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HomeMy WebLinkAbout50377-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY .fl 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 #: 50377Date: 2/27/2024 Permission is hereby granted to: Beta II LLC _ 230 E 85th St ........ w www......._............. .. .... ww.W..._..w...... w —1-1111-111"...—..._. www...ww.......... _.... _ww.... ._........... . New York, NY 10028 To: Install accessory standby generator at existing single family dwelling as applied for. At premises located at: 610 WildberrywLn mmSouthold SCTM # 473889 Sec/Block/Lot# 51.-3-.1..2...10 w......._ .. www_............ww......_...__w._wwww__. -. _w... ... .www Pursuant to application dated _. 1/25/2024 and approved by the Building Inspector. To expire on 8/28/2025. Fees: ACCESSORY $125.00 ELECTRIC $100.00 CO-RESIDENTIAL $100.00 Total: .------------------- �_.$325.00 Building Inspector r jai,r TOWN OF SOUTHOLD—BUILDING DEPARTMENT `T Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 hga�l,� I ry QLq,ktoL�ft tl"-v v Date Received APPLICATION FOR BUILDINGPERMIT For Office Use Only 24 PERMIT No. Building Inspector":. www._wwwwwwwwww...ww �r '` "D Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. � Date:1/16124 OWNER(S) OF PROPERTY: Name:Twin Barns LLC "Jessica & Hal Coopersmithi SCTM # 1000-51-03-12.10 Project Address:Lot 4 "Wildberry Fields" Southold NY Phone#:917-312-0240 Email:TwinsBarnsLl@gmail.com Mailing Address:300 East 56 Street Apt. 16 New York, NY 10022 CONTACT PERSON: Name:Jennifer Ross Mailing Address:595 North Street Manorville NY 11949 Phone#:631-484-9291 Email:jennross@rossbrosconstruction.com DESIGN PROFESSIONAL INFORMATION: Name:Andrew Pollock Architect, PC Mailing Address:56 South Oxford Street Brooklyn NY 11217 Phone#:212-620-0044 Email:andrew@cityarchitect.com CONTRACTOR INFORMATION: Name:Greg Ross "Ross Brothers Construction" Mailing Address:595 North Street Manorville NY 11949 Phone#:516-322-7619 ._JEmail:gregross@rossbrosconstruction.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration []Repair ❑Demolition Estimated Cost of Project: 00therGenerator ,201000 Will the lot be re-graded? ❑Yes NNO Will excess fill be removed from premises? s �ANo 1 PROPERTY INFORMATION Existing use of property:NOne Intended use of property:Residence Zone or use district in which premises is situated: Are there any v ants and restrictions with respect to this property? es VNo IF YES, PROVIDE A COPY. R Check Box Aft'er Rea dilY g� 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 aw auilding 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)fot necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By( Jennifer Ross int name): RA u horized Agent ❑Owner Signature of Applicant: f"OA:1,6 Date: l q/'�) a STATE OF NEW YORK) Ss: COUNTY OF ) /1/1 ru2being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)heisthe (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 , 20 Notary Public yo& PROP R"TY OWNER �'�U 10RIZ T)O .... ,, s .tea (Where the applicant is not the owner) I,_Hal Coopersmith residing at_300 East 56 Street#16J, New York, NY 10022_ do hereby authorize Jennifer Ross to apply on my behalf to the Town of Southold Building Department for approval as described herein. :>� c:>'ry Jan 17, 2024 Owner's Signature Date Hal Coopersmith Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 rA Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roerr sortholdtowr�n ov — seared southoldtownn ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1/16/24 Company Name: Prime Electric Inc. Electrician's Name: Mike Hunter License No.: ME-52402 Elec. email:mlh912@aol.com Elec. Phone No: 631-387-5650 ❑1 request an email copy of Certificate of Compliance Elec. Address.: 1380 Broadway Avenue Holbrook, NY 11741 JOB SITE INFORMATION (All Information Required) Name: Twin Barns LLC "Jessica & Hal Coopersmith Address: 610 Wildberry Southold Cross Street: Soundview Avnue Phone No.: 917-312-0240 Bldg.Permit#: y k() `41 email:TwinsBarnsLI@gmaii.com Tax Map District: 1000 Section:51 Block: 03 Lot:12.1 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install 26KW General air cooled generator Square Footage: Circle All That Apply: Is job ready for inspection?: El YES Z NO []Rough In ElFinal Do you need a Temp Certificate?: YES [k] NO Issued On Temp Information: (All information required) Service SizeF�1 Ph F-13 Ph Size: A # Meters Old Meter# r-1 New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 R2 H Frame Pole Work done on Service? Y DN Additional Information: PAYMENT DUE WITH APPLICATION e)� APPROVED AS NOTED DATE',d__'!2�_i2 B-p5a3 l.2 USE IS UNLAWFUL FE S�BY: WITHOUT CERTIFICATE NOTIFY BUILDING DEP FITI ENT T 631.76,r).1802 8 TO 4P I FORTHE OF OCCUPANCY FOLLOWING G IN PECTION . 1» FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3.. INSULATION 4. FINCON S RUCTION MUST 113E COMPLETE FOR C.O. C,�w pl. VT" lAl ISI � �� ALL CONSTRUCTION SHALL MEET � � �IXE �� J S OF REQUII' FMENTS CIFTHE C1F N µ YO STATE, NOT RESPONSIBLE SPC NSIBLE�FOR AS REC)L11VIE "°ONLA O � DE%I IN OR C N TRUCTON SoUj�W)LD To�JN P0NNG BOARD N"%DEC SOUTHOLD Hpc H RETAIN STORM HARP ER 236ER FF PURSUANT TO C OF THE TOWN CODE. - GENERAC 26 kW GUARDIANO SERIES Residential Standby Generators Air-Cooled Gas Engine Standby Power Rating 0 True Pmwer~ Electrical Technology 0 Two-line multilingual digital LCD Evolution"controller (En |iuh/Spanixh/Fmnoh/Pmauguase) 0 2OOamp service rated transfer switch available 0 Electronic governor 0 SUmdardWi-Fig connectivity 0 System status&maintenance interval LED indicators * Sound attenuated enclosure 0 Flexible fuel line connector 0 Natural gas o/LPgas operation awENERAC 0 5Year limited warranty 0 Base fascia 0 Listed and labeled for installation auclose ao18in(457mm)toa structure.* *Must be located away from doors,windows,and fresh air intakes and in or us accordance with local codes. C01. uSTm Note:CEIL or CUL ceAfication only applies tounomndNdo0saad units povmmm with limiled circuit es.uniupmmnedwimmwmnarto=#chomoTLmuL certified in the USA only. � INNOVATIVE ENGINE DESIGN & RIGOROUS TESTING are mthe heart oYGen- C xQUD-STATE. FREQUENCY COMPENSATED VOLTAGE REGULATION: This omx'o ou0000s in providing the most m|iuNe gunonunm possible. Gonomc'x 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 hyelectronically torque-matching the surge rigors ufextended run times inhigh temperatures and extreme operating conditions. loads mthe engine.Digital voltage regulation m±1%. D TRUE POWER"ELECTRICAL TECHNOLOGY:Superior harmonics and sine wave O SINGLE SOURCE SERVICE RESPONSE from Gonomo'oextensive 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 tothe small- allows ounUUontopoouionofxono|hvee|octmn|ooquipmon\angmiom-chipUasoU est electronic component, appliances,such asvariable speed HVAC systems. D TEST CRITERIA: 0 @ENEM&CTRANSFER SWITCHES: Long lite and reliability are synonymous with G�N�RACP8��RSY%[E�SOnomamnfo/1NxoonUUonoo|sm�thoGENERAC � PROTOTYPE TESTED / N����G1-��EV�LU000N � / SYSTEM TORSIONAL TESTED / MOTOR STARTING ABILITY product line iooffered with its own transfer systems and controls for total system compatibility. O MOBILE UNK' :oQNECT0|7tFREE with select � Guardian Series Standby 0onemmm, Mobile L|nkvN-H allows users to monitor generator status from any- where inthe world using aonariphono.tablet,o/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 o(before the next power outage. mGENEAA��| ������������ PROMISE� �_i' '' ~'`' .~^ ���� ���r ���� ���� ...•����,wn.�r�»�mnr�ma�urt�rTidVki�d,��J,�l��,� 26 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 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. • EPA Certified for non-emergency applications Allows unit to be used for demand response applications. • High temperature shutdown Prevents damage due to overheating. Generator • Revolving field Allows for a smaller,light weight unit that operates 25%more efficiently than a revolving armature generator. • 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 311 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. �� �uwwwwwwwwwwd� w�� wwuuwmu �uu�, � ww� ww� volution" Controls • AUTO/MANUAUOFF 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 26 kW Features and Benefits Installation System 0 14in(35.dcm)flexible fuel line connector Listed ANSI Z21J5/CSA8.27outdoor appliance connector for the required connection to the gas supply piping. 0 Integral sediment trap Meets|FGCand NFPA54installation requirements. Connectivity(Wi-Fiequipped noode/s only) wwAbility toview generator status Monitor generator with a smartiphone,tablet,or computer at any time via the Mobile Link application for complete peace ofmind. • Ability toview generator Exercise/Run and Total Hours Review the generator's complete protection profile for exercise hours and total hours. • Ability toview generator maintenance information Provides maintenance information for the specific model generator when scheduled maintenance is due. • Monthly report with previous month's activ4 Detailed monthly reports pmv!dohistorical generator information. • Ability toview generator battery information Built inbattery diagnostics displaying current state ofthe battery, • Weather information Provides detailed local ambient weather conditions for generator location. .....����rraerannmrue!dR�1oP(�(i�1X�U%1Vt )� i� ,,. 26 kW Specifications WwNWYWN9PNWUWUWNuuNYUYUWP �'WYIWIWWIWIW IumNWWBIWNWY4 V UI&YYWW&WWWYWWYWYWWWWNNYWWYWk Gerierator Model 6007290-0 G007291-0 (26 kW) Rated maximum continuous power capacity(LP) 26,000 Walts" Rated maximum continuous power capacity(NG) 22,500 Waits' Rated voltage 240 Rated maximum continuous load current--240 volts(LP/NG) 108,3/93,8 ' Total Harmonic Distortion Less than 5% Main line circuit breaker 110 amp Phase 1 Number of rotor poles 2 Rated AC frequency 60 Hz Power factor 1.0 Battery requirement(not included) 12 Volts,Group 26R 540 CCA minimum or Group 35AGM 650 CCA minimum- Unit weight(Ib/kg) 518/235 Dimensions(L x W x H)in/can 48 x 25 x 29/121.9x 63„5 x 73,7 Sound output in dB(A)at 23 ft(7 m)with generator operating al normal load"" 67 Sound output in dB(A)at 23 fl(7 m)with generator in Quiet-Test'”low-speed exercise mode— 57 Exercise duration 5 min y.:m ghi Eng0re typeGENERAC G-Force 1000 Series Num( v`ofcylindem 2 Displacement 999 cc Cy1ftgs4ro'Oica Aluminum w/cast iron sleeve Valve arrange(nent Overhead valve tdrltf ay, tel" Solid-state w/magneto Governor system Electronic comptdssattt ratio 9.5:1 Starter 12 VDC Oil Natty d"k 4u bicap tidal Approx.1,9 qt/1.8 L Opecating rprn 3,600 &roof corisu lkptloo N at; ttx/hr(m3mr) 1/2 Load bdS OV. Full Load 333(9,43 Liquid propane ft/fur(01140 BAn 75(206)(7.76( Full Load �Iv(0,0)11a1.,'t Note:Fuel pipe must be sited for full load.Required fuel pressure to generator fuel inlet at all load ranges-3.5-7 in w4er Column(0.87-1.74 kPa)for NG,10-12 in water column(2.49-2.99 kPa)for LP gas. p e t ( content,multiply m3/hr 93.15(LP)of rr 1hrx 37.26(NG), Far BTU conl�enl,muhi I tt/ x 2500 LP of PC`/Ntr x 100tJ N6.Fot Mn a oule„ � ontr�Is Two-line plain text multilingual LCD Simple user interface for ease of operation, Mode buttons:AUTO Autornaticstart on utility failure Weekly,6i-weekly,or Monthly selectable exerciser, MANUAL Start with starter control,unit stays on.If utility fails,transfer to load takes place. OFF Stops unit.Power is removed.Control and charger still operate. Ready to Run/Maintenance messages Standard Engine run hours indication Standard Programmable star delay between 2--1500 seconds Standard(programmable by dealer only) Utility Voltage Lass/Return to Utility adjustable(brownout setting) From 140-171 V/190-216 V Future Set Capable Exerciser/Exercise Set Error warning Standard Run/Alarm/Mainteriance logs 50 events each Engine start sequence Cyclic cranking:16 sec on,7 rest(90 sec maxirnum duration). Starter loch-out Starter cannot re-engage until 5 sec alter engine has stopped. Smart Battery Charger Standard Charger Faull/Missing AC warning Standard Low Battery/Battery Problem Protection and Battery Condition indication Standard Automatic Voltage Regulation with Over and Under Voltage Protection surd drd Under-Frequency/Overload/Stepper Overcurrent Protection Standard Safety Fused/Fuse Problem Protection Shield* Automatic Low Oil Pressure/High Oil Temperature Shutdown Standard `Overcmnk/Overspeed(@ 72 HzVrpm Sense Less Shutdown Standout High Engine Temperature Shutdown Srand ld Internal Faulyncorrect Wiring protection SIX1401d Common external fault capability Standard Field upgradable firmware Standard Rating definitions-Optional Standby:Applicable for supplying backup power for the duration of the utility power outage with correct maintenance performed. "No overload capability is available for this rating.(All ratings in accordance with BS5514,ISO3046,UL2200,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 fl(304.8 m)above sea level and approximately 1% for each 10°F(6°C)above 60°F(16°C).**Sound levels are taken from the front of the generator,Sound levels taken from other sides of the generator may be higher depending on installalion parameters. U S EPA certified for non-emergency applications 26 kW Switch Options Service Rated Automatic Transfer Switch Features Model G007291-0(26 kW) • Intelligently manages up to four air conditioner loads with no additional hardware. No.of pores 2 Current rating(amps) 200 • Up to eight additional large(240 VAC)loads can be managed when used in conjunction Vojfagarating(VAG) 120/240,10 with Smart Management Modules(SMMs). Utility voltage monitor(fixed)* • Electrically operated,mechanically-held contacts for fast,clean connections, -Pick-up 80% -Dropout 65% • Main breakers are rated for 80%continuous load. Return to,lurfi%< Approx.13see r • 2-pole,250 VAC contactors. ErL or UL listed Standard • Service equipment rated,dual coil design. Enclosure We NEMA(UL 3R • Rated for both aluminum and copper conductors. Circuit breaker protected 22,000 Lag range 250 MGM-#6 • Main contacts are silver plated or silver alloy to resist welding and sticking. *Function of Evolution controller • NEMA/UL 3R aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. Exercise can be set to weekly,bi-weekly,or monthly Dimensions � 200 Amps 120/240,1 e Open Transition Service Rated Height Width Depth Hi H2 W1 W2 in 26.8 30.i 10.5 13.5_ 6.9 cm 67.95 76.43 26.67 34.18 17.5 ) r, Wire Ranges 4 Conductor Lug Neutral Lug Ground Lug 250 MCM-#6 1350 MCM-#6 210-#14 .,.� ,�I�wlllnityrm�a�u1CC1T`unVE(�Yui�l 26 kill" Available Accessories Mode# Product Description ;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-j essary for use with AGM-style batteries), rG001102-0 'Cil Warmer bii warmer slips directly over the oul filte.I IR r.Recommended 11 for use if temperatu11 re regularly falls below 0°F(-18°C). IG007103-1 Breather Warmer Breather warmer is for use In extreme cold weather applications.For use with Evolution controllers only m climates� pp� y' where r heavy icing occurs. 1300562'1-0 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 .11-asca a Il;a<se Wralln Kit The fascia base wrap snaps together around the bottom of the he new air-cooled generators.This offers a sleek contoured` 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 If the generator enclosure is scratched or damaged,it is important to touch up the IFaIru9 to protect frown future a aalrr¢nston, The touch-up paint kit includes the necessary paint to correctly maintain or touch up a generator enclosure, 3006465-0 Scheduied Maintenance Kit Generac's scheduled maintenance kit provides all the items necessary to perform complete routine maintenance on a, Generac automatic standby generator(oil not included). ,660000-0 LTE I Monitor Tank Gael Level T h L Eelnabblelevelds an important Revell irrnaoirnllanii provides constant iTHInit�oirong of fire noon unex iected ower P verifying 9 y �... � # F �^ , rl '" aaV tank I�'7duni°itarrinll tir�at t IIS t ortant ste In vers In the generator Is read to run g p p failure.Status alerts are available through a free application to notify users when the LP tank is in need of a refill. ,3007000-0(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. IG tf7169-0.413 LT6 Mobile Link`s"Cellular The ly of Gehui'ar Accessories allow users to monitor,generator status from an . Mobile Link famig anywhere ere in the world„using 1007170-0-Wi-Fi/ Accessories a smart phone,tablet,or PC.Easily access information such as the current operating status and maintenance alerts.Us- Ethemet 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 Kut Base plugs snap into the lifting holes on the 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,sufficient for use on a single air-cooled home standby generator. G007301-0 High Altitude Kit A high aVtitude kuf may be required when operating over 2,000 it(610 m)above sea level per U.S.EPA regulations.Op- er'ating the engine with the incorrect engine configuration at a given altitude may increase emissions and decrease fuel efficiency and performance. Dimensions & UPCs ......... ode ........,. UPC ................