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HomeMy WebLinkAboutMP23-033 J O
VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914) 939-0668 Christopher J.Bradbury
www.iyebrooka.gov
TRUSTEES BUILDING&FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W.Morlino
CERTIFICATE OF COMPLIANCE
August 7,2024
25 Highview Ave Inc
25 Highview Avenue
Rye Brook,New York 10573
Re: 25 Highview Avenue, Rye Brook, New York 10573
Parcel ID#: 141.35-2-19
This document certifies that the work done under Mechanical Permit #23-033 issued on 3/29/2023 for the
installation of two new condensers and two new air handlers have been satisfactorily completed.
Sincerely,
Steven E. Fews
Building& Fire Inspector
/to
�yE BR(�k•
• 1982 BUILDING DEPARTMENT
BUILDING INSPECTOR
❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK
❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573
(914) 939-0668 FAx (914) 939-5801
www ryebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
ADDRESS: 5A ' DATE:
PERMIT ISSUED: `SECT: BLOCK: LOT:
617
LOCATION: '� ) < � ^�`� ,� OCCUPANCY.
❑ Violation Noted THE WORK IS... ❑ " PASSED ❑ FAILED REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ Natural Gas
❑ L.P.Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
❑ FINAL
❑ OTHER
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BUILDING DEPARTMENT D E C rg ,,
VILLAGE OF RYE BROOK '
938 KnvG STREET RYE BROOK,NY 10573 MAR 2 l 2023
(914)939-0668
]Y�-ebrookmrg VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE
HEATING,VENTILATION AND/OR AIR CONDITIONING EQUIPMENT
FOR OFFICE USE ONLY: PERMIT#: —V�
Approval Date: MAR 3A4023 Permit Fee: S 6 + b
Approval Signature: Other:
Disapproved:
(tees are non-refundable)
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. (Vivage 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= S 100.00/unit • COMMERCIAL=S350.00/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.
is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the Application dated,3'a�'�
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.
I��3
1. Address: l l`gv�v �✓ Q�i Rye%0OL", rl 5BL:1 7�• 3 -d� Zone: -�
2. Property Owner: 25 N' QWV If_UtJ )(Vt 10 C_ Address:
Phone#: q l Lf- qV-661JJ Cell#: Q1'4-#6qq-ZQb email: !_
3. Contractor: K 4U - ki 1✓(kC.�V(C o2eV'lo 4gO Address:
Phone#: q1 L1 - 3/)-_ 7S"/a Cell#: 1q-,RtZ _ � email: $'eVV l if o 0 rod vat. 600,
4. Scope of Work:New Installation�•Replacement( )•Removal( )•Other( ):
5. List Equipment: T (�l- CCU�`dcOOif VL)2-1CA Jg1/AH Z t vt.dvyr Ski Z-KPlt ,►Jd
fitccr�Q �vt Ou7-doo�' Huz�se-� 36,ya �!-Z cv�r�o�y �'y2-KPit�l�d �S
6. Location of Equipment: Lt1 C + a a< ►tn.Q�L"�
"r, KV07XJA — ML-z r-JO60A. C PkZ- - ►�lK,���r�� �v-a�,� hoX—�
7. Method of Installation/Removal(list all equipment needed to perform job): 57f_"1t^d
T c,�a r Gl�c tc .4��t Gy C94'44 y GA.f§?
353 2023
!���Nr YORK,CO OF WESTCHESTER ) as:
C/d 0 C(� � ,being duly swom,deposes and states that he/she is the applicant above named,
'(print name of individual signing asaird applicant)
and further states that(s)be is the Heating,Ventilation and/or Air Conditioning Contractor for the legal owner and is duly
authorized to make and file this application.
That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use
conducted at the above captioned properly 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 is
day of tr ,20_2= day of ,20 a-3
r
ature of Property Owner Signa 0 pplicant
Namc of\Property (Owner Name of kpplidant J
Notary Public Notary Public
SHARI MEULLO
SHARI MELILLO Notary Public,State of New York
Notary Public,State of New York No.01ME6160063
No.01.ME6160063 Qualified In Westchester County
Qualified In Wastcheste+C,,,nty ^arrrn,ssion Expires January 29,20 Z 7
'omrnisslon Expires January 29.20 Z-7
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.
z
3/3/2023
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it
BUILDING DEPARTMENT
VILI.AGE OF RYE BROOK MAR 2 4 2023
939 KINti STREFT RYE BRf)t)K, NY 10573
(914)939-(T668 VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
www.rycbruok.org
ELECTRICAL PERMIT APPLICATION
Westchester County Master Electricians License Required ll "�
FOR OFFICE USE ON IA fiP#: 73
- VMPa3-o33
Approval Date: Permit Fee: S /"
Approval Signature: Other:
Application dated, is hereby made to the Building Inspector of dtc Village of Rye Brook NY, for the issuance of
a Pennit 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.
I.Address: �)S CLJIF- SBL: 1`'r 1. 3 S - 01_ �� Zone:
2.Property Owner: @-S N�ONN y�CkJ cut J)nC Address:
Phone#: (?/19- 937- 60j/ C'ell 'I: email:
3.Master Electrician/Licensed Installer: Ar0N\n0 Gotiko` Address: 11JU L*.A r��. (LA t Gr t,.)S)►cf,\�s
Lic.#:�_Phone#: Cell#:L H)d lgr -ri k to`1
Company Namc: Cn( i,es. Lo.-.lrac*,-� 1�nnC, Address: 1hv Q-A bre,,:,s1r�r_��
4.Proposed Electrical Work/Fixture Count: V'%kC)" n // '* 4�ct-1rh/room etn'-..vc.ho�
o� O�s/cY� ca nC�en.Se�S
5.3'Parry Electrical Inspection Agency: SU1t S
1F*#r*******#l*#r*****,t•k*akk*i:**:�-k k k jr*k*k*•t:*:F***iF k*i.!•:k#**:trk**.t irk,t•Yx•k*,t*1**k***********,F 4******!***********J:•k:k ie
STA"I F:OF NEW YORK,COUNTY OF wFs-rCHFSTI:R ► as:
being duly sworn,deposes and states that he/she is the applicant above named,and does further
(print name of irubvid gnus s die appiic
state that(s)he is the 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 dt 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 n1c this (NV co,�
day of .20 day of 20 j-3_
Jean M.Aliberto
Notary Public.State of New Yak c
Signature of Property Owner No.01AL6198763 Signature of plicant
Ouallfied in Westchester County
My Commission Expires 01/)5/2021 �-
Print Name of Property Owner Print Name of A plicant
Notary Public Nota Public
31,2023
INSPECTIONSTATEWIDE
0:0
SWIS JOBAPPLICATION
Office Use Elect. Permit N �� 1 '����5 3 Date
Bldg Permit# � � r � r� Utility ID#
Final Certificate# S
City/Village Q Zip (G�_-l3 Township County i,/� 4,111,541-
ILk ffixt"m
Address R Cross Street Section Block
Owner Name/Address If iMment than anew) a I�V j tW a v.( I Contact Number ct(It
, n�C� _ S"O(P
❑Basement ❑ 1st FL Ind FI 3rd FI More Than 3 FI Garage 0 Attic El 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 11 Change
Visual Re-Inspection Safety Re-Inspection Re-Inspection
Additional Information 7
K 4-
4 z �ArCLieTi ( ( fI # 7a.i �� 1
Dj D
MAR 2 4 2023
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
This application it valid for one 11)yew from the due teceava by SMS This application is"Mended to cover the above listed Hems to be rispectad 0 at any mm o,irnpecom additlorsal to hew been faded,you we
authortted to make the mwectton and adjust die tee for the additional items inspected.The appkant deciam that then is no open appki tbns for the above address woh any other Wapection c The
arnpary, appkant,asvrw
or authonted ago"agrees tom"the above terms and casGt"n as set forth for the appkation
Inspector Date Finalized In or
Company NameCe co-In( Date Signat
Address (3b (5VlNL1 Kb City/State �rwsic'- NY
Zip Code / e,m
License# / Phone# `^11 q_ t
p �VvE
State Wide Inspection Services
CA� 1080 Main Street
JUL 31 20?.4 Fishkill, NY 12524
Sw u 845 202-7224 Phone
VILLAGE OF RYE BROOK 914-219-1062 Fax
STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: ofFiceCd)swisny.com
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:
Cesarini Contracting, Inc. 25 Highview Avenue Inc.
136 Guinea Road 25 Highview Avenue
Brewster, NY 10509 Rye Brook, NY 10573
Located at: 25 Highview Avenue, Rye Brook, NY 10573
Section: Block: Lot: Electrical Permit Number: EP23-073
141.35 2 19
Certificate Number:2024-1964 Building Permit Number: 22-255/23-033
A visual inspection of the electrical system was conducted at the Residential occupancy described
below.The electrical system consisting of electrical devices and wiring is located in/on the premises
at: 25 Highview Avenue, Rye Brook, NY 10573
The First Floor, Second floor, Kitchen,and Bathrooms 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 28th day of March 2024.
Name Quantity Rating Circuit Type
Kitchen
Stove 01
Dishwasher 01
Recessed Luminaires 06
Bathrooms
Receptacles 02
Exhaust Fans 02
Luminaires 02
HVAC System 01
A Visual Inspection of existing conditions was performed on March 28t', 2024 of the First Floor,
Second Floor, Kitchen,and Bathrooms and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. _
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.
MITSUBISHI
ELECTRIC
vrovided by HROD
20 Fifth Street, White Plains NY 10606
(914)372-7849
service@ h rod hvac.com
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MITSUBISHI ELECTRIC DEALER
Provided by H-ROD HVAC
MITSUBISHI
AFVL ELECTRIC
HROD
20 Fifth Street, White Plains NY 10606
(914)372-7849
service@hrodhvac.com
445494
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MITSUBISHI ELECTRIC DEALER
Provided by HROO
Submittal
Project Name:
JUAN MORENP FIRST FLOOR (Revision 1 )
Contractor:
Engineer:
Architect:
Rep/Distributor:
Project Detail:
Customer:
Address:
City:
State:
Zip:
Submittal Date:
2/7/2023
Submitted By:
Name: JUAN MORENO FIRST FLOOR
Company:
Email:
Phone:
Submittal Stage: Submittal for Record
Warranty Document
MITSUBISHI ELECTRIC TRANE HVAC US LLC i �0 Boulevard
Su-wawaneeree GA 30024
Applicable Outdoor Models:SUZ-KA*NA2, SUZ-KA*NAR1, MUZ-JP*,MUFZ-KJ*,MUZ-GL*, MUY-GL*, MXZ-2--8C*, MUZ-
FH*, MUZ-HE*, MUZ-D*, MUY-D*, MUZ-FS', MUZ-GS*
Applicable Indoor Models: MSZ-JP*, MSZ-EF*, MSZ-GL*, MSY-GL*, MSZ-FH*, MSZ-HE*, SEZ-KD*NA4, SEZ-KD*NA4R1,
MFZ-KJ*,SLZ-KA*NAR1,SLZ-KF*, SVZ-KP*, MVZ-A*, MLZ-KP*, MSZ-D*, MSY-D*,MSZ-GS*, MSZ-FS*
LIMITED WARRANTY STATEMENT
Mitsubishi Electric M-Series 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 original purchaser of this M-Series System (as used herein, "System"shall
mean M-Series 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 States,Alaska and
Hawaii,that:
A The parts are warranted for a period of five (5) years to the original owner of the System. If any parts should
prove defective due to improper workmanship and/or material for a period of five(5)years from the date of installation,
METUS will replace any defective part without charge for the part. Replacement parts are warranted for the remainder
of the original 5-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 parts and become
the property of METUS.
