HomeMy WebLinkAbout40989-Z ®�gU�F�t•,��oG. Town of Southold 12/12/2016
P.O.Box 1179
v'r 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38702 Date: 12/12/2016
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 365 Jasmine Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-1-6.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/7/2016 pursuant to which Building Permit No. 40989 dated 9/13/2016
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 on existing one family dwelling as applied for.
The certificate is issued to Zeneski,Paul&Linda
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40989 11/17/2016
PLUMBERS CERTIFICATION DATED
em
Authorized Signature
Town of Southold 12/12/2016
P.O.Box 1179
a'
o . 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38703 Date: 12/12/2016
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 365 Jasmine Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 70.4-6.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/7/2016 pursuant to which Building Permit No. 40989 dated 9/13/2016
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 on existing accessory garage as applied for.
The certificate is issued to Zeneski,Paul&Linda
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40989 11/17/2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
A- TOWN OF SOUTHOLD
4�SUFFnt �oG�
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
'f1p1 � �a0 r
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#: 40989 Date: 9/13/2016
Permission is hereby granted to:
Zeneski, Paul & Linda
365 Jasmine Ln
Southold, NY 11971
To: install roof-mounted solar panels on dwelling and accessory building as applied for.
Two COs required.
At premises located at:
365 Jasmine Ln, Southold
SCTM # 473889
Sec/Block/Lot# 70.-1-6.3
Pursuant to application dated 9/7/2016 and approved by the Building Inspector.
To expire on 3/15/2018.
Fees:
SOLAR PANELS $50.00
CO -ALTERATION TO DWELLING $50.00
SOLAR PANELS $50.00
CO - 7CEL
DING $50.00
T
RICC $200.00
Total: $400.00
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply-and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: fwo 6 10(
House No Street Hamlet
Owner or Owners of Property: :�)Q
Suffolk County Tax Map No 1000, Section Block I Lot
Subdivision G Filed Map. Lot:
Permit No. O Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: ✓ (check one)
Fee Submitted: $ §�t )
4
App I li—cENSIgnature
SOUr�®l
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 .kl% o roger.riche rt(W-town.soLitho Id.ny.us
c®UNTI,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Zeneski
Address: 365 Jasmine Lane City: Southold St: New York Zip: 11971
Building Permit#: 40989 Section- 70 Block. 1 Lot: 6.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Level Solar License No: 51858-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 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 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 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 7.98 KW Roof Mounted Photovoltaic System, to Include; 8- 285 W Panels,
1- SE 7.600 Inverter, 1- AC Disconnect, 1- DC Disconnect.
Notes:
Inspector Signature: Date: November 17, 2016
0-Cert Electrical Compliance Form As
J A M E S J. S TOUT A RCHITECT & Assoc.
2 GREG LANE E AST NORTHP0RTN. Y. 831 - 8 58 9388
Post Installation Letter
October 26, 2016
RE: Zeneski Residence
365 Jasmine Lane
Southhold, NY 11971
To Whom It May Concern:
This letter is to confirm that as of this date October 26, 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 --
D Aqc
�2O 1 021 633
OF NO
DEC 9 2016
DING DEPT•
TO 0F SOUTSOLD
FMLD nI SI'E=ON VMYORT AAT= Ile
IL
FOUND4ON (1ST)
oll
�o�rrm�,TloN' (2N�3)
ROUGES FRANnNq&
PLUIYIBV G 6n
INSULATION PEA N.Y.
STATE ENERGY CODE
F t�Al
1603
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4 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
# BUILDING DEPARTMENT Do you have or need the following,before applying
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Boaid approval
FARC:(631)765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
NYSDEC
Trustees
C O Application
Flood Permit
Examined -,20— Seigle&Separate
Stonn-Water Assessment Fonn
I � Contact:
Approved 20 I` Mail to Level Solar
Disappioveda/c 90 13th Unit 8 Ronkonokoma,
Phone. 631 Avee ® Y 11779
Expuahon ,20X
Building Inspector
SEP � 2496 DD
Arl'L[CATION FOR EUiLD[NG PE-
Date 120
�� INSTRUCTIONS
B"" "flt Q?MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
To"PE'S M to scale Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways
c.The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy
£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,buildi b de,housing eWr-nMe,
and regulations,and to admit
authorized inspectors on premises and in building for necessary inspe ions
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
a
Name of owner of premises 1.�,LQ,1 � Ut n d—o LZ.e-o�e sKl`
(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 Locatio f lam ,.,h
House um c �_�_ �_ Hamlet
County Tax Map No 1000 Section Block Lot
Subdivision Filed Map No. Lot
c P
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
4. Estimated Cost Fee (Description)
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front Rear Depth
10.Date of Purchase Name of Former Owner
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO
13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO
14.Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO
*IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property?*YES NO
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
Amy Depietto, Level Solar being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named
JMA .STAT OF C�"d YORK
(S)He is the Agent �tC, 4
(Contractor,Agent,Corporate Officer,etc.) p,0.`0 SIJFFOGK 0 6 20�
OU,,LIFIFD CJARCF-JLOY
of said owner or owners,and is duly authorized to perform or have performed the said wo66&toAU*and file this application;
that all statements contained in this application are true to the best of his knowledge and belief,and that the work will be
performed in the manner set forth in the application filed therewith.
