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HomeMy WebLinkAbout42860-Z r�Stl � d'�c Town of Southold 8/9/2018 o - 5 P.O.Box 1179 two 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39836 Date: 8/9/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 9630 New Suffolk Ave., Cutchogue SCTM#: 473889 Sec/Block/Lot: 116.-5-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/9/2018 pursuant to which Building Permit No. 42860 dated 7/13/2018 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 Kay Henriksen, Sandra of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42860 08-07-2018 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD L BUILDING DEPARTMENT TOWN CLERK'S OFFICE '� • 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#: 42860 Date: 7/13/2018 Permission is hereby granted to: Kay Henriksen, Sandra 9630 New Suffolk Ave PO BOX 353 Cutchogue, NY 11935 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 9630 New Suffolk Ave., Cutchogue SCTM # 473889 Sec/Block/Lot# 116.-5-3 Pursuant to application dated 7/9/2018 and approved by the Building Inspector. To expire on 1/12/2020. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Total: $200.00 spector %31 so Town Hall Annex Telephone(631)765-1802 54375 Main Road CAA Fax(631)765-9502 P.O.Box 1179 �Q roger.richert(a)-town.southold.nv.us Southold,NY 11971-0959 Q �yCoto,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Sandra Henriksen Address: 9630 New Suffolk Avenue city,Cutchogue st: New York zip: 11935 Building Permit#: 42860 Section: 116 Block: 5 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Momentum Solar 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 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: 5.13 KW Roof Mounted Photovoltaic System to Include: 18- LONGI-LR6-60-285 Panels, With Micro Inverters, Combiner Box, AC Disconnect. Notes: Inspector Signature: Date: August 7, 2018 0-Cert Electrical Compliance Form.xls momentum SOLAR AUG ® 7 2018 DD August, 6; 2018 The Town of Southold BURRING DEPT. 54375 NY-25 T01'17?OF sommmD Southold,NY 11971 Subject: Architect Statement for Solar Rooftop Installation Residence - Sandra Henriksen-9630 New Suffolk Ave. Cutchogue NY 11935 Permit No#42860 Post Installation Inspection Date:7/30/2018 The rooftop photovoltaic system at the above referenced residence has been observed to be installed properly in accordance with the approved plans and is certified by Daniel W Dunzik Architectural Services,P.C. to be in compliance with the minimum requirements of the Town, the 2015-International Residential Code and the 2016-New York State inform Code Supplement and the Provisions of ASCE 7-10. Sinc er�����ARc T N, iel e t _ t 03953A n1�0 OF NE 325 High Street D:732.902.6224 Metuchen,New Jersey F:732 902 6223 o8840 W:momentumsolar.com FIELD INSPECTION REPORT7 DATE COMMENTS FOUNDATION (1ST) ------------------------------------ 'FOUNDATION (2ND) ROUGH FRAMING& PLUMBING • VD INSULATION PER N.Y: STATE ENERGY CODE FINAL ADDITION O ENTS lid t rn O C H L 7 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL' Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631)765-9502 Survey Southoldtownny.gov PERMIT NO. p� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20� Single&Separate Truss Identification Form ® D Storm-Water Assessment Form �j JUL 9 2010 Contact: Approved G ,20� Mail to: 45 Fairchild Ave,Suite B BjJ Disapproved a/c MING DEPT• Plainview, NY 11803 Phone: (631)536-4100 x. 966 Expiration ,20 Buil ctor APPLICATION FOR BUILDING PERMIT Date July 9th -,20 18 INSTRUCTIONS 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. F, (Signature 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 Cnntrartnr Name of owner of premises Sandra Henriksen (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer Cameron Christensen/ General Contractor (Name and title of corporate officer) Builders License No. 57578-H Plumbers License No. Electricians License No. 37608-ME Other Trade's License No. 1. Location of land on which proposed work will be done: 9630 New Suffolk Avenue Cutchogue House Number Street Hamlet CountyTax Ma No. 1000 Section p t(�p Block5 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work Solar installation 30dp (Description) 4. Estimated Cost $17,595.90 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 13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises Sandra Henriksen AddresNew Suffolk Ave,cutchogue Phone No. (631)734-6349 370 Bumt Hill Rd, Phone No 908-879-3RRd Name of Architect Daniel W. Dunzik Address .Milman.NY 09558 Name of Contractor Cameron Christensen Address 46 Fairchild Ave,Plainview Phone No. (631)536-4100 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 ) Cameron Christensen 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 day of �/ lr�l 20 DANIEL J GIAMMANC — ary Public Notary Pu is-State of New Signature of Applicant No.01G16341027 Qualified In Suffolk County My Commission Expires May 2,2020 f - Scott A. Fussell SUPERVISOR ilz I�V1CA��A\(G�JEI�v1[]EI��C' SOUTHOLD TOWN HALL-P.O.Box 1179 53093 Main Road-SOUTHOLD,NEW YORK 11971 ' O " ' 'own of Sro u th o l d CHAPTER 236. 