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Home My WebLink AboutMP20-143 4 t.t V . 19 406 annim1i3aW 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 Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE June 14,2022 Elly Pateras 37 Greenway Lane Rye Brook,New York 10573 Re: 37 Greenway Lane, Rye Brook,New York 10573 Parcel ID#: 129.84-2-26 This document certifies that the work done under Mechanical Permit #20-143 issued on 10/6/2020 for the installation of a new oil fired boiler has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to .er 0 J93,2 BUILDING DEPARTMENT 0 UILDING 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 , � l�� ` DATE: )1 -�cL PERMIT# C�(t✓ 1 `� ISSUED: '�l� ECT\� BLOCK: LOT LOCATION: OCCUPANCY: �) ❑ VIOLATION NOTED THE WORK IS... J ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION ` REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS p L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER uderus G215 Buderus boiler sections are assembled with beveled, surface profiled push nipples for long, trouble-free watertight operation. Flueways of Buderus boilers are sealed gas tight with tongue and groove section design and elastic high temperature resistant sealing rope. This seal is fully pressed into the groove during assembly to allow positive pressure operation. A permanent dry door gasket ensures repeated positive sealing off of the full swing burner door, producing a proven gas tight seal. Buderus Developed a full three-pass system which increases the efficiency of the boilers. With single-pass boilers, the flue products have only one chance to heat the water. Buderus three-pass boilers triple this opportunity. The unique way heat flows through the G215 boilers allows the water to be heated three separate times. The full 3" thick thermal insulation A helps to maintain a higher water temperature even after the boiler has gone into standby mode. Features ® Improved Efficiency - 86%AFUE ► 5 models with outputs from 134 MBH to 294 MBH ► Rear tappings and flue connection to streamline appearance ► Baffles and clips for adjusting stack temperatures ► Heavy gauge blue enameled jacket for durability and attractiveness ► Full swing burner door hinged on either side allowing for easy access ► Front access plugs permit flushing of the boiler's interior ► Balances water flow through all boiler sections ► Operates at low return water temperatures Performance Data D.O.E Heating Capacity(MBH) 134 171 207 256 294 Net IBR Rating(MBH) 117 149 180 223 256 Oil Firing Rate(GPH) 1.1 1.4 1.7 2.1 2.5 AFUE(%) 86.3 86.2 86.1 86.0 86.7 Number of Sections 3 4 5 6 7 Piping Connections Vent Connection Size 6 Supply,In 1112 Return,In 1'2 Physical Dimensions Overall Boller Length,In 2611' " 353/' 40'n 451/' Boller Block Length,in 22 2631' 31'12 361/' 41 Minimum Boller Block Width,In 18 Boiler Width,in 23�t2 Minimum Boiler Height,in 333n Boller Height,In 341n Boller Feet Spacing,In 1V' 18 2231' 271/' 32 Fire Box Depth,in 163/4 2/12 361/4 31 353/4 Fire Box Volume(cu.ft.) 1.35 1.73 2.10 2.48 2.86 Dry Weight(lbs.) 400 500 600 700 800 Approx.Water Content(gal.) 12.9 16.1 19.3 22.5 25.6 Recommendencled Clearances for,Ease of Serviceability Side,In 15 Rear,in 20 may. -�� ..,` ett.,"A"�,{/"�''f:,�:�.J s'rr'%'��`�'i, Y>/ ��Zn�r4v''"^;N �^�`A'i '"•{G�'^�A +.l 7f�d�� ..�,�o�.�A.,� - 'M'. .�t'�.,, `r�'?••?f',� ,� rill' ` Y [. �ti .� ,l� 5rj'i?f�`- ,tu� ��l �y Y rt�tlt n��''Lj4��s`,ly�.n/>•j: r�'�/l.lt�n�l�. � �(�n'��.. - 4� y d:r p� fv ' � (}A" 4 1 V ,i �• �tl V.. � VJ..�� I '- IV. 'ICI" 1V •! V 1 r v A3 j/1/1/` 9CC +r .111 �i1• Lf,1e,�� ♦If r a ♦11 RI Y S �IIr i/ ptCO •• d ••� '1/ �� \ �' :�GQ.b,riF fl �iap t'11/1, �� $Ali 11111 i4 �s,� ►111, �� ' ,1/1, �� 3'r, 111, ,..y��¢C j1/1 �..' .'Luu -11111,1 r h♦ ,i-. 111111,1 r• th 1,111)1 �-• 1, 11/,1.- ;�,. I,l11►,1 :,� �' Il1/11,1 ' �4 1,11 lyl 1 d�3 !� b?i�. aI �sY-.411►1�,.F•, N 11 r•• t-�- NI►p,1 :.r •e�-nl 1. -e �, t=.NIU .i:• E� IIU i Ifti �•_ .•. li. f +r { :pp 14 O 1�''• J �'; '• : C C (� 00 I J. •gib "�' cc o g. y ti O • _/ 42 LLI 4 O LU co ry co a o (ups) w k�7 o o' '.0 o+,ection A t Ha a2 ., � h 0.0w, 3ii •.... ./"^^" LLI CD 4" 00 LLJ .max ly, > ,:.;. :ty • at04 CO E , ' •�•� m d � o Cy", CO j � ' •� cn ej . --.,ate = 1► •, :.•ti•=,. 1 1'�Z@Y: , 1',` 1 ,•. s `:- - •'_i - . . . _. .<on+4��: s-,1,(I,11 i 1111 1 `tE 11+1,•.,:r. •3/,•<',11�11, u..,. . .�i.,%',1►�111•`a'` . .}• 'll�ll,`:i:� .,f. . 1►e,l,i.i't, «ers)D �. '�!; 111/1111 �,Il lltl �- 1,1111,1 � p�'PP 1,► ,1,1-�� {,t 1,111/,1 1,,/11, �i� 1y,1/+,1 ;;y�3 •�$� v.�� 19 ��n' 1 111 0 1/1 ,'I �Yla il•1 yj� w 7F Ii/•1 n o 1./•1 t�� 1/1 jt F A Ilf k / k 6 f thi �. V n V `il' n 91f Y ,^ eC ♦• y ^ •T 74 f � ttrJ ;�i"',,J/��r' r, '•!M 'lWf�r.�l7",� ; 1f/QI 1Q'` ^GOEdf' /.� •'' �'` 't � :.•``�.:.'4vy�„o+, .�y��' ,.`� ,;. •'�, � �.:,��L,v''" y4:�1�"� -�y9b��,lyrr, �,if��`�Itg, - '4 CERTIFICATE OF LIABILITY INSURANCE ��(M2 ' 04202020 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 endorsement, A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsements. PRODUCER CONTACT NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PHONE FAX HOME OFFICE: P.O.BOX 328 A/C No Ext:888-333-4949 A/c N.I:507-446-4664 OWATONNA, MN 55060 EMAIL DOREss:CLIENTCONTACTCENTER FEDINS.COM INSURERS AFFORDING COVERAGE NAIC p INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 330-130-6 INSURER B: WESTMORE FUEL COMPANY INCORPORATED INSURER C: 86 N WATER ST GREENWICH,CT 06830-5886 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:35 REVISION NUMBER:0 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 DL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LT INS WVD MMIDDIYYYV MIDDI YYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 RENTED CLAIMS-MADE a OCCUR PREMISE T E■e,_,rrcnc $100,000 MED EXP(Any one parson( S5,000 A N N 9062815 06/01/2020 06/01/2021 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X RO- POLICY ElJECT ❑LOC PRODUCTS•COMPIOP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Pcr person( OWNED AUTOS ONLY SCHEDULED A AUTOS N N 9062815 06/01/2020 06/01/2021 BODILY INJURY(Per accldcnQ HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY r X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $7,000,000 A EXCESS LIAB CLAIMS-MADE N N 9062816 06/01/2020 06/01/2021 AGGREGATE $7,000,000 DED RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY YIN X PER STATUTE ER ANY PROPRIETORWARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 A OFFICERIMEMBER EXCLUDEt NIA N 9917566 06/01/2020 06/01/2021 (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $500,000 II yes,describe under DESCRIPTION OF OPERATIONS below I I E.I. DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks SCtedule,may be attached It more space Is required( CERTIFICATE HOLDER CANCELLATION 330-130-6 35 0 VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 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 WESTMOREFUELCOMPANY INCORPORATED (203) 531-5656 330-130-6 86 NORTH WATER STREET 1o.NYS Unemployment Insurance Employer Registration Number of GREENWICH, CT 06830-5886 Insured Work Location of Insured(Only required if coverage Is specifically limited to 1d,Federal Employer Identification Number of Insured or social Securit certain locations In New York Stare, I.a., a Wrap-Up Policy) Number y 06-0739367 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Mutual Insurance Company Village Of Rye Brook 938 King St 3b.Policy Number of Entity Listed in Box"1 a" Rye Brook, NY 10573-1226 9917566 3c,Policy effective period 06/01/2020 to 06/01/2021 3d.The Proprietor, Partners or Executive Officers are Included.(Only check box it all partnarstoHicars 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"1 a"for workers' compensation under the New York State Workers'Compensation Law, (To use this form, New York(NY)must be listed under ltern_ZA 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 1 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: Amber Madrid .(Print name of authorized representative or Ilconsed agent of Insurance carrier) Approved by: waz,� 4/20/20 (Signature) (Date) Title: Authorized Representative: Telephone Number of authorized representative or licensed agent of insurance carrier: (888) 333-4949 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.wcb.ny.gov