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HomeMy WebLinkAboutMP17-186 QR(� tG�V'uIJJ v G G��tG• .r 4 J 14C,4 V V J•�, J�, VyW J VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 23,2024 The Tracy J. Lane Irrevocable Trust Lawrence G. Lane,Successor Trustee Jacqueline L.Taylor,Trustee 21 Reunion Road Rye Brook,New York 10573 Re: 21 Reunion Road, Rye Brook,New York 10573 Parcel ID#: 124.65-1-53 This document certifies that the work done under Mechanical Permit #17-186 issued on 12/l/2017 for the installation of a new gas fired water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to QyE BRC�k, cu � 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 : 2 / h L/N l d N /e o a Cl DATE: Z- / PERMIT# /27 ko Z / - /9 6 ISSUED:1z 7 SECT: BLOCK: % LOT: S 3 LOCATION: /3I7 S1- h 3/_C ",/ / OCCUPANCY: 210 ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ` ❑ Natural Gas �/ J ��w_ /f,/V/ T �0 2 l�i� T� Af ❑ L.P.Gas �� F4 %E /f - ❑ FUEL TANK 7 ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER * M# RG2PV75H6N 2015 BRADFORD WHITE` NAECA o IIaM W A T E R H E A T E R S Residential Power Vent 10V 3 0 201 Gas Water Heater 111LAGE D YE 1 ROOK The TTW Models Feature: MENT ■ ENERGY STAR®Qualified—Some models qualify for the September 1,2010 minimum ENERGY STAR`EF requirement,as well as most utility rebate programs. ■ Bradford White ICON System"—Intelligent gas control with spark to pilot ignition system eliminates the constant burning pilot.This results in savings of pilot gas during standby periods(120 V.A.C.). —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. ■ Power Vented Water Heater—Designed for installations where atmospheric units cannot be used. Exhaust gases are vented under positive pressure directly out of the building through the roof or the wall. ■ Powerful Blower Motor—Our significantly quiet design has greater resistance to outside winds and the power to vent in many difficult venting situations. Ten Foot Power Cord—Included(120 VAC). ■ Horizontal and Vertical Venting—PVC,ABS or CPVC(Maximum equivalent vent length on reverse side). ■ Advanced ScreenLok®Technology Flame Arrestor Design—Flame arrestor is designed to prevent ignition of flammable vapor outside of the water heater(excluding RG1 PV55H6N&RG2PV75H6N). ■ Flammable Vapor Sensor—Electronic sensor prevents burner operation if flammable vapors are detected.The sensor will also prevent operation if there is ongoing flammable vapor burn inside the combustion chamber(excluding RG1 PV55H6N& RG2PV75H6N). ■ Maintenance-Free—No regular cleaning of air inlet openings or flame arrestor is required under normal conditions(excluding RG1 PV55H6N&RG2PV75H6N). ■ Sight Window—Offers a view into the combustion chamber to observe the operation • of the pilot and burner. ■ Factory-Installed HydrojeV Total Performance System—Cold water inlet sediment reducing device helps prevent sediment build-up in tank.This increases first hour delivery,while minimizing temperature build-up at top of tank. ■ Vitraglase Lining—Bradford White tanks are lined with an exclusively engineered �~..man. enamel formula that provides superior tank protection from the highly corrosive effects of hot water.This formula(Vitraglas`)is fused to the steel surface by firing at a temperature of over 1600°F(871°C). ■ Non-CFC Foam Insulation—Covers the sides and top,reducing the amount of heat Photo IS Of loss. This results in less energy consumption, improved operation efficiencies,and RG2PV50H6N jacket rigidity. ■ Water Connections-3/4" NPT factory-installed true dielectric fittings. FEATURING: ■ 3/4"NPT Side Connections—(RG2PV50H6N, RG1 PV55H6N,and RG2PV75H6N idd- N only). ■ Factory-Installed Heat Traps—Design incorporates a flexible disk that reduces heat asystem- loss in piping and eliminates the potential for noise generation. �lu� � ■ Protective Magnesium Rod--(RG1 PV55H6N has 2). ■ T&P Relief Valve—Installed. ■ Thermostatic Mixing Valve(ASSE ApprovedHncluded(RG1 PV55H6N only). A L�/ ■ Low Restriction Brass Drain Valve Durable tamper-proof design. Sp� XL ® 6 or 10-Year Limited Tank Warranties/6 or 10-Year Limited Warranty on Component Parts. 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:5.682.666:7.634.976,5.660.165;5,954,492:6,056,542;6,935,280:5.372.185,5.485.879:5,574,822:7.971,560:7,992.526. 6,684,821.6,442.178,7,334.419,7.866,168,7,270,087;7,007.748.5,596.952;6,142,216;7.699,026:5,341.770;7,337,517;7,665.211;7,665,210:7,063,132:7,063.133;7,559,293;7.900,589.5,943,984, 8.082,888;5.988,117;7,621,238:7.650.859:5.761.379:7.409,925;5.277,171:8.146,772.7,458,341:2.262,174.OTHER U.S.AND FOREIGN PATENT APPLICATIONS PENDING.CURRENT CANADIAN PATENTS: 2,314,845;2,504,824:2,108,186;2,143,031:2,409.271:2,548,958:2,112.515:2.476.685:2,239.007;2.092,105:2,107.012 Defender Safety System",ScreenLok W°,TT ,Vitraglas"and Hydrolet'are registered trademarks of Bradford White"Corporation. 1261-A-1215 Residential Power Vent Gas Water Heater TTW®' Models Meet or exceed ASHRAE 90.1b(current standard)C.E.C.Listed NATURAL GAS AND LIQUID PROPANE GAS BO°"Recovery Efficiency Model Capacity Recovery at Model Capacity Recovery at Number 90'F Rise' Number 50°C Rise' Nat. LP 1st Hour Nat. Nat. LP LP Nat. LP 1atHour Nat. LP U.S. Imp. BTU/Hr. BTU/Hr. Rating Energy U.S. Imp. U.S. Imp. kW kW Rating Energy Liters/ Liters/ Gal. Gal. Input Input (Gal.) Factor GPH GPH GPH GA Liters Input Input (LNerx) Factor Hour Hour RG1PV4OS6N 40 33 40,000 38,000 72 0.66 43 36 41 34 RG1PV40S6N 151 11.7 11.1 273 0.66 163 155 RG1PV50S6N 50 42 40,000 38,000 86 0.65 43 36 41 34 RG1PV50S6N 189 11.7 11.1 326 0.65 163 155 *RG2PV40T6N 40 33 40,000 40,000 72 0.70 43 36 43 36 *RG2PV40T6N 151 11.7 11.7 273 0.70 163 163 *RG2PV5OT6N 50 42 40,000 40,000 86 0.70 43 36 43 36 #RG2PV5OT6N 189 11.7 11.7 326 0.70 163 163 *RG2PV5OH6N 48 42 65.000 58,000 112 0.70 70 58 62 52 *RG2PV5OH6N1 182 19.1 17.0 424 0.70 265 235 RG1PV55H6N 55 46 78,000 78,000 N/A N/A 84 70 84 70 RGIPV55H6NI 208 22.9 22.9 N/A N/A 318 317 RG2PV75H6N 75 62 76,000 75,5001 WA WA 1 82 68 81 67 RG2PV75H6N1 284 1 22.3 22.1 1 WA WA 1 310 307 A B C D E F H J K L M Model Approx. Number Floor to Jacket Vent Floor to Floor to Floor to C/L Floor to Depth Floor to Floor to Shipping Vent Dia. Size T&P Gas Top of of Water Water Space Heating Space Heating Weight Conn. Conn. Conn. Heater Conn. Conn. Inlet Outlet in. in. in. in. in. In. In. in. in. in. in. lbs. RG1PV40S6N 573Ae 20 2or3 40 11314 471/2 8 49 27% WA WA 140 RG1PV50S6N 58V4 22 2or3 405/8 113/4 48V4 8 501/2 263/4 WA N/A 166 #RG2PV4OT6N 661/e 20 2 or 3 50 113/4 563/4 8 58 241/2 1 WA N/A 146 •RG2PV5OT6N 661/8 22 2or3 50 113/4 563/4 8 58 261/2 WA N/A 173 3tr RG2PV5OH6N 66118 22 3 or 501/8 113/4 