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HomeMy WebLinkAboutMP17-143 t4t4•D��J"V L�t t �Vvy� 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 CERTIFICATE OF COMPLIANCE August 25,2023 Jeffrey Mensch&Hannah Mensch 10 Red Roof Drive Rye Brook,New York 10573 Re: 10 Red Roof Drive,Rye Brook,New York 10573 Parcel ID#: 135.42-1-5.12 This document certifies that the work done under Mechanical Permit #17-143 issued on 9/29/2017 for the installation of two new furnaces and two new condensers have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �yE BRCUk. cu � 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 : I �i (; P \.,�� 1 DATE: PERMIT# ISSUED: �SECT: BLOCK: LOT: LOCATION: � 1�5 �3t }\ ' ~ " - OCCUPANCY: "l ❑ Violation Noted THE WORK IS... �❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING fS �?on ❑ INSULATION ❑ Natural Gas ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �E BRC�k. 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:_ (�' V ��w DATE: PERMIT# 1 /—, ISSUED: SECT: BLOCK: LOT: LOCATION: A')u CQ �� ( Cyr` OCCUPANCY: 1 ❑ Violation Noted �, THE WORK IS... ❑ PASSED FAILED REINSPECTION ❑ SITE INSPECTION '(ra— cnp-s REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas Aa ❑ L.P. Gas ❑ FUEL TANK ` ❑ FIRE SPRINKLER \ ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER Robison ��>F` �,� '(� �� ��2- Proposal 500 F -cutive Boulevard E1,.t ssford, New York 10523 W- 2c: (914) 345-5700 Fox (914) 345-5783 Oil • Heating Equipment • Air Conditioning • Service Page_L_of Proposal Submitted To Phone Date Jeff Mensch 7 - sveet Job Name 10 Red Roof Drive N city Job Location Rye Brook,NY 10573 Same Submitted By App roximate Storting Date Job Phone Ray Gori-914-606-1998 jeffrev.menschr:�nai1.com We hereby subma specifications and estirnate for. This proposal is for the removal of the existing and installation of two new furnaces and air conditioning systems.We will supply all parts and labor to complete all work described in this proposal to local and state codes.We will file all necessary permits and paperwork with the town building department. Permit fees will be billed upon completion and are not included in this contract (initial please). The installation will include the following: (1) Two Lennox ELMXC 1-0 4 e-230 #;;SEER condensing units. (2) Lennox EL296UH090XV48C 95%2 Stage up flow/horizontal gas fired furnace(1st Floor). (3) Lennox EL280UH090P48B 80%2 Stage up flow/horizontal gas fired furnace(21 Floor). (4) Two Lennox evaporator coils and TXV valves. (5) Aprilaire 700M humidifier. (6) Supply and return transition ductwork,condensate pump,pads,condensate pan,in line dryers and electrical whips. (7) After the gas piping is connected to the furnace we will start and check the operation. (8) The existing furnaces and condensing units will be removed and properly disposed of. (9) The existing line sets will be cleaned and pressure tested with nitrogen. (10)The first floor furnace vent will extend to outside in the rear of the house. Warranties and Service Contracts 20 Year Lennox Heat Exchanger Warranty 10 Year Compressor and Parts Warranty 1 Year Robison Parts and Labor Warranty Robison will provide material and labor for the above spacilieetions for the sum of Nineteen Thousand Six Hundred Fifty-------------------------------------------------------- Dollars($ 19,650.00 ) Payment to be made as wa.": 50%down 50%upon completion Visa,Master Card,American Express,Discover,Personal Check and Synchrony Financing All material is warranted to be as specified.All work to be completed in a workmanlike manner.Any alteration or Authorized deviation from above specifications involving extra costs found during or after Installation will become an extra Signature charge over and above the estimate.These may Include extra code requirements,asbestos abatement,fire rated sheet-rock,&fresh air ducts,etc.Robison Is not responsible for any faulty piping,water or steam leak,oil lines. Note:This proposal may be withdrawn by Robison If not accepted within 30 days poor draft,or electrical wiring,etc.,which may hinder the proper performance of the equipment being installed. and Is contingent upon the managers approval. Robison Is not responsible for delays beyond Its control.Homeowner to carry homeowners insurance(fire,etc.).All workmen will have workmens'compensation and public liability insurance. Approved Date Acceptance of Proposal The above prices,specifications and conditions are satisfactory and are hereby accepted.Robison is authorized to do the work. Payment will be made as outs ed abfnr .Customer must be on automatic oil delivery service for the entire length of the contract terms.If not,total balance of corttiact due upon cancellation.Flung teas,if a i are ert a Signature(s) Date H117 ��.��Z '�l� r�- J �L �� � ? � �� �, o \� J d 2 J 's c3 J � , , 0 U'" � � .�. v' � 2 y .� � . -� !____� � '��, M 1 1 � s-� N � � O .� � Qz v � O � � � _ N (la ti � a �� ��� • �s CN z ` _ '•y Pq r 04 16 w ... Z ... W ca IL kii A3 3 co - r C N fZ W C u e '7 V = Q VLLIOEM Z ti a w Z o ;^ z z 4 x Q > C m OC Now Now � i z CQi ~= �• ^ r z f 3 Q g 4 og Ga. V 1 16 0 F fi= ��-�RIn D ff� D �U[ - BUIL E ;'. MENT VtL E O>+ROE OK NOV - 1TBI 938 KIN ET RYt B ,NY 10573 l (914)9 ' 939-5801 VILLAGE OF RYE BROOK BUILDlJG DEPARTMENT .or _ ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY .,Ht' #: E('#: Approval Date: NOV — M Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, IOJ4117 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. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. 1.Address: /d & �r� /��. �i/� �U�OolC SBL: Zone: 2.Property Owner: Address: ' GY' ,tW� la,6 6cvC_ Phone#: Cell#: email: / 3.Master Electrician: t_T ..(F eA Address:`79 'l A Lic.#: jE2 A6_Phone#: _1176 Cell#:91V 760--2Z �_email(y����yt/ef►G�r/a;�,��L c�r� Company Name: Address_)e.96. 4.Proposed Electrical Work/Fixture Count: WIZ "4—LACC>4cCRSA_—:E nSTATE/O�F NEW YORK,COUNTY OF WESTCHESTER ) as: ("Q,,ACC11 ,being duly swom,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 legal owner of the property to which this application pertains,or that(s)he is the Ifigio for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New fork 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 yTH Sworn to befqreme this T 1-14 day of 20L7 RICARDO M DOS ANJOS day of O&MA CIL 201-L _ Notary Public,State of New York No.01 D06237942 Signature of Property Owner pualified in Westchester County SWPn6re of pplicant Commission Expires Ma; 2019 Prin a of Property O f Pri me of Applicant Public tary Public- 7 7 17 Westchester Rockland Electrical Inspection Services, Inc. j Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY L y Fax: 914-347-3596 43 North Lawn Avenue Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# DATE J t v CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY i STREET AND NO.OR ROAD _ POLE NUMBER BETWEEN WHAT TWO CROSS STREETS ISPREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME ,( BUILDING OCCUPANCY . OWNER'S NAME AND ADDRESS' iJ -77 HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEI ,, FFICE WORK`TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO, H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT JsT FL. NO 2'FL. I 1 3'FL REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: i 's 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 AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED❑ CONCEALED LI MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND[1 AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF APPLICANT K� /, cry � i fW frit. /ems .�mr1�C�st X STREET ADDRESS TELEPHONE NO. CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE MtESTC�SIER AICAILIr� a- EIS ILECTA1W IMSrEtI II;a SEAIICES.LM BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: REI Property Mgmt Inc Mensch 78 SOUTH REGENT STREET PORT CHESTER NY 10573 Located at: 10 Red Roof Dr., Rye Brook Dr., NY 10573 Certificate Number: 463202 Section: 135.42 Block: 1 Lot: 5.12 BDC: Permit Number: EP:17-299 BP:17-143 A visual inspection of the electrical system at this premise described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 10 Red Roof Dr., Rye Brook Dr., NY 10573 ❑X Basement El 1st Floor ❑2nd Floor ❑3rd Floor ❑Garage ❑Attic ❑X Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation, as set forth below, was found to be in compliance therewith on 12/12/2017 Name Quantity Rating Circuit Type Furnace 2 Gas or Oil A/C Condenser 2 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. A'4 4 This certificate is valid for work Derformed before date of inSDection onl . , .r..+w-:q -"�?l/' •�A .y�T ►• r-+ r N� � .d.: � =;gip , .�pt� �p���� �D� -- ;`�D, :• �p�.': tca?> ,. 5 f .I s .titili� . ti' 1 1l '111��_ ►fflu) ` All i'i O' ,M41 R .tip.I•-— - ram' _t •� l' (U � C .r h�l r � Z o A :`��• 1 S Co pp o „ \ _ n y 3 MV tr CL n r C,7 i •..- -� / oeParc,,,& Y.(1) X 0 O 0 . •. is Jb ,- '� r CJ. � 'hrs:.� vi.••er. "j A � I •� 1 o \ } CIO �. Olt, l�, 1 �'• � 1 �'•`' 11.1 :; 1 . 1 �6 �,� ltAr 1 DATE(M MIDDIYYYY) A�ORO' CERTIFICATE OF LIABILITY INSURANCE 19,1/2017 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 endorsements . PRODUCER CONTACT NAME: Tom Macarl Hub International Northeast Limited PHONE 203-337-1814 FAX 777 Commerce Drive E-MAIL .thomas.macari hubinternational.com Fairfield CT 06825 thomas.macari@hubinternational.com AFFORDING COVERAGE NAIC# INSURERA:HDI Global Insurance Company 41343 INSURED INSURER B:North River Insurance Company 21105 Singer Holding Corp. INSURER C:Internatlonal Insurance Co. dba Robison oil 500 Executive Blvd INSURER D Elmsford NY 10523 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 569781888 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSLIBR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y EGGCD000054917 9/1/2017 9/1/2018 EACH OCCURRENCE s2,000,000 CLAIMS-MADE �X OCCUR PREMISES E T R N D PREMISES Ea occurrence) ccurrence 5100,000 MED EXP(Any one person) $excluded PERSONAL&ADV INJURY S2,000,000 �GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S2,000,000 POLICY ERCOT LOC PRODUCTS-COMP/OP AGG S2,000,000 OTHER: S A AUTOMOBILE LIABILITY Y EAGCD000054917 9/1/2017 9/1/2018 Eaaccident S2,000,000 X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY Per accident S AUTOS AUTOS t ) X HIRED AUTOS X NON-OWNED PROPERTY DAMA AUTOS Per accident S includes pollution Sliability CA9948 A X UMBRELLA LAB X OCCUR Y EXAGD000054917 9/1/2017 9/1/2018 EACH OCCURRENCE S3,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE S3,000,000 DED I I RETENTIONS follow form S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S C Property Y CPR15EO09604 9/1/2017 9/1/2018 BPP-$100,000 Ded-$2,500 B Excess Umbrella 5227982137 9l1/2017 9/1/2018 $7,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Certificate Holder is included as Additional Insured with respect to General Liability per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Ryebrook Building Dept. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Ryebrook NY 10573 USA AUTHORIZED REPRESENTATIVE �" a ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD d New York State Insurance Fund K WESTCHESTER ONE,44 SOUTH BROADWAY, LOTH FLOOR, WHITE PLAINS,NY 10601-4411 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 133121491 SINGER HOLDING CORPORATION C/O DIANE COOK E 500 EXECUTIVE BLVD ELMSFORD NY 10523 M. _. Scan to Validate POLICYHOLDER CERTIFICATE HOLDER SINGER HOLDING CORPORATION T/A VILLAGE OF RYE BROOK ROBISON OIL A!T/A ROBISON ENERGY BUILDING DEPT C/O DIANE COOK 938 KING ST 500 EXECUTIVE BLVD RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 2050 771-1 807171 11/01/2016 TO 11/01/2017 11/07/2016 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2050 771-1, 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 YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND C d O_._ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 645222007 IIII�IEIINIII000010000000037920053IIIIIlIIIIIIIIIU Forth WC-CERT-NOPRIMT Version 2(0212912016)[WC Polity-205077111 U-26.3 14 (0000000000003792005310001-000020507711 HgWgl 4501-04ljCeq NoP-CERT_1 u01-00001I