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HomeMy WebLinkAboutMP22-061PERMIT # SECTION TYPE OF WOR JOB LOCATIOP OW NER,6 j CONTRACTOR EST. COST %0*O # Cv TCO # c) �! �D,L DATE: 49h <qjqz4a IXP BLOCK�1 LOT % LOIZA eo/a /7qe/U %$ z4afrle FEEO/ ��->DA FEE DATE INSPECTION RECOREa DATE INSP < 03)6 99-Y yak' �3 FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION 42�A1C��- / / RGH PLUMBING -- --- --- ?_ (�I ��C7J�IQSlI Q/1d s.�%S GAS (� SPRINKLER �j a -09 ce oz 9 f? 7 eC4/ c� ELECTRIC LOW -VOLT C7 - -- ALARM ED AS BUILT O Lr FINAL / 00 CL OTWEq APPROVALS ARB - BOT PB OTHER -,/,31os L . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 13,2023 Regina Colangelo&Adrienne Orbach 18 Maywood Avenue Rye Brook,New York 10573 Re: 18 Maywood Avenue, Rye Brook,New York 10573 Parcel ID#: 135.75-1-31 Mechanical Permit#22-061 issued 4/18/2022 for a New Generator This certifies that the 14kw LP gas fired generator,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyF DR 4" 4 L,u4 uv�i cw W X1 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE July 13,2023 Regina Colangelo&Adrienne Orbach 18 Maywood Avenue Rye Brook,New York 10573 Re: 18 Maywood Avenue, Rye Brook,New York 10573 Parcel ID#: 135.75-1-31 This document certifies that the work done under Mechanical Permit #23-011 issued on 1/19/2023 for the installation of a two above-ground propane tanks have been satisfactorily completed. Sincerely, *;— 4 Steven E. Fews Building&Fire Inspector /to r— r� BUILDING DEki For office use o I PERMIT# r —0(01 VILLAGE OF RYE BROOK ISSUED: -aa APR 2 6 2023 I _ 38 KING STREETy RYE BROOK,NEW YORK 10573 DATE: - 3 VILLAGE OF i�`t'E BROOK 9 -Q668 FEE: S'Z/(')-- PAID.0 BUILDING DEPARTMENT 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 ****sss***ssss***s****sss***ss*****ss*sssttsss*stssss*s*s**tsttsst*sssttstssssssssssssssstsssss*s*ss***s*s*s*****stssstttttss Address: 18 Maywood Avenue, Rye Brook, NY 10573 Occupancy/Use: Residential Parcel ID#: 135.75-1-31 Zone: /C— Owner: Regina Colangelo & Adrienne Orbach Address: 18 Maywood Avenue, Rye Brook, NY 10573 P.E./R.A. or Contractor: Greenwich Power Systems, LLCAddress: 209 River Road Ext, Cos Cob, CT 06807 Person in responsible charge: Address: �— 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 1�/"` YOR ,COUNTY OF WESTCHESTER as: Ae 11 / " `a'�I � (�.Gt n e [I� being duly sworn,deposes and says that he/she resides at U V)�' ,(Pr, t Nam f Applicant) w ' (No and Street) in 2; 1 r\ ,in the County of ���Z' he�1f�1t' in the State of that (City%'l own/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, r`o\fessional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ v for the construction or alteration of:�n I Q�' r�/\w ✓1P✓G< < e In e Deponent further states that he/she has a amined 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 Complbsnalltona been duly issued by the Building Inspector as per§250-1 O.A.of the Code of the Village of Rye Brook. 1 Sworn to before me this p� — fore me this 13 day of u�I— , 20 , 20 �� 1 Signature operty Owner pplicant '\CQi2iev�►� i �t III Aoft r1 I P Print Name of Property O r Print ame o Ap ant Notary Public MICHELE IANNITTI otary P is NOTARY PUBLIC,STATE OF NEW YORK r — Registration No.01IA4808777 LEO F KAPICA Qualified In WESTCHESTER County Notary Public-state or New York l N0.01KA6261557 Commission Expires NOVEMBER 30, Qualified in Westchester County My Commission Expires May 14. 202< �yE BR(b, cu � • �9a2 BUILDING DEPARTMENT diQING 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 - - - - - - - - - - - - - - - - - - - - C , ` ADDRESS : � W O � DATE.. PERMIT# "ty' � _O(A ISSUED: ' C�: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED 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 ❑ FINAL PLUMBING ❑_ CROSS CONNECTION if-FINAL ❑ OTHER �E BR(��, O� 2m cu � • 1982 BUILDING DEPARTMENT p 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 - - - - - - - - - - m M-260 ADDRESS :— pp ( E: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: fA- C - OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas r n [IFUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER i __ �E BRC�k • 1982 BUILDING DEPARTMENT 11( UILDING INSPECTOR f]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 :- ` ^-� DA : U2� PERMIT# " 1� ISSUED: SECT: BLOCK:A LOTY� LOCATION: �' �{ , ` `?)` OCCUPANCY: �- t ❑ Violation Noted THE WORK IS... P PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION ¢ REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑jNatural Gas t dCL.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �� laf�� P�V P P� 'P���1N����■1�7e7wY�P������ 1dt�� w �■ a■. �■ �■�� �■�� ■ f w y a w � N w N ■ N 0 T oo p O r-4 CA H CA 5 `-' - W 0 a9i cn n A4 ■ Q o ~J v C o F-I ^� � � GN ,,ON a c 00 00 � v a P� W Clu / 4 r cn � Zov0 CE o uw v - 0 W 00 Hey OOb � U ■ O 1■/ (� Q Wy cn ¢ z U z P O � in ■ W � o O 00ON W W C7 U ai a F1 Ay0 0 �W 2 8 ed irk ,c • Q O wz z p 'Z z ~ � � wro W ■ z z 0 C OC 04 P tJ I�1 w pw p U w O a � ` V Cn W O F+ a .o +- �+ p� z w o04° � •� � � ° Q U z °` o a � av o `. O�0 Z 0 W A o � � � c � q F z d 5 0 a° a 0 � � 10, BUILDE '' MENT _2 F C F- Q ID VILL OF RYE K 938 KINGS T RYE BRO NY 10573 APR —6 M2 9 -06 , VILLAGE OF RYE BROOK �"` BUILDING DEPARTMENT FOR OFFICE USE ONLY: ` Approval Date: A P R _ M2 Permit# L,,-) "' Application# Approval Signature: ARCHITECT REVIEW BOARD: Disapproved: : Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# : Secreta ZBA Approval Date: Case# Other: 1 Application Fee- $ C' Permit Fees: L� ' APPLICATION 1TO INSTALL A PERMANENT STANDBY BACKUP GENERATOR Application dated: 1-6—,4' is hereby made to the Building Inspector of the Village of Rye Brook for the issuance of a Permit to install a permanent standby backup generator in accordance with§250-4.1.of the Code of the Village of Rye Brook,as per detailed statement described below. Please note that electrical and plumbing permit applications must be filed separately by those licensed professionals,and that separate permits are required for the installation of any related fuel tanks.Further note that all applications for commercial use will require a site plan approval from the Village Planning Board prior to the issuance of any permit. 1. Job Address: �HVIMA I' 16 2. Parcel M#: 1 1" 31 Zone: 3. N.Y.State Construction Classification: N.Y. State Use Classification: 1 4. Proposed Generator&Fuel Type(Describe in detail): (A l e) _a Q' L Ur 5. Property Owner: ( Address: 19 u C Phone# 91� ('019-t'?G_70 Cell# email: QnrlE c1_b l` U+yt1X Applicant: G(GMLII Address: 9-C-161//^^�t� �p� Cu �- �! Phone# ZD S "09-941 Cell# email:Y[CW)W iA(2&ftY►wJ1f M Architect or Engineer(if applicable): Address: Phone# Cell# email: General Contractor: w' 1 ~,e _ S %vzS Address: KJ Phone# 2a _ � '17 � Cell# email: t 811212021 6. Give exact dimensions from proposed generator to lot lines: front yard: 4 7 ,rear yard: yX I right side yard: Jetl side yard: A� 7. If building is located on a corner lot,which street does it front on: 8. Will the proposed project disturb 400 sq.ft.or more ofland,requiring a,Stormwate:r Management Co troI Permit from theVillage Engineer as per Chapter 217 of the Code of the Village of Rye Brook? Yes: No: .�► 9. Will the proposed project require a Site Plan y view by the Village Planning Board as per Chapter 209 of the Code of the Village of Rye Brook? Yes: No: (provide detailed dmwings w per Chapter 209) 10. Will the proposed pr *eel require a Steep Slopes Permit as per Chapter 213 of the Code of the Village of Rye Brook? Yes: No: (provide a detailed topographical survey) 11. Is the lot or any po ton thereof located in a Wetland as per chapter 245 of the Code of the Village of Ryc Brook'? Yes: No: (provide a detailed survey indicating the Wetland&Buffer Zone) 12. is the lot or any portion thereof located in a Flood Zone as per the FEMA Flood Insurance Rate Map#36119CO279 dated 928107? Yes: No: J 13. Will the propose�ta ject require a Tree Removal Permit as per Chapter 235 of the Code of the Village of Rye Brook? Yes:JNa:i tree replanting schedule may be required) 14. Does the proposed roject involve a Home-Occupation as per Chapter 250-38 of the Code of the Village of Rye Brook? Yes: No: f if so,indicate: TiER 1: / TIER 11: TIER III: 15. What is the total estimated cost of construction: S -i t (The estimated cost shall include all site improvements,labor,material,scaffolding.fixed equipment.prvfrssional 15=,,and material and labor which may be donated gruis) 16. Estimated date of completion:, *###**#####***###*#**#f#*#t********###**1r*#*1e#***#*#*1r**####*##*###t##t*tpr.7e+ik ie tir####*###tttxt-:t y:xxnte•lr it fr it#i;t!e STATEOF-NEW YORK,COUNTY OF WESTCHESTER ) as: 1 N iN Mt ,being duly sworn,deposes and states that helshe is the applicant above named, (print name of individual signing as the applicant) and fudher states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the a1k C-R 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 tjjJ, Sworn to before me this �� day of I,nri( ,20_1_1 day of 20_W, Signatur'of Propert_ owner Signature of Applicant r tCY'� Print Name of Property Owner Print Td f Applicant Notary Public Notary Public 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 s tamed t USA A.BROWN to the applicant. Please note that appiicat o re noiUlHHAlr4Ma. : lANLON Notary Public-State of New York Notary Public,State of Connecticut No. 01 ER6368390 My Commission Expires Nov.30,2026 Qualified in Westchester County Commission Expires December 11,202 Itil212921 a ; T"1 a.i a H � W U ` a 00 0-4 W Y ° M tu cn C% bo u o E a 00 ON v W `n z o y w ° ° r. y w V 00 UPO v V ►-i W 1�1 c! Gam, ICI ram► � r�" u� W cw7 v� � -o Q � a Z 00 U Zi A 23 adov0 � w 4; P"' V Ww o zz V >4 Y LTJ V7 , U z w v O O o r7 i j+ P, to G, v 00 A © W z EC v°� *p�^�G' 5 0 'a •• a V 0 W P ;:) O U v. s ' s BUILDING DEPAR MENT D 0 V�L E oF RYE oxJ�RVL BR 0 APR -fi 202S 'r938 KIN, f� NY 14)939-066$ VILLAGE OF RYE BROOK mod- 'B BUILDING DEPARTMENT FOR OFFICE I:SE ONLY: � Approval Date: APR _ 1ra Permit Application# Approval Signature: ARCHITECT REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# : Secreta ZBA Approval Date: Case# Other: Application Fee:.$ co-- ,U Permit Fees: Gk APPLICA1�TION TO INSTALL A PERMANENT STANDBY BACKUP GENERATOR Application dated: 7`�' � is hereby made to the Building Inspector of the Village of Rye Brook for the issuance of a Permit to install a permanent standby backup generator in accordance with§250-4.1.of the Code of the Village of Rye Brook,as per detailed statement described below. Please note that electrical and plumbing permit applications must be filed separately by those licensed professionals,and that separate permits are required for the installation of any related fuel tanks. Further note that all applications for commercial use will require a site plan approval from the Village Planning Board prior to the issuance of any permit. 1. Job Address: ! / e� U—Co L.1-` J 2. Parcel ID#: 3, t — ` 3 j Zone: " 3. N.Y.State Construction Classification: N.Y. State Use Classification: 1 4. Proposed Generator&Fuel Type(Describe in detail): ' �Ul1 r) 13. eu� W /?GKCAL 012f) (y� r l C� 1.3 5. Property Owner: NjA Address: n " L Phone# (.Oy9-46-70 Cell# email: e0(1E LY"ha� Applicant: G�fJA Q 1(nM 1 Address:p� �l n�/,�p� 'Cose Phone# 2DS—08;— T24 Cell it email: qun i�-�7fiP.�nwVC� � M Architect or Engineer(if applicable): Address: Phone# Cell# email: General Contractor: (' I A I -01L4 /1�LS Address: Phone# LQU _�7�-'7`� Cell# email: t 811212021 6. Give exact dimensions from proposed generator to lot lines: front yard: .'47-irear yard: VX right side yard: Jell side yard: A 7. If building is located on a corner lot,which street does it front on: 8. Will the proposed project disturb 400 sq.ft.or more of land,requiring a Stormwater Management Cotylttol Permit from the V ii ia;e Engineer as per Chapter 217 of the Code of the Village of Rye Brook? Yes: No: t 9. Will the proposed project require a Site Plan R vrew,by the Village Planning Board as per Chapter 209 of the Code of the Village of Rye Brook? Yes: No: (pmvide detailed drawings av per Chapter 209) 10. Will the proposed pr Jett require a Steep Slopes Permit as per Chapter 213 of the Code of the Village of Rye Brook? Yes: No: T(provide a detailed topographical survey) 11. Is the lot or any po ton thereof located in a Wetland as per chapter 245 of the Code of the Village of Rye Brook? Yes: No: (provide a detailed survey indicating the Wctiand& Buffer Zone) 12. is the lot or any portion thereof located in a Flood Zone as per the FEMA blood lnsurancc Rate Map#36119CO279 dated 9/28/07? Yes: No: J 13. Will the proposedta ject require a Tree Removal Permit as per Chapter 235 of the Code of the Village of Rye Brook? Yes:�No: tree replanting schedule may be required) 14. Dues the proposed ro*let involve a Home-Occupation as per Chapter 250-38 of the Code of the Village of Rye Brook? Yes: No: -7 If so,indicate: TiER I: TIER 11: TIER III: 15. What is the total estimated cost of construction: S I q) (The estimated cast shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fee c,and material and labor which may be donated gratis) 16. Estimated date of completior:7. $,e+e*�**,e+e**,rueawtt*#*ttat�.,�**rer�f,rtw+rt**rrt*,ttr,t,►a*t,t*irta'ettr+re*,t*ate****r.*r:-*+r.�**,t,t*#�*r.xtxt.*x�ars:+*a**�:a* STA_TE OFINEW YORK, OUNtY OF WESTCHESTER ) as: ►`i kk kl� ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and fit er tates at (s)he is the legal owner of the property to which this application pertains, or that (s)he is the "rAL-t0P_ forthe 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 atthe 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 ofthe Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this �( „ Sworn to before me this 6-4) day of ter,l ,20_J day of r1L 20 Signatur o Properl. IN Signature of Applicant Print Name of Property Owner Print lt' f Applicant Notary Public Notary Public 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 s turned t the applicant.Please note that applicat � are noilNUJAt� ",ANLON LISA A. BROW Notary Public-State of New York Notary Public,State of Connecticut No. 01 SR6368390 My Commission Expires Nov.30,2026 Qualified in Westchester County Commission Expires December 11,202•S' 9A.1 02t N N N \ � I N � M W Ln U w M C4' U a L 5 a ` o Z dd _ F" i Ln wLnz MM 5 �- �1 Q Z V v o � Y co z w w a z x o o M O W p ECEME «yE t3R � BUILD NI'd!Y XR'TMENT MAY 2 3 2022 VILLA, &OF RYE BROOK 938 K1NG!i6ET RYE BRo_tK,NY 10573 VILLAGE OF RYE BROOK :914)9 j')939-5801 BUILDING DEPARTMENT orc ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required Q)) � FOR OFFICE USE ONLY BI' �O� � EP#: - �O /Cp RAY 2 4 1011 l Approval Date: 42 Permit Fee: $ / /OA Approval Signature: LAI Other: Disapproved- (fees are non-refundable) Application dated, �ti is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of rf a Permit to install and/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 ederal, State,County and Local Codes. 1.Address: W 0A 0 V C--7 SBL: /55, 7S-1-31 Zone: k Je 2.Property Owner: Address: // /5' /J 1AyW Uy d Ave- ,; 7 Phone#: Cell#: ���f-l04�1`-" & 7b email: 3.Master Electrician: A-)'16q o Address: g( 1n6et Ave- Y e A ; Lic.#: 7S S Phone#:9/y-C,-a I ""3L�y yCell I b U email: Company Name: 4g! A9/li//y U :5�l eC— Address: g/ � ve7 t 4.Proposed Electrical Work/Fixture Count: STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 1jPUg0j a �/ �,�y� '�y ,being duly swom,deposes and states that he/she is the applicant above named,and does further (6rint nime 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 :i ttee tGJ w ,a : F((G for the legal owner and is duly authorized to make and file this application. (indicate archite t,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. Swo tofflXnVthis Sworn to before me this I g day 0 7 day of A L ,20 C Aigna e of Property Owner Sign t &) oN /wa Print Name of Property Owner frirtt N me of Applicant tnN STEVEN J GAGNON Notary Pu C F EW YORK t1+t1lkRf/IA11111CC ST TE O NEW YORK NOTARY PU LI 8 No. O1 0 8 No. Oi Qualified of County 13 estc er Coun Qualified i ^,,, My Corn- Expi s Oct ber 14, 2 (10 My Commission Expire 3/21/19 Westche$ter Rockland Electrical Inspection Services, Inc. `` Phone: 91 347-3595 L,� DO NOT WRI'i E HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue �� Fax: 914-347-3596 Elmsford, NY 10523f BUILDING PERMIT NO, TEMP N DATE CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY STREET AND NO.OR ROAD. _ 1 { , 'R`n x, POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? (X SECTION BLOCK LOT OCCUPANTS NAME - BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE TN I BASEMENT 157 FL. 2n-FL. 3�FL. VILLAGE OF RYEI BROO REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS, INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW❑ ADDITIONAL F-i EXPOSED❑ CONCEALED;] MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND'- —Lt I I I —L AVOID DELAYS BY GIVING FULL AND.ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAM&j W,CWMW#Y DATE OF APPLICATION ICANT x STREET ADDRESS ^ TELEPHONE No. / 1 Crrr OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE IF WESTCRESTER ROCKUND ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Zaccagnino Electric Regina Colangelo&Adrienne Orbach 81 Maple Avenue NY, Rye 10580 Located at: 18 Maywood Ave Rye Brook, NY 10573 Certificate Number: 1035254 Section: 135.75 Block: 1 Lot:31 BDC: Permit#: EP:22-096-BP:MP#22-061 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 18 Maywood Ave Rye Brook,NY 10573 Basement 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the Installation,as set forth below,was found to be in compliance therewith on 06/15/22 Name Type Quantity Generator Up to 25 KW ------- 1 Automatic Transfer Switch ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. This certificate is valid for work performed before date of inspection only. i• �• O N N it 0 N I a z v � , Ln ►n u v H i O Z O W r- N OQ A d � � J � z � � c� '� � ! ►a r W W . cow z w O w °° ° ° 8 o a yCO) W0 0.4 z M A � � z GIN r > -- V a �0 a () k o O W Z c o ° _ o cn � � A V W O Y o� z CIO d BUIL IN E MENT DD JAN 12 2023 VIL GE OF RYE OK 938 KING TREET RYE BR ,NY 10573 VILLAGE OF RYE BROOK (914 =0 BUILDING DEPARTMENT www�l or PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY wx< ) —o PP#: Approval Date: AM 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 and/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 Local Codes. 1.Address: I Ma H vV O©t� AJ1? SBL: /3: i /-S- /—3 / Zonee 2.Proposed Work: �i�2N '1' (� @2P (27 M Qr©�,ve TQ�K� t0 &C'Ne nc&(p �. yeijow cc4+Qd coPPerQcLs I#N � e �n� e.uPnra+or. 3.Property Owner: A �rl P AJAIJ e O r b otG� Address: t�d MOL ti VJo a d A ue t �N 2 �s r00 k Phone#: G 1 u- 0(L113 "41O 7(o,p Cell#: email: (:Gep y0 frC- CQ q Mq, k 4.Master Plumber: 2 G N d tJ t Ck t Address: 7 q h gM i I fo A) Ale. �reP�.�u;��.h U(O SS30 Lic.#: I 15 Phone#: ZO 3-`b b°1-3ZZ.0 Cell#: ZG 3-S 5 q -70 4-7 email: 6; 5 cl, P I y.�b i N9 C f-( v Company Name: R'dolPh 4IrA5i cxNJ $ONS Address: H'4�t lfo.� Ave • Gr-ecv„u1ct, CT aofs a 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 1 st Floor 2nd Floor 3,d Floor 41 Floor 51h Floor Exterior X 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) s i1,u,1 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 f 114N Sworn to before me this I day of &n 3 20 day of 20 Signa a of Property Owner Si nature Applicant J 1 B� Print Name of Property Owner Print Name of A plicant (I/�a_ 6 . YTAP'� Ani' v\ILL Notary Public LISA A. BROWN Notary Public Notary Public-State of New York SHARI MEULLO No.01 BR6368390 Notary Public,State of New York Qualified in Westchester County No.01ME6160063 Commission Expires December 11,2027 Qualified In Westchester County Commission Expirnes�a This application must be properly completed in its entirety and must include mhe o PM2,,R0W- e(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 BUILDINGDEPARTMENT R E C `J " IF VILLAGE OF RYE BROOK JAN 12 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668_. VILLAGE OF RYE BROOK www.ryebrook.or14 BUILDING DEPARTMENT ***********:k******ir****:`**k*:ks******:4T*++<x:k9:r.:kF*d:******t***st***k*kr.***:t***l•*h*****{*************t***4* .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: _[\()i0,)p nre T c ('v�AC 11 , residing at, L'Vo-.:0 CL Q-- � �`�� *'tx,t ' tv`_'' 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-, l e tLi t 1i,'l �' L-C-10 ► -y-q_ , Rye Brook, NY. Further that all statements contained herein are true, and that to the best of lm�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. 0( Sworn to before me this l +i i day of f�i 120 2.3 LISA A BRAWN Notary Public-State of New York No. 01 BRG3Gc8390 Qualified in Westchester County Comnussion Expires December 11,2025- -3- 8/12/202 t E. o M eq Gy M N N N - v a O PLO CL it z a N e U a W M � Ln f; 34 CS z 00 O en ^ K C y CO0 0 O a. z � 'l 0 Cc: 0 E u r UO CI� �y z Z V w O W :: Q « O v Vr 17 z z W ° `� v vU_ ~ f h M1 c!j ON ~ MGj OG i, ■ �/ z a z v =A c o E� Q .C. v � .fir N�W rz v � " u uo "0 OH v� CIO r� oc O O O � V � gwL y � � _ 0 OHO Z x U. Q . v A a z U p ul U $. a I..J V LJ � V BUILD, I dbi-i-,- 11'IENT D VILI� kE OlID d gYE\T�I OOK 938 KING I SET l Vt.BR `k,Ni'10573 JAN 12 2023 � T 0 VILLAGE OF RYE BROOK roo`rg BUILDING DEPARTMENT Application for Permit to Remove Abandon and/or Install Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) r FOR OFFICE USE ONLY: PERMIT Approval Date: J AN 17 2023 permit Fee: S 70 Approval Signature: - Other: Disapproved: (fees are non-refundable) *****R#*****i:**#•*****de�lhJr•k***•kiF:F**•k*k***tY�F**ik�4*:F�F JriY�tk******lr*k*kri':4ic***fir*Yrk***k**k y!#**Ar#*****#:'*9r*fir#*-k* REQUIRFMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1.Application Completed by Bonded, Licensed Contractor. 2.Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3.Your contractor's valid proof of workers compensation insurance. (Form er C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4��p�-`I��ttrk�Romuva1�11s�tdzrnment�-ar Irt�tall�ti�r��T85:f)0 pe�Ta�ii�.. 5. Dig Safely New York#(dial 811): 6.Inspection by Building Department for removal/abandonment and/or installation. 7. Submit all Manifests&Reports(after work has been completed). 8. Certificate of Compliance will be provided when all requirements are fulfilled. *!+#:**#****k**********a,►***********#**********A•**:F***#r*+F***Y•kil•*:F#**k•h*k******•k**F at•kt*:F*ik*i:•k*4##•**R*#r*** Application dated,_ 'J— 3 ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this docuunent agree that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County,State& Federal laws,codes,rules and regulations, kaPk*****t*#*****i***i:•k*ir*•/t7k**'ki•**k*:k***�r*iF**ici****#F*k********i�F tF**ic� 4*fie 5t 7k *tk y4tk k*iR*t*tR*it fF�t** Indicate Permit ypg Installation (xf•Removal( )•Abandonment Above Ground •Buried in Ground( ) 1. Address: I p A,, oo(j A y --- _SBL: 1.�+ 7s� �� Zone: J� 2. Property Owner&Address: A ('t e_uNC ©r Ibec_k ( '1� Mct�-1i1Uc3d 6 Ave —2� �jroe< `_email: N d rL(M Mci 1.coo l 3. Contractor&Address: ti v3 Pq k.,y d o I 1 - co . L/(�4 uj R!Iyek tt A ve , 6Wy q vi il'_cL C To to 3C) Phone#: 2n3 J e0(�-5L Zi,_q_Cell#: � 1(e.- I email:_ PS lUe 'i 1 a .veal 4. Applicant: PC, C.L�fL�_i_ Phone _.s90q Cell#:_7Q� Gb" 7 email:_ Ps.A)P0 .4 VQ 5, Indicate Fuel Type:Fuel Oil( )•L.P.Gas{J •Gasoline •Other 6. Number and Capacity of each Tank: 7. Exact Location(s)of each Tank: L j _ 9_QC,t�C,.r� _ 1 0' QeIDIF CL AJ t 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly swom,deposes and states that he/she is the applicant above named, (print name of individual signing as the appiicanq 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. Swom to before me this ( A Sworn to before me this f day of �a� ,20 2-3 day of �LW, 4 ,20 3 Sleature o roperty Owner Signature of Applicant �\NL t„_R_j Or'60-�+- Pam ( SciCCt*tf-01 A-0 Print Name of Property Owner ri Name of Appli nt Notary Public LISA A.BROWN Nfe,qqotkpc,State of New York Notary Public-State of New York. No.01ME6160063 No.01BR6368390 Qualified in Westchester County Qualified In Westchester County Commission Expires December 11.202- Commission Expires January 29,20 V This application mast 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 andior not properly signed shall be deemed null and void and will be returned to the applicant. z S/12/2021 ARCOSA 57 wg and 119 wg TANK AC_ Finished with ArcClad' Superior Aboveground Coating '' Tank Features: • Taller collar to accommodate preferred regulator set-ups • Superior Coating • D.O.T. 173.315(j) permits A.S.M.E. containers to be filled for transportation • Heavy duty bottom foot ring • Re-certification not required as compared with D.O.T. 4BW cylinders • #72 liquid level outage valve orifice Fabricated to A.S.M.E.code,Section VIII,Division 1. For more information Division 2 design available Registered with the National Board 888.558.8265 Registered with CRN(Canadian Registration Number) ARCOSA TANK Vertical A.S. M . E. Tanks GENERAL SPECIFICATIONS 1"-FLOAT Conforms to the latest edition of the ASME code for GAUGE Pressure Vessels,Section VIII, Division 1. Complies 119'-Flu with NFPA 58. 3W-SERVICE VALVE Rated at 250 prig MAWP from -209 F.to 1252 F.All VALVE tanks may be evacuated to a full (14.7 psi)vacuum. Vessels are pre-purge with vacuum and conforms 0 with National Propane Gas Association #133-89(a) 1'-RELIEF Alternative Purge Process, VALVE Vessel Finish: Coated with ArcClad,zinc rich FITTINGS LAYOUT epoxy primer and super durable TGIC polyester topcoat. LID 15 9/16"OD LID COLLAR -- 15 9/16"OD COLLAR x _ Zo W ~ J 7o w 30" rn 24" v OUTSIDE DIAMETER 4 LUat OUTSIDE DIAMETER rn Q O 18.40" 24" FOOTRING FOOTRING 24"OD(57 WG) 30"OD(119 WG) Est.weight: 268 lbs. Est.weight: 320 Ibs. Quantity in Full Load: 208 Quantity in Full Load: 99 Cre: December 14,2018 For more information 888.558.8265 GENERAC® 1Q�Q418 kW Residential SERIES Residential Standby Generators Air-Cooled Gas Engine r INCLUDES: Standby Power Rating G007171-0.G007172-0(Aluminum-Bisque)—10 kW 60 Hz • True Power'" Electrical Technology G007223-0,G007224-0,G007225-0(Aluminum-Bisque)—14 kW 60 Hz • Two-line multilingual digital LCD Evolution" controller G007226-0,G007228-0(Aluminum-Bisque)—18 kW 60 Hz (English/Spanish/French/Portuguese) • Two transfer switch options available: 100 amp 16 circuit switch or 200 amp service rated smart switch fl • Electronic governor • Standard Wi-Fia connectivity • System status&maintenance interval LED indicators j • Sound attenuated enclosure • Flexible fuel line connector • Natural gas or LP gas operation GENERAC • 5 Year limited warranty • Listed and labeled by the Southwest Research Institute allowing installation as close as 18 in (457 mm) to a structure.* or C UL us �/ /'E � Must be located awayfrom doors, windows,and fresh air cON intakes and in accordance with local codes. LISTED `/ https://assets.swii.org//ibrary/DirectoryOfListedProducts/ Note:CETL or CUL certification only applies to unbundled units and units packaged with limited Constructionlndustry/973_DoC_204 13204-Oi OI Rev9.pdf circuit switches.Units packaged with the Smart Switch are ETL or UL certified in the USA only. FEATURES O INNOVATIVE ENGINE DESIGN & RIGOROUS TESTING are at the hears of O SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION: This Generac's success in providing the most reliable generators possible.Generac's G- state-of-the-art power maximizing regulation system is standard on all Generac Force engine lineup offers added peace of mind and reliability for when you need it models. It provides optimized FAST RESPONSE to changing load conditions and the most.The G-Force series engines are purpose built and designed to handle the MAXIMUM MOTOR STARTING CAPABILITY by electronically torque-matching the rigors of extended run times in high temperatures and extreme operating conditions. surge loads to the engine.Digital voltage regulation at±1%. O TRUE POWER'"ELECTRICAL TECHNOLOGY:Superior harmonics and sine wave O SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer network form produce less than 5%Total Harmonic Distortion for utility quality power.This provides parts and service know-how for the entire unit, from the engine to the allows confident operation of sensitive electronic equipment and micro-chip based smallest electronic component. appliances,such as variable speed HVAC systems. O TEST CRITERIA: O GENERAC TRANSFER SWITCHES:Long life and reliability are synonymous with ✓ PROTOTYPE TESTED ✓ NEMA MG1-22 EVALUATION GENERAC POWER SYSTEMS. One reason for this confidence is the GENERAC ✓ SYSTEM TORSIONAL TESTED ✓ MOTOR STARTING ABILITY product line is offered with its own transfer systems and controls for total system compatibility. O MOBILE LINK"WI-FI CONNECTIVITY:FREE with select Guardian Series home standby generators, Mobile Link Wi-Fi allows users to monitor the status of the generator from anywhere in the world using a smartphone, tablet, or PC. Easily access information such as the current operating status and maintenance alerts. Users can connect an account to an authorized service dealer for fast,friendly,and proactive service.With Mobile Link,users are taken care of before the next power outage. GENERAC PROMISE sin GENERAC® 10/14/18 kW Features and Benefits Engine • Generac G-Force design Maximizes engine"breathing"for increased fuel efficiency.Plateau honed cylinder walls and plasma moly rings help the engine run cooler,reducing oil consumption and resulting in longer engine life. • "Spiny-lok"cast iron cylinder walls Rigid construction and added durability provide long engine life. • Electronic ignition/spark advance These features combine to assure smooth,quick starting every time. • Full pressure lubrication system Pressurized lubrication to all vital bearings means better performance, less maintenance, and longer engine life.Now featuring up to a 2 year/200 hour oil change interval. • Low oil pressure shutdown system Shutdown protection prevents catastrophic engine damage due to low oil. • High temperature shutdown Prevents damage due to overheating. Generator • Revolving field Allows for a smaller, light weight unit that operates 25% more efficiently than a revolving armature generator. • Skewed stator Produces a smooth output waveform for compatibility with electronic equipment. • Displaced phase excitation Maximizes motor starting capability. • Automatic voltage regulation Regulating output voltage to±1%prevents damaging voltage spikes. • UL 2200 listed For your safety. Transfer Switch(if applicable) • Fully automatic Transfers vital electrical loads to the energized source of power. • NEMA 3R Can be installed inside or outside for maximum flexibility. • Remote mounting Mounts near an existing distribution panel for simple,low-cost installation. Evolution—Controls • AUTO/MANUAIJOFF illuminated buttons Select the operating mode and provide easy,at-a-glance status indication in any condition. • Two-line multilingual LCD Provides homeowners easily visible logs of history,maintenance,and events up to 50 occurrences. • Sealed,raised buttons Smooth,weather-resistant user interface for programming and operations. • Utility voltage sensing Constantly monitors utility voltage,setpoints 65%dropout,80%pick-up,of standard voltage. • Generator voltage sensing Constantly monitors generator voltage to verify the cleanest power is delivered to the home. • Utility interrupt delay Prevents nuisance startups of the engine,adjustable 2-1500 seconds from the factory default setting of 5 seconds by a qualified dealer. • Engine warm-up Verifies engine is ready to assume the load.Setpoint approximately 5 seconds. • Engine cool-down Allows engine to cool prior to shutdown.Setpoint approximately 1 minute. • Programmable exercise Operates engine to prevent oil seal drying and damage between power outages by running the generator for 5 minutes every other week. Offers a selectable setting for weekly or monthly operation, providing flexibility and potentially lower fuel casts to the owner. • Smart battery charger Delivers charge to the battery only when needed at varying rates depending on outdoor air temperature. Compatible with lead acid and AGM-style batteries. • Main line circuit breaker Protects generator from overload. • Electronic governor Maintains constant 60 Hz frequency. Unit • SAE weather protective enclosure Sound attenuated enclosures ensure quiet operation and protection against mother nature,withstanding winds up to 150 mph(241 km/h).Hinged key locking roof panel for security.Lift-out front for easy access to all routine maintenance items.Electrostatically applied textured epoxy paint for added durability. • Enclosed critical grade muffler Quiet,critical grade muffler is mounted inside the unit to prevent injuries. • Small,compact,attractive Makes for an easy,eye appealing installation,as close as 18 in(457 mm)away from a structure. GENERAC' 10/14/18 kW Features and Benefits Installation System s 14 in(35.6 cm)flexible fuel line connector Listed ANSI Z21.75/CSA 6.27 outdoor appliance connector for the required connection to the gas supply piping. • Integral sediment trap Meets IFGC and NFPA 54 installation requirements. Connectivity • Ability to view generator status Monitor your generator with a smartphone,tablet,or computer at any time via the Mobile Link application ' for complete peace of mind. • Ability to view generator Exercise/Run and Total Hours Review the generator's complete protection profile for exercise hours and total hours. • Ability to view generator maintenance information Provides maintenance information for your specific model generator when scheduled maintenance is due. • Monthly report with previous month's activity Detailed monthly reports provide historical generator information. • Ability to view generator battery information Built in battery diagnostics displaying current state of the battery. • Weather information Provides detailed local ambient weather conditions for generator location. 10/14/18 W Specifications Model G007171-0,G007172-0 G007223-0,GO07224-0, 6007226-0,G007228-0 (10 kW) G007225-0(14 kW) (18 kW) Rated maximum continuous power capacity(LP) wYi * :� 10 000 Watts" 14,000 Wa!fs' '. 18.000 LVat s _ -- _ city d� y , Rated maximum continuous power capacity NG e 1: s. - 240 , 17A.M5. , w ,] p p ry( ) 9 000 Watts 1 A,000 Walls* 17,000 Watts;; Fated vol ag1 <: � :• Fated maximum con muous load current 246 volts(LP/NG) 41 7/37 5 58.3/58.3 75.0/70.8 To ai jrfi�ri( �S�OrllOn„ �first� � �; �a - 45 xr ' Less than 5%, � : �' Main line circuit breaker Amp 60 Amp 80 Am T p Phase :LL - _ � 1 RZ14 Number of rotor poles 2 ),pp.�,ted AC t( w,Gx� - sa, �i1'�F6� `�� �� L4R 9.,w�Y �-���v,.��� i���Srb b � ,. . °� , Power factor Q. BO 1.0 i h $= + n�-- ,R" ,t- a� _,.. .. city Batterrequiretrl §, in es,Grou 26R 540 CCA Minimum or Group35AGM 650 Cc MiOi um ter. Unit weight(Ib/kg) � � �` � p PIQ 338/153 385/175 420/191 Inn ons(LxWXA r�cr �� ^� -. 48x25x29/121.9x63.5x737 ,� _� r.: _ : Sound output in dB(A)at 23 it(7 m)with generator operating at normal Ioad** 61 65 65 SO nd out ut in d6 A at 23 ft 7 m with enerator in Quiet Test'"low-speed eed exercise mode` "` -- f? _ O ( ) 9 P ''` 57 55 55 j Exercise duration Engine 5 min Engine type GENERAC G Force 400 Series GENERAC G-Force 800 Series rNutri6e�of ylinders �� �' 1 _ 2 4 Displacement 460 cc kC rtilock � a _ ,Alu Valve arrangement minum w/cast iron sleeve816 cc All hey �� Overhead valve iU Br•fj�$�_'��`v'� "''� -• �yi�s sir 'x ,�^'.. y u iLG.rai.,".:3a5`..,�i•4��..=i'YE�c•3"'>e� ' . � .x`�L` �t O�d + r,�,t• . Ignition system Hydraulic Solid-state w/magneto �.=- ._.��� ��� Electronic Compression ratio 4 9.51 3 �tSfa er; r" ^'u, "^"n � 2-,,.ter d 3 .��*'•�-� -3» € •�..,..�„�,�r 'ar� r 'R�"�, 12VDC -•—s 'Txt Oil capacity including Otter _ Approx 1 1 qt/10 L Approx.2.2 qt/2.1 L 600 � �, Fuel consumption .� "- •- Natural Gas 1113/hr(m3/hr) 1/2 Load 101(2.86) 195(5.52) 169(4.79) Full Load 127(3.60) 256(7.25) 247(6.99) Liquid Propane fts/hr(gal/hr)[L/hr] 1/2 Load 36(0.97)[3.66] 65(1.81)[6.87] 62(1.70)[6.45] Full Load 54(1.48)[5 62) 112(3.07)[11.61] 110(3.02)[11.44] Note Fuel pipe must be sized for full Ioad.Required fuel pressure to generator fuel inlet aI all Ioad ranges 3 3-7.0,L wafer column(0 87-1.74 kPa)for NG 10-12 in wafer column(2 49 2.99 kPa)for LP gas Poi BTU content,multiply f s/hrx 2,500(LP)or ffamr x 1,000(NG) Far Megajoule dontent multiply m3/hrx 93 15(LP)of m'/hrx 37.26(NG). Cflltiloi5 ce pia n text multi)ngual LCD Mode buhons AUTO R Ew��' •_011 Simple user interface for ease o(operation. " - - Automatic start on utility failure.Weekly,Bi-Weekly,or Monthly selectable exerciser. OFFMANUAL �� "�WAIRMWN, `t � � Slam v:ifh starter control,unit stays on.If utility fails transfer to load fakes place . 'cam Slops unit.Power is removed Control and charger still operate LBeady to_Run/Mam(enance messages �I .+ 7 .gw,�" r ye - Standard � �x Engine run hours indication � � L x �.; Standard rdmmabfe start delay be weep 2 1500 seconds : }_ � � Standard orc rammable by dealer on Utility voltage loss/Return to utility adjustable(brownout setting) v �;: ._.- _ ( 0 - � . Fo 140-171V/Igo216V 1.e'set capable exerciser/Exercise set error warning x „ c��i �_ r. . RurVAlarm/Mamtenance logs ._. . -.. - Standard 50 events each E 1n rquence r_ -oV-1-Or•fi � 3s, L y,- L Cyclic clanking 16 sec on,7 sec rest(90 sec maximum duration , Starter lock out ) s _ until 5 sec after engine has stopped S .:Battery Charger , { a _ Starter cannot re-engage .•i�' -?. � r-. -",rHu` ."...: 5�` ry. �e' _�y'il. '= _ Standard ._ .. .? v Charger Fautw ssing AC Warning Standard *' w Battery/Battery Problem Protection and Battery Condition Indication- bs s� � - �� r� , k t RK I " 2 1 ��� � _ Standard ?v..I 4 Automatic Voltage Regulation with Over and Under Voltage Protection Standard -- Under-Frequency/Overload/Stepper Overcurrent Protection 3.-�?T2Z ARM -. ' Standard s•« s n .fi r Safety Fused/Fuse Problem Protection r� Standard � k � �H A Omatic Low Oil Pressure/High.Oil Temperature Shutdown s ". � �� V m Stand Overcrank/Overspeed(@ 72 Hz)/rpm Sense Loss Shutdown �" ar Standard High Engine Temperature Shutdown Standard Internal FaulVlncorrect Wing Protection - - - -- Common External Fault Ca abilit 's x », � r Standard P y.-i_w_M�a N i � r Sa v �s_.1: r _ Standard Field Upgradable Firmware Standard Rating definitions-Optional Standby:Applicable for supplying backup power for the duration of the utility power outage with correct maintenance performed.No overload capability is available far this rating.(All ratings in accordance with BS5514,ISO3046,UL2200,and DIN6271). *Maximum kilovolt amps and current are subject to and limited by such factors as fuel BTU/Megajoule content,ambient temperature,altitude,engine power and condition,etc.Maximum power decreases approximately 3.5%for each 1,000 It(304.8 m)above sea level and approximately 1%for each 10°F(6°C)above 60*F(16*C).**Sound levels are taken from the front of the generator.Sound levels taken from other sides of the generator may be higher depending on installation parameters. GENERAC 10/14/18 kW Switch Options Limited Circuits Switch Features Model G007172-0 G007224-0 (10 kW) (14 kW) • 16 space,24 circuit.Breakers not included. No'o(�p[es F r z - • Electrically operated,mechanically-held contacts for fast,positive connections. Current rating(amps) 100 • Rated for all classes of load,100%equipment rated,both inductive and Voltage rating(VAC) 120/240,1>4 � resistive. - - -- Utility voltage monitor(fixed)' • 2-pole,250 VAC contactors. -Pick-up 801/o • 30 millisecond transfer time. -D • -D ropout 6540 Dual coil design. r u °utility• Rated for both copper and aluminum conductors. Approx.15 secExercises bi-weekly for 5 minutes` Standard L • Main contacts are silver plated or silver alloy to resist welding and sticking. L or UL Listed < Standard • NEMA/UL 3R aluminum outdoor enclosure allows for indoor or outdoor - - - Total circuits available 24 mounting flexibility. STan'.breaker capabilities 8 tandems - • Multi listed for use with 1 in standard,tandem,GFCI,and AFCI breakers from - Siemens,Murray,Eaton,and Square D for the most flexible and cost effective Circuit breaker protected install. Available RMS Symmetrical 10,000 Fault Current @ 250 Volts Dimensions *Function of Evolution controller Exercise can be set to weekly or monthly H1 Height H2 W1 W2 Width Depth W1 in 26.75 30.1 10.5 13.5 6.91 cm 67.94 76.43 1 26.67 34.18 17.54 Hi Wire Ranges Conductor Lug Neutral Lug Ground Lug 2/0-#14 2/0-#14 2/0-#14 -CE?ill- �-\•!._� Service Rated Smart Switch Features Model G007225-0 G007228-0 • Includes Smart A/C Management(SACM)module standard. (14 kw) (18 kW) No of poles T kt tf r �. , � 2 • Intelligently manages up to four air conditioner loads with no additional hardware. Current rating(amps) 200 • Up to eight large(240 VAC)loads can be managed with Smart Management VQ tage,ratmg(VAC) _ 120/240,10 Modules(SMMs). Utility voltage monitor(fixed)* • Electrically operated,mechanically-held contacts for fast,clean connections. -Pick-up 8016 • Rated for all classes of Ioad,100%equipment rated,both inductive and -Dropout 65% resistive. Returg o �t�t�nr ' 15 sec • 2-pole,250 VAC contactors. Exercises bi-weekly for 5 minutes* Standard • Service equipment rated,dual coil design. EfL off; LYtsted. r s .,r ,v Standard • Rated for both aluminum and copper conductors. Enclosure type NEMA/UL 3R • Main contacts are silver plated or silver alloy to resist welding and sticking. Circwt breaker protected 22 000 • NEMA/UL 3R aluminum outdoor enclosure allows for indoor or outdoor Lug range u- _ 250 MCM-#6 mounting flexibility. *Function of Evolution Controller Dimensions Exercise can be set to weekly or monthly 200 Amps 120/240,1e W' Open Transition Service Rated Height Width Depth H1 H2 W1 W2 in 26.75 30.1 10.5 13.5 6.3 H, cm 1 67.94 76.45 26.67 34.3 16.01 Wire Ranges Conductor Lug Neutral Lug Ground Lug °EPi - 400 MCM-#4 350 MCM-#6 2/0-#14 GENERAC 10/14/18 kW Available Accessories MO� :`. Product Description t G005819 0 26R Wet Cell Battery Every standby generator requires a� bad product to st the system.Generac offers the recommended 26R wet cell bat-,te for use with all air-cooled standby (excluding PowerPact ) G007101 0 Battery Pad Warmer The pad warmer rests under the battery.Recommended for use if the temperature regularly falls below 0 IF(18 °C).(Not necessary for use with AGM-style batteries). GDD7102 0 Oil Warmer�� _ Oil warmer slips directly over the oil filter.Recommended for use if the temperature regularlyfalls below 0 IF(-18°C). G007103-1 ` _ Breather Warmer The breather warmer is for use in extreme cold weather applications.For use with Evolution controllers only in climates where heavy icing occurs. G005621-0 Auxiliary Transfer Switch The auxiliary transfer switch contact kit allows the transfer switch to lock out a single large electrical load you may Contact Kit i not need.Not compatible with 50 amp pre-wired switches. The fascia base wrap snaps together around the bottom of the new air cooled generators.This offers a sleek,con- G007027-0-Bisque Fascia Base Wrap Kit toured appearance as well as offering protection from rodents and insects by covering the lifting holes located in the base. — .-----__._ If the generator enclosure is scratched or damaged,it is important to touch up the paint to protect from future G005703-0-Bisque Touch-Up Paint Kit corrosion.The touch-up paint kit includes the necessary paint to correctly maintain or touch up a generator en- closure. G006482-0—10 kW — Scheduled Maintenance Kit Generac's scheduled maintenance kits provide all the items necessary to perform complete routine maintenance G007216-00-14/18 kW on a Generac automatic standby generator(oil not included). The Wi-Fi enabled LP fuel level monitor provides constant monitoring of the connected LP fuel tank Monitoring G007005-0 Wi-Fi LP Fuel Level Monitor the LP tank's fuel level is an important step in verifying the generator is ready to run during an unexpected power failure.Status alerts are available through a free application to notify users when the LP tank is in need of a refill. G007000-0(50 amps) Smart Management Modules(SMM)are used to optimize the performance of a standby generator.It manages G007006-0(100 amps) Smart Management Module large electrical loads upon startup and sheds them to aid in recovery when overloaded.In many cases, using SMM's can reduce the overall size and cost of the system. G007169-0(4G LTE) ® The Mobile Link family of Cellular Accessories allow users to monitor the status of the generator from anywhere G007170-0(Wi-FVEther- Mobile Link Cellular in the world,using a smartphone,tablet,or PC.Easily access information such as the current operating status and net) Accessories maintenance alerts.Users can connect an account with an authorized service dealer for fast,friendly,and proac- !five service.With Mobile Link,users are taken care of before the next power outage. Dimensions & Uns 637.8 mm 1218 mm [25.1 in] [48.0 in] Model UPC G007171-0 696471074680 G007172-0 696471074673 G007223-0 696471082548 72.2 mm G007224-0 696471082555 128.8 in] G007225-0 696471082562 G007226-0 696471082579 0 0 G007228-0 69647108258672 648 mm (25.5 in] 1232 mm (48.5 inl LEFT SIDE VIEW FRONT VIEW Dimensions shown are approximate.See installation manual for exact dimensions.DO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. GENERAC* Generac Power Systems,Inc. • S45 W29290 HWY.59,Waukesha,WI 53189 • generac.com 02020 Generac Power Systems,Inc. All rights reserved.All specifications are subject to change without notice. Part No.A0000973374 Rev.A 10/22/2020 Building Permit Check List&Zoning Analysis Address. 1.t1 O.fly -� SBL: 3 !Z(I_S7 L 3 Zone -� � Use: Z 1 Const.Type: Other. Submittal Date: Lk Z Z Revisions Submittal Dates: Applicant: CZ- GA-4 Nature of Work: �tw — �' �1 6+4 S Reviews:2BA: APR - 01 PB: BOT: Other. ( ( ) FEES:Filing. i cU , BP: Zl`{ � � C/O: Legalization: ( ) (,�-APP: Dated Notarized: ✓ SBL Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO: Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival: Sealed Unacceptable: ( ) ( ) PLANS:Date Stamped: Sealed Copies: Electronic: Other. ( ) ( License: ✓ Workers Comp: Liability: '� Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated N/A: (v� ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery._Other. 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. ( ) ( ) 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: ROVED �� REQUIRED EXLSI'ING PROPOSED NOTES APPnatA' „PR — 8 1022 Circle: Fie Front. Front: Sides: Rear. Maui Cov: Accs.Cov Ft.H S Sd.H Sb: a Tot.Imp: E IMP PP Height/Stories: notes. Laura Petersen From: Paul Scicchitano <PaulS@neoil.net> Sent: Friday, May 5, 2023 8:11 AM To: Steven Fews Cc: Laura Petersen; Biagi Plumbing Subject: FW: Photo 18 Maywood Ave Attachments: IMG_4849 jpg Hi Steven & Laura, We hope you are well. For 18 Maywood Ave we had a rough inspection on 2/7/2023. You passed our tanks and Bilgi's gas line, but we did not have our sand in the trench ready because of all the rain. I asked if I could send you a photo of the sand in trench before we backfilled, and you said that would be ok. On February 81h I sent the e-mail below showing the sand in the trench before we backfilled. Please let me know if we are good to go. Paul Scicchitano r^ Ve 203-496-1617. / On Thank You. From: Steven Fews<SteveFews@ rye brook.org> Sent: Wednesday, February 8, 2023 11:17 AM To: Paul Scicchitano <PaulS@neoil.net> Subject: Re: Photo 18 Maywood Ave Excellent! Thanks. Sent from my iPhone On Feb 8, 2023, at 10:10 AM, Paul Scicchitano<PaulS@neoil.net>wrote: H I Steve, It was nice seeing you again yesterday. Sorry I did not have my sand ready for you. Attached is a photo showing sand in the trench at 18 Maywood Ave. Thank You, Paul Scicchitano. i . � Y tl a �� j'.�' ��`' � ` � _ ��}} :.�: ` `,ti � .c � �- S r V r i'j '� r•�'! .Z .:ti s -.,' _ �; "�" ���,ti,r � ' '�' l.. o z Ala a ,rar { .w; i i sw ��! �.,i - �,,,, . {• ,�„tk ,+F .�� •�.� +� ter- ` a 4.+4+► r �. . 1 i ^� •'`' r< 41P w ab lip or e s law y 0 e ? V-'- Laura Petersen From: Annmarie Collier <annmarie@greenwichconstruction.com> Sent: Friday, June 23, 2023 4:26 PM To: Laura Petersen Subject: 18 Maywood Stickers Attachments: ORBACH.jpg; ORBACH-1.jpg Hi Laura, Michael Cardosa said he sent these a few weeks ago. I am including them here. Let me know if you need anything else. Regards, Ann Marie Collier Greenwich Construction/Greenwich Power Systems, LLC. Accounting/Office Manager 209 River Road Ext Cos Cob, CT 06807 (203) 698-9428 annmarie@greenwichconstruction.com i IL WARNING-DO NOT PAINT These premises protected by standby generator located at _N!5_E_W side of proper Greenwich Power Systems. t P 203.900.1121 (4S cos cob,CT pSTANDBY GENERATOR AUTOMATICALLY STARTS DURING P ER OUTAGE neeorer�E¢ntu¢ ��_i,— 1 LN GIKE0.U0¢t[h:Allpdt«�y`fKf'..y l . r e t cr W Z act F � " GREENWICH POWER SYSTEMS LLCC7NERATOR "MUST BE INSTALLED AT 209 RIVER ROAD EXTENSION L.i COS COB, CT 06807.2543 LEAST 18" FROM ANY STRUCTURE ANC V: 203.698.9428 AT LEAST 5' FROM ANY OPERATIONAL F: 203.698.9425 "= greenwichpowersystems.com WINDJir'U, DOOR OR VENT. ��..._ A DIVISION OF GREENWICH CONSTRUCTION LLC Date: SITE SURVEY REQUIRED 52,16 INCLUDE LOCATION OF Name: ,6 JGSEPTIC & WELL YES Street: City. Sta e, : ACCEPTED Thank you or he op} tuto qu �'Ta home standby generator. Greenwich Power Systems will provide the following: ®x • Generator Manufacture InGenerator size: • Transfer Switch Amp size,/j SE Rated Tr!! r ZSwitch • Delivery,Placement `` -'' • Appropriately sized battery • Install transfer switch(s) in or outside home and run feeder and control wires to generator • Install— Smart Management Modules if necessary to load shed AC units • Run NG�P—gas line to generator. • Install -1 P Tanks Yes . No • Air test line for inspection. 4e d%p • Coordination and obtainin of all appropriate pen-nits from the • Start-up and testing services by our factory trained technicians • All work to be performed by licensed plumbers and electricians to s ate& local codes • Any additional trenching and backfilling extra at$20 per foot(if required) • Patching and painting all holes to match existing(if required) • Cast Concrete Pad • Notes/Options: �— al Cost of Turnkey Solution: C�1� fi r4i� t! o S A Deposit of 50%is needed to proceed. A cond payment of 25%of the balance is due on the delivery of the generator and the balance is due minus a$750 hold back when the electrical inspection and the gas rough inspection are passed. The final payment of$750 is due at the time of the final inspection. If you approve,please sign and date below and send back via fax or email. Th k you again,and if you have any questions,please don't hesitate to contact me. � � /' �'�,7 Q Michael Cardosa Accept: t Q Executive Vice President/COO Print: ��, CT. — 'a a" SIGN BACK AS WELL �p M Quotes are good for 30 days from the date the quote is offered. Major Credit Cards are accepted for payment with a 3% convenience fee applied. Y•i�.n;/y l 7,�n.�S, fi+�1q,n9U x. / • � �Ad���+f... �n '` Y v�0�° ':�, .. \�P� � •� �m.11�1 1/�1 �.�r� t; '1�1�'I�II� ��r�fi-11'111//�11t ka� _- �..411 Illt r .�-tip .(il 1t11. a'�3- , �1 IPI R ¢-.'..-�,. 1 '11' ��m� ..�, . h N p. fj lL u N j C ; ei L7a N cl to -j u, ui ram•! i." u) w coo 0 ca C tiection LU ;�i •� r►J A i�l w < vU� N per• ill VI N OLLI ' i..rl V U 4 O •., � ►.� O � � � o '� Fr a ap _ • �• o > . z j4 w X ' <•Is�r W.� � G� C� w o ,w (< 34 GCD p„ U 3 (Ao0 N OR \ !(R.'A)1 4��•f ` - �li .1 a _� 1 .,1�1 / j1 9�R. �1 � .; �' •L/��j�<"�O)>�r 7 � •�•) _ 1 � t '4333 i.Y;y,4 ��'iIVVJ\ Yb�r\ Neva ��.tLv�V �ry4� aL'�'j� '` 11.. •' /' -----"as GREENWIC01 PMCKIERNAN .44cOR0 DATE(MWDD/YYY`) �� CERTIFICATE OF LIABILITY INSURANCE 4/6/2022 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 endorsements. PRODUCER NAMEACT Patrick B.McKlernan Abercrombie,Burns,McKiernan&Company Ins.,Inc. PHONE 484 Post Road 203)655-7453 No:(203)656-0339 Darien,CT 06820 pmcklernan@abmck.com INSURE S AFFORDING COVERAGE NAIL i INSURER A:3electhre Insurance Company Of South Carolina 19259 INSURED INSURER B: Greenwich Power Systems,LLC INSURERC: 209 River Road Extension INSURER0: _ Cos Cob,CT 06807 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 ILTR TYPE OF INSURANCE ADDL 8UB POLICY NUMBER POLICY EPF POLICY DIPMIDDIYYYn LIMITS A X COMMERCUIL GENERAL LIABIII EACH OCCURRENCE 1,000,000 CLAIMS•MADE OCCUR S 2083861 4/5/2022 4/5R023 PREININTED SESO(Ea oocuirrren 500,000 MED EXP(Any oneperson) 15,000 PERSONAL 6 ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3,000,000 POLICY a jpe LOC PRODUCTS-COMP/OP AGG 3,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO 3 2093861 4/5/2022 4/5/2023 BODILY INJURY Per arson OWNED SCHEDULED AUTOS ONLY AUTOS yy Ep BODILY INJURY er accld*M X AUTOS ONLY X AUOTOS ra P�eO�Z�AMAGE III A X UMBRELLA LU1B X OCCUR EACH OCCURRENCE 1,000,000 ExcES3 LWB CLAIMS-MADE 3 2093861 4IN2022 4!5/2023 AGGREGATE 1,000,000 DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT FFIC Rory in NH)EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) lb. Business Telephone Number of Insured Greenwich Power Systems,LLC 209 River Road Extension 203-900-1122 Cos Cob,CT 06807 lc.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State, i.e., a Wrap-Up Polio) id. Federal Employer Identification Number of Insured or Social Security Number 46-2283792 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Selective Insurance Company of South Carolina 3b.Policy Number of entity listed in box"la" WC 9080870 Village of Rye Brook 938 King Street 3c. Policy effective period Rye Brook,NY 10573 04/0522-04/05/23 3d. The Proprietor,Partners or Executive Officers are included. (Only check box if all partners/officers included) X 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 "la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"T'. The Insurance Carrier will also notes the above certificate holder within 10 days IF 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 maybe sent by regular mail.) Otherwise,this Cert ficate 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"3cr,whichever is earlier. Please Note: Upon the 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: Patrick B. McKiernan (Print name of authorized representative or licensed agent of insurance carrier) Approved by: /o2;�sEzC/ 9. 04/05/22 (Signature) (Date) Title: Secretary Telephone Number of authorized representative or licensed agent of insurance carrier: 203-655-7468 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(9-07) www.wcb.state.ny.us VA , A • / A p ICiArSUy r ;\\A//( _ 5�A �A S, �A/�S 'S \ f 'G I; O ��1�� 0; '�n����' O' "Pr. 'Su7�\' O' ;: �.� '�j�r .�0 r ,i�•;+},Sx�4}t�'fq'y O N+rxw'/�S,Y,yr 0' }a'��}��S�vfw r 'O T w .��Q ,, y 6. Yam. • v. fB i v ► V � + � �„ Wi'�i` v � •n�+•, �',','} �r r�at �. ' � � �b4�3�•�� ►+�//t'i► � � ►h�i4/i► ��� � 4�i ��! 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"yam"' 3F' >trJ� .:, .�•(�,.,.,;.,v, � ' ..�,� '':iv,.. ram, � raw A� R� CERTIFICATE OF LIABILITY INSURANCE DATE05/12 D/WYY) S/12/20'Z2 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 endorsements. PRODUCER CONTACT NAM : CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PHONE FAX HOME OFFICE: P.O. BOX 328 [AIC,No, o Exe:888-333-4949 AIc No):507-446-4664 OWATONNA, MN 55060 E-MAIL ADDRESS:CLIENTCONTACTCENTER FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:FEDERATED RESERVE INSURANCE COMPANY 16024 INSURED 263-9334 INSURER B: NEW ENGLAND OIL CO INC INSURER C: 469 W PUTNAM AVE GREENWICH,CT 06830-6895 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:52 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 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 DDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDDIYYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED $100,000 PREMISES Ea occur MED EXP(Any one person) $10,000 A N N 9414028 07/01/2022 07/01/2023 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 [71PRO- X POLICY JECTPRO- ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 Ea acci den X ANY AUTO BODILY INJURY(Per person) OWNED AUTOS ONLY SCHEDULED A AUTOS N N 9414028 07/01/2022 07/01/2023 BODILY INJURY(Per accidenq HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per acciden X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $4,000,000 A EXCESS LIAB CLAIMS-MADE N N 9414031 07/01/2022 07/01/2023 AGGREGATE $4,000,000 DED I RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/IN X PER STATUTE ER ANY PRO PRI E TORI PART N E R/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 A OFFICEMMEMBER EXCLUDED? NIA N 9414032 07/01/2022 07/01/2023 IManclatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 263-933-4 52 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 REPRESENTATIVE 1 (c) 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD IYONEWRKWorkers' CERTIFICATE OF ATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured NEW ENGLAND OIL CO INC 203.869.5869 469 W PUTNAM AVE GREENWICH, CT 06830 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 06-0670146 2. Name and Address of Entity Requesting Proof of Coverage 3a Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Mutual Insurance Company Village of Rye Brook #52 3b Policy Number of Entity Listed in Box"la" 938 King St 9414032 Rye Brook, NY 10573-1226 3c. Policy effective period 07/01/2022 to 07/01/2023 3d The Proprietor. Partners or Executive Officers are �x included.(Only check box if all partnersiofficers 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"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 Jean Newkirk (Print name of authorized representative or licensed agent of insurance carrier) Approved by' (Signature) (Date) Title Authorized Representative Telephone Number 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 \ aWJ �LN<!J ;� W igaOa CC bYYY_ OQ� cy I� d { 1� fnrii N I V O 1'�1 S b ! z W I O W n O�y y,�' 96 Q UJ WNW 11 3�yyZ Z j N L6? 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