HomeMy WebLinkAbout43124-Z Town of Southold 11/30/2018
All . P.O. Box 1179
a ,t 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40081 Date: 11/30/2018
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 485 Bunny Ln, New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-6-20.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/10/2018 pursuant to which Building Permit No. 43124 dated 10/10/2018
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 on existing single-family dwelling as applied for.
The certificate is issued to Voskinarian V Fam Irr Tr
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43124 11/9/2018
PLUMBERS CERTIFICATION DATED
zig��4
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
rte:-,.....
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#: 43124 Date: 10/10/2018
Permission is hereby granted to:
Voskinarian V Fam Irr Tr
485 Bunny Ln
New Suffolk, NY 11956
To: install roof-mounted solar panels on existing single-family dwelling as applied for.
At premises located at:
485 Bunny Ln, New Suffolk
SCTM #473889
Sec/Block/Lot# 117.-6-20.2
Pursuant to application dated 10/10/2018 and approved by the Building Inspector.
To expire on 4/10/2020.
Fees:
SOLAR PANELS $50.00
ELECTRIC $100.00
CO -ALTERATION TO DWELLING $50.00
Total: $200.00
nspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5 Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildiggs and"pre-existing"land uses:
I Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features.
2. A properly completed apphcation 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 550.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses S50.00-
2. Certificate of Occupancy on Pre-existing Building- $100.00
3 Copy of Certificate of Occupancy-S.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date-
New Construction. Old or Pre-existing Building: ✓ (check one)
Location ofProperty ���y
House No. Street _ Hamlet
Owner or Owners of Property�no`�r� r��� N*ck-w*,.\y
Suffolk County Tax Map No 1000,Section Block Lot—... .�
Subdivision Filed Map. Lot- _
Permit No. Date of Permit. Applicant: Q Q a'A\
Dept.A Nova►. O rC VaS�"nGj
Health De a-�
P AppUnderwriters Approval:
Planning Board Approval.
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
r
Applicant Signature
pF SOUryQI
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road G Fax(631)765-9502
P.O.Box 1179 Q
�► •
Southold,NY 11971-0959 �o roger.richert(cDtown.Southold.ny.us
Q
�y�OUNTl,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Voskinarian
Address. 485 Bunny Ln City: New Suffolk St: New York Zip. 11956
Building Permit#* 43124 Section. 117 Block: 6 Lot: 20.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: LI Power Solutions License No. 36178-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 Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 10.230kw, roof mounted photovoltaic system to include, 33-310 panels, with
Enphase micro inverters,AC disconnect
Notes:
Inspector Signature: Date: November 9 2018
81-Cert Electrical Compliance Form.xls
OF SOUTyO�
# TOWN OF SOUTHOLD BUILDING DEPT.
N 3e
• ioa`
�rourm` 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
3l
[ ] 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:
42-1 D K
DATE It A3 INSPECTOR QZ
au cataldo GREEN BUILDING FOR
A BRIGHTER FUTURE
ARCHITECTURE & PLANNING PC
October 24,2018
Municipality Having Jurisdiction
Town of Southold
Building Department
Town Hall
Southold, NY 11971
Project:Solar Photo Voltaic Panel Installation for:
Mourad Voskinarian Section: 117
485 Bunny Lane Block: 6
New Suffolk, NY 11956 Lot: 20.2
I have certified the solar photo voltaic panel system installation at the above referenced address. The units have been installed in
accordance with the manufacturer's instructions and the approved construction drawings dated 08.8.18 and revised 08.17.18. I have
determined that the installation meets the requirements of the 2016 NYS Building Code,and ASCE7-10.
The work is complete accurate and conforms with the governing codes having jurisdiction and applicable at the time of submission,
conforms with reasonable standards of practice,with the view to the safeguarding if life, health, property and public welfare.
Respectfully Submitted
Paul Cataldo RA
Registered Architect
DA
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o n
FD) y 9 3630
SOF NEIN AO
Ply' 3 0
sIT.
.....................................................................Is.....................................................................
646 MAIN STREET, SUITE 202 / PORT JEFFERSON, NY 1 1777 / 631.509 6800 / FAX 877 5 24.273 2 /WWW PAULCATALDORA.COM
.................................................................................................................................................
FIELD INSPECTION REPORT7 DATE COMMENTS
FOUNDATION(1ST)
1�1 y
------------------------------------
'FOUNDATION (2ND)
41
ROUGH FRAMING& �
PLUMBING y
p1
N
Z
t�
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
s tisL, Its
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Im
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
1 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.NorthForLnet PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C O Application
f /� Flood Permit
Examined /Jb 20B Single&Separate
Storm-Water Assessment Form
Contact:
Approved 20 Mail to Long Island Power Solutions
Disapproved a/c 3122 Express Drive South
Phone: Islandia,NY 11749
Expiration D 20_ 631-348-0001
A II�%' pector
i 1 LICATION FOR BUILDING PERMIT
OCT - 2 2018 Date 20
INSTRUCTIONS
N �k.Df 6be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
seu � Fee according to schedule.
t p an s owing]oration 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 rein described.The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and r ons,and to admit
authorized inspectors on premises and in building for necessary inspections
(Si tur of appl'cant or e,if a corporation)
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
C.CtC\L\Cy \
Name of owner of premises
(As on the tax roil or latestdeed)
ap icant i a o ration,signs}`�`'��l�n'f duly or' ed officer
���� try\`Q., \
(Name and title of corporate officer)
Builders License No.
Plumbers License No
Electricians License No.
Other Trade's License No.
1 y�tion of land on which proposed work��I be dons � \ \
House Number treet Hamlet
County Tax Map No. 1000 Section Block b Lot
Subdivision Filed Map No Lot
• 1 State existing use and occupancy of premises and nd(4"and oVupanQ ofproposed construction.
a Existing use and occupancy �. Yl�
b Intended use and occupancy
3 Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work�ns
(Descnption)
4 Estimated Cost)m3yn 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 V'
13 Will lot be re-graded?YES NOWill excess fill be removed from premises?YES_NO__\,/'
14 Names of OwnerpremisesFC&*Cm% � ti 1�—•� Address \ Phone No
Name of Architect Addres °' hone No
Name of Contractor \ Address e. 'Phone No.QV A• L -dad\
Se\•y, ♦ov�S
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO
*IF YES,SOUTNOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE�tEQUIRED
b Is this property within 300 feet of a tidal wetland)*YES NO
*IF YES,D.E.0 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 NOGG
*IF YES,PROVIDE A COPY
STATE OF NEW CYORK)
COUNTY OF Y 0 0
C' C._ \Z-0 A!e being duly sworn,deposes and says that(s)he is the applicant � cly
w Z
(Name of individual signing contract)above named, m Z o
Q U. 0) er
(S)He is the CO?i�WCA C t!' v/i O h )
(Contractor,Agent,Corporate Officer,etc.) W 4 N -C4'
LL1 'T CO C3 a
«.
