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�O�SUFFOd�coG Town of Southold 7/18/2017 y P.O.Box 1179 a - co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39056 Date: 7/18/2017 THIS CERTIFIES that the building GENERATOR Location of Property: 1070 Minnehaha Blvd, Southold SCTM#: 473889 Sec/Block/Lot: 87.-2-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/5/2017 pursuant to which Building Permit No. 41524 dated 4/12/2017 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ACCESSORY GENERATOR AS APPLIED FOR The certificate is issued to Delorme,Pamela&Gorga,Marietta of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41524 06-29-2017 PLUMBERS CERTIFICATION DATED Authorized Signature �SOF �0TOWN OF SOUTHOLD BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE o . • 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#: 41524 Date: 4/12/2017 Permission is hereby granted to: Delorme, Pamela & Gorga, Marietta PO BOX 439 Brightwaters, NY 11718 To: install generator as applied for. At premises located at: 1070 Minnehaha Blvd, Southold SCTM # 473889 Sec/Block/Lot# 87.-2-8 Pursuant to application dated 4/5/2017 and approved by the Building Inspector. To expire on 10/12/2018. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CO -ALTERATION TO DWELLING $50.00 Total: $235.00 Build I ector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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: 1. 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- $100.00 2 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. I 'a New Construction: Old or Pre-existing Building: X (check one) V Location of Property: 10--70 b1� �/�AU 9#4#114- V0 'So til�l•(.t House No. Street Hamlet Owner or Owners of Property: I CZ M �G(A b i�_5 (— m`i-7 Suffolk County Tax Map No 1000, Section 7, Block �- Lot j Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: 4fekq P4_,a8,&1 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: x (check one) Fee Submitted: $ 50 iA &) M Ap lic nt Signtre pF SO!/��®! Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 1 • �Q roger.richertRtown.soLitho Id.ny.us Southold,NY 11971-0959 IC4" NV BUELDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Delorme Address: 1070 Minnehaha Blvd. city:Southold st: New York zip: 11971 Building Permit#: 41524 Section: $7 Block: 2 Lot: $ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Gen Ready Inc. License No: 2740-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 Ceding Fixtures HID Fixtures 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 Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock - Exit Fixtures TVSS Other Equipment: 22 KW Standby Generator with Auto Transfer Switch. Notes: Inspector Signature: Date: June 29, 2017 0-Cert Electrical Compliance Form.xIs o�-q'SUUr's'ol� � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT ' v _t �G� TOWN OF SOIJTHOLD CERTIFICATION Dater Building Permit No. Owner: pay-n e(i4 L 0 �— (Pleaseprint) Plumber: ktoveA,4, —2,1 c n G (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( mbe 1 afore) - Sworn to before me this S day of 20 -7 DD Notary Public, o C County MAY 3 0 2097 JANET DAMIANO NOTARY PUBLIC-STATE OF NEW YORK BUILDING �'PT• No. 01 DA5061073 TOWN OF SOUTHOLD Qualified In Suffolk Copp2Qnt yy My Commission Expires e�11_ _LQ_ OF SOUTy�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ) ELECTRICAL-(FINAL) REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS Ln� 9J FOUNDATION(IST) ----------------7------------------- FOUNDATION (2ND) � ' J ' O ROUGH FRAMING& 3 y PLUMBING 9 INSULATION PER N.Y-. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS (o �z rn r H x d b H TOWN OF SOUTHOLD 'BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthForkxet PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact: Approved 20_a Mail to: Disapproved a/c Phone: Expiration IDI 1 20 Bui ector APA - 5 201 D APPLICATION FOR BUILDINGPERMIT Date a► I� , 20 I WELDING DEPT. INSTRUCTIONS TOWN OF SOUTHOLD 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 plan to 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 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, 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. Geo A (Signature of appliVant or name,if a corporation) lag (Mailing address of applicant) ` C� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises R--✓►'i 0-t-A C)-ew (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. Plumbers License No. 34 S - irn Electricians License No. 9.9 Lf- Other Trade's License No. 1. Location of land on which proposed work will be done: 10-10 OM_T N Nom. M HA T3U✓A House Number Street Hamlet County Tax Map No. 1000 Section -911 Block Lot 0 ° Subdivision Filed Map No. Lot 1 r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition G Alteration Repair Removal Demolition Other Work —;�PiA&4VJ _ (Description) 4. Estimated Cost Fee `6'�•0-b (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 NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NOx- 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractoz_ Du►.12 ku. TQC', Address 0 9 4d a-Sej M Phone No rl 'V!�— oyo0 (4,(\�c VRICICr l 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? * S 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 * 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 rL Y-0 e-(-,)W�(-) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 601V ��'� C.Zr� (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sandra L. Daly Sworn to before me this j/ Notary Public, State of New York 41—day of tIAP-ma 20t Suffolk County Expires May 24,2018 NO.01 DA6222353 0 Notary Public Signku6 of Applicant Of SO�jpy4 �-vim"� � C;a- Town Hall Annex Telephone(631)765-1842 54375 Main Road H (631)765-95U2 P.O.Box 1179 G Q roer.dchert iown.south016 n .us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. Date: Company Name: Name: ��J License No.: a'1 C 41E, Address: �� ,A,{a-S J, S ODYt Phone No.: &j3/), L Lf 4®D JOBSITE INFORMATION: (*Indicates required information) *Name: fo-(Y) 'b Co 12. 1'1 L *Address: 1020 dbly i7 *Cross Street: >( *Phone No.: 30 -1 i_ D -5- Permit 5Permit No.: Tax-Map District: 4000 Section: ''I Block: a e Lot; *BRIEF DESCRIPTION OF WORK (PJease Print Clearly) (Please Circle All That Apply) �v 1- .A l I *Is job ready for inspection: YES/�o Rough In Final *Do-you need a Temp Certificate: YES/ NO Temp Information(If needed) *'Service Size: 4 Phase 3Phase 100 950 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYME T DUE WITH APPLICATION -(L_e G-2(-(L- 1 w ------------ 82-Request for Inspection Form ` 5URVEY OF PROPERTY N 51TUATE. 5OUTHOLD _ TOWN: 5OUTHOLD w SUFFOLK COUNTY, NY s 15:1sZJEYeC 07-0'o-2.'J i 6 SUFe=COUNTY TAX 1000.87.2.6OR FOlwep1Y OF CERTIFIED TO: pt30 SOA R�Ro1505 TTA PAMELA DELORNE GORGA Lg o NOWAu5 + Y fowfRLYMARIEo�: 1 p7• 76, ` 1 75.63' .;__ • . _.ti..-. -�r-':�' - _ . •---� ,._- • � o�ti N83°5950�E� -_ __.�- - _ - -Pei• s G�Vf1cm t ° �►, -te _ 0.5103 7►e, :'�$; �i 103 s Q O t WarnW.� Zg.S � u' � �'� ` •.1t• K C Z 5�DUSK, 33.4 gypp' iT O 1 � �� o F e l w p I 4 U "l 1181 .951 �,, - Irk IT,o�*�-.. °56 Nov >iP S� LAND R�HFORD I VSR any Of. r►ow oR �� WAY o>4►n�'uis u VGWNN� ha'JflUJ%ENT FWD r , �Of fi= a� ,— R ;:„„•av' `,>,"°. a 2,PeFOUND JOHN C. ENLERS LAND SURVEYOR 'xu” : ` >: r WOOD FeF CE �7 �Oj` I Fes >:: A<ca•_ z szo Sq.Fs 9 easy mA:N STRW N Y.5 UC fa0.30202 ' 7—o r� .-, _!>. • I Ama n 0.296 Acres •F,-VMrAD.NY. 1 1901 369.9288 Fas 3G9-8287 f r,` ��••+ -'� •' iIo%` � s,o.w'i%K-."."�•i"'� GRAPHIC SCALE I•=2G' k• _` +> "•�•+n r.ca" � n 5::7C: .vr_u.ere •v-.e r+r a a 16.,E Imc�9larsdlard�uneyo%CCm �q,44��T;SF% -��°�">:_y�•:.!'+i- _a. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/29/2017 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 be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). :ODUCER CONTACT NAHME FARM FAMILY CASUALTY PA/cONN. E:a ac No 859 CONNETQUOT AVENUE ADDRESS• ISLIP TERRACE,NY 11752 INSURER(S)AFFORDING COVERAGE NAIC# 831-277-7770 INSURER A• FARM FAMILY CASUALTY INS.CO. 13803 suRED INSURER B: STATE INSURANCE FUND GENREADY,INC. INSURER C• SHELTER POINT LIFE INS.CO. 128 PULASKI ROAD INSURER D: KINGS PARK NY 11754 INSURER E: INSURER F• OVERAGES CERTIFICATE NUMBER: 112343 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. R TYPE OF INSURANCE INSD 6UB POLICY NUMBER POLICY EFF POLICY EXP M / D MM/OD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY 3152X1390 05/07/16 05/07/18 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE K OCCUR PREMISES(Ee occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY F ECT 0 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER, AUTOMOBILE LIABILITY 3152C4335 05/07/16 05/07/18 (Ea accidentSINGLE LIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ AUTOS NED X SCHEDULED AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X pUOTNOOSWNED PROKR, DAM G $ (paX UMBRELLA LIAB X OCCUR 3101 E1933 06/03/16 06/03/17 EACH OCCURRENCE 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DED I X RETENTION 410,000 $ WORKERS COMPENSATION ( AND EMPLOYERS'LIABILITY YIN CERTIFICATE ATTACHED PSTATUTF ER oTH- AANFYPROPRIETgOR/PARTNER/EXECUTNE 1046681-1 E L.EACH ACCIDENT $ (MandatryEh NI{)EXCLUDED? N/A edescnbe under E L.DISEASE-EA EMPLOYE $ II DESCs,RIPTION OF OPERATIONSbelowIE.L.DISEASE-POLICY LIMIT I$ NYSDBL T, DBL 265291 01/01/07 INDEFINITE STATUTORY SCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 54375 MAIN ROAD ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 1179 SOUTHOLD, NY 11971 AUTHORI2ED REPRESENTATIVE I-raeoeo� ©1988-2014 ACORD CORPORATION. All rights reserved. :ORD 25(2014101) The ACORD name and logo are registered marks of ACORD New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE, NEW YORK 11747-3129 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 0 ^A"^A A 112763133 VINCENT C DALEY 859 CONNETQUOT AVE ISLIP TERRACE NY 11752 ❑ Scan to Validate POLICYHOLDER CERTIFICATE HOLDER GENREADY INC DBA U S 1 ELECTRIC TOWN OF SOUTHOLD 128 PULASKI ROAD 54375 MAIN ROAD KING PARK NY 11754 PO BOX 1179 SOUTHHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11046681-1 333646 05/20/2016 TO 05/20/2017 3/29/2017 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1046681-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/MNWV.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. - PRESIDENT EDWARD S REIFF GEN READY INC DBA U S I ELECTRIC ONE PERSON CORP THIS CERTIFICATE IS ISSUED.AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEWYORK STATE INSURANCE FUND U DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:335324029 U-26.3 Yom 1Nerketr�' CERTIFICATE OF INSURANCE COVERAGETATE Compensation UNDER THE NYS DISABILITY BENEFITS LAAO Beard PART 1.To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name and Address of Insured(Use street address only) 1b.Business Telephone Number of Insured GENREADY, INC. DBA U.S.I. ELECTRIC 631-544-0400 1c.NYS Unemployment Insurance Employer Registration Number of Insured 128 PULASKI ROAD KINGS PARK, NY 11754 1d.Federal Employer Identification Number of Insured or Social Security Number 112763133 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 TOWN OF SOUTHOLD 3b.Policy Number of Entity listed in box"1a": 54375 MAIN ROAD DBL265291 PO BOX 1179 3c.Policy effective period: SOUTHOLD, NY 11971 01/01/2017 to 12/31/2017 4.Policy covers: a. ® All of the employer's employees eligible under the New York Disability Benefits Law b. 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 3/29/2017 By AW, hf (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Title Chief Executive Officer I MPORTANT:lf 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,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. D13-120.1 (9-15) New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 Phone-(888)997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE RE .0 ^ ^^^^^ 453914154 Z-RITE PLUMBING&HEATING CORP. 615 ACORN STREET SUITE G DEER PARK NY 11729 1 . Scan to Validate POLICYHOLDER CERTIFICATE HOLDER Z-RITE PLUMBING&HEATING CORP. TOWN OF SOUTHOLD 615 ACORN STREET SUITE G 53095 ROUTE 25 DEER PARK NY 11729 P.O. BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE G1190 459-6 540412 05/01/2016 TO 05/01/2017 7/14/2016 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1190 459-6 UNTIL 05/01/2017, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 05/01/2017 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE. 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT KENNETH ZDANIO VICE PRESIDENT SCOTT ZDANIO 2-2 OF Z-RITE PLUMBING&HEATING CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,I NSU RANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/cert/certval.asp or by calling(888)875-5790 VALIDATION NUMBER: 106562493 U-26.3 Policy Number. Date Entered: 1/14/2017 CERTIFICATE OF LIABILITY INSURANCE DST 142017) 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 maysequire an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dynamic Coverage Inc PHONE FAX 18 Silver Beech Lane Ic a at, (631)369-6098 AC,No: (631)369-5869 Baiting Hollow, NY 11933 EMAILs bcorn@optonline.net _ INSURER(S)AFFORDING COVERAGE NAIC MT INSURER A:Northfield INSURED Z Rite Plumbing & Heating Corp. INSURER B. INSURER C: 615 ACORN ST- Suite G INSURER D: Deer Park, NY 11729 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 ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MMID_DIVYYY A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED 7:1CLAIMS-MADE OCCUR SUB1569443-01 1/13/2017 1/13/2018 PREMISES Ea occurrence S 100.0 0 MED EXP(Any one person) $ 5,000 _ PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000 000 _ PRO- PRODUCTS $ 1,000,000 POLICY 7 JECT 7 LOC _ S OTHER ACOMBINED SINGLE LIMIT AUTOMOBILE LIABILITY S Ea acadantl ANYAUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS -- HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DED I I RETENTION SI _ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ N/A EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE S If yes,describe under I DESCRIPTION OF OPERATIONS below I EL DISEASE-POLICY LIMIT 5 I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached H more space is required) Commercial & Residential Plumbing CERTIFICATE HOLDER CANCELLATION Town of Southold 53095 Route25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Producedusmg Forms Boss Plus software www FonnsBoss comlmpressnrePubllshing 800.208-1977 -- 1 tAgt Ii1V I llOTih it q k j{Iml rl hl 1dItR t Ifll r Hit ? ,�l(�l l� 71 t f s5l(f qt. Ql' ,at t fit 7Ar.