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HomeMy WebLinkAboutMP24-166 t C 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 March 4,2025 David Tomback&Jessica Trosterman 96 Brush Hollow Close Rye Brook,New York 10573 Re: 96 Brush Hollow Close,Rye Brook,New York 10573 Parcel ID#: 129.84-2-85 This document certifies that the work done under Mechanical Permit#24-166 issued on 12/30/2024 for the installation of a new oil fired boiler has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �yE BR(�k• 1. 1982 BUILDING DEPARTMENT ❑BVILDING 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 : q L'7 DATE: PERMIT# // r / - lD h ISSUED: SECT: IZI. BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 0 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 QyE BR(�jk. cu � 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 : 1 V� (vr(iI �� f `J `b`j ` b i- DATE: C PERMIT# �` ISSUED: Z•Ja' 1 SECT: Y� BLOCK: LOT: LOCATION: r ( ( '7 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ 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 ' C W v v 14 V) 04 z a ` W c„ a a, , a. rn W �"� 000 p40. CE Cj of O Lr) � � rl � � � � � C � v � ■ a v o 'U ■ © ��! qT MCI W (N M W B b = 00 It ■ ., p� � F, u 0 b � e � ■ O V 7O z O A Uv` FBI H O 4 z uz -CA � . O o O E .a G 11 F+�ICA U 4 d cy 4) 0 z O 0fti D v ►� w +� a o U o ° �v w N � o zLn V a v� a cL u o z A p A 0 � A W z �, odoa BUILD .D1= - MENT n nn I� VIL OF RY OOK l� V !� 938 KING ' 'ET RYE BRna ,NY 10573 DEC 3 O 202� 4),9319704$$`� . ov VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: Approval Date: Permit Fee: $ I Approval Signature: M Other: Disapproved: (fees are non-refundable) rxxxx,rxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx*x*xxxx,ttx*xx�rxxxxxx***x*xx*x,�*xxx**xxxx*xxxx*x*xxx#xxxxx*x* DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED 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 PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder) &Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$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, 1 l® fit`{ 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: 1 I SBL: 1a4• Zone: Q l� TNr2. Property Owner: i �. Address: lc, Phone#: C , ` I Cell#: email: I 3. Contractor: r (-AswI n r Address: !, lt;, 1.1 P�' �t�\�'c��n1 k�k ril Phone#: q N I O,',�A JLtOQ Cd#: email:_kwx.t d ems�-mU4 C�.t+;"MEW ay-, V 4. Scope of Work:New Installation{ )•Replacement(�� Removal( }•Other( }: 5.• List Equipment: �)I1 }i C:LA 1 C- 6. Location of Equipment:n C�i ,CQc � ? 7. Method of Installation/Removal(list all equipment needed to perform job): (Acy)r--eA 1 6/l/2024 (�Wc.�cLX.r FK,-r�,c(J STATE OF NEW 1r4f,�K, COUNTY OF WESTCHESTER ) as; 1't t K- on" (e(-%" ,being duly swom,deposes and states that he/she is the applicant above named, (Prior name o individual signing as the applicant) and further states that(s)hc is the Master Plumber 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. 1 A, t" Sworn before m this 1� Sworn to before me this 3 0 day of }�Y ,20 day of CPS C r 20 4-k--, Si cure f Property Owner Signature of Applicant Ivy( V f d -Uu cc k A (l I (h Print Name of Property Owner Print Name bf Applicant J W,)TMIC K. RUSSO Y PUBLIC-STATE OF NEW YQRK Notary Public No.01 RUB313298 N ary P-u-titic Qualified in Putnam County SEA,N LYTLE My Commission Expires 10.20-2026 ROTARY PUBLIC Ry Cammiselon Expfres Aug,31,2Q2s This application must be properly completed in its entirety and must include the notarized signatur-(3) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications 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- 6/112024 BUILD MENT VIL <d RY OOK 938 KING E�R '<>Ql'` ,NY 10573 .4 aQ bnoo ov AFFIDAVIT OF COMPLIANCE VILLAGE CODE 216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL. PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 3S,- Do V((9 1 Vyo"J a C k , residing at, �c r V-� S� 1 f6 (Print name) (Address where you live) being duly sworn, deposes and states that (s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 14(/L ( �C) �p Rye Brook, NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Propert wner(s)) Dov/ d 1 (kt'66c/� (Print Name of Property Owner(s)) Sworn to before me this �1 =of) 0 2 (Notary Public) MICRELLE K. RUSSO NOTARY PUBLIC-STATE OF NEW YORK No.01 RUG313298 Qualified in Putnam County -3 My Commission Expires 10.20-2026 6/1/2024 E _ E N c N w s N \ m W �1 M M W ^It N O r!3 w rN NO-W Z z � Lt. 00 Ln W v 4 co •' � z .� C A � z N � ' - O l w v s r00 Z � Oz x � m _ c - �CA , (:� M d o z Z C\ z o 3 Q O z x a Q C, W > ° V 1-0 V � 00 rq Ln W O z cn V Z � w O w z < � � ° x • a g w z w a H ~� /Oyvj F j w i yE,DRw �':� -- BUIL E k MENT p V It u V VIL OF RYE.: OK 938 KIN , y ET RYE B ,NY 10573 DEC 3 0 2024 3D) , v VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICATMIN BUILDING DEPARTMENT Westchester County MasterElectricians License Requireed, FOR OFFICE USE ONLY #k! �/ '��-I EP#: 7 q Approval Date: I2 12 Permit Fee: $ Approval Signature: Other: ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED 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 Application dated, I'.• I b A'-I 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 be in conformance with all applicable Federal, State,County and Local Codes. ` 1.Address: s SBL:I-Aq ay - -a - Zone: T 1 ;� h `� �� �,,_�� � 2.Property Owner: 1 C� I U�hn f Ad ress:C\fin `)YA a� 1`t[A\Su>C ���aP M. L4 ✓ Phone#:CiILA yq'a 1 Cell#: email: tT�-' 0 Gl6o 1_'A - C.rnr. 3.Master Electrician/Licensed Installer: Address: Lic.#: Phone#: �Cell#: email: Company Name: ��CCGZq /l/ C7 ��/eC 7� C Address: 1 4.Proposed Electrical Work/Fixture Count: C.,I 'L(a;y Y';r 0_1 ult r'ir'C LDC��� Qt1 5.31 Party Electrical Inspection Agency: S17&OF R K, \TY OF WESTCHESTER ) as: being du(y sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the for the legal owner and is duly authorized to make and file this application. (Master Electrician/L sed Installer) The undersigned further states that all tements contained herein are true to the best of his/her knowledge and belief,and tha ny work performed,or use conducted at the ove captioned property will be in conformance with the details as set forth and contai d in this application and in any accompa ng approved plans and specifications,as well as in accordance with the New York Stat niform Fire Prevention&Building Code, a Code of the Village of Rye Brook and all other applicable laws,ordinances,and regul tons. Sworn to before me th' Sworn to before me t day of ,20 day of ,20 Signature of P perty Owner Signature of plicant Print Na a of Property Owner Print Name of Applicant Notary Public Notary Public 6/l/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: J&Jdv L(/w�"J�l►� ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of i dividual signing as Ifie applicant) and further states that(s)he is the Master Plumber 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. Swom b fore'm III'& a 7tr ne his Sworn to b ore me this day of Y�I X ,20 day of 20 - Signature of Property Owner Signalure of ppl Print Name of Property Owner ]Print N �pN NOTARY PUBLI ST F F NEW YORK No. 01v 00238 Notary Public HELLE K. RUSSO ary ub t NOTARY PUBLIC-STATE OF NEW YORK My Commission xpires October 14, 20___� No.01RU6313298 Qualified in Putnam County My Commission Expires 10-20-2026 This application must be properly completed in its entirety and must include tfenotarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the apnlinant. -2- 6/1/2024 STATEWIDE • Service With ljittegri�y 1:1 Main Street,Fishkill, NY 12524 1 email:• • SWIS JOBAPPLICATION tel845.202.7224 I fax9l4.219.10621 • • • Office Use Elect.Permit# Date Bldg Permit# Utility ID# Final Certificate# City/Village Zip Township County Address Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number ❑Basement ❑ 1st Fl. ❑2nd Fl. ❑3rd Fl. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms Carbon Monox Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Warm Draw Incandescent Fluorescent SERVICE Amperage Voltage 1P 3P #Meters #Disconnect ❑Underground ❑ New ❑Reconnect ❑Overhead ❑Change ❑Visual Re-Inspection ❑ Safety Re-Inspection ❑ Re-Inspection Additional Information DEC 3 0 M4 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. Inspector Date Finalized Inspector Company Name Date Signature Address City/State Zip C e License# Phone# State Wide Inspection Services 1080 Main Street DD JAN 2 2 2025 Fishkill, NY 12524 TOW a 845 202-7224 Phone 914-219-1062 Fax STATE WIDE INSPECTION SERVICES VILLAGE OF RYE BROOK Email: office@swisny.com BUILDING DEPARTMENT _ Website: www.swisny.com Service With /ntegrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Zaccagnino Electric David Tomback&Jessica Trosterman Angelo P.Zaccagnino 96 Bush Hollow Close 81 Maple Avenue Rye Brook, NY 10573 Rye, NY 10580 Located at:96 Bush Hollow Close, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-242 129.84 2 85 Certificate Number: 2025-0459 Building Permit Number: MP 24-166 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:96 Bush Hollow Close, Rye Brook, NY 10573 The Exterior was inspected in accordance with the NY5 and NFPA 70-2017 and the detail of the installation, as set forth below,was found to be in compliance on the 21St Day of January 2025. Name Quantity Rating Circuit Type Oil Fired Boiler 01 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. i : � c`1 N o4 ■ 1 \ \ L W a,, � � oho y F ■ Q•r Mth �. fA a w � z ,� 00 C G y s CS CL o s fF5CA _. Z � W a .� 0 Q p W > �'—�+ w � J w w W Z A Z W N U W $Ln O aI ., � Q � co 00 u z 01% WFBI J; �i F-1 Z M Q � W c� ✓, _ 'c., c,, V ►� ,� G1 �1 a V U d< CI y zz _ �„� ►a„a � F � a. � � � � F q b N U $ W CA 0 O A � z � H H � z w � � 0 � Q ■ yE BRnuk BUIL E MENT VIL E o RYt , OK DEC 2 3 2024 938 KIN B ,NY 10573 W nv.gov PLUMBING PQERMIT APPLICATION FOR OFFICE USE ON Y BA*— �/- a�— �cC�t%t PP#: Approval Date: '�" Permit Fee: $ �JD Approval Signature: df Disapproved: (fees are non-refundable) ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED 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 Application dated, I% • \kr)��y 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 Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: �p �"1rv�c� CA kxo off.-,( SBL: 1"Q•Q}� — a�— �Cj�j Zone: 4?,U. 1� 2.Proposed Work: �e n Qe&Q 3.Property Owner: Address: Phone#:q • Cell#: email: 4.Master Plumber: Address: Lic.#: ►�(Jq Phone#: 1 4�'zg 8655 Cell#: email: a r m (�- �(,(a Company Name: ! Address: NY INDICATE FIXTURES& LIN TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: 5 Location Water Urinals Drinking Sinks Showers Bade Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Oil 8'; Basement I 1 st Floor 2nd Floor 3`d Floor 4'h Floor 5'h Floor Exterior 5.* List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 6/1/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,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 Master Plumber 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. I �h Sworn before m this l 1 Sworn to before me this �l day of ,20� day of 0 QC kS-- ,20 02 Li Signature of Property Owner Signature of Applicant r^ ( �G Print Name of Property Owner Print Name of Applicant Ntc-p_ Aq, CHELLE K. RUSSO Notary Public otary Public NOTARY PUBLIC-STATE OF NEW YORK No.01RU6313298 Qualified in Putnam County My Commission Expires 10-20-2026 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. Applications 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- • 6ni2024 CLAIRE AKKAWI Notary Public-State of New York NO.01AK0009669 Qualified in Dutchess County My Commission Expires Jun 14,2027 BUILD _ , MENT VIL k;; !`,ti. ' OOK DEC 2 3 2024 938 KINGRi NY 10573 eb 00 ov ******************************************************************************************************* AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK,, COUNTY OF WESTCHESTER ) as�: 31, V U 166 6 c , residing at, qO/ (3 Vt5� (Print name) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; l �� �(S( (- �ld, ( "-r(? , Rye Brook, NY. (Job Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. 7�_ (Signature of ropertyJJOwner(s)) l l (Print Name of Property Owner(s)) Sworn to before me this �1 dav of okuw0tv , hk � ku I k � (Notary Public) , MICHELLE K. RUSSO NOTARY PUBLIC-STATE OF NEW YORK No.01RU6313298 Qualified in Putnam County -3- My Commission Expires 10-20-2026 6/1/2024 INTRODUCING . . . ► i � � , Ascent TM Combi boiler by Energy Kinetics Simple technology that cuts See tnote at the the high fuel bill of tankless coil boilers! bottom . ... U1P Ascent- SHO06 WITH OPTIONAL SILENT BURNER COVER ENERGYKINETICS • Proven 30 year boiler! lumps FAR AHEAD • Whisper quiet with silent burner itioned cover — no need to turn up the TV! o • Combined heat and hot water IInkless coil in one boiler with hot water priority! i + • Replaces 2, 3 and 4 section oil boilers! • Lifetime Limited Warranty For high flow showers, fast fill tubs, higher efficiency and more 'awd,101MIM, fuel savings,or if you currently have a hot water tank, ask about our other great Energy Kinetics products!(See back cover.) i cuts Ascent's revolutionary fuel bills Sealix'�'plate heat exchanger (PHE) season after This innovative _ state of the art PHE - delivers reliable, continuous hot water — unmatched by any other tankless coil boiler. The Ascent Combi is ready 2417, . . . just like Plus there are no studs to break or gaskets to leak, with easy-to-service union conventional tankless coil connections. Our Sealix` non-stick coated surfaces prevent lime and mineral boilers. But because of its build up for exceptional long-term performance in hard water appliications. unique design and plate heat exchanger, it cuts your energy bill year after year! There's no tankless coil boiler that can compare for • energy savings, quietness, - and hot water delivery. IL For even greater savings, you can select either a smart learning mode or on- • demand operation at the touch of a button. Tankless coil boilers typically fail at the Tankless coil boilers waste coil flange or cast iron sections. Ascent fuel through draft regulators. If you don't use hot water has no coil flange or cast iron sections. Ascent has no draft regulator. overnight during summer months, then your boiler zao F does not have to run! ✓ It's so smart, it can learn your weekly routines and be ready when you usually need hot water and save energy when you don't. ` T. 10•F Combi boiler by Energy Kinetics INFRARED SCALE Infrared doesn't lie! Shown at left, a tankless coil boiler wastes heat and energy through jacket loss. Shown at right,Ascent sends more heat into your home. Data and conclusions are drawn from the report"Performance of Integrated Hydronic Heating Systems"(2007),Energy Resources Division,Department of Energy Sciences and Technology,BNL,Under Contract No.DE-ACO2-98CH10886 with the United States Department of Energy by Dr. T.Butcher;and"Chimney Related Energy Losses in Residential Oil-Fired Heating Systems"(1990). i These additional design engineering On the Hydrostat`Mcontrol panel, select one of four e and outperform features help AscentY operating modes that best suits your needs! old fashioned tankless coils. Plate heat exchanger. The energy converter is a proven 30 year Our smart spiral design for the Hydrostat controls Ascent highest efficiency.There hot water comfort are no sections or pins and efficiency to foul,clean,or leak. �+ and outperforms tankless coils. Removable stainless 3Y steel alloy combustion chamber for clean Optional silent burner burning operation. cover combined with Heft 2 inch thick our spiral boiler design y delivers whisper Insulation wrap quiet operation. for high efficiency and quite operation. Built in stand keeps Ascent Swing down door off the cold floor. for easy accessibility. i Hard water?Add a scale stopper for reliable operation (up to 25 grains of hardness)without cleaning! MIS Optional Clean In Place (CIP)valves location. Optional boilerside Q�!!![ ; Flow switch Y-Strainer(CIP). for fast hot ^ water response. High performance Waillill mixing valve for i consistent hot water temperature(CIP). With the silent burner Sealix'coated plate heat cover, Ascent is more quiet exchanger(CIP). than a microwave oven! Air elimination for quiet operation. Our smart Hydrostat" lily can learn your weekly routines` x:.>. 2 inch thick insulation wrap. High efficiency Taco ¢" � circulators. ModelAscent Combil Model EK1T Ascent Combi Installation � Weight 3151bs. Dimensions 49Y2" Water Content 3 gallons A 30Y2" i Air Inlet Pipe Size* 3"PVC 20" Boller Flue Outlets 5" •- ' ' Hydronic Supply 1" Hydronic Return 1" Recommended Hot Water Supply 3/4" service clearances: Hot Water Make-up 3/4" C� 20"from front door face Bypass Circulator Taco 007e 5"from left side 12"from right side Hydronic Circulator Taco 007e 48 Reduce to 2"PVC for up to 20'plus five elbows Clearance to t 6"liner recommended for 1.25 GPH firing rate combustibles: 4"from rear cover Dimension "A" See drawing at left ° J 10"above top cover �) 0"from Burner W/O Cover With Cover polypropylene pipe Carlin EZ-1 9" 9%11 0"for all the Carlin EZ-Gas 11%11 123/4" other dimensions Included (factory piped and assembled): ASSE mixing valve, boiler base, blocked vent safety switch, dynamic air elimina- tion manifold, ON/OFF switch and junction box, 3/4"drain valve, plate heat exchanger and combi hot water assembly, hydronic Y-strainer, circulator flanges, door safety switch. Included (field install): Clean in place valves, relief valve, hydronic circulator (wiring included). Draft regulator not required or recommended due to advanced combustion chamber. *6"liner recommended for 1.25 GPH firing rate t Domestic hot water rating based on 77o rise. Not for comparison with tankless boiler ratings. Input based on No.2 fuel oil heating value of oil-140,000 BTU/Gal. MBH refers to thousands of BTU per hour. Oilheat home heating system Natural gas and propane home heating system Input Rating Heating Capacity Domestic Input Rating Heating Capacity Domestic Model (GPH) (MBH) AFUE Hot Water* Model (MBH) (MBH) AFUE Hot Water EK1T 0.85 104 87.0 195 EK1T-120 120 101 87.0 195 EK1T-140 1.00 119 87.0 205 " 150 126 85.9 205 EK1T-175 1.25 145 86.2 270 EK1T-175 175 147 85.1 270 'Domestic hot water rating based on first hour draw with 67T rise and a 3 gpm draw on a 40 gallon lank;first hour draws over 195 gallons are calculated based on continuous draw with 67T rise at maximum flow rate. Energy Kinetics "Tankless coil ratings overstate 51 Molasses Hill Road i® t hot water delivery. They use a Lebanon, NJ 08833 misleading short five minute flow (9 0 8) 7 3 5-2 0 6 6 test. They just can't keep up with Ascent's continuous flows 0 '� r i,lf iT Scan code to visit r, our website at EnergyKinetics.com • Exceptional �. residential System 2000` Resolute-FIT ' r lifetime ENERGY Vlimited For high flow showers,fast fill tubs, `� �µ11EDWAR � warranty! 6;iKINETICS � higher efficiency and more fuel savings, ENERC+Y r; See actual � warranty for or if you currently have a hot water tank,askalan,,; details. about these great Energy Kinetics products _ As an ENERGY STAR$Partner,Energy Kinetics has determined model EK1T meets ENERGY STAR@)guidelines for energy ME 6 efficiency for oil heat input 0.85 GPH.®The color yellow for heating boilers is a registered trademark of Energy Kinetics. 8 LISTED rco�r 4 ri. sss�.�H�S':, _� s s h� ri'-=�r �s..4+1►,� .• s ._4► ��:= 4 , .h ��' ;.� e�..4H�V.'4•� . :� :"` -- ----- O Via}` � •'' � •�'• � CL y r. •. i'' 1� ch v •. W M E O 6J•" Q co 1: a .'11 •�_ u hl .. O y •� O w tw. ' - < 4-.)' it Z CCO c o a' Ction :1 t— _ x e G� < o � F\ 00 ,•> w El CA of .� W ✓� ui „ G ey t :, `*•+ tZ. w O LL _ - LJJ MCA ch I. N _ ��� Q � •'o • - ; o , Yea`•.:... o ,_ �•.,�Q - � o • �'' �� O, A41* R' OS/10/2024` CERTIFICATE OF LIABILITY INSURANCE DATE IMM/ Y) 024 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 NAME: CLIENT CONTACT CENTER FEDERATED MUTUALINSURANCECOMPANY HOME OFFICE: P.O. BOX 328 (A/C,No,E:t):888-333-4949 is/c,No):507-446-4664 OWATONNA, MN 55060 ADDRIESS:CLIENTCONTACTCENTER FEDINS.COM INSURERS AFFORDING COVERAGE NAIC t1 INSURER A:FEDERATED RESERVE INSURANCE COMPANY 16024 INSURED 330-130-6 INSURER B: WESTMORE FUEL COMPANY INCORPORATED INSURER C: 86 N WATER ST GREENWICH,CT 06830-5886 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:35 REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE FX OCCUR DAMAGE TO R(Ea CENTED PREMISES $100 000 MED EXP(Any one person) $5,000 A N N 9062815 06/01/2024 06/01/2025 PERSONAL&ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY F__]PECT ❑LOC PRODUCTS&COMPIOP AGO $2,000,000 OTHER: INE AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 000 000 Ea n X ANY AUTO BODILY INJURY(Per Person) A OWNED AUTOS ONLY AUTOSULED N N 9062815 06/01/2024 06/01/2025 BODILY INJURY(Per Accident) HIRED AUTOS ONLY NU%- WNED PROPERTY DAMAGE AUTOS ONLY X UMBRELLA LIAB ICLAIMS-MADE OCCUR EACH OCCURRENCE $7,000,000 A EXCESSLIAB N N 9062816 06/01/2024 06/01/2025 AGGREGATE $7,000,000 DED I RETENTION WORKERS COMPENSATION X PER STATUTE DTHER AND EMPLOYERS'LIABILITY Y/N I 1 ANY PROPRIETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT $500,000 A OFFICER/MEMBER EXCLUDED? N/A N 9917566 06/01/2024 06/01/2025 (Mandatory in NH) E.L DISEASE fA EMPLOYEE $500,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached i1 more space is required) CERTIFICATE HOLDER CANCELLATION VILLA 0-6 35 0 VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 938 KING ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK, NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YYORK Workers' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured 203-531-6800 Westmore Fuel Company Incorporated 330-130-6 86 N Water St Greenwich, 1 c.NYS Unemployment Insurance Employer Registration Number of Greenwich,CT 06830-5886 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 06-0739367 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Reserve Insurance Company Village Of Rye Brook #35 938 King St 3b.Policy Number of Entity Listed in Box"l a" Rye Brook NY 10573-1226 9917566 3c. Policy effective period 06/01/2024 to 06/01/2025 3d.The Proprietor,Partners or Executive Officers are included.(Only check box if all partners/officers included) X❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"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 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: Erin K Christensen (Print name of authorized representative or licensed agent of insurance carrier) Approved by: LZ 05/10/2024 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 888-333-4949 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov