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Home My WebLink About49755-Z ��gUF L cGy Town of Southold 10/27/2023 P.O.Box 1179 . W 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44694 Date: 10/27/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 10273 N Bayview Rd, Southold SCTM#: 473889 Sec/Block/Lot: 79.-5-20.12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/17/2023 pursuant to which Building Permit No. 49755 dated 9/21/2023 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: accessoa generator as applied for. The certificate is issued to Peconic Land Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49755 10/24/2023 PLUMBERS CERTIFICATION DATED r tho 'z 'gnature ��SOFFo � TOWN OF SOUTHOLD BUILDING DEPARTMENT H x TOWN CLERK'S OFFICE "o • �, SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 49755 Date: 9/21/2023 Permission is hereby granted to: Peconic Land Trust 296 Hampton Rd PO BOX 1776 Southampton, NY 11969 To: Legalize as-installed accessory standby generator at existing agricultural property as applied for. Additional certfication may be required. At premises located at: 10273 N Bayview Rd, Southold SCTM #473889 Sec/Block/Lot# 79.-5-20.12 Pursuant to application dated 8/18/2023 and approved by the Building Inspector. To expire on 3/22/2025. Fees: ACCESSORY $200.00 ELECTRIC $170.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $420.00 Building Inspector pF SOUryol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G S ��ly� Jamesh southoldtownny.gov Southold,NY 11971-0959 A.UM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Peconic Land Trust Shellfisher Perserve Address: 10273 N Bayview Rd city:Southold st: New York zip: 11971 Building Permit#: q9 -7 55 + 49555 Section: 79 Block: 5 Lot: 20.12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Property owners Electrician: License No: SITE DETAILS Office Use Only Residential Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures 2 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 200a A/C Blower Range Recpt Ceiling Fan 1 Combo Smoke/CO Transfer Switch 2008 UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect Switches 3 4'LED Exit Fixtures Sump Pump Other Equipment: 1 22kw generator with 100amp breaker ,1 200amp transfer switch 1 200 amp panel 40 space 21 used , 2 weilder outlets Notes: BUILDING #10 [QUONSET] Inspector Signature: lT• Date: October 24, 2023 p 9 10273 n bayview rd OF SOUly�lo �� - --- --- f # TO N OF SOUTHOLD BUILDING DEPT. �yca631-765-1802 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) 4--&ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Ail JA �v G P- DATE INSPECTOR IELD INSPECTION REPORT DATE COMMENTS Cr7 FOUNDATION (1ST) --- - ---- -------- - -- ---- - U1 FOUNDATION (2ND) -- - z p ROUGH FRAMING& PLUMBING - ----- — INSULATION PER N.Y. -- ---------- - '� STATE ENERGY CODE FINAL IJL ADDITIONAL COMMENTS ----- ------ ---------- --- O M ------ -------- -------- - - - X ----- - --- -- ---------- - s L�7 �3 d b oSs jr'o� TOWN OF SOUTHOLD—BUILDING DEPARTMENT sg Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy�o ao� Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT ® EE I V E For Office Use Only PERMIT NO. Building Inspector: AUG 17 2023 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted.'Where the Applicant is not the owner,an Building Department Owner's Authorization form(Page 2)shall be completed. Town of Southold Date:7/20/2023 OWNER(S)OF PROPERTY: Name:Peconic Land Trust SCTM#100_0-79-572_0.1 -20.1 0,'4.