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HomeMy WebLinkAboutMP23-148 �yE DR U ti C�4G�tvi o`w VILLAGE OF RYE BROOK MAYOR 938 Ring Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J.Bradbury www.ryebtook.otg TRUSTEES BUILDING & FIRE INSPECTOR Susan R Epstein Steven E.Fews Stephanie J.Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE November 17,2023 Jonathan Mottel&Laura Mottel 25 Mohegan Lane Rye Brook,New York 10573 Re: 25 Mohegan Lane, Rye Brook,New York 10573 Parcel ID#: 135.42-1-24 This document certifies that the work done under Mechanical Permit#23-148 issued on 10/17/2023 for the installation of a new condenser and air handler has been satisfactorily completed. Sincerely, 0"� 11 Steven E. Fews Building&Fire Inspector /to QyE BRCb�. lm 0 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 :— DATE. PERMIT# ISSUED: ' SECT: BLOCK: LOT: LOCATION: '\. OCCUPANCY: ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION \ f\ \ ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ■ ■ 00 ,o 0-4 � N W � .5 � ■ � Gill Q w -ems z A o N W u Lri M a m -014 C ■ Z 1�"( o A ° o y" 3 W W a FLin _ kn eq en 00 ag z � W � p °�'' '°aa ■ I� O r }Wi W ti o c e W a g o a A0. co .� o �: ■ o U oo �, CJ} ... © u� p • o 50 c W wu W G a ■ O -D N1.4 I 1.y h Q o 0 �II p O w U W O � � � ■ 0 � � �� -� BUILDQRVE r ENnVII OK U EC 938 YLMG NY 1 ::1 VILLABl)IL APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: OCT 17 ?r Approval Date: Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) RE UIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. 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 F)ees/Unit: RESIDENTIAL=$100.00/unit• COMMERCIAL=$350.00/unit. 5. Cor11`plete specifications for eadcllAttnit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice req 7. Elet:trical.work requires a separate Electrical Permit&Electrical Inspection. �►� 8. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. }###*}*##*#*##*** **#***#*****##********#**####**#*##**#}}*###*#}*}##}}#***##*******##*##*#*###}* Application dated, hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or remo al of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes.rules and regulations.. r I. Address: 2 S M o h e.,9 Q n L q n e, SBL: �' "��� Zone: —� 2. Property Owner: T o r14+�q n R t1* o f Address: Z$ M o A eg q n L q l e Phone#: yq- 325-?65 Cellk {N-325- 7150 email: JDrnO , MJ► 1 . 60M 3. Contractor. Ar'cf,e- iMechgni&gl /AonnY BfgVo Address:4�O Mor4h Mq;n�torl cAe5fer Phone#: 914- 930-9319 _Cell#: 91y ` g30-1319 email: br1Vo7r(9gre,4;c-Pie.6Agllt'cgl. 4. Scope of Work:New Installation( )•Replacement 04•Removal( )•Other( ): Gon 5. List Equipment: Aaflgce oldUn7f3 W;fk new L2nnOX M# ft17XP..-dy2- 00441 heg+ PUMP qnd 1_ennOX M# CbA ZSLiN- 042,230 qir hgndlef. 6. Location of Equipment: Heat P U m P S b Q h 1 n d +� & G h l M n e y 14 d tke, ai i t It q n dl e l i S j fl 7 Method of Installation/Removal(list all equipment needed to perform job): i 3/3/2023 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ThoAAY 8 rat V a ,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 v Sworn to before me this � day of j C'o6)tg rl-L 20, E day of C rh 20 S' of property Owner Signature o{`Applicant ��, onY,y F3ri y'o Print Name of Prope er Print a of Applicant Otary Public Public Tina Whalen Notary Public,State of New Yodc SCOTT W.CRAIG No.01 WH6394580 N0I0ry Pubic of New York Ouefified in Westchester County REG NO. 01CR6390567 COmm"ion Expires July 8;ZZL COMMISSION EXPIRES 04/15120,17 awl 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 10 0 20 40 FOR TITLE PURPOSES ONLY AL. SURVEYED FOR STEWART TILE INSURANCE COMPANY „ = 20 MD CNLY FOR THE PERSONS FOr WPCM it was PREPARED.IT IS W-T VALIG ORIGINAL SCALE: 1 FOR ANY OFFER PUPPG;C:^.R FOR W(ONE E!SE 135.42-1-24-RYE-ADRWI.DWC MAP OF PROPERTY SITUATED AT VILLAGE OF RYE BROOK—WESTCHESTER COUNTY,N.Y. TOWN OF RYE TAX SECTION:135.42 TAX BLOCK:1 TAX LOT:24 77D 1F 7 W YAM S 82*14'40" E 81.11 WOOD PG S 78'45'40" E _R. _ WOOD FENCE ''NORTH 21.94N 4. MORIII f. /,--�/ WOOD R. GLP 2.1'NORTH I N d9T / p u rv) C LP 1.1.PAST YARD YMD z r handle( o 04 N n CONCRETE PATIO -- 22.9 (L 09 WF LtJ I STORY AND BA5EMENr BRICK AND FRAME H vi YARD DWEWNG No,25 3 II ct STOOP M z 23.4 a � ' YARD n YAM v YNtD 308.67' G 80-17-00- W 103.00' _-_ ASPHALT STREET WRB -—- _-- -. MOHEGAN LANE NOTES, DATE DESCRIPTION 1.GUARANTEES OR CERTFICKTIONS INDICATED HEREON SN/LL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED DEC,pK48ER 3rd,2021 TITLE SURVEY-AND ON H6 BEHALF 10 THE TIRE COMPANY.G NER DENTAL AGENCY AND LEHORNO I16D0RION LISTED HEREON.AND TO THE ASSIGNIES OF THE LENDING 167OUTIGK GUARANTEES OR CERTYWATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSHIURONS _ — 1 OR SUBSEQUENT OW►EIM 2.PI"IM CORNER MMAENM WM Nor PLACED AS PART OF THIS SURVEY. 3.UNUURORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A MATION OF SECTION 7209 OF THE NEW YORH STATE EDUCATION LAW. U 4.ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY NARKED WITH AN ORrAAAL OF THE LAND SURVEYOR'S WEED SELL OR Q His EMBOSSED SEAL SHALL BE CONSIDERED TO aE WNW TRUE COPES. S 5.EASEMENTS OF RECORD ARE ONLY GUAMNTEED E AN ABSTRACT OF TITLE IS FURNISHED TO THE SURVEYOR. LALSA LAND SURVEYING PLLC GUARANTEED T0: Cr YORK LICENSE No. 050936 LAUR B AN aJ AX TITLE ADRIAN S. LALSA COMPANY * .a =�.. Va1RA�RKE MOTTEI AND JATFIAN DRE1T MOITEL NEW 172-24 93rd AVENUE �0 JAMAICA, N.Y. 11433 �` TELEPHONE (917)882-7394 F /`/ �C3 p FAX (718)206-2814 q`r/jr O. TITLE No. 7i t87448 EMAIL GOPAULLALSAOGMAIL.COM 2011 (ool (alc Project Name: 25 Mohegan Lane Address: 25 Mohegan Lane,Rye Brook,NY OUTDOOR DESIGN CONDITIONS Weather station:White Plains,Westchester Co.AP Summer Outdoor F: Summer Indoor F: ® Design Grains: ® Daily Range: Winter Outdoor F: Winter Indoor F: �l Cooling RH: Elevation(Ft): LOAD CALCULATION TOTALS HVAC System:25 Mohegan Lane Heated square footage: 0 Heating BTUH: 0 Cooled square footage: ® Cooling BTUH: Heated volume(above grade CF): 0 CFM: Cooled volume(above grade CF): Sensible cooling: Exposed wall area(SF): Latent cooling: SHR: Load Calculation Cooling Heating 10.000 20,000 30.000 40,000 BTUH Approved ACCA MJ8 Calculations Calculations are based on the ACCA Manual J 8th Edition and are approved by ACCA. All computed calculations are estimates on building use, weather data, and inputted values such a R-Values, window types, duct loss, etc. Equipment selections should meet both the latent and sensible gain as well as building heat loss. I" HEATING AND COOLING LOADS HEATING LOADS Heating Loads AREA HEAT-OSS aboveGradeWalls 1,979.7 0 ceilings 2,220.3 0 ducts 0 0 No data floors 2,220.3 0 infiltration 0 0 skylights 0 0 windows 456 0 Totals 0 COOLING LOADS Cooling Loads aboveGradeWalls AREA SENSIBLE LATENI AEDExcursion 0 0 0 appliances windows aboveGradeWalls 1.979.7 3,668 0 ceilings appliances 0 3,400 0 ceilings 2,220.3 3,797 0 ducts occupants ducts 0 4,238 296 floors 2,220.3 3.364 0 infiltration -- floors infiltration 0 1.433 2,437 occupants 0 920 800 plants 0 0 300 skylights 0 0 0 windows 456 13,610 0 Totals 34,430 3,833 FENESTRATION LOADS AED Graph(mid-summer) 20,000 2 10,000 oa 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average Average'1.3 This graph represents hourly aggregrate fenestration loads in mid-summer. AED graph(fall) 20.000 10,000 00 0 8 9 10 11 12 13 14 15 16 17 18 19 —BTUH —Average Average 1.3 This graph represents hourly aggregrate fenestration loads in October. COMPONENT LOADS ABOVE Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr: 12BOs w Exposure N Heating BTUH: 0 insulation,Stucco or Siding. U Value. 0.097 Area 291.6 Cooing BTUH: 540 Map trace wall Frame Wall,Wood framing,R-11 cavity Construction nr: 1213-0s w Exposure: E Heating BTUH: 0 insulation,Stucco or Siding. U Value 0.097 Area 218 Cooing BTUH: 404 Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr. 12BOs w Exposure S Healing BTUH 0 insulation, Stucco or Siding. U Value: 0.097 Area: 279.4 Cooing BTUH: 518 Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr: 1213-0s w Exposure: W Healing BTUH: 0 insulation, Stucco or Siding. U Value: 0.097 Area: 207.8 Cooing BTUH: 385 Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr: 12BOs w Exposure: N Heating BTUH: 0 insulation,Stucco or Siding. U Value 0.097 Area 195.4 Cooing BTUH: 362 Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr: 12BOs w Exposure E Heating BTUH 0 insulation,Stucco or Siding. U Value: 0.097 Area. 298.1 Cooing BTUH: 552 Map trace well! Frame Wall,Wood framing, R-11 cavity Construction nr: 12BOs w Exposure. S Heating BTUH. 0 insulation,Stucco or Siding. U Value: 0.097 Area 197.9 Cooing BTUH: 367 Map trace wall Frame Wall,Wood framing, R-11 Cavity Construction nr: 126-0s w Exposure: W Heating BTUH: 0 insulation,Stucco or Siding. U Value 