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HomeMy WebLinkAbout45592-Z �o�OS�F?fOL�py Town of Southold 7/13/2022 P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43241 Date: 7/13/2022 THIS CERTIFIES that the building GENERATOR Location of Property: 860 Laurel Ct.,Laurel SCTM#: 473889 Sec/Block/Lot: 126.-13-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/4/2020 pursuant to which Building Permit No. 45592 dated 12/21/2020 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 Glazer,Eugene&Carol of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45592 6/16/2022 PLUMBERS CERTIFICATION DATED prize gnature o�gUFF01��oG TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE �y • � A 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#: 45592 Date: 12/21/2020 Permission is hereby granted to: Glazer, Eugene 860 Laurel Ct Laurel, NY 11948 To: install an accessory generator as applied for. At premises located at: 860 Laurel Ct., Laurel SCTM # 473889 Sec/Block/Lot# 126.43-3 Pursuant to application dated 12/4/2020 and approved by the Building Inspector. To expire on 6/22/2022. Fees: ACCESSORY $100.00 CO-ACCESSORY BUILDING $50.00 ELECTRIC $85.00 Total: $235.00 Building Inspector pF SO(/r�,ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 iQ sean.devlin(a)_town.southold.ny.us Southold,NY 11971-0959 �yCoUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Eugene Glazer Address: 860 Laurel Ct city:Laurel st: NY zip: 11948 Building Permit* 45592 Section: 126 Block: 13 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Standard Electric License No: 43098ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Generator X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 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 Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 20kW Kohler Generator w/200A Transfer Switch Notes: Generator Inspector Signature: ate: June 16, 2022 S.Devlin-Cert Electrical Compliance Form �aOF SOUIyo4 5,3Z �/ �✓V / Cl # TOWN OF SOUTHOLD BUILDING DEPT. �y�ouN►v,��'' 631-765-1802 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) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: ar a A' gaff & d✓'.¢SI G� DATE I INSPECTOR f Of SOUIyo TOWN .OF SOUTHOLD BUILDING DEPT. =% cou631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ L4a,4,4,,,o"e' [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DA INSPECTOR FIELD IWSPEC 'IONREPORT' ' D'ATE GO�NTg FOUNDATION(IST) rlt ----------------- ------------ FOUNDATION --FOUNDATION(ZND) ROUGH FRAMING PLUMBING .1 t�1SLZATION'PER N.. STATE ENERGY CODE: •FINAL . �U.l�:° NTS.::•• . P alb cam ' � �' " z ... �.. -'' sep�Stg4` , TOWN OF SOUTHOLDi—BUILDINGDEPARDWENT, 1a11 r n ex.5 3 51�ain; nac1. ', :. c. 13 ti tl nl NY t1911-6.959 $ T 1 fah sn {i31'} 7 5-1902 Pax(631 76�-95�21�t�t��:'/����r�p�ra�tt110vVII11v;��m, . " ' IL ,SER r : "Fdo flc se on4y ,✓' u� 4 a PERM17 N'b. Q:? Buil ' ins oi- A ilcatit�risand,fc�rrrss aust'be':fslled caut in their eniirey.;lr�cc�rri , DEC - 4 2020 �� ial application vrdlt'ri 'b cep d. ti the+4 Q# r►t Is'ri to n r;tri'._; 47mer's Aut.hoiba, 00n forma{ age4j shall Bk J 11,D, N��D 17r To mate° ra.� U ry:4• ^ �'�� :4 t. ,..8 i 1'ti 6WNE $f'0 ,_1,.R9J,l��E'L87.,,:3. l3hysical"ftcid,ress:. vr-1. �1)� �1 1 q Phone#: X31- ►: r ; Mailing ddress:. 