Loading...
HomeMy WebLinkAbout43119-Z Town of Southold 12/4/2018 P.O. Box 1179 53095 Main Rd AL # Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40082 Date: 12/4/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 765 Westview Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 139.4-20.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/28/2018 pursuant to which Building Permit No. 43119 dated 10/9/2018 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 Strauss Living Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43119 11/19/2018 PLUMBERS CERTIFICATION DATED A Ir Au orized Signature TOWN OF SOUTHOLD IN BUILDING DEPARTMENT TOWN CLERK'S OFFICE vl 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#: 43119 Date: 10/9/2018 Permission is hereby granted to: Strauss Living Trust 765 Westview Dr Mattituck, NY 11952 To: install roof-mounted solar panels on existing single-family dwelling as applied for. At premises located at: 765 Westview Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 139.-1-20.1 Pursuant to application dated 9/28/2018 and approved by the Building Inspector. To expire on 4/9/2020. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO -ALTERATION TO DWELLING $50.00 Total: $200.00 B ' ing Inspector 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. 9/20/2018 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 765 Westview Dr Mattituck House No. Street Hamlet Owner or Owners of Property: Betsy Frank Suffolk County Tax Map No 1000, Section 139 Block 1 Lot 20.1 Subdivision Filed Map. Lot: Permit No. Y31 /q 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 Vp licant Signature SOUryOI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road G N Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 �0 • �o roger.richert(@.town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Betsy Frank (Strauss) Address. 765 Westview Dr City- Mattituck St: New York Zip- 11952 Building Permit#- 43119 Section. 139 Block: 1 Lot: 201 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA. Green Logic License No- 43858-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches Twist Lock F1 Exit Fixtures 9 TVSS Other Equipment: 13.4 KW roof mounted photovoltaic system to include, 40-Sunpower 335 panels, with micro inverters,AC disconnect Notes: Inspector Signature: 1"— Date: November 19 2018 Ir 81-Cert Electrical Compliance Form.xls ho�yOF SOUTyO �o * # TOWN OF SOUTHOLD BUILDING DEPT. coulffm 765-1802 INSPECTION ff9 [ ] FOUNDATION 1ST [ 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: Q � DATE l �- l INSPECTOR J A M E S J. S TOUT A R C H I T E C T & Assoc . 2 G REG L ANE E AST NORTHPORT N. Y. 831 - 8 58 9388 Post Installation Letter November 26, 2018 RE: Frank Residence 765 Westview Drive Mattituck, NY 11952 To Whom It May Concern: This letter is to confirm that as of this date November 12, 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. StoutnDD - �--, Architect DLE:; 4 2018 �,,-q,ED Agcy '0 9TF 1 33 y�Q. F N E`N FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) y ------------------------------------ � C 'FOUNDATION (2ND) z Plat co -�ROUGH FRAMING& N H N PLUMBING C INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS °z d r� 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. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20]& Storm-Water Assessment Form Contact: Approved 1204 Mail to GreenLogic LLC Disapproved a/c 8 Phone: 631-771-5152 Expiration 20 R ? NO r4A ,3 D =_ _ D ' di nspector 6c�� S E P 2 g 2018 APPLICATION FOR BUILDING PERMIT j Date September 20 520 18 TOWN OF SOUTHOLD 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 Betsy Frank (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (%meva4d title of corporate office ) Builders License No. 40227-H Plumbers License No. Electricians License No. 43858-ME Other Trade's License No. 1. Location of land on which proposed work will be done: 765 Westview Drive Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 139 Block " 1 . ' _ Lot 20.1 Subdivision 1~fled Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family dwelling b. Intended use and occupancy Single family dwelling 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Roof mounted solar electric system (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Height Number of Stories7 t Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 2006 Name of Former Owner Sarah Agarabi 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 765 Westview Dr 14. Names of Owner of premises Betsy Frank Address Mattitiirk, NY 11952 Phone No. Name of Architect Parifirr Fngineeronq, P C Address700 Lakeland Ave,Bohemia,NThone No 631-988-0000 Name of Contractor GreenLo@c LLC Addressg7 North SPa Rd, 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 NO x * 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 t 's c-Q Q day o 20 Nota u is TAMARA L GAJEWSIG ignature of Applicant Notary Public-State of New York No. 01 GA6217368 Qualified in Suffolk County Commission Expires 02/08/2022 Scott A. Russell , 951- ST0IKMWA\TIE]k SUPERVISOR x MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 5M Main Road-SOUfHOLD,NEW YORK 11971 Town o,f'Southold Oj CHAPTER 236 - STORIMIWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING- Yes No CHECK ALL 'I HAI' .APPLY} ❑Q A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. as B. Excavation or filling 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. ❑E] D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. [I El E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑� 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 pZ ect If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management ntrol Plan and a completed Check List Form to the Building Department witFyour Building Permit Application. APPLICANT. iProjwOy Cham.Desrgn Proffaaional,Agent,Contractor Other) S.C. •M. #: 1000 Date Dwrwr NAME. Greeni-ogic LLC(Nesim Albukrek) 139 1 20.1 9/20/2018 r lection Block Lot ""�`"�' FOR BLlLDINu 1:�LP NR*F.ML *F LSL ONLY* " C'•�ntaM infw'nuation 31-771-5152 Rel iewed By: Date Property Address/Location of Const rucIion Work: — — — — — — — — — — — — — — — -- 765 Westview Dr, Mattituck, NY 11952 Approved for processing Building Permit. Stornmater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 i i S. Town Hall Amex 4 41 Telephone(631)765-1802 j 54375 Main Road pax 6� Q� P.O.Box 1179 G roper.rlCher#tt roi 69 SOl1UlOtfl.nY.11S Southold,NY 11971-0959 "�tlA 11, BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Tamara Gaiewski Date: 9/20/2018 Company Name: GreenLogic LLC i Name: Robert Skypala ' I License No.: 43858-ME Address: 97 North Sea Rd Ste 3 Southampton,,NY 11968 Phone No.: 631-771-5152 JOBSITE INF(1WATION: (*Indicates required information) *Name: Betsy Frank *Address: 765 Westview Drive, Mattituck, NY 11952 *Cross Street: j *Phone No.: 631-298-7090 Permit No.: I{/ Tax-Map District: 10001. Sec#low: 139 Block: 1 Lot: 20.1 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Roof mounted solar electric system 13.4kW 40 SunPower SPR-X21-335-BLK-C-AC Modules with Micro-Inverters 1 (Please Circle All That Apply) *Is job ready for inspection: YES NO Rough in Final Do you need a Temp Certificate: ES NO Temp Information(If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-wrinect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 5_� 824Request for Inspection Form `� /� P��l6//k *pG SO�jyQl 0 Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road y � Fax(631)765-9502 P.O.Box 1179 G.2 • Q Southold,NY 11971-0959 Q ,�c4UNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD November 20, 2018 GreenLogic LLC 97 North Sea Rd, Suite 3 Southampton, NY 11968 Re: Frank, 765 Westview Dr, Mattituck TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Lsnginew s certification letter required stating the panels were Installed to the roof per NYS Electrical Underwriters Certificate A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 43119 — Solar Panel Suffolk County Dept of Labor, Licensing & Consumer Affairs Name MARC CLEJAN Business Name GREENLOGIG LLC This certifies that the License Number H-40227 bearer is duly licensed by the County of Suffolk Issued : 05/25/2006 " "`'�� Expires: 05101 !2024 Commissioner 0.. -a SUFFOLK COUNTY DEPT OF LABOR, LICENSING & CONSUMER AFFAIRS MASTER ELECTRICIAN NAIL ROBERT J SKYPALA This certifies that the BUS14ESS NAM GREEN LOGIC LLC bearer is duly licensed by the EEXPP-A'nON Number Date Issued County of Suffolk /200 4385 8-l�IE 12110 C onm�issioner D►TIE 12/01 /2019 f fN ► Workers' SrAU Compensation CERTIFICATE OF INSURANCE COVERAGE Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name 8 Address of Insured(use street address oily) 1b.Business Telephone Number of Insured GREENLOGIC,LLC 631-941-4113 97 NORTH SEA ROAD,SUITE 3 SOUTHAMPTON.NY 11168 10.Federal Employer Identification Number of Insured or Social Security Number Wok location of Insured(orry required it corerar is sp #y#►riled to 203801194 certdn locations in New Yak Sh tit i.e.,VYiap.-Up Po#cy) 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) SheibrPolnt Life Insurance Company Town of Southold. Buildino Dept 53095 Route 25 3b.Policy Number of Entity!.feted in Box"1 a" Southold NY 11971 DBL251202 3c.Policy effective period 04/11/2017 to 04/10/2019 4. Policy provides the following benefits: © A.Both disability and paid family heave benefits. B.Disability benefits only. C.Paid family leave benefits only. ti. Policy covers: © A.Ail of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law, B.Only the following class or dosses of employers employees: Under penalty of pe ury.I cert that i am an authorized representative or licensed agent of the insurance carrier referenced above and that Onnamed Insured has NYS Disability andlor Paid Family Leave Benefits insurance coverage as described above. Date Signed 4/10/2018 By �Ahd t (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that Insurance artier} Telephone Number 516-829-8100 Name and Title Richard White Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carriers authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only If sox 4C or ss of Part s 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 and Paid Family Leave Benefits Law With respect to all of his/her employees. Date Signed By (signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note.Only insurance carriers llcerised to write NYS disability and paid/amity leave beneAts insurance policies and NYS kcensed insurww agents of ftse insurance carriers are authafted to issue Form 08-120.1.Insurance brokers ane NOT authO&W ft issue thio tbrm. DB420.1(10-17) DB 120.1 (10-17) YORWorkers' E Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Greenlogic LLC 631-771-5152q 97 North Sea Rd Suite 3 Southampton NY 11968 1c.NYS Unemployment Insurance Employer Registration NumLer of Insured Work Location of Insured(Only required if coverage/s specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,re,a Wrap-Up Policy) Number 203801104 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) National Liability&Fire Ins Co Town of Southold 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold NY 11971 V9WC857891 3c.Policy effective period 06/15/2018 to 06/15/2019 3d.The Proprietor,Partners or Executive Officers are E] included.(Only check box if all partnerslofricers included) FR 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 form,New York(NY)must be listed under!>;em 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2" Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? E]YES ❑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 it effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,l certify that 1 am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by Nicholas Zulkofske (Print name of authorized representative or licensed agent of insurance earner) Approved by__? �. `--- ' ,' (Sign ture) (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-105.2.Insurance brokers are I_QT authorized to issue it. C-105.2(9-15) www wcb.ny gov ow o ncr. ,r roV-uJ-VV71 T1ls bcaAkmr of we&and ces4w4*, D w or hvm do's*4#if— lb#rts.•l�` BROWERY R I 0`,splr 1. pRIV Y`�S "j6�•r � �� �T .40• SEPTIC,�A�Rn Avg NAM 'A''A, W 'oveloo - •.� I r uff 41i ` �. A mm 2b w..• ,� O ANY ALTERAMW SAA TL7 TIB JUIMEY 6 A WMAWN t s�nm 7w yarw su LA fpl TIB iNr p�Lr to �� I va a ® ®,�y wvl A a" .Fd+1 TlE alrE8Sm,GLLIF IMMIX wosF ark. pAr�rEAyRs/AeaeL °•� .' AN" Y ro,ANY MD "CALL Y'> CY w' W t� -�[ '•'� �� S jM�/ -Jn-MTE'AIE M°�T N GY�tyW�11T771 T7E LAM. s7Yl'RAK s/ r t K jt", " � /W aw Aa./s we 10.STAfQM05 FQIt APPROVAL ACCAWTMXT10W Of SLOSWAGE SEWAEE• Wds °6 } ; MPOSAL SYSTEms FOR smsLE FALY RESREM s • _ :N.Q� p! �: ald l��jB�'�/•come—Ia lwa owvb Old on be ow..opasLN ro conslwcl s S(j� {( SURVEY OF PROPERTY- AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. p� 1000 - W - 01 - 20.1 w� !AF(a�11� '�+ + SCALE 1" = 40' Zona $� MARCH 5,2008 rur/l°LE - '' APRL 16,2003(TWa I am*, — N-y 7 it) 6dw OL • Jul)& 3y•l ove(s+W.,.) Vpi-/9,zoos(rowA,o ) °"°'W'y„ >Ls -• - '` 4+ ON,ll,200¢d6w/xc iww OCT. 30,2006 LFOlAht7. LOCJ 4 ALA4. 