HomeMy WebLinkAbout40676-Z ��4�pSUFFQI'�coG� Town of Southold 8/8/2016
� � P.O.Box 1179
w � 53095 Main Rd
Py,,�� ��o�� Southold,New York 11971
�
CERTIFICATE OF OCCUPANCY
No: 38435 Date: 8/8/2016
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 790 Clipper Dr, Southold
SCTM#: 473889 Sec/Slock/Lot: 79.-4-17.7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/2/2016 pursuant to which Suilding Permit No. 40676 dated 5/6/2016
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 FAMII,Y DWELLING AS APPLIED FOR
;
The certificate is issued to Camanzo,Joseph
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40676 07-19-2016
PLUIVIBERS CERTIFICATION DATED
Authorized Signature
�� TOWiV OF SOUTHOLD
�sUfFnt,��,oG�2
��, BUILDIIdG DEPARTMENT
� a TOWIV CLERK'S OFFICE
oy . o�,� SOUTHOLD, NY
?�al � ,�a v
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#: 40676 Date: 5/6/2016
Permission is hereby granted to:
Camanzo, Joseph
790 Clipper Dr
Southold, NY 11971
To: �nstall roof-mounted solar panels on existing single-family dwelling as applied for.
At premises located at:
790 Clipper Dr, Southold
SCTM # 473889
Sec/Block/Lot# 79.-4-17.7
Pursuant to application dated 5/2/2016 and approved by the Building Inspector.
To expire on 11/5/2017.
Fees:
SOLAR PANELS $50.00
ELECTRIC $100.00
CO -ALTERATION TO DWELLING $50.00
� al: $200.00
i
B 'Idin ector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPL�CATION�'OR 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 Apri19,1957)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 wrihng 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. � —' �V(�fo
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 790 Clipper Drive Southold
House No. Street Hamlet
Owner or Owners of Property: Joseph Camanzo
Suffolk County Tax Map No 1000, Section 79 Block 4 Lot ��•�
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: x (check one)
Fee Submitted: $ 50.00
'c t S ature
���OF SOUrg,�l .
� o
Town Hall Annex � � Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 � • �� roqer.richert(a�town.southold.ny.us
Southold,NY 11971-0959 Q
l�coUNT`I,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Camanzo
Address: 790 Clipper Drive City: Southold St: New York Zip: 11971
Bwldmg Permit#: 40676 Section: 79 Block: 4 Lot 17.7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
cor,tractor: �Ba: Green Logic License No: 43858-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey AtUc 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 A/C 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 Svwtches Twist Lock Ewt Fixtures TVSS
Other Equipment: ��.970 KW Roof Mounted Photovoltaic System to Include;
38-LG 315 Panels,2-SB6000 Inverters
Notes
Inspector Signature: Date: July 19, 2016
z Electrical 81 Compliance Form.xls
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J A M E S J. S T 0 U T A R C H I T E C T �C ASSOC.
2 G REG L ANE E AST NORTHPORT N. Y. 631 - 8 58 9388
D �C���dl�
Post Installa#ion Letter D
June 9, 2016 AUG - 8 2016
��,�IN���P�.
RE: Camanzo Residence T�����OiJT��LD
790 Clipper Drive
Southold, NY 11971
To Whom It May Concern:
This letter is to confirm that as of this date June 9,2016, I,James J Stout, NYS license 021633
have personally inspected the placement and installation of the roof top solar panels at the
above listed address. All of the solar panels have been installed as per manufacturer's
guidelines and specifications, The racking system design and installation complies with the
2010 building code of NYS section 1609 and all related provisions. The installation of panels
was done as per plan.
Thank you for your cooperation in this matter.
James J.Stout
Architect
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TOVVN �F SOUTH�LD BUILDING PERMIT APPLICATION CHECKLIST
BUILDII�IG DEPARTMENT Do you have or need the following,before applying�
TOWN HALL Board ofHealth
SOUTHOLD,le1Y 11971 4 sets of Buildmg Plans
TEL: (631) 765-1802 Planning Board approval
FAX: 631 765-950� Surve
Southold�'own.NorthFork.net PERIVIIT NO. ��� � Check
Septic Form
N Y.S.D.E.C.
Trustees
Flood Permit
Examined ,20�� Storm-Water Assessment Form
. Contact:
Approved ,20� Matl to: GreenLogic LLC
Disapproved a/c 425 County Road 39A,Southampton, NY 11968
Phone: 631-771-5152
Expiration ,20
� ��LS �1.� Bui ' pector
D
��� � �Q1� APPLICATIOIV FOR BUILDIlOTG PERMIT
Date � APril 25 � 20 16
$LTILDING D�. INSTRUCTIONS
TOWN OF SOU1'�OLD
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will �ssue 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 Pernut pursuant to the
Building Zone Ordinance of the Town of Southold, SufFolk County,New York,and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions,or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations, and to admit
authorized inspectors on preimses and in building for necessary inspections.
James Stout Architect
(Signature of appl�cant or name,if a corporation)
�„�,�. ���,l�c��-c L�s�1V��'�-pa�"l�1S73�
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber_or builder
��� J, ���' Architect
Name of owner of premises Joseph Camanzo
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer ,
�Name ar_d title of ce?porate off cer) �
1,
Builders License No. 40227-H
Plumbers License No.
Electricians License No. 43858-ME
Other Trade's License 1Vo.
