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HomeMy WebLinkAbout51001-Z �O�g�fFOA. Town of Southold 9/10/2024 P.O.Box 1179 o - o 53095 Main Rd 4, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45538 Date: 9/10/2024 THIS CERTIFIES that the building GENERATOR Location of Property: 500 Private Rd#8, Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-3-18.8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/13/2024 pursuant to which Building Permit No. 51001 dated 7/30/2024 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(maintain 3 foot clearances to plantings as required.) J The certificate is issued to Adams,Gregory A of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 51001 9/9/2024 PLUMBERS CERTIFICATION DATED Auth ize ignature o�SU PDl o TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "may • 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: Adams, Gregory A 809 East St Lenox, MA 01240 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: 600 Private Rd #8, Cutchogue 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 o�*oF so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q �► ao Jamesh southoldtownny.gov Southold,NY 11971-0959 Q�yCDU�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Greg Adams Address: 500 Private Road #8 city:Cutchogue st: New York zip: 11935 Building Permit#: 51001 Section: 97 Block: 3 Lot: 18.008 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Wlldwood Electric INC. Electrician: Ralph Passantino License No: ME-4836 SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch 200a UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 1 26kw kohler generator with 125 amp breaker, 1 200 amp kohler, 1 100amp smart management modules on 1 100amp , 2 50amp smart management modules on 2 40amp breakers Notes: GENERATOR Inspector Signature: lJ<< Date: September 9, 2024 p g 3 banks st qOQ/ ho�aOE SOUTyo<o # # TOWN. OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATIOWCAULKING [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY - [ ] FIRE-SAFETY INSPECTION [ ] .FIRE RESISTANT CONSTRUCTION '[ ] FIRE RESISTANT PENETRATION [ , ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: V��- L"o C. 0• ( L l(l C I eaIe-A,ri"s �o la,yL s as &eVi4a . DATE INSPECTOR S00 er-ioecl -+ # # - TOWN OF SOUTHOLD 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: DATE qlq 2 ` - INSPECTOR YIELD INSPECTION REPORT DATE COMMENTS ►d FOUNDATION (IST) -- y ------------------------------------- FOUNDATION (2ND) � z 0 .y ROUGH FRAMING& -y PLUMBING _ � 1 r INSULATION PER N. Y., ---" y STATE ENERGY CODE - -- -- C.O. FINAL DITIONAL COMM NTS 9- 1 y O - d r� - b y �o�gUfFO1k�OGy3 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 https://www.southoldtownny.gov Date Received .. APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO.S Building Inspector: JUN 13 2024 J - Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an, R �DRPT- Owner's Authorization form(Page 2)shall be completed. Date: -Ju /J e �l o a V OWNER(S)OF PROPERTY: Name: SCTM#1000- Project Address Phone#: �3 _ c�C�� ��S j Email: _ Mailing Address: CONTACT PERSON: Name: —U Mailing Address: / / / _C�O_F���-�Sa�J__U.__(_�t../-9iT_�_ ._ a-/l.-,n-i'oL-. _ /L.7/� Phone#: /^SSG 7_ -1�U Email: /� DESIGN PROFESSIONAL INFORMATION: Name: Mailing Addre Phone . mail: CONTRACTOR INFORMATION: Name: -G�e,!f Mailing Address: Phone#: G Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure/❑lAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: other C� e/�e- 7� ✓' S_ /1`f (/9, y y 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 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 Ether applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described:The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary-inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to,Section 210.45 of the New York State Penal Law. Application Submitted By(print nam ): Z Q �',, �,,,.�� a Authorized Agent ❑Owner Signature of Applicant: Date: (� /a IZOZ4- _ STATE OF NEW YORK) JANET DAMIANO NOTARY PUBLIC-STATE OF NEW YORK SS: No. 01 DA5061073 COUNTY OF 5Vr-r—OL ke- ) Qualified in Suffolk Co�n/}� My Commission Expires � _ 1 r S a r �J a�e7� being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the 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 �Y day of �(,�/1 if ,20 0� y C-- Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, 6�Y.z4o&A,r A,3 ArAs residing at � P,AIAV-S S-T- CA.C1-,-6X0jVe af' N� [7 t1q 35 do hereby authorize 21 SQ 13e,-7e A-14 to apply on my behalf to the Town of Southold Building Department for approval as described herein. ba fzzz4 Owner's Signature Date Pri t Owner's Name 2 -'S%3fFp� BUILDING DEPARTMENT- Electrical Inspector �c®Gy.;:. TOWN OF SOUTHOLD n' Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roQerr@southoldtownny.gov- seand(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: , /Z A Company Name: )oo Alec l-j•c Name: R a/ asses f��Jo License No.:/�G-- �/83 6 email: /A/ ,C Address: doK 373 Roe-4 o.n/ i-) //77 Phone No.: �3f- �v2 �Z./q Cel �3/ 2.3G-Ra / / JOB SITE INFORMATION (All Information Required) Name: c(a ,7-7 5 Address: /j S Sf/'eef Cu coo e 6Soo ,-uale d �S Cross Street: kO a Phone No.: y/3 5-/ BIdg.Permit#: I 0 p email: Tax Map District: 1000 Section: p 7 7, o o Block: 03. oo Lot:0/8 .008 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Aler-ll-, Oer a c 7i r i4y o2oo 124,f err, 141 ,fCd Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected-Underground -Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form.xis L ti4SV�F61�t c� BUILDING DEPARTMENT- Electrical Inspector =0 Gad._ TOWN OF SOUTHOLD ; Town Hall Annex - 54375 Main Road - PO Box 1179 o Southold, New York,11971=0959. 'tea Telephone (631) 765-1802 - FAX (631) 765-9502 1 " rogerr@southoldtownhy.gov seandP-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required)- ,:Date:, Company Name: ,'/�/ >o /�c !✓`c c Name: License No.: 4/S3E email: _ ,( ` ^ ,/ Address: G3 1�3o-k 37,,3 ��c�c, o:'.;��, old /%77 Phone No.: 6'3/- fj-2 /g- Ce// G3/- o236-da JOB SITE'INFORMATION (All Information Required) Name: Address: CCA fc� eC -5-00 ,Uale d Cross Street: e -22 5 "Co a I/ 4 Phone No.: q/3 Bldg.Permit#: 51 DID J email: Tax Map District: 1000 Section: 0 7, p o Block: 03, op Lot:016.0a8 BRIEF DESCRIPTION OF WORK (Please Print Clearly) zke,L,,, Co,��e c,S o--7 Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: i PAYMENT DUE WITH APPLICATION Request for Inspection Fonn.xis I Z AMP "a,VA 01 dDO AokP AT5 Ko h lew l Ge�tera.c too PC J � pro OP k�46-r'-' AC RDO CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDD/YYYY) `�" 1 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 lieu of such endorsement(s). PRODUCER CONTACT NAME: Borg&Borg Inc, PHONE FAX 148 East Main Street xe•631-673-7600 A/C No:631-351-1700 Huntington NY 11743 ADDRESS: certificates@borgins.