4 STORMWATER MANAGEMENT WORK SHEET TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF =L FOLLOWING: Yes No (CHECK ALL THAT APPLY) ®® A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. E ®S B. Excavation or filling involving more than 200 cubic yards of material i within any parcel or any contiguous area. I ®®•C. Site preparation on slopes which exceed 10 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. I ®® E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. El F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. `: 1000 Date. Di rjc*t NAME �.Q.m�OY> �►�L1_ u 16 V 3 Section Block Lot LSrym{Vrel 0' I�- FOR BUlLD1NG DEPARTMENT USE ONLY Contact Information A13 11 53(p "[ oo �G /(d6 rl'olephonr NumMi- - Reviewed By: Date_ Property Address/Location of Constl-uctlon Work: — — — — — — — — — — — — _ Approved for processing Building Permit. Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — ® Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 iLc � f n , g11FFDl,��o BUILDING DEPARTMENT- Electri aT spector ,y� G TOWN OF SOUTHOLD _ g 2018 $ Town Hall Annex- 54375 Main Road - PO Box,1179 o • Southold, New York 11971-0959 GDFPT 0 N- Telephone (631) 765-1802 - FAX (631) 7 - UTRODD ��O roger.richert�town.southold.ny.�p APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: (� pinn��i (Soto_,, Name: r "a.;11, ko License No.: q-1 co 8r P email: •-6 '(10, +V'4'-1s,lof.4&' - Address: Lk IS •fir PCZ k vt .;.wi.cw O3 Phone No.: 3Cc— Lu d 0 &C, JOB SITE INFORMATION:. (Ali Information Required) Name: QX A r^- •4ex\ri S,e., Address: 9&30 Gw Cross Street: Phone No.: G3(4-01 Bldg.Permit#: email: Tax Map District: 1000 Section: <I!b Block: Lot: 3 BRIEF DESCRIPTION OF WORK (Please Print Clearly) gyp, G„a(�.�•�( '(_(� ti . 5. 13 k Circle All That Apply: Is job ready for inspection?: YES(9 Rough In Final Do you need a Temp Certificate?: YES / NO 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 Request for Inspection Formals T Y • A 3J M1A C SUFFOLKCOUm1fDEPTOFI.ABOR. Nam impRovOmewi'SALEBPERSON' ,, UCENSING&OONSU&MRAWAIRS LICENSEE i O E IMPRO EME T Name:CAMFAON CHRISTENSEN CONTRACTOR t {` uceme#2QB2829 DCA CAMERON CHRISTENSON Eration mm Feb 28,2Mi r'•> ? xpi This certifies that the aao CUSTOM SOLAR LLC Data hearer is duly - " licensal by the County of Suffolk u w.ra 10=120 X16 " s7m.ti ii �ii�as-raa -nxssp�� • tMNMWLr - FVq{NW O97Y f b696® aea 4a� • _ !A!M!lff1R """ E16 T l . PROCU-1 OP ID:LM CERTIFICATE OF LIABILITY INSURANCE DA12/11/2017v) _ 12!11/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(fes)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 endarsement(s). PRODUCER AME:_ Lisa-MacDonald _ Brown&Brown Insurance - --_ 2000 Midlantic Dr,-Suite 440 14�NN E,).732-504-2001 {A C No:732-504-2011 Mount Laurel,NJ 08054 ADDRESS:lmacdonafd@bbdvins.com Brian DlLulgi ADDRESS: INSURERS AFFORDING COVERAGE 11 NAIC# INSURER A:Gotham Insurance Company 25569 INSURED Pro Custom Solar LLC dba Momentum Solar INSURER 19:New York Marine S Gen Ins Co 16608 45 Fairchild Ave Suite B INSURER c:HISCOX Insurance Company Inc 10200 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 CLAIMSSR I .. ILTR TYPE OF INSURANCE�iNSO�WVD POLICY NUMBER MM!'�Y EFF� MMIDD�,1 LIMBS A I X,1 COMMERCIAL:GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR GL2017000107Z7 1 12/1212017 12/1212018 ATIXG PREM PREMISES LEa occurrence S 100,00 MED EXP(Any one person) S 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JFC LOC PRODUCTS-COMPlOPAGG $ 2,000,00 OTHER: ' !$ AUTOMOBILE LIABILITY I - I - COMBINED SINGLE LIMIT B X Ea acadent $ 1,000,00 ANY AUTO ++AU201700012651 0412112017 04/21/2018 BODILY INJURY(Per person) S ALL OWNED SCHEDULED I BODILY INJURY(Poracoident) '$ AUTOS AlfT05 I HIRED AUTOS X NON-OWNED VR'0111 F�171)AgA AUTOS Per accident $ X 'UMBRELLA LIAR X OCCUR '$ A EXCESS LIAR CLAIMS-MADE UM201700004884 12/12/2017 12/12/2018 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ S,000,OO DED X RETENTION$ 10000 I' Is WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STATUTE LER B ANY PROPRIETORIPARTNERIEXECUTNE YIN WC201700012773 12112/2017 '1211212018 E,L.EACHACCIDENT S 1,000,00, OFFICF_R/MEMBER EXCLUDED? ®N J A (Mandatory Inund EL DISEASE-EAEMPLO S 1,000,000 II es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 C �Professional Llab ANE1860007.17 12!01120171 12/12/2018' Limit 1,000,00(CLAIMS MADE) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 161,Additional Remarks Schedule,may be attached If more apace Is required) i 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 53095 Middle Road ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 - AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD YORK Workers' OF srA Compensation 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 of 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,t.