•/x_ Project Address:10273 N Bayview Rd, Southold, NY- 11971 Phone#:631-283-3195 Emaii:jwilson@peconiclandtrust.org MailingAddress:PO BOX 1776, Southampton, NY 11969 CONTACT PERSON: Name:Karen Rivara MailingAddress:PO Box 964, Southold, NY 11971 Phone#:516-446-7138 Email:keeno1959@gmail.com DESIGN PROFESSIONAL INFORMATIO•N:`,'. Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Daniel Wilcenski Electrical Contracting Mailing Address:PO" Box 319, Southold, NY 11971 Phone#:631-765-2864 Email:wilcenskielectrical@yahoo.com DESCRIPTION OF PROPOSED CONSTRUCTION ®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other &"r,416Vr7� $15,000 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property:Shellfish Farm Intended use of property:She11 fish farm. Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R80 this property? DYes ❑No IF YES, PROVIDE A COPY. W Check Box After Reading: The owner/contractor/design professional is responsible forall 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): -. �� Jam. El Authorized Agent ❑Owner _.... __ . ._.. _ _ yep ► . � . Signature of Applicant: / ,� j� Date: 2.1 Z©7 STATE OF NEW YORK) SS: COUNTY OF C0Q�o►--kA ) V`Alrev% —'1Zg,yo tra- being duly sworn,deposes and says that(s)he is the applicant (Name of individu al signing contract)above named, (S)he is the t -Tec1p tA+ (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 O j4 20 L� Notary Public MELANIE A.CIRILLO PROPERTY OWNER AUTHORIZATION Notary Public,State of New York No.O1C15035908 (Where the applicant is not the owner) ' Qualified in Suffolk County Commission Expires r f 5-11-i I, M,10tiili c-�t�o174N 3 ,�� re�at e Coin.ac-- J VL]S4- 4- Zc,t I DLu . SoJ-VA,,aw 06^ do hereby authorize 4�yr v` i r/a✓ a-- to apply on my behalf to the Town of Southold Building Department for approval as described herein. TA!, Owner's Signature Date Print Owner's Name 2 �SofFOL I( . BUILDING DEPARTMENT- Electrical Inspector D� TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box,1179 H I x Southold, New York 11971-0959 o a0 Telephone (631) 765-1802 - FAX (631) 765-9502 � t,, n©aennCse�utflofdt'ownm�;lg©.�c�-se�rnd@�s��ut�nit�t�.w.rnn�;lc�au� APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: L7eA 3 Gi Company Name: n%i�f �,! ��'-c '1 ea enc Electrician's Name: , I 't-evlSKt License No.: V-7-z-3 Elec. email: Vleew1sh'e, eP rcaw -rhoo- c&-n Elec. Phone No: 631 - -1,5-;?96q ❑I request an email copy of Certificate of Compliance Elec. Address.: P0 ZW JOB SITE INFORMATION (All Information Required) Name: Aemq d co Address: �' )vrRd ,1a,?:73l1J- 2aq Uig Cross Street: U f Phone No.: 5-1& l3 Bldg.Perm it #: email: 4� t v Tax Map District: 1000 Section:, Block: S Lot:.ZD, /Z BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): efe& ea�_ MI-Pec-NI? of �,_fndby �"QrAjb-- kmat.(_ 7,2 f(iv Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑ Rough In Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size 01 Ph[--]3 Ph Size: qQD A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 R H Frame Pole Work done on Service? Y NIN Additional Information: 5 1ol(,rS �� pi p( �l e� 1`n,Wc fz�m PAYMENT DUE WITH APPLICATION V f a_ BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 41(; Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro err@ south ofdtownnV.gov - sea nd@southoldtownnV...aov `rte}-r�.