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HomeMy WebLinkAboutMP25-039 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 David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE January 12,2026 Yolanda Paulino 32 Roanoke Avenue Rye Brook,New York 10573 Re: 32 Roanoke Avenue, Rye Brook,New York 10573 Parcel ID#: 141.35-1-40 This document certifies that the work done under Mechanical Permit #25-039 issued on 3/21/2025 for the installation of two new heat pumps and four wall units have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to yE Ghi,:��. o`` tim �Q � ��' '9°2 �' BUILDING DE PARTMENT ❑ LDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCLMENT OFFICI.R 938 KING STREET - RYE BROOK, Nl 10573 (914) 939-0668 FAx (914)939-3801 www.r sLhrook_or,, - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - -- - - - - - - - - -- - ADDRESS J_2, __-R-QA-ea4-t.F, ie -- DATE: 12 ` 1-7- ZO� PERMIT# 'O�R _ ISSUED: SECT:--,--I310(:K: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NO'fEl) THE WORK IS... ❑ ACCEPTED IZGIL(:TED/ RCINSPHCTION ❑ SITE INSPECTION RE(1UIRl.D ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS - /V& ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL .ff'O•rtlr:uy�� �yE BR(�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 : DATE' PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: } OCCUPANCY: ❑ Violation Noted THE WORK IS... ❑ PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING i ❑ 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 x Y M `14 _ \ � C'n M N 0 N pR' c� w � '° � � - c .e o� � C) S 5 cn a� zq � � ro,Oz v a 1-0-"G v 00 ps GO U C �/ ,.7 �i MM W W a PLO uQ y > w m U d� o 0 QI F Y x O ® O O � 6z w i > � o � N z w © A p � .- - M q W z F 0 5 0 � o W V W A CLJ? a. � O � Q,'� a 041 4 a ECEWE 0 MAR 2 0 2025 BUILD, MENT VIL OOK VILLAGE OF RYE BROOK 938 KING ,Q ET RYE BR t�,NY 10573 BUILDING_DEPARTMENT ov APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EOUIPMENT FOR OFFICE USE Oi LY: PERMIT Z Approval Date: Permit Fee: Approval Signature: Other: 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 REQUIREMENITS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. 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#C 105.2 or Form#U36.31 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 reyuirecf) 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, 3/19/2025 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 wilt be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. I. Address: 32 Roanoke Ave, Rye Brook, NY 10573 SBl : 141.35-1-40 Zone: Ael�)F 2. Property Owner: Yolanda Paullno Address: 32 Roanoke Ave, Rye Brook, NY 10573 Phone#. 914-830-2159 Cell #: email:yolandapaulinol011@gmail.com 3. Contractor: Burke Ener Address: 476 Commerce St, Hawthorne, NY 10532 Phone#: 914-919-3507 Cell#: email: burkepermits@meenanlp.com 4. Scope of Work:New Installation(X)•Replacement( )•Removal{ )•Other( ): 5, List Equipment:Install new Fujitsu mini split cooling system with heat pumps for first floor: (2)outdoor heat pump model AOU18(one on rt side of house/one on left side of house), (3) model ASUH9 indoor heads(one in each bedroom), and(1)model ASUH12 indoor head(kitchen/living room) 6. Location of Equipment: As above: heat pumps outside/indoor heads in first floor rooms 7. Method of Instal t ation/Rem oval (list atl equipment needed to perfonnjob): Inswil refrigeration W*5 from indoor heads to outdoor compressors, to be covered in line hide as needed.Condensate drains from indoor heads to outside.Communicating wire from indoor heads to heat pumps. Provide line voltage electrical from electric panel to heat pumps. 1 6n n-024 STATE OF NEW YORK,COLTNTY OF WESTCHESTER ) as: Kelly Redlon!'Burke Energy ,being duly sworn,deposes and states that heishe is the applicant above named, (print name or individual signing u dm Al and further states C:iat(s)hc 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 tnie to the best of his/her knowfedgti and belief,and[hat 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 to any accompanying approved plans and specifications,as well as in accordance with the Nev,York State Uri form Fire Prevention&Building Code,the Code of the Village of Rye Brook and a!I other applicable Jaws,ordinances and regulations. Sworn rbtr/o'rrc ym�e his 4zu Sworn to before me this day of r"!VC L } .20 day of CL�'.1C�-1 20 S au re of Property er Si antre O A frc�r 4 Vol r Cif \, at Kelly Rye on 1 Burke Energy Pn�r s irsn e o�fJProperty Owne: Mint Name of A I_tcinii 4otar} tL SARLES A+.ElZ NOTARY PUBLIC,STATE OF NEW YORK r4otary Pu e a New York NO. 1,wo5 23 6 Registration No. 01 SA6392045 Qualified i west ester County Qualified In Putnam County My commtssto res Feh 7. 2026 Commission Expires May 20,2027 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owners)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. z 6 2024 fun�m �edaid was wow6uiNrA LU04 W9z a 6uiBuey ,osuepuo� 1!u^HbM pun mm �IZL w Bud8ue4 xmuepuW /Jjedold UXX)Jpe8 )w PIA C:C*11104 VOL A 7 5 � 50 N 55 M o Mer% m ' a 0 C V� a�i '0 �q 46 HE 0 � - x o � Roarake Awl _ % 34 Roanoke Ave N 15 tot 35-1 41 '4 c� ~ e4 55 f M - ••• .