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HomeMy WebLinkAboutMP21-017 QRl O c4 U U I� Y 190 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_.go TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE October 9,2025 Cynthia Gruenfelder 68 Greenway Lane Rye Brook,New York 10573 Re: 68 Greenway Lane, Rye Brook,New York 10573 Parcel ID#: 129.84-2-57 This document certifies that the work done under Mechanical Permit #21-017 issued on 1/22/2021 for the installation of a new oil fired boiler has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �Qy6 BRnv�.. O � W � 198? BUILDING DEPAR"TMEN'1' Z'U MINGINSP ,TORSTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CuuE ENFORCEMENT OFFICER 938 King Street • Itve Brook, NY 10573 (914) 939-0668 FAX (914) 939-5801 wWW.rycbroi)k.org - - - - - -- - - - - - - - INSPECTION REPORT - -- - - - - - - - - - - - - - - - - - ADDRESS : (;reeN wA4 Lck-4 DATE: �� _ ` Z 0Z.5" I'1s12M1'I'l � 2 0 1'? Issut:D: 8Y BLOCK: W.I.: S7 IMCA F10N: �, C OCCUPANCY: ❑ Violation Notcd 'Y111•: WOlm Is... 'ASSL'D ❑ FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ 1 ooTING ❑ TOOTING DRAINAGE ❑ FOUNDA7'10N ❑ UNDERGROUND PLUMBING NOTE'S ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGII FRAMING ❑ INSULATION / / /7► ❑ Natural Gas _ 0/c t A^e L R Gas so f ca, - �' � . ❑ I'IRI:SPRINK1.1:12 [� FINAL PLUMBING: ------- ❑ CROSS CONNI-A"PION __-- ;r1'INA1. Jll DIMENSIONS 20-A' swplr10 7.�f4l� N Supply STANDARD EQUIPMENT: ic1 rw r _ ■ Factory Tested and Assembled 6AMi1ppeCast Iron Section Assembly "' E' 1 ���.. (jacket and collector hood are W Gu �' �- secton blocnot kjon 7,8 and 9 f 141t'�� ■ Insulated Steel Jacket 9N" rti p'"� ��» M ■ Aluminized Steel Flue Collector P.WGO Front Si" A.WGO Front Back intermediate Hood with Flue Cap on Top oc y Outlet (convertible to rear -1- ; 4- 401S outlet) c ° y °� ■ Swing-Away Burner Mounting -7/ Door B, 1"' Alternate return-"A"units only ■ Refractory Blanket and Target E, 1/2 Pressure/temperature gauge Wall in Combustion Area H 3/4 Drain Valve ■ Circulator(Taco 007)-When L 3/4 High limit/circulator control Ordered H 1/2 Piping to expansion tank or automatic air vent ■ High Limit Control with Circulator R, 3/4 Relief valve Relay and LWCO Function ■ Electrical Junction Box with Supply"C"(inches) Dimension(inches) Wiring Harnesses 0 OO 4.1 dy ■ Junction Box Cover Plate with a 4 3 �oS Service Switch �� v " ■ Two Vent Pipe Brackets WGO-2 1 1/4(circulator flange) 11/2 11/2 10 1/2 13 3/4 ■ Pressure/Temperature Gauge W60-3 1 1/4(circulator flange) 11/2 11/2 13 V2 16 7/8 ■ 30 PSIG ASME Relief Valve WGO-4 1 1/4(circulator flange) 11/2 11/2 13 s/8 16 7/8 (boiler sections tested for 50PSIG working pressure) WGO-S 1 1/4(circulator flange) 11/2 11/2 16 7/8 20 ■ Drain Valve WGO-6 1 1/4(circulator flange) 11/2 11/2 20 23 1/8 ■ Barometric Damper WGO-7 not applicable 11/2 11/2 23 V8 26 1/4 ■ Built-in Air Separator WGO-8 not applicable 1112 1112 26 1/4 29 3/8 WGO-9 not applicable 11/2 11/2 29 3/8 32 V2 OPTIONAL EQUIPMENT: RATINGS ■ High-Efficiency Flame-Retention Burner AHRI Minimum Oil Burner(Beckett AFG,Carlin Input certified Chimney EZ or Riello).Specify 2-Stage Fuel Rating Ratings Size o ��� Unit(optional)if Required. - IAT c� y �og� �Q y ■ Vent Damper Kit A. c1.'� ■ W-M 5&10 Year Homeowner Q9�� o�,� .0 , Protection Plan �= Fo ma �m sec+e Q ol°m �`` '? =d 3e ■ W-M Indirect-Fired Water Heaters • WGO-2RD 0.70 98 86 75 87.0 .010 8X8 6 15 540 WGO-2 0.70 98 86 75 86.4 .010 8X8 6 15 540 ' WGO-3RD 0.80 112 98 85 87.0 .010 8X8 6 15 595 NOTES: WGO-3 0.95 133 115 too 85.3 .020 8X8 6 15 595 Add "P"for packaged boiler(WGO-2 WGO-4RD 1.00 140 123 107 87.0 .010 8X8 6 15 645 through WGO-6 only).Add"A"for WGO-4 1.20 168 145 126 85.0 .010 8X8 6 15 645 boiler only(WGO-2 through WGO-9). • WGO-SRD 1.20 168 148 129 87.0 .015 8X8 7 15 760 (1) No.2 fuel oil-Commercial Standard WGO-s Specification CS75-56.Heating value 1.45 203 175 152 85.0 O75 8X8 7 15 760 of oil-140,000 BTU/Gal. ' WGO-6RD 1.40 196 173 150 87.0 .015 8X8 7 15 860 (2)Based on standard test procedures WGO-6 1.75 245 212 184 85.0 .015 8X8 7 15 860 prescribed by the United States WGO-7RD 1.60 224 197 171 87.0 .015 8X8 8 15 930 Department of Energy at combustion WOO-7 2.00 280 242 210 85.0 .015 8X8 8 15 930 condition of 13 1/2%CO2 and-0.02" WGo-e 2.30 322 266 231 - .025 SX12 a 20 1030 W.C.draft. WGO-9 2.55 357 295 257 - .030 8X12 8 20 1135 (3)MBH refers to thousands of BTU *ENERGY STAR'compliant with Version 3.0 Boiler Specification of 87%AFUE only when installed at per hour. the reduced burner rate(R)and with the optional vent damper kit(D).Burners shipped with standard (4)Net AHRI ratings are based on net rate nozzle,reduced rates achieved through nozzle change-refer to burner instructions or boiler's installed radiation adequate for the rating label for correct selection. requirements of the building, n h, interest of continual improvements in product and performance,Weil-McLain reserves including a piping and p;c!o oallowance of 1.15-sufficient for normal ^"•'to change specifications v;it"out notice. S� DOE * conwance my fProvide addunusual WM1410_BRO_018_WGO • allowance only for unusual piping N G and pick up loads. DR 4 " WJ' . 19 VILLAGE OF RYE BROOK MAYOR 938 Ring Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.tyebrooW.gov TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W. Morlino December 13,2024 First Notice Via Mail. Dear Rye Brook Permittee, , Cynthia Gruenfelder 68 Greenway Lane. Rye Brook,New York 10573 It has come to the attention of the Building Department that your Mechanical Permit MP 21-017 has not been closed out in accordance with Village Code and is now expired.All Permits have a twelve (12) month lifespan starting from the date of issuance,and the permit expiration date is noted on the front of the permit. Please note that we are trying to clean up old files which are open and stagnant. Clearing up the permit will benefit you as the homeowner in two ways. (1)getting the final inspection of the work. (2) for in the future should you sell your home you will not have any open permits in your file.Please contact us so we can schedule a site visit to take care of this matter. Please be advised that it is a violation of Village Code to fail to close out a permit,and that a court summons could be issued. Thank you for your attention in this matter,and please feel free to contact this office should you require any further information. Sincerely, ' II v 1 Freddy DiVitto Assistant Building&Fire Inspector cc: Steven E. Fews,Building&Fire Inspector Tara A. Orlando,Planning&Zoning Secretary Laura Petersen,Office Assistant PaR ia: .�.+� 1 __ J=�,._._ /�'!�� \ /► e� _ n A n� _�.� a �► s� �/�St,�A�+•o- n. I►q \ '. ;. 14c1/1►il l: �.11►1111c01 " 1 4/11 111 1 ' 1►►�1111j1 _ 11►/1►I/ill �fF.,11►/1llcill.'- I Ic111/1 �� 7 _�-,'• 'Wos s<j s _^•.IN�111 v.$s :zs:•:111�111:ova �,. 11/A ' �11'! rF^.:111�1�1 �-s .^oi::..IN�111.• •:?,yl�lll:ri'g `'s:%�11�1�1:- ��`!(0)> CD ZL 'r t(��/:null •U �..' '�. �'<{-v <; �` ' i CD •i„ « C \ 4; as Q01 V] •� hy'fo...-�� .a. @K� Cj M N 44. Lo wo o�ecaon o F v I CO Q C CO _ : •:� ~_ �1 O /0 ; —•: , ...AAA CU � •�� L [� �. Ra MC N N �• Il � Z �A.Mom• 4/ O -= II r� ��� ems+ � G � •' '4 ��)�ti�� 11 •�� ,:. � 11. . 1- 1 Irl�.11 c 7. }�i 11)1111►►1 111)I1►11►1 - �-111N1►1 i ,IIIN111 Il�l s �F 'i11111►111 1�l*? g �,111ii1r1�7 ({��d 6�; �lllllllll;` 1 �+r. y3� .s• e �ii`w14r%1�, ♦• �� ,r` •♦ wl 1�11(1' i► �li��►�1 Ixjwi '�•�N: i� it ��•• Piw3�€r ���o,� ana I - K�V3uD' \ ���•+'f�a� � ,\ 't��r��i!'j� -:\ 6'�V�•n �-h Ytk t': a i� r f/ I•� �.�w 1, �( "' v a r`I,� v` a� � 1 � a�� � ' �' '�aa oly-' ?;�� •.,�" v�,k� ... .�, �y,7}lTN'r'v���'" � '�•;3F "'�A' �..: 86 . , ACO® CERTIFICATE OF LIABILITY INSURANCE r ATE(MM/DDNYYY) �— 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 Arthur J. Gallagher Risk Management Services, Inc. NAME:PHONE FAX 4000 Midlantic Drive Suite 200 lyc No.E:t):888-273-8155 (A/C Nol•856-273-3663 Mount Laurel NJ 08054 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# License# BR-724491 INSURER A: New York Marine And General Insurance Company 16608 INSURED SINGHOL-02 INSURER 8: Singer Holding Corporation One Gateway Plaza,4th Floor INSURER C: Port Chester NY 10573 INSURER D: 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 ADDL SUBRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVQ POLICY NUMBER MM`DDNYYY) (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY PK201900020101 12/31/2019 12/31/2020 EACH OCCURRENCE $1.000.000 _DACLAIMS-MADE OCCUR AMA EN PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $2,000,000 X POLICY PRO- JECT 7 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER $ A AUTOMOBILE LIABILITY AU201900017525 12/31/2019 12/31/2020 COEa dMBINED SINGLE LIMIT $1,000,000 accient X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Per accident $ _ S A UMBRELLA LIAR X OCCUR EX201900001405 12/31/2019 12/31/2020 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMSER EXCLUDED? ❑ NIA —— (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes.describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe 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 Village of Rye Brook Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street IVE AUTHORIZED REPRESENTATIVE Rye Brook NY 10b73 `, A r/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NEW Workers' RK STA E 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/C/F tc.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 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.(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"Y'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"30,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 nnme of authndzed rcp ative or licensed ag neuranec carrier) Approved by: OAL'� 7/6/2020 (Signature) i .ao Title: Account Specialist II Telephone Number of authorized representative of fieen ed age- of ift ufaflee eaff 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.iiy.gov