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HomeMy WebLinkAboutMP19-071 (Qy�'QRn'1'. �41Wv 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 16,2024 David DiStasio& Kirsten DiStasio 36 Meadowlark Road Rye Brook,New York 10573 Re: 36 Meadowlark Road, Rye Brook,New York 10573 Parcel ID#: 129.84-1-18 This document certifies that the work done under Mechanical Permit #19-071 issued on 5/16/2019 for the installation of a new above-ground propane tank has been satisfactorily completed. Sincerely, Steven E. Fews Building& Fire Inspector /to �yE BRC�� • ,9�2 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 : 3 l0 M eG, 'Jo a c k (Z-:>j DATE: ) - 1 2 - 1 02`( Q PERMIT# � / O 7 ISSUED: -/6 -/Ip SECT: 10. 6 y BLOCK: LOT: 1UU LOCATION: s I A e q ml OCCUPANCY: >� -J ❑ Violation Noted THE WORK IS... S PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION❑ Natural Gas -3 Z `, o.� b, - ❑ L.P. Gas G� 1 FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRCvk 1982 BUILDING DEPARTMENT D 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:- � O IV I J w J��., L 1 C DATE: L C PERMIT#r'�'1-- �� - �� ISSUED: SECT: BLOCK: LOT: LOCATION: y OCCUPANCY: i ❑ VIOLATION NOTED THE WO K IS... ❑ ACCEPTED / IlliINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: L ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑; NATURAL GAS Nn p L.P. GAS ❑ FUEL TANK - ❑ FIRE SPRINKLER i L ❑ FINAL PLUMBING / ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER n OD O Ch 0 0 oc W W in 'w ode a 96 Coo zillrt ~ CLLn co 4­ 0 A oN x 00 a � z C � A � � .•$ o x U a CIO o` er Q 0lz Bump.ING ICE MENT IL D (� n VW( OF RYE OK V ' 938 KING STREET RYEgBB',' ' NY 10573 MAY 15 2019 (914)939-066 939-5801www VILLAGE OF RYE BROOK _...___. BUILDING DEPARTMENT PLUMBING PERMIT APPLICATIO �- FOR OFFICE USE ONLY —O / 1 PP 4 Jq7023 Approval Date: MAY 1 7 2019 Permit Fee: $ 1 7�nl Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 3:�/!y/(j is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below. The applicant&property owner, by signing this document agree that said plumbing work will be in conformance with all applicable Federal, State, County and Local Codes. 1.Address: "It- �_ �otr(c SBL: 1 a9_ 4-09-Zone:UQ 2.Proposed Work: -'?o-'F ( ' &b.PA-, c- (71j) / ire �o>n f�cvt {-c'L- �s4v-L-Q-c Pr,/l._ . 3.Property Owner: l>c S T11 S I b Address: p3 4-cw "C. Phone#: Cell#: Q�7 I l f -�"3 I I email: 4.Master Plumber. cS aaNI'°-' Address: t 3I{3L- j2* SL [l N ( icl 2 Lic. #: 1(0 U Phone#: Qtc(-9 o 6 -S�"to Cell#: email: Company Name:L ()Ly-,-j iL-�% Address: (3 S F• l�L �'04{t,w� iV y' (�j 1 L INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement I st Floor 2nd Floor 3`1 Floor 4`h Floor 5`h Floor Exterior �{ 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 3/21/19 SWE OF NEW=YORK r'NTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (print n e o individual sigm gas th applicant) an further ates that(s) e' legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (i dicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of 20�c� day of 20�� Signature of Property Owner Signature pli lcw;J `n i-Pies/ O 47 Z-eagL Print Name of Property Owner Print Name&Applicant I 01cationi yle Soto N9t zanne Gayle Soto c State of New York Notary Public State of New York 73049 No. 01SO4973049 Westchester County ZQualified in Westchester County Expires 10/09/20 Z Commission Expires 10/09/20Z. This ap must be properly Completed in its entirety and must inclu e t e no a the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 3/21/19 BUILD,JNG ft MENT VIL2ET E OF RY OK 938 KING�t RYE BR: NY 10573 MAY 15 2019 (914)9 9 39-5801 i VILLAGE OF RYE BROOK W � --- BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE§216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: /J 31, , residing at, ` ��e CL �A l I'mit n1nl�} �ilill'>ti Ali t):i I! i) being duly sworn, deposes and states that (s)he is the applicant above named, and further states that (s)he is the legal owner of theCc�� property to which this Affidavit of Compliance pertains at; 3 N PV1-44,W `^m x4 L12 — g fav r_ , Rye Brook,NY. (:rob Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. C14uj C� —T D (Signature of Propeny 0hk ner(s)l (PrintN<une Ott ji,'l:i-i, Sworn to before me this day of , 20_n (Nouiry Public NorSuzanne Gayle Soto Notary Public State of New Yo]t� .Qualified in Westchester Coun Commission Expires 10/09/2 -3- 3i21%19 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) �►...� 1 2/2 012 01 8 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, IP41PORTANT: 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 may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: T Anthony C Pepe AC Pepe Insurance PHONE Eat): (845)724-3031 AIc N: (845)724-3099 JAI2568 Route 55 ADDRESS: tony@pepeinsurance com PO BOX 480 INSURER(S)AFFORDING COVERAGE NAIC 8 Poughquag NY 12570 INSURER A: Erie Insurance Company 26263 INSURED INSURER B: Erie Insurance P&C Go. 26830 LPH PLUMBING&HEATING INC INSURER C: 1397 ROUTE 52 INSURER D INSURER E CARMEL NY 10512-4557 INSURER F: COVERAGES CERTIFICATE NUMBER: 6/22/201 8-201 9 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 CONTRACTOR 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 INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR PREMISE=Xurrence S 1,000,000 MED EXP(Any one person) $ 5.000 A 030-7220084 06/22/2018 06/22/20/9 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 x POLICY ❑JPER4 LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY E Pdent i U L $ 1,000,000 a ecd ANY AUTO BODILY INJURY(Per person) $ A OWNED x SCHEDULED Q06-7230125 06/22/2018 06/22/2019 BODILY INJURY Per accident) $ AUTOS ONLY AUTOS x HIRED x NON-OWNED AUTOS ONLY AUTOS ONLY per accident PIP-Basic $ 50.000 x UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE Q30-7270021 06/22/2018 06/22/2019 AGGREGATE $ 1,000,000 DED I XJRETENTION$ 10,000 $ WORKERS COMPENSATION PER I H- AND EMPLOYERS'LIABILITY Y/N x $TATUTE ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE 100,000 B NIA A Q90-7200097 06/22/2018 06/22/2019 E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? .-- (Mandatory In NH)If yes,dewAbe under EL DISEASE-EA EMPLOYEE $ 100,000 - - DESCRIPTION OF OPERATIONS below El DISEASE-POLICY LIMIT 3 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured LPH Plumbing and Heating Inc 8452246148 1397 Route 52 Carmel,NY 10215 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations In New York State,i.e.,a Wrap-Up Policy) Number 46-0553880 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Erie Insurance Company Village of Rye Brook 938 King Street 3b.Policy Number of Entity Listed in Box"1a" Rye Brook,NY 10573 Q90-7200097 3c.Policy effective period 06/22/2018 to 0 612 2/2 01 9 3d.The Proprietor,Partners or Executive Officers are Included.(Only check box if all partners/officers included) XO all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a°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? Zx 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: Anthony P (Pr' name of a ze rep tative or licensed agent of insurance carrier) Approved by: - 6 - 2 Title: Agent Telephone Number of authorized representative or licensed agent of insurance carrier: 845 724 3031 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to Issue it. C-105.2 (9-15) www.wrb,ny.gov 6 , f �' .-rr l N3VYlNVd3a DNIQ11118 Q /"'i'Ci 'Ii t� tt,„�LJ �l00 8 3A 30 30011A Jf b �t t� n _ �- 0 And 1 t G Iva CD f Meadowlark" , situate in the Village of Rye Brook, Town of Rye, County of Westchester and State of New York. Map was filed in the Westchester County Clerks office, Division of Land Records, on April 27, 1960 as map no. 12390• Certified made in accordance with the Code of Practice of the NYSAPLS to: New York Title Research Corporation--First American Title Insurance Co. of New York--Nina Monti. -QSqO Scale is I" to 30' NY LIC 495N �• '�+ ti=, too Qp Survey 03-D Christopher Crossland P.O. Box 439 830f eyr Fleetwood, NY 10552 Surveyeds' Jan. 9, 2003 Lac/ Title no: NYT 6970 T 2220� 1gp Brought to Date: 8/19/2008 =0 193� A 910� WA&L �c< 7ofis N : At, V b �v 3 � FRAME 2,. � o.� �ti SPLIT"LEVEL ,,. h G si WEL1..1 `•.'.� I— AWWILI gar j Q —0 C3 �� cs• n� N, Y1� 9 p � CE Q z to AUG 2 5 2008 ! R f239.40 1&=22°1d2 .L' 64 Z 1.1' "� Bo/.b 4.7y7•y AC VILLAGE Of RfE BROOK BNILDING DEPARTMENT � r •AC A M^%A/1 A OV Otr1 A r% EC.; iJ L APR 2 9 2016 BUILDING DEPART MENT O h N N N �y N ry N ~ N Li �} BO O' t i g 1 o 0 0 00 0 0 0 o u o o Q Q Op 10 LLJ uj tN� St -12 W 3000 p NOLLION00 -IVRl31YN VltlO Q > NOIS30 p N9IS30 13SS3A N 13SS3A g N n ♦ of n o m a = l01 a Q_ 88 -) M� m G w Oaw N O 7n 1 S� < _ t J i s a o 0 waY CO D J V)LLI -9i Z pUWW I \ W 2a J o J V) w < z a r Z m N � i l -------- - a- o Li t rz W I Z m J & W m o = Q a � u U w N �p O J $ w D LI)J Q d 3 Z W m 3 3 CZ Z F_ cD y OJ Q In O LLJ Q J gg °- W N J z m 3 X o Clxm ax J D D p V) Z f z n no � t 0 to m 9= " N w N N I �J Z O (D "Go a 3 1 0 Z) p m w W 3 O N Q U m D WW a cn 0 x V)�of- O i d DW p[n U l I r C3 Z_ J O c i W - -.._. _ ._ Z w w Z a U) a _.O o to w co w T �� % Q O C i jj =O 4 n 3. J H r l a N D 0 n n N o LQ o a m m N J D OO n a c0 00 ri n a Lo n iv n Z\_ J p q pp p U in N O O N N d n v V) U O J( Q N ^ O Oi OD 0o n 17 V' n N N �O Q W Z J 63� O z J y y W Z W U W O m _J 4 m U W li C7 S Y J : Q �Q� J % J Q. = Z � 0 % Q % }r Technical Data Digital and Millivolt Gas Heaters _ B ....� �0�fliYSq��ER � FLUE F S��MB�SIIB�f�lY f~10' ACfi 8-7/8' C INDOOR 0 Lai 0 DRAFTHOOD IIr_ 32-11/18' 40 o�uc+v 38- ¢acincnL ® smcKi[as CON1FC1gN ® oucooin.�. Cr /1 Rn 13-1/4' cC Amp Draw 120 volt 240 volt A 2d- Digital 4 2 Shipping Weights (Ibs) BTUH (A) (B) (C) w/Polymer w/Cast Iron Headers Headers Heater Input Cabinet Flue Indoor (D) 0) Gas Water and Stackless and Stackless Indoor Model (000) Width Dia. Drafthood Minimum Conn. Conn. Top Top Drafthood R206A 199.5 20" 6" 61-5/8" 10 j 11-3/4" 3/4" 2" 187 206 12 R266A 266.0 23" 7" 62" 11-112" 11" 3/4" 2" 210 229 1 15 R336A 332.5 26" 8" 63" 13" 10-5/8" 3/4" 2" 230 249 17 R406A 399.0 29" 9" 64-1/2" 14-1/2" 12-1/8" 3/4" 2" 249 268 20 Designation for a Digital heater using propane gas is "EP"; a Digital heater using natural gas is "EN". Designation for a Millivolt heater using propane gas is "MP"; a Millivolt heater using natural gas is "MN". Prefix "P" is for plastic (polymer) headers; "C" is for cast iron (ASME) headers. Suffix "X" is for cupro-nickel tubing; "C" is for copper tubing Example: P-R406A-EN-X = Plastic headers, 406 model size, digital, natural gas, cupro-nickel Reduce input 4% for each 1000 feet above sea level when installed above 2000 feet elevation. Manufactured under Patent No. 3,623,458. Plastic (polymer) headers cannot be used for installations requiring ASME certification. 7=7" Rhoom'Comp"Y Swimming Pool and Spa The Pool and Spa Heating Experts Heating Products Technical Data Features All models • Self-Diagnostic On-board diagnostic controls let the user and the service professional know what is • PolyTuf Textured Powder Coating going on with the heater at all times.All information is presented in real English,no The Raypak gas heater has a polyester-coated, non-corrosive cabinet that is more cryptic codes to decipher.In the event that you would ever have a problem with the durable than solventborne- and waterborne-coated metal cabinets. Every piece of heater,the digital display will indicate the source. sheet metal goes through a 7-stage wash system,making certain the powder paint . Flame Strength Indicator has a perfect bond.Underneath the tough,yet beautiful finish you will find galvanized A pool industry first!The pilot flame signal is monitored with an easy to read visual metal that offers superior rust prevention and years of durable service. bar display.4 bars or less indicate a weak signal,letting the service tech know that • Wind-Resistant Design the pilot should be checked. 