�:r:=z�• g APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: ZQ Z Company Name: ao j e-f L Z(P-6*-1 ca-Q em I-0 C Electrician's Name: '-1)6,n'1-ej WflUrtSkL License No.: Y-723 Elec, email: p,c)(1Ce,0,5kf'c lee kcede shoo - c:&n Elec. Phone No: 63i �, , ❑I request an email copy of Certificate of Compliance Elec, Address.: P0X JOB SITE INFORMATION (All Information Required) Name: A ea)s Lou,,ied co Address: SI ( . /,)-?' i U� Cross Street: o U i' Phone No.: CD3! -/8b� 15-1& Bldg.Permit #: Do ro is email: Tax Map District: 1000 Section: of Block: S Lot:Z0, /Z BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 2 e&M(2aQ m*ec'ftm? zz�fw Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑ Rough In ® Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size1291 Ph❑3 Ph Size: qDO A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: �Zt fd«S lger a1nd 91,07 C0-L � s�Pc fcvn oo v(L (0l7;-C i Was Olv 4&5 zoz PAYMENT DUE WITH APPLICATION V �� -9Iz3 now or formerly Robert Hermon z ' s h cy O@- O�s o� S. ° 3' 9"VIG OPt 1207.25' - 61.00 304.00 502.25 .1 Q 252.90` -' TEST WELL$ 800. hf 4'r ��- Tco Rwc � 4 ij y1160It 0N I I � l�• � f O m O Pv`p�'r-- g3g n O = r of O = 944'44 9.f. o(� /� `yb•��+ ' N� a 1 to 83749 s.f. ; Sri? S.W 49tlw y� oa. p�29�y ? Al 5DO r� S14°Od49"1X �• P`A�o F Q iN Si4s319`W /TP1A g5 SIGHF.S11 0 94f•NODp 49 W. _f W P 3soas :„53 N�A �� now or formerly Robert Hermon W N149D399 k, LL r711 on 30.00 uoY R' °89y Z I \`. 1D 9 $'0 LEAcx1x0 POOL W1 jY Q �p I (D G.FQAME6CflATE4TY0 S 15' 77017 s.f. ck 3rd z�4a T4s"E ° cnrcx sAs1x 3 JJO or formed now or for John I-Ploc m nar xou ,1, �' al OI A.Plock 81 CarolA.1 Win a o N RA a Yo r O 4r• v� ,a'i� 3s, (+ •/. 5�8�33'49`W. o?O m 97089 s.f.- .� Q• •. 'QI 331.15 360.00 � �r Js' Ro`9s •32 � �' R19ht� sToxE t7f °Lexo 175.36' 194.65' y� /// 9`DAA 110°334T9°— L, SIO°0349 W x r sem___!# 22.0?. 2p as_ 5.80°56'58"E su racT xuT O 19.52' _ wncnua^ R1411Lf” �'•• 9.21°33 z1.37 13.6856 Acres �:`I�►1e° '1 5.67°S7'I4 E x 1obSS'L a ° eo ie y9°Td` �I • - —' � btrrYq Nq It ` Robert Heman LAG00IN a 13 BOAT EASEMENT AREA c� vee°s° pw 1 ;° RIGHT OF WAY -" c41 0 0) �° mN uppt'� 1 yypYw' / [�1 AI \ �S.'nµD.2=qv"N• x.T^w'sv'e. eso. �'raSros'mq"c / °e x.io gs00 E T UL LIL mm ..w f/AlA S'il�GC 5i aY Wi t1[R.R�°'!p �J rr'��• 8020 f.8t01xou'a`e LI`¢e awc WOO o 9ULRHEAO N.11 29 54£. I55.99 r 103.99' 335.58' ".1. 337.42' TIE LINE 776.99 !"o ppN •°pp4° �n9 :ti � Let Lot I J �6 p .yQ.W Nb°1 m� 3fN i�l� RT 2 W m mOLot 7 a LD1 2 P 1kw 8 Y.4 0 ¢ a+ z g �'y+ y 3 I t ° LOT 3, G W Lot 3 BASIN _ g 4 Subdivision- "Mop of Reydon Shores, Inc." Suffolk County File No,631 b ( .T DANIWIL-01 GANCONA FA.CORD}` DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 2/1/2022 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(ies)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: Neefus Stype Agency PHO NN,Ext):(631)722-3500 FAX,No>:(631)722-3591 711 Union Ave. (AIE-MAIL Aquebogue,NY 11931 ADDRESS:info@nsainsure.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Merchants Mutual Ins CO .23329 INSURED INSURER B: Daniel Wilcenski Electrical Contracting Inc. INSURER C: 2030 Boisseau Ave INSURER D: Southold,NY 11971 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IVSD SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD YYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F_X] OCCUR BOP9092,292 2/26/2021 . 2/26/2022 DAMAGE PREMISES TOEa occRENTED urrence $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 800,000 Ea accident $ ANY AUTO CAP9255326 2/27/2021 2/27/2022 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLYX AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER I AND EMPLOYERS'LIABILITY Y/N STATUTE I I EERH ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFE.L.EACH ACCIDENT $ FICERMBER EXCLUDED? N/A (Mandato/ry EMin NH) E.L.DISEASE-EA EMPLOYEE $ 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) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Aeros Culture Oyster Co,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10273 North Bayview Rd ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE , ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DANIWIL-01 GANCONA DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 2/1/2022 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(ies)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: fus Stype Agency (A/HCC,NN ,Ext):(631)722-3500 (A//CC,No):(631)722-3591 711 Un 711 Union Ave. E-MAIL Aquebogue,NY 11931 ADDRESS:info@nsainsure.