•-. i{1l, I lir �cAc(i;` � R� � � 'Yj ri`. 1 •�'�1�� �.fvi/J� tiaca4 "�J>9,? `�"-•""' ��A - m�, iii \:Ihn t tlINllnlhl/11I11H �IN,•nn111'>/1111, ItN111111111/111/Ill• 1tNllNann11/1111 tN11111111a1HIH1 111111111hnlfl IlnN111^Illlr/1 ' MNNI1n11ur1/qq/ •NN11W bHhp NtaHnllhH �(fl'S�11111IIIhIph °? �,�..ny: ,4 Ilr P 1• .. fI Na \\ I r l• /f/ H\N /I ,\\ H la l\Y H. li\N •IIiI a\I•n r.,l �'•r••� L=,y� \\ dltl " IPA /IU► - � IU lil t111� dlf� III lIEl1 dll� ' \ Il1a r,�jf�,•r� � :,� K�.n .n,..•..q+ ....�.�..r4.�....:,.,;.::7;^. ""I".T%"".,."�,.":7^,,:Sn..^:S�^.T..::.'.^ ",•�"."".^'7t,^„7f:i.Tl„— •• .... ....... "'.":^2.:b-...• ..:...............,.,...........--.........;�,;.�„ �.,....,,...,� 1�ca, Suffolk Coun �ovia�° ent ®f Consumer .,affairs VETERANS MMORIAL HIGI- WAY * HAUPPAUGE, NEW YORK 11788 IRA'T'E ISSUED: 9/9/1997 No. 3415-MP SUFFOLK COUNTY aster Plumber License This is to certily that KENNETH ZDANHO doing business asWa ZDA,NIQ PLUMBING & HEATING INC DBA -- -- having given satisfactory evidence of competency, is Itere;by licensed as MASTER P1,t11V(BER in accordance with and subject to the provisions of apjilicable laws, rules and regulations of s the County of Suffolk, State of New York. ' Addltian�tl L3tlsilu;tiscl �•° ` SUFFOLK COUNTY DEFT OF LABOR. Z-RP 1 E PLUMBING& HEATING TNG LICENSING&CONSUMER AFFAIRS MASTER t � '•' PLUMBER a r , KENNETH J ZDANIO f This certifies that the ""”` Z bearer is duty RITE PLUMBING 8 HEATING CORP f �^ \ I�c'��lk � 0. licensed by the CCCissS`�— — ? County ofSuffoik I/m^slwmna DN ft—J `• I11R]iSSIU1IZ'I s = 3415-MP 09/09/1997 ' Comd rabnn E1IPpAra,D.1? 091W2017 d::i•: I�: .tli'il.: :I:I:i,n::i 11`- _ i:r �.L• :I� cn• v......L' ....!$.:: - '::J.Y\!u-5.,.... .•...L. _ tea::.:. ...._...::u':%:.�w'::. 2.. ...:..:1:1.''�,1.:��.`.:.....-.::.'.::.'.':...5 ....:.d...1.w. ;rt -i�ti� .+_►sir �Ita a �91� W _ un~� �10�' 1411~�— 14P/ W—�"ui►- to ' ,1'1r/Il1 N,\\u.0„�lr•' NNIN •••IIfIIII f1N1\a\..�s'rrrrHl 1\\I\l .u.Hr/,1 ••\Hll\•�HII n\l '/rH •Nt TIN l\\~,rH. nN=N— 1jH•r \�/4^•rrrl baa ���- �a1NN IH11..NH Mql/nN1, Uq•oNl Nnmpl HlrluN/Nll f4h4nngNIH 1Hnll,l,/n/NI hNfolonnM° "NNtlglgn I hh3�ul IUPaa r 111•Inp1NINNI w�1 u: wnu IUil+ V5 Ve" OW, X1111 ! Ild�� �GiJ �6iJlfl ��tiluJ�`i APPROVED AS NOTED DATE: B.P.# � ELECTRICAL FEE: i BY: INSPECTION REQUIRED NOTIFY BUILDING DEPARTM AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING RETAIN STORM WATER RUNOFF 3. INSULATION PURSUANT TO CHAPTER 236 4. FINAL - CONS'ri�UCTION MUST OF THE TOWN CODE. BE COMPLETE P`9 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 gbtl 8tF@wvff OCCUPANCY OR USE IS UNLAWFUL. WITHOUT CERTIFICATE_ OF OCCUPANCY GENERAC 0 110 , -14 6 2" 0 220" k W GUARDIAN@ SERIES Residential Standby Generators Air-Cooled Gas Engine INCLUDES: Standby Power Rating ° True Power" Electrical Technology Models 006459-0. 006461'0. 006462-0 (Steel-Bmque) ' 18kVV60 Hz ° Two Line LCD Multilingual Digital Model 000721'UAAluminum-Gray) ' 18kVVG0Hz Evolution" Controller (Eng|ioh/Gpaniuh/ Models 008720-8. O0S73O-O (Steel Bisque) '2OWV0OHz French/Portuguese) ' Models 000551'0. 000552-O (Aluminum- Gna�,) '22kVVOOHz ° Two Transfer Switch Options Available: ' 1O0Amp Pre-Wired Switch or 20OAmp Smart Switch. See Page 4for Details, ° Electronic Governor ° External Main Circuit Breaker, System Status & Maintenance Interval LED Indicators - . ° GFC| Duplex Outlet . ° Sound Attenuated Enclosure ° Flexible Fuel Line Connector ° Composite Mounting Pad ° Natural Gaeor LP Gas Operation ° 5Year Limited Warranty C &o LISTED C�U�f�t�T� ° Capability tVbeinstalled within 18" (4S7mm) ` ' wmm CUL certification applies ounbundled units and units packaged with vre-vmommmn� of a bui|d|ng* ��o���ummmoxm�u~mhmnm�mm mmamum� ' ' *Only i,located away from doors,windows and fresh air intakes,undun|ooymhemmoog/mctodbymcduuuoo. FEATURES o INNOVATIVE DESIGN&PROTOTYPE are key components o 8UUD-STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION. ofGENERAC'Ssuccess m'IMPROVING POWER 8YDESIGN^But it This stute'o#he-urtpower maximizing regulation system iostandard on doesn't stop there. Total commitment tocomponent testing,reliability all Gonomomodels. hprovides optimized FAST RESPONSE tochanging testing,environmental testing,destruction and life testing,plus testing load conditions and MAXIMUM MOTOR STARTING CAPABILITY by toapplicable CSA,NEMA,EGSA.and other standards,allows you\u electronically torque-matching the surge loads tothe engine Digital choose GENERACPOWER SYSTEMS with the confidence that these voltage regulation at t1% systems will provide superior performance U TRUE POWER- ELECTRICAL TECHNOLOGY: Superior harmonics O SINGLE SOURCE SERVICE RESPONSE from Gonomm'oextensive dealer and sine wave form produce less than 5% Total Harmonic Distortion for network provides parts and service know-how for the entire unit,from the utility quality power.This allows confident operation of sensitive electronic engine to the smallest electronic component equipment and micro-chip based appliances,such asvariable speed HVAC systems O QENE8ACTRANSFER SWITCHES. Long life and reliability are 0 TEST CRITERIA:. ' oynonymouuwith GENERACPOWER SYSTEMS. One reason for this V PROTOTYPE TESTED NEMA MG1-22EVALUATION confidence iothat the GENERACproduct line includes its own transfer ' 8YOTEMTORSIONAL TESTED ~ MOTOR STARTING&BULO7 systems and controls for total system compatibility GENERA ������N��������������� . . ` GENER �����/��� �K� ��o� � benefits umvu.��u�u. �mm u�°"~���� ��� Engine °Gonomo(ORN)design Maximizes engine^bmathing^for increased fuelefficiency. Plateau honed cylinder walls and plasma mm|yrings helps the engine run cooler,reducing oil consumption resulting in longer engine life. ^ 0uioAest~ Greatly reduces sound output and fuel consumption during bi-weekly exercise,compared to other brands. ^''Spiny-|uk^cast iron cylinder walls Rigid construction and added durability provide long engine life -Electronic ignition/spark advance These features combine toassure smooth,quick starting every time. -Full pressure lubrication system Pressurized lubrication to all vital bearings means better performance,less maintenance and longer engine life Now featuring uptou2yoar/2O0hour oil change interval. -Low oil pressure shutdown system Shutdown protection prevents catastrophic engine damage due tulow oil -High temperature shutdown Prevents damage duotoovu/huating. Generator -Revolving field Allows for usmaller,light weight unit that operates 25%more efficiently than arevolving armature generator. -Skewed stator Produces a smooth output waveform for compatibility with electronic equipment. -Displaced phase excitation Maximizes motor starting capability. ^Automuhnvoltage regulation Regulates the output voltage to t1%prevents damaging voltage spikes. -UL 2200listed For your safety. Transfer Switch ^Fully automatic Transfers your vital electrical loads to the energized source ofpower. ,Pm-nimd.color-coded conduits Ensures the easiest,trouble-free installation (Pm'nimdswitches only) ^DPM Technology Digital Power Management Technology allows for the smart control of two air conditioners without any additional (Smart Switch only) items -Remote mounting Mounts near your existing distribution panel for simple,low-cost installation. Evolution'" Controls "Au1o/WunuuyOMilluminated buttons Selects the operating mode and provides easy,at-a-glance status indication in any condition ^7wu'|iooLCD multilingual display Provides homeowners easily visible logs of history,maintenance and events up to 50 occurrences. !Sou|ed.raised buttons Smooth,weather-resistant user interface for programming and operations -Utility voltage sensing Constantly monitors utility voltage,setpoints 60%dropout,80%pick-up of standard voltage. -Generator voltage sensing Constantly monitors generator voltage to ensure the cleanest power delivered to the home. -Utility interrupt delay Prevents nuisance start-ups of the engine,adjustable 2-1500 seconds from the factory default setting of 5 seconds byuqualified dealer. ^Engine warm-up Ensures engine ioready toassume the load,oetpointapproximately 5seconds. ^Engine cool-down Allows engine tocool prior toshutdown,ootpniniapproximately 1 minute -Programmable exerciser ` Operates i toprevent oil sea[drying and damage between power outages byrunning the generator for minutes every other week.Also offers a selectable setting for weekly or monthly operation providing flexibility and potentially lower fuel costs to the owner. ^Smart battery charger Delivers charge to the battery only when needed at varying rates depending onoutdoor air temperature -Electronic governor Maintains constant 00Hzfrequency. Unit -SAE weather protective enclosure Sound attenuated enclosure ensures quiet operation and protection against mother nature,withstanding winds up to150mph.Hinged key locking roof panel for security. U#'oothnnt for easy access\oall routine maintenance items.Electrostatically applied textured epoxy paint for added durability. -Enclosed critical grade muffler Quiet,critical grade muffler mmounted inxidothaunittoprevent injuries. -Small, Installation System ,1It(306mm)Ooxib|ofuel line connector Absorbs any generator vibration when connected torigid pipe -Composite mounting pad Eliminates the need topour aconcrete pad unless required bylocal municipalities GENERAC® 16/20/22 kW specifications Generator Model 006459-0,006461-0,0(16462- 006729-0,006730-0, 006551-0,006552-0 0,006721-0(16 i.''nl) (20 kW) _ _(2_2 kW_)_ tr .;�_ �^`'i."`:#:^�' "�, �:; 2D1JOD'• tf5�'"„x.�• J `�22-DDD.NtatfS- br. Rated Maximum Continuous Power Capacity(NG) 16,000 Watls* 18,000 Watts* 19,500 Wafts* Rsl %^,y,;yx»�^-„„,..,-.^;,:•••, .-<-.-M„� �?-»�;s- tr,�+?;�^x i.r�'< Fr,F.,.. .. y,: "'.r-'fps; .�w,z,;^,rr�:rc",;_. 4U4;., Rated Maximum Continuous Load Current-240 Volts(LP/NG) 66.6/66.6 83.3/75 91 6/81 3 G'"-+-; sr,c- ,-"-.--„>- q*m.b 4"?'^-- a:-• a,.»,r,(c^ *7aTMar' n^.^°, +v�u-�-^•T, .r^.•�.. -."�rx�';r.---,x ,rr -•.2: �. t � ;'t 's�J -t^: .<."}t. �j�. Main Line Circuit Breaker 65 Amp 90 Amp 100 Amp :;r �� ���.' .- ,.<.;�:� %`°•`"�-'”-�`•,v.."�. ::i`.,s::.r:';{rte-;:'4"s.I..... `;.<'„<� .hi.. -;��f. ..,•,;:c. ,. .�,.�_»f :�'. Number of Rotor Poles 2 2 2 afedd�AG;fxeG :,m �. -_ .> #zr' sS •.80JH?.:H., r. ".-BO;Hi: ,M. t :ua�,.a=�. Power Factor 1.0 1.0 10 W,._a.te •• reiet . x _ �. <., a.. r-:Arirtrf. . a7- Z77 --� 7-7 -, Unit Weight(Ib/kg) 513/232.7(Steel), 516,12341 526/238.6 448/203.2(Aluminum) ; z . " <� _�JJ`�f 1�$_ ,•,<..- ....r.-^••,.,,;:,,.r., '""=” •h""";> Sound output in dB(A)at 23 ft(7 m)with generator operating at normal load** 66 fib 67 � �- �— Syundo" itl;dB�R)at3:fi,C1;rii Vn� t19en lafpfln:OtiEe1;I }? hi -sQEed'r _>`' y ;,• �;.. •`,'7``�,,o.t�-�y «'�>�a.l`,�'.;,k.,. �,`<°� ;y`�'�<"."„' '���.Rk'F;^•%',s�^�;,'��Ya',>:7.T b"��t: '%�,y y',:.•'•fi :,�' .,,`•3`w r,.rJ�%�'m 5mµ"4r: Exercise duration 5 min 5 min 5 min Engine Number of Cylinders 2 2 2 1)is"faceriYeQ:t,: ,•; ' ; r ' :rv' s ,: ?s. .. .,a s•; 7 22999'cc ,i� Cylinder Block Aluminum w/Cast Iron Sleeve �, �UalveaArrang'emgn,��.�..,.� � ��:,,, :,��'���.. '���� Bad Va +s• ��.q_,�"'�,�fl�a` ead�Ja`ivezc, �-;.�.-: �Ove�ieaai Valve..:.;,, . �:.t1�.�,�<d�;> '.ia«J.i1" �,°;.•.S^''�'a>s�....�».,m,,, ,.v,�e�".xKee.,,2;:”:a:."""��s:�.�.w,_.�.�<..,.,�•...��'.�s Ignition System Solid-state w/Magneto Solid-state w/Magneto Solid-state w/Magneto f•-'";- s.`i.;.•-;,^.-3 sA,•^•-^e_�i; s:i':4 ��',, ,a°S S;�r. ice-' F;.:: r-. �_ r-.rr,�;z„ _ �t"iO+tBftlOf-system,,_ _:.s• f�s'��''. �� �F ,fir, e< FG�?.�-.�,:",rrya,;:��=� %... �� �3:�-•_ ra",. Compression Ratio 951 951 9.51 °i. •`xi ,.wa; ,5..€'^' '=';2'YdC� Oil Capacity Including Filter Approx.1.9 qt/1.8 L Approx 1.9 gl/1.8 L Approx.1.9 gV1.8 L nn "'�',,..;,3;, r'ra.::J`^..5'.>yli>.tC'F_'... ••y."5--': :•qY',r{. m.^^T<,y,s� ,.,��.,.�.-,ziz s.,�....T ,V e t �T ',2:h �,€s'S3,a., €>s,1, *a�2:>>. "u,,C. §�<: .,,",�•:.����"�''`, /..�"�-�=� ..fi" �.M,.z:'r�.,ci: 5.:��r,,.1.w,.tF'�e.Frtb4,''.•.w:n..�a:::.°,£....�s.: ,.w,.'d........,..�k'��e`......wnriww.W Fuel Consumption Natural Gas ft3/hr(mVhr) 1/2 Load -193(5.47) 205(5 8) 184(5.21) Full Load 312(8.83) 308(8.72) 281 (7 96) Liquid Propane ft3/hr(gal/hr)[I/hr] 1/2 Load 72 4(1.99)[7.53] 75 6(2 08)[7,87] 83(2 16)[8,16] Full Load 130(3 57)113 531 _ _140(3 65)[14 57] 127(3 68)No [13.99] �3. 1orL1?�. � _. F 4".q._• �,:. �-,>..a.- '9� �-;-�T'~�,-;,h <-•, Controls �2>�ne falnTek��ft(ti[t�{�Q.dl.Spjlyz`-•7,: :y5'�-z;��>r�x�^4-°:�-''RRa°-1�. s e��'^ F'�^d-' .;s�mz'rz�"t""mst$U Br"tn ter.•:-"zs<:g_,.�-:-rt =z_,w-*.�� ,.W.*.�;.�,-;>�°*y.. �..�.a.w''.�*.�" .r�::;a.�:„ ���`_„� z �-' Ge,fPr•'L'aSfi 4f �f10tG�„.�,„"�'x�•"r, s:= "� Mode Buttons Auto Automatic Start on Utility failure 7 day exerciser ,;..3"";, w^'a:'f--^r-x;...-.«":�-;,,r'r'r-'r ;' f =�-e•s^r—^.-•--K ^-"z r^x-sz:---"'-;• - t',*i•-„;.;i :f� .uMartual �•_ r,.,, � �:�;�;:,,'�''�� n,>� ,,4 iv starter'-'"rl�unit'has`bn:dflifi6ty,:"is„t�to,Jmd�takas:�lace. ��"�.� .,�.. Off Stops unit Power is removed Control and charger still operate, -Y*3 Engine Run Hours Indication Standard fl snmg blestaiYd a b n> 500secdiitts :='z,"j,', r Utility Voltage Loss/Retum to Utility Adjustable(Brownout Setting) From 140-171 VA 90-216 V :f Sal Capaa{;le Eiterc35 era`s"Setiirr�l. $ Run/Alarm/Mamtenance Logs _ 50 Events Each 16S6G'or1,ME 9115PrG.7€Ia1UtTif��E(a .., ;d.,',^`' `• 9 Starter Lock-out Starter cannot re-engage until 5 sec after engine has stopped G�'��( }rp' /- ,��x;-x-�5r^,mss,^ a,n_, ,x` v, a.,,: - .-•x - - > a,:g 'de��i- S�"'�1'l:�W'tlBS_`«.1.,.w�{..,aiy?�aeu{•� `R� F.'t.-...,p�j+f+1"[] c`"°d`s',,:, � 'C:§,v"�'>�f':`. Charger_Fault/Missm_g AC Wanting _ Standard_ LQW ~ef+ attP�,jd r'Pifl6Jemteff3Gt1[#11'aR <1"rDnihtlDft• Cr'itFfl `e".s""`-'iw :.,-�?:>%r'%� `r;�v+`r'„ � `,i ^��^.,�ilaC da %»,`.,,'c„-`•';�^v-�:.>--.-:�;i:”""•r.' ,,M1.Ya Automatic Voltage Regulation with Over and Under Voltage Protection Standard �Jntld FrEEjIfERDat�µ rfeE3t� A9CtID _.�,k' .F;, <,' - ';aj#xf•- F ti �?,x'?.vB,fir.Stan s€. .. ';:r_,;.,'»'?;. Safety Fused/Fuse Problem Protection Standard Overcrank/Overspeed(@ 72 Hz)/rpm Sense Loss Shutdown Standard F s ! bin aralure ;;^�:^� '^t�^,. �. x r; a'�tx�k" �'z'r• _ 'c^r�r-.^,-.fi'�,p^;.�"�;'?^•��. -:^...,,, .^1-rs. �..�... e.? .�, ;�, ,x: ,�, >�., �°<-� ,�• , Internal Fault/Incorrect Wiring Protection Standard ,zr,„�': T=Z=z ,. ,•r., at.. , E •:,,v �ar-•" -�.:�"'v` ice. •.."r.. �co bn,F�d ,Folli: i� ��. ,�=a �. ,��, <��«°F„ ,� ,�:�°��;. ,��,y'° Stadd;itii Field Upgradable Firmware Standard "Sound levels are taken from the front of the generator.Sound levels talon from other sides of the generator may he higher depending on installation parameters Rating definitions-Standby Applicable for supplying emergency,power for the duration of the uhidy power outage No overload capability is available for this rating (NI ratings in accordance with BS5514,IS03046 and DIN6271) 'Maiamum wattage and currerd are subject to and limited by such factors as fuel BN/megajoule content, ambient tempeature,altitude,engine power and condition,etc Maximum power decreases about 3 5 percent for each 1,000 feet(304 8 meters)above sea level,and also will decrease about 1 percent for each 6`C(10'0 above 16=C(60`F) GENERAC* 16/20/22 kW switch options Pre-wired Features Model 006461-0(16 kW) available on Steel 16 kW models only �Lm.. • Electrically operated,mechanically-held contacts for fast,positive Current Rating(Amps) 100 connections. Utility Voltage Monitor(Fixed)* • Rated for all classes of load,100%equipment rated,both inductive and -Pick-up 60% resistive. -Dropout 60% left• 2 pole,250 VAC contactors to .,x _.,: :; ;x_ '� Exercise week) for 12 minutes* Standard • 30 millisecond transfer time. =s ..<{ '- , &�� nda_ Total of Pre-wired Circuits 16 • Dual coil design. No.15 A 120 V 5 No.20 A 120 V 5 • Main contacts are silver plated or silver alloy to resist welding and sticking. No.20 A 240 V 1 • NEMA 1 (indoor rated)enclosure is standard on the pre-wired switch. No.30 A 240 V - No 40 A 240 V 1 • Pre-wired 30 foot(9.1 meter)whip to connect to the provided 5 foot pre- No 50 A 240 v 1 wired whip and external connection box, N1W&M@EH= r "'-` "` x'Pre-wired 2 Dot I r c ed to connect into the ��``�`��'�`` � `�F" ' �-ry �: �f (0.61 meter)whip,co 0 od � ;: :3"3=t�,;�' :�� :f0OQ6��'„ #>�; „_ existing electrical panel *Function of Evolution Controller Dimensions Mechanical Dimensions �°� ' Height Width Depth Ht I H2 W1 W2 in 235 I 26.4 83 12.6 63 H: ' =`Jr><tl H, mm 597 671.7 211 3207 1596 ~ Wire Ranges ` _ Conductor Lug Neutral Lug Ground Lug '?` r 2/0-#14 2/0-#14 2/0-#14 wi i VQ Smart Switch Features Model 006452-0(16 kW)/006729-0(20 kW)/006551-0(22 kW) • Includes Digital Power Management Technology standard(DPM), WEi i° "M . -z ;' :Er. 1,2w. ° ;°n;." • Intelligently manages two air conditioner loads with no additional Current Ratin (Am s) 200 _ Q 240 hardware. 6 '- 4 Utility Voltage Monitor(Fixed)* • Up to four more large(120/240 VAC)loads can be managed when -Plck-up 80% used in conjunction with Power Management Modules(PMM**). Dropout so% 4 "ka, € ' 1ti h:,,..,w�; `-'„.Fes'. _�:�: '��'a-'rax:"I3`< ec:`,.°:�;� •a.:,a.R. �. • Electrically operated,mechanically-held contacts for fast,clean Exercise weekly for 12 minutes* Standard connections. a :> x:T :,,;3• Staiiiard<<;a;� . Enclosure Tye NEMANL 3R • Rated for all classes of load,100%equipment rated,both inductive '00 and resistive. Lug Range 250 MCM-#6 • 2 pole,250 VAC contactors. *Function of Evolution Controller • Service equipment rated,dual coil design. • Rated for both aluminum and copper conductors. • NEMA/UL 3R aluminum outdoor enclosure. • Main contacts are silver plated or silver alloy to resist welding andp,,. ; r:°= = •' sticking. ** Nate PMM starter kit is required prior to using the modules. Dimensions 200 Amps 120/240,1a Open Transition Service Rated Height Width Depth H1 H2 W1 W2 p in 27.24 1 30.0 11.4 1 13.5 1 7.09 mm 692.0 1 7624 289.0 1 343.0 1 180.0 DEPTH GENERAC' 16/20/22 W available accessories M", y;� nm eL Generac's Mobile Link allows you to check the status of your generator from anywhere that you have 006463-1 Mobile Link" access to an Internet connection from a PC or with any smart device.You will even be notified when a change in the generator's status occurs via e-mail or text message. 005819-0 26R Wet Cell Battery Every standby generator requires a battery to start the system.Generac offers the recommended 26R wet cell battery for use with all air-cooled standby product(excluding PowerPact@). If the temperature regularly falls below 32'F(0'C),a cold weather kit is required to maintain optimal 006212-0 Cold Weather Kit battery and oil temperatures.Kit consists of a battery warmer and oil filter heater with built-in thermostats. 005621-0 Auxiliary Transfer Switch Contact The auxiliary transfer switch contact kit allows the transfer switch to lock out a single large electrical Kit load you may not need.Not compatible with 50 amp pre-wired switches. 005839-0-Bisque Fascia Base Wrap Kit* The fascia base wrap snaps together around the bottom of the new air cooled generators.This offers e 005666-0-Gray (Standard on 22 k" a sleek,contoured appearance as well as offering protection from rodents and insects by I e] lifting holes located in the base. 005703-0-Bisque If the generator enclosure is scratched or damaged,itis important to touch-up the paint to protect 005704-0-Gray Paint Kit* from future corrosion.The paint kit includes the necessary paint to properly maintain or touch-up a generator enclosure. 006484-0-16 kW Scheduled Maintenance Kit Generac's scheduled maintenance kits provide all the hardware necessary to perform complete 006485-0-20&22 kW routine maintenance on a Generac;automatic standby generator. Completely Wireless and battery powered,Generac's wireless remote monitor provides you with 006664-0 Wireless Remote Monitor instant status information without ever leaving the house.Not compatible with CorePower or EcoGen systems. The PMM Starter Kit consists of a 24 VAC,field installed transformer that enables the use of the 24 006199-0 PMM Starter Kit VAC Power Management Modules(PMMs)and one PMM.The standard controller(without starter[at) — — can control two HVAC loads with no additional hardware.Not compabble with pre-wired switches. —----------- Power Management Module(50 Power Management Modules are used in conjunction with the Smart Switch to increase its power 006186-0 Amps) management capabilities.It gives the Smart Switch additional power management flexibility not found I in any other transfer switch.Not compatible with pre-wired switches.Note,PMM Starter Kit required. Note Bisque kits are used in conjunction with steel enclosures.Gray kits are used in conjunction with aluminum enclosures. dimensions & PCs Dimensions shown are appmxirrtate Refer to installation manual for exact dimensions.DO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES 1 637 6 mm 1218 mm [251 In] [47 gin] Model UPC 006459-0 696471064599 A 0064610 696471064612 006721-0 696471067217 731 9 min 'A; [28 8 in] 006729-0 696471067293 006730-0 696471067309 006551-0 696471065510 006552-0 696471065527 F0 006462-0 696471064629 642 mm [25 3 in] 1226 mm [48.3 in] LEFT SIDE VIEW FRONT VIEW GEN ERACT General;Power Systems,Inc. - S45 W29290 HWY 59, Waukesha,WI 53189 - generac.com @2014 Generac Power Systems,Inc.All rights reserved AR specifications are subject to change without notice.BullobnOKS458-D Printed In USA.06/19/14 ' General Information Figure 1.10—Installaflon Guidelines % No windows or openings in the wall permitted within 5 feet from any point of the generator. Winches Existing Wall 18 inches Winches Minimum Distance Clearance from windows, 46 36 inches Top of Generator -C-36 inches doors,any openings in the wall,shrubs or vegetation over 12'in height Clearance from the ends and front of the generator should be 36 inches.This These guidelines are based upon firehas would include shrubs,trees and any testing of the generator enclosure and kind of vegetation.Clearance at the top the manufacturer's requirement for air should be a minimum of 60 inches from any structure,overhang or projections flow for proper operation.Local codes from the wall.The generator should not may be different and more restrictive be placed under a deck or other than what is described here. structure that is closed in and would limit or contain air flow. 60"Minimum 6o,Recommended Minimum From Ends Generator 18mtmes Minimum ni This drawing supersedes installation instructions In all Carrier air-cooled installation and owner's manuals dated previous to May 26,2007.