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Home My WebLink AboutBP23-093PERMIT # �/- �- V / � DATE: � � o�� q(p� 9/a il�aL% S� SECTION �� LOCK � LOT 3 ■ TYPE OF WOR /C7! � �3I�Q S.�i C Gt /7�c�?�'I � �7"�� '�E'�'Nt>!� JOB LOCATION /' ,� �- OWNER�_J�[gy4S�� era 4i1 �i �� C�"/��10-3359_ CONTRACTOI�/e, a rc�et9� LL—�iS,��r�/i.�4 C�.3)lr>�o7-033/ T. COSTS o_ FEE �° � -' # FEE � ��P� DATE TCO # FEE PATE INSPECTION RECORA DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS INSP SPRINKLER � � � ELECTRIC LOW -VOLT O ALARM AS BUILT 0 �� - Za2s- FINAL ��3-0 73/�� /N�,,�`.��,�� P�3a / � 1o��ye 1 ��ec-fi-i'c.. .� CG OTHER APPROVALS IARB BOT PB ZBA �-e-ue� a1�1a5 der al alas" VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 25-021 Certificate of Occupancy This is to certify that r kaahayan c /I �&z=Z2a#W of, �� rJ yQ0/l, Y having duly filed an application on �� 20 requesting a Certificate of Occupancy for the premises known as, MLILM A 0(0:ee , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: l Block: Lot: , and having fully complied withthe requirements of the Building Code and the Zoning Ordinance under Building Permit No. issued 20 cP-5, 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: ) •3ILi9?-dC Construction: for the following purposes: ` f� /�Y YP�1/) L162 -ha -Mn-yL/)M b 0-T n 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 eRsl 'lities shall be made,and no enlargement, whether by extending on any side or by increasing in height shall be m nothebuilding be moved from one location to another until a permit to accomplish such change een o ed o ing Inspector. Building Inspector,Village of Rye Brook: Date: FEB 0 6 2025 rc . 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J. Bradbury www.tyebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R Epstein Steven E. Fews Stephanie J.Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE February 6,2025 Srivatsan Raghavan&Janani Ranganathan 436 North Ridge Street Rye Brook,New York 10573 Re: 436 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 129.68-1-3 This document certifies that the work done under Mechanical Permit#23-143 issued on 10/6/2023 for the installation of a new gas fired boiler has been satisfactorily completed. Sincerelv, Steven E. Fews Building&Fire Inspector /to QyE S3R 4' t 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.rvebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE February 6,2025 Srivatsan Raghavan&Janani Ranganathan 436 North Ridge Street Rye Brook,New York 10573 Re: 436 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 129.68-1-3 This document certifies that the work done under Mechanical Permit#23-119 issued on 7/28/2023 for the installation of a new condenser and a new air handler has been satisfactorily completed. Sincerely, i Steven E. Fews Building&Fire Inspector /to Q E " IE � v E, BUILDIrTR MENT For office use only: PERMIT# 3— 93 SEP 12 2024DD VIL OF RYE OK ISSUED: —c4 3 _�_� 938 KING STRE YE BROOK, YORK 10573 DATE: 9— a-a VILLAGE OF RYE BROOK 9 -06 v/ FEE: �'7_� PAID BUILDING DEPARTMENT W 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: �36 !Q I�G1E SST Occupancy/Use: Parcel ID#: �Z — (i Zone: Owner: ,S9-1 V PrZSf)rrl Address: P.E./R.A.or Contractor: Gb� Qlk IIy►pdQ LLL -Address: Person in responsible charge: 1-V I S g0LVLj)VI Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OFF NNEWp�Y,ORK,COUNTY OF WESTCHESTER as: /^ �1 Y�S r/�� 1"(ll/t f V� being duly sworn,deposes and says that he/she resides at '1 s 6 �f S� (Print Name of Applicant) (No.and Street) in �� pyOQVC. ,in the County of in the State of N ,that (City/rown/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ , for the construction or alteration of: lbc-Sew� Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-1 O.A.of the Code of the Village of Rye Brook. Sworn to before me this Mih Sworn to before me this 2- day o , 201 day of Se V , 202� JA- Signakre rty Owner SignaturVf nt pfcq�tor" ff,ky 12 n-rj ame of Property Owner Print Name of Applicant Vl\-t LL Notary PublicSHARI MELILLO Notary Public Notary Public,State of New York No.OIME6160063 Qualified in Westchester County, 6/I/202a Commission Expires January 29,20 1�tilE BRcbl O� tim Q 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 : t 33 /y7 T DATE: ;> PERMIT# �� Z3 \� ISSUED: i-Z a 2 SECT: Z% BLOCK: LOT: LOCATION: -r �.J �t'�/V� �1--\ Q .�, Vxj = OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION Q ❑ NATURAL GAS �' ^ a L J J ❑ L.P. GAS r' ❑ FUEL TANK e �� ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑'. FINAL _ v/ZIc (_ v (v ❑ OTHER 1 1 r i QyE BR(�k. cu � t7 ��• �9�2 F'O BUILDING DEPARTMENT r❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street. Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: i 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 / .� �� a rA / o � `�1 c 7 ❑ FINAL PLUMBING �iS V) `-)oA `-� CROSS CONNECTION �J ,FINAL CAQ '❑ OTHER l( ly)L _ 1 �O 1982 BUILDING DEPARTMENT 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 : 0. 6, � `= ' C�J DATE• PERMIT# t - �� ISSUED: ECT: BLOCK: LOT: LOCATION: 1 t C ` �`-�� \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 N N 00 00 N P._ o W a o � f...� A a W V en eno v L Lr)Q C-' � tn N Su A W H aLn o P-+ Wyb i U CU w p M Z ®,a � ovW ON C%4 W Vr z P; M O U o a U Z z � 71u V ■ � p4 W � � � � � � � wayE .� � 4 00 A V d zo U o ° ■. F a � > � CL4 5ECENE BUILDING DEPARTMENT VILLAGE OF RYE OOK J�lJUN - 7 2023 938 KING�THEET RYE BRO ,NY 10573 (�1->�� -0G68 VILLAGE OF RYE BROOK k 8 BUILDING DEPARTMENT INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: JUN 19 2023 D / n Approval Date: /ermit l Application Fee:$ QQ l� Approval Signature:---A\ Permit Fees:$ -/, D fo J Disappro�,ed: A Other: Application dated: _7't)3 is hereby made to the Building Inspectorofthe Village of Rye Brook,NY,for the issuance ofa Permit the interior alteration of an existing rrbuilding,or for a change in use,as per detailed statement described below. \u e G'K- ,-`2> 1. Job Address: `I N• RI hE ,Sig 1 SBL: Zone: 9, 15 2. Proposed Improvement.(Describe in detail): I S C Itn tev i 4 e Ae n o y c,il an f t'1du6(YL, bn h) )-" hQri Y o "0 �u`lS l`ry OlS 4 V(2n i 3. Does thf�roposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook? No: ✓ Yes: If yes, indicate: TIER I: TIER Il: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an existingautomatic fire suppression system (Fire Sprinkler,ANSL System, FM-200 System,Type I Hood,etc...):No: ✓ Yes: (Ifyes, 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: Ck 1 After Construction: to} 6. N.Y State Construction Classification: tr_ B N.Y.State Use Classification: R 3 7. Property Owner: � [W V fib" Address: 300 M011tGlYc' f(k &t 31 N Y M -0S Phone# S 2S& 43Sc Cell# sly 2&(o 33Sfi email:PI1CII)-SY1' 13rdr fIfVi i (0-Cn 8. Applicant: V T S I ft--) Address:300 V',ArA Ci(a)PCIk- 'V Q f Phone# _Q 7 S L 33S6) Cell# 51?1 2�b 3 3'� 5 email: Coo I _ 1 cc q?pw t1' af-n 9. Architect: T C fZ {¢}AR ti Address: 16C.) %a L Ya'1�aLL r �' O5 Phone# 70'3 Cell# email: Pch G V&OWL (OCY) 10. Engineer: Address: Phone# Cell# _y�� email 1 `'�► L � /� II. General Contractors--'et ' P7 deress'. ,�� C��+ T//^V•'� ','7 �C, �"�vrie J l�T�c'✓lWi�+I� Ci/ � Phone#�-3--�y4 7-d'331 C e I I# email: 12. Estimated cost of construction T6 a 000 iws jeqcull _- )01 material ,raffolduag.tiwd equipment pfotes:aomd tees.and material:rid lahnr Whirla m,i\ he donatrd _rau• 13. Job Timetable: Start: O Ito 12t2'.3 Finish: b42-3 (1) 6/1/2023 BUILD MENT V L� VIL r E OF RYE 11i00K 938 KING ET RYE BROOK,NY 10573 Jl1N _ 7 2023 Q668 VILLAGE OF RYE BROOK Nvww. 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: Ah()f)f)V6fv+ , residing at, Sao Nclwwjnfcic titre :g 631 � ill)qAoij)%y 1 6vy- lPrint namcI tAJdre.� you li%o being duly sworn, deposes and states that(s)he is the applicant above named, and further states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; Rye Brook,NY. 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. f�l�llall � 'rn�c'i1� Qwnril.11 KA►�c-cWNA--Tt4R�.! Print Name of PruperlN (hN nei i)l Sworn to before me this 0 day of 20_Z�L_ A DULARMATTIE SINGH Notary Public, State of New York No. 01 SI6001468 Ouaiified in Nassau County Commission Expires !1, 2L �.6 S/t 2/2021 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Rr7t)Hfr y 0-f) , being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this to Sworn to before me this �` day of U , 20 23 day of - UG 1C , 20 2 Sign- perty Owner Signat r p scant S(�) VOrTSV�w k(INf?Y( (�V'1r.6WS" �r�ltkl�lU Print Name of Property O\rncr Print Name of Applicant 7 +'/T ; Notary P tic Notary P blic UULARr,4ATTIE SINGH GULARIATTIE SINGH Notary Public, State of New York Notary Public, Slate of New York No. 01 S16001468 No. 01 S16001466 Qualified in Nassau CountyQualified in Nassau County P Commission Ex ues Commission Expires la q�;.,�p— d1 �9 Tl 8/12/2021 BUILD N ARTMENT R VIL - E OF Ry I JUL IQ 2023 938 KING ET RYE BR c ,NY 10573 4 9 9- ' VILLAGE OF RYE BROOK rv.'d 061 or BUILDING DEPARTMENT FOR OFFICE USE ONLY: Approval Date: JUL 1 $ er 1t# ' Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: ''\\ Amendment Fee:t/QS- u Permit Fee: APPLICATION TO AMEND APPROVED PLANS Application dated:"7—/O—,c-),3 is hereby made to the Building Inspector of the Village of Rye Brook,NY,to amend the approved plans associated with an existing open permit,and/or from any prior approvals granted by the approval authority as per detailed statement described below.p 1. Job Address: "t 36 N X(NE, S% Existing Permit#: RP 2-3— Q 9 3 2. Parcel ID#: e 29 .4� - I - ?2 Zone: Original Approval Date: 2- 20 2 3 3. Proposed Amendment(Describe in detail): SCoOe Ye&AA C b O`O r-Q the- 4S� oo,c g( - a s� 1�` Vrn�►� lQ1lrV11'tLQ Mbo(71 11�Y"CtSLuz�en� � ru�ln_ \'kit 4. Property Owner: V ftTSftj.I lzA(n+1AVgN Address:'Z_o,,p mo�ro»ec'_h j)vQ \ 1i e P\Og\-nc r!�( l -06 oS Phone Cell# If e-mail e_Mot11S �,�I�` Applicant: SR y A'Y.SPY>W KAr,"V m-r4 ;;yy _ Address: ! Y P C 3 yl 1 i\ �y l W US Phone# Cell#_5 1 112_&&:1 S 5 e-mail Em i lgt` 51 r.L 010) Architect/Engineer: 2 r F_ Address: © 4 i2 r O Phone# 2_ Z S` 3 [(�i tl Cell# e-mail ffh ra , eft!j ftL(jnm 5. Occupancy;(1-Fam.,2-Fam.,Comm.,etc...)Prior to construction: —CCM'7) After construction: 6. Will the proposed amendment require the installation of a new,or an extension/modification to an existing aut��atic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes:_No:_✓(if yes,you must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 7. Will the proposed amendment disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more f impervious coverage requiring a Storm water Management Control Permit as per§217 of Village Code?Yes:_No: rea: I 8/12/2021 8. Will the proposed endment require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,you must submit a Site Plan Application,&provide detailed drawings) 9. Will the proposed amendment require a Steep Slopes Permit as per§213 of Village Code Yes: No:✓�(if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 10. Is the lot located within 100 ft of a Wetland as per§245 of Village Code? Yes: No: V (if yes,the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) /' 11. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No:V (if yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) �V� 12. Will the proposed amendment require a Tree Removal Permit as per§235 of Village Code?Yes: No: (ifyes,you must submit a Tree Removal Permit Application) 13. Does the proposed amendment involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Ifyes,indicate: TIER I: TIER II: TIER III: (if yes,a Home Occupation Permit Application is required) 14. Will the proposed amendment result in additional square footage to the building or subject structure, and if so,provide such additional footage here. N 9 (Please submit additional Bulk Regulation Application Pages for review) 15. What is the total added cost of the work associated with the amendment: $ ,�506-o CSC_Pf 16c flu-- ''_',(The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,including any material and labor which may be donated gratis.) 