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HomeMy WebLinkAboutMP23-152 QyE DR y `(V war J�V�.t. 19 O VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J.Bradbury www.ryebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J.Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE November 28,2023 Nancy Raider 145 Brush Hollow Crescent Rye Brook,New York 10573 Re: 145 Brush Hollow Crescent,Rye Brook,New York 10573 Parcel ID#: 129.76-1-115 This document certifies that the work done under Mechanical Permit#23-152 issued on 10/17/2023 for the installation of a new chimney lining system has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �E BR��. '9a2 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 :— I l V 1 - y 1 1 -)DATE: -- PERMIT# 04 - ISSUED: 1 l CT: �Z , \ LOCK: LOT: ` LOCATION: ��l `T�` 111 ��1�� �'�, 1 �� 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 r ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ C,ROSS CONNECTION INAL ❑ OTHER _ N o y b _ M N N =72 A , V r a °~ OG p a Ln a o � a4 v o v c o 3 u ° ag•o W a O w � 'o Vol ^ va oz CA . w CC) -C 0 0 r�1 lei s. v ,� V "S '6 C�% a z U Vo- oo 5 , T 1 • o ! + pp f 1 ,� GNON a > al A © C7 e ly W 5 V o Z A w 2 9 W © z U o� ° v x o15 � v� W F O ot-I p z oo t/� z © a O „ +. C� O V V $ ° � N � x w i o LO V Cl' am v o rn z a � . �l V H o W c V BUILD - MENT ViIL OF RY OOK OCT 17 2023 938 KING ET RYE BR ,NY 10573 4 �} .0 VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT r FOR OFFICE USE ONLY: PERMIT#: OCT 2023 Approval Date: Permit Fee: $ /0 cZ 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 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,/0—/7-;.� 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. ,? i. Address: /.95- C3n4& f/c /16" Cry;c e n f SBL: 149, —/;//S' Zone: 2. Property Owner: _Alanct4 a+cle r Address: / /5� &1-viA. ////I u CFeSCe,-,f Phone#: 91 H" 8UG ' 3 / Cell#: email: `� 3. Contractor: 604arran leed /7_I0tt / j>/Yvli/ 19 Address: h40 /c� &3 cZf Tt0,0,1, �/��nY+tom IIY43 Phone#: //i-SO7-GOAD Cell#: g email: V�n,ero(f4 4rth P.(.��/1i�rNl.,, 4. Scope of Work:New Installation(vf•Replacement( )• Removal( )•Other( ): •/ 5. List Equipment: [JL I/i/ed 51-ambss SlAel hH+*u S%Jlmt 6. Location of Equipment: 7. Method of Installation/Removal(list all equipment needed to perform job): 1 3/3/2023 i STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: NN C- AAA OM ,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 bef re me this Sworn t befo e me:is y yl ,20 a day of uL 20 day of - Vam M Signature of Pr rty Owner tg11 e of Applicant Print Name of operty Owner Print Name of Applicant Notary Pfiblic Notary Public GREGORY M.RIVERA MARIA TRAmoNTANA M"Public,State of New York Wary public,State of New York No.01RIS441398 No.Q1T-,6251263 OuaNf[ed In Westchester County Qualified In s Cot Commission Expires September 26,20 ires N-v^" 14, 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 CyJa��`P�G INVOICE DATE: 10/24/2023 DUE DATE: 10/24/2023 INVOICE# 137374-1 Photo Library 08/29/23 8:56 AM " Photo Library 08/29/23 8:56 AM INVOICE DATE: 10/24/2023 DUE DATE: 10/24/2023 INVOICE# 137374-1 Photo Library 08/29/23 8:56 AM IN 1 Photo Library 08/29/23 8:56 AM tall/ � � �i I INVOICE DATE: 10/24/2023 DUE DATE: 10/24/2023 INVOICE# 137374-1 Photo Library 08/29/23 8:56 AM 3� Photo Library 08/29/23 8:56 AM ( G INVOICE DATE: 10/24/2023 DUE DATE 10/242023 INVOICE# 137374-1 Photo Library 08/29/23 8:56 AM Photo Library 08/29/23 8:56 AM /,,,(4 I INVOICE DATE: 10/24/2023 DUE DATE: 10/24/2023 INVOICE# 137374-1 Photo Library 08/29/23 8:56 AM Photo Library 08/29/23 8:56 AM INVOICE DATE: 10/24/2023 DUE DATE 10/24/2023 INVOICE# 137374-1 Photo Library 08/29/23 8:56 AM i 1�jw Photo Library 08/29/23 8:56 AM s r - 11 vJac anlP�� i INVOICE DATE: 10/24J2023 DUE DATE- 10/24/2023 INVOICE# 137374-1 Photo Library 08/29/23 8:56 AM f Photo Library 08/29/23 8:56 AM vJat aul1�,�0, INVOICE DATE: 1 0124/2 02 3 DUE DATE: 10/24/2023 INVOICE# 137374-1 Photo Library 10/24/23 11:06 AM 10 r= Photo Library 10/24/23 11:06 AM INVOICE DATE: 10/24/2023 DUE DATE 10/24/2023 INVOICE# 137374-1 Photo Library 10/24/23 11:06 AM lis - Photo Library 10/24/23 11:06 AM ter,. INVOICE DATE: 10242023 DUE DATE: 10242023 INVOICE# F 137374-1 Photo Library 10/24/23 11:06 AM J Photo Library 10/24/23 11:06 AM R INVOICE DATE: 10/24/2023 DUE DATE: 10/24/2023 INVOICE# 1 137374-1 Photo Library 10/24/23 11:06 AM Photo Library 10/24/23 11:06 AM I �--•�. .ter - ok, INVOICE DATE: 10/24/2023 DUE DATE: 10/24/2023 INVOICE# 137374-1 Photo Library 10/24/23 11:06 AM w• Photo Library 10/24/23 11:06 AM I w- vJ i 11IP�G INVOICE DATE: 10/24/2023 DUE DATE: 10/24/2023 INVOICE# 137374-1 Guaranteed Home Improvement 1 500 Old Bethpage Road Plainview,NY 11803 Phone:516-827-6000 Email:Customersupport@guaranteedchimney.com r NANCY RAIDER- 145 Brush Hollow Crescent 145 Brush Hollow Crescent 145 Brush Hollow Crescent Rye Brook, New York 10573, United States Rye Brook, New York 10573, United States DESCRIPTIONITEM • Bolt on chimney cap A stainless steel (8 X 8) bolt on 1.00 $0.00 Item $0.00 N chimney cap installation. (Comes with a lifetime warranty.) Single Tee A stainless steel tee will be 1.00 $0.00 Item $0.00 N installed,directly connecting the heating appliance to the chimney liner. Liner installation A UL listed stainless steel 1.00 $2,000.00 Item I N smooth wall liner installation with a stainless steel connection to the heating appliance at the base. A stainless steel support plate installed at the top of the chimney. (ALL STAINLESS STEEL PARTS COME WITH A LIFETIME WARRANTY.) Permit Filing A permit will be filed accordingly 1.00 $100.00 Item $100.00 N to code with the Village of Rye Brook. SUBTOTAL TAX RATE* 0.0000% TAX $0.00 OTHER - TOTAL PAID BALANCE $0.00 GINVOICE DATE: 10124/2023 DUEDATE� 10/24t2023 INVOICE# PREV Photo Library 08/29/238�50AM Photo Library O8/29/238:50AM VJat an`P�� i INVOICE DATE: 10/24/2023 DUE DATE: 10/24/2023 INVOICE# 137374-1 Photo Library 10/24/23 11:06 AM r TERMS & CONDITIONS "You the Buyer,may cancel this transaction at anytime prior to midnight of the third business day after the date of this transaction." Unconditional Guarantee If the customer is Not 100%satisfied with our service or workmanship,we will re-service any area at no additional charge. C @ U JEIFEYIW LISTED CHIMNEY SUPPLY THE LIFETIME LINING SYSTEM TM Installation and maintenance instructions for smooth and single wall chimney lining kits. We recommend you use an experienced and qualified chimney professional to install your Lifetime Lining System. The Lifetime Lining System from Lifetime Chimney Supply is intended for use as a masonry chimney liner only. The Lifetime Lining System has been tested and approved to UL1777 and ULC-S635 zero-clearance standards` for masonry chimneys serving gas, oil or wood-burning appliances. All warranties, stated or implied, are void if this product is not properly installed in accordance with the instructions contained in this brochure and in accordance with local requirements. The listing for the Lifetime Lining System is void if components \ other than those supplied as listed components by this manufacturer are used. Zero-clearance tested and approved for gas and oil only by UL-Approval Code 3HXH. Applies only for 3"to 12"diameter sections. It is important that this chimney liner be installed in accordance with these instructions. Please read all instructions before beginning your installation. Failure to install this system in accordance with these instructions will void the conditions of certification and the manufacturer's warranty. Liner systems designated LCS316, LCS304, LCS430, LCS446, LCS316-SW, LCS304-SW and LCS430-SW. Lifetime Chimney Supply, LLC. 132 Dupont Street, Plainview NY 11803 www.LifetimeChimneySupply.com THE LIFETIME LINING SYSTEM TIVI Smooth wall and single wall chimney lining kit Available in 3" to 24" diameter sections from 10' to 100' The Lifetime Lining System is intended for use with heating appliances vented through a masonry chimney that burn home heating oil, natural or LP gas and solid fuels(pellet,wood and coal).Use of experimental fuels voids the warranty.This lining system is not for use with Category Il,III,or IV gas burning appliances as defined by the National Fuel Gas Code, NFPA 54, or other appliances that create positive pressures in the chimney system or that cause condensation of corrosive acids on the liner of the chimney. The Lifetime Lining System is intended for use in an unlined chimney with at least a nominal 4" of masonry all around,a properly built masonry chimney with cracked clay tile liners,or to provide a properly sized flue for a heating appliance installed in a masonry chimney that otherwise meets existing codes. The Lifetime Lining System may be used to reline a fireplace chimney.The liner must be connected to the top of the smoke chamber by a bottom plate or other means that provides an air-tight and drip-free termination. PARTS LIST - The Lifetime Lining System Includes: 1 Stainless Steel Liner 1 Stainless Steel Single Wall Liner 1 Stainless Steel Tee Cap 1 Stainless Steel Tee 1 304 Series Stainless Steel Rain Cap 1 Stainless Steel Top Plate 1 Mortar Sleeve(optional) INSTALLATION INSTRUCTIONS • If chimney requires field drilling,use a 1/4" chimney must be checked for safety and Liner installation: stainless steel drill bit to drill through the repaired as necessary. Inspect the chimney for cracked,loose inner section of the chimney liner section. . The chimney must terminate above the roof or missing bricks or stones.Check for • Wall penetration assemblies are not to be line as per NFPA-211. missing mortar joints.The chimney must located directly behind a heating appliance. . Run a guide cone up and down the be a minimum of 4"thick throughout. The following criteria shall apply to a chimney to clear any obstructions and to No chimney should be relined that is connector to a masonry chimney: ascertain that the liner diameter will pass not structurally sound.Also inspect through the chimney's flue opening. the air space clearances between the • It shall extend through the wall to the inner exterior of the masonry chimney and face or liner but not beyond. Choosing the correct type of any combustibles.These clearances • It shall be firmly cemented to masonry. stainless steel: must be in accordance with current •• If a thimble is used to facilitate removal of Type 304/316(or 304U316L),430 and NFPA 211 standards or the local the chimney connector for cleaning,the 446 stainless can be used for wood,oil building codes.Check the height of the and low efficiency gas appliances.Type chimney to be certain it conforms to the place with high-temperature cement. thimble shall permanently cemented in 304/316 can also be used as a fireplace recognized regulations. liner.The high efficiency gas furnaces • This installation must include the rain cap, • The effective area of a connector for a require another type of venting system. a protective covering or housing for the single appliance shall not be less than the Refer to the manufacturer's installation top of the chimney intended to prevent the area of the appliance flue collar,unless it is instructions before connecting a liner to a entry of rain,snow,animals and birds,and part of an engineered venting system. gas appliance. to prevent down drafts. Sizing' Connection to UL listed direct • Initial installation of chimneys,fireplaces • Size the liner according to equipment connect system: and vents shall allow inspection of the manufacturer's instructions and/or local The liner system may be connected surroundings to determine that the required building codes.The chimney liner must with a UL listed direct connect system clearances have been maintained and that be sized no less than that specified in the which is installed in accordance with the correct provisions for support,stabilization, appliance manufacturer's instructions. manufacturer's instructions.You must future inspection and maintenance are use a stainless steel pipe connector or in place. Local approval: P P stainless steel transition or slip connector Minimum air space clearance: • Contact local fire or building officials about to make the connection.The liner must restrictions and installation inspection in also be sized(cross sectional area)the Solid Fuel:1"(25mm) your area. same as the direct connect system. Gas/Oil:0"(Omm) Cleaning existing chimney: All wood beams,joists,studs and Pull through wall direct connect: other combustible material shall have a • The chimney must be clean and free To connect liner directly to the unit pull liner clearance to masonry fireplaces as follows: of debris. through the wall while passing the liner inside mortar sleeve at the base of the wall Not less than 2"(51 mm)from the front • All soot,dirt and creosote including tar faces and sides and glaze creosote must be removed prior so that the liner does not touch the cement to installation. while passing through the wall.Connect Not less than 4"(102mm)from the the UL approved liner to appliance using back faces of masonry fireplaces • Proper cleaning of the chimney is a either a direct connection or a UL listed • The chimney liner in sizes 14"ID warranty prerequisite. connector.Then seal the hole in the wall through 24"ID will be intended to vent • The internal and external condition of the with high-heat furnace cement. Category I gas-fired appliances and 'Incorrect sizing for low temperature flue products in regions that experience sustained low ambient temperatures can result in excess condensation,creosote formation,and inadequate draft. INSTALLATION INSTRUCTIONS CONTINUED oil-fired appliances while maintaining a Connect the heating appliance vent chimney liner may be joined together with 1"clearance within the annular space connector to the Lifetime Lining Tee the proper connector and fasteners from between the liner and inside masonry System as per local code and appliance Lifetime Chimney Supply. chimney and 1 I'clearance from outside manufacturer's written instructions. . The joints must be sealed with high- construction. masonry chimney and combustible . Slide the top plate over the liner and place temperature silicone. on the clay file and center. • Remove a sufficient amount of brick and • If additional oil or gas appliances need to mortar to allow access for the installation • Mark the outline of the clay tile on the be connected to the Lifetime smooth wall of the tee's snout at the base of the underside of the top plate. or single wall chimney liner the following chimney where the heating appliance • Remove and trim the top plate to the size methods are acceptable and will not void vent connector attaches to the tee of the marked.Trim the liner so that 4"of liner the warranty: lining system. extends above the top of the clay tile. - Use a second tee with the correct • Separate the tee from its snout. • Apply a wide bead of high-temperature size takeoff.Install the tee onto silicone around the top surface of the the Lifetime smooth wall or single • Attach the tee to the liner with the clay tile. wall chimney liner then connect the fasteners provided.Drop or pull the liner appliance tee to it using tex screws with the attached tee,without the snout, • Place the top plate over the liner and slide or rivets. through the chimney until the tee rests in down onto the silicone. Install the snouts of both tees as the base of the chimney where the brick . Hold in place firmly to create a good seal. stated in the instructions above. and mortar were previously removed. Remove the cut-out portion of • Screw the four fasteners provided through P • Attach the snout and place the end- the 2"collar of the top plate and into the liner. cap on the bottom of the tee with the the liner. Attach the liner to the appliance using fasteners provided. the tee snout. • Do not over-tighten the fasteners. • Attach the pipe connecting the heating Feed the draw band around the liner appliance to the tee's snout. • Apply a bead of high-temperature silicone and into the turn buckle and tighten. to the inside of the top section of liner and • Seal the area around the tee where the to the lower section of the rain cap. - Apply a bead of high-temperature RN brick and mortar were removed with a silicone between the tee and the liner. furnace cement product. • Place the rain cap into the top section of Seal the area around the liner and the • Using ahigh-temperature silicone product, the liner and push down until the stop bead snout as instructed above. of the rain cap meets the liner.` seal the joints where the snout of the tee Initial firing: connects to the pipes from the • Remove excess silicone. • Before the initial firing of the appliance, heating appliance. • Two pieces of Lifetime smooth wall check the appliance's operating instructions for initial firing precautions. Listed caps with screening are necessary and/or required in some areas but may be susceptible to frozen moisture blockage in low ambient regions.Consult author y having jurisdiction. TYPICAL FACTORY-BUILT FIREPLACE TYPICAL BURNER RELINING INSTALLATION RELINING INSTALLATION C%-.ARDIAN CAP PAtI(AP TOP CLAMP /STORM COLLAR STORM COLLAR /TOP CLAMP \ B7POONA4 FACTORY BUILT \ -UNFA ADAPTER TOP PLATE NOTE_LEAVE AT \\ LEAST 6-OF LINER �\ ABOVE FOIL WEI �� REXWRAR UNINSULATED LCS LINER LCS LINER_ DOUBLE ILL FACTORY BUILT CHIMNEY C� ,\ TH MB E APPUANCETFE_ FACTO"BUILT L BURNS N FIREBOX /BURNER UL LISTED FIREPLACE INSERT LISTEDTO BE PLACED IN EXISTING UL LISTED FACTORY BUILT FIREPLACE D� CLEAN gfTTEE LCS LINER FOIL FACE \ TEE COVER FOIL TAPE- RETRACTABLE WIRE MESH- THE LIFETIME LINING SYSTEM TIM WARRANTY Lifetime Chimney Supply,LLC.guarantees Annual inspections,maintenance and factory inspection of the defective parts in the Lifetime Lining System stainless steel cleaning must begin one year after the question be required by Lifetime Chimney chimney liner and components are free from date of the installation and continue Supply,Lifetime Chimney Supply will pay the manufacturer's material and workmanship once every twelve months thereafter by a shipping cost for the return of the defective defects,corrosion or perforation caused by certified chimney sweep or a qualified solid parts in question.If Lifetime Chimney Supply chimney fires.Lifetime warranty for wood, fuel professional. deems the parts to be defective,Lifetime wood pellets,gas and oil installations when . The chimney must have a Lifetime Chimney Chimney Supply will replace the parts at used to vent residential UL listed heating Supply chimney cap. no cost to the original purchaser and said appliances that are Category I residential replacement will be Lifetime Chimney gas or oil burning heating and hot water Corrosive chemical chimney cleaners Supply's exclusive and final remedy under systems including gas fireplaces,gas logs,oil must not be used and their use will void this warranty.Lifetime Chimney Supply shall stoves,wood-burning stoves and fireplaces. the warranty. not be liable for any costs for the removal or Lifetime Chimney Supply,LLC.guarantees Driftwood or wood pellets containing re-installation of the liner or any liability for the original purchaser for the lifetime of the salt,treated lumber,plastics,the chimney special consequential or incidental damages product as long as said purchaser owns the sweeping log or trash must not be burned in any way related to or arising out of defects home in which the Lifetime Lining System and doing so will void the warranty. in or damage to the liner.Lifetime Lining stainless steel chimney liner was originally System stainless steel chimney liner has installed.This warranty is subject to the The maintenance record must be been tested and approved to UL1777 zero- following conditions: up-to-date. clearance standards'and all component • Lifetime Lining System stainless steel Never use a metal chimney cleaning brush. parts have been tested and listed by l chimney liner and components must We strongly recommend the use of a A copy of the test report is available upon be installed by a certified solid fuel plastic bristle chimney cleaning brush as request by your installer.Lifetime Chimney professional and in accordance with these metal brushes can damage the liner and Supply makes no warranty,express or written instructions. will void the warranty. implied,of merchantability or fitness for a particular purpose or otherwise.This warranty • Lifetime LiningSystem stainless steel In case of a chimney fire the liner must be y gives you specific legal rights.You may chimney liner and components are inspected and cleaned by a certified chimney have other rights