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Town of Southold 1/25/2016 P.O.Box 1179 53095 Main Rd # 4f) Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38061 Date: 1/25/2016 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1275 Esplanade, Southold SCTM#: 473889 Sec/Block/Lot: 88.-6-13.41 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/28/2015 pursuant to which Building Permit No. 40231 dated 10/29/2015 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: SOLAR PANELS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to L'Allemand,Yvonne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40231 01-12-2016 PLUMBERS CERTIFICATION DATED Authorized Signature uiroL TOWN OF SOUTHOLD rS� Fat,r Lt BUILDING DEPARTMENT Z TOWN CLERK'S OFFICE V> SOUTHOLD, NY \* 01 SIF 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#: 40231 Date: 10/29/2015 Permission is hereby granted to: L'Allemand, Yvonne 71-42 Manse St Forest Hills, NY 11375 To: installation of solar panels as applied for. At premises located at: 1275 Esplanade, Southold SCTM # 473889 Sec/Block/Lot# 88.-6-13.41 Pursuant to application dated 10/28/2015 and approved by the Building Inspector. To expire on 4/29/2017. Fees: SOLAR PANELS $50.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $100.00 Tt al: $200.00 • Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 1 Z IS E ( S FLA `J A 1)c S. House No. Street Hamlet Owner or Owners of Property: /d/ti LCL '"�'��J 0 Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. 40027 I Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary C ificate Final Certificate: (check one) Fee Submitted: $ � � � / ' I4, 4 Applic. t Sit ature ,l,,.iii....� ••,�o��QF SO(/ry0, - / co ` Town Hall Annex ~ : Telephone(631)765-1802 54375 Main Road I W illi t Fax(631)765-9502 P.O. Box 1179 •% G Q Southold,NY 11971-0959 ; • '�r�l� -\- i-` roger.richert antown.southold.ny.us COUNT`I,� ���e oli. �,ig BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: L'Allemand Address: 1275 Esplanade City: Southold St: New York Zip. 11971 Building Permit#: 40231 Section. 88 Block: 6 Lot: 13.41 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA. Level Solar License No 51859-H 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 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 Twist Lock Exit Fixtures TVSS Other Equipment: 8.1 KW Roof Mounted Photovoltaic System to Include 27- LG 300 Panels - 1 -SE 6000 Inverter Notes: Inspector Signature: --7 ; — Date: January 12, 2016 1 Electrical 81 Compliance Form.xls 1 J AMES J. S TOUT A RCHITECT & Assoc. 2 G REG L ANE E AST NORTHPORT N. Y. 631 - 8 58 9388 t -I, ,� < ) Post Installation Letter January 8, 2016 RE: Lallemand Residence 1275 The Esplanade Southold, NY, 11971 JAN 2 2 2016 To Whom It May Concern: This letter is to confirm that as of this date January 8, 2016, I, James J Stout, NYS license 021633 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 of panels was done as per plan. Thank you for your cooperation in this matter. James J.Stout Architect i 2 / ;* 0€ *1 0 l,`C UNi'1,�`�. 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 [ ] AULKING REMARKS: Ktiec -- lot/ cec, - DATE ( ` (fC' INSPECTOR t �� C9WETS FIELD INSPEG'�'XQN lYEPOI��T DATA «� ��: T t ._ - ' FQUNDAfON(1ST) • ,, - . . . • FOUNDATION(2ND) z ' U N ROUGE!FRI`IG& H • PLU?V1BTNG - . - ' T- -- . Q INSULATION PEA N.Y. ` STATE ENERGY COHSE r • • ' FINAL El ,_ . - . . • d . 1 r , A bi. ! 'fl o"Jt L-_ _C-omm_c __..__°___ I�.M ► ' .O 0 1 - 0--11R . - l'etC/4:att)- Ce/1,4*-cAk12 ' i ci rn • • . . . . •••Es 2 . . . ..„, 4 ' - - .....1.?• ,P ' • b 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)765-9502Survey SoutholdTown.NorthFork.net PERMIT NO. 170 (9 3 Check Septic Form N.Y.S.D.E.C. Trustees C.O Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Z / Contact: Approved ( ,20 Mail to: Level Solar Disapproved a/c 90 13th Ave Unit 8 Ronkonokoma, Phone: 631-285-2557 NY 11779 Expiration ,20 Buil • g Inspector APPLICATION FOR BUILDING PERMIT ! - Date 20 INSTRUCTIONS ` III a.This application MUST be completely filled in by typewriter or in ink and submitted to the BuiidingG�ectog Rithtr5 J sets of plans,accurate plot plan to scale.Fee according to schedule. I i 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 Pernik__ d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant-Sizch-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. (Signa( Mt.42-tttapp icant or name,if a corporation) 90 13th Ave Unit 8 Ronkonkoma, NY 11779 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Agent Name of owner of premises \ U D fl lQ ( lA a (As on a ax "roll or latest dee ) If applicant is a corporation,signature of duly authorized officer Richard Keiser (Name and title of corporate officer) Builders License No. 51859-H Plumbers License No. Electricians License No. 51858-ME Other Trade's License No. 1. Location of land on whic r ro••sed • k i •- do•e' � bl!I 0 11 . � House Number Street Hamlet County Tax Map No. 1000 Section U Block 'C Lot ` I Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work Solar Panels (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 13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?* YES NO *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property?*YES NO *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) Amy Depietto, Level Solar being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Agent (Contractor,Agent,Corporate Officer,etc.) `,,1`l0 of said owner or owners,and is duly authorized to perform or have perfe ks�td,Cvttr1C t e and file this application; that all statements contained in this application are true to the best of �ndand th t the work will be performed in the manner set forth in the application filed therewith.,'�}:k , r;,,'',,'-.\'..:', �� S o methis� ik 24T ,(-5\r` \° Jai"', .7/14°A •IIWV b o71r177. Signature o A plicant •o'•d,O such' Scott A. Russell _ STORMWATER SUPERVISOR ' J � ; MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 0 53095 Main Road-SOUTHOLD,NEW YORK 11971 ' O •.