0.097 Area 291.5 Cooing BTUH: 540 BELOW There are no components for this section. r,. Default small windows for wall id 5787509 Constriction nr 1 G U Value: 0.87 Heating BTUH: 0 Window NFRC rated.Clear glass. E �: N SHGC: 0.67 Cooing BTUH: 97 Default medium windows for wall id 5787509 Construction nr: 1G U Value: 0.87 Heating BTUH. 0 Window, NFRC rated,Clear glass. �po:sure: N4 SHGC: 0.67 Cooing BTUH: 389 Default large windows for wall Id 5787509 Construction nr: 1 G U Value: 0.87 Heating BTUH: 0 Window, NFRC rated,Clear glass. Area: : N SHGC. 0.67 Cooing BTUH: 584 Default small windows for wall!Id 5787510 Construction nr: 1 G U Value: 0.87 Heating BTUH. 0 Window, NFRC rated,Clear glass. Area E2 SHGC: 0.67 cooing BTUH: 398 Default large windows for wall id 5787510 Construction nr: 1 G U Value: O.87 Heating BTUH: 0 Window.NFRC rated.Clear glass. Area: : E SHGC: 0.67 Cooing BTUH: 1,193 Defauk small windows for wall Id 5787511 construction nr: 1 G U Value: 0.87 Heating BTUH: 0 Window, NFRC rated.Clear glass. Area: 6 SHGC: 0.67 Cooing BTUH: 195 Default medium windows for wall id 5787511 Construction nr: 1 G U Value: 0.87 Heating BTUH: 0 Window, NFRC rated,Clear glass. Area:sure:sure: 2 SHGC: 0.67 Cooing BTUH: 781 ExpoDefault large windows for wall kl 5787511 Construction nr: 1 G U Value: 0.87 Heating BTUH: 0 Window,NFRC rated,Clear glass. Exposure: S6 SHGC: 0.67 Cooling BTUH: 1,172 Default small windows for wall Id 5787508 Construction nr. 1 G 12 U Value: 0.87 Heating BTUH: 0 Window,NFRC rated,Clear glass. Area: w SHGC: 0.67 Cooling BTUH: 453 Default large windows for wall Id 5787508 Construction nr 1 G U Value: 0.87 Heating BTUH: 0 Window, NFRC rated,Clear glass. Area: 36 w SHGC 0.67 Cooing BTUH: 1.358 Default small windows for wall Id 5787M Construction nr: 1 G U Value: 0.67 Heating BTUH 0 Window,NFRC rated,Clear glass. Area: sure: 1 SHGC: 0.67 Cooing BTUH: 195 Default medium windows for wall Id 5787529 Construction nr 1 G U Value: 0.87 Heating BTUH: 0 Window, NFRC rated,Clear glass. E posure: N SHGC: 0.67 Cooing BTUH: 584 Default small windows for wall id 5787530 Construction nr: 1G U Value: 0.87 Heating BTUH. 0 Window,NFRC rated,Clear glass. Area: E SHGC: 0.67 Cooing BTUH: 199 Default medium windows for wall id 5787530 Construction nr: 1 G U Value: 0.87 Heating BTUH 0 Window. NFRC rated,Clear glass. ExE 24 posure: E SHGC: 0.67 Cooing BTUH: 796 Default large windows for wall id 5787530 Construction nr: I U Value: 0.87 Heating BTUH: 0 Window, NFRC rated,Clear glass. EErxposure: E6 SHGC: 0.67 Cooing BTUH: 1,193 Default small windows for wall Id 5787631 Construction nr: 1 G U Value: 0.87 Heating BTUH 0 S Exposure: Window, NFRC rated,Clear glass. Area: SHGC: 0.67 Cooing BTUH: 379 Default medium windows for wall Id 5787531 Construction nr: 1 G U Value: 0.87 Heating BTUH: 0 Window, NFRC rated,Clear glass. Exposure:Area: 36 SHGC: 0.67 Cooing BTUH: 1,154 Default small windows for well Id 5787532 Construction nr: 1 G U Value: 0.87 Heating BTUH: 0 Window, NFRC rated,Clear glass. EExposure: w SHGC: 0.67 Cooing BTUH: 226 Default medium windows for wall Id 5787532 Construction nr 1 G U Value: 0.87 Heating BTUH: 0 Window,NFRC rated,Clear glass. Area: : 2 SHGC: 0.67 Cooing BTUH: 905 Default large windows for wall Id 5787532 Construction nr. 1 G 36 U Value: 0.87 Heating BTUH 0 Window,NFRC rated,Clear glass. Epsure: w SHGC: 0.67 Cooing BTUH: 1,358 Window cooling BTUHs shown here are daily average values.See AED graphs for details of fenestration loads during the day. Map trace generated ceiling Ceiling under attic or attic knee wall,Asphalt Construction nr: 16B-25 ad A 1 Heating BTUH: 0 shingles, Dark,R-25. U Value 0.038 Area. ,130.9 Cooing BTUH: 1,934 Map trace generated ceiling Ceiling under attic or attic knee wall,Asphalt Construction nr 16B-25 ad 1 Heating BTUH 0 Area. ,089.4 shingles, Dark,R-25. There are no components for this sectior Skylight cooling BTUHs shown here are daily average values.See AED graphs for details of fenestration loads during the day. raes- There are no components for this sectior. Map trace generated floor Floor over enclosed unconditioned crawl space Heating BTUH: 0 Construction nr: 19A-Ocp Heating U Value:0.295 Cooling BTUH: 1.269 or basement,no floor insulation, Carpet or Area. 1,131.6 Coding U Value:0.295 F Value: WA hardwood. Map trace generated floor Floor over open crawl space or garage, no Construction nr: 20P-Oc Heating U Value:0.385 Heating BTUH' 0 Area 1,088.7 Coding U Value 0.385 Cooling BTUH: 2,096 floor insulation,Carpet or hardwood. F value: WA VENTILATION There are no components for this section. HOT WATER PIPING There are no components for this section. System generated ducts(above conditioned space) EHLF 0.113 Heating BTUH 0 Attic-Radial ESGF, 0.14 Sensible BTUH: 4.238 FLG 296 Latent BTUH 296 INFILTRATION NCFM Heating. 237 Heating BTUH: 0 Leakage Category Semi-Loose Sensible BTUH 1,433 NCFM Cooling 0 Latent BTUH 2,437 BLOWER • •' There are no components for this section. HUMIDIFICATIONWINTER There are no components for this section. OCCUPANTS Nr.Occupants: 4 Sensible BTUH: 920 Latent BTUH 800 APPLIANCES Kitchen,utility room additional fridge,lighting:3,400 BTUH Quantity Sensible BTUH: 3,400 Latent BTUH Plant Size: small Quantity: 5 Latent BTUH 50 Plant Size: medium Quantity: 5 Latent BTUH 100 Plant Size: large Quantity 5 Latent BTUH 150 s � •�;s is elan arm _ ><11.w-. •g''.i:*,. f�}f �+yi sy^ -ac.mnc --r msacc.s.r � �.^t���. 'c' �£: '^.'+>gr' •-1 - ,4 '�-�•''• r P,E'.c "wc c. - .'Iff j.•P'. I. ., ...a' .y .:r,:�. e.u'�F }� .�y ? �.. , h4f1• M''_• - ��: ROOM DETAIL Room name:First floor Heated square footage: 0 Total Cooling BTUH: Cooled square footage: ® Total Heating BTUH: Q Heated volume(above grade CF): 0 CFM: Cooled volume(above grade CF): Exposed wall area(SF): Load Calculation Cooling Heating 0 5.000 10,000 15,000 20,000 BTUH AED Graph(mid-summer) 10,000 2 ti 5,000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average Average 1.3 AED graph(fall) 10,000 2 5,000 qr m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average Average'1.3 ROOM DETAIL Room name:Second Floor Heated square footage: 0 Total Cooling BTUH: Cooled square footage: Total Heating BTUH: 0 Heated volume(above grade CF): 0 CFM: Cooled volume(above grade CF): 103111111 Exposed wall area(SF): Load Calculation Coding Heating 0 5,000 10,000 15,000 20,000 BTUH AED Graph(mid-summer) 10.000 2 ti 5,000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average - Average 1.3 AED graph(fall) 10,000 2 5.000 m 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average Average'1.3 HEAT PUMP OUTDOOR UNITS ML17XP1 L ENV)NI X Merit Series R-410A- 60 Hz RESIDENTIAL Bulletin No.211007 January 2023 PRODUCT SPECIFICATIONS Supersedes September2022 :z:, � � -_ � - = � M Em R I T" SERIES z zS, !_ENNOX QUANTUM 1-<z � � -- -- COIL BOOM SEER2 up to 17.0 / SEER up to 18.6 HSPF2 up to 8.5 / HSPF up to 10.6 1.5 to 5 Tons Cooling Capacity - 18,000 to 58,000 Btuh Heating Capacity - 16,200 to 54,500 Btuh MODEL NUMBER IDENTIFICATION ML17XP1 - 036 - 230A01 Product Tier -------------• ' ' Revision Level ML= Merit°Series •------ Ratings Revision Level Nominal Efficiency ---------- ' ------ Voltage RefrigerarRType -------- 230=208/23OV-1 hase-601-lz X=R-4 •----- Nominal Cooling Capacity 018=1.5 tons Unit Type ---- 024=2 tons P= Heat Pum Outdoor Unit 030=2.5 tons 036=3 tons 042=3.5 tons Cooling Stages ---• 048=4 tons 1 =Sin le Sta ee Co or 1060=5 tons SPECIFICATIONS General Model No. ML17XP1-042 ML17XP1-048 ML17XP1-060 Data Nominal Tonnage 3.5 4 5 Connections Liquid line OD-in. 3/8 3/8 3/8 (sweat) Vapor(Suction)line OD-in. 7/8 7/8 1-1/8 ' Refrigerant R-410A charge furnished 10 lbs.2 oz. 9 lbs.2 oz. 10 lbs.4 oz. Outdoor Net face area-sq.ft. Outer coil 24.93 24.93 29.09 Coil Inner coil 24.13 24.13 28.16 Tube diameter-in. 5/16 5/16 5/16 No.of rows 2 2 2 Fins per inch 22 22 22 Outdoor Diameter-it). 26 26 26 Fan No.of blades 3 3 3 Motor hp 1/3 1/3 1/3 Cfm 4110 4110 4060 Rpm 825 825 825 Watts 213 213 224 Shipping Data -lbs. 1 pkg. 250 250 260 ELECTRICAL DATA Line voltage data-60 Hz-1 ph 208/230V-1ph 208/230V-1ph 208/23OV-1ph 2Maximum overcurrent protection (MOCP)amps 40 50 50 'Minimum circuit ampacity(MCA) 25.9 33.9 32.5 Compressor Rated load amps 18.6 25 23.9 Locked rotor amps 110 120 124.5 Outdoor Fan Motor Full load amps 2.4-2.6 2.4-2.6 2.4-2.6 CONTROLS - ORDER SEPARATELY M30 Smart Wi-Fi Thermostat 15Z69 Remote Outdoor Temperature Sensor X2658 1 OPTIONAL ACCESSORIES - ORDER SEPARATELY Compressor Hard Start Kit Copeland 88M91 LG 10J42 Compressor Sound Cover 18,142 Compressor Low Ambient Cut-Off 45F08 Freezestat 3/8 in.tubing 93G35 5/8 in.tubing 5OA93 Indoor Blower Off Delay Relay 58M81 "Low Ambient Kit 54M89 Mild Weather Kit 1111397 Monitor Kit-Service Light 76F53 Outdoor Thermostat 1OZ23 Thermostat Kit Mounting Box 31461 Refrigerant 3/8 x 7/8 x 3/8-30 ft. 89,160 Line Sets 3/8 x 7/8 x 3/8-40 ft. 89J61 (Liq.x Suc.OD 3/8 x 7/8 x 3/8-50 ft. 89J62 x Insulation 3/8 x 1-1/8 x 3/8-30 ft. X0570 Thickness-Length) 3/8 x 1-1/8 x 3/8-50 ft. 73P91 Unit Stand-Off Kit 94.1451 NOTE-Extremes of operating range are plus 10%and minus 5%of line voltage. Refrigerant charge sufficient for 15 ft.length of refrigerant lines.For longer line set requirements see the Installation Instructions for information about line set length and additional refrigerant charge required. z HACR type breaker or fuse. Refer to National or Canadian Electrical Code manual to determine wire,fuse and disconnect size requirements. Crankcase Heater and Freezestal are recommended with Low Ambient Kit. ML17XP1 -1.5 to 5 Ton Heat Pump /Page 8 SOUND DATA Octave Band Sound Power Levels dBA, re 10-"Wafts Sound z Estimated Sound Pressure Level at Model Center Frequency-HZ Rating Distance From Unit(dBA at distance in ft.) Number 125 250 500 1000 2000 4000 8000 (dBA) 3 5 10 15 50 018 56.5 62 68.0 71.5 66.0 57.0 50 74 67 62 56 53 42 024 56.0 62 66.5 71.0 66 60 55.0 74 67 62 56 53 42 030 56.0 64 69.5 70.0 65 59 52.5 74 67 62 56 53 42 036 59 68 71.5 68.5 66 61 54 75 68 63 57 54 43 042 62 71.0 74.5 72.5 70 63 55.5 78 71 66 60 57 46 048 61 70.5 75.5 73.0 70 64 56.0 79 72 67 61 58 47 060 61.5 70.0 73.0 71 71 68 63 79 73 68 62 59 48 NOTE-the octave sound power data does not include tonal correction. Tested according to AHRI Standard 270-2008 test conditions. Estimated sound pressure level at distance based on AHRI Standard 275-2010 method for equipment located on the ground,roof,or on side of building wall with no adjacent reflective surface within 9.8 feet.Sound pressure levels will increase based on changes to assumptions.For other applications,refer to AHRI Standard 275. FIELD WIRING IDISCONNECTI I SWITCH I B A-Two Wire Power(see Electrical Data) LBy others) ) ----I B-Two or Three Wire Power(size to heater capacity) A I ELECTRIC I -- C-Twelve Wire Low Voltage 18 ga. minimum I HEAT I IDISCONNECTI Fourteen Wire Low Voltage with Optional Outdoor OPTIONAL I----- SWITCH OUTDOOR I I (By Others) Thermostat D-Eight Wire Low Voltage 18 ga.minimum I—THERMOSTAT---) LENNOX —_--- Ten Wire Low Voltage with Optional Outdoor Thermostat INDOOR UNIT ---I THERMOSTATI (Op ) I NOTE-Field Wiring Not Furnished LENNOX --tional-- OUTDOOR All wiring must conform to NEC or CEC and local electrical codes. UNIT I_ D ' C INSTALLATION CLEARANCES NOTES: See NOTES Service clearance of 30 in. (762 mm)must be maintained on one of the sides adjacent to the control box. Clearance to one of the other three sides must be 36 in. (914 mm) Clearance to one of the remainingtwo sides may be 12 in. See O See y NOTES NOTES (305 mm)and the final side may be 6 in. (152 mm). A clearance of 24 in. must be maintained between two units. 48 in. (1219 mm)clearance required on top of unit. CONTROL See NOTES BOX ML17XP1 -1.5 to 5 Ton Heat Pump /Page 9 DIMENSIONS - UNIT 4-3/8 4-3/8 INLET AIR (111) (111) 4-3/8 4-3/8 OPTIONAL UNIT INLET INLET STAND-OFF KIT(4) I C�MPRESS�R \ � (Field Installed) AIR / AIR COIL DRAIN OUTLETS q—:11� \\ / (Around perimeter of base) — SUCTION LINE �162) ` 43/8 CONNECTION o (111) INLET 4 AIR \LIQUID LINE CONNECTION 6-3/8 4-3/8 (162) (111) TOP VIEW TOP VIEW BASE SECTION A OUTDOOR Ft DISC A RGE AIR COIL FAN r COMPRESSOR i C B I I SUCTION AND LIQUID LINE CONNECTION\ ELECTRICAL -- INLETS 2-3/4(70) ---- OPTIONAL 2 SIDE VIEW STANDOFF KITI(4) SIDE VIEW (FIELD INSTALLED) A B C Model in. mm in. mm in. mm 018 28-1/4 718 43-1/4 1099 42-1/2 1080 024 28-1/4 718 43-1/4 1099 42-1/2 1080 030 28-1/4 718 33-1/4 845 32-1/2 826 036 32-1/4 817 33-1/4 845 32-1/2 826 042 32-1/4 817 37-1/4 946 36-1/2 927 048 32-1/4 817 37-1/4 946 36-1/2 927 060 32-1/4 817 43-1/4 1099 42-1/2 1080 ML17XP1 -1.5 to 5 Ton Heat Pump /Page 10 AIR HANDLERS CBA25UH L El V1 V1:7X MERIT' Series R-410A - Upflow I Horizontal - 60 Hz RESIDENTIAL Bulletin No.210814 June 2020 PRODUCT SPECIFICATIONS Supersedes August2019 MERIT" SERIES QUANTUM COIL Nominal Capacity - 1.5 to 5 Tons Optional Electric Heat - 4 to 20 kW MODEL NUMBER IDENTIFICATION CB A 25 UH - 030 - 230 - 10 --------- Unit Type -------------------• � � � � � •- Minor Revision Number 1CB=Air Handler Refrigerant Type ---------- A=Aluminum Coil/R-410A f Voltage 230-208/230V-1phase-60hz Series ------------ ' Configuration ----------- ------- Nominal Cooling Capacity UH=U flow/Horizontal 018=1.5 tons te>� 024=2 tons 030=2.5 tons 036=3 tons 042=3.5 tons 048=4 tons 060=5 tons SPECIFICATIONS General Model Number CBA25UH-018 CBA25UH-024 CBA25UH-030 CBA25UH-036 Data Nominal tonnage 1.5 2 2.5 3 Connections SuctionNapor line(o.d.)-in. sweat 3/4 3/4 3/4 7/8 Liquid line(o.d.)-in. sweat 3/8 3/8 3/8 3/8 _ Condensate-in.fpt (2)3/4 (2)3/4 (2)3/4 (2)3/4 Indoor Net face area-ft.' 3.30 3.77 4.72 5.66 Coil Tube outside diameter-in. 3/8 3/8 3/8 3/8 Number of rows 3 3 3 3 Fins per inch 15 15 15 15 Blower Wheel nominal diameter x width-in. 9 x 6 9 x 6 10 x 8 10 x 8 Blower motor output-hp 1/5 1/3 1/2 1/3 Filters Size of filter-in. 15 x 20 x 1 15 x 20 x 1 15 x 20 x 1 18 x 20 x 1 Shipping Data -1 package -lbs. 129 136 143 169 ELECTRICAL DATA Voltage- 1 phase(60 hz) 208/230V 2081230V 208/230V 2081230V Maximum overcurrent protection(unit only) 15 15 15 15 3 Minimum circuit ampacity(unit only) 5.0 5.0 5.0 5.0 Blower Motor Full Load Amps 1.1 1.6 2.2 2.0 SPECIFICATIONS General Model Number CBA25UH-042 CBA25UH-048 CBA25UH-060 Data Nominal tonnage 3.5 4 5 Connections SuctionNapor line(o.d.)-in.sweat 7/8 7/8 718 Liquid line(o.d.)-in.sweat 3/8 3/8 3/8 Condensate-in.fpt (2)3/4 (2)3/4 (2)3/4 Indoor Net face area-ft.' 5.66 6.13 7.08 Coil Tube outside diameter-in. 3/8 3/8 X8 Number of rows 3 3 3 Fins per inch 15 15 15 Blower Wheel nominal diameter x width-in. 10 x 8 12 x 10 12 x 10 Blower motor output-hp 112 1 1 Filters Size of filter-in.=18 x 20 x 1 18 x 20 x 1 18 x 20 x 1 Shipping Data -1 package -lbs. 169 179 190 ELECTRICAL DATA Voltage- 1 phase(60 hz) 208/230V 208/230V 208/230V Maximum overcurrent protection(unit only) 15 15 15 s Minimum circuit ampacity(unit only) 5.0 9.5 9.5 Blower Motor Full Load Amps 2.5 7.6 7.6 Disposable filter. 'HACR type circuit breaker or fuse. Refer to National or Canadian Electrical Code manual to determine wire,fuse and disconnect size requirements.Use wires suitable for at least 167T. OPTIONAL ACCESSORIES - ORDER SEPARATELY Model -018 -024 -036 -042 -030 -048 -060 M30 Smart Wi-Fi Thermostat 15Z69 15Z69 15Z69 15Z69 Remote Outdoor Temperature Sensor X2658 X2658 X2658 X2658 Downflow Conversion Kit Y9658 Y9658 Y9659 Y9659 Electric Heat-See Electric Heat Data Tables 4 to 20 kW Horizontal Support Frame Kit 56J18 56J18 56,1118 56.118 Side Return Unit Stand(Upflow Only) 45K32 45K32 45K32 45K32 Single-Point Power Source Control Box(for Electric Heat) 21H39 21H39 21H39 211-139 Wall Hanging Bracket Kit(Upflow Only) 45K30 45K30 45K30 45K30 High Performance Economizer(Commercial Only) 1OU53 10U53 1OU53 10U53 CBA25UH-1.5 to 5 ton Air Handlers/Page 6 BLOWER DATA CBA25UH-042 PERFORMANCE External Static Air Volume I Watts at Various Blower Speeds Pressure High Medium Low in.w.g. cfm Watts cfm Watts cfm Watts 0.10 1815 674 1525 498 1300 394 0.20 1755 652 1495 486 1275 387 0.30 1695 634 1450 473 1250 376 C.40 1605 607 1390 455 1210 367 0.50 1 1530 582 1345 441 1155 356 NOTE-All air data measured external to unit with dry coil and 1 inch ron-pleated air filter in place. Electric heaters have no appreciable air resistance. CBA25UH-048 PERFORMANCE External Air Volume/Watts at Various Blower Speeds Static High Medium-High Medium Medium-Low Low Pressure in.w.g. cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts 0.10 1895 597 1770 493 1715 454 1500 315 1250 211 0.20 1860 629 1735 510 1670 470 1465 331 1210 222 0.30 1835 632 1700 529 1635 487 1435 348 1185 231 0.40 1795 656 1670 1 544 1615 1 504 1400 364 1130 239 0.50 1760 667 1650 552 1575 514 f 1360 379 1110 251 NOTE-AII air data measured external to unit with dry coil and 1 inch non-pleated air filter in place. Electric heaters have no appreciable air resistance. CBA25UH-060 PERFORMANCE External Air Volume/Watts at Various Blower Speeds Static High Medium-High Medium Medium-Low Low Pressure in.w.g. cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts 0.10 1980 624 1905 538 1815 484 1625 354 1100 132 0.20 1955 644 1870 563 1785 493 1595 365 1050 140 0.30 1925 643 1835 568 1760 507 1565 385 1000 144 0.40 1895 663 1810 585 1730 527 1520 398 925 162 0.50 1860 673 1765 1 595 1685 542 1490 398 830 172 NOTE-All air data measured external to unit with dry coil and 1 inch non-pleated air filter in place. Electric heaters have no appreciable air resistance. INSTALLATION CLEARANCES WITH ELECTRIC HEAT Cabinet 0 inch(0 mm) To Plenum 0 inch(0 mm) To Outlet Duct within 3 feet(914 mm) 0 inch(0 mm) Floor 0 inch(0 mm)See Note#1 Service/Maintenance See Note#2 Units installed on combustible Floors in the downflow position with electric heat do not require a downflow combustible Flowing base. Front service access-24 inches(610 mm)minimum. NOTE-If cabinet depth is more than 24 inches(610 mm),allow a minimum of the cabinet depth plus 2 inches(51 mm). CBA25UH-1.5 to 5 ton Air Handlers/Page 8 ELECTRIC HEAT DATA CBA25UH-042 I SINGLE PHASE z Minimum 3 Maximum Single Point Input Blower Circuit Overcurrent Power Source Electric Heat Motor Ampacity Protection Model Number Full Load 2 Minimum 3 Maximum Volt kW ' Btuh Amps Ckt 1 Ckt 2 Ckt 1 Ckt 2 Circuit Overcurrent Ampacity Protection 4 kW ECBA25-4(19V31) 208 3.0 10,250 2.5 21 --- 425 - - --- --- Terminal Block ECBA25-4CB(19V32) 220 3.4 11,450 2.5 22 --- °25 --- --- --- 30A Circuit Breaker 230 3.7 12,550 2.5 23 --- °25 240 4.0 13,650 2.5 24 --- 425 --- --- --- 5 kW ECBA25-5(16Y36) 208 3.6 12,300 2.5 25 --- ^25 --- --- --- Terminal Block ECBA25-5CB(16Y39) 220 4.0 13,800 2.5 26 --- 30 --- --- --- 30A Circuit Breaker 230 4.4 15,000 2.5 27 --- 30 240 4.8 16,400 2.5 28 - 30 --- 7.5 kW ECBA25-7.5(16Y37) 208 5.6 19,200 2.5 37 --- 440 - - --- --- Terminal Block ECBA25-7.5CB(16Y41) 220 6.3 21,500 2.5 39 - 4 40 --- --- --- 45A Circuit Breaker 230 6.9 23,500 2.5 41 --- 45 240 7.5 25,600 2.5 42 - 45 --- 10 kW ECBA25-10(16Y38) 208 7.2 24,600 2.5 46 --- °50 --- --- --- Terminal Block ECBA25-1 OCB(16Y42) 220 8.0 27,500 2.5 49 --- 450 --- --- --- 60A Circuit Breaker 230 8.8 30,000 2.5 51 --- 60 240 9.6 32,700 2.5 53 --- 60 --- --- 12.5 kW ECBA25-12.5CB(16Y43) 208 9.4 32,000 2.5 41 19 445 420 60 60 (1)50A and (1)25A Circuit Breaker 220 10.5 35,800 2.5 43 20 °45 °20 63 70 230 11.5 39,200 2.5 45 21 4 45 25 66 70 240 12.5 42.600 2.5 47 22 50 25 68 70 15 kW ECBA25-15CB (16Y44)[230 10.8 36,900 2.5 46 22 450 25 68 70 (1)60A and (1)25A Circuit Breaker 12.1 41,300 2.5 49 23 450 25 72 80 13.2 45,100 2.5 51 24 60 25 75 80 240 14.4 49,100 2.5 53 25 60 25 78 80 NOTE-Circuit 1 Minimum Circuit Ampacity includes the Blower Motor Full Load Amps. Electric heater capacity only-does not include additional blower motor heat capacity. Refer to National or Canadian Electrical Code manual to determine wire,fuse and disconnect size requirements.Use wires suitable for at least 167°F. HACR type breaker or fuse. Bold indicates that the circuit breaker on"CB"circuit breaker models must be replaced with size shown.See table on page 13. CBA25UH-1.5 to 5 ton Air Handlers/Page 12 DIMENSIONS - UNIT UPFLOW POSITION DETAIL OF PIPING PLATE _ r-------- --- ' 3/4(19) 4-3/4 ' SUCTION (121) SUPPLY AIR LINE I OPENING LIQUID\ 14-112 ' LINE CONDENSATE' \ 0 (Horizontal) (2) (3681 � (30B (Horizontal) f 1 f25' C 1(25) O I CONDENSATE I 3B DRAINS(2) + + 0 (Upflow and LOW VOLTAGE 111 (70) Downflow) I INLETS 70) 0 I �O O (Top and Right Side) —3 t/2 LINE VOLTAGE ' 1-3/4 ( ) INLETS / I 144) (Top and Left Side) TOP VIEW 3/4 B 22 (19) I (559)� LINE VOLTAGE INLETS �� (Top and Right Side\ 1 CIRCUIT /❑ LOW VOLTAGE BREAKER INLETS COVER (Either Side)\ It / O AIR FLOW A � PIPING PLATE \ CONDENSATE DRAIN SUCTION / PIPING PLATE(3) LINE (2-1/4 x 3-314) 0 0 LIQUID EB FILTER LINE /ACCESS 1(29) �D� (29) (/13) 1 (518) (29) OPENING OPENING FRONT VIEW SIDE VIEW Dimensions 018 024 030 036,042 048 060 in. mm in. mm in. mm in. mm in. mm in. mm A 43-1/2 1105 45-1/2 1156 47 1194 53-5/8 1362 55 1397 59-3/4 1518 B 18-1/2 470 18-1/2 470 18-1/2 470 21-1/2 546 21-1/2 546 21-1/2 546 C 16-1/2 419 16-1/2 419 16-1/2 419 19-1/2 495 19-1/2 495 19-1/2 495 D 16-1/4 1 413 16-1/4 413 16-1/4 413 19-1/4 1 489 19-1/4 489 19-1/4 1 489 CBA25UH-1.5 to 5 ton Air Handlers/Page 14 DIMENSIONS - UNIT HORIZONTAL POSITION 1-118 l29) DETAIL OF PIPING PLATE -------------, 1 CONDENSATE CONDENSATE DRAINS(2) 1 DRAINS(2) (Upflowand 1 (�) (Horizontal) Downflow)V(44) 89) 1 1 OO20-3/8 1 (9) OPENING 1 (is) 1 I 1 SUCTION CTIONLpVID 1 — 2-3 4 1 O\ LINE (70) (60) 43 1 60) (111)1) LOW VOLTAGE INLETS \ 1:2 L------��— —� LINE VOLTAGE INLETS (Either Side) \\\ (Top and Right Side) SUCTION LIQUID (13) \ TOP VIEW LINE LINE \\ \ CONDENSATE DRAIN \ \\ PIPING PLATE(3)(2-1/4 x 3-3/4 LOW VOLTAGE ) FILTER 1-1/8 1(25) (Top and LETS Right Side) \\\\ ACCESS (29) O (� SUPPLY AIR C El OPENING B I-- ♦AIR FLOW PIPING OPENING BREAKER PLATE 7(25) (368) COVER (368) O 1(25) LINE VOLTAGE 3A A 1-1 8 INLETS (29) (Top and Left Side) END VIEW FRONT VIEW Dimensions 018 024 030 036,042 048 060 in. mm in. mm in. mm in. mm in. mm in. mm A 43-1/2 1105 45-1/2 1156 47 1194 53-5/8 1362 55 1397 59-3/4 1518 B 18-1/2 470 18-1/2 470 18-112 470 21-1/2 546 21-1/2 546 21-1/2 546 C 16-1/2 419 16-1/2 419 16-1/2 419 19-1/2 495 19-1/2 495 1 19-1/2 495 D 1 16-1/4 1 413 1 16-1/4 1 413 1 16-1/4 1 413 19-1/4 489 1 19-1/4 1 489 CBA25UH-1.5 to 5 ton Air Handlers/Page 15 ��_ ��-�/ \� fit' - %.,� A '�- ,,���<���]� �r� .. '•1 r � q o1 v ..:,5"P��' r '�4�i � r •♦ - ,r i�ir^ r 1yr ♦ � r 11141 li#WI /r r .. --��4NN��rr y1N1'�r a s t r>4►11 .. .:�+. UNI �(0)! �;• . 11 1i bra ���l• �✓_,;.m:G*�. ch C tj « Az p a = I] CO :fit• E 0 N r E U U cqI .l .� 4 M1S L" •� � O ��_ Cr i ram•• ! M � : ay •P.4 O W �j U � vi w o y p rf ection .• < LLJ yr �o � )�"w.�• Z �--. v 4 LLB •... �e 00 U v > c z99 X �C41 T 0 w ; v v S. m cc `I \1 tLr� y •C U �C y .. • "'� (, t�/r •� y In • V u y y .•a � �y�: !cr 00 LLh `F .i� "t(�°o)►'�� 1 1 --,�•�.��p -1��', --g'-� ;'►i- :---�-�;;�-•� ^r-�-��;•.:�:•;: r-•-•�,i}.�,In.-1 cs-•�-c?_:--�•.— -� �(as i� � +F'• 11,/1111� i11/1�111'\� fie.., '1111�1�11`._. -= 1111�11111`._1 •. .'�li�l1r1�.r-- - ,� - ,:. 1 ,: 1111 j �� 1/1 k�i/1 tf� =11/NN? a 1/11111 : �. Itr,.. Ii„! @ ,11 _$. �.tllr.. .. �tP.'44 Rl..!#' I�t,�, " � ✓. 7\\r� � �i n, '+ •► .,,�4 rr'�•✓��aU✓ � �- it`• c .Ly ✓ t y �' 15A f� k tit Y 1� +�`5 h t tir p F � l t+� Q GN,ttiA•} li 0 t � +' 0 �rt ��• rc av3` 4 '1 ,ar... M1 t v.. N ►:. s yr fir, ax ,rr r 'v tiW v Nw.�`n\�^r(1 y�+,kS�r +Y �,.^{,j\�.;�'i ,� i h: jf"i:sq.:+�'•/` - ,�y�✓ •N� ..,� 1 ✓.,�lPn�� A CERTIFICATE OF LIABILITY INSURANCE DATE(M1 ) 1vlsrzm2 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 CONTACT FEDERATED MUTUAL INSURANCE COMPANY N _ HOME OFFICE: P.O.BOX 328 (A CNo Exr:888-333.4949 FAX c No):507-446-4664 OWATONNA MN 55060 E-MAIL CLIENTCONTACTCENTER FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 286-4684 INSURER B:FEDERATED RESERVE INSURANCE COMPANY 16024 ARCTIC MECHANICAL INCORPORATED INSURER C: 460N MAIN ST PORT CHESTER, NY 10573-3310 INSURER D: ------ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:90 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. rA TYPE OF INSURANCE DL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSR WVD MMI IYYY MMI /YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,�,� DAMAGE TO RENTED $100 000 CLAIMS-MADE I�i X j OCCUR MI S �occurr�nce �J MED EXP(Any me person) EXCLUDED N N 9907993 01/18/2023 01/18/2024 PERSONAL&ADV INJURY $1,000,000 RXGEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY El PRO. L uJ LOC PRODUCTS-COMPIOP AGO $2,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 a accident) _ X ANY AUTO BODILY INJURY(Per person) SCHEDULED A OWNED AUTOS ONLY AUTOS N N 9907993 01/18/2023 01/18/2024 BODILY INJURY(Per accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY r d ceno X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAB CLAIMS-MADE N N 9907994 01/18/2023 01/181M4 AGGREGATE $5,000,000 DED X RETENTION$10,000 WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N X PER STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,0W,000 B OFFICER/MEMBER EXCLUDED? NIA N 9298530 01/18/2023 01/18/2024 - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS t VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 286-4684 900 VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD vORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured ARCTIC MECHANICAL INCORPORATED 914-934-8301 460 N MAIN ST PORT CHESTER.NY 10573-3310 1 c 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 Stale,i.e.,a Wrap-Up Policy) Number 06-1596446 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Reserve Insurance Company 3b Policy Number of Entity Listed in Box"l a" Village of Rye Brook #90 9298530 938 King St Rye Brook, NY 10573-1226 3c.Policy effective period 01/18/2023 to 01/18/2024 3d.The Proprietor, Partners or Executive Officers are ❑X included.(Only check box if all partnerstofficers 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 "I 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 carder 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: Jean Newkirk (Print name of authorized representative or licensed agent of insurance carrier) Approved by: (Signature) (bate) 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