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HomeMy WebLinkAbout40784-Z o�Dg1lFf�t,fldG Town of Southold 2/16/2017 P.O.Box 1179 o - �" 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38832 Date: 2/16/2017 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 62800 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 56.-6-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/20/2016 pursuant to which Building Permit No. 40784 dated 6/20/2016 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 an existingbas s applied for. The certificate is issued to Port of Egypt Enterprs of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40784 1/3/2017 PLUMBERS CERTIFICATION DATED Authorized Signature Town of Southold 2/16/2017 0 P.O.Box 1179 53095 Main Rd ay�y01 �yyo� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38833 Date: 2/16/2017 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 62800 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 56.-6-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/20/2016 pursuant to which Building Permit No. 40784 dated 6/20/2016 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 an existingbuilding uilding as applied for. The certificate is issued to Port of Egypt Enterprs of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40784 1/3/2017 PLUMBERS CERTIFICATION DATED a Authorized Signatur 4�gUFrat,�co TOWN OF SOUTHOLD BUILDING DEPARTMENT y s TOWN CLERK'S OFFICE o • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40784 Date: 6/20/2016 Permission is hereby granted to: Port of Egypt Enterprs 62300 Route 25 Southold, NY 11971 To: install roof-mounted solar panels on existing buildings. Two CO's are required. At premises located at: 62800 Route 25 SCTM #473889 Sec/Block/Lot# 56.-6-4 Pursuant to application dated, 6/20/2016 and approved by the Building Inspector. To expire on 12/20/2017. Fees: SOLAR PANELS $100. 0 ELECTRIC $200.00 CO -COMMERCIAL $100.00 Flood Permit $200. 0 Total: $600.60 ding 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 ate. New Construction: Old or Pre-existing Building: (check one) Location of Property: House o. Street Hamlet Owner or Owners of Property: gad i Suffolk County Tax Map No 1000, Section Block 4a Lot 1 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: $ Appl §tgnature SO Town Hall Annex Telephone(631)765-1802 54375 Main Road CA � Fax(631)765-9502 P.O.Box 1179 a:; • �Q roger.richert(aD_town.southold.ny.us Southold,NY 11971-0959 O lyc4lINTY,�� BUELDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Port of Egypt Enterprises Address: 62800 Route 25 City: Southold St: New York Zip: 11971 Building Permit#: 40784 Section: 56 Block: 6 Lot: 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Select Electric License No: 48653-ME SITE DETAILS Office Use Only Residential Indoor Basement Service Only Commerical X Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding 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 El Exit Fixtures 11 TVSS Other Equipment: 247.38 KW Roof Mounted Photovoltaic System to Include; 798 Canadian Solar 310 Panels, 2- Solectra Solar PVI-28, and 4- PVI-36 Inverters, 1- 400 A AC Notes: Disconnect. Inspector Signature: Y7=6� Date: January 3, 2017 0-Cert Electrical Compliance FormAs 0: 631-724-7888 info@vreillytarantino.com I www.reillytarantino.com it 4 Bezel Lane, Smithtown, NY 11787 REILLY*TARA`ITIN G�O ®9AOo,L ENGINEERING . U Town of Southold �u UU Q Building Department Town Hall Annex 54375 Main Road Southold, NY 11971-0959 Re: Port of Egypt Marina,and C&L Realty(Heron Suites) Permit Nos.40784&40785 ' 293.265 kW Rooftop Solar Photovoltaic System 62300 Route 25&61600 Route 25,Southold, NY 11971 SCTM#s 1000/56/06/04,56-6-3.4 Please be advised that 1 have inspected the solar roof array at 62300 Route 25,Southold,and have s determined that it has been performed in accordance with the manufacturer's recommendations,and the approved building permit.This installation meets the Building Code of NYS,and the provisions of ASCE 7-05. If you have any questions concerning this matter,do not hesitate to call the office. Regards, oa Thomas D. Reilly 0� kIE W Y0,9 CO lam w' , � 04358 sfi©pROFES�l©�� 1 FIELD I'SPE= T{E ORx AA's COIv�ME�I'x'S FOUND4'=N (1ST) ---------------.... �. ._._..-.. LA F.0= ,TIQN(2m) ROUGH FR&NM & �J PLUYMltqG TNSULATIGN•PEA N,Y. , y STATE BNEROY CODB " CA C) rn Y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKST BUILDING DEPARTMENT Do you have or need the following,before app-ying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 - Planning Board approval FAX: (631) 765-9502 Suryey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y:S.D.E.C. Trustees Flood Permit Examined 20 no Storm-Water Assessment Form Examined 20_(b D Contact: _ die ip e, Approved 20 Disapproved a/c �.� Dim;DwrLD yww'hasvasvaorr®cwt ratPsxeri�C157# —Aa •8�1 �Nti7�sflf9 �Gdkatsrd Expiration ,20 f Building Inspec'tor' t - APPLICATION-FOR BUILDING PERMIT Date 20_L� ' ' '•• ' IIoTSTRUCTIONS , a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan•to scale.-Fee according•to schedule. _ b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas; and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d..Upon approval of this application,.the'Building Inspector will issue a,Building:Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used-in whole.or in part for any purpose-what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall,expire if the work authorized;has not commenced within 12 months after the date of. issuance'or has not been completed within 18 months from such date.If no zoning-amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be-required." APPLICATION IS HEREBY MADE to the Building Department-for the issuance of a Building Permit pursuant to the 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 premise's and in building for necessary inspections'.' ' (Sign ture of appXc or name,if a corporation) y1A1 DAD r (Mailing address of applicant), , State whether applicant is owner, lessee, agent,architect, engineer, general,contractor,,electrician,plumber or builder VV Name of owner of premises -�-�- 1 (As on the tax roll or latest deed) If a plicant is a corporation, signature of duly authorized officer (Name and t• le of corporate officer) Builders License No. 48165-H - Plumbers License No. NSA Electricians License No. 46583-ME Other-Trade's License No. NSA 1. Location of land on which proposed work will be done: 0- no i1/1 �'I Imo.@ P-0 Al:,-> SD House Number Street _Hamlet l� County Tax Map No. 1000 Section Block . Subdivision Filed Map No ' z 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:` a. Existing use and occupancy 0 /j�r b. Intended use and occupancy 3., Nature of work (check which applicable):New Building Addition Alteration Repair Removal � pliti�om � , �, Other Work `i,f�7 l (Description) 4. Estimated Cost 1�� t 1 Fee ' be paid on filing this application) 5. If dwelling, number of dwelling unitsTn6e9 . .lli is on each floor If garage, number of cars a 6. If business commercial or-mixed occu anc �i jell kf4tr r � t of each e 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 ofStories 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 -Z, Y 13. Will lot be re-graded? YES NO , Will excess'fil'1 be removed from premises?YES - -NO 14. Names of Owner of premises Pb �� Address &Wi,C'r'1'' Phone No ro Name of Architect D. 0_5 Addresses L,� ne No est. ITe Name of Contractor T —�i ddress x�Q Alf"6-5Whone No I . . - . ,-, . " - pg_� I I "I- ­' 15 a.Is this property within 100 feet'of a tidal wetland or a freshwaterwetland? *YES NO a/ * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS AY 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 restriction`s with 'respect to this property? * YES NO �/ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) ��SS. COUNTY OFs, r ,"5' Z— being duly sworn, deposes and says that(s)he is the applicant (Name Aiddividual signing contract)above named, (S)He is the Vy lam.U72—, (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 the best of his knowledge and-belief; and that the`work will be performed in the manner set forth in the application filed therewith. 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SHOU ( .LNVJI'Iddd 3HI A9 491.9'IdWOD 99 01 ) 1921HS MH®M Z101HWHOVMM HUIV UXHO LS - 9£Z 2 :IJLdV 3 PlOqlYlOgf® ulV10� IL6II xHO)L MUN'aIOH.1flOS-PLOH uteW S6o£S 0 6LII xog O d-TIVH NMOL CUGHMOS JL1�LMKI�119 V cn c 2ZOSIA'93d11S .�� IlassnN -V 14o:DS r APPLICATION '. PAGE I o( a -- TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION `Phis form is to be filled out in duplicate. ECTI N 1: GENERAL PROVISIONS APPLICANT to read and ss 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE,TO THE BEST OF MY �Vi EDGE,TRUE AND ACCURATE. (APPLICANT'S Sft'*ATURE) DATE; SECTION 2. PROPOSED DF,*-LOPMENT(Tb be completed by APPLICAPED NAME ADDRESS TELEP NE R PE ENGINEER + 1 �1 ZVl/1=U� PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas• the distance to th�nearest intersecting road or well-knomm landmark- A sketch attached to this application showing the project locati n`"would-bt helpful. 112 D-L FDP(93) APPLICATION PAGE 2 OF 4 ---- DESCRIPTION OF WORK (Check all apphcablc boxes): A STRUCTURAL DEVELOPMENT ACTIVITY IVITY STRUC`T'URE TYPE ❑ Nov Structure ❑ Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofing? ❑ Yes) ❑ Relocation ❑ Combined Use (Residenual & Commercial) Cl Demolition ❑ Manufactured (Mobile) Home (In Manu- Replacement facturcd Home Park? ❑ Yes) 13 D COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES. ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifica(ions) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Witer or Se r System r '� -L-r ❑ Other (Please Specify) L��'W0� After cbmplleting SE�CI ION 2, should submit form to Local Administrator for rctiricw. ECTION 3: DP DETERMIT�IATION o e com lcicd by LOCAL ADhtlldi TRATOR The proposed development is located on FIRM Panel No.. Dated The Proposed Development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REWIRED)- 0 Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway FBFM Panel No. Dated ❑ See Section 4 (or ad ' ional iastructions. SIGNED DATE r ;^ APPLICATI01\ PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxes), A STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure ❑ Residential (1-4 Family) ❑ Addidon ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofwg? ❑ Yes) ❑ Relocation ❑ Combined Usc (Residential & Commercial) Cl Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park?. ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES:- 0 CTIVITIES:❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) - ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMIMSTRATOR) The proposcd development is located on FIRM Pancl No. , Dated The Proposed Development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the applicatiou review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Arca. FIRM zone designation is 100-Year flood cicvauon al the site is: FL NGVD (MSL) ❑ Uaavailablc O The proposed development is localcd to a (loodway FBFM Panel No. Dated ❑ Scc Sccoon 4 (or additional iastruccious SIGNED DATE B APPLICATION 4 PAGE 3 OF 4 SECTION 4 ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be- processed: O A site plan showing the location of aJl casting structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑Development plans,drawn to scale, and specifications,including where applicable:details for anchoring structures, proposed elevation of lowest floor(including basement), types of water resistant materials used below the fust floor, details of floodproofing of u"ties located below the first floor and details of enclosures below the first floor. Also O Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). O