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Home My WebLink AboutMP13-090 �E BRCv�. cu � l7 BUILDING DEPARTMENT ❑ UILDING INSPECTOR pQ ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street . Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : \ \C OJ � �2 DATE: L ' Z D' Z UZ PERMIT# IMP 3 ' 0 4) c7 ISSUED: -/ -`�- �3SECT: I��• Y� BLOCK: I LOT:--')- LOCATION: ASP OCCUPANCY: 2 ❑ Violation Noted THE WORK IS... Jd PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION �l ❑ Natural Gas W A � h P� ❑ L.P. Gas 7 ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION �l FINAL i - I - `� 3 Q 3 1 -1CaU ❑ OTHER QyE BRC�k. of tim /'• 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR _❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street . Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - -- - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : I� J J2 (/� DATE: PERMIT# l /✓ - ISSUED: /- SECT:/35-• 7L BLOCK: LOT: LOCATION: �//Y S� y OCCUPANCY: /U ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION D" SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas [IFu Gas ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER : � a � a wz $ C b0 c > m cUd �I .:.. ao p o i FFes/ IG� x Ay 0 p aNa�i401 rA a ca i H ^ kn v U az° v a. Z a -°° ;To cr vim °, c� 1, a ° Z ow " J Eo w t W r � E -0Q d i g o v� 1 ti Or. rl Q' p4 ° `i' X � 3 � 0 ME u WO � U0, Q V z >, V U — > '> a c to .2a � O U f a.� •_ c = O W F s 16 :, ,t_ VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET,RYE BROOK,NY 10 (914)939-0668 FAX(914)'939-5801 www. a AUG 2 9 202 APPLICATION FOR PERMIT TO INSTALL D = IBROOK HEATING VENTILATION AND/OR AIR CONDITI N1 Permit#: 1 3 - o rl Building Inspector: Fee Paid: Date of Approval: Parcel ID#: Bldg/Use Class: Res. ( ; Comm. REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: l. Properly Completed&Signed Application. 2. Site/Staging Plan if required by the Building Inspector. 3. Copy of Licensed Contractor's Insurance including Liability& Workers Compensation naming the Village of Rye Brook as Certificate Holder. 4. Payment of Fees/Unit: Residential: $75.00;Commercial: $250.00. (fees are non-refundable) 5. Inspection by Building Department for removal and/or installation. (48 hour notice required) 6. Any electrical work requires a separate Electrical Permit and Electrical Inspection. 7. Any gas/plumbing work requires a separate Plumbing Permit and Plumbing Inspection. Application is hereby made to the Building Inspector of the Village of Rye Brook for the approval of a permit for the installation and or removal of the HVAC equipment as listed below. The applicant, by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local, County, State &Federal laws,codes, rules and regulations.1. Site Address: �G�f��. (IF�� . A / L/ /'OS 725 2. Property Owner& Phone: A/f} 3. Applicant: �n/J� �VJ�/S 4. Contractor name, address, contact phone: P/ S 5. Scope of Work:New Installation( ); Replacement(v�emoval ( ); O1�) 6. Type of Equipment: �S- ��GLO/l1 7`7Z�T T 7W 7. Location of Equipment: it�� T 8.Applicant Signature: 4_ �' Date:sZ f /b' 6.1.12 BRADFORD WHITE W A T E R H E A T E R S Residential Atmospheric Vent High Input Energy Saver Gas Water Heater The Atmospheric Vent Models Feature: ■ Bradford White ICON System"—Intelligent gas control with proven millivolt powered technology and built-in piezo igniter. A standard,off the shelf thermopile converts heat energy from the pilot flame into electrical energy to operate the gas valve and microprocessor. No need for external electricity. -Enhanced Performance—Proprietary algorithms provide enhanced First Hour Delivery ratings and tighter temperature differentials. -Advanced Temperature Control System—Microprocessor constantly monitors and controls burner operation to maintain consistent and accurate �`� water temperature levels. �'� -Intelligent Diagnostics—An exclusive green LED light prompts the installer during start-up and provides ten different diagnostic codes to assist in troubleshooting. - Pilot On Indication—Flashing green LED provides positive indication that pilot is on. -Separate Immersed Thermowell—High strength advanced polymer composite thermowell provides isolation between electric temperature sensor and surrounding water. No need to drain the tank when removing gas valve. ■ Factory Installed Hydrojet 2"Total Performance System—Cold water inlet sediment reducing device helps prevent sediment build up in tank and increases first hour delivery of hot water. ■ Vitraglas"Lining—Bradford White tanks are lined with a exclusively engineered enamel formula that provides superior protection from the highly corrosive effects of hot water. This formula(Vitraglas7 is fused to the steel surface by firing at a temperature of over 1600°F(871°C). I ■ Side Connections-3/4"(19mm)NPT tappings that allow easy connections e 1 for space heating applications(potable water only). l4D ■ Non-CFC Foam Insulation—Covers the sides and top of tank,reducing the e f amount of heat loss. This results in less energy consumption,improved operation efficiencies and jacket rigidity(M-I-75 has 1'X" (32mm)and M-1-100T has 2"(51mm)). ■ Pedestal Base. ■ Water Connections—Factory installed true dielectric fittings extend water heater life and eases installation(M-I-75S has 1"(25mm)NPT and M-I-100T has 1 YV (32mm)NPT). ■ Hand Hole Cleanout—Allows inspection of tank interior and facilitates the removal of sediment deposits(M-I-100T models only). ■ Protective Magnesium Anode Rod. Photo is of ■ 4" (107mm) "Snap Lock" Draft Diver-ter. M-I-100T66N ■ T&P Relief Valve—Included. FEATURING: - ■ Low Restriction Brass Drain Valve—Durable tamper proof design. IdAM System A■ioad 6 or 10-Year Limited Tank Warranties/6-Year Limited Warranty on Component Parts. sP• ® (( 1 For more information on warranty,please visit www.bradfordwhite.com For products installed in USA,Canada and Puerto Rico.Some states do not allow limitations on warranties.See complete copy of the warranty included with the heater. MANUFACTURED UNDER ONE OR MORE OF THE FOLLOWING U.S.PATENTS:5,954,492:5,761,379,5,943,984:5,081.696,5,988,117;6,142,216;5,199,385,5.574,822;5,372,185;5,485,879;5,277,171; (131)5.341,770;5,660,165;5,596,952:5,682,666:4.904,428:5,023,031:5,000,893;4.669.448;4,829,983;4,808,356:5.115,767;5,092,519;5,052,346;4,416.222;4,628,184;4,861,968;4,672,919;Re.34,534; 7,270,087 B2.OTHER U.S.AND FOREIGN PATENT APPLICATIONS PENDING.CURRENT CANADIAN PATENTS:1,272,914;1,280,043;1,289,832;2,045,862:2,112,515:2,108,186;2,107,012;2,092,105;2,409,271. Vitraglae and Hydroier are registered trademarks of Bradlord White*Corporation. 108-13-0211-A Residential Atmospheric Vent Gas Water Heater High Input Energy Saver Models Mee:or exceed ASHRAE 90.1b(current standard)C.E.C.Listed NATURAL GAS AND LIOUID PROPANE GAS 80 Recovery Efficiency Capacity Recovery A B C D E F G H K Approx. Model 90 F Rise' Floor to Jacket Vent Floor to Floor to Floor to Floor to Floor to Depth Shipping Number Flue Dia. Size T&P Gas Space Space Water Weight Nat. LP Nat. Nat. LP LP Conn. Conn. Conn. Heating Healing Conn. U.S. Imp. BTU/Hr. BTU/Hr. U.S. Imp. U.S. Imp. Inlet Outlet Gal. Gal. Input Input GPH GPH GPH GPH in. in. in. in. in. in. in. in. in. lbs. M-1-75S6BN 75 63 76,000 1 76,000 82 69 82 69 62% 24 4 51% 15 16% 51% 59 28% 238 M-1-100T613N 1100 83 85,000 1 88,000 1 92 77 95 80 1 68"A 28Y 4 59Yt 15% 171A 50% 65% 32Y 420 Capacity Recovery A B C D E F G H K Approx. Floor to Jacket Model 50°C Rise* Venl Floor to Floor to Floor to Floor to Floor to Depth Shipping Number Flue Dia. Size T&P Gas Space Space Water Weight Nat. LP Nat. LP Conn. Conn. Conn. Heating Heating Conn. kW kW Liters/ Liters/ Inlet Outlet Liters Input Input Hour Hour mm. mm. mm. mm. mri mm. mm. mm. mm, kg. M-I-75S6BN 284 22.3 1 22.3 310 310 1575 622 102 1321 381 432 1321 1549 718 107 M-1-100T6BN 379 24.9 1 25.7 348 359 1745 718 102 1507 397 448 1286 1676 797 191 Propane models feature a Titanium Stainless Steel propane burner. For Propane(LP)models change suffix"BN"to"SX". For 10 year models,change suffix from"6"to'"10". 