Loading...
HomeMy WebLinkAbout48022-Z Town of Southold 8/17/2023 P.O.Box 1179 cco� 53095 Main Rd 10W 1 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44457 Date: 8/17/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 5050 Nassau Point Rd., Cutchogue SCTM N: 473889 See/Block/Lot: Ill.-8-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/31/2022 pursuant to which Building Permit No. 48022 dated 1 6/29/2022 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: accessoKy generator as gpplied for. The certificate is issued to O'Conner,Courtenay&Brent&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48022 5/30/2022 PLUMBERS CERTIFICATION DATED ized S' e ��¢o�gOfFD� TOWN OF SOUTHOLD G 'k BUILDING DEPARTMENT y TOWN'CLERK'S OFFICE o • SOUTHOLD, NY �yti+4^ 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#: 48022 Date: 6/29/2022 Permission is hereby granted to: O'Conner, Courtenay 123 Rutland Rd Brooklyn, NY 11225 To: install generator as applied for. Provide vehicle protection barrier. At premises located at: 5050 Nassau Point Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-8-14 Pursuant to application dated 5/31/2022 and approved by the Building Inspector. To expire on 12/29/2023: Fees: ACCESSORY $100.00 ELECTRIC $85.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $235.00 Building Inspector pF SOUTyoI Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlin(-town.southold.nv.us Southold,NY 11971-0959 'Q �ycOUNT`l,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Courtenay O'Conner Address: 5050 Nassau Point Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 48022 section: 111 Block: 8 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Peconic Power Systems License No: 45056ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey 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 UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 24kW Generac Generator w/ 150A Transfer Switch Notes: Generator Inspector Signature: Date: May 30, 2023 S.Devlin-Cert Electrical Compliance Form OF SO(/T�o6 Eo 2Z- TOWN OF SOUTHOLD BUILDING DEPT. `y"Coum, 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) '[,�j ELECTRICAL (FINAL) [ ] CODE VIOLATION /[ - ] .PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ..� 0 FOUNDATION(IST) N y ------------------------------------ N � FOUNDATION(2ND) Ml z I � cn ROUGH FRAMING& y PLUMBING C U � r INSULATION PER N.Y. STATE ENERGY CODE 4 CIS S 0 FINAL co G ADDITFONkL COMMENTS O n Z � m r0 Cl) Q tv C �O N z � tv ►d H fi SUFFO(,� =�o.A coGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT y. Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �y�o• ��o�� Telephone (631) 765-1802 Fax (631) 765-9502 hltps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT yl %0 For Office Use Only ® E C E � ��] I5 PERMIT N0. C�4/ BuildingInspector: LC, t= p MAY 3 12022 Applications and forms must be filled out in their entirety. Incomplete BUILDING DL applications will not be accepted. Where the Applicant is not the owner,an TOWN OF SOUTHOLD Owner's Authorization form(Page 2)shall be completed. Date: May 19, 2022 OWNER(S)OF PROPERTY: . Name:Arthur Browne TiC�1000-111-08-014 Project Address: 5050 Nassau Point Rd. Cutchogue, NY 11935 Phone#: 516-220-1586 Email: arthurjbrowne@gmail.com Mailing Address: 17 Hewitt Rd. Rockville Centre, NY 11570 CONTACT PERSON: Name: Artisan Construction Mailing Address:508 Main Road, Unit 3, Riverhead, NY. 11901 Phone#:631-808-3323 Email:jb@artisancai.com DESIGN PROFESSIONAL INFORMATION: Name: Erica Goetz Mailing Address: 92 Morningside Ave #44, New York, NY 10027 Phone#: 212-707-1105 Email: eg @ Studiogoetz.corn CONTRACTOR INFORMATION: Name:Artisan Construction Associates, Inc Mailing Address: 508 Main Rd. Unit#3 Riverhead, NY Phone#: 631-808-3323 .7TEmail: info@artisancai.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Ei]Other GENERATOR $12,500.00 Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 t PROPERTY INFORMATION Existing use of property: Residence Intended use of property: Residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes iiNo 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,Ordinances 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 of the New York State Penal Law. Application Submitted By(print name : 0Authorized Agent ❑Owner Signature of Applicant: Date: !S\ STATE OF NEW YORK) SS: COUNTY OF ) �C"' �6�S-4f1_� being duly sworn,deposes and says that(s)he is the applicant (Name of individualsigningcontract) above named, (S)he is the ucb 1Ct0✓ (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 C�M v , 20�_ 0 A A k�n e e r Ire a 1 AP Notary Public Jennifer Cummings NOTARY PUBLIC.STALE OF NEW YORK. PROPERTY OWNER AUTHORIZATION Registration Suffolk Cou6397 nty Qoitised in Suffolk county (Where the applicant is not the owner) Commission Egims09/09•=023 Arthur Browne 17 Hewitt Rd. Rockville Centre, NY I, residing at do hereby authorize�MF)C0J0,1*Ct\�l�r-1�snn�rn for� to apply on my behalf to the Town of Southold Building Department for approval as described herein. Q3 ner's Signature Date Arthur Browne Print Owner's Name 2 MAY "2 BUILDING DEPARTMENT- Electrical *WP44or TOWN OF SOUTHOLD -PUILDN',DEP- Town Hall Annex- 54375 Main Road - PO Box"I` 79' '''QT Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 5/19/2022 Company Name: Peconic Power Systems Electrician's Name: Robert Stanevich License No.: ME-45056 Elec. email:Peconicpowersys@gmail.com Elec. Phone No: 631-383-8502 211 request an email copy of Certificate of Compliance_ Elec. Address.: 315 Commerce Drive, Cutchogue 1193 JOB SITE INFORMATION (All Information Required) Name: Artisan Cie 091"C Address: 5050 Nassau Point Road, Cutchogue Cross Street: Phone No.: 631-383-8502 Bldg.Permit email: Tax Map District: 1000 Section: Block: Lot:, B-RIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: -] Is job ready for inspection?.- YES [] NO Rough In Final Do you need a Temp Certificate?: FS/ YESF-] NO -IssueOn- Temp Information: (All information required) Service Size�l PhFJ3 Ph Size: .300 A # Meters 1 Old Meter# 0 New ServiceE]Fire ReconnectEl Flood Reconnect�Service Reconnect Rlunderground 0Overhead # Underground Laterals[]1 02 ZHFrame F] Pole Work done on Service? Y []N Additional Information: PAYMENT DUE WITH APPLICATION P�u,vi 4 E C MAY 2 , � Electrical 14 Oil �l Fir BUILDING DEPARTMENT or ZP eln, TOWN OF SOUTHOLD BUILDING DEPT � Town Hall Annex- 54375 Main Road PO B ox I J�l§F-SOUTHOLD Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 'V ov rogerrasoutholdtownny.gov p- seand@southoldtownnv.g APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 5/19/2022 Company Name: Peconic Power Systems Electrician's Name: Robert Stanevich License No.: ME-45056 Elec. email:Peconicpowersys@gmail.com Elec. Phone No: 631-383-8502 El I request an email copy of Certificate of Compliance Elec. Address.: 315 Commerce Drive, Cutchogue 1193=,O JOB SITE INFORMATION (All Information Required) Name: Artisan C"d" 011 Pe Address: 5050 Nassau Point Road, Cutchogue Cross Street: Phone No.: 631-383-8502 Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: -1 Final Is job ready for inspection?- YES [] NO []Rough In F Do you need a Temp Certificate?: V YES F-] NO -issued Temp Information: (All information required) Service SizeFV11 PhF-]3 Ph Size: 300 A # Meters 1 Old Meter# Z' New Service[]Fire ReconnectE]Flood Reconnect Oservice Reconnect Elunderground Doverhead # Underground Laterals M 1 F2 R1 H Frame 0 Pole Work done on Service? 0 Y MN Additional Information: CJI � i 75P � `t 7'& '-/ 3 PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets G FI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments I { Suffolk County Dept. of Labor; Licensing &Consumer Affairs HOME IMPROVEMENT LICENSE i i Name i r SEAN L FORESTAL i 1, i l 6 ....,. nirutumuians�rnrrurrtmuua11 :rnw vuai��caa.i�a���c This certifies that the ARTISAN CONSTRUCTION ASSOCIATES INC bearer is duly licensed by the County of suffolk License Number: H-57456 Rosalie Drago Issued: 09101/2016 Commissioner Expires: 09/01/2022 i CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `ACORO 02107/2022 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 NAME: Jennifer Heiser AX Nicholas Devito Agency, Inc. IPA N o - (631)509-6388 FA//C No: (631)509-0099 449 Route 25A E-MAIL ADDRESS: jennifer@devitoagency.com Mount Sinai, NY 11766 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Evanston Insurance Company 35378 INSURED Artisan Construction Associates Inc. INSURER B: Merchants Preferred Ins. Co. 12901 508 Main Road INSURER C: Unit 3 INSURER D: Riverhead, NY 11901-1906 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00020421-894318 REVISION NUMBER: 17 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IVSD WVD SUER POLICY NUMBER MM DD/YYYY MM DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y MKLV1 PBC002297 01/28/2022 01/28/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 0 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICYEk PE& F-1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ CMBIB AUTOMOBILE LIABILITY CAP1070675 03/03/2021 03/03/2022 Ea accidentsINGLE LIMIT $ 1.000000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Per accident A X UMBRELLA LIAB X OCCUR MKLV1 EUL103234 01/28/2022 01/28/2023 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 L—L:DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If 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 If more space Is required) Town of Southold is included as additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 54375 Main Road ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE J-H ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by J-H on 02/07/2022 at 09:23AM 4 �III� NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE R ^^^^"^ 462050744 ARTISAN CONSTRUCTION ASSOCIATES INC 508 MAIN ROAD UNIT 3 RIVERHEAD NY 11901 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ARTISAN CONSTRUCTION ASSOCIATES INC TOWN OF SOUTHOLD 508 MAIN ROAD 54375 MAIN ROAD UNIT 3 PO BOX 1179 RIVERHEAD NY 11901 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12325738-9 394294 01/29/2022 TO 01/29/2023 2/7/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2325 738-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT SEAN FORESTAL SECRETARY/TREASURER MAUDE ADAMS ARTISAN CONSTRUCTION ASSOCIATES INC (TWO PERSON CORP) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:392242744 I I_�R YORK workers' CERTIFICATE OF INSURANCE COVERAGE ware Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured ARTISAN CONSTRUCTION ASSOCIATES INC 631-808-3323 508 MAIN ROAD, UNIT#3 RIVERHEAD,NY 11901 1c. Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) 462050744 2.Name and Address of Entity Requesting'Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold 54375 Main Road 3b. Policy Number of Entity Listed in Box"1 a" PO Box 1179 DBL438904 Southold, NY 11971 3c.Policy effective period 01/29/2022 to 01/28/2023 4. Policy provides the following benefits: © A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: © A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. rl 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 described above. Date Signed 5/31/2022 By gwI aht (Signature of Insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer 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 513 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 emailed to PAU@wcb.ny.gov or it can 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 4B,4C or 5B have 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(Article 9 of the Workers'Compensation Law)with respect to all of their 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. D13-120.1 (12-21) 1111111111111111111111111111111 �� 1111111 Additional Instructions for Form 1313-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage (Certificate) to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is cancelled 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 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. i This Certificate is issued as a matter of information only and confers no rights upon the certificate holder. This Certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This Certificate may be used as evidence of a NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits 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 Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) 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 employment as defined in this article, and not withstanding 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 the payment of disability benefits and after January first, two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. 