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Town of Southold 3/4/2018 P.O.Box 1179 a • ! 53095 Main Rd 4 �. a0> Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39538 Date: 3/4/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 825 Horseshoe Dr, Cutchogue SCTM#: 473889 Sec/Block/Lot: 95.4-18.29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/7/2017 pursuant to which Building Permit No. 42232 dated 12/12/2017 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 existing one family dwelling as applied for. The certificate is issued to A D D Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42232 2/21/2018 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ' . SOUTHOLD, NY �1:,� Baa• 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#: 42232 Date: 12/12/2017 Permission is.hereby granted to: AD D Inc 901 E Main St Ste 508 Riverhead, NY 11901 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 825 Horseshoe Dr, Cutchogue SCTM # 473889 Sec/Block/Lot# 95.-4-18.29 Pursuant to application dated 12/7/2017 and approved by the Building Inspector. To expire on 6/13/2019. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Total: $200.00 iI& Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form). 3 Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5 Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00 2. Certificate of Occupancy on Pre-existing Building- $100.00 3 Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15 00,Commercial$15.00 Date. New Construction: Old or Pre-existing Building: _(check one) Location of Property: House No. Stre � Hamlet �l o 5 - Owner or Owners of Property-C, k ('7 � Suffolk County Tax Map No 1000,Section_Block C-3kA.(SU Lot c) Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant:oc'GC�� Health Dept.Approval: Underwriters Approval. Planning Board Approval: Request for- Temporary Certificate . Final Certificate: (check one) Fee Submitted:$ Applicant Signature pF SO(/r,�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road H Fax(631)765-9502 P.O.Box 1179 oQ roger.richert(-town.Southold.ny.us Southold,NY 11971-0959 Q COMM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. A D D Inc. Address: 825 Horseshoe Drive city,Cutchogue st: New York zip 11935 Building Permit#- 42232 Section: 95 Block: 4 Lot: 18.29 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA. Catizone Electric License No: 36178-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 14.790 KW Roof Mounted Photovoltaic System to Include: 51- Jinko 290W Panels, 51- Enphase IQ6 Micro Inverters, A/C Disconnect. Notes: Inspector Signature: FDate: February 21, 2018 0-Cert Electrical Compliance Form.xls Of SOUlyo6 �'�OOUt1I'1 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: �gU< A, DATE 2 Z �� INSPECTOR r1g, Pacifico Engineering PC Engineering Consulting 700 Lakeland Ave, Suite 2B Ph. 631-988-0000 Bohemia, NY 11716 G c solar@pacificoengineering.com January 24, 2018 1 Town of Southold Building Department 54375 Route 25, P.O.Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Aid to the Developmentally Disabled Section-Block-Lot: 95-4-18.29 825 Horseshoe Dr Cutchogue, NY 11935 1 have reviewed the solar energy system installation at the subject address on January 24, 2018.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 2017 NYS Residential Code(2015 International Residential Code-2nd Printing modified by the NYS Building Standards and Codes 2017 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 DD Professional Engineer MAA - 2 2018 :7IRLDING DEFT.. TOWN OF SOLTHOLD pF NEIN Y �QN Pac�,�,c�9�- �2�Fp 06618 AAO ��P Ralph Pa F.,ESS1ngineer NY 066182/NJ 24GE04744306 FIELD INSPECTION REPORT DATE COMMENTS • b FOUNDATION (1ST) .: y ------------------------------------- FOUNDATION (2ND) z o ROUGH FRAMING& y \ PLUMBING 4J INSULATION PER N.Y. y STATE ENERGY CODE D FINAL ADDITIONAL COMMENTS EEC q1, 00 1844b r O QV64�q`C UAb k � V z m d TOWN OF SOUTHOLD: BUILDING PERMIT APPLICATION',CHECKLIST' BUILDING DEPARTMENT Doyou�have:or needthe following„before-applying?' ; TOWN HALL SOUTHOL%NY 1197.1 4�sets of Buildiiig:Plans_._._ TEL: (631)765=1802: Pl 'Board.approval' FAX:.(631) 765-9502` Sur .. _ Soutl�oldTown.NorthFork.�net PERMIT NO: -_. 2 ..a3a �._ _ Checkvey. _ Septic.Forni! - N.Y:S:D:E.C'. `TrCistees. ' ;C:O.Application, . ... Flocd'Permk Examined 20 Sin &Separate gle —U Storm-W*rAssessment-FJrir►- Contact:. Approved '20' Mail:to; o �a�o �o�e So\y��anS Disapproved ak 3\�.�x4ccs��C.S•�Za� �o.. 42 22 Expiration Vito 2or- i ��fr7 2D But ing_I pector .w.. n - -PLICATION:'EOR BUILDING`PERMTT' DEC - 7 2017 Date. .._- :20:.. Fps INSTRUCTIONS F 'O MIOLD a. c_.,Son ST be-.completely--fdled'iniby,iypewriter or in-ink.arid submitted.to the B4oing.Inspector:with,4 s a afi sets of plans;,accurate plot planto scale:Fee--according,to schedule. b. Plot plan-showing,locatiof on- lot and.of buildings'on premises;relationship,to adjoiiii"ng premises or public streets:or areas;and waterways: c. The work covered;by taus application may,not be commenced,before,issuance;of Building:Permit: d.Upon approval of this application,theBuilding Inspector will'.issue a Building Permifto the:applicant:.Such:a.permit shall be kepton the.premises available'for;inspection-throughout the woik•, e.No building,shaft by occupied or used',in,whole,or in part for,any purpose.what go.evei,unti the Building Inspector. issues,a Certificate of Occupancy. £Every building permif shall.expire.if the woik:authorized.has not,commenced:within.,12months.after the.date of issuance or has-,not:been compl'eted.within:18;months„from such.,&te.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.ofe,permit for an addition six,months.Thereafter;anew peri ikshall be required- APPLICATIONIS-HEREBY-NIADE:to the Building:Department.for,the.issuance:of'ar BuAding P..ermit,pursuant to,the Building Zone:Ordinance'of the Town-ofSouthold;;Suffolk County,NewY,ork;and,other,applicabl'e:Laws,0id_inances or Regulations;foi the construction.of buildings;tadditions,:or alterations,otfor:refn6val or demofition'” Herein described:The. applicant agrees.:to comply with C applicable ll'aws;.ordinances;building-code;housing.code,and' a ations;andao admit: authorized.inspectorston.premises and in.bufding;fi'—, cessary inspections: - `(Signatureof�a pli -t.;uname,if acomoration) (Iviailin :address of applii ant) State whether applicant.Js owner,!lessee,,agent,,architect,,engineer;;general,contractor;electrician,plumber,-or builder, IQ � Name of owner,of premises! (�__V Fy r1 S - - _ LL _ ;(As on:tfie tax roll or.latest deed)' app scant is a co ration;.si tore o. duly utborized:ocer (Name and`title-of corporate'officer) Builders License:No.._ Phimbers-License No. Electhcians:License Na. -NA C Other Trade's License No. 1. Location.of,land oil-4 fil proposedwork:-w0i'be.done: olS \o er \7,c . �\ House Number 'Street Hamlet; County Tax_Map NO:, WOO. Section 0°15_,.0C!s. _Block_ _��\•q.0 - - .__ Lot j(�)\t .-•C'S`�� C 1 . Subdivision Filed Map No.. _ _ Lot . 2. State existing use and occupancy of premises-and'intended use.and,occupancyof proposed`'construction: a.. Exi'stinguse.and occupancy,_ & Intended-use and occupancy - 3., Nature of work(check which applicable)::New-building _ Additim Alteration ✓ Repair Removal':. Demolitiorn . _. __.__ . Other Work.Z,ns- v\ ��t`C��.e A. CS (Description) V_-4- 4. Estimated Cost '��E��� �� 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 Dimensioris of same;structure with;alterations or'additions:,F�onf_ _.___ . _.. _ ._. Rear. Depth: _ _. . . .Height. _..N:umtierof,Stories - .. 8. Dimensions-of eritire:new coristruetion::Fiorit: Rear Depth_ - - Height .Number of'Stories 9: Size of lot!:Front Rea ' _ Depth. 10. Date of Purchase _:Name of Former Owner'. 11. Zone or use district:in which,.premises are•s tuated 12,-Does,proposed construction violate any zoning.law.ordinance_or,regulation?YES NO 13.Will lot'be.re=graded?YES _ NQ_ZWAI excess filf be Temo�ed,from premises?"YE&.. Na .14. Names of:Owner of premisesC�e!4.Eyc� Address •Phone.NoA�\-"1'a-nA.X i - � !Address.'�� "�": ._ :Phoney .- 1Varrie:of.Architect�o,�. .�n�ro,� e , Address �,�,1,,,.0 .�' '-PhoneNo �3\-�'�`�-�� Name,of Contractor .,Z%Ao„��m,.,crC.,\,.�.o�s :No:a\3y`�•66 15 a. Is:this:property within°100 feet of a`ti&d:weiland"or.a'fre'hwateiVetlaftV*YES. N:O * IF YES,.SOUTHOLD TOWN TRUSTEES',&-D:E:C.'PERMUTS,MAY, BE'.REQUIRED. ,b.:Isi this.property within X30:0 feet of a tidal wetland?, * YES; NO * IF YES,D.E.E. PERMITS MAY BE.REQUIRED, 16. Provide survey,,to;scale- with`:accurate,foundation'plan and distances!"to,property,Erie& 17.1fel'evation at any point on;property-Js;'at 1.0feet or-`below;must-,provide,*topograplucal data:on survey: 18. Are there any,;covenants and.restrictions�with-respe_ct'to this property? *'YES' NO .- * IF YES';.PROVIDE A COPY. STATE.OF 14M YORK); � \ SS. COUNTY'OF �C `� U beingduly,sworn,,d'ep_ oses and_ saysthaY(s)fie!isi the,applicant (Name,of individual.signing eontract)al;.ove iiAM ; '(S)He is the (Contraefor;,Agent;,Corporate Officer;etc) ,of said owner or owners,-and is,duly authorized to performwor have,performed.the.saidwork and'to..make and file-this.application- that all.stafements-.contained in this,applicafiorr are true:to,the;best of his knowledge..and belief;,-alt ' :work,,uvill:be performed'ih the.manner set forih.in.the appfieatioolil"ed�theiewith. LYNDE SUSETTE ESTABROOKE S to before me this NOTARY PUBLIC-STATE OF NEW YORK day,of, 20._ -_No.01ES6259997 Qualified In Dutchess County Commission Expires 04-16-2020 Notary-1hu6lic signatdd of Applicant ITQ Scott A. Russell ,�d°S" STORMWA\'7 IER SUPERVISOR MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 O 53095 Main Read-SOUIHOLD,NEW YORK U971 � Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOFS THIS PROJECT INVOLVE ANY OF THE FOLLOWING Yes No (CHECK ALL THAT APPLY) ❑[!� A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. 0[21 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑[,� C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑[,7� D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. 01:1 E. Site preparation within the.one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑[,� 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 IL in-kind replacement of impervious surfaces. If you answered NO to all of the questions above,STOP! Complete the Applicant sectian 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-3-mw Building Permit Application. APPLICANT,(PropertyOwner.Design Professional Agent.Contrnetor.Other) S.C.T.M. a: 1000 Date NAME: ``r1QLC INS— -SL— Section Block Lot 'FOR:BUILDING-DEPARTM T USE ONLY'°"°' 'Contact information - - — — — — — — — — — — — — — — Reviewed By Pro \ Address/Location of Construction Work Date �o�'--� Approved for processing Building Permit. C�1%e&\0E — — — _ Stormwater Management Control Plan Not Required. f StormWater Management Control Plan is Required. Ill. 0 _ . (Forward to Engineering Department for ReviewJ FORM • SMCP-TOS MAY 2014 9 CONSENT TO INSPECTION � the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner(s) of the prerruses in the Town of Southold, located ate S which is shown and designated on the Suffolk County Tax Map as Mstrict 100 Section o9S.oz ,Blockoy.00 , Loto\t.ba� That the undersigned(has) (have) filed, or cause to be filed, an application i the Southold Town Building Inspector's Office for the following: d That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all - buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. Dated: (Signature (Print Name) (Signature) (Print Name) Signature Affidavit \"I�L owner of the property located at%S� C Tax Map# do hereby give_ Long Island Power Solutions permission to sign all applications necessary to obtain a building permit for the above. f (SIGNATURE OF PROPERTY OWNER Sworn to before me this of g day of AJO V 20 NOT LIC HOLLY A. GURNICK Notary Public, State of New York No 01 GU6018502 Qualified in Suffolk County Commission Expires Jan. 11,20, *pF SOUryo! Town Hall Annex Telephone(631)765-1802 54375 Main Road 411 Fax(631)765-9502 P.O.Box 1179 G2 • Southold,NY 11971-0959 Q ���4UNTY,N� February 26, 2018 BUILDING DEPARTMENT TOWN OF SOUTHOLD Long Island Power Solutions 3122 Express Dr South Islandia NY 11749 Re: ADD Ilc, 825 Horseshoe Dr, Cutchogue --r�TO WHOM IT MAY CONCERN: /1( The ollowing Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: /WT Post installation certification letter required stating the panels were installed to the roof per NYS wilding Code Electrical Underwriters Certificate TA fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 42232 — Solar Panels SUFFOLK CO HEALTH DEPT APPROVAL H S NO -2 q_' C.- FE OF PrQPEF_.._'r' 1,11 3 L,0(N Db I IB5 J1111 STATEMENT OF INTENT 4 DISPOSAL THE WATER SUPPLY AND SEWAGE DISF < SYSTEMS FOR THIS RESIDENCE WILL 3) 54 27 5 CONFORM TO THE STANDARDS OF THE IZ�W-Ly i7t"[ SUFFOLK CO DEPT OF HEALTH SERVICES (S) t,�..L: L C.��,42 A7 APPLICANT 6" I 7' SUFFOLK COUNTY DEPT OF HEALTH Y0 F SERVICES - FOR APPROVAL CONSTRUCTION ONLY DATE H S REF NO L' APPROVED SUFFOLK CO TAX MAP DESIGNATION L; DIST SECT BLOCK PCL 1 4 C OWNERS ADDRESS F dUFFOLK COUATT RLUCH DEPARTOW1 DEED L 1�i- P ,HTE H.7- 1%5 H. D. RIF. # SO. OTEST HOLE STAMP ---a-- I f rhe sewage disposal and water supply rkmop facilitics for thio location have been of g.4'd. on III— v. taspected by this epaEtxcnt and found o 19 1 1411d, Im wo stl�02 o &wcs a W....11 w.1f a ec"ca to loe satisfi go m$A vAuD-41 car. of General UgineerIze FjLt�MU VVXA-t;•cL-0%JW.0 P',Iy'o n.1 vt!c Fc3*ez�x r••3 a P_�. w..0 to wILD-mw- cl IM U.o — CU1AA.1W ow� SEAL GL:AJ.LA\ T C U —_:'_.-ail - r�� 7,-- L �A. L r— 7 _ RODERICK VAN TUY P.C. F A LICENSED LAND SUR AYORS GREENP01- NEW YORK 1"roalc W&koiee CERTIFLCATE OF'INSURANCE;COVERAGE, STATE. COITipe�tion Board UNDER THE NYS DISABILITY-BENEFITS,LAW PART 1., To.tie completed by Disability Beriefits;Carrier-or,Licensed Insurance.Agentiof.thaY_Carrier ta..Legal Name 8 Address-of lhsured(use.sGeet address:only)' 4 b,BusK6ss_Telephone.N_umtierof.lnsti ed, CATIZONE ELECTRICAL;CONTRAC.T,ING:INC:. -63154302821 '3:122.EXPRESSWAY DRIV_E ISLANDIA`,•NY 11749 1c:NYS:Unernployinent'I'risu�ance;Employec Registration Ntunber of` Insured" PENDING Work,Locatitin of Insured"tori/y requiied:i/coveiag_is speci(rcady limited fo 1d:F..eder`al'E` I'eF IdenbficaLon Number of Insured or Social Secun ceRain/ocahoris in New York State,i:e.,a Vlhap Up Poficy)f N r - - 0� 45-5213112 2.Name,and Address.ofEnbty.Requesting P.ro&.-df'Coverag"e. '36:Naine.df lnsuraiice.Carriei :(Entity Being Listed as:the CerrificateWoldef) Standard Searity,Ufe_InsuranceCompany of New York, Town of;Sotithold Y V _ 53M5'f oute;25t 36T Policy Wnit a%f EH*:Lis-t d_in,Box 1a" Stwttigltl;,NY 1197.1, R97483-000, 3C_PolicyTeffectiveperiOd; °1%1!2015'• to &4/2018; 4_Poli - - _ cY_covers:: �x ,A:All.of the s_Law emptoyePs employees.eGgitile uride_'r'Uie N`ew YorkOisabiiily_Benejt Q B:On ly,the.toilowiiig,dass o�classe§:otemployers employees: , Underpenalty_otperjury,I:oerfify Ihat l am an authorized representative oalicensed agent of,the insunce_carrierreferenced.above and.lhat.the named insured'h'as NYS,Disatii_fity Benefitsiins'urance;coverage.as;described_aboye.� i Date Sigrieri: 2/15720.17' ,(Signature-of insuranctafriefe amlwri:e represed ye er NYS�Li,cervsed_Imuronce Agent o.Fthat ins urn nee carrier) 7etephone:Nu'mbei_.(312)355=4141. Ttie.SUPERVISOR' BL%POLICYSERVICES i IMPORTANTs'I-Box 4a'Is checked!and this form:i's.signed,by.the:ifisUtdnce.bdr?fees-'dCtt rite .-Ceebreserit`ative or NYS Lice_n-iF&Ll surance:Age6i f that carver:thkeeruficate is:COMPLETEt Mail`ifdire.,Wy,t`o the certificate holder If BozC4b'is ch`eckeC;ifiis ceitificate i NOT COMPLETE for ptirposes•of Set3ion 220 Subd..8 of the;DtSabtGty Benefits:Law..lt must.tie incited:for contpletion.to the Workers Compensation:B.oarrl,;DB-Plans.Acceptance Unit;-328'State.Sbieet Sch4i ei3ady;NY12305 PART-1.To be"Compl'eted.by the NYS.Workers,-Comperisation:Bo"ard(ontilUBok^4by of Part 1 has beerrcheckedy- Stdte:_of New Yock Vllorke'rs'''Compensation_Board According to iiifomiatiori`maintained by'tt"-!,Y,S Workers;Compensation:Board;tfie above-named employer'has:coinplied Witfi,the"NYS -- " Disabiiitylienefits Law-vntlr.respect to alt'ot his/her emptWf. s, Oate,Signt:d _ _ Signature,ofNYS.N'* f!Z-q ep ati®•Bwrd Fmp"). Telephone Niimtiei Tt>e Please Note f Only fiisi iar►cQ camers;licensed'fo wrile 10,t disabi/ify benef ,."insurance'pol cies.and N.Y.S;ficens"ed.insurance.agents:of 'those:ir►surance.came`rs are.autlforrzed to"issue=Foim`'D8=120:1•., fiiW nce_brokers`are.NOT authorized•to.issae.thfs form: D8=120:1, STAT-E01"NEW YORK WORKERS'COMPENSATION YOMW CERTIFICATE OF NYS'WORKERS'-COMPENSATION INSURANCE ANC- E C- OVERAGE Ia. Leg#NaFne and address of Insured(Use-street address only) PU.sip6ss Tel hone NUrnbef-of Insured' Business-Telephone ., , '6,31��"282 Cdtizbfie EWtricAFCbntracfingL,Inc. Ic NYS Unerho tqn:wfif I fisurance Employer Registration 3122'Expressway Drive South Nffhber of I'MdrM lslaifdW91NY 11749 I d' Fe&r-Al Effiolbyef Writifidation'Numbtef'of Insured,or, Work LodAtibriof In'suied(Only-required.if-,coverage isspecOlco6, Social Security.N_umber !united-- ---d-eitdih lq',�afi�ns'in JV'e�'- 'York Siirt�; i.1 — --� (0* 'e; 'a Wrap�qp- 1�-5ZJ 4'112, Policy) :1 Nifine 6-fia AddF6§W the Entity Requesting Proof'of 3a: Name oFlnsprance Carrier 'C6fetage(Entity Belng,Listed as, he Ceriffica-ite.-Holdier�j Utica Mutysil In"surance Company town of S6utlfold 3b.P(ift N of entity 1904 in b VE"I ar: 53095 1166W25, Southold;NY I.1 971 lei Policygftktiveoeti 07%01/17—.67/0'07/01/181 Sid, The Proprietor; rtiwft or txecutivebifrkeffikfe ind-d-did if all parinerVofficers incibdedi X,101 eiOu'ded-,or certain partners/officers excludea'. Tbi.§6.Fftifie§that the insurance carrier indicated'.above 111ox;C3"-'-insures the business referenced above;in box "la-for workers' - compensation undWithb MW York State`Wdikifs!Urnpensafibn Law: (To use,this fo.rm, New York- Y must,be fisted- N _.fn6e-r'Itin,3A on the INFORMATION Mo ..ofAhe:Wk-ff' cdinDedsafibn insurancepalicy)1the I unee Carrier or iis' qens�licensed agent Will§d Uft -fid tfiis- ifi�ite-of Insurance iatfie-enifty listed above as the certificate holder in bo�Lx121,1- The 1-ns0bfice,.CarFMr Wll-61�6 no ify v certificate -o igi�i - _(#4i.4bo�g -r ificate holder fp�ik or,within 30 qk��IFIMMF are reasons other Mdry i?Onpapneni of /--t- I . . ,1-11 . -- — -- . -- .joremiums�that rance e.po icy 6re imAdle the ifffired yFffiif thii coverage ihdipted bn this Qfiifjc�aLtq: r - 11i0k ciybe-se�i by-regulor-mail), OM&Wise" els�m this-ce vdUd-/bt*--ojf4e,Pkdr a f er qJIS form.is 9PptqKi4 by.tge-insuiO!jti;edrfier or,as:ficensid'agenti--or until the policy.erpirq i736",- _(qy�date&tMM fid _ whichever is-edrlieko- Please Nofe: dUthi- Wd..e.-kersF9T,per--tipi! p . ih—dicat-6 d on ihu Orn;JfUe business continues to-be named-on si o i&di-oFikOract iisted bya�cerificafe lder,1le,business must-0foVidi1V:it fii-tifiihti k6ldii %ivith-i new Ceftifi6ti of Worker;' I.T.; - .Compensation,*Co,Weirajf6-r dth-iir ad"thdii&d 6i66fit9ktthe-4qsin si's compjy�ngwith,A, e mandatoryito*.erng!.requiitn3Cents of ttfe:Niw Veric "'-.Cornpensatibn Law; - Under penaly-VIperjuyi,tcertify q!I�q( orjcensagnlofthi.insurance.cam*trrcferenced' above and,ithaf ihe:named-insu red figs-'ffte cOV--6-QU -SPc "M— -Ap - ffir -ni. Appro.ve&by, )bseph 0:,Price, (ptininame fauthorized Tagent,,Qf insurance Cartier) Approved by: 067092017 A. Title: Picti&fft 7E&.046he Number of authorized representative;or:ftcense-d"atent 66ilsor6,fta tatri I er;-6jf-6§9--74do Please Note. O)�jy6jhWF9 6fid 1hiiiI*—JKm nmts,are -auihOrLedlo-isse,the.Cl05ajbrm: 'insurance brokers are NOT auihorized-to issui?it., C-.105.2,09 0); www:wcb/state-.aygsi CATIZOO OP ID:JM ACORO- CERTIFICATE OF LIABILITY INSURANCE DATE( os/os/Dn MMD/YYYY) ol7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:- Julie Fitzpatrick Joseph P.Price Agency,Inc. PHONE 631-698-7400 FAX 1150 Portion Road,Suite 14 Arc No Ext: AIC Nol:631$98-5494 Holtsville,NY 11742 EA-DIOREss:-fitz atrick 'oepriceinsurance.com Joseph P.Price INSURER(S)AFFORDING COVERAGE NAIC S INSURER A.Utica Mutual Insurance Company 10687 INSURED Catizone Electrical INSURER 8.Utica National Assurance Co. 25976 Contracting,Inc. INSURER Standard Security Life Ins. 69078 3122 Expressway Drive South Islandia,NY 11749 INSURER D: INSURER E. INSURER F. 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 POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS MADE O OCCUR CPP 4784747 07/0712017 07/01/2018 DAMAGE To RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,00 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECOT- 1 LOC PRODUCTS-COM $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea a.".nt ANY AUTO BODILY INJURY(Per person) S ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPER" tDAMAGE $ HIRED AUTOS AUTOS S UMBRELLA LJAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAJMS-MADE AGGREGATE $ DED I I RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE I ER B ANYOFFICEWMEAPROPRIEffiTORIPARTNERERF� /E(CLUDED?XECUrfVE Y/N F—]N I A 766763 07101/2017 07101/2018 E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE S 500,00 II es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $00,00 C Disability R97483-000 01/01/2017 01/01/2018 Statutory Limits DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) CERTIFICATE HOLDER CANCELLATION SOUTHOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD Yo KR - Workers' CERTIFICATE OF INSURANCE COVERAGE sTaTE Compensation. UNDER�THE NYS DISABILITY BENEFITS LAW Board _ _ _ . . PART 1., To be completed by Disability Benefits Carrier.or Licensed'Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use.street address.o_ny)" 1 D.Business Telephone Number of Insured LONG ISLAND POWER SOLUTIONS INC 6.3134.8.0 .0.0.1_ "3122 EXPRESSWAY DRIVE SOUTH ISLANDIA, 11749; -1c.NYS Unemployment Insurance Empto-r r Registration Number of" Insured PENDING Work Location of Insured(Only required#coverage is specifically limited to 1b.Federal Employer Identifcation Number of Insured or Social Seciiaty. certaih locations in New'Ydt*State,i.e.,a Wiap-Up Policy) Number 271175107 2.Name and Address of Entity Requesting Proof"of Coverage 3a.Name-of Insurance Carrier •.(Entity Being Listed as:tfie Cenificaie'Holder) Standard Security Life Insurance Company,of New York Town of Southold 53095 Route 25 3b.Policy Number of Entity Lisied in Box 1 a' Southold,NY 11971 R97419 000" 3c.Poiicy effective period 1/1/2015 to 2/1412018 4.Poliry"covers: EQ A,AfI of-the employers.employees"eligible,under the New York Disability Benefits Law Q B.Only the following,dass or_Gasses afemployers employees: .Under penalty-of perjury,I cerlify that,l am an authoriz d.representMive or licensed agent.of the.irisurance carrier referenced above and.that.the named "hWiiid fias NYS Disability Benefitsiiisur_n_ coveFage as de"'scribed"i Ov@.; Date Signed 2/15/2017 ey 4410,4- (Sigriature of insmmxe caries auftrizc4rcprcscotztrvc or NY5•Licassed,hfwraucb Agent of that insurance carrier) Telephone Ntimtier (212)355-4141- True SUPERVISOR-DBUPOLICYSERVICES IMPORTANT.. if Box'4ar is-cfiecked',and this ionn,is signed by tfie insurance carriers authorized epmsentaWe:or NYS Licensed Insurance,Agent of that. carrier,'this'certificate is;COMPLETE.Mail h d'trectiy,Wthe certificate holder., ff Box:'4ti'is ifiecked,-th)s.certificate is NOT'COMPLETE for purposes ofSe!c ion 220;Subd.8 of the•Disability Benefits LaW.It must be mailed for pgmpletion to the:Workere Compensation.Board;'DB Plans Acceptance Unit:328 State.Street Scfieriectady,NY 92305 PART I To be.completed.by the NYS Workers'Compensation:Board(Onty1f,Box''4b""of P-aril has been checked*),' State.of New York Workers',Compe,nsation,Board According to information maintained by ttie NYS:Workers'Corti pensation�Boaitl,the:atiove-named employer fids"complied with"the NYS Disability Benefits Law with respect to all of his/her employees: Date Signed By .. _ Signature of NYS Workers'Compensation Board.Emogree), Telephone.Number Ttle; Please Nofe: Only Insurance carriers-licensed to write NYS,disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers a_'re aildioiiied to issue Forfii D&120:1: Insurance brokers are NOT authorized to Issue this krm. STATE OF NEW YORK. W0RKERS_'COMPLNS'ATl`Ot,i BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia. Legal Name and address of Insured(Vse.9trdetaddies§only) Ib. Business Telephone Number bVinsured, 0173418-0001 Long,Island Power Solutions Inc: I c:NYS Unemployment Insurance Employer Registration 3112 Expressway Drive South NumberofInsured lslandia;NY.11749. Pending,,, I d.Federal,Employer Identification Number of Insured ot Work Location-of insured(Only-r"equiredif cdv-&;oke is specifically So-dal Security,Number Iiinited io-certain locations in.New York State, i. l d Wrap-,Up,. 17-1,175,107 ,Policy,) 2.Name andAddress ofilie 9nt1iy_9qqe9t_1pg PiVq(6f 3a. Name.of Insurance Carrier Coverage(fritity-lYehig Listed ed as the C&tificiite Holder), New York MarineA General Insurance Co. Tbwn.ofSoutho4d, 36.,Policy Number of entity listed;in box"la":. 53095.Route:25 Southold,NY 119'71 WC20170013495 Jjc. 'Policy effective period: k 0.4/01720,1.7.:04/01/20.118 Thi P60rietorPartners or Executi4l)fflcers•are: 'includied. (Only check box if all 0ifthefsIM66s included), X all.excl6died or dertifih Oaftfieii/bffl&ri excluded. This certftiesitfiat the,fifsWrance carrier indicated blM abbve in box,""S"'insures the business referenced libVe in box "Va"f6f,workers' compensation under,the--New York State Workers"Compensation Law'. (To use this,form, New'York (NY) must be listed' u, n.der Item SA oil the INFORMATION--PAGE of the -workers! compensation policy).. The Insurance Carrier or its;licensed-agent-will send this.Certificate of Insurance to tfie drititV listed above asthecerti-f icate.holder,in box 11'. The lnsurance.*Corrier-will.'alsonigtify the above ceriij'jc4te tioldj);'iwtkj.l0days LF'dpoliqy is-cance&d_due-1o.nonpqymen1 q(preniiiims or within,30'days-IF there,are reasons other than ndh#4-*Cnt of premiums thbt cancel Me,policy or efiminate-ihe insured from the cove�age,ihdicoiedon.thl's-Cerliytcate. (Thesehdtices.,m,W9 sent by 4dgylarifiail) Otherwise,Ais--,Ger1q7caieL&valiqfor.one year dflir this form is approved by Me.Insurance.catriO.'6 -oifintil The p box"Jel!.1 2hicl, olicy expiradon�date listed in ever-is earlier. Pfifiisi.Ndt : U06h ihe-can cello 66n ofthe-workers' policy iiidiclifted 6h thii form,if'thi businesicontinues to be named,-on-on a, permit,license or**cbdtFact ifstiEdli-y h certificate-holder;'the 'musu 6e--tho -cert' t - ifiliiite li�ld' _business provi ef With h rRiw Certificate-6f W5'ekeii' 'Pompinsation CoyeragFor-other'outhorized.proof that t e bii-iii- 5—1" - — - -- -- 'wcoyeraij r_eq."Jirements,`of'the'New'-York- h siness is-compyinixith.the mandato -StAte.Wd'fkfiFVC6ff.e6ift.bn Law. ry Viid6fjp6d'alt'-of-p-'ei-jry, u ,lljcertil�y ihat I am an.aufficiritzed- represeiithtiiii�'dFlideifW_agent of the-insurance carrier,referenced ,y 'Okq*e sid_dtkqt`the named'insured-has the coverage a d s. ep;cted on this f6k.4h Aopf6Vi.d by: JoseRh.P.,Pri6e; (Print name dauth6riz6d repipentativ6 orlicensed.ageni of insurance carrier] A006ypd by: .01 i 6/2Q 17. (Date); -Title: President Teiepfi-dh-e,i4u,rfibee6fau.th'or'iz'e-d pqrPe-sebtafiveor licensed agent ofinsurance,6arrier61r]-60-1400 Pliaie,Note. Only insurance carried and`tti_eir lieefisOd OkOC�dre-aldhQrL edto_iSsueihe.C405.2form., 1iisurance brokers are Ali)j, atithofized to issue-it: Q-105.2'(9-Q7) w%vw.wcb/state.ny:usi LIPOWEO OP ID:ER. ACOfI U� DATE(MMIDOIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03/01/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER&NO RIGHTS UPON THE CERTIFICATE HOLDER.,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE;HOLDER; IMPORTANT: If the certificate holder is an ADDITIONAL INSURED',the policy(les)must be endorsed. If SUBROGATION IS WAIVED;subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Erica Rueckheim Joseph P.Price Agency,Inc. 'PHONE Fax 1160 Portion Road,Suite 14 Arc o tt•.631-698-7.400 ac No):631-698-5494, olts l NY 11742 ocess:Joseph P:Price nEeueckheim oe riceinsurance.com - INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:L-IO ds of London INSURED Long Island Power Solutions, INSURER a:Standard Security Life Infs. 69078' Inc. iNSURER C.New York Marine 8 General 3122 Expressway Drive South Islandia,NY 11749 INSURER D: INSURER E: INSURER F: 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 AFF.ORDED,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 CLA_IMS. INSR "- 'TYPE OF INSURANCEADDL PO Y EFF'" ' Y EXP LTR POLICY NUMBER 0 ODIYYY LIMITS _ A' X 'COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS MrwE O OCCUR PK201700009913DAMAGE TO RENTED 02/28/2017 02/28/2018 PREMISES Me occurrence i 60,00 X Contractual -- MED DCP(Arty one person) S 10,00 PERSONAL&'ADV INJURY. is - 1,000,000 I GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $- _ 2,000mo jE O- LOC POLICY❑ PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: _ _ $ AUTOMOBILE LIABILITY COMBINEDt SINGLE LIMB t (Ea accIden ANY AUTO BODILY INJURY(Per person) $ ALL pYSOWNED OS - BODILY INJURY(Per accideni) S NON-OWNED PROPERTY DAMAGE - HIRED AUTOS AUTOS p�accident t s UMBRELLA LLABOCCUR EACH OCCURRENCE t EXCESS LIAR HCLAIMS-MADE AGGREGATE S DED RETENTIONS WORKERS COMPENSATION -- .. -- X STA ER H AND EMPLOYERS'LIABS.RY _ C -ANY PROPRIETORIPARTNER4DMCUTIVE YIN 0201700013495 04/01/2017 04/01/2018 EL..EACHACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? NIA _ (Mandatory In NH) E.L-.DISEASE-EA EMPLOYEE S 1,000,000 If yes:describe under. DESCRIPTION OF OPERATIONS below _ _ EL DISEASE-POLICY LIMIT t - 1,000,000 g Disability Benefit R97411 01/01/2017 01/01/2018 Statutory A Install.Floater PK201700009913 02/28/2017 02%28/2018 1'60,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEiaCLES(ACORD 101;Additional Ramarks Schidiste,ruay be attached U morn space is ngWrsd) CERTIFICATE_ HOLDER CANCELLATION SOUTHOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES.BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 5309&koute 25' Southold,NY 11971 AUTHORKEO REPRESENTATIVE r - ©1988-2014 ACORD CORPORATION: All rights reserved. ACORD 25(2014/01) The�ACORD.name and logo are registered marks of ACORD i 1 '�r, 'W� _; .P •: .' �{l`� �%' ." t�f I u ._... ,..A• '•..�; �` 1' .Hrr C''j s! 1 `:� m`rL':an• .i•c�,;,'.r��u:.na' ,. ^Via`°";'"'.'A�'-:'..� c.:U rA,,,c, o r. `� , Z"in'...: - Ii �e+y'• y "sem. �1.t �,� �j"� -i?l� .� c�y,.� u;w m„•.` 33r.';;� t,n+,,;. a:;�>. �/ 'g .'y:('' ��'..., � ';"'2 '�j � �'2� ';'y;d:.�`,' .�",' -'.d? • .:!”' r•_ '.`;' ...r� � � .'S1y '. y:75.Y.�• 1 v .`1/ > �Y e�'s4Yvn4VriTVt'.U,ADi.'.7bWa:.e'.1111.N0. .••'S.4:4\C(A'9$2i+EJCS'XS:414FYSW.:x1W: Y'AY.a.1.:'49NY:. �• - taNKCA'6t,'`:1Nr�w,C• �t`dM>A�• •.'1F. �'R:1F!'.,.:>`�44�Y��"iWds�'..:,xF-r4!k+?` 7: ,/!iSk�)tY.:NY 4A1Wr'•'f.Vk•Ys6'tEf'�.=14.CN1AWTri' t Suffolk Caunty,,.Depait rnt`caf Labo•r,, Licensing.& K Consum&Affairs VETERANS.WMQRIAL.HIGHWAY ' HAUPPAUGE;NEW YORK 1:1788- If DATEISSUED: 6%6/2014' No: '53566-Mlt I a - SUEFOLK..COU.NTY` I ' Master- E,lectr *cian License i . This is.tozer[ifythat _ MICAAEL J CATIZONE ' 'r' ' doifgbusiness,as 'LONGISLAND'POWER SOLUTIONS-INC. .. _-_ _ j •` t !' having giyen,sati, ctory,evidence of,.competency is hereby_aicensed.as MASTER ELECTRICIAN in accordance' ;with andaubject torttie-proyisiops of:applicable_laws,_rules,and regul'atiari"sof' } the_Couniy of:SuMlk.State of New Yoi'k., 1 H Additional.Businesses 6 1. NOT:VALID WITHOUT , DEPARTMENTAL SEALS AND A CURRENT CONSUMER' 'AFFAIRS ID.CARD ,Commissioner, ,:r'.�or.,_,�:.^:;'ira--'—^;res^m:r,�::mx.,cxw..;.z:•sto.�:.a•.sn:na.%�sr,•.sr,;.>�:lua�ax;nerz.�c�:•acf•��,-nnrsnss.,:;emaa..te:cnsw�n: ;rs.�.-a•, ;nrsa .arlr:zt`r,. e5:,.., :rt'+a,.:: _.._..._ _. - ' '� d, .. �A'/8r•.. .:. ,yn^ahz?inT,.:°r yAq,;n]'., ,•6'T!'trt5.�„j ”. } �' e •�•' rte' I T .�5:, � a1. � ,j,.� k pq�` l� + `�\. � .. '�, �\ry�i� �, ' 4 i ;:1:n.:wya i, y\1 ,11 ,.. r—^-rc td.. \{ inm'"—" i�• �., s a;' 'gum.•.. '�.r. s. �,..;`A ', -� -.� �,. m `�. :o, ba�`ue3r'c•�w.• w .�u.W' + w�'� vl ! '�" �'r ��>=`•• t:Sa'A^.FIA-S:Y:L'ILY IW:ES_±.' L_�'k�':ip .._._.._._—_'.—Y.Y—_� L •N:'^ —,RZCILi^4�:p%fi.M•PFWY/Pt.:M>1�A 4C:J`Tk ML••1Tl'A1Sn'Y^.S'%u'/C�-•_`'•!�:�i`=OC�4SN--. _ __'%�Kt+tW9VL^AS[A':.kNLv`�'LI.:J•�v:.ti.�.'SLL�' .YI�, .Suffolk 1County',Department of, `L:ab_or; Licensing-,•F& Consumer Affair•.s° ( t'h g VETERANS N EMORIAL M.614WAY' * jHAUPPAUGE,NEW YORK 1'17:88 DATE ISSUED: 6/6/2014, No.. $3562-I3 f - „= i 'SUTFOLK COUNTY ? y .Hame Improvement Contractor;License, This is.to•certify-thai- 'MICHAEL J CATIZONE' ; I doing busi'n`ess as -; LONG 1SLAN1YP0WER'S0LUTI0NS,INC.. having"f Mished-th6..requireirien"ts set forth,in.-accordance wiih and-subject:to the.proVisions;of'w6licable laws,Tutes 1 sl an6re6lations of;the'Counry of;St ffolk;'State of New Y4iik is Yiereby 1►censed'to.c45nducL 6u`sines's as-d'HOME; '.,• . r< !� MROVENMNT`CONTRACTOR,:inAhe County of'Suffolk,. 'License Category. �,� I NOTNALID'W,ITHOUT -Addition6lBusinesses, Other DEPARTMENTAL SEAL ! i ANDA CURRENT' CONSUMER AFFAIR_S• IRCARD: " 1 ; ilea, Comr6issioner° i i 3 i _ _ f � i4• :' SAI:"a:3lSl+L�nti.vu.Jf.1']YtS:XmTu'::Vi•L•f`.5 �.. itYC>"�.!•L.t v�JT7fJ.i"J.iYG•":J'��ih6�i'•^�ii"'A:G�T•'$YdM*'Yi d�ibT.wSf.IYAvilV•'ri e+lA'4RMD'2+�V.'6i(h�y'.T�iS.'CT.v�v> :;St ":t•7F[�G'Y'\Y.. .Y.•p.'`3• :iif"CTT•^/FIG:vL wR:�;:..rd1?•NS4.9,n�.v:vaiYr�v3 t _ #f ',}. .r:'Tr ';;• t - \}' ,r t=i ." e- f .h _ _aid ,, ', ''_t;(: - i3.:c,```v',,,`���\ C'. `ri�,�� `�`�';tr,:.,,• r .�, i .`� ��. .y�' .T' � t .� ..,;:�" /�:�5 ...m�s^¢``p-�� �c+R'^''r ^'-Wit.:..' �'�•t'1 "'C., �r �' •�,:U `''a•'-��'0tc'j.",,.r-'� �=A�^!U'�Y"; �'�""�i. :-.:•=+ ' ,..<;esmrc:m�:�+`, -��?_r„m-. '-.s �^�m..�"'.^.,F'�S',f -'..� m.'�"S:_�'.:5+"fi''� �'. \ jI S: :'{ ,yj. .,. '� ..At '4• !tN 4�\.�.,"�,° !�• _ yl' t yCi. ��. .yea P' _�d t:..ly• .�" t SUS C 11NTY-0E ST OF-LABOR' x ti 's• r .. t:ICENStNO:B�-CdNSI AAMAMAI. _ MASTER- nor ASTER- E ELECTR.tC14N ` ; f' IAIC fiA€L; GA7tZlb x� J tS:t #t( 't�ldt PO GN : AT1Z4N :E ECTRld 00_MRA.,T.; d ' censed.#sy;t -- Pacifico Engineering PC __ Engineering Consulting 700 Lakeland Ave, Suite 2B Ph.631-988-0000 Bohemia, NY 11716 c solar@pacificoengineering.com November 28, 2017 - l� Town of Southold Building Department 54375 Route 25, P.O Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for Aid to the Developmentally Disabled Section-Block-Lot: 95-4-18.29 825 Horseshoe Dr Cutchogue, NY 11935 1 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 20 0 ft 20 0 ft Pitch 24 degrees 24 degrees Roof rafter 2x8 2x8 Rafter spacing 16 inch on center 16 inch on center Reflected roof rafter span 6 7 ft 9 0 ft Table R802.5.1(1)max allowable 16 9 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, CRITERIA psf mph psf load,Ib Roof Section A B 20 130 33 599 SS 5/16"dia lag bolt,5"length B 33 599 SS 5/16"dia lag bolt,5"length Weight Distribution P��OFP Eye, t array dead load 3.5 psf ' QH AC y0 load per attachment 63.5 Ib CO �V �'ciC Subject roof has one layer of shingles. * O � Panels mounted flush to roof no higher than 6 inches above roof surface. W W Ralph Pacifico, PE N = Professional Engineer ,p 06618 R cow n NY 8 c� Data Sheet Enphase Microinverters Enphase Designed for higher powered modules,the smart grid- ready Enphase IQ 6 MicroT" and Enphase IQ 6+Micro'" Q6 and IQ 6+ are built on the sixth-generation platform and achieve M icroi everters the highest efficiency for module-level power electronics and reduced cost per watt. Part of the Enphase IQ System,the IQ 6 and IQ 6+ Micro integrate seamlessly with the Enphase IQ Envoy"', . Enphase IQ Battery",and the Enphase Enlighten' monitoring and analysis software The IQ 6 and IQ 6+ Micro are very reliable as they have fewer parts and undergo over 1 million hours of testing. Enphase provides an industry-leading warranty of up to 25 years Easy to Install Lightweight • Simple cable management • Built-in-rapid shutdown(NEC 2014) Productive • Optimized for high powered modules • Supports 60 and 72-cell modules • Maximizes energy production Smart Grid Ready • Complies with fixed power factor,voltage and frequency ride-through requirements • Remotely updates to respond to changing grid requirements Configurable for varying grid profiles U` ENPHASE. E. To learn more about Enphase offerings,visit enphase.com v r Enphase IQ 6 and IQ 6+ Microinverters INPUT DATA(DC) IQ6-60-2-US AND IQ6-60-5-US I06PLUS-72-2-US AND IQ6PLUS-72-5-US Commonly used module pairings, 195 W-330 W+ 235W-400W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48 V 62 V Peak power tracking voltage 27 V-37 V 27 V-45 V Operating range 16V-48V 16V-62V Min/Max start voltage 22V/48V 22 V/62 V Max DC short circuit current(module Isc) 15A 15A Overvoltage class DC port II 11 DC port backfeed under single fault 0 A 0 A PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ6-60-2-US AND I06-60-5-US IQ6PLUS-72-2-US AND IQ6PLUS-72-5-US Peak output power 240 VA 290 VA Maximum continuous output power 230 VA 280 VA Nominal voltage/rangez 240 V/211-264 V 208V(10)/183-229 V 240 V/211-264 V 208 V(1(D)/183-229 V Nominal output current 0.96 A 111 A 1.17 A 1.35 A Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz Power factor at rated power 1.0 1.0 Maximum units per 20 A branch circuit 16(240 VAC) 13(240 VAC) 14(single-phase 208 VAC) 11 (single-phase 208 VAC) Overvoltage class AC port III III AC port backfeed under single fault 0 A 0 A Power factor(adjustable) 0.7 leading 0.7 lagging 0.7 leading...0.7 lagging EFFICIENCY @240 V @208 V(10) @240 V @208 V(10) i CEC weighted efficiency 97.0% 96.5% 97.0% 96.5% MECHANICAL DATA i Ambient temperature range -40°C to+65°C Relative humidity range 4%to 100%(condensing) Connector type MC4 or Amphenol H4 UTX Dimensions(WxHxO) 219 mm x 191 mm x 37.9 mm(without bracket) Weight 1.5 kg(3.3 lbs) Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Environmental category/UV exposure rating Outdoor-NEMA 250,type 6(IP67) FEATURES Communication Power line Monitoring Enlighten Manager and MyEnlighten monitoring options Compatible with Enphase IQ Envoy Compliance UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22.2 NO.1071-01 This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions. 1 No enforced DC/AC ratio.See the compatibility calculator at enghase.com/en-us/support/module-com atn ibility. 2.Nominal voltage range can be extended beyond nominal if required by the utility. To learn more about Enphase offerings,visit enphase.com @ 2017 Enphase Energy All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. E N P H A S E. 2017-03-15 `� www.jinkosolar.com fin1<0 e • Optimized by KEY FEATURES maxim integrated_ High module efficiency up to 17.72%,with Passivated Emitter Rear Contact (PERC)technology I ®_ Built-in intelligent cell optimizer IC avoids negative consequences of any type of mismatch within a panel caused by shading,soiling,aging,unfavorable house orientation,etc.to ensure greatest power output possible. The most flexible solution for any rooftop condition and orientation. �s iElimination of hot spots,which results in minimized panel degradation. ® Best-in-class shade tolerance by performing MPPT on individual cell-strings to maximize energy harvest. f f� Anti-electromagnetic interference. No added hardware,compatible with any inverter and optimization built into the module. LINEAR PERFORMANCE WARRANTY 10 Year Product Warranty • 25 Year Linear Power Warranty PV^ X00% Linear performance warranty CE . �p c 9>R Aaaiti Standard performance warranty v onOi volae bo'Jinko SOiOr s linear ffi I a 80.2% years S 12 2s r Smart Module Innovations in the photovoltaic industry over the past decades have made PV technology a viable solution for widespread adoption. However, several issues prevent today's standard solar installations from functioning as ideal power sources Solar modules that are expected to be exposed to the environment for at least 25 years can be affected by conditions such as; shading, soiling, aging, temperature gradients, and more. Mismatch caused by these factors in a panel or among various panels can cause the system to lose power. JinkoSolar Smart Module solutions solves these problems and produce in up to 20% more energy under these unfavorable conditions Ideal For High Volume Residentials JinkoMaximized modules can produce the most energy possible regardless of home orientation or.shading issues, without the complexity of DC Optimizers or added expense of Microinverters Because MPPT for each cell string is embedded into the fabric of these modules, system design can be simplified while still utilizing the industry's most trusted brands of string inverters. Installation is identical to that of standard modules and requires no internet configuration so shade tolerance can be included without retraining crews or slowing installation. JinkoMaximized is the perfect solution for today's high-volume residential installers Perfect for Commercial rooftops Smart modules optimized by Maxim can lower the cost and enhance the financial performance of large PV projects by improving the system density. The module's built-in shade tolerance can accommodate closer row spacing enabling more production per square meter . This not only cost-effectively maximizes production in constrained areas, but also amortizes fixed costs over larger nameplate capacity lowering cost per watt. The smart module will deliver consistently more power to the off-taker and greater profits for the system owner. Smart Module Behavior MPPT Mode: JinkoSolar Smart Module isolates cells within the module and arbitrarily scales up MPPT Mode flash Test Mode the output current to match the Simulated Real Behavior Tested by Source Simulator string current, hence allowing each cell group to independently Pmp PMP operate at its unique Maximum Isc Power Point Isc Flash Test Mode:A flash test sweep is is performed at a faster rate than the MPPT response time.This allows the module to revert to Active Bypass mode and results in an IN curve that is comparable to a A - conventional, non optimized, voc voc curve Engineering �.�. 1 -, � H-0.5 r MPPT Mode Flash Test Mode a� r-1 Simulated Real Behavior Tested by Source Simulator r•�• �it� (290W) (290W)— IIIIf1fI_I v \ w� £ \\ F 5• 1 £ 3 "J F,m Sid. Baric Nottage(V) Voltage(v) Mechanical Characteristics ■ i ! I is ii Mono-crystalline Cell Type PERC 156x156mm(6 inch) j� No of cells 60(6x 10) Dimensions 165Ox992x4Omm(65.00x39.050.57 inch) Weight 19.0 kg(41.9 lbs)77--71 Front Glass3.2mm,High Transmission,Low Iron,Tempered Glass Packaging Configurations Frame Anodized Aluminium Alloy (Two boxes=0nepallet) Junction Box IP65 Rated 26pcs/box,52pcs/pallet,728 pcs/40'HQ Container Output Cables TUV 1 x4.Omm;Length:900mm or Customized Length SPECIFICATIONS Module Type JKM270M-00B JKM275Mb0B JKM28OM-00B JKM285M-60B JKM29OM-00B STC NOCT STC NOCT STC NOCT STC NOCT STC NOCT Maximum Power(Pmax) 270Wp 201 Wp 275%" 205Wp 28OWp 209Wp 285Wp 212Wp 290Wp 216Wp Maximum Power Voltage(Vmp) 31.4V 29.3V 31.6V 29.6V 31.8V 29.7V 32.OV 29.9V 32.2V 30.2V Maximum Power Current(Imp) 8.60A 6.85A 8.70A 6.93A 8.81A 7.01A 8.90A 7 12A 9.02A 7.21A Open-circuit Voltage(Voc) 38AV 35.6V 38.5V 36.OV 38.6V 36.2V 38.7V 36AV 38.8V 36.6V 5hort-circuit Current(Isc) 9.28A 7 45A 9.40A 7.54A 9.53A 7.62A 9.65A 7.72A 9.78A 7.81A Module Efficiency STC(%) 16.50% 16.80% 1711% 17.41% 17.72% Operating Temperature(C) -40'C-+85C Maximum system voltage 1000VDC(IEC) Maximum series fuse rating 15A Power tolerance O- 3% Temperature coefficients of Pmax -0.39%rC Temperature coefficients of Voc -0.29%rC Temperature coefficients of Isc 0J05%r c Nominal operating cell temperature (NOCT) 45±21C STC' Irradiance 1000W/ml Cell Temperature 25°C AM=1.5 NOCT: :Irradiance 800W/mz ®Ambient Temperature 20°C All Wind Speed 1m/s • Power measurement tolerance:±3% CAUTION: READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT ®Jinko Solar Co., Ltd. All rights reserved specifications included in this datasheet are subject to change without notice. EN-MKT-290M-608 v1 0 rev2016 JinkoSolar Holding Co.,Ltd. Headquarters Global Sales&Marketing Center Jiangxi Manufacture Base Zhejiang Manufacture Base 16F,Building No.2 No.1 Jinko Road; No.58 Yuanxi Road, 428#South Yang Gao Road, Shangrao Economic Development Zone, Haining Yuanhua Industrial Park, Shanghai,China 200127 Jiangxi Province,China 334100 Zhejiang Province,China 314416 Tel:+86 21 6061 1799 Tel:+86 793 858 8188 Tel:+86 573 8798 5678 Fax:+86 21 6876 1115 Fax:+86 793 846 1152 Fax:+86 573 8787 1070 Europe JinkoSolar(Switzerland)A.G. JinkoSolar GmbH in Munich,Germany JinkoSolar Office in Bologna,Italy Chamerstrasse 85,in 6300 Zug Freisingerstr.9 Via Bazzanese 3217 Tel:+41 41 748 0010 D-85716 UnterschleiGheim bei Casalechio di Reno(BO) Fax:+41 41 748 0019 Mbnchen,Germany Tel:+39 051 298 8511 europe@jinkosolar.com Tel:+49(0)891433246-0 Fax:+39 051 571 274 Fax:+49(0)891433246-29 italy@jinkosolar.com germany@jinkosolar.com North America JinkoSolar(U.S.)Inc. JinkoSolar Canada Co.,Ltd. 343 Sansome Street,Suite 975, Suite 703,100 Allsate Parkway, San Francisco,CA 94104 Markham,ON Canada L3R 61-13 Tel:+1 415 402 0502 Tel:+1 905 604 2527 Fax:+1 415 402 0703 Fax:+1 905 604 2687 us@jinkosolar.com canada@jinkosolar.com Asia & Pacific JinkoSolar Japan KK JinkoSolar China JinkoSolar Osaka Office JinkoSolar Australia Holdings Co.,Ltd. 9F,Kabutochokaisei Building,13-2, F22 137-9,Western Central Plaza T1, 6F Sakaisuji Honmachi Building. Level 13,307 Queen St,Brisbane OLD 4000. Nihonbashi kabutocho,Chuo-ku,Tokyo 1#Xizhimen Street.Beijing. 1-8-14.Minami Honmachi,Chuo-ku. Customer Service:+61(0)7 3236 5460; Japan 104-0033 China 100044 Osaka.541-0054 Japan Sales. +61(0)7 3221 5218 Tel:+81(0)3 6661 0899 Tel:+86 10 5830 1948 Sales +81(0)6 6125 5553 Fax:+61(0)7 3236 5794 Fax:+81(0)3 6661 0129 Fax:+86 10 5834 1487 Fax:+81(0)6 6125 5977 aus@jinkosolar.com Logistics Warehouses in Europe & US www.jinkosolar.com I sales@jinkosolar.com The company reserves the final right for explanation on any of the information presented hereby. /lr IRONRIDGE Roof Mount System r•�i,l'V i { Built for solar's toughest roofs. IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. a Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and is also why our products,are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified All components evaluated for superior ® Pre-stamped engineering letters structural performance. available in most states. Class A Fire Rating - Design Software Certified to maintain the fire resistance ® Online tool generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding 20 Year Warranty ® UL 2703 system eliminates separate Twice the protection offered by module grounding components. competitors. XR Rails XR10 Rail XR100 Rail XR1000 Rail Internal Splices Q i A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions with light snow. solar mounting rail. rail for commercial projects. for seamless connections. • 6'spanning capability 8'spanning capability 12'spanning capability Self-tapping screws • Moderate load capability Heavy load capability Extreme load capability Varying versions for rails • Clear& black anod. finish Clear& black anod.finish- Clear anodized finish Grounding Straps offered Attachments FlashFoot Slotted L-Feet Standoffs Tilt Legs AIL k, + a Anchor, flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware High-friction serrated face Works with vent flashing Attaches directly to rail • IBC& IRC compliant Heavy-duty profile shape Ships pre-assembled Ships with all hardware • Certified with XR Rails Clear& black anod. finish 4"and 7" Lengths Fixed and adjustable Clamps & Grounding End Clamps Grounding Mid Clamps Q T Bolt Grounding Lugs Q Accessories Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Mill finish &black anod. Parallel bonding T-bolt Easy top-slot mounting Snap-in Wire Clips • Sizes from 1.22"to 2.3" Reusable up to 10 times Eliminates pre-drilling Perfected End Caps • Optional Under Clamps Mill& black stainless Swivels in any direction UV-protected polymer Free Resources Design Assistant A NABCEP Certified Training Go from rough layout to fully �•V, Earn free continuing education credits, =- —! engineered system. For free. A o while learning more about our systems. Go to IronRidge.com/rm Go to IronRidge.com/training o :•0 ���_ O Long Island o c, -COGEN Disconnect POWER SOLUTIONS Located adjacent to Utility meter 3122 Expressway Drive South Inverter Islandia, NY 11749 (631) 348-0001 Customer: Section Aid to the Developmentally 95 Disabled Block 825 Horseshoe Dr 4 Lot Cutchogue, NY 18.29 11935 (631)727-6220 . General Notes: Project:�� ��i�i Inverter Micro Q -Enphase I 6 �� ��� Total system watts DC p e � � � ,� are located on roof behind each module. �� �� 14 790W -First responder access maintained and �� ® Total # of Modules : from adjacent roof. 51 -Wire run from array to connection is 40 feet. N Module Type/Watt : Roof Section 1Wind Load Jinko 290W Roof type Pitch Azimuth pnet30 per ASCE?-OS Fastener Type Back-up/Inverter Type R1 Composition Shinglesi 240 2190 -56.2 PSF Use 5/16 " dia. 5" Las Enphase IQ6 R2 Composition Shinglesi 240 1290 -56.2 PSF Use 5/16 " dia. 5" Las Support: Another Solar Installation Sheet Index Legend Iron Ridge XR-100 By S-0 Cover Sheet / Site Plan First responder access P c - � °�A 0 o S-1 Roof Diagram p EGc ��-Q" c''�� 00 Mo g O Utility Meter Long Island �' S o Boo Lakeland Ate,Suite 28 l�.i� � � S-2 Detail Bohemia,NY 11718 Q F_ � PV Disconnect Ph:831-988-0000 POWER SOLUTIONS C Fire Clearance o Vent Pipe E-1 One - Line soiar@pacificoengineering.com m nr www.pacificoengineering.com �,p X86182 E-2 Micro Inverter riser diagram Chimney � Date: i i.3.17 Cover Sheet/ /o Satellite Drawn by: TP � This PV Solar project complies with the 2015 International Residential Code (IRC), the Checked by: Site Plan Rev #: 00 2016 NYS Uniform Code Supplement,the 2015 Wood Frame Construction Manual (WFCM 2015), Rev Date: S -0 NFPA 70 Standard "National Electrical Code" and the Zoning Code of the Town of Southold. O Long Island d�00 POWER SOLUTIONS Long 50'-6" 31'-311 3122 Expressway Drive South IslandiaNY 0 (6 31) 34 001749 III 16'-7" Ll ON 11,1111 11'-9" Customer: Aid to the Developmentally NOISOMENESS Disabled 825 Horseshoe Dr Cutchogue, NY R-1 R-2 11935 # Modules (43) # Modules (8) Pitch: 24° Pitch: 240 Total system watts DC Azimuth: 2190 Azimuth: 129° 14,790W Total # of Modules 51 Module Type/Watt : Jinko 290W Type Back-up/Inverter T e p Enphase IQ6 Support: Iron Ridge XR- 100 e of NF�'Y GI'N' GCP 02700 Lakeland Ave,Suite 2B Bohemia,NY 11716 cr '-311 Ph:631-988-0000 m 1 Z 2 sofar@pacificoengineenng.com www.pacificoengineering.com O 0 �I r 51-511 Date: 11.3.17 P� Drawn by: TP � ® Diagram Checked by: S - 1 Rev #: 00 1st Responder Access Rev Date' minimum of 36"unobstructed as per Section R324 of the 2015 IRC rP ngIsland o000WER SOLUTIONS 50'-6" 31'-3" 3122 Expressway Drive South Islandia, NY 11749 F, (631) 348-0001 16'-7" 11'-9" I I I I Customer: Aid to the Developmentally Disabled 825 Horseshoe Dr 17' 12 Cutchogue, NY R-1 R-2 11935 # Modules (43) 1.4' 6 # Modules (8) Pitch: 24° Pitch: 24° Azimuth: 219° � 6 Azimuth: 129° Total system watts DC l � 149790W Splice Bar 12 L Feet 72 Total # of Modules UFO's 114 51 40MM Sleeves 24 End Caps 24 Module Type/Watt : Jinko 290W Back-up/Inverter Type Enphase IQ6 Support: Iron Ridge XR-100 ♦ ,�., P ,C ' �P� �H PAIN, Gc CS y0 ♦♦ ,, 700 Lakeland♦♦ Ave,suite 2B ', ♦ �,, Bohemia,NY 11718 W r ♦� �o �s�♦ 1-31. Ph:631-988-0000 ♦ / ' ♦��, solar@pacificoengineenng.co 0 06'618 if www.pacificoengineering.com � 5'-511 Date: 11.3.17 ♦♦ ♦, Drawn by: TP Diagram Checked by: Rev #: 00 S -1 11st Responder Access Rev Date: 1 minimum of 36"unobstructed as per Section 8324 of the 2015 IRC - - o ,� -.� Long Island �co 0 r''`� POWER SOLUTIONS IronRidge XR 100 Rail OF 3122 Expressway Drive South Islandia, NY 11749 (631) 348-0001 Customer. Ca Aid to the Developmentally Disabled 31 _ - Erbd Flashing / 825 Horseshoe Dr IronRidge XR 100 Railer ., s wCutchg ig IronRidge XR 100 Rail µ'� ��• o ue, NY 5/16" x 5" Stainless 11935 Steel Lag Bolt Project: Designed as per ASCE7-10 Total system watts DC 14,790W Total # of Modules Modules mounted flush to roof Solar Module 51 no higher than 6" above surface. 3/e--116 X 3/4 Module Type/Watt : 64EX HEAD ®BOLT zVe ' 6" Jinko 290W F "GE NUT ��, 11 General Notes: 3 - /g Back-up/Inverter Type Enphas- L Feet are secured to roof rafters. e I �� ►� �� Support: @ 80 O.C. using 5/16 x 5 stainless Iron Ridge XR-100 steel Lag bolts. -- - Subject roof has One layer. .N G ,,oF NFA E G ��P�P PH PAC, zy�9 - All penetrations are sealed and flashed. 700LakelandAve,Suite 2B P Bohemia,NY 11716 ir Ph:631-988-0000 solar@pacificoengineering.com 0 Roof Section Pitch Ridge Roof Rafters Ceiling Joists Collar ties Overhang Notes www•Pacificoengineering.com A 66182 ssio R1 5/12 211x10" 211x8" A 16" O.C. 211x8" 16" O.C. @ 48 O.C. 12" Kneewall Date: 11.3.17 Detail R2 5/12 2"x10" 2"x8" @ 16" O.C. 2"x8" 16" O.C. 48 O.C. 12" Drawn by: TP Checked by: Rev #: 00 Rev Date: S -2 0 Long Island 'coca POWER SOLUTIONS O 3122 Expressway Drive South Islandia, NY 11749 (631) 348-0001 Ground Access Point Customer: Aid to the Developmentally Disabled 825 Horseshoe Dr 0 Cutchogue, NY Ground Access Point 4,V 11935 Project: -2 Total system watts DC # Modules (8) 14,790W 3' Access Pathway Pitch: 24° Total # of Modules Azimuth: 129° 51 Module Type/Watt o Utility Meter Jinko 290W Back-up/Inverter Type Enphase IQ6 Support: O Iron Ridge XR-100 P 'c - °F NE wy E �N G.- R-1 700 Lakeland Ave,Suite 26 # Modules (43) Ground Access Point Bohemia,NY 11718 , O Ph:631-988-0000 � i 2 Pitch: 24 soar@pacificcengineering.com to� 0661812 Azimuth: 219° www.pacificcengineering.com O'� LcSSIo �� 3 Access Pathway Date: 11.3.17 F-C Drawn by: TP Checked by: Fire Rev #: 00 Clearance Composition Shingles on All Roof Surfaces Rev Date: Equipment List: 0 0 0 rPOWER ong Island °o AC Combiner: SOLUTIONS Photovoltaics: 1-Phase, Main Lug Loadcenter, 125A (5 1) Jinko JKM290M-60B 3122 Expressway Drive South Note: Islandia, NY 11749 Inverters: All wiring to meet the 2014 NEC and (631) 348-0001 (5 1) Enphase- IQ6-60-5-US 2015 Energy Code Maximum Inverters per 20A Branch Circuit (16) 70A Fused Service Rated Disconnect Customer: Aid to the Developmentally Photovoltaics: (5 1) Jinko JKM290M-60B Disabled 825 Horseshoe Dr NEMA A Inverters Cutchogue, NY Junction Box En a e Cable (5 1) Enphase IQ6 Micro Inverters 11935 Black-L1 Red-L2 White-Neutral Project: Green-Ground Circuits: (3) circuit of(13) Modules Total system watts DC (1) circuit of(12) Modules 14,790W #12 AWG THWN for Home runs under 100' Roof Total # of Modules #10 AWG THWN for Home runs over 100'' (I) Line I (l)Line 2 51 (1)Neutral EGc Per Module Type/Watt PeC in I" or 1 1/4"PVC Conduit p - p Meter Jinko 290W .. .