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HomeMy WebLinkAbout39948-Z %O��UFF�I'fCp ' G' Town of Southold 2/23/2016 � t 3l� P.O.Box 1179 g 53095 Main Rd O��Ql ��0�F. Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38111 Date: 2/23/2016 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 995 Schoolhouse Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-1-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/8/2015 pursuant to which Building Permit No. 39948 dated 7/15/2015 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ROOF MOUNTED SOLAR PANELS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Gackenheimer,Charles of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39948 01-13-2016 PLUMBERS CERTIFICATION DATED `Sgp,_,-1TOOPPiam... Authorized Signature TOWN OF SOUTHOLD oma° BUILDING DEPARTMENT ig TOWN CLERK'S OFFICE %c: 471, � SOUTHOLD, NY * -.„„ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39948 Date: 7/15/2015 Permission is hereby granted to: Gackenheimer, Charles PO BOX 107 Cutchogue, NY 11935 To: Install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 995 Schoolhouse Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-1-27 Pursuant to application dated 7/8/2015 and approved by the Building Inspector. To expire on 1/13/2017. Fees: SOLAR PANELS $50.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $100.00 Total: $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-existingt � Building: I� (checkchgoone()� Location of Property: qt13---c_stiaboi 1 1 � -�Y atikk i (re, House No. Street Hamlet Owner or Owners of Property: If AU-ES ( IPS CV cJ cit a Suffolk County Tax Map No 1000, Section /002 Block / Lot a-7 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ App 1 ant Signature i ow iii......... O Town Hall Annex �� : Telephone(631)765-1802 54375 Main Road i ill 411Fax(631)765-9502 P.O.Box 1179 1kco Southold,NY 11971-0959 �`4®ly -4% s roger.richertCc�town.southold.ny.us ------_„„%,"c®UNii\‘`.".� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Gackenheimer Address: 995 Schoolhouse Road City: Cutchogue St: New York Zip: 11935 Building Permit#: 39948 Section. 102 Block: 1 Lot: 27 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 A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 3.6 KW Roof Mounted Photovoltaic System to Include 12- LG 300W Panels and 1-SE 3800 Inverter. Notes: Inspector Signature: ___7 ___ Date: January 13, 2016 Electrical 81 Compliance Form.xls UTAH OFFICES Sandy • IIILayton E n o i n E E R s St. George Project Number: U1521-524-152 - 1 July 30,2015 I i_ L FEB 1 6 2016 Level Solar 90 13th Ave. Suite 8 ;; Ronkonkoma,NY 11779 r I ATTENTION: Eric Negron REFERENCE: Charles Gackenheimer Residence: 995 Schoolhouse Road,Cutchogue,NY 11935 Solar Panel Installation Dear Mr.Negron: Per your request, we have reviewed photographs and a post-installation checklist for the above-referenced site. Based upon our review, it is our conclusion that the installation of solar panels on this existing roof occurred in accordance with the building code and our original requirements as stated in a letter dated July 02,2015. Rafter size and spacing has been verified to match the original design. Water damage was not encountered during work on and under the existing roof. No pre-installation splits, cuts, breaks, or visible sagging was encountered in the existing roof framing. After installation was complete, it was verified that all roof-penetrating fasteners actually penetrated into the roof framing and did not visibly split the framing members. No existing damage to any existing structure was discovered and no damage was caused to any existing structure during installation, according to the installer. All roof penetrations were sealed and flashed as a means of waterproofing. Our conclusions are based upon our review of the photos and a checklist prepared by the installer. This letter does not waive the installer of any responsibility for improper installation. As stated in a previous letter, our conclusion regarding the adequacy of the existing roof is based on the assumption 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. 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, VECTOR STRUCTURAL ENGINEERING,LLC OF NFp1i Gj�"C? H /4411;e,,, ,9' Roger T.Alworth,P.E. cc Principal cU 0R 082149.:\ RTA/ksa NY Firm License#• OFSSIO�N.' COA 009721 7/30/15 9138 S State St., Suite 101 I Sandy, UT 84070 I T (801)990-1775/F (801)990-1776 I www.vectorse.com FIELD INSPECTION=OATDATE t , , ' -p,,. COMMENTS ._: _ •••4. _ ---c7 • OUND,A. 'SON(1ST) , -,-„-- , ' •. .. -s , .1 . ' t .. ' . . . Y . - FOUNDATION(2ND) • P e...�._._.� . ----t- r , • 'fry • ROUGH FR NG.& H PLUMING —.—,...:— , • ' a.: • • • INSULATION'PER N.Y. H STATE ENERGY COME ! , ,.....,_ , J . A']�� •�...r.�... ' f , l• .1!