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 disability benefits to any such employee if so employed. (b)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 employment as defined in this article and 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 the payment of disability benefits and after January first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (12-21) Reverse ORTISAN CONSTRUCTION ASSOCIATES LETTER OF TRANSMITTAL Date: 5/31/22 To: Town of Southold — Building Department From: Artisan Construction Associates, Inc. Re: ACAI Project #262 — 5050 Nassau, Point Rd, Cutchogue We transmit: ( X ) Hardcopy (: ) Weblink O Email Attachment Remarks: Attached please find the'following documents pertaining to 5050 Nassau Point Rd. generator permit application • Completed, signed and notarized Building Permit Application • Four stamped surveys showing proposed generator location • Generator specifications • -Suffolk'County License for Artisan Construction • Liability Insurance Certificate • Worker's Compensation Insurance Certificate • Certificate of Disability Insurance If,you have any questions or need any additional information, please contact me at my office (contact information below). Thank you, Jaimie Bishop ib@artisancai.com 631-808-3323 ext. 1103 508 Main Road,Unit 3 Riverhead,NY 11901 P: 631.808.3323 F:631.808.3324 artisaneastend.com A N SURVEY OF PROPERTY A T CUTCHOG UE RpP� TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. PRp� IP�ER \ (, 1000-111-08-14 scTM# SCALE: 1'=30 1000-111-08-12.1 JUNE 24, 2020 LOT 149 JAN. 31, 2022 (PROPOSED HOUSE) DWELLING MARCH 29, 2022 (FOUNDATION LOCATION) PUBLIC WATER APRIL 14, 2022 (SPOT ELEVATIONS) I MAY 27, 2022 (PROPOSED) SCTM# rn 1000-111-09-10 00 DWELLING 1 PUBLIC WATER j I O I I SCTM# 1000-111-08-13 I LOT 148 I DWELLING EL 67.5' r PUBLIC WATER 0 306.8Q'� ON oN \,\ONN BB CURB\�RIv \ � \ =Q\ EL=86.4\\ pSPNP�� \ \�76.3' POT EL.M OT EL. �I �1 O o 79.2' z Z co m r*1 mb .' ---- -----90• \ I S�\rA o TEST HOLE DATA _ /' BB 2�°� �o o \\ a Z MCDONALD GEOSCIENCE EL 87.6' __88.__ / APRON \ �� 6,1312020 N. CMF // 21.3 FOUNDATION 78q G I % w // pdEl- CCpCf p N EL 90'1 SPOT L t EL. 86.4. 1.0 W / �� / o / C,Ft SO 77.6'I •P\ SCTM# MIXED SAND & LOAM �' 1 - q.0 q / / �3 1 la• I � 1000-111-09-11 S• PROPOSED UND PROPOSED S T + 1J z r, 12 3 PROPANE UNDERGROTAN�'' 7 .3' X o = C PUBLIC DWELLING 2 rn GENERATOR O clk BROWN SILTY SAND SM zo 2' CONC. .� 3' (A M 1 SN• FR'i' \ Q 2�q � `—t0.o \\ O o � 03 6' \ \� SPOT EL. X o\ co EL 68.E:' END RET. 76.6' END RET. Q.\ WALL 2.0'S ON P� Z WALL 2.0'S 13k'6 \\ \\ p I GREENI gUSHE ON �G6 OF REQ SCTM# I \ 1 C F .END jCM OF PALE BROWN FINE SAND SP 1000-111-08-16 I LOT 147 \\\ 1 //j 014'N REj wAu ON O 304.95 END PALE 0 'SCC..// `� LOT 152 1 \ I i STONE DWELLING / CE \\ CONC. BLOCK EE D RET. ON PUBLIC WATER / CHIN LINK FEN WA_L 2.V00 S �/ v �v -L 17' FEN.c R. DE FENCE 0.6'S ND C NO7E.• NO WATER ENCOUNTERED E ST- S 89.9' 0�E 57g40'QQ"\,N CMF FEN.COR. SCTm# � 0.4's 1000-111-08-15 LOT 146 ELEVATIONS REFERENCED TO NAVD 88 DWELLING MAY 1 1 i"9 PUBLIC WATER - ALL PROPER77ES WITHIN 150' ON PUBLIC WATER BUILDING DEPT. TOWN OF SOUTHOLD KEY SCTM# 1000-111-09-12 Q DWELLING = REBAR 0 PUBLIC WATER ® = WELL o ® = STAKE LOT 151 = TEST HOLE ® = PIPE ® = MONUMENT �P�E of ft;. = J. WETLAND FLAG S0 # oo�'p�oFr�,��� 1000-111-08-18 C-CL = U77LITY POLE LOT 145 •9, cp DWELLING = HYDRANT PUBLIC WATER < /` �'0�tftsiey-. �s 'OS1t3z4%� SND s LOT NUMBERS REFER TO "MAP OF AMENDED MAP 'A' OF NASSAU POINT, OWNED BY NASSAU POINT CLUB PROPER77ES, INC" FILED IN 7HE SUFFOLK N.Y.S. LIC, NO. 49618 COUNTY CLERK'S OFFICE ON AUGUST 16, 1922 AS FILE NO. 156. .Y.S LIC. NO. 051132-01 ANY ALTERA770N OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW AREA= 30,576 SO. FT. TO TIE LINE PECONIC SUR S, P.C. YORK STATE EDUCA77ON LAW. EXCEPT AS PER SEC77ON 7209-SUB0I104SION 2. ALL (631) 765-5020 FAX (631) 765-1797 CER77F/CA77ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR P.O. BOX 909 COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD,TAEL Y. 11971 STREET AZO-025 N SURVEY OF PROPERTY A T CUTCHOGUE ?OPD TO WN OF SOUTHOLD SUFFOLK COUNTY N. Y. p.Rp� �PPpER \ f G 1000-111-08-14 scTM# SCALE.• 1'=30 1000-111-08-12.1 JUNE 24, 2020 LOT 149 �\ JAN. 31, 2022 (PROPOSED HOUSE) DWELLING1 MARCH 29, 2022 (FOUNDA77ON LOCATION) PUBLIC WATER APRIL 14, 2022 (SPOT ELEVA77ONS) MA Y 27, 2022 (PROPOSED) SCTM# O? 1000-111-09-10 0 DWELLING I PUBLIC WATER r I O I I SCTM# 1000-111-08-13 I LOT 148 DWEWNG EL 67.5' I r PUBLIC WATER r CMF f� \ \ _ , O 306•80 ° XS3 \ °" \ (I1 ON g0 03Re TH \ \ N LOT 153 n EL-86 4' \ \ psPNA�" \ SPOT EL.�r1, \ NO 836'20 ` ® \ OT EL. 76.3' ' ---------------N— \ \ 79.2' Z Z � m 1FST HOLE DATA -- ----90• — McDONALD GEOSCIE EL 87.6' _-- �''' / APRON NCE -- 88 / \ c1 Z 6,732020 1.0 /-- / 21.3 N m EL. 86.4' 1.0'W CMF // V£L -CQ COgCRvE FOEL. 0,01. CA 7a.`1 `ems SPOI L. MIXED SAND & LOAM 1 9 //GRA � TO, 77.6'1 .P�\ SCTM O Z z 11a 18.3 1q. 1>3� S ' PROPOSED OSED SPOT EL • 1 1000-111-09-11 '1 m 12 3 h UNDERGROUND PROP GENERATOR 77.3' X O O DWELLING BROWN SILTY SAND SM N i z02' w CONC. CA N PROPANE TANK -7 \� _ 0 PUBLIC WATER 3 wP+ G gi2o�. Q 2A q �0 1\ �'1 Q 25.6' I \\ \\\\ I W END RET. SPOT EL. X O co EL 68.6' 0.� WALL 2.G'S 76.6' END RET. \ \ I I \ pN PY ?WALL 2.0'S 0 G / I GREENI gUSN \ O" GE OF ORN�Pu SCTM# I 0 FdN.END y10`N OF EO STONE R� I PALE BROWN FINE SAND SP 1000-111-08-16 \ /' 014'N ' I LOT 147 \ I / / p END RET. WALL / O" WALL 2.0'S DWELLING to % FENCE \\ 1 CONC. BLOCK EBG RET. ON PUBLIC WATER o / cN�N LINK WALL 2.1's 17 0.8' BOR. �OCKAOE FENCE 0.6'S FEN.END � NOTE. NO WATER ENCOUNTERED EL 89.9' o'SE S7640'00" CMF FEN.COR. SCTM# 0.4's 1000-111-08-15 LOT 146 ELEVATIONS REFERENCED TO NAVD 88 DWELLING ALL PROPERTIES WITHIN 150' ON PUBLIC WATER PUBLIC WATER KEY SCTM# 1000-111-09-12 Q = REBAR DWELLING ® = WELL 0 0 PUBLIC WATER ® = STAKE LOT 151 = TEST HOLE ® = PIPE ® = MONUMENT OF NF = WETLAND FLAG ScTm1000-111-08-18 g'�o� �•4'Fj��q� = UTILITY POLE = HYDRANT DWEWNGi '� -A9 PUBLIC WATER LOT NUMBERS REFER TO "MAP OF AMENDED MAP 'A' OF NASSAU POINT, ND OWNED BY NASSAU POINT CLUB PROPERTIES, INC" FlLED 1N THE SUFFOLK N.Y.S. LIC. NO. 49618 COUNTY CLERK'S OFFICE ON AUGUST 16, 1922 AS nLE NO. 156. Y.S. LIC. NO. 051132-01 ANY ALTERATION OR ADD177ON TO THIS SURVEY IS A WOI A77ON OF SECTION 7209 OF THE NEW AREA= 30,576 SO. FT. TO TIE LINE PECON/C SUR S, P.C. YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL (631) 765-5020 FAX (631) 765-1797 CER7IF/CA77ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR P.O. BOX 909 COPIES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. 1230 TRAVELER STREET SOU7HOLD, N.Y 11971 20-025 APPRO ED AS NOTED DATE: 13.P.# A FEE: � s 6n BY: 00, ��jj NOTIFY BUILDING °ARTMENT AT OCCUPANCY OR 765-1802: -8 AM TC 4 PM FOR THE USE, IS UNLAWFUL FOLLOWING INSPECTIONS: 1. FOUNDATION - TWi; REQUIRED WITHOUT CERTIFICATE FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING OF OCCUPANCY 3. INSULATION 4. FINAL - CONSTr-!.! TION MUST BE COMPLETE C.J. ALL CONSTRUCTION Sh,ALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. i COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES ELECTRICAL AS REQUIRED AND CONDITIONS OF INSPECTION REQUIRED _n ru'v n Tnv 4 70 D SST _ ' ttdG BOARD -SOT LD TOWN TRUSTEE )IC f(w je vA l4c lL prdec,,km b Q vr'er i r GENERAC® kW - GUARDIAN® SERIES 202224 k _ / / Residential Standby Generators MAY 3 '+ 2022 Air-Cooled Gas Engine BUILDING tDEPT. TOWN OF SOUTHOLD r Standby Power Rating INCLUDES: G007038-1,G007039-1,G007038-3,G007039-3(Aluminum-Bisque)-20 kW 60 Hz • True Power'" Electrical Technology G007042-2,G007043-2,G007042-3,G007043-3(Aluminum-Bisque)-22 kW 60 Hz G007209-0,G007210-1(Aluminum-Bisque)-24 kW 60 Hz • Two-line multilingual digital LCD Evolution'"" controller (English/Spanish/French/Portuguese) • 200 amp service rated transfer switch available • Electronic governor • Standard Wi-Fi®connectivity • System status&maintenance interval LED indicators �I • Sound attenuated enclosure €. �I • Flexible fuel line connector • Natural gas or LP gas operation GENERAC' . • 5 Year limited warranty • Listed and labeled for installation as close as 16 in(457 mm)to a \\ structure.` .