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��O�OSIIFFU[�cpGy Town of Southold 3/21/2024 a P.O.Box 1179 o y T. 53095 Main Rd Wpy o� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45065 Date: 3/21/2024 THIS CERTIFIES that the building GENERATOR Location of Property: 6010 Soundview Ave,Peconic SCTM#: 473889 Sec/Block/Lot: 59.-8-5.11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/26/2023 pursuant to which Building Permit No. 50259 .dated 1/26/2024 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. The certificate is issued to Davis,Dennis&Janice of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50259 3/13/2024 PLUMBERS CERTIFICATION DATED .0, Auth iz d S7 e �o�suFEnt,�oa TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y 6. TOWN CLERK'S OFFICE oy • o�� SOUTHOLD, NY col .�a f' 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#: 50259 Date: 1/26/2024 Permission is hereby granted to: Davis, Dennis 6010 Soundview Ave Southold, NY 11971 To: install-generator as applied for. At premises located at: 6010 Soundview Ave, Peconic SCTM #473889 Sec/Block/Lot# 59.-8-5.11 Pursuant to application dated 12/26/2023 and approved by the Building Inspector. To expire on 7/27/2025. Fees: ACCESSORY $125.00 ELECTRIC $100.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $325.00 Building spector SOUr��l Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q sean.devlinitown.southold.ny.us Southold,NY 11971-0959 �UNTN, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Dennis Davis Address: 6010 Soundview Ave. city:Peconic st: NY zip: 11958 Building Permit#: 50259 section: 59 Block: 8 Lot: 5.11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: GenReady License No: 2740ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Generator X INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch 150A UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 22kW Generac Generator w/ 150A Whole House Transfer Switch Notes: Generator Inspector Signature: Date: March 13, 2024 S.Devlin-Cert Electrical Compliance Form SOUIyO� # TOWN OF SOUTHOLD BUILDING DEPT. couff 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION/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: lo DATE ?J' �3 ZO INSPECTOR OFSOUlyolo 50 z_f # # TOWN OF S UTHOLD BUILDING DEPT. 631-765-1802 _INSPECTION [ ] FOUNDATION 1 ST/ 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: � r DATE INSPECTOR Install Gas �m ���� D Y� k� � � 201 Northwest Drive, \�w�. S�� � ~~ Farmingdale, NY11735 516-752'1000 U U ��A — 7 �M�| U L\ "'"" ' `"�� W1arch5. 2D24 lovvR of Southold gcmvo mP,3nuf�n}� 54375N^f25 S0Uthold, N^/ 11971 Attn: Building Department Re:� Permit#-A&2-9 Dennis Davis 8D1OSouthviavvAve Southold, NY11S71 ' Mr. Faucet Service Co. C>8A |netaUgan installed a gas line to a generator and pedbnnod a pressure test at 6010 Soundview Avenue and hereby certifies that the installation complies with the Residential Construction code of NY State, the Mechanical Code of NY State and all other rules and regulations applicable io this work. The pressure test inspection passed on2/2O/24at4 PSI for 3OMinutes. | make this statement under penalty of law knowing that the Town of Southold will rely on this information tndetermine compliance with applicable codes and regulations. 4aron U�ansed Plumber Lioonse�, K832128 Sworn for oonthis dav of . 2024 LISAALBERO NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIAL6091248 Qualified in NASSAU COUNTY �� FIELD INSPECTION REPORT I DATE COMMENTS > FOUNDATION (IST) N H ------------------------------------ � C FOUNDATION (2ND) z 6. 0 0 d � roH ROUGH FRAMING& y t� PLUMBING 1 r INSULATION PER N.Y. y STATE ENERGY CODE R FINAL ADDITIONAL COMMENTS P c® +7 ��' ,o(D fct 2ttv, It?lo,5- ) 9 � rn (s^ v i J � H � x x b =o�Sufwtt�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 o a� Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT S � For Office Use Only zo23 PERMIT NO. b Building Inspector: Applications and forms must be filled out in their entirety.Incomplete .10wr►01 so� applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name:Dennis Davis SCTM#1000-59 - 8 - 511 Projec t.11 Address:6010 Soundview Avenue Southold NY 1 Ml Phone#:631-765-2103 __ Email:dadav_is@optonline.net Mailing Address:6010 Soundview Avenue, Southold, NY 11791 CONTACT PERSON: Name:Ed Reiff/ Gen Ready_, MailingAddress:128 Pulaski Road, Kings Park, NY 11754 Phone#:631-544-0400 Email:office@getgenready.corn DESIGN PROFESSIONAL INFORMATION: Name:N/A Mailing Address:N/A Phone Email:N/A CONTRACTOR INFORMATION: Name:Ed Reiff/ Gen Ready Mailing Address:,128-Pulaski Road, Kings_Park,_NY 11754 _, _, _ Phone#:631-544-0400 __.__.._...._._ ._ ._.__._ Email:office@getgenready.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ElAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: (]Other Install a 22kw liquid propane generator. L, Q, ���� 1'C�\ $12,621.81 Will the lot be re-graded? ❑Yes ®No ill a cess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property:Residence Intended use of property:Residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES,PROVIDE A COPY. @,Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described:The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(prin nam ) Ed Reiff / Gen Ready @Authorized Agent ❑Owner Signature of Applicant: Date: -I - - STATE OF NEW YORK) 1 SS: , COUNTY OF k.