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Utica National Assurance 10687 INSURED POWESER-01 INSURER B:Ohio Security Insurance Co 24082 PowerPro Service Co.Inc. INSURERC:Merchants Mutual Insurance 23329 608 Johnson Ave,Ste 6 Bohemia NY 11716 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:388876654 REVISION NUMBER:_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMI IDY EFF MM/DD EXP LIMITS LTR B X COMMERCIAL GENERAL LIABILITY Y BKS59794035 5/7/2024 5/7/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE a OCCUR PREMISES Ea occurrence $300,000 X Contractual Uab MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY Ea LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 5641779 5/7/2024 5/7/2025 (CEO,accidentMBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PPReOPPEER,de DAMAGE $ AUTOS ONLY AUTOS ONLY C X UMBRELLA LI18 X OCCUR CUP00003503 5/7/2024 5/7/2025 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X IRETENTION$in nnn 1 1$ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE Y❑ N f A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space Ia 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 AUTHORIZED REPRESENTATIVE Southold NY 11971 /v\J h 6,6/ / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD NEW Workers' CERTIFICATE OF s°aTE 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 Ins NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d. 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"I 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 excluded. L❑J This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 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) 4ZL...� 6/11/2024 Approved by: (Signature) (Date) Title:_Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier:. 631-673-7600 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 Yoalc sraTl: Compe COms'pensattoln CERTIFICATE OF INSURANCE COVERAGE 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 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 1 c. Federal Employer Identification Number or Social Security Number Work Location of Insured(Only required if specifically limited to 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) Town of Southold 3b. Policy Number of entity listed in box"1 a": LNY811134 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. 6/11/2024 Date Signed By: David M Bore (Signature of insurance carriers 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 1 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 Workers'Compensation 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) 1\ aurroiK county Dept.of Labor,Licensing&Consumer Aff HOME IMPROVEMENT LICEN Name l FRANK NAVETTA Business Name —'This certifies that the POWERPRO SERVICE COMPANY bearer is duly licensed License Number H44193 by the County of suffolk Issued: D2/21/2008 Wa.yw.*,-r Rosers, Expires: 02/01/2026 Commissioner l ® DATE(MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 06/12/2024 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 NAME: Jennifer Heiser Nicholas DeVito Agency, Inc. PHONE , (631)509-6388 qAC No: (631)509-0099 271-2 Route 25A AIL ADDRESS: jennifer@devitoagency.com Mount Sinai, NY 11766 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Merchants Mutual Insurance Company 23329 INSURED INSURER B: Wlldwood Electric Inc. INSURERC: 49A Rocky Point Yaphank Road INSURER 0: Rocky Point, NY 11778 1 INSURER E: INSURER F: 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM LTR IDDYIYYYY' WI) I/VYYY LIMITS A X COMMERCIAL GENERAL LIABILITY BOP1099122 04/16/2024 04/16/2025 EACH OCCURRENCE Is 1,000,000 n DAMAGE TO RENTED CLAIMS-MADE u OCCUR PREMISES Ea occurrence) ccurrence $ 500,000 X Contractual MED EXP(Any one person) $ 15,000 X Liability PERSONAL BADVINJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a PO- JET u LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CAP1070996 04/16/2024 04/16/2025 (CEO aocid.DtSINGLE LIMIT $ 1 000 000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Per accident A I X UMBRELLA LIAB X OCCUR CUP9149680 04/16/2024 04/16/2025 EACH OCCURRENCE $ 1;000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DEC) I X I RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED' ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I 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 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 fl EW Workers' CERTIFICATE OF INSURANCE COVERAGE YO?€fit 5TAT �6tY4�€nsation Brxard. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW I PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.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) 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: 0 A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: XQ 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 coverage as described above. Date Signed 10/31/2023 By (Signature of insurance carrier's aut orized r eta ive NYS Licen Insurance Agent of that 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 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed 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. D13-120.1 (10-17) 111 I I 1°°°11°1°11°°11°°�°1°1°°°°��;III IIII a �{ NEW Worers' YORI( Coml4 ensation CERTIFICATE, CE Board MYS WORKERS' COMPENSATiON INSURANCE COVERAGE Ia.Legal Name&Address of Insured(um street address only) 1b.Business Telephone Number of Insured Wildwood Electric Inc. 631-929-4219 49A Rocky Point Yaphank Road Rocky Point, NY 11778 1c,NYS Unemployment Insurance Employer Registration Number of insured Mlork Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Poficy) ( 2.iName and Address of Entity Requesting 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"I a" PO Box 1179 12WECAC6TZH Southold, NY 11971 3c.Policy effective period 1 2/3 1 12 02 3 to 12/31/2024 3d.The Proprietor,Partners or Executive Officers are ® included.(Only check box if ail partnersiaffcers included) all excluded or certain partnerslofficers excluded. 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 fisted 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 (Print name or authar_ized representative or licensed ao.nt of insurance carrier) Approved by: (Signature) (03te) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carder: 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(8-17) www.wcb.ny.gov T.w4kib # � Lip - � I S 72°36'20"E LOT 4 478.69' RSSET PVC 8 ,rxia� x �tII 11tt PIPE POST FENCE I EF3yyjR A MFENCE Ft) .6 FR FILTER 0.0 o SHED M Lu'i FR ,iM OROUNOd ROOF CONC. KNOWER o PATID COW 2 STY91 119�� jt AC e:cE FR RES O ,PATIO o (� O P o OOLA �u a 10 r i1500 o (/ LOT 3 SLATE a .Y PORCH WALK U_ GATE RIO tp 3 R=60.00' 1 L=261.11W ILI ff m WIRE'.CONC. PIPE (O ) may' FE. . PVC PICKET ORIVEWAY TRANSF, FD FR lim t1yy BLUESTONE 1' T2p' SHED FR GAR +F d 48.0' tV G C o PI � P 41 c SRICI( l; O ON �' F GM 0012 a / " cT �{ EyEROREENB c°� E.O.P. WAS N r0 O) I `" ROW 9 T P087 FENCE g PIPE E.O.P. R/� ST Fp�� Z pvc & h 6jy FD q�RF�r age / oe 664,73' ��r1.sq' H�. R p / f f ' s � �� / REEBBR LOT 2 / Epp*10 'b N 