• .. .v . . NAL . • • • . p. ______ . .. .. . . AfftukJ , ,5).1 ,.. . >,.._-_....,," .._..../4: . ,....{,,e) .1.6p ,.• . -,• . ..• . ..._. ...,_ . , • . .___,, 1 .,,,(-<.f! , .t."-$-1?-",Q:(-11/7 d (—(6— 6 ,,,eD 0.cji--vi,e, ri?Ai,-pc 41 ',' /. ' . . . .2. . •.. , .. . .. . 1 .....,... . ,_. . . , .. . . .,.. . . p _. ._ . . ,J.. , . . �.T ' •.. •,,...III TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802_ Planning Board approval FAX:(631)765-9502 /�/) � Survey SoutholdTown.NorthFork.net PERMIT NO. "/ Check Septic Form N Y S.D.E C Trustees C O Application C Flood PermitExamined 20 [J Single&Separate Storm-Water Assessment Form Contact: Approved --li 1,5- ,20 1 5 Mail to. Level Solar Disapproved a/ 90 13th Ave Unit 8 Ronkonokoma, Expiration 1 Phone 631-285-2557 NY 11779 1 3 ,20 1 7 uilding Inspector APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Buildin Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the consti u io II;dings,additions,or alterations or for removal or demolition as herein described.The Japplicant'agree's toJcomply with Atha.,licable laws,ordinances,building code,housing code,and regulations,and to admit u onze ms ors-oirpre i es ails in building for necessary inspections. ei `I JUL .. 2015 (Signa e of ap.lican or name,i a corporation) r 90 13th Ave Unit 8 Ronkonkoma, NY 11779 r . _TE! o (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 C NAfc--C.5 6 A C VT E l{ t cj (As on the tax roll or latest deed) 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. Locations en Tiltourhirrk wdl)be dop Jt ( 0 lie House Number Street Hamlet County Tax Map No. 1000 Section /® a Block ) Lot 82 7 Subdivision Filed Map No. Lot , 2. 'State existing use and occupancy ofpremisesand 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 .1f 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.) �� of said owner or owners,and is duly authorized to perform or have perfo fi- c.�id w r . to make and file this application; that all statements contained in this application are true to the best of '' "�"di dge_ ii r d that the work will be performed in the manner set forth in the application led therew t c ' 2\\LC c- ' 0 c'• J" J` 4).''c ) Sw; . i.-. 1,r, me I's JJ `�'�3Ue\Sv�k- A •Y 20 P• \\C\\ :-I.� ��! 1 f � °� °>�¢``.�° \ �`1�. I ;gym, SAAR 11 It ' , ' ''4 CJ" Sip 1 ature i f Applicant , uffot Scott A. Russell •'' � STORMWA\TlER SUPERVISOR oMANAGEMENT to : w z SOUTHOLD TOWN HALL-P.O.Box 1179 7. O 47 53095 Main Road-SOUTHOLD,NEW YORK 11971 �+` Town-of Southold ., +'* CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES_ THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) f`, ❑❑rA. Clearing, grubbing, grading or stripping of land which affects more ,�� than-5,0.00 square feet of ground surface. ❑0"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 ❑['f100-feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑d'E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. • ❑D 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 Pi ofessionaL Agent.Contractor.Other) S.C.T.M. •• 1000 Date. Distract NAME Level Solar f Q Fl //f ^" Section Block Lot I � ****FOR BUILDING DEPARTMENT USE ONLY ** Contact Information 31-285-2557 'Telephone Yumhcn 5 1 1/) Reviewed By: Date: '74/i J/ Property Address/Location of Construe ion Work: aApproved for processing Building Permit. �,�� �.i '� , u Stormwater Management Control Plan Not Required. WISIA ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) ' FORM # SMCP-TOS MAY 2014 Jul 16 2015 11:34AM Level Solar 6312852558 page 1 Lr '1-‘11 iSqrO . JULID ii ! 1 16 201 err a ,sir%c S002 Town Halt Allem ��' '`-, ' ','n i lig i Tekphone��FFaaxx (fi366U�5..7996�55-122862 t 54375 Matin Road % cn ; rnger.richert�tv_town 10.1 nolo.nv.us f _ P.O.Box 1173 L � ' � ta Southold,NY 11971-0959 it 'vi1N{tflrP• . BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION 'REQUESTED BY: jam Date: -711(ptic--- ____ Company Name: - Lo-a,1 so LtLr . Name: License No.: j F5(I— fl r Address: q /34/1 � V147` " el ri)fC / /)) 1:( • Phone No.: • (T1 JOBSITE INFORMATION: (*Indicates required information) - *Name: mils &a i 1 / I d.. / . *Address: f J i IJAC I *Cross Street: *Phone No.: ,031- 72 -cO 6 a 0 . Permit No.: _ 3/ 9 Tax.Map District 1000 Section: /00Q Block: I Lot: 4 - *BRIEF DESCRIPTION OF WORK(Please Print Clearly) ; • - ii a -..ccJ lOX :Oil . • (Please Circle All That Apply) *Is job readyfor inspection: YES � NO Rough In Final *D).you need a Temp Certificate: YES/ NO Temp Information(if needed) E *Service Size: 1 Phase 3Phase100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional information: PAYMENT DUE WITH APPLICATION ` . 9Ge/f/Ce ifiC) 82-Request for Inspection Form I lQ U 7//6/D Town of Southold Building and Solar Permit Application Pack Customer:Charles Gackenheimer 995 Schoolhouse Road Cutchogue, NY, 11935 (631) 734-6820 Tax ID:102-1-27 Contractor:Level Solar 90 13th Avenue, Ste. 8 , ____ __ Ronkonkoma, NY 11779 I fir' LI, '// 631-285-2555 Iu I JUL -s 203 I %. E!Lq G,i'f 01JIHOLD 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 CONSENT TO INSPECTION .KA•V-CE5 61A CKCP W(114 " ,the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersi d is) ar ) e ower(s) the premises in t e�T of�Q Southold, located at SCV UO r ,hV u ' which is sh wn and designated on the Suffolk County Tax Map as District 1000, Section- 1 ,Block I ,Lot_ 9.--) . That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: (so a rpaittiT • 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. Dated: (. 2' (Signature) (Print Name) (Signature) (Print Name) NEVE 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 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 L')a' STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART L To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la. Legal Name and Address of Insured(Use street address only) lb.Business Telephone Number of Insured LEVEL SOLAR INC (631)285-2555 236 WEST 30TH STREET SUITE 600 Ic.NYS Unemployment-Insurance Employer Registration NEW YORK, NY 10001 Number of Insured Id.Federal Employer Identification Number of Insured or Social Security Number 464-06-0893 2. Name and Address of the Entity Requesting Proof of 3a.Name of Insurance Cattier Coverage(Entity Being Listed as the Certificate Holder) NEW YORK STATE INSURANCE FUND Town of Southold 54375 Rte 25 3b.Policy Number of entity listed in box"la": SOUTHOLD, NY 11971 DBL 6430 71 -5 3c,Policy effective period: 12/18/2014to 12/18/2015 4.Policy covers: a.El All of the employer's employees eligible under the New York Disability Benefits Law b.® Only the following class or classes of the employees employees: Under penalty of peijcuy.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 07/6/2015 By 4 � Joseph J. M asi (Sigretu,e of insurance o rriers authorized reptese rtat We of NYS Licerned iroura rce Agent of that,Insurance rrier) TelephoneNumber (866)697-4332 Title Director of Disability-Benefits Insurance L2tPORTANT: If bolt"da"is checked,and this form is signed by the insurance carrier's authorized representative or ATS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Main it directly to the certificate'holder. If box"4b"is checked.this certificate is NOT COMPLETE for purposes of Section 220.Snbd.S of the Disability Benefits Law. It must be mailed for completion to the Workers'Compensation Board.DB Plans Acceptance Unit 20 Park Street.Albany.New York 12207. PART 2.To be completed by NYS Workers'Compensation Board(Only if box"4b"of Part 1 has been checked) State Of New York Workers'Compensation Board According to information maintained by the NYS Workers'Compensation Board.the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his!ber employees. Date Signed By (Signature of NYS Workers'Compensation Board Employee) Telephone Number Title Please Note:Only insurance caniers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Fonn DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1(5.06) Certificate Number 330785 ACORO® DATE(MMIDDmvY) 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 PH NN Ext) (801)325-5000 FAX (AICNo):(801)532-2804 136 E. South Temple Street AD_AIL DRESS.mnoorda@diversifiedinsurance.com Suite 2300 INSURER(S)AFFORDING COVERAGE NAIC# Salt Lake City UT 84111 INSURER A Colony Insurance Company INSURED INSURER B:Sentinel Insurance Co 11000 Level Solar Inc. INSURER C 236 West 30th Street #600 INSURER D• INSURER E New York NY 10001 INSURER F: COVERAGES CERTIFICATE NUMBER:2014, 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 MD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRMMGE TO RENTED PREMISES 000 PREMISES(Ea occurrence) $ r A CLAIMS-MADE 7OCCUR PACE302845 12/15/2014 12/15/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 71 POLICY n.PIF n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ f2js Ifttl $ 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 HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ _ AUTOS (Per accident) - $ UMBRELLA LIAB — OCCUR EACH OCCURRENCE — $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I NTORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED'? n N/A (Mandatory In NH) E L DISEASE-BA 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 ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold 54375 Route 25 Southold, NY 11971 AUTHORIZED REPRESENTATIVE l Regan Guth/KS _� T ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS1125 r2nlnnFl 01 Thm Arr1Rn name and Irwin arc renietererd marlrc of Ar'r1R11 • • ' d SUFFOLK COUNTY DEPT OF LABOR, • • LICENSING&CONSUMER AFFAIRS ,; HOME IMPROVEMENT CONTRACTOR '°G - _ LICENSE RICHARD KEISER This certifies that the BUSNESSNAME LEVEL SOLAR INC bearer is duly licensed by the Lkrr.r,,w„r, oM.Inra County of Suffolk 7,-,/.494HZ:4' 51859-H 06/19/2013 f Ccrmfrmrer EXPRA^Cn DA*. A 06/01/2017 (3� fJI i1 ° i • • ' PP` • .11 SUFFOLK COUNTY DEPT OF LABOR, , LICENSING&CONSUMER AFFAIRS• • pt aY» ''g' MASTER .; "� "" ai. ELECTRICIAN p' AnZ NM£ .u' ,, SHAWN RANALDO This certifies that the 131.:ShE93N bearer is duly LEVEL SOLAR INC licensed by the • County of Suffolk ``�n'•' Di °"'bumf 51858-ME 06/19/2013 Ca miszener Exna.