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HomeMy WebLinkAboutBP22-121PERMIT ��- - / DATE:�iy�aa ExP;Zh SECTION / BLOCK LOT .T OTHER APPROVALS TYPEOFWORK i /�7 n' Pc # Ak!!I, r, /a�0� 1.�/ �i0rAoete • 045 ARB &Q/CLI Mg,D63�1 JOB LOCATION / SOT OWNER a /A Q n 4 9/7)8�1a-5o1o�/ PB CONTRACTOR YziS O QC iS i/D3-//!oO IOT EST. COST ^ FE / 3. % _ d I OTHER V/B�CO�X _ FEE%#3SSPD DAT S TCO If FEE DATE LTIFUULL RIORI O SURVEY REQUIRED P FINAL INSPECTION INSPECTIONT�R�EC,�ORD �\D) FOOTING FOUNDATION �n FRAMING JCL Y SIGH FRAMING �` V✓ / INSULATION PLUMBING RGH PLUMBINGi GAS SPRINKLER ELECTRIC LOW -VOLT O ALARM AS BUILT FINAL I. 10� 2o1Y �wiZ^� E+��•• �PPa3-0021/T Core"I EPaa-309/ & Qno/ ie+/ �GLE Kvc)3-1&q i %��h,�%c/aaleAl VILLAGE OF RYE BROOK WESTCHESTIL Z CO , NEW YORK Certificate of Occupaucp .his is to certify that y Jmhun / �Jr l,� f of, having duly filed an application on 20 requesting a Certificate of Occupancy for the premises known as, • Q , Rye Brook,NY, located in a /�-15 Zoning District and shown on the most current Tax Map as Section: Block: __L Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. , issued 71N 20,c;& such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications,Use: &W// Construction: for the following purposes: Y / de le ai Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has obtained the u ing Inspector. MAY 2 9 2024 Building Inspector, Village of Rye Brook: Date: DRY t tpt�" vdi r7 1q �-a 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 May 29,2024 Joshua Adelson&Lindsay Adelson 6 Whippoorwill Road Rye Brook,New York 10573 Re: 6 Whippoorwill Road,Rye Brook,New York 10573 Parcel ID#: 129.60-1-14 This document certifies that the work done under Mechanical Permit#23-169 issued on 11/29/2023 for the installation of a new condenser,air handler,heat pump and ductless unit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to D V BUILD T.,MENT For office use only: R 1/ IDPERMIT# VIL� OF RYE HOOK ISSUED:'?—/9-aa OCT — 2 2023 38 KING STRE4I' YE BROOK,1V E!W YORK 10573 DATE: /C'c�'013 (04)939-0668 -). FEE: 9R5- PAIDS VILLAGE OF RYE BROOK w'M4',"rook,o�g 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 ki##i#ittiii##i#i#}f#fffiif#i4######i#fif#fQ###�k###ff44f4i##4#####[�tf##4f#4f4k#4t###ki#f######f#ff#fi#it4###f##ft4#4tk##k#### Address: `1 1 u— 1�"' 1 Oov--1, py Occupancy/Use: Ip� ZI�L Parcel ID#: I2�1 l�0 Zone: 26 Owner: J OS UA QA� Address: WHP1)) W lL'— h P.E./R.A. or Contractor: ! Address: l S I ' Iry l S fa I She I 1/ 1 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 O}F�NE�W(�YYOCRK,, /COUNTY OF WESTCHESTER as: I1 J�vS'1 vA /\VC�� being duly sworn,deposes and says that he/she resides at 6 W l 1 1 R wi u- RD IPrit unc of A li••nt1 _�M (No.and Street) v in �\` ,in the County of V"��� y� (lS{` in the State of \� t that IC'ih fuwn/Villaecl he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was: S D for the construction or alteration of.- Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A..�of the Code of the Village of Rye Brook. Sworn to before me this �S Sworn to before me this d f of 1 P , 20 day of , 20 en 1tur/oof-Prop erty Owner ,/ Signature of Applicant lV Print Name of Property Owner Print Name of Applicant Notary ,blic Notary Public GR GORY M.RNERA Notary Public,State of New York No.01 RI644131e Qualified In Westchester County Commissbn Expires September 26,H►-9 QyE BRC��. w � 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - -- --- - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : �/u�• i CPO)P, VJ 1 f Pcxr^I DATE: PERMIT# (7 Z ISSUED: ,y z�SECT: /o BLOCK:LOT: LOCATION: ✓ (.> > c` ��2 L 1 A t iJ OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 0" ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS t4i 44 c 41/1-` ❑ L.P. GAS G GJU2 L c4 6Z7A , /C -Xi ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION 'rINAL ❑ OTHER to � BUILDING DEPARTMENT ❑BUILDING INSPECTOR 0 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 : L 0 VA 1 POOS-W ` \ 17 cXn CL DATE: 5 V ZUZ/ PERMIT# nl r �3 " I c) ISSUED: A SECT: - BLOCK:/LOT: h` LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 7 J� ❑ NATURAL GAS ❑ L.P. GAS , ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION n FINAL ❑ OTHER N v QyE BR(��• O� Zm 04 cu � 1932 BUILDING DEPARTMENT ❑��//BUILDING INSPECTOR D"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: �O \N Y\ i 17 -'�'O v�) �� DATE: PERMIT# ` 7 2- `Z 1 ISSUED: y-Z 4 SECT: 12 9. 6 O BLOCK: I LOT: LOCATION: TJ OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED LY FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 1 ❑ Natural Gas p L.P. Gas L N FF� ❑ FUEL TANK❑ I 11 V''FIRE SPRINKLER O Nr EJ� (b b G A y MA,G fat [4. . A C.n . SQA ❑ FINAL PLUMBING ❑ CROSS CONNECTION 9--PINAL ❑ OTHER QyE BRC��. • 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR C146SISTANT 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: {D tP 00 t' W I ' I Q DATE: '% PERMIT# rn P Z3- I l ISSUED: J -Z '--'SECT: Z I- 60 BLOCK: LOT: A � OCCUPANCY:�P S/( C �(tSJd / ❑ Violation Noted THE WORK IS... ❑ PASSED L1' FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION (1 ❑ Natural Gas /1�F E 1 A �. N o o y G 9 f' S O^- T��2►c�ti V ❑ L.P. Gas 1�{ ❑ FUEL TANK 1 ❑ FIRE SPRINKLER Z Aj e k �P Pit I �/N Lp S� 6y� G ciy/,$7 ❑ FINAL PLUMBING ,`, CROSS CONNECTION —A(A- FINAL ❑ OTHER 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 : t 1 1 DATE: �-vl PERMIT#�� r �2-\ ISSUED: `�SECT: BLOCK: � LOT: ' LOCATION: A S� OCCUPANCY: `-(" ) ❑ VIOLATION NOTED THE WORK IS... d ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION lf] UNDERGROUND PLUMBING NOTES ON INSPECTION: ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QeBkj� . '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.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - -- - -- - - - - - ADDRESS :— ' DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: I i'���� �- �' b�� - �' `� OCCUPANCY: Z—I vi ❑ VIOLATION NOTED THE WORK IS... %ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING 4- �,) Am--�pf ll-oov ❑ FOOTING DRAINAGE l ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER 1982 BUILDING DEPARTMENT ILDING 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:— cr---) O DATE: PERMIT# `� \ ISSUED:& l ECT: (� r (4LOCK: { LOT: LOCATION: -�o V OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION , REQUIRED FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER !"r eq N Qj 4 O y H A o v a +4 CA W o 0. m - V 'o U . w � H W P H 41 -w ci a, W r0 � � a Ir W z o z a w Ln goo 3 O °o4-4 C*4 Is Y0 ai © a9 cg .- Vu 'Ci vv .s w C TO 'o y G o z v o a lb vv Q N uz � 0 zC> ® e W Q M w 40' ' eb � a Z y" o0-0 g°p Q U1 o N O /Q� e JAI Z' � � F�1 � I� O �►a � � � � CIS U , .v ° �' Ce< y o v p, PQ u U1 �N a Way A °' _vo < Ln ' aki o A t7 O Chi .b F, i O 0S a49 � � z w �' O o o v °' °' — W rn O v N 0 V 0 F c 1° ZON y�x C7 A Z O � ' u�. LU Z 0 V b 'E o � W �+ �-4 O U w a �D " b °v x � � �.i o i BUILD .- MENT Q DD VI L OF RY OOK 938 KING FT RvIE BR ,NY 10573 MAR - 2 2022 4 9 9-0 , VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: �j r,, Approval Date: Permit# �Q'D—�� Application# `�° Approval Signature: ARCHITECT 1RAL REVIEW BOARD: Disapproved: Date: 1b BOT Approval Date: Case# : Chairman: M{— PB Approval Date: —Case# Secretary: ZBA Approval Date: Case# Other: _ Amendment Fee.. a5 6 Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: `- mil is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior ap rovaI granted by the pproval authority as per detailed statement described below. 1. Job Address: Existing Permit#: 2. Parcel ID#: . �.�/ 14 Zone: Original Ap roval Date: 3. Proposed Anlendment(D scribe in de il): 4. Property Owner: GJ© Address: t 0 Phone# - - ©l�0 ell# Z- e-mail '5 VI Applicant: Address: Phone# -27t Cell# b 2 © e-mail ` Architect/949imlor. N r yq Address: Phone# Q& Cell# e-mail 1• C_6 5. Occupancy,(I-Fam.,2-Fam.,Comm.,etc...)Prior to construction:14e After construction: 6. Will the proposed amendment require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No:-X(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Wilt the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or a of impe ious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:_No:�Area: t 8/12/2021 8. Will the propose endment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No:)((if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: \X(if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan)12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: �//\ (ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No:-)c if yes,indicate: TIER I: TIER[I: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendmelit fesult in dditional so-pare footage to the building or subject structure, and if so, provide such additional footage here. �� _ot (Please submit a ditional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees, including any material and labor which may be donated gratis. 16. N.Y. State Construction Class ifica i N.Y. Stye Use la ifrcation: lFamklu 17. Estimated date of completion: This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer S signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided.Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YOR , CQUNTY OF WESTCHESTER ) as: �w iro#Vkv P�` , 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 e - for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attomey,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application,the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 2, Sworn to before me this d 1 ave� , 20 day of , 20 Sig to of Property w-ne'r h` { Signature of Applicant S► Print Name of Property Owner Print Name of Applicant Notary Public Notary Public CHRISTOPHER J. BRADBURY 2 Notary Public, State of New York No.01 BA6159985 OuRlified in Westchester County Commission Expires January 29,20.2j 8/12/2021 BUIL TMENT MK5 VIL E OF RY OOK 8 KING ET RYE BR NY 10573 NOV a r FOR OFFICE USE ONLY: Approval Date: MAY 1 0 2022 Permit# v+ r ' Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: FEB 1 6 7072 BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Z tZ Z Case# Z d73 Cry Other: Mv Application Fee: Permit Fees: Z 3'� EXTERIOR BUILDING PERMIT APPLICATION Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed Istement described below. 1. JobAddress: 2. ParcellD#: Zone: 3. Proposed Improve ent( escribe i detail): �' t © 1 _ Q��j ��nn } 4. Property Owner: � &D 6L� Address: 4 W� k�()oQW IL L 1'-0" Phone# q17 "�12- i; Cell# q r l-(M-SO�Y e-mail �SRr kZSor^AAIL•Co e List All Other Properties caned in Rye Brook; Applicant: Address: _1 t I -�� -4--1 - Phone# ell # �` ` m©22 " e-mail Architect: WIAI . Gvrl m Address: Phone# 62 7F0227r&1I# e-mail I'�16'rrz ns Engineer: Address: Phone# Cell # e-ma'I General Contractor: /� 01_ ' Q Q/ Address: / �e lt�.s �V /d� Phone# g/Y—� 7/ ell# e-mail • (I) 8/12/2021 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: 00-62 Acres: !J 7. Dimensions from proposed bulildin or structure to lot lines: front yard: rear yard: right side yard: k left side yard: � other: 8. If building is located on a comer lot,which street does it front on: 9. Area of proposed building in square feet: Basement: I"fl: 2°dfl: 3'fl: 10. Total Square Footage of the proposed new constructio : 11. For additions,total square footage added: Basement: 1"fl: 2nd fl: 3r'fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction lllassification: N.Y. S tl Use Classification: `) 14, Number of stories: i erall Height: t4 Media eight: f 15. Basement to be full,or partial: I , �shed or finished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: -In wRoofmg material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automat re suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&1 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq. ft. ormore of land,or create 400 sq. ft.or more of imppfvious covera r�uiri a Stormwater Management Control Permit as per§217 of Village Code? Yes: No:�Area: 22, Will the proposed prole require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (►f yes,applicant must submit a Site Plan Application, &provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application, &provide a detailed topographical survey) 24. Is the lot located within 100 ft. of a Wetland as per§245 of Village Code? Yes: No: (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: (f yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26, Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No:Y— (ifyes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER 1: TIER II: TIER III: (ifyes,a Home Occupation Permit Application is Xquire—d) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: $ l S Note:The estimated cost shall include all site improvements, labor, material,scaffolding,fix d equipment,professi . cluding any material and labor which maybe donated gratis.If the final cos ex c edsNstimaZecost, an additional fee will be r 30. Estimated date of completion: "107, APPLIC I FEB -9 2022 Lo (2) DATED. VI1 OK NT 8/12/2021 BUILDING DEPAR VILLAGE OF-' RYE B /ISE 938 KING STREET RYE BRO 0 1 FEB _ (914)939-066 z�2z DATED: oOK RESIDENTIAL LOT AREA COVERAGE ENT Address: { ection: Block: Lot: 14 PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88) YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5% R-2F 1 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT &0dd Sq. Ft. WO.Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building / I (Including Attached Garage or Accessory Building) Sq. Ft. L , o l Sq. Ft. b. Area of 1 n Floor Divided By Area of Lot x 100 0 0% C)(!po/a 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages, Tool Shed, Playhouses) Sq. Ft. Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 �- % % 4. AREA OF DECK Sq. Ft. Sq. Ft. a. Co of Deck ea of Deck ivided By Area of Lot x 100 4 % - /")�% the b t of y knowledge and belief, the above information is correct. Arc ii ct's Signa e (3) 9/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914) 939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: I QVCLCWIIlection: lock: I Lot: Zone: ( 5 IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards, sports courts, swimming pools,patios, sidewalks,ramps,terraces and driveways. TOTAL MAXIMUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq.ft.) For Base Lot For Lot Area YARD %) Area (sq.ft.)* Over Base R-35 15 Lot Area % R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 6,001 to 12,000 2,900 27 R-15 35 12,001 to 16,000 4,520 26 R-15A 35 16,001 to 20,000 5,560 25 R-12 40 20,001 to 30,000 6,560 24 30,001 to 40,000 8,960 23 R-10 45 40,001 &larger 11,260 22 R-7 40 R-5 30 *"Base Lot Area" is the minimum end of the lot size R2-F 30 range in the"Lot Area" column Area of lot: s .ft. Existing Allowed Proposed Total impervious coverage = 2 DOS .ft. S . ft. l�17Sq.ft. Front impervious coverage = % /° Q°lo REVPS nAPPLI ATI FEB -9 2022 I est to a best o owledge and belief, the above information is oQ TE • VlLLq GE OF RYE gR Ok NT Architect's ignature (4) 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET Ryr BROOK,NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: I DDOOM I Section: Block: Lot: MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [(Lot Area —21,780) x 0.11478421 ]: a. Allowed Sq. Feet b. Existing = Sq. Feet c. Proposed = ?24 Sq. Feet3 — HEIGHT/SETBACK RATIOS FOR RESIDENTIAL DISTRICTS DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer windows not covering more than 10%of the entire roof area, shall be permitted to extend. Height and Setback shall be calculated using the forrnula; Heiaht 1 Setback=X, where X is the required side or front yard ratio for the zoning district in which a property is located as specified in Article VIII of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EX/S77NG PROPOSED REQU/RED FRONT: FRONT: FRONT: .44 "S SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 R-25 SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: FRONT: .60 R--20 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .60 RLIN SIDE:O.-7 SIDE ,jqSIDE: 1.60 FRONT: FRONT: . FRONT: .80 R-INA SIDE. SIDE: ' SIDE: 2.40 FRONT: FRONT: FRONT: .69 RL12 SIDE. SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .80 R•10 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 /IL7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 5 SIDE: SIDE: SIDE: 4.00 ONT: FRONT: FRONT: 1.20 2 IDE: SIDE: SIDE: 4.00 la of y knowledge and belief, the above information is correct. rchitect Signatur (5) 8/12/2021 BUILD MENT VIL OF RY OOK 938 MNG ET RYE BR6 ,NY 10573 oV - 3 2C121 4 4 -0 -c 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 YO�Rf�K,, COUNTY OF WESTCHESTER ) as: J USH d [ `'-�LZ CJ(1� , residing at, (AJ E� OL')OZ W I(-L— LU t (Print name) (Address where you li4c) 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; Rye Brook,NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. ( nature Omier(sl) �1 �tve 06�` (Print Name of Property Owncr(s)) Sworn to before me this o\ of , 20 � (Nott,r� Public) SHARI MELILLO Notary Public,State of New York No, 01'•.�IE61 BOC63 Q�ialisied in Westchester Countyn Commission Expires J?Guam 29 20�c-3. (6) 8/12/2021 this form must be properly completed & notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Titie 19 tart 1264& 1265 N)'CRR) To:The Building In pector of the Village of Rye Brook. From: I tA - M M I h I__1 Subject Proper: 0 1Y PASBL: - Zone: Please take notice that the subject;XOne or Two Family; ❑ Commercial, ❑New Structure >Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction (TT) NOV - 3 2021 Pre-Engineered Wood Construction(PW) ❑Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders& Beams(F) ❑ Roof Framing(R) iklor Framing and Roof Framing(FR) Please note that Prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, [.ire-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §1264 for Con-irnercial Buildings, and NYCRR§1265 f6r One&Two Family Dwellings. Sworn to before r1 this q7 Swoi for me this of b '20� ay _,20�_ ign tore o oper Owner igt1a a De g Professional v J Print a ie o Pr erty Ow r i anae of Design Professional Notary Public Notary PtiH*RI MELILLO Notary Public, State of New York No. 01 ME61 GxG3 Oualitied in Westchester County CHRISTOPHER J.BRADBURY Commission Exr)ires Januaryv 29 20 Notary Public,State of New York No.01 BR6159985 t 7 1 Qualified in Westchester County. Commission Expires January 29,20�3 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF EW YO C N OF WESTCHESTER ) as: �� R �L being duly sworn,deposes and states that he/she is the applicant above named, (print name o)indrvidual 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. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this r1 Sworn to before me this day of �(DV� � , 20 t� day of , 20 _\� A 'nnk� Signat e o Property Owner Signature of Applicant N* jz%�41 AL�6 I rint Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public, State of New York No. 01 NIE616OC63 Q!ialified in Westchester County Commission Expires JPnuary 29 20 (8) 8/12/2021 BUILDING DEPARTMENT D �� � ��1Jn VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 APR 2 0 2023 www.ryebrook.org VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE L§b ONLY•MIAT 013 / l Approval Date: # / / Application# A913.2-,3-o46 Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# : Other: Amendment Fee: Permit Fee. APPLICATION TO AMEND APPROVED PLANS Application dated: 1 2-3 is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing op n permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below. 1. Job Address: (0 Existing Permit#: �J j (z 2. Parcel ID#: /a '-II Zone: Original Approval Date: S 10 2-2 3. Proposed Amendment(Describe in detail): ��AtV G-� 0��< ��>,�, F y M �M C-16 6k l WAL/JAf 4. Property Owner: T65 b )A A OG— l&Address: W .WILL ZORt ooy- NY l pS-7 3 Phone# 9 V-1-506 4 Cell# 7— 2'Sp e-mail J_0;tt Q_St) @(C_tAA1LA0M Applicant: Address: Phone# Cell# e-mail < nn Architect/Engineer: `'/ U S"fl � �L l` Address: WT(8`�(�_ A NA �U ��vC� NY R ���V I Phone# — S1 b--70'S-7 Cell# 914 _4 2 y —`�to y(0 e-mail O , e�O L•� 5. Occupancy; (1-Fam.,2-Fam.,Comm.,etc...)Prior to construction: —F After construction: 1_�1"^ 6. Will the proposed amendment require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No:_(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes: No:X Area: 1 8/12/2021 8. Will the proposed amendment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No:_,)( (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No: /< (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No:X(if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) �i 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: X (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No:X(ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: X Ifyes,indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so,provide such additional footage here. NN (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ 0 (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y. State Construction Classification: N.Y. State Use Classification: 17. Estimated date of completion: This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y.State Licensed Professional Engineer&signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property,and the applicant of record in the spaces provided.Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void,and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW 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. By signing this application,the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this da of '() , 202_� day of , 20 (�4 �a� a e of Property Owner Signature of Applicant Sor/ P ' ame of Property Owner Print Name of Applicant nai4 Notary Public ' Notary Public SHARI MEULLO 2 Notary Public,State of New York No.01ME6160063 Qualified In Westchester County Commission Expires January 29,200 8/12/2021 BUILD'~ MENT D E C IE W E VILE, OF,RX OOK 938 KING ET RY>r BR ,NY 10573 MAR - 2 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT FOR OFFICE USE ONLY: � (,, Approval Date: Permit# J' �ol Application# `�j`0 Approval Signature: ARCHITECT REVIEW BOARD: Disapproved: : Date: \b BOT Approval Date: Case# Chairman: M�— PB Approval Date: Case# Secretary: ZBA Approval Date: Case# L� Other: Amendment Fees oZ'Y 2S Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated: �' � is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior ap rovals granted by th proval authority as per detailed statement described below. 1. Job Address: , Existing Permit#:1 tile 2. Parcel ID#: (_S/ 14 Zone: PY 1 P5 Original Ap roval Date: 3. ProposedWment(D scribe in de il): f l U�a t�, 9 �j 4. Property Owner: Address: yq �/� I Phone# - �( ell# Z- e-mail d Applicant: 48 M al -GO rvj Address: Phone# Cell# 17- 2 Q e-mail Architect/l giear: 14 Address: Phone# I41;� b2 Cell# e-mail 5. Occupancy;(I-Fam.,2-Fam.,Comm.,etc...)Prior to construction: After construction: 6. Will the proposed amendment require the installation of a new,or an extension/modification to an existing automatic fire suppression system? (Fire Sprinkler,ANSL System, FM-200 System,Type I Hood,etc...)Yes: No:X(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or of impe io co rage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:_No:ye Area: 1 R/12/2021 8. Will the propose endment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No:Yof yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: \X(if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan)12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No:X (ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No:'X_If yes,indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendmeilt fesult in additional s uare footage to the building or subject structure, and if so,provide such additional footage here. L (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ (The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional tees. including any material and labor which may be donated gratis. 16. N.Y.State Construction Classifica i N.Y. Stye Use I ificatiorr �. 17. Estimated date of completion: This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y.State Licensed Professional Engineer&signed by those professionals where indicated. It must also include the notarized signature(s)of the legal owner(s) of the subject property,and the applicant of record in the spaces provided.Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. ***********,►*****************************************************:�xxxxxxxxxxxxxxxxxxx,:xxxxxx, >rxxxxxxxxxxx STATE OF NEW YO ,,CQUNTY OF WESTCHESTER ) as: w M4kw , 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. By signing this application,the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this V4 Sworn to before me this d M1,ce� , 202-Z day of , 20 Sig to of Property wrier Signature of Applicant Mowy ,���5�• Print Name of Property Owner Print Name of Applicant Notary PublicL11-11 Notary Public CHRISTOPHER J. BRADBURY 2 Notary Public,State of New York No.01 i3R6159985 Qualified in Westchester County Commission Expires January 29,20 2j 8/12/2021 BUILDING DEPARTMENT EAPPUC.ATM D _ 9 2022 VILLAGE OF RYE BROOK 38 KING STREET RYE BROOK,NY 10573 f -ors NOV - 3 2021 W ak:or *********************************************************************************************************** FOR OFFICE USE ONLY: Approval Date: MAY 1 O 2022 Permit# �� "' J Application # Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: : Date: FEB 1 6 7M BOT Approval Date: Case# Chairman: M `` PB Approval Date: Case# Secretary: J ZBA Approval Date: 2 2"L Case# Z (D3 Cfl Other: Application Fee: Permit Fees: 2 _'a) 750 EXTERIOR BUILDING PERMIT APPLICATION Application dated: 11 oZ is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed s tement described below. 1. JobAddress: 2. ParcelID#: Zone: 3. Proposed Improve Ient( escribe i detail): -J-1 rot La } 4. Property Owner: Address: � O UORW I L L �,O" C 'L ' •. Phone#_ql7 �c2' So1P� Cell# ��1"�Z�-' )p��( e-mail �SCt1- 11��1� ,AIL*�e List All Other Properties caned in Rye Brook: Applicant: t',' Address: VqVA Phone# ell# m 22- e-mail 5 r Architect: WIgI . coYl� Address: Q'J Phone# m Cell # 4 44 e-mail Engineer: Address: Phone# Cell#_ / e-mail General Contractor: /y 0O/JT1el C Q 7�J a ),7/ Address: �I l r2 A)S N /os-o Phone# �/y��W 7/ ell# e-mail • 8/12/2021 5. Occupancy;(1-Fain.,2-Fam.,Commercial.,etc...)Pre-construction: Post-construction: 6. Area of lot: Square feet: Acres: O 7. Dimensions from proposed bulildin or structure to lot lines: front yard: rear yard: right side yard: F left side yard: . other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 1"fl: 2"d fl: 31 fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: 1"fl: 2"d fl: 31 fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y. State Construction lassification: N.Y.S te�'Use Classification: q 11 14. Number of stories: erall Height: O — Medi eight: — 15. Basement to be full,or partial: finished or finished: 16. What material is the exterior finish: 17. Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automat' e suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No: (ef yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq.ft. or more of land,or create 400 sq.ft.or more of imAVvious covera r ' ' a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area: 22. Will the proposed pro'e require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (:f yes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application, &provide a detailed topographical survey) 24. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (f yes, the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (ef yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No:x (tf yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER I: TIER II: TIER III: (f yes,a Home Occupation Permit Application is r qurred) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: $-139 Note. The estimated cost shall include all site improvements, labor,material,scaffolding,fix d equipment,professi cluding any material and labor which may be donated gratis.If the final cos exc eds le[stima2tecost,an additional fee will be r 30. Estimated date of completion: APPLIC I FEB -9 2021 (2) DATED: VI1 I nt,F n�c oo OK NT 8/1'_2021 BUILDING DEPAR VILLAGE OF RYE B &VISE 938 KING STREET RYE BRO A5H 7 1 FEB - 9 2022 (914)939-066 DATED: OOK ENT RESIDENTIAL LOT AREA COVERAGE Address: Il ection: 2 Block: Lot: 14 PERMITTED COVERAGE RATIOS IN RESIDENTIAL DISTRICTS (Local Law 3-88) YOUR ZONE AREA IN MAIN ACCESS. DECK ZONE DISTRICT SQ. FEET BLDG. BLDG. MAX. CHECK MAX. R-35 35,000 14% 4% 5% R-25 25,000 14% 3.5% 4% R-20 20,000 14% 3.5% 4% R-15 15,000 16% 3.5% 4% R-15A 15,000 12% 3.5% 4% R-12 12,500 17% 4% 4% R-10 10,000 20% 4.5% 3.5% R-7 7,500 23% 4.5% 3.5% R-5 5,000 30% 5% 3.5% R-21F 5,000 30% 5% 3.5% Existing: Proposed: 1. AREA OF LOT E2 OOO Sq. Ft. 600.Sq. Ft. 2. AREA OF HOUSE a. Coverage of Main Building (Including Attached Garage or Accessory Building) 1�e-Sq. Ft. Sq. Ft. b. Area of 1 st Floor Divided By Area of Lot x 100 0% L ,C)o% 3. AREA OF ACCESSORY BUILDING (Includes Detached Garages, Tool Shed, Playhouses) Sq. Ft. Sq. Ft. a. Coverage of Accessory Building Area of Accessory Building Divided By Area of Lot x 100 —' % % 4. AREA OF DECK C�Sq. Ft. Ft. jea of Deck 1'�)of Deck ividedByAreaofLotx100 �• 24 % . % he b t of y knowledge and belief, the above information is correct. Signa e (3) 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914) 939-0668 IMPERVIOUS COVERAGE RATIOS RESIDENTIAL DISTRICTS Address: I liection: lock: I Lot: Zone: " I IMPERVIOUS SURFACES (Definition): All buildings, as defined herein, and all areas on the ground or elevated above the ground which are comprised of materials through which water cannot readily flow, including, but not limited to asphalt, concrete, masonry, wood, gravel and clay, and which consist of elements including, but not limited to, court yards, sports courts, swimming pools, patios, sidewalks,ramps,terraces and driveways. TOTAL MAXIMUM PERMITTED MAX. PERMITTED COVERAGE Zoning IMPERVIOUS LOT AREA BY IMPERVIOUS SURFACES District COVERAGE IN FRONT (sq.ft.) For Base Lot For Lot Area Y` RD(%) Area (sq.ft.)* Over Base R-35 15 Lot Area %) R-25 20 0 to 4,000 0 55 R-20 30 4,001 to 6,000 2,200 35 6,001 to 12,000 2,900 27 R-15 35 > 12,001 to 16,000 4,520 26 R-15A 35 16,001 to 20,000 5,560 25 R-12 40 20,001 to 30,000 6,560 24 30,001 to 40,000 8,960 23 R-10 45 40,001 & larger 11,260 22 R-7 40 R-5 30 *"Base Lot Area"is the minimum end of the lot size -F 30 range in the"Lot Area"column Area of lot: 1 �,5 0 OOSCI.ft. Existing Allowed Proposed Total impervious coverage = 2 �O sq.ft. S . ft. W17sq.ft. Front impervious coverage = % 2 r7/6 Q% REves D ECE#V //APPL1 qTI FEB -9 2022 I est to a best o owledge and belief,the above information is otf�t�E • VILLq GE OF RyE BR OK NT Architect's ignature (4) 8/12/2021 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 BULK REGULATIONS IN RESIDENTIAL DISTRICTS Address: Section: It9Block: I Lot: MAXIMUM GROSS FLOOR AREA USE FORMULA: Maximum Gross Floor Area = 4,000 + [ (Lot Area — 21,780) x 0.11478421 ]: a. Allowed = Sq. Feet b. Existing = Sq. Feet c. Proposed = Z219 I Sq. Feet3 HEIGHT/SETBACK RATIOS FOR RESIDENTIAL DISTRICTS DEFINITION: A standard designed to regulate the height of a building in relation to the average grade of the corresponding portion of the lot line from which it is set back. The ratio modifies the maximum permitted Height of Building by forming an inclined plane beginning at the average grade along the portion of the lot line from which the setback is measured and rising toward the building at the specified ratio above which no part of any building, other than minor architectural features such as chimneys, skylights and dormer windows not covering more than 10% of the entire roof area, shall be permitted to extend. Height and Setback shall be calculated using the formula; Height/ Setback= X, where X is the required side or front yard ratio for the zoning district in which a property is located as specified in Article VII I of Chapter 250. A complete elevation view for the proposed improvement must be included on the drawings. FILL IN YOUR RATIOS: ZONE EXIS77NG PROPOSED REQU/RED FRONT: FRONT: FRONT: .44 R35 SIDE: SIDE: SIDE: 1.20 FRONT: FRONT: FRONT: .48 R-25 SIDE: SIDE: SIDE: 1.30 FRONT: FRONT: FRONT: .60 R-20 SIDE: SIDE: SIDE: 1.60 FRONT: FRONT: FRONT: .60 R-75 SIDE:0-7 SIDE: SIDE: 1.60 FRONT: FRONT: . FRONT: .80 R-15A SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .69 R-72 SIDE: SIDE: SIDE: 1.60 ' FRONT: FRONT: FRONT: .80 R-f0 SIDE: SIDE: SIDE: 2.40 FRONT: FRONT: FRONT: .96 R-7 SIDE: SIDE: SIDE: 3.00 FRONT: FRONT: FRONT: 1.20 -5 SIDE: SIDE: SIDE: 4.00 ONT: FRONT: FRONT: 1.20 2 IDE: SIDE: SIDE: 4.00 I a of y knowledge and belief, the above information is correct. rchitect Signatur (5) • 8/12/2021 BUILD MENT VIL OF RY; OOK 938 KING ET RYE BTt ,NY 10573 KV - 3 ?021 a 4 -0 xxxxxxxxxxxxxxxx, xxxxxxxxx�xxxxxx;xxxx***xx*xxx******:�****x**xxxxxxxxxxx***xxxxxxxxxxxxxxxxxxxxxxxxxx*x AFFIDAVIT OF COMPLIANCE VILLAGE CODE 4216 • 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: 3J, �uS h j p F. 61 S_ r ,residing at, �(/ 1�QiX�(Z W I I L LU t (Print name) (Address where you Ii\e) 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; CZ-*� , Rye Brook,NY. (.lob Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. ( ignature 1 1Pro erty 0vNner(s)) cve 'S� ��✓ (Print Name of Property Owner(s)) Sworn to before me this O) an of , 20 � s nn (Notar; Public) SHARI MELILLO Notary Public, State of New York No. 01,ME616OC63 0�iali`ied in Westchester Countyr� Commission Expires Jn..nuary 29 20 0 -13-1 (6) 8/12/2021 This form must be property completed & notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) To:The Building In pector of the Village of Rye Brook. From: minip. I 11q14Subject Property: r SBL: — Zone:_P) — Please take notice that the subject;XOne or Two Family; ❑ Commercial, ❑New Structure )Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction(TT) NOV - 3 2F121 Pre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders& Beams(F) ❑ Roof Framing(R) Xloor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction .must be posted with a Truss Identification Sign, installed in conformance with NYCRR §1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. Sworn to before 11 this 27 4anie NDesign QS of d '20�_ 20Q_ ign ture o oper Owner fessional v o Print a le o Pr erty Ow r rofessional Notary Public V Notary PtiHARl MELILLO Notary Public, State of New York No. 01 ME6160063 Qualified in Westchester County CHRISTOPHER J.BRADBURY Commission Exr)ires January 29 20 Notary Public,State of New York No.01 BR6159985 17 Oualified in Westchester County, Commission Expires January 29,20 3 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. �xxx*xxxxxxxxxxxxxxxxxxxxxxx***xxxxxxx*,�*xxxxx****xxxxxxxxxxxxxxxxxxxxx�xx**x,�**xx*x************,�********* ST TE OF EW YO C N OF,,.,WESTCHESTER ) as: -�nh �� �«I 1,being duly sworn,deposes and states that he/she is the applicant above named, (print name o individual Mining as the applicant) ii 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. By signing this application, the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 1 Sworn to before me this day of -���� ' , 20 day of 120 l !n Signa e o Property Owner Signature of Applicant rint Name of Property Owner Print Name of Applicant � -IS , Notary Public Notary Public SHARI MELILLO Notary Public, State of New York No.01 NIE61 u0063 Qualified in Westchester County Commission Exaires January 29 20 (8) 8/12/2021 z s a M N N N N \ w a N N N O w z w n a ° LO 60 >4tem w zLn 0 V w � �7 Q 4 � i w �• � ` �' A z C a ,� z V 00 rn q ... = V 1.4 a Zz W o 2 < Q! w LA w z w z F W0 z Q of H a V A 7 A a oG �I zt a a z w = CA BUIXIE 1�E MENT _ VILOF RYE KR DEC 2 0 2022 938 li1NOii4-k I Ryj- B N Y 10573 �14) �60,9 " VILLAGE OF RYE BROOK BUILDING DEPARTMENT w cieff.or ELECTMCALT PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: 2 Z — l Z EP#: C:;)D--3o9 Approval Date: DEC 2 1022 Permit Fee:$ Approval Signature: VVVV Other: Application dated,�� j Sr,rv%bewjst*by made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment,wrong,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Locai Codes. i_Address: (,P (.l) h; p oor, w SBL:_1 2.1 .GD —� - 1 y Zone: 2.Property Owner:7,oc. L a L 1 i-.,d,y A J Address: Phone#: Cel �I I7 Q 2 2 - p (� Cell#: S b�/ email: 3.Master Electrician: Igloo; 5.,.,,,„"C' Address: 1<q P:C '' 5;� .S u!to I A Lie.#: Z 01 7 Phone#:�O—Oe�e2 f Cell#: $'Y.:;j" y g p 4 S4'Y email: a(e-ue�., „_d( y�,M rn A Company Name: /pr,ca c ti CA,-Pi 6- uef-,y•. Cen)a Address: 1W Pekr, 4.Proposed Electrical Work/Fixture(bunt: . 0 1 >, Iz; 1,� (3 yam., �. - 6-� 2 S 5.31 Dart•,Electrical inspection.P.get:c•,• STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: d�•4v: So - ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) t P state that(s)he is the legal ownerof 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,cun(ractur,agent,attorney,etc.) The undersigned further states that all statements curt»i^ed herein are true to the best of hist.er 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 befure me iris Swuru iu bcfuie the this 1 q4h day of ,20 day/of Signature of Property Owner Signature of Applicant0A,0 -� So' r-- 2' Print Name of Property Owner Print Name of AZplic Nutaty Public I Nutdo Public T,JESSICA GARCES Notary Public,State of New York Reg.No,01 GA5070218 Qualified In Westchest4r Cou 6/23/2022 Commission Expires 03.12.20 r STATEWIDE • Service With Integrity 1080 • • SWIS JOBAPPLICATION ,. 12.7224 fax914.219.1062 • • • Office Use Elect.Permit# Date Bldg Permit# Utility ID# Final Certificate# City/Village Zip _-Z. Township County _ Address Cross Street Section Block7— Tot (s> Owner Name/Address(If different than above) E�S Contact Number Basement ❑ 1 st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside E]Residential []Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1 P I 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information E'er ��`-��"J�i O i✓ MC 2 0 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.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.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# Company Name c ,L E� Date /2�j )Z Signature Address I �� ��2( s .5 1i4 City City/ �! Zip Code s License# )Z cr 7 Phone# }�•f� l�Si y �Y y State Wide Inspection Services JAN - 5 2024 ` ! 1080 Main Street Fishkill, NY 12524 845 202-7224 Phone VILLAGE AGh Or n;'r E +-�.,;UC?rt � 914-219-1062 Fax srniE wioE INSPECTIQN sEavicEs BUILDINI7 1.'_P1-1,R MEN'T Email: office(coswisny.com Service With integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Power and Energy Corp. Joshua & Lindsay Adelson 114 Pearl Street,Suite 1A 6 Whippoorwill Road Port Chester, NY 10573 Rye Brook, NY 10573 Located at: 6 Whippoorwill Road, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 22-309 129.60 1 14 Certificate Number:2023-7482 Building Permit Number: BP 22-121 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 6 Whippoorwill Road, Rye Brook, NY 10573 The Basement, First Floor& Exterior were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 161h Day of October 2023. Name Quantity Rating Circuit Type Luminaires 61 Receptacles 26 Switches 18 GFCI 07 Mini Split Systems 02 Dishwasher 01 Hood 01 Microwave 01 Refrigerator 01 Officer: Frank 1. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Laura Petersen From: SWIS Office <office@swisny.com> Sent: Tuesday, November 14, 2023 3:32 PM To: Laura Petersen Subject: Re: 6 Whippoorwill Road - Final Certificate Hello, We inspected the final on 10/16/2023, but the inspector found some violations that the electrician needs to rectify before releasing the certificate. Thanks! Steve On Tue, Nov 14, 2023 at 3:30 PM Laura Petersen<LPetersen@ryebrook.org>wrote: Good afternoon, At your earliest convenience, can you let me know if you have the final electrical certificate for 6 Whippoorwill Road? (EP 22-309 Power and Energy Corp). Thank you so much! Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 laetersen 5ryebrook.org 1 if 1 S _ Q N N �p a ■ _ etq ON (10 O 1 N 0-4 .'� ■ v e4 v Z O W �, P-4 MOD W O ~ 00 Ln A Q w w z U z W OOA 0' 14 O M vi Cw7 1. Z � ,-. ►-� a W 00 � � s • � 1/ ►� a 0 n 96 O Q ° co OW Ow0 H C R. W a Z o rA o � pECEFUE BUILDING DEPARTMENT VILLAGE OF RYE BROOK JAN 10 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 FAX(914)939-5801 VILLAGE OF RYE BROOK wwwjl ,lebrook.org LBUILDING DEPARTMENT PLUMBING PERMIT APPLICATION ? �y�` FOR OFFICE USE ONLY BP#: CDC—D PP#: cDJ--CX) ' Approval Date: Permit Fee: $ SS V Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 1 / is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install an KW 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: 6 Whipporwill Rd Rye Brook, NY 10573 SBL: A)- /. Zone:,/1 -/,'S— 2.Proposed Work: Rough and set finish for 3 Toilet, 2 Double Lavatory Sink, 1 Lavatory Sink, 2 Shower,2 Tub, 1 Kitchen Sink and 1 Gas Stove 3 property Owner: Joshua&Lindsay Adelson Address: 6 Whipporwill Rd Rye Brook NY 10573 Phone#: Cell#: email: 4.Master Plumber: Joe Carelli Address: 2420 Boston Post Rd Larchmont, NY 10538 Lic.#: 885 Phone#: Cell#:914-924-1066 email:ac7425 a)msn.com Company Name:Joe Carelli Plumbing &Heating Inc Address: 2420 Boston Post Road Larchmont NY 10538 INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire I Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 3 5 2 2 1 2nd Floor 3nd Floor 41 Floor 5's Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 3/21/19 STATE F W RK,¢OUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of4ildiviiial signing as the applicant) and forth sZtha�ts)he is gal 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,conttactor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to b1fore me this 3 day of 20� day of U 20 23 l Si a of Property Owner Sign a of Applicant , �� �� �� fir. �✓ Print N e o Pr er t Nank f lical N blic N bli i Mbnmw PionNo.,OIDA6416268 TATE OF NEW YORK Jaime Regl NOTARY PUBLIC,STATE n OF NEW yopjC Ouali ied in Wa t heester Registration No.OtDA6416268 Tp�icoallol�lmu his°p stle 1p1MPVrlTMmpleted in its entirety and must� p li s' s)of iresApril t2, the legal owner(s)of the subject property, and the applicant of record in the spaces provided. pp lc ns 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- 3nl/l9 BUILDING DEPARTMENT C IE � " IE VILLAGE OF RYE BROOK JAN 10 2023 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 FAx(914)939-5801 VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE§216•STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: L n residing at, �9 W�"1 (1'!'(�� (Print name) (1\ddrC" A herC you live) being duty 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; ( U/Q , Rye Brook,NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Prop Ow er(s)) (Print Name of Property Owner(s)) Sworn to before me this day 202_ (VoI/11blic) Jalr D'Atm MM NOT PUBLIC,STATE OF NEW YORK Registration No.01 DA6416268 Qualified in Westchester Co my Commission Expires April 12, n ` -3- 3/21/19 v+ O rl N O W 'v N RN.+ N0-4 01 ~ uua W ■ u y gL,o € O o H u 0 6u o •o w z ° L Zr a O A N t � J O ( a ChO teC� p O t � a,ti Q. ~" z o °O A x PSG c "a v Ow w w w Q �o '0o 1.0. U C� w � Z w � zuc� a � � f-� 1-•I v W e A a z en z N Q oA A oa ►� c� O-o �+ �.. a3 w W z E 00 " a z O •� N va'' v To �20 Q F N 0 ■ � w � O o .o '� � v0-0 ■ " vi .s w � � t z ° c Cl. v W O w a w O �� a N w O ~/�/ or- zzz 7u► ■ 0.4 O O O W O Q 4- y .0 0-4 t V V V v hhTTr^r�I C7 A z p4) 0 .0 �I � a � a GQ z � � � .� � ■ EDBUILDIN Ok ARTMENT D v VILLAGE OF RYE,BROOK OCT 2 6 2023 938 KING STREET RYE BR60K,NY 10573 19 (914)99-066$ VILLAGE OF RYE BROOK www.n ilbrook:org BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT C FOR OFFICE USE ONLY: PERMIT#: / Cfl / Approval Date: O Permit Fee: $ t�Q Approval Signature: Other: Disapproved: (tees are non-refundable) *,kte*,rrt+r*+tt*tt,►***t******:*wit+t***+r*+rrr*+t+t*,t*,t,r,e*wst****+r**t,ra,r,r****,r*w***,r,t*+t�,ts,t,r*t*,r,t*,t,r*tr*tnt**+t*+t**,t* REQUIREMENTS FOR RELEASE OF PE &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#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL =$100.00/unit • COMMERCIAL=$350.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, 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:�,)4 gtf o/, e- SBL:/c�)9, O —J—J� Zone: 2. Property Owner: T j a 1� Address: � Wj +t Phone#: Cell#: email: 3. Contractor: C) Address: Phone#. Cell#: emaipick 4. Scope of Wok- Installation•Replacement( )•Removal( )•O^ther( ): C" � 5. List Equipmer QeAe4,cu►,. �w{3 d, (+ 6. Location of Equipment: �- - 2 a Lowe.- C.r� 7. Method of Installati n/Removal(list all equipment needed''to perform job): J rrl d`5 �� `tom wed_ t� eL --(-L t 3 p�-5 - 3/3/2023 STATE OF NEW, YORK,COUNTY OF WESTCHESTER ) as: rw'i"N (G✓�Vtr J ,being duly sworn,deposes and states that he/she is the applicant above named, (pent name of individual signing as the applicant) and further states that(s)he is the Hearing,Ventilation and/or Air Conditioning Contractor for the legal owner and is duly authorized to make and file this application. 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 LIS Sworn to before me this t day of N J J . ,20�_ day of N O y ,2027-)_ �v�C Sign re of Property Owner ignature o`Applicant OLAA Print Name of Property Ow(n�er� Went Name of Applicant -'Notary Public Notary Public NJ This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 10/30/2023 MITSUBISHI ELECTRIC COOLING & HEATING MULTI-ZONE 4 �4 I LQ� A (IIIqw II II 18 Ag III !` ,, M - SERIES HIGH PERFORMANCE II 1-dVPER-HEATING MULTI-ZONE SYSTEMS AL M XZ-4C 36/5C42/8C48 NAH Z AL MXZ-2C 20/3C24/3C20NAHZ 02014 MITSUBISHI ELECTRIC US.INC. M-SERIES HIGH PERFORMANCE SYSTEMS (III Heat pumps are now a realistic option for any home, in any (I climate.The MXZ 1­120 family of Hyper-Heating INVERTER TM residential systems offer year-round, high-efficiency heating I,. Aa and cooling for a variety of rooms, including bedrooms, IIIIi basements, sunrooms and more. A variety of indoor units provide III ,j zone comfort control while the INVERTER-driven compressor ;j and electric LEVs in the outdoor units provide closer control 1 �. ki and higher efficiency with minimal power usage. 11 as - MXZ H2i High Efficiency Heat Pumps 112,600- 48,000 Btu/h Capacity Range 1 2-8 Zones ► 19.1 - 17.0 SEER, 11.3-9.8 HSPF, INVERTER-driven compressor. ► Quiet outdoor unit operation as low as 49 dB(A). ► Hyper-heating performance down to minus 13 degrees F outdoor ambient. ► 100%heating capacity at 5 degrees F outdoor ambient. ► Factory installed base heater -Prevents ice build up in extreme environments. -Active during defrost cycle. ► Optional M-NET adapter -Quickly integrate advance controllers. ENERGY EFFICIENT AND ENVIRONMENTALLY FRIENDLY M-Series systems utilize green technologies, and are much more efficient, so homeowners never have to sacrifice comfort over concerns about high-energy costs. ► INVERTER-driven technology results in substantial energy and utility savings for homeowners. ► Zone control for improved comfort and decreased energy usage. ► All MXZ H2i Systems are ENERGY STAR®rated. ► Local and state utility rebates and incentive opportunities(Visit dsireusa.org for information on availability in your area). HEAT, AND LOTS OF IT Mitsubishi Electric systems feature the most advanced technology for delivering exceptional heat pump performance. 1­12PTECHNOLOGY HEATING even when it's minus 13 degrees F MXZ H2i HEATING CAPACITY outdoor ambient, producing up to 100% heating AT LOW TEMPERATURES* capacity at 5 degrees F. 120 „ ,� YEAR-ROUND COMFORT in extreme aclimates without the need for energy-consuming cc U indoor supplemental heating devices. 01 60 Q) 40 �'*'�MXZ-C-NAHZ HOT-START TECHNOLOGY provides _ mmmo �Standard Heat Pump warmth from the start, reducing drafts. ° MINIMAL MAINTENANCE thanks to easi► -13 -4 0 5 10 17 25 30 35 40 47 y Outdoor Temperature Degrees FWB accessible filters, little or no ductwork to clean, and *Indudescorreonon for deft&. simple wiring between the indoor and outdoor units. Branch Box .. .. ... ._,.... .. .. . MSZ-FH MSZ-GE MFZ-KA MVZ SEZ-KD SLZ PCA PIA PEAD 7MXZ-2'C20NAHZ — 9,12,15 6, 9.12,15 9.12 12 9,12,15 MXZ-3C24NAHZ — 6,s,12.15.18 12,18 16 c ' EI -- a � W MXZ-3C30NAHZ — 12.1e,24 24 18.24 24 rn c ro d L a MXZ-4C36NAHZ _ 12,18.24.30,36 24,30.3ti r x 0 MXZ-5C42NAHZ X 12,18,24,30,36, 24,30,36 MXZ-8C48NAHZ V, X 12,16.24.30.36 24,30,36✓ COMPATIBLE NOT COMPATIBLE MULTI-ZONE APPLICATIONS New hyper-heating multi-zone units allow you to create an oasis of comfort throughout your entire home in the rooms you use most, any time of the year. Each room(zone)operates independently with it's own wireless or wired remote control,so people in different rooms can choose the temperature that makes them most comfortable. _ r G% J 1 � rr . ftr �►. 4 Indoor Units MSZ-FH09, 12, 15NA MSZ-GE09, 12, 15, 18, 24NA New sleek design offers many new features including Slim, wall-mounted units provide individual room new multi-functional wireless remote controller. control in a variety of applications. •Triple-action filtration including • Offers wide angle of airflow, 150 degrees anti-allergen enzyme filter. from left to right. • Double-vane air delivery for • Quiet operation as low as 19 dB(A). enhanced circulation. • Provides cooling and heating in a wide range • i-see Sensor T13D senses of capacities. human heat signatures. SEZ-KD09, 12, 15, 18NA j. Horizontal-ducted indoor units provide comfort and ` efficiency while staying hidden in ceiling or beneath the floor. • Build-in condensate lift mechanism (up to 22"). MFZ-KA09, 12, 18NA • Static capability up to 0.20"WG. Floor-mounted indoor units are perfect for difficult • Optional filter box with MERV-8 filters. areas that may be smaller or don't have usable wall space. •Top and bottom discharge vanes. •Wireless remote control with smart set feature. ' • ANCH BOX CONNECTIONS • Front panel filter access for ease of cleaning. When Using One Branch Box Flare Connection - Max, 5 indoor units r ' G A Branch box SLZ-KA09, 12, 15NA -6 B Ceiling-recessed indoor units offer a wide airflow B B pattern for better air distribution in a less obtrusive style. — • Ventilation air knockouts available. • Offers a 2, 3, or 4 way airflow pattern. • Built-in condensate lift mechanism (up to 20"). 2 branches pipe(joint) 0 optional parts l) When Using Two Branch Boxes A A /Branch box#1 - Max. 8 indoor units A B B \ B B B Branch box#2 5 MXZ,H2i Outdoor Units Heat Pump Rated Capacity Btu/h 18,000/20,000 22,000/23,600 28,400/27,400 36,000/36,000 Cooling Non-Ducted/ Capacity Range Btu/h 6,000-20,000 6,000-23,600 6,000-28,400 6.000-36.000 Ducted Rated Total Input W 1,334/1,819 1,630/2,360 2,272/2,661 2,570/3,180 Rated Capacity Btu/h 22,000/22,000 25,000/24,600 28,600/27,600 45,000/45,000 Heating at 47F` (Non-Ducted/ Capacity Range Btu/h 7,400-25,500 7,200-30,600 7,200-36,000 7,200-45,000 Ducted) Rated Total Input W 1,612/1,748 1,725/1,871 2,096/2,187 3,340/4,250 Rated Capacity Btu/h 13,700/13,700 14,000/14,000 18,000/16,500 34,000/36,000 Heating at 17F' (Non-Ducted/ Maximum Capacity Btu/h 22,000/22,000 25,000/24,600 28,600/27,600 45,000/45,000 Ducted) Rated Total Input W 1,450/1,588 1,622/1,635 1,991/1,993 3,500/4,590 Heating at 5F' Maximum Capacity Btu/h 22,000 25,000 28.600 45,000 Efficiency SEER(Non-Ducted/Ducted) 17.0/15.0 19.0/15.5 18.0/16.0 19.1 /15.8 EER(Non-Ducted/Ducted) 13.5/11.0 13.5/10.0 12.5/10.3 14.0/11.3 HSPF(Non-Ducted/Ducted) 9.8/9.5 10.0/9.0 11.0/9.8 11.3/10.1 Power Supply V. Ph,Hz 208/230V,1-Phase,60 Hz Electrical Recommended Requirements Fuse/Breaker Size A 40 40 40 50 MCA A 29 30 30 42 Indoor-Outdoor S1-S2 V AC 208/230 Voltage Indoor-Outdoor S2-S3 V DC r 24 Compressor DC INVERTER-driven Twin Rotary Fan Motor(ECM) FLA 1.9 1.9 1.9 0.4+0.4 Sound Pressure Cooling dB(A) 54 54 54 49 Level Heating 58 58 58 53 External Dimensions(H x W x D) In/mm 41-9/32 x 37-13/32 x 13 52-11/16 x 41-11/32 x 13(+1) Net Weight Lbs/kg 187/85 189/86 189/86 276/125 External Finish Munsell No.3Y 7.8/11 Refrigerant Pipe Liquid(High Pressure) 1/4/6.35 3/8/9.52 In/mm Size O.D. Gas(Low Pressure) A,B:3/8/9.52 A:1/2/12.7;B,C:3/8/9.52 5/8/15.88 Max.Piping Length for Each Indoor Unit Ft/m 164/50 230/70 492/150 Max.Refrigerant line Length 82/25 82/25 262/80 Max.Refrigerant If IDU is Above ODU Ft/m 49/15 49/15 164/50 Pipe Height Difference If IDU is Below ODU Ft/m 49/15 49/15 131/40 Connection Method Flared/Flared Refrigerant R410A 6 Specifications are subject to change without notice. Cooling' Rated Capacity Btu/h 42,000/42,000 48,000/48,000 Non-Ducted/ Capacity Range Btu/h 6,000-42,000 6,000-48,000 Ducted Rated Total Input p W 3,130/3,890 4,000/5,050 Heating at 47F' Rated Capacity Btu/h 48,000/48,000 54,000/54,000 (Non-Ducted/ Capacity Range Btu/h 7,200-42,000 7,200-54,000 Ducted) Rated Total Input p W 3,430/4,350 4,220/4.990 Heating at 17F* Rated Capacity Btu/h 35,800/36,600 40,000/43,000 (Non-Ducted/ Maximum Capacity Btu/h 48,000/48,000 54,000/54,000 Ducted) Rated Total Input W 3,650/4,290 4,340/5,250 Heating at 5F' Maximum Capacity Btu/h 48,000 54.000 Efficiency SEER(Non-Ducted/Ducted) 19.0/15.0 18.9/14.7 EER(Non-Ducted/Ducted) 13.4/10.8 12.0/9.5 HSPF(Non-Ducted/Ducted) 11.0/10.1 11.0/10.0 Electrical Power Supply V, Ph, Hz 208/230V, 1-Phase,60 Hz Requirements Recommended Fuse/Breaker Size A 50 50 MCA A 42 42 Indoor-Outdoor S1-S2 V AC 208/230 Voltage Indoor-Outdoor S2-S3 V DC±24 Compressor Hermetic Fan Motor(ECM) FLA 0.4 +0.4 Sound Pressure Cooling 50 51 Level dB(A) Heating 54 54 External Dimensions(H x W x D) In/mm 52-11/16 x 41-11/32 x 13(+1) Net Weight Lbs/kg 276/125 276/125 External Finish Munsell No.3Y 7.8/11 Refrigerant Pipe Liquid(High Pressure) 3/8/9.52 Size O.D. In/mm Gas(Low Pressure) 5/8/15.88 Max.Refrigerant line Length Ft/m 492/150 Max. Piping Length for Each Indoor Unit 262/80 Max.Refrigerant If IDU is Above ODU Ft/m 164/50 Pipe Height Difference If IDU is Below ODU Ft/m 131 /40 Connection Method Flared/Flared Refrigerant R410A Model0: 0: Connectible No.of Indoor Units 3 5 Power Supply Phase,Cycle,Voltage 1-Phase,60 Hz,208/230V Power Input W 3 Current A 0.05 External Finish Galvanized Sheets Width In 17-23/32 Dimensions Depth In 11-1/32 Height In 6-11/16 Net Weight Lbs 15 16 Gas(In) 5/8 Outdoor Unit to Branch Box Refrigerant Pipe Liquid(In) 3/8 Dimensions Branch Box to Indoor Units Gas(In) A,B,C:3/8 A,B,C,D:3/81 E:1/2 Liquid(In) A,B,C: 1/4 A,B,C,D,E:1/4 Specifications are subject to change without notice. , ... ;+b 4. im z Mg H210 TECHNOLOGY FROM MITSUBISHI ELECTRIC IS BECOMING THE NEW NORMAL, PROVIDING EXCEPTIONAL YEAR-ROUND OR tl:llilll ;, ulllililllllhl� �miunnl I I I lama 11•=°III I IIIIIII�1 II l�'llrli� ' I III P III I I , , ll ll I II� �{�,�� I .III�oIIiIIIIIIIIiNlllllilt�,. I. 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Itplfillllllllllllllillllllltlllhiil;., (IIIIIIIIIIIII ,;� illlhllhhhlltn I,,. ���� '1011111111111111111111 , IIIIlI`II1':'hl�ll�llllihla,�i,i, �'Iiiliillllllq IIII 1 Iilhaiilla�lhhll�: ; 1111111111111111111111 - , llilllllllifl1llllllill+�l �I�IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIiIII': �IIIII 1 Illili{itilfllllllllllll 1 IU,llllllllillllllllll IIII��Illllliilllllllllllmllll, , illlllilllllll IIIIIIIL1� g11G m°IIII ii Mall°ti �dllll Illlllllllli: � - illlli .. u nu 11 ' II I �; �ui11111:111 lu�. , III, .ln ill�lll��l t nllllllllllllllilll IIIllllllllll �, Illlillllllillii�lllll �� � , Illlllllllitllllllllll 1` ��.: � `��� IiIIII������iiiIIIIIIIIIIiiio����IIIII�I� lluluuuuul� uuul� !lilllr, IIIII11111111111�IIilll�lllllll ulii �:"_ IIIIIII III(IIIII IIIIIIIII A, � Illlllll+illlllj'Dill"IIIIII'llll�l' H21 P-Series.single-zone ti IIIIIIIIIIIIIIIIiII!Illlllllllllilll +IIAHlllllilll!Illllll!i1110' H2i CITY MULTI,VRF multi-zone ', �� 'ill!II!IIII!Ullllli" , Iili6Y Ak 1­12i MXZ-Series,multi-zone H2i MXZ-Series,multi-zone H2i M-Series,single-zone 0 MITSUBISHI ELECTRIC H210 PRODUCTS PROVIDE: • Superior heating performance. • Most complete family of hyper-heating, cold Simultaneous heating and cooling down to-4° F climate products from single-zone(9KBtu/h)to outdoor ambient(R2-Series, two-pipe design). VRF multi-zone systems(up to 16 tons). 100% heating capacity at between 0° F and 5° F • Built-in base pan heater(Select models only). outdoor ambient. • FH wall-mounted ductless units offer i-see - Up to 85% heating capacity heating SensorTM 3D. performance down to-13' F outdoor ambient. For more information,visit www.mehvac.com. Mitsubishi Electric Cooling&Heating 1340 satellite Boulevard Suwanee,GA 30024.Phone:800-433-4822 Fax:800-658-1458 Mixed Sources P,od,ccylo pfto.w Ii°, p, FT Mitsubishi Electric and the three diamond logo are registered trademarks of Mitsubishi sororau.°d.0 -tra<d w°, Electric Corporation.See complete warranty for terms.conditions and limitations. FSC wwwr"°`C, 11.1-AB can°o.cwmoe. d. 00ms.a 'I...' Intertek MXZH2iRO I Printed In The U.S.A J�(*�eAW` Shwdawd HEATING & AIR CONDITIONING Product Data 77:7-� Split System Heat Pump 4A6H4018G1000A —� 4A6H4024G1000A 4A6H4030G1000A 4A6H401000A IIIIIIIiIII 111111111111 ,,.,�.. [[[[[[�[ 4A6H4042G42G1000A 4A6H4048G1000A 4A6H4060G 1000A I llllllllllll lllllllllllll ,, 111111111111111 ;, III llllllllllllllll �;, it 1111111111111111 Note: "Graphics in this document are for representation only.Actual model may differ in appearance." March 2016 12-1175-9A-EN 0)Ingersoll Rand. ',4�cer�cati� �S�iuidai-d r HEATING & AIR CONDITIONING Product Specifications Model No.W 4A6H4018G1000A 4A6H4024G1000A 4A6H4030G1000A 4A6H4036D1000A POWER CONNS.—V/PH/HZ(b) 208/230/1/60 208/230/1/60 208/230/1/60 208/230/1/60 MIN.BRCH.CIR.AMPACITY 12 14 17 22 BR.CIR.PROT.RTG.—MAX.(AMPS) 20 25 25 35 COMPRESSOR DURATION'"-SCROLL DURATION`"-SCROLL DURATION'"'-SCROLL DURATION'"-SCROLL RL AMPS—LR AMPS 9—56 10.9—62.9 12.8—67.8 16.7—79 Outdoor Fan FL AMPS 0.54 0.64 0.77 0.95 Fan HP 1/12 1/8 1/8 1/5 Fan Dia(inches) 23 23 27.5 27.5 Coil SPINE FIN'" SPINE FIN" SPINE FIN`" SPINE FIN— Refrigerant R-410A 6 LBS.,1 OZ 6 LBS.,2 OZ 6 LBS.,13 OZ 6 LBS.,2 OZ LINE SIZE—IN.O.D.GAS<<)(d) 3/4 3/4 3/4 3/4 LINE SIZE—IN.O.D.LIQ. 3/8 3/8 3/8 3/8 Charge Spec.Subcooling 10OF 10°F 8°F 8°F Dimensions H x W X D Crated(IN.) 30.1 x 30 x 26.7 34 x 33 x 30.1 34.4 x 35.1 x 38.7 38.4 x 38.7 x 35.1 Weight—Shipping(lbs.) 161 191 248 229 Weight—Net(lbs.) 141 163 216 198 Optional Accessories: Anti-short Cycle Timer TAYASCT501A TAYASCT501A TAYASCT501A TAYASCT501A Evaporator Defrost Control NA NA NA AY28XO84 Rubber Isolator Kit BAYISLT101 BAYISLT101 BAYISLT101 BAYISLT101 Extreme Condition Mount Kit BAYECMT023 BAYECMT023 BAYECMT004 BAYECMT004 Start Kit — — BAYKSKT263 BAYKSKT263 Crankcase Heater Kit BAYCCHT302 BAYCCHT302 BAYCCHT302 BAYCCHT302 Seacoast Kit BAYSEAC001 BAYSEAC001 BAYSEAC001 BAYSEAC001 Low Ambient Kit BAYLOAM107 BAYLOAM107 BAYLOAM107 BAYLOAM103 Refrigerant Lineset(e) TAYREFLN7* TAYREFLN7* TAYREFLN7* TAYREFLN7* Sound Enclosure BAYSDEN003 BAYSDEN003 BAYSDEN003 BAYSDEN003 Service Valve Panel Cover AAYSVPANL0022AA AAYSVPANL0032AA AAYSVPANL0032AA AAYSVPANL3343AA (a) Certified in accordance with the Unitary Air-conditioner equipment certification program which is based on AHRI standard 210/240. (b) Calculated in accordance with N.E.C.Only use HACR circuit breakers or fuses. W Reference the outdoor unit ship-with literature for refrigerant piping length and lift guidelines.Reference the refrigerant piping software pub#32-3312- xx or refrigerant piping application guide SS-APG006-xx for long line sets or specialty applications(xx denotes latest revision). (a) Trane outdoor condensing units are factory charged with the system charge required for the outdoor condensing unit and 15 feet of tested connecting lines.If connecting line length exceeds 15 feet,then final refrigerant charge adjustment is necessary.Each additional foot over 15 feet requires 0.6 ozs of refrigerant.See the Installer's Guide for full charging instructions. (e) *=15,20,25,30,40 and 50 foot lineset available. 2 12-1175-9A-E N 7 ?."shwz&rd. HEATING { AIR CONDITIONING Product Specifications Model No.W 4A6H4042G1000A 4A6H4048G1000A 4A6H4060G1000A POWER CONNS.—V/PH/HZ(b) 280/230/1/60 280/230/1/60 280/230/1/60 MIN.ERCH.CIR.AMPACITY 25 26 32 BR.CIR.PROT.RTG.—MAX.(AMPS) 40 45 50 COMPRESSOR DURATION*"-SCROLL DURATION'"-SCROLL DURATION'"-SCROLL RL AMPS—LR AMPS 19.2—124 19.6—130 24.4—144 Outdoor Fan FL AMPS 1.05 1.05 1.05 Fan HP 1/5 1/5 1/5 Fan Dia(inches) 27.5 27.5 27.5 Coil SPINE FIN`" SPINE FIN'" SPINE FIN`" Refrigerant R-410A 7 LBS.,8 OZ 8 LBS.,2 OZ 9 LES.,14 OZ LINE SIZE—IN.O.D.GAS(�)(d) 7/8 7/8 1 1/8 LINE SIZE—IN.O.D.LIQ. 3/8 3/8 3/8 Charge Spec.Subcooling 10OF 10OF 10°F Dimensions H x W X D Crated(IN.) 34.4 x 38.7x 3 5.1 38.4 x 38.7 x 35.1 51 x 38.7 x 35.1 Weight—Shipping(lbs.) 248 300 315 Weight—Net(lbs.) 216 266 278 Optional Accessories: Anti-short Cycle Timer TAYASCT501A TAYASCT501A TAYASCT501A Evaporator Defrost Control NA NA NA Rubber Isolator Kit BAYISLT101 BAYISLT101 BAYISLT101 Extreme Condition Mount Kit BAYECMT004 BAYECMT004 BAYECMT004 Start Kit BAYKSKT263 BAYKSKT263 BAYKSKT263 Crankcase Heater Kit BAYCCHT301 BAYCCHT301 BAYCCHT301 Seacoast Kit BAYSEAC001 BAYSEAC001 BAYSEAC001 Low Ambient Kit BAYLOAM 107 BAYLOAM 107 BAYLOAM 107 Refrigerant Lineset le) TAYREFLN3* TAYREFLN3* TAYREFLN3* Sound Enclosure BAYSDEN004 BAYSDEN004 BAYSDEN004 Service Valve Panel Cover AAYSVPANL0032AA AAYSVPANL3343AA AAYSVPANL0046AA M Certified in accordance with the Unitary Air-conditioner equipment certification program which is based on AHRI standard 210/240. (b) Calculated in accordance with N.E.C.Only use HACR circuit breakers or fuses. M Reference the outdoor unit ship-with literature for refrigerant piping length and lift guidelines.Reference the refrigerant piping software pub#32-3312- xx or refrigerant piping application guide SS-APG006-xx for long line sets or specialty applications(xx denotes latest revision). (d) Trane outdoor condensing units are factory charged with the system charge required for the outdoor condensing unit and 15 feet of tested connecting lines.If connecting line length exceeds 15 feet,then final refrigerant charge adjustment is necessary.Each additional foot over 15 feet requires 0.6 ozs of refrigerant.See the Installer's Guide for full charging instructions. W *=15,20,25,30,40 and 50 foot lineset available. Sound Power Level A-Weighted MODEL Sound Power Full Octave Sound Power(dB) Level[dB(A)] 63 Hz* 125 Hz 250 Hz 500 Hz 1000 Hz 2000 Hz 4000 Hz 8000 Hz 4A6H4018G1 73 72 66 64 66 71 64 56 47 4A6H4024G1 71 77 72 68 68 69 60 53 47 4A6H4030G1 72 77 72 69 68 65 60 57 52 4A6H4036D1 76 84 75 70 72 67 62 S7 50 4A6H4042G1 72 79 70 68 67 64 59 S6 51 4A6H4048G1 72 81 73 68 72 67 62 57 51 4A6H4060G1 72 81 72 68 1 71 68 64 59 54 Note:Rated in accordance with AHRI Standard 270-2008*For Reference Only 12-1175-9A-EN 3 �cati, Shwdard HEATING & AIR CONDITIONING Accessory Description and Usage Anti-Short Cycle Timer — Solid state timing device that prevents compressor recycling until five(5)minutes have elapsed after satisfying call or power interruptions.Use in area with questionable power delivery,commercial applications, long lineset,etc. Evaporation Defrost Control — SPST Temperature actuated switch that cycles the condenser off as indoor coil reaches freeze-up conditions.Used for low ambient cooling to 30°F with TXV. Rubber Isolators — Five(5)large rubber donuts to isolate condensing unit from transmitting energy into mounting frame or pad. Use on any application where sound transmission needs to be minimized. Hard Start Kit — Start capacitor and relay to assist compressor motor startup. Use in areas with marginal power supply,on long linesets,low ambient conditions,etc. Extreme Condition Mount Kit — Bracket kits to securely mount condensing unit to a frame or pad without removing any panels. Use in areas with high winds,or on commercial roof tops,etc. AHRI Standard Capacity Rating Conditions AHRI Standard 210/240 Rating Conditions 1. Cooling 80°F DB,67°F WB air entering indoor coil,95°F DB air entering outdoor coil. 2. High Temperature Heating 47°F DB,43°F WB air entering outdoor coil,70°F DB air entering indoor coil. 3. Low Temperature Heating 17°F DB air entering indoor coil. 4. Rated indoor airflow for heating is the same as for cooling. AHRI Standard 270 Rating Conditions — (Noise rating numbers are determiend with the unit in cooling operations.)Standard Noise Rating number is at 95°F outdoor air. Model Nomenclature Outdoor Units1 2 3 4 5 6 7 8 9 10 1112 13 14 15 4 A 6 V 0 0 3 6 A 1 0 0 0 A A RefrigerantType 2=R-22 4=R-410A A,T=American Standard ProductType 6,W=Split Heat Pump 7,T=Split Cooling Product Family V=Variable Speed M or B=Basic Z=Leadership-Two Stage A=Light Commercial X=Leadership R=Replacement/Retail Family SEER 3=13 6=16 0=20 4=14 8=18 5=15 9=19 Split System Connections 1-6Tons 0=Brazed Nominal Capacity in 1000s of BTUs Major Design Modifications Power Supply 1=200-230/1/60 or 208-230/1/60 3=200-230/3/60 4=460/3/60 Secondary Function Minor Design Modifications Unit Parts Identifier 4 12-1175-9A-EN y9*w?4of Shwdwd HEATING & AIR CONDITIONING Schematic Diagrams Figure 1. 1.5,2.0,2.5,3.5 Ton Models c `\ JEeeD _1UP TNERWILI rroT[C r[e LEGEND R j � _ i a AN I![WKL1 MIR ie Y 1ACT041 - « li■F Y} RI■G —___—_________ __ _ _____—_ _—_— _____ )FIELD «« llr v NIRIW ----- FIELD INSTALLED FACTWI NIRIN6 ell A, WD■E"c COIL own n Aw,cL JUMCTIgE I -��- CAtAf l7" .�AAxNLIw,w p •IR[xUT M I w rteORat w*prt o TERM■AL » i Iw W wrAc,n i■A■SFOR■f! i I / CAPACITOR w,voN1 An l'IArI �� FUSE 1 a N` 0 n�we rEweaaT� � TEMIUL e[ocvewRo WLAY CONTACT E■.01 .aru rAAn IatNwR *r- NEW CONTACT MCI RiAwE[lu,'lle taAlur wl -& TNEWI/Tq rc .�.curls coma etur p'� lEr KIUAIED WITCH I I 1 B YS —_— a.Aw�Nnu,ae i I , BE—LOW AT -NwR.II �� IRTFIWLD I—ECIIM 11 'l -_LI I N a BX/BL rRESSURE ACTUATED SNITCH -caw a I.lu ONE f[lYICE 1KTf M/BL !(SIf1E1 ORNEAiIR4(JOINT 1M DO I C.E1Ali T TLIe Yew n ,[LLw n nYiE I 111 ACCESSaRT I R7 o""`""b WTd RIWIIIC ei.« ——— I K MI.(LTA FE■KE IgYSIK __i---_ ___�1 • JI I WLE TER■1■KSI I 1 I RRR BK 161- ra.rl"I PALE NOUEIW EFEWLE LE R■I■ALEI I _ BOARD g I I xorzs. I O. eE FE rAER EU"LT ASPEEf NITN EWIM.7 RWPLATE. I i I` CSJ r. rONEe•IRIW AW DroUAOIK OF CW IrW■T WS,C.",■ITN I J I I Lau cast. D. Lr raw[uuINS TO e[eo le AW NuuW caouaa. IGR YL e. WT-B WANT 1[SET LEANER TNA■ODT_A \ _ sc `- f � wr-e 1■OTEUSE I I 01 I BKo'�o BK-I &WARNING L of Bl I rot-A rTIDUL� xArulwi vatru[I O'�OBK ' 1 R, U IeK I'{ � &CAUTION C7 --- - -- -- -- -—-—-—-—-—- -—-—-—-—-—-—-—- AN AT IIlaawwelF I t� tw TL .*rz■pw N[t(aNF IFOTrAi _----fl.� R ra IgeEe IYrR,rAMW BR WIT■YEILAT[! �/'� LauL mwf PRINTED FROM DI5B595P01 .rou L • __-- YX1 12-117 5-9A-E N 5 AmricaN S*"dtvd. HEATING A AIR CONDITIONING Schematic Diagrams Figure 2. 3.0 Ton �C HPCO �LPCO \ (CPR IOL' I ..—_ I I FAN LEGEND-EOUIPMENT DIAGRAM l m _ MTR S R aJ r...� LINE Y } FACTORY WIRING / - - 2.Y. .� �_. W l} FIELD WIRING r GROUND • JUNCTION Q WIRE NUT OR CONNECTOR OR COIL N Y OR, ' -�(•— CAPACITOR I z DN/NL Y z ID � -�f- RELAT coNrAcr <w.o.I r -- - Irt rl * = E N CAPACITOR RELAY CONTACT (N.C.) I g - {1nAk THERMISTOR IIt 5 2 I -- -"- 1 MS L+ DFC 0-b INTERNAL OVERLOAD PROTECTOR I �u 2 ! tF °a° PRESSURE ACTUATED SWITCH I I I CSR i •RI m r{ RD i TL TEMP. ACTUATED SWITCH 7-- ' I, i2 NI RT:{ YL2NA POL. PLUG FEMALE HOUSING »~ I M. 6R1°L CON _ NN (MALE TERM.I �\-c -{-�'. NIPOL. PLUG MALE HOUSING TOR(FEMALE TERM.I L / 6° Pt•e•� NL RESISTOR OR HEATING ELEMENT ; J IL 0----o MOTOR WINDING I NOTES It? () TERMINAL rOp/r•N (OPTIONALI i r IKENOTEI o» Y' COIL AMBIENT O_O/T-A (OPTIONAL) r 2 1 3 I --—————————— RY NN NNE 4� j .I. —————— x R pA °N EA R R I YL/N -- I --N(r�Rp YL I I • IL TL L CBS T ) .. ISC XODS-B — — 1 TO PORN SUffli PEA wlAwcELArEUD Lau CODES PRINTED FROM D157061P02 6 12-1175-9A-EN Ammn ao ES-Awdar-a! HEATING & AIR CONDITIONING Schematic Diagrams Figure 3. 4 and 5 Ton Models D � (�� `�-O rR0""Eo BK/BL 1Q 1� q� P IIEIMIIY LEGEND RID :.r 11TAcraT .� lIWE rJ RACING _—_—_ —_ _ _—___— _—_—_—____ 1{FIELD WINING ---- FIELD INSTALLED T ACIORY WIN," ttur YADIET IC COIL L 61000 n oW.r.a YUYcrla [ANKI TOR � WIDE NUT ON » D CDYI DAL 0.0 a Ta iUANSTOIYER = 1 �� _ rs[ i.Eumrt.Ava. TEw1uL eLaaEealD ',�`L1rryr RELAY CONTACT 1N.01 1 1 1 `C � KLAY CONTACT 1R.C1 ` O_ 1 In n IE RL .r a uc mAl dI TXEwISTER I 1 M$ I BE Ix .Ir cuAC-cal.a N[ur Tf/ACTUATED SRIi[N ; = BL V '�-DYN 1. Cry INTERNAL OVERLOAD NNOIECTION IJ 'Li I I R RI BN/B IR[SSUWE ACTUATED SRIICW �Yo n d I SEE afRrlc[rACt1 IN ON/BL RESISTER OR NFArIK fICNENT FOR aTI WI S AN = r--US Tve. ii iN`s n nuu n —T I TIT CCE—' 1 i e3 BE � •I• (Y"""b wowormT RI NOING » el I IKKiAIFL TEINIRALSI fFINALE IK I -- ON 8L ' JI _ IIf(Wl twT'E I-ALNWSIK i t e I BOARD NOTES ;I CSM 1 1. 11 SURE NpF1 SLWNtI ANNFCS 11❑Ip IrIENT WAYENLAff. 1. DOWER WIIIK AND NNOINGI%OT(OU~T MST COIINLI WIN I % LOCAL CODES. J 1. LOW YOLTAK WINING TO BE M. 16 AN WIYIMN CGROLICTOR. I I � �) GR YF L MY a MST BE SET LOWER TUAN OUT A J f L J I DDT-e 1Ig'f NISI '�oDK-: BKo I &WARNING OR BE DDT-A Vrlau� WI200DUS—1 OUT R YUN('iEn &CAUTION d •'mIE�nnElar�Ftrm. /'� YOU. I— eL A A.AO • a AW,[NW[S n r11P'NGI SODTAB[1 RYu OR _--- Y��YL 'Y.0 AYN . _----R-'Lm TO NDWED wmYro Wi0.. BN NL IT NAM1 N. AT[S ADD .t[DNN YN NE NLw M 1... Y-n LOCAL CODES [4:^ PRINTED FROM D158595PO4 12-1175-9A-EN 7 A*rew SAidOrd. HEATING & AIR CONDITIONING Outline Drawing B 'I(J I c SERVICE PANEL ELECTRICAL AND REFRIGERANT COM101111 CL[ARANC[S P[R PR(VAILIyG CODES. FOP DISCHARGE AREA SHOULD BE UNRESTRICTED FOR AI LEAST 1524 IS FEET) ABOVE UNIT. UNIT SHOULD BE PLACED SO ROOF RUN-OFF RA TEA DOES NOT POUR DIRECTLY ON UNIT, AND SHOULD BE AT LEAST 305 112'1 FROM BALL AND ALL SURROUNDING SHRUBBERY ON If0 SIDES. OTHER TOO SIDES UNRESTRICTED. JL ELECTRICAL SERVICE PANEL K is nl A 22.2 I7181 DIA. NOL[ LOW VOLHOL 2B.R 11-I/B1 DIA. A.O.TAG 21.2 Ii181 DIA. HOl[ IX CONTROL 501 BOTTOM FOR ELECTRICAL POVER SUPPLY H F J .0. 10'ALTERNATE J7 O ELECTRICAL ROUTING LIOUID. FE SERVICE VALVE. COR I.D. N(MAL( 111' r LAREC"Is URTx Ill'SAE 4.D uEM LE TURN BALL SERVICE VALVE, 'D' RARE PA(SSURE TAP TliTI yGS. I.D. FEMALE 8RA1E0 CONNECTION RITN /A' SA[ FLARE PRESSURE TAP fITiING. Model Base A B C D E F G H J K 4A6H4018G 2 730 724 651 3/4 3/8 127 57 194 38 457 (28-3/4) 28-1/2) (25-5/8) (5) (2-1/4) (7-5/8) (1-1/2) (18) 4A6H4024G 3 730 829 756 3/4 3/8 127 76 197 60 508 (28-3/4) (32-5/8) (29-3/4) (5) (3) (7-3/4) (2-3/8) (20) 4A6H4030G 4 741 946 870 3/4 3/8 143 83 206 70 508 (29-1/8) (37-1/4) (34-1/4) (5-5/8) (3-1/4) (8-1/8) (2-3/4) (20) 4A6H4036D 4 841 946 870 3/4 3/8 156 98 219 86 508 (33-1/8) (37-1/4) (34-1/4) (6) (3-7/8) (8-5/8) (3-3/8) (20) 4A6H4042G 4 741 946 870 7/8 3/8 143 83 206 70 508 (29-1/8) (37-1/4) (34-1/4) (5-5/8) (3-1/4) (8-1/8) (2-3/4) (20) 4A6H4048G 4 841 946 870 7/8 3/g 143 98 219 86 508 (33-1/8) (37-1/4) (34-1/4) (5-5/8) (3-7/8) (8-5/8) (3-3/8) (20) 4A6H4060G 4 1147 946 870 7/8 3/8 152 98 219 86 813 (45-1/8) (37-L/4) (34-1/4) (6) (3-7/8) (8-5/8) (3-3/8) (32) 8 12-1175-9A-E N Akw " ShWds d. HEATING & AIR CONDITIONING Mechanical Specification Options General The Outdoor Units are fully charged from the factory for up to 15 feet of piping.This unit is designed to operate at outdoor ambient temperatures as high as 115°F. Cooling capacities are matched with a wide selection of air handlers and furnace coils that are AHRI certified.The unit is certified to UL 1995.Exterior is designed for outdoor application. Casing Unit casing is constructed of heavy gauge,galvanized steel and painted with a weather-resistant powder paint finish on all louvered panels and the fan top panel.The corner panels are prepainted.All panels are subjected to our 1,000 hour salt spray test.The base is made of a CMBP-G30 weatherproof material to resist corrosion. Refrigerant Controls Refrigeration system controls include condenser fan,compressor contactor and high pressure switch. High and low pressure controls are inherent to the compressor.A factory supplied liquid line drier is standard.Some models may require field installation. Compressor The compressor features internal over temperature, pressure protection and total dipped hermetic motor.Other features include:Centrifugal oil pump and low vibration and noise. Condenser Coil The outdoor coil provides low airflow resistance and efficient heat transfer.The coil is protected on all four sides by louvered panels. Low Ambient Cooling As manufactured,this system has a cooling capacity to 55°F.The addition of an evaporator defrost control permits operation to 40°F The addition of an evaporator defrost control with TXV permits low ambient cooling to 30°F. Thermostats—Cooling only and heat/cooling (manual and automatic change over).Sub-base to match thermostat and locking thermostat cover. Evaporator Defrost Control — See Low Ambient Cooling. 12-1175-9A-EN 9 ETV S ,L U Intertek 4mat?w S*odard, HEATING & AIR CONDITIONING American Standard optimizes the performance of homes and buildings around the world.A business of Ingersoll Rand, the leader in creating and sustaining safe, comfortable and energy efficient environments,American Standard offers a broad portfolio of advanced controls and HVAC systems, comprehensive building services, and parts. For more information,visit www.americanstandardair.com. American Standard has a policy of continuous product and product data improvements and reserves the right to change design and specifications without notice. ©2016 American Standard Heating&Air Conditioning 40) 12-1175-9A-EN 01 Mar 2016 Ingersoll Rand Supersedes(New) 4*m" S*m4(wd HEATING & AIR CONDITIONING Product Data Convertible Air Handlers 1-1/2 — 5 Ton TEM4AOB18S21 SB TEM4AOB24S21 SB TEM4AOB3OS31 SB ° TEM4AOB36S31 SB ° TEM4AOC37S31 SB TEM4AOC42S41 SB O TEM4AOC48S41 SB o TEM4AOC6OS51 SB 0 O The TEM4 series air handler is designed for installation in a closet, utility room,alcove,basement,crawlspace or attic. These versatile units are applicable to air conditioning and heat pump applications.Several models are available to meet the specific requirements of the outdoor equipment.Field installed electric resistance heaters are available. March 2018 12-13 58-1 F-E N OtW Ingersoll Rand. macaw �S-AwdOrd® HEATING & AIR CONDITIONING Table of Contents Features and Benefits.......... ...... ... .................. ........................ ....... ......... 3 Optional Equipment... .... .. . . . . . . .. .... ... ....... ... .. ..... .... . .... .. ... .... . ..... . ....... .... 3 Product Specifications.... ..... ....................... ............................... ....... .... .. 4 Heater Pressure Drop Table TEM Air Handler Models..... ........................ ................ 6 Minimum Airflow CFM ............................... ............................... ........... .. 7 Air Handler and Heater Matrix Allowable Combinations. ... . ................. ....... . . .. . .. . . .. .. . . 8 Performance and Electrical Data ..................................................... ........... .. 9 ElectricalData ......... ................................... ........................ ... ....... .... . 15 FieldWiring. .................. ... .................................................... ....... ..... 16 TEMConvertibility............ . ................................................... ... ....... ..... 17 TEM4 Air Handler Dimensional Data.................. .... ........................ ... ....... ... . . 18 OutlineDrawing ................ .... .............. .............................................. 19 2 12-1358-1 F-EN 71*Wc" S-b0dud HEATING 8 AIR CONDITIONING Features and Benefits • Painted metal cabinet with captured foil face insulation • 2%or less air leakage • R-4.2 Insulating Value • Multi-Position UP/Down Flow, Horizontal Left/Right • ALL Aluminum Coil with Enhanced Patented Coil Fin • Electric Heaters with polarized plug connections(sold as accessory) • R-410A Thermal Expansion Valve • ECM Motor (3.5-5 Ton Models) • Low Voltage Pigtail Connections • Draw Through Design • Horizontal Drain pan • Fused 24V Power • 3 year warranty • 10-year warranty registered • Optional extended warranty available Important:Condensate management kit is required for all 5 ton air handler models installed in downflow applications. Optional Equipment Accessory Number Description Fits Cabinet Size BAYHTR1504BRK Electric Heater,4KW,Breaker,24V Control,1 Ph 18.5"and 23.5" BAYHTR1504PDC Electric Heater,4KW,Pull Disconnect,24V Control,1 Ph 18.5"and 23.5" BAYHTR1504LUG Electric Heater,4KW,Lug,24V Control,1 Ph 18.5"and 23.5" BAYHTR1505BRK Electric Heater,5KW,Breaker,24V Control,1 Ph 18.5"and 23.5" BAYHTR1505PDC Electric Heater,5KW,Pull Disconnect,24V Control,1 Ph 18.5"and 23.5" BAYHTR1505LUG Electric Heater,5KW,Lug,24V Control, 1 Ph 18.5"and 23.5" BAYHTR1508BRK Electric Heater,8KW,Breaker,24V Control,1 Ph 18.5"and 23.5" BAYHTR1508PDC Electric Heater,8KW,Pull Disconnect,24V Control,1 Ph 18.5"and 23.5" BAYHTR1508LUG Electric Heater,8KW,Lug,24V Control,1 Ph 18.5"and 23.5" BAYHTR1510BRK Electric Heater,10KW,Breaker,24V Control,1 Ph 18.5"and 23.5" BAYHTR1510PDC Electric Heater,1OKW,Pull Disconnect,24V Control,1 Ph 18.5"and 23.5" BAYHTR1510LUG Electric Heater,lOKW,Lug,24V Control, 1 Ph 18.5"and 23.5" BAYHTR351OLUG Electric Heater,10KW,Lug,24V Control,3 Ph 18.5"and 23.5" BAYHTR1515BRK Electric Heater,15KW,Breaker,24V Control,1 Ph 18.5"and 23.5" BAYHTR1517BRK Electric Heater,15KW,Breaker,24V Control,1 Ph 18.5"and 23.5" BAYHTR3515LUG Electric Heater,15KW,Lug,24V Control,3 Ph 18.5"and 23.5" BAYHTR3517LUG Electric Heater,15KW,Lug,24V Control,3 Ph 18.5"and 23.5" BAYHTR15196RK Electric Heater,20KW,Breaker,24V Control,1 Ph 18.5" BAYHTR1520BRK Electric Heater,20KW,Breaker,24V Control,1 Ph 23.5" BAYHTR1521BRK Electric Heater,20KW,Breaker,24V Control,1 Ph 23.5" BAYHTR1523BRK Electric Heater,20KW,Breaker,24V Control, 1 Ph 23.5" BAYHTR1525BRK Electric Heater,25KW,Breaker,24V Control,1 Ph 23.5" BAYTEMSPFGIA Supply Duct Flange Kit 18.5"and 23.5" BAYSPEKT201A Single Point Power Entry Kit 18.5"and 23.5" BAYTEMDFKTIA cap Downflow Condensate Management Kit 23.5"(5 Ton only) TAYBASE185 Air Handler Downflow Sub-Bases 18.5" TAYBASE235(TAYBASE 100) Air Handler Downflow Sub-Bases 23.5" BAYSF1185AAA Slim Fit Filter Box 18.5" BAYSF1235AAA Slim Fit Filter Box 23.5" TEMBRKSEALTOlA Breaker Seal Kit for sure with BAYHTRI5 4kW-20kW Heaters 18.5"and 23.5" TEMBRKSEALT25A Breaker Seal Kit for use with 25 kW electric heaters&heater kits used with 18.5"and 23.5" BAYSPEKT201 W Required with all 5-ton air handler models in downflow orientation. 12-1358-1 F-EN 3 Amw?AoS7�wdae HEATING & AIR CONDITIONING Product Specifications MODEL TEM4AOB18S21SB TEM4AOB24S21SB TEM4AOB3OS31SB TEM4AOB36S31SB RATED VOLTS/PH/HZ 208-230/1/60 208-230/1/60 208-230/1/60 208-230/1/60 RATINGSW See O.D.Specifications See O.D.Specifications See O.D.Specifications See O.D.Specifications INDOOR COIL—Type Plate Fin Plate Fin Plate Fin Plate Fin Rows—F.P.I. 3-14 3-14 3-14 3-14 Face Area(sq.ft.) 4.37 4.37 4.37 4.37 Tube Size(in.) 3/8 3/8 3/8 3/8 Refrigerant Control TXV TXV TXV TXV Drain Conn,Size(in.)(b) 3/4 NPT 3/4 NPT 3/4 NPT 3/4 NPT DUCT CONNECTIONS See Outline Drawing See Outline Drawing See Outline Drawing See Outline Drawing INDOOR FAN—Type Centrifugal Centrifugal Centrifugal Centrifugal Diameter-Width(In.) 11 X 6 11 X 6 11 X 8 11 X 8 No.Used 1 1 1 1 Drive-No.Speeds Direct-3 Direct-3 Direct-3 Direct-3 CFM vs.in.w.g. See Fan Performance See Fan Performance See Fan Performance See Fan Performance Table Table Table Table No.Motors—H.P. 1-1/5 1-1/5 1-1/3 1-1/3 Motor Speed R.P.M. 825 825 825 825 Volts/Ph/Hz 208-230/1/60 208-230/1/60 208-230/1/60 208-230/1/60 F.L.Amps 1.2 1.2 2.0 2.0 FILTER Filter Furnished?(0 No No No No REFRIGERANT R-410A R-410A R-410A R-410A Ref.Line Connections Brazed Brazed Brazed Brazed Coupling or Conn.Size—in.Gas 3/4 3/4 3/4 3/4 Coupling or Conn.Size—in.Liq. 3/8 3/8 3/8 3/8 DIMENSIONS H x W x D H x W x D H x W x D H x W x D Crated(In.) 46x21x24 46x21x24 46x21x24 46x21x24 Uncrated 45-1/8 x 18-1/2 x 21-1/8 4S-1/8 x 18-1/2 x 21-1/8 45-1/8 x 188-1/2 x 21-1/ 45-1/8 x 18-1/2 x 21-1/8 WEIGHT Shipping(Lbs.)/Net(Lbs.) 116/110 116/110 116/110 116/110 0) These Air Handlers are A.H.R.I certified with various Split System Air Conditioners and Heat Pumps(AHRI STANDARD 210/240).Refer to the Split System Outdoor Unit Product Data Guides for performance data. (b) 3/4"Male Plastic Pipe(Ref:ASTM 1785-76) a1 Remote filter required. 4 12-1358-1 F-EN 74*w?w Sfus dud HEATING A AIR CONDITIONING Product Specifications MODEL TEM4AOC37S31SB TEM4A0C42S41SB TEM4A0C48S41SB TEM4AOC6OS51SB RATED VOLTS/PH/HZ 208-230/1/60 208-230/1/60 208-230/1/60 208-230/1/60 RATINGS(,,) See O.D.Specifications See O.D.Specifications See O.D.Specifications See O.D.Specifications INDOOR COIL—Type Plate Fin Plate Fin Plate Fin Plate Fin Rows—F.P.I. 3-14 3-14 3-14 4-14 Face Area(sq.ft.) 5.50 5.50 5.50 5.91 Tube Size(in.) 3/8 3/8 3/8 3/8 Refrigerant Control TXV TXV TXV TXV Drain Conn.Size(in.)(b) 3/4 NOT 3/4 NPT 3/4 NPT 3/4 NPT DUCT CONNECTIONS See Outline Drawing See Outline Drawing See Outline Drawing See Outline Drawing INDOOR FAN—Type Centrifugal Centrifugal Centrifugal Centrifugal Diameter-Width(In.) 11 X 8 11 X 8 11 X 8 11 X 8 No.Used 1 1 1 1 Drive-No.Speeds Direct-3(c) Direct-3(1) Direct-3 M Direct-3(c) CFM vs.in.w.g. See Fan Performance See Fan Performance Table See Fan Performance See Fan Performance Table Table Table No.Motors—H.P. 1-1/3 1-1/2 1-3/4 1-3/4 Motor Speed R.P.M. 825 1050 1050 1050 Volts/Ph/Hz 208-230/1/60 208-230/1/60 208-230/1/60 208-230/1/60 F.L.Amps 2.5 4.1 6.0 6.0 FILTER Filter Furnished?(d) No No No No REFRIGERANT R-410A R-410A R-410A R-410A Ref.Line Connections Brazed Brazed Brazed Brazed Coupling or Conn.Size— 7/8 7/8 7/8 7/8 in.Gas Coupling or Conn.Size— 3/8 3/8 3/8 3/8 in.Liq. DIMENSIONS HxWxD H x W x D HXWXD HXWXD Crated(In.) 52-1/2 x 26 x 24 52-1/2 x 26 x 24 52-1/2 x 26 x 24 52-1/2 x 26 x 24 Uncrated 51-3/8 x 23-1/2 x 21-1/8 51-3/8 x 23-1/2 x 21-1/8 51-3/8 x 23-1/2 x 21-1/8 51-3/8 x 23-1/2 x 21-1/8 WEIGHT Shipping(Lbs.)/Net 145/138 145/138 145/138 145/138 (Lbs.) (a) These Air Handlers are A.H.R.I certified with various Split System Air Conditioners and Heat Pumps(AHRI STANDARD 210/240).Refer to the Split System Outdoor Unit Product Data Guides for performance data. (b) 3/4"Male Plastic Pipe(Ref:ASTM 1785-76) W ECM Motor (d) Remote filter required. 12-1358-1 F-EN 5 AAWe WM S wda d HEATING & AIR CONDITIONING Heater Pressure Drop Table TEM Air Handler Models Number of Racks Heater Racks Airflow 1 2 3 4 Heater Model No.of Racks CFM Air Pressure Drop-Inches W.G. BAYHTR1504 1 1800 0.02 0.04 0.06 0.14 BAYHTR1505 1 1700 0.02 0.04 0.06 0.14 BAYHTR1508 2 1600 0.02 0.04 0.06 0.13 BAYHTR1510 2 1500 0.02 0.04 0.06 0.12 BAYHTR3510 3 1400 0.02 0.04 0.06 0.12 BAYHTR1515 3 1300 0.02 0.04 0.05 0.11 BAYHTR1517 3 1200 0.01 0.04 0.05 0.10 BAYHTR3515 3 1100 0.01 0.03 0.05 0.09 BAYHTR3517 3 1000 0.01 0.03 0.04 0.09 BAYHTR1519 4 900 0.01 0.03 0.04 0.08 BAYHTR1520 4 B00 0.01 0.03 BAYHTR1521 4 700 0.01 0.02 BAYHTR1523 4 600 0.01 0.02 BAYHTR1525 4 6 12-1358-1 F-EN 74*W?AW S ld ,?-d HEATING & AIR CONDITIONING Minimum Airflow CFM TEM4AOB18S21SB,TEM4A0B24S21SB Heater Minimum Heat Speed Tap With Heat Pump Without Heat Pump BAYHTR1504BRK,BAYHTR1504LUG,BAYHTR1505BRK,BAYHTR1505LUG Med Low BAYHTR1508BRK,BAYHTR1508LUG,BAYHTR1510BRK,BAYHTR1510LUG, Med Low BAYHTR351OLUG TEM4AOB3OS31SB,TEM4AOB36S31SB Heater Minimum Heat Speed Tap With Heat Pump Without Heat Pump BAYHTR1504BRK,BAYHTR1504LUG,BAYHTR1505BRK,BAYHTR1505LUG Low Low BAYHTR1508BRK,BAYHTR1508LUG,BAYHTR1510BRK BAYHTR1510LUG, Low Low BAYHTR351OLUG BAYHTR1517BRK Med Low BAYHTR3517LUG High Low TEM4AOC37S31SB Heater Minimum Heat Speed Tap With Heat Pump Without Heat Pump BAYHTR1504BRK,BAYHTR1504LUG,BAYHTR1505BRK,BAYHTR1505LUG Low Low BAYHTR1508BRK,BAYHTR1508LUG,BAYHTR1510BRK,BAYHTR1510LUG, Low Low BAYHTR351OLUG BAYHTR1517BRK Low Low BAYHTR1523BRK High High BAYHTR3517LUG Low Low TEM4AOC42S41SB Heater Minimum Heat Speed Tap With Heat Pump Without Heat Pump BAYHTR1504BRK,BAYHTR1504LUG,BAYHTR1505BRK,BAYHTR1505LUG Low Low BAYHTR1508BRK,BAYHTR1508LUG,BAYHTR1510BRK,BAYHTR1510LUG, Low Low BAYHTR351OLUG BAYHTR1517BRK Low Low BAYHTR1523BRK Med Low BAYHTR3517LUG Low Low TEM4AOC48S41SB,TEM4AOC6OS51SB Heater Minimum Heat Speed Tap With Heat Pump Without Heat Pump BAYHTR15046RK,BAYHTR1504LUG,BAYHTR1505BRK,BAYHTR1505LUG Low Low BAYHTR1508BRK,BAYHTR1508LUG,BAYHTR1510BRK,BAYHTR1510LUG, Low Low BAYHTR351OLUG BAYHTR1517BRK Low Low BAYHTR1523BRK Low Low BAYHTR1525BRK Low Low BAYHTR3517LUG Low Low 12-1358-1 F-EN 7 A*m?,oH S*4id d HEATING { AIR CONDITIONING Minimum Airflow CFM Air Handler and Heater Matrix Allowable Combinations Table 1. TEM4 MINIMUM HEATER AIRFLOW CFM — HEATER MATRIX YUWYU (g YUWYUW0 YW W 0 M W 0 3 W COOCD » W :) o O a 2 6 CO a J CO O. J W O. J W O. JJ W J W J W W O 't It Y1 In En 00 W W 0 0 0 0 In In N n 0 .+ Z 000000 000 .+ .4 '4 'q 14 .4 .i 11 ry N a in u1 Ln u1 In En in u1 Ln u1 u1 u1 u1 in 1n u1 u1 in u1 .Q ri .4 .'1 .1 .y .i .y .i .i .i .4 .i M .i M .i M .4 1-1 iY0 � � D iY CC Y YO! 000 0 Y0C IY oC f FH � HH !- (- HHFHf- H HH F 1- H F- 2 = = 2 = 2 = _ _ = S S = 2 = 2 = 2 2 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y aaaaaaaaaaaaa as a a a a WWWWWWWWWWWWW WW W co W co TEM4AOB18S21S* L/L L/L —— —— —— —— —— TEM4AOB24S21S* L/L L/L —— —— —— —— —— TEM4AOB3OS31S* L/L L/L L/L L/M L/H -- -- TEM4AOC36S41S*(a) L/L L/L L/L —— —— L/L —— TEM4AOC42S41S* L/L —— —— L/L (a) L/L L/L —— TEM4AOC48S41S* L/L L/L L/L —— —— —— L/L TEM4AOC6OS51S* L/L L/L L/L —— —— L/L a) —— 1. Cooling/HP Airflow F. *=Followed by two digits W Taps 1-3=Low,Tap 4=Med,Tap 5=High 8 12-1358-1 F-EN ,9- eAw S-Awda d; HEATING & AIR CONDITIONING Performance and Electrical Data Table 2. Air Flow Performance TEM4AOB18S21SB,TEM4AOB24S21SB(a) EXTERNAL STATIC AIRFLOW (in w•g) Speed Taps-230 VOLTS Speed Taps-208 VOLTS High Med Low t High Med Low t 0.1 1094 927 773 1052 849 658 0.2 1032 880 735 990 807 624 0.3 955 818 678 915 750 578 0.4 864 739 601 826 679 518 0.5 759 645 505 723 591 441 0.6 639 534 389 606 490 0.7 505 408 476 374 1. Values are with wet coil,no filter,and no heaters 2. CFM Correction for dry coil=Add 3% 3. t=Factory setting cal For the TEM4AOB24521SB,the recommended speed tap is medium at 0.4"external static pressure. Table 3. Electrical Data TEM4A0B18S21SB,TEM4AOB24S21SB 240 Volt 208 Volt No.of Heater Model No. Circuits/ Capacity Heater Minimum Maximum Capacity Heater Minimum Maximum Phases Amps per Circuit Overload Amps per Circuit Overload kW BTUH Circuit Ampacity Protection kW BTUH Circuit Ampacity Protection No Heater 1.2* 2 15 1.2* 2 15 BAYHTR1504BRK 1/1 3.84 13100 16.0 22 25 2.88 9800 13.8 19 20 BAYHTR1504LUG BAYHTR1505BRK 1/1 4.80 16400 20.0 27 30 3.60 12300 17.3 23 25 BAYHTR1505LUG BAYHTR1508BRK 1/1 7.68 26200 32.0 42 45 5.76 19700 27.7 36 40 BAYHTR1508LUG BAYHTR1510BRK 1/1 9.60 32800 40.0 52 60 7.20 24600 34.6 45 45 BAYHTR1510LUG BAYHTR351OLUG 1/3 9.60 32800 23.1 30 30 7.20 24600 20.0 26 30 *=Motor Amps 12-1358-1 F-EN 9 74*wn oo SAwdwd, HEATING A AIR CONDITIONING Performance and Electrical Data Table 4. Air Flow Performance TEM4AOB3OS31SB,TEM4AOB36S31SB EXTERNAL STATIC AIRFLOW (In w.g) Speed Taps-230 VOLTS Speed Taps-208 VOLTS High Med Low t High Med Low t 0.1 1391 1305 1059 1338 1146 902 0.2 1305 1231 1029 1257 1098 868 0.3 1203 1138 970 1159 1027 817 0.4 1083 1027 884 1044 935 753 0.5 948 899 769 913 823 664 0.6 795 752 626 766 692 0.7 626 587 603 542 1. Values are with wet coil,no filter,and no heaters 2. CFM Correction for dry coil=Add 3% 3, t=Factory setting 4. In downflow applications,airflow must not exceed 1200 cfm due to condensate blowoff. Table 5. Electrical Data TEM4AOB3OS31SB,TEM4AOB36S31SB No.of 240 Volt 208 Volt Heater Model No. Circuits/ Capacity Heater Minimum Maximum Capacity Heater Minimum Maximum Phases Amps per Circuit Overload Amps per Circuit Overload kW BTUH Circuit Ampacity Protection kW BTUH Circuit Ampacity Protection No Heater 2.0* 3 15 2.0* 3 15 BAYHTR1504BRK 1/1 3.84 13100 16.0 23 25 2.88 9800 13.8 20 20 BAYHTR1504LUG BAYHTR1505BRK 1/1 4.8 16400 20.0 28 30 3.6 12300 17.3 24 25 BAYHTR1505LUG BAYHTR1508BRK 1/1 7.68 26200 32.0 43 45 5.76 19700 27.7 37 40 BAYHTR1508LUG BAYHTR1510BRK 1/1 9.6 32800 40.0 53 60 7.2 24600 34.6 46 50 BAYHTR1510LUG BAYHTR1517BRK- Circuit 1 W 9.6 32800 40.0 53 60 7.2 24600 34.6 46 50 2/1 BA 176RK Circuitcuit 2 4.8 16400 20.0 25 25 3.6 12300 17.3 22 25 2 BAYHTR351OLUG 1/3 9.6 32800 23.1 31 35 7.2 24600 20.0 27 30 BAYHTR3517LUG 1/3 14.4 49100 34.6 45 50 10.8 36900 30.0 40 40 BAYHTR1517BRK with single circuit 1/1 14.4 49100 60.0 83 90 10.8 36900 51.9 73 80 power source kit BAYSPEKT201A *=Motor Amps 0) MCA and MOP for circuit 1 contains the motor amps t0 12-1358-1 F-EN r��+ctnea+�Sfrr.Hda�-d, HEATING III AIR CONDITIONING Performance and Electrical Data Table 6. Air Flow Performance TEM4AOC37S31SB EXTERNAL STATIC AIRFLOW (in w.g) Speed Taps-230 VOLTS Speed Taps-208 VOLTS High Med Low t High Med Low t 0.1 1959 1704 1344 1786 1465 1154 0.2 1898 1675 1332 1748 1462 1126 0.3 1828 1631 1325 1697 1444 1108 0.4 1750 1574 1310 1633 1410 1095 0.5 1662 1504 1277 1557 1359 1076 0.6 1563 1420 1223 1468 1289 1039 0.7 1452 1321 1365 1. Values are with wet coil,no filter,and no heaters 2. CFM Correction for dry coil=Add 3% 3. t =Factory setting 4. The recommended speed tap is low at 0.5"external static pressure. 5. In downflow applications,airflow must not exceed 1600 cfm due to condensate blowoff. Table 7. Electrical Data TEM4AOC37S31SB 240 Volt 208 Volt No.of Capacity Capacity Heater Heater Model No. Circuits/ Heater Minimum Maximum Minimum Maximum Phases Amps per Circuit Overload per Amps Circuit Overload kW BTUH Circuit Ampacity Protection kW BTUH circuit Ampacity Protection No Heater 2.5* 3 15 2.5* 3 15 BAYHTR1504BRK 1/1 3.84 13100 16.0 23 25 2.88 9800 13.8 20 20 BAYHTR1504LUG BAYHTR1505BRK 1/1 4.8 16400 20.0 28 30 3.6 12300 17.3 25 25 BAYHTR1505LUG BAYHTR15086RK 1/1 7.68 26200 32.0 43 45 5.76 19700 27.7 38 40 BAYHTR1508LUG BAYHTR1510BRK 1/1 9.6 32800 40.0 53 60 7.2 24600 34.6 46 50 BAYHTR1510LUG BA 17BRK [IrcuitCUIt 1 9.6 32800 40.0 53 60 7.2 24600 34.6 46 50 1�a> 211 BAYHTR1517BRK- 4.8 16400 20.0 25 25 3.6 12300 17.3 22 25 Circuit 2 BAYH BRK Circuitit 1 1(a) 9.6 32800 40.0 53 60 7.2 24600 34.6 46 50 ia% 2/1 BAYHTR1523BRK- 9.6 32800 40.0 50 50 7.2 24600 34.6 43 45 Circuit 2 BAYHTR351OLUG 1/3 9.6 32800 23.1 32 35 7.2 24600 20.0 28 30 BAYHTR3517LUG 1/3 14.4 49100 34.6 46 50 10.8 36900 30.0 40 40 *=MotorAmps cal MCA and MOP for circuit 1 contains the motor amps 12-1358-1 F-EN 11 7*neaM SAwdard. HE A'IN� 8 At R C ON DI T I ON IN G Performance and Electrical Data Table 8. Air Flow Performance TEM4AOC42S41SB EXTERNAL STATIC AIRFLOW (in w.g) Speed Taps-208-230 VOLTS High Med Low t 0.1 1623 1509 1403 0.2 1583 1465 1357 0.3 1539 1420 1309 0.4 1494 1373 1260 0.5 1450 1326 1211 0.6 1399 1276 1159 0.7 1353 1223 1102 1. Values are with wet coil,no filter,and no heaters 2. CFM Correction for dry coil=Add 3% 3. t=Factory setting 4. Low=Taps 1-3,Med=Tap 4,High=Tap 5 S. In downflow applications,airflow must not exceed 1600 cfm due to condensate blowoff. Table 9. Electrical Data TEM4AOC42S41SB No.of 240 Volt 208 Volt Heater Model No. Circuits/ Capacity Heater Minimum Maximum Capacity Heater Minimum Maximum Phases Amps per Circuit Overload Amps per Circuit Overload kW BTUH Circuit Ampacity Protection kW BTUH Circuit Ampacity Protection No Heater 4.1* 5 15 4.1* 5 15 BAYHTR1504BRK 1/1 3.84 13100 16.0 25 25 2.88 9800 13.8 22 25 BAYHTR1504LUG BAYHTR1505BRK 1/1 4.8 16400 20.0 30 30 3.6 12300 17.3 27 30 BAYHTR150SLUG BAYHTR1508BRK 1/1 7.68 26200 32.0 45 45 5.76 19700 27.7 40 40 BAYHTR1508LUG BAYHTR1510BRK 1/1 9.6 32800 40.0 55 60 7.2 24600 34.6 48 50 BAYHTR151OLUG BAYHTR1517BRK- Circuit 1 W 9.6 32800 40.0 55 60 7.2 24600 34.6 48 50 2/1 BAYHTR15178RK- Circuit 2 4.8 16400 20.0 25 25 3.6 12300 17.3 22 25 BAYHTR1523BRK- Circuit 1 0) 9.6 32800 40.0 55 60 7.2 24600 34.6 48 50 2/1 BAYHTR1523BRK- Circuit 2 9.6 32800 40.0 50 50 7.2 24600 34.6 43 45 BAYHTR351OLUG 1/3 9.6 1 32!0q 23.1 33 35 7.2 24600 20.0 30 30 BAYHTR3517LUG 1/3 14.4 1 49200 1 34.6 48 50 10.8 36900 30.0 42 45 *=Motor Amps a) MCA and MOP for circuit 1 contains the motor amps. 12 12-1358-1 F-EN ,4*wn ov Sfuz dvd. HEATING A AIR CONDITIONING Performance and Electrical Data Table 10. Air Flow Performance TEM4AOC48S41SB EXTERNAL STATIC AIRFLOW (in w.g) Speed Taps-208-230 VOLTS High Med Low t 0.1 1784 1698 1634 0.2 1748 1662 1595 0.3 1715 1627 1559 0.4 1682 1591 1521 0.5 1650 1558 1488 0.6 1618 1525 1455 0.7 1499 1494 1422 1. Values are with wet coil,no filter,and no heaters 2. CFM Correction for dry coil=Add 3% 3. t =Factory setting 4. Low=Taps 1-3,Med=Tap 4,High=Tap 5 5. In downflow applications,airflow must not exceed 1600 cfm due to condensate blowoff. Table 11. Electrical Data TEM4AOC48S41SB No.of 240 Volt 208 Volt Heater Model No. Circuits/ Capacity Heater Minimum Maximum Capacity Heater Minimum Maximum Phases Amps per Circuit Overload Amps per Circuit Overload kW BTUH Circuit Ampacity Protection kW BTUH Circuit Ampacity Protection No Heater 6.0* 8 15 6.0* 8 15 BAYHTR1504BRK 1/1 3.84 13100 16.0 28 30 2.88 9800 13.8 25 25 BAYHTR1504LUG BAYHTR1505BRK 1/1 4.8 16400 20.0 33 35 3.6 12300 17.3 29 30 BAYHTR1505LUG BAYHTR1508BRK 1/1 7.68 26200 32.0 48 50 5.76 19700 27.7 42 45 BAYHTR1508LUG BAYHTR1510BRK 1/1 9.6 32800 40.0 58 60 7.2 24600 34.6 51 60 BAYHTR1510LUG BAYH BRK Circuitit 1 1(-) 9.6 32800 40.0 58 60 7.2 24600 34.6 51 60 2/1 BAYHTR1517BRK- 4.8 16400 20.0 25 25 3.6 12300 17.3 22 25 Circuit 2 BA 238RK- CIrcuitCUIt 1(a) 9.6 32800 40.0 58 60 7.2 24600 34.6 51 60 1 2/1 BAYHTR1523BRK- 9.6 32800 40.0 50 50 7.2 24600 34.6 43 45 Circuit 2 BAYHTR1525BRK- Circuit 1 W 6.0 20500 25.0 39 40 4.5 15400 21.6 35 35 BAYHTR1525BRK- 6.0 20500 25.0 31 35 4.5 15400 21.6 27 30 Circuit 2 4/1 BAYHTR1525BRK- 6.0 20500 25.0 31 35 4.5 15400 21.6 27 30 Circuit 3 BA 25BRK- Circuitcuit 4 6.0 20500 25.0 31 35 4.5 15400 21.6 27 30 4 BAYHTR351OLUG 1/3 9.6 32800 23.1 36 40 7.2 24600 20.0 32 35 BAYHTR3517LUG 1/3 14.4 49100 34.6 50 50 10.8 36900 30.0 44 45 *=MotorAmps 0) MCA and MOP for circuit 1 contains the motor amps. 12-1358-1F-E N 13 7 *w?ao VAwI HEATING 6 AIR CONDITIONING Performance and Electrical Data Table 12. Air Flow Performance TEM4A0C60S51SB EXTERNAL STATIC AIRFLOW (in w.g) Speed Taps-208-230 VOLTS High Med t Low 0.1 1954 1864 1780 0.2 1919 1827 1741 0.3 1885 1791 1704 0.4 1852 1756 1668 0.5 1821 1723 1633 0.6 1790 1691 1599 0.7 1761 1660 1567 1. Values are with wet coil,no filter,and no heaters 2. CFM Correction for dry coil=Add 3% 3. t=Factory Setting 4. Low=Taps 1-3,Med=Tap 4,High=Tap S 5. BAYTEMDFKTIA must be used for downflow applications and airflow must not exceed 1800 cfm. Table 13. Electrical Data TEM4A0C60S51SB No.of 240 Volt 208 Volt Heater Model No. Circuits/ Capacity Heater Minimum Maximum Capacity Heater Minimum Maximum Phases kW BTUH Amps per Circuit Overload Amps per Circuit Overload Circuit Ampacity Protection kW BTUH Circuit Ampacity Protection No Heater 6.0* 8 15 6.0* 8 15 BAYHTR1504BRK 1/1 3.84 13100 16.0 28 30 2.88 9800 13.8 25 25 BAYHTRI504LUG BAYHTR150513RK 1/1 4.8 16400 20.0 33 35 3.6 12300 17.3 29 30 BAYHTRI50SLUG BAYHTR1508BRK BAYHTR1508LUG 1/1 7.68 26200 32.0 48 SO 5.76 19700 27.7 42 45 UG BAYHTR151 BAYHTR151OLUG 1/1 9.6 32800 40.0 58 60 7.2 24600 34.6 51 60 LUG BAYHTR1517BRK- Circuit 1(a) 9.6 32800 40.0 58 60 7.2 24600 34.6 51 60 BA 211 Circuitcuit 2 178RK 4.8 16400 20.0 25 25 3.6 12300 17.3 22 25 BAYHTR1523BRK- Circuit 1(a) 9.6 32800 40.0 58 60 7.2 24600 34.6 51 60 2/1 Circuitcuit 2 BA 23BRK 9.6 32800 40.0 50 50 7.2 24600 34.6 43 45 2 BAYHTR1525BRK Circuit 1 W 6.0 20500 25.0 39 40 4.5 15400 21.6 35 35 BA 25BRK- 6.0 20500 2S.0 31 35 4.5 15400 21.6 27 30 2 Circuitcuit 2 4/1 BA 256RK- Circuitcuit 3 6.0 20500 25.0 31 35 4.5 15400 21.6 27 30 3 BA 25BRK- Circuitcuit 4 6.0 20500 25.0 31 35 4.5 15400 21.6 27 30 4 BAYHTR351OLUG 1/3 9.6 32800 23.1 36 40 P7.2 24600 20.0 32 35 BAYHTR3517LUG 1/3 14.4 49100 34.6 50 SO .8 36900 30.0 44 45 *=MotorAmps e MCA and MOP for circuit 1 contains the motor amps. 14 12-1358-1 F-EN 74*W?4" S wd rd HEATING & AIR CONDITIONING Electrical Data Figure 1. TEM4AOB18-C37 3 —"— — — — — ,i'18 ® WARNING $ AD _ HAZARDOUS vauAcu 5 II , DISCDK w ECT ALL EITCTRICAL KR INCLUDING REIIDQ ii DISCgNCrs RraE HmCIK. _ „r„ m CAUTION USE COPPER CONDUCTORS ONLY' UII T[•IINUS A1[NGI KSIGrD TO 1C[[Pl OIHA al.0a NK.rS1 «r I«•.. .A LEGEND REu,—71c,TIC M, .au1[[D MNG 1IIMAIE Noos.%, Y'w I IN In A11IlD rLNG AWL[RONfIKI _ �F IEu,cal.n NO ^ {,ry rrca.lsta ® TWISTED WIFE ❑� [O•ECT TOM INSULATED r(MUE TINMOUI MAGNETIC WIL a INSULAI[p WALE TERMINAL 'L EAPtH GRO'AO Aucuo. �-cnm 6 xllE �H cAP.c I11 BK/BL 0 RITE xul r _�-CHOW OT ruR[fx CU.Eti(A 6 DIACK W NE. wA11RE � n nrf w w F CA t•FFM ONi ROL BOX p Tf.I _ _ — _ _ I T I PINK �\ RAx3C.RNER SECT ON 1ERxIxAl lR—/DDARD xlOv YOI TAG[ —L01 Y0.TAAE NDT[5: I.fOR 24IV DPERAT10N,MOVE THE BLACK UH9EN[R t[AD TO Ix[TORN CENTER IRAYirOw[I I(dI RAL. r.51[[D IAP'S Sx[1B1 ARE roll KrEREYCE C11- �7 SIC YSIAL LED$6UIK ra RECdYEYKD PSC C SPEED SETTINGS IN rDNA w (Al1111. MOTOR J,IxEI xu«As u[as[D.mscuD rrM ulx aucxm loos AID CDK(CT I Pr TO IKE WRING PING A THE x[II[A COIN TAQ 801. I Ew+w rrogam nmm r.ol DNouuru mps Figure 2. TEM4AOC42-C60 3_ m WARNING . 6 •1 HAZARDOUS VOLTAGE o`."jT;, DISCONNECI ALL ELECTRICAL POI[A INCLUDING REMOTE r I_ OI SC01NFCiS BErORE SFRVICING. '6 roll«.Ie MINE e..e<I peter Defer......... <.e M.01.rr ® CAUTION USE COPPER CONDUCTORS ONLY! UNIT TEIMINALS ARE NOT DESIGNED 10 ACCEPT OTHER Ir ITS O CONDUCTORS. _ u r.�lere le A.r..«[I—.d—g.ID 11,eq..R .1. LEGEND RELAY CONTACT NC PF POLARIZED PLUG (FEMALE HOUSING) RELAr CONTACT NO py POLARIZED PLUG (MALE HOUSING) ® TWISTED MIRE TNERMISTOR COP44E[IION WIRE NUT OR CONNECTOR MAGNETIC COIL O TERM I"I EARTH GROIM (_11)TRANSFORIER I JUNCTION 1L FUSE -{� CAPACITOR O TERMINAL BLOCK/BOARD ❑ -{(A.O.OF.TIRE INSULATED FEMALE TERMINAL BK/BL ~COLOR OF MARKER U[[KrE SI a INSUUTED UAL[TERMINAL (K BLACK Rp RED OR ORANGE HfGx VOLTAGE EAL BLUE SM N.I TE GA GREEN CONTROL BOA OR BROWN YL YELL ON PR PURPLE La VOLTAGE PK PINK GR/YL GREEN/YELLOW BLOWER SECTION -LIS: I.FOR 2081'OPERATION,MOVE IN[BLACK TRANSFORMER LEAD t0 THE 2ODr CENTER TRANSFORMER TERMINAL. i[[NGIE i I 2.SPEED IAP'S SHORN ARE roll REr ERENCE OIL'. SEE INSTALLERS QUID[FOR R[COMM[IDED CTM SPEED SETTINGS 11 TOUR APPLICATION. A MOTOR I ).PEN HEATERS ARE USED.DISCARD I PM 10H ATTACHED LEADS AND CONNECT I-PI TO THE MATING PLUG IN THE HEATER CON TRON BON. L LIME CHORES NOT BE USED ON ALL NICE'S 40IWEIMALLT PROTECTED INTERNALLY PRINTED'AM D841413142 REYLOU 12-1358-1 F-EN 15 HEATING & AIR CONDITIONING Field Wiring Figure 3. Field Wiring Diagrams HEAT PUMP SYSTEMS AC SYSTEMS Thermostat Air Handler Outdoor Thermostat Air Handler Outdoor Unit Unit 24 VAC HOTE ----- RI ---- [-R] 24 VAC HOTI K } -----[R] FAN "_"'- G] FAN I Lj r -----F 24 VAC -- g 24 VAC Common �C Blue Common B� Blgue [:B SOV l�J --- - _III` __- - COOL/HEAT _III - _ __ COOLING _ I III - --- ❑ 1st STAGE Y � Y Y � Y HEATING ] 2nd STAGE \ ----- W1 HEAT ----- W1 u ,� White Whlte r r HEAT EMERGENCY X2 ---1`-tw� --- - Black Pink In AC systems for multiple stages of electric heat, jumper W1 and W2 together if comfort control has only one stage of heat. 16 12-1358-1 F-E N Awwcao Shwdard HEATING & AIR CONDITIONING TEM Convertibility Figure 4. Multi-Position Air Handler *=No Internal Modifications Required. 0 D O o a 0 0 0 0 0 0 Refrigerant Connections Downflow ® Condensate O Drains O O o Upflow Q Condensate � Q Drains 0 Vertical Upflow* Vertical Downflow O O 00 Airflow�Q 00� �00 Q� Airflow ® O O O Horizontal Left Refrigerant Horizontal Right Condensate Connections Condensate Drains Drains Horizontal Left* Horizontal Right 12-1358-1 F-EN 17 r¢ticw " SS wdard HEATING S AIR CONDITIONING TEM4 Air Handler Dimensional Data vv o 0 o � D ® o � 0 0 ® O N e Model No. H W D TEM4AOB18S21SB 45.02 18.50 21.13 TEM4AOB24S21SB 45.02 18.50 21.13 TEM4AOB30S31SB 45.02 18.50 21.13 TEM4AOB36S31SB 45.02 18.50 21.13 TEM4AOC37S31SB 51.27 23.50 21.13 TEM4AOC42S41SB 51.27 23.50 21.13 TEM4AOC48S41SB 51.27 23.50 21.13 TEM4AOC60S51SB 51.27 23.50 21.13 18 12-1358-1 F-E N 74*W?A M S-hwd4srd HEATING & AIR CONDITIONING Outline Drawing 21.13 1.OD 12.15 9e MINIMUM UNIT CLEARANCE TABLE L DD SERVICE CL EARA"" (RECOMMEND. SIDES 2' FRONT 21, 01.38 BACK 0' B C INLET DUCT I' OUTLET DUCT N/A NOTE:THIS UNIT IS APPROVED FOR INSTALLATION CLEARANCES TO COMBUSTIBLE MATERIAL AS S.DJ STATED ON THE UNIT RATING NAMEPLATE 2.39 i 00 I� 2.13 r 02.00 2 17 2.13+{ 0 ea T 2.N O 55 O O 02 DO Ja 0 A b 1 50 1P I.1S O O O • H O ® O c.le O L.JI O JJ 2 PICS 18 2 15 E F D a1j-- PRODUCT DIMENSIONS Air Handler Model A B C D E F H Flow Gas Line Control Braze TEM4AOB18,24,30,36 45.02 18.50 16.50 16.75 4.68 7.33 18.34 TXV 3/4 TEM4AOC37,42,48,60 51.27 23.50 21.50 21.75 7.01 9.66 24.59 TXV 7/8 All dimensions are in inches 12-1358-1F-EN 19 �I D9 In ersoll Rand Ingersoll Rand (NYSE: IR) advances the quality of life by creating comfortable, sustainable and efficient environments. Our people and our family of brands—including Club Care, Ingersoll Rand"', Thermo King`- and Trane�")—work together to enhance the quality and comfort of air in homes and buildings; transport and protect food and perishables;and increase industrial productivity and efficiency.We are a global business committed to a world of sustainable progress and enduring results. em 4-Winger-soll Rand. THERMO KING 10 M WE' ingersollrand.com ETV Intertek Ingersoll Rand has a policy of continuous product and product data improvements and reserves the right to change design and specifications without notice. We are committed to using environmentally conscious print practices. 12-1358-1 f-EN 12 Mar 2018 Supersedes12-1358-tE-EN (January 2018) �c,2018 Ingersoll Rand RECEIVED FEB 0 2 2022 VILLAGE OF RYE BROOK VILLAGE CLERK'S OFRCE ZONING BOARD OF APPEALS RESOLUTION WHEREAS, application has been made to the Zoning Board by Joshua Adelson & Lindsay Adelson (the "Applicants") for a gross floor area variance of 751 square feet where the maximum allowable gross floor area is 3,221 square feet pursuant to Village Code § 250-20.E, in connection with the proposed construction of a 1 '/2 story addition, new wood deck, new flag patio and interior alterations on the property located at 6 Whippoorwill Road, in an R-15 zoning district on the west side of Whippoorwill Road, approximately 270 feet from the intersection of Fairlawn Parkway and Whippoorwill Road.. Said premises being known and designated on the tax map of the Village of Rye Brook as Parcel ID# 129.60-1-14; and WHEREAS, a duly advertised public hearing was held on February 1, 2022, at which time all those wishing to be heard were given such opportunity; and WHEREAS, the public hearing was closed on February 1, 2022; and WHEREAS, the proposed action is a Type II action pursuant to the New York State Environmental Quality Review Act and accordingly, no further environmental review is required; and WHEREAS, the Board, from the application, after viewing the premises and neighborhood concerned, and upon considering each of the factors set forth in Village Code § 250-13(G)(b)[2][a]-[e] of the Rye Brook Code, finds with respect to the requested variance that: 1) The variance WILL NOT create an adverse impact to the character of the neighborhood; 2) The benefit the Applicants seek CANNOT be achieved through another method, feasible for the Applicants to pursue,that does not require the variance; 3) The variance IS substantial; 4) The variance WILL NOT create any adverse impacts to the physical or environmental conditions of the neighborhood; and 5) The need for the variance IS self-created; and BE IT FURTHER RESOLVED that the said application for a gross floor area variance of 751 square feet where the maximum allowable gross floor area is 3,221 square feet pursuant to Village Code § 250-20.E, in connection with the proposed construction of a 1 I/2 story addition, new wood deck, new flag patio and interior alterations on the property located at 6 Whippoorwill Road, is hereby GRANTED on the following conditions: 1) No permit or certificate of occupancy shall be issued until the Applicants have paid in full all application and consultant fees incurred by the Village in connection with the review of this application. Dated: February 1, 2022 Don.Moscato Mr. Don Moscato, Chairman Mr. Moscato called the roll: Steven Berger Voting: x_Aye Glenn Brettschneider Voting: _x_Aye Jamie Schutzer Voting: _x_Aye Joel Simon Voting: x_Aye Don Moscato Voting: _x_Aye 5 Ayes 0 Nays VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S.Rosenberg (914)939-0668 Christopher J.Bradbury www.ryehrook.org TRUSTEES BUILDING&FIRE Susan R.Epstein INSPECTOR Stephanie J.Fischer Michael J.Izzo David Ai.Heiser Jason A.Klein NOTICE OF HEARING ON APPLICATION .notice is hereby given that the undersigned has filed an application to appear before the Zoning Board of Appeals of the Village of Rye Brook. Application # 21-036 Applicant: Joshua Adelson& Lindsay Adelson 6 Whippoorwill Road Rye Brook,New York 10573 Applicant Proposes to: Construct a 1 1/2 story addition,new wood deck,new flag patio and interior alterations. At the premises known as 6 Whippoorwill Road in the Village of Rye Brook, New York, situated on the west side of Whippoorwill Road, approximately 270 feet from the intersection of Fairlawn Parkway and Whippoorwill Road, designated and shown on the most current tax map as Parcel ID# 129.60-1-14, the applicant does hereby request a variances) from the following applicable section(s)of the"Zoning Ordinance: S 250-20.E. The maximum allowable gross floor area is 3,221 square feet. The applicant's proposed addition will result in a gross floor area of 3,972 square feet. Therefore, a gross floor area variance of 751 square feet is requested. It public hearing on said application will be held before the Village Zoning Board of Appeals on Tuesday,February 1, 2022,at 8 o'clock p.m.at the Village of Rye Brook Offices located at 938 King Street,Rye Brook,NY 10573,in person unless emergency legislation is adopted or an Executive Order is issued by the Governor of the State of New York directing or allowing the Village to host public meetings or hearings virtually via videoconference and teleconference due to public health and safety concerns. If such emergency legislation is adopted or an Executive Order is issued,the Zoning Board of Appeals will make a determine whether to proceed with an in person meeting or meet by videoconference and teleconference. Whether the meeting is held in person or virtually, the public will have an opportunity to see and hear the meeting live and provide comments. Please check the Village website at www.ryebrook.orj;or contact the Zoning Board of Appeals Secretary at(914) 939-0668 for information concerning attendance at the meeting or hearing. Plans and other materials associated with the proposed application may be reviewed and downloaded via the Public Meetings&Video link from the Rye Brook website homepage and are available for review at the Building Department. Dated: Christopher Y. Bradbury, ge Clerk C tl,Ct"°a J�v VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914)939-0668 Chnstopher 1. Bradbury %%7w%v,ryebroo k.org TRUSTEES BUILDING& FIRE Susan R.Epstein INSPECTOR INSP Stephanie J. Fischer INSP l I. Izzo David M.Heiser Jason A.Klein NOTICE OF DISAPPROVAL A"lication # 21-036 November 8, 2021 Joshua Adelson&Lindsay Adelson 6 Whippoorwill Road Rve Brook, New York 10573 PLEASE TAKE NOTICE that N•our application for building permit dated,November 5,2021,for the premises located at 6 Whippoorwill Road, Parcel ID# 129.60-1-14, has been disapproved because of non-compliance with the following section(s) of the Code of the Village of Rye Brook: S 250-20.E. The maximum allowable gross floor area is 3,211 square feet. The applicant's proposed addition will result in a gross floor area of 3,971 square feet. Please revise your plans to fully comply with the applicable section(s)of Village Code,or an appeal to this decision may be brought before the Village Zoning Board of Appeals (ZBA) in accordance with §250-13 and §250-40 of the Code of the Village of Rye Brook. Applications to appear before the ZBA are available at the Building Department or online at «-a-w. , ebrook.or . Sincerely, Michael J. Izzo Building& Fire Inspector mizzoO,a-ebrook orR BUILDING DEPARTMENT VILLAGE OF RYI;WWOK JAN - 5 2022 938 KING STR� ! �J! RYE BRQOK,NY 10573 VILLAGE OF RYE BROOK (914)99-0668 BUILDING DEPARTMENT www.ryebrook.org APPLICATION TO THE ZONING BOARD OF APPEALS Application Fee: $350.00 (Yjpaid - Escrow Fee: $1.000.00 ( aid Date: �� Subject Property: Parcel ID#: 2 .lY Zone: Property Owner: Address: Phone#: ell #: mail: a Q� Applicant: l . 0 Address: GOrn Phone#: Cell#: — mail: (�r Attorney/Agent: Address: Phone#: Cell#: email: The applicant named herein does hereby request an appeal from the decision made by the Building Inspector on an application dated , 20 t L, wh eb the Building Inspector did: rant- ( ) /D ny: the applicant a permit or 1. fion Type of Appeal: Variance to the Zoning Ordinance ( )Interpretation of the Zoning Ordinance ( ) Certification or Continuation of a Nonconforming Use ( ) Permit for Occupancy ( ) Permit for Use 2. This application relates to: ( )Use NArea ( )Height ( )Setback ( )Other: In connection with: ( )A Proposed Building XAn Existing Building 3. Previous Appeal(s); ( )Have Have Not been made with respect to this particular decision of the Building Inspector, and ( )Have Have Not been made with respect to any other previous decision(s) made by the Building Inspector r arding the subject property. List All Previous Zoning Appeals Either Granted or Denied Concerning the Subiect Property a. A requested variance was ( )Granted/( )Denied on application # dated, for, b. A requested variance was ( )Granted/( )Denied on application # dated, for, c. A requested variance was ( )Granted/( )Denied on application# dated, for, 1 (Use additional sheets if necessary) 8/12/2021 4. Alteration: If work co stitutes an alteration or extension to an existing building, describe briefly: I on �vrr t7 M') , 5. Construction Cost: What is the estimated cost of the proposed work? $ 6. Reasons for Anneal: A. An Area Variance to the Zoning Ordinance is requested becau strict application of the ordin. nce woul cr at the following hardship: _ Cef B. An Interpretation of the Zoning Ordinance is requested because: C. A Use Variance to the Zoning Ordinance is requested because strict application of the ordinance would create the following hardship: 2 (Use additional sheets if necessary) 8/12/2021 7. Requested Zoning Anneals: I. Section of Rye Brook Code: §� Zoning Requirement: �M 0 X :� t o Proposed Work: t��o r Requested Variance: II. Section of Rye Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: III. Section of Rye Brook Code: § Zoning Requirement: Proposed Work: • Requested Variance: IV. Section of Rye Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: V. Section of Rye Brook Code: § Zoning Requirement: Proposed Work: Requested Variance: 3 (Use additional sheets if necessary) 8/12/2021 t 8. Item checklist of information from instruction sheet: (X, tter of Disapproval ( Properly Completed & Signed Original Zoning Variance Application (v�Two (2) Sets of Sealed Plans ( Non-refundable Application Fee of$350.00 (Escrow Account Fee of$1,000.00 ( ) Provisions of any deeds, covenants, easements or restrictions affecting the kind of improvements allowed or prohibited upon the premises. ( ) Notarized Mailer& Sign Affidavits,Area Map& Public Notification List (Please note that the notarized affidavits must be received by the Building Department by no later than the Thursday prior to the scheduled zoning hearing) This application must include the notarized signature(s) of the applicant of record as well that of the legal owner(s) of the subject property in the spaces provided below. Any application not properly signed shall be deemed null and void and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: XcLso ,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 determination of, and any conditions set by the Rye Brook Zoning Board of Appeals, with the details as set forth and contained in this application and in any accompanying approved plans and specifications, as well as in accordance with the New York State Uniform Fire Prevention & Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. Sworn to before me this Sworn to before me this of cr. 20J�_ day of , 20 Nota7c Notary Public iignatuko Property Owner Signature of Applicant rint Name of Property Owner Print Name of Applicant SHARI MELILLO Notary Public, State of New York No. 01 M E6160063 Oualified in Westchester County Commission Exnires,lan,ipn PQ ?n2 4 8/12/2021 p C� E-�;' �VVI I JAN 2 6 2022 iD VILLAGE OF RYE BROOK BUILDING rWPL.RTMENT January 24, 2022 Zoning Board of Appeals Village Hall 938 King Street Rye Brook, New York 10573 RE: February 1 ZBA Adelson Residence 6 Whippoorwill Road Parcel ID # 129.60-1-14 I,Joshua Adelson, owner of the subject property,hereby state that the public notice sign was posted on January 23 as per the Village requirements. (N Jos ua delsoii Sworn to before me this day of ,2022 Notary SHARI MELILLO Notary Public, State of New York Flo. 0!P:ir61E0C63 Oualified in westcl =ster County Commission Expires January 29,20n j JAN 2 4 2022 `` L_.-_____ .___�____1 VILLAGE QI i�YE BROOK BUILDING DERARTMENT January 24,2022 Zoning Board of Appeals Village Hall 938 King Street Rye Brook,New York 10573 RE: February 1 ZBA Adelson Residence 6 Whippoorwill Road Parcel ID # 129.60-1-14 I,Justin F. en,AIA architect of the subject property,hereby state that I have sent the notice of he g left to the surrounding property owners as required.The notification letters were sent st cla s mail on January 21. Justin ie AIA Sworn to before me this day ofj .2022 Notary SHARI MELILLO Notary Public, State:of New York F3 r33 O'!e i,led in Westch�,-er Coun Commission Expires January 29.20 1�1 p ECEWE FEB - 1 2022 January 23, 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Dear Rye Brook Zoning Board. My name is Matt Wecshler and I live at 4 Whippoorwill Road next door to the Adelson's at 6 Whippoorwill Road. I am aware of the planned addition and deck. I approve of the Adelson's plan. Thank you. Reg s, Matt Wecsh er p ECEWE January 23. 2022 FEB - 1 2022 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Dear Rye Brook Zoning Board, My name is Robyn Duetsch and I live at 8 Whippoorwill Road next door to the Adelson's at 6 Whippoorwill Road. I am aware of the planned addition and deck. I approve of the Adelson's plan. Thank you. Regards, NVV4441 Robyn Deutsch BRnv� Village of Rye Brook enda `D „� Zoning Board of Appeals Meeting �1! c 0, (^ "��� In Tuesday, February 1,2022 at 8:00 PM Village Hall,938 King Street ANNOUNCEMENT: Pursuant to Chapter 1 of the Laws of 2022 amending Sections 1 and 2 of Part E of Chapter 417 of the Laws of 2021, this meeting of the Zoning Board of Appeals will be held virtually through the Zoom platform. INSTRUCTIONS TO ACCESS THE VIRTUAL MEETING: If you have a computer, tablet or smartphone,you can register,log in and see the video and hear the audio of the live session. You can access the Zoom meeting at https://us02web.zoom.us/j/89215511767 and clicking on "Join a Meeting" and enter Meeting ID: 89215511767 (no password required).You can also call in to the ZOOM meeting at+1(929) 205-6099,when prompted,enter 892 1551 1767#. 1. ITEMS: 1.1. #21-034 (Adjourned to April 5,2022) The Estate of Vito Cirioni 27 Garibaldi Place Legalize driveway expansion,walkways and retaining walls. 1.2. #21-036 Joshua Adelson&Lindsay Adelson 6 Whippoorwill Road Construct a 1 1/2 story addition,new wood deck,new flag patio and interior alterations. Mail Affidavit ✓I Sign Affidavit ✓I Approvals; Adjournment Aye; S Nay; 2. SUMMARY APPROVALS: 2.1. Approval of November 2,2021 Zoning Board Summary Approvals; Adjournment Aye; Nay; DM ✓ MI V SB ✓ SF GB �/' K&B JDS JS DH Building Permit Check List&Zoning Analysis Address: n-WI L L— CT. SBL: Zone: `I S. Use: a( Cont.Type Other. Submittal Date: i1 '3 Z I Revisions Submittal Dates: Z ZZ S Z r Applicant b Q L__S o� Nature of Work l L-Z S /L A��Th ►.� �-�•� ,per Reviews:ZBA: N O V 8 202 1 pB: BOT: Other. ( ( ) FEES:Filing. S• Bk 2 0 10 i S C/O: Legalization: ( ) (•-YAPP: Dated Notarized: SBL: Ttuss I.D. ross Connection: ✓ H.O.A.: Scenic Roads: Steep Slopes: Wetlands: Stone Water Review: Street Opening ( ) ( ) ENVIRO:Long Shore Fees: N/A.- SITE PLAN:Topo: Site Pr tect.on: S/W Mgmt.: Tree Plan Other. ( ) (�� VEY:Dated: 2( Current Archival: Sealed Unacceptable: ( ) ( PLANS:Date tamped Sealed ✓Copies: v Electronic. ✓ Other. u( (,?q -se Workers Comp: �ty W"'Comp.Waiver. Other. ( (vYCODE 753#: 0 71 y 3�-Q—M--4JQ 9- DO Dated: `7-/Y-4 2 - N/A: HIGH-VOLTAGE ELECTRICAL Plan: Permit N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL-Plans: Permit N/A: Other. (� ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other. (✓S ( ) 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 Tempo: RA/PE Sign-off Letter. As-Built Plan: Other. ( (✓ BP DEX-ZAL LETTER: ✓ C/O DENIAL LETTER: Other. Other. (� ( mtg.date: Z l(O Z Z approval: notes: (V� mtg.date: -z l 2"2- approval• I L-z-L notes: L ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTES APPROVED Ate•. l 5�,_ not., MAY 1 n 2022 Circle: l 40,0 Fr a ?s From ` sida: I s 4 titi 3 'Y/.3 Q Main Cov (o l D,3 ( • 0 Accs.Co v It o 7 k Ft S : , � N A s s : t 14- %74( 4 C�E& 3z-L l -3.o I v Tot, 5Z94 . -3z2 3?(q Z FtFt.Imn: S Z I 3 - tic. '2Z Z 7r H�8' ht/Stories:'70 �T' 2 SI'L- notes: } �An a Residential Building Permit Fee Work Sheet Permit#: Date Issued: SBL: Zone: Address: 1A �WzE!1�Oo 1-\.j1 l•. ' Property Owner& Contact Info: Job Description: k>;_> O t-4� For all new dwellings and for additions measuring 800 sq. ft. or more made to existing dwellings, the following fee schedule shall apply: (plus any alteration fees) Total Sq. Ft. (excluding basements)x $225.00 x $I 5.00/$I,000.00 Basement Sq. Ft. x $65.00 x $I5.00/$I,000.00 -------------------------------------------------------------------------------------------------------------------- New Construction Sq,Ft. • New Construction Cost • DuAding Permit Fee Basement= 1-41q Z sq.ft.x$65.00 = $ .ot 30-C>. -x $I5.00/$I,000.00= $ '7 Attached Garage= sq. ft.x$225.00= $ x$I5.00/$I,000.00 = $ — I"Fl. sq. ft.x$225.00= $ x$I5.00/$I,000.00 = $ �S Z 2"d Fl. = sq.ft.x$225.00= $ x $I5.00/$I,000.00 = $ 3,d Fl. = sq. ft.x$225.00= $ x$I5.00/$I,000.00 = $ 4,1 Fl. = sq. ft.x$225.00= $ x$I5.00/$I,000.00 = $ Total Sq.Ft. sq. ft. Total Cost= $ ✓C Total B.P.Fee= $ 2'o3'�j, S Total Amount Paid = $ M� �~ Total Amount Due= $ MAY 10 2022 Date: Signed: BUILDING.DEPARTMENT VILLAGE OF RYE ROOK NOV - 3 2021 938 KING S�TAET RYE BROo ,NY 10573 4 9 9-06b$,: 3 ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. I e Job Address: I i Date of Submis ion: Parcel I #: 2 •ly14: Zone:-1?7�,—L15 Propose Improveme t D scribe in detail): IIN^ APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT �✓ The following items must be submitted to the Building Dep:Zompleted ent by the applicant- no exceptions. Property Owner: ,1�SN�P� �-Sy 1. ( Application (� 2. (vwo(2)sets of sealed plans. (one full size {maximum Address: (p W tv1 fPd 0(LW l LL ROM allowable plan size=36"x 42") and one I I"xl7") Phone# 1 �— 0 Z 2 �jb 6 Y 3. (�wo(2)copies of the property survey. 4. (�wo(2) copies of the proposed site plan. A. plica t appearin bef re t Board: 5. (Vne electronic/disc copy of the complete ,n plication materials. r 1 6. ( Filing Fee. Address: Q r Vj I I I h8 7. ( )Any supporting documentation. Phone# — 8. ( ) POA approval letter. (if applicable) 9. ( Photographs. Architect/Engineer: 10.( ) Samples of finishes/color chart. (a sample board or Phone#4— 5 i (D_iD bi model may be presented the night of the meeting) By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures, and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Swom to before me this `-�) Sworn to before me this day of , 20a_�_ day of , 20 Signature NE perty Owner Signature of Applicant q�op� R Print Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO ❑I Notary Public, State of New York No. 01 ME616CC63 Qualified in Westchester County!1 Commission Exbires J?nu?-29 20 d`� -- 8/12/2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, February 16, 2022 ANNOUNCEMENT: PER THE GOVERNOR'S EXECUTIVE ORDER THIS MEETING WILL BE HELD VIRTUALLY THROUGH THE ZOOM PLATFORM. THE PUBLIC CAN ACCESS THE MEETING THROUGH THE FOLLOWING LINK: hops://us02web.zoom.us/o/81417970741 OR BY OPENING ZOOM AND ENTERING THE MEETING ID: 81417970741 NAME& LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 15B Rye Ridge New Fabric Awning Sign 5674 Plaza(Win Ridge) "Prosper l.V." 6 Whippoorwill 1&1/2 Story Addition, ^ 5675 Road(Adelson) New Wood Deck& Flag Stone Patio v— 9 Country Ridge Dr New Rear Deck, Siding, 5676 (Martino) Windows, Roofing & Interior Alterations 5 Boxwood Place Replace Rear Deck And 5677 (Biderman) Patio Area With New Deck 2 Lee Lane (Kirsch) New Rear Retaining Wall, 5678 New Side Fencing and Property Re-grading 980 Anderson Hill New Front Entry Gate 5679 Road(Blind Brook Club Inc) 47 Hawthorne Ave New 1 Family Dwelling 5673 (Miller) ML JIV NM MR 1/ SE JM SF AC MI KC VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, March 16, 2022 ANNOUNCEMENT: PER THE GOVERNOR'S EXECUTIVE ORDER THIS MEETING WILL BE HELD VIRTUALLY THROUGH THE ZOOM PLATFORM. THE PUBLIC CAN ACCESS THE MEETING THROUGH THE FOLLOWING LINK: https://us02web.zoom.us/i/81417970741 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 23 Sleepy Hollow Demolish Sunroom: Install 5681 Rd (Kaplan) Gravel Patio, Steps, Railing & Door 67 Winding Wood 2nd Story Addition, & 5682 Road (Schneider) Front Portico Roof 6 Whippoorwill Amendments To Prior 5683 Road (Adelson) Approval �— ML , / NM MR ✓ SE / JM SF I/ AC MI KC VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, March 16, 2022 ANNOUNCEMENT: PER THE GOVERNOR'S EXECUTIVE ORDER THIS MEETING WILL BE HELD VIRTUALLY THROUGH THE ZOOM PLATFORM. THE PUBLIC CAN ACCESS THE MEETING THROUGH THE FOLLOWING LINK: https://us02web.zoom.us/i/81417970741 OR BY OPENING ZOOM AND ENTERING THE MEETING ID: 81417970741 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 32 Lincoln Ave Amendment - Change Consent 5563 (Samad) Driveway Configuration Agenda 64 Windsor Road Replace Existing Window Consent 5674 (Metz) & Door Openings with Agenda New Doors in Rear. 11 Lawridge Drive New Skylight, (Interior Consent 5675 (Goldstein) Renovations) Agenda 15 Red Roof Drive 4 Ft Black Aluminum 5676 (Gotlieb) Fence In Rear Yard (Legalization) 65 Rock Ridge Amendment To Prior Consent 5677 Drive (Ayala) Approval Agenda 11 Elm Hill Drive New Patio Door in Place Consent 5682 (Debari) Of Window Agenda 275 S. Ridge Street New Roof Mounted Sign 5678 (Washington Park "American Prime" Plaza 14 Lawridge Drive Exterior Renovations and 5679 (Mendelsohn) Alterations @ Front Facade. 818 King Street Driveway Expansion, 5680 (Carabal-Mendes) Concrete Walk, & Stone Retaining Wall ML NM MR SE JM SF AC MI KC i JUSTIN E MINIERI; AIA (� P.O. Box 1439 • New Rochelle, NY 10802 W Tel: 914.576.7087 / Fax: 914.355.5238 Email: sketchpaper@optimum.net REV PLA FEB - 9 2022 DAT D x K BUILDING DEPARTMENT row 2 ► l INI,pe Y- v 2 a r m aj� �ICOF V� e6 4&C 8ecoFen ay� 61 a MEMBER OF THE NATIONAL COUNCIL OF ARCHITECTURAL REGISTRATION BOARDS Village of Rye Brook ML V MR end FB7 SE J� VJ Architectural Review Board Meeting u 4to, J.���� (' g AC SF t`<<,.4`�y � Wednesday,May 17,2023 at 7:30 PM JM Village Hall,938 King Street �7 1902 •`� 1. ITEMS: 1.1. ARB23-025 (Consent Agenda) James Luciano&Helen Luciano 14 Lyon Street Rooftop solar array. 1.2. ARB23-038 (Consent Agenda) Sanjoy Dey&Sanghita Debmukta 12 Lyon Street Rooftop solar array. 1.3. ARB23-039 (Consent Agenda) Thomas Bailey III&Sarah Bailey 309 Betsy Brown Road Rooftop solar array. 1.4. ARB23-040 (Consent Agenda) (Amendment to Prior Approval) Joshua Adelson&Lindsay Adelson 6 Whippoorwill Road Change previously approved deck material color. Consent Agenda Approvals: Motion�Yy-� Second Abstention Aye; _ Nay;�� Adjournment; Notes 1.5. ARB23-041 Brian Cohen&Dayna Cohen 3 Hills Point Lane Expand pool patio,replace terrace stone floor and replace terrace railing. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 1 of 4 Architectural Review Board May 17,2023 1.6. ARB23-042 John Schueller&Nikki Schueller 1002 King Street Enclose side entry porch to create mudroom with storage area below. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.7. ARB23-043 Mark Karasik&Danielle Perlman 11 Loch Lane Driveway parking court extension,deck extension,install hot tub and fencing. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.8. ARB23-044 Joshua Rosen&Alison Rosen 6 Fairlawn Parkway New two-story single-family dwelling with finished basement. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.9. ARB23-045 Yuval Meron&Jana Meron 46 Winding Wood Road New deck,new patio,new window and doors in sunroom and interior alterations. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 2 of 4 Architectural Review Board May 17,2023 1.10. ARB23-046 Michael Segal&Debra Segal 996 King Street New deck,pergola and gazebo. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.11. ARB23-047 Michele Wertheimer Fredman 11 Eagles Bluff New front entry and portico. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.12. ARB23-048 Salman Nir Messafi&Stephanie Messafi 26 Latonia Road Replace and expand existing patio. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.13. ARB23-049 Fabricio Denadae&Luciana Chieus do Amaral 110 Brush Hollow Close New steps with handrail and new outdoor kitchen. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes Page 3 of 4 • Architectural Review Board May 17,2023 1.14. ARB23-050 Steven Berger&Debra Berger 3 Castle View Court Replace deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes 1.15. ARB23-051 Junyi Xie&Yanjun Zhu 46 Bonwit Road Replace deck. Approvals: Motion Second Abstention Aye; Nay; Adjournment; Notes NEXT MEETING: June 21,2023 Page 4 of 4 7kCh :TRUXURF TinnberTechFIND A CONTRACTOR TALK TO AN FXPFRI FOR PROS PRODUCTS PRICING TOOLS BUILDING RESOURCES DESIGN AND INSPIRATION ABOUT US SUPPORT Home>Products>Decking>TimberTech Advanced PVC>Landmark CollectionTm TIMBERTECH ADVANCED PVC Landmark Collection TM Crosscut Hardwoods Get the bold,character-rich texture of popular hardwoods like white oak and walnut without the rigorous maintenance of wood.Our capped polymer decking features proprietary materials technology that delivers sophisticated,real wood aesthetics you'll never have to sand,stain,or seal. COLOR BOARDWALK O SAMPLE SIZE t Sample FREE $0.00 v $0.00 5�� • ADD TO CART IJF�E ME TOUCH 0 OPTIONS&DIMENSIONS INSTALLATION&WARRANTY FAQS SUPER DURABLE LOW MAINTENANCE Made of high-performance and recycled polymers(and absolutely no Never sand,stain,or seal your deck ever again.An occasional scrub wood fibers),TimberTech Advanced PVC decking is highly resistant to and rinse are all that's needed. moisture damage like mold and mildew,and it won't splinter,crack, cup,peel,or rot. FADE&STAIN-RESISTANT BETTER CHOICE FOR FIRE ZONES Enjoy a richly hued deck for decades with protective capping that Passes test for slowing flame spread:Class A Flame Spread Rating. resists UV rays and staining. SPLINTER FREE&BAREFOOT FRIENDLY INDUSTRY-LEADING WARRANTIES Better for bare feet and paws,TimberTech Advanced PVC decking Rest easy knowing your investment is protected with a 50-Year Fade won't splinter,and stays up to 30"cooler to the touch with 40%better &Stain Limited Warranty and Limited Lifetime Product Warranty. traction,wet or dry,than competitive products. SUSTAINABLE DESIGN VERSATILITY Made in the USA from approximately 60%recycled material,including With heat-bending capabilities,TimberTech Advanced PVC Decking past-construction scrap like vinyl siding and trim,Timbertech allows you to create a truly unique design that shows off your sense Advanced PVC decking is a sustainable option.Plus,it's fully of stvle. ACC)R"® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/23/2023 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_..._Sarah Gpdodai John M. Glover Agency PHONE --- FAX P.O. Box 700 Wc.No.Eat:203-956-2458 (AJC,No):203-857-7848 Norwalk CT 06852 noo ess: sgjidodaj@jmg.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Ohio Casuafty Insurance Company 24074 INSURED TRITECH01 INSURERS:Ohio Security Insurance Company 24082 Tech Mechanical LLC 47 INSURER Em to ers Preferred Insurance Com an 10346 47 West Main Street � - Stamford, CT 06902 INSURER D:_ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:671717511 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. PO CY LTRR TYPE OF INSURANCE SIRADDL SUBR POLICY NUMBER POLICDY EFF MM/DD EXP YYYI LIMITS B X COMMERCIAL GENERAL LIABILITY BKS60888711 3/19/2023 3/19/2024 EACH OCCURRENCE $1,000,000 OCCUR DAMAGE O REN D CLAIMS-MADE X �_. PREMISES Ea occurrence $300,000 MED EXP(Any one person) $15,000 PERSONAL 6 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY�JET r LOC PRODUCTS-COMP/OP AGG $2.000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGL LIMrr $ Ea accident _ ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Peraoddent S A X UMBRELLA LIAB X OCCUR US060888711 3/19/2023 3/19/2024 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE. AGGREGATE $2,000,000 DIED I X I RETENTION E $ C WORKERS COMPENSATION EIG5297038-00 7/9/2023 7/9/2024 X Rjl1TE ER CT&NY OTH- AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETORIPARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? -- ---- I(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Addtdonal Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 938 King Street Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE 4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NEW Workers' YORK CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured TO Tech Mechanical LLC (203) 359-3399 47 West Main Street 1c.NYS Unemployment Insurance Employer Registration Number of Stamford, CT 06902 insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 02-0717079 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Employers Preferred Insurance Company p Village of Rye Brook 938 King Street 3b.Policy Number of Entity listed in Box"I a" Rye Brook, NY 10573 EIG5297038-00 3c.Policy effective period 7/9/2023 to 7/9/2024 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) © all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". 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,1 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: John M (;lover Agency (Print name �of7authorized representative or licensed agent of insurance carrier) V•Approved by: Sa l/l�l�tt�t�' 10/23/2323 (Signature) (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: (800) 275-2766 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 Laura Petersen From: Laura Petersen Sent: Monday, May 16, 2022 3:17 PM To: joshadelson@gmail.com Cc: tracepaper@aol.com Subject: Building Permit Application - 6 Whippoorwill Road Good afternoon, The building permit application has been approved by the Building Inspector. Before I can issue the building permit the following items must be submitted to our office; General contractor's contact name & phone number. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the / certificate holder) ✓4. General contractor's valid workers compensation on a NY State Board form (C 105-2 or U26.3) 5. Building permit fee $2,038.95 (due once permit is issued and ready for pick-up) ✓6. Contractor must call UDig NY and get a ticket number. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Iaetersenaryebrook.org 1 !ill-4 altor. WN I" 4"Mol G +Oil r�`�7 - �ttis)!7 (V O 0- N ` N [ 1i• t) ca N O {t U 6. o [a t - w tff, *PI {t�s I C r••► � � t" . ti•. � � Vj � C r x a >. U to�ectionr tr0 o. Q N Z GO i b D H ° w o � a. a. r u a.Q v o > 0 li l04 C CL U � e aQ tom ,, Y ° Z � 40 a A y. LO cbClq z U v fl- CIO {71 r I h ,per L L KMICONT-01 ACORO E(MMID CERTIFICATE OF LIABILITY INSURANCE DAT E(MWDD NlYYPr) 41412022 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 pollcy(les)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 a. PRODUCER NAMJACT Jennifer Rosenberry McCartney 3 Rosenberry,Group Inc. PHONE FAX 477 Ashford Ave C,No.Exl):(914)693-3500 2201 (A/C,Na):(914)693-3980 Ardsley,NY 10502 Miss:josenberry@mvragency.eom INSURER(S)AFFORDING COVERAGE_ INSURER A Southwest Marine&(i_e_neml INSURED INSURER B KMI Contractors Inc INSURER C 1511 Rt 22 Suite 161 INSURER D Brewster,NY 10509 INSURER E: 'SURER 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 hill _- MMIDD TYPE OF INSURANCE eUBR POLICY IaJOABI POLICY EFP POLICY E LIMITS A X COMMERCIAL GENERAL LIAIRM EACH OCCURRENCE .{_ 1.000,000 CLAIMS-MADE X OCCUR GL2022RLH00141 3/3012022 3/30/2023 DAMAGE TO RENTED 100,000 X 3REMISES(Esoccurrence) #_ -- -- MED EXP(My one person) 'slow r- PERSONAL A ADV INJURY 1 r0Wr0ft GEM AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE Z,000,000 POLICY ] ECT J Loc PRODucrs--c�roNProP AGO $000,000 OTHER AUTOMOBILE LIABILITY (COMBINENEDDSINGLE LIMT ANY AUTO BODILY INJURY OWNED SCHEDULED AUTOS AUTOS ONLY AU BODILY INJURY eaddenl AUTO TOS Ep I AUTOS ONLY AUTOS ONNLV UNNFA LIA L1Ae OCCUR EACH OCCURAIR E1tClSa LIAR CLAIMS-MADE. AGGREGATE DED RETENTION S —{ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN - — ANY PROPRIETORIPARTNERIEXECUTIVE Is OFFIER/M XCLUDED7 N1A Jn BER E E.L.EACH ACCIDENT If non under E.L.DISEASE-EA EMPLOYEE III DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101 AddMonal Remarks Schedule I "Cached I more epace la re ulred) The certificate holder is included as additional Insured;*i respect to general ilabill per form number CG2012(attached), CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Ryebrook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 --- AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance F i-o PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE T• ^^^^^ 562512764 MCCARTNEY&ROSENBERRY GROUP �• DBA MVR AGENCY 477 ASHFORD AVE ARDSLEY NY 10502 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER KMI CONTRACTORS INC VILLAGE OF RYEBROOK 1511 RT 22 SUITE 161 938 KING STREET BREWSTER NY 10509 RYEBROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2341865-0 776475 08/15/2021 TO 08/15/2022 4/4/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2341865-0, 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. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT SALVATORE PEPE 1 OF 1 KMICONTRACTORSINC 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. THIS POLICY IS CANCELLED EFFECTIVE 04/1312022. NEW YORK STAT SU NCE FUND /�/' ill DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:294844517 U-26.3 Laura Petersen From: Mike Izzo Sent: Thursday,July 14, 2022 8:49 AM To: Laura Petersen; Steven Fews;Tara Orlando Subject: FW: Message from UDig NY From: UDig NY Exactix <tickets@exactix.udigny.org> Sent: Thursday, July 14, 2022 8:48:57 AM (UTC-05:00) Eastern Time (US & Canada) To: Mike Izzo Subject: Message from UDig NY ****REGULAR**** DIG REQUEST from UDig NY for: VIL RYE BROOK Taken: 07/14/2022 08:47 To: VIL RYE BROOK PRIMARY Transmitted: 07/14/2022 08:48 00001 Ticket: 07142-000-409-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 6 To: Name: WHIPPOORWILL RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: WORKING IN REAR LEFT OF HSE REAR OF HSE LEFT SIDE NearSt: FAIRLAWN PKWY & COUNTRY RIDGE DR Means of Excavation: EXCAVATOR, BACKHOE Blasting: N Site marked with white: Y Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: EXCAVATION FOR RENOVATION Estimated Work Complete Date: 10/19/2022 Depth of excavation: 5 FEET Site dimensions: Length 30 FEET Width 18 FEET Start Date and Time: 07/19/2022 07:30 Must Start By: 08/02/2022 ------------------------------------------------------------------------------ Contact Name: SALVATOR PEPE Company: KMI CONTRACTOR INC Addrl: 1511 RT 22 Addr2: SUITE 161 City: BREWSTER State: NY Zip: 10509 Phone: 914-403-1160 Fax: Email: kmicontractorsinc@gmail.com Field Contact: SALVATOR PEPE Alt Phone: 914-403-1160 Email: kmicontractorsinc@gmail.com 1 Working for: MR AND MRS ADELSON ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR 2 I x I 1 1 � I b I r) I rm I a cn O C 0 o :E I ins! �Hlf fit I f i t 1 11 1 i , i k i 0 X�I�o, r>l _o N W L-A4 d' r_ 'a rm ~ zoz mo < O ,ro rn ►-: rn z � 0 /V 0 pNN (mt w to rn t 1 Zto0 ^ ��y z Ml Eli F pg3lp vN a ~ Ogg,: X ofalO mm 08 ac C ucq o_ •a+ G R 3^ ° o �o o c c o a rn hm V: S ° 03 nv o o ul 0. .� ; p.��3 7 7 n O O a a Q o zd N O a a Q t 0 p n o �. `C O d"' AZ s0 �r^z- a o m a$ (C� 30D 2� _ ro°�^ O Z nno . 7 rn tOo3° l� rn0 Zm ° 7u o s} °a On p• � o aw aoO Q Zn�in Og. 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