• . ' O Back-up/Inverter Type • - Enphase IQ6 Support: Iron Ridge XR-100 '7" • ( —Line Side Tap 70A Fused Service Main Service P C i �, ,`�oF NE�1/y 125A Load Center Rated Disconnect 150A _P GI.N' I G c ,QH iC0 0 0 70A Fuse • 0 (I)-20A Breaker 700 Lakeland Ave,Suite 2B Q Per Circuit Bohemia,NY 11716 (_ RATED AC OUTPUT CURRENT A Ph.631-988-0000 n t w NOMINAL OPERATING AC VOLTAGE V Disconnect P .a, sofar@pacificoengineenng.com www.pacificoengineenng.com FSA 066182 FESSIO ACDistribution Panel Date: 11.3.17 Three- 1ne Q;WARN t N G or Sub Panel Drawn by: TP #4 AWG THWN 4 AWG THWN INVERTER OUTPUr CONNECTION (1)Line 1 (1)Line 1 Checked by: •DO NOT RELOCATE (1)Line 2 (1)Line 2 (I)Neutral (I)Neutral Rev #. 00 E- 1 THIS OVERCURRENT (1)EGC (1)EGC DEVICE in 1 1/4"PVC Conduit (1)GEC Rev Date: W.we»►'e0AW ..iwww Qo Q in 1 1/4"PVC Conduit Data Sheet Enphase Microinverters Enphase Designed for higher powered modules,the smart grid- ready Enphase IQ 6 Micro" and Enphase IQ 6+Micro'" Q6 and IQ 6+ are built on the sixth-generation platform and achieve the highest efficiency for module-level power electronics M icroi nverters and reduced cost per watt. Part of the Enphase IQ System,the IQ 6 and IQ 6+ Micro integrate seamlessly with the Enphase 1Q Envoy'", Enphase IQ Battery'",and the Enphase Enlighten' monitoring and analysis software. The IQ 6 and IQ 6+ Micro are very reliable as they have fewer parts and undergo over 1 million hours of testing. Enphase provides an industry-leading warranty-of up to 25 years Easy to Install • Lightweight • Simple cable management • Built-in rapid shutdown(NEC 2014) Productive • Optimized for high powered modules • Supports 60 and 72-cell modules • Maximizes energy production Smart Grid Ready • Complies with fixed power factor,voltage and frequency ride-through requirements • Remotely updates to respond to changing grid requirements • Configurable for varying grid profiles UL To learn more about Enphase offerings,visit enphase.com E N P H AS E. Enphase IQ 6 and IQ 6+ Microinverters INPUT DATA(DC) IQ6-60-2-US AND IQ6-60-5-US 106PLUS-72-2-US AND IQ6PLUS-72-5-US Commonly used module pairings' 195 W-330 W+ 235W-400W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 62V Peak power tracking voltage 27 V-.37 V 27 V-45 V Operating range 16V-48V 16V-62V Min/Max start voltage 22V/48V 22V/62V Max DC short circuit current(module Isc) 15A 15A Overvoltage class DC port II II DC port backfeed under single fault 0 A 0 A PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ6-60-2-US AND IQ6-60-5-US IQ6PLUS-72-2-US AND IQ6PLUS-72-5-US Peak output power 240 VA 290 VA Maximum continuous output power 230 VA 280 VA Nominal voltage/range2 240 V/211-264 V 208 V(10)/183-229 V 240 V/211-264 V 208 V(10)/183-229 V Nominal output current 0.96 A 111 A 1.17 A 1.35 A Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz Power factor at rated power 1.0 1.0 Maximum units per 20 A branch circuit 16(240 VAC) 13(240 VAC) 14(single-phase 208 VAC) 11 (single-phase 208 VAC) Overvoltage class AC port III III AC port backfeed under single fault 0 A 0 A Power factor(adjustable) 0.7 leading 0.7 lagging 0.7 leading 0.7 lagging EFFICIENCY @240 V @208 V(10) @240 V @208 V(10) CEC weighted efficiency 97.0% 96.5% 97.0% 96.5% MECHANICAL DATA Ambient temperature range -40°C to+65°C Relative humidity range 4%to 100%(condensing) Connector type MC4 or Amphenol H4 UTX Dimensions(WxHxD) 219 mm x 191 mm x 379 mm(without bracket) Weight 1.5 kg(3.3 lbs) Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 - Environmental category/UV exposure rating Outdoor-NEMA 250,type 6(IP67) FEATURES Communication Power line Monitoring Enlighten Manager and MyEnlighten monitoring options Compatible with Enphase IQ Envoy Compliance UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22.2 NO.107.1-01 This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions. 1.No enforced DC/AC ratio.See the compatibility calculator at enphase.com/en-us/support/module-compatmbilit 2.Nominal voltage range can be extended beyond nominal if required by the utility To learn more about Enphase offerings,visit enphase.com @ 2017 Enphase Energy All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. E N P H A S E. 2017-03-15 \� s� www jinkosolar com fin1<0 Eagle MX 60B • Waff MONOCRYSTALLINE MODULE Positive power tolerance. Preliminary Version Optimized by KEY FEATURES maxim integrated_ High module efficiency up to 17.72%,with Passivated Emitter Rear Contact (PERC)technology ® Built-in intelligent cell optimizer IC avoids negative consequences of any type of mismatch within a panel caused by shading,soiling,aging,unfavorable house orientation,etc.to ensure greatest power output possible. The most flexible solution for any rooftop condition and orientation. Elimination of hot spots,which results in minimized panel degradation. ® Best-in-class shade tolerance by performing MPPT on individual cell-strings to maximize energy harvest. sf Anti-electromagnetic interference. 4 No added hardware,compatible with any inverter and optimization built into �r the module. LINEAR PERFORMANCE WARRANTY 10 Year Product Warranty • 25 Year Unear Power Warranty NEW CE Kia. M I ° Unear performance warranty PVCYCLE rd/) u 97% AcytlStandard performance warranty 95%.9 001 vOlue horn Ji^ko Sol. s li ffi ^eor wO�O^1y o 80.2%- I 5 12 25 years a Smart Module Innovations in the photovoltaic industry over the past decades have made PV technology a viable solution for widespread adoption. However, several issues prevent today's standard solar installations from functioning as ideal power sources Solar modules that are expected to be exposed to the.environment for at least 25 years can be affected by conditions such as, shading, soiling, aging, temperature gradients, and more. Mismatch caused by these factors in a panel or among various panels can cause the system to lose power. JinkoSolar Smart Module solutions solves these problems and produce in up to 20% more energy under these unfavorable conditions. -Ideal For High Volume Residentials JinkoMaximized modules can produce the most energy possible regardless of home orientation or shading issues, without the complexity of DC Optimizers or added expense of Micro.inverters. Because MPPT for each cell string is embedded into the fabric of these modules, system design-can be simplified while still utilizing the industry's most trusted brands of string inverters Installation is identical to that of standard modules and requires no internet configuration so shade tolerance can be included without retraining crews or slowing installation. JinkoMaximized is the perfect solution for today's high-volume residential installers. Perfect for Commercial rooftops Smart modules optimized by Maxim can lower the cost and enhance the financial performance of large PV projects by improving the system density. The module's built-in shade' tolerance can accommodate closer row spacing enabling more production per square meter . This not only cost-effectively maximizes production in constrained areas, but also amortizes fixed costs over larger nameplate capacity lowering cost per watt. The smart module will deliver consistently more power to the off-taker and greater profits for the system owner. Smart Module Behavior MPPT Mode: JinkoSolar Smart Module isolates cells within the module and arbitrarily scales up MPPT Mode Rash Test Mode the output current to match the Simulated Real Behavior Tested by Source Simulator string current, hence allowing each cell group to independently PMP PMP operate at its unique Maximum Isc Power Point. lsc Flash Test Mode:A flash test sweep is performed at a faster rate than the MPPT response time.This allows the module to revert to Active Bypass mode and results in an IN curve that is comparable to a V) - conventional, non optimized, voc voc curve. _ v moi! Engineering Drawings 14173M rim.1 om_x � •� i ""' � MPPT Mods Flash Test Mods a� Simulated Real Behavior Tested by Source Slmulator (290W) (29OW) zo t - \ c 3 n F i• F �J Frock Side B Vokage(V) Vokage(V) Mechanical Characteristics { Cell Type Mono-crystalline PERC 156x156mm(6 inch) No.of cells 60(600) Dimensions 16S0x992x40mm(65.00x39.OSx1.57 inch) Weight 19.0 kg(41.9 lbs) Front Glasg.2mm,High Transmission,Low Iron,Tempered Glass Packaging Configurations Frame Anodized Aluminium Alloy (Twoboxes--Onepaget) Junction Box IP65 Rated 26pcs/box,52pcs/pallet,728 pcs/40'HQ Container JOutputCables TOV 1 x4.0mm;Length:900mm or Customized Length SPECIFICATIONS Module Type JKM270M-608 JKM275M-60B JKM28OM-60B JK101285101-6013 JKM29OM-00B STC NOCT STC NOCT STC NOCT STC NOCr STC NOCT Maximum Power(Pmax) 