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HomeMy WebLinkAboutBP24-015PERMIT #:) l 6Q DAB; i SECTION f 3o, %% 151 TYPE OF WORK 10B LOCATION OWNS CONTRALTO EST. I ✓CO #, TCO # FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS m SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT FINAL INSPECTION RECORD DATE 1-31- 2oZS I NSP CQ/S) �90 O %3S /� C63 /�3 f9 w 743.3 OTHER APPROVALS ARB �/1L/Qiy � 7 a� BOT PB ZBA OTHER r BR tc 4•�J.t V G t V VylJjJ 19 O VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE February 4,2025 Steven Brauntuch&Jennifer Brauntuch 55 Hillandale Road Rye Brook,New York 10573 Re: 55 Hillandale Road,Rye Brook,New York 10573 Parcel ID#: 130.77-1-1 Building Permit#24-015 issued on 1/29/2024 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 BUILD .i ENT For office use onl PERMIT# /Q y-U/S� JAN _ 7 2025 Viz OF RVjZ OK ISSUED: — _a 938 KING STRE YORK 10573 DATE: — —_ FEE:,& PAIDO 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 #fftitk##ft#4##t#4f#fffitk####fi#ii#4if##ttf##4f#if##iftf Ftf tfii#f#t#iti4if##4#ff#if#ti#f#t#i4#4f##t#tf#t#ifti#ki##fffftiiifk Address: 55 Hillandale Road, Rye Brook, NY 10573 Occupancy/Use; Single Fam Residential Parcel ID#:130.77-1-1 Zone: �c3� Owner: Steven Brauntuch Address: 55 Hillandale Road, Rye Brook, NY 10573 P.E./R.A. or Contractor: Trinity Solar Address: 62 Leone Lane, Chester, NY 10918 Person in responsible charge: Tara McDevitt Address: 62 Leone Lane, Chester, NY 10918 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: Trinity Solar - Tara McDevittbeing duly sworn,deposes and says that he/she resides at 62 Leone Lane (Print Name of Applicant) (No.and Street) in Chester in the County of Orange in the State of NY ,that (City/Town/Village) 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:$ 82,000.00 for the construction or alteration of: Installation of a roof-mounted solar array tied into existing electrical services. 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§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this 1 Sworn to before me this 3 rd y , 20 2q day of 520 257 Signature of Property Owner Signature of Applicant Steven Brauntuch Trinity Solar - Tara McDevitt PritNameofPropertOwer Z: AZ� Notary otary Public SA4e oP t,3,a tact 1, Ccx p 7NoltaryPTANBACK TERESA ANGELICO 8/12/2021 `1t�tc c{%; York Notary Public-State of New York TUO27320 No.OIAN6430527 stchester County Qualified in Orange County xpires July 30.2028 My Commission Expires 03/14/20AQ_ QyE BRC�k. cu � BUILDING DEPARTMENT ❑BOLDING INSPECTOR ❑ASSISTANT 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 : —.!5 J iA 1 L L _. DATE: PERMIT# J�>\ Z L� ISSUED: SECT: BLOCK: LOT: LOCATION: _ 1 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... QAACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION 0 FINAL OTHER t z w N G� N cn rn � W� © � � � a � H ■ u'' o�j frl rA ad rTl 'y� O F � u t w >••1 Q 0 cn i y W w � w 00 CA C3 M ac> E+ .� �e A u N ,� n w � w en Qob v 4U � Q O M o vv �° `" _ PTO�T '' O `•-� �"' "„ w z z CIS I�1 o "", 4OD q _ On 5 ,8 cy w A �' z zb � o � � aa, F w H CZ O Q O O ady �"� A E•� �' z z o a as ! Cn Q O v 0 . w jz1 Z z O to z p4 W H Q .- q z o o � T Cv � �� � BUIL E, TM ENT VI F OF RV OOK DEC 262023 938 KING FT RYE BR' ,NY 10573 j 14)939-061i18� VILLAGE OF RYE BROOK o"m BUILDING DEPARTMENT FOR OFFICE USE ONLY: ��y / ` ] �� Approval Date: � P it Application# �T Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: 1117194 BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# 475 Other: L/ /� Application Fee: - �ermit Fees: 4 '7 7(/ —Pb APPLICATION TO INSTALL PHOTOVOLTAIC SOLAR ARRAY Application dated: 10/10/2023 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation of a Photovoltaic Solar Array as per detailed statement described below. n 1. Job Address: 55 Hillandale Road,Rye Brook,NY 10573 SBL: 130.77-1-1 Zone: K 2 Type,kW&Location of Array,(use additional sheets if necessary): Installation of a utility approved,grid inter-tied,flush mount, roof mounted,52 Hanwha 405 Hanwha solar panels,21.06KW,Photo-voltaic electricity generating system 3.Property Owner: Steven Brauntuch Address: 55 Hillandale Road,Rye Brook,NY 10573 Phone# 215-280-0935 Cell# 215-280-0935 e-mail Stbraunt@gmail.com 4.Applicant: Trinity Solar Address:2180 5th Avenue Unit 1,Ronkonkoma,NY 11779 Phone# 631-319-7233 Cell# e-mail Brittanygaumer(a),trinity-solar.com 5. Design Engineer: Thor Bojcun Address: 105 Waypoint Drive,Eatontown,NJ 07724 Phone# 631-319-7233 Cell# e-mail 6.Solar Contractor: Briery Gaumer Address: 2180 5th Avenue Unitl,Ronkonkoma,NY 11779 Phone# 631-319-7233 Cell# e-mail Brittany.gaumer(atrinity-solar.com 7. Occupancy;(I-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: 1-Fain Post-construction: 1-Fam 8. If building is located on a comer lot,which street does it front on: N/A 9. N.Y. State Construction Classification: Residential N.Y.State Use Classification: Residential 10. Construction Type&Location:O Typical Western Lumber Frame;O Timber Frame [TC];O Wood Truss f TT]; O Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other: Roof Mounted Solar Array System 11. Number of stories: 2 Roof Style:(hip,shed,mansard,etc...) 12. Will a New Roof Be Installed: No ® Yes ❑ (a separate roormg permit is required to re-roof an existing building) 13. Roofing Material&Number of Layers: Pitched Roof-Asphalt I SAY2021 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: ® 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: 0 (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: ® Yes: ❑ (If 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 II:_TIER III:_ (if yes,a Home Occupation Permit Application is required) 18. What is the total estimated cost of construction: $ 81,233.71 (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 CIO). 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 property 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 YORK,COUNTY OF WESTCHESTER ) as: 1, Brittany Gaumer-Trinity Solar ,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, Contractor 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 this 3(+h Sworn to before me this day of MWemLs ,20 2-3 `F\\ day 20, _ Notarize Here otary P�c o ublic Signature of Property Owner Signature of App ign Herc Steven Brauntuch Brittany Gaumer-Trinity Solar Print Name of Property Owner Print Name of Applicant J=Wellns a Thanes ``o`t► 11� Notary Pubk Sift of New York ``', G0,014Rogftafon No. Qtmk VhsbWle" 9806 OF mft Canton 1 2 Nam,YqR n ry IIRES``��` 8/12/2021 . s a M N N W v W a i ow v x -r' en en "' z f OO 00 a F/�1+■1 � Z � O z z � � ] , rT1 � O CA 0-4 �I00 a U f o Ln v, U z Cl) , M � � o O , • z �* w Q � CN � d A O w z z f V W m a � o y E� az w C' Za w A cn (j G v g QI i V W. o Cl) O F ~ f 1 oLn x x V w z q O A av� OLn � a W a 0 A 4I = a a w xM i . 5RC�v uY U [E C E W y BUIL E MENT FEB 2 0 2024 VIL E OF RYE OK 938 KIN , ET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County/Master )Electricians License Required L� / FOR OFFICE USE ONLY BP#: C�"T—Q /�� EP#: Approval Date: �\ ` Permit Fee: Approval Signature: Other: ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated, 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. -n_ ,,jam �/ � �,V 1 ,�t,_ .� 1.Address: U�l.� ,,//(J . �G"S�L ` n 7 — Zone: 2.Property Owner: :5&1 a&ahe rh Address: j AMZ 'f I 73 Phone#:C2/6—Lim 3.Master Electrician/Licensed Installer: 16 r7l Qt3 c/ Address: 0 ri yl N Vtco Lic.#:_)506L_Phone#: 7Q #: email: Company Name: YI✓1�'sola r Address: 4.Proposed Electrical Work/Fixture Count: 5.31 Party Electrical Inspection Agency: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: V,Zl hM 016j P_ being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signin as t �pplicant) state that(s)he is the /y�S I ELEL rK(GANfor 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 Fir Y Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. O i Sworn to before me this q Sworn to efore me this _j day of Fe_-xga_r 20XA day o 2024 M ' Q19 o'a Signature of Property Owner Signature of Applica Q s o c �e\��(1 �jCCLIA 1 CIr1 P • t Name of Property Ow Print ame of plicant hW-o o Z T o ubli Jacque"D.� otary P is Nofty=ewe of N"yolk 10/30/2023 In WW I�rTi�Count Commission ftknh&157 STATE WIDE INSPECTION SERVICES, INC. Service Willi litlegrily •:0 • • SWIS JOB APPLICATION tel 845.202.7224 1 fax 914.219.1062 • Office Use Elect. Permit# J���_ 0 3<c-, Date Bldg Permit# �S� - Scl Ft �J Plumbing Permit# Final Certificate# City/Village zip r- Building Dept. 'I(�(' f�//7^� County Address (I j Cross Street Section Block Pot Owner Name/Address(If different than above) 54fI `�f,j sSr i���� i�C Contact Number a ❑Basement ❑ 1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside 52rResidential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation � ��n F� C� r� �.� , Gr id lt'� r- �ef� �i�51n U lo(i I��� Ycrf 4c�c� St`1n S, (r K10 tt _ DR f i FEB 2 0 20'14 I r VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(t)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust 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. Email Address ji�,• �lC.,` •l (�.Y� Name t t 1 1 1 ` 11�' l— ' Will 11l 1 License# Date 1 (��i Signature; /CEL+ Address City/State zip Code f y Company t l ��.. Phone# , — (' _ D �C� I� DMC State Wide Inspection Services cjk�o MAR - 8 2024 1080 Main Street Fishkill, NY 12524 TO �]�TO VILLAGE OF RYE BROOK 845 202-7224 Phone BUILDING DEPARTMENT 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: off ice(d)swisny.com Website: www.swisny.com Service With inteyr/ty BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Trinity Solar Steven &Jennifer Brauntuch Bill Geiger 55 Hillandale Road 62 Leone Lane Rye Brook, NY 10573 Chester, NY 10918 Located at: 55 Hillandale Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-036 130.77 1 1 Certificate Number: 2024-1329 Building Permit Number: BP 24-015 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: 55 Hillandale Road, 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 7t'day of March 2024. Name Quantity Rating Circuit Type PV Modules 52 Inverters 02 AC Disconnect 01 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. rT-r). n i �y p CCL �MIE. SOLAR DD Rye Brook Village, NY NOV 1 2 2024 November 7, 2024 938 King Street Rye Brook, NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Trinity Solar No. 55 Hillandale Road 2023-07-911543 Rye Brook,NY 10673 To the Building Official: I hereby certify that I am a Licensed Professional Engineer in the State of New York.The solar photo-voltaic(PV)system installed at the above-referenced location conforms to the manufacturers' requirements/specifications. The PV system complies with all applicable laws, codes and ordinances as specified by all applicable codes, including 2020 Residential Code of New York State and the 2018 IRC, and the provisions of ASCE7-16. Regards, Ayracon Almaraz, PE Structural Engineer-Trinity Solar Of Nfty y V. 41 DfA Ar 100315 SSId�p� NY License No.100315,expiration date:12/31/2026 Trinity Solar 162 Leone Lane I Chester,NY 1(845)572-0060 .Building Permit Check List&Zoning Analysis 5Address• 5 �� I 1 1 SBL: Zone: 2 Use: Const.Type: Other. Submittal Date: .Z ? ?> Revisions Submittal Dates: Applicant \ ,, _,.,� _a - 1 Nature of Work �_ � Reviews:ZBAAA 'S 2 74 PB: BOT: Other. ( (�FEES:Filing: \(J� BP: 1 C/ Flood Plane: Legalization: O (V�OP: Dated Notarized -'--SBL: Truss I.D. Cross Connection H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: ( ) ( ) ENVIRO:Long Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan Other: ( ) ( ) SURVEY:Dated: Current Archival: Sealed: Unacceptable: PLANS:Date Stamped. ealed Copies: Z—Electronic, t ' Other ( ) (� License: Workers Comp: Liability. Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated; N/A; (� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other: ( ) ( ) PLUMBING Plans: Permit Nat. Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit: N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER; C/O DENIAL LETTER: Other. ( ) ( ) Other. (1RB mtg.date 2 approval• ti notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval• notes: Arta. REQUIRE REQUIRED EXISTING PROPOSED NOTES APPPAPX 1 a code. ats. Frontage Front: Front: Sides: fir. Main Cov Accs.Cov Ft.HS : S .HS • Tot,I : Ft.I P Hight/Stories: notes: BUILD MENT D D VIL U» Y OOK DEC 16 2023 938 KING ETt!( 3R ,NY 10573 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: 55 Hillandale Road,Rye Brook,NY 10573 Date of Submission: ? Parcel ID#: 130.77-1-1 Zone: Proposed Improvement(Describe in detail): Installation of a utility approved,grid inter-tied,flush mount, APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT roof mounted,"52 Hanwha 405 solar panels,21.06 KW,"Photo- The following items must be submitted to the Building voltaic generating system. Department by the applicant-no exceptions. Property Owner: Steven Brauntuch 1. ( <ompleted Application 2. ( •)Two(2) sets of sealed plans. (one full size (maximum Address: 55 Hillandale Road,Rye Brook,NY 10573 allowable plan size=36"x 42"1 and one I 1"xl7") Phone# 215-280-0935 3. (-) fwo(2)copies of the property survey. 4. (--rtwo(2)copies of the proposed site plan. Applicant appearing before the Board: 5. ( One electronic/disc copy of the complete application materials. Trinity Solar6. ( ling Fee. Address:2180 5th Avenue Unit 11,Ronkonkoma,NY H779 7. Any supporting documentation. Phone# 631-319-7233 8. ( )HOA approval letter. (if applicable) 9. ( Photographs. Architect/Engineer: Ihor Bojcun 10.( )Samples of finishes/color chart. (a sample board or Phone# 631-319-7233 model may be presented the night of the meeting) 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 hear any application not meeting the requirements contained herein. Sworn to before me this t" Sworn to before me this(o day of N0�2w��t-2 , 20 0,') day of])ff e on 13f,(, 20a3_ J�n� ( _�Dt Signature of Property Owner ,gnature of Applicant Sip Here Steven Brauntuch Brittany Gaumer-Trinity Solar nine of Property Owner N e of Appl' ant N � ►IIIIII// t P l PublicD IA "WWy h6 81w W Nwr hbrk `' J* STATE pagift"M ND.OITWI WN N,,:ar,,:I i _ OF NEW ypRK In YAWN""cmaft 16 2o�i i NOTgRYP� t ate,,,`' 1435-7 ♦ SP2021 ice//S+s,� \\\\ //i/ON EXPIREe'\`��` c4ri�-.kaei Village of Rye Brook ML MR enda FB v/ SE Architectural Review Board Meeting AC AD Wednesday,January 17,2024 at 7:30 PMVillage Hall,938 King StreetJM SF 1. ITEMS: 1.1. ARB24-001 (Consent Agenda) Emilio Espinosa,Emilio Espinosa,Jr.