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HomeMy WebLinkAbout51117-Z o�g�FFOIK Gr 9/23/2024 c Town of Southold a ?e P.O.Box 1179 0 53095 Main Rd �y4j�1 �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45571 Date: 9/23/2024 THIS CERTIFIES that the building GENERATOR Location of Property: 1140 Park Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-8-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/11/2024 pursuant to which Building Permit No. 51117 dated 8/22/2024 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: "as built"accessorygenerator as applied for. The certificate is issued to Stork,Ryan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 51117 9/9/2024 PLUMBERS CERTIFICATION DATED Au oriz Signature o�S�Fai�.co TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 51117 Date: 8/22/2024 Permission is hereby granted to: Stork, Ryan 275 W 10th St Apt 5B New York, NY 10014 To: legalize "as built" generator as applied for. At premises located at: 1140 Park Ave, Mattituck SCTM #473889 Sec/Block/Lot# 123.-8-1 Pursuant to application dated 7/11/2024 and approved by the Building Inspector. To expire on 2/21/2026. Fees: AS BUILT-ACCESSORY $250.00 ELECTRIC 1$200.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $550.00 Building Inspector oF So�ryo ,moo �o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �Oly� 0 a� sean.deviinl'cD-town.southold.ny.us OUNT`I, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ryan Stork Address: 1140 Park Ave city:Mattituck st: NY zip: 11952 Building Permit#: 51117 section: 123 Block: 8 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Wildwood Electric License No: 4836ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor - Pool New Renovation 2nd Floor Hot Tub Addition Survey X 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 CO 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 11 Sump Pump Other Equipment: 20kW Cummins Generator w/200A Transfer Switch. Only Backs Up One Panel Notes: AS BUILT NO VISUAL DEFECTS " Generator Inspector Signature: Date: September 9, 2024 S.Devlin-Cert Electrical Compliance Form Copy OF SOUTyOlo ! l / 7 I I Lq V <P�K A # TOWN OF SOUTHOLD' BUILDING DEPT. co 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) LECTRICAL (FINAL) [ ] CODE VIOLATION: [ ] PRE C/O [ . ] RENTAL REMARKS: "55g DATE INSPECTOR OF SOUIyO * # TOWN O.FSOUTHOLD BUILDING DEPT. . 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH-PLBG. [ ] FOUNDATION 2ND [ ] SULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL -�e [ ] FIREPLACE & CHIMNEY [: ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ( ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL REMARKS: R 5- Ail# e- a ltt, el 22 = 0 DATE -/ ' 9 a INSPECTOR. FIELD INSPECTION REPORT I DATE COMMENTS r n �d FOUNDATION (IST) y -------------------------------------- cl FOUNDATION (2ND) z 0 ROUGH FRAMING& ; y PLUMBING 1 y INSULATION PER N.Y. STATE ENERGY CODE v 04— iiu0-4 IV FINAL ADDITIONAL COMMENTS (A a,%.pL sso iO4-Co + EL r i Z m y O z x y x d r� b y ��S�FFOIq�oG, TOWN OF SOUTHOLD—BUILDING DEPARTMENT y`x. Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 w a� Wp Zki Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtoLNM.Rov Date Received APPLICATION FOR BUILDING PERMIT c� For Office Use Only , V PERMIT NO. � Building Inspector: J J U f_ 1 1 2024 Applications and forms'must be filled-out.inLtheir entirety. Incomplete BUILDING DE . applications will,-not be accepted. Where the Applicant is not the owner,an TOWN X S® HOg Owner's'Autlioriiation form,(Page-2).sha"H be completed. Date:7/11/24 OWNER(S)OF PROPER--ft Name:Ryan Stork SCTM#1000-123-8-1 . Project Address: 1140 Park Avenue, Mattituck Phone#:631 684 9293 1 Email:admin@permitguy.org Mailing Address:PO Box 1445, Westhampton Beach, NY 11978 CONTACT PERSON: Name:Steve Caputo Mailing Address:PO Box 1445, Westhampton Beach, NY 11978 Phone#:631-684-9293 Email:admin@permitguy.org DESIGN,PROFESSIONAL INFORMATION: Name:WORK DONE Mailing Address: Phone#: Email: CONTRACTOR"I N FORMATI ON: Name:WORK DONE Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: ,r . ❑Other $N/A Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? I9Yes ®No 1 PROPERTY]N FORMATION. Existing use of property: �� �� Intended use of property: �� S 1z j Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Eyes EWNo IF YES, PROVIDE A COPY. f VCheck Box After Reading: The owner/contractor/design.professional is responsible for all drainage and storm water.issues.as provided by Chapter236 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 applicantagrees to comply with all applicable iaws,ordinances,�building code, housing code and regulations and to admit authorized inspectors on preinises.and in building(i)for,nece.ssary inspection's:False statemients made herein are. punishable as a Class'A misdemeanor.pursuant to Section 210A5 of'the New York State Penal Law. Application Submitted By(print name): a6k CAAf +C> [99�horized Agent ❑Owner Signature of Applicant: 1 Date: STATE OF NEW YORK) COUNTY OF V(_ C )0 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing c ntract)above named, (S)he is the A—U4, k 62 (Contractor,Agent,Corporate Officer, etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this Kay of A, ILI 20J-A otary Public ENOTARY E CLAIRE ORMOND IC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION 10R6435937 In Suffolk Countyy(Where the applicant is not the owner) on Expires 07/05/2026 Ryan Stork residing at 1140 Park Avenue Mattituck do hereby authorize Steve Caputo to apply on my behalf to the o n Southold Building Department for approval as described herein. 'Z Z �c, 0 ner' Sign ture ate r aj—DtL Ant Owner's Name 2 Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) I, c r, SIVA— residing at 1140 Pc,-� Av. (Print t"property owner's name) (Mailing Address) M���yc - do hereby authorize 4i�Te vt- Cws (Agent) to apply forywlaftse(s'fon my behalf from the Southold als. &NWVer's ignature) D� ((Print Owner's Name) AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: V (Last name,first name,middle initial,unlesoyou are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tag grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this y o ,20 Signature Print Name,Mgt VPU l APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. �r YOUR NAME•• yC.�N �` k- (Last name, name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO x If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP 7 Submitted this day of 204 Signature /l Print Name Ol"lC ' SUFFO(� BUILDING DEPARTMENT- Electrical Inspector 0�0 CMG TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 `- Southold, New York 11971-0959 y p� Telephone (631) 765-1802 - FAX (631) 765-9502 La mesh(p southoldtownny.gov - seand(cr-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: -26-� Z`l Company Name: I LDWeoD CLE IFaIC aoc.. Electrician's Name: "� ��sSm►-a�'�+�� License No.: (•E Elec. email: (q ►; w11_1>wto0'beLEG C41s 1 Elec. Phone No: 63i_23b--22 I i E T request an email copy of Certificate of Compliance Elec. Address.: `_-0o O, 0 313 "Roc_ '?o;m'T 1I 78 JOB SITE INFORMATION (All Information Required) Name: &tJ STor.Y, Address: I yO 'FAO* 805 Cross Street: Phone.No.: Bldg.Permit#: J1C&W9y4 gam//1 7 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: Er YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES F��rNO 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 Reconnect[]Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �S�F���� BUILDING DEPARTMENT- Electrical Inspector N �Gy� 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 La mesh CoDsoutholdtownny qov seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 41 LDWOOD EL CTaIe c- Electrician's Name: TKWH. Jgs5ApsT ..- License No.: ► y.;6 _ M£ Elec. email: �� �; WiLDvtco�El.tG a cOf- Elec. Phone No: 6.3/_23b-22I 1 [YrI request an email copy of Certificate of Compliance Elec. Address.: 7:0, O, 'a 313 �RocK -o;"a 11778 JOB SITE INFORMATION (All Information Required) Name: 1Z &N 5-Fec-y, Address: t I LJO ►?Aa-K Avg Cross Street: Phone No.: Bldg.Permit #: j 1 1 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: Ef YES ❑ NO [—]Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES F:�rNO 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 Reconnect❑Underground❑Overhead # Underground Laterals F 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION N SURVEY OF PROPERTY A V E N U E AT MATTITUCK p A R K TOWN OF SOUTHOLD "SOU T H ROAD" SUFFOLK COUNTY, N.Y. 1000-123-06-01 UTILITY SCALK 1--40' POLE APRIL 9, 1998 254.50' N86'57'00'E AUG. 14, 2014 Fr.s's MARCH 22, 2017 (CERTIFICATIONS) CHAINUNR Nce 1J'W FE JANUARY 18, 2018 (PROPOSED GARAGE) 9'W Z WOOD GArf 1. FEB. 5, 2018 (GARAGE STAKES) o MARCH 9, 2018 (FOUNDATION LOCATION) MAY 17, 2024 (FINAL SURVEY) � 1 L 7"E s 8 m Fr. � Tg•w 0 � � O N Z 1 s 8 � f srTAVE PA no rn $JE. POOL 1{11 r MM rtR TMAY ry AID7 i !1 Ara! SmK Ex r r wNXlwY 1 s Ai LN N g5.66 A, oRc' uA1sx -- MY a sraer M.cue d WRE re � o GARAGE BUILDING H-464 �- D t -w o SEPTIC LOCATION A" B" r a � ST' 15, 19, GRAVEL D n DRIKWAY \ 1 , ST 19' 24' LIA C g S. LP 1 J6' J8' ' m+LWAw LP 2 J1' 37' f�1 � t 1 DRAW eWrwc 1 z ORTIM SAWARY S 1 n1aI I i 1 SEPTIC SYSTEM AS INSTALLED (1) 1000 GALLON SEPTIC TANK fTl unurY (2) 8'DlAME1ER X 6'DEEP L£AQ41NG POOLS mo' 1 r. E DRIVEWAY rir R �yAL E,A• SCDHS. REF. no. R10-18-0002 2. v O 2 STY. G! FR. HSE Io.Y 42.1' 15.7' CER77FIED TO: 84.5 11.e' abtERED ABSTRACTS, INCORPORATED EPED ` MIST AMERICAN 777LE INSURANCE r6wA,4'Y DECK RYAN STORK l �ie 1 s � ZONE X LOT NUMBERS REFER TO 'MAP OF \ MARRATOOKA PARK'FILED IN THE M-5 I.O W Top or BANK SUhr C" GYXINIY GYEXK J'Q`FIGL ..ON NOV. 1, 1905 AS MAP Na 450 _ ~'a FLOOD ZONE!ME __ 2 o FL. o —GA2E 12 FLOOD ZOW LAVE O.4Y EL 587 36'S1'W LwE ALoNO SEA WALL • 167.89 IL ry.N.ww.ALow srA PAL l M rAL S AAPS ZONE VE LANDWARD EDGY S 710AL METLAAWS EL B ALAYG N.H.WN AS OEIERNINfD BY Slli'FDLK ENVRDNMENrx CDNSULTING. INC.ON,AA.Y 10,'D'4. GREAT PECONIC BA Y -�-- MONUMENT — it If ELEVA77ONS d CONTOURS ARE REFERENCED TO N.G V D 29 FLOOD ZONE FROM FIRM MAP NUMBER J610JCO482H b q>♦tPf ANY ALTERATION OR ADIN77ON TO THIS SURVEY IS A KOLA77ON OF SECTION 720QOF`THE NEW YORK STATE EDUCA7ION LAW. N.Y.S• LIC. NO. 49618 EXCEPT AS PER SEC77ON 7209—WMWSI V 2 ALL CER7IFICATIONs p�� PECON/ S P.C.YORS, HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOFNL ONLY IF AREA 137,087 SO. Fr. (6J1) 765— 20 FAX P.C. 765-1797 SAND MAP OR LYWIES BEAR THE IMPRESSED SEAL OF THE SURVEY(M *HOSE 9&VATURE APPEARS HEREON. TO 77£ LINE 909 SOUTr�GLoN.Y.A S1971 T 98-151 a � P.M. CONDITION REPORT r Date:0522/2024 608 Johnson Ave,Suite 6 Job#:32271 Bohemia,NY 11716 Tech:Andre LeGette Ph:631-567-2700 Fax:631-563-4473 powerprog enerators.com NAME: Stork,Jennifer ADDRESS: 3500 Marratooka Road MAKE: GUM0-206ML Mattituck,NY 11952 ODEL U BER. EC SEA R1ALaNUMBER:F18Q3697S3 Check Radiator Core For obstruction: Not Applicable APPROVED-AS-NOTED Check Antifreeze Protection: Not Applicable Check Coolant Level and Add as Needed: Not Applicable FEE BY: Test Coolant Inhibitors and Add as Needed: Not Applicable NOTIFY BUILDING DEPARTMENT AT 631-765-1802 8AM TO 4PM FOR THE Check Condition of Radiator Cap and Seal: Not Applicable FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO 0l7-1—)! Check for Coolant Leaks: Not Applicable FOR POURED:-,uk.'t',I4. 