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HomeMy WebLinkAboutBP24-055HERMIT # P� 7 - OSs_ PATE; SECTION �c� 7 JV �? BLOCK TYPE OF WORK 10B LOCATTON _ OWNER �Q CONTRACTOR EST. COST u/CO # TCO # /O/czI eo O oer�)-- �// o � S 5 3 7 34rod CLI i,Sk1X,C1�ocroCg1 j 163--0y53 FEES 10� %PD DATE21PO L�J FEE DATE INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING D RGH FRAMING ") J� 2oZ L / INSULATION -L - oL �llP.9nlno tjl,40,f PLUMBING J RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT C7 ALARM 0 AS BUILT 0 FINAL - I►- zmas r� s�, .j • 11- L�zr R APPROVALS VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK No: 25-036 Certificate of ®ccupancp This is to certify that of, 1 ,0, 8/10 r having duly filed an application on 20_Z,?�requesting a Certificate of Occupancy for the premises known as, c> (Q /—J 1'7 eO/✓? ���]u , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: Block: Lot: and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. , issued U 20C27y, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the following New York State Classifications, Use: I�iCSIL�Q , Construction: for the following purposes: )yAeY I U Y b2ffillioom YP.1�o �afi� Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in th exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in heig hall be m n shall the building be moved from one location to another until a permit to accomplish such change has een tain fr th Building Inspector. Building Inspector,Village of Rye Brook: Date: MAR 12 2025 E BR(i � A v �l�V{.tVuJu VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J.Bradbury www.iyebrookny.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE March 12,2025 Cerebral Palsy of Westchester 1186 King Street Rye Brook,New York 10573 Re: 260 Lincoln Avenue,Rye Brook,New York 10573 Parcel ID#: 124-48-1-3 This document certifies that the work done under Mechanical Permit#24-094 issued on 7/11/2024 for the installation of a new gas boiler has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to Ln _ L N w q C) c� v � cn O : M ca rA v � 0. 'v ^ y _ LO : C a z 4 z O g C 3 cc O O (' 4. x O r" M U Y o o.? •� _ V � r` O d � p � •o ate" t1 en E El 0 � ` CJ O a � x y o u - n/ � � x � � � � E-•+ C> co u w bg z z o c �otu z ` - O w a o O o � v z �o ' c WT W 0 „ r A O O �; T E00 15 ca 4. OC U o WA �3wa [� �j 0 u ~ V z Le 0 am -00 a w U U 0 1i FFEna o ,. v tv A O U ¢ U Ep o0a x w 0 a� O z A L ¢ ° moww M � _ N z w o � ,� (" C •• A f3. W W a t/! Q. 04 F+1 1• I � W Ir i7rTi4 � 1" cCa u ^O a I � BUILDING DEPARTMENT VILLAGE OF RYE$ROOK MAR 18 2024 938 KING STREET RYt BROOK,NY 10573 _ (014)939-0668 VILLAGE- OF i:YL -:4?C0K f-wj,<- wwH.r}ebrook.orz INTERIOR BUILDING PERMIT APPLICATION FOR OFFICE USE ONLY: 1 � II Approval Date: 1', �*J _� pplication Fee:$ tt A� Approval Signature: JM V Permit Fees: $4 vt� Disapproved: Other: /00 Application dated: � !rjjq is hereby made to the Building Inspectorof the Village of Rye Brook,NY,for the issuance of a Permit for the interior alteration of an exis mg//b��uildi��n/g,,.or for a change in use,as per detailed statement described /� 1. Job Address: j It7 -1 n A �Y Z h a Lin to ��S$L: /��, `y — Zone: 2. Proposed Improvement.(Describe in detail): 4nnnv4J Of 1r+f h of walls , u por-a d-e- 0 Dm 4: tb ALI RFQ 3. Does th proposed improvement involve a Home-Occupation as per§250-38 of the Code of the Village of Rye Brook'? No: Yes: If yes,indicate: TIER I: TIER II: TIER III: 4. Will the proposed project require the installation of a new,or an extension/modification to an e automatic fire suppression system(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) :No:xisti Yes: (If yes,please submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered pla ) 5. Occupancy;(I fam.,2 fam.,comm.,etc...)Prior to Construction: After Construction: 6. N.Y State Construction Classification: �� N.Y.State Use Classification: _�! 7. Property Oqwner: C P W Of �e,%&6 bLS Address: 111b �,i.v�rS-�nA'}- G at IJ '�1�� Phone# 1 (Lf nWo© Cell#glqgZij- Z(o(rZ. email: 8. Applicant: lcsSfyk K. cfyuD Address: LOd BuSIaes!' +Putt Diri 9-it ZZ'9 J'°I+— Phone# 1I 273-Z'7y Cell# 114 Z j9002 email: q�In not{ PSI n 0 t 9. Architect: [7�h IK, CVyrW A:L.t Address: C�G mL as -�%t5 o- Phone# Cell# email: 10. Engineer: f y/4 Address: Phone# Cell# email: ll. General Contractor: aV ux &VIba(S Address: -'Z,o o RuM _-fd' P&L Qn,(4 S-91-k-Ln� Phone AY 27?- 1-77y Cell#_J1q q1)3"6145 6 email: 12. Estimated cost of construction 5 ` (NOTE:The estimated cost shall include all labor,ma erial scaffolding.fixed equipment,professional f s,and material and labor which may be donated gratis.) 