5 � rel O r —Lcl�r�� "O . ACT PERSO CA rb Z�?: l —7-f Mailing Address: L ctUl— Phone' : 3 , q mail: PR0F.EssiowALLjt#Ag ON: Name: Mailing Address-. Phone _FEntail: Nlailln. Address: Phone : DESCRIP't-lom CON ® ew'Structure C Addition C]Alteratiran: '1ftepair 0Den t*liUbn Estimated Cost dfPtOject, Y Will the."frit be ie- rad d Y s t 11Vill excel ' ill.be rerribved'frohl preMises? ZlYes o PR,OPERIY INFORMATION l xis g •_ eV1 tin ';use of ra ertY l Intended use of:prpperty; 6 >° rhe .. � Ione.car:use district in which:prerriises is situated::' Are there ally cdvenants and restrictions with respect to this,propertO myes-01io lF,YE5,:PAdV1DE A-C©PY. �,a i ;4 Boy T"II `YS i?eii ,'r!'#L Ab°17€eY/t7PIE�ra4Z3S1oL'S3 Y1 Proiii iioiiii k rLSpf37i453 T1e for.all drainage aand$tOan water Issues as pr6vid8d,•bV' . :ChapterM of the Town Code..,APPi.iCATION IS MUM,MA .to ihi Building partment sr the issuance of a Building Permit pursuant to the 6ullding zpne, Ordinance of the ibi-n.617Southold,Suffcilk,Cbur�tyq;' iesca 1"ork ar3d other,aPocable laws,Ards»ances or Aelgulatlons,for the construction of building, ., . additions,a3tir x�a ns er fov r avimval tsr demolition as herelrt destrifaad. be'ap Icant agrees tb comply with all:apfill ble lags,tridlnances,building code,.. hititsartg epda.and regulation"s;assd toadmit uthtarized lisspectcirs circ premises and in# ildinsisj W sspcessa, lnspectlons:. wise statements made herein ark punishable as a Class A misdemeanor faursuani`t ` n:��t3���sf.i�ie New Ynrk State Penal Ow' . Application Submitted Ay(print nama �rf�1 lO ld(Z�— 0Aut oriz1Pd Agent, Ejwner Signature of,Applicant: date: TATE,OF NEWYORK) S: COUNTY"© Y-01.`lS� Ct .b in9 duly sworn;- poses,aiid says.that(s)4p is-the applicant (N&ne.of individual signing,contract)abdve named., (S)he is the (Contractor,.Agent,Corporate;bfflcer,.etc.), of said Owner oro nersi and.is,duly autho.riz to p a6rm or,have�performed th'e.said'Wor'k and"to make,and file this application;that all stater ients.c6fltained in this apo!icatjon.are true to the best of hisJher knowledge and"belief,and that the Work w'sll be performed in the:manner set fort I h J fortrl.thea litatioii file there ift. Sworn before rhe this L �n°�day.af �fLc�rr�Je✓' i3: z -�-n' 4.�z-i , crtary Public . MARY DIANAPRO FOSTER Notary PubUo.State of New Yodt 'YEW N E Alk , . OwOM@d Cs»nt[y {'Wherethe applicant.is:rrc�t Ville owner). &m=MkmEup=Aug2l.20ai 1, residing at do,hereby authorize'_ Ao apply ort my behalftpth'e-fown.of$6,uthold BuildingDeOrtmentfqripprov.al, s.r escri ed here r. Owner's Stgnafure slate Print.Ownar's•Martie • ,•, ,:rw, 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 X631) 765-9502 r oaerr-(al�southoldtownnv. otiy r -ward cr southcldto; nny•c v APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali mormstion Required) Date: Company Name: Nan1e: /5 License No.: email: Address: vv �"� ') ri' L .lnk� , r �.r� `/ Jf-7 1 Phone No.: JOB SITE INFORMATION (All Information Required) Name: Address: (: D �; ,jr6 'V Cross Street: ,1-�) lr- � Phone No.. - D1W Bldg.Permit email: ; Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WO/RK J(Please Print Clearly) L" +`GI e ) G-Y�l�✓ ='ray �7u- e`9�J �� �rr.Ayr�" - - - Circle All That'Apply: Is job ready for inspection?: YES C) Rough in Final Do you need a Tern Certificate?.- E - NO y p Issued On Temp Information: (All information required) Service Siz 1 Ph; 3 Ph Size: : , A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Seivice Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Wort, done on Service? Y N Additional Information: PAYMENT QUE WITH APPLICATION Request for Inspection Form.ris PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fans Fridge . HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini Special: Comments GA n INEW 41NNorkelrs' CERTIFICATE 4FANSURANCE COVERAGE ATE Compensation Board DISABILITY AND PAID FAMILY--LEAVE BENEFITS LAW PART 1.Tobe,com ieted!?y Disabiliand Paid Family Leave Benefits Carrier or Licensed Insurance Agent or that Carrier 1 a.Legal Name and Address of Insured(Use street address only). 