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Gy Town of Southold 1/7/2023 a P.O.Box 1179 0 o - 53095 Main Rd Southold,New York 11971 i CERTIFICATE OF OCCUPANCY No: 43 668 Date: 12/8/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1795 Pipes Neck Rd, Greenport SCTM#: 473889 Sec/Block/Lot: 53.-1-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/18/2022 pursuant to which Building Permit No. 47768 dated 5/2/2022 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: geothermal heat pump closed loop system as applied for. 1/7/2023 Corrected to add electrical certificate to Certificate of Occupancy only. The certificate is issued to Wechsler,Eric of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 22-85413 10/23/2022 PLUMBERS CERTIFICATION DATED t riz ignature Town of Southold 12/8/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43668 Date: 12/8/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1795 Pipes Neck Rd, Greenport SCTM#: 473889 Sec/Block/Lot: 51-1-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this -office dated 3/18/2022 - pursuant to which Building Permit No. 47768 dated 5/2/2022 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is,issued is: geothermal heat pump closed loop system as applied'for. The certificate is issued to Wechsler,Eric of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t ori d ignature suFFna/fca TOWN OF SOUTHOLD Gy BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY �o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47768 Date: 5/2/2022 Permission is hereby granted to: Wechsler, Eric 235 E 22nd St Apt PHE New York, NY 10010 To: install geothermal heat pump closed loop system as applied for. At premises located at: 1795 Pipes Neck Rd, Greenport SCTM #473889 Sec/Block/Lot# 53.-1-14 Pursuant to application dated 3/23/2022 and approved by the Building Inspector. To expire on 11/1/2023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 �—= Building Inspector Certificate of Compliance .....................................................................................................................;........................................................................... CERTIFIED ELECTRICAL INSPECTIONS, INC. 188 PARK AVENUE ' -AMITYVILLE,-NY 11701 ....................................................P..: .........P..: (6.31) 5.9.8.-5.6.1.0..............................................:..................... .... ......... ... ................. CERTfFIES-THAT ,' Upon,the application of- Upon premises owned by Dandelion Energy Eric Wechsler 333 N.-Bedford Road,-Ste 220 1795 Pipes Neck Road Mount Kisco, NY 10549 Greenport, NY 11944 Located at: 1795 Pipes Neck Road, Greenport, NY 11944 Application Number#: 22-85413 Certificate#: 22-85413 Electrical License#: ME-65789 Section:- Block: Lot: Building Permit#: 47768 Described as a Residential occupancy,-wherein thepremises electrical system consisting of electrical devices and wiring,-,described below, located in/on the premises at: Geothermal.Heat Pump A visual inspection of the premises electrical system,-limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority,having jurisdiction; and found to be in compliance therewith on the 23rd day of October 2022 Name QTY Hot Water Heater Circuit- 30 Amp, 220V 1 Heat Pump- 50 Amp, 240V Electrical Inspector: RobeffCe,riello VJCAI� N/v .......... APPROVED 0- ........... This certificate isnot valid unless raised sea[ is present.' NOV 0.37 9 V # # TOWN OF SOUTHOLD BUILDING DEPT. cau631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ,INSULATIOWC ULKING [ ] FRAMING /STRAPPING [�] FINAL ' a �-� nLl [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]' RENTAL REMARKS: Omm ( ,j ik-,l DATE1,� 1 W4 INSPECTOR �'l. 0�L� FIELD INSPECTION REPORT I DATE COMMENTS t� FOUNDATION (IST) OQ� ------------------------------------ n[ FOUNDATION(2ND) �j z 0 H ROUGH FRAMING& -- _ PLUMBING H • 1 re � r INSULATION PER N.Y. y ' STATE ENERGY CODE dc a 6rm 16 FINAL ADDITIONAL COMMENTS r0 Z m 1 �v t� H N1j O U3 � x r� �x d b �o ufFot TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.jzov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only D PERMIT NO. g Building Inspector: MAR1 8 711 7 Applications and forms must be filled out in their entirety:Incomplete BUILDING DEPT. applicationswill,not be accepted. Where the Applicant is not the owner,.an TOWN OF SOUTHOLD Owner's Authorizatiomform(Page 2),shall be completed. Date:3/3/2022 OWNER(S)OF PROPERTY: Name:ERIC WECHSLER sCTM#-1000-53000100014000 Project Address:1795 Pipes Neck Rd, Greenport NY 11944, USA Phone#:772-708-1555 Email:emwechsler@gmail.com Mailing Address:1795 Pipes Neck Rd, Greenport, NY 11944, USA CONTACT PERSON: Name:John-DeVore of Dandelion Energy Mailing Address:333 North Bedford Rd Suite 220 Mt Kisco NY 10549 Phone#:845-649-6073 _ _ _ Email:jdevore@m- dandelionenprgy.co DESIGN PROFESSIONAL INFORMATION: Name:Ryan.Carda_of Dandelion Energy Mailing Address:333 North Bedford Rd Suite 220 Mt Kisco NY 10549 Phone#:845-649-6073 Email:jdevore@dandelionenergy.com CONTRACTOR INFORMATION: Name:Dandelion Energy Mailing address:333 North Bedford Rd Suite 220 Mt Kisco NY 10549 Phone#:845-649-6073 Emell:jopvore@dandelionenergy.com jdevore@dandelionenergy.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: El Other Install 5 ton geothermal heat pump closed loop system $16250 Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? RYes ❑No PROPERTY INFORMATION, Existing use of property:SFP Intended use of property:SFP Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes @No IF YES,PROVIDE A COPY. aCheck Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water Issues as,provided by Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply wlth all applicable laws,ordinances,building code, housing code and regulations and to admit authorized Inspectors on premises and in buildings)for necessary Inspections.False statements made herein are punishable as a Gass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):John DeVore INAuthorized Agent ❑Owner Signature of Applicant: Date: 3/3/2022 Danny Steven Batts II a o: ID NUMBER 124223713 1...Pale+\\ COMMISSION EXPIRES April 14,2025 John DeVore being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. (Jurat) State of Texas; County of Blanco; ss. worn before me this 16t4._day of March .20�p� Notary Public By:John DeVore Notarized online using audio-video communication PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) i Eric Wechslerresiding at 1795 Pipes Neck Rd do hereby authorize John DeVore to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Eric Wechsler Print Owner's Name 2 DANDELION To whom it may concern, Enclosed is the check for the geothermal permit at 1795 Pipes Neck Rd, Greenport, NY 11944, USA. Please email me a pdf of the permits when it is ready(hkowalski(&-Dandelionenergy.com). If you cannot email the permits, can you please mail a copy to our office at the address below. Dandelion Permitting Team 333 North Bedford Rd Suite 220 Mount Kisco, NY 10549 Thank you for your help! Hannah Kowalski Permit and Inspection Coordinator (860)301-7100 DANDELION 333 North Bedford Road,Suite 220 Mount Kisco, NY 10549 1 DANDENE-01 CZHANG CERTIFICATE OF LIABILITY INSURANCE DATE(M112012022 2 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 CONT NAEACT York International Agency,LLC PHONEFAX 500 Mamaroneck Avenue (AIC,No,Ext):(914)376-2200 (A/C,No):(914)376-2891 Suite 220 E-oRIE :certificate@yorkinti.com Harrison,NY 10528 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Hamilton Insurance Designated Activity Company INSURED INSURER 8: Dandelion Energy,Inc. INSURER C: 333 North Bedford Road,Suite 220 INSURER D: Mount Kisco,NY 10549 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 LTR IND WVD MM/DD/YYYY M /DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE [X]OCCUR ENVPKGH1803226 9/8/2021 9/6/2022 DAMAGE TO RENTED 50,000 PRE I E Ea occurrence) $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,660 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY[�]JEef LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a ac'den $ ANY AUTO BODILY INJURY Perperson) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN SAT TE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 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) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Route h ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD rte. c --EW 1 Ol"kers, STATF Compensati i CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured ADP TotalSource CO XXIII,Inc. 8334364255 5800 Windward Parkway Alpharetta,GA 30005 1c.NYS Unemployment Insurance Employer Dandelion Energy Inc Registration Number of Insured 45-175317 333 N BEDFORD RD Mt Kisco,NY 105490000 1 d.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 821328341 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New Hampshire Insurance Co. Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" 53095 Route 25 WC 053438474 NY PO Box 1179 All worksite employees working for Dandelion Energy Inc paid under Southold,NY 11971 ADP TOTALSOURCE,INC's payroll,are covered under the above stated policy. 3c. Policy effective period 07/01/2022 to 07/01/2023 3d.The Proprietor,Partners or Executive Officers are Included.(Only check box if all partnerstofficers 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"la"for workers'compensation under the New York State Workers'Compensation Law.(To use this form,New York QW)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 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"30,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: Michael Price (Print name of au t orized representative or licensed agent of insurance carrier) Approved by: P'►i�:�,1�_ 'f�- MJUN-2022 (Signature) (Date) Title: CEO North America Telephone Number of authorized representative or licensed agent of insurance carrier: 866-237.4079 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) Certificate Number: www.wcb.ny.gov ISTNEWK Workers' CERTIFICATE OF INSURANCE COVERAGE under the ATE Compensation NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW Board PART 1. To be completed by NYS Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier la.Legal Name and Address of Insured(Use street address only) 1b.Business Telephone Number of Insured Dandelion Energy Inc (833)436-4255 333 N Bedford Rd Mt.Kisco,NY 10549 lc.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State, i.e., a Wrap-Up Policy) 82-1328341 2.Name and Address of the Entity Requesting Proof of 3a.Name of Insurance Carrier Town of Southold Metropolitan Life Insurance Company 53095 Route 25 3b.Policy Number of entity listed in box"la": PO Box 1179 219266 Southold,NY 11971 3c.Policy effective period: January 1,2022 to December 31,2022 4.Policy provides the following benefits: XA. Both disability and paid family leave benefits. ❑ B. Disability benefits only. ❑ C. Paid family leave benefits only. 5.Policy covers: NA. All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B. Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that then am ed insured has NYS Disability Benefits and/or Paid Family Leave insurance coverage as described above. J Date Signed: January 26,2022 _By: Gam `-IJVbp (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number: ' 678-319-1603 Title:Melissa Rankins,State Plan Consultant IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902- 5200. PART 2. To be completed by NYS Workers'Compensation Board(Only if box 4C or 5B of Part 1 has been checked) State of New York Workers'Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed: By: (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number: Title: Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (12-21) YN W_� �i.�� 4 MI W 41 FF4 Z'45� 0 No. w,-65789 ell Certywate of Competency ISSUED-BY V 375 A Ik Suffo County Donartment ofLabor, Licensing & Consumer Afffimirs if Tth his is to,certi y ,at 1!RLAN.A'CRUW 1j c" Has duly qualified.by exammation.and-is,thereorefMasterl'lec' trician, enfi license.from the Suffolk County Department of Labor, ticen & Consuin sing er Affairs in accordance wifli the -of the Suffolk Q-ountyOccqp4:1tiona1 Lic Law.. provisions ensmg Dated. Restrictions QT _11D -N YAL W THOUT DEPARTMENTAL SFAL A -7 V: & J 14f" AM, L4111ia4l".114=—.4-_.'22" Z1. "Al VZZ --Vi -------- ---------- ,PPR VED AS NOTED LI p DATE:-50� p� -B.P.#k [L4 FEE: . BY: NOTIFY BUILDING DEPARTMENT AT ELECTRICAL 765-1802 '8 AM TO 4 PM FOR THE INSPECTION R�Q�O��D FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE RETAIN STORM WATER RUNOFF REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR PURSUANT TO CHAPTER 236 DESIGN OR CONSTRUCTION ERRORS. OF THE TOWN CODE. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF S UTHOLD TOWN PLANNI OARD S0IJTVa-6l0Wti TMTEES N'FS - OCCUPANCY OR, USE, I'S UNLAWFUL WITHOUT CERTIFICV� OF OCCUPANCY � ` • s �r fes. !1�{t.. � ,�is ,k 14*'� r•i�' �� '�^!-_� `�.111 Y 1 }� M: •.. All �f XpP , i ,a• nc �F r ri OF NIF yo r C M * /40. y 9 f, 11.`r =w w �A 100136 : •1 ROFESSto CONTRACTOR NAME: PROJECT NAME. PROJECTADDRESS: DESCRIPTION: PAGE: DANDELION GREENPO T 1795 PIPES ECK 1 NY 944 WECHSLER,ERIC OAD SITE PLAN 1of4 VERSION V2021.11 DRAWN BY: M W M PROJECT ID: 21-119-0164 DATE: 2022-02-16JANNAll— 1.IR111E'—1R.I.— �'F"'oE•�na o���„ °EE °" SCALE:SEE NTS SIZE:ISO_B_11X17 ID LOOP 1 TYPE VERTICAL BORE Z NO.OF BORES 2 BORE DEPTH 257 FT BORE SPACING 18 FT 22'10" EST.DEPTH TO BEDROCK 0 FT U-BEND DIAMETER 1-1/4 IN U-BEND MATERIAL HDPE 4710 DR-11 Deck: 329 ft2 GROUT CONDUCTIVITY 1.2 BTU/HR-FT-F 27'7'—Open Porch: 27 ft2 ELECT&COMM HEADER DIAMETER 1-1/2 IN I 4'7'— p HEADER MATERIAL HDPE 4710 DR-11 I�'Y'ATERSUPPLY �EST.TRENCH LENGTH 17 FT 17 11" s'l TIE-IN TYPE BELOW GROUND s^ Enclosed Porch: ' 80 ftz' HOMEOWNER OBLIGATIONS&EXCLUSIONS 3Z V •OBLIGATIONS:REMOVE PLANTS AROUND TRENCH PATH. —a DESIGN NOTES FOR DRILLING: I I .' 1st Floor: 699 ft2 •NONE. I_ +. !— .e'r 2nd Floor: 699 x 0.75 = 524 ft2 DESIGN NOTES FOR TRENCHING: a i� •TRENCHING THROUGH A SMALL GARDEN BED AT THE 18' EDGE OF THE HOUSE. ' ` IDA10 .0.