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Home My WebLink AboutBP23-036PERMIT #fV / d.) SECTION laqlj 3� TYPE OF WORK AleG�l JOB LOCATI'ONq OWNER Z J//7 / rn SST. COST TCO # FOOTING FOUNDATION FRAMING RGH FRAMING DATE: �® C) 31 wp' ,:3/3okq BLOCK <zD _�iLlf SOT O, 2 >iVe ei i �t�� iS� IAI 1L/ may' I.� o�� - 0/c&/*7 ��y7)337 7S7/ FEE ci -Mb _ FEE4 �v C IDATE FEE DATE INSPECTION RECORD DATE INSP OTHER APPROVALS OTHER INSULATION � ,QL' PLUMBING � �-q RGH PLUMBING GAS O I, _ SPRINKLER -1 ��03'gl sak tr7re S`,,G�s-i�ki� Sys%.r�S C C 1e4k,4 _ /C� 1, 2U�� ELECTRIC �J Tg13©�� K /reC��Giil �lec�ric�/ �'o/jO LOW -VOLT 0 ALARM��'/�O`SCC��SaIu�E'S�CG!/1 y AS BUILT 0 SS FINAL�L-jvnzml�- Aff ol�\ I #%jk A "I 0*?o)A je o ,�++ VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 23-157 Certificate of Occupancy 6> ) This is to certify that �� / of. &"66 A1 y having duly filed an application on 20—a—a requesting a Certificate of Occupancy for the premises known as, ll�� cS�u�h Rye Brook,NY, located in a C/-10 Zoning District and shown on the most current Tax Map as Section: Block: a Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No , issued 20.-;�3, 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: &51J SJh qyz)4,D `V3 Construction: for the following purposes: JfV-er16,y- Qom ' r I � 6/7d V 4- �r V ee rmotra uge / NO &&Le�C�1-2Q 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 hei hall be ma ,nor ll the building be moved from one location to another until a permit to accomplish such change has ee bt ' e om 0 Building Inspector. Building Inspector,Village of Rye Brook: Date: OCT 1 2 2023 �yE 4R t`et JJV G L It 4 � �V. VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.aebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE October 12,2023 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 164 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.27-1-6 This document certifies that the work done under Mechanical Permit #23-086 issued on 6/5/2023 for the installation of a new rooftop condenser and two air handlers have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to ..v 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 October 12,2023 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 164 South Ridge Street, Rye Brook,New York 10573 Parcel ID#: 141.35-2-36 Mechanical Permit#23-034 issued on 3/30/2023 for Fire Sprinkler System Modifications This certifies that the fire sprinkler heads,installed under the above captioned permit,have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to RECE � 'E I IDJUL 2 4 2023 BUILD 1vT Forofrtce •�� PERMrr 0 �>tp VIL OF RYE K ISSUED: VILLAGE OF RYE BROOK 938 KrNG STRE YI&BROOK, YOM 10573 DATE: BUILDING DEPARTMENT , O_ �N� FEE:14 /& PAMW 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 ............. Address: 164 South Ridge Street(Rye Ridge Shopping Center), Rye Brook, NY 10573 Occupancy/Use: GfDV B(Owlneaa) Parcel ID#:141.35-2-36 Zone: C1-P Owner: Win Ridge Realty LLC- Dave English Address:'M Rye Ridge Plaza, Rye Brook, NY 10573 P.E./R.A.or 'on; . Coyle Contracting Corp. Address: 11 West 42nd Street,Floor 2,New York,NY 10035 Person in responsible charge: Kerri McGinley Address: 11 West 42nd StrBet,Floor 2,New York,NY 10036 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 structurelconstruction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: Kerri McGinley --being duly sworn,deposes and says that he/she resides at 11 West 42nd Street, Floor 2 (Print Name of Applicant) [Me.rind Street) in New York in the County of in the state of NY that Cm lows/vlllago helshe 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 5"-25-, tau . OJ _ for the construction or alteration of: Bond Vet Dcponent 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/completcd in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as crected/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. Swom to before me this 2+ Sworn to before me this day of 20 _ day of �`a1 ,202 _ Q gnat of Pro Oweer A(vvr iSignaturclof Appl t �c E06- s Pant Name of Property Owur r Print Name of Appluanl tv Naary��+� - - Notary Nb'Mrrie A McFadden Kr-LLY S N)� En Notary Public Notary t''.•' Naw York New Jersey Pii>1 G: .. ...r` My Commission Expires 2-7-24 C)up.5fis i in 'r. h:;aar CoGln y No.50098593 Commission Expues Match 9, 20�;) o �E BR(�k, o`` tim /'• 1932. BUILDING DEPARTMENT ❑BUILDING INSPECTOR " ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street . Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - -- - - - - - - - - - - ADDRESS : 1 \ t ... - DATE: ( � � � , � "��. ISSUE): SECT. B PERMITLOCK: LOT: LOCATION: ` �� (1 OCCUPANCY: ! �� ❑ Violation Noted THE WORK IS... [� PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION , ❑ Natural Gas \ ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ,,O'-FINAL ❑ OTHER �Qy6 BRC��• O Z� 82 cu � �7 BUILDING DEPARTMENT BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : � 1 `� `�- \=\ DATE: �, t � • PERMIT# ISSUED:.. SECT: t BLOCK: ,l LOT: LOCATION: V _�, 4 �� — OCCUPANCY: L ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL •,,/l(Y��c ❑ OTHER' v� �Qy6 DRcb O Zm cu � >> �O 1982 4 BUILDING DEPARTMENT ,,e 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 :_ i (^�•'�-�-'� C 1 Q 1 1 DATE' PERMIT# V� ISSUED:�I�� SECT: BLOCK: LOT: LOCATION: `�� '"`� OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION �� ❑ Natural Gas "` '� ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING 1 ,t 1 n r \ 1 1 ❑ CROSS CONNECTION V V V ❑ FINAL �{ J ❑ OTHER �E BRC��, o`` tim cu � ��• �9b2 �' BUILDING DEPARTMENT OUILDING 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 : I DATE: PERMIT#` � ISSUED: SECT: BLOCK: LOT: LOCATION: - `�� OCCUPANCY: ❑ Violation Noted THE WORK IS... ,�6ASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION r\ \ r ❑ Natural Gas ❑ L.P. Gas c C �"' Q - ❑ FUEL TANK FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL [} OTHER BRC�k. O Z� cu � l7 1932•��O BUILDING DEPARTMENT 34 UILDING INSPECTOR !//////❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street. Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - -- - - - - - - - - - -- - ADDRESS : � � � � DATE: 0-2-42.402� PERMIT# / r ISSUED:—4��SECT: LOCK: LOT: LOCATION: P , �� .� OCCUPANCY: ❑ Violation Noted THE WOR�Is... ❑ PASSED ❑ FAILED / REINSPECTION ❑ SITE INSPECTION \� ,y �` REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE 1 ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: Er ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION . ❑ Natural Gas �C- ❑ L.P. Gas ❑ FUEL TANK � (ULt:..Y` �� j ❑ FIRE SPRINKLER V �:�� k l�� ❑ FINAL PLUMBING \ \ ❑ CROSS CONNECTION •v l �f`1� � , : �� i�1�U�- l-C? U��' C �()C�1 ❑ FINAL ❑ OTHER `` \\ a. : s e a _ H a .. a W fYi U a ., 0 a : oll y a = O Z � O e 1 a 2 O O O 00 9 B f z b a � ovo � � .� Ln xn I I � a co a Vr �+ 1-+- rz 04h O I., i U s W v O z U M 4 z Uz v o a a W C� � I ►`> " �-. � W CJn y, 0 `� oA Q v � �j z � �� 0 a � V O e I� oo cn °' `�' a w 3 o C v .r s 1"1 N z z b w V o � .� o z y w cn A.. a It o. BUILD MENT DMCIEWEB VIL E OF RY OOK NOV 3 0 2022 938 KING ET RYE BRO ,NY 10573 4 -0bb$ VILLAGE OF RYE BROOK -a BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY:Approval Date: �` ermit C✓3&Application Fee:$ o Approval Signature: Permit Fees:$ 1q.43 7J —&C Disapproved: Other: Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an tRistirfg building,or for a change in use,as per detailed statement described below. 1. Job Address: 164 South Ridge Street SBL: 14103500020360000000 Zone: C1-P 2. Proposed Improvement.(Describe in detail): Proposed interior alteration to existing vacant commercial space for proposed Bond Vet Clinic (No Grooming or Boarding proposed). Scope to include plumbing, electrical and mechanical upgrades inclusive of RTU replacement 3. Does the proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: x Yes: If yes,indicate: TIER II: TIER 11: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No: Yes: x (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 5. Occupancy;(i fam.,2 fam.,comm.,etc...)Prior to Construction: Commercial After Construction: Commercial 6. N.Y State Construction Classification: 11B N.Y.State Use Classification: B (Business) 7. Property Owner: Win Ridge Realty LLC-Dave English Address: 10 Rye Ridge Plaza, Rye Brook, NY 10573 Phone#914-701-4005 Cell#973-900-2431 email: denglish@winprop.com S. Applicant: Tom Galligan - Bohler Engineering Address: 275 Broadhollow Road, Ste 100, Melville, NY 11747 Phone 4 631-738-1200 Cell 4 631-524-0105 email: tgalligan@bohlereng.com 9. Architect: Paul Tirrell -Tecton Architects Address: 34 Sequassen Street, Hartford, CT 06106 Phone#860-548-0802 Cell#860-990-6910 email: FAULT@TECTONPC.COM 10. Engineer: Joseph DelPozzo-MEYERS+ Engineers Address: 275 Madison Avenue, Ste 603, New York, NY 10016 Phone#332-240-0501 Celll4 91-7-36-4-8956 ,� emaiLl: JOE@MEYeERSPLUS.COM/ 11. General Contractor:C OLD J-e /001j7Y0�'l dQev ss: / ct J [� �— Phone#�/� -5/O p a76 Cell# 3-V7-33 7 7Z/ t /(J N /00 3�ci 12. Estimated cost of construction $ 575,000.00 ke,rrT 6_6_ 7 ._y (NOTE:The estimated cost shall include all labor,material,scatiolding,fixed equipment.professional fees,and material and labor which may be donated gratis.) 13. Job Timetable: Start: Approx.January 2023 Finish: April 2023 (I) 8/12/2021 i [ECIEWED BUILD MENT N 0 V 302022 VIL E OF RY OOK IR 938 KING ET RYE BR ,NY 10573 4 0 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: Dave English -Win Ridge Realty, LLC 10 Rye Ridge Plaza, Rye Brook, NY 10573 , residing at, iPrinl n;mn•I IAddre , h�r� uu li,: 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; 164 South Ridge Street , Rye Brook,NY. (Job Addrea,) 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. 11 or ri ,, ,Iv(4vrrrrr-. r OFINT UPN I D e+Y-I LAW L \/P O f f r-AT1&�AS . i Prim lornc nr Pro)eni 4swrrCTT� Y 1 Sworn to before me this day of x-N j\p�k_ , 20 I�uttn, rbiic) -IN York (2) xn 2I202 t 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. ************* * ***** ***** ****** im Notice of Utilization of Truss Type, Pre-Engineeredor Timber Frame Construction. t l itic 1�9 Part 1264 K I20 KTo:The Building Inspector of the Village of Rye Brook. DEPARTMENT From: Edward J. Cutler Subject Property: 164 South Ridge Street, Rye Brook SBL: 14103500020360000000 Zone: C1_p Please take notice that the subject; ❑One or Two Family; a 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) ❑ Pre-Engineered Wood Construction(PW) Timber Construction(TC) in the following location(s); ❑ Floor Framing, including Girders&Beams(F) ❑ Roof Framing(R) ❑ Floor 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 §1z6q for Commercial Buildings, and NYCRR §1265 for One& Two Family Dwellings. 1 Sworn to pbelforp me this Not Applicable Sworn to bef a me this day of 20 (No Wood/Timber Frame day of IZ A'hw ,20 Construction Project) Signature of Prope Ow aet- S' ature of Design Professional Dave English L—� ._) - C u} Iry Print Name of Property Owner Print Name of Design Professional Notary P18bT1c Notary Public 0Z WY �. * COMMISSION (3) 030026.-�C J ��'cONN E CI\G0`�` 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. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Tom Galiigan-Bohler Engineering ,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 Agent for Tenant for the legal owner and is duly authorized to make and file this application. (indicate architect,eonuactor,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 A,, Swom to before me this day of 1,� a,1l� , 20 02 day of��_� , �� , 20?7 —9A Signature Propetokwetl Signature of Ap cant Dave English Tom Galligan Print Name of Property G4VM Print Name of Applicant i Notary Public tart'Public JENNA CRISTINO Notary Public-State of New York No.01 CR6326550 Qualified in Suffolk County My Commission Expires June 22.2023 � r (4) 8/12r2021 0 d H oo C4 1 � ao z ; uj Gtl LL -= pug a u O Z rn w F+ M U N 0 F 0 w s - Ln • - M C � w LT �4 = zw z � � zUZ � 0 - � � 00 � pq cn V � w c V zz W , W A W N AGf QIt o H a W O � p W O V F 8 U W z a � � " x c7 '" A O c7 a �•y z w Q P z O � w �I � � � LD I = � i BUILDING DEPARTMENT VILLAGE OF RYE BROOK APR 12 2023 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 BUILDING DEPARTMENT www.ryebrook.orf; ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLN BP#: Q3_.- V �o EP#: cD3 o Approval Date: A P R 10 Permit Fee: Approval Signature: V Other: Application dated, — is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment,wiring, 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 Local Codes. 1.Address: SBL: 35"D-3(0 Zone ff�� , 2.Property Owner: In tnAd-dr e 2LA�A t-(Ct,r 21c1 JQ Pin,- f�ue.�,Iq� (( Phone#: glu �Oi LACIDS Cell#: email: 3.Master Electrician/Licensed Installer: Address: Lic.#: Phone#: I`)(J-4( il.j�4i Cell#: qIU bP 6 59 email: CE�COAC—lf�H Company Name: CreC420n f-12CtrtCCt1 C r)'t3 Address: 4,)2A brbb�/BJ(��(, 4.Proposed Electrical Work/Fixture Count: j145 - h6k,y-S . 1 I0 —clooet:5 _'L - Cc-r 0,-6ix .. k - A 80 5.31 Party Electrical Inspection Agency: '-S i•J 1 S STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: l//.1 L "—.