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HomeMy WebLinkAbout40018-z '}Q�guFFOI,�-% Town of Southold 2/23/2016 it. PMs P.O.Box 1179 o53095 Main Rd yayal ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38110 Date: 2/23/2016 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 755 Stillwater Ave, Cutchogue SCTM#: 473889 Sec/Block/Lot: 103.-1-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/11/2015 pursuant to which Building Permit No. 40018 dated 8/18/2015 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 Heffernan,Dennis&Heffernan, Suzanne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40018 01-14-2016 PLUMBERS CERTIFICATION DATED ' Authorized Signature S4iiii�r TOWN OF SOUTHOLD ,;oo�° c°�y`z BUILDING DEPARTMENT (I, i; TOWN CLERK'S OFFICE y o� , SOUTHOLD, NY riot * 'a 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#: 40018 Date: 8/18/2015 Permission is hereby granted to: Heffernan, Dennis & Heffernan, Suzanne PO BOX 464 Cutchogue, NY 11935 To: Install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 755 Stillwater Ave, Cutchogue SCTM # 473889 Sec/Block/Lot# 103.-1-13 Pursuant to application dated 8/11/2015 and approved by the Building Inspector. To expire on 2/16/2017. Fees: SOLAR PANELS $50.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $100.00 Total: $200.00 la Buildi : nspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT V6 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1.. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: House NN Street Hamlet Owner or Owners of Property: c___)ticaahilL ( )P4i4 /21(2n Suffolk County Tax Map No 1000, Section Block / Lot l c 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: $ 1 ,1. 1 1/ Applicant -124 ature /i,„ .ice��„._ o. Town Hall Annex ~ ® : Telephone(631)765-1802 54375 Main Road ; lig 4111Z Fax(631)765-9502 P.O.Box 1179 14 v' biC �k Southold,NY 11971-0959 • 9,, i'` roger.richertt town.southold.ny.us -—•... // BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To• Heffernan Address: 755 Stillwater Avenue City: Cutchogue St: New York Zip: 11935 Building Permit#: 40018 Section: 103 Block: 1 Lot: 13 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: 12 KW Roof Mounted Photovoltaic System to Include 40- 300W Panels and 1-SE 10,000 Inverter. Notes- Ala Inspector Signature: Date: January 14, 2016 Electrical 81 Compliance Form.xls UTAH OFFICES Sandy • . Layton . k. St. George E n G I n E E R S T - f,) Project Number: U1521-653-152 M. 1, FEB 6 2016 SIL ' October 1,2015 Level Solar 90 13t Ave. Suite 8 - Ronkonkoma,NY 11779 — ATTENTION: Eric Negron REFERENCE: Suzanne Heffernan Residence: 755 Stillwater Avenue,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 August 04, 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 'CE of Ery �•`P��A T. Ash' �•►• 0 cc 12.1 w Roger T.Alworth,P.E. cc"A 0e2149o1 \4` Principal R0FFSSIO0�� NY Firm License#: COA 009721 10/1/15 RTA/ksa 9138 S. State St., Suite 101 /Sandy, UT 84070/T(801) 990-1775/F (801)990-1776/www.vectorse.com FIELD XMSPEC,T]QN ItEPOR ' DATE 1 COM112EN �' . � ;'b O OUNDAtION(1ST) Taawl....i.T,„T.T • FOUNDAZQN(2ND) t4 ROUGH FRAMING& ,. , . PLUMBING -4—, • , • ... ., . • ,• . :. k� ., , ,,.............. . . . .,.. --05 611 . . .. .. INSULATION PER N.Y. . , ' . H STATE ENERGY CODE . - ' ' , • . . ' r , ,• \ • ---rte • -1- . , i. / • . . , /• • • • • • • :k. l['Jf��/t"V�� /• ' ted \ 5 7/./ 1—Itt—ae ° .111%jr* fhtikt \661-hd ni l , t • �.. 