Loading...
HomeMy WebLinkAbout51001-Z TOWN OF SOUTHOLD w` BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 51001 Date: 7/30/2024 Permission is hereby granted to: Ringel, Tim 1 John St ... �....._ Brooklyn, NY 11201 ... To: Installation of a generator accessory to an existing single-family dwelling as applied for per manufacturers specifications. Must maintain a rear and side yard setback of 25 feet. At premises located at: 500 Private Rd_#8, Cutchogmue SCTM #473889 Sec/Block/Lot# 97.-3-18.8 Pursuant to application dated 6/13/2024_ and approved by the Building Inspector. To expire on 1/29/2026 Fees: ACCESSORY $125.00 CERTIFICATE OF OCCUPANCY $100.00 ELECTRIC $100.00 Total: ...__._._.. $325.00 ........� .. . Building Inspector d 1"a, TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ha -/Jwwwsoutholdtownny.gov Date Received APPLICATIONI I . ��.:�1 For Office Use Only ,w PERMIT NO.5! Q 1 Building Inspector„ )'2 Applications and forms must be filled out in-their entirety.Incomplete applications will'not be accepted. Where the A plici nt is not the owner,an P P Owner's Authorization form(Page 2)shall be completed. Date: u /J e- �l DWNER(S)OF PROPERTY: Name: SCTM#1000- Project Address - Phone#: , < <�y� ���/ Email: _,... Mailing Address; 3 de Ile- r'Ce CXe,eje CONTACT PERSON: Name: Mailing Address:�0 �r e 11716 Phone#: e -7eta7�) 'o �So DESIGN PROFESSIONAL INFORMATION: Name, �' Mailing Addre , , Phone mail: CONTRACTOR INFORMATION: Name: Mailing Address: ) n o -1 /7/ (D 0 u e--,-7� Phone#: Email: DESCRIPTION OF PROPOSED;CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 'KOther e -7e s z AQ r^ $ 0 .,:; 12, 0 o Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes, o 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated; Are there any covenants and restrictions with respect to this property? ❑Yes�xNo 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 buildingls)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): ��' ,�' � Authorized.Agent ❑Owner pp .� .�F ale 7 Signature of Applicant: Date: L+ / o /Z O Z4- JANET DAMIANO STATE OF NEW YORK) NOTARY PUBLIC-STATE OF NEW YORK SS: No. Ol DA5061073 COUNTY OF Qualified in Suffolk Co L- My ComirDission Expires _ o�P1-7 e�e being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the e-,-7 f (Cont ctor,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, n e � 20 a y NotariyP u b Lhi PROPERTY UTH II TI (Where the applicant is not the owner) I, residing at cs N I I Iq 3,5 do hereby authorize L I So 13e,-7e d c-1 4 to apply on my behalf to the Town of Southold Building Department for approval as described herein.. A- 1�[to /LCZ4 Owner's Signature Date Pri tOwner's Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro err suthdldtownn '. o wand soutloidtownn . o APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Name: a License No.: 1 !�r83G email: Address: y // 7 7 Phone No.: �<3/- ` , �- `' 16� 15� /- R-3 6-2211 JOB SITE INFORMATION (All Information Required) Name: "7 Address: � 1Ce f C A r / l g Cross Street: Phone No.: W 3 - Bldg.Permit#: 100 email. Tax Map District: 1000 Section: p 7, 0 o Block: , 06) Lot:O/$,oo8 BRIEF DESCRIPTION OF WORK (Please Print Clearly) e e-h a� L. le w e, c ct. "-2 s - '" ,fey; Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES O 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 Servic e? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form.xls DATE(MM/DD/YYYY) ACCORL)P CERTIFICATE OF LIABILITY INSURANCE 6/11/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). A T. BooucE B No . .. fiCates dear . —..._..... A J ... 14B East Main StreetDe E cew w ins cam _— 148E Bon in Street ass. 63 73 7600 g . Ne 631 351 170 .... org Inc. AL Hunti rNsalta ERA UticamiNsa�rrE ( "AFFoa�r>INGcovw.rcE. National Assurance 10687 608 Johnson Ave,Ste Inc. Poweseii o scarily insurance Co 24 87 PowerPro Service Co. INSURE Merc ants Mutual Insurange, 23329 INSURED INSURER B OI1(O.. .. ....... Bohemia NY 11716 11YSUR � D _ .... �^ f ..rmy ���.. ......,.._—..... —. �. �.". ... INSURER F ES CATE CTIHISRIS TGO CERTIFY THAT THE POLICIES OF I INSURANCE SL LISTED BELOW HAVE BEEN CONTRALTO THE OR OTHER D REVISION ABOVE ER: INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF A 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, A LI sES. EDUCED BY PAID CLAIMS. LIMITS SHOWN MAY HAV — LIMITS EXCLUSIONS AND CONDITIONS INCE OF SUCH POLICIES.LI � pOL9CY NUMBER mmm� -mm-FOLYC"I FF 6 P�ILICY EXF . E ��`nt - MMIODIYYYY MMp OrYYYY' i. S TR LIABILITY Y BKS59794035 517/2024 5/7/2025 EACH OCCURRENCE $1,000,000, ____ B X COMMERCIAL GENERAL - L7�laE"YYrY�EF1Y1:t1 Ca CLAIMS-MADE OCCUR I' .' I/.00carrrnG'EA $300000 ,...... X nlractual Liab � .. .. ME"ER D SEX P WA-n^ ens-^M- ^^a ONAL4AOV INJUR—Y ',$$11 . ... ._.. ^^ GENERAL AGGREGATE S2,000,000 50"«00''-00 0"0" G.EN'LAGGREGATELIMITAPPLIESPER: 0 ..