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r'f` QWFO[,fe,rt� Town of Southold oG• 5/28/2023 a� y� P.O.Box 1179 C* z 53095 Main Rd Southold,New York 11971 ``��.•_ � .+1L� CERTIFICATE OF OCCUPANCY No: 44137 Date: 5/28/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 9245 Route 25,East Marion SCTM#: 473889 Sec/Block/Lot: 31.-3-11.31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/20/2014 pursuant to which Building Permit No. 39388 dated 11/25/2014 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: two accessory generators as applied for. The certificate is issued to East Marion Fire District of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39388 3/29/2023 PLUMBERS CERTIFICATION DATED ut or e Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT x TOWN CLERK'S OFFICE SOUTHOLD, NY �r 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#: 39388 Date: 11/25/2014 Permission is hereby granted to: East Marion Fire District PO BOX 131 East Marion, NY 11939 To: Installation of two emergency generators as applied for. At premises located at: 9245 Route 25, East Marion SCTM # 473889 Sec/Block/Lot# 31.-3-11.31 Pursuant to application dated 11/20/2014 and approved by the Building Inspector. To expire on 5/26/2016. Fees: Total: $0.00 KBuildingln—spe�ctor 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$15.00 Date. New Construction: ? Old or Pre-existing Building: (check one) Location of Property: �c� �✓ �'/� i �Qf1'STr_ ?le House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check o ) Fee Submitted:$ Ap cant Signature SOUTyoI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �o sean.deviin(aD-town.southold.ny.us Southold,NY 11971-0959 �lycoUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: East Marion Fire District Address: 9245 Route 25 city:East Marion st: NY zip: 11939 Building Permit#: 39388 section: 31 Block: 3 Lot: 11.31 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Alternate Power Solutions License No: SITE DETAILS Office Use Only Residential Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Generator X 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 Transfer Switch 200X2 UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: (2) 25kW Cummins Generators w/ (2) 200A Transfer Switches Notes: Generator Inspector Signature: Date: March 29, 2023 S. Devlin-Cert Electrical Compliance Form *oFsoaTy��o ��t 3C-0 12�-►5 -� Z� # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm,��` 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) jp ELECTRICAL (FINAL) [ ] CODE VIOLATION /[ ] PRE C/O [ ] RENTAL REMARKS: �� ��1/054e A DATE Z INSPECTOR FIND INSrEeTx,N IMPORT DATE COMMENTS FOUNDATION(1ST) CX1 FOUNDATION(2ND) tz ROUGH FINC& y PLUMBING INSUL•ATION PER N.Y. STATE ENERGY CODE 711 7 ' r FINAL h � . IN � tV TOWN OF SOUTHOLDBUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? v TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 3 O1 �y Survey SoutholdTown.NorthFork.net PERMIT NO. O Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined I ,20, Single&Separate I Storm-Water Assessment Form- ( f Contact: Approved Its, ,20 ♦' Y Mail to: Disapproved a/c PC Phone: Expiration ,20_tLC3 Building nsp cto , � � J LICATION FOR BUILDING IT ��,1 v 19 2014 Date , 20zx X10 INSTRUCTIONS a.This applic, ''on;M�L1S-T-be-eo p etely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of Rlanss,,acc r e pi6fpIan to scale. Fee according to schedule. 155—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. RETAIN STORM WATER RUNOFF�� ZUi7�,�, PURSUANT TO CHAPTER 236 (Signature of applicant or name,if a corporation) APPROVED AS [DOTED OF THE TOWN CODE. DATE: � B.P.# (Mailing address of applicant) StaFEWTA. !;Zica9y!S-bAagent, architect, engineer, general contractor, electrician, plumber or builder NOTIFY BUILDING DEPARTMENT AT _ 4 PM FOR THE FUL 5FEC1`CUNS: ,�—�1 Nai eF R 0 P TWO �QUIF D�;5�Q,�,��'✓ �fl/ 2. 