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HomeMy WebLinkAbout47107-Z Town of Southold 7/17/2022 P.O.Box 1179 W m 53095 Main Rd y o�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43260 Date: 7/17/2022 THIS CERTIFIES that the building GENERATOR Location of Property: 580 Stars Rd,East Marion SCTM#: 473889 Sec/Block/Lot: 31.-4-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/29/2021 pursuant to which Building Permit No. 47107 dated 11/10/2021 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: "as built"accessory generator as applied for. The certificate is issued to ModernAge Home Bldrs LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47107 4/26/2022 PLUMBERS CERTIFICATION DATED Authkffed Signature L: TOWN OF SOUTHOLD . ��suFfotK �o BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE oy • 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#: 47107 Date: 11/10/2021 Permission is hereby granted to: ModernAge Home Bldrs LLC 755 Waverly Ave Ste 218 Holtsville, NY 11742 To: Legalize as-built generator at existing single family dwelling as applied for. At premises located at: 580 Stars Rd, East Marion SCTM #473889 Sec/Block/Lot# 31.4-8 Pursuant to application dated 10/29/2021 and approved by the Building Inspector. To expire on 5/12/2023. Fees: AS BUILT-ACCESSORY $200.00 ELECTRIC $170.00 CO-RESIDENTIAL $50.00 Total: $420.00 Building Inspector pF SO!/T�OI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 , a@ sean.deviina-town.southold.ny.us Southold,NY 11971-0959 COU�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: ModernAge Home Builders LLC Address: 580 Stars Rd city:East Marion st: NY zip: 11939 Building Permit#: 47107 section: 31 Block: 4 Lot: 8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Puccio Electric License No: 4806ME SITE DETAILS Office Use Only Residential X Indoor X Basement Generator X Commerical Outdoor X 1st Floor Pool New X 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch 200A UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures 11 Pump Other Equipment: 18kW Generac Generator w/200A Whole House Transfer Switch Notes: " AS BUILT NO VISUAL DEFECTS " Generator Inspector Signature: Date: April 26, 2022 S.Devlin-Cert Electrical Compliance Form pE 50UTy�� _ TOWN OF SOUTHOLD BUILDING DEPT. G Q °ycourm, 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING FINAL CW-f-W7°4L— [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: .,�� a DATE c.(zz— INSPECTOR pF S0l/1y0� # TOWN OF SOUTHOLD BUILDING DEPT. 765-1-802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ . ]ANSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] -FIRE SAFETY INSPECTION-" [ ] FIRE RESISTANT CONSTRUCTION [ ] ' FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 7iG 2 INSPECTOR SOUTH°l r TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING' ] FRAMING /STRAPPING lvfooFINAL ] FIREPLACE & CHIMNEY [r ] FIRE SAFETY INSPECTION ' ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL(ROUGH)- [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: �— DATE d� �� �''�— INSPECTOR IO� OF SOUIy�� # * TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION '- FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION-2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [" ] FIREPLACE & CHIMNEY , [' ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) j ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE D�lz Z INSPECTOR pF SOUTyo� # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: �� • 0 . s 4 DATE D� /s �-2- INSPECTOR ' FIELD:INSPECTION REPORT. 'DATE- j' ' COMMENTS " FOUNDATION(IST) Go j .FOUNDATION(2ND) ROUGH FRA NIING;& y 1 PLUMBING .• f)fJ INSULATION.PER N.-Y- STATE ENERGY CODE -zz-ZZ FT GECr 6rTxp i,, +l P-eavrr&o FINAL .. d'; ! . ADDITIONAL COMMENTS a 0 z ul W z H ao�gOFfA(¢ � '1 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtowm.go_v Date Received APPLICATION FOR BUILDING PERMIT 2Q� For Office Use Only D I f /7 PERMIT N0. U Building Inspector: 0 CT 2 9 2021 Applications and forms must be filled Out in their entirety.Incomplete applications will not be accepted. Where the.Applicant is not the owner,an , 7 i? gT° Owner's Authorization form(Page 2):shall be completed: . 't�� '3 Date: �- OWNER(S)OF PROPERTY: Name: fn2 �� I �t(s SCTM#1000- Project Address: '3ia rsPhone#: J I _-7 - JRQ-1 Email: -�r�.moder ehb�lf U [fit Mailing Address: N y� ��-, ►2 ,S u j-�e CONTACT PERSON Name: J�nt-4e( Mailing Address: S e 1.l ti��� r• .i Cera. I',�� Phone#: G'31 -��- I - �L��� Email: �Ar, i--c/ Leeof, 0 5 DESIGN PROFESSIONAL INFORMATION: — S �ky'Y (� Name: 7T►4 e�0- S- �2��� Mailing Address: 7-7 S Phone#: (.4Email: A-�C��f-�@G n Ir'�►-p, ae?'- ..- CONTRACTOR INFORMATION: Name: �lt,ICry Mailing Address:��� �o�-. . �"�.