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BP21-281
PERMIT #� SECTION TYPE OF WORK JOB LOCATION _ EST. COST vCO # FOOTING FOUNDATION FRAMING V _ DATE: Joll a EXP:, �_ BLOCKLOT 4er/ i)/ 4 )X7er% o✓' 1-i /e %./cake "s 9/a4 may) 93'7- sa&9s � nner 6a.17Ya S /L4w3DATE L24`�CMLmoln FEE _ DATE. INSPECTION RECORD DATE INSP INSULATION Il PLUMBING w n' RGH FRAMING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC t� LOW -VOLT ALARM AS BUILT CI IN FINAL - — ?S19ol� lech ll SeN�cQs OTHER APPROVALS ARB BOT PB ZBA OTHER _ c( :0 11 � 5��%aoa2- FF VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 22-063 Certificate of ®ccupaucp Ehis is to certify that Q rJanefiS r of, Rye &,-oo k., / V 7 having duly filed an application on -42y' 2,5, 20 QQ requesting a Certificate of Occupancy for the premises known as, a75 Nok-M e Oy e:J , Rye Brook,NY, located in a p-/5 Zoning District and shown on the most current Tax Map as Section: 05. oZ-7 Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.O I-aS J , issued /v L,�2 q 20 02� such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: One I� Y7� �� Construction: for the following purposes: /a f eyl QY ¢ e-x4-6 -1 -""1 Ise Y��"fDr'Q7�ia t� Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. o changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, Lto hether by extending on any side or by increasing in height shall be made,nor shall the building be moved from one location another until a permit to accomplish such change has bee o t d€romt ilding Inspector. uilding Inspector,Village of Rye Brook: Date: MAY 4 2022 2 ty spa aJ v +vt . 19 40A af1f'IIvvowtg VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury *,A-w.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICA'T'E OF COMPLIANCE May 3,2022 John Boggi jr. &Jane Fisher Boggi 275 North Ridge Street Rye Brook,New York 10573 Re: 275 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 135.27-1-19 This document certifies that the work done under Mechanical Permit #22-043 issued on 3/25/2022 for the installation of a new condenser and coil has been satisfactorily completed.. Sincerely, Michael j. Izzo Building&Fire Inspector /to ' EA�� ��` For office use only: p D (� �/ I BUILDINTMENT PERMIT# l� VILLAGE OF RYE BROOK ISSUED: U-Q)4—d1 APR 2 5 2022 , 938 KING STREETS RYE BROOK,NF:w YORK 10573 DATE: —�c�a (914)939-0668 FEE: 4, QS PAID* VILLAGE Or RYE BROOK www,rye6rook.orP, �. APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION aarasaaaaaasawwwswsrssrrsrsara*aaaaa+as++a+ws+ss+wrssrrsrrsr**r*asaaaa+w++ww++sw+wwrrrrwr■rwssrrssrsrrr•►assrsaasaaaaaaa*aa*a Address: 275 N. Ridge Street, Rye Brook, NY 10573 Occupancy/U4. I Parcel ID#: /35 c47— /—/ /p Zone: Owner: Jane Boggi Address: 275 N. Ridge Street, Rye Brook, NY 10573 P.E./R.A. or Contractor: United Cleaning & Restoration LLC Address: 70 Industrial Park Access Road,Middlefield,CT 06455 Person in responsible charge: Edward Wilson Address: 70 Industrial Park Access Road,Middlefield,CT 06455 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK, COUNTY OF WESTCHESTER as: 4 s� W, ` being duly sworn,deposes and says that he/she resides at 275 N. Ridge Street (Print Name of Applicant) (No.and Street) in Rye Brook in the County of Westchester in the State of NY ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 1 /2,000 for the construction or alteration of: repairs of existing finishes due to smoke & fire damage Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A. of the Code of the Village of Rye Brook. Sworn to before me this Z 6-j4i Sworn to before me this day of�r; 920 9-9- day of , 20 Si ure of Property Owner Signature of Applicant J-o,P, -e, B o 19/* Print Name of Property Owner Print Name of Applicant ffg:�d'— Notar+'Public Notary Public KIRK A MULLEN n' Notary Public Connecticut My Commission Expires Oct 31,2022 QyE BR04 C��. cu � '9a2 BUILDING DEPARTMENT 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:_ � DATE: PERMIT# '/� !� ' _ ` ISSUED: ('D[-ZPI bf SECT: �S 'Z 7 BLOCK: 1 LOT: LOCATION: 1 L�2 S�c�l 7 OCCUPANCY: ✓ ❑ VIOLATION NOTED THE WORK IS... I�� ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION �/ REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS L-p (Z-- ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ ROSS CONNECTION FINAL ❑ OTHER �yE BRC��. O� 2m >� , /�• 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 :— �1��j �T DATE: 41 TZ 7 2 PERMIT# 2-1 li ISSUED: l o fh SECT: ; � BLOCK:_LOT: 147 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 ❑ NATURAL GAS ❑ L.P. GAS - ❑ FUEL TANK ❑ FIRE SPRINKLER GNy I tJ Ck M,4 C M V dirt LF ❑ FINAL PLUMBING L ❑ ROSS CONNECTION FINAL OTHER �E BRC��. o`` tim • 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. d2AECT: 2 PERMIT# ISSUED: LOCK: LOT: LOCATION: Vo `� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUKPING 6l 6 NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION n,� ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER d � u % R * Cd . N } � `° % a � k , n % k » kn 0 / / / ] ^ 0.4 or,- � ƒ� � } q ƒ '� � / 06� k ° W 2 � | e Go •7 > 2 | ^ ® 22 0 7s4. - _ � © cn � \ § 0 § 2 c c n � 4)to u & ° } 3 ch \ § ƒ � - k a4 0 O� Zm • �9�2 BUILDING DEPARTMENT ❑BUILDING 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 Uebrook.ors - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - �� V 2 2<�l 2oZZ ADDRESS :_ l DATE. PERMIT# ISSUED: l �I Z ECT: 1? BLOCK:LOT; _ LOCATION: t ` OCCUPANCY: () ❑ VIOLATION NOTED THE WORK IS... ,ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION a p REQUIRED ❑ FOOTING �, )1 Q ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING INSULATION ❑ NATURAL GAS t �1 G t S T t C On 2E� 5�-- ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER V9, �2 1 -4 ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER :1 CD x N ~ N O O N � N o v 'S 52 N ao t a a� a � ■ F A lww%� O Wed '.��' v bQ E v7 � � c� o n O C G 0 .` O � = O0 V1 � i"i SC � d '� ❑ cad � � ° � ■■ G Q O W 00en _ d y ■ co o fs'z Lap C7 M � ., � . Y ~ W� 3av a AN 0 1 ta ON z w �' , 1 � Z � c � g � W _ � a O W d M Q > 0 8 a� 9 c V W A -00 z L� c. A x v F g h F w A 4 p� O > > E BUILDING PkPARTMENT VIL> i,OE OF R OOK OCT 5 2G21 938 KING ET'R�tE BR NY 10573 4)'939 06 VILLAGE OF RYE BROOK BUILDING DEPARTMENT a9n2 ' ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY: �Q APPROVAL DATE: All PERMIT#: v'+ I APPLICATION FEE: APPROVAL SIGNATURE: PERMIT FEES: I I x- oc • H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated:/ 0 C>:5—c)j is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. L -1. JobAddress: -7 5 , 2. Parcel ID#: p1 Ir9 Zone: 4--/S -3. Proposed Improvement(Describe in detail): 'v L"b AXX- i Lj� i ///! --I D r'l_ + L,t R 2F �LFz S�RlsT1 c�ti5 .r -4. Property Owner: Address: 2 e 06491,t Phone# //�y 32 - L ) Cell# /S/— 7 - is e-mail knl ;S/re'r Utz l G� List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail rArchitect: chn5 Address: I wvDA Ea Phone# 914 _ 2W*-- 69-5 o Cell# q - "11S -mail Cyr+S f l� S��f►u 'cT�c h,y� Engineer: Address: Phone# Cell# e-mail —General Contractor: On-EC Address: 7L' in do rk"41&iA ACC�f7 ff�tk-� Phone# CCi:• 9 73 5 Tj`7�G Cell# .2a 5 - e-mail 74na"/A, ,!J Cam pt�n nt (1) 8/12/2021 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a comer lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 11 fl: 2ad fl: and fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: 1"fl: tad fl: 31d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction Classification: N.Y. State Use Classification: 14. Construction Type&Location:()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; O Pre-engineered wood[PW];Located;O Floor Framing M;O Roof Framing[R];O Floor&Roof Framing[FR];Other: 15. Number of stories: Overall Height: Median Height: 16. Basement to be full,or partial: finished or unfinished: 17. What material is the exterior finish: 18. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 19. What system of heating: 20. If'private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes:_No:_ (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes:_No:_Area: 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (ifyes,applicant must submit a Site Plan Application, &provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (f yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: (if yes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate:TIER I: TIER IL TIER III: (+f yes,a Home Occupation Permit Application is required) -29. What is the total estimated cost of construction: $ %0 0 [?p O Note:estimated cost shall include all site improvements,labor,material,scaffolding,feed equipment,professional fees,including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: (2) 8/12/2021 D � BUILDIENG DEPARTMENT IDD VILLAGE OF RYE:1 k%00K OCT 2 5 2021 938 KING$ ET RYE BRr 'Ox,NY 10573 VILLAGE OF RYE BROOK ;04) `� � BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE 216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: one— 6 ,residing at, ;.7 • /L i. e 9, Srmk (Print n (Address vKere you live) t... being duly swom, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; r �1�r7 GC T• i &_0 , Rye Brook,NY. (lob A ss) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature o Owner(s)) cOA 6 S�qq/' (Print Name of Property OvAldo rr�� Sworn to before me this pot n of 1f/_ ,20,2_( Public) Denise Leone Notary Pubic,State of Cmr4cfP► My Cdnmissiw Expires 7131126 (3) 8/12/2021 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also 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. Please note that application fees are non-refundable. STATE OF NEW Yq,MRK,COUNTY OF WESTCHESTER ) as: ('y";�a ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further� state that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the 4 ���,. for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,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. By signing this application, the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this i J Swom to before me this day of � � a-� , 20 day of 20 &Kn attire of Prope ignature o Applicant Name of Prop er FftnintN e of Appli t N Public N Public F Denise Leone Denise Leone Notary Punic,State o1 Connecticut '��� Notary Pubdc,State of Connecticut My Commission Expires 7131126 My Commission Expims 7131126 (4) 8/12/2021 OD 0 M 1 04 ai • h�l � N U off. � pOq � L M ~ g C 0-4 a/ C M W N I W � y = Fil It dr IM a w .� Ooo V► w V1 C w t w o7 r•� o, ~ �? rs, .a Z ; O Jim 00 N w 5 Q cc Z F Q `n co o � x aril a z Z � Z .Wa Q w rni 8 V W Z G. O V O G 0.yE f3RC�i),,` FF5 V cBUIL , 146 DEPARTMENT VIL GE OF RYE BROOK 2()2� , 938 KIN ET RYE B> ,NY 10573 0665 VILLAC"I PNYE BROOK or i BUILDiId'T5EPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: / "12 / EP Approval Date: NOV — g 2 Permit Fee: $ / Approval Signature: Other: Disapproved: (fees are non-refundable) ***************** ** **************************************************************************** Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install an or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 2J5 No f+ ' Cie S t r 2 e t SBL: /3,�) -a 7-)-/9 Zone:�� 2.Property Owner: 0h n Q o g q i .l rj t) yl e Fi S h e r a e ss: Q � Phone#: - I 7^ z 6 S Cell#:1_ email: 'r Gt �; S k -e r032-eq� 3.Master Electrician: y I 0 C e L, Z 0 S g IV 6 r0 r Address: � I O T il4e r S o ii �C o y � Lic.#: 17 U 9 Phone#:Ll I'I-LI 01 -5 6 5.5 Cell M email: (3 01-t e I e G-I-�j C V S�l/q�00. C d v Company Name: 13 o I t F le C�1 col (S e r V i C e5 Address: S In O �E'-�e'er S O 1'1 /'v e L i V-e 4.Proposed Electrical Work/Fixture Count: I�E X+V V-< S • 8 < ✓-e I S+ G l�C 2 In/ c c y- D V e io F re STATE OF NEW COUNTY OF WESTCHESTER ) as: j1 O C C U 2 0 C S V bV() -jr being duly swom,deposes and states that he/she is the applicant above named,and does finther (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the (f C 4 �- i e i for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states 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. Swom to before me this Sworn to before me this day of ,20 day of V,,)y Signature of Property Owner Signature of Applicant y, U;Vlcet,tzy set IVbrv �r Print Name of Property Owner lame of Applican� n Notary Public Notary Public SHARI MELILLO Notary Public, State of New York No. 01 ME6160033 0,ialified in Westchester CountyM Commission EXDireS January 29,20 8/1212021 • STATEWIDE INSPECTION Service With bilegrilY 1080 i office@swisny.com SWIS JOBAPPLICATION tel845.202.7224 • • • 1•2 SWISNY.corn SWISTraining.com Office Use Elect.Permit# `. Date Bldg Permit# Utility ID# j Final Certificate# City/Village u I p Zip '' Township County W Address 2 7 S /�� R I Q d 5`� _ Cross Street Section Block Lot �V � II p Owner Name/Address(if different than above] (}N h fX" ! �—� 0 y C �,S(,)pr p Contact Number ❑Basement ff,st FI. Znd FI. ❑3rd FI. ❑More Than 3 FI. n Garage ❑Attic ❑Outside [residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps 1 Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw I ent Fluorescent SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information I [NOVLot/ I st 5 Z021 l VILLA( - This application Is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed hems to be Inspected,if at any time or Inspection additional hems haw been Installed,you are authorized to make the inspection and adjust the ice for the additional hems inspected.The applicant declares that there Is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name Date i %J`` ? , Signature Address City/State fy)v�,H�-? )� (< 41/ Zip Code = j License# ! ,';. Phone# State Wide Inspection Services 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: ofFce@swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Bolt Electrical Services John Jr&Jane Fisher Boggi Vincenzo Salubro,Jr. 275 North Ridge Street 510 Jefferson Ave. Rye Brook, NY 10573 Mamaroneck, NY 10543 Located at: 275 North Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP21-288 135.27 19 Certificate Number: 2021-5876 Building Permit Number:21-281 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 275 North Ridge Street, Rye Brook, NY 10573 The Garage, First Floor,and Second Floor were inspected in accordance with the NYS and NFPA 70- 2017 and the detail of the installation,as set forth below,was found to be in compliance on the 21st day of April 2022. Name Quantity Rating Circuit Type GFCI 04 AFCI 08 Switches 21 Smoke Detectors 06 C/O Smoke Detectors 02 Luminaires 15 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. O F F A oWG x � r W v ti z W o Q cii Ln L: 00 z a Q40 it 0.4 oo LC' Q+ C7 cUn N C E � z �i PLO c z ,ri o cn u., g ... z V a a UJ x . Lin H z w cn N p a z Q pr o � BUILPJ R,MENT O r , D VIL E OF RYE OK 938 xIN7,' ET RYE B NY 10573 MAR - 9 2022 " 'o .or VILLAGE OF RYE BROOK PLUMBING PERMIT APPLICATION BUILDING DEPARTMENT FOR OFFICE USE ONLY BP#: Q — �� PP#: c�Q--y J Approval Date: MAR .1 U 2072 Permit Fee: $ /5�5p d, Approval Signature: Other: Disapproved: (fees are non-refundable) **************** ** ****************************************************************************** Application dated, o��o is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install an or remove Plumbing as per detailed statement described below. The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal, State, County and LocalCodes. n 1.Address 4 75 N k!�dC: . �-- Z� .-t;d�_SBL: 135 )9 Zone: 2.Proposed Work: ¢c a,,�r_ {�; 1C Vt 3.Property Owner:JC� �� � Address: 075 /V, K 1 c6i C S� . Phone#: ��—C5o� ,,,,�5 Cell#: email: 4.Master Plumber: �,�,r_�s Gd c Z Address: Lic.#: Phone#: Cell 2� C mail: ACL,Z 6t�,j (15 C o Fa CompanyName:�R(1 1 An �'r (-(� Address: O�We �t_ , Ca INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor ` 3,d Floor ! 4d'Floor 5th Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 8/12/2021 BUILDINC._MA--TMENT D V RY IE E OF O D. OK 1ECEv 938 MNG j1 ET RYE BR66i�,NY 10573 MAR -9 2022 Q� <� 0668:� v�_ rN ro okd VILLAGE OF RYE BROOK BUILDING DEPARTMENT ******************************************************************************************************* AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 - STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 7v ' k�, .�d �' (_- , d�c , residing at, �r N (Print name) (Address wh you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; -�� J� �r �. f DU IVY /�� , Rye Brook, NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. Glifc z�2'� (Sign of Property Owner(s)) (Print Name of Property Owner(s)) Sworn to before me this day of D�� , 20 a2 JOSE C RODRIGUES Notary Public Connecticut F mmission Expires Oct 31, 20 33 Flqtz ry Public) -3- 8/12/2021 e STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,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 // Sworn to before me this 1 day of 20_2_Z_ day of G�J Ci ,20�� S' ature of Property Own re of Applicant Print Name of Property OWdW P '(nt Name of Applicant Public Noviaryu JOSE C RODRIGUES ubiic, State of New York Notary Public 00- 01-MIE6160063 Connecticut 01lalifipd in Westchester County 2 My Commission Expires Oct 31, 2023 Commission Expires January 2.9,20 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. Applications 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- 8/12/2021 � s i x a A. Ln N N 4J LW s a �1 en a M y ti a ++ 0-0 _ N �. logoCA � � N v N 0 .ti ti o110'3 L y PQ w 00 Go N O O N � I i i o d H � g .►q°+ cO a N V Ic-n+ 0 . C W O O d4 d+zp �G' yw 00 v z m A AUO2 � � ° w w o Z O w a uz � .� ■, H � � ~+ w M vxi z W V � E � C av z � V �z�1 — 'o ^ -54 00 CY xZ W > a o N zz e' rr • °► •' uo $ BHE W •• �a H 0 F OG w O OW F z � ` � � Q z o a z w -< � N F w z q 0 g o � .. 0. v p. u ■ � Mb r � �+tit+4i4714=- C • BUILDING DEPARTMENT E C E NE VILLAGE OF RYE BROOK R 1 MAR 10 2022 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK Hw��.rtiet�rook.or BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: Approval Date: MAR 2 5 2022 Permit Fee: $ no)pL 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. Cope of Licensed Contractors Liability Insurance. (Village of Rye Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form (roan 71 C105.2 or Form r U26.3'or NY State Workers Compensation Waiver) 4. Payment ofFees/Unit: R1:S11)1.N 1 IA1. S1O(1 0'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__SJJV/c2P is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or remova 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:'J al1P 27�J r�r��_S+ 1��GCJ�W k SBL:C3 5, Z7-1-1 9 Zone: 2. Property Owner: YNC, Qr� Address: — Phone#: IgJq) -2,q3 ' Cp Gn Cell#: email: nn 3. Contractor: �fl c 4— Address::) Phone#:12j2! g,2,-_ Z7 Z Cell#: ZS � email: N1np�yOYA 'iC,; f000`i 4. Applicant: Address: Phone#: Cell#: email: 5. Scope of Work: New Installation VQ•Replacement( )•Removal( ) •Other( ): 6. List Equipment: `i .+o �t(�_\irj Ar CCrI"C— }ors l4rn�r,�ka� Co 7. Location of Equipment: 8. Method of Installation/Removal(list all equipment needed to perform job): B �J�1� mcy-J AC cell 1 8/122021 STATE OF 1QEW'=, COUNTY O.F-„'�w�=-:� ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,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 beforey �'me this V" / Sworn to before me this 0 day of �Wr ('/r1 ,20<2a day of ,20 M �Lo—, nature of Property O Signature o Applicant aro Print Name of Pro rty er Print Name of Applicant oe otary Public Notary Public ELIANA M SANCHEZ Notary Public ELIANA M SANCHEZ Connecticut Notary Public My Commission Expires Sep 30,I Connecticut My Commission Expires Sep:30, 2022 This application must be properly completed in its entirety and must in o tof 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 8/12/2021 Submittal Split System Air Conditioner A4AC3048A1000B � 1 � ��� ���Op10 lJJ JJJJ I<kD�pO� JJ�JJJJ�J JJJJJJJJ JI Op �J Note:"Graphics in this document are for representation only.Actual model may differ in appearance." November 2020 AM-PRQ-A4AC3048A-1 E-EN Outline Drawing B ELEcr/IOR.//nMIQ...1 rM Diux.M[ [.1.011LD BE CO./tn QEYYQs DREVIVED Ia 11- 11"1', n/0/1..I00 cats. ./Dr[a, a Haut r./[L % ail s*"' BE PLACED RE 100r uIIs ea!/D!ip/ 12-1 ru aIR.I. W s.Orl/N.r 4 H! rR r1s/s, .a 4l orsalgOSM IMO 3$K3aii(la n0Dl i0[f. ----------------�.. __-------- Fl[ci/ICLL aaltt . 0000000 000o 00oOQoo 000000� 00000000000 . OQOooOo 0000000000o A 0000000 00000000000 rr Im NOUN rat LA qiy[ 00�00000 00000000000 I1.1 u3/U1 W.al[I/c/n[q 00000000 00000000000 IN arra ra tLE(n K.l rw[s swnr 0 133.51 I.Is D um" X_x Ua1/u1 BERM/ ua uR stnlc!mn YNn.n IQY[cow I M TIME naU COw[cna nd /11.111•LE rLtlE 1•s.[FLU[Mesa[rU I1r11./ M[Ya[lU rltrla! Model Base A B C D A4AC3048A 3.4 930(36-5/8) 756(29-3/4) 22(7/8) 43(1-3/4) SOUND POWER LEVEL Model A-Weighted Sound Full Octave Sound Power[d8] Power Level[dB(A)] 63 Hz* 125 Hz 250 Hz 500 Hz 1000 Hz 2000 Hz 4000 Hz 8000 Hz A4AC3048A 76 72.5 72.3 69.2 67.5 72.3 60.2 55.2 54.2 Note:Rated in accordance with AHRI Standard 270-2008*For reference only. 2 AM-PRQ-A4AC3048A-1 E-E N Product Specifications OUTDOOR UNIT(a)(b) A4AC304BA1000B a) Certified in accordance with the Air-Source Unitary Air-conditioner POWER CONNS.—V/PH/HZ(c) 208/230/1/60 Equipment certification program,which is based on AHRI standard 210/240. MIN.CIR.AMPACITY 28 (b) Rated in accordance with AHRI standard 270. MAX.OVERCURRENT PROTECTION 45 (0 Calculated in accordance with Natl.Elec.Codes.Use only HACR circuit breakers or fuses. COMPRESSOR SCROLL (a) This value shown for compressor RLA on the unit nameplate and on NO.USED—NO.STAGES 1—1 this specification sheet is used to compute minimum branch circuit ampacity and max.fuse size.The value shown Is the branch circuit VOLTS/PH/HZ 208/230/1/60 selection current. R.L.AMPS(4)—L.R.AMPS 21.8—117 (0) No means no start components.Yes means quick start kit components.Optional authorized kits include KIT07689 for RunTru or FACTORY INSTALLED YES/NO BAYKSKT267. (0 Standard Air—Dry Coil—Outdoor START COMPONENTS(0 NO (g) This value approximate.For more precise value see unit nameplate. INSULATION/SOUND BLANKET NO (h) Reference the outdoor unit ship-with literature for refrigerant piping length and lift guidelines.Reference the refrigerant piping software COMPRESSOR HEAT NO pub#32-3312-xx or refrigerant piping application guide SS- OUTDOOR FAN PROPELLER APG006-xx for long line sets or specialty applications(xx denotes latest revision). DIA.(IN.)—NO.USED 23 (1) The outdoor condensing units are factory charged with the system TYPE DRIVE—NO.SPEEDS DIRECT—1 charge required for the outdoor condensing unit,ten(10)feet of 4620 CFM @ 0.0 IN.W.G.(r> tested connecting line,and the smallest rated indoor evaporative coil match.Always verify proper system charge via subcooling(TXV/EEV) NO.MOTORS—HP 1—1/5 or superheat(fixed orifice)per the unit nameplate. MOTOR SPEED R.P.M. 850 VOLTS/PH/HZ 208/230/1/60 F.L.AMPS 0.93 OUTDOOR COIL—TYPE ALL ALUMINUM ROWS—F.P.I. 1—24 FACE AREA(SQ.FT.) 20.62 TUBE SIZE(IN.) 3/8 REFRIGERANT LBS.—R-410A(0.D.UNIT)(g) 6 LBS.,07 OZ FACTORY SUPPLIED YES LINE SIZE—IN.O.D.GAS(h)0) 7/8 LINE SIZE—IN.O.D.LIQ. 3/4 CHARGING SPECIFICATIONS SUBCOOLING 10°F DIMENSIONS H X W X D CRATED(IN.) 39.7 x 31 x 31 WEIGHT SHIPPING(LBS.) 232 NET(LBS.) 203 AM-PRQ-A4AC3048A-1 E-EN 3 Mechanical Specification Options General Compressor The outdoor condensing units are factory charged with The compressor features internal over temperature and the system charge required for the outdoor condensing pressure protection.Other features include:Centrifugal unit,ten (10)feet of tested connecting line,and the oil pump and low vibration and noise. smallest rated indoor evaporative coil match.This unit Condenser Coil is designed to operate at outdoor ambient temperatures as high as 115°F. Cooling capacities are The outdoor coil provides low airflow resistance and matched with a wide selection of air handlers and efficient heat transfer.The coil is protected on all four furnace coils that are AHRI certified.The unit is certified sides by louvered panels. to UL 1995.Exterior is designed for outdoor Low Ambient Cooling application. As manufactured,this system has a cooling capacity to Casing 55°F.The addition of an evaporator defrost control Unit casing is constructed of heavy gauge,galvanized permits operation to 40°F.The addition of an steel and painted with a weather-resistant powder evaporator defrost control with TXV permits low paint finish.The corner panels are prepainted.All ambient cooling to 30°F. panels are subjected to our 1,000 hour salt spray test. The addition of the BAYLOAM108 low ambient kit Refrigerant Controls permits ambient cooling to 20°F. Refrigeration system controls include condenser fan, Thermostats—Cooling only and heat/cooling (manual compressor contactor and low and high pressure and automatic change over).Sub-base to match switches. thermostat and locking thermostat cover. 4 AM-PRQ-A4AC3048A-1 E-EN About Trane and American Standard Heating and Air Conditioning Trane and American Standard create comfortable,energy efficient indoor environments for residential applications. For more information,please visit www.trane.com or www.americanstandardair.com. CERTIFIED Unitary Small AG MR Standard 2101240 C UL US LISTED The AHRI Certified mark indicates company participation in the AHRI Certification program.For verification of individual certified products,go to ahridirectory.org. The manufacturer has a policy of continuous data improvement and it reserves the right to change design and specifications without notice.We are committed to using environmentally conscious print practices. AM-PRQ-A4AC3048A-tE-EN 05Nov2020 SupersedesAM-PRQ-A4AC3048A-1D-EN (Apri12020) ©2020 4TXC-DS-SUB-1 TAG: 2 - 5 ton ComfortTM Coils, Split System Aluminum Heat Pump / Cooling Coils Cased Upflow/Downflow Horizontal 4TXC-DS Series Coils Outline Drawing for models:4TXCA002DS3,4TXCB004DS3,4TXCC005DS3,4TXCB006DS3,4TXCCO07DS3,4TXCC009DS3 p � � 12-I/4 19-3/8 0 0 3 2-112 114 A CmfortTUCON 2-114 i I I-7/8 • 1-3/4 3 3/4 �i6 15/8 I I/4 18-1/8 3-5/8 1-3/4 OPENING IN WRAPPER C 21-112 B FIGURE A From Dwg. D345686 RevA MODEL 4TXCA002DS3 4TXCB004DS3 4TXCCO05DS3 4TXCB006DS3 4TXCCO07DS3 I 4TXCC009DS3 WEIGHT LBS. 42 58 60 65 69 1 78 REFRIGERANT CONTROL TXV NON-BLEED HEIGHT'A' IN. 17.1/2 22-1/2 22-1/2 26-7/8 26-7/8 30-3/4 OVERALL WIDTH'B' IN. 14-1/2 17-1/2 21 17-1/2 21 21 OPENING WIDTH'C' IN. 13-5/8 16-5/8 20-1/8 16-5/8 20-1/8 20-1/8 TOPOPENING'D' 12-3/4 15-3/4 19-1/4 15-3/4 19.1/4 19.1/4 GAS CONNECTION 314 7/8 LIQUID CONNECTION 318 MATCHED FURNACE WIDTH 14-1/2 17 1/2 21 17 1/2 21 21 NO ADAPTER REQUIRED DRAIN PAN PLASTIC 0 2016 Ingersoll Rand All Rights Reserved Mechanical Specifications General These coils are A.R.I.certified with American Upflow, Downflow, or Horizontal coils shall be designed for cooling and heat Standard Heating&Air Conditioning's matching pump applications. The coil shall be 3/8"seamless aluminum tubing me- condensing units. chanically bonded to aluminum plate fin. Accessories Refrigerant for the 4TXC-DS coils shall be controlled with factory installed Evaporator Defrost Control installed on coil for Non-Bleed TXV refrigerant control. Refrigerant connections are brazed fit- lower ambient operating conditions. tings with an additional Schrader Valve for system service. The coil cabinet shall have a removable front and interior access panel for evaporator coil entering air surface cleaning. The coil includes a drain pan with drain connections for vertical or horizontal operation and a horizontal auxiliary drain pan. PRODUCT SPECIFICATIONS --- SPLIT SYSTEM HEAT PUMP /COOLING COMFORT TM COILS CASED UPFLOW/ DOWNFLOW/ HORIZONTAL 4TXCA002DS3HCA 4TXCB004DS3HCA 4TXCB006DS3HCA 4TXCC005DS3HCA 4TXCC007DS3HCA 4TXCC009DS3HCA INDOOR COIL--Type PLATE FIN PLATE FIN PLATE FIN PLATE FIN PLATE FIN PLATE FIN Rows/F.P.I. 2/20 3/12 3/14 3/12 3/14 3/16 Face Area(sci t.) 3.00 5.00 6.00 5.00 6.00 7.00 Tube Size 3/8 3/8 3/8 3/8 3/8 3/8 Refrigerant Control(No Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV internal check valve) Drain Conn.Size(in.) 3/4 NPT 3/4 NPT 3/4 NPT 3/4 NPT 3/4 NPT 3/4 NPT Duct Connections See Outline Drawing See Outline Drawing See Outline Drawing See Outline Drawing See Outline Drawing See Outline Drawing REFRIGERANT R-410A R-410A R-410A R-410A R-410A R-410A CONNECTIONS BRAZED BRAZED BRAZED BRAZED BRAZED BRAZED Line Size Gas(in.) 3/4 7/8 7/8 7/8 7/8 7/8 Line Size--Liquid(in.) 3/8 3/8 3/8 3/8 3/8 3/8 DIMENSIONS(in.) H X W X D H X W X D H X W X D H X W X D H X W X D H X W X D Crated(H x W x D) 21-3/8 x 17-1/2 x 26-1/2 26-3/8 x 20-1/2 x 26-1/2 30-5/8 x 20-1/2 x 26-1/2 26-3/8 x 24 x 26-1/2 30-5/8 x 24 x 26-1/2 34.1/2 x 24 x 26-1/2 Uncrated 17-5/8 x 14-1/2 x 21-1/2 22-5/8 x 17-1/2 x 21-1/2 26-7/8 x 17-1/2 x 21-1/2 22-5/8 x 21 x 21-1/2 26.7/8 x 21 x 21-1/2 30.5/8 x 21 x 21-1/2 WEIGHT(Ibs) Shipping--Net 42/34 58/50 60/52 65/57 69/61 78/70 (1]These indoor coils are A.H.R.I.certified with various split system air conditioners and heat pumps(A.H.R.I.Standard 210/240). Refer to the Split System Outdoor product information site or www.ahrinet.org PRESSURE DROP CHARACTERISTICS FOR COOLING AND HEAT PUMP COILS AIRFLOW(CFM)VS.PRESSURE DROP PRESSURE DROP(INCHES OF WATER COLUMN) Model .05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 4TXCA002DS3HCA 225 340 430 510 585 650 715 775 4TXCB004DS3HCA 440 655 825 970 1100 1220 1330 1435 4TXCB006DS3HCA 430 640 815 965 1095 1220 1335 1445 4TXCCO05DS3HCA 520 770 970 1145 1300 1440 1570 1695 4TXCCO07DS3HCA 505 760 965 1140 1300 1445 1580 1710 4TXCCO09DS3HCA 490 740 940 1120 1280 1425 1565 1695 Library Unitary Since the manufacturer has a policy of continuous product and Product Section Coils product data improvement,it reserves the right to change specifica- Product Coll tions and design without notice. Model 4TXC-DS /�'� Literature Type Submittal Ingersoll Rand C'1/ Date 01/16 6200 Troup Highway c 111 File No. 4TXC-DS-SUB-1 Tyler,TX 75707 Intertek Supersedes New Building Permit Check List&Zoning Analysis t Address: 2_7 S� 12- SBL: Zone: — �� Use: Const.Type: Sb Other. Submittal Date: Z S— 2 Revisions Submittal Dates: Applicant: Nature of Work: 11-JTCF-CLt0 A_ `f- O r,_A Reviews:ZBA,9C T 2 6 2021 PB: BOT• Other. OK ( ( ) FEES:Filing. '�S, Jia BP: l i S� C/O: Legaliza�n ( ) (•�'APP: Dated:3 / Notarized: ✓ SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stone Water Review: Street Opening: ( ) ( ) ENVIRO:Long. Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival;- Sealed Unacceptable: ( ( ) PLANS:Date tamped: Sealed: Copies: Electronic. Other. ( (u� License Workers Comp: '-/ Liability �mp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. (0( ) FIRE ALARM/SMOKE DETECTORS.Plans: Permit: H.W.I.C.:_Battery:_Other. (,J� ( ) PLUMBING Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. O O 2020 NY State ECCC: N/A Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval notes: ( )ZBA mtg.date: approvaL notes: ( )PB mtg.date: approval:- notes: REQUIRED EXISTING PROPOSED NOTES APPROVED A=: .,_.__ OCT 2 6 7071 l� l� Min dos Ascss Ft.H Sd.H/Sb fX& Tot Imp Hci hr/Srodes notes: BRC�k. W G & ;�. • 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.ore - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - (� t k 0 ADDRESS: �A4 \ ` JV DATE: -� c PERMIT# N 1 ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: 2- � j VIOLATION NOTED THE WORK IS... - ❑ ACCEPTED REJECTED/ REINSPECTION SITE INSPECTION �N ( <. `` REQUIRED XFoOTING `� V ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS �3 ❑ L.P. GAS C�, ❑ FUEL TANK [� ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION �n ,� �\ ❑ FINAL �- �C �1`-�.�C-� 00--eC v-(� ckS (7Jxr w ❑ OTHER 0 CC (�i ck5 C�ec-IKc \ L s.e r\1, (-p- Q i-e c\x fxx �51 0 4`SG.Q 0 � U k k � C�r'tSQ. \2L C t C<<•c� 6 e c��(ems "�U Ce 5� (� \�C� r C_. dery C-Q- , cG )n (�A c 1\,C ' W J Z C L o = Y Q Q r r J > 00 U 0 z L V V oW U) o z 2 > �z — p .. o 3 t — W - uu o OCOD Dow u' a c �, O 0 00 z � �- w . " pa a M Q w ,4 ;> V L � �en - z _ C � w J � LL NMIa W a zA z A 0z 7 0 U Z W �. A o � , ^ � Wm a 00 . / p a v,d film V4 ` N cn Z r W Q W Zap w� o � � oz0 L43w ►' I `1) 5 w a z w w C 3 O m i i -------- IL I ,a S' I T 4L a J _ •. a, i i WAall ii a LIL Ai lwk of ZZ ION %.:` . AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ li 10/22/2021 YY) 021 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 Jessica Mulhall NAME: Shoff Darby Companies PH CONE No (203)445-2131 FAX AI Ext: A/C,No (203)354-6480 488 Main Avenue E-MAIL s: mulhallj@SHOFFDARBY.COM ADDRE3rd Floor INSURER(S)AFFORDING COVERAGE NAIC N Norwalk CT 06851 INSURER A: Cincinnati Insurance Company 10677 INSURED INSURER B: Evanston Insurance 35378 United Cleaning&Restoration,LLC INSURER C: StarStone Specialty Insurance Company 44776 DBA United Property Restoration Services INSURER D: 70 Industrial Park Access Road INSURER E: Middlefield CT 06455 INSURER F: COVERAGES CERTIFICATE NUMBER: 21-22 Master 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 ALJUL bUt5t< POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYV MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 A EPP0626245 08/17/2021 08/17/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g 2,000,000 POLICY PRO X JECT LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED EPP0626245 08/17/2021 08/17/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE MKLVlEUL102998 08/17/2021 08/17/2022 AGGREGATE $ 5,000,000 DED I I RETENTION S $ WORKERS COMPENSATION X1 STATUTE EORH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 1,000,000 A OFFICER/MEMBER EXCLUDED? � N/A EWC0626247 08/17/2021 08/17/2022 E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Contractors Pollution Liab$10,000 ded Each Occurrence $3,000,000 C Professional Liab-$25,000 ded H77893210AEM 08/17/2021 08/17/2022 Aggregate $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of insurance only 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 ACCORDANCE WITH THE POLICY PROVISIONS. 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' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured United Cleaning & Restoration, LLC 860-349-2448 DBA United Property Restoration Services 70 Industrial Park Access Road 1c.NYS Unemployment Insurance Employer Registration Number of Middlefield, CT 06455 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 061523831 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Cincinnati Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box"la" 938 King Street Rye Brook, NY 10573 EWC0626247 3c.Policy effective period 8/17/2021 to 8/17/2022 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"T'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 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 licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Jessica MUlhall (Print name of authorized representative or licensed agent of insurance carrier) Approved by: w &a& 10/22/2021 (Signature) (Date) Title: Commercial Account Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 203-445-2131 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 i—� INNOHEA-01 AMONAC .aco�zo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 3!2l2022 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 Rose Insurance A ency LLC NAME 360 Center Rock Green ac°°,No,Ext):(203)735-9591 _ FAX No): 203 735-1915 Suite 1 Imss,info@roseinsurancect.com Oxford,CT 06478 INSURER(5)AFFORDING COVERAGE NAIC f INSURER A:Utica Mutual Insurance Co 25976 INSURED INSURER B:Republic-Franklin Insurance Co 12475 Innovative Heating&Cooling LLC INSURER c:Graphic Arts Mutual Insurance 25984 301 Brewster Road Unit 17 INSURER D:Trumbull Insurance Company 27120 Milford,CT 06460 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXPILTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 CLAIMS-MADE I OCCUR I 68802 7/14/2021 7/14/2022 DAMAGESTO (RENTED S 50,000 X 34Ea occurreng-4MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(Ea accidenD S 1,000,000 X ANY AUTO 5348803 7/14/2021 7114/2022 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY BOODILY INJURY Per accident S AUTOS ONLY AUOTOS ONLY PPerOaxdent AMAGE S S C X UMBRELLA LIAB X OCCUR 1,000,000 �--� EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE' 15352802 7/14/2021 7/14/2022 AGGREGATE S 1,000,000 DEDi X I RETENTIONS 10+000 g D WORKERS COMPENSATION PERTLTe OTH- ANDEMPLOYERS'LIABILITY YIN ' 31WECAFOFED 3/1/2022 3/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ FFICER/M MBER EXCLUDED? N/A 1,000,000 (Mandatory In NH) E.L DISEASE-EAEMPLOYEd S It yes,describe under 1 000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S + + DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 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 ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING STREET RYE BROOK, NY 10573 AUTHORIZED REPRESENTATIVE v v ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PORK 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 Innovative Heating&Cooling LLC 203-283-7272 301 Brewster Road,Unit 17 Milford,CT 06460 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 46-5330947 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) The Hartford Village of Rye Brook Building Department 3b.Policy Number of Entity Listed in Box"la" 938 King Street 31 WECAFOFED Rye Brook,NY 10573 3c.Policy effective period 03/01/2022 to 03/01/2023 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 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". 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 I 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: Andrew Rose (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 49dae& Rode 03/22/2022 (Signature) (Date) Title: Producer Telephone Number of authorized representative or licensed agent of insurance carrier: 203-735-9591 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