1 (1 y ..A. 1 -j .. _�1 OFay TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST (ik, BUILDING DEPARTMENT Do you have or need the following,before applymg9 TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502Li- Survey SoutholdTown.NorthFork.net PERMIT NO. [D 11 Check Septic Form NY.SDEC. Trustees C O Application q1 Flood PermitExamined g ,20 15 Single&Separate Storm-Water Assessment Form Contact: Q� Approved C) Ig` ,20( Mail to Level Solar Disapproved ale 90 13th Ave Unit 8 Ronkonokoma, Expiration a Phone 631-285-2557 NY 11779 I ,20 1 —Yr- r� Buil ' pector `I \V1 IL \--0) i , PLICATION FOR BUILDING PERMIT 1 AUG ( 1 2015 Date ,20 a INSTRUCTIONS a._This-a n MUST be coin letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,acbatea p,plot plan to sc —Bee according to schedule. b tn-showingoc ation of lot and of buildings on premises,relationship to adjoining premises or public streets or eaand 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, :$ .ing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. i / , . :I) , IF (Signa . • ap. ant 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 0.41 � Name of owner of premisesc / - r 1 ce t/� / (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 on which proposed work will be donee 1 1�� 0-�I �u it (JLbe/)UC' House Number Street Hamlet County Tax Map No. 1000 Section /O.---- Block I Lot j3 Subdivision Filed Map No. Lot .— ...-2" 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 *1F 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.) C n }}(( of said owner or owners,and is duly authorized to perform or 1i"aid em , . the said work and to make and file this application; that all statements contained in this application al&l{ue x4�,tfr 15%, '3,44 m�Wleddge.aril eii�t'J id that the work will be performed in the manner set forth in the applicatio wed there '.lU SUrF ' , , 1 6,LU_ Air I : S ..� t. ,.•_ore me , i{�„e , t,. i ". .,:a I•y .f ,Rill -'11 20 . \i, ,, I is , iiyyTs -....,,,,, "igna 1.• f Applicant stIFFQ Scott A. Russell , � c(1)%t. gT�O)�E�l��l WA\'7C'IEJE� SUPERVISOR ` 0 MANAGEMENT 4 SOUTHOLD TOWN HALL-P.O.Box 1179 is 53095 Main Road-SOUTHOLD,NEW YORK 11971 . +` Town of Southold 01 N� . ••''",,,,,,,*ossi' CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: ' �1 Yes No (CHECK ALL THAT APPLY) 0 A. Clearing, grubbing, grading or stripping of land which affects more ` than 5,000 square feet of ground surface. ,1 ' B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑Z] C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. OR D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. , , ❑M E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ` ❑67. 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. _ = S.C.T.M. *: 1000 Date. 51 APPLICANT. (Property Owner,Design Professional Agent.Contractor.Other) ! IDOL,pc t l' NAME Level Solar iQ g Pr'n° Section Block Lot 1. ' ****FOR BUILDING DEPARTMENT USE ONLY**** E E Contact Information 31-285-2557 ///r✓/ y I , ' (i Telepiwne Num6eri E `— '` / "' tate w Reviewed By. Ja: f ii Property Address/Lo anon of Co struction Work: , 1-1 S I lboa �j��L .re, ,; r Approved for processing Building Permit. 'u j � - Stormwater Management Control Plan Not Required. - 1' Zvi1 , I 1 ® Stormwater Management Control Plan is Required. i" i # 4 (Forward to Engineering Department for Review.) ;;` FORM # SMCP-TOS MAY 2014 }/ 4SO/-2,-- Town Hall AnnexTelephone(631)765-1802 54375 Main Road � � "� 41 G 1 rogerrlchertt�Oxw(6n1oto ny.usP.O.Box 1179 Southold,NY 1197I-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION • `REQUESTED BY: Q (Linea_ Date: VOT- . Company Name: i e,uQ Name: WI I ter/ C 0 f .2j e( Sofiad License No.: � -la_ 11Address: ® / Ot)i'] (" ( ` L C fl ) ( • Phone No.: �' /i VO Ce JOBSITE INFORMATION: (*Indicates required information) *Name: 3t2aMnQa � ; ' / (14*Address: - .‘--M---1_51h/ *Cross Street: *Phone No.: Permit No.: C) Tax'Map District: 1000 Section: /(), 3 Block: / Lot: 13 *BRIEF DESCRIPTION OFFW+RK(Please Print Clean )1-00sL (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 Additional Information: - PAYMENT DUE WITH APPLICATION ,ckT ?tofiLis/\ ‘6D 82-Request for inspection Form 1° A\IL) UI Town of Southold Building and Solar Permit Application Pack Customer:Suzanne Heffernan 755 Stillwater Avenue Cutchogue, NY, 11935 Tax ID: 103-1-13 Contractor: Level Solar 90 13th Avenue, St r 1 Ronkonkoma, NY 1 9 AUG 1 1 2015 j 631-285-2555 [BLDG DEP[ 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 Aa' . . ' I i� ,the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersignediAl) a e the `wne s) the`pre T, of171(1 [ I Southold, located at r � which is sho and designated on the Suffolk County Tax Map as District 010, Section /a , Block / ,Lot I3 . That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: (0 co ar panlY . 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: 7/C7)15 L-L..[ Li" _/ ✓.i ,,�,� &i OE- -firITCIIM-11 re (Print Name) (Signature) (Print Name) Scale: 1"=40' LEGEND E NOTES I , 0 40 80 — Property Line 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 / \> / / / / / / / / / / / / ROOF 1 / / / / ® • / • // tp.r47® // i/ Driveway i0�®�b44 // / ® st.Al, // STRUCTURAL ONLY / ®, ELECTRICAL METER • / / AND ESTIMATED Esc.... F N// INVERTER LOCATION a\ / �V" PT7-/ �, -"\\ !R','�,���`Stillwater \ / � ,) tti Avenue \\ / ��\ ' / NY Firm License 7.+9 �r�/ COA 009721SIOtJN� \\Ni/ 8/4/15 SYSTEM INFORMATION Roof Distribuited Weight/Loading Slope(deg) #of mods LEVEL S O LA R (see additional details in engineering calculations) Name I weight(psf) points (lbs) 844-GO-LEVEL SERVICE@LEVELSOLAR COM �' Total#of mods 40 Roof 1 18° 40 2.4 21.5 Module type LG 300N1C-B3 SITE PLAN Module size 300 Watt Suzanne Heffernan Module weight 36.96 lbs 755 Stillwater Avenue Module area 17.65 sq ft Cutchogue, NY, 11935 11\1) SI® 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 POLICYHOLDERS 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 n �Q lm DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysitcom/certicertvalasp or by calling(888)875-5790 VALIDATION NUMBER:225334551 STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la. Legal Name and Address of Insured(Use street address only) lb,Business Telephone Number ofInsured LEVEL SOLAR INC (631)285-2555 236 WEST 30TH STREET SUITE 600 le.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 Idegtrestitmg Proof of 3a.Nannie of Insurance Carrier Cor.'eaage(Entity Being Listed as the Certificate Holder), NEW YORK STATE INSURANCE FUND Town of Southold 54375 Rte 25 3b.Policy Ntunber of entity listed in box"plat": SOUTHOLD, NY 11971 DBL 6430 71 -5 3c,Policy effective period: 12/18/2014 to 12/18/2015 4.Policy atvers: at_gg All of the employees employees eligible tinder the New York Disability Benefits Law b.[ Only the following class or classes of the employees employees: Under penalty ofper.imy,I certify that I amen authorized representative or licensed agent of the insuraatceecarrierreferenced above and that the mated htsuied has NYS Disability Benefits insurance coverage as.described above. 0 71612 0 1 5 Joseph J J. M asi Date signed By Igreture of insurance os rrier's authorized repleeo=tide of MS licensed irsurd rce Agent of that Irsurance trier) TelephoneNumber. (866) 697-4332 Title Director of Disability Benefits insurance IMPORTANT: if box"eta"is etaecked,ami tris fonts is shined by the insurance carrier's arse rizelk representative or NYS Licensed II]5UIaL ce Apar of ilial carrier.this certificate is COMPLETE. Mail ii directly to Ike certificate-bolder. if bas^4b"is eitecked,ihit cOttitit.ttd is NOT COMPLETE for mosses of Swim 2'20.Sub&8 alit,*Disability Benefits Late. It Joust be mailed for completion to the Workers'Compensation Beaird.Det Plans Aeeeptelce Unit.ae Park Steel,Albany.New York L2207_ PART 2.To be completed by NYS Workers'Compensations Board(Only If box"4b"Of Pert 1 has been checked) State Of New York Workers'Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-muted employer bas complied with die NTS Disability Benefits Law with respect to all of histher employees. Date Signed By (Signature of NYS Workers'Corn ►sauna Board Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS disability benefits insurnttce policies and NYS licensed iltsu attce agents of those insurance caixiers are authorized to issue Foun DB-120.I. Insurance brokers are NOT authorized to issue this form. DB"120.l(546) Certificate Number 330785 A DATE(MMIDD/YYW)�® CERTIFICATE OF LIABILITY INSURANCE 1216/2014 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 (801)(801)532-2804 136 E. South Temple Street ADORIEss•tnnoorda@d> .mnoorda@diversifiedinsurance.com Suite 2300 INSURER(S)AFFORDING COVERAGE NAIC# Salt Lake City UT 84111 INSURER Colony Insurance Company INSURED INSURER B.Sentinel Insurance Co 11000 Level Solar Inc. INSURER C: 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 WLIMITS LTR J ISR VD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 50 000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ r A CLAIMS-MADE n OCCUR PACE302845 12/15/2014 12/15/2015 MED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000 GE X I POLICY n TR-F n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED 34UECVT5502 12/1/2014 12/1/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YINTORY I IMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE n E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED', N/A (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ If yes,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. INSD25(7n1nn51 n1 Tho A()f1Rn name anti Innn aro ronictarorl markc of A(`f1Rn • . • • • SUFFOLK COUNTY DEPT OF LABOR, ^ • LICENSING&CONSUMER AFFAIRS - ' ° • .., HOME IMPROVEMENT CONTRACTOR "= LICENSE ...,,iirm ! RICHARD KEISER This certifies that the 84SNESSNMNE bearer is duly LEVEL SOLAR INC • licensed by the `eard gyp' ON.lamed County of Suffolk 51859-H 06/19/2013 Tr?el774rlefi! r'� COMMapn. Exna^a.oa-E 06/01/2017 • f • S • _ .. ,. SUFFOLK COUNTY DEPT OF LABOR, I LICENSING&CONSUMER AFFAIRS i - MASTER ELECTRICIAN ig. V' f L N"YS SHAWN RANALDO This certifies that the GU5"ESB""E LEVEL SOLAR INC bearer is duly licensed by the County of Suffolk ow u.v.a 7i ritAlry� 51858-ME 06/19/2013 CPn ms.rt.r EXPaa^p"D'r906/01/2017 { � 3 fi • i ' r • t --+ L • ELECTRICAL INSPECTION REQUIRED AP R VE.D AS NOTED 4 DATE: ?S /5 E.P.# D�._ FEE: S •6O BY: NOTIFY BUILDING DEPARTMENT 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 SO ffH LD TOWN1 ZBA-- `f. . . RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OCCUPANCY OR OF THE TOWN CODE., USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY STRUCTURAL ONLY" RIDGE ON TOP t OF NF EAVE ON BOTTOM l (� GL NY Firm License#. m {1 i COA 009721 W ck A 149- 840" R©FFS S I 0‘41\‘‘cc.. ----, 8/4/15 I ,. ;A,.,, ',,-,-;.:;,,::$;`k,'.? I 13" �'n _ 1 S .Y,{'{" Ila^1 ,`Y,. {' - 3E ":'c ,.y;';�a:'il^r Y, -„J^ lk�I� any r(^ i{r - ,,::$•, .'. {j-': ..,,,y',�.". -,-,'-'%,:;'''.'.:'-' }r - _ - -L': ����' ,lrsl _ ! -;_ !''+7'. %,1.77.'''''75771-„--7 ,. �+.•d. - r�'toi <illt.�' ,t:.k-�:'- .�.,,- � 'j.;'. 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J'F{�.,v- Y -rrz -•.` ,yf �E+-`xTti' .3..::..,.,f ,.rc ..�r, !p/,�/y i 23" 170" -, 20" Attachments to the existing truss top chords or rafters must be staggered so as not to overload any existing structural member Landscape Portrait THIS ROOFS ACE HAS BEEN 2x6 Rafter Members LEVEL SOLAIR # Over Up Over Up INSPECTED AND FOUND TO HAVE A @ 16"OC SINGLE LAYER OF SHINGLES Roof 1 -40 Mods - 18°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 LANDSCAPE 4 259.78 161.38 158.98 262.18 Max Cantlliver(In) 18.3 14.3 10.7 23 Suzanne Heffernan 5 324.85 202.05 198.85 328 05 Max Spacing(in) 32 16 16 26 755 Stillwater Avenue PORTRAIT 6 389.92 242.72 238.72 393 92 Max Cantlliver(in) 14 3 9.7 6.3 Cutchogue, NY, 11935 '(, H' � T,aS' 4`_i-; ' '.,i '� -v! AH�(�`'''" - 'l�v S,l'c•�,',,, • • S LA 236 W 30th Street,Suite 600, New York, NY 10001 844-GO-LEVEL Customer Information: Name Suzanne Heffernan Address 755 Stillwater Avenue 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 40 Module Type LG 300N1C-B3 Modules Size 300 W Array Size 12.000 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 • u..,�, 4� i" %< - - .