5 bars or more indicate good flame rectification.Every No need for fans to combat drafting problems. This heater is designed to draft heater is test fired before packaging,and the flame strength is verified to be strong naturally in outdoor installations with its exclusive low-profile design. It is so before leaving the factory. thoughtfully and carefully designed it actually protects itself from the things that tend • Voltage Monitor to stifle ordinary pool and spa heaters.It delivers uninterrupted heating performance Transformer output power can be monitored by the circuit board.This helps service regardless of falling leaves,wind,airborne debris,rain,downdrafts,updrafts,sleet, techs diagnose issues quicker and more efficiently. snow,etc. • Cycle Counter and Run Time Monitor • Polymer Headers The control captures every cycle of the main gas valve as well as how long it stays Polymer headers prevent rust stains from harming your pool's surface, giving you open.This offers valuable and useful feedback to the service tech.By monitoring the years of trouble-free swimming pleasure. run times on multiple unit installations,the load can be evenly distributed among the • All-Copper-fin-Tube Heat Exchanger units,preventing excessive wear and tear on one unit. The fin tubes of the heat exchanger are each made from a single piece of extruded . Remote-Compatible copper.This integral-fin design allows maximum heat transfer to be attained and Compatible with most major pool control and remote systems on the market today.Any maintained.Cupro-nickel is also available as an optional upgrade. two-wire or three-wire remote can connect to the heater and be integrated into the • Stainless Steel Tube Sheet pool control system of your choice. Stainless steel tube sheets are used on all Raypak heaters with the polymer headers. . Electronic Ignition This allows for a completely nonferrous waterway,leaving your pool truly rust-free. Raypak Digital heaters come standard with intermittent spark ignition pilot safety • CPVC 2"Water Connections controls.What this means is that the pilot only comes on when there is a call for heat. Standard with every Raypak heater is a set of 2"slip-fit CPVC water connections to This provides an energy-efficient way to control your heater's gas usage by eliminating make your installation secure and effortless. the need for a continuous pilot. • Condensation Protection The Unitherm Governor helps reduce condensation from low inlet water temperatures. Millivolt models only It automatically regulates the water flow to help keep the water temperature in the heat exchanger above !05°F. Both water temperature and water flow rate are • Mechanical Thermostat controlled to eliminate condensation, sooting,and scale build-up that can shorten The Raypak Millivolt gas heater comes with one mechanical thermostat.This control heater life. allows you to set your pool or spa temperature precisely at your favorite setting. • High Flow Rates • Millivolt Controls The Raypak gas heater comes with an automatic bypass built into the header.You'll No power source is required for the Raypak Millivolt heater. All operating electricity is find that the heater is capable of handling water flow at a rate up to 125 gpm. supplied by the pilot thermocouple. • Burner Tray Every burner tray is built to last,from the stainless steel burners to the aluminized Quality assurance metal used in the heat sensitive areas.Innovative design allows for the easy removal . ISO 9001 of the tray and burners for servicing. We are proud to be an ISO 9001 registered manufacturing plant.It's one more reason • Fire Tile why Raypak is number one in the heater industry today. A ceramic fiber combustion box keeps your heater running efficiently while keeping the . End-of-Line Test outside jacket cool.By using this space-age material the heater won't retain residual Every Raypak gas pool heater is plumbed and test-fired before it is put in the carton. heat after it is turned off,allowing it to be installed without the use of costly metal This ensures that your heater will work right out of the box and continue to give you heat sinks. years of trouble-free operation. • Fuel-Efficient • quality Check Points Energy-smart Raypak heaters consistently achieve the highest efficiency ratings.They The Raypak assembly process includes six final assembly quality check points that exceed all federal and state standards. help to ensure that every Raypak gas heater is built correctly,and built to last. • CSA-Certified Digital models only All of Raypak's gas pool heaters are CSA-certified to the ANSI Z21.56/CSA 4.7 • Microprocessor-Controlled Thermostat standard. The Raypak Digital gas heater features a microprocessor-based control center.This control allows you to set your pool or spa temperature precisely at your favorite setting just by pressing the up or down temperature control buttons. In keeping with its policy of continuous progress and product improvement,Raypak reserves the right to make changes without notice Swimming Pool and Spa Heating Products ! Litho in U.S.A.02008-2011 Raypak,Inc. 6000.35E 01.01-12 �;Av li*4 ;b4;;...... 7, 'X. iq 10MIT I M VE -A JIM W W MAY C V\ v o I.!*x1,V �Al�0 Po 0 m 0 xt 0) o a po; C3 Q C\1 IS. "All C\1 4-4 u M 0 CIO o i V. 0 tl IN uj 0 4-4 0 p m EL LL 91 ps solic LL 0 LU c.4 It > > LLJ p ............. 0 0 ;—.4. 0 co 00 0 ol C%j CO P to 0 W Illy, c; vj !ok L O;o;o;o;o:G:O:o:o:o:o:o:o:o:o:o:o:o:o;o:o:o:o:o:o:o:o;o:o;o;o:o:o:o:o:o;o:o:o:o:":,, Jig A IN!�tg% ARM Q i'l ................ HERIPRO-02 CWAZOLEK .acoRO' CERTIFICATE OF LIABILITY INSURANCE DATE(0712 Y01 03/ 7/29 9 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 may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER C TACT Emery&Webb,Inc. PHONENo 989 Main Street (A/c, ,Ext:(845)896-6727 jac,No:(845)896-6877 Fishkill,NY 12524 E-MAIL INSURERS AFFORDING COVERAGE NAIC# INSURER A:Utica National Assurance 10687 INSURED INSURER 8:Utica National Insurance Of Ohio 13998 Heritage Propane Inc INSURERC: PO BOX 512 INSURER D: Croton Falls,NY 10519-0512 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 ADD L SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F_X]OCCUR X CPP4407367 03/05/2019 03/05/2020 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MEO EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 R 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E 1,000,000 ANY AUTO 605851 03/05/2019 03/05/2020 BODILY INJURY Per person) $ OWNED X SCHEDULED AURRTEEOS ONLY AUTOS SSVyNEp BODILY INJURY Per accident $ X AUTO ONLY X AUOTOS ONLY PPeOr acGdentDAMAGE $ E B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAR CLAIMS-MADE CULP5035798 03/05/2019 03/05/2020 AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,000 PI&Al Limit 2,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY(:6FICER/MEMBER/EXCLUDED?ECUTIVE ❑ NIA E.L.EACH ACCIDENT (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate Holder is listed as Additional Insured,with regard to General Liability coverage,as required by written contract or permit subject to the language of the policy. 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. AUTHORIZED REPRESENTATIVE Village of Rye Brook 938 King Street iRye Brook,NY 10573 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD New York State Insurance Fund Workers'Compensation& Disability Benefits Specialists Since 1914 WESTCHESTER ONE,44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS, NY 1 0601-44 1 1 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) o a ^^^^ 205614472 HERITAGE PROPANE INC PO BOX 512 CROTON FALLS NY 10519 [�' SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER HERITAGE PROPANE INC VILLAGE OF RYE BROOK PO BOX 512 938 KING STREET CROTON FALLS NY 10519 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD ATE W1485 352-7 865210 07/20/2018 TO 07/20/2019 77/J 912018 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1485 352-7, 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://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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 U DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 116682855 U-26.3