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BP23-214
c� 3 _�� DATE: �� 7 a 3 txP: PERMIT M C LOT B O/ / L SECTION S Q/ TYPE OF WORK v/ 10B LOCA�T'I�,NQ O/1TG OWNERS ''-11 11111 TT /III DIII M oil,uco JA /G� CONTRALTOON EST* COST41III F DATE. TCO INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION Q PLUMBING RGH PLUMBINNGG GAS adSPRINKLER ELECTRIC LOW -VOLT 0 ALARM ❑ AS BUILT FINAL 3,s,vas��o3� ���- a y 7LI e p 1pookle Clo3 III �/8 moo! T�s � �Q! �o juQi oTM PPROVALS / '\ � n n • / BR J � tab 4.°J�J v VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryrvebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE March 19,2024 Shubhro Protim Ghosh&Sayantani Biswas 148 North Ridge Street Rye Brook,New York 10573 Re: 148 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 135.51-1-45 Building Permit#23-214 issued on 12/27/2023 for a Rooftop Solar Array This certifies that the rooftop solar array,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to CBUILDuq llE�-rMENT For office use oul : PERMIT# VILLAGE OF RYE BROOK ISSUED: / -)-ta7-43 FEB 2 6 2024 938 KING STREET,RYE BROOK,NEw YORK 10573 DATE:c>)--�(o�a (914)939-0668 FEE:A i n — PAIDJO VILLAGE OF RYE BROOK NrwN.rNehruokmrt,, BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION tfifitt►iiit►itiitiittftitf RRflitttiiii•4tf►RfR#Rf#tt#itffitiiRiifttfitff►tttftRtiiiRiiiitRRtf//fit#iitffi#titR/iiiittitit/iii Address: 148 North Ridge Street Rye Brook, NY 10573 Occupancy/Use: Residential parcel ID#: 135.51-1-45 Zone: R-3 Owner: Shubhro Protim Ghosh Address: 148 North Ridge Street Rye Brook, NY 10573 P.E./R.A. or Contractor: LI Power Solutions Address: 2060 Ocean Ave Ronkonkoma, NY 11779 Person in responsible charge: Sue Estabrockr_ Address:15 Little Brook Lane, Suite C Newburgh, NY 12550 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: Sue Estabrooke being duly swom,deposes and says that he/she resides at 15 Little Brook Lane, (Print Name of Applicant) i'vo_and strccti in Newburgh ,in the County of Orange in the State of NY that 1(1h'1o%c11 Villavc) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 29,720.00 for the construction or alteration of: Roof Top Solar Panels Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-IO.A.of the Code of the Village of Rye Brook. Sworn to before me this 2ms Sworn to before me this day of , 20 y of �1✓l�. , 20 a Signature of Pro erty Owner n u Signature-of—Applicant \ ������"11�_J►� 1l �� 6 S' 1 .lit ��1�.�'S Q�� Print N7,e of roperty Owner Print Name /of,Applicant Notary is G 1.E 1111 LINA LLOYD �"=Tno NOTARY PUBLIC,STATE OF NEW YORK YDRegistration No.01LL0003053 NOTARY PUF NEW YORKQualified in Westchester County County Registr0003053 8/12/2021 Commissionxpires March 20,20 ��] Qualified inounty CountyCommissarch 20, 20 1 �yE BR(��. • 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR DASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : Noel R I APkjS- -f DATE: PERMIT# �\ �3 of �� ISSUED: _Z k - 2 ECT: ,,'S,1 BLOCK: LOT: YT LOCATION: ROO ("Ortc-u OCCUPANCY: ❑ Violation Noted THE WORK IS... B PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas c' � ,� o or1, J� ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL „9-'OTHERj L12 w-+ s h"� N\N N\N � y •� VYi rT _ id o W cn Ln Jar ' L r U — O 11 -5 O a > N O zLr) o H Ga W > ° z z cn :1 O to Z p u v �° V OV V F� z 4 �" A A U o v U r-i V 0 (I) © � d O -q v OU Z O rT© en P-� z U z -B v' ° I z �^� W Wc� o 12 R e O tl A CJ P-' o ° A O W x � 20 � x1 � N 00 H C` cn 0 t� � Q o . o ea O m c O W n Q � oO zV 4r OU p $ b p. b 4y ° Zo 04 C7 A z O a H r os o IRT a o p11 o _ BUILDRYE MENT V1 OOK 938 ICING ,NY 10573 NOV 3 2023 FOR OFFICE USE ONLY: jpj, Q`�Approval Date: DEC 2 1 a mi / ,,)3— /q Application# 3+' 32 Approval Signature: : ARCHITECTURAL REVIEW BOARD:. Disapproved: : Date: Zi L BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: 4'Q of ZBA Approval Date: Case# Other: Application Fee:,A 00 Pb Permit Fees: APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAY Application dated: IJ/,3—a 3 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the installation of a Photovoltaic Solar Array as per detailed statement described below. 