7.FOOT 67VAL 1 A`am d r�Y OCT.i.fwnc rrrrA wm sr AvfAA6J GAVE FLOOD ZONES FROM FXW FE M� / 3003C04B1 6 314196 ' /_ 6 CERT� TO. ADW~TON AW",21"L SAW ,L 1W FEELffY NA rX WAL TITLE NSLRANCE COAPANTM g + Y TR NEW ro7X ARTHUR d sr ARTHUR STRAA� J. ' OA AICA s 50176 �h tO 90 bw IC !A?5 EYOR(6311 763-3020f P. 0.BOX 909 sL�pNrpl,�titll[Ar 1230 TRAVELER STREET �ppl�71D/LlLYA Q~0' SOUTHOLD, KY. 11971 03- 127 APPR VED AS NO D 4 DATE: B.P.# 3 COMPLY V1/ITF-1,qLL CO DES OF FEE: 55 gY: S EYORKSTATE & TOWN COD NOTIFY BUILDING DEPAR ENT AT REQUIRED CONDITIONS D AND CONES 765-1802 $AM TO 4 PM FOR THE OF FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED ` FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING y� 7TOGG1Gfil 3. INSULATION 3fiff$� 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL RETM WITHOUT CERTIFICATE WATER RUNOFF OF OCCUPANCY PURSUANT TO CHAPTER OF THE TOWN CODS, ELECTRICAL INSPECTION REQUIRED J A M E S J. S TOUT A R C H I T E C T & Assoc. 2 G REG L ANE E AST NORTHP0RTN. Y. 831 - 8 58 9388 Letter of Certification September 25, 2018 RE: Frank Residence 765 Westview Drive Mattituck, NY 11952 To Whom It May Concern: I, James J. Stout, registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above- mentioned address and have determined the structure and the panel attachment to be adequate to support the new additional load imposed by the proposed solar panel system and complies with the 130-mph wind design load as 2017 New York State Uniform Code (2017 NYSUC), 2017 New York State Residential Code (2017 NYSRC) ; (2015 International Residential Code (2015 IRC) (2nd Printing)and 2017 New York State Uniform Code Supplement(2017 NYSUCS)as well the Long Island Unified Solar Permit Initiative(LIUSPI)and the 2014 National Electric Code NFPA 701 2014 National Electric Code, and the ASCE 7-10. The existing 2"x 10"@ 16"o.c. roof rafters will provide the required support. The existing asphalt roof has 1 layer of shingles on 15#building paper on 1/2"plywood sheathing. Thank you for your understanding in this matter. James J Stout R AR �5 3 Sr y ' 0216133 AOQ OF NES LOGIC° GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Surface#A: Total System Size:13.400kW Array Size:4.690kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:165° Pitch:32° Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-X21-335-BLK-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 3/4"X 12'1 1/4' Surface:30'1"X 13'11" Magic#•Invisimount Legend: ® 14 SunPower 335W Panels — SunPower Invisimount Rail 40 30 Eco-Fasten Quik Feet 8 B 2x10"Douglas Fir Rafter 16"O.C. Notes: qx x x 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: AR ST 1. 4�/ -A q� 2163AOQ ` OF NE`N Dra By:MA Drawing#1 of 11 �.- :9/4/2018 REV:A Drawing Scale:3/16"=1.0' LOGIC GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Surface#A: Total System Size: 13.400kW Array Size.4.690kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth: 165° Pitch:32° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-X21-335-BLK-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:24'4 3/4"X 12'1 1/4" Surface:30'1"X 13'11" Magic*Invisimount Legend: ® 14 SunPower 335W Panels SunPower Invisimount Rail 30 Eco-Fasten Quik Feet B B 2x10"Douglas Fir Rafter 16"O.C. I N 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: AR l , sT a a r 16'S'' ypQ OF NE`N Dray By:MA Drawing#2 of 11 e:9/4/2018 REV:A Drawing Scale:3/16"=1.0' LOGIC GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Surface#A: Total System Size: 13.400kW Array Size:4.690kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth: 165° Pitch:32° Monitoring System: SunPovmr PaneVArray Specifications: Panel:SPR-X21-335-BLK-D-AC Racking:SunPower Invisimount Panel:61.39"X 41 18" Array-24'4 3/4"X 12'1 1/4" Surface:30'1"X 13'11" Magic#•Invisimount 0 E Legend: 1 ® 14 SunPower 335W Panels SunPower