which vary from state-to- intended for use in lining and relining sweep or a qualified solid fuel professional state concerning exclusion or limitation of masonry chimneys that vent a tested and before reuse.If you should need to make a incidental or consequential damages. approved or listed residential appliance claim under the conditions of this warranty, for which Lifetime Lining System stainless you must contact the original installer who steel chimney liner and components will provide Lifetime Chimney Supply,LLC. are intended. with information about your claim.Should a 'Tested and approved by UL-Approval Code 3HXH•All Lifetime Lining SystemTM components are UL listed.©Lifetime Chimney Supply,LLC. Fill out other side completely,cut out and mail. ---------------------------------------------------------------------------------------------------------------------------- PLACE STAMP HERE Lifetime Chimney Supply, LLC. 132 Dupont Street Plainview NY 11803 INSULATING THE LINER PIPE INSTRUCTIONS (REQUIRED FOR ALL SOLID FUELS) Heat-Fab 6600 Saf-T Wrap by 3.14 plus 1 inch for overlap.Although • When the insulating wrap is in place around Insulating Blanket Wraps it is not necessary,you may trim the the liner pipe,apply a continuous length of (Caution:Foil edges of insulating wrap are insulating wrap to this amount if you wish. foil tape from the top to the bottom of the very sharp.Handle with care.) A wider overlap than 1 inch is allowed overlapped insulating wrap seam. but may cause difficulty installing in tight . Encapsulate the insulated liner using • Make sure that the bottom connector, clearance situations.either a tee connector or a universal retractable wire mesh.Unroll the correct connector,has been installed. Place the insulating wrap foil face down on size wire mesh and pull it over the entire a level surface.Lay the liner and its bottom length of the insulated liner pipe.At the • The liner must be insulated from the termination connector(previously attached) bottom of the insulating wrap secure the bottom of the connector to the crown.In in the center on the insulating wrap.Line mesh and insulating wrap in place with a the case of a tee connector,the liner must up the bottom connector as outlined in the stainless steel hose clamp.At the top of be insulated from where the tee cap is second paragraph.Remember that at the the liner pipe stretch the wire mesh tight installed up to the crown;with a universal top the insulating wrap will be even with and while holding the mesh tight,clamp connector,from where the connector would the chimney crown. the insulating wrap and the wire mesh in stop on insertion into the heating appliance . Start wrapping the insulating wrap around place with a stainless steel hose clamp. up to the crown.After determining the Trim away any excess wire mesh.With long distance,roll out the insulating P n wrap and the liner pipe.Hold the wrap in place with cut it to the proper length. foil tape at approximately 1 foot intervals liner lengths you may also wrap the entire P p g making sure to overlap the insulating wrap insulated liner pipe with stainless steel wire • The insulating wrap must overlap along its by a minimum of 1 inch.You may use wrapped spirally and twisted on itself at length b a minimum of 1 inch.To ensure each end to hold it in place.The insulated 9 Y spray adhesive to assist you in holding the that you will have the proper width of insulating wrap against the liner pipe. liner pipe is now ready to be installed. insulating wrap multiply the liner diameter MAINTENANCE INSTRUCTIONS • Cleaning of chimney,if necessary,shall • A written maintenance record must be liner during slow-burning firing periods. be done by methods that do not impair kept by the homeowner on the warranty As a result,creosote residue accumulates structural or thermal performance. card provided. on the chimney liner.When ignited,this • To maintain this warranty the liner Creosote and Soot-Formation and the creosote makes an extremely hot fire. assembly must be cleaned and inspected Need for Removal The chimney liner system should be by a certified solid fuel technician yearly inspected at least once every two months • When wood is burned slowly,it produces duringthe heating season to determine if before each heating season to ensure tar and other organic vapors,which g that it is free of debris,creosote and g P a creosote or soot buildup has occurred. combine with expelled moisture to form If creosote or soot has accumulated,it condensation and that all parts are in may creosote.The creosote vapors good condition. Y should be removed to reduce the risk of a condense on the inside of the chimney chimney fire. Fill out completely,cut out and mail. ---------------------------------------------------------------------------------------------------------------------------- Customer Name: Address: City: State: Zip: Phone: Email: Installer Name: Company: Company Address: Cry State: zip: Phone: Email: Installer Signature: Date: Number of Chimneys Lined: Height of Each Chimney: Type of appliance vented: Type of insulation used. ❑Stove: ❑Fireplace: ❑Pellet Stove ❑Thermix ❑Oil ❑Gas ❑Wood ❑Gas ❑Wood ❑Insert ❑Gas Log ❑Wrap ❑Heating System: ❑Water Heater. ❑None ❑Oil ❑Gas ❑Oil ❑Gas i . I I MAINTENANCE RECORD After each annual inspection,cleaning and maintenance please have the installer fill out and date the appropriate section of this card.After the first year please keep separate records of inspection,cleaning and maintenance for each year as required by this warranty. Installer: Date of Installation: Company: Phone: Email: Address: City: State: Zip: 1 st year installer 8th year installer: Work done: Work done: Date: Signed by: Date: Signed by: 2nd year installer: 7th year installer: Work done: Work done: Date: Signed by: Date: Signed by: 3rd year installer: 8th year installer. Work done: Work done: Date: Signed by: Date: Signed by: 4th year installer: 9th year installer: Work done: Work done: Date: Signed by: Date: Signed by: 5th year installer. 1 Oth year installer: Work done: Work done: Date: Signed by: Date: Signed by: Lifetime Chimney Supply, LLC. 132 Dupont Street, Plainview NY 11803 www.LifetimeChimneySupply.com �. _ •,�y,� "`' ..ram-- �.- k`J_ i M N 1 L. O c a o N y 'O LU U p f R O 00 a `o c l p u •, ' �, �ON% o r- a W O o ?� O xr ►-� > ao c o a O CW7 0 5n a. c ction 0 W W O > wop i a W o V O co z 3 � wCIO 4-. a 0 w o OLn ^ t: o > A cccc � o - e y o co y GUARA-2 CERTIFICATE OF LIABILITY INSURANCE F-AoT9129/2023 D1Y ' 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) IIIUSt 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 201-773-0868 CONTACT Anthony M Costello II,CIC_ Mountain Valley Insurance NA PHONE 201-773-0868 FAX 201-773-0869 Agency, LLC A/C,No,Ezt: (A/C,No S 114 Farview Avenue XbMAIL Paramus,NJ 07652 Anthony M Costello 11,CIC INSURERISI AFFORDING COVERAGE NAICH INSURER A:Liberty Mutual __ 23043 INSURED INSURER B:Tough Comp 39071 Guaranteed Home ImprovementLLC 500 Old Bethpage Rd INSURER C,Great American Insurance Co. 16691 Plainview,NY 11803 INSURER D:Sutton Specialty Insurance Co 16848 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEFN ISSUED TO THE INSURFD NAMFn ABOVE FOR THE POLICY PFRIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDI I ION Of ANY CONTRACT OR OTHER DOCUMEN I WITH RESPECT TO WI ITCH H ITS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, kIl 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 t A X COMMERCIAL GENERAL LIADILITY _LA OCCURRENCE 1,000,000 CLAIMS-MADE OCCUR BWG(24)66 32 35 62 .06/19/2023 i 06/19/2024 DAMAGE TO RENTED 1,000,000 ED EXP(Any one erson 6,000 -- - PERSONAL&ADV INJURY 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: 2 000,000 POLICY�j Loc GENERALAGGREGATE 2,000,000 PRODUCTS-COMP10_P A_GG __ OTHER amp ben 0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMI ffa accident) OWNED T _ ANY AUTO I BODILY INJURY Per arson SCIIEDULED ------ A1UTOS ONLY AUTTNOppSW o BODILY INJURY Per accident .._ AUT US ONLY A�TOS ONLY P er acg i __jeYii D� I _--- I A X UMBRELLA LAB X OCCUR EACH OCCURRFNCE 5,000,000 EXCESS LIAB CLAUMS-M OE USO 24 66323562 06/19/2023 06/19/2024 AGGREGATE 6,000,000 DED I I RETENTION$ j B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITYSTATUTE R ANY PROPRIETORIPARTNERIEXECUTIVE r �VVC515-01158-023-SZ 05/01/2023105101/2024 E L.EACH ACCIDENT 1,000,000 OFFICERIMEMBEREXCLUDED9 N NIA (Mandatory lnNH) -If yes,describe under E.L.DISEASE-EAEMPLOYE� 1,000,000 DESCRIPTION OF OPERATIONS below F 1 DISEASF-POLICY 1 I IT 1,000,000 C Commercial Applica 61230573 12/01/2022 12/01/2023 E BOND 50,000 D iUmhiella ISCEX0300000619-00 06/19/2023 06/19/2024 lAggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Certificate holder listed as additional insured. I CFRTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DE IBED POLI IES BE CANCELLED BEFORE THE EXPIRATION DATE TH EO TICS WILL BE DELIVERED IN P 0 Village of Rye Brook � ACCORDANCE WITH THE POLI Y O S. 938 King Street j Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE I II Anthony M Costello II, C C I ACORD 25(2016103) 171988-2015 A ORD RATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORICERS'COMPENSATION BOARD CER11FICAT.12 OF NYS WORKERS'COMPENSAT.iON INSURANCE COYER4Gb, ia,Legal Name&Ad(L'ess of Insured(Use street address only) Ib.Iiusiuess Tetepllono.Nsartber o£Insured Guaranteed Home Improvement LLC 516-827-6000 500 Old Bethpage Road le.NYS Thremploymeut.Insurance Employer Plainview,NY 11803 Registration Number of Insured Work Loco tlonofIasu red(Orrly)•equired.ffcoherageisspeoj/ieally Id.Federal Einpioyer Identification Number ofInsuved thililerl to eertahr locationis in New York .Stale, i.e., a Wrap-Up or Social Security Number Policy) 83-0468367 2.Name and Address of the.Entfty Requesting Proof of 3a. Namc of Llsurtmce Cxrrilar Coverage(Entity Being Listed.as fire Certificate Holder) United Wisconsin-Tough Comp 3b.Policy Number of entity listed in box'gall Village of Rye Brook 938 King Street WC515-01158-023-SZ Rye Brook, NY 10573 3e. Policy effective period 05/01/2023 to 05/01/2024 3d. The Proprietor,Partneci or Executive Officers Aire included. (only click Lux if nil tmr6telstorficers includca) all excluder[or certain partners/officers excluded. This ccl•thfirs chill pia:inwrance carrier indicated above in hox`T' insures the husiness referenced above in box"lit"for workers' compensation under the New York State Workers'Compensation Lttw.(To use this farm,New York tNY),oust be listed under jUm 3A on the iNFORMATION PA GK of the workers'compensation insurance policy). The Insurance Currier or its licensed agent willsend. this Certificate of hisnrance to the entity listed above its the certificate holder in box"T'. Vie lasurmwe Carrier will also nallly/he above ce+7if ctite bolde+•irirltilt l0 clays lT a policy is canceled due to urnrpayntertt of p►en+ituos or irithix 30 days IF there are reasons other than uunpa)mreut oJ'prentihuns that Cancel the policy or elinii ante,the insureit f nin.the coverage htdicntedonddsCe+yi/irale, (These nolices•mtip.be sent byregidartunil.)Otherwise,this Certificate isYalidforuneyeargfterlhisforni &approved by the Insurance carrier or its licensed agent,or unill the polley expiration date listed in bar.`13e,irhkbeYer is earlier. Please Note: Upon the cancellation of file tvorfters'collvensatiori policy indicated on this form,If the business continues to be named on a permit,license or contract issued by a'cert►ficate holder,the business must provide that certificate holder tivith a new Certificate of Workers'Compensation Coverage.or other authorized proof that the business is complying with Cite mandatory coverage requirements of tire-New York State Workers'Compensation Laly. Under penalty of perjur;v,I certift-that 1 ani an authorized representufiveor licensed agent of the Insurance carrier referenced above and that the named Insured has the coVel:Rge as depleted on this foriu, f Approved by: Anthony M Cos IC (Prin t t f utuh zed mproscntative or licensed agent of insurancccorrkr) Approved by: 9/29/2023 (Si nut r (Dr[u) Agent F Title: A 9 'I'eiephone Number of authorized representative or licensed agent of insurance carrier:.201-773-0868 Please Note:Oniv inssrunce,rrrrhiers raid their licensed etgeutc are authorized to issue Form C405.2. Insurance brokers ort NOT e ithorized to issue it. C-105.2(9-07) www.%vcb.state.ny,us s f I