1ROU A G . LtJMBING f (As on the tax roll or latest deed) a, 1 pora n, signature of duly authorized officer Bf*&b� i�iyfSgrporate officer) OCCUPANCY OR BuiAftrtbip QbN SHALL MEET THE USE IS UNLA IFUL Plup� i�0rt�THE CODES OF NEW WITHOUT CERTIFICATE EleV0M;ai59' EerN6N&ESPONSIBLE FOR Otl2E8T&60RLf0Ns9 &TION ERRORS. OF OCCUPANCY 1. Location of land on which Apposed work will be done: J House Number Street Ham t � , V) County Tax Map No. 1000 Section Block 0—? Lot �� l Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended 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 4L4/ 1'\' _r- (Description)(Description) 4. Estimated Cost 'o Fee (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 Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES - NO 13. Will lot be re-graded?YES NO Will excess fill be removed from premises? YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 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 NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, CONNIE D. BUNCH (S)He is the Notary No.01, State cf,BU6185050w j'©ric (Contractor,Agent, Corporate Officer, etc.) Qualified in Sutto County Commission Expires April 14, of said owner or owners,and.is duly authorized16 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 application filed therewith. Sworn to before me this 16 day of 20 1 Notary Public ign ure of Applicant i . o��Of SDUIyDI � o Town Hall Annex 1 Telephone(631)765-1802 54375 Main Roady (631)765-g5 P.O.Box 1179 G Q roner.richertCafown.southOltl nV US Southold,NX 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: '. �67,{,�� SL)"N�s Date: Company Name: Name: License No.: Address: Phone No.: f JOBSITE INFORMATION: (*Indicates required information) *Name: 2f *Address: Cross Street: *Phone No.: ' Permit No.: Tax-Map District: 1000 Section: Block: 3 Lot: , *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 2<<" �� IN (Please Circle All That Apply) *Is job ready for inspection: YES/ 110 Rough In Final *Do-you need a Temp Certificate: YES/ NO I Temp Information (if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION .82=Request for Inspection Form �- f " 1 - � o Town Hall Annex l [ Telephone(631)765-1802 54375 Main Road013 �F 9 U2 P.O.Box 1179 Q roger.rlchertfcyta`wn southoltl nV us Southold,NX 11971-0959 olyCOU(�I`► BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION i REQUESTED BY.-', tf�7�► &KY SDWpS Date: 1 Company Name: �.. Name: A. License No.: r [Address: hone No.: '. -7�Pj — - JOBSITE. INFORMATION: (*Indicates required information) *Name: -- Pq t' *Addre L2 . *Phone No.: , Permit No.: Tax Map District: 1000 Section: Block: Lot , *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Ala -0 ` (Please Circle All That Apply) Is job ready for inspection: YES/ Rough In Final *Do•you need a Temp Certificate: YES! NO Temp Information(if.needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other I . *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION I. I - .82-Request for Inspection Form tJ i, PERMIT.# Address: Switches Gi tfets Sconces HH!S UC Us Fails- Fridge i HW Exhaust . Oven.: Ury�r mfces ': .. "Sere#ce ;t4oakip" Trfe.,r . :Ccribo :p: AC AH Mini -Special: Comments: �rit/t 0° r{b ST(0�][�.��1MAXIER, Scott A. Russell Q SUPERVISOR - AWA\1\A(G IEAW1EN F zz SOUTHOLD TOWN HALL-P.O.Box 1179 O 53095 Main Road-SOUTHOLD,NEW YORK 11971 'fiy Town of Sou th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) -- ---- ----- ....... _._._. ...... .......... . .. ....... ..._. .. _ .. .. . i DOLES THIS PROJECT INVOLVE ANY OF THE (FOLLOWING: i (CHECK ALL THAT APPLY) Yes No ❑0 A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑Q/B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. te preparation on slopes which exceed 10 feet vertical rise to 0 d100 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal ! erosion hazard area. i ❑[/E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM.Map of any watercourse. jjV. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement_ of .impervious surfaces. _...._._._.... _. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. S.C.T.M. ": 1000 ate: APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) / District l� / NAME: C.)U N,t Section Block Lot <- (Si6naiurc) ::;cf:k;k FOR Bt LDING DEPARIINIEN`.f USE ONLY "" Contact Information: 1/33-.23;7 9 ' ;ra<onoo<wa Reviewed By: 11 Date: p, — — — — — — — — — — — — — — — — — — �� —'G� " �`1 Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — Approved for processing Building Permit. Stormwater]Management Control Plan Not Required. — — — — — — — — — — — — — — — — — ® Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM 4 SMCP -TOS MAY 2014 *pF SO(/j�,o! 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road y ,r Fax(631)765-9502 P.O.Box 1179 G • �Q Southold,NY 11971-0959 �Q " C4UNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD August 19, 2015 East Marion Fire District P.O. Box 131 East Marion, New York 11939 RE: 9245 Route 25, East M CLri On TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Survey with Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT: 39388-Z 2 generators r ` f pN / EG�1 S - MPR�'ON��yy9 `QTSE EPS�Z�,E Vol 3 2gg.�31 0• N MAP OF PROPER T Y ~ V• ' 40 R M , E AT EAST MARION 1.211 31 � ZaNE f,-,(/f`/�J WN- OF ( SUFFOLK C , N. Y. SCALE 1»4=3o' OCT,24, 2005 MAY 16, 2008 (FONC SLAB) •0'lOf � FOSE � • N by �A / o RSVP$ 3 / a+ 23a• 3a•2 i � f `,� � 01e� 9 0' • r 00 �x1 Z•36'� SES SEP 3 5 ZONING DIS TRIC TS: HB & R4 0 e► 371 P Q GES aR � • OLE • FEN �`�., cn �°G PG P ti �� n �A SCHOOL DISTRICT: EAST MARION FIRE DIS TRIC T EAST MARION 37 9 PRpPE�NP . #) z el 38 0el• L 0 T CO VERA GE , 83731133220= 6 LANDSCAPED - 3499/1133220 = 26% �L9G� ` s"'Pull r R ul w `0�0/ ' 5 9� Ox 2 �•� .:� �o N 9� l)LPR r q w 1^ r / �2 POSE PREP �g� 3� ��0 �/ �.� OWNER/APPLICANT FL EAST MARION FIRE DIS TRIC T 9395 MAIN ROAD B�3 PREPSEO ; �� 1G'CjE 1 EAST MARION, N.Y. r.,'9 3 0- , pt N� N 60 �i•36.Z 2r� �� '�q. '�. Ito \ / - 1K, t 4 u ` PARKING 0 OFFICE I SPACE PER 100 SO.FT. 300" .' SO.FT.1100 = "3 spaces Q6,2� e !' � o� GARAGE , � BAYS x 2 = 14 spaces STORAGE• l PER 1000 S.FT. 2400/1000 = 2.4 2 spaces StK� �\ �.\ v� - RECREATIONAL I PER 300 SOFT. 5 spaces •2p�0� �,sE , •� 2U ��, ` - 24spaces 39 spaces Provided S �'� J• ,p a�� \� �� 2H4ndicapped LIGHTING EXISTING oil 40 eft ,v �r \ '� ��' OR l/VA GE EXISTING ' ► v' ~ ' �, N PA VEMENT EXIS TING ZONE � •� ' ,'' ' � ,,� �`�. � •� � , SANITARY EXISTING b S y 19. sem. O2 � 9,p�� X00 �• ,�sew �,..w:r..-:,� ;,•}:;``�, NOTEr 2 LOT NUMBERS REFER TO ' SUBDIVISION MAP HIGHPOINT AT EAST MARION, �iO,p ,jo q0 dY" . �t ��• d SECTION THREE' FILED IN THE SUFFOLKS COUNTY CLERK'S OFFICE ON JULY r�� # 1 fi r 15, 1991 AS FILE NO. 9119. lip � � ;t; �� �:A•i c . .. �r• ' lam- .c��S�•C';_��yvI�� f'P 618 ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIU;_ATIDN , ��Z55-1797 .OF SECTION 7209 OF THE NEW YORK STATE EDUCATION I...aW, PECONIC SURVEYORS }�f?C;,;7�EXCEPT AS PER SECTION 7209—SUBDIV7SIDN ALL CEP?