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HomeMy WebLinkAbout42284-Z �o�gUFFO(,�Co Town of Southold 5/3/2018 0 . P.O.Box 1179 53095 Main Rd Q4p �,� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39624 Date: 5/3/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 420 Little Neck Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-7-26.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/27/2017 pursuant to which Building Permit No. 42284 dated 1/8/2018 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ROOF MOUNTED SOLAR PANELS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Blasko,Lorraine&Carl of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42284 04-18-2018 PLUMBERS CERTIFICATION DATED uthorized Signature O��uFFuc��oTOWN OF SOUTHOLD Gy BUILDING DEPARTMENT TOWN CLERK'S OFFICE CMA • Ike SOUTHOLD, NY 4Rol 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#: 42284 Date: 1/8/2018 Permission is hereby granted to: Blasko, Lorraine & Carl PO BOX 507 Peconic, NY 119580507 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 420 Little Neck Rdm Cutchogue SCTM # 473889 Sec/Block/Lot# 97.-7-26.3 Pursuant to application dated 12/27/2017 and approved by the Building Inspector. To expire on 7/10/2019. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Total: $200.00 '13i ' 'n pector 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 r Pre-existing Building: (cheec®k�one)/��, Location of Property: �!'I I'� � House No. Street Hamlet ! Owner or Owners of Property: 1461 ® Suffolk County Tax Map No 1000,Section "1 Block —7 Lot D4 .a Subdivision Filed Map. Lot: Permit No. C. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature pF SOUTy®l Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 R �Q roger.richert(cD-town.Southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Blasko Address: 420 Little Neck Road city,Cutchogue st: New York zip: 11935 Building Permit#. 42284. Section: 97 Block: 7 Lot: 26.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Island Electric License No: 37608-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures 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: 12.04 KW Roof Mounted Photovoltaic System to Include: 43- 280W Panels with 43- 280W Panel with 43 Enphase Micro Inverters, Combiner Box, AC Disconnect. Notes: Inspector Signature: Date: April 18, 2018 0-Cert Electrical Compliance Form.xls momentum SOLAR -April 25,2018 Town of Southold Building Department_ -- 54375 Main St Southold , NY 11803 Subject: Architect Statement for Solar Rooftop Installation' Residence-Carl Blasko-420-Little Neck Rd. Cutchogue,W,11935 Permit'No#-42284 Post Installation Inspection 04ty 4/1/2018 Tlie rooftop photovoltaicsystem at-the above referenced residence has been.observed to be installed properly in acc_ordance-,with the approved plans:and is certified by;Daniel W Dunzik Architectural ",Services, P.C. to'be iri'coriipliance with the"minimum requirements of the Town, the'201S=International ..Re idential Code arid-the_2016-New York 3tate_Uniform Code Supplement and the Provisions-of -ASCE-7-10. D ARC ret lie `aal ,� `T!•' -`,\`"�.ta:r,is+`is'F� c �'` - -- - - - `y _ .• _ _ - _ -_ ---'_ '".:'tom- . ` ecf o G [ 325 High Street MAY - 1 2018 D:732.902.6224 Metuchen,New Jersey F:732.902.6223 08840 EU.1_:1a,`.2l 4G L`i'+•P T. W:momentumsolar.com TOWN OF SOUTHOL D FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) N ------------------------------------ C FOUNDATION (2ND) z 0 � r ROUGH FRAMING& PLUMBING `6 y INSULATION PER N.Y-. y STATE ENERGY CODE n rb FINAL i ADDITIONAL COMMENTS 1 � L4 I O N; GtV n" ✓ o d b H TOWN OF SOUTHOLD BUILDING P;RMIT APPLICATION CHECKLIST --&ILDING DEPARTMENT Do y"bu have ot�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 IfI2 Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.0 Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved 20f Mail to: Disapproved a/c Phone: Expiration 20 90 I� ® it I pector LV L APPLICATION FOR BUILDING PERMIT Z �3® - n Date 11 dMief �� ,20 ` Atoscale. INSTRUCTIONS 'i ob coin letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 ao p an 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 Buildirg 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. ( ignature of applicant or name,if a corporation) 45 Fairchild Ave.Suite B.Plainview.NY 11803 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Cnntrar"tnr Name of owner of premises 60(r l &5f--a (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of cor orat 01 r) Builders License No. Plumbers License No. Electricians License No. — I M37608-ME Other Trade's License No. 1. Locatiop,Qf�nd on which roP9�e�worke�i��e dor�ry: J�C r ��/ l 3 S House Number Street N� `� (�HJamlett l County Tax Map No. 1000 Section Block Lot a Subdivision Filed Map No. Lot 2. State existing use and occupancy ofp remises arld intended use op1panc�jof pro os d con c`t nom/ a. Existing use and occupancy ®/1 Q r"�?YY1.& / ^ V��V � b. Intended use and occupancy �'t4 �"t'� Mj Q�it— U f 2s 5�p,�Ge w� pOp(v. 3. Nature of work(check which applicable):New Building Addition AjUeration Repair Removal Demolition Other Work gokar (Jct-`e t— AN '7 )9,• Fee 'p (Description) 4. Estimated Cost _� To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot:Front Rear Depth 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated ` 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO l� 13.Will lot be re-graded?YES_NOX ill excess fill be remoOv�c�f omw� is; s?,YES_NO /1 14.Names of Owner of premises(trl IN c,SV Address�Il�f_Y KPPhone No. f43I� 3� 7575 B.AName of Architect Daniel u c Address 'k°ma,NY185 Phone No Name of Contractor v —0/01 Address VS�aii/Cl AyY.4 Phone No. '( ) S 06 (�w�►-oh (�hrt` n► P/R�rt ew) IJX43 15 a.Is this property wit in 100 feet of a tidal wetlandkr a freshwater wetland?