- Ed Reiff / Gen Ready being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor/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 day of '`'c--& ,20 2� Notary Public ROSEMARY FAIELLA NOTARY PUBLIC-STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION lYo.01FA4901831 Quellfied in Suffolk County (Where the applicant is not the owner) MY-COMmission Expires 07-27-2025 Dennis Davis residing at 6010 Soundview Avenue..•.._ Southold, NY 11791 Ed Reiff / Gen- Ready` do hereby authorize to apply on MY be".Ifn�l wn Southold Building Department.for approval,,as_des..cribed_ber_ein-described —bp .. +'?" .'.tirl'' I''tir: ';F. �'!? ;rci"� ••rtr•1� .'',;t'4 c�S. ........_,._ Owner's Signature Dennis Davis Print Owner's Name 2 STATE OF NEW PORK SS: COUNTY.OF SUFFOi.K, On thea day of me peisonally came•;;, to me known to be the Acknowledgments and-.Proofs of Execution individual described in, and w4o executed, the foregoing instrument, and ackuowledgeil"that he/she execu the sage- Notary Public- SABRINA M BORN Notary Public,State of New York, No.01B06317038 .Qualified in Suffolk County Commission Expires Dec.22,20Q S11FfOLM`� BUILDING DEPARTMENT- El t i al I%Wctpr 2023 � TOWN OF SOUTH L ���� o Town Hall Annex - 54375 Main Road - Pv.. � x31>1,79tr` , v• i ., •''°' , ,tip;? �.Z' Southold, New York 11971-( 4h' �O� Telephone (631) 765-1802 - FAX (631) 765-9502 1 i rogerr(&-southoldtownny.aov — seanda-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: GenReady Inc. Electrician's Name: Ed Reiff License No.: ME-2740 Elec. email: office@getgenready.com Elec. Phone No: 631-544-0400 ❑I request an email copy of Certificate of Compliance Elec. Address.: 128 Pulaski Road, Kings Park, NY 11754 JOB SITE INFORMATION (All Information Required) Name: Dennis Davis Address: 6010 Soundview Avenue, Southold, NY 11791 Cross Street: Sterling Forest Road Phone No.: 917-337-9178 Bldg.Permit#: `j0 2 0 email: dadavis@optonline.net Tax Map District: 1000 Section:59 Block: 8 Lot: 511 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install a 22kw liquid propane generator. Square Footage: Circle All That Apply: Is job ready for inspection?: YES 7NO Rough In Final Do you need a Temp Certificate?: YES❑✓ NO Issued On Temp Information: (All in ormation required) Service Size❑1 Ph❑3 Ph Si A # Meters Old Meter# ❑New ServiceOFire Reconnect[]Flood Reco ct❑Service Reconnect❑UndergroundCOverhead # Underground Laterals 1 2 M H Frame Pole rk a Service? MY MN Additional Information: N 11-� PAYMENT DUE WITH APPLICATION a �n�3 BUILDING DEPARTMENT- EI c errical lr"ector;, , U3 U" r TOWN OF SOUTH&L - L } Town Hall Annex - 54375 Main Road Pq l oxr;1.4.79 `- Southold, New York 11971 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov — seand(@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: GenReady Inc. Electrician's Name: Ed Reiff License No.: ME-2740 Elec. email: office@getgenready.com Elec. Phone No: 631-544-0400 ❑I request an email copy of Certificate of Compliance Elec. Address.: 128 Pulaski Road, Kings Park, NY 11754 JOB SITE INFORMATION (All Information Required) Name: Dennis Davis Address: 6010 Soundview Avenue, Southold, NY 11791 Cross Street: Sterling Forest Road Phone No.: 917-337-9178 Bldg.Permit#: 50 email: dadavis@optonline.net Tax Map District: 1000 Section: 59 Block: 8 Lot: 511 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install a 22kw liquid propane generator. Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES 0 NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑✓ NO Issued On Temp Information: (All in ormation required) Service Size❑1 Ph❑3 Ph Si A # Meters Old Meter# ❑New Service❑Fire Reconnect[] Reco ct❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole rk e 9.n Service? DY ON Additional Information: N- 1 PAYMENT DUE WITH APPLICATION sc) SOUND VIEW AVE. N 440 4 ' 'w P/3.T4' RA,JrYyS'A76' i i t 1 a �I I !� {- o Wrm `R , cW r l$ra" 0 A fR NOW a 3 fps..FF 'norm~ftw I v �yo h S 45° /O"W 245.2I' Cep, N/F Srewor � df ra*W0-oss-o -o9.av 541WEY OF. SURVErED P Nov,/991 Guarardnrs he,On *d ra SCALE /"= 80' k r p reA ', w' DESCRIBED PROPERT Y k Pn Pam CNd Or hLs !�7l1 b qN L"r e;�F<a, C o.., SITUArf Wndirig rW SOUTHOLD, TOWN OF SOUTHOLD cv"Ll""CM ?&I+*=M , f SUFFOLK COUNTY,NEW YORK .ddM*rad 6,jo rn cg c..4_W.w Q%FAM SIRVEYE'D FOR DEWS A. 6 ✓AN/C£ F DAVIS GUARANrfEO rD SURVEYED BY AtIMS A 4 ✓AN/Cf F(S4y:c STAA%"J /S41rArN,J4 PLEf T BANK PO " "4 CHICAGO J'Mf /At4 CO New S1fFFOLK,N Y,/1996 >asvy�as Joa•�.-. .yob °C�'''' J ti�p .� GAHO SrA9VE wtir�1'1! NYSIF PO Box 66699,Albany,NY 12206 NOW York State Insurance Fund I nysifcom CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 112763133 0 Q VINCENT C DALEY 859 CONNETQUOT AVE ISLIP TERRACE NY 11752 . SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GENREADY INC TOWN OF SOUTHOLD 128 PULASKI ROAD 54375 MAIN ROAD KING PARK NY 11754 SOUTHHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 1 1046 681-1 280221 05/20/2023 TO 05/20/2024 05/03/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER.NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1046 681-1, 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 EDWARD S REIFF VICE PRESIDENT ANDREW J REIFF OF GEN READY INC-A 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 STATE INSURANCE FUND DIRECTOR,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 511098554 1111 001R01000000000111512m052m81 jJ11 Fom WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-10466811] U-26.3 6 [00000000000115120528][0001-000010466811][##I][16130-16][Cert_NoP-MT-1][01-00001] Suffolk County Dept.a Labor, Licens .- of w g & Consumer Affairs 1 , J VASTER ELECTRICAL LICENSE Name E IVARD S REIFF This certifies that the business Marne ae� �er is d'L;►y licensed. ,)y the County of Suffolk CENREADY, JN4C: er. ME-274 Rosalie Drago. LiCense NuMb p Comm- �• Issued, 05101/1980 sSioner Expires,: 05/01/2024 l Contact Info: MR FAUCET SERVICE COMPANY INC DBA GERARD J AARON 201 NORTHWEST DRIVE,SUITE L FARMINGDALE, NY 11725 Work Description; Suffolk County Dept.of Labor,Licensing&Consumer Affairs . i • MASTER PLUM3ING ` r Name GERARD J AARON Business Name This certifies that Me bearer is duly neersec Ur Faucet Sorv.ce Comoavy Inc DBA by Ine Counly of suffoll; License Number:Mp•32128 Rosalie Drago Issued: 10/0812002 Comas ssionar Expires: 1010112024 I t A V® CERTIFICATE OF LIABILITY INSURANCE DATE(MMI AE(MMI GIzYM 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 poiicy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,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 Ileu of such endorsement(s). PRODUCER CON E: Ket Mistretta NAM National Insurance Brokerage of New York,Inc. PHONE . (831)273-4242 (631)273-8990 175 Oval Drive Ne ADDRESS: kmistretta®nibony.com INSURERS)AFFORDING COVERAGE NAIC 0 Islandla NY 11749 INSURER A:.Merchants Mutual Insurance Cc 23329 INSURED INSURER a: Mr.Faucet Service Company Inc INSURER C: dba Installgas.com&Paul E.Muhs INSURER D: 201 Northwest Drive,Ste 8 INSURER E: Farmingdale NY 1173SA920 (NSURERF: COVERAGES CERTIFICATE NUMBER: 23-24 MASTER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MR TYPE OF INSURANCE INSO3MPOLICY NUMBER tmwponnryn wmyffm LIMITS COMMERCIALGENSULUA131UTY EACH OCCURRENCE S 1,000.000 CWMSdIMDE ®OCCUR PREMISES Eaooaateroa S 500.000 Contractual Lability MEDEXP(Any wepemon) 5 15,000 A BOP1048048 05/0112023 05/01/2024 PERSONAL 9 AOV INJURY $ 1.000,000 GENLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 2,000.000 POLICY PRO- 2,000,000 JECT LOC PRODUCTS-COMPIOPAGG S OTHER: S AUTOMOBILE UABILITY COM13INED S NGM—U—MIT-- $ Ea aoddam ANYAUTO, BODILY INJURY(Par person) S OWNED SCHEDULED AUTOS ONLY AUTOBODILY INJURY(Per accident) S S HIRED NON-OWNED P E $ AUTOS ONLY AUTOS ONLY Per ecCdem a UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS MADE AGGREGATE $ DED RETENTION S S WORKERS COMPENSATION TH- AND EMPLOYERS'LIABILITY YIN RARTUTE I I ER ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.LEACHACCIOENT S OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 11 y®�,deoutbe under DESCRIPTION OF OPERATIONS below EL DISEASE.POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Rafna*s Schedule,may be allsohed U more space Is required) The Certificate Holder Is included as additional insured A.T.I.M.A with respect to General Liability as required by written contracUwritten agreement per the policy terms,conditions and exclusions. 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. 63095 Route 25 PO Box 1179 AUTHORIZED REPRESENTATIVE / Southold NY 11971 � �Cor�-*ram• m 19SB-2015 ACORD CORPORATION..All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD NY S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund nyalf com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A n A A A 112851548 Q 0 KEEVILY,SPERO-WHITELAW INC. 500 MAMARONECK AVENUE HARRISON NY 10528 O. Y SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MR.FAUCET SERVICE CO.,INC. TOWN OF SOUTHOLD DBA INSTALLGAS.COM 53095 ROUTE 25 201 NORTHWEST DRIVE,SUITE#1 PO BOX 1179 FARMINGDALE NY 11735 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G 1149 21 103008 05/01/2023 TO 05/01/2024 03/28/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1149 296-4, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WESSITE 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. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR.TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN .CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 592896695 MEN 00000000011113809839-1 Form WC-CERT NOPRINP Version 3(OW9R019)(WC Poliry•114929641 U-26.3 111 FOMCM=113809 MI6661-0000114929647##Ga161o1i0UCaLNOPC9tT_1UM-WM11 -l""YNKRIK workers'STATE CERTIFICATE OF INSURANCE COVERAGE Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed Insurance agent of that carrie 1a.Legal Name&Address of insured(use street address only) 1 b.Business Telephone Number of Insured MR.FAUCET SERVICE COMPANY INC DBA INSTALLGAS.COM 516-752-1234 201 NORTHWEST DRIVE SUITE 8 FARMINGDALE,NY 1.1735 1c.Federal Employer Identification Number of Insured Work Location of insured(Only rsQulred Bcoverege is spedncanyxmned to or Social Security Number certaln/ocaBons In New York State,Le.,Wisp-Up Polley) 1128515M 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Cartier (Entity Being Listed as the Certificate Holder) ShelterPoint L(fe Insurance Company Town of Southold 53095 Route 25 3b.Policy Number of Entity listed in Box"I am PO Box 1179 DBL338240 Southold,NY 11971 3c.Policy effective period 04/30/2022 to 04/29/2024 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: ® A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. 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 canter referenced above and that the named Insured has NYS Disability and/or Paid Family Leave Benefits Insurance coverage as described above. Date Signed 3/28/2023 By (Signature of Insurance carrier's authorized representative or NYS tkensed Insurance Agent of that Insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White. Chief•Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form Is signed by the Insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 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 emalled to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only If Box 413,4c or 50 have been checked) State of New York Workers'Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has compiled with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note.Only Insurance carriers licensed to We NYS dlseb011y and pald faMi leave benefits Insurance polldes 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. DB.,zo., (12.21) �IOII�imm1n2i0m1iiiiu1�2uu2n1iiidll� AC R® DATE(MMIDD/YYYY) �,.. CERTIFICATE OF LIABILITY INSURANCE 05/03/2023 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 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 CONTACT NAME FARM FAMILY CASUALTY H Nn EM: FNC No 859 CONNETQUOT AVENUE ADDRESS: ISLIP TERRACE,NY 11752 INSURER(S)AFFORDING COVERAGE NAIC# 631-277-7770 INSURER A: FARM FAMILY CASUALTY INS.CO. 13803 INSURED INSURER B: STATE INSURANCE FUND 36102 GENREADY, INC. INSURER C: SHELTER POINT_ 81434 128 PULASKI ROAD INSURER D: KINGS PARK NY 11754 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 125539 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'. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS MOLICY YYY POLICY XP A X COMMERCIAL GENERALLIABILITY 3152X1390 05/07/2023 05/07/2024 EACHOCCURRENCE $ 2,000,000 CLAIMS-MADE I I OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 2 OOO OOO GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY 3152C4335 05/07/2023 05/07/2024 (a acccidennt) G E $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ AUT OWNED X SCHEDULED BODILY INJURY(Per accident) $ Ix HIREDAUTOS X NON-OWNED AUTOS (Per accident) $ $ A X UMBRELLALUIB X OCCUR 3101E1933 06/03/202306/03/2024 EACH OCCURRENCE $ 1,000,000 EXCESSLIAB, CLAIMS-MADE AGGREGATE $ 1,000,000 DED I X I RETENTION$$10,000 $ WORKERS COMPENSATION PER U111- B AND EMPLOYERS'LIABILITY YIN CERTIFICATE STATUTE E ANY PROPRIETOR/PARTNER/EXECUTIVE.❑ NIA ATTACHED E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In,NH) 1046681-1 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under ' DESCRIPTION OF OPERATIONS below E.L.DISEASE'-POLICY LIMIT $ C NYSDBL DBL 265291 01/01/07 INDEFINITE STATUTORY 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 TOWN OF SOUTHOLD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 54375 MAIN ROAD ACCORDANCE WITH THE POLICY PROVISIONS. SOUTHOLD, NY 11971 1971q AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD YTATE Compensation workers' CERTIFICATE OF INSURANCE COVERAGE STAT Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrie 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured GENREADY,INC. 631-544-0400 128 PULASKI ROAD KINGS PARK,NY 11754 1 c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i.e.,wrap-up Policy) 112763133 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder)' ShelterPoint Life Insurance Company TOWN OF SOUTHOLD 54375 MAIN ROAD 3b.Policy Number of Entity Listed in Box"I a" SOUTHOLD, NY 11971 DBL265291 3c.Policy effective,period 01/01/2022 to 12/31/2023 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: Q 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 described above. Date Signed 12/29/2022 By Wight (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 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 emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200,Binghamton, NY 13902-5200. PART 2.To be completed by the-NYS Workers'Compensation Board(only If sox 4B,4C or 5B have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. D8.120.1 (12-27) . IIIIII'Diiii-1o2i0oi1iiiiu1i2iui21)ii0111 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 I for disability and/or Paid Family Leave benefits under the NYS Disability.and Paid Family Leave Benefits Law.The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage (Certificate)to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed.in Box 3c,whichever is earlier. This Certificate is issued as a matter of information only and confers no rights upon the certificate holder.This Certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This Certificate may be used as evidence of a NYS disability and/or Paid Family Leave benefits contract of insurance only while the'underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits,shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand and twenty-one, the payment of family leave benefits, for all employees has been secured as provided by this article. Nothing herein, however,shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal,department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract,shall not enter into any such contract unless proof-duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand eighteen,the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (12-21) Reverse l� APPROVED AS NOTED DATE- I.P.# FEE ���BY. NOTIFY BUILDING DEPARTM AT 631 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION• "ll-P FOR POURED(;0i,, ;r 2. ROUGH-FRAM3NC,:. & INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODES AS REQUIRED AND CONDITIONS OF SOUTHOLD TO ZBA SOUTHOLDT N PLANNING BOARD SOUTHOLD OWN TRUSTEES NXS,D SO LD HPC SC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CE-RTIFICAT -�F OCCUPANCY ELECTRICAL INSPECTION REQUIRED Mr. Faucet Service Co. Inc. InstallGas.com 201 Northwest Dr, STE 1 Farmingdale, NY 11-735 Dennis Davis 6010 Soundview Avenue Southold, NY 11791 Plumbing Line: 10 ft LP TANKS GENERATOR 1 " poly 18" deep w/ta-pe and wire GENERAC® GUARDIAN® SERIES 2®/ZZl�4. �� Residential Standby Generators Air-Cooled Gas Engine r , INCLUDES: Standby Power Rating G007038-1,G007039-1,G007038-3,G007039-3(Aluminum-Bisque)-20 kW 60 Hz • True Power"Electrical Technology G007042-2,G007043-2,G007042-3,G007043-3(Aluminum-Bisque)-22 kW 60 Hz G007209.0,G007210-0(Aluminum-Bisque)-24 kW 60 Hz • Two-line multilingual digital LCD Evolution" controller (English/Spanish/French/Portuguese) • 200 amp service rated transfer switch available • Electronic governor • Standard Wi-Fi2'connectivity • System status&maintenance interval LED indicators • Sound attenuated enclosure 1 • Flexible fuel line connector ' • Natural gas or LP gas operation GENERAC — -r • 5 Year limited warranty #`, i • Listed and labeled by the Southwest Research Institute allowing ` installation as close as 18 in(457 mm)to a structure.` r" 'Adust be located allay from doors,windows,and fresh air intakes and in accordance with local codes. ETA or C �L us h:tps-l/assets.s<vri.oral/ibrarylDirectoryOlListedProducts/ \ �/ \X V L Constnrclionlndustry/973_ C 204 13204-01-01_Rev9.pdf ` 05 LISTED Note:CETL or CUL certification only applies to unbundled units and units packaged with limited circuit switches.Units packaged with the Smart Switch are ETL or UL certified in the USA only. FEATURES O INNOVATIVE ENGINE DESIGN&RIGOROUS TESTING are at the heart of Gen- O SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION: This erac's success in providing the most reliable generators possible. Generac s G- state-of-the-art power maximizing regulation system Is standard on all Generac mod- I Force engine lineup offers added peace of mind and reliability for when tt's needed ds.It provides optimized FAST RESPONSE to changing load conditions and MAXI- the most.The G-Force series engines are purpose built and designed to handle the MUM MOTOR STARTING CAPABILITY by electronically torque-matching the surge rigors of extended run times in high temperatures and extreme operating conditions, loads to the engine.Digital voltage regulation at±1%. O TRUE POWER"ELECTRICAL TECHNOLOGY:Superior harmonics and sine wave O SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer network I form produce less than 5%Total Harmonic Distortion for utility quality power.This provides parts and service know-how for the entire unit,from the engine to the small- allows confident operation of sensitive electronic equipment and micro-chip based est electronic component. appliances,such as variable speed HVAC systems. O TEST CRITERIA: O GENERAC TRANSFER SWITCHES:Long life and reliability are synonymous with ✓ PROTOTYPE TESTED ✓ NEMA MG1.22 EVALUATION GENERAC POWER SYSTEMS.One reason for this confidence is that the GENERAC ✓ SYSTEM TORSIONAL TESTED ✓ MOTOR STARTING ABILITY product line is offered with its own transfer systems and controls for total system compatibility. O MOBILE LINK®CONNECTIVITY:FREE with select Guardian Series Home standby O PWRVIEW' TRANSFER SWITCH: The Generac PWRview Automatic Transfer generators,Mobile Link Wi-Fi allows users to monitor generator status from any- Switch integrates the PWRview energy monitor to provide real-time energy con- where in the world using a smartphone,tablet,or PC.Easily access information such sumption data that can help lower a home's electricity bill. Using a convenient as the current operating status and maintenance alerts. Users can connect an mobile app,homeowners can access energy usage and alert information while under account to an authorized service dealer for fast,friendly,and proactive service.With utility power or generator power.The PWRview energy monitor is a simple to use and Mobile Link,users are taken care of before the next power outage. low cost tool which helps save money over the life of the generator.Included with model G007210-0. 