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�S�FfOt,��p Town of Southold 9/24/2021 '? P.O.Box 1179 o = 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39822 Date: 8/3/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 825 Stephensons Rd, Orient SCTM#: 473889 Sec/Block/Lot: 17.4-11.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/29/2018 pursuant to which Building Permit No. 42753 dated 6/4/2018 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which thiscertificate is issued is: ROOF-MOUNTED SOLAR PANELS TO AN EXISTING TWO FAMILY DWELLING AS APPLIED FOR. 9/24/2021 Corrected to soy two family instead of single family., The certificate is issued to Gentlemans Ridge LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42753 07-27-2018 PLUMBERS CERTIFICATION DATED A rize gnature `oS�FFO(,YC TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o� • o� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 42753 Date: 6/4/2018 Permission is hereby granted to: Gentlemans Ridge LLC 404 W 45th St New York, NY 10031 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 825 Stephensons Rd, Orient SCTM # 473889 Sec/Block/Lot# 17.-1-11.5 Pursuant to application dated 5/29/2018 and approved by the Building Inspector. To expire on 12/4/2019. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Total: $200.00 a I--,' B ' din nspector 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. Certificaie of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of.Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy -Residential $15.00,Commercial $15.00 'T/ Date. ,6—, 2` - / 9 New Construction: Old or Pre-existing Building: v/ (check one) S?-c- A Location of Property: 02 cnzcns Rd Or u/it House No. Street . Hamlet Owner or Owners of Property: �E'✓1�'��YYldrl 5 -k d/V L(—"-- Suffolk County Tax Map No )000, Section Block Lot - S Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: GreenLogic LLC Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V1 (check one) Fee Submitted: $ 50.00 pplicant Signature � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 �Q roger.rich erKD-town.southoId.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Gentlemans Ridge LLC Address: 825 Stephensons Road city,Orient st: New York zip: 11957 Building Permit#: 42753 Section: 17 Block 1 Lot: 11.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Green Logic License No: 43858-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 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 FixtureTime Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 10.500 KW Roof Mounted Photovoltaic System to Include, 30-SP 350 Panels with Micro- Inverters, Combiner Box, AC Disconnect. Notes: Inspector Signature: Date: July 27, 2018 0-Cert Electrical Compliance Form As pF SOUIyO{o # TOWN OF SOUTHOLD BUILDING DEPT. courm 1 765-1802 - INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) V�] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE 11 INSPECTOR J AMES J. S TOUT A R C H I T E C T & Assoc. 2 GREG -LANE EAST NORTHPORT N. Y. e s 1 — 8 58 9388 Post Installation Letter July 20,2018' '� RE: Gentlemans Ridge LLC Residence u JUL 2 5 `,'918 825 Stephensons Road Orient, NY 11957 BUELDDTG To Whom It May Concern: This letter is to confirm that as of this date July 20,2018,I,James J Stout,NYS license 021633 have personally inspected the placement and installation of the roof top solar panels at the above listed address. All of the solar panels have been installed as per manufacturer's guidelines and specifications. The racking system design and installation complies with the 2017 NYSRC and 2017 NYSUCS building code and all related provisions.The installation of panels was done as per plan. Thank you for your cooperation in this matter. James J.Stout Architect R AR ST 9 021633 COQ 0F NE`s FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) -------------------------------- 'FOUNDATION (2ND) 04, O N ROUGH FRAMING& PLUMBING tz � 1 INSULATION PER N.Y: y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS C. e-4e 0 JN m y �z d b H � 1 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX: 631 Surve FAX: (631) 765-9502 y SoutholdTown.NorthFork.net PERMIT NO. 2� Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 f Storm-Water Assessment Form Contact: Approved ,20 Mail to: GreenLogic LLC Disapproved a/c 97 North Sea Road,Southampton,NY 11968 Phone: 631-771-5152 Expiration 2011 D D Buil ' ector p MAY 2 9 2010 APPLICATION FOR BUILDING PERMIT BUILLDINGDI", Date May 24 , 20 18 TOWN OF SOUTHOLDINSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations,for the construction of buildings, additions,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. GreenLogic LLC (Signature of applicant or name,if a corporation) 97 North Sea Rd, Suite 3, Southampton, NY 11968 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Contractor Name of owner ofpremises � '��Vv1a� LLC— (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Nam and title of co orate officer) Builders License No. 40227-H Plumbers License No. N/A Electricians License No. 43858-ME Other Trade's License No. N/A 1. Location of land on which proposed work will be done: 8 as S40DhCO-5UrLS A!� �►- l en House Number Street Hamlet County Tax Map No. 1000 Section Block Lot //. ,S- Subdivision /. SSubdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family dwelling b. Intended use and occupancy Single family dwelling 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Roof mounted solar electric system 2-00 0 (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height 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_X 13. Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO 5 `{04 W. lqS 5t14.Names of Owner of premises9��Ltllv"n� Address Ny , NV 106 3 I Phone No. Name of Architect.Jaryy5 5 pt,&t- Address t3W% .+ Phone No 3/• 3,98- 4388 Name of Contractor GreenLogic LLC Address 97 North Sea Road Phone No. 631-77'1-5152 Southampton, NY 11968 15,a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Nesim Albukrek being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Contractor (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 2�day of Ma 20 ( FS 6L Notfiry Public BARBARA A.CASCIOTTA Signature of Applicant Notary Public,State of New York No.01-CA4894969 Qualified in Suffolk COU* Commission Expires May 11,2019 Scott A. Russell S'7C'O]RLMWAT EIK SUPERVISOR MAN AtG17EMIEN T SOUT 4OLD TOWN HALL-P.O.Box 1179 Gi 53095 Main Road-SOUTHOLD,NEW YORK 11971 °��p Town (?f Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BL C:OMPLL,'TED BY 'i'I IL. APPLICANT ) FROJI'M 11`4`VO1:VI•:.. ,"N"Y O 'ME F0'11L0'\N`-'CL`G: THEC-K ALL I'l-MT APPLY" if Yc� No ❑[D A. Clearing, grubbing, grading or stripping of land which affects more 1" than 5,000 square feet of ground surface. l x® B. Excavation or filling involving more than 200 cubic yards of material ;3 within any parcel or any contiguous area. rl ] C. Site preparation on slopes which exceed l0 feet vertical rise to 100 feet of horizontal distance. ®E] D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion 'hazard area. ;j ❑� E. Site preparation within the one-hundred-year floodplain as depicted i on FIRM Map of any watercourse. ❑0 F. installation of new or resurfaced impervious surfaces of 1,000 square 1 feet or more, unless prior approval of a Stormwater Management li l' Control Plan was received by the Town and the proposal includes 'f in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information,Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. 1 F- -s; s.C.T.N1. 1000 Date / s+ API'LlCA\-r. (Piopert;Owner Dexsgn Notcamonal Ay.ni C�ontiactoi,C)11mi + Uistict / r/� 1 l IIs J (( a 'vrliiL i Section Bloc l; Luz _ . — FOR H) ILDIN"(a DEl:1Al11-?'ll:_tiN 1F LJSL: ()N[,`i Contact intorman,m 691'-771-5152 Reviewed Bv. + - - - - - - _. - - - - - _. ._ .._.. _. _ Cate: ��!�L�-._._ +f }{ Prohertti, Address( Local ion of Construel t n Work: 1' �a 5 S /_ �e�155 / =Yt)pl oti eel for processing Building Permit. {� ��d rtater �ana�elleut Control Plan et Required. ml :. — — — — — — — — — — , a Storni,,%alcr Mana enient Control Plan is Required. E. 1Fatx+°aicl to Engineering Uepaittueiit fa Rcview.? i ol*11i ° sl�icp--r«S:ti°1:1Y 2U 14 �, FOtKr BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 4-4 Telephone (631) 765-1802 - FAX (631) 765-9502 roper.richert@town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Barbara Casciotta Date: 5/24/18 Company Name: GreenLo is LLC Name: Robert Skypala License No.: 43858-ME email: Barbara@Greenlogic.com Address: 97 North Sea Road Southampton, NY 11968 Phone No.: 631-771-5152 JOB SITE INFORMATION: (All Information Required) Name: Gentlemans Ridge LLC Address: 825 Stephensons Road, Orient Cross Street: Route 25 Phone No.: 631-7,715- 152 BIdg.Permit#: email: Barbara@Greenlogic.com Tax Map District: 1000 Section:. 17 Block: 1 Lot: 11.5 BRIEF DESCRIPTION OF WORK(Please Print Clearly), Roof mounted solar panels 10.500kW 30 SunPower SPR-X21-350-BLK-D-AC modules with micro inverters Circle All That Apply: Is job ready for inspection?: YES /g Rough In Final Do you need a Temp Certificate?: cyES:yNO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION r l/V— 82-Request for Inspection Formas C 4 16D �) REENLOGIC° ENERGY May 24, 2018 Town of Southold IVY Building Department D �� D Town Hall 53095 Route 25 SAY 2 9 2018 Southold, NY 11971 Dear Building Inspector: -BUMDjTODFM- .r0WN OV SOUTHOLD Please find attached a building permit application on behalf of the Gentlemans Ridge LLC residence who has engaged us to install a roof mounted solar photovoltaic (PV) electric system for their home located at 825 Stephensons Road, Orient, NY. In connection with this application, please find attached: • Building Permit application • A Storm Water Assessment Run-off Form • Certificate of Occupancy Application • Application for Electrical Inspection • 2 Surveys of the Premises • 4 Engineer's Reports (3 originals and 1 copy) • 2 Three Line Electrical Drawings • 2 Spec. sheets of the solar panels • 2 Spec. sheets for Racking System • GreenLogic Suffolk County Home Improvement License • GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License • Check for$200 ($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, 944&V"daaeloaa Barbara Casciotta Account Manager Barbara@Greenlogic.com 631-771-5152 ext. 117 GREENLOGIC LLC o www.GreenLogic.com Tel 631 771 5152 Fax. 631.771.5156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd., Suite 3 200 S. Service Rd., #106 Southampton, NY 11968 Rosyln Heights, NY 11577 GREENLOGICO ENERGY Jul 242018 D July JUL 2 5 2018, 13UMDMG DF r, ', TOWN OFSo jj' The Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 42753 Gentlemans Ridge LLC 825 Stephensons Rd, Southold To the Building Inspector: Enclosed please find the Engineer's Certification Letter for the above referenced address. Can you please close the building permit and send the Certificate of Occupancy? Please let me know if you have any questions about the installation. Sincerely, Sawaaff"6612" Samantha Corbett Account Manager Samantha.Corbett@Greenlogic.com 631-771-5152 Ext. 107 GREENLOGIC LLC • www.GreenLogic.com Tel. 631.771.5152 Fax 631 771 5156 SOUTHAMPTON ROSLYN HEIGHTS 97 North Sea Rd., Suite 3 200 S Service Rd , #106 Southampton, NY 11968 Rosyln Heights, NY 11577 `.\ to 09 T1i c 9i'�'IOIH -1 mm��rp�u�e,nwe-ngcen \ now or Pormarly� Oulu�'{�Oliit� `•\ 9u9an Magri—Dunning •`\ Nwwe,t Ywg Icw svrys `.\ •`\ 1 N o'�wqe:a 4m�e`�'na:°°ui'�w ss'9y� JP, O SITE DATA //� �„ �$��:,•;'' �� now or Formerly \• �; •`� W v' L.M.L Edon \/ j• •\ •rvors rgnm=cc Yo suevlws�oH-•9um er ++e c®.rs9• •�o��P�9a IS IN P�m,zore x.s sNo.w aN ww, �/�\ �.```���+., '..•` ♦ i ��'� �� ��Ror� •� AREAS �/ •� �� "�B9 bili ��� rm 4p��� \ rm.0�'aew 9°eo i.e� m o� rwv[um 4,e � .9sssl V4;. I srtoP nn a v d C ROT% . R PARGH..I N n d Ja ?�8' ',+° ,` 1 '� r•e �� now or formerly •rd' Joanna W Loma.t ry Charlotte Jordan r 4`°, reenee`° •` \ rLOT W 1et vn.wvrr ,b°nN$ 4{ `x000.fewan N2 ,i�� t a i4 PLOT w a• 8$a i q,•�, s9. or.Ma a - w24sm `P• �• o w� 95 ICIIp �' �'✓`+� � �4� cv mww•.e rm �g � 5 or me now or Formerly �•p,Ay, 59a•o9'S5'w� Reginald A Minor Jr I , 2191' d Sheila K Minor R 450 9nwufo vwownv `\ v PARCEL 2 i wor formerly 9 L.2aL5' PRIVATE ROADS Ran A,Malemud i rovsru PLoi R I ouwzr,� amm i or formerly \y� bm•"� Mark Stephenson Sherman b now or formerly /\\\ vc.w me avers N,9o.00 Beverley L Greene d Le5o.ab' Charlotte Jordan Greene _ SURVEYOR5 CERTIFICATION a a'renAIT, ewi`rTa Roupineuwwwowb PniPor o'nec IA IenoanOUP, S si.°.�iv vr.s eNer°'nrseo w i.ccovvnuce wfn M cove�nwwn�,�ee� �� ,%, �/, i uw axwer.Avon®sr nx nEn You srnm a=a«aresslvNnL I...w su¢vcroas now ormerly Sharman n F Family Tru. Na0,99x9 SURVEY FOR P � PLOT M � ••�f FRANCISCO PIh1EDA y I at Orient,Town of Southold % 77 va norySuffolk County,Naw York j mr formerly Tmi Ada J 1-Ing t ,g o f I CERTIFIED SURVEY ' Lydia N Irving m 0 3 TaMap 0 ealml� e! � �2� i Recofd o!Ravl9bn9 __ NMN RO?�D S.iZ. 25 sae, •.- ' — �oP ........... MAkX, 'T§VW RXI S j t� V -44, *11* r. k 'iSuffolk County Executive's Office of Consumer Affairs &1V VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEWYORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY Home Improvement Contractor License -N, This is to certifv that MARC A CLEAN doing business as GREEN LOGIC LLC having fumished the requirements set forth in accordance with and subject to ths-jY e provisions of applicable laws,rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk. Additional Businesses NOT VALID WITHOUT DYPARTMENTAL SEAL AND A CURRENT CONSUrv,IER AFFAIRS ...... .. ....::, ID CARD .......... Director K "A Im & IN A. 1. Lr, 14 \f-HIGHWAY HAUPPAUGE, NEWYORK 11788 VETERANS MEMORIAL I \ �\ \ Suffolk County Executive's Office of Consumer Affairs . I D• 12/10/2007 No. ISUFFOLK COUNTY Master Electrician License 1 �' This is to certify that ROBERT doing business GREENLOGICLLC having _ •ry evidence of • . herebylicensed as MASTER ELECTRICIAN in accordancerte, with • subject to the provisions of .. . and regulations •Additional Businesses Jr. the County of Suffolk State of New York./ ��,�\ �:. •�• NOT VALIOD WITHOUT DEPARTMENTAL ANDA' I / CONSUMER R ` 1 Director I t ` Y � '. f` rr ' • y ,:.:f`� . . . •f '_,; .ter` al•�-•: �s•'`;+�<,. '�•�\� ,�.�;. S4 ,:�;, ?�: c,- : -.� _,r1 _• _ 7 \' ��:��;� /ice,, ?�l , � f! \\��`I�� f/,'�\ �a� •�"�� /�.\ �41���� I/`�!� •" � a��. !i \',•. ���:��`° // \\ '. `� • :��/ \\ t �F CERTIFICATE OF LIABILITY INSURANCE F01/29/2018EMMI D/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Brookhaven Agency,Inc. Brookhaven Agency,Inc. PHONE 631 941-4113 Fax 631 9414405 128 Old Town Road Suite C EMAIL . brookhaven.agency@verizon.net PO Box 850 PRODUCER East Setauket NY 11733 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: HDI Global Insurance CO. Greenlogic,LLC INSURER B: Merchants Preferred Insurance Co. 97 North Sea Rd,Suite 3 INSURER C. First'Rehab Life Insurance Co. Southampton,NY 11968 INSURER D. Endurance American Insurance Co. INSURER E. AGCS Marine Insurance Co. INSURER F: National Liability&Fire Insurance Co. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS rA TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY X X EGGCR000076918 01/31/18 01/31119 DAMAGE TO RENTED $100,000 CLAIMS-MADE ®OCCUR MED EXP(Any oneperson) $5,000 X XCU PERSONAL&ADV INJURY $1,000,000 X Contractual Liab GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY CO BI EDt)SINGLE LIMIT $190009000 B X ANY AUTO x CAP1043565 8111117 8111/18 (EaBODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000 D EXCESS LIAB CLAIMS-MADE EXC30000250901 1/31/18 1131/19 AGGREGATE $1,000,000 DEDUCTIBLE $ RETENTION 0 $ WORKERS COMPENSATION X I WC STAT U- OTH- AND EMPLOYERS'LIABILITY TS F ANY PROPRIETOR/PARTNER/EXECUTIV� N/A V9WC857891 6/15/17 6115118 E L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $11000i000 C NYS Disability D251202 4/11117 4/11/18 Statutory Limits E Installation Floater/Property Floater/PropertyMX193076366 4/15/17 4/15/18 $300,000 $1,000 Ded DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ> ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD NEW Workers' TATE Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of insured(use street address only) 1b.Business Telephone Number of Insured Greentogic LLC 831-771-5152 425 County Rd 39A Suite 202 Southampton,NY 11968 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required ff coverage is specifically 11mited to certain locations in New York State,Le.,a Wrap-Up Polley) 1d.Federal Employer identification Number of Insured or Social Security Number 20-3801194 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) National Liability&Fire Insurance Co. Town of Southold Building Department 3b.Policy Number of Entity Listed in Box"1 a" 53095 Route 25 V9WC857891 Southold,NY 11971 3c.Policy effective period 06/15/2017 to 06/15/2018 3d.The Proprietor,Partners or Executive Officers are Included.(Only check box if all partners/officers included) OX 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 under Item 3A on the INFORMATION PAGE of the workers'compensation Insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"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? [3YES []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: Nicholas Zulkofske (Print name of authorized representative or licensed agent of InsuranceW17- Approved by: (Signature) C-14 (Date) Titre:Authorized Agent Telephone Number of authorized representative or licensed agent of insurance carrier: Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C405.2.Insurance brokers are hW authorized to Issue it C-105.2(9-15) www.wcb.ny.gov APPROVED, AS NOTED DATE: B.P.`# a2 75 3 .� :FEE: bBY: RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 NOTIFY BUILDING DEPA TMENT AT - OF THE TOWN CODE. .765-1802 SAM TO 4 PM FOR THE "FOLLOWING INSPECTIONS: -1._,FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2.''ROUGH - FRAMING & PLUMBING 3. .INSULATION ELECTRICAL 4. FINAL - CONSTRUCTION MUST INSPECTION REQUIRED COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF ''S6lfFHeEB T6MRSA, t RD ' BREES Iry V VL OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 11L L 1111 1 J A M E S J. S TOUT A R C H I T E C T & Assoc. 2 G REG L ANE E AST N ORTHPORT N. Y. 831 - 858 9388 Letter of Certification May 18,2018 RE: Gentleman's Ridge LLC 826 Stephenson's Road Orient, NY 11957 To Whom It May Concern: I, James J. Stout, registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above- mentioned address and have determined the structure and the panel attachment to be adequate to support the new additional load imposed'by the proposed solar panel system and complies with the 130-mph wind design load as 2017 New York State Uniform Code(2017 NYSUC), 2017 New York State Residential Code (2017 NYSRC) = (2015 International Residential Code (2015 IRC) (2nd Printing) and 2017 New York State Uniform Code Supplement(2017 NYSUCS) as well the Long island Unified Solar Permit Initiative (LIUSPI) and the 2014 National Electric Code NFPA 701 2014 National Electric Code, and the ASCE 7-10. - The existing 2"x 8" @ 16"o.c. roof rafters will provide the required support. Thank you for your understanding in this matter. James J Stout SPE® ARC - S 41 �-yT X21633 AO 0F N� f- r GREENLGGNCG ENERGY GreenLogic,LLC Approved Gentiemans Ridge LLC 825 Stephensons Road Orient,NY 11957 Surface#A: Total System Size:10.500M Array Size:10.500kW 1 Circuit of 12 on a 20A Breaker 1 Circuit of 12 on a 20A Breaker 1 Circuit of 6 on a 20A Breaker Azimuth: 150° Pitch:34° Monitoring System: SunPower .0 Panel/Array Specifications: Pane:SPR-X21-350-BLK-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:25'9 7/8"X 20'10 7/8" Surface:27'4"X 23'6" Magic#:Invisimount Legend: ® 30 SunPower 350W Panels ® SunPower Invisimount Rail ® 72 S5!-S Clamps 8� Val Drexel Metals Standing Seam Roof— 5505 SL-3 Bead 16"OC Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:S5!,SunPower Added Roof,load of PV System:3.5psf Engineer/Architect Seal: A0 y�o � '9 02'1633 A0 OF N E`N r Drawn y:MMB Drawing#1 of 5 s,e'5/15/2017 REV:A Drawing Scale:3116"=1.0' s NLGGOC° n EN ERGY GreenLogk,LLC Approved Oentlemans Ridge LLC 825 Stephensons Road Orient,NY 11957 Surface#A: Total System Size:10.500kW Array Size:10.500kW 1 Circuit of 12 on a 20A Breaker 1 Circuit of 12 on a 20A Breaker 1 Circuit of 6 on a 20A Breaker Azimuth:150° I Pitch:34° 'X ' Monitoring System: SunPower Panel/Array Specifications: l gi i i Panel:SPR-X21-350-BLh-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array-25'9 7/8"X 20'10 7/8" Surface:27'4"X 23'6" n Magic#:Invisimount Legend: 30 SunPower 350W Panels ® SunPower Invisimount Rail 72 S51-S Clamps lVal Drexel Metals Standing Seam Roof— 550S SL-3 Bead 16"OC L ILS Notes: Number of Roof Layers-1 Height above Roof Surface:4" Matenals Used:S5!,SunPower Added Roof load of PV System.3 5psf N. EngineerlArchitect Seal: l I � A& 5 ST, 44i I — S,a A- 0 163 Drawn By:MMB Drawing#2 of 5 Dat A /15/2017 REV:A Drawing Scale:3/16"=1.0' G R E E NLOG 9 ° ENERGY GreenLogic,LLC Approved Gentleman Ridge LLC 825 Stephensons Road Orient,NY 11957 Surface#A: Total System Size:10.500kW Array Size-10.500kW 1 Circuit of 12 on a 20A Breaker 1 Circuit of 12 on a 20A Breaker 1 Circuit of 6 on a 20A Breaker Azimuth:150° Pitch:34' Monitoring System: SunPower .0 Panel/Array Specifications: r Panel:SPR-X21-350-BLit-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:25'9 7/8"X 20'10 7/8" Surface:27'4"X 23'6" Magic#•Invisimount Legend: ® 30 SunPower 35OW Panels � N N fh ® SunPower Invisimount Rail 72 S5!-S Clamps i8 Val Drexel Metals Standing Seam Roof- 550S SL-3 Bead 16"OC Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:S51,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: ------------- �A A/? Sr' -9 0-2163'3 -A0 OF NE� a 1.7tZ: By:MMB Drawing#3 of 5 5/15/2017 REV:A Drawing Scale:3/16"=1.0' GREENLOGOCO 3 No vent Pipes Will Be Covered By The Solar Array ENERGY GreenLog<ic,LLC Approved Gentlemans Ridge LLC LEGEND: 825 Stephensons Road AR.Access Roof per 8202 Definitions Orient,NY 11957 GA-Ground access area per R324.7 3 width to be the same as AP as measured at eave RAP.Roof Access Point,to be away from overhead obstructions,doors,windows,decks,fences and landscaping Total System Size:10.500kW AP.Access Pathway W"Mirnmcrm width par R324 7 A and 8324 7 5 RWV-Roof with valley.18"minimum from valley Array Size.10.WOW SVO-Smoke vent operation per R324.7.7.18"minimum from ridge 1 Circuit of 12 on a 20A Breaker 1 Circuit of 12 on a 20A Breaker 1 Circuit of 6 on a 20A Breaker A7imuth:150° Pitch:34° Monitoring System: RAP SunPower Previously Panel/Array Specifications: Installed Ground Panel:SPR-X21-350-BLK D-AC Racking:SunPower Invisimount Mount By GL GA GA Panel:61.39"X 41.18" Array:25'9 7/8"X 20'10 718" I I Surface:27'4"X 23'6" I f Magic#:Invisimount I I Legend: I 1 API 1 AP ® 30 SunPower 350W Panels I 1 SunPower Invisimount Rail I 1 ® 72 S51-S Clamps 1 I ji Val Drexel Metals Standing Seam Roof— I I tl 550S SL-3 Bead 16"OC L----------i _ svo Notes- Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:S51,SunPower Added Roof load of PV System-3.5psf Engineer/Architect Seal: Aq H �A 30 SunPower - 2 Meters For Apartment and Main House 350W Panels 633 ,COQ OF NE`f`� jDra'--/By:MMB Drawing#4 of 5 e:5/15/2017 REV:A _ Drawing Scale: 1/16"=1.0' (�PGREENLOGICO ENERGY GreenLogic.LLC Approved Gentlemans Ridge LLC 825 Stephensons Road Orient,NY 11957 Total System Size:10.500kW MW W -i Array Size:10.500kW -i - - 1 Circuit of 12 on a 20A Breaker + _!__ .___i.__ ___ . 1 Circuit of 12 on a 20A Breaker _--' i ! 1 Circuit of 6 on a 20A Breaker Azimuth:150' Pitch:34- Monitoring System: 4°MonitoringSystem: ; SunPower oPaneL/Array Specifications: Panel.SPR-X21-350-BL'K-D-AC Racking:SunPower Invisimount Panel:61.39"X41.18" 1—-- I 5'9 7/8"X 20'10 7/8" --- ----___-_-..----_-,•__-- — -� --------- ; - -----�--------- - Surface:27'4"X 23'6" Magic#:Invisimount Legend: j ! ® 30 SunPower 35OW Panels - - -- - -- ---- -}-- - — -- - -- --- f--— - -- i—----`--- - --- f _- ; - SunPower Invisimount Rail __ __ _ _ _ _; _ - -- --•-_ __- .__ . 1 _ . .__- t _- x.^ -- ¢ -- -- - - -- a 72 S5!-S Clamps f 8� s—_-------.._.____.-- ----_,.__�----•- -- ------ ----}-;----__�,___-__----' --------- -- -- ----- - ----- -------�------ ---- •`-------6------------------+--------- Val Drexel Metals Standing Seam Roof- ! ! ! 5505 SLS Bead 16"OC ...... ... .. .- _..__. J....... ._. -.___ ---_--.,_ _. ____._�y___._... .__.-__.., _. _`'_.._ -. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:S51,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: ?ti AR Sy- X21633 y0� OF N D wn By:MMB I Drawing#5 of 5 ate:5/15/2017 REV A Drawing Scale: 1/16"=1.0' NEW EQUIPMENT — — — — EXISTING SERVICE 120/240, 1 PH, 3W PV-SA-1 A zooa KWH N • • • 2 1 e e e AC-COMBINER PANEL i AC-CMB-1 PV-5A-2 (PV LOADS ONLY) B AC DISCONNECT ® • ® ® AC-DSC-1 - a B a I WR- PV-SA-3 MAIN 2 1FUSED A B NB 8 B I III EGC I - � N III EGC EOc EXISTING AC PANEL _ L GEC I GETTING IRREVERSIBLE SPLICE #6 CU —� PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Gentlemans Ridge LLC G EE L®GIC® 825 Stephensons Road 7p ENERGY Orient, NY 11957 1.) INITIAL SUBMITTAL WITH APPLICATION ELIMINATING THE COST OF ENERGY Page 1 of 3 Drawing No: GRLLC-3LD1 Revision: 1 Revised: 5/25/18 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-X21-350-AC, 1-CIRCUIT OF 10=MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-X21-350-AC, 1-CIRCUIT OF 10-MODULES PV-SA-3 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-X21-350-AC, 1-CIRCUIT OF 10-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3500 WATTS 211-264 VAC 14.23 A AC 240 V,AC PV-SA-2 3500 WATTS 211-264 VAC 14.23 A AC 240 V,AC PV-SA-3 3500 WATTS 211-264 VAC 14.23 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Gentlemans Ridge LLC G E E L G I ® 825 Stephensons Road 7p ENERGY Orient, NY 11957 ELIMINATING THE COST OF ENERGY 1 ) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: GRLLC-3LD1 Revision: 1 Revised: 5/25/18 EQUIPMENT& COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH, 3-WIRE BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-3 CIRCUIT BREAKER, PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 50 CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 1-1/2" PVC-40 4 / 4 C THWN-2 1-1/2" EMT 4 / 4 1.)CONDUCTOR TYPES AND SIZES TO BE ADJUSTED FOR TEMPERATURE, DISTANCE,AND DERATING FACTORS. 2.) ELECTRICAL CONDUIT TO BE MIN. PVC SCHEDULE 40,ADJUST FOR SITE CONDITIONS. 3.) ALL ELECTRICAL MATERIALS AND INSTALLATION METHODS TO COMPLY WITH NEC AND LOCAL CODE REQUIREMENTS. 4.) NOTE:GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER MINIMUM. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Gentlemans Ridge LLC G R E E LOGIC® 825 Stephensons Road 0 ENERGY Orient, NY 11957 1.) INITIAL SUBMITTAL WITH APPLICATION ELIMINATING THE COST OF ENERGY Page 3 of 3 Drawing No: GRLLC-3LD1 Revision: 1 Revised: 5/25/18 i ' ,, - ag.�bK!ti�-•b�Ya � kY s,�^='Az-..j(:s 1 1;, •'� ... ,s``"vla:�a$C 4 ''„ e ...Ci.. 4's� RYY iDC•t.\@ P,:: P°n'°° '§T `�!V .�:°I`„`ej•�•v:_;f..:. i Mw.F `"9s.u."°.... �°9ffip Rv. ap"id \ •\ ';aw"d"�• ^ -3':::. J dr a o �z -�. :A/y „.; � •r_x. ?.,\,'. �-Yee^• 't ;°^.'a �&, � �`��:, ' p3�•ti. ;3• Tse s ..•'! Z���� .,r•� .,rs •''",.�,�".,.��._ .s a s',»' "• ��.,Apt `� •- � ' "'"" yqa�',.`;",sem �^,:zer�b�` ,...%.. 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sunpower.com ;a', � JI, ED 'n A, IEIT 1547t' 0 1 "A Ru,e 2' SRI,Proli e (d e-faij:r so'!ings) ff)JI I r-01-11 I'max --n,r nor, 1 r-ax — 5851600!605 FF-ecuencv(Hz) 59 5 GO 0 10C,5 -- -- 0 85 lead 1 Or*) 0 85 lag Po.,ver'-actor 0 9C)/-1 00 1 00 -- - -- -- 69 VFr Reactive f)ovver Volt VA-r V- 1 2--/2-4--0 -2-6-)-4V------ @208 V 183/2,08/228 8 V i92z-,"j V 1 33 A NIax (-L.r,en' 0208':' 1 5,'A @?"0 96 001 L,11-!AC CE_Conversion Ll"icienci ,a)208 V 95 5Ac 1% x @240 V 12(-"I-Igle PIa'e' P'a -(�-)20i:5-V --1 0(two I-ole)'I,'.,Ye- -- ----- -- ------ 320 W.320 11A po"Ver 1 No active phaSe N)'ancing`or phase insrallatiors D Y21-350-,91.K-D-AC X21-335-BI X?0-327-81-.K-,.)-AC Warranties 25-yP.rl'mltE:d powerwarrancy 25 Year I rTijLea' 3 1)(11 W 33�'hr' '327A' I - -I - --. - -- --y - ---- - UL:lSt�--`Lo UL 1741 SA Oov,,er hol,-raiicr +51-0"6 5/ 'A '�RF)s IEEE 1547 2(103,IEEE 1547a 2014, ''are; z� t'451 G 9-', -,,mP CoJ Wooxr) 0 29r,,V1C Rule 21 Pha,,(--I I--ee byp,,s5 oiorles PV Rapid S[Iu,,aowr,Ecupmenr -chile T,)l,,raj icc lnt,,g-ated mofitiv,1�evol mum povior ooint Eat]pmer,t Grounding !tack-y" Ul [-)703, JL 9703 lcnne-.CtorS and cables -•'e", n' (load break dIS( • UL AC Module(lyF)p 2 f re ra,ing) Opel,ll.ingTemp, -,'0"F Lo+119'F(-/.0*C 0-65'C) Cvrt,�cations Fnables instalra-inn.n accordance vgh 241ax Ambient Temp 122'F(50-Q NEC 6`0 6 Wind E,?psf,SCOO Pa,305 kr/,112'ran',R,back I I -C 690'1 2 Rapid Shutdown ',rside-in(., N4 a x Loan SI I o vv 25_-,s 6 00 0 11 a,6'1 IL"o,,r i "t on, a(jtsi(,E,the a-ay) -1111 r.)a c,Re s i s i:a rur-- I inch(2!D run)diamete, hall at 52 Mp;l(23 nvs) NEC 690'15 AC Correctors,590 33(A)-(E)" ;:CC and ICLS-0O3 Class B Sr— 3 -ZIE A When lisec with InvisiMoun, r,-.cving(01-2 ,)ICeliS- 96 Morcicrvsz�,,I,mr�'Vaxeon:;en III High trarisrmssioq trn"Der�d glaiss+,mth am n:,:gr,,ltOd gro,inding and bonding Fran,class ccatir", Class A fire rated reneca✓eRa-zing Outuoor rated MD fe-zL-- -------PoLent a!-ind1jced-d-e,,radai.ail free i F,arno Clas,:I biacl,anot:1172d(higher'AAMA ratlrj'e A 280 mm [11021nl e I t -15 5 bs-20 6 kg) Pe,:u,,ir tencled Max 1 3 in (33 rn-i) i fIL ET Em 327 W Cop-Pat ed CO a convenricnal orwel orsaae-si,eul arrays1260W,loi,6efflceni, 1107 mm [43 6 In] 1046 mm m approx 1 61119,4t$Mole eneigy per Platt(based on OVSys-,oan,iles),0 7515/,,,,,51me, 1 [412 In] ar 2�1 1) --gra,latio,-i(',1rT1j)eaU,Z et A stunpmvpr Mod,-j'e Dogroactm,date Sar Jose 30 mm HS-,,of 11,21n] ja-ua ry<u ',' & ,1Pk.n.F,at n1 ofer PV Durability I nit ia(I�,e re,i Soki,V o d.j es P i r,:3"I-VI ech P(A er, Knowe Septc-iber 201S,Camoeau,Z el:--I Suffriver tWodL.-,'&Degrociovon Rate Sanjose(-%2013 GWSU�� 1558mm WRACK 17:'cto,y set to 1547d-2014 o,ofile CA Rule-I-proli e se,di,ing corni-riss;omg See tl�,e Elqu'noy [61.3 In] EQUFMWT iormoreinformAcn LISTED— S S-a,ida,d I est cond tions(I C00',,,7In'rWijnce,AM 1 5,25'Q NREL callb,ation tanda'tj Pleaso jrjStdlldtIO-I r'SLCtIQf1S fC'detc;,6 Md,,ji.fit.pa&=n--Type 2 TOMS,ur,erit,LAcl,srraro,otage A See sunpower com,falts for mere refer ecce infoi ation «dry "' �,. * - .. -- " .. s V ,.�,..�F' "•,,..'`e„",-,^i, LZE; `^'`' •« a': .':r,::d£.�n fZt'!t ,.`iYa.i> - - ,aiP=°.°• :i.'°^�r3a"c. ,�^�'- .m„ L' Tib .v�4�;�^.-sr,,'id�r�"' ^',-.'''�:✓, "".ro' rib. r�`<a!' ,s -�xx. ;;w' .t ,•�-„A ;;�• "�'`” yy"'�'. ei ;.r•:. .•CKs^`•s ,..: _ 5° „5•.a �„.°✓'^"'" ,�;-d ���-R:jy^,)y' � «�"'•-•w,-h�ry �jE� " , ,Nti:."."'"' r ar h � �Y+. .^'„�,'- Simple and Fast Installation _- Integrated module-to-rail grounding " ! r Pre-assembled mid and end clamps i i_evitating mid clamp for easy placement Mid Jaw-width taci,iLL es consistent,ever K module spacing Simple,pre drilled rad sp4ce - UL 2703 Listed;ntegrated grounding Flexible Design _a . 4 Addresses nearly all slooed residential roofs t "' Design in landscape and portrait Rails enable easy obstacle rnanagernent ti Customer-Preferred Aesthetics #?1 module and#1 mounting aes-,hetics yes:-in-class systern aestne.ics Elegant Simplicity Premium,low-profile design Black anodized components SunPower" InvisiMount"' is a SunPower-designed Hidden mid clamps and enol clamps rail-based mounting system The InvisiMount system and capped,flush rails addresses resident a`sloped roofs and combines faster Part of Superior System, installation time, design flexibility, and superior aesthetics. Built-for use with SunPower DC and AC modules The InvisiMount product was specifically envisioned and Best-in class system reliabiilty and aesthetics Corr-ibmc+rnth sunPower modules and engineered to pair with SunPower modules The resulting monitoring app system-level approacr, will amplify the aes-lheiic and installation oenefits for boLh homeowners and installers t? sunpower.com • � n 65 r fn�'4.S'e� r �° �Ke �• p01160110 tell I Module`%I•.Ild Clamp and Rall Module*/Find Clamp and Rad Mir VIE iv1ldgCl�arnp End Garrlp Pall&Rad Splice Grwnd Lug Assernbiy End Cap i j Tei rtfier aLun: _,.O'C to 90'C f• d0'F to 1 s)4'F) Compc-nent 1JIat PYla, Weignt _— ____ _ _- 3000 r'a uplift r I Max Load(1_RFD) - cotrri`orce I Ild Cla r,o - Black oxide stainless stee•AISI 304 - 63 g(21 oz) 6000 Pa la — E 0 CUrnp Black arc0izeo a um Hurn alio,6053 T6 110 9(3 BE oz) Black arorv,e;,aiurmnum alloy 6005-T6 £?0 gmt(9 07/`t) ! Rall Splice Aluminum alloy 6005-FS 330 gin-,(9 Oz/`t) � 25 year product warranty I Ground Lug 304 stainless 106 5 g/rn ''PJarranhes(3 75 0z) 5 year rnish w.al ranty l Assembly (A2-70 holt,Tin-plated conp4^L,g) End Cau I Black oce,al(POM)copolyrner 1 10 A g(0 37 oz) -- T - - i UL 2703 Listed Certifications a Class A Fire Rated Conlpusluur Shingle Fatter Aaachfnent csARM; MAN: 111111::&1gin I Application Compcis;Unr ShinrlP Rrof fiedking Aaachmen K ; Curved and I-lot He Roof Attachrnent UnroPlnuorfare for Other Roof Atta(hrnems l Refer to roof attachment hard,va•e rnanuf,)C:urer's documentation .1,wule frame in?I Is comoavhle vm.n the Invt,,;AAounr s 'en•i•meq lit na fo,hard rare Ir oroperdEtlily s?ZOi>St,npuvrer Cnrn.,re:inn r`dl Flights Bese;ven SUNPO:VFk,-he SUPlF'OYJ'R loge,and'h J1SIA10l1NT;tie:•adrnak;o��ri htarr•d vaderrarK,cr 4rnoow�r Lorp•+avan to otht•i ti ren-ar•,are the proremy ct trei,rospc twe currer, sunpUwer Com sp»u9cauom;•xtuae:: r..rn,datasrwe.!resub�etzr:rt,ang�w;•�o_tnalc: Document#509506RevC