'Based on manufacturers rated recovery efficiency. M-I-100T models feature hand hole cleanout. —. C --► C � PLUG TYPE _ANODE K o 0 o B 1 A H G& D H G&D A . 00 t i t � i E F E F ! o a ! 1 1 M-1-75S Model M-1-100T Model Meets NAECA Requirements General All gas water heaters are certified at 300 PSI test pressure(2068 kPa)and 150 PSI working pressure(1034 kPa).The 75 gallon model(284 liters)has 1" (25mm)water connections on 11"(279mm)centers and 100 gallon model(379 liters)has 1Y,"(32mm)water connections on 16"(406mm)centers.All gas connections are 1/2"(13mm). All models design certified by CSA International(formerly AGA/CGA),ANSI standard Z-21.10.3 and peak performance rated. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. Suitable for Water(Potable)Heating and Space Heating. Toxic chemicals,such as those used for boiler treatment,shall NEVER be introduced into this system.This unit may NEVER be connected to any existing heating system or component(s)previously used with a non-potable water heating appliance. AM BAWFORD WHITE' W A T E R H E A T E R 9 Ambler,PA For U.S.and Canada field service,contact your professional installer or local Bradford White sales representative Sales 800-523-2931•Fax 215-641-1670/Technical Support 800-334-3393•Fax 269-795-1089•Warranty 800-531-2111•Fax 269-795-1089 International:Telephone 215-641-9400•Telefax 215-641-9750/www.bradfordwhite.com BRADFDR~~D WInTE-CANADW INC. Sales/Technical Support 866-690-0961 905-238-0100•Fax 905-238-0105 www.bradfordwhite.com Built to be the BestTM 02011,Bradford White Corporation.All rights reserved. 108-B-0211-A Prmt-d i,i U-SA L- Westchester County Board of Plumbing Examiners Westchester County Clerk's Office Master Plumbing License 2013 Frank Campisi D.O.B: 03/03/1948'_=;,� Height: 5'0 le�ght j 5 4 7 . , Hair: Brown :y Eyes :Brownvt- 4 Company: : . ' Bruni and Ca.,, Plg�an , Htg 199 Ridgewood D.rrve = I� Elmsford;NY 1.0523 License No. 2 R Expires on:12/31/2013 John Royce b t ACORN,, CERTIFICATE OF LIABILITY INSURANCE _02/21/2'21'/ ' 012 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 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 CONIAGI NAME: Pattie Zukowski Rosol Agency CNN 914-368-1280 An Ne;914-3SS-2451 62S Fifth Avenue ADDRESS: pz@meridianrisk.com Pelham, NY 10803 INSURER(S)AFFORDING COVERAGE NAIC M INSURERA: Merchants Insurance Group 23329 INSURED Bruni & Campisi Plumbing & Heating Inc. BISUREa8: 199 Ridgewood Drive INSURERC: Elmsford, NY 10523 INSURERD: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 13-14 Municpal. 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. LTR TYPE OF INSURANCE i R WVD' POLICY NUMBER MMIDONYYY MMlOD/YYYY LIMITS GENERAL LIABILITY CMP91 S 233 q 02/16/2013 02/16/2014 EACH OCCURRENCE $ 1,000,0( X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,0( CLAIMS-MADE OCCUR MED EXP(Any one person) S S,O( A X PERSONAL 6 ADV INJURY S 1,000,0( GENERAL AGGREGATE ,$ 2,000,0( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG i 2,000,0( POLICY X j� LOC I $ AUTOMOBILE LIABILITY CAP926739 02J1612013 02116/2014' u acddent s 1,000,04 X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED B X AUTOS AUTOS X accident)BODILY INJURY(Par 'S X _ X HIRED AUTOS X NON-OWNED EaTPoE""'' s AUTOS Per accident S X UMBRELLA LIAR X OCCUR CUP914143 102/1612013102/16/2014 EACH OCCURRENCE s S,000,01 A ,EXCESS LIAR _ CLAIMS-MADE X AGGREGATE .$ S,0OO,OI DEO I X I RETENTIONS 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIA80.ITY YIN TORY LIMTTSI ER ANY PROPRIETORIPARTNERIEXECUTIV" NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED 9 u (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ It yyea describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) ILLAGE OF RYE BROOK IS INCLUDED AS AN ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. VILLAGE OF RYE BROOK BUILDING DEPT. AUTHORIZED REPRESENTATIVE 444:41"ek— 939 KING STREET RYE BROOK, NY 1OS73 lJoseph Solimine, Sr. 3LF 01988-2010 ACORD CORPORATION. All rights reserve ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS'COMPENSATION INSURANCE COVERAGE la Legal Name and Address of Insured(Use street address only) lb Business Telephone Number of Insured Bruni and Campisi Plumbing And Heating Inc (914)946-5558 199 Ridgewood Drive Elmsford,NY 10523 Ic NYS Unemployment Insurance Employer Registration Number of Insured Work Location of insured(Only required ifcoverage is specificalb, I d Federal Employer identification Number of Insured Limited to certain locations in Neir)'ork State,i.e.a 11'rap-Up Policy) 132999646 2. Name and Address of the Entity Requesting Proof of 3a Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) State Fund#455 Village of Rye Brook 3b Policy Number of entity listed in box"I a" 938 King Street 22331243 Rye Brook NY 10573 3c Policy effective period 5/1/2013 to 5/1/2014 3d. The Proprietor,Partners or Executive Officers are: ❑X Included. (Only check box if all partnerstofficers include) oall excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box"Ia"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"T'. The Insurance Carrier will also nosh,the above certificate holder within 10 dovs iF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonMwient of premiums that cancel the polio or eliniinare the insured front the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otheneise,this Certificate is valid for a maximum of 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 fork State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent orthe insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by Keevily Spero Whitelaw,Inc (Print name of authorized representative or licensed agent of insurance carrier) Approved by ff i�a April 30,2013 (Signature) (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier:(914)391-5511 Please Note:Only insurance arriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT outhorced to use it. C-105.2(9-07) Reverse New York State Insurance Fund Workers'Canrpensatiorr& Disabilih'Beirefits Specialists Since 1914 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 Phone (888)997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE "^A A^" 132999646 KEEVILY,SPERO-WHITELAW INC. 500 MAMARONECK AVENUE HARRISON NY 10528 POLICYHOLDER CERTIFICATE HOLDER BRUNT AND CAMPISI PLUMBING AND VILLAGE OF RYEBROOK HEATING,INC. 938 KING STREET 199 RIDGEWOOD DRIVE RYE-BROOK NY 10573 ELMSFORD NY 10523 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE G 2233 124-3 215820 09/15/2012 TO 05/01/2014 2/28/2013 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO.2233124-3 UNTIL 0510112014, 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. IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 05/01/2014 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 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 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,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.corTVicert/certval.asp or by calling(888)875-5790 VALIDATION NUMBER: 107529507 U-26.3 503/CD47635-20/687