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this applicatiotr r? co p to
that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be co V o c o
performed in the manner set forth in the application filed therewith. � j o m
W iL Z = E
SwortLtrgbefore me th p >- E
` day of a 0 >- '< O
-J c z �
Notary Public SignatuTe o Applicant
Scott A. Russell ,�d°S"�'r STORMWATER
SUPERVISOR MANAGEMENT
Box SOUfHOLD TOWN HALL-P.O.B 1179 Q 2
53095 Main Road-SOUTHOLD,NEW YORK 11971 dol Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT)
DOES 'THIS PROJECT INVOLVE ANY OF TTS FOLLOWMG.
Yes No €WCA ALL THAT APPLY)
❑ A. Clearing, grubbing, grading or stripping of land which affects more
j' than 5,000 square feet of ground surface.
❑❑ B. Excavation or filling involving more than 200 cubic yards of material
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.
❑❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
0 E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
OOF. 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 yon 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 M=Lj
and a completed Check List Form to the&dlding Department witfiyou BuildingPermit Applica
APPLICANT (Property Oa-ner.Dmgn Profe wwL Agent Contratta.Otw) S.C.T.M. = 1000 Date
\/ Dtstnct ^
NAME, Y O
Section Block Lot
r
1I "'FOR BUILDING DEPARTMENT USE ONLY
Contactnfo=ta 'O -�I
- - — — — - - - - - - - - - - - I; Renewed By
Property Address/Location of Construction Work: — — — Date
yWS Approt ed for processing Building Permit.
�j� ❑ Stormwater Management Control Plan Not Required.
SL�� Stormwater Management Control Plan is Required.
❑ (Forward to Engineering Department for Review.)
FORM ; SMCP-TOS MAY 2014 -- --- ----- - __ —=
AAA
Tom Hag A—
S{37s!(m l ar d '� Tdqiww 031)765-ism k
rA B=1179 iffier 96Ell
SaamoK 1vT 1197149199 I
BUIIDM DEPARIfOM
TOWN OP SOV!' (ND
APPUCATiON FOR E1 FCTRICAL lNSPECTiON
BY: .\C �\ Daf13:
Uoense No.:
No.: Cscm2�v
JOSSITE INFORMATION: ('Indicates required Infocrnadon)
*cmw Street
'Phone No.: 63\`")'S n
Permit No.:
Tax-Map District 1000 Secdom \\n- Bfodc Lot
'BWEP DESC`W WORK tPlease
C,
o.`
(Please Circle AN That Apply)
'Is job ready for Inspection: / zJ Rough In Feral
'Do-you need a Temp Certificate: /NO -
Teanp InFomraft (H needed)
'Service Siwe: 1 Phase 313hase 100 150 200 300 350 400
'New Service: Re-oomect LkWw mrd Nwrlber of Meters Charge of Service OmtAed
Additional inkmnafion: PAYMENT Dl1E WITH APPLICATION
fi2A u for kgmcdw Form
f
T
Signature Affidavit
owner of the located at
Tax Map# oo - o�.eo _ o .dam
do hereby give_ Long Island Power Solutions
permission to sign all applications necessary to obtain a building permit for the above_
ATURE OF PR PERTY OWNER
Sw rntobefor ethis day of LYNDE SUSETTE ESTABROOKE
.20
NOTARY PUBLIC-STATE OF NEW YORK
NO.OlES6259997
Qualified In DutcheeS O o�6-2020
nty
O ARY PU L[C MY Commission Exp
Long Island 3122 Expressway Drive S. Islandia, NY 11749
g 631348-0001
.. POWER SOLUTIONS
www longislandpowersolutions.com
October 1, 2018
L, v L�,
TOWN OF SOUTHOLD-Building Division D
Town Hall Annex Building !
54375 Route 25 OCT - 2 118
P.O. Box 1179
Southold,NY 11971 IR'M 7,r
TOWN OF SOLTt..,,
Dear Building Dept:
As per your Building Department, enclosed please find the building permit application, submitted on behalf of
our client/property owner:
Property Owner: Voskinarian, Mourad - (631)737-3200
Project/Property Address: 485 Bunny Lane,New Suffolk,NY 11956
Section/Block/Lot: 1000-117-6-20.2
Electrician/36178-ME: Michael Catizone—3122 Express Dr. S.,Islandia,NY 11749—(631)348-0001
Contractor/53562-H: Long Island Power Solutions-3122 Express Dr. S., Islandia,NY 11749—(631)348-0001
Architecture&Planning: Paul Cataldo-646 Main St, Suite 202,Port Jefferson,NY 11777—(631)509-6800
Enclosed Please find:
• Application Fee: $200.00
• Permit Application
• (4) Copies of the Property Survey
• (4) Copies of Equipment Specs (Module and Inverter)
• (4) Copies of the Engineering Drawings
• Liability, Disability& Workman's Comp Insurance Certs
Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further,
please contact me.
Sincerely,
Sue Estabrooke
Permit Manager
Long Island Power Solutions
3122 Express Drive South
Islandia,NY 11749
Ph- 631-348-0001
Fx- 631-348-0018
suer(viongislandpowersolutions coni
Go Green Save Green
pF SO!/lyOlo
Town Hall Annex Telephone(631)765-1802
54375 Main Road N :AC Fax(631)765-9502
P.O.Box 1179 • Q
Southold,NY 11971-0959 Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 20, 2018
Long Island Power Solutions
3122 Express Drive South
Islandia, NY 11749
Re: Voskinalian, 485 Bunny Lane, New Suffolk
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
NWE:-Engineer's certification letter required stating the panels were installed to the roof per NYS
BulIding Code
Electrical Underwriters Certificate
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 43124- Solar
JOB NO 2606-227 CERTIFIED TO AICU.RAD VOSKIN.AP,IAN °
MAP NO VIRGINIA VOSKINARIAN
FILED. r
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Ll
HANDS ON SURVEYING
'i
26 SILVER BROOK DRIVE
FLANDERS,NEW YORK �Y l
11901 '
TEL(631)-723-1954-FAX:(631)-723--,329
MARTIN D HAND L S 1 =
----• LICE%,:;EN'0 650363
SURVEYOF LOT AREA 26,45+SQ F7 =0 6072 ACRE
DESCRIBED PROPERTY
SITUATE
NEW SUFFOLK
TOWN OF SOUTHOLD
SUFFOLK COUNTY NEW YORK
6
S.C.T M.DIST 1000 SEC 117 BLK.06 LOT 20.2 ~11
15 6 0 15 30 45 60 75 90 105 120 135
SCALE- 1"=30' DATE JULY 21,2006
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1
EU SUFFOLK COUNTY DEPT OF LABOR,
LICENSING a CONSUMER AFFAIRS
MASTER
ELECTRICIAN
MICHAEL J CATIZONE
This certifies that the •` "'"'"
CATIZ+ONE ELECTRICAL CONTRACTING
bearer is duly INC
licensed by the i � Oak tsmae
County of Suffolk
36178-ME 1 2101/2004
744.010(A tzle
E)"DATI 12/01/2018
> W,
A&
..........
