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Home My WebLink About50093-Z �o�SUEfO Town of Southold 3/9/2024 y� P.O.Box 1179 h 53095 Main Rd - ,fj�l Southold,New York 11971 CERTIFICATE OF OCCUPANCY 1 No: 45042 Date: 3/9/2024 l THIS CERTIFIES that the building GENERATOR Location of Property: 6015 Great Peconic Bay Blvd,Laurel SCTM#: 473889 Sec/Block/Lot: 128.4-1 Subdivision: Filed Map No. Lot No., conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/14/2023 pursuant to which Building Permit No. 50093 dated 12/6/2023 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. ti The certificate is issued to Mastropolo,Janet of the aforesaid building. , SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50093 3/5/2024 PLUMBERS CERTIFICATION DATED ut or' Signature �o�soFFot�-� TOWN OF SOUTHOLD oy BUILDING DEPARTMENT H z TOWN CLERK'S OFFICE "oy • �� 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#: 50093 Date: 12/6/2023 Permission is hereby granted to: ' Mastropolo, Janet 6015 Peconic Bay Blvd Laurel, NY 11948 To: install generator as applied for. Must maintain a minimum of 10' from lot lines. At premises located at: 6015 Great Peconic Bay Blvd, Laurel SCTM #473889 Sec/Block/Lot# 128.-1 A Pursuant to application dated 11/14/2023 and approved by the Building Inspector. To expire on 6/6/2025. Fees: ACCESSORY $125.00 ELECTRIC $100.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $325.00 Build ind Inspector SO�j�,Q! 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlin(&-town.southold.ny.us Southold,NY 11971-0959 Q �yMUNT`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Janet Mastropolo Address: 6015 Great Peconic Bay Blvd city:Laurel st: NY zip: 11948 Building Permit#: 50093 Section: 128 Block: 1 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: East Manor Electric License No: 3691 ME 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 200A UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures R Sump Pump El Other Equipment: 20kW Briggs & Stratton Generator w/ 200A Whole House Transfer Switch Notes: Generator Inspector Signature: Date: March 5, 2024 S.Devlin-Cert Electrical Compliance Form *OF SO(/Tyo� * f TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATIOWCAULKING [ ] 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: rl v/ 09=- UPI DATE INSPECTOR OF SOGTyo� # * . TN OaOUTHOLD BUILDING DEPT. / - ��y000rm 631-765-1802 INSPECTION ' [ ] FOUNDATION 1ST/ REBAR [ ] 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: can kel- v,la I Ji t 1-4-Al m-ak 6,P i 4:: jC� L DATE �� . INSPECTOR E6E E Town of Southold Building Department 54375 Main Road MAR - 5 2024 P.O. Box 1179 Southold, NY 11971 'TC011vil Of<"30U1h01d Permit# 50093 Location: 6015 Peconic Bay Boulevard, Laurel, NY March 5, 2024 Dear Inspector Sean Devlin and the Town of Southold Building Department, Respectfully, I am requesting review and addition to the Job File the following documents to satisfy remarks made during the 2/12/2024 Electrical-related Inspection. Please see the (5) enclosed color copies of the required and now installed items, including at the Electric meter—the strap on the Electric meter pipe and the decal alerting the existence of a secondary power source (Generator), and at the Transfer Switch Panel and Main Panel the required and installed bushing and locknuts serving the Electrical conduit between them. Also,the transfer switch panel faceplate has its metals tabs adjusted to correct the faceplate from falling-out. Thank You for reviewing and for Your time and work on this request. S' rely, _ Daniel Zic JNH Builders, Inc. (dba Hallock Builders) 126 Point Street P.O. Box 302 South Jamesport, NY 11970 mobile#(917) 334-4111 office#(631) 722-3261 email address: info@hallockbuilders.com Flo- 944 rT # 5coq i-15 c�l1�iG �� Lrv'D.f LMf I�I�Ce-_C-- 74 / 1 of S ��ri►�v j t s � k - � � ��!'&-i .►.;;�. �- � �r�� ,� F , , �'` <>,, � � ��.-.may yr + . 1 �i a y�► '. `..; � � __ r .�-w" .�� > A:� ......+� .. ..�� Y _ � v. � ... § �. ba�S �N�� -�a.. � _ A STANDBY GENERATOR -- AUTOMATICALLY STARTS _ DURj%G POWER OUTAGE Illlllltl!IIMR��M'Jn � 098343925 1 l FOCUS RXR� 1� .,...w..ouna FOCUS rw wHu•m i I IIIIIIIIHIIIIi111111HI�H11M- - LOVGiSLII(PO Ew FUTH—TY R A STANDBY GENERATOR AUTOMATICALLY STARTS (�1 DURING POWER OUTAGE PE OF GENERATOR: O 'mow �1[ F , GENERATOR LOCATIQti. - vi t y t /• iC 579�A-Er�S> �C D GR R>rEOR1�> IDSTREAM RF n Fp43ECb2 C� / -- ...:,,•E,,.r.nnnnlullll///llllll/ll/ll//IIII/II�I Ill Yil l� If t)M cI `5 W f 5 ' &,—cewiz- 16 tt (SL-%�D•I L-i'i'i ge-z-- S -->I 1 j 1V P��ri,W�t, �.� s•.�srs�� .r+ .rrMy,°y.ar..RN +rtsr+a�rrwaM+Mv°IDwW�'s�"„ N��ydcdon, i r�Mw1wAM/rr.1r�.1l Wsr d!�N+.ud:.pW.O,a� rvalrw.vwr.rrwW�...e,anucrc.r�..+«*aroema.nwi _ rs.r.........,s.e.ww.a r 41 iMUTYSUMLY 'l�,ynyp`}fir CIRCUIT BAWER ras..as.7v/sw r,ar.q aw,le+e/:..eew/r,.W a!I r►}!yN I aln.p —i OENEAATORSUPRLY CUSTOMER LOAD SMASLE FOR USE AS SERVICE EQUIPMENT No"AL SOURCE ONLY ari�qti F ?IELD INSPECTION REPORT DATE COMMENTS r kv FOUNDATION (1ST) — -- --------------------------------- — � C FOUNDATION (2ND) z 0 G LA H ROUGH FRAMING& PLUMBING �r INSULATION PER N.Y. H 1 STATE ENERGY CODE FINAL ADDITIONAL COMMENTS Pak og z rn N � o z x d b H O�guFfDtk TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Q!� �o• Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.gov rrf� Date Received APPLICATION FOR BUILDING PERMIT f L::9 For Office Use Only ! — I PERMIT NO. Building Inspector: L' NOV 1 4 2023 ;Applications aiid;fpins must`be plete' filled out itri tlieir.entirety::lricom applications wifLnot.be accepted. Where the Appticarit is.nat the owner,an `Owner's Authorization form(Page 2)shall be,coinpleted qq Date:November 2, 2023 Name:Janet Mastropolo SCTM#1000-128-1-1 Project Address:6015 PeconicABay Boulevard Phone#:917 3.34-4111 Email:info hallockbuilders.com Mailing Add 11 ress:6015 Peconic Bay Boulevard :CONTACT PERSON: <`.� £ ��:_:, g;• `e>. Name:Sean ONeill Mailing Address:PO Box 64 Jamespo!I_NY 11947 Phone#:631-722-3595 Email:oneilloutdoor ower hotmall.com _........................................................._..._... . ............................_ ........_..v._. `DESIGN PROFESSIONAL INFORMATION: ; Name: Mailing Address: Phone#: Email: TRACTOR INFORMATION.. Name: Mailing Address: Phone#: Email: DESCRIPTION OF,PROPOSED CONSTRUCTION:,M El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: D Other Generator $ Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1' PROPERTY`INFORMATION. roe, 't�,'••' Ex"Isting use of property: Intended use of property: ......._-_ .._....�_.,_..._. , - ential....._.�._._-...._... _�-._. _.__......_... .....m. ._._._...Reside.nt 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. '.Ch6ck Box After R in ead _g .Tlie owi►erjcontraekor/design pr`ofessio»al is esponsibleJfor.all•drainagaFand storm water issues'as provided.by' Chapter 236'of,the To�niii,Ccide:APPLlcATloN.l5 HEREBY MADE to,the'Buittling Depal tment for the issuance of a;Building Permit pursuant ta.the Building Zone Ordinance'rf the Town of so tliald,Suffolk;'66unty,'Newv York and other.appitc'ble Laws,Ordinances nr,Reguiattans,for the cnnstruction;of:buildings additions,alterations orfaiyremoval ordemolitlan as herein<lescribe'd.The applicant agrees to+omplywith all applicable laws,ordinances,bulldingcode,= ti wring code and regulations and to'admit authorized inspectors on,premises and in buildings)'for," ecessam inspectitms.False statements inacle herein are ., punishable.as a Class A misdemeanor pursuant,to section 216.45 of the New York State Penal Law. Application Submitted By(print name)•Sean ONeill ®Authorized Agent ❑Owner Signature of Applicant: L/ Date: November 2, 2023 STATE OF NEW YORK) CONNIE D. BUNCH SS: Notary Public,State of New York COUNTY OF Suffolk No.01BU6185050 Qualified in Suffolk County Sean ONeill Commission Expires April 14,2�a`r being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (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 1 day of Ve�Y\f�( ,20 ° �Cn Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, Janet Mastropolo residing at 6015 Peconic Bay Boulevard Laurel NY do hereby authorize Sean ONeill to apply on m ehalf o h ow of South Id Building Department for approval as described herein. November 2, 2023 7an Owner's Signature Date (J-Mastropolo Print Owner's Name 2 ;rc, Ft7 BUILDING DEPARTMENT-.Electrical Inspector TOWN.OF SOUTHOLD Ni '= Town Hall Annex:- 54375 Main Road PO Box 1179 f . _ Southold, New York 11971=0959 Telephone 6.31 765-1802 - FAX 631 765-9502 „rogerr southoldtowngy:gov 9eand0_s0utholdt6wnny.gov APPLICATION FOR ELECTRICAL INSPECTION: ELECTRICIAN INFORMATION (All Information Required) Date'-. / � i Company:Name:.. pC ' Name: License:No.: �f email: as4ww,,orele Q Address:. . l 4. _ C�O/✓)114P /V Phone No:: JOB SITE INFORMATION (All Information Required) Name:.. Address: Cross Street: Phone No.: BIdg.Permit#: email: Tax Map District:.: 1000 Section: Via_._ ...._ _.. Block;:.. .„ !... BRIEF DESCRI T10N:OF R. K (P19 PA t l arly) 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: (Ali information required) Service Size 1 Ph 3 Ph Size:, . _..A #Meters, . . ... Old Meter#'.. . _.. .. New Service- Fire:Reconnect- Flood Reconnect-Service Reconnected-.Underground -Overhead #Underground Laterals 1 2 H Frame Pole. Work done on Service? Y N Additional inform - PAYIVIENT DUE..WITH.APPLICATION Request for rn'spection Form.zl§ ��3 ea BUILDING DTOWN OF SOUTHOLDa) Inspector Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a7southoldtownny.gov seand(&-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION- ELECTRICIAN INFORMATION (Alf Information Required) Date: //-,,? 4P Company Name: 8 Name: e, License No.: �j6 ql 6:� email: as -i ULnvr c lPc, Cap/Address: Ft3 C� /✓�%/p /L/ Phone No.: JOB SITE INFORMATION (All Information Required) Name: lQ Address: Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: /a Block: !. Lot: BRIEF DESCRI TION OF WORK (P�e Print l arty) 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 1 Ph 3 Ph Size: A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected- Underground - Overhead #Underground Laterals 1 2 H Frame Pole .Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection FormAs ,l 5MVE`q' OP PROPE-RTY SITUATE: LAUREL near MATTITUGK �`� � � N . TOM: SOUT14OLD 5UFFOLK. GOUNlY, NY e°�� • +� YV � 9JRYGYED oGTOeER 20,20(T f' Va UPDATE OGTOSM 25,20210EREFM TO: !� A Pl� +aa t 23 A Ss t�C dG 7 ` + gh �Qj ^ a •- (ft' � ,P ,,, �J _ Fitiaf�gy��fjIXU ZBA zsa once: J lo FINAL MAP I SEE DEC ISlON#_Vl DATED I j f • 4SC ,t`t t a .(i::: _ f:=;a�i n ae.o.,ee.w,e.o..a:d.....v yr N07E5: .ry 00Vv�j'd � -: .1 :�":.•'a=::L �sw.eewgs.w..+m,y�b AREA=25p00 sf or 05T6g JOHN C.EHLERS LAND SURVEYOR GRAPHIC,SCALE I'=30' S HASTMAIN SiMW N.Y.&UC.Na 50207,: ZVERMUD,N.Y.11901 9694M F=369-SM REP.-MUa=UcbdV)mpb=MM04M-210 apdaW2D21.pm CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYM F10/25/2023 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((es)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER NAMEACT MARK DANOWSKI The MARK DANOWSKI AGENCY PHONE 831-874-3827 Fax 631-874-3880 CENTER MAIN STREET ADDRIESS: MarkDanowski@Allstate.com Alc Nu CENTER MORICHES,NY 11934 INSURERS AFFORDING COVERAGE NAIC p INSURER A:Ohio Security Insurance Company INSURED INSURERB• East Manor Electric Inc. INSURERC: POB 192 INSURERD: Manorville,NY 11949 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: Harlord Fire insurance Co. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL S BR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MMIDD LIMITS COMMERCIAL GENERAL LIABILITY FACH OAMAGCCURRENCE S 1,000,0000505 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 15,000 A x x BLS61259954 o5rz5/zoz3 OS/25/2024 PERSONAL B ADV INJURY $. 1.000,000 M L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JE Q LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea ac Id.t ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S HIRED AUTOS AUTOSNON-OWNED PROPERTY DAMAGE $ AUTOS Commercial Eq ip e accident) $ UMBRELLA LU1B OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN ST LITE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBEREXCLUDED? NIA $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S If yes, ascribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Below certificate holder also listed as a Additional Insured. CERTIFICATE HOLDER CANCELLATION Southold Building Department 54375 Main Rd. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Southold,NY 11971 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE lllad Z�)ancwg r @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD NYS1F New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 91 ^^^^^^ 113147130 MARK DANOWSKI 369 MAIN ST CENTER MORICHES NY 11934 . f SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER EAST MANOR ELECTRIC INC SOUTHOLD BUILDING DEPARTMENT PO BOX 192 54375 MAIN RD MANORVILLE NY 11949 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 1903194-9 835674 03/30/2023 TO 03/30/2024 10/25/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 903194-9, 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:/I WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. KEVIN MCKENNA,PRIES,OF EAST MANOR ELECTRIC INC ONE 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 STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 156078596 U-26.3 NYSIF New York state Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE l7 0 AAAAAA 113147130 MARK DANOWSKI 369 MAIN ST , f CENTER MORICHES NY 11934 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER EAST MANOR ELECTRIC INC SOUTHOLD BUILDING DEPARTMENT PO BOX 192 54375 MAIN RD MANORVILLE NY 11949 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 1903194-9 835674 03/30/2023 TO 03/30/2024 10/25/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 903194-9. COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. KEVIN MCKENNA,PRIES,OF EAST MANOR ELECTRIC INC ONE PERSON CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SUR NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:156078596 U-26.3 ACOO CERTIFICATE OF LIABILITY INSURANCE FDATE(MM1DD/YYYY) 11%_ � 09/13/2023 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(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 GUN 1AC'NAME; Heywood Orenstein CompassPoint Insurance Services Inc. A/cO,No,Et): 631-731-6000 (a/c,No): 631-731-6000 1549 Main Road ADDRESS: office@cpinsured.com INSURER(S)AFFORDING COVERAGE NAIL N Jamesport NY 11947 INSURER A: UTICA FIRST INS CO INSURED INSURER B: MERCHANTS INSURANCE GROUP 23329 JNH Builders,Inc. INSURER C: PO BOX 302 INSURER D: INSURER E: SOUTH JAMESPORT NY 11970-0302 INSURERF: 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 TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 x CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A Y Y ART3000432570 08/23/2023 08/23/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 x POLICY❑PRO ❑ LOC JECT PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY UUMBINEL) INULE LIMIT $ SOO,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED B AUTOS ONLY AUTOSULED CAP1064332 02/14/2023 02/14/2024 BODILY INJURY(Per accident) $ HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE Y ULC1442438 08/23/2023 08/23/2024 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) CARPENTRY AND CONSTRUCTION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 AUTHORIZED REPRESENTATIVE PO Box 1179 Southold NY 11971 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD MYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) A A A A A^ 205473113 COMPASSPOINT INSURANCE SERVICES INC �• PO BOX 1350 ❑I "� JAMESPORT NY 11947 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER JNH BUILDERS INC. TOWN OF SOUTHOLD PO BOX 302 53095 ROUTE 25 SOUTH JAMESPORT NY 11970 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12303 349-1 773022 02/14/2023 TO 02/14/2024 2/17/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2303 349-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES'NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT JEFF HALLOCK JNH BUILDERS INC (A ONE 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 SU NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:212355921 U-26.3 --v APP OVED AS NOTED DATE- 3 B.P.it ,3 FM BY: NOTIFY BUILDING DEPARTMENT AT 631-766-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO RE01IIRED FOR POURED CONCRETE 2. ROUGH-FRAMING& PL-..1131t•JG 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, IYja�i��-�rn �6 COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODES AS REQUIRED AND CONDITIONS OF SOUTHOLD TOW A SOUTHOLD TO PLANNING BOARD SOUTHOLD WN TRUSTEES N.Y.S.DE 50 LD HPC SC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATIL- OF OCCUPANCY ELECTRICAL INSPECTION REQUIRED c 0 F'JFFBn�E'r.'�:�'Yt4Z�raF ; Standby - • BRIGGS&STRATTON n FORT -• E S S -- Th-e SmO'Cho q Introducing our dealer exclusive line. ® Available at your local Briggs & Stratton Dealer with these greaffeatures... ' I Partsr Labor•Travel ; '`Limited U : C L U r'y ] Warranty' t, E'rLISTED New Upgraded Control System Charging System • New AVR optimizes generator performance with tighter voltage control Independent battery charger • LCD display that displays multi-line text and graphics Optimizes battery life with a 3-stage battery charger(bulk, • Default exercise cycle setting of 16 seconds absorption,and float stage) • Low speed exercise available to save fuel and reduce noise Corrosion Resistant Enclosure& Base • Monitors cold temperatures to avoid moisture buildup in engine oil -- • Cleaner power with improved frequency regulation Made with automotive grade galvanneal steel or aluminum to resist rust Designed for Easy Installation & Maintenance Powder-coated paint for years of protection against chips _—......-------- - - ----... ----------...-----......-- and abrasions • Approved for installation as close as 18"to a building' Certified to withstand hurricane-force winds up to 175mph5 • Hinged lid with removable side panels for better service access to the engine and alternator Briggs&Stratton® Full Synthetic Generator Oil • Controller,battery charger,and AVR can be replaced separately ---' ----'-'""" ----- `- -- - ---� • Cold weather kit included • Shields the engine from low temperature sludge buildup and high temperature deposits • External on/off switch located on back of enclosure • Reduces engine wear,scoring and abrasion Commercial Vanguard"Engine _ Compatible with Symphony'II Power • Easy conversion between natural gas(NG)and liquid propane vapor Management System (LPV)during installation • Advanced debris management keeping engine clean and cool for • Customizable to your home's needs enhanced durability and performance Automatically balances the power of your home's electrical load • Dynamically balanced crankshaft minimized engine noise and vibration including high wattage items like air conditioning units and electric ovens • Compatible transfer switches and modules sold separately Generator Set Rating Liquid Propane Vapor Natural Gas Limited Warranty° Model Enclosure Voltage Phase, Hz Circuit LPV kW' LPV Amps NG kW' NG Amps Parts,Labor,Travel Type Breaker Amps 040587 Steel 120/240 1 60 100 20 83.3 18 75.5 6 Year 040589 Aluminum 120/240 1 60 100 20 83.3 18 75.5 6 Year 040609 Aluminum 120/240 1 60 100 20 83.3 18 75.5 10 Year 'This generator is certified in accordance with UL(Underwriters Laboratories)2200(stationary engine generator assemblies)and CSA(Canadian Standards Association)standard C22.2 No.100-14(motors and generators). 'The installation manual contains specific instructions related to generator placement in addition to NFPA 37,including the requirement that carbon monoxide detectors be installed and maintained in your home. 'Single phase units are rated at 1.0 power factor and three phase units are rated at 0.8 power factor. 'See operator's manual or BRIGGSandSTRATTON.com for complete warranty details. 5 Up to 175 mph,when installed in accordance with the installation manual. S ' SRI --&S R TfA ON I 20kW' Fortress-Standby Generator Engine Specifications 'CH bri•ation� E 2, .•�n� n u c - g s �J Engine Brand Vanguard Oil Capacity(L/qt) 2,3/2,46 Engine Speed(RPM) 3600 Low Pressure Switch Included Engine Fuel Liquid Propane Vapor(LPV)or Lubrication System Full Pressure g Natural Gas(NG) Engine Cylinder Configuration OHV Oil Briggs&Stratton 5W30 Full Synthetic Number of Cylinders 2 j Low Oil Pressure Sensor Yes ^� Displacement(L/Ci) 0.993/60.60 Compression Ratio 9:7:1 Manufacturer Briggs&Stratton Governor Type Electronic Type Self-Excited,4-Lead Frequency Regulation +/-0.3 Hz(0,5%) Voltage Regulator Automatic Valves OHV with Hardened Seats Insulation Class F Ignition System Fixed liming Magnetron' Peak Motor Starting kVA 41 Starter Motor Rating Voltage 12 Volt Controlle�'Featares% ;( Battery Required 12 Volt,Group BCI 26 or 51, Generator Sensing Single phase voltage monitoring 540 CCA Minimum High Temperature Switch Included LCD Display Displays multi-line text and graphics Dura-Bore Cast Iron Included Fault Display Provides up to 39 detailed fault codes Cylinder Sleeve Exercise Cycle Six exercise length options Default:Start and run for 16 seconds; Abort exercise below 404 F(internal temperature) Operations `r,.,'.'.i'?-''`a,.• v-' '`"°=`fix" Co su t(on', Sourid:Ra M tingrAtTeters Fuel n mp y.i•-s Full Load 1/2 Load No Load Low Idle Mode 64 dBA4 BTU/hr NO-260,000 NO-187,000 NO-99,000 No Load 67 dBA4 LPV-337,500 LPV-207,500 LPV-100,000 ft'/hr NG-260 NG-187 NG-99 LPV-135 LPV-83 LPV-40 m'/h'r NG-7,36 NG-5.30 NG-2.80 LPV-3.82 LPV-2.35 LPV-1.13 g/hr LPV-3.65 LPV-2,24 LPV-1.08 Parts•Labor•Travel Unlike some other standby generator manufacturers, our warranty covers parts, Limited labor AND travel for the full length of the warranty with no start-up costs! Warranty' t This generator is certified in accordance with UL(Underwriters Laboratories)2200(stationary engine generator assemblies)and CSA(Canadian Standards Association)standard C22.2 No.100-14(motors and generators). 'Fuel consumption rates are estimated based on normal operating conditions at 541oad.Generator operation may be greatly affected by elevation and the cycling operation of multiple electrical appliances-fuel flow rates mayvary depending on these factors. 'See operator's manual or BRIGGSandSTRATTON.com for complete warranty details. 'Lowest no-load measurement per ISO 3744.Sound level measurement at other locations around generator maybe different depending upon installation configuration. 2 t ' ORiacs'�ATraN 20M' Fortress"Standby Generator Additional Information __"=' „'.;'•.... -is- --r�:•�r ""-•-'-'--i--s.:•,,,--.,�-•,:g ,..,...�,..._.s....- ;.• .,-..,•,..-..-..- -...._............r_.c,�^- --�^--•.-�--• --� 77, 0�BI'8ti0A5i� ``1 �Ceictitica4ions:i"�' �`s:� • Engine Warm Up(sec) 20 seconds after all settable delays CARB Compliant* Engine Cool Down(min) 5 FCC Part 15 Class B/CAN ICES-003(B) Response Time(see) Immediate after engine warm up NFPA 37 Compliant Welnhlt and'Dimensions cUL Listed to CSA 22.2 No.100-14 Assembled Weight(Ibs/kg) Steel-489/222 UL2200 Listed Aluminum-440/200 Overall Dimensions(in/mm) 50.5 x 33.8 x 30.6/1283 x 859 x 777 EPA Certified Fuel System Packaged Weight(Ibs/kg) Steel-634/288 Complies with NFPA 374.1.4.1.2 Aluminum-580/263 si' :%.� Wit':^ .', t °•I e Packaged Dimensions(in/mm) 68.1 x 41 x 39.9/1730 x 1041 x 1013 Availabl Adeesss„:,..:,, ��.'-�,�"'�+=•• ;�y Galvanneal Steel or Aluminum Maintenance Kit 6036 Enclosure Material with Corrosion Resistant Paint g E-Stop Kit 6491 Availa, eTransferswitcties*-,_,R;,,;"., _i; ,� ,_ _", •'_ d 9 Power Management 71052,71053 Low Voltage Module 071100 100 Amp -__ Power Management 71051 071150 150 Amp High Voltage Module Generator Status LED Kit 6535 071200 200 Amp Battery Warmer 6578 071071 Symphony's II 100 Amp InfoHub Universal 6574 071070 Symphony'II 150 Amp 071068 Symphony'II 200 Amp 071057 Symphony'II Dual 200 Amp 50.51n(1283 mm) 33.8 in(859 mm) 30.6 in (777 mm) j I I I 48.1 in(1222 mm) 29.6 in(752 mm) 'CARE;does not regulate emergency standby generators outputting less than 50 HP.Only the EPA standards apply. This generator is certified in accordance with UL(Underwriters Laboratories)2200(stationary engine generator assemblies)and CSA(Canadian Standards Association)standard C22.2 No.100-14(motors and generators). 3 �r ^`f ii-ti, 1'•tiq`r'' R ., ..,,�,h „fir. tyi' 4 i' •�b �,�' a .Iv ,. !^q • �1 Support every step of the way Need help?Visit powernow.com Complete the web form and a local dealer will contact you to answer questions on our generators,transfer switches and accessories,