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Merchants Mutual Ins Co 23329 INSURED INSURER B: Daniel Wilcenski Electrical Contracting Inc. INSURER C: 2030 Boisseau Ave INSURER D: Southold,NY 11971 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO.THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX] OCCUR BOP9092292 2/26/2022 2/26/2023 DAMAGE TO RENTED PREMISES Ea occu encs $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT. 300,000 Ea accident $ ANY AUTO CAP9255326 2/27/2022 2/27/2023 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY Ix AUTOS BODILY INJURY Per accident $ X HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PEROTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANYOFFICER/MEMBER EXCLUDED?ECUTIVE ❑ N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 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) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Aeros Culture Oyster Co,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10273 North Bayview Rd Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF York State fnsuaanre Fund• PO)Bax<666993,AIbany4,N1Y142063 li nyslEcoms CERTIFICATE IE:O:F WORKERS"COMPENSATION INSURANCE 17 =4e- 11,n,A'•.A,AlA 1i1359h'8bT . AM?Y,VINS,BROKERAGE:OFNEWIYORK<. ` s 200)ELWOOD)D'A•VIS',ROADa ��i I j • 3 SlJ1TE2001- ILIWEERPOOL NY'1i30W S.CANITiO)VALI DATE AMSUBSCRIBI= POLfCYHOLDER. CERTIFICATE HOLDER, Di4N1ELI.1YIIILCENSK1iELECTRICAL. AERDS3MUILTU RED)OYSTIER,CONNC: CONTRACTING;INC 1A27/31 NORTHI BAYVIEWl RD) 3 P'O)BGX:3119) SOUsTiHOLD) NiY.% 1119711 i SMI THO'LD�NY'1119`T11 I POL+ICY'.NllMBER, CERTIFICATE:NtJMBER, POLICY(PER100 MATE Z:11266;1?79=9) '384'509.p 05101V2001 T0) 051.GAY20222 2MV2022.' THIS> IS TO) CERTIFY'THAKTTHEPOIlJCYHOLDERt NAMED)ABOVE IS INSURED)1).11'IMKII THE NEIN)YORWSif ME1NSWRANC)~ FUND) UNDER; POLICY' NO?, 11266;117941. COVERING) THE ENTIRE: OBLIGATIONI OF- THIS; POLICYHOLDER, FORt WORKERS,' COMPENSATION! UNDER; THE NEW.) YORK WORKERS` COMPENSA 1IONI LAW W.',IMHil RESPECT- TO: ALL OPERATiIONS'. IN! TiHE'.STATIE: O'F NEW YORK,, EKGEP'Ti' AS, INDICATED) BELOWL IF'YOUI WISHI TO RECEIV'•E NOTIFICATIONSREGARDINGI SAID)POLICY;,INCEUDINGAANY1 NOTIFICAM10NI OF'CANCEL'EXPIONSL OR:T,'O)V.ALIDA\TiE:TIilS-CERTIFICATE;,V.1SIT'OUR:WEBSITEAk7'Ho1TPS IAV..WWINYSIF:COMICERTICER MAL+.AM.THE,NEW YORK STATE:INSURA'NCE.FUND)1SNOTi'LABLEIN1TliE:EVENT'OF FAiL+ "JRE-JO)G1VE.SUCH] NOTIFICAMIOW. T1HIS;POLICY'DOES�NOTCOVER:CIAIMS>OR:SUITS THAT'ARIS:I=.FROMIBOD.ILIYi']NJURY(SUFFERED)BY(TiHE:OFFICERS>OFTHE: INSURED CORPORATIONI. DAN I EL WIIll CENSKI(IPRES>))& MELISSA WILCENSFCI(SEC)) OF 'N'.0)PERS'ONI CORP' DAN I ELI.W.1 Ill CENSKII ELECTRICAL. 00N,TiRACTiNG)INC. THIS CERTIFICATE IS, ISSUED)AS A\ MATTER? OF INFORMATI ONJONLWAND)CONFERS> NO) RIGHTS) NOR's INSURANCE COVERAGE UPON! THE: CERTIF]CATE HOLDER.. THIS CERTIFIOP.