Invisimount Rail 30 Eco-Fasten Quik Feet 2x10"Douglas Fir Rafter 16"O.C. 2 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: -"<0R AR y 02163'5 yOQ OF NE`N Y - DrayBy:MA Drawing#3 of 11 �-Defe:9/4/2018 REV A Drawing Scale:3/16"=1.0' LOGIC GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Surface#8: Total System Size: 13.400kW Array Size:4.020kW 1 circuit of 12 on a 20A breaker Azimuth: 165° Pitch:32" Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-X21-335-BLK-D-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:21'9 112"X 17'3 3/8" Surface:35'11"X 22'4" Magic#:Invisimount Legend: 12 SunPower 335W Panels SunPower Invisimount Rail 26 Eco-Fasten Quik Feet 8 2x10"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: ----------- AR 3 \ S� , -A Ar -1 0216133 A OF NE`N DraBy:MA Drawing#4 of 11 9/4/2018 REV:A Drawing Scale:3/16"=1.0' LOGIC GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Surface#B: Total System Size. 13.400kW Array Size.4.020kW 1 circuit of 12 on a 20A breaker Azimuth: 165° Pitch:32° Monitoring System: SunPower PanellArray Specifications: Panel:SPR-X21-335-BLK-D AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:21'9 1/2"X 17'3 3/8" Surface.35'11"X 22'4" Magic#:Invisimount Legend: 12 SunPower 335W Panels SunPower Invisimount Rail • 28 Eco-Fasten Quik Feet 8 2x10"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers. 1 Id di Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower Added Roof toad of PV System:3.5psf Engineer/Architect Seal: AR� Ar , . 16133 yOQ r �F NE`N 1 - Dra By:MA Drawing#5 of 11 e:9/4/2018 REV:A Drawing Scale:3/16"=1.0' LOGIC` GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Surface#B: Total System Size: 13.400kW Array Size:4.020kW 1 circuit of 12 on a 20A breaker Azimuth: 165° Pitch:32° Monitoring System: SunPower Panel/Array Specifications: Panel:SPR-X21-335-BLK-D-AC 3 Racking:SunPower Invisimount Panel:61.39"X 41.18" Array,21'9 1/2"X 17'3 3/8" Surface:35'11"X 22'4" Magic#•Invisimount Legend: ® 12 SunPower 335W Panels 3 — SunPower Invisimount Rail • 28 Eco-Fasten Quik Feet 8 2x10"Douglas Fir Rafter 16"O.C. Notes: Number of Roof Layers: 1 Height above Roof Surface:4" C4) �., �., Materials Used:Eco-Fasten,SunPower Added Roof load of PV System:3.5psf Engineer/Architect Seal: AR ST C��G' '9 02163 5 yOQ l OF NE`N ` Dra By MA Drawing#6 of 11 e:9/4/2018 REV:A Drawing Scale:3/16"=1.0' LOGIC GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Surface#C: Total System Size: 13.400kW Array Size:4.690kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:255° Pitch: Monitorinrin g System: SunPower Panel/Array Specifications: Panel:SPR-X21-335-BLK-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" a Array:41'4 3/8"X 17'4 716" Surface:53'S"X 20'3" Magic#•Invisimount Legend: ® 14 SunPower 335W Panels SunPower Invisimount Rail I x F-I • 42 Eco-Fasten Quik Feet B B 2x10"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 Engin hitect Seal: AR -9� OZ 1635 yOQ OF NS N I D By:MA Drawing#7 of 11 Date:9/4/2018 REV:A Drawing Scale:1/8"=1.0' LOGIC° GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Surface#C: Total System Size:13.400kW Array Size:4.690kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:255° Pitch: Monitorinrin g System: SunPower Parse!lArray Specications: Panel:SPR-X21-335-BLK-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:41'4 3/8"X 17'4 7/8" Surface:53'5"X 20'3" Magic#•Invisimount Legend: 14 SunPower 335W Panels SunPower Invisimount Rail • 42 Eco-Fasten Quik Feet B B 2x10"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: �-- ��R AR '9 216 33 AOQ OF NE`N Dra By:MA Drawing#8 of 11 e:9/4/2018 REV-A Drawing Scale. 1/8"=1.0' LOGIC° GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Surface#C: Total System Size: 13.400kW Array Size:4.690kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth:255° Pitch: Monitorinrin g System: SunPower Panel/Array Specifications: 4 Panel:SPR-X21-335-BLK-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" 5 4 ❑ Array 41'4 3/8"X 17'4 7/8" Surface:53'5"X 20'3- 0 Magic#-Invisimount Legend: 5 ® 14 SunPower 335W Panels SunPower Invisimount Rail 5 • 42 Eco-Fasten Quik Feet 8 B 2x10"Douglas Fir Rafter 16"O.C. 5 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: AR -9 OZ 16 35 yOQ OF NE`N \ Dra By MA Drawing#9 of 11 \ te:9/4/2018 REV A Drawing Scale:1/8"=1.0' No Vent Pipes Will Be Covered By The Solar Array - . LOGICU LEGEND' AR -Access roof per R202 definitions RAP -Roof access point-to be away from RWV -Roof with valley. overhead obstructions,doors, 18-minimum from valley GreenLoglc,LLC Approved windows.decks.fences,landscaping Frank,Betsy GA -Ground access area per R324 7 3 width AP -Access Pathway.36"minimum SVO -Smoke vent operation per 765 Westview Drive to be same as AP as measured at eave .vidth per R324 7 4 and R324 7.5 R324 7 7,18'minimum from ridge Mattituck,NY 11952 Total System Size: 13.400kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker %eter 1 circuit of 12 on a 20A breaker 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker Azimuth: 165° 14 SunPower Monitoring System: N 335W Panels SunPower RAP Panel/Array Specifications: Panel:SPR-X21-335-BLK-AC G Racking:SunPower Invisimount Panel:61.39"X 41.18" I I Array-41'5"X 61'7 3/4" I t Surface:73'5"X 70'8" :AP: Magic#•Invisimount I I Legend: I I ® 40 SunPower 335W Panels SunPower Invisimount Rail ___ _ _ I 100 Eco-Fasten Quik Feet 89 � 2x10"Douglas Fir Rafter 16"O.C. I RAP Notes: ❑ Number of Roof Layers. 1 Height above Roof Surface:4" I Materials Used:Eco-Fasten,SunPower ❑ i ❑ Added Roof load of PV System:3.5psf ,—_—_—_—__ Engineer/Architect Seal: -----g--- R AR 12 SunPower — — — ——� �s5 S J ST 335W Panels — RAP 40 — RAP -- ! '9 ,F 021633 yOQ OF NEIN 14 SunPower 335W Panels � Dra By:MA Drawing#10 of 11 t :9/4/2018 REV:A Drawing Scale: 1/16"=1.0' LOGICH GreenLogic,LLC Approved Frank,Betsy 765 Westview Drive Mattituck,NY 11952 Ck RA L& ck Total System Size: 13.400kW 1 circuit of 7 on a 20A breaker 1 circuit of 7 on a 20A breaker 1 circuit of 12 on a 20A breaker &Dfash 1QAd R=839ePI@[e Im 1 circuit of 7 on a 20A breaker 10jd Fbd5gmeIau*uTfi1c& ID 1 circuit of 7 on a 20A breaker FIDFasbEn0Id(FbotF1Mrg E) Azimuth: 165° W1 B 45MCan derSnw XD Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-X21-335-BLK-AC Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:41'5"X 61'7 3/4" Surface:73'5"X 70'8" Magic#:Invisimount Legend: ® 40 SunPower 335W Panels SunPower Invisimount Rail • 100 Eco-Fasten Quik Feet 8 B 2x10"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: R A,q ) ' ST �Q- -A i �c0Z163'' y02' �' pF NE`N I Dra By-MA Drawing#11 of 11 -Date:9/4/2018 REV:A Drawing Scale. 1/16"=1.0' EXISTING SERVICE -PV-SA--1 - _ ;A; AC-COMBINER PANEL 120/240, 1 PH, 3W AC-CMB-1 I (�I • • • (PV LOADS ONLY) I V , 200A K WH i PV--SA-2 I • • • '� I A N °' I - NI BKR-t AC-DSC-1 , ---- _ - I AC DISCONNECT I BKR-2 PV-SA-3 • • • r} 1 BKR-3 (' r7", III BKR-4 i A N i I ( FUSED PV-SA-4 III (ECC N TYPICAL PV MODULE WITH I I INTEGRAL DC/AC INVERTER IIII EGC I I13 EGC i IIII I I � IIII I I I I IIII I I EXISTING AC PANOLEXISTING III I t GEC I GEC _� 6 CU PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Frank, Betsy GREENLOGICO 765 Westview Drive & ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 3 Drawing No: Frank-3LD1 Revision: 1 Revised: 7/31/18 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION PV-SA-1 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-335-AC, 1-CIRCUIT OF 10-MODULES PV-SA-2 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-335-AC, 1-CIRCUIT OF 10-MODULES PV-SA-3 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-335-AC, 1-CIRCUIT OF 10-MODULES PV-SA-4 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-X21-335-AC, 1-CIRCUIT OF 10-MODULES ELECTRICAL LOAD SUMMARY AC CIRCUITS TAG POWER, MAX VOLTAGE MAX.AC VOLTAGE, NOMINAL RANGE CURRENT PV-SA-1 3350 WATTS 211-264 VAC 13.62 A AC 240 V,AC PV-SA-2 3350 WATTS 211-264 VAC 13.62 A AC 240 V, AC PV-SA-3 3350 WATTS 211-264 VAC 13.62 A AC 240 V, AC PV-SA-4 3350 WATTS 211-264 VAC 13.62 A AC 240 V,AC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Frank, Betsy E E LOG ICS 765 Westview Drive [__N L R G Y Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1 ) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 3 Drawing No: Frank-3LD1 Revision: 1 Revised: 7/31/18 EQUIPMENT&COMPONENT SCHEDULE TAG DESCRIPTION SPECIFICATION AC-CMBP AC COMBINER PANEL 25OV, 200A, NEMA-1, 1-PH, 3-WIRE BKR-1 CIRCUIT BREAKER, PV-SA-1 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-2 CIRCUIT BREAKER, PV-SA-2 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-3 CIRCUIT BREAKER, PV-SA-3 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A BKR-4 CIRCUIT BREAKER, PV-SA-4 MATCH AC COMBINER PANEL BRAND, 2-POLE, 20A AC-DSC-1 AC DISCONNECT SWITCH (LINE TAP) 250V, 60A, NEMA-1, FUSED; FUSE RATING: 60A CONDUCTOR SCHEDULE TAG TYPE CONDUIT AWG. / EGC A USE-2/PV/UF 3/4" PVC-40 12 / 6 B THWN-2 2" PVC-40 4 / 6 C THWN-2 2" EMT 4 / 6 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 RE- QUIREMENTS. 