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Home My WebLink AboutPP26-012 _ (V W �y Cl) , A N :4LO N 3 cc r J�-, 00 rr -eel k - � z cn o o u cN z to t/16126, 10:29 AM Cloudpermit-US-NY64325-6-2025-263 ! MORE ACTIONS BACK Emergency replacement of 50 gallon water heater The current water heater is leaking internally into the burner and pilo assembly. 1 DASHBOARD 29 HAWTHORNE AVE 1 Workspace ReA(3't O lSSu:_ � Building Permit 29 HAWTHORNE AVE, Village of Rye Brook, NY Latest location update:1012112025,7;53 AM Category Wont type Work target Plumbing Replacement Water Heater SHOW MAP ( j HIDE FULL DATA X to Steven Fews Qj Show messages PIN Permk number Secondary ID Municipal ID Property code 135.75-1-80Wasaii� 13507500010800000000 2645 210 EDIT -Pp ?`(-0 L-)r22 Lopaldesodption Submitted 10/22/2025,11:31 AM EDIT 0 APPLICATION II' CURRENT STEP: IN REVIEW 3/5 NEXT STEP:READY TO ISSUE REQUIRED TASKS 0 Finish all reviews which are unfinished. ✓ 0 `f Make sure you have uploaded all of the required attachments. Parties Application Attachments Fees Ill Payments You need to complete required tasks to continue to the next pnase. PARTIES TO THE APPLICATION Close Mandatory roles for this application To assign a role,click on the dropdown arrow and choose the action you wish to perform.This will walk you through the process of assigning an existing party to an application role or adding a new party. ASSIGN ROLES % ----------------"----i APPLICANT PROPERTY OWNER ' ' ADD REQUIRED ROLE ' T.Nlebbe� v Gail Fell � r v ' Additional parties To invite additional parties to be involved in or have access to the application,click the"+"button to add a someone with their email address and specifying their rate. ADD OR INVITE PARTY + T.Webber(T.Webberl (% Gail Fell l% Workspace creator Invite accepted Applicant Property ovine: https://us.cloudpermit.com/gov/workspace/US-NY64325-B-2025-263/application 113 1/16126, 10:29 AM Clouciperrnit-US-NY64325-B-2025-263 permits@ntwebber.com l gailhfell@gmail.com +16452651400 Il +1 9147724814 APPLICATION FORMS ADD A NEW FORM + Close Application data Plumbing Permit Application FEES&PAYMENTS Close Dear Payer,please be advised there is a 3K convenience fee surcharge that will be added to the amount of Credit Card payments.Thank You. ADD PERMIT BILL ADD ADDITIONAL BILL + PAID(1) Permit bill Paid on 10/2212025,12:28 PM FEES-March 27,2024 Item Notes Quantity Unit Unit price Waived Item total PLUMBING&INSTALLATION- $200.00+3%convenience fee 1.0 206 $206.00 Permit Fee surcharge$6.00 BILL TOTAL $206.00 TOTAL PAID $.206.00 Invoice# Payer:T.Webber(T.Webber) DOWNLOAD INVOICE DOWNLOAD RECEIPT Q ATTACHMENTS C i rse Required attachments Property Owner/Homeowner ADD REQUIRED ATTACHMENT Government ID,and/or Proof of Ownership Drag and crop files here or click here to select files from your computer. You can upload multiple attachments at the same time.Maximum indiwcluai file Size is 100 MB.Allowed file types are PDF,image,Microsoft Office,OpenOffice and ZIP. ZIP files have to be uploaded individually Filter attachments CONTRACTOR'S WORKERS APPLICATION MATERIALS CONTRACTOR'S LIABILITY INSURANCE COMPENSATION INSURANCE(SHOWING RYE BROOK CERT HOLDER GENERAL CONTRACTORS HOME PLUMBING LICENSE-PIiflTO- IMPROVEMENT LICENSE- WESTCHESTER COUNTY WESTCHESTER https://us.doudpermit.comlgovlworkspace/US-NY64325-B-2025-263/application 213 1116126, 10:29 AM Cloudpil-US-NY64325-B-2025-263 Plumbing RB25-0075 Search DOWNLOAD ALL FAttachment type Filename Status Modified General Contractor's Home Improvement License- T.Webber-Westchester Cour 1012112025,8:55 AM ! ❑ �/ Westchester Version 1 Attachment OK T.Webber Westchester County Home Improvement license Plumbing License-Photo- Westchester County Tommy Jr.-Westchester Mast New version 10121/2025,2:17 PM Westchester County Pluming Version 1 T.Webber License Contractors Liability D8120.1 Forms-Village of Rye 10/21/2025,8:54 AM ❑ V Insurance Version 1 Attachment OK T.Webber Disability Form ❑ Contractor's Liability Village of Rye Brook-Liability. 'ex verston 10/2212025,3:13 PM Insurance Version 1 Steven Fews Contractor's Workers Compensation Insurance Village of Rye Brook-WC LLC. 10/21/2025,8:52 AM ❑ V (Showing Rye Brook Cert New version Haider Version 1 T.Webber Worker's Compensation Form Application Materials AOGCG-50.pdf 10/21/2025,8:12 AM ❑ v Specification Sheet for water New version Version 1 T.Webber heater Contractor's Liability Village of Rye Brook-Liability. 10121/2025,8:53 AM ❑ u Insurance Version 1 Attachment OK T.Webber Liability Form INTERNAL NOTES ADD NEW NOTE + Close REVIEWS ADD NEW REVIEW + Close REARRANGE Review Status Reviewer v Application in general Draft Unassigned CIRCULATION ADD CIRCULATION REQUEST + Close ^ Back to top https:/Ius.cloudpermit,com/gov/Workspace/US-NY64325-B-2025-2631application 3/3 1116/26, 10:30 AM Cloudpermit-US-NY64325-B-2025-263 BACK TO I Emergency replacement of 50 gallon water heater.The current water heater is leaking internally into the burner and pllo assembly. J 29 HAWTHORNE AVE J WORKSPACE Plumbing Permit Application Application forms IPlumbing Permit Appltcatic: NEEDS CHANCiE3 (Q OK DELETE FORM PLUMBING PERMIT APPLICATION Project Information Indicate Fixtures S Lines to be installed as per the following schedule: FIXTURES Basement 1st Fiaor 2nd Floor 3ro Floor 4th Floor 51h Floor Exterior Water Closets Urinals prinking Fountains Sinks Showers Bath Tubs Laundry Tubs Domestic BACK TO WORKSPACE All information is saved automatically. CLOSE FORMS AND GO To WORKSPACE http s:iius.cloudpe rrrit.com/gov/workspace/`US-NY64325-B-2025-263iform/17592312889884 1/2 1/16126, 10:30 AM Cloudpermit-US-NY64325-B-2025-263 Fire Service Sanitary Sewer Natural/LP Gas Otner• TOTAL Ust Other Equipmenu Prow Lee Detaiis: Backtotop n BACK TO WORKSPACE All information is saved automatically. CLOSE FORMS AND GO TO WORKSPACE https:llus_cloudpermit.comfgovlworkspacelUS-NY64325-B-2025-263/form/17592312889884 2M 1 o a_ C O � 0 hi ,�. L O ° / )s w u on a d is 1� 0 LLJ LLI ,L� Q ac3 c W t: is'• LO Z W :} U f Ln 4-m Qw -5 t Q + m Q4. F Y: U M••i w 4 Z � b ui w c 'v ; vLn Y M IT DATE{MWODNYYY)ACa � CERTIFICATE OF LIABILITY INSURANCE 1 1 12612 0 2 4 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 CONSTfTUTE 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 Higginbotham insurance Agency, Inc. NAME: Jane Kinsella PHONE PAX 1700 Eastpaint Parkway 502-244-1343 AIc No: P.O. Box 23790 ADDDDRESS; JKinsella@higginbotham.net Louisville KY 40223 INSURER(S)AFFORDING COVERAGE NAIC a License#-2081754 INSURERA:Safety National Casualty Corporation 15105 INSURED ESSESER-01 INSURERB:Homesite Insurance Company Of Florida 11156 T Webber Service Corporation T. Webber Plumbing, LLC INsuRERc:Travelers Property Casualty Insurance Compaq Compaqy 36161 3365 Route 9 1 INSURER D: Cold Spring NY 10516 INsuRERE: INSURER F COVERAGES CERTIFICATE NUMBER:1446815543 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 L U POLICY EFP POLICY EXP LTR POLICY NUMBER MM+DQ LIMITS A X COMMERCIAL GENERALLIA131UTY Y Y GL6676140 12l31)2024 12/31/2025 EACH OCCURRENCE $5.000.000 DAMAGE TO RENTE5_ CLAIMS-MADE I --EK OCCUR PREMISES Ea occurrence $1,000,000 MED EXP(Any one person) _ $10,D00 PERSONAL&ADV INJURY $5,000,000 70THER: LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $10,000.000 POLICY JECT 17 LOG PRODUCTS-COMPIOP AGG $10,000,000 S A AUTOMOBILE LIABILITY Y Y CA 5676139 12/31/2024 1213112D25 COMBINED SINGLE LIMIT $5,000,000 Ea accident X I ANY AUTO BODILY I NJ URY(Par person) $ r^OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _AUTOS ONLY Per amdent S B UMBRELLA LIAB ;�OCCUR Y Y CXP-W1249-G3 12/31/2024 12131/2025 EACH OCCURRENCE S 5,000,000 X EXCESS LIAR I CLAIMS-MADE AGGREGATE _ $5,000,000 _ DEQ I X RETEN7TONS _ $ WORKERS COMPENSATION PER - 7 AND EMPLOYERS'LIABILITY YIN TATtITE ER ANYPROPRIETORIPARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT S OFFICERIMF-MBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTICN OF OPERATIONS below I El DISEASE-POLICY LIMIT $ _eased or Rented Equipment S309VV377696 12i3V2024 12/31/2025 Lanh 250,000 Deductible 1,000 DESCRIPTION OF OPERATIONS1 LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Rye Brook 98 King Street Rye Brook NY 10573 AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 f2016103) The ACORD name and logo are registered marks of ACORD J NEW Workers' YO K CERTIFICATE OF STATE Compensation Beard NYS WORKERS' COMPENSATION INSURANCE COVERAGE B la. Legal Name&address of Insured(use street address only) lb.Business Telephone Number of Insured T Webber Plumbing LLC 3365 US 9 Cold Spring, NY 10516 1 c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically 1 d.Federal Employer Identification Number of Insured or Social Security limited to certain locations in New York State, ke.a Wrap-Up Policy) Number 85-3910296 2.Name and Address of the Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) village of Rye Brook Safety National Casualty Corporation 98 King Street RYE BROOK, NY 10573 3b.Policy Number of entity listed in box"Ie' LDS4066109 3c. Policy effective period 12/31/2024 to 12/31/2025 3d. The Proprietor,Partners or Executive Officers are X Included. (Only check box if all partners/officers 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"Ie'for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF"a policy is canceled due to nonpayment of premiums or within 30 days IF there arc 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 the cancellation of the workers'compensation policy indicated on this farm,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. Approvedby: Gus E. Aivaliotis (Print name of authorized representative or licensed agent of insurance carrier Approved by: 12/12/2024 (Signature) (Date) Title: Chief Underwriting Officer