� �d- /) 7 17� Phone#•11._ 3 _ 7� - 0 1x1G Q Email: Oip 12 L, l�. r /cam DESCRIPTION OF PROPOSED CONSTRUCTIONS. ❑New Structure ❑Addition ❑Alteration PRepair ❑Demolition Estimated Cost of Project: P-Dther )65- - e roCTUY" $ �7 00y , O d Will the lot be re-graded? OYes' Ao Will excess fill be removed from premises? []Yes No 1 PROPERTY INFORMATION Existing use of property: S 16eyrhr 04 Intended use of property: e4A �Od Zone or use district in which premises is situated:' Are there any covenants and restrictions with respect to (� this property? ❑Yes EpVo IF YES, PROVIDE A COPY. Check Box After Reading: The owner/contractor/design professional is,responsible for all drainage.and storm water issues as provided by, Chapter 236 of the,Town Code. 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,brdinances or Regulations;for the construction of buildings, additions,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(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 ofthe New York State Penal Law. ' Application Submitted B : v e pp y(print n(p t me a ) �Authorlzed Agent ❑Owner Signature of Applicant: Date: ©. - d-7 " 44 STATE OF NEW YORK) S COUNTY OF SkA- sj�4 ) 01 e-r Leeds being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the e4 L (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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this *day of ��� elz-- ,20 t?:/ Notary Public AMY M.DEVrro Notary Public,State of New York Reggistration No.01DE6270750 PROPERTY OWNER AUTHORIZATION Qualified in Suffolk County Commission Fexpires 70/22/20Z�f (Where theapplicantis not the owner) 0 -ceIL � I'v�171c �jjlt1f a�r1' I, Tom/ �6 Ltd residing at c ���� �U. POL C 11743 do hereby authorize Salmi 12 0<f to to apply on my behalf to the To n o outhold Building Department for approval as described herein. Owner's Signa a Date e rRIPC Pint Owner's 0 e �� ���S D 2 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) I, ►, opo Pf residing at � (Print property owner's name) �(L' (Mailing Address) I,6 3 do hereby authorize ��n (Agent) &tdvjL 7a7 to apply on my behalf to the Southold Building Department. (Owner's Signature) (Date) HodcagveE�e (Pr' O er's Name) e�er Electrical Inspector ®�®�uFF171 A . BUILDING DEPARTMENT- .�� 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 rogerr(aD-southoldtownny.gov - seandasoutholdtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali information Required) Date: Company Name: eL ' n 2 --ZC1C . Electrician's Name: C ` v License No.: `T g O - �I(� Elec. email: j0 @ MCG'0 e pec i c a Oo fi Elec. Phone No: (Q3 - 2L/_ap FDI request an email copy of Certificate of Compliance Elec. Address.: j/� r I�R.o�� PS' NY 11 3 JOB SITE INFORMATION (All information Required) Name: e,r n ke S Address: �-5(FO cS d . Nkaf-`on - Cross Street: Acl ac. -bri v-e- Phone No.: b3 _ _ 07 Bldg.Permit#: L'l ID-7 email: f ern �h Qhu i(� ir� . cow Tax Map District: 1000 Section: c3 Block: Lot: j�a BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): LVV ko 0"-ef-cd-o r USquare Footage: S� Circle All That Apply: Is job ready for inspection?: YES F-] NO F-]Rough In ❑ Final Do you need a Temp Certificate?: YES �1V0 issued On Temp Information: (All information required) — 4eter# Service Size❑1 Ph�3 Ph Size: A # Meters Old ❑New ServiceQFire Reconnect[]Flood Reconnect ElService ReconnectVgUndergroundROverhead # Underground Laterals 1 D2 H Frame Pole Work done on Service? Fly Additional Information: PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 >> Southold, New York 11971-0959 ® 'N Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov - seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: CC ,C- C ' n t1C . Electrician's Name: qC - 0 License No.: go(D - N(c-- Elec. email: j n 0@ 1ACe'0e0ec+yiCC0( - Com Elec. Phone No: b3/ - �7�-oZd 8D 1 request an email copy of Certificate of Compliance Elec. Address.: to d. r- err fS lUY l� � JOB SITE INFORMATION (All Information Required) Name: 2( 1) S Address: (-3(r0 S44aCS y-l`o Cross Street: A-dLo C-p n- - -}V Cep -br\(.e-- Phone No.: (Q3 - _ O7 BIdg.Permit#: � t () email: r(arnoc1 chow bu.�fd, ir� .cow Tax Map District: 1000 Section: �3 I Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): U Square Footage: �s Circle All That Apply: Is job ready for inspection?: YES r NO Rough In ❑ Final Do you need a Temp Certificate?: FI YES [DNO Issued On Temp Information: (All information required) -- Ge�h.eCockoy� 6 n(y Service Size❑1 Ph[—]3 Ph Size: A # Meters Old eter# ❑New Service Fire Reconnect[]Flood ReconnectOService Reconnect[0Underground[]Overhead # Underground Laterals D 1 D2 H Frame Pole Work done on Service? DY Additional Information: PAYMENT DUE WITH APPLICATION '�i � �'l/ G� c/1 C�rq,�i Jennifer Leeds Land Use Expediting Services 134 Sequoia Drive Coram,New York 11727 631-509-4249 JenniferLeeds0255@gmail.com October 29,2021 Connie Bunch D N Town of Southold DI)Building Department 0 CT 2 9 2021 P.O. Box 1179 Southold,NY 11971 BICTILDING DFsRT. Re: 580 Stars Rd.,East Marion TOt"4N OF SOIJTITOLD SCTM# 1000-31-4-8 & Dear Connie: Enclosed herein you will find.an application to legalize an existing generator installed at the above-mentioned property with checks for the permit fee and electrical inspection fee. The open building permit#45705/45710 for the house and swimming pool is scheduled for an inspection on Monday, October 29,2021. For your review: • Application for Building Permit • Agent Authorization Form • Application for Electrical Inspection • Contractor's Insurance Forms • Original survey and three copies • 4 sets of plans/specs for the generator • Check made payable to the Town of Southold in the amount of$235.00 for the generator permit fee. • Check made payable to the Town of Southold in the amount of$85.00 for the electrical inspection fee. If you require any additional information or have any questions regarding this application,please do not hesitate.to Call or email me. Yours very truly, ennifer Leeds CC: Modern Age Home Builders, LLC FOUNDATION A&BUILTYELL LOT 1 - MAP OF SOUNDCREST WOODS, SEC. 1 FILED:JUNE 9, 1969-MAP NO. 5315 2�2 2169x Z�a6 SITUATE Q ` EAST MARION LAND N/F EKJD FAMILY TRUST W o , :1 RESIDENCE-WELL2L WATER TOWN OF SOUTHOLD O SUFFOLK COUNTY, N.Y. ; N79 42 40 E 204.06 ¢ CEDAR RSM 2s 112:19� ELECT.PANEL 2.0'S CONDENSOR 1.0'S STAKE FND. TAX MAP NO.: 1000-031.00-04.00-008.000 +22,52 REB.FND. LOT AREA:20,451.88 S.F.(0.469 ACRES) DRIVE 2��9 2`° x o9 O BURIED L.P.°TANK bo MON.F6S W x 6 1 DATE SURVEYED:AUGUST 26,2020 RZ �2 2 �i 0 22o WELL ❑ x2,D. UNIT 6o- (O N POOL EQUIP. =- FOUND.LOC.SURVEY:MARCH 2,2021 ' r g 0 32.6 eXB 0) p— I.��.�I > V_ S *W LLSPA 14 J FINAL SURVEY:OCTOBER 14,2021 ¢� na m u :!^'ELL -ELEVATIONS REFER TO NAVD88. r o O 3 A S V1`w w #a. o o(� �,F PAVER 0 (!� U Loo ° IL Ul N u'� r�p PATIO �x z Z 0 30 60 Feet Roh f 2 z m 0 W LL N � LLl . p o q wtryD.'• z , LOT 1 Z SCALE: 1 INCH= 3 0 FEET w ZOh 3> rJg 7• ° n N w 9.3 B v)rfi41 u 0 Q Z •-- LEAN OUT 20 i Z C R.C.A. DRIVEWAY c� UZq •QUDOOR SHOWER LL •o U GG FL=2e.91 N O99 FUJI CLEAN CEN 5 Z 106 UZ En (� 0 ° O z W . .1 •t1+�� 0 ..y 1:0' C �O�r N�.tom. I *" DRYWELL x 23.1 '4 fr:r:::::;..b.....32.O�L1 0 �V ° W/INLET ,5� /� "2 X8,0,i Ss . / 0 w ® I O G NERATORf ,�� ;`�i� DIST.BOX 0 uj �1 SANITARY SYSTEM.EQUIP, 06 8 Ox6'DP. z LEACHING POOLS STAKE FND, p `POLE W 5.00n 21 S79042'40"W LAND N/F THOMAS CORNELL "1$ M JO.O' WIDE PUBLIC N 0 VACANTLAND ASO9go RIGHT OF WAY '- �- O In .1 i 0 _ !� J a Z l� ANGEje6 JOSEPH CECERE N83 D y 8,40„E X PROFE,5610NAL LAND SURVEYOR 20.04 REB.FND. MON.FND. 3 LEGALNOTES' I 1.COPYRIGHT2O19 A1C LAND SURVEYING PLIC.ALL RIGHTS RESERVED. ZO 2.UNAUTHORIZED ALTERATION OR ADDITION TOTEMS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECDON 7209. SU@DIVISION 2.OF NEW YORK STATE EDUCATION LAW. TESTHOLE 3.ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYORS EMBOSSED SEAL ARE GENUINETRUE AND CORRECT COPIES OFTHE SURVEYOR'S ORIGINAL WORK AND OPINION. EL.27.05 4.CERTIFICATIONS ONTHIS BOUNDARY SURVEY MAP SIGNIFY THATTHE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENTEXISTING CODE OF PRACTICE r FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OFPROFESSIONAL LAND SURVEYORS.INC.THE CERTIFICATION 19 LIMITEDTD PERSONS (A FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED,TO THE TMF COMPANY,TO THE GOVERNMENTAL AGENCY.AND TO THE LENDING INSTRVTION LISTED ON Q THIS BOUNDARY SURVEY MAP. W B.THE CERTIFICATIONS HEREIN ARE NOTTRANSFERABLE. O 6.THE LOCATION OF UNDERGROUND IMPROVEMENT'OR ENCROACHMENTS ARE NOTALWAYS KNOWN AND OFTEN MUSTBE ESTIMATED.IFANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN,THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. 0) K 7.THE OFFSETS(OR DIMENSIONS)SHOWN HEREON FROMTHE STRUCTURESTO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USEAND THEREFORE ,.(� ARE NOTINTENDED TO GUIDETHE ERECTION OF FENCES.RETAINING WALLS.POOLS.PATIOS PLANTING AREAS ADDITIONS TO BUILDINGS,AND ANY OTHER TYPE W N OFCONSTRUCTION. S.ONLY SURVEYS BEARINGTHE MAKERS EMBOSSED SEAL SHOULD BE RELIED UPON SINCE OTHERTHAN EMBOSSED-SEAL COPIES MAY CONTAIN UNAUTHOR17ED AND UNDETECTABLE MODIFICATIONATlONS.DELEf10NS.ADpR10NS.AND GiANGES. /�/••((\\ H 9.PROPERTY CORNER MONUMENTS WERE NOTSETAS PARTOFTHIS SURVEY UNLESS OTHERWISE NOTED. W N 10.ALL MEASUREMENTS REFER TO U.S SURVEY FOOT. M O 5i'AKE FND. `-J N :CG' A tiL;D SURVFIYII`IC PLLC RO �� LAND SURVEYING&-PLANNI.NG .t�. ?7 S. COLEMAN ROAD, CENTER6 CH, NY -1_111?2 DRILL HOLE j��� 5• 3 y r '( —PHPNF-: 631..846.9973 �`� —� I' IN SIDEWALK AJC2­46_(90 OkE.NET I , U II STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured (631)767-4807 Bukowski Homes Inc. 3080 Route 112,Suite C lc.NYS Unemployment Insurance Employer Medford,NY 11763 Registration Number of Insured Work Location of Insured (Only required if coverage is Id.Federal Employer Identification Number of Insured specifically limited to certain locations in New York State, Le, a or Social Security Number Wrap-Up Policy) 20-5300333 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Travelers Casualty Insurance Company of America 3b.Policy Number of entity listed in box"la" Town of Southold UB-2J303967 53095 Route 25 3c. Policy effective period PO Box 1179 Southold,NY 11971 03/14/21 to 03/14/22 3d. The Proprietor,Partners or Executive Officers are included. (Only check box If all partners/officers included) X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" 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"T'. The Insurance Carrier will also notify the above certificate holder 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. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of 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: Joseph W.Pires (Print name of authorized representative or licensed agent of insurance carrier) Approved by: / 4V-04 10/28/2021 (Signature) (Date) Title: President—PF Northeast Brokerage Inc. Telephone Number of authorized representative or licensed agent of insurance carrier: (845)223-8107 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. C-105.2(9-07) www.wcb.state.ny.us W ATE Compensation workers' CERTIFICATE OF INSURANCE COVERAGE ST Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured BUKOWSKI HOMES INC 3080 ROUTE 112 SUITE C 6317674807 MEDFORD, NY 11763 Work Location of Insured(Only required if coverage is specifically limited to 1c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 20-5300333 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold Y p Y 53095 Route 25 3b.Policy Number of Entity Listed in Box 1 a" PO Box 1179 214658-000 Southold, NY 11971 3c.Policy effective period 8/28/2021 to 10/27/2022 4. Policy provides the following benefits: Q A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑ C.Paid family leave benefits only. 5. Policy covers: 0 A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has'NYS Disability and/or Paid Family Leave Benefits insurance coverage as des ' d above�"Aait Date Signed 10/28/2021 By ' (Signature of insurance carrier's authoriz d representative or PJYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. 1313-120.1 (10-17) 111111111X11°1°11°°�����1°�����11°11°��I°111111 DATE(MM/DDIYYYY) A�o® CERTIFICATE OF LIABILITY INSURANCE 10/28/2021 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(les)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 Cole Lahey NAME: PF Northeast Brokerage Inc PHONE (845)223-8107 (845)227-8816 AIC No. o EtI: AIC No: 1035 Route 82 ADDRESS: clahey@pfnortheast.com INSURER(S)AFFORDING COVERAGE NAIC# Hopewell Junction NY 12533 INSURER A: Ohio Security Insurance Company 24082 INSURED INSURER B: Ohio Casualty Ins Co. 24074 Bukowski Homes Inc. INSURER c: Travelers Casualty Ins.Cc of America 19046 3080 Route 112 INSURER D: Suite C INSURER E: Medford NY 11763 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2112612392 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. POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MM/DD MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGEO i ENTE6— 300,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ X Contractual Liability MED EXP(Any one person) $ 15,000 A BLS59538207 03/1512021 03/15/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY OX PRO. 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ ROTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED BAS59538207 03/15/2021 03/15/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 B EXCESSLIIAR HCLAIMS-MADE US059538207 03/15/2021 03/15/2022 AGGREGATE $ 1,000,000 X . DED RETENTION$ 101000 $ WORKERS COMPENSATION X STATUTE ETH AND EMPLOYERS'LIABILITY 500,000 C ANY PROPRIETORIPARTNER/EXECUTIVE Y❑ N/A UB2J303967 03114!2021 03/14/2022 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 500,000 (Mandatory 1n NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Provided it is required by written contract,the following are named as additional insured as respects general liability with regard to the insured's ongoing operations under form CG8810 0413,to the extent provided therein:Town of Southold. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 &4- 0 1988-2015 4-©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r GENERAC ® i MECUMMEMMENNOWNE 10/14/1 W GUARDIAN O SERIES Residential Standby Generators Air-Cooled Gas Engine INCLUDES: Standby Pom/er Rating G007171-0,G007172-0(Aluminum-Bisque)—10 kW 60 Hz • True Power'" Electrical Technology G007223-0,G007224-0,G007225-0(Aluminum-Bisque)—14 kW 60 Hz • Two-line multilingual digital LCD Evolution'"" controller G007226-0,G007228-0(Aluminum-Bisque)—18 kW 60 Hz (English/Spanish/French/Portuguese) • Two transfer switch options available: 100 amp 16 circuit switch or 200 amp service rated smart switch • Electronic governor • Standard Wi-FiO connectivity • System status&maintenance interval LED indicators y • Sound attenuated enclosure • Flexible fuel line connector • Natural gas or LP gas operation GIVERe4C',"i ' r3 ' • 5 Year limited warranty `" f • Listed and labeled by the Southwest Research Institute ;. allowing installation as close as 18 in (457 mm) to a struc r �—' 0 VI� Must be located away from doors, windows,and fresh air ON or c�us t1 cus LISTED - u� takes and to accordance with local codes. https:llassets.swri.org/libraryIDirectoryOfListedProducts/ Note:CETL or CUL certification only applies to unbundled units and units packaged with limited Constructionlndustry/973—DoC-204-13204-01-01—Rev9.pdf circuit switches.Units packaged with the Smart Switch are ETL or UL certified in the USA only. FEATURES O INNOVATIVE ENGINE DESIGN & RIGOROUS TESTING are at the heart of O SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION: This Generac's success in providing the most reliable generators possible.Generac's G- state-of-the-art power maximizing regulation system is standard on all Generac Force engine lineup offers added peace of mind and reliability for when you need it models. It provides optimized FAST RESPONSE to changing load conditions and the most.The G-Force series engines are purpose built and designed to handle the MAXIMUM MOTOR STARTING CAPABILITY by electronically torque-matching the rigors of extended run times In high temperatures and'extreme operating conditions. surge loads to the engine.Digital voltage regulation at±1%. O TRUE POWER" ELECTRICAL TECHNOLOGY:Superior harmonics and sine wave U SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer network form produce less-than 5%Total Harmonic Distortion for utility quality power.This provides parts and service know-how for the entire unit, from the engine to the allows confident operation of sensitive electronic equipment and micro-chip based smallest electronic component. appliances,such as variable speed HVAC systems. • TEST CRITERIA: U GENERAC TRANSFER SWITCHES: Long life and reliability are synonymous with ✓ PROTOTYPE TESTED ✓ NEMA MOI-22 EVALUATION GENERAC POWER SYSTEMS. One reason for this confidence is the GENERAL ✓ SYSTEM TORSIONAL TESTED ✓ MOTOR STARTING ABILITY product line is offered with its own transfer systems and controls for total system compatibility. O MOBILE LINK°WI-FI CONNECTIVITY: FREE witWselect Guardian Series home standby generators, Mobile Link Wi-Fi allows users to monitor the status of the generator from anywhere in the world using a smartphone, tablet, or PC. Easily access information such as the current operating status and maintenance alerts. Users can connect an account to an authorized service dealer for fast,friendly,and proactive service.With Mobile Link,users are taken care of before the next power outage. =IPROMISE ®° 4'so, �� " t1r7 E N E 1"5 AC" 10/14/10 kW Features and Benefits Engine �• • Generac G-Force design Maximizes engine"breathing"for increased fuel efficiency.Plateau honed cylinderwalls and plasma moly rings help the engine run cooler,reducing oil consumption and resulting in longer engine life. • "Spiny-lok"cast iron cylinder walls Rigid construction and added durability provide long engine life. • Electronic ignition/spark advance These features combine to assure smooth,quick starting every time. • Full pressure lubrication system Pressurized lubrication to all vital bearings means better performance, less maintenance, and longer engine life.Now featuring up to a 2 year/200 hour oil change interval. • Low oil pressure shutdown system Shutdown protection prevents catastrophic engine damage due to low oil. • High temperature shutdown Prevents damage due to overheating. Generator • Revolving field Allows for a smaller, light weight unit that operates 25% more efficiently than a revolving armature generator. • Skewed stator Produces a smooth output waveform for compatibility with electronic equipment. • Displaced phase excitation Maximizes motor starting capability. • Automatic voltage regulation Regulating output voltage to±1%prevents damaging voltage spikes. • UL 2200 listed For your safety. Transfer Switch(if applicable) • Fully automatic Transfers vital electrical loads to the energized source of power, • NEMA 3R Can be installed inside or outside for maximum flexibility. • Remote mounting Mounts near an existing distribution panel for simple,low-cost installation. Evolution" Controls • AUTO/MANUAL/OFF illuminated buttons Select the operating mode and provide easy,at-a-glance status indication in any condition. • Two-line multilingual LCD Provides homeowners easily visible logs of history,maintenance,and events up to 50 occurrences. • Sealed,raised buttons Smooth,weather-resistant user interface for programming and operations. • Utility voltage sensing Constantly monitors utility voltage,setpoints 65%dropout,80%pick-up,of standard voltage. • Generator voltage sensing Constantly monitors generator voltage to verify the cleanest power is delivered to the home. • Utility interrupt delay Prevents nuisance startups of the engine,adjustable 2-1500 seconds from the factory default setting of 5 seconds by a qualified dealer. • Engine warm-up Verifies engine is ready to assume the load.Setpoint approximately 5 seconds. • Engine cool-down Allows engine to cool prior to shutdown.Setpoint approximately 1 minute. • Programmable exercise Operates engine to prevent oil seal drying and damage between power outages by running the generator for 5 minutes every other week. Offers a selectable setting for weekly or monthly operation, providing flexibility and potentially lower fuel costs to the owner. • Smart battery charger Delivers charge to the battery only when needed at varying rates depending on outdoor air temperature. Compatible with lead acid and AGM-style batteries. • Main line circuit breaker Protects generator from overload. • Electronic governor Maintains constant 60 Hz frequency. Unit • SAE weather protective enclosure Sound attenuated enclosures ensure quiet operation and protection against mother nature,withstanding winds up to 150 mph(241 km/h).Hinged key locking roof panel for security.Lift-out front for easy access to all routine maintenance items.Electrostatically applied textured epoxy paint for added durability. • Enclosed critical grade muffler Quiet,critical grade muffler is mounted inside the unit to prevent injuries. • Small,compact,attractive Makes for an easy,eye appealing installation,as close as 18 in(457 mm)away from a structure. GENE A ' 10/14/18 kW Features and Benefits Installation System i 14 in(35.6 cm)flexible fuel line connector Listed ANSI Z21.75/CSA 6.27 outdoor appliance connector for the required connection to the gas supply piping, • Integral sediment trap Meets IFGC and NFPA 54 installation requirements. Connectivity • Ability to view generator status Monitor your generator with a smartphone,tablet,or computer at any time via the Mobile Link application ' for complete peace of mind. • Ability to view generator Exercise/Run and Total Hours Review the generator's complete protection profile for exercise hours and total hours. • Ability to view generator maintenance information Provides maintenance information for your specific model generator when scheduled maintenance is due. • Monthly report with previous month's activity Detailed monthly reports provide historical generator information. • Ability to view generator battery information Built in battery diagnostics displaying current state of the battery. • Weather information Provides detailed local ambient weather conditions for generator location. 10/14/10 kW Specifications Generator Model 6007171-0,6007172-0 G007223-0,6007224-0, 0007226-0,0007228.0 (10 kW) 6007225.0(14 kW) (18 kW) FRafed ,aximum con`6nuous:phwer.capacrty(LPj ! °,10,000 Warts` _ E--'° 19,000 Waits, `'18,000 Watts [ t . Rated maximumcontinuous power capacity(NG) 9,000 Watts* 14,000 Watts* 17,000 Watts* Rated Mage E: ek - _" --!i-— 240„,f m Rated maximum continuous load current-240 volts(LP/NG) 41.7/37.5 58.3/58.3 75.0/70.8 MTotal Harmonic Drstortlon �� j_ M Less than ain line circuit breaker m 45 Amp 60 Amp- 80 Amp Number of rotor poles _ 2 66T "m Power factor 1.0 Batten]requirement(not`Included) w -'w y "' 12 Volt's,Group 26R 540 CCA Minimum or G�oUp 35AGM fi50 CCA M[nimum T - Unit weight(Ib/kg) 338/153 385/175 420/191 Dimesions(LxWxH)inlcm1x25z29/121.9x63.5x73.7 wu Sound output in dB(A)at 23 It(7 m)withgenerator operating at normal load**- 61- 65 _ 65 Soun •output in dB('at 23 ft(7 mj with generator in Quiet-Test` low speed exercise mode"* 67 55 55 Exercise duration 5 min Engine Engine type GENERAC G-Force 400 Series _ GENERAC G-Force 800 Series E__.._.d -� Numbp�ofof cylin'deus�'� _ Displacement 460 cc 816 cc CyliiKr blockAluminum w/cast'iron sleeve wAM . Valve arrangement -Overhead valve - Flyd�aulic m_ . Ignition system Solid-state w/magneto _ Governor system .i w _ � �Electranic :. Compression ratio _ __ 9.5:1 Staffer-'"" "8' _ "� s� 12 VDC Oil capacity including filter Approx.1.1 qt/1,0 L Approx.2.2 qt/2.1 L EOperaa1°g Fuel consumption Natural Gas 0/hr(m3/hr) 1/2 Load 101(2.86) 195(5.52) 169(4.79) Full