- DR_AINF E � Alp' i vo ooo 1040 � 16' %% 29' �' 27' 17%` 16' OF NEWyo , yca J.Ca.. P I , 100136 pRO�ESs10NP� BORE 1 18'C•C BORE 2 CONTRACTOR NAME: PROJECT NAME: PROJECTADDRESS: DESCRIPTION: PAGE: \�I DANDELION 1795 PIPES NECK ROAD WECHSLER,ERIC GREENPORT,NY 11944 DETAILED SITE PLAN MAGCOROANCE WITIARROtE)aS,PROEEG90NP1 ENGINEFAING 2 of 4 VERSION V2021.11 DRAWN BY: MWM PROJECT ID: 21-119-0164 DATE: 2022-02-16 w°Essnm UNGEnr�Eo�REmoNOFauceNSEo°PF�°"' SCALE:SEE NTS SIZE:ISO B 11X17 oNAI-ENGINEERORI NGsuRVE .to ALTERT IS O NGINANYWAY. EXISTING EQUIPMENT TO BE REMOVED: AC1-AC CONDENSER_ MSP1-MAIN SERVICE PANEL A MSP1 REFRIG.TYPE: R-22 SERVICE RATING 100A OIL TANK M BRAND EATON BR KEEP F1-FURNACE � FUEL TYPE: IFUEL OIL a WH1-WATER HEATER a w SIZE N/A WH1 i EMOV FUEL TYPE FUEL OIL • W PIPING 3/4"COPPER F1 REMOV ;EQUIPMENT PATH ' x EXISTING EQUIPMENT TO BE REMAIN IN PLACE: N OIL TANK VOLUME: I N/A z z 5 v AC1 REMOV ��01F PROPOSED BREAKERS TO REMOVE: �p J. •MPU BEING INSTALLED. HOMEOWNER OBLIGATIONS&EXCLUSIONS: BASEMENT •OBLIGATIONS:REMOVE PLANTS AROUND TRENCH PATH. DESIGN NOTES FOR INSTALLERS: I _ •NONE. Z `SLA 100136 �- ROFESSIONP� CONTRACTOR NAME: PROJECT NAME: PROJECTADDRESS: DESCRIPTION: PAGE: WECHSLER,ERIC 1795 PIPES NECK ROAD EQUIPMENT REMOVAL PLAN \I� DANDELION GREENPORT,NY 11944 iN AccDRDANCEvA Nc2 ARi IS DFE RRssiDNu ENDwE SO 3 of 4 AND— 7209(2) VERSION V2021.11 DRAWN BY: MWM PROJECT ID: 21-119-0164 DATE: 2022-02-16 UN E55ALTNG MOEATHEDRECTONOFAI CENSFD '��oING"' SCALE:SEE NTS SIZE:ISO B 11X17 PROFESSIONAL-NEpt OR IAND SORVEYOR TO ALTER THIS NEW EQUIPMENT TO BE INSTALLED: - ID HP1 ID WH1 A MSP1 EQUIPMENT PACKAGE HEAT PUMP EQUIPMENT HEAT PUMP WATER HEATER =KEEP BRAND ENERTECH YT BRAND AO SMITH SIZE 5 TON SIZE 80 GAL DISTRIBUTION FORCED AIR ELECTRICAL 30A-240VAC AIRFLOW:HTG/CLG 1,960 CFM/1,960 CFM ELECT DISCO REQD IYES ■ z W, SUPPLY VERTICAL PIPING 3/4 IN PEX WH1 • RETURN MULTIPOSITION01 MSP1-MAIN SERVICE PANEL NEW • w ELECTRICAL 50A-240VAC SERVICE RATING 1200A • • • AUX HEAT YES,60A-240VAC BRAND JEATON BR HP1 ELECT DISCO REQD YES NEW DESUPERHEATER NO EQUIPMENT,PATH„ THERMOSTAT ECOBEE c TSTAT WIRES EXISTING 5 WIRE x CONDITIONED AREA FLOOR 1 r~n N;' DUCT ZONING NO • • > AEROSEALY/N NO GROUND LOOP LOOP 1 it z LOOP 1 GROUND LOOP TIE-IN 16 FT FROM SW CORNER 1-1/2 IN HDPE 20 GAL OF GLYCOL SOF NEryy DUCTWORK MODIFICATION DETAILED INSTRUCTIONS: �, 9 •NONE. BASEMENT HOMEOWNER OBLIGATIONS&EXCLUSIONS: !� •OBLIGATIONS:REMOVE PLANTS AROUND TRENCH PATH. Z DESIGN NOTES FOR INSTALLERS: •IT WILL BE A TIGHT FIT FOR THE PACKAGE UNIT TO SQUEEZE INTO ITS INSTALLATION LOCATION. ~— �ARpss p�1P�� CONTRACTOR NAME: PROJECT NAME: PROJECTADDRESS: DESCRIPTION: PAGE: 1795 PIPES NECK ROAD NEW EQUIPMENT PLAN ��� DANDELION WECHSLER,ERIC GREENPORT,NY 11944 4 Of 4 11-IR-11 YmNamaE US.cNDCEs 1—ENGINEENwc VERSION V2021.11 DRAWN BY., MWM PROJECT ID: 21-119-0164 DATE: 2022-02-16 Dm.EUACDNGUNDER� .1NE%`NOFnucEONseo—SON' SCALE:SEE NTS SIZE:ISO B llX17 DRFVlWGWNIYWNY,EEN oa IND soaYEYoa To uTEN mis — — Dandelion Heat Pump Packaged Unit Performance Ease of Maintenance • Two-stage Copeland®UltraTech® Real-time performance monitoring and compressor with efficiency values up to advanced diagnostic capabilities with home wifi { 4.5/20.9(COP/EER) connection.Comes standard with every unit. j • Unique compressor isolation technology • Removable cabinet panels and removable and high-density foam cabinet insulation control box providing easy access to internal for ultra-quiet operation components. • EnergyStar certified and made in the USA • Aluminum microchannel air coil which eliminates • Qualifies for the federal tax credit and the potential for failure due to corrosion, other state/local incentives enhancing reliability and efficiency ! � Corrosion-proof plastic drain pan and conden- sate overflow sensor to protect against potential overflows due to clogged condensate drains 3-year workmanship warranty and 10-year Simple Installation limited parts warranty •'' ,j__.____- Vertical air supply with multi-position, ,Digital controls which provide a variety of field field-selectable left or right side return selectable settings for each installation,and pff • Universal connection sizes for ground loop, advanced safety controls to protect the desuperheater and condensate connections equipment • Variable speed,constant cfm ECM blower • Factory-installed soft start which reduces the designed to adapt to connected ductwork start-up power of the heat pump by 70%. and operate at a fraction of the cost of a • Optional field-installed internal auxiliary heating conventional blower motor Heating Cooling a n. I a www.dandelionenergy.com Dimensions 1.00 ------------ 16.0 7.251 F4.70 16.0 0 ---- ---- - TYR TYR N0 0 00. 0 -------L 6.56 ----------------- -- ----- ---- ------- Enertech Recommends a Minimum oft to 2.5 feet of Service/1 st 11ation ---------- Access at Front and Air Coil ST. L TOP VIEW 16.0 TOP VIEW Showing Optional Filter Rack 0 1.00 ---------- 0 ---------- SOURCE HWG WATER WATER OUT IN SOURCE HWG WATER-, WATER IN OUT CONFIGURED AS CONFIGURED AS SIDE DISCHARGE BACK DISCHARGE Note:Side and Back Discharge configurations Lg2Lj I FRONT VIEW are only available in 036 through 072 models. LEFTVIEW i. Unit,Dimensional Data- ensi WITHOUT WITH RETURN SUPPLY �i OPTIONAL I MODEL I CONTROL BOX CONTROL BOX AIR FLANGE AIR FLANGE I FILTER RACK Al- -*B C A2 D E F G H;- J K L M N P R 024 A&0_ 23.0. 26.5 25.0 20.0 -19.1 1.92 3.63 11.62 12.5 7.44, 1.05 2.34 3.00 .00 3.63 ------------ -036-048 54.0 25.4 30.5 61.2 28.0 .26.0 23.7 2.34 2.25 16.0 -16.0 7.26 1.60 2.34 3.29 2.25 660-072 58.4- 25.4 30.51 65.6- = 32.0 26:0 24.0 2.34 2.25 16.0 -.16.0 7.26 1.60 2.34 3.29 2.25 Notes: All measurements are in inches: r Electrical connect.are 1 for high voltage,1/2"for low voltage. *B(Unit Width)-excludes field installed factory supplied flanges. Groun,JLoop I Water Coo Temp Trand Performance Monitoring 38.19 Heat pump comes standard with real-time monitoring to provide the installer and homeowner with remote insight into system performance.This includes real-time efficiency,energy usage,and status of the refrigerant,air,and 9.66 ground loop circuits. 2.42 34.25 DANDELION February 3,2022 RE:Insulation requirements for shallow header trench installations To whom it may concern: In general,Dandelion requires excavation and header pipe installation to a minimum depth of 4 ft.below grade,and that depth be maintained from the ground loop location to the building entry point.This requirement is consistent with industry-accepted best practices. However,there are cases where the minimum trench depth cannot be achieved without excessive complication,labor or cost.Dandelion has developed an alternative procedure for such cases,which is outlined in our Design&Installation Standards: When the site conditions prevent the header trench from being excavated to the minimum 4 ft.depth, the exterior header piping shall be insulated with foam board or spray foam insulation(min R10),which shall be installed directly above and along the outer edges of the piping in the bottom of the trench for additional freeze protection. Foam board insulation(if used)shall be expanded polystyrene(EPS)to avoid degradation over time. Specifically,extruded polystyrene(XPS)foam board insulation is not acceptable for use in buried applications. The width of the foam board insulation shall be sufficient to completely cover the header piping so that it cannot be seen from above prior to backfill. Spray foam insulation(if used)shall be rated for direct burial and applied in accordance with manufacturer specifications. The minimum allowable burial depth for insulated header piping shall be 12 inches. The thermal conductivity of subsoil is typically on the order of 0.50-1.00 Btu/hr-ft-"F,depending on composition,density and moisture content.Using the steady-state conduction equation to calculate thermal equivalence(R=L/kA),it can be shown that adding R10 insulation is comparable to adding 60 inches of soil depth,at minimum. When site conditions force us to install header piping at depths less than 4 ft,the installation of insulation in accordance with our Design&Installation Standards will compensate for the difference from a thermal performance and more importantly,from a freeze protection standpoint. If you have any questions,feel free to contact me at rcarda@dandelionenerev.com. Sincerely, Ryan Carda,I?E. �F N EW yo Principal Engineer S�P�pN Dandelion Energy,Inc. 2/9/22 F, r 'rF� 100136 ���\ 333 North Bedford Road,Ste 220 p�0 SS11) Mount Kisco,NY 10549 DANDELION September 15,2020 RE:Compliance with applicable codes and regulations To whom it may concern: Dandelion requires that all design and installation methods and materials comply with all applicable codes and standards, including ANSI/CSA/IGSHPA C448 Series-16(Design and installation of ground source hear pump systems for commercial and residential buildings)and 2020 NYS Uniform Fire Prevention and Building Code and State Energy Code. We provide a set of internal Design &Installation Standards, Permit Drawings,and Master Service Agreements to enforce this requirement with third party contractors and internal installation crews alike. Therefore,to the best of my knowledge, belief and personal judgment,our permit drawings,design and installation requirements and scope of work comply with 2020 NYS Uniform Fire Prevention and Building Code and State Energy Code. If you have any questions,feel free to contact me at rcarda@dandelionenergy.com. Sincerely, Ryan Carda, P.E Principal Engineer Dandelion Energy, Inc F NEW Y O 5 yPN d C q � 9 yt 2cs 100136 v OAROFESSIONP 09-15-2020 O335 Madison Ave,4th Floor New York,NY 10017 DANDELION Re:Sediment control practices for permit application to install a ground loop as part of a geothermal heating and cooling system installation To whom it may concern: This letter summarizes Dandelion Energy's sediment control practices as part of our permit application for geothermal heating and cooling system installation. Dandelion implements industry accepted sediment control methods during drilling and trenching activities in general accordance with New York State Department of Conservation Standard Specifications for Erosion and Sediment Control. The sediment control method(s) implemented on each project vary depending on site-specific conditions, but include one or more of the following measures: • Mud Processor - Equipment used to manage and process drilling spoils by separating solid and fluid materials removed from the borehole. • Containers - Drilling spoils are typically discharged directly into containers such as heavy-duty woven polypropylene sacks, impermeable 3-ply plastic pools, geotextile filter bags or lined roll-off containers during drilling. • Stockpile Methods - In some instances,drilling spoils or excavated materials from trenching may be temporarily stockpiled and contained using silt fences and/or straw bale dikes to prevent runoff. Excavated material is typically returned to the trench on the same day. • Dust Control - Water is sprayed to wet drilling spoils or excavated materials for dust control as needed. These practices have been developed and are employed to ensure that the highest level of environmental protection is achieved as a normal part of system installation. Thanks in advance for your consideration. Sincerely, OF NEpyY y�FOA 100136 ROFESSIOr1P Ryan Carda, P.E Principal Engineer Dandelion Energy, Inc O335 Madison Ave,4th Floor New York,NY 10017