` Town of Southold 1 •. rr CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: {CHECK ALL THAT APPLY: Yea No El El A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑E( 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. DO D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. DO E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑Q 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. * 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. APPLICANT. (Property Owner.Design Professional.Agent.Contractor Other) S.C.T.M. *: 1000 Date trict NAME Level Sol l-r ((f I U) /7//r Section Block Lot • Y V�, **** FOR BUILDING DEPARTMENT USE ONLY **'" Contact Information 31-285-2557 T.IryMM Numbrreire Reviewed By: Date: /o%r Property Address / Location of Construction Work: (Z1S TNL ESPCA^°14oC Approved for processing Building Permit. I' Stormwater Management Control Plan Not Required. So v H° L..0 / 3 I I Ti 1 Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM " SMCP-TOS MAY 2014 ,���/ilii-- $1N SO�'gol Town Hall Annex * Telephone(631)765-1802 54375 Main Road ► ; ��aa�xc pp22� P.O.Box 1179 G Q �� roger.richert i�W11 at aa.ny.us Southold,NY 11971-0959 14e, f?•Il = CpUNi'I, 4" BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Ais! Date: kyra.61/17- Company Name: e1t -e c r J . Name: ( /C041( IL License No.: --- t° Address: Porktmlama Phone No.: JOBSlTE INFORMATION (*Indicates require information) *Name:*Address: UV)n1 ( f( it2JU4 7/ eSp/cefi d *Cross Street: *Phone No.: Permit No.: 1/6. 3 ( Tax•Map District: 1000 Section: O k' Block: (p Lot: I , / *BRIEF DESCRIPTION OF WORK(Please Print Clearly) a7 L goonic-P rooPop so for attO ,sr0000n-til ,sblairsoy,9 twei-h9 (Please Circle All That Apply) • is job ready for inspection: CD NO Rough In Final *DO.you need a Temp Certificate: / NO Temp Information (If needed) { *Service Size: 1 Phase 3Phase 100 150 20 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead /<-) Additional Information: PAYMENT DUE WITH APPLICATION G) 111147-=.4 ri-b\ 82-Request for Inspection Form Oi V . cam ,, CONSENT TO INSPECTION \\\)°,) ,,, ,T- Li\ , the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at 1 2-15 7 I-. ESP to OC which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block , Lot That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: upep af That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. I p Dated: �1 (/� AIA .1 (Signature) y o a' JE LA&L€.•-r M' (Print Name) (Signature) (Print Name) Town of Southold Building and Solar Permit Application Pack Customer:Yvonne Lallemand 1275 The Esplanade Southold, NY, 11971 (631) 876-5581 Tax ID: Contractor: Level Solar 90 13th Avenue, Ste. 8 Ronkonkoma, NY 11779 631-590-4000 Item # Document # Copies 1 Building Permit Application 1 2 Certificate of Occupancy 1 3 1st Page of Storm Water Application 1 4 Electrical Inspection Form 1 5 Land Survey 1 6 Insurance Pack 1 ° ,4 S0jj741 Town Hall Annex �I ~O l0 : Telephone(631)765-1802 54375 Main Road ; J * Fax (631)765-9502 P.O. Box 1179 itG Q �� Southold,NY 11971-0959 =4CCOUNT( *. January 15, 2016 BUILDING DEPARTMENT TOWN OF SOUTHOLD Level Solar 90 13th Ave, Unit 8 Ronkonkoma NY 11779 Re: L'Allemand, 1275 Esplanade, Southold NY TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Note: Certification required by an architect or engineer stating the panels were installed on 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 - 40231 - Solar LEVEL SOLAR90 13th Avenue, Unit 8, Ronkonkoma, NY 11779 631-590-4000 permits@levelsolar.com January 15, 2016 • Town of Southold Building Department JAN 2 2 7fli6 54375 Rte 25 PO Box 1179 Southold , NY 11971 RE: Permit#40231 1275 The Esplanade, Southold To whom it may concern: Enclosed please find an Engineers letter to close out the above referenced permit. Please mail a copy of the Certificate of Compliance to our office at 90 13th Avenue, Unit 8 Ronkonkoma, NY 11779 for our records. Please call 631-590-4000 if you have any questions or problems. Thank you, / le thus er Senior Permitting Specialist Level Solar • SUFFOLK COUNTY DEPT OF LABOR, • UCENSING&CONSUMER AFFAIRS HOME IMPROVEMENT • CONTRACTOR LICENSE NAME RICHARD KEISER This certifies that the E"'~E""""E SOLAR INC bearer is duly LEVEL licensed by the County of Suffolk T.. °`"""° 51859-H 06/1912013 Cawdolr.. Exna-o Det 06!01/2017 ' ' I SUFFOLK COUNTY DEPT OF LABOR, rUCENSING&CONSUMER AFFAIRS 4 MASTER ELECTRICIAN - SHAWN RANALDO This certifies that the "4"4"4 bearer is duly LEVEL SOLAR INC licensed by the County of Suffolk """"" "" """"` .y 51858-ME 06/1912013 Comm um -a.o"-E 06/01/2017 1VYSI o New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 199 CHURCH STREET,NEW YORK,N.Y. 10007-1100 Phone:(212)587-2154 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE `"A A A A 464060893 LEVEL SOLAR INC(A DE CORP) 236 W 30TH ST,STE 600 NEW YORK NY 10001 POLICYHOLDER CERTIFICATE HOLDER LEVEL SOLAR INC(A DE CORP) TOWN OF SOUTHOLD 90 13TH AVENUE 54375 ROUTE 25 RONKONKOMA NY 11779 TOWN OF SOUTHOLD SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE M2317 408-9 879741 12/11/2014 TO 12/11/2015 7/6/2015 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO.2317 408-9 UNTIL 12/11/2015, 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 12/11/2015 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 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.225334551 i i_'a STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. Tobe completed by Disability Benefits Carrier or Lke.nsed Insurance Agent of that Carrier 1a, Legal Nance and Address of Insured(Use street address only) Ib,Business Telephone Ntuther of Insured LEVEL SOLAR INC (631)285-2555 236 WEST 30TH STREET SUITE 600 lc.NYS Unemployment Insurance Employer Registration NEW YORK, NY 10001 Ntunber of histued Id.Federal Employer Identification Number of Insured or Social Security Ntunber 464-06-0893 2. Name and Address of the Entity Requesting Proof of 3a.Nance of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) NEW YORK STATE INSURANCE FUND Town of Southold 3b.Policy Number of entity listed in boy "'la": 54375 Rte 25 SOUTHOLD, NY 11971 DBL 6430 71 -5 3c.Policy effective period: 12/18/2014 to 12/18/2015 4.Policy covers: a. All of the employees employees eligible under the New York Disability Benefits Law b.❑ Only the following class or classes of the employees employees: Under penalty of perjury,I certify that I ai.n art authorized representative or licensed agent of the insurance carrier referenced above and that the named insured.has NYS Disability Benefits insuumce coverage as described above. Date Signed, . 07/6/2015 By Joseph J. Masi (SIgralum of insurence o4 rrier's authorized repress rtetioe of NYS Uoerced insuw roe Agent of the Insurance airier) Telephone Number (866)697-4332 Title Director of Disability Benefits Insurance IMPORTANT: If box"4a"is checked,and this Tana is signed try the insurance entries mattionred representative or NYS Licensed Insraalvice Agent of Wier carrier.thisceritienie is COMPLETE. Mail it directly to Ike certificate bolder. If box"4b"is elteeked.this certificate is NOT COMPLETE for peaposes of Section 220.Saba 8 ante Disability Benefits Law It Wait be mailed for completion to the Workers't"onipeilsatiun Beard.DB Plans Aecaptatice Unit.20 Park Street.Albany,New Yolk I2201. PART 2.To be completed by NYS Workers'Compensation Board(Only if box 44b"of part 1 has been checked) State Of New York Workers'Compensation Board According to information maintained by Ilia NYS Workers'Compensation Board.the above-named employer has Complied with the NYS Disability Benefits Law with respect to an of his/her employees. Date Signed By _ 4Signanire of NYS Workers'Compensation Hoard Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS disability benefits insnrance policies and NYS licensed insurance agents of those insumace cai lets are authorized to issue Foun DB-120.1. Insurance brokers are NOT authorized to issue this form. DB"120.1(5.06) Certificate Number 330785 AC�® DATE(MM/DD/Yl'YY) ‘,...../- CERTIFICATE OF LIABILITY INSURANCE 12/16/2014 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 CONTACT MegQuincy NAME: Q y Diversified Insurance Group PHONNo.EXfI. (801)325-5000 FAX Not:(801)532-2804 136 E. South Temple Street AIL ADDRESS:mnoorda@diversifiedinsurance.com Suite 2300 INSURER(S)AFFORDING COVERAGE NAIC# Salt Lake City UT 84111 INSURERA:Colony Insurance Company INSURED _INSURER B:Sentinel Insurance Co 11000 Level Solar Inc. INSURERC. 236 West 30th Street #600 INSURERD. INSURER E: New York NY 10001 INSURER F. COVERAGES CERTIFICATE NUMBER2014, Liability 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 50,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ A CLAIMS-MADE nOCCUR PACE302845 12/15/201412/15/2015 MEDEXP(Anyoneperson) $ 5,000 — PERSONAL BADV INJURY— $ 1,000,000 _ GENERAL AGGREGATE _ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 A I POLICY n 7p,?- n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ (Ea accident) $ 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 34UECVT5502 12/1/2014 12/1/2015 BODILY INJURY(Per accident) $ _ AUTOS _ AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ — EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 54375 Route 25 Southold, NY 11971 AUTHORIZED REPRESENTATIVE Regan Guth/RS — - T ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(2mnnRl m Tho Af'f11:211 name and Innn aro ronicfarorl mark¢of A('f1Rrl APPROVED AS NOTED UTAH OFFICES ,,/ Sandy CTOR , 2f/ DATE:/O/ 1"B P 4.# �vp 3/ Layton E n 0 I n E E ? sSt. George FEE: S� BY• NOTIFY BUILDING DEPARTMENT AT Project Number U1521-0684-151 765-1802 8AM TO 4 PM FOR THE October 22,2015 FOLLOWING INSPECTIONS: t. l 1. FOUNDATION - TWO REQUIRED `�'V 0 Level Solar L0 eofAve. Suite 8 FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING / Ronkonkoma,NY 11779 �/( /! /G1 3. INSULATION #94 ATTENTION: Eric Negron 4. FINAL - CONSTRUCTION MUST COMPLETE FOR C.O. eQ44 REFERENCE: Yvonne Lallemand Residency& eik life,NAtkokIEE ' Solar Panel Installation REQUIREMENTS OF THE CODES OF NEW Dear Mr Negron. YORK STATE. NOT �RESPONSIBLE FOR Per your request,we have reviewed the attached t id at bfos reeatiing to RR�RSllation of solar panels at the above-referenced site Based upon our review, it is our conclusion that the installation of solar panels on this existing roof per the attached documents and in accordance with Ecolibrium Solar's and Level Solar's installation requirements will not adversely affect the structure of this home We have found the calculations to be in accordance with the 2010 Building Code of New York State and ASCE 7-05 This conclusion is based upon the fact that the additional weight related to the solar panels is 3 5 psf or less. In the area of the solar panels, other live loads will not be present. Regarding snow loads, it is our conclusion that since the panels are slippery and dark, effective snow loads will likely be reduced in the areas of the panels. In addition, it is our conclusion that any additional wind or seismic loadings related to the addition of these solar panels is negligible. The solar panels and attachments have been designed to withstand 120 mph design wind speed (3-second gust). Solar panels will be flush-mounted, parallel to and no more than 6" above the roof surface. Installation of the solar panels must be performed in accordance with Ecolibrium Solar's and Level Solar's installation requirements. Attachments to existing roof joist or rafters must be staggered so as not to over load any existing structural member. Particular attention must be paid to the maximum allowable spacing of attachments and the location of solar panels relative to roof edges. The use of solar panel support span tables provided by Ecolibrium Solar is allowed only where the building type, site conditions, and solar panel configuration match the description of the span tables. Water proofing around the roof penetrations is the responsibility of others. Electrical engineering is beyond our scope. All work performed must be in accordance with accepted industry-wide methods and applicable safety standards. Vector Structural Engineering assumes no responsibility for improper installation of the solar panels Our conclusions are based upon our review of the photos which indicate that all structural roof components and other supporting elements are in good condition and are sized and spaced such that they can resist standard roof loads. Roof framing type, size, and spacing are as indicated in the attached photos and drawings by Level Solar We hope this meets your needs. If you have any further questions regarding this matter, please call this office at your convenience. Very truly yours, C OF �`1E s CODES OF VECTOR STRUCTURAL ENGINEERING,LLC ,, k U�EV, a. : & TOWN CODES Roger T.Alworth, P E. ' • tl i Principal \ r ' '1" ARD NY Firm License# COA 009721 'tO Enclosures RTA/klr 22-0-CT 2015 e .c 9138 S State St. Suite 101 / Sandy UT 84070/T (801) 990-1775/ F (801) 990-1776/www.vectorse.com UTAH OFFICES VECT9 R yts St. George Project Number: U 1521-0684-151 October 22,2015 Level Solar 90 13th Ave. Suite 8 Ronkonkoma,NY 11779 ATTENTION Eric Negron REFERENCE: Yvonne Lallemand Residence: 1275 The Esplanade,Southold,NY 11971 Solar Panel Installation Dear Mr.Negron: Per your request,we have reviewed the attached calculations and photos relating to the installation of solar panels at the above-referenced site. Based upon our review, it is our conclusion that the installation of solar panels on this existing roof per the attached documents and in accordance with Ecolibrium Solar's and Level Solar's installation requirements will not adversely affect the structure of this home. We have found the calculations to be in accordance with the 2010 Building Code of New York State and ASCE 7-05 This conclusion is based upon the fact that the additional weight related to the solar panels is 3.5 psf or less. In the area of the solar panels,other live loads will not be present. Regarding snow loads, it is our conclusion that since the panels are slippery and dark, effective snow loads will likely be reduced in the areas of the panels. In addition, it is our conclusion that any additional wind or seismic loadings related to the addition of these solar panels is negligible. The solar panels and attachments have been designed to withstand 120 mph design wind speed (3-second gust). Solar panels will be flush-mounted, parallel to and no more than 6" above the roof surface. Installation of the solar panels must be performed in accordance with Ecolibrium Solar's and Level Solar's installation requirements. Attachments to existing roof joist or rafters must be staggered so as not to over load any existing structural member. Particular attention must be paid to the maximum allowable spacing of attachments and the location of solar panels relative to roof edges. The use of solar panel support span tables provided by Ecolibrium Solar is allowed only where the building type, site conditions, and solar panel configuration match the description of the span tables. Water proofing around the roof penetrations is the responsibility of others. Electrical engineering is beyond our scope. All work performed must be in accordance with accepted industry-wide methods and applicable safety standards. Vector Structural Engineering assumes no responsibility for improper installation of the solar panels. Our conclusions are based upon our review of the photos which indicate that all structural roof components and other supporting elements are in good condition and are sized and spaced such that they can resist standard roof loads. Roof framing type, size, and spacing are as indicated in the attached photos and drawings by Level Solar We hope this meets your needs. If you have any further questions regarding this matter, please call this office at your convenience. Very truly yours, (VFVECTOR STRUCTURAL ENGINEERING,LLC tiA T44 y" cc Roger T.Alworth,P.E. m� •.) ' Principal 011 i* , NY Firm License#:COA 009721 o �t'i,.i Enclosures �OFES S I ON r- RTA/klr 22 OCT 2015 9138 S State St., Suite 101 I Sandy, UT 84070/T(801)990-1775 I F (801) 990-1776 I www.vectorse.com N Scale: 1"=30' I LEGEND I NOTES Any plumbing vents through roof are not to be cut or covered over during solar 0 30 60 Electrical meter and installation.Any modification or relocation of vents will require a plumbing permit and estimated inverter location inspection. STRUCTRUAL ONLY ,��pF NES �P �R T A(,1, }:. x QO - 9 `` W 2 A Glc,4 3-` ��� Driveway ROA-ESSIOro- 22 OCT 2015 The Esplanade NY Firm License#• COA 009721 Allillit it ROOF6 , o i ROOF 3 Alp 1,41 °4,40/4 PV1 4 114 ROOF 2 SYSTEM INFORMATION Roof Distribuited Weight/Loading LEVEL SOLAR (see additional details in engineering calculations) Name Slope(deg) #of mods weight(psf) points(lbs) 844-GO-LEVEL SERVICE@LEVELSOLAR.COM Total#of mods 27 Roof 2 40° 4 2.4 21.5 Module type LG 300N1C-B3 Roof 3 40° 15 2.4 21.5 SITE PLAN Module size 300 Watt Roof 6 41° 8 2.4 21.5 118666-Yvonne Lallemand Module weight 36.96 lbs 1275 The Esplanade Module area 17.65 sq ft Southold, NY, 11971 Version 2 RIDGE ON TOP t STRUCTRUAL ONLY EA VE ON BOTTOM j .E OF 1\1 /,,,, P -R T ,e14.iv kl, * 4-OC" 9 _r fit. 1 # w n , .!�_ Q // \ 66" V\ ROOFS S 10N 22 OCT 2015 NY Firm License#: COA 009721 11111 208" \ 11111 \ 62" 21" may,„„„.., <111111111111-1111611 10" 108" Attachments to the existing truss top chords or rafters must be staggered so as not to overload any existing structural member Landscape Portrait THIS ROOF SURFACE HAS BEEN l__EVEL SOLA R # Over Up Over Up INSPECTED AND FOUND TO HAVE A SINGLE LAYER OF SHINGLES. 2x10 Rafter Members @ 16"OC 1 64.57 39.37 39 37 64.57 MAX HEIGHT OF PANEL ABOVE ROOF 844-GO-LEVEL SERVICE@LEVELSOLAR.COM 2 129 64 80.04 79.24 130.44 SURFACE NOT TO EXCEED 6" Interior Edge Corner Wind Zone INSTALL PLAN 3 194 71 120 71 119 11 196.31 Max Spacing(in) 48 48 48 LANDSCAPE 4 259.78 161 38 158 98 262.18 Max Cantiliver(in) 18.7 17.317.3 118666-Yvonne Lallemand 36 5 324 85 202.05 198.85 328.05 Max Spacing(in) 32 32 32 1275 The Esplanade PORTRAIT 14 6 13.5 13.5 6 389.92 242.72 238.72 393.92 Max Cantiliver(in) Southold, NY, 11971 Version 2 RIDGE ON TOP f STRUCTRUAL ONLY EAVE ON BOTTOM ,c,OF NFA cr _r m / \\ — — — ;.. .- — — 90FfiSStONP, /' 1 ,i!. ' ; > - \ 22 OCT 2015 \ NY Firm License#: / \ COA 009721 // ` s __ 208" / \ / . // f • —_it_+rr.rblir":r4+r+141.0.. Alleino,in..,*4V 4,..,4001,0 Kr Y.-'.ww"wi..MSF oi..lw w.w.r rdY'W i,,.iW it+.