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Home My WebLink About43082-Z Wr Town of Southold 11/15/2018 P.O. Box 1179 53095 Main Rd * Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40049 Date: 11/15/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 3659 Rocky Point Rd, East Marion SCTM#: 473889 Sec/Block/Lot: 21.-6-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/21/2018 pursuant to which Building Permit No. 43082 dated 10/2/2018 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 as applied for. The certificate is issued to Calderone,Philip&Ann of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43082 11/7/2018 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD Fnt� ° BUILDING DEPARTMENT *4r4 G z� 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#: 43082 Date: 10/2/2018 Permission is hereby granted to: Calderone, Philip &Ann 3659 Rocky Point Rd East Marion, NY 11939 To: install roof mounted solar panels as applied for. At premises located at: 3659 Rocky Point Rd, East Marion SCTM # 473889 Sec/Block/Lot# 21.-6-5 Pursuant to application dated 9/21/2018 and approved by the Building Inspector. To expire on 4/2/2020. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Tota $200.00 C! Buildicglnspec Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. 9/18/2018 New Construction: Old or Pre-existing Building: x (check one) Location of Property: 3659 Rocky Point Road East Marion House No. Street Hamlet Owner or Owners of Property: Philip Calderone Suffolk County Tax Map No 1000, Section 21 Block 6 Lot 5 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: x (check one) Fee Submitted: $ 50.00 AMY App t ant Signature ho��pF SOUTyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 • �o roge Southold,NY 11971-0959 r.richertC�town.Southold.ny.us Q �yCOU0,Nct� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Philip Calderone Address. 3659 Rocky Point Rd City- East Marion St: New York Zip 11939 Building Permit#- 43082 Section: 21 Block: 6 Lot: 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA: Green Logic License No 43858-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: 7.848 KW roof mounted photovoltaic system to include, 24-Sun Power 327W panels, micro inverters,combiner panel,AC disconnect Notes. Inspector Signature: Date: November 7 2018 81-Cert Electrical Compliance Form.xls Of SOUTho6 # # TOWN OF SOUTHOLD BUILDING DEPT. e "rou�n � 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: l�DATE 1 '01INSPECTO J A M E S J. S TOUT A R C H I T E C T & Assoc. 2 G REG LANE EAST NORTHPORT N. Y. 831 - 8 58 9388 Post Installation Letter November 4, 2018 RE: Calderone Residence 3659 Rocky Point Road East Marion, NY To Whom It May Concern: This letter is to confirm that as of this date November 1,2018, 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 RD Architect j Nell' 1 4 '�1g FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) H ------------------------------------ 'FOUND v' ATION (2ND) N z 0 ROUGH FRAMING& PLUMBING { INSULATION PER N.Y-. STATE ENERGY CODE 1 FINAL ADDITIO.N4 COMMENTS O T -L m b N r � 0 z 1 �d b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. V 0 2 Check Septic Form N Y.S.D.E.C. Trustees Flood Permit Examined ,20 Storm-Water Assessment Form `f2 ^/ Contact: Approved -7 120 1 Y Mail to GreenLogic LLC Disapproved a/c 97 North Sea Rd,Southampton, NY 11968 Phone. 631-771-5152 Expiration 120 D (:Lng Inspect SEP 21 2018 APPLICATION FOR BUILDING PERMIT Jl_gUILDYNG DEPT- Date ( , 20 TOWN OF SOUTUOLD 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. GreenLogic LLC (Signature of applicant or name,if a corporation) 97 North Sea Rd, Ste 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 of premises Philip Calderone (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 40227-H Plumbers License No. N/A Electricians License No. 43858-ME Other Trade's License No. N/A 1. Location of land on which proposed work will be done: 3659 Rocky Point Road East Marion House Number Street Hamlet County Tax Map No. 1000 Section 21 Block 6 Lot 5 