\TE DOES NOT AMEND,, EXTEND) ORt ALTER: .TINE OVERAGE;AFFORDED)&W THE,POLICY- NEWTYORKS,IA\T� :S.U.R' N:CE FUND) P DIREGTTQR�JNSURANCE:FU N©)UNDERWRITING, VALID'A01i10.NI NIUMBER'.:620:404294= NYSIF XvvYork StatsNsuranceFund P-013'aw666991,Albanyi,MW 12206i �j nysitcoms CERTIR:CATE'OF•WORKERS"C:OMPENSAMONI INSURANCE MA,A,A,A,A; 113 5911857 AMWINS)BRO.KERAGE:OFNEW YORK; 200EL+17AI.00:D)DAVISROAD) a SUITE 200) NMI, L'IVERPOOL NY/'130885 SOANJTO)VA111 IMA71E A{.D)SUBSCRIBE. POLICYHOLIDER', CERTIFIOXT E H10LMER DANIEL.WILCEN SKI I ELIEC:IIRICAL• A'ER1DS3CULTURED)O iSTERZG0)INC: CON ITRACI ING,IMC, T:02713)N0RTHIBAY•VIEW/RDx P'aBOX,a)19) SOUITHOLD) NMI' 111;9711 SOUTHO' D)N!Y'111;9711 a I POE ICY- UMBER CER IFI:CAME-MUMBER, P0LIox PER1O.D) DATE Z126611794 384512 05/0)1%2020) TO) 05/01Y20211 tin'/20221 THIS IS)TO) CERTIFY'T1IATTHEEPOLIMHOLDER"NAMED)ABOVE IS; INSURED)WI)TH1 THE NE1117f YORWSTiA.; APPROVED AS NOTED DATE: B.R# OCCUPANCY OR FEE d0-ad BY: USE IS UNLAWFUL NOTIFY BUILDING DEPARTMENTAT WITHOUT CERTIFICATE FOLLOWING NAM C ION FOR THE �� OCCUPANCY FOLLO�IUING INSPECTIONS: v 1. FOUNDATION TWO REQUIRED i FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3.. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. COMPL`r'WITH ALL CODES OF ALL CONSTRUCTION SHALL MEET?HE -NEW YORK STATE_& TOWN CODES_' REQUIREMENTS OFTHE CODESOF NEW YORK STATE. NOT RESPONSIBLE FOR AS REQUIRE :RND"CONDITIONS 00,,.DESIGN OR CONSTRUCTON ERRORS SOUTHOLD TOWN ZBA x,..�SOtlTFCOI ?OWN PLANNING:BONA9�.. Additional :SOUTHOLD`TO:WN TRUSTEES' Certification N:Y.S DSC` May Be Required. ,.. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. °LECTRIGt.t� Diagrams Section 11: Diagrams Installation Drawing (10000010258 rear C-1 of 2) a 0 MOUNTING TO CONCRETE PAD 768 679 , [30.2] 126.8] L OPTIONAL LOCATIONS O MOUNTING TO A CONCRETE PPD 521 16[518]DIA.CLEARANCE [20.5] HOLE(3)PLACES, 10(3/61 DIA.MASONRY ANCHOR BOLTS RECOAfLL=NDED 197 393 [7.71 [15.5] 68 FR0777 OF UN-7. 849 12.7] [33.4] 267 110,5] [74.0]356 TRANSFER SWITCH (IF SUPPLIED) N AC/CONTROL WIRING HOLE FOR 11/4'CONDUIT REMOVE FACTORY PLUGS AND DiSCASu7 IN AC/CONTROL WIRING HOLE FOR 314°CONDUIT —CLOSE ANY UNUSED HOLE 4'.7T: 3R RATED PLUG(FIELD SL'P<-jF.01 AUXILIARY SHUTDOWN SWITCH IRELESS MODULE UEL INLET:1/2"NPT(9.11kW) :314"NPT(13,16.22kW) REQUIRED FUEL PRESSURE:NATURAL GAS:3.5-7';VAT R TATER C0LUMN 635 LIQUID PROPANE(VAPOR):10-12-WATER CIJLUV•: [25.0] Ii a 733 [28.8] 345 [13.6] O O .......................................... s: i+ 216 REAR VIEW 648 18.61 125.51 LEFT SIDE VIEW Installation Guidelines for 60 Hz Air-Cooled Generators 49 Diagrams Installation Drawing (10000010258 rev C-2 of 2) 4 AIR INTAKE [ F^_."2..11.OF02 6REA 914[36.0] r MINIMUM OPEN AREA VM ^� : AIR OUTLET H07 AIR INTAKE -914136.01- G!,,,!.£UM OPEN AREA TOP VIEW 9141360 MINIMUM OPEN A4cA "DO NOT LIFT BY ROOF" o •I • i I e O 04 i £ RIGHT VIEW LIFTING HOLES 4 CORNERS:9�30[f IJ 1.2] I`r PRE PANEL REMOVED -MUST BE LIFTED WITH STEEL RODS RECOMMENDED LIFTING ROD SIZE:025[01.0] 121 [48.0] w £ s£ L:............................................................................................ ........ .......""' ............................ ......................................................................................................................... RIGHT SIDE VIEW 1232 148.5] FRONT VIEW 127[5.0] GRAVEL PAD/ COMPACTED SOIL 50 Installation Guidelines for 60 Hz Air-Cooled Generators General Information e® B F � l D 0 E a F A ® R. K T H S G Q IA III P �® lill IIS ° N M 001786 Figure 2-3. 20 kW-22 kW/—Components and Control Locations A Lock with cover F Exhaust enclosure L - Composite base Q Wi-Fi module B Mainline circuit breaker G Status LED indicators illi Oil dipstick R Data decal location (generator disconnect) C Airbox with air cleaner H Oil drain.hose N Sediment trap S Auxiliary shutdown switch D Control panel J Oil fill cap O Fuel regulator T Auxiliary shutdown switch E Battery compartment K Oil filter P Fuel inlet (battery not supplied) Owner's Manual for 60 Hz Air-Cooled Generators 0