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HomeMy WebLinkAbout39947-Z ip', Town of Southold 1/12/2016 ' P.O.Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 38035 Date: 1/12/2016 THIS CERTIFIES that the building GENERATOR Location of Property: 57856 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 66.-2-2.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/8/2015 pursuant to which Building Permit No. 39947 dated 7/14/2015 • was issued, and conforms to all of the requirementsof the applicable provisions of the law. The occupancy for which this certificate is issued is: ACCESORY GENERATOR AS APPLIED FOR • The certificate is issued to Marciano,Giovanni of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39947 01-12-2016 PLUMBERS CERTIFICATION DATED Authorized Signature ,. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE theU SOUTHOLD, NY \44oi f '- BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39947 Date: 7/14/2015 Permission is hereby granted to: Breyer, Thomas & Breyer, Maria 57856 Route 25 Southold, NY 11971 To: Install a generator as applied for. At premises located at: 57856 Route 25, Southold SCTM # 473889 Sec/Block/Lot# 66.-2-2.5 Pursuant to application dated 7/8/2015 and approved by the Building Inspector. To expire on 1/12/2017. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CO -ACCESSORY BUILDING $50.00 Total: $235.00 Bu :• • Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 14A LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY • This application must be filled in by typewriter or ink and submitted to the Building Department with the following:. A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. -Copy of Certificate of Occupancy-S25 4. Updated Certificate of Occupancy- $50.00 - 5.---Temporary-Certificate.of.Occupancy—Residential$15.0.0,.Commer_cial_$15.00._ _..__. _.___. Date. -7//- /� New Construction: Old or Pre-existing Building: (check one) Location of Property:-577g),..52:6 l7� /VAZ) • 5e76 ' House No. ,,/ Street Hamlet _ Owner or Owners of Property: T2/�/` Suffolk County Tax Map No 1000, Section Block Lo 2.5 Subdivision Filed Map. Lot: Permit No. 39/(4-7 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ 50 - '2 Applicant Signature oe••.aapF SO(/Tyo o Town Hall Annex �� ~ : Telephone(631)765-1802 54375 Main Road ; illiiiii Z Fax(631)765-9502 P.O. Box 1179 : `o roger.richert(a�town.southold.ny.us Southold,NY 11971-0959 : �' �O s - I1 .COUNIO '.. •—•see. o''. BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Marciano Address: 57856 Route 25 City. Southold St: New York Zip. 11971 Building Permit it 39947 Section. 66 Block: 2 Lot: 2.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: North Electric LLC License No: 890-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 48 KW Stand by Generator with Auto Transfer Switch Notes: i:7jInspector Signature: Date: January 12, 2016 Electrical 81 Compliance Form.xls FIELD II SPEC oN REPORT DATECOMMF TS ` • FOUNDOION(1ST) . . J CI FOUNDATION(2ND) -- . • . • . : , . .. ,,.T--.. - o •. ' . ' • • • r rH• • • • c • ROUGH FRAMPIG& r • • . • . PLUMBING .. • s • INSULATION PER N.Y. • • H STATE ENERGY COTe .•• . ' • , • • ♦ ,. . . .i . . • . , _. . .. �.' . . ' . . , ' I - . _ . "` - r j FINAL A T Y •� .. • . ♦ ,r. . • .� r TS -N = 'S • -tm • r 7; NO J TOVirN,OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALLBoard of Health SOUTHOLD,NY_ 971 4 sets of Building Plans TEL: (631)765-1802 Plannmg Board approval FAX: (631) 765-9502 Survey Li- SoutholdTown.NorthFork.net PERMIT NO. I l 7 � Check Septic Form N Y S.D.E.0 Trustees 6DD C CI� VC O Application C; , Flood Permit Examined I ` it ,201 LJ I Single&Separate L.. }I tormWaterAssessment Form L; JUL -6 1015 ContactApproved 1 `9- ,20 Mail to./JjG,!.". , /) b BLDG. DEPT ?oWLL-e>,,Q,,C /�i9�//AS Disapproved a/c L.._ . f0.'r:Of SOUTNOLD / _ Phone '4 3j�-J/,�-' ?� Expiration l ` 9— ,20 ` 1 IA IL Bui ' : P- •ector APPLICATION FOR BUILDING PERMIT Date..JZi9' , 20/-5- INSTRUCTIONS SINSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot planto scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Buildmg Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or 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 for necessary inspections. Y> (Signature of applicant or name,if a corporation) /70 1•W.Z.Z.ev,P";27,9 ,L'',,�i9/1'� (Mailing address of applicant) ,/d State whether applicant is owner,lessee, agent, architect, engineer, general contractor,electrician,plumber or builder .76 /1/7.- Name of owner of premisest7diy/1//47,57 ./...9/V0 (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No ..5.73 .513—/7 Plumbers License No. 5- .. —.C. Electricians License No.85b -,7E Other Trade's License No. 1. Location of land on which proposed work will be done: ,S'7c?5T /7.5//y .ex) 73' Z) House Number Street :` Hamlet c County Tax Map No 1000 Section ‘‘ Block 02 Lot ,`� Subdivision Filed Map No. Lot 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy /Aa b Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work �Ml4/6.7 .4, P (Description) 4. Estimated Cost#02,sZ:ed Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units ` Number of dwelling units on each floor If garage, number of cars / 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NOX 13 Will lot be re-graded? YES NO,<Will excess fill be removed from premises? YES NQx 14. Names of Owner of premises-- WA//1.9. 2 Addresses /J�'4'A Phone No...52g—c-f/g— Name of Architect Address Phone No Name of Contractor-Pcx�re-Ly',Vecz5:72GS Address ANN% .- /4z Phone No.g3/—7 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO)( * IF YES, SOUTHOLD TOWN TRUSTEES &D.E C. PERMITS MAY BE REQUIRED b. Is this property within 300 feet of a tidal wetland? * YES NO X * IF YES,D.E.C. PERMITS MAY BE REQUIRED 16 Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO)( * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS. COUNTY OF ) /7/Z7/7 9. , 5 143 7 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the " -/,?�7- (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 m this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me '1, *1 day of=11MU' • I • E Notar Public-State of New Yotft — 4303510 No .:, pmp Q118lltled In buttOlk County Signature of Applicant rvry�timmission Expires May 12,2018 __. wr_.�-...�._..fir_ '1,.._••. 1800 01 51 40 p.m 12-01-2015 1 /1 • cx -; o0 <0 `� Town Hell Anni 54375 Main lid ; Telephone(631)765-1802 • • ` r (631)76 3 P.O.Boz 1179 ;� ��1�? roper rich@ cfRi U o .nv.us , Southold,NY 11971-0959 _ � • BUILDING DEPARTMENT TOWN OP SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION • . REQUESTED BY: /7/ ,/./,,,.. ../4.--.4 .,,,,//e" Date:A: A5 Company Name: A4,A7�f 1G.z.ic • Name: .5'r-/�iYb .• • License No.: �a/7 Address: )44 --,"2a , P --4,/i2 V,-��///7 . Phone No.: - • f v-7/5-... ,7c,2 �%' JOBSITE INFORMATION: (*Indicates required information) - *Name: S��,Z9, ,��iY� - *Address: -57 - -ie ,.5 - *Cross Street • *Phone No.: ' -nzF., 6'Q,5-•S- . Permit No.: 39957 • . Tax•Map District: 1000 Section: Block: 02 Lot: 5 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) • C.y� r • (Please Circle Ali That Apply) , Is Job ready for inspection: cp I NO Rough In *bayou need a TempCertificate: �1 *Do Y a/ NO - - Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION ,_____g..n k t_ / .- 82-Request for Inspection Form \ FIVES-1 OP ID:MA ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) 06/24/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 631-269-4800 CONTACT John J.Flynn,Inc. PHONE FAX 8 Main Street 631-269-1108 (A/C.No.Ext): (A/C,No): Kings Park,NY 11754-0637 E-MAIL John L.Flynn ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Twin City Fire Insurance Co. 347 INSURED Five Star Plumbing&Heating, INSURER B:Tower Insurance Company Of New Inc Leon Pugh INSURER C: 54 Hastings Dr. INSURER D Fort Salonga,NY 11768 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POUCY EFF POUCY EXP LIMITS LTR INSR YAM POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYY`n GENERAL U ABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY X CLC7001973 08/01/14 08/01/15 DAMPREMISES(AGE TO Ee RENTED ) 100,000 acxurrence $ CLAIMS-MADE X OCCUR MED EXP(Any one person)_ $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEM.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 1,000,000 POLICY n ECT LOC • $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) •� _ _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS _ HIRED AUTOS NON-OWNEDUUTOPROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR _ OCCUR • EACH OCCURRENCE _ $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LI►BILnYTORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 12WECEL3349 03/12/15 03/12/16 E.L EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? n N I A (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ 100,000 K es.desaibe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more apace Is required) Plumbing - Certificate holder is listed as additional insured per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Route h2ACCORDANCE WITH THE POLICY PROVISIONS. 53095Southold, NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD AC RO----'""I CERTIFICATE OF LIABILITY INSURANCE - DATE(MM/DD/YYYY) r`� 06/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ PRODUCER CONTACT DestinySoria MCGRIFF,SEIBELS&WILLIAMS,INC. PHON: FAX P.O.Box 10265 (A/C. Ext):t):E 800 476-2211 (NC,No): Birmingham,AL 35202 E-MAIL ADDRESS:dsoria©mcgriff.com INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Scottsdale Insurance Company 41297 INSURED INSURER B:Starr Indemnity&Liability Company 38318 Roof Diagnostic Solar Holdings,LLC Roof Diagnostics Solar&Electric of NY,LLC dba NRG Home Solar;NRG Residential INSURER C:Federal Insurance Company 20281 Solar Solutions,LLC; 170 Wilbur PI.Suite 100 INSURER D:Navigators Specialty Insurance Company 36056 Bohemia,NY 11716 INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER:52X7A5CC 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 INSD SUM wVD POLICY NUMBER /YPOLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DDYYI) _.._,.. _. A X COMMERCIAL GENERAL LIABILITY NCS0000456 07/01/2015 04/01/2016 EACH OCCURRENCE $ 2,000,000 CLAIMS MADE X OCCUR DAMAGE TO RENTED 100,000 ' PREMISES(Ea occurrence) $ MED EXP(Any one person) $ excluded PERSONAL&ADV INJURY _ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 —1 POLICY n PRO-JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ B AUTOMOBILE LIABILITY SISIPCA08335015 07/01/2015 04/01/2016 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) 3 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS • . NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ _ — - Deductible: Comp/Coll $1,000 D UMBRELLA LIAB X OCCUR ELU782570/01/2015 07/01/2015 04/01/2016 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ S C WORKERS COMPENSATION 0044727794-01 07/01/2015 04/01/2016 Xy PER STATUTE TR AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ S $ S S $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate Holder is Additional Insured under General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION l 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 53095 Route 25 AUTHORIZED REPRESENTATIVE SO Box 79 NY /OA Southold,NY 11971 Page 1 of 1 ©1988-2014 ACORD CORPORATION. All rights reserved. iftt— • Ae fifth••IAL\ TL. •/\I'11'\f1��.Y� ...J I.... �..- _��.�a---J.Y�-1,. .L •/\/\I1 f\ STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carder la.Legal Name and Address of Insured(Use street address only) lb.Business Telephone Number of Insured FIVE STAR PLUMBING & HEATING, INC. 631-754-1308 1e NYS Unemployment Insurance Employer Registration Number of Insured 54 HASTINGS DR. 558598 FORT SALONGA, NY 11768 ld.Federal Employer identification Number of Insured or Social Security Number 113511220 2.Name and Address of the Entity requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity being listed as the Certificate Holder) ShelterPoint Life insurance Company 3b.Policy Number of Entity listed in box"la": Town of Southold DBL101531 53095 Route 25 3c.Policy effective period: Southold, NY 11971 07/02/2014 to • 07/01/2016 4.Policy covers: a. ® All of the employer's employees eligible under the New York Disability Benefits Law b.El Only the following class or classes of the 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 6/24/2015 g By (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Tide Chief Executive Officer IMPORTANT:If tax'4a'is checked.and this form Is signed by the insurance carrier's authorized representative or NYS licensed insurance Agent of that carder,this certificate Is COMPLETE.Mall It directly to the certificate holder. If box"4b"is checked,this certificate is NOT COMPLETE for the purposes of Section 220,Subd.8 of the Disability Benefits Law. It must be mailed for completion to the Worker's Compensation Board,DB Plans Acceptance Unit,328 State Street Schenectady,NY 12305. PART 2.To be completed by NYS Worker's Compensation Board(Only if box"4b"of Part 1 has been checked) State of New York Worker's Compensation Board According to information maintained by the NYS Worker's Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By (Signature of NYS Worker's Compensation Board Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS Disability 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(12-13) STATE OF NEW YORK KAP WORKERS'COMPENSATION BOARD R001 CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name and address of Insured (Use street address only) lb. Business Telephone Number of Insured 631-754-4161 FIVE STAR PLUMBING & HEATING INC. lc. NYS Unemployment Insurance Employer Registration 54 HASTINGS DR Number of Insured NORTHPORT NY 11768 Work Location of Insured (Only required if coverage is Id. Federal Employer Identification Number of Insured or specifically limited to certain locations in New York State,i.e.a Social Security Number Wrap-Up Policy) 113267209 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Hartford Underwriters Ins Co 3b.Policy Number of entity listed in box"1a": TOWN OF SOUTHOLD 12 WEC EL3349 53095 ROUTE 25 3c. Policy effective period: SOUTHOLD, NY 11971 03/12/2015 to 03/12/2016 3d. The Proprietor,Partners or Executive Officers are: nincluded. (Only check box if all partners/officers included) ❑x all excluded or certain partners/officers excluded. 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 will also notify the above certificate holder 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. Please Note: Upon the 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: Danielle Clausen (Print name of authorized representative or licensed agent of Insurance carrier) Approved by: _egcLuza,� 6/24/2015 (Signature) (Date) Title: Operations Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 866-467-8730 Please Note: Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb.state.ny.us Form WC 88 31 21 C Printed in U.S.A Page 1 of 2 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name&Address of Insured(Use street address lb Business Telephone Number of Insured only) 800-757-6527 Roof Diagnostics Solar and Electric of NY,LLC 1 c NYS Unemployment Insurance Employer Registration dba NRG Home Solar Number of Insured 170 Wilbur Place Suite 100 50-39533-4 Bohemia,NY 11797 Id Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured (Only required if coverage is 454175140 specifically limited to certain locations in New York State, i e,a Wrap-Up Policy) 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Federal Insurance Company Town of Southold 3b Policy Number of entity listed in box"la" 53095 Route 25 004 4727794 01 PO Box 1179 3c Policy effective period Southold,NY 11971 07/01/2015 to 04/01/2016 3d. The Proprietor, Partners or Executive Officers are X included(Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" 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 will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons 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 Please Note Upon the 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 David W. Hobbs,McGriff,Seibels&Williams Inc. (Executive Vice President) (Print name of authorized representative or licensed agent of insurance carrier) Approved b . 6/30/15 Pp Y (Signature) (Date) Telephone Number of authorized representative or licensed agent of insurance carrier (205)583-9543 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(9-07) (q-i 0/c20.1 STATE OF NEW YORK WORKERS COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier I a: Legal Name and Address of Insured(Use street address,only) lb.Business Telephone Number of Insured ROOF DIAGNOSTICS SOLAR AND (800)757-6527 ELECTRIC OF NY LLC lc.NYS Unemployment Insurance Employer Registration dba NRG HOME SOLAR Number of Insured 170 WILBUR PLACE SUITE 100 BOHEMIA, NY 11716 Id.Federal Employer Identification Ninnber of Insured or Social Security Number 454-17-5140 2. Name and Address of the Entity Requesting Proof of 3a.Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) NEW YORK STATE INSURANCE FUND Town of Southold 53095 Route 25 3b.Policy Number of entity listed in box" PO Box 1179 DBL 6523 96 -4 Southold, NY 11971 3c.Policy effective period: 08/07/2014 to 08/07/2015 4. Policy covets: a. ® All of the employees employees eligible under the New York Disability Benefits Law b D Only the following class or classes of the employer's employees: Under penalty of penury,I certify.that I am an authorized representative or licensed agent of the insurance carrier referenced above arid that the framed insured has NYS Disability Benefits insurance coverage as described above. • Date Signed 06/23/2015 g�� •44r.c Joseph J M ash (Signet ure of,irsura rice carrier's a utho axedneprese r1at rue of NYS,Lice rse i t rsura rce'feint of that irisura roe m,rrierl Title Director-of Disability'Benefits.Insurance. Telephone Number (866)697-4332 1MPORTA\`T: If box Na"is checked and this foal is signed by the insurance camels authorized representative or NYS Licensed Insurance Agent of that cattier,this certificate is COMPLETE. Mail it directly to the certificate holder. If box'AV is checked.this certificate is NOT COMPLETE for purposes of Section 220.Subd.8 Milts Disability Benefits Law, It must be mailed for completion to the Workers'Compensation Board.DB Plans Acceptance Unit,20 Park Street.Albany.New York 12207. PART 2.To be completed by NYS Workers'Compensation Board(Only If box"4b"of Part 1 has been checked) State•Of New York Workers'Compensation Board According to infomaation maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability Benefits Lair'With respect to all of his/her employees. • Date Signed By (Signature of NYS Workers'Compensation Board Employee) Telephone Number Title Please Note:Only insurance canters licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Fonn DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1(5.06) Certificate Number 328447 Additional Instmetions for Foirn DB-120.1 By signing this form, the insurance curter identified in box"3" on,this form is certifying that it is.insuring the business referenced in box"la"for disability benefits under the New York State Disability Benefits Law 'The Insurance Carrier Or its licensed agent will send this Certificate of Insurance to.the entity hsted'as the-certificate holder in box:"2" This Certificate is valid for the earlier of one,year after this form is approved by the insurance carrier or its licensed agent,or thepolicy expiration date listed in box "3c". Please Note UpOn the cancellation of the disability benefits policy indicated on this form,if the busuiess,continues to be named on a permit,license or contract icsued•by a-certificate holder;the business must provide that certificate holder with a new Certificate of NYS,Disability Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability Benefits Law DISABILITY BENEFITS. LAW §220. Subd. 8 (a) The head of a-state or Municipal department, board, coinniission or office authorized or required by law to issue any permit for or in comnect.ioii with any work involving the employment of employees in employment as • defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that .the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein,'however, shall be construed as creating any liability on the part of such state or municipal department,.board, commission or office to pay ally disability benefits to any such employee if so employed. (b) The head of a.state or municipal department, board, commission or office authorized or required by law to enter into ally contract. for or in connection with any work .involving the emplo}anent of employees in .employment as defined in this article, and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is. produced in a form. satisfactory to the chair, that the payment of disability benefits for all employees has been secured aS provided by this article. • DB-120 1 (5-06:1 Reverse SURVEYOF LOT 2 - - - - MINOR SUBDIVISION FOR N. CHARLES pELUGA flt? N SUFFOLK OCX/ TY,Kr 44--( **6gowenv al-20-2004\ aux caMT You(• 8 1000-66-3aS 1411;41 .,- (. \�4. • 471 ,1 ,�+, �_ 40 ` ' •. is= 48KW NG Kohler 5' -:c..0-- off house `'\i '�- \ilk orss t 4,11 %, d►� .. ,.....% 3 . ]VA'9* \sik, „...... r=1 teary . Q • ,. A • r,. �q .. .,_....... ..„... • , . .. . ,... ,..... •\ - • l - anusoe - --- Electrical Meter to \%v • r • the right of the gas oma• •,� `., • - .:;..._.. ,y--.. ._L: meter. •.–.r,;--: ..– 7,.,,., —j.-_rgettegra----= + • Lot • "'Z rtq' r \ w •F:� Gas Meter ,1 ) .' \ ,�•ea000 as ts• ,•�• - .. JOHN C.EIHLERS LAND SURVEYOR AM }�,_ ae�areunia«r KY.&�Na93102 61041141C SCALE . • YlV ,N.Y.MR • o- - 1 RETAIN ST9' Vl WATER RUNOFF OCCUPANCY OR PUOFf ^ T TO THE TOWN CODE.TER 236 USE IS UNLAWFUL WITHOUT CERTIFICATE APPROVED AS NOT q7,7-7 OCCUPANCY / DATE: � I�/II8.P.# � /1,� FEE: MO L BY: � 2 NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF -SOIItAA I i ELECTRICAL INSPECTION REQUIRED J C , P ? - 6...r.fir Model: 48RCL KOHLER. Power Systems multi-Fuel LPG/Natural Gas 09001 Standard Features Ems METSYSTEMS s • Kohler Co.provides one-source-responsibility for the NATIONALLY REGISTERED generating system and accessories. • The generator set and its components are prototype-tested, f ":-!:" '`,.': '-."--Y.:'- '''''''"7"---_ _ -a_6=f- factory-built,and production-tested. ,i,,,-,j;1','1,-..., .. _ _ • The generator set accepts rated load in one step. .' , ,k1•",1.".,k-'1- •••wL�; a' �+ : . '„,r_ _ • A standard five-year limited warranty covers all systems and t ?. ;.;A:";,:11.4.0-1. t ? �a� 3,k, `=_=_ components. Y• �0. 1.."0,1'=.:-.T1,.,.",... ;',/41r: Jh * .� • Quick-ship(QS) models with selected features are available. yt � **e:'= See your Kohler distributor for details. S a ,� z," 4' �, i' a • RDC2 Controller 4 k.,& 5'��x ,, 'a T 4 -..---..----..---t--,_.---,:"."5:::" o One digital controller manages both the generator set and a 't$, ” . ; t. ="-• - Alternator Specifications Speccations Alternator • The unique Fast-Response'" X excitation system delivers 'Manufacturer Kohler excellent voltage response and short-circuit capability using a Type 4-Pole,Rotating Field rare-earth,permanent magnet(PM)-excited alternator. Exciter type Brushless,Rare-Earth • Brushless,rotating-field alternator. Permanent Magnet • NEMA MG1, IEEE,and ANSI standards compliance for Leads:quantity,type temperature rise and motor starting. 4Q7BX 4,120/240 4P7BX 12,Reconnectable • Sustained short-circuit current of up to 300%of the rated Voltage regulator Sotd State,Volts/Hz current for up to 10 seconds. Insulation: NEMA MG1 • Sustained short-circuit current enabling downstream circuit Material Class H breakers to trip without collapsing the alternator field. Temperature rise 130°C,Standby Bearing:quantity,type 1,Sealed • Self-ventilated and dripproof construction. Coupling Flexible Disc Amortisseur windings Full • Windings are vacuum-impregnated with epoxy varnish for Voltage regulation,no-load to full-load ±1.0%RMS dependability and long life. Unbalanced load capability 100%of Rated Standby • Superior voltage waveform from a two-thirds pitch stator and Current skewed rotor. One-step load acceptance 100%of Rating • Total harmonic distortion(THD)from no load to full load with Peak motor starting kVA: (35%dip for voltages below) a linear load is less than 4%. 480 V,400 V 4P7BX(12 lead) 180(60 Hz),136(50 Hz) 240 V 4Q7BX(4 lead) 113(60 Hz) Application Data Engine Exhaust Engine Specifications 60 Hz 50 Hz Exhaust System 60 Hz 50 Hz Manufacturer General Motors Exhaust manifold type Dry Engine:model,type Industrial Powertrain Exhaust flow at rated kW,m3/min.(cfm) 13.3(468) 10.6(375) Vortec 5.0 L,4-Cycle Exhaust temperature at rated kW,dry Natural Aspiration exhaust,°C(°F) 716(1320) Cylinder arrangement V-8 Maximum allowable back pressure, Displacement,L(cu.in.) 5.0(305) kPa(in.Hg) 10.2(3.0) Bore and stroke,mm(in.) 94.9 x 88.4(3.74 x 3.48) Exhaust outlet size at engine hookup, Compression ratio 9.4:1 mm(in.) 63(2.5)OD Main bearings: quantity,type 5,M400 Copper Lead Rated rpm 1800 1500 Fuel Max.power at rated rpm,kW(HP) 66.4(89) 54.5(73) Fuel System Piston speed,m/min.(ft./min.) 318(1044) 265(870) Cylinder head material Cast Iron Fuel type LP Gas or Natural Gas Piston type and material High Silicon Aluminum Fuel supply line inlet 1 in.NPT Crankshaft material Nodular Iron Natural gas fuel supply pressure,kPa Valve(exhaust)material Forged Steel (in.H2O) 1.74-2.74(7-11) Governor type Electronic LPG vapor withdrawal fuel supply Frequency regulation,no-load to pressure,kPa(in.H2O) 1.24-2.74(5-11) full-load Isochronous Fuel Composition Limits* Nat.Gas LP Gas Frequency regulation,steady state ±1.0% Methane,%by volume 90 min. — Frequency Fixed Ethane,%by volume 4.0 max. — Air cleaner type Dry Propane,%by volume 1.0 max. 85 min. Propene,%by volume 0.1 max. 5.0 max. Engine Electrical C4 and higher,%by volume 0.3 max. 2.5 max. Engine Electrical System Sulfur,ppm mass 25 max. Ignition system Electronic Lower heating value, - MJ/m3(Btu/k3),min. 33.2(890) 84.2(2260) Battery charging alternator: Ground(negative/positive) Negative * Fuels with other compositions may be acceptable..If your fuel is Volts(DC) 12 outside the listed specifications,contact your local distributor for Ampere rating 70 further analysis and advice. , Starter motor rated voltage(DC) 12 Lubrication Battery,recommended cold cranking amps(CCA): Lubricating System Qty.,rating for-18°C(0°F) One,630 Type Full Pressure Battery voltage(DC) 12 Oil pan capacity,L(qt.) 4.3(4.5) Battery group size 24 Oil pan capacity with filter,L(qt.) 4 7(5.0) Oil fitter quantity,type 1,Cartridge G4-211 (48RCL) 7/14e • ,, Application Data Cooling RDC2 Controller Radiator System 60 Hz 50 Hz or___---- Ambient temperature,°C(°F) 45(113) MsisrEms Radiator system capacity,including engine,L(gal.) 17(4.5) %taxa 240 0 Hz Engine water flow,Lpm m 117.3(31) 98.4 26 �a eo.° 9 jacketP (gpm) ( ) ® 2 a Heat rejected to cooling water at rated NO kW,dry exhaust,kW(Btu/min.) 48.4(2750) 42.9(2440) 'v ��� Water pump type Centrifugal rv. aum aui Fan diameter,mm(in.) qty.3 @ 408(16) �t0 y i o o Fan power requirements(powered by engine battery charging alternator) 12VDC,18 amps each The RDC2 controller provides integrated control for the Operation Requirements generator set, Kohler®Model RXT transfer switch, Air Requirements 60 Hz 50 Hz programmable interface module(PIM),and load control Radiator-cooled cooling air, module(LCM). m3/min.(scfm)t 51 (1800) 51 (1800) Combustion air,m3/min.(cfm) 4.5(159) 3.7(132) The RDC2 controller's 2-line LCD screen displays status Air over engine,m3/min.(cfm) 25(900) 25(900) messages and system settings that are clear and easy to read, # Air density=1.20 kg/m3(0.075 Ibm/ft3) even in direct sunlight or low light. . Fuel Consumption$ RDC2 Controller Features Natural Gas,m3/hr.(cfh)at%load 60 Hz 50 Hz • Membrane keypad: 100% 19.8 (699) 15.8 (559) o OFF,AUTO,and RUN pushbuttons 75% 16.9 (598) 13.5 (478) o Select and arrow buttons for access to system 50% 13.0 (461) 10.4 (368) configuration and adjustment menus 25% 9.1 (321) 7.3 (257) • LED indicators for OFF,AUTO,and RUN modes Exercise 4.2 (147) 4.2 (147) LP Gas,m3/hr.(cfh)at%load 60 Hz 50 Hz • LED indicators for utility power and generator set source 283 6.4 (226) availability and ATS position(Model RXT transfer switch 100% 8.0 (283) required) 75% 6.7 (235) 5.3 (188) 50% 5.0 (175) 4.0 (140) • LCD screen: 25% 3.4 (121) 2.7 (97) o Two lines x 16 characters per line Exercise 1.5 (54) 1.5 (54) o Backlit display with adjustable contrast for excellent # Nominal Fuel Rating: Natural gas,37 MJ/m3(1000 Btu/ft) visibility in all lighting conditions LP Vapor,93 MJ/m3(2500 Btu/ft3) • Scrolling system status display LP vapor conversion factors: o Generator set status 8.58 ft.3=1 lb. o Voltage and frequency 0.535 m3=1 kg. o Engine temperature 36.39 ft.3=1 gal. o Oil pressure o Battery voltage Sound Enclosure Features o Engine runtime hours • Sound-attenuating enclosure uses acoustic insulation that • Date and time displays meets UL 94 HF1 flammability classification and repels • Smart engine cooldown senses engine temperature moisture absorption. • Digital isochronous governor to maintain steady-state speed • Internally mounted critical silencer. at all loads • Skid-mounted,aluminum construction with two removable • Digital voltage regulation: ±1.0%RMS no-load to full-load access panels. • Automatic start with programmed cranking cycle • Fade-,scratch-,and corrosion-resistant Kohler®cashmere • Programmable exerciser can be set to start automatically on powder-baked finish. any any future day and time,and to run every week or every Sound Data two weeks Model 48RCL 8 point logarithmic average sound levels are • Exercise modes 58 dB(A)during weekly engine exercise and 61 dB(A)during o Unloaded exercise with complete system diagnostics full-speed generator diagnostics and normal operation. The o Unloaded full-speed exercise lowest point sound levels are 56 dB(A)and 60 dB(A) o Loaded full-speed exercise(Model RXT ATS required) respectively as compared to competitor ratings.* • Front-access mini USB connector for SiteTech' connection All sound levels are measured at 7 meters with no load. • Integral Ethernet connector for Kohlere OnCue® • Lowest of 8 points measured around the generator. Sound levels at other points • Built-in 2.5 amp battery charger around generator may be higher depending on installation parameters. • Remote two-wire start/stop capability for optional connection of Model RDT or RSB transfer switches See additional controller features on the next page. 04-211 (48RCL) 7/14e Cr KOHLER CO.,Kohler,Wisconsin 53044 USA Kohler Power Systems Phone 920-457-4441,Fax 920-459-1646 Asia Pacific Headquarters For the nearest sales and service outlet in the 7 Jurong Pier Road US and Canada,phone 1-800-544-2444 Singapore 619159 KOHLERPower.com Phone(65)6264-6422,Fax(65)6264-6455 Additional RDC2 Controller Features Electrical System • Diagnostic messages ❑ Battery o Displays diagnostic messages for the engine,generator, ❑ Battery Heater Model RXT transfer switch,programmable interface StartingAids module(PIM),and load control module(LCM) 0 Block Heater o Over 70 diagnostic messages can be displayed [recommended for ambient temperatures below 0°C(32°F)] • Maintenance reminders Controller Accessories • System settings ❑ Programmable Interface Module(PIM) o System voltage,frequency,and phase (provides 2 digital inputs and 6 relay outputs) o Voltage adjustment ❑ Load Control Module(LCM) o Measurement system,English or metric (provides 4 power relays and 2 HVAC relays) • ATS status(Model RXT ATS required) Transfer Switch o Source availability 0 Model RXT Automatic Transfer Switch(see G11-121) o ATS position(normal/utility or emergency/generator) ❑ Model RDT Automatic Transfer Switch(see G11-98) o Source voltage and frequency ❑ Model RSB Automatic Transfer Switch(see G11-101) • ATS control(Model RXT ATS required) Miscellaneous o Source voltage and frequency settings ❑ Rated Power Factor Testing o Engine start time delay Literature o Transfer time delays ❑ General Maintenance Literature Kit o Fixed pickup and dropout settings ❑ Overhaul Literature Kit o Voltage calibration ❑ Production Literature Kit • Programmable Interface Module(PIM) status displays Other Options o Input status(active/inactive) ❑ o Output status(active/inactive) ❑ • Load control module(LCM)menus 0 o Load status o Test function Dimensions and Weights Generator Set Standard Features Overall Size,Lx W x H,mm(in.): 2280 x 836 x 1147 (89.8 x 32.9 x 45.2) • Aluminum sound enclosure with enclosed silencer Shipping Weight,wet,kg(lb.). 862(1900) • Battery rack and cables • Electronic,isochronousgovernor Weight includes generator set with engine fluids and 4Q10X alternator, sound enclosure,and silencer. • Flexible fuel line • Gas fuel system (includes fuel mixer,electronic secondary gas regulator,two gas solenoid valves,and flexible fuel line between the engine and the skid-mounted fuel system components) • Integral vibration isolation H • Line circuit breaker • Oil drain extension • Operation and installation literature • RDC2 controller with built-in battery charger w-01 L .) • Standard five-year or 2000 hour limited warranty NOTE:This drawing is provided for reference only and should not be Available Options used for planning installation. Contact your local distributor for more detailed information. Approvals and Listings ❑ UL 2200 Listing(60 Hz only) DISTRIBUTED BY: ❑ CSA Approval(60 Hz only) Communication Accessories ❑ OnCuee Plus Generator Management System for remote monitoring(see specification sheet G6-140) ❑ OnCue•Plus Wireless Generator Management System for remote monitoring(see specification sheet G6-137) ®2011,2012,2013,2014 by Kohler Co. All rights reserved. G4-211 (411RCL) 7/14e Gas Existing Gas Meter Line into the \ AZ home 0 1 1/2" (XX') - I" Black Flexible Pipe Gas Pipe (XX')- I,'Plastic pipe i buried with tracer line. II\ Gas Company : X Existing Gas Main Generator Gas Shut off Valve Roof Diagnostics Solar&Electric,LLC. John Marciano Plumbing Riser Diagram 57856 Main Rd. Southold NY 11971 Generator Installation 48kW NG Stand-by Generator Phone: 732.974.8874