77`52'20"W AREA=3.308 AC { �+ fib, I ��,,•'>',�a`� Vico m 4 LOT 3 ON "MAP OF FRANCIS GREENBERGER' SITUATE AT CUTCHOGUE ,:°s"Tna iq cos��tiq .00tois.opa TOWN OF SOUTHOLD �?"b Q9,PA ORN R&: YrY,�3 2071f. SUFFOLK COUNTY, NEW YORK kY FILED:APRIL 30, 1993, MAP#9350 LAND SURVEY LONG ISLAND.COM ` ;' :L Ala `' CERTIFIED TO:GREGORY A.ADAMS WARD BROOKS LAND SURVEYOR '� v :•. Nil ^;.:f FIDELITY NATIONAL TITLE INSURANCE COMPANY �� RAYMOND JAMES BANK 11 OCEAN AVENUE OCOIOHT 7M4 WARD SROO'AS.ALL RIGHTS R65ERVED.DUPLICATION OF THIS DOCUMENT fSAVIMATION OF FEOCRALCOPYWOMT LAW 'drat `I''r i THIS SURVEY HASSECN PREPARED IN ACCORDANCE WITH THU CODE OF PRACTICE ADOPTED BY BLUE POINT, NY. 11715 ., �� • =` PYR 'i TN6 NCW PORK STATE ASSOCAT10N OP FROFC11WONAL LA-%D SURVEYORS. �, �, ' • w CERTIFICATION SHALL RUN ONLY TO THE PERSON.THEIR ENTENEST AW1108 ASSICN& (631) 576-7794 (631) 363-3179 q• • �`;�,, �++i`r`�:�� ����} %�n CCRFIFIC4710M NU:NOT TRANSFENAfILC. THE EXISTENCE OF FUGHTSOF WAY,ANWDR EASEMENTS op RECORD,IF ANY NOT SHOWN ARE NOT CUNiANTEFA. `n, (� '� t� '`r`4,,,;N'••�^;',�r�,�; ANY ALTERMIWI OR ADDITION TO THIS SURVEY 19 A WOLATION OF SECTION nDo-n OF THE NEWYORK STATE EDUCATION IAW. Y UARDBROOKSO@GMAIL.COM �w k.C'� ,t..£�4 Ay'-�g �..t 2000T SCALE FENCES,OrFSET9 EUPC•RCEDE. FILE fj•11484 /' KOHLER® ' Models: 26 R CA(L) Multi-Fuel LPG/Natural Gas 09001 Standard Features Z 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 concrete mounting pad. • High Quality Power o 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 o Customer connection terminal block located near the distortion for excellent generator power quality to protect your controller allows easy access for field wiring. valuable electronics, 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 Powerman technology provides excellent Protection Agency(EPA)with both natural gas and LPG. o UL 2200/cUL listed. starting power. § 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. ' • 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 KbhlerGenerators.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 applyto 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:Derate4%per 305 m(1000 ft.)elevation above 153 m(500ft.).TEMPERATURE:Derate 2%per 5.5°C(1 o°F)temperature increase above 16°C(601F). 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 liabilitywhatsoever. Contact your local Kohler Co,generator dealer for availability. § Check the appliance manufacturer's specifications for actual power requirements. Consult a Kohler©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 . 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 o Rotating-field alternator with static exciter for excellent Coupling Direct load response. Amortisseur windings Full e 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(°F) 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) Fuel System Cylinder head material Aluminum Valve material Steel/Stellite® Fuel types Natural Gas LPG Fuel supply inlet 3/4 NPT Piston type and material Aluminum Alloy 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 �0.5% 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/m3(Btu/ ),(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-18°C(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) Exercise 1.9 (67) 0.9 (31) 46 (150) 1 1/4 1 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: 0.535 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) .q:-: 60.0 F 0 o Lowers fuel cost req: Hz H o a O o Minimizes sound disruption cgo o o o In cold temperatures, limits condensation build-up in the crankcase o Unloaded weekly 20-minute exercise with complete —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 KohlerG 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) e 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 • Oil level sensor with combined interface/load management board and corrosion-resistant NEMA 3R aluminum enclosure • Oil pressure sensor Warranty • OnCue@ 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 x (47 x 26.0 0 x 32. mm 3 in.) o CIS model with factory-installed kit is available. kit Shipping Weights: L) Emer Emergency 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. Cold weather kit is recommended below 0°C(32°F). - Enclosure Options (single-phase only) ❑ Mossy Cake camouflage enclosures available. Go to KohlerGenerators.com/Mossyoak to see available H patterns. Mossy Oak is a trademark used under license from Haas Outdoors,Inc.,by Kohler Co. Fuel System Accessories ❑ Flexible fuel line (included on QS models) W 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 1 AIR CLEANER D BREATHER TUBE HEATER D (OPTIONAL) ENGINE SHUTDOWN OIL FILTER SWITCH OIL DIPSTICK—_ —CARB HEATER(OPTIONAL) OIL PRESSURE SWITCH COVER j (OPTIONAL) ^t - 9 r - C t z B - -OIL FILL B —OIL DRAIN VALVE OIL HEATER (OPTIONAL) UNLESS OTHERWISE SPECIFIED: ALL DIMENSIONS IN MILUMETERS 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 PROJECTIOII 05DEC2022 NEW DRAWING AKH KOHLER. A A 11JAN2023 D- OIL PRESSURE SWITCH COVER MAJOR 0= o I OPTIONAL WAS OIL PRESSURE SWITCH CRITICAL ®= o (OFnONAL)m SEE SHEET 5AKI i CHARACTERISTICS COMPLY WITH SCALE:0.40 SHEET SIZE:B I SHEET:2 OF 5 B 14FEB20231 SEE SHEET 4&5 AKH KPS-B= - TITLE: DRAWN: AKH I DATE: DIMENSION PRINT, 26RCA 26RCA APPROVED:SEE PLM 05DEC2022 SYSTEM DWO NO.: ADV-9919 8 7 6 5 4 3 2— - 1 1 0 — D D 1 1190 L 6.8] _ ON { --AIR INLET 189 (7.4] —HIGH VOLTAGE ELECTRICAL z x STUB-UP AREA C LOW VOLTAGE C U) 11 ELECTRICAL oq O STUB-UP AREA u0 � • • V O - rn - Q m Lo `° • c Lo m - - N 1 1 • • 1 78 [3.1]MAX B CONDUIT ALLOWED OUTSIDE UNIT 3/4 NPT 91 [3.6] -- __- -620 [24.4] _ _ 259 [10.2] B _ 817 L2.2] (FEMALE) FUEL INLET 4X 0338 L-5L; APPROX.MAX OPEN POSITION e LIFTING HOLES 570-[22.41 _ _ _ _337L13.3] f -- sea m NOTE:DIMENSIONS IN 0 ARE INCH EQUIVALENTS. vi u — UNLESS OTHERWISE SPEORED: In ALL DIMENSIONS IN VA ERS DO THIS ASSEMBLOY OR PART MUST GENERAL TOLERANCES:ES:WA COMPLY WITH PEP-RML-001. ON COMPOSITE DWGS,SEE PART NO.FOR REVISION LEVEL REFERENCE CAD MODEL FOR REV!I DATE Cl INDICATES PART NUMBERS AFFECTED BY LATEST BY UNSPECIFIED DIMENSIONS. •A• DRAWING REVISION A 009 O• THIRD ANGLE PROAECnON a— - o - 11JAN2022 NEW DRAWING AKH �� KOHLER. A L 1 A 11JAN2023 SEE SHEET 2 AND 5 AKH B 14FEB2023 SEE SHEET 4&5 AKH CRITIMAJOCAL D= o _4X 1 1.� 0.43 CRITICAL®= 0 I �_�HOL C CHARACTERISTICS COMPLY WITH SCALE:0.40 SHEET SIZE:B SHEET:1 OF 5 MOUNTING HOLES — - KPS4B0022 236 f9.31 � 670 -2I s.al � �i I ___ - __ rIrLE: DRAWN- AKH DATE: DIMENSION PRINT, 26RCA 26RCA �, APPROVED:SyES PL 05DEC2022 DWG No ADV-9919 8 7 6 5 4 3 ----- - - ---- 1 - 1 USB PORT D i� CONTROLLER LOAD CIRCUIT BREAKER 7 1 CUSTOMER - ( r CONNECTION BLOCK I I @ ( I V FUEL REGULATOR _ HEATER PAD (OPTIONAL) 1 ; OIL DRAIN HOSE BATTERY CABLES 9 (INCLUDED) 1 I BATTERY LOCATION (BATTERY NO AUDED) BATTERY HEATER ! j (OPTIONAL) AIR INLET UNLESS OTHERWISE SPECIFIED: ALL DIMENSIONS IN MILLIMETERS 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 B`ILATEST BY UNSPECIFIED DIMENSIONS. DRAWING REVISION A THIRD ANGL1�0E PROJECTION 05DEC20221 NEW DRAWING _ AEEI A A 11JAN2023 SEE SHEET 2 AND 5 _ _ _ KOHLER. MAJOR O' D B 14FE82023 SEE SHEET 4 8 5 AIQ I CRITICAL•' D CHARACTERISTICS COMPLY WITH SCALE:0.40 1 SHEET SIZE:B I sHEET:3 OF 5 IPs-eoM -- F- -- TITLE. __- DRAWN: AXH DATE: DIMENSION PRINT, 26RCA o CC C 26RCA - --- APPROVED:SYSTM 05DEC2022 NO.: ASV -. a 7 V j 54 T THIS DRAWING IN DESIGN AND DETAIL 18 KOHLER CO.PROPERTY AND MUST NOT SE USED EXCEPT IN CONNECTION WITH KOHLER 00.WORK.ALL RIG HTS OF DESIGN OR INVENTION ARE RESERVED. 8 1 OCCUPIED STRUCTURE OCCUPIED OCCUPIED STRUCTURE STRUCTURE D 18"MIN. SERVICE D 1Q DOOR SERVICE Z SET SET DOOR MOUNTING AREA MOUNTING z AREA �a z � � a � I UZwp Zw �3 . zw MOUNTING §�j 1 AREA SERVICE ¢: ® <p SET DOOR w¢ w¢ SERVICE SET SET I U= U= DOOR MOUNTING �Lu LL w C AREA MOUNTING AREA ¢ U.¢ SERVICE DOOR C a� 4 FT.CLEARANCE Al EXHAUST END OCCUPIED z w p w p STRUCTURE g a zUU 3FT. zQw c ¢? Q Q SET U LU X O X MOUNTING AREA 18"MIN• z w LU U- LL SERVICE DOOR ci v¢ v¢ 7 4 FT.CLEARANCE SERVICE DOOR _ AT EXHAUST END SETLU U X MOUNTING AREA U- v¢ H m g OCCUPIED STRUCTURE O-�-Q LU LL Q-w B F-wg ZmT UZ UL QZ w 2~ ¢m LU SET SERVICE DOOR U X a w °0 MOUNTING AREA UL�Q MOUNTING AREA- REA MOUNTING AREA ,11 NOTE: 1 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:MA THIS ASSEMBLY OR PART MUST COMPLY WITH PEP-RML-001. 4 FT.CLEARANCE SERVICE ON COMPOSITE DWGS,SEE PART NO.FOR REVISION LEVEL REFERENCE CAD MODEL FOR A DOOR SERVICE REV DATE ❑INDICATES PART NUMBERS AFFECTED BY LATEST BY UNSPECIFIED DIMENSIONS.AT EXHAUST END —� DOOR DRAWING REVISION THIRD ANGLE PROJECTION 4 FT.CLEARANCE - 05DEC2022 NEW DRAWING AKH �� A Al EXHAUST END A 11JAN2023 (A-4,5)PARALLEL UNIT WAS SINGLE UNIT; MAJOR o= o KOHLER. B INTAKE TO SEE SHEET 2 AKH CRITICAL®= o BE 10 FT. 14FES2023 (C-6,7)(C-2)3 FT.WAS 5 FT.;SEE SHEET 4 AKH CHARACTERISTICS COMPLY WITH SCALE:0.40 1SHEET SIZE:B SHEET:5 OF 5 FROM EXHAUST Ia'S-80022 TITLE_ PARALLEL UNIT DRAT"-. AKH DATE: DIMENSION PRINT, 26RCA CONFIGURATION APPROVED:SEE FILM 05DEC2022 w 8 7 6 SYSTEM DWG NO.: "DV-9919 5 4 3 � OCCUPIED STRUCTURE OCCUPIED STRUCTURE D D NOTE: ATHE 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 TO THE DIMENSIONS SHOWN. o � acn aR C ACCEPTABLE C SERVICE DOOR SET 1)EXHAUST IS AIMED AWAY OR PARALLEL TO STRUCTURE. SET 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. Qz w 5)WINDOWS&DOORS ON ADJACENT WALLS ARE CLOSED. Q? 6)FURNACE AND OTHER SIMILAR INTAKES ARE AT LEAST 10 FEET FROM EXHAUST END OF SET. LU J= 7)WEED BARRIER AND 3 INCH THICK GRAVEL BASE OR CONCRETE PAD LL FU 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 m 9)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 Dui MENS OSS NS IN MILLIMETERS SPECIFIED: DO NOT SCALE. GENERAL TOLERANCES:NIA z w THIS ASSEMBLY OR PART MUST COMPLY WITH PEP-RML-001. F" ON COMPOSITE OWGS,SEE PART NO.FOR REVISION LEVEL REFERENCE CAD MODEL FOR Q REV DATE ❑INDICATES PART NUMBERS AFFECTED BY LATEST BY w Q DRAWING REVISION UNSPECIFIED DIMENSIONS. ()= THIRD ANGLE PROJECTION w - 05DEC2022 NEW DRAWING AKH � A LL~ A 11JAN2023 SEE SHEET 2 AND 5 AKH KOHLER. Q MAJOR O= 0 B 14FE82023 g_2 3 FEET CLEARANCE WAS 5 FEET CRITICAL®= 0 CLEARANCE:SEE SHEET 5 AKH CHARACTERISTICS COMPLY WITH scALE:0.40 SHEET SIZE:B SHEEr:4 OF 5 KPS-80= TITLE: 26RCA DRAWN: AKH DATE DIMENSION PRINT, 26RCA SINGLE UNIT CONFIGURATION APPROVED:SEE PLM 05DEC2022 R SYSTEM DWG NO.: ADV-9919