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HomeMy WebLinkAboutMP21-154 �Qy s i�Wn4.J.l V C[ia a VILLAGE OFI RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (9144) 939-0668 Christopher J. Bradbury www.ryebrook.or TRUSTEES BUILDING & FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE November 23,2021 Robert Weiss&Eileen Weiss 157 Brush Hollow Crescent Rye Brook,New York 10573 Re: 157 Brush Hollow Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-103 This document certifies that the work done under Mechanical Permit#21-154 issued on 10/25/2021 for the installation of a new oil fired boiler has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /tg 1982 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: DATE' PERMIT# J ISSUED; iA -n'� ECT: BLOCK: LOT; LOCATION: e Q \` OCCUPANCY• I ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED REJECTED/REINSPECTION SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: 11 ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS 1 �j`� ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER [] FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER d� Ln N N N -� kin o a� N N OA F� W Q end 7r MCI > O O O - t ■ C = =low- �' CIO 12, 0 3 � O c a� E, ■ ' d O � oo _ > � � � ■ Coe CQ 0 cc -5 co w 0 f . 0 ON Oft 0 Cc, U a w a P4 4 � : W 00 ur y O coo aVi u = � M aEi � � O � � � F a a �•�.fl a py a Q LbCZ ` x a, ay d x 40. Qa > > BUIL MENT 5 C W VIL OF RY OOK 938 KING �.d "E'r RYE BR ,NY 10573 OCT 2 1 2021 0 VILLAGE OF RYE BROOD BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: ! 6� Approval Date: OCT 5 Permit Fee: $ Approval Signature: ✓ Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder) &Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$100.00/unit•COMMERCIAL =$350.00/unit, 5. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. Application dated, 1011917.1 is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County, State&Federal laws, codes,rules and regulations. I. Address: 157 'drums 1-b1kg UMS(M�&WL 4 19973 SBL: 12 S .-7G ` I -lb3 Zone: 2. Property Owner: Kp�d at1 `C ken Weiss Address: 157 (he_i5h Akw UmAni Phone#: 114 ribu Cell#: 914'523-1-M email: ellemb6 {ersis I&91 l-GW 3. Contractor: e I. , Nrdely CD- Address: 8(. L40-ps St. Gfmre►cjn, CT n6i3D Phone#: g -3400 Cell#: email: &Klemm(r ?�5-Y, 4lii1P,�_tAM 4. Applicant: q K(w)m Address: 86 \4p,,'`rX St (+,apt► t CT Q BO Phone#: 914 r8!6-Maa Cell#: email: AlQe M a Up_,AeS(d 1A,C[aM 5. Scope of Work:New Installation(4•Replacement(4•Removal(-f-Other( ): 6. List Equipment: c y'�'�L� 7,= R A Y,C & L 1K w/ Cale e M h(_ner 7. Location of Equipment: 8. Method of Installation/Removal(list all equipment needed to perform job): gem%[& ,AsN- b + )m few AM All Aw S!,sm =1) r—l b©lkr L41C0&A loufftr 111%, Sam LQ 1 8/12/2021 ST E OF N COUNTY OF ) as: H �'k Q M• ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of in ividual signing as the applicant) and further states tldt(s)he ithe legal owner of the property to which this application pertains,or that(s)he is the "T-5i Pin for the legal owner and is duly authorized to make and file this application. (indicate architect,)wAtractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this 1 U Swom to before me this 1� d f pei ,20 vl