---------. 1218 m1------ J25 1 .._..[2 .1 ....,.,.w....................,..�... Ivr] [48.0 fn] G007290-0 696471087307 ...... G007291-0 r 696471087314 ..... 727 2 mrn [28 in] .1°Y C7 M1Z 640 nr,ra ..,,—....,..... ........,,1232 rnrn ............................�................. .. .................,..,..(25,5 Vn] ...........,................. (48 SInI LEFT SIDE'VIEVV FRONT VIEW Dimensions shown are approximate.Sep inskalkaflan manual Por er2cl dirnensions,COO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. GE N E R I■ C' Generac Power Systems,Inc. • S45 W29290 HWY.59,Waukesha,WI 53189 • generac.com Is ©2022 Generac Power Systems,Inc. All rights reserved, All specifications are subject to change without notice. Part No,A0002026894 Rev D 09/19/2022 pf r 7 J1lr,jG „`„ 5rcr'/ i N �l � "'A al, >, r r✓ r „�^+,. 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Possession of this license does not guarantee its validity. Additional Business Name License Category H1 - CC Workers' CERTIFICATE OF INSURANCE COVERAGE sTATi CompeBoard DISABILITY DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a. Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured ROSS BROTHERS CONSTRUCTION INC 595 NORTH STREET 6317724204 MANORVILLE, , NY 11949 Work Location of Insured(Only required if coverage is specifically limited to 1 c. Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 83-3678843 __www ........ ....... 2. Name and Address of Entity Requesting Proof of Coverage 3a Name of Insurance Carrier (Entity Bein Listed as the Certificate Holder) Town of Southold Standard Security Life Insurance Company of New York PO Box 1179 3b. Policy Number of Entity Listed in Box"l a" Southold, NY 11971 R09561-000 3c. Policy effective period 2/20/2019 to 2/20/2024 4. Policy provides the following benefits: ❑X 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. 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 desc d above. Date signed 2/21/2023 By .. _-- n �or NY5 licensed �ww_._...._. 2 __. ........ (Signature of insurance carrier's authcw¢ex i repot nsurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES 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 5B 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 mailed for completion to the Workers' Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To becompletedby 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 employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed �__wwwww 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 m 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. D1113-120.1 (10-17) 1�1 IIID°1°°1°1°1°°1°1°11°111°11°11111111111 Additional Instructions for Form D13-120.1 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"1 a"for disability and/or paid family leave benefits under the New fork State Disability and 'Paid Family Leave Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance 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 my 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 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 NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. 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. D13-120.1 (10-17) Reverse /5;� NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) ^^^^^ 833678843 ROSS BROTHERS CONSTRUCTION INC 595 NORTH STREET MANORVILLE NY 11949 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ROSS BROTHERS CONSTRUCTION INC TOWN OF SOUTHOLD 595 NORTH STREET PO BOX 1179 MANORVILLE NY 11949 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12268337-9 1 788861 04/01/2023 TO 04/01/2024 12/7/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2268 337-9, 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:/IWWW.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 JOHN ROSS VP GREG ROSS ROSS BROTHERS CONSTRUCTION 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 4 1*1 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 1021336577 AC"RV CERTIFICATE OF LIABILITY INSURANCE DATE`MM 142'013 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 endorsements). PRODUCER SPECIALIZED INSURANCE&SERVICES P)40N 204 RTE. 112 MAIL f4" .... SRUrjSPECIALIZEDINSURANCE COM ..ww.._m_. PATCHOGUE,NY 11772 _ 130 Auto-Home-Business-cycle-eic. NSURER A_ Icst�RtllwFrRDtngeccvERAaE 11AIa .___...... .w.w._..............www_v....ww.....�.._._.�........�........M�.. MARKEL INS,CO, 1 INSURED INSURER.R..^.,_.................._„..._.. ......_�.�..__......._.__....._..,............. ..e.. ROSS BROTHERS CONSTRUCTION INC INSURERC: 595 NORTH STREET .__........�_..�.w-.......www_.........._m......_.._.,.�_..._._.... ._..............,_,,..,_. i4sURf�Ra ... _........M.,......... . MANORVILLE,NY 1'1949INSURER E .v � _...._...._........... ...._............ 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. LTR _��._.w_................... ....__w__. �. IC_.,�.._. ..Mm_�,_._...�.P IMIT INSR TYPE Of INSURANCE INgn;DOT,S4tl n POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY 211112023 2111/2024 .EACH OCCURRENCE $ 1,000,000 MKLVIPBCD032a3 A _ ® Y Y b .. . �,T ...._., $ 300 000 CLAIMS-MADE OCCUR �,1 $,44"i�Pe. ..._....,,..._.......��..+�_.. MEDPAn one arson $ SS�L]Q _�.�__......�.....�...�._..........._. � PERSONAL&ADV INJURY $ _.1 00 ,0 000 GRE GEN°LA4"GREGATE.LIMIT APPLIES PER: GENERAL AGGREGATE b IT m mm� 2,OOOL000 PRODUCTS-COMPIOPAG ...,.. POLICY �Ec°T Loc G OT'HE'R. $ AUTOMOBILE LIABILITY MS"N :,INGLE IMI'r' $ ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOSPRr OP R- AMAX- _.�...,.-,_.._ ARED NON-OWNED UTOS ONLY AUTOS ONLY ��'PI-P $ UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESSLIAB _ CLAIMS-MADE AGGREGATEw .._,� $ DED RETENTION$ $ WORKERS COMPENSATION ER 0IH AND EMPLOYERS'LIABILITY ANY CEOPRIMREMET R/PIEXECUFIVE � El�E.L-D SEASECIDENT EA EMPLOYEI $ OFFICEB ER EXCLUDED? NIA (Mandatory in NH) H yes,describe under DESCRIPTION OF OPERATIONS be{ow E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 901,Additional Remarks Schedule,may be attached If more space is required) BELOW ARE LISTED AS AN ADDITIONAL INSURED FOR THE GENERAL LIABILITY ON A PRIMARY AND NON-CONTRIBUTORY BASIS WAIVER OF SUBROGATION APPLIES IN FAVOR OF THE ADDITIONAL INSUREDS. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PO BOX 1179 ACCORDANCEDATE THEREOF, NOTICE WILL BE DELIVERED IN WITH THE POLICY PROVISIONS. SOUTHOLD, NY 11971 AUTHORIZED REPRESENT; , µ ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD qb4' QJ )oc( Ve a � spy From: Jenn jennross@rossbrosconstruction.com � l Subject: Re:610 Wildberry Setback Generator J Date: January 9,2024 at 12:30 PM To: Bunch,Connie Connie.Bunch @town.southold.ny.us Bcc: Jennifer Ross jennross@rossbrosconstruction.com Hi Tracey, We wanted to confirm the set backs for the front yard for a generator.Attached is the survey for where we are proposing. Thank you, Jenn Ross Ross brothers Construction Inc. 595 North Street Manorville, NY 119 -9 (P) 631-484-9z91 (r) 631-77z-42o3 rossbrosconstruction.corn ros sb ros co n stru ct i o n.s m ugm ug.co m On Jan 9,2024,. at 92:26 PM,Jerm :.je:nnross@rDssbrosconstructorv.co m>wrote: trKki ,ii.o',i I�1 ,�.rr°4:Yev r��,,k,rr..�i.iirrri.^.r'I"r 1.1,9Y&aq,'::F"bklt I <Proposed Septic Coopers math.[)df,,,- 00 GENERAC GUARDIAN° SERIES Z Residential Standby Generators Air-Cooled Gas Engine Standby Power Rating INCLUDES: 0-. ; a007..90-0,(., i.,?7O1-C jA'.;€r:mi;rri-Bisque;-20 Itl'J f>l;1 Iz • True Power"Electrical Technology • Two-line multilingual digital LCD Evolution"controller (English/Spanish/French/Portuguese) • 200 amp service rated transfer switch available • Electronic governor ;! y '` • Standard Wi-RO connectivity • System status&maintenance interval LED indicators • Sound attenuated enclosure • Flexible fuel line connector - 'I • Natural gas or LP gas operation • 5 Year limited warranty • Base fascia • Listed and labeled for installation as close as 18 in(457 mm)to a structure.* *Must be located awayor 40lus from doors,windows,and fresh air intakes and in * E r raccordance with local codes. c I� u O �`'IFF Z^7 `Note:CETL or CUL certification only applies to unbundled units and units packaged with limited circuit switches.Units packaged with the Smart Switch are EFL or UL certified in the USA only. 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