* ES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY B,E�tEQUIRED. 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. � o O `� Cameron Christensen being duly sworn,deposes and says that(s)he is the applicant �^ O ?J (Name of individual signing contract)above named, LL LL.- (S)He is the Contractor (0 O co (Contractor,Agent,Corporate Officer,etc.) LO 0 Lu f"(h LL Q n of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; cn M co that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be co U o Z z performed in the manner set forth in the application filed therewith. mmz°w— O o= LL u Swo to before me this �/ H Q l day of tem CJ 20 \ ¢ c=J O F' U O } Z ublic Signature of Applicant i laF S01 O�jyo Town Hall Annex 41Telephone(631)765-1802 W75 Main Road y b�vacc(631)765995 P.O.Box 1179 r✓ roQer.d ert _lown.s076UR to .ny.us Southold,NY 11971-0959lyC© BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Wft d Date: Company Name: e.ckil— /_0 i. t Name: Gv�l l License No.: Address: a� S1F 2GLG L1 Aj ` S� l Phone No.: Roo K JOBSITE INFORMATION: (*Indicates required information) *Name: f ( o I *Address: 1iAlle Alack I *Cross Street: EV9e,1ZS gL70Ld *Phone No.: Jam' Permit No.: Tax-Map District: 1000 Section: Block:` Lot: , 37 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) f &I Al � Mhre s /a , 0 '"I I mod 16:) fecom (Please Circle Ali That Apply) Is job ready for inspection: YES/ Rough In Final *Co-you need a Temp Certificate: / NO Temp Information(If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 360 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Bequest for Inspection Form ho�.�pF SO(/jy0lo Town Hall Annex Telephone(631)765-1802 54375 Main Road y � Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 �� a �ycOUNTV,� April 27, 2018 BUILDING DEPARTMENT TOWN OF SOUTHOLD Momentum Solar 45 Fairchild Ave Plainview NY 11803 RE: Blasko, 420 Little Neck Rd, Cutchogue TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: NOTE: Need Engineer's certification letter stating the panels were installed to the roof per NYS Building Code Electrical Underwriters Certificate A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) 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 — 42284 - Solar r �= NTt N HQME. $ SUFFOLFC OOUNTY oEPTOF 1A60R. HOME IMPROVEMENT SALESPERSON uCE $WG&0ON8L%QR AFFAIRS LICENSEE HOME IMPROVEMENT CONTRACTOR Nam CAMERON CHRISTENSEN LICENSE lk "*2* 2s•OCA CAMERON CHRISTENSON tie pp;Fdb 25,2M7 This oerNft that the 9a bearer Is duly PWCUSTOM soLaa LLC oea Licensed by the �„a,w„�Courtyof3uftogc �d06r20t8 , •ss�o9-aas6-aaxs+ 57878-H �..w.. O.A.,v,IA" ,nmt»nta W0.0— .. SOME= 116 PROCU-1 OP ID:LM CERTIFICATE OF LIABILITY INSUIRLANCE DATE12/111/2017/2017 WDbNYM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lisa MacDonald Brown 8r Brown Insurance NAME: 2000 Midlantic Dr.-Suite 440 PHONE,E><t).732-504-2001 FAX�,732-504.2011 Mount Laurel,NJ 08054 ADDRESS:Brian DlLulgi ss:Imacdonald@bbdvins.com INSURER(S)AFFORDING COVERAGE NAIC H INSURERA:Gotham Insurance Company 125569 INSURED Pro Custom Solar LLC dba INSURER B:New York Marine&Gen Ins Co 116608 Momentum Solar INSURER c:Hiscox Insurance Company Inc 10200 45 Fairchild Ave Suite B - -- — Plainview,NY 11803 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. INCYPE OF INSURANCEDDL URI POLICY EFF POLICY EXP LIMBS LTR E O ,INSD WVD POLICY NUMBER MM1D0 'IMM/DDIYYYY { A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 I X -DAL19GETORENTE6 CLAIMS-MADE OCCUR I GL201700010727 12!1212017 112/1212018 PREMISES(Ea occurrence $ 100,000 t MED EXP(Any one person) S 5,00 I PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY®PRO I JECT LOC I PRODUCTS-COMPIOPAGG !!$ 2,000,00 OTHER ! I I$ AUTOMOBILE LIABILITY 1!I I CtEa COMBINEaccident!D SINGLE LIMIT '$ 1,000,000 B X ANY AUTO AU201700012651 0412112017 04/2112018 BODILY INJURY(Per person) $ AALLOOWNED r^ACUTHEEDULED I BODILY INJURY(Per accident) $ X I X NON-OWNED I PROPPPTY DAMAGE $ HIRED AUTOS AUTOS 1 {Per accident, X UMBRELLA LIAB X OCCUR i (EACH OCCURRENCE $ 5,000,00 A EXCESS LIAB CLAIMS-MADE UM201700004884 12/1212017 12/12/2018 AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10000 $ WORKERS COMPENSATIONI ER I OT - AND EMPLOYERS'LIABILITY X I STATUTE ER i B ANY PROPRIETORIPARTNERIEXECUTIVE YIN A WC201700012773 1211212017 12/1212018 I E.L.EACH ACCIDENT 'S 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) FE L DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below L DISEASE-POLICY LIMIT $ C Professional Llab I ANE1860007.17 12101/2017 1211212018,Limit 1,000,00 I (CLAIMS MADE) f , DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 161,Additional Remarks Schedule,may be attached If more apace Is required) CERTIFICATE HOLDER CANCELLATION 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 Middle Road Southold,NY 11971 AUTHORIZED REPRESENTATIVE I I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD NEW Workers' sTA1E Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Pro Custom Solar LLC dba 732-902-6224 Momentum Solar 45 Fairchild Ave Suite B Plainview,NY 11803 1c.NYS Unemployment Insurance Employer Registration Number or Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations In New York State,i.e.,a Wrap-Up Policy) Number 271-24-2539 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being listed as the Certificate Holder) New York Marine&General Insurance Co. Town of Southold Middle Road South 3b.Policy Number of Entity Listed in Box"l a" Southold,NY 71971 WC201700012773 3c.Policy effective period 12/12!2017 to 12/12/2018 3d.The Proprietor,Partners or Executive Officers are XQ included.(Only check box if all partnerslafficers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed undertl em 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"2". 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 ❑x 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 alter 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 1 am an authorized representative or licensed agent of the insurance carrier referenced above and that the named Insured has the coverage as depicted on this form. Approved by:Christine Howley (Print name of authoriz epresentative or licensed agent of Insurance carrier) Approved by: 12/11/2017 (Signature) (Date) Program Manager Title: Telephone Number of authorized representative or licensed agent of insurance carrier. (973) 532-1758 Please Note:Only Insurance carriers and their licensed agents are authorized to Issue Form C405.2.Insurance brokers are NOT authorized to issue it C-105.2(9.15) www.wcb.ny.gov 2DF created with pdfFactory trial version www.pdffactorv,.com YORK Workers' CERTIFICATE OF INSURANCE COVERAGE AT lCoampensationBord UNDER THE NYS DISABILITY BENEFITS LAW 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 only) 1b.Business Telephone Number of Insured (732)902-6224 PRO CUSTOM SOLAR LLC DBA MOMENTUM SOLAR 1 c.NYS Unemployment Insurance Employer Registration Number of 45 FAIRCHILD AVE SUITE B Insured PLAINVIEW,NY 11803 Work Location of insured(Only required If coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,Le.,a Wrap-Up Policy) Number 271-24-2539 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State insurance Fund(NYSIF) 3b.Policy Number of Entity Listed In Box"1a" TOWN OF SOUTHOLD DBL 6824 29-7 53095 MIDDLE RD SOUTHOLD,NY 11971 3c.Policy effective period 12/14/2016 to 12114/2018 4.Policy covers: ® A.All of the employer's employees eligible under the New York Disability Benefits Law ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits Insurance coverage as described above. �! Date Signed 12/18/2017 By `q '!�;' '"� Joseph J.Masi (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (866)697-4332 Title Director of NYSIF Disability Benefits Insurance IMPORTANT: If Box"4a"is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box"4b"Is checked,this certificate Is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability Benefits Law.It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,328 State Street,Schenectady,NY 12305 PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box"41b"of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By Signature of NYS WorkersCompensation Board Employee) Telephone Number Title Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to Issue this form. DB-120.1 (9-15) Certificate Number 466975 Daniel W. Dunzik Architect LEED-AP 370 Burnt Hill ltd.Skillman, NJ.08558 908-872-3664 is based on manufacturers printed design specifications.All aspects of this design shall_ be installed in strict compliance with manufacturers printed specifications. December 21,2017 7.All aspects of the installation shall comply with the 2017 New York State Uniform Code, the 2015 Town of Southold-Building Dept. International Residential Code,2r1D Printing,as amended by the 2017 New York State Uniform Code 54375 NY-25 Supplement,All local governing ordinances,Long Island Unified Solar Permit Initiative(LIUSPI), 2014 Southold,NY 11971 National Electric Code,Weathering Severe,Wind Exposure Category B, Climate Zone 4A. Re: Proposed Photovoltaic Solar Panel Installation Carl Blasko If you have any questions relating to this matter,please contact me at your earliest convenience. Thank you. 420 Little Neck Rd. ��, ARc Cutchogue NY 11935 �5 ���1.W 1)0"V y C Dear Sir: ��� Regarding the solar panel array installation on the above referenced project please note that A visual inspection was performed and analysis of the existing structure was conducted. There is adequate _ - structural capacity for the installation of the array with the following recommendations: - -- 1. The array will be installed on the existing roof. The roof is constructed of 2"x8"wood rafters @ 16" O.C. ATF 03953 �O A P OVED AS NOTED spanning 17'3" max. horizontal projection with 1/2"plywood sheathing. The new array(See Site map by OF (\IE�N DATE: B.P.it contractor)will add 2.63 Lb./Sf. overall to the roof.No additional structural support is required for the existing Daniel W. Dunzik RA.LEED-AP roof structure. Lic.No. 039534 NOTIFY BUILDING DEPARTMENT A - T 2. The system shall be secured to the roof using the"Bcolibrium Solar" "Eco-X"®attachment system. The 765-1802 8 AM TO 4 PM FOR THE attachment system shall be UL 1703 approved tested. The attachments shall be min. 5/16"x 4"long stainless FOLLOWING INSPECTIONS: steel lags with a min. embedment of 2"into the rafters. When mounted in landscape or portrait attachments 1. FOUNDATION-- TWO REQUIRED shall be spaced @ 48"o.c.max.with each row staggered in roof wind zone 1.Attachments shall be spaced @FOR POURED CONCRETE 32"o.c.max. in wind zone 2 &3. The maximum panel cantilever length shall be 16"in wind