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HomeMy WebLinkAbout41535-Z F%k Town of Southold 7/7/2017 P.O.Box 1179 C' 53095 Main Rd LW-Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39042 Date: 7/7/2017 THIS,CERTIFIES that the building SOLAR PANEL Location of Property: 1580 Corey Creek Ln, Southold SCTM#: 473889 Sec/Block/Lot: 78.4-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4%10/2017 pursuant to which Building Permit No. 41535 dated 4/14/2017 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ROOF MOUNTED SOLAR PANELS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Rebentisch,Michael&Nollet,Ronald of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41535 06-08-2017 PLUMBERS CERTIFICATION DATED Authorized Signature gUFFD�,Y, , TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 41535 Date: 4/14/2017 Permission is hereby granted to: Rebentisch, Michael & Nollet, Ronald 1580 Corey Creek Ln Southold, NY 11971 To: install roof-mounted solar panels on existing single-family dwelling as applied for with flood permit. At premises located at: 1580 Corey Creek Ln, Southold SCTM # 473889 ! Sec/Block/Lot# 78.4-19 Pursuant to application dated 4/10/2017 and approved by the Building Inspector. To expire on 10/14/2018. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Flood Permit $100.00 Total: $300.00 wilding Inspector Form No.6 TOWN OF SOUI'HOLD 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 l%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)rion-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 L ' Certificaie 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$50.00. 2. ; Certificate of Occupancy on Pre-existing Building- S100.00 3. Copy of Certificate of Occupancy-$.25 4. 1 Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. 4/6/17 New Construction: Old or Pre-existing Building: X (cheek one) Location of Property: 1580 Corse[ Creek Ln, Southold House No. Street Hamlet Owner or Owners of Property: Mochael Rebentisch Suffolk County Tax Map No 1000,Section 78 Block 4 Lot 19 Subdivision t� Filed Map. Lot: Permit No. �1 ) s Date of Permit. Applicant: GreenLoQic LLC Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 50.00 r pplicant Signature ®��OF SO(/�y®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Ar Ar Fax(631)765-9502 P.O.Box 1179 G ® roger.rich ert(a)-town.southoId.ny.us Southold,NY 11971-0959 ®�ycon un0 BUELDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Rebentisch Address: 1580 Corey Creek Lane City: Southold St: New York Zip: 11971 Building Permit#: 41535 Section 78 Block- 4 Lot: 19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Logic License No: 43858-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Seance 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 Fixture Time Clocks Disconnect Switches Twist Lock F1 Exit Fixtures TVSS Other Equipment: 14.720 KW Roof Mounted Photovoltaic System to Include; 46- 320 W Panels with Micro Inverters. Notes: Inspector Signature: Date: June 8, 2017 0-Cert Electrical Compliance FormAs OF SOUIyo� �y00UM'1,0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. = [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave, Suite 2B 0Ph: 631-988-0000 Bohemia, NY 11716 Fax: 631-382-8236 P www.pacificoengineering.com y GI G c solar@pacificoengineering.com May 10, 2017 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Michael Rebentisch Section: 78 1580 Corey Creek Lane Block: 4 Southold, NY 11971 Lot: 19 I have reviewed the solar energy system installation at the subject address on May 10, 2017.The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets the requirements of the 2016 NYS Residential Code (2015 International Residential Code-2nd Printing modified by the NYS Buidling Standards and Codes 2046 Uniform Code Supplement), and ASCE7-10. I have reviewed the solar energy system installation at the subject address on May 10, 2017.The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets the requirements of the 2015 International Building Regards, Ralph Pacifico, PE Professional Engineer D JUN 12 2017 DD BUMDTNG DLTT. TOWN OF SOUTHOLD OF INC �,�P PQM 0 PAp��'� r I 2 06618% �Okc-Sn`O�P�. Ralph 10'61 Engineer NY 066182/NJ 24GE04744306 i FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) r ------------------------------------ cc nn FOUNDATION(2ND) o � 4 ROUGH FRAMING& y PLUMBING INSULATION PER N.Y-. STATE ENERGY CODE C, FINAL ADDITIONAL COMMENTS 946 f Ql low r&c ria 3-0 UZ 6a ` M °z e ►e H 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 Board approval FAX: (631)765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 41!�(3� Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined' ,20 Storm-Water Assessment Form Contact: Approved; ,20n Mail to: GreenLogic LLC Disapproved a/c 425 County Road 39A,Southampton, NY 11968 Phone: 631-771-5152 Expiration 120 - D vit ' Ins ctor D g APR 1 0 2017 APPLICATION FOR BUILDING PERMIT Date April 6 ,2017 BUILDINGDEPT. INSTRUCTIONS TOWN OF SOUTHOLD 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 premises and in building for necessary inspections. GreenLogic LLC (Signature of applicant or name,if a corporation) 425 County Road 39A,S Southampton, NY 11968 (Mailing address of applicant) State whether applicant is owner, lessee, agent,architect, engineer, general contractor,electrician,plumber or builder Contractor Name of owner of premises Michael Rebentisch (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Na a and title of corpor to officer) Builders License No. 40227-H Plumbers License No. N/A Electricians License No. 43858-ME Other Trade's License No. N/A 1. Location of land on which proposed work will be done: 1580 Corey Creek Ln Southold House Number Street Hamlet County Tax Map No. 1000 Section 78 Block 4 Lot 19 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family dwelling b. Intended use and occupancy Single family dwelling 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work Roof mounted solar electric system (Description) 4. Estimated Cost Fee S (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 s 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_X 13. Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO 1580 Corey Creek Ln 14.Names of Owner of premises Michael Rebentisch AddressSouthold, NY 11971 Phone No. 631-848-7544 Name of Architect Pacifico Engineering PC Address700 Lakeland Ave.BohemiaPhone No 631-988-0000 Name of Contractor GreenLogic LLC Address 425 County Road 39A Phone No. 631-771-5152 Southampton, NY 11968 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NOS_ * 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 X * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Nesim Albukrek being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Contractor (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. Sworn to before me this 0 day of ��i'nnl�� 201-7 yld Notary Public Signature of Applicarit NOt Sry Public,Sts of Now York Reg,No.01 C08335544 AuaiiW in Suffolk CouW COMM18*11 Expires January 19,202® (E6)d(ld - - - el L AN ploy)nog u-1 Neejo Aejoo 089 L -pgdloq oq pinon%noneool poloid oil) ' �uunogs nopeotIdde snn o)pogpe))e goio js v 'oayd [IoM-10 peo c 2al>,osra)m xeoa ogJ o) x�as)slp aq) Mn' usgm opts)no `pas (gael3E) uor)dtsrjsap iZSal so »gmnu )ol 'ssa'ppe mans o'P Opu►osd nop�t )oofo�d oq),S3t)aapl dlls� o)tsopaano3al g3noz:o opinwd oseold *noneolldde oq)Buessaoojd as rtelop plass oy :14 Ou-YO 00 0-886-L£9 ayo8 any puela�k?-j OOL Od 6ula99ul6u3 oollloed 2I33NI�JN� Z9L -LLL-L£9 N uo) euWyjnoS `y6E pb R)u,noo CZE ��-1 O! o�uaa�E 2i3Q'IIns Z9L9-LLL-L£9 uo} weylnoS `d6S p2j Alum,) 9Zti Ol� o! o�uaa�� i.NvOl�laav 3N a3'I3.L S3?iQCI'd 3Nty _ Yvoi'Idd ^y Pa)olusm a .I.N3�,-d l�tI3S d sd T N LLD2 L L/L L/b Biba --Gain Lb> ;� s s,.LNvorldav) '3•LvxnOOv CNV grl,&L` oa3-imof- I JINI d0.I ma am OL gub NOLLvJrlddv sIH L _ ry Ol s,LN3Wl-Ov uv NI QNv 4Ig-d2H s.LNay4a Lv.LS-I-ff Lvl-u xAu-I3".:�1 -)bo a �adsm; g -=uendmoo f4uon o)' P svo_ TQJ om o) onne)aodi / cmo&g 6ga'saq )awgddv I algeno )Pmsaamannbai bo)elao-1 jssapo3 pus o)e)s`Ino, [ptdIrL3 o)poxmboi Qq{em s)tiuuod saq)o)sq)poau0jul dqo toq st)av�Rddv •9 •=uenssz 3o sg)uom xm urgWA P=U'ZwMW n IJO&ou P ondxo mn: )Icasad aqd 'S 'ponsss n r�augdmoO)o s Irian poldna,o io posn oq)ou I[egs )uo:adolono(j •q ponsm-7J ss )imlod Inon osrn )mm xlom'lis •Polonol 3I £ -u►osog spew oje s)nama)s)s os{e3 Aim P paxonos>q Arm ilnuod oq,I, Z •ponm n )!mrod s Inuit mni,ism xtoa+ oN 'I MORMOS,(O NTMO.L 'JAHG JNUGMS =S pUe peoi of INv3I-iddb) sNOISIA xd TIOw-o -t N II�3 -aleaildnp ur )no pallU aq DI si W-103 silu tIOZ 0 Z add ca ddb .LII��I3 d JN'-- W d O'13A3 Q W IV I d Q 009,'] MAD EngrQi CI-I o)-I l nos JO NMOl )u t 3:)vd • a NU1_LyJtldd`o' �, A-PPLICATION ; } PAGE 2 OF d --- y { `L_ �• DESCR,PTION.'Of-;WORK (Check all applrcablc boxes) _..J I A. STRUCTIJIZAI. DEVELOPMENT _ 9 &C'TIVIIy STRUCTURE TYPE ❑ New Structure ❑ Residential (1-4 Family) ,``- •,; '�+ :"'� �- CI Addition ❑ Residential (More than 4 Family) fs_i'r, l �a'.�t y`'y; D9r'Alteration - © Yes)Roof tng?f 0 Relocation mounted ❑ Combined Use (Residential &. Comracrcnal) ❑ Demolition solar pAels. ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S 50,00-M- B. 0 Oy 00-M B. OTHER DEVELOPMENT ACTIVITIES. O Fill ❑ Mining ❑ Drilling O Grading 0 Excavation (Except for Strucfural Development Checked Above) ❑ Watercourse Alterat;on (Including Dredging andeChannel Modi(lcauons) 0 Drainage Improvements (Including Culvert Work) O Road.Street or iMge Construction O Subdivision (New or Expansion) ❑ Individual Water or Ser Systcm 0 Other (Please Spect7y) After completing SECTION 2,APPLICANX should su1'miI form to Local Administrator for review. �Et"I ION 3• FLOODPLAIN DETERMINATION (To a comolcted by LOCAL ADMINISTRATOR) The proposed development is located on FIRd'•1 Panel No•_ Dated The Proposed Development: ©Is MOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete rnd NO FLOODPLAIN DEVELOPMENT PERIVET IS REQUIRED). O Is Iocated in a Special Flood Hazard Area. FIRM zone designation is 1W-Year flood elevation at the site is: Ft. NGVD {MSL) O Unavailable O The proposed development is located in a floodway. IBFM Nuiel No. Dated O Sec Setvon 4 for additional instructions. SIGNED _ DATE APPLICATION PAGE 3 OF 4 SECTION 4. AUDtT10IdAL INFOtZMATIC?N R�OU112k 1) To he. comnletcd by LOAM, ADMINISTRALOR) The applicant must submit the documents checked below before the appbeauon can be processed- 0 A site plan showing the location of all crostmi structures, water bodies, adaccnt roads, lot dimensions and proposed development. a Development plans,drawn to scale, and specifications,including where appbcablc:details for anchoring structures,proposed elevation of lowest floor(including basement), types of water resistant materials used below the first floor,details of tloodproofing of utiGlics located below the first floor and details of enclosures below the first floor. Also 0 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. 0 Top of new fill elevation Ft. NGVD (MSL). 0 Floodproofing protection level (son-residential only) Ft:NGVD (MSL). For <- �. floodproofed structures, applicant must attach certification from registered engineer or architect. O Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in Any increase in the, height of the 200-year flood. A copy of all data and calculations supporting this finding must also be submitted- 0 Other: ,SECTIONS PERMIT D9MRM[NATION fTo be comn(eted by LOCAL ADMINISTRATOR} i I have determined that the proposed activity,A.O Is B.0 Is not • in conformance with provisions of Local Law . 2S 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 Development Permit upon paymet, of desig�naced fee. tf BOX B is ch;eked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Loral Administrator or may request a hearing from the- Board of Appeals APPLICATION * PAGE a OF a — APPEALS Appealed to Board of Appeals? 0 Yes O No Hearing date: Appeals Board DecuioaEl Yes O No Conditions SECTION 6: AS-BUILT ELEVATIONS (To be submi,tted_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 licensed land surveyor (or attach a certification to this application). Complete I or 2 below. I._ Actual (As-Built) Elevation of the top of the lowest floor, including basement(Zn Coastal Nigh Hazard Arca , bottom of lowest structural mcmbcr of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofing protection is FI'. NGVD (MSL)- , NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. ,$ECTION 7 COMPLIANCE ACTION (To be coMINISTRATOR) The LOCAL ADMINISTRATOR wilt complete this sedtion as applicable based on inspection of the project co ensure compliance with the community's local law for-flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? OYES C3 NO DATE BY _ DEFICIENCIES? OYES ONO DATE BY DEFICIENCIES? OYES ONO SECIION $ CERTIFICATE OF COMPLIANCE(To be comnlatcd by LOCAL ADMINISTRATOR- . Certificate of Compliance issued: DA'T'E: BY: • TOWN OF SOUTHOLD + CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO, PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINIS`IRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19-, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: CIC(93) a 1 r Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a special Flood Hazard Area Booth A. Fussell ° � STO] .I��l(WAITIEIK SUPERVISOR MANAGEMENT SOi3THOLD TOWN BALL-P.O.Box 1179 VA a95Main Road-sOUTHf)LD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT ) THIS PROJFCr IzINWOLVE ANY OF THE FOLLOWING. iCHECK ALL THAT APP61 { Yes No = QQ A. Clearing; grubbing, grading or stripping of land which affects more than 5,000.square feet of ground surface. lk CIO B. Excavation or-filling involving more than 200 cubic yards of material ' within any- parcel or any contiguous area. ,t QQ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. 3 3 OQ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal :f erosion hazard area. ,. Q El E, Site preparation within the one-hundred-year f loodplain as depicted on FIRM-Map of any watercourse. , , 0 F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP!- Complete the Applicant section below with your Name, Signature, Contact Information,Date & County Tax Map-Number! Chapter 236 does not apply to your project If you answered'YES,to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Cheek List Form to the Building Department with your Building Permit Application. - >., Date �� APPL fCA17 4Pra} rty Chtric•r.Design P�c�feasion�L A ent,fantraetar. 1000 O3her;i t M.T. 3 NAME: Green Lo.�` C (Nesim Albukrek) 1 E 18_ -4— _JR 416117 � Seetan t3lecE: [.ut FOR BUILDING DEPARTMENT USE ONLY � S : Cop:tact i«ro tzua, 31-771-5152 ` ' Bevies;°ecl By: �i - - — - - — — — — — — — — — — hate �d �� t [; Property Address/Location of Construction Work: -- — ...... — — — — — — Proved for processing Building Permit. — — — 1580 orgy Greek l n Starrnsvater Management Control Plan Not Required. Southold, NY 11971 � � Stornnwater Management Control Plan is Required. ! �I (Forward to Engineering Department for Revie%%) C C?I1i14. s&1&-TUS M­,W 2014 i q��aF Sa(/TyDl ' Town Hall Annex : Telephone(631)765.1802 j i 54375 Main Road max(631)765y 52 f P.O.Sox 1179 G Q roger.richert Own.souttto0nY US ' Southold,NY 11971-0959 BUII.DING DEPARTMENT TOWN OF SOUTHOLD , APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Samantha Corbett pate; i 6/17 i Company Name: GreenLogic LLC Name: Robert Skypala ` License i No.: 43858-ME Address: 425 County Road 39A Southampton, NY 11968 Phone No.: . 631-771-5152 t JOBSITE INFORMATION: (*Indicates required information) *Name: Michael Rebentisch *Address: 1580 Corey Creek Ln Southold, NY 11971 I *Crass Street: —Main Bayview Rd `Phone No.. 631-848-7544 E Permit Ido.. Liff Tax-Map,District: 1000 Section: 78 Block: 4 Lot: 19 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 14.720 kW roof mounted solar electric system. (Please-Circle All That Apply} Is job ready for inspection: YES NO Rough In Flnal j *Do you need a Temp Certificate: ES NO Temp Information(If.needed) *Service Size: 1 'Phase 3Phase 100 150 200 300 350 400 Other J 'New S%vice: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION B2=Request for lWectlon Form ' � 3 'J— '/�± s`l r-.}a4�i t.r'-��� J ` \+r. .\/ .. \,/� Y,.k� i•� �/� -w ,/til~�!4 i..�.. ���/-lL n�. _.'r� ,:A fi. � `•Y /..�^ \ r`-. ,.;u'v ;,;. .4." �, v:, .�'+ .'�`; 3: 1 •.>V':: a- !�.,h .• •,"< }, ...iy,:. .:51.r.r ', .. i.y :s4 ?a -.�.-� -.�. .;ur, t- ,.•wY y-t�.v .w :�. ,sR >YY;t.+..,.'....,•r. ���ra; .. ,/� ,.";t. ,,,, f � .s:t 1, ... .f. ;�„'.r;� .•� - -�.�., h`✓�r,^�. �'` �i �: 'x lF :�A ':,. F>rt •<T:^ +,±,-. ,::/ :'t+.''`W' ,?'^, Y ,....y. .>,e..tv.4 .. nw'� /r t `'.m'1r r: t r � .•�. r r i t d \ E-..,r ' '^., �.......,. r ,. / .;+;. �G, \....�,. \ ,.y ri � : „rf a:�r. n,..,? ... :, .� .,,. "..:.��...:¢.K.,M1-5. ��,.r,3 Fx a::a:,. �46: -✓ (�.a ... �,. �k, x�.,i �� .1. ,�,.pF'..� r•��GG�� t;� v. �,, 'ryY c�?.� xy i Li,'z” � t 1 ;c� n. " ,.r `�' � ' ^�! ;�_. .t t .•��C.r, �l � �, ti 3'� �;•.� �� � : ,y-''+,�•. '�` , 71J,- V J1•.rL r ,: Yz.. �' .,fir-... .,. •wc V'., !9v. .7Fe.., :i-: �'i>.r.<• r+�. ,.•M.;.. ...- �`3 { .+ --- F , .,n ° Suffolk County Executive's 0 ce of Consumer Affairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEWYORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H � r'�`���. �✓r fit 4 �•j \r y 4 KSUFFOLK COUNTY s •. Home /` 1 ;.J R tF �n s _ doing business � GREEN LOGIC � r having finnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk,State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk. Additional Businesses NOT VAL11D WITHOUT DJ�PARTMENTAL SEAL AND A CURRENT 'J4 + � '(y R �l. { ID CARD Director a •� 'Grp :':�.:ti.y:>. 4�.F; ;. "Ii.;$' ,..,, .4 _.y t^, '. _.,,.. tF, .Eh ;.�• :., ys 1..J�.., /1,tt.c4! .n: tc`( a•.. l: a+� +"v !, t• r '!': .�• �•• i}'ll-.'v,��_;'!1•••�4 ,' >,`eo- y'... .� y. .r+. y�`,�>x•., :�,., ;>.I.SL°... _�•.,.�1 ,. .,n!� .��?;_,,.;'f ,. ..,.,-f+�..; h i� ��; � � ^,:'•�'a: ,(d may, d /•r- �£ "-'�aO,.mA rt \> f::-.:.•. v; �.e:.. 3' %Y rc r.. i' . 0 . '` '.:> „rr, Y. ..., <?'.:.!Ly ,;..., :a,,`e. � "r..^a�4 °tm;�y. 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J, .� :5 +. <�"v. y; 'li...,,.";'S..Y >T/>~,i,• \'+;� ,"-i J' -'<. \ � STATE OF NEW YORK 1 WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured Greenlogic LLC 631-771-5152 425 County Rd 39A Ste 202 lc.NYS Unemployment Insurance Employer Southampton NY 11968 Registration Number of Insured { 1 d.Federal Employer Identification Number of Insured Work Location of Insured(Only required ifcoverage is or Social Security Number specifically limited to certain locations lit New York State,k4,a 203801194 Wrap-Up Policy) 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 Town Of Southold 3b.Policy Number of entity listed in box"la" Building Department V9WC794777 53095 Route 25 3c. Policy effective period Southold,NY 11971 06/15/16 to 06/15/2017 3d. The Proprietor,Partners or Executive Officers are included. (Only check box if all partners/otiicers included) X all excluded or certainpartners/officers excluded. I ' This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box "Ia" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on 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 ofpremiums 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 maybe sent by regular mail.) Otherwise,this Certificate Is valid for one year after this form Is approved by lite Insurance carrier or Its licensed agent,or until the policy expiration date listed In box 113c",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:NICHOLAS ZULKOFSKE (Print n of authorized representative or licensed agent of insurance carrier) Approved by: Ma 23 2016 (Date) i Title: Authorized Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 631-941-4113 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 77 77 Suffolk Coun-L­ ExecuHve's Ortwe o ConsumerAffairs _y i VETERANS MEMORIALHIGHWAY HAUPPAUGE,NEWYORK 11788 DATE ISSUED: 12/10/2007 No. 43858-ME 51 SUffOLK COUNTY .......... Master Electrician License 41 This is to certify that ROBERT-JSKYPALA doing business as GREENLOGIC LLC J�z having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICLAN in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk,State of New York. Additional ftsine4es NOT VALID WITHOUT V DEPARTMENTALSEAL AND.NCURRENT CONSUMER AFFAIRS 11)CARD Director % i CERTIFICATE OF LIABILITY INSURANCE F-DATE(MM/DDNYYY) 01/3012017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Brookhaven A enc ,Inc. Brookhaven Agency,Inc. PHONE 631 941-4113 F4X 631 941-4405 128 Old Town Road Suite C Epps . brookhaven.a enc verizon.net PO BOX 850 PRODUCER East Setauket NY 11733 INSURERS AFFORDING COVERAGE NAIC# INSURED j INSURER A: HDI Global Insurance Co. Greenlogic,LLC INSURERS: Merchants Preferred Insurance Co. 425 County Road 39A,Suite 202 INSURER C• First Rehab Life Insurance Co. Southampton,NY 11968 INSURER D: Endurance American Insurance Co. INSURER E: AGCS Marine Insurance Co. INSURER F: National Liability&Fire Insurance Co. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE Im INgR SUER wyn POLICY NUMBER POLICY EFF POLDCO EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY X X EGGCR000076917 01/31/17 01/31/18 DAMAGE TO RENTED 100,000 CLAIMS-MADE FXI OCCUR MED EXP(Arly oneperson) $5,000 X XCU PERSONAL&ADV INJURY $1,000,000 X Contractual Liab GENERAL AGGREGATE $2,000,000 GEN'L�AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMP/OPAGG $2,000,000 POLICY X PRO LOC $ AUTO!OBILE LIABILITY CO(Ea accident)ICOMBINED SINGLELIMIT $1,000,000 B X ANY AUTO CAP1043565 8/11/16 8111/17 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000 D EXCESS LIAB CLAIMS-MADE EXC30000250900 1/31117 1131/18 AGGREGATE $1,000,000 DEDUCTIBLE $ RETENTION 0 $ WORKERS COMPENSATION X WC STA OTH- r. AND EMPLOYERS'LIABILITY F ANY PROPRIETOR/PARTNER/EXECUTIV� V9WC794777 6/15/16 6115117 E L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? L J N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $1,000,000- C 1,000,000C NYS Disability D251202 4/11/16 4/11/17 Statutory Limits E Installation Floater/Pro a MX193071832 4/15116 4115117 1$500,000 $1,000 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ' ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD f Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave,Suite 26 f3lJ Ph:631-988-0000 Bohemia,NY 11716 G c solar@pacificoengineedng.com fp April 3,2017 Town of Southold Building Department 54375 Route 25,P.O.Box 1179 Southold,NY 11971 Subject: Solar Energy Installation for Section-Block-Lot: 78-4-19 Michael Rebentisch 1580 Corey Creek lane Southold,NY 11971 i I Have reviewed the roofing structure at the subject address.The structure can support the additional weight of the roof mounted system.The units are to be installed in accordance with the manufacturer's installation instructions.I have determined that the installation will meet the requirements of the 2016 NYS Residential Code(2015 International Residential Code-2nd Printing modified by the NYS Building Standards and Codes 2016 Uniform Code Supplement),and ASCE7-10 when installed in accordance with the manufacturer's instructions. Roof Section A B C Mean roof height 22.0 ft 15.0 ft 15.0 ft Pitch 18 degrees 32 degrees 32 degrees Roof rafter 2x8 2x10 2x8 Rafter spacing 16 inch on center 16 inch on center 16 inch on center Reflected roof rafter span 11.6 ft 8.1 ft 10.2 ft j Table R802.5.1(1)max allowable 16.9 ft 20.6 ft 16.9 ft The climactic and load information is below: CLIMACTIC AND Ground Wind Live Load, Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type Category Load,Pg, sec gust, ASCE 7, load,Ib CRITERIA psf mph psf Roof Section A C 20 130 45 616 (2)4.5"#14-13 DP1 concealer screws B 22 301 (2)4.5"#14-13 DP1 concealer screws C 22 301 (2)4.5"#14-13 DP1 concealer screws Weight Distribution ��of NE�jr Y array dead load 3.5 psf �'�. N PACT 0 ,load per attachment 47.9 Ib Subject roof has one layer of shingles. + Panels mounted flush to roof no higher than 6 inches above roof surface. i A Ralph Pacifico,PE Professional Engineer GREENLOGICO ENERGY GreenLoglc,LLC Approved Rebenbsch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#A: Total System Size:14.720kW Array Size:3.520kW 1 circuit of 11 on a 20A breaker Azimuth:114° Pitch: Monitorinrin g System: 2 SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:22'5 5/8"X 10'3 9/16" Surface:25'1"X 14'1" Magic#:Invisimount s Legend: e ® 11 SunPower 320W Panels 4 SunPower Invisimount Rad ' 28 Eco-Fasten Quik Feet a B B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: OF NE4V Y e � 2 O 08818 �, "goress�o�'P Drawn By:MA Drawing#1 of 11 Date:3/31/2017 REV:A Drawing Scale:1/4"=1.0' GREENLOGICO ENERGY GreenLogic,LLC Approved RebenGsch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#A: Total System Size:14.720kW Array Size:3.520kW 1 circuit of 11 on a 20A breaker Azimuth:114' Pitch: Monitorinrin g System: Z SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:22'5 5/8"X 10'3 9/16" Surface:25'1"X 14'1" Magic#:Invisimount Legend: ® 11 SunPower 320W Panels u SunPower Invisimount Rail 28 Eco-Fasten Quik Feet B B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: �eoF NEGy 1- CI rya Pac� o,� r R�FBSSIONP Drawn By:MA Drawing#2 of 11 Date:3/31/2017 REV:A Drawing Scale:114"=1.0' GREENLOGICO ENERGY Greenlogic,LLC Approved Rebentisch.Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#A: Total System Size:14.720kW Array Size:3.520kW 1 circuit of 11 on a 20A breaker Azimuth:114° Pitch: Monitorinrin g System: 2 SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:22'5 5/8"X 10'3 9/16" 1 Surface:25'1"X 14'1" Magic#:Invisimount Legend: Y ® 11 SunPower 320W Panels SunPower Invisimount Rail • 28 Eco-Fasten Quik Feet 8 2x8"Douglas Fir Rafter 16"O.C. 1 Notes: Number of Roof Layers:1 1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: of NEHV M PAC/,c�0 a n �O �66i8Z �2 ,a�OFC-SS10�4�. Drawn By:MA Drawing#3 of 11 Date:3/31/2017 1 REV:A Drawing Scale:1/4"=1.0' GREENLOGIC ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#B: Total System Size:14.720kW Array Size:4.480kW 1 circuit of 5 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:114° yj Pitch: Monitorinrin g System: 2 t. SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" s Array:17'4 15/16"X 17'1718" 4 Surface:18'5"X 21'1" Magic#:Invisimount Legend: ® 14 SunPower 320W Panels SunPower Invisimount Rail • 26 Eco-Fasten Owk Feet 8 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: .c�of NCiiPA 0 1- *� cp � W Z� 2 C7 �O 068182 rli2 Drawn By:MA Drawing#4 of 11 Date:3/31/2017 REV:A Drawing Scale:1/4"=1.0' GREENLOGIC" ENERGY Greentogic,LLC Approved Rebentlsch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#B: Total System Size:14.720kW Array Size:4.480kW 1 circuit of 5 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:114° Pitch: Monitorinrin g System: 2 SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:17'415/16"X 17'1 7/8" Surface:18'5"X 21'1" Magic#:Invisimount Legend: ® 14 SunPower 320W Panels ® SunPower Invisimount Rail • 26 Eco-Fasten Quik Feet 8 B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface.4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: OF NEq r Nv 3- _ y�P�� M Pac,,��co,9 r � C9 \Fv oes�ez �� A��FESStONA�. Drawn By MA Drawing#5 of 8 Date:3/31/2017 REV-A Drawing Scale:1/4!'=1.0' GREENLOGIC" ENERGY Greentogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#B: Total System Size:14.720kW Array Size:4.480kW 1 circuit of 5 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:114° Pitch: Monitorinrin g System: SunPower M Panel/Array Specifications: `'> Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:17'4 15/16"X 17'17/8" k Surface:18'6'X 21'1" Magic#:Invisimount Legend: AN ® 14 SunPower 320W Panels ® SunPower Invisimount Rail 3 • 26 Eco-Fasten Quik Feet 8 2x8"Douglas Fir Rafter 16"O.C. Tg- Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf 2 - Engineer/Architect Seal: of NC- PAtrjO,Qi c0 w m 2, Fo oasis J V 9�F�S£i1QN� Drawn By:MA Drawing#6 of 11 Date:3131/2017 1 REV:A Drawing Scale:1/4"=1.0' GREENLOGIC" ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#C: Total System Size:14.720kW Array Size:6.720kW 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:294" Pitch: rin Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:25'915/16"X 17'.17/9' Surface:58'9"X 26 1" NI Magic#:Invisimount Legend: ® 21 SunPower 320W Panels ® SunPower Invisimount Rail o _ • 56 Eco-Fasten Quik Feet NI N, 0 B B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: of NEh/ rt, PACj��yO,¢ CO �A � r mx��4 Og818'L ��C9 v CF�SSI�NP Drawn By:MA' Drawing#7 of 11 • Date:3/31/2017 REV:A Drawing Scale:111V'=1.01 GREENLOGIC" ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#C: Total System Size:14.720kW Array Size:6.720kW 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:2941 Pitch: Monitorinrin g System: z SunPower Panel/Array Specifications: Panel:SPR-E19.320-C-AC Racking:SunPower Invisimount Panel:6139"X 41.18" Array:25'9 15116"X 17'1 7/8" Surface:58'9"X 26'1-- Magic#:Invisimount _ Legend: ® 21 SunPower 320W Panels SunPower Invisimount Rail o • 56 Eco-Fasten Quik Feet 0 8 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: �e of NC{v PAo� 0 Q7 9 t O • Z���A �eBi 6Z ��2� 9°Fess�o�'P Drawn By:MA Drawing#8 of 11 Date:3/31/2017 REV:A Drawing Scale:1116-=1.0- GREENLOGIC" ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 W Surface#C: Total System Size:14.720kW Array Size:6.720kW 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:294" / Pitch:® � Monitorinrin g System: SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC PRacking:SunPower Invisimount Panel:61.39"X 41.18" 5 Array:25'915/16"X 17'1 7/8" Surface:58'9'X 26'1" Magic#:Invisimount Legend: c ® 21 SunPower 320W Panels ® SunPower Invisimount Rail o to • 56 Eco-Fasten Quik Feet 0 8 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 4 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: OF NF�y M pa%X0,9 • �o 62 i 9�fi�SS10NP� Drawn By:MA Drawing#9 of 11 • Date:3/31/2017 REV:A Drawing Scale:1116"=1.0' No Vent Pipes Will Be Covered By The Solar Array GREENLOGIC" ENERGY LEGEND: GreenLogic,LLC Approved AR -Access roof per 8202 definitions RAP -Roof access point to be away from RWV -Roof with valley. Rebentisch,Michael overhead obstructions,doors, 18'minimum from valley 1580 Corey Creek Lane windows,decks,fences,landscaping Southold,NY 11971 GA -Ground access area per R324.7.3 width AP -Access Pathway,36"minimum SVO -Smoke vent operation per Total system Size:14.72okW to be same as AP as measured at eave width per R324JA and R324.7.5 R324.7.7,18-minimum from ridge 1 circuit of 11 on a 20A breaker 1 circuit of 5 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 12 on a 20A breaker Azimuth:° Meter RAP Monitoring System: N RAP SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC ——— __ Racking:SunPower Invisimount h' 4 a ___ a Panel:61.39"X 41.18" Array:39'9 15/16"X 40'3 3/4" p Lol Surface:42'3"X 58'9" I I Magic*Invisimount I I Legend: I L_, I ® 46 SunPower 320W Panels I l 11 SunPower SunPower Invisimount Rail 320W Panels 0 110 Eco-Fasten Quik Feet I I 8 B 2x8"Douglas Fir Rafter 16"O.C. rg p ® 1 I Notes: Number of Roof Layers:1 01 I Height above Roof Surface:4" RN r 21 SunPower 1 32OW Panels W-- 1 Added aRoof load ls Used:EoPV Systema 3 5psfr I14 SunPower Engineer/Architect Seal: I 320W Panels I 1 ��OF Nc- 1 PA���cO ---� D --- D n !tl � rtJ _ 2 RAP 0eel6,2 9�ACS6IO�P� Drawn By:MA Drawing#10 of 11 Date:3/31/2017 REV:A Drawing Scale:1/16"=1.0' GREENLOGICO ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Ut ` Total System Size:14.720kW 1 circuit of 11 on a 20A breaker 1 circuit of 5 on a 20A breaker 1 circuit of 9 on a 20A breaker 6Df`c1 0j(kWBB9--M& 1 circuit of 9 on a 200 breaker 1 circuit of 12 on a 20A breaker 60o-FbomCUdcFaatHashrg M i Azimuth:" 04,BiAM Go mdErcae► 22D Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-E'19-320-GAC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:39'9 15/16"X 40'3 3/4" Surface:42'3"X 58'9" Magic#:Invisimount _ Legend: ® 46 SunPower 320W Panels ® SunPower Invisimount Rail • 110 Eco-Fasten Quik Feet 8 B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf EngineerlArchitect Seal: ,OF 1'tE'p�Y O- M PACO r �OFFSSIONP� - - - ------ - ---- - --- -- - Drawn By:MA Drawing#-11 of 11 Date:3/31/2017 REV:A Drawing Scale:1/16"=1.0' GRENLOGIC° ENERGY April 6, 2017 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Dear Building Inspector: Please find attached a building permit application on behalf of Michael Rebentisch who has engaged us to install a roof mounted solar (PV) electric system at his home located at 1580 Corey Creek Ln, Southold, NY. In connection with this application, please find attached: • Building Permit application D [E(g[EU'V[E • A Storm Water Assessment Run-off Form DD • Certificate of Occupancy Application • Application for Electrical Inspection APR 1 0 2017 • 2 Surveys of the Premises • 4 Engineer's Reports (3 originals and 1 copy) BUILDING DEPT. • 2 Three Line Electrical Drawings TOWN OF SOUTHOLD • 2 Spec. sheets of the solar panels • 2 Spec. sheets for Racking System • GreenLogic Suffolk County Home Improvement License 6 GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License • Check for$200 ($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, Sacstacttktc Gun2ett Samantha Corbett Account Manager Samantha.Corbett@Greenlogic.com 631-771-5152 ext. 107 GREENLOGIC LLC o www.GreenLogic.com Tel 877.771.4330 Fax: 877 7714320 SOUTHAMPTON ROSLYN HEIGHTS 425 County Rd 39A 200 S Service Rd , #108 Southampton, NY 11968 Rosyln Heights, NY 11577 GREELOGIC® ENERGY June 8, 2017 nD [ECEO'V[ED JUN 12 2017 The Town of Southold BUILDINGDBPT. Building Department TOWN OFSOUTHOLD 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 41535 Michael and Vanessa Rebentisch 1580 Corey Creek Ln, Southold Dear Roger, Enclosed please find the Engineer's Certification Letter for the above referenced solar electric system. Please close the building permit and send the Certificate of Occupancy to the homeowner. Please let me know if you have any questions about the installation. Sincerely, s e Samantha Corbett Account Manager Samantha.Corbett@Greenlogic.com 631-771-5152 Ext. 107 GREENLOGIC LLC o www.GreenLogic.com Tel 877.771.4330 Fax. 877.771 4320 SOUTHAMPTON ROSLYN HEIGHTS 425 County Rd 39A 200 S Service Rd ,#108 Southampton, NY 11968 Rosyln Heights, NY 11577 'sc.lm WO 015/RICI 1000 SECTION 78 BLOCK'a LOT(S).19 l --- CORE � f 4rR1 _ Stll'Qs'!0"E ', 70 03' Kuo 4a C I � a LOT 27 os (OT 28 trf Y N r 4_, -._�F"'��R�RFYOf/gCFS Srs Cte RY I w , a I, , o , \ � r • B, LY a. e r -23.9'- o TONE Ar rt 6 O O C4 LL 4V 37.3• �1 f rp. 4l 48 u a aIt^r CL 3,1 \ti� iaV boi�Y "Tay e, DIF u'AFFR SUPPLY, OaLS,ORrx£LLS AND CESSPOOL LOCARONS SHOWN ARE FROM RELO V&SERVARONS FIR41 mi4i MAf-36103CO166H AND OR DATA OBTAIATO FROM OHMS. ARRA. 27,622,68 SIS FT. ne 0 63 ACRES ELEV.RCAN OAIVAI Na\•M . _.. ._..... VNM4THCMZCO At FFRAMW OR AOdnIN TO nus SURIl f IS A 44OL41ION Of SLCRON/IJ9 Or ME NEW IZWK STAF£EDUnamW LAM 4ORC5 EF MIS 90'E4( A(AP NOT B£AA7NG IHL LINO 5URvt MHS LHHOSS£U SEAL SHALL NOF RE QWSIOER£D FO RF A VNIO FRUF COPY W4174NF£FS INOIL;FED NER£Cw SM41 RUN l 7FPto r1jr prRSON Fop /O E S4 N£ES RVrV ISLPREPA&NO!xSONI 17N?Dk OCHAIF 10 INE ItILL TR(.U#,4 ff1L£VVLwNmENr4L AOFHCY ANp LENLHNc wsnRlRLw rF/E OFFSFFS OR DfUEN5IONS SHOWN HEREON{ROA/ IH£PROP£RfY LINOS f()prF STRUCRRFES ARE FOR A SPECIM PURPOSE AND USE MEREFORC ME'e aR£ NOT NV/LA+DM TO AJONUMENT RIE PROPERTY LINES OR 10 CUM RtE ERECTION LV'F£NCLS ALWIRONAL S/RLICFUR£5 OR AND OTHER I4PROV£A1£Nr$ £A$ENENTS AND/OR SUBSURFACE•SIIRUCR/RFS RECORDED OR UNRECORDED 4R£NOT WARANIUV UMLSS 1417W ALLY ENOENT ON ME PAr"S£S AT MF T&KE OF SURVE/ SONVLY OF LOT 26 CERTIFIED TO: MICHAEL RESENTISCH: uAP OF CORFY CREEK LSIAIFS PON NOILET. ADRIANA NOLLET, TEACHERS I'EOERAL CREOIT UNION; FllEn.AUGUST 15, 1967 NO 4923 TIUCLITY NATIONAL TITLE INSURANCE COMPANY. $LToATfn AT SOU11L01.0 roLn1 O{ souTHOLD KENNETH M WDYCIIIJK LAND SURVEYING. PLLC SU6FOIK CUUhfY, NEW YOPY. ✓ Profesmonal Land Surveying and Design 440 oa P.O. Hoz IOU Ayuvbogue, Nen York 11931 PiIUNF(991)•200-1506 VAX(cilli P90-IUBW ryl{ 14 90 SCaI f 1 -30' DATE JULY 10. 2014 N.f S. 1sf. 140 0.5011w menamint r4,rnrorea nt Rabin I Nmannv r c.nnarA Al.ruKknk APPRO ED AS NOTED DATE: B.P.# J RETAIN STORM WATER RUNOFF FEE: BY: PURSUANT TO CHAPTER 236 NOTIFY BUILDING DEPARTMEWAT OF THE TOWN CODE. 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING ELECTRICAL 3. INSULATION INSPECTION REQUIRED 4. FINAL - CONSTRUCTION MUST BE COMPLETE FC19, C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. FLOOD ZONEAA COMPLY VHh7,'rEr-e 14C FLOOD COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF S6ttFH8P!7R� SOUTfr— v ARD 3ati{H8L-l;�9.lhlflLI911SkEES N OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Pacifico Engineering PC _ Engineering Consulting 700 Lakeland Ave, Suite 2B (C r Ph:631-988-0000 Bohemia, NY 11716 If G c solar@pacificoengineering.com April 3,2017 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Michael Rebentisch Section-Block-Lot: 78-4-19 1580 Corey Creek lane Southold, NY 11971 I have reviewed the roofing structure at the subject address.The structure can support the additional weight of the roof mounted system.The units are to be installed in accordance with the manufacturer's installation instructions. I have determined that the installation will meet the requirements of the 2016 NYS Residential Code(2015 International Residential Code-2nd Printing modified by the NYS Building Standards and Codes 2016 Uniform Code Supplement),and ASCE7-10 when installed in accordance with the manufacturer's instructions. Roof Section A B C Mean roof height 22.0 ft 15.0 ft 15.0 ft ' Pitch 18 degrees 32 degrees 32 degrees Roof rafter 2x8 2x10 2x8 Rafter spacing 16 inch on center 16 inch on center 16 inch on center Reflected roof rafter span 11.6 ft 8.1 ft 10.2 ft Table R802.5.1(1)max allowable 16.9 ft 20.6 ft 16.9 ft The,climactic and load information is below: Ground Wind Live Load, CLIMACTIC AND Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type Category Load,Pg, sec gust, ASCE 7, CRITERIA psf mph psf load,Ib Roof Section A C 20 130 45 616 (2)4.5"#14-13 DPI concealer screws B 22 301 (2)4.5"#14-13 DPI concealer screws C 22 301 (2)4.5"#14-13 DP1 concealer screws Weight Distribution array dead load 3.5 psf �Lof NC- load per attachment 47.9 Ib M PA0 Subject roof has one layer of shingles. ; Panels mounted flush to roof no higher than 6 inches above roof surface. n Ralph Pacifico, PE MZ 2 Professional Engineer Ip14111l, Gg r Z n&n6� eer l�l 306 I C��' ENEY GREENLOG RIC GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#A: Total System Size:14.720kW Array Size:3.520kW 1 circuit of 11 on a 20A breaker Azimuth: 114° Pitch: 18° E---Pvm Monitoring System SunPower Panel/Array Specifications: Panel,SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:22'5 5/8"X 10'3 9/16" Surface:25'1"X 14'1" Magic#: Invisimount Legend: ® 11 SunPower 320W Panels ® SunPower Invisimount Rail 28 Eco-Fasten Quik Feet 2x8"Douglas Fir Rafter 16"O C. Notes: Number of Roof Layers-1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: OF N E c���� 10 PAc�,��co,�� t0 z s T2 =� ��� �6618Z � Drawn By:MA Drawing#1 of 11 Date:3/31/2017 REV:A Drawing Scale: 1/4"=1.0' , ,0AGREENLOGICO ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#A: Total System Size:14.720kW Array Size.3.520kW 1 circuit of 11 on a 20A breaker Azimuth: 114° Pitch: 18° Monitoring System Z SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:22'5 5/8"X 10'3 9/16" Surface:25'1"X 14'1" Magic#. Invisimount Legend: ® 11 SunPower 320W Panels ® SunPower Invisimount Rail 28 Eco-Fasten Quik Feet B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: SOF NE�,yr ,m Pqq,�pO�� Q 2� - - -- --- --- ---- - -- - - ------- - -- - - F�SSIDN Drawn By:MA Drawing#2 of 11 Date:3/31/2017 REV:A Drawing Scale: 1/4"=1.0' GREENLOGICO ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#A: Total System Size: 14.720kW Array Size:3.520kW 1 circuit of 11 on a 20A breaker Azimuth: 114° Pitch: 18° Monitoring System: Z SunPower Panel/Array Specifications: Panel SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array.22'5 5/8"X 10'3 9/16" 1 Surface:25'1"X 14'1" Magic#:Invisimount Legend: ® 11 SunPower 320W Panels ® SunPower Invisimount Rail 28 Eco-Fasten Quik Feet B 2x8"Douglas Fir Rafter 16"O.C. 1 Notes: 1 Number of Roof Layers-1 Height above Roof Surface:4" Materials Used-Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: oc rar�,y y,P �QH PAtr���cO,��r f .er n I O6618'L =C's - - -- - - ----- - - �FGSS% Drawn By:MA Drawing#3 of 11 Date:3/31/2017 REV:A Drawing Scale: 1/4"=1.0' GREENLOGIC" 11 ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#B: Total System Size:14.720kW Array Size:4.480kW 1 circuit of 5 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth: 114° Pitch:32° Monitoring System: Z SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array: 17'4 15/16"X 17'11 7/8" Surface: 18'5"X 21'1" Magic#- Invisimount LegenAN d: ® 14 SunPower 320W Panels ® SunPower Invisimount Rad • 26 Eco-Fasten Quik Feet B B 2x8"Douglas Fir Rafter 16"O.C. '77 7 Notes: Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: x x x x x �'of UF11"y 7y -------- -- y Ny Ny M Pqcop�� Eu �O 0661 - -- - --- -- ---- - - - - - --- - -- - -- - - Drawn By:MA Drawing#4 of 11 Date:3/31/2017 REV:A Drawing Scale: 1/4"=1.0' C:3� L ICO ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#B: Total System Size:14.720kW Array Size 4 480kW 1 circuit of 5 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth: 114° Pitch:32° Monitoring System: Z SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking*SunPower Invisimount Panel:61.39"X 41.18" Array:17'4 15/16"X 17'1 7/8" Surface: 18'5"X 21'1" Magic#: Invisimount Legend: ® 14 SunPower 320W Panels ® SunPower Invisimount Rail • 26 Eco-Fasten Quik Feet B B 2x8"Douglas Fir Rafter 16"O.C. Notes- f. Number of Roof Layers: 1 Height above Roof Surface-4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System 3.5psf Engineer/Architect Seal: of NE1��Y Pa0,9� r fit 2 06618'L Drawn By:MA Drawing#5 of 8 Date:3/31/2017 REV A Drawing Scale: 1/4"=1.0' GREENLOGICO ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#B: Total System Size 14 720kW Array Size:4.480kW 1 circuit of 5 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth: 114° Pitch:32° Monitoring System- SunPower Panel/Array Specifications: Panel.SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array: 17'4 15/16"X 17'1 7/8" Surface: 18'5"X 21'1" Magic#: Invisimount Legend: ZL J ­YLL Z ® 14 SunPower 320W Panels ® SunPower Invisimount Rad 3 • 26 Eco-Fasten Quik Feet B B 2x8"Douglas Fir Rafter 16"O C. Notes: Number of Roof Layers: 1 Height above Roof Surface-4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System.3.5psf 2 Engineer/Architect Seal: <I- OF NC(r� PA 0 o CC W m l\of ossa ��v Drawn By.MADrawing#6 of 11 Date:3/31/2017 REV:A Drawing Scale: 1/4"=1.0' GREENLOGICO ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#C: Total System Size: 14.720kW Array Size:6.720kW 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth.294° Pitch,32° Z Monitoring System: El El SunPower O Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array 25'9 15/16"X 17'1 7/8" Surface:58'9"X 26,1,. Magic#: Invisimount ❑ Legend: ® 21 SunPower 320W Panels ® SunPower Invisimount Rail ° • 56 Eco-Fasten Quik Feet 2x8"Douglas Fir Rafter 16"O.C. 0 Notes Number of Roof Layers:1 Height above Roof Surface-4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: of: NEiv PQM PACjFi �9 CO co w m ��O X86182 �i�� - - - - - -- --- - -- - - �R NAS Drawn By:MA Drawing#7 of 11 Date:3/31/2017 REV:A Drawing Scale: 1/16"=1.0' 0 LOG ICO ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#C: Total System Size: 14.720kW Array Size:6.720kW 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:294° Pitch 32° - - Z Monitoring System- SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:25'9 15/16"X 17"1 7/8" Surface:58'9"X 26'1" Magic#:Invisimount Legend: ® 21 SunPower 320W Panels 11 LA ® SunPower Invisimount Rad ° • 56 Eco-Fasten Quik Feet 2x8"Douglas Fir Rafter 16"O.C. 0 Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf 11 U 11 U Engineer/Architect Seal: II pF NCy,y c�e�N PAC���cO,� O s�oA os6�s2 ��c� - - -- - - - - -- �OFESSIONP Drawn By:MA Drawing#8 of 11 Date:3/31/2017 REV:A Drawing Scale: 1/16"=1.0' GREENLOGICO ENERGY GreenLogic,LLC Approved Rebentisch,Michael 1580 Corey Creek Lane Southold,NY 11971 Surface#C: Total System Size: 14.720kW Array Size 6.720kW 1 circuit of 12 on a 20A breaker 1 circuit of 9 on a 20A breaker Azimuth:294° Pitch:32' Z EJMonitoring System: SunPower O Panel/Array Specifications: Panel:SPR-E19-320-C-AC ❑ Racking:SunPower Invisimount Panel:61.39"X 41.18" 5 Array.25'9 15/16"X 17'1 7/8" Surface:58'9"X 26'1 F IMagic#:Invisimount ❑ Legend: ® 21 SunPower 320W Panels ® SunPower Invisimount Rail ° LO • 56 Eco-Fasten Quik Feet 0 B 2x8"Douglas Fir Rafter 16"O.0 LO U') Notes: Number of Roof Layers:1 4 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: OF Np- c;PM Paci,� y0 ��0 9 Z � 2 08'69 ea - ��FSSto Drawn By:MA Drawing#9 of 11 Date:3/31/2017 REV:A Drawing Scale: 1/16"=1.0' No Vent Pipes Will Be Covered By The Solar Arrax LOGIC" ENERGY LEGEND: GreenLogic,LLC Approved AR -Access roof per R202 definitions RAP -Roof access point-to be away from RWV -Roof with valley, Rebentisch,Michael overhead obstructions,doors, 18"minimum from valley 1580 Corey Creek Lane windows,decks,fences,landscaping Southold,NY 11971 GA -Ground access area per R324.7.3 width AP -Access Pathway,36"minlmum SVO -Smoke vent operation per to be same as AP as measured at eave width per R324.7.4 and R324.7.5 R324.7.7.18"minimum from ridge Total System Size 14 720kW 1 circuit of 11 on a 20A breaker 1 circuit of 5 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 9 on a 20A breaker 1 circuit of 12 on a 20A breaker Azimuth:° RAP Meter RAP Monitoring System: SunPower Panel/Array Specifications: D y I Panel-SPR-E19-320-C-AC —————————, r————————_M Racking:SunPower Invisimount I L--- Q o Panel:61.39"X 41.18" I< I Array:39'9 15/16"X 40'3 3/4" 10 I Surface:42'3"X 58'9" 1 1 Magic# Invisimount I 1 • I Legend: L—, 1 ® 46 SunPower 320W Panels 1 I SunPower Invisimount Rail El 1 11 SunPower 1I 320W Panels 110 Eco-Fasten Quik Feet I o B 2x8"Douglas Fir Rafter 16"O.C. ❑ 1 I Notes: Number of Roof Layers:1 21 SunPower 1 Height above Roof Surface.4" 320W Panels x I I Materials Used:Eco-Fasten,SunPower r—J I a I Added Roof load of PV System 3.5psf I /X&I* lo, Ix 14 SunPower Engineer/Architect Seal: Y x H b` 320W Panels XHI ,+, of racy, x x1m `i' �I `,QM pgcGc'YO I I ---� D ---- ID yr LU n RAP 2 ISIS Drawn By:MA Drawing#10 of 11 Date:3/31/2017 REV:A Drawing Scale: 1/16"=1.0' LOGIC® ENERGY GreenLogic,LLC Approved _ Rebentisch,Michael 1580 Corey Creek Lane - -- -- Southold,NY 11971 IVI�Gaial list Cly. Fil Waial list J -- --- - - ----`--- -�-- — --- -`---`—`- -------- -"- Total System Size:14 720kW 1 circuit of 11 on a 20A breaker —t- — 1 circuit of 5 on a 20A breaker —_ 1 circuit of 9 on a 20A breaker E03-Fd5110f1Qjd RdEtseH� M 1 cirZt of 9 on a 20A breaker —- ------ —-----— - - 1 circuit of 12 on a 20A breaker Ei:o-Fcc9mQJd(FbA-Sq..HL'alI71CXmgocC M ---EmFa6IenQad<FootHaShirg--- 110— -- -- -- --- -- -- Azimuth: ° -----##141345'CPICauIe'SoL-w -----2A ----- --------- - _---- -- ----- ---_---- — --- Monitoring System: N — SunPower Panel/Array Specifications: Panel:SPR-E19-320-C-AC Racking:SunPower Invisimount --- -- -------- -- -- --- ---- Panel,61.39"X 41.18" Array:39'9 15/16"X 40'3 3/4" Surface:42'3"X 58'9" --- - Magic#:Invisimount Legend: ® 46 SunPower 320W Panels ® SunPower Invisimount Rail • 110 Eco-Fasten Quik Feet 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: �L OF U: O Qt� PAC', �O a ir w \ 086i s - - S O``►P'v --- Drawn --Drawn By:MA Drawing#11 of 11 Date*3/31/2017 REV:A Drawing Scale: 1/16"=1.0' NEW- EQUIPMENT,------------- EXISTING -SERVICE- PV—SA—1 AC—COMBINER PANEL 120/240, 1PH, 3W MI - —FW AC—CMB-1 B zfii (PV LOADS ONLY) 200A I KWH— PV—SA-2 F(hD m . . • psn I t o N • hFL AC DISCONNECT rmn AC—DSC-1 2 —<T� I BKR—I .,F L I BKR-2 I PV—SA-3 k0A I I I I MAIN III III !:USED A B BKR-4 PV—SA-4 Jill N I N cl�-- EGC N rs TYPICAL PV MODULE WITIJ I I I I I I INTEGRAL DC/AC INVERTER EGC IIII EGC EXISTING AC PANPLEXISTiNG GEC I GEC L ---_----__—.L----------------J--- 6 cu PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS 'Rebentisch, Vanessa GREENLOGICO 1580 Corey Creek Lane ENERGY Southold, NY 11971 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Reben-3LD1 Revision: 1 Revised: 3/15/17 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E19-320-C-AC, 1-CIRCUIT OF 12-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E19-320-C-AC, 1-CIRCUIT OF 12-MODULES PV-SA-3 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E19-320-C-AC; 1-CIRCUIT OF 12-MODULES PV-SA-4 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E19-320-C-AC, 1-CIRCUIT OF 10-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3840 WATTS 211-264 VAC 15.62 A AC 240 V,AC PV-SA-2 3840WATTS 211-264 VAC 15.62 A AC 240 V,AC PV-SA-3 3840 WATTS 211-264 VAC 15.95 A AC 240 V, AC PV-SA-4 3200 WATTS 211-264 VAC 13.02 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Rebentisch, Vanessa [ O 1580 Corey Creek Lane (a ENERGY Southold, NY 11971 'ELIMINATING TkE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Reben-3LD1 Revision: 1 Revised: 3/15/17 - -- - EQUIPMENT-&COMPONENT-SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMBP AC COMBINER PANEL 25OV, 200A, NEMA-1, 1-PH, 3-WIRE BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A i BKR-3 CIRCUIT BREAKER, PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-4 CIRCUIT BREAKER, PV-SA-4 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 60A CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 2" PVC-40 4 / 6 C THWN-2 2" EMT 4 / 6 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUITTO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE RE- QUIREMENTS. 4.) NOTE:GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Rebentisch, Vanessa PGREENLOGICO 1580 Corey Creek Lane Southold, NY 11971 �N E P,-:AYELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Reben-3LD1 Revision: 1 Revised: 3/15/17 v-, E A A^ 511--1 s Z Design Driven Advantages #1 module aesthetics and efficiercyl Jrmatched mod,ile rpl,ahility' SERIES No eiec-olyt ic'capacitors 25-year Cornbined Power and Prc�uct 'OvIarranty Maximize Value for Roof Size system for roof.not string`.nvq-er optimize performance of each rnocuk� Expand Deployment Options Complex roofs and shading Small systems System expandab"I'-zy Simplify&4 S peed Installation Optimize System and Installation Efficiency Fa-ctor,,,'ntegrated microinverter • R;)b,,j,-,t,dot,,)Iedocking AC connectors Sur)Power�AC incluc.e a factory-iritegraied Des,gn flLxibility oflsiu-,,and orlsiu-, "'ur--lov.,er micro-werter, provide a revol,i-icrary(ornbi,iation in.higl-, No.DC string sizing process (-ffi,ien(-y,hign reliabil tv,and module-leve.D(--o-AC-pnvver Conversion Fewer 17ista Ha-Jo n steps-,hari,comoetirg • systems Designed soecifically ft n, )ower InvisiMount1v and the Iricuftivc commissioning SunPower MonitcnngS�,stlerr,S(JnP0WerA,-I'VOCILlIeS enable rapid installation,best-,n-class-,,jStem aesti ietics.and intuitive v sibil.ty in"o Component of,CompleT'e^ Sy57em s�rster-i performanze All-his comeswi-,I-the best Combined Dower PI-Jit for use Y,.,rn SijnPowerO InvsiNlount"I an,,tre SUnPower Nionitoring System :,,).d Pnocict War,-af-it,,,/ Superior system reLacility and,,,cstteLic,, sunpower.com 'Wr i2liM SPR-E20-327-CAC SPR-El 9-320-C-AC Solar Cells 96 Monociystalline Maxeon'�'Gen II Nominal Povver�(P,orn) 327 W 320 W Front Glass Hign-transmission tornpercd glass with an"I- Power-Iolerance -5/-03o _51-095 r_eflea.-ve coating l Avg Panel Efficiency` 204% ()qb Fnvironmcrtaoutdoo-rated em:, Coef (Po,,Fwer) -0.38%/'C Rating --i,.n bypass dicides Frame- Class 1 clack anodized HAMA rafir,g) Snv.cle Tolerance Integratec module-level maximum power Weight 45 5 las(20 6 kg) point tracking Max Recommended 1 3 Ir 133 mm) MOdLJIe Spacing OLtput @ 240 v In-in/nom Innax) 21",,240/264 V Mz 0=110"ER �J_Vft, I Output @ 208 V(rrm '83,'2081"229from/max) V — F, Operating Frequency,(min In/nom/max,, 59 316',0/60 5 Hz War rant,es 255-year I mired pooverevaanty Outm,t Pow(,r Factor(min.) 0.99 25-year I mired r:)rodLJCt,,varranty____ AC Max COMINJOUS 01 ItPLIf Curront C'240 V1 ?�A UL 17,11.Including cornplanre with i i%-P 2-08 V - 54 A anplicaoic requirements of F::EE 1547 and Ac max Conun-uous Output Curren! Ac max ConL ou,put Power _320 IN IEEE 157.1 DC/AC CEC Convers on E:fflcienqy 916 0% KC a,io ICES-003 Class B Max Units Per 20 ABranch Circuit @ 2z0 V 12(sr ogle phase) AC module Type 2 Fire Rated Max Uniis Pe,20 A Branch Circuit,@ 208 V 10(Lwo pole) UL 2703 Listed when WISLalled with CertifiCaLions InvisiMOUn"" Class A Pirc Rated when-nstalled with OMNI mi InvisiVount"and when aistance between operating Ter-,,p 4 01 F to 1851 F(-40° 8S, roof su-face and bottom cf SjnPower Max Ambient I errp 122°F(50°0module frame is,3.5"(S 89 cm) ----- ----------- ------ -- -- --------------------—------ Wind.62 ps',3000 Pa,305 <q/ml front&i)ack Alternat ng Ctirrent(AC)Mciclk d2signatl(.Irl i Max Loao i Snow.125 Dsf 6000 Pd,611 kp/fTI"ffOnL enables installation in accordance with NEC I I inch(25 mr-)d,arneter had at 52 mph(23 69016 Impact Resistance m/s) PID Test Potertial-nduccd clegraclavar.free 280 mm A Ell CT" A cc 14.07 min f4,1 6 1n] sa mea i finest ofover'34,200 sil,cor<50 dr panel,-,P1 o or,ntod,i e sury j,rex 2014 Ellin, C8r­peauz eta! 5.1-Fo"-v,0re pap(,-'Febn-n �Starozrd Test C.)­Ptons rradiance,,AV1 5,2 'Q c1oratim-swcarf,SOI/S Eel 3 irl Al 11,j,(n'--.ned vi.lt,ln Inc.iroduo 'Based on ave-age ofr,,e.3u,ei wwei values du irg;)mducuon Please tead the safe-y and installavon instri-ctions for details Pj-r ore Beta Is,see exte-oea dato3l,eet mv.vs-r-cowe,comjdacasheers Docurriert*f 515217 Rev C ILT R_�S e � "q — r ,a Simple and Fast Installation Integrated module-to-rail grounding Pre asserrbleo mic and end clamps _e"'i adr'g rnic ciarnp!or easy place.merit We clamp width faciF te.,es ever, -1100%e spa�ir v `pimple,pre-drilled rail splice it..?703 listed integrated grounding Flexible Design - Addresses nearly all Doped residers ial roofs y. Design ii-i lardsca,-)e and cor-tra t r Rams enable easy obstacle management i Customer-Preferred Aesthetics #1 module and#" moun imp;aesthetics Best-in-class system aesthe.t rs Began-Simplicity Premium;love-profile design Black an dicedccrnponemts SunPolyder' InvisifvlountT"` is a Sunf'o ler-designed Hidden mid cramps and en^clamps rail-based rTlourking system 1 he InvisNourA system hardware,and capped;ilush rails. acdresses residen,ral slopes roofs and combii.es faster Bart of Superior System ins.allauon rime, design`:exibility, and st.perior aestheuc a. 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