Suffolk County Department of Labor, Licensing &
Consumer Affairs
VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEW YORK 11788
DATE ISSUED: 6/6/2014 No. 53560-ME
SUFFOLK COUNTY
Master Electrician License
This is to certify that
MICHAEL J CATIZONE
doing business as
LONG ISLAND POWER SOLUTIONS INC
having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance
with and subject to the provisions of applicable laws,rules and regulations of
the County of Suffolk,State of New York.
Additional Business
J NOT VALID WITHOUT
DEPARTMENTAL SEAL
AND A CURRENT
CONSUMER AFFAIRS
ID CARD
Commissioner
oi
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A
YORK Workers' CERTIFICATE OF INSURANCE COVERAGE
STATE Compensation
Board UNDER THE NYS DISABILITY BENEFITS LAW
PART 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) lb Business Telephone Number of Insured
CATIZONE ELECTRICAL CONTRACTING,INC 6315430282
3122 EXPRESSWAY DRIVE
ISLANDIA,NY 11749 1c.NYS Unemployment Insurance Employer Registration Number of
Insured
PENDING
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
45-5213112
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York
Town of Southold
53095 Route 25 3b.Policy Number of Entity Listed in Box"1a"
Southold.NY 11971 R97483-000
3c.Policy effective period
1/1/2015 to 12/5/2018
4 Policy covers
QX A.All of the employer's employees eligible under the New York Disability Benefits Law
B.Only the following class or Gasses 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 12/6/2017 By ))d.- l�4J4�ait
(Signature of insurance carrier's alithorize4 representatne or NYS Licensed Insurance 4gent of that insurance carrier)
Telephone Number (212)355-4141 Title SUPERVISOR-DBL/POLICY SERVICES
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"411b"of Part 1 has been checked)
State of New York
Workers' Compensation Board
According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS
Disability Benefits Law with respect to all of his/her employees.
Date Signed By
Signature of NN Workers'Compensation Board Emplovee)
Telephone Number Title
Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of
those insurance carriers are authorized to issue Form DB-120.1 Insurance brokers are NOT authorized to issue this form.
DB-120.1 (9-15)
STA I E OF NF1t YORK
WORKERS' COMPENSATION BOARD
CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE
F3122
al Name and address of Insured f Use street address only) I b Business Telephone Number of Insured
631-543-0282
e Electrical Contracting, inc. Ic NYS Unemplo\ment Insurance Employer Re,istration
pressway Drive South Number of Insured
,NY 11749
Id. Federal Employer Identification Number of Insured or
Work Location of Insured (0n1vrequired if coi,erage .r.rpecilicalll Social Securit_N Number
limited to certain locations in 4en )'ork State i.e a ifrup-Q) 45-5213112
pulicv)
2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier
Coverage(Entity Being Listed as the Certificate Holder)
Utica Mutual Insurance Company
Town of Southold 3b. Policy Number of entity listed in box"la":
53095 Route 25
Southold,NY 11971 4766763
3c. Policy effective period:
07/01/18—07/01/19
3d. The Proprietor,Partners or Executive Officers are.
Included. (Onk check box if all partners/officers included)
X 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" for workers'
compensation under the New York State Workers' Compensation Law (To use this forin. 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"
The Insurance Carrier will crisis nolo the above certificate holder within/0 dais/F a polict is canceled due to nonpayment q/premiums
or within 30 dins lF there are reasons other than nonpervnrent ut"prennhrms that cancel the policy,or eliminate the insured from the
coverage indicated on this Certificate. (These notices mat he rent by regular mail.) Otherwise,this Certificate is volid for one year
after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box"3c
whichever is earlier.
Please Note: Upon the 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'Aorkers'
Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New 1 ork
State Workers'Compensation Law.
Under penalty of perjury, 1 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 Joseph P. Price_
i Print name of authorized representative or hcen,ed agent of insurance tamer)
Approved by Jov-t� L P Pru-. _ 06'05,'2018__
(Signaturei Date) - —
Title- President
Telephone Number of authorized representative or licensed agent of insurance carrier- 631-698-7400
Please Note:Only insurance carriers and their Itcensed ugents are authorized to issue the C-10??f rrnl. lnsio-ance brokers ore.NOT
authorized to issue it.
C-105.2(9-07) www.svcb state.n�N us
CATIZOO OP ID JM
AC�7K0 CERTIFICATE OF LIABILITY INSURANCE °06;05/2018°DYYYt'
06105
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S) AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT If the certificate holder Is an ADDITIONAL INSURED the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Joseph P Price Agency,Inc.
NAME Erica Rueckheim
1150 Portion Road,Suite 14
PHONE.E,t) 631-698-7400 FAX
Na) 631-698-5494
oltsville,NY 11742
Joseph P Price ADDRESS Erueckheim@joepriceinsurance.com
INSURER(S)AFFORDING COVERAGE NAIC a
INSURER A Utica Mutual Insurance Company 10687
INSURED Catizone Electrical INSURER B Utica National Assurance Co 25976
Contracting,Inc INSURER C Standard Security Life Ins. 69078
3122 Expressway Drive South �'
Islandia,NY 11749 INSURER D
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER. REVISION NUMBER.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE t ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE =0R THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RFSP ECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEC' TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR AODL SUER POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE _INSD WVD POLICY NUMBER
- (MbVDDlYYV Y) (MM)DtYYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY H„CCl RRf.N'.E 1,000,00
A'Fns a1;..;t X _ r CPP 4784747 07/01/2018 07/01/2019 I'ANI"GF T( 'F N-F '
k&F.nsEs 100,00
10,000
sr•v NA 1 1,000,00
GEN[AG6RF,,,A1F-:MIT APP, i S PFR r,l-NE k,:: Ar,,-kt'm.+E 2,000,000
X F'uu,Y %R(,-
_F-T _ _ +.N-,EI, ur.1P'F , 2,000.00
JTHER
AUTOMOBILE LIABILITY NI J SIN�,I F t„PT ---
a'^
ANY AU I
ALI()tVN[1; ",HEL' Er
AL;T(-,S At" S !+UJ L Y'N,I,R� F11a 01-1t, _
NCIN r'VNE E FkI uER 1 Y LIAMAUt
UMBRELLA LIAB
EXCESS LIAR _L.:;g15
0
DED RETENTION-
WORKERS COMPENSATION PER GTFI
AND EMPLOYERS'LIABILITY STATUTF ER
B ANIPRGPRIETOP' ;R-,.F1.E,E - [ rrN_ 4766763 07/01/2018 07/01/2019
nccICERIVEMBER% ___- N,A .`l E„.rl A(,CIDF NT 5 500,00
(Mandatory in NH) -- E L CISCASE- R
N yes dr
eslGe�„fie.
CA FM LOYFE $ 500,00
DESCRIPTION OF OPEkA 7I(�NS E, GI SEAS& PC,t C,`DIA T 500,00
C Disability R97483-000 01/01/2018 01/01/2019 Statutory
Limits
DESCRIPTION OF OPERATIONS;LOCATIONS'VEHICLES (ACORD 101 Addlbonal Remarks Schedule may be attached,f more space is required)
CERTIFICATE HOLDER CANCELLATION
SOUTHOL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
53095 Route 25
Southold,NY 11971
AUTHORIZED REPRESENTATIVE
G 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INEWRWorkers' CERTIFICATE OF INSURANCE COVERAGE
ATE Compensation
Board UNDER THE NYS DISABILITY BENEFITS LAW
PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier
1 a Legal Name&Address of Insured(use street address only) 1 b Business Telephone Number of Insured
LONG ISLAND POWER SOLUTIONS INC 6313480001
3122 EXPRESSWAY DRIVE SOUTH
ISLANDIA,NY 11749 lc NYS Unemployment Insurance Employer Registration Number of
Insured
PENDING
i
Work Location of Insured(Only required it coverage is specifically limited to
certain locations in New York State i e a Wrap-Up Policy) ld Federal Employer Identification Number of Insured or Social Security
Number
27-1175107
2 Name and Address of Entity Requesting Proof of Coverage 3a Nameof Insurance Carrier
(Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York
Town of Southold
53095 Route 25
Southold,NY 11971 3b Policy Number of Entity Listed in Box 1.1 a"
R 97411-000
3c Policy effective period
1/1/2015 to 12/5/2018
4 Policy covers
Qx A.All of the employer's employees eligible under the New York Disability Benefits Law
B Only the following class or classes of employer's employees
Under penalty of perjury I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named
insured has NYS Disability Benefits insurance coverage as described above
Date Signed 12/6/2017 By
I\ynaiurci(unman�r�arnrr>audionr icpi:>euienu ,i\ltilnru>rd luaursrne \Erni u(thm mwun�r�amerl
Telephone Number (212)355-4141 Title SUPERVISOR-DBL/POLICY SERVICES
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
Srxnaturo ut\}'S\l urltn Cuugx�n.annn B-,d Fmp!o}ee)
Telephone Number Title
Please Note: Only insurance earners licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of
those insurance carriers are authorized to issue Form DB-120 1 Insurance brokers are NOT authorized to issue this form.
DS-120.1(9-15)
STAT L OF NFA YORK
WORKERS' COMPENSATION BOARD
CERTIFICATE OF NYS WORKERS' COiNIPENSATION INSURANCE COVERAGE
F3122E%presswaN
ame and address of insured(C se street address only) I b Business"telephone Number of Insured
631-348-0001
Power Solutions, Inc. Ic NYS Unemployrnent Insurance Employer Registration
Drive South Number ofInsured 11749
1 d. Federal Employer Identification Number of Insured or
Work Location of Insured(On/v required if coverage is.specnfically Social Security Number
limited to certain locations in Vew )"ork Stute, i.e a Hrap-Up 27-1175107
Policti')
2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier
Coverage(Entity Being Listed as the Certificate Holder) New York Marine&General Inc.
Town of Southold 3b. Policy Number of entity listed in box"la":
53095 Route 25
Southold,NY 11971 WC201700013495
3c. Policy effective period:
04/01/2018—04/01/2019
3d. The Proprietor, Partners or Executive Officers are.
Included. (Unk checl,box Mall partnerti!officers included)
X all excluded or certain partners/officers excluded.
This certifies that the insurance carrier indicated above in box insures the business referenced above in box "Ia" for workers'
compensation under the New York State Workers Compensation Law (To use this form. New York (NY) must be listed
under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance
Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2"
The Insurance Currier will also notifi the etbove Certificate holder within 10 dm's IF a poltcv is c unceled due to nonpayment of premiruns
or within 30 days IF there are reasons other than rtonpurnrcrnt of premiums that canCel the Colica,or eliminate the insured front the
coverage indicated on this Certificate. (These notices mat be sent b) regular»rail.) Otherwise,this Certificate is valid for one year
after this forin is approved b}, the insurance carrier or its licensed agent, or until the policy expiration date listed in boa 3c",
whichever is earlier.
Please Note: Upon the 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 1k orkers'
Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York
State Workers'Compensation Law.
Under penalty of perjury, I certify that 1 am an authorized representative or licensed agent of the insurance carrier referenced
above and that the named insured has the coverage as depicted on this form.
Approved by Joseph P. Price
(Print name ofauthonzed representauxe or licensed went of insurance carrier
Approved by O 3 09 2018
(Signatures (Date) - - _—
Title- President
Telephone Number of authorized representative or licensed agent of insurance carrier 631-698-7400
Please,,Vote:Onh insurance carriers and their licensed agents are authorized to issue the C-10?1 jorm. lnsuranCe brokers are AOT
authorized to issue it
C-105.2(9-07) 1%N%".wcb state.m.us
LIPOWEO OP ID:JM
ACRO CERTIFICATE OF LIABILITY INSURANCE D 02 13/201 YV)
02/13/2018
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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Joseph P.Price Agency,Inc. PHONE Julie Fitzpatrick Fax
1150 Portion Road,Suite 14 "C.No EMI:631-698-7400 MIC No): 631-698-5494
olts h P.Price NY 11742
Joseph P. =ss:jfitzpatrick@_joepriceinsurance.com
INSURERS AFFORDING COVERAGE NAIC 0
INSURER A LID ds of London
INSURED Long Island Power Solutions, INSURER B Standard Security Life Ins. 69078
Inc.
Michael Catizone INSURER New York Marine&General
3122 Expressway Drive South INSURER D
Islandia,NY 11749 INSURER E
INSURER F.
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCEADDL POLICY EFF POLICY EXP
LTR POLICY NUMBER MWDDIYYYY MMIDDIYYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
DAMAGE CLAIMS-MADE O OCCUR Y PK201700009913 02/28/2018 02/28/2019 PREMISES Ea occurrence)a�ENTE — $ 50,00
X Contractual
MED EXP(Any one person) $ 10,00
PERSONAL&ADV INJURY $ 1,000,00
GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,00
POLICY❑PRO- ❑
JECT LOC PRODUCTS-COMPlOP AGG $ 2,000,00
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
LEa aadent
ANY AUTO BODILcY INJURY(Per person) $
ALLOWALLOWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per awdent) $
NON-OWNED PROPERTY DAMAGE
dent
HIRED AUTOS AUTOS Per aca $
$
UMBRELLA LIAB OCCUR I EACH OCCURRENCE $
EXCESS LIAS CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION Y PTH-
AND EMPLOYERS'LIABILITY X STATUTE EOR _
C ANFICER/MEMBERPARTNDED curIVE ❑NIA 0201700013495 04/01/2018 04/01/2019 E.L.EACH ACCIDENT $ 1,000,00
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$ 1,000,00
It yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,00
B Disability Benefit R97411 01/01/2018 01/01/2019 Statutory
A Install.Floater PK201700009913 02/28/2018 02/28/2019 100,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached M more space is required)
Town of Southold is listed as additional insured.
CERTIFICATE HOLDER CANCELLATION
SOUTHOL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
53095 Route 25
Southold,NY 11971 AUTHORIZED REPRESENTATIVE
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD
JOB NO 2606-227 CERTIFIED TO h1CURAD VOSKI,NARIAN ,
MAP NO VIRGINIA VOSKINARIAN
FILED
REVISIONS.
HANDS ON SURVEYING
i
26 SILVER BROOK DRIVE
FLANDERS,NEW YORK
11901
TEL.(631)-723-1954-FAX:(631)-723-7329 {
MARTIN 0.HAND L S '
uCE%'',E NO G50363
SURVEYOF LOT 4REA 26.451 SQ.F7 =0 6072 ACRE
DESCRIBED PROPERTY
SITUATE
NEW SUFFOLK
TOWN OF SOUTHOLD
SUFFOLK COUNTY•NE'N YORK
S.C.T M.DIST 1000 SEC.117 BLK.06 LOT 20.2
) i
15 B 0 15 30 45 60 75 90 105 120 135
SCALE- 1"=30' DATE JULY21.2006
SE.RV�EDBYP�gSST?EET
iE �/C VIA.TE?. I
O\Jy/ ' I
\p
KO(/
T ROS RpAn
21 30^E
•�� /05nr.•
..,
A 1 I
T GiF 1W
O'
50.2'
OM QO
ap�i
°ty50-01
:�q 3:' ce
CAA'D NOW o R FRY
KATlEA1gOR
CTOMERC E _
,IIdPROVED
VlECC ASS
j SAWARYLOCA ION
r
au cataldo BUILDING FOR
Septem er17, 8 ARCHITECTURE & PLANNING PC A BRIGHTER FUTURE
Municipality Having Jurisdiction
Town of Southold
Building Department
Town Hall
Southold,NY 11971
Project:Solar Photo Voltaic Panel Installation for•
Mourad Voskinarian Section: 117
485 Bunny Lane Block: 6
New Suffolk,NY 11956 Lot: 20.2
A review has been prepared for above listed residence regarding solar panel installation on roof Site visit verification has been prepared identifying
specific site information,based on that information an evaluation of the structural capacity of the existing roof system to support the additional loads
imposed by this solar panel installation.
Description of residence:
The existing roof structure is typical wood framing construction consisting of 2x12 roof rafters at a 10 in 12 pitch,spaced at 16"on center,with a'-0"
eave overhang,ridge is 2x12. Lumber species assumed to be Douglas Fir#2 in an unfinished attic,collar ties are 2x12 spaced 16"OC and the ceiling
joists are 2x12 space 16"on center The subject roofs have a single layer of asphalt shingles assumed to be 3 PSF Gypsum board ceiling is attached to
the ceiling joist and not the roof rafters.
Code References:
o IRC-International Residential Code 2015
o NYS Building Standards and Codes;2017 Uniform Code Supplement
o International Energy Conservation Code 2015
o American Wood Council,Wood Frame Construction Manual 2012
o American Society of Civil Engineers Minimum Design Loads for Buildings and Other Structures 7-10
o National Design Specification for Wood Construction 2005
o Exposure Category"C"Surface Terrain
o Roof framing lumber Douglas Fir#2
o All panels assumed to be in Roof Zone 5
*Net Design High Wind Pressure adjustment factor for building and exposure multiplier= 1.25
I have reviewed the roofing structure at the project address. The structure can support the weight of the roof of Itaic array The
system is to be installed as per manufacturer's instructions. I have determined the installation as designed m is the NYS
Buildin Code 2016 Uniform Code Supplement,and ASCE7-10 when installed as per manufacturer's instru id �.�
Roof Section 1 3 Q vP
Mean Height 22 22
Pitch 10 in 12 10 in 12 W
Rafter Size(nominal) 2x12 2x12 7 �'
Rafter Spacinq(on center) 16" 16"
Horizontal Rafter Span 11'-8" 15'-2"
Allowable Spans Table R802.5.1 Max. 26'-0" 26-0"
Climatic& Ground Wind Live Load, Point Load Allowable Actua
Geographic Category Snow Speed Pnet30 per withdrawal deflection Deflection Fastener Type
Design Criteria Load 3 ASCE7 Lbs.per As per NYS Due to
PSF Sec. PSF lag bolt Building Code Gravity loads
gust
MPH
Roof Section 1 C 20 130 -30.4 -891 L/180 L/1000 Use 5/16"dia.x 5"Lags
Roof Section 3 C 20 130 -30.4 -891 L/180 L/1000 Use 5/16"dia.x 5"Lags
As Per Lag bolt manufacturer and NDS 2005,Lag bolt Withdrawal rated at 266 lbs.per inch of thread in Douglas fir lumber,5"Lags to have 3-3/4"of
embedded thread length,making withdrawal limit at 997 lbs.,we use 798 lbs.as our limit per lag. Weight Distribution:Array dead load= 3.5 PSF
Paul
..................o,Registered Architect...............................®.....................................................................
646 MAIN STREET, SUITE 202 / PORT JEFFERSON, NY 1 1 777 / 631 509 6800 / FAX 877 524 2732 /WVVW.PAULCATALDORA.COM
.................................................................................................................................................
Long Island �•;'"
-COGEN Disconnect —_ POWER SOLUTIONS
Located adjacent to
Utility meter _ _ 3122 Expressway Drive South
tY _ , Islandia, NY 11749
Inverter " . s (631) 348-0001
Customer: Section
►" Mourad Voskinarian 117
485 Bunny Lane Block
16
P T .re t%1% 11
New 'ju110lK, N i Lot
0 11956 20.2
631-737-3200
V Project:
General Notes:
-Enphase IQ6 Micro Inverter ❑ ❑ Total system watts DC
\ i 10,230W
are located on roof behind each module. Total # of Modules
-First responder access maintained and
from adjacent roof. 33
-Wire run from array to connection is 40 feet. Module Type/Watt :
Wind Load, Q-Cell 310W
Roof Section 1 Roof type Pitch Azimuth pnet30 per Load,
10 Fastener Type
p Back-up/Inverter Type
R1 Composition Shingles, 410 1740 -30.4 PSF Use 5/16 " dia. 5" Las Enphase
R3 Composition Shinglesi 290 2640 -30.4 PSF Use 5/16 " dia. 5" Las Support:
Iron Ridge
Another Solar Installation Sheet Index Legend
By S-0 Cover Sheet / Site Plan First responder access Paul cataldo �� 1q. qc
® nRCMTECTURE 8 ram 646 Main Street.Suite 202
S-1 Roof Diagram 0 Utility Meter
PUNwNG �
Long Island S-2 Detail Port iceerson. 11777
Ell PV Disconnect Voice 631509 6800 �
POWER SOLUTIONS Fax 8775242732 N�
F-C Fire Clearance .p Paut'alPaulCataldoRA.com ,9 3 � _L
E-1 One - Line o Vent Pie www PaulCataldoRA.com '�{'{ �`�
S-1 A Mounting Plan Chimney Date: 8.8.18
Satellite Drawn by: TP Cover Sheet/
- 2nd Printin
2017 NYS Residential Code (2015 International Residential Code g modified Checked by: BW Site PlanRev #: 01 S -0 by the NYS Building Standards and Codes 2017 Uniform Code Supplement), 2015 International Rev Date: 8.17.18
Energy Conservation Code, Town of Southold Code, 2014 National Electric Code.
Long Island
POWER SOLUTIONS
3122 Expressway Drive South
Islandia, NY 11749
- i
(631) 348-0001
31'-6"
Customer:
16'-611
Mourad Voskinarlan
485 Bunny Lane
�
181-611
New Suffolk NY
R-1 - 0 11956
# Modules (28)
Pitch: 41' Total system watts DC
Azimuth: 174° 11 M230W
21'-01/2" Total # of Modules :
33
Module Type/Watt :
Q-Cell 310W
Back-up/Inverter Type
Enphase
o R-3 Support:
�
# Modules (5) Iron Ridge,---_--_---.,
[] Pitch: 29° aul cataldo
Azimuth: 264° P
R('HRFCTI MlF A RI ANNINC K
0 646 Main Street,Suite 202
PnF-t JPffPmnn NY 1 1777
3
/711 Voice 1509 6800
�• � Fax 877 7 524.2732Pa0 (n
www PulCatadoR4 com
www PaulCataidoRA.com a631
5'-5 3/4"Q Date: 8.8.18
Z
�
1 Drawn by: TP
Checked by: BW Diagra
Rev #: 01
.- - 1 st Responder Access
Rev Date: 8.17.18 S - 1
minimum of 36"unobstructed as per
Z�
Section R324 of the 2015 IRC
Long Island
POWER SOLUTIONS
351-411 1
3122 Expressway Drive South
t Islandia, NY 11749
(631) 348-0001
1 31 -6
11
16'-6" - Customer:
j� i4,41
K 40 10 R I Mourad Voskinarian
I I I ! ! ! l ;- I I I I ! 485 Bunny Lane
-111111111 1 181-611 IIIIIIIIIIIIIII New Suffolk NY
R-1IIIIIIIIIIIII 11956
0
# Modules (28) I I
Pitch: 41° I I I I I I I I I I I I Total system watts DC
I
Azimuth: 174° IIIIIIIIIIIII 101230W
111111
I I I I I I I Q I I I I I I
21 -01/2 Total # of Modules
111111
IIIIIIIIIIIIIII
33
,� x 1111111 IIIIIIIIIIIIIII Module Type/Watt :
Y, 111111
IIIIIIIIIIIIIII Q-Cell310W
IIIII
Back-up/Inverter Type
R-3 Enphase
# Modules (5) Support:
Pitch: 29°
Iron Rid
� . � � Azimuth: 264° a ��v
® paui catai do Q�
%* 'I R('HITFfT)AF A RANNINC Pf
1 4 1 7, 1 g rt 646 Main Street Suite 202 * s 0
1 PnPfFpmnn NY 1 1777
3'-3 1/21' Voice 631.509.6800
�y Fax 677 529.2732 0
Paulola Pau1CaWdoPA.com 63 1 1
Splice Bar 8 wwwRaulCatalcloRAcom
Penetrations 66 5'-5 3/4"
UFO's 76 Date: 8.8.18
32MM Sleeves 20 Che ked b TBW Diagram
• _ -
End Caps 20 Rev #: 02
_ - -- 1 st Responder Access S - 1a
minimum of 36"unobstructed as per Rev Date: 9.10.18
Section R324 of the 2015 IRC
Long Island
POWER SOLUTIONS
IronRidge XR 100 Rail
3122 Expressway Drive South
Islandia, NY 11749
(631) 348-0001
Customer:
r1�
n+oio cton,p
Car Mourad Vosklnarlan
Eiashing 48"; Bunny Lane
IronRidge XR 100 Rail New Suffolk, NY
1
IronRidge XR 100 Rail
5/16" x 5" Stainless 11956
Steel Lag Bolt Project:
r A CE7-10 Total system watts DC
Designed as per S 10)230W
Total # of Modules
Modules mounted flush to roof Solar Module33
no higher than 6" above surface. 3/8_16 X 3/4 Module Type/Watt :
g HEX HEAD BOLT
3/6-146 Ce11310W
it
General Notes. VLA.NGE NUT
3 - /g Back-up/Inverter Type
Enphase
- L Feet are secured to roof rafters. Support:
@ 80" O.C. using 5/16" x 5" stainless Iron Ridge
steel Lag bolts.
RED
- Subject roof has ONE layer. paul cataldo FRc
- All penetrations are sealed and flashed. P
646 Main Street.Suite 202
Pori Jefferson.N-r 1 1 777
Voice 631.SO4.6800
Fax 877.524.2732 N
f auI�QVPauKLataldotw.com
wwwRau lCataldoRA.com
Roof Section Pitch Ridge Roof Rafters Ceiling Joists Collar ties Overhang NotesFNEw'�
" 11 11x12" 16" O.C. 2"x12" 16" O.C. 48 O.C. 16" Lam, Date:
R1 10/12 2��x12�� 2�� �� �� �� �� �� by:
Drawn by. TP
R3 10/12 2 x12 2 x12 @ 16 O.C. 2 x12 16 O.C. 48 O.C. 1611LVL Checked by: 8w
Rev #: 01
Rev Date: 8.17.18
S -2
Equipment List: AC Combiner: Long Island
POWER SOLUTIONS
Photovoltaics: 1-Phase, Main Lug Loadcenter, 125A
(3 3) Hanwha Q.PEAK Duo BLK-G5 310 3122 Expressway Drive South
Note: Islandia, NY 11749
Inverters: All wiring to meet the 2014 NEC and (631) 348-0001
(33) Enphase- IQ6-60-5-US 2015 Energy Code
Maximum Inverters per 20A Branch Circuit (16) 60A Fused Service Rated Disconnect Customer:
Mourad Voskinarian
Photovoltaics: 1485 Bunny Lane
(33) Pianw'rla Q.PEAK Duo BLK-GS 310
New Suffolk, NY
NEMA 3R En a e Cable Inverters 11956
Junction Box
Black-L1 (33) Enphase IQ6 Micro Inverters
Red-L2 Project:
White-Neutral
Green-Ground Circuits:
(3) circuit of(11) Modules Total system watts DC
10,230W
#12 AWG THWN for Home runs under 100Roof Total # of Modules
#10 AWG THWN for Home runs over 100'
(1)Line 1 33
(1)Line 2
(1)Neutral
(1)EGC Module Type/Waft:
Per Circuit
in 1" or 1 1/4"PVC Conduit
+ Meter Q-Ce
OBack-up/Inverter Type
Enphase
r Support:
Iron Ridge
Z40
D_
Line Side Tap
31.68
60A Fused Service Main Service ��ERED qR
Rated Disconnect 150A ® pawl ca —NG PC (j� V. C
_ 125A Load Center �RCHr7ECTURE 6 MNNING PC PJL q
0 i 40A Fuse _ U 646 Main Street.Suite 202 Q �
(1)-20A Breaker Port)etrerson,Iv, 11777 cr �{
Per Circuit Voice 631 509.6800
RATED AC OUTPUT CURRENT A Fax 877.524.2732
NOMINAL OPERATING AC VOLTAGE V Disconnect WARNING wxw.Pau1Cata1doPA conn
"9 0
F AK
AC Distribution Panel Date: 8.8-18 e 1
or Sub Panel Drawn by: TP
48 AWG THWN #6 AWG THVIN
IMIERTER OUTPUT CON ECTiON (1)Line 1 (1)Line 1 Checked by: BW E- 1(1)Line 2 (1)Line 2
DO NOT RELOCATE (1)Neutral (1)Neutral _— Rev #: 01
THIS OYERCURRENT (1)EGC (1)EGC -
DEVICE in 1 1/4"PVC Conduit (1)GEC Rev Date: 8.17.18
in 1 1/4"PVC Conduit
FLong Island
POWER SOLUTIONS
R3122 Expressway Drive South
O Islandia, NY 11749
(631) 348-0001
Ground Access Point
N Customer:
T Mourad Voskinarian
° ,� ►
485 Bunny Lane
New Suffolk, NY
O
11956
FProject:
Total system watts DC
❑ 10,230W
3' Access Pathway Total # of Modules
O 33
Module Type/Watt:
-U Q-Cell 310W
❑
S Back-up/Inverter Type
Enp hase
Suport:
E p
Iron Ridge
eREDq
® pauI cataldo GAG' V. c
❑ 646 Main Street,Surte 202
FVI l JCfru cul I,NY 1 1 777 � t�
voice 63 1.509 6800 7
fax 877.52-7.2732 N
Utility Meter WWNN`.FdUiCataldvKA.com
wwv+.FaulCatalduFv�.Quni �` ` 631
F N�*' �
Composition Shingles on All Roof Surfaces Date: by: -
p g Drawn by. TP
Represents all Fire Clearance including Alternative methods Checked by: BW Fire
Rev #: of Clearance
Rev Date: 8.17.18
1
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•` DUO
Q.ANTUMQYEAK DUO BLK-G5 305-320,
1 A' MODULE
The ne,,v solar module from Q CELLS impresses
With its outstandi ; i:sual appearance and particularly high perfor-
mance on a small surface thanks to the innovative
Technology Q.ANTUNI's ,Yorld-record-holding cell concept has now
been combined ,vital state-of-tile-art circuitry half dells and a six-
busbar design th,;s achieving outstanding performance under real
coni tions — oc ,vith io.v-intensity solar radiation as well as on
110t. clear 3Lr1'nler days
Q.ANTUht TECHNOLCGY LOW LEVELISED COST OF ELECTRICITY
Higher yield per surface area,lower SOS costs,higher power
classes,and an efficiency rate of up to 19.3%.
INNOVATIVE ALL-WEATHER TECHNOLOGY
�►� Optimal yields,whatever the weather with excellent low-light
and temperature behaviour.
J ENDURING HIGH PERFORMANCE QtALIS
Long-term yield security with Anti LID Technology,Anti PID Y.
Technology.Hot-Spot Protect and Traceable Quality Tra.Q"m Toe WAND PV
EXTREME WEATHER RATING 2017'
High-tech aluminium alloy frame,certified for -
high snow(5400 Pa)and wind loads(4000 Pa).
® A RELIABLE INVESTMENT
Inclusive 12-year product warranty and 25-year linear
performance warranty.
STATE OF THE ART MODULE TECHNOLOGY
\�J Q.ANTUM DUO combines cutting edge cell separation
and innovative wiring with Q.ANTUM Technology. APT test conditions according
to IECJTS 62804-1.2015,
methoo B(-1500v.168h)
See data sheet on rear
inr further Wformatlon.
THE IDEAL SOLUTION FOR:
rci,lrn••al b.�� �•.
Engineered in Germany CELLS
r
7
1
Format _d85mm r 1009mm Y 32mm OnCluOmg frame;
Weight 19.7kg
Front Cover +.2mlrl thermally prrdressed glass Wdtl
arh-reflecljo 'erhnclrigy
Back Cover .,rmCn,,(e In -
Frame dlac+ar OdsM alum-num
Cell 6.20 monocrystalhne(I.ANTUTA solar hall cells ®Junction box 70.85mr-,50-70mm>13-21 mm
Prwecl Wn class IP6/ W,Ih bypass dredes
Cable 4trrn Solar able:!.)IIOUrnm,I-)1100mm .,,�„ ••-••�•
i
Connector Multi-Conrad)dC4.IP65 and IP68 u
ELECTRICAL CHARACTERISTICS
POWER CLASS 3135 310 315 320
',1PII;!U'• PER°0: ,:: . ST.;, SB; -- -„`,01i.CSS STC `PC'NER TOLERANCE-.771-„0
Power at MPP' Pv„ IWl 305 310 315 320
Short Circuit Content, 1,r (A) 9.78 9.83 9.89 9.94
e
E' Open Circuit Voltage- VI, IVI 39.75 40.02 40.29 40.56
Current at MPP* le„ (AI 9.31 9.36 9.41 9.47
voltage at MPP- Vv„ IV] 3278 33.12 33.46 33.80
Efficiency, n 1%) z 18.1 z M4 z 18.7 '19.0
'JINI-MV PERMR'•^ •,03'. ,,-E11TI iCN01T10'IS NIC
Power at MPPI P,,,, (WI 226.0 229.1 233.5 23/.2
N Short Circuit Current* I„ (AI 788 1.93 /.91 8.02
g Open circuit Voltage- V. IV] 37 18 3743 37.69 37.94
M Current at MPP' le„ [A) 7.32 7.30 741 74R
Voltage at MPP• Ver, [VI 30.88 31.20 31.52 31.84
1000-S, 15 C.v r_-A;a!,s., V. .•:•„ r 1--,STC,3" NCC S' 8001-4',: .NCL:sr«In.m AM 1.50 In CA rakes W-A,4-may d f:rr
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STC c-d.f-(75 C 1013'Wlln'1.
Temperature Coefficient of 1. a [%/Kl r 0.04 Temperature Coefficient of V. IS I%/KI -0.28
Temperature Coefficient of Pr, V I%/KI -0.37 Normal Operating Cell Temperature NOCT I°C] 45 -
PROPERTIES FOR SYSTEM DESIGN
Mailmum System Voltage V.I. (VI 1000 Safety Class II
Maximum Remse Current 1, [Al 20 Fire Rating C
Push/Pull toad IPsI 540(3/4000 Permitted Madole Temperature -40-C up to-85 C
(Test-ised in Accordanee with IEC 61213) on continuous Duly ;
QUALIFICATIONS t CERTIFICATES PARTNER
6
'IDE OuL!y'esfe0,IEC 61215(E^-.1);IEC b1/30(Ed.If.Apyhcatr-n cf-A
Th,,data~complies wdh DIN EN 50380 L�
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NOTE:Ir s:aa'-r ••s1-,,- _ v„',2 cru•wen S-r;e� n.falla!rou aM,ne+a!wy,manual rr Cnntael cur!ernmcal-010 deya•!'nen v r ,,rtn-r.r.urrna,s m a-r,ard.rs;,llahr,. s
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Engineered in Germany OCELLS
Enphase titer ;m;
Enphase Designed for higher powered modules,the smart grid-
ready Enphase IQ 6 Micro" and Enphase IQ 6+ Micro`"
Q6 and IQ 6+ are built on the sixth-generation platform and achieve
the highest efficiency for module-level power electronics
M i c ro i nve rte rs
and reduced cost per watt.
Part of the Enphase IQ System,the IQ 6 and IQ 6+ Micro
integrate seamlessly with the Enphase IQ Envoy'",
Enphase IQ Battery'", and the Enphase Enlighten'"
monitoring and analysis software
The IQ 6 and IQ 6+ Micro are very reliable as they have
fewer parts and undergo over 1 million hours of testing
Enphase provides an industry-leading warranty of up to
25 years
Easy to Install
Lightweight
Simple cable management
Built-in rapid shutdown(NEC 2014)
Productive
Optimized for high powered modules
Supports 60 and 72-cell modules
Maximizes energy production
Smart Grid Ready
Complies with fixed power factor,voltage and
frequency ride-through requirements
Remotely updates to respond to changing
grid requirements
Configurable for varying grid profiles
U`
To learn more about Enphase offerings,visit enphase.com � E N P H A S E
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' 195 W-330 W+ 235W-400W+
Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules
Maximum input DC voltage 48 V 62V
Peak power tracking voltage 27 V-37 V 27 V-45 V
Operating range 16 V-48 V 16 V-62 V
Min/Max start voltage 22 V/48 V 22 V/62 V
Max DC short circuit current(module Isc) 15A 15A
Overvoltage class DC port II 11
DC port backfeed under single fault 0 A 0 A
PV array configuration 1 x 1 ungrounded array;No additional DC side protection required;
AC side protection requires max 20A per branch circuit
OUTPUT DATA(AC) IQ6-60-2-US AND I06-60-5-US IQ6PLUS-72-2-US AND IQ6PLUS-72-5-US
Peak output power 240 VA 290 VA
Maximum continuous output power 230 VA 280 VA
Nominal voltage/range2 240 V/211-264 V 208 V(14))/183-229 V 240 V/211-264 V 208 V(10)/183-229 V
Nominal output current 0 96 A 1 11 A 1 17 A 1 35A
Nominal frequency 60 Hz 60 Hz
Extended frequency range 47-68 Hz 47-68 Hz
Power factor at rated power 1.0 10
Maximum units per 20 A branch circuit 16(240 VAC) 13(240 VAC)
14(single-phase 208 VAC) 11 (single-phase 208 VAC)
Overvoltage class AC port III III
AC port backfeed under single fault 0 A 0 A
Power factor(adjustable) 0.7 leading 0 7 lagging 0.7 leading 0.7 lagging
EFFICIENCY @240 V @208 V(14)) @240 V @208 V(1(b)
CEC weighted efficiency 97.0% 96.5% 970% 96.5%
MECHANICAL DATA
Ambient temperature range -40°C to+65°C
Relative humidity range 4%to 100%(condensing)
Connector type MC4 or Ampheno)H4 UTX
Dimensions(WxHxD) 219 mm x 191 mm x 379 mm(without bracket)
Weight 1 5 kg(3.3 lbs)
Cooling Natural convection-No fans
Approved for wet locations Yes
Pollution degree PD3
Environmental category/UV exposure rating Outdoor-NEMA 250,type 6(IP67)
FEATURES
Communication Power line —
Monitoring Enlighten Manager and MyEnlighten monitoring options
Compatible with Enphase IQ Envoy
Compliance UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B,
CAN/CSA-C22.2 NO.107.1-01
This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and
NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC
and DC conductors,when installed according manufacturer's instructions.
1 No enforced DC/AC ratio See the compatibility calculator at enphase com/en-us/support/module-com atR ibility
2.Nominal voltage range can be extended beyond nominal if required by the utility
To learn more about Enphase offerings,visit enphase.com
ENPHASE
x ,,. . IRONRIDGE Roof Mount System
-------------
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ZF`•
Built f0 `'7)Ir _.. ?1..:�9ti"
IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit
and proven in extreme environments.
Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and
is also why our products are fully certified, code compliant and backed by a 20-year warranty.
Strength Tested PE Certified
All components evaluated for superior Pre-stamped engineering letters
structural performance. available in most states.
Class A Fire Rating Design Software
Certified to maintain the fire resistance Online tool generates a complete bill of
rating of the existing roof. materials in minutes.
Integrated Grounding 20 Year Warranty
UL 2703 system eliminates separate O Twice the protection offered by
module grounding components. WA competitors.
XR10 Rail XR100 Rail XR1000 Rail Internal Splices
A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices
for regions with light snow. solar mounting rail. rail for commercial projects. for seamless connections.
• 6'spanning capability 8'spanning capability 12'spanning capability Self-tapping screws
• Moderate load capability Heavy load capability Extreme load capability Varying versions for rails
• Clear& black anod. finish Clear& black anod.finish Clear anodized finish Grounding Straps offered
Attac ,rnents
FlashFoot Slotted L-Feet Standoffs Tilt Legs
A 1L
Anchor,flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired
with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees.
• Ships with all hardware • High-friction serrated face • Works with vent flashing Attaches directly to rail
• IBC & IRC compliant • Heavy-duty profile shape • Ships pre-assembled Ships with all hardware
• Certified with XR Rails • Clear& black anod. finish • 4"and 7" Lengths Fixed and adjustable
---- Clamps & Groundin;-
End Clamps Grounding Mid Clamps T, T Bolt Grounding Lugs Accessories
Li
Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and
modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails.
• Mill finish & black anod. Parallel bonding T-bolt • Easy top-slot mounting Snap-in Wire Clips
• Sizes from 1.22"to 2.3" Reusable up to 10 times • Eliminates pre-drilling Perfected End Caps
• Optional Under Clamps Mill&black stainless • Swivels in any direction UV-protected polymer
_.._.. . Free Resources
Design Assistant , A NABCEP Certified Training
Go from rough layout to fully ♦ Earn free continuing education credits,
-_ engineered system. For free. A while learning more about our systems.
_ - Go t-) lron.Rodge com/rm Go to fronRidge.com/training