--_ 'Must be located away from doors,windows,and fresh air intakes and in accordance with local codes. G-Sor C Ill �L US n� /' ry ��LISTED Xv w Mob 5a CETL or CUL certification only applies to unbundled units and units packaged with limited 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 Gen- O SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION: This erac'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 mod- Force engine lineup offers added peace of mind and reliability for when it's needed els.It provides optimized FAST RESPONSE to changing load conditions and MAXI- the most.The G-Force series engines are purpose built and designed to handle the MUM MOTOR STARTING CAPABILITY by electronically torque-matching the surge rigors of extended run times in high temperatures and extreme operating conditions. loads to the engine.Digital voltage regulation at±1%. O TRUE POWER'"ELECTRICAL TECHNOLOGY:Superior harmonics and sine wave O 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 small- allows confident operation of sensitive electronic equipment and micro-chip based est electronic component. appliances,such as variable speed HVAC systems. O TEST CRITERIA: O GENERAC TRANSFER SWITCHES:Long life and reliability are synonymous with ✓ PROTOTYPE TESTED ✓ NEMA MG1-22 EVALUATION GENERAC POWER SYSTEMS.One reason for this confidence is that the GENERAC ✓ SYSTEM TORSIONAL TESTED ✓ MOTOR STARTING ABILITY product line is offered with its own transfer systems and controls for total system compatibility. O MOBILE LINK CONNECTIVITY:FREE with select Guardian Series Home standby generators, Mobile Link Wi-Fi allows users to monitor generator status from any- where 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. w GENERAC (9 ® ~IPROMISE .•` .� ` GENERAC® 20/22/24 kW Features and Benefits _ Engine • Generac G-Force design Maximizes engine"breathing"for increased fuel efficiency.Plateau honed cylinder walls 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 of 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,lightweight unit that operates 25%more efficientlythan 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 313 Can be installed inside or outside for maximum flexibility. • Integrated load management technology Capability to manage additional loads for efficient power management. • Remote mounting Mounts near an existing distribution panel for simple,low-cost installation. Evolution— Controls • AUTO/MANUAL/OFF illuminated buttons Selects the operating mode and provides 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 delivered to the home. • Utility interrupt delay Prevents nuisance start-ups 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.Also 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. GENERAC® 20/22/24 kW Features and Benefits Installation System • 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(Wi-Fi equipped models only) • Ability to view generator status Monitor generator with a smartphone,tablet,or computer at any time via the Mobile Link application for 3 of ' 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 the 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. GENERAC® 20/22/24 kW Specifications CM Generator Model G007038-1 G007042-2 G007038-3 G007042-3 G007209-0 G007039-1 G007043-2 G007039-3 G007043-3 G007210-1 (20 kW) (22 kW) (20 kW) _ (22 kW) (24 kW) Rated maximum contmuousJ ower ca acit LP - - - - 20,000 Walt,*' 22',000 WatW__ 20,000 Watts' 22,000 __Wafts* KNO 0 Watts' Rated maximum continuous power capacity(NG) 18,000 Watts* 19,500 Watts* 18,000 Watts* _ 19,500 Watts* 21,000 Watts* - - - - --- - - -- -- - - - --- -- - Rated voltage._ - - 240 Rated maximum continuous load current-240 volts(LP/NG) 83.3/75.0 91.7/81.3 83.3/75.0 91.7/81.3 - 100/87.5 r ' Total Har monicf)istorlionLess than 5% Main line circuit breaker 90 amp 100 amp 90 amp 100 amp. 100 amp Number of rotor poles 60 2 Hz Power factor 1.0 r6alterycequirement not included] ,' --N� ,Y Y= _ _ _ 12 Volts,Grou 26R 540 CCA minimum or Grou 35A_GM 650_CC_A minimum 1 Unit weight(lb/kg) 448/203_ 466/211 436/198 445/202 455/206 (Dimensions(LxWV�xH)in/cm-�__ .___-__ ___�--.A.�-_ Sound output in dB(A)at 23 fF((7 m)with generator-- operating at normal_ load** 67 67 67 67 67 Sound output in dB(A)at 23 it(7 m)with generator m Ouiet-Test'"low-s eed exercise mode** 55 57 55 57 57 Exercise duration -- -- ------ ---5min ----- ---� - - ---- - ---� Engine Engine type GENERAC G-Force 1000 Series LIJu'mber of c finders 2 Displacement 999 cc _-- .__-- _._ ._ ________._- _ __- - --___.__ -.---_--- -__-_____-._-."