1. Location of land on which proposed work will be done:
790 Clipper Drive Southold
House Number Street Hamlet
County Tax Map No. 1000 Section 79 Block 4 Lot 17.7
Subdivision Filed Map No. , Lot
�
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Sinqle family dwellin
b. Intended use and occupancy Sinqle family dwellinq
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work Roof mounted solar electric system
(Description)
4. Estimated Cost Fee � '
(To be paid on filing this application)
5. If dwelling,number of dwelling units Nuinber of dwelling units on each floor
If garage, number of cars
6. If business, coinmercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear ,.�,,..., ,,,,,�D,�pt�i ,,_� ,_
Height Number of Stories �.�� � ���,`�,������� 3� �{� �
�r M --� �
Dimensions of same structure with alterations or additions: Front �� � Rear rkr'`i �
Depth Height Number of Stories ���� � ;��by `tl� �,'
8. Dimensions of entire new construction: Front Rear I�epth
Height Number of Stories °�`�r"�����'����'°-���Lj�-"
���.i��"��,'i l��.a::�,,,���������`��
9. Size of lot: Front Rear Depth
10. Date of Purchase 7/2/2013 Name of Former Owner Tor�t Joan Torkelson
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 p��;f,�n F„g�Pr;ng,� AddTeSS700 Lakeland Ave,Bohemia,rvYPhone No 631-988-0000
Name of Contractor_GreenLogic LLC Address 475 Cn�mtv Rn�d �9A Phone No. 631-771-5152
Southampton, NY 11968
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO X
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES x NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFgu�p I IC�
��� 5 ��� �'N��� being duly swoin, deposes and says that(s�ie is the applicant
(Name of individual signing contract)above named,
(S EI is the �jQ�yl� /,���/(�1i4�
(Contractor,Agent, Corporate Officer,etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to tl�e best of his knowledge and belief; and that the work will be
performed in the manner set forth in the apphcahon filed therewith.
Sworn to before me this
_ a g� day of � 1�1 � 20 ��o
1��..�;�, �
Notary Public �gnature of Applicant
KATHd.EEPI SHARRAAN
No4ary Public,S4ate of PJew York
R�lsqr�tlon Plo.015H6333195
Qualified m Suffolk County
f�y Comrroisslon�u+a�idov.96,2019
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9fJUTHOLa TCI4VtV HALL-P.O.Bux 1179 �
53035 A4ain Road-50UTHOLD,NEW YOAK 1i97'1 Town a�'�'��thold
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CHAFT�R 236 - ST��1.�['��T`�R 1VI�l���EI�CET�``T�+[�►RI� �'I�CEET
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;. ❑� A. Clearin�, grubbing, gr�aciing Qr ,�tri�pin� c�f land ��ihieh affects mc�re
than 5,000 squat-e feet of ground �urface. '
{ ❑Q B. �xca��a�io�� o�- fil�ing in<<�olj�in� more than 20� c��bic ��ards �f mate�•ial �
. ; i�jitl�in any� parccl o�- an�f conti�uo��s area.
= s ❑Q C. �ite prep�ration on �lope� ��hich e�cee�J 10 feet �-ertical rise to E
`'` 100 feet of harizc�ntal di�tance.
#_¥ �]Q D. Site preparatiot� v,ti7ithin 10� feet of ti�=etland�, b�ach, laluff ��� coa5tal �
° el-asion hazaY-d area. ':#
° �]� E. Site pr�paration ��=ithin the one-hundred-�7ear floocl�alain a� depieted
on FIRM Map of anj� ��vater�ot�rse.
� ❑[,] F. In�tallation of n�t�j or re�u�•faced .impex•��iaus surfac�� of 1,040 �quar�
,; feet or mc�r�, unic�,� prioi• ap.pr•aval o�' a Stor�n��f�ter Management �
F Control Plan ��-as recei�ed lay tl�e To��%n and the proposal includes
in-kind� replacemenfi of imper�lious surfa.ces. �
E._. _� d. _ _ µ. . _ _ .._ .... . _ ._ w. .. . � _� . �
;� If you anstvered NO fio all of the questions ahov�, STOP'. Compleke ihe Applicant sectian beiaw veith yaur Name,
Signakure, Cont�ct infarmati�n, I�ate & Cownty Tax l�tap Numbec! Claapter 23fi does uut appt}to your praject.
If you answered XES to nne or m�re of the abai�e, please submit T�vo copies of a�tormwater M[stnagement Cantral Ptan
and a comPleted Che�k List Form to thc B�itd�ng Ae�aetment�vith yo�ar Buiiding Permit Applic�tion.
mm:r1f'I'LlCA?d'� _i}'rupert}'C?�:Firr tJe�3an!'ar�ica:urn�l.r�;cttt.C'onfract�» ()the;i `�`-'•�.•I•�+�. r�: ��.3�}� Date:
Ui:snct
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Nr�perC�= :��lc1t•e�s/Locat,i<m r�f�('a�i:�tr�rciic}n ��'ork: _ _ _ _ _ ,_ _ _ _ _ _ _ _ _ _ _
, 790 Clipper Dr, Southold, NY 11971 �'�I�F�F•��'ed for��rr�cessmg Butildn�g Pern�it.
� Stc�i�rnivater A�ana���Yieni C`z,n�rr�1 P(an i�c�i Reqttn�ed.
_ ._ _ ._... ...Y.. _.. ._... — — — ._ _ � ._ .._.. .._ � � ,
Stf�rnivaEtr 141a��ager��ciik Contrvl Alan iy Requ�reci.
�5 � if�'c�rt�•a�rl tc��l���neecin�llcpar�ri�ent fc�r Re��le��.?
��t)1tM � 'Sl4'1CP-"1'C)S;��;'�Y 2(�1.9 - .. .. _ _ ..... .. .,
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�o��OF S0,!/j,�,o! ;
o ;
Town HaII tlnnex J� Telephone(631)765-1802 I
54375 Main Road N � {631)765- 5
p.o.Box I179 G roqer.richert _�O`wn.soutfio��d.nv.us 1
Southold,NY 1197i-0959 ���� ��O — i
�UNT't,�
, BUILDING DEl'A.RTMEN'T
TOWN OF SOUTHOLD �
�
APPLICATION FOR ELECTRICAL INSPECTION
. ;
- REQUESTED BY: � �- � —�� '
Date: '� �
Compa�y Name: �reen�ogic ��c
Name: Robert Skypala _ '_
License No.: 43858-ME
Add!'ess: 425 Coun Road 39A Southampton, NY 11968 • �
' Phone No.: 631-771-5152 - i
JOBSITE INFORMATION: (*Indicates required information)
*Name: Joseph Camanzo '.
*Address: 790 Clipper Drive, Southold, NY 11971 j
*Cross Street: �I
�`Phone No.: 631-559-3228 �
Permit �lo.: 7-�
Tax�Map District: 9004 Section: 79 glo�k: q Lot: ���� �
*BRIEF DESCRlPTiC}N OF WORK(Please Print Eleariy) Roof mounted solar electric system • �
38 LG Electronics LG315N1 C-G4 Modules
2 SMA 566000TL-US-22 Inverters 11.970 KW
tPlease Circle AII That Apply) �
*Is job ready for inspection: i
YES NO Rough In Final
'`Do you need a Temp Certificate: ES NO - -
Temp Information {If neededj • �
�Service Size: 1 Phase 3Phase 100 150 200 300 350 400 O#her
*New Servjce: Re-connect Undergraund Number of Me#ers Change af Service Overhead
Additionai Information: PAYMENT DUE W(TH APPUCATfON
�c.d C �83�� .
82=Request for Enspectlon Form �� .�o
� 5���� �
�, A sa ��� L I °
� EN ERGV
August 4, 2016
The Town of Southold � ��j�0��
Building Department • D
54375 Route 25 � "
P.O. Box 1179 AUG - 8 2016
Southold, NY 11971 " ��J�,D�G�EP�.
T06�OF SOTJ'�iOLD
Re: Building Permit No. 40676
Joseph Camanzo
790 Clipper Dr, Southold, NY
To the Building Inspector:
Enclosed please find the Engineer's Certification Letter and the Town of Southold
Certificate of Compliance for Joseph Camanzo's solar electric system, which we installed
at the above reference address. Please arrange to send him the Certificate of Occupancy
and close out the building permit. Please let me know if you have any questions about
the installation.
Sincerely,
C'�/� 1�.��-
Tamara Romero •
Account Manager •
GreenLogic LLC
631-771-5152 Ext. 110
GREENLOGIC LLC �www.Greentogic.com Tel: 877.771 4330 Fax 877 771.4320
SOUTHAMPTON ROSLYN HEIGHTS '
425 County Rd 39A 200 S Service Rd , #108
Southampton, NY 11968 Rosyln Heights, NY 11577°
���OF SOUp���
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Faac(631)765-9502
P.O.Box 1179 � � �
Southold,NY 11971-0959 '� ,��`�
���COU�,��.v
August 5, 2016
BUII,DING DEPARTMENT
TOWN OF SOUTHOLD
GreenLogic LLC
425 County Rd 39A
Southampton NY 11968
Re: Camanzo, 790 Clipper Dr, Southold
TO WHOM IT MAY CONCERN:
e Follo 'ng Items(if Checked)Are Needed To Complete Your Certificate of Occupancy.
n I�1� : Need certification from an architect or engineer stating the panels were installed to the roof
� `6 u� NYS Building Code
Application for Certifcate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of$50.00.
Final Health Department Approval.
P�UCYIbeI'S SO�d@C' C@I"tlf Cat@. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. �Town T��Stees#�ss-�s92�
Final Planning Board Approval. (P�anning#�s5-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 40676 — Solar Panels
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FORM R QWNER f�. N E
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STATE OF NEVV YORK
WORKERS' GOMPENSATIOt@ BOARD
CER°Y°IFICATE OF NYS'4�VOI.t.KERS' C(l►MPENSATIUN INSURANCE COVERA�E
ia.Legal N�me�c Address of Insared(Uoe street address ouly) lb.Business Telephane Number of Insured
Greenlogic LLC (31�771-5152
42S Caunty Rd 39A Ste�tix lc,NYS UnempIoymeot Insurance Emgfoyer
Sonti►ampton I+IY Ii968 Registration Number of Insured
ld.Federal Employer ldentification Namber of Insured
Warlc Lc�cation ai Insared(Only requtred f coverage is or Social Securlty Pdumber
specfjrcally�in�te�l to eertaln locateo�s 1n Mew York State,��,a 203801194
H'rap-Up PaJ�cy)
Z.Name and Adctreas of the EntYfy R�questing praof of 3a. 1�Tame of[nsuranGe Carrier
Coverag0(Ent�ty Being Listed as the Certit"icate Idolder) IYational Liebility&Fi�re Insuraace Campany
Town af Soathold 3b.Palicy Number of entity listed in box K]a"
S309b Itte 25 V9WC6S33�2
So�ttholc!NY 11971 3c. Policy effechve peruod
06/15/15 to os�isrzaic
3d. The Praprietor,ParMers or Executive Offf�ets are
inClpdeti. (Only cLeck bo:if afl partnerslot�tcers inelnded}
X al[exclnded or certain art�aersJafficers exclu�ded.
'This certifies that the insurance carrier indic�ated abov� in box "3" insures the business refereneed above in box "la" for'warkers'
compensation underthe New York Stata Workers'Cqmpensation Law.(To use this form,Ncw York(l�IY}must be listed unaler Item 3A
an t6e INFORMA'CIQN PAGE of the worlu�rs'corapensation insurance policy). The insvrance Carrier or its licensed agent wiIl send
this Certifieate of�rnsurance w the entity listed abo�e as the certificata holder in box°'2".
The Ittsttrance Carrier w�l!also�at(ry the dbove cert{f lcaes holder wethrra 10 days IF a poliey rs canceled due to noapaymenl raf�remFuins
or wfthin 30 days 1F there are reasons other than�onpc�►ment ojpremiums that aancel 1he poPlcy ar eltminate the insrered from�he
caverage indicated on dhis Certificale (These r�olices npay be sertt by regular maPl.) OthePwlse,th�Ce�f'icate Ps vaTrd for orteyeor after
tl+isfor,n is r�ppmv�d by rJhe insurance carrde�r or lts lPcensed agenl,or unl�l tlie pollcy exprrallo�a date�,sted in box"3c i Fvh�ehevet!S
earl�er.
� Please Note:Upon the c�nc�llat�on of the workers'�ompensation pol�+cy indieated on this lasm,ii'the business coa�inues to be
named on a permit,license or contract issued by a certiTicate holder,the business must proviu�e that certificate holder with a new
Certificate of Workers'Compensatioa Coverage or other authori�d proof that the bnsine�a is comptying with the mandat�ry
coverege requFrements of the New York Bt�tB Workers'Compensa�ion Law.
tJnder genalty of�erjury,I certify that I a�n an authoriz�d represemtat�ve or I'rcensed agent of the iusurance carrier r�ferenced�
above and tbat the named insured h�s the r.overage as depicted on this form. '
Approved by:NICHOLAS ZUI.KOFSKE
(Yriat n�ne of authorized represa►talive or livenss�agem af insurance cerrier)
Appraved by: U6/1 . l5
' ature) (Dahs)
Title: ,4uthorizpd Agent
'Celephone Number of authorized representative or iicensed agent of insurance carrler: G31-94R-4113
Please Nate:Only fnsurance carrlers and their licensed agenrs are aulhorPzed tn issue Form�'-1Q5.2. Insuranee brokers are NOT
rr�rhortzed ro tssue�t.
C�185.2(9-07) www.wcb.state.ny.ns �
Workers' Compe�asat�on Law
YORK Workers' CERTIFIC�►TE OF 1NSURANC� GOVERAGE
57ATE Comper►sation UfdDER THE NYS DISABILITY BE[VEFITS [�►W
Baard
PAR71.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 9
1a.tegal Name and Address oF Insured{Use street address oniy) 1b.Business Telephone Number oF Insured �
GREENLOGIC, LLC, 639-771-5152 �
1c.NYS Unemployment Insurance Employer Registration �
Numbcr oF insured
425 COUNTY ROAD 39A SUITE 101
SOUTHAMPTON NY 11968 7d.Federai Employer ldentificatian Number of Insured
+ or Social Security Number
203801194
2.Name and Address of thc Entity requesting Proof of Coverage 3a.IVame of�nsurance Carrier �
(Entity being listed as ihe Certificate Holder) SholtorPoint Ufe Insuranco Company ;
Town of Southotd �
3b.Policy Number of Entity listed in 6ox"1a":
53095 Rte 25 DBL251202 �
Southoid NY 11971 3c.Policy effective period: �
� 04/11/2015 �0 04l10/2017 {
� ;
� I
;
A.Poi icy eovcrs: ,€
a. ��All of tho employer's cmployees eiigibic under tha Nnw York Disability Benefits Law
b.� Only the following class or olasses of thc employer's empfoyces:
i
I
�
Under penalty of perjury,I certify that I am an authorized representative or licensed age�t of the insurance carrier referenced
above and that the named insured has NYS Disability Benefits insuranee coverage as described above.
(� � � �
Date 5i ned 3/2212016 g �}��((,��'r`, �,���� �
9 4 (Sfgnawro of insurance wrriar's authorized representative or NYS Licensed Insurance Agant of that insurancm wrrier)
Telephone Number 516-829-8100 T;�,�_ Chief Executive Offic�er
IMPORTANT:If box"4a'is chtcked,and this form is signed by the insuranco cartier's authonzed representaiive or NYS Litensed Insurance Agent
o/thas carrlar,this eertificato is COMpLETE.Mail it directly t�the certHiwte holder. �
If box"Ab"is cheeked,this certificale 1s NOT COMPLETE for the purpases of Seaian 220,Su6d.B of the Dlsabllity Benofits Law.
It must be mailad for compietion to lhe Worker's Componsation Board,DI3 Plans Acceptanco Unit,328 State Street,Schenectady,NY 12305.
PART 2.To be completed by NYS Worker's Compensation Board (Only if box"4b" of Part 1 has beera checked) y
State of Rlew York
Worker's Compensation Board
According to informatfon maintained by the NYS Worker's Campensation Board,the abave-named employer has compiied with the NYS
Oisability BennfiLs Law vAth respc�t to all of hisfhcr empioyees.
�
Date Signed � By .
(Signature of NYS Worker's CompensaUon Board Employoe)
Telephonc Numbcr Title ____ '
Ptease hlote:Only insurance carriers lisensed to write NYS Disability BeneFits insurance policies and NYS licensed Insurance Agents of
those insu�ance carriers are authorized to issue Form DB-120.1.Insurence brokers are NOT authori2ed to issue this form.
DE3•720.1(9-15)
I`r' �.w�.;-,�.-n...rra'!�"'K�i`m'�'�TY,��,,��
�._. ,�,�:.� ��,'�:.t..���.� SUFFOLK COUNTY DEPT OF LABOR,
'���t�.;�<�'� '�''`��`� LICENSING �C�NSUME�AFFAfRS
�;�'''r"� = ��= 4,;i'„��- H011i9E IMPROVENlE�1T' -
t, .I� iit���
;��d$>�s�` �'�'�� '�';��.+,`' CONTRACT4R �
r����,'�Y'�.. ;r`r '-t, ;;'t; , ",�.Ai
J',,�,t.'' �E� �:°�:�_ � +i',i�,<, - .
` .s,f� NAME
L `IL..
��`'�;.f��!� ��.��'t$��' ?'..fi"�,!�t'4,..�'i?d;{„ "
'; �,_�.� � �` ;r °� ;;L�:�• MARC A CLEJAN
�"=r „ �'r
''i;f?!,^ e ` �` BUSINESS NAME .
Thi�ceitu�es that the GREENLOGIC LLC
bearer is duly
ficensed by fne
Cbunty of Suffolk �����m tVumber o05l25l2006
� /�/ 40227-H
flp.I/Y.!//�(i.NA1 ' - _ ' _ . _
Commtaaloner I EXFIfiAT10N OAiE 05/01/2Q16
�. ,. ... _.__ � - --^""
il'"c�`
��;���`-r ,;'�'°�'` � ' � �`£ SUFFOLK COUNTY DEPT OF LABOR,
�`S •; Y,:ti� ',.��y'. �. ' . -
��� ,, . .,- ��_ . ��� LICENSING 8 CONSUMER AFFAIRS_
,t� , �A� ' � �_ - �MqSTER
�� � .`}',t� �`` ,ELECTRICIAN
�;� ,
�� . .�
i� �� = Nn� - ..
���=;�` 4 RO�ERTJ SKYPAtA
' , ;' ��;�::,- . - �
-�
This certifies that the BLSBdESSNAME
GREENLOGIC'LLC
bearer is duly
licensetl by the - -
Licer.se tJumber D'ata Issuee
County of Suffoik 12f1012007
, 43858=�l1E
�` .�� � ,.. . ,
r¢ic 2 t j�i
Cofmr+issroner EXP$�AT7OM oA� 12J01/2017
� � � � o
C
�
����o ���� �����
D�1TE: �.P.# �
ELECTRICAL
NpTiFY BUII_I71i�(a Dk�PAR7 AT INSPECTION RE(�UIRED
765-i�02 8 Af� TC1 4 f'M FQR 7NE `
FOLLOV'4'1?�1C IIVSPECl'lC��1S:
1. FQUf�C�AT10�! - T�V� REQUIRED
F�R POUf�EL� COi�CRETE
2. RUUGH � FRANiING & PLUMBING
s. INSUL/�TION RETAIN STORM WATER RUNOFF
a. FINAL. - CONSTRI�CTION t�UST PURSUANT TO CHAPTER 236
8E COMPL�YE F0� C.a. OF THE TOWN CODE.
ALL CONS�RUCTION SH,ALL �IEET TM�
RECIUIRE�iENT� OF TFiE CODES OF NCVV
YORf< STATE. N�T RESPONSIBLE FOR
DESIGN OR CONSTRUCTIOfV ERRORS.
COMPLY WITH ALL CODES-OF
NEW YORK �TATE & T�WN CODES
AS REQUIRED AND CONDITIONS OF
-�:'�Bc�--------
OCCUPANCY OR
USE IS UNLAWFUL
�i11THQUT CERTIFICATE
DF �CCUPANCY
,
J AMES J. S TOUT A RCHIT � CT 8C ASSOC .
2 G REG L ANE L'' AST NORTHPORT N. Y. 631 - 8 58 9388
L�tter of Certification
April 22, 2016
RE: Camanzo Residence
790 Clipper Drive
Southold, NY 11971
To Whom It May Concern:
I, James J, Stout, registered architect NYS license number 021633 would like to
submit the following, I have inspected and analyzed the roof structure at the above-
mentioned address and have determined the structure and the panel attachment to
be adequate to support the new additional load imposed by the proposed solar panel
system and is in compliance with 120mph wind design load as per NYS residential
code 2010 and ASCE 7-05.
The existing 2"x 8" rafters @ 16"will provide the required support.
Thank you for your understanding in this matter.
James J. Stout
Architect
.--''"
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C�����S � ��A
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�9 021633 y0�
O� �E�
, �
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ENERGY
GreenLogic,LLC Approved
Camanzo,Joseph
790 Clipper Drive
Southold,NY 11971
Surface#1:
Total System Size:11.970kW j
ARay Size:2.520kW i
1 string of 8 on S66000TL(shared with
S#2) -
Azimuth:202�
Pitch:30° �,1
, Monitoring System: 1�' �
SMA '
Panel/Array Specifications:
Panel:LG315N1C-G4
Radcing:UniRac SunFrame
Panel:39 37"X 64.57"
Array:13'2.27"X 11'1.015"
Surface:36'X 15'6"
Magic#:65.32"
Legend:
� 8 LG 315W Panels
— UniRac SunFrame
• 13 Eco-Fasten QuickFoot
�� 2x8"Douglas Fir Rafter 16°O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:LG,UniRac,EcaFasten,
SMA
Added Roof load of PV S�stem:3.5psf
EngineedArchitect Seal:
��� AR�
� C?�� �5 7 ��.,'�',� I
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.
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-'.-' � �
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oF NE`N
Dra� By:ADL Drawing#1 of 8
_a{e:4/19/2016 REV'A
Drawing Scale:3/16"=1.0'
- ����1�� ���
ENERGY
GreenLogic,LLC Approved
Camanzo,Joseph
790 Clipper Drive
Southold,NY 11971
Surface#1:
Total System Size:11 970kW
Array Size:2.520kW
1 string of 8 on SB6000TL(shared with
S#2)
Azimuth:202°
Pitch:30° c�'
Monitonng System. ,V �
SMA
Panel/Array Specifications:
Panel:LG315N1C-G4
Racking:UniRac SunFrame
Panel:39.37"X 64.57°
F�rtay:13'2.27"X 11'1.015"
Surface:36'X 15'6"
Magic#:65.32"
Legend:
� 8 LG 315W Panels
— UniRac SunFrame
• 13 Eco-Fasten QuickFoot
�� 2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:LG,UniRac,Eco-Fasten,
SMA
Added Roof load of PV System:3 5psf
EngineerlArchitect Seal:
�(�� AR
C�����5 ] Sr� , .
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�e:4l19/2016 REV•A
Drawing Scale.3/16"=1.0'
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- - ENERGY
GreenLogic,LLC Approved
Camanzo,Joseph
790 Clipper Drive
Southold,NY 11971
Surtace#1:
Total System Size.11.970kW �
" Array Size.2.520kW
1 string of 8 on SB6000TL(shared with
S#2)
Azimuth:202°
Pitch:30� �1
Monitoring System. 1�'
SMA
Panel/Array Specifications:
PaneI:LG315N1C-G4
Radcing:UniRac SunFrame
Panel:39.37"X 64.57°
� Array:13'2.27"X 11'1.015"
Surface:36'X 15'6"
Magic#:65.32"
Legend:
� 8 LG 315W Panels
— UniRac SunFrame
� • 13 Eco-Fasten QuickFoot
�� 2x8°Douglas Fir Rafter 16"O.C.
Notes:
- Number of Roof Layers: 1
Height above Roof Surface:4"
Materials Used:LG,UniRac,Eco-Fasten,
SMA
Added Roof load of PV System:3.5psf
EngineedArchitect Seal:
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Dra By ADL Drawing#3 of 8
te:4/19l2016 REV:A
Drawmg Scale•3/16"=1.0'
����1��� ���
ENERGY
GreenLogic,LLC Approved
Camanzo,Joseph
790 Clipper Drive
Southold,NY 11971
SurFace#2:
Total System Size:�1 970kW �
ArtaySize 9450kW �
1 stnng of 10 and 1 stnng of 10 on S86000TL
1 string of 10 on SB6000TL(shared wdh S#1)
Azimuth:112�
Pitch:35° � I
Monitoring System. Z �
SMA j
PaneUArray Specifications:
Panel:LG315N1C-G4
Racking:UniRac SunFrame
Panel.39.37°X 64.57"
Array:32'10 49"X 16'6.305"
Surface:34'2"X 18'4"
Magic#.65.32"
Legend:
� 30 LG 315W Panels
— UniRac SunFrame
• 38 Eco-Fasten QuickFoot
B� 2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Materials Used:LG,UniRac,Eco-Fasten,
SMA
Added Roof load of PV System:3.5psf
EngineedArchitect Seal:
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Drawn .ADL Dra�nnng#4 of 8
�� !19l2016 REV'A
Drawing Scale:3/16"=1.0'
��EENL ��°
ENE�GY
GreenLogic,LLC Approved
Camanzo,Joseph
790 Clipper Drive
Southold,IVY 11971
Surface#2:
Total System S�ze��1 970kW
Arcay Size 9 450kW
1 stnng of 10 and 1 stnng of 10 on 586000TL
1 string of 10 on SB6000TL(shared with S#1)
Azimuth:112°
Pitch:35° �.C�
Monitoring System: Z �
SMA
Panel/Array Specifications:
Panel LG315N1C-G4
Racking�UniRac SunFrame
Panel:39.37"X 64.57"
Array:32'10.49"X 16'6.305° �
SurFace:34'2"X 18'4" �
Magic#.65.32" �
Legend:
� 30 LG 315W Panels �
— UniRac SunFrame �
• 38 Eco-Fasten QuickFoot
B� 2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
Matenals Used:LG,UniRac,Eco-Fasten,
SMA
Added Roof load of PV System:3.5psf
Engineer/Architect Seal:
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Dra By:ADL Drawing#5 of 8 i
D�!�4/19/2016 REV:A
Drawing Scale•3/16"=1.0'
� �R�E�9� ��°
ENERGY
GreenLogic,LLC Approved
Camanzo,Joseph
790 Clipper Drive
Southold,NY 11971
Surface#2:
Total System Size 11.970kW
Arcay S¢e.9 450kW
1 stnng of 10 and 1 stnng of 10 on SB6000TL
1 stnng of 10 on SB6000TL(shared with S101j
Azimuth:112°
Pitch:35° ��/
Monitoring System: Z
SMA
Panel/Array Specifications:
Panel:LG315N1C-G4
4 Racking:UniRac SunFrame
Panel•39.37"X 64.57"
Array:32'10.49"X 16'6.305"
Surface:34'2"X 18'4"
Magic#:65.32"
Legend:
� 30 LG 315W Panels
3 — UniRac SunFrame
• 38 Eco-Fasten QuickFoot
8� 2x8"Douglas Fir Rafter 16"O.C.
Notes:
Number of Roof Layers:1
Height above Roof Surface:4"
2 Materials Used:LG,UniRac,Eco-Fasten,
SMA
Added Roof load of PV System:3.5psf
EngineedArchitect Seal:
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Dra� By:ADL Drawing#6 of 8
Dal..:4/19/2016 REV:A
Drawing Scale:3l16"=1.0'
18"Service ������ ���
Walkway ENERGY ,
� GreenLogic,LLC Approved
� Camanzo,Joseph
� � 790 Clipper Drive
� / Southold,NY 11971
I �
I
I � Total System Size•11.970kW
I � 1 string of 10 and 1 stnng of 10 on �
� � S66000TL i
� � 1 string of 8 and 1 string of 10 on
� � SB6000TL
I �
� � Azimuth:112°
I
� � Pitch:35° �
� � Monitoring System: Z
� � . SMA
I
� I Panel/Array Specifications:
I � Panel:LG315N1C-G4
I � Radcing:UniRac SunFrame
I L---------------------------- Panel:39.37"X64.57°
� Array:32'10.49"X 16'6.305"
� Surface:34'2"X 18'4"
� Magic#:65.32"
I
� Legend:
I � LG 315W Panel
� — UniRac SunFrame
I
� • 51 Eco-Fasten QuickFoot
I
� B� 2x8"Douglas Fir Rafter 16°O.C.
I
� Notes:
I Number of Roof Layers.1
I Height above Roof Surface:4"
� Materials Used:LG,UniRac,Eco-Fasten,
� SMA
� Added Roof load of PV System:3.5psf
� EngineedArchitect Seal:
1
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panels � ,�;,,�. ,�
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18"Senrice V � �"
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panels Dra��By ADL Drawnng#7 of 8
2 SMA Inverters �f-.ai�s�2o�s REV:A
located in basement Drawing Scale.3/32��=�.o�
� ., ��E�r�Lo�'c�
ENERGY
GreenLogic,LLC Approved
Camanzo,Joseph
790 Clipper Drive
Southold,NY 11971
Total System Size�11.970kW
1 string of 10 and 1 string of 10 on
,-- — ---_._____.__.--�;______�JCBN1�ALt1ST ��_� ;�_ ; _ __.___._.__.____..__. sss000r� i
� � �' _ 1 string of 8 and 1 string of 10 on
,`-- ------ -- -- --- -- - -�T_.: _r-.�_ ____ , ___.. ,;
' S66000TL
� _� _- _---- ,- -�..i- � _._�__. , ---- - � ! _ -�----
, , , ,
_ - _ __� , _, -
i--_______�_ ____- --' -� _T_--, _T�_._.---------- , ------------ --------_-_- _ -_ , �___,'_�n Azimuth:112°
�� �T , ; � � Pitch:35°
, , ; , I �
__________ -___-------- �: M� ��- -----_.__�_ _, _���_�__.�;_--i�_w�----
; , Monitoring System: �
__�__�__T_�_�_____��_____`.�_,.__�. _T_c_��______._ ---s.._ __ _._� _ _�____.-�.y- _.�__ SMA
_ _ � _ _ ______ � __ � '� _ Panel/Array Speci�cations:
� , �
! ��� � � � ' ���� � � ; ; i i Panel:LG315N1GG4
- _ - _ -_ � . —i--- , ---',— � ; Racking:UniRac SunFrame
! i ; a 4 Panel-39 37"X 64.57"
_A _ � . i-—j-------- -� ;-�- ; ,--�-�-;------ Array�32'10.49"X 16'6.305"
; I ,
� _--------- --- , �• # _�_.��--_�____ ._. �---- -, ------- ,--------- Surface:34'2"X 18'4°
i • . ' � Magic#.65.32"
_T____T�---------- ;-__ � __ 'T_ _�__�_ � -. --- Legend:
, - -------; .-- fi--------;---- ;----�-- ;------�, , ----i , - � LG 315W Panei
i� � T
� ` ' � � ' � - UniRac SunFrame
�.�-- �_...��--__�_T__.._._._..�.._' __i---i�--_;T_T_�_,___-,----.-----r_�_
� � ' � � • 51 Eco-Fasten QuidcFoot
;--------- -'- ----- ------- ---------- - � -----�----- ------ � -f�____ _,__.__-_._
� 600-F�CUd�oCtHa�irg._------__i__�q '_ ,____ _�__;- --� , .
,_�-,-.--_-_- -_ ___-- -._____ ____I_. ._ _.�.- ---_._.______.r .��._��_.--_--��! 8� 2x8"Douglas Fir Rafter 16"O.C.
, ---r-----
; ��S�I CO'�g'SQEW i � ( , � � ; i� i
- -------- �..� _ --__ -- Notes:
EOJ{'6�31QI�O��B2p�le , g, �T_�-T� � ; ______ -R i---i , Number of Roof Layers:1
'-,.- ---�-- -=-T _.,--- - ---_-.�� �__ -^_-; _-�T
! ���d����,�,�� q Y ; 1 , , Height above Roof Surface:4"
_�__ ____ .____-__-__.___- __ _ _ �_ , , ,�- - Materials Used�LG,UniRac,Eco-Fasten,
i ` __ -j } , . � SMA
�---_-____.__�._------._--__.T� _��-_'._----_�_._.T_ ---_ _�---____�___�_�,_�_._.;______L_---___---��------T�_.�__�.._.__�_ AddedRoofloadofPVSystem:3.5psf
Engineer/Architect Seal:
Drawn By.ADL Drawing#8 of 8
Date:4/19/2016 REV:A
Drawing Scale:3/32"=1.0'
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About LG Etectranics
L3 E!eccromcs is a glebal a4ayer�vho has neen co nm!ter,io e�panamg rcs e a��ai rcy,based cn�ola�energy bus�ne>s a,as Pucure nrav�th er,��ne 1M1e err�ar�,
1985,supportr ii by LG GruuE;'s nrh e>pf nu�te m sc-rn-condu:.tnr,I_CD chFnnstry and ma;ena:s md�c;r•We suc�:c full�m;eas� � � � ed an a c_olzr er,ergy icurce rpc�;.ch progrzr�m
ceuntr.�s ir;f�e feite�•,�ng 2 years,che;eaf t=r In 2013�\e0�*"(Frc-vicunfy f.norin es Aicno Y"A�eCM}�•ron"Inxrrsel.s Av ard,�vh�:n proLedrLG is,ce IEade of,mne•✓a;r�n in e10��1 C¢}�v`rc�"K�rortFr co 37. �
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Cell Vendot LG �_.�..—`---'--------�--- MPP Voltage(VmPp)� � �v` ---
33� L32 S 32 5
Cefl Type —A---______ ���nnocr�s[all�ne/N-tyne � MPP Current(lmpP) �""__a Sy,-_--9 Sn�_--_-a 45-—��9
Celt Dimensions ____�__ 150 75;�155 75 mm/'c x 6 inch Open Circuit Volta e Voc e ---- ---
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Dimensions(L x W x FI) i 540.t 10J0 x 40 mm _ ,_ Module Efficiency(/o) - ---`----T7 9 5 � Y 7 9 ~ � ~ � �
2 i89 lci6
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Frcnt Load 'op06 Pa/1 l5 ps( �` Maximum System Vo[tage(V) �� � ��-"-
Rear Load ---------------- —�,o.-�-- - — --- -- --- i OOu^
___^__ �540.,,�, i 13 p;f s"�` Mae�mum Series Fuse Rating(A} ^� ����, �—`""`
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SIJt�INY BOY 3000TL-US / 3�OOTL-US /4000TL-lJS /
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Setting new heights in residential inverter performance
The Sunny Boy 3000TL-US/3800TL-US/4000TL-US/SOOOTL-US/6000TL-US/7000TL-US/7700TL-US represents the next
step in performance for UL certified inverters.Its transformerless design means high efficiency and reduced weight.Maximum
power production is derived from wide input voltage and operating temperature ranges. Multiple MPP trackers and
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600 V 600 V 600 V 600 V
175-480 V 210-480 V 245-480 V 270-480 V
125-500 V 125-500 V 125-500 V 125-500 V
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183-229 V 211 -264 V 163-229 V 211 -264 V 183-229 V 211 -264 V 163-229 V 211 -264 V '
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� INTEGRATED BONDING &PRE-ASSEMBLED,PARTS' �
Componenrs are Rrerassembled and optimized to=teduce insta�tatio,n steps
and;save labo�tit�ie.0ur new groundiiig &,bonding ptocess elimin�tescopper ' INTEGRATED BONDING
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Quickly set modules'flush to the[oof or at a desired<tilt arigle:Change,module ' ° '. ` �
orientation to portrait or landscape while seci�ring�a large bariety of framed' INTEGRATED BONDING
- " moclules on flaC,.lowsloped or steep pikched roofs.Available in mill,dearand d�rk ' "' SPLICE BAR '.
� anodized finish�s to�outperform your projeets fihanciaL and aestheiic aspirations: :. ' � � + :
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A11AI�.ABIE:ITY - _
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NATIONUVIDE NETWORK ' �
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Unirac,maintains the largest networl<of stocking distributors for our racking � - �
INTEGRATED BONDING,
solutions. Our partners have disCinguished their level of customer support; ', e �
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availabitity,and oueralL`vatue,thereby prouiding the higfiest.level of se�vi<e ta B � '
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Creating a bill of materials.is just a few clicks:away`with'U-Builder, a MICROINVERTER MOUNT f" '
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� UNIRAC.CUSTOMER SE,RVICE MEANS TNE HIGHEST LEV�I Of�PRODUCT $UPPORT . � ;
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TECHNICALSUPPORT . " • CERTIFIEDQUAL''ITY,PFjOVIDER -_ �BANKABLEWARRANTY
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U�iracs techmcal support team� is dedicated Unirac is the only PV mounting;vendor with ISO Asa Hilti Group Company,Unir`ac hasthe financial
�.to answering quesiions & addressi"ng issueS;� .certifications-:for 4001;2008, ti4001:2004 and strengthtobaekourproductsand�educeyourrisk. '
in reaL time. An online library oF documents OHSAS -18001:200.7� which means we:detiver� Mave peace of mind.knowing you are receiving
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and technical data -sheets greatly siinplifies . These certifications demo�strate'our exeellence �+ is covered by a'10-year limited product - '
yoUr permitting and project p[apning-'process. `' ' and commitment to firsi ctass business practices. .' 4yar�anty and"a 5-year limited finish warranty.
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PROPOSED 3-LINE ELECTRICAL DIAGRAM
REVISIONS
Joseph Camanzo ,���
790 Cli er Drive �`��������������°�����
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, ELIMiNATI�lG THE CQST dF ENERGY
1.) INITIAL SUBMITTAL WITH APPLICATION
Page 1 of 2 Drawing No: CMNZO-3LD1 Revision: 1 Revised: 3/14/2016
�
EQUIPMENT&COMPONENT SCHEDULE CONDUCTOR SCHEDULE '
TAG DESCRIPTION SPECIFICATION TAG TYPE, CONDUIT AWG./
PV-SA-1A PHOTOVOLTAIC SUB-ARRAY LG ELECTRONICS, LG315N1C-G4, 1-STRING OF 8-MODULES EGC
A USE-2/PV, PVC-40-1" 10 / 6
PV-SA-1B PHOTOVOLTAIC SUB-ARRAY LG ELECTRONICS, LG315N1C-G4, 1-STRING OF 11-MODULES
B THWN-2, PVC-40-1" 10 / 6
PV-SA-2A PHOTOVOLTAIC SUB-ARRAY LG ELECTRONICS, LG315N1C-G4, 1-STRING OF 9-MODULES
C THWN-2, PVC-40-1-1/2" 6 / 6
PV-SA-26 PHOTOVOLTAIC SUB-ARRAY LG ELECTRONICS, LG315N1C-G4, 1-STRING OF 10-MODULES D THWN-2, EMT-1-1/2" 4 / 6
INV-1 INVERTER, DC/AC SMA INVERTER, MODEL: S66000TL-US-22, 240V 1.) COfVDUCTOR TYPES AND SIZES TO BE AD-
. INV-2 INVERTER, DC/AC SMA INVERTER, MODEL: S66000TL-US-22, 240V 1USTED FOR TEMPERATURE, DISTANCE,AND
BUNDLING.
AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH,3-WIRE 2.) ELECTRICAL CONDUITTO BE MIN. PVC
BKR-1 CIRCUIT BREAKER, INVERTER MATCH COMBINER PANEL BRAND, 2-POLE,30A SCHEDULE 40,ADJUST FOR SITE CONDITIONS.
BKR-2 CIRCUIT BREAKER, INVERTER MATCH COMBINER PANEL BRAND, 2-POLE,30A 3.) ALL ELECTRICAL MATERIALS AND INSTALLA-
TION METHODS TO COMPLY WITH NEC AND LO-
AC-DSC-1 AC DISCONNECT, FUSED 250V, 60A, NEMA-1, FUSED; FUSE RATING: 55A CAL CODE REQUIREMENTS.
ELECTRICAL LOAD SUMMARY
DC CIRCUITS
OP. CURRENT OP.VOLTAGE MAX.VOLTS S.S.C. ELECTRICAL LOAD SUMMARY
TAG AC CIRCUITS
@STC @STC @ T-MIN @STC
VOLTAGE MAX.AC MAX. DC
PV-SA-1A 9.50 A DC 266 V DC 325 V DC 10.02 A DC TAG POWER RANGE CURRENT CURRENT
PV-SA-16 9.50 A DC 365 V DC 447 V DC 10.02 A DC I
PV-SA-2A 9.50 A DC 299 V DC 365 V DC 10.02 A DC IfVV-1 6000 WATTS 211-264 VAC 25 A AC 30 A DC I
PV-SA-26 9.50 A DC 332 V DC 406 V DC 10.02 A DC INV-2 6000 WATTS 211-264 VAC 25 A AC 30 A DC i
PROPOSED EQUIPMENT SPECIFICATIONS
Joseph Camanzo REVISIONS
, q . �-� � �.
790 Clipper Drive = - ° �.� � � � _
Southold, NY 11971 � � ������V``':P`j`
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1.) INITIAL SUBMITTAL WITH APPLICATION
Pa e 2 of 2 Drawing No: CMNZO-3LD1 Revision: 1 Revised: 3/14/2016
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PROPOSEI� 3-LINE ELECTRICAL DIAGRAM
Jo�eph Carnanzo REVISIONS
790 Clipper Drive ,_
Southold, NY 11971 �- e � � �T : �
�LII�tI�e�Tdl�ta 7N� C{}ST t?F �ff��:��;°�
1 ) INITIAL SUBMITTAL WITH APPLICATION
Page 1 of 2 Drawing No: CMNZO-3LD1 Revision: 1 Revised: 3/14/2016