1. Job Address: 148 North Ridge Street, Rye Brook, NY 10573 SBL: 135.51-1-45 Zone: /f— �- 2 Type,kW&Location of Array,(use additional sheets if necessary): Proposed (29)panel roof mounted array; (12.180) kW System. Inverters: (29) Enphase IQ7 X Modules: (29) REC Pure-R 420W Total Square Feet: 603.49 3.Property Owner: Shubhro Ghosh Address: 148 North Ridge Street, Rye Brook, NY 10573 Phone#(603) 866-2474 Cell# e-mail shubhro.ghosh@gmail.com 4.Applicant: Sue Estabrooke Address: 15 Little Brook Lane,Ste C,Newburgh,NY 12550 Phone#631-348-0001 EXt. 102 Cell# e-mail.Permits@GoPowerSolutions.com 5. Design Engineer: Michael Miele, P.E. Address: 33 Quaker Ave., P.O. Box 350 Cornwall, NY 12518 Phone#845-629-9693 Cell# e-mail nypsengineer@gmail.com 6.Solar Contractor.Lo tabrooke Agent-ng IslandEs Power Solutions-DBA New York Power Solutiol�Sadress: 2060 Ocean Ave, Ronkonkoma, NY 11779 and Sue ^A Phone# 631-348-0001 Ext. 102 Cell# e-mail Permits@GoPowerSolutions.com 7. Occupancy;(1-Fam,2-Faro,Commercial,etc ..)Pre-construction: 1-Fam Post-construction: 8. If building is located on a corner lot,which street does it front on:N/A 9. N.Y. State Construction Classification: N.Y. State Use Classification: 10. Construction Type&Location:()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PW];Located;{ )Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other: roof mounted solar array. 11. Number of stories: 2 Roof Style:(hip,shed,mansard,etc...) 12. Will a New Roof Be Installed: No IR Yes ❑ (a separate roofing permit is required to re-roof an existing building) 13. Roofing Material&Number of Layers: I 9/12/2021 14. Will the proposed project disturb 400 sq. ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? No: d Yes: ❑ Area: 15. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? No: ❑ Yes: ❑ (If yes,applicant must submit a Site Plan Application.&provide detailed drawings) 16. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?No: 2�Yes: ❑ Of yes.applicant must submit a Tree Removal Permit Application) 17. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? No: ❑ Yes: ❑ Indicate:TIER I:_TIER 11: TIER III:_ (if yes,a Home Occupation Permit Application is required) 18. What is the total estimated cost of construction: S 29,720.00 (Note:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the C/O). 19. Start Date: Completion Date: This application must bear the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: I, Sue Estabrooke ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the, AgenVContractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention& Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me thisSworn to before me this day of ,20 2: -^ day of l / ,20':�' ZL L, ::" —,4,1" Notary Pu c Notary P1#1ic Signature of Property Owner Signature of Applicant Shubhro Ghosh Sue Estabrooke Print Name of Property Owner Print Name of Applicant ANGELINA LLOYD q�GELINA LLOYD NOTARY PUBLIC,STATE OF NEW YORK 2 [NOTARY PUBLIC,STATE OF NEW YORKRegistration No. 01 LL0003053 ,�rli;trati_No.01 LL0003053Quaified in Westchester County County ,3C©mmission Expires March 20, 20 '16d In Westchester County County � o Expires.March 20,20 811 212 02 1 (V N C O W n w� 4. \ \ O W N ° u . it z 0 LOzOno y N w W "'• � ° a', C) V) PQ H � O x x o A OZ o 00 N o W Go � � 0 z ~ H 0 p O O cn � Z w H a Z �, uoo zo cn ° z u � ° V a z w W A 0 a a' � S C W 00 ] r� V a a N o � W ✓ A °Z3 o�c v � a o Q O = ' W. w O ° o w z 3 a tn V o8 Z V O w z00 W L z W z a ° � rl a W. z w 9 0. .. a �I a a z w zd BUIL 1 �EPARTMENT NOV 2 8 2023 D V1L GE OF RYE B OK 938 KIN ET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT w .or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required /,, FOR OFFICE USE ONLY BP#: — / 4 EP#: t . 3- W Approval Date: DEC 2 1 Q13 Permit Fee: $ � /"6 Approval Signature: Other: *s***s****�*****•*s**�*,*pss****s*s***ss*****�e********************�e******s******s*s**s******:*s***s** Application dated, l—c�0��is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 148 North Ridge Street, Rye Brook, NY 10573 SBL: 135.51-1-45 Zone: 2.Property Owner: Shubhro Ghosh Address:148 North Ridge Street, Rye Brook, NY 10573 Phone#: (603) 866-2474 Cell#: email: shubhro.ghosh@gmail.eom 3.Master Electrician/Licensed Installer: Michael Catizone Address: 2060 Ocean Ave,Ronkonkoma,NY 11779 Lic.