*7- ,being duly sworn,deposes and states that he/she is the applicant above named,and does further ( rint name of individ si g as t pplicant) state that(s)he is the r-�t for the legal owner and is duly authorized to make and file this application. (Master Vectrician/Licensed Installer) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Sworn to b fore me this day of 120 day f , f ,20 Signature of Property Owner Signature o Applic C Print Name of Property Owner Print/Name of Appl nt Notary Public Notary Public GREGORY R RNERA NMNV Publk,Stab of New York No.CIPJ 41398 3/3/2023 Qualified In Wastchester County (}� Comntisafon Expires September 26, _ • STATEWIDE INSPECTION Service With hae.qri�v 1:1 Main Street,Fishkill, NY 12524 1 emoil. • • . • SWIS JOBAPPLICATION tel845.202.7224 • • 1•21 SWISNY.com I SWISTraining.com Office Use Elect.Permit# �._ iJ \� _ Date Bldg Permit#� /�� -� �� / Utility ID# Final Certificate# City/Village �7 v UO Zip /� _ Township . County, Address J ' Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number ❑Basement ❑1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential �mmercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps 4 Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw / Incandescent Fluorescent l 't 6--0 SERVICE Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information C01761 K sOr• 12 2023 DD f fw 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 arry 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 Dated Signature Adcll! s, F E City/State Zip Code t License# Phone# �D i State Wide Inspection Services 1080 Main Street JUL 2 8 2023 ID Fishkill, NY 12524 a 845 Phone I VILLAGE OF RYE BROOK 914-21 062 Fax STATE WIDE INSPECTION SERVICES � Email: office@sw9 1swisny.com BUILDING DEPARTMENT Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Creggan Electrical Corp Win Ridge Realty LLC Eugene Eccles 164 South Ridge Street 4235 Katonah Avenue Rye Brook, NY 10573 Bronx, NY 10470 Located at: 164 South Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-088 141.35 36 Certificate Number: 2023-3673 Building Permit Number: BP 23-036 A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 164 South Ridge Street, Rye Brook, NY 10573 The Basement and First Floor were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 12`h day of July 2023. Name Quantity Rating Circuit Type Receptacles 110 GFCI 04 Switches 35 Refrigerator Receptacle 01 Microwave Receptacle 01 LED Luminaires 145 Condenser 01 Air Handlers 02 Electric Water Heater 01 Name Quantity Rating Circuit Type Meter 01 Subpanel 01 Disconnect 01 Service 01 200AMP Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. Page 12 O = W � H N = H , w W v a 0-4 rA � w Q W W LL. � C MCI � od �1 + v Lcn 1 M a F A A + O Z O O Z N N O (� O/ w z , MCA cq C � N N H Ln vt . , r-, z ►-a z x ' F+=I 00 � v + ��J C/� z 1 W W O in V Z a s Vr � A z � � � w � � � w � 'Q . • V Cl) x a A N a d� V A z Z zo z x a w it a wo W N W W F o z z N V 2 . cl) V z a Go)- x O � z H A z A O � �+ r Od vWi w d oa s � yE BRnu,� BUIL E MENT RF:A::0'2023F VIL E OF RYE. OK 938 KIN ET RYE B ' ,NY 10573Y1 or VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATION BUILDING DEPARTMENT Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: Approval Date: 2� Permit Fee: S ��C� Approval Signature: Other: Application dated,V 1/0 �3 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 electrical equipment,wiring, 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 Local Codes. 1.Address: Bond Vet - 164 S. Ridge Street, Rye Brook SBL: /-411-3-S —3� zone: 2.Property owner: Win Ridge Realty Address: 24 Rye Ridge Plaza, Rye Brook, NY 10573 Phone#: 914-701-4005 cell#: email: winprop@avidbill.com 3.Master Electrician/Licensed Installer: David Raizen Address: 132 Montgomery Avenue,Scarsdale,NY 10583 Lic.#:12000040723 Phone#: 914-722-2200 Cell#: email: sales@scarsdalesecurity.com Company Name: Scarsdale Security Systems, Inc. Address: 132 Montgomery Avenue, Scarsdale, NY 1058 4.Proposed Electrical Work/Fixture count: Provide and Install: 14 Smoke Detectors, 2 Manual Pull Stations 2 Duct Detectors, 6 Horn/Strobes, 11 Strobe Lights 5.31d Party Electrical Inspection Agency: nx,:xxxxxx*xxxxxx*xxxxxxxxxxx************,�***Y;:xxx*****************rxxYx**xxxxxxrxxrxxxx*xr;:xxxxrxxxxrxxxx STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: David Raizen 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) state that(s)he is the Licensed Installer for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Sworn to before me this Sworn to before me this day of ,20 day o 0 Signature of Property Owner of Applicant David Raizen, President Print Name of Property Owner Print Nqfne of) t Notary Public quMis M DIP"" Npfary Public-state of New V4* No.01016328920 Qualified In Putnam C.strM My Cpm(ni>;SlOt1 lG1tPIfAi t�_ 3 /2023 STATEWIDE • Service Willi liilcgri�v 1:1 Main Street, Fishkill, NY 12524 1 email:• • Swis JOBAPPLICATION84 12.7224 I fax9l4.219.10621 • • • Office Use Elect.Permit# Date Bldg Permit#, Utility ID# Final Certificr✓ate# City/Village Zip Township County t.ZJ i Address '`_ /� wC Cross Street Section Block Lot Owner Name/Address(lf erepttti)v`- Contact Number ❑Basement ❑ 1 st FI. ttJJ❑2nd FI. ❑3rd FI. ❑More Than 3 A. ❑Garage ❑Attic ❑Outside ❑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 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑ Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information 2 G r�L.Pe�rnp�'t b S D �C rt LE} AMC MAY 10 2023 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,Hat 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 Naffs L S ,-r-` Date L'� Signatur Address Z VI La-1 C�v City/St zipE4 Ski License# 1 Phone# q0-A I'll 2323 D �s I State Wide Inspection Services ck� 1080 Main Street AUG 1 0 2023 Fishkill, NY 12524 06 a S 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES I BUILDING DEPARTMENT Email: office@swisny.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: Scarsdale Security Systems Bond Vet Catrina Dimeglio 164 South Ridge Street 132 Montgomery Avenue Rye Brook, NY 10573 Scarsdale, NY 10583 Located at: 164 South Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 23-110 141.35 2 36 Certificate Number: 2023-5486 Building Permit Number: BP 23-036 A visual inspection of the electrical system was conducted at the Commercial occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 164 South Ridge Street, Rye Brook, NY 10573 The First Floor was 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 31st day of July 2023. Name Quantity Rating Circuit Type Smoke Detectors 17 Duct Detectors 02 Pull Stations 02 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. N tog M N N _ \ \ N o u a 00 Z W z N19 lz w o CJ H Z o00 " A z g wa O = w L � V � O w � j.., W o O Q V w � � z � F �. a z 0.4 oo w Z L � Q z � 00 C\ it Z A x W z W F A Q z a A zwz z z � a O ui 3 N 0 o � x cn w �� A O U Q p EC ENE APR 21 2023 BUILDING-DEPARTMENT Vli}'AGE OF RYE BROOK VILLAGE OF RYE BROOK 938 KINd STREET RYE BROOK-NY 10573 BUILDING DEPARTMENT (914)939-06u8 PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: `O PP#: 03 0 q Approval Date: APR 2 Permit Fee:S n2 C/ Approval Signature: Other: Disapproved (fees are non-refundable) Appftcation dated, JZ 1_ 1. `" is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install an or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. f- n `1 1.Address: 4 ttC !fit %C-�( iC�i��SBL: /7/.3�—a-3� Zone: 2.ProposedWork. " C�•� i►,c�„L. L dss &6 d/ 3.Property Owner: A)j4/C//,Q*e /C C� LLC--- Address: Phone#: email: 4.Master Plumber,+'/.. y v Address: 3S�} Lic.#: 15-4f-4 Phone#: 91ti 2S'b S 3'3c> Ceti M ernaii: ec-i,-t 9l [s ryto 4. err►I Company Name: 1�(Tr2L Address: vt INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary 1 Natural/ Otber* Total Closet-, Fountains Tubs Tubs Service Service Sewer LP Gas Basement I st Floor j 2nd Floor 31 Floor 4'"Floor 5's Floor Exterior 5.* List Other Equi jpmcnt/Provide Details: a4ve L"i i t1.s (Notarized Signatures Required Next 2 Pages) STATE OF NEW YORK.COUNTY OF WESTCHESTER ,Vc_ being duly sworn,deposes and states that he/she is the applicant above named, (print ttttanaE of individual signing as the applicant) and f u-ther states that Whe is the Master Plumber 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 Sworn to before me this dey of 20� day of ,20 DS' uure6wnee- Signature-ofl4plicant A6epr DAAAD r97N6"tk- P400Z �uc� Print Name of Pro orwr- Print Naryle of Applic t 6 ae / l� Notary u c Notary Public K.ELLY SANDLER Notary Public, State o`New York No. 01 SA600, 2 Quelified in 'M.estchr sier County Commission Expires Mat ch 9, 20 2 This application must be properly comp feted in its entirety and must include the notarized signature(s)of the legal owner(s)of the subject property, and the applicant of record in the spaces provided.Applications not properly completed in its entirety and?or not properly signed shall be deemed null and void and will be returned to the applicant. EILEEN A HICKEY NOTARY PUBLIC-STATE OF NEW YORK No.01 HIS435585 auaiified in Westchester County My Commission Expires 06-27-2026 13.2m [ECEMED BUII.D ENT APR 2 1 2023 VIL GE OF RYE OOK 938 KING TREE'r RYE BR NY 10573 VILLAGE OF RYE BROOK ,(914)939 BUILDING DEPARTMENT r , 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 i z- {� p --ram� f/V��S�-{' ,residing at. �t��i ��A - R�L (Print namci ddress where you live) being duly sworn,deposes and states that(s)he is the applicant above named,and further states that(s)he is the legal awz=of the property to which this Affidavit of Compliance pertains at; Rve 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 Property Owner(s)) �Pa✓J D '-rN 66 m- (Print Name of Property Owner(s)) Sworn to before me tM-- VIOLET HERNANDEZ d v of .2()�_ Notary Public,State of New York Qualified in Westchester County Commission Exp.on Dec. 12,20 Registration No.01HEW3 1652 (N ry P -3- 8/12/2021 � o = � a ►� o Owl o w H O MLr) V b ja s Q Z o �'1 � W Z z z N O00 0-4 00 y C w A z oE O a 00 ►—� t N O H o $ w cz F �J fn O �Q to, W �" Oi ~ � f�j z ~_ '�i z W yl � v Q � a► ii � � O ►-1 � W x so �s A � u wcn � .o H H za $ v vt W � y �I ml 041 041 ml w ECENE Bum - � ENT D) VIL E OF RY- OOK MAR 2 9 2023 938 KING Er RYF;Brt NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION TO INSTALL FIRE SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: 3-0,/w { Ab 1pproval Date: _,`j O ��$QQ�' o� 3 Application Fee:$ �J� Approval Signature: Permit Fees:$ Disapproved: Other: Application dated: 3�Zi I is hereby made to the Building Inspector of the Village of Rye Brook NY for the issuance of a Permit to install or modify a Fire Suppression/Fire Sprinkler System as per detailed statement described below. 1. Job Address: /�4 y /' ��Z J W I �W //rld /1) y n 2. Parcel I.D.: i �� Zone: 3. Proposed Work(Describe system in detail including suppression agent): .t i�f 4. Number&Types of Fire Sprinkler Heads: p R -� 5. N.Y State Construction Classification: 2 N.Y.State Use Classification. P 16 MU I`C 6. Estimated Value of Job:$�Tlo(t bD (Value shall include all labor,materials.fixed e u1ip'ment,professional fees,and materials a9d labor-whichmayonated gratis.) 1�! +�`��X I1R & l�S_.�C Address: ��t~�C. K� �td J-a, '05�3 7. Propertycaner: t!� - - Phone# m- -1�- p Cell# email: Ab rt `+b Applicant: C Address: 5 Phone# 0 3 2 Cell# 1(4 email: �lS ire C�o�• l r r, (,�a61 Architect/Engineer: r i n+ Address: 4 SC 1S Phone#&6- I�IO-61?4 (� Cell# 40-32q-390L em7ail TM -W(,4tt\ Sprinkler Contractor: J I w j ' •rAddress:' !s GK r/� 1� . Phone# 0��31�S�?� Cell# //�/ a�J�I 3 6 8/ email: kin S 4 t sn 2r_o21 i 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. Please note that application fees are non-refundable. STA OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,,,�, (t, r9i mod, r , being duly sworn,deposes and states that he/she is the applicant above named, _(print name of individuatgning:atWdi icaiV) a d further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the X !.�, for the legal owner and is duly authorized to make and file this application. (indicite architect, ontrictorzagent,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 Codc of the Village of Ryc Brook and all other applicable laws,ordinances and regulations. IqI Sworn to before me this Zg Sworn to before me me this day of 2 ,20 �Z day of IV /Vf Ch , 20 025 Signature of Property OwWr 4 bad-M.Al14;w R ept IT,\. Signature of Applicant MA **TVJ -r�.W_�c 4L Ouw.:� 1\ 5 Print Name of Property 0w9w 0,A)Alb& IZM)y, u Print Name of Applicant Votary ubl c Notary Public C SERANA F EDWARDS Notary Public-State of New York C _.1,..:, _,�:: .: :GZ 140.OiED6434559 Qualified in Westchester County My Commission Expires Jun 6, 2026 2 1_2/20'1 ' 47 a, XI. . .5 6.v LL' z A o 3 I / °d w o v £ , �- mom .0 o € $ • � � $ a °'. O uj Cs .4 -a s- co w1 � W CN W ct7 n 6 'o Z U c m V u y ,�j 4 � V Q � V � z00 14 � CN ,� F d O M ►� W a E x z .b .. - 'z � ( 1 O w W G V C7 A d en o ,,/� C �_ ° 5 — �- ° a 04 p � � C7 �, A C� A a In � �•v o �' u BUILDING DEPARTMENT D E C E� "M E VILLAGE OF RYE BROOK JUN - 2 2023 938 KING STREET RYE BROOK,NY 10573 D (914)939-0668 VILLAGE OF RYE BROOK www.ryebrook.org BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONINGQEQUIPMENT FOR OFFICE USE ONLY: PERMIT#. / ,IU 23 0 6 Approval Date: Permit Fee:$ Approval Signature: Other: Disapproved: (fees arc non-refundable) xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. 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. Inspection by the Building Department for removal and/or installation.(48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. xx**,►**********//**,►***x,tx,►,txxxxxxx*xxxx,►*xxxx*xxxxxxxx*x**,r****,r*,►,r**,r****x****x*****xx*x**xxx*xxx Application dated, c 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. ,D 1. Address:IbH S R>ct1E S� � ,,( I\ SBL: I'7`I i �� Zone:Cr/—/ 2. Property Owner: 7 e/r: V.1\l\ Q 'C 2�,`A Address: Phone#: 1/7— /0/—7 OO Cell#: email: 3. Contractor: R70cc 1��C 1`C'll ��[C�� Address: H (C7,)Qe Y\�P INN 1Ck::P3 Phone#: �lti ) �ZC' >�C(- Cell#: email: hyC�� i1CGl1�C��Gf1lC 4. Scope of Work:New Installation( )•Replacement( )•Removal( )•Other( ): 5. List Equipment: 1 'q V-F C G'(Y'\C d:JCY j 2 Q\4( 1 ex 1�v� �c� . .Z t�\Cc-\--c is CA- + hFctte vc�, 6. Location of Equipment: CCA-"C\n_'�SCY k CX``� TCt.1 C'Y C Gn 'A o;f� \Cu,Cl1-ezv ►t��lCi e . 7. Method of Installation/Removal(list all equipment necdcd to perform job): � Y 1.1 t_�k LA-Al r 3/3/2023 ST TE OF NEW ,COUNTY OF WESTCHESTER ) as: Ut(Y 43n-t- �t rA ,being duly sworn,deposes and states that hc�she is the applicant above named, (priu(name of individual vgnutg as the applicant) and further slates that(s)hc is the Healing,Ventilation and/or Air Conditioning Conlriclor for the legal owner and is duly authorized to make and file this application 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 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 Inws,ordinances and regulations Sworn to before me this _ Sworn to before me this 2 =r day of_ � _ ,20�, day of_ 20 — Si re of P perty Qwnw Signature of Applicant D.WD Fy6lU�} _--- - V t c,�n* Pft(at-(*; Print Name of Property AM- ,,r Print Name of Applicant 1 0, \ Public Notary Public K- .I Y S n Sheena Schttmtinn N '��' r W Y^'k NOTARY PUBLIC,STATE OF NEW YORK ir• i r `„� Regutn;ou No.01SC6413961 - 'y Qualified to Weatcbester Cmm!y Car1m1ssicn Expirss f;iG h �� 6ominir+iilnlhpUte02f�Dl�Ba! This application must be properly completed in its entirety and must include the notan,-ed signature( the legal owner(s)of the subject property, and the applicant -f record in the spaces provided. Any application not properly completed in its entirety and/or not properly ,igned shall be deemed null and void and will be returned to the applicant 01 Add Point-� N 0.00 ft - 46. Use the crosshair or Pencil to sat points y, 44 46 IF jk Ilk r � r • 1 • y '• p r ` y�� t r s GoO l2 7 J' td 7 436 ft TRAHE' Submittal Prepared For: Date:October 25, 2022 Meyers + Engineers Bought by: Job Name: Bond Vet Bond Vet 146 S Ridge Street Rye Brook NY 10573 Trane U.S. Inc. is pleased to provide the following submittal foryour review and approval. Product Summary Qty Product 1 Trane - Mitsubishi VRF Outdoor Unit 2 Trane - Mitsubishi VRF Indoor Unit Aymeric Alejo-Chaban—Meyers+ Engineers AM The attached information describes the equipment we Trane U.S. Inc. propose to furnish for this project and is submitted for 10-27 46TH Avenue your approval. Suite 106/200 Long Island City,NY 11101 Submittal acceptance and return is a critical step, so Office Phone: (71 S)269-3600 please ensure submittals are returned with approval to release to production within 14 dayfi of submittal date. Product performance and submittal data is valid for a period of 6 months from the date of submittal generation. If six months or more has elapsed between submittal generation and equipment release,the product performance and submittal data will need to be verified. It is the customer's responsibility to obtain such verification. M+ Comments: 1. MC to coordinate volume damper and outside air sheet metal connections with factory provided filter boxes. Provide addition sheet metal as required. 2. MC/GC to provide required vibration isolators as specified within the design MEYERS+ documents. 3. MC/GC to balance units to design supply and outside airflow rates. Submit Not■CfPtIUN+MUTED balancing data for approval. EXCEPTIONS WHIO NUNEMIBWSSIfV1RFOLIAEP 4. MC/GC to coordinate condensing unit location with building prior to tJCE�11pNl TIOItO IIEftIrMI TiM NEuNb installation. Unit to be located in location of removed RTU unit. NIVO(XNN NI SIINMII 5. MC to coordinate programmable schedule control requirements for external --- fan interlocks. =`='-`=-==• =-�=' 6. MC/GC to submit finalized refrigerant pipe routing to manufacturer for review 10'2620,: V, NAKI and charge requirements. October25, 2022 Tag Data-Trane-Mitsubishi VRF S stem Q : 1 Item Ta s Qty I Description Model Number Al ACCU-1-1 1 144 MBH High Efficiency Heat Pump TUHYE1443AN40AN B1 AC-1-1 AC-1-2 2 172 MBH High Static Ducted Indoor Unit TPEFYP072MH140A Outdoor Unit 208/3/60 High Efficiency Heat Pump Changeover System (1) QSSB48M-12 12"Outdoor Unit Stand(Field Installed) Indoor Unit(s) 208/1/60 (2) FBH4-4 Filter Box w/MERV 13 Filter(Field Installed) (2) SS610E Drain Pan Level Sensor(Field Installed) (2)S130-230 Condensate Pump(Field Installed) Controls (2) TAR-40MAAU Wired 7-Day Programmable Thermostats(Field Installed) (2) PAC-SE41 TS-E Remote Temperature Sensor(Field Installed) Not Included: Control integration/wiring,smokedetectors,refrigeration tees,wind baffles,hail/snowguards,flowswitches, secondary drain pans,disconnect switches,refrigerant piping specialties,hangers,refrigerant pip ing,water piping,hose kits/valves,insulation,isolation valves,watt-hour meters,tenant billing software,additional refrigerant,roof rails or curbs, condensing unit mounting brackets,humidity sensors,external vibration isolation,rigging/receiving,spare parts,service labor, installation labor,LEV installation,LEV sensor installation,extended warranty,labor warranty,start-up Equipment Submittal Page 2 of 3 October25, 2022 Ductless Warranty/Technical Installation Support A. Site Review by Ductless Technical Specialist 1, Pre-construction meeting with Trane Ductless Technical Specialist required to review site conditions,Installation requirements,best practices,and pro-startup requirements. 2. At least(1)Jobslte review during installation with Trans Ductless Technical Specialist required. 3. Installing Contractor must provide updated piping layout required to complete the Diamond System Builderdesign file. 4. Owner-Tralning by Trans Service Department Is not Included unless otherwise noted. S. VRF City-Mutti Start-Up Assistance by Ductless Technical Specialist 1. No start-up assistance Included on Nv&PSeries Mini-Splits unless otherwise noted. 2. Trans can provide a Ductless Technical Specialist to supervise the startup of up to 2 systems. 3. Installing Contractor MUST have technicians on-site to perform mechanical start-up under the supervision of Trane.Technician must be equipped with Maintenance Tool and Laptop. 4. Installing Contractor must contact Ductless Technical Specialist to schedule VRF Start-Up Supervision no less than 2 weeks before requested start-up date. 5. Installing contractor must submit completed Component Location Sheetand Prestart Checklist to Ductless Technical Specialist no laterthan 3-days priorto requested start-up date. 6. Installing Contractormust verify system Installations meet Trane-Mitsubishl requirements including butnot limited to service clearances,pressure tests,vacuum tests,electrical powerto units,wiring/piping connections,and refrigerant charge griorto start - YJL 7. No installation laborwiil be completed by Trans personnel unless otherwise noted. 8. City Mufti and Nv&P-Series Service/Maintenance Tools not Included unless otherwise noted. 9. Any additional labor required from Trans to complete start-up procedure will be billed separately. Responsibilities of DTS at Assisted Start-Up: 1. Provide support to Installing contractor as system start-up data is pulled into Maintenance Tool 2. Update Diamond System Builder permarked-up as-built provided by Installing Contractor 3. Population ofTE-200/TW50 if applicable(any integration and programming by others) Responsibilities of Installing Contractorat Assisted Start-Up: 1. Electrical Testing on outdoor units 2. Physical Inspection of the outdoor units 3. Troubleshoot indoorunits if there is an Issue 4. Handling of additional refrigerant and adding of trim charge 5. Setting addresses on the Indoor units,Outdoorunits,Controllers,and Branch Controllers(If applicable) 6. Perforating of vacuum and pressure tests C. Warranty 1. VRF City-Multi Standard Warranty Is 1 year parts,7 year compressor from the time of startup.VRF City-Multi Extended 10-Year Parts/Compressor W ananty will be applied If the following requirements are met: a. Installing Contractor completes a certified Trane-Mitsubishl3-dayCfty-MultllnstallationlService Course,and documents attendees and date of completion. b. The system is designed by a certified Diamond Desig nor using Diamond System Builder^' C. The contractor generates a complete and approved METUS Extended Warranty Process Report from the Diamond System Builder software. (See Trane-Mitsubishl Warranty Policy fordetaiils.) 2. Installing Contractor Is responsible for completion of Diamond System Builds r warranty filing and final submission to METUS Extended Warranty Department 3. Nv&P Series Standard Warranty Is 5 year parts,7 yearcompressor from the time of startup.Nv&P Series Extended 10-Year Parts/CompressorWanantywol be applied If the product is installed Ina residential application and registered within 90 daysof installation.See NvSeries and PSeries Limited Warranty Policies fordetails. 4. No laborwarranty,Is Included here unless otherwise noted.Please contact yourTrane Account Managerforavaflability. Supplementary Guidelines A. Purchasing Contractor and/or Consulting Engineer must validate unit voltages,model numbers,quantities,required accessories,and unt configurations prior to order. B. Consulting Engineer/Architect and Installing Contractormust approve equipment submittals and system design priorto order,Including but not limited to all code/standard compliances,system application(heat pump vs.heat recovery),service clearances,refrigerant concentration compliance,load analysis,unit configuration,and installation requirements. C. Outdoor condensing units must be Installed on stands at a minimum height of 12'.Ground Installation or raised pads are not a cceptable. D. Insulation is required on all condensate piping and refrigerant piping Including liquid lines,low pressure gas lines,and high pre ssure gas Ones. E. All M-Not Control Wiring must be 16AWG,2-conductor,stranded shielded cable(MA controllers allow 22-16AWG wire) F. All BC-Controllers must have condensate drain line Installed. G. Ali Linear Expansion Valve kits require 208V/1ph power. H. Additional uniis/aocessaries not included in the scope will be at an additional cost. 1. All TQ•YP WaterSource units require a field-supplied flow switch and strainer.Waterquality must be adequately maintained.See the METUS Installation manual forfull details. Equipment Submittal Page 3 of 3 q© ■m \, }} \\ �k 2 § § \ . § � � o} \ \ F-- ei 0 ui 3§ g\fa \.�cr m( §� — u ©� E ( R 2 ; _ $ k § f o k` An IL 2 � 4 o ° t 'a $, ' k� \ $ � ' "0 40 z 2 & � 0 p § 2 _ a■L E§ \ / �k/ @k G� § � IIIII p \ c CD ad ----- ---------- L Submittal Documents f • Job Name: — - System Reference: Dale: 2011112W OUTDOOR VRF NEAT PUMP SYSTEM UNIT OPTION Standard Model TUHYE1443AN40AN J Seacoast(BS)Model ._ _ TUHYE T443AN40AB ACCESSORIES ' Header Kit for dBtaih$ee Plpe Mnssories Submittal ' Joint Kit for details see Pipe Acceswries Submittal ' Low Ambient Kit for details see Low Ambient Kit Submittal ' Panel Heater Kit for details see Panel Heater Kit Submittal Snow/Hail Guards Kit for details see SnowlHail Guards Kit Submittal Coulnp CSDwy(NYIeMII Blum 144.000 H."(0-m-ty IIii in,,aal slum JW.000 G.urm.W OPSmia RSnp. COO", TPCI 230-126.01-5.0-52.01 Heel n0 .F Pet •13-00 t•2S.o-a.51 E.brM.d Opsm"Rarps 11PaI np T rcl -25 0-80 01-31.5-15.51 EaMrM D.n. 2 IN.W.D) In 1-1 11.51e.a}I16.29-NIG 1181 .1240.7401 N.1 We.ghl Los(s91 680 r30a1 EalerrulFa.M P—m 9* Iurcds"~l-p —WV fix 83 goal <MUNSELL 3Y 7.ell I w s1nd— EwcpkW Poanr R~armimi, vaupe Phase me'•weer loeh,— 2051230V.3;hiiiw be W,110% Malanah Caad Anpaply A 47.01440 Ma,.—bvaname Prq. — A 70,70 ReconvnerldW F—Sun A WW Reoormrwl0eo Ma—Wne Stu AWG(-1 eta 121.201 2) SCCR .A 5 Ratr.p.aanl P,Pno o.,mwr, Lgao IHgh Presa..el a 1-1 112112 71 Bra..d Gas lLoa Preasunl In 1-1 11'812e.Sal Bna.d Ma.TOUI R.Dgnanl Laro LangN Ft 3290 Ma.Ncrrgpanl Lea Lwglh(Bslwash OOU A IDU) F1 541 U..Coned Wmp Lag'h Ft 16.0 Indpp IaIM1Cp.WF1aDM) iota C.—T, 500-1300%.1..—ant—roon, ModaDOuaMRy Pp5-.Pggrl 0-31 0 Saaa1 Prc—Lewb dB(AI 82.0-64.5 Sound P-at,L.v.b dB(A) &2.51815 Typo.ouanrly Pr J.fan.2 A,mw.R.. CFM 92DD FAN' $tleCJADIa, E.MMI Static Pnyslan In WG 0 00.0 12.O.N.0 32 In ING. IaCWy Ml to 0 In WG Can;rntla Ope.ng H— 15 0%ID 100 0% C—pa— Type.ouantty Inv.dn.C+OII hermetc.1 Compressor M—01 .W 9.3 R.rrgl.anl Tyra.O q..I crnww Re 10A.23 Ib.•12 0.110 8Igl Hgh Pn-m Pmmut,on High preuun aensp.ligh p.ssu....Ich at.15 MPS(WI III Prdaclrn De..cea Imrnn Dual(Cana'Fan Orer.orn n:potocoen Fay IV— Geraln ntpDr-- Lut—ni MEL77 EER 12 u13 a AHRI Na1.gs(Duas'dNm IEER 21.eA0 S co" 3.681a 01 NOTES Non,—ma�ng comi—,IT mi mldl•au an taae0 an ANRI 17301 'Itanh wasQ.s ra•reCrvnenl.rN7 t1-11 Pedprwa:.a riwa-ny eougnseL AL Ywa MAwIN+ Indoor 80•FD.B M7'IV/B.(26 7'CD B71p 4'CW B).Glddoor 95'FD B(35'C0 B) Cbtlrk repeambllro b mole deleis scout yoM reggn NomM IWIn9 con—(T.M Dwlddvo an III-"m AHRI 1230) Fw data Is w 0-1w CookV openDpl rage down W-10'F 08 ass La.Ani—I KM1 S—na! Ino—70-FO B 121"CO 6 1 O_0.1 471FD ala3'F W B IS 3'CD B 6 1-CW B) WM WI pudutl D.Iow J'F.P0.-"your jaia rl.V,r Ip cd]cl rwam.W1 rust ,a.—.mfJ:Mrg IN,ues of a M1nrJ.-0.WIG In hiNnav 'un,1 wJl CDn4nye to opM n e.11nr.^!V Dp."urge.Out C.peU1Y J M 17uaranlaed SPI-11—tan are sub)ect to change without r,ot— 5 02020 Md-With,Electhc Tht..HVAC US LLC.A8 rights reserved. OUTDOOR UNIT: TUHYE1443AN40A(N/B) - DIMENSIONS TUHYE(096/120/144)3AN40A(NB) unit:mm(in.) `E EaE $EIS m a N y ttll G SQ 7on �IC oo �~ „c. E Elio�� O i _ 9 3 O 2 3 S (99•t 09191 (Y7W t1ulunyll 19tSt•u1 IltT•11 IptS1iL-M9Lx9bU9Zi 19ttC"11 ^o S` K9•-9[91199 99Z 19lrtlS m �I 3 d 1D 91t5•L l m &ts t o a u 9/C-► 11 •\�I I' 01 191R-11 9 3G e LL — IpLt"tl A /9t OSt (arE4)Sa 9/9t•S t (91,19•01,99141 in 191l9•C Jt b tt9 I g i IWtS10ft WE{ � ,a� ,wi:ivTt 191i[-eLxo►tl 77 b s gg N y o a NOTES: SEACOAST PROTECTION Anh-corrosion Protection A coaling treatment is applied to condenser coil for protection from air contaminants Standard Salt Spray Test Method-no unusual rust development to 480 hours Sea Coast(BS)Sall Spray Test Method(JRA 9002)-no unusual rust development to 960 hours (101 " FORM#TUHYE 1443AN40A(N/8)-202008 Intertek Specifications are subject to change without notice. 6 O 2020 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. Job Name: _ System Reference: - -- Date: SPECIFICATIONS Capacity' Cooling...................................................72,000 Btu/h Heating...................................................80,000 Btu/h i Power Power Source.......... .............208/230V, 1-phase.60 Hz Power Consumption Cooling..........................................................0.63 kW Heating..........................................................0.63 kW r Current Cooling.............................................................3.67/3.32A Heating.............................................................3.67/3.32A Minimum Circuit Ampacity(MCA)................................. 7.7 A Maximum Overcurrent Protection (MOCP)Fuse............ 15 A External Finish... ......... ...............Galvanized-steel Sheet GENERAL FEATURES External Dimensions • Single phase Inches........................ .....18-9/16Hx49-1/4Wx44-1/8D • Dual set point functionality mm..........................................470 H x 1.250 W x 1.120D • DC Motor • Static Pressure Features Net Weight Adjustable up to 1' Unit............ ..........................................214 Ibs/ 97 kg No change in static pressure with voltage change • Side access control panel Coil Type __ .......................................... . Cross Fin • Flexibility in duct configuration (Aluminum Plate Fin and Copper Tube) • Choice of fan speed Fan TypexQuantity..........................................SiroccoFanx2 Airflow Rate (Low-Mid-High)...............1,766-2.154-2,542 CFM External Static Pressure...... 0.20-0.40-0.60-0.80-1.00"WG (External static pressure is factory set to 0.60"WG) Motor OPTIONS Type...............................................DC Brushless Motor Joint Adapter(Port Connector).......................CMY-R160C-J Drain pump..............................................PAC-KE05DM-F Refrigerant Piping Dimensions Liquid(High Pressure).. ................3/8"/9.52 min(Brazed) External Heater Adapter.....................CN24RELAY-KIT-CM3 Filter Box (With 4" MERV 13 filter)................................FBH4-4 Gas(Low Pressure)......................3/4"/19.05mm(Brazed) Drainpipe Dimension..............................O.D.1-1/4"/32 mm Sound Pressure Levels(Low-Mid-High) Low-Mid-High......................... ............36-39-43dB(A) Cooling I Heating capacity indicated at the maximum value at operation under the following conditions Cooling.Indoor 80`F(27 C)DB/67°F(19'C)WB.Outdoor 95"F(35`C)DB Heating:Indoor 70`F(21°C)DB.Outdoor 47`F(8°C)DB l43'F(6"C)WB Notes: Specifications are subject to change without notice. 7 2019 Mitsubishi Electric Trane HVAC US.LLC TPEFYP072.96MH140A y N E E Y o O '��/ 2 1915tI0L til1lL�+oW (9L/COW UWA GMA O O C c .0 m m y y '(o C \ « E E E r'.g ti « w c °2 m y cUi u a u \ o U < I`l`c a m c �• C Cco N I _Q A 2 -r c 9 Nm yEmE ��v a W T a) a „' m E ac)t cUZ 'n U t U Ra N..0 NCOi 0 c O a cif 10 C �q�(D ymLN�_ yN 4)U(M UO mU ti a Y N N m Nt•O.CC l7N_O{y._ N ll N IDQFQF N a(D� .