Load 127(3.60) 256(7.25) 247(6.99) Liquid Propane ON(gal/hr)[L/hr] 1/2 Load 36(0.97)[3.66] 65(1.81)[6,87] 62(1.70)[6.45] _ __ _Full Load 54(1.48)[5.62] 112(3.07)[11.61] 110(3.02)[11.44] LNote:Fuel plpe,must be sized for full(dad.Required fuel,pressure to generator foot inlet at'all load ranges--3.5-7.0.in water column(0.37-1.74 kPa)for tdG,10 r 12 in water column(2:49-2.99.kPa1 for 6P ga�s.FFor BTU content;multiply ft3%hrx 2,500(LP)or ft3/hr x 1',000(NG).For Megajoulp content,multiply m3/hr x 93.15(LP)or m3/hr x 37.26(NG). Controls Two=line plain text multilingual LCD [ W— Sfrr]�le uses lriterface Colas of operalio jn µ ` Mode buttons:AUTO_ Automatic start on utility failure.Weekly,Bi-Weekly,or Monthly selectable exerciser. MANUAL . Start with starter control,unit stays on,If utility.ails,tra_ nsfer to]oad takes place. OFF Stops unit,Power is removed.Control and charger stlll operate. Ready to FturUMalntenance messagesa1i. 'Standard Engine run hours indication Standard Programmable start delay between 2-1500 seconds f�77-- 'SMn_dard(programmable by deale�r on y) !s - Utility voltage loss/Return to utility adjustable(brownout setting) _ From 140-171 V/190-216 V Future setcapable ea erciser/IFxerciseset error ETT9— y f �w Standard' Run/Alarm/Maimenance logs 50 events each Engfn�start Sequence ` � N Cyclic erahking;l6 sec on,7 sec rest(9 sec maicimum duration). - Starter lock-out _ _ Starter cannot re-engage until 5 sec after engine has stopped, sattery ChargEi_ Charger Fault/Missing AC Warning _ Standard low Bettery%Battery'Pioblem Ptolection and Battery Condn Indtcation { Standard M Automatic Voltage Regulation with Over and Under Voltage Protection Standard Under-Frequ 0 erload/Steppei Overcurrent Protection_ Safety Fused/Fuse Problem Protection Standard Autorrafic Low OiiPressure/H1gh 011 Temperature Shutdown _E:_ Standard M Overcrank/Overspeed(@ 72 Hz)/rpm Sense Loss Shutdown Standard r-- ---- F High ngine Temperature Shutdown _ '- -"''I-R. •Standard ,i Internal FaulVlncorrect Wiring Protection _ _ _ Standard Common External Fali11 Capability "� _. r�---- � C �� "Sttandard ' - � Field Upgradable Firmware Standard Rating definitions-Optional Standby:Applicable for supplying backup power for the duration of the utility power outage with correct maintenance performed,No overload capability is available for this rating.(All ratings in accordance with BS5514,ISO3046,UL2200,and DIN6271). *Maximum kilovolt amps and current are subject to and limited by such factors as fuel BTU/Megajoule content,ambient temperature,altitude,engine power and condition,etc.Maximum power decreases approximately 3.5%for each 1,000 it(304.8 m)above sea level and approximately 1%for each 10 IF(6°C)above 60 OF(16°C).**Sound levels are taken from the front of the generator.Sound levels taken from other sides of the generator may be higher depending on installation parameters. a 10/14/18 kW Switch Options Limited Circuits Switch Features Model G007172-0 0007224.0 (10 kW) (14 kW) • 16 space,24 circuit.Breakers not included. Norof poles__ li. r 2F � • Electrically operated,mechanically-held contacts for fast,positive connections. Current rating(amps) 100 • Rated for all classes of load,100%equipment rated,both inductive and Voltage rating(VA��,:�,�';��; �: 120/240;10 ,tea resistive. Utility voltage monitor(fixed)* • 2-pole,250 VAC contactors. -Pick-up 80% • 30 millisecond transfer time, -Dropout _ 65% • Dual coil design. Returnt0 utility `, . Ap rox.15 • Rated for both copper and aluminum conductors. Exercises bi-weekly for 5 minutes* Standard _ • Main contacts are silver plated or silver alloy to resist welding and sticking. ETL 0 r UL listed ,ice " -_ 77�§nda ard ;E , • NEMA/UL 3R aluminum outdoor enclosure allows for indoor or outdoor T a. - Total circuits available 24 mounting flexibility. r ------t • Multi listed for use with 1 in standard,tandem,GFCI,and AFCI breakers from Tandem breaker bilities 8 tandems_y Siemens,Murray,Eaton,and Square D for the most flexible and cost effective Circuit breaker protected tected install, Available RMS Symmetrical 10,000 Fault Current @ 250 Volts Dimensions *Function of Evolution controller Exercise can be set to weekly or monthly Height Width Depth W' H1 H2 W1 W2 in 26.75 30.1 10.5 13.5 6.91 ) " cm 67.94 76,43 26.67 34.18 17.54 9' H2 I N7 Wire Ranges4 Conductor Lug Neutral Lug Ground Lug 'R 2/0-#14 2/0-#14 2/0-#14 Si DEPTH I-Y12-I i Service Rated Smart Switch Features Model G007225-0 G007228-0 • Includes Smart A/C Management(SACM)module standard. _ „, _�_ (14 kw) _ (18 kW) _ N'0.of poles ) 2 F • Intelligently manages up to four air conditioner loads with no additional Current rating(amps) 200 hardware. Voltage rating(VAC); 120/240,101 • Up to eight large(240 VAC)loads can be managed with Smart Management - -- --R = Modules(SMMs). Utility voltage monitor(fixed)* • Electrically operated,mechanically-held contacts for fast,clean connections. -Pick-up 80% • Rated for all classes of load,100%equipment rated,both inductive and -Dropout 65% _ Retum to utility* �15 sec resistive. C �' i _ • 2-pole,250 VAC contactors. Exercises bi-weekly for 5 minutes* Standard • Service equipment rated,dual coil design, �ETL or lJL Listed '. Standard • Rated for both aluminum and copper conductors. Enclosure type _NEMA/UL 3R • Main contacts are silver plated or silver alloy to resist welding and sticking. Circuit breaker:proteKed 22,000 • NEMA/UL 3R aluminum outdoor enclosure allows for indoor or outdoor Lug range _ 250 MCM-#6 mounting flexibility. *Function of Evolution Controller Dimensions Exercise can be set to weekly or monthly 200 Amps 120/240,1a W Open Transition Service Rated Height Width Depth : H1 H2 W1 W2 in 26.75 30.1 10.5 13.5 6.3 r,;w H1 cm 67.94 76.45 26.67 34.3 16.01 Wire Ranges Conductor Lug Neutral Lug Ground Lug oEPTM i—WP -i 400 MCMI-#4 350 MCM-#6 2/0-#14 GENERA® a r 10/14/18 kW Available Accessories Model# r � Product Description. Every standby generator requires a battery to start the system.Generac offers the recommended 26R wet cell bat- G005819-0 26R Wet Cell Battery tery for use with all air-cooled standby product(excluding PowerPact®). G007101-0 Battery Pad Warmer The pad warmer rests Linder the battery.Recommended for use if the temperature regularly falls below 0 IF(-18 °C).(Not necessary for use with AGM-style batteries). G007102-0 Oil Warmer Oil warmer slips directly overthe oil filter.Recommended for use if the temperature regularly falls below 0-IF(-1 8°C). G007103-1 Breather Warmer The breather warmer is for use in extreme cold weather applications.For use with Evolution controllers only in climates where heavy icing occurs. G005621-0 Auxiliary Transfer Switch The auxiliary transfer switch contact kit allows the transfer switch to lock out a single large electrical load you may Contact Kit not need.Not compatible with 50 amp pre-wired switches. The fascia base wrap snaps together around the bottom of the new air cooled generators.This offers a sleek,con- G007027-0-Bisque Fascia Base Wrap Kit toured appearance as well as offering protection from rodents and insects by covering the lifting holes located in the base. If the generator enclosure is scratched or damaged,it is important to touch up the paint to protect from future G005703-0-Bisque Touch-Up Paint Kit corrosion.The touch-up paint kit includes the necessary paint to correctly maintain or touch up a generator en- closure. G006482-0—10 kW Scheduled Maintenance Kit Generac's scheduled maintenance kits provide all the items necessary to perform complete routine maintenance G007216-0—14/18 kW on a Generac automatic standby generator(oil not included). The Wi-F!enabled LP fuel level monitor provides constant monitoring of the connected LP fuel tank.Monitoring G007005-0 Wi-FI LP Fuel Level Monitor the LP tank's fuel level is an important step in verifying the generator is ready to run during an unexpected power failure.Status alerts are available through a free application to notify users when the LP tank is in need of a refill. G007000-0(50 amps) Smart Management Modules(SMM)are used to optimize the performance of a standby generator.it manages G007006-0(100 amps) Smart Management Module large electrical loads upon startup and sheds them to aid in recovery when overloaded.In many cases, using SMM's can reduce the overall size and cost of the system. G007169-0(413 LTE) The Mobile Link family of Cellular Accessories allow users to monitor the status of the generator from anywhere G007170-0(Wi-Fi/Ether- Mobile Link®Cellular in the world,using a smartphone,tablet,or PC.Easily access information such as the current operating status and net) Accessories maintenance alerts,Users can connect an account with an authorized service dealer for fast,friendly,and proac- tive service.With Mobile Link,users are taken care of before the next power outage. Dimensions & LIM 637.6 m— [48,mm m [25.1 in] [48.0 In] Model UPC G007171-0 696471074680 G007172-0 696471074673 G007223-0 696471082548 72,2 mm [28.6 fn] G007224-0 696471082555 G007225-0 696471082562 G007226-0 696471082579 ® ® 0 0 G007228-0 696471082586Mmm 646 mm 1232 mm [25.5 In] [46.6In1 LEFT SIDE VIEW FRONT VIEW Dimensions shown are approximate.See installation manual for exact dimensions.DO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. G E N E RAV® Generac Power Systems,Inc. - S45 W29290 HWY.59,Waukesha,WI 53189 - generac.com anwimmmsoiNsm @2020 Generac Power Systems,Inc.All rights reserved.All specifications are subject to change without notice.Part No.A0000973374 Rev.A 10/22/2020