zone 1,2, &3 OCCUPANCY OR 2. ROUGH = FRAMING & PLUMBING ��pp q�p 3. INSULATION except when mounted in portrait the maximum cantilever length shall be 12"in wind zone 3 only. Provide 6 p FI W9!i 4. FINAL - CONSTRUCTION MUST mil. vapor barrier between dissimilar metal fasteners.Provide water tight gasket and sealant at all penetrations. a FI COMPLETE FOR C.O. Attachments shall follow panel rows as specified by the system manufacturer's installation manual. The panel MTHO�T CERTIFICATE ALL CONSTRUCTION SHALL MEET THE angle shall match the roof slope. OF OCCUPANCY REQUIREMENTS OF THE CODES OF NEW Structural Design Loads: YORK STATE. NOT RESPONSIBLE FOR -Dead Loads= 10psf(+2.6psf,New Solar Panels)= 12.6psf. DESIGN OR CONSTRUCTION ERRORS. - Snow Loads=30psf(24.5psf-factored per ASCE 7-10),Climate Zone 4A - *Wind loads= 130mph wind speed Exposure B {zones 1,2&3(+/-)= 13psf;zone 1(-)=-21.3psf,zone 2(-)= RETAIN STORM WATER RUNOFF -35.6psf,zone 3(-)=-48psf} *Wind loads per ASCE 7-10. (-)_-35.6psf, zone 3(-)=-48} *Wind loads per PURSUANT TO CHAPTER 236 COMPLY WITH ALL CODES OF ASCE 7-10. OF THE TOWN CODE. NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF 3. Solar modules shall be secured to the roof as per the manufacturer's specifications. Solar modules shall be UL-1701 rated or better. Solar Panels and attachment system shall be designed by the manufacturer to withstand winds in excess of 130 MPH. and 50.0 PSF. Solar panels shall be designed to support in excess of 30 ���������� lb. snow load by the manufacturer. Solar panels do not add any additional snow load to the existing structure. Refer to manufacturers specifications. gN!SpEC=N REOURRED S0UTH2 S N.Y.O.ULV — 4.All penetrations shall be completely water tight and guaranteed for a period of ten years or the duration of the existing roof warrantee whichever is longer. 5.Positive drainage of the system shall be provided so as to not void the existing roof warrantee. 6.All attachment system components shall be manufactured by"Eco-Fasten Inc."All attachment system design PLAN KEY SYSTEM INFORMATION PV-1 COVER PAGE MODULE RECOM RCM-280-6MB momentum PV-1(1) COVER PAGE CONT. INVERTER ENPHASE IQ6-60-2-US SOLAR PV-2 PANEL LAYOUT _RACKING ECOLIBRIUM ECO X RAIL-LESS SYSTEM PV-3 LAYOUT DETAIL PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR SYSTEM SIZE DC 12.04 KW 325 HIGH STREET,ME ,NJ 08640 (732)902-6224-6224 PV-4 ELECTRICAL MOMENTUMSOLAR.COM PV-5 EQUIPMENT LABELS LOCATION 41.021036, -72.466203 STRUCTURAL ENGINEERING GENERAL NOTES: DANIEL DUNZIK RA LEED-AP LICENSE#039534 (908)872-3664 370 BURNT HILL ROAD SYMBOL LEGEND THIS PV SYSTEM HAS BEEN DESIGNED TO MEET THE MINIMUM DESIGN STANDARDS SIGUMAN,NJ 08558 ENGINEERING LAS SPECIFICATIONS FOR FOR BUILDING AND OTHER STRUCTURES OF THE ASCE 7-10, IRC 2015 AND NEW AND LOAD CALCUULLAETIONSFOR SOLAR R INSTALLATION SPANS&WIND PAS&IND YORK STATE UCS 2016 NEC 2014 AND ALL LOCAL CODES &ORDINANCES. ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE / COMPLIANCE,WARNING THAT IT IS A VIOLATION OF THE LAW FOR MSP MAIN SERVICE PANEL ® CHIMNEY ANY PERSON,UNLESS ACTING UNDER THE DIRECTION OF A Fm'SPI AN 18" WIDE (FREE OF SOLAR EQUIPMENT) SHALL BE PROVIDED ALONG AT LEAST LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. SP SUB-PANEL SKYLIGHT ONE SIDE OF THE ROOF ON THE SAME SIDE AS THE SOLAR EQUIPMENT OR ON ANOTHER SIDE OF THE RIDGE THAT DOES NOT HAVE SOLAR EQUIPMENT ON IT. IN ADDITION AN 18" WIDE PATHWAY(FREE OF SOLAR EQUIPMENT) SHALL BE PROVIDED BRED AR UTILITY METER ® VENT FROM AT LEAST ONE EAVE. �S �W.DUN'S'/)� AC AC DISCONNECT O PIPE VENT ROOF SHALL HAVE NO MORE THAN TWO LAYERS OF COVERING IN ADDITION TO THE �a Dc SOLAR EQUIPMENT. � UDC UTILITY DISCONNECT G FAN INSTALLATION OF SOLAR EQUIPMENT SHALL BE FLUSH MOUNTED, PARALLEL TO AND (� NO MORE THAN 6-INCHES ABOVE THE SURFACE OF THE ROOF. LC LOAD CENTER d/ SATELLLTE DISH � � 039534 �9 WEIGHT OF THE INSTALLED SYSTEM SHALL NOT EXCEED MORE THAN 5-PSF FOR 0 FPHOTFNNEMA 3R BOX W/ENVOY-S ® FIRE SETBACKS OVOLTAIC AND NO MORE THAN 6-PSF FOR RESIDENTIAL SOLAR HOT WATER OF (\J��N SYSTEMS. cs COMBINER BOX GROUND ACCESS ANY PLUMBING VENTS ARE NOT TO BE CUT OR COVERED FOR SOLAR EQUIPMENT CUSTOMER INSTALLATION. ANY RELOCATION OR MODIFICATION OF THE VENT REQUIRES A INFORMATION �p MODULE -► PITCH DIRECTIONPLUMBING PERMIT AND INSPECTION. - CARL BLASKO INVERTER PLACEMENT: 420 LITTLE NECK ROAD CUTCHOGUE, NY,11935 (631_734-7575 SYSTEM UTILIZES "ENPHASE" MICRO-INVERTERS WITH RAPID SHUTDOWN CONTROL LOCATED ON THE BACK SIDE OF EACH MODULE. JURISTICTION:SUFFOLK BILL OF MATERIALS UTILITY: PSEGLI BUILDING REVIEW NOTE: MODULES 43 UTILITY ACCT#: UTILITY METER#: TOWN BUILDING PLANS EXAMINER HAS RECEIVED THE ENCLOSED DOCUMENT FOR INVERTERS 43 MINIMUM ACCEPTABLE PLAN SUBMITTAL REQUIREMENTS OF THE TOWN AS SPECIFIED CLAMP ASSEMBLY 108 PV SYSTEM IN THE BUILDING AND/OR RESIDENTIAL CODE OF THE STATE OF NEW YORK. INFORMATION THISREVIEW DOES NOT GUARANTEE COMPLIANCE OF THAT CODE. THAT COUPLING ASSEMBLY 50 SYSTEM SIZE(DC):12.04 KW RESPONSIBILITY IS GUARANTEED UNDER THE SEAL AND SIGNATURE OF THE NEW YORK LICENSED DESIGN PROFESSIONAL OF RECORD. THAT SEAL AND SIGNATURE BONDING CLIP 10 43 MODULES: RECOM RCM-280-6MB HAS BEEN INTERPRETED AS AN ATTESTATION THAT, TO THE BEST OF THE LICENSEE'S SKIRTS 15 43 INVERTERS: ENPHASE IQ6-60-2-US BELIEF AND INFORMATION,THE WORK IN DOCUMENT IS: ENPHASE COMBINER BOX 1 1. ACCURATE 60A FUSIBLE AC DISCONNECT 1 2. CONFORMS WITH GOVERNING CODES APPLICABLE AT THE TIME OF THE PROJECT INFORMATION SUBMISSION. 60A FUSES 2 3. CONFORMS WITH REASONABLE STANDARDS OF PRACTICE AND WITH VIEW TO INITIAL DATE:12/19/2017 DESIGNER.MJ N THE SAFEGUARDING OF LIFE, HEALTH, PROPERTY AND PUBLIC WELFARE IS THE 125A LINE TAPS 2 REV: DATE: DESIGNER: RESPONSIBILITY OF THE LICESEE. REV: DATE: DESIGNER: COVER PAGE PV- 1 , 1. ALL WIND DESIGN CRITERIA ARE FOR GABLE AND HIP RESIDENTIAL ROOFS SEE ATTACHMENT SCHEDULE FOR MAXIMUM CANTILEVER CONSIDERED FROM AN ANGLE OF MIN.9.5° (,Z)TO MAX.45°(1)NOT TO EXCEED COUPLING ❑ 30'MEAN ROOF HEIGHT WITH A MIN 16"LAG BOLT(ASTE A276)STAINLESS STEEL OSP& momentum INTO THE RAFTER OR BLOCKING BETWEEN RAFTERS W/MIN. EMBEDMENT OF 3" ATTACHMENT 2. THIS STRUCTURAL DESIGN REFLECTS STRUCTURAL CONNECTIONS TO THE RAFTE SOLAR RECOM RCM-280-6MB EXISTING STRUCTURE ONLY. MODULE TO ECO-X LOADING AND CE_RTIFICA_TION SOLAR MODUL�280 WATT MODULE PER MECHANICAL LOAD TESTS IAW/ANSI UL2703 CONDUCTED ON BEHALF OF �� " �i PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR 64. 7 X 39.06 X 1 38 ECOLIBRIUM SOLAR BY TUV RHEELAND REFERENCE FILE L2-ELS150128a(REV 1) 325 HIGH STREET,METUCHEN,NJ 08840 SEE DATASHEET) 3. ROOF SEALANTS SHALL CONFORM TO ASTMC920 AND ASTM 6511 AND IS THE (732)902-6224 RESPONSIBILITY OF THE CONTRACTOR TO FILL ALL HOLES WATER TIGHT. GUTTE MOMENTUMSOLAR.COM 4. "ECO-X"ATTACHMENTS ARE MANUFACTURED BY ECOLIBRIUM SOLAR,ATHENS, STRUCTURAL CLIMATIC & GEOGRAPHIC DESIGN GEORGIA.AND SHALL BE INSTALLED IN STRICT COMPLIANCE WITH ENGINEERING MANUFACTURERS PRINTED INSTRUCTIONS. MINIMUM 6"SPACING TO GUTTER DANIEL W.DUNZIK RA LEED-AP CRITERIA TABLE R301.2(1) ECOLIBRIUM SOLAR ECO-X MOUNTING DETAIL LICENSE#039534 ECO-X TO RAFTER ATTACHMENT SPACING SCHEDULE ECOLIBRIUM SOLAR ECO X RAIL-LESS MOUNTING SYSTEM (908)872-3664 GROUND SNOW LOAD 25 LBS/SF INTEGRATED WITH FLASHING,COUPLINGS AND ADJUSTABLE 370 BURNT HILL ROAD CLAMP ATTACHMENTS SKILLMAN,W 08558 SPEED (MPH) 135 MPH ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& ULTI MAT ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE TOPOGRAPHIC EFFECTS B DESIGN ROOF ZONE 1 &2 ROOF ZONE 3 MAXIMUM SOLAR ARRAY ELEVATION:4.25" ANY PERSON,UNLESS ACTING UNDER COMPLIANCE.WARNING THAT IT IS THE DIRECTION FA OLATION OF THE W FOR WIND MAX.SPAN/MAX. MAX.SPAN/MAX. LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. SPECIAL WIND REGION NO CANTILEVER CANTILEVER MAXIMUM CLAMP ATTACHMENT SPACING:48" SPEED (INCHES) (INCHES) WIND BORNE DEBRIS ZONE 2 (MPH) 115 48"O.C./16"MAX. 32"O.C./12"MAX. SEISMIC DESIGN CATEGORY C 125 48"O.C./16"MAX. 32"O.C./12"MAX. COUPLING CLAM <� p F-D ARcy, CLIMATE ZONE 5A 130 48"O.C./16"MAX. 32"O.C./12"MAX. C7� �W O�N�i WIND EXPOSURE CATEGORY B 140 48"O.C./16"MAX. 24"O.C./10"MAX. SOLID BLOCKING 150 48"O.C./16"MAX. 24"O.C./8"MAX. BETWEEN JOISTS o 160 32"O.C./12"MAX. 16"O.C./8"MAX. p TABLE REFLECTS ATTACHMENT SPACINGS THAT EXCEED MANUFACTURERS uJ (� f_I SPECIFICATIONS FOR WIND LOADS AS PER ASCE 07-10. RISK CATEGORY II "' TOPOGRAPHIC EFFECTS B,C,&D AND ROOF WIND ZONES 1,2,&3. ROOF ZONES 2&3 FASTENER REQUIREMENTS: 'QT 039534 ARE WITHIN 36"OF ANY OUTER EDGE, HIP, RIDGE,OR GUTTER LINE FOR STRUCTURES TOTAL ARRAY AREA=753.135QFf OF NES 30-0 OR LESS MEAN ROOF HEIGHT. WIND LOAD:ASCE 10(SEE CALCULATIONS,STRUCTURAL CERTIFICATION)50 PSF MAX TOTAL UPLIFT 50 PSF X 753.13=37656.42 LBS CUSTOMER GUTTER GUTTER ® 0 � ® FASTENER: INFORMATION LAG SCREW SPEC 203:2,8/04:(FLAT WASHERS TO BE USED WITH LAG BOLTS) CARL BLASKO LUO- W LAG BOLT WITHDRAWAL VALUE 5/16"DIA.,266 LB/IN X 2-INCH THREAD DEPTH: 420 LITTLE NECK ROAD © 532LB.CAP.EACH CUTCHOGUE, NY, 11935 MINIMUM NUMBER OF LAG BOLTS REQUIRED:37656.42 LBS/532 LBS/LAG BOLT=71 (631_734-7575 MAXIMUM SPAN BETWEEN MOUNTING FEET BOLTS"X"USE 48"MAX ALLOWED AS ® 2 ® RIDGE RIDGE ® ® PERSCHEDULE © � ® ©© © ® JURISTICTION:SUFFOLK 'Sio STRUCTURAL STATEMENT: UTILITY:PSEGLI LU UTILITY ACCT#: 90 © THE EXISTING STRUCTURE IS ADEQUATE TO SUPPORT THE UTILITY METER#: NEW LOADS IMPOSED BY THE PHOTOVOLTAIC MODULE © ® GUTTER GUTTER © SYSTEM INCLUDING UPLIFT&SHEAR.EXISTING RAFTER PV SYSTEM SIZES &DIMENSIONS CONFIRM TO IRC-2015 TABLE INFORMATION R802.5(1)-RAFTER SPANS. SYSTEM SIZE(DC): 12.04 KW ROOF WIND ZONES AS PER IRC R301.2(7) 43 MODULES: RECOM RCM-280-6MB ROOF ZONES 2&3 ARE 36"FROM GUTTER ROOF EDGES, MOUNTING BRACKETS AND HARDWARE MEET OR EXCEED NEW YORK STATE CODE REQUIREMENTS FOR THE DESIGN 43 INVERTERS: ENPHASE IQ6-60-2-US RIDGES, HIPS, RAKES,AND GUTTER EDGES FOR STRUCTURES CRITERIA OF THE TOWN. BELOW 30'-0"MEAN ROOF HT. PROJECT INFORMATION INITIAL DATE:12/19/2017 DESIGNER:M1 REV: DATE: DESIGNER: REV: DATE: DESIGNER: COVER PAGE PV- 1 ( 2) SCALE: 1/16" = V—®" ROOF MODULE COUNT TILT AZIMUTH SHADING R1 37 24° 256° 87% COORDINATES 41.021036, -72.466203 R2 6 24° 76° 93% (0 momentum SOLAR PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR 325 HIGH STREET,METUCHEN,NJ 08840 (732)902-6224 MOMENTUMSOLAR.COM DRIVEWAY LITTLE NECK ROAD STRUCTURAL ENGINEERING DANIEL W DUNZIK RA LEED-AP - LICENSE#039534 °• - a °j 370 BURRNT HILL ROAD • n SKILLMAN,NJ 08558 - ` MSP ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND _ °•- AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& e AC CB ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE i c DC COMPLIANCE.WARNING THAT IT IS A VIOLATION OF THE LAW FOR ANY PERSON,UNLESS ACTING UNDER THE DIRECTION OF A • ° ELECTRICAL EQUIPMENT LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY A. s .. FRONT OF RESIDENCE "a d' �• • RIDGE GUTTER ° �• _' R2 (dam •a= D a D RIDGE FIRE SETBACK �J�003953A .40 «< RIDGE ° ° ° (18"VENTILATION, F NE� ` 36" ROOF ACCESS) CUSTOMER • INFORMATION m ° D D ° ° D D D D ° CARL BLASKO b '� ° ° ° ° ° ° o ° ° 420 LITTLE NECK ROAD "0 14D ° D ° D ° ° ° D CUTCHOGUE, NY, 11935 ° o ° ° D ° ° D ° ° ° (631_734-7575 GUTTER JURISTICTION:SUFFOLK UTILITY:PSEGLI UTILITY ACCT#: UTILITY METER#: VALLEY GROUND ACCESS PV SYSTEM (TYP) INFORMATION SYSTEM SIZE(DC): 12.04 KW 43 MODULES: RECOM RCM-280-6MB 43 INVERTERS:ENPHASE IQ6-60-2-US PROSECT INFORMATION INITIAL DATE:12/19/2017 D SOLAR INSTALLER NOTES: ESIGNER:MJ REV: DATE: DESIGNER: REV: DATE: DESIGNER: PANEL LAYOUT PV-2 R1 - ARRAY 1 LAYOUT DETAIL SCALE: 1/8" = 1'-0" TILT: 24 momentum AZIMUTH: 256° SOLAR SHADING: 87% 15'_Z" 3'-0" PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR 325 HIGH STREET,ME ,NJ 08840 (732)902-6224-6224 MOMENTUMSOLAR.COM ❑ ❑ 3'-32" STRUCTURAL ENGINEERING DANIEL W.DUNZIK RA LEED-AP ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ LICENSE#039534 (908)872-3664 370 BURNT HILL ROAD SKILLMAN,NJ 08558 ❑ ❑ ❑ ❑ ❑ O ❑ ❑ ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND 11 AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE COMPLIANCE.WARNING THAT IT IS A VIOLATION OF THE LAW FOR ANY PERSON,UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. O ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ED ARc w.1)(j/ r SOLAR INSTALLER NOTES: 4�1 039534 y0� Or (VES R2 - ARRAY 2 LAYOUT DETAIL 4'-11" 7'_5" CUSTOMER SCALE: 3/16" = 1'-0" INFORMATION TILT: 24° - - CARL-BLASKO AZIMUTH: 76° 1'-6�� 1'-6" 420 LITTLE NECK ROAD SHADING: 93% CUTCHOGUE, NY, 11935 ❑ ❑ ❑ (631_734-7575 JURISTICTION:SUFFOLK UTILITY: PSEGLI UTILITY ACCT#: ❑ ❑ ❑ UTILITY METER#: PV SYSTEM INFORMATION SYSTEM SIZE(DC): 12.04 KW 43 MODULES: RECOM RCM-280-6MB 43 INVERTERS: ENPHASE IQ6-60-2-US PROJECT INFORMATION INITIAL DATE: 12/19/2017 DESIGNER:MJ REV. DATE. DESIGNER: REV: DATE: DESIGNER: _ SOLAR INSTALLER NOTES: LAYOUT DETAIL PV-3 momentum 43 RECOM RCM-280-6MB 28OW MODULES PAIRED WITH SOLAR 43 ENPHASE IQ6-60-2-US MICRO-INVERTERS BRANCH CIRCUIT A PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR 14 MICRO INVERTERS EXISITING 150A MAIN 325 HIGH STREET,METUCHEN,NJ 08840(732)902-6224 BRANCH CIRCUIT B SERVICE PANEL 240 V 14 MICRO-INVERTERS MOMENTUMSOLAR.COM BRANCH CIRCUIT C MAIN BREAKER:150A STRUCTURAL 15 MICRO-INVERTERS INE SIDE ENGINEERING PTER:M�IN,A�TIONCAP + - ENPHASE 60A HOT TAP DANIEL W.DUNZIK RA LEED-AP AC COMBINER LICENSE#039534 (908)872-3664 BOX 150A 370 BURNT HILL ROADSQUARE-D 60A FUSIBLE SKILLMAN,NJ 08558 UTILITY ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND DISCONNECT AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS'& 8 METER ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE COMPLIANCE WARNING THAT IT IS A VIOLATION OF THE LAW FOR O ANY PERSON,UNLESS AC TING UNDER THE DIRECTION OF A O 60A LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY• ROOF 20A BREAKER(A) POWER ELECTRICIAN JUNCTION 20A BREAKER(B) 60A FUSES DARREN HANDLERER ORP BOX 20A BREAKER(C)T -GROUND GRID T - 24 CORDELL PLACE C 3 4 EAST NORTHPORT,NY� C'y END OF CABLE W�U�y�/ ELECTRICAL NOTES: 4. BRANCH CIRCUIT CALCULATION FOR WIRE TAG 1 DISPLAYS THE (P LARGEST BRANCH CIRCUIT IN SYSTEM.OTHER BRANCH CIRCUITS 039534 0 1.ALL CALCULATIONS FOR VOC,VMAX, IMP AND ISC HAVE BEEN WILL HAVE LOWER DESIGN CURRENT THAN THE ONE SHOWN. �� �- CALCULATED USING THE MANUFACTURED STRING CALCULATOR BASED ON of ESN ASHRAE 2%HIGH AND EXTREME MINIMUM TEMPERATURE COEFICIENTS. 5.ALL CONDUCTORS ARE SIZED BASED ON NEC 2014 ARTICLE 310 CUST014MR 2. THE ENTIRE ARRAY IS BONDED ACCORDING TO (NEC 690.46 - 250.120 INFORMATION paragraph Q. THE GROUND IS CARRIED AWAY FROM THE GROUNDING LUG 6.ALL EQUIPMENT INSTALLED IS RATED AT 90°C USING #6 BARE COPPER WIRE. CARL BLASKO 7.INVERTER NOC(NOMINAL OPEN CURRENT)OBTAINED FROM 420 LITTLE NECK ROAD 3. THIS SYSTEM COMPLIES WITH NEC 2014 EQUIPMENT DATASHEET CUTCHOGUE,NY, 11935 (631_734-7575 JURISTICTION:SUFFOLK UTILITY: PSEGLI UTILITY ACCT#: UTILITY METER#: PV SYSTEM INFORMATION SYSTEM SIZE(DC): 12.04 KW 43 MODULES:RECOM RCM-280-6MB 43 INVERTERS: ENPHASE IQ6-60-2-US Wire Tag Conduit Wire Qty Wire Wire Type Temp. Wire Temp. Conduit Derated Inverter NOC(A) NEC Design Ground Ground Wire Gauge Rating Ampacity(A) Derate Fill Derate Ampacity(A) Qty Correction Current(A) Size Type 1 Open Air 2 12 AWG Trunk Cable 90°C 30 0.96 1 28.80 15 0.96 1.25 18.00 12 AWG Trunk Cable PR03ECTINFORMATION 2A V, PVC 2 10 AWG THWN-2 90°C 40 0.96 0.8 30.72 14 0.96 •1.25 16.80 08 AWG THWN-2 INITIAL DATE: 12/19/2017 DESIGNER:MJ REV. DATE: DESIGNER• 213 1" PVC 2 10 AWG THWN-2 90°C 40 0.96 0.8 30.72 14 0.96 1.25 16.80 08 AWG THWN-2 REV: DATE: DESIGNER: 2C 1" PVC 2 10 AWG THWN-2 90°C 40 0.96 0.8 30.72 15 0.96 1.25 18.00 08 AWG THWN-2 ELECTRICAL 3 1" PVC 3 06 AWG THWN-2 90°C 75 0.96 1 72.00 43 0.96 - 1.25 51.60 08 AWG THWN-2 4 1" PVC 3 06 AWG THWN-2 90°C 75 0.96 1 72.00 43 0.96 1.25 1 51.60 08 AWG THWN-2 PV-4 TAG LABEL QUANTITY LOCATION NOTE EXAMPLES & 1 AT EVERY SEPARATION BY momentum Q W NG 12 DC CONDUITS ENCLOSURES/WALLS/ SOLAR PARTITIONS/CEILINGS/FLOORS PHOTOVOLTAIC POWER SOURCE OR NO MORE THAN 10' PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR 325 HIGH STREET,METUCHEN,NJ 08840 (732)902-6224 MOMENTUMSOLAR.COM- ' STRUCTURAL '' PHOTOVOLTAIC SYSTEM - "im`�1 ENGINEERING EQUIPPED WITH 1 AT ANY JUNCTION BOX OR DC -` M ' ""• DANIEL W DUN2IK RA LEED-AP RAPID SHUTDOWN 1 COMBINER BOX COMBINER IF USED 3» �E, LICENSE -039534 664 PHOTOVOLTAIC POWER SOURCE O { 3 0 BURN HIL •.- 370 BURNT HILL ROAD - • SKILLMAN,NJ 08558 - _ ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE COMPLIANCE.WARNING THAT IT IS A VIOLATION OF THE LAW FOR - " ANY PERSON,UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. - WAR�,l wa AY1 ill -'"". ; FtE® ARcy -A_ WA ELECTRICAL`SHOCK,HAZAAD 1 AT ANY JUNCTION BOX OR DC t C9� ��EL W Do- © 1 JUNCTION BOX P DO NOT TOUCH TERMINALS COMBINER IF USED TERMINALS ON BOTH LINE-AND LOAD SIDES MAY BE ENERGIZED t,T OD �`e'► IN THE OPEN POSITION _ �$ I• j 039 3Q 5 yO • OF NEVI PHOTOVOLTAIC AC DISCONNECT - ,�- �� AWARN w` ; __, T CUSTOMER MAXIMUM ACIMMOMMAj OPERATING CURRENT 45 A 1 OF EACH AT FUSED AC oari.Ts ,L}i «Cd ELECTRICAL SHOCK HAZARD DISCONNECT - C � i � INFORMATION O1 AC DISCONNECT COMPLETE VOLTAGE AND MAXIMUM AC _ DO NOT TOUCH TERMINALS CARL BLASKO OPERATION VOLTAGE 264 V TERMINALS ON BOTH,LINE AND CURRENT VALUES ON o a O' �# 420 LITTLE NECK ROAD LOAD SIDES MAY BE ENERGIZED DISCONNECT LABEL CUTCHOGUE, NY, 11935 IN THE OPEN POSITION ' `` i+ " (631_734-7575 JURISTICTION:SUFFOLK - UTILITY:PSEGLI UTI LITY ACCT#: WAR A LINE SIDE TAP J t QF UTILITY METER#: I PV SYSTEM Q 1 MAIN DISCONNECT 1 OF EACH AT BUILDING MAIN DUAL POWER SOURCE a l SECOND SOURCE 1S PHOTOVOLTAIC PANEL DISCONNECT PANEL =? INFORMATION SYSTEM ,,;,,. _ _ � ,_"� SYSTEM SIZE(DC): 12.04 KW 43 MODULES:RECOM RCM-280-6MB 43 INVERTERS: ENPHASE IQ6-60-2-US A'W R 11 OPRO]ECTINFORMATION INITIAL DATE:12/19/2017 DESIGNER:NU " - 1 UTILITY METER 1 AT UTILITY METER �;. �'-�, -DUAL POWER SOURCE- �`' REV:• DATE: DESIGNER: SECOND SOURGEdS PHOTOVOLTAIC REV: DATE: DESIGNER: 'SYSTEM . EQUIPMENT LABELS PV-5 AWY The new EcoX is an innovative, rail-less racking system,proven to organize the installation process. The flexible design offers a clean aesthetic, °-= simplified logistics,and delivers a higher quality installation r MW at a lower cost per watt. Aesthetic Design Cable Management A wide range of adjustment makes It easy to install a Whether installing with Microlnverters,Power straight,level system. Components are designed to Optimizers,or String Inverters,EcoX provides wire 4 us a blend Into the array,and the aesthetic skirt creates management provisions to both prep the modules,and a finished look Alternatively,a skirt Free option Is to route homerun or trunk cables throughout the array. ' available to provide a more traditional look �'�'-e`` - `r%s' -•'`�-.,tet-=rF�� .F� ,./f'., ''J.»�j•4�. -!1 j =i:t„-• .kin �E�= -�e`;,,,.`a`.;t_tt;��=.;; _43,���`-:,.`t: _ -;`+�,.,-�_ - -_ � _ `'��; l°f.7-�.6�.�/ter l!`R` �r N r ”E `F-s 1 1`�.t:a:�-;e,>i�. 1��:.. ,. •.,=a.z�r.:,`.. __ - ': -_ '4�,,,,,,•�a�- - - / U nr� ft- _ir:r�iF_I,',i �iw�.; � L��i_ :-ti _ .»::-..'i..�::mac' - - - ,�•_ew,tiiuesax�CRe� h. r i t. � �S_� zw. _x-ti_ ""�`A _- "�d Yout La _ `:,�;,,.. - -��=,�r��ar-�•�=;r—x== -- =�-��: ��i=;r=te=� '�-�.---_-- r`": -. - Ow- WN sac r - rl le Point; Sin Flexible System Design � Gr®undine The EcoX Estimator is a powerful racking system EcoX and approved modules create a continuously a �� ,;4 design tool The user Inputs all site conditions and bonded system The Installer can connect a finished .•, - can layout multiple roof surfaces The EcoX Estimator array to ground with a single bonding lug. outputs a site specific design package with engineering specs and bill of materials Y�— Technical Specifications e'--,``$gym • r�+, ;,�.� � 4'- �y''- ��`�..<. e*�.<,.'S.,w•�� �- Racking components-Aluminum,stainless hardware,dark Fast. Simple. Supp®rted. Materials bronze anodized upper surface,mill finish lower surFaces Flashings,Aluminum,black powder coatedfinish, Modules drop in From above Universal components mount to The Ecolibrium Field support team and there is never a need to standard Framed modules.With oFFers on-site Installation training Grounding/Bonding Validation UL2703-see installation manual For specific module approvals reach over or walk on modules a single socket size and a wide and ongoing technical support. Fire Resistance Validation j UL2703-Class A,Type 1 and Type 2 modules Pre-assembled components range oFadjustment, it is quick And From project planning to and quick connections make and easy to install any array logistics to Installation, we are Mechanical Load Validation UL2703-see installation manual Forspeci(ic module approvals EcoX easy to install. with a clean, Rnlshed look. dedicated to customer service. Flashing Validation ICC-ES AC286/UL441 Rain Test for Roof Flashing G<7aa�a®. Adjustabihty 1"vertical range,3 5"North/South range, ll 91 N connect anywhere in East/West direction p� Warranty 1 15 years sales(Eiecolibriumsolarcom US 740-249-1877 wwwecolibriumsolarcom EcollbriumSolar saiesRecoiibriumsolarcom US 740-249-1877 wwwecolibriumsolarcom F p Ee®9ibriumS®lar Data Sheet Enphase Microinverters Enphase IQ 6 and IQ 6+ Microinverters INPUT DATA(DC) IQ6-60-2-US AND IQ6-60-5-US IQ6PLUS-72-2-US AND IQ6PLUS-72-5-US Commonly used module pairings' 195W-330w+ 235W-400W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules The high-powered smart grid-ready Maximum input DC voltage 48 V 62 V Peak power tracking voltage 27 V-37 V 27 V-45V Enphase Enphase IQ 6 Micro'°"and Enphase IQ 6+Micro- Operating range16V-48V 16V-62V Q6 a n d IQ 6+ dramatically simplify the Installation process while Min/Max startvoltage 22V/48V 22V/62V achieving the highest efficiency for module-level Max 156-short circuit current(module lsc) 15 A 15A Microinverters power electronics DCp- o ltageclass n port II II - DC port backfeed under single fault .6A - OA Part of the Enphase IQ System,the IQ 6 and IQ PV array configuration 1 x 1 ungrounded array,No additional DC side protection required, AC side protection requires max 20A per branch circuit 6+Micro Integrate seamlessly with the Enphase OUTPUT DATA(AC) IQ6-60-2-US AND IQ6-60-5-US I06PLUS-72-2-US AND IQ6PLUS-72-5-US IQ Envoy',Enphase Q Aggregator'",Enphase IQ Peak output power 240 VA 290 VA * Maximum ue2 continuous output powr 30 VA 280 VA Battery",and the Enphase Enlighten monitoring - ._ .- - - _ and analysis software Nominal voltage/range2 240 V/211-264 V 208 V(10)/183-229 V 240 V/211-264 V 208V(10)/183-229V Nominal output current 0.96 A 1.11 A 1 17 A 1'35 A The IQ 6 and IQ 6+Micro extend the reliability Nominal frequency 66 Hz 60 Hz standards set forth by previous generations and Extended frequency range 47-68 Hz 47-68 Hz Power factor at rated power 10 10 undergo over a million hours of power-on testing Maximum units per 20 A branch circuit 16(240 VAC) 13(240 VAC) Enabling Enphase to provide an industry-leading 14(single-phase 208 VAC) 11(single-phase 208 VAC) warranty of up to 25 years. Overvoliage class AC Port m m AC port backfeed under single fault 0 A 0 A Power factor(adjustable) 0.7leading-. 0.7 lagging 0 7 leading . 0 7 lagging EFFICIENCY @240 V @208 V(10) @240 V @208 V(10) Easy to Install CEC weighted efficiency 97.0% 965% 97.0% 965% - Lightweight and simple MECHANICAL DATA /Z Ambient temperature range -40°C to+651C lliJl[ Faster Installation with improved two-wire Relative humidity range 4%to 100%(condensing) cabling GConnector type MC4 mor Amphenol H4 UTX Built-In rapid shutdown compliant(NEC 2014) Dimensions(WxHxD) 219 m x 191 mm x 37.9 mm(without bracket) Weight 1 5 kg(3 3 lbs) Productive and Reliable Cooling Natural convection-No fans Approved for wet locations Yes Optimized for high powered 50-cell and 72- Pollution degree PD3 cell*modules Environmental category/UV exposure rating Outdoor-NEMA 250,type 6(IPO) ® More than a million hours of testing FEATURES Class II double-insulated enclosure Communication Power line Monitoring Enlighten Manager and MyEnlighten monitoring options Compatible with Enphase IQ Envoy Smart Grid Ready Compliance UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22.2 NO 1071-01 Complies with fixed power factor,voltage and This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and frequency ride-through requirements NEC-2017 section 69012 and C221-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC Remotely updates to respond to changing and DC conductors,when installed according manufacturer's instructions grid requirements 1 No enforced DC/AC ratio Seethe compatibility calculator at enphase.com/en-us/support/module-compatibility Configurable for varying grid profiles 2 Nominal voltage range can be extended beyond nominal if required by the utility U�' The IQ 6+Micro is required to support 72-cell modules ® To learn more about Enphase offerings,visit enphase.com p� E Iv P H A S E, ©2017 Enphase Energy All rights reserved All trademarks or brands used are rhe property of Enphase Energy,Inc To learn more about Enphase offerings,visit enphase.com E 1�H P H h'p 1 S E. �.d 2017-05-01 !� REMMM RECC3M MONO MONO- 250 260,270.280 RCM-xxx-6MB (xxx=250-280} 9 Rated Power- 25OW 260W 270W 28OW 7 —aw, Power Tolerance 0%1+5W 0%/+5W 0%/+5W 0%/+5W — 6 Max.Power Voltage s 5 -111111111111t NmP) 31 30V 3170V 3212V 32 50V a4 Max.Power Current(Imp) 8.09A 8 32A 8 45A 8 67A 3 - Open Circuit Voltage(Voc) 37 92V 38 52V 38 76V 39 20V 0 Short Circuit Current(Isc) 8 514 8.66A 8 78A 8 99A o 5 to is 20 25 30 35 40 vohage M Pmax(NOCT) 2008W 2088W 2166W 2239W 7hemodulerelativepowerlossatlowtightirrodionceof200W/m'islessthan3% ' Module Efficiency 15,4% 16,0% 16.6% 17.7% Max.Series Fuse. 15A 15A 15A 15A Pmax Temperature Coefficient -0 39%/°C Max.System Voltage 1000V DC(IEC)11000V DC(UL) Voc Temperature Coefficient -0 32%/0C Isc Temperature Coefficient +0 05%/°C Tested at Standard Test Conditions Measurement tolerances±3Y p it�'r1 t a Operating Temperature -40-+85 IC •= E 1 *�`` � k n� Nominal ng l0pesti CellTemperature(NOCT) 45�2°C Dimensions 1640mm x 992mm x 35mm T_ � 3 _ Container 20'GP 40 HC Frame Anodized aluminum per Pieces Pallet _ p 29 or 30 29 or 30 Weight 19 kgs Pallets per Container 12 28 Front Glass 3 2 mm AR low iron tempered glass Pieces per Container 3486060 360 812 or B40 Output Cables: TUV(2Pfgl169 2007).UL 4703.UL444.0 mm2 TY•A�'---�� (0 006 in2),symmetrical lengths(-)1000mm and(+)1000 mm.MC4 type connectors Standard tests UL1703,IEC 61215,IEC 61730 ar Quality tests ISO 9001 2008.15014001 2004,IS01 7025 2005 D Class C Fire Rating,conformity to CE.PV CYCLE, ` Certifications Sall Mist and Ammonia Corrosion Extreme wind and Module certified to withstand extreme wind Ei_— — _ 1640mm _ snow loads testing (2400 Pascal)and snow loads(5400 Pascal) I m IR1 Positive tolerance Guaranteed positive tolerance of up to 5W Junction Box IP67 Rated 3 diodes 1000mm Warranties •10-year limited product warranty •25-year transferable linear power output warranty E Black Panther 'a LINEAR PERFORMANCE WARRANTY 1P ,m Add,L - � � onaivaluelro „ TRfCOMslmearvarranh - 1 _ fil<Y years 3 1 s 10 15 20 25 Manufactured Anti-PIDProven by Independent + Guaranteed Specifications are subject to change without further notification p PECOM AT Release 2016-02 Q 1 A in EU Technology Engineering Tests Coq) Positive Power oW,• • ,N ar, ,,.,,., �n...a.fi. y,• <m., .,,,.o„mn-,.•,” Dealer- 4 CE " A, (0) rale recom-solar.com