2. ROUGH-FRAMING t; Check Belts and Adjust Belt Tension as Needed: Not Applicable & INSULATION 4. FINAL-CONSTRUCTION MUST Check Water Connections: Not Applicable BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET TH Tighten Hose Clamps as Needed: Not Applicable REQUIREMENTS OF THE CODES OF NE VVI YORK STATE. NOT RESPONSIBLE FOP Check jacket Water Heaters: Not Applicable DESIGN OR CONSTRUCTON ERRORS OMP-LY4M-ALL-CODS 0 Check Oil Level in Governor: Not Applicable NEW YORK STATE&TOWN CODES C- AS REQUIRED-AND- NDff--I-N- OF Check Brushes and Slip Rings: Completed SOMOLVrOWN ZBA Drain Water From Fuel Filter and Day Tank: Not Applicable SOUTHO TOWN PLANNING OARD �etewN�Rasf Lubricate Rear Bearing of Generator. Not Applicable N.Y ,DEC�•��1 li IITu Drain Water in Exhaust Moisture Traps: Not Applicable •`�•`�••� u I HOLD HPC HD Check Air Cleaner Indicator: Not Applicable Check Turbocharger: Not Applicable O)CC-FRANC-Y=OR Adjust Governor Control for Optimum Performance and Frequency: Not Applicable - S- E-IS--UNLAWFUL Check Remote Fan Motors,Thermostats,Circulation Pumps and Solenoid Completed WITHOUT CERTI FICA T. Valves: Check Day Tank Pumps and Alarms: Not Applicable - F OCCUPANCI( ELECTRICAL INSPECTION REQUIRED Test Specific Gravity of Batteries: Not Applicable C�gck Battery Voltage: Completed Check Electrolyte Level and Add Water as Needed: Not Applicable Check Flexible Fuel Lines: Completed Check Fuel Level In Main Tank LP 60 Check for Leaks in Complete Fuel System: Completed Check Battery Charger: Completed Check Battery Connections,Tighten and Clean: Completed Check Flexible Exhaust Couplings: Completed Check Air Cleaner Seal: Completed Check and Tighten Loose Electrical Terminals: Completed Check for Loose Relays: Completed Lubricate Governor Linkage: Completed Check Vibration Mounts: Completed Check Insulation on Generator Leads: Completed Check for Dirt or Oil Buildup on Generator: Completed Check for Oil Leaks: Completed Check and Clean Crankcase Vent/Breather: Completed Walk Around Inspection of Complete Installation: Completed Run Generator Until Normal Operating Temperature is Reached: Completed Check for Abnormal Vibration: Completed Check Cranking Termination: Completed Check Engine Instruments: Completed Check for Abnormal Noise: Completed Check for Abnormal Exhaust Characteristics: Completed Check Exhaust for Abnormal Discharge: Completed Check Inlet and Discharge Louvers: Completed Check for Excessive Crankcase Blow by: Completed Adjust Voltage for Proper Output: Completed Re-check for Oil,Water and Exhaust Leaks With The Engine Running: Completed Epp Engine and Check Shutdown: Completed Place all Switches in Proper Operation Mode: Completed Complete Overview of System: Completed Provide Full Report and Provide any Recommendations: Completed Change Lube Oil and Filters: Replaced Check Lube Oil Level: Replaced Check Air Cleaner Elements: Replaced Perform Oil Analysis: Not Applicable Change Fuel Filters: Not Applicable Check and Clean Primary Fuel Filter: Not Applicable Remove Valve Covers,Check Valve Clearance as Needed: Not Due at this Service Visit Check Rocker Arms for Wear and Lubrication as Needed: Not Due at this Service Visit Replace Valve Cover Gaskets as Needed: Not Due at this Service visit Perform Gas Engine Tune up: Completed Legally Dispose of all Materials: Completed Check Operation of Automatic Transfer Switch: Completed Run Hours 167.5 Labor Hours 1.25 Travel Hours 2 Accepted By: