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HomeMy WebLinkAbout44139-Z Town of Southold 11/22/2019 P.O.Box 1179 53095 Main Rd 4W Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 40883 Date: 11/22/2019 THIS CERTIFIES that the building GENERATOR Location of Property: 2435 Laurel Way, Mattituck SCTM#: 473889 Sec/Block/Lot: 121.4-17.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/27/2019 pursuant to which Building Permit No. 44139 dated 9/9/2019 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ACCESSORY GENERATOR AS APPLIED FOR The certificate is issued to Sachs,Richard of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44139 11-11-2019 PLUMBERS CERTIFICATION DATED thorized Signature TOWN OF SOUTHOLD N BUILDING DEPARTMENT TOWN CLERK'S OFFICE '� • {} SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44139 Date: 9/9/2019 Permission is hereby granted to: Sachs, Richard PO BOX 1261 Mattituck, NY 11952 To: install a generator as applied for At premises located at: 2435 Laurel Way, Mattituck SCTM #473889 Sec/Block/Lot# 121.-4-17.1 Pursuant to application dated 8/27/2019 and approved by the Building Inspector. To expire on 3/10/2021. Fees: ACCESSORY $100.00 CO -ACCESSORY BUILDING $50.00 RIC $85.00 Tot 1: $235.00 Buil sector pV SOUr�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 c • Q sean.deviin(a)-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Richard Sachs Address: 2435 Laurel Way city Mattituck st: NY zip: 11952 Building Permit#: 44139 Section- 121 Block: 4 Lot- 17.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor, DBA: Fred Barsch Inc License No: 2555-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO Other Equipment, 60 Kw Kohler Generator w/250A Overcurrent Protection, 200A Whole House- Transfer Switch, Ground Rod Notes, Generator Inspector Signature: Date: November 11, 2019 S.Devlin-Cert Electrical Compliance Form As Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: z(q 1:Yj Ljhya,(_,L LAKk- � Dzi� , /YMM 1 J !! TO6le - House N Street /�, ' Hamlet Owner or Owners of Property: �C R1 >7L� 2? , �/ J(�t„ Suffolk County Tax Map No 1000, Section ( Block Lot Subdivision Filed Map. Lot: Permit No. �4 q�2� 9 Date of Permit. Applicant: Health Dept. Approval: �( ' Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: _ (check one) Fee Submitted: $ Applicant Signature Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) residing at j , (Print property owner's name) (Mailing Address) A 6A) C do hereby authorize I Ic,.Sh (Agent) to apply on my behalf to the Southold Building Department. (Owner's Signature) (Date) c � C_ (Print Owner's N ) CONSENT TO INSPECTION 2 �✓� j � the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned(is) (are) the owner(s) of the premises in the Town of Southold, located at �� � �� � �'c`c �1,� `/y -j-j-� which is shown and designated on the Suffolk County Tax Map as District 1000, Section )21 , Block 1-1 Lot 1 , That the undersigned (has) (have) filed, or cause to be file, an application in the Southold Town Building Inspector's Office for the following: That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: i q bq 2(Signature) (Print Name) (Signature) (Print Name) g11FFUlK BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert@town.southold.ny.us a APPLICATION FOR ELECTRICAL INSPECTION JREQUESTED BY:- -- Date: R - Company Name: Name: License No.: email: Address: WJAJ)Zt Phone No.: Q JOB SITE INFORMATION: (All Information Required) Name: ZCHUP �J Address: 1J� Cross Street: Phone No.: (o (o Z-7 S r Bldg.Permit#: y A4 G 6) email:MW110,35 10, an— Tax Map District: 1000 Section: 2-1 Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground-Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection FormAs TOWN OF SOUTHOLD UILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT VVV Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 l/ I I Q ( 5 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �/ Survey Southoldtownny.gov PERMIT NO. ( Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single& Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration -,20 1 r�, ildin sector I �r -7 )19 - APPLICATION FOR BUILDING PERMIT DateAU 20A INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations,for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) Bb LA AWW 6 .iT VOZJYrV M4 0) ailing fiddress of applicant) State whether applicant is owner, lAssee, agent, architect, engineer, general contractor, electrician, plumber or builder -R6-6Vr Name of owner of premises Qic-H&D 7/ioJ!5 (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on whichpro osed work will b done: /Vn va-t- House Number Street Hamlet County Tax Map No. 1000 Section 2-- Block � Lot � Subdivision Filed Map No. Lot ---' 2. State existing use and occupancy of premises and intend d use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy + �- 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work v 4. Estimated Cost ils000 Fee (Description) (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front— �P 0,:7,-; Rear . L �i Depth 10. Date of Purchase Name of Former Owner I a o'n 11. Zone or use district in which premises are situated c 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO 13. Will lot be re-graded? YES NO V Will excess fill be removed from premises?YES NOy Of"f"C i�.12 p,' tc �vLBi� -'' 4 5 Tt+ 14. Names of Owner of remises K E`.�AddressN ak A I A02.�Phone NokJ6` —0112-756) Name of Architect, L.l a- Address 206t,vea 3F Joil,V one No( I-Z:3b--0iffl Name of ContractoZVLW'06 lam.Address >t 102. Phone No.4�4-•77 1--36W-', 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 1'NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NOA�— * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF,5ATaLjL being duly sworn, deposes and says that(s)hc is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the applicatili �GELMAIFR Oct ry �b ic,Stat , 11ev1 York �•�c.i110�'4�68y18 Sworn before me this Cwilty a 20 day of "i' ^0 Notary Pub ' rSignature of Applicant c KW.HLER• Model: 60RCLA Multi-Fuel LPG/Natural Gas 09001 Standard Features 4 KOHLEP, • Kohler Co, provides one-source responsibility for the NATIONALLY REGIVERED generating system and accessories. • The generator set and its components are prototype-tested, ` factory-built, and production-tested. • The generator set accepts rated load in one step. • A standard 5-year/2000-hour limited warranty covers all systems and components. • Quick-ship(QS) models with selected features are available. See your Kohler distributor for details. + RDC2 Controller o One digital controller manages both the generator set and transfer switch functions (with optional Model RXT ATS). o Designed for today's most sophisticated electronics. o Electronic speed control responds quickly to changing demand. o Digital voltage regulation protects your valuable The Kohler" Advantage electronics from harmonic distortion and unstable power • High Quality Power quality. Kohler generators provide advanced voltage and • Engine Features frequency regulation along with ultra-low levels of c Powerful and reliable Kohler 6.2L liquid-cooled engine harmonic distortion for excellent generator power quality to o Electronic engine management system. protect your valuable electronics. o Simple field conversion between natural gas and LP vapor • Extraordinary Reliability . fuels while maintaining emission certification. Kohler is known for extraordinary reliability and • Innovative Cooling System performance and backs that up with a 5-year/2000-hour o Electronically controlled fan speeds minimize generator limited warranty. set sound signature. • Aluminum Sound Enclosure Aluminum sound enclosure is standard. • Approved for stationary standby applications in locations Optional 291 kph(181 mph)wind-load-rated enclosure served by a reliable utility source. door kit is available for field installation. • Certifications • Fast Response o The 60 Hz generator set engine is certified by the Kohler's Fast-Response®X excitation system delivers Environmental Protection Agency(EPA)to conform to the excellent voltage response and short-circuit capability New Source Performance Standard (NSPS)for stationary using a rare-earth permanent magnet(PM)-excited spark-ignited emissions. alternator. o UL 2200/cUL listing is available(60 Hz only). • Quiet Operation o CSA certification is available(60 Hz only). Kohler home generators provide quiet, neighborhood- o Accepted by the Massachusetts Board of Registration of friendly performance. Plumbers and Gas Fitters. Generator Set Ratings Standby Ratings ,t � Natural Gas LPG o� Alternator Voltage Ph Hz kW/kVA Amps kW/kVA Amps c-r-00 - 120/208 3 60 60/75 209 60/75 209 hl 1 i I C5 I , / I 127/220 3 60 60/75 197 60/75 197 120/240 3 60 60/75 181 60/75 181 r FO!,! ^C`- 4P10X 277/480 3 60 60/75 91 60/75 91 F.�Z; 220/380* 3 50 50/62 95 50/62 95 230/400 3 50 50/62 90 50/62 90 240/416* 3 50 50/62 87 50/62 87 '.° r. r, r 4Q10X 120/240 1 60 58/58 242 60/60 250 * 50 Hz models are factory-connected as 230/400 volts. Field-adjustable to 220/380 or 240/416 volts'*b�'Etln a&orized service tcdhnfcian: 1 RATINGS:All three-phase units are rated at 0.8 power factor. All single-phase units are rated at 1.0 power factor. Standby Ralings: Standby rigs apply 10•Installalfohs served by a reliable utility source. The standby rating Is applicable to varying loads for the duration of a power outage.Thera is no overload capability for this rating.Ratings are 0gqccorehapce yvil¢'tSD 85261,en{i ISO 3046 f.bbtbl/jifeeFrqlcat f Information bulletin TIB-101 for ratings guidelines,complete ratings dellnidons,and site condition derates. The generator set manufacturer re etves'the fldhl t6 change the design ar specifications wtlhcul notice and without any obligation or liability whatsoever.Availability Is subject to change without notice. Contact your local Kohler generator ofirkrul r;tor*u8itdba , i 'c G4-277 (60RCLA) 711 Bb !tA E I'O FS f Alternator Specifications - ---- .. --- - ------ - - Apbeifiaations --- —Alternator • The unique Fast-Responsem_X excitation system delivers Manufacturer Kohler excellent voltage response and short-circuit capability using a Type 4-Pole,Rotating Field rare-earth, permanent magnet(PM)-excited alternator. • Exciter type Brushless,Rare-Earth Brushle3s, rotating-field alternator. Permanent Magnet • NEMA MG1, IEEE, and ANSI standards compliance for Leads:quantity,type temperature rise and motor starting. 4P10X 12,Reconnectable 4Q10X 4,110-120/220-240 • Sustained short-circuit current of up to 300%of the rated Voltage regulator Solid State,Volts/Hz current for up to 10 seconds. Insulation: NEMA MG1 • Sustained short-circuit current enabling downstream circuit Material class H breakers to tri without collapsing the alternator field. Temperature rise 130°C,Standby p p g Bearing:quantity,type 1,Sealed • Self-ventilated and dripproof construction. Coupling Flexible Disc Amortisseur windings Full • Windings are vacuum-impregnated with epoxy varnish for Voltage regulation,no-load to full-load ±1.0%RMS dependability and long life. Unbalanced load capability 100%of Rated Standby • Superior voltage waveform from a two-thirds pitch stator and Current skewed rotor. One-step load acceptance 100%of Rating Peak motor starting kVA: (35%dip for voltages below) • Total harmonic distortion(THD)from no load to full load with 480 V,400 V 4P1 OX(12 lead) 275(60 Hz),220(50 Hz) a linear load is less than 3.5%. 240 V,220 V 4Q10X(4 lead) 144(60 Hz),132(50 Hz) Application Data Engine Exhaust Engine Specifications 60 Hz 50 Hz Exhaust System 60 Hz 50 Hz Manufacturer Kohler Exhaust manifold type Dry Engine:model,type KG6208 6.2L Exhaust flow at rated kW,m3/min. (cfm) 16.4(580) 13.6(480) Natural Aspiration Exhaust temperature at rated kW,dry Cylinder arrangement V-8 exhaust,°C(°F) 649(1200) Rated rpm 1800 1500 Maximum allowable back pressure, Displacement,L(cu.in.) 6.2(378) kPa(in.Hg) 10.2(3.0) Bore and stroke,mm(in.) 101.6 x 95.25(4.00 x 3.75) Exhaust outlet size at engine hookup, Compression ratio 10.5:1 mm(in.) 76(3.0)OD Max.power at rated rpm,kW(HP) 77.0(103) 64.3(86) Cylinder head material Cast Aluminum Fuel Piston type and material High Silicon Aluminum Fuel System Crankshaft material Cast Iron Fuel type LP Gas or Natural Gas Valve(exhaust)material Forged Steel Governor type Electronic Fuel supply line inlet 1 in.NPT fuel l ras tuasupply Frequency regulation,no-load to full-load Isochronous Nag pp y pressure, Frequency regulation,steady state .0.0% kPa(in,H20) 1.74-2.74(7-11)Frequency Fixed LPG vapor withdrawal fuel supply pressure,kPa in H 0 Air cleaner type Dry p ( � 2 ) 1.24-2.74(5-11) Fuel Composition Limits* Nat.Gas LP Gas Engine Electrical Methane,%by volume 92 min. — Engine Electrical System Ethane,%by volume 4.5 max. — Ignition system Electronic Propane,%by volume 1.0 max. 87 min. Propene,%by volume 0.1 max, 5.0 max. Battery charging alternator: C4 and higher,%by volume 0.3 max. 2.5 max. Ground(negative/positive) Negative Sulfur,ppm mass 25 max. Volts(DC) 12 Lower heating value, Ampere rating 130 MJ/m3(Btu/ft ),min. 33.2(890) 84.2(2260) Starter motor rated voltage(DC) 12 * Fuels with other compositions may be acceptable. If your fuel is Battery,recommended cold cranking outside the listed specifications,contact your local distributor for amps(CCA): further analysis and advice. Qty.,rating for-18°C(0°F) One,630 Battery voltage(DC) 12 Lubrication Battery group size 24 Lubricating System Type Full Pressure Oil pan capacity,L(qt.) 5.7(6.0) Oil pan capacity with filter,L(qt.) 7.1 (7.5) Oil filter:quantity,type 1,Cartridge G4-277 (60RCLA) 7/18b Application Data ::. =Cooling RDC2 Controller Radiator System 60 Hz 50 Hz Ambient temperature,°C(°F) 45(113) Radiator system capacity,including engine,L(gal.) 21.3(5.6) voil°oa: �nav Engine jacket water flow,Lpm(gpm) 131 (34.6) 109(28.8) Freq: 00.0 FIE o Heat refected tocooling water at rated o' 0 ®®® kW,dry exhaust,kW(Btu/min.) 54(3070) 49(2790) t�� - Water pump type Centrifugal ® arr n►+ Fan diameter,mm(in.) qty.3 @ 356(14) Fan power requirements(powered by engine battery charging alternator) 12VDC,18 amps each The RDC2 controller provides integrated control for the Operation Requirements generator set, Kohler©Model RXT transfer switch, Air Requirements 60 Hz 50 Hz programmable interface module(PIM), and load shed kit. Radiator-cooled cooling air, The RDC2 controller's 2-line LCD screen displays status Ai /min.(scfmengin 3 62.2(2200) 62.2(2200) messages and system settings that are clear and easy to read, Air over engine,,m /min.(cfm) 31.1 (1100) 31.1 (1100) Combustion air,m3/min.(cfm) 5.5(195) 4.6(162) even in direct sunlight or low light. f Air density=1.20 kg/m3(0.0751bm/ft3) RDC2 Controller Features Fuel Consumption* • Membrane keypad: Natural Gas,m3/hr.(cfh)at%load 60 Hz 50 Hz o OFF,AUTO,and RUN pushbuttons 100% 28.7(1013) 24.9 (878) o Select and arrow buttons for access to system 75% 21.6 (761) 18.7 (660) configuration and adjustment menus 50% 14.0 (493) 12.1 (427) • LED indicators for OFF,AUTO, and RUN modes 25% 7.0 (248) 6.1 (215) • LED indicators for utility power and generator set source LP Gas,m3/hr.(cfh)at%load 6o Hz 5 so Hz availability and ATS position (Model RXT transfer switch 100% 10.1 (357) 8.8 (309) required) 75% 7.2 (255) 6.3 (221) 50% 5.4 (191) 4.7 (166) • LCD screen: 25% 3.2 (113) 2.8 (98) o Two lines x 16 characters per line Nominal Fuel Rating: Natural gas,37 MJ/m3(1000 Btu/ft3) o Backlit display with adjustable contrast for excellent LP Vapor,93 MJ/m3(2500 Btu/ft3) visibility in all lighting conditions LP vapor conversion factors: • Scrolling system status display 8.58 ft.3=1 Ib, o Generator set status 0.535 m3=1 kg. o Voltage and frequency 36.39 ft.3=1 gal. o Engine temperature o Oil pressure Sound Enclosure Features o Battery voltage • Sound-attenuating enclosure uses acoustic insulation that o Engine runtime hours meets UL 94 HF1 flammability classification and repels • Date and time displays moisture absorption. • Smart engine cooldown senses engine temperature • Internally mounted critical silencer. • Digital isochronous governor to maintain steady-state speed • Skid-mounted, aluminum construction with two removable at all loads access panels. • Digital voltage regulation: ±1.0% RMS no-load to full-load • Scratch-and corrosion-resistant Kohler®cashmere • Automatic start with programmed cranking cycle powder-baked finish. • Programmable exerciser can be set to start automatically on Sound Data any future day and time, and to run every week or every two weeks Model 60RCLA sound levels are 57 dB(A) during weekly engine • Exercise modes exercise and 61 dB(A)during normal operation, o Unloaded exercise with complete system diagnostics All sound levels are measured at a distance of 23 ft. (7 m)from o Unloaded full-speed exercise the generator set. Actual sound levels may vary based on o Loaded full-speed exercise(Model RXT ATS required) installation parameters. • Front-access mini USB connector for SiteTech" connection • Integral Ethernet connector for Kohler"OnCue8 Plus • Built-in 2.5 amp battery charger • Remote two-wire start/stop capability for optional connection of a Model RDT transfer switch See additional controller features on the next page. G4-277 (60RCLA) 7/18b KOHLER CO.,Kohler,Wisconsin 53044 USA _=KCHLER® Phone 920-457-4441,.neaestales Fax 920-459-1646 For the nearest sales and service outlet in the _ US and Canada,phone 1-800-544-2444 KOHLERPower.com Additional RDC2 Controller Features Available Options(continued) • Diagnostic messages Enclosure Option o Displays diagnostic messages for the engine,generator, ❑ 291 kph(181 mph)wind load rated enclosure Model RXT transfer switch,programmable interface Starting Aids§ module(PIM), and load shed kit ❑ Block Heater,120 V o Over 70 diagnostic messages can be displayed ❑ Block Heater,240 V • Maintenance reminders § Recommended for ambient temperatures below 0°C(32°F) • System settings Controller Accessories o System voltage,frequency, and phase ❑ Lockable Emergency Stop(lockout/tag out) o Voltage adjustment ❑ Programmable Interface Module(PIM) o Measurement system, English or metric (provides 2 digital inputs and 6 relay outputs) • ATS status (Model RXT ATS required) Automatic Transfer Switches and Accessories o Source availability ❑ Model RXT Automatic Transfer Switch o ATS position(normal/utility or emergency/generator) ❑ Model RXT Automatic Transfer Switch with combined interface/ o Source voltage and frequency load management board ❑ Model RDT Automatic Transfer Switch • ATS control (Model RXT ATS required) ❑ Load shed kit for RDT or RXT o Source voltage and frequency settings ❑ Power relay modules(use up to 4 relay modules for o Engine start time delay each load management device) o Transfer time delays ❑ Other KohlerO ATS o Fixed pickup and dropout settings Miscellaneous o Voltage calibration ❑ Rated Power Factor Testing • Programmable Interface Module (PIM) status displays Literature o Input status (active/inactive) [] General Maintenance Literature Kit o Output status (active/inactive) ❑ Overhaul Literature Kit • Load control menus ❑ Production Literature Kit o Load status Warranty o Testfunction ❑ Optional Extended 5-Year/2000 Hour Comprehensive.Limited Warranty Generator Set Standard Features • Aluminum sound enclosure with enclosed silencer Dimensions and Weights • Battery rack and cables overall Size,L x W x H,mm(in.): 2280 x 836 x 1182 • Electronic,isochronous governor (89.8 x 32.9 x 46.5) • Engine-generator set is designed and manufactured in Shipping Weight,wet,kg(lb.): 859(1894) facilities certified to ISO:9001. Weight includes generator set with engine fluids and 4Q10X alternator, • Flexible fuel line sound enclosure,and silencer. • Gas fuel system(includes fuel mixer,electronic secondary gas regulator,two gas solenoid valves, and flexible fuel line between the engine and the skid-mounted fuel system components) • Integral vibration isolation H • Line circuit breaker • Oil drain extension I t • OnCues Plus Generator Management System for remote h_ W—� L monitoring (see specification sheet G6-140) • Operation and installation literature NOTE,This drawing is provided for reference only and should not be used for planning Installation. Contact your local distributor for more • RDC2 controller with built-in battery charger detailed information. • Standard 5-year/2000-hour limited warranty DISTRIBUTED BY: Available Options Approvals and Listings ❑ UL 2200 Listing(60 Hz only) ❑ CSA Approval(60 Hz only) Electrical System ❑ Battery ❑ Battery Heater ®2018 by Kohler Co.All rights reserved. G4-277 (60RCLA) 7116b GREEN01 ACORO- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 08/27/2019 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 516-576-0166 CONTACT Affiliated Agency,Inc. PHONE 516-576-0166 FAX 516-576-0168 255 Executive Dr.Suite 308 (AIC,No,Ext): (AIC,No): Plainview,NY 11803 MESS: INSURERS AFFORDING COVERAGE NAIC N _ INSURER A.Utica First Insurance Company 15326 dMSURkD INSURER B.Merchants Mutual Ins Co 23329 enkl a Construction Co Inc 32Rogl"Way_ INSURER C. Shore am,IYY 11788 INSURER D: INSURER E. INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 CLAIMS-MADE [X]OCCUR ART1312705-13 09/08/2019 09/08/2020 DAMAGE TO RENTED 50,000 PREMISES Ea occurrence $ MED EXP An one person) $ 5,000 PERSONAL&ADV INJURY $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 1'000'000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 300,000 ANY AUTO CAP1057739 03/28/2019 03/28/2020 BODILY INJURY Perperson) OWNED rx SCHEDULED AUTEOS ONLY AUTOS BODILY INJURY Per accident $ XAUTOS ONLY AUTOS ONLDY PRe�acddent AMAGE $ UMBRELLA LIABHOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER AAQN�Y PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ (MFFER/M in NH)EXCLUDED' NIA E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOLDTW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE N OF SOUTHOLD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN ROAD ACCORDANCE WITH THE POLICY PROVISIONS. SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0. �lm ^^^A A^ 112755579 GREENIDGE CONSTRUCTION CO INC PO BOX 182 �� .� SHOREHAM NY 11786 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GREENIDGE CONSTRUCTION CO INC TOWN OF SOUTHOLD PO BOX 182 54375 MAIN ROAD SHOREHAM NY 11786 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11063602-5 404107 12/05/2018 TO 12/05/2019 1/3/2019 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1063 602-5, 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, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. 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.COWCERT/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 DON GREENIDGE GREENIDGE CONSTRUCTION CO INC 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. NEW YORK STATE INSURANCE FUND U DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:732121798 U-26.3 f rawworkers' CERTIFICATE OF INSURANCE COVERAGE rCompensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family leave Benefits Carrier or Licensed Insurance Agent of that Carrs r 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured GREENIDGE CONSTRUCTION CO INC (631)744-5854 32 ROYAL WAY SHOREHAM,NY 11786 1 c.Federal Employer Identification Number of Insured or Social So mrity Work Location of insured(Only required H coverap Is spedkw limited to Number rorleln bc&Wm/n New York Stell,i.e.,a Wisp-UP Policy) 112755579 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Folder) New York State ktsurance Fund(NYSIF) TOWN OF SOUTHOLD 54375 MAIN ROAD 3b.Policy Number of Entity Listed in Box"l a" SOUTHOLD.NY 11971 DBL 2035 14-6 3c.Policy effective period 07/01/2019 to 07/01/2020 4.Policy provides the following benefits: ® A.Both disability and paid family leave benefits 0 B.Disability benefits only C.Paid family leave benefits only 5.Policy covers: ® A.All of the employers employees eligible under the NYS Disability and Paid Family Leave Benefits Law B.Only the flowing class or classes of employers employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the rw med insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 8/26(2019 By (Signature of insurance arriees authortred representative or NYS licensed Insurance Agent of that Insurance ca ) Telephone Number(866)697-4332 Name and Title Melissa Jensen,Director of Disablility Insurance Unit IMPORTANT: N Box 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NY Licensed Insurance Agent of that canier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 58 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the N YS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Eoard, DB Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200 PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 5B of Part 1 has bean checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with th :NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title i Please Note:Only Insurance carriers Ikensed to write NYS disebility and paid family leave benefits insurance polities and NYS Ikensed Insurarx agents of those Insurance carriers are aut hodzed to Issue Form D&120.1. Insurance broken are NOT authorized to issue this form. 13101-120.1 (10-In Certificate Number 563111111 12 www.dignetnycli.comNv,T✓ b Of NSW YX Cifor y www.callll811.com (for other states) *� go��d Ave yq J 6) 800-272-��80 811 SoiarUnivrree� East End LI S.0 Poe By law, excavators and contractors working in For safety reasons, homeowners are strongly ` V the five boroughs of New York City and Nassau encouraged to call as well when planning any sop" 3f•°- W and Suffolk Counties on Long Island must Sound Ase type of digging on their property. Homeowners 2a3sLeurelLake Drive p- contact DigNet, 1-800-272-4480 or 811, at least can contact us directly at 1-800-272-4480 or by 48 hours but no more than 1 D working days calling 811,the national call before you dig O (excluding weekends and legal holidays) prior to number. For excavation work completed on beginning any mechanized digging or excavation personal property, it is the contractor's 5 '4 SITE LOCATION work to ensure underground lines are marked. responsibility— the homeowner's--to contact -- LU W Excavators and contractors can also submit DigNet. Having utility lines marked prior to 16 Z locate requests online,through ITIC. If you do digging is free of charge. not currently use ITIC, please callLU 1-800-524-7603 for more information. 5 PIPEd _ < 6soJuniper Hill O Z / 39 ` f LU d / �I Cli N N � 1 / /3$0,31 LOCATION MA o 0 2 N.T.S, a / SITE DATA:�� `� S 0 SITUATE AT: 739 2435 LAUREL LAKE DRIVE �' MATTITUCK, NY 11952 PROPOSED EMERC-� NCY GENERATOR / °� MON. -00'00'' U"P" cv COUNTY OF SUFFOLK ON 6" P.C. SLAB (KOHLER: MODEL / TOWN OF SOUTHOLD NUMBER 60 RCLA, FUEL - PROPANE). / MON. SCTM *: 1000-121-4-111 WOOD ZONING DISTRICT: R-80 / STEPS Y4 [q / SITE DATA: AREA OF SITE: 40,819.9-1 SQ. FT, OR ACRES (NON-CONFORMING). / o / / SITE PLAN BASED ON / ORIGINAL SURVEY BY: C<. � /?o, ♦ KENNETH M WOYCNUK LAND SURVEYING, PLLC o PROFESSIONAL LAND SURVEYING AND DE51GN 500 GAL. IN-GROUND PROPANE TANK / �� P.O. BOX 153 AQUEBOGUE, NEW YORK 11931 • IOC MIN. TO PROPERTY LINE (AS-BUILT). � � U PiST1 /♦ PHONE- (631) 298-1588 � m �� / UIP / FAX: (631) 298-1588 ELE EXISTING I STORY � / MET R DATE: JUNE 26, 2018 a^ � GARAGE / w r APPLICANT / OWNER_ r �0 RICHARDS SACHS m / ♦ �ryj' 2435 LAUREL LAKE DRIVE Q LAND N/F OF P OPOSED T X 14' M LAUREL, NY W m �-- X ERIC f VALERIE z / S EDISH SAUNA. // `9 D -4 SHOENFELD s�\� �m� 70' LI GN TO LAKE / SETBACKS: F-1X z U_ IEW, / FRONT YARD: 60'-0" O �! SIDE YARD: 20'-0" BOTH SIDE YARDS: 45'-0" l�U O/L / 1j (00.1 REAR YARD: NOTE- / cv r N ccl X { SECTION 280-15 (F), SUBSECTION (B) SIDE AND REAR YARD G � EXISTING 1 STORY FRAME SETBACKS SHALL BE 15'-0". w LOG DWELLING ��g.j. CONC, 4r ♦ lu 2435 / APRON �.y ARCHITECT: 3.3 i /ib// " t�� 2'2 ;ii"i r�r" 2 LAND N/F k } / OF JI CA 6 E O �. / o/ o EXIST, 0' - T 0 SHED s26 NEW i �', B ,9:5, F / Rtcr� P,47-10 / DANIEL A. �, R.A. /�. p,4rIo / �0 / EXIST. ROOF O OVER BBQ AREA ~ . ry / / O / / Z } O lu 4 O fK / / W V ~ N dz . � U4U0 m SNORELiNEQ LL O ``j ch 5- O C14 S 86°28100'1 W S WOW 30" W 9�-��IO 19.39 z O 0 4 �<v PAGE: L.AUREL. LAKE EXISTING SITE PL,4N I" = 20'-011 Q N V _- _— - 00� 0 ,00 LAND N/F OF 10 5 0 20 50 -- loo o of TOWN OF GRAPHIC SCALE I" .20'-0" 0 SOUTHOLD N THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS,AS INSTRUMENTS OF SERVICE,ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH THEY WERE PREPARED.REUSE,REPRODUCTION OR PUBLICATION BY ANY METHOD,IN WHOLE OR IN PART,IS PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT.TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT.VISUAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS.