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Home My WebLink AboutMP22-158 w 19 404 aftidoe1L aW VILLAGE OF RYE BROOD MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher j. Bradbury www.ryeb ro o k.org TRUSTEES BUILDING&FIRE INSPECTOR Susan R- Epstein Michael J. Izzo Stephanie j. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE December 21,2022 Vincent Barbarisi&Barbara Goodstein 1 Rock Ridge Drive Rye Brook,New York 10573 Re: 1 Rock Ridge Drive, Rye Brook,New York 10573 Parcel ID#: 135.43-1-36 This document certifies that the work done under Mechanical Permit#22-158 issued on 10/25/2022 for the installation of a new gas fired boiler has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to 0 ■ a e a a a � N M _o a a l"v g N e N N W , 2 ■ � \ N &4 "0 0 r� e F� w v V1 , CA a H W L W !'i LPL 41 t F--'I 41 ai e F—I S U p � 3 � av w a W Z ~ w .°� c72 7� a°' 'a0-4 c = OD 'r7 a '+ as o o Z W w U Y ° o (� W `s d x H o o b v Qr Z V z � a o a� `� � �W � any► � w i '� O a U r l ■ MM tap �--' � ,� � � � � a� v v .n ,� u ■ ' 'a�i ,o '� v W W `, Er u V rl atu �� z H v � vv O ° CK n U F o Z zwai,aS � V� a O O O U g 0 Uo � e—t z a � z � v � v F.y U A U W F ,� " ,sva . D IECEMED BUILDING DEPARTMENT OCT 2 5 2022 VILLAGE OF RYE BROOK 938 KING S7'REE'r RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 L BUILDING DEPARTMENT www.rN'Pbrook.nre APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AiR CONDiTIONINGEQUIPMENT FOR OFFICE.USE ONLY: PF:I�MITWa)-/v #: Approval Date:_ OCT ' 2022 Permit Fee: S I00`/ 6 Approval Signature: 6 z Other: Disapproved: ffees are non-refundable) *aa�x**,;a�,.��x*,.,t,.a„�,�aa*k,sa*a�,�r +,�,w�,•.a,��a��.gar,�aka�,�**x�,take,t,try*�a�a*,�k,c�+,��.x,,w,w�w�,r+r��.�.�,��w,w+,�ka��e,w REOLLRE.NIL'NTS FOR RELEASE 01'PERM1T& CERTIFICATE OF COMPLIA.NCE: L Properly completed &Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability insurance. (Village of Ppe Brook must be listed as certificate hotdcr)& Workers Compensation Insurance on a NYS Board form u-tn,a,F( lo5 2(it,Dorm'!U26 3 or NY State 1Aorkets Compensation 1Vai% :r) 4. Payment of FeesiUnit RESIDENTIAL =S I00.00/unit • 0)%IMERCIAL= S350.00/unit. 5. Inspcction by the Building Department I'or removal and/or installation. (48 hour noaice requireei) 6. Flcctrical wort: requires a separate Flcctrical Permit & Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&. Plumbing inspection. ir,t F•k•k,Fit**�:�:�r*i:is*irki�:9:s'rR 4r irA•1k�k:r i,kkkd:ifird;�i:�ri;i;•k:k#1i•l#*+k**die 9c*S*klde Yt k�kBrk Yt w+Vr�R******vt•Jtif,ir#Sr*i ket•�•,t zkkk k*iF* Application dated, 10,]7/2022 is hereby made to tite Building Inspector or the Village of Rye Brook Ibr a permit for tile installation and or remo%at of the I IVAC 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: I Rock Ridge Dr SBL:135i 7 —/~ ne: /o 2. Properry Owner: Barbara Goodstein Address: l Rock Ridge Df, Phone#: 914462-121U Cell#: cmaii: harharagoodste0n(g.gm,ail.coin 3. Contractor:._4quccluet Plumbinu Hetitiiig Cou1iiig_LLC' Address: 115 Wall st Valhalla NY 10595 Phone#: 914-666-9199 Cell#; email: dsrieco(ii!autiedtictoi,urabing coin 4. Applicant: Daniel Grieco Install Coordinator Address: 115 Wall sr Valhalla NY 10595 Phone#: 914-666 9199 Cell 41ji 67? 065 email: deriecor6aQue uctplumbing.com 5. Scope or Work: New Installation Replacement(X)•Removal( )•Other( ): 6. List Equipment: Burnham ASP?ft Boiler ,Neuessary pipe and Fittings _! ASP 11)5 Boo 1c L 7. Location of Equipment: Basement 8. Method or installationrRelnoval(Iist all equipment needed to perrorm job): Drain and disconnect boiler from existing heating system Install new boiler connecting to heating pipes.Fzns line and waterlines t 3l121�0:1 STATE OF NEW YORK,COUNTY OF WESTCHESTER Daniel Oirieco,Install Cuurdinatw being duly swum,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 Contractor for the legal owner and is duly authorized to make and rile 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 dotails 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 berore me this 1 a Sworn to before me this day of 20��l- day of 20QA . Signature of P operty )caner Signature of Applicant Bzrbara Goo stein Daniel Grieco Print\ame of Nqnerty Olvner Pri dame of p iic st NJ . ' n2026 Votary Public LAURA ECCHER la% 1° 'blic,State of Ne(Notary Public, State of New York No.01 MC4996965 No.01 EC6116996 Qualified in Westchester Ouallfied in Nasssau County dCommission Expires May Commission Expires October 12, 20v`i This application must be properly completed in its entirety and must include the notarized signature(s) ol' 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. z x�t Zr_oz t QyE BRC�k. cu � BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: \ i 7Z- PERMIT# �L ISSUED: 1 1 `—� $ECT: ( � LOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �m BUILDING DEPARTMENT ❑BUILDING INSPECTOR AASSISTANT 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 - - - - - - - - - - - - - - - - - - - - 0)ADDRESS ' ` V ( DATE: _ l�S' �r✓ � 3D PERMIT# ISSUED: SECT.. BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED. XREJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE I ❑ FOUNDATION l ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: 6�0 ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION V NATURAL GAS ./t L.P. GAS t LJ<� i NU , ❑ FUEL TANK ❑ FIRE SPRINKLER ` '�`_, r'�,y ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER r , N � • M 44 N N N � .:t ■' a a � CA ;D _ ►.-� z a x W v v 0-4 �-+ Q A'-+ A z p � 7cc Oo PLO • � w � H w z � � p A ;� �.., 04 . � z � cn Z O a E■ c a oo 00 504 r 1� T r•. N a ►-a W z w o En w a o z o x V a � W , z A f A a z a 02 F. D D L'cE � F 3 BUILDING DEPARTMENT OCT 2 5 2022 VILLAGE OF RYE fIROOK VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 BUILDING DEPARTMENT (914) 939-0668 % ww jyebruok.org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY /y �•�� PP#:_ - 3 Approval Date: OCT 2 20 Permit Fee: S Approval Signature: yl� Other: Disapproved: (fees are non-rerundable) Application dated, 10/17 2022 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant &property owner,by signing this document agree that said plumbing work will be in cunfunnance with all applicable Federal, State,County and Local Codes. 1.Address: I Rock Ridge Dr SBL: �3 Zone: 2.Proposed \\'ark: Gas lines and\�ater lines for boiler replacement 3.Property Owner: Barbara Goodstein Address: I Rock Rid1;e Dr Phonc d: 914-46%1-)10 Cell#: email: barbaraeoocistcin(ti-gmail.corn 4.Mastcr Plumber: Wnicl Grieco Address: 115 Wall St Valhalla NY 10595 Lic, d: 995 Phone 1,: 914 666 9199 Cell rl: email: dgrieco!&agueductnlumbins:.com Company Name: Aqueduct Plumbing Heating Cooling I.I.0 Address: 115 Wall St Valhalla NY 10595 INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water I Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural Other* Total Closets Fountains Tubs Tubs Sen ice Service Sewer LP Gas Basement 1 1 Ist Floor i I 2nd Floor i 3`1 Floor 4'h Fluor 5111 Floor f aterior I 5.* List Othcr liyuipmrnt;Providc Dctails: Domestic water lines to boiler (Notarized Signatures Required Next 2 Pages) x 12 2021 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Daniel Grieco,Install Coordinator ,being duly sworn,deposes and states that heishe 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 Cnntmetnr for the legal owner and is duly authorized to make and Tile this application. (indicate architect.contractor.agent.attorney,etc.) That all statements contained herein arc 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 its 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_ t8 Sworn to before me this day of oo� .20 ZL day of )( �. Signature ol,Prop(: ro( ner Signature of Applicant Barbara Goodstein Daniel Grieco Print Name of Property Owner Print Name of Applicant v4m/ta. &1�_ t"u,)I � Notary Public Notary Public LAURA ECCHER TERRI McCANN-GRECO Notary Public,State of New York Notary Public, State of New York No.01 EC6116996 No.01 MC4996965 ThiO IttiltbN*AMIbf,pt rl rnpleted in its entirety and rn sb t�ldi"ltl t�ht Sl�uat ur s)of Commisbron Expires October 12,2� ommtsston pires May 26.2026 - the legal owner(s)of the Subject property, and the applicant of rectIld ill L11 A.9pWations not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Z • ' - s�trsort 3D]BUILDING DEPARTMENT OCT 2 5 2022 N ILLr1GE OF RYE BROOK 938 KING S'rar;l.r RYc BROOK, NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT w%",.r8-ebrook.ore AFFIDAVIT OF COMPLIANCE VILLAGE. CODE �216 • STORM SEWERS .AND SANITARY SF.WF.RS 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: �1. Barbara Goodstein residing at. 1 Rock Ridge Dr "'' , being duly sworn, deposes and states that (s)hc 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, I Rock Ridge Dr , Rye Brook,NY. 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. Barbara Goodstein Sworn to before me this LAURA ECCHER day of ock _, 20 �,Y Notary Public, State of New York No. 01 EC6116996 Qualified in Nasssau County Commission Expires October 12, 20�� 3- 8r 122021 SIZES • Six wall hung models; 85, 110, 155, 205, 270 MBH —Optional floor stand available—NEW! • Two light commercial models; 320 & 399 MBH NEW! (floor mount or wall hung,specifications available separately) •155 MBH combi model available! ny —Best-in-class DHW performance PREMIUM FEATURES • Up to 96% AFUE with 10:1 turndown—NEW! ,1 —High efficiency and low emissions! • Field-proven, stainless steel fire tube heat exchanger • Advanced Sage2.3 boiler control provides "out-of-the-box" high performance and easy setup """ —Ergonomically angled touch screen display simplifies installation, operation, and diagnostics —Easily connects to optional Sage Zone Controls for additional energy savings, system optimization, and "short cycle" prevention • High altitude—zero or minimal de-rating reduces the costs of oversizing,field adjustable • Easy access side service panel I • Low NOx* VALUABLE EXTRAS INCLUDE • Versatile top and bottom connections for supply & return (heating-only models) • Universal vent connection for CPVC/PVC, polypropylene, and stainless steel flex • Split-voltage junction box, fused easy-connect terminals • Outdoor reset and sensor(wired) by • Piped & wired for low water cutoff installation Boiler Company • 5-year parts warranty 'Meets requirements of South Coast Rule 1146.2 II. Specifications (continued) Combustion Air Blower Air Proving Switch Gas Valve Transformer Programmed Supply Sensor Display Blocked Vent Switch 0 Circulator Fuse 0 24V Fuse Return Sensor 0 Flue Temperature Sensor -- -- High Voltage PCB Low Voltage PCB ITT Figure 2.2: Boiler Internal Component Locations Table 2.3: Specifications D.O.E. Heating Water Gas Approx. Maximum Maximum Minimum AHRI Net Water Allowable Heating Connection Connection Net Model * Input Input Rating " AFUE Volume Working (MBH) (MBH) Capacity (MBH) (Gallon) Size (Copper Size Weight pressure (MBH) Sweat) (NPT) (lb.) (PSI) ASPN-085 85 8.5 79 69 96 2.6 1" 1/2" 110 30 ASPN-110 110 11 103 90 96 2.5 1" 1/2" 115 30 ASPN-155 155 15.5 145 126 95 3.0 V 1/2" 120 30 ASPNC-155 155 15.5 145 126 95 3.0 1" 1/2" 140 30 ASPN-205 205 20.5 189 164 95 5.1 11/4' 1/2" 135 80 ASPN-270 270 27 252 219 95 4.6 1'/4" 1/2" 145 80 "The Net AHRI Water Ratings shown are based on a piping and pickup allowance of 1.15. The manufacturer should be consulted before selecting a boiler for installations having unusual piping and pickup requirements, such as intermittent system operation, extensive piping systems, etc. 8 107362-01 -8/17 VII. Venting AWARNING Asphyxiation Hazard. Failure to vent this boiler in accordance with these instructions could cause products of combustion to enter the building resulting in severe property damage, personal injury or death. Do not interchange vent systems or materials unless otherwise specified. The use of thermal insulation covering vent pipe and fittings is prohibited. Do not use a barometric damper, draft hood or vent damper with this boiler. When using the CPVC/PVC vent option, the use of CPVC is required when venting in vertical or horizontal chase ways. Do not locate vent termination where exposed to prevailing winds. Moisture and ice may form on surface around vent termination. To prevent deterioration, surface must be in good repair (sealed, painted, etc.). Do not locate air intake vent termination where chlorines, chlorofluorocarbons (CFC's), petroleum distillates, detergents, volatile vapors or other chemicals are present. Severe boiler corrosion and failure will result. The use of cellular core PVC (ASTM F891), cellular core CPVC or Radel (polyphenolsulfone) is prohibited. Do not locate vent termination under a deck. Do not reduce specified diameters of vent and combustion air piping. When installing vent pipe through chimney, as a chase, no other appliance can be vented into the chimney. Do not allow low spots in the vent where condensate may pool. ADANGER Failure to follow this warning could result in asphyxiation and/or carbon monoxide poisoning. Correct venting material and installation is required for proper vent operation. PVC Vent Systems must include at least 30 inches of CPVC and one CPVC elbow between the boiler and PVC vent piping. See this Section, VII. Venting for complete information. A. Vent System Design There are three basic ways to vent this boiler: • Horizontal("Side Wall")Twin Pipe Venting(Figure 7.0a)-Vent system exits the building through an outside wall. Combustion air and flue gas are routed between the boiler and the terminal(s)using separate pipes for at least part of the way.A summary of Horizontal Twin Pipe venting options is shown in Table 7.5. • Vertical Twin Pipe Venting(Figure 7.0b)-Vent system exits the building through a roof.Combustion air and flue gas are routed between the boiler and the terminal(s)using separate pipes for at least part of the way.A summary of Vertical Twin Pipe venting options is shown in Table 7.13 • Split Venting(Figure 7.0c)-Exhaust system exits the building through a roof,and combustion air is drawn from a terminal mounted on the side wall.A summary of split venting options is shown in Table 7.21 All of these systems are considered"direct vent"because the air for combustion is drawn directly from the outdoors into the boiler. One of the vent option columns in Tables 7.5.7.13,7.21 must match the planned vent and air intake system exactly. Design details applying to all vent systems are shown in this section. Observe all design requirements in this section,as well as those unique to the type of system being installed: • B-Design Requirements Unique to Horizontal Twin Pipe Vent Systems • C-Design Requirements Unique to Vertical Twin Pipe Vent Systems • D-Design Requirements Unique to Split Vent Systems 16 107362-01 - 8/17 V|[ Venting A. Vent Design (continued) Figuno7.Oa: Horizontal Twin Pipe CD Fi8unw7.Db: Vertical Twin Pipe Figure 7.0c: Split Venting 17 107382'01 ' 8/17 VII. Venting A.Vent System Design (continued) Figure 7.0a: Horizontal Twin Pipe t "®I M C3 C Figure 7.0b: Vertical Twin Pipe Figure 7.0c: Split Venting 0 107362-01 -8/17 17 VII. Venting A. Vent System Design (continued) 1. Listed Vent Systems and Materials—The following materials and vent systems may be used to vent this boiler: • CPVC—Use only CPVC listed to ASTM F441.In Canada,this pipe must also be listed to ULC S636. • PVC—PVC may be used only as permitted in this manual.All PVC must be listed to ASTM D2665.At least 30"of CPVC pipe,and at least one CPVC elbow,must be installed between the boiler's vent connection and the PVC pipe. Use of foam core PVC is not permitted for venting.PVC vent pipe may not be used to vent this boiler in Canada. • DuraVent PolyPro-ULC S636 listed Polypropylene special gas vent system. • Selkirk Polyflue-ULC S636 listed PolyPropylene special gas vent system. • Centrotherm InnoFlue SW-ULC S636 listed PolyPropylene special gas vent system. • DuraVent FasNSeal Flex-UL 1738 listed Stainless Steel Special gas vent system. • Use PVC and/or CPVC for the air intake system.PVC may be used for all air intake piping between the intake terminal and the boiler. • When CPVC and/or PVC pipe is used,it must be joined using primer and cement that is listed for use with the pipe material being joined(PVC,CPVC,or CPVC to PVC). 2. Vent Kits Available for Use with this Boiler:-The following vent kits are available for CPVC/PVC vent systems installed with this boiler in the USA: • 107039-01 -2"CPVC/PVC Vent Kit • 107039-02-3"CPVC/PVC Vent Kit These kits include the following: (1)30"CPVC Straight Pipe (1)90 degree short bend CPVC Elbow (1)Straight PVC Coupling(for exhaust terminal) (1)90 degree PVC Elbow(for intake terminal) (2)Rodent screens The CPVC Pipe and elbow supplied with these kits are not listed to ULC S636 and may not be used in Canada. 3. Maximum Vent and Air Intake Lengths-The maximum length of the vent air intake piping depends upon the vent option selected and the boiler size.See Tables 7.5,7.13 or 7.21 for the maximum vent lengths.These maximum lengths apply to both the vent and intake piping(e.g.Option 1 may have up to 60ft of intake and 60ft of vent piping). For all vent systems,the lengths shown in Tables 7.5,7.13 and 7.21 are in addition to the first 90'elbow. If more elbows are desired, the maximum allowable vent length must be reduced by the amount shown in Table 7.1 for each additional elbow used. Termination fittings are never counted. It is recommended that all field supplied PVC or CPVC elbows be"1/4 Bend"(Sanitary 90'El)or"Long Sweep 1/4 Bend"type elbows(Figure 7.2).In this manual"sanitary"and"long sweep"elbows are treated as having the same equivalent length. Example: A 3"twin pipe horizontal CPVCIPVC vent system is planned for a horizontally vented 155MBH model which has the following components in the vent system: • 1 ft CPVC Straight Pipe • 90 CPVC Elbow(short bend) • 1-1/2 ft CPVC Straight Pipe • Coupling • ]Oft PVC Straight Pipe • 90 PVC Elbow(Sanitary Elbow Design) • 15 ft PVC Straight Pipe • PVC Coupling Terminal The Vent Option#2 column in Table 7.5 describes a horizontal direct vent system using 3"CPVC and PVC pipe.From this column,we see that the boiler may have a vent length of up to 135ft. The first CPVC 90 degree elbow is not considered.From Table 7.1, we see that the equivalent length of the 90 PVC elbow is 4ft and that the equivalent length of the coupling is Oft. The total equivalent length of the planned venting system is therefore: ]ft(Straight CPVC)+Oft(first short bend CPVC 90 Elbow) + 1.5f?(Straight CPVC)+Oft(Coupling+10fi' (Straight PVC) +4fl(PVC 90 Sanitary Elbow) +15fi' (Straight PVC) +Oft(Coupling Terminal) = 31.5ft. Since Table 7.1 shows a maximum allowable vent length of 135ft, the planned vent system length is acceptable The flex venting used on some of the Vertical Twin Pipe and Split Vent Options also reduces the maximum allowable vent length.See Sections VII-C or VII-D for details. 18 107362-01 -8/17 VII. Venting A.Vent System Design (continued) NOTICE Do not exceed maximum vent/combustion air system length. Refer to Tables 7.1 and 7.13 in this section for maximum vent/combustion air system length. Use only vent and combustion air terminals and terminal locations shown in Tables 7.5, 7.13, and 7.21 and related Figures in this section. 4. Minimum Vent and Air Intake Lengths-Observe the minimum vent lengths shown in Tables 7.5,7.13 and 7.21. 5. Clearances to Combustibles-Maintain the following clearances from the vent system to combustible construction: • Vent- 1/4"(also observe clearances through both combustible and non-combustible walls-see 9 below) • Air Intake-0" • Concentric Portion of Concentric Terminals-0" 6. Pitch of Horizontal Vent Piping-Pitch all horizontal vent piping so that any condensate which forms in the piping will run towards the boiler. • Pitch CPVC/PVC vent piping 1/4"per foot. • Pitch PolyPropylene vent piping 5/8"per foot. For Category 1,II,and IV boilers,have horizontal runs sloping upwards not less than 1/4 inch per foot(21 mm/m)from the boiler to the vent terminal. Les chaudieres de categories I,II et IV doivent presenter des trongons horizontaux dont la pente montante est d'au moins 1/4 po par pied(21 mm/m)entre la chaudiere et 1'event. Table 7.1: Vent/Air Intake Fitting Equivalent Length CPVC/PVC Fitting Equivalent Length (ft) PolyPro, Polyflue or InnoFlue Equivalent Length (ft) Vent Fitting 2"90' Elbow("Sanitary Bend") 2.6 2"90' Elbow 4.5 3"90' Elbow("Sanitary Bend") 4.0 3"90' Elbow 8.7 2"90' Elbow("Short Bend") 6.0 2"45' Elbow 2.5 3" 90' Elbow("Short Bend") 10.0 3"45' Elbow 4.6 2"45' Elbow 1.5 3"45° Elbow 2.0 2"Coupling 0.0 3"Coupling 0.0 "SHORT BEND" ELBOW 1/4 BEND ( a. k .a "SANITARY BEND" ) ELBOW ( "LONG SWEEP" ELBOW LOOKS SIMILIAR AND HAS SAME EQUIVALENT LENGTH ) Figure 7.2: CPVC and PVC Elbows 107362-01 -8/17 19 VII. Venting A. Vent System Design (continued) 7. Supporting Pipe-Vertical and horizontal sections of pipe must be properly supported.Maximum support spacing is as follows: • Support CPVC/PVC horizontally and vertically every 4 feet. • Support DuraVent PolyPro horizontally near the female end of each straight section of pipe and vertically every 10 feet. • Support Centrotherm InnoFlue horizontally every 39 inches with additional supports at elbows and vertically every 78". • Support 2"Selkirk Polyflue horizontally every 30".Support 3"Polyflue horizontally every 39".Support vertical runs of both 2"and 3"Polyflue every 16 ft. • Support DuraVent FasNSeal horizontally every 6 ft.or less.Support vertical runs at the base and every 12 ft.or less. These instructions for the installation of the venting system shall specify that the horizontal portions of the venting system shall be supported to prevent sagging;the methods of and intervals for support shall be specified.These instructions shall also specify that the venting system: • For category II and IV boilers,be installed so as to prevent accumulation of condensate. • For category II and IV boilers,where necessary,have means provided for drainage of condensate. Les instructions d'installation du syst&me d'6vacuation doivent pr6ciser que les sections horizontales doivent titre support6es pour pr6venir le fl6chissement. Les m6thodes et les intervalles de support doivent titre sp6cifi6s. Les instructions divent aussi indiquer les renseignements suivants: • les chaudi6res de cat6gories II et IV doivent titre install6es de fagon a emp6cher 1'accumulation de condensat: • et si n6cessaire,les chaudi6res de cat6gories 11 et IV doivent titre pourvues de dispositifs d'6vacuation du condensat. 8. Allowing for Thermal Expansion- • For CPVC/PVC pipe design the vent system to allow 3/8"of thermal expansion for every 10ft of CPVC/PVC pipe. The boiler will always act as an anchor to one end of the vent system.If at all possible,select and install hangers and wall thimbles so that the vent system can expand towards the terminal.When a straight run of pipe exceeds 20ft and must be restrained at both ends,an offset or expansion loop must be provided(Figures 7.3a,7.3b).When a straight horizontal run of pipe exceeds 20ft and is restrained at one end with an elbow at the other,avoid putting a hanger or guide less than"Y"inches from the elbow in the adjoining straight section(Figure 7.3c).Thermal expansion fittings are not permitted. • When properly assembled expansion of PolyPro,Polyflue and InnoFlue vent systems is accommodated at the joints. See Part VII-F,G&H of this manual for details. • Stainless steel vent systems must be free to expand and contact in accordance with manufacturer's installation instructions. 9. Running PVC Vent Pipe Inside Enclosures and Through Walls-PVC vent pipe must be installed in a manner that permits adequate air circulation around the outside of the pipe: • Do not enclose PVC venting-Use CPVC in enclosed spaces,even if PVC is installed upstream. • PVC venting may not be used to penetrate combustible or non-combustible walls unless all of the following conditions are met: a. The wall penetration is at least 66 inches from the boiler as measured along the vent. b. The wall is 12"thick or less c. An airspace of at least that shown in Figure 7.4 is maintained around the OD of the vent. If any of these conditions cannot be met,use CPVC for the wall penetration. 10. Vent Manufacturer's Instructions—The vent system manufacturer may have additional vent system design requirements. Read and follow the vent manufacturer's instructions in addition to those shown here.Where a conflict arises between the two sets of instructions,the more restrictive requirements shall govern. 20 107362-01 -8/17 VIM. Venting A. Vent System Design (continued) Loop OFFSET (HORIZONTAL QLYI (VERTICAL OR HORIZONTAL) (TOP VIEW) Y/4 Y/1 6' 11 Y/5 MIN. . I� +I LENGTH OF STRAIGHT RLN MIN Y/4 BETWEEN ANCHORS('X') - _ LENGTH OF STRAIGHT R1N _ BETWEEN ANCHORS('X') Figure 7.3a Figure 7.3b CHANGE OF DIRECTION PIPE 01A. .X. (FT.) -Y' IN. (VERTICAL OR HORIZONTAL) (IN.) 20 50 (-LENGTH OF STRAIGHT RUN('X') 30 61 3 40 70 50 79 60 88 20 56 30 69 4 40 60 Y 50 89 MIN. 80 98 KEY ' A1GFOi(RESTRICTS LINEAR MOVEMENT HANGER(ALLOWS LINEAR MOVEMENT) Figure 7.3 c CAN USE E I THER ANCHOR OR HANGER Figure 7.3: Expansion Loops for CPVC/PVC Pipe MAX. WALL THICKNESS ( "T" ) 21'* 6" 12" MINIMUM AIR SPACE AROUND PIPE ( "C" ) 0"* 1" 1-3/4" *WALL MUST BE OF NON-COMBUSTIBLE CONSTRUCTION ONE END OF OPENING MAY BE CLOSED PVC VENT PIPE C. 66" MIN. 'T' BOILER WALL Figure 7.4: Wall Penetration Clearances for PVC Vent Pipe 107362-01 -8/17 21 VII. Venting B. Design Requirements Unique to Horizontal Twin Pipe Venting Systems (continued) B. Design Requirements Unique to Horizontal Twin Pipe Venting Systems Table 7.5 summarizes all horizontal twin pipe vent options.Illustrations of horizontal twin pipe vent systems are shown in Figures 7.6—7.10. In addition to the requirements in Part VII-A,observe the following design requirements: 1. Permitted Terminals for Horizontal Venting: Terminal Option A:Fittings(Acceptable for Vent Options 1-81—Vent terminates in a plain end(coupling for PVC,b ell w end for PolyPro,Polyflue and plain end pipe for InnoFlue).Intake terminates in a PVC 90 sweep elbow pointing don. Outer edge of both terminals must be within 10"of the wall surface(Figures 7.6,7.9).The section of DuraVent PolyPro, Centrotherm InnoFlue or Selkirk Polyflue exposed to the outdoors must be UV resistant. Use of rodent screens is generally recommended for both terminations.Two rodent screens suitable for 3"PVC terminals are installed as shown in Figure 7.27.If 2"CPVC is used,these screens can be cut to fit into the smaller fittings.Rodent screens ("bird guards")for PolyPro,InnoFlue and Polyflue are as follows: SizeNent System Rodent Screen("Bird Guard") 2"PolyPro DuraVent#2PPS-BG 3"PolyPro DuraVent#3PPS-BG 2"Polyflue Selkirk#2PF-HVST 3"Polyflue Selkirk#3PF-HVST 2"InnoFlue Centrotherm#IASPP02 3"InnoFlue Centrotherm#IASPP03 If necessary to achieve required clearance above grade,CPVC or CPVC/PVC vent systems may be terminated using fittings on snorkels as shown in Figure 7.12.When this is done,the equivalent length of all pipe on the exterior of the building, except for the terminal fittings themselves,must be counted when calculating the equivalent length.The maximum vertical run of the snorkel is 7 feet.Brace both the vent and inlet piping if required.PolyPro,InnoFlue and Polyflue may not be snorkeled. Terminal Option B:Ipex Low Profile Terminal(Acceptable for Vent Options 1.2)—This terminal is shown in Figure 7.7.If the terminal is oriented vertically(alternate orientation shown in Fig 7.7)the exhaust opening must be on the top as shown. See Part VII-E of this manual and the Ipex instructions provided with the terminal,for installation details. Terminal Option C:Diversitech"Low Profile"Terminal(Acceptable for Vent Options 1.21—This terminal is shown in Figure 7.7.If the terminal is oriented vertically(alternate orientation shown in Fig 7.7)the exhaust opening must be on the top as shown.See Part VII-E of this manual and the Diversitech instructions provided with the terminal,for installation details. Terminal Option D:Ipex FGV Concentric Terminal(Acceptable for Vent Options 1.2)-This terminal is shown in Figure 7.8 and may be used with CPVC/PVC vent systems.This terminal is available in various lengths and in both PVC and CPVC. Terminals acceptable for use with these vent options are as follows: Ipex PN FGV Concentric Terminal Description 196005 2 x 16"PVC 196105 2 x 28"PVC 196125 2 x 40"PVC 196006 3 x 20"PVC 196106 3 x 32"PVC 196116 3 x 44"PVC 197107 3 x 32"CPVC 197117 3 x 44"CPVC See Part VII-E of this manual and the Ipex instructions provided with the terminal,for installation details. Terminal Option E:Diversitech Concentric Terminal(Acceptable for Vent Options 1.2)-This terminal is shown in Figure 7.8 and may be used with CPVC/PVC vent systems. See Part VII-E of this manual and the Diversitech instructions provided with the terminal,for installation details. Terminal Option F:DuraVent PolyPro Concentric Terminal(Acceptable for Vent Options 3.4)-This terminal is shown in Figure 7.10 and may be used with DuraVent 2"or 3"PolyPro vent systems.See Part VII-F of this manual and the DuraVent instructions provided with the terminal,for installation details. 22 107362-01 -8/17 VII. Venting B. Design Requirements Unique to Horizontal Twin Pipe Venting Systems (continued) Table 7.5: Summary of Horizontal Twin Pipe Venting Options Vent Option 1 2 3 4 5 6 7 8 Illustrated in Figure 7.6, 7.7, 7.6, 7.7, 7 9 7.10 7.9, 7.10 7.9 7.9 7.9 7.9 7.8 7.8 Pipe Vent Wall Wall Wall Wall Wall Wall Wall Wall Penetration through Intake Wall Wall Wall Wall Wall Wall Wall Wall Structure CPVC/ CPVC/ DuraVent DuraVent Centro- Centro- Vent PVC PVC PolyPro PolyPro Selkirk Selkirk therm therm Material Polyflue Polyflue InnoFlue InnoFlue (Note 2) (Note 2) (Rigid) (Rigid) SW SW Intake PVC PVC PVC PVC PVC PVC PVC PVC Nominal Vent 2" 3" 2" 3" 2" 3" 2" 3" Diameter Intake 2" 3" 2" 3" 1 2" 3" 2" 3" Min Equivalent Vent Length: 85 30" 30" 30" 30" 30" 30" 30" 30" 110 30" 30" 30" 30" 30" 30" 30" 30" Model Sizes 155 30" 30" 30" 30" 205 Not 30„ Not 30„ Not 30„ Not 30„ Permitted Permitted Permitted Permitted 270 1 1 30" 1 30" 30" 1 1 30" Max Equivalent Vent Length Note 1 : 85 60ft 135ft 60ft 135ft 60ft 135ft 60ft 135ft 110 60ft 135ft 60ft 135ft 60ft 135ft 60ft 135ft Model Sizes 155 Not Not Not Not 135ft 135ft 135ft 135ft 205 135ft 135ft Permitted 135ft Permitted Permitted Permitted 135ft 270 135ft 135ft 135ft 135ft Coupling Coupling 2PPS-12B 3PPS-12B 2PF-10UV 3PF-10UV ISEP02 or ISEP03 or Vent w/screen w/screen or or or or ISEP0239 ISEP0339 Terminal (Note 3) (Note 3) 2PPS-36B 3PPS-36B 2PF-39UV 3PF-39UV w/screen w/screen Option A w/screen w/screen w/screen w/screen (Fittings) Elbow Elbow Elbow Elbow Elbow Elbow Elbow Elbow Intake w/screen w/screen w/screen w/screen w/screen w/screen w/screen w/screen Note 3 Note 3 Terminal Option B Ipex# Ipex Not Not Not Not Not Not (Ipex Low Profile) 196984 #196985 Permitted Permitted Permitted Permitted Permitted Permitted Terminal Option C HVENT-2 HVENT-3 Not Not Not Not Not Not (Diversitech HVENT) Permitted Permitted Permitted Permitted Permitted Permitted Terminal Option D Ipex Ipex Not Not Not Not Not Not (Ipex FGV Concentric 196105 196006 Permitted Permitted Permitted Permitted Permitted Permitted Terminal Option E CVENT-2 CVENT-3 Not Not Not Not Not Not (Diversitech CVENT) Permitted Permitted Permitted Permitted Permitted Permitted Terminal Option F Not Not Not Not Not Not (DuraVent Horizontal Permitted Permitted 2PPS-HK 3PPS-HK Permitted Permitted Permitted Permitted Concentric) Notes: 1. Max vent lengths shown also apply to the intake.For example,Vent Option#I may have up to 60ft of vent pipe and also up to 60 ft of intake pipe. 2. At least 30"of CPVC pipe,and at least one CPVC elbow,must be installed between the boiler's vent connection and PVC pipe. Downstream vent pipe can be PVC except as noted in text. 3. PVC Terminal coupling and inlet elbow may be offset on snorkels as shown in Figure 7.12. 107362-01 - 8/17 23 V11. Venting B. Design Requirements Unique to Horizontal Twin Pipe Venting Systems(continued) 2. Horizontal Vent and Air Intake Terminal Location-Observe the following limitations on the vent terminal location(also see Figure 7.11).When locating a concentric terminal,observe the limitations outlined below for"vent terminals". • Vent terminal must be at least I foot from any door,window,or gravity inlet into the building. • When Terminal Option A(fittings)are used,maintain the convect clearance and orientation between the intake and exhaust terminals.If possible,locate vent and combustion air terminals on the same wall to prevent nuisance shutdowns. If not,boiler may be installed with roof vent terminal and sidewall combustion air terminal(see Paragraph D).When installed on the same wall,locate exhaust vent terminal at same height or higher than combustion air intake terminal.Horizontal separation: Recommended: 36",Minimum: 12",Maximum:none.Minimum horizontal separation of 12"is required regardless of vertical separation. • The bottom of all terminals must be at least 12"above the normal snow line.In no case should they be less than 12" above grade level. • The bottom of the vent terminal must be at least 7 feet above a public walkway. • Do not install the vent terminal directly over windows or doors. • The bottom of the vent terminal must be at least 3 feet above any forced air inlet located within 10 feet. • USA Only: A clearance of at least 4 feet horizontally must be maintained between the vent terminal and gas meters, electric meters,regulators,and relief equipment.Do not install vent terminal over this equipment. In Canada,refer to B 149.1 Installation Code for clearance to meters,regulators and relief equipment. • Do not locate the vent terminal under decks or similar structures. • Top of terminal must be at least 24"below ventilated eves,soffits and other overhangs.In no case may the overhang depth exceed 48". Where permitted by the authority having jurisdiction and local experience,the terminal may be located closer to unventilated soffits. For the minimum vertical separation which depends upon the depth of the soffit, see Figure 7.11. • Vent terminal must be at least 6 feet from an inside comer. • Under certain conditions,water in the flue gas may condense,and possibly freeze,on objects around the vent terminal including on the structure itself.If these objects are subject to damage by flue gas condensate,they should be moved or protected. • Install the vent and air intake terminals on a wall away from the prevailing wind.Reliable operation of this boiler cannot be guaranteed if these terminals are subjected to winds in excess of 40 mph. • Air intake terminal must not terminate in areas that might contain combustion air contaminates,such as near swimming pools. See WARNING on page 15. (FIRSTCPC VE BOW)NT PIPE PVC VENT PIPE ENOE� PITCH VENT PIPE Ye"PER FOOT TOWARDS BOILER 36 PVC AIR INTAKE PIPE TRIM PLATE-PROVIDE vR FOR EXPANSION AND CLEARANCE THROUGH WALL AS NEEDED BOILER ROOM ALTERNATE INLET PITCH INTAKE AWAY FROM .\� MIN. TERMINAL LOCATION BOILER IF POSSIBLE �� Y � BUILDING EXTERIOR RECOMMEND EXHAUST MIN. 12"ABOVE INTAKE. MAY REDUCE TO 0"IF NEEDED. EXHAUST TERMINAL WITH RODENT SCREEN TRIM COLLAR INLET TERMINAL WITH RODENT SCREEN IFSS Figure 7.6: Horizontal CPVC/PVC Venting, (Vent Options#1 & 2, Terminal Option A) 24 107362-01 -8/17 VIi. Venting B. Design Requirements Unique to Horizontal Twin Pipe Venting Systems (continued) Figure 7.7: Horizontal CPVC/PVC Venting with Low Profile Terminal, (Vent Options#1 &2, Terminal Options B &C) PVC VENT PIPE CPVC VENT PIPE PITCH VENT PIPE 1/4' PER (FIRST 30' + ELBOW) FOOT TOWARDS BOILER 3' PVC AIR I PEX FGV CONCENTRIC INTAKE PIPE VENT TERMINAL (SEE TEXT FOR IPEX MODEL NUMBERS) ' E 0w �I PITCH INTAKE AWAY FROM 1 BO I LER IF POSSIBLE BUILDING EXTERIOR BO I LER ROOM Figure 7.8: Horizontal CPVC/PVC Venting with Concentric Vent Terminal, (Vent Options#1 &2, Terminal Options D& E) 107362-01 -8/17 25 VII. Venting B. Design Requirements Unique to Horizontal Twin Pipe Venting Systems(continued) CENTROTHERMINNOFLUE VENT PIPE PITCH VENT PIPE%8"PER FOOT TOWARDS BOILER TO 36, PVC AIR �21 INTAKE PIPE 10. TRIM PLATE-PROVIDE FOR EXPANSION CLEARANCE THROUGH WALL AS NEEDED OILER ROOM ALTERNATE INLET PITCH INTAKE AWAY FROM \ I�, $�� TERMINAL LOCATION BOILER IF POSSIBLE 1�. �OR�1N BUILDING EXTERIOR RECOMMEND EXHAUST MIN. MIN. 12"ABOVE INTAKE. MAY REDUCE TO 0"IF NEEDED. / POLYPRO OR INNOFLUE UV RESISTANT STRAIGHT TERMINAL END PIPE WITH RODENT SCREEN TRIM COLLAR INLET TERMINAL WITH 10.O RODENT SCREEN R IFSS Figure 7.9: Duravent PolyPro, Selkirk, Polyflue or Centrotherm InnoFlue Horizontal Venting (Vent Option#3 -8,Terminal Option A) PITCH VENT PIPE 5/8" PER FOOT TOWARDS BOILER PVC AIR 2" OR 3" DURAVENT DURAVENT POLYPRO INTAKE PIPE POLYPRO VENT PIPE HORIZONTAL CONCENTRIC VENT TERMINAL DURAVENT PN2PPS-HK OR PN3PPS-HK ,-I PITCH INTAKE AWAY FROM l2 BOILER IF POSSIBLE BOILER ROOM BUILDING EXTERIOR Figure 7.10: Duravent PolyPro Horizontal Venting with Concentric Terminal, (Vent Options#3 &4, Terminal Option F) 26 107362-01 -8/17 V[ Venting E Design ReqdrmentsUnique to Horizontal Twin Pipe Venting Sy stems(continued) 2 i U§ Y) W ZO §\§ a � \ ii j �R \ _ i) � 'w / �� o ±K «_ 30NVISIO / L § §§ §i \ � gz 2 � ■ �� \ � �\ ■ E ¢ " 0f $ w , ��w 2 & F § � ww�� 0 § ■ ■ & ■ � a ■ ■ ■■ | A ( & ■ ■ ■ & & A 2 0 ■ R2 F � q \ 0 k E e 2 c E ) E3 — \ .§ � ' § e7 0 z ]»! / 0 ® © § / \§\ \ \ F §k) 0 tea = M J » � 10 3 2 01 -&17 27 VII. Venting C. Design Requirements Unique to Vertical Venting Systems(continued) VENT iEBMINAL pcO .DEI-IW II ABOVE INTAKE.MAV WE E / To f F NEEDED. M� IT To NT T NAl RU NIICAL WN(TW) T2 Ml ARM GRADE.I KWM ANT WATED MGM,LENAI coma BTION M TENIYAI T!W Figure 7.12: Snorkel Terminal Configuration (CPVC/PVC Vent Systems Only) C. Design Requirements Unique to Vertical Venting Systems Table 7.13a summarizes all vertical twin pipe vent options.Table 7.13.b summarizes vent options in which an abandoned B-vent chimney is used both as a chase for the vent pipe and as a conduit for combustion air. In addition to the requirements in Part Vll-A,observe the following design requirements: 1. Permitted Terminals for Vertical Venting Terminal Option H: Fittings(Acceptable for Vent Options I -171—Vent terminates in a plain end(coupling for PVC,bell end for PolyPro,Polyflue and plain end pipe for InnoFlue). Intake terminates in a PVC 180 elbow pointing down(two sweep 90's may be substituted).Observe the clearances from the roof,and normal snow line on the roof,shown in Figures 7.15 and 7.17.The section of PolyPro,Polyflue or InnoFlue exposed to the outdoors must be UV resistant. Use of rodent screens is generally recommended for both terminations.Two rodent screens are included within the available 2"and 3"vent kits or can be fabricated from 1/2"stainless steel mesh screen. Rodent screens("bird guards")for PolyPro, Polyflue and InnoFlue are as follows: SizeNent System Rodent Screen("Bird Guard") 2"PolyPro DuraVent#2PPS-BG 3"PolyPro DuraVent#3PPS-BG 2"Polyflue Selkirk#2PF-HVST 3"Polyflue Selkirk#3PF-HVST 2"InnoFlue Centrotherm#IASPP02 3"InnoFlue Centrotherm#IASPP03 Terminal Option 1: Inex FGV Concentric Terminal(Acceptable for Vent Options 10& 11)-This terminal is shown in Figure 7.16 and may be used with CPVC/PVC vent systems.Use a compatible roof flashing and storm collar in accordance with the Ipex instructions for this terminal.This terminal is available in various lengths and in both PVC and CPVC.Terminals acceptable for use with these vent options are as follows: Ipex PN FGV Concentric Terminal Description 196005 2 x 16"PVC 196105 2 x 28"PVC 196125 2 x 40"PVC 196006 3 x 20"PVC 196106 3 x 32"PVC 196116 3 x 44" PVC 197107 3 x 32"CPVC 197117 3 x 44"CPVC See Part VII-E of this manual and the Ipex instructions provided with the terminal,for installation details. 28 107362-01 -8/17 ACOR�9 CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDIYYVV) `.� 4 1 _u_; 10/13/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Lockton Companies NAME: 3280 Peachtree Road NE,Suite#250 PHONEIAIC.No. FAx Atlanta GA 30305 E-MAIL (404)460-3600 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:Evanston Insurance Com an 35378 INSURED Aqueduct Plumbing,Heating&Cooling,LLC INSURER B:Liberty Mutual Fire Insurance Company 23035 1511838 115 Wall Street INSURER C:The Princeton Excess&Surplus Lines Ins Co 10786 Valhalla NY 10595 INSURER D:LM Insumce Corporation 336M INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 19031663 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDDIYYI'V MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000 000 A X Y N MKLV2PBC001643 8!10/2022 8/10/2023 CLAIMS-MADE n OCCUR NTEO - PREMISES Ea occurrence i 100 000 MED EXP(Any one person) s Excluded PERSONAL&ADV INJURY $ 1000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 200,M0 _ POLICY _ JET LOC PRODUCTS-COMPIOPAGG. S 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y N AS2-651-292549-022 4/1/2022 4/l/2023 IEOMBW rISINGLE LIMIT $ 2 000 000 _ X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX AUTOS ONLY A TOSS BODILY INJURY(Per accident) $ y,)Cy�X� HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX AUTOS ONLY AUTOS ONLY Per accident $ XXXXXXX C UMBRELLA LAB X OCCUR Y N 60A3FF0000171-00 8/1Qt2022 8/10/2023 EACH OCCURRENCE s $5,0WON X EXCESS LIAB CLAIMS-MADE AGGREGATE s $5,000,000 DED RETENTION f $ XXXXXXX WORKERS COMPENSATION PER 1T D AND EMPLOYERS'LIABILITY YIN N WA5-65D-292549-012 4/1!2021 4/1/2023 X STATUTE ER ANY OFFICERIMEMBER EXCLUD DX ECUTIVE � N/A E.L.EACH ACCIDENT $ 1000 000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1 000 000 _ If yes,describe under 1 0 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 00 I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD tOt,AddMonal Remarks Schedule,may he attached N more space is required) Certificate Holder is an additional insured with respect to General Liability,Auto,and Umbrella policies. CERTIFICATE HOLDER CANCELLATION 19031663 Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 King St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rye Brook NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT9TJYE %- ©1988-201 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Workers' oaK CERTIFICATE OF —� ME STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a. Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured Aqueduct Plumbing, Heating &Cooling, LLC 914-666-9199 115 Wall Street Valhalla NY 10595 1c. NYS Unemployment Insurance Employer Registration Number of Insured 5538703 Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State. i.e.. a Wrap-Up Policy) Number 88-3136026 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) LM Insurance Corporation Village of Rye Brook 3b. Policy Number of Entity Listed in Box 1a" 938 King St Rye Brook NY 10573 WA5-65D-292549-012 3c. Policy effective period 9/12/2022 to 4/1/2023 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box '3"insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers' Compensation Law (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail )Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by. Talor Powers (Pni 7�/"--n ative or licensed agent of insurance carrier) Approved by 10/7/2022 (Signature) (Date) Title: Sr. Client Service Coordinator Telephone Number of authorized representative or licensed agent of insurance carrier 470-539-5761 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 70732373 1 5-292549 1 C105.2 9/22-4/23 Aqueduct Plumbing, Heating & Cool I Connie Myszka 1 10/7/2022 1:36:51 PM (CDT) I Page 1 of