13. Job Timetable: Start: J 2 Finish: b, �- 11) 6/l/2023 t BUILDING DEPARTMENT VILLAGE OF RYE BOOK 938 KING STREET RYE BR©[tzk,NY 10573 (914) ,9-0668 www.ry rook.org 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: it I, C�_ C ,residing at, (I C�_ooa_ !1/ I'[m, 11jr ':i 1JJr.,,�+l1.r 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. 1, i n G fyiq PST 1 Z u p L(ncQin A u Uf, ,Rye Brook,NY. 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. (Print Name ofPrupem (kwir ri.,I) Sworn to before me this day of C_� , 20 .I Pu111iC1 STEPHANIE gU'_1SO-FAST"_1­..A (Votary�I'��uL!A State Of toe v York (2) 1\:�.O,RLj:1:'-6t' Gouty ' on�rtwci�n c;c,�. Nov.7,20� sn 2rzoz l r � ti This form must be properly completed&notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) To:The Building Inspector of the Village of Rye Brook. From: S 1 �df�P h ji I p t TY,h ac ct Subject Property:117& U ,(4rjg--I2&n 1.a aln SBL:1TV 8 `1 - 9 Zone: 08 Please take notice that the subject;❑One or Two Family;xcommercial, ❑ New Structure ^ddition to an Existing Structure o Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑ Truss Type Construction(TT) )KXre-Engineered Wood Construction(PW) ❑ Timber Construction(TC) in the followin.,location(s); ❑ Floor Framing,including Girders&Beams(F) oof Framing(R) Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings, and NYCRR§u65 for One&Two Family Dwellings. Swom to before me t 's � Swom to before me is day of �v�Fi�G 20 day o ,20 St Jnature of Property Owner Si lure of si Professional Prin Name of PTopenowner ri t ame U Design P f sional r otary Public Notary Public <'Tr'PHANlE ril1SS0-PAS" - UANII=��11SS0-PAST':-' KIC"i t!V P!_:"c,st'atn of f:!c. v Y� x Count (3) 1 7,20 f R 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. Please note that application fees are non-refundable. SE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Nh h OxVZ40 ,being duly sworn,deposes and states that he/she is the applicant above named, (prine otMlittividual signing as the applicant) an further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) 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. By signing this application,the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this1 Swom to before me this day of� , 2Qc:7— c day of f Uo-Yc__6_ , 20 c-," 1 Sig atuire of Pn,perty O"nei t ature of Applicant Q LOA&, Print Name of Property Owner fJ Print Name of Applican Notar3 Public Notary Public (4) 8/12/2021 D [ECEME D BUILDING DEPARTMENT For office use on iv: JAN -9 2025 VILLAGE OF Rl E BROOK PERMIT# ca — S ISSUED: '�i-/o-all 938 KING STREET,RYE BROOK,NE%v YORK 10573 DATE: /— ? VILLAGE OF RYE BROOK (914)939-0668 FEE: ---PAID 9L BUILDING DEPARTMENT www.rvebrooknv.P_ov APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ............................................................................................................................. Address: 260 Lincoln Avenue, Rye Brook NY 10604/ 1186 King Street, Rye Brook NY 10604 OccupJAn)p�i s�pup Home/Office U arcel ID#: 124.48-1-3 Zone: 3 Owner: Cerebral Palsy of Westchester Address: 1186 King Street, Rye Brook NY 10604 P.E./R.A. or Contractor: Crocco Brothers Construction, LLC. Address: 200 Business Park Drive-Suite 200 Person in responsible charge: Linda Kuck Address: 1186 King Street, Rye Brook NY 10604 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: Jospeh R. Crocco being duly swom,deposes and says that he/she resides at 200 Business Park Drive, Suite 200 (Print Name of Applicant) (No.and Street) in Armonk in the County of Westchester in the State of NY that (City Town village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S C70o— for the construction or alteration of: 260 Lincoln Avenue, Rye Brook NY 10604/ 1186 King Street, Rye Brook NY 10604 1�lTP�i 0/— ���/Q7�7 0/1S ; Q r00/n Deponent further states that he/she has examined the approved plans of the structure/work herein refereed to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-IO.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of , 20,a_� day offf M,111X 209 na of Property Owner enure o Applicant Pri t Mme of Property Owner Print Name of Applicant •`41•`� �L `?L_,,,'•.,� / 5 STATE ��, I/� F N ORK �,,y Notary Public Z. 1C . m STEPHANIc R I CV c " 11LHA ;n ,`w�Qualified f ied inn � Notary Public, Late of New or = o County; e No.01RU6136515 =;��•,01S00027284 Qualified in Westchester Coun '- �s _ 01,E Commission Expires Nov.7,20� '''•S��N EXPIRES, '' .. �E BRC�jk• 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 :- 2 2n C' �� �, J f `� DATE: �'P ZL4 - lob PERMIT# Qp 10 - Q SS ISSUED:�-1 o- 2 tii SECT: L4 BLOCK:_LOT: _ LOCATION: �U1P �/L�Q ?A I S h hu�.t-w . OCCUPANCY: 0 ❑ VIOLATION NOTED THE WORK IS... [T 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 lL4 r1k , \-j -1 i ,Q-"rINAL PLUMBING rc ❑ CROSS CONNECTION ❑ FINAL n LL C.t J ❑ OTHER / f' �E BR(�uk 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR Q 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 :— O I '`� C ��.