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�4QS'aFFOCK o� Town of Southold 9/30/2023 P.O.Box 1179 y 53095 Main Rd �4,, ao� ¢ Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44615 Date: 9/30/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 95 Vista Pl,Cutchogue SCTM#: 473889 Sec/Block/Lot: 83.-1-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/26/2023 pursuant to which Building Permit No. 49631 dated 8/31/2023 was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory generator as applied for. (maintain clearances 60"above and 36"on all sides) The certificate is issued to Lubanski,Frederick&Carolyn of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49631 9/25/2023 PLUMBERS CERTIFICATION DATED Aut ri edig ture �o�SUF QF4 TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "o • SOUTHOLD, NY y�ol �ao�tii� 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#: 49631 ti Date: 8/31/2023 Permission is hereby granted to: Lubanski, Frederick 95 Vista PI Cutchogue, NY 11935 ` To: install generator as applied for. At premises located at: 95 Vista PI, Cutchogue SCTM #473889 Sec/Block/Lot# 83.-1-21 Pursuant to application dated - 7/26/2023 and approved by the Building Inspector. To expire on 3/1/2025. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $235.00 Building Inspector ,\of SU�r�ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviin(-town.southold.ny.us Southold,NY 11971-0959 CoUNTv,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Frederick Lubanski Address: 95 Vista Place city,Cutchogue st: NY zip: 11935 Building Permit#: 49631 section: 83 Block: 1 Lot: 21 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Standard Electric Corp License No: 43098ME 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 150A UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 26kW Kohler Generator w/ 150A Transfer Switch, Surge Protector Notes: Generator Inspector Signature: Date: September 25, 2023 S.Devlin-Cert Electrical Compliance Form \ 0f SObIyO� 1 ell, Il/ / Vrs,� Pj/ * # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourm��' 631.765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 12 goz�l hl GC, DATE 1 SPEC"' OF 50pT�olo # TOWN OF SOUTHOLD BUILDING DEPT. urm��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [711FINALO"AA*L--� UGH PLBG. FOUNDATION 2ND [ ULATION/CAULKING FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ RE C/O [ ] RENTAL REMARKS: 1 c�/�i Rolm ' M0444VA (07 kw�- r DATE INSPECTOR OF 50UTyOlo * # TOWN OF SOUTHOLD BUIL NG DEPT. cou631.765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [//]�� PRE C/O [ ] _ RENTAL REMARKS: �r�AL, DATE INSPECTOR r ?IELD INSPECTION REPORT DATE COMMENTS "v FOUNDATION (1ST) 3 ------------------------------------ FOUNDATION (2ND) �z 0 ROUGH FRAMING& � PLUMBING 1 g-4 r r� INSULATION PER N.Y. H STATE ENERGY CODE � v 0 FINAL ADDITIONAL COMMENTS 05�vs � o z rn r0 c� r "i >t b H O z x H x d b H 1 I i �O��gUFFO�KcoG TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only 1 ECEIV5.3 i (� n I 'J1 PERMIT NO. Building Inspector: JUL 2 6 20 23 Applications and forrris-niust be filled out in their entirety..Incomplete applications will not be accepted. Where the Applicant is not the owner,an BUILDINGDEPT. Owner's Authorization form(Page 2)shall be completed. - .' T0117N X c017. 11(-1 Date: OWNERS)OF PROPERTY: Name: Fred & Carolyn Lubanksi _ _ sCTM#s000- 3-- Project Address:95_Vista Place_.Cutchogue,_NY-11935 Phone#:631-734-7699 Email: essie47 aol.com Mailing Address: 95 Vista Place Cutchogue,_NY 11935 CONTACT PERSON: Name: Chris Tyndall Mailing Address: 285- Pulaski._St.Riverhead, NY 11901" - Phone#:631-831-8569 Email:ctyndall@commanderpowersystems.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: _ Name: Standard Electric.Corp. Mailing Address: 6500 Jericho_Tpke.,.Suite_22E_ Syosset,NY 11791 Phone#: 516 819-8684 Email:cbrutto standardelectriccorp.com__. DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ROtherinstall new 26 KW propane generator with 200 Amp transfer switch $11,000.00 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo 1 PRO PERTY-1-NFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. C(teCk$Ox After Reading -The owner/contractor/design professional is responsible for all drainage and storm water issues4s provided by: Chapter 236 of the Town Coder APPLICATION_IS HEREBYMAOE to the Building Department for the issuance,of a Building Petmii ursua' to the Building zone, Ordinance of the Town Soathold,Suffolk;County;New York and otherapplicabie Laws;Ordinances or Regulations;for the construction-of buildings,. ; Additions,alterations or fo,tremoval or demolition as herein described.The applicant agrees to comply with.ail applicable laws,ordinances,.building code, housing code and regulations and.to admit authorliad lnspectors on premises.and in buliding(s).fornecessary inspections:False statements made herein are punlshable as a Class A-nmisdemeanorpursuant to Section 210.45'of the kew_Yc rleState Penal Law. Application Submitted By(print ame): ade f Authorized Agent []Owner .._. ._.._QY..._... _!!�._ Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing c(kract)above named, 4(So is the t Contractor !gen ,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. Paula Pesce Sworn before me this Notary Public, State of New York Reg. No.01PE6425015 day of �y�� , Zp Z,� Qualified in Suffolk County My Gemmiscion Expims 11/1512025 otary Publi PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, `_ARoI.�,✓ �.