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HomeMy WebLinkAbout39985-Z l,��,,,Ai FQi�'cOri Town of Southold 2/23/2016 to, % P.O.Box 1179 d' 53095 Main Rd �y.�Cf , Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38112 Date: 2/23/2016 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 490 Schoolhouse Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-5-10 Subdivision: Filed Map No. • Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/27/2015 pursuant to which Building Permit No. 39985 dated 7/31/2015 was issued, and conforms to allof 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 Gatz,Peter&Gatz,Valerie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39985 01-13-2016 PLUMBERS CERTIFICATION DATED Authorized Signature sii¢Fot TOWN OF SOUTHOLD e ��� BUILDING DEPARTMENT TOWN CLERK'S OFFICEyyef, a, ${(f� SOUTHOLD, NY J01 * gP1�i/" �' 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#: 39985 Date: 7/31/2015 Permission is hereby granted to: Gatz, Peter & Gatz, Valerie PO BOX 1048 Cutchogue, NY 11935 To: Install roof-mounted solar panels-on existing single-family dwelling as applied for. At premises located at: 490 Schoolhouse Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-5-10 Pursuant to application dated 7/27/2015 and approved by the Building Inspector. To expire on 1/29/2017. Fees: SOLAR PANELS $50.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $100.00 Total: $200.00 (a' 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. — 3-- 15 New Construction: Old or Pre-existing Building: (check one) Location of Property: 4- 9 c d\h Ol1S-e (2c( 1- �'�`� House No. Street U Hamlet Owner or Owners of Property: G z, /cL,I e✓l e Suffolk County Tax Map No 1000, Section 1.0D— Block .5 Lot o Subdivision Filed Map. Lot: q Permit No. r6 lCt vs Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ DO Applican Sign.ture ii,eif S004,- Town Hall Annex I, ~® l0 '14, Telephone(631)765-1802 54375 Main Road % ilr 1111 Fax(631)765-9502 P.O.Box 1179 ; �' G Q �s roger.richertatown.southold.ny.us Southold,NY 11971-0959 %. "•;‘",_ i e tt.0UNT4( ,* '' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Gatz Address: 490 Schoolhouse Road City: Cutchogue St: New York Zip: 11935 Building Permit#: 39985 Section: 102 Block. 5 Lot: 10 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: 5.1 KW Roof Mounted Photovoltaic System to Include 17- LG 300 W Panels and 1-SE 3800 Inverter Notes: Inspector Signature: Date: January 13, 2016 Electrical 81 Compliance Form.xls / J AMES J. S TOUT A RCHITECT & Assoc. 2 G REG L ANE E AST NORTHPORT N. Y. 631 - 8 58 9388 Post Installation Letter I i I _l FEB 6 2016 November 5, 2015 — I RE: Gatz Residence 490 Schoolhouse Road Cutchogue, NY 11935 To Whom It May Concern: This letter is to confirm that as of November 5, 2015, I, James J Stout, NYS license 0121633 have personally inspected the placement and installation of the roof top solar panels at the above listed address. All of the solar panels have been installed as per manufacturer's guidelines and specifications. The racking system design and installation complies with the 2010 building code of NYS section 1609 and all related provisions. The installation was done as per plan. Thank you for your cooperation in this matter. Sincerely, . il,E D dna,' , •FAI �0, cc # ��0 moo ames ,. Sto I r ' �, 67 Ar itect ---r ' '' ii. ® 163 0 / FIELD INSPECTION I E?ORT DATACOMMENTS ' FOUNDATION(1ST) 1 . ,_ . . . , .. . ' , . . . ,...............do• ,. 1 . 0 r .. .. ..n• .. . 1,. F. Y '�...M►. X 1 „ . / . 4'- , . . . 2 . . CJS y • 5. txi ROUGE FINING& • H PLUMBING • . • . • .. . , , 1 �.. ; .. • • • INSULATION Pm N.Y. __..:...��.' ,•. , • • H STATE ENERGY COTe . . . . • , • , ,a • . . . , ... \ .. .. , ' .1 r . , • , rr FINAL . I .. ) cuLert .(4/L. ' . :- ,.. . . .7.16 .„. ii"..i• _.,_ :....: ::..... 3:::,,-. . . ” .. . › ._..i , . . N 0 -�� ,`(0 � �� � �'� ,— fr _ k7/ 1 • , • r 1 1 a V ' . I O tel" /5• . , .. ... -4`- ,1•• . t. \- A ,. ... • t • TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health V SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey SoutholdTown.NorthForknet PERMIT NO. Check Septic Form NYSD.EC Trustees C O Application Flood Permit Examined 3 ,20 Single&Separate Storm-Water Assessment Form 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. ctor a JUL 2 7 201 APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS BLDG DEPT TON:,tiiisP'Applifarrion MUST he completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the-Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,ho,sing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. ,�'J '1'1% 1�� (Signature of applicant 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 (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. Location of land 4n. 