Subdivision Filed-Map No. fl Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family dwelling b. Intended use and occupancy Single family dwelling 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Roof mounted solar electric system (Description) 4. Estimated Cost $28,075.00 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 � �Q Name of Former Owner n 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 Will excess fill be removed from premises?YES NO 3659 Rocky Point Rd 14. Names of Owner of premises Philip Calderone AddressEast Marion, NY 11939Phone No. 516-236-6826 Name of Architect James Stout Architect Address 2 Greg Ln,E.Northport, 1173'Phone No 631-858-9388 Name of Contractor GreenLogic LLC Address 97 North Spa Rri, StP 3 Phone No. 631-771-5152 Southampton, NY 11968 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x * 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 x * 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 x 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 IE -day of 20 Notaryb TAMARA L GAJEWSKI gnature of Applicant Notary Public-State of New York No 01 GA6217368 Qualified in Suffolk County Commission Expires 02/08/2022 Scott A. Russell �0 S111FQ'� S"lCOR.MWA\TE K SUPERVISORMANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 {? 53095 Main Road-SOUTHOLD,NEW YORK 11971 flown of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BYTI IE APPLICANT ) IDES THIS PROJECT INVOLVE ANY OF THE FOLI,C}WING- Yep No CHECK %U- I HAI' APPLY! ❑Q A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑0 B. Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑❑ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑� D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. 0E E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑0 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 S.t.•l.4. 1000 Date t) Inc: NAME GreenLogic LLC (Nesim Albukrek) 21 6 5 9/18/2018 rr.ax Section lock Lcat ContaN Iniornunuoii 17771-5152 ReN sewed By. - - - - - - - - - - - - - — - - - - Date: Property Address 1 Location of Construction Work: — — — — — — — — — — — — — — — — — East Marion, NY 11939 Approved for prt�msing Bw1ding Permit. 3659 Rocky Point Rd, Stornmater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — aStormwater Management Control Plan Is Reqwred. (Forward to Engineering Department for Re\tew.) FORM * SMCP-TOS MAY 2014 i S011p, Town Hall Annex Telephone(631)765-1802 54375 Maim Road pax g Q2 P.O.Box 1179 G • roger.riChert(p,own.SOU It Southold,NY 11971-0959 �Q�y s BUILDING DEPARTMENT TOWN OF SOUTHOLD . 1 APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Tamara Gajewski Date: 9/18/18 Company Name: GreenLogic LLC Name: Robert Skypala License No.: 43858-ME Address: 97 North Sea Rd Ste 3 Southampton,,NY 11968 Phone No.: 631-771-5152 JOBSITE INFORMATION: (*Indicates required information) *Name: Philip Calderone *Address: 3659 Rocky Point Road, East Marion, NY 11939 *Cross Street: Main Road *Phone No.: 516-236-6826 Permit No.: U iQ _2 Tax-Map District: 1000 Section: 21 Block: 6 Lot: 5 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Roof mounted solar electric system (Please Circle Ali That Apply) *Is job ready for inspection: ! YES NO Rough In Final *Do you need a Temp Certificate: (ED NO - Temp Infonmation(If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead ' Additional Information: PAYMENT DUE WITH APPLICATION 82=Request for Inspection Form CONSENT TO INSPECTION Philip Calderone , the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at 3659 Rocky Point Rd, East Marion, NY 11939 , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 21 , Block 6 , Lot 5 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: solar panels That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections,do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: /L..6a o70� (Sig}ature • l�Qi Bro � (Print Name) (Signature) (Print Name) GREENLOGIC° ENERGY September 18, 2018 Town of Southold D Building Department SEP 2 1 2018 Town Hall 53095 Route 25 Southold, NY 11971 BUILDING DEPT. TOWN OF SOUTHOLD Dear Building Inspector: Please find attached a building permit application on behalf of the Philip Calderone who has engaged us to install a roof mounted solar photovoltaic (PV) electric system located at 3659 Rocky Point Rd, East Marion, NY. In connection with this application, please find attached: • Building Permit application • A Storm Water Assessment Run-off Form 0 Certificate of Occupancy Application • Floodplain Development Permit Application • Application for Electrical Inspection • Covenants & Restrictions • 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, Barbara Casciotta Account Manager Barbara@GreenI ic.com GREENf,Q�JC i 5m rrX�n jcnm 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 SO!/lyQl 0 Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 G • Southold,NY 11971-0959 'Q �yC4UNTC. BUILDING DEPARTMENT TOWN OF SOUTHOLD November 9, 2018 Greenlogic LLC 97 North Sea Rd Southampton NY 11968 Re: Calderone, 3659 Rocky Point Rd, East Marion TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: NAIL*~cerilfic atiion fetter from engineer stating the panels were installed per NYS Building Code Electrical Underwriters Certificate A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 42082 — Solar Panels GREENLOGIC° ENERGYD i NO',! 1 4 2018 November 12, 2018 To The Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 43082 Philip Calderone 3659 Rocky Point Rd, East Marion, NY To the Building Inspector: Enclosed please find the Engineer's Certification Letter for Philip Calderone's solar electric system, which we installed at the above reference address. Please arrange to send him the Certificate of Occupancy and close out the building permit. Please let me know if you have any questions about the installation. Sincerely, Ta vtcwa1(�o ewskk l Tamara Gajewski Account Manager GreenLogic LLC 631-771-5152 Ext. 110 GREENLOGIC LLC • www GreenLog c Cori 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 x r . v, OF WAY SURVEY OF PROPS �n. AT EAST MARIO . TOWN OF SOUTHO ` SUFFOLK COUNT P 1000-21-06-05 „ SCALE P-40' _ aw NOW Awe < �. twl AM TO -SUBDIWON MIIP 0), RL£D 1N TH£Sttf r a ON.KIN£4 "882 AS r6 'f. ;rr sa w: tvrsr+t[M � (631) a * W z n tr]P P t? BC1tc yrs q SEAL Of 120 TRAWLER Ex STREET1 d `'€ k a,,,x i• St7uTHOLD, Me, 11971 I Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE,NEW YORK 11788 DATE ISSUED: 5/25/2006 No. 40227-H SUFFOLK COUNTY Home Improvement Contractor .License This is to certifv that MARC A CLEJAN doing business as GREEN LOGIC LLC having furnished the requirements set forth in accordance with and subject to the 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 DEPARTMENTAL SEAL AND A CURRENT CONSUNAEIt AFFAIRS ID CARD Director CERTIFICATE OF LIABILITY INSURANCEDATE(MWDONYYY) Foi/29/2018 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: H the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTAC Brookhaven Agency,Inc. Brookhaven Agency,Inc. PHONE 631 941-4113 FAX 631 941.4405 128 Old Town Road Suite C brookhaven.agencyQ verizon.net PO Box 850 PRODUCER East Setsuket NY 11733 INSURER AFFORDING COVERAGE INSURED INSURER A,. HDI Global Insurance Co. Greenlogic,LLC INSURR a t Merchants Preferred Insurance Co. 97 North Sea Rd,Suite 3 INSUR&g g,• First Rehab Life Insurance Co. Southampton,NY 11968 INSURER p,- Endurance American Insurance Co. AGCS Marine Insurance Co. INSURERF National Liability&Fire Insurance Co. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYP!OF INSURANCE ADDL UB POLICY EFF POLICY EXP JJL wn POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY x X EGGCR000076918 01/31118 01/31/19 DAMAGE TO RENTED $100,000 CLAIMS-MADE [XI OCCUR MED EXP(Any one rson $5,000 X XCU PERSONAL 6 ADV INJURY $1,000,000 X Contractual Liab GENERAL AGGREGATE s2,OOO,OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP A G $2,000,000 P I Y X PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X ANY AUTO x CAPI043565 8111/178/11/18 (Ea accident) $1 000 000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ X UMBRELLA LIAS X OCCUR EACH OCCURRENCE 1 OOO 000 D EXCB"LUIS CLAIMS-MADE EXC30000250901 1/31116 1/31119 AGGREGATE S1,000,000 DEDUCTIBLE EEMIIQN ..6 0 WORKERS COMPENSATION X I WC STATU- O7H- AND EMPLOYERS LIABILITY F ANY PROPRIETOR/PARTNER/EXECUTIVE� N/A V9WC857891 6/15/17 6/15/18 E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? (Mendstery In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 Ifes,describe under OF OPERATIONS below I L.DISEASE-POLI Y LIMIT $1,000,000 C NYS Disability D251202 4/11/17 4/11/18 Statutory Limits E Installation Floater/Pro a MX193076366 4/15/17 4/15/18 $300 000 $1,000 Ded DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N mon space Is required) CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE <NSZ> J604 ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Workers' YORKCompensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name$Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Greenlogic LLC 831-771-5152q 97 North Sea Rd Suite 3 Southampton NY 11968 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,i.e.,a Wrap-UP Policy) Number 203801104 2.Name and Address of Entity Requesting Proof of Coverage 3a,Name of Insurance Carrier (Entity eetng Listed as the Certificate Holder) National Liability a Fire Ins Co Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box'I&" Southold NY 11971 V9WC857891 3c.Policy effective period 0611512018 to 06/15/2019 i 3d.The Proprietor,Partners or Executive Officers are included.(only check box if all pednerslofncers 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"1a"forworicers' 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 tamer 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? OYES [:]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 I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named Insured has the coverage as depicted on this form. Approved by: Nicholas Zulkofske (Print name of authorized representative or licensed agent of Insurance carrier) Approved b . ' J (SignAuto) (Date) Title:Authorized Agent Telephone Number of authorized representative or licensed agent of insurance carrier. 631-941-4113 Please Note:Only Insurance carriers and their licensed agents are authorized to Issue Form C-106.2.Insurance brokers are h= authorized to Issue it. C-105.2(9.15) www,wcb.ny.gov COMPLY WITH ALL CODES OF AP , Com ODES E &TOWNC DATE: ?'yj S3 NEW YORK STAT mr)Ns,-OF qL"-- AHa9�ND P"T AS REQUIRED "49*M F1 4�LT t"c)T I Fc, s PANINGBOAM FtO 8OLVING TRUSTEES FOR r"-)u5'Eu 2 ROUGH - 3. J'NSULATIO�l c-,j cjr�-jC7,,ON vlj5T 4. FINAL - ",. C (11 BF CO',v',P'LET- � , , 7 He OCCUPANCY OR . 1111 ( �iALL ALL cONSTRUG!�'J" 0"' FSOF',0N AFNTS OF THE� I UNLAWFUL RFQUIRE�N�C- NOT REqpONS,,BLE FOR USE IS YORK ST R -CONSTRUCTION ERRORS, GCRTIFICATE YES GS 0 WITHOUT cy OF OCCUPANCY iRll N0 f ST "JI 1 6 0a 23 OF THE o\Njj CODE. eLEMICAL *QUIP" J , A M- E S J. S T 0 U T A R C H I T E C T & Assoc . 2 GREG LANE EAST NORTHPORT N. Y. 631 - 8 58 9388 Letter of Certification September 4, 2018 RE: Calderone Residence 3659 Rocky Point Road East Marion, NY 11939 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 70/ 2014 National Electric Code, and the ASCE 7-10. The existing 2"x 8"@ 16"o.c. roof rafters will provide the required support. The existing asphalt roof has 1 layer of shingles on 15#building paper on %" plywood sheathing. Thank you for your understanding in this matter. James J Stout D F N�9TF 163 yOQ. OF LOGIC® GreenLogfc,LLC Approved Calderone,Phillip 3659 Rocky Point Road East Marion,NY 11939 Surface#A: Total System Size:7.848kW 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker Azimuth:152' Pitch:28° Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-E20-327-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:41'10 1/2"X 10'3 1/2" Surface:56'11"X 21'7" Magic#•Invisimount Legend: 24 SunPower 327W Panels SunPower Invisimount Rail o • 36 Eco-Fasten Quik Feet B B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface.4" Materials Used:Eco-Fasten,SunPower Added Roof bad of PV System:3.5psf Engineer/Architect Seal: ��,,ED ARC 6/1 J. S O /X 02-1633 0 A Drawn B A Drawing#1 of 5 Date:9/4/2018 REV:A Drawing Scale:1/8"=1.0' LOGIC GreenLogic,LLC Approved Calderone,Phillip 3659 Rocky Point Road East Marion,NY 11939 Surface#A: Total System Size:7.848kW 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker Azimuth:152° Pitch:28° Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-E20-327-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:41'10 1/2"X 10'3 1/2" Surface:56'11"X21'7" Magic#-Invisimount Legend: ® 24 SunPower 327W Panels SunPower Invisimount Rail • 36 Eco-Fasten Quik Feet B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: j'J OF Drawn By- Drawing#2�!I Date:9/4 18 REV:A Drawing tale: 1/8"=1.0' LOGIC® GreenLogfc,LLC Approved Calderone,Phillip 3659 Rocky Point Road East Marion,NY 11939 Surface#A: Total System Size:7.848kW 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker Azimuth:152° Pitch:28° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-E20-327-D-AC 1 Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:41'10 1/2"X 10'3 1/2" Surface:56'11"X 21'7" Magic#•Invisimount 2 Legend: ® 24 SunPower 327W Panels SunPower Invisimount Rail o • 36 Eco-Fasten Quik Feet B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof bad of PV System:3.5psf- Engineer Seal: it yT 21 3 pQ� Drawn ByjWA Drawing#3 of 5 Date:9/4/2018 REV:A Drawing Scale:1/8"=1.0' No Vent Pipes Will Be Covered By The Solar Array LOGIC® LEGEND' AR -Access root per R202 definitions RAP -Roof access point-to be away from RWV -Roof with valley. GreenLogic,LLC Approved overhead obstructions.doors. 18"minimum from valley Calderone,Phillip windows.decks,fences.landscaping 3659 Rocky Point Road GA -Ground access area per R324 7 3 width AP -Access Pathway.36-minimum SVO -Smoke vent operation per East Marion,NY 11939 to be same as AP as measured at eave width per R324 7 4 and R324 7.5 R324 7 7,18"minimum from ridge Total System Size:7.848kW 1 circuit of 12 on a 20A breaker 1 circuit of 12 on a 20A breaker 24 SunPower 327W Panels Meter Azimuth:152° Pitch:28° Monitoring System: SunPower PanellArray Specifications: Panel:SPR-E20-327-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:41'10 1/2"X 10'3 1/2" Surface:68'3"X 43'2" Magic#:Invisimount Legend: ® 24 SunPower 327W Panels ® SunPower Invisimount Rail • 36 Eco-Fasten Quik Feet --————--——————————————— ——————— --------- B 2x8"Douglas Fir Rafter 16"O.C. SVO --- SVO _ Notes: r—— , r Number of Roof Layers: 1 I I I Height above Roof Surface:4" 1 1 Materials Used:Eco-Fasten,SunPower I 1 1 Added Roof load of PV System:3.5psf I I I _ I I I Engineer/Architect Seal: 1 I API :AP -QD ARC 1 G o° GA GA cP , RAP Drawn By:M Drawing#4 of 5 Date:9/4/2018 REV:A Drawing Scale:3/32"=1.0' LOGIC GreenLogic,LLC Approved Calderone,Phillip 3659 Rocky Point Road East Marion,NY 11939 K013 ai list RA NuIrw List Total System Size:7.848kW 1 circuit of 12 on a 20A breaker R(>�QJdCf0aBaBeF1ate 36 1 circuit of 12 on a 20A breaker EMFbSh31Q ckF00t5WMP1U*UTlE1adc 36 Azimuth: 152° EmfaitatQ.id(FmtF1ashirg 35 Pitch:28° #141WtR C ymde'SO'ew M Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-E20-327-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:41'10 1/2"X 10'3 1/2" Surface:68'3"X 43'2" Magic#:Invisimount Legend: 24 SunPower 327W Panels ® SunPower Invisimount Rail • 36 Eco-Fasten Quik Feet B 2x8"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers: 1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: �,,RED Aqc \�r '16� O A�l Drawn By:40el Drawing#5 of 5 Date:9/4/2 18 REV:A Drawing Scale:3/32"=1.0' EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E20-327-C-AC, 1-CIRCUIT OF 12-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUN POWER SPR-E20-327-C-AC, 1-CIRCUIT OF 12-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS VOLTAGE MAX.AC TAG POWER,MAX RANGE CURRENT VOLTAGE, NOMINAL PV-SA-1 3924 WATTS 211-264 VAC 15.95 A AC 240 V,AC PV-SA-2 3924 WATTS 211-264 VAC 15.95 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Calderone, Philip GREEN LOG 1C" 3659 Rocky Point Road Ct ENERGY East Marion, NY 11939 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Calderone-&D1 Revision: 1 Revised: 8/22/18 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 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 Calderone, Philip GREENLOGIC 3659 Rocky Point Road ENERGY East Marion, NY 11939 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Calderone-3LD1 Revision: 1 Revised: 8/22/18 I Design-Driven Advantages IE #1 module aesthetics and efficiency' Unmatched module reliability' I s E R I E s No electrolytic capacitors 25-year Combined Power and Product 'w , gpa,hn,i Warranty Maximize Value for Roof Size system for roof,not string inverter `p Optimize performance of each module Expand Deployment Options Complex roofs and partial shading Small systems System expandability Simplify&Speed Installation Optimize System and Installation Efficiency Factory-integrated mlcroinverter Robust,double-locking AC connectors SUnPower''AC Modules. o&i& induce a I_ctory nte5rate•d Design flexibility offsite and onsite Sill nPomer rn:(roirverter,provloe a re lut:or;a CG(71b naaGn of hqh .o No DC string sizing process elticle-:cy,hlgn rel.aa li;y,arc.,module-leve: CSC:-to-AC power conversion. Fewer installation steps than competing systems �g Desined specflca ✓ li `Gr use with S.n?ower Invisi fount I and the Intuitive commissioning SurlPc imer Mon?turing S,/Dern,SunFlower AC Modules enabie rdpld Component of Complete System ns al atior,best in class�ysterr,ae��Jet}cs,and r lultive vnslbuity r,Lo Built for use with SunPower",InvisiMount'" systeTT)f.e.r'orrranr r, All this cont es wi-h the heat Combired Powe r and the SunPower Monitoring System and Product Warranty Superior system reliability and aesthetics � g sunpower.com _i� ,Povvel E20-327-C-AC Residential AC Module Series SPR-E20327-C-AC SPR119-320-C-AC Solar Cells 96 Monoaystdlline Maxeori'�Gen 1; Norrinal Power (Pnoryi) 327 W 320 W if-figIn-transmission tempered glass with anti- Front Class Povvei-Tolerance +51/ 0% 45/ 00,1) renectivre coating Av,.Panel Efficic..,no;' 20.4% 19 99q) Environmef-11al 0 - Raring Outdoor rated Temp.Coef (Power) -0.38%/'C i. Three bypass diodes Frame ::lass I black-anodized(highest AAMA rating) Shade Tolerance initgrated moduip level maximum power Weight 4�5 llbs(20 6 kg) point tracking Max Recommended 'ly3 in (33 rnrn) Module Output @ 240 V(rain./horn./max.) 211/240/264 V Output @ 208 V(min./nom./max.) 183/208/229 V Operating Frequency(mWarrannes in./norn./max.) 59.3/60 0/60.5 Hz 25-year lirnilled power warranty '*A 25-year lirnatcl.prOduct warrant OUtPU',Power Factor(min) 0.99 _y_._._ 'n(:luding compliance with Continuous Output Current @ 208`1 AC Max Continuous OUtIX11 Current @ 2,10 V 1,331 A U AC Max.Contim, I 54A II'D111-111 requirefrients of IEEE 1547 and A�_ Max Cont.OILKPUt Power 320 W IEEE 1Z�1 D(-/A(-CEC Conversion Efficiency 96 01A) CIC and ICES 003 clas,8 Max Units Per 20 A Branch Circuit j�P 240 V 12(singir,phase) %,.(module Type 2 Fire Rated Max.Units Per 20 A Branch Or CU!t 208 V 10(two pole) UL 27 Listed when installed with Cei tiricaions Invisr, mi" Cias&.*Fire Rated when installed with rivisimourit"and when d;stanre between Oprratinlg T(,rrp 40°F to 85°F f.401 C to t85°Q root surtat e anti bottorn of SunPompr Max.Arrilrieni -1 errip 122°'r(50`"Q rijociule frame!s- 3,5'(8.80 cm, V,hi'd:b2 psf,30(,,0["a,3u5 kg/rr-'front&bacl, Altcrna-ung Current(AC)McdulL designation Malr)ad Snow: 12',Psf 6000 Pa,611 kg/m2 front enables installation in a,,cnrdar,fe with N[C rich(2S MIT))diarnetei hail it 52 mpl 1(123 690 t:r Imp;iu, Resistancr - PID lest Pc-tenual incluiced de.gr.-,dati,:;n free 290 (1 1 132 in) 110:iiia c' 743.6ml 046,11r, (41 2,n] IL 10 mm (1 ,01!,11 n r%,,Mud'le D_1,blkPub!,I,eror,'F,c;Urj1,,Vei SE.Feb 2 J',i-ive uut t U!le [61.3 ir.1 a. DOW-tV11-"adi3,,e,Arvi 1 S.2- 'NE Iti""Mo"'IrO Sr'KI "F drid1*6,ge All Df-voltage;f,!V-ont-medo4im i ti ie!,"Jile RacFd ort cow.v,,r`rat-, i c,,,pove,v,,uo,d i!ung prcluttjor Please read the saf,ty and instal a-ion nstr_irtions for details Document#5 5217 Rev C/LTR -US