**i-rmiir Yr.wrr, +w.o.-rte-r- — / . . \ \ gn ` �) i i i 78" 45" 480" Attachments to the existing truss top chords or rafters must be staggered so as not to overload any existing structural member Landscape Portrait THIS ROOF S HAS BEENLEVEL SOLAR # Over Up Over Up INSPECTED ANDND FOUND TO HAVE A SINGLE LAYER OF SHINGLES. 2x10 Rafter Members @ 16"OC 1 64.57 39 37 39.37 64 57 MAX HEIGHT OF PANEL ABOVE ROOF 844-GO-LEVEL SERVICE@LEVELSOLAR.COM 2 129 64 80 04 79.24 130.44 SURFACE NOT TO EXCEED 6" Interior Edge Corner Wind zone INSTALL PLAN 3 194.71 120.71 119.11 196.31 Max Spacing(in) 48 4848 LANDSCAPE 118666-Yvonne Lallemand 4 259.78 161 38 158.98 262.18 Max Cantiliver(in) 18.7 17 3 17.3 5 324 85 202.05 198.85 328.05 Max Spacing(in) 32 32 32 36 1275 The Esplanade PORTRAIT 14 6 13.5 13.5 6 389.92 242.72 238.72 393.92 Max Cantiliver(in) Southold, NY, 11971 Version 2 RIDGE ON TOP ? STRUCTRUAL ONLY EAVE ON BOTTOM j 288" (7..--ii-OF NFA, i / �,<p.G,R T ,44,,, y., cr m , .,— ` c Lu \ A Oe%i49" 4.7. /r \ 22 OCT 2015 / \ NY Firm License#* / \ COA 009721 \ - \ \ 210" / / / / \ 36" �/ . / / i a f- 36" 11" Attachments to the existing truss top chords or rafters must be staggered so as not to overload any existing structural member Landscape Portrait THIS ROOF SURFACE HAS BEEN l__EVEL SOLA R # Over Up Over Up INSPECTED AND FOUND TO HAVE A SINGLE LAYER OF SHINGLES. 2x10 Rafter Members @ 16"OC 1 64.57 39.37 39 37 64 57 MAX HEIGHT OF PANEL ABOVE ROOF 844-GO-LEVEL SERVICE@LEVELSOLAR.COM 2 129 64 80.04 79.24 130 44 SURFACE NOT TO EXCEED 6" Interior Edge Corner Wind Zone INSTALL PLAN 3 194 71 120 71 119 11 196.31 Max Spacing(in) 48 48 48 LANDSCAPE 118666-Yvonne Lallemand 4 259.78 161 38 158.98 262.18 Max Cantiliver(in) 18.7 17 3 17.3 5 324 85 202.05 198.85 328.05 Max Spacing(in) 32 32 32 36 1275 The Esplanade PORTRAIT 14 6 13.5 13.5 6 389.92 242.72 238.72 393.92 Max Cantiliver(in) Southold, NY, 11971 Version 2 LEVEL SOLAR 236 W 30th Street, Suite 600, New York, NY 10001 844-GO-LEVEL Customer Information: Name Yvonne Lallemand Address 1275 The Esplanade City, State, Zip Southold, NY, 11971 Design Information: Number of Faces Used 3 Exposure Category C Wind Speed (mph) 120 Ground Snow Load (Pg) 30 psf Importance Factor(I) 1.0 Topographic Factor(Kzt) 1.0 Thermal Factor for Snow Load (Ct) 1.2 Exposure Factor for Snow Load (Ce) 0.9 Effective Wind Area 10 Solar Array Details: Number of Modules 27 Module Type LG 300N1C-B3 Modules Size 300 W Array Size 8.100 kW Module Weight 37.0 lbs Module Area 17.65 ft. sq Optimizer Type P300 Optimizer Weight 2.1 lbs Roof Type Composition Shingle Mount Type Ecolibrium Solar Attachment Weight (Leveling Foot and Comp Mount) 1.98 lbs Version 2 LEVEL SOLAR 236 W 30th Street,Suite 600, New York, NY 10001 844-GO-LEVEL Surface Information: Roof 2 Members Type Rafter Roof Pitch 40 deg Members Size [in] 2x10 Least Horizontal Dimension 30 ft Members Spacing[in] 16 oc Average Roof Height 25 ft Edge and Corner Dimension 36 in Number of Modules 4 Number of Optimizers 4 Estimated Number of Attachments 8 Distributed and Point Load Calculations: (Solar ABC's Expedited Permit Process for PV System(EPP)) Roof 2 Total System Weight(modules,optimizers, mounting system,etc.) 172.1 lbs Total Array Area 70.6 sq.ft. Distributed Weight 2.4 psf Weight per Attachment Point 21.5 lbs Snow Load and Wind Pressure Calculation: (ASCE 7-05 Sections 6-7) Roof 2 Interior Edge Corner Flat Roof Snow Load (Pf) 22.7 22.7 22.7 Slope Factor(Cs) 0.5 0.5 0.5 Roof Snow Load (Ps) 12.4 12.4 12.4 Net Design Wind Pressure uplift(Pnet30_up) -25.9 -30.3 -30.3 Net Design Wind Pressure downforce(Pnet30_down) 23.7 23.7 23.7 Adjustment Factor for Height and Exposure Category(X) 1.4 1.4 1.4 Net Design Wind Pressure uplift(Wup) -35.0 -40.9 -40.9 Net Design Wind Pressure downforce(Wdown) 32.0 32.0 32.0 ASD Load Combination: (ASCE 7-05 Section 2.4) Roof 2 Interior Edge Corner Dead Load (D) 1.9 1.9 1.9 Snow Load (S) 7.3 7.3 7.3 Load Combination 1= D+0.75S+0.75Wdown 31.3 31.3 31.3 Load Combination 2= D+Wdown 33.9 33.9 33.9 Load Combination 3= D+S 9 1 9.1 9.1 Uplift Design Load =0.6D+Wup -33.8 -39.8 -39.8 Maximum Absolute Design Load (Pabs) 33.9 39.8 39.8 Spacing Calculation: (EcoX Product Manual) Roof 2 Orientation: Landscape Portrait Zone: Interior Edge Corner Interior Edge Corner Max spacing between attachments(in) 56 52 52 44 41 41 Max.spacing between attachments considering rafter spacing(in) 48 48 48 32 32 32 Max cantilever from attachments to perimeter of PV Array(in) 18.7 17.3 17.3 14.6 13.5 13.5 Version 2 LEVEL SOLAR 236 W 30th Street, Suite 600, New York, NY 10001 844-GO-LEVEL Surface Information: Roof 3 Members Type Rafter Roof Pitch 40 deg Members Size [in] 2x10 Least Horizontal Dimension 30 ft Members Spacing[in] 16 oc Average Roof Height 25 ft Edge and Corner Dimension 36 in Number of Modules 15 Number of Optimizers 15 Estimated Number of Attachments 30 Distributed and Point Load Calculations: (Solar ABC's Expedited Permit Process for PV System(EPP)) Roof 3 Total System Weight(modules,optimizers, mounting system,etc.) 645.3 lbs Total Array Area 264.8 sq.ft. Distributed Weight 2.4 psf Weight per Attachment Point 21.5 lbs Snow Load and Wind Pressure Calculation: (ASCE 7-05 Sections 6-7) Roof 3 Interior Edge Corner Flat Roof Snow Load (Pf) 22.7 22.7 22.7 Slope Factor(Cs) 0.5 0.5 0.5 Roof Snow Load (Ps) 12.4 12.4 12.4 Net Design Wind Pressure uplift(Pnet30_up) -25.9 -30.3 -30.3 Net Design Wind Pressure downforce(Pnet30_down) 23 7 23.7 23.7 Adjustment Factor for Height and Exposure Category(X) 1.4 1.4 1,4 Net Design Wind Pressure uplift(Wup) -35.0 -40.9 -40.9 Net Design Wind Pressure downforce(Wdown) 32.0 32.0 32.0 ASD Load Combination: (ASCE 7-05 Section 2.4) Roof 3 Interior Edge Corner Dead Load (D) 1.9 1.9 1.9 Snow Load (5) 7.3 7.3 7.3 Load Combination 1=D+0.755+0.75Wdown 31.3 31.3 31.3 Load Combination 2= D+Wdown 33.9 33.9 33.9 Load Combination 3= D+5 9.1 9.1 9.1 Uplift Design Load =0.6D+Wup -33.8 -39.8 -39.8 Maximum Absolute Design Load (Pabs) 33.9 39.8 39.8 Spacing Calculation: (EcoX Product Manual) Roof 3 Orientation: Landscape Portrait Zone: Interior Edge Corner Interior Edge Corner Max spacing between attachments(in) 56 52 52 44 41 41 Max.spacing between attachments considering rafter spacing(in) 48 48 48 32 32 32 Max cantilever from attachments to perimeter of PV Array(in) 18.7 17.3 17.3 14.6 13.5 13.5 Version 2 LEVEL SOLAR 236 W 30th Street, Suite 600, New York, NY 10001 844-GO-LEVEL Surface Information: Roof 6 Members Type Rafter Roof Pitch 41 deg Members Size [in] 2x10 Least Horizontal Dimension 30 ft Members Spacing[in] 16 oc Average Roof Height 25 ft Edge and Corner Dimension 36 in Number of Modules 8 Number of Optimizers 8 Estimated Number of Attachments 16 Distributed and Point Load Calculations: (Solar ABC's Expedited Permit Process for PV System(EPP)) Roof 6 Total System Weight(modules,optimizers, mounting system,etc.) 344.2 lbs Total Array Area 141.2 sq.ft. Distributed Weight 2.4 psf Weight per Attachment Point 21.5 lbs Snow Load and Wind Pressure Calculation: (ASCE 7-05 Sections 6-7) Roof 6 Interior Edge Corner Flat Roof Snow Load (Pf) 22.7 22.7 22.7 Slope Factor(Cs) 0.5 0.5 0.5 Roof Snow Load (Ps) 12.0 12.0 12.0 Net Design Wind Pressure uplift(Pnet30_up) -25.9 -30.3 -30.3 Net Design Wind Pressure downforce(Pnet30_down) 23 7 23.7 23.7 Adjustment Factor for Height and Exposure Category(X) 1.4 1.4 1.4 Net Design Wind Pressure uplift(Wup) -35.0 -40.9 -40.9 Net Design Wind Pressure downforce(Wdown) 32.0 32.0 32.0 ASD Load Combination: (ASCE 7-05 Section 2.4) Roof 6 Interior Edge Corner Dead Load (D) 1.8 1.8 1.8 Snow Load (S) 6.8 6.8 6.8 Load Combination 1= D+0.75S+0.75Wdown 30.9 30.9 30.9 Load Combination 2= D+Wdown 33.8 33.8 33.8 Load Combination 3= D+S 8.7 8.7 8.7 Uplift Design Load =0.6D+Wup -33.9 -39.8 -39.8 Maximum Absolute Design Load (Pabs) 33.9 39.8 39.8 Spacing Calculation: (EcoX Product Manual) Roof 6 Orientation: Landscape Portrait Zone: Interior Edge Corner Interior Edge Corner Max spacing between attachments(in) 56 52 52 44 41 41 Max.spacing between attachments considering rafter spacing(in) 48 48 48 32 32 32 Max cantilever from attachments to perimeter of PV Array(in) 18.8 17.3 17.3 14.6 13.5 13.5 Version 2 LEVEL SOLAR 236 W 30th Street, Suite 600, New York, NY 10001 844-GO-LEVEL Pre-Installation Checklist: 1) What is the size and spacing of the rafters or truss drop chords? Roof 2 2x10 Rafter Members @ 16" OC Roof 3 2x10 Rafter Members @ 16" OC Roof 6 2x10 Rafter Members @ 16" OC 2) Is there any evidence of water damage in the roof? No Any dry rot? No Any other visible deterioration? No 3) Do you see any splits, cuts, breaks, or visible sagging in the existing framing members? No 4) Please provide photos showing the sizing and spacing of roof framing and any possible damage as described above. Version 2 EcoX MOUNTING SYSTEM Front elevation detail Attachments Spacing Cantiliver Cantilever Attachments spacing 1. All installed roof surfaces have been (Edge) (Interior) (Interior) t--1 I t 1 inspected and found to have a single Detail A layer of shingles Wind Zone II irduirie Clamp on 2. Max Height of panel above roof 111 Attachment kit Solar Panel surface not to exceed 6" � /�� 3. Attachments to the existing truss top Interior Clamp – :1:r:els Attachment kit � Skirt -'jam! '� 4 Maximum values for attachments Edge spacing are specified in following wind zone Shingles Height of Panel Rafters Rafter above roof surface pages for each roof 111111 111 iiHiCorner f.,..mii.am mom ado gut ter:�wwi�w wind zone I--IIIIII-I-I-I- 1-1-1 t t Canuhver Attachments Attachments spacing (Corner) spaung (Edge) (Corner) Components Clamp Assembly on Attachment kit _ Detail A I■. Flashing Coupling assembly Clamp Mid rill Base 1 , :.,:. Flashing Sealing Washer GF1-MLL-812 sok Mill finish al Lag with Sealing Washer flashing,8"x12" <= • ■ ri ; ��` Lag Bolt,%s 5" II / Skirt Base J Clamp assembly 7 Version 2 LEVEL SOLAR236 W 30th Street,Suite 600, New York, NY 10001 844-GO-LEVEL Rafter/Truss Photos: • } R 8 s Version 2 0 C Utility Service 120/240 Vacice v — (Existing) (New) �� „‘..z....., (New) — Ll,L2,Neutral Revenue THHN/THWN-2(rated 90 deg C) Grade 175tring 1 ^/ 6 AWG Cu Wire V p \ Meter Roof mounted + — + Solar PV Modules — + 0 0 0 o in 3/4"PV Conduit - Line-Side Tap (New) - 1 L1 \\\( r J L2 v 0 c N O tOString 2 I (New) U Roof mounted + — + Solar PV Modules — + I (040 (Existing) B L L�� , I+ _ + Lm � 0; _��_— —M--_ J ` _ 0 0 N O Positive,Negative,EGC T PV Wire THHN/THWN-2 (rated 90 deg C) GEC GEC 10 AWG Cu wire in 3/4"PVC conduit — — WIRING LEGEND Positive L1,L2,Neutral and EGC — -- Negative PV Wire in Free Air or Ground THHN/THWN-2(rated 90 deg C) Neutral 27 mods @ 300 W each = 8. 1 kW8AWG Cuwire L1 /L2 in 34"PVC conduit DC Series A - Solar PV Module B - Power Optimizer C - Inverter D - Main Service Panel E - Sub Service Panel Make: LG Make:SolarEdge Make:SolarEdge Bus Bar 200 Aac Main Breaker DP 60 Aac Model: 300N1C-B3 Model: P300 Model:SE6000A-US Main Circuit Breaker 200 Aac Intertie Circuit Breaker DP 35 Aac Max.Power 300 W Max. Input Power: 300 W Max. Input Voltage:500 Vdc Voc(STC):39 8 Vdc MTTP Range:8 to 48 Vdc Max.Output Power 6000 W LEVEL SOLAR Isc(STC):9.98 Adc Max. Input Voltage:48 Vdc Max.Continuous Output:25 Aac Vmp(STC): 32 Vdc Max. Input Corrent: 10 Adc Nominal Output AC Voltage: 240 Vac 844-GO-LEVEL SERVICE@LEVELSOLAR.COM Imp(STC):9.4 Adc Max Output Current: 15 Adc GEDI: 1 3-LINE WIRING DIAGRAM Max.System Voltage 1000 W Max String Power 5250 W DC Disconnect: 1 118666-Yvonne Lallemand String Length.8 to 17 Units *GEC not required ungrounded 1275 The Esplanade Southold, NY, 11971 Version 2 0 LG Innovation Life's Good for a Better Life . Afr \ • • • • • • • award ♦X 2013 _MMIMI rxelegy Mono .t C® NeON LG300N1C-B3 Introducing MonoX®NeON module series,which uses /�� highly efficient n-type materials,an elaborate process 60 cell /, A APPROVED PRODUCT control adopting a semiconductor processing solution DVE %s. J /us and adouble-sided structure.Our R&D concentrates on Mcs T'" Intertek developing a product that is not only efficient,but strives KM 564573 BS EN 61215 to increase practical value for customers. P°°" a"Modules Is TipN T e Material il fk. Near Zero LID(Light Induced Degradation) MonoX®NeON uses n-type cells,boasting The n-type cells used in MonoX®NeON have higher mobility of electric charge,resulting in almost no boron,which may cause the initial higher generation efficiency. efficiency to drop,leading to less LID . . Nano Level Control Double-Sided Cell Structure IOt O .. MonoX®NeON uses the Nano-level process ''''' '' The rear of the cell used in MonoX®NeON is - control predominant in semiconductor designed to contribute to generation;the light processing process,which ensures less beam reflected from the rear of the module is electric loss from internal defects. reabsorbed to generate a great amount of additional power. CM c �oJ N� , * `,..* Light Weight Convenient Installation EL Test Current Sorting Linear Warranty Positive Powe Tolerance About LG Electronics LG Electronics is a multinational corporation committed to expanding its capacity with solar energy business as its future growth engine Our solar energy source research program was launched in 1985, backed by LG Group's rich experience in semi-conductors,LCD,chemistry and electronic materials industry.We successfully released the first MonoX®series to the market in 2010 which exported to 32 countries in 2 years.In 2013,MonoX®NeON won"Intersolar Award"which proved its leading innovation in the industry Monoa ® NeON LG3OON1C-B3 Mechanical Properties Electrical Properties(STC*) Cells 6 x 10 300 W Cell vendor LG MPP voltage(Vmpp) 32.0 Cell type Monocrystalline MPP current(Impp) 9 40 Cell dimensions 156x 156 mm/6x6 in Open circuit voltage(Voc) 39.8 a of busbar 3 Short circuit current(1st) 9.98 Dimensions(L x W x H) 1640 x 1000 x 35 mm Module efficiency(%) 18.3 64.57 x 39.37 x 1.38 in Operating temperature(°C) -40-+90 Static snow load 5400 Pa/113 psf Maximum system voltage(V) 1000(IEC),600(UL) Static wind load 2400 Pa/_50 psf Maximum series fuse rating 20 Weight 16.8±0.5 kg/36.96±1 1 lb Power tolerance(%) 0-+3 Connector type MC4 connector IP 67 •STC(Standard Test Condition)-Irradiance 1000 W/m•module temperature 25°C,AM 1 5 Junction box IP 67 with 3 bypass diodes •The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion Length of cables 2 x 1000 mm/2 x 39.37 in Glass High transmission tempered glass Electrical Properties(NOCT*) Frame Anodized aluminum 300 W Maximum power(Pmpp) 220 Certifications and Warranty MPP voltage(Vmpp) 29.3 Certifications IEC 61215,1EC 61730-1/-2,UL 1703, MPP current(Impp) 7.50 ISO 9001,IEC 61701,IEC 62716 Open circuit voltage(Voc) 36.9 Module fire performance(UL1703) Type 2 Short circuit current(1st) 8.05 Product warranty 10 years Efficiency reduction(from 1000 Wim'to 200 W/m2) <2% Output warranty of Pmax Linear warranty*is (measurement Tolerance t 3%) •NOCT(Nominal Operating Cell Temperature)Irradiance 800 W/m',ambient temperature 20'C,wind speed 1 m/s '1)1st year 98%,2)After 2nd year 0 7%p annual degradation,3)81 2%for 25 years Dimensions(mm/in) Temperature Coefficients 5.5.4 0(X view) 1000/39 37 NOCT 45±2°C Drain holes(4ea) 40•7.5(V v,ew) Pmpp -0.41%/°C Drain holes(4ea) (o,stancebetween mounting holes) , 18/0.71 Voc -0.29%/°C NI413/1.89i413/1.89a ISC 0.04%/°C 12-04.3(12 1 B-ee.D GrouMny fides <a) () •(•)`, I a‘46.)f2 1 Moum,ng fides(Bea) �\ Characteristic Curves 10 1000w , 1000/39.37 q Cadelength j u8" 800VV , >: 6- 600W ` 5 5 ./ I 4 400W T. 3 200W o 2 94413]171 5 10 15 20 25 30 35 40 Voltage(V) 11 d. 120 II!iioiiriihhii1ti .. I11: = ". 100 Ix - ----- - - ----- - 35/1 38 Vos `/040 10/040 80 - H4 0/016 5.5/0.22 08J0 31 Pima 60 of 60 Of- 'a 40 81.5/0.06 y Detail 0 Detail0 Detail 20 . ._. ---_ .. 28/1.10 1 rim Long side frame Short side frame 0 -40 25 0 25 50 75 90 Tempetamre VC) •The distance between the center of the mounting/grounding holes ® L^ North America Solar Business Team Product specifications are subject to change without notice. El CI LG Electronics U.S.A.Inc "LG Life's Good"is a registrated trademark of LG Corp. Life's Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 All other trademarks are the property of their respective owners %I 1 III DS-N-60-C-US-F-EN-31002 Innovation fora Better life Contact:Ig.solar@lge.com •aCI www.lgsolarusa com Copyright©2014 LG Electronics.All rights reserved. 0 06/17/2014 C cc solar • • LLI SolarEdge Single Phase Inverters cC For North America SE3000A-US / SE3800A-US / SE5000A-US / SE6000A-US / SE7600A-US / SE10000A-US / SE11400A-US I. t4So 4 *I vos ‘,S tirtfitte systems fe,r NEC 20'11 690.1.1.compliance stiodh-or' (98* Small,lightweight and easy to install on provided bracket • Buift-In module-level monitoring • Internet connection through Ethernet or Wireless ▪ Outdoor and indoor installation .• Fixed voltage inverter,DC/AC conversion only — Pre-assembled Safety Switch for faster installation — Optional—revenue grade data,ANSI C12.1 www.solaredge.us USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL solar - • • - Single Phase Inverters for North America SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/ SE7600A-US/SE10000A-US/SE11400A-US SE3000A-US {SE3800A-US SES000A-US SE6000A-US SE7600A-US SE10000A-US 1 SE11400A-US OUTPUT 9980 @ 208V ' Nominal AC Power Output 3000 3800 I 5000 6000 760011400 11400 VA 10000 9240V i Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V ! 12000 VA 5450 @24oV- . 10950 @249y ••• AC Output Voltage Min:Nom:Max.1�1 183-208-229 Vac AC Output Voltage Min:Nom:Max.1i1 ✓ / / / / 211-240-264 Vac 1 I j AC Frequency Min.-Nom.-Max,"). 59.3-60-60.5(with HI country setting 57-60-60.5) Hz I. 24 @ 208V 48 @ 208V Max.Continuous Output Current 12.5 16 25 32 47.5 A . 21 @ 240V 42 @ 240V GFDI1 A Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT Recommended Max.DC Power(2) ; 3750 1 4750 I 6250 7500 9500 12400 j 14250 W Transformer-less,Ungrounded Yes Max:Input Voltage 500 Vdc Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc 16.5 @ 208V 33 @ 208V Max.Input Current131 9.5 I 13 23 34.5 Adc _1 .5@240V 18 30.5@240V Max:Input Short Circuit Current45 Adc Reverse-Polarity Protection Yes Ground-Fault Isolation Detection 600ks:Sensitivity Maximum Inverter Efficiency 97 7 98.2 98.3 98.3 98 1 98 4 98 % CEC Weighted Efficiency 97.5 98 97.5 @ 208V 97 5 97 5 ! 