Loading...
HomeMy WebLinkAbout49123-Z Town of Southold 8/17/2023 a y� P.O.Box 1179 y r{ 53095 Main Rd Southold,New York 11971 5 CERTIFICATE OF OCCUPANCY No: 44468 Date: 8/17/2023 THIS CERTIFIES that the building HVAC Location of Property: 1400 Evergreen Dr, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-1-4.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/16/2023 pursuant to which Building Permit No. 49123 dated 4/13/2023 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: central air conditioning to existing single family dwelling as applied for. The certificate is issued to Forte,Edward&Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49123 7/26/2023 PLUMBERS CERTIFICATION DATED C o ized i nature `-' TOWN OF-SOUTHOLD �SgFFO[oy �a BUILDING DEPARTMENT a TOWN CLERK'S OFFICE o SOUTHOLD, NY 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#: 49123 Date: 4/13/2023 Permission is hereby granted to: Forte, Edward 1400 Evergreen Dr Cutchogue, NY 11935 To: install (2) AC units as applied for. At premises located at: 1400 Evergreen Dr, Cutchogue SCTM #473889 Sec/Block/Lot# 102.-1-4.10 Pursuant to application dated 3/17/2023 and approved by the Building Inspector. To expire on 10/1212024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector pF SO�jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �o sean.devlin(citown.southold.ny.us Southold,NY 11971-0959 �yCouv,0�' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Edward Forte Address: 1400 Evergreen Dr city:Cutchogue st: NY zip: 11935 Building Permit#: 49123 section: 102 Block: 1 Lot: 4.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 2 Switches 2 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: HVAC Inspector Signature: c Date: July 26, 2023 S.Devlin-Cert Electrical Compliance Form OF 50blyO� TOWN OF SOUTHOLD BUILDING DEPT. courm, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL At� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Vc() C�Ab Wfa-,� l DATE 1-60 INSPECTOR \ r I ho��OF SOUIyO� ► / co # # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 . INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION rl PRE C/O [ ] RENTAL REMARKS: U DATE 2� �/ INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS ro .9 � FOUNDATION(IST) a W � -------------------------------------- FOUNDATION (2ND) o Q Q ROUGH FRAMING& ` PLUMBING a G r INSULATION PER N.Y. y STATE ENERGY CODE f ri FINAL ADDITIONAL COMMENTS ,v A& C, )b Q k� 'C k--► o z ,. i Ic O x ►o y z x H x d b H 'ss of 'off cooyi TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 y • a� Telephone(631)765-1802 Fax(631)765-9502 hLtps://www.southoldtowm.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only I-,,- nD ` I PERMIT N0. a� Building Inspector: MAR 16 2023 Applications and forms must be filled out in their entirety.Incomplete B��� �DFPT applications will.not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:3/8/23 OWNER(S)OF PROPERTY: Name:Justin J. Verdirame _—Fc M-—#1000- 0'2— ! L4. j Project Address:1400 Evergreen_Drive, Cutchogue, NY 11935 Phone#:51.66107699 Email:jjverdirame@gmail.com Mailing Address:1400 Evergreen Drive,_ Cutchogue NY 11935 CONTACT PERSON: Name:Justin J. Verdirame Mai ling Address:1400 Evergreen Drive, Cutchogue, _NY 11935 Phone#:5166107699 Emaii:jjverdirame@gmail.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Kolb Mechanical Mailing Address:11500 Old Sound Ave., POBox 106, Mattituck, NY 11952 Phone#:6312985527 Email:jzurawski@kolbmechanical.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Residential Air Conditioning system $26,625.00 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes BNo 1 ,� PROPERTY INFORMATION Existing use of property:residential , -_ - Intended use of property:residential...___.. . . 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. 8 Check 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 with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted ri tna J. erdirame ❑Authorized Agent BOwner Signature of Applicant. ! Date: 3/8/23 STATE OF NEW YO ) COUNTY OF S 1`IfJ ) Jigs+jQ Z. y&rCIJZOCE . being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the oupar I� (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. Sworn before me this nrl ..O day of March ,202a JA If,"-A- 61-alry Public TRACEY L.DWYER PROPERTY OWNER AUTHORIZATIOWTARY PUBLIC,STATE OF NEW YORK NO.O1 DW6306900 (Where the applicant is not the owner) QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2-a49 I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 FFO���o BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD o Town Hall Annex- 54375 Main Road - PO Box 1179 C* QT Southold, New York 11971-0959 Telephone (631),765-1802- FAX (631) 765-9502 roQerr(c-southoldtownny.gov-- seand(a-)-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: ,S 6-j �� e Electrician's Name: <E (� License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Justin Verdirame Address: 1400 Evergreen Drive, Cutchogue, NY 11935 Cross Street: Depot Lane Phone No.: 516-610-7699 BIdg.Permit#: email:jjverdirame@gmail.com Tax Map District: 1000 Section: Block: Lot: , d BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Power wiring for two sets of central air units Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES❑NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES rV-�NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals M 1 M2 F1 H Frame M Pole Work done on Service? Y DN Additional Information: PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD o ` Town Hall Annex- 54375 Main Road - PO Box 1179 - Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(ajjsoutholdtownnygov - seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 3 J Company Name: �A ,A�- e L,57 C1-2/1fv C'®/,`%o Electrician's Name: X % ( /L (— License No.: ly7 �5-5rea Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Justin Verdirame Address: 1400 Evergreen Drive, Cutchogue, NY 11935 Cross Street: Depot Lane Phone No.: 516-610-7699 Bldg.Permit#: 4 i � email:jjverdirame@gmail.com Tax Map District: 1000 Section: Block: Lot: , d BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Power wiring for two sets of central air units Square Footage: Circle All That Apply: Is job ready for inspection?: F-1YES❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES R]NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals 1 FJ2 F1 H Frame D Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches I Outlets G F I's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC rI AH II Mini Special: t7 Comments !:,K1 fftiu u.1"_ 22' ­S4'E-�'Z7 0�'RFR�' Z' 1-R z 4 Suffolk County Department of Labor, Licensing & Consumer Affairs N.. VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEW YORK 11788 DATE ISSUED: 11/23/2021 No. ME-65546 -:'a SUFFOLK COUNTY Master Electrician License This is to certify that Kevin P Shiel ........... doing business as James Tech Electric Corp ' having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the,provisions of applicable laws, rules and regulations of the County of -Suffolk, State of NewYork. K7 NOT.VALID WITHOUT Additional Businesses ' DEPARTMENTAL SEALf� AND A CURRENT CONSUMER AFFAIRS. ID CARD Suffolk County Dept.of Labor,Licensing&Consumer Affairs MASTER ELECTR-CAL LICENSE Name Rosalie DraM KEVIN P SH,EL go Business Name Commissioner bearer is duly I:censed James Tech Electric Corpntz by the County o'suffok License Number:ME-65546 Rosalie Drago Issued: 1112312021 Comm;ssidner Expires: 11101/2023 7-\ ACOREF CERTIFICATE OF LIABILITY INSURANCE FoA on6n`�'wf" `..� 022 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), AUTHORRED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. B SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this cerMcate does not confer rights to the certificate holder in lieu of such ondomemen s. PRODUCER CONTACT PHONE Ell Phone:,(631)987-0896 cit. FAx No Insurance Unlimited Agency 4WIL Anthony®insuranceunlimited.biz 200 Corporate Plaza Islandia New York 11749 AFFORDI NOCOVERAGE NArce INSURER A:Merchants hmrance Group INSURED James Tech Electric Corp— --" !� INSURERS; DBA James Shiel&Kevin Shiel 33 Lawrence St VMRERc' East Rockaway New York 11518 NSURERD NaURