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HomeMy WebLinkAboutMP20-101 QyE DRn ilr 4J,JJ v VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE August 26,2024 Irwin Simkin,Leomi Simkin&Eric Simkin 93 Brush Hollow Close Rye Brook,New York 10573 Re: 93 Brush Hollow Close,Rye Brook,New York 10573 Parcel ID#: 129.84-2-82 This document certifies that the work done under Mechanical Permit #20-101 issued on 7/29/2020 for the installation of a new condenser and a new air handler has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �yE BR(��• cu � 1932 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 :— ►J I UI. 1-40 ` W,,J r .I.t DATE: .�S — 23 PERMIT# �, " L y 1 'J 1 ISSUED: -Z SECT: Z • v� BLOCK: c. LOT: LOCATION: !~�, ! �_ T ! �1� ti OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... Q ACCEPTED ❑ 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 ❑ CROSS CONNECTION {] FINAL ❑ OTHER -✓ C IIWII a Product Catalog-Air Handlers ' I-^ Page 6 `� }�/l J►�, April 2019 ` 1 Supersedes February 2019 SPECIFICATIONS General Model Number CBA27UHE-018 CBA27UHE-024 CBA27UHE-030 CBA27UHE-036 Data Nominal tonnage 1.5 2 2.5 3 Factory Installed Expansion Valve 12J18 12J18 12J18 112.1119 Connections Suction(vapor)line(o.d.)-in. sweat 3/4 3/4 3/4 314 Liquid line(o.d.)-in. sweat 3/8 3/8 3/8 3/8 Condensate-in.fp (2)3/4 (2)3/4 (2)3/4 (2)3/4 Blower Wheel nominal diameter x width-in. 10 x 8 10 x 8 11 x 8 11 x 8 Blower motor output-hp 1/2 1/2 1/2 1/2 ' Filters Size of fitter-in. 20 x 20 x 1 20 x 20 x 1 20 x 20 x 1 20 x 20 x 1 Shipping Data-1 package-lbs. 137 137 150 150 ELECTRICAL DATA Voltage- 1 phase-60hz 208/230V iph 208/23OV-1ph 208/23OV 1ph 2081230V-1ph Voltage-3 phase-60 --- --- --- 3 460V-1 ph 2 Maximum overcurrent protection(unit only)-All voltages 15 15 15 15 Minimum circuit ampacity(unit only)-208/230V 5 5 5 5 Blower Motor Full Load Amps-208/230V 4.1 4.1 4.1 4.1 Minimum circuit ampacity(unit only)-460 --- --- --- 2.6 Blower Motor Full Load Amps-460 --- --- --- 2.1 SPECIFICATIONS General Model Number CBA27UHE-042 CBA27UHE-048 CBA27UHE-060 Data Nominal tonnage 3.5 4 5 Factory Installed Expansion Valve 12.120 12J20 12.120 Connections Suction(vapor)line(o.d.)-in. sweat 7/8 7/8 7/8 Liquid line(o.d.)-in. sweat 3/8 3/8 3/8 Condensate-in.fp (2)3/4 (2)3/4 (2)3/4 Blower Wheel nominal diameter x width-in. 12 x 9 12 x 9 12 x 9 Blower motor output-hp 1 1 1 ' Filters Size of filter-in. 20 x 24 x 1 20 x 24 x 1 20 x 24 x 1 Shipping Data-1 package lbs. 186 186 199 ELECTRICAL DATA Voltage-1 phase-60hz 208/230V-1 ph 208/230V-1 ph 208/230V-1 ph Voltage-3 phase-60h --- 3 460V-1ph 3 460V-1ph 2 Maximum overcurrent protection(unit only)-Al voltages 15 15 15 Minimum circuit ampacity(unit only)-208/230V 10 10 10 Blower Motor Full Load Amps-2081230V 7.6 7.6 7.6 Minimum circuit ampacity(unit only)-460 --- 5 5 Blower Motor Full Load Amps-460 --- 1 4 4 Disposable frame type Lifter. 3 HACR type circuit breaker or fuse. 3 Blower motor is 460V-1 phase.Optional electric heat is 460V-3 phase. C ® L US ,M. LISTED 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. 0 2019 Lennox Industries Inc. Product Catalog -Air Conditioners C Page 12 April 2019 Supersedes February 2019 SPECIFICATIONS General Model No. All Regions EL16XC1-018 EL16XC1-024 EL16XC1-030 EL16XC1-036 Data Southeast and North Region --- --- --- EL16XC1 SO36 Nominal Tonnage 1.5 2 2.5 3 Indoor Unit Expansion Valve(TXV) (If needed) 12J18 12J18 12J18 12J19 RFCIV Metering Orifice Usag See the Unit Product Specifications document for applicable RFC matches Connections Liquid line(o.d.)-in. 3/8 3/8 3/8 3/8 (sweat) Suction line(o.d.)-in. 3/4 3/4 3/4 7/8 Refrigerant R-410A charge furnished 4 lbs. 9 oz. 4 lbs. 9 oz. 5 lbs. 8 oz. 7 lbs. 1 oz. Outdoor Diameter-in. 18 22 22 22 Fan No. of blades 3 3 3 3 Motor hp 1/10 1/6 1/6 1/6 Cfm 2290 3160 3160 3160 Rpm 1075 825 1 825 1 825 Watts 160 215 215 1 190 Shipping Data -lbs. 1 pkg. 155 171 1 187 1 205 ELECTRICAL DATA Line voltage data-60hz 208/230V-1 h 208/230V-1 h 208/230V-1 h 208/230V-1 h z Maximum overcurrent protection(amps) 20 25 25 30 1-Minimum circuit ampacity 11.9 14.6 17 18.0 Compressor Rated load amps 9.0 10.9 12.8 13.6 Locked rotor amps 48 59.3 67.8 79 Power factor, 0.97 0.97 0.97 0.96 Outdoor Fan Motor Full load ampl 0.7 1 1 1 Locked rotor amp 1.3 1.9 1.9 1.9 SPECIFICATIONS General Model No. All Regions EL16XC1-041 EL16XC1-042 EL16XC1-047 EL16XC1-048 EL16XC1-060 Data Nominal Tonnage 3.5 3.5 1 4 1 4 1 5 Indoor Unit Expansion Valve(TXV) (If needed) 112.120 12J20 1 12,120 1 12J20 12J20 RFCIV Metering Orifice Usag See the Unit Product Specifications document for applicable RFC matches Connections Liquid line(o.d.)