&Eduardo Espinosa Venegas 50 Bowman Avenue Rooftop solar array. 1.2. ARB24-002 (Consent Agenda) Steven Brauntuch&Jennifer Brauntuch 55 Hillandale Road Rooftop solar array. Consent Agenda Approvals: Motion Second r , Abstention Aye; Nay; C. _ Adjournment; Notes 1.3. ARB24-003 Matthew Garry&Lauren Garry 6 Magnolia Drive Rear one-story addition and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.4. ARB24-004 Jocelyn Diaz 10 Maple Court Legalize rear yard deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 2 Architectural Review Board January 17,2024 1.5. ARB24-005 Michael Cohen&Allison Cohen 34 Woodland Drive Second story addition,raised front entry portico and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.6. ARB24-006 Jason Gorsky&Allison Gorsky 15 Eagles Bluff Remove side entry&steps,finish basement,install egress window and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB24-007 (Amendment to Prior Approval) F iddenfield77 Corporation c/o Kenneth Bainton 12 Lincoln Avenue Exterior elevation changes,windows,fencing and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: February 21,2024 Page 2 of 2 y � , { s I� H ` S Kti 3 �� L.' ' .. __ `�4 Spa• AN i c, ;� � `�- �' l� e .� �'�� � a � �p �� �"' � w��� �w ,� �� � : .� ) � , � � � , pv f ' 4 _ _ �'I� °.� � �� � i t! �e ,' ;� � � �', .�� � f+ �i ♦ 3 P �J 7 �� �' 4 i . r� � -' � � g a� ��a� � � ��. ���� �� ' � ,� -,�- ,� � � .� :� .,�: _ '.. R - �.__.. N - �� •iris, 4�° � P t � y r 4k) . 4 wE All \ i , IN a 44, • + i- s i • fi �r i i i r � meurx •� .fir 4► y�. E C F,N E (Tr)n i-�y D SOLAR DEC 2 6 2023 9 Rye Brook Village, NY I December 20, 2023 938 King Street VILLAGE OF RYE BROOK Rye Brook, NY 10573 BUILDING DEPARTMENT Trinity Solar No. 55 Hillandale Road 2023-07-911543 Rye Brook, NY 10573 To the Building Official: The following information constitutes a summary of the relevant design criteria and recommendations for the support of a new photovoltaic [PV]system on the existing roof framing components at the above-referenced location. Criteria is as follows: 1. Existing roof framing: Conventional roof framing at R1 and R3 is 2x6 at 16 o.c.; existing rafter span= 19'0"; (horizontal projection) Conventional roof framing at R2 is 2x6 at 16 o.c.;existing rafter span= 12'6", (horizontal projection) Conventional roof framing at R6 is 2x6 at 16 o.c., existing rafter span= 10'6", (horizontal projection) 2. Roof Loading: • 3.Opsf dead load(pounds per square foot-PV panels, mounting rails&hardware) • 5.7psf-existing roof loads(1.7 psf-2x6 framing, 1.5psf roof sheathing,2.5 psf shingles) • Ground Snow Load-30psf-per ASCE Hazard Tool • Wind criteria-Exposure Category B, 116 mph wind 3. Existing roof modification at R1 and R3-provide 2x4(@16"o.c.)"knee wall"reinforcing to limit the maximum span of the existing rafter to 12'-1". Locate bottom of"knee wall"within one foot of existing bearing wall below. Do not sister rafters. 4. Existing roof modification at R2-A 2x4"strongback"(L-shaped profile of two 2x4s)to be installed in low height areas to achieve a maximum span of 12' 1". The installation, described above, is in general conformance with the manufacturers'specifications and complies with all applicable laws, codes,and ordinances as specified by applicable codes, including the 2020 Residential Code of New York State. The spacing of the mounting brackets cannot exceed a maximum of 48"o.c. between mounting brackets and will be fastened using 5/16" diameter corrosive-resistant steel lag bolts. In order to evenly distribute the load across the roof rafters, there shall be a minimum of 2 mounting brackets per rafter(4"long lag bolts required)and a minimum 2'/2"penetration (embedment)of all bracket lag bolts beyond the roofing materials;this is adequate to resist all stated live loads above—including wind shear. Per NDS Section 12.1.4, pilot holes not to exceed one-half the diameter of the shank need to be bored into the primary framing members for the full length of the threaded portion of the screw to avoid splitting of the framing member. Stainless steel lag bolts are required. Regards, OF NEh, Ihor Bojcun, PE /.`P� �CHAE( y0 Structural Engineer-Trinity Solar � W 4� .o 095 75 'QOFfSStONP� NY License No 095675 Trinity Solar 162 Leone Lane I Chester,NY 1(845)572-0060 NY Putnam County Home Improvement Contractor#PC6987 NY Putnam County Electrical License#R23713 NY Westchester County Home Improvement Contractor#WC-27944-1­115 x NY Westchester County Electrical License#599 ni it NY Rockland CountyHome Improvement Contractor#H-12313-40 SOLAR NY Rockland County Electrical License#402 NY Orange County Electrical License#198 NY Sullivan County Electrical License#442 NY Greene County Electrical License#502 NY,jurisdictions,license or registration information furnished upon request.For other jurisdictions,please visit: http://www.trinity-solar.com/about-us/locations-and-licenses Village of Rye Brook Building Department 938 King Street Rye Brook, NY 10573 T: (914) 939-0668 December 11, 2023 To Whom It May Concern, On behalf of our customer named below,we wish to submit a Building Permit Application for the installation of a roof-mounted solar array system tied into existing electrical services: Name: Steven Brauntuch Address:55 Hillandale Road, Rye Brook, NY 10573 SBL: 130.77-1-1 Please find the attached documents for review: • Architectural Review Board Application ■ Building Permit Application ■ Homeowner's Consent Affidavit • WC HIC License ■ WC Electrical License ■ Insurances (Disability, Liability, Workers'Compensation) ■ (2)Stamped Plans, Engineer Letter and Spec Sheets ■ (2) Photos of Property and Surrounding Properties ■ (1) Electronic Submission- Flash Drive ■ Application Fee Check-$100.00 • Building Permit Fee Check-$1,476.00 • SWIS Application I have enclose a prepaid FedEx envelop and label for the return of the approved permit. Please do not hesitate to contact me with any questions.Thank you, Brittany Gaumer Applications Supervisor I Trinity Solar—Ronkonkoma (631)319-7233 x1352 I Brittany.gaumer@trinity-solar.com Ronkonkoma Office 1-877-SUN-SAVES Ph:631-319-7233 2180 5th Avenue Unit 1 Fax: 716-671-3210 Ronkonkoma, New York 11779 www.triniity-solar.com ) — � . � | f / \ � � � 1 � • \ k ;\ \ `•, # � � | \ No § $ rc Iw it � —7 ; N■ ! � K$ ƒ `40 � )k — �:7 !� © §�\ ,» ■ | � �\\ � powered by DUO �YR _ ' TOP BR/WDPY EOROPE Warranty 2021 O CELLS BREAKING THE 20%EFFICIENCY BARRIER Q.ANTUM DUO Z Technology with zero gap cell layout boosts module efficiency up to 20.9%. THE MOST THOROUGH TESTING PROGRAMME IN THE INDUSTRY Q CELLS is the first solar module manufacturer to pass the most comprehen- sive quality programme in the industry:The new"Quality Controlled PV"of vV the independent certification institute TOV Rheinland. INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields,whatever the weather with excellent low-light and temperature behavior. ENDURING HIGH PERFORMANCE Long-term yield security with Anti LID Technology,Anti PID ` Technology!,Hot-Spot Protect and Traceable Quality Tra.QM. EXTREME WEATHER RATING High-tech aluminum alloy frame,certified for high snow(5400 Pa)and wind loads(4000 Pa). A RELIABLE INVESTMENT Inclusive 25-year product warranty and 25-year linear performance warranty2. AP`test conoitions accoromg to iEC/TS 62804-12015,method A(-1500V,96 h) 'See date sheet on rear`or'wtner information. THE IDEAL SOLUTION FOR: i2 oo':oc 9rr3Y5,,, resoe�.ref bt,ilon3s Engineered in Germany OCELLS MECHANICAL SPECIFICATION Format 74.0in x 41.1in x 1.26 in(including frame) (1879mm x 1045mm x 32mm) 74.a'µenmm7 42.6(lDaamml lafi'Ia955mmi Weight 48.51bs(22.Okg) Front Cover 0.13in(3.2mm)thermally pre-stressed glass with ax lufiomml anti-reflection technology 4.OrwNq Ronu•0IF(4.5 mmi fmme Back Cover Composite film 3ar isae mml Frame Black anodized aluminum ® 4u-ua45mmi Cell 6 x 22 monocrystauine Q.ANTUM solar half cells Junction Box 2.09-3.98in x 1.26-2.36in x 0.59-0.71in (53-101mm x 32-60 mm x 15-18 mm),IP67,with bypass diodes `A5N 1 =49r(vsommi Cable 4mm2 Solar cable.(+)>49.2in(1250mm),(-)>_49.2in(1250mm) L___ 4.uvm"rm iDcruLAi Connector Slaubli MC4,IP68 11fi-(32 mm1 DEfAILA o.63'llfi mml i-� O.aB'(M5mm1-f�j03Y resmmi ELECTRICAL CHARACTERISTICS POWER CLASS 385 390 395 400 405 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS.STC (POWER TOLERANCE+S W/-O W) PoweratMPP' P,,,, [W] 385 390 395 400 405 E Short Circuit Current' Iu [A] 11.04 11.07 11.10 11.14 11.17 Open Circuit Voltage= Vx (V] 45.19 45.23 45.27 45.30 45.34 E S Current at MPP vf, [A] 10.59 10.65 10.71 10.77 10.83 Voltage at MPP V_ IV] 36.36 36.62 36.88 37.13 37.39 Efficiency' q [%] >_19-6 >>-19.9 >_20.1 >_20.4 >-20.6 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS,NMOT' Power atMPP PPP [W] 288.8 292.6 296.3 300.1 303.8 E Short Circuit Current I, [Al 8.90 8.92 8.95 8.97 9.00 E Open Circuit Voltage Vx [VI 42.62 42.65 42.69 42.72 42.76 c 2 Current at MPP I- [Al 8.35 8.41 8.46 8.51 8.57 Voltage at MPP V,,,, IV] 34.59 34.81 35.03 35.25 35.46 Measurement tolerances P­t 3%,I_Vo-±5%at STC:1000W/m',25±2°C,AM 1.5 according to IEC 60904-3-`82 AV 1.5 0 CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE At least 98%of nominal power during - 3 ikiik _ first year.Thereafter max.0.5% .. d radation per W LL� eg p year.At least 93.5% �,�------- of nominal power up to 10 years.At - ='z least 86%of nominal power up to 25 ao toleranc- es. iithintesas remedanclerwith a p�-_------�--- -----,-- o ---- a nt sz ' the warranty terms of the O CELLS wo 4m goo ero Wm o IRRADIANCE:W/m2J .., 0 40 sales organisation of your respective o Country. - YEARS Typical module performance under low irradiance conditions in a comparison to STC conditions(25°C,1000 W/ml) m TEMPERATURE COEFFICIENTS d Temperature Coefficient of I„ D [%/K] +0.04 Temperature Coefficient of V_,- S [%/K] -0.27 � Temperature Coefficient of Pv_ y fl%/K] -0.34 Nominal Module Operating Temperature NMOT [°Fl 109±5.4(43±3°C) 0 PROPERTIES FOR SYSTEM DESIGN ° a Maximum System Voltage V;, IV] 1000(IEC)/1000(UL) PV module classification Class II o Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 61730 TYPE 2 W Max.Design Load.Push/Pull' [Ibs/f2j 75(3600 Pa)/55(2660 Pa) Permitted Module Temperature -40°Fupto+185°F o 0 Max.Test Load,Push/Pull' [Ibs/ftzj 113(5400 Pa)/84(4000Pa) on Continuous Duty (-40°C up to+85°C) 3See Installation Manual QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION �i o uualityC f CE-complian Quality COntrolietl PV-TUV Rheiniantl, w l�l✓/-! AA�d� IAO'MCI IEC 61215:2016,IEC 61730:2016. w L lUS Patent No 9+893,215(SOIarcells). SN® - Horizontal 76.41n 43.3in 48.Oin 1656lbs 24 24 32 0 OCPV Certification ongoing. Co.,°r.a Us packaging 1940mm 110Omm 1220mm 751kg pallets pallets modules u aL evw _ ..:.., Note:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further information on approved installation and use of this product Henwhe G CELLS America Inc. 400 Spectrum Center Drive,Suite 140O,Irvine.CA 92618.USA I TEL+1 949 748 59 96 1 EMAIL inquiry@us.q-cells.com I WEB www.q-cells.us Single Phase Inverter Z • C with H D-Wave Technology m for North America T1 SE3000H-US / SE380OH-US / SE5000H-US / SE6000H-US / SE760OH-US / SE1000OH-US / SE1140OH-US m rpl'2-2 51 YEARWARRANTY Ln A O s O 0 O O O • O p O O O p Optimized installation with HD-Wave technology / Specifically designed to work with I UL1741 SA certified,for CPUC Rule 21 grid compliance power optimizers / Record-breaking efficiency / Extremely small / Quick and easy inverter commissioning directly I guilt-in module-level monitoring from a smartphone using the SolarEdge SetApp / Fixed voltage inverter for longer strings / Outdoor and indoor installation / Integrated arc fault protection and rapid shutdown for NEC 2014 and 2017, per article / Optional: Revenue grade data, ANSI C12.20 690.11 and 690.12 Class 0.5 (0.5% accuracy) solaredge.com solar Sin le Phase Inverter Wit HID-Wave Tec n0 ogy for North America SE3000H-US / SE380OH-US / SE5000H-US / SE6000H-US/ SE760OH-US / SE1000OH-US / SE1140OH-US APPLICABLE TO INVERTERS WITH I PART NUMBER SEXXXXH-XXXXXBXX4 OUTPUT Rated AC Power Output 3000 3800 @ 24CV 5000 6000 @ 240V 7600 10000 11400 @ 240V VA 3300 @ 208V 5000 @ 208V 10000 @ 208V Maximum AC Power Output 3000 3800 @ 240V 5000 6000 @ 240V 7600 10000 11400 @ 240V VA 3300 @ 208V 5000 @ 208V 10000 @ 208V AC Output Voltage Min-Nom.-Max ✓ ✓ ✓ ✓ ✓ ✓ ✓ Vac (211-240-264) AC Output Voltage Min-Nom.-Max ✓ ✓ ✓ Vac (183-208-229) AC Frequency(Nominal) 59.3-60-60.5 Hz Maximum Continuous Output 123 16 21 25 32 42 47.5 A Current @240V Maximum Continuous Output _ 16 - 24 - 48.5 A Current @208V Power Factor 1,adjustable-0.85 to 0.85 GFDI Threshold 1 A Utility Monitoring,Islanding Protection,Country Configurable Yes Thresholds INPUT Maximum DC Power @240V 4650 5900 7750 9300 11800 55001 17550 W Maximum DC Power @208V - 5100 7750 15500 W Transformer-less,Ungrounded Yes Maximum Input Voltage 480 Vdc Nominal DC Input Voltage 380 400 Vdc Maximum Input Current @240V 8.5 10.5 13.5 16.5 20 27 30.5 Adc Maximum Input Current @208V - 9 13.5 - 27 Adc Max Input Short Circuit Current 45 Adc Reverse-Polarity Protection Yes Ground-Fault Isolation Detection 600k„Sensitivity Maximum Inverter Efficiency 99 99.2 % CEC Weighted Efficiency gg 99 @ 240V % 98.5 @ 208V Nighttime Power Consumption <2.5 W For other regional settings please contact SolarEdge support A higher current source may be used;the inverter will limit its input current to the values stated Sin le Phase Inverter Wit HD-Wave Tec nology for North America SE3000H-US / SE380OH-US / SE5000H-US / SE6000H-US/ SE760OH-US / SE1000OH-US / SE1140OH-US ADDITIONAL FEATURES Supported Communication Interfaces RS48-,Ether—�,L gBee(opuonai;,Ceil,,.ar;optionai) Revenue Grade Data,ANSI C12 20 Optional Inverter Commissioning with the SetApp mobile application using built-in Wi-H Access Point for local connecnc, Rapid Shutdown-NEC 2014 and Automatic Rapid Shutdown upon AC Grid Disconnect 2C17 5,0-12 STANDARD COMPLIANCE Safety UL1741,UL1741 SA,1-11-1599B,CSA C22 2,Canadian AFCI according to TI L M-J7 Grid Connection Standards IEEE1547,Rule 21,Rule 14(HI) Emissions FCC Part 15 Class B INSTALLATION SPECIFICATIONS AC Output Condu'S z-2!AWG 1 Maximum/14-5 AWG 1"Maximum/14-4 AWG Range DC Input Conduit Size/#of Strings/ V Maximum/1-2 strings/14-5 AWG 1 Maximum/1-3 strings/14-5 AWG AWG Range Dimensions with Safety Switch 17 7 x 14 5 x 5 8 /450 x 370 x 174 21 3 x 14 5 x 73/540 x 370 x 185 in/ (HxWxD) mm Weight with Safety Switch 22110 25 1/114 25.2/11.9 38.8/17 6 lb/kg Noise <25 <50 dBA Cooling Natural Convection Operating Temperature Range -40 to+140/-40 to+60 T/-C Protection Rating NEMA 4X(Inverter with Safety Switch) Revenue grade inverter P/N:SExxxxH-USOOOBNC4 Full power up to at least 50'C/122'F;for power de-rating information refer to hupsWwww.solaredgecom/sites/default/files/se-temperature-derating-note-na.pdf O SolarEdge Technologies,Inc.All rghts reserved SOLAREDGE.the SolarEdge logo.OPTIMIZED By SOLAREDGE are trademarks or registered trademarks of SolarEdge Technologies,Inc All Ro H S other trademarks mention in mark mentioned here are trades of their respective owners Date 5/2019N07/ENG NAM Subtect to change mic e tice aC EcoFasten For Installers By Installers COMPLETE RAIL-BASED RACKING SYSTEM ClickFit is one of the fastest installing rail-based systems in the industry. Thanks to its Click-In rail assembly, the Composition Shingle, Tile, Metal rails can be connected to any of EcoFasten's composition shingle, tile, and metal roof mounts in seconds without the need for fasteners or tools. The ClickFit system is made of robust materials such as aluminum and coated :::: Rail-Based steel, to ensure corrosion-resistance and longevity. ClickFit conforms to UL 2703 and has been tested in extreme weather conditions including wind, fire, and snow. Structural-Attach FEATURES & BENEFITS Direct-Attach Tool-less,fastener-free rail attachment ` • Fully integrated bonding • Click-On Mid&End Clamps • Compatible with a variety of EcoFasten roof attachments 25 YEAR WARRANT FAST INSTALLING SYSTEM FEATURING CLICK-IN RAIL ASSEMBLY INTERNAL SPLICE Tool-free bonded internal Splice installs in seconds. MLPE MOUNT Attach Module Level Power MID CLAMP Electronics to the top of the rail. Click-on mid clamp features integrated bonding pins and fits modules 30-50 m m in width. END CLAMP Click-on end clamp fits modules END C A P 30-50mm in width. The slide-on end caps allow the end clamps to be accurately positioned on the rail in seconds, while providing an aesthetically- pleasing, finished install. L-FOOT The ClickFit rail simply clicks into our proprietary composition - shingle & the L-foot without they need to use fasteners or tools. ` COMPOSITION SHINGLF Combine the versatile ClickFit L-Foot with the watertight GF-1 flashing for a fast installation on composition shingle roofs. GF-1 FLASHING&L-FOOT TILE ROOFS Use the adjustable ClickFit Tile Hook for attaching the ClickFit system to tile roofs. Works with Flat, S, and W the profiles. J CLICKFIT TILE HOOK STANDING SEAM METAL ROOFS Combine the ClickFit L-Foot with SimpleBlockN-U for a fast installation on standing seam metal roofs. SIMPLEEILOCK-LI 0 Ism= PRODUCT PART PART BOX PALLET IMAGE NUMBER DESCRIPTION QUANTITY QUANTITY ASSEMBLED WITH(1)GF GROMMET AND INCLUDES(1)5/16-EPOM BONDED - GF1M-GAL-BLK-610 GF1 BX10"BLK GLV 50 W/2"HL PLCMT - GF7-GAL-BLK-812 GF18X72FGALVALUMEBLK 50 - FLASHING ALL HARDWARE INCLUDED WITH OO CF L-FOOT ASSv 1500004 100 5OCf: 14 1500005 CF TILE HOOK US 20 480 - 1510045 CF TILE HOOK SUB-FLASHING 20 2160 TILE HOOK FLSH F ST TILE HOOK FLASH 12 576 FLAT SIERRA TAN TILE HOOK FLSH-W ST TILE HOOK FLASH 12 576 low W SIERRA TAN TILE HOOK FLSH S ST TILE HOOK FLASH 12 576 '1w S SIERRA TAN SIMPLEBLOCK-U-AL 2"SIMPLEBLOCK SSR-AL INCLUDEDALL HARDWARE iO VV CF L-FOOT ASSV 1500004 sc S000 1500033 CF RAIL 2T) N/A 108 (-7 FT) 1500034 CF RAIL4 FT) N/A 108 (-10. FT] 1500035 CF RAIL B FTJ N/A 108 [-13. FT] 1008061 CF RAIL SPLICE 100 3200 • 1510070 CF WIRE MGMT CLIP 1000 TBO -� MODULE JUMPER,8 IN 1500028 [204MM] 25 25000 1510057 CF MLPE MOUNT 400 17600 PRODUCT PART PART BOX PALLET IMAGE NUMBER DESCRIPTION QUANTITY QUANTITY 1510041 CF ENOCAP.BLK LABELED 100 4800 1. 1510015 CF HO ENOCLA AMP 20 5500 1510016 CF HD ENDCLAMP 50 5600 32MM.BLK 1510017 CF HO ENOCLAMP 50 5600 35MM.BLK 1510018 CF HD 38MMO8 KMP 50 5600 1510019 CF HO ENOCLAMP 50 5600 40MM,BLK 1510020 CF 45MM,BLKMP 50 5600 1510011 CF HO MIOCLAMP 50 5600 30-40MM,BLK 1510012 CF HO MIOCLAMP 50 5600 40-50MM,BLK ROCK-IT V3 SKIRT A65 35MMMM&&R 40MM SKIRT B 256 " ROCK-IT V3 SKIRT A79 ROCK IT SKIRT 8 256 35MM&40MM 79 79" ROCK IT V3 SKIRT A80 ROCK IT SKIRT V3 B 256 35MM&40MM 80" ROCK IT V3 SKIRT 865 ROCK-IT SKIRT V3 B 256 32MM&38MM 65" ROCK-IT V3 SKIRT 879 ROCK-IT SKIRT 79 B 256 32MM&38MM 79" ROCK IT V3 SKIRT BBO ROCK IT SKIRT V3 g 256 32MM&38MM BO 1500003 CF UNIVERSAL SKIRT 50 5750 CLAMP BLK POLY KIT LAG SCREW 4 POLY KIT LAG 50 480 SCREW 4"I501 SCRW OP 15-13XO3 ROOFING SCRW 1000 60000 #15 X 3"DRILL PT INCLUDES(1)2"LAG BOLT AND _ 1510001 CONOUITMOUNT-BRKT 50 10350 INCLUDES A CONOUITMOUNT-TILE CONDUIT MOUNT-TILE SYSTEM 60 4320 0. ECOFASTEN SOLAR EcoFasten has an established a reputation for being one of the industry's leading innovators by providing expert solutions for mounting solar PV on any type of roof. Our broad portfolio of solutions stem from the needs of, and direct inputs by solar PV installers. We take pride in providing the right solution for every application. We educate our customers, so they purchase the best, most cost-effective solutions to fit their needs, and we complement that with on- site installation training to ensure 100% satisfaction. We are honest with ourselves, our customers, and our employees, fostering a culture of idea-sharing, innovation, and creativity. aA 4141 W. VAN BUREN ST, SUITE 2, PHOENIX AZ 85009 EcoFasten An ESDECCompany 1 - 8 7 7 - 8 5 9 - 3 9 4 7 1 INF0@EC0FASTENS0LAR .00M \ � l�11+1/1 _ --+111�li'_,._=i -.�.�i 1'i_--•, i/)1 )1�• v ►►)1�• r v�,y+'(l�'+,-����� �; C . SIR 00 Ix L cods `: 4co.�ii a Q.r .r QF: � U O 4-'' ♦.+ Z °' o _° section «.�» O v E < �� o o OCA J . J T.� Z ° CN ~I�• �I O Q cC Ul) \\ •� N cef R >, + d v K t • +NON+s- �11 + s r�►IN4 4 s ;+'N►h s �: �l 1 �._'-i" __ ►1 s= s '�►'►c��+ ►Ode r��l�►+ il�'•i�ih' ic/il +icil `s'- ► 1 ►+11��► �+1 + J� •'ZJt' ., .f`r'y. _..4�rv4 "r`r�t•' - - i'Vt :(yry�. - fir -�Y _ __ .� DATE(MM/DDIYYYY) A�OR� CERTIFICATE OF LIABILITY INSURANCE (MM/ DfY 023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Arthur J Gallagher Risk Management Services. LLCowE FAX 4000 Midlantic Drive C No •856-482-9900 ac No:856482-1888 Suite 200 ADDRESS: Che HiII.BSD.CertM AJG.com Mount Laurel NJ 08054 INSURE S AFFORDING COVERAGE NAIC0 INSURER A:Gotham Insurance Company 25569 INSURED TRINHEA-03 INSURER B:National Union Fire Insurance Company of Pittsburg 19445 Trinity Solar Inc 62 Leone Lane INSURERC:EnduranceAmerican Speciafty Ins Co 41718 Chester. NY 10918 INSURERD:Libertylnsurance Underwriters Inc 19917 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:1365370128 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDLISUBIR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M LIMITS A X COMMERCIAL GENERALLUIBILITY GL202100013378 6/1/2023 1 6/1/2024 EACH OCCURRENCE 52,000,000 CLAIMS-MADE PREM OCCUR T RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY I X I PRO- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ 9 AUTOMOBILE LIABIUTY CA2960145 6/1/2023 6/1/2024 COMBINED SINGLE LIMIT 52,000,000 Ea accicVt X ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per acadent $ S C UMBRELLA LIAR X OCCUR EX202100001871 6/1/2023 6/1/2024 EACH OCCURRENCE $5,000,000 D X EXCESSUAB ELD30006989101 6/1/2023 6/1/2024 CLAIMS-MADE 1000231834-06 6/1/2023 6/1/2024 AGGREGATE 55,000,000 D t=� RETENTIONS I Limit x of$5,000,000 $19,000.000 B WORKERS COMPENSATION WC 13588107 6/1/2023 6/1/2024 XPERAND EMPLOYERS'UABIUTY YIN❑ N/A STATUTE ERH ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In if yes,describea under E.L.DISEASE-EA EMPLOYEE $1,000,000 under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Automobile CA 2960145 6/1/2023 6/1/2024 All Other Units $250/500 Comp/Collusion Detl. Truck-Tractors and Semi-Trailers $250/500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is named as additional insured with respect to the above General Liability Policy if required by written contract executed prior to services performed CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE USA I- r�l ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Trinity Solar Inc. 631-319-7233 62 Leone Lane Chester,NY 10918 1c.NYS Unemployment Insurance Employer Registration Number of C Insured 49-230977 Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e.,a Wrap-Up Policy) Number 22-3292324 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) National Union Fire Insurance Company 3b.Policy Number of Entity Listed in Box"l a" Village of Rye Brook WC 013588107 938 King Street 3c.Policy effective period Rye Brook NY 10573 6/1/2023 to 6/1/2024 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Michael Price (Print name of authorized representative or licensed agent of insurance carrier) Approved by: � 1001ZG_Z 6/1/2023 (Signature) (Date) Title: C.E.O.North America Telephone Number of authorized representative or licensed agent of insurance carrier: Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. 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