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HomeMy WebLinkAboutMP22-065 �yE BR(�v� L� 190 VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE August 23,2024 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 22 Rye Ridge Plaza,Rye Brook,New York 10573 Parcel ID#: 141.27-1-7 This document certifies that the work done under Mechanical Permit #22-065 issued on 4/21/2022 for the installation of a new electric water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �yE BRC�� Fb '9a2 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 : S� 1 DATE: y 2- Z o L N PERMIT# jam? 2 2 O(o ISSUED:'/- SECT:�y/, 77BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED �HE.WORK IS... �CEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / / ❑ NATURAL GAS (�j �'�I L Cu'-) ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER [}-'FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER _ 4 N N u - N U : $ two gy 100to td cn a a� xLE W *r W 0 c � #-1 � �,�i I--� 91. It --4 s WIN co _ WC) � o � :: 0 F U OCA zON 'XI A �+ 00 M''y �j t7 C7 a o5 �, �« a3 z p O V � h W r = O 0 4 y `� A vo ° g C4 zan 8 .0 a cd ~ o � �I � 0 a a w 0 � � �.u � BUILDING DEPARTMENT D� ECMVED VILLAGE OF RYE BROOK APR 18 2022 938 KING STREET RYE BRom,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rvebrook.org BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: �c�c�' 220 'Approval Date: APR 2 Permit Fee: $ CL Approval Signature: Other: Disapproved: (fees are non-refundable) *****,t***,t,t:t,t*,t,t*r*****�**,r*****,c*************,t,t***�****t,*******,t******tr*x*****************,r,r**,►�,t**,t** REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE' I. Properly completed&Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$100.00/unit•COMMERCIAL=$350.00/unit. 5. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, 4/18122 is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. 1. Address: 22 Rye Ridge Plaza SBL: L4)_ a-7- )--7 Zone: G I - P 2. Property Owner; Win Ridge Realty,LLC Address: 24 Rye Ridge Plaza Phone#: 914-701-4005 Cell#: email: ahakanjin@winridge.com 3. Contractor: Nebrasky Plumbing Heating&Cooling Inc. Address: 1019 Rt 17M STE#3,monroe,NY 10950 Phone#: 845-783-6661 Cell#: email: info@nebraskyplumbing.com 4. Applicant: Nebrasky Plumbing Heating&Cooling Inc. Address: 1019 Rt 17M STE#3,Monroe,Ny 10950 Phone#: 845-783-666I Cell#: email; info@nebraskyplumbing.com 5. Scope of Work:New Installation O•Replacement(X)•Removal( )•Other( ): 6. List Equipment: 6 Gallon Bradford White electric water heater 7. Location of Equipment: ceiling 8. Method of Installation/Removal(list ail equipment needed to perform job): Remove existing and replace with comparable water heater Use of 8ft ladder 1 8/12/2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: _Paul Nebrasky ,being duly sworn,deposes and states that he/she is the applicant above named, (print name or 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 -k -r612_ 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 4 day of �� ,20 'Z2— Sworn to before me this day of I ,2D Een ure of Pr erty Gvmar r Signatur of licaPaul Njdl-rcls. Print Name of Property Print Name of Applicant b� Notts y'Public l OtaryPUIJIU6 THOMAS J CURTIN Notary Public,State of New York Reg.No.OICU6341697 Qualified In Westchester County Commisslon Expires May 9,2024 This application must be properly completed in its entirety and must include the notarized si-nature(s)of the legal owner(s)of the sub,jeet 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. WENDY J ABBAGLIATO NOTARY PUBLIC-STATE OF NEW YORK No.01AB6378708 Qualified In Orange County My Commission Expires 07,30-2022 sn 2/2021 BRADICORD MWITE W A T E R H E A T E R S Residential Utility Electric Water Heater The Utility Electric Models Feature: ■ Fully Automatic Controls—Fast acting surface-mount thermostat with high limit energy cut-off(manual reset)for safety. ■ Direct Heat Transfer With a Single Immersed Element—Transfers heat directly and efficiently to the water. Screw-in style element. ■ Vitraglas®Lining—An exclusively engineered enamel formula that provides superior tank protection from the highly corrosive effects of hot water.This formula(VitraglasO)is fused to the steel surface by firing at a temperature of over 1600°F(871°C). ■ Insulation System-1" (25mm) Non-CFC foam insulation covers the sides and top of the tank, reducing heat loss.This results in less energy consumption, improved efficiencies, and jacket rigidity. ■ Water ConnectiolI (19mm) NPT factory-installed true dielectric fittings extend water heater fife and simplify water line connections. Located on the side for easier installation(Fittings packaged separately inside carton). ■ Protective Magnesium Anode Rod—Provides added protection against corrosion for long-term,trouble-free service. ■ Voltages Available-120V, 208V,240V,277V,480V. *' ■ Single Phase Operation Only. ■ T&P Relief Valve—Installed. ■ Design evaluated by ETL in accordance with Part 280.707(d) of HUD Mobile Home Construction and Safety Standards for Energy Efficiency. Photo is of RE112U6 II Copper Screw Type Immersion Element QNCOLOY6 type immersion element available upon request) 6 or 10-Year Limited Tank Warranties 16 or 10-Year Limited Warranty on Component Parts. O� Ou C . For more information on warranty,please visit www.bradfordwhite.com For products installed in USA, Canada,and Puerto Rico.Some states do not allow limitations on warranties.See complete Intertek Intertek copy of the warranty included with the heater. MANUFACTURED UNDER ONE OR MORE OF THE FOLLOWING U.B.PATENTS:5,682,666:7,634,976;5,660,165;5,954,492;6,056,542;6,935,280;5,372,185;5,485,879:5,574,822;7,971,560;7,992,526;6,684.821; 7,334,419;7,866,168;7,270,D87;7,007,748;5,596,952;6,142,216:7,699,026;5,341.770;7.337,517;7,665,211;7,665,210;7,063,132;7,063.133:7,559.293;7,900,589;5,943,984;8,082,888:5,988,117;7,621,238; 7,650,859;5.761,379;7,409,925,5,277,171;8,146,772;7,458,341,2,262,174.OTHER U.S.AND FOREIGN PATENT APPLICATIONS PENDING.CURRENT CANADIAN PATENTS:2,314,845;2,504,824:2,108,186; 2,143,031:2,409,271;2,548,958;2,112,515;2.476,685,2,239,007;2,092,105;2,107,012.Vitraglas•is a registered trademark of Bradford White*Corporation. 1222-A-0418 Residential Utility Electric Water Heater Utility Models C.E.C.Listed Model Nominal Recovery at A B C D E F G H Approx. Number Gal. 90°F Rise' Floor Jacket Floor to Floor to Floor Floor Water Floor Shipping Capacity to Dia. Cold Hot to to Conn. to Weight Heater Water Water UP Anode NPT Electrical U.S. Imp. U.S. Imp. Top Conn. Conn. Conn. Rod Access Gal. Gal. GPH GPH in. in. in. in. in. in. in. in. Its. RE161.16 6 5 7 6 163/,6 14 23/4 9314 93h WA 3/4 163h6 35 RE110U6 10 8 7 6 171/i6 16 55/s 1415he 1311/16 95/e 3/6 1 12 44 RE112U6 12 10 7 6 1615h6 18 23/4 93h 93/4 WA 1/4 1615/1e 53 RE112T6t 12 10 7 6 275/16 14 23/6 205h 205h N/A 3/4 275h6 48 RE115U6 15 13 7 6 203/16 18 6111e 1711/16 1611he 101/16 3A 127h6 58 RE120U6 19 16 7 6 24'he 1 18 23/6 183/16 183/16 N/A 3h 24'he 65 Model Nominal Recovery at A B C D E F G H Approx. Number Liter 50°CRise* Floor Jacket Floor to Floor to Floor Floor Water Floor Shipping Capacity to Dia. Cold Hot to to Conn. to Weight Heater i Water Water UP Anode NPT Electrical Liters/ Top Conn. Conn. Conn. Rod Access Hour mm. mm. mm. mm. mm. mm. mm. mm. kg. RE1 6U6t 23 26 411 356 70 248 248 WA 19 411 16 RE110U6 38 26 443 404 143 380 354 244 19 305 20 RE1121.16 45 26 438 457 70 248 248 WA 19 430 24 RE112T6t 45 26 694 356 70 524 524 WA 19 694 22 RE1151.16 57 26 513 457 154 450 424 256 19 316 26 RE120U6 72 26 621 457 70 462 462 WA 19 621 29 t Maximum wattage at any voltage is 3000W. For 10 year models,change suffix"6"to"l0". Single element only. Based on 150OW operation. Recovery P GPH Temperature Rise°F Wattage 60 80 90 100 120 150OW 10 8 7 6 5 2000W 14 10 9 8 7 250OW 17 13 11 10 9 3000W 21 15 14 12 10 350OW 24 18 16 14 12 9 40W 28 21 18 16 14 450OW 31 23 21 19 15 5000W 34 26 23 21 17 5500W 38 29 25 23 19 F 0 6000W 41 31 28 25 21 0 — Wattage Voltage E ® A H Limitations 120V 208V 240V 277V 480V O A 150OW yes yes yes yes 77 D8G F 2000W yes yes yes yes yes