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HomeMy WebLinkAboutMP24-082 BRn'�`. t��w Jv�W 1911 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE November 7,2024 Robert O'Neill&Melissa O'Neill 4 Loch Lane Rye Brook,New York 10573 Re: 4 Loch Lane, Rye Brook,New York 10573 Parcel ID#: 136.21-1-34 This document certifies that the work done under Mechanical Permit #24-082 issued on 6/21/2024 for the installation of new condenser and coil has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �E BRC�k BUILDING DEPARTMENT ❑BBUILDING INSPECTOR D 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 : L O,- , L. DATE: 1_ PERMIT# 1�Q 1 :��lL ISSUED: SECT:__..BLOCK: LOT: e5. LOCATION: �: r< ,_._� OCCUPANCY: f ❑ VIOLATION NOTED THE WORK IS... Q ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL OTHER s c N CIAo A = �I N � w -a v' �" ■ C4 � 72 CA ham! 14 M 0 0O H y ' O \ 1 p W A Lu O a o v ° Ob . av � Ohit a Q2. 04 u � � � (� g uz v v 00 �rn vvaaCf IIC�IIw : � x m U d o ? v �I = x W p3 o z c 14 x _ BUILD (cM�'MENT Q �C E ME VIL OF RY OOK JUN 2 0 2024 938 KING ET RVE BR ,NY 10573 a ea �;, v VILLAGE F RYE BROOK ov BUI DIN oDPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENTT FOR OFFICE USE ONLY: PERMIT#: /t'1'/Ios )�_192 Approval Date: L - 2 q - ZQ Z`1l .. Permit Fee: $ /ISO rPZ�s Approval Signature: 11;;:�_ �t�—� Other: Disapproved: (tees are non-refundable) **axir*****************ie*�c**is is is it it ika x�r*ir*ic is i#t it*k F is it ac is iicxxFxic is is at is*aic icx is it ie it*ir k k*****************eY*9c**k*x* DO NOT START WORK or CONSTRUCTION UNTIL A I'I.RMIT HAS 13EEN [sst I:I) BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REQUIREMENTS FOR RELEASE OF PERM]T&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of R%e Brook must he listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Dorm#C105.2 or Form a h263 Ior NY State:Workers Compensation kk aie cr) 4. Payment of Fees/Unit: RI:SII)I:N"flAI. = $150.00/unit • COMMERCIAL = $450.00/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. �oS Sj36.21�8tJL3y �� 1. Address: L o e t4- ,¢,✓E ��'� �,�a.r k 7Y SBL: Zone: >�- 2. Property Owner: eoQE-9 14f/_l f JIA 6 is/�-�c c, Address: y C aCf� L A,✓� �yc �,�o err 104-/? Phone#: �/7 y1s r.?q/ —Cell s#: Qt7 Wr J-??Yf email: rpone"lle q•' 4;/. 3. Contractor; w�j(/�t �f>h IGr*1 ! �T (1 G Address: /l1ry�d7��� �+� UAke P4,.t Phone#: - �n 2 A4- Cell#: email: M 0, L"fetf ae,�vi/ae;,,� 4. Scope of Work: New Installation( )• Replacement( )•Removal( )•Other( ): 5. List Equipment: 5 h 9/f1/ h (e,_ co/ .�I0/,e 6. Location of Equipment: Lf t 513 e- %,NA : 4�e 7. Method of Installation/Removal(list all equipment needed to perform job): 1 6/l/2f124 STAT OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duty 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 /L- Sworn to before me this / •--� day of ��t>to 4rl- ,20 ZLe day of U r? C- ,20 Z(Ic ac�10- �� O�W�' Si attire of Property Owner Qature 0- Applicant / tea 3ca-r L-)70- .5e-P& J4 Print Name of Property Owner Print Nnme of Applicant Notary Public Notary 1't►hlic RHIANA USZENSKI Maria8oco: NOTARY PUBLIC-STATE OF NEW YORK NOTARYPIJBLIC,STAII_UF .;.wy0RK No.01US6412548 Registr anNp Qlpit.,,, ;;2 ivalified in Westchrste!C -unty Qualified in Queens County n.o,ssua!fe, r"Scl;trmoer2l,2t724 My Commission