-in. 3/8 3/8 3/8 3/8 3/8 sweat Suction line o.d. -in. 7/8 7/8 7/8 7/8 1-1/8 Refrigerant 'R-410A charge furnished 9 lbs. 9 oz. 8 lbs. 12 oz. 11 lbs. 0 oz. 9 lbs. 12 oz. 12 lbs. 0 oz. Outdoor Diameter-in. 22 22 26 22 26 Fan No. of blades 3 3 4 4 3 Motor hp 1/6 1/6 1/3 114 1/3 Cfm 3050 3050 4400 3600 4400 Rpm 825 825 825 825 825 Wafts 190 190 310 310 310 Shipping Data-Ibs. 1 pkg. 227 234 272 255 284 ELECTRICAL DATA Line voltage data-60hz 208/230V-1 h 208/230V-1 h 208/230V-1 h 208/230V-1 208/230V-1 h 2 Maximum overcurrent protection(amps) 30 40 35 40 50 Minimum circuit ampacity 19.3 23.4 21.9 24.2 29.6 Compressor Rated load amps 14.7 17.9 16.1 18.0 22.2 Locked rotor amps 75 112 105.5 117 127.9 Power factor 0.96 0.96 0.98 0.96 0.98 Outdoor Fan Motor Full load amp 1 1 1.8 1.7 1.8 Locked rotor am 1.9 1.9 2.9 3.2 2.9 NOTE-Extremes of operating range are plus 10%and minus 5%of line voltage. Refngerant charge sufficient for 15 ft.length of refrigerant lines.For longer line set requirements see the Installation Instructions for information about line set length and additional refrigerant charge required. HACR type breaker or fuse. Refer to National or Canadian Electrical Code manual to determine wire,fuse and disconnect size requirements. CERTIFIED- LOW®O® C OT' o us v1m[IBfR COMPANY E Intertek 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. ©2019 Lennox Industries Inc. DATE(MWDD/YYYY) ACORO� 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(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 CONTACT NAME___ Arthur J. Gallagher Risk Management Services, Inc. PHONE -2 FAx 4000 Midlantic Drive Suite 200 LAIC—No fAt): 888- 73-8155 N,:856-273-3663 Mount Laurel NJ 08054 ADDRESS: INSURERS AFFORDING COVERAGE NAIL 9 icen .BR-724491 INSURER A:New York Marine And General Insurance Comparry 16608 INSURED -- ----- SINGHOL-02 INsuRER6. Singer Holding Corporation One Gateway Plaza, 4th Floor INSURERC: -- Port Chester NY 10573 INSURERD: INSURER E: INSURER F: 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 ADDLSUBR` - --- POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD ImPOLICY NUMBER MMID LIMITS A J X I COMMERCIAL GENERAL LIABILITY PK201900020101 12/31/2019 12/31/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE lxl OCCUR DAMAGE TO RENTED PREMISES Ea occurrence 31100,000 _ MED EXP(Any one person $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3 2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY AU201900017525 12/3l/2019 12/31/2020 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per sadden►) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE _ AUTOS ONLY AUTOS ONLY Per t $ A UMBRELLA UAB X JOCCUR EX2019NO01405 12/31/2019 12J31/2020 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE s 5,000,000 DED RETENTION$ S WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY YIN ATLJTE ER __ ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ NIA -- -- (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 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 Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PORK 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 UC/F 1 c.NYS Unemployment Insurance Employer Registration Number of Singer Holding Corporation DBA Robison Oil Insured 1 Gateway Plaza 4th Floor 45045108 Port Chester,NY 10573 1 d.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 Poky) 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"1 a" 938 King Street WC 027130574 Rye Brook,NY 10573 3c.Policy effective period 07/01/2020 to 07/01/2021 3d.The Proprietor,Partners or Executive Officers are ®included.(Onty check box if all partnersiofficers 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"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". 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"3c",whichever is earlier. 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 referenced above and that the named insured has the coverage as depicted on this form Approved by: Adriana Sanchez (Print name of authorized repgive or licensed insurance carrier) Approved by: 7/6/2020 (Signature) (pale) Title: Account Specialist II Telephone Number of authorized representative 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.wcb.ny.gov