�,..._ P/OP AGG $2„01'I0 000....�.-. .. POLICY I,..,..X JECT LOC COMBIN O`COM ...._.. ..m:"..�._.�_. On ER PRO- � 024 5(7I2025 �PRODUCT �tlNGLE'LIN91'r g 1,000,000 A AUTOMOBILE LIABILITY 5641779 5(712 t_ yfipl _ _ X ANY AUTO INJURY(Per person) $ OWNED SCHEDULED B_OOPERY (Peraccident) $ X. AUTOS ONLY X AUTOS BODILY INJURY PR [:AMAGE r.. - HIRED NON-OWNEDat;n.,�1y, .. If$ AUTOS ONLY „„ AUTOS ONLY $ CLAYMs....-� .. .. - .000OCpO EXCESS LIAB C u" MAOE AGGREG,,,, .m.— -._ -- ..� ..L...,,._� �-- �... ATE OCCURRENCE $5„0G40000 ..,. C X UMBRELLA LIAB X CUP00003503 5/712024 117/2/125 EACH OCCURREN I � $ _In nnn .AND EMPLOYERS*L OEO g X IR rENTION$ WORKERS COMPENSATION � „^"„",t STATV)TE � �Am,RbI (ABILITY Y 1 N � . — ANYPROP''RIETOWPARTNEFUEXE UT1VE. ❑ N/A'.... j OEFICER.lMEMSER.EXOLUOEO? E.L. EACH ACCIDENT.EAEMP4.D1`d(=E $.,,,,�..... (Mandatory In ASH) E L ON�aEAS„ NI y�?es„describe under E„U.D1SEA)E POLICY LOAT $ DESCRIPTION OF OPERATIONS beta w i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate holder is an additional insured to the fullest extent permitted by law when required by a written executed contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold Bldg Dept., P.O. Box 1179 AUTH I2EOR15PRESENVTATNE Southold NY 11971 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NEW Workers' CERTIFICATE OF 1 E Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured PowerPro Service Co. Inc. 631-567-2700 608 Johnson Ave, Ste 6 Bohemia, NY 11716 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 113430118 xx- 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Utica National Assurance Town of Southold Bldg Dept., P.O. Box 1179 3b.Policy Number of Entity Listed in Box 1 a" Southold, NY 11971 5641778 3c.Policy effective period 05/07/2024 05/07/2025 3d.The Proprietor,Partners or Executive Officers are included.(Only heck box if all partners/officers included)all excluded or certain partners/officers xeludehl. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"I a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2 The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the Insurance carrier or Its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Borg& Borg Inc., David M Borg President (Print name of authorized representative or licensed agent of insurance carrier) /41 6/11/2024 Approved by: (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 31-67 -7600 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it C-105.2 (9-17) www.wcb.ny.gov Workers" CERTIFICATE OF INSURANCE COVERAGE !STARTAC Compensation Boalyd. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1,To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance A ent or that Carrier 1 a. Legal Name and Address of insured(Use street address only) 1 b. Business Telephone Number of Insured' PowerPro Service Co. Inc. 631-567-2700 608 Johnson Ave, Ste 6 Bohemia, NY 11716 1c. Federal Employer Identification Number or Social Security Number Work Location of insured(Only required if specifically limited to 113430118 certain locations in New York State,i.e.a Wrap-Up Policy) 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier Hartford Life And (Entity Being Listed as Certificate Holder) 3b. Policy Number of entity listed in box 1a": LNY811134 Town of Southold Bldg Dept., P.O. Box 1179 3c. Policy effective period: Southold, NY 11971 01/01/2014 12/31/2024 4. Policy provides the following benefits: A. All for the employer's employees eligible under the New York Disability Law _B. Only the following class or classes of employer's employees; _C. Paid family leave benefits only 5. Policy covers: —A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law _B. Only the following class or classes of employer's employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed 6/11/2024 By: David Bor, (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone No. 631 673 7600 Name and Title: President, IMPORTANT: If box 4a is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If box"4b"is checked,this certificate is NOT COMPLETE for the purposes of Section 220, Sub.8 of the Disability Benefits Law. It must be mailed for completion to the Workers'Compensation Board, DB Plans Acceptance Unit, 328 State Street, Schenectady, New York 12305 PART 2.To be completed by the NYS Workers Compensation Board(Only if Box 4C or 5B of Part'I has been checked State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named-insured employer has complied with the NYS Disability Benefits Law with respect to all or his/her employees. Date Signed By (Signature of NYS Wwkers'Compensaflon Board Employee) Telephone No. Title: Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS license insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance Brokers are not authorized to issue this form. DB120.1(10-17) Suffolk County Dept.of Labor,Licensing&Consumer Affair. HOME IMPROVEMENT LICENSE Name FRANK NAVETI-A Business Name POWERPRO SERVICE COMPANY IN( This certifies that the bearer is duly licensed License Number H-44193 by the County of suffolk Issued: 02/21/2008 WaynviT. Roge*-k Expires: 02/01/2026 Commissioner A DATE(MMIDDIYYYY) �f,.,„Ji',►^Nw�..