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HomeMy WebLinkAboutMP23-126 i Gtp � r7 o 1q .1-a VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury w-w-w.ryeb rook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE September 28,2023 Stephen Goldstein&Linda Goldstein 4 Bishop Drive South Rye Brook,New York 10573 Re: 4 Bishop Drive South, Rye Brook,New York 10573 Parcel ID#: 130.69-1-13 This document certifies that the work done under Mechanical Permit #23-126 issued on 8/14/2023 for the installation of a new oil fired boiler has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to BUILDING DEPARTMENT u ING 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 - - - - - - - - - - - - - - - - - - - - �j (I r, ��i � � - ADDRESS : \ DATE: �� 67f I PERMIT# ` 'Y( rf ISSUED: I SECT: BLOCK:LOT. LOCATION: �-^� `C?�V J OCCUPANCY: —w ❑ 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 OSS CONNECTION FINAL ❑ OTHER ■ S S a 2 � Y 4® ry s 0`0 0\0 ►fir y fn p4 Y a a z GL U V 1 rrTT,� To ~ Q � I U � © rT1 `�� o v u C F-i—i-1 a � P�kOf�! O A en u o o o a 1,4 co �■�■�, 00 g p � aQ S 00 CY 81 w O V aQ o2 . o Y °' ►�—i w i o 5 O W 0f BUILD G DEP MENT D VIL E OF RYF: OOK 938 KING d :ET RYE BRO ,NY 10573 AUG 14 2023 4 hQ 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: f PERMIT#: &)3 - Approval Date: ��� 1 �Z3 Permit Fee: $ `00'-�J�J 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, n 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. C� l. Address: 1 shots . - 'I�� f _SBL:]�ZI7.It�q — , — �`3 Zone: 2. Property Owner: 1p_, C ^ � 1_ Address: Phone#: Cell#: email: k o 3. Contractor:lj�eb MecL --uj n c—. Address: ,INS t[74-Uefl►zvt�•,�G'r Phone#:q�q q—�q • 7§jC0 —Cell#: email: t rce�leCYt, ,vn�La1 1E�{p�.� 4. Scope of Work:New Installation( ) •Replac�ert gat •Removal( )•Other( ): 5. List Equipment: 6. Location of Equipment:'&�SX)DU DA 7. Method of Installation/Removal(list all equipment needed to perform job): ��a"A 1 3/312023 (] NNA � Fa--,f- S�ATE OF*F—�, K,COUNTY OF".,'� T� ; being duly sworn, deposes and states that he/she is the applicant above named, (print name of i di idual 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 nest 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 i Sworn to before me this day of 0111r ,20 1J _ day of tot 4— 20 SignatureofMperty O1 cr Signature of Applicant -- Prina of Pro erty Owner Print Name of—Applicant N ary Public ' otary Public ETTE MENENDt Z N ary Public State of New York SEAR >�yTL No. 01 ME5089053 A'OTAX PPL'BLJC Qualified in Queens County lrly COMMISSlan Exolres Aq. 31,202s Corn ission Expires December 8, 2a4L� This application must be properly completed in its entirety and must include the notarized signat-are(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 3/312©23 SNOW dak t, stP�`1SHED 1979 x M ENERGY ® r WNETICS a x �i. Part of the System 2000 family of products manufactured by k ENERGY &FKINETICS® • Exceptionally clean burning It Is got to he • Light weight • Highest efficiency • More quiet than a microwave! 2000 • Multiple zone control Call us today for 800-661-0902 more „O EK1EK20ilheat System 111 Oilheat performance: Features Benetfits Energy Converter System 2000 is an integrated heat and hot Chimney venting Ideal for retrofit installations Power vent chimneyless option available Save thousands on chimney construction water system- makes both heat and hot water! 10 feet forced counter flow passages Maximum heat recovery Homeowners enjoy economical heat, plus a 300°net stack temperature As high as 87.9%efficiency Water content:EK1 2.5 gal.,EK2 4 gal. Rapid heat up,cool down virtually endless supply of hot water with lower energy Wet base design Minimizes heat losses costs throughout the year. Plus, System 2000 delivers High temperature ceramic combustion chamber Incinerates fuel—clean,safe heat significant savings over electric or traditional hot Jacket&Insulation:EK1 90 lbs.,EK2 110 lbs. Minimize heat losses Buried combustion Quiet operation water making methods with whisper quiet operation. 3/16TM pressure vessel steel throughout 50°,6 thicker than boiler tubes POWER VENTING ASME code construction Carefully inspected,pressure tested Homeowners who plan to save money All welded and threaded connections No gaskets to leak or service Built in de-aerator Eliminates air from system.No"gurgles" by converting from expensive electric Back cover removable Easy to inspect and clean "�" '�*a► heat to oilheat often find themselves Large open passages Easy to inspect and dean up against a brick wall: It's the high Standard burner and accessories Serviceable with normal stock parts cost of chimney construction. But with Small size Compact installations System 2000's unique combustion Limited lifetime warranty/Option to transfer.Energy recovery standard on all systems. chamber, combined with a 10 foot long flue passage,gases leave System Storage Tank 2000 clean, and relatively cool. So they 40 gallon capacity Plenty of storage for peak demands can be vented directly through-the- 80 and 120 gallon tank options Even more storage for extraordinary needs wall. No chimney needed!An excellent Heavily insulated tanks Very low heat loss No chimney needed!Ground level benefit for homeowners with electric Heat trap on outlet Stops heat drift venting stays relatively cool! um heat, heat pumps s or for new home Glass lined with anode rod protection High corrosion resistance construction. Power venting is the safest Bronze circulating pump Trouble free,long life method of side wall venting and is a low Layered heat stratification Hottest water to outlet,cooler water at bottom cost alternative to chimney construction. for most efficient energy recovery Adjustable aquastat For temperature control Stainless steel tank options Extended warranties SPECIFICATIONS: EK1 Domestic Input Gross output AFUE Hot Water* Hot Water Exchanger .68 GPH 83,000 BTU/HR 87.9% 170 Gal/Hr. External unit Not in boiler,not in tank...easy access .74 GPH 90,000 BTU/HR 87.7% 180 Gal/Hr. Stainless steel construction Durable,corrosion resistant .85 GPH 104,000 BTU/HR 87.5% 162 Gal/Hr. Wrinkle flow counterflow heat transfer High turbulence for rapid heat transfer 1.00 GPH 121,000 BTU/HR 86.2% 228 Gal/Hr. 170to395GPH High output Compact Low water content EK1 Energy Converter Total Weight: 270 lbs. Easily backwashed or chemically cleaned Maintains capacity even with marginal EK1 Dimensions: 24.5"x 26.5"x 17.5" water conditions EK1 Total System Weight 450 lbs. Union connections Easily serviced EK1 Storage Tank:Weight 115 lbs. Dimensions: 20"x 50" EK1 Domestic water GPH: 170 to 228 Zone Controls EK1 Hot Water Cost: $19 to$25/month typical Motorized valves Quiet,proven and reliable (less than 1/3 the cost of electric hot water) Zone circulators Optional Standard or dock thermostats Uses conventional controls SPECIFICATIONS: EK2 Domestic Digital Energy Manager with Energy Recovery Input Gross output AFUE Hot Water' Solid state printed circuit with surge protection Rugged and reliable 1.20 GPH 147,000 BTU/HR 87.6% 293 Gal/Hr. LED indicators For all functions;super service aid 5 zones standard Four heating zones,one hot water zone 1.40 GPH 170,500 BTU/HR 87.0% 334 Gal/Hr. Expand Up to 15 zones available 1.60 GPH 190,500 BTU/HR 85.5% 368 Gal/Hr. A complete Energy Manager Programmed response to heat and hot 1.75 GPH 2O6,000 BTU/HR 84.0% 395 Gal/Hr. water demand Quick connector terminals Easy installation or service EK2 Energy Converter Total Weight: 350 lbs. Printed circuit service board An easy way to check out system function EK2 Dimensions: 24.5"x 27.5"x 24.75" Limited lifetime warranty Minimal rebuild charge after 5 years EK2 Total System Weight 550 lbs. EK2 Storage Tank:Weight 115 lbs. Dimensions: 20" x 50" Options EK2 Domestic water GPH: 293 to 395 EK2 Hot Water Cost: $19 to$25/month typical Outside combustion air Isolated from home;whisper quiet operation (less than 1/3 the cost of electric hot water) Pre-packaged units Installation time reduced Outside Freedom Model Location optional Mineral resistant hot water tanks Performs in severe water conditions •Domestic hot water rating baud on first hour draw with 7TF rise and 40 gallon lank. As an ENTAGY srAR PanneT,Energy Kinetics has determined that this product meets E?VtGY STAR guidelines for energy efficiency, a The color yellow for heating boilers is a registered trademark of Energy Kinetics. YOUR SYSTEM 2000 DEALER: 51 Molasses Hill ENERGY Lebanon NJ 08833ad KINETICS® Fax s 800 735 22068 visit www.system2000.com �•,^.aR,`..—:. 9 i' ,� L •^� ! '6 �( tx�_� /'. A '1�+'.� `l{tr"�G�4'��` /X):, '[ »"`'�44'�. "�l. ,T atk� �1"�.:. 'f�`,tl� J/,n\;. ` �A y�4 �y.. •��, r� � !� �_t . Pill ��,�tjp�'�SA�`�di •• vt `�I I� I � } t "�1G 'OM � e`.+''f h1 11, .r a.. - ti 111��.` rr % s4a`�„11 111. ,•as¢i ea3�+.1 I�I f£e', .�a:,111 111: .r. >.a. 111 Ill<"%re s,.;,lj Iljl trrrsp. �►- �i�c��• .y�, •" C I xn� � Z O C I fig. E . tz _.fawu GJ Cd ca r. C4. 0 00 ZIP tt •� to 4r 1 y E c r 0 00 <ccq) •r w; o pcz Q co)s� U U c s; • 0 M LLI 4.0 O ^=. ::y C "" W a— CO Coll I i a ._• o w O Ucz =cam : U w ~ try 00LLJ ILLI w ct W Y aCi O .. O �. F ONO w _,:ter ca c0 ca NVk. I �� ti � In U CV) (hQO GUM Con `� :L+'- L i O � � sue:•'' �� ' ci FA U3 ow, ' r, ,• t=.>el 111 \.. ._� f!'INNI tk= �`111 h;. •,CSCt<o»� qe, - z,sf+.'11 11"t es• e' 1 1-•-t tS 1 s tt 1 S a�. .�: -t9 - 11+111�y1 �� •1 �' 11111111 1; Iplllll - 11/11411 +/+ (/' j{I +/c j+ � ►11 � g g�rw!� '\•'. AI�T V r0• �A�V S,�t:�� 7A11 •�S4A litf,/ ��♦ �lllfAEe •♦ t��A�II ♦• illA��{ ��� 'J�A�Hif "p. �kS it .� ' I .I►. ,i V I t �, Qb. q;(il r�Y i Y `A "►I n v Fy"Y`h�Al�? 1 � k - r♦ '.'�?'• �,+ ,41i Vj�.�..•'�� "' .:�� t..t,. ry?a .;?J .. I,.•.`v,` 1 y�c ,:.0 t .h ..1 Vj.� (ss:,�i •� � � �. t��Juy.Mfl�;�yt' L�:uOtia'kt cpr/ �'4<. op. "'tk��. AC©1�CSILJ It DATE IMM/DD/YYYY) ` I. CERTIFICATE OF LIABILITY INSURANCE 04/19/2023 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: It 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 NAME CT CLIENT CONTACT CENTER _ FEDERATED MUTUAL INSURANCE COMPANY PHONE I FAX HOME OFFICE: P.O. BOX 328 (A/C.No,Ext):888-333-4949 IA/C,No):5074464664 OWATONNA, MN 55060 ADDRESS:CLIENTCONTACTCENTERct;FEDINS.COM INSURERS AFFORDING COVERAGE NAIC# INSURERA:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 330-130-6 INSURER B: WESTMORE FUEL COMPANY INCORPORATED INSURER C: 86 N WATER ST GREENWICH,CT 06830-5886 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:35 REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED PREMISES $100,000 MED EXP(Any one person) $5,000 A N N 9062815 06/01/2023 06/01/2024 PERSONAL&ADV INJURY $1,000,000 MOL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2 000 000 POLICY �ECTLOC PRODUCTS&COMPIOP ACC $2,000,000 THER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT den $1,000,000 Ea acci X ANY AUTO BODILY INJURY(Per Person) A OWNED AUTOS ONLY SCHEDULED N N 9062815 06/01/2023 06/01/2024 BODILY INJURY(Per Accident) HIRED AUTOS OWNLY NON rNED PROPERTY DAMAGE AUTOS ONLY (per Accident, X UMBRELLA LAB X OCCUR EACH OCCURRENCE $7,000,000 A I EXCESS LIAB CLAIMS-MADE N N 9062816 06/01/2023 06/01/2024 AGGREGATE $7,000,000 DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS'LIABILITY / X PER STATUTE OTHER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $500,000 A OFFICERIMEMBER EXCLUDED? N/A N 9917566 06/01/2023 06/01/2024 (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 330-130-6 35 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED VILLAGE OF RYE BROOK 938 KING ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK, NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legal Name 8 Address of Insured(use street address only) 1 b.Business Telephone Number of Insured 203-531-6800 Westmore Fuel Company Incorporated 330-130-6 86 N Water St Greenwich,CT 06830-5886 1c. NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 06-0739367 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Mutual Insurance Company Village Of Rye Brook #35 938 King St 31b. Policy Number of Entity Listed in Box"1 a"Rye Brook NY 10573-1226 9917566 3c.Policy effective period 06/01/2023 to 06/01/2024 3d.The Proprietor, Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) �X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box 'T'insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Elizabeth Petersen (Print name of authorized representative or licensed agent of insurance carrier) Q Approved by: YA '� — 04/19/2023 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: (888)333-4949 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov