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HomeMy WebLinkAbout42497-Z FF04jr y Town of Southold 6/7/2015 a P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39695 Date: 6/7/2018 THIS CERTIFIES that the building GENERATOR Location of Property: 1420 Village Ln, Orient SCTM#: 473889 Sec/Block/Lot: 24.-2-6.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore Sled in this office dated 3/15/2018 pursuant to which Building Permit No. 42497 dated 3/28/2018 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 Peyser FM III&JM Liv Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42497 06-05-2018 PLUMBERS CERTIFICATION DATED Authorized Signature gnF�uc TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE oy • 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#: 42497 Date: 3/28/2018 Permission is hereby granted to: Peyser FM III & JM Liv Trt Attn: Mary Van Nostrand 25 Evergreen Ln Underhill, VT 05489 To: install generator as applied for. At premises located at: 1420 Village Ln, Orient SCTM # 473889 Sec/Block/Lot#24.-2-6.1 Pursuant to application dated 3/15/2018 and approved by the Building Inspector. To expire on 9/27/2019. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CO -RESIDENTIAL $50.00 Total: $235.00 spector 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 properly 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 - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. hard., !q. )-o l� New Construction: 1 1 Old or Pre-existing Building: (check one) Location ofProp�Y.-(4az> 1 kagz_ ( House No. atreet Hamlet Owner or Owners of Property: �- A-__eAac1<_ Suffolk County Tax Map No 1000, Section a(4 Block Lot j Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 4�b (IL Im p ' ant Signature Town Hall Annex Telephone(631)765-1802 54375 Main Road CA Fax(631)765-9502 P.O.Box 1179 ® �� roper.richert(aD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Peyser FM 11w1 & JM Liv Trt (Black) Address: 1420 Village Lane City,Orient st: New York zip: 11957 Budding Permit#: 42497 Section: 24 Block: 2 Lot: 6.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Shore Power Electric License No: 42536-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 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: 16 KW Standby Generator with Automatic Transfer Switch. Notes: Inspector Signature: Date: June 5, 2018 0-Cert Electrical Compliance Form.xls hO��Of SOUTyo{o * TOWN OF SOUTHOLD BUILDING DEPT. `ycou765-1802 q�-41) INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE �� INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------------------------------------ . •co FOUNDATION (2ND) .® z . � I ROUGH FRAMING& ®y PLUMBING rNs INSULATION PER,N.Y-. STATE ENERGY CODE FINAL , AD ITI NAL COMMENTS IWA or- 1 O IWO rn � o z b 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.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Q' Flood Permit Examined U '21-111 Single&Separate Storm-Water Assessment Form Q� Contact: Approved �0 ,20� Mail to: Gl 1 LQ66% LatJtye, Disapproved a/c Phone:$;It W–Q 7J7 Expiration—jp ,20 �OF spector cerr1-ef ��iclks APPLICATION FOR BUILDING PERMIT Date ftard, , 20 IS' INSTRUCTIONS 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. D , `�` ature of applicant or name,if a corporation) bP ,- 06 (Mailing address of applicant) 3 State whether applicant is owner, lessee agent, cTi9 �&R1 contractor electrician plumber or builder Name of owner of premises ���� �. (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. Electricians License No.