� DATE: PERMIT# 14 c7 ISSUED: -11-2 71 SECT: L y yv BLOCK: LOT: LOCATION: r' �� �S , ,� � OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION ��"r, _Y 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 L/ >�� QyE BRC�� O�` tim 1982 BUILDING DEPARTMENT �❑,BU LDING 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 : 2 h V ,1 ► ti3 G J L J DATE: �' UZ-S PERMIT# LJ O SS ISSUED: SECT:BLOCK: LOT: LOCATION: QIZ)( OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION PA 2 /2) REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ` ❑ NATURAL GAS r �' ❑ L.P. GAS ,v ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION L a FINAL fV c'/` / ❑ OTHER /nN -� 1 � �/"► .�may, -f � {' �E 4Rol • 1932 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 L\ 'l C _)L` J A VL DATE: L J L PERMIT# r7` Z.q' ISSUED: `''"�4'd/JECT:/Z y Y� BLOCK: LOT: LOCATION: '-'�"_,�� �-Cn �T1 'p- fit) 1 J _�" OCCUPANCY: ❑ 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 f" 1 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC�k, F o '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 0 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 :- 2 O i o C J A �)F, DATE: U `! PERMIT#? L 1 r 0J J ISSUED: //0+Z ,SECT: /L /v BLOCK: LOT: LOCATION: �A, / v _� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ©' ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING 0' ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS �- ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BR(),N. O� Zm /�. .FO.c 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 :— V 1.� l !, \�� 0\J�:� DATE: I ? �I L ; PERMIT# �` J ISSUED: + SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ Violation Noted THE WORK IS... .❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas U L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER _ o r+ ,n d eq N W 00 O N 0 � O w = 0 , 00 °O a ►•4 t Z w p, Q 0-4 a O o ! O M w w h a to a n ►� G v G1 p zoo �, O o H w . s z p M g N H 01 o ; H N O >,O,ge. a ^ ' �y OA ^ V W woz C/) a F_I \ qtt a z O = • � x F O W z ' 1-1 F7• 't 00 R� w 14 aUa 11 h+ l j."'� w Z dR¢, z A to w • E z w V Q p � H W z � U q U w . o a , w z a � W �' z W U z N w ( 0 F A p v N A w � _ �I a z w = , ID J AUG - 7 2024 Eat 111.D[Nc, DuPAR'INIENT VILLAGE OF RYEZ BROOK VIIA.ACE OF RN F. BROOK BUILDING DEPARTMENT Ki,,(,STRI-I I R ti 1 1310 (,)1% N)f 73 (914 1939-060 EI-ECTRIC1,11- PF"R.N111, N%efitchester Cmint%, N1 aiter Fleoricians I.icense Req tarm c), iipprif%al Date: Appirm al Signature7: 6............ Permit Uve: S e4w�— =A--N Other: !w IA) IIN 1111 11, Ajherch'y lmfkle it) the Building ln,pei:for ot the V 11 lq, of R y c Bt ook N) Iol 6: i,stjance ist' ,j livinui fit in.,lal';lilt]or renfo c electrical irnig, ill if 1 peo lorm other high or it)%% %fillat;e c1cctrical tikork as per tllc detailed stalcillem Jc--;,:ribcd belofk Ily Ili,, i- file anificalit & property' imner agree that ill ciectrical %tiork I-kLi0m,, will he in citttfitrtRun kith all alPliCithl" Stil(C.0 e OM11% And Luijl(oj ,� v, La N) Lj Sl,I 2.1'ropelt) Ou I,er: 27.11 ............ 1. Hceiriciall 1.1ccowd Ifistillic, inn V%<_ LI .......... d 0itripm Nitille, ............. 14 4,Pro pt-ed 171c,:trical%1i ork Fimurc Coillit. ................. ......... 5,.4 Parry'1;'!cA:t j ica I I nspec I if,n A ven c\ .............. ........ .............. s'rAl F OF YORK.C0!NN I if 01'wI.S 1(jil:S I Vpt licing tivf3oNcn till Tatv,that Ile'fic J<lhc,tpph,fill ahk,%e fl.ftlgeJ, zfld ilkic,furih:i 1`1 W I�,c C,!;fl—1 mr all,If, I t14 JU(JjVf-i"ckj it);I jjke�Jjjd filc fill, I he undvi-,ignied i'uriher ijia Herein err true it)file hcNi elf hi.her knu,%icdVe itill hejicC alki jilat.in% 11 he at runhmnan.e twill file defild,a; ct forlh and c"'llaincil in'ZI)IN Prei,calion& 141fild,fiv( )tic.ihe(odc o!'(fle Viii,, ul Ktc jj,,wk and Al ,;ha 111111 wahlt: m, sli,0111 to 1-4.11 Ill ,vie lilt:111% St.%orn it)hL fore i 11.% dal of Aw Ot Ar A CAN I KRIS MOLINARI NOTARY PUBI-C,STATE OF NEW YORK S TILHA St4gistration No DIM06319193 Nolary Nibilic Ou0bed in Wasichaster CA>unty Notary Public,Ste of York Commission Exp4ros Fobnjvy 9,20;0 0 r NLA NO.01 RU6 19 Qualified in Westchester Coun Commission Expires Nov.7,20 STATE WIDE INSPECTION SERVICES, INC. 0•• • • SWIS JOB APPLICATION • Office Use Elect. Permit# - — Date Bldg Permit# 12 C) — 2 d�j S Sq Ft Plumbing Permit# Final Certificate# City/Village �-<it t Zip' �� TBuilding Dept. Count Address 2-60 LA (A Cross Street S i Bk ' Lost `--3 Owner Name/Address(If different than above) g � ��} Y 0�� Contact Number �T ❑Basement )Rri-st Fi. ❑2nd FI. ❑3rd FI. ❑More Than 3 FI. /❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/O Detector Hood Trash Compact Amt Amps �r , Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave LT ins 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 )unction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation AUG - 8 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 ins on additional Items have n Inst lied,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 addres o, ' ;p.