Sw re me
day of �20
L(O" )A �N41
MW ignatme of Applicant
Scott A. Russell �,,,°51111Qk' ST0)KNIMA-IFIE]k
SUPERVISOR
z MA\NA\G]EM[lENT
SOUTHOLD TOWN'HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 s o� Town of Southold
O� y1y'
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF 'I'd3[[lE (FOLLOWING:
'i' Yes No (CHECK ALL THAT APPLYI [
Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑� Excavation or filling involving more than 200 cubic yards of material `
I g
i'
within any parcel or any contiguous area.
'i ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
$' ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑[ r Site preparation within the one-hundred-year floodplain as depicted ( I
on FIRM Map of any watercourse.
I ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square ; 3
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-
APPLICANT (Property Owner,Design Professional,Agent Contractor.Other) E Di tact
NAME Level Solar 1
0 Section Block Lot
FOR BUILDING DEPARTMENT USE ONLY
` v
Contact Information e
Rrlephorrc Numbed l
Reviewed BY: �� &A-A
— — — — — — — — — —
- - — — — — — —
, I
l — Date_ �� f
Property Address/ Location of Constructs 1 Work: — — — _ _ — _ _ _ _ — _ — _ ' ?
€ ! Approved for processing Building Permit. ! `
/ ® Stormwater Management Control Plan Not Required. `
''- - — — — — — — — — — — — — — — — — li
".5b I J:�k bl n n LJ I ❑ Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.) l
FORM # SMCP-TOS MAY 2014 __ _ --
Oct 28 2016 12:16PM Level Solar 6312852558 page 1
I
Tom i
Hd Am=
o�
5437 5 Maar Road TeleP, onell(116811)79965�5-211802
P-0.Box 1179 S er. ' t�sollm0 n .us
Srnnfioi NY 11971-0959
i
BUdI ING DEPARIMENT
TOWN OF SQUTFfOLD j
A.PPLICATION F ELECTRIICCALiNSPECTIQN
REQUESTED BY: ~ (e_
Date: } l
Company Name: i
Name:
License No.: l ;
dress:
Phone No.: .
0/9
I'
JOBSITE INFORMATION: (*Indicates mquired information) �
*Name: [ I
f
*Address:
'`cross street: JRAI jr _
`Phone No.:
'ernit No.:
rax-Map Di
sM : p Section:ion:10 i
'BRIEF DESCR PTION OF WORK(Please Print Cleariy) ' I
please Circe i That APPIY)
Is job ready for rection: '
YES! O. Rough in
Do-you need a emp Certificate: Rough
YES NO ; r
imp Infonrtati n(If needed) j
i�vlce Size: 1 Phase 3Ph '
t00 1S0 200 Soo 3�ao 4 0 Other
dew Service: Re-conne Underground Number or Meters Ch
ansa of Servito Over d
Iditienal Inform n: PAYME DUE WITH Mp TIO 0
B241equeet for Wdon Form
r '
Town of Southold
Building and Solar Permit Application Pack
Customer:
Paul Zeneski
365 Jasmine Ln
Southold, NY 11971
(631) 834-1956 44
Tax ID: 'L-e( � `t't'4z fq e -Foy-
70-1-6.3
Contractor: aovi4r
Level Solar '�,�
90 13th Avenue, Suite 8
Ronkonkoma, NY 11779
(631) 590-4000
Document Copies
1. Building Permit Application 1 G(�)
2. Certificate of Occupancy 1
3. 1 st Page of Storm Water Application 1
4. Electrical Inspection Form 1
5. Land Survey 1
6. Insurance Pack 1
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G •
Southold,NY 11971-0959
olyC®U ,�
November 30, 2016
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Level Solar
9013 th Ave, Unit 8
Ronkonkoma NY 11779
Re: Zeneski, 365 Jasmine Lane, Southold
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy.
Note: Engineer's certification required stating the panels were installed on the roof for both
buildings per NYS Building Code
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (AII permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT - 40989 — Solar Panels
CONSENT TO INSPECTION
,4u L' 7eoc516 ,the )hereby(es undersigned, do state:
g Y
Owner(s)Name(s)
That the undersig ed(is) (a e t owner s o th s int e- o
Southold, located at V f /01
which is shovW and designated on the u of County ax Map a Distric 1000,
Section ,Block_�,Lot
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following-
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:
( ' nature)
(Print Name)
(Signature)
(Print Name)
{� SUFFOLK COUNTY DEPT OF LABOR,
LICENSING&CONSUMER AFFAIRS
MASTER
ELECTRICIAN
},• -- > NAAE
t SHAWN RANALDO
This certifies that the 8
USNE4s NAME
bearer is duly LEVEL SOLAR INC
licensed by the
County of Suffolkiui°
51858-ME 06/19!2013
T1R��R76'(C!
06/01/2017
i
i
1
' I
l
0
SUFFOLK COUNTY DEPT OF LABOR,
LICENSING&CONSUMER AFFAIRS
HOMEIMPROVEMENT
CONTRACTOR
-LICENS�
NAAC
RICHARD KEISER
This certifies that the 6�9N633 NAME
LEVEL SOLAR INC
bearer Is duty
licensed by the Lk,n,Nu Dat o,,
County of Suffolk
rY 51859-H 0611912013
.7ranf�a r��r'
r•� Ca++ub... E%PRA-ONOA-E 06/01/2017
New York State Insurance Fund
n
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
AAAAAA 464060893
LEVEL SOLAR INC(A DE CORP)
236 W 30TH ST,STE 1000
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 SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE
M2317 408-9 192741 12/11/2015 TO 12/11/2016 1/11/2016
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 12/11/2016, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER
FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 12/11/2016 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE,
10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE.
NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW
YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
This certificate can be validated on our web site at https://www.nysif.com/cert/certval.asp or by calling(888)875-5790
VALIDATION NUMBER:981609909
U-26.3
STATE OF NEW YORK
Wt]MRS'CO IPENSATION BOARD
CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW
PA- RTI. To be competed by Disability Benefits Carrier or Ucensed Insurance agent of that Carrier
Ia. Legal Name and Addtess of Insured(Use street address oily) Ib.Bttsbiess Telepliorte N'twtber of hmtresl
LEVEL SOLAR INC (631)285-2555
236 WEST 30TH STREET SUITE 600 Ic.NYS Unemployment Insurance 1Fattploy'er Registration
NEW YORK, NY 10001 Nrttttberofhwn-ed
Id.Fedeml Employer Ideutifmation Number of hma-ed or
Socfal Securim,m anber i
464-06-0893
2. Names id Addness of the Entity Retluesiing Proof of 3a.Ni nne of Insurance Carrier
Coven,go(Eitify Being Listed as ilia C"extifisare Holder}, NEW YORK STATE INSURANCE FUND
Town of Southold W Policy Ntultlaerofentity listed inbox"W.
54375 Route 25
Southold, NY 11971 DBL 6430 71 -5
3a.Policy effective period:
12/18/2015 to 12/18/2016
4.iPoliey wvrers:
a.(@ All of the wnployees employees eligible under the Now Yosk Disalaility Benefits Law
U.❑ Only dw toll ming class or classes of the einployees employtim
i
Ua&rPenatlly OfPajtuy,I Certify that I RM all authorized reptrseitadve or'licensed agent*f the ialsutrance carrier refermiced abory
and that the tamed iusmed Ims NYS Disability Heneiats instuanrce covem[ge as fleseribed agave.
Date Signed 01111/2016 By Joseph J. Masi
(5igretu e,of Irsucanoa ca niers authorimd uepresertatiue of NM Licersed ire me FVent of that Irsurance e urler)
TelephotteN'umber __ (866)697-4332 Title Director of Disability Benefits Insurance
INWORTAXr: tfbox"ala"isrbecked.diad this foam is siwed by aIle insumice entriei's andisidxed rcp=s=M1ivz ar NYS Licensed Itlimnce Ageat of rikit
sarrler.rhtsaetaiiiraue is fiC1Ait'L�'1'iT, k�iail irdirecrly ti)ilar catii'leAte lratckx:
9 box-4"iS ekeeked.[Isis ceriificate im NOT COMPLETE for pi[gsosa:m ofSecrioir 220.Su6J.8 of il[e Disability Benefits Lmw_It iiiust be smiled for
completion to the Arorkt&C'ompemWoa Rond.DS Plans Arcenaaance Unir.20 Plik SkwL Altmay.New Vwk 12207_
PART 2.To be completed by NYS Workers'Compensation Board Only If box 4W Of Daryl has been checlriad)
State Of New York
Workers'Compensation Board
According to iatfounatiou amiutaiued by dw NYS Woden'COMIMMUion Board.tba above-named employer Im ootnplied with the NYS
Di9aal1ilily Betide Latta with respect to all of hWher employees.
Date Suited BY
(Siipimirrr ofNYS Wotliers'Compoasation Him at EmIftee)
TelephoueNtmlber Title
Please Dote;Only insmame citniels licensed to write NY$disabikty benefits insnimce policies and NYS lied ulsuratice agents of
illose insurance camels acreautlimized to ism Folln DB-120.1. Insurance brokers are NOT authorized to issue this forin.
DB-120.1(5-06) Certificate Number 356186
I JUN 1 5`
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L-119.72, L-51.96' QX-
L-41.89'
L.q4 46' Iw
4`I - m5� Ii4•� Z.O L
W /
V CONSERV4T - � p zr sem u
tD
�
C-
70.00,
1•oa ' 2
"J
,� SENT Q
TOoo Q
/1Ce1,2
.OW n
v
JV/0/1- FLOyy
H/LL B[!/LD/lVG 2s4�o• �
VAca yr CORP
AREA= 45,004 sq. ft
CERT/FIED TO,
PAUL ZENESKI
JOAN ZENESKI
THE LONA ISLAND SAVINGS BANK FSB
SUPERIOR ABSTRACT CORPORATION SURVEY OF
TRW-S-543938-2
LOT 2
"MAP OF SOUMOLD VIL4S"
Prepared In accordance wllh the m(nlmum
FILED JUAE25,1992MAPN0.9237
slandords for /Il/e surveys as established A T SOUTHOLD
by the L.I.A.L.S and appproved and adopted TOWN OF SOUTHOLD
Tor such use by The IJew York Stale Land N.Y.
Title Association. SUFFOLK COUNTY,
The water sup�pply and sewage disposal 1000-70-01-6.3
systems for lhls residence w!1/conform
to the standards of The Suffolk County Scale- 1"= 40
Department of Heallh Services.
March 11, 1982
The locations o/ wells and cesspools shown hereon are from field JULY 15, 1992(foundation)Oct 24,1992(frn
observalions and or from data obtained from others. JUNE/2, 1992 ' F N IV
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY 'i�
N NO 4 6/B
DATE uc REF.NO. 992 SO 99
PECONICe
15/61 765�57'0 ��, 44 _,�+�P. O. BO909 DLAND
APPROVED MAW ROAD
revise lax number 12/08192 SOUTHOLD, N.Y. 11971
Statement of Estimated Cost
Paul Zeneski
Number of Modules: 28
Module Power (W DC): 285
Array Size (kW DC): 7.98
Cost/kW (DC): $4.879
Total System Cost: $38,934
J A M E S J. S TOUT A R C H I T E C T & Assoc.
2 G REG L ANE E AST NORTHP0RTN. Y. 631 - 8 58 9388
Letter of Certification ® �
'gCIE
jc
August 30, 2016 -,
RE: Zeneski Residence NpFF
365 Jasmine Ln WP��R�03b
Southold, NY 11971 2
F��SUP�pWo cppE.
To Whom It May Concern:
I, James J. Stout, registered architect NYS license number 021633 would like to
submit the following. I have inspected and analyzed the roof structure at the above-
mentioned address and have determined the structure and the panel attachment to
be adequate to support the new additional load imposed by the proposed solar panel
system and is in compliance with 120mph wind design load as per NYS residential
code 2010 and ASCE 7-05.
The existing 2"x 8" @ 16"o.c. roof rafters will provide the required support
CO�jJ,,s,Ly WITH ALL CODES OF
Thank you for your understanding in this matter. NEW YORK STA I E & TOWN CODES
AS REQUIREDAPlp qQNjUTLoNS OF
James J. Stout S
Architect S$tH6t1fi6Wi ry G BOARD
SOLI I
TOWN RUSTEES
APPROVED AS NOTED N.Y.S. C
DATE: -\T!) I L B.P.# ® R AA
FEE: BY. 5 S 7 ST
NOTIFY BUILDING DEPARTMENT AT <v Q
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING '9 0216 '5 �0
3. INSULATION OF NE`s
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE EL CTMC.&
REQUIREMENTS OF THE CODES OF NEW WSPECTIUN', i QWAE--�
YORK STATE. NOT RESPONSIBLE FOR
��j DESIGN OR CONSTRUCTION ERRORS.
N Scale: 1"=12' LEGEND NOTES
m0 12 24 Electrical meter and Any plumbing vents through roof are not to be cut or covered over during solar
y✓ estimated inverter location installation.Any modification or relocation of vents will require a plumbing permit and .
inspection.
Driveway
0
ROOF 1
l
ROOF 5
�R Ap
�C) J ST
Q
I ROOF 4
q 021633
GF NE`N
i
i
SYSTEM INFORMATION Roof Distribuited Weight/Loading LEVEL SOLAR
(see additional details In engineering calculations) Name Slope(deg) #of mods weight(psf) points(lbs)
Total#of mods 28 Roof 1 14° 14 2.5 21.8 844-GO-LEVEL SERVICE@LEVELSOLAR COM
Module type LG 285S1 C-G4 Roof 4 28° 10 2.5 21.8 SITE PLAN
Module size 285 Watt Roof 5 14° 4 2.5 21.8 132112-Paul Zeneskl
Module weight 37.48 lbs 365 Jasmine Ln
Module area 17.65 sq ft Southold, NY 11971
V1
ROOF PROFILES
Solar Panels Profile A
O
A A
�,b �S ] Sr
ROOF 1 � '�� -�
Profile A 2x8 Rafter Members @ 16"O.C.
.1 0?1633 y0�
---------------------
�F NE`s
ROOF 5 -
Profile A
LEGEND AND NOTES
18" CLEAR ACCESS PATHWAY
1. ATTACHMENTS TO THE EXISTING TRUSS TOP CHORDS OR RAFTERS MUST
BE STAGGERED SO AS NOT TO OVERLOAD ANY EXISTING STRUCTURAL
MEMBER
2. MAX HEIGHT OF PANEL ABOVE ROOF SURFACE NOT TO EXCEED 6"
3. THE PLAN IS NOT TO SCALE
4. ALL INSTALLED ROOF SURFACES HAVE BEEN INSPECTED AND FOUND TO
ROOF 4 HAVE A SINGLE LAYER OF SHINGLES.
Profile LEVEL SOLAR
844-GO-LEVEL SERVICE@LEVELSOLAR.COM
ROOF PLAN
132112-Paul Zeneski
" 365 Jasmine Ln
Southold,NY 11971
V1
Utility Service
A C 120/240 Vac 50Hz
_ (Existing)
(New) (New) _ Revenue
Grade
String i �p Meter
18 Roof mounted �V�
+ _ + Solar PV Modules _ + 0 0 0 0
r
B __
YY -
- + - + - +
(New)
String 2 ( ID
10Roofmounted i i ( E (Existing)
- a++ + +
Solar PV Modules _
I ( (New) GX
A
I /n
�-- - - - - - - - - - - - - —
A R G
Positive,Negative,EGC
PV Wire THHN/THWN-2 GE
(rated 90 deg C)
L moo° 10 AWG Cu wire
in 3/4"PVC conduit Ll,1-2,Neutral and EGC
PV Wie q�E
n Free Air or
02163'5 OTHHN/T
Q HWrN 12(rated 90 deg C)
WIRING GF NES y 8 AWG Cu wire LEGEND
in 3/"PVC conduit Positive
— — Negative
count #: 9634311122 Ground
Neutral
28 mods @ 285 W each = 7.98 kW Ll
DC Se
DC Series
A - Solar PV Module B - Power Optimizer C - Inverter D - Main Service Panel E - AC Disconnect
Make-LG Electronics Make:SolarEdge Make:SolarEdge Bus Bar:200 Aac Rating:240 Vac,40 Aac
Model:285S1C-G4 Model.P300 Model.SE6000A-US Main Circuit Breaker:200 Aac
Max.Power 285 W Max.Input Power:300 W Max.Input Voltage:500 Vdc Inertie Circuit Breaker:DP 40 Aac
Voc(STC).39 Vdc String Length-8 to 18 Units Max.Output Power:6000 W LEVEL SOLAR
Isc(STC):9.43 Adc Max String Power 5250 W Max.Continuous Output:25 Aac
Vmp(STC):32.3 Vdc Nominal Output AC Voltage:240 Vac 844-GO-LEVEL SERVICE@LEVELSOLAR.COM
Imp(STC):8 88 Adc GFDI: 1 3-LINE WIRING DIAGRAM
Max.System Voltage:1000 W DC Disconnect: 1 132112-Paul Zeneskl
GEC not required ungrounded
- 365 Jasmine Ln
Southold, NY 11971
V1
LE j
SCOLAR
Customer Information:
Name Paul Zeneski
Address 365 Jasmine Ln
City, State, Zip Southold, NY 11971
Design Information:
Number of Faces Used 3
Exposure Category C
Wind Speed 120 mph
Ground Snow Load (Pg) 25 psf
Occupancy Category II
Importance Factor (1) 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 28
Module Type LG 285S1C-G4
Modules Size 285 W
Array Size 7.980 kW
Module Weight 37.5 lbs
Module Area 17.65 ft. sq
Optimizer Weight 2.1 lbs
Roof Type Composition Shingle
Mount Type Ecolibrium Solar
Attachment Weight(Leveling Foot and Comp Mount) 1.98 lbs
v1
L�TeL
SOLAR
Surface Information: Roof
Members Type Rafter Roof Pitch (deg) 14
Members Size(in) 2x8 Least Horizontal Dimension (ft) 30
Members Spacing(in) 16 O.C. Average Roof Height(ft) 30
Edge and Corner Dimension (in) 36
Number of Modules 14
Number of Optimizers 14
Estimated Number of Attachments 28
Distributed and Point Load Calculations: (SolarABC's Expedited Permit Process forPVSystem(EPP)) Roof 1
Total System Weight(modules,optimizers, mounting system,etc.) 609.6 lbs
Total Array Area 247.1 sq.ft.
Distributed Weight 2.5 psf
Weight per Attachment Point 21.8 lbs
Snow Load and Wind Pressure Calculation: (ASCE7-05 Sections 6-7) Roof 1
Interior Edge Corner
Flat Roof Snow Load (Psf) 18.9 18.9 18.9
Slope Factor 1.0 1.0 1.0
Roof Snow Load(Psf) 18.9 18.9 18.9
Net Design Wind Pressure Uplift(Psf) -23.7 -41.3 -61.0
Net Design Wind Pressure Downforce(Psf) 14.9 14.9 14.9
Adjustment Factor for Height and Exposure Category 1.4 1.4 1.4
Net Design Wind Pressure Uplift(Psf) -33.2 -57.8 -85.4
Net Design Wind Pressure Downforce(Psf) 20.9 20.9 20.9
ASD Load Combination: (ASCE7-05Section2.4) Roof
Interior Edge Corner
Dead Load(Psf) 2.4 2.4 2.4
Snow Load (Psf) 17.8 17.8 17.8
Load Combination 1=D+0.755+0.75Wdown (Psf) 31.4 31.4 31.4
Load Combination 2=D+Wdown(Psf) 23.3 23.3 23.3
Load Combination 3=D+S(Psf) 20.2 20.2 20.2
Uplift Design Load=0.6D+Wup(Psf) -31.7 -56.4 -84.0
Maximum Absolute Design Load (Psf) 31.7 56.4 84.0
Spacing Calculation: (EcoX Product Manual) Roof
Orientation: Landscape Portrait
Zone: Interior Edge Corner Interior Edge Corner
Max Spacing between Attachments(in) 59 45 36 46 33 22
Max Spacing between Attachments Considering Rafter Spacing(in) 48 32 32 32 32 16
Max Cantilever from Attachments to Perimeter of PV Array(in) 19.6 15.1 11.8 15.3 10.9 7.2
V1
� EV L '
SOLAR
Surface Information: Roof 4
Members Type Rafter Roof Pitch (deg) 28
Members Size(in) 2x8 Least Horizontal Dimension (ft) 30
Members Spacing(in) 16 O.C. Average Roof Height(ft) 30
Edge and Corner Dimension(in) 36
Number of Modules 10
Number of Optimizers 10
Estimated Number of Attachments 20
Distributed and Point Load Calculations: (SolarABC's Expedited Permit ProcessforPVSystem(EPP)) Roof 4
Total System Weight(modules,optimizers,mounting system,etc.) 435.4 lbs
Total Array Area 176.5 sq.ft.
Distributed Weight 2.5 psf
Weight per Attachment Point 21.8 lbs
Snow Load and Wind Pressure Calculation: (ASCE7-05 Sections 6-7) Roof
Interior Edge Corner
Flat Roof Snow Load (Psf) 18.9 18.9 18.9
Slope Factor 0.8 0.8 0.8
Roof Snow Load (Psf) 14.4 14.4 14.4
Net Design Wind Pressure Uplift(Psf) -25.9 -30.3 -30.3
Net Design Wind Pressure Downforce(Psf) 23.7 23.7 23.7
Adjustment Factor for Height and Exposure Category 1.4 1.4 1.4
Net Design Wind Pressure Uplift(Psf) -36.3 -42.4 -42.4
Net Design Wind Pressure Downforce(Psf) 33.2 33.2 33.2
ASD Load Combination: (ASCE7-05 Section 2.4) Roof
Interior Edge Corner
Dead Load (Psf) 2.2 2.2 2.2
Snow Load (Psf) 11.3 11.3 11.3
Load Combination 1=D+0.75S+0.75Wdown (Psf) 35.5 35.5 35.5
Load Combination 2=D+Wdown (Psf) 35.4 35.4 35.4
Load Combination 3=D+S(Psf) 13.4 13.4 13.4
Uplift Design Load=0.6D+Wup(Psf) -35.0 -41.1 -41.1
Maximum Absolute Design Load (Psf) 35.5 41.1 41.1
Spacing Calculation: (EcoX Product Manual) Roof
Orientation: Landscape Portrait
Zone: Interior Edge Corner Interior Edge Corner
Max Spacing between Attachments(in) 55 52 52 43 41 41
Max Spacing between Attachments Considering Rafter Spacing(in) 48 48 48 32 32 32
Max Cantilever from Attachments to Perimeter of PV Array(in) 18.4 17.3 17.3 14.4 -13.5 13.5
V1
SOLAR
Surface Information: Roofs
Members Type Rafter Roof Pitch (deg) 14
Members Size(in) 2x8 Least Horizontal Dimension (ft) 30
Members Spacing(in) 16 O.C. Average Roof Height(ft) 30
Edge and Corner Dimension(in) 36
Number of Modules 4
Number of Optimizers 4
Estimated Number of Attachments 8
Distributed and Point Load Calculations: (SolarABC's Expedited Permit Process for PV System(EPP)) Roof 5
Total System Weight(modules,optimizers, mounting system,etc.) 174.2 lbs
Total Array Area 70.6 sq.ft.
Distributed Weight 2.5 psf
Weight per Attachment Point 21.8 lbs
Snow Load and Wind Pressure Calculation: (ASCE7-05Sections 6-7) Roof 5
Interior Edge Corner
Flat Roof Snow Load (Psf) 18.9 18.9 18.9
Slope Factor 1.0 1.0 1.0
Roof Snow Load(Psf) 18.9 18.9 18.9
Net Design Wind Pressure Uplift(Psf) -23.7 -41.3 -61.0
Net Design Wind Pressure Downforce(Psf) 14.9 14.9 14.9
Adjustment Factor for Height and Exposure Category 1.4 1.4 1.4
Net Design Wind Pressure Uplift(Psf) -33.2 -57.8 -85.4
Net Design Wind Pressure Downforce(Psf) 20.9 20.9 20.9
ASD Load Combination: (ASCE 7-05 Section 2.4) Roof 5
Interior Edge Corner
Dead Load(Psf) 2.4 2.4 2.4
Snow Load (Psf) 17.8 17.8 17.8
Load Combination 1=D+0.755+0.75Wdown (Psf) 31.4 31.4 31.4
Load Combination 2=D+Wdown(Psf) 23.3 23.3 23.3
Load Combination 3=D+S(Psf) 20.2 20.2 20.2
Uplift Design Load=0.6D+Wup (Psf) -31.7 -56.4 -84.0
Maximum Absolute Design Load (Psf) 31.7 56.4 84.0
Spacing Calculation: (EcoX Product Manual) Roof 5
Orientation: Landscape Portrait
Zone: Interior Edge Corner Interior Edge Corner
Max Spacing between Attachments(in) 59 45 36 46 33 22
Max Spacing between Attachments Considering Rafter Spacing(in) 48 32 32 32 32 16
Max Cantilever from Attachments to Perimeter of PV Array(in) 19.6 15.1 11.8 15.3 10.9 7.2
V1
SOLAR
Pre-Installation Checklist:
1) What is the size and spacing of the rafters or truss drop chords?
Roof 1 2x8 Rafter Members @ 16" O.C.
Roof 4 2x8 Rafter Members @ 16" O.C.
Roof 5 2x8 Rafter Members @ 16" O.C.
2) Is there any evidence of water damage in the roof? No
Any dry rot? No
Any other visible deterioration? No
3) Do you see any splits, cuts, breaks, or visible sagging in the existing framing members? No
4) Please provide photos showing the sizing and spacing of roof framing and any possible damage as described
above.
v1
EcoX MOUNTING SYSTEM
Front Elevation Detail Attachments Spacing
Cantilrver Cantilever Attachments spacing
1. All installed roof surfaces have been (Edge) (Interior) (Interior)
r�
inspected and found to have a single
layer of shingles Wind ZoneClamp on
Detail A Z, Max height of panel above roof rh
Attachment Kit
surface not to exceed 6"
Solar Panel -- 3 Panels will be flush mounted and Interior
Clamp parallel to the roof surface Wind Zone Solar Panels
Attachment Kit r i- 4 Attachments to the existing truss top
chords or rafters must be staggered T FL
Coupling
Skirt so as not to overload any existing Edge
structural member Wind Zone
Shingles Rafters
Height of Panel Maximum values for attachment
Rafter Above Roof Surfac 5• spacings are specified in following
pages for each roof. Corner f^
Aq Wind Zone
S� I I 1 1 I
J (comer)Attachments Attachments spacing
(comer) (cospamer) (Edge)
Components Clamp Assembly on Attachment Kit Detail A
-1 21633 AOQ
Flashing OF NE`s Coupling Assembly Clamp
Base
Flashing Sealing Washer
GF1-MLL-812
MITI finish Al
Lag with Sealing Washer Flashing,8N12
Lag Bolt,5/16
M1 Skirt
Base
Clamp Assembly
V1
LEVEL 844-GO-LEVEL
SOLAR
Rafter/Truss Photos:
a
i4
0
A
m
4
1
h!'.foil
v1
' I � �� II IIIIIIIIIIIIIII '° °
SOLAR
Rafter/Truss Photos:
,I
i
V1
LG Mono.X
(0 LG ,
lifers Good _ Mechanical Properties Electrics!Properties(STC*)
Cells 6r 10 Module Type 285 LV
tu0 Vender LC MPP Vokage(Vmpp) 323
' Ct11TYPt ",sorry—lt ne f�-T,^l.a MPP Current(lmpp) 838
[ell Dtmensmns 156.73 x 15675.mr•16-vises Open cl—r.,Voltage(Vac) 390
.of fXushu 3 Shari C—i,Current(1sc) 9.13
Dunansions(L.W.H) 1650.+000'40 mm Madute Eniuenry(54) t7d
64 57 x 33.37 r 157 inch Operating Temper—ire(T) -40--90
Front Load 6200 Pas 125 psf 0 Maximum System Vottage(V) i00o(1EC,uL)
Rear Lead woo Pa 1213 pcf 0 Maximum S'W'F.-Patmg(A) 15
tyerght 170205 L9 137 48 S 1,1 ibs P—r Tolerance(35) 0-•3
ConnecmrType 1',C4,hICA G-^ps.191e,IP67 s:aN'a_:ec,ity,).asa;eenwM1,+TW..y:.r;c-ien;:s•u,x•:fs
1—M. 1P67 v.m 3" ass 13 d., °r`e•e ecp::.:e.rai mSu:n+->x6azt�v:vvc=: ar€ekeccro2:_-"nm
•M1e.S%*'"'"w'-v•n+'J�riKer-•j a•rifiiYJ'+'a+ciai rte IS'X:t;;R,y♦.•c-
LengthofCables 2 n 1000 mn:12 3937--h
Gies H g,Th...,r—T mperedalsi. Electrical Properties(NOCT*)
Frame Ana-od—J Alr'r'num
Certifications and Warranty MndulPTypt 28sw
(maximum Pacer(Pmax) 209
caroflcatmas tEC 61215,IEC b 173?-V-2 MPP V_ukage(Vmpp) 295
ICC 6.716(A—.-J. x) MPP Cu m= nt(IMPO _-- 708
�J� l IEC 61701(5.a,L!1¢CcrCca Tta) Open Groan Voltage(V O 36.1
Lapq V M�Dn XW4k.. s 1509001 short crcuit Current NO 756
U 1703 =nc-(ih-,�u;T--.s.eeml-,�µri:ltee-nen.r•nSe-a.c:w,P.*.a».nr»••d:iw'1-J:
Modulo fire Perf arrce(USA) T)P.2(L'L 1703)
Fra Rabng(for CAUAVA) Dimensions(mm/in)
F'rod.a warrant•) 12ye=rs rj7
Output wamma of Pmax 4,:arwaraim,'eC
LG Mono X®PLus is Lr Electromd high-quaity' �w Ari�.OV'oaaax++c1 .,));=-araeK:tA•xzrrya•>a€>e„..ita;rewrxnacexv,rcrzsr=as
w ���� mo6ocrystaline module The quality is the result of our y j���'�y� — _
rV' strong commitment to developing a module to improve D E Temperature Characteristics y S
beneff for customers features of LG Mona XO Plus int€ude �^�' -- Ir's rJotr ae m 3°C J ...•- In
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durahlLLxoonvenlentmstalf�lon,andaesthetice)ctenor """^�"ra'+ ' LJ (� `V
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Characteristic Curves
o Enhanced Performance Warrahty e= Reduced,LlD'(LWiTechnology) a
LG Mono Xftrlm provides the enhanced performance ___ LG Mono X�Plus has'wproved the mamldegiadation L fe
'=n—,...
,nr3rarRy The Initial degrechtian has been imprcvadfrom .tyapplyirg LG's newLiLY(LID-improvement for Decline X "' "�•�
.395to-295,and the annualdegiadition lnsalso chiniged .---- YrJd)TehnolaagwhichmrrtmL-format(onof Boron- a - t ---••
frons-07951yrto•069`dyr -mcygeh pair,the keyfactorof LID
Imprbved.Binduct Warranty k Aesthetic RdoF
-- Inadda,onto theenhaccad perfonnsnce wsrarrty,LG hasC�' LG Mono?001us maylrm_aasethehousevaWawrth ...-. _•- —••-•-.. .n....,.-. FF '� y(
'Mended the product wananty of LG M ono Xa Plus for `s shiny blackflamesAlso,a lookssmdarto
adj2ionil2yearsuoth its nwlyreinforredfiamedeslgn ?==- 'a4-blgckm6dulefromalbn9dismnce.