-- y-,7636 M 6 Other Trade's License No. 1. Location of land on which proposed work will be done: g i��.in �h 4Qn L-One 4c House Number Weet Hamlet County Tax Map No. 1000 Section—.2 y Block—O—')— 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 b. Intended use and occupancy 3.' Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work:J!f&ati 6 oA 5Lt- (Descriptiona:�of 4. Estimated Cost 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 NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO ! 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100.feet of a tidal wetland or a freshwater wetland? *YES NO j * 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. { i 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 OISU D�k 617,121&R, LamA ol'- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contracto 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. Sworn to before me this / / da of Yaa 20/rAM°M%PAIIIL NO .•._v rho i-J7- " GI •��gqb R�.q>>r �..�0`apadgfrvUlSl�a t�....d. IIJJt.1 Notary Public Z_ p;t �Us�rc� [iv tau 1 r� -T� �%( ignature of Applicant i rsf Sa,ry i Town Hall Annex l [ 54375 Main Road Telephone(631)7651802 P.O.Box 1179 • 0 roaer.richert(a to 6"'76 12.ny.us Southold,NY 1197I-0959 l BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: pp��I r G l i ZGt�.a��•�, ���.a( Date: .M�C.�► ao l Company Name: Name: 'l 1 — � zw6e - License No.: Address: 1P . • d, Phone No, - --- 0031- 5-qO=2 JOBSITE INFORMATION: (*Indicates required information) *Name: �. *Address: 14,110 - � � w✓i_ *Cross Street: *Phone No.: 10 - 7 - Jla l Permit No.: Tax-Map District: 1000 Section: ,9y_ Block: 6_'), Lot: , *BRIEF DESCRIPTION OF WORK(Please Print C)early) 1 K VJ etc:n a, (Please Circle All That Apply) Is job ready for inspection: YES/ NO Rough In Final *Do-you need a Temp Certificate: YES ! 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 82-Request for Inspection Form 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 A A A A A A 204999885 HOMETOWN INSURANCE AGENCY 5 ORVILLE DR SUITE 400 BOHEMIA NY 11716 ❑ Scan to Validate POLICYHOLDER CERTIFICATE HOLDER SHORE POWER ELECTRICAL CONTRACTING TOWN OF SOUTHOLD INC TOWN HALL ANNEX 4 BRUCE DRIVE SOUTHOLD NY 11971 MANORVILLE NY 11949 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 11329705-6 716302 07/20/2017 TO 07/20/2018 8/25/2017 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1329 705-6, 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://WVWV.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. NICHOLAS D'AMICO, PRES,OF SHORE POWER ELECTRICAL CONTRACTING INC 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. NEW YORK STATE INSURANCE FUND Ja DIRECTOR,INSURANCE FUND UNDERWRITINg VALIDATION NUMBER:218385201 U-26.3 SHORE-4 OP ID:KL ACORO"' DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/24/2017 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(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 Hometown Insurance of LI,Inc NAME: Weber Agency a/c°No Ext:631-567-1011 ac No). 631-589-4207 5 Orville Drive,Suite 400 E-MAIL Bohemia,NY 11716 ADDRESS: James Small INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:The Ohio Casualty Insurance Co INSURED Shore Power Electrical INSURER B: Contracting,Inc. 108 Frowein Road,#2 INSURER C. Center Moriches,NY 11934 INSURER D: 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 L B POLICY EFF POLICY EXP LIMITS LTR I D D POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FRI OCCUR BKO(18)57918685 07/17/2017 07/17/2018 AG O R NTD 300,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY P(I JEPT F� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ 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-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE L EACH ACCIDENT Is OFFICER/MEMBER EXCLUDED? "NIA (Mandatory In NH) EL DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is,required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION TOWN014 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Hall Annex ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORIZED �yREPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD S C°"C Pot""D M°N 6445 T,� SURVEY OF PROPERTY SI T UA TE ORIENT TOWN OF SOUTHOLD y pF"cF �o sCOT O SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-24-02- 6. 1 c�w� /' "�F p9 wapD 12S SCALE 1 "_209 g° ao`;g�° , S "�F 42' DECEMBER 9 2016 6COVo�zo S D140,UCb °N 64. 06, °' 6 20 , Q\����`lFOG"o 3N°F 01 ' F AREA = 25,436 sq. ft. �\ �A-� y�o hPFp 0.584 a C. 0' A� RF& � Q � �O �Q aGQ • `Cp" S 29 oS w�' ��� s. < d. X89. 2S 6 0 " s�DD • wO p' 00, 0 IFPS BOO .1>0 l ? O ST 'pJ- , • �s OJQt�F4 FOU 8� ��CV sT Fq F s. .p s, �' e ° a. 20 ti FDRF�� °SFA �i�� 9�F S �DO�DrO�• ���� e° ! ` 2000�v2 �R ce- y0GSc�` e 70 0 ' S 5�y��e �� d e •_ d' �O ?F f" 6 r s0', f°.�y•c'� iIlq e j C �' • , 1 �, �T O `tffpoa �J C'�4` 41 O 6 ° 0v O y 04' e . 0 4 � Q '' ° UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. d ' COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR ° EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. 4; ? CERTIFICATIONS INDICATED HEREON SHALL RUN C°"cF°"" ONLY PREPARED, AND ON HIS EHALFTTO THE VEY S e' dJp D k " e N.°• �'t.,• O TITLE COMPANY, GOVERNMENTAL AGENCY AND s>�1Q a �/ AlHEREON, AND ��^ p TONTT EGASSIGNEEISO OFITHTUTN LSTEEO LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. 74 00'' THE EXISTENCE OF RIGHTS OF WAY I AND/OR EASEMENTS OF RECORD, IF �fC S �04,� 4, ANY, NOT SHOWN ARE NOT GUARANTEED. /O��r • ° °e• P rz' PREPARED IN ACCORDANCE WITH THE MINIMUM 02 STANDARDS FOR TITL ,SURVEYS AS ESTABLISHED BY THE L.I.A. PPROVED AND ADOPTED FOR SUC SP tQRK STATE LAND TITLE �g(ATfb �.� I ikF i 00 ^�- a 4 C2 SFS ° n e 7s3 X soCeb �� V • 0 (40 4 \ d va M� '� y N.Y.S. Lic. No. 50467 4° I FiR '�F C �•9<�s •„ "Fps a Lathan Taft Corwin III 60, �OJ�p=• ? • Land Surveyor Successor To: Stanley J. Isoksen, Jr. L.S. Joseph A. Ingegno L.S. Title Surveys — Subdivisions — Site Plans — Construction Layout a PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 36-284 s - ar Pelevo dry-� Pf, Vu w� 81V Le� /�(49ti-fiac.�w« e-r- CkAdr orl AP ROVED AS NOTED GENERAC® DATE: B.P.# a20/22 kW FEE: " 6 44 6 gy; GUARDIAN@ SERIES NOTIFY BUILDING DEPARTMtO AT Residential Standby Generators 765-1802 8 AM TO 4 PM FOR THE Air-Cooled Gas Engine FOLLOWING INSPECTIONS: 1.'-,FOUNDATION , TWO REQUIRED ' FOR-ROURl D=CONGRET INCLUDES: 2. ROUGH - FRAMING 8 PLUMBING Standby Power Rating 3. INSULATION n�q (1 r • True Power TM Electrical Technoldgf INAL - CO�%5h-6S 16461-0, 006462-0 (Steel - Bisque) - 16 kW 60 Hz • Two Line LCD Multilingual Digital BE COMPLETE FOR C.O. Model 006721-0 (Aluminurn-Gray) - 16 kW 60 Hz Evolution TM Controller (English/ Iar> STRUCTION SHALIdVEETSTW0, 006730-0 (Steel - Bisque) -20 kW 60 Hz French/Portuguese) EQUIREMENTS OF TW QQE_AQRNrwM06552-0 (Aluminum -Gray) -22 kW 60 Hz Y STATE. NOT RESPONSIBLE FOR • Two Transfer Switch Options Am OR CONSTRUCTION ERRORS. RETAIN STORM WATER RUNOFF 100 Amp Pre-Wired Switch or -PUFaw - T 200 Amp Smart Switch. 0 CHAPTER 236 See Page 4 for Details. _ THE ' OWNaDQE. COMPLY WITH ALL CODES OF' ., • Electronic Governor NEW YORK STATE ! TOWN CODE: ®.� • External Main Circuit Breaker, Sys iPE ED AND "CONDITIONS Or -�, Maintenance Interval LED Indicators ., . :.o • GFCI Duplex Outlet ERAC', , • Sound Attenuated Enclosure Rm...a-0.'S.,esf • Flexible Fuel Line Connector • Composite Mounting Pad - • Natural Gas or LP Gas Operation �L us • 5 Year Limited Warranty LISTED QUIET-fESF • Capability to be installed within 18" (457 mm) lyappl� * Note CUL cerhficahon only applies to unbundled units and units packaged with pre-wired switches of a building Units packaged with the Smart Switch are UL certified in the USA only *Only if located away from doors,windows and fresh air intakes,and unless otherwise directed by local codes. FEATURES O INNOVATIVE DESIGN&PROTOTYPE TESTING are key components O SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION. of GENERAC'S success in "IMPROVING POWER BY DESIGN." But it This state-of-the-art power maximizing regulation system is standard on doesn't stop there. Total commitment to component testing, reliability all Generac models. It provides optimized FAST RESPONSE to changing testing,environmental testing,destruction and life testing,plus testing load conditions and MAXIMUM MOTOR STARTING CAPABILITY by to applicable CSA, NEMA,EGSA,and other standards,allows you to electronically torque-matching the surge loads to the engine. Digital choose GENERAC POWER SYSTEMS with the confidence that these voltage segutation at±1% systems will provide superior performance. O TRUE POWERT" ELECTRICAL TECHNOLOGY: Superior harmonics 0 SINGLE SOURCE SERVICE RESPONSE from Generac's extensive 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 as variable speed HVAC systems. O GENERAC TRANSFER S,t tom, .dare O TEST CRITERIA: synonymous with GENERAC E S. e son o t a is PROTOTYPE TESTED NEMA M61-22 EVALUATION confidence is that the GENE u.1%it j �0��9PUAr SYSTEM TORSIONAL TESTED MOTOR STARTING ABILITY systems and controls for tot c6b a I t . I'1 v �1 ELECTRICALGENERAC- I ITHOUT CERTIFICATE INSPECTION REQUIRED► = OF OCCUPANCY r //pp � J GENER CO 16/20/22 kW iwyr,'- �r,�r ,Ej�=F+t�;d���t � features and benefits Engine ._ . ._� ,_, « c' ® •Generac(OHVI)design Maximizes engine"breathing"for increased fuel efficiency._Plateau honed cylinder walls and plasma moly rings helps the�engine-run,mole7;reducing oil consumption resulting in longer engine life • Quiet-Test" Greatly reduces,sound,outputand fuel consumption during;bivweekly exercise,compared to other brands •"Spiny-lok" cast iron cylinder walls Rigid construction and added durability'provi'd6-1ongrefig irid]ife -Electronic ignition/spark advance These features combine fo-a'ssure smooth;'qui ckr'stirbng-every'time .Full pressure lubrication system Pressurized lubrication Wall vital-bearings means better performance,less maintenance and longer engine life Now featuring up.to_a 2 year/200 hour 61],changelinteNal?r' f Ini�t ,7. ; -Low oil pressure shutdown system Shutdown protection prevents catastrophic engine 6mage d��ue,to low oil. /'� •Hightemperature shutdown Prevents damage b6eio overheating; ,' Generator .Revolving field Allows for,,aCsmaller,lightweight+unit that aperateA+25°/.Imore-efficiently than a revolving armature generator. I 11 r, %4 r"•Skewed stator Produces;als'rriooth:output wavefor`rri for-c'o'mpafibility,with'elect'romc equipment .Displaced phase excitation Maximizesmotor starting'capability., -Automatic voltage regulation Regulates the output voltage to±1%prevents damaging voltage spikes. •UL 2200 listed For your safety. 'transfer Switch •Fully automatic Transfers your vital electrical loads to the energized source of power •Pre-wired,color-coded conduits Ensures the easiest,trouble-free installation. (Pre-wired switches 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 -Auto/Manual/Off illuminated buttons Selects the operating mode and provides easy,at-a-glance status indication in any condition -Two-line LCD multilingual display Provides homeowners easily visible logs of history,maintenance and events up to 50 occurrences. -Sealed,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 by a qualified dealer •Engine warm-up Ensures engine is ready to assume the load,setpoint approximately 5 seconds •Engine coot-down A;;ows engine to coo;prior to shutdovdn,setpi3mt approximately 1 m+note. -Programmable exerciser Operates engine to prevent oil seal drying and damage between power outages by running the generator for 5 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 on outdoor air temperature -Electronic governor Maintains constant 60 Hz frequency. Unit -SAE weather protective enclosure Sound attenuated enclosure ensures quiet operation and protection against mother nature,withstanding winds up to 150 mph.Hinged key locking roof panel for security. Lift-out front for easy access to all routine maintenance items.Electrostatically applied textured epoxy paint for added durability. -Enclosed critical grade muffler Quiet,critical grade muffler is mounted inside the unit to prevent injuries. -Small,compact,attractive Makes for an easy,eye appealing installation,as close as 18"away from a building' installation System, •1 ft(305 mm)flexible fuel line connector Absorbs any generator vibration when connected to rigid pipe. .Composite mounting pad''" Eliminates the need to pour a concrete pad unless required by local municipalities " GENERAC 16/20/22 kW specifications 5� , _ Generator Model 006459-0,00646E-0,006462- 006729-0,006730-0, 006551-0,006552-0 `0,006721-0(16 kW) (20 kW) (22 kW) Rated Maximum Continuous Power Capacity(LP)_ 16,000 Watts" 20,000 Watts* 22,000 Watts* I - - - Rated Maximum Continuous Power Capacity(NG) 16,000 Watts* 18,000 Watts* 19,500 Watts* ,_Rated Voltage 240 - 240 Z4D Rated Maximum Continuous Load Current-240 Volts(LP/NG) 66.6/666 83.3/75 91.6/81.3 Total Harmonic Distortion" , Less than 5% � •" Less than 5% Cess than 5%• 3 of Main Line Circuit Breaker 65 Amp 90 Amp 100 Amp Phase 1 1 1 ' Number of Rotor Pales 2 2 2 Rated AC Frequency bi)tiz 5D Hz`:` fi0 Hz Power Factor 10 10 10 Battery Requirement(not included) _ Group 26R,12 Volts 6nd-5.25 CCA Minimum _ Unit Weight(Ib/kg) 513/2327(Steel), 516/2341 526/2386 448/203 2(Aluminum) Dimensions,(Lx W x H)m/mm ._ 48 x 25 x 29/1218 x 638 x 732 Sound output in dB(A)at 23 ft(7 m)with generator operating at normal load** 66 66 67 Sound output m dB_(A)at 23 ft(7 m)with generator in Omet-T_est'"low-speed 60 60 S8 - exercise mode** ; ' Exercise duration 5 min 5 min 5 min Engine - - ---- -- - - Type of Engine __ GENERAC OHVI VT_WIN GENERAC OHVI V-TWIN. GENERAC OHVI VT_WIN-- ' Number of Cylinders 2 2 2 Displacement _ 992 cc ' 999 cc 999 cc Y ` Cylinder Block _ Aluminum w/Cast Iron Sleeve i Valve Arrangement Overhead Valve Overhead Valve Overhead Vaive Ignition System Solid-state w/Magneto Solid-state w/Magneto Solid-state w/Magneto Governor System Electronic Electronic Electronic , Compression Ratio 45 9 5.1 9 51 Starter ` ' "`';` 12Vdc "` ' 12Vdc 12Vd-C Oil Capacity Including Filter Approx.19 qt/1 8 L Approx 1.9 qt/1 8 L Approx.1 9 qt/1 8 L Operating rpm _3;600 3,600 3,600 Fuel Consumption - Natural Gas fta/hr(ma/hr) 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)[7 871 83(2 16)[8.16] Full Load 130(3.57)[13 53] 140(3 85)[14.57] 127(3 68)[13.99] Note,Fuel pipe must 6e sized far full load. Required fuel pressure to generator fue)m)et at all)oad ranges-3.5-7"water-column(7-13 mm mercury)for natural gas,10-i211,water co)umn(19-22 mm mercury)for LP gas_For Btu_content,multiply ft3/hr x 2500(LP)'or ft3/hr x 1000(NG) For Mega)oule content,multiply m3/hr x 9315(LP)or m3/hr x 37 26(NG) Controls _ - r --p 3 5 2-Line Plain°Text_Mulbhngual LGD Display_ Sim le user interface for ease of operation Mode Buttons Auto Automatic Start on Utility failure 7 day exerciser Manual; -Start with starter control,unit stays on If utdtly fads,transfer to load takes place Off Stops unit Power is removed Control and charger still operate Ready to Run/Nlamtenance Messages` Standard Engine Run Hours Indication Standard Programmable start delay between 2-1500 seconds Standard(programmable by dealer only) Utility Voltage Loss/Return to Utility Adjustable(Brownout Setting) From 140-171 W190-216 V Future Set Capable Exerciser/Exercise Set Error Warning Standard Run/Alarm/Maintenance Logs_ 50 Events Each Engine Start Sequence Cyclic cranking,16 sec on,7 rest(90 sec maximum duration). Starter Lock-out Starter cannot re-engage until 5 sec after engine has stopped Smart Battery Charger Standard Charger Faull/Missing AC Warning Standard Law Battery/Battery Problem-Protection and Battery Condition Indication Standard ; Automatic Voltage Regulation with Over and Under Voltage Protection Standard _'Under-Frequency/Overload/Stepper Overcurrent Protection -- y Standard Safety Fused/Fuse Problem Protection Standard P _. Standard Automatic Low Oil Pre(sure /Hig)pit Tem erature Shutdown, _ _- _ _ ° _ � • , `: Overcrank/Overspeed @ 72 Hz/r m_Sense Loss Shutdown Standard High Engine Temperature,Shutdown Standard Internal Fault/Incorrect Wrring Protection Standard Common External Fault Capabd(ty y Standard Field Upgradable Firmware Standard *`Sound levels are taken from the front of the generator Sound levels taken from other sides of the generator may be higher depending on installation parameters Rating definitions-Standby Applicable for supplying emergency powerfor the duration of the ublity power outage No overload capability is available for this rabng (All ratings in accordance with BS5514,IS03046 and DIN6271) *Maximum wattage and current are subiectto and limited by such factors as fuel Btu/megajoule content, ambient temperature,attitude,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 T)above 16°C(60`F) GENERAL® 16/20/22 kw switch options Pre-wired Features Model 006461-0(16 kW) available on Steel 16 kW models only No.of Poles 2 • Electrically operated,mechanically-held contacts for fast, positive Current Rating(Amps) 100 connections Voltage Rating(VAC) 120/240,10 Utility Voltage Monitor(Fixed)* • Rated for all classes of load, 100%equipment rated,both Inductive and -Pick-up 80% -Dropout 60% resistive. ._ _ _ • 2 ole,250 VAC contactors Return to Utility" ` approx 15 sec P Exercise weekly for 12 minutes* Standard • 30 millisecond transfer time UL-Listed Standard Total of Pre-wired Circuits 16 • Dual coil design. No.15 A 120 V 5 • Main contacts are silver plated or silver alloy to resist welding and sticking. No.20 A 120 V 5 P Y 9 9 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. Circuit Breaker Protected Available RMS Symmetrical • Pre-wired 2 foot(0.61 meter)whip, color coded to connect into the Fault current @ 250 Volts 10,000 existing electrical panel *Function of Evolution Controller e@ Dimensions Mechanical Dimensions a Height Width Depth H1 H2 Wi W2 to, 235 264 a3 126 63 H2 H1 mm 597 6717 211 3207 1596 Wire Ranges Conductor Lug Neutral Lug Ground Lug 2/0-#14 2/0-#14 2/0-#14 wi wz Smart Switch Features Model 006462-0(16 kW)/006729-0(20 kW)/006551-0(22 kW) • Includes Digital Power Management Technology standard (DPM). No.of Poles 2 entl manages two air conditioner loads with no additional Current Rating(Amps) 200 • intelligently Y 9 Voltage Rating_(VAC) 120/240,10 . hardware Utility Voltage Monitor(Fixed)* • Up to four more large(120/240 VAC) loads can be managed when -Pick-up 80% -Dropout _ 60°k% used In conjunction with Power Management Modules(PMM**). Return to Utility* approx sec' • Electrically operated, mechanically-held contacts for fast, clean Exercise weekly for 12 minutes* Standard connections. UL Listed Standard Enclosure Type _NEMA/UL 3R • Rated for all classes of load,100%equipment rated,both inductive 'Withstand Rating(Amps) _ 22,000 and resistive. Lug Range 250 MGM-#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 311 aluminum outdoor enclosure. W' • Main contacts are silver plated or silver alloy to resist welding and sticking. **Note PMM starter kit is required prior to using the modules ryp H1 Dimensions 200 Amps 120/240,1e Open Transition Service Rated Height Width Depth H1 H2 W1 I W2 in 27 24 30.0 11.4 135 709 mm 692 0 1 762,4 2890 3430 180.0 DEPTH Wz—� CENERAC® 16/20/22 kW available accessories Model# Product Description 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 I Every standby generator requires a battery to start the system.Generac offers the recommended 26R € Y4^ FV ^ wet cell battery for use with all air-cooled standby product(excluding PowerPact®). If the temperature regularly falls below 32 IF(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 i Kit load you may not need.Not compatible with 50 amp pre-wired switches. 005839-0-Bisque r Fascia Base Wrap Kit* The fascia base wrap snaps together around the bottom of the new air cooled generators.This offers I' 005666-0-Gray (Standard on 22 kW) a sleek,contoured appearance as well as offering protection from rodents and insects by covering the f 9 lifting holes located in the base. C 005703-0-Bisque If the generator enclosure is scratched or damaged,it is 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. 006484-0-1 6 kW ,... T,. • -_ Generac's scheduled maintenance kits provide all the hardware necessary to perform complete 006485-0-20&22 kW Scheduled Maintenance Kit 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. i 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 kit) r can control two HVAC loads with no additional hardware.Not compatible with pre-wired switches, i - Power Management Module(50 Power Management Modules are used in conjunction with the Smart Switch to increase its power 006186-0 I management capabilities.It gives the Smart Switch additional power management flexibility not found I_ _ Amps) in any other transfer switch.Not compatible with pre-wired switches.Note:PMM Starter Kit required. r *Note:Bisque kits are used in conjunction with steel enclosures.Gray kits are used in conjunction with aluminum enclosures. dimensions & PCs Dimensions shown are approximate Refer to installation manual for exact dimensions DO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. 637.6 mm 125 1 m] 1218 mm [47 gin] Model UPC 006459-0 696471064599 0 0064610 696471064612 006721-0 696471067217 731 9 mm [288in] oil 006729-0 696471067293 006730-0 696471067309 006551-0 696471065510 0 - 0 006552-0 696471065527 006462-0 696471064629 642 mm [25.3 in] 1226 mm [48.3 in] LEFT SIDE VIEW FRONT VIEW GENE RACE Generac Power Systems,Inc. • S45 W29290 HWY.59, Waukesha,WI 53189 • generac.com ©2014 Generac Power Systems,Inc All rights reserved All specifications are subject to change without notice Bulletin OK8458-D Printed in U.S.A.06/19/14