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HomeMy WebLinkAboutMP23-101 BRA(� 19 L�V4V Yy VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J.Bradbury www.ryebrooknv.gov TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE July 22,2024 Brian Candee&Bree Candee 26 Paddock Road Rye Brook,New York 10573 Re: 26 Paddock Road, Rye Brook,New York 10573 Parcel ID#: 135.26-1-49 This document certifies that the work done under Mechanical Permit #23-101 issued on 7/11/2023 for the installation of a new oil fired boiler and hot water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC��, O� 2m cu � • • 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ©ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 2 DATE: PERMIT# P 2 Z• /,� ISSUED: SECT: BLOCK: LOT: / LOCATION: `�` "''„� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION i ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER j 0 v+� ° . . !1 N v si s a 'Mu. O . 14 0 !^/+ pp W of) P. � 9 C ppp Z o o � $ �r .� O 0 W �W.,, � � p 3 � •a„•� O : ►74 O �l a - M no = i co ti u z o "4 U W 10 Cl) z w O 0v o w � o WF� ova o = CL a Z = � z 5 o �. w 0 � �, w w E 4 O ] � vc "" w O •a ai �+ �j ^w z ✓ O O ozAg uH ~ V V O °� o V� z w BUILDIN0,DEPARTMENT VILLAGE OF RYE BROOK JUL - 5 2023 938 KING STkEET RYE BROOK,NY 10573 (914)939-0668 FAx(914)939-5801 VILLAGE OF RYE BROOK rvww.ryebroolc.or� BUILDING DtwP^RTNIENT APPLICATION FOR PERMIT TO STALL AND/OR REMOVE HEATING VENTILATION AND/(M- IR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: 716�c)3 —)O r Approval Date: 1 �) 292 Permit Fee:$ LADOad 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. Inspection by the Building Department for removal and/or installation.(48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, 0612912023 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: 26 Paddock Rd. SBL: 135.26-1-49 Zone. ko—115 2. Property Owner: Bree Candee Address: same Phone#: 631-774-8706 Cell#: email: Robison Oil One Gateway P azla th�oor 3. Contractor: Address: Port Chester, NY 10573 Phone#: 914-847-0295 Cell#: email: jweir@robisonoil.com 4. Applicant: Same as above Address: Phone#: Cell#: email: 5. Scope of Work:New Installation( }•Replacement(X)•Removal( )•Other( ): 6. List Equipment: Replacement of oil boiler. Install nt-w Fnernv Konetirs FK-2 oil fireri bailer with 40 gallon hot water tank. 7. Location of Equipment: Basement 8. Method of Instal lation/R.emoval(list all equipment needed toperform.job): Removal of existing oil fired boiler. Installation of new Energy Kinetics EK-2 oil fired boiler with 40 gallon hot water storage tank. t 611/18 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: t re being duly swom,deposes and states that he/she is the applicant above named, (prmt name of indrndnal s>pnutr u the appltcant) and,further stales that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the E---' for the legal owner and is duly authorised to make and file this application- (mdtcam archrtcm contreow.agent auorTry.eu) 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 plaits and specifications,as well as in accordance with the New York State Uniform Fire I'm ention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. tiworn!o bcfure metals "� Swum to before this d:+s of .20 L day of 20_ arty Owner C,pplic ;,, aAJ atoanda K olmste d ands K Olmstead NOTARY PUBLIr,STATE OF M YORK NOTA Y URLIC,STATE Of Nk W YO RK Registration No.01OL6117 grstration No.01OL6417632 Qualified in WE.STCHESTER Cormty alined in WESTCHESTER County Coemission Expires fl813 A25 CammiWim Expires 0> W2025 This application must be properly completed in its entirety and must include the notarized sigaalurc(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. -- t,_ t!'•- .