�-IFICATIDNS (631) 765 — 5020 FAXz(� 1 AREA = 3.0583 ACRES HEREON ARE VALID FOR THIS MAP AND CDPIE�S 'THEREOI" I7NLY IF P, O, BOX .909 • SAID MAP OR COPIES .SEAR THE IMPRESSED SEAL OF THE- SURVEYOR r 1230 TRAVELER STREET Q � _ � � ,/ ELEVATIONS ARE REFERENCED TO N.G.V.D. WHOSE SIGNATURE APPEARS.HEREON, 7 SOUTHOLD, N,Y, 11971 ,acoRO® CERTIFICATE OF LIABILITY INSURANCE [_�7ATE 11/18/2014Y) `-� 11/18/2014 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 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 Shore Line Insurance Agency Inc. PHONE FAX 8 Broadway a Alie Ext: 631 744-1200 A/c No):(631)744-4243 ADDRESS: Rocky Point,NY 11778 INSURERS AFFORDING COVERAGE NAICa INSURER A:Merchants Mutual Insurance Co. INSURED INSURER B:Merchants Mutual Insurance Co. Island Electric INSURER c:Merchants Mutual Insurance Co. 720 Rte 25A Rocky Point,NY 11778 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 ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MM/DDNYY POLICY LIMITS A X COMMERCIAL GENERAL LIABILITY BOP1067967 8/30/2014 8/30/2015 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO POLICY - JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: B AUTOMOBILEUABILITYCAP1050588 1/11/2014 1/11/2015 EoaacccNEDSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ C X UMBRELLA LIAB X UR CUP9145413 8/30/2014 8/30/2015 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Certificate holder is added as additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE East Marion Fire Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9245 Main Road-Rear ACCORDANCE WITH THE POLICY PROVISIONS. East Marion,NY 11939 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 Phone:(888)997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AA AAAA 112851548 MR.FAUCET SERVICES CO.,INC. PAUL E.MUHS,AS LICENSED PLUMBER 201 NORTHWEST DRIVE,SUITE#1 FARMINGDALE NY 11735 POLICYHOLDER CERTIFICATE HOLDER MR.FAUCET SERVICES CO.,INC. EAST MARION FIRE DEPARTMENT PAUL E.MUHS,AS LICENSED PLUMBER 9245 MAIN ROAD 201 NORTHWEST DRIVE,SUITE#1 EAST MARION NY 11939 FARMINGDALE NY 11735 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE =DATEG 1149 296-4 484441 05/01/2014 TO 05/01/2015 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND,UNDER POLICY NO.1149 2963 UNTIL 05/01/2015, 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 SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 05101/2015 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PAUL MUHS-PRESIDENT 1-1 MR.FAUCET SERVICES CO INC THIS CERTIFICATE IS ISSUED ASA 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 This certificate can be validated on our web site at https:/Avww.nysif.com/corUcartval.asp or by calling(888)875-5790 VALIDATION NUMBER:786384316 U-26.3 '4� CERTIFICATE OF LIABILITY INSURANCE 11%19 20� 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 pollcy(les)must 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 Fatima Lorenzo National Insurance Brokerage of New York, Inc. PHONE (631)273-4242 FAX (631)273-8990 175 Oval Drive florenzoenibony.com INSURER AFFORDING COVERAGE NAIL 0 Islandia NY 11749 INSURER Merchants Mutual Insurance Co 23329 INSURED LysuRgn a:Shelterpoint 81434 MR. FAUCET SERVICE INSURERC: COMPANY INC INSURER D: 201 NORTHWEST DRIVE Apt 1 INSURER E: FARMINGDALE NY 11735-4920 INSURER F: COVERAGES CERTIFICATE NUMBER:2014-2015 MASTER 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. [LTR NSR I tfuum TYPEOFINSURANCE PO CYNUM ER dwArm POUCYEXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,005 X OOMMERCLALGENEPALU481UTYDANIAGE 0PREMISES(Es $ 500,000 A CLAIMS•MADE D OCCUR DOP1048048 /1/2014 /1/2015 MED EXP am pomon S 15 000 X Contractual Liability PERSONAL&ADV INJURY S GENERAL AGGREGATE $ 2,000 000 GENLAGGREOATEUMRAPPUESPER: PRODUCTS-COMPA)PAGG $ 2,000,000 X POLICY P Loc $ AUTOMOBILE LIABILITY coma SINGLE LIMIT ANYAUTO BODILY INJURY(Per pamen) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY{Per deddenq $ HIRED AUTOS pip WNED PROPERTY DAMAGE-War SCM900 $ S UMBRELLAUAB OCCUR FAG"occuRRErocE a EXCESS LU1B CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION WC STATU- I JVt AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTME YIN N E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ if describe and r DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B DISABILITY 338240 /30/2010 oatinuous STATUTORY UMTS DESCRIPTION ON OF OPf71AT1 ONS/LOCATIONS/VEHICLES each ACORD 101,Addltlonal Ramarke Schedule.H specs mora In regulmdy The Certificate Holder is included as additional insured A.T.I.M.A with respect to General Liability as required by written contract/written agreement per the policy terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EAST Marion Fire Department ACCORDANCE WITH THE POLICY PROVISIONS. 