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HomeMy WebLinkAboutMP14-032 QyE DRC. t4 ty a�J y v. . 19 Gt� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CLARIFICATION OF RECORD June 13,2023 Philip Guerin&Katherine Guerin 9 Loch Lane Rye Brook,New York 10573 Re: 9 Loch Lane, Rye Brook,New York 10573 Parcel ID#: 136.21-1-5 Mechanical Permit#14-032 issued on 3/28/2014 to Install a New Gas Fired Boiler This certifies that the above captioned permit has been closed out by Mechanical Pen-nit#23-082 issued on 6/1/2023 to install a new gas fired boiler with Certificate of Compliance issued on 6/13/2023. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC��, O�` tim rc 1982•��O BUILDING DEPARTMENT gr�IJILDING ❑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 C 1 ,��"� DATE: PERMIT# \ �� ISSUED: SECT: BLOCK: LOT: LOCATION: z i "s= r� \ n�, C�(a \ `'c�( h-2 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 �\� \ � °S,�Y ` � �� I�� �J� � \t v�cJ .(•.-• \ `1 ❑ Natural Gas ❑ L.P. Gas - ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING \ �(�J C-n\ ❑ CROSS CONNECTION ` n ❑ FINALsJ1- ❑ OTHER / 1 ��yE aR(uk O ti W l7 Y 19(12 BUILDING DEPARTMENT ❑BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑ VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 -0 ASSISTANT BUILDING INSPECTOR (914)939-0668 FAx(914) 939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - - t, ADDRESS: - DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ PWCTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING 0 FOOTING DRAINAGE 0 FOUNDATION 0 UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING 0 ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS 0 L.P.GAS ❑ FUEL TANK 0 FIRE SPRINKLER 0 FINAL PLuHBrNo ❑ FINAL ❑ OTHER O tim W 1932 BUILDING DEPARTMENT O BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑ VILLAGE ENGINEER 938 KING STREET RYE BROOK,NY 10573 ❑ASSISTANT BUILDING INSPECTOR (914) 939-0668 FAX(914) 939-5801 - - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - ---- -- ADDRESS: \ 1..-o c-y` a Nam- DATE: ,1 V�� 1 l PERMIT# �4� ~_ ISSUED: `�- y SECT: BLOCK: LOT: LOCATION: C `yam V\ OCCUPANCY: ?�� ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ STI'E INSPECTION \ REQUIRED , 0 FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING \2.� �,i �' fK 1 kct -� 4 0 INSULATION P'-RATURAL GAS ❑ L.P.GAS l ❑ FUEL TANK S►J� - C�C� C.l�G_(` J� - tt � `� C�� ❑ FIRE SPRINKLER 0 FINAL PLUMBING ❑ FINAL �— ❑ OTHER .{ u % \Ic \ �3 % 3 ƒ / •/ � — co ƒ qq n E � § coA . H k � co / k 2 q ? \ * /k } U ƒ cz / cd y, Pk q } \ 3 | k k 2 � w" ` � to �q } 2 q 00 en all \ / 7 4c, Cd ` \ r J / ƒ % c c . • \ .� U � � . � u 0 ? ci k k w a o "8 2 « o 0 ; 4 a 3 3 \ N fYl O a a+ N � ° � N W ° M y 00 x w o- I�r o +3 . ♦.+ > Vi W" c E OR0 rill u a� a W W Q z QQE" w H a c ra O Q W z ° 'I •� o = a ol co 0 O W11CW W U pZo �; 3 o z : 01) t EiW A O � 421 4 L oMO "-o 0 o 00 > ICI a a� a c° r a ° `nv � 3 � 0 w Z E� � � ° Q •� ° o W 04 Z once °' a zcbv � O it o '3 L z s y U oow �, p v o O v a 0` ; o � U W W 7a� o :r 0 41CL41 0,41 ml w Ix � H � e � --BR VILL OF BROOK [E CB NG DEP MENT 938 K[NG T YE K,NY 1057 MAR 2 7 20% . (914)939-0668 F - 1 www ebro nR VILLAGE OF RYE BROOK APPLICATION FOR PERMIT TO INSTALL. M ILDING EPARTMENT REMOVE MECHANICAL EQUIPMENT Permit#: M PI x1 -o-�3z, Building Inspector: Fee Paid: Date of Approval: 3 1 Parcel ID#: Bldg/Use Class: Res. O; Comm. ( ): REQUIREMENTS FOR RELEASE OF PERMIT: (A CERTIFICATE OF COMPLIANCE Is REQUMED TO CLOSE OUT THIS PERMIT) 1. Properly Completed& Signed Application. 2. Payment of Application Fee: Residential= $75.00; Commercial =$175.00 Fees are non-refiordab[e) 3. Site/Staging Plan as required by the Building Inspector. 4. Sealed Construction/Installation Documents& Specifications as required by the Building Inspector. 5. Copy of Licensed Contractor's Insurance including Liability& Workers Compensation. 6. Payment of Permit Fee: Residential =$12.00/1000.00 of Construction/Materials Cost. Commercial = $17.00/1000.00 of Construction/Materials Cost. 7. Inspection by Building Department for removal and/or installation. (48 how notice required) 8. Any electrical work requires a separate Electrical Permit and Electrical Inspection. 9. Any gas/plumbing work requires a separate Plumbing Permit and Plumbing Inspection. Application is hereby made to the Building Inspector of the Village of Rye Brook,NY, for the issuance of a permit for the installation,modification,and/or removal of the specific Mechanical Equipment as listed below. The applicant, by signing this document agrees that said equipment will be installed and/or removed in conformance with the approved plans, and with all applicable Local,County, State& Federal laws,codes,rules and regulations. 1. Site Address: CV\ 2. Property Owner& Phone: c J� 3. Applicant Information: `r 4. Contractor name, address, contact phone: 5. Scope of Work: New Installation( ); Replacement( ); Removal ( ); Other ( ) 6. Type of Equipment: a�\-,(\ C�,� a 4 -�, 7. Specific Location of quipment: �jUC U 8. Applicant Signature: Date: J a 1251,13 N 00 ti a N , 00 �o c h C*0 Q E M Z OO O 7 N W 6o F F CR 4 M W O 04 W Oc Unmu a A x r w a � 0-4 � 00 04 W) I� M F~ I a w X wz 96 o� w4 41 c 4;46 CL ci 4; t 4;4----iL C C.C. 4;4;- 41- 46 4;4;4-- 4;4 4;- 9- 4;C-C C;(I Cl 461 6 4 4;Cl 46- Q;Cl 4- 46- t-- BUILD} lYf RTMENT VIL j [Ec [E �Y[E [D E OF RYE*OOK MAR 2 7 2014 938 KiNd ET RYE BI K,NY 10573 (914)9� )939-5801 VILLAGE OF RYE BROOK wwiv gok.org BUILDING DEPAPTMENT PLUMBING PERMIT APPLICATION * UST BE FILED BY LICENSED MASTER PL UMBER ONL Y* Date: g / Plumbing Permit#: N 13+4444" Per►ni 1'" —Q3 Fee: Approval Signature: (fees are non-refund le) Application is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install Plumbing as per detailed statement described below,and in accordance with all applicable Federal, State, County and Local Codes,at the following location: Address Phone tnLKv-0W1( " 44q3el —cP116 Owne 1/7 , Address& Phone: Use/Occupancy: lliiMl &f Parcel I.D.#: Zone: LICENSED MASTEht PLUMBER'S INFORMATION: Name(please print): Phone#: Signature: Westchester County License#: Company Name: /, ' / Company Addres . U SM Cit /To/w V State: Zip Code: l05�;2 Phone#: ...................................................................................... FIXTURES& LINES ARE TO BE INSTALLED ACCORDING TO THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1 st Floor 2nd Floor Outside *Other: Detailed Description of Appliances etc...: specs.—Navien NCB Combi-boiler Page 3 of 5 I Navien Combination Boller Space Heating Ratings Model Number1 Heating Input, MBH Heating Capacity2, Net AHRI Ratl Min Max MBH MBi NCB-180 14 80 74 64 NCB-210 18 00 92 80 NCB-240 18 120 109 95 1 Ratings are the same for Natural Gas models converted to Propane use, 2 Based on U.S.Department of Energy(DOE)test procedures. 3 The NET AHRI Water Ratings shown are based on a piping and pickup allowance of 1.15. ConsuK Navien before selecting a boiler for installations having unusual piping and pickup requirements, such as intermittent system operation,extensive piping systems,etc. Specifications Item NCB-180 NCB-210 Gas input Space heating 14,000-80,000 BTU/H 18,000-100,000 B Domestic hot water 14,000-150,000 BTU/H 18,000-180.000 B Flow (DHW)to 77°F (43°C) Temp Rise 3.4 GPM (12.9 L/m) 4.0 GPM (15.1 L/m Dimensions 17"(W) x 28°(H) x 12"(D) 17"(W) x 280(H) x 1 Weight 74 Ibs (34kg) 84 Ibs (38kg) Installation type Indoor wall-hung Venting type Forced draft direct vent Ignition Electronic ignition Water pressure (Hydronic/DHW) 12-30 PSI/15-150 PSI Natural gas supply pressure (from source) 3.5-10.5°WC Propane gas supply pressure (from source) 8.0°-13.5°WC Natural gas manifold pressure (min-max) -0.07°WC to-0.66°WC -0.05"WC to-0.36 Propane gas manifold pressure (min-max) -0.06"WC to -0.62"WC -0.10 WC to-0.6614' Minimum flow rate (DHW) 0.5 GPM (1.9 Um) Heating supply/return V NPT DHW inlet/outlet 3/4" NPT Connection Gas inlet 3/4" NPT sizes Auto feeder 1/2° NPT Condensate outlet 1/2"NPT Power Main supply 120V AC, 601-lz supply Maximum power consumption 20OW (up to 2 amperes) Casing I Cold rolled carbon steel Materials , , Pnmarv/secondary heat exchanaer. stainless http://wholehousecombi.com/specs/ 3/27/2014 specs—Navien NCB Combi-boiler Page 1 of 5 Home Overview Videos Specifications Manuals Training Contact Us Register Dimensions & Specifications Dimensions -i-- - E 0 E -e- l5im(38"N 14.3 in.(364mnn 4.5in.(115m o 67in(170wn) � Con nectlon Size Q Air Intake (D 2" C) Exhaust Gas Vent (D 2" http://wholehousecombi.com/specs/ 3/27/20 14 YOSTC-1 OP ID:49 A Rom► CERTIFICATE OF LIABILITY INSURANCE FDAT 09/20DYYYY) 09/20/13 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 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 212-797-9600 NAME:CONTACT Bo ( Bollinger,Inc. 212-425-0719 PHONE AIX 100 Wall Street A/c No New York,NY 10005-3701 E-MAIL Douglas Penniman -ADDRESS: -- INSURE S AFFORDING COVERAGE NAIC N INSURER A:Harleysville Insurance Company 23582 INSURED Yost&Campbell, Inc. INSURER B:Harleysville Worcester Ins Co. 26182 20 Brookdale Place Mt.Vernon, NY 10550 INSURERC: INSURER D: 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. EXP TR TYPE OF INSURANCE POLICY NUMBER MMMD EFF MM DDY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 A X COMMERCIAL GENERAL LIABILITY SPP00000098990H 09/15/13 09/15/14 AMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE LJ OCCUR MED EXP(Any one person) $ _ PERSONAL&ADV INJURY $ 1,000,00 _ GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY JECT PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,00 Ea accident B X ANY AUTO BA 00000026188J 09/15/13 09/15/14 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPEERa DAMAGE $ HIRED AUTOS AUTOS tp.r S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,00 A EXCESS unB CLAIMS-MADE CMB00000098989H 09/15/13 09/16/14 AGGREGATE $ 3,000,00 DED X 1 RETENTION$ 10,000 $ WORKERS COMPENSATION WC STATU- H- I I EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Village of Rye Brook is included 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 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD New York State Insurance Fund Workers'Compensation& Disability Benefits Specialists Since 1914 199 CHURCH STREET,NEW YORK,N.Y. 10007-1100 Phone:(888)997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE An n AAA 132866714 LOVELL SAFETY MGMT CO.,LLC 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 POLICYHOLDER CERTIFICATE HOLDER YOST&CAMPBELL OF ROCKLAND INC DBA VILLAGE OF RYE BROOK YOST&CAMPBELL INSTALLATIONS 938 KING STREET 20 BROOKDALE PL RYE BROOK NY 10573 MT VERNON NY 10550 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE G 2261 808-6 484907 04/01/2013 TO 04/01/2015 3/6/2014 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO.2261 808-6 UNTIL 04/01/2015, 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, EXCEPT AS INDICATED BELOW. IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 04/01/2015 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. THOMAS P MONAHAN PRESIDENT 1 OF 2& KEVIN P MONAHAN VICE PRESIDENT 2 OF 2 OF YOST&CAMPBELL OF ROCKLAND I NC 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 STATE INSURANCE FUND U DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/cert/certval.asp or by calling (888)875-5790 VALIDATION NUMBER: 351394121 U-26.3 0/C D55567-21/28