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vU!FOt4rcp� Town of Southold 1/10/2018 0 ., P.O.Box 1179 W. 53095 Main Rd �y0�IV Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39441 Date: 1/10/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 445 Glen Ct, Cutchogue SCTM#: 473889 Sec/Block/Lot: 83.4-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/2/2017 pursuant to which Building Permit No. 42030 dated 10/6/2017 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 on an existing one family dwelling as applied for. The certificate is issued to Sack,David&Stephanie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized Signature o�gvFFnt,r�oTOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 42030 Date: 10/6/2017 Permission is hereby granted to: Sack, David & Stephanie 101 W 12th St Apt 20F New York, NY 10011 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 445 Glen Ct, Cutchogue SCTM #473889 Sec/Block/Lot# 83.-1-5 Pursuant to application dated 10/2/2017 and approved by the Building Inspector. To expire on 4/7/2019. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Total: $200.00 Build Ins for 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 2110 of I%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)tion-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. 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. ,918/17 New Construction: X Old or Pre-existing Building: (check one) Location of Property: 445 Glen Ct Cutchogue House No. Street Hamlet Owner or Owners of Property: David and Stephanie Sack Suffolk County Tax Map No 1000, Section 83 Block 1 Lot 5 Subdivision Filed Map. Lot: Permit No. �e�?Zy_ Date of Permit. Applicant: GreenLogie LLC Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 50.00 pplicant Signature pF SOUj�,®l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 a� roger.richert(@-town.southold.ny.us Southold,NY 11971-0959 olyC®UNV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: David Sack Address: 445 Glen Court city,Cutchogue st: New York zip: 11935 Building Permit#: 42030 Section: 83 Block: 1 Lot: 5 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 X Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 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 Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 12,060 KW Roof Mounted Photovoltaic System to Include 36-SPR-335- Panels with Micro Inverters. Notes: Inspector Signature: Date: December 27, 2017 0-Cert Electrical Compliance Form.xls SOplyolo Imo' urm,N�' 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) Pf ELECTRICAL (FINAL) REMARKS: DATE �� �� INSPECTOR Pacifico Engineering PC —I Engineering Consulting 700 Lakeland Ave, Suite 2B L Ph:631-988-0000 Bohemia, NY 11716 I SIG C solar@pacificoengineering.com November 27,2017 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject- Solar Energy Installation for David Sack 445 Glen Court Cutchogue, NY 11935 1 have reviewed the solar energy system installation at the subject address on November 27,2017.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 Building Standards and Codes 2016 Uniform Code Supplement), and ASCE7-10 To my best belief and knowledge,the work in this document is accurate, conforms with the governing codes applicable at the time of submission, conforms with reasonable standards of practice,with the view to the safeguarding of life, health, property and public welfare. Regards, Ralph Pacifico, PE Professional Engineer IV+ �P,��OF qc�y/- D lS�L�� �! L5 CO Pp, i9 O D o � * JAN 8 2018 BUILDING D . TOWN OF SOIOLD Ralph P cl���{�I IReer NY 066182 N EQ$744306 FIELD INSPECTION REPORT DATE COMMENTS V FOUNDATION (1ST) y FOUNDATION (2ND) ROUGH FRAMING& y PLUMBING cam_' INSULATION PER N.Y. ` STATE ENERGY CODE FINAL ADDITIONAL COMMENTS V Lie fo m . O- z rn d 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.NorthForkxet PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 Storm-Water Assessment Form Contact: Approved ,24-7 Mail to: GreenLogic LLC Disapproved a/c 425 County Road 39A,,Southampton,NY 11968 Phone: 631-771-5152 Expiration ,20 D Yuilbti<nspector O OCT 2 2017 LICATION FOR BUILDING PERMIT Date September 8 ,2017 AMM;DEM INSTRUCTIONS TowN OF SOI a.This application M e 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, 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 David and Stephanie Sack (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (If e and title of corporate 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: 445 Glen Ct Cutchogue House Number Street Hamlet County Tax Map No. 1000 Section 83 Block 1 Lot 5 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 (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 Numbe f�tories f i 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories �- 1 9. Size of lot: Front Rear Depth ay-{`. 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 David and Stephanie Sack 445 Glen Ct 14.Names of Owner of premises AddressCutchogue, NY 11935 Phone No. Name of Architect Pacifico Engineering 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 X NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAYBE REQUIRED. b.Is this property within 300 feet of a tidal wetland? * YES NO * IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF 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 g day of 20L-L_ Notary Public Signature of Applicant SAMANTHA CORBETT Notary Public,State of New York Reg.No.01006335944 Qualified in Suffolk County Commission Expires January 19,2020 Scott A. Russell �'SU k STOWMIWA\TIER. SUPERVISOR MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 u Zr 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town o,f Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOES TRIS_ PROJECT... E�`t•O Lyli AN.- Y�OF THE F'O LONVI G. ... iCHECK ALL THAT APPLY) Yes No € 0 A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. , 0 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. It i ❑Q C, Site preparation on slopes which exceed 10 feet vertical rise to i, 100 feet of horizontal distance, iit ❑0 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal 1! erosion hazard area. 0 E E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. 0 E F. Installation of new or resurfaced impervious surfaces of 1,000 square it it feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes F ` in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature,Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of,the above,please submit Two copies of a Stormwater Management Control Plan and a.completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Ownrr.Design Pjofe�tonal.Anent,Contr retar.Otlyert€ S.C•T.M. 1.000 Date: DLtrict ' NAME: Greens-00 LLC (Nesim Albukrek) 83 1 5 9/8/17 T T �,�€ A ^ Section Bieck Lot AA ` FOR BUILDING DEPARTMENT'USE ONLY Contact Info631-771-5152 ( i` rnrntion t - - - - - - - - - - - - - - - - i Reviewed By: Date: Property Address/Location of Construction Work: � �,4 — — — — — — — — — — — — — l — — — E Approved for processing Building Permit. 445 Glen Ct, Cutchogue, NY 11935 ® Stormsvater Management Control Plan Not Required. li! it ,i - - — — — — — — — — — — — — — — — Stormwater Management Control Plan is Required. l' (Forward to Engineering Department for Revietiv.) 1.E _ Al f'ORM # SIvI(P-TOS MAY 2014 f Town Hall Annex i Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • �O er.dchet oVM ro SOU t10fU.n .tls Southold,NY 11971-0959 BUILDING DEPARTMENT TO%W OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Samantha Corbett Date:- 9L 1 j ompany Name: GreenLogic LLC Name: Robert Skypala i= r License No.: 43858-ME Address: 425-County Road 39A Southampton, NY 11968 Phone No.: 631-771-5152 JOBSITE INFORMATION: (*Indicates required information) *Name: _DMid and Stel2hanie Sack i "Address: 445 Glen Ct. Cutchogue, NNY 11935 ; *Cross Street: —Vista PI *Phone No.: 631-771-5152 ; Permit No.: Tax-Map District: 100 ection: 8—3 Block: 1 Lot: 5 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Roof mounted solar electric system. (Please Circle All That Apply) *Is job ready for inspection: YES NO Rough In Final *too you need a Temp Certificate: NO Temp Information(If"needed) *'Service Size: 1 Phase 3Phase 100 150 200 300 350 . 400 Other *'New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form SO�jT�®l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road C Fax(631)765-9502 P.O.Box 1179 G • Southold,NY 11971-0959 ®l'�c®UNT`I December 29, 2017 BUILDING DEPARTMENT TOWN OF SOUTHOLD GreenLogic LLC 425 County Road 39A Southampton NY 11968 Re: Sack, 445 Glen Ct, Cutchogue TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: NOTE: Post installation certification letter required stating panels were installed to the roof per NYS Building Code Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (AII permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 42030 —Solar Panels GREENL GI ENERGY September 28, 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 the Sack residence;they have engaged us to install a roof mounted solar photovoltaic (PV) electric system for their home located at 445 Glen Ct, Cutchogue NY. In connection with this application, please find attached: • Building Permit application • A Storm Water Assessment Run-off Form • Certificate of Occupancy Application • Application for Electrical Inspection • 2 Surveys of the Premises • 4 Engineer's Reports (3 originals and 1 copy) • 2 Three Line Electrical Drawings • 2 Spec. sheets of the solar panels • 2 Spec. sheets for Racking System • GreenLogic Suffolk County Home Improvement License • 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, Sawaaffull d6e&& Samantha Corbett Account Manager Samantha.Corbett@Greenlogic.com 631-771-5152 ext. 107 GREENLOGIC LLC-www.Green Logic.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 ju 1)0 IQ. 00, Ix SC n4� 6c00, ' w _�\ �s' / .u`r\ '+,ayr:. y� '^ w: \ r ,\ 'rM�\ :5`.+s 9�.�,',�..� .s I� �.0` J.-_� \ �" -\ j✓' -.� / / /•••._�. L -`/ •-k'y'/ .,, }h� -:;.4"�. V^ •`4r �..,s.�;;, �';�;lN �7�. 1. ,... k. t.,.,..�� f. � M.,�4• Y ..::*"r :o :`S••N�l ,V. T ;:�: "t�t w•.. �,ra � ..--h, -/.. .;� uL. .�.r. � .-4.`,4 _-±" .. '�.. .�q'��.rK-��.r r :�'-v. "{•-...TZ.i'S..rc�r �"kt. '3�.a' :;.r.,,1'� �. �;3•.,-�. x�',..v:..ti,?•, r,�.: �:t�•''.i'C.j.;. ,� •a'-. .,, T -.:^ :. 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"lF•..x`►7';:• •�.F '-�' :'3 ' ..r `fTa.,-t ,t �i...L�. --`V'- •`t'' r'.Y s„` ` i"R' '±ts. 15i ':VJ Y -til... if' :'P...� y !T'�•>ti.`t�.-''"Y ,- .:_� .�'' s Suffolk TY >kfi VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEWYORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H �f•1 A; SUFFOLK COUNTY / t Home r por r ontra t License r This is to certifv that MARC A CLEJAN doing business as GREF04 LOGIC LLC having fumished the �T.y'� VST \ requirementsxIlk • •.• s and subject to the provisions of •• . . 77 rules rSand regulations of • 1 of • of New York • "•. to conduct business as a HOME � f� !, Additional Busii' NOT VALID WITHOUT DJ�PARTMENTAL SEAL ANDACURRENT CONSUAElk AFFAIRS f 1� IDCAR` 4rl iT Director r� ! �; k2�' .j tl l a "�'- ,! a 1 t} ;. <•.. ,yt:, w ;;;; ✓.t, w .;;r, , t '�`' �Er "'c ? t tip... 1 ,, ua., r:,., e• * a, r $i �..,, .v�+ t � .^.*. ,? /_�••: � .•v:xg t ,,�... ._ �.�. � <i. > z '�""�'. �� � ?5r-�4 a.'a.-'fig,'- `�s:-�t- •ta>�••t�.x:, v..x,' C.•�. a,. 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AF .� _.\ .r'h �k. �`'•-.... �3t ?•aw: t��•K 'r ,.�.�h;.:'�..� _:�"a1v 1,6;x� -t:�? 4 ��v+,•^.'� .�n. ���"..:ti,. ,r - est :�x rv? i,rrt �;.��}„,'"��a....r`,��... .rC� i•. y'v .,,Ft na��+e."..• ::r,�c r '3�f,+,t, s„;;,, ,!, :sk ^x' l ,r n�, ;:-�,�"L � '� ,^.."�S \ r� "'yi'C ,�.�ti. ��� `�<?itc � s�'�• •.xwr ..:1 .����r 't• t �-, :�v�� ��^; /`�✓+tiw��•`r+.+ \ � .r ` w.;.t ti� ���.�.�'-� rs�Ct.,s' /'';+'fi.,t - i5'� .h� �;4::�.,r y J2 v' s i s.^•,.; - CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD(YYYY) 01130/2017 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). NT PRODUCER NAOME cr Brookhaven Agency,Inc. Brookhaven Agency,Inc. PHONE 631 941-4113 FOX 631 941-0405 128 Old Town Road Suite C EMAIL REss, brookhaven.agencydverizon.not PO Box 850 PRODUCER East Setauket NY 11733 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: HDI Global Insurance Co. Greenlogic,LLC -INSURER B. 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. INSURERF: 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. /NSR TYPE OF INSURANCE ADDL SUER xwn POLICY NUMBER POLICY EFF POLICY 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 FX�OCCUR MED EXP(Any 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/OP AGG $2,000,000 POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea ac B X ANY AUTO CAP1043565 8111/16 8/11/17 BODILadent) $1,000,000 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 1131117 1131/18 AGGREGATE $1 000,000 DEDUCTIBLE $ RETENTION 0 $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY F ANY PROPRIETOR/PARTNER/EXECUTI Y/N V9WC794777 6115/16 6115/17 E L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E L DISEASE-POLICY LIMIT $1,000,000 C NYS Disability D251202 4/11/16 4111/17 Statutory Limits E Installation Floater/PropertyMX193071832 4/15116 4/15/17 $500,000 $1,000 Ded DESCRIPTION OF OPERATIONS I 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(2009/09) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF ATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Greenlogic LLC 631-771-5152 ` 425 County Rd 39A Suite 202 Southampton,NY 11888 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of insured(Only requited ff coverage is speclllcaW limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New Yotk State,le.,a Wrap-Up policy) Number 20.3801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) National Liability&Fire Insurance Co. Town of Southold 3b.Poli ^ Building Department v9WC88 Number of Entity Listed in Box 1a 53095 Route 25 Southold,NY 11971 3c.Policy effective period 06/15/2017 to 06115/2018 3d.The Proprietor,Partners or Executive Officers are D included.(Only check box if ail parfnerslofficers Included) QX all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box 7'insures the business referenced above in box'1a^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 7'. Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? YES []NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or after the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please,Note:Upon 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 forth. Approved by: Nicholas Zulkofske (Print name of authorized representative or licensed agent of Insurance carie0,I Approved by: 66`f////`/'/l►/1 7 (signature) (Date) Title:Authorized Agent Telephone Number of authorized representative or licensed agent of insurance carder: Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C405.2.Insurance brokers are Ka authorized to issue IL C-105.2(9-15) www.wcb.ny.gov ,, Suffolk County Executive's Office" of Consumer Affairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEWYORK 11788 DATE ISSUED: 12/10/2007 No. 43858-NM SUFFOLK COUNTY Master C ElectricianLicense H This is to certify that ROBERT J SKYPALA doing business as ;J_ having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICIAN in accordance l` 1r'� with • subject • provisions ofapplicablefregulationsof ' Countythe of • of • 10 Additional Businmes NOT VALID WITHOUT DEPAW]rMENTAL SEAL ANDACURRENT ��. .� �y CONSUMER i ' D Director Ir{ ir7 f; V. ,Y APPROVED AS NOTED RETAIN STORM WATER RUNOFF DATE: B.P. 4-2h3 � PURSUANT TO CHAPTER 236 ` .D _ . . OF THE TOWN CODE. FEE: BY: NOTIFY 'BUILDING DEPk,w:: ffNNT 765-1802 8 AM TO a PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - r RAt"ll-1 - x PLUMBING ELECTRICAL 3. INSULATiMUST BE COMAINSPECTION REQUIRED 4. FINAL - P ' Ste..' ' ALL CONST SHALL MEET THE REQUIREMEN. OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF- SO . .S.DEC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE 00 OCCUPANCY Pacifico Engineering PC _ ___ Engineering Consulting ' 700 Lakeland Ave, Suite 26 C !-€ Ph: 631-988-0000 Bohemia, NY 11716 Fax: 631-382-8236 www.pacificoengineering.com CSI = � C'_�_CP solar@pacificoengineering.com June 19, 2017 Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for David Sack Section: 83 445 Glen Court Block: 1 Cutchogue, NY 11935 Lot: 5 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 Mean roof height 22 ft 22 ft Pitch 1/2 in/12 1/2 m/12 Roof rafter 14"TJI 560 Joists 14"TJI 560 Joists Rafter spacing 16 inch on center 16 inch on center Reflected roof rafter span 12.5 ft 14.2 ft Table R802 5.1(1)max allowable 36.3 ft 36.3 ft The climactic and load information is below: CLIMACTIC ANDWind Live load, Exposure Ground Speed,3 pnet30 per Point GEOGRAPHIC DESIGN Snow Load, - pullout Fastener type CRITERIA Category Pg sec gust, ASCE 7, load,Ib mph psf Roof Section A C 20, 130 25 342 (2)5"&(6)3"#14-13 DP1 concealer screws(4"&.5"min embedment) B 25 229 (2)5"&(6)3"#14-13 DP1 concealer screws(4"& 5"min embedment) Weight Distribution NE YD 4 array dead load 3.5 psf ,�Q� �QN PACbc/G' 'A load per attachment 47.8 Ib Q� O Subject roof has one layer of shingles cc Panels mounted flush to roof no higher than 6 inches above surface. w Ralph Pacifico, PE Professional Engineer SOA X661 0V Ralph Rew[ ineer NY 066 744306 LOIC® ENERGY GreenLogic,LLC Approved David Sack 445 Glen Court Cutchogue,NY 11935 Surface#A: Total System Size: 112.060kW Array Size 2.680kW 1 circuit of 8 on a 20A breaker Azimuth:118' Pitch:2* Monitoring System: 4 SunPower +C ------------ -------- Panel/Array Specifications: Panel:SPR-X21-335-C-AC Racking:SunPower Invisimount x x x x Panel:61.39"X 41.18" Surface*27'6"X 13'4" Magic#:Invisimount Array:15'7 3/16"X 11'15/16" 0 0 Legend: 8 SunPower 335W Panels SunPower Invisimount Rail 18 Eco-Fasten Quik Feet T.J.I.560x14"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 NEW% PAC' CO O Vol 06 FES Drawn By:MA Drawing#I of 8 Date.6/15/2017 REV:A Drawing Scale:1/4"=1.0' GREENLOGIC" ENERGY GreenLogic,LLC Approved David Sack 445 Glen Court Cutchogue,NY 11935 Surface#A: Total System Size. 12.060kW Array Size:2.680kW 1 circuit of 8 on a 20A breaker Azimuth: 118* Pitch:2* Monitoring System: SunPower Panel/Array Specifications: Panel,SPR-X21-335-C-AC Racking-SunPower Invisimount Panel:61.39"X 41.18" Array:15'7 3/16"X 11'15/16" Surface:27'6"X 13'4" Magic#:Invisimount C� p Legend: 8 SunPower 335W Panels SunPower Invisimount Rail ---------- 18 Eco-Fasten Quik Feet T J.I.560x14"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 NEW PAC 0661 FES Drawn By:MA Drawing#2 of 8 Date 6/15/2017 REV:A Drawing Scale: 1/4"=1.0' 0eGREENLOGICO " ENERGY GreenLogic,LLC Approved David Sack 445 Glen Court Cutchogue,NY 11935 Surface#A: Total System Size: 12.060kW Array Size-2.680kW I circuit of 8 on a 20A breaker Azimuth:118' Pitch:2* Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-X21-335-C-AC Racking,SunPower Invisimount -4, Panel:61.39"X 41.18" TI Array:15'73/16"X11'15/16" Surface:27'6"X 13'4" Magic#:Invisimount Legend: g;p 8 SunPower 335W Panels SunPower Invisimount Rail 18 Eco-Fasten Quik Feet T.J.I.560x14"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: OEW PACI FES Drawn By:MA Drawing#3 of 8 Date:6/15/2017 REV:A Drawing Scale: 1/4"= 1.0' ;4%yGREENLomcD ENERGY GreenLogic,LLC Approved David Sack 445 Glen Court Cutchogue,NY 11935 Surface#B: Total System Size: 12.060kW Array Size.9.380kW 1 circuit of 8 on a 20A breaker 1 circuit of 10 on a 20A breaker 1 circuit of 10 on a 20A breaker Azimuth:118° Pitch:2° Monitoring System: ?' SunPower Panel/Array Specifications: Panel.SPR-X21-335-C-AC Racking.SunPower Invisimount Panel.61.39"X 41.18" Array:14'4 1/4"X 36'2 1/4" Surface: 15'X 41'10" Magic#:Invisimount Legend: ® 28 SunPower 335W Panels ® SunPower Invisimount Rail • 66 Eco-Fasten Quik Feet 8 T.J.I.560x14"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 x x Engineer/Architect Seal: ®�NEWy �N PAC/FjcO�� ° w w x 0 Drawn By:MA Drawing#4 of 8 Date:6/15/2017 REV:A Drawing Scale:3/16"=1.0' GREENLOGICO ENERGY GreenLogic,LLC Approved David Sack 445 Glen Court Cutchogue,NY 11935 Surface#B: Total System Size. 12.060kW Array Size:9.380kW 1 circuit of 8 on a 20A breaker 1 circuit of 10 on a 20A breaker 1 circuit of 10 on a 20A breaker Azimuth-118° Pitch: Monitoriri ng System: ?' SunPower Panel/Array Specifications: Panel SPR-X21-335-C-AC Racking:SunPower Invisimount Panel 61.39"X 41.18" Array:14'4 1/4"X 36'2 1/4" Surface: 15'X 41'10" Magic#:Invisimount Legend: ® 28 SunPower 335W Panels ® SunPower Invisimount Rail • 66 Eco-Fasten Quik Feet B T.J.I.560x14"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: O� NEPA VA O 4 �-A .�, c� ��' 066182 Drawn By:MA Drawing#5 of 8 Date:6/15/2017 REV:A Drawing Scale:3/16"=1.0' ra L I ® m, ENERGY 2 3 GreenLogic,LLC Approved David Sack 445 Glen Court Cutchogue,NY 11935 Surface#B: Total System Size: 12.060kW Array Size:9.380kW 02 3 1 circuit of 8 on a 20A breaker 1 circuit of 10 on a 20A breaker 1 circuit of 10 on a 20A breaker Azimuth: 118° Pitch:2° Monitoring System: ?' 2 Y13 4 SunPower Panel/Array Specifications: Panel SPR-X21-335-C-AC Racking:SunPower Invisimount Panel 61.39"X 41.18" Array:14'4 1/4"X 36'2 1/4° Surface: 15'X 41'10" 2 34 Magic#:Invisimount Legend: ® 28 SunPower 335W Panels ® SunPower Invisimount Rail • 66 Eco-Fasten Quik Feet 4 3 B T.J.I.560x14"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 4 4 Engineer/Architect Seal: ®F NEl�Y PAC�F�C� 4 0 4 `� Q 2 Z C? �FQ 066182 AROFESS10��� Drawn By:MA Drawing#6 of 8 Date:6/15/2017 REV:A Drawing Scale:3/16"=1.0' No Vent Pipes Will Be Covered By The Solar ArraXGREENLOGICO LEGEND: ENERGY AR -Access roof per R202 definitions RAP -Roof access point-to be away from RWV -Roof with valley, GreenLogic,LLC Approved overhead obstructions,doors, 18"minimum from valley David Sack windows,decks,fences,landscaping 445 Glen Court GA -Ground access area per R324.7.3 width AP -Access Pathway,36"minimum SVO -Smoke vent operation per Cutchogue,NY 11935 to be same as AP as measured at eave width per R324.7A and R324.7.5 R324.7.7,18"minimum from ridge Total System Size:12.06okW 1 circuit of 8 on a 20A breaker 1 circuit of 8 on a 20A breaker 1 circuit of 10 on a 20A breaker 1 circuit of 10 on a 20A breaker RAP Azimuth:118° GA Monitoring System: 2 SunPower Panel/Array Specifications: Panel:SPR-X21-335-C-AC Racking*SunPower Invisimount Panel:61 39"X 41.18" Array:44'11/16"X 36'2 1/4" Surface:56'X 41' 10" Magic#: Invisimount Legend: ® 36 SunPower 335W Panels ® SunPower Invisimount Rail • 84 Eco-Fasten Quik Feet T.J.I.560x14"16"O.C. 28 SunPower Notes x x x 335W Panels •,'`� "; Number of Roof Layers:1 RAP Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf DA V V Engineer/Architect Seal: 0 8 SunPower SOF NE�,+Y 335W Panels PA � o�p� 1 Meter sF0 066182 . �o90FESS10NP�. Drawn By:MA Drawing#7 of 8 Date 6/15/2017 REV:A Drawing Scale:3/32"=1.0' GREENLOGIC - ENERGY — -----� - - GreenLogic,LLC Approved David Sack 445 Glen Court - - - - -— - Cutchogue,NY 11935 Total System Size:12.060kW --- -- ------ - --- - -- -- - - -- ----- 1 circuit of 8 on a 20A breaker KPItIffW ul _ 1 circuit of 8 on a 20A breaker -� 1 circuit of 10 on a 20A breaker „__ .___ ,_ .__.__ ____- __ ..._.__.___ ____._ _._ .__ ._ -__ ,,_ ._ _, _ _ _ _,_. _ __ _ __"_ __._ _____ 1 circuit of 10 on a 20A breaker FO>FbIffl"REtFE&'BBepa�-- Azimuth:118° EmRaml" dW AluriwModc 84 Monitoring System: 2 �� �� ,' � SunPower ��,����� �^ _ — Panel/Array Specifications: _ ___ _ Panel:SPR-X21-335-C-AC �jMMM Carlmde-SOL-�N � Racking,SunPower Invisimount Panel:61.39"X41.18" Array:44'11/16"X 36'2 1/4" Surface:56'X 41'10" Magic#:Invisimount Legend: ® 36 SunPower 335W Panels ® SunPower Invisimount Rail • 84 Eco-Fasten Quik Feet B T.J.I.560x14"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 Engi neer/Arc hitect-Seal: Of NEINY Qkk PAo�Q,� Q W 2�F0 X6618 A�OFESSI���� Drawn By:MA Drawing#8 of 8 Date.6/15/2017 REV:A Drawing Scale:3/32"=1.0' ' � C NEW EQUIPMENT®-_______., __—__ EXISTING SERVICE �r PV-SA-1 AC-COMBINER PANEL ______—__---__� 120f240, 1PN, 3W AFm FM C-CMB-1 i�I • • • (PV LOADS ONLY) I I H L--J—— —� I A Fm PV--SA-2 AA I N 4 • • • t- ` A I 4�t AC-DSC--1 AC DISCONNECT + II ! + 1 BKR-2 1 PV-SA-3E 1 � . . . IP1. . . r} BKR-3 f G I }-----�MAIN BKR-4 FUSED I PV-SA-4- � 4 . . . i l o N IEGC N TYPICAL PV MODULE WITH I I 1 1 113 INTEGRAL DC/AC INVERTERI I I I I I IIII ECC 1 + JEGC I111 I 1 � 1 I I 11 1 I 1 I i EXISTING AC PAN EECTING I I GEC Irt..l-...__— ---_—.._..._.......L------------------I— 6 CU PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Segrete-Sack Residence , 445 Glen Court Cutchogue, NY 11935 ELIMINATING THE COST UE ENERGY 1 ) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Segrete-3LD1 Revision: 1 Revised: 6/19/17 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-335-C-AC, 1-CIRCUIT OF 10-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-335-C-AC, 1-CIRCUIT OF 10-MODULES PV-SA-3 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-335-C-AC, 1-CIRCUIT OF 10-MODULES PWSA-4 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-335-C-AC, 1-CIRCUIT OF 6-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3350 WATTS 211-264 VAC 13.62 A AC 240 V,AC PV-SA-2 3350 WATTS 211-264 VAC 13.62 A AC 240 V,AC PV-SA-3 3350 WATTS 211-264 VAC 13.62 A AC 240 V,AC PV-SA-4 2010 WATTS 211-264 VAC 8.17 A AC 240 V, AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Segrete-Sack Residence (3�1 GREENLOGICO 445 Glen Court Cutchogue, NY 11935 ELIMINATING THE COST.OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Segrete-3LD1 Revision: 1 Revised: 6/19/17 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 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 Segrete-Sack Residence ` 445 Glen Court ' ENERGY Cutchogue, NY 11935 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Segrete-3LD1 Revision: 1 Revised: 6/19/17 .tom k �-.•' ��• r--,; `l - �)�i NO" Design-Driven Advantages #1 module aesthetics and efficiency Unmatched module reliabihty2 ® �.. SERIES No electrolytic capacitors 25-year Combined Power and Product Warranty Maximize Value for Roof Size system for roof,not string inverter Optimize performance of each module Expand Deployment Options Complex roofs and partial shading Small systems System expandability Simplify&Speed Installation Optimize System and'Installation Efficiency • Factory-integrated microinverter SunPower AC Modules,which include afacto ry-integrated Robust,double-locking AC connectors Design flexibility offsite and onsite SunPower microinverter,provide a revolutionary combination of high No DC string sizing process efficiency,high reliability,and module-level DC-to-AC power conversion Fewer installation steps than competing systems Designed specifically for use with SunPower InvisiMountT"^and the Intuitive commissioning SunPower Monitoring System,SunPower AC Modules enable rapid Component of Complete System installation,best-in-class system aesthetics,and intuitive visibility into Built for use with SunPower°InvisiMountm system performance All this comes with the best Combined Power and the SunPower Monitoring System and Product Warranty in the industry Superior system reliability and aesthetics :. { ., sunpower.com a - �t(7 r e;,.�r'.. . bH r�-?;? -ai ti. —:_�¢.�,a,--.r " ,;;';x=<+r•.. t.-.�;« s.l', t ;vim' �� - �. a,} :�=t '';..• 4f,K' ."H�_.;,r �-,t_ }" K 'd.,.'�i.'.�.. "tr-''i 1 3 r 1 r it Y.f• j-- ' - .'�• ��^yrs .'� - _fir• �""d SPR-X21-345-C-AC SPR-X21-335-CAC Operating Temp -40°F to+185°F(-40°C to+85°C) Nominal Power3(Pnom) 345 W 335 W Max Ambient 122°F(50°C) Power Tolerance +5/-0% +5/-0% Temp Avg Panel Efficiency^ 21.5% 21.0% Max Load Wind 62 psf,3000 Pa,305 kg/m2 front&back Temp Coef,(Power) -0,29%/oC Snow 125 psf,6000 Pa,611 kg/m2 front •Three bypass diodes Impact Resistance 1 Inch(25 mm)diameter hall at 52 mph(23 Shade Tolerance •Integrated module-level maximum power m/s) point tracking CertificationsWarranties'and AC 11 ElecftfCa�l OatOatd. Warranties 25-year limited power warranty 25 ear limited product warranty Output @ 240 V(min/nom/max.) 211/240/264 V UL listed to UL 1741,Including Output @ 208 V(min/nom/max) 183/208/229 V • IEEE1547/1547a and IEEE1547 1/1 547 1a Utility Operating Frequency(min/nom/max) 5913/60 0/60.5 Hz Interactive Output Power Factor(min) 099 PV Rapid Shutdown Equipment AC Max Continuous Output Current @ 240 V 1 33A Equipment Grounding AC Max Continuous Output Current @ 208 V 1 54A UL 6703,UL 9703 Connectors and cables(load AC Max Cont Output Power 320 W break disconnection) DC/AC CEC Conversion Efficiency 960% UL 1703 PV Modules(Type 2 fire rating) Max Units Per 20 A Branch Circuit @ 240 V 12(single phase) Certifications Enables Installation In accordance with Max Units Per 20 A Branch Circuit @ 208 V 10(two pole) NEC 690 6 No active phase balancing for 3 phase NEC 690 12 Rapid Shutdown(Inside and outside installations the array) NEC 690 15 AC Connectors,690 33(A)-(E)(1) FCC and ICES-003 Class B Data Solar Cells 96 Monocrystalllne Maxeon Gen III When used with InvlslMount racking(UL 2703) High-transmission tempered glass with Integrated grounding and bonding Front Glass Class Afire rated ants-reflective coating Environmental Rating Outdoor rated PID Test Potential-Induced degradation free Frame Class 1 black anodized(highest AAMA rating) Weight 45 5 lbs(20 6 kg) 280 mm [11 02 in] Recommended Max - Module Spacing 1 3 In (33 mm) 1107 mm E [436In] 1046 mm A [41 2 in] i. 30 mm [7 21n] 'Highest of over 3,200 silicon solar panels,Photon Module Survey,Feb 2014 2#1 rank in TV Module Durability Initiative Public Report;'Fraunhofer CSE,Feb 2013 Five out of the top eight largest manufacturers were tested Campeau,Z et al"SunPower Module 1558 mm Degradation Rate;'SunPowerwhite paper,Feb 2013 See www sunpower com/facts for details Imo-[61 3,n] =I 3Standard Test Conditions(1000 W/m2 irradiance,AM 15,25°q NREL calibration standard SOMS current LACCS FF and voltage All DC voltage is fully contained within the module 4Based on average of measured power values during production Please read the safety and installation instructions for details See www sunpower com/facts for more reference information For more details,see extended datasheet www sunpower com/datasheets Document#515215 Rev D/LTR_US e r• a .. . •r •® .- C\s�'G.;. �•�'u>X,+��r^•�`` ,•y-,fir' _ .-' � ,,r' � . A Module*/Mid Clamp and Rail Module*/End Clamp and Rail l - r` r Mid Clamp End Clamp Rail&Rail Splice Ground Lug Assembly End Cap 00 ®^ o ®e^ ® s o Component Material Weight Temperature —40°C to 90°C(-40°Fto 194°F) Max Load 2400 Pa uplift Mid Clamp Black oxide stainless steel AISI 304 63 g(2 2 oz) 5400 Pa downforce End Clamp Black anodized aluminum alloy 6063-T6 110 g(3 88 oz) Rail Black anodized aluminum alloy 6005-T6 830 g/m(9 oz/ft) Rail Splice Aluminum alloy 6005-T5 830 g/m(9 oz/ft) Warranties 25-year product warranty Ground Lug 304 stainless 5-year finish warranty Assembly (A2-70 bolt,tin-plated copper lug) 106 5 g/m(3 75 oz) End Cap Black acetal(POM)copolymer 10 4g(0 37 oz) UL 2703 Listed Certifications Class A fire rating when distance between roof surface and bottom of SunPower ® ®< ®® module frame is<—3 5" • Composition Shingle Rafter Attachment _ Application • Composition Shingle Roof Decking Attachment `-,�, B•e s _e • Curved and Flat Tile Roof Attachment Universal Interface for Other Roof Attachments Refer to roof attachment hardware manufacturers documentation *Module frame that is compatible with the InvisiMount system required for hardware interoperability ©2015 SunPower Corporation.All Rights Reserved SUNPOWER,the SUNPOWER logo,and INVISIMOUNT are trademarks or registered trademarks of SunPower Corporation.All other trademarks are the property of their respective owners sunpower Com Specifications included in this datasheet are subject to change without notice Document#509506 Rev B r ." ridnow. ' Via•' Ifs f 401_ Simple and Fast Installation Integrated module-to-rail grounding Pre-assembled mid and end clamps Levitating mid clamp for easy placement Mid clamp width facilitates evenIF module spacing ~� =r" Bill Simple,pre-drilled rail splice UL 2703 Listed integrated grounding Flexible Design Addresses nearly all sloped residential roofs Design in landscape and portrait . Rails enable easy obstacle management Customer-Preferred Aesthetics #1 module and#1 mounting aesthetics Best-in-class system aesthetics Elegant Simplicity Premium,low-profile design Black anodized components SunPower° InvisiMountTm is a SunPower-designed Hidden mid clamps and end clamps rail-based mounting system.The InvisiMount system hardware,and capped,flush rails addresses residential sloped roofs and combines faster Part of Superior System installation time, design flexibility, and superior aesthetics. Built for use with SunPower DC and AC modules The InvisiMount product was specifically envisioned and • Best-in-class system reliability and aesthetics engineered to pair with SunPower modules.The resulting Combine with SunPower modules and monitoring app system-level approach will amplify the aesthetic and installation benefits for both homeowners and installers. - , - 111d111 sunpower.com T �!L