97 @ 208V 97 5 % 98 @ 240V ; j 97,5 @ 240y Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) Revenue Grade Data,ANSI C12.1Optionalm) Rapid Shutdown—NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed'S1 STANDARD COMPLIANCE Safety UL1741,UL16998,UL1998,CSA 22.2 Grid Connection Standards IEEE1547 Emissions FCC partl5 class B INSTALLATION SPECIFICATIONS __ AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4"minimum/8-3 AWG DC input conduit size/#of strings/ AWG range 3/4"minimum/1-2 strings/16-6 AWG 3/4"minimum/1-2 strings/14-6 AWG Dimensions with Safety Switch 30.5x12.5x7/ } 30.5x12.5x7.5/ 30.5 x 12.5 x 10.5/775 x 315 x 260 In/ .(HxWxD) - -- 775 x 315 x 172 . 775 x 315)i? . mm Weight with Safety Switch 51.2/23.2 54.7/24 7 88 4/40.1 lb/kg Cooling Natural Convection Fans(user replaceable) • Noise < 25 <50 dBA . .. -.. - ,,, Min:Max.Operating Temperature -13 to+140/-25 to+60(-40 to+60 version availablelb)) °F/°C Range . . ,•, • Protection RatingNEMA 3R i '11 For other regional settings please contact SolarEdge support. 131 Limited to 125%for locations where the yearly average high temperature is above 77'F/25'C and to 135%for locations where it is below 77'F/25'c. For detailed information,refer to http://www.solaredae.us/files/odfs/Inverter dc oversizing guide.odf 131A higher current source may be used;the inverter will limit its input current to the values stated 1v Revenue grade inverter P/N:SExxxxA-US000NNR2 5)Rapid shutdown kit P/N:SE1000-RSD-51 161-40 version P/N:SExxxxA-US000NNU4 TiECUA sunsPFE Ro H S S„11 4,, 1 i ,I,,,— I _.11r SIIl ,1 551,,r 15C.14h1tDGF.,the SelarlI,,,I, ' .I T MI_ED ,Y S,1L;1ki.[,,,1 1r I II III 1: if 'pislr rr11.11i,r Fs of Soil+ ii, HI I:III ICI,IlS.IRS.AS nthe''r tr.blt ir 1;OIi..s.11,11,,rrcrl 151101:1 ,ur t rrdmnler4,of thar 1,-,,t,to,,,,,,r, Date:U 7.201 4.v 51.Suhlect to 01:500:'iv I I n t 11,1,,0 solar • SolarEdge Power Optimizer Module Add-On For North America F-- P300 / P400 / P405 C:4 rr 4111110 **,444111100 ; . *la V . • , r7_ • = r .„-;* * the t , Superior :•-i:- (99314) 0. Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading • Flexible system design for maximum space utilization • Fast installation with a single bolt • Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us solar - • • I SolarEdge Power Optimizer Module Add-On for North America P3OO / P4OO / P4O5 P3O0 P4O0 P405 (for 60-cell modules) (for 72&96-cell modules) (for thin film modules) INPUT Rated Input DC Power1'I 300 400 1 405 W Absolute Maximum Input Voltage 48 80 125 Vdc (Voc at lowest temperature) MPPT Operating Range 8-48 8-80 1 12.5-105 Vdc Maximum Short Circuit Current(Isc) 10 , Adc Maximum DC Input Current12.5 Adc Maximum Efficiency99.5 Weighted Efficiency98.8 % Overvoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) Maximum Output Current 15 . Adc . Maximum Output Voltage 60 I 85 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) Safety Output Voltage per Power Optimizer 1 Vdc STANDARD COMPLIANCE EMCFCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 Safety .. IEC62109-1(class II safety),UL1741 RoHS Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage . 1000 Vdc Pxxx-2 series 141 x 212 x 40.5/5.55 x 8.34 x 1.59 mm/in Dimensions(W x L x H) 128 x 152 x 27.5/ 128x152x35/ I 128x152x48/ mm/in Pxxx-5 series 5x5.97x1.08 . 5x5.97x1.37 l 5 x 5.97 x 1.89 Weight(including cables) - Pxxx-2 series • 950/2.1 gr./lb Pxxx-5 series 770/.1.7 I 930/2.05 930/2.05 gr/lb Input Connector MC4 Compatible Output Wire Type/Connector Double Insulated,Amphenol Output Wire Length 0.95/3.0 I 1.2/3.9 m/ft Operating Temperature Range -40-+85/-40-+185 ."C/`F Pxxx-2 series IP65/NEMA4 Protection Rating • Pxxx-5 series IP68/NEMA6P Relative Humidity . 0-100 1 % I'I Rated STC power of the module.Module of up to*5%power tolerance allowed. PV SYSTEM DESIGN USING SINGLE PHASE THREE PHASE 208V THREE PHASE 480V A SOLAREDGE INVERTER(2) Minimum String Length 8 10 18 (Power Optimizers) Maximum String Length 25 25 50 (Power Optimizers) Maximum Power per String 5250 6000 12750 W Parallel Strings of Different Lengths Yes or Orientations • • I2'It is not allowed to mix P405 with P300/P400/P600/P700 in one string. CE Eta _ ,,,..,*.h., ,,h Futon Inc_111 t I res,,,rri.SOLWRE DGE th, S I irESI .'loge 1)PIIMIt4ID P14$01.AIhLDGE r. ,d'm f b. c-1 r`blot U1 I iO s oY SC , ;.Ir 1 1,1,0.1 r.1 a V I 1)1 1111 3fB xlem.irks of their it s.,l.tvc-owrn rt Date:111 2014 V.01 bubrect I) .,,,nor,w lieu t11u.c The low part count and minimal tools required brings unparalleled simplicity E C 0 )( and speed to mounting systems. EcoX, accompanied by a 15 year warranty,will accelerate your installations resulting in more profits and fewer headaches. `ti \\: 0 -„ ,y +► Rotate to Lock: Lay-in Accessibility: Leveling Adjustability: With a quick twist,the Unique design allows modules to be The leveling post allows clamp assembly is locked placed from above into an already height adjustability before and into place,no tool needed. tightened clamp. No need to reach over after modules are in place. or walk on modules to tighten hardwaare. '+ \ ltd**'.,41r-46 c North South Skirt Adjustability: Adjustability: Optional Accessories • Micro Inverter Brackets The adjustable skirt accommodates EcoX lower support different module thicknesses and • Wire Management provides 41/2'of . Junction Box Mounts delivers a clean finished look. NS adjustability. 0N.. sales1 ecolibriumsolar.com US.720-249-1877 www.ecolibriumsolarcom Ecoli bri um Solar latinamerica1 ecolibriumsolarcom MX.+52 81 84214765 • EcoX embodies the advancements required to CO X accelerate the deployment of Solar. By reducing the total cost of a PV array through simplified logistics,a streamlined installation process using preassembled components, EcoX delivers a higher quality install at a lower price/watt. . , Alla \\I\ • 4f 41W 4 main components Benefits oF Design: • Rail-less • CertiAied to UL 2703 Subject • Integrated Grounding • Preassembled Clamp Coupling Components • Low Shipping Cost • Quick Installation Attachment Kit Skirt . .1 salesRecolibriumsolar.com US.720-249-1877 www ecolibriumsolarcom Ecolibrium Solar latinamericaRecolibriumsolaccom MX..52 81 84214765