9245 MAIN ROAD - EAST MARION, NY AUTHORIZED REPRESENTATIVE Frank Cormio/FA=A =r. ACORD 25(2010/05) ®198&2010 ACORD CORPORATION. All rights reserved. INSII25 amuvxi ni Tho Ar nnn namo and Innn arc raniatarnA mar4a n/ann an STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name and Address of Insured(Use street address only) 1b.Business Telephone Number of Insured MR. FAUCET SERVICE CO., INC. 516-249-1234 la NYS Unemployment Insurance Employer Registration Number of Insured 201 NORTHWEST DRIVE SUITE 1 FARMINGDALE, NY 11735 1d.Federal Employer Identification Number of Insured or Social Security Number 112851548 2.Name and Address of the Entity requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity being listed as the Certificate Holder) ShelterPolnt Life Insurance Company EAST Marion Fire Department 3b.Policy Number of Entity listed in box'Ila". DBL338240 9245 MAIN ROAD 3G Polity effective period: EAST MARION, NY 04/30/2014 to 04/29/2016 4.Policy covers: a. All of the employer's employees eligible under the New York DIsability Benefits law b. Only the following class or classes of the 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 Signed 11/19/2014 By 1 r (Signature of Insurance carriee s authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Title Chief Executive Officer MWORTANT: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 eeruficate Is COMPLETE Mail It directly to the certificate holder. If box'4b"Is checked,this certificate is NOT COMPLETE for the purposes of Section 210,Subd.8 of the Disability Benefits law. It must be mailed for completion to the worwa Compensation Board,DB Plans Acceptance Unit 20 Park Street,Albany,NY 12207. PART 2.To be completed by NYS Worker's Compensation Board(Only N box"4b"of Part 1 has been checked) State of New York Worker's Compensation Board According to Information maintained by the NYS Workers Compensation Board,the above-named employer has compiled with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By (Signature of NYS Worker's Compensation Board Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS Disability Benefits insurance policies and NYS Licensed Insurance Agents of those Insurance carriers are authorized to issue Form DB-120.L Insurance brokers are NOT authorized to Issue this form DB-120.1(5-06) .aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD 11/11/2014014 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 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 Dena Selva NAME: Cotgreave Insurance Agency, Inc. PHONE (631)981-5400 FAC No•(631)981-5448 558 Portion Rd. E-MAIL .dselval3et-Insured.com INSURERS AFFORDING COVERAGE NAIC# Ronkonkoma NY 11779 INSURER A:Harle sville Ins Co Of New York 10674 INSURED INSURER B:Harle sville Insurance Company 647 LI Alternate Power Solutions Inc. INSURER c:Gra hic Arts Mutual Ins Co 00428 DBA: Alternate Power Solutions INSURER D: 1361 Lincoln Avenue INSURER E: Holtsville NY 11742 1 INSURER F: COVERAGES CERTIFICATE NUMBER:2014 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM1D MMIDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DA MA TEa $ ,E aurenT 500 PREMISES 000 occe A CLAIMS-MADE Fx-]OCCUR SPP00000046176T 6/1/2014 6/1/2015 MED EXP(Any one person) $ 15,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X1 POLICY pRa LOC $ AUTOMOBILE LIABILITY EOMaBI ED SINGLE LIMIT 11000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 000000461727 6/1/2014 /1/2015 BODILY INJURY(Peraccident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident PIP-Additional $ 10,00 X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS UAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,OOC CHPOOO00086691 /8/2014 6/1/2015 $ C WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'UABIUTY YIN TORY LIMITS EfL- ANY PROPRIETORIPARTNERIEXECUTIVENIA E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? 4760423 6/1/2014 6/1/2015 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) The Certificate Holder is included as additional insured subject to all policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN East Marion Fire District ACCORDANCE WITH THE POLICY PROVISIONS. Main Street East Marion, NY 11939 AUTHORIZE DREPRESENTATIVE W Cotgreave/DEKA ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. I N Cn7C,ten,nnc,n, Y6.A!`nOrl..e...eA 1---—.e..;-+—A—A—..F Ae'nDr% i Specification sheet ow GlarteIr6til6n Quiet Connect' Series RS25 Features and benefits Robust product design and testing-The Advanced Enclosure Design-The aesthetically generator is designed to operate under extreme appealing enclosure incorporates special designs environmental conditions including cold weather that deliver the quietest generator of its kind. starts at as low as-40°F.The generator is tested Aluminum material plus durable powder coat and certified per the latest EPA, UL and IBC paint provides the best anti-corrosion Seismic standards and is capable of meeting performance.The robust design is capable of NFPA110 requirements when equipped with the withstanding winds up to 150 MPH and the necessary accessories and properly installed. intelligent design has removable panels and service doors to provide easy access for service Flexible Exercise mode-The innovative,flexible and maintenance. exercise mode enables the generator to exercise at a time,frequency and duration,that suits the Self diagnostics and easy service-The customer's preference-as little as 2 minutes generator is equipped with Cummins every 6 months- reducing unnecessary fuel PowerCommand electronic control to provide consumption,emissions and noise. industry-leading self diagnostic capabilities. In addition, critical components of the generator are designed to ensure service and preventive maintenance can be completed in a short period of time. Weight, size and sound level Weight: 1147 lbs(520 kg) Size: Length 72 in(1829 mm),width 34 in(8641mm), height 45.5 in(1156 mm) Sound: 64 dB(A)at 23 ft(7 m) Rated amps' Circuit breaker Model Phase Voltage Frequency(Hz) (NG/LPV fuel) (Amps) 1 120/240 60 104.2/104.2 150 RS25 3 120/208 60 86.7/86.7 125 1 Derating guidelines:Natural Gas:Engine power available up to Om.(0 ft)at ambient temperatures up to 25°C(77 T).Above these elevations derate at 4%per 305m(1000 ft)and 2%per 10°C above 25°C(77 T). Propane:Engine power available up to 114m(375 ft)at ambient temperatures up to 25°C(77 T).Above these elevations derate at 4% per 305m(1000 ft)and 2%per 10°C above 25°C(77 T). Our energy working for you.' ©2013 Cummins Inc. I NAS-5775a-EN(9/13) power.cummins.com Product features Generator set performance Engine Governor regulation class:ISO 8528 Part 1 Class G3 • Natural gas/propane 1800 rpm engine Voltage regulation, no load to full load:±1.0% • Engine air cleaner-normal duty Random voltage variation:±1.0% • Electronic governor, isochronous Frequency regulation:Isochronous • Engine starter, 12 VDC motor Random frequency variation: ±0.25% @ 60 Hz • Shutdown-low oil pressure Radio frequency emissions compliance:Meets • Extension-oil drain requirements of most industrial and commercial • Engine oil applications Fuel System • Single fuel-natural gas or propane vapor,field Engine selectable Design: Naturally aspirated Alternator Bore:86.5 mm(3.4 in) • 60 Hz, 120/240V, 1 phase or 120/208V,3 phase,4 lead, Strobe: 100.0 mm(3.94 in) 120°C temperature rise at 40°C ambient Displacement:2.4 liters(143.5 in) • Exciter/voltage regulator-torque match Cylinder block: Cast iron, in-line 4 cylinder Control Batte`,ry capacity: 550 amps at ambient temperature of • PowerCommand 1.1 0°F to 32°F(-18°C to 0°C) • Display language-English Battdry charging alternator:50 amps • Control mounting,right facing Starting voltage: 12 volt, negative ground • Stop switch-emergency Lube;oil filter type(s): Spin-on with relief valve Electrical Standard cooling system: 50°C(122°F)ambient • Single circuit breaker, UL certified, right-side mounted cooling system • Battery charging alternator, normal duty Rated speed;1800 rpm • Battery charger-5 Amp, regulated Cooling Control system • Genset cooling capability-50°C The PowerCommand®electronic control is standard • Shutdown-low coolant level equipment and provides total genset system integration • Engine coolant-50/50 mixture including automatic remote starting/stopping, precise • Extension-coolant drain frequgncy and voltage regulation,alarm and status Enclosure message display, output metering, auto-shutdown at fault • Aluminum enclosure Sound Level 1 with muffler detection and NFPA 110 Level 1 compliance. installed,sandstone color Sound attenuated enclosure • Wind rating-150 MPH The aesthetically appealing enclosure incorporates Code compliance special designs that deliver the quietest generator of its • UL 2200 kind.Aluminum material plus durable powder coat paint • EPA emissions, emergency,stationary,40CFR60 provides the best anti-corrosion performance.The robust • IBC Seismic design is capable of withstanding winds up to 150 MPH • NFPA110 capable and the intelligent design has removable panels and Genset application service doors to provide easy access for service and • Battery rack maintenance. • Flexible fuel line • Literature(English)-operator's manual, installation quick guide and manual,service manual Warranty • Base warranty-2 year,400 hours,standby • Extended warranties available Packaging • Shipping pallet,poly bag Our energy working for you." 02013 Cummins Inc. I NAS-5775a(9/13) power.cummins.com Average fuel consumption Fuel consumption-natural gas Fuel consumption-LP vapor Load: 1/4 1/2 3/4 Full Load: 1/4 1/2 3/4 Full Ft'/hr: 123.8 185.7 247.6 309.5 Ft'Mr: 51.6 75.6 99.6 125.4 M'/hr: 3.5 5.2 6.9 8.7 M'/hr: 1.4 2.1 2.8 3.5 Gal/hr 1.4 2.1 2.8 3.5 Conversion factor: 8.58 ft3=1 Ib 0.535m3=1 kg 36.39 ft3=1 gal Easy service and installation Oil Fill Removable } Service Door € Display Customer Access Door Coolant Fill Circuit Breaker Oil Check Natural Gas/Liquid Propane Fuel Connection f~n Air Cleaner r Oil Drain Hose r; Battery Our energy working for you 02013 Cummins Inc. I NAS-5775a(9/13) power.cummins.com Basic dimensions D45TANM REQUIRED'TO LIFT OFF-SERVICE PANEI..S� 4!4 414 N-AIf 0r4s .4ANI.N"`ILL XCC-'.S-- Or. % ,Doi ........... I Isl OUTLET VEW i INLET VIEW 'TOP VIEW ,'CRI. [Y -of ORM,;Tr .................. ... .......... .Acasz 10D3 ICY, 9 0AND;F Ailk I QJ ES V 5:i'f U P40 ol �Pkvt AICA i..-8d 31.V,C IOU........\ ;0m.,cc I I 0c FUNT SIDE VIEW It LEFT SIDE VIEW Note:This outline drawing is provided for general reference only and Is not Int6 nded for use In design or installation. For more information,see Operators and Installation manuals or contact!your distributor or dealer for assistance. Automatic transfer panel configurations ucroi WA IN MM rulnRueuTun 00AW1 If MYRSUMN MEL 01 - MM&nMQEL j ZIUCM L VP IM200 AMPI 'A� PANU ne �MTRLN FIX Pim PAN& PAHU Typical service entrance ATS model Typical non-service entrance ATS Dedicated emergency standby service Installation(1100/200A) model Installation(100/200A) system(100/200A) Our energy working for you 02013 Cummins Inc. I NAS-5775a(9/13) power.cummins.com 100A Non-service entrance t i i �.... \.. ..... ..._.-...._DU _t . 200A Non-service entrance %...._............._.._._._._�' e� ..a.. ... 100A and 200A Service entrance f , Our energy working for you." 02013 Cummins Inc.1 NAS-5775a(9/13) power.cummins.com Accessories Transfer switch (also sold separately) • Coolant heater • Automatic Transfer Switches available in 100A and • Extreme cold weather kit 200A. • HM1211 RS in-home display, including pre-configured • Service Entrance models also available,which helps 12"harness reduce the installation cost. • HM1211 remote display, including pre-configured • All models LIL listed to UL 1008 standard. 12"harness • Available for both Indoor and Outdoor applications. • HM1220 remote display • Compact design and compatibility with the Cummins • Auxiliary output relays(2) generator set helps reduce the installation time for the • Auxiliary configurable signal inputs(8)and relay complete application. outputs(8) Warranty policy • Annunciator-RS485 • Internet monitoring device-PowerCommand 500 The Cummins RS and RX generator set models come • Battery chargers-stand-alone, 12V with ail year/400 hour standby warranty. Automatic • Enclosure Sound Level 1 to Sound Level 2 upgrade kit Transfer Switches come standard with a 2 year warranty. • Enclosure paint touch up kit Extended warranty options available. Please see • Base barrier-elevated genset Cummins'dealers/distributors for details. • Alternator heater AfteIr sale support • Maintenance and service kit • Engine lift kit Largest distributor/dealer support network Cummins Power Generation generator sets are supported by the largest and best trained worldwide certified distributor/dealer network in the industry.The network of knowledgeable and highly trained dealers will qu help you select the right generator for your application and advise your on associated accessories for your generator.The dealer network can also help answer any questions you may have regarding operation and malntel fiances requirements of the generators.This same network offers a complete selection of commonly used WARNING: t WARNING: generator set maintenance parts,manuals and specification sheets. Standby rating based arc Applicable Bods food to a utility system can cause for supplying emergency power for the electrocution and/or property damage. Manuals:Operation and installation manuals ship with the duration of normal power Interruption* Do not connect to any building No sustained overload capability Is electrical except through an approved ; generator set.To obtain additional copies or other manuals available for this rating.(Equivalent to device or after building main breaker le fuel atop power In accordance with ops,. for this model,see your distributor/dealer and request the IS03048,AS2789,DIN6271 and SM14.)nominally rated.Sea TM. following manual numbers:Operator(A045R242),Installation (A045R241),Parts(A046Z674),Service(A04513243). To easily locate the,nearest certified distributor/dealer for Cummins generators in your area,or for more information,contact us at 1-800-344-0039 or visit power,.cum mins.com. Contact your distributor/dealer for more information. North America 1400 73rd Avenue N.E. Minneapolis,MN 55432 USA Phone 763 574 5000 Fax 763 574 5298 Power Our energy working for you' Generation 02013 Cummins Inc.All rights reserved. Cummins is a registered trademark of Cummins Inc. "Our energy working for you."is a trademark of Cummins Power Generation.Other company,product,or service names may be trademarks or service marks of others.Specifications are subject to change without notice. power.cummins.Com NAS-5775a-EN(9/13)