progress),-� 9.56 DLG-Fokus Test "Ammonia Resistance'; 18.3 (In progress) Product warranty 10 years -� Output warranty of Pmax Linear warranty* (measurement Tolerance ± 3%) • 1)1st year. 97%, 2) After 2nd year. 0.7% annual degradation, 3) 80.2% for 25 years Temperature Coefficients NOCT 45 ± 2 'C Pmpp -0.42 %/K Voc -0.31 °/G /K 4 Characteristic Curves : 10 9 300 W 295W 290W 285W 8 300 W 295 W 800 W U 7 MPP voltage (Vmpp) 32.0 31.9 31.8 6 31.5 MPP current (Impp) 600 W 5 9.09 8.97 Open circuit voltage (Voc) ........ ..... . ...... 39.5 q 39.2 39.0 400 W 3 .9.91 ...... 9.80 9.68 9.56 2 18.3 18.0 ... 200 W 1 Operating temperature (°C) . ... .. . . (from 1000 W/m2 to 200 W/m9 -40 -+90 O 5 10 15 20 0 140 E 120 a 0 � 100 u 60 60 40 20 Electrical Properties (STC*) 300 W 295W 290W 285W 280 W 300 W 295 W 290W 285W. 280 W MPP voltage (Vmpp) 32.0 31.9 31.8 31.6 31.5 MPP current (Impp) 9.42 9.30 9.19. 9.09 8.97 Open circuit voltage (Voc) ........ ..... . ...... 39.5 39:3 39.2 39.0 38.9 _.. Short circuit current (Isc) .... ....... ... 10.0 - . .9.91 ...... 9.80 9.68 9.56 Module efficiency (%) ... ........... 18.3 18.0 ... ... ....... 17.7 ......... 17.4 17.1 Operating temperature (°C) . ... .. . . (from 1000 W/m2 to 200 W/m9 -40 -+90 ... ... ... ... Maximum system voltage (V) 600(UL),1000(IEC) . . .... .... Maximum series fuse rating (A) 15 Power tolerance (%) ' 0-+3 ` SfC (Standard Test Condition): Irradiance 1000 W/m2, module temperature 25 °C, AM 1.5 • The nameplate power output is measured acid determined by LG Electronlcs at its sole and absolute discretion Q Electrical Properties (NOCT*) • NOCT (Nominal Operating Cell Temperature): Irradiance 800 W/m2, ambient temperature 20'C, wind speed 1 m/s 10/0.40 10/6.40 ''Dimensions (mm/in) 1000/39.37 2e/1.1D 22/Ob7 01(1 .-' Dram holes(4ea)(sl:eof shoeaide) Long side frame shod side frame 4.0.74 N Nevi oreh, rmme(we> 300 W 295W 290W 285W 280 W Maximum power (Pmpp)' 220 216 213 210 206 MPP voltage (Vmpp) 29.3 29.2 ................. 29.1 ... 28.9 28.8 ....... ...... MPP current (Impp) 7.51- ... ...... 7.42 ....... ........1.... 7.33 7.25 .... ... 7.15 Open circuit voltage (Voc) 36.5 36.3 36.2 ' 36.0 35.9 Short circuit current (Isc) 8.08 7.98 7.89 7.80 7.70 Efficiency reduction < 4 5 (from 1000 W/m2 to 200 W/m9 - • NOCT (Nominal Operating Cell Temperature): Irradiance 800 W/m2, ambient temperature 20'C, wind speed 1 m/s 10/0.40 10/6.40 ''Dimensions (mm/in) 1000/39.37 2e/1.1D 22/Ob7 01(1 .-' Dram holes(4ea)(sl:eof shoeaide) Long side frame shod side frame 4.0.74 N Nevi oreh, rmme(we> 48A.99 i E G 0 O 3s%1.3e -40 -25 0 25 50 75 90 Temperature ('C) ' The distance between the center of the mounting/grounding holes 4.0/0.16 Detail Y 091031 (0 Z' a North America Solar Business Team Product specifications are subject to change without notice. LG Electronics U.S.A. Inc "LG Life's Good" is a registrated trademark of LG Corp. y� * 1 r' 1000 Sylvan Ave, Englewood Cliffs, All other trademarks are the property of their respective owners. NJ 07632 ' C ,,p Copyright © 2013 LG Electronics. All rigs reserved. Life's ®®�.0 Contact. Ig.solar@lge.com www.lasolarusa.com 03/01/2013 12-043 (mzterw her�een mouneng M1oles) Gm -dins holes(12es) f-0 lH e G 02 Neq C.N. Ian9M Mounen g holes(eve) 25 30 35 40 Voltage (V) .-'.-ISC ----------- VOC Pmax- _------------------------------- lv` d C 48A.99 i E G 0 O 3s%1.3e -40 -25 0 25 50 75 90 Temperature ('C) ' The distance between the center of the mounting/grounding holes 4.0/0.16 Detail Y 091031 (0 Z' a North America Solar Business Team Product specifications are subject to change without notice. LG Electronics U.S.A. Inc "LG Life's Good" is a registrated trademark of LG Corp. y� * 1 r' 1000 Sylvan Ave, Englewood Cliffs, All other trademarks are the property of their respective owners. NJ 07632 ' C ,,p Copyright © 2013 LG Electronics. All rigs reserved. Life's ®®�.0 Contact. Ig.solar@lge.com www.lasolarusa.com 03/01/2013 96°/3790 (mzterw her�een mouneng M1oles) Juncrien hez f-0 lH 10D0/39.37 C.N. Ian9M 944/3217 48A.99 i E G 0 O 3s%1.3e -40 -25 0 25 50 75 90 Temperature ('C) ' The distance between the center of the mounting/grounding holes 4.0/0.16 Detail Y 091031 (0 Z' a North America Solar Business Team Product specifications are subject to change without notice. LG Electronics U.S.A. Inc "LG Life's Good" is a registrated trademark of LG Corp. y� * 1 r' 1000 Sylvan Ave, Englewood Cliffs, All other trademarks are the property of their respective owners. NJ 07632 ' C ,,p Copyright © 2013 LG Electronics. All rigs reserved. Life's ®®�.0 Contact. Ig.solar@lge.com www.lasolarusa.com 03/01/2013 Enphase® Microinverters The Enphase® M250 iydicroinverter delivers increased energy harvest and reduces design and installation complexity with its all -AC approach. With the M250, the DC circuit is isolated and insulated from ground, so no Ground Electrode Conductor (GEC) is required for the microinverter. This further simplifies installation, enhances safety, and saves on labor and materials costs. The Enphase M250 integrates seamlessly with the Engage® Cable, the Envoy® Communications Gateway", and Enlighten®, Enphase's monitoring and analysis software. - Optimized for higher -power modules - Maximi2es energy production - Minimizes impact of shading, dust, and debris E N E R G Y SIMPLE - No GEC needed for microinverter - No DC design or string calculation required - Easy installation with Engage Cable RELIABLE - 4th -generation product - More than 1 million hours of testing and 3 million units shipped - Industry-leading warranty, up to 25 years G. C us Enphaoe"K8250Microinverter//DATA INPUT DATA (oC) Recommended input power (STC) 210 300 W MaxmuminpmmCwv�a0o 48V ._- - �Poekpowo tracking voltage � '---- - '--' -' '-- ' ---- orV-39v -' --'-- Operating range -- — -- - ----------- --'--' 16 48 !- --- � Min/Max start «»ltaQ«__'22V/48V_ MaxDCohn����n n�von 15A Max input current 9.8 A OUTPUT DATA (AC) @uouVmC @240 VAC Peak output power 250 W 250 W Rated �m�o�omp�p�a --- _ m0W 2�W _ .-_ Nominal output current .115Ay\ms at nominal 1.OAK\,msaunominal � Nominal voltage/range -- _ 2OOV/1nu'�9V o*OV/u11'2�V Nominal 60.0 57-61 Hz__ 00u/57-61Hz_ Extended ������ --' ��oHz 57-62.5 Hz _._ � ' powefaoo» _ ,u�o >O�5 Mu���un�c��A���o�� _ - ------__ ������ 18�i��p�� ' ' .- -'_--_ |Maximum output fault current 850 mA rms for cycles - EFFICIENCY CEC weighted efficiency, 240 VAC 96.5% CECw�omod��uivn�«eoeVAC e�096 r-- - - '- '-- - - -- - '-- - - . Peak inverter effioiency_e6.5%_ -' Static MPPTeffio�nny�m�h�d.n�on�uvEN5o5o� V8�4Y6 ' _ '- - ' - Night time power consumption - 65 mW max MECHANICAL DATA Ambient temperature range -400C to +650C ope�mno»ompom�n,mnooVmama0 �o"om+os"C o�- -''- - - - ' - -- - ' ' /me»aions{v»^H4D) - - - --- - -' ' ` ' ---- -- -- -- - - '-- -- -7 171 mm x1r3!m=«3omm (without mounting bracket) mwNhx 2.0 kg C_?o.xn-o-_Natural convection -^wfaon Enclosure environmental rating Outdoor---wswm0 rsATunsa Compatibility Compatible with 60 -cell PV modules. Communication Power line -' - -- ' 1ntegratedgiound The DCvimuifmijbtothe requirements for ungrounded PVanayoin NEC 08U.35.Equipment ground inprovided inthe Engage Cable. No ' additiono|GBCorgmundin�mquined� i � � � � Monitoring Free |��momnnioohng�oEn|igh�nsuft�om - - / Cvn��n` | -- |'-FCCPart 15Q�s8'- -- CAN/CSA-C22.2,-0-Mn1. � O�4-04.and1O71'O1 � � ^Frequency ranges can ueextended uovvnuno,mnalnmquireduvmoumuy Tblearn more about EnphaaeMicroinvertertechnology,en���ase° U~�=Y " '' 0 2013 Enphase Energy. AJI rights reserved. AJI trademarks or brands in this document are registered by their respective ov�ner. General Notes: -, EN coi INITANTS 1919 NOTH SEA ROAD t. -micro Inverters are located onroofLong j OsOand S011Tht'sJ'9'10\Y 11968 C tt behind each module° `N FDVER SGLUT�"O= HS 631 _283-63160 -First responder access maintained and from adjacent roof 3122 Expressway Drflve South y?3g-Das9a�acaDa5 ` 4nuarN_ay-aoly -Wire run from array t® connection is n®t greater than 40 feet. ,,>; )SUE 1 4 �;>��:ga Islandia9 11749 d.BA - (631) 348=0001 �: t. ct COGEN Disconnect ustome1r® 34s.. cHStaIml�arrtr,c�t.aetF a,� .trdiA..l.1w6a+z,-w1;ar5aatn uWfyalctrsoG�twAaE't•rtaH.md1 a`wma:�dLnas 1tP.c,.";E jap LL }® Locatedadjacent Charles McEvily52Il� Sect�° a yN /' _- '30• .a��mdist:.r:llaatra�a. z*e.t. a �tnt .aaCi�m7di9e.Tv La r^t.e p:fthe3f�n}e atV Utility meter 794 Bayview Ave ]BRock a ptra..tr �b,eda'z,�A'%^laeam - ,Wdo s.� � sLot y Lc�mri:ncAra v�etatasmJwm�itrktitvt � 6s. FdR:aPedtTsci�w„si.amliitloa. fb�baarbd7saftkiel prhcguavdvd<t.t nt.r�finaaaethaam'iWt.�•gbtpa1t5AAn°Rll ttl.PcgiPserrlvawitdyere .�-,;. Southold, 11971 96 0 V' t k Y.n tcdt-4RA- lsiilvi..vhpil mW, m+%n:.y ,':f•` t :� r`c G a x �" p9t� lEcv z,m'P'urSiV.rae.n34da.,-een 2 9. Fr.rnm. nk.ii_juamiymis ..,a6iFJi'9iz da, n rd" '` -®2®2516md2 6 _tl63zr& °","yt - r -`i ',}";, --�' '4'.x�s °i ��7{y��' �{D7,tt'� li®� �lb a.0 hlitL ..g .;A,.�iti� • _ .»1. 5TOILi TO 6E r u �fi* '' ,.., M `* iO'SiD �tA'lEi+ttiALDi� 359• tti.Preectk7anlr4�9a,uaA 9w. }uAhW: .. - ,r`: •9 J ,� R'rN0 ODR. AND I-ItEGErAIICtc 5E77d N. 10C,D�iS-G ¢ y 1 n TES FOR LVACS" P1AtfO STEPS PROP •2 1bC D TIE WALL _ -�} 4 t` :» 3. %`.••`a[r'T? r -s^" Total system watts DC ° _51' w000 7R WALL N REUO.F.,C A REPLACED AT 70P CF X To• a siax ADJ. SEAWALL RETuns - 10 BE REMOVED AND .� -�" .,., ,^mti •.„_,_'s=::.�:. ar s;.� 'r"' ` _. 39900 �, RELOCATED TO PROP LV - 15EE APPUC"_kL .---��"` : _� - • PRCP. _+97' TERRACE WALL ALONG 'at GA^.v:i iN,ELT, tLL TS -'- -' �. — • • EibR ICE (LMOSARD OF M) ° ° Total # Modules 5a4 ' �,y`. •J 7e'9/P �BLe� nf� � s . • . - f - ..--..4-�a� "-- f �- . ' � 3 Fy of o _ • �� E . • ,�ror0 r �o n xarz�nON o %ON ROMP MANM W FOR ONW5 AW 5SE�E�fIaII-V5L-Y ONiM%M-OMA v , p " :x r � 13 Module Type/Watt: � KPoN� ' J POM. 50iOD150= CONY NY C1PF1M_ 13 LG 300 Type o Wind Load, ®®f Sects®n Roof type etch Azimuth Pnet30 per ASCE7-05 Fastener Fastelr�e�° Type Enphase M-250 Support® Solarmount by UniRac R1 Asphalt Shingles 300 2160 _25.9 PSS'* 1.67 Use 5/16 " dia. X 5 " Las R2 Asphalt Shingles 450 2160 -25,9 PSS' * 1.67 Use 5/16 " dia. X 5 " Lags Sol.%I�nst,%Hzflon Sheet Hndem Legend pain cataldo 6���' 1'CArgCAIlotheTi By S-® Cover Sheet Site Planli... ARCHITECTURE 8 PLANWNG PC � First responder access 646 Main Street Suite 202 Port Jefferson, NY 11777 Voice 631.509.6800 I Roof S— of Diagrams Fax 877524.2732 Paul@PaulCataldoRA.com - Utility Meter www.Pau1Cata1doRAcom ����o Cover Sheet/ -PF Lo O s E a n d :, S=2 Detail '. POWER SC UU(DXS 3.3.5 Site Plan IEm I One ®Line 0-1 PV Disconnect ReWsedP° o E-2 Micro Inverter riser diagram HM 12 1 0 Long ls�and &01� 0 POWER SOLU7�OHS 3122 Expressway Drive Soutill Islandia, NY 11749 (631) 348-0001 1 Customer® Project: Total system watts DC 3,900W Total # of Modules 13 paul cataldo 646 Main Street Suite 202 Port Jefferson, NY 11777 Voice 631509.6800 Fax 877524.2732 PaufaPaulCataldoRkcorn www.PauICataIdoRokcorn Date® 03.02.15 Revised: 0 ,0 CL 0363 ATF 0 Roof Diagram Y ,� '� • — _ K �~^_.�f _`�a..` — : Xis � — — .. ��:5nrcuhrtvuai9 ;Ras Rafter I��e�1- ��,�('1.7-111- ModuReo mounted fluoh t® T®®f no hR'FhpT th.%n 6" zbo ve ouirf c e. General Notes: - L Feet are secured to roof rafters. @ 48" O.C. using 5/16" x 3 1/2" stainless steel Lag bolts. - Subject roof has one layer. - All penetrations are sealed and flashed. Solar Module r�1(01 �FA0- 5 67 - �_ «U Roof Section Pitch Ridge Roof Rafters Ceiling Joists R1 7/12 21Ix12" 2"x12" @ 16" O.C. 2"x6" 16" O.C. R2 12/12 2"x 12" 2"x12" @ 16" O.C. I 2"x6" 16" O.C. Contractor: ,D f Long Island POWER SOLUUOGMS 3122 Expressway Drive South Islandia, NY 11749 (631) 348-0001 �ustomer: Charles McEvily 1794 Bayview Ave Southold, NY 11971 roject: Total system watts DC 35900W Total # of Modules 13 Module Type/Watt: LG 300 Back-up/Inverter Type Enphase M-250 Support: Solannount by UniRac I I BR oAr`4<��A ®paul cataldo�'J ARCNRECfUREBPWJNING PC � V q spl d• �;Y a® 646 Main Street Suite 202 �t 13j Q: Port Jefferson, NY 11777 Voice 631509.6800 Fax 877.524.2732 ti�j� 03 Paul@PaulCataldoRAcom www.PauICataldoRA.com Date: Detail 3.13.15 Revised: S-2 I I BR Tol ON ibk,AC- Dttqffli BLACK - - F, , ICS 'UTRAL- GROUNDI ,D15MB1J71dNAME'1." �C-p Ek',C'A'B E', UP TO 16 M250's PER BRANCH CIRCUIT All equiment Conforms with UL 1741 F1 EL -D --W, I RI'N- G.'ZI AGRAW .249 VAC` INGLETHASE Contractor: Lo -Aand ng Is POWER S(DLUTQ(OVS 3122 Expressway Drive South Islandia, NY 11749 (631) 348-0001 Tifs-t—omer: Charles McEvily 17 94 Bayview Ave Southold, NY 11971 Project: Total system watts DC 3,900w Total # of Modules 13 Module Type/Watt: LG 300 Back-up/Inverter Type Enphase M-250 Support: Solannount by UniRac paul cataldo ARQMCrURE & PLWNING PC 646 Main Street, Suite 202 Port Jefferson, NY 11777 Voice 631.509:6800 Fax 877524.2732 Pau@Pau[CataldoRA.com www.PaulCataldoRA.com Date: 3.13.15 Revised: Wiring Diagram E-2