-r ii7 yw N N y a u i y H Tr A = u. 8 'CN � V t 0-4 W = N = 0r CN Ln " O Qz U OV iil yr �" N w — U % Cl)z � \ o z �7, z 00 8 - z A w F a a M W z z O N Fil ce 0 -04 H A 4 z F , W _ y i w ° H U p w z v OC t t a t , D CC ENE BUILD y E IT'rPIENT MAR 2 0 2025 V(Lt E OF RYE OK VILLAGE OF RYE BROOK 938 KlvrA. 'Ei RYE B NY 10573 BUILDING DEPARTMENT ,i ELECTRICAL PERNIIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY _O J EP#: Approval Date: MAR Permit Fee: S Approval Signature: Other: DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INiSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 120 OFTHE TOTAL COST OF CONSTRUCTION NNTTH A NIININIUNI FEE OF S 750.00 Application dated, 3/19/2025 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install andlor 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 32 Roanoke Dr, Rye Brook, NY 10573 SBL: 141.35-1-40 zortc: . 2.Property.Owner: Yolanda Paulino Addres.: 32 Roanoke Dr, Rye Brook, NY 10573 Phone#: 914-830-2159 Cell m email:yolandagaulino1011(Warnail.eom 3.Master Electrician,Licensed Installer: Thomas Leather/Burke Energy Address:475 Commerce St,Hawthorne,NY 10532 Lic #: 595 Phone:;: 914-919-3507 Cell :: email:burkepermitsttmeenanlp.com Company Name: Burke Energy Address. 475 Commerce St, Hawthorne, NY 10532 4.Proposed Electrical Work/Fixture Count: wire new Fujitsu mini split heat pump system. (2) outside heat pumps & (4) indoor heads on the first floor. Provide line voltage electrical from electrical panel to heat pumps 5.31d Parry Electrical Inspection Agency: SWIS STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as. Thomas Leather/Burke Energy being duly swum,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 licensed installer for the legal owner and is duty authorized to make and file this application (Master Electrician"Licensed Installer) The undersigned further states that all statements contained he, art 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 to any accompanying approved plans and specifications,as well as in accordance with the New York State uniform Fire ?revention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances,and regulations. Swim: ei c.C�,�tts Swom to lr e this a 01+1 13y) • day or r 2u (7atA r ELIZABETH SARLES a of Applicant a t n NOTARY PUSUC,STATE OF NEW YORK homas Leather/Burke Energy P :: tine ofprope - caner Registration No.01SA6392046;n,t Name of A Qualified in Putnam County Commission Expires May 20,202 . iGSc.,%o "�ga�tRC a- r,c hate*yew 'o1k tart''Public vctary q7 476 NO.O'.MOS . 5/li"_'034 ;urry �: z Tres=ec 2025 STATE WIDE INSPECTION SERVICr=S,lmc.� swisJOB APPLICATION tel 8115.202.7224 1"at, I Office Use Elect.Permit u //� — SSJ �e 3/192025 ild�-0lfmltw /�/�� �� Sp Ft Plumt*V Permit# Final Certificate d City Village Rye Brook zip 10573 18104N DwVillage of Rye Brook Coum Westchester Address 32 Roanoke Ave Cross Sbeet Section141.35 Block 1 Lot 40 owner Name,Address,if Yolanda Paulino Contact Number 914-830-2159 ❑Basement ®1st°I. ❑2nd Fl ❑3rd FI ❑Mae nian 3 FI. Garage ❑Attic Q Outside ©Residential ❑Commeroai Receptacles Special Recept GFC1 AFCI Switches Dimmers Smoke Alarms C/C Detector Hood Trash cDrroaa Amt Amps Range(s) COoktop(s) Oven(sj Disnwashes Ref igeratur Disposal Microwave Luminaires Generator Transfer Switm SERVICE Amperage #Panels p PIeters C Disconnect ❑Urcergrourd ❑Nesv ❑Reconnect Repatr ❑Overhead ❑Upgra0e ❑ Cisconnect Utility[D# ❑Cal Ed ❑NYSEG ❑CeWai Huascn ❑0-anye j Roo Tana PHOTOVOLTAIC SYSTEM PV Nodules I Inveitem AC Discomect 117 Combiner Box _oad Certer PV Monitor Energy 5-orage System DC Disconnert ❑Legadzation ❑ Safety Inspection ❑Consunatior Install (2) new Fujitsu heat pump units to be wired to existing electrical panel o �C�oVV MAR 2 0 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT .s•.ar-ax,nu+uwuu...,. ,...,r,,,•,,h ,.. .,.rn,r,.apn„<niun r,afn•4'8:. ,ner,ir Yim,a llthd X/.f r014 M0r<InLdii mvrr Nlnr♦rc•nngY«.f /wi+" ,unr+uw�u,nw,.u..ii..✓..,i,,,,..�.�,�I,."rr ,"�, i,.ov.—It.JaVW—.M[wm rwr n..«•n W. .iMi n.r, m..nl.a.srJ.ppn,q,. n.Jl u,•Wnr rnm.'„ .r.,ur<•n..:d i.;nnlT•aq�r.An.. Email Address burkepermits@meenanip.com ;vane T as License it 595 Date 3/19/2025 S"tu Address 475 Commerce St rtv/Staie Hawthorne. NY zip Code 10532 Company Burke Energy phone 4 914-919-3507 U State Wide Inspection Services v 1080 Main Street Fishkill, NY 12524 XOA" U 4S JUN 18 2025 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 Integrity BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Burke Energy Yolanda Paulino 569 North Main Street 32 Roanoke Avenue Brewster, NY 10509 Rye Brook, NY 10573 Located at: 32 Roanoke Avenue, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: EP25-073 141.35 1 40 Certificate Number: 2025-4050 Building Permit Number: MP25-039 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: 32 