'IGENERAC ® � --���AAe 'PROMISE .�� - � PW R . 1 GENERACf 20/22/24 kW Features and Benefits _ Engine 0 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 a2.year/200 hour oil change interval. • Low oil pressure shutdown system Shutdown protection prevents catastrophic engine damage due to low oil. • High temperature shutdown Prevents damage due to overheating. Generator • Revolving field Allows for a smaller,lightweight unit that operates 25%more,efficiently than a revolving armature generator. • Skewed stator Produces a smooth output waveform'far,compatibility wiih.electronic equipment. • Displaced phase excitation' Maximizes motor starting capability. 0 Automatic voltage regulation Regulating output voltage to±1%prevents.damaging voltage spikes. 9 UL 2200 listed For your safety. Transfer Switch(if applicable) , 0 Fully automatic Transfers vital electrical loads to the energized source of power. •: NEMA 3R 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. PWRv1ew Transfer Switch (if applicable) PWRview energy monitor Energy usage at-a-glance. • Ability to view real-time energy consumption data Better understand the home's energy profile. • PWRview mobile app Access daily energy intelligence and insights. Evolution—Controls • AUTO/MANUAUOFF illuminated buttons Selects the operating mode and provides easy,at-a-glance status indication in any condition. 0 Two-line multilingual LCD Provides homeowners easily visible logs of history,maintenance,and events up to 50 occurrences. s. Sealed,I 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. i Generator voltage sensing Constantly monitors generator voltage to verify the cleanest power delivered to the home. i . • 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. 0 Engine warm-up, Verifies engine is ready to assume the load,setpoint approximately 5 seconds. 0. Engine cool-down Allows engine to cool prior to shutdown,setpoint approximately 1 minute. C - to .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. fCompatible with•lead acid and AGM-style batteries. • Main line circuit.breaker Pr otects.generator from overload. 411 Electronic governor Maintains constant 60 Hz frequency. f GENERAC@ i 20/22/24 kW Features and Benefits } U nit _ • 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. i Installation System • 14 in(35.6 cm)flexible fuel line connector Listed ANSI Z21.75/CSA 6.27 outdoor appliance connector for the required connection to the gas supply piping,. • Inteoral sediment trap Meets IFGC and NFPA 54 installation requirements. Connectivity(Wi-Fi equipped models only) • Ability to view generator status Monitor generator with a smartphone,tablet,or computer at any time via the Mobile Link application for i complete peace of mind. • Ability to view generator Exercise/Run and Total Hours Review the generator's complete protection profile for exercise hours and total hours. • Ability to view generator maintenance information Provides maintenance information for the specific model generator when scheduled maintenance is due. • Monthly report with previous month's activity Detailed monthly reports provide historical`generator information. • Ability to view generator battery information Built in battery diagnostics displaying current state of the battery. • Weather information Provides detailed local ambient weather conditions for generator location. i t GENERAC� 20/22/24 kW Specifications Generator Model G007038-1 G007042-2 G007038-3 G007042-3 G00720H G007039-1 G007043-2 G007039-3 G007043-3 6007210-0 (20 kW) (22 kW) (20 kW) (22 kW) (24 kW) Rated maxmum continuous power capaGty(LP) 20.006 WaItV 22,000 Watts' _ _ 20,0D0_Watts' 22,000 Watts"_ 24;000 Walls' Rated maximum continuous power capacity ING) 18,OOD Watts' 19.506 Watts' 18,000 Viaus' 19,500 Watts' 21,000 Watts' Rated wiltags 240 d naxi Rated continuous load current-240 volts(LP/NG) - 83.3/75.0 911/81.3 83.3/75.0 91.7/81_3 106167.5 Taal Hatmaiiic Distorton - Less tfian'5% Main line circuit breaker 96 amp 100 amp 90 amp 160 amp 100 amp Prase - N nber o;rotor poles 2 60 Hi f�f�AC ke;�q Porar taacr 1.6 tBraq;y r_x remax(rxx inciuded)_ _ - 12 Volts,Group 26R 540 CCA minimum or Group 35AGM 650 CCA mini_ mum_ Unl wa'g u 0b/kg} 448/203 466/211 436/198 4451202 455 E"sions(LxWxH)in/ari 48x25x29/1.21.9x63.5x73:7 Sound output in d9(A)at 23 ft(7 m)with generator operating at normal load"' 67 67 67 67 67 Sotxrtl iXlfpia in aB(A)at 23 ft(7 m)with generates in Ouiel-Test"low-speed exercise mode"' 55 57 55_ 57 57 Exercise duration 5 ntin - Engine Engine type. GENERAC G-Force 1000 Series PL;m6ir of cyinclars 2 P"spzCerner - - 999 cc - t}brdar b7acti _ Alum num iv/cast iron sleeve Va:2 zrrnge< nt Dverhead valve �Ti,�k,,n system Solid-state w/magneto_ - Goacmor system Electronic Gorrrpiessionr rifo 9.5:1 _ -- Starer — — 12 VOC .UI capacity including lifter Approx..1.9 qt/•1.8 L Opea,�rpm - 3,600 Fry cors�-*rxx-X-n Net:.t2'gas ft3N(m3/hr) 1/2 Load 204(6.78) 228(6.46) 164(4.64) 203(5.75) Full Load 301(8.52) 327(9,26) 287(8:13) 306(8.66) Ugsd Propane ft3Ru(9aV/2 Load(Load 1 87(2.37)[8.991 92(2.53)[9,571 86(2.36)[8.95] 92(2.53)19.571 1/ Full Load 130(3.56)[13.48] 142(3.90)[14.771 136(3.74)[14.151 142(3.90)[14.771 Note:Fuel pipe must be sired for full load.Required fuel pressure to generator fuel inlet at all load ranges-3.5-7 in water column(0.87-1.74 kPa)for NG,1 G-12 in vialer column(2.49 2.99 kpa)for LP gas.For BTU content multiply ft3/hr x 2500(LP)or ON x 1000(NG).For Megajoule content,multiply m3/hr x 93.15(LP)or m3/hr x 37.26(NG). Controls Tw•o rie plain text multilingual LCD Simple user interlace for ease of operation. leme bi_ions:A11T0 Automatic start on utility failure.Weekly,Eli-weekly,or Monthly selectable exerciser. f;JJdIiAL - Stad vriih starter control,unit slays on.If utility fails,transfer to load takes place. OFF Stops unit.Power Is removed.Control and charger still operate. Ready to nurdhlantemnce messages _ Standard Etoine nxt tours indiration Standard Programn>ab',a start delay between 2-1500 seconds Standard(programmable by dealer only) UB4ty Voltage Loss/Return to Utility adjustable(brownout setting) _ From 146 171 V/190-216 V Future Set Capable Exerciser/Exercise Set Error warning Standard RLWAlzrm/Mairpenance logs 50 events each Engine s+a,1 sequence cyclic cranking:16 sec on,7 rest(90 sec maximum duration). Starter lock-ores Starter cannot re-engage until sec after engine has stopped.' Smn B aafley Charger - Standard C_hi_Ger FauplM,issi-ag AC warring Standard Lvx 8a;zylrzftery Problem Protection antl Bettey Condition indication Standard Atxomatc V62ge Reputation with Over and Under Voltage Protection Standard Und=_r-Frequency/Overload(T,epper Overcurrerd Protection Standard Safety FT -euse Problem Protection Standard Automatic Low Oil Pressure/High Oil Temperature Shutdown Standard OvercraicVOverspeed(@ 72 Ftr)/rpm Sense Loss Shutdown Standard High Engine Temperature Shutdown Standard In emal FaullAncorrect Wring protection __ Standard Common external fault capability Standard Field upgrada5le F.rrrrrrare Standard _ "Sit rid isrelsere taken from the froiu"of the generator.Sound levels taken from other sides of the generator may be higher depending on installation parameters.Raling definitions-Standby:Applicable for supplying emergency power for the duta9on of the utility power outage.No oredoad capability is available for this rating.(All ratings in accordance with BS5514,IS03046 and DIN6271).'Maximum kilovolt amps and current are sub,'-d to and limited by such[actors as fuel BTU/megajoule content,ambient temperature,altitude,engine power and condition,etc.Maximum power decreases approximately 3.5%tot each 1,000 ft(304.8 m)above sea level;and also wall decrease approximately 1%for each 10'F(6°C)above 60 IF(16'C). I I GENERACfr 20/22/24 kW Switch Options j Service Rated Automatic Transfer Switch Features Model 0007039.1,G0070 (2 kW) G007043-2.G007043.3 43.3(22 kW) I • Intelligently manages up to four air conditioner loads with no additional hardware, - - - --- r g • Up to eight additional large(240 VAC)loads can be managed when used in conjunction Current rating(amps) - 200 with Smart Management Modules(SMMs). ,Voltage rating{VAC) 120/240,10'_ • Electrically operated,mechanically-held contacts for fast,clean connections. Utility voltage monitor(fixed)' Pick-up 80% • Rated for all classes of load,100%equipment rated,both inductive and resistive. -Dropout 65% r • 2-pole,250 VAC contactors. Return to Utility" Approx.13 sec j • Service equipment rated, Exercises bi-v+eekly for 5 minutes' Standard dual coil design. -- t ETL or UL listed _ _ -.Standard- * Rated for both aluminum and copper conductors. Enclosure type NEMMUL 3R I • Main contacts are silver plated or silver alloy to resist welding and sticking. Circuit breaker protected_, _ 22.000 • N11IAML 3R aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. Lug range 250 MCM-#6 i `Function of Evolution controller j Dimensions Exercise can be set to weekly,bi-weekly,or monthly { 200 Amps 120/240,10 Open Transition Service Rated Height Width Depth H1 H2 W1 W2 in 26.8 30.1 10.5 13.5 6.9 j cm 67.95 76.43 26.67 34.18 17.5 xz ru I, Wire Ranges Conductor Lug Neutral Lug Ground Lug {J 250 MCM-#6 350 MCM-1-6 2/0-#14 I -o�rrx J PWRview Automatic Transfer Switch Features Model G007210-0(24 kW)_ • integrated PWRvie(v monitor provides real-time energy usage data through PWRview app. No.of poles _ _ _ _. __ _? Current rating(amps) 200 • Intelligently manages up to four air conditioner loads with no additional hardware. Voltage rating(VAC;_ __ 12.0/240,10 • Up to eight additional large(240 VAC)loads can be managed when used in conjunction Utility voltage monitor(fixed)' with Smart Management Modules(SMMs). -Pick-up 80% -Dropout 65% • Electrically operated,mechanica(ly-held contacts for fast,clean connections. ,Return to Utility' Approx.13 sec • Rated for all classes of load,100%equipment rated,both inductive and resistive. Exercises bi-weekly for 5 minutes* Standard • 2-pole,250 VAC contactors. ,ETL or UL listed - _ _ Standard • Service equipment rated,dual coil design. Enclosure type NEMA ,Circuit breaker protected 22,000 • Rated for both aluminum and copper conductors. Lug range 250 MCM-#6 • Main contacts are silver plated or silver alloy to resist welding and sticking. "Function of Evolution controller Exercise can be set to weekly,bi-weekly,or monthly • NEMA 3R aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. • Heavy duty Generac Contactor is an EfL recognized device. F_w1— Dimensions i I r 200 Amps 120/240,10 Open Transition Service Rated Height Width De th xr H1 H2 W1 W2 p in 26.8 30.1 10.5 13.5 6.9 cm 67.95 76.43 26.67 34.18 17.5 1 f Wire Ranges Conductor Lug Neutral Lug Ground Lug 250 MCM-#6 1 350 MCM-#6 2/0-#14 l GENERAL• 20/22/24 kW Available Accessories 'Model* Product Description 5005819.0- p26fi Wet Cell Battery }Every standbygenerifor requires a battery t'o start the system.Generac offers the recommended 26R wet cell battery for j ' Luse with all air-cooled standby product(excluding PowerPact®). s V07101-0 (Battery Pad Warmer y — Pad warmer rests under the battery.Recommended for use if temperature regularly falls below 0•F(-18°C).(Not nec- mary for use with AGM-style batteries). ; G01171�2-0' oil Warmer ' Oil warmer slips directlyover the oil filter.Recommended for use if,temperature regularly falls below 0°F(18°G).-- ' ' G607103-1 T 4 ;Breathe'r wilr_iei— a ,Breatherwarmer is for use in extreme cold weather applications,For use with Evolutioncontrol Iers only in climates where t t heavy icing occurs. :G005621-0 �� Aululiary Transfer Switch :The auxiliary transfer switch contact kit allows the transfer switch to lockout a single large electrical load that may not be; y !Contact Kit needed.Not compatible with 50'amp pre-wired switches. { G007027 00 Bisque ;Fascia Base Wrap fCit The fascia base wrap snaps together around the bottom of the new air-cooled generators.This offers a sleek,contoured i (Standard on 22124 kW) ',appearance as well as offering protection from rodents and insects by covering the lifting holes located in the base. �13005703-0-Bisque IT Paint Kit ,If the generator enclosure is scratched or damaged,it is important to touch up the paint to protect from future corrosion. The touch-up paint kit includes the necessary paint to correctly maintain or touch up a generator enclosure. :IG006485-0 iScheduled 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). G002005-D hf Fi LP Tank Fuel l evel ;The Wi,Fi enabled LP tank fuel level monitor provides constant monitoring of the connected LP fuel tank.Monitoring the t Monitor =LP tank's fuel level is an important step in verifying the generator is ready to run during an unexpected power failure.Sta r itus alerts are available through a free application to notify users when the LP tank Is in need of a refill. G007000-0(50 amp)';Smart Management Module 'Smart Management Modules(SMM).are used to optimize the performance of a standby generator.It manages large elec-i '.G007006-0 Jncal 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 cast of the system. ,y - y , G007169-0-4G LTE'Mobile Link Cellular The Mobile Link family of Cellular Accessories allow users to monitor generator status from anywhere in the world,using G007170-0-Wi-Fi/ 'Accessories a smart phone,tablet,or PC.Easily access information such as the current operating status and maintenance alerts.Us- Ethernet ers can connect an account with an authorized service dealer for fast,friendly,and proactive,service.With Mobile Link,?' users are taken care of before the next power outage. 6007220-6-Bisque'Base Plug,Kit— f^.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 foourur plugs,Y gs,sutficientfor use s,sufficient•,_, on a Single air-cooled'home standby generator. i��..w._...._ . .._:....�.._,-,....._-..._. ... _.. Dimensions & PCs Model UPC. 037.0mm 1218mm t25.1 MI (4801.1 G007038-1 696471074185 C007038-3 '696471074185 G007039-1 696471074192 G007039-3 696471074192 G007042-2 696471074208 727.2 1n] 0007042-3 696471074208 G007043-2 696471074215 Ow G007043-3 696471074215 m .0 0 G067209-0 696471071511 G007210-0 696471078220 �25 5 in) 1232— t48.51n1 LEFT SIDE VIEW FRONT VIEW Dimensions shown are approximate.,See Installation manual for exact dimensions.DO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. I ' G E N E R ACm Generac Power Systems,Inc. • S46 W29290 HWY.59,Waukesha,WI 53189 • generac.com C2020 Generac Power Systems,Inc.All rights reserved.All specifications are subject to change without notice.Part No.AOD00937814 Rev.B 07/30/2020 i i