-___.______.-_ [Cylinder block - - Aluminum w/cast iron sleeve ; Valve arrangement Overhead valve -- __ ._..__,_...___..---______,____ ._-.____.,____--__-_--. .--__--_-._..----.____ CIgn tion system— d Solid-state w/magneto - - ----- -- - -- - ----- -- -- - - - - -- - -- - - --- - - - - -- - -- --- Governor system Electronic r--_ Compression ratio 9.5:1 Starter 12 VDC Od cpac!ty including filter - Approx.1.9 qt/1.8 L Operating rpm 3,600 r Fuel consumption Natural gas il3/hr(m3oad 204(5.78) 228(6.46) 164(4.64) 203(5.75) ! I 1/2 Load ' Full Load 301(8.52) 327(g.26) 287(8.13) 306(8.66) Liquid propane ft3/hr(gal/hr)[Uhr] I 1/2 Load 87(2.37)[8.991 92(2.53)[9.57] 86(2.36)[8.95] 92(2.53)[9.57] L _ - Full Load 130(3.56)[13.48] 142(3.90)[14.77] 136(3.74)[14.15] 142(3.90)[14.77] Note:Fuel pipe must be sized for full load.Required fuel pressure to generator fuel inlet at all load ranges-3.5-7 in water column(0.87-1.74 kPa)for NG,10-12 in water column(2.49-2.99 kPa)for LP gas.For BTU content,multiply ft3/hr x 2500(LP)or ft3/hr x 1000(NG).For Megajoule content,multiply m3/hr x 93.15(LP)or m3/hr x 37.26(NG). Controls Two-line plain text multilingual LCD Simple user interface for ease of operation. LMode buttons:AUTO Automatic start on utility failure.Weekly,Bi-week) ,or Monthselectable exerciser. 1 MANUAL Start with starter control,unit stays on.If utility fails,transfer to load takes place. r-- - --- - -- -- OFF Sto s unit.Power is removed.Control and char er still o rate. Ready to Run/Maintenance messages Standard t'Engine run hours indication -- _ __._.._.-. _._. __.. ._._ ___--. -=_--_-_ __---Standard - _-__ Programmable start delay between 2-1500 seconds Standard(programmable by dealer only) PUtiliry VoltageLoss%Return to Utilityadjustable(brownout setting) - -� - _ „ _ -_ From 140_171 V/190.216 V - - - - — y Future Set Capable Exerciser/Fxercise Set Error warning Standard rRun/Alarm/Maintenance logs - - Engine start sequence Cyclic cranking:16 sec on,7 rest(90 sec maximum duration). IStarter lock-out- Stader cannot re-engage until 5 sec after engine has stopped_- Small Battery Charger Standard Charger FauIVMi'ssing AC warn]ng "T__- Low Battery/Battery Problem Protection and Battery Condition indiction Standard Automatic Voltage Regulation with Over and Under Voltage Protection _ _ _ __. ' Standard Under-Frequency/Overload/Stepper Overcurrent Protection Standard Safet Fused/Fuse Problem Protection - -__.___ _-___________�___._._.-___,..•____._-_7— Automatic Low Oil Pressure/High Oil Temperature Shutdown Standard OvercranWN&e&peed(@ 72 Hz)/tpm Sense Loss Shutdown - - - - ^ Standard High Engine Temperature Shutdown Standard Internal FaulVinccoorrect Wiring protection _ - _ Standard Common external fault capabilityStandard__ (Feld upgradable firmware _ _` - -_ --Standard `*Sound levels are taken from^the front of the generator--.Sound- -levels- --taken- from other sides-of the-generato-r may be higher depending on installation parameters.Rating definitions-Standby:Applicable for supplying emergency power for the duration of the utility power outage.No overload capability is available for this rating.(All ratings in accordance with BS5514,ISO3046 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 also will decrease approximately 1%for each 1 O°F(60C)above 60°F(16°C). GENERAC® 20/22/24 kW Switch Options CM Service Rated Automatic Transfer Switch Features G007039.1,6007039.3(20 kW) 04 • Intelligently manages up to four air conditioner loads with no additional hardware. model 6007043-2,6007043.3(22 kW) _ • Up to eight additional large(240 VAC)loads can be managed when used in conjunction No.of poles 2 with Smart Management Modules(SMMs). `� �! Current rating(amps) 200 • Electrically operated,mechanically-held contacts for fast,clean connections. Voltage rating(VAC)�_'_ W_ �`120/2_40,107—�� • Main breakers are rated for 80%continuous load. Utility voltage monitor(fixed)* -Pick-up 80% • 2-pole,250 VAC contactors. -Dropout • Service equipment rated,dual coil design. Return to tility — �, Approx.13 sec ETL or UL listed Standard • Rated for both aluminum and copper conductors. Enclosure t e NEMA/UL 3R Y 7 • Main contacts are silver plated or silver alloy to resist welding and sticking. Circuit breaker protected 22,000 • NEMA/UL 3R aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. fLug range r _-_— 250 MCM-#6 _ 1 *Function of Evolution controller n Dimensions Exercise can be set to weekly,bi-weekly,or monthly W, 200 Amps 120/240,1a Open Transition Service Rated H1 Height H2 W1 W2 Width Depth in 26.8 30.1 10.5 13.5 6.9 cm 67.95 76.43 26.67 F34.18, 17.5 H2 "' Wire Ranges Conductor Lug Neutral Lug Ground Lug 250 MCM-#6 350 MGM-#6 2/0-#14 oerra I—wa--1 GENERAC® 20/22/24 kW Available Accessories _ Model# ---Product T� Description T~— Ii G007101-0 Battery Pad Warmer 'Pad warmer rests under the battery.Recommended for use if temperature regularly falls below 0°F(18°C).(Not nec- essary for use with AGM-style batteries). – _-______..r G007102-0 ;Oil Warmer Oil warmer slips directly over the oil filter.Recommended for use'rf temperature regularly falls below 0 IF(-18°C). G007103 11 Breather Warmer Breather warmer is for use in extreme cold weather applications.For use with Evolution controllers only in climates where �iheavy 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 that may not be Contact Kit needed.Not compatible with 50 amp pre-wired switches. G007027-0-Bisque Fascia Base Wrap Kit The fascia base wrap snaps together around the bottom of the new air-coaled generators.This offers a sleek,contoured (Standard on 22/24 kW) f appearance as well as offering protection from rodents and insects by covering the lifting holes located in the base. G005703-0-Bisque Touch-Up Paint Kit ____ llf the generator enclosure is scratched or damaged,it is important to touch up the paint to protect from future corrosion. The touch-up paint kit includes the necessary paint to correctly maintain or touch up a generator enclosure. G006485-0Scheduled Maintenance Kit Generic's scheduled maintenance kit provides all the items necessary tG perform complete routine maintenance on a i �Generac automatic standby generator(oil not included). G007005-0 WiFi LP Tank Fuel Level The Wi-Fi enabled LP tank fuel level monitor provides constant monitoring of the connected LP fuel tank.Monitoring the Monitor LP tank's fuel level is an important step in verifying the generator is ready to run during an unexpected power failure.Sta- tus alerts are available through a free application to notify users when the LP tank is in need of a refill. f G007000-0(50 amp) Smart Management Module Smart Management Modules(SMM)are used to optimize the performance of a standby generator.It manages large elec- G007006-0 trical loads upon startup and sheds them to aid in recovery when overloaded.In many cases,using SMM's can reduce (100 amp) the overall size and cost of the system. d0_071 69_O4G_Lff Mobile Linku"'Cellular The Mobile Link family of Cellular Accessories allow users to monitor generator status from anywhere in the world,using G007170-0-Wi-FV Accessories a smart phone,tablet,or PC.Easily access information such as the current operating status and maintenance alerts.Us- Ethernet ers can connect an account with an authorized service dealer for fast,friendly,and proactive service.With Mobile Link, users are taken care of before the next power outage. G007220-0-Bisque Base Plug Kit Base plugs snap into the lifting holes Ton base of air cooled home standby generators.This offers a sleek,contoured appearance,as well as offers protection from rodents and insects by covering the lifting holes located in the base.Kit contains four plugs,sufficientfor use on a single air-cooled home standby generator. f Dimensions & PCs Model UPC 637.6 mm 1218 mm [25.1 Int [46.0 Int G007038-1 696471074185 G007038-3 696471074185 G007039-1 696471074192 G007039-3 696471074192 G007042-2 696471074208 7276�i G007042-3 696471074208 G007043-2 696471074215 G007043-3 6964710742150 4 0 0 G007209-0 696471071511 — 0007210-1 696471084801 646 mm ,z32 mm [25.5.1n] [46 5 inI LEFT SIDE VIEW FRONT VIEW Dimensions shown are approximate.See installation manual for exact dimensions.DO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. GENE RAC® Generac Power Systems,Inc. • S45 W29290 HWY.59,Waukesha,WI 53189 • generac.com ©2021 Generac Power Systems,Inc.All rights reserved.All specifications are subject to change without notice.Part No.A0000937814 Rev.D 04/14/2021