��Agsk1 residing at 95 VPSil� ��.oC2. (.v���laCyWe Ne-Lu Aak 1113C do hereby authorize ede rs ro n Ek �yea 19 LL to apply on my behalf to the Town of Southold Building Department for approval as described herein. Ow er's Signature Date ,q,eo Ly^r L i✓8,9 n)sk� Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD t � Town Hall Annex- 54375 Main Road - PO Box 1179 co o Southold, New York 11971-0959 41- 0� � Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(@-southoldtownny.gov— seand casoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Standard Electric Corp. Electrician's Name: Calogero Brutto License No.: ME-43098 Elec. email:cbrutto@standardelectriccorp.com Elec. Phone No: (516) 819-8684 ❑I request an email copy of Certificate of Compliance Elec. Address.: 6500 Jericho Tpke., Suite 22E Syosset, NY 11791 JOB SITE INFORMATION (AII Information Required) Name: Fred & Carolyn Lubanski Address: 95 Vista Place Cutchogue, NY 11935 Cross Street: Birch Lane Phone No.: 631-734-7699 Bldg.Permit#: email:essie47@aol.com Tax Map District: 1000 Section: Block: I Lot: 1 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: F] YES ❑✓ NO R Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES FV1 NO Issued On Temp Information: (All information required) Service SizeVR1 Ph F13 Ph Size: 150 A # Meters 1 Old Meter# ❑New Service[]Fire Reconnect[]Flood Reconnect[]Service Reconnect[]Underground[✓, Overhead #Underground Laterals PI 1 2 M H Frame Pole Work done on Service? F1 Y ✓ N Additional Information: PAYMENT DUE WITH APPLICATION r� SUFF0C,�7 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 c+a . .s.-- Southold, New York 11971-0959 o Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(c-southoldtownny.gov seand(a�southoldtownny. ov APPLICATION FOR ELECTRICAL INSPECTION t ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Standard Electric Corp. Electrician's Name: Calogero Brutto License No.: ME-43098 Elec. email:cbrutto@standardelectriccorp.com Elec. Phone No: (516) 819-8684 ❑I request an email copy of Certificate of Compliance Elec. Address.: 6500 Jericho Tpke., Suite 22E Syosset, NY 11791 JOB SITE INFORMATION (AII Information Required) Name: Fred & Carolyn Lubanski Address: 95 Vista Place Cutchogue, NY 11935 Cross Street: Birch Lane Phone No.: 631-73 - Bldg.Permit#: email:essie47@aol.com Tax Map District: tion: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: ® YES O✓ NO Rough In ❑ Final Do you need a Temp Certificate?: O YES FV-I NO Issued On Temp Information: (All information required) Service Size R11 Ph 03 Ph Size: 150 A # Meters 1 Old Meter# ®New Service®Fire Reconnect[]Flood ReconnectOService Reconnect®Underground 210verhead # Underground Laterals 211 2 H Frame Pole Work done on Service? Y FV1 N Additional Information: PAYMENT DUE WITH APPLICATION i av „� KOHLER. Models: 26RCA(L) Multi-Fuel LPG/Natural Gas 09001 Standard Features 4 KOHLER. • RDC2 Controller NATIONALLY REGISTERED _ o One digital controller man jges both the generator set and transfer switch functions(with optional Model RXT). f ' :_ - • o Electronic speed control responds quickly to varying _ demand. • ` ,~' o OnCue^ Plus Generator Management System for remote Ian:..: o monitoring is included with the generator. `t • Kohler Command PRO Engine Features o Kohler Command PRO@ OHV engine with hydraulic valve lifters for reliable performance without routine valve (ra�'fr adjustment or lengthy break-in requirements. • Designed for Easy Installation The Kohler® Advantage o Sturdy aluminum base can be mounted on gravel or a concrete mounting pad. • High Quality Power o Fuel and electrical connections through the enclosure wall Kohler home generators provide advanced voltage and eliminate the need for stub-ups through the base. frequency regulation along with ultra-low levels of harmonic o Customer connection terminal block located near the distortion for excellent generator power quality to protect your controller allows easy access for field wiring. valuable electronics. o Designed for outdoor installation only. u Premium 5-yr/2000-hr Limited Warranty Included o Approved for stationary standby applications in locations Kohler is known for extraordinary reliability and performance. served by a reliable utility source(on-grid). Kohler's premium limited warranty covers parts, labor,and travel for the full warranty period. • Certifications • Powerful Performance o Meets emission regulations for U.S. Environmental Exclusive Powerboost- technology provides excellent Protection Agency(EPA)with both natural gas and LPG. starting power.� o UL 2200/cUL listed. o Accepted by the Massachusetts Board of Registration of • Aluminum Enclosure Plumbers and Gas Fitters. o Attractive aluminum enclosure allows installation as close o Meets 181 mph wind rating. as 18 inches from your home or small business. ' • Exercise Modes o Enclosure panels can be removed without tools to allow o 90_second EcoF�cercise, unloaded,with system easy access for maintenance and service. diagnostics. Reduces fuel costs and minimizes sound • Camouflage Enclosures are available for single-phase units disruption. (optional). Go to KohlerGenerators.com/MossyOak to view o Unloaded weekly exercise with complete system the available patterns. diagnostics(20 minutes) Mossy Oak is a trademark used under license from Haas Outdoors,Inc,byKohler Co. o Unloaded full-speed exercise(20 minutes) o Loaded full-speed exercise (20 minutes; Model RXT ATS required) o Weekly, bi-weekly,or new monthly exercise intervals. • Model 26RCAL includes a model RXT automatic transfer switch.See last page for more details. Generator Ratings Standby Ratings Line Circuit Natural Gas LPG Breaker Model Alt Voltage Ph FEZ kW/kVA Amps kW/kVA Amps Amps Poles 26RCA 2F8 120/240 1 60 24/24 100 26/26 109 125 2 26RCAL 120/208 3 60 22/27 77 22/27 77 80 3 26RCA 2G8 120/240 3 60 22/27 67 22/27 67 80 3 277/480 3 60 22/27 34 22/27 34 40 3 Note: The line circuit breaker is automatically selected based on the generator set model and voltage configuration. RATINGS:Standby ratings apply to installations served by a reliable utility source.All single-phase units are rated at 1.0 power factor.The standby rating is applicable to variable loads with an average load factor of 80%for the duration of the power outage. No overload capacity is specified at this rating. Ratings are in accordance with ISO-3046/1,1385514,AS2789,and DIN 6271.GENERAL GUIDELINES FOR DERATING:ALTITUDE:Derate 4%per 305 m(1 000ft.)elevation above 153 in(500 ft.).TEMPERATURE:Derate 2%per 5.5°C(10°F)temperature increase above 16°C(600F). Availability is subject to change without notice.The generator set manufacturer reserves the right to change the design or specifications without notice and without any obligation or liability whatsoever. Contact your local Kohler Co.generator dealer for availability. § Check the appliance manufacturer's specifications for actual power requirements. Consult a Kohler®Power Systems professional to calculate your exact residential power system requirements. f Meets NFPA guidelines for 18 inch clearance to combustible materials. Check state and local codes for minimum distance required from a structure. G4.315 (26RCA) 4/23a DATE(MM/DD/YYYY) A�DO CERTIFICATE OF LIABILITY INSURANCE 1/13/2023 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 NZTVCT Sue George Borg&Borg Inc. PHONE 631-673-7600 Fac No:631-351-1700 148 East Main Street E-MADDIL Huntington NY 11743 AREss: certificates bor ins.com INSURERS AFFORDING COVERAGE MAIC# INSURER A:Merchants Mutual Insurance 23329 INSURED STANELE-01 INSURER B:Twin City Fire Ins Co 29459 Standard Electric Corp Calogero BruttO INSURER C:Standard Security Life 69078 6500 Jericho Tpke. INSURER D: Syosset NY 11791 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1508473797 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. MSR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF MOroD EXP LIMITS TR A X COMMERCIAL GENERAL LIABILITY BOPI063594 2/1/2023 2/1/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE a OCCUR PREMISES a occurrence $500,000 MED EXP(Any oneperson) $15,000 PERSONAL&ADV INJURY $Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ElJECT FXI LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CAP1075068 2/1/2023 2/1/2024 COMBINED SINGLE LIMIT $1,000,000 Ea acc dent X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION 12WECAJ5V6F 12/23/2022 12/23/2023 X I STATUTE ERH AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE -] NIA E.L.EACH ACCIDENT $1,000,000 OFFICEWMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Disability 62310-00 3/26/2010 3/26/2024 Limits Statutory DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold 54375 Main Road AUTHORIZED REPRESENTATIVE Southold NY 11971 /J,/' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016!03) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent or that Carrier 1 a.Legal Name and Address of Insured(Use street address only) 1 b.Business Telephone Number of Insured Standard Electric Corp 516-499-7354 6500 Jericho Tpke. Syosset, NY 11791 1 c. Federal Employer Identification Number or Social Security Number Work Location of Insured(Only required if specifically limited to 208322723 certain locations in New York State,i.e.a Wrap-Up Policy) 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier Standard Securitv (Entity Being Listed as Certificate Holder) 3b. Policy Number of entity listed in box"la": 62310-00 Town of Southold 54375 Main Road 3c.Policy effective period: Southold, NY 11971 03/26/2010 03/26/2024 4. Policy provides the following benefits: _A. All for the employer's employees eligible under the New York Disability Law _B. Only the following class or classes of employer's employees: _C. Paid family leave benefits only 5. Policy covers: _A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law _B. Only the following class or classes of employer's employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. 12/29/2022 eo'. � Date Signed By: David M Bora (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone No. 631 673 7600 Name and Title: President IMPORTANT: If box 4a is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If box"4b"is checked,this certificate is NOT COMPLETE for the purposes of Section 220,Sub.8 of the Disability Benefits Law. It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,328 State Street, Schenectady,New York 12305 PART 2.To be completed by the NYS Workers Compensation Board(Only if Box 4C or 5B of Part 1 has been checked State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named-insured employer has complied with the NYS Disability Benefits Law with respect to all or his/her employees. Date Signed By: (Signature of NYS Workers'compensation Board Employee) Telephone No. Title: Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS license insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance Brokers are not authorized to issue this form. DB120.1(10-17) YORKWorkers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Standard Electric Corp 516-499-7354 6500 Jericho Tpke. 6500 et, ch 1 pke 1 c.NYS Unemployment Insurance Employer Registration Number of SyosInsured Work Location of Insured(Only required If coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 208322723 xx- 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Twin City Fire Ins Co Town of Southold 54375 Main Road 3b.Policy Number of Entity Listed in Box"l a" Southold, NY 11971 12WECAJ5V6F 3c.Policy effective period 12/23/2022 12/23/2023 3d.The Proprietor,Partners or Executive Officers are included.