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HomeMy WebLinkAboutMP20-064 O� 4CV 4 J11 Y. tct+49y J j V VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE Susan R Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE November 3,2021 Richard Mast&Fran Mast 6 Talcott Road Rye Brook,New York 10573 Re: 6 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.49-1-12 This document certifies that the work done under Mechanical Permit #20-064 issued on 6/1/2020 for the installation of a new condenser and coil has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /tg �E BRC��• BUILDING DEPARTMENT ❑BUILDING INSPECTOR �KSSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK f'�❑CODE ENFORCEMENT OFFICER 938 KING STREET• RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - -- - - - - - - ADDRESS :— DATE: ` PERMIT# �F ISSUED: SECT: BLOCK: LOT: LOCATION: r1f��� \ 1 QCCUPANCY. ❑ VIOLATION NOTED THE WORK . ACCENTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ V_RROSS CONNECTION 0 FINAL ❑ OTHER Product Catalog -Air Conditioners Page 14 April 2019 Supersedes February 2019 SPECIFICATIONS General Model No. North Region XC13N018 XC13N024 XC13N030 XC13N036 XC13N042 XC13N048 XC13N060 Data Nominal Tonnage 1.5 2 2.5 3 3.5 4 5 Indoor Unit Expansion Valve(TXV)(If needed) 112,118 12J18 12J18 12J19 12.120 12J20 12J20 RFCIV Metering Orifice Usage See the Unit Product Specifications document for applicable RFC matches 'Sound Rating Number(dB) 74 74 76 76 76 76 76 Connections Liquid line o.d.-in. 3/8 3/8 3/8 3/8 318 3/8 3/8 (sweat) Suction line o.d.-in. 3/4 3/4 3/4 3/4 718 7/8 718 2 Refrigerant(R-410A)furnished 3 lbs. 13 oz. 4 lbs.6 oz. 4 lbs.4 oz. 5 lbs.4 oz. 6 Ibs.9 oz. 7 lbs. 12 oz. 9lbs.0 oz. Outdoor Diameter-in. 18 18 18 1 18 22 22 22 Fan Number of blades 3 3 4 4 4 4 4 Motor hp 1/10 1/10 1/5 1/5 1/4 1/4 1/4 Shipping Data-Ibs.1 package 150 150 161 164 240 232 249 ELECTRICAL DATA Line voltage data-60 hz-1 ph 2081230V 208/230V 2081230V 2081230V 208/230V 2081230V 208/230V 3 Maximum overcurrent protection(amps) 20 25 30 40 45 50 60 4 Minimum circuit ampacity 12.4 14.7 18.7 24.4 28.1 32.0 34.6 Compressor Rated load amps 9.4 11.2 14.1 18.6 21.2 24.2 26.3 Locked rotor amps 56.6 60.8 64 70 90 100 125 Power factor 0.98 0.98 0.98 0.99 0.99 1 0.99 0,99 Condenser Full load amps 0.7 0.7 1.1 1.1 1.7 1.7 1.7 Fan Motor Lacked rotor amps 1,4 1.4 2.0 2.0 3.2 3.2 3.2 NOTE-Extremes of operating range are plus 10%and minus 5%of line voltage. 'Sound Rating Number rated in accordance with test conditions included in AHRI Standard 270. 2 Refrigerant charge sufficient for 15 fL length of refrigerant lines. a HACR type circuit breaker or fuse. 'Refer to National or Canadian Electrical Code manual to determine wire,fuse and disconnect size requirements Unitary Small AC �O� coLlisus Imtmsm COMPANr I ntlertek NOTE-Due to Lennox'ongoing commitment to quality,Specifications,Ratings and Dimensions subject to change without notice and without incurring liability. Improper installation,adjustment,alteration,service or maintenance can cause property damage or personal injury. Installation and service must be performed by a qualified installer and servicing agency. C 2019 Lennox Industries Inc. G M T-OIA) % gi ltft .-iar 4.wir . _ < 0 � _ h i ��.> � - OY, tr , *•'.4f 11{ s.F! 4�� -c- 1) 11�..�3:r a. N/MI� +{I{ If' a 11 11 - � ,�r� >a- i� o i try ,• N - � m E Cd .3 uj CL cu c.. W Z U y 0.ection 44,ui c� U Z °�" 410 to O 'o >to CL lud7:a �" U lco)> + as �- .i..► �' 4�i 0 CU •'=` u 0 %t K U W V1 N 7. co00 0 0) T 47 L +i eyj N +i ryry,, -` d{Ifli/,+ 111111/{{ 11 NIA ,,11{ t �Illf 1+ �,11►�+ ` lyl/�lrj+' ;> i► � •..+ s w f. •, w j.`1�1 A d+A/1+; 111 1/1 fit, �• �A ? d, is' �,.�5", .r�� vim,_._ - .�tt�,4. ;�. W� .,, .. � l •`�"� �� DATE parloomnYl AcoRU® CERTIFICATE OF LIABILITY INSURANCE 12/31/2019 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 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 endorsemerrL A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE Sti8 273 8155 FAX 856 2T3 3663 4000 Midlantic Drive Suite 200 E--M Ngs EA:L Mount Laurel NJ 08054 ADDRESS: INSU S AFFORDING COVERAGE NAIL 8 ice R-7 4491 INSURER A:New Yak Marine And General Insurance Company 16M INSURED SINGHOL-02 SURER B Singer Holding Corporation One Gateway Plaza, 4th Floor INSURERC: -- Port Chester NY 10573 INSURER D: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER:1780150934 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 ADOTYPE OF INSURANCE LSUBIR P�JCY NUMBER POLICY EFF POLICY EXPLTR LIMBS A X COMMERCIAL GENERAL LIABILITY PK201900020101 12131/2019 12/3112020 EACHOCCURRENCE $1.000.000 E TO RENTED CLAIMS-MADE �OCCUR PRREEMSES Me.ocaurenca s1DO,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑JECT LOG PRODUCTS-COMPIOPAGG 52,000,000 OTHER: $ A AUTOMOBILELIABKJ Y AU201900017525 12131/2o19 12/311,2020 COMBINED SINGLE LIMIT $1,000,00D Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident 3 A UMBRELLA LIAR X OCCUR EX201900001405 12/31/2019 12131/202D EACH OCCURRENCE $5,000,000 X EXCESS UAB CLAIMS•MADE AGGREGATE $5,000,000 OED RETENTION$ $ WORKERS COMPENSATION - PER OTW AND EMPLOYERS,uABw ry YIN STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ tf yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached If more space Is required) Village of Rye Brook Building Department is named as an additional insured with respect to the above General Liability Policy,if required by a written contract executed prior to services performed. 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 Department 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD oRK Workers' STATE Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured ADP TotalSource FL XVII,Inc. (914)345-5700 10200 Sunset Drive Miami,FL 33173 L/CIF 1c.NYS Unemployment Insurance Employer Registration Number of Singer Holding Corporation DBA Robison Oil Insured 1 Gateway Plaza 4th Floor 45045108 Port Chester,NY 10573 1d.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required if coverage is specifically limited to Number certain locations in New York State,i.e.,a Wrap-Up Policy) 133121491 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New Hampshire Ins Co Village of Rye Brook Building Department 3b.Policy Number of Entity Listed in Box"l a" 938 King Street WC 080394906 Rye Brook,NY 10573 3c.Policy effective period 12/23/2019 to 07/01/2020 3d.The Proprietor,Partners or Executive Officers are ®included.(Only check box if all partners/officers included) ❑ 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"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"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"30,whichever is earlier. This certificate is issued as a matter ofinformation 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,11 certify that I am an authorized representative referenced above and that the named insured has the coverage as depicted on this form. Approved by: Adriana Sanchez (Print name of authonzed rep r gtalive or licensed of insurance carrier) Approved by: �l 119/2020 (Signature) (Date) Title: Account Specialist II Telephone Number of authorized representative OF lieffiSed dgeRt OPiRSHriiwiee earri&F 800-743-8130 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 (9-17) www.web.ny.gov