�Q• pp U i V Ox G) C al V N 10 Z N.O mac^ m Q 0 Nt c O_6/G/6)Ia fC tD E 1�n0 9t/S£►••U--� 09i� o ac ac(D .-- ...._ N y.CyLO UL (V Ci 4 — E to O Z c F�e1 m w Z - k= Y 9116.91 LV in �9lQl•bR+9lSlt 9L/t 6S LL£t x g laoc•kxooL 9N£l O -- 1 Moo ML•IS)SUL CZ v m < 9tISt'£ t a 9/£-6£=00x9L/91- t=01100L fL10, 9L50 4 U) (� 9/L$t FILM N t a ?ro m 9tKit•C) Dm, W N a OmIDm m c 00t � V s AE° 19ll9tS) .- .r 6 cm v Fyiq � o mw(orn Q• O C� �C_ � C_ 9L/Stt L N gist t 9 c'a) BI£6£■O►M9t/9t'£ t■OLx00t (L OOC■L' I 09 0 o 0 4/L$t LL $ (ftlCl tLeP9l51 C) y N v Y L = N X re Qu �� N 6 MANE�V r7 o Y Y X N �D MITSUBISHI /IL ELECTRIC M C � �s Intertek Specifications are subject to change without notice 8 �'c*2019 Mitsubishi Electric Trane HVAC US.LLC FBH Series Filter Boxes C_' ITY MULTI Manufactured for MITSUBISHI ELECTRIC US.INC. AFV.MITSUBISHI ELECTRIC CITY MULTI' PEFY-P72,96-NMHSU-E HIGH-STATIC INDOOR UNITS Job Name: Schedule Reference: Date: GENERAL FEATURES Meets LEED requiremnt •Fitt ofMERV 13 Filter box Includes 4"thick pleated MERV 13 fiWs)installed of MERV 13 Rated MERV 13 when tested in accordance with ANSVASHRAE 52.2 Standard Rated Class 2 under U.L.Standard 900 •Cabinet is constructed of non-insulated 20 gauge G-60 galvanized steel •Knurled thumb screws on access door allows easy filter replacement •Foam gasket provides air-tight connection to indoor unit and access door •Gasket material complies with UL 723 requirements •Screw-through cabinet design for secure attachment to indoor unit - •Return connection in rear easily field converted to bottom •Filter access door includes area to record maintenance schedule SPECIFICATIONS Pant Number Used on Filters Included Ship Net CrrY MULTI Models Weight lbs. Weight lbs. FBH4.4 PEFY-P72,PgeNMHSU-E (2)-24•x 24•x 4'MERV 13 44 40 EXTERNAL DIMENSIONS End View Back Yew(inlet air) Rear We (standard) 14* a A- 1.3/r 3.1/8 Bottom fit r9IP _. (fiel cam) _l Top View svr Model "A" "B" F13144-4 49-31a' 44112' r---------•-••----------------•-••---------------'------...-•--------•I 20• 14• ----------------------------------------------------------------------- 1 Y4' Rear Inlet (standard) Specifxations are subject to change without notice. 0 2014 Mitsubishi Electric&Electronics USA.Inc. 9 InitialFilter • • , • • Indoor Unit PEFY-P72NMHSU4E 0.20 0.19 H 0.18 3 0.17 _ Med 0.18 ' �... . } 0.16 s i 0.14 : . n 0.13 u 0.12 0.11 LOW 0.10 0.09 1768 1877 1988 2099 2209 2320 2431 2542 Airflow rate(cfm) Indoor Unit PEFY-P96NMHSU-E 0.25 High 0.24 0.23 �.7. 0.22 3 0.21 _.. 0.20 Med 0.19 0.18 a 0.17 ...... 0.18 0.150.14 f .. low ......, ... ._ 0.13 I 0.12 2048 2179 2310 2441 2573 2704 2835 2986 Airflow rate(cf n) Manufadumd for M ITSUBISHI ELECTRIC US,INC. 1340 Sete&ite Boulevard Suwanee,GA 30024 Tele:678-376.2900•Fax:800.889-M Toll Free:8M433-4822 wwwme mc.com FORMA FBM Fltter Boxes for PEFY-P72,96-NMHSU-E Indoor Units 201402 Specifications are subject to change wiUwut notice. 1 O 0 2014 MRsubishi Electric US.Inc. c sauermann• P.A.do rot"do Chavry,77113 C"-Cossigny.T`I:+33(0)1 60 62 06 06-Fax:+33(0)1160 62 09 09 Creation date:04/06/2012 customer: MITSUBISHII Criteria: 3000 mac.lid': A 481 z Sauermann part N' : S13000MIUS23 Customer part: 4564 Technical datas : Max flowrate : 5 gph Input power: 14 W Max discharge: 1 gph @ 33 ft Alarm contact: NC -250V/8A resistive Max suction : 1Oft Voltage I Frequency: 230V- 50/6OHz Content: Accessories: Pump block: S13009UN-23 -SCAB11221 Detection block : S12958.000 - S12852 Installation leaflet: N729/05+ N005/03 Product picture: S12852 content 6 x ELE10003 ACC28504 TOL28501 J011101 Or�----7 ACC40025 J0111019 ��` SCAB11221 Markinq A: Identification Markingsiosition: A[][] ❑❑ ❑❑❑❑-F❑❑❑❑❑ Marking A �mre Sanynt �umae\a.: O,Le Jr bbn.J.' — - Marking B: ivzauereiann• Pack. label Si-30 � » i Box label M766/00 =- -- Marking C CE rn - Marking C : _ -- I • I ' CARBON A52 A52 i Marking B' ' Box label reference: E765100 Condlt/onninv: Packaging label reference: S765100 Si �O Box rof. : EMB30001 _ City I box : 1 Si =30 Gross weight: 0,407 kg 230V- `C'nOH. Palettisation : CONS0123 Qty.items/Palette: 00 S13000MIUS23 Gross weight: 237 kg S13000MIUS23 Packaging: - ---- Qty: 25 OR Pack. ref. : EMBS0025 AWN City/pack. : 25 IIIfAllll��ll��u ,,... �...,.�„ F 00000 F 00000 Gross weight: 10.880 kg "' " "°'" Customer visa: Sales vim: Quality Visa: Q director � & v, R Man r Date: Date: e�M:�� .l—►L 2 .IuIN 1111`l. ox_ I AI'9(liba►.: eiu z' (J Identlfib sous to n"75.form.1341D PrkdW on 12faWM2 This document cancels and replaces doc n•A481- Deluxe MA Remote Controller AFIK ELECTFdC Job Name: System Reference: Date: ik a E :EL 2:3e Fri 2:30PM Fri v� Room72.07 �57 Cool Set tem. Auto Auto 78.0°F X'. *4 70.0°F x• 84 -F x� MENU RETURN SELECT ON MENU RETURN SELECT ON HOLD OFF HOLD OFF FULL VIEW BASIC VIEW OPERATION/DISPLAY • ON/OFF B&W inversion - Switches between ON and OFF. - The colors of the display can be inverted,turning white • Operation mode switching background to black and black characters to white. - Switches between Cool/Dry/Fan/Auto/Setback/Heat. • Clock•1 • Hold Date(year/month/day)and time(hour/minute)can be set. - Switches between enable and disable the Hold function. The set time as well as the day of the week will be displayed - If the Hold function is enable,the following functions will be on the Main display. prohibited. It is also possible for the time to not display on the main - ON/OFF timer/Schedule(Weekly timer)/Auto return/Auto- display. OFF timer The clock can be displayed in 12-hour format(AM/PM before • Temperature setting or after the time)and 24-hour format. Changes the set temperature. Daylight saving time Set temperature range vanes depending on the indoor unit The start/end time for daylight saving time can be set. model. The daylight saving time function will be activated based on • Fan speed setting the setting contents. Changes fan speed. Room temp,display Available fan speeds vary depending on the model. - The room temperature display can be enabled or disabled. • Air flow direction setting Error information - Changes airflow direction. When an error occurs,an error code and the unit address - Available airflow directions vary depending on the model. appear. • Louver setting The air-conditioning unit model, serial number,and contact - Switches between louver ON/OFF. number can be set to appear when an error occurs.(The • Ventilation equipment control above information needs to be entered in advance.) •- Interlocked setting and interlocked operation setting with City Filter information Multi Lossnay units can be performed. - A filter sign will appear when it is time to clean the filter. The Stop/Low/High settings of the ventilation equipment can Remote controller information be controlled. - The version of the remote controller can be checked. • Main display mode setting 1 This function is active only for the units that support the function. - The Main display Can be displayed in two different modes: •2 The clock is accurate within 45 seconds per month(at the temperature of 77•F "Full"and"Basic." 125°cl) The clock is backed up for 3 days. Specifications are subject to change without notice. ©2020 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. 11 Model: • 1 SCHEDULE AND TIMER SETTING MISCELLANEOUS ITEMS • Timer Language Selection - ON/OFF timer - Select the display language from the following 3 languages. Turns ON and OFF daily at a set time. English, French, Spanish Time can be set in 5-minute increments. Brightness Contrast It is also possible to set the ON time only or the OFF time - The brightness of the LCD can be adjusted.The contrast of only. the LCD can be adjusted. - Auto-OFF timer Manual Vane Angle` Turns off the unit after a certain period of operation. - Fixes the vane position for each air outlet. Operation time can be set to a value from 30 to 240 • Service•' minutes in 10-minute increments. - Contains Test run, Function setting, Request code,and Error • Weekly timer history. Weekly ON/OFF times and set temperatures can be set. 3D i-see Sensor Time can be set in 5-minute increments. Up to 8 schedule - Settings for 3D i-see Sensor can be made pattems can be set per day of the week. Controls group operation for up to 16 indoor units in a single Not valid when the ON/OFF timer is set. group RESTRICTION SETTINGS ENERGY SAVING OPTION • Allows/disallows local operation No occupancy energy save The following operation can be prohibited by applying certain - Requires 3D i-see sensor on applicable indoor units settings on the centralized controller:ON/OFF,operation Room Occupancy energy save mode,set temperature,filter sign reset,air direction,fan - Requires 3D i-see sensor on applicable indoor units speed and timer. No occupancy Auto-OFF While an operation is prohibited, the operation icon lights up - Requires 3D i-see sensor on applicable indoor units (only on the Main display in the"Full"mode). Setback Mode • Operation lock - The following operations can be prohibited: Sensing This function is active only for the units that support the function Location,ON/OFF, Mode, Set temp., Menu, Fan, Louver, '2 The clock is accurate within 45 seconds per month(at the temperature of 77"F Vane,or Hold 1250C)l. Temperature range restriction The clock is backed up for 3 days. • - The room temperature range for each operation mode can be restricted. • Auto return The units operate at the preset temperature after a designated period. Time can be set to a value from 30 to 120 minutes in 10-minute increments. Not valid when the temperature setting range is restricted. • Password - Administrator password(required for schedule setting etc.)and Maintenance password(required for test run and function setting etc.)can be set. SYSTEM EXAMPLE 'When a TAR-40MAAU is connected to a group,no other MA remote controllers can be connected to the same group. Non-polarized F2-wire 2-wire L; Deluxe MA remote controer ® controller Specifications are subject to change without notice. C)2020 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. 12 Model: ► ' I ► ► DIMENSIONS (Front view) (Side view) Rear view) Unit: mm [in.] 120[4-23/32] 14.5[37/64] ( C O . . o CV M Cl) CV O O - i O — — N a O 0 O O I � � COMPATIBILITY CHART SPECIFICATIONS Product size In. 4 3/4 x 4 3/4 x 0.57 TPMFYP'BM Yes MFZ-KJ MAC-334 PCA Yes (W x H x D) (mm) (120 x 120 x 14.5) TPWFYP'BU Yes NTXWST/ MAC-334 PEA Yes Net Weight Lbs. 9/16 NTYWST (kg) (0.25) TPEFYP'MA Yes NTXWPH MAC-334 PEAD Yes Rated Power 12 VDC TPEFY'MH Yes MSY-HM MAC-334 PKA Yes Supply Voltage (supplied from indoor units) TPEFY'MS Yes NTXWMT MAC-334 PLA Yes Power W 0.3 TPMFY'BM Yes NTXAMT Yes PVA Yes Consumption TPLFY'EM Yes NTXDKS Yes Usage Temperature:0 to 400 C(32 to 1040 F) Environment Humidity:30 to 90/aRH TPLFY'FM Yes NTXCKS Yes (with no condensation) TPKFY'LM Yes NTXUKS MAC-334 Note:MAC-334 indicates that the unil Panel PMMA PCFY-VKM Yes requires a MAC-334IF-E Adapter in order Material to use the TAR40MAAU Main PC+ABS TPCFY'KM Yes body TPFFY'CS' Yes Sound Pressure dB(A) <70[A-weighted sound pressure level] TPFFY'RE Yes Level TPVFY'AM Yes "Per Machinery Directive 2006/42/EC TPKFY'BM Yes TPKFY'HM Yes FORM#T Submittal TAR-40MAAU-05-2020 Specifications are subject to change without notice 6)2020 Mitsubishi Electric Trane HVAC US LLC All rights reserved 13 Warranty Document MITSUBISHI ELECTRIC TRANE HVAC US LLC LIMITED WARRANTY STATEMENT Mitsubishi Electric CITY MULTIQO Split Air-conditioner and Heat-pump Systems Subject to the terms and conditions of this Limited Warranty Statement(the'Limited Warranty').MITSUBISHI ELECTRIC TRANE HVAC US LLC('METUS")warrants to the onginal purchaser of this CITY MULTI system(as used herein,'System" shall mean CITY MULTI outdoor and indoor components connected via refrigerant piping and electrical wiring)purchased on or after May 1,2019,from a licensed HVAC contractor and Installed by such contractor in the continental United Slates, Alaska and Hawaii,that. A. The parts are warranted to the original owner for a period of one(1)year from the date of Installation by a licensed contractor. If it should prove defective due to improper workmanship andlor material for a period of one(1) year from the dale of installation,METUS will replace any defective part without charge for the part.Replacement parts are warranted for the remainder of the original 1-year warranty period.Parts used for replacement may be of like kind and quality and may be new or remanufactured.Defective parts must be made available to METUS in exchange for the replacement part and become the property of METUS. B. The compressor Is warranted to the original owner for a period of seven(7)years from the date of Installation by a licensed contractor. If the compressor should prove defective due to improper workmanship and/or material for a period of seven(7)years from the date of installation,METUS will replace any defective compressor without charge for the compressor.Replacement compressors are warranted for the remainder of the original 7-year warranty period. Compressors used for replacement may be of like kind and quality and may be new or remanufactured. Defective compressors must be made available to METUS in exchange for the replacement compressor and become the property of METUS. C. Notwithstanding the foregoing,the parts and compressor will be warranted to the original owner for a period of ten(10)years from the date of Installation if(1)the System is designed by a Diamond Designer using the Diamond System Builder-(2)the installing contractor has successfully completed all METUS-approved CITY MULTI training courses,and (3)the contractor has timely submitted a completed and approved Diamond System Builder""file per the METUS Extended Warranty Process. If any parts andror the compressor should prove defective due to improper workmanship and/or material for a period of ten(10)years from the date of installation, METUS will replace any defective parts or compressor without charge for the part or compressor.The replacement parts and/or compressor are warranted for the remainder of the original 10-year warranty period. Parts and/or compressors used for replacement may be of like kind and quality and may be new or remanufactured.Defective parts and/or compressors must be made available to METUS in exchange for the replacement parts and become the property of METUS. D. NO LABOR.This Limited Warranty does NOT include labor or any other costs incurred for service,maintenance,repair, removing,replacing,installing,complying with local building and electric codes,shipping,handling or replacement of the System,compressors or any other parts. The owner is solely responsible for all labor and other costs of maintaining, installing,replacing,disconnecting or dismantling the System and any parts(such as fillers)in connection with owner- required maintenance,including but not limited to cleaning and/or replacing air filters for each Indoor unit of the System, and this Limited Warranty does not cover labor or other costs associated with such owner-required maintenance. Please consul!the Operations Manual and other applicable technical documentation for air filter cleaning and other maintenance procedures. E. PROPER INSTALLATION;PROOF OF PURCHASE.This Limited Warranty applies only to Systems that are installed by licensed HVAC contractors who have completed all METUS-required CITY MULTI training classes and who install the Systems in accordance with(i)all applicable building codes and permits;(ii) METUS installation and operation instructions;and(iii)good trade practices. METUS may require satisfactory proof of purchase,proper installation and start-up of the System as a condition to providing replacement parts or compressors under this Limited Warranty. Rev-5.1.19 www.metahvac.com ---- --- FGJ,d3a.»822 14 BEFORE REQUESTING SERVICE, please review the Operations Manual and technical documentation for your System to confirm the electric power supply and that user controls are property adjusted for the System. 1) TO OBTAIN WARRANTY SERVICE: a) Contact the licensed HVAC contractor who installed your System or another licensed HVAC contractor or servicer,or an authorized CITY MULTI distributor(whose name and address may be obtained on the METUS website at www.mehvac.com)within the applicable warranty time period. b) Proof of the installation date is required when requesting warranty service.Present the sales receipt,building permit or other document which establishes the date of installation.In the absence of acceptable proof,this Limited Warranty shall be deemed to begin one hundred twenty(120)days after the date of manufacture stamped on the System. c) This Limited Warranty applies only to Systems purchased on or after May 1,2019,only while the System remains at the site of the original installation,and only to locations within the continental United States,Alaska and Hawaii. d) All repairs under this Limited Warranty must be made by a licensed HVAC contractor or servicer. 1) THIS LIMITED WARRANTY DOES NOT COVER: property damages, malfunction or failure of the System, or personal Injury caused by or resulting from:(a)accident,abuse,negligence or misuse;(b)operating the System In a corrosive or wet environment, including those containing chlorine, fluorine or any other hazardous or harmful chemicals or environmental factors,including sea-or salt-water,(c)installation,alteration, repair or service by anyone other than a licensed contractor or other than pursuant to the manufacturer's instructions;(d)improper matching of System components;(e)improper sizing of the System; (f)improper or deferred maintenance contrary to the manufacturer's Instructions; (g)physical abuse to or misuse of the System(including failure to perform any maintenance as described In the Operation manual such as air filter Leaning,or any System damaged by excessive physical or electrical stress);(h)Systems that have had a serial number or any part thereof altered,defaced or removed; (I)System used in any manner contrary to the Operation Manual; 0)freight damage; or (k) events of force majeure or damage caused by other external factors such as lightning, power surges, fluctuations In or interruptions of electrical power,rodents,vermin, insects,or other animal-or pest-related issues. 2) THIS LIMITED WARRANTY ALSO EXCLUDES:(a)SERVICE CALLS WHERE NO DEFECT IN THE SYSTEM COVERED UNDER THIS WARRANTY IS FOUND: (b)System installation or set-ups; (c)Adjustments of user controls; (d)Systems purchased or installed outside the continental United States,Alaska and Hawaii;or(e)Systems purchased or installed prior to May 1,2018.Consult the Operations Manual for Information regarding user controls. 3) This Limited Warranty shall not be enlarged,extended or affected by,and no obligation or liability shall arise or grow out of, METUS providing, directly or Indirectly,any technical advice, information and/or service to the original owner, contractor, distributor,or otherwise providing assistance In connection with the System. 4) EXCEPT AS OTHERWISE PROVIDED IN THIS LIMITED WARRANTY,METUS MAKES NO OTHER WARRANTIES OF ANY KIND WHATSOEVER REGARDING THE SYSTEM. METUS DISCLAIMS AND EXCLUDES ALL WARRANTIES NOT EXPRESSLY PROVIDED HEREIN AND ALL REMEDIES WHICH,BUT FOR THIS PROVISION,MIGHT ARISE BY IMPLICATION OR OPERATION OF LAW, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES OF MERCHANTABILITY, NON4NFRINGEMENT OF THIRD PARTY RIGHTS,AND OF FITNESS FOR ANY PARTICULAR PURPOSE. NO ONE IS AUTHORIZED TO CHANGE THIS LIMITED WARRANTY IN ANY RESPECT OR TO CREATE ANY OTHER OBLIGATION OR LIABILITY FOR METUS IN CONNECTION WITH THE SYSTEM.METUS DISCLAIMS ALL LIABILITY FOR THE ACTS, OMISSIONS AND CONDUCT OF ALL THIRD PARTIES (INCLUDING, WITHOUT LIMITATION,THE INSTALLING CONTRACTOR)IN CONNECTION WITH OR RELATED TO THE SYSTEM. 5) UNDER NO CIRCUMSTANCES SHALL METUS BE LIABLE FOR ANY INDIRECT,INCIDENTAL,SPECIAL,PUNITIVE OR CONSEQUENTIAL DAMAGES INCLUDING,WITHOUT LIMITATION,INFRINGEMENT OF THIRD PARTY RIGHTS, LOST.GOODWILL, LOST REVENUES OR PROFITS, WORK STOPPAGE, SYSTEM FAILURE, IMPAIRMENT OF OTHER GOODS, COSTS OF REMOVAL AND REINSTALLATION OF THE SYSTEM, LOSS OF USE, INJURY TO PERSONS OR PROPERTY ARISING OUT OR RELATED TO THE SYSTEM WHETHER BASED ON BREACH OF WARRANTY, BREACH OF CONTRACT, TORT OR OTHERWISE, EVEN IF METUS HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE. IN NO EVENT SHALL METUS' LIABILITY EXCEED THE ACTUAL PURCHASE PRICE OF THE SYSTEM WITH RESPECT TO WHICH ANY CLAIM IS MADE. Rev-5.1.19 15 6) SOME STATES DO NOT ALLOW LIMITATIONS ON WARRANTIES OR EXCLUSIONS OR LIMITATION OF DAMAGES,SO THE ABOVE LIMITATIONS OR EXCLUSIONS MAY NOT APPLY. 7) DISPUTE RESOLUTION. For any dispute with METUS,you agree to first contact us by phone(800-433-4822)or e-mail (CustomerCare@hvac.mea.com)or U.S. Mall at MITSUBISHI ELECTRIC TRANE HVAC US LLC ATTN:Customer Care, 1340 Satellite Blvd., Suwanee, GA 30024,and attempt to resolve the dispute with us informally by providing your name, address,and contact information and describing the nature of the dispute. In the unlikely event that METUS has not been able to resolve a dispute with you within 60 days of your original Informal claim(or sooner if,in METUS'opinion,a dispute is not likely to be resolved within 60 days),we each agree to resolve any claim, dispute,or controversy arising out of or in connection with or relating to this Limited Warranty, or the breach or alleged breach thereof (collectively, "Claims"), by binding arbitration before an arbitrator from Judicial Mediation and Arbitration Services("JAMS")located in Gwinnett County, Georgia.JAMS may be contacted at www.jamsadr.com and will require you to pay an initial filing fee set by JAMS(unless you successfully apply for a waiver of this fee from JAMS). All other JAMS costs associated with the arbitration will be bome by METUS.The arbitration will be conducted in Gwlnnett County,Georgia, unless you request an in-person hearing where you live, or if you and METUS agree otherwise. If the arbitrator decides in your favor, the award may include your costs of arbitration,your reasonable attorneys'fees and your reasonable costs for any expert and other witnesses,and any judgment on the award rendered by the arbitrator may be entered in any court of competent jurisdiction. If the arbitrator makes an award in your favor greater than METUS's last written offer,METUS will pay you the greater of the award or$500, plus your reasonable attorney's fees,if any,and reimburse any reasonable expenses(including reasonable expert witness fees and costs) that are reasonably accrued for Investigating, preparing, and pursuing your claim In arbitration, as determined by the arbitrator or as agreed to by you and METUS. Any judgment on the award rendered by the arbitrator may be entered In any court of competent jurisdiction. You may sue under state law In a small claims court of competent jurisdiction without first engaging in arbitration,but you must engage in arbitration before suing under the Federal Magnuson- Moss Act. 8) All claims must be brought In the parties'Individual capacity,and not as a plaintiff or class member in any purported class or representative proceeding.This waiver applies to class arbitration unless such arbitration Is necessary to effectuate the enforcement of the court class action waiver or in the event that Gass arbitration Is expressly agreed to by METUS. You agree that you and METUS are each waiving the right to a trial by jury or to participate in a class action. 8) You may opt-out of the foregoing arbitration and class action4ury trial waiver provision of this Limited Warranty by notifying METUS in writing within 30 days of purchase.Such written notification must be sent to MITSUBISHI ELECTRIC TRANE HVAC US LLC ATTN: MEUS Legal Department,5900-A Katella Avenue, Cypress,CA 90630, and must include(1)your name, (2)your address, (3)your warranted product's serial number,and (4)a dear statement indicating that you do not wish to resolve disputes through arbitration and demonstrating compliance with the 30-day time limit to opt-out. 10) H any clause herein is found to be Illegal or unenforceable,that clause will be severed from this Limited Warranty and the remainder of the Limited Warranty will be given full force and effect. As noted above, If a class action waiver of both court and arbitration class actions Is found unenforceable, class arbitration will be expressly allowed under the Limited Warranty. 11) This Limited Warranty gives the original owner specific legal rights and the original owner may also have other rights that vary from state to state. 12) This Limited Warranty is valid only in the continental United States,Alaska and Hawaii,and it Is not transferable. Rev-5.1.19 16 A - ��:--_— _— Job Name: Palco Bond Vet Date:April 17,2023 2:57 PNi DR50HFA (#1 ) it Ej� High Speed Direct Drive Centrifugal Downblast Exhaust Fan with speed control (speed control included for single phase only),birdscreen,disconnect switch and 13-3/4"wheel 9:: .�` a. C:- 4CL t:G :C:C cr-H EXHAUST MOTOR CONSTRUCTION FEATURES Model 8M1448 37512-60-230/277•0.500 HP•1 Phs•208 V•60Hz•3.8 FLA• Hnusinq constructed of heavy gauge aluminum TEAO-ECM(Totally Enclosed Air Over Electrnnirally Commutated Motor) • frnuYunal bm:kvwrd inclined,non-overloading wheel EXHAUST PERFORMANCE Weatheror of safety disconnect switch • Speed conlrnl Hea%,N,duly ball bearing motors permanent•lub'ICalee,rated for cons nuou^ Vcluma 1 i60 cIm RPLI 151A TS: 546»It,ma, operation,and lhermadv nrntPru;1 •Static 1.208 v:.g. BHP 0.3940 Imeyral elec Vical concur;rurs from fan ease to motor compartment . Pressure: (0.75U Ext,+0 458"Opt.1 Shaft precision ground&polishad • Fresh au channelled Through motor to ensure long motor life Altitude: 884' Ambient 70-F Durable base with weldeo corners I emp CURB & SUPPORTS EXHAUST INSTALLATION INFORMATION ROOF CURB 19-, sn Azn nigh Jml Voltagr I phs 208 V 60Hz CONFIGURED OPTIONS Unit Mam Inpul •1.8 Amps MCA•15 Amps MOP•208 V EC Id Winna Package and Manual of 0-1CVDC Cunt,ol for Exhaust EC motors.RTC 5CCR. 10 kAmp Curtrclfer(Nu harness when ordered as a part). • Grawty Bac:Draft Damper-with flange,damper is 1 5'sq..2 ceeo,0.0 nr flange is sc 3eneraied for ioa r 59563CF, DR50HFA SOUND (1518 RPM)AT 5 FT. IN OCTAVES: 1 2 a 4 s 6 7 8 75.3 75.6 83.2 75.7 722 70.7 66.1 58.1 LWA. 79.3 3onm 15.s DBA: 67.8 note S—W aeu aawi ooerataW MW 709M m==MW=to nnm&-dud 7"nM Generated for job#595630E I o I I O O ro� b N N � a M Arg m �° ccl 3101Y - HA - 37dand - ad - AV80 - AD Nlloae - He Ez N33H0 - HO 3ma - AUM - AA NOV18 - He sera -=A- zz oNIHIM 'IVNH31NI S310N3a WHIM Cn3ld SUON3a ----- TZ 91= OZ 61 V91 dYa0 '1H10 colon nT'i9�aolon 91 Ll Vide'£-dl--AeO�� J.SnH V 91 91 bT £T ZT 1T OT 8 B L 121 Jauuols"Ji WAR OVAtZ TO-al 9 E Val!c hauuomiP utvR 10-MS 1 I-oSd-olH to-oS 9 [E) .+oloR uad T0_1R NOI1VlOH 3SH3A3H of 'SHIM NJV'lg -- - - 011V 91 0.L 133NN00 JXIA N011V10H H01 K 3LLHA OM ZZ. r10_MS� b 10-ix si 1 c 1 ff6nv5s1 ffdnwussaa (aA�T bo I - o -- -----31a E HA AH 10-81 NIR w aH z l0-OS I 1 Ed IndN1 '0H.LNOJ OVA *a _ 3ON31l3d311 033dS colon OQA01-0 7VN0I.W0 a"o ------------ AOI-Oo -------------- He suo. 0 IIBS�11f VdNo9Ha r3oo►r ezoz/41/11 a0a dixs 1-eoeasssrIc� a3ewnN �NIAV2fa PA Puog oorod - 8008569 flor SUTITM ue,� ;snegxS W11M WARREN T E C H N O L O G Y SUBMITTAL: C589751-95 2050 W.73 St. Hialeah,FL 33016 [ T91:(305)556-6933 Email:warren@warrenhvac.com CUSTOMER: HEATING&COOLING PRODUCT DATE: 04/17/23 PROJECT: 58 MARION AVE. P.O.NO: JOB NAME: BOND VETERINARY BUTLER,NJ 07405 ENGINEER: CONTRACTOR: Volt/ Ctrt Duct Duct Mount Dimensions (fill in If critical) Item Qty Model KW Phase Amps Volt Step Width Height Pos A B C D E 1 1 1 CBK L50L 208/ 31 20.82 24 V SCR 14.001 12.001 1 Accessory: B6 C1 D1 E1 J2 L1 LC M1(30%)M2 N1 Q2 R1 Tag(s): EHC-1-1 2 1 ICBK 7.50 208/31 20.82 241VSCRI 14.001 12.001 1 Accessory: B6 C1 D1 E1 J2 L1 LC M1(30%)M2 N1 Q2 R1 Tag(s): EHC-1-2 Accessory Keys: B6 Disconnecting Contactors LC 0-10V Interface for SCR Control C1 Air Pressure Switch M1 Derated Elements(Specify Watt/Density Required) D1 Transformer Class 11 M2 80/20 Nickel Chrome Element E1 Manual Reset High Limit N1 Stainless Steel Element Connections J2 Door-Interlock Disconnect Switch(Non-Fused) Q2 Hinged Lid L1 SCR Controls(Furnished and Factory Wired) R1 Aluminized Steel Construction Notes: -Control signal options for L1 or K1 must be confirmed prior to order entry.Any deviation from the option quoted above may require additional costs and/or field modifications. -This equipment must be setup and checked out by a qualified technician at the installation site.Check-out procedure is shipped with the equipment.Additional copies are available upon request Mounting Positions- Ctri Panel Right Vert Duct Panel Down Vert Duct Panel Up Bottom Mount Dimensions: 01 (D T � e ``� h a V V V H V H V 1 Ctri Panel Left Right Air Flow 1,3, 10 Left Air Flow 2,4,9 Air Flow Down 5,7 Air Flow Up 6,8 /da Building Permit Check List&Zoning_Anal�sis Aardress: 1 S .��G SBL: PH Zone: Use:_ Cont.Type: , Other. Submittal Date: t �O7 Revision Submittal Dates: Applicant: W t r-�J . Nature of Work F t� r — —`� —c.�� P-ti►� t 7- P A R. Reviews:ZBA DEC - 5 1021 PB• 21;OT: Other NEED OK x A ( ) FEES:Filing. Z5�-�� Bp; Y4 �'1, ` C/O: Flood P ( ) (� fie• Legalization: APP: Dated / Notarized SBL '�Tnus I.D. Cross Connection H.O.A ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Sheet Opening: ( ) ( ) ENVIRO:Long. Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan Other. ( ) ( ) SURVEY.Dated: Current: Archival:- Sealed: Unacceptable: ( /PLANS:Date Stamped Seale Copies:�Electronic: Other. (� License: Workers Comp: ✓ Liability: �/ Comp.Waiver. Other: ( ) ( ) CODE 753#: Dated: N/A. HIGH-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. (� ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. (� ( ) FIRE ALARM/SMOKE DETECTORS:Plan: Permit: H.W.I.C.:_Battery:—Other. (� ( ) PLUMBING:Plans: Permit: Nat. LP Gas: N/A/: Other. FIRE SUPPRESSION:Plan: Permit: N/A: Other: (•� ( ) H.V.A.C.: Plans: Permit N/A Other. ( ) ( ) FUEL TANK Plan: Permit Fuel Type: Other O O 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final Topo: RA/PE Sign-off Letter As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval;- notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED Ar CCkc-1v - F.re Front Front Sides: Main Cov Accs.Cov Ft.H S S .HS • SLFA.• Tot. Ft Ia' Parking H6 t/Stories• notes* U lJll p G o t��— 275 BROADHOLLOW ROAD, SUITE 100 MELVILLE, NY 11747 Phone: 631.738.1200 HL rw 1�1�"'I U 711" ❑ Via Regular Mail ❑ Via Federal Express Hand li NOV 3 0 2022 LL101 VILLAGE OffRY K TRANSMITTAL SHEET BUILDING DEPARTMENT COMPANY: Village of Rye Brook RE: BOND VET STREET ADDRESS: 938 King Street 164 South Ridge Street Rye Brook, NY 10573 Rye Brook, NY 10573 DATE: November 30, 2022 ATTENTION: Building Department SENDER'S REFERENCE NUMBER: NYA220505.00 THESE ARE ❑ For approval ❑For your use❑ As requested ❑ For review and comment❑Approved as submitted TRANSMITTED: ❑ Approved as noted ❑ Returned for corrections❑As discussed ❑ For Signatures WE ARE SENDING YOU: ❑ Shop drawings ❑ Copy of letter ❑ Vellums ® Attached ❑ Diskette ❑ Sepias COPIES DATE NO. DESCRIPTION 1 11/29/22 Check #24825 Check in the amount of$250.00 1 11/28/22 --- Building Permit Application 1 11/28/22 --- Affidavit of Compliance 1 11/28/22 --- Notice of Truss Type 1 11/28/22 --- Owner Signatory Form 1 11/15/22 --- Architectural and MEP Plans (Full Size) 1 11/15/22 --- Architectural and MEP Plans (11x17) Remarks: Enclosed please find the above referenced documents for your review/approval. If you have any questions or require additional information, please do not hesitate to contact our office. Copy To Signed Via Fed Ex: Thomas Galligan Senior Permit Manager E-mail: talligan@bohlereng.com W:\2022\NYA220505.00\Admin\Transmittals\2022\11-30-22 to Village of Rye Brook.doc\jc Laura Petersen From: Steven Fews Sent: Friday, June 2, 2023 4:36 PM To: Alena Hakanjin; Carolina Estrada; Laura Petersen Cc: Vincent Palaia; Chuck Palaia; Andrew Aquilino Subject: RE: BOND VET Expires: Saturday, September 30, 2023 12:00 AM Thank you Ms. Hakanjin, I appreciate your oversight on these projects. Thank You. Steven E. Fews Building Inspector& Fire Inspector Office (914) 939-0668 From:Alena Hakanjin <ahakanjin@winridge.com> Sent: Friday,June 2, 2023 4:21 PM To: Steven Fews<SteveFews@ryebrook.org>; Carolina Estrada <Carolina@pa lcomechanical.com>; Laura Petersen <LPetersen@ryebrook.org> Cc:Vincent Palaia <vinny@palcomechanical.com>; Chuck Palaia <chuck@palcomechanical.com>; Andrew Aquilino <AAquilino@coylecontractingcorp.com>; Alena Hakanjin <ahakanjin@winridge.com> Subject: RE: BOND VET Good afternoon, Inspector Fews, Thank you. Bond Vet's GC (on-site project manager copied) was previously notified of process for HVAC install on premises and will make sure it is followed accordingly. Have a great weekend, Alena Alena Hakanjin Property Manager WIN RIDGE REALTY, LLC 24 Rye Ridge Plaza Rye Brook, NY 10573 Tele: 914.701.4005 Fax: 914.701.4009 E-mail: ahakanjin@winridge.com For information about Rye Ridge Shopping Center visit our website: www.rveridgeshoppingcentel.com From: Steven Fews<SteveFews@ rye brook.org> Sent: Friday,June 2, 2023 3:51 PM To: Carolina Estrada <Carolina@palcomechanical.com>; Laura Petersen <LPetersen@rvebrook.org> Cc: Vincent Palaia <vinny@palcomechanical.com>; Chuck Palaia <chuck@palcomechanical.com>; Alena Hakanjin 1 <ahakan*in @win ridge.com> Subject: RE: BOND VET [EXTERNAL] Good Afternoon, Please be advised that the Parking spots directly in front of these store fronts will need to be blocked off with Caution Tape or fencing. Please coordinate that with the property manager and advised. this is a high traffic area in the morning times. Thank You. Steven E. Fews Building Inspector& Fire Inspector Office (914) 939-0668 From: Carolina Estrada <Carolina@palcomechanical.com> Sent: Friday, June 2, 2023 1:26 PM To: Laura Petersen <LPetersen@ryebrook.org> Cc:Vincent Palaia <v_inny@palcomechanical.com>; Chuck Palaia <chuck@palcomechanical.com>; Steven Fews <SteveFews@ryebrook.org> Subject: RE: BOND VET Good afternoon Laura, Please find attached the completed HVAC application along with the staging plan of the rooftop. We will be there at 7:00 am. How long will it take to process the permit?Also is payment required prior to completing the permit or can we pay the day we pick it up? Regards, Carolina Estrada Palco Mechanical LLC 49 Lal2e Street White Plains NY 10603 P: 914 920 5200 F: 914 920 5201 a 96 M E C H A N I C A L From: Laura Petersen <LPetersen@ryebrook.org> Sent: Wednesday, May 31, 2023 4:28 PM To: Carolina Estrada <Carolina@palcomechanical.com> Cc:Vincent Palaia <vinny@palcomechanical.com>; Chuck Palaia <chuck@palcomechanical.com>; Steven Fews <SteveFews@ryebrook.org> Subject: RE: BOND VET 2 Good afternoon, The Building Inspector is requiring a staging plan for the rooftop HVAC installation as well as the time of day the work will be done. Please also submit the application with the property owners notarized signature.✓ The permit fee is $1,05Q.00 (check made payable to the Village of Rye Brook). Please let me know if you have any questions. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 1Petersen -ryebrook.org From:Carolina Estrada<Carolina@palcomechanical.com> Sent:Wednesday, May 31, 2023 1:36 PM To: Laura Petersen<LPetersen@rvebrook.org> Cc:Vincent Palaia<vinny@palcomechanical.com>; Chuck Palaia<chuck@palcomechanical.com> Subject: BOND VET Hello Laura, It was a pleasure speaking with you, please find attached the application and documents for the HVAC Installation. Please let me know what the total fee will be and if there is anything else missing. Regards, Carolina Estrada Palco Mechanical LLC 49 Lake Street White Plains NY 10603 P: 914 920 5200 F: 914 920 5201 2466 M E C H A N I C A L Caution: [External Email] This email originated from outside of Palco Mechanical. Do NOT click links or open attachments unless you validate the sender and know the content is safe. 3 Laura Petersen From: Thomas Galligan <tgalligan@bohlereng.com> Sent: Wednesday, March 29, 2023 4:03 PM To: Laura Petersen; Charlotte Carver Cc: nya220505.00@nf.bohlereng.com Subject: RE: GC information - Bond Vet - 164 South Ridge Street Hey Laura, See below for contact Kerri McGinley Coyle Contracting Corp T:212.510.8276 C:347.337.7571 From: Laura Petersen <LPetersen@ryebrook.org> Sent:Wednesday, March 29, 2023 4:01 PM To:Thomas Galligan<tgalligan@bohlereng.com>; Charlotte Carver<ccarver@bohlereng.com> Cc: nya220505.00@nf.bohlereng.com Subject: RE: GC information- Bond Vet- 164 South Ridge Street EXTERNAL:Use caution with attachments and links. Do you have the general contractors name (first and last) from Coyle Contracting Corp? and phone number please. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 1Petersen(cDryebrook.oro From:Thomas Galligan<tgalligan@bohlereng.com> Sent:Wednesday, March 29, 2023 2:35 PM To: Charlotte Carver<ccarver@bohlereng.com>; Laura Petersen<LPetersen@ryebrook.org> Cc: nya220505.00@nf.bohlereng.com Subject: RE: GC information Hey Laura, Please see the attached updated General Contractor Insurance and the Sprinkler Vendor's Disability. Please let us know if you need anything else. Thanks, Tom From: Charlotte Carver<ccarver@bohlereng.com> Sent: Wednesday, March 29, 2023 10:18 AM To: Ipetersen@ryebrook.org Cc:Thomas Galligan <ttgalligan@bohlereng.com>; nya220505.00@nf.bohlereng.com Subject: GC information Hi Laura, Attached is the contractor's information/insurances for the BonclVet project at 164 S Ridge Street, Rye Brook. Thanks for your help today! Charlotte Carver Permit Expeditor 275 Broadhollow Road, Suite 100 Melville, NY 11747 o 631-738-1200/ccarver@bohlereng.com Check out our new website We've moved! Please note our new address. BOHLERI Confidentiality Note:This e-mail,and any attachment to it,contains confidential information intended only for the use of the designated recipients, which information may also be privileged.If the reader of this e-mail is not the intended recipient, the document has been received in error and any use,review,dissemination,distribution,disclosure or copying of this message is strictly prohibited.If you have received this e-mail in error,please notify the sender via reply e-mail and immediately delete this e-mail from your system. 2 275 BROADHOLLOW ROAD. SUITE 100 MELVILLE. NY 11747 Phone: 631.738.1200 HL www.BohlerEngineering.com ❑ Via Regular Mail ® Via Federal Express ❑ Hand Delivery TRANSMITTAL SHEET COMPANY: Win Ridge Realty LLC RE: BOND VET STREET ADDRESS: 7t Rye Ridge Plaza 164 South Ridge Street Rye Brook, NY 10573 Rye Brook, NY 10573 DATE: March 27, 2023 ATTENTION: pko N(k�l1�J;t� SENDER'S REFERENCE NUMBER: NYA220505.00 THESE ARE ❑ For approval ❑For your use ❑ As requested ❑ For review and comment❑Approved as submitted TRANSMITTED: ❑ Approved as noted ❑ Returned for corrections ❑ As discussed ® For Signatures WE ARE SENDING YOU: ❑ Shop drawings ❑ Copy of letter ❑ Vellums ®Attached ❑ Diskette ❑ Sepias COPIES DATE NO. DESCRIPTION 1 --- --- Fire Sprinkler Application Remarks: Enclosed please find the above referenced application requiring your signature. Please sign and date this application where indicated by SIGN HERE STICKER, have notarized and return it to our office in the enclosed Federal Express envelope. The envelope has been completed and you need only place the signed application in it and leave it with Federal Express. If you have any questions or require additional information, please do not hesitate to contact our office. Copy To: Signed: Via Fed Ex: Thomas Galligan Senior Permit Manager E-mail: tgalligan@bohlereng.com W:\2022\NYA220505.00\Admin\Transmittals\2022\03-27-23 to Dave English.doc\jc 275 BROADHOLLOW ROAD, SUITE 100 MELVILLE, NY 11747 Phone: 631.738.1200 HL www.BohlerEngineering.com ❑ Via Regular Mail ❑ Via Federal Express ® Hand Delivery TRANSMITTAL SHEET COMPANY: Village of Rye Brook RE: BOND VET STREET ADDRESS: 938 King Street 164 South Ridge Street Rye Brook, NY 10573 Rye Brook, NY 10573 DATE: January 6, 2023 ATTENTION: Building Department SENDER'S REFERENCE NUMBER: NYA220505.00 THESE ARE ® For approval ❑For your use❑As requested ❑ For review and comment❑Approved as submitted TRANSMITTED: ❑Approved as noted ❑ Returned for corrections ❑As discussed ❑ For Signatures WE ARE SENDING YOU: ❑ Shop drawings ❑ Copy of letter ❑ Vellums Ej Attached ❑ Diskette ❑ Sepias COPIES DATE NO. DESCRIPTION 2 11/15/22 A-709 Revised Break RM/Utility Elevations (Full Size) 2 11/15/22 A-709 Revised Break RM/Utility Elevations (11x17) Remarks: Enclosed, please find the above referenced plans for your review/approval. If you have any questions or require additional information, please do not hesitate to contact our office. Copy To: Signed: Via Fed Ex: Thomas Galligan Senior Permit Manager E-mail: talligan@bohlereng.com W:\2022\NYA220505.00\Admin\Transmittals\2023\01-05-23 to Village of Rye Brook.doc\jc Mike Izzo From: Mike Izzo Sent: Thursday, December 15, 2022 10:44 AM To: Thomas Galligan Cc: nya220505.00@nf.bohlereng.com; Steven Fews; Tara Orlando; Laura Petersen Subject: RE: Proposed Bond Vet - Rye Ridge Shopping Center- 164 South Ridge Street, Rye Brook Attachments: Pages from BndlOin-22 1115-A-709.pdf Dear Mr. Galligan, Thank you for the email. The plans must also include the mechanical piping detail, and the support chain mounting detail. The contractor cannot be allowed to simply fasten the chain intended to support two large oxygen tanks to a drywall using hollow wall anchors. Please submit two sealed hard copies of the revised plans including the mechanicals and support chain mounting details to the Building Department for review. Thank you. Ahell(7, /zzo Building & Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Thomas Galligan <tgalligan@bohlereng.com> Sent:Thursday, December 15, 2022 9:46 AM To: Mike Izzo <Mlzzo@ryebrook.org> Cc: nya220505.00@nf.bohlereng.com Subject: Proposed Bond Vet- Rye Ridge Shopping Center- 164 South Ridge Street, Rye Brook Good Morning Mike, Hope all is well. Sorry for the delay on this but the people I needed the information from were out sick. You had called last Monday asking about the oxygen tanks shown on the bond vet plans. See below and attached for further information: 1. (2) Oxygen E tanks and (2) Oxygen H tanks. 2. (2) Oxygen E tanks are chained in-place to the wall. (2) Oxygen H tanks are placed in a holder. 3. 02 tanks have shut offs at both ends of origin locations points from the tanks. I've also attached a revised Sheet A709 which shows how the larger tanks are secured and has a note about the shut- offs. Please let me know if you need any further information on this. Thanks, 1 Thomas Galligan Sr. Permit Manager 275 Broadhollow Road, Suite 100 Melville, NY 11747 o 631-738-1200/c 631-524-0105/tgalligan@bohlereng.com Check out our new website We've moved! Please note our new address. BOHLERI Confidentiality Note:This e-mail,and any attachment to it,contains confidential information intended only for the use of the designated recipients, which information may also be privileged.If the reader of this e-mail is not the intended recipient, the document has been received in error and any use,review,dissemination,distribution,disclosure or copying of this message is strictly prohibited.If you have received this e-mail in error,please notify the sender via reply e-mail and immediately delete this e-mail from your system. 2 Bio-Safety & Medical Gas Services, LLC. -1 770 Water St. Biloxi Mississippi 39530 DI Phone: 910-880-1309 AUG 2 9 2023 3 VILLAGE OF RYE BROOK BUILDING DEPARTMENT MEDICAL GAS/VACUUM SYSTEMS VERIFICATION INSPECTION REPORT Healthcare Facility: BondVet Contractor: Pureline Plumbing City/State: Rye Brook, NY Project: Medical Gas Inspection Date: August 28, 2023 Verification Statement ALL APPLICABLE PROVISIONS OF THIS DOCUMENT(NFPA 99,2018) HAVE BEEN ADHERED TO AND SYSTEM INTEGRITY HAS BEEN ACHIEVED AND MAINTAINED. ALL TESTING PERFORMED BY BIO- SAFETY& MEDICAL GAS'S REPRESENTATIVE IS IN ACCORDANCE WITH STANDARDS ESTABLISHED BY NFPA 99,2018AND ASSE 6030. THE PROCEDING DOCUMENTS FOR THIS PROJECT IS INCLUDED IN THE TEST AND INSPECTION REPORT FOR SYSTEM VERIFICATION. Bio-Safety & Medical Gas Services Verifier: KIN NANCE ASSE 6030 VERIFIER#: 16-9325 Bio-Safety & Medical Gas Services, LLC. 770 Water St. Biloxi Mississippi 39530 Phone: 910-880-1309 Healthcare Facility: BondVet City/State: Rye Brook, NY Field Verification Checklist : Pass Fail N/A Source Equipment Verification X Master Alarm Test X Area Alarm Test X Zone Valve Test X Cross Connection Test X Patient Terminal Flow Test X Piping Purge Test X Solid Particulate Matter Test X Operational Pressure Test X Medical Gas Concentration Test X Piping Purity Test X System Labeling X Final Tie-in Test X Bio-Safety & Medical Gas Services Verifier: Kin Nance #16-9325 a Bio-Safety & Medical Gas Services, LLC. 770 Water St. Biloxi Mississippi 39530 Phone: 910-880-1309 INSTALLER PERFORMANCE TESTING RECORD NITROGEN NF USED FOR Yes Pass ALL BRAZING PROPER FITTING USED Yes Pass PROPER PIPING USED Yes Pass PROPER LABELING Yes Pass PROPER PIPE SUPPORT Yes Pass INITIAL SLOWDOWN TEST Yes Pass INITIAL PRESSURE TEST Yes Pass CROSS CONNECTION TEST Yes Pass PIPING PURGE TEST Yes Pass 24 HOUR PRESSURE TEST I Yes I Pass Items Below were Certified 7 Oxygen patient terminals Installation was performed in accordance with NFPA 99-2018 Standard and have been verified by the installing contractor "Please note: Oxygen Pigtails need to be tight to prevent leaka Printed on Tue Jul 18,2023 at 11:55 am EDT p v C�YLE ._.. Job#:23-018 23-018 BV Rye Brook 164 S.Ridge Street Coyle Contracting Corp AUG 18 2_ 023 Rye Brook,New York 10573 VILLAGE OF RYE BROOK BUILDING DEPARTME y�e I C - Description Description Taken Date Uploaded By Taken Date Uploaded By 07/18/2023 at 11:07 am Andrew Aquilino 07/18/2023 at 11:04 am Andrew Aquilino Upload Date File Name Upload Date File Name 07/18/2023 at 11:14 am FE5207D7-0540-4AB2-AA68-C47... 07/18/2023 at 11:14 am 33BE951F-D4C2-4D06-AD96-37A... f . i Description Description Taken Date Uploaded By Taken Date Uploaded By 07/18/2023 at 11:00 am Andrew Aquilino 07/18/2023 at 10:54 am Andrew Aquilino Upload Date File Name Upload Date File Name 07/18/2023 at 11:14 am C8344AFA-13B1-4F2B-8CB8-EA07... 07/18/2023 at 11:14 am 50929A92-5920-4F40-B43D-3466... Page 1 of 4 D �C l 1 -- Printed on Tue Jul 18,2023 at 11:55 am EDT AUG 1 ?073 Job#:23-018 23-018 BV Rye Brook COY L E 164 S.Ridge Street VILLAGE 4F RYE E3RQOK Rye Brook,New York 10573 Coyle Contracting Corp BUILDING DEPARTMENT WWI- ' . 4W Description Description Taken Date Uploaded By Taken Date Uploaded By 07/18/2023 at 10:53 am Andrew Aquilino 07/18/2023 at 10:53 am Andrew Aquilino Upload Date File Name Upload Date File Name 07/18/2023 at 11:14 am 6EF2E555-F6A4-49D3-8209-9AC2... 07/18/2023 at 11:14 am 2F4EA301-7557-4D70-871F-CF3C... Description Description Taken Date Uploaded By Taken Date Uploaded By 07/18/2023 at 10:52 am Andrew Aquilino 05/26/2023 at 10:11 am Andrew Aquilino Upload Date File Name Upload Date File Name 07/18/2023 at 11:14 am C9B1754C-3ED6-4C12-BE74-008... 07/18/2023 at 11:14 am EA23A048-DB09-446C-8946-72E... Page 2 of 4 p � �E P ��1 � ��l� i Printed on Tue Jul 18,2023 at 11:55 am EDT (FLD V Rye Brook C OY L E AUG 18 2023 lob#: -018 23 018 2 164 S.B Ridge Street Rye Brook,New York 10573 Coyle Contracting Corp VILLAGE OF RYE BROOK BUILDING DEPARTMENT is Description Description Taken Date Uploaded By Taken Date Uploaded By 05/25/2023 at 07:16 am Andrew Aquilino 05/25/2023 at 07:16 am Andrew Aquilino Upload Date File Name Upload Date File Name 07/18/2023 at 11:13 am 76A4544D-E5E7-4226-986D-2CA... 07/18/2023 at 11:14 am 387CCD41-766B-4C65-A65E-AF3... Description Description Taken Date Uploaded By Taken Date Uploaded By 05/25/2023 at 07:16 am Andrew Aquilino 05/25/2023 at 07:16 am Andrew Aquilino Upload Date File Name Upload Date File Name 07/18/2023 at 11:14 am C066E8AB-D651-4163-9A8E-87C... 07/18/2023 at 11:14 am 970EF787-3A69-419E-B4DA-32C2... Page 3 of 4 ��-p� Printed on Tue Jul 18,2023 at 11:55 am EDT "" Job#:23-018 23-018 BV Rye Brook C OY L E 164 S.Ridge Street Rye Brook,New York 10573 Coyle Contracting Corp �MM� 141 . f _ Description Description Taken Date Uploaded By Taken Date Uploaded By 05/11/2023 at 03:49 pm Andrew Aquilino 05/10/2023 at 03:55 pm Andrew Aquilino Upload Date File Name Upload Date File Name 07/18/2023 at 11:13 am E9672995-3CF0-4FD0-B610-79D... 07/18/2023 at 11:13 am 06157BB8-C253-40E0-9D5C-C87... Page 4of4 Laura Petersen From: Laura Petersen Sent: Friday,January 13, 2023 1:25 PM To: 'tgalligan@bohlereng.com' Cc: pault@tectonpc.com'; 'Joe@meyersplus.com'; David English;Alena Hakanjin Subject: Building Permit Application - 164 South Ridge Street "Bond Vet" Attachments: Fire Suppression Full 9.2021.pdf Good afternoon, The building permit application has been approved by the Acting Building Inspector. Before I can issue the building permit the following items must be submitted to our office; J. General contractor's contact name & phone number. 2. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) ./. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 4. Fire sprinkler application & fee ($250.00 application fee and permit fee $25.00 per $1,000.00 or a minimum of$275.00) (please see attached) -/5. Fire sprinkler contractor's liability insurance (the Village Of Rye Brook must be the certificate holder) /6. Fire sprinkler contractor's workers compensation on a NY State Board form (C105-2 or U26.3) 7. Building permit fee $14,375.00 ****(due at the time of pick up)****** Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Igetersen0mebrook.ora 1 Client#:2498 ALLSAF2 ACORD,. 1011/20 CERTIFICATE OF LIABILITY INSURANCE DATE21/20;Y2 22 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(iss)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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 FAX ac,No,EXn: (Arc,No): 631-390-9790 40 Marcus Drive ADD . NEConstructioncerts@epicbrokers.com 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747 ---- — INSURER A:Crum 8 Forster Specialty Insurance Co 44520 INSURED INSURER B:NorGUARD Insurance Company 31470 All Safe Fire Sprinkler Systems Inc Merchants Mutual Insurance Company 23329 375 Executive Blvd INSURER C: Y INSURER D: T Elmsford, NY 10523 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UB POLICY EFF POLICY EXP LIMITS LTR IN SR WVD POLICY NUMBER MMIDDIYYYY MMIDD/YYYY ._ A _X COMMERCIAL GENERAL LIABILITY GL0090537 09/1112022 09/1112023 EEAACCHH OCCURRENCE S 1 0 00 000 CLAIMS-MADE I ^I OCCUR PREMISES Ea occurrence) S50 000 -_ X BIlPD Ded:5,000 MED EXP(Arty one person) $5 000 _ X Contractual Liab. PERSONAL&ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 _ POLICY' X JECT =LOC PRODUCTS-COMP/OP AGG s2 000,000 OTHER: S C AUTOMOBILE LIABILITY CAP9269941 9/16/2022 091IM02 C aM81NEDtsINGLE LIMIT 1,0001000 _ _ ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S X AUTOS ONLY X AUTOS ONLY (Per accident - S A UMBRELLA LIAB X I OCCUR SE0120263 9/11/2022 09/1'11112023 EACH OCCURRENCE 31 000,000 _ j X EXCESS LJAB CLAIMS-MADE AGGREGATE $1 000 000 _ DED RETENTIONS _ S B �WORKERSCOMPENSATK)N ALWC213191 9/16/2022 0911612023X PER OR AND EMPLOYERS'LIABILITY Y r N -ANY PROPRIETORMARTNERIEXECUTIVE E.L.EACH ACCIDENT $1 00O 000 OFFICERWEMBER EXCLUDED? FN� N J A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 i DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION ANYELLED Village Of Rye Brook Building THEULD EXPIRATTIIONH DATE V THEREOF..E NOT CEIEWIBLL CBE CDEL VER DO IN Department ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S4346757/M4278743 CCA03 h 1 Workers' YORK j CERTIFICATE OF STATE j Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE f Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured II Safe Fire Sprinkler Systems,Inc. 914 773-7602 375 Executive Blvd - Elmsford, NY 10523 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 1d.Federal Employer Identification Number of Insured or Social Security Number 473975166 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NorGUARD Insurance Company Village of Rye Brook Building Department 38 King Street Rye Brook. NY 10573 3b.Policy Number of Entity Listed in Box"ta" ALWC371889 3c.Policy effective period 09/16/2022 to 09/16/2023 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: Leonard Scioscia (Print name of authorized representative or licensed agent of insurance carrier) Approved by: �Y1 10/28/22 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631-390-9700 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) vrA v.wcb.ny.gov acoR" CERTIFICATE OF LIABILITY INSURANCE 73/29/2023 (MM/DD/YYYY) `� 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: Joanna D'Arri O City Underwriting Agency PHONE FAX 2001 Marcus Avenue Suite W180 c •516-358-3521 A/c No:516-358-3540 Lake Success NY 11042 ADDRLEss: 'dam o cua en .com INSURERS AFFORDING COVERAGE NAIC 0 INSURERA:The Phoenix Insurance Company 25623 INSURED COYLCON-01 INSURER B: Coyle Contracting Corp. 11 West 42nd Street, Floor 2 INSURERC:Travelers Excess and Surplus Lines Company 29696 New York NY 10036 INSURER D:Travelers Indemnity Co.of CT. 25682 INSURERE: GuideOne National Insurance Company INSURER F: COVERAGES CERTIFICATE NUMBER:2018997024 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD LIMITS D PXCOMMERCIAL GENERAL LIABILITY Y Y DT1N-CO-3P792002-TCT-22 12/15/2022 12/15/2023 EACH OCCURRENCE $2,000,000CLAIMS-MADE OCCUR DAGE TO RENTED PREMISES Ea occu rents $500.000 tractual Liab MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X PECOT- LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER $ A AUTOMOBILE LIABILITY Y Y BA-3P796105-22-26-G 12/15/2022 12/15/2023 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED P BODILY INJURY(Per accident $ AUTOS ONLY AUTOS ( ) X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S E X UMBRELLALIAS X OCCUR 71E000080-00 12/15/2022 12/15/2023 EACH OCCURRENCE $4,000,000 C EX-8S184354-22-NF 12/15/2022 12/15/2023 X EXCESSLIAB CLAIMS-MADE AGGREGATE $4,000,000 DED I I RETENTION$ Excess Occ/A $5,000,000 WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRI ETOR/PARTNER/EXECUTIV E E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Property DT1N-CO-3P792002-TCT-22 12/15/2022 12/15/2023 BPP $40,000 RC DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The Village Of Rye Brook and Win Properties is included as additional insured on a primary basis and non-contributory basis per written contract. 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. The Village Of Rye Brook 938 Kings St Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 17-091k*& NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ❑� 9A.7 °A^^^A 453679603 ti ACRISURE LLC DBA CITY UNDERWRITING AGENCY INC 2001 MARCUS AVE STE W180 LAKE SUCCESS NY 11042 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER COYLE CONTRACTING CORP THE VILLAGE OF RYE BROOK 11 WEST 42ND STREET 938 KINGS ST FLOOR 2 RYE BROOK NY 10573 NEW YORK NY 10036 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE M2169 062-3 116324 12/15/2022 TO 12/15/2023 3/29/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2169 062-3, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT AISHLING MORRISSEY VICE PRESIDENT KERRY MCGINLEY COYLE CONTRACTING CORP TWO PERSON CORPORATION THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SU NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 640583345 I I_�F AC" DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 06/05/2023 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 prolAslons or be endorsed If SUBROGATION IS WAIVED, subject to the teens 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). PROWLER NAME CT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE:P.O.BOX 328 A CNNo,Bev:WO-333-4949 Fn C.No):507-446-4664 OWATONNA,MN 55060 E-MAJADDRESS:CLIENTCONTACTCENT ERA FEDINS.COM INSURERS AFFORDING COVERAGE NAIC I/ INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 395483-1 INSURER B: PALCO MECHANICAL LLC INSURER C: 48 LAKE ST WHITE PLAINS,NY 10603.4004 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:235 REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE OIL JR1,1R LTRPOLICY NUMBER (.P.O.UWAILPOLICY E%P LIMITS X COMMERCIAL OENERAL LABIUTY EACH OCCURRENCE $1,000,000 CLAIMS•MADE OCCUR AMlWE TO ELATED PREMISES $100000 SUED EXP(Any one perm) EXCLUDED A N N 9325742 11/11/2022 11/11/2D23 PERSONAL I ADV INJURY $1.D00.000 OEN'L AOOREGATE LIMIT APPLIES PER: X POLICY L_IIECT LOC PRODUCTS S,COMPNW ADO $2,DOO,000 OTHER: AUTOMOBILE LIABILITY EOMBINE F a nD SINGLE OMIT $1 000 000 X YAUTO BODILY INJURY IPW Person) A OWNEDAUTOS ONLY �SULED N N 9325742 1'/1112022 11111/2D23 BODILY INJURY Vr Acddantl HFiED AUT090NLY NOWCWNED ROPERTY AMAOE AUTOS ONLY LX UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000 A EXCESSLAS CLAIMS-MADE N N 9=743 11/11/2022 11/11/2023 AOGREGATE $5,000,000 DEC I X IRETENTION S10,000 WORKERS COMPENSATION PER STATUTE DTHER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ILL EACH ACCIDENT OFFICERIMEMBER EXCLUDED? WA(Mandatory In NN) E.L DISEASE EA EMPLOYEE It yes,deserlbe uneer DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additiornl Remarks Schedule,may be attached If more space la required) CERTIFICATE HOLDER CANCELLATION 3 1 2350 V`ILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED VILLA 938 KING ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE m 1986,2015 ACORD CORPORATION.AN rights reserved. ACORD 2S(2016103) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 � ^^^^^^ 272403208 LEVITT-FUIRST ASSOCIATES LTD 520 WHITE PLAINS ROAD,2ND FL Q TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER PALCO MECHANICAL LLC VILLAGE OF RYE BROOK 48 LAKE STREET 938 KING STREET WHITE PLAINS NY 10603 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2494 436-5 390332 06/29/2022 TO 06/29/2023 6/5/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2494 436-5, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY, THIS CERTIFICATE DOES NOT APPLY TO THOSE JOB SITES WHICH ARE COVERED BY OTHER INSURANCE AND ARE SPECIFICALLY EXCLUDED BY ENDORSEMENT. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT SU NCE FUND ��Y t1/ DIRECTORJNSURANCE FUND UNDERWRITING VALIDATION NUMBER: 368732572 U-26.3 NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) 0 r 0 ^^^^^A 272403208 LEVITT-FUIRST ASSOCIATES LTD 520 WHITE PLAINS ROAD,2ND FL �f f TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER PALCO MECHANICAL LLC VILLAGE OF RYE BROOK 48 LAKE STREET 938 KING STREET WHITE PLAINS NY 10603 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2494 436-5 390333 06/29/2023 TO 06/29/2024 6/5/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2494 436-5, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THIS CERTIFICATE DOES NOT APPLY TO THOSE JOB SITES WHICH ARE COVERED BY OTHER INSURANCE AND ARE SPECIFICALLY EXCLUDED BY ENDORSEMENT. 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. 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M r r m 0 m v m O r O `2 �T M r r m o m 0 �T M r r m 0 m v O 0 0 C C K T-0' MATCH EXISTING ) G) cn � w M m cn p cn m cn r < M S z m m n z Zm> D cn N X 0 T N m D r �v m v m DDr m V m v m m y > m m cn W [n v O C � r D m T � r D m � 0 r D m 10" // 38• .\ 4" N X N N `: ; co � < m v> �� D C �� D V D z w � �� ch wO mM w D // \ -D-i p O p O < a w �n X r �� c7 O M W 0 a m G) D N c N <A JC m co � m j�11l' X Cl) � a 71 a -11 a � a � a � A -�i A � a �=�Tn1 X T z D m 03 M O < N D m m r- T r ii z Z G) = O -0� ccn D C C 0 0 x cn v (n m m o m z m mw A w cn w w N cn rn D m G) 0 m v Cl r O D g m � Cl) O C � O C = D 4" MIN be �p TV D p m D m 0 � = C O CC0 C z --A m co � M -4 m w - m co m ca - m m a7 m Cu i IT1 X �+ r O m D-) [W— DOT. n n [co DOT. 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K N cn M Z D m m m m m m (n 0 v O x D cn m C) C) n n N - cn 0 T (n T � m _ m - cn M . M z Oc z �0Or • � TM DM = m DAD o Tc m0 O� 0 K 2-1 T(nC -I D Off) �T O T xr- ON =D TT rTD(n c�0 zD �n zzZ�z M�(n0 O m rn Z D = -4 �� zX r DUO c (n- Anr D� D D OcT c0 cn (n r zO �r T m �� m Oz O 00 ooOzc mT�cn _1z 00 On o0 cnKmm z -i . D 0 , M D_- •A -I D D -� m M T Mc O -n D cn : -n -A ;a C4)mT n O cM0 . cn = T Z Om v � 4M (Mi> 0mT m� poD D p MOr m z (cnm mm r D C rX nD 0D 0 �� (nm 0 O W D D-4 OWrz� ;pZT� z c = _ cn 0 <_ c- m D�T4 -a 00 �0 0 D ��' m�z mD < < O ��cn� 0� �y z mrOp mzcnc Dr-4m_�rn m�-A n 0 = O (n O -� _ C D O (� _ D �� m <On z �mTTI DD r-10 Z G) mnm Dz m� < m z Dz �m0 c�nD z z 0 D��G1 r O Tc ooZ �p ; m ccoin mcnc-n . Wiz D zn Oz�ooz TO=(n cn m M > . r MT nWM O Kyc zz 0C m z cn� Z r0 Zm D 0 zn _�� G) G) o �mzo O m m� mvC> �c , 0 K n�zr 0-A Z� pO _- mn m-nm= O t O T D D m` MZ(n c: C) cn O v W� cn< z W T �D m z D-n Dcn T D z z z . T �zo0 z < O -4D (n O T . TO Mm z m T r cn TD m �O _ c �_n MM-A n(n W m D � r z . r 0 cn O m c i O � =0 0� -I �M mOr� cn C=mr cn 0 mz cn n� m �v� Dg D C WOE n DD �r cn = D v>0 0 z mD_ D �z T `m D ��D 0m Dfn Dr � �_ < O * . z D m MO rX z� K 0 0 m Dc� my vTrn-4 �� _ �r_OOD U) z r D : D =i -i m (n�0 : 0 cn *_ z cn C m D T 0T < D W M D � zcn c) m_T �� z O �T : p cn K c 0 cn m- -I Z z -� v ro m cn -0 c c) � O = D' 0 v _ r C r � c T X z M O z C � m z r D r 0 : D cm CO =DM : M OT.� �T 0� D -< Om Tm 0z m O{ v0 K O A 00 LlO=T5 - m �X zT v� m O�rZ zmi M� mrr- °O�zD z�pr W M < m co y Tz m DaoO <r= MD z D z 0 X0 Mtn D Ov DC� D z O v (n co � C z= m -M : z �mD ODM �_ -�C-1 -iM C m (n z r- : cn z D m m cn O W m r x z c -� W v D M� cn cn r- rnr �n cn 0 0 �m n� m M z D -r 0m0 D O m �Z� n 0D n -ncn 0<z Tn mr m� r ��DM ' _-I m , c 0 D -� rcn �'c m C O < O T O D m =acci> c TD �cn D O ooD��O -4r co -0 . 0 � z : M D ��m : O OD X X � m r0 T CU) OT n C Z zm Dom z � O T=mMT 0 K 0� _ (n- . 0 (n m�(n nDm Dr cnz ��DzT 0zz 0 m . z , N z T : �z �M 0 m -I (Z -0 X mM zK X m v- ern? p m rznTz -4 p M zcn D O= : T m -10m xrn nZ (cn 00�0� c)n 0 -n z : m� . z -<0 Z v (n- O AM z 0 0 -4-0 Z• D K =zn m rn m ;u M Mx T � • O T C m z : z C) Tn- m0 zT m(n O m = 7 z 0 SOD z0 0 D z �- m (n KC D 0 n Oz Z� D ((i> �-1 Tm . r z O T-1 K*� � : M = cn --I D� 0T z -4 c-4 O �W T(n = � c D O<-4 n m Dm 00 nZp . 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KD= D� zT <r� �-1 O z T = cn 3 m D m nm r-4 �=9D mDzn nD 0 c M (<Mnz KooZT D cn*T z-A U)G U) U) z z -n (n TO r- D(Dn �S �Km� =o "�0 Do ZT -u _ D z , O�gD-�� T�mr2Z =O D-n r-� D "' D z � 0 �0 DOC < 0) ONToo n 00cAo�-- 0 m -� cn N�<T�� =D O T D W r= D D c z � cn moo 0< D T T M= O z= M D : M�r n DOMM -Tom _> O T Mo ?-A T TTO. �n(�i�Ov cnz T 0 O rK 0D � z m x mM 0- M vm-< 0U) MT T= = <0 M OmTrm Tr-r— D M O- D� D . p m M O -4DDz z- �p0T G) D v m 0 c O T z�� Tn r D • Z v c m <� M c O m C < r -0 z Mm xU);uT�C : _ * x�ZC Cn� O m T DKM�Mno v ; n Z r- D�'c)(n q(n cn (n MZj cn = D 0 r--UmZ : m 1:1(n M -i TO K I[ -m N�o W D* O c» (f) _ DZ �> cor,-<o(n �_ o mm=z�T 00 z D xzcn0 X0Dm z T'Tmr --I F cnM 5TMc(Di» z �D D c � X-4mK no O z cn0*Ln-I 0 -��0m� Dm 0-z4 . <D =Z T - c m 0M2K 0Dr D D 0 A W m N A z W N � O < N _ T T 0m n m .co v D > z O _ 0 -A m zv (� D �O z -0 2: _ = Dm m m _ r m zT m=0 *� -O �Mn Zn Z 0 -n=D mrnr m M D K n c T v _v D z m D M � 0 0c') v 0 � M= D D m =D z z T -I m D �? c m D �7 K 00 DcnM T T T D 2 (n cn zcn� Ni0 �O z = D m c M 0 m 0 v p 0 T D- m 0 x d T O -4 < m O' n m Mz = = 0 D D >< c�� (Z (n z mDM cn A D- 0 D -D4cn T M-0 D X m r v 0 O � _- § Z m 0 On cn -< 0 x 2- �� cn m 0 Fn W Z Dm> n � p D 04 D 0 X _ ,ZCj M 0 � Z m § -1 -� K T X x T z m z K z r0 D m-n Wcn c D-I D r- 0 z 74 M m 0 O 0 T z O m 0 m -n m m 7C D-A M 0. cis 0 z m D �2m -ArD-z T D c 0 T z T z m -n X m p � D z >MD = z X m z- O r= M) O z 0 M= = U) -V-< m 0> zm M zp C -0-< = C> � = T y W T TOE DcnD r- co r- � pr zm co c �� 0 m cn O T zm zDK rM-cn =Wc mOT m -mimT m mc� :11 OT z mM Z> pcn G (n C z> M p(n X TD z D0T r-CT T � z � M p -< 0 zA0 =0 KTm n Mm 0 �Z Mzv m 0 z MD C) � z 0 MD �D O Dr< 000 X r C m 0 zm m-u 0 C) Om -10= r Z 0r m 0 � = M 0 � O 2 c C D r- O � m = D z 0= m v0D c cn D x 0 = C D Dn r- -4 T m r 0 O m 0 = C m O m DC) �zm r,� r- D m r m 0 m 00� *z 0 MK M (n c a)U)cXX MK T00 K D=4 (n mD v _ T � vO T X A () to MO cnm(n D -1 z O .� m T v = M mm m -A � O Izm �(nm TpD0 z� OT -im T 0oo -40 2 T T-i x m 0n m K T T-4 0n z�z Dz z �D TD D D N D -� MpX D K � cn O F4 000 OmO K D *� z z v CD M 0 r c z W M Z -4 m z T-h m p m m _= M 0 m T D m x O D D T(n v= D m 0 z m D O x o z = M� x T� mD O c z� X (n K D O � O T (n DK D X D m -<D T <- a �O zD 0x � D co -4 M = m rr- �z W OD m :*z = °r°0 m mT W 0 (nX< Wa TZT ! 4v m cn0T M . r- Dmm : i (n GpD _ K 0 � m = _ M Z = T = ;o G) 0 = . c: > : i O - n 7, D z . 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I N O coil = z : r- M K M A W N D 0 0 K m T4 m 4 W p D A W N 0 D D c � M- K D � z mi D D v 0 . : _ z :m a 0 Q � z m a 0 Q 0) r r p m a 0 Q � m d 0 Q m G a K p (n D O T T = D m v O 0 :0 O D K z -1 O O D cn z v m m m 0 O T m T z T (n C = T O C r Z (n D c zn K• T m D m m : m m T D r r T: U) cn T z m m r- r c � • Z Z .. c c < C C C 0 0 m K K (� � � N r r 0 D -i O T D O 0 T 0 O M z D v z D 0 � D M D T (n 0 z D M D 0 X 0 r Z r O (7 r � v < (n D r- D m (Mj 0 T 0 --i D D �_ n c G G O c r- a x M (n m m m< T N 0 O < OT cn D D x T T :Ll � x z D z O m T D T z m T D 0 z 1TT4 O M -n M C) O 0 M T M D -a r M 0 z Z M < A T T - T m z 0 r O T O W D cn r (� m (� z T n r z M � � c Z 0 O T O m O 0 0 Z X c z m m D O M O O 0(6 Z D M 0 m 56 D-{(n D cn r-m _� 0 C T D v T c z T = n c m4 z W m X p x? oo O m� DO z 0 0 T m m T -Di - O O D 0 D T M M � D m m m D r m D m 0 K m D Z m v> 9 D T D m 0 - c T r 0 z O c T m m D M X g 0 T 2 n z = (n C O c O C v O m z m 4 T r M T T O T m x Ln U) m (n 0 O X I z m T 0 c T 0 m p 0 m K m Z G) cn (n oo cn e v M m TO m m TO < > m D K O O m T r m 0 z 0 . = z (n Z D m m 0 � -Di D z z 0 O x z � T ju X > O< O c aco r D O x M o0 0 D m cn m r � cn • 0 Z p z � 0 G) � D D � D �4 v m = (n m K � cn m M 0 z X c 0 K T -< c m r- 7 M z z O v z C K r C r 3 0 " D 0 rn cn A •T(n;o . ^' co m D mOOc M nT r OO= m u) -u D = c r OKr �Trn av<-4 M D= rrrn �m0 z-A m M>cn C�Co O Z (n(n m D ;)T M-m4 �D M D r � zr r C= im T T T-< m00 0rD D <T D m Or < Z;u --I(n-cnc 0C� M 0-IC •��mi Cc(n z p'2 ;u O• r cn� cn -< * 0 �M D< 0 D �n . M M Z O D m- . _� in M Z M m�-x4 O z-z m1M -i - O -ic0 O c 0- c �- m O-� m� (n nnU) O > -Ar--i m z cn OMcn T X m m-IT M z i WOzm � 0 W Z n �_ Dm W� m(nr- m 2 r Zzr- v D 0 0G)m c0= --I =-nm z-<z 0(n0 cni5 zm nr- 0r -Dvn °z �TZ mGn 0 L. TC X (nmn4 z KKm zmD K-4m _ - cn cmi>Mm mnm �9 00 Gr-i -4m rOD Mm.0 cam DO mr me 0 M Z 55(n -4�D �G) r� D D z A 5inc m O O�� *D •-4O c(n= Dm4p 0K z O -m T�2 =m pD =D OM = r D � {00 T CZ DOo 00 y0=cn 02 OMnr � (n �z0 zZ �m �� zZ G)m m m0� KKD M COM mpg G) K�cn o W� z-1 C= CMC M0 M�z M (nm nM �0 cn D Km Kn qmm 0 -4�C) D Dcn O C� DZ W mnr -< 0 zvmz Mp 0m qp * D z �ZO m00 0 K . 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O z m : 0 : Z n Z m z mn D--4 � r c n z m . O G) � _ X rn n K X 0 -i Z < m cn m N ? 0 m c n < (n m K C)Z a -n -A C m m m v -Di-r -3D� mZx cn 560 n a;) D> r v a' n z 0 ' . i : ; i 0 y n zm . D D_ rn�m �Dc � mx c m z< ,i cncn cn n mn zoz z cn c (nnm —4 G)D m O 0 z � '� .� Z vi m X C 0 � m K 0-1 m < -Di 0 0 z O 0O D O � N D m m • 0 : c D -� p n= c CO D Oro <n0 z �-� z z Dm r O : r -I m m r ? -n m n m -a z G) m m 0 � 0 r O = cn ; ; m :; m m cn n m m my . !�) 3 A C4 N . . . . . D : a p Q w K pr w (n a Q w -n O Q ar K r 0 r • n 0 0 E D cn D :(n T _ . p- co � m a 9 Q d (n 0 0 D co m n Q v (n Fn m D rOm Z zco coz . Kmn y 0-0iio O5 D m nm� =O r- r- m - D - r N � A _. � • O * n O O m n c -4 ti -I :- 22 n cn K n� :� D� O O D D D O 0 WO 0 c: czi� = O c0 r 2 m CD r n O z r 0 v 0; x n D z z G) _ �I K m 0 cCi T n -� n n 0 m n n O O n X n cn v< z D m � r � � C -I C O r m• m � r � � � O- O m m- � rn -a Z v � z z W n _ : = U) Z D cn c D m 0 g O v p cn n 0 Z . n C z -� D < c D -I z < co m = n D n D D D v (n Q C Q v 'i a v Q, G) D (n r G) : .. (n (n O (� m O z D n O G) r D z m cn m r D s z z - cn D 0 ;m = G) O m D (n cn g z 0 D r O r _ Oznm z n r p cn 0rTID m O r D r : r- r r Z_T �- c n c G) Oto m D cn r D < c m D D =_ D rn :- -� 0 z C O 0 O r O C D D m z rn m- Z C m -n D r n T. (n r D c I m < (� p m = _ _� T n C m m ; C O m� O:= m C p � � O � Z1 17 Z � cn O m � � z D O O p v D� W r D z = O m c Z D cn z z ; : :< D D cn z (n = -I c� z :,�-In z z z 0 M rn z-n _ T D m D r cn ' m �� 0 _I mnm SD �m m z m rn O -I (n (1 D m z G) z U) O : O r 0 p D „ cn O O r- m r z O O Z. 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D -I D O X v_ -A (n O D m oo : : s rn O O C cn x r- n m m m r- .. m z m rn z z� cn x �< O m r : m D m z v : -DI -A : m r- . n = : m m cn z r z z z r m K m -I r = m : . e r C z D n D -A 0 0 0 D N 0 -A 0 cn D ,- m y D D rn D cn O , m z m z m D Z D O = _ D 0 Z G) z O D m . m y W m r m 0 O z C rn r U) m cn z � rr- < 0 z Z o r K n m O n = 0 r .-� : z = _ : m z x m G) cn C G) < r n r- m : * K < D yr z m -Zi X . v G) p D cn 0 r -i a) -n -A Z s m 0 s m : : n D O i m z D v cn n r C 0 O m D O -< m D m D c � X W : . cn (n T. m m n :0 � z N A 0 m n m 0 cn < i m T 0 G) X Z n 0 D 0 z rn (n 0 cn 0 s : m0 : r m D _� z 0 r = m z DpDD D rm n 2 mD s 0 W z N O z G)(n : m _ten= r Dor m r z r D 0 cn (n C r m -I r rn m • m X _ c m (n (n 0 : z O- r D 0 �1 m c D Z U) r D = �Dzm D O r -n m 7: s : D z y m s : z cn s = 0 -n 0 -I 0 .. p O = cn 0 z m r -I m _ : 0 m K , Z U) = z � = r O r- (n 0 (n r- D z (n O Z C (n < n (n cn D (n : G) m r r 0 D m n 0 - x � x n z n - y 0 co G) C D : m= � D K W g z m D 0 - : Z Dr = 0 z n O n D cn z n n m n i m m D z 0 x oo D rn Z D m m n m W D : r Z m r rn : G) z rn D c -I D r n c � g M r D oo i 0 -I r � K m m m r = v 0 -I > rn z 0 O z m D G) O m -I D cn �_ _ D .. 0 r = t *= C D c > M m 0 : D Z (n cn n n z 0 D _ U)r-0 ro 0m 00 Z : Z < I� _ ,rn07 nD DZrn m 2D<O c n . z 0 O O rD r D vDi cv s D D- D z p m z � z n N : m m z � : D m . c : m p z � Z r m z n C 0cn D n r Z Z n -0 c z m n : O m n D K r m r X G) Zvi ? : p (n = m 0 0 m n -I r p T n D D cn 0 D= n = 0 z r -V- * m m z z r m m m n� m rn s zTG) v xr- On z� 0 (n : G) m -I m c T C -Kn xnm m C Op c m : C� m 0 D m x Orc Dcn z� v : T m D m= p Dr C� s 00� m-n : n • W m O O z ; z z r -i n -I m D G) N cn D _ m cn 0 n z O rn m -I m (n z m D m W x m as �1 m 0 r r cn T. m t r p n m O X r m ;0 = t cn r m Z 0 W -V : rnoorN r� m�_ DDZ z T m : n(n p cnm0 m-n �X 0 D -0� 0 G) r -a : Drw m vcn XG) O Ti w W r mT mnC X n m- = D r �rn m z = m D n"' =n �� : D T rn 0 �o z� r- 0 0 vw cn z : <OK U) n = 0 mwm o� 00m co '3 X m : z �-Im �� D z 0m v m D X O rnX-I w0 zD �0 •_ D n GG)) v cK r- -<X cn� m Z N p ` o� m (zip 0 m m�m m(n _� ccn m cDn C-i (A)-A�� rm�,Icn = cn 0 -I n ; Pvcn n-n mm n= p cn - �� X Dz D Zn=CO mD<D -A � s �� m0 �r �D � z 00 r r- . 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Orr- co = in 0 m< CD rn r0 mZ -T m : 2� D m zz z< n KO D cn v cn z0 nZ CO mz D � cn0�z x wD D nD -A rnrn n m 0 o cnr rrI-I mz x cn cnz y O co G) 0 0� om m mr s z z K �<-A �m �n 0 D )(n c = _ �m m n in cn (nr X cn 0 r m0 �-4 m m r-AK>cn � i n< C -Am m zm : m m 0 g aG) �m 0 c� 00n D z m m z z 0 c) mC z P = 0DS 0 0-i r (n U) K c prn v0 0 z D D� -�0 m 0 0z= . : mm (nD 0G) o w� n m . nm XO ZO W G) mOD= 00 z ({inn U) o czjD m 0 mm m� cn-I - � -Dnn O O mm � m mK � vD Dz =� 0 m p=Dc� m Kn m m cnC = D D mz X� z p� mn= cn p cn -I x � cn X x� 0 r D p m X -4 m = G) W N 0 N . p N TI m d ar: m n rT nr G) m n p Q v Z m Z m a . . . �I n . w ; cu a Q v G) W - m 0 .� m m p r D m r . n z 0 : 0 � D X n z m p (n Z v (n D w v < m v m 71 p v c_n = C n 0 (_n D r ccn - 0 D cn � 0 : O D D O T. v rn v w N w v Z n O O m O a w v z � N T m cn 0 vx z - O m = c z - c Z rn D N z cn ? 0 0 D m (n m cn = 0 � tp : m r n n D D �• rTt z C x Z r m cn m < r N ;0 r= C Z D 0 i r r O Cn G) n r Z A O m I c c z= m � : nr U) r0 D r D: m ram•. 0 r z 'U z z d z Ip D w 0-0 z� cn m x 0 -n -A - D Z 0 �I O D n r r 0 rn D 0 0 O D (n r D C z m 0 cn D O� rn z X r r Z r = x C Z D (n m (n Vl m r m 17 m n -� -� p 0 0 D n D C m X m C t : z D n -i . 0 m C r O : . O G) O. m cn: K -I � -� r C O m cn m � O r r m T -I O r n X g m n m -+ n m cn D 0 -I 0 G) D O D D 0 D p m< m C 0 O -< cn m m r z 0 n D p Z G) cn i : m 0 m n 0 0o cn -0 j D s r : : = 0 cn -< T { 0 D c ;p :� - m cn cn 0 r- -I r r D 0 n> � z o z z m0 m z z D O Z g _ m cn t : 0 0 x m m � � � m m x �, rn � O m _ : p Z Z D o m o Cf m n r rn r r v O n p m O m z z m .n m O m � O � r O Z O z D-I z O 0 D r < . m X m m m O o _ m s 0 n : m : A m m 0 m -K m O y m m * C 0 � n D x X 0 � G) m n 0 z O z m� ; 0 c m G) cn DC rr- IN Z m f � Z v-4 D n m < T rn O . = x Z = _ o� rn D m< fi p n m 0 W O m v cn GZ) D z 0 v -I m z cn c . D m n r 0 m (ten D 0 0 m v cn ` O = r m r m n D O = r = z : : rn (n C * Z D (n 0 r O i S r D Z = K X r- X z m m m . z m z m X D z r- O n -o r z z cn r- 0 - K K .. � ni = i m Z (n (n T D r s rn m : D Z r O �� < 0m ` m to m n i O g� n rn m �z m" mz r nD m M m rn 0 z 00> O� O K.. . O cCi) m z rn= 0_ 0 0 cn T- cn z 0 cn m = D � cn D v -n n m m T Z G) - n D c G) p n m n K z m . m c n v m cn D : D (n r rn �t * O r O m Z D D n z (n 0 O r O T cn r m Z !'n c .. _ < -n : s n -I n � s : r (n •• O z O O -4 C oo = z r G) O C z rn r rn cn o z cn .. m O rn r D p D (n D r i = (n m rn : . -I D - z -I X A � cn rn c cn z 0 = m n cn p m m z m m m D n -A m < m -< O 2 G) �_ 0 (n n = m X Z x z D m O v cn G) cn O Z r D ? = g m X i cn - : G) Z 0 2 -I 0 0 y 0 z Z � m z � W S � -i �- v =I r m v n m m 0 D X X m Z 0 C D n oo v O m 3 G) O D G) 0 � O 3 m = . . -I z C D m X < _ (n 0 �_ cn z n O r m CO D Z C (n C m X K o D X z W m O T m G) rn m cn � m m O rn m m D G) z (n O D n m rn s _ cn C T r v m D D = (n z D n n m 0 m : � 3 -4 -n cn : _ O z D m Z r C c (� Z Z D -A n x s 0 m 0 v m n -I m T O m r = ? : : n m= n r n C -A =fi- 0 D x m m D -I z (n m O 0 - m -n m D n0 X m _ : ; . 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