'c prop.. ;,.r.. do.e O0E a rd House Number Street Hamlet County Tax Map No. 1000 Section /Oa_ Block Lot 1 C) Subdivision Filed Map No. Lot f 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 f *IF YES,PROVIDE A COPY. > R\STATE OF NEW YORK) 13.1 a SS: cc` 0_-1 COUNTY OF ) v)u- o AmyDepietto, Level Solar being duly sworn,deposes and says that(s)he is the applicant U t-U (Name of individual signing contract)above named, U)[nv7U)X u.iU o (S)He is the Agent m O w U (Contractor,Agent,Corporate Officer,etc.) 65 L- a m of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; a a that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be z 0 performed in the mane set forth in the application filed therewith. ),to"'e me this Via= L of� _ . �1 20 VW t om'+' �� ,V Y Signa • e of Ap�licant .7 F•H�YC ��� Scott A. Russell ••`' - k�'= STORMWA\T]ER SUPERVISOR MANAGEMENT ,,. z SOUTHOLD TOWN HALL-P.O.Box 1179 0 47 i 53095 Main Road-SOUTHOLD,NEW YORK 11971 '.+,�/0 Town of Southold •. .( ►,• �-,#S,,,,,two, 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) ' ❑QUA. Clearing,-grubbing, grading or stripping of land which affects more i : than 5,000 square feet of ground surface. . , , 0116. Excavation or f i-lling- involving more-than 200 cubic yards of material within any parcel or any contiguous area. ❑Q" . Site preparation on slopes which exceed 10 feet vertical rise to € ' 'l; 100 feet of horizontal distance. ,II 0 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. . ' ; 0 E . Site preparation within the one-hundred-year floodplain as depicted on FIRM-Map of any watercourse. ii ; 0 F. Installation of new or resurfaced impervious surfaces of 1,000 square ; ; ' 1. feet or more, unless prior approval of a Stormwater Management ,; Control Plan was received by the Town and the proposal includes .I 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. _ _ _ _ _ _ _ _ _ S.C.T.M. #: 1000 Date. '1, APPLICANT- (Property Owner,Design Professional.Agent.Contractor._Other) # NAME Level.. . ar ��a �� -"JAILS- NAME �� ( Section Block Lot ,I; d.. - -- - -- - __, , ..„4 ' i ****FOR BUILDING DEPARTMENT USE O'ILY *'** Contact Information 1-285-2557 t 1 trelrpMnr Numbed 81A-Atill.'; ' Reviewed By: �` VV 2 , ` ( Date: -7 l .! PropertyAddress/Location of Construct n Work: ;t f //«�//�� / 3 Approved for processing Building Permit. �� COMO. \► ' ,j1 Stormwater Management Control Plan Not Required. <11 JI -QJD tit, itoi-- ' H 0Stormwater Management Control Plan is Required. ,, (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 i ', *tif SO// •1/17 tA TO Town Hall Annex � Telephone(631)765-1802 • 54375 Main Road i * *• g p2 P.O.Box ; G - Q �� roger.richertra.ea.1 out05.ny.11s Southold,NY 11971-0959 �! �Of:_e0UNTI ri '�1 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION • : REQUESTED BY: / nUdVer- CJS- Date: a Company Name: P0 /` YO16.Lr i . Name: / I License No.: —H d _ Address: r .. V) il.l . / _, At - • Phone No.: . - --(100 JOBSITE INFORMATION: (*Indicates required information) *Name: -f- *Address: 9 cTh 00/ rc) c i,L:� .O �l *Cross Street: l *Phone No.: 73 -1-E O Permit No.: 39q Tax•Map District: 1000 Section: Oc Block: ,5-- Lot: C) *BRIEF DESCRIPTION OFORK(Please Print Clearly) • (0D (Ole (1 Y 6 9 aj 1 771 • ri • (Please Circle All That Apply) *Is job ready for inspection: YES/ NO- Rough In Final *Do you need a Temp Certificate: YES/ NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead 1. Additional Information: PAYMENT DUE WITH APPLICATION Q J O 6 \`6 J-) .82-Request for Inspection Form 'ell v P r- ., ' w TOWN OF. ,SOUTHOLD PROPERTY ' RECORD CARD. : A,4 -: /O - /o_2 _-_-_. .51-i0 OWNER STREET zigh ' VILLAGE - DIST. SUB. LOT i k,e- r A Ya[e r-► ,f-c'. A6 a 0 ✓tea arcl o act A ® � / 0. .-r-e fri Y-c c✓ FORMER OWNER N CRi/,• g� K[O� j_<to S 4 (yrs, GQ.�� S ' , TYPE OF BUILDING i- ' ' _ J ( I/Uf1 c c K .gn. . �� -o o''/ -b-r-sT 0-- -774 ,...74 4 J7 _ - RES.�fd SEAS. VL. ,1 _ FARM COMM. CB. MICS. Mkt. Value LANDI - - IMP. TOTAL - DATE REMARKS -- �/.�/d9 0-eV,/ �d v- /�f'd d r�%r�f%Q�f/���-Ct ,�i a-�,,. I d l�r�6�';, 6*d S—d d 73 ,'4� d.r- 2 7 o/i0 r/ }a, .//,54.7 Tvz,ba iS�%le wr /sty e® Lrrc,.i 4d D .--' G o o . 0 0 - --0' 0 0 /_ /:-4 7/7 /2-G/ ... /'Jv;a6-0 "Yds /0 Alas 5 9'° - 9 e r) o 0 3 o o 7/ 76/7-a-�5*Ve5 .- L9a0�� ��5-� -T �, c tis-(-Q G at VI f li(�5- t -G'e c -I�r- g900 /1,9-//0 _ . 6-1,,,,1670-L 1177a, G�1 ��ro�`" ev ,�4 c -Y-1 /v5-- /y Zoo ✓ 3// ii l , e) - L. A k R8 ec►��3!�`?- l�l c,:=. 4-� C;)(14,2.-=,‘ sc.5.0 / , , 5(310 (-LIca3 q/1795- G 3 -k Ganz '- r )- r- ii/ X15-1i1 -S-6- i o pzi-2712-00 • >--- AGE B,tUILDING CONDITION - - ' NEW NORMAL BELOW ABOVE FARM Acre Value Per Value . Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD /2 g9 f, C ';•'7 :. • ff. 9 Meadowland - DEPTH /(r7 w tt-- House Plot BULKHEAD . 'Total - DOCK , . , ta... ,:,.....=9 4 9 -I , . -_—_ _ .. . . C 0 LO R iii,c)r d R,c4 4.,, TRIM .tui i-i-t ' - . _ . . .. . . 1 . S. .- . • _ _.. 1 - _ . _ • 1 <:, I 4 : F17,1:,. ' :-.'''::),r::'„„,. ..a.,,,•„'„,-..-r„,.:,:7,:!., '.., :::....1!:-A,,,,,,„ iv:. '-t,,,, -,_ i___"..-.. - /4 — I . _ . '; "--- . - I - — c'k- - 0 1 i _ I - . , J .,. . . .. / ' M. Bldg. - - - - ` _ Extension /•• _ I r.1--C.) 3-.7- 71.6 3 0 _ .. . . . . .... . - - - Extension . . . .. ._ , . _ _ . Extension • _ _ . - .. - Foundation - — "13 -, Bath- - , , - / 9 - Dinette " Porch 2 / / / . Basement, — lc , • -•,, • Floors .v 4, -- 2 Ext. Walls — Interiorfinish LR. , - .,.- Porch .1111111,11 / .? tf.,1 0 02).7 A016,- - - - .5 7 R Breezeway - 'Fire Place /V d Heat , • ht t,, . DR. l \ - . Garage ' .- , Type Roof - ' Rooms 1st Floor' - BR. /.4-71 x/ '.•:-. '"a- --- /..,o .30 ? , FIN. B I - • Recreation Room mg 2nd Floor -Patio Roo. 0. B. . Dormer Driveway . . - _ . . .., .... _, Total — . / %.:„3 1/1/ , _ ...,_ (--__, \•,__,/,- _ / . Town of Southold Building and Solar Permit Application Pack Customer: Peter Gatz 490 Schoolhouse Road Cutchogue, NY, 11935 (631) 734-8004 Tax ID: 102-5-10 Contractor: Level Solar 90 13th Avenue, Ste. 8 Ronkonkoma, NY 11779 631-285-2555 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 ?-e#i h/f7t ,the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned is) are the,o er(s) of the pr ises in t e To Ve Southold, located at iY7� /�_ rot( � which is shogiAnd designated on the Suffo County Tax Map as District 100 , Section / Block 5- ,Lot i t) That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: /Cx' ce.a 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: Pier � fa ( (Sam (Print Name) (Signature) (Print Name) • • • SUFFOLK COUNTY DEPT OF LABOR, • • r =f LICENSING&CONSUMER AFFAIRS I{ HOME IMPROVEMENT CONTRACTOR LICENSE 'a N0.1E RICHARD KEISER This certifies that the BISNESSNAME bearer is duly LEVEL SOLAR INC licensed by the County of Suffolk LK.rcaVLarn.. uaa iaauae .� 51859-H 06/1912013 ,TraR.E9aretief?; Cormr1 Wow EXPWIZt`De= - 06/01/2017 • • SUFFOLK COUNTY DEPT OF LABOR, • µ' UCENSING&CONSUMER AFFAIRS MASTER "; I ELECTRICIAN NAME I SHAWN RANALDO This certifies that the eCs"EUN"'` LEVEL SOLAR INC bearer is duly licensed by the LKoMrbe • County of Suffolk Dau y t y) 51858-ME 06/19/2013 T!?R///Rte I63 Comri.tbn.r EVaru-•«.oa-E 06/01/2017 - i k £ New York State Insurance Fund .. r:,4,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 AAAAA 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. r 1 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 11_•,a' i Aco® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 NE (A/C.No.Ext): (801)325-5000 FAX No): (801)532-2804 136 E. South Temple Street pOORIEss•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 INSURERF: 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 WM/ LIMITS LTR INSR VD POLICY NUMBER (MM/DDIYYYY) (MDD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 D—AGETO RENTED 50 000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ , A CLAIMS-MADE n OCCUR 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 A I POLICY n PF Ti 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) i $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A - (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ Ifes,descnbe 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/KS ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(2ntnnsi