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HomeMy WebLinkAbout39837-Z Town of Southold 8/28/2015 to P.O.Box 1179 53095 Main Rd Toy,�ol O Southold,New York 11971 v CERTIFICATE OF OCCUPANCY No: 37745 Date: 8/28/2015 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 685 Track Ave, Cutchogue SCTM#: 473889 Sec/Block/Lot: 137.-1-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/27/2015 pursuant to which Building Permit No. 39837 dated 6/3/2015 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 as applied for. The certificate is issued to Edgett, Scott of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39837 7/30/2015 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o ,' SOUTHOLD, NY Sl 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#: 39837 Date: 6/3/2015 Permission is hereby granted to: Edgett, Scott 685 Track Ave Cutchogue, NY 11935 To: Installation of roof-mounted solar panels as applied for. At premises located at: 685 Track Ave, Cutchogue SCTM # 473889 Sec/Block/Lot# 137.-1-22 Pursuant to application dated 5/27/2015 and approved by the Building Inspector. To expire on 12/2/2016. Fees: SOLAR PANELS $50.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $100.00 Total: $200.00 jp Buildin• I .pector • 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: I. 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 Pm-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. 5/20/15 New Construction: Old or Pre-existing Building: V (check one) Location of Property: 685 Track Avenue Cutchogue House No. Street Hamlet • Owner or Owners of Property: Scott Edgett • • Suffolk County Tax Map No 1000,Section 137 Block 1 Lot 22 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: GreenLogic LLC Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 50.00 Applicant Signature Town Hall Annex 411` Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ��to roger.richert(a�town.southold.ny.us Southold,NY 11971-0959 ----(teOUNIX Alf , BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Scott Edgett Address: 685 Track Avenue City: Cutchogue St: New York Zip: 11935 Building Permit#: 39837 Section* 137 Block: 1 Lot 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Logic License No: 43858-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 2 Wall Fixtures Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment: 11,772 Watt Roof Mounted Photovoltaic System To Include, 36 - SPR- E20-327 Panels,2-SMA SB 6000 TL Inverters,Combiner Box Notes: )00 Inspector Signature: Date: July 30, 2015 Electrical 81 Compliance Form.xls /\ J - , TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 -INSPECTION [ ] FOUNDATION 1ST [ ] 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: 6/ DATE ` -;‘)// INSPECTOR l rLMLrilr JAMES J. S TOUT A RCHITECT & Assoc . 2 G REG L ANE E AST NORTHPORT N. Y. 631 - 8 58 9388 ► J > Post Installation Letter J August 18, 2015 RE: Edgett Residence 685 Track Ave Cutchogue, NY To Whom It May Concern: This letter is to confirm that as of August 18, 2015, I, James J Stout, NYS license 0121633 have personally inspected the placement and installation of the roof top solar panels at the above listed address, All of the solar panels have been installed as per manufacturer's guidelines and specifications. The racking system design and installation complies with the 2010 building code of NYS section 1609 and all related provisions. The installation was done as per plan. Thank you for your cooperation in this matter. Sincerely, der/ut co, FRED qRc — , t, i, 70 p L— oi il 4, cr '� ' t.. , A \1,P,.:\L______,,AUG 27 2015 L, *0 ,v, ,:;,:,....,,, , : yi. 021 633 AO . 0� N_E�j i / \ FIELD INSPEMQN MOAT DATE • COMNTS . , . x'11• O FOUNDA SON(1ST) • - . . . . - . . r • • . • l , ; . FOUNDATION(2ND) 2C12 rO • C4 . . , . . —I i3 • ROUGH FRAM:Ng& . . . . .. PLUIYIBINGy . :t. . . .. . . . . . . . . . . . . . . ._. . T .. : :.. .... .. '. . . . . ...,,• IN ULATION PER N,Y, `' f,..3 • STATE ENERGY CODE \ I . r • • FINAL . •_ " , .. . 1 . . % 9&,t-Pr� f'1ti tk.Q4 .PGS: ,V��1 -. i:� ..:,, t. C . . C o .. . 41., 1- 6 _,eDor ,( C _. ' �—'— I. 111H,G' c C `b `� I ( ' • . . . . r y.- . , I . ' �yf ,' .' .. . , , N�r�. \ y - , 6� . .• .. ._ •. i . 1 s•. I 1. r 4 , . 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 G/ Survey , , SoutholdTown.NorthFork.net PERMIT NO. � !� �� 'Check Septic Form . , . N.Y.S.D.E.C. - - Trustees Flood Permit • Examined ,20 - Storm-Water Assessment Form • ' /j---7 Contact: Approved 3 . ,20 Mail to: GreenLogic LLC ' Disapproved a/c/ 425 County Road 39A,Southampton,NY 11968 Phone: 631-771-5152` ' ' Expiration` ,20 ' o p � � �, E U Bui ding Inspector ' q , MAY' Z] 2015 1,-.,' LIGATIOFOR BUILDING PERMIT '� , . Date . May 20 . ,2015 PLDu DEPT INSTRUCTIONS, . IO;DP Or SOUTHOI,D ' " :pp ication 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. - . , tice. - ' ' - ' GreenLogic LLC , , ' (Signature of applicant or name,if a corporation) 425 County Road 39A, Southampton, NY 11968 ' ,, , ' . • (Mailing address of applicant). . State whether applicant is owner,lessee;'agent, architect, engineer, general contractor, electrician,plumber or builder, Contractor Name of owner of premises Scott Edgett (As on the tax'roll or latest deed) - ' If applicant is a crorporation, signature of duly authorized officer (N.° e a'�!i title of corporate officer) Builders License No. 40227-H , Plumbers License No. N/A ' ' Electricians License No. 43858-ME' ' Other Trade's License No. N/A ' ' 1. Location of land on which proposed work will be done: • 685 Track'Avenue • Cutchoque ' House'Number Street Hamlet ` County Tax Map No. 1000 Section , 137 ` Block . 1 Lot 22 Subdivision Filed�p gi •:i P .MA' Lot ' 'Ct t,sO !Jl0 .O'OI it't'?B7o ? iloth 2 ni in,g1R uO 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use'and Occupancy Single family dwelling b. Intended use and occupancy Single family dwelling 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition, Other WorkRoof mounted solar electric system (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 685 Track Ave 14.Names of Owner of premises Scott Edgett Address_Cutchoque, NY 11935 Phone No. 631-225-4028 Name of Architectiames Stout Architect&Associates PCAddress 2 Greg Ln,East Northport Phone No 631-858-9388 Name of Contractor':GreenLogic LLC' - Address 425 County Road 39A Phone No: 631-771-5152 Southampton,NY 11968 ' 15 a. Is this property'within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X ' * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. ' b. Is this property within 300 feet of a tidal wetland? *YES ' NO X *IF YES,D.E.C. PERMITS MAY BE'REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property'is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to,this property? * YES NO X. * IF YES, PROVIDE A COPY. ` STATE OF NEW'YORK) SS: , COUNTY OF Suffolk ,) ' Nesim Albukrek being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Contractor - (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. , Sw to before me t ' - , day of m evki201 J ' 'icrYttria/,/tZ.c Atr..2,(AA Notary Public TAMARA L.ROMERO , Signature of Applicant Public,, Notary R0621736$State of NewY� No. Qualified in Suffolk County Commission Expires 2/0612015 • o��QF SOUK_ f (0\ Town Hall Annex , * Telephone(631)7654802 54375 Main Road ,__,,gg,,�{631 ?6ih P.O.Box 1179 IY9S1et.riCheft(Q7tOWn. OU .SUS - Southold.NY 11971-0959 \- 1971.0959 �' "� +4 roam r r BUILDING DEPAR'INT • TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION •REQUESTED BY: Samantha Corbett Date: 5/20/15 Company Name: GreenLoaic LLC Name: Robert Skypala License No.: 43858-ME Address: 425 County Road 39A, Southampton, NY 11968 Phone No.: 631-771-5152 JOBSITE INFORMATION: (*indicates required information) *Name: Scott Edaett *Address: 685 Track Ave, Cutchogue, NY 11935 , - *Cross Street: Stillwater Ave *Phone No.: 631-255-4028 Permit No.: 3 983 Tax Map District: 1000 Section: 137 _ Block: 1- Lot: 22 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Roof mounted solar electric'system. 3C SunPower SPR-E20-327 modules, 2 SMA SB6000TL-US-22 inverters, 11,772 watts. • (Please Circle All That Apply) *Is job ready for inspection: YES/1g ) Rough In . *Do you need a Temp Certificate: @IS/ NO Temp Information(If needed) • • *Service Size: 1 Phase ' 3Phase 100 150 200 300 350 400 • Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form p,- , C no50$ wpcz Scott A. Russell .,•�`, �°�� ' ^ = TORIVI WA\TC']ER SUPERVISOR = 2 MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179u- ' i • 53095 Main Road-SOUTHOLD,NEW YORK 1I971 _, . Town of Southold - CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO.BE COMPLETED BY THE APPLICANT ) __.DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: 1,. i 11" (CHCCR ALL THAT'APPLY) I r I Yes No i is, ;i 0 © A. Clearing, grubbing, grading or°stripping of land which affects-more ,r than-5,000 square feet 'of ground surface. , 1 , ❑O B, Excavation or filling involving more than 200 cubic yards of material I, .' !'. within,any parcel or any contiguous area. ' E ( ❑O C. Site preparation on slopes which exceed 10 feet vertical rise to '` ` 100 feet of horizontal distance. ' 'E! D D. Site preparation within 100 feet of wetlands, beach, bluff or coastal 11 .erosion hazard area. ;,1 DO E. Site-preparation within the one-hundred-year floodplain as depicted r on FIRM Map of any watercourse. I I, DD F. Installation-of new,or resurfaced impervious surfaces of 1,000 square I feet or.more, unless prior approval of a Stormwater Management ;;' Control Plan was received by the Town and the proposal-includes ill il in-kind replacement of impervious surfaces. It 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, t1 _u__._. ........_.._._. ....__ _ ___ -.__-. _._: _ S.C.T.M.' l'' 1000 Date Th 1. APPLICANT. (Property Owner„Design Profs tonal,Agent,Contractor,Oihea)' District J NAME, GreenLoaic LLC (Nesim Albukrek) '` 137 1 22 5/20/15 i Section mockLot ^nr `i fir: _ —. ._. ,r' ”' f v f I "**FOR BUILDING DEPARTMENT USE ONLY".* `:` iI Contact Informanonr. G 631-771-5152 i .!t ne&pbxs�ueGr, is \ .its' • 6rtiliN �./"17 { l) °' i Rei-ie�ti°ed i3p: l�/`(j1 '1 '!I^ F H Date: J'p� "'"1 ` i Property Address/Location of Construction Work: ! 1 ! ,ii i :Ii Approved far processing Building Permit. €, ) '' 685 Track Ave. Cutcho ue. NY 11935 .1 g (, :• ` Stormwater Management Control,Plan Not Required. ! ;! ' i!, D 'Stormwater Management Control Plan is Required. ,;, j , (Forward to Engineering Department for Review) FORM 1mSMCP-TOS'MAY 2014 J AMES J. S TOUT A RCHITECT & Assoc , 2 GREG L ANE E AST NORTHPORT N. Y. 631 - 8 58 9388 I� J ,` 1' Letter of Certification May 20, 2015 RE: Edgett Residence 685 Track Ave. Cuthogue, NY 11935 To Whom It May Concern: I, James J. Stout, registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above- mentioned address and have determined the structure and the panel attachment to y, be adequate to support the new additional load imposed by the proposed solar panel system and is in compliance with 110mph wind design load as per NYS residential code 2010 and ASCE 7-05. The existing 2'x 10" rafters @ 16"o.c. will provide the required support. Thank you for your understanding in this matter. Sincerely, l 14 i, ,coaED Age AAS J. S 7. '. I F\CPA iiiiilis 4.. 9?. �?1633 0Q' \\N......s._ OF NO � / �� s Town Hall Annex Jr , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � /A Southold,NY 11971-0959 ' . COUNTVta ,� ��� ... _iii August 11, 2015 BUILDING DEPARTMENT TOWN OF SOUTHOLD Greenlogic 425 County Rd 39A Southampton NY 11968 Re: Edgett, 685 Track Ave, Cutchogue TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Note: Certification required fro ap architect or engineer stating the panels were installed to the roof per NYS Building Code (_�\ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 39837 — Solar Panels Ott, G['\ E (LOGIC® ENERGY August 24, 2015 The Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 39837 Scott Edgett 685 Track Ave, Cutchogue 137-1-22 To the Building Inspector: Enclosed please find the Engineer's Certification Letter for the above referenced solar electric system which we installed. Please arrange to send him the Certificate of Occupancy and close out the building permit. Please let me know if you have any questions about the installation or need additional information. Sincerely, Q, Samantha Corbett Account Manager Samantha.Corbett@Greenlogic.com 631-771-5152 Ext. 107 bill AUG 27 2015 I GREENLOGIC LLC ©www.GreenLogic.com Tel: 877 771 4330 Fax. 877.771.4320 SOUTHAMPTON ROSLYN HEIGHTS 425 County Rd. 39A 200 S Service Rd , #108 Southampton, NY 11968 Rosyln Heights, NY 11577 Y I New York State Insurance Fund Workers'Compensation&IDisability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 Phone:(631)756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 203801194 GREENLOGIC LLC 425 COUNTY RD 39A STE 202 SOUTHAMPTON NY 11968 POLICYHOLDER CERTIFICATE HOLDER GREENLOGIC LLC TOWN OF SOUTHOLD 425 COUNTY RD 39A STE 202 BUILDING DEPARTMENT SOUTHAMPTON NY 11968 53096 ROUTE 25 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE 12226 371-9 324327 08/11/2014 TO 08/11/2015 8/15/2014 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO.2226 371-9 UNTIL 08/11/2015, 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 08/11/2015 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 lid • eve__ rui-bal-tfek--) DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/cert/certval.asp or by calling(888)875-5790 VALIDATION NUMBER:33393451 U-26.3 STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name and Address of Insured(Use street address only) lb.Business Telephone Number of Insured GREENLOGIC, LLC 631-771-5152 1a NYS Unemployment Insurance Employer Registration Number of Insured 425 COUNTY ROAD 39A SUITE 101 SOUTHAMPTON, NY 11968 1d.Federal Employer Identification Number of Insured or Social Security Number 203801194 2.Name and Address of the Entity requesting Proof of Coverage 3a.Name of insurance Carrier (Entity being listed as the Certificate Holder) ShelterPoint Life Insurance Company Sb.Policy Number of Entity listed in box"1a": Town of Southold DBL251202 53095 Rte 25 3c.Policy effective period: Southold NY 11971 04/11/2015 to 04/10/2016 4.Policy covers: a. All of the employer's employees eligible under the New York Disability Benefits Law b.El Only the following class or classes of the employer's employees: 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. Date Signed 5/26/2015 By r, //e§ lit (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Title Chief Executive Officer 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 the purposes of Section 220,Subd.8 of the Disability Benefits Law. It must be mailed for completion to the Worker's Compensation Board,DB Plans Acceptance Unit,328 State Street,Schenectady,NY 12305. PART 2.To be completed by NYS Worker's Compensation Board(Only if box"4b"of Part 1 has been checked) State of New York Worker's Compensation Board According to information maintained by the NYS Worker's Compensation Board,the above.namod employer has complied with the NYS Disability Benefits Law with respect to all of hislher employees. Date Signed By (Signature of NYS Worker's Compensation Board Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS Disability Benefits 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(12-13) e q �_ ; OCCUPANCY OR = GREE ENERGYUSE IS UNLAWFUL APPROVED AS NOTED GreenLogic,LLC Approved l� THOUT CERTIFICATE APPROVED ��3�� Scott Edgett DATE: B.P.# ._ 685 Track Ave OF OCCUPANCY 5�4 685 Tr gue,NY 11935 - _-`°_- - FEE: BY:: surface#A: NOTIFY BUILDING DEPARTMENT AT Total System size 11.772kW --- - 765-1802 8 AM TO 4 PM FOR THE Array Size'11.772kW - FOLLOWING INSPECTIONS: 1 string of 6 and 2 strings of 6 on SB-6000TL 1. FOUNDATION - TWO REQUIRED 1 string of 6 and 2 strings of 6 on SB-6000TL ELECTRICAL FOR POURED CONCRETE Azimuth:120° 1 ' PECTION RECAPARED 2. ROUGH - FRAMING & PLUMBING Pitch:14° �` 3. INSULATION Monitoring System: . �/ 4. FINAL - CONSTRUCTION MUST SunPower BE 'COMP ETE F R C.0 Panel/Array Specifications: LL #• S TI a N S 'LL MT THE Panel:SPR-E20-327 Racking:UniRac SunFrame R"# '�. AFTAgIOF NEW Panel:61.39"X41.18" AA ���� E FOR Array:41'3.11/16"X 15'8 5/8" Surface:54'10"X 18' vr,;,1 •- • , ■ �.. NRS. Magic#:62 1/8'"' Legend: .0...... rrn 36 SunPower 327W Panel .. , .. ... ® UniRac SunFrame Rail • 46 Eco-Fasten Quik Foot I]ll O.C. Douglas Fir Rafter 16" Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,UniRac, SunPower,SMA Added Roof load of PV System:3.5psf RETAIN STORM WATER RUNOFF Engineer/Architect Seal: PURSUANT TO CHAPTER 236 COMPLY WITH ALL CODES OF OF THE TOWN CODE. NEW YORK STATE & TOWN CODES ��ED 4R AS REQUIRED X50 ` ;'' • ilir \fes,,, i �; � SOOT D TOWN ZPA 1 SOI 'f6 T 6-BO ., � ; �if�4'P(�j'�',` • S. I LD TOWN TRUSTEES Ll r; 5.;ar 77--t''. N Y 4 BF(' `47 0216 3-5 yp'' ®F Nev. Drawn By:MMB Drawing#1 of 5 Date:5/5/2015 REV:A Drawing Scale:1/8"=1.0' S 1, 't-,C.' GREENL,e) 0 ®1 ENERGY GreenLogic,LLC Approved Scott Edgett 685 Track Ave Cutchogue,NY 11935 Surface#A: Total System Size:11.772kW Array Size:11.772kW 1 string of 6 and 2 strings of 6 on SB-6000TL 1 string of 6 and 2 strings of 6 on Sf3-6000TL Azimuth:120° Pitch:14° Monitoring System: Allij SunPower , • I ' PaneUArray Specifications: 1 4 • • • \ • i ' • • Panel SPR-E20-327 i i / Racking:UniRac SunFrame I 1 I 6 Panel:61.39"X 41,18" Array:41'3 11/16"X 15'8 5/8" ' •• IHIH i ! • I i • i Surface:54'10"X 18' ` Magic#:62 1/8"" { \ I Legend: 11 , � � 36 SunPower 327W Panel ! { ✓ , UniRac SunFrame Rail • I j _ i - � • ®ild, . . ��,` { ® I • 46 Eco-Fasten Quik Foot /r ' . /1 �. ; 1 I 2x10"Douglas Fir Rafter 16" • sms. �. ✓ ; • • Notes: i [I 0 e Number of Roof Layers:1 e o e 11 e e Height above Roof Surface:4" Materials Used:Eco-Fasten,UniRac, SunPower,SMA Added Roof load of PV System:3.5psf Engineer/Architect Seal: • lopti firp 0 1 ‘"zniPfl ' , i AIL' qr,i0 lif: / '4 °.'16 3-' y04 ' ' OF Nev. - Drawn By:MMB IP -• • 2 of 5 Date:5/5/2015 REV:A Drawing Scale:1/8"=1.0' 4, oGREENL•GiCol ENERGY GreenLogic,LLC Approved Scott Edgett 685 Track Ave Cutchogue,NY11935 Surface#A: Total System Size:11.772W/ Array Size"11.772kW 1 string of 6 and 2 strings of 6 on SB-6000TL 1 string of 6 and 2 strings of 6 on SB-6000TL Azimuth:120° Pitch:14° Monitoring System: SunPower PaneUArray Specifications: /� /� /� A /\ /� /�0 /� /� A Panel:SPR-E20-327 / \ / \ / \ / / / / \ / \ Racking:UniRac SunFrame i 5 6 Panel:61.39"X 41.18" \/ \�// \�// \ Array:41'3 11/16"X 15'8 5/8" Surface:54'10"X 18' A Magic#.62 1/8`"' / O / \ Legend: \ X 1 \/ V � rill 36 SunPower 327W Panel XXXiUniRac SunFrame flail A /� ♦ /\ • 46 Eco-Fasten Quik Foot / / t 2x1. 0"Douglas Fir Rafter 16" ' VVVVV ♦ V \/ VVV OC. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,UniRac, SunPower,SMA Added Roof load of PV System:3.5psf Engineer/Architect Seal: -AO 14,0, y 021633 AOgs Drawn By:MMB Date:5/5/2015 REV:A Drawing Scale:1/$"=1.0' ('-'-'''-':: GREENL,I)GEIC® ENERGY GreenLogic,LLC Approved 18" Service Walkway Scott Edgett 685 Track Ave l Cutchogue,NY 11935 Total System Size:11 772kW Array Size:11.772kW 1 string of 6 and 2 strings of 6 on SB-6000TL 1 string of 6 and 2 strings of 6 on SB-6000TL Azimuth:120° ,...„.,...e.2.,,..„./ Pitch:14° rdi Monitoring System: • SunPower Panel/Array Specifications: Panel:SPR-E20-327 #4 Racking:UniRac SunFrame ..##4.Wie.. ... . 1 ... Panel:61.39"X 41.18" Array:41'3 11/16"X 15'8 5/8" Surface:54'10"X 18' Magic#:62 1/8"" Legend: [1 71 36 SunPower 327W Panel ® UniRac SunFrame Rail • 46 Eco-Fasten Quik Foot 8 11 2x10"Douglas Fir Rafter 16" O.C. Notes: 36 SunPower 327W Number of Roof Layers:1 Panels Height above Roof Surface:4" Materials Used:Eco-Fasten,UniRac, SunPower,SMA Added Roof load of PV System:3.5psf Engineer/Architect Seal: ( .` RED 4 . oc %; i e 0 i AP_ At, �' �� 111///(' �2 S A Inverters Located � ,.,+ :f0; - On North Walt Of Garage 9 � Q� r ;d 63.- 0 SCF N E`N Drawn By MMB!Drawing#4 of 5 Date:5/5/2015 REV:A Drawing Scale.3/32"=1.0' . � � ` . � � `�. . . � `' r.GREENLOGC® � ^ ���� ENERGY , - GreenLogic,LLC Approved Scott Edgett - 685 Track Ave � Cumhngue NY 11935 . - Total Size:11.772kW , Array '"'"=. 1string moand ustrings maonea-6000n' _ _� ^ 1omnnvxommoa�no ov600ao�oonrL mom ^ | � ' ' ) Azimuth:120° . L. ' -+=-�- � ' i / _J L � ��� 1 , Monitoring �mm�, i i ! GunPower / ' Specifications: , -_L L � Un�ooGunFmme ' Einfa;DEriQ.id(Fact Elm PUB � ' ' / | ponn�e1.�"&41�8' | ° --� - '31186^X15'85/8^ ��l» ��`�u� '� l Gm��:5�10^X1� ' �G J__ ' ' | �u�n��Vu1m~ ue+1a*«zunw�m�k �^aw ' �2 / / __- � 1_ J �~n 3OGunPmweru27VVPanel / ~~�| ' UnURon8unF�meRoU 1 - -- ---' - --------- ----- , --- --- -- -- ' r -- • 40Euo�oo�nQu�Fu� / ! � | / ( D� �dO^Doug�oRrRo��18^ _-_ __ __'_- __-______' __�-__- L--__-i ,___ - � UU O�. � ! ! � / | � _ . _ _ ` �__ � _� ----i-------1/ __ ^ __ � _ No�o [- -'-' - -- - T- -- --' -- - --------, - � -- .- T r-- Number nfRou Layers: - I L � ' � ` | Hn��oboxe�mo G�dane 4^ � -- -------- --'- '- - ' / -- ! `-- ^---- — ' -- --' - - '--�' [__ ~ ____ _ _ ___._______ I L___ __� _______ '_ _ i __.___ __ / ____c____� ___ Materials Used:Eco-Fasten,Un�ao ` ' ' ( ( / | GonPmwnr8MA . , _ - - --' ' - L- - -- — -- --- L-- ''-�-- ' ' —�---4— ---� ' —'f-' Added '—'load ofPVSystem:3.5psf 1 , ' | � | Seal: ^ _ __ _ -- __--. ^- _�.---_ ( .^ _-- _�_----_ __ _ , � 'E~ . - ,,;91,: ,.-t:,- , � . . ,4/,..: it ir t Op * � �� � f i � �~ �i� . �~ . -_ ' . , Drawn MMB of 5 Date:e smn15 REV:A , Drawing Scale:3/32^=1z/ JNP4DWER' RO/327 SOLAR PA\ EL r - �. - ., w - ,�A , r , _ - of ' . 20%' EFFICIENCY • - , ., ' ,' arill1111111111I ^SunPower E20 panels are the highest ®� ® ®® Q2@ ,.efficiency.panels on the market today; 1111.11111/1111111111B �� ® SERIES i L ' 'x providing more power in the same. ,', '° . t 1111111111 amount of space MAXIMUM SYSTEM OUTPUT ' III111® 1 Comprehensive inverter compatibility-, ensures that customers cdn'pair the highest ',. - 1 efficiency panels With-the highest-efficiency, d :' inverters, maximizing system output ' , 1 f I i 1- ' „ REDUCED INSTALLATION COST ; i More power per panelmeans fewer panels.' I ' , ` per install. This saves both time,and money. :` - 4' :. ,-RELIABLE'°•AND ROBUST DESIGN' SunPower's unique MaxeoniMcell_ ` , _ . . , THE WORLD'S STANDARD FOR SOLAR' 'technology and advanced°module ,' ' SunPower' E20 Solar Panels provide today's highest efficiency and design ensure industry-lead°irig `reliability.•'j; performance Powered by SunPower MaxeonTM cell technology, the E20 series provides panel conversion efficiencies of up to 20.1% The E20's low voltage temperature coefficient, anti reflective glass and exceptional '' ., • : low-light performance attributes provide outstanding energy delivery per . y peak power watt. ,. . SUNPOWER'S HIGH EFFICIENCY ADVANTAGE INIMPIMIIIIIII.. ' Williiiiiiill 20% 1$% 19% , ; 0 I- ' 15% ' ` Wiz` ' t r `,- _,,- , , ,., ,,i t,4'1 i p Il'''—'41W100 �q tl i it it O/ I'35,r t' �s',' ; v .4 , 5% i_... ,...w�._ _ -i'``� K ` IIIIIIIIIIIIIIIIP.addlIlftk.. ' , ' THIN FILM CONVENTIONAL E t.® E E42 ' .NIAXE®iNTMCELL : ` . SERIES SERIES SERIES ° TECHNOLOGY . ' suipowercorp.coa t, - Patentedall-ba`ckcontact solar cell, providing the'industry's highest C@ US . °efficiency and reliability - C L US . JNPOWER' x0/327 SOLAR PA\EL MODEL: SPR-327NE-WHT-D ELECTRICAL DATA i IN CURVE - Measured at Standard Test Conditions[STC] irradiance of 1000W/m',AM 1 5,and cell temperature 25°C 1 ' Peak Power(+5/-3%) -.- Pmax 327 _' 7 woe WIm2 of s4°C W 6 1000 W/m2 - i Cell Efficiency 11 22.5% I - i 5 Panel Efficiency n 20.1 % 4 800 W/m2 Rated Voltage VmPF 54 7 Vi 3 Rated Current impP_-- 5.98 A , u 2 500 W/m2 Open-Circuit Voltage Vac 64 9 V ; 1 _.I ! 200 W/m2 j Short-Circuit Current Isc 6 46 A i - 0 - I -- i Maximum System Voltage UL 600 V I 0 10 20 30 40 50 60 70 i f Voltage(V) Temperature Coefficients Power(P) —0.38%/K 4 t i Current/voltage characteristics with dependence on irradiance and module temperature I { Voltage(Vac) —176.6 mV/K 1 I•_ -- ------------_---.. __—__�_--_--- Current(lsc) 3 5 mA/K i ____.__._._---_---__-_-_ ---- -; .____________ _ TESTED OPERATING TCONDITIONS, NOCT _._-.__..__.__.___.._.__-____._________.__.__.___. _____-_...- I Temperature —40°F to+185°F(—40°C to+85°C) { Series Fuse Rating 20 A113 13 psf 550 kg/m2(5400 Pa),front(e.g.snow) I Grounding Positive grounding not required w/specified mounting configurations ! _ __ MECHANICAL DATA �— �_ __ I i 50 psf 245 kg/m2(2400 Pa)front and back ! (e.g wind) ^ Solar Cells 96 SunPower MaxeonW cells ----.___ �_�____ _ i High-transmission tempered glass with ! Impact Resistance Hail: (25 mm)at 51 mph(23 m/s) Front Glass anti-reflective(AR)coating_ _ Junction Box IP-65 rated with 3 bypass diodes I — WARRANTIES AND CERTIFICATIONS `~ Dimensions:32 x 155 x 128 mm _ _ ______.____-____ _. _____.__._____.__.__ __._____ Output Cables 1000 mm cables/MC-4 compatible connectors 1 Warranties 25-year limited power warranty Frame Anodized aluminum alloy type 6063 (silver); 10-year limited product warranty stacking pins Weight 41.0 lbs(18.6 kg) I Certifications Tested to UL 1703 Class C Fire Rating 'DIMENSIONS - . - 20 1101 431 -'" MM 4%399(1570] 30[1181 —� 23577[2270]-- 180[7 071 (IN) (Cl 1 322[1269]h— 4X2308[909]--.-1 I ' 0 J' a 0 0 "0 0 0 � t 0 0E____, — O O O O O O O O 0 O O (B)--'-'---- -.1.. Bi O 0 0 0 0 0 0 0 0 0 0 o 00 0 0 00 0 0 0 0h O O O O O O C O O O O BOBIH 113 EJ r o . m • 0 O 0 0 0 0 0 0 0 0 0 — END gN$ tv 3 0 0 0 a 0 0 0 0 0 O 1 O 1 0 0 0- 0 0 0 0 0 0 { •1559[61 39] 46[1811 (Al 915[3602]— J 0 7 j 4X32[13] 1200[47241 IC) 12[471 1535[60 45] f ' { C (A) 12XX066[26j OLFS IBI-G080421f(17]OLES 4X0'6.X321(0241X.131 I Please read safety and installation instructions before using this product, visit sunpowercorp.com for more details. m 2011 SunPower Corporation SUNPOWER,the SunPower Logo,and THE WORLD'S STANDARD FOR SOLAR,and MAXEON are trademarks or registered trademarks sunpowercorp.com of SunPower Corporation in the US and other countries as well All Rights Reserved Specifications Included in this datasheet are subject to change without notice Document#001-65350 Rev`C/LTR_EN CS 12_057 SMA 'P,,a ;":7,ti`,-.,,,,v iea ct,..a' „ - i m. ,r R' '� / �k�r. i,a '.' '—r is .y r 1 T. fi fi(Ct} 4.Y,"(s f3 rail «,. fir ^ ,`,•,` ^� U N f c 41 ,",..#'c:' Y. ,4 z1,,,t..,„9'&,,, I t..-,--:-..t.' 4, , r. ‘.../A7..„3---,'„, :r ,_ <i' I" 7.r,.,t., ,. 3. r_.,, ,, „-• ..W! -• , _ • ' ' _ ; .r':'"ug` ' _y _ _ _ , 7r _ Ix24, x ,'{,r;"5' _ : ! } <4' ,-• a\” b - _ ••x*. " -,^^-ba": ,=>i'.+F„,'i-,-,v3,- , `' ` • N�'I }s mo"...-7'.;is:a, '� e •`r'a ` - `r , i I jF1 . '” ", • - 3 1 it it + j7-43:7'..3,1:-,'-;- ' n A ° •5 Fy ` .t` , 4 F` r# a Ayata' ,7 PfirejA"9: : ' ' 4'':;',, ,,.,',, .ii „,1 31'..- 3,,,,;-,:33- ','3.,,c".,-,, .,,,,'„,-.1,3,,,,,,-,' '`,, '' ,':''',''' ,,3-'3' i` eF . ` a ' -;-,,3-'3A-` , S , r;! 3,,----. .u3-,.3,3-33 . . - 3-C � •,-` . `'1.+. 1 11-1'. 11' ,-r :A t' 1, '4'} ' ,--..,f4,...,-..,. p , 's a �`�! ;"1, ° ..r�:r,y`, F . t�, y - .} ° i' kl IFF r n - a s a J 33 V ' ' r , `A ? y;' H� nt. V i l. .1 ' AA" ., " . , , 'j . " . - JY Y� py,6Ye'St_"4,4 ' - �'t-'^,d`";,• ' '° '" . 1 F,•".`"..; ' SSS i +n+., s['.-'4'w �` r.w >- w °:d.`i"r . .v.l>','''';-'',,4 iv - r ., h,.s', ,•... ...., i .-.,. .w.,••,;• � w- r .....»r •w.. m `ma 3n '!' ry'�` 4`4' • �.' )). r�'`a ��' y{ 1 � • `i'- ;( V ,A,A :"4 • Sr "g';''''''74 '' ill' .�`° AN RM L f Y . a TR SF[� ER! SS�� ,HNt? 0 :� ` ��.. �� �.`� " 5v� 11'11.n .` i`t . r ti=' ,;, `N x°: <( a tM,�V, >v - Rig: 'd 1i!Lus 4 til - ....y'r—n` .&r,. � ''''-"-'-', '-..3:3''''')33'36g-3' . a'1r . g? , 77,4„3,3.",.-3,,t2.',:;,,',,..- ,i nr�, �°.,.•.'t, a 'S J'i`uF`f -' ° u --,,','.'1, 34-.33, +'! o i .„3`'..''.. 3.;,;"' 7:-"--.73", '�rxz, "3"'-3'21'."-3,- ' ;, 'aa. t.fir���' ,t"f, !, }�. �wt,.;...' ,r�t ° ".S' <. m.d.�,,;&,,' ,"2-3-."2.,;:°1,-.":11:--L:2::.;3" u..Si:..w'. ., , y 1[ ti Efficient' .. ' " High Yields ,Safe • , •Maximum efficiency of 98.3% • Superior yield with Opt}Trac MPP •SMA Power Balancer for three- ' •Transformerless,with H5 topology tracking phase grid connection •OptiCoolTM active temperature - • Integrated DC load disconnect management and combiner box • UL 1741/IEEE-1547 compliant SUNNY BOY 8000TL-US / 9000TL-US / 10000TL-US Transformerless design, maximum yields The new Sunny Boy TL-US series is UL-listed for North America and features SMA's innovative H5 topology,resulting in superior efficiencies of up to 98 percent and unmatched solar yields The transformerless design reduces weight,increases the speed of payback and provides optimum value for any decentralized,commercial PV system.The Sunny Boy TL-US series for North America is the ideal choice for mid-size and large plants from 24 kWp up to the megawatt range. - ''' Sunny Boy 8000TL-US - Sunny Boy 9000TL-US , Sunny Boy,10000TL-US Technical data ° .- __ 208 V AC.. 208 V AC, 208 V AC. Input(DC) Max,recommended PV power(@,module STC) 10000 W 1 1250 W _ 12500 W _ Max DC power(@ cos W=.1) , 8400 W • _ ' 9400 W 10500 W , Max DC voltage'_ .. - 600 V _" 600 V ' • 600 V _DC nominal voltage • ` 345 V ` - 345 V 345 V-. ',- ., MPP voltage"range ' - - 48 390 V- 0 V - ' `300 V-480 V _ 300 V-480 V - _Min DC voltage/start voltage- _ _, _ _ , " __ _," - ._ •' ",_ 300 V/360 V + „ _ 300V/360 V 300 V/,360 V , ' Max inpuhcurrent/per string(at DC combiner box) , 28 A/28"A, _ - 31 A`/31 A. - ', 35 A/35 A" _ Number of MPP trackers/fused stnngs.per MPP tracker„ - " _ 1/6((§l Combiner Box) , 1/6(@ Combiner Box)- _ 1,/6(C6 Combiner Box) E a. _Output(AC) AC nominal power. ' 8000 W "_ _ _9000_W , 10 ,0000 W ' 1 Max AC apparent power _ .8000 VA _ ' 9000 VA 10000 VA , ' Nominal AC voltage%adjustable - : - 208 V/— 208 V/— - 208 V/- . ,,AC voltage range , ' ,, .. . .. 183 V-229 V _ 183 V-229 V,_ _ ,"•183 V-229 V ,, AC grid frequency,range_ -", ' _' 60 Hz,59.3-60 5 Hz •_ • 60 Hz,59 3-60 5 Hz , 60 Hz,59.3-60 5 Hz ' Max output current ' _ `, "_ ", ; 40 A= 44 A 49 A , - ' -8 Power factor(cos q)) - 1 1 - 1 , , Phase conductors,/connection phases - - ' 1/2 1/2 1/-2 ' 9 Harmomu <4% a4% <4/ m Efficiency Max efficiency _ , 98`3% • ,"_ CEC efficiency_ __ „ Protection devices - '_DC reverse-polarity protection „ _ •_ . • • ° • AC short circuit protection_ _ . . - • ` ••_ • Galvanically isolated/all-pole sensitive monitoring unit /r • /• ` ` -Is s Protection class/overvoltage category _, __. , I/IV ', I/IV ,.,, , ,,, I/IV'"_ ,, B General data -6 Dimensions(W/H/D)in mm(in),. - :',-470/615,/,•240 085/24/9) p DC-Disconnect dimensions(W/H/D)m mm(m) - - ' _ -187/297/190 (7/12/7 5)_ Packing dimensions(W/I:1/D)in tnm(in) 390/580/800 (16/'23/31.5) ' -DC Disconnect packing dimensions(1,16/H/D)in mm( m) _ - 37o/24/280-05/9/1i), . Weight/DC Disconnect wiht ' - eg - ' - " " _ , 35 kg (77 Ib)/3.5 kg (8 Ib) , ., ; ;Packing weight/DC Disconnect packing weight 40 kg-(88 Ib)/4 kg (9 lb) 8 ,Operatingtemperaturerange/fullpowerrange ,' -25°C. +60°C_`.(-J3°F. +1407F)/-25°C. -+45°C (-13°F +113"°F) ,Notseemission(typical) . , .- . 5 46 dB(A) 5 46 dB(A) " 5 46 dB(A) ,Jntemol consumption at night" ' - ' S 0 25`W s 025 W ' _ , 5 0:25 W". ._Topology" _ , ,transformerless H5 `"` transformerless H5_ : transformerless-15 k Cooling concept • OptiCool .OptiCool ° OptiCool , - Electronics protection rating/connection area' ' ` , ' NEMA 3R/NEMA 3R _ " "NEMA 3R/NEMA 3R , , "NEMA 3R/NEMA 3R i- 8 Features Display:text tine/graphic ;1 ®/_ ./+ •% Interfaces R$485/Bluetooth " _ 0/0 _0/O , 0/0 o Warranty 10/15/20 years ` . , •/0/o - '-_' "e , •/o/o a/o/o- ,. Q ;Certificates and permits(more available on request) UL1741',.UL1998,IEEE"1547,FCC Part 15(Class A&_B),CSA C22.2 No,,107,1.2001 .32 , ' NOTE:US inverters ship with gray lids, -6 1,Standard features 0 Optional features "—Not available g Revised August 2010 Data at nominal conditions Type designation_, ,_ - " _ , _, ' ., SB,80001-1.11S-16- _ - 'SB 9000TLUS-10 , - SB"10000TLUS-10 - " . P. Efficiency curve SUNNY BOY 10000TL-US; Accessories , - , 98 ! °°•°° "" -' - `.,":e^ Sunny Boy Combiner Box .35„ Bluetooth®Piggy Back c , SBCBTL 10 - BTPBINV-NR �,,..�..._,._,......_ ».....�"._. a - 1 (Included with inverter) \ . p u ' 0 - d° 975 90 "� d 44y 4 RS485 interface SMA Power Balancer • ,. y P 485USPBSMC•NR • PBL-SBUS•10.NR , 97 r ` ` - o 88 -- Vw^300VDC s a ,. \,._. o —' V„-345VDC a 305 470• _ - 86 .. _"_. V,,,-480 V DC 3 V,„,M - . - , G I I I I f , 2000 4000 6000 8000 10000[W] pnc� c4 , , . Toll Free+1 888 4 SMA USA www.SMA-Americo.com SMA America, LLC ® SF .:: UNIRAC LFFRAME SUN A HILTI GROUP COMPANY SUNFRAME is a shared rail system with gap-free rows that boasts a sleek design. The superior aesthetics are valued by homeowners and architects for residential and light commercial applications. -,moo d' iW�=Y ]' t 111 om` 44id^iT, 'f fes ,„' • -- ''-mss,, , 1 bf. 4 - " • A +' ] 6 a 5 42 �a ] Viµ,, 0 D_ A[! 1rUT1© ? • AESTHETIC DESIGN • ADAPTABILITY • AVAILABILITY • ANALITY PROVIDER ©Pub140228 SUN .. .. . , . SF . ,. ... 0NIRAC • . . . FRAME ' A HILTI'GROUP COMPANY ADAPTABILIT=Y MADE TO FIT YOUR ROOF CAPSTRIP � & SCREW$ SUNFRAME. is compatible. with many attachment options, ' including Unirac made standoffs;for installation on comp shingle - , .. _.� or tile roofs.Modules are suppot'ted between SUNFRAMEshared rails, not on top of them.This allows the:array to install lower . 'to the roof enhancing its integrated appearance with gap-free'. i ' • ' rows and no protrusions visible from the side"Clear or dank finish seamlessly nt yourcomponents match rroofule frames and visually blend the array AVAILABILITY NATIONWIDE NETWORK I Univac maintains the largest network of stocking distributors �' for our racking solutions. Our partners have distinguished their 9 level of customer support,availability,and overall Value thereby ' .� , NI�. \ 10. ""/ , ,,providing ,the highest level of service to the users of.linirac ®; products.Count on our partners for fast and accurate delivery to meet your project needs.Visit Uhirac.com for a,list of distributors. END CAP . • AUTOMATED, DESIGN TOOL . , DESIGN PLATFORM AT YOUR SERVICE ' ., Creating a bill of materials isjust a few clicks away with U,Builder, - I a powerful online tool that streamlines the process of-designing , • a code corripliant solar mounting system. Save time by creating . • CAPSTRIP & . a user profile,and recall preferences and projects automatically RAIL PROFILE ; when you log in. You will enjoy the ability to.share projects r ' • - with'customers; there's no need to print results'and send to a - distributor,just click and share. U GCUSTOM�ER SERVICE MEANS TlE HIGHEST LEVEL OF PRODUCT SUPPORT r ® a � I . � UNMATCHED CERTIFIED ENGINEERING ' BANKABLE DESIGN PERMIT EXPERIENCE QUALITY. " EXCELLENCE WARRANTY TOOLS DOCUMENTATION . TECHNICALSUPPORT CERTIFIED QUALITY PROVIDER BANKABLE WARRANTY Uniracs technical support team is dedicated Unirac is the only PV mounting vendor with ISO As a Hilti GIoup.Company,Unirac has the financial to answering questions'& addressing issues certifications for•9001:2008, 14001:2004 and strength to back our products and reduce-your risk. in, real'time. An online library of documents OHSAS 18001;2007,which means we deliver the Have peace of mind knowing you are receiving, ' including engineering reports,stamped letters . highest standards for fit,form,aiidfunctionThese,. products of exceptional quality. SUNFRAME is 0 °, and technical datasheets greatly simplifies your certifications demonstrate our excellence and our ,covered bya 10-year limited product warranty and - e permitting and project planriing process. commitment to first class business practices. ' a 5-year limited finish warranty. 1 r_________________ NEW EQUIPMENT —-_—_-—__—______-_—__—___1 1 )IS,12-I41\,10G-TZVIC3Ew _(--- - . ' _ _ - - - ' . 1200A ( l-/V-DI . PV-SA-1A _ • LW .. 'W .W' -KA) "4-3) . AC-COMBINER.PANEL ' I INV N ' '4-2 — 1 -" 1 - -1- AC-CMB-1 E- (LOCAT(EpDv NwEANoVNERTER DRsILy) S) ....ra AC DISCONNECT (C.)) \. , AC-DSC-1 -Tr —13 L -Li... h18" fer4-1-j--4--1 , FA L...) miii N -,. ... 2 ----- 1 . V - r-- INTEGRAL Dc/Ac.z . . . DISCONNECT SWITCH t C:j III PV-SA-1 B - • , 1E1 ,El El r I , BKR-1 . — t----1 I , .__ . -PV- .SA-2A . - . (USEDf 9F • PI RI 1.7— v—7— i r-cA) ,- N •••-2 1 INV-2 ri \.1.1? . - BKR-2 el ISI til CI - - ,------.-4. 1._ --,ji :., • . . T. —R 7 L _t_i__:.. .2...... ____ ci 1 •- • I , N .•••4•9•O.2 ...- 1 ..... , \, _ . N [..„ , , , . _ DISCONNECT-SWITCHItgiEGRALDC/AC , N • . a 1 , , ta•-• PV-SA-2B , - s . . — , 0-- ;:-1 - -gig -----'' ' , EGG a r.i:Kra - , i----, j_ GEJ1 EXISTING ' T #6 CP 1 , , —— -1 WIRING GUTTER - - - ' 1 GEC i r L , IRREVERSIBLE SPLICE EXISTING AC PANEL PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS SCOtt Edgett ,e;lil' ..t ... '685 Track Aveli - 61 04,GREENL GiCo Ved, ENERGY Cutchogue, NY 11935 . : _ ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 2' Drawing No: EDGETT-3LD1 Revision: 1 ' Revised: 12/13/2014 EQUIPMENT&COMPONENT SCHEDULE CONDUCTOR SCHEDULE TAG DESCRIPTION SPECIFICATION TAG TYPE, CONDUIT AWG./ EGC PV-SA-1A PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E20-327 1-STRING OF 6-MODULES A USE-2/PV, PVC-40-1" 10/6 PV-SA-1A PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E20-327 2-STRINGS OF 6-MODULES B THWN-2, PVC-40-1" 10/10 PV-SA-2B PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E20-327 1-STRING OF 6-MODULES C THWN-2,PVC-40-1-1/2" 6/6 D THWN-2, EMT-1-1/2" 6/6 PV-SA-1A PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E20-327 2-STRINGS OF 6-MODULES 1.)CONDUCTOR TYPES AND SIZES TO BE AD- INV-1 INVERTER SMA INVERTER,MODEL SB6000TL-US-22,240V JUSTED FOR TEMPERATURE, DISTANCE,AND BUNDLING. INV-2 INVERTER SMA INVERTER,MODEL SB6000TL-US-22,240V 2.)ELECTRICAL CONDUIT TO BE MIN. PVC AC-CMB-1 AC COMBINER PANEL 250V,60A, NEMA-1, 1-PH,3-WIRE SCHEDULE 40,ADJUST FOR SITE CONDITIONS. AC-DSC-1 AC DISCONNECT, FUSED 250V,60A, NEMA-1, FUSED 3.) ALL ELECTRICAL MATERIALS AND INSTALLA- TION METHODS TO COMPLY WITH NEC AND LO- CAL CODE REQUIREMENTS. ELECTRICAL LOAD SUMMARY DC CIRCUITS ELECTRICAL LOAD SUMMARY OP. CURRENT OP.VOLTAGE MAX.VOLTS S.S.C. AC CIRCUITS TAG @STC @STC @ T-MIN @STC VOLTAGE MAX.AC MAX. DC PV-SA-1A 5.98 A DC 270 V DC 437 V DC 6.46 A DC TAG POWER RANGE CURRENT CURRENT PV-SA-1B 11.96 A DC 270 V DC 437 V DC 12.92 A DC PV-SA-2A 5.98 A DC 270 V DC 437 V DC 6.46 A DC INV-1 6000 WATTS 211-264 VAC 25 A AC 30 A DC PV-SA-2B 11.96 A DC 270 V DC 437 V DC 12.92 A DC INV-2 6000 WATTS 211-264 VAC 25 A AC 30 A DC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Scott Edgett '° 685 Track Ave ENERGY Cutchogue, NY 11935 E' 24INATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION - 9 _ Page 2 of 2 Drawing No: EDGETT-3LD1 Revision: 1 Revised: 12/13/2014 1_