�'ik"1r'�t"'1�Ir-, a ari 1. a ia . e L . There are models and sizes available for every installation and environment. Fits under stairs and inside small closets! Our patented spiral boiler precisely controls the flow of water and flue gases for the best heat transfer. Plus!No pins, baffles or micro passages to foul and reduce efficiency over time. E K2 Swing down door for easy service and cleaning! • Exceptionally clean burning • Virtually unlimited hot showers! • ASME certified construction • Stackable model available • 5 zone control • Easily piped to multiple zones • Plus! Outside combustion air connection ENERGY "N 0 • Cuts up to 40% off home heating bills! KINETICS '41 • Light weight construction 6�vBetterheatiny. ftyersavinys. ,, O Accepted For Use City ofCall us today for 800-661-0902 New York LISTED Department of Buildings MEA 140-03-E more • I 10 1 System 2000 is an integrated system — • makes both heat and hot water! Oilheat home heating systems Homeowners enjoy economical heat, plus virtuallyendless hot showers with lower energy System 2t performance' w r r gy Lifetime limited w wanarranty/option to transfer costs. Plus, System 2000 delivers significant Energy recovery standard on all systems savings over electric or traditional hot water BENEFITS making methods, with whisper quiet operation! 10 feet forced counter flow passages Maxerttrrrt heat recovery POWER VENTING Homeowners who 300`net stack temperature Up to 87 9%efficiency Water content EK1=21,gal EK2-4 gal Rapid heat up,cool down plan to save money by converting from Wet base design Minimizes heat losses expensive electric heat to oilheat often High temperature combustion chamber Incinerates fuel•clean,safe heat Bioheat compatible Works with renewable fuel standard find themselves Up against a brick wall: Jacket/insulation EK1-90lbs.EK2--110lbs Minimizes heat losses the high cost of chimney construction. Buried combustion Quiet operation But with System 2000's unique combustion 3/16'pressure vessel steel throughout 50%thicker than boiler tubes No chimney ASME code construction and Carefully inspected pressure tested is needed! chamber, combined with a 10 foot long flue Nat'l Board of Pressure vessels registered and certified Ground level e, gases leave System 2000 clean, venting passage, g y All welded and threaded connections No gaskets to leak or service stays relatively and relatively cool. So they can be vented Built-in dynamic air elimination Eliminates air from system no"gurgles' cool! directly through-the-wall. No chimney is Front cover swings down Easy access to all components Large open passages Easy to clean and inspect needed!An excellent benefit for home- standard burner and accessories Serviceable with normal stock parts owners converting from electric heat, Small size Compact and stackable installations heat pumps or for new home construction. ChilirmilifY venting Ideal for retrofit installations Power venting is the safest method of side Power vent chimneyless option available Save thousands on chimney construction wall venting and is a low cost alternative to chimney construction. EKI FRONTIERSPECIFICATIONS Oilheat home heating system Domestic Input Gross output AFUE Hot Water* .68 GPH 83,000 BTU/HR 87.9% 170 Gal/Hr. .74 GPH 90,000 BTU/HR 87.7% 180 Gal/Hr. .85 GPH 104,000 BTU/HR 87.5% 202 Gal/Hr. 1.00 GPH 121,000 BTU/HR 86.2% 228 Gal/Hr. 'Domestic hot water rating based on first hour draw with 77°F rise and 40 gallon tank. Energy Converter Weight 270 lbs. FRONTIERONS 011heat home heating system Domestic Input Gross output AFUE Hot Water' 1.20 GPH 147,000 BTU/HR 87.6% 293 Gal/Hr. 1.40 GPH 175,500 BTU/HR 87.0% 334 Gal/Hr. 1.60 GPH 190,500 BTU/HR 85.5% 368 Gal/Hr. 1.75 GPH 2O6,000 BTU/HR 84.0% 395 Gal/Hr. 'Domestic hot water rating based on first hour draw with 77°F rise and 40 gallon tank. Energy Converter Weight 350 lbs. Lifetime limited A warranty on C Ds S IFETIME LIMITED WARRANTY Digital Energy NI r Manager and KINE E •'?+ , ASMEpressure .KINETICS vessels LISTED H As an ENERGY STAR'Partner,Energy Kinetics has determined that model EK1 meets the ENERGY STAR" guidelines for energy efficiencyyfor oil heal input from 0.68 i to 0.85 gph.VThe color yellow for heating boilers ' is a registered trademark of Energy Kinetics. 1 Accepted For Use City of New York 0 : Department of Buildings MEA 140-03-E web site g55E�) ENERGY 6;*KINETICSt Easy service compact oilheat EK1 Frontier, with 40 gallon low boy tank and stand 51 Molasses Hill Road, Lebanon, New Jersey 08833 T: 800 323 2066 • F: 800 735 2068 visit: www.energykinetics.com W T O 1 O Q C O � LL N LL U O � N ' C E a) m A O m tU O v N cn E Q Ur p ii m X c (U E a) m CO o N O L 'm o U) Y U m m Js Ir 122.82 Pq DOCK ROAD paddock R �p°P 113.12 ,x 11,46 v .- c� a ca ca a V o to 133 26. 153.05 0 c a m Co. r *- O r O " I m w Cod ld _ � O a � a 1p e E a m oG m 01m) coo O o � aq a� 06 a � Q � O ►/ G I � r QF to aQ A 4P7A to a s twt ; t 't i K' 1?� lj r--,. t7b rWJ Y It !f'1 n^ w •+^T i M: I7 •ir x!n"v-t �'a7 \_� W at 't A �. 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'1',,L Sx t 1 . r : l�.-• f Y�yO�t `�txM���Y?' _ ,_ ,t ry/,/(� � ///ro f� ��rh H O t �'rX" orgy.�,YI+C'1 x o "'tP'1�Y� �a; �•r, i it x.!V 1fI Vri;. xtVtlx} `>I:NYNF,lVl vt` . y,�� u wc.3•' u '��cr ,r, ��. � ACO® DATE(MMIDD(YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/27/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Matthew Moraski,CISR Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 4000 Midlantic Drive, Suite 200 IAIC.No, Extl: 18668663262 (A/C,No):856-273-3663 Mount Laurel NJ 08054 ADDRESS: matthew moraski@AJG.com INSURERS AFFORDING COVERAGE NAIC 1 INSURER A:New York Marine And General Insurance Company 16608 INSURED SINGHOL-02 INSURER B: Singer Holding Corporation 55 South Main Street,4th Floor INsuRER c: Port Chester NY 10573 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1284557956 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 ADOL SUBR POLICY NUMBER PMO1 ICDY EFF POMILDI D/EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY PK202200020101 12/31/2022 12/31/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS MADE a OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PRO ❑LOC PRODUCTS-COMP/OP AGG $2,000,000 X JECT OTHER: $ A AUTOMOBILE LIABILITY AU202200017525 12/31/2022 12/31/2023 COMBINED SINGLE LIMIT $1,000,000 Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) E AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTYOAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ A UMBRELLA LIAB X OCCUR FX202200001405 12/31/2022 12/31/2023 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED 1 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANYPROPRIETOR/PARTNERlEXECLTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A - - - i(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Village of Rye Brook Building Department is named as an additional insured with respect to the above General Liability Policy,if required by a written contract executed prior to services performed. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook Building Department 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ltl& s Workers' STATC i Compensation CERTIFICATE OF iBoard NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b. Business Telephone Number of Insured 9143455700 ADP TotalSource FL XVII,Inc. 5800 Windward Parkway Alpharetta,GA 30005 1 c.NYS Unemployment Insurance Employer UC/F: Registration Number of Insured Singer Holding Corporation 45-04510 8 1 Gateway Plaza 4th Floor Port Chester,NY 10573 1 d. Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage Is specifically limited to certain locations in New York State,i.e., a Wrap-Up Policy) 133121491 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New Hampshire Insurance Co. Village of Rye Brook Building Department 3b.Policy Number of Entity Listed in Box"1 a" 938 King Street WC 034298819 NY Rye Brook.NY 10573 All worksite employees working for Singer Holding Corporation paid under ADP TOTALSOURCE,INC's payroll,are covered under the above stated policy. 3c. Policy effective period 07/01/2023 to 07/01/2024 3d.The Proprietor, Partners or Executive Officers are included.(Only check box if all pariners/officers included) ❑all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"la"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 effecL 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: Michael Price (Print name of re —ntativc or licemsed agent of maurnca carrier) Approved by: sf�� � R 23 APR-2023 (Signature) (Data) Title: CEO North America Telephone Number of authorized representative or licensed agent of insurance carrier: 800-743-8130 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-106.2(9-17) Certificate Number. www.wcb.ny.gov