m Tho ar`(1Rn name and Innn aro ronicfororl marirc of Arniil STATE OF NEW YORK \WORKERS'COMPENSATION BOT CERTIFICATE OF INSURANCE COVERAGE UNDER THE NTS DISABILITY BENEFITS LAW PART L To be completed by DIsability'Beneflts Carrier or Licensed Insurance Agent of that Carrier la. Legal Name and Address of Insured(Use sttttet address only) lb,Business Telephone Number ofInsured, LEVEL SOLAR INC (631)285-2555 236 WEST 30TH STREET SUITE 600 lc.NYS Unemployment Insurance Employer Registration NEW YORK, NY 10001 NtunbeeofInsured Irl Federal Employer Identification Number of Insured or Social Security Number 464-06-0893 2. Name mid Address of the Entity I1_erluesiiug Proof of - 3a.Name of Insurance Carrier Oovetage(Entity Being Listed as the Certificate Holder) NEW YORK STATE INSURANCE FUND Town of Southold 54375 Rte 25 3b.Policy Number of entity listed iti box'lai": SOUTHOLD, NY 11971 DBL 6430 71 -5 3c,Policy effective period: 12/18/2014 to 12/18/2015 4.Policy ci vee.+a a.) Al!of the employer's employees eligible under the New York Disability Benefits Law lk,i__F Only the following class or classes of the eniploy'etes employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the iusuranee eatrrier referenced above and that the iuwted insured has NYS Disability Benefits insurance coverage as described above. Date Signed07/6/2015 By Joseph J. M asi 1graturer of insurance ca rder's eurho razed rsprase rmtbe of FNS Ucersed i rtsura ram flint of that Irsuranca ra mer) Telephone Number .(866 697-4332 Title Director of Disability Benefits insurance 1MPClt.'Ta1:3Z tt liaCC"Aa"is eltecketl,and this.form is sired by flit ittsUrniten eatiics's muled?ed reptetetttalive or`YS Licentsrt Int orange nit of 11101 carrier.this ea-titian):h COMPLETE. Mail it(Emily to Ike certificate!balder. ft box"4&is alleokati,lllit cettificate is NOT COMPLETE fat purposes of Section 220,.Sahal.8 of die F?isaliility Eititafcts Lay. Tr tans!be mailed for catuplarial to the workers'ContpottsatiaanBoard.DTI Plans Acca prance h uit.2d Park Srraaa.Albany,New York 1.2207. PART 2.To be completed by NYS Workers'Compensation Board(Only if box" b"of Part 1 has been checked) State Of New York Workers'Compensation Board According to information maintained by the NYS Workers`Compensation Beard.the above-named emphy'er has complied with the NYS Disability Benefits Law with respect to aril of histber employees. Date Signed BY _ iSignantre of NYS Workers'Compensation Bona!Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this fbnu. DB•120.1(546) Certificate Number 330785 RUDZELEIL C ,1.; 5. 41' 32' 50" E. - 157. 33 0 • of its LL1 - v- \ w 1 1 d n Li; w ' \ o c O .., in ZD ■ .l, N u J -t N O z O `'1 . - U N. 40. 13' 14" 1V. .. 157. 45 • ------- (l) No2Tu - ST2PgT 4 H-t6Hu(44ez,'L Q o r S 6/7-09 An OP LAND SCALE • 40 '= 1 " 1:141%01.1W/1%04TSURVEYED FOR o = MON PIPE Ci E O 2 C E & CA 2 V V L O S GUA WTE-ED TO T14E GU62.&UTEED TiTLI: SITUATE D7 DIVE5i014 ^ At1ERtCM1 TITLE INSU1U UCE CO. SURVEY' PIZEPAREI) • JUNE tG , 1969 CUTC IOc UE VAN TUYL & SON TOWN OP S O O T I.10 L to , N.Y. Z . V",...... ''r- c2 LICENSED L414D SU VEYD¢5 TITLE N? 07- 49970 _ GREENP02.1 , U51V YOIZDC (1) _ Scale: 1"=30' H LEGEND NOTES 0 30 60 — —— —— Property Line I Any plumbing vents through roof are not to be cut or covered over during solar N Electrical meter and installation.Any modification or relocation of vents will require a plumbing permit and estimated inverter location inspection. IN / N / ` N / N / ` N / N / N / \\ °2a // N N / \ ‘.2 / ELECTRICAL METER N N. ° o / AND ESTIMATED \ h�° // INVERTER LOCATION `\ i / Orj`P� *** /// .4 / / ROOF 1 / C �► / `N o °N // NN // STRUCTURAL ONLY N N N // CJS Nth, N / (co c,,53'-' , 'lib 4-- 4.1\ N /\ / 1 r : r w \ / °'{ ,"� \ C1 \` / NY COA1009721rm nse#: O'/ SSG � ~ 7/16/15 SYSTEM INFORMATION Roof Slope(deg) #of mods Distribuited Weight/Loading LEVEL 0 L. , ' (see additional details in engineering calculations) Name weight(psf) points(lbs) , 844-GO-LEVEL SERVICE@LEVELSOLAR COM Total#of mods 17 Roof 1 24° 17 2.4 21.5 Module type LG 300N1C-B3 SITE PLAN Module size 300 Watt Peter Gatz Module weight 36.96 lbs 490 Schoolhouse Road Module area 17.65 sq ft - Cutchogue, NY, 11935 ------ -- - - ---- - ELECTRICAL INSPECTION REQUIRED RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. APPRO':ED AS NOTED DATE: 3 8.P.# _ � FEE �_._. A � BY: _i' _(_.. .- NOTIFY BUILDING DEPAR t NT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 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 CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF -8014THeLt10Witak- 40141.10L-B-TOWN-PANING-10110-- i • •-IdeEr OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY . ' arriCe--' UTAH OFFICES MC 1 -' j P. Sandy ,'.,' V Layton s �, m ri e s St. George Proi ect Number U1521-548451"___ July 16,2015 Level Solar 90 13th Ave Suite 8 Ronkonkoma,NY 11779 ATTENTION Eric Negron REFERENCE- Peter Gatz Residence: 490 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 f7OF \es yf ���G��P i 4.04,0": Roger T Alworth,P E ". i � Principal - I a v� Enclosures r' RTA/ksa <-' CO G . 1. ` \� NY Firm License#: '9,--, �-_�F 100. COA 009721 7/16/15 9138 S State St . Suite 101 / Sandy, UT 84070/T (801) 990-17751 F (801) 990-1776 /www.vectorse.com RIDGE ON TOP t EAVE ON BOTTOM j - 725" 13"y I 1 I t ^---- -r 217" , I 0 84" I I I OF Nem 200" �,�''- ,, T. 4411, Ye 135" STRUCTURAL ONLY ,;� _, w a cC\0\G8 c NY COA1rm 009721nse#: ' 94 .&-35 CP118- � 7/16/15 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 @ 16"OC L # Over Up Over Up INSPECTED AND FOUND TO HAVE A �: �� SINGLE LAYER OF SHINGLES Roof 1 - 17 Mods - 24°pitch 1 64.57 39.37 39.37 64.57 MAX HEIGHT OF PANEL ABOVE ROOF 844-GO-LEVEL SERVICE@LEVELSOLAR COM SURFACE NOT TO EXCEED 6" Interior Edge Corner Wind Zone INSTALL PLAN 2 129.64 80.04 79.24 130.44 3 194.71 120.71 119.11 196.31 Max Spacing(in) 48 32 32 4 259.78 161.38 198.85 262.18 LANDSCAPE Max Cantiliver(in) 18.7 14.5 10.9 22 Peter Gatz 5 324.85 202.05 238.72 328.05 Max Spacing(in) 32 16 16 490 Schoolhouse Road PORTRAIT 26 6 389.92 242.72 278.59 393.92 Max Cantiliver(in) 14.6 10.1 6.6 Cutchogue, NY, 11935 LEVEL , , mss- 7)[L f R 236 W 30th Street,Suite 600, New York, NY 10001 844-GO-LEVEL Customer Information: Name Peter Gatz Address 490 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 17 Module Type LG 300N1C-B3 Modules Size 300 W Array Size 5.100 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 „ . LEVEL SOLAR 236 W 30th Street,Suite 600, New York, NY 10001 844-GO-LEVEL Surface Information: Roof 1 Members Type Rafter Roof Pitch 24 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 17 Portrait wind zone 26 in Number of Optimizers 17 Landscape wind zone 22 in Estimated Number of Attachments 34 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.) 731.3 lbs Total Array Area 300.1 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 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) 19.0 19.0 19.0 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) 2.2 2.2 2.2 Snow Load(S) 15.8 15.8 15.8 Load Combination 1=D+0.755+0.75Wdown 30.5 30.5 30.5 Load Combination 2=D+Wdown 24.1 24.1 24.1 Load Combination 3=D+S 18.1 18.1 18.1 Uplift Design Load =0.6D+Wup -33.4 -59.1 -88.0 Maximum Absolute Design Load (Pabs) 33.4 59.1 88.0 Spacing Calculation: (EcoX Product Manual) Roof 1 Orientation: Landscape Portrait Zone: Interior Edge Corner Interior Edge Corner Max spacing between attachments(in) 56 44 33 44 30 20 Max.spacing between attachments considering rafter spacing(in) 48 32 32 32 16 16 Max cantilever from attachments to perimeter of PV Array(in) 18.7 14.5 10.9 14.6 10.1 6.6 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 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 Cantiliver Cantilever Attachments spacing 1. All installed roof surfaces have been (Edge) (Interior) (Interior) Detail A inspected and found to have a single 1----1 I 1 1 layer of shingles Solar Panel 2. Max height of panel above roof Wind Zone -F Clamp on Clamp � ' surface not to exceed 6" ^' Attachment kit Attachment kit sow- 3. Attachments to the existing truss Interior ' top chords or rafters must be wind zone - ' ' Solar Panels Skirt s� staggered so as not to overload any -- Shln les existing structural member ;' d- - Coupling Shingles Height of Panel Rafter above a roof surface 4. Maximum values for attachments Edge spacing are specified in followingwind zone pages for each roof. r Rafters Corner _1 L,°I :1 [-] !__ wind zone , , . -- • L-1--J 1-----1 Cantiliver Attachments Attachments spacing (Corner) spacing (Corner) (Edge) Components Clamp on Attachment kit_ Detail A .-moi.- -'" Clamp fl/ Attachment kit I -,,,,,t/.'-‘,, -w /.` Clamp Coupling •�, ,, � ; -,:i-%-=-, `\ `C a FASTENER e B-LAG SS-.313x3 4" -a'A _`; '' stainless lag bolt* R' FLASHING ^ „ ! -- GF1-MLL-812 - '- I Mill finish Al flashing,8"x12" Attachment kit Skirt Minimum 2" lag bolt embedment for 2"x4" rafter or wood truss member Minimum 3" lag bolt embedment for 2"x6"and larger rafters • . , .. . . , , , ' [LEE% 2E� , - , . . . . _ v - . .., ® LA R 236 W 30th Street,Suite 600, New York, NY 10001 844-GO-LEVEL Rafter/Truss Photos: 1F{µ . 5Ti _f e1�WJ .," V J- < L.- F >� t „ �" - fry�yC: i t 4 o''t a _ _ _,„, 4.,,„. _ ',,` r1. Erb ,2,-....:-„;;,...,,,,,,7-2.:,,,,,...,_::_f-,-.eC.w� mo ‘,24--,,,,,• . r.,,,_,,,,,:z..,F....-_:„...,, __1,,.. ..i.,-Y.Tr.r=w"----. ..*.f. _ 7.,,:„__ F; g, _'-'yrs • • 0 LA 236 W 30th Street,Suite 600, New York, NY 10001 844-GO-LEVEL Rafter/Truss Photos: Ss r>pt _ + ' '45<n F ��S ter."«.• t.^fit, zs i • �-1 Utility Service ��� 120/240 Vac 60Hz (New) _____ II �/ (New) _ (Existing) 0 Revenue 17Stnn1 /� Grade Roof moo unted I Meter + _ + S Solar PV Modules . _ + F II I I (New) + - m� -FL.= — I ( - 0J 0 (Existing) (New) OO Positive,Negative,EGC PV Wire THHN/THWN-2 (rated 90 deg C) ill �\ , \ 10 AWG Cu wire �p "PVC conduit \ CL ` in —O o I p p--..) G L-- J� IIIS GEa L1,L2,Neutral and EGC PV Wire in Free Air or THHN/THWN-2(rated 90 deg C) WIRING 8 AWG Cu wire LEGEND in%"PVC conduit Positive — --- — Negative Ground Neutral 17 mods @ 300 W each ® 5. 1 kW L1 /L2: DC Series A - Solar PV Module B - Power Optimizer C -- Inverter D - Main Service Panel E - AC Disconnect Swi• Make:LG Make:SolarEdge Make:SolarEdge Bus Bar:200 Aac Rating.240 Vac,20 Aac Model 300N1C-B3 Model: P300 Model:SE3800A-US Main Circuit Breaker.200 Aac Max.Power 300 W Max. Input Power:300 W Max. Input Voltage:500 Vdc Inertie Circuit Breaker:DP 20 Aac Voc(STC):39.8 Vdc MTTP Range:8 to 48 Vdc Max.Output Power.4150 WLEVEL L��+ _ Isc(STC):9.98 Adc Max. Input Voltage:48 Vdc Max.Continuous Output' 16 Aac " t 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 String Length:8 to 17 Units *GEC not required ungrounded Peter Gatz 490 Schoolhouse Road Cutchogue, NY, 11935 . _ . . • 13LGInnovation Life's Good for a Better Life amisummir 1 ..� . mon ElE11111111111111111111111111111111 .//11/,.I111111 .�..� wa..m.. _ . Mill "'"WW = ..........sam nom sola�� n amnna award: r 12013 I' WINNER II°°®1 1:G300N1C B3`. L......._. .. - , -. . , . . .. , . , . Introducing MonoX®NeON module series,which uses highly efficient n-type materials,an elaborate process APPROVED PRODUCT 60 control adopting a semiconductor processing solution (DVEC us �� and a double-sided structure Our R&D concentrates on I --,,- I Misf, a Intertek developing a product that is not only efficient,but strives KM 564573 BS EN 61215 to increase practical value for customers. Photovoltaic Modules ii1 711., N Type Material F ---- 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 electnc charge,resulting in almost no boron,which may cause the initial higher generation efficiency. efficiency to drop,leading to less LID. 0000o0 Nano Level Control Double-Sided Cell Structure 000000 000000 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 CID [w] F.4,,, ..61,. , .. i'll 4 pti An, ii_ p:,),,1 Light Weight Convenient instaliahon EL Test Current Sorting Linear Warranty Posarre Power Tcleran a 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 Mo 1 d® ® NeON s',LG30O 1 C-63 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 156 x 156 mm/6 x 6 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 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 168±05 kg/3696±11 lb Power tolerance(%) 0-+3 Connector type MC4 connector IP 67 *STC(Standard Test Condmon)Irradiance 1000 W/me,module temperature 25°C,AM 1 5 •The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion Junction box IP 67 with 3 bypass diodes Length of cables 2 x 1000 mm/2x 3937 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,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 Wire) Output warranty of Pmax Linear warranty*igt (measurement Tolerance±3°%4) *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 55.4.0(%mew) 1000/39.37 NOCT 45±2°C Dram holes(4m) (sro4rsno mea) 4 o•]5 lvmew) 960/37 60 Pmpp -0.41'%/°C Drain holes(4ea) (0,stmne between mounting holes) 18/071 .___—_----7 Voc -0 29%/°C . . ' - Isc 0 04%/°C 1Z 043 /(-) Groundhog holes(12ea) ()\s 8.a60(Z mew) I Characteristic Curves Mounting holes(Bea) g 10 1000W 1000/393] g- Cable length u 7- eOnW / 17 6 600W 5 y° 400W 4 11\41 \\\\\ 3 200W 2 \1\41 944/3]t] 5 10 15 20 25 30 35 40 Voltage(V) ',l g 140 i 120IIPOhIüII!)II(IIIEIII11- _ _ - 100 Isc 35/1 38 10/040 10/040 V. 80 .[1 4 0/016 J 551022 .-- `/ 60 2 m gi, u D' m nril m PIs/006 40 ...... ......._.._...._.____ .__......._. _ . .— Dead x Detail V Detail Z 20........._._. _ ...... 28/1 10 22/0 W Long ode frame Short side frame 0 -40 -25 0 25 50 75 90 Temperature VC) *The distance between the center of the mounting/grounding holes •) LG North Amenca Solar Business Team Product specifications are subject to change without notice ■ �}" LG Electronics U S A Inc "LG Life's Good"is a registrated trademark of LG Corp ;F 13 Life's Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 All other trademarks are the property of their respective owners b I DS-N-60-C-US-F-EN-31002 Innovation for a Better Life .pa Contact.Ig solar@Ige corn • • .AFF• wwwlgsolarusa corn Copynght©2014 LG Electronics All nghts reserved El • 06/17/2014 i V ) solar - cc I I._I SolarEdge Single Phase Inverters CC For North America 1-11 SE3000A-US / SE3800A-US / SE5000A-US/ SE6000A-US / SE7600A-US / SE10000A-US / SE11400A-US Z --j --- f ,were -__ `1225 ` mz _�1�" �eacs + N/ 4 _ -. I I -. - _, 1. a.� 1t) L8 I — 0e ii[._ t The best choice for SolarEdge enabled systems - Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance — Superior efficiency(98%) — Small,lightweight and easy to install on provided bracket — Built-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 USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us sol Single Phase Inverters for North America S �,® 1a® . . :. SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/ SE7600A-US/SE10000A-US/SE11400A-US SE3000A-US SE3800A-US SE5000A-US SE6000A-US SE7600A-US SE10000A-US SE11400A-US OUTPUT Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA 10000„@240V Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA 5450 e240V 10950 ap240V, , ,,,, , ,,,,, , ,,, AC Output Voltage Min-Nom-Max.111 - 183-208-229 Vac AC Output Voltage Min-Nom-Max.1�1 ✓ ✓ ✓ 211-240-264 Vac AC Frequency Min.-Nom-Max i'i 59 3-60-60.5(with HI country setting 57-60-60.5) Hz 24 @ 208V.. . . . .. .... ... ...... j Max Continuous Output Current 12 5 16 l 21 a�240V , 25 1 32 42 @ 240V 47 5 A GFDI 1 I A Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT I Recommended Max.DC Power I 3750 4750 l 6250 7500 9500 12400 14250 W •(5TC) , 111 Transformer-less,Ungrounded Yes ' Max Input Voltage 500 Vdc Nom DC Input Voltage 325 @ 208V/350 @ 240V Vdc Max Input Currentl31 9.5 I I 13 15.S,�p,240V , 18 1 23 30 5 @2240V 34 5 Adc Max.Input Short Circuit Current III 45 11 Adc Reverse-Polarity Protection Yes - Ground-Fault Isolation Detection 6001(a 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�Ta 240V 97 5 pa 240V Nighttime Power Consumption <2 5 <4 W ADDITIONAL FEATURES Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) Revenue Grade Data,ANSI C12.1Optionall') Rapid Shutdown—NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed151 STANDARD COMPLIANCE Safety UL1741,UL1699B,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/ 3/4"minimum/1-2 strings/16-6 AWG 3/4"minimum/1-2 strings/14-6 AWG AWG rang?.......... Dimensions with Safety Switch 30.5x12.5x7/ 30.5x125x75/ 30 5 x 12.5 x 10 5/775 x 315 x 260 in/ „(HxWxD), 775 x 315 x 172 775 x 315 x 191 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 available16)) 'F/'C Range Protection Rating NEMA 3R iii For other regional settings please contact SolarEdge support ill 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 solaredge us/files/pdfs/inverter dc oversizing guide pdf 131 A higher current source may be used,the inverter will limit its input current to the values stated i°I Revenue grade inverter P/N SExxxxA-U5000NNR2 I5i Rapid shutdown kit P/N 5E1000-RSD-S1 161-40 version P/N SExxxxA-US000NNU4 ( f • < s"` ` 3 .`.. . ' F i}'r r. ` �. r ,I ;'y -~s sunsPe� RO O Solar[dfe Technol ies Inc All rights reserved SOLAREDGE the SolarEdge1logo OPTIMIZED• Ef'CSOLAREDGE 1.,,z . _ :are+"tr°SdemaiIts or registered tradejmarksTdP SolarEdge Technologies,iir c.All otherr.trademarks.menjionedrherein YI . are trademarks of theirrespective owners_,.Date V 07/2014.' 01.Subject to change without notice:- - • .. cc solar - w N , 2 SolarEdge Power Optimizer Module Add-On For North America I-- P300 / P400 / P405 CD CC .v � I I I r w v► CD , •Qowetp 4.A4 \ a2%Yeats arca �.• e ,- -". / ref PV power optimization at the module-level — Up to 25%more energy — Superior efficiency(99.5%) - 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 I — Next generation maintenance with module-level monitoring l — Module-level voltage shutdown for installer and firefighter safety r USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge.us so i a r .... 6 rs ... SolarEdge Power Optimizer Module Add-On for North America P300 / P400 / P405 P300 P400 P405 (for 60-cell modules) (for 72&96-cell modules) (for thin film modules) INPUT Rated Input DC Powers�1 300 400 405 W Absolute Maximum Input Voltage 48 80 125 Vdc (Vocat lowest temperature) ... ... ...... . . . .. .. .... .. . .. ..... .. .. ... .... .. .. ...... . . MPPT Operating Range 8-48 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 „ „ 98 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 . EMC FCC 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(WxLXH) 128x152x27.5/ 128x152x35/ 128x152x48/ Pxxx-5 series 5 x 5.97 x 1.08 5x5.97x1.37 5x5.97x189 mm/in ... ... .. . .... ...... . ... Weight(including cables) Pxxx-2 series 950/2.1 gr/Ib Pxxx-5 series 770/1.7 I 930/2.05 I 930/2.05 gr/Ib Input Connector MC4 Compatible Double Insulated;A Output Wire Type/Connector mphenol .. .... ... .. . ........... . . .. .... ... 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 Ill 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 121 it is not allowed to mix P405 with P300/P400/P600/P700 in one string .° ! v' t' N " s' 4, a: ,>` : "i. "4 t of '1: ' *'� a'4 fi 4 i { t 5 C [j1- { �a �\, \;IV t : s' t *� Vit: a�. 3. :. v ; i •a. �7 F a s.-. ,,y • • O SolarEdge Technologies Ino All rights reservedfSOLAREDGE the SolarEdge#logo OPTIMIZED BY SOLAREDGE „ ,r are'trademarks or registered trademarks of SolarEdge Technologies,inc ADI other trademarks=mentioned Herein'are trade narks of theI respective owners.pate:fi�/2©..4 Vol Subject tofchangeq ithout notice: .1 ' _ ,: •_ . r, -.,,,,„..;,.-,,,,,,L,,,,-,-,,f, .1„,,-,:: ,..,..:-,T: . • ii EcoX embodies the t. ,,- ,,,,_,_ .,, -,-. , E .": . , - ,' ,. , advancements required to acceleratesv. aath4e dii.e;i7Inoeykameof '-: solar..13yieyd_u:rein":96,t,hil.,,,,,:e'itx.rnot6ailificio7st,i.:1: -r- - ,, rb --........ iOng tL.C.s,,ra stre„. . • p rs:,:s1.51 ap.t.mi.o: E SS-ti in EconL- iglIverstra-ifwgigme -.--. .-5,---%:..--f .,---.--, --------- ,-,-,---, -- , ,, ;1 , . ..• - ---:;::::,,,----..;;/,.-Ail...,.,..--11'.._“''1.—.1.1 .7._.... ....---i-T., ----.4 r - •' t 1 ' , " r, ' ', ''' " ' 1 i''' ''''' '' ".' 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"Ta'''''5':? 2.-- • _ Irl r i '------,-- .. , . _„....,- , - ,_._ ' U.*-24743@- ".:te-lq .t-r-----,-,--!---f_, ---"1, . - , . .,, ----' c-,--: , . ....-_,,,.: ...__ . ..-7;---......„4.... „-. .,.4....__ .,. , reAssr1. , „m - CL.ir iu C„ip:uptivg C., -.0 • go.G: .. _..--:. ,4 c4,1 = -... = - . - - --.--,--,7 -.. . --..., limitop 71 tpL. ---tv' salesRecolibnumsolar com US-720-249-1877 www.ecolibnumsolar corn Eciiiibriun Solar - latinamericaReconnumsolar com MX +52 81 8421 4765 --,, a . , The low part count and minimal tools required brings unparalleled simplicity and speed to mounting systems. EcoX, ' accompanied by a 15 year warranty,will accelerate your installations resulting in - C ' '' ' ' more profits and fewer headaches. 1 ',,‹:, w u.,r �sv w., gin i ; : A •• \ -4, 0 . \ A,:'&.--)„‘',.4, , _ ,,,, (,.,, \ _,,,,..„..,,„\\,,, '4\-\''' ,:, ,, :ts,,,,44Y A N'''',:.,,\''4 4, 1- --t- : ',53,-,--,-,.,, E 3 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 hardware. i /-/ € 'ice r7 r -`ia s .,'', >/ ts\ \4.4 iNN %___,..:, ..„,""*.-5 \\\ - \ ' , ''''',". North Southam Skirt Adjustability: Adjustability: -Opp .at �ccess© ies.; 1 Y3 • The adjustable skirt accommodates MCII Mee rackets EcoX lower support different module thicknesses and pp W.<ire=Mari erre it provides 41"of ,lunttiOrvBoxfNM,ounts, ` delivers a clean finished look. NS adjustability. '"== `_ salesRecohbrwmsolarcom US•720-249-1877 www ecolibriumsolarcom ECO I 11 u l lSolar latinamerica(a ecohbriumsolar.com MX +52 8184214765