�j�Corkao1( owner or authorized agent agrees to all the above terms and conditions as set forth for the application. 1 n /�� (((///JJJ�Q /�f/�( Email Address r Ll use�' L Name U f r0�tl ' Uj LEZ^'—"� License# Date "I `�.• Signature Address /L� l � City/State Zip Code Company �� Phone# 911 A: — C, State Wide Inspection Services 1080 Main Street DEC 2 3 2024 Fishkill, NY 12524 U S 845 202-7224 Phone 4_V"ri914-219-1062 Fax STATE WIDE INSPECTION SERVICES Email: office(&swisny.com Website: www.swisny.com Service With Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Lippolis Electric, Inc. Cerebral Palsy of Westchester 25 Seventh Street, 2nd Floor 260 Lincoln Avenue Pelham, NY 10803 Rye Brook,NY 10573 Located at: 260 Lincoln Avenue, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP 24-165 124.48 1 3 i Certificate Number: 2024-5560 Building Permit Number: 24-055 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: 260 Lincoln Avenue, Rye Brook, NY 10573 The First Floor Bathroom was 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 2nd day of August 2024. Name Quantity Rating Circuit Type Luminaires 17 Switches 07 GFCI 03 Exit/Emergency Lights 02 Officer: Frank]. 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. r r 00 � N N Ln P� r M W 0-4 a °" p z a V w w W LZr F cn � ~ w w ►-r coj cf) c� O Z44k. z010 e C 00 s 00 ON zkin . H W oo ��] w H p w o 0-4 V �j �n ' CN O F v c vwi Z A ell) ~ C V w a aQ O oc, Z A o W Q w Ln N a< c%) " Z a a w o zz a x W o � o 8 Z W o z z on a a � w 0 � r BUILDING DEPARTMENT VILLAGE OF RYE BROOK JUN 212024 938 KING kkBET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)93�-0668 BUILDING DEPARTMENT www.ryebrookny.gov -_-- PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP #: ,.2 u_ bsS _ Pp#: Pay- 09y - Approval Date: 2 2C� Permit Fee: $_ / �40" Approval Signature: Disapproved: (fees Are non-refundable) DO NOT START R'ORK or CONSTRUCTION UNTIL A PERMIT I1AS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WIT110UT A PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MPgM111I FEE OF$750 00 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 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.Addrew 2-Leo L 1 n c f n SBL:/off`/,-1/9_/—3 zone:o,B-3 2.Proposed Work: L uyw, , 3.Property Owner: R-jS_t C 4 Address: 4u-2 . Phone#: Cell#: email: 4.Master Plumber: 'M t Te Address: L)18 S+ Lic.#:__ leS Phone#: 91 q- fit;5- _qo, -._ Cell#: g l y- N9c- q 37' email: 0'-1 k 11 • -��r» 13��'ct r,l- c��•; CompanyName:u-J le �-+ 1I r_.. i.�t Address: yl� .ate, )(-I"-r <+ Er INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: 1 Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire SanitaryNatural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer P Basement 1st Floor ;L 1 2nd Floor 3rd Floor 41h Floor 5t°Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) -1- 6/l/1024 S11' TE OF NEW YORK1,COUNTY OF WESTCHESTER ) as: 1 I OC ,being duly sworn,deposes and states that he/she is the applicant above named, (punt name of individual signing 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. Sworn to before me this_si=v ' q+K Sworn to before me this day of �— 20� day of 20 a� _ Signature of Property Owner Signature of Applicant n� �Ow Print Name of Property ner Print Name Applican MICHAEL ESQUIVEL Nota>a blic, tate of New Yor F�tluallfled ary Public-State of New York N Pub iC No.01 6136515� NO. 01ES6442359 Qualified in Westchester County in Westchester CountyCommission Expires Nov.7,20_ ommission Expires Oct 11,2026 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- 6/1n02a p EcEffE JUL 1 1 2024 -DID BUILDING DEPARTMENT VILLAGE OF RYE BROOK VILLAGE OF RYE,BROOK BUILDING DEPARTMENT 938 KING STfi,EET RYE BROOK,NY 10573 --- - `" (914)939-0668 W1VW.ryebrooknV.Qov rrtrrrrrrrrrt**rrrr*rr*rrr**tr***t*rr*rrrrrrrrrrr*rar+rr*rr*rr*trtrrr*rrrrrrrrttrtrtrrrrtttrtttttrrrrrt 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: •' �.,p I 14 e4C-/f� ,residing at, l?kl /V /e /i (Prins name) (Address whemf you livc) 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; z'W ` &4 / Y 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 o 'ropert) Ownerlsll 14N.b;q (Print Name of Property Owner(s)) Sworn to before me this day of ,20 �-0 (Nolan ublic) STEPHANIE RUSSO-PASTILHA Notary Public,State of New York No.01 RU6136510 � -3_ Qualified in Westchester County 5 Commission Expires Nov.7,20 6/t 12024 � r r N u 7 r W c 1 M n z g 'a .� •H p � .� F" r O Z a 0 72 A � o w zO x ws � goo Ln � W •� • wA _ 00 E r►� CN Q a O � Q lo y00 c� ,...,, ►..r p � x CN zy � s x Z a s a o p zcf Z '04 V °� w � N V �+ to � u V y Q r r z m a w p 6 • W Z O w x M °° a � V O F al Gq vo $ o c„9 via fil U a O � .. V 0 V w O o ° PS r. _Z N B z ,�� v � x 9 O V V O aWSa g�eI. °. -p�.�a0Z o a. � o M. ffb. °z OzOaowz 1- P. �wU 0 :u a w 4 m o.. x � � � .N � i �� / Ef, BUILDING DEPARTMENT ]D JUN 2 5 2024] D VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 p BUILDING DEPARTMENT «wN-.rvebrookrn'•=ov 055 APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT Approval Date: �1 i�- 2 Permit Fee: $ L/ Approval Signature: X Other: Disapproved: (fea are non-rcrundable) A AA RAffAARAA ARA AA ARRR ARARRRRRRARR RRR RRARR RRRRRRRAA RRRR RRRAR RRR RRARR RRRA ARARRRRf RA}RRRfR}RRAR RRRARAR RA RA NOT START'rcat i•, r('U�STRUCjIt Sri i .7I A PERI►14'1 II�. _lt F� 1SS1 ED jil_ I1l�ILDIVG (012.THE.ADAIIN1,; 11,ATIVE FEE P1f11 N+ 4K I'ROGRESS1:1) k 1 k t"ON1PLETFU v1 i 4 PFRNJI]' IS 1 %OL11LU _1411(71ON V1 I'i jl�.►_'�Ili�ll►1[J111 FEE: c.lf:. . '`.i.ull REOUIRF.NIF.NTS FOR RELEASE OF PERMIT&CERTIFIC 1TF OF CO\1P1 I\NCF• I. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy-of Licensed Contractor's Liability Insurance. t V illage of R%c Brook must be ttsted as centiicate holder i&Workers Compensation Insurance on a NYS Board form l Fortn „C w5 2 or f orm,,u10.3 or NY Stale worker.L'(lnlNnsah(,"l waiscr) 4. Payment of Fees/Unit: .I I i)ENTIAL - j unit•COS-NIEH,( i = ti450.Uuiunl,. 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. RRRR*RA*R##*#RR#RR***#R*##*R#*R##*###*#*RR##****#*R#**#R*R#R*R#R*#**R**#**##**R**#**RR#*#*R#***** Application dated, o��d 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: b2b 0 Lt�j l'of ti AvE SBL:/e)'/►yg —/-3 Zone:e9S-yS 2. Property Owner:CQ g_ Lat ietxrt z Address:gLO i-\N w-, QVL� Phone#: Cell#: email: 3. Contractor: �,n v N Ham, =;vd Address: 'Di 6?1- i-, A ?0-k Cvt t{.r, Phone#: CI 14- 6L)5 -'t/Otbt Cell�: _�14-Y10 -43 7s email: MQQ N-gf\ 1 R PU\.%V1 4. Scope of Work:New Installation O Replacement( •Removal O•Other( ): 5. List Equipment: 1 -! r./ y`. p,�c)lea',,+J Dt Q)Q�\tp- L P Pal 6. Location of Equipment: V A�-x t("# 7. Method of Installatio E)(list all equipment needed to perform job): Vw-1-r�o W1 O CJ r 6/l/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 apptivant) 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 mq this Sworn to before me this day of 2U day of -e 20'3-"A Signature of Property Owner Signature of Applicant�� ,c.I/7da. tarirr) Print Name of Property Ot Prim ie of Applicark otary Public (�� Notary Public SHARI MEULLO STEPHANIE RUSS -PASTILHA Notary Public,State of New York Notary Public,State of New York No.OJ-PAE6160063 No.01 RU613651 Fj Qualified In Westchester County Qualified in Westchester County Collimisslon Expires January 29.20 t l Commission Expires Nov.7,20_ 1 6/1/2024 'n. .l 1-SERIEt oh e For Trade Professional - ER.�� I E High Output Delivery of Domestic Hot Water and Central Heating Make a great impression with the I-Series Condensing Gas Boiler — delivering iconic indoor heating solutions.Using the perfect combination of proven technology and reliability,these boilers are designed with the homeowner in mind.Unlike most combi boilers.the I-SERIES contains a proportional valve which allows for simultaneous delivery of domestic hot water and central heating with less interruption of the heating flow. M•wlrl Comfort&Convenience Operational Performance Flexible Installation 1 Dual zone heating 95 i AFUE efficiency Compact design v Servo based by-pass control for High volume of hot water delivery Versatile venting options including precise DHW temperature control Outdoor Reset optimizes home 2-inch PVC up to 65 feet Built-in recirculation logic for dedicated heating performance Easy parameter settings return and crossover modes NG with LP conversion Simultaneous delivery of hot water/ home heating PRESSURE DROP AND WATER FLOW 55 so d - 11205 i 11505 45 —•—1120C _ 106OC/1090C 10605/10905 = no 0 0 41 35 ILL IL 30 0yy�`a to zs Pump Curve ?le"szo `O CIO, 00� <oQ a 0o `oQ N s to a5 / 0 0 O 1 2 3 0 5 6 7 8 9 10 11 0 1 2 3 a 5 6 1 9 IO II 12 Water Flow(GPM) Water Flow(GPM) NOTE:External boiler I_wml l regtlir(d. Rinnai• Learn moueatrinnai.u5 n O The Next Generation in Condensing Boilers m Z Z O I -SERIES N O m Integrated Flue Concentric Vent or Check Valve 2-Inch Exhaust 2-Inch Intake Vent Connection •(2 in./4 in.or 3 in./5 in. Direct Vent or Exhaust in •Used for Room-Air 2-Pipe Configurations) Configurations (2-in.PVC/CPVC/PP Turbo Fan on vent runs up to 65 — feet) Switching Venturi Modulating _ Gas Orifice Stainless Steel •(Quick Gas Conver- Mesh Burner sion) Zero Governor _ Gas Valve �_"��"� •No combustion analysis testing required during Flat Plate commissioning Secondary of unit" Heat Exchanger Primary Stainless Steel Heat Exchanger •Brazed joints reduce thermal stress on the Integrated Heat Exchanger Condensate Trap Proportional Valve •Delivers Domestic Hot Servo-Based Water(DHW)and Temperature Central Heating(CH) Controller Simultaneously for Domestic Hot Without Interruption Water(DI-1W) I +r Integrated Pump Both components work together to deliver pre- Stainless Steel cise DHW temperature Integrated Flat Plate control(no mixing valve Bypass Line Domestic Hot Water required) Heat Exchanger Cornbi model shown. "Adhere to lo(,al,state,t)rovinoal,federal and national codes. Learn more at rinnaLus 1 MODEL CHART AND SPECIFICATIONS I-SERIES CONDENSING BOILERS I-SERIES HEAT ONLY Models iOGOSN K*WN i120SN i150SN Dimensions-w,h,d 18.5 in.x 26A in.x 10.9 in. 18.5 in.x 26.4 in.x 10.9 in. 18.5 in.x 26.4 in.x 10.9 in. 18.5 in.x 26.4 in.x 10.9 in. Inches(mm) (471 mm x 671 mm x 276 mm) (471 mm x 671 mm x 276 mm) (471 mm x 671 mm x 276 mm) (471 mm x 671 mm x 276 mm) Unit Weight(lbs/'kg) 59.21bs(27 k(G) 62lbs(28 kG) Fuel Type NG-Field convertible to LP/NG NG-Field convertible to LP/NG NG-Field convertible to LP/NG NG-Field convertible to LP/NG Max.Capacity-Heating 57(17 kw) 84(25 kw) 112(33 kw) 138(41 kw) (MBH) Gas Consumption. 60,000 90,000 120,000 150.000 Max.Input-Heating(MBH) Gas Consumption: N/A N/A N/A N/A Max.Input-DHW(MBH) Gas Consumption: 15.000 Min Input-Heating(MBH) Electrical Consumption 36 W 50 W 50 W 50 W Heating Turndown 4 1 6:1 8:1 10:1 Ratio(NG and LP) DHW Turndown Ratio N/A N/A N/A N/A (NG and LP) DHW Activation Rate N/A N/A N/A N/A Max.DHW a 70'FAT N/A N/A N/A N/A AFUE Rating 95.1% 95.9% 95.5% 96.0% Circulating Pump field supplied Approved Venting Material Polypropylene.Stainless Steel,PVC,CPVC Warranty' Standard Warranty(some restrictions apply):Residential:12-year heat exchanger,5-year parts,l-year labor. Commercial 5-year heat exchanger,5-year parts,1-year labor. Certifications LV�9 (/A scagmd.low lead -.-.. _._ , Y •Propane Field Conversion Kit •Outdoor Reset Sensor Included in the box •Wall Mounting Bracket •Integrated Vent Adapter fort in.PVC.PP •CH Pressure Relief Valve(30 PSI) and 3 in.x 5 in.Concentric Venting Rinnai. Learn more atriwwWs to M m n ii n COMBI ADDITIONAL •- __l O Z PertNurlber oesaigiOn N tI 807000212 Pnmary-secondary heating Kd.I-Series Boiler(combo Primary-secondary heating 807000213 Kit.I-Series Boiler(heat only) Condensate 804000074 Neutralizer Kit (All Models) Refill-Condensate 809000114 Neutralizer (All Models) .� 103000038 Scale Cutter System 103000039 Scale Cutter Refill Cartridge DHW Isolation Valve Kit. i06OCN iO9OCN MOM MIVK-T-LW Compact design,Ease in Flushing 18.5 in.x 26.4 in.x 10.9 in. 18.5 in.x 26A in.x 10.9 in. 18.5 in.x 26.4 in.x 10.9 in. (471 mm x 671 mm x 276 mm) (471 mm x 671 mm x 276 mm) (471 mm x 671 mm x 276 mm) Temperature MC-601 controller 73lbs(33 kG) 76.1Ib(34.5 kg) NG-Field convertible to LP/NG NG-Field convertible to LP/NG NG-Field convertible to LP/NG 57(17 kw) 84(25 kw) 112(33 kw) 60,000 90.000 120.000 160.000 160,000 199,000 I-Series Plumbing Kit(Combi) PN 807000212 15,000 144 W(CH) 158 W(CH) 158 W(CH) 174(DHW) 174 W(DHW) 194 W(DHW) 4:1 6:1 8.1 10.7:1 10.7 1 13.3:1 0.4 GPM 0.4 GPM 0.4 GPM 4.1 GPM(15 L/MIN) 4.1 GPM(15 L/MIN) 5.1 GPM(19 L/MIN) I-Series Plumbing Kit(Heat Only) PH 80700021..: 95.1% 95.9% 95.5% Three speed(Gmr)dfos10 UPS 15-78) Polypropylene.Stainless Steel,PVC,CPVC Condensate Neutralizer Kit Standard Warranty(some restrictions PN:804000074 apply):Residential:l2-year heat exchanger.5-year parts,l-year labor. Commercial:5-year heat exchanger,5-year parts,l-year labor. MwM 1�.-rr scagmd,low lead - ?�9 ��' ` --1- •Propane Field Conversion Kit •Outdoor Reset Sensor •Wall Mounting Bracket •Integrated Vent Adapter for 2 in.PVC,PP •CH Pressure Relief Valve(30 PSI) and 3 in.x 5 in.Concentric Venting Scale Cutter System PN 103000038 Learn more at rinnaLus 3 INSTALLATION &VENTING COMPONENTS 2 IN.VENTING FOR ROOM ,TWIN PIPE tmerExhaust Part Number Image Description Material Outer intake Mate" 22271SNPP 1 2 in.Condensing Fixing Clip Metal City 10 PP Plastic 223085NPP 2 2 in.Condensing Wall Terminal Twin Pipe PP Plastic 2227IONPP 3 2 in.Condensing 45 Degree Elbow(201 Box) PP Plastic 2227t1NPP 4 2 in.Condensing 90 Degree Elbow(20/Box) PP Plastic 222712PPP 5 2 in.Condensing Vent Pipe Extension 39 in.(4/Box) PP Plastic 222714NPP 5 2 in.Condensing Vent Pipe Extension 79 in.(4/Box) PP Plastic L in/4 irl.INSTALLATION VS T. C Yr1arExhaust Outerblit" Part Number Image Description MabrW .1.1.r1a1 -� 710202NPP 6 2, ;a r Condensing 90 Degree Diverter Nose PP Plastic 71=5NPP 7 2 in./4 in.Condensing 45 Degree Diverter Nose PP Plastic 229&HNPP 8 2 in./4in.Condensing Horizontal Termination Kit 8.7 in. PP Plastic 22901214PP 8 2 in./4 in.Condensing Horizontal Termination Kit 12 in. PP Plastic 229013PPP 8 2 in./4 in.Condensing Horizontal Termination Kit 21 in. PP Plastic 229018NPP 9 2 in./4in.Condensing 21 in.Wall Term w/2 wall plates PP Plastic ® - 224356NPP 10 2 in./4 in.Condensing Roof Discharge Term 20 in.Above Roof PP Plastic 229205NPP 11 2in./4 in.Condensing 45Degree Elbow Oty 2 PP Plastic 22923ONPP 12 2 in./4 in.Condensing 90 Degree Elbow Oly 2 PP Plastic • 229253NPP 13 2 in./4 in.Condensing Horizontal Starter Adapter PP Plastic 229308NPP 14 2 in./4 in.Condensing Vent Pipe Extension 10 in. PP Plastic 229309NPP 14 2 in./4 in.Condensing Vent Pipe Extension 19.5 in. PP Plastic 22931ONPP 14 2 in./4 in.Condensing Vent Pipe Extension 39 in. PP Plastic 2ZY412NPP 15 2 in./4in.CONDENSING VERTICAL STARTER ADAPTER PP Plastic 1853481,11PP 16 2 in./4 in.Condensing Roof Term Extension Kit PP Plastic `10 3 IN.VENTING COMPONENTS Y.1er Exhaust lM•11 PI•rtb.r ina9e Dsacription Material Outer Intake Material 198118PVC - 3 in.Concentric PVC PVC PVC 196985PVC 31n.LOWPROFILEPVC PVC PVC COMPONENTSIPEX VENTING r kmw E1rllawt Part Number Image D••rrk0on IA•t.rial Outorbtak•M•t•rial 196005PVc - IPEX 2in.Concentric Termination 2 x 16 PVC PVC 198105PVC - IPEX 2in.Concentric Termination 2 x 28 PVC PVC - 196125PYC - IPEX 2in.Concenlric Termination 2 x40 PVC PVC \ 111111211184111111 - IPEX PVC Low Profile Termination 2in PVC PVC 'Add lional push button and motion sensorscan be purchased separatoly to customize a recirculation system. Rinnai. Leamrnoreatrhrteiusi ' D ACCESSORIES 0 m O INSTALLATION • • 2 m Inner Pot Exhaust Outer Intake Number Image Description Material Material 223174PP 17 Condensny Horizontal Termination Kit 8.7-/220.9 min PP Plastic — 223176PP 17 Condensing Horizontal Termination Kit 12'1304.8 mm PP Plastic 223177PP 17 Condensing Horizontal Termination Kit 21"/533A mm PP Plastic 223186PP 18 Condensing Horizontal Termination Dwener Kit 19'1482.6 mm PP Plastic 184162PP 19 38'/965.2 mm PP Plastic 224047PP 20 CadaivgRasedHor®rial1enrratimlG(5rvk4 - PP Plastic 185344PP - Roof Termination Extension Kit - PP Plastic la5346PP - Condensing Termination Extension - PP Plastic 185347PP - Separation Kd - PP Plastic 187585PP - Twn{tePckpfaknsew/PVC'./a"%C6peodOrdaQiO PP Plastic 224077PP 21 45-Degree Elbow(Quantity of 2) - PP Plastic s 224078PP 22 90-Degree Elbow - PP Plastic 224087PP 23 Vent Pipe Extension 10"/254 mm PP Plastic i 224079PP 23 Vent Pipe Extension 19.5"/495.3 mm PP Plastic 224080PP 23 Vent Pipe Extension 39"/990.6 mm PP Plastic ADDITIONAL ACCES Part Nut MI•p• Diworttrrarr 146141 24 Roof Flashing Assembly(flat roof) 189950 25 Shingle Roof Flashing(1112 to 6/12 pitch:plastic) 189951 25 Shingle Roof Flashing(6/12 to 12112 pitch;plastic) J 189952 25 Shingle Roof Flashing(8/12 to 16/12 pitch;plastic) 50171949 26 Tile/Shingle Roof Flashing(1112 to 6/12 pitch:metal) 50171961 26 Tile/Shingle Roof Flashing(6/12 to 12/12 pitch;metal) 50171954 26 Tile/Shingle Roof Flashing(8/12 to 16/12 pitch;metal) Suitableforuse with plastic and 242141 27 Flashing for Metal Roof metal components - 710342 28 Rubber Wall Plate(white) 710602 28 Rubber Wall Plate(black) 224045 29 Thimble 0 piece per box) 169044 30 Pipe Clamp 224097 31 Metal Pass Through Plate 224042 32 Universal Bug Guard REPLACEMENT KITS FOR I-SERIES j - / PartNlsrtb0 D•svfpifon Fits Model ,0 104000289 Fan Venlun Kit I-Series(All models) 106000117 Gas Valve Kit(I-SERIES) I-Series(All models) 804000116 Pump Kit(I-SERIES) I-Series(AII models) �'e".�} 804000112 Large HEX Kit i060C/i090C/i060s/i090S1i120C/ `-�-y i120S/i150S �! , I 804000109 Flat Plate HEX Kit 0060C/i090C/i060s/io90S 804000113 Medium HEX Kit i060C/tO9OC/iO6Os/iO9OS 804000114 Flat Plate HEX Kit 020C/i150C/i1505 ism CONVERSION KITS FOR Part Number D••erkw— Fits Model Number �� 803000040 CONVERSION KIT-NG TO LP AND LP TO NG I-Series(All models) rA Learn more at rinnauu 5 �-A Creating a Healthier Way of Living Learn more about Rinnai high-performance Tankless Water Heaters,Hybrid Water Heating Systems, Boilers,Vent-Free Fan Convectors and EnergySaver'Direct Vent Wall Furnaces at: rinnaLus I rinnai.ca Rinnai America Corporation Rinnai 103 International Drive I Peachtree City,GA 30269 a 1-800-621-9419 1 rinnai.us I rinnai.ca Building Permit Check List&Zoning Analysis OB & C ONLY Address: `L�' v __ SBL: Zonc �► Use: �� t Type Other. Submittal Date: r �" Revisions Submittal Dates: Applicants Nature of Work: I t) U tic Reviews:ZBA: PB: BP: Other. NEED OK C' ( FEES:Filing. J BP• `b C/O: Legalization: ( ) (4--APP.: Date Stamped ' Properly Signed:' SBL Verified: Cross Connection: F.O.G.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review Street Opening. ( ) ( ) ENVIRO.:Long. Short Fees: N/A; ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current Archival:- Sealed Unacceptable: ( ) ( PLANS:Date Stamped: Seal d: Copies Electronic Other. ( (.� License: Workers Comp: Liability Comp.Waiver. Other. ( O Code 7S3#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. (� ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other: PLUMBING:Plans: Permit: Nat.Gas: LP Gas: Grease Trap: Other. FIRE SUPPRESSION:Plans: Permit N/A Other. (� ( ) H.V.A.C.: Plans: Permit N/A: Other. ( ) ( ) FUEL TANK: Plans: Permit. FUEL TYPE: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. ( ) ( ) Final Survey. Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER C/O DENIAL LETTER Other. _ ( ) ( ) Other. ( )ARB mtg.date: approval:- notes: ( )ZBA mtg.date: approval:- notes: ( )PB mtg.date: approval:- —notes: Al P REQUIRED EXIS-flNG PROPOSED NOTES A 2024 Area: Date Circle: Fronta¢e: _ Front: Front: Sides: Rear. F.A.R.: en Space Height: Stories: notes: M Z- l �,t.., i c,,,,,�� F f .: 'L AcoR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM;DDNYYY) 1611 3/112024 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 CUNTACI NAME Kristy Ribaudo McCarthy Insurance PHONE F --- Ax (A,'C.N. Exp (914)769-0417 _ iA�C.Na). _ 378 Elwood Avenue :AODRE-MAIL s kristyLmccarthyinsurance.net Hawthorne, NY 10532 INSURER(S)AFFORWNGCOVERA_GE NAIC9 INSURED INSURER A: MESA Underwriting _ -- INSURER B Crocco Brothers Construction LLC INSURER 200 .. __......._... Business Park Dr, suite 200 INSURER _ Armonk, NY 10504 INSURER INSURER F COVERAGES CERTIFICATE NUMBER: 00007745-0 REVISION NUMBER: 10 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATFD. 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. INSK- - ADDLSUBR LTR TYPE OF INSURANCE POLICY NUMBER POLK:Y EFF POLICY EXP MIN/DDTYYYY MMlDDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY MP0082001005370 11/17/2023 11/17/2024 EACH OCCURRENCE f 1,000,000 CLAIMS-MADE a OCCUR DAMAGE TO REME6—�---- PREMISES(Eo occurrence) f 50,000 MED EXP(Anyone person)_ f 5,000 .... PERSONAL aADVINJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Is- 2,000.000 POLICY L�ECT LOC PRODUCTS•COMP/OP AGG f 2,000.000 OTHER $ AUTOMOBILE LIABILITY COMBIRIED SINGLE LIMIT n $ ANY AUTO BODILY INJURY(Par person) S OWNED SCHEDULED -- - AUTOS ONLY AUTOS BODILY INJURY(Per accident) i HIRED - NON-OWNED PROPERTY DAMAGE AUTOS ON'-Y AUTOS ONLY (Pef ) S S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS L1A8 CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION PER AND EMPLOYERS'LUIB ILITY TA SIR ANY PROPRIETORIPARTNERIEXECUTIVE Y!N OFFICER/MEMBER EXCLUDED? N/A E L EACH ACCIDENT $ (Mandatoryfyes.d in and E.L DISEASE-EA EMPLOYE S If yes,describe under __.. DESCRIPTION OF OPERATIONS balm EL DISEASE-POLICY LIMIT S Disability i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook is listed as Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook, NY 10573 AUTno D R"ENTAX4 E- (KRI ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by KRI on 03/01/2024 at 09:45AM YORK Workers' CERTIFICATE OF is�TATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured Crocco Brothers Construction LLC 914-219-5858 200 Business Park Dr Ste 200 1c.NYS Unemployment Insurance Employer Registration Numberof Armonk, NY 10504-1751 Insured N/A Work Location of Insured(Only required it coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York Slate,i.e.,a Wrap-Up Policy) Number 200 Business Park Dr Ste 200,Armonk, NY 10504- 1751 88-4129531 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Village of Rye Brook NorGUARD Insurance Company 938 King Street 3b.Policy Number of Entity Listed in Box"la" Rye Brook, NY 10573 CRWC422014 3c.Policy effective period 11/24/2023 to 11/24/2024 3d.The Proprietor.Partners or Executive Officers are included.(Only check box if all partnerslof iicers 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 1 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: Adam Edelstein (Print name of authorized representative or licensed agent of Insurance carrier) Approved by: 04/10/2024 (Date) Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: 800-673-2465 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are bw authorized to issue it. C-105.2(9-17) www.web.ny.gov N C) N O T � O � �000000 N IQ O O IQ I'J , -66 z tj D D p� 7750000 N > > D D - m J C1` lA A W N N 3 � .n di -1 6` l)r �. 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