4.) NOTE:GROUNDING ELECTRODE CONDUCTOR TO BE#6 COPPER. PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Frank, Betsy GREENLOGICO 765 Westview Drive & ENERGY Mattituck, NY 11952 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 3 of 3 Drawing No: Frank-3LD1 Revision: 1 Revised: 7/31/18 Design-Driven Advantages #1 module aesthetics and efficiency X Unmatched module reliability' SERIES No electrolytic capacitors 25-year Complete Confidence Warranty California Rule 21 Phase 1 compliant Maximize Value for Roof Size system for roof, not string inverter Optimize performance of each module Expand Deployment Options Complex roofs and partial shading Small systems System expandability Optimize System and Installation Efficiency Simplify& Speed Installation SunPovder AC modules,which induce a factory integrated SunPower Factory-integrated microinverter mictoinverter, provide a revolutionary combination of high efficiency, high Robust,double-locking AC connectors reliability,and module-level DC to-AC power conversion Designed • Design flexibility offsite and onsite specifically for use with SunPower InvisiMount" and the SunPower No DC string sizing process Fewer installation steps than competing Murwcor no System, SunPower AC modules enable rapid installation, best- systems in-class system aesthetics,and intuitive visibility into system performance Intuitive commissioning All diis comes with the best Combined Power and Product Warranty in Component of Complete System the Indus~ry Built for use with SunPower'InvisiMount1m and the SunPower Monitoring System(PVS5x) Grid Support Utility-Interactive Smart Inverter Superior system reliability and aesthetics SunPOWer'_new type D AC module is UL tested and certified to A 741 SA and provides advanced sman, inverter functions SunPower Type D AC modules are fully compliant with the California Rule 21 Phase 1 :y requirements, and the Rule 21 grid profile is easily set during commissioning with SunPower PVS5x monitoring hardware YRv sunpower.com IEEE 1547a-2014' CA Rule 21 SRD Profile (default settings) m'n /nnn1 rr:a min /nom / may ------- -------- Frequency(Hz) -- -- - --- 59 5 7 60 0 7 60 5 58 5/-60 0 c:C;5 Power Factor ; ' 00 ' 1 00 085 lead / 1 00/0 85 lag. F -------- - - — - ------ -— - -- — --- ----— Reactive Power + 169 Volt-VAr r Voltage &240 V 21 1.2/ 14n/204 V u2C18 V_ P�1.-)ns/228 8 V -------- - --------------- di-WI,V 33 A Max.Current :vL08 ✓ 5-1 A DC/AC CEC ConverSioni,li240 V 9(,n Effia r,cy 1020S V 95 5% Max.Units Per 20 A Branch Circuit �1)2.10 V--- -------- - 2(single phase) - -- -------- st1208y 0(two pole)wye Power 32-10'v'v' 320 VA - ---No active phase balancing for 3 phase installaoens DC Power X21-350-SLK-D-AC X21-335-BLK-D-AC X20-327-BLK-D-AC 25 year limited power warranty --- -- -- Warranties 'luminal F'owrr'(Pi, tri) X50 W 33`W J27 w 25-vedr limited product ,^Tarranty '�werToleran, — --'- - -'i'i -n --- — ULI ,ted toUL1741SA-- -- ---- navel_fficlenc�-- -- ---211 5.; 0", n u„ �,PDs IEEE 1547 2003,IEEE ' ,47a-2nl4,CA Temp Coef ( uwPr) --- _ — -i:_ Rule 21 Phase •Thrre hyp,i�s dicaes PV Rapid Shutdown Equipment Shade Tolear(f, nte,gr,ited module Irvel niueinlum power point Ei tuipment Grrxi h,;r kind_ — - I UL 67031,UL 9703 Connectors incl cables Ti�ted Operating Conditions rinad brew disconnection) UL 1 741 AC M(-)duie(Type 2 fire rating) Operating Temp -40°F to +149° F(-40"C to 165'C) --- Certifications Enahles installation in accordance vm Max.Ambient Temp 122°F(50°q Wind 62 psf 3000 Pa, 3n5 kg/m2 front& bad. NEC 690 6 Max Load Snow 125 psf,6000 Pa,61 1 kg/m2 front NEC 690 12 Rapid Shutdown(inside and ----- -- -- -- :ii ltsidethe airay) Impact Resistance 1 inch(25 mrn)diameter hall at 52 mph( "3 rids) -- 11 EC 690 15 AC Connectors,61=+0 33;A)-(E)(1) !ata FCC r,nd ICES-003 Clas3 3 Solar Cells 96 M_onocrystalline Maxe_on Gen III When used with iTVISIMount racking(UL 7 703): High transmission temperPrl glass wittl anti Integrated grounding and bonding Front Glass Class Afire rated reflective coating �— PID F-st Potential-Induced degradation free Environmental Rating Outdoor rated L____ —_- — _. Frame Class 1 black anodl;'d(I ii,4hesr AAMA rHtin=.) A 280 mm Weight — 45-5-Ihs(20 6 k€)—- --- --- — [11.02 in] Recommended N1ax Spacing 1 3 in.(33 rnm) Module SP�- i SunPower 327 W compared to a conventional panel on same sized arrays(260 W,16rk,of icient, 1107 mm Ec 1046 mm Ea0 approx.1.6 m`),4%more energy per watt(based on PvSyst pan files),0 75%/yr slower [43.6 In] 1 [411 in] degradation(Campeau,Z et al SunPower Module Degrodotion Pore San Jose CA,2013) =Based on search of datasheet values from websites of top 10 manufacturers per:�S,as of 30 rrm January 2017 t [1.2 in] '#1 rank in"Fraunhofer PV Ourat ility initiative for Solar Modules'Part 3"PV-Tech Power, September 2015,Campeau,Z et al.SunPower Module Degradation Rote San Jose CA,2013 cto"p0"E r nm actory set to 1547a-2014 profile CA Rule 21 profile set doting commissioning See the Egmnor 1558 mm ► [61.3 in] ry�,yp poy�� Installation Gmde#5118707 for more informationMIMIC `Standard Test Conditions(1000 W/m-irradiance,AM 1.5,2510 NREL calibration standard Please read the sarety and installation instructions for details Lim 111,11i SOMS current,LACCS Fr and voltage All DC voltage is fully contained within the module Medd.ren P"(a'"°" .Typ.2 See www sunpower com/facts for more reference information " ' P,,'4 '�. :K?� -q S�r��-.?w.••lt."Yt;,ice%3X�1� �.. r-:!`�,;. .`�3•r Simple and Fast Installation Integrated module-to-rail grounding Pre-assembled mid and end clamps Levitating mid clamp for easy placement Mid clamp width facilitates even Rail module spacing Simple,pre-drilled rail splice UL 2703 Listed integrated grounding Flexible Design - - Addresses nearly all sloped residential roofs Design in landscape and portrait Rails enable easy obstacle management Customer-Preferred Aesthetics #1 module and#1 mounting aesthetics Best-in-class system aesthetics Elegant Simplicity Premium,low-profile design Black anodized components SunPower' InvisiMount" is a SunPower-designed Hidden mid clamps and end clamps rail-based mounting system The InvisiMount system hardware,and capped,flush rails addresses residential sloped roofs and combines faster Part of Superior System installation time, design flexibility, and superior aesthetics • Built for use with SunPower DC and AC modules The InvisiMount product was specifically envisioned and Best-in-class system reliability and aesthetics Combine with SunPower modules and engineered to pair with SunPower modules. The resulting monitoring app system-level approach will amplify the aesthetic and installation benefits for both homeowners and installers w:e sunpower.com V� -,y. rt:.t Nodule* V d Clamp and Rad 'dodule"J End Clamp and Rail 4 1w Vid U rnp End Clamp P,,il L Rail'-',ire Gn;,,nd_.i5 Assemh',, End t ap Temperat_if e -4T C:o 90°C(-40° to'94'F) Component "vaienal Vdngh, - - -- — -- - . '400 Pa jpVT — - a Loral 4UU Pc dovvnforce Mid Clamp Black oxide stainless steel AISI 304 b?g(2 2 o.) _ - End Clamp Black anod,'ed alurninum alloy_()(it 3 Tr, 1 110 g(3,h8,,') Rail - BIacl,anodiaed al,iminum alloy r:.UC`,-Tb 830 gim('9 c /ft) ° ® • Rail Splice- - Al iminum alloy b005-T5 F.?U's/m(r%r v1t; ?_',-yr r product wananry Ground Lu 04 stainless 5-,ear `inisn ,)arran-y Assembly (AC-vn UCIt,nn-plated rnpper lug) - - - --- A 27U z Listed End Cap Blau acetal(FIOM)copolymer 104 g(0 37 n;) Certifications Class A fire raung omen distance oet,,)een Roof Attachment H. •ware Supported • ! [not;.irtare and bottom of SJn Pn•N-r InvisiMount System Design Tool Composition Shingle Rafter Atiarhn ,�nt ApplicationComposition Shingle Roof Dec kin:;Aita,_hmert "®• - • Curved and Flat Tile Roof Attachment Universal Interface for Other Rur4 Attarhrnents Rifer to roof attaclnrvnt hardware manufacturers du .in)(IrLition �,unpower coir Document 4501)50b Rev B SUNr r