H D&G E 250OW yes yes yes yes yes F 3000W yes yes yes yes yes CMG T 350OW no yes yes no no CA G o 0 4000W m yes yes yes yes - — 450OW no Yes yes yes I yes yes yes 10&15 Gallon Models 6,12,&20 Gallon Models 5000W no yes yes550OW no yes yes no no 6000W no yes yes yes yes General: All models are exempt from NAECA requirements and ASHRAE Standard 90.1 b.All models ETL listed.These heaters are wired Single Phase,120V with one 150OW element,unless otherwise specified.All water and electrical connections are 3/4'(19mm)NPT.All models certified at 300 PSI test pressure (2068 kPa)and 150 PSI working pressure(1034 kPa).Applicable models CSA-verified for energy performance in accordance with C191.1-M90. Dimensions and specfcations subject to change without notice in accordance with our policy of continuous product improvement. —BRA DFORD WHITE IS— For field service,contact your professional installer or local Bradford White sales representative. 4 Sales 800-523-2931■Fax 215-641-1612 AM° RICAN BwADPOM f41MIrE° Technical Support 800-334-M■Email techservr@bradfordwhite.com STRONG- AmWerEPA E Warranty 800-531-2111■Email warranty@bradfordwhite.com International:Telephone 1-215-641-9400■Email intemational@bradfordwhite.com/www.bradforctwhite.com Built to be the Best" 1222-A-0418 02018,Bradford White Corporation.All rights reserved. Pnnted in U.S.A. • A` DATE(MMIDDIYYYY) v CERTIFICATE OF LIABILITY INSURANCE 3/29/2022 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 endorsement(s). PRODUCER CONTACT NAME: Jennifer Radford William A.Smith&Son,Inc. PHONE - FAX 380 Broadway E-MAILfAJC.N •845-561-1706 1AIC No:845-561-1697 Newburgh NY 12550 ADDRESS: jradford@wasmdhandson.com INSURERS AFFORDING COVERAGE NAIL i INSURER A:The Cincinnati Insurance CO 10677 INSURED PAULNEB-01 INSURER B: Paul Nebrasky Plumbing Heating&Cooling Inc. 1019 Rt 17M, Ste 3 INSURERC: Monroe NY 10950 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:60088700 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 SUER POLICY EFF POLICY EXP POLICY NUMBER M M LIMITS A X COMMERCIAL GENERAL LIABIUTY Y Epp 0187057 4/1/2022 4/1/2023 EACH OCCURRENCE $1,000,000 DAMAGE 0 RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X PRO- LOC PRODUCTS-COMP/OP AGG $2,000,000 PRO- OTHER $ A AUTOMOBILE LIABILITY EBA 0187058 4/1/2022 4/1/2023 COMBINED SINGLE LIMIT $1,000,000 ecddent X ANY AUTO BODILY INJURY(Per person) E OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S A X UMBRELLA LIM X OCCUR EPP0187057 4/1/2022 4/1/2023 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I X I RETENTION $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LU\BILITY YIN N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is additional insured if required by written contract per form GA 233 NY 0207. 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 Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. Rita 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 6a7� USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD pbk IN N Y S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^A A^A A 133648773 ME ❑■ KEEVILY,SPERO-WHITELAW INC. 500 MAMARONECK AVENUE HARRISON NY 10528 . ■ SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER PAUL NEBRASKY PLUMBING, HEATING VILLAGE OF RYE BROOK &COOLING, INC. 938 KING ST 1019 ROUTE 17M SUITE 3 RYE BROOK NY 10573 MONROE NY 10950 POLICY NUMBER I CERTIFICATE NUMBER POLICY PERIOD DATE G 2057 715-1 716514 05/01/2022 TO 05/01/2023 03/28/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2057 715-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW,AND,WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK,TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS' COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR, I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 459459874 II11111111110001 II u IIII■1■OOOOOO■IIIIIII11111■II■I■11111111■■I0IBM191111111111O �00102�1948 C Forth WC-CERT-NOPRINC Version 3(08129/2019)[WC Policy-205771511 U-26.3 67 [00000000000102719489](0001-000020577151][##G][15854-60](Cet`NOP{QyT 1](01-00001]