270Wp 201Wp 275Wp 205Wp 28OWp 209Wp 285VJp 212Wp 29OWp 216Wp Maximum Power Voltage(Vmp) 31AV 29.3V 31.6V 29.6V 31.8V 29.7V 32.OV 29.9V 32.2V 30.2V Maximum Power Current(Imp) 8.60A 6.85A 8.70A 6.93A 8.81A 7.01A 8.90A 7 12A 9.02A 7.21A Open-circuit Voltage(Voc) 38AV 35.6V 38.5V 36.OV 38.6V 36.2V 38.7V 36AV 38.8V 36.6V Short-circuit Current(Isc) 9.28A 7 45A 9.40A 7.54A 9.53A 7.62A 9.65A 7.72A 9.78A 7.81A Module Efficiency STC(%) 16.50% 16.80% 1711% 1741% 17.72% Operating Temperature(nQ 40,C-+85'C Maximum system voltage 1000VDC(IEC) Maximum series fuse rating 15A Power tolerance O-+3% Temperature coefficients of Pmax -0.39.6PC Temperature coefficients of Voc -0.29%PC Temperature coefficients of Isc 0.05%PC Nominal operating cell temperature (NOCT) 45t2'C STC: Irradiance 1000W/ml ®Cell Temperature 25°C AM=1 5 OSP NOCT: Irradiance 800W/m2 ®Ambient Temperature 20°C AM=1.S Wind Speed 1m/s • Power measurement tolerance:t 3% CAUTION: READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT ®Jinko Solar Co., Ltd. All rights reserved specifications included in this datasheet are subject to change without notice EN-MKT-290M-6013 v1-0 rev2016 JinkoSolar Holding Co.,Ltd. Headquarters Global Sales&Marketing Center Jiangxi Manufacture Base Zhejiang Manufacture Base 16F,Building No.2 No.1 Jinko Road, No.58 Yuanxi Road, 428#South Yang Gao Road, Shangrao Economic Development Zone, Haining Yuanhua Industrial Park, Shanghai,China 200127 Jiangxi Province,China 334100 Zhejiang Province.China 314416 Tel:+86 21 6061 1799 Tel:+86 793 858 8188 Tel:+86 573 8798 5678 Fax:+86 21 6876 1115 Fax:+86 793 846 1152 Fax:+86 573 8787 1070 Europe JinkoSolar(Switzerland)A.G. JinkoSolar GmbH in Munich,Germany JinkoSolar Office in Bologna,Italy Chamerstrasse 85,in 6300 Zug Freisingerstr.9 Via Bazzanese 32/7 Tel:+41 41 748 0010 D-85716 Unterschlei8heim bei Casalechio di Reno(BO) Fax:+41 41 748 0019 Munchen,Germany Tel:+39 051 298 8511 europe@jinkosolar.com Tel:+49(0)891433246-0 Fax:+39 051 571 274 Fax:+49(0)891433246-29 italy@jinkosolar.com germany@jinkosolar.com North America JinkoSolar(U.S.)Inc. JinkoSolar Canada Co.,Ltd. 343 Sansome Street,Suite 975, Suite 703,100 Allsate Parkway, San Francisco,CA 94104 Markham,ON Canada L3R 6H3 Tel:+1 415 402 0502 Tel:+1 905 604 2527 Fax:+1 415 402 0703 Fax:+1 905 604 2687 us@jinkosolar.com Canada@iinkosolar.com Asia & Pacific JinkoSolar Japan KK JinkoSolar China JinkoSolar Osaka Office JinkoSolar Australia Holdings Co.,Ltd. 9F,Kabutochokaisei Building,13-2, F22 D7-9,Western Central Plaza T1, 6F Sakaisuji Honmachi Building. Level 13,307 Queen St,Brisbane QLD 4000. Nihonbashi kabutocho,Chuo-ku,Tokyo 1#Xizhimen Street,Beijing. 148-14 Minami Honmachi,Chuo-ku, Customer Service:+61(0)7 3236 5460; Japan 104-0033 China 100044 Osaka.541-0054 Japan Sales +61(0)732215218 Tel:+81(0)3 6661 0899 Tel:+86 10 5830 1948 Sales +81(0)6 6125 5553 Fax:+61(0)7 3236 5794 Fax:+81(0)3 6661 0129 Fax:+86 10 5834 1487 Fax:+81(0)6 6125 5977 aus@iinkosolar.com a_ _:o Logistics Warehouses in Europe & US ' www.jinkosolar.com I sales@jinkosolar.com The company reserves the final right for explanation on any of the information presented hereby. Mau /Ar IRON RIDGE Roof Mount System ;i Built for solar's toughest roofs. IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. ` Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified All components evaluated for superior ® Pre-stamped engineering letters structural performance. available in most states. Class.A Fire Rating - Design Software Certified to maintain the fire resistance ® Online tool generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding 20 Year Warranty ® UL 2703 system eliminates separate Twice the protection offered by module grounding components. competitors. XR Rails XR10 Rail XR100 Rail XR1000 Rail Internal Splices Q A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions with light snow. solar mounting rail. rail for commercial projects. for seamless connections. • 6'spanning capability ' •.8'spanning capability 12'spanning capability Self-tapping screws • Moderate load capability Heavy load capability Extreme load capability Varying versions for rails • Clear& black anod.finish Clear& black anod. finish Clear anodized finish Grounding Straps offered Attachments FlashFoot Slotted L-Feet Standoffs Tilt Legs lawca Anchor, flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware • High-friction serrated face Works with vent flashing • Attaches directly to rail • IBC & IRC compliant • Heavy-duty profile shape Ships pre-assembled Ships with all hardware • Certified with XR Rails • Clear&black anod.finish 4"and 7" Lengths Fixed and adjustable Clamps & Grounding End Clamps Grounding Mid Clamps Q T Bolt Grounding Lugs e Accessories 6 Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Mill finish& black anod. Parallel bonding T-bolt Easy top-slot mounting Snap-in Wire Clips • Sizes from 1.22"to 2.3" Reusable up to 10 times Eliminates pre-drilling Perfected End Caps • Optional Under Clamps Mill & black stainless Swivels in any direction UV-protected polymer Free Resources ao esign Assistant 10.♦ NABCEP Certified Training z from rough layout to fullye.� Earn free continuing education credits, A, while learning more about our systems.o to IronRidge.com/rm Go to IronRidge.com/training 2014 IronRidge,Inc.Ali rights reserved�Visit www.ironridge.com or call 1-800-227-9523 for more information.Version 1.42 ���_ STATE OF NEW YORK 2 0 1 7 F I N A L A S S E S S M E N T R 0 L L PAGE 4501 COUNTY - Suffolk.__, WHOLLY EXEMPT SECTION OF THE ROLL - 8 VALUATION DATE-JUL O1, 2016 ; TOWNS -_SoutholdTAXABLE STATUS DATE-MAR O1, 2017 SWIS - 473889 TAX MAP NUMBER SEQUENCE UNIFORM PERCENT OF VALUE IS 001 01 � TAX MAP PARCEL NUMBER PROPERTY LOCATION 6 CLASS ASSESSMENT EXEMPTION CODE------------------COUNTY--------TOWN------SCHOOL CURRENT OWNERS NAME SCHOOL DISTRICT LAND TAX DESCRIPTION TAXABLE VALUE CURRENT OWNERS ADDRESS PARCEL SIZE/GRID COORD TOTAL SPECIAL DISTRICTS ACCOUNT NO. - ++.+ '-- '- �. - -'- - - -++..� »::«-++:++ 95 -4-18 29 +825+Horseshoe+Dr+� - _ _ + 13 95 -4-18 29 210 1 Family Res OTH NONPRF 25300 0 6,800 6,800 6,800 A D D Inc Mattituck Schoo 473812-98 1,600 COUNTY TAXABLE VALUE 0 901 E Main St Ste 508 ACRES 1 07 6,800 TOWN TAXABLE VALUE 0 Riverhead, NY 11901 EAST-2412204 NRTH-0293807 SCHOOL TAXABLE VALUE 0 DEED BOOK 11695 PG-914 FD029 Cutchogue FD 0 TO FULL MARKET VALUE 673,267 6,800 EX PK090 Cutch-New Suff Park 0 TO 6,800 EX SWO11 Solid Waste District 0 TO 6,800 EX WCO21 Waste Water Dist 0 CR 6,800 EX WW020 Waste Water District 0 TO 6,800 EX 95.-4-18 41 ««+«++++++++++++ 1320 Gold Spur St 13 95.-4-18 41 591 Playground TOWN OWNED 13500 0 100 100 100 Town of Southold Mattituck Schoo 473812-98 100 COUNTY TAXABLE VALUE 0 53095 Route 25 ACRES 2 17 100 TOWN TAXABLE VALUE 0 PO Box 1179 EAST-2411219 NRTH-0294326 SCHOOL TAXABLE VALUE 0 Southold, NY 11971 DEED BOOK 12365 PG-238 FD029 Cutchogue FD 0 TO FULL MARKET VALUE 9,901 100 EX PK090 Cutch-New Suff Park 0 TO 100 EX SWO11 Solid Waste District 0 TO 100 EX WCO21 Waste Water Dist 0 CR 100 EX WW020 Waste Water District 0 TO 100 EX Suffolk County Clerk's Office Deeds Tax Map From=1000-095.00-04.00-018.029 Liber Page Amount Date Tax Map# Grantor Name Grantee Name D00011695 914 09/27/1994 1000-095.00-04.00-018.029 GIUSTIZIA,MARY H/GIUSTIZIA,ROBERT J AID TO THE DEVELOPMENT DISABLED INC 11/7/2017 Deeds Details Liber D00011695 Page 914 Grantors Last Name Suffix First Name Middle Initial Corporation Addr 1 Addr 2 GIUSTIZIA ROBERT J GIUSTIZIA MARY H Grantees Last Suffix First Middle Corporation Addr Addr Name Name Initial 1 2 AID TO THE DEVELOPMENT DISABLED INC Tax Map IDs Tax Map 1000-095.00-04.00-018.029 Close i https://kiosk.suffolkcountyny.gov/kioskweb/web/searchdetails/deedsdetails.aspx 1/1 r. O Long I s I an d 0oO O 3122 Expressway Drive S. Islandia, NY 11749 POWER SOLUTIONS 631 348-000 l www longislandpowersolutions.com December 6, 2017 TOWN OF SOUTHOLD —Building Division Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold,NY 11971 Dear Building Dept: As per your Building Department, enclosed please find the building permit application, submitted on behalf of our client/property owner: Property Owner: Evdos, Charles (Aid to the Developmentally Disabled, Inc.) - (631)727-6220 Project/Property Address: 825 Horseshoe Drive, Cutchogue,NY 11935 Section/Block/Lot: 1000-095.00-04.00-018.029 Electrician/36178-ME: Michael Catizone—3122 Express Dr. S.,Islandia,NY 11749—(631)348-0001 Contractor/53562-H: Long Island Power Solutions-3122 Express Dr. S., Islandia,NY 11749—(631)348-0001 Architecture&Planning: Pacifico Engineering—700 Lakelalnd Ave, Ste 2B,Bohemia,NY 11716-631-988-0000 Enclosed Please find: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of Equipment Specs(Module and Inverter) • (4) Copies of the Engineering Drawings • Liability, Disability& Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Vincerely Sue Esta rooke Permit Manager Long Island Power Solutions 3122 Express Drive South Islandia,NY 11749 Ph- 631-348-0001 Fx- 631-348-0018 sue@longislandpowersolutions.com Go Green Save Green