#: 1628 Phone#: 631-34s-o001 Ext 105 Cell#: email: Permits@GoPowerSolutions.com Long Island Power Solutions Company Name: DRA New York Pawer Soll ltions Address: 2060 Ocean Ave, Ronkonkoma, NY 11779 4.Proposed Electrical Work/Fixture Count: Proposed(29)panel roof mounted solar array. 12.180 kW System. Inverters: (29 ) Enphase IQ 7 X Modules: (29) Rec Pure-R 420W Racking: Iron Ridge XR-100 Total Square Feet: 603.49 5.3'Party Electrical Inspection Agency: SWIS STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Michael Catizone ,being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the Master Electrician for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this (kwSworn to bef e e this day of � / ,20 day ofvow ,20 _ Signature of Property Owner Signature of App Shubhro Ghosh Michael Catizone Prin Name of Property Owner Print Name of Applicant NotaA Public LYNDE NOTARY PUBLIC,STATE OF NEW YORK [ ANGELINA LLOYD Registration No.01 ES6259997 NOTARY PUBLIC,STATE OF NEW YORK Qualified in Dutchess County3/3/2023 egistration No. OILL0003053 Commission Expires April 16,2024 led in Westchester County Countymission Expires Marnh I)n )f r 100 STATEWIDE INSPECTION SERVICES, INC. Service Willi line.i:rill' 1:1 Main Street,Fishkill, NY 12524 1 email:office@swisny.com SWIS JOB APPLICATION tel845.202.7224914.219.1062 SWISNY.com I SWISTraining.corn Office Use Elect. Permit# ,�' ��jC\ Date Bldg Permit# / ' ` Utility ID# Final Certificate# y City/Village Zip � Township ,`` V o c•\ County 115 c Address \\ Cross Stree Section Block Lot Owner Name/Address(If different than above) -- \�\�\ \, �\ \ Contact Number ❑Basement ❑ 1 st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage I 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information Ck \_1�'\C\,\"X'i, ENOV 2023 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at anytime of inspection additional items have been installed,you are authorized to make the inspection and ad)ust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. l r Inspector Date Finalized Inspector# Company Name Date Signature Address City/State-\ 1 License# Phone# \ R DDState Wide Inspection Services 1080 Main Street CA. JAN 2 6 2024 Fishkill, NY 12524 wu 845 202-7224 Phone as ;ftVILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: officeCcbswisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Catizone Electrical Shubhro Protim Ghosh&Sayantani Biswas 2060 Ocean Avenue 148 North Ridge Street Ronkonkoma, NY 11779 Rye Brook,NY 10573 Located at: 148 North Ridge Street,Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-264 135.51 1 45 Certificate Number:2024-0207 Building Permit Number: BP 23-214 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 148 North Ridge Street, Rye Brook, NY 10573 The Photovoltaic System was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 261h Day of January 2024. Name Quantity Rating Circuit Type PV Modules 29 Inverters 29 J Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Michael E. Miele, PE � 0 Licensed Professional Engineer FEB 2 6 2024 Licensed In New York, New Jersey. Connecticut& California 01 New York License#079676 VILLAGE OF RYE BROOK New Jersey License ti 2315 , BUILDING DEPARTMENT Connecticut License q 23158 California License#31508 February 2, 2024 Village of Rye Brook Building Department The Office of the Building Inspector 938 King Street Rye Brook, NY 10573 Re: Shubhro Ghosh — 148 North Ridge Street, Rye Brook, NY 10573 Single Family Residence, Solar Panel Installation Certification Village of Rye Brook, County of Westchester, State of New York Dear Building Department, I have reviewed the solar energy system installation at the subject address. The system has been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets all building code requirements and is certified as for all code and approved plans for the Village of Rye Brook. I can hereby certify that the installation complies with the 2020 New York Stare Residential Building Code and all applicable codes and design loads as referenced on the approved plans, including ASCE 7-16 (Minimum Design Loads and Associated Criteria for Buildings and Other Structures). If you have any questions, please feel free to call me at any time. Thanks, in advance. Sincerely Yours, OF NEW Y 4P ,VEDWA,9 O� xt�/Iot * y n crl n r— 1 , m M m w w Michael E. Miele, PE �O 079676 A90FESS►Q\A � 33 Quaker Ave. PO Box 530, Cornwall, NY 12518 ♦ Phone 845.629.9693 ♦ NYPSengineer@gmail.com LONG ISLAND DOWER 2060 Ocean Ave Ronkonkoma, NY 11779 SOLUTIONS 631 348-000 4.. ww VILLAGE OF RYE BROOK—Building Division 938 King Street II Rye Brook,NY 10573 u NOV 13 2023 VILLAGE ,5F RYi- Dear Building Dept: L BUILDINGP PrRTfJFrl:i- As per your Building Department,enclosed please find the building permit application, submitted on behalf of our client/property owner: Property Owner: Shubhro Ghosh- (603)866-2474/shubhro.ghosh@gmail.com Project/Property Address: 148 North Ridge Street, Rye Brook,NY 10573 Section/Block/Lot: 13 5.51-1-45 Electrician/36178-ME: Michael Catizone—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Contractor/53562-11: LI Power Solutions-2060 Ocean Ave., Ronkonkoma,NY 11779—(631)348-0001 Architecture& Planning: Michael E. Miele, PE—705 Orrs Mills Rd,New Windsor,NY 12553—845-629-9693 Contact Information: Sue Estabrooke,Authorized Agent for LUNY Power Solutions 15 Little Brook Lane,Suite C,Newburgh,NY 12550 Permits@GoPowerSolutions.com/631-348-0001 Ext. 102 Enclosed Please find: • Permit Fee • Permit Application • (2)Engineering Drawings& Specs • Insurance Certs Should you have any questions or require anything further please call the office. S cerely. ue sta ro e Permit Manager NY/LI Power Solutions 15 Little Brook Lane Suite C Newburgh,NY 12550 Ph-631-348-0001 Ext. 102 Fx-631-348-0018 Perm its@GoPowerSolutions.com Go Green Save Green m N O m N v Fxa� C's') 1n to U P- 3EE °v o v z ME Z z\� <<5 oz� of p <U oN8 i'bZ l M „02,ZS.2L N a U < c GJua j 'full 4o40 o N T O a c_ 0 og 3. T m mVNV1 <� 9'L4 MIIQ 11040cy W LLI oN > a0 � > 0E o _ ° nmao 3 'o nEz Zt ,�� iVi i •- 3 " uyo I W J p rn° w b a m e l.J cr n v1 N O$ Q ui g m W CN z ° m � o N ti oZm 0 g``mg _ �n e ; z z � O Q4 N ? Z ti �o K E r Z � C O 0. 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' y• � M r e�1V •,+JI• s i •� 1.t {3�Lt•� 'd 4.,r 'r �' '�+. � '" -rip•,, Y 1' r, Im JrJ �+� ;+�.` � • •ten �• '• :+ f( +W ,_. ., ' "-i�,'1, '�,t f ^ •.�. . is ,.T�j:, C`Ot, a alp ir" r 4 s t:• -, Y ♦ 4 � y rr► i A COMPACT PANEL SIZE k: 9 A MODULE CURRENT COMPATIBLE WITH MLPE t • o ,r r 777666 EXPERIENCE 430 WP RE[ 25 YEAR 20.7 \"/FT^ PROTRUST WARRANTY 22.3% EFFICIENCY LEAD-FREE v ELIGIBLE ROHS COMPLIANT PERFORMANCE RK: ALPHA PURER 5ERIF5 Nc-C ZA PRODUET 5PEEIREATIONS GENERAL DATA 173 15[6a.1.0.11 680[34.61 425116.71 80 half-cut REC bifacial,heterojunction cells with -...- , Cell type: lead-free,gapless technology ■ ■ s Glass: 0.13 m(3.2 mm)solarglass with anti-reflective surface treatment in accordance with EN 12150 ^r=°^ Backsheet: Highly resistant polymer(black) 1700[671 1700[671 Frame: Anodized aluminum(black) $ N Junction box: 4-part,4 bypass diodes,lead-free = I1368 rated,in accordance with IEC 62790 - Connectors: Staubli MC4 PV-KBT4/KST4(4 rl in accordance with IEC 62852,IP68 only when connected Cable: 12AWG(4 mm')PV wire,67+67 in(1.7+1.7 m) o xi5�. ❑ in accordance with EN50618 p iaew.o7i umivwm + Dimensions: 68.1 x 44.0 x 1.2 in(20.77 ft')/1730 x 1118 x 30 mm(1.93 m') t -- 5s.:3 a3.4xo.,11 -- �4sna1 us[o.v1 Weight: 47.4lbs(21.5 kg) +r Origin: Made in Singapore } Measurements in inches(mm] ELECTRICAL DATA Product Code':RECxxxAA PURE-R CERTIFICATIONS Power Output-PMAx(Wp) 400 410 420 430 IEC 61215:2016,IEC 61730:2016,UL 61730 Watt Class Sorting-(W) 0/+10 0/+10 0/+10 0/+10 IEC62804 PID IEC61701 Salt Mist Nominal PowerVoltage-V,,,(V) 48.8 49.4 50.0 50.5 IEC62716 Ammonia Resistance Nominal Power Current-IMPP(A) 8.20 8.30 8.40 8.52 UL61730 Fire Type Class 2 Open Circuit Voltage-Voc(V) 58.9 59.2 59.4 59.7 IEC62782 Dynamic Mechanical Load Short Circuit Current-Isc(A) 8.73 8.81 8.89 897 IEC61215-2:2016 Hailstone(35mm) IEC 62321 Lead-free acc.to RoHS EU 863/2015 Power Density(W/ftz) 19.26 19.74 20.22 20.7 1SO14001,1509001,IEC 45001,IEC 62941 Panel