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HomeMy WebLinkAboutMP21-109 LTV`yU�JJ y d 19 VILLAGE OF RYE BROOK MAYOR 938 Ding Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S.Rosenberg (914) 939-0668 Christopher J. Bradbury www.aebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLLAANCE November 3,2021 George K. George&Jenny Matthews 26 Talcott Road Rye Brook,New York 10573 Re: 26 Talcott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-2 This document certifies that the work done under Mechanical Permit #21-109 issued on 7/27/202.1 for the installation of a new condenser and coil has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector Ag O 2m c,v � BR �7 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK r ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - -- - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - C �� ADDRESS• 'a(D � DATE: � I rERMIT# ISSUED: SECT: ( BLOCK: LET: LOCATION: � - C � t ` OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... p ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION / Y 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 DRC�j,f. O Z� 1982 BUILDING DEPARTMENT ❑BuILDING INSPECTOR PASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK 938 RING STREET• RYE ROOK [I CODE ENFORCEMENT OFFICER BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - -- - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# ISSUED: �' SECT: i BLOCK: LOT: LOCATION: c 'o&a-t C.' ls�_ - : � ' OCCUPANCY: -- -� ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 0 v.� � ❑ NATURAL GAS ❑ L.R GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ` �J ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHERc- Bosch IDSBO i I i Product Specifications 3 Product Specifications Decilbels([N(A)l Max @ 100%load 77 79 Min @ min load 56 60 Compressor RLA 19 29 LRA 45 58.1 Condenser Fan Motor Horsepower(HP) 1/6 1/3 FLA 1.0 2.5 Refrigeration System Refrigerant Line Size' Liquid Line Size(OD) 3/8" 3/8" Suction Line Size(OD) 3/4' 7/8" Refrigerant Connection Size Liquid Valve Size(OD) 3/8" 3/8" Suction Valve Size(00) 3/4" 7/8" Refrigerant Charge(R41O-A,oz) 121 170 Expansion Device EEV EEV Maximum Line Length 100 FT 100 FT Maximum Elevation Difference 50 FT 50 FT Operating Range Coaling 40°F-125°F Heating 5°F-86'F Electrical Data Voltage-Phase-Hz 208/230.1.60 2081230-1-60 Minimum Circuit Ampacity' 24.8 38.8 Max.Overcurrent Protection' 40 60 Min/Max Volts 172V/270V Weight Net Weight(without packaging) 159 196 Gross Weight(including packaging)" 190 227 Dimensions Unit L x W x H(in.) 29-1/8 x 29-1/8 x 24.15/16 29-1/8 x 29-1/8 x 33-3/16 Outdoor Coil Net face area-sq.ft.Outer Coil 13.6 18.4 Tube diameter-in. 9/32"(7mm) 9/32"(7mm) No.of rows 2 2 Fins per inch 17 19 Table 1 `Tested and rated in accordance with AHRI Standard 210/240. Wire size should be determined in accordance with National Electrical Codes; extensive wire runs will require larger wire sizes. 'Must use time-delay fuses or HACK-type circuit breakers of the same size as noted. Always check the rating plate for electrical data on the unit being "Weight values are estimated. installed. •Unit is factory charged with refrigerant for 15'of V liquid line. System charge must be adjusted per Installation Instructions Final Charge Procedure. TXV is required at indoor unit to match our outdoor unit. Data subject to change 12.20201 Bosch Thermotechnology Corp. 16 f# 22 ft N D Q basement 704 Sq ft HWH Furnace �' oou 18 ft 20 ft Crawl Spate w 324 Sq ft Co to 1 Car Attached - 520 Sq ft x LE k � I 7-- - - - - IT- p 20 ft.. _.,�D-✓Y� •sn /1 o- .• �Y {r (\/1 \; �I. :� - ��' � ��. I'�Iti• _.;�'--'` Ifc� �`�y"� .a �r�4 ..:'a �-" .,l�a. i�...�r"t. .1 ��. '` — J ao �S �1 ` 1�1/114/ij1 .l1 rF1111►Illr � r1111r� � f'INIr � 1If11 � 1►►�y �t _ 11r/j ��$} �� M ,,i •� N�11 .ti:c. -s''r1A1114 �_ 1►i1t11 I11i1111 111H111 � IlNltll � t i141 i �� p r<(trs) v� -.E 11�41 .�'c x If{II :` i• 5ti II�U .z N+rl n. ag - ts49?:.rll�llr �207> G?�' •r s, - •� CVCD 1,YY i _ c ti : 1 e9 7 ed � N ill Q CIl N w � is 11 x �L L �y o 1 ( )> r•.r � LU otutor)>� COO iQco Ncn •�''G <tO)> iulr I MGM W ZLij �} w C� yl o Q U) W Z_ � CO 00 �. 2 _ C) . OF c O z rn 1 F- sue+ - '� t• N .. o. 'fir, I4},f11 �, co) `'t. 11 li 11 111N1r r'�: dlrliltl - 41 Illfitll - .•� y111111 1/1lltl I Nll r, _-I>wea. A /�1)1+ /i/il w �!+►�i�i+'v /1r)i +/i��i+ �1i1i1+ � A. fr � !•fi l .•. rr16 `4t.� -� � re !� r�. 1 � w r, •� 1 3w- ��' � DATE(MMYDDIYYYY) AC"R V CERTIFICATE OF LIABILITY INSURANCE 1/4/2021 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: Tammle Pattanite Arthur J. Gallagher Risk Management Services, Inc. PHONE 888-273-8155 N :856-273-3663 4000 Midlantic Drive Suite 200 E-MAIL Mount Laurel NJ 08054 ADDRESS: tammie attanite a .com INSURERS AFFORDING COVERAGE NAIC# LicenseM BR-724491 INSURER A:New York Marine And General Insurance Company 16608 INSURED SINGHOL-02 INSURER B: Singer Holding Corporation d/b/a Robison Oil One Gateway Plaza,4th Floor INSURERC: Port Chester NY 10573 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:945532112 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 I TYPE OF INSURANCE ADL SUER POLICY NUMBER MM!DPOLICYIY LTR YYYI (MMIODNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY PK202000020101 12/31/2020 12/31/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO CLAIMS-MADE I X]OCCUR PREMISES EaENTED occurence $100,000 MED EXP(Any one person) $5.000 PERSONAL S ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 X POLICY E jEROT LOG PRODUCTS•COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY AU202000017525 12/31/2020 12/31/2021 COMBINED SINGLE LIMIT $1,000,000 Ea accident IX ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAR HX OCCUR EX202000001405 12/31/2020 12/31/2021 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED7(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE. $ 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 it 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 PORK Workers' STATE Compensation CERTIFICATE OF Sward 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. 9143455700 10200 Sunset Drive Miami,FL 33173 UC1F 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 Policy) 133121491 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Heider) New Hampshire Ins Cc Village of Rye Brook Buiiding Department 3b.Policy Number of Entity Listed in Box"1 a" 938 King Street WC 038381464 NY Rye Brook,NY 10573 II worksile employees working for Singer Holding Corporation paid under ADP TOTALSOURCE,INC's payroll,are covered under the above stated policy. 3c.Policy effective period 7f1/2 21 to 7/1/2022 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"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 or beensed agent of the insuranee earrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Adriana Sanchez (print name of authorized reppoirative or licensed:�A ,,Pf insurance carver) Approved by: 6/30/2021 (Signature) (Date) 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.