Roanoke Avenue, Rye Brook, NY 10573 The Basement Electrical Panel Area 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 17th day of June 2025. Name Quantity Rating Circuit Type HVAC Systems 02 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. Project Name: Paulino Address: 32 Roanoke Avenue,Rye Brook,NY OUTDOOR DESIGN CONDITIONS Weather station:White Plains,Westchester Co.AP Summer Outdoor F: ® Summer Indoor F: Design Grains: Daily Range: Winter Outdoor F: ® Winter Indoor F: Cooling RH: Elevation(Ft): LOAD CALCULATION TOTALS HVAC System:Ductless Heated square footage: Heating BTUH: Cooled square footage: ® Cooling BTUH: Heated volume(above grade CIF): ® CFM: Cooled volume(above grade CF): ® Sensible cooling: Exposed wall area(SF): ® Latent cooling: SHR: Load Calculation Cooling Heating 0 10,000 20,000 30,000 40,000 BTUH Approved ACCA MJ8 Calculations Calculations are based on the ACCA Manual J Sth Edition and are approved by ACCA. All computed calculations are estimates on building use, weather data, and inputted values such a R-Values, window types, duct loss, etc. Equipment selections should meet both the latent and sensible gain as well as building heat loss. 41 HEATING AND COOLING LOADS HEATING LOADS Heating Loads SECTION • aooveGradeWalls aboveGradeWalls 1,296 7,291 ceilings 1.674.5 3,691 windows ceiilngs floors 1.674.6 11.114 infiltration 0 0 skylights 0 0 floors windows 336 16.955 28 5% Totals 39,051 COOLINGO.D Cooling Loads aboveGradeWaI's SFC,'1DN AREA SENSIBLE LATENT 3.9°�0 AEDExcursion 0 0 0 appliances windows 13.6°o aboveGradeWalls 1 296 968 0 40 Solo ceilings appliances 0 3.400 0 1151,0 ceilings 1,674.5 2 863 0 plants 1 2% 7 5% floors floors 1,874.5 1 877 0 infiltration infiltration 0 1.376 2.338 occupants 14 9% 6 9% occupants 0 920 800 plants 0 0 300 skylights 0 0 0 windows 336 : 10.094 0 Totals 21,498 3,438 FENESTRATION LOADS AED Graph(mid-summer) 15.000 = 10,000 m 5,000 0 8 9 10 11 12 13 14 15 16 17 18 19 —BTUH —Average —Average"1.3 This graph represents hourly aggregrate fenestration loads in mid-summer. AED graph(fall) 15,000 s 10,000 ti m 5,000 0 8 9 10 11 12 13 14 15 16 17 18 19 —BTUH —Average —Average 1.3 This graph represents hourly aggregrate fenestration loads in October. COMPONENTLOADS ABOVE Map trace wall Frame Wall, Wood framing,R-11 cavity Construction nr 12B-Ob w Exposure. N Healing BTUH: 332 U Value' 0.097 Area 591 Cooling BTUH 44 insulation, Brick Veneer. Map trace wall Frame Wall,Wood framing,R-11 cavity Construction nr: 128-Ob w Exposure: N Heating BTUH: 1 415 U Value 0.097 Area: 251.5 Cooling BTUH: 188 insulation, Brick Veneer. Map trace wail Frame Wall,Wood framing,R-11 cavity Construction nr 12B-Ob w Exposure: E Heating BTUH 897 U Value: 0.097 Area: 159.4 Cooling BTUH: 119 insulation,Brick Veneer. Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr 12B-Ob w Exposure: E Heating BTUH Soo insulation, Brick Veneer. U Value: 0.097 Area: 1067 Cooling BTUH: SO Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr: 12B-Ob w Exposure: E Heating BTUH: 439 insulation, Brick Veneer. U Value: 0.097 Area: 781 Cooling BTUH: 58 Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Ob w Exposure: S Heating BTUH: 129 insulation,Brick Veneer. U Value: 0.097 Area: 22.9 Goofing BTUH 17 Map trace wall Frame Wall,Wood framing,R-11 cavity Construction nr. 128-Ob w Exposure. S Heating BTUH 459 insulation, Brick Veneer. U Value: 0.097 Area: 81.6 Cooling BTUH: 61 Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr 128-Ob w Exposure: S Heating BTUH: 1 104 insulation, Brick Veneer. U Value: 0.097 Area: 196.2 Cooing BTUH: 147 Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr. 12B-Ob w Exposure: W Heating BTUH: 1 106 insulation, Brick Veneer. U Value: 0.097 Area: 196.5 Cooling BTUH: 147 Map trace wall Frame Wall,Wood framing, R-11 cavity Construction nr 128-Ob w Exposure: W Heating BTUH: 810 insulation,Brick Veneer. U Value: 0.097 Area: 144 Cooling BTUH: 108 BELOWe There are no components for this section. Default small windows for wall id 9815374 Construction nr: 1 G U Value: 087 Heating BTUH: 303 Window, NFRC rated,Clear glass. Exposure 6 SHGC: 0.67 Cooing BTUH: 97 Default medium windows for wall id 9815374 Construction nr. 1 G U Value: 0,87 Heating BTUH: 606 Window, NFRC rated,Clear glass. Area: : N SHGC: 0,67 Cooling BTUH: 195 ExposureDefault small windows for wall id 9815378 Construction nr. 1 G U Value 0.87 Heating BTUH: 606 Window, NFRC rated, Clear glass. Area: N SHGC: 0.67 Cooling BTUH: 195 Default medium windows for wall id 9815378 Construction nr' 1G U Value: 0.87 Heating BTUkh. 