B. The compressor is warranted for a period of seven (7) years to the original owner of this System. 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 the 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, if the System is installed in a residential single-family home and registered
within 90 days from installation, the parts and compressor will be warranted for a period of 10 years, to the
original owner,so long as the original owner resides in the home. Specifically, if any parts and/or 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. Notwithstanding the foregoing, if the System is installed in a residential single-family home by a DIAMOND
CONTRACTOR and registered within 90 days from installation,the parts and compressor will be warranted for
a period of 12 years,to the original owner,so long as the original owner resides in the home. Specifically,if any
parts and/or the compressor should prove defective due to improper workmanship and/or material for a period of twelve
(12)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 12-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.
E. NO LABOR. These limited warranties do NOT include labor or any other costs incurred for service, maintenance,
repair, removing, replacing, installing, complying with local building and electric codes, shipping or handling, or
replacement of the System, compressors or any other parts. For items that are designed to be maintained or replaced
by the original owner, the original owner is solely responsible for all labor and other costs of maintaining, installing,
replacing,disconnecting or dismantling the System and parts(such as filters or belts)in connection with owner-required
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FEATURES
• Compatible with M-and P-Series and CITY MULTI®indoor units.Branch box required for connection with M-and P-Series
• Variable speed INVERTER-driven compressor
• Seacoast protection on heat exchanger and base panel(rated for 2,000 hrs in accordance with ASTM B117 testing)
• Thermal Differential 1°F(with PAC-MKA32152BC only)
• Built-in base pan heater
• Quiet outdoor unit operation,rated sound pressure as low as 49 dB(A)
• High pressure protection
• Compressor thermal protection
• Compressor overcurrent detection
• Fan motor overheating/voltage protection
• Hyper-heating performance offers 100%heating capacity at 5°F and 75%heating capacity at-13°F
• ENERGY STARe certified(non-ducted,mixed&ducted)
ENERGY STAR products are third-party certified by an EPA-recognized Certification Body.
Specifications are subject to change without notice. ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved.
SPECIFICATIONS: MXZ-SM36NAMHZ
Maximum Capacity BTU/H 36,000/136,000//36.0D0
Rated Capacity BTU/H 36,000/136,000/136,000
Cooling'(Non-Ducted ll Mix I/Ducted) Minimum Capacity BTU/H 15,500//15,500//15,500
Maximum Power Input W 2,400//2.610/I 2.855
Rated Power Input W 2,4001/2,610//2,855
Power Factor(208V.230V) % 98.5,98.5//98.5,98.51198.5.98.5
Maximum Capacity BTU/H 42,000/142.000//42,000
Rated Capacity BTU/H 42,000//42.000/!42,000
Heating at 47'F'(Non-Ducted//Mix// Minimum Capacity BTU/H 22,500//22.500//22,500
Ducted) Maximum Power Input W 3.080/1 3,200//3,325
Rated Power Input W 3.080 113,200//3,325
Power Factor(208V.230V) % 98.5,98.5//98.5,98.5//98.5,98.5
Maximum Capacity BTU/H 49,000//49,000//49,000
Heating at 17'F(Non-Ducted!/Mix 11 Rated Capacity BTUIH 33,000 11 33,000//33.000
Ducted) Maximum Power Input W 5,730 116.050 116.350
Rated Power Input W 3.450//3,600 It 3,750
Heating at 5`F'(Non-Ducted/I Mix 1) Maximum Capacity BTU/H 42,000/I 42,000/I 42,000
Ducted) Maximum Power Input W 6,155//6,3151/6.480
SEER 23.01120.65/118.3
EER 15.0I/13.8/1 12.6
HSPF(IV) 12.5//12.11111.7
Efficiency(Non-Ducted//Mix//Ducted) COP at 47°F 4.0113.85 if 3.7
COP at 17'F at Maximum Capacity' 2.1//2.03//1.9
COP at 5'F at Maximum Capacity' 2.0111.95/I 1.9
ENERGY STAR"Certified Yes//No//Yes
Electrical Power Requirements Voltage.Phase, 208/230,1,60
Frequency
Guaranteed Voltage Range VAC 187-253
Voltage:Indoor-Outdoor.S1-S2 VAC 208/230
Voltage:Indoor-Outdoor.S2-S3 V DC 24
Short-circuit Current Rating(SCCR) kA 5
Recommended Fuse/Breaker Size if Branch Box Powered by A 40(45)
Outdoor Unit
Electrical Recommended Fuse/Breaker Size without Branch Box or
Branch Box Powered Separate A 40
Recommended Wire Size AWG 6
MCA if Branch Box Powered by Outdoor Unit A 42.0
MOCP it Branch Box Powered by Outdoor Unit A 50
MCA without Branch Box or Branch Box Powered Separate A 36
MOCP without Branch Box or Branch Box Powered Separate A 40
Fan Motor Full Load Amperage A 0.6-0.6
Airflow Rate(Cooling/Heating) CFM 3.885/3,885
Refrigerant Control LEV
Defrost Method Reverse Cycle
Heat Exchanger Type Plate fin coil
Heat Exchanger Coating Blue Fin Coating
Sound Pressure Level,Cooling' dB(A) 49
Sound Pressure Level.Heating' JB(A) 53
Compressor Type Hermetic
Compressor Model ANB33FJSMT
Compressor Motor Output kW 2.8
Outdoor unit Compressor Rated Load Amps A 19
Compressor Locked Rotor Amps A 22.0
Compressor Oil Type//Charge oz. FV50S//73
Base Pan Heater Built-in
W:In.[mm] 41-11/32[1,050]
Unit Dimensions D:In.[mm] 13[330]
H:In.[mm] 52-11/16[1,338]
W:In.[mm] 43[1,0901
Package Dimensions D:In.[mm] 18[450]
H:In.[mm) 57[1,4301
Unit Weight Lbs.[kg] 278[126]
Package Weight Lbs.[kg] 302[137]
NOTES:
AHRI Rated Conditions 'Cooling(Indoor//Outdoor) 'F 80 DB.67 WB//95 DB.75 WB
(Rated data is determined at a fixed compressor speed) 2Heating at 47'F(Indoor//Outdoor) OF 70 DB,60 WB//47 DB,43 WB
=Heating at 17'F(Indoor//Outdoor) -F 70 DB,60 W8/I 17 DB,15 WB
Conditions 41-leating at 50F(Indoor//Outdoor) -F 70 DB.60 WB//5 DB.4 WB
Applications should be restricted to comfort cooling only:equipment cooling applications are not recommended for low ambient temperature conditions.
when 1 or more PLA-A EA7 connected
.e Branch box should be placed within the level between the outdoor unit and indoor units
5'F DB-115'F DB when optional wind baffles are installed
For actual capacity performance based on indoor unit type and number of indoor units connected,please refer to MXZ Operational Performance.
Although the maximum connectable capacity is 130%,the outdoor unit cannot provide more than 100%of the rated capacity.Please utilize this over capacity capability for load shedding or applications
where it is known that all connected units will NOT be operating at the same time.
Specifications are subject to change without notice. ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved.
Job Narne:
System Reference: Date:
lip*
00
PAC-MKA308C - PAC-MKA50BC
PAC-MKA31BC _ PAC-MKA51BC
PAC-MKA32BC r - PAC-MKA52BC
DECRIPTIONS
• The PAC-MKA32/52 have a thermal differential from set point of 1 F regardless of which MXZ outdoor unit generation they are connected to.
SPECIFICATIONS
Model Name PAC.MKA51 BC PAC-MKA31BC
Connectable number of indoor units Maximum 5 Maximum 3
Power supply Single phase,2OW30 V,60 Hz
Input �- kW 0.003
Running current A 0.05
Extemal finish - GaNartized steel--
WkIth -� Inch(ni 17-23132(450)
Dimensions Depth Inch(mm) 11-1/32(280)
Height Inch(mm) 6-11/16(170)
Width Inch(mm) 20.1(511)
Package Dimensions Depth- --- Inch(mm) 24.4(620)
Height Inch(mm) 8.3(211)
Weight lb(kg) 23.4(10.6) 21.8(9.9)
Branch Liquid Inch(mm) e1/4(6.35)x 5(A,B,C,D,E) el/4(6.35 x 3(A,B.C)
Piping (indoor side)' 1 Gas Inch(mm) e3/8(9.52)x 4(A,B.C.D).et/2(12.7)x l(E) e3/8(9.52)x 3(A,B,C)
Connection
(Flare) Main Liquid Inch(mm) e3/8(9.52)
(outdoor side) Gas Inch(mm) e5/8(15.88)
'The piping connection size differs according to the type of and capacity of Indoor units.Match the piping connection size for indoor and branch box.If the piping connection size of the branch does not
match the piping connection size of the indoor units,use optional different-diameter(deformed)joints to the branch box side.(Conned deformed joint directly to the branch box side.)
ACCESSORIES OPTIONAL PORT ADAPTORS
BBE-1 Branch Box Enclosure
MAC-A454JP-E Port Adapter
MAC-A455JP-E Port Adapter
MAC-A456JP-E Port Adapter ^/
/'1 B
PAC-493PI Port Adapter
r
PAC-SG76RJ-E Port Adapter M.d0,,a Connected pipes diameter
Diameter B
Inch,min Inch.mm Inch,mm
ADP5834 Port Adapter
MAC-A454JP-E 3I8,09.52-1/2,012.7 3l8,e9.52 1/2,e12.7
MSDD-50AR-D Flare connection distribution pipe
MAC-A455JP-E I 1/2,012.7 318,e9.52 1/2,012.7 3/8,e9.52
MSDD-SOBR-E Brazed connection distribution pipe MAC-A456JP-E 112.e12.7-•5/8.el5.58 1/2,e12.7 5/8,e15.88
NOTES:For the MXZ$C60 outdoor unit PAC-493PI 1/4,06.35 .3/8,111 1/4,06.35 3/8,09.52
: -
- When connecting the outdoor unit to the branch tax directly.the reduction in pipe size must be PAC-SG76RJ-E 318,a9.52 5/8,015.88 3/8,09.52 518.e15.88
made at the branch box using the port adaptor:ADP5834(5/8"F x 3/4'M). ADP5834 518.015.88-.3/4,019.05 5/8.e15.88 3/4,019.05
- When connecting the outdoor unit to the distribution pipe(MSDD-SOAR-D,for using 2 branch
boxes),the reduction in pipe size must be made at the distribution pipe using the port adaptor:
ADP5834(5/8"F x 3/4'M).
Specifications are subject to change without notice. 2021 Mitsubishi Electric Trane HVAC US LLC.All rights reserved.
