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HomeMy WebLinkAboutMP25-056 �yE DR JJ�GC'�y V VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury www.ryebrookn TRUSTEES BUILDING& FIRE INSPECTOR Susan R Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE May 9,2025 Burton Schechter&Marilyn Schechter 5 Carlton Lane Rye Brook,New York 10573 Re: 5 Carlton Lane,Rye Brook,New York 10573 Parcel ID#: 135.42-1-13 This document certifies that the work done under Mechanical Permit #25-056 issued on 4/23/2025 for the installation of a new heat pump and a ductless unit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �E BRCZjk. 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: S LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER f a i a i a Lin a s N 1.0 ^^ .. h+� N m GG a O C. W En cpVS y wd?Ln 1� c� - W � \ OLO �i O O MO C a MLn a M .a q = y L!'' w G a ON Po 00 ^C v z _ 00 c a a �+ 0 cn � 51 Cn x � � W E-� r7 Cn Z F-1 O U 11 V! u, W o� f V �..� en acn y a „ o a .. PLO4) o � �D o. 4) Z� cu a � cu � 04aw z � � i i BUILDING DEPARTMENT D � r;,, � 0 VILLAGE OF R $ROOK V1 E 3D 938 KING STREET RYE BROOK,NY 10573 E9I,4 pgj,f APR 2 2 2025 VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING. VENTILATION AND/OR AIR CONDITIONING EOUIPMENT FOR OFFICE USE ONLY: PERMIT #: r Approval Date: Permit Fee: S Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTH, A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR.THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12% OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (village of Rye Brook must be listed as certificate holder) &Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/i.Jnit: RESIDENTIAL = $150.00/unit • COMMERCIAL = S450.00/unit. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required) 7. Electrical work requires a separate Electrical Permit& Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. Application dated, `�—�� r�-� 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: 5- Car}�,->ti?h Lrrn SBL:1,35- 7J/� �� J� Zone: 2. Property Owner: ,(r — C'! Address:_4' L�1r1 L Phone#; — 1 3 ' Cell#: email: A1kLA cJ,, &Iro 3. Contractor: A6f5ZIli (d/► �,rf0-.IA 1F Address: Phone#: j 7 r_ r Cell#: email: 4. Scope of Work:New Installation(1yf•Replacement( )•Removal O.Other( ); 5. List Equipment: 1h I tiz/ 6hf y. k<,1r ybl - Fd r j vl hf rod-, 6. Location of Equipment: GO hl�,�h�t/' in 'e}c,5�)Af odw,iel 7. Method of Installation/Removal(list all equipment needed to perform job): 1 6/1/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the 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 me this c92:; Sworn to before me this o7.-3 day of 20 day of 4P r c ( ,20 QT Sigpaiure of Ptope O er ature o Applic t ,-Print Name f Property Owner I rint Name of Applicant otary Public No ary Public Maria E OConneO M ariaonnell 10TARY PUBLIC.STATE OF NEti'YORt; NOT. Rti' E Of \I b1'1'ORI:- Registration\o.OtOC6t091 '_ Reg '0Cb-t091 Qualified in Westchester County Qualester Count\Dta Commission Expires September'_l.�u' fly Commieptember 4. 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. z 6h/2024 r O _ �i N N W O O e N � C-4 N � ++ k =n A F CA s Or ►N4.4 -� Ono Ln en Ln en CA 00 J �T� z U ►':� V yam~" a w a w z aWa 1�1 w U W p p 1 r 04 w a O OW V F = �' 04 a4 � W -� z � o Z rx vi W J P. O U W Z z x � U Q Q w e r "' A a z e RQ� R C�APR 2 8 2025 U BUILDING DEPARTMENT -- VILLAGE OF RYE BROOK U 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK w�,tiw.ryebrooknv. O_v_ BUILDING DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY -0� /`��� _ S� EP#: Approval Date: APR 2 9 2 Permit Fee: $ Approval Signature: ' Other: ************************************************************************************************** DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE L . TO AL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 7 l Application dated, 2 LS_ is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. / p 1.Address: 4Gt�`�voO �l�e /i SBL: A JS�`7 ct —/ 13 Zone:)C— ,I- 2.Property Owner: I,nfoj f TU f,) Address: LG,V f Phone#: 911 3'7 9' - Z2.37 Cell#: email: 3.Master Electrician/Licensed Installer: 'Bi Vec,4 r(c L1- Address: r Au , Lic.#:Z1 yG Phone#: -?4Q— 7 Cell#: email:C NtO Yt k f2M kch rC •(�o A\ Company Name: Address: 4.Proposed Electrical Work/Fixture Count: 610- ,T 5.3,d Party Electrical Inspection Agency: `S G 15/_ 1^o Ayc -f STATE OF NEW YOR(,(K,COUNTY OF WESTCHESTER ) as: r` being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual s,gningA the a licant) state that(s)he is the �� 1: Qs6�&XQ&) for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) 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 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 Sworn to before me this day of 120 day of .20 Signature of Property Owner at of pplicant , 1 r ~ Print Name of Property Owner rin ame of Applican Notary Public NbiaWv bWiState of New York No.01ME6160063 6/I/2024 Qualified In Westchester County Commission Expires Jandary 29,20 Z� 5 Buckout Road BETTER HOMESats West Harrison, 90 10604 Phone:914906-0443 ELECTRICAL INSPECTION SERVICES INC. " Email:betterhomes252@gmail.com NAME: DATE: ELECT.PERMIT NO. CITYMLLAGE ZIP ODE 16,r� G � —O 10� �p S ADDRESS: BUILDING DEPT rr V I k <{ G f 01!! c I C b f PHONE# { SECTION BLOCK LOT UTILITY iy EMAIL ADDRESS: Residential ❑ Commercial ❑ OWNER'S NAME AND ADDRESS Sd\KL --G cY WORK LOCATION: Outside [:]Basement [:]Garage ❑Attic ❑Porch Floor: ❑I st floor ❑2nd floor ❑3rd floor ❑4th floor ❑Other floor ❑Reinspection ❑Renovation ❑Generator ❑New home ❑Other Comments: I& kL� APR 2 8 2025 SERVICE AMPS" ' CASE NO, SER ILDRICIRTMENT Overhead ❑ Underground ❑ CON EDISON COMPANY NAME: DATE OF APPLICATION: LICENSE#WHEN APPLICABLE: '�� tc " U. y L leZ ! [�Z, /o�74 STREE ADDRE CITY: STATE: ZIPCODE: -1 R F/L �lnd� TELEPHONE: CELL PHONE: EMAIL' [�RL/ 70-3-76-7�- 1 L SIGNATURE OF l APPLICANT: X The application is intended to cover the above listed items to be inspected.If at any time of inspection additional items have been installed,we 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 are no open applications for the above with any other inspection company.Application only good one year after filing date. D DD MAY - 6 2025 BY THIS CERTIFICATE OF COMPLIANCE vlu G - RYE BROOK Better Homes Electrical Inspection Servidd,150- lft-?FPARTMENT 5 Buckout Road, West Harrison, NY 10604 914-906-0443 CERTIFIES THAT Upon the application of: Upon premises owned by: Big M. Electric LLC Burton & Marilyn Schechter 90 Bryant Ave 5 Carlton Lane White Plains, NY 10605 Ryebrook, NY 10573 Certificate Number: 4111 Certificate Date: 5/5/25 Located at: 5 Carlton Lane Occupancy Type: Residential Ryebrook, NY 10573 Permit Number: EP-25-106 Section: 135.42 Building Permit Number: MP-25-056 Block: 1 Lot: 13 A visual inspection of the electrical system at this premise described above, wherein the premises electrical system consisting of electrical devices and wiring, described herein. All inspections are in accordance with the National Electrical Code and the details of the installation, as set forth below, was found to be in compliance therewith on the date of the inspection. Name Quantity Rating Circut Type Wiring for an HVAC ductless split 1 120v 15a Condenser & disconnect system. 1 120v 15a GFCI service outlet WP This certificate may not be altered in any way. ;`� .`�;��<>e..;�•,� N SEAL cn This certificate is valid for work performed _ 2022 before the date of inspection only. %may'?�v vo't ,fir: Licensed Inspector t TOWN OF RYA 70 k43 ) O 2/ 30' kt 30 (451 N ( 7/ 1 q�ti Fi.pr+vp l3r.ck. e. i ` G� Iqg ya-� �r1j i � •OQ ' 4- 93.Sy' .. � a• 0 9 G � LTON rso� ' rvey of Zc; 70 as or7 Subdivision Map ;of Secfior> T iee, ' fine f'ioye, filed rn Westchester County Clerks - a 41f 1 ce June 26, ,/9,5 8 as aafa No. 1152 5. Surveyec�as in �os6es5ioin. Sco�'e; /�=20' �° j o ti! '_-�-�"I`�S$ K�ys�L',� !ik jc�,:�,ia..cn.tr svrd��•nr- Vie„ Cer�.t{, 1` . - Q,a„q►,b.�a.do+c .�.��c • It- 19}'� � /!wi//,r�rr� sf �oKl�et; t¢d¢rnl Sov► 4yw,, .ssoc. - 4570 ttr K ���+�����di.~�Yc?<. .. � r r.r....•4.i�3r.i..C..w ._ -.� .. .. .. _ ,e .. - .'j 0FDAIKIN Submittal Data Sheet Daikin AURORA R-32 1.0-Ton Wall Mounted Unit FTXVI2AVJU9-RXTI2AVJU9 FEATURES BENEFITS • Hot start technology • Quiet operation • Auto-restart(after power failure) • Low ambient cooling operation down to-4°F(-20°C)with field • IR controller included setting and air adjustment grille • Operating Range-Cooling(50T-114.8°F) • Operating Range-Heating(-130F-64.4°F) • 12 year limited parts and compressor warranty with online registration • 5 year limited parts warranty for commercial applications INDOOR UNIT OUTDOOR UNIT 44rM Daikin North Amenca LLC.19001 Kennier Rd,Waller,TX 77484 DaWn City Generated Submittal Data www aawnmmmrt mm (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Submittal Date:4IM025 8:44:59 AM Page 1 of 5 rDAJFKIN Submittal Data Sheet Daikin AURORA R-32 1.0-Ton Wall Mounted Unit FTXVI2AVJU9-RXTI2AVJU9 SYSTEM PERFORMANCE Indoor Unit Model No. FTXVI2AVJU9 Indoor Unit Name: 1 Ton Wall Mount R-32 Outdoor Unit Model No. RXTI2AVJU9 Outdoor Unit Name: 20.0 SEER2,Heat Pump,Ductless ODU,1.0 Ton,Daikin AURORA R-32 Rated Cooling Capacity(Btu/hr): 10,600 Rated Cooling Conditions: Indoor(°F DB/WB):80/67 Ambient('F DB/WB):95/75 Sensible Capacity(Btu/hr): Rated Piping Length(ft): 25 Max/Min Cooling Capacity(Btu/hr): 14,600/4,400 Rated Height Difference(ft): 0.00 Cooling Input Power(kW): SEER2(Non-Ducted/Ducted): 20.00/ HSPF2(Non-Ducted/Ducted): 10.2/ EER2(Non-Ducted/Ducted): 12.00/ Rated Heating Capacity(Btu/hr): 13,500 Rated Heating Conditions: Indoor('F DB/ B):70/60 Ambient('F DB/WB):47/43 Max/Min Heating Capacity(Btu/hr): 18,800/4,400 SYSTEM DETAILS Refrigerant Type: R-32 Cooling Operation Range('F DB): 50-115 Holding Refrigerant Charge(lbs): 1.74 Ibs Heating Operation Range('F WB): -13-60 Additional Charge(oz/ft): 0.22 Max.Pipe Length(Vertical)(ft): 49 Pre-charge Piping(Length)(ft): 49 Cooling Range w/BafFle(°F DB): -4- Max.Pipe Length(Total)(ft): 66 Max Height Separation(Ind to Ind ft): 0 Fan/Compressor Drive Input: Daildn North America LLC,19001 Kermier Rd.Weller,TX 77484 Dalian City Generated Submittal Data - www.uaw�wmmrc mrr, (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Submittal Date:4222025 8:44:59 AM Page 2 of 5 FDAIKIN Submittal Data Sheet Daikin AURORA R-32 1.0-Ton Wall Mounted Unit FTXVI2AVJU9-RXTI2AVJU9 DOOR UNIT DETAILS Power Supply(V/Hz/Ph): // Airflow Rate(H/M/L/SL)(CFM): 392/293/226/166 Power Supply Connections: L1,L2,L3,G Moisture Removal(Gal/hr): Min.Circuit Amps MCA(A): Gas Pipe Connection(inch): 3/8 Max Overcurrent Protection(MOP) Liquid Pipe Connection(inch): 1/4 (A): Dimensions(HxWxD)(in): 11-1/4 x 30-5/16 x 8-3/4 Condensate Connection(inch): 5/8 Ext.Static Pressure(Rated/Max) / Sound Pressure(H/M/L/SL)(dBA): 45/37/31/24 (in ft: Net Weight(lb): 19 Sound Power Level(dBA): DIMENSIONAL DRAWING - INDOOR UNIT CT"07AVJU9, F7XV09/12AVJU9 TI[ REQUIRED SPACE �' Aa1 R011gOObq } NCLtIANYG]tl1A1T111a BATE INFAR NEAR � i r ] IEEI F NN1NT ..` onlENU NA,nc i NAYE MR �l i rP11Nl RAMEL N/14 SG1FM5:11SIDE' TEmAMK BLOfi i 'nT,w tANTN TtnWAI �-1 Elo",^.^hs,,W MSfOE: � �SDK[lGN ayl]FIIYm 101111EtEliWaIOD �� �_YS'It1ISF"W GAS PPE O].O fftawn]W UOMPVG elrlt�tAww•CuT �� w A,o oonN wo o�anar owTxr wsE TICONTNOL BLACe MOVABLE NANOE LIOIFD✓'a'E I;"— 7 eo,Taul i i _SIOIAL NEcmER —T4EN lAW TI-'1 AMFIIDi ^"O(W Sa LAN CCNNEMe ADAPIFR IIIP (OprllOTMO VAan ,�' �IgOM TE1fFNATLtE ANp 1F'1 ]O.•VIKOIa.J NWpTV OI-!6ENeON,Mlpf! 00.0l'N�IFw1 2 1t `MOOON O!]O!f SnRCH LN]OEL rlPIF R/ITF NEL,ESS REMOTE CONTROL l FQ STANDARD LOCATIONS OF WALL HOLES URG8lM83i BLADE ANGLE ur o�rm,A�rcrAic "oN, i ] �r-uoNm rwvEoanEr+ wru�.•• _r _1C�rrd 000 n oar r Ar r.Attray tAEr — ��// \pa-tL Nt1�Oa5n..F!lfWLO�Ven 1 3D150958A Dailan North America LLC,19001 Kennier Rd,Waller,TX 77484 Daikin City Generated Submittal Data www m�wre� www m�w�mronoom (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Submittal Date:4/222025 8 44:59 AM Page 3 of 5 $FDA WIN Submittal Data Sheet Daikin AURORA R-32 1.0-Ton Wall Mounted Unit FTXVI2AVJU9-RXTI2AVJU9 OUTDOOR UNIT DETAILS Power Supply(V/Hz/Ph): 208-230/60/1 Compressor Stage: Inverter Power Supply Connections: L1,L2,L3,G Capacity Control Range(%): - Min.Circuit Amps MCA(A): 14.6 Airflow Rate(H)(CFM): 1088 Max Overcurrent Protection(MOP) 15 Gas Pipe Connection(inch): 3/8 (A): Max Starting Current MSC(A): Liquid Pipe Connection(inch): 1/4 Rated Load Amps RLA(A): Sound Pressure(H)(dBA): 50 Dimensions(HxWxD)(in): 21-15/16 x 26-6/16 x 11-3/16 Sound Power Level(dBA): Net Weight(lb): 72 DIMENSIONAL DRAWING - OUTDOOR UNIT MINIMN SPACE FOR AIR PASSAGE MALL HEIGHT ON AIR OUTLET SIDE =LESS THAN 47-1;4 (1200) 4-HOLES FOR FOUNDATION SG,'S 5 16 OR 2 8,M8 OR MID _.✓.:,......r'✓./l�uri�c._ 18-1 2,4701 1 13 16 97 ,a _ ... f8 LOL-ISTOP VALV E 147SCl (so; 71 I/ BRAVO NAME LABEL GROUND fl iyiS1,18; OUTDOORAIRT/ERIASTOR _ SERVICE SL PORT 4 — .� I i M WJiACTUIERS LABEL _ 6-1 4 159. __ — 4(i♦) _ ,.A$STOP VALVE - STOP VALVE COVER IN CASE OF REMOVING STOP VALVE COVER ANp e e - PROTECTION PLATE E*A.*B DRAIN OUTLET — I NHEN COI WING CONCENTRATED •A •A •B ORM DRAIN PIPING N . ATTACH THE 1,015 Dwu1 - mm HOSE FOR CONNECTION SUPPLIED DRAIN CAPS a'::159 WITH DRAIN JOINT: — t 6-,! :6 409 — Daikin North America LLC,19001 Kermer Rd,Waller,TX 77484 Datkin City Generated submittal Data mwn� www aakncomrortmm (Daikin's products are subject to continuous improvements.Catkin reserves the tight to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) submittal Date:4222025 8:44:59 AM Page 4 of 5 rDAJVKIN Submittal Data Sheet Daikin AURORA R-32 1.0-Ton Wall Mounted Unit FTXVI2AVJU9-RXT12AVJU9 INDOOR ACCESSORIES PART DESCRIPTION INCLUDED NUMBER AZAI6WSCDKB DKN Residential Cloud Wi-Fi Adaptor for Single-and Multi-Zone System(S21) No AZAI6WSPDKC DKN Plus Interface No BRCW901A03 BRC94462 CONTROL CABLE,1 OFT No BRCW901A08 Wired Remote Controller Cord-8m/26ft No DACA-CP1-1 Mini Aqua Condensate Pump No DTST-LTE-LA-A Daikin One Lite(with Translation Adaptor for S21 only) No DTST-ONE-ADA-A Daikin One+Smart Thermostat for VRV,SkyAir,Single-and Multi-Zone System No DTST-TOU-ADA-A Daikin One Touch Smart Thermostat(with Translation Adaptor for S21 and No P1 P2) KAF970A46 Titanium apatite photocatalytic air-purifying filter WITHOUT frame No KRP067A41 Adaptor for wired controller No KRP928BB2S RA Interface Adaptor for Dill-Net- No OUTDOOR ACCESSORIES PART DESCRIPTION INCLUDED NUMBER DACA-WB-3 Powder-Coated Wall-Mounted Bracket No KKG067A41 Back protection wire net(09&12) No KPS067A41 Snow hood(intake side plate)(09&12) No KPS067A42 Snow hood(intake rear plate)(09&12) No KPS067A44 Snow hood(outlet)(09&12) No KPW937F4 Air direction adjustment grille(09&12) No Dailun North America LLC,19001 Kennier Rd,Weller,TX 77484 Daikin city Generated Submittal Data —da't— ww«daanmmronmm (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Submittal Date:4/22/2025 8.44:59 AM Page 5 of 5 v . ;. .. q8. . �.�� ��1)Ill . Ali{(j ���1)�1�1IZ1- +�jy�� �f�•.�j 1�/�1 jai � it 1�1>I � � r' .!�•• .gy v <NI�)► .n. : � - 1 -��Ill rr`�4�=s�.Y1�J1111�1;i�"l� s,.1111111111._..(1���� 1 it � � Ili � •��11)1/)1111' U3� t. 1 111► dow i. - �.�� _�. ab s s..111/1 .?�J+ ..'L34U`.,• ll��t� f.4'.'rtti.11l,111 S4 .. «O)>� . ." (0)> CN •I u TJ v o y > o k C'4 �1 6. W CO Ln �d action Z U W _ - „ s - r `A",. of 0ad �r ..r Q CD I 1 VCo ... .. TL O Flo L6 y s � (o>� 1.111/ IIIIIII : t`;i/l/li '1 �I I N I. t�� 0 1/ y 1, ��•i j I ll l lil 17 / /1) 11 .. ._,M, •• tN •• �N .t;�: �,�. � .�Ovl�:- � -yin •".;.rpRO�,: ::YGvo dH, ir,," �Y ti go� � 'NM1�� .�O� Apt�s6. ¢ „� _ ''tip ''vtr'.� ''���...rJJ���"' .'�r� ��:' �1iG�'� .:.�y�.•: ., '-001��.r. MASECON-01 DCOHAN ACORO CERTIFICATE OF LIABILITY INSURANCE DATD 4/22/222/2025 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 COAMTACT Cohan Associates,Inc. PHONE FAX 27 Cleveland Street (A/C,No,Ext):(914)422-0500 (A/c,No):(914)220-1440 Valhalla, NY 10595 E-MAIL .CohanAssociates@Optoniine.net INSURERS AFFORDING COVERAGE NAIC# INSURER A:Midvale Indemnity Company INSURED INSURER B: Maselli Contracting&HVAC LLC INSURER C: 29 Cambridge Ave Apt 3 INSURER D: White Plains, NY 10605 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRI D/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CP00036641 2/1/2025 2/1/2026 DAAGE TO RENTED 100,000 X REM MI E Ea occurrence) $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY jE�T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO CP00036641 2/1/2025 2/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED Ix NONJWNED PROPERTY DAMAGE AUTOS ONLY AUTO ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ %FICER/MEMBER EXCLUDED? N/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/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Additional Insured:Village of Rye Brook CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village Of Rye Brook THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING STREET Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD It 7-- *\\ NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) %.4-0 AA^AA^ 831148139 y COHAN ASSOCIATES INC 27 CLEVELAND ST 2 VALHALLA NY 10595 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MASELLI CONTRACTING&HVAC LLC VILLAGE OF RYE BROOK 29 CAMBRIDGE AVE 938 KING STREET APT 3 RYE BROOK NY 10573 WHITE PLAINS NY 10605 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2496 551-9 320702 12/11/2024 TO 12/11/2025 4/22/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2496 551-9, 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, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. 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 CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT JOSEPH MASELLI V.PRESIDENT BRIEN B TEXEIRA 2-OF-2-MASELLI PLUMBING& AIR CONDITIONING INC. 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 STAT SU NCE FUND T �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:257630752 U-26.3