606 Window, NFRC rated, Clear glass. Area: N SHGC: 0.67 Cooling BTuIN 195 as Default large windows for wall id 9815378 Construction nr 1G U Value: 0.87 Heating BTUH: 1,817 Window,NFRC rated,Clear glass. Are& sure N SHGC. 0.67 Cooling BTUH: 584 ExpoDefault small windows for wall id 9815379 Construction nr 1G U Value: 0.87 Heating BTUH 606 Window, NFRC rated, Clear glass. Areal : 1 SHGC: 0,67 Cooling BTUH: 398 ExposureDefault medium windows for wall id 9815379 Construction nr 1 G U Value: 0.87 Heating BTUH: 1,211 Window, NFRC rated,Clear glass. Exposure E 24 SHGC: 0.67 Cooling BTUH: 796 Default small windows for wall Id 9816381 Construction nr 1 G U Value: 0.87 Heating BTUH: 303 Window, NFRC rated,Clear glass. Area: E SHGC' 0.67 Cooling BTUH 199 Default medium windows for wall id 9815381 Construction nr 113 U Value: 0.87 Heating BTUH: 1,211 Window, NFRC rated,Clear glass. A posure: 2 SHGC: 0,67 Cooling BTUH: 796 Default small windows for wall id 9816383 Construction nr 113 U Nettie: 087 Heating BTUH: 806 Window, N FRC rated, Clear glass. red: 12 SHGC: 0.67 Cooling BTUH: 398 sure: E Default medium windows for wall id 9816383 Construction nr: 1 G U Value: 0.87 Heating BTUH: 808 Window. NFRC rated, Clear glass. Erb. E SHGC: 0.67 Cooling BTUH: 398 Default small windows for wall Id 9815380 Construction nr 1G U Value 0 87 Heating BTUH: 806 Window, NFRC rated,Clear glass. Area 12 e: S SHGC: 0.67 Cooling BTUH: 379 ExposurDefault small windows for wall id 981S382 Construction nr. 1G U Value, 0.87 Heating BTUH: 606 Window, NFRC rated,Clear glass. Area: 1 SHGC: 0.67 Cooling BTUH: 379 Exposure: S Default medium windows for wall id 9815382 Construction nr. 113 U Value 0.87 Heating BTUH: 608 Window, NFRC rated, Clear glass. Area: a: 82 SHGC 0.67 Coding BTUH: 385 ExposurDefault small windows for wall id 9815384 Construction nr 1 G U Value. 0.87 Heating BTUH: 806 Window,NFRC rated,Clear glass. Area: : 8 SHGC 0.67 Cooling BTUH: 379 ExposureDefault medium windows for wall id 9815384 Construction nr: 1 G U Value 0.87 Heating BTUH: 1,817 Window, NFRC rated, Clear glass. Expo . 3 SHGC 0.67 Cooing BTUH: 1 154 Default small windows for wall Id 9816376 Construction nr. 1 G U Value: 0.87 Heating BTUH: 606 Window, NFRC rated,Clear glass. Exposure: 12 SHGC: 0.67 Cooling BTUH: 453 Default medium windows for wall id 9815376 Construction nr: 1 G U Value: 0.87 Heeling BTUH: 1 817 Window, NFRC rated,Clear glass. Are& : 36 SHGC: 0.67 Cooling BTUH: 1 368 ExposureDefault small windows for wall id 9915385 Construction nr 1 G U Value 0.87 Heating BTUH: 606 Window, NFRC rated,Clear glass. E�:sure: 12 SHGC 0.87 Coding BTUH: 453 Default medium windows for wall id 9816386 Construction nr. 1 G U Value: 0.87 Heating BTUH: 1,211 Window, NFRC rated,Clear glass. Area. tire: 24 SHGC: 0.67 Cooling BTUH: 905 ExpoWindow cooling BTUHs shown here are daily average values.See AED graphs for details of fenestration loads during the day. Map trace generated ceiling Ceiling under attic or attic knee wall,Asphalt Construction nr 16B-25 ad Area 1,6745 Heating BTUH: 3,691 shingles,Dark, R-25. SKYLIGHTS There are no components for this section. Skylight cooling BTUHs shown here are daily average values.See AED graphs for details of fenestration loads during the day. There are no components for this section. Map trace generated floor Floor over enclosed unconditioned crawl space Heating BTUH: 11 114 Construction nr 19A-Ocp Heating U Value:0.295 Cooling BTUH 1 877 or basement, no floor insulation,Carpet or Area: 1.674.5 Cooling U Value 0.295 F Value. N/A hardwood. VENTILATION There are no components for this section. HOT WATER PIPING There are no components for this section. • There are no components for this section, INFILTRATION NCFM Healing. 201 Heating BTUH 0 Leakage Category: Loose NCFM Cooling. 105 Sensible BTUH: 1 376 Latent BTUH 2,338 BLOWER • •' There are no components for this section. WINTER HUMIDIFICATION There are no components for this section. • Nr.Occupants: 4 Sensible BTUH 920 Latent BTUH 800 APPLIANCES Kitchen.utility room,additional fridge.lighting:3 400 BTUH Quantity: Sensible BTUH 3 400 Latent BTUH Plant Size: small Quarrtdy: 5 Latent BTUH: 50 Plant Size: medium Quantity: 5 Latent BTUH: 100 Plant Size: large Quantity: 5 Latent BTUH 150 ROOM DETAIL Room name: 1 st Heated square footage: Total Cooling BTUH: Cooled square footage: Total Heating BTUH: Heated volume(above grade CF): ® CFM: Cooled volume(above grade CF): Exposed wall area(5F): Load Calculation Cooling Heating 0 20,000 40,000 60,000 BTUH AED Graph(mid-summer) 15,000 = 10,000 ti cc 5,000 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average —Average"1.3 AED graph(fall) 15,000 = 10,000 ti CO 5,000 - - 0 8 9 10 11 12 13 14 15 16 17 18 19 — BTUH —Average —Average*1.3 �:�r. �� ••� CD FUJITSU SUBMITTAL 12LPAS1 a�n Inverter Driven Heat Pump 12,000 BTU Singler r r System job Name Location Date Engineer Approval Submitted To Construction Submitted By Unit No Reference Drawing No PRODUCT FEATURES Auto Changeover Weekly&24 hi.Timer Auto Louver Minimum Heat Mode Auto Restart Economy Mode Energy Saving Program(ESP) _ Wireless Remote control ir, r Outdoor Unit Low Noise Schedule . i �MOM_ MODEL NUMBERS Indoor Unit ASUH12LPAS Warranty Information Outdoor Unit AOUH12LPASI -System 12LPASII EFFICIENCIES �earw SEER 20 7 Year Compressor,5 Year Parts out-of-the-box Warranty EER 11 ---- N4RRRNTY HSPF Il COP kW/KW 3.73don BTU/hW 12.70 10 Year Compressor,10 Year Parts Warranty when registered within r r O' O' 60 days of installation in a residence Cooling _ 14 to 115(-10 to 46) HeatingF(C) 5 to 75(-15 to 14)1 CAPACITIES Cooling Rated 12,000 12 Year Compressor,12 Year Parts Warranty when registered within Min.—Max. 3,400-12,700 60 days of installation in a residence,and installed by a Fujitsu Elite Heating Rated BTUIhW 14,000 contractor Min.—Max. 3,100-17,000 IINESET REQUIREMENTS Connection Method _ Flare' Liquid 0 ll4(0 6.35) Gas in 0318(09,S2) ACCISSO-MIES Pre-Charge Length 49(IS) UIY-RNR_U25 Wired Remote Controller(Touch Panel) Minimum Length� Ili(5) UTY-RSRY Simple Remote Control Maximum Length ft(ill)) 66(20) uTY-RHRY Simple Remote Control(Hospitality) Max.Hei ht Diff. 49(I S) UTY-XWZXZ5 Dry Contact Wire Kit INDOOR DIMENSIONS&WEIGHT UTY-TTRXZI 24VThermostat Interface Net(H"ru"D) in 10-5/8.32-13116 x 8-314 UTY-TWRXZ2 Communication Kit " mm 270 R 834 N 222 UTY-TFSXFI WIFI Module IGrou(H x W x D) in 10-7/8.36.13-1116, Fj-AC-BAC-IL BACnet Gateway ruin 277 R 914•332 Gross i ht I (kg) 22(10.0) IGrou Weight 29(13.0) This system combination is Energy Star qualified :OUTDOOR DIMENSIONS Net(H x W x D) in 21-5/16 R 31-7116 R 11-7/16 'Gross(H x W x D) mm----- - 23-11/16?37 991 4-3/4l, App available in mm 602 R 940•375 Apple'App Store and Net Weight 68(31) ��. Google®Play Store. Gross Weight lb(kg) 75(34) (Flltl� Indoor Unit ETLN:91987 rn Outdoor Unit ETLM:91987 Due to continuous product improvements,specifications are subject to change without notice. Please log in to the Fujitsu Portal for the most up-to-date Effective Date: 7/28/2021 documentation https://portal.fujitsugeneral.com r r r 'r rr r t r r r• r f FUJITSU SUBMITTAL 12LPAS1 ate/ icyon� Inverter Driven Heat 1 12,000 BTU Single1 1 1 System �• ELECTRICAL SPECIFICATIONS High 453(770) Voltage/Frequency/Phase 2081230 V/10/60Hz Cooling Medium 353(600) Voltage Range 187-253V-60HZ Low 265(4S0) Cooling Rated 4.9 Indoor Unit Airflow Quiet 147(250) Current Heating Rated 4.9 Rate High 4S3(770 Cooling6.9 Medium CFM(m3/h) 377(640) Maximum Operating Current Heati g A 7.9 Heating — Low 306(520) Starting Current ;r 4.9 Quiet 182(310) MCA 9.7 Outdoor Unit Cooling 989(1,680) Maximum Circuit Breaker 15 Airflow Rate Heating 989(1,680) Cooling Rated 1.09 PRESSURE Min.—Max. 0.14-1.33 Input Power - kW High 43 Rated 1.1 Heating -- Cooling Medium 36 Min.—Max. 0.14-1.61 Low 30 Power Factor Cooling % L 96.7 Indoor Unit Quiet 19 Heating 97.6 High 43 d8(A) Heating Medium 38 Moisture Removal _ mts_I_h(L/h) __ _ 3.8(1.8) Low 33 Energy Star Yes Quiet 21 Drain hose Material i PP+HDPE Size in Corm)Outdoor Unit Cooling- 47 —017/32(0 13.8)(I.D.),019/32 to 21132(12115.0 to — --- - - Heating 48 16.8)(O.D.) REFRIGERANT Operation Cooling 'F(•C) 64 to 90(18 to 32) Type R410A %RH 80 orless lb oz 2 lb 2 oz Range Heating F('C) 60 to 86(16 to 30) Charge kg 950 - Oil Type R868A Data:Wall Bracket Units:In.(mm) (32-13/16[8341) 2-5/8(67) 12-7/8(327) 12-7/8(327) 4-7/16(113) Outline of indoor unit — -—-—-—-—-—-—----—-—-—-—-—-—-— --- i °L. .o •••o o....0° °°0° co 0 0 For pipe iMet 0 2-9/16(65) For pipe irdet 0 2-9M6 65 2-1/2 64 2-7/16 62 1-7/8 48 3-5/16 84 13-5/8(346) 14(356) The Fujitsu logo is a worldwide trademark of Fujitsu General Limited.The Halcyon logo and name is a worldwide trademark of Note:Specifications are based on the following conditions: Fujitsu General Limited and is a registered trademark in Japan,the USA and other countries or areas.Copyright 2018 Fujitsu Cooling:Indoor temperature of 80•F t26.7•O DB/67'F 119.4'O W8.and outdoor temperature of 957 13VC)DB175'F General America,Inc Fujitsu s products are subject to continuous impiovements.Fujitsu reserves the Iighcto modify product 121TO WB-Heating:Indom temperature of 70`F(21.1•0 O8/60'F 115.6'0 WB,and outdoor temperatue of 47•F design.specifications and info,mation in this L—buie without notice and without ncun ing any obligati— (111*0 DB/437 l6.Pq WB.pine length nit.(7 5m),Height difference Ott Him)(Outdoor unit-indoor unit). 1 r•t t- 'r tt t 1 1 r t• t FUJITSU SUBMITTAL 12LPAS1 �n Inverter Driven Heat Pump 010 BTU Single Zone Wall Mounted System DIMENSIONS Units:In.(min) _- 32-13116(634) "4 222 0 gN r23 d 1/8 3.0 L d, R $c fL� 44A10 hole 22."M 46//8 xie) PItA d bola br n+atalcebis Top view 3/4 19L, 31-7Ills(m) 2-11/18 112031 11-7116 29D O 00 00 _ O O O_O 00 OO 00 OO L t s1e xi Side view Frort view side view Arrlbw Lz t o u O _ p. 1• 'o � 'y 0 1fi-itIlls 71/18 /80 aan O1 L/s 42 Bottom view Side view(Valve part) The Fujitsu logo is a worldwide trademark of Fujitsu General Limited.The Halcyon logo and name is a worldwide trademark of Note:specifications are based on the following conditions: Fujitsu Genial Limited and Is a registered trademark In japan,the USA and other countries or areas.Copyright 2018 Fujitsu Cooling:Indoor temperatwe o180•F(26.7O D8167F(19.4'C)WB.and outdoor temperature of 9SF(35-C)DBi7S•F General America,Inc.Fujitsu's products are subject to continuous Improvements.Fujitsu reserves the tight to modify product (23.9.O WB.Heating:Indoor tempeatuie of 7lrF(21.1'C)OB/60-F I15.6•C)WB,and outdoot tempeiatute of 47F design,specifications and information in this brochurewithoo notice and without-itumg any obhgmia--, IB.7008143"(6.1'OWB.Pipe lengrh 252(7.5m),Height difference:0ft.(0m)(Outd00r unit-Indoor unit). 340 Changebrige Rd,Pine Brookiield,NJ 1 1 1wwwfujitstigenetak mu co FUJITSU - v�icyon *HF1 ��) A,, 1� S\�.x"� Hybr!d Flax Inverter SubmittalData: ; ' III BTU Multi Zone L Inverter Driven Heat Pump Job Name: Date: Location: Approval: Engineer: Construction: Submitted to: Unit#: Submitted by: Drawing#: Reference: General Features •Wired or wireless remote -Standard Warranty:5 years parts,7 years compressor.Applies to systems •Apple catechin filter purchased before June 1"2015" -Ion deodorizing filter -Extended Warranty:10 years parts,10 years compressor.Systems that ruprw •Auto louver:up/down have been installed on or after June 112015 by licensed contractors and the •Auto louver:4-way online Product Registration has been submitted." -Low ambient cooling -Elite Contractor Extended Warranty:12 years parts,12 years compressor. -Cold prevention Systems that have been installed on or after June 1"2015 by contractors -Blue fin coating who have met requirements and have been approved for elite contractor status plus,the online Product Registration has been submitted.""" — Model Information Operation Temperature Range Condenser...........................................................................AOU18RLXFZ Cooling ........................... 14°F- 115°F -10°C-46°C ..............(ASU)/(ARU)/(AGU)/(AUU)7,9,12RLF(1) g........................... ( ) Evaporator-1................. Heating5°F-75°F - °........................................................... ( 15 C-24 C) Connectable indoor units....................................................................2 Efficiency Total capacity range................................................14,000—21,000 Btu/h (wall-mount) 18(duct)16(mix)17 Electrical ........... -60Hz SEER-2........................................ Available Voltage Rangenge.........................................208/230V AC 1....................................................208/230+ EER(cooling)....(wall-mount)12.50 Btu/W(duct)12.10 Btu/W(mix)12.30Btu/W/-10%COP(heating)...........(wall-mount)3.44 W/W(duct)3.52 W/W (mix)3.48 W/W Minimum Circuit Ampacity.................................................................13 A HSPF(heating)................................(wall-mount)9.30(duct)9.00(mix)9.15 Max Fuse Size.....................................................................................15 A Enclosure(condenser) MaxStarting Current.................................................................................8.2 A Input Power Material................................................................Painted galvanized steel Color................................................................Beige(10 YR 7.5/1.0 NN) Cooling........................(non-duct)1.44 kW/(ducted)1.49 kW/(mix)1.46 kW Heating .......... non-duct 1.87 kW/ ducted 1.83 kW/ mix 1.84 kW Sound Pressure Level ............. ( ) (ducted) (mix) Condenser.............................................................................49 dB(A) Current Dimensions Cooling..................................(non-duct)6.3 A/(ducted)6.6 A/(mix)6.4 A HxWxD Heating..................................(non-duct)8.2 A/(ducted)8.0 A/(mix)8.1 A Condenser Capacity Net in.(mm)................................................27-9/16 x 35-7/16 x 13(700000030) Nominal Cooling.................................................................18,000 Btu/h Min-Max Cooling Gross in.(mm)....................................32-7/8 x 41-5/16 x 17-1/2(835x1050x445) g.....................................................6,100—21,000 Btu/h Connection Pipe Nominal Heating...................................................................22,000 Btu/h Min-Max Heating.......................................... Liquid......................................................................................1/4"x2 ...........6,800—24,400 Btu/h Gas........................................................................................3/8"x2 Compressor...................................................................Rotary(inv x 1) Method(Liquid/Gas)......................................................................Brazing Motor Output.........................................................................1,100 W Max Length(Pre-charge)................................... 164ft.(50m)/ (98 ft. 130m)) Refrigerant...............................................................................R410a Max Height Difference..........................................................49 ft.(15m) Charge..............................................................................4 lbs. 14 oz. Weight Oil............................................................................ POE Condenser.........................................................................119 lbs.(54 kg) Fan Motor Evaporators.....................................................(wall-mount)19 lbs.-31 lbs. (Condenser)Type:DC.............................................................Propeller x l (compact cassette)33 lbs. (Condenser)Motor Output.............................................................100 W (ducted)37 lbs.-49 lbs. (Evaporator)Type:DC..........................................(wall-mount)Cross flow (floor)31 lbs. (compact cassette)Turbo Accessories (ducted)Sirocco x2(0) Wired Remote Controller...................................................UTY-RVNUM (floor)Cross flow x2 Wired Remote Controller...................................................UTY-RNNUM (Evaporator)Motor Output...........(wall)30W-42W(compact cassette)54W(ducted)80-81 W Simple Remote Controller..................................................UTY-RSNUM Heat Exchanger (floor)16W Dimensions (HWD in. 26-7/1635-7/161-7/16 67200x36.38 x x ) (mm)................... x x ( x9 ) N9N Spsnfia�m x b,ed m Ik ftllovno9 cunJiUem t'mlinr InJaa inny,ralur of B9'F 126.rY1 DBb)'F 119H'(l N'&a\J a9\Jow ualp,aue d 95'F�lSYI OD)5'F lv 9'[l NT Ik+ung ImNn�cmpnmum of)U'F I31.11'fl Da'S94115.`fI WR mJ mudon un�•x rsl.�a.xxr�lu><.•+,++r 1=><...'9.mPFin Pitch...................................................................................18FPI in Fujitsu Genaul America.Inc. Rows x Stages.............................................................................2 x 32 353 Route 46 west Pipe a Material Copper •tar Fairfiete,N1 o7007 P Type(Material).................................................................... pp # ## ### Toll Fr l-888.89&3424 Fin Type(Material)....................................................Aluminum(Blue fin) 1°t'2 Fu:(973)836.0447 N�\N.IlI11t�U��' ..�:tl Y J C FUJITSU On * HRH 5-1c�y -__ Hybrid Flex Inverler Dimensions: i [Unit:in.(rani)] 1-9/16 1-1/4 1 2 35-7/16(900) (40) (31) 13 330 E 1121 c C rn N O N Q co p ch O ``'v 15-3/4(400) Front view Side view 25-9/16(650) Q Air flow C o N CO o o ' 1/2 Bottom view 4-01/2(012) (12) � 1-5/8 Drain cap mounting places Drain pipe mounting places 41 GC, FUJITSU Fujitsu General America,Inc. 353 Route 46 West The Fujitsu logo is a registered trademark of Fujitsu Limited. Fairfield,NJ 07004 The Halcyon logo and name is a trademark of Fujitsu General America,Inc.Copyright 2014 Fujitsu General America.Inc. Toll Free: 1-888-888-3424 Fujitsu's products are subject to continuous improvements.Fujitsu reserves the right to modify product design,specifications Fax:(973)836-0447 and information in this brochure without notice and without incurring any obligations. 2 of 2 ttxcty.tit i itsu ernes I.co m . co C 5) FUJITSU SUBMITTAL ASUH09LPAS a�n Inverter Driven Heat Pump 9,000 BTU Wall Mountr job Name Location Date Engineer Approval Submitted To Construction Submitted By Unit No Reference Drawing No PRODUCT FEATURES -Wireless Remote Controller Included -Minimum Heat Mode -Automatic Airflow Adjustment •Auto/Cool/Dry/Fan/Heat/modes -Weekly&24 Hr Timer -Powerful&Economy Mode -Auto Changeover ,Cold Air Prevention MODEL NUMBERS !Wairanty Information Indoor Unit ASUH09LPAS Nominal Capacity 9,000 LINESET REQUIREMENTS -Near Connection Method Flare 7 Year Compressor,5 Year Parts out-of-the-box Warranty Liquid ( ) 01/4(06.35) waaaarr� Gas nirr 03/8(09.52) Material PP+HDPE Drain hose 111 017/32(I.D.),019/32 to 21/32(O.D.) rnm 013.8(I.D.), 015.0 to 16.8(O.D.) 10 Year Compressor,10 Year Parts Warranty when registered within INDOOR DIMENSIONS 60 days of installation in a residence Net(H x W x D) in 10-5/8-32-13/16 x 8-3/4 mm 270-834•222 Gross(H x W x D) in 10-7/8.36- 13-1116 mm 277-914.332 12 Year Compressor,12 Year Parts Warranty when registered within Net Weight 21 (9.5) 60 days of installation in a residence,and installed by a Fujitsu Elite Gross Weight Ib(kq) 26(12.0) contractor SPECIFICATIONS Voltage/Frequency/Phase 208/230 V-60 Hz Voltage Range 187-264 V ENCLOSURE Running Current A 0.2 E Material Polystyrene Input Power W �� nclosure (()I,)[ White :SOUND ACCESSORIES High 40 UTY-RNRUZ Seues Wiied Remote Con troller Cooling Medium 34 UTY-RSRY Simple Remote Controller Law 29 UTY-RHRY Si mple Remote Controller Indoor Unit Quiet d6(A) 21 UTY-TWRXZ2* -Communication Kit - -- ---- - - - -- -- --- High 42 UTY-TFSXFI Wireless LAN In — terface Heating Medium 36 UTY-TTRXZI 24VThermostat Interface Low 31 UTY-VMSX MODBUS Converter Quiet 22 Fj-AC-BAC-1L BACnet Gateway FAN DATA UTY-XWZX External Connect Kit High 412(700) *Required to connect wired remote controller to indoor unit. Cooling Medium 330(560) Low 253(430) Airflow Rate Quiet CFM(m3/h) 188(320) High 441 (750) Heating Medium 359(610) Law 277(470) Quiet 194(330) 01. Due to continuous product improvements,specifications are subject to change r.tPrtek without notice. Please log in to the Fujitsu Portal for the most up-to-date FFfective Date- 2I9120),' Veision ASUH091 PA� documentation https://connect.fujitsugeneral.com I:r.�31 g 1551TUMUTTRUMN.7.31• r r FUJITSU SUBMITTAL ASUH09LPAS a�n Inverter Driven Heat t 9,000 BTU Wall Mountt DIMENSIONS Units:In.(mm) 32-13/16(834) 8-3/4(222) 0 N_ _m O "118 (32-13/16[8341) 2-5/8 6T 12-7/8 327 12-7/8 327 4-7/16 113 Outline of indoor unit M I • m -i m o I Pf O n U 0 •' For pfpe Het 22.9116(65) for ppe brat 0 2.9116(65) 2-1/2 64 2-7/16(62 1-7/8(48) 3-5/16 84 13-58(346) 14(356) The Fujitsu logo is a worldwide trademark of Fujitsu General Limited.The Halcyon logo and name is a worldwide trademark Note:Specifications are based on the following conditions: of Fujitsu General Limited and is a registered trademark in Japan,the USA and other counts ies of areas.Copyright 2022 Cooling:Indoor temperature of 807(263*0 DB/677(19.4'C)WTI,and outdoor temperature of 95'F TWO DR/7S"F Fujitsu General America.Inc.Fujitsu's products are subject to continuous improvements.Fujitsu reserves the right to modify R AX)WR.Healing:Indoor temperature of 70'F(21.1'C)D8/601(1 S.6'Q WB,and outdoor temperature of 471(8.3•C) product design,siwificah onr and nln na[on.o:h c h-h ewithout M—and ithout—vo q any nh6ga0nrc n4141,r 1,7•r;WR nipe Irngth 2Srt h cmr. lright dlff--oft (pmr 0u0oor nd-indoor unit). 1 r•t r• r rt Mimnt• r • Y +`a * ; ° t�` ��� V� WOW:�tt•:� rye� "�i+ •.•( �;. � �r1�1fiN $ . 1��jJ� 1 1�1 2��1 ::T' vl'��'� /r,_�s_,._c # ?�� 1'�yS�ac -�1���P '!• 3 �1 -'f __._—.—��"' �j ♦.'�(�70)>'I� u •v_ `� � N tV%�sF�• � L N CD LO ti co y �crysl U C i cc cj p., •� n O �w U « .► y p nL section ,�► N oa W z W w w o h ° O m Z a+ w Y _ w .� awPe ap o L" .r m � x �° z ayw�� O Diu it O " < R. •3 c � o e' X cd W y p _ O y ° Lo • y _ O A y41 V V U � C 41310 r u u 0 sue. a Y Ac& CERTIFICATE OF LIABILITY INSURANCE DATE(f`2024 YyyY) f.. oenvzoza 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 CONTACT MaxGomes _ MARSH USA,LLC. NAME. 1166 Avenue of the Amercas PHONE rtin 347.328.3 i.01 [mac.Not: _ New York,NY 10036 E,61AIL Am Newyork certs a@Malsh corn ADDRESS; —9oRl r9h.t>M _ INSURER(S)AFFORDING COVERAGE rSAC9 CN101414639-PETR04CORD-24- INSURERA NahQna[Unx;7,FLre[fl.&QPi=q=PA 119445 INSURED MEENAN OIL CO.,LP — INSURER B: NIA N/A D/WA BURKE HEAT AND BURKE FUEL OIL CO. _INSURER C NI N/A 475 COMMERCE STREET INSURER D: HAWTHORNE.NY 10532 INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER: NYC-011/454%25 REVISION NUMBER: THIS IS TO CERTIFY T4AT 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. INSRI IADD-L lr11J�� EFF PGUCYEXP LIMITS L TYPE OF INSURANCE I POLICY NUMBER MMnD A I X COMMERCIAL GENERAL LIABILITY GL7032483 10101/2024 10/012025 EACH OCCURRENCE s 1000.000 �—y1� CLAIMS-MADE U OCCUR I PRF IS /E u rr n S 500,000 X XCU MEO EXP(An one person) 1$ 10,000 X Contractual PERSONAL 8 ADV INJURY Ili 1.000.000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 5,000,000 X POLICY - I JECT C LOC PRODUCTS-COMPIOP AGO 3 2.W0,000 OTNEJZ SIR s 1,000,000 AUTOMOBILE LIABIUTY REM W SINGLE LIWTS ANY AUTO BODILY INJURY(Per person) f OWNED t—t SCHEDULED BODILY INJURY(Per-cidenl) S AUTOS ONLY AUTOS - -- HIRED AUTOS NON-OWNED I PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY ? ) �S UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESS LIAR __ CLAIMS-MADE l i AGGREGATE S OED RETENTION S S 'WORKERS COMPENSATION MUTE AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETORIPARTNERiEXECUTIVE E.L.EACH ACCIDENT i CFFICERIMEMBEREXCLUDEDI NIA (Mandatory In NH) (E.L.DISEASE-EA EMPLOYlq S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S I ❑ESCRIP71ON OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) THE VILLAGE OF RYE BROOK is included as additional insured where required by wrihen contract CERTIFICATE HOLDER CANCELLATION THE VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF sraTta CoBoard mpensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Meenan Oil Co.,LP 845-782-8161 DBA Burke Heat 475 Commerce Street 1c.NYS Unemployment Insurance Employer Registration Number of Hawthorne,NY 10532 Insured 8311425-2 Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 11-3083408 2.Name and Address of Entity Requesting Proof of Coverage 3a,Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) All Insurance Company Village g Ryebrook 3b.Poll Number of Entity Listed in Box"1 a" 938 King Street Policy tY Ryebrook,NY 10573 WC 016440'29 3c.Policy effective period 10/1/2024 to 10/1/2025 3d.The Oroprielor,Partners or Executive Officers are included.(Only check box if all partnersfoff cers included) 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 o'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: Don Bailey ("Int name of authorized representative or licensed agent of insurance carrier) t Approved10/09/2024 by �- rsignature (Date) Title: CEO, North America Telephone Number of authorized representative or licensed agent of insurance carrier: 212-770-7000 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.-iy.gov