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HomeMy WebLinkAboutMP23-164 < ct 4 l"ut..+uy VILLAGE OF RYE BROOK MAYOR 938 Ring Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J.Bradbury www.iyebrook.org TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E.Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE December 28,2023 Montagna Family Trust Lee Montagna&Eve Montagna,Trustees 36 Woodland Drive Rye Brook,New York 10573 Re: 36 Woodland Drive, Rye Brook,New York 10573 Parcel ID#: 135.44-1-29 This document certifies that the work done under Mechanical Permit#23-164 issued on 11/17/2023 for the installation of a new Navien boiler has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC��, • 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 3 U Wood G o U 'bjpi Ve, DATE: 12 - Z1- ZOZ3 PERMIT# M P Z 3- I G Y ISSUED://-/7-23 SECT:ISJ BLOCK: / LOT: 2 LOCATION: �LOSe.T /L 10AA O t h 0 U Se _ OCCUPANCY: 210 ❑ 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 n ❑ Natural Gas A <- (le t/ A/C ❑ L.P. Gas ---1 Z - Z / - 2 O L ///" ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER QyE BRC��. 1. 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR [ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street• Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: `D �/✓DO lA%1 2 . DATE: PERMIT# r"�F' ISSUED: 11-i'l-23 SECT: 13S , y L/ BLOCK: LOT: 2-9 LOCATION: 5 2-� A G k n� y p%AS e • OCCUPANCY: Z 1 u ❑ 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 �✓ V � o S e L a:,',J V O n1 f-/A,/�,�k4 i ,,j e ❑ L.P. Gas LL P Glee ❑ FUEL TANK �1 ❑ FIRE SPRINKLER 1. Z C o e n- ❑ FINAL PLUMBING ❑ CROSS CONNECTION �I � ❑ FINAL �� LOCr.�i� 1 ►�Q �frrli >U4i JJ Ot' CO� C+ 1,.�Sc.�( ❑ OTHER c t^ t,) L 1 r)f✓ , . s s N . ■ C f � v � � N M Fy r v -C s ri Ie� V cC i O : a rn W ON CA 3., w o W s � Lr) O OQ 14 Ln , Qi y+ O M ti W ZO n �1 � '-' Q � � � � zo � � oa F" oo w o o w u a v - O V W `,; Q d V U F., o o b a p6q i ~ M U W wo nI b Q a " z �1 Uhj CN H �-. crn1 y. o C) o A c7 a A `� o bA ■ 00 Qj h� a. r I•�I �i � C7 p � � W fa � � pub v 0 � Z � v W U C O Qo W04 o o ° aCU � � Oz .. A4 d a v v «.� o _ a 49 Q 4;a a 4 a 494 a 4;4;aaaaaa4141414N41414;a41414aaaaaa49aaa4a BUILD ENT WED VIL OF R OOK 938 KING ET RYE_BR, NY 10573 NOV 16 2023 VILLAGE OF RYA BROOK (3UIl-MM7, DF-7PARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING VENTILATION AND/OR AiR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT NOV 1 Approval Date: Permit Fee: $ �VQ Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERIV11T HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINI ISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL,COST OF CONSTRUCTION WITH A MINIMUM FEE OF 5750.00 REQUIREMENTS FOR RELEASE OF PERMTr&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 Fees/Unit: RESIDENTIAL=$100.00/unit• COIv MERCL&L=S350.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. ' 1. Address an WQ�t � K- SBL: .� r —/_r)�9 Za e: _(9k 2. Property Owner: Address: Phone#: 31 1 C ell#: email: NI.` G 3. Contractor: a)D wp i� � J Address: �T Phone#: �Qn ��� �� � Cell#: email: f•Ae 7 4. Scope of Work:New Installation( )•Replacement •Removal( )•Other( ):A' 5. List Equipment: fn ob 11D W � lV M 6. Location of Equipment:—" l�L-, 1�! 7. Method of Installation/Removal(list all equipment needed to perform job). ff 1 t Z t 10/30/2023 STA OF NEW YORY,COUNTY OF WESTCHESTER ) as: lhak- P1�W� ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual Jigning 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 / S Sworn to before me this day of v `/ ,20_ day of � 0 u ��,, ,20 _ Signature of Property Owner Signature of Applicant Print Name of Prone er Print plicant Nota is N bhc JOHN M SUOZZO NOTARY PUBLIC,STATE OF NEW VOW iaegisuaton Nm 01SU6070919 Qualmed to Westchester Comity MY Commission Expires Mwch 11,2M This application onust 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 10/30/2023 wmaviem NHB Series Hot Water Boilers Condensing Gas Specification Sheet Hot Water Boiler •Certified design according to ANSI Z21.13-CSA 4.9-2014 standards for indoor residential applications •Gas Input Ranges "'+L rH• NHB-055-55,000 to 8,000 BTUh NHB-080-80,000 to 8,000 BTUh NHB-110-110,000 to 10,000 BTUh NHB-150-150,000 to 10,000 BTUh •Turndown Ratio(TDR)of up to 15:1-one of the highest in its product class •Dual Primary and Secondary Stainless Steel Heat Exchangers for optimum efficiency and durability •Compatible with 2"PVC vent up to 60 it*and 3"PVC vent up to 150 ft* (•with no elbows) •Backlit Front Panel-allows adjustment of hot water temperatures and boiler functions including Outdoor Reset Curve settings,pump operation, Integrated Low Water Safety Control,indirect DHW priority,and unit output capacity •Low Voltage Terminal Strip-contacts for thermostat or zone controller, =' indirect DHW tank thermostat,outdoor reset,24 VAC device relay,air Sleek Design-Compatible handler interrupt,and LWCO with 2"PVC Vent •High Voltage Terminal Strip-120V contacts for use with boiler,system, and DHW pump wiring** (••2A max per pump) •Temperature Options-two boiler operating setpoints:hydronic heating temperature and DHW(indirect)settings range from 77°F(25°C)up to c. 194°F(90°C) _ •Ready-Link Cascade Compatible for up to 16 units with the use of Communication Cables#GXXX000546(NHB-110 and NHB-150 models ONLY) •Common Vent Compatible-allows cascade systems to use a single exhaust and/or intake pipe for up to 8 units with the use of the Common Vent Backflow Damper Collar Kit k30014367A(NHB-110 and NHB-ISO models ONLY) •Compatible with N"Link-Wi-Fi Control(#PBCM-AS-001) •Outdoor Reset Sensor(included)-the unit controls will sense outdoor ambient temperatures and adjust the boiler operation for maximum comfort and efficiency INCLUDED Illuminated Front Panel with •External System Supply&Return Sensors(optional)-additional controls Advanced Hyd►onic Operation provide optimum system performance •AFUE Ratings NHB-055/080/110/150-95.0%(NG/LPG) �` q r�Most Efficient •Compatible with Natural Gas(NG)and Propane(LPG)*** SME ®2017 (•••requires installation of included Field conversion Kit by a qualified gas servicer) of to cFuliviFo I ei1Ft ® www.eNlerYl.t4n H •Certified by CSA,ASME,SCAQMD(Rule 1146.2 Type 1-Complies with 14 ng/J or 20 ppm NOx @ 3%02) •15-Year Heat Exchanger and 5-Year Parts Warranty(Residential) 10-Year Heat Exchanger and 3-Year Parts Warranty(Commercial)**** (••*•see Navien Limited Warranty) •Optional accessories are available(see below) C151 4 ® ab►o . Condensate NautraNaar zone PW W Convotiar CommonVant System Su m pply/Retu NHB ManifoldKit-Primary NHB Manifold Kit-Secondary Plumb Easy Valve Set (GXXX001 322-Single Unit) (PFMZ-02P-001-For 2 Zones) (GFFM-MSOZUS-001) (GFFM-SKTZUS-001) (30010950A-1'Standard) (GXXX001 324-Up to6Units) (PFMZo3Po01-For 3Zones) Damper Kit Temperature Sensors (PFMZ-04P-001-For 4 Zones) (GXXX001 325-Up to 16 Units) (PFMZU6P 001-Fw6 Zones) (30014367A) IGXXX0014171 m NavieN NHB Series Hot Water Boilers Condensing Gas Specification Sheet Hot Water Boiler Dimensions Navien Condensing Boiler Space Heating Ratings Overhead Yew Heating Input, Model MBH Heating Capacity1, Net AHRI Rating,Water;, /FUE2r Number' Min Max MBH MBH % 1svlasrrerf $ NHB-055 8 55 51 44 95.0 NHB-080 8 80 74 64 95.0 6E '") NHB-110 10 110 102 89 95.0 •ntsmml NHB-150 10 150 138 120 95.0 1 Ratings are the same for Natural Gas models convened to Propane use. Ir I 2 Based on US.Department of Energy(DOE)test procedures. 3 The NET AHRI Water Ratings shown are based on a piping and pickup allowance of 1.15.Consult Navien before selecting a boiler for installations having unusual piping and pickup requirements, t'J{NOnm) such as intermittent system operation,extensive piping systems,etc connection Size ®Air Intake 02' Specifications Exhaust Gas vent Or •AirventConnection 4D3/4' Item NHB-055 NHB-080 NHB-110 NHB-150 Dimensions 24in.(H)x 17in.(W)x 12in.(D) 24in.(H)x 17in.(W)x 13in.(D) Front View Weight 73 lb(33 kg) 80 lb(36 kg) Installation Type Indoor Wall-Hung Venting Type Forced Draft Direct Vent Ignition Electronic Ignition Natural Gas Supply Pressure(from source) 3.5 in.-105 in.WC Propane Gas Supply Pressure(from source) 8.0 in.-135 in.WC Natural Gas Manifold Pressure -0.03 in.WC -0.08 in.WC -0.10 in.WC -0.40 in.WC Propane Gas Manifold Pressure -0.03 in.WC -0.07 in.WC -0.09 in.WC -0.30 in.WC Gas Connection Size 3/4 in.NPT Main Supply 120V AC,60Hz Power Supply Maximum Power - -�• Less than 10A Consumption Casing Cold-rolled carbon steel Supply Connections Materials Heat Exchangers Primary and Secondary:Stainless Steel Exhaust 2 in.or 3 in.PVC,CPVC,approved polypropylene'(*see Installation Manual/ormoredetails) 2 in.or 3 in.Special Gas Vent Type BH(Class III,AB/C) Venting Intake 2 in.or 3 in.PVC,CPVC,polypropylene 2 in.or 3 in.Special Gas Vent Type BH(Class 111,A/B/C) d O p a Vent Clearance 0 in,to combustibles O $ Safety Devices Flame Rod,APS,Gas Valve Operation Detector,Ignition Operation Detector r Water Temperature High Limit Switch,Exhaust Temperature High Limit Sensor 15SN01nni I I".. •NHBQS5M 11r C=mn0 connection Size •Rubber Grommet m 1' O Space Heating Return m 1" O Condensate Outlet m 1/2" ®GasConnectlon 03/4' •Space Heating Supply m 1" •Navien reserves the right to change specifications at any time without prior notice Navien,Inc. 20 Goodyear,Irvine,CA 92618 Ph:(949)420-0420 Fax:(949)420-0430 www.Navien.com Rev.11/16 1. a. �r r E LU chi, o •� Q�oxection E In V p LU 3 c Lu"". CD o �4�� e a �e �.+ o `n Z .� p a it �I V O 0. CIO cz <.[ E L •D w E loo S it I r� < So 0 ll�NTl." 111�N111041, •" ds�-s7,—�'1 A VVa�,,''��,p•� � IA t•..tp�,(��/��y A A� CERTIFICATE OF LIABILITY INSURANCE FATE 11M15/23rv1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: PETER J BOCCAROSSA & ASSOCIATES LLC PWC.HONE 203 847-3757 Fvc No): 203 847-8296 95 Main St n DRESS: boccarossa insurance ahooxom Norwalk, CT 06851 INSURERS AFFORDING COVERAGE NAIC If INSURER A: ST.PAUL GUARDIAN INSURANCE CO 24775 INSURED INSURER B: TRAVELERS CASUALTY INSURANCE CO 19046 20120 AIR MECHANICAL CORP INSURER C: 50 SOUTH END PLAZA INSURER D: NEW MILFORD, CT 06776 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMBS TR IY POLICY NUMBER MMIDDYYY /Y MWDDYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A A TfFN CLAIMS-MADE X OCCUR PREMISES iEa occurrence $ 300,000 MED EXP(Any one person) S 10,000 A Y BIP-3W94495A 02/21/23 02/21/24 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 XPOLICY JECT IRO- POLICY PRODUCTS-COMP/OP AGG S 2,000,000 OTHER $ AUTOMOBILE LIABILITY EOMNdeD SINGLE LIMIT $ 1 OOO OOO ANY AUTO BODILY INJURY(Per person) S OWNED B AUTOS ONLY X AUTOS SCHEDULED BA-3W682968-23-42 02/21/23 02/21/24 BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per acddent f UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE - N I A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS. RYE BROOK NY 10573 AUTHORIZED REPRESENTATIVE, ©1988-2015 ACCIRb lid 0RPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NTW Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured 20/20 AIR MECHANCAL CORP (860)350-1311 5 OLD TOWN PARK RD NEW MILFORD CT 06776 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 201679601 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) THE CHARTER OAK FIRE INSURANCE COMPANY VILLAGE OF RYE BROOK 938 KING STREET 3b.Policy Number of Entity Listed in Box 1a" RYE BROOK NY 10573 UB-4W822861-23-42 3c.Policy effective period 2/21/23 to 2/21/24 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) XJ 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"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►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: KRISTIN GONZALEZ (Print name of authorized representative or licensed agent of insurance carrier) L Approved by: L- " I1 /5 Ila (Signature) (Date) Title: LICENSED AGENT Telephone Number of authorized representative or licensed agent of insurance carrier: 203-847-3757 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