+n'*`*'.{•. ,}} ..- •,,i :Z"Y;'`i' ir.'�:.,.7` `r + !, - n :4-. vFS_ �'ix, } - �r_�` � - r ! i. Q.S ',.;, ,,4M- :,5 :r ,;,:sof-•�- :« 4.- .,. . .•n• .. .. , r-•.J `.� _•, ..- .,. _ _. Wa i's, -.. ,.- a,. _ .v.i. r'.-.,.rN,a .. .. wi..- -. -i."L_ .af[,-;a-. _, _ -... .. .. -1+.- u. SOLAR 236 W 30th Street, Suite 600, New York, NY 10001 844-GO-LEVEL Surface Information: Roof 1 Members Type Rafter Roof Pitch 18 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 40 Portrait wind zone 26 in Number of Optimizers 40 Landscape wind zone 23 in Estimated Number of Attachments 80 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.) 1720.8 lbs Total Array Area 706.0 sq.ft. Distributed Weight 2.4 psf Weight per Attachment Point 21.5 lbs Snow Load and Wind Pressure Calculation: (ASCE 7-05Sections 6-7) Roof 1 Interior Edge Corner Flat Roof Snow Load (Pf) 22.7 22.7 22.7 Slope Factor(Cs) 0.9 0.9 0.9 Roof Snow Load (Ps) 21.4 21.4 21.4 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) 2.3 2.3 2.3 Snow Load (5) 19.4 19.4 19.4 Load Combination 1= D+0.755+0.75Wdown 33.3 33.3 33.3 Load Combination 2= D+Wdown 24.2 24.2 24.2 Load Combination 3= D+S 21.7 21.7 21.7 Uplift Design Load =0.6D+Wup -33.3 -59.1 -88.0 Maximum Absolute Design Load (Pabs) 33.3 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) 55 43 32 43 29 19 Max. spacing between attachments considering rafter spacing(in) 48 32 32 32 16 16 Max cantilever from attachments to perimeter of PV Array(in) 18.3 14.3 10.7 14.3 9.7 6.3 ' . . . ' ." $�' �� - �.,� - ' ` ^ ^.�.. ����==�� �� 0~=� ���� _��^ �,/��\ �~�� 236 W 30th Street,Suite 600, New York, NY 10001 844'GC+LEVEL Pre-Installation Checklist: 1) What is the size and spacing of the rafters or truss drop chords? Roof 1 2x6 Rafter Members @ 16" OC 2) Is there any evidence of water damage in the roof? No Anydryrot? ' No Any other visible deterioration? No 3) Do you see any splits, cuts, breaks, or visible sagging in the existing framing members? No 4) Please provide photos showing the sizing and spacing of roof framing and any possible damage as described above. I EcoX MOUNTING SYSTEM Front elevation detail Attachments Spacing Cannhver Cantilever Attachments spacing - 1. All installed roof surfaces have been (Edge) (Interior) (Interior) • Detail A inspected and found to have a single r---i i 1 1 Solar Panel layer of shingles 2. Max height of panel above roof Wind Zone I I ''''':::t7: ''x' "- Clamp on Clamp i '�'s ���_ surface not to exceed 6" �' ,' .A _ _ Attachment kit Attachment kit ����- - - 3. Attachments to the existing truss ' , ' ., • ' topchords or rafters must be Interior ,1. wind zone Solar Panels Skirt t staggered so as not to overload any • Shingles existing structural member , - "• `"'•'- Y• Coupling Height of Panel •,+t; I�� '" �', P ng Rafter — 4. Maximum values for attachments Edge above roof surface g 4 ;_ ` spacing are specified in following wind zone r,: s r,,:' �;,,;, pages for each roof. ,. `�' ,l" ,r.+^' ;•, t, Rafters Corner _ I'.`I� r "I'R I'' - -J`y a,1, wind zone I, ' I I 1 t Cannlrver Attachments Attachments spacing (Corner) spacing (Edge)p g Components (Corner) Clamp on Attachment kit Detail A _:...,,:i'.,,- ,+ _, l'..,:4,,:..-? .',=ir .� .; "';�?"'+l°1T'•^„^pnq.rnaC -'Y,,,�.'''•:r 1- ^',,•,r,: y'i, 4s; _ "'r,A';. ,-`,),`;4xy I XTr,il Ex, yrL: .w.^„ ",`,. Clamp 3T d•"rte .,n i'.,? � Y•:�$ .:,:-,e t.7::!,-,..,:;;,,,7:;,,,• ;;,,,,- ; .fk(.:.T 't ^t�l�,"`e��;^S:wr'�y",�,eic,')7'h:�rt-.,::4,.;,,. �```,,c '444,..,„ Clamp / p Coupling Attachment kit --:U ,liV `'' s,, ''''.•,.11`.`1,";•,; : e''" `~ ', FASTENER kt:x B-LAG SS .313x3 4" �r �• '-,!y �-.r stainless lag bolt* i , *4-42„::0'• t. O,{ • aA1 y,MmoIi-. � V 7, v Wt1 , t "' Y- 1/4,1 t*hx. ry ? AAr w�i yu6" ,, l IMby ,,,,,,,,P, .. ,,t- ?lAy S 4 ?A-,„,,,,:;0$,w,..t� • a* a' qtr 2'f,, w e . ire . ,.r ,, FLASHING `r; .4 �'?tGF1-MLL-812 .; ,, -r 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 • .S..,it 3 zT,,,,y _ tv. `,`�3r -,•_3 ^tx,er- i}'a Yi' .. 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O,"= 0 — Service 0/240 Servi120/240 Vacce r V 1 C(New) = L1,L2,Neutral (Existing) (New) THHN/THWN-2(rated 90 deg C) RevenueGrade 10 String 1 6 AWG Cu Wire 0 Meter Roof mounted _ _ Solar PV Modules _ 0 0 0 o in%4"PV Conduitl I B B Line-Side ` I I mr�'� i Tap _ _ n—f O � _ a + + , L+ (New) i -- 1 L1 J n L2 F 0 N 0 13String2 I (New) (New) U Roof mounted + + S Solar PV Modules S } I `�—— /� O [�{O (Existing) •• : + — + - +-- - -__- --- - \ 0'0 o.oJUN J I G G 17String 3 I I I l� J Roof mounted Ii+ _'�i Solar PV Modules _ Positive,Negative,EGC GEC GEC PV WireTHHN/THWN-2 — + — + _ Im 1+ m I — _ ——_ — ���1/I (rated 90 deg ClC) 10 AWG Cu wire — � — in"PVC conduit WIRING LEGEND Positive L1,L2,Neutral and EGC — —— Negative PV Wire in Free Air or Ground THHN/THWN-2(rated 90 deg C) Neutral 40 mods @ 300 W each = 12 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.200 Aac Main Breaker.DP 60 Aac Model*300N1C-B3 Model: P300 Model:SE10000A-US Main Circuit Breaker.200 Aac Intertie Circuit Breaker DP 60 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 10950 W F - DC COMBINER LEVEL S®LAR Isc(STC):9.98 Adc Max. Input Voltage:48 Vdc Max.Continuous Output:42 Aac Make:Bud Industry Vmp(STC) 32 Vdc Max. Input Corrent: 10 Adc Nominal Output AC Voltage:240 Vac Model NF 844-GO-LEVEL SERVICE@LEVELSOLAR.COM Termial Rating:60 Adc Imp(STC):9 4 Adc Max Output Current:15 Adc GFDI: 1 OCPD Current Rating:15 Adc 3-LINE WIRING DIAGRAM Max.System Voltage:1000 W Max String Power.5250 W DC Disconnect: 1 OCPD Voltage Rating:600 Vdc Suzanne Heffernan String Length.8 to 17 Units *GEC not required ungrounded 755 Stillwater Avenue Cutchogue, NY, 11935 Aug 17 2015 02:49PM Level Solar 6312852558 page 2 - Innovation, t • Life's Goad oaB• efr : tLife ,� -. .yy .�. Krf.. 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Aug 17 2015 02:49PM Level Solar 6312852558 page 3 hilechanical Properties Electrical Properties(SIC *) Cells 6x 10 —� 300 W — Cell vendor =G _-_ MPP voltage(VnnPP) 32 0 Cell type Munixryst:ILr..c MPP clrrent(Impp) 9 40 Cell dimensions 156 x 156 mm/6x 60 Open circuit voltage(Voc) 39 B a of bulbar 3 Short circuit current(lsc) 9.96 Dimensions(L x W x H) 1640 a 1000 x 35 rnm Module efficiency(%) 18 3 64 57 x 39 37 a 1 38 in Operating temperature(°C) -40-1-90 Static snow load 5400 Pa/113 ps` Maximum system voltage(V) 1000(IEC),600(UL) Static wind load 2400 Pa/50 o5F Maximum series fuse rating 20 We:girt _- 168 zt 0 5 sig/36 96 t 1 l Ib Power tolerance(%) 0-+3 Connector type MC4 connector IP 67 'STL(standard Test Candldon)Irra?:ante"000%7rm`,rnda'e temperr,o 251C Ar-1 5 Junction hox iP 67 with 3 bypass diodes 'I'2-errememiacr'e-ar,tput's measured end determined by LGL•leR-l3 or es sole end absoki.±0net ort Length of talylim ^1000 mm/2x3937 in Glass High monsmiss•o^>~mperedglass Electrical Properties(NOCT*) Frame Anodized aluminum 3O0 yv Certifications and WarrantyMaximum power{Plr�p} 220 — _._ MPP voltage(Vmpp) _ 29 3 Certifications IEC 61215,EC 61730-1/-2,L'L 1703, MPP curnsnt(lmpp) 7 50 ISO 9001,IEC 61701,EC 62716 Open circuit voltage(Voc) -_ 36.9 Module fire performance(UL17O3) Type 2 Short circuit current(1st) 8 05 Product warranty 10 years Efficiency reduction N ------ _.__ --- (From 10OdW/m1 to 20d W/m'7 c 2,a Output warranty of Pmgc Linear warranty* a . 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SE3000A-US/SE3800A-US I SE5000A-IJS/SE6000A-US/ SE7600A-US/SE10000A-US/SE11400A-US SE3000A-US,SE3800A-US 1 SES000A-US FSE6000A-US 1 567600A-US' SE10000A-USI Sfl147l0A-US I • OUTPUT— -------_ __ __..— _ ___-- ---_,_. __ ..._._....__ _..____... - -- _ _ • Nominal AC Power Output 1 3000 3800 I 5000 I 6000 f 7600 i 1000 24CIV i 11400 ' VA t 5400 @ 2D8V i k 11oa0Q cb20-Bv I i Mate AC Power Output f 3300 41L0 ; 5450�240V1. 60� 1, 8350 i 10950 �t2?70V i 12000 i VA AC UutpL t Voltage M in-Nom.Max ill I k i 183-206-229 Vac { I ✓ ( I I.l AC Output Voltage Min.-Nom.-Max ini r ✓ ✓ l ✓ 11 211-240-264 Vac t : AC Frequency MinNom-Max'' t 59 3-60-605{with rii country setwng 57-60-60.5) i Hz i I2a,^4 208V I 1 48 @ 208V Max Continuous Output Current • 12 5 16 25 1 32I 47.5 A 21 @ 240V„{„ •- ,,,,,1 • 42 a 240V ' GFDIi .._. ., ......._- 1 ........ . .. ..... ................ .. ..... . . ... .... A,,.. Utility Monitoring,Islandina Protection,Cauntt_Co rr•_ cable Thresholds - `res - -_ _ Yes__ INPUT Recommended Max.DC Powe =1 t , STC t 3750 4/50 I 6250 1 7500 j 9500 + 12400 14250 W ,_,. ., iii t. I Trans`orrner-less,Un4rounded s Yes Max.Input Voltage 500 • Vdc Nom.OC Input Voltage r • 325 @ 208V/350 @ 240V Vdc t . } 15.5 @ 20BV 1 1 1 33 @ 2084 Max.Input Currents" i 9.5 13 t 18 i 23 t 34.5 Adc 1... ... .......t.,.,.. ., 15.5[812404 I i .30..5.0240V i„ Max.Input Short Circuit Cl,rrent 45 Adc Reverse-Polarity Protection iYes „ Ground-Fault Isolation Detection 630k:Sensitivity Maximum Inverter Efficiency i,. 97.7 98.2 f 983 98.3 , 93 I 98 I ,_ . 98 . .. ,,. CEC Weighted Efficiency 97.5 i 48 € 97.5 @ 2084 97 e i 97 5 i 97 @ 208V . 97.5 44 98,E 2404 . . _... . ..... . . 1.,97 5 °.).24bV 1 I Nighttime power Crinsumtion s <2.5 ___._._______<4__.__.._.--_____...__.-.:_._w__-._ ADDi'TIONAL FEATURES Supported Communication Interfaces; R5485,RS232,Ethernet,ZigBee(aptional) l Revenue Grade Data,ANSI C12.1 € Optionalt') Rapid Shutdown-NEC 2014 690.12 , Functionality enabled when SolarEdge rapid shutdotn kit is lnstalledifi1 STANDARD COMPLIANCE Safety UL1741,UL1699B,UL1998,CSA 22..2 Grid Connection Standards IEEE1547 Emissions _i_____ .__._____.__._-_-._.__.._. _--___ _... _.__._FCC partly class B __.__._ . _I I_ INSTALLATION SPECIFICATIONS _ _ ___ _ AC output conduit size/AWG range i -~ ~ - 3/4"minimum/16-6 AWG - 9 3/4'minimum,/8-3 AWG DC input conduit size/s4 of strings/ ; ) I 3/4"minimum/1-2 strings/16-6 AWG k 3/4"minimum/1-2 strings/14 6 AWG AW,G,rang?-..., I Dimensions with Safety Switch 30.5 x125 x7/ I 30.5x12.5x7.S/ r• in/ }i 305 x125x105/775x315x260 i _(HX?�V.D) .. „ ._. _ ;, ,_„-775,x315x1,72 ,,, _ 775x315x191 ,, Weight with Safety Switch i 51.2/23 2 t 54.7/24.7 38.4/40.1 i lb/kg Coolin@ Natural Convection Fans(userreplareab€e) „ , Noise <25 <50 (IBA Min:Viax Operating Temperature 1 -13 to+140/-75 to+60(-40 to 4-60 version available'FI) r "F/'C R ..._. . I. , ... . . Protection Rating NEMA 3R , Il;Forathor regton+i settings plaasa torna.t Wan dge support t”Limited to 12S%for locate,m where'the yearly average It gh te•noeralure IS above 7 Pf/S'C anti to 1S%for local-lois v.,h.no It's below/YF/2SC Fordeailedinformation,rFo'ertohtlol;wwwsciasedre.us/fi!eVodfslirwerler tit 4vetstonn eudendf 10A hitcher current suur,e rn,.y hewed the bnrerter will Lrmt P r Ins.ntv,nmtto the wares stated. 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Weighted Effiaency I 98.8 . % Overvoltage Category ..._,I . _ II _ _______..................._____........__... ....._. OUTPUT DURING OPERATION!(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) Maximum Output Current ii- 15 i Adc Maximum Output Voltage I _I_ : Vcfc OUTPUT DURING STANDBylpOWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) ..........:_,-. Safetyputp.ut Voltage per Power Optimizer_j, 1 1 Vdc STANDARD COMPLIANCE EMC ! .. , FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 1„ Safety I IEC62109-1(class II safety),011741 I ' INSTALLATION SPECIFICATIONS _ .. .._ Maximum Allowed System Voltage I 1000 Vdc , . . Pxxx-2 series 141 x 212 x 40.S(5.55 x 8.34 x 1.59 . „ . .. . Dimensions(Wx L x H) r Pxxx-5 series li 128 x 152 x 27.5/ 128 x 152 x 35/ 128 x 152 x 48/ ; I 1 mm/in 5 x 5.97 x 1.08 5 x 5.97 x 1.37 5 x 5.97 x 1.89 I Pxxx-2 series -i 950/2.1 li Er/lb Weight(including cables) • ; 1 Pxxx-5 series i 770/1.7 930/2.05 ; 930/2.05 ; 1 input,Connector , MC4 Compatible . i Double Insulated;Amphenol i OutRut Wire Tyr,i J Co2neccor . .i Outpyt Wire Length I .. 0. 13.0 95 i i 1.2/3.9 I rri/ft ; ............1-.(PPP.r. PJ.r. .13r'8. ... ... .........!........................... ,.... . ._-'1(?-.-f81-9'.''E 1. . .. ... . ..... . . . ......, ......1.....i..F... i,p.)..,:m...7. .,q!-!, ......I..... IP65,/NEMA4 Protection Rating i ....-................ -. ... ,.................. . . .._ __ . ... „ - .... ...... . . ..... . ..... I pxxx-5 series I IP68/NiEMASP Relative Humidity. I , . i 0-100 lii Hated STC power of the moduk,Module deo to.5%power tolerance allowed. 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' ,,::::,,,,,................,.,..,: • - 4',e• . , - ' • " Skirt, ,. . ‘ J- * Attachmen r. K 1"-• ,- '''" • 'fr en *Utzing EcoFasten ,„.....„.40, Solar Technology .14411111091,1e,r 1 U S-7413-249-1 R77 1 lutvw Prnlihn I tmcrtla r rnm sates2ecolthr....mar.com Erniihritim.r....;rii a r Aug 17 2015 03:09PM Level Solar 6312852558 page 9 The low part count and minimal tools I„{ �y� ” required bring unparalleled simplicity t ' ,'t11 and speed to rooftop installations. EcoX$ ,5 R .s accompanied by a 15 year warranty,will =, ksYz {.. accelerateyour installations resultingin ' , .•l i7''` ra' °aZ rz smoother logistics and fewer headaches. • ,(; ,,,. !r ,'f� 5$, . iz '1 1 it 1;40,1a °t w I , ,r r4 1r ? -, c . r I {$l: try ,r rcai- 11 5.`"0 r,-ti', tL•" x t ' rp.uiyuG I ):1 � r't,'71r . , I ,.n . , ,:I;;i,,.•splen.w1x17,.'�R%!t'apttrao,.,,w.,..., •.atf .. .rks. I.:.t`,f+,, �!_•,, �. �n � a:a ,,.�,?.v ,. n,.,., ,.^.,. 5.. ?i ,_,x 5, r11�•r�,�,las?,�„ i'. a t.-.� l'k. 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No need to reach over after modules are in place. or walk on modules to tighten hardware. ,1 • 7r i : iLJ F .` oic4li .t 1r, . 1 4 l i I1.141.i.i:t hlFtft r• ,,, K l YI y.;F ( !tl J Ilr .,vi,,e,e,1'1'S tp"Sy 5,£Y 41 ,col•,...a• fW f; `' I fflf�Ysirtk !+�t K, , ,y 4"l F @ r u'� M � qtr Vil, C; ',I.:1'17''I 1ti 6PaR� 42114 f1 S '�y ,1 f 3. 'Lt(75fiii- rt{ ,+ l ,R' F 11 f Ef�4.% it a �" �,'S 3+ elt fi irk f • I ♦:. +{j5 4�(lti�ca��I'�1�rzY+�{ti<j'�a L� v� I , ` , wi r t ctw. �aft ��I} 4 n 1,` 'h .a ,f ,i1 I t u K, . ,sot i,' rCl l.,y+o,tai;, t1 ii' X� e. ` �, r r ? � f t F�yy�zLry1y •E;. r'', ',.',7 • '� /',. ��,'a, n;•4ii ��1.'YJYCr�`Y.• r 417 r "1 .F cit 1 taro,+ _ Jr North South • JAl I -± Skirt Adjustability: Adjustability: Uptuail01; ciq` a.o ►ut`IZr,�,6r t0,}4r'atiiats The adjustable skirt accommodates EcoX lower support Vil e20Ar� g ;t i --•. ;,' different module thicknesses and provides 4V of 1u *Tion Box I>tioun sl` delivers a clean,finished look. NS adjustability. ,„ ,- l ' • e!' rte;. `,Wis R.iipci iprnithnrrmcniarrnm i r IS 74r1-244-1877 1 t,r, arnilhriii n niarrnm FIT)Yi brilirn Sri!., r • • UTAH OFFICES pRIPSAIE Sandy )sV Layton . .AK : T St. George ti----, E rl G I rl E E R S Project Number U1521-571-151 August 4,2015 Level Solar 90 13th Ave Suite 8 Ronkonkoma,NY 11779 ATTENTION: Eric Negron REFERENCE. Suzanne Heffernan Residence: 755 Stillwater Avenue,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 NEw CC. Roger T. Alworth,P E NY Firm License#: n 't$111: /i v3 Principal COA 009721 y . CC ,aY-1 w Enclosures cep 0 C� RTA/kbh ,OFcSSiONP" 8/4/15 9138 S. State St., Suite 101 I Sandy, UT 84070/T(801) 990-1775/F (801) 990-17761 www.vectorse.com