day of a:JbiD0- ,20 a\ Signature of Property Owner Signature f Applicant Print Name of Property er Print Name o Applic S—."L Zz— Notary FWAN rYTLE Notary Public NOTARYPUBLIC SEAN LYTLE My Commisslon Expires Aug.31,2025 �� NOTARYPUBLIC 41y Card rslon Expires Aug,31,2r.. This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 8/1212021 R EK1 and EK2 System 2000 Frontier and Stackable Installation Dimensions EK1:41" EK1/EK2 Frontier Dim"A" W/O box With box "E" EK2'49" _ EK1:2112" Installed dimensions with Beckett AFG 8" 91/2" A - -- 24" EK2:29I" a low profile boiler base or a standard boiler base.** Carlin EZ-1 9" 9 112" t l —. "All Shown without the required Riello 40F5 13" N/A ' 7 �t water storage tank. �,. �� �, } 19 .11 I' - At right:Dimensions'A"and'B' EK1:41" — Z depending on different burners. Ell;49n , _I 24rr EK2.291" i 30" / t .+ 73" 1 swing down dow .. .w , 30" 48"a' 7 40 gallon rc"t* / y .JV ter storage r�y wate EK1 f EK2 stackable3491r tank installs Installed dimensions 91" I wring down doorExpansion beneath with stackable base. 4 rank stackable 1 L Moiler. Low profile base 910* 294" Stackable 17" x base r I .3_._.......__ 1 ! t 2'1 installed with a low profile base and a Beckett AEG burner. I fa Service clearances:20'from front door `r lace,0"left side and right side.Clearance 011heat home heating system up to Domestic to combustibles:4"from the rear cover; 16"above top cover;4"from flue pipe. Input Gross output BTUmr AFUE Hot Water' � .68 GPH 83,000 87.9% 169 GaI Included(factory piped and assembled): a .74 GPH 90,000 87.7% 180 Gal/Hr. Boller base,blocked vent switch,dynamic 85 GPH 104,000 87.5% 202 Gal/Hr, air elimination manifold,ONIOFF switch, 1,00 GPH 121,000 86.2% 228 GallHr. surge protection and junction box,314"drain 'Domestic hot water rating based on first hour draw with 77°F rise and 40 gallon tank. valve,plate heat exchanger on hot water Energy Converler wool 270 ba. models,circulator and door safety switch. * Draft regulator not required or recommended due to advanced combustion chamber. 011heat home heating system Up to Domestic trip r`ut Gross output STLI/hr AFUE Hot Wate ®® 1.20 GPH 147,000 87.6% 269 GaUHr. Resolute"RT1.40 GPH 175,000 87.0% 313 Gal/Hr. Weight 1.60 GPH 190,000 05.5% 336 Gal/Hr. Water Content 21/2 4 No chimney?No power vent? 1.75 GPH 2O6,000 84.0% 360 Gal/Hr. gallons gallons No PROBLEM1 Look at Resolute RV 'Domstic hat water rating based on first how draw with 77°F rise and 40 gallon tank- Air In let Pipe 2" 3" ,4❑ Energy Co+rrener weight 35o lbs. Or scan the code ■ ■ • • Boiler Flue Outlet 4" 6" aherighh to Bee • AI Natural Gas and Propane home heating system Minimum Flexible 5"pia. 6" Dia. En line of aalll P 9 Y Chimney liner Energy etics boilers. Input Up to Domesac, BTU/hr Gross outputBTU1hr AFUE Hot water Hydronic Supply 1" 1%." 801000 70,000 88% 149 Gal/Fir. Hydronic Return 1" 1Y." 120,000 a5, 00 87% 203 Gal/Hr. 6��;;i ENERGY 120,000 105,000 87°k 203 Gal/Hr. Hydronic Circulator Taco 007e Taco 0010 m 154,000 129,000 86°1 241 Gal/Hr. KINETICS `Domestic hot water rating based on first Your draw with TPF rise and 40 gallon tank. ewbr isov.bwersohgsrrsmme Energy Camrener weight 270 Ips. En wgy dIrt•lx.Y IaAY7y 9r prDdL'CCt. . Lifetime rim ed th Energy Kinetics/System 2000" •• • �¢ra+.oT +�'++ warranty on the QY Y I L1 Digital Energy 51 Molasses Hill Road,Lebanon,NJ i?8833 Natural Gas and Propane home heating system �` "� 1-�i l Manager s (800)323.2066 Fax(8M)735.2068 4.- the residential UF��IELtMtTEDWARM1lN ASMEpressura visit www.energykinebcs.com Input Up to Domestic vessels,See ma As an ENERGY STAR"Pariner,Energy Kinetics BTUfir Gross output BTU/hr AFUE Hot Water" EAIERGY actual warranty 9Y .�iC1NETIGS roll derails. has determined that model EK1 meets the 175,000 153,000 87% 278Gal/Hr. ENERGY STAR"guidelines for energy efficiency 200,000 172,000 B71/6 308 Gal/Hr. { for oil heat input from 0.68 to 0.85 gph. 225,000 192,000 85% 339 Gal/Hr. OThe color yellow for heating boilers is a 250,000 209,000 84% 365 Gal/Hr. AS " registered trademark of Energy Kinetics. 'Dornestic hat water rating based on first tour draw with 77°F rise and 40 gallon tank. ME L OThe color yellow for heating boilers is a:1 ., M Energy Cmverter weight 350Ins_ i' LISTED registered trademark of Energy Kinetics. �axo9a vsa ma+ /•��•a!" "A�"�� + ��./v h4�t�/,ems r`Yk"r� T�.S Y r r•.�,d' t ! 9•�.l,T 1 s';47�tM, „w�1r•'�'i'�• V4 ,r y, , ,Jr n Y}, tZ �•���';�',r �'t`? � J '1: +t Y;1 y'}�� C�?Y,f J S �! ta'r1111"Y rr� _nt t••ilt�'•Y; 'w/.� 1 I\ PI r� f lti�l,+, 'itt�t'5.,\w' T.s.�w. ,;,1y,iY,� w ;�ifi. Y4'�r'r+kr/,•rl"url,t Irti�, .w's.•rL: M if'..k s�` �Fk�b F�l�k7�11;'�,1 „rl. 'j!y' �,r;t:41yA`wGllfj+,^ ,.hil !f '+,t i 'a,rr^.jf,d,n: .n�d1^4�1 r� ...J.i 11;R hll?f., r 7y, �e JIrJ!w•t�._ wr,1;i'5?.'..[[. Yr�.s'�,ti,f M4�',r^.fi4y;y`:",It,ilt+lYfi,,+�,'T/1}oka�r rr�,. J iTr,l^Pt f;}.I�JI.,I.�`r r�1�., ppgg"rlirt+ltp kr+"+�r"'asr I,.1, l d.til+rrrifi's.,aS l lli 6 fl ' Atl" Ylog, , 1` t+�tt �. ��f A tf f°b'� '1 fir' r � ♦��i ���fr' a( •• tb�vv�1' �r•1 ���.V�,�� a+•r� �al` r,.���. 111 1�5� � � �� •, ±:�� J'�A. I i;li(t I.. 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I�, t A�� 1's1 IIM1'St l+y�II..,,41f 5 r.��i�rt4; �Y✓rl�,l '°�ly!'G�fnr t''�j�lll.� 1^i lu4',�'�1�,4"Yn"'Al'I'�d�,! I �Ir�q,C�;n'!h�flVwt. i, r,•.ia�• �win5l?1L.� +�Iglp., 1 /� ��a��;i °w��3P+.�*ts{!+'� ";• 14 fivrf;t�'Rril" '�'t kl�l¢i�fk�+I ,iR, 5,4+`r��4 I '�' tt+�+,�Yl,��l1• �•• �Iv:+1�2:1}� '��' °fif�'C '4� s��U� ':�, 4 '�.. r h{. /� •� ittl .a.. .�x !1 v d{ii.i Zr..:'1�Y �I IH �r,°,,+h��ti E, L-JY ��{I,i' '.'t''il ,¢�• Ig:'y I�Ers 1.1 ���4.,r �.�;C If7"�3.4i1.,, l; a r,r(� GPI E ll�, i L tii "'1 ''� .+ Y""J✓',y n I�� �4+F r ,�i'�JJ y141[ d i'`'•,hj„��vt>vir�, " 1Y1 ;l�,ti.yy•.v�f��e /'qh'��t2v.��.J"�ticy 5, rr rally v y5 M r �..,; n'yaLt, AC© oATE I� 11..� CERTIFICATE OF LIABILITY INSURANCE 1 THIS CERTIFICATE 1S 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 ISSUINO INSURER(S), AUTHCR12ED 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 SUBROOATION IS WAIVED, subject to the terms and condltlons Of the policy, certain pollelas may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER HA/.1TACT T O TACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE:P.O.BOX 328 PHONE N., L:r:881-333-4949 FAX I.:507A46-4664 DWATONNA,MN 55060 ADORE CLIENTCONTACTCENTER FEDINS COM INSURER(S)AFFORDING COVERAGE NAIC R 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 RE©UIREmENT. 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. WEIR TypF 4F INSURANCE MI'CE DL SUER pOIJCV NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR MMlDOIYVYY MMlDOIYYYY X COMMERCIALOENERALLIABIL17Y EACH OCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR DAI E TO RFNTEDn $100,000 MED EXP(Any one penonl S5,000 A N N 9DB2915 06/D1/2021 D6/D112022 PERSONAL&ADV INJURY $1,000,000 O 'L AGOREO E LIMIT APPLE&PER: OEN€RAL AGGREGATE S2,000,000 PRO X pp LILY SECT 71 LOC PRODUCTS•COMPIOP AGO 32,000,000 OTHER, AUTOMOBILE LIABILITY COMBIN€D SINGLE LIMIT S1,000,ODO X ANY AUTO BODILY INJURY(Per pener) OWNED AUTOS ONLY SCHEDULED A AUTas N N 9062815 06101/2021 06l0112D22 BODILY INJURY IPer xcltlenQ HIRED AU ONLY NON-OWNED PROPERTY DAMAGE AUTOS CHLY frer eccleen X UMeRELLA LIAB X OCCUR EACH OCCURRENCE ST,DOO,D00 A EXCESS Lfw6 CU*MS-MALE N N 9062816 06/01/2021 D6/01/2022 AGGREGATE $7,000,000 DED I I RETENTION WORKERS COMPENSATION X PERSTATUTE I OTH. AND EMPLOYERS'LIABILITY ER ANY PROPRIETORIPARTNERIEXECUTIVE E.1-EACH ACCIDENT $5120,000 A OFFICERIMEMBER EXCLVDED7 NIA N S917566 06/01/2021 06101/2022 IMrndetory in NH) E.L.DI6EASE-EA EMPLOYEE $500,000 N ye.,ec,r.Her onaer DESCRIPTION OF OPERA710NS eclow E.L DISEASE-POLICY LIMIT M0.000 DESCRIPTION OF OPERATN)Ns I LOCATIONS d VEHICLES(AGGRO 101,Addl—.1 Rrm+rts S1rr7Nle,may be It more space Is requlrce7 CERTIFICATE HOLDER CANCELLATION 330-131 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 REPRESENTA71VE 4 O IM-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ;�.. YOR{ War ;ef,' CERTIFICATE OF �sTAYI i t�t�ts��l°� Boar NYS WORKERS' COMPENSATION INSURANCE COVERAGE =- �c��t-t� la,Legal Name&Adctless or Insured(use alreet addre. unly) lb.Bttsifinss Telephone Number of Insured WESTMORE FUEL COMPANY INCORPORATED 203.531-5656 86 N WATER ST GREENWICH,CT 06830-58136 1c.NY`9 Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically hmind to Id,Federal Employer Identification Number of Insured or Social Security ce,fain lncaticjns in New Yoi*Sfala,i.e.,a Wrap-Up Policy) Number 06-0739367 2.Name and Address of Entry Requesting?roof of Coverage 3a.Name of Insurance Carrier (Entity Being Listad as the Certificate Holder) Federated Mutual Insurance Company 1771 Village Of Rye Brook #35 3b.Policy Number of Entity Listed in Box"1 a' 938 King St Rye Brook, NY 10573-1226 9917566 3c Volley effective period 06IOI12021 ip 06i0112022 "A.The Proprietor,Partners or Executive Officers are inrludscl.(OWy chnr:k bnc'xt all inrl,dw) ® all excluded or certaln partnerslofficers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box'1a"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 frrim the coverage indicated on this Certlffcate.(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 dues 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,it 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 nowCertlflcate 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 licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted an this form, Approved by: April fvlyer (Fruit nwrie ul ouih-o7li' i repauNcri'diive of liLu?"o uyent ur iasulJnce couier) Approved by: 4 f`,m�0,t, o.sr�,f t ca !gnalure) (Date) Title. Authorized Representative Telephone Nurnber 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(9-17) www.wcb.ny.gov