1
Outstanding Durability Lightand Convenient m
With neuu(y mtmf reed frame design,LG Writ,XO Plus ten -- f.GfxanoX?+P)usfs ca efu°ydrsiramadto hel>9fit alstaLPrs
endure the nett snmm load up to 6000 f9,and thestaitic byellmvmg qudckirlsmllatlanvmdtaw_ght ofrystl7kg T i
wind Imd up toy 400 Rt aid hese grips
.ao +� O A Y, ,f m loimiafir •Fa€:snL-a:»va,w°euY•dtre n.-rty'gm.rt.yn:a:
LG hcet>0^,znca:dar3u_re-r_Tealr u,r baXW,r n 3r�rrua,..t ra rA.ec»Elrs�n r-yt„ N �
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solar.=31Single Phase Inverters for North America
S®la1°" ® '® SE3000A-US/SE320GA-US/`_'Eb000A-USiSE600UA-US/
SE7603A-US/SEI0000A-US t SEi 1400A-US
I SE300DA-US SE3800A-US I SESOOOA-US SE6000A-US SE7600A•US t SEIDOOOA-US —S E11400A-US
OUTPUT _
SolarEdge Single Phase Inverters 9960�2D6V
Nominal AC Power Output 3000 3800 5000 6000 i 7600 ll400 VP
..,•,AC wer.....................i ,,,0 , ,. .5400@208V ... ..,.. .... 10800 08V•• ,
.- Max ACPovrer Output 3300 4150 5450e240V, 6000 I 8350 t 10950 Ln7240V,] 12000 VA
For North America � • bItage
- � " AC Output\blueMm-Nom-Max h'
1P3.208,224
SE3000A-US/SE3300A-US J SE5000A US;SE6000A-US/ `
AC Output Voltage Min-Nom-Ma0i f ✓ ✓
SE1600A-US/SE10000A-USJSE11400A-US �FeQ�en ncNom-Maxot 5193-60-605(vnthHlmunty ettrg57-60,605) j Hz
- - __.. .__.m . _.___-.__-�
„ : .. . -.r x..24 268V 48�206V
s Max OoMnuous Output Orrrent 125 16 25 32 475 A
'Max
.'. 21��tOV
_ GFOI 1 n-
n%.- °' M1w w r•.,p w ' UHIRYMonitorirg,Idandmg Protedton,Country Configurable Thresholds -• Wes, Yes
INPUT
Recommended Max DCPowerv' r
-„ ., -.•-•,-• ,4, 3750 4750 6250 7500 9500 1100 ' 14250 W
} :.�1y,,,lN •�' ? ^ Transformer-less.Ungrounded. .. ............. ..... ..:.:.: Yes .. ......,.... -,.. ..
Max ..,;
ax Input Voltage •.500 Vic
Nom DC,Input Voltage325@ 206VI 350(a 240V Vdc
Max Input 16.5 @ 208V I 33 @ 208V I
Wrren[49 13 95 i 18 23 fj 345 4 Adc
,I 155 a 240\" ,... ,. .- .. .,t 30 5�a 240V.
t5h rtC RC r t 45
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Maximum Inverter Effioency ,I, .,97,7 ',.,982„ t{ 983 983 98, 98j 98 .°G
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ADDITIONAL FEATURES _
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•.r•.• •f 7 a .. Supported Communication lnterfasst RS485,RS232,Ethernet,ZigBee(optional)
Re venue Grade Data,ANSI Ct2.1 Ophonafa
;'" Rapid Shutdown NEC201469012 Funchonah_tyenabled when Solar Edge rapid shutdown Mt is mstalledp1 —
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Gdd Connedion3tandards, ••..., ,.,.. ..,. .., UL1741
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INSTALLATION SPECIFICATIONS
t AC output oondu2 vze C.WG range I 34 mm)mum L66AWG t 34 minimum/83AWG
Eiiiio,.j R;:� ., DC input mndurt sine%ofstrigs/AWS '
-, 3/4"minimum/1-2 strngs/16-6 AWG 3/4-minimum/1-2 strings/146 AWG
Dimensions with - ., ..- .. --
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(15,12 5,1051775.3151,260
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CoolingI - ral Convedlo
n Fans(user rePlac ble
Nolse t <25 - -- - s50 .. dBA
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The best ch oice for,SolarEdge enabled systems,
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a Internetconneciion through Ethernet or Wireless"
Outdoor and indoor installation „
Fixed voltage invert&,DC/ACconversion only
Pre-assembled Safety,Svditch for faster installation
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Flashtng'sAluminum,black powdeccoated Knish
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and there is never a need to standard framed modules With offers on-site installation training Grounding/Bonding Validation UL27O3-see installation manual£orspecr£ic module approvals
reach over or walk on modules a single socket size and a wide and ongoing technical support, Fire Resistance Va68ation Ul 2703-Glas§A Type 1 srid Type 2 modules
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