16. N.Y.State Construction Classification: 'V3 N.Y.State Use Classification: JS3 17. Estimated date of completion: . u I Z V 2 3 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer&signed by those professionals where indicated.It must also include the notarized signature(s)of the legal owner(s)of the subject property,and the applicant of record in the spaces provided.Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations.By signing this application,the property owner further declares that he/she has inspected the subject property,and that to the best of his/her knowledge there are no roof drains,sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this Sworn to before me this day of J , 20_2a_ day of V ,20- Signatu operty Owner Signatur f Applicant /n� �f�\� �S� Q 1 Y `1 k4A-) 'i dC�ft a" Tint N me of Property O er C-11nt N of Applicant Pu lic Pub LARG4A IE SINGH GULAR1,11.ATTiE SINGH 2 Notary Public, State of New York Notary Public, State of New York No. OIS16001468 No. 01SI6001468 CommiOss olnl Expireed in s County Qualified in Commission Expire::-- � y-,� ai 12/2021 �r �'1 �■ fir, i i ■ q ■ P7 N N 4 N N N r W n n ,/% a u ►ter ~ M MT I_I y •^y+ MCI > r ^JLn Lnv ■ M M 400 M C G z � N w � = CA u 7 z AN qt can wA � �LLI Z 7 \ z Z r � h ✓ M, t V 4J r MCI W Q A � t% r7 t�G • V C3 a o cz ■ W � Q '� � � � � a t , F � z c"z $ W % w U ~" o z o a o v Ps Z o w z a A � x M z A ~ z Q C �. z w a .. a. z m� w =U$444404$6 V-4 to em t; (I.vial ■ I pCCEME BUILDING DEPARTMENT JUL - 6 2023 VILLAGE OF RYE BROOK 938 KING STREET RYE BROOD,NY 10573 VILLAGE OF RYE BROOK (914)939-060� /', BUILDING DEPARTMENT "'Wodlook.org ELECTRICAL PERMIT APPLICATION Westchester County Master ElectriciansLicense RequRequiredl� FOR OFFICE USE ONLY BP#: U / EP#: C; sue/ �l(� Approval Date: JUL 0 Permit Fee: $ �J— Approval Signature: 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: �t I�I D G-� '1`j /i/12CO'� SBL: o� / C� —� Zone.�5 2.Property Owner: 5(Z I U 4TJrA)U 6., E 4�Y'1W Address: 4-3 4, N R(b(L 2 1E Phone#: J( 3 Jj Cell#: email:3.Master Electrician/Licensed Installer: fn A�A V E q L GA L 17QU)y Address:3/ 640(�o3LZh i�A-*/E-4LME C Lic.#:LI Phonf ee#: ��if 30 Y 50Zo Cell#: email: !)1M�Y�� Company Name: ier—rn/L Address: ..3 DLP r'Pt9ST—G74 4.Proposed Electrical Work/Fixture Count: s 74ja 1 5.31 Party Electrical Inspection Agency: 5 W 5 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swom,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 �Qi([//�(p E-[-k t-1��c.Dbr the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned fin ther 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 babre me this b day of ,20 day of \-� ,2 Signature of Property Owner Signature Print Name of Property Owner Name of Applic Notary Public Notary Public M HA EULLO (Votary Public,State of New York No.01ME6160063 Qualified In Westchester County n 3/3/2023 Commission Expires January 29.207i l STATEWIDE • Service With bilegiiiii-li, 1:1 Main Street,Fishkill, NY 12524 1 email:office@swisny.coni SWITO • : APPLICATION 84 1 • 914.219.1062 • • • Office Use Elect. Permit# L j / Date 7 14-)c - Bldg Permit# Utility ID# JP z 3 -o �3 Final Certificate# City/Villager /1 Zip Township County E5_71 Address I I �,t l�� •lV r '• Cross Street Section Block Lot Owner Name/✓Address(If different than above)CG �� •1J� Contact Number ❑Basement 1st FI. ❑2nd Fl. •[]3rd FI. ❑More Than 3 FI. ❑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 In fdQscent Fluorescent SERVICE (' Amperage Voltage 1 P 3P #Meters #Disconnect ❑Underground ❑New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information Z �4t1't J✓'� � ,�; �((7�f �(I� L�j� �A n/ JUL - 6 2023 1D VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other Inspection company.The applicant,owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Inspector Date Finalized Inspector# 7, Company Name Date Signature Address 3 1 Ota O Li4 City/StateMM Zip Code License# i Phone# VilJc-Qz O State Wide Inspection Services JUL - 3 2024 D1080 Main Street Fishkill, NY 12524 SWUS 845 202-7224 Phone VILLAGE OF RYE BROOK 914-219-1062 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: office(d)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: Rye 1 Electric Srivatsan&Janani Ranganathan 39 Old Post Lane 436 North Ridge Street Mamaroneck, NY 10543 Rye Brook, NY 10573 Located at: 436 North Ridge Street, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP23-146 129.68 1 1 3 Certificate Number: 2024-4102 Building Permit Number: BP23-093 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: 436 North 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 27`h day of June 2024. Name Quantity Rating Circuit Type Luminaires 26 GFCI 03 Switches 04 Exhaust Fans 02 Kitchen Exhaust 01 Paddle Fans 05 1 / Officer: Frank J. Farina This certificate may not be altered in any%%,ay 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. a �f �ff.flfifr�f�r�Gf�f:if:f:fif:f�C��flf�p�faf�frfrf:fr�frff��f�f�f7f=��f' i a' C p a a I \ \ W N N a 1.0 LA z W F L1 owG Ln O v n a G r 'd •-" a � W o a x Zcs x O � ti M e Ln tn 51 " O H w Q z G6o (COO �D z Z O Q V 0-0 _ F Q O Z Z W z aj a V C7 04 W — a. co >00 0-4 w = +s W < J a+ A o z z • 0 CLI x U o o N z o < (10� V � g x w i as u, _ frf f fr flf;+f��f�C�f f�fi fwf fAf�f fit 44f fR4 f=f fi f f�f flflf� �f� FRIE C JUL 17 2023�1� D BUILB E\ MENT VILLA" E OF RYE OK VILLAGE OF RYE BROOK 938 KINc?, ET RYE B \ ,NY 10573 BUILDING DEPARTMENT w org PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: P PP#: C-D 3 Approval Date: Ai If 7 Permit Fee: S Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, /��7-c)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 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 C'n„nh,and Local Codes. I.Address: /-13� �. R1 �� SBL. �`�� - _ _3 Zone: 2.Proposed Work: 1�;-i VV1--ooYY) 112C-^"v SklC.,n 3.Property Owner:!�t2sylfso, a1AbAmyn-y- Address: _70'e> Ayc 3� N7 ,� 10� 05 Phone#: Cell#: -�� 25 6 `33 S g email: i 4.Master Plumber: Address: I/ Lic.#: /568 Phone Cell#:j&/Y M5 21lZJ email: /C/�/,/�i4,U.G�/9��r��L•��n1 Company Name: Address: INDICATE FIXTURES& LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor / / /` 2nd Floor 3`d Floor 4d Floor 5'Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �4(V NgV ,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 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 :?'� 2— 2U? Sworn to before me this day of 20 2� day of 202 S of Property Owner �G Signature of Applicant Print Name of Property Owner Print Name of Applicant DI M SEWAA Notary Public,State of Connecticut otary blic My Commission Expires03131120 ary ubli DULAR[,4ATTIE SINGH S�tv DULAC';iATTiE S!NGH Notary Public. State of New York Notary Public, S1a;e of New York No. 01 SI6001468 No. 01 Si600146r3 Qualified in Nassau County 2� Qualified in Naasa a County Commission Expires Commig$i�n Expires W, � This application must be properly comp( d in its entirety and must inctu a tj1 notarize stg a )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. -2- 3/3/2023 BUILD MENT VIL A 'E OF RY OOK J U L 17 2023 938 KING E'r RVE BRq ,NY 10573 ` (9144) 9-066�6) 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: 31, S�1VSrrlr� Qi�1MVfr-i , residing at, .S PZ�`�J (Print name) (Address 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 owner of the property to which this Affidavit of Compliance pertains at; Rye Brook,NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps,or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. I S ure of Property Owner(s)) 1fi11v1 (Print Name of Property Uwner(s)) �_�L��:f:irsTTIE Sworn to before me this SINGHNoLlfy PiLlic, State of New York of (1 20 Z } No. 01 S16001468 �— Quairtiad in Nassa-i County Cuuuuission Expiies 4ememy-4R, (NO ubl .i -3- 8/12/2021 O d � N N ` M " Ln a Ln zILn C. u Cn v, a Ln ►"� � '"'' Z o + Cz7 aG M N en Ir ~ M d 8 f x ■ O ,� o W O A W ~ R-+ w � N x ° � ' w Z s Z 00 Ln zz � 010 O 00 w �" � z a Z �- � ►� w z w , w H CN F y M a d � z oo06 51 wa � zz � z M o I� v rA a 08 F O 2 < IR v a a 609, H a Q o � M z z � d A o w A W 05 �] a ffe e e e e t e s s e s ■ ■ t s s ks s n s s ■ f ■ i i : s a = F R BUILDING DEPARTMENT SEP 12 2023 10 VILLAGE OF RYE BROOK 938 KING STREET RYE Bitcx ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT .or P I uM b 1 n� f3ERMIT APPLICATION FOR OFFICE USE ONLY BP#: am: /-/-,w " Approval Date: L).E�- Permit Fee: S /O 6—JOL Approval Signature: Other: Disapproved: (fees are non-refundable) **************** ********************************************************************************* 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 Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing/work will be in confo ance with all applicable Federal,State,County and Local Codes. 1.Address: ��JC� W0,i �/ 7,-ST - SB �c�9. Ct��'" —� Zone: /,—/�•� 2.Proposed Work: 3.Property Owner: a v7 Address: Phone#: S�� — 3� Cell#: email: 4.Master Plumber: /t,(4 w0Z) 11A Address: i L i a//3/4/•✓ /Q 0 /i W ei rCYAZ l� Lic.#: �� Phone#: 9 36 Y Z'f Cell#: 9 lq- email: Irt 91 A NUJ � )OC'�7xoGa/`7 Company Name: �j �y/ Address:,3/ 1;4A,4 /it/, A4(a PM F-1'('�V GJ�06Z INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 3'd Floor 4'h Floor 5'h Floor Exterior 5.*List Other Equipment/Provide Details: f41tP� /i 1K)k (Notarized Signatures Required Next 2 Pages) -1- 3/3/2023 BUILDING DEPARTMENT R IE C � V F� o VILLAGE OF RYE$ROOK SEP 12 2023 938 KING `, & ET RYE BROOK,NY 10573 i939, -0668- VILLAGE OF RYE BROOK k, 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: 31, SK�V rc(S o r- (Z hG yy°\('oN ,residing at, .25,ay 0-Otrt"',r ogee I� fie Lp(oS (Print name) (Address 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 owner of the property to which this Affidavit of Compliance pertains at; 36 �• IQ1uoF, SI Tye&✓Zook- , Rye Brook,NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signs operty Owner(s)) acv w�5 or 4kyN"O-ri (Print Name of Property Owner(s)) Sworn to before me this s�- day of c , 20 Z-1 //I ///� Buket Agdwe (No b c Notary Public-State of New York No.01AG6373544 A/ Qualifled In Suffolk County My Commission fires Aprll 09,20 -3- 8/12/2021 a N N 00 00 z "CA a i W u OG ~ U y a w 8 € C W fy z Q � ►�I � 00 M+i 1 � Q O \ S C V1 CO N O F 3 u g u Q y e c � � r ••+ � Ci y� r p C •r Q Y (COO v x \ z a z Z 'UJI � H " r• V A U Q' \ o C p U ooc a C) MCISN y V ° -15 NNW 1 it U V Vr C7 Fr A z M z o z d' q a Z Q � o0 �I . U H BUILD MENT R E E��EID VIL E OF RY OOK JUL 2 8 2023 938 KING 4 ET RYE BR ,NY 1ID573 4 -0 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#: �/Op� ' 9 JUL 2 8 2023 Approval Date: Permit Fee: $ e--)Co Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE• l. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of R%c Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form(Porn,#CI 05.2 or Form#U26.3/or NY State Workers Compensation Wainer) 4. Payment of Fees/Unit: RESIDENTIAL =$100.00/unit • COMMERCIAL =$350.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation.(48 hour notice required 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, — 9 3z is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County, State&Federal laws, codes,rules and regulations.1. Address: 1S6 N• iQ I dye l�l SBL ��/�U�� —�-� ��ne: k(s 2. Property Owner:Sex V Pfrs TN C-zp�KWA rJ Address: ,Koa t o b of Phone#: Cell#: <C6 2-56 31 S01 email: 3. Contractor:T 47j?11 i Ga h &h hJ V'— , (/9G Address: Z te 1 q jFlak, Phone#: Cell#: /Y'`l [4' Zt6i email: l�''t tIr�f/Q� G�/'iq,ly 4. Scope of Work:New Installation( )•Replacement(go-/Removal( )•Other( ): 5. List Equipment: 11 ID9;A/h q J2,A - A 6. Location of Equipment: .4hh 4 �h )"I f�j lj�,] 0)` f� 7. Method of Installation/Removal(list all equipment needed to perform job): 1 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: (print name of individual signing as the applicant) being duly sworn,deposes and states that he/she is the applicant above named, and further states that(s)he 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 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 7 Sworn to before me this day of 4 A 20 _ day of 20 Sig a �operty Owner Signa ure plicant v AiS AV-i r-4 v rl e of operty ngr Nam f Appl' nt- U�IJIA Public,State of New York NdWft6IWic, State of New York No. 01 S16001468 No. 01 S16001468 Qualified in Nassau County Qualified in Nassau County Commission Expires _ Commission Expires _ 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 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the 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 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 e day of ,20 day of ,20 Signature of Property Owner ture of A plicant If4 Print Name of Property Owner Print Name of Applicant YWJLL�M&�kA Notary Public otary70ubliV GREGORY K RNT U Netwy Public,State of New yor* No.01R1644iM Qualifled In Westchester County ComwisAiw Expires September 26,20Z This application must be properly completed in its entirety and must include the notarized signature(s)of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 3/3/2023 BUILDING DEPARTMENT VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 www.aabr k:prg APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: Approval Date: Permit Fee: $ Approval Signature: Other: Disapproved: (fees 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. (Village of Rye Brook must be listed as certificate holder)& Workers Compensation Insurance on a NYS Board form (Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL =$100.00/unit• COMMERCIAL=$350.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the'Building Department for removal and/or installation. (48 hour notice required 7. Electrical work requires a separate Electrical Permit& Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below. The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County, State&Federal laws, codes,rules and regulations. 1. Address: SBL: Zone: 2. Property Owner: Address: Phone#: Cell#: email: 3. Contractor: Address: Phone#: Cell#: email: 4. Scope of Work:New Installation( )• Replacement( )•Removal( )•Other( ): 5. List Equipment: 6. Location of Equipment: 7. Method of Installation/Removal(list all equipment needed to perform job): t 3/3/2023 SYMBOL LEGEND V `ga,Sl,zzaG < _ c ze O MONUMENT FND MANIOLE 0 TEST HOLE 0 I.P./1.8 FND ®'A'-INLET Q TREE I.P./I.B.SET B'8'-INLET a SHRUB .Wy SPOT ELEVATIONS ''RO INLET • 80.00 UTILITY POLE YARD INLET .WETLAND FLA �— GUY W" M ELECTRIC METER CANT CANTILEVER a UPON POLE WAIGHT 90 GAS METER FE.FENCE LIGHT POLE ®WATER METER MAS MASONRY T SON DO GAS VALVE PLAT.PLATTORM Rl FENCE(PC) �WATER VALVE W-W WINDOW WELL -¢ STOCKADE FENCE(SN) B/W BAY MNODW —A— CHAIN LINK FENCE(QT)OM OVERHANG C/E CELLAR ENTRANCE ORE FENCE R/O ROOF OVER .4 FIRE HYDRANT D C DEPRESSED CURB A/G UNIT 0 CROSS CUT G O L GENERALLY ON LINE 0 STAKE CA ON LIEF ROW RIGHT OF WAY SUBDIVISION MAP OF COUNTY RIDGE ESTATES SECTION 14 TAX LOT 6NS I \ 1/0 FM LOT 5 ' 114z,t TAX LOT 5 FOF 00 N43'30'00"E FEN r— EAL Ft". f&W 3 ——— 6.9• H� !�¢��a q 's. O 3 b / OTIY LOT 9 711'� start oa.ie w:xo DLc. Cr£N„r+aKl 1 FEN 14 xwY 1 O TAX LOr 2 to. 1 �l ua � fAY LOT I SPLIT LEVELFFI i1 ME SIEW xt Ol RE O#Am �' illr 37.K Ts cAI�Aa sLaTI METAL FEN i�1 II RanD F+y 0.0 q 0�,r S42'15'00"w y / 47.88 52.34' P �a ASPNALT W CONC.NRB NORTH RIDGE STREET GRAPHIC SCALE Do 0 5 w ��0 LOT AREA F.,�• ' 15,234.63 S.F. ❑W IN FEET 0.35 AC. 1 inch = 30 ft. S`pF NEW), SCALICE SURVEY OF PROPERTY �O LEAD, 09 436 NORTH RIDGE STREET C , C and s u rvey i n g RYE BROOK, NEW YORK 10573 * SITUATE mjslandsurvey.com P:631-957-2400 VILLAGE OF RYE BROOK 1 South Bay Avenue, Islip, NY 11751 TOWN OF RYE /Fp 060716 JP, WESTCHESTER COUNTY, NEW YORK LAND S DR.;MC CREW.:MF SCALE: 1" = 30• TAX MAP N0. DATE SURVEYED:06/13/2023 J013 NO.W23-1971 129.68-1-3 JLG Services Srivatsan Raghavan 21 Scofield Road - Pound Ridge, NY 10676 436 N. Ridge St. 914-203-0573 -johngorlach@yahoo.com Rye Brook, NY 10573 Sales Consultant: 518-256-3359 Job#: 50 Date: 07/26/2023 System I (Average Load Procedure) Design Conditions Location: White Plains Westchester Co AP, New Elevation: 397 ft Daily Range: Medium Input Data: Outdoor Dry Bulb Indoor Dry Bulb Latitude: 410 N Design Grains: 33 Summer: 87 75 Heated Area 2031 Sq.Ft. Winter: 12 70 Cooled Area 2031 Sq.Ft. Heat/Loss Summary (July Heat Load Calculations) Gross Sensible Latent Area Loss Gain Gain Walls 1880.6 20078 6664 0 Windows 234 7704 10856 0 Doors 42 876 394 0 Ceilings 1419 9217 7947 0 Skylights 0 0 0 0 Floors 1552 6066 0 0 Room Internal Loads 0 3485 862 Blower Load 1707 0 Hot Water Piping Load 0 0 0 40 Winter Humidification Load 0 0 0 Infiltration 8331 748 1271 Approved ACCA Ventilation 0 0 0 MJ8 Calculations Duct Loss/Gain EHLF=O ESGF=O 0 0 0 AED Excursion n/a 0 n/a Subtotal 52272 31801 2133 Total Heating 52272 Btuh Total Cooling 33934 Btuh 103 Linear ft. of Hydronic Baseboard 3.63 Nominal Tons of Sensible Cooling 'Calculations are based on the ACCA Manual J 8th Edition and are approved by ACCA. All computed calculations are estimates based on building use, weather data, and inputted values such as R-Values, window types, duct loss, etc. Equipment selection should meet both the latent and sensible gain as well as building heat loss. Adtek AccuLoad Report Version 17.5.5 Page 1 AG Services Srivatsan Raghavan 21 Scofield Road - Pound Ridge, NY 10676 436 N. Ridge St. 914-203-0573 -johngorlach@yahoo.com Rye Brook, NY 10573 Sales Consultant: 518-256-3369 Job#: 50 Date: 07/26/2023 System I - AED Curve — DAL 1.3 — 1.6 16000 14000 12000 .. 10000 Mir L r 3 8000 W..... ..W. ... m I 6000 4000 2000 ,I^ I 0 8 9 10 11 12 13 14 16 16 17 18 19 20 Hour AED Excursion: 0 btuh AED Status: System has Adequate Exposure Diversity. AED Flag: No AED Flag. Hours are listed in 24-hour format: 8 is 8am, 20 is 8pm. Adtek AccuLoad Report Version 17.5.5 Page 2 AG Services Srivatsan Raghavan 21 Scofield Road - Pound Ridge, NY 10676 436 N. Ridge St. 914-203-0573 -johngorlach@yahoo.com Rye Brook, NY 10573 Sales Consultant: 618-266-3359 Job#: 50 Date: 07/26/2023 System l Breakdown Item Name U-Value /SHGC Net Area Htg. HTM. Clg. HTM Sens. Htg. Sens. Clg. Lat. Clg. Total Clg. Construction Type System 1 0 1707 0 1707 Bathroom 0 0 0 0 Ceiling 0.112 56 6.496 5.61 364 314 0 314 Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesjDark or Heavy Bold ColorjR-7 insulation Floor 0 56 0 0 0 0 Floor Over Conditioned Spac:el NAB NAB NAB NAB NAB NAB NA Floor 0 56 0 0 0 0 Floor Over Conditioned Spacel NAI NAI NAI NAI NAI NAI NA Bedroom 1 0 0 0 0 Ceiling 0.112 144 6.496 5.6 935 806 0 806 Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesjDark or Heavy Bold ColorjR-7 insulation Floor 0 144 0 0 0 0 Floor Over Conditioned Spac:elNAINAINAINAINAINAINA Northeast Wall 0.24 84 13.92 6.36 1169 534 0 534 Frame Wall/Pa rtition I NAI NAI Woodl Nonel Nonel NAI Siding or StuccoINA Window-U4 0.57/0.56 12 33.06 41.58 397 499 0 499 OperablejNormal WindowjC1earj2 PanelWood, Wood with Metal Clad, or Vinyl Bedroom 2 0 0 0 0 Ceiling 0.112 156 6.496 5.6 1013 874 0 874 Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesjDark or Heavy Bold ColorjR-7 insulation Floor 0 156 0 0 0 0 Adtek Accul-oad Report Version 17.6.5 Page 3 AG Services Srivatsan Raghavan 21 Scofield Road - Pound Ridge, NY 10676 436 N. Ridge St. 914-203-0573 -johngorlach@yahoo.com Rye Brook, NY 10573 Sales Consultant: 518-256-3369 Job#: 50 Date: 07/26/2023 Floor Over Conditioned Space]NAI NAI NAI NAI NAI NAI NA Southeast Wall 0.24 92 13.92 6.36 1281 585 0 585 Frame Wall/Partition INAINAlWoodlNonelNonelNAISiding or StuccoINA Window-3x4 0.57/0.56 12 33.06 51 397 612 0 612 Operablel Normal WindowjClearj2 PanejWood, Wood with Metal Clad, or Vinyl Northeast Wall 0.24 84 13.92 6.36 1169 534 0 534 Frame Wall/Partition I NAI NAIWoodl Nonel Nonel NAI Siding or StuccojNA Window-3x4 0.57/0.56 12 33.06 41.58 397 499 0 499 Operablel Normal WindowjClearj2 PanejWood, Wood with Metal Clad, or Vinyl Bedroom 2-Basement 0 0 0 0 Floor 1.358 6 73.764 0 473 0 0 0 Concrete Slab-On-Grade Floorl NAI Passive I No InsulationlNo InsulationINA1 NAI Heavy Moist Northwest Wall 0.17 39 9.86 385 0 0 0 Basement WallINAlEight Inch Brick, Stone or Concrete WalljNo FramingINAINoneiNAlBlockl4ft Window-2x3 0.57/0.56 6 33.06 41.67 198 250 0 250 OperablelNormal WindowjC1earj2 PanelWood, Wood with Metal Clad, or Vinyl Bedroom 3 0 0 0 0 Ceiling 0.112 80 6.496 5.6 520 448 0 448 Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesjDark or Heavy Bold ColorjR-7 insulation Floor 0 80 0 0 0 0 Floor Over Conditioned Spacel NAI NAI NAI NAI NAI NAI NA Southeast Wall 0.24 52 13.92 6.37 724 331 0 331 Frame Wall/PartitionINAINAlWoodINonelNoneINAISiding or StuccoINA Window-3x4 0.57/0.56 12 33.06 51 397 612 0 612 Operablel Normal WindowjClearj2 PanejWood, Wood with Metal Clad, or Vinyl Bedroom 4- Basement 0 0 0 0 Adtek Accul-oad Report Version 17.6.6 Page 4 AG Services Srivatsan Raghavan 21 Scofield Road - Pound Ridge, NY 10576 436 N. Ridge St. 914-203-0573 -johngorlach@yahoo.com Rye Brook, NY 10573 Sales Consultant: 518-256-3359 Job#: 50 Date: 07/26/2023 Floor 1.358 27 78.764 0 2127 0 0 0 Concrete Slab-On-Grade FloorINAIPassivelNo InsulationlNo Insulation INAINAIHeavy Moist Northwest Wall 0.17 103.5 9.86 1021 0 0 0 Basement WallINAlEight Inch Brick, Stone or Concrete WalljNo FramingINAINoneINAlBlockl4ft Window-3x3 0,57/0.56 9 33.06 41.56 298 374 0 374 OperablelNormal WindowjClearj2 PanelWood, Wood with Metal Clad, or Vinyl Southwest Wall 0.17 81 9.86 799 0 0 0 Basement WallINAlEight Inch Brick, Stone or Concrete WalljNo FramingINAINoneINAlBlockl4ft Window-3x3 0.57/0.56 9 33.06 51 298 459 0 459 OperablelNormal WindowjClearj2 PanelWood, Wood with Metal Clad, or Vinyl Entrance Hall 0 0 0 0 Ceiling 0.112 60 6.496 5.6 390 336 0 336 Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesjDark or Heavy Bold ColorjR-7 insulation Floor 0 60 0 0 0 0 Floor Over Conditioned Spacel NAI NAI NAI NAI NAI NAI NA Northeast Wall 0.24 17 13.92 6.35 237 108 0 108 Frame Wall/Partition I NAI NAI',Noodl Nonel Nonel NAI Siding or StuccoINA Door-3x7 0.36 21 20.88 9.38 438 197 0 197 Metall Fiberglass CorelStorm Door Window-2x7 0.56/0.66 14 32.48 47.71 455 668 0 668 FixedlNormal WindowjClearj2 PanelWood, Wood with Metal Clad, or Vinyl Window-4x5 0.56/0.66 20 32.48 47.7 650 954 0 954 FixedlNormal WindowjClearj2 PanelWood, Wood with Metal Clad, or Vinyl Family Room 0 0 0 0 Floor 1.358 38 73.764 0 2993 0 0 0 Adtek Accul-oad Report Version 17.5.5 Page 5 AG Services Srivatsan Raghavan 21 Scofield Road - Pound Ridge, NY 10676 436 N. Ridge St. 914-203-0673 -johngorlach@yahoo.com Rye Brook, NY 10573 Sales Consultant: 518-256-3359 Job#: 50 Date: 07/26/2023 Concrete Slab-On-Grade FloorINAIPassivelNo InsulationlNo I nsulationj NAI NAI Heavy Moist Northeast Wall 0.17 120 9.86 1183 0 0 0 Basement WallINAlEight Inch Brick, Stone or Concrete WalljNo FramingINAINoneiNAlBlockl4ft Northwest Wall 0.17 153 9.86 1509 0 0 0 Basement WallINAlEight Inch Brick, Stone or Concrete WalljNo FramingINAINoneINAlBlockl4ft Window-2x3 0.57/0.56 6 33.06 41.67 198 250 0 250 Operablel Normal WindowlClear12 PanelWood, Wood with Metal Clad, or Vinyl Window-2x3 0.57/0.56 6 33.06 41.67 198 250 0 250 OperablejNormal WindowlClear12 PanelWood, Wood with Metal Clad, or Vinyl Kitchen _ 0 _ 3485 862 4347 Ceiling 0.112 140 6.496 5.6 909 784 0 784 Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesjDark or Heavy Bold ColorjR-7 insulation Floor 0 140 0 0 0 0 Floor Over Conditioned Spacel NAI NAI NAI NAI NAI NAI NA Northwest Wall 0.24 11 13.92 6.36 153 70 0 70 Frame Wall/Partition INAINAIWoodlNonelNonelNAISiding or StuccoINA Door-3x7 0.36 21 20.88 9.38 438 197 0 197 Metal I Fiberglass CorelStorm Door Southwest Wall 0.24 68 13.92 6.35 947 432 0 432 Frame Wall/PartitionINAINAIWoodINonelNoneINAISiding or StuccoINA Window-3x4 0.57/0.56 12 33.06 51 397 612 0 612 OperablejNormal WindowjClearj2 PanelWood, Wood with Metal Clad, or Vinyl Laundry Room 0 0 0 0 Floor 1.358 6 78.764 0 473 0 0 0 Concrete Slab-On-Grade FloorINAIPassivelNo InsulationlNo Insulation INAINAIHeavy Moist Northwest Wall 0.17 60 9.86 592 0 0 0 Adtek Accul-oad Report Version 17.5.5 Page 6 AG Services Srivatsan Raghavan 21 Scofield Road - Pound Ridge, NY 10576 436 N. Ridge St. 914-203-0573 -johngorlach@yahoo.com Rye Brook, NY 10573 Sales Consultant: 518-256-3359 Job#: 60 Date: 07/26/2023 Basement WallINAlEight Inch Brick, Stone or Concrete WalljNo FramingINAINoneINAlBlockl4ft Living Room 0 0 0 0 Ceiling 0.112 528 6.496 5.6 3430 2957 0 2957 Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesjDark or Heavy Bold ColorjR-7 insulation Floor 0 528 0 0 0 0 Floor Over Conditioned Spacel NAI NAI NAI NAI NAI NAI NA Northeast Wall 0.24 126 13.92 6.36 1754 801 0 801 Frame Wall/Partition I NAI NAIWoodl Nonel Nonel NAI Siding or StuccoINA Window-2.5x5 0.57/0.56 12.5 33.06 41.6 413 520 0 520 OperablejNormal WindowlClear12 PanejWood, Wood with Metal Clad, or Vinyl Window-2.5x5 0.57/0.56 12.5 33.06 41.6 413 520 0 520 Operablel Normal WindowlClear12 PanelWood, Wood with Metal Clad, or Vinyl Window-5x5 0.56/0.66 25 32.48 47.68 812 1192 0 1192 FixedlNormal WindowlClear12 PanejWood, Wood with Metal Clad, or Vinyl Northwest Wall 0.24 192 13.92 6.36 2673 1221 0 1221 Frame Wall/Partition INAINAIWoodlNonelNonelNAISiding or StuccoINA Southwest Wall 0.24 72 13.92 6.36 1002 458 0 458 Frame Wall/PartitionINAINAlWoodINonelNoneINAISiding or StuccoINA Window-3x4 0.57/0.56 12 33.06 51 397 612 0 612 OperablejNormal WindowlClear12 PanejWood, Wood with Metal Clad, or Vinyl Window-3x4 0.57/0.56 12 33.06 51 397 612 0 612 Operablel Normal WindowlClear12 PanejWood, Wood with Metal Clad, or Vinyl Master Bathroom 0 0 0 0 Ceiling 0.112 63 6.496 5.6 409 353 0 353 Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesjDark or Heavy Bold ColorjR-7 insulation Floor 0 63 0 0 0 0 Adtek Accul-oad Report Version 17.6.6 Page 7 JLG Services Srivatsan Raghavan 21 Scofield Road - Pound Ridge, NY 10576 436 N. Ridge St. 914-203-0573 -johngorlach@yahoo.com Rye Brook, NY 10573 Sales Consultant: 618-266-3359 Job#: 50 Date: 07/26/2023 Floor Over Conditioned Spacel NAI NAI NAI NAI NAI NAI NA Northwest Wall 0.24 50 13.92 6.36 696 318 0 318 Frame Wa II/Pa rtitionINAINAIWoodlNonelNonelNAISiding or StuccoINA Window-2x3 0.57/0.56 6 33.06 41.67 198 250 0 250 Operablel Normal WindowlClearI2 PanejWood, Wood with Metal Clad, or Vinyl Master Bedroom 0 0 0 0 Ceiling 0.112 192 6.496 5.6 1247 1075 0 1075 Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesjDark or Heavy Bold ColorjR-7 insulation Floor 0 192 0 0 0 0 Floor Over Conditioned Spacel NAI NAI NAI NAI NAI NAI NA Northwest Wall 0.24 116 13.92 6.36 1615 738 0 738 Frame Wall/Partition I NAI NAIWoodl Nonel Nonel NAI Siding or StuccoINA Window-3x4 0.57/0.56 12 33.06 41.58 397 499 0 499 OperablejNormal WindowjClearj2 PanejWood, Wood with Metal Clad, or Vinyl Southwest Wall 0.24 84 13.92 6.36 1169 534 0 534 Frame Wall/Partition I NAI NAIWoodl Nonel Nonel NAI Siding or StuccoINA Window-3x4 0.57/0.56 12 33.06 51 397 612 0 612 OperablejNormal WindowlClearI2 PanejWood, Wood with Metal Clad, or Vinyl Adtek Accul-oad Report Version 17.6.5 Page 8 JLG Services Srivatsan Raghavan 21 Scofield Road - Pound Ridge, NY 10576 436 N. Ridge St. 914-203-0573 -johngorlach@yahoo.com Rye Brook, NY 10573 Sales Consultant: 518-256-3359 Job#: 50 Date: 07/26/2023 System I CFM Duct sizes and velocities based on settings selected in the setup screen. *Duct sizes calculated using this CFM. Winter Summer Winter Summer Return Supply Calculated Calculated System System Item Name Velocity RA Duct Size Velocity SA Duct Size CFM CFM CFM CFM _.1............. _ — ....... .._.._ ---- _ System 1 510 12 600 12 x 8 950 1446 — 400 *400 ..._.__h_........_ __._.... _ —�_........_ .. —........._..--------_.-----_. . ..........._....__. Bathroom 412 1-7 Run 561 1-6"Run 7 15 3 4 _.......... ....._...................___-................---........_-....... _._-._......................................-..-.—......._.._._._.__.................._......................................_._............_......................... ........__.............................__.._-_ —.._......................................................_-...................... ----........... Bedroom 1 412 1-7" Run 561 1-6"Run 57 91 24 *25 ........._...__ _ .. ...................._............................_............._....................---.............._....... __ . ........._.._—..............._ _..._ .....-__ _._..__ .........._.-_._............... Bedroom 2 412 1-7 Run 561 1-6" Run 101 155 42 43 ...__...... --._..__.__ .... ......._.......__.....__.._...................._ _._.�--- -- ..._...__._._......_-_............_......_._._..-........... Bedroom 2 - Basement 412 1-7"Run 561 1-6" Run 19 12 *8 3 ._............ _..-_...._ --.._ ......... _..._. --..........—.....__ _ __— ................. -; Bedroom 3 412 1-7 Run 561 1-6" Run 37 69 16 19 —__...._ ............. ..._..............._._....... ----..._—..._._. _..._._...--......................_-_....-...-._. Bedroom 4 - Basement 412 1-7"Run 561 1-6" Run 83 40 *35 11 ........ ....... .. ---- -----.._... —_. ___._.__ ._...........--.... -— --............._......._.............. _... Entrance Hall 412 1-7"Run 561 1-6"Run 48 111 20 *31 _ ......_._... _...._.. ......—......._ ---.._............... —__...... _._.. -_...........—_............_........._ ....... ........_..._.. Family Room 412 1-7" Run 561 1-6"Run 111 24 *47 7 ...... _............__.........__.........__ ..............---.......... ..........................................._..............--.............................---...........—._._._......._ _.......................................... ................_..._....___..—............................_................. Kitchen 412 1-7" Run 561 1-6" Run 65 271 27 *75 —. ............. . .........._-...._._......__—._---__....._--....... ... ....._.............-- -.........—.._-....................._—..........I..._....._..._.—__._ ...... Laundry Room 412 1-7"Run 561 1-6" Run 19 0 *8 0 ......... ...... ..._. ----- .............. .........—...._._...__...._.............__ _ ............. . ... ........-_.*.. Living Room 412 2-7��Runs 561 2-6" Runs 260 440 109 122 Master Bathroom 412 1-7 Run 561 1-6" Run 30 46 13 13 Master Bedroom 412 1-7" Run 561 1-6" Run 114 172 48 *48 Adtek Accul-oad Report Version 17.5.5 Page 9 VDAIFKAFN DX5SE UP TO 17SEER2 SPLIT SYSTEM AIR CONDITIONER 1% TO 5 TONS f Contents Nomenclature........................................2 Product Specifications...........................3 Expanded Cooling Data.........................4 r, Performance Data...............................18 AHRI Ratings(see note).......................19 Dimensions..........................................20 Wiring Diagrams .................................21 Accessories..........................................24 ■ Standard Features ■ Cabinet Features • High-efficiency Copeland®scroll compressor • Removal grille-style top design • Advanced Copeland®CoreSense"Technology compliant with UL 60335-2-40 • Copper tube/enhanced aluminum fin • Venturi for increased velocity of airflow coil-5mm diameter on 1.5-3.OT • Custom Nickel Gray powder-paint finish • High-density foam compressor • 500-hour salt-spray tested sound blanket • Wire fan discharge grille • Factory-installed filter drier • Steel louver coil guard • High-and low-pressure switches • Rust-resistant coated screws • Service valves with sweat connections and • Top and side maintenance access easy access to gauge ports • Single-panel access to controls with space • Fully charged for 15'of tubing length provided for field-installed accessories • AHRI Certified;ETL Listed • When properly anchored,meets the 2020 Florida Building Code unit integrity requirements for hurricane-type winds(Anchor bracket kits available.) cGus 'o r Sinn and installation of ... ..: ,r....r �.m.;:.�., Ir1tcal ek de �'r pe g equipments critical to achieve optimal performance.Split system air conditioners .�,I�� .,m your local dedici or at wwsc omfort.com.To receive the and heat pumps must be matched with appropriate coil [-year Unit Replacement Limited warranty and 12-Year Parts Limited warranty,online registration must be '_omponents to meet ENERGY STAR*criteria.Ask you' completed within 60 days of installation.Additional requirements for annual maintenance are required for contactor for details or visit www.erergystargPv. the Unit Replacement Limited Warranty.Online registration and some of the additional requirements are not required in California or Quebec. SS-DX5SE www.daikincomfort.com 06/23 Supersedes 04/23 NOMENCLATURE D X 5 S E A 36 1 0 A A 1 2 3 4 5 6 7,8 9 10 11 12 Brand Mi D-Daikin nor Revisions A:Initial Release B:1st Revision Type-Split System Major Revisions X-AC R-410A A:Initial Release Z-HP R-410A B:1st Revision Variation SEER 13.4-13.7=3 16.6-17.5=7 13.8-14.5=4 17.6-18.5=8 Electrical 14.6-15.5=5 18.6-19.5=9 1-208/230 V,1 Phase,60 Hz 15.6-16.5=6 19.6+=0 3-208/230 V,3 Phase,60 Hz 4-460 V,3 Phase,60 Hz Compressor Type Nominal Capacity 5-Single Stage V-Variable Speed 18-lY tons 42-3h tons T-Two Stage 24-2 tons 48-4 tons 30-2h tons 50-5 tons Feature 36-3 tons Q-Introductory C-Communicating(Top Flow) E-Enhanced S-Side Discharge Communicating Sales Re ion N-North A-All Regions S-Southeast&North 2 www.daikincomfort.com SS-DX5SE PRODUCT SPECIFICATIONS 0• . 0• 1• r• 0• .. 0 COOLING CAPACITY Nominal Cooling(BTU/h) 18,000 24,000 30,000 36,000 42,000 48,000 60,000 Decibels(clBA) 71 72 71 74 71 72 75 COMPRESSOR RLA 9.0 11.5 12.8 14.1 177 19.9 23.7 LRA 42.6 59.5 65 87.4 110.2 110 151 Stage Single Single Single Single Single Single Two Type Scroll Scroll Scroll Scroll Scroll Scroll Scroll CONDENSER FAN MOTOR Motor Type PSC PSC PSC PSC PSC PSC ECM Horsepower 1/8 1/6 1/6 1/6 1/4 1/4 1/3 FLA 0.70 0.95 0.95 0.95 1.30 1.30 2.80 REFRIGERATION SYSTEM Refrigerant Line Size' Liquid Line Size("O.D.) W" 3W, W" W. W. W" %" Suction Line Size("O.D.) Y.." '/." Refrigerant Connection Size Liquid Valve Size("O.D.) 3/a" W, 3/e" W, %" W, %" Suction Valve Size("O.D.)'' i3/." ''/." /," Valve Connection Type Sweat Sweat Sweat Sweat Sweat Sweat Sweat Refrigerant Charge° 64 72 101 102 177 180 209 ELETRICAL DATA Voltage(60 Hz) 208/230-1 208/23D-1 208/230-1 208/230-1 208/230-1 208/230-1 208/230-1 Minimum Circuit Ampacity 11.9 15.3 17.0 18.6 23.4 26.2 32.4 Max.Overcurrent Protection° 20 25 25 30 40 45 50 Min/Max Volts 197/253 197/253 197/253 197/253 197/253 197/253 197/253 Electrical Conduit Size 36"or''/." '/:"or .." Z"or'/°° X"or 3/°" 36"or'Y." 'A"or Y.." /"or'Y." UNIT WEIGHTS Equipment Weight 126 151 202 202 260 260 283 Shipping Weight 144 169 224 224 282 282 305 ENERGY$TARs CERTIFIED rl ' Line sizes denoted for 25'line sets,tested and rated in accordance with ARI Stardard 210/240.For other line set lengths or sizes,refer to the Installation Instructions and/or the Long Line Set Applications guide. ' Installer will need to supply W to X"adapters for suction line connections. ' Installer will need to supply A"to 1X"adapters for suction line connections. ' Unit is factory charged with refrigerant for 15'of W liquid line.System charge must be adjusted per the Final Charge Adjustment procedure found in the Installation Instructions. Wire size should be determined in accordance with National Electrical Codes;etensive wire runs will require larger wire sizes. ° Must use time-delay fuses or HACR-type circuit breakers of the same size as noted. NOTES • Always check the S&R plate for electrical data on the unit being installed. ENERGY STAR NOTES Proper sizing and installation of equipment is critical to achieving optimal performance.Split system air conditioners and heat pumps must be matched with appropriate coil components to meet ENERGY STAR criteria.Ask your contractor for details or visit vww.energystar.gov.The www.energystar.gov website provides up-to-date system combina- tions certified to meet ENERGY STAR requirements. SS-DX5SE www.daikincomfort.com 3 3SSX0-SS woo•Uo;woDuijiep.mmm q ? o N� O a � O ' w O1 Y1 of V1 F m O. c v v v v 3 D m v v 3 D m v v 3 D W v 3 D v v 3 W N 00 -tn lD O N OD 00 N A p A O 9 N A b 00 lNf� IWC 0 W •001 W N A O Q1 N W p V C 3 kD O 0) cn 00 w N OD 00 N W O V N J 0) 01 N co 0) b-, W lD J O OD m a W N W b+ O 41 01 `+ N W �+ O W F, N W �+ O .-, N k ti+ O b+ N N W b-' O b+ N W T O ^. O O 0) lD W O N OD V W 00 p N V N pA+ 00 O W W A lC. pp 01 00 p v tt/nt N A p co m 00 f+ A N V In i- O 01 lD O 00 V W 00 00 ? O V w O m e C N N W F+ N pO1 O pip F+ N (N ~' 1-+ O �+ N li. 1-+ O FWW+ N W �,,,, O F+ N W 9 G W o0 V O A U 00 00 W 00 N W lD N 0� W V c0 W V W O N 00 A F w N O Ol 7 1 b N N N b N W H w �+ �, O w A w b+ O w A w lD i+ W In � w 0 A A N 00 01 A 00 w 00 N A b+ I V ID M A j po F+ QQ 90 w N A `+ N O VOp� 90 w 0~0 Fy{y,+� N A 4a N 0 V W A N O A W v W w A LDD 0 b+ J W ID W O`, A 0 00 0o A W o A ID a, O o V W W b+ C1 m 00 fJ O N A b+ N O b+ F, N A �-+ N O �• N y, b+ N O r N A O '-+ F. N A b+ O b+ b.. 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W J • y a� W N lIt N �' O O N A w ID 00 �D b+ 00 a A W C N W N �' O N 00 �D c0 ID W L, A A S V, O '. b+ W A b+ O W A b+ O W A N O W O A b+ b+ Fpp. W A b+ p W A b+ p To Ci n V Vt �D N V w A N lD N W N 0 tft O J A � N W O W A N 1D N A lD W N O W b+ W O • 2 O D G O O z l~n N O90 D w wO W W V1 V1 W tA! O W A b' 1D O1 w A � S m 0 m G y Z A m In r. 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W c C) w O AO ko 00WW ~ o V i0 ca N A 00 A N N p~ W OD A N w p~ OD W 00 A ~ W pp W 00 A N N 00 OO W 00 A I-+ N pD 0o W �! A N00 O to A O 8 i-+ V w A l0 0 O Ol A O W lD F+ V w 00 A A O V' to 00 In W lO W W W ID W w V 00 O v 0 A W A fJ N 00 t0 ~A W A j.,. N w W W W A j... N a A 00 A N N O l0 W 00 A i-+ N O 00 W 00 A N N 090 O N N 01 O A W lD O O N 00 N W 1p A 00 01 A O �' N W 00 w W lO N O l0 0p1 O W OD A lJl V1 F+ o 0 AN A �. - A m ID Z. Np O WOO V 00 V lD O1 w S 2 -9- W N W W b 90 N W A F+ W F+ 1'+ F+ W ,p 1-+ w ✓ �- W V• w N 0 90 Ipp+ W A w N 0 1.. y..NW W A W W 0 N Ol to A 0 W O w N F+ tp N N O l0 l0 00 W N W O C`, W N C. w V 0 0 0 0 l0 W 00 O v W lO W O O i! n W O O N O 01 V F+ O W W WW A N lU O 00 A N '0 W O O OO A �w'' A N O A N c w OD 00 A N A W w V W F+ A 00 Z 0, W O 0) W N N O N �"' �0 O Cc A W C N V W N N 01 tD w w O In N A O t+ W F+ W f+ O W A O �+ t+ W h+ O �-+ F+ W f+ O f+ Z o C D A N W In W lO A N A W N w 00 A A W N V Oo A N W F+ V 00 A N A W N 00 A N A N 00 . 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W V W O� V {.� 01 V m W 00 01 IJ Q7 0 C1 0) V N C1 N N V 1-+ In A V m 'D W to A W W I-+ N ttAon ��II W N N ln �! OD WO 0) 0) ODON V u 0V0 wppJ w AOV0 n A ~p A 0 < o O1 V O00w OO lnO "O I V V0 w OO Inn V Cnl 0V plJi N p ~n ~! A vNN ~ VA 0\l 000 l0 O 0) LO VO ~ N ~ A 00 O W f+ 00 w Er 3 v N O Oi p�p�� v V N O Oi Cl lAlt V v N 0 v` Ci 01 ~ N 0 Ci Ci Q1 V ~ N i0 W �' lD O in A �'' lD V O O N Da 0 00 O V N �' N N N O �' w V O V 0 00 01 A m o Op1� Op1� OO�� O� 0 9 nVi V V N O V lD A V W N 0 O+ N v N � 0 O Ci -+ O v 5 0) V �' F+ O T Ci V N O f 00 N 00 W r, O w 00 0D .+ w v Oo Co � � w F, � v' " :. Oo nl W 0i A t0 1p W lA A ~ O 0) 00 N F+ N N (I NOD)d33+.VIIkSTRTVL,V,)I VOTSFV3SSXO — VIVO 9tll700,) 03ONVdX3 EXPANDED COOLING DATA — DX5SEA241OA*/CA*TA2422*4A*+EEP av 0 M N O ^ N 01 N O '� rj Ol tO N O N m t0 n n E E o m D ry W ° n v n N n o v W M n pp ry n N D ry 0 W o n o ry n O v, n ° Ql V 0 ON C '~ rV 01 V I N O rV 'T w O 0eti r+f � � �+ `ti t0 ati0 m � 0LM � � n E 3 f •-1 01 O'-l1 O .tiN 01 N fV U V.--i �O O l0 VN n 00 Wm m WIn a C VV ON N 'r - - N - N . 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N l0 V ry 0 Ol l0 V N O1 N V N 0 m N lD V N 0 N O� m tD Ct C O m N O .--1 n M '-I N r-1 e-1 n M �-1 N �--1 r-1 m �-1 N 'y N .--� n M rl N r.y N �.y n M �--� N .-1 N N n M Z � a W W C l0 V1 0) 0) ° Q ° N O ti ~ m N O ~ m ti ��`+ O '-i l0 N ti F a o O pp a 8 Z N ^ m W V O O N O O M n0 M V M O l 00 ^ o ry o N m 0 � 'op n ry v� l7 N o ti iO m ti N p ,ti tD M ti N O ,y 'D M H ry 0 ,.. � m ,ti ry 0 "'� ,.. O m ,.y N O "'� '-i t0 m ti ,n 2 O LA , W Vl V V n n W Vl D7 Ql M M lD N N '0 V n W Ifl M tll l0 Z M u'1 n 6 m m VI 1� fy m lD � n v N N fry lD N n m M n �"e n v M n O n v N W N O �--� lO M �--� N O .y �O M .ti N O '~ �--� ,D N O "'� �O M ti ry N 'y lO M '-1 ry O N ri 1O M ti N NN O O MID Q O .-1 nM W p W O O NNmI n � O L O i vn N M M ' O nmrn . � .ti NO ' W N Ov m nl Wto QNOV W M V N N N ti N ti Ol M Ln 10 m V �`! a m lD �D ID n ry Ol M a0 0) ti n t0 m V N 10 W ID ID Ol 1L • N O ~ M N O ~ .-I WN '-I N O ~ �-i r N N N O '-I N .-i N OLn '-1 N ti N O eti N G to W ✓� n M IA n m `++ Val �� W M N l0 N VWl n M t�D. lWl1 On1 M 01 n O n ry to • N O ~ I-i N e-1 N '� �..� N N �--� N '~ ri Vl N ti N ry �.y Ifl N ri N O N '-I tll N r1 N W M N O L/i N m S W iW O W W tD Q7 .-I m W ID a0 'y �0 n n o V OO ^ V W l0 �D 01 "1 1 m W lD w .--� 0 O N n � s 0 � 00 .m Ln , N .Ni tit N � N 0 V1 ONO M C N t0 01 f tD O Ol O y° o o o 0o c o is m In m v o N O O Ill V M N O '-1 0 r m N N • N LL ~ NN ~ NI '~ v NN ~ Oam O O O O 0 N - J o' a tN0 v ti m Q n D m pp O0 v M m o pppp M N CCff d L • V N W � � � N � N � � � O N � l0 � � J V N lD N C � V' N l0 '-I d' m � N n O V o � ry J ... N O ~ �--1 N �--I N O 'y N rl N O ~ '-I r N •-1 N p N N y W O. In O y Ol al ry m m 0) O Cc, V O0 n 00 V J m �0 O O M 0) 0) N of In M m � .� c o0 N O m O E q Jq V.y N N N O N V N O N v R N N ry N N N rl N aaa mil- ? ° aa n a a = o g n a a = o g v d a = o v a a = o g v d a = o g n d a = a o o N c � a g rp ch g c c w a O U1 w O n n m m O 6 www.daikincomfort.com SS-DX5SE L woo-ijo}wo:)wjiep•mmm 3SSX4-SS = o z a � F W %�.D+ V pV �D V oV VI {�JI 8 L 8 O M go co CD M � c N A ~ N r N N D. b r,p W r A N A A r W r A N A v r N r A N A ~ N r A N W A r N ~ A c 3 tp lA 0 ll� O W 01 N O A r 0 lD A O lO W N 0 0) V W C A 0 0 lD A r O A v 0 Vt W W tO W O O N dm b c o A 0 A 00 lD N A ? N tD to N A lD? A IN 00 A N ? O b p N 0o W N A A A N 00 A N A A r N A N O) O A W V 00 W O A O N 0) r W O A ID 00 t/i A A A W O N lD w 0 CO A O lD ul O lVn LP m y� a 2 W A p ? A 00 Mw A A A N lA N A A p N O to W A A 01 N A A p N 0 N A A r NP. O W W V A O A r VI tD W V lD tD W tD W O 01 1+ D1 O A O l0 A tD tU N V1 V N t0 N W N N 7 d r N N r N r N r N n OV O AA LrN- N - - r - W t0 -b A PO 0 A O ONA b A p , 91 A Qn l0 O A O W z W ONO v W p l!l W ONO 'tn H C ? W V 'tn N O A W oNO p A W V tI� v O A W V N W p W D1 N lD O 4+ A O Dt tD O V N OO 01 00 O A A r V W O V N tO OO O N O V 00 O lD m a V W V WOD O In lWlt O1 W l0 O O W %D Oi 00 O W A P N V tt"D A A i-+ W O 01 In to 0o A N 00 Pl 00 0� o A 00 r Ol V 14 W V N 00 W W N wwWWIn O l W0 W WQN O wV W WO DO WW O1 t!i � 00 C N Vt lD V W W v - p1 W ? rlD N+ r v N 00 NInW DN A 00v 1 1 0) � OO V OD Inv Oo v � WAN W AN N 00D tp pp D1 00 L. a A W A OV1 O N ' r ' N W O N T OW N :0, AW w00 N l%D Vi O 0O V A A 0 OV0 �I T A =p V A A O 0 0, NO w O N ,jAo -,jNnAVV OO W t to N O W O W 0) A W O O O r W N r W r N W r W N F+ w r N �•' W N O D 0 A N Ol N O A N p1 r N O �' lJ� N Dl r r O 11 N p1 r O A N Ol r r O O N 00 lP 00 r V m tD Ol A N A A V N OJ oo W � OD O �l V, �p V N 00 Ln A V OD � Ol W A tD 3 W in W F+ r N in A O O O W F, In m 0 r W V r N V r W r N F+ W V F+ W N r N F+ W V N N A Ot W A O A Ol N N lD r O N A 01 LD N p 00 N A Ot iD O W 01 to 'p N A lJ� �D 'p N C m A W O WA O N W O P, 01 W W A 0 0 F' N W V O In N lD N N O N A 3 � 9 A O V ip N O W A 01 V 1p N p rp W A Q1 V ~ W r tn: A D+ ~ N r W A T V N O N r Wp� V r N O N 3 SJ ID In W A O W V W N W O W In N W O O O Oo A �- A A O W to N N W to WtD A O N N O 01 9 m C v z r W V r N O N F+ y,i V r N O N W V r N 0 N i-+ W r N O N F.. W V r O N r W O N y 'o m w N tN ip A OD A O Pi N iD to �O A A O1 N iD pi V �'' 01 ^ 1p p V A p O1 tp N V W A Oi V 1D N pt W C T A W 01 r OO W N W N Q1 V N N W V W A r W r W r W O N r r O W V r r O N V O lu iD r V Vl 00 W lD N V W Ol N W Ol lD u v W V W 1D pp A r t!� N t0 A 00 WA OAA1 A �' m 01 O Oo N N :P. A V W LA A t!� F+ j..� N p N lA O j.a W p �' A O N W ~ r In O a N N F-' r r A 00 N N r N r 0 OO N N �.' O W O N A O F+ r V N A 0 0 01 lD Pt �'' W r O W N lD N' A O V ID4. 0) �' W V O N V A M' W W O tD F-+ A M N N r N r A OD N N r N r A W N r N r A N r N N A N r N F+ A Dp N r N In r N VOA0N N N a' - A O NO A W O O W r A O r Q r O 0) W to r N O W O r 0o N N O N F.a A W N N Opp N r A W N N O N r A D0 N O N �..1 A WN O N r A 0o N O N 00 W N A A N N Ol O r W tP Ja V A W r N O OVO A P r N �'' O v N In O r r W V N V1 O N 01 N A OO V A lD w p '{u N V �' N lD 0 A N A N N r A N r N �• A N N �, r N D W N N O O A 0� A N r O W tD N OO N N O u; O� Oc N �. O W to r 0o F. O W In OO N i..� O W 3 N V N V W A V 00 O A N r N O W Q V O 00 D V 10 N A A N W r D 0 r N pO O W W W p p O In lr N W N 4-+ O lf1 lAft W N p O lf� ll1 {Nluu N r O 0 LA V N O O A W N OWi W 8 V Qo 8 tD OD D7 V S A 0� A N 0) S r 00 00 W OO V S In 01 to N 00 0 p� Opp W 00 Opp N? O 00 V mN M A pp 01 V O O • r r r O � —a A S NNrNNO N V O Nr lD N tD O OO lDNO N Ln N N N Oo O D 1DVO n O w W 0) 0) AO N 00 m o 3 r A r A r A A F+ A r A 9E + 01 01 lD N N O w Ol O1 lD N N O N 01 01 1D N N 0) 0) ID N O N N N N £ .., lD ll1 W A N OO V W W W W 00 r N p A v �' 00 A lw .0. m V N N W W r N O pp1 N A m j lD V1 O V7 N 00 01 00 N to N ? 0) V C) 00 N C) O ID (1NoD) d33+*bb*ZZbZVL,V.)I VOTbZb'3SSX0 — vlda 9n'noOD a30NVdx3 EXPANDED COOLING DATA — DXSSEA3010A*/CA*TA3022*4A*+EEP w 0)r-I n V' ti v W l0 M Q M O ~ N p W O M n p n ry l0 Ol m y ul O7 D1 rp Q W N n n p n N 01 W n m V> N p1 nLn "I Q N O '-I N V I--I N O '~ N C e-1 N O '-' N ry O 'ti N p N r N Ln o N 0 ry Q rl o Lnn "y ^ O V1 l0 n �� N O N I--I N p .� 0) M oo n oo m M O 01 n ,-I V1 n N of rp N n O1 N oo n C O 01 n 'y n O O1 00 « M W n O V1 a n 'n-1 n O V1 Vl V n n n p V1 V1 M n N n o V7 v. O N n C Vl VI O O t\ VNi vnl 3 II N O N "" N O N '""' N O «' N Vl n O O n N D? 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A N In O In f. p N In O to A N I-+ N J VI A N N N CD A W N O N D N A J W w N O N J W to �' l' O W A F+ tO N l0 ClO W w Ot C A In 0) O A tO N In f+ V 00 O F+ i0 A A N to Fp+ NAN N V1 In A N In A In gypp' O W 01 lD �' N p O W Q1 �` In N O In V O N F+ O V A V N p N In F+ In N p A 3 00 V N w W J �' h+ O �' J V A O N V A N 01 N {M 00 01 F+ In tO I-+ ll1 V a II A N In F+ In 1-+ A N In N A F+ A N In N A N p N In N A F+ A N In N A F+ A N In F+ A O A J w 00 lwi+ O A V w 0o w 0 00 A V w 0o w 0 V A J w 0o w 0 W A J w 00 mow, 0 V W m W 00 w 0 01 Ot In t0 00 O N w N W 0) O 00 I-' O co A J O in A A lO V O O w N �"' 0o N O W ID 00 �l W w O V 0 O A AJ 00 0 In F+ A N to N A I..+ A N M o A F.. A N to 0 to 4.. A N w O A N A W In O A C A J w 0o N O " A V w 00 ? 0 LO A J w 0o N 0 W A J We 00 0Np 0 0 A V w O0 N IO 00 A 01 w Oo w Oo V Ot 1p V O O � w W Vt O 01 N �' V W O A 01 In tG 01 O r-+ W N 00 In � N 01 �' 1p v N � 00 l/1 O m ~j Er 3 N Ln O In N VI O to N In O W N In O tl1 a 5 A F+ A I-+ A f+ A I.-� p N to O to I--� p N to O A .S ^ 0O W w O0 00 Oo !" A V W 0o 0 00 t" A J w OD yw,. OD O A V w 00 ? 00 I'' A V w 00 tNn V O A V W 00 J v 1O lO V w V V W 00 V1 w W N V W V1 F+ l0 V 1c M O w 01 A w A w W w V N 0) F+ ry O 3 3 pp pp In OD N Vl In I"' A N In In A N N V1 " W N N O u' In V N N O A V N to N O M O + A N A N O N lO A 00 N O w l0 Ol W N O N w O A N A O 00 w 00 N 00 In w 1- bo A j bo O O A w i-� iu O 00 V T R J V Ot iv 00 C O J w ut i+ V ~ V it in 00 N J (INo.)J d33+*Vtb*I96b1*VJ/*dOL09V3SSX0 — VIVO -9Ni7003 a30NVdx3 PERFORMANCE DATA DXSSEA1810A*/CA*TA1818*4A*+EEP DXSSEA2410A*/CA*TA2422*4A*+EEP CONDITIONS:80'F IBD,67 1 IWB @ 600 CFM CONDITIONS:80*F IBD,67'F IWB @ 795 CFM OUTDOOR TOTAL I SENS113LE LATENT TOTALOUTDOOR I TOTAL SENSIBLE I LATENT I TOTAL 75 18,850 13,250 5,600 1,190 75 25,300 17,150 8,150 1,580 80 18,650 13,350 5,300 1,260 80 25,000 17,250 7,750 1,670 85 18,400 13,400 5,000 1,320 85 24,700 17,300 7,400 1,750 90 18,000 13,300 4,700 1,390 90 24,150 17,150 7,000 1,840 95 .00 600 17,000 6,600 1,930 100 17,150 12,950 4,200 1,530 100 22,950 16,750 6,200 2,030 105 16,650 12,750 3,900 1,610 105 22,300 16,500 5,800 2,130 110 16,200 12,800 3,400 1,700 110 21,700 16,600 5,100 2,250 115 15,750 12,850 2,900 1,790 115 21,100 16,650 4,450 2,370 TVA CONDITIONS @ 95'OD DB,7S`ID DB 63'ID WB TVA CONDITIONS @ 9S*OD DB,7S*ID DB 63'ID WB 95' 17,000 12,850 4,iS0 1,460 9S' 22,7S0 16,600 6,150 1,930 DXSSEA3010A*/CA*TA3022*4A*+EEP DXSSEA3610A*/CA*TA3626*4A*+EEP CONDITIONS:801 IBD,67*F IWB @ 1000 CFM CONDITIONS:80`F IBD,67*F IWB @ 1145 CFM OUTDOOR TOTAL SENSIBLE LATENT TOTAL OUTDOOR TOTAL SENSIBLE LATENT TOTAL TEM.'F. I BTU/H B BTU/H WATT TEM.'F. I BTU/H BTU/H BTU/H WATT 75 30,450 21,200 9,250 1,870 75 36,650 25,900 10,750 2,280 80 30,100 21,300 8,800 1,970 80 36,200 26,050 10,150 2,410 85 29,700 21,400 8,300 2,070 85 35,750 26,150 9,600 2,530 90 29,050 21,200 7.850 2,180 90 35,000 25,900 9,100 2,660 100 27,600 20,750 6,850 2,400 i00 33,250 25,300 7,950 2,940 105 26,800 20,450 6.350 2,510 105 32,300 24,950 7,350 3,090 110 26,100 20,550 5,550 2,650 110 31,450 25,050 6,400 3,270 115 25,350 20,600 4,750 2,790 115 30,550 25,150 5,400 3,450 TVA CONDITIONS @ 95*OD DB,7S*ID DB 63*ID WB TVA CONDITIONS @ 95*OD CB,75*ID DB 63*ID WB 9S* 27,400 20,550 6,850 2,280 95* 33,000 25,050 7,9S0 2,800 DXSSEA4210A*/CA*TA4230*4A*+EEP DXSSEA4810A*/CA*T4961*4A*+EEP CONDITIONS:80'F IBD,67*F IWB @ 1400 CFM CONDITIONS:80'F IBD,67°F IWB @ 14SO CFM OUTDOOR TOTAL SENSIBLE LATENT TOTALOUTDOOR TEM. F. I BTU/H I B , I BTLI/H I WATT TEM.'F. I BTU/H B , I BTLI/H WATT 75 42,900 31,100 11,8W 2,640 75 48,750 33,850 14,900 2,970 80 42,400 31,250 11,150 2,780 80 48,150 34,000 14,150 3,140 85 41,850 31,400 10,450 2,920 85 47,550 34,150 13,400 3,300 90 40,950 31,100 9,850 3,070 90 46,500 33,850 12,650 3,480 100 38,900 30,400 8,500 3,390 100 44,200 33,100 11,100 3,860 105 37,750 29,950 7,800 3,560 105 42,900 32,600 10,300 4,050 110 36,750 30,100 6,650 3,760 110 41,750 32,750 9,000 4.290 115 35,750 30,200 5,550 3,960 115 40,600 32,850 7,750 4,520 TVA CONDITIONS @ 95'OD DB,7S'ID DB 63*ID WB TVA CONDITIONS @ 95'OD DB,75*ID DB 63*ID WB 95, 38,550 30,100 8,450 3,230 95, 43,850 32,800 11,0S0 3,660 DX5SEA6010A*/CA*T4961*4A*+EEP CONDITIONS:801 IBD,67*F IWB @ 1700 CFM OUTDOOR 75 60,150 41,250 18,900 3,770 80 59,450 41,450 18,000 3,990 85 58,700 41,600 17,100 4,210 90 57,450 41,200 16,250 4,450 100 54,650 40,250 14,400 4,960 105 53,100 39,650 13,450 5,220 110 51,700 39,800 11,900 5,530 115 50,300 39,900 10,400 5,840 TVA Conditions @ 95'OD DB,7S*ID DB 63*ID WB 95* 54,2S0 39,900 14,350 4,690 18 www.daikincomfort.com SS-DX5SE AHRI RATINGS(CONT.) ALL AHRI SYSTEM RATINGS ARE ACCESSIBLE IN THE UNITARY MATCHUP TOOL VIA DA/KIN CITY OR IN THE DA/KIN S''STEM CONFIGURATOR TOOL VIA PARTNERLINK. SS-DX5SE www.daikincomfort.com 19 DIMENSIONS DIMENSIONS MODEL W D' H DX55EA1810A* 26 26 27 DX5SEA2410A* 29 29 32 DX5SEA3010A* 35% 35% 39X DX5SEA3610A* 35% 35% 39% DX55EA4210A* 35% 35X: 36% DX5SEA4810A* 35% 35A 36Y. DX5SEA6010A* 35h 35X. 4 1% iI I I i� ti 20 www.daikincomfort.com SS-DXSSE WIRING DIAGRAM — DXSSEA1810-3610** Z o �w o x I ¢r OQ�Jz a o�p�,� : -a" OOx¢ "S � - . 8 f2" Z U CJ r r—Y 0 0 Z-�� °Yoe 7mdD H \- w om OzW WdW02 .\ Zz 7O7HU LL, m ui Q W fn O m ° OR,ww�w 71wx Sw wU 3 L" I Z;dill, - av U � I ° 2 F Z � . 0 Z c U�AINO H=V1NOO 31Od I z a Z O � o =9n-031VNN311V — — —'J < QO y �, v 0 a jy uD OO p20 O � E U mw XO Z -p w I r r m w r E C w y 1 �w� v1�o�� Ow to 9 m a z z w z I I I ~~p0 xNO O'i ¢ w > a W r a ugw ww row x N � �ii w O r-" r z�0 ww o a I OwwLL�wwoatr-iN�a�i x > Y w�J I JOU mgY� mi �mIOKm aK�aoaI!~iI }y} UaLLCax=� oU)O 3alx� '� r�i �U�l ¢x� ZUrn( ¢g�I �aOnI �9w w �axI �z-�I pOi ¢U�i tNr¢nlI ~�UU6n�I ��i�iaa3OJ) p0r3 oLLoz ¢an co 0 w w w zzg¢r� 0j vZ 0w U00O 0 U 0 � ° >oZg00; ° 1 o W S Z cO 0 UUU UU U UOX: a: a 0 n > u�= r ISO IZr L J J III 1 I g O III II Lz s 3 ° a o 3 s ai E 2 Q 2 c my 161 A o m m v Q m� a w o ': 3 E m _ N L N I I 3v � w N - mo 2-1-2 8 r Q --O w r z _ 10 x SS-DX5SE www.daikincomfort.com WIRING DIAGRAM — DX5SEA4210-4810** - - W NNm Y m u 1 � 3 ww rn 0 ¢¢ o .� ww a Z-3zy Q (7� a 0¢w J �' 0 3> 1 r¢wa t%i r `� �d - w r8WLL 88(1� RZwQ5R OS Z� 6; zQs8(U� e FOWNIa-U O WNZOS rrWN¢ww¢n wr I ` Z; nv 1 III n i ' Q L U�AINO U01OV1NOO 310d I Z r O c L318nOO 31VNFJ3ilV J LL So c o O ONO a t n S¢ w g m� I z 00 ¢av m �> 1 N U 0 n 5 0 ¢ i I II ww�O -rNojo ¢¢� ¢ ce w w r w w 0 ¢w w"m 0 O w w n w w Y U I I ¢W W w Q O H cn cn 0 N U Y 7 r Z 2 WC7 Q Z¢N(7NUJH QNa N F N J Uww3�a Hw o OUca)wR w¢¢a�aQo¢¢ 3 v > m m'or O a gE¢3 y z w w= I I W Z Z 2¢p U=w 3 Z�[¢[rc 3 3 v E i i i i i I�E Im O aS? ¢fin Iii w QOQ ' O» I I I O¢OY J�¢¢�O=J� �Oa g i fllOmmmmOa¢3Y Y ¢J O J 0 = S a U U U U U 8 O O J!�N N N J 8 CIT « =❑ m U �a Z � n E�, I �� ¢eo � m � I�J--Q- EB- 7 I �S � o E C = III �F o �II1W t _ �Iz --- g m '1 'z c my m o a v n m � s ° m = ' a E I �Za m� co¢ coo ww � � ga w J O J Q - www.daikincomfort.com SS-DX5SE WIRING DIAGRAM —DX55EA6010** F Z. mN iu1�I m U U W W W Jp§Qz ¢ o o V w w O-0N x �� Z Z rYmQ ZOUa ww m Hn 06B m g�UNW as wQ �tX Zz�5UU U J a zcr O yl Q a W O Z c U F T 0m7 as ZO C ��AINO U010d1NOO 310d m all a0 0 �' E c 3.O 3=VN=31IV Cc N m C 0 m £ n N ¢ ou m � x a «V O¢0¢ ¢�cxi fan b ww W ¢a I �� 3aZ0 wU3www oa aN I I ¢mOULL m S Z ¢ Y I Z{p� wwg gg¢xx N N N Y W O �(Z W�W f/)NOQ(JN QdQ�mWQ W.wN ¢¢2 W 3 3 J I I I) W¢a J W a � U U�180 t=9gww Uj �l aw aa¢�v<rr�-IZMK Z •° 2 x W y g E y I J �ad sox, c¢7(¢7 —w x I 8 fUFZ a�aa a W11 i 1 � �� 8s_�¢�G� S f i i i l U y JJQI—A JIJi i 0 0 iOjOZ Oj<,> i ! I O i 2 p y J ¢Q� p T�I J Y Q O U 61 A%0k2 W 33 l SOJO _ 41 C C C N O h d i�w� __ Ili a a z a b 0 ��w¢�� 13 o x a I — 2 3 1 � N Es U a O,; 1' Q y 2 CCCJJJ a p U = ` O 1 ad a L L II ' « _ U m aU<aw�cr W 0 JO as SS-DX5SE www.daikincomfort.com 23 ACCESSORIES MODLL DESCRIPTION DXSSEir• �• r r• r• 0• r• 0• ABK-20 Anchor Bracket Kit^ X X X X X X X ABK-21 Anchor Bracket Kit A ASC-01 Anti-Short Cycle Kit X X X X X X X CSR-U-1 Hard-start Kit X X X X CSR-U-2 Hard-start Kit X X X X CSR-U-3 Hard-start Kit X X FSKOJA' Freeze Protection Kit X X X X X X X LSK02A Liquid Line Solenoid Kit X X X X X X X LAKT01A Low-Ambient Kit X X X X X X TXV-FX-10(-2T' TXV Kit X X TXV-FX-KX-3T' TXV Kit X X TXV-FX-KX-5T' TXV Kit X X X ^ Contains 20 brackets;four brackets needed to anchor unit to pad ' Installed on indoor coil ' Condensing units and heat pumps with reciprocating or rotary compressors require the use of start-assist components when used in conjunction with an indoor coil using a non-bleed thermal expansion valve refrigerant metering device or liquid line solenoid kit.The TXV should always be sized based on the tonnage of the outdoor unit. Our continuing commitment to quality products may mean a change in specifications without notice. ©2023 DiAMINCOMFORT TECOMMM.OAffi!MANEMM TURAW&L.P. • Houston,Texas • Printed in the USA. 24 www.daikincomfort.com SS-DX5SE AFM SERIES HIGH EFFICIENCY PEN MULTI-POSITION HYDRONIC HEAT AIR HANDLERS Everything's Right HereT. STANDARD FEATURES APPLICATION VERSATILITY Upflow or horizontal right as shipped (field-convertible for down-flow or horizontal left applications). Can be AHRI certified with most brands of air conditioners or heat pumps. ETL listed for use with either R22 or R41 N when a proper metering device is used. MOTOR Constanttorque ECM speeds and torques are controlled by software embedded in the motor to maintain constant torque.Motors are pre-programmed at the factory. LOW LEAKAGE CABINET Less than 21)4) air leakage from cabinet when tested in accordance with ASHRAE standard 193.Unit must be installed according to Airmark installation instructions. Sturdy, fully insulated galvanized steel cabinet with knockout for duct return. BLOWER Direct drive blowers circulate air quietly and efficiently. Motor speeds and torques programmed in the motor. Blowers mounted on rails so they can be easily removed for service. ELECTRONIC CONTROL BOARD An electronic board controls the functioning of the system reducing moving Representative image only.Some models may vary in Parts. The board provides for various hot water supply source connections and the blower time delay to maximize heat/cool extraction. As an enhanced appearance.Due to continuous product improvement, feature the pump circulates hot water every 6 hours to prevent coil freeze specifications are subject to change without notice. during off cycle. MODULAR HYDRONIC HEAT KITS Heat kits available with either circuit breakers or terminal blocks. Available in 2, 3 &4 row. Heat kits are easily installed in the field using Molex plugs or can be ordered factory-installed.Freeze stat is standard,wired into circulating pump control circuit. Controls are accessible from the front for easy service. Electrical connections can be made from the top or left. Disconnect does not protrude through the wall panel. Fan time delay relay standard for increased efficiency. Heat kits are available with or without circulating pump and check valve. Units are provided with auxiliary relay for remote pump. Schrader ports are standard on water out manifold, hose bib available as an option. DX COIL High efficiency rifled copper tubes/enhanced aluminum fins provide maximum heat transfer. All coils immersion tested at 500 psi then nitrogen pressurized and factory sealed for maximum reliability. Liquid-line Schrader allows pre- installation pressure testing. Available with either orifice or TXV metering device. Field-installable bolt-on TXVs are also available. Rugged, UV safe, GLP drain pan holds minimal condensate while eliminating the possibility of corrosion. Galvanized metal drain pan with bottom primary and secondarryy drain connections or alternate right side primary. All connections 3/4" FPT. Access door allows for coil cleaning. WARRANTY Five-year limited parts warranty. OPTIONS See options menu. Phone:281.441.6500 , r i Toll Free: 800.423.9007 HARDI gip,,, � �;�:�� Fax:281.441.6510 ,^„ .0 LIMRlD �/ USA www.aspenndu.com A For complete warranty details visit www.aspenmfg.com. Revised 06/28/22 In keeping each its polity of continuous progress and product improvement.Aspen reserves the right to make changes without notice and incurring obligation.0 2022 c • PERFORMANCE DATA ELECTRICAL DATA Heating Capacity BTU/HR MINIMUM MAX Model Hydronic Coil P.D. Standard pump at 3.5 GPM Nominal Cooling Heat Kit Rows Nominal Airflow CIRCUIT BREAKER Model Entering Water Temp AMPACITY OR FUSE 3.5 GPM (MCA) SIZE 120 140 160 180 W 25P 17770 24900 32250 39600 AFM 18, 19 18,000 6.6 W•3SP 3 2.1 21600 30500 39450 48400 W*2SP 2 2.7 20200 28500 36950 45400 AFM24/25 24,000 6.6 I'.. W*3SP 3 2.1 25000 35300 45800 56300 W*2SP_ 2 2.5 22100 31300 40645 49990 AFM30/31 30.000 W*3SP 3 _ 1.9 27700 39100 50750 62400 9.1 20 W*4SP 4 1.1 31000 43900 57000 70100 W*2SP 2 2.5 23700 33500 43550 53600 AFM36/37 36,000 W*3SP 3 1.9 29800 42100 54700 67300 9.1 20 W*4SP 4 1.1 33500 47400 61600 75800 W*2LP 2 2.5 30200 42600 55300 68000 AFM42/43 42,000 W*3LP 3 1.9 36300 51400 65000 78600 14.3 25 W*4LP 4 1.1 43600 61600 77250 92900 W*2LP 2 2.1 31700 44800 58100 71400 AFM48/49 48,000 W*31-P 3 1.6 38200 54000 67300 80600 14.3 25 W*41-P 4 0.9 45900 64900 81450 98000 W*21-P 2 1.7 32900 46600 60500 74400 AFM60/61/62 60,000 W*31-P 3 1.3 39700 56200 70100 84000 14.3 25 W*41-P 4 0.8 47800 67600 B4900 102200 W*2SP 2 2.7 20200 28500 36950 45400 AFM23 24000 W*3SP 3 2.1 25000 35300 45800 56300 6.6 15 W*2MP 2 2.5 27040 38215 49610 61005 AFM35 36000 W*3MP 3 1.9 33185 46900 59540 72180 9.1 20 W*4MP 4 1.1 38750 54805 69815 84820 AFM47/59 48000/60000 W*3XP 3 1.3 38195 54020 65095 76170 14? 25 W*4XP 4 0 8 48200 68125 83380 1 98640 PERFORMANCE DATA ELECTRICAL DATA Heating Capacity BTU/HR Hydronic Coil P.O. High Pressure Drop pump at 5 GPM Nominal Cooling Heat Kit Rows MINIMUM MAX Model Nominal Airflow CIRCUIT BREAKER Model Entering Water Temp AMPACITY OR FUSE 5 GPM (MCA) SIZE 120 140 160 18O W*2S8 2 3.9 18700 26400 34150 41900 AFM 1 B/19 18,000 6.6 15 W*3S8 3 2.9 22900 32300 41750 51200 W*2S8 2 3.9 22600 31600 40550 49500 AFM24/25 24,000 6.6 15 W*3S8 3 2.9 26900 38000 49150 60300 W*2S8 2 3.5 23900 33800 43800 53800 AFM30/31 30,000 W*3S8 3 2.6 30100 42500 55100 67700 9.1 20 W*4S8 4 1.5 34000 48000 62300 76600 W*2S8_ 2 3.5 25800 36500 47350 58200 AFM36,/37 36,000 W*3S8 3 2.6 32800 46300 60000 73700 9.1 20 W*4S8 4 1.5 37200 52600 68200 83800 W*21-8 2 3.5 33200 46800 60650 74500 AFM42/43 42,000 W*31-8 3 2.6 40500 573DO 7DB50 84400 14.3 25 W*41-8 4 1.5 49000 69300 86450 103600 W*21-8 2 3 34900 49300 63900 78500 AFM48,/49 48,000 W*31-8 3 2.2 42750 60450 74825 89200 14.3 25 W*41-8 4 1.3 52000 73500 91725 109950 W*21-8 2 2.5 36600 51800 67150 82500 AFM60/61/62 60,000 W*31-8 3 1.9 45000 63600 78800 94000 14.3 25 W*41-8 4 1.1 55000 77700 97000 116300 W*2S8 2 3.9 22600 31600 40550 49500 AFM23 24000 6.6 15 W*3S8 3 2.9 26900 38000 49150 60300 W*2M8 2 3.5 29625 41875 54295 66715 AFM35 36000 W*3M8 3 2.6 36870 52095 65800 79505 9.1 15 W*4M8 4 1.5 43535 61545 78050 94560 AFM47/59 48000/60000 W*3X8 3 1.9 43295 61300 73190 85075 14.3 25 W*4X8 4 1.1 55360 78230 1 95070 111900 BLOWER SPEED MOTOR MOTOR MOTOR CFM V. EXTERNAL STATIC* MODEL TAP HP AMPS VOLTAGE 0.10 0.20 0.30 0.40 0.50 TAP 5 900 853 797 738 673 --------------- ----------------- •-----------------------------------•--•-----------•--- ------------------- TAP 4 670 646 613 592 553 ............... ----------------- --------------------------------------------_----------------------------- AFM 18/19/24/25 TAP 3 1 8 500 476 452 421 400 TAP 2 400 381 360 339 312 .... -- -- -- ... TAP 900 853 797 738 673 TAP 5 895 860 815 770 705 ............... ............................................................................................... TAP 4 825 795 770 750 700 AFM23 TAP 3 140 770 735 705 685 665 TAP 2 705 675 655 615 595 ----------- -- ------------............................................. ...................................... TAP 655 615 605 580 540 TAP 5 1150 1087 1030 975 910 ............... ........................................................•...................................... TAP 4 1080 1048 1010 960 895 ...........•--- ------•--•--•------......................................---•................................. AFM 30/31/36/37 TAP 3 61 900 862 _825 796 745 TAP 2 700 663 632 600 552 TAP 500 473 449 421 395 „'l l TAP 5 1245 1190 1130 1085 1020 TAP 4 1170 1130 1085 1045 1000 --------------- ------............ ................... ...................................... AFM35 TAP 3 :5 4 935 910 865 840 805 --------------- ------ ----------------------------------------•----•---------------------------------- TAP 2 815 7B5 745 715 685 -----------•--- ................... ------•------------..................................................... TAP1 685 655 605 580 520 TAP 5 1850 1806 1752 1700 1652 ............... ................... ...................---------•-----......................................... TAP 4 1704 1656 1600 1532 1479 --------------- ------------------------------------................................. .... AFM 42/43/48/60/61/62 TAP 3 1 1 Q� 1494 1461 1426 1400 1364 TAP 2 1350 1310 1272 1229 1175 TAP 676 652 621 600 559 TAP 5 1950 1880 1845 1805 1780 ............... ...................-•...------------_.......................................................... TAP 4 1765 1740 1725 1685 1660 --- ....... ---•-•----•-----------------•--..........................----•------------•................... AFM47/59 TAP 3 1 10 S 1500 1480 1450 1415 1385 ------------•-- ---- -------- ------------ ----------- ---------------------------------•--------•-------- TAP 2 1245 1205 1185 1150 1105 TAP1 1010 900 825 765 705 *Dry coil NOMENCLATUREAIR HANDLER CHASSIS AFM 18 O -009 Metering device 4=non-bleed A/C or H/P R410 TXV AFM=120V Constant torque ECM Nominal tonnage[MBTUH] 8=2O%bleed A/C or H/P R22 TXV Option Code Multi-Position Air Handler F=Flo-rater G=R41 Oa Flo-rater X=non-bleed A/C or H/P R22 TXV HYDRONIC HEAT KIT NOMENCLATURE W C 2 S ;' Interruption 8m S=ABN118,19,23,24,25,30,31,36,37 L=Less Pump and Check Valve Water heat 2 M=ABI�A35 P=with Standard Pump and Check Valve [hydronic] C=Circuit Breaker 3 L=ABh142.43,48,49,60,61,62 R=with 009 High Pressure Drop Pump T=Terminal Block 4 X=ABM47>59 8=with 008 High Pressure Drop Pump FILTER PISTON SHIP SKID MODEL A B C D E f 7FG 7JK SIZE SIZE WEIGHT OiTY 21 49-1/4 20-1/2 18-3/4 12 7-1/4 10-114 18-1/2 18-1/2 AFM18+W* [533] [1251] [521] [476] [305, [184] [260] [470) [470] 16X20 0.055 go 4 AFM19/24/25+W* 21 49-1/4 20-1/2 18-3/4 12 8-1/4 12-1/4 18-1/2 18-1/2 16X20 0.059 100 4 [533] [1251] [521] [476] [305] [209] [311] [470] [470] 21 49-1/4 20-1/2 18-3/4 12 8-1/4 14-1/4 18-1/2 18-1/2 AFM30+W* [533] [1251] [521] [476] [305] [209] [362] [470] [470] 16X20 0.068 118 4 21 49-1/4 20-1/2 18-3/4 12 10-1/4 16-1/4 18-1/2 18-1/2 AFM36+W* [533] [1251] [521] [476] [305] [260] [412] [470] [470] 16X20 0.068 118 4 21 49-1/4 20-1/2 18-3/4 12 10-1/4 16-1/4 18-1/2 18-1/2 AFM31/37+W* [533] [1251) [5211 [476] 13051 [260) [412] [470] [470] 16X20 0.074 147 4 AFM42+W* 24-1/2 57 20-1/2 22-1/4 14-3/4 11 16 22 18-1/2 20X20 0.080 153 4 [622] [1448] [521] [565] [375] [279) [406] [559] [470] 24-1/2 57 20-1/2 22-1/4 14-3/4 13 18 22 18-1/2 AFM48+W* [622] [1448] [521] [565] [375] [330) [457] [559] [470] 20X20 0.084 180 4 24-1/2 57 20-1/2 22-1/4 14-3/4 13 18 22 18-1/2 20X20 0.084 180 4 AFM43/49;60/62+W* [622] [1448] [521) [565] [375) [330] [457] [559] [470] AFM61+W* 24-1/2 57 20-1/2 22-1/4 14-3/4 15 20 22 18-1/2 20X20 0.092 200 4 [622] [1448] [521] [565] [375) [381) [508] [559] [470] AFM23+W* 21 40 20-1/2 18 16 6-3/4 10-3/4 18-1/2 18-1/2 16X20 0.059 100 4 [533] [1016] [521] [4571 [406) [171) [273] [470] [470] AFM35+W* 21 42 23 18 19 8-3/4 12-3/4 18 20 20X20 0.068 170 4 [533] [1067] [584j [457] [483] [222] [324] [457] [533] AFM47/59+W* 21 48 28 18 24 11-3/4 15-3/4 18 25] 20X25 0.084 200 4 [533] [1219] [711] [457] [610] [298] [400] [457] [660 Figure 1 -- -._ .... .......__ _..,.....__.____..._..__ i i E • i LR 1 [ ..... f ................. ..... % W.T£Aa9 �EA.}3:I� C7/89 Pffil tlS?ra O�ELBNG [ :LT. Y2XT."— 3 .^9uCifG"f tM! tO /-lk7ADwax ° "*TD*A*' jbo� 0 SUCTION LINE. 1.5T to 3.OT=3/4' 3.5T to 5.OT=7/8" Phone: 281.441.6500 Toll Free: 800.423.9007 ASPEN Fax: 281.441.6510 www.aspenmfg.com Everything's Right Here- Iw y 0.� O O � N Q � � ■i fn gg « 0. q vi Z , to a' w GS ►•� U y D r+nl i r-y M to °�° oo v � g s Y Z � O � w �- ,� F, r• � g � Q•'- C 0-0 00 Ln • p WW �, ° O Q < � •. f ^ � ►""1 r1 � ~ O �a L" V Q z v co O V► Woo C� `/ z z � Q O ac t� 5 - � � � a, en W � r A Z r � A ^ � � A � � z ►�-� W a V 0-4 < z wz � � � m a z a o zzb v V A F w w � x z rii F' oC V z c� V) Sd uo W ai � W � O .�, z z H �.,� � �� A•+ ogb �I a a a ►°.a as x � � �� b ' t w[El D BUILD/-,"DEPA , MENT RE 6 2023 VIL SAGE OF R'Y OOK 938 KING T_ ET R)IF BR ,NY 10573 VILLAGE OF RYE BROOK 939-06 - BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING E \QUIPMENT FOR OFFICE USE ONLY: PERMIT#:AkQ3__I C,/ 3 Approval Date: (K; 1 2 _ Permit Fee:$ V — 6- Approval Signature: Other: Disapproved: (fees are non-refundable) r**�*rk***,r�**f�*a**r*rr��r,trr*r*�,t�***�**k+r*rrr*,t**,r*�rr*rr*�*��+r***,r►*,tr***,trr�*r**,e,►,t*r�,t,t,t*�,t,r,ta 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#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Pavment of Fees/Unit: RESIDENTIAL=$100.00/unit•COMMERCIAL =$350.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. p / 1. .Address: *3b N thlb tit SBL: �968 3� Zone: 15 2. Property Owner: SQ1 V A'rSar 0?014 IIAV r"— Address: �3 Phone#: Cell#:%�( 2A S email: Q MCI l I r I $,z rD Mq 3. Contractor: f p h)n eAh ►'I C VV.6 (I(Addressl( 14�rldut Lin, N-ew is ry h-ct i, (i o& r 2, Phone#: Cell#: 9 I h 565 Zit 25 email: 'E iY)n640(> VV tY '(ozrr 4. Scope of Work:New Installation(,)Replacement( )•Removal( )•Other( ): 5. List Equipment: a-) It V W 1 hh shy Nti Ar,ti,�� 6. Location of Equipment Rot`e^f YDoo M 7. Method of Installation/Removal(list all equipment needed to perform job): I 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: /�it l ),✓ �/J,(.2�G/J't/ being duly swom,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 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. r� Sworn to before me this 1-1 Sworn to before me this day of P,)C'� ,20 2-3 day of 20_ J SiJi1We'#Moperty Owner Signature of Applicant Print 7Nam/nf ro a Owner Print Name of Applicant C (� ^ NotaryPubft-StateofNew`ork Notary Public No li No.01AG6373544 Ouallfled In Suffolk Cm" t SHARI MELILLO MY Commiaaiort EXP1=Apd 09. Notary Public,State of New York No.o1ME6160063 Qualified In Westchester coup This application must be properly completed in its entirety and r99tnt�14l2i�"F L"not'anzed f 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. -2- sr3aoz3 r, u A E VALUE-PRICED mmpll WITH PREMIUM FEATURES MYWHME • 95% AFUE with 10:1 turndown— �� Reliable, proven stainless steel heat exchanger technology - • Factory pre-set Sage2.3TM Control System, providing out-of-the-box high performance • Touch screen diagnostic display with plain-language guidance • Exclusive features for installer convenience and homeowner dependability • High altitude—Minimal de-ratings, reduces the costs of oversizing, field adjustable • FREE 5-year parts warranty included • Low NOx* '1 EXTRA BUILT-IN FEATURES _.. ANMEBE by • High capacity pre-installed boiler loop circuBoiler Company • Splitivoolta e junction box P 91 • Universal boiler vent connection for You j M '� polypropylene, CPVC/PVC, & 'i'�' 0� stainless steel _ .. _ _ .. ._ _ • rintrinnr rocpt amd concur II : II1��R7 1 It's the condensing boiler that you 've been asking for. . . Contractors told us exactly what they wanted. A value-priced, high efficiency condensing boiler that is simple enough to install quickly AND offers valuable extras not found on competitive models. U.S. Boiler Company has delivered. The K2 offers a comprehensive feature list, unequalled ease of setup, maintenance, and operation in a package that costs far less than you'd expect for the impressive value that's built in. And best of all, it's built and tested with pride in Lancaster, Pennsylvania by U.S. Boiler Company. SAVES TIME! • Intelligent Sage 2.3 Boiler Control System —Factory pre-sets offer"out-of-the-box" performance —Touchscreen display with step-by-step setup guidance and diagnostics ,. • Designed for ease of installation & service —Hinged control door isolates electronics— Fast and easy access to combustion f chamber `k —"Cold burner door" speeds service start —Integral, easy access junction box included with separate high voltage and fused, low voltage communication boards —Easy clean-out condensate trap —Side access panel • Universal boiler vent connection (polypropylene, CPVC/PVC, and stainless steel flex) SAVES MONEY! • Pre-installed premium boiler loop circulator eliminates pump selection and expense Display product shown.Interior of junction box is visible for illustration purposes only. HOMEOWNER VALUE! • Stainless steel heat exchanger offers long-term t reliability —No welds, reducing potential corrosion points • High efficiency, high performance, high comfort —95% AFUE { —10.1 turndown lowers fuel use —Very quiet operation - negative pressure design #� —"Cold burner door" design recovers heat for added energy savings • Attractive, reinforced 16 and 22-gauge steel N construction +` ' { • Advanced system testing carefully verifies the i performance every K2 boiler before it leaves our factory —Worry-free installation-, boiler display verifies reliable operation • FREE 5-year parts warranty included Display product shown.Interior of junction box is visible for illustration purposes only. T -F5tUS : Boiler 1 f 2CI F 0 kbr,if,. ai� 5tandb r.d7ua rlax Effiaancv Or, - i• z•nc t :.red 1 07 mind i-ydes KI KITCHEN 6 BEDROOM O ° BATHROOM a ^ LIVING RM W 50 _ � �E may„ � f ° K2 Combi Models Pre-installed high Touchscreen display ~ (available late 2017) capacity pump offers step-by-step FastPipeTM i4 '� I feature an integrated flat optimizes water flow assistance in setup and optional ready- plate heat exchanger to ensure proper boiler troubleshooting. made primary/secondary for domestic hot water. operation. Side panel piping solution saves Available in three sizes— installation time and cost. 120, 150,and 180 MBH. access. (Complete product info available separately). K2:. Technical Information AHE ,E,-t.k� - Standard Equipment K2 RaltingsSpecifications • Direct vent,10:1 turndown,sealed combustion appliance DOE Approx. Input Heating Net Vent Net • Stainless steel heat exchanger (MBH) Capacity AHRI Size Weight • Pre-installed boiler loop circulator Model f, min-max (MBH) (MBH) (Inches) (Ibs.) • Easy access control panel on hinged door K2WT-080B 95.0 8-80 74 64 2 or 3 100 • Separated high and low voltage junction box K2WT-1006 95.0 10-100 94 82 2 or 3 102 • Sage2.3 Control System K2WT-120B 95.0 12-120 112 97 3 105 —LCD touch screen display K2WT-150B 95.0 15-150 142 123 3 119 —Self-guided control menus K2WT-180B 95.0 18-180 169 147 3 119 —Built-in self diagnostics —(2)additional circulator outputs available K2VVT-180M 94.5 18-180 168 146 3 119 Safety Relief Valve Pressure,Water-30 PSI std.ASME —Built in sequencer,Stages Up t0(8)bOIIOrS Optional Equipment: certified"H".Maximum Allowable Working Pressure at —Outdoor reset including outside sensor Natural gas:LP conversion kit for elevations 50 PSI. Max allowable temperature setting 2101.Target setpoint is 180°F,manual reset high limit setpoint is 210°F. —DHW priority to 2000'sold separately: Boilers shipped set for natural gas.Above performance is —Warm weather shutdown 080E-100B P/N:107873-01 for elevations to 2000'.Consult Installation,Operating,and 120E-150B P/N:107874-01 Service Instructions for installations up to 10,100'.180M • Variable speed combustion blower 180E P/N:107875-01 model is only for installations osver 2,000' • Gas valve 180M P/N:108101-01 Typical Venting Configurations • FastPipe primary/secondary adapter PN: (Horizontal and Vertical—up to 135 eq.ft.each) • Polypropylene condensate trap 80-120 MBH— 106259-01 ( ) Illustrations are for representation only.For complete venting • Flow switch,pre-installed 150,180 MBH—(106259-02) information,please see Installation,Operating,and Service •• Supply,return,and auto reset high limit water sensors Sage Zone Control Instructions.(Circulator Panel P/N:104590-01) • Universal exhaust vent connection(CPVC/PVC,PP,SS) (Valve Panel P/N 104589-01) • Flue gas temperature sensor and differential pressure switch LWCO kit(P/N:105591-01) • Service parts kit(P/N:106260-03) • Pre-installed hanging bracket and wall mount kit • Floor stand kit(P/N:108017-01) • Field adjustable for high altitude • Kit,CPVC starter and PVC vent terminations ML (2"P/N:107039-01,3"P/N:107039-02) Horizontal 2-pipe Vertical 2-pipe Left Front Right F1 Horizontal 2-pipe Vertical 2-pipe low profile concentric I Access Panel w ?t 29" L j FWW Horizontal 2-pipe Hybrid concentric Vertical exhaust/sealed I_ B-vent for combustion air A 17 +{ A PLUS polypropylene&stainless steel chimney chase options Bottom 4-3/4" 3-9/16" K2 Dimensions (inches) 1"NPTSupply o 00000o Model A* B C 0° 00 00 1/2"Gas Line 5 1/16" 1"NPT Return K2WT-080B 16-3/16 3 7-3/8 Vent — Condensate K2WT-100B 16-3/16 3 7-7/16 C Trap Outlet Air Intake K2WT-120B 16-3/16 3 7-7/16 r + K2WT-1506 1 20-3/16 4-7/16 8 B _1-13/16" K2W7-180B/M 1 20-3/16 4-7/16 8 4 8„ Top Open control door extends dimension additional 15" 3/16" www.usboiler.net �10 5/16" 1 15/16" Boiler Company ©2018 U.S.Bailer Company,Inc. Form No.USBL14061 20m 9/17 Lancaster,PA Phnna•1-RRR-A19-RRR7 Building Permit Check List&Zoning Anal sis �( Address: 'v�' 1 SBL: Zone U e 2`v Const Type Other. Submittal Date: �� 2 evisions Submittal Dates: Applicant V N Nature of Work ` Reviews:ZBA: 'J UN 1 9 2023 p BOT: Other. NEED O ( (�' FEES:Filing. ^� BP: �0 a J C/O: Flood Plane: Legalization: ( ) (,, P: Dated: Notarized. SBL: Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Stone Water Review: Street Opening- ) ENVIRO:Long. Short Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current ArchivaL• Sealed: Unacceptable: ( ) ( ) )PLANS:Date SPed Sealed. Copies: Electronic: Other. ( / ( /License: '— Workers Comp: ✓Liability: /Comp.Waiver. Other. !,� L a �� ( ) ( ) CODE 7S3#: Dated: N/A: (vY ( ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. (� ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. ( ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery:_Other. (� ( ) PLUMBING Plans: Permit Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other. H.V.A.C.: Plans: Permit N/A: Other. ( ) ( ) FUEL TANK:Plans: Permit Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey Final 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 NOTES APPRUVrow Date: !�JN 1 9 1�3- cirde: Fromm &W. Main cor Ft.H see: Ft.Imp hki&/Stories notes: C? 0 F N S\f\ "61 S e u� NOT krl (Vulw Steven Fews From: Srivatsan Raghavan <emailsri83@gmail.com> Sent: Monday, June 19, 2023 11:55 AM To: Steven Fews Subject: 436 N. Ridge Street - Interior permit application- scope change Hi Steven, Thank you so much for your call today. Based on our conversation, I will drop off any layout change to the boiler room from the scope of the project. Only scope related to the boiler room will be the replacement of the existing boiler with a combination boiler. Kindly consider the rest of the scope for approval, so we will be able to begin the construction. I will submit an amendment to the application very soon to get approval for the boiler room layout changes. Thanks, Sri JUN 1 9 2023 40 t`�`". .• ^!/v`'< % � 'pz+ ' ;�a�t. vf�y,{,. �. ' t�I � �. � �+' f.,h7��n ®� ,, i+N" x��"t�� it��.iJ.-. �•. ,� .�i.�� h',' aa..e/, �►� � �� .. �'�ror,cl•�� " ,��e i(Ire "_ 14' � ��': r �l �o O 4►0 ^"a( DD z 0. �M1^, :;3 C N .•�l o 0 a(CcIDD N O C. Q it(act�Dsi a ca Q ' E EU U r o b U LU o Y rnLL, r. Q+ U ; C: r,. a > Z m a 4 y O g o 2 ction D U , � w = P i � w U W V +� �+ G(cizi➢b ► w = W p �4a fey i ICI N o zd' - a o � N - I U w '. . M Q 1 t ?► w r �r�/ -Ord , -.�ea 1 ;�= Fo�i�'��e'"-•1�� .pl{r� F� -r,10, < ,� D 1� ,la�el;, ,,reeel�,r 5� ,,eAA, ,,reOeeOr,, ,,ree/1lertrav, � 4 i � A �r n.. � 0'• h,l.�� Pik ^�� AO D � BYO _� a�� 0 A.- /� � :�;��,•:,� �-��,�.� ..�v� u>� �r�l';k 67N! �ih �Lf��1.e� �ltl�� ^`�£4YrfG�,t'1 ACOIR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DDIVWY) 06/23/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 NELLA CARRICO NAMETOP INSURANCE AGENCY,INC PHONE Ext1: 914-690-1440 No 914-690-2875 18 PUTNAM AVE ADORIEss; TOPINSNY@GMAIL.COM PORT CHESTER,NY 10573 INSURERS AFFORDING COVERAGE NAIL R INSURER A: UTICA FIRST INS CO INSURED INSURER B: GREAT IMAGE HOME IMPROVEMENT LLC INSURER C: 22 HOMESTEAD LN INSURER D: GREENWICH,CT 06831 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 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. TR TYPE OF INSURANCE ��SUBR POLICY NUMBER MM DD/YYYY MMIDDY�Y LIMITS GENERAL LIABILITY _EACH OCCURRENCE S 1,000,000 A��(_R 6AMi N p COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 C_AIMS-MADE OCCUR MED EXP(Any one person) S $,DDD ART3000827270 12/13/2022 12/13/2023 PERSONAL BADVINJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,000 POLICY 71 PRO LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per aaideM) $ NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS P accident S JUM7E,—LU1B OCCUR EACH OCCURRENCE S S LIAB HCLAIMS-MADE AGGREGATE S—_T— DED RETENTION$ S WORKERS COMPENSATION I WC STATU- I OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOPJPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED' ❑N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If es,describe under -- --- --- - -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) PAINTING INTERIOR/EXTERIOR/REMODELING/CARPENTRY EXCLUDES:ROOFING/TREE CUTTING AND REMOVAL/POLYURETHANE HARDWOOD REFINSH 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 NELLA CARRICO ACORD 25(2010/05) @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 6/27/23,5:24 PM Certificate of NYS Workers'Compensation Insurance Coverage NEW CERTIFICATE OF YORK Workers' NYS WORKERS'COMPENSATION INSURANCE COVERAGE STATE Compensation � � Board Insured Detail Is.Legal Name and address of Insured(Use street address only) lb.Business Telephone Number of Insured Great Image Home Improvement LLC 914-481-1217 22 Homestead Lane Greenwich,CT 06831 lc.NYS Unemployment Insurance Employer DBA:Great Image Painting Registration Number of Insured Id.Federal Employer Identification Number of Insured or Social Security Number 812202298 Work Location of Insured(Only required if coverage is specifically limited to certain location in New York State,i.e.a Wrap-Up Policy) 2.Name and Address of the Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Wesco Insurance Company The Village of Rye Brook 938 King St. 3b.Policy Number of entity listed in box"la": Rye Brook,NY 10573,NY 10573 WWC3606665 3c.Policy effective period: 9/10/2022 to 9/10/2023 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 bog"Is"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: Matt Zender (Print name of authorized representative or licensed agent of insurance carrier) Approved By: 6/27/2023 (Signature) (Date) Title: Senior Vice President https://wc.amtrustgroup.com/ANAWC/PolicyNYCertificateOfWclns.aspx?Indexld=441418&InstaneeId=1d8d9l02-1092-48d4-ae3c-db2500abc41d 1/2 it T.. 2:, i w Kwciw►)> npmo cC sc.w)a; U co LLI W ! L�" �,�y f +s I^•.. jaw Mr �.J �,J,f r .,..� A010 DO«Ct[Q(� ! 4a�� `. "ii n► ri • j ,E` G/Z U W Z vim,,,. � r co Sg CS 41 ^1 r � c? f l _ —� MASECON-01 GCOHAN ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(Ml'YY) � 7/25/2022023 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 endorsements. PRODUCER TACT Gerry Cohan Cohan Associates,Inc. PHONE N 914 422-0500 Fv,No: 914 220-1440 27 Cleveland Street Valhalla, NY 10595 ss.CohanAssociates@Optonline.net INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:Merchants Mutual Insurance Company 23329 INSURED INSURER B: Maselli Contracting&HVAC LLC INSURERC: 29 Cambridge Ave Apt 3 INSURER D: White Plains,NY 10605 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 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 NUMBER POLICY EFF POLICY EXPLIR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE a OCCUR X CTRI1003696GBC 2/1/2023 2/1/2024 DAMAGE TO RENTED 50,000 MED EXP one arson 5,000 PERSONAL&ADV INJURY 1,000,000 GENLAGGREGATE LIMITAPPLIES PER GENERAL AGGREGATE 29000,000 X POLICY j LOC PRODUCTS-COMP/OP AGG 2,000,000 rl OTHER: ' A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO CTRI100369OGBC 2/1/2023 2/1/2024 BODILY INJURY Per arson WNED SCHEDULED IURTE0 ONLY AUTOS BODILYBODILY INJURY Per accident X AUTOS ONLY X ARID ONLY orracEcident AMAGE UMBRELLA LIAR HOCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED I I RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N ZANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT OFFICER/MFMBER EXCLUDED? ((Mandatory m ) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Additional Insured:: Village of Rye Brook 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 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4 \\ NYSIF New York State Insurance Fund PO BOX 66699,Albany. NY 12206 1 nysif,com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE IAA A A 831148139 r� COHAN ASSOCIATES INC i M' 27 CLEVELAND ST 0 i VALHALLA NY 10595 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MASELLI CONTRACTING& HVAC LLC VILLAGE OF RYE BROOK 29 CAMBRIDGE AVE 938 KING STREET APT 3 RYE BROOK NY 10573 WHITE PLAINS NY 10605 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2496 551-9 519520 12/11/2022 TO 12/11/2023 7/25/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2496 551-9, 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:/IWWW.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. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST -HE 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. 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