1 b:Business Telephone.Number of Insured Standard Electric-Corp {516).819=8684 Calogerq Brutto- 6500 Jericho Tpke 1c:Federal Employer Identification Number or Social Security Syosset,NY 11791 Number 20-8322723 Work Location of Insured(Only requited if specifically.timi#ed to certain locations in Now York Static,Le:a Wrap-Up PaGcy) 2, Naive and Address of Entity Requesting Proof of Coverage 3a.Name of.Insurance-Carrier (Entity Being Listed as Certificate Holder) Standard Security Life 3b:Policy Nurnber of.enfity listed in box`l a":62310-00 Town,of Southold 54375 Main Road 3c.Policy effective period:312612010 to 312612021 PO Box 1179 Southold, NY 11971 4, Policy provides the following benefits: X A. All for the employer's employees.eligible under the New York Disability Law _B. Only,the following class or classes of emploYer's employees::. C. Paid family leave benefits only 5. Policy covers: X 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 Benefits insurance coverage as described above. Date Sighed November 23.2020 By: _David iyt Borg (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone No. 631 673 7600 Name._and Title:President, IMPORTANT: If box 4a is 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"is checked;this certificate is NOT COMPLETE.for the purposes of Section 220,Sub.8 of the Disability Benefits Law. It must.be mailed for completion Wthe Workers'Compensation Board, DB.Plans Acceptance Unit,328 State Street,. Schenectady,New York 12308 PART 2.Tobe completed by-the NYS'Workers Compensation Board(Only if Box.4C.or 58 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-insured employer has complied with the NYS Disability Benefits Lava with respect to all or his/her employees. Date Signed BY (Signature of NYS-Workers'Cornpensation Board Employee) Telephone No, Title: Please Note: Only insurance carriers licensed to write NYS disability,benefits'insuranco policies"and NYS licenseinsurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance,Brokers�are not authorized to issue this form. 013-120<1 (10-17) Wotkdrs' CERTIFICATE OF YORK SYT"Afrr Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Boarill 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone NumberofInsured (516)819-8684 Standard Electric Corp Calogero Brutto 1c,NYS Unemployment Insurance Employer Regisiraticin Number of 6500.Jericho Tpke Insured Syosset,NY 11791 1d.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage is-spedfically limited(a Number 20-8322723 certain locations in New York State.i.&...a WrapTUp Policy) 2.Name add Address of Entity Requesting Proof of.Coverage 3A.Name of Insurance Carrier (Entity Being Listed as,th,e Certificate Holder) P&C Insurance Co of Hartford Town of Southold .3b.Policy,Numbe rof Entity Listed in Box 1a' 54376 Main Road .12WECAC1771 PO Box 1179 3b.Policy effective period Southold,NY 11971 12/23/2020 to 12/23/2021 The Proprietor,Partners at Executiv&Officers are included. 10nF1 check b6x if all partners/officers included)all 01 excludecl,oecertain partners/officers excluded. This certifies that the insurance carder indicated.above in box'3"insures the business referenced above in box-1a"for workers' compensation under the New York State Wofkers'Comp,ensation Law.(To use this form,Now York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance'policy).Th&Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in'box,.02!'. The insurance carrier must notify the above certificate holder and the Wbrikors',CompensaIion Boardwithin 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 Certif6ate.(These notice's 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-pf 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 cerl'ificate may be used as,evidence of a`01orkers"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 permiti license or contract issued by a certificate holder,the business must ust provide that certificate holder with a now Certiftate 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. co In ke Under'Oenalty,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: Borg& Borg..Inc.,.David M Borg President ,(Print name of authorized representative or licensed agent bf.insurande carrier) 1i/23r2o20 Approved by: (Signature) (Date) Thi.e.—Au thorked Representative Telephone Number of authorized representative or licensed,agent of insurance carder:, 631-673-7600 Please Note:,Only insurance carriers and their licens6d agents are authorized to'issue Form C-105.1 Insurance brokers are NOT authorized-to issue it. C-16 .2(9-17) www.wcb,ny.gov Workers' Compensation Law Section 37.Restrktion on Issue of permits and the entering Into contracts unless compensation Is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter,and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board,commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. G10S.2(9.17)REVERSE A�® CERTIFICATE OF LIABILITY INSURANCE DATE(NNMrD.D1YYm 11/23/2020 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 endomemen s. PRODUCER Borg&Borg Inc PHONE .631-673.7600 FAx No:631-351-1700 148 East Main Street E-MAIL Huntington NY 11743 • certfflcates@bombom.com INSURERS)AFFORD[NGCOVERAGE NAIL/ INSURER A:Merchants Mutual Insurance 23329 INSURED STANELE-01 INSuRER a:P&C Insurance Co of Hartford 34690 Standard Electric Corp INsuRERc:Standard Security Life Calogero G Brutto 6500 Jericho Tpke. INSURERD: Syosset NY 11791 WSURERE: INSURER F COVERAGES CERTIFICATE NUMBER:40014386 REVISION NUMBER: THIS 15 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 ULNUUM TYPE OF INSURANCE POLIGYNUMBER POLICYEFFPOI[ EXP LWITS A X CMIMERCIALGENERAL LIABILITY SOPIGS3594 271/2020 2/1/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE M OCCUR PREMISES(Ea omunenea $500,000 MED EXP(Any one parses) $15.000 PERSONAL 6 ADV INJURY S Included GEMLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S2,000,000 POLICY��ECCTT 1:1 LOC PRODUCTS-COMPIOPAGO $2,000.000 OTHER: S A AUTOMOBILEUASILITY CAP1075068 2112020 2/1/2021 COMBINED SINGLE LDAT 51,000,000 Eaa Can. X ANYAUTO BODILY INJURY(Per perean) S OWNED SCHEDULED BODILY INJURY(Per ecddent) S ALTOS ONLY AUTOS X HIRED X NON-OWNED PROP ERtl IE S AUTOS ONLY AUTOSONLY S UMBRELLALIA1S OCCUR EACHOCCURRENCE S EXCESS LIAa CLAIMS-M OE AGGREGATE S DED RETENTIONS S a WORKERS COMPENSATION 12WECAC7771 1223/2019 12123/2020 X STATIT OR B AND EMPLOYERS'LIABILITY YIN 12WECAC1771 121232020 1223!2021 ANYPROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT S1.000.000 O FFICEWMEMBEREXCLUDED7 (Muldatory in NH) E.L.DISEASE-EA EMPLOYEE S1.000,000 11 yyeess,desaibe under DESCRW TION OF OPERATIONS below E.L DISEASE-POLICY UMT S1.000.000 C NYS Dlsabd4 62310.00 3262010 32612021 NYS DBL Statutory DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,AddWonol Remarks Sehodulo,may bo amched 11 mote Wcu Is"ulrer0 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. 54375 Main Road PO Box 1179 AUTHoaoEDREPRESENTArnE Southold NY 11971 C(v/) ®1986 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD i5 n- iyP OCCUPANCY F�� 1'° ? r t� USE IS U LAWFUL g d A�E ;A;� j'0) . I �1L02 u hr!OCCA� C i 0a O it FOLLOVVIMiitSF'LC;C't;' 1. FOUNDATIOiN rkiv :a {fC�iUf ?:L3 FOR POURED 2. 00UGH - I=f?PM,JG r'LUIJi-iivt� 3. INSULATIONMccr�w,n�s C�tor��Qui�o 4. FINAL - COPvS111RUCTION fAlUST BE COMPLETE FOR `..;'D. ALL CONSTRUC T IOi.i IIEQUIRE.MiEN T S OF THE C0-DE;'Or NEW YORK STATE. P,,OT RESPONSIB1_E FCR blE8iGN OR CONSTRUCTION E-RRON;;S. Cr,!-0,PLY WITH ALL CODES OF NFEW YORK STATE & TOWN CODES AS REQUIRED AN ' T OWN ZBA I ARD v RUSTEES r .o.TE KOHLER, Models: 20RCA(L) Multi-Fuel LPG/Natural Gas' X49001 Standard Features lllllllllt WHILE. • RDC2 Controller - NAT1oNAt.Ly REGIsTEREQ o One digital controller manages both the generator set and ul � transfer switch functions (with optional Model RXT). S�r•'t;.r PYd'l,�efl���yY�. �,.;�'s- r'xa�a,max r�t'm','M"� - �+. o Electronic speed control responds quickly to varying l� demand. o OnCue@ Plus Generator Management System for remote monitoring is included with the generator. • Kohler Command PRO Engine Features o .Kohler-Command.PROP OHV engine-with.hydraulic-valve. .. .......... lifters for reliable performance without routine valve adjustment or lengthy break-in requirements. •, Designed for Easy Installation o Sturdy aluminum base can be mounted on gravel or a concrete mounting pad. o Fuel and electrical connections through the enclosure wall The Kohler° Advantage eliminate the need for stub-ups through the base. o Customer connection terminal block located near the • High Quality Power controller allows easy access for field wiring. Kohler home generators provide advanced voltage and o Designed for outdoor installation only. frequency regulation along with ultra-low levels.of • Certifications harmonic distortion for,excellent generator power quality to protect your valuable electronics. o Meets emission regulations for U.S. Environmental Protection Agency(EPA)with both natural gas and LPG. • Eidraordinary Reliability o UL 2200/cUL listed(60 Hz model). Kohler is known for extraordinary reliability,and o CSA certification available(60 Hz model). --- -------------performance-and-backs-that-up-With-a-premium-5=year-or.------ o Accepted by the Massachusetts Board of Registration of 2000 hour limited warranty. Plumbers and Gas Fitters. •.-•Powerful Performance - . � � o Meets 181 mph wind-rating. Exclusive Powe§boost'" technology provides excellent 9 Approved for stationary standby applications in locations starting power. served by a reliable utility source. • Aluminum Enclosure • 20RCAL models packaged with a Model RXT automatic o Attractive aluminum enclosure allows installation t transfer switch are available. See page 4 and the Model close as 18 inches from your home or small business. RXT ATS specification sheet. o Enclosure panels can be removed without tools to allow Warranty easy.access for maintenance and service. o 5-year/2000 hour limited warranty for on-grid(standby) applications in locations served by a reliable utility source. Generator Ratings Standby Ratings Line Circuit Natural Gas LPG Breaker Alternator Voltage Phase Hz kW/kVA Amps kW/kVA Amps Amps Poles 2F7 --t2Q/Z40—­----1--"----60J 18/18 75 20/20 83 100 2 120/208 3 60 17/21 58 17/21 58 70 3 2G7 120/240 3 60 17/21 51 17/21 51 60 3 277/480 3 60 17/21 26 17/21 26 30 3 Note: The line circuit breaker is automatically selected based on the generator set model and voltage configuration. RATINGS:Standby ratings apply to installations served by a reliable utility source.All single-phase units are rated at 1.0 power factor.The standby rating is applicable lovariableloads with anaverage load factor of 80%for the duration of the power outage. No overload capacity is specified at this rating. Ratings are in accordance with ISO-3046/1,BS5514,AS2789,and DIN 6271.GENERAL GUIDELINES FOR DERATI NG:ALTITUDE:Derate 4%per 305 m(1000 ft.)elevation above 153 m(500 ft.).TEMPERATURE:Derate 2%per 5.5°C(10°F)temperature increase above 16°C(601F). Availability is subject to change without notice.The generatorset manufacturer reserves the right to change the design or specifications without notice and without any obligation or liability whatsoever. Contact your local Kohler Co.generator distributor for availability. § Check the appliance manufacturer's specifications for actual power requirements.Consult a Kohler®Power Systems professional to calculate your exact residential power system requirements. t Meets NFPA guidelines for 18 inch clearance to combustible materials. Check state and local codes for minimum distance required from a structure. G4-272 (20RCA) 9/19c Alternator Specifications Alternator Specifications Alternator Features Specifications Alternator • Compliance with NEMA, IEEE,and ANSI standards for Manufacturer Kohler temperature rise. Type 2-Pole,Rotating Field . Self-ventilated and dripproof construction. Leads,quantity 2F7 4 • Windings are vacuum-impregnated with epoxy varnish for 2G7 12 dependability and long life. Voltage regulator Digital • Superior voltage waveform and minimum harmonic Insulation: NEMA MG1-1.66 distortion from skewed alternator construction. Material Class H • Digital voltage regulator with±1.0% no-load to full-load Temperature rise 130°C Standby RMS regulation. Bearing:quantity,type 1,Sealed . Rotating-field alternator with static exciter for excellent Coupling Direct load response. Amortisseur windings. Full • Total harmonic distortion(THD)from no load to full load with Voltage regulation,no-load to full-load RMS ±1•o% a linear load is less than 5%. .One-step load acceptance 100%of Rating Peak motor starting kVA: (35%dip for voltages below) 240 V,1 ph 2F7(4 lead) 41 (60 Hz) 240 or 480 V,3 ph 2G7(12 lead) 69(60 Hz) Application Data Engine Exhaust Engine Specifications Exhaust System Manufacturer Kohler Exhaust temperature exiting the Engine:model,type CH 1000 4-Cycle enclosure at rated'kW,dry;°C(°F) 260(500) Cylinder arrangement V-2 Lubrication. . - Displacement,cm3(cu.in.)' 999(61) Bore and stroke,mm(in.) 90 x 78.5(3.54 x 3.1) Lubricating System - - -- Compression ratio - - - - -- ------ -- 8.8:1 ---- - Type -- --- - -=-- -... --- - - Full Pressure- -- - - - --- Main bearings:quantity,type 2,Heavy-Duty Sleeve Oil capacity(with filter),L(qt.)§ 1.9(2.0) Bearings Oil filter:quantity,type§ 1,Cartridge Rated RPM Oil cooler Integral 60 Hz 3600 § Kohler recommends the use of Kohler Genuine oil and filters. Max.engine power at rated rpm,kW(HP) LPG,60 Hz 23.0(30.9) Fuel Pipe Size Natural gas,60 Hz• 20.2(27.1) Minimum Gas Pipe Size Recommendation,in.NPT Cylinder head material. Aluminum Valve material Steel/Stellite® Pipe Length, Natural Gas LPG m(ft.) 281,000 Btu/hr. 340,000 Btu/hr. Piston type and material Aluminum Alloy Crankshaft material Heat Treated,Ductile Iron 8 (25) 1 3/4 Governor:type Electronic 15 (50) 1 1 Frequency regulation,no load to full load Isochronous 30 (100) 1 1/4 1 Frequency regulation,steady state ±0.5% 46 (150) 1 1/4 1 1/4 Air cleaner type Dry 61 (200) 1 1/4 1 1/4 Engine Electrical Engine Electrical System Ignition system Electronic, Capacitive Discharge Starter motor rated voltage(DC) 12 Battery(purchased separately): Ground Negative Volts(DC) 12 Battery quantity 1 Recommended cold cranking amps: (CCA)rating for-18°C(0°F) 500 Group size 51 G4-272 (20RCA) 9/19c J n � Fuel Requirements RDC2 Controller Features, Continued Fuel system • LED indicators for utility power and generator set source Fuel types Natural Gas or LPG availability and ATS position (Model RXT transfer switch Fuel supply inlet 1/2 as required) Fuel supply pressure,kPa(in.H2O): • LCD display: Natural gas 0.9-2.7(3.5-11) o Two lines x 16 characters per line LP 1.7-2.7(7-11) o Backlit display with adjustable contrast for excellent Fuel Composition Limits* Nat.Gas LPG visibility in all lighting conditions Methane,%by volume(minimum) 90 min. - • Scrolling system status display: Ethane,%by volume(maximum) 4.0 max. - o Generator set status Propane,%by volume 1.0 max. 85 min. o Voltage and frequency o Engine temperature Propene,%by volume(maximum) 0.1 max. 5.0 max. o Oil pressure C4 and higher,%by volume 0.3 max. 2.5 max. o Battery voltage Sulfur,ppm mass(maximum) 25 max. Lower heating value, o Engine runtime hours MJ/m3(Btu/ftp),(minimum) 33.2(890) 84.2(2260) • Date and time displays * Contact your local distributor for suitability and rating derates based • Smart engine cooldown senses engine temperature onfuel compositions outside-these-limits. • .Digital isochronous governor maintains-steady=state speed-at all loads Operation Requirements • Digital voltage regulation: ±1.0% RMS no-load to full-load . Fuel Consumption,m3/hr.(cfh)@ 60Hz • Automatic start with programmed cranking cycle %Load Natural Gas LPG • Programmable exerciser can be set to start automatically on 100 8.0 (281) 3.9 (136) any future day and time,and run every week or every two 75 6.9 (243) 3.1 (109) weeks 50 4.6 (161) 2.3 (82) • Exercise modes: 25 3.6 (127) 1.7 (59) o Unloaded weekly exercise with complete system Exercise 2.0 (71) 1.0 (35) diagnostics Nominal fuel rating: Natural gas: 37 MJ/m3(1000 Btu/ft.3) o Unloaded full-speed exercise . LPG: 93 MJ/m3(2500 Btu/ft.3) o Loaded full-speed exercise(Model RXT ATS required) LPG conversion factors: 8.58 ft.3=1 Ib. • Front-access mini USB connector for SiteTech'' or USB 0.535 m3=1 kg Utility connection 36.39 ft 3 =1 gal. `r Integral Ethernet connector for Kohler-8 OnCueO Plus - -- *-Built-in 2.5-am batterycharger- -- - - iPi t8t `S t:SOtJItd i t _ • Remote two-wire start/stop capability for optional connection p4e 2©1 C"',: r W10 KOHLER CO.,Kohler,Wisconsin 53044 USA H LER® Phone 920-457-4441,Fax 920-459-1646 For the,nearest sales and service outlet in the US and Canada,phone 1-800-544-2444 KOHLERPower.com Generator Set Standard Features Automatic Transfer Switches and Accessories • Battery cables ❑ Model RDT ATS • EPA certified fuel system ❑ Model RXT ATS • Aluminum sound enclosure ❑ Model RXT ATS with combined interface/load management board • Critical silencer ❑ Load.shed kit for RXT or RDT • Field connection terminal block ❑ Power relay modules (use up to 4 relay modules for • Fuel solenoid valve and secondary regulator each load management device) • Line circuit breaker ❑ Other Kohler@ ATS • Multi-fuel system, LPG/natural gas,field-convertible 20RCAL Model Packages • Oil drain extension with shutoff valve ❑ 20RCAL with 100 amp RXT with 16-space load center and • OnCue@ Plus Generator Management System NEMA 1 steel enclosure for indoor installation • Premium 5-year limited warranty ❑-20RCAL•With-200 amp service enttE-ihd--rated-Model-RXT • RDC2 generator set/ATS controller with combined interface/load management board and • Rodent-resistant construction corrosion-resistant NEMA3R'aluminum enclosure • Sound-deadening,flame-retardant foam per UL 94, Warranty class HF-1 ❑ 5-Year Comprehensive Limited Warranty Available Options ❑ 10-Year Comprehensive Limited Warranty Approvals and Listings ❑ CSA approval Concrete Mounting Pads ❑ Concrete mounting pad,3 in.thick ❑ Concrete mounting pad,4 in.thick (recommended for storm-prone areas) Electrical Accessories - -- ❑-Battery ---- -- -- -- - - - --.. ❑ Battery heater, 120VAC ❑ Battery heater,240VAC ❑ Cold weather package, 120VAC Generator Set Dimensions and Weights. ❑ Cold weather package,240VAC Estop kit Generator Set Size,L x W x H: 1193 x 666 x 817 mm merenC ❑ Emergency p (47 x 26.2 x 32.2 in.) ❑ PowerSync@ Automatic Paralleling Module(APM) (single phase only;parallel two 20kW residential generator Shipping Weights: sets with the RDC2 controller) 20RCA Generator Set: 252 kg(555 lb.) Programmable interface module PIM 20RCAL with 100 A RXT ATS w/LC 277 kg(611 lbs.) ❑ 9 (PIM) 20RCAL with 200 A RXT SE ATS: 272 kg(600 lb.) (provides 2 digital inputs and 6 relay outputs) Fuel System Accessories ❑ Flexible fuel line(included on QS models) ❑ Carburetor heater, 120 VAC ❑ Carburetor heater,240 VAC H ' Carburetor heater is recommended for reliable starting at temperatures below 0°C(32°F) Literature ❑ General maintenance literature kit 4 ❑ W Overhaul literature kit NOTE: Dimensions are provided for reference only and should not be used for planning ❑ Production literature kit installation.Contact your local distributor for more detailed information. Maintenance DISTRIBUTED BY- ❑ Maintenance kit(includes air filter, oil,oil filter,and spark plugs) ©2018,2019 by Kohler Co.All rights reserved. G4-272 (20RCA) 9/19c �—Q le� (�k7e— Wo �Dr (,) ' q8 SCDHS REF. No. RIO-1,3-005j SUR VL Y OF PROPERTY 10111�zolvo �a AT MA TTITUCK 44� TOWN OF SO UTHOLD PeR" X1'1,6 '� SUFFOLK COUNTY, N. Y. C_ �,RB 1000-126-13-03 SCALE: 1 OCATCy' y��F '30' 8N B °s%v JULY 26, 2013 q y B `ARB JAN. 7, 2014 (Foundation Location) AUG.13, 2014 _. \\ DWhi • O O 2s �. � Dw S�- aeo P • ,�9�; 40 0 " 40T,S OHO yFa�F +0. �° e ' ;� SEPTIC LOCATION .0 ST 68.5' 22.5'. (l.s DW a I LPl 69.5' 34' ryh 00� GV LP2 P % <,0 �� �Q' THE LOCATION OF WELLS AND CESSPOOLS ]+ . } SHOWN HEREON ARE FROM FIELD OBSERVA77ONS 2G'"OG ,) Dw l� AND OR-DATA OBTAINED FROM OTHERS A-4 All OF FEW;. . . LOT NUMBERS ARE REFERENCED TO iNAP OF LAUREL LINKS" FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK ON � MAP No NOV. 23, 2001 AS . 10712 . ANY ALTERAT70N OR ADD1770N TO THIS SURVEY/S A VIOLA170N � 't OF SEC77ON 7209OF THE NEW YORK STATE EDUCA77ON LAW. EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77FICA77ONS Y S LIC. NO. 49618 HEREON ARE VALID FOR THIS MAP AND COP/ES THEREOF ONLY IF I AM FAMILIAR W TH THE STANDARDS FOR APPROVAL SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR E RS, P.C. WHOSE SIGNATURE APPEARS HEREON. AND CONS7RUC770N OF SUBSURFACE SEWAGE DISPOSAL (631) — 20 FAX (631) 765-1797 SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WLL ELEVA770NS ARE REFERENCED TO AN ASSUMED DA7UM. AREA c 32,023 SCS. F7. BY THE CON0177ONS SET FORTH ]HEREIN AND ON THE ABIDE P 0. BOX 909 PERMIT TO CONS7RUCT. 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 13--207 i