^«.DA'E 06/01/2017' kf t1 ({I • i m Scale: 1"=30' LEGEND NOTES ✓ �O 60� — —— Property Line I Any plumbing vents through roof are not to be cut or covered over during solar 0 N Electrical meter and installation.Any modification or relocation of vents will require a plumbing permit and 4; inspection. estimated inverter location p \ / N / \ / \ N / N / N / \\ / N / \\ / N / \ N / \\ ELECTRICAL METER / N AND ESTIMATED / \ INVERTER LOCATION / / \ / \ `, N N N N N N / Schoolh. se N I / Ro.: \\ / N / N N N • // STRUCTURAL ONLY ,774 OF iwz:6;....\ N N. N Driveway / !r <fz OS' N / .1. '..`alf CC N N / rtt C ttiji N U '�a \ / v. N "a 0b�149" r \ / NY Firm License#: ' �Ot. --- � \J COA 009721 ~' slO"�� 712/15 SYSTEM INFORMATION Roof Slope(deg) #of mods Distnbuited Weight/Loading LEVEL SOLAR (see additional details in engineering calculations) Name weight(psf) points (lbs) 844-GO-LEVEL SERVICE@LEVELSOLAR COM Total#of mods 12 Roof 1 26° 12 2.7 11.7 Module type LG 300N1C-B3 SITE PLAN Module size 300 Watt Charles Gackenheimer Module weight 36 96 lbs 995 Schoolhouse Road Module area 17.65 sq ft Cutchogue, NY, 11935 ELECTRICAL INSPECTION REQUIRED • APPROVED AS NOTED DATE: 45115 l .P.# 3 VI l e - FEE: 50,00 BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: RETAIN STORM WATER RUNOFF 1. FOUNDATION - TWO REQUIRED PURSUANT TO CHAPTER 236 FOR POURED CONCRETE OF THE TOWN CODE., 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODESOF NEW YORK STATE &TOWN CODES AS REQUIRED AND CONDITIONS OF -381 H81-BiOli - somaTompboweram 391 LGL-FOWN-TRUS1EES Id.Y.S.DEC OCCUPANCY OR JSE IS UNLAWFUL NITHOUT CERTIFICATE OF OCCUPANCY r 0rfi 'cam UTAH OFFICES i '�, .).€' Fr..� ,:, .,,, Layton St. George Project Number U1521-524-151 July 2,2015 Level Solar 90 13th Ave Suite 8 Ronkonkoma,NY 11779 ATTENTION Eric Negron REFERENCE- Charles Gackenheimer Residence: 995 Schoolhouse Road,Cutchogue,NY 11935 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 125 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, VECTOR STRUCTURAL ENGINEERING,LLC OF N 't �p ¢ T ALL_ Roger T Alworth,P E /r- fi`''. ``f 1- Principal NY Firm License#. r ' 4; ' m COA 009721 Enclosures \ ,,`,_.4„;,' 1 ii- RTA/ksa ��„ r�'�;49- ,<, �.ssio� /2/15 9138 S State St Suite 101 I Sandy UT 84070 I T(801) 990-1775/ F (80 1) 990-1776 I www.vectorse.com RIDGE ON TOP 1 EAVE ON BOTTOM ! 726" 13".k i s� 'die7��-` �� 71: ."--,'�:,~ -Mrr'� :.i - II :,. r_ ..s'—>'—_—''_ — 172" ; '.; 1: ` ' t,t, b. . `-- :,-; V."f :,( l; ;' jfi ,F, ,;. J ft. 7F:Y 29" I I I I STRUCTURAL ONLY (� 0C)C tk T '.1 4.11'0''IP' , , ' l(yt1. � ,; ( f cTt "NY Firm License#. fpF� N--COA 009721 sslp7/2 /15 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 2x6 Rafter Members LEVEL SOLAR # Over Up Over Up INSPECTED AND FOUND TO HAVE A @ 16"OC SINGLE LAYER OF SHINGLES Roof 1 - 12 Mods - 26° Itch 1 64 57 39.37 39 37 64.57 MAX HEIGHT OF PANEL ABOVE ROOF p 844-GO-LEVEL SERVICE@LEVELSOLAR COM SURFACE NOT TO EXCEED 6" Interior Edge INSTALL PLAN 2 129 64 80.04 79.24 130 44Corner Wind Zone 3 194.71 120.71 119.11 196.31 LANDSCAPE Max Spacing(in) 32 16 16 4 259.78 161.38 198.85 262.18 Max Cantiliver(in) 11.7 9.3 7.7 28 Charles Gackenheimer 5 324.85 202.05 238.72 328.05 Max Spacing(in) 16 16 1630 995 Schoolhouse Road PORTRAIT - 6 389.92 242.72 278.59 393.92 Max Cantiliver(in) 9 7 5.7 Cutchogue, NY, 11935 ^ . . . Z36VV3OthStreet, Suite 600New York, NY 10001 844-GO-LEVEL Customer Information: Name Charles Gackenheimer Address 995 Schoolhouse Road City, State, Zip Cutchogue, NY, 11935 Design Information: Number of Faces Used 1 Exposure Category C Wind Speed (mph) 125 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 12 Module Type LG 300N1C-B3 Modules Size 300 W Array Size 3.600 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 • • i -,t x� 4-" h ti` t: _1.Fr p.. ._.. {[L:.._ riav '.I :�s 4k V, .�.., .tom..- :✓ �'.,^ ,4 CS+. " ., . . .-n.... z...._ .-... u�..............w...su✓_...... r -,rw J 236 W 30th Street, Suite 600, New York, NY 10001 844-GO-LEVEL Surface Information: Roof 1 Members Type Rafter Roof Pitch 26 deg Members Size [in] 2x6 Least Horizontal Dimension 30 ft Members Spacing [in] 16 Average Roof Height 25 ft Edge and Corner Dimension 36 in Number of Modules 12 Portrait wind zone 30 in Number of Optimizers 12 Landscape wind zone 28 in Estimated Number of Attachments 48 Distributed and Point Load Calculations: (Solar ABC's Expedited Permit Process for PV System(EPP)) Roof 1 Total System Weight(modules, optimizers, mounting system,etc.) 563.8 lbs Total Array Area 211.8 sq.ft. Distributed Weight 2.7 psf Weight per Attachment Point 11.7 lbs Snow Load and Wind Pressure Calculation: (ASCE 7-05 Sections 6-7) Roof 1 Interior Edge Corner Flat Roof Snow Load (Pf) 22.7 22.7 22.7 Slope Factor(Cs) 0.8 0.8 0.8 Roof Snow Load (Ps) 18.1 18.1 18.1 Net Design Wind Pressure uplift(Pnet30_up) -25.7 -44.8 -66.2 Net Design Wind Pressure downforce(Pnet30_down) 16.2 16.2 16.2 Adjustment Factor for Height and Exposure Category(A) 1.4 1.4 1.4 Net Design Wind Pressure uplift(Wup) -34.7 -60.5 -89.4 Net Design Wind Pressure downforce (Wdown) 21.9 21.9 21.9 ASD Load Combination: (ASCE 7-05 Section 2.4) Roof 1 Interior Edge Corner Dead Load (D) 2.4 2.4 2.4 Snow Load(S) 14.7 14.7 14.7 Load Combination 1= D+0.75S+0.75Wdown 29.8 29.8 29.8 Load Combination 2= D+Wdown 24.3 24.3 24.3 Load Combination 3=D+S 17.0 17.0 17.0 Uplift Design Load =0.6D+Wup -33.3 -59.0 -87.9 Maximum Absolute Design Load (Pabs) 33.3 59.0 87.9 Spacing Calculation: (EcoX Product Manual) Roof 1 Orientation: Landscape Portrait Zone: Interior Edge Corner Interior _Edge Corner Max spacing between attachments (in) 35 28 23 27 21 17 Max.spacing between attachments considering rafter spacing(in) 32 16 16 16 16 16 Max cantilever from attachments to perimeter of PV Array(in) 11.7 9.3 7.7 9.0 7.0 5.7 . . • t."';-= U6 236 W 30th Street,Suite 600New York, NY 10001 844-GO-LEVEL Pre-Installation Checklist: 1) What is the size and spacing of the rafters or truss drop chords? Roof 1 2x6 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. EcoX MOUNTING SYSTEM Front elevation detail Attachments Spacing Canldrver Cantilever Attachments spacing 1. All installed roof surfaces have been (Edge) (Interior) (Interior) Detail A inspected and found to have a single r---1 i t ( layer ofshingles {.. ,.,; Solar PanelWind Zone Sim 2. Max Height of panel above roof r Clamp on Clamp .�' ../� surface not to exceed 6" �� Attachment kit Attachment kit � 3. Attachments to the existing truss }sInterior , .�top chords or rafters must bewind zone f; ,- < r;_; rp. ,.;t Solar Panels Skirt 048°111.11111'.4.1" staggered so as not to overload any ;x existing structural member - ~r .'a o � Shingles :I'll: coupling Height of Panel4. Maximumvalues for attachmentsEdge "Rafter above roof surface spacingarespecifiedinfollowingwindzone ::1 a ._pages for each roof. Rafters Corner ; �' ;isc' i4 wind zone I i I 1 I Cantdrver Attachments Attachments spacing (Corner) spacing (Corner) (Edge) Components . ' Clamp on Attachment kit Detail A . r4.,:v.--4,',.-.,: - • i rile. v �aRS AO t� �''J h t r~-�, ac. y: .,..,w„.: Clamp;:t,":,s:^.. -- Clamp Coupling ` A,�d::- ,;•: _A.'0,t,.. FASTENER : . B-LAG SS-313x3 3" r Attachment kit ' .g 3 �-_.,'., i�• stainless lag bolt \ .• :9*.2:;* 't'{t kt to & r sw .' 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":. 4;I,'liZ'i'', E..... ,411:',,M1-,,1.:*Nii.4'$J7**;,.,;',4,c4 1,ri , .5t-y.'; :-T,-i•- s.-A._-!:,,A,,i,i,t-i,,,..4(,.;,:li., & 1, :',' ‘;',,....,,2. - •.-.,-1:4 ; ,,,0,,,....t, t,,f2.-•.„-,..:.f.,4•-.f,c- , ,.,, - r, , , ,,, • ••:)!!'::-•i''' •••71114g*WAr,"•;„4Pr' ,-1•.1,,,,3-2,,F,.*.•,..:,4t.:-:;,,i,..14,,I.Q0I, ‘4 'Vd- '.'•• ',.:•:....7' - ''' ',..,,,:.,,..•:•••-•, - .*.t,,*°*,,i'.4h:-Tt# i.,..., .,,• ....... .r„....,„i....;',,‘,.?, '': ::;:t141;:iVpIP"...''' r- ',' =,•,.”,.''..". f.'-i".Z4).:•°°' "'":;P•T:'.."'''":'..-' -:.;"........Y.'..-.4,:ii;;•:.."-' .4,•;401:..' ,..•,;„„! ,•..I-4-,-.;•:,4...,.1.1-- ' ,.1-k,..,,, ..,, .. ..:4,?;-„,,,‘ ..,:••,i,.. '-'-kk,::',,:.,!, .-' •:.; ,,:tf,,.. 4,--b-2. Utility Service O • Q 120/240 Vac 60Hz (New) ""•••••...--"" (New) • = Li,L2,Neutral (Existing) Revenue THHN/THWN-2(rated 90 deg C) Grade 125tring 1 �/ 6 AWG Cu Wire n A Meter Roof mounted in%4"PV Conduit V _ + Solar PV Modules S _ 0 0 0 0 111 11 Line-Side Tap \\6 - + _ H j (New) „. L2 © N 0 O of (Existing) New r Positive,Negative,EGC (New) (O{O PV WireTHHN/THWN-2 C (1 . (rated G0 degw rC)e (_\.\ lOAWGCuwire 0, in"PVC conduit Or O \ [N G UN G J 1 4 ' GEC GEC WIRING LEGEND Positive L1,L2,Neutral and EGC — —— Negative PV Wire in Free Air or Ground THHN/THWN-2(rated 90 deg C) Neutral 12 mods @ 300 W each = 3.6 kW8AWG Cuwire L1 /L2 in%a 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. 100 Aac Main Breaker DP 60 Aac Model'300N1C-B3 Model: P300 Model:SE3800A-US Main Circuit Breaker. 100 Aac Intertie Circuit Breaker DP 20 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.4150 W LEVEL SOLAR Isc(STC).9.98 Adc Max. Input Voltage:48 Vdc Max.Continuous Output: 16 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 GFDI: 1 3-LINE WIRING DIAGRAM Max.System Voltage:1000 W Max String Power:5250 W DC Disconnect: 1 Charles Gackenheimer Max System Voltage 1000 W String Length.8 to 17 Units *GEC not required ungrounded 995 Schoolhouse Road Cutchogue, NY, 11935 ,- _ . _ _ _ , _ . , ii . : G . . _ , , Innovation Life's Good - _ '- { :- :-= for a Better Life v m r I IL 1 r i r ! }1 e. 'x . " - • . 1-._11 A . d�= — MEI `�'w-- ' sola"r• a i award 'CD' ' WINNER 4.,--4'91-"')-'''--1.4.. qni l '' . ,r it ',f',' r,t, «d Y,1 F%, A �4 .,r. r L N C`B :s ' Jt: ,: , , „ .'3^r �j:,`�e<: .JAS..y' t '� '4-" ,d . Introducing MonoX®NeON module series,which uses - - highly efficient n-type materials,an elaborate process APPROVED PRODUCT 6 ® ce ti control adopting a semiconductor processing solution i D E cE Oak. Mil a double-sided structure.Our R&D concentrates on " Intertek developing a product that is not only efficient,but strives INA 569573 BS EN 61215 Photovoltaic Modules to increase practical value for customers. � I , HT 111 N-Type MaterialNear 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. 000000 Nano Levet Control Double-Sided Cell Structure 00©000 000300 MonoX®NeON uses the Nano-level process ' ''' The rear of the cell used in MonoX®NeON is control predominant in semiconductor designed to contnbute 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 era ihril [° °] `gni ry Light Weight Convenient Installation ELTest Current Sorting Linear Warranty Postdve Power Tehran. 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 1995, backed by LG Group's rich experience in semi-conductors,LCD,chemistry and electronic materials industry We successfully released the first MonoX®senes to the market in 2010 which exported to 32 countnes in 2 years In 2013,MonoX®NeON won"Intersolar Award",which proved its leading innovation in the industry. e ' ®n o ` NON LG300U1CB3r Mechanical Properties Electrical Properties(STC*) Cells 6 x 10 3001N -- ---- -- — ---- ---- — ------------------------ Cell vendor LG MPP voltage(Vmpp) 32 0 Cell type Monocrystalline MPP current(Impp) 9 40 Cell dimensions 156 x156 mm/6 x6 in Open circuit voltage(Voc) 39 8 a of busbar 3 - Short circuit current(Isc) 9 98 Dimensions(L x W x H) 1640 x 1000 x 35mm 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/nr,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 min,/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 EC 61215,IEC 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(Isc) 8 05 Product warranty 10 years Efficiency reduction <2% (from 1000 W/m to 200 W/m2) Output warranty of Pmax Linear warranty* (measurement Tolerance±3%) *NOCT(Nominal Operating Cell Temperature)Irradiance 800 W/m0,ambient temperature 20°C,wind speed 1 m/s •1)1 st 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 mew) 1000/39 3/ NOCT 45±2°C Dam hole,l4ea 40.75(Y view) ' Pmpp -0 41%/°C Dain holes(4ea) (Distance between mouneng holes) 18/0 71 Voc -0.29%/°C 1-----„, `Isc 0 04%/°C ,z043Groun (12<a) () (•) ....vv..) -08 0 r2 wew) Characteristic Curves Mounting holes(Seal / \\ • 10 1000W / 1000/3937 u g- Cable le°grl, , B. BOOW 6 To 600W - j - _ s 400W — • 4 3 200W � 944/37,7 5 10 15 20 25 30 35 40 Voltage(lg .'.II F 140a a1101�011111111 m g 120 � �i.�lll_IIII_IIIIIII�IIIi : = 100 Ic .- ._._..._. _ 35/138 nut 10/0.40 101040 60 40/016 5 5/0 22 ._ 08/0.31 Pmax 60 m r r m 815/006 e n, m m — P. l'..: r 40. _ __._._................._._.-...-....._____....-.. Mad Dem1Y Derail 28/110 22/087 Long sole frame Short side frame 0 -40 -25 0 25 so 75 90 remperamm VC) •The distance between the center of the mounting/grounding holes G. LG North Amenca Solar Business Team LG Electronics USA Inc Product specifications are subject to change without notice "LG Life's Good"is a registrated trademark of LG Corp 0 •F El Life's Good 1000 Sylvan Ave,Englewood Cliffs,N107632 All other trademarks are the property of their respective owners M i 1 DS-N-60-C-US-F-EN-31002 Innovation for a Better Life �, Contact lg solar@Ige corn .' .1 • www Igsolarusa.com Copynght©2014 LG Electronics All nghts reserved 06/17/2014 ® It � solar SolarEdge Single Phase Inverters ` : r 'CC << `' For North America ` , ` • SE3000A-US/ SE3800A-US / SE5000A-US/ SE6000A-US / SE7600A-US / SE10000A-US / SE11400A-US , , • ° Z - `- .- K' 'S.eb, ` f ii ,J.n'n", pSY .'.�F t ,4,24.',:, t, . 4<2e , . r. a-Y�•r..} ri`:.• any ',,' xf,�r ,- . • :`•• `' ''s ,�.4,,-, :J?_ ,,-. ••••-t-'4--4-'4,..-444-4-'-,b.�r▪ -ve.overt@ :•-'4^'"te.`-• :C' ,,'-,y•• r aar, rTw • , "`� >" Yc.•i,.. =---..'`# �,.i; ; -". ;.'jt*t;; e.t `SF- F - yr - ,1,:,`,: f.:- Y..x n.m„.\ ®ticiftt , i ., 43:•w 't:;,.s. - , `> e. . .': �J ,! ,. . ]z-, ”tT`.;� '4a * f T•v wy+ .F.-.v T ::ek - In X-20 4r £_}..:�.,,!,.:i."}qy M}, ,.••.P (r- '3 .,''-�toh_-2•14:---1, _ , a .s :F '.1 A;r.t:"•,!",'",.•A• ': l 14 "x.1`, M ' sem'' `e 4 - ,'e:'` ':'''t;'',, %'''';''.; 't,.R4^;•i r, .,>'. -`3,^A. . `'1Y' ••••.,:"•-,";' ,.:A.'42,1-,47'2.,-'. ,"' 5.4.,:'`_^':..,'T,[ik", �'•:-.%k ''' "eY. ^ 'f.-v 4 ,,yy-,nnx. ,::: yN')af Ff!:��E " �1x'.,W .ik«, .iii' • r• te.', s'�,, 1;:_�.•" -"i it ry.. -" ` M1 T x - f _ a t,..t2 e',Six-,,.t"''':";s'Yi..;�; ,{s#I; ,�,.r.y< _,.}� , ''s .- '7.<„ •'a'^. ..z.- °{'. •x,7'6 q;4;w•e".'„M • ' T M1• i a S,S' I �';'•'c 111 4 f -c'-. - . . • . . _ .,�,.- off,. ;i: yµ - nyiW'.,,w#);i 1 {tfi'•tt's5:: t. 1 y,\C}'{ Y, :» :a�r.'T-ey?a: E ,, . + ` 833tSSSk 5 'T ')..-•-'-'",•••'• y.. }' t ,;, I. 1':; E t Y' jai°'' 'i kl est choice:for.SolarEd`f e`enabled s. stems,. . g;; ' `;• .` 01 :690:11 com liance` ` ` ` Integrated;arcfaiilt,protection:(Type'1)fiorfilEC'2 1, p ' ` ° =pS'uperior•effieiency"(98%)'-.,;. 3.. .•%;'' .,. _;, :_ .Small-:lightweight',and'eas 'to:install',on'provided bracket' -•• r `• , '.'' _ V.»` J._ Built-in `modul'e>leveli-mon itorin . ' _ - , - , 3, f . r•., fi° — Internet connection through.Etherneto�,Wirele'ss'= � ` fr` .'.i. .., .. m -• . , , " Outdoor andfndoorinstallation ' - - . . . _r; . !- t- Fixed voltage'inverter:DG/AGiconversiononly ' 9 ' Y - - . - ' —.Pr assembled Safety Switch for faster,'installation: • ” - _ •"; Optional-„revenue grad_efdata,ANSI.C12:�1.. -.i..:'i'-, - _ USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us sola . Single Phase inverters for North America ® t '� SE3000A-US I SE3800A-US I SE5000A-US I SE6000A-US I SE7600A-US I SE10000A-US/SE11400A-US .- - 1 SE3000A-US SE3800A-US SES000A-US SE6000A-US SE7600A-US SE10000A-US SE11400A-US - f,OUTPUT . -, - ,-. -. - - , Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA 100000240V Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA 5450 @240V 10950 @240V AC Output Voltage Min-Nom-Max.111 ✓ ✓ 183-208-229 Vac AC Output Voltage Min-Nom-Max.ltl J / / / ✓ ✓ / 211-240-264 Vac ....,.. . ... . ..... .. .. ... . AC Frequency Min.-Nom:Max:(i1 59 3-60-60.5(with HI country setting 57-60-G0.5) Hz - Max.Continuous Output Current 12 5 16 24 @ 208V 25 1 32 48 @ 208V 47.5 A 21 e 240V I 42 @ 240V • GFDI1 A Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes .INPUT. - .`F- , _ • . 'T`. ' _ . C.-..;,, •. :.. - r .i _ - . I ; ').i:'''' • �.-T: .i Recommended Max.DC Power II IIII 3750 I 4750 I 6250 7500 9500 I 12400 1 14250 W _(STC) Transformer-less„Ungrounded Yes Max.Input Voltage 500 Vdc Nom-DC Input Voltage' 325 @ 208V/350 @ 240V Vdc I 116 5 @ 208V I 33 @ 208V Max,Input Ctirrento • 9.5 I 13 I 18 23 34.5 Adc 15.5 @ 240V 30.5'0.,240V Max.Input Short Circuit-Current 45 Adc Reverse-Polarity Protection - Yes Ground-Fault Isolation Detection - 600kk Sensitivity Maximum Inverter Efficiency . 97.7 98.2 98.3 98.3 98 98 98 % CEC Weighted Efficiency 97 5 98 - 97.5 @ 208V 97,5 97,5 97 @ 208V 97.5 98 a�240V 97 5 @ 240V .... ..., . Nighttime Power Consumption <2.5 , ' <4 W ,` I ADDITIONAL FEATURES '_ , ...,°•!•`:;'„7 ?I',.._.. .,.. . ”-`Era . > ,_ ' ,..-' a 'Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) Revenue Grade Data,ANSI C12.1 ' Optionall4l Rapid Shutdown—NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installedi5i 'STANDARD.COMPLIANCE .. . .. . .' _,. ..,, . - ,...., ' - '1:.',..':'::-'7.: -1-2-"!: -, w . . , ,.. . ., -. .,a Safety -- ' UL1741,UL1699B,UL1998,CSA 22.2 "Grid Connection Standards - IEEE1547 Emissions,- __ .° ._ . ' „ , FCC part15 class B F°INSTALLATIONISPECIFICATIONS' - ., r-,- b, ' % x?.-':,: ,. --. ,:- 3: J:-: -2,::::1'.;;-,:„.: :!.,7::-.,.. Sit r. AC output conduit siie/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 5 x 12.5)(7/ 30.5 x 12.5 x 7.5/ in/ 30.5 x 12.5 x 10.5/775 x 315 x 260 . -(HxWxD) 775x315x172 -775x315x191 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 Rating NEMA 3R iu For other regional sethngs please contact SolarEdge support Pi Limited to 125%for locations where the yearly average high temperature is above 77'F/25.0 and to 135%for locations where it is below 777/25'C For detailed information,refer to http//www solaredge us/files/pdfs/inverter dc oversizing guide pdf OA higher current source may be used,the inverter will limit its input current to the values stated 1°t Revenue grade inverter P/N SExxxxA-USOo0NNR2 (Si Rapid shutdown kit P/N SE1000-RSD-S1 161-40 version P/N SExxxxA-USOOONNU4 ;til < hE �f :-,t,,,,-t,-,--c,,, • ,» w } T, ' ''' ,i ad ' , r „ 't sunsPEc RI, , t t � S ©SolarEdge`Technologies Inc NI rights reserved SOLAREDGE the SolarEdge logo.OPTIMIZED.BY SOLAREDGE ' ,are trademarks or reglstered-trademarks ofSolarEdgeTechnologes tnc,-Aur other„-tra lemarks mentioned=herein ., `'_a g� ,,,�.y,,, are trademarks of theft,respective owners Date-07/2014 1401.Subject.to change-wi hout notice: '"*" - N -..'y''' _ h s. a-s zsa '‘,..t.-„ s =r for W; .? �.4'° r.:4,`;',; 3�.0°! t ..-;.--,".2,4.,—ti-4,1-5;.,P..° f .t l Y r, +t •y' .€ „ . •. .., • . .. . . . . , . -.--- --- VV CC- solar ...,,,,r,---1. -,----i'...•,-e'v-.-*.: . - • • . • . 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PV oweroptim. iz -io a., ,r1- :., --- , --.... ,...-. ,.:-.: .,.. ..,i "-- ' , -,,,..Up to more encrgyf . .,-,, „,,-, - 77Superior efficiency(99.5%) 'f:',...: ,- ,..:, ..-,,_ _ ,,,,, . ,, . , -,Mit1 1iiof n (;d.ife;inis'.in;tCh'Io ---4-, fliiini:.liqii-gjac:piori -,t9re.,*15e.9,pr,t-iI.,..shading .., ,:, e,; r.,,,,,,,,,,„: .; , igates a types • •. -.. - - ”, ,- ,.‹,;:.„,,: ., ,--.-!.•• ,.. -.:, .-- ,,.-•- ,. --.: .--,--,--- - _.----' , .- - - .•".-i ' ' ' ' design for maximum utilization. .. .. . -• .„,, .,,. , , ::. Fle5cible,..sytem . .: : .,., , ,,, - , .• ., „.. ,-,, ,,,,, ,, , „ , ,, „ , ,., ,,, il'' Fast installation with a'shigle bbit: ' -- ,:--- , , „,,,, V , _. r,..., ,, ,, , .„, ,,.„, ,, 1 ''.' ::: ''';:' '':Next"Igetirtii-i'of` maintenance-, :1nAttsi•*ripiiiF-Jqim9n),t0ring',:,: ,,, ,T , -- -: : ,,, ,: : . , . .:„ ,_,,,,i, - Module-level voltage v.-_1ge•shi_s.(8 *:shutdown iil.,,tf10•,--arict:firefi.,ghter-sr!t?-. , ,, ,. . . ,.„, .- -,. , -.:.-- -,..„, , USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us • , solar � "® SolarEdge Power Optimizer '�- 3 Module Add-On for North America P300 / P400 / P405 Ij P300 ' ' P400 P405 (for 60-cell modules) (for 72&96-cell modules) (for thin film modules) INPUT;s;` _. _.'. .,'''.•.: ._'" -",;,•",.-, ' a`", ,;.---.10R,'o^s.; ,,'•,, > .,4 s 1•'. . --` , ... -, - Rated Input DC Power1�1 300 i 400 405 W .... . ..... ..... .... .. Absolute Maximum Input Voltage , 48 125 Vdc (Voc at lowest temperature) .. ........... .. ...... ... .... ... . . ... ..... MPPT Operating Range 8-48 I 8-80 12.5-105 Vdc Maximum Short Circuit Current(Isc) 10 Adc - Maximum DC Input Current 12.5 Adc Maximum.Efficiency 99.5-- Weighted Efficiency. ` • p ' 98.8 = •. % 'Overvoltage Category . II ' OUTPUT OPERATION'(POWER OPTIMIZERCONNECTED TOiOPERATING SOLAREDGE INVERTER)`: , :--"'`..'= .`_ ;-,:s' ti Maximum`Output Current 15 Adc Maximum Output Voltage t 60 • , . 85 Vdc I.OUTPUT DURING'STANDBYr(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER;OR'SOLAREDGE INVERTER,OFF) m'` ' Safety'Output Voltage per Power Optimizer ' - 4 Vdc ,'STANDARD COMPLIANCE „- ,,,,?-A_ . . ,. .-. . : .< ."-i."_ ,, .. t . ..• ''. -- - EMC . - - - - -• FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3- Safety', , = - ' . - IEC62109-1(class II safety),UL1741 -', , RoFIS _ Yes ' uINSTALLATION'SPECIFICATIONS...;:,• ..,. .,. .%.:...;.,'„,4:,, -' .,.,,... ,.... .,. ,. ,..---. 4...K. .. .:a 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(1 L x H) ' - ' '128 x 152 x 275/ 128 x152 x•35% '- .' ` • 128 x 152 x 48/ mm/in • , Pxxx-5 series 5x5.97x;1.08 5x5.97-"x1'.37'°- 5 x 5.97 x 1.89 ' Pxxx-2 series - 950'%2:1 - gr/Ib - Weight(including cables) Pxxx-5 series 770/1.7 - 1 • 930/2.05 ' 1 930/2.05 gr/lb Input Connector , MC4 Compatible ' ' " ' Output Wire Type/Connector - - ' - Double Insulated;Amphenol ; -, Output Wire Length -0.95/3.0 - .,1 1.2/3.9 - m/ft '=Operating Temperature Range ,, " . ' _ . - •, -40-+85/-40-+185 °C/°F • Protection Rating Pxxx-2 series • _• IP65/NEMA4 • < - _ Pxxx-5 series IP68/NEMA6P Relative Humidity - . -• , - - 0-100 ll'Rated STC power of the module.Module of up[o+5%power tolerance allowed PV-SYSTEM`DESIGN USING,-,_.: _ :.a a ''Y =``SINGLE'PHASE"` ;: ' 'THREEPHASE208V`•f'' ,:,TI-REE'PHASE''480V;'<` '°.4 ,,ASQLAREDGEINVERTfe'.;. -„ : , . _ : . ., s-a ,-.. -. .. . -- ._..,,,_ °, s . , . ._;1- _-. . .. , ,- ... r 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 Mit is not allowed to mix P405 with P300/P400/P600/P700 in one string .:;,,t ;:' t t 4 ;ti.• • • ,, P x�ydne �;s t as _''',•"g,”... , G p ''S;f„:-..^?:,,..3 - -. >'-r .1,4;:,.:,..t5...'f„,,-,. !; j,-.M a,=. ,, ',,,,,,,e. .-.,f,-7,'-',..i.4.,-.40.1.4,,z0,, v i"',0.1.44,.K�.5k,,.....A,0„..1,,,,,..,.,.:,.,04,4,4 ... 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EcoX, '"* accompanied by a 15 year warranty,will } accelerate your installations resulting in C Y' more profits and fewer headaches. �, ,y:l..• , #4'R Y:' .''kr,- fy, ut t"$•.i,F7.1,} .:4.7?['Yi.?!P* 1,1 -` *4T£ F ,. _. - , u X4.'LS.:'9 ( CSi,"..-" 4 _ , Nih,v, ' ::: ' , --I , ,c., ,N --pv.\. ,- "..v , `••. "; - ,1... � � .. -e. - - `moi ..f . , . • Rotate-to:Lock:. : •Lay-in Accessibility: Leveling Adjustability: ; ' - _With a quick twist;„the, • .. _ Unique design allows moduleslto be'', The leveling-post allows a clamp assemblyis,locked=_,. -- - placed-from abO e'intuan`already - heigheadjustability before and ' - , into place,no tool needed.: - ' - - tightened clamp. 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