Efficiency(%) 20.7 21.2 21.8 22.3 u O� Power Output-PMAx(Wp) 305 312 320 327 6nertN °�rre° NominalPowerVoltage-VMPP(V) 46.0 46.6 47.1 47.6 TEMPERATURE RATINGS' NominalPowerCurrent IMPP(A) 6.64 6.70 6.78 6.88 Nominal Module Operating Temperature: 44°C(t2°C) Z 0 enCircuitVolta e-V (V) 55.5 55.8 56.0 56.3 P g oc Temperature coefficient ofPMAx. -0.26%/°C Short Circuit Current-Isc(A) 7.05 7.12 7.18 7.24 Temperature coefficient ofVcc: -0.24%/°C Values at standard testconditions(STC:air mass AM IS,irradiance 10.75W/sgft(1000W/m'),temperature 77°F(25°C),based ona production spread Temperaturecoefficientofl 0.04%/°C with a tolerance ofP,M,,,Vc,&is,t3%within one watt class.Nominal module operating temperature(NMOT�.air mass AM1.5,irradiance 800W/m', sc� temperature 68°F(2(°C),windspeed 3.3 ft/s Q m/s)*Where xxx indicates the nominal power class(P,,,,)at STC above. 'The temperature coefficients stated are linear values MAXIMUM RATINGS WARRANTY DELIVERY INFORMATION a Operational temperature -40...+85°C Standard REC ProTrust Panels per pallet 33 0 System voltage: 1000V InstalledbyanREC No Yes Yes Panels per40ftGP/highcubecontainer. 858(26pallets) o Certified Solar Professional £ Test load(front): +7000Pa(146lbs/ft2)' System Size All c25kW 25-500kW Panels per 53 ft truck: 858(26pallets) ; Test load rear: -4000Pa 83.5lbs2 ft ' c° (rear): ( / ) Product Warranty(yrs) 20 2S 25 Series fuse rating: 25A Power Warranty(yrs) 25 25 25 JQW LIGHT BEHAVIOUR o Reverse current: 25 A Labor Warranty(yrs) 0 25 10 Typical low irradiance performance of module at STC: SeeinstaIlation manual for mounting instructions. Power in Year 1 98% 98% 98% 0Design load-Test load/1.5(safety factor) Annual Degradation 0.25% 0.25% 0.25% L w c Y _ Power in Year 25 92% 92% 92% ----------------+----------------- See warranty documents for details.Conditions apply w y � p C Vl Availablefrom: " wlrradianca(W/m') N rV Y a 'a Founded in 1996,REC Group is an international pioneering solar energy company dedicated to empowering consumers with clean,affordable solar power.As -❑ Solar's Most Trusted,REC is committed to high quality,innovation,and a low carbon footprint in the solar materials and solar panels it manufactures. Headquartered in Norway with operational headquarters in Singapore,REC also has regional hubs in North America,Europe,andAsia-Pacific. www.recgroup.com Data Sheet Enphase Microinverters Region:AMERICAS IQ7X Microinverter The high-powered, smart grid-ready IQ7X Microinverter dramatically simplifies the installation process while achieving the highest system efficiency for systems with 96-cell modules. Part of the Enphase Energy System,the IQ7X Microinverter integrates with the IQ Gateway, IQ Battery, and the Enphase Installer App monitoring and analysis software. The IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25-years. Easy to Install Lightweight and simple Faster installation with improved,lighter two-wire cabling Built-in rapid shutdown compliant(NEC 2014,2017&2020) Efficient and Reliable Optimized for high powered 96-cell*modules Highest CEC efficiency of 97.5% More than a million hours of testing Class II double-insulated enclosure UL listed Smart Grid-Ready Complies with advanced grid support,voltage and frequency ride-through requirements Remotely updates to respond to changing grid requirements Configurable for varying grid profiles Meets CA Rule 21 (UL 1741-SA)and UL IEEE 1547:2018(UL 1741-SB,3r1 Ed.) ® 'The IQ7X is required to support 96-cell modules. To learn more about Enphase offerings,visit enphase.com u EN PHAS E IQ7X-DS-0099-EN-US-12-27-2022 IQ7X Microinverter INPUT DATA(DC) IQ7X-96-2-US Commonly used module pairings' 320W-460W Module compatibility 96-cell PV modules Maximum input DC voltage 79.5V Peak power tracking voltage 53V-64V Operating range 25V-79.5V Min/Max start voltage 33W79.5V Max DC short circuit current(module Isc) 10A Overvoltage class DC port II DC port backfeed current OA 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) @ 240VAC @ 208VAC Peak output power 320VA Maximum continuous output power 315VA Nominal(L-L)voltage/range2 240W211-264V 208V/183-229V Maximum continuous output current 1.31A(240VAC) 1.51A(208VAC) Nominal frequency 60 Hz Extended frequency range 49-68 Hz AC short circuit fault current over 3 cycles 5.8 Arms Maximum units per 20A(L-L)branch circuit' 12(240VAC) 10(208VAC) Overvoltage class AC port III AC port backfeed current 18 mA Power factor setting 1.0 Power factor(adjustable) 0.85 leading...0.85 lagging EFFICIENCY @240VAC @208VAC CEC weighted efficiency 97.5% 97.0% MECHANICAL DATA Ambient temperature range -400C to+60°C Relative humidity range 4%to 100%(condensing) Connector type(IQ7X-96-2-US) MC4(or Amphenol H4 UTX with optional Q-DCC-5 adapter) Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1.08 kg(2.38 Ibs) Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Environmental category/UV exposure rating NEMA Type 6/outdoor FEATURES Communication Power Line Communication(PLC) Monitoring Enphase Installer App and monitoring options Compatible with IQ Gateway Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break disconnect required by NEC 690. Compliance CA Rule 21 (UL 1741-SA),IEEE 1547:2018(UL 1741-SB,3'°Ed.) HEI Rule 14H SRD 2.0 UL 62109-1,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, NEC 2017,and NEC 2020,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.Pairing PV modules with wattage above the limit may result in additional clipping losses.See the compatibility calculator at https://link.enphase.com/module-compatibility. 2.Nominal voltage range can be extended beyond nominal if required by the utility. 3.Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. To learn more about Enphase offerings,visit enphase.com @ 2022 Enphase Energy All rights reserved Enphase,the Enphase logo,IQ7,107+,IQ Battery,Enphase Installer App,IQ Gateway, E N P H A S E and other trademarks or service names are the trademarks of Enphase Energy,Inc. `� IQ7 X-DS-0099-EN-US-12-27-2022 IRONRIDGE Roof Mount System i Built for solar's toughest roofs. 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 Twice the protection offered by module grounding components. competitors. XR Rails 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 Attachments FlashFoot Slotted L-Feet Standoffs Tilt Legs AM 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 & Grounding End Clamps Grounding Mid Clamps T Bolt Grounding Lugs Accessories 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 V•V, Earn free continuing education credits, engineered system. For free. A A, while learning more about our systems. _ — Go to IronRidge.com/rm V Go to IronRidge.com/training o :00 ,��_ 323ou S H m -401 S � S affff- S 3 :nay laud- In u s3 a3n,OUddy 9 :s4ou :Ieeoadd8 mvp'$=gd( ) :Mou :Iseoxdds mvp•$nu ygZ( ) :Mou :Ieeordd8 aisp $�tu ) =TO (�) :s W -ddI- n'I VI Cl O/D TVINIIQ d9 ( ) ( ) zatPO-:gutTd 3ITg-sH a'I Ii°-u$TS IId/d2I :od°L Ium3 daemS I�T3 ( ) ( ) =tPO :y/N :DDDII;nmS kN ozoz ( ) ( ) ;atPO :adA1 Tana :3 tuuad :%Md?INV I.'IHC14 ( ) ( ) :1;)w :y/N anurad :saeid "D'd'A'H ( ) ( ) -12ZPO V/N :3muad :slMd:NOISSHUddC1S allI3 ( ) ( ) satPO :/V/N :mD d"I :mD-3rN :2TE=d :gMd:D IIgMld ( ) ( ) aacPO Lza=Bg I Bc1 H altutad . and:SdOJ DalIIQ 9IOWS/WWV-T 7 2,&H =IPO :y/N aluuad :s'Md"IVDRLLDTIII RJd.L-IOA-AY10'I ( ) ( ) �/N #FSL IIQOD:snPO `:V Q �iuua � d : Id"IVDI'&LDII'III 9DVI'IOA-HDIH C ) ) l ) :iatPO ranle� dtuo� � -I r:diuo�szaiiro :asw:n '� =ILPO i �Iuo=alII _ :satdoD T;Ilz'S 7 Fa&=S mQ:SNV-Id�l ) ( ) algmdaaaeun paTcaS ITATI IV nuaunD Pa�EQ �IIA2If1S ( ) ( ) 33'PO :usld"I :'tu$W AVS :uonaaaoid 231S :odoZ:l Md aLIS ( ) ( ) :y/ICI maa3 :uogS :$uo-I:OMANH ( ) ( ) :$Zttuad0 3a3uS :matea-d=19M uuoaS :s urp;)m :sadolS daa3S :spro-d a=:Is ( ) ( ) :VO•H uolaaattuo�ssos� Q I MU L rius pazlaeao�i, F EQ :ddK"�) ( ) •uou�$a-I •aueid P°OT3 •'O/D+}� •dS M` :$uTI'3�S3II3 ='Epo :109 :gd h'SZ:snsalea� -4ioAAk Jo;)JMT 1 ausalTddy :sa3BQ Tm,!tu9nS saolsiea d Z -4rCI Im!xu9nS :aatPO :aa.L-ISuoD L. sf a :auoZ Py l L,p) 0 � h' :ssaaPPd sis rud uruoZ?g Isc-I V39D'iuu3d uT. lin`g* V BUILD #DEPAR MENT VIL OF RYE OOK NOV 1 3 2023 i 938 KING ET RYE BR ,NY 10573 (914)939-066$- VILLAGE OF RYE BROOK BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: 148 North Ridge Street, Rye Brook, NY 10573 Date of Submission: Parcel ID#: 135.51-1-45 Zone: Proposed Improvement(Describe in detail): Proposed (29)panel roof mounted array; (12.180)kW System. APPLICANT CHECK LIST: 1Ius'1' BE COMPLETED BY THE APPLICANT Inverters: (29) Enphase IQ7 X The following items must be submitted to the Building Modules: (29) REC Pure-R 420W Department by the applicant -no exceptions. Property Owner: Shubhro Ghosh 1. (4Completed Application 2. (0 Two(2)sets of sealed plans. (one full size (maximum Address: 148 North Ridge Street, Rye Brook, NY 10573 allowable plan size=36"x 42")and one 11"x1T') Phone#(603) 866-2474 3. (.4 Two(2)copies of the property survey. 4. (./J Two(2)copies of the proposed site plan. Applicant appearing before the Board: 5. (t/j One electronic/disc copy of the complete Long Island Power Solutions/DBA NY Power Solutions application materials. 6. Filing Fee. Address:2060 Ocean Ave, Ronkonkoma, NY 11779 7. (,/f Any supporting documentation. Phone# 631-348-0001 Ext. 102 8. ( )HOA approval letter. (if applicable) 9. (4 Photographs. Architect/Engineer: Michael Miele, P.E. 10.( )Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Phone# 845-629-9693 By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions& Procedures, and that their application is complete in all respects. The Board of Review reserves the right to refuse to hearer any application not meeting the requirements contained herein. Sworn to before me this Sworn to before me this a— day of �'l��i' 120 j ay of t , 20 �l Signature of Property Owner Signature of Applicant Shubhro Ghosh Sue Estabrooke Print N me of Property Owner Print Name of Applicant Notary Pu is Notary ublic L�OTARY GELINA LLOYD LIC,STATE OF NEW YORKANGELINA LLOYDion Nc 01 LL0003053 ;JOTARY PUBLIC,STATE OF NEW YORKWestcnester County County Ragisti ation No.01 LL0003053on Expires March 20,20 2� Qu.,rfied in Westchester County County Commission Expires March 20, 20 8i12/2021 yDR Village of Rye Brook MI. MR enda FB SE Architectural Review Board Meeting AC AD W Wednesday,December 20,2023 at 7:30 PM Q Village Hall,938 King Street JM SF 1. ITEMS: 1.1. ARB23-059 (Consent Agenda) (Amendment to Prior Approval) Srivatsan Raghavan&Janani Ranganathan 436 North Ridge Street 4'high black aluminum fence. 1.2. ARB23-132 (Consent Agenda) Harikumar Mahadevan&Prithvija Kamatham 12 Holly Lane Rooftop solar array. 1.3. ARB23-133 (Consent Agenda) Shubhro Ghosh&Sayantani Biswas 148 North Ridge Street Rooftop solar array. 1.4. ARB23-134 (Consent Agenda) Maryann Rekuc 1A Castle View Court Rooftop solar array. 1.5. ARB23-135 (Consent Agenda) Michael Sepkowski&Maureen Sepkowski 105 North Ridge Street Rooftop solar array. Consent Agenda Approvals: Motion_ Second_ C, Abstention Aye; 3 Nay; Adjournment; Notes 1.6. ARB23-136 William Servedio&Annmarie Servedio 28 Wilton Road In-ground swimming pool,patio and fence. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 3 • Architectural Review Board December 20,2023 1.7. ARB23-137 Erin Moran-Atkin&Miriam Lagunas-Fitta 105 Lincoln Avenue Roof over front entry and den entry,slate patio and stairs. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB23-138 Win Ridge Realty LLC 118 South Ridge Street New illuminated sign. "Starbucks" Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB23-139 Zinovi Levitan&Lori Levitan 5 Dorchester Drive One story addition&interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.10. ARB23-140 236 Central Ave LLC c/o Ed Ensign 180 Country Ridge Drive Rear deck,patio and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 3 • • Architectural Review Board December 20,2023 1.11. ARB23-141 King Ave.LLC c/o Fernando Lourenco 11 Monroe Place(Front House) Legalize two family conversion,construct two tier deck with egress steps to grade. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB23-142 King Ave.LLC c/o Fernando Lourenco 11 Monroe Place(Rear House) Return converted servant's quarters back to single family use from unpermitted two- family use.Legalize deck expansion. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB23-143 Georgia Caseres 23 Brook Lane Legalize new portico over front entry and walkway to driveway. Approvals: Motion Second Abstention Aye; Nay; Adjournment, Notes 1.14. ARB23-144 Eric Steinert&Caryn Steinert 24 Meadowlark Road Roof over rear deck,new cable railing,demo retaining wall,alteration to pool fencing and outdoor kitchen on patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: January 17, 2023 Page 3 of 3 1 I � LI- Ili I i Michael E. Miele, PEi L ;+ Licensed Professional Engineer �1' NOV 13 2M Licensed In New York, New Jersey, Connecticut&California I New York License#079676 VILLAGE OF RYc BROOK New Jersey License#44042 it Connecticut License#23158 mf-Ryrsti8TOVIR -' �L-7 7, California License#31S08 Architectural Review Board Approval Date: Z 2E1 November 1, 2023 Chairman: Village of Rye Brook Building Department Office of The Building Inspector 938 King Street Rye Brook, NY 10573 T �� Re: Shubhro Ghosh—148 North Ridge Street, Rye Brook, NY 10573 Single Family Residence,Solar Panel Loading Certification Village of Rye Brook, County of Westchester,State of New York Dear Building Department I am the engineer of record for the above referenced project. I have prepared the attached plans dated September 1, 2023 that consists of the installation of(29) REC 420AA PURE-R solar panels at the above referenced location. I can hereby certify that the existing roof structure combined with the additional weight of the solar panels meets the requirements of The 2020 Residential Code of New York State, Publication Date, November 2019. The design loads were as follows, Roof Design Load:30psf live load Wind Design Load: 130mph No additional structural members were required. The roof is currently framed with 2x6 true dimensional wood framing @ 16" O.C.w/knee wall. The roof structural members are in compliance with ASCE 7-16 for deflection and acceptable bending stress. If you have any questions, please feel free to call me at any time.Thanks in advance. Sincerely Yours, ,r NEK, PPk�eDWA9 y0� •9� M/01to 5 .' 1, w * _U A r `� 1 I m W Michael E. Miele, PE �FOA 079676 V 9OFESSIONP 705 Orrs Mills Rd., New Windsor NY 12553 ♦ Phone: 845.629.9693 ♦ mmielepe@yahoo.com 3�. �,�A�as_ •�1 z 0 0. = O K � :r��• AA L ` LU O rn «+ «O) v to •. R � c ;•,� o o • j � L z C y Z CA S rn C � .. -� O W >- O cote •� C Z Q Q 0 I\ _ w W Q y CC LV O t L LL7 r O Q p �r — P. Own)> 7 O d U Z v a Ci] J co •i r J �. N O .cj U) p Z lr Z Jo ._ J \J. co VLO 10 a� Co ♦a a. w rn ca �; sr z P . r . . Client#: 83393 LONGISLI5 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYVV) 2/28/2023 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NONTACT AME: Commercial Support Edgewood Partners Ins. Center PHONE 40 Marcus Drive AC No Ex :631-390-9700 A/C No 631-390-9790 ADDRESS: NECertificates@epicbrokers.com 3rdFloor Me INSURER(S)AFFORDING COVERAGE NAIC# INSURER A Melville, NY 11747-2647 Southwest Marine&General Ins Co 12294 INSURED ,INSURERS: Long Island Power Solutions, Inc dba New York Power Solutions; Michael Catizone INSURER C: 2060 Ocean Avenue INSURER D: Ronkonkoma, NY 11779 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 CONTRACTOR 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. 7RSR - ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/Y LIMITS A X COMMERCIAL GENERAL LIABILITY PK202200020693 2/28/2023 02/28/2024 EEAACCHp�OECCCURgRR��ENCE s2,000,000 CLAIMS-MADE �X OCCUR PREMISES Eaoccu ence $100000 X PD Ded:5,000 MED EXP(Any one person) $10 000 X Contractual Liab. PERSONAL&ADV INJURY $2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY a ECOT- LOC PRODUCTS-COMP/OPAGG $4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y N ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Port Chester, NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S5317036/M5282808 JGRAS N Y S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE nnnnnn 271175107 Q F Q LOVELL SAFETY MGMT CO.,LLC 1 r 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 �:■ Y 1 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POWER SOLUTIONS INC VILLAGE OF RYE BROOK 2060 OCEAN AVENUE 938 KING STREET RONKONKOMA NY 11779 RYE BROOK NY 10573 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE Z 2467 078-8 870373 04/01/2023 TO 04/01/2024 03/06/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. 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