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 53095 Middle Road Southold,NY 11971 3b.Policy Number of Entity Listed in Box"1a" WC201700012773 3e.Policy effective period 12/12/2017 to 12112/2018 3d.The Proprietor,Partners or Executive Officers are QX included,(Only check box if all partnersfa icers 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'I 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 7'. Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? YES xpNO , 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,l 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 depleted on this form. Approved by:Christine Howley (Print name of aulhorize epresentagve or licensed agent of insurance terrier) Approved by: 12/11/2017 (Signature) (per) Program Manager , Title: Telephone Number of authorized representative or licensed agent of insurance carrier. (973) 532-1758 Please Note:Only Insurance carders and their licensed agents are authorized to Issue Form 0.105.2.Insurance brokers are NOT authorized to Issue it C7105.2(945) www.wcb.ny.gov PDF created with pdfFactory trial version www.pdffactory.com YORK Workers' CERTIFICATE OF INSURANCE COVERAGE STATE ;Compensation Board UNDER THE NYS DISABILITY BENEFITS LAW LFART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier- 1a.Legal Name&Address of insured(use street address only) 1b.Business Telephone Number of Insured PRO CUSTOM SOLAR LLC (732)902-6224 'DBA MOMENTUM SOLAR 1c.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 certain locations in New York State,le.,a Wrap-Up policy) 1d.Federal Employer Identification Number of Insured or Social Security 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 12/1412016 to 12/14/2018 4.Policy covers: ® A.All of the employer's employees eligible under the New York Disability Benefits Law ❑ B.Only the following Gass 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 `""� "�"' Joseph J.Masi (Signature of insurance carrier'a authorized representative or NYS Licensed Insurance Agent of that tasurance 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"4b"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 o NYS Workers'-Compensation Board Employee) Telephone Number Tide Please Note: Only insurance carriers licensed,to wine 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 465975 • •0' LR6-60PH 235-305W 285~305WMechanical Detail Operating f■■®®�� iia» I l.m at isw�sn Number of Cells 60(6x 10) Operating Temperature-40'C-185°C I .��®■■ ? '", Junction Bor IP68,three diodes Power Tolerance 0-+5W Less components and lower cost • e �� Output Cable*4mm',1000mm m length Maximum System VoltageM'DC1500V(IEC) ■■�®� Excellent performance under the andstandard • 1I r Connector MC4orcompatiolewiln MC4 Maximum Series Fuse Rating 15A � oma` � Fy �■■®®■� • II' I • I' • uNu mmi�m Weight 18 2k NOCT 45°C±2'C ■■�■.� �L w, Dimension.1650x991x40mm Application Class Class A Excellent PID-resistantiperformance L=P Packaging 26pcs per pallet Passed more strict PID test with 85916RH,85C temperature, 7500voltage. Electrical Characteristics Type LR6-60PH-285M LR6-60PH-290M LR6-60PH-295M LR6-60PH-300M LR6-60PH-305M Testing Condition STC j NOCT STC NOCT STC NOCT STC NOCT STC NOCT i Maximum Power(Prri 285 j 2095 290 2132 295 i 2168 300 1 2205 305 224 2 j for • • • Open Circuit Voltage(VocM) 395 365 397 367 399 369 401 371 402 ! 372 25,year Warranty for Extra linear Power Output -0 55% r ■ I t , U Short Circuit CurrentIse/A) 9 46 762 958 7.72 969 781 981 791 994 801 25-year Power Voltage at Maximum Power(VmpM 321 295 323 297 326 j 299 328 30 1 330 303 Warran Annual ` Addfhonal Vafue fro Power Att nuation Current at Maximum Power(Imp/A) 8 88 j 7 10 8 98 7 18 I 9 OS 7 24 9 15 7 32 9 24 739 00% - _ _______$ta m`ONGi S°far s Linear Warranty 0 5595 Module Efficiency(%) 174 ! 177 I 180 I / 183 ! 187 / i ________ule ' STC(Standard Testing Conditions) Irradiance 1000W1m',Cell Temperature 25°C, Spectra at AM1 5 n ardMod 877% ------------------------------ t - lrgOaF' ' p4k'erWa�an 845% NOCT(Nominal Operating Cell Temperature) Irradiance 800W/m',Ambient Temperature 20°C, Spectra atAM1 5. Wind at lm/S 807% Temp.Coefficient(STC Testing) •,• 1 5 10 15 20 25 Temperature Coefficient of Isc -0 059%6/c Maximum Front Static Load(Snow) 540OPa Complete System and Product Certifications Positive Power Tolerance Temperature Coefficient ofVoc -0300%(c Maximum Rear Static Load(Wind) 240OPa ICC 61215,ICC 61730,UL 1703,CQC,CE 0-+5W positive tolerance of maximal power guaranteed Temperature Coefficient of Pmax -0 390%VC Pass the Hailstone Test 25mm Hailstone at the speed or 23m/s ISO 9001 2008 ISO Quality Management System High Conversion Efficiency ISO 14001 2004 ISO Environment Management System The highest efficiency up to18 7% OHSAS 18001 2007 Occupational Health and Safety Excellent Performance in Low irradiance Outstanding power output in low irradiance conditions,such as dawn,dust Current-Voltage Curve(LR6-60PH-290M) Power-Voltage Curve(LR6-60PH-290M) Current-Voltage