Expires 01-04-2025 .. This application must be properly completed in its entirety and must include the notarized cignaftlre(s) of ` the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Arty 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 6/l/2024 _ a M ` N � � LO it 0 W 00 C) V) a Ey z �. N 4 O ■ F Q W p ►" V oC 000. xx O a W cn '� W" (�� B a3i G�4 �7 w �-+ ON ,� W a '--1 `�' � vai a ua � x • Z x s N z ~ O D T-4 S a Z v W Z w z N w g w Ln ob W N ' • W CY. Ln ` a O 10, z o V -= W U M1 a z w Z U z _ Cl) W I�i CJ M v `n z W v, Z ` .4 zy A U w a. MM00H M�1 FBI CN z z _ V O w oZ a a3 H94 w a x W p owa F• Wz Ug W z A~ w x Cl) o z o cn V 1 0.4 O v O W z U Vg x U a" � 9a s BUIL DWP$,�TMENT Q E C E_ � V LE VIL 1E OF RYE OK 938 KIN ET RYE B NY 10573 1 JUL 2 2 2024 �i , n . ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT ID ELECTRICAL PERMIT APPLICATIO �r Westchester County Master Electricians License Required I €�►= ���,tlf r t��t f_P'�E_ _ �__ / oea' I F, r �; _/�3 Approval Date: 2-�2 I Permit Fee: $ /c�5—P/) Approval Signature: Other: ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE, BUILDING INSPECTOR. T11E ADMINISTRATIVE F FF F OR WORK PROGRESSED OR CO ,1PLFTFD WITHOUT A PF.R`rIIT IS 12% OF TI1F TfYT ,.T f-f`CT rl (^f`••RT^1'r'rlf`�T IVYT-11 \ 1. 17117 -7- rr Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures, or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will b I e in conformance with all applicable Federal,State,County and Local Codes. / 1.Address:4 —ecAi Lane, SBL: /3�i c� —3-T Zone:/"p- 2.Property Owner: t-It- OWL 1 �k Address: 'i LCkih Lc.,n e, Phone#:q'l7 4-I$ 5`641 Cell#:qi) 4Ig 534 ( email: r O r, i� . 3.Master Electrician/Licensed Installer: ni � Address: Lic.#t7.�5 Phone#: �� � �� Cell#: email: __�w, ] 3 Company Name: /V� i C®I1 ddress:sl'Be�11 — t AA� gyp . LApCO 4.Pro osed Electrical Wo� ix u re Count: �t 5new, ne"Ico CJ mc4i( ccvni 5.31 Party Electrical Inspection Agency:S V4)I STATE OF NEW^NEnW, IYORK,COUNTY OF WESTCHESTER ) as: �vJ �V�i�(/ .being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual igning as the applicant) state that(s)he is the /rl Qf2j!& r-;Ler,ttt j QVI for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer)— The undersigned further states 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 Pefore me this I I + CLAUDACHIERA Sworn to before me this I � A_h day of 12029 Ndwy Pubic.SUM of New Yb* of 20 a!f ? Vua1BiReg.in No.01$C�1 228822 �,,� Sign ture of Property Owner Om erAuion�"�� i ature of Applicant P c; Ic 75 Nh 7 ne of Property ner � t e of Applic re- ),a.1 A 6-4 4 A_� 0, -0 Notary Public otary Public 6/l/2024 STATE WIDE INSPECTION SERVICES, INC.! Service With liril 0•• • • SWIS JOB APPLICATION0. • Office Use Elect. Permit# /J / 3 Date? ,, /2� Bldg Permit# Scl Ft Plumbing Permit# ( f Final Certificate # City/Village O Zip t G Building Dept. ��rOO �i County Address 4 L t O t Crosls Street Section Block Lot Owner Name/Address cif dierreent than above) fzAe(4- 0 , f )e; h Contact Number �/ � U !y 5 3q l ❑Basement ❑ 1st FI. ❑ 2nd A. ❑3rd FI. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect Is Legalization n❑ Safety Inspection ❑Consultation �.,f8a � •iron G� �L l Ins t �� 1 Ov�dOer C'F'Z D J U L 2 2 2024 VILLAGE OF RYE BROOK BUILDING DEPARTMENT This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at any time of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional Items Inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address-sn • 1 1 e1/y LQ Name License# t- Date 7 ?Z z Signature N rdlrpe S d1rc� City/State t J 1 ., Iyis y✓ Zip Code ' ti O y f Q arrtq (,Or, ® vv �L�i Phone#I57JO �' �� (� (� �f (� I State Wide Inspection Services CAC) D V L� VV I� 1080 Main Street Fishkill, NY 12524 T01W 0 SEP 2 6 2024 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES V{LL.AGE OF RYE BROOK Email: office@swisny.com Service VV/th Integrity BUILDING DEPARTMENT Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: NewCo Electrical Contracting Robert O'Neill of Westchester-James New 4 Loch Lane 59 Benedict Avenue Rye Brook, NY 10573 White Plains, NY 10603 Located at: 4 Loch Lane, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP24-153 136.21 11 1 34 Certificate Number: 2024-5844 Building Permit Number: MP24-082 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 4 Loch Lane, Rye Brook, NY 10573 The Garage and Exterior were inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 23rd day of August 2024. Name Quantity Rating Circuit Type Condenser 01 Exterior GFCI 01 A Visual Inspection of existing conditions was performed on August 23,2024, of the Garage and Exterior and Conforms to NFPA 70-2017 NEC. No Defects Were Noted. officer: Frank J. Farina This certificate may not be altered In any way and Is validated only by the presence of a seal at the location Indicated.This certificate is valid for work performed on the date of Inspection only. DIVERSIFIED ' NEAT TRANSFER /NC DXMC Series (M-Style) EVAPORATOR COILS NOTE: NOT APPROVED FOR USE WITH Specification Sheet HEAT PUMP SYSTEMS The DXMC Series high-efficiency evaporator M-Coils provide an excellent option where low profile installations are required.The coils are applicable in up-flow or down-flow configurations.Each coil comes TXV ready with threaded equalizer port and liquid connection for simple field installation of OEM expansion valves.Multiple pistons sized for the nominal tonnage span of each coil are included for fixed orifice metering. Features: • R-22 or R-410A • Bi-Directional Airflow • Enhanced Aluminum Fins • Rifled Copper Tubing Pistons: • The DXMC 1836 can use any of the following pistons.051,.061,.067,.074. • The DXMC 3048 can use any of the following pistons.067,.074,.080,.084. • The DXMC 4260 can use any of the following pistons.080,.084,.043. I1XV ECUUZER COVN. P, _ 7/8 OU j---• r-� ' '3/8 u'GF i I . 2 .. .3.} SEC"_I+AA, DBAfN CONN. I-----za",- —3 i--- n—----• Model-DXMC Face(ft') Coil Rows A B C 1836 3.67 2 17" 8'/4" 5" 3048 4.58 2 21" 10 6?5" 1/6" 4260 5.50 2 24" 12" 8 pie" Capacities: CFIVI 600 0.11 27.6 18.4 29.7 19.6 800 0.16 32.7 22.5 35.9 23.8 1836 1000 0.22 36.4 2S.9 40.8 27.8 i 1200 0.29 39.4 29.0 44.9 31.3 1000 0.17 42.6 28.7 47.2 30.8 1200 0.22 47.6 32.7 51.0 i 34.2 3048 1400 0.28 51.7 36.1 56.0 33.1 1600 0.34 55.3 39.4 60.6 41.6 1400 0.21 55.1 38.0 60.0 40.3 1600 0.25 59.1 41.4 65.1 44.2 4260 1800 0.30 62.7 44.6 69.6 47.8 2000 0.35 65.7 47.S 73.6 51.1 The DXh9C Series may be used to replace coils outside of these capacities.For cooling only coils,select the model that most closely matches the face area and slab rows of the coil to be replaced.For heat-pump coils,the internal volume of the replacement coil must be within 3%of the coil to be replaced.The DXMC coil shall be metered to match the system condensing/heat-pump unit and charged accordingly. o ,'a a www.dhtnet.com Pr"-DAIKIN DX55E UP To 17 SEER2 SPLIT SYSTEM AIR CONDITIONER 11'2 TO 5 TONS Contents Nomenclature..................................... .2 Product Sperifications.. .....................3 Expanded Cooling Data........................4 Performance Data.. ..................... Ig AHIRI Ratings(see note)...................... ig Dimensions..........................................2U tj Wiring Diagrams.............................21 Accessories.. .............. ............ 24 M Standard Features 0 Cabinet Features • High-efficiency Copeland*scroll compressor - Removal grille-style top design • Advanced Copeland'CoreSense'"Technology compliant with UL 60335-2-40 • Copper tube/enhanced aluminum fin - Venturi for increased velocity of airflow roil-Snim diameter on 1_5-10T - Custom Nickei Gray powder-paint finish • High-density foam compressor - 500-hour salt-spray tested sound blanket - Wire fan discharge grille • Factory-installed filter drier - Stee louver coil guard • High-and low-pressure switches - Rust-resistant coated screws • Service valves with sweat connections and - Top and s4ie maintenarce access easy access to gauge ports - Single-panel access to controls with space • Fully charged for 15'of tubing length proviaed for field-installed accessories • AHRI Certified;ETL Listed - When properly anchored,meets the 2020 Florida Swiding Code unit integrity requirements for hurricane-type winds(Anchor bracket kits available.) Intertek Prte —t.4 iGtix..`*-i.— b., oe wr4*wc ws,.w(srA(o.2oww M by the Lmwd"a'_.'n"Ogw~ Ttas Ow ri a iiok.n SS-OXTSE %-*wdaxincomfort.com OW23 NOMENCLATURE D X S S E A 36 1 0 A A 1 Z 3 4 5 6 7,9 9 10 11 12 ennd D-Da.k.n Miner Rev1 1oro A.'nmal Release 8 1st Revision T IN 9ystam Majorttevislom X-AC R-410A Ainrtal Rakase Z-HP Rd10A B Ist Revision SEEN Varlatbo 134137=3 166-175=7 138 14 5=a 17 8.18.5-8 tlactrlai 14 6-15 5.5 186 19 5=9 1.205/230 V.1 Phase,60 Ht 256.165=6 196+=l 3.2C8/230V,3 Phase,60Ht 4 460 V.3 Pha^w,Fiji a,J Com Nominal Capacity S-S ng:e Stage V-Vana6:e Speed 18-Iii tens 42-3%tons T-Two Stage 24.2 tors 48.4 tons 30-2k tons 60.5 tons Feature 36 3tons Ci-frtrLduttory C Comm—i-ting(Tap Flow) E-Er.hanceo S Side Discharge Communicating lobs Region N-North A•A'Reg+ors S Southeast&North 2 wwwdaiki�c mfort.com SS-DSSSE PRODUCT SPECIFICATIONS a t: CoouNOGitail T Nominal Cooling(9TUln) 18.000 24,000 30,000 36,G00 42r000 48,000 60,000 Dea16els(deA) 71 71 '71 74 71 72 75 ALA 9.0 11 S 128 14.1 177 19.9 23.7 LRA 42.6 59 5 65 874 1102 110 151 Stage Single Single Single Single Single Single two t,. Scroll Scroli Sow, Sacill Scrol, Scm Scroll CONDENSER FAR MOTOR Motor.Vpe PSC PSC PSC PSC PSC PSC ECM r+or<ep�wer :/g 1j6 1/6 1!6 1/4 114 1/3 FLA 0.70 0.95 0.95 0.95 1.30 130 2.90 RLFRIOERATIM SYSTEM Refrigerant Line Size' Ugwd Une Sae f"0 D J yr^ K^ •,4• ,K• �i" W %. Sutton Line Sae("O D) 1G" V. Refrigerant Connection Sae Uguid Vahre Sae t"0 D 1 ." ya" is` till Suwon valve sue f"ODµ+ A` H h'• Sf' f5• %. Valve Conne;tipn Type Sweat Sweat Sweat Sweat Sweat Sweat Sweat Aefft#,Atst thaE.• 64 72 101 102 177 1bc, 209 `ELETRIcAL DATA Yoitage 1&7 HtJ 208/230-1 208/23a1 20W30-1 208/230.1 208/230.1 208/230-1 208/230.1 Ml•-rnum Circuit Ampa"'• 113 15.3 17.0 1136 234 26.2 32-4 Max Overturrent Protector• 20 25 25 30 40 45 50 Mm!Max Volts 197/253 197/253 197/253 197/253 197/253 1971253 197/253 E otar:ui Conduit Sae 15"or S4" Si"or U, I n"or%' h'w%' I W or X" 1S"or 11" War W UNIT WERiKn Equ,pment weight 126 151 202 202 260 260 283 Sh PDmP v`,-01 ;:Z 169 224 224 282 282 3t* ENERGY STAR'CERTIFIED --_ ' L,ne sites dented Aw W ire I'M.tested And rater inac:�-bane w th AM Slsrdard 2Ia11ad Fcr cihtr sn.set k. di.tong Line Set App.callons go"ta eyes eR sites,nNer to the"as,.>.annn xtlons an1'pr ' imla'4r wwl reed to suppty%'to A'aisid sr,,r s..orml.w conre00m ' imta;er grin need tc s:mpY%"tc 1 w"adiptes for wcTon I,ne iannectsons • Un t,s factory charged wdn rear wam kr IS of W 4,ed i:ne System choral must be adl.Avd per Ina E"a1 hale A,,Aslment proc,,,, `Wnd,n the I%D:IaTan 11,41mcnors. ' %V.'e s is,nro.td be detenrdwdm accordonre wrh Nwonal E4ttrcai Coda.eylenHYe w.re rigs..-:e.r„u.e ararr,Sins • Mutt use tme-deiay NSA%cr MACA-type nn:Y t breakers Cf tM Sane S.se as xted Mores • tiwAys ehecatM Siapate ttx e�ecnca�dats to the untba'y,ntu'ed EIRReY STAR MOM Propersungand-r;sy�..at, ��r�:;;=::ant;s a�rU�to ac+tn+ng oDhmal perrdrmarce ScLt system a:rt d^ores And heat pu'nps must be matcned w to app,epr,u,cw <—PPent$to meet ENERGY STAR opera Ask yuur cmtrattor Y:Y detaAs c•wst wwwer:erg srar,aor The www eneraystaraO,wabca,pa dos uo-to-dam sysMm�a•rbnr tons cernfied to meet ENERGY St"n`.fiJa La SS-DXSSE w.vw daik:ncomfort.com 3 PERFORMANCE DATA -- DXSSEA 1f30A'jCA'TAlfif'AA•.[f0 DX5$EA241GA•jU'TA2422-"-+EEP ? [tlNDIl10N3:80'f 380,67'F 1'NS LO 600 CFM CONDMONS:90'f 180.67'F JW6 0 795 CSM 13,250 5.6D017,150 8,15G i 13,35C, 5,300 1.260 F;(i 2SS700 17.250 7,750 1,570 a5 18.4CG 13,400 5,000 1,320 a5 24,7W 17,310 7,400 1,750 90 18. J 1i 3VID i 2-✓ 90 24,151 1 1 1:L30 i.f44 f 17,15C 12,950 4.200 3,530 1t1: 22,950 16.750 612M 2030 10S 16,6SU 12,750 3.900 1,610 10S 22.300 16,500 5,800 2.130 11D 16.200 12,80D 3.400 1.7±x? 110 21.700 16,600 5,100 2,25C /1S 1. 12.850 2.9V ii5 21.100 166:,O 4.4S.l TVA CONDITIONS t 95'OD 08,7S'ID 08 63'ID We TVA CoNOITIONf f fS'OD 09,75'ID Do 63•ID We. 95' 17,Ow 32,fSO 4,ISO 1,4160 95' 22.750 16,600 61ISD 1,930 DXSSEA3010A'/CA•TA3022'4A•+EEP DX33EA3610A'/CA•TA3626'4A'+EEP CONDfr10N1.30'F 16D,67•f 1W1 0 1D00 CFM c"Immom SG'F;80.67'f 1W6 0 114S CFM 21.II"200II 4,250 __. :9 ' 3G.6`7 25.9IXl 80 30,:00 21.300 8AM 1,970 80 36,200 26,050 10,150 2.410 a5 29,7W 21AOD 8,300 2,070 85 35,750 26,150 9,600 2.530 1 7 90 35 rA': SG0 27,60"21, 61850 2,400 100 33,250 25,300 7,950 105 26,800 20.450 6,350 2,510 105 32,3M 24,95D 7,350 3,DW 110 26,100 20,550 S,S50 2,650 110 31.,450 25,050 6,AW 3.270 :15 25,350 2e1t�W 4.1;0 2'm 3Q550 31ISO •s,i"K? ?4SL TVA CONOmONS P 93.OD DO,7S'10 O8 63'10 W! •.TVA CON D1710Ffs 0 95'00 D8,75'10 DB 63'aD we 85' 27,AOO 20,SSO 619SO 2,288 1_ 95• 33,CW 25.DS0 71950 2800 DXSSEA4210A•jCA•TA*jw-A•.1EP J(''� DXSSEA4810A•/CA'T4961'4A'+EEP [a4o+rrows SD'i18D,67'F1W6p1/00LFM C;anmohS#0•FIND.67'fIWOIS1450CFM • 7S a49W 31,100 u K?-- 2,640 75 48,750 52.A5 14,90L 97U 80 42.M10 31,250 11,750 2,780 80 48,150 3a,0pp 14,150 3.14G 85 41,850 314D0 ioaSC 2920 85 47.550 3a,150 13s0C 3.307 90 4,;S; 31.1ts 9 E:d'• 3,070 90 4n 5 ", qt <:: 3 4P'1 lOC 3R,900 W... 1.3'K., 1GU 44,200 11.1'fs 3 4ER7 105 37,750 29,950 7,wc 3.560 105 42,90C 32,60D 30,300 4%D 110 35,7SO 30.100 6.650 3,760 110 41,75C 32.750 9,DW 4,2W 115 s vc,, 775 1 44&"x'. 32 4•.�:. TYA CONamONl 9S'OD O8,75'JO De 63`10 Wf TVA CONDM0Ns 0 95•OD D8,75•ID ON"63'10 WIN fS' 38,SSO 30,100 8,450 3230 95' 43,111SO 32,800 11,050 3,660 DXSSUWWA'/CA'T4961'4A•.EE► CONaInO♦S:20•F IND,677 1W 8®1700 CFM 3,770 75 41.250 18,9tX1 90 ?.: 4L4S0 18 ifXG a5 58,700 41,600 17,100 a,21U 100 S41''6 4+.',.EL2 14,4A 41,960 105 !,Jjw 39,550 13.450 5,220 110 51,700 39,SW 11,9C0 5,530 115 X s00 19.9 R< 1C.47: 5"SA:, TVA Cl WtftMASrOD06,75.100863.10W8 $3. 31k1w 39,9w 14,350 • 18 wvwda kincorrfoft com SS-0x5SE 3SSXC-SS UD-)ljcjwo-jtjr4lLpv%m OT "Ag E XSf /Sf 5119E VSE 'isE Volzvy3ssxo %6i SISE "Isf VO19Ev3sm S%E IASF sISE vozotv3ssxcl 9z 91 VoTvi—vis—xo SNOISN3WIC ...-...m G+ 4� va J Q C v U lt Lo "ONO = W O c R • � a,i �.. Z � oC �? �� � ►^.. C,� W � � � � ��GttOft C/1 r W �_ ai C oG o Q � � -mac* � ,, _-`; ,•x, Co LU s� uj co 00 r t o C � ksuk, sd' `•��•�a*. � "`"�41r- '. 1. �,� {��?� � .. t- ` .. -�� i MASECON-01 DCOHAN .4CORO" E6/12/2024 ATE(MM/DD/YYYY) ik� CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),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 Cohan Associates,Inc. PHHCNN,Ext:(914)422-0500 n/c,No:(914)220-1440 27 Cleveland Street Valhalla,NY 10696 E-MAIL .CohanAssociates@optonline.net INSURERS AFFORDING COVERAGE NAIC# INSURER A:Midvale Indemnity Company INSURED INSURER B: Maselli Contracting&HVAC LLC INSURER C: 29 Cambridge Ave Apt 3 INSURER D: White Plains,NY 10606 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 NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F_X]OCCUR X CP00036641 2/1/2024 2/1/2026 DAMAGE TO RENTED occurrence!i $ 100,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PPOLICY ] PE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident) $ 1,000,000 ANY AUTO CP00036641 2/1/2024 2/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PERTU OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Additional Insured:: Village of Rye Brook 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 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10673 AUTHORIZED REPRESENTATIVE ACORD 26(2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIP New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE %m�* ,^^^^^ 831148139 COHAN ASSOCIATES INC27 CLEVELAND ST VALHALLA NY 10595 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MASELLI CONTRACTING& HVAC LLC VILLAGE OF RYE BROOK 29 CAMBRIDGE AVE 938 KING STREET APT 3 RYE BROOK NY 10573 WHITE PLAINS NY 10605 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2496 551-9 429352 12/11/2023 TO 12/11/2024 6/12/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2496 551-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEP AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSI'TE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THA''ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT JOSEPH MASELLI V. PRESIDENT BRIEN B TEXEIRA 2-OF-2-MASELLI PLUMBING& AIR CONDITIONING INC. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST 7HE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STAT S7UNCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 617002796 I I_7R'i