+�" CERTIFICATE OF LIABILITY INSURANCE 06/1 /2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jennifer Heiser Nicholas Devito Agency, Inc, w .Ext)I (631)so9HONE 6386.. ,._ .....,... ��ra� 271-2 Route 25A E•M MAppggq§, p,onnafer aievltct r cr ar.. Mount Sinai NY 11766 ... ,-,- COVERAGE..... .--- � - INSURER�S,IwAFFORDINGCOV 4 INSURERA: M rchant$,,,,,Mutual I.nsurancip, ,O,mpany _........ .M2 _ ..... INSURED INSURER B s._, ....... ..._- ...... ,. .. Wildwood Electric Inc. INsURER.0 „ --- 49A Rocky Point Yaphank Road INSURER D: Rocky Point, NY 11778 INSURER E INSURER F t COVERAGES CERTIFICATE NUMBER: 00010319-1328154 REVISION NUMBER: 76 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. . ._ ...._ _ ... ,,...- .- ........ I.. I ,...... ,,,.. POLICY. . MM,. flV�8I- ! TYPE OF INSURANCE. ADOL.rl„)@,II, POLICY EIFF � POL(„'Y FiY4'it E POLICY NUMBER ��PFYyYY' LIMITS A "},COMMERCIAL GENERAL LIABILITY BOPI099122 04/16/2024 10411612025 EACH OCCURRENCE $ 1,000,000 dJ�A'hfiAt.L "TX'N�.F.7 4":.LA1MS-PtkAOE _X OCCUR .e•RLMV'wEa riw;PF�W.�T...C@L'^t'1 $ ,,, -5001000 -w..� . .m�,�..,. Any Tit d1'r5aawl A. Ct3,rt�l"a CtU, I MED EXP,�m ,9 P!liity - .. .........,. ..p RSONAL&AOVINJURY .- Included ..- .....m.,�,,. _ GREGAq"E 2,000�000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AG, POLICY X E° . AGG $ 200,000 0 LG.1L; 'a'PdG'0'l.I CxTS-COMP/OP ,.- OTHER: A AUTOMOBILE LIABILITY CAPI070996 04/16/2024 ! 0411612025 COMB dent .NI~m E L�MtT $ 1 0100,000.,, i ANY AUTO BODILY INJURY(Per person) 'S • OWNED ONLY ^X SCHEDULED BODILY INJURY(Per accident) S AUTOS n.,AUTOS • .,.. HIRED ...... :. NON-OWNED PROPERTY DAMAGES . ....AONLY _ AUTOS ONLY LP5?!' +�t1erLL1 ........ — . . _.._.. A ._.._X..... UMBRELLA LIAB X...� OCCUR CU__. .. ..,.,.....m., a ... .1,000 000 P9149680 04/16l2024 04/16/2025 E. CH C9LLU CE RREN $ EXCESS LIAB CLAIMS-MADE AGGV<mC;�A°r'E "...$ 1,000,000 .,. r OLD X RETENTIONS 10,000 $ .. .... .. WORKERS COMPENSATION PER O H AND EMPLOYERS'LIABILITY STATI,TC, ,'r.R. OFFICERIMEMBER EXCLUDED PROPRIETOR/PARTNER/EXECUTIVEANY j E L EACH ACCIDENT $ YIN � :NIA .... .. e , (Mandatory in NH) E L DISEASE EA EMPLOYEE'L' $ If Y;ycrs d'ast�r9tre under _...... ... .,a._...._m.. -- OE'+SCRWTION OF OPERA NONS below E L.DISEASE POLICY L.UMIT' S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE MOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE J-H ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by J-H on 06/12/2024 at 09:07AM NEW Workers' CERTIFICATE OF INSURANCE COVERAGE sTArt Coil, nsation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW ...... _ ..�...............� ___......_ PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a,Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured WILDWOOD ELECTRIC, INC. 631-929-4219 PO Box 373 Rocky Point NY 11778 1 c. Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.„Wrap-Up Policy) or Social Security Number 11-2782074 ... .................. 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southold Standard Security Life Insurance Company of New York 3b.Policy Number of Entity Listed in Box"1 a" L82898-000 53095 Route 25A, P.0 Box 1179 SOUTHOLD, NY 11971 3c. Policy effective period 1/1/2017 to 10/29/2024 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: X❑ 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 insuran r coverage as described above. Date Signed 10/31/2023 By (Signature 04nsurance carrier's atilt RBI aed�" eta iy� NY tY'en 'Insurance Agent of[hat insurance carrier) Telephone Number (212)355-4141 Name and Title Bebi Ishmail,Supervisior-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 be completed by the NYS Workers'Compensation Board(only if Box 4C or 513 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 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. DB-120.1 (10-17) 111111111 111111111111111111111111111 DB 120.1 (10-17) NEW Workers' YORK CERTIFICATE OF ---- STATE Compensation ` Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la Legal Name&Address of Insured(,isp street address on(y) 1b Business Telephone plumber cf Insured Wildwood Electric Inc, 631-929-4219 49A Rocky Point Yaphank Road Rocky Point, NY 11778 1c„NYS Unemployment Insurance Employer Registration Number of i Inured 1 Work Location of Insured(only required if coverage is specifically limited to certain locations in Now York Slate,i.e.,a Nriap-Uo Policy) 'Id,Federal Employer Identification Number of Insured or Social Security Number 11-2782074 m,._ .. 2.Name and Address of Entity Re ueslinc Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southold Sentinel Insurance Company 53095 Route 25 '3b.Policy Number of Entity Listed in Box"1a" PO Box 1179 12WECAC6TZH Southold, NY 11971 3c,Policy effective penod 111 12/31/2023 to 12/31/2024 3d The Proprietor,Partners or Executive blfir_ers are ® included,(Only check box if all partnersiaYcers included) all excluded or certain parinerslofficers exclured. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1a"for workers' compensation under the New York State workers'Compensation Law (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder This certificate does not amend. extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Notq:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Nicholas Devito ( p cerised sa ont of carrier) 9r+s+.;rsr,^,e c Print Hams of a �ra� , re re:5anp�Na"w�z or li Approved by: (Signetgre) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631-509-6388 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105,2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) mmvv.wcb.ny.gov S 72°36'20"E LOT 4 478,69' i BARi�Y' PVC 6 POSIT' PENCE. q K' .PIPE +Y I °. ,Ya R �'�F n'1•• FID ` 1�7 h FILTER u i p r w " C+9 ROOF PNNT . " O.D� a CORC., SHOWER IU PATIO CONC. 2 STY �1911, r� ACa CE PATIO Ff�RES LL c� a �xxv � #500 �y o LOT 3 SLATE ` tY .1^ LK PH YPiu v GAS. RJO SATO 2T,D � R=60.00' y fff L=281,80' IP "a V E C+ Pipe (O A,) FE, ^' PVC' PICKET IiRiti/9W�A1t' TRAWSF, F6 FFI 1 STY SLUESTFSw J2* ,SHED FRGAR q w �_ p PFID b ca f BRICK �, Ik .::r �PRaR o OASROR� Q C �/ Fay a 8. c , of cn Z Fry¢5 & POST FENCE �e ROW 4 4a, 3 PIPE Qr 4- ,*, REDAR LOT 2SET N 77-52.20"W / AREA=3,308AC LOT 3 ON "MAP OF FRANCIS GREENBERGER' � ' 0' 11 SITUATE AT CUTCHOGUE T��t� u� 1 �1 ��01 TOWN OF SOUTHOLD ` �'mask" KCORi R18' !" ° SUFFOLK COUNTY, NEw PORK FILED:APRIL 30, 1993, MAP#9350 LAND SURVEY LONG ISLAND.COM CERTIFIED TO:GREGORY A.ADAMS WARD BROOKS LAND SURVEYOR FIDELITY NATIONAL TITLE INSURANCE COMPANY RAYMOND JAMES BANK 11 OCEAN AVENUE Ta' �e�ALL T'FH'��OFPRA o oy�«,,TIDH FEa��PY�Q,Y�w. BLUE POINT, NY. 11715 1 CERTIFICATION NGW YORN SHALL ASSOCIATION OPFROFON.PROFESSIONAL LAND INTDZVST ANORS (63 1) 576-7794 (631) 363-3179 �I CERTIFICATON SHALL RUN DIMLY TO THE PERSON,THEUI WTEfiEST AHD'OR AS91GId9. / CCRTIFICAIIONSARE NOT TRAN9FGRAEILE, THE FJIISTENCE OF RCIRS OP WAY,AND/OR EASEMENTS OF RECORD,IF ANY NOT SHOWN ARE NOT GUARANTEED. ANY ALTERA71OPI OR SURVEY ADDITION TO THIS 19 A VIOLATION OP SECTION T209.2 OF THE NEW YORK STATE EDUCATION LAWWARDBROOKSO@GMAIL.COM 00 NOT SCALE FE NOM OFFSETS surERCEDE. FILE 4.11484 ��, � 5 KOHLER• Models: 26RCA(L) Multi-Fuel LPG/Natural Gas 09001 Standard Features 4 KOHLER. • RDC2 Controller NATIONALLY REGISTERED o One digital controller manages both the generator set and transfer switch functions(with optional Model RXT). o Electronic speed control responds quickly to varying demand. o OnCue@ Plus Generator Management System for remote monitoring is included with the generator. • Kohler Command PRO Engine Features o Kohler Command PRO®OHV engine with hydraulic valve lifters for reliable performance without routine valve adjustment or lengthy break-in requirements. • Designed for Easy Installation The Kohler" Advantage o Sturdy aluminum base can be mounted on gravel or a • High Quality Power concrete mounting pad. ° Fuel and electrical connections through the enclosure wall Kohler home generators provide advanced voltage and eliminate the need for stub-ups through the base. frequency regulation along with ultra-low levels of harmonic ° Customer connection terminal block located near the distortion for excellent generator power quality to protect your valuable electronics. controller allows easy access for field wiring. o Designed for outdoor installation only. • Premium 5-yr/2000-hr Limited Warranty Included o Approved for stationary standby applications in locations Kohler is known for extraordinary reliability and performance. served by a reliable utility source(on-grid). Kohler's premium limited warranty covers parts, labor, and travel for the full warranty period. • Certifications • Powerful Performance o Meets emission regulations for U.S. Environmental Exclusive Powerboost- technology provides excellent Protection Agency(EPA)with both natural gas and LPG. starting power. § o UL 2200/cUL listed. o Accepted by the Massachusetts Board of Registration of • Aluminum Enclosure Plumbers and Gas Fitters. o Attractive aluminum enclosure allows installation as close o Meets 181 mph wind rating. as 18 inches from your home or small business. ' a Exercise Modes o Enclosure panels can be removed without tools to allow o 90-second EcoExercise, unloaded,with system easy access for maintenance and service. diagnostics. Reduces fuel costs and minimizes sound • Camouflage Enclosures are available for single-phase units disruption. (optional). Go to KohlerGenerators.com/MossyOak to view o Unloaded weekly exercise with complete system the available patterns. diagnostics (20 minutes) Mossy Oak is a trademark used under license from Haas Outdoors,Inc.,by Kohler Co. O Unloaded full-speed exercise(20 minutes) o Loaded full-speed exercise(20 minutes; Model RXT ATS required) o Weekly, bi-weekly, or new monthly exercise intervals, • Model 26RCAL includes a model RXT automatic transfer switch. See last page for more details. Generator Ratings Standby Ratings Line Circuit Natural Gas LPG Breaker Model Alt Voltage Ph Hz kW/kVA Amps kW/kVA Amps Amps Poles 26RCA 2F8 120/240 1 60 24/24 100 26/26 109 125 2 26RCAL 120/208 3 60 22/27 77 22/27 77 80 3 26RCA 2G8 120/240 3 60 22/27 67 22/27 67 80 3 277/480 3 60 22/27 34 22/27 34 40 3 Note: The line circuit breaker is automatically selected based on the generator set model and voltage configuration. RATINGS:Standby ratings apply to installations served by a reliable utility source.All single-phase units are rated at 1.0 power factor.The standby rating is applicable to variable loads with an average load factor of 80%for the duration of the power outage. No overload capacity is specified at this rating. Ratings are in accordance with ISO-3046/1,BS5514.AS2789,and DIN 6271.GENERAL GUIDELINES FOR DERATING:ALTITUDE:Derate 4%per 305 m(1000ft.)elevation above 153 m(500ft.).TEMPERATURE:Derate 2%per 5.5°C(1 o°F)temperature increase above 16°C(60°F). Availability is subject to change without notice.The generator set manufacturer reserves the right to change the design or specifications without notice and without any obligation or liability whatsoever. Contact your local Kohler Co.generator dealer for availability. § Check the appliance manufacturer's specifications for actual power requirements. Consult a Kohlera Power Systems professional to calculate your exact residential power system requirements. Meets NFPA guidelines for 18 inch clearance to combustible materials. Check state and local codes for minimum distance required from a structure. G4-315 (26RCA) 4/23a ► Alternator Specifications Alternator Specifications Alternator Features Specifications Alternator • Compliance with NEMA, IEEE, and ANSI standards for Manufacturer Kohler temperature rise. Type 2-Pole,Rotating Field a Self-ventilated and dripproof construction. Leads,quantity 2F8 4 • Windings are vacuum-impregnated with epoxy varnish for 2G8 12 dependability and long life. Voltage regulator Digital • Superior voltage waveform and minimum harmonic Insulation: NEMA MG1-1.66 distortion from skewed alternator construction. Material Class H • Digital voltage regulator with t1.0% no-load to full-load Temperature rise 130°C Standby RMS regulation. Bearing:quantity,type 1,Sealed . Rotating-field alternator with static exciter for excellent Coupling Direct load response. Amortisseur windings Full . Total harmonic distortion (THD)from no load to full load with Voltage regulation,no-load to full-load RMS t 1.0% a linear load is less than 5%. One-step load acceptance 100%of Rating Peak motor starting kVA: (35%dip for voltages below) 240 V, 1 ph 2F8(4 lead) 39(60 Hz) 240 or 480 V,3 ph 2G8(12 lead) 63(60 Hz) Application Data Engine Exhaust Engine Specifications Exhaust System Manufacturer Kohler Exhaust temperature exiting the Engine:model,type CH1006 4-Cycle enclosure at rated kW,dry,°C(IF) 260(500) Cylinder arrangement v-2 - Lubrication Displacement,cm3(cu.in.) 999(61) Bore and stroke,mm (in.) 90 x 78.5(3.54 x 3.1) Lubricating System Compression ratio 10.5:1 Type Full Pressure Main bearings:quantity,type 2,Heavy-Duty Sleeve Oil capacity(with filter),L(qt.) § 1.9(2.0) Bearings Oil filter:quantity,type§ 1,Cartridge Rated RPM 3600 Oil cooler Integral Max.engine power at rated rpm,kW(HP) § Kohler recommends the use of Kohler Genuine oil and filters. LPG 26.1 (36.4) Fuel Requirements Natural gas 24.5(33.0) Cylinder head material Aluminum Fuel System Valve material Steel/Stellite® Fuel types Natural Gas or LPG Piston type and material Aluminum Alloy Fuel supply inlet 3/4 NPT Fuel supply pressure,kPa(in.H2O): Crankshaft material Heat Treated,Ductile Iron Natural gas 0.9-2.7(3.5-11) Governor:type Electronic LP 1.7-2.7(7-11) Frequency regulation,no load to full load Isochronous Frequency regulation,steady state t0.5% Fuel Composition Limits Nat.Gas LPG Air cleaner type Dry Methane,%by volume(minimum) 90 min. — Ethane,%by volume(maximum) 4.0 max. — Engine Electrical Propane,%by volume 1.0 max. 85 min. Engine Electrical System Propene,%by volume(maximum) 0.1 max. 5.0 max. Ignition system Electronic, C4 and higher,%by volume 0.3 max. 2.5 max. Capacitive Discharge Sulfur,ppm mass(maximum) 25 max. Starter motor rated voltage(DC) 12 Lower heating value, MJ/m (Btu/ft3),(minimum) 33.2(890) 84.2(2260) Battery(purchased separately): * Contact your local dealer for suitability and rating derates based on Ground Negative fuel compositions outside these limits. Volts(DC) 12 Battery quantity 1 Recommended cold cranking amps: (CCA)rating for-1 BIC(0°F) 500 Group size 51 G4-315 (26RCA) 4/23a Fuel Pipe Size Operation Requirements = Minimum Gas Pipe Size Recommendation,in.NPT Fuel Consumption,m3/hr.(cfh)@ 60Hz Pipe Length, Natural Gas LPG %Load Natural Gas LPG m(ft.) 290,000 Btu/hr. 322,500 Btu/hr. 100 8.2 (290) 3.6 (129) 8 (25) 1 3/4 75 6.7 (238) 3.1 (111) 15 (50) 11/4 1 50 5.1 (180) 2.4 (85) 30 (100) 1 1/4 1 25 3.9 (137) 1.8 (64) 46 (150) 1 1/4 1 Exercise 1.9 (67) 0.9 (31)Nominal fuel rating: Natural gas: 37 MJ/m3(1000 Btu/ft.3) 61 (200) 1 1/2 1 1/4 LPG: 93 MJ/m3(2500 Btu/ft.3) Generator Set Sound Data LPG conversion factors: 1 0535 m3 11 kg Model 26RCA sound levels are 56 dB(A)during engine exercise 36.39 ft.3 =1 gal. and 67 dB(A)during full-speed generator diagnostics and normal operation.* All sound levels are measured at 7 meters with no load. * Lowest of 8 points measured around the generator. Sound levels at other points around generator may vary depending on installation parameters. RDC2 Controller Features • Exercise modes: o New 90-second Eco Exercise with complete system diagnostics (factory default setting) Frreq:9e 2.60.0 z 0 o Lowers fuel cost 0 0 0 o Minimizes sound disruption 000 0 o In cold,temperatures, limits condensation build-up in A 0 the crankcase o Unloaded weekly 20-minute exercise with complete o —a system diagnostics o Unloaded 20-minute full-speed exercise o Loaded 20-minute full-speed exercise (Model RXT ATS The RDC2 controller provides integrated control for the required) generator set, Kohler@ Model RXT transfer switch, • Weekly, bi-weekly, or new monthly exercise intervals programmable interface module(PIM),and load shed kit. • Front-access mini USB connector for SiteTech- or USB • Membrane keypad: Utility connection o OFF,AUTO, and RUN pushbuttons • Integral Ethernet connector for Kohler@ OnCue@ Plus o Select and arrow buttons for access to system • Remote two-wire start/stop capability for optional connection configuration and adjustment menus of a Model RDT transfer switch • LED indicators for OFF,AUTO, and RUN modes • Diagnostic messages: Displays diagnostic messages for the • LED indicators for utility power and generator set source engine, generator, Model RXT transfer switch, programmable availability and ATS position (Model RXT transfer switch interface module(PIM), and load management device. required) • Maintenance reminders • LCD display: • System settings: o Two lines x 16 characters per line o System voltage,frequency, and phase o Backlit display with adjustable contrast for excellent o Voltage adjustment visibility in all lighting conditions o Measurement system, English or metric • Scrolling system status display: • ATS status (Model RXT ATS required): o Generator set status o Source availability o Voltage and frequency o ATS position (normal/utility or emergency/generator) o Engine temperature o Source voltage and frequency o Oil pressure • ATS control (Model RXT ATS required): o Battery voltage o Source voltage and frequency settings o Engine runtime hours o Engine start time delay • Date and time displays o Transfer time delays • Smart engine cooldown senses engine temperature o Voltage calibration • Digital isochronous governor maintains steady-state speed at o Fixed pickup and dropout settings all loads • Programmable Interface Module(PIM)status displays: • Digital voltage regulation: ±1.0% RMS no-load to full-load o Input status (active/inactive) • Automatic start with programmed cranking cycle o Output status(active/inactive) • Built-in 2.5 amp battery charger • Load control menus: • Programmable exerciser can be set to start automatically on o Load status any future day and time o Test function G4-315 (26RCA) 4/23a KOHL KOHLER® Phone 9 CO.,Kohler,Wisconsin 9-164 USA Phone 920-457-4441,Fax 920-459-1646 For the nearest sales and service outlet in the US and Canada,phone 1-800-544-2444 KOHLERPower.com Generator Set Standard Features Literature • Aluminum sound enclosure ❑ General maintenance literature kit • Battery cables ❑ Overhaul literature kit • Critical silencer ❑ Production literature kit • EPA certified fuel system Maintenance • Field-connection terminal block ❑ Maintenance kit(includes air filter, oil,oil filter, and • Fuel solenoid valve and secondary regulator spark plugs) • Line circuit breaker ❑ Premium 300 hour/2 year oil for fewer oil changes • Multi-fuel system, LPG/natural gas,field-convertible 26RCAL Model Package • Oil drain extension with shutoff valve ❑ 26RCAL with 200 amp service entrance-rated Model RXT with combined interface/load management board and • Oil level sensor corrosion-resistant NEMA3R aluminum enclosure • Oil pressure sensor Warranty • OnCue(9 Plus Generator Management System ❑ 7-Year Limited Warranty • Premium 5-year/2000 hour limited standby warranty. ❑ 10-Year Limited Warranty Covers parts, labor, and travel for the entire warranty period Warranties cover parts,labor,and travel for the entire • RDC2 generator set/ATS controller warranty period. • Rodent-resistant construction • Sound-deadening,flame-retardant foam per UL 94, class HF-1 Available Options Concrete Mounting Pads ❑ Concrete mounting pad,3 in.thick ❑ Concrete mounting pad, 4 in.thick (recommended for storm-prone areas) Electrical Accessories ❑ Battery ❑ Battery heater, 120 VAC ❑ Carburetor heater, 120 VAC_ Generator Set Dimensions and Weights ❑ Cold weather kit, 120 VAC o Includes fuel regulator heater,oil and breather tube heaters. Generator Set Size,L x W x H: 1193 x 6.0 x 2. mm 9 (47 x 26.0 x 32.3 in.) o QS model with factory-installed kit is available. kit Shipping Weights: ❑ Emergency 9 Y stop 26RCA Generator Set: 283 kg(625 lb.) ❑ Programmable interface module (PIM) 26RCAL with 200 A RXT SE ATS: 304 kg(670 lb.) (provides 2 digital inputs and 6 relay outputs) * Battery heater is recommended below-17°C(0°F). L Do not use a carburetor heater with a cold weather kit. I Cold weather kit is recommended below 0°C(32°F). Enclosure Options(single-phase only) ❑ Mossy Oak@ camouflage enclosures available. ®'� Go to KohlerGenerators.com/MossyOak to see available H 1� patterns. Mossy Oak is a trademark used under license from Haas Outdoors,Inc.,by Kohler Co. Fuel System Accessories ❑ Flexible fuel line (included on CIS models) NOTE: Dimensions are provided for reference only and should not be used for planning installation.Contact your local dealer for more detailed information. DISTRIBUTED BY- ©2023 Kohler Co. All rights reserved. G4-315 (26RCA) 4/23a g .. 1 AIR CLEANER BREATHER TUBE HEATER D (OPTIONAL) ` . :: :_ _.::_ ENGINE SHUTDOWN OIL FILTER - SWITCH �r- . . OIL DIPSTICK _- '�."�� ,,: . s.,. RA -OIL PRESSURE SWITCH COVER CARB HEATER(OPTIONAL) _ _-_ - - (OPTIONAL) ? _ s k 1• IL FILL B IL DRAIN VALVE IL HEATER (OPTIONAL) UNLESS ALL DIMENSIONS IN MIMSE LLIMETERS DO NOT SCALE. GENERAL TOLERANCES:WA THIS ASSEMBLY OR PART MUST COMPLY WITH PEP-RML-001. ON COMPOSITE DWGS,SEE PART NO.FOR REVISION LEVEL REFERENCE CAD MODEL FOR REV DATE ❑INDICATES PART NUMBERS AFFECTED BY LATEST BY UNSPECIFIED DIMENSIONS. DRAWING REVISION THIRD ANGLE PROJECTION - 05DEC2022 NEW DRAWING AK" �Ell KOHLER. A 11JAN2023 D- OIL PRESSURE SWITCH COVER OPTIONAL MAJOR O= 0 WAS OIL PRESSURE SWITCH CRInCAL®= o OPTIONAL•SEE SHEET 5 AKH CHARACTERISnCS COMPLY WITH SCALE:0.40 SHEET SIZE:B SHEET:2 OF 5 B 14FEB2023 SEE SHEET 4$5 AKH KPS-0°22 DRAWN: AKH DATE: 4 IME- P" iN� ,=�6 26RCA APPROVED:SEE PLM 05DEC2022 SYSTEM I DWG NO, AD Yy� -9919 8 7 6 5 4 1 2 1 8 1 p ( D N ID fD 1190 146.131 5 r I AIR INLET 189 .4 HIGH VOLTAGE { ELECTRICAL i z STUB-UP AREA C 0 LOW VOLTAGE C O ELECTRICAL 0_ STUB-UP AREA NZ 77: to W LID It- D- 0No q,-or ui d C4N I m 78 3.11 MAX B CONDUIT ALLOWED OUTSIDE UNIT I 3/4 NPT 91 3.6 620 1`24.41 259 10.2 B 817 32.2 (FUEL IFE NLET 4X 38 J1. APPROX.MAX OPEN POSITION LIFTING HOLES 570 [22.41 337 13.3 m NOTE:DIMENSIONS IN 0 ARE INCH EQUIVALENTS. �i N UNLESS OTHERWISE SPEGFIED: O ALL DIMENSIONS IN MILLIMETERS DO THIS ASSEMBLY NOT OR PART MUST GENERAL TOLERANCES:NIA fO COMPLY WITH PEP-RML-001. ON COMPOSITE OWGS,SEE PART NO.FOR REVISION LEVEL REFERENCE CAD MODEL FOR REVI DATE ❑INDICATES PART NUMBERS AFFECTED BY LATEST BY UNSPECIFIED DIMENSIONS. A .e. .O. DRAWING REVISION THIRD ANGLE PROJECTION K ® ® - 05DEC2022 NEW DRAWING AKH �� KOHLER. A A 11JAN2023 SEE SHEET 2 AND 5 AKH B 14FEB2023 AKH MAJOR o= o 4X 11.0 0.43 SEE SHEET 4&5 CRITICAL®= o MOUNTING HOLES CHARACTERISTICS COMPLY WITH SCALE:0.40 1 SHEET SIZE:B I SHEET:1 OF 5 236 19.31 670 26.4 "I KPS-80022 TrrLE: DRAWN:N AKH DATE: DIMENSION PRINT, 26RCA 26RCA APPROVED:SEE PLM 05DEC2022 SYSTEM DWG NO.: ADV-9919 8 7 6 5 4 3 2 1 1 G / USB PORT D ONTROLLER i� LOAD CIRCUIT BREAKER o r' � 0 .'Y• CJ }L s Tv i- S' .Y I M. v� i r•y.�.a 1. _ 3 yL - V - I P f. ^i F - i I T- J+ ="��:= ; _ • , : � - I, _ - I. �r `s. Esc' � ' USTOMER CONNECTION BLOCK -• _ = Fes'= �� o-'•w @ - _ = FUEL REGULATOR HEATER PAD (OPTIONAL) 4 ' OIL DRAIN HOSE BATTERY CABLES y ,, ;= (INCLUDED) - BATTERY LOCATION (BATTERY NOT INCLUDED) BATTERY HEATER (OPTIONAL) AIR INLET UNLESS OTHERWISE SPECIFIED: ALL DIMENSIONS IN MI W METERS DO NOT SCALE. GENERAL TOLERANCES:NIA THIS ASSEMBLY OR PART MUST COMPLY WITH PEP-RML-001. ON COMPOSITE DWGS,SEE PART NO.FOR REVISION LEVEL REFERENCE CAD MODEL FOR REV DATE ❑INDICATES PART NUMBERS AFFECTED BY LATEST BY UNSPECIFIED DIMENSIONS. A DRAWING REVISION THIRD ANGLE PROJECTION 05DEC2022 NEW DRAWING AK ClKOHLER. A A 11JAN2023 SEE SHEET 2 AND 5 AKH MAJOR o= a B 114FEB2023 SEE SHEET 4&5 AKH CRITICAL®= o CHARACTERISTICS COMPLY WITH SCALE:0.40 1 SHEET SIZE:B SHEET:3 OF 5 IQ'S•80022 TITLE: DRAW": AKH DATE: DIMENSION PRINT, 26RCA 26RCA APPROVED:SEE PLM 05DEC2022 c C SYSTEM DWG NO.: ADV-19919 8 V 5 FTHIS DRAWING IN DESIGN AND DETAIL IS KOHLER CO.PROPERTY AND MUST NOT BE USED EXCEPT IN CONNECTION WITH KOHLER CO.WORK.ALL RIG HTS OF DESIGN OR INVENTION ARE RESERVED. a OCCUPIED STRUCTURE OCCUPIED OCCUPIED STRUCTURE STRUCTURE D 18"MIN. SERVICE D QDOOR 1 SERVICE z MOUNTING SET SET DOOR a AREA MOUNTING a z AREA z cn a m - m I U Z w z zw 3�' zw MOUNTING AREA SERVICE ¢ j DOOR w SET SERVICE SET SET U X U DOOR MOUNTING �w H w LL C AREA MOUNTING AREA vQ a¢ SERVICE DOOR C ca 4 FT.CLEARANCE if AT EXHAUST END OCCUPIED z STRUCTURE zw 3FT. Zw b �cco Q �CD SET � U X LU X MOUNTING AREA 18"MIN' z w LL F- LU U- SERVICE DOOR cp 4 FT.CLEARANCE SERVICE DOOR ¢ AT IXHAUST END SET U X MOUNTING AREA v¢ F- B OCCUPIED STRUCTURE Ow LL= g LU B zmo UZ LL Zw UJI ¢m SET SERVICE DOOR O X a Lw Vi MOUNTING AREA ~Q MOUNTING AREA MOUNTING AREA NOTE: SET SET APPLY NOTES ON SHEET 4 OF 5 UNLESS OTHERWISE SPECIFIED: TO SHEET 5 OF 5. ALL DIMENSIONS IN MILLIMETERS DO NOT SCALE. GENERAL TOLERANCES:NIA THIS ASSEMBLY OR PART MUST COMPLY WITH PEP-RML-001. SERVICE ON COMPOSITE OWGS,SEE PART NO.FOR REVISION LEVEL REFERENCE CAD MODEL FOR AT E 4 Er.CLEARANCEXHAUST END DOOR SERVICE REV DATE ❑INDICATES PART NUMBERS AFFECTED BY LATEST BY DOOR DRAWING REVISION UNSPECIFIED DIMENSIONS. A THIRD ANGLE PROJECTION - 11JAN 2022 NEW DRAWING 4 Ff.CLEARANCE '�" KOHLER. A AT EXHAUST END A 11JAN2023 q�5 PARALLEL UNIT WAS SINGLE UNIT: �� MAJOR 0= 0 INTAKE TO B 14FEB2023 (C-6,7)(C-2)3 FT.WAS 5 FT.;SEE SHEET 4 AKH camcu®= 0 BE 10 FT. CHARACTERISTICS COMPLY WITH SCALE:0.40 1 SHEET SIZE:B I SHEET:5 OF 5 FROM EXHAUST HPS-00022 zsRCT DIME >' DRAW TITLE: PARALLEL UNIT ": AKH DATE: DIMENSION PRINT 26RCA CONFIGURATION APPROVED:SYSTEM 05DEC2022 DWG NO.: ADV-9919 8 7 6 5 4 3 o 1 OCCUPIED STRUCTURE OCCUPIED STRUCTURE D D NOTE: QTHE RECOMMENDED DISTANCE FROM A STRUCTURE IS DEPENDENT ON STATE AND LOCAL CODES.PRODUCT HAS BEEN DEMONSTRATED IN ACCORANCE WITH NFPA 37 SECTION 4.1.4 BY A THIRD PARTY TEST FACILITY z z TO THE DIMENSIONS SHOWN. o C ACCEPTABLE C SET SERVICE DOOR SET 1)EXHAUST IS AIMED AWAY OR PARALLEL TO STRUCTURE. MOUNTING AREA MOUNTING AREA 2)EXHAUST IS NOT DIRECTED AT PLAY AREAS,PATIOS OR OTHER AREAS WHERE PEOPLE CONGREGATE. SERVICE DOOR 3)THE NEAREST WINDOW,VENT,DOOR OR SIMILAR STRUCTURE 4 FT.CLEARANCE OPENING IS AT LEAST 5 FEET FROM THE EXHAUST END OF THE SET. � AT EXHAUST END 4)SET HAS PROPER OFFSET FROM STRUCTURE. U z 5)WINDOWS&DOORS ON ADJACENT WALLS ARE CLOSED. z LU cn 6)FURNACE AND OTHER SIMILAR INTAKES ARE AT LEAST 10 FEET FROM w � EXHAUST END OF SET. J= v w 7)WEED BARRIER AND 3 INCH THICK GRAVEL BASE OR CONCRETE PAD LL LOCATED TO PREVENT GRASS&WEEDS FROM GROWING TOO CLOSE v Q TO THE SET. B OCCUPIED z 8)NO PLANTS,SHRUBS OR OTHER COMBUSTIBLES ALLOWED IN STRUCTURE CLEARANCE AREA.(MINIMUM 4 FT.FROM EXHAUST END). B a9)REFER TO OWNERS MANUAL FOR OTHER INSTALLATION CONSTRAINTS. 10)NO PLANTS,SHRUBS,OR OTHER COMBUSTIBLES ALLOWED WITHIN 18"MIN. 30"OF AIR INTAKE. 11)MUST MAINTAIN A MINIMUM OF 3 FEET CLEARANCE FROM SERVICE DOOR ENTRANCE. SET SERVICE DOOR 12)OVERHANGS AND AWNINGS MUST BE A MINIMUM OF 5 FEET FROM GENSET. MOUNTING AREA UNLESS OTHERWISE SPECIFIED: ALL DIMENSIONS IN MILLIMETERS DO NOT SCALE. U z GENERAL TOLERANCES:NIA THIS ASSEMBLY OR PART MUST zLU COMPLY WITH PEP-RML-001. ¢j~ ON COMPOSITE DWGS,SEE PART NO.FOR REVISION LEVEL REFERENCE CAD MODEL FOR REV DATE ❑INDICATES PART NUMBERS AFFECTED BY LATEST BY UNSPECIFIED DIMENSIONS. A J 2 DRAWING REVISION ()X THIRD PROJECTION A LL - 11JAN 2022 NEW DRAWING AKH KOHLER. !1 �¢ A 11JAN2023 SEE SHEET 2 AND 5 AKH MAJOR o= o B 14FE82023 g_2 3 FEET CLEARANCE WAS 5 FEET CRITICAL®= o CLEARANCE:SEE SHEET 5 AKH CHARACTERISTICS COMPLY WIrH SCALE:0.40 1 SHEET s¢E:B I SHEET:4 OF 5 KPS-80022 26RC DRAWN: AKH DAM, DIMENSION PRINT, 26RCA SINGLE UNITT n 7 CONFIGURATION APPROVED:SEE PLM 05DEC2022 SYSTEM DWG No.: ADV-9919