• . 0B • , • ,
PAC-MKA30BC.PAC-MKA318C,AND PAC-MKA32BC(3-BRANCHES TYPE)
Suspension bolt:W318(M10)
Refrigerant pipe flared connection inch.mm
To indoor unit
To outdoor unit
3/8F o9.52
Liquid pipe 1/4,08.35 114,e8.35 1/4,e8.35 3/8,o9.52
Gas pipe 3/8,e9.52 3f8.09.52 3/8,e9.52 5/8,a15.88
SIBF e15.88
arsrtrsan 5E[r Mrs
U,t,L+4ti
Unit: mm (inch)
BEfr
a
'0 VIVAn Alt 1P1' Lr'r. i-:e, {.E,W:A4t fuel
- — ••JQE
i
- - - -
• 'sFRV KE VUIEI C r�—�-PL—'rE _.
bli•:R4Ry.r P7R;
Specifications are subject to change without notice. ©2021 Mitsubishi Electric Trane HVAC US LLC.All rights reserved.
PAC-MKA508C,PAC-MKA51BC,AND PAC-MKA52BC(5-13RANCHES TYPE)
Suspension bolt:W3/8(M10) Conversion formula
Refrigerant pipe flared connection Gnu'rtxn
tl4F o6.35
To indoor unit
• E To outdoor unit 3/8F e9.52
Liquid pipe 1/4,o6.35 114,96.35 1/4,06.35 1/4,e6.35 1/4,o6.35 3/8,o9.52 _ 1/2F _ e12.7 —
�-- — 518F e15.88
Gas pipe 318,e9.52 3/8,e9.52 3/8,e9.52 318,e9.52 1/2,012.7 5/8,ol5.88 3/41'
Unit: mm (inch)
L
v
z.
I1
100
~ ••
4 ,
- - gar:-�•,r�.,
1340 Satellite Boulevard.Suwanee,GA 30024
Toll Free:800433-4822 www.mehvac.com
FORM#M Submittal PAC-MKA30-31-32-50-51-52BC-202105Ver2
Specifications are subject to change without notice. C 2021 Mitsubishi Electric Trane HVAC US LLC.All rights reserved.
AF%ELECTRIC
000 BTU/H MULTI-POSITION
Job Name:
System Reference: Date:
GENERALFEATURES
• Ducted air handler provides a solution to cool and heat large zones
• Highly efficient totally enclosed ECM motor
• Selectable external static pressure:0.30,0.50 and 0.80 in.WG with 3 fan
speeds at each static setting
• 1 inch R4.2 fiberglass free insulation reduces condensation and boosts
efficiency
• Positive pressure cabinet with air leakage of less than 2.0%at 1.0 In.WG
(Tested per ASHRAE Standard 193)
• Unique blow through design allows simple coil cleaning when the blower is
removed
• Multi-position installation:horizontal(left or right),vertical(up or down)
• Optional electric heat kit for additional heat capacity
• Optional humidifier control and ERV control
• Built-in humidifier control,ERV control and auxiliary heat control
Optional downflow kit
• Multiple control options available:
kumo cloud',smart device app for remote access
Third-party interface options
o Wired or wireless controllers
Specifications System
Unit Type SVZ-KP18NA
Cooling Capacity'' BTU/H 18,000
Heating Capacity'' BTU/H 21,600
Voltage,Phase,Frequency 2081230.1,60
Guaranteed Voltage Range VAC 187-253V
Electrical Voltage:Indoor-Outdoor,S1-S2 VAC 2081230
Voltage:Indoor-Outdoor,S2-S3 V DC 24
Short-circuit Current Rating JSCCRJ kA 5
MCA A 3.0
Fan Motor Full Load Amperage A 2 4
Airflow Rate at Cooling,Dry CFM 471-573-675
Airflow Rate at Heating,Dry CFM 471-573-675
Sound Pressure Level[Cooling) dB[A] 33-36-41
Sound Pressure Level[Heating] dB[A] 33-36-41
Indoor Unit External Static Pressure in.WG 0.30-0.5-0.8
Drain Pipe Size In.[min] 3/4[19.OSJ
Coating on Heat Exchanger —
External Finish Color Hot-dip coated steel(ZAM)
Unit Dimensions W x D x H:In.[mm) 17 x 21-5/8 x 39-13/16 1432 x 549 x 1,011]
Package Dimensions W x D x H:In.[mml 17 x 28-3/4 x 44-3/8[460 x 730 x 1,0111
Unit Weight Lbs.[kg] 93[42]
Package Weight Lbs.Jkgl 106[48]
Refrigerant Type R410A
Piping Gas Pipe Size O.D.[Flared] In.[mm] 1/2[12-7J
Liquid Pipe Size O.D.(Flared) In.[mmj 1/4(6.35J
NOTES:
Conditions 'Cooling(Indoor//Outdoor) 'F 80 DB.67 WB 1l 95 DB,75 WB
'Heating at 47'F(IndoorV Outdoor) °F 70 DB.60 WB 1147 DB,43 WB
'Capacity varies based on the number of indoor units operating and the model of the Multi-zone Outdoor Unit.For reference to connected capacity charts.please refer Multi-zone Outdoor Unit Operational
Performance.
Specifications are subject to change without notice. ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved.
INDOOR UNIT ACCESSORIES:
BACnet'and Modbus'Interface PAC-UKPRC001-CN-1
CN24 Relay Kit CN24RELAY-KIT-CM3
Connector cable for remote display PAC-SA88HA-EP
IT Extender PAC-WHS01IE-E
kumo station"for kumo cloud PAC-WHS01 HC-E
Control Interface
Remote Operation Adapter' PAC-SF40RM-E
Thermostat Interface PAC-US444CN-1
Thermostat Interface PAC-US445CN-1
USNAP Adapter PAC-WHS01UP-E
Wireless Interface for kumo cloud` PAC-USWHS002-WF-2
Flush Mount Remote Temperature Sensor PAC-USSEN002-FM-1
Flush Mount Temperature Sensor PAC-USSEN001-FM-1
Remote Sensor
Remote Temperature Sensor PAC-SE41TS-E
Wireless temperature and humility sensor for kumo cloud` PAC-USWHS003-TH-1
Airzone ZBS Wired Blueface Principal Controller White AZZBSBLUEFACECB
Airzone ZBS Wired Lite Controller White AZZBSLITECB
Airzone ZBS Wired Think Controller White AZZBSTHINKCB
Airzone ZBS Wireless Lite Controller White AZZBSLITERB
Wired Remote Controller
Airzone ZBS Wireless Think Controller White AZZBSTHINKRB
Deluxe Wired MA Remote Controller' PAR-40MAAU
Simple MA Remote Controller' PAC-YT53CRAU-J
Touch MA Controller' PAR-CT01MAU-SB
kumo touch"RedLINK Wireless Controller MHK2
Wireless Remote Controller Wireless MA Receiver PAR-FA32MA-W
Wireless MA Remote Controller PAR-FL32MA-E
Blue Diamond(Advanced)Mini Condensate Pump w/Reservoir&Sensor(208/23OV)[recommended] X87-721
Blue Diamond(MicroBlue)Mini Condensate Pump(110/208/23OV)up to 18,000 BTUlH X86-003
Condensate
Blue Diamond Sensor Extension Cable—15 Ft. C13-103
Refco Condensate Pump(100-240 VAC)up to 120,000 BTU/H COMBI
20/2PR,1PR shielded+1PR plenum wire for Airzone.100 it reel CW2042S2-100
Control Wire
20/2PR.shielded+1PR plenum wire for Airzone.500 It reel CW2042S2-500
Disconnect Switch (30A/60OV/UL)[fits 2"X 4'utility box]-Black TAZ-MS303
(30A/60OVIUL)(fits 2"X 4"utility box]-White TAZ-MS303W
Downflow Kit Downffow Kit DFK-S
Electric Heat Lockout Electric Heat Lockout ETC-211020-MIT
3kW Electric Heater
EH03-SV2-S
Electric Kit Heats 51,W Electric Heater EHOS-SVZ-S
8kW Electric Heater EH08-SVZ-S
100'x 114"x 100'/112'Lineset(Twin-Tube Insulation) MLS141212T-100
15'x 114'x 15'/1/2"Lineset(Twin-Tube Insulation) MLS141212T-15
Lineset 30'x 1/4"x 30'/1/2"Lineset(Twin-Tube Insulation) MLS141212T-30
50'x 1/4"x 50'/112"Lineset(Twin-Tube Insulation) MLS141212T-50
65'x 1/4'x 65'/112"Lineset(Twin-Tube Insulation) MLS141212T-65
Terminal Block Separate Terminal Power Block SPTB1
NOTES:
'PAC-SF40RM-E(Unable to use with wireless remote controller)
Specifications are subject to change without notice. ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved.
MLZ-KY06NA
llt BTU/H EZ FIT CEILING CASSETTE Arik ELECTRIC
Job Name:
System Reference: Date:
GENERAL FEATURES
• Designed to fit between 1-joist spacing
• Stylish,square design panel
{ Built-in condensate lift mechanism(19.6")
• Serviceable from the bottom(electrical and flare connections)
• Adjustable fan speeds and vane directions
• Washable antibacterial and deodorizing filter
• Multiple control options available:
o Hand-held Remote Controller(provided with unit)
o kumo cloud®smart device app for remote access
o Third-party interface options
o Wired or wireless controllers
• Pocket inside the access panel for kumo cloud°Wireless Interface
• UL 60335-2-40 Compliant
Specifications System
Unit Type MLZ.KY06NA
Cooling Capacity'.3 BTUM 6,000
Heating Capacity'' BTUM 7,200
Voltage,Phase,Frequency 208/230.1,60
Guaranteed Voltage Range VAC 187-253V
Electrical Voltage:Indoor-Outdoor,S 1 S2 VAC 2081230
Voltage:Indoor-Outdoor,S2S3 V DC 24
Short-circuit Current Rating[SCCR] kA 5
MCA A 1.0
Fan Motor Full Load Amperage A 0.68
Airflow Rate at Coding,Dry CFM 152-173-184-198
Airflow Rate at Cooling,Wet CFM 129-141-156-168
Airflow Rate at Heating,Dry CFM 152-173-194-212
Drain Pipe Size In.[mm] 1-1/16126]
Indoor Unit Condensate Lift Mechanism,Maximum Distance In.[mm] 19-1 ill 6[500]
Coating on Heat Exchanger —
External Finish Color Munsell 4.OGY 9.1102
Unit Dimensions W x D x H:In.[mm] 33-3116 x 11-7/8 x 7-11/16(942 x 301 x 1941
Package Dimensions W x D x H:In.[mm] 35-3/4 x 14-1l8 x 1241-8[910 x 360 x 310)
Unit Weight Lbs.[kg] 24.3[11.0]
Package Weight Lbs.[kg] 28.7[13.01
Refrigerant Type R41 OA
Piping Gas Pipe Size O.D.[Flared] In.[mm] 3/8[9.52]
Liquid Pipe Size O.D.[Flared] In.[mm] 1!4[6.35]
NOTES:
Conditions 'Cooling(Indoor 11 Outdoor) 'F 80 DB,67 We!I 95 DB,75 WB
'Heating at 47"F(Indoor l/Outdoor) "F 70 DB,60 WB!I 47 DB,43 WB
3Capacity varies based on the number of indoor units operating and the model of the Multi-zone Outdoor Unit For reference to connected capacity charts,please refer Multi-zone Outdoor Unit Operational
Performance.:
Specifications are subject to change without notice. 30 ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved.
4. MITSUBISHI
/_ ELECTRIC Mir-SLIM,
COOLING & HEATING Split-ductless A/C and Heat Pumps
SUBMITTAL DATA: MHKI REMOTE CONTROLLER KIT FOR M-SERIES AND P-SERIES
Job Name: Location: Date:
Purchaser: Engineer:
Submitted to: For ❑Reference ❑Approval ❑Construction
System Designation: Schedule No.:
MHK1 REMOTE CONTROLLER KIT INCLUDES:
MRCH1 REMOTE CONTROLLER Diagnostics: Displays and records error codes
• For use with P-Series NHA4 No addressing required
systems,SEZ-4/SUZ one-to- Can be integrated with other RedLINKTm devices
one systems,SLZ/SUZ ____-_...._.W_ _t
one-to-one systems,MXZ-B WI Wiring:Connects using five-conductor cable from MIFH1
multi-zone systems,MSY/MSZ, +2•; Wireless Receiver(cable included)to indoor unit;wireless RF
and MFZ indoor units from the MIFH1 Wireless Receiver to the MRCH1 Remote
• Backlit,easy-to-read display "" Controller
• Supports both Fahrenheit and Dimensions:3-9/16"H x 5-13/16"W x 1-1/2"D(147 x 38 x
Celsius ] 91 mm)
• User functions allow user to set: Uses two"AA"alkaline batteries(included)
-On/Off
-Operation modes cool,heat,drying,fan
-Set temperature(separate dual set points for heat and cool) MIFH1 WIRELESS RECEIVER
-Fan speed setting Mounts next to or near indoor units
-Airflow direction to allow MRCH1 Remote
• DayTme display with a 12-hour clock
• Controller operation of P-Series
Filter sign display
• Optimal start NHA4 systems,SEZ-4/SUZ one-
• Adjustable auto deadband to-one systems,SLZ/SUZ one-to-
Space temperature offset adjustment one systems,MXZ-B mufti-zone
• Display outside temperature and humidity(requires optional systems,MSY/MSZ,and MFZ indoor
MOS1,sold separately) units
• Hold function Dimensions:6-7/16"H x 3-1/4"W x 1-5/16"
• Temporary schedule override D(164 x 82.5 x 34 mm)
• Reset to factory default
• Auto lock display MRC1 CABLE o
• Timer Operation: •Connects MIFH1 Wireless Receiver to five-
-Daily Timer:On/Off times can be set up to 4 times per day in 15-minute increments. pin CN105 on indoor unit control board
-Weekly Timer:On/Off times can be set up to 4 times per day of •Five-conductor wire with preterminated ends
the week in 15-minute increments.Choice of 5-2 and 5-1-1 •Length:6-112'(2 m)
weekly schedules for heat,cool,auto(separate for each mode)
-Auto-off Timer:Turns indoor unit Off at scheduled time up to OPTIONAL ACCESSORIES
24 hours in advance
• Room Temperature:Displays room temperature sensed either at ❑ Portable Central Controller(MCCH1;for use with Wireless Remote
the indoor unit or at the remote controller(default) Controller Kit MHK1)•
• Set temperature range limits dependent on the system connected): a Outdoor Air Sensor(MOS1;for use with Wireless Remote
Cooling from 50 to 99'F Controller Kit MHK1)•
Heating from 40°to 90°F
Auto from 50'to 90°F with dual temperature setting 'See Submittal for information on each option.
MIFH1 Wireless receiver
rMOSI ,
MRCH1 •
Outside Remote controller
Air Sensor
(Optional)
1 MCCH1
Portable 2 <,
central 1 0
controller
MITSUBISHI 3400 Lawrenceville Suwanee Rd
FORMt!MHKi-201108 fftSuwanee.GA 30024
ELECTRIC Tele:678-376-2900•Fax 800.889-9904
RedLINK is a trademark of Honeywell,Inc. Toll Free 800-4334822(#3)
V 2011 MITSUBISHI ELECTRIC&ELECTRONICS,INC. COOLING & HEATIN G www.mehvar.corn
L v e Fs e r r e r Specifications are subject to change without notice.
Submittal
Project Name:
JUAN MORENO SECOND FLOOR (Revision 1 )
Contractor:
Engineer:
Architect:
Rep/Distributor:
Project Detail:
Customer:
Address:
City:
State:
Zip:
Submittal Date:
2/7/2023
Submitted By:
Name: JUAN MORENO FIRST FLOOR
Company:
Email:
Phone:
Submittal Stage: Submittal for Record
- ■
18,000 • HANDLER •
UMP SYSTEMS ff ELECTRIC
Job Name:
System Reference: Date:
Indoor Unit: Outdoor Unit:
SVZ-KP18NA SUZ-KAI8NAR1
II
c
w. tM
GENERAL FEATURES
Ducted air handler provides a solution to cool and heat larger zones
Highly efficient completely enclosed EC motor
Selectable external static pressure:0.30,0.50 and 0.80 in.WG with 3 fan speeds at each static setting
1 inch R4.2 fiberglass free insulation reduces condensation and increases efficiency
Positive pressure cabinet with air leakage of less than 2.0%at 1.0 in.w.g.(Tested per ASHRAE Standard 193)
Unique blow through design allows simple coil cleaning when the blower is removed
Multi-position installation: horizontal(left or right),vertical(up flow)
Optional electric heat kit for additional heating capacity
Optional humidifier control. ERV control and auxiliary heat control
OUTDOOR UNIT FEATURES
Variable speed INVERTER-driven compressor
Innovative Joint Lap DC Motor leads to high efficiency and reliability
Pulse Amplitude Modulation technology
High-performance grooved piping for increased heat exchange efficiency
Specifications are subject to change without notice. 22 ©2018 Mitsubishi Electric Trane HVAC US LLC.All rights reserved.
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Warranty Document
MITSUBISHI ELECTRIC TRANE HVAC US LLC
Applicable Outdoor Models: SUZ-KA*NA2, SUZ-KA*NAR1, MUZ-JP*,MUFZ-KJ*, MUZ-GL*, MUY-GL*, MXZ-2-8C*, MUZ-
FH*, MUZ-HE*, MUZ-D*,MUY-D*, MUZ-FS*, MUZ-GS*
Applicable Indoor Models: MSZ-JP*, MSZ-EF*, MSZ-GL*, MSY-GL*, MSZ-FH*, MSZ-HE*, SEZ-KD*NA4, SEZ-KD*NA4R1,
MFZ-KJ*, SLZ-KA*NAR1, SLZ-KF*, SVZ-KP*, MVZ-A*, MLZ-KP*, MSZ-D*, MSY-D*, MSZ-GS*, MSZ-FS*
LIMITED WARRANTY STATEMENT
Mitsubishi Electric M-Series 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 original purchaser of this M-Series System (as used herein, "System"shall
mean M-Series 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 States,Alaska and
Hawaii,that:
A The parts are warranted for a period of five (5) years to the original owner of the System. If any parts should
prove defective due to improper workmanship and/or material for a period of five(5)years from the date of installation,
METUS will replace any defective part without charge for the part. Replacement parts are warranted for the remainder
of the original 5-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 parts and become
the property of METUS.
B. The compressor is warranted for a period of seven (7) years to the original owner of this System. 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 the 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, if the System is installed in a residential single-family home and registered
within 90 days from installation, the parts and compressor will be warranted for a period of 10 years, to the
original owner,so long as the original owner resides in the home. Specifically, if any parts and/or 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. Notwithstanding the foregoing, if the System is installed in a residential single-family home by a DIAMOND
CONTRACTOR and registered within 90 days from installation,the parts and compressor will be warranted for
a period of 12 years,to the original owner,so long as the original owner resides in the home. Specifically,if any
parts and/orthe compressor should prove defective due to improper workmanship and/or material for a period of twelve
(12)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 12-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.
E. NO LABOR. These limited warranties do NOT include labor or any other costs incurred for service, maintenance,
repair, removing, replacing, installing, complying with local building and electric codes, shipping or handling, or
replacement of the System, compressors or any other parts. For items that are designed to be maintained or replaced
by the original owner, the original owner is solely responsible for all labor and other costs of maintaining, installing,
replacing,disconnecting or dismantling the System and parts(such as filters or belts)in connection with owner-required
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ACOROI CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYV)
3/24/2023
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 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 CONTACI NAME: LAURA REY IANNARELLI
Rey Insurance Agency Inc HO No Ext: (914)631-7628 FAX,
No: I9141631-140e
219 North Broadway ADDR1ESS: laura@reyinsurance.com
PO BOX 845 INSURER(S) AFFORDING COVERAGE NAIC M
Sleepy Hollow NY 10591-0845 INSURERA:Main Street America Assurance 29939
INSURED INSURER B:Erie Insurance Company 26263
HROD HOME HEATING 6 AIR CONDITIONING PLUS,CORP INSURER C:
20 5TH ST
INSURER D
INSURER E:
WHITE PLAINS NY 10606-1610 INSURERF:
COVERAGES CERTIFICATE NUMBER:CL2332418763 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 SUBR POLICY EFF POLICY EXP
LTR POLICY NUMBER MM/DDM'YY MMIDDIYYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A CLAIMS-MADE X� OCCUR DAMAGE TO RENTrF__
PREMISES (Ea occurrence) $ 500,000
NPU980BU 06/14/2022 08/14/2023 MED EXP(Any one person) $ 10,000
PERSONAL &ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000
NPOLICY a PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000
ECT
OTHER: Employment Practices Lab Ins $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
ANYAUTO BODILY INJURY(Per person) $
B ALL OWNED X SCHEDULED
AUTOS AUTOS 409-6230237 09/12/2022 09/12/2023 BODILY INJURY(Per accident) $
NON-OWNED I PROPERTY DAMAGE $
HIRED AUTOS AUTOS Per accdent
PIP-Bas,c $ 50,000
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAB HCLAIMS-MADE AGGREGATE $
DED I I RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E1.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED' N I A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
It yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
PROOF OF INSURANCE
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
938 KING ST ACCORDANCE WITH THE POLICY PROVISIONS.
RYE BROOK, NY 10573
AUTHORIZED REPRESENTATIVE
L Rey Iannarelli/LAliR --
©1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025;2014011
PORK Workers' CERTIFICATE OF
STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE
Board
1 a.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured
HROD Home Heating Air Condition Pluscccp
20 5th Street 1c. NYS Unemployment Insurance Employer Registration Number of
White Plains NY 10606 Insured
N/A
Work Location of Insured(Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security
certain locations in New York State, i.e.,a Wrap-Up Policv) Number
81-1350694
2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder)
Hartford Insurance Company
Village of Rye Brook
938 King Street, 3b. Policy Number of Entity Listed in Box 1a"
Rye Brook NY 10573 57WECAP6KC2
3c. Policy effective period
12/29/2022 to 12/29/2023
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 carder indicated above in box "3" insures the business referenced above in box"'Ia"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 Carder 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: Dave Simmons
(Print name of authorized representative or licensed agent of insurance carrier)
Approved by: 4� 03/27/2022
----1 (Date)
Title: Vice President of Sales
Telephone Number of authorized representative or licensed agent of insurance carrier: 800-673-2465
Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT
authorized to issue it.
C-105.2 (9-17) www.wcb.ny.gov