Curve(LR6-60PH-290M) and no-sun days 10 30° tint mp sc tz c.ai,mpw c —IKamtFad-IWVN/m ® O Anti-PID a 750 —m smmx ° ma.ioDN,M FC El — d�0•aa�00N/m Mti PID techniques of processing solar cells and encapsulating modules g:6. —C•p imp c 200 —C'i�p p-as applied,adaptable for the installation in hot and highly humid areas � 16° � 6 M1 1 —auTn.p-9,C ; �� Adaptability to the Harsh Environments —"" '� a too V 4 1 —an rp,t,�.ssc Excellent anti salt mist and anti-ammonia capability and Is adaptable to the —r nn o.r,c so z - harsh environments,such as seaside and farms °o to 0 ° zo so ao so o is p 10 ao s° o 10 zo ao ao Super Robust Frame,40mm Thickness voltage M Vohage M Vohne M •Speuficanom subject to technical changes and tests LONGI Sol,,resolves the Good pressure resistance and able to bear2400Pa wind load and 5400Pa right of final interpretation snow load Roo 201.Building 8, dill Plaza, 290, ii eNew District,Shanghai,201203 el Building 201, dhill Plaza,477290, cds Road,Pudong New District,Shanghai,201203LONGI Solar Tel86-21-61047332 Fax86- 1047377Eal mode®tongl-slliconom LONGI Solar T86-21-61047332 Fax86-2�037Eailmoule®longi-siliconcoin Note Due to continuous technical innovation,R&D and improvement,technical data above mentioned maybe of modification accordingly LONGI Solar Note Due to continuous technical innovation,R&D and improvement,technical data above mentioned maybe of modification accordingly LONGI Solar have the sole right to make such modification at anytime without further notice, Demanding party shall request for the latest datasheet for such as contract have the sole right to make such modification at anytime without further notice, Demanding party shall request for the latest datasheet for such as contract need,and make it a consisting and binding part of lawful documentation duly signed by both parties need,and make it a consisting and binding part of lawful documentation duly signed by both parties 20170301 _ I R� Daniel W. Dunzik Architect LEED-AP Daniel W. Dunzik Architect LEED-AP 370 Burnt Hill Rd.Skillman,NJ.08558 908-872-3664 370 Burnt Hill Rd.Skillman,NJ.08558 908-872-3664 Studiogdesign@comcast.net Studiogdesigns@comcast.net July 6,2018 3. Solar modules shall be UL-1703 rated. Refer to manufacturers specifications sheets. Cutchogue,NY. 4.Positive drainage of the system shall be so as not to void the existing roof warrantee. Attn:Construction Official 5.2017 New York State Uniform Code,the 2015 International Residential Code,2ND Printing, Re:Proposed Photovoltaic Solar Panel Installation as amended by the 2017 New York State Uniform Code Supplement,ASCE-7-10,2014 Sandra Henriksen National Electric Code,All Local Governing County and Municipal Ordinances adopted by 9630 New Suffolk Ave. reference or enacted by law. Cutchogue,NY. 11935 ELECTRICAL Dear Sir: INSPECTION REQUIRED Certification:I have reviewed the engineering testing reports for the racking and attachments to be used on this project and I certify that the products are capable of supporting the code required loads and are suitable for this installation when installed in strict compliance with the If you have any questions relating to this matter,please contact me at your earliest manufacturers printed instructions. convenience.Thank you. Regarding the solar panel array installation on the above referenced project please note that RETAIN STORM WATER RUNOFF An inspection was performed and analysis of the existing structure was conducted.There is ® �p �/� �QPURSUANT TO CHAPTER 236 adequate structural capacity for the installation of the array with the following ®CCU PAN�p CY UO R APPROVED AS NOT Y F THE TOWN CODE. recommendations: p FU� DATE: 3 � B.P.` 1.The array will be installed on the existing roof.The roof is constructed of 2"x8"wood rafters USE I �J�LAp vab @ 16"O.C.spanning 13'8"with 1/2"plywood sheathing.The new array(See Site map by WITHOUT C E RTI F1 V FEE: BY: contractor)will add 2.63 Lb./Sf overall to the roof.No additional structure support is required �p NOTIFY. BUILDING DEPARTMENT AT for the existing roof structure. ®F CU FANCY 7654602 'SAM TO 4 PM FOR THE 2.The system shall be secured to the roof using the"Ecofasten Solar""Rock-IT"®attachment FOLLOWING INSPECTIONS: system.The installation shall be in strict compliance with manufacturers printed instructions. 1. FOUNDATION - TWO REQUIRED The attachment system shall be UL 1703 approved tested.The attachments shall be min.5/16" ,�RED ARC, FOR POURED CONCRETE x 4"long stainless-steel lags with a min.embedment of 3"into the rafters.Attachments shall be G�5 ���`W.pV4 2. ROUGH - FRAMING & PLUMBING @ 48"o.c.Max.in roof wind zone 1 and @ 24"o.c.Max.in roof wind zone 2 and 3 lags to �� oP %� ��a 3. INSULATION alternate rafters. Provide 6 mil.vapor barrier between dissimilar metals.Provide water tight 4. FINAL - CONSTRUCTION MUST gasket and sealant at all penetrations. Attachments shall follow panel rows as specified by the ' *' BE COMPLETE FOR C.O. system manufacturer's installation manual.The panel angle shall match the roof slope. ALL CONSTRUCTION SHALL MEET THE Structural Design Loads per ASCE 7-10 REQUIREMENTS OF THE CODES OF NEW -Dead Loads= 10 psf(+2.6psf,New Solar Panels)= 12.6 psf.-Live Load=25psf Daniel W. ,g YORK STATE. NOT RESPONSIBLE FOR Total dead weight on attachment=19Lb.Max. NY. Lic.No. NES DESIGN OR CONSTRUCTION ERRORS. Ch.30 Wind Loads Components and Cladding -windloads=130 mph Exposure B zone 1=+/-27.8 psf.,Zone 2&3=+/-67.0 psf. Area of Panels largest array=435sf COMPLY WITH ALL CODES OF Tributary area panels/attachment max.435sf/54mm= 8sf. NEW YORK STATE & TOWN CODES Min Number of Attachments=54. AS REQUIRED AND CONDITIONS OF Wind pressure 27.8 x Area 435/54 No.Attachments=539_ TABLE 10.3.1 NDS Pull out strength of 5/16"x4"lags in rafter=W'=WxCdxCt=266lbs/in [ECEOVIE LD TOWN embedment x 3"embedment=798 x1.6Cd x1.0Ct=1,276 Lbs Max.>539lbs/attachment OK D D RD JUL 9 2018 S PtUDING D-EPT. s PLAN KEY SYSTEM INFORMATION PV-1 COVER PAGE MODULE LONGI LR6-60 285M momentum PV-1(1) COVER PAGE CONT. INVERTER ENPHASE IQ6-60-2-US SOLAR PV-2 PANEL LAYOUT RACKING ECOFASTEN ROCK-IT SYSTEM PV-3 LAYOUT DETAIL PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR SYSTEM SIZE (DC) 5.13 KW 325 HIGH STREET,METUCHEN,NJ 08840 (732)902-6224 PV-4 ELECTRICAL LOCATION 40.9919918 72.4991529999999 MOMENTUMSOLAR.COM PV-5 EQUIPMENT LABELS STRUCTURAL ENGINEERING GENERAL NOTES: DANIEL W.DUNZIK RA LEED-AP LICENSE#039534 (908)872-3664 THIS PV SYSTEM HAS BEEN DESIGNED TO MEET THE MINIMUM DESIGN STANDARDS 3si7au BURNT,NI ss5°e° SYMBOL LEGEND FOR BUILDING AND OTHER STRUCTURES OF THE ASCE 7-10 IRC 2015 AND NEW ENGINEERINGLELATIONS FOR HAS SPECIFICATIONS FOR & i AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& YORK STATE UCS 2017, 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 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 REQ AR ADDITION AN 18" WIDE PATHWAY(FREE OF SOLAR EQUIPMENT) SHALL BE PROVIDED UTILITY METER ® VENT FROM AT LEAST ONE EAVE. AC AC DISCONNECTO PIPE VENT ROOF SHALL HAVE NO MORE THAN TWO LAYERS OF COVERING IN ADDITION TO THE Dc SOLAR EQUIPMENT. uoc UTILITY DISCONNECT 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 SATELLITE DISH7,. y0 03953Q WEIGHT OF THE INSTALLED SYSTEM SHALL NOT EXCEED MORE THAN 5-PSF FOR F�F 5 FNNEMA 3R BOX W/ENVOY-S ® FIRE SETBACKS PHOTOVOLTAIC AND NO MORE THAN 6-PSF FOR RESIDENTIAL SOLAR HOT WATER F SYSTEMS. c6 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 MODULE -► PITCH DIRECTION PLUMBING PERMIT AND INSPECTION. SANDRA HENRIKSEN INVERTER PLACEMENT: 9630 NEW SUFFOLK AVE CUTCHOGUE, NY 11935 SYSTEM UTILIZES "ENPHASE" MICRO-INVERTERS WITH RAPID SHUTDOWN CONTROL (631)734-6349 LOCATED ON THE BACK SIDE OF EACH MODULE. JURISTICTION:SUFFOLK BILL OF MATERIALS UTILITY:PSEGLI BUILDING REVIEW NOTE: UTILITY ACCT#:9620512552 MODULES 18 UTILITY METER#:61088027 TOWN BUILDING PLANS EXAMINER HAS RECEIVED THE ENCLOSED DOCUMENT FOR INVERTERS 18 MINIMUM ACCEPTABLE PLAN SUBMITTAL REQUIREMENTS OF THE TOWN AS SPECIFIED PV SYSTEM IN THE BUILDING AND/OR RESIDENTIAL CODE OF THE STATE OF NEW YORK. CLAMP ASSEMBLY 25 INFORMATION THISREVIEW DOES NOT GUARANTEE COMPLIANCE OF THAT CODE. THAT COUPLING ASSEMBLY 18 RESPONSIBILITY IS GUARANTEED UNDER THE SEAL AND SIGNATURE OF THE NEW SYSTEM SIZE(DC):5.13 KW YORK LICENSED DESIGN PROFESSIONAL OF RECORD. THAT SEAL AND SIGNATURE BONDING CLIP 4 18 MODULES: LONGI LR6-60 285M HAS BEEN INTERPRETED AS AN ATTESTATION THAT, TO THE BEST OF THE LICENSEE'S SKIRTS 3 18 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 SUBMISSION. ' 25A FUSES 2 PROJECT INFORMATION 3. CONFORMS WITH REASONABLE STANDARDS OF PRACTICE AND WITH VIEW TO INITIAL DATE:7/6/2018 DESIGNER:CP THE SAFEGUARDING OF LIFE, HEALTH, PROPERTY AND PUBLIC WELFARE IS THE 125A LINE TAPS 2 REV: DATE: DESIGNER: RESPONSIBILITY OF THE LICENSEE. REV: DATE: DESIGNER: COVER PAGE PV- 1 1. ALL WIND DESIGN CRITERIA ARE FOR GABLE AND HIP RESIDENTIAL ROOFS FSEEOR MAMENTSCHEDULE FOR MAXIMUMUM CANTILEVER CONSIDERED FROM AN ANGLE OF MIN.9.5° TO MAX.45° 12 NOT TO EXCEED ( 2) (12) COUPLING ❑ 30'MEAN ROOF HEIGHT WITH A MIN f"LAG BOLT(ASTE A276)STAINLESS STEEL CLAMP& momentum INTO THE RAFTER OR BLOCKING BETWEEN RAFTERS W/MIN. EMBEDMENT OF 3" ATTACHMENT 2. THIS STRUCTURAL DESIGN REFLECTS STRUCTURAL CONNECTIONS TO THE RAFrE SOLAR LONGI LR6-60 285M EXISTING STRUCTURE ONLY. MODULE TO RACK-IT LOADING AND CERTIFICATION SOLAR MODU 285 WATT MODULE PER MECHANICAL LOAD TESTS IAW/ANSI UL2703 CONDUCTED ON BEHALF OF 0'-0-" —— 65LL X 39" X 1.6" ECOLIBRIUM SOLAR BY TUV RHEELAND REFERENCE FILE L2-ELS150128a REV 1 ?_ PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR ( ) 0'-1 3 " / 325 HIGH STREET,METUCHEN,NJ 08840 (SEE DATASHEET) 3. ROOF SEALANTS SHALL CONFORM TO ASTMC920 AND ASTM 6511 AND IS THE 16 � (732)902-6224 RESPONSIBILITY OF THE CONTRACTOR TO FILL ALL HOLES WATER TIGHT. / GUfV / MOMENTUMSOLAR.COM CLIMATIC & GEOGRAPHIC DESIGN 4. "ROCK-IT"ATTACHMENTS ARE MANUFACTURED BYECOFASTEN SOLAR,PHOENIX, p 102 STRUCTURAL CRITERIA TABLE R301.2 1 ARIZONA.AND SHALL BE INSTALLED IN STRICT COMPLIANCE WITH ENGINEERING / MANUFACTURERS PRINTED INSTRUCTIONS. MINIMUM 5-SPACING TO GUTTER_ / DANIEL W.DUN2IK RA LEED-AP ' ECOFASTEN SOLAR ROCK-IT 4 0 MOUNTING DETAIL LICENSE#039534 GROUND SNOW LOAD 30 LBS/SF ROCK-IT TO RAFTER ATTACHMENT SPACING SCHEDULE �\ / ECOFASTEN SOLAR ROCK-IT 4.0 RAIL—LESS MOUNTING (908)872-3664 SYSTEM INTEGRATED WITH FLASHING,COUPLINGS 370 BURNr HILL ROAD SPEED (MPH) 130 MPH AND ADJUSTABLE CLAMP ATTACHMENTS SIGLLMAN,NI 08558 / ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& TOPOGRAPHIC EFFECTS B ULTIMATE G CODE ROOF ZONE 1 &2 ROOF ZONE 3 ATTACHMENTS PLIANCWARN NG THAT IT ISTO MEET LOCAL ANDVIOLATION Ao THE LAW FOR DESIGN ANY PERSON,UNLESS ACrING UNDER THE MAX.SPAN/MAX. MAX.SPAN/MAX. LICENSED ARCHITECT,TO ALTER AN ITEM INIAC AY OF A SPECIAL WIND REGION NO WIND CANTILEVER CANTILEVER WIND BORNE DEBRIS ZONE 2 SPEED(MPH) (INCHES) (INCHES) - SEISMIC DESIGN CATEGORY C 115 48"O.C./16"MAX. 32"O.C./12"MAX. RED AR�h'i CLIMATE ZONE 5A 125 48"O.C./16"MAX. 32"O.C./12"MAX. FASTENER REQUIREMENTS: �� �.��W.DLI/v" 130 48"O.C./16"MAX. 32"O.C./12"MAX. TOTAL ARRAY AREA=316.88 SQ FT lc - C A WIND EXPOSURE CATEGORY B 140 48"O.C./16"MAX. 24"O.C./10"MAX. WIND LOAD:ASCE 10(SEE CALCULATIONS,STRUCTURAL CERTIFICATION)50 PSF MAX MAXIMUM SOLAR ARRAY ELEVATION:4.25" 150 48"O.C./16"MAX. 24"O.C./8"MAX. TOTAL UPLIFT 50 PSF X 316.88=15843.75 LBS - ` MAXIMUM CLAMP ATTACHMENT SPACING:48" 160 32"O.C./12"MAX. 16"O.C./8"MAX. FASTENER: N TABLE REFLECTS ATTACHMENT SPACINGS THAT EXCEED MANUFACTURERS LAG SCREW SPEC 203.2,8/04:(FLAT WASHERS TO BE USED WITH LAG BOLTS) ) SPECIFICATIONS FOR WIND LOADS AS PER ASCE 07-10. RISK CATEGORY II LAG BOLT WITHDRAWAL VALUE 5/16"DIA.,266 LB/IN X 2—INCH THREAD DEPTH: . 039534 O TOPOGRAPHIC EFFECTS BIC,&D AND ROOF WIND ZONES 1,2,&3. ROOF ZONES 2&3 532LB.CAP.EACH F�F �F� COUPLING CLAMP--ZARE WITHIN 48"OF ANY OUTER EDGE, HIP, RIDGE,OR GUTTER LINE FOR STRUCTURES MINIMUM NUMBER OF LAG BOLTS REQUIRED:15843.75 LBS/532 LBS/LAG BOLT=30 MAXIMUM SPAN BETWEEN MOUNTING FEET BOLTS'X' USE 48"MAX ALLOWED AS 30'-0" OR LESS MEAN ROOF HEIGHT. PER SCHEDULE LOLID BLOCKING STRUCTURAL STATEMENT: CUSTOMER S BETWEEN JOISTS w ® G®ER ® GUTTER ® INFORMATION AS REQUIRED THE EXISTING STRUCTURE IS ADEQUATE TO SUPPORT THE SANDRA HENRIKSEN w w NEW LOADS IMPOSED BY THE PHOTOVOLTAIC MODULE 9630 NEW SUFFOLK AVE ® 0 © w SYSTEM INCLUDING UPLIFT&SHEAR.EXISTING RAFTER CUTCHOGUE,NY 11935 SIZES &DIMENSIONS CONFIRM TO IRC-2015 TABLE (631)734-6349 R802.5(1)-RAFTER SPANS. ® ® RIDGE RIDGE ® ©© © ® � JURISTICTION:SUFFOLK 'ECOFASTEN'ROC(-IT © ® ® © ti�A MOUNTING BRACKETS AND HARDWARE MEET OR EXCEED UTILITY:PSEGLI UTILITY ACCT#:9620512552 NEW YORK STATE CODE REQUIREMENTS FOR THE DESIGN ATACHMENT SYSTEM Y CRITERIA OF THE TOWN. 'ECOFASTEN''ROCK-IT' SOAR LMODULE 9 UTILITY METER#:610880271255 RASiING EXISTING ROOF MEMBRANE, I PV SYSTEM 'E(X)FASTEN'SKIRT PLYWOOD DECK,AND 101 ® GUTTER ® GUTTER ® RAFTER INFORMATION SYSTEM SIZE(DC):5.13 KW ROOF WIND ZONES AS PER IRC R301.2(7) 18 MODULES:LONGI LR6-60 285M ROOF ZONES 2&3 ARE 48"FROM OUTTER ROOF EDGES, 18 INVERTERS:ENPHASE IQ6-60-2-US RIDGES, HIPS,RAKES,AND GUTTER EDGES FOR STRUCTURES BELOW 30'-0"MEAN ROOF HT. ® ® PROJECT INFORMATION ALL COMPONENTS SHALL BE AS MANUFACTURED BY'ECOFASTEN SOLAR'AND INITIAL DATE:7/6/2018 DESIGNER:CP INSTALLED IN STRICT COMPLIANCE WITH MANUFACTURERS PRNTED SPECFlCATIONS. REV: DATE: DESIGNER: REV: DATE: DESIGNER: COVER PAGE PV- 1 ( 2) SCALE: 3/32" — l'-O" ROOF MODULE COUNT TILT AZIMUTH SHADING R1 18 23° 247° 93% = (0 momentum JFRONT OF RESIDENCE SOLAR Itp a 4 d In ° PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR DRIVEWAY 325 HIGH STREET,METUCHEN,NJ 08840 ° d e a ° a ° a (732)902-6224 d ° ° a MOMENTUMSOLAR.COM A STRUCTURAL ° ° a d GROUND ACCESS ENGINEERING ° d DANIEL W.DUNZIK RA LEED-AP (�-�,P) LICENSE#039534 d e ° a a ' (908)872-3664 a 370 BURNT HILL ROAD ° a d < d ° SKILL-MAN,NJ 08558 a ° FIRE SETBACK ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND O AC CB a a a �� AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& DC E a (18 VENTILATION, ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE COMPLIANCE.WAING THAT ITOF THE 36" ROOF ACCESS) ANY PERSON,UNLESS ACTING NID RVIOLATION THE DIRECTION OFA W FOR MSP GUTTER LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY. ELECTRICAL EQUIPMENT �\'RE� A&C C7� �\�L W SUN �T 639534 �0 OF NES z CUSTOMER INFORMATION I SANDRA HENRIKSEN 9630 NEW SUFFOLK AVE CUTCHOGUE,NY 11935 0 0 0 o I (631)734-6349 I+ JURISTICTION:SUFFOLK 0 0 0 0 UTILITY:PSEGLI UTILITY ACCT#:9620512552 UTILITY METER#:61088027 0 0 0 0 0 PV SYSTEM ® INFORMATION 0 0 0 0 C3 SYSTEM SIZE(DC):5.13 KW FIRE SETBACK 18 MODULES: LONGI LR6-60 285M (18" VENTILATION, I IFR1] 18 INVERTERS:ENPHASE IQ6-60-2-US 36" ROOF ACCESS) GROUND ACCESS (TYP) PROJECT INFORMATION INITIAL DATE:7/6/2018 DESIGNER:CP GUTTER REV: DATE: DESIGNER: REV: DATE: DESIGNER: PANEL LAYOUT SOLAR INSTALLER NOTES: NO ADDITIONAL STRUCTURAL SUPPORT REQUIRED PV-2 R1 - ARRAY 1 LAYOUT DETAIL SCALE: 3/16" = V-0" TILT: 23° 11'1omentut'1't AZIMUTH: 247° SOLAR SHADING: 93% PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR 325 HIGH STREET,METUCHEN,NJ 08840 (732)902-6224 MOMENTUMSOLAR.COM 3'-0" 13'-2" 11 17'-10" STRUCTURAL ENGINEERING DANIEL W.DUNZIK RA LEED-AP LICENSE R 039534 ,� (908)872-3664 11-611 370 BURNT HILL ROAD SKILLMAN,NJ 08558 ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& 0 0 0 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 2,-9,t LICENSED ARCHITECT,TO ALTER AN ITEM IN ANY WAY CO N ED ED ED E] NSL Ou t 2'-42" A 21'-112" ED 0 E] ID D ��� 039534 yp OF N O ® CUSTOMER INFORMATION 0 0 0 0 1-] SANDRA HENRIKSEN 9630 NEW SUFFOLK AVE CUTCHOGUE,NY 11935 (631)734-6349 JURISTICTION:SUFFOLK UTILITY:PSEGLI UTILITY ACCT#:9620512552 0'-10Z" UTILITY METER#:61088027 PV SYSTEM 1o'-s2 INFORMATION SYSTEM SIZE(DC):5.13 KW 18 MODULES:LONGI LR6-60 285M 18 INVERTERS:ENPHASE IQ6-60-2-US PROIECT INFORMATION INITIAL DATE:7/6/2018 DESIGNER:CP REV: DATE: DESIGNER: REV: DATE: DESIGNER: LAYOUT D ETAI L SOLAR INSTALLER NOTES: NO ADDITIONAL STRUCTURAL SUPPORT REQUIRED PV-3 18 LONGI LR6-60 285M 285W MODULES PAIRED WITH momentum 18 ENPHASE IQ6-60-2-US MICRO-INVERTERS SOLAR BRANCH CIRCUIT A EXISITING SQUARE D 200A 9 MICRO-INVERTERS MAIN SERVICE PANEL 240 V PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR BRANCH CIRCUIT B 325 HIGH STREET,METUCHEN,NJ 08840 9 MICRO-INVERTERS (732)902-6224 MAIN BREAKER:200A MOMENTUMSOLAR.COM SRO MM LINE SIDE STRUCTURAL HOT TAP ENGINEERING + - + - -I- - ENPHASE 80AAC COMBINER BOX W/ENVOY IQ 20OA DANIEL W.DUNZIK RA LEED-AP LICENSE#039534 f SQUARE-D 60A FUSIBLE UTILITY 370a)872-3664 BURNT HILL ROAD METER AC DISCONNECT08558 8 METER METER ENGINEERING NJ LETTER ENGINEERING LETTER ATTACHED HAS SPECIFICATIONS FOR WIND AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE 25A 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. ROOF 10 (ENVOY) 25AFUSES E"IPOWER ELECTRICIAN JUNCTION (ENvoY) -GROUND BOX 20A BREAKER(A) 3 4 GRID HANDLER POWER CORP TERMINATION CAP 2A-B 3 DARREN HANDLER 20A BREAKER(B) INSTALLED ON 24 CORDELLPLACE GGRED q f. END OF CABLE EAST NORTHPORT, fN C14 N r CC1 t,11 P s d' \- ELECTRICAL NOTES: 4.BRANCH CIRCUIT CALCULATION FOR WIRE TAG 1 DISPLAYS THE �>� �3953A �0� LARGEST BRANCH CIRCUIT IN SYSTEM.OTHER BRANCH CIRCUITS OF 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 ASHRAE 2%HIGH AND EXTREME MINIMUM TEMPERATURE COEFICIENTS. 5.ALL CONDUCTORS ARE SIZED BASED ON NEC 2014 ARTICLE 310 CUSTOMER 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. SANDRA HENRIKSEN 7.INVERTER NOC(NOMINAL OPEN CURRENT)OBTAINED FROM 9630 NEW SUFFOLK AVE 3. THIS SYSTEM COMPLIES WITH NEC 2014 EQUIPMENT DATASHEET CUTCHOGUE, NY 11935 (631)734-6349 JURISTICTION:SUFFOLK UTILITY:PSEGLI UTILITY ACCT#:9620512552 UTILITY METER M 61088027 PV SYSTEM INFORMATION SYSTEM SIZE(DC):5.13 KW 18 MODULES: LONGI LR6-60 285M 18 INVERTERS: ENPHASE IQ6-60-2-US Wire Temp. Wire Temp. Conduit Derated Inverter NOC NEC Design Ground Ground Wire Wire Tag Conduit Wire Qty Gauge Wire Type Rating Ampacity(A) Derate Fill Derate Ampacity(A) Qty (A) Correction Current(A) Size Type PROJECT INFORMATION 1 OPEN AIR 2 12 AWG Trunk Cable 90°C 30 0.96 1 28.80 9 0.96 1.25 10.80 12 AWG Trunk Cable INITIAL DATE:7/6/2018 DESIGNER:CP REV: DATE: DESIGNER: 2A V PVC 2 10 AWG THWN-2 90°C 40 0.96 0.8 30.72 9 0.96 1.25 10.80 08 AWG THWN-2 REV: DATE: DESIGNER: 26 1" PVC 2 10 AWG THWN-2 90°C 40 0.96 0.8 30.72 9 0.96 1.25 10.80 08 AWG THWN-2 ELECTRICAL 3 1" PVC 3 08 AWG THWN-2 75°C 50 0.96 1 48.00 18 0.96 1.25 21.60 08 AWG THWN-2 4 1" PVC 3 06 AWG THWN-2 75°C 65 0.96 1 62.40 18 0.96 1.25 21.60 08 AWG THWN-2 PV-4 TAG LABEL QUANTITY LOCATION NOTE EXAMPLES 1 AT EVERY SEPARATION BY O 12 DC CONDUITS ENCLOSURES/WALLS m o m e n t u m PARTITIONS/CEILINGS/FLOORS OR NO MORE THAN 10' ",I j" SOLAR POWER SOORCE _ PRO CUSTOM SOLAR LLC D.B.A.MOMENTUM SOLAR • © 325 HIGH STREET,METUCHEN,NJ 08840 r (732)902-6224 1 JUNCTION BOX OR DC , STRUCTURAL g 1 COMBINER BOX O COMBINER IF USED a ENGINEERING O - DANIEL W.DUNZIK RA LEED-AP LICENSE#039534 (908)872-3664 370 BURNT HILL ROAD SKILLMAN,NJ 08558 ENGINEERING LEITER ATTACHED HAS SPECIFICATIONS FOR WIND AND LOAD CALCULATIONS FOR SOLAR INSTALLATION SPANS& _ ATTACHMENTS TO MEET LOCAL AND STATE BUILDING CODE i 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. © 1 JUNCTION BOX 1 AT ANY JUNCTION BOX OR DC , COMBINER IF USED --- '© REp AA?C WARNING p} , , O �EL W. �. G D 1 OF EACH AT FUSED AC O DISCONNECT - 1 AC DISCONNECT COMPLETE VOLTAGE AND 953A CURRENT VALUES ON �� ��O DISCONNECT LABEL R)E __ _ CUSTOMER � �I INFORMATION SANDRA HENRIKSEN 9630 NEW SUFFOLK AVE QE 1 MAIN DISCONNECT 1 OF EACH AT BUILDING MAIN ' k - ` CUTCHOGUE,NY 11935 (631)734-6349 PANEL DISCONNECT PANEL izioQ�� e,'�s,iu nil OF JURISTICTION:SUFFOLK UTILITY:PSEGLI UTILITY ACCT#:9620512552 UTILITY METER#:61088027 PV SYSTEM QF 1 UTILITY METER 1 AT UTILITY METER QQ INFORMATION SYSTEM SIZE(DC):5.13 KW 18 MODULES: LONGI LR6-60 285M 18 INVERTERS:ENPHASE IQ6-60-2—US MEANS OF INTERCONNECTION LOCATION NOTE # z © BACKFEED BREAKER 1 MAIN EL ORE PER 705.12(D)(2)(3)(c) Q j PROJECT INFORMATION DISCONNECT - 'i INITIAL DATE:7/6/2018 DESIGNER:CP REV: DATE: DESIGNER: l _ 1 OH LINE SIDE TAP MAIN SERVICE PANEL OR PER 705.12(D)(2)(3)(c) REV: DATE: DESIGNER: G DISCONNECT EQUIPMENT LABELS PV-5 The new EcoX is an innovative, V a rail-less racking system, proven to organize the installation g `�` _ tom; �`=-° process. The flexible design offers a clean aesthetic, 0 simplified logistics,and delivers a higher quality installation ° r at a lower cost per watt. Aesthetic Design Cable Management s1_d b �drE' ty�e �a '._ �1 �r s• A wide range of adjustment makes it easy to Install a Whether installing with Mlcroinverters,Power straight,level system Components are designed to Optimizers,or String Inverters,EcoX provides wire blend Into the array,and the aesthetic skirt creates management provisions to both prep the modules,and 't #� a finished look Alternatively,a skirt Free option Is to route homerun or trunk cables throughout the array b available to provide a more traditional look /, a i-!?I tl I• ii it 1 f P/F /i>'• J +I = :i/ � :�- _rf-ii.. h l x4- _tc v��_ -4��,1L.a '.:�a. - -- --' '�'-'='- ,f'� 1 _ .+ �'•,- t+�f .",. Layout �_ 60-1 III t tV� J� Flexible System Design Single Point Grounding The EcoX Estimator Is a powerFul racking system EcoX and approved modules create a continuously 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 T- s. rj specs and bill oFinaterials F•� z' !qui `�;�x��:.-;. i -y`�,.,r l - �"� Technical Spe iR c cations ~x<-;ter`�� �_^ a v �,.�� „,�• .' Racking components.Aluminum,stainless hardware,dark Fast. Simple. Supported. Materials bronze anodized upper surFace,mill finish lower surfaces Modules drop In From above Universal components mount to The Ecolibrium field support team Flashings:Aluminum,black powder coated finish 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 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 Forspecific module approvals EcoX easy to install. with a clean, finished look. dedicated to customer service. Flashing Validation ICC-ES AC286/UL441 Rain Test For Roof Flashing ;® Adjustabdity 1"vertical range,3 5"North/South range, connect anywhere in East/West direction Warranty 15 years sales(7ecolibriumsolarcom US 740-249-1877 wwwecolibriumsolarcom EeolibriumSolar sales(aalecolibriumsolarcom US 740-249-1877 www ecolibriumsolar cam �p EeolibriumSolar 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+ 235 W-400 W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules �+ The high-powered smart grid-ready Maximum input DC voltage 48V 62 V Enphase Peak powertracking voltage 27V-37V 27V-45V p Enphase IQ 6 Micro'"and Enphase IQ 6+Micro" Operating range 16V-48V 16 V-62V Q6 and IQ 6+ dramatically simplify the installation process while Min/Max start voltage 22 V/48 V 22 v/62 V achieving the highest efficiency for module-level Max DC short circuit current(module Isc) 15A 15A Microinverters power electronics Overvoltage class DC port II II DC port backfeed under single fault 0 A 6 A 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 IQ6PLUS-72-2-US AND IQ6PLUS-72-5-US IQ Envoy'",Enphase Q Aggregator'",Enphase IQ Peak output power 240 VA 290 VA Battery",and the Enphase Enlighten''monitoring Maximum continuous output power 230 VA 290 VA and analysis software Nominal voltage/range2 240 V/211-264 V 208 V(1m)/183-229 V 240 V/211-264 V 208 V(10)/183-229 V Nominal output current 0 96 A 111 A 117 A 1 35A The IQ 6 and IQ 6+Micro extend the reliability Nominal frequency 60 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 1 0 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 Overvoltage class AC port III III AC port backfeed under single fault 0 A 0 A Power factor(adjustable) 0 7 leading 0 7lagging 0 7 leading - 0 7 lagging EFFICIENCY @240 V @208 V(10) @240 V @208 V(10) Easy to Install CEC weighted efficiency 970% 965% 970% 96.5% Lightweight and simple MECHANICAL DATA Ambient temperature range -400C to+651C Faster installation with improved two-wire cabling Relative humidity range 4%to 100%(condensing) OConnector type MC4 or Amphenol H4 UTX Built-in rapid shutdown compliant(NEC 2014) Dimensions(WMxD) 219 mm x 191 mm x 379 mm(without bracket) Weight 1 5 kg(3 3 Ibs) Productive and Reliable Cooling Natural convection-No fans Approved for wet locations Yes Optimized for high powered 60-cell and 72- Pollution degree PD3 cell*modules Environmental category/UV exposure rating Outdoor-NEMA 250,type 6(IP67) e 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 C22.1-2015 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 E N P H A S E ©2017 Enphase Energy All rights reserved All trademarks or brands used are the property of Enphase Energy,Inc E N P H A S E To learn more about Enphase offerings,visit enphase.com !/ 2017-05-01 A.s