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Home My WebLink AboutMP21-136 4y� BR �i 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 15,2021 Lora Saat& Erica Mason 7 Bayberry Close Rye Brook,New York 10573 Re: 7 Bayberry Close, Rye Brook,New York 10573 Parcel ID#: 129.76-1-86 This document certifies that the work done under Mechanical Permit #21-136 issued on 9/24/2021 for the installation of a new oil fired boiler due to flood damage has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /tg 1 982 BUILDING DEPARTMENT I ❑ ISTNG INSPECTOR sSISTANT 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: � f � � PERMIT# � - SSUED: � f BLOCK: LOT: LOCATION: 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 p ❑ NATURAL GASWi-3 Qy Cl L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ 05S CONNECTION INAL OTHER N k� E 4 w • EK2 System 2000 Frontier and Stackable InstallationDimensions EK1:41" EK1/EK2 Frontier Dim"A" W/O box With box "B" EK2:49" insfaiied dimensions with EK1:21212" a low profile boiler baser Beckett AFG_ 8" 9 112" 9" _ 24" EK2:291" or a standard boiler base.`,` Carlin EZ-1 9" 9 1/2" 9" Shown without the required Fliello 40F5 13" N/A 15" 1 water storage tank. Q" 4t ! At right:Dimensions"A"and T. - EK1:4 " I lr l_, depending on different burners. EK2:4 EK1:211, 24" - EK2:2912 "A" 30rr �� 1 j73" I Smng down door �'r tLi 30" ,r* 4$ 4a gallon 56" �� !. Lo-Soy ! waterstarage EK1/EK25tackable 1 / 34" tank installs Instafled dimensions 1 S3—gdowndoor beneath with stackable base. ., 94 r, tank slackabte f + boiler. Low pralile base ger' "13" - 29 i" 3tacka e 117,r�* A base ! I r 17— 4b.�2 Service clearances:20"from front doorface,0"left side and fight side.Clearance Oilheat home heating system Up to Domestic to combustibles:4"from the rear cover; input Gross output STU/hr AFUE Hot Water• 16"above top cover;4"from flue pipe. IL .68 GPH 83.000 87.9% 169 Gat/Hr. Included(factory piped and assembled): • � .74 GPH 90,000 87.7% 180 Gal/Hr. Boiler base,blocked vent switch,dynamic .85 GPH 104,000 87.5% 202 Gal/Hr. air elimination manifold,ON/OFF switch, s `"• 1.00 GPH 127,000 88.2°!• 228 GaI1Hr, surge protection and junction box,314"drain Tomasuc hot water rating based on first how draw veldt 77"F rise and 40 gallon tank. valve,plate heat exchanger on hot water Energy convener weight 27e W. models,circulator and door safety switch.. _ e Draft regulator not required or recommended due to advanced combustion chamber. OElheat home heating system Up to Domestic ®� Input Gross output STU/hr AFUE Hat Water' 1.2o GPH 147,000 87.6% 269 Gal/Hr. Weight 270 lbs 350 Ibs ReSU(Ute�RT 1.40 GPH 175.000 87.0% 313 Gal/Hr. 1.60 GPH 190,000 ¢5.5°/ 336 Gal/Hr, Water Content 21/ 4 No chimney?No power vent? 1,75 GPH 2O6,000 84.0% 360 Gat/Hr. gallons gallons NO PROBLEM!Look at Resolute RT.r e, 'Domestic not water rating based on hrel hour draw wish 77`F nee and 40 gallon tank. Air Inlet Pipe 20 3" Or scan the code �� f Energy Gcmrerter weight OSO ihs, 11114.111 Boiler Flue Outlet 4" 6" at right to see • 1:1741111113! • the complete Minimum Flexible • line of all l Natural Gas and Propane home heating system 5 Dla. 6"Dia. p 9 Y Chimney Liner Energy Kinetics Input Up to Domestic " bailers. p BTU/hr Gross output BTU/Ihr AFUE Hot Water* Hydronlc Supply 1 ' 80,000 70,000 88% 149 Gal/Hr. Hydronic Return 1" 100,000 68,000 88% 177 Gal/Hr. 120,000 105,000 87% 203 Gal/Hr• Hydronic Circulator Taco 007e Taco 0010 ENERGY 150,000 129,000 86% 241 Gal/Hr. KINETICS 1 'Domestic hot water rating based on first hour draw with 77°F rise and 40 gallon lank. &eerh•dYg. llawll L�r,,II�7 t Energy Converter weight270 lbs. Lite�� g,�.�.Ki•UcslmmAydprtaaxh. 1 warrantyme In Energy Kinetics/System 2000o �xewrr�°<e>d warranty on the gY Y •.. e } !En ergy 51 Molasses Hill Road,Lebanon,NJ 08833 Manager and on 0001 3 23-2066 Fax(800)735-20M Natural Gas and Propane home heating system 1Y rheresidenriar LIFETIME UMMU WARRAN ASME pressure visit www.energykinetics.cgm Input Up to Domestic vessels.See the BTURtr Gross output STU/hr AFUE Hot Water' v i ENERGY actual warranty As an ENERGY STAR"Partner,Energy Kinetics KINETICS for delsifs. has determined that model EK1 meets the 1 175,000 153,000 87% 278 Gal/Hr. .,�� ENERGYSTAR•guieLlinesforenergyeffickency 200,000 172,000 87'/6 308 Gal/Hr. for oil heat input from 0,613 to 0.85 gph. 225,000 192,000 BS 1° 339 Gal/Hr, The cola yellow for heating boilers is a 250,000 209,000 84°! 365 Gal/Hr, A registered trademark of Energy Kinetics. �+'�, � SM U� The color yeliow for healing boilers is a 'Domestic hot water rating based on first hour draw with c 71F rise and 40 gallon tank, V:Ji F registered trademark of Energy Kinetics. . , f IcrKn ACQRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 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 Arthur J. Gallagher Risk Management Services, Inc. NAME: Tammie PattaniteFAX PHONE 4000 Midlantic Drive Suite 200 888-273-8155 Alc NI 856-273-3663 Mount Laurel NJ 08054 Arnr)RlEss: tammie_paftanite@ajg.com INSURERS AFFORDING COVERAGE NAIL# License#: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 INSURER C Port Chester NY 10573 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:945532112 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTFD 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 ADDL SUER POLICY NUMBER MM1DDIYYYY MMIDD/YYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY PK202000020101 12/3112020 12/31/2021 EACH OCCURRENCE S1,000,000 7�77 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $5,000 PERSONAL&AOV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 X POLICY F7 JE COT LOG PRODUCTS-COMPIOP AGG $2.000,000 OTHER: $ A AUTOMOBILE LIABILITY AU202D00017525 12/31/2020 12I31)2021 COMBINED SINGLE LIMIT $1,000,000 Ea accident X 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 X OCCUR EX202000001405 12/31/2020 12/31/2021 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y f N STATUTE ER EE ANYPROPRIETOWPARTNERIEXECUTIVE ❑ N!A E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? IMandatory In NH) E.L.DISEASE-EA EMPLOYEE. $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS Y 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 O 1988-2015 ACORD CORPORATION. All rights reserved, ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NI w Workers' YORE Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured ADP TotalSource FL XVII,Inc. 9143455700 10200 Sunset Drive Miami,FL 33173 UCIF 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 to. 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"1 a" 938 King Street WC 038381464 NY Rye Brook,NY 10573 I worksite employees working for Singer Hddirig Corporation paid under ADP TOTALSOURCE.INC's ayml I.are covered under the above stated policy 3c. Policy effective period 7/1/2021 to 711/2022 3d.The Proprietor,Partners or Executive Officers are ®included.(Only check box if ail 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"1 a"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"T'. 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: llpon 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. t nder penalty of perjury,I certify that I am an authorized representative or pee nsed:tie n,a fthe earrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Adriana Sanchez (print name ofauthorucci repr tative or licensedpf insurance carried Approved by: 6/30/2021 (Signature) (Date) Title: Account Specialist II Telcphone 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.