Plans showing the extent of watercourse relocation and/or landform alterations. O Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofing protection level (non-residential only) Ft:NGVD (MSL). For floodproofed structures, applicant must attach certiftcatioe from registered engineer or architect. ❑ Certification from a registered engineer that the proppsed from in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other. �ECT10N 5 PERMIT DETERMINATION fro be complctea by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. O Is B. O Is not in conformance with provisions of Local. Law i , 19 The permit is issued subject to the conditions attached to and made part of this permit. SIGNED DATE If BOX A is checked, the Local Administrator may issue a Dcvclopmcnt Pcrmit upon payment of designated fcc. If BOX B is checked, the Local Admuustrator will provide a written summary of dcficicncics. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. • APPLICATION �+ PAGE 4OF4 APPEALS Appealed to Board of Appeals? ❑ Yes ❑ No Hearing dale: Appeats Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION 6• AS BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered- professional engineer or a Gecased land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual(As-Built) Elevation of the top of the lowest floor, including basement in Coastal High Hazard Areas bottom of lowest structural member of the lowest floor, excluding piling and columns) is- Fr. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL). , NOTE: Any work performed prior to st/bmittal of the above information is at the risk of the Applicant. J - SECTIQN 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the comm unity's'local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION $• CERTIFICATE OF COMPLIANCE(To be completed by LQCAL ADhTiNISTRATQR) Certificate of Compliance issued: DATE: BY: � 0 � 1 Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area est 6 ^ •' TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD A-RCA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING Cl EXISTING BUILDING ❑ VACANT LAND s THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_ SIGNED: DATED: B. COMPLL4NCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_1 AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C /C (93) 0:631-724-7888 Info@ReilIyTarantino.com www.Reil]yTarantino.com REILLY•TARANTINO 4 Bezel Lane,Smithtown,NY 11787 ENGINEERING June 10th, 2016 Town of Southold Building Department 54375 Route 25 Southold, NY 11971 Re: Port of Egypt D Solar Panel Installation 62300 Route 25 D Southold, NY JUN 1 7 2016 To Whom It May Concern, BUILDING DEP'. TOWN OFSOUTHO[Op Please be advised that we have evaluated the existing roof framing for the buildings at thea above-name location and have determined that they are adequate to satisfactorily support the load of the proposed photovoltaic panels in accordance with the requirements of the Existing Building Code of New York State. If you have any further questions regarding this matter, please do not hesitate to call my office. Very truly yours, 0� \Av-W yo � Q � RE►C�y,o�d 60 Q4?a,/ h � to ti e / Thomas D. Reilly, P.E. r�� F 04 3 �P 20Fo PROFE5 PROJECT#2016-160 STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(Use street address only) IN Business Telephone Number of Insured Harvest Power 631—647-3402 57A Saxon Avenue, lc.NYS Unemployment Insurance Employer Bayshore, NY 11706 Registration Number of Insured Work Location of Insured (Only required if coverage is Id.Federal Employer Identification Number of Insured specifically limited to certain locations in New York State, i.e., a or Social Security Number Wrap-UP Policy) 204214746 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) NATIONAL LIABILITY&FIRE INSURANCE COMPANY 3b.Policy Number of entity listed in box"la" Town of Southold V9WC705424 3c. Policy effective period 53095 Route 25 PO Box 1179 .4/15/2016-4/15/2017 Southold,New York 11971 3d. The Proprietor,Partners or Executive Officers are included. (Only check box if all partners/officers Included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "T' insures the business referenced above in box "1 a" for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under T m Aon the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. The Insurance Carrier will also note the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box "3c",whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated,on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law.' Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: (Pent name of authorized repre �r h e agent of insurance carver) Approved by: 4/14/2016 (Signature) (Date) Title: ACCT MANAGER Telephone Number of authorized representative or licensed agent of insurance carrier: Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb.state.ny.us Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter.Nothing herein,however, shall be construed as creating any liability on the part of such state or municipal department,board, commission or office to pay any compensation to any such employee if so employed. 1. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2 (9-07) Reverse CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4/15/2016 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(les) 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 NAME, ARM-Capacity of New York, LLCPHONE 646-459-2400 FMAN.). 646-459-2401 One International Blvd :;Elite 300 EMAILSS .info_armny.com 'Mahwah NJ 07495 INSURERS AFFORDING COVERAGE NAIC# INSURERA-James River Ins. Co. 12203 I INSURED 2478 INSURER B Endurance American Ins. Co. 10641 Harvest Power LLC INSURER 57A Saxon Avenue Bayshore NY 11706 INSURER D INSURER E. INSURER F COVERAGES CERTIFICATE NUMBER: 1682215807 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 I INSR ADDL SUBRI POLICY EFF POLICY EXP _LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 00071180-0 4/15/2016 4/15/2017 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $50,000 L_X_ Contructual Liab MED EXP(Any one person) $EXCLUDED X Primary/NonCont PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 1 POLICY JER� LOC PRODUCTS-COMP/OPAGG $2,000,000 X jl OTHER Ded $5,000 Contractors P011utio $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per.ccident i $ A X UMBRELLA UAB X OCCUR 00071179-0 4/15/2016 4/15/2017 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 i DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ B Inland Marine IMP10004799602 4/15/2016 4/15/2017 Contents Limit 250,000 i I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) i i i 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. 53095 Route 25 P 0. Box 1179 SOUTHOLD NY 11971 AUTHORIZED REPRESENTATIVE Lie, ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 11-1 - NEW Workers' �.__ YORK CERTIFICATE OF INSURANCE COVERAGE �T T� Compensation. ` Board UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name and Address of Insured(Use street address only) 1b.Business Telephone Number of Insured HARVEST POWER LLC 631-647-3402 1c.NYS Unemployment Insurance Employer Registration Number of Insured 57A SAXON AVENUE 0828169 1d.Federal Employer Identification Number of Insured BAY SHORE, NY 11706 or Social Security Number 204214746 2.Name and Address of the Entity requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity being listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 3b.Policy Number of Entity listed in box 1a": 53095 Route 25 DBL348571 PO Box 1179 3c.Policy effective period: Southold, New York 11971 10/07/2015 to 10/06/2017 4 Policy covers: a. ® AII of the employer's employees eligible under the New York Disability Benefits Law b. FJ Only the following class or classes of the employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed 4/15/2016 By Aha�d (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Title Chief Executive Officer IMPORTANT:If box"4a"is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If box"4b"is checked,this certificate is NOT COMPLETE for the purposes of Section 220,Subd.8 of the Disability Benefits Law. It must be mailed for completion to the Worker's Compensation Board,DB Plans Acceptance 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 been checked) State of New York Worker's Compensation Board According to information maintained by the NYS Worker's Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By ` (Signature of NYS Worker's Compensation Board Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS Disability Benefits insurance policies and NYS Licensed Insurance Agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-1201 (9-15) �` � � � � 1G r ,r • ar ak ,a -s rov, ,., .,r 1k ak ♦ Y E ! N �,� � `ffjj�,,,moi FS �r/ai�l i/it i/d Xe e ♦ Yb # -mss .q-y - tiwi. 6 ar r w• bow i NE F U1:111_ 1C, w � � o THESE SHEETS ARE FORMATTED IN ACCORDANCE WITH THE LONG ISLAND UNIFIED SOLAR PERMIT INITIATIVE Q z ELECTRICAL VISPECTION REQUIt TD 7FT AP ROV D AS NOTEDP 0 0 1 1 o DATE: # - FEE: 4 BY: 1 � NOTIFY BUILDING DEPARTM T AT cL 0 765-1802 8 AM TO 4 PM 0 FOR THE w'Inrio 17N% IL 'Tr 'Tr rl" ' '0W 0 ILLY OLTAIC Vl%- T! E M FOLLOWING INSPECTIONS: Q z 6101 6"1 1. FOUNDATION - TWO REQUIRED Q 0 1K 7FOR POURED CONCRETE -t L4W0 ,, H 4t c. ROI - FRAMING & PLUMBING � 3. INSULATION 4. FINAL - CONSTRUCTION MUST MA 0 1 BE COMPLETE FOR C.O. D I—A—N- - SOLAI S6 1 F1 WATI M 3 11' -A 6.j ki ALL CONSTRUCTION SHALL MEET 1HE 798 3 .L REQUIREMENTS OF THE CODES OF NEW YOLK STATE. NOT RESPONSIBLE FDR w DESIGN OR CONSTRUCTION ERRORS. MEW 00 04, COMPLY WITH ALL CODES O ZNEW YORK STATE & TOW J CO ES 9 9 AS REQUIRED AND CONDI t ION OF S �Cfr. t"...y .W I (Doo U ® D T04',. aS N..YS. C CD O d' M OCU I:t1'0X 0 USE ICU,,,1U TUL WITHOUT CERTIFICATE o M OF OCCUPANCY ►� `° V . . RETAIN STORM WATER RUNOFF Z PURSUANT TO CHAPTER 236 a7 OF THE TOWN CODE, UO = Apt �� .. .•s.,.,, _ a � Uj 25 a LlAR U) o >ti w o o z U = LU Cl) oQ a Jtaraas::a A.It�I:trx,Jr. PET co Page 2 of 2 � �-� W James A.Marx,Jr.P.E. Q North Winds Center 1-he design verification is based on: high lIvlountain Road Ringwood,NJ 07456 1. ASCE7-02105--ASCE Stand rd z I'-ntnil:janaliglit(i,bellatlantic.ttet IT, "Steel Construction Manual." 13th Ed.,American Instittatc of Steel Construction,Chicago,IT.,2005. Ill, "Aluminum Design Manual",'llhe Aluminum A"ociation.Washington D.C., Jure 15.1201 I 2005. (�j IV. Mechanical properties and Static load Testing of Unirae extruded rails snot L Hirai:,Inc. related components obtained from Dr. Walter Gerstle,PE,Department of 41330 R7-25, � Civil En>inecring,University of New Mexico Albuquerque,NNI SeuftlP ,NY 11,71 LU a 1411 Broadway Blvd.NE � Y Albuquorque,NNI 87102 I Jsc: E— LC) To: BuRdin-Department or Others: tlnirac Scalar%lountVlf is evaluated for use in locations where wind nreK.y�ire rc�airem��sits � co (to not eNceed_50 rsfor,snow load conditions,€o not exceed 45I)sfgropnd snow loads. W RE: IF n-incer`s Notice of E;valnation for 1,,7niR ac Sol;il-Nlo Intl," F'or loading in excess of either of the above stated conditions,,E.:nirac,Inc. ghonld be 0 universal [IV Nlocfule Mounting System eotatactt+:l fior suitability ol`inst installation. U W Q H Deatr Sir: 1.Iv this leltcr,I certify that the Unirac SoIar%4oun,,TN1 assemble,when instilled in O U accordance with the Installation Nlanual 227 will meet the requirements of the building n I have reviewed Unir;ac SolarMounta'I"Code-Compliant Installation Manual 227", cotes adopted by New York State.Others should evaluate the structure to k%hich the O copyrigt t February 2008 and certify that tfae int'ormation.and results arc accurate.To Unirae olitMountT'"system is to be connected on a cast-by-case basis.per Part I-- deto rnirl,c the design level forces,the appropt'i.ate ww>ind speed shall be determined as Installer*,;Rcsponcibilities of the Installation Manual,to ensure its idequacy to accept prescribeA by local jurisdiction rarquirerncnts and applied in accordance to the New York attachments and to support all applied loadings per the building code. State Rc�gidc:ntial Code-2010 or Nov York State Building Code-201(},These building M JAI P codec requirethat wind loading be determined based upon ASCI: 7-05 tinct Unirac's Minu;tl 127 utilizes ASCE 7-05 that rnitehes Method I for which Unir$ac"I'able 2 is Please call me if you have anti=qucNtions or concerns. baacd upon,that which is dependent upon conditions ofspatial tomo.height and other "51: stnicture!parameters the t are specified in the;code provisions)for dLtennining the appli�ecl C �� � � wind loading=,pressures imposed onto the Unirac SolarNlountT11l rails supporting solar panels.The Solit-Mounfr'''railing and anchorage requirements for the installation are properly represented in the Installation Nfimuaal 21-7, James A.Marx,Jr.PE 4 1'r�,I"cs�atonal I?nl�iraec�s' �- A.1 : TITLE PAGEt0 lligh1lnuntaainRoad 4 _ f;,F'or otlacl'cc*nditicttas.tlae detertaainatican ol'wviaacl pres�aara;:�sla€.itld lie cicternaisaccl by floc 1, ,, Rinewood,NJ 074.6 aforementioned 1' ov York State Building Code and ASCI: 7 procedures. � A2 : MODULES INVERTERS ELECTRICAL DIAGRAM Professional Engineer l.icetasc 56467A3: • • BUILDINGS G & F PV PANEL LAYOUT AND SECTION DRAWINGS A4: BUILDINGS E PV PANEL L—A-Y- OUT AND SECTION DRAWINGS cc:James hanc?rid.t'nirac,tsat. A,5 : RMOUNTING BUILDING NOTESCOMMERCIAL jrr ` �-�' u LS�L50 C" ERTIFICATION I E"N" JUN 17 216 D rMILDING DMV. Al TOWN OF SO i7i 11UL01 OF 5 , I W H CD Q cu Q CO z e' . MODULE!ENGINEERING DRAWING(rnm) CSIS X-310P!I-V CURVES A A Rear View rraftle Cross Section A-A ,d;.. . to! .. ... .....El . a. s rt,Yta T LLJ+n + U 12 ,- r LLj .,,r:• "•,'„i „ ¢,y r°nir r r n, .1s v o.. ... -v Mounting& olp 'i't is ;r. ns an 4< in r, 2n 2s n d3 4% to Building Outdoor Building t✓nrng RoofTop Q z Outdoor Wall > •IpplkOs<:.'> :�i ..I ' R � IL3G w•m• 5'C ' ';y:.-'`''°";•.lis: -,'• :�'•l 9A• 6tS;;w/rn� 45'C� 1-i .:,;;, :;✓Jtl,.,' n 4....W m 6!,-, ELECTRICAL[TATA!STC* MODULE!MECHANICAL DATA Electrical Data CSSX 310P ?15P3201" Specification Data 4 Strings of 19 Nominal Max.Power(Pmax) 310 W 315W 320W Cell Type Polycrystalline,6 inch MPPT 1 Opt.Operating Voltage(Vmp) 36.4 V 36.6 V 36.8 V Cell Arrangement 72(6x 12) w/1 5A OCPDs ......................................----..._...................._........... .. ...._.__.... " Opt.Operating 8.52A 8.61A 8.69A Dimensions 1954x982Y40mm(76.9x38.7x1.57in) High quality and rehab€fity in all Canadian Solar _ _ ____ __ __-__-__ _ S e LLJ modules is ensured by 14 years'experience in Opt-n Circui.......... Voltage(Voc.) 44.9 V 45.1 v 45_1V Weif3ht-- „-22 kg(4fi,5 Ihs) Solectria Inverter module manufacturing,well-eng ineered module Short Circuit Current(ISO 9.08 A 9.18 A 9.76A Front Cover 31 mrn tempered glass PVI 36TL design,stringent BOM quality testing,an automated :. Module Efficiency 16.16% 16.42% 16.68% FrameMaterial Anodized aluminium alloy 4 Strings of 19 3 Phase 480 V 400 Amp manufacturing process and 100%EL testing. � insurance-backQ0 warranty Operating Temperature -40PC-+85PC )-Bax IP67,3 diodes 3 Phase yoar� non-taneelaisle,immediate warranty insurance Max.System Voltage i 000 V(TEC)or 1000 V(UL) Cable 4 mm'(IEC)oro rT1rn'&12 AWG MDPT 2 f - --- - - lt - TE--- -- - w/15A OCPDs Disconnect linear power output warranty Madule Fire Performance TYPE 1 (UL 1703)or .....---...................................................._1OOOV(UL),11$0 mm(45.3 in)_.....-.._...._....._ ................ ....................._.... .. KEY FEATURES CLASS C(TEC 61730) _ Connectors Friends PV2a(IEC), 10 product warranty on materials Max,Series FuSP Rating 15 A _................ Friends PV2b(IEC!uta __.._...._..._......_.... 400A Fuse °• Application Classification Class A Standard 26 pieces,620 kg(1366.9 lbs) 480/277V 3 Phase / a € Excellent module efficient y arS and workmanship - -- -- 4 Strings of 19 t Y Power Tolerance 0-+5 W Packaging (quantity&weight per pallet) Trans-S Cabinet up to 16.68%/x ----"-- _,.., .... . .,,< ...... ................ .......... ..,..-,.......,...._...,.....,..,... ,......... .. .... '�..Q,,,,„•' - *Under Standard Test Condrtsons{r1TC7 of IrradwpC>.7 nre vi 1wJmt.spectruAMModule Pieces Arra MDPT 1 with A MANAGEMENT SYSTEM CERTIFICATES" 1-5 and Cell temperature of 25-C, per Container 624 pieces(40'HQ) Y I w/15A OCPDs Service Meter � Outstanding law irradiance Iso 90o1:2oas l t?ua7ity rnanagelY,ent sy5teml 129.58 kW , OOAmp r performance:96.035 ISOITS 16049:2DCO/The automotive industry quality management system ELECTRICAL DATA!Nf3cT* 418 Canadian Solar Solectria Inverter 3 Phase 208V I50 14001:2004/Standards for env rCnma_ntat mann ement system Electrical Data CS6X 310P 315,P 320P TEMPERATURE CHARACTERISTICS PVI 36TL Panelboard 400 Amp a y ._..................................---..-......r......_........................:......_........_................ _. CSX-310P O OHSAS 18001:200711nternationdl standards for occupational wealth&safety Nominal Max,Power(P max) 225W 228 W 232 W Specification Data 4 Strings of 19 3 Phase 480 V 3 Phase 310 W Modules Solar kWh dr m , Opt.Operating Voltage(Vmp) 33.2V 33.4 V 33.6 V Temperature Coefficient(Pmax} 0.41%/OC Disconnect - ---- --- - ..I..... _...... .. .. MPPT 2 Main Breaker Positive power tolerance PRODUCT CERTIFICATES* Opt.Operating Current(Imp) 6.77 A 6.84 A 6.91 A Temperature Coefficient(Voc) 0.3195!"C M s up to 5 W Meter _ IEC 61215/ILC 61 730:VDE 7 MCS/CE t S11/CEC AU/CQC/INME'IRO Open Circuit Voltage(Voc) 41,3 V 41.5 V 41.6 V Temperature Coefficient(Isc) 0.053'46 1*C .. ) 7 Short Circuit Current(Is UL 17031 IEC 61215 perfurntance:CEC listed{US) c .36 A 7.44 A 7.50 A Nominal Oi3.eratin em tu4512°C OO m _... ..............._..._...... - ......... ...._ .......... .._Cell T .._p.._.__era. ....re..._._._...... _......_._. _._......._._.............. P 1--( UL 1703:CSA I IEC 61701 ED2:VDE/IEC 62716:VDE/IEC 60068 2 68:SGS °under Nominal Operating Ceti Temperature INaCTL uradtance of 804 wrm'. n• ' o r s -tram A41 I A,amb:enr tam orahlrn 2WC.winds red s m/s High PTC rating up trill 91-971n PV CYCLE fEU)C UNI 7/Peac6on to Fire"Cass i P r P r 3 Strings Of 19 ° her PARTNER,SECTION MPPT 1 480V Utility dJe 4WiretoUtility CO-$�} BBA ,:. nutv�t.r cep: PERFORMANCE AT tC►W IRRADIANCE Transformer ,p industry leading performance at low Irradiation,average - �'' 60A OCPD O (fl g ^� IP67 junction box for long-term *Asthrrnareriiffprpntrprrfi+atinnra uirRmRrsisindsffarpntinn+&M IeAercontact e 3 1� s a s P 96.014 relative efficiency from an irradiance of 1000 W/m ; 60A OCPD weather endurance your local Canadian solar sales representatwe forthe specific certificates applicable to s Solectria Inverter ■ ■ „ ,.• the products in the re lo+ n wh+;h the products are to be used. to 200 W!m'(AM 1.5,2$aC). P q PVI 28 TL SOA OCPD W ......................<..,.<.........,............,.,...,............,.,...........,..........,............... .... x 3 Stringsof 19 ase 480 V The specification and ey features described in this datasheet may deviate 0ghtty i 3 ph 60A OCPD t. 01,i►./ � Z ✓..h Heavy snow load up to 5400 Pa and are nni-g-rantpori.pup to on-rTn+ng irnova;inn,ro<pArrh and Pro iu<t i 60A OCPD F�1 mmi O CANADIAN SOLAR INC.is committed to providing high quality enhaucr+T.eni,Cnnad+als5ola,inr,.lasrrvestherightto+naknanyaetlxntmrnt I MPPT2 U wind load u to 2400 Pa S l3 to theinformation described he am at any nine without nonce.Please always solar products,solar system solutions and services to customers /15A OCPDs obtain the most retent version of the datasheet which spa{I be ouly Incorporated around the world.As a leading manufacturer of solar modules and into thebindmgcontract-debythepartiesgovern:ngAlltransa vonsrrhied ;„ ,,...., .»,,.,.,,«.................................................................................... w D � O � Salk mist,ammonia and blowing sand PV project developer with about 10 GW of premium quality to the purchase and sale of the products described herein. 60A OCPD a n CL � r i' $ resistance,apply to seaside,farm and modules deployed around the world since 2001,Canadian Solar (AIt11nN rn(prnfPSS•nRal usP Only.ThP instA7lar nR and hARdl ng nr PV TRA„LRS Scan this OR code to discover solar •O �L << ppYmquire�proriess¢oralskllhandOwful only beperformed byquAiPiedprufvssona'�, desert environments Inc.(NASDAQ:CSIQ)is one of the most bankable solar companies Please read the safety and installation instructions before using the modules, projects built with this module 3 Strings of 19 LUQ .worldwide.......... .........<„>..... ..,..,.,,.........,... , >......,,...„.... ..,..,.........,.,........... _.... . .> .....,. . . ......._,.........,,,,,..........,,...................................................................,...m,........,........,_.. _,...,.,..._.............. ..... 1 - MPPT 1 ►"� I n C . CANADIAN SOLAR INC. CANADIAN SOLAR INC. August 201 S.All rights reserved,PV Module Product Datasheet V5.3-EN ❑� �L. w/15A OCPDs �'1..,) C rF- 545 Spee.dvale Avenue West,Guelph,OntariON 1 IC 1 F6,Canaria,www.canad!ansolar.com,supporroaricanadiansolar.cornv Iii v Solectria Inverter w r PVI 36TL W -0 4 Strings of 19 3 Phase 480 V R40DULE TA 1MODWLEDATA MPPT 2 w o o Z w/15A OCPDs O O 1-'( Array 2 W U ' O 100.13 kW 3 Strings of 19 323 Canadian Solar f Aw 1sT OCPDs O �-' YAES If AW a CSX-310P a [--( UJ Cl) . C � f� L13� �` `: $.v _ t d.r 310 W Modules .. o Solectria Inverter a/ `� s- � PVI 36TL O 3 Phase 480 V ;.'. n it at vol 0ov0 000VDC Strings ca Absotu`.e Maximum Open Ca t -tag- 6 •C i � 4 Strl of 19 O . ".. `s , Operating Voltage Range 180-580 VDC 260-580 VDC 300-900 VDC 200-950 VDC � MPPT 2 ■ i a Max Power Input Voltage Range(MPPT) 300-540 VDC 300.550 VDC 480-800 VDC 500-800 VDC 540-800 VDC W/15A OCPDs N 66 (ih is - MPP Trackers 2with 4-fused inputs per tracker 3' „ r a t ',�N,.• "' �� Maximum OperatinglnputCurrent 25AperfAPPT{SOA) 35AperMPPT(70A) 25AperMPPT(SOA) 29AperMPPT{SSA) 35AperMPPT(70A} i 45.5AperMPPT 48Aper MPPT 53.5Aper MPPT Maximum Available PV Current fisc x 1.25) 45 A per MPPT(90 A) M (91 A} 41 A per PPT(82 Al (96 A) (107 A) s 3 Strings of 19 fA _ � �,<" :�s ��' '�' :. � , --"• i„ ' ax€mm uPV Power(per MPPT) 4.5 kW 13.5 kW 15.5 kW 19 kW 27 kW d MPPT 1 Z Strike Voltage 300V 330V I, b,-. C w/15A OCPDs O 0 ° Nominal Output Voltage 208 VAC.3-Ph 480 VAC,3-Ph ^ Solectria Inverter „"�.S+X, v as ? :',.°•• AC Voltage Range(Standard) 12 441+10% c PVI 28TL Q Continuous Output Power 14 kKl 20 kW 23 kW 28 kW 36 kW Array 3 ;f Maximum Output Current 39A 25.5 A 27.7 A 33,7 A 43.5 A 17.67 kW 3 Strings of 19 3 Phase 480 V (n Maximum Backfeed Current 0 A 57 Canadian Solar MPPT 2 r " 3-PH TRANSFORMERLESS STRING INVERTERS w/15AOCPDs J Nominal Output Frequency 60 Hz i CSX-3I OP Output Frequency Range 59.3-605 Hz(adjustable 55-65 Hz) 57.63 Hz +n l.J Yaskawa-Solectria 5olar's PVI 14TL,PVI 20TL,PVI 23TL,PVI 28TL,and PVI 36TL b 310 W Modules I- L0 Unity,>0.99 Unity,>0.99 Unity.10.99 r Power Factor a t are compact,transformerless three-phase inverters with a dual MPP tracker. (3o.s adjustable) (30.9 adjustable) (r0s adjustable) v Arra 4 t) ` :•# (ai yt��.(=-,:f t'(,4"1,,!: Fault Current Contribution(1 Cycle RMS) 70.4 A 43,3 A 69<6 A 73.2 A Y 3 Strings of 19 These inverters come standard with AC and DC disconnects,user-interactive '�� 17.67 kW W MPPT 1 L.. s, Total Harmonic Distortion(THD){�Rated Load <3%° P gg Grid Connection Type 3e+/N/GND(4-wire) x w/ISAOCPDs U LCD,and an 8--position stria combiner.its small,lightweight desi n makes 57 Canadian Solar '".6; •I <°•.t,,'.x�..°%• i' dr,y' ` for quick and easy installation and maintenance.These inverters include an71 CSX-310P SX 310P WSoleetria Inverter Peak Eficiency 96.9% 97.4! 98.6% 98,4% 310WModules enhanced DSP control, comprehensive protection functions, and advancedU 96.0% 97.0% 98.0%IOWQt- CEC afirra 5thermal design enabling highest reliability and uptime.They also come with Tare Loss 4 W 2 I 23.56 kW 4 Strings of 19 3 Phase 480 V .,- a standard 10 year warranty with options for 15 and 20 years.Options include " 1 - rpp 76 Canadian Solar ••.3 '.4 C i. d a-�+AaC :apaz'irP" -;,s',5�'. , r� A ISnr 30A MPPT 0.. web-based monitoring,shade cover,DC/AC disconnect covers,DC combiners CSX-310P w/15A OCPDs 8 Fused Positions(4 positions per MPPT) 15 A(fuse by-pass available) 134 A oniv for 1 bypass,and roof mount array bracket. combined 4n°els'• 77is 310 W Modules "'.¢ :' ` •� °r - •13'Fto+140°1`(-25"C to+60"C) -13"Fto+140°F(-25°Cto+60°C) .,, •F°�x(;.,; +.p,(°y ;¢f=°t7) ,:'Y N� m Ambient Temperature Range Derating occurs over+50°C Derating occursover+45°C ° .-te;1°.( P.•y. '..,f. ,� ..� -22°F to+158°F -40°Fto+158°F r.rA}ATA y(�51�AA 5torageTemperatureRange 001Cto+701C) (-40°C to.70'C) wi.:•<fi.;, +r t )IA s-¢"`"° i°x -' a''`' IE l:'gt9 ,b• (fr�&^"j"C>. -95%-condensing)the Humidity rty(non0 Building Outdooror Building Operating Altitude13.123 ft/4,000 in(derating from 6,562 ft/2000 m) - .. Roof Top Outdoor Wall aa1�4:,;ta�i�7>,;I6�.rdL .,._... ,....,._ .. ,....__._.........• .. .....<..,. . . . .. ..°.,b...,,..,,,in.,-:,a'>;.�,:>,.,,,_,...�e.».m......,..,as. „�..,... .".,..,�..._.. .>_»,.<....-,....,"..,. 3` +. r r Optional5olrenView Web-based Monitoring teg e Optional Revenue Grade Monitoring External External Communication Interface RS�485 Modbus RTU l 7* 1 ,`y _, - Safety Listings It Certifications UL 1741/IEEE 1547,CSAC22.2#107.1,FCC pari 15 B ,. .aA7"." •` .... < s <. ' Testi n ETL CSA v. - •. .. Standard 30 year Optional 15,20 year;extended service agreement -77777 77 7' S a" I »„ g _ .� `.� .,dBA(Decibel)Rating .. t 50 dBA a..3 m 1 c5 • ;�, AC/OC Disconnect Standard,fully integrated 41.6 in.x21.4in.x8.5 in. 39.4 in.x 23.6 in.x 9.1 K `' ei`-'f,•' 't Dimensions(H x W x D) mm (1057 mm x 544 x 216 mm) (1001 n,m x 640 mm x 232 mm) s Weight 141 lbs(64 kg) 132 lbs(60 kg) 104 lbs(47.2 kg) 121 lbs(55kg) t Enclosure Rating Type 4 Type 4X �o,.-• ,v L"ti ,r i t Enclosure Finish Polyester powdercoated aluminum . ,ptFRrFy `D�- I SOLECTRIA.COM ; c us 1e If 7 S■ t,^� �� ECTIA �,./'� www.solettria.com � inverters@solectria.com solectria.com � 978.683.9700 INVER"OFER DATA SHIPEET 1 TER ;'02h ELEC i mKOIC ALAmGnB-%AM A2 20F5 W `D � o Q cU Q z Building o � STEEL RAFTERS @ 25' ❑C 1.26 1.26 Buildi* ngU Array 2 12 10.75 12 Array 1 / \ (/) C 9.75 9.75 ' 39.00 Purlin W z �--� Q Q J Array 1 35.19 ft `\Purhn/ v � 18.00 ft ry J 100.00 ft 1 35.00 ft - Southeast View SECTION VIEW SCALE: 3/32"= 1 ' N M d' 142.00 ft ■ o (� �o J W L L H ; in Bu * iO, £ n ^ LLJ�4 LO U oo Z pyo " 0 w E-1 CP Array 1 __ Q CO 418 CS6X-310P C) UJ co 601 Azimuth �-q > 60 Tilt p Q Q co(:j m a Uj I I H I: Q O 71 ( 0 y y . Q ,j CO LJi Q _ 1. JJ �_ LO Cf) �— cn w 0 0 • • Wi (Iin 0 Q 2 z £ ., v4 LL Array 2 8 323 CS6X-310P ------- ___ LA 2400 Azimuth 60 Tilt f `_. ,✓,, ,;� F ;i . 1., 226.00 ft PV PANEL LAYOUT w/ KEEP OUT AREAS Scale: 3/32" = V-O" A330F5 W CD Q cU ildi z nungs Z _o Array 3 I— W � U W W � Q z D w L10.2s 10.25f 10.26 10.26 10.26 10.26 61 75 Southwest View 1.47 soft- 12 Array 3 M O M Z O q75f 4.92 ft 3.75 ft s.00 ft 3.83 ft 4.92 ft 3.92 ft O 3:30.09 Northwest View Q LO UJ o 0 SECTION VIE-:W SCALE : 3/32"= 1 ' wooZ pyo CL N O- W O p � ;� u' = aCLLJ cf) -D-us ildl* oQa ngs CooCA m `fl a W Q N Z O x a W a � C/) U) W C 0 a 2.00 ft — p w O 0 0 L Array 3 57 CS6X-310P 232° Azimuth 70 Tilt PV PANEL LAYOUT Scale: 3/32" = 1 '-0" A4 4 OF 5 W D F o QN BASIC WIND SPEED: 120 MPH BUILDING PLAN il� nL & aw . _. _ „ MWJ DED GENERAL NOTES A LOAD: MODULES: 2.40 LB/SF 3 �• v ' . .' RACKING: 1.25 LB SF GENERAL NOTES; z (Patent Pending) So.brMouni A a opetefnt ding" mounting,systl designed for easy,sore and fust ori- C-ron_rigstC1fotk3rr TOTAL: 3.65 1_131 .51 � F- 1. INSTALLATION IN ACCORDANCE WITH ,- "/ of PV modules. No more Eftl'ing cumbefsam�,pre-assembled [arrays from the ground to the rnof MANUFACTURER RECOMMENDATIONS SNOW LOAD: 30 PSF U W „�'' ct �-= -E�' \ :• - , w;, 2. ENGINEER TO INSPECT PROJECT AFTER W INSTALLATION AND CERTIFY COMPLIANCE 'r la; rlar.t urti r��iPs 1 t a Fa tirt y Ru1i Slot ilea[ ai iris€s WIND LOAD: 21.5 PSF CODES � TO NYS BUILDING ODE q ' - •, infinite flexibilityfor positbriiil„ yol.arklounI fug&P, J Vbu c.ari alp=.•ad.'s ` eir�<dy itito a tcof trttrr bur fair ma:�a- ; ' _. t, :; Role Slat 3. PROJECT TO BE INSTALLED WITH CODE � .# murn structural ir�trcrity. if r� r See the attached certified EKONORACK Racking Ballast and COMPLIANT RACKINGINSTRUCTIONSFOR The 1 -duly 15- 5€ct r -1 ec ual ;llexibilit for rrwwnt- ii p UNI-RAC SOLAR MOUNT SYSTEM int e�'uisr rtrles. 1"laetesu?t is tli:.at Soiar4,�1�ii.rnt vitt Load Report for the ballast weight required for each .,' ,�`=' `'--�`'' -„"� •-,,--'�-� -„ ° r". : . rs,«�urtt ��rt=� r��cule t~rt�7rtu:�?'y anti°tf. Fac�hrsr� individual PV Module within this PV System. 4. FOLLOW BALLASTING SCHEDULE ON ROOF PLAN. _�f :__•-- .'" .» ,' :ice/ �.,,'""'r-� ~``'�-�.._` -----_ y., / '"•.ti! �'t}tf_Slot / ✓ 5. HARVEST POWER, LLC. THE SOLAR INSTALLATION CONTRACTOR, COMPLIES WITH ALL LICENSING & OTHER REQUIREMENTS & IS NAMED ON THE PRE- , _ / O ...,�ti _. •, ro r > :.,R S>•'g 2- -'" ,. ..,t"',.�m:® g .x,.t,., ?"". ,r:.;r..�. � � ,, ' SCREENED INSTALLER LISTS ON THE LIPA WEBSITE _. :, _ €��6: irks.�stl.: F>;to the Palls trr� the i ��r.itir trrrt�tr , `. °,�.. �. u - SolarMount'Mshown flush mounted BR :"-_ V - So`larl+.lotrrti dlrr,ps. i ' ", ' - 6. THIS PROJECT WILL COMPLY WITH THE CURRENT NEC In landscape(horizontal) mode First, Ott 1t It tlic focstirtgs to tli"e tour, nn: fire rials to „ REQUIREMENTS INCLUDING ARTICLE 690 SOLAR t9i� footines. l lien, trst ti=e Solat%�IoLrnt cl-Am to PHOTOVOLTAIC PV SYSTEMS i �r �nttt li dtr M�*dules to the r;.'tils from the tztp -one modult t.1 iir�t e. 7. THE ROOF WILL HAVE NO MORE THAN A SINGLE LAYER N OF ROOF COVERING IN ADDITION TO THE SOLAR EQUIPMENT � SOL ARMOUNTS are the easiest, fastest, and safest way 8. INSTALLATION WILL BE FLUSH-MOUNTED,PARALLEL TO AND M to install a PV array on the roof of virtually any building. NO MORE THAN 6" ABOVE ROOF ti < a t 9. MAINTAIN A MINIMUM OF 18" CLEARANCE AT RIDGE AND AT `p Universal -Any 64 Watt or larger, framed PV module Bi-Directional Mounting -Mount your modules in . sold in North America can be mounted using landscape (horizontal) movie, as shown above, or in ONE GABLE EAVE M SolarMount. (See PV Module Compatibility List on the portrait(vertical) mode, If you have limited roof back page.) space, you can even use both orientations in a single 10. THIS DESIGN COMPLIES WITH 120 MPH WIND REQUIREMENTS installation. .,'�� "r., U ■ ■ ' Ccs r; fctrr4ts ccr eas? r cunt 'ire d.,her i'Gnr�ccp OF THE RESIDENTIAL CODE OF N.Y.S. AND ASCE 7.05 ,..( `0 Z Roof Top Assembly- Because of its "top down" °�•. .a' �=�; "�.,., Y clamps, SolarMounts are ideal for use with the new Meets BuildingCode Requirements-Whether the '~ _ `< f crime"Pari "r;~r�r c.r ortrnt'l erti`cu'arra€ mute iaiLl?cut � Z plug 'n play" PV modules. An entire arra can be roof is itched or flat, and regardless of the roofing ' `°:, „' ti ar�v +,c�a:'t .'a,i:,ddo crLs. P g P y Y P g 9ortra)t P � U O fully assembled and wired where they'll be installed- material, SolarMount will securely attach your PV array cycle r ,, �:,. , A variety°cf So ar&„cvr.ts are c rgab?e fcr rwrinting frurt: O on the roof.This eliminates the awkward hazard of to your roof in compliance with U.S Building Codes. �• Y° „`` , , a °{ two 11c: crs rn-,r y'as rtr,v rrrcd rhes,, di ends r,g erg m,ot:,bl Q� lifting partially assembled arrays to the roof, and then (See "Bus€ding Code Campliance"on the back page.) d.-� ..�.� �cpt� size. Ar?', cic:rrfocrrs ruga f=c�so., end tip Hca!cr c.rc�tj:t �I mounting and adjusting them on their footings. '�° r" exterdLT! trrvlhi rrrrlays. (See SpEce �'i:s ar V- Edrra page) Q C Ui Quick and Easy Installation--Continuous, dual slotted LO See inside for details) ✓ SolarMount rails provide the ultimate in adjustability, { "� '`'� i''� �Q r No more re-drilling holes, or repositioning footings. `�� h-y w �; ISHEET 1 O KIET 2 L C C �., o o z O � o �- w � � wlam O wUU CA co C _ Standard PV Modules W It A To accommodate various rib heights,VersaBracket'" F•N •' ' - Flashing Q comes in two heights-the 2.65"VersaBracket-57'" ' w " and the 1.86"VersaBracket-47"".The VersaBracket-67 Z mounting face has no holes or slots;thus,ancillary O items are typicaliy secured rasing self-tapping screws. �/ k : I The VersaBracket 41 carnes with a 1"slot on top as }a; the standard part. Other hole and slot configurations Existing R O O R a t e r Q 5 - r ' available with minimum purchase requirements a - - - r ` „ ',. •i"; r:• '•;� ,'_�' i - '! 4 a" .''' <�;,`'' a_ m (contact your distributor for available configurations). (34,00 mm) a Each VersaBracket comes with factory-applied butyl S w sealant in the base.A structural aluminum attachment -1 -�:: : ':,` • �� "� �� GRK Fasteners 1C x 4 0.28" bracket,VersaBracket is compatible with most common 00 mm) 2ss^ (7.44 m f- metas roofing materials.For design assistance,askyour € osa" R S S (Rugged S t r u c t u r a l L v� ''• ..� �„�(13.00 mm) �" W distributor,or use ourweb-based calculator at S c r e w41 0.90" www.5-5.com forjob-specific system engineering and � ✓ /� (23.00 m(n) U C) design of your nerd snow retention project.Also,please 1.so Q visit our website for more information including CAD (38.00 mm) ✓ (73 00 mm) W V details,metallurgical compatibilities,and specifications. ✓ W a The VersaBracket has been tested for load-to-failure � �. q g �„�...r.. „ } •" 1` l results on wood decking,metal,and wood purlins.The ^ * <" independent lab test data found at www.S-5.com can 0,38" (5.00 mm) r i` :L I •:: `' ► ( be used for load-critical designs and applications.5-S?" 1.00^ "# '- '•e 'tt i s• .e -•) s``fr•i"• .- ' ,' (25.00 mm) * i holding strength is unmatched in the industry. r 40 .� General Notes: :e.- s�/•rear * r`i '.i s t• • • °t ) a. . a 1.35 y 1 „. .<_ . .. .- a (34.00 mm) 4.26" 1 . Rails to be : ¢; (7-44 installed two per panel as {47.04 mm) ( J s (13.00 mm) shown In detail. r23.00mmT • �( i } ,. :W = ,y. �3'. ®" , awY•,°•� ° .. '. Ez• .z `Z �.`�``'.. s 2.88" 2. All penetrations to be made @ 48 oc. 14M .` « r0l1.02^(T6.D0 mm) ' / (73.00 mm} 3. Bolts to be installed into rafters. 3 holes are provided for versatility,Some • " • r i'`(�' .�' •�� n ( ' - installations require only2 fasteners.See '_# #, i# ♦ r4A • ' Color( rCl the Toad table on the S-5I wohsRe and the 4• Minim penetration into wood for Minimum 2 enetra i {u� -* A - `� 3 ,.e,.". -•+r:,^'� in Instructions for more details. •t- j' 7 r e :g 3 p'�N ' Due tovarieda applications, code compliance. , i - p -„ mounting hardware x a -- a' M, ° .• �;r.° �•••'^^� fs not furnished with part. PP cations• n h • r h � , r 1. w Please note:All measurements are rounded to a s per manufacture 5 Flash and seal ` „' f ?�•� � � ` the second decimal taco. . p r• � �o :i ' a " « ' b 6. Use only GRK Fasteners 5/16" x 4 - S-51'Warning[Please use this product responsibly( Distributed by ? §i •, ,.€^ ® i ` !N • ,4 ' •• Products are protected by multiple U.S.and foreign patents.for published data regarding holding strength,bots torque, and trademarks visit the S-S! atwww.5-S.com. Bolts for code compliant installation. :� •:: -• . ro .. p '� -°' - Ctspyright20'3,RActalRooflnnavmions UdS-S produrtsarepau:ntprotcrred. ,<;.c�*a` '} '- �«, � M! 55!ag9ressNelypran:cts its patmts,tradentarks,and corr{ritlgtm.Ye+sbn)72613. moulm""ImI111MG - LFTEOFOX's A5 5OFS