(Only heck box if all partners/officers Included)all excluded or certain partners/officers excluded. L❑J This certifies that the insurance carrier indicated above in box 1"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form Is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. 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 Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named Insured has the coverage as depicted on this form. Approved by: Borg& Borg Inc., David M Borg President (Print name of authorized representative or licensed agent of insurance carrier) 12/29/2022 Approved by: (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631-673-7600 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov -71 o I:13 ,...._::�• � w'E` j''-.. [,l -�. i' .. . L'�]iu1' of ti�3:.,. ••i,��, bra iL 'wctl � fm �' �.. ... SCALE: 7. litYii� i:+C.7'7" .Vi'T L,�/Ff - �lJNJIrO�:iM nftawrM,r UR.wwll,OlY ars:w rrveFe `t. vn IS A v n or '�'::;•: � 'At;s!,oN 7209a THE e Hew EW r, ro _.. ...._....___..-._..— (�YdCarr7r', ICATJGN LAW. c>-1..•; •y °k e" t 1 -MU Cr rvrs STAMP -MAP 0l= Lti47 f¢ EXId'ri9r7'�CCf 40 •f ho,?�+�'r�,'; n,�r.')t .�^. SEAL WIL 5 ArGgJmaoH wsrc'r(�f C.arrd 7T miler (r*:�„c+rrrx; r•F+ 4F 5OUVAN 1 U YL. P. C. ' C ,.n:l.:••. Lt G•LAUD SURVEYOIRi•GN RT•N.Y. ,,.. .. 87RTEMiNT O'F IINTENT ?*^•,Algr�QF 222Em&lF!0N OML.Y t `,.j�:. •„ '� THA WATER SUPPLY AND SEWAGE- j DItPOtRJ1L SY8T6MS FOR THIS RESs- tr.r, rte'"•1�-i,,, ��5+<�'•:• G'SNCE WILL CONFORM TO THE ,, :'; J }TANDAtfYOb OF SUFFOLK CO, DEPT OF NSALTH, SERVICES- 74 t31 APPLICANT 42 /PbBY- NOTIFY D AS NOTED oAB.P# 3 F� BUILDING DEPARTMENT AT 631765.1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE_ 2. ROUGH-FRAMING&PLWI,41BING 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY.WITH ALL CODES OF NEW YORK STATE & TOWN CODE,- AS ODE;AS REQUIRED AND CONDITIONS O ui T94 ZBA SOI ITH'll^TnWN PI ANNIN(;BOAR THOLD TOWN TR OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICI' OF OCCUPANCY ELECTRICAL INSPECTION REQUIRED r y KOHLER. Models: 26RCA(L) Multi-Fuel LPG/Natural Gas 09001 Standard Features 4 KOHLER. • RDC2 Controller NATIONALLY REGISTERED o One digital controller manages both the generator set and transfer switch functions(with optional Model RXT). 77777 o Electronic speed control responds quickly to varying - demand. - i o OnCue®Plus Generator Management System for remote monitoring is,included with the generator. • Kohler Command PRO Engine Features o Kohler Command PRO®OHV engine with hydraulic valve lifters for reliable performance without routine valve ` s adjustment or lengthy break-in requirements. • Designed for Easy Installation The Kohler® Advantage o Sturdy aluminum base can be mounted on gravel or a concrete mounting pad. Kohler home generators provide advanced voltage and • High Quality Power o Fuel and electrical connections through the enclosure wall eliminate the need for stub-ups through the base. frequency regulation along with ultra-low levels of harmonic o Customer connection terminal block located near the distortion for excellent generator power quality to protect your valuable electronics. controller allows easy access for field wiring. o Designed for outdoor installation only. • Premium 5-yr/2000-hr Limited Warranty Included o Approved for stationary standby applications in locations Kohler is known for extraordinary reliability and performance. served by a reliable utility source(on-grid). Kohler's premium limited warranty covers parts,labor,and travel for the full warranty period. • Certifications • Powerful Performance o Meets emission regulations for U.S. Environmental Exclusive Powerboost— technology provides excellent Protection Agency(EPA)with both natural gas and LPG. starting power.§ o UL 2200%UL listed. o Accepted by the Massachusetts Board of Registration of • Aluminum Enclosure Plumbers and Gas Fitters. o Attractive aluminum enclosure allows installation as close o Meets 181 mph wind rating. as 18 inches from your home or small business.t • Exercise Modes o Enclosure panels can be removed without tools to allow o 90_second EcoF�cercise, unloaded,with system easy access for maintenance and service. diagnostics. Reduces fuel costs and minimizes sound • Camouflage Enclosures are available for single-phase units disruption. (optional).Go to KohlerGenerators.com/MossyOak to view o Unloaded weekly exercise with complete system the available patterns. diagnostics(20 minutes) Mossy Oak is a trademark used under license from Haas Ourdoors,Inc,byKohler Co. o Unloaded full-speed exercise(20 minutes) o Loaded full-speed exercise(20 minutes; Model RXT ATS required) o Weekly, bi-weekly,or new monthly exercise intervals. • Model 26RCAL includes a model RXT automatic transfer switch.See last page for more details. Generator Ratings Standby Ratings Line Circuit Natural Gas LPG Breaker Model Alt Voltage Ph Hz kW/kVA Amps kW/kVA Amps Amps Poles 26RCA 2F8 120/240 1 60 24/24 100 26/26 109 125 2 26RCAL 120/208 3 60 22/27 77 22/27 77 80 3 26RCA 2G8 120/240 3 60 22/27 67 22/27 67 80 3 277/480 3 60 22/27 34 22/27 34 40 3 Note: The line circuit breaker is automatically selected based on the generator set model and voltage configuration. RATINGS:Standby ratings applytoInstallations served byareliable utilitysource.All single-phase units are rated at 1.0 power factor.The standby rating is applicable to variable loadswith an average load factor of 80%for the duration of the power outage. No overload capacity is specified at this rating. Ratings are in accordance with ISO-3046/1,855514,AS2789,and DIN 6271.GENERAL GUI DEUNES FOR DERATING:ALTITUDE:Derate 4%per 305 m(1000 ft.)elevation above 153 in(50011.).TEMPERATURE:Derate 2%per 5.510(10°F)temperature increase above 16°C(60°F). Availability issubjecttochange without notice.The generator set manufacturer reserves the rightto change the design or specificationswithout notice and without any obligation or liability whatsoever. Contact your local Kohler Co.generator dealer for availability. § Check the appliance manufacturer's specifications for actual power requirements. Consult a Kohlere Power Systems professional to calculate your exact residential power system requirements. t Meets NFPA guidelines for 18 Inch clearance to combustible materials. Check state and local codes for minimum distance required from a structure. G4-315(26RCA)4/23a Alternator Specifications Alternator Specifications Alternator Features Specifications Alternator • Compliance with NEMA, IEEE,and ANSI standards for Manufacturer Kohler temperature rise. Type 2-Pole,Rotating Field • Self-ventilated and dripproof construction. Leads,quantity 2F8 4 • Windings are vacuum-impregnated with epoxy varnish for 2G6 12 dependability and long life. Voltage regulator Digital • Superior voltage waveform and minimum harmonic Insulation: NEMA MG1-1.66 distortion from skewed alternator construction. Material Class H • Digital voltage regulator with±1.0%no-load to full-load Temperature rise 130°C Standby RMS regulation. Bearing:quantity,type 1,Sealed • Rotating-field alternator with static exciter for excellent Coupling Direct load response. Amortisseur windings Full • Total harmonic distortion(THD)from no load to full load with Voltage regulation,no-load to full-load RMS ±1.0% a linear load is less than 5%. One-step load acceptance 100%of Rating Peak motor starting kVA: (35%dip for voltages below) 240 V,1 ph 2F8(4 lead) 39(60 Hz) 240 or 480 V,3 ph 2G8(12 lead) 63(60 Hz) Application Data Engine Exhaust Engine Specifications Exhaust System Manufacturer Kohler Exhaust temperature exfting the Engine:model,type CH1006 4-Cycle enclosure at rated kW,dry,°C(°F) 260(500) Cylinder arrangement V-2 Lubrication Displacement,cm3(cu.in.) 999(61) Bore and stroke,mm(in.) 90 x 78.5(3.54 x 3.1) Lubricating System Compression ratio 10.5:1 Type Full Pressure Main bearings:quantity,type 2,Heavy-Duty Sleeve Oil capacity(with fiter),L(qt.)§ 1.9(2.0) Bearings Oil filter:quantity,type§ 1,Cartridge Rated RPM 3600 Oil cooler Integral Max.engine power at rated rpm,kW(HP) § Kohler recommends the use of Kohler Genuine oil and filters. LPG 26.1 (36.4) Fuel Requirements Natural gas 24.5(33.0) Cylinder head material Aluminum Fuel System Valve material Steel/Stellite® Fuel types Natural Gas or LPG Fuel supply inlet 3/4 NPT Piston type and material Aluminum Alloy Fuel supply pressure,kPa(in.H2O): Crankshaft material Heat Treated,Ductile Iron Natural gas 0.9-2.7(3.5-11) Governor:type Electronic LP 1.7-2.7(7-11) Frequency regulation,no load to full load Isochronous Frequency regulation,steady state m0.5% Fuel Composition Limits* Nat.Gas LPG Air cleaner type Dry Methane,°k by volume(minimum) 90 min. — Ethane,%by volume(maximum) 4.0 max. — Engine Electrical Propane,%by volume 1.0 max. 85 min. Engine Electrical System Propene,%by volume(maximum) 0.1 max. 5.0 max. Ignition system Electronic, C4 and higher,%by volume 0.3 max. 2.5 max. Capacitive Discharge Sulfur,ppm mass(maximum) 25 max. Starter motor rated voltage(DC) 12 Lowery heatin value, MJ/M3(Btu/ft�,(minimum) 33.2(890) 84.2(2260) Battery(purchased separately): * Contact your local dealer for suitability and rating derates based on Ground Negative fuel compositions outside these limits. Volts(DC) 12 Battery quantity 1 Recommended cold cranking amps: (CCA)rating for-18°C(0°F) 500 Group size 51 G4-315 (26RCA) 4/23a Fuel Pipe Size Operation Requirements Minimum Gas Pipe Size Recommendation,In.NPT Fuel Consumption,m3/hr.(cfh)@ 60Hz Pipe Length, Natural Gas LPG %Load Natural Gas LPG m(ft.) 290,000 Btu/hr. 322,500 Btu/hr. 100 8.2 (290) 3.6 (129) 8 (25) 1 3/4 75 6.7 (238) 3.1 (111) 15 (50) 11/4 1 50 5.1 (180) 2.4 (85) 30 (100) 1 1/4 1 25 3.9 (137) 1.8 (64) 46 (150) 1 1/4 1 Exercise 1.9 (67) 0.9 (31) 61 (200 1 1/2 1 1/4 Nominal fuel rating: Natural gas: 37 MJ/m (1000 Btu/ft.3) LPG: 93 MJ/M3(2500 Btu/ft.3) LPG conversion factors: 8.58 ft.3=1 Ib. Generator Set Sound Data 0.535 m3=1 kg Model 26RCA sound levels are 56 dB(A)during engine exercise 36.39 ft.3 =1 gal. and 67 dB(A)during full-speed generator diagnostics and normal operation.* All sound levels are measured at 7 meters with no load. * Lowest of 8 points measured around the generator. Sound levels at other points around generator may vary depending on installation parameters. RDC2 Controller Features • Exercise modes: o New 90-second Eco Exercise with complete system diagnostics(factory default setting) Fregq:a. 60.0 Hz o Lowers fuel cost 0 0 o Minimizes sound disruption o o o In cold temperatures,limits condensation build-up in 9)9)3 S the crankcase ® " AM s o Unloaded weekly 20-minute exercise with complete —a system diagnostics o Unloaded 20-minute full-speed exercise o Loaded 20-minute full-speed exercise(Model RXT ATS The RDC2 controller provides integrated control for the required) generator set, Kohler@ Model RXT transfer switch, • Weekly, bi-weekly,or new monthly exercise intervals programmable interface module(PIM),and load shed kit. • Front-access mini USB connector for SiteTech- or USB • Membrane keypad: Utility connection o OFF,AUTO,and RUN pushbuttons • Integral Ethernet connector for Kohler@ OnCue@ Plus o Select and arrow buttons for access to system • Remote two-wire start/stop capability for optional connection configuration and adjustment menus of a Model RDT transfer switch • LED indicators for OFF,AUTO,and RUN modes • Diagnostic messages: Displays diagnostic messages for the • LED indicators for utility power and generator set source engine,generator,Model RXT transfer switch,programmable availability and ATS position(Model RXT transfer switch interface module(PIM),and load management device. required) • Maintenance reminders • LCD display: • System settings: o Two lines x 16 characters per line o System voltage,frequency,and phase o Backlit display with adjustable contrast for excellent o Voltage adjustment visibility in all lighting conditions o Measurement system, English or metric • Scrolling system status display: • ATS status(Model RXT ATS required): o Generator set status o Source availability o Voltage and frequency o ATS position(normal/utility or emergency/generator) o Engine temperature o Source voltage and frequency o Oil pressure • ATS control (Model RXT ATS required): o Battery voltage o Source voltage and frequency settings o Engine runtime hours o Engine start time delay • Date and time displays o Transfer time delays • Smart engine cooldown senses engine temperature o Voltage calibration • Digital isochronous governor maintains steady-state speed at o Fixed pickup and dropout settings all loads • Programmable Interface Module(PIM)status displays: • Digital voltage regulation: ±1.0%RMS no-load to full-load o Input status(active/inactive) • Automatic start with programmed cranking cycle o Output status(active/inactive) • Built-in 2.5 amp battery charger • Load control menus: • Programmable exerciser can be set to start automatically on o Load status any future day and time o Test function 64-315 (26RCA) 4/23a ' t KOHLER® PhoneKOHL9 CO.,Kohler,Wisconsin 9-1 USA Phone 920-457-4441,Fax 920-459-1646 For the nearest sales and service outlet in the US and Canada,phone 1-800-544-2444 KOHLERPower.com Generator Set Standard Features Literature • Aluminum sound enclosure ❑ General maintenance literature kit • Battery cables ❑ Overhaul literature kit • Critical silencer ❑ Production literature kit • EPA certified fuel system Maintenance • Field-connection terminal block ❑ Maintenance kit(includes air filter,oil,oil filter,and • Fuel solenoid valve and secondary regulator spark plugs) • Line circuit breaker ❑ Premium 300 hour/2 year oil for fewer oil changes • Multi-fuel system,LPG/natural gas,field-convertible 26RCAL Model Package • Oil drain extension with shutoff valve ❑ 26RCAL with 200 amp service entrance-rated Model RXT • Oil level sensor with combined interface/load management board and corrosion-resistant NEMA 3R aluminum enclosure • Oil pressure sensor Warranty • OnCue®Plus Generator Management System ❑ 7-Year Limited Warranty • Premium 5-year/2000 hour limited standby warranty. ❑ 10-Year Limited Warranty Covers parts,labor,and travel for the entire warranty period Warranties cover parts,labor,and travel for the entire • RDC2 generator set/ATS controller warranty period. • Rodent-resistant construction • Sound-deadening,flame-retardant foam per UL 94, class HFA Available Options Concrete Mounting Pads ❑ Concrete mounting pad,3 in.thick ❑ Concrete mounting pad,4 in.thick (recommended for storm-prone areas) Electrical Accessories ❑ Battery ❑ Battery heater, 120 VAC ❑ Carburetor heater, 120 VAC t Generator Set Dimensions and Weights ❑ Cold weather kit, 120 VAC t o Includes fuel regulator heater,oil and breather tube heaters. Generator Set Size,L x W x H: 1193 x 660 x 820 mm o QS model with factory-installed kit is available. Shipping Weights: (47 x 26.0 x 32.3 in.) ❑ Emergency stop kit ❑ Programmable interface module(PIM) 26RCAL with 200 A®RXT SE ATS: 304 kt: 283 g(670 lb.625 ) (provides 2 digital inputs and 6 relay outputs) * Battery heater is recommended below-17°C(0°F). # Do not use a carburetor heater with a cold weather kit. L t Cold weather kit is recommended below 0°C(32°F). Enclosure Options(single-phase only) ❑ Mossy Oak@ camouflage enclosures available. • Go to KohlerGenerators.com/MossyOak to see available H patterns. Mossy Oak is a trademark used under license from Haas Outdoors,Inc.,by Kohler Co. Fuel System Accessories ❑ Flexible fuel line(included on OS models) i- I -� NOTE Dimensions are provided for reference only and should not be used for planning Installation.Contact your local dealer for more detailed Information. DISTRIBUTED BY: O 2023 Kohler Co.All rights reserved. G4.315(26RCA) 4/23a Model: RXT KOHLERPOWER SYSTEMS Automatic Transfer Switch 100-400 Amps 4�/�9001 4Model RXT Automatic Transfer Switch NATION REGISTERED The Model RXT automatic transfer switch is designed for use only with Kohlere generator sets equipped with RDC2 or DC2 generator set/transfer switch controls. The transfer switch ti operation is controlled by the RDC2/DC2 integrated generator set/transfer switch controller,which is mounted on the following Kohlere generator set models: o 14RESA/RESAL o 20RESA/RESAL o 48RCL Standard Features • Allows utility voltage display on the RDC2/DC2 integrated generator set/transfer switch controller,available exclusively on Kohler®residential and light commercial generator sets --- — - — • Interface board for connection to the Model RDC2 or DC2 generator set/transfer switch controller(mounted on _ generator set models listed above) • UL listed o Models with load centers, UL 67 listed,file#E251086 o Models without load centers, UL 1008 listed,file#E58962 • CSA certified,file#LR58301 (not applicable to service -- -- entrance models) • Corrosion-resistant NEMA 3R aluminum enclosure: • ° - �� % o Padlockable o Approved for indoor or outdoor installation i o ANSI 49 gray • Contactor electrically and mechanically interlocked • Double throw inherently interlocked design • Contactor manually operable for maintenance purposes • Silver alloy main contacts • Transfer switches are 100%equipment rated and can be applied at the rated current without derating(non-service entrance models) • 100,200,and 400 amp standard and service entrance models are available;see page 6 for available models • 100 amp standard single-phase models are available with or without 16-space load center. Up to 8 tandem breakers can be used for a total of 24 circuits. • Service entrance models include disconnect circuit breaker on the utility(normal)source side(80%rated) • Five-year limited warranty • Optional status indicator available: o LED indicators for source availability and contactor position o View transfer switch status without removing enclosure cover Gll-121(Model RXT Automatic Transfer Switch) 12111 Pagel �tt�HtSniSeT§ur sfi�P�wre e t o'ri7ietouowrTig specr�i'cauon§: • Underwriters Laboratories UL 67, Enclosed Panel Boards • CSA certified,file#LR58301 (not applicable to service (load center models)file#E251086 entrance models) • Underwriters Laboratories UL 1008,Standard for Automatic a NFPA 70,National Electrical Code Transfer Switches for Use in Emergency Systems, a NFPA 110, Emergency and Standby Power Systems file#E58962 • NEMA Standard IC10-1993,AC Automatic Transfer • Underwriters Laboratories UL 508,Standard for Industrial Switches Control Equipment Specifications Environmental Specifications Interface Module Specifications Operating temperature —20°C to 70°C(-4°F to 158°F) Load Control Contact Rating 10 A @ 250 VAC Storage temperature —40°C to 85°C(-40°F to 185°F) Load Control Wire Size #12-18 AWG Humidity 5 to 95%noncondensing Controller Interface Connections #20 AWG shielded twisted-pair A and B Wire Size Belden 9402 or 8723 or equivalent Controller Interface Connections #12-20 AWG PWR and COM Wire Size Cable Sizes AL/CU UL-Listed Solderless Screw-Type Terminals for External Power Connections Switch Range of Wire Sizes,Cu/AI Size, Amps Switch Phases Normal and Emergency Load Neutral Ground Standard 1 (1)#14-1/0 AWG (1)#14—1/0 AWG (3)#12—1/0 AWG (9)#4—14 AWG With load per customer-supplied center 1 (1)#14—1/0 AWG circuit breaker (1)#2—2/0 AWG (9)#4—14 AWG 100 Service Normal:(1)#12—2/0 AWG Entrance 1 Emerg:(1)#6—250 MCM (1)#6—250 MCM (3)#6—250 MCM (3)#14—1/0 AWG 3-Phase 3 (1)#8—3/0 AWG (1)#8—3/0 AWG (3)#6 AWG—3/0 AWG (3)#6—3/0 AWG Standard 1 (1)#6 AWG—250 MCM (1)#6 AWG—250 MCM (3)#6 AWG—250 MCM (9)#4—14 AWG .Service Normal:(1)#4—300 MCM 200 Entrance 1 Emerg:(1)#6-250 MCM (1)#6 AWG—250 MCM (3)#6 AWG—250 MCM (3)#14—1/0 AWG 3-Phase 3 (1)#6 AWG—250 MCM (1)#6 AWG—250 MCM (3)#4 AWG—600 MCM (3)#6—3/0 AWG (6)1/0—250 MCM Standard 1 (2)#6—250 MCM (2)#6—250 MCM (1)#4—600 MCM (2)1/0—250 MCM Service 1 Normal:(2)3/0—250 MCM (3)#4—600 MCM Entrance Emerg:(2)#6-250 MCM (2)#6—250 MCM (6)1/0—250 MCM 400 (3)#14—1/0 AWG 3-pole 3 (2)#6—250 MCM (1)#4—600 MCM 208-240 V (2)#6—250 MCM (2)1/0—250 MCM 3 or 4 pole 3 (1)#4—600 MCM (1)#4—600 MCM (1)#4—600 MCM 480 V (2)#6—250 MCM (2)#6—250 MCM (2)1/0—250 MCM G11-121 (Model RXT Automatic Transfer Switch) 12/11 Page 2 Withstand and Close-On Ratings (WCR) Service Entrance Transfer Switch Ratings The service entrance transfer switch is factory-equipped with a normal source disconnect circuit breaker. Suitable for control of motors,electric discharge lamps,tungsten filament lamps and electric heating equipment where the sum of motor full-load ampere ratings and the ampere ratings of other loads do not exceed the ampere rating of the switch and the tungsten load does not exceed 30 percent of switch rating. Switch Rating,Amps WCR,RMS Symmetrical Amps at 240 VAC 100 200* 22,000 400* 35,000 * Continuous load current not to exceed 80%of switch rating. Contactor Ratings with Coordinated Circuit Breakers Single-phase transfer switches are UL listed at 240 VAC maximum. Three-phase transfer switches are rated at 480 VAC maximum. The following table lists contactor withstand current ratings(WCR)for 100-400 ampere non-service entrance rated switches with specific manufacturer's circuit breakers per UL and Canadian safety standards. Suitable for control of motors, electric discharge lamps,tungsten filament lamps and electric heating equipment where the sum of motor full-load ampere ratings and the ampere ratings of other loads do not exceed the ampere rating of the switch and the tungsten load does not exceed 30 percent of switch rating. The transfer switch is rated for use on a circuit capable of delivering not more than the RMS symmetrical amperes maximum as shown in the tables below,but no greater than the interrupting capacity of the selected breaker. WCR Ratings with Specific Manufacturer's Molded-Case Circuit Breakers Switch Number WCR,RMS Rating, Voltage, of Poles/ Symmetrical Maximum Amps max. Phases Amps Manufacturer Type or Class Size,Amps Eaton/ FCL,FB,QCHW,GB,GHB,GC,GHC,GD,EHD 100 Cutler-Hammer FDB,FD,HFD,FDC,CA,CAH 150 FI,FC,FA,FH 100 QOMi,QOMi-VH 125 Square D Q2,Q2-H.Q2H 175 2 pole/ QOM2,QOM2-VH 225 100 240 1 phase 10,000 QB,OD,QG,GJ 250 CEDE,ED2,ED4,ED6,HED4,HED6,QP(Q2125), 125 Siemens QPH(Q2125H) QJ2,QJH2 150 THQB,THQC,THHQB,THHQC 100 GE THHQL,TQDL,THQDL 125 SE,TOD,THQD,THED 150 CSR/BHW,'FD,HFD 225 Eaton/ JD,JDB,HJD 225-250 Cutler-Hammer JDC 250 DK,KD,KDB,HKD,KDC,LCL,LA 400 Q2.Q01V12,QOM2-VH,Q2-H,Q2H 225 200 240 2.pole% 10,000 Square D KI,KA,KH,KC,QB,QD,QG,QJ 250 1 phase LE,LX,LXI,LC,LI,LA,LH 400 Siemens FD6-A,FXD6-A,HFD6,CFD6 250 TQDL,THQDL 125 GE THLC2 225 SF 250 all-121(Model RXT Automatic Transfer Switch) 12/11 Page 3 WCR Ratings with Specific Manufacturer's Molded-Case Circuit Breakers Switch Number WCR,RMS Rating, Voltage, of Poles/ Symmetrical Maximum Amps max. Phases Amps Manufacturer Type or Class Size,Amps FDC,HFD 150 Cutler-Hammer HJD,JDC 250 HKD,KD,KDB,KDC,LA TRI-PAC,LCL 400 FC,FI 100 Square D KC,KH,KI 250 LA,LC,LE,LH,LI,LX,DO 400 3 pole/ 3 phase CEDE,HED4,HED6 125 100 CFD6,FD6,FXD6,HFD6 250 200 480 30,000 ITE/Siemens 4 pole/ CJD6,HJD6,HHJD6,HHJXD6,JD6,JXD6, 400 3 phase SCJD6,SHJD6,SJD6 TB1 100 SEL,SEP,TEL,THLC1 150 GE TFL,THLC2 225 SFL,SFP 250 SGL4,SGP4,TB4,THJK4,THLC4,TJJ,TJK4, 400 TLB4 LD,LDB,HLD,LDC,CLD,CHLD,CLDC 600 Curler-Hammer MDL,HMDL,NB 800 Square D LC,LI,LE,LX,LXI,DG,DJ,DL 600 1 phase LD,LXD,HLD,HLXD,HHLD,HHLXD,CLD, 600 NLGA,HLGA,LLGA,SLD,SHLD,SCLD 400 240 50,000 ITE/Siemens LMD,LMXD,HLMD,HLMXD,MD,MXD,HMD, 3 pole/ HMXD,CMD,NMG,HMG,LMG,SMD,SHMD, 800 3 phase SCMD GE SGHA,FGN,FGL,FGP 600 Merlin Gerin CJ600N,CJ600H 600 ABB T5,T6 600 If any of the following breakers is selected for application,the continuous load current must not exceed 80 percent of the switch rating: 1 phase Cutler-Hammer DK,KDB,KD,CKD,HKD,CHKD,KDC,LCL, 400 LA TRIPAC 400 240 50,000 Square D LA,LH,LC,LI,LE,LX,LXI 400 3 pole/ NJGA,HJGA,WGA,JXD2,JD6,JXD6,HJD6, 3 phase ITE/Siemens HJXD6,HHJD6,HHJXD6,CJD6,SJD6,SHJD6, 400 SCJD6 Merlin Gerin CJ400N,CJ400H,CJ400L 400 G71-121 (Model RXT Automatic Transfer Switch) 12/11 Page 4 WCR Ratings with Specific Manufacturer's Molded-Case Circuit Breakers Switch Number WCR,RMS Rating, Voltage, of Poles/ Symmetrical Maximum Amps max. Phases Amps Manufacturer Type or Class Size,Amps HJD,JDC 250 HKD,CHKD,KDC,LCL,LA TRIPAC 400 Cutler-Hammer HLD,CHLD,LDC,CLDC 300-600 NB TRI-PAC 300-800 KI,KC 250 Square D LI,LXI,LX,LE,LC 600 MX,ME,MH 800 CFD6,HFD6 250 3 pole/ CJD6,SCJD6,HHJD6,HHJXD6,SHJD6,HJD6 400 400 480 3 phase 50,000 ITE/Siemens CLD6,SCLD6,HHLD6,HHLXD6,SHLD6,HLD6 600 CMD6,SCMD6,HMD6,SHMD6,HMXD6,MD6, 800 4 pole/ 3 phase MXD6,SMD6 SFL,SFP,TFL,THLC2 250 SGL4,SGP4,T64,THLC4,TLB4 400 GE SGL6,SGP6,TB6,TJL4V,TKL4V,TJL1 S-6S 600 SKI-8,SKP8,TB8,SKI-18 800 CF250L,CF250H 250 CJ400L,CK400H,CJ400H,CK40ON 400 Merlin Gerin CJ600H 600 CK800H,CK80ON 800 Dimensions and Weights H — � W � � D* -I Shipping Weight t Ams Description Dimensions H x W x D mm in. * kg (lb.) Single phase 620 x 335 x 180 (24.4 x 13.2 x 7.1) 7 (15) 100 With load center 620 x 335 x 180 (24.4 x 13.2 x 7.1) 9 (20) Three phase 679 x 462 x 228 (26.7 x 18.2 x 9.0) 15 (34) Service Entrance 731 x 416 x 175 (28.8 x 16.4 x 6.9) 12 (26) Single phase 620 x 335 x 180 (24.4 x 13.2 x 7.1) 8 (17) 200 Three phase 679 x 462 x 228 (26.7 x 18.2 x 9.0) 16 (35) Service Entrance 731 x 416 x 175 (28.8 x 16.4 x 6.9) 14 (30) Single phase 1067 x 559 x 329 (42.0 x 22.0 x 12.9) 50 (110) 3-Pole/208-240 Volts 1067 x 559 x 329 (42.0 x 22.0 x 12.9) 54 (120) 400 3-Pole/480 Volts 1222 x 610 x 343 (48.1 x 24.0 x 13.5) 68 (150) 4-Pole 1222 x 610 x 343 (48.1 x 24.0 x 13.5) 73 (160) Service Entrance 1067 x 559 x 329 (42.0 x 22.0 x 12.9) 59 (130) * Depth does not include the padlock hasp on the front of the enclosure. t Shipping weights are approximate and include packaging. G11-121(Model RXT Automatic Transfer Switch) 12/11 Page 5 KOHLER CO.,Kohler,Wisconsin 53044 USA Kohler Power Systems Phone 920-457-4441,Fax 920-459-1646 Asia Pacific Headquarters For the nearest sales and service outlet in the 7 Jurong Pier Road US and Canada,phone 1-800-544-2444 Singapore 619159 KohlerPower.com Phone(65)6264-6422,Fax(65)6264-6455 Model Designation Model Controls Voltage Poles Enclosure Current Rating Connections Record the transfer switch model designation In the boxes. The transfer switch model designation defines ratings and characteristics as explained below. Sample Model Designation: RXT-JFNC-0200A Model RXT: Kohler Automatic Transfer Switch Enclosure Controls C: NEMA 3R J: Interface for RDC2/DC2 Controller Current Rating: Numbers indicate the current rating Voltage/Frequency of the switch in amperes: C: 208 Volts/60 Hz(3-phase only) 0100 F: 240 Volts/60 Hz 0200 M: 480 Volts/60 Hz(3-phase only) 0400 Number of Poles/Wires Connections N: 2-pole,3-wire,solid neutral-(120/240 V only) A: No load center T: 3-pole,4-wire,solid neutral B: With load center(100 amp single-phase only) V: 4-pole,4-wire,switched neutral ASE: Service entrance rated Available Models All Model RXT transfer switches are standard-transition 60 Hz automatic transfer switches with NEMA 3R aluminum enclosures. Letters in parentheses refer to the model designation code described above. Description Voltages WCR Ams Connections 208(C) 240(F) 480(M) Poles Phases RMS Symmetrical Amps Standard(A) • 2(N) 1 10,000 100 Standard,with load center(B)# • 2(N) 1 10,000 Service entrance(ASE) • 2(N) 1 22,000 Standard,3-phase • • • 3 m or 4 M 3 30,000 Standard(A) • 2(N) 1 10,000 200 Service entrance-(ASE) • 2(N) 1 22,000 Standard,3-phase(A) • • • 3 m or 4(V) 3 30,000 Standard(A) • 2(N) 1 50,000 L400 Service entrance(ASE) • 2(N) 1 35,000 Standard,3-phase(A) • 1 • • 3(T)or 4(V) 3 50,000 * Withstand and close-on rating. See pages 3-5 for WCR information and specific breaker ratings. # 16-space load center. Up to 8 tandem breakers can be used,for a maximum of 24 circuits. DISTRIBUTED BY: Availability is subject to change without notice.Kohler Co.reserves the right to change the design or specifications without notice and without any obligation or liability whatsoever. Contact your local Kohlere generator distributor for availability. ©2011 by Kohler Go.All rights reserved. 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