563/e 11 573/4 263/4 131h 501/8 187 RG1 PV55H6N 643/16 22 3 or 4 47i5/1e 11 Vz 545/8 8 56 26V2 133/8 4711he 219 RG2PV75H6N 691/,e 26 3or4 511h 131h 591h 11 603/4 301/4 133h 511h 1 260 Model A B C D E F H J K L M Approx. Number Floor to Jacket Vent Floor to Floor to Floor to CIL Floor to Depth Floor to Floor to Shipping Vent Dia. Size T&P Gas To of of Water Water Space Heating Space Heating Weight Conn. Conn. Conn. Heater Conn. Conn. Inlet Outlet mm. mm. mm. mm. mmo mm. mm. mm. mm. mm. mm. kg. RG1PV40S6N 1456 508 51or76 1016 298 1207 203 1245 708 WA WA 64 RG1PV50S6N 1480 559 51or76 1032 298 1226 203 1283 679 WA N/A 75 3tr RG2PV4OT6N 1699 508 51or76 1270 298 1441 1 203 1473 622 1 WA WA 66 •RG2PV5OT6N 1699 559 51or76 1270 298 1441 203 1473 673 WA N/A 78 •RG2PV5OH6N 1680 559 76 or102 1273 298 1432 279 1467 679 343 1273 85 RG1 PV55H6N 1630 559 76 or 102 1218 279 1388 203 1422 673 340 1218 99 RG2PV75H6N 1764 660 76 or 102 1308 343 1511 279 1543 768 340 1308 118 Propane models feature a Titanium Stainless Steel propane burner. For Propane(LP)models change suffix"N"to"X".For 10 year models,change suffix from"6"to"10".'Based on manufacturer's rated recovery efficiency.120 VAC Required for Power Venting/120 VAC 60HZ 3.1 Amperes. Energy Factor and First Hour Rating is based on the latest AHRI directory listings. *=ENERGY STAR"Qualified. L^ I �_C •, - K B - ` H RGIPV4GS6N RG2PV50H6N RG1PV50S6N RG1PV55H6N 3" 4" J RG2PV40T6N 2" 3" RG2PV75H6N Vent Pipe Vent Pipe RG2PV5GT6N Vent Pipe Vent Pipe Max.Equivalent Length f50 ft. t180 ft. A Max.Equivalent Length t50 ft. tl20 ft. Min.Equivalent Length 7 ft. 15 ft. F Min.Equivalent Length 7 ft. 15 ft. Number 1 45 ft. 175 ft. D&M Number 1 45 ft. 115 ft. of 12, 40 ft. 170 ft. of 2 40 ft. "Oft 90"Elbows 131 35 ft. 1 165 ft. 90°Elbows 3 35 ft. 105 tt. Subtract 5ft.for each additional 90°elbow him c-7 t For high altitude installations,consult the installation instructions. L I E o L General:All gas water heaters are certified at 300 PSI(2068 kPa)test pressure and 150 PSI(1034 kPa)working pressure.All water connections are 3/4" NPT(19mm),all gas connections are 12"(13mm).All models design-certified by CSA International(formerly AGA/CGA),ANSI Z-21.10.1 and/or 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. a For U.S.and Canada field service,contact your professional installer or local Bradford White sales representative. BRADf30 �� Sales 800-523-2931 Fax 215-641-1670/Technical Support 800-334-3393•Fax 269-795-1089•Warranty 8W-531-2111•Fax 269-795-1089 " Ambler,P�A� intemational:Telephone 215.641-M•Telefax 215-641-9750/www.bradfordwhite.com <SRADIa a 14M7E-CANADA'INC. Sales/Technical Support 866-690-0961/905-238-0100•Fax 905-238-0105/www.bradfordwhke.com Built to be the BeStTM 1261-A-1215 n2015.Bradford White Corporation.All rights reserved. Printed in U.S.A. Westchester County Board of Plumbing Examiners Westchester County Consumer Protection Master Plumbing License 2017 Frank Campisi ..I' D.O.B: 03/03/1948 Height:5'07 Weight:175 Hair:Brown Eyes:13rlwn Company:, Bruni and Campisi P6 anS Htg 199 Ridgewood-Drive A Elmsford,NY 10523 License No. 2 Expires on:12/31/2017 John Royce ANEW ORK STAT�E� 1 DRIVER LICENSE ID: 275 434 676 CLASS D CAM PI SI FRANK 38 COTSWOLD DR };c NORTH SALEM NY 10560 DOD: 03-03-48 SEX- M FYE'- OR HT: 5.08 NONE ISSUED:02-19-13 EX°`4S 0-03-21 IBPi LJUA05 BRUN&CA-01 JFINLEY AcoR�` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/6/2017 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 John M.Glover Agency PHE Jennifer Finley _ FAx Insurance Services LA/C.No.E,d►:(914)829-9074 9074 ac No:(203)274-9465 45 Knollwood Rd E-MAIL -- Elmsford,NY 10523 ADDRESS_jfinley 'ohnmglover.com _ — _ _ _— __ _INSURER(p AFFORDING COVERAGE _ _ _ NAIC 0 INSURERA:W_eSCOInsurance Company 25011 INSURED INSURER B:Great American Ins Company of New York 22136 Bruni and Campisi Plumbing,Heating&Air Conditioning,Inc. INSURERC_: 199 Ridgewood Drive INSURERD: Elmsford,NY 10523 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 _ -- —TAWL SUBR -- — — LTR TYPE OF INSURANCE WV POLICY NUMBER MMIDDY� MOMIIDD� LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE = 1,000,000 CLAIMS-MADE E X I OCCUR X WPP1238824 03 02/16/2017 02/16/2018 DAMAGE�nce i 300,00 MED EXP(Any one person) i 10,00 rt___1 — -- -_ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 - POLICY LX JE O LOC PRODUCTS-COMP/OP_AGG 6 --.2,000,000 H 0 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,00(Ea accident) s A ANY AUTO WPP123882403 02/16/2017 02/16/2018 BODILY INJURY(Per person) $ ALL OWNED F SCHEDULED -- -- AUTOS AUTOS I BODILY INJURY(Per accident) E HIREDAUTOS NON-OWNED PROPERTY DAMAGE -- AUTOS i (Per accidence _- - X UMBRELLA LAB X OCCUR EACH , _ OCCURR_ENCE B EXCESS LIAB XS3717765-02 02/16/2017 02/16/2018 _ $_ S,000,OOO ;CLAMS-MADE I GATE $ 5,000,000 DEDX RETENTIONS 10,000 $ WORKERS COMPENSATION - AND EMPLOYERS'LIABILITY YIN STATUTE ER _ _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. OFFICER/MEMBER EXCLUDED? ❑ N/A EACH ACCIDENT $ _. (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A iPollution Liability WPP1238824 03 02/16/2017 62/16/2018 per occurrence 1,000,000 I I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is included as an additional insured under general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Workers' YORK CERTIFICATE OF YOR sraTE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Strategic Outsourcing,Inc. 914-946-5558 L/C/F Bruni and Campisi Plumbing and Heating Inc. 199 Ridgewood Drive 1 c. NYS Unemployment Insurance Employer Registration Number of Elmsford,NY 10523 Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 1d.Federal Employer Identification Number of Insured or Social Security Number 13-2999646 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Indemnity Insurance Company of North America 3b.Policy Number of Entity Listed in Box"1 a" Village of Rye Brook C64324767 938 King Street 3c.Policy effective period Rye Brook, NY 10573 03/01/2017 to 03/01/2018 3d.The Proprietor,Partners or Executive Officers are ® Included.(Only check box if all partners/officers are included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"S'insures the business referenced above in box"la"for workers' compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? ❑YES ❑NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Annette D'Urso d representative or licensed agent of insurance carrier) i�� Approved by: 05/04/2017 (Signature) (Date) Title: Vice President Telephone Number of authorized representative or licensed agent of insurance carrier: 302-476-6307 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT. authorized to use it. C-105.2(9-15)