Telephone Number of authorized representative or licensed agent of insurance carrier: 1-888-995-5300 Please Note: Only insurance carriers and their licensed agents are authorized to issue the C-105.2 form. Insurance brokers are NOT authorized to issue it. C-1051(9-17) www.web.my.gov • t h. COMMERCIAL-GRADE RESIDENTIAL GAS WATER HEATERS PROLINEO ATMOSPHERIC VENT INTELLIGENT CONTROL LOGIC* ENHANCED-FLOW BRASS DRAIN • the internal microprocessor provides VALVE enhanced operating parameters and tighter • Our residential water heaters have a solid differentials for precise sensing and faster brass,tamper resistant,enhanced-flow,ball — y heating response to optimize performance. type,drain valve. sm�tn • Uses a thermopile to generate the power • Uses a standard female hose fitting that -- needed to operate the electronic gas control allows for fast and easy draining during without requiring an external power source. maintenance. • The electronic gas control incorporates an • Designed for easy operation,this valve LED status indicator that monitors system includes an integral screwdriver slat that operation and service diagnostics. features a V4 turn(openlclose)radius,which • "Not available on 60,000 BTU input models not only permits full straight-through water (GCRX-50 and GCi flow but also a quick and positive shut off. GREEN CHOICE® GAS BURNER CODE COMPLIANCE • Patented eco-friendly burner design reduces • Meets UBC,CEC and HUD National Codes. NOx emissions by up to 33%and complies • Meets the thermal efficiency and standby with Law-NOx emission requirements of less loss requirements of the U.S.Department than 40 nglJ. of Energy and current edition of ASHRAE/ IE590.1. DYNACLEAN'"DIFFUSER DIP TUBE • Complies with the Federal Energy • Reduces lime and sediment buildup and Conservation Standards effectiveAprii 15, maximizes hot water output.Made from 2015,in accordance with the Energy'Polity long-lasting PEX cross•lirked polymer. and Conservation Act,(EPCA),as amended. COREGARD"ANODE ROD HIGH UNIFORM ENERGY FACTOR(UEF) • Our anode rods have a stainless steel core that extends the life of the anode tad EcaFriendiy non-CFC foam insulation, allowing superior tank protection far longer external heat traps and specially designed than standard anode rods. combustion chamber combine to produce a high UEF for maximum savings on PUSH-BUTTON PIEZO IGNITOR operating costs. • "Jukes lighting the pilot fast and easy with CSA CERTIFIED AND ASME RATED T&P i one-hand push-button spark ignition. RELIEF VALVE HEAT TRAP NIPPLES MAXIMUM HYDROSTATIC WORKING • Factory-installed for faster installation. PRESSURE 150 PSI BLUE DIAMOND®GLASS COATING DESIGN-CERTIFIED BY CSA • Provides superior corrosion resistance INTERNATIONAL compared to industry standard glass lining. • Certified at 300 PSI test pressure and 150 PSI working pressure,Listed according to ANSI Z21.10.1-CSA 4.1 standards governing storage tank-type gas water heaters. QEsrs� 6-YEAR LIMITED TANK AND PARTS S�m WARRANTY Green Choice • For complete information,consult written warranty or go to hotwater.com ®December 2C 19 A.0.Smith Corporation.Aii rights reserved. Page 1 of 2 www.hotwvater.com 1 800-527-1953 Toll-Free USA I A.0.Smith Corporation 1 500 Tennessee waltz Parkway I Ashland City,IN 37015 AOSR647000 ' COMMERCIAL-GRADE � � RESIDENTIAL GAS WATER HEATERS Nomina Rated First BTU BTU Recovery Dimensions in Inches Approx. l Model Galion .Storage Hour UEF Input Input 90°F Rise .H Drat# Shipping Number Capacity Volume Rating Natural Propane Gallon Pe q B { D E F `G Hood weight(lbsl (Gallons) Gas Gas Hour Tall Models tGCB-30R 30 29 62 0.60 32,000 29,00-J 32 60-1/2 57 16 14 8 51 NIA NIA 3 or '23 GCR-30R 30 29 62 0.60 32,000 29,000 31 60-1r'2 57 18 14 8 51 N/A NIA 3 or 4 132 tGCRH-40 40 38 65 0.59 35,500 NIA 38 61-314 58-114 20 12-1/4 8 52 N/A NIA 3 or 4 138 tGCB-40 40 38 78 0.65 40,000 36,000 42 61-314 58.1/4 18 12-1/4 8 52 N/A NIA 3or4 130 GCR-40' 1 40 38 80 0.66 40,000 36,000 42 61-3/4 58-114 20 12-1/4 8 52 1 14-1/4 5)-3/4 3 or 4 138 GCG-50` 50 48 81 0.62 40,000 37,000 41 60-3/4 57-114 21 12-114 8 50 1/2 14-1/4 50.1/2 3 or 4 148 GCR-50* 50 48 84 0.62 40,000 37,000 43 60-3,4 57-1/4 22 12-1,4 8 50-1r2 14-1/4 50-112 3 or 4 165 GCRT50• 50 48 89 0.61 50,000 45,000 54 60-314 57-1/4 22 12.1/4 8 50-1/2 14-114 50-1/2 4 165 tGCRX-50* 50 49 99 0.61 60.000 54,000 65 65-112 61 22 13-112 8 54-114 14-114 54-1/4 4 182 GCRX-55* 55 55 83 0.62 fi0,000 54,000 65 59-314 55-1/4 24 13-1/2 8 48 14-114 48 4 185 Short:Models tGCBL-30R 30 29 1 65 0.60 132,000 1 29.000 32 1 50-1/4 46-3141 18 14 8 40 NIA NIA 3 or 4 114 GCRL-30R 30 29 55 0.60 32,000 29,000 32 50-1/4 46.3/4 20 14 8 40 N/A N/A 3 or 4 108 tGCBL-40 40 38 68 0.57 40,000 36,000 41 51-1/2 48 20 12 8 41-1/4 NIA N/A 3 or 4 134 GCRL-40 40 38 67 0.58 40,000 36,000 41 51-112 48 22 12 8 41-1/4 NIA NIA 3or4 135 GCRL-50 50 50 81 0.62 40.000 40,000 43 53-1/4 49-3/4 24 13-1/4 8 41-3/8 N/A N/A 3 or 4 177 Recovery capacities based on amial performance tests. Water connection is 314"on all models tModels ship with supplied insulation blanket. For 10-year tank and 10-year parts Warranty,change"G"to "X"in model number(example:ACR-40). 4 LP models not available on GCRH-40. 'For optional side-mounted redreulat ng taps,add'L"to the suffix(example:GCR-40L), All models approved for installatior from sea level to 10,100 ft.elevation. Dimensions and specifications subject to charge without notice in accordance Math our policy of continuous product improvement. [ FLAMMABLE VAPOR IGNITION RESISTANT(EVIR)WATER HEATERS A.0.Smith FAR design meets the American National Standards Institute standards(ANSIZ21.10.1-CSA 4.1)that deal with the accidental or unintended ignition of flammable vapors,such as those emitted by gasoline.. Features a sealed combustion chamber with intake air filter and T&P VALVE a flame arrestor built into the water heater base.In addition,a thermal cutoff(TCO)device,is designed to shut off gas flow to the burner and pilot if poor combustion is detected. F B A 1f2" GAS H CONNECTION ANODE ROD (OPTIONAL T&P LOCATION) t HOT— D G CONNECTION (ANODE OUTLET ON T&P MODELS) � � COLD I Maximum Hydrostatic Working Pressure: 150 PSI CONNECTION E For technical information .rr-527-1953.A.0.Smith Corporation reserves the right to make product changes or improvements without priornotice. Q December 2019 A.0.Smith Corporation.All rights reserved. Page 2 of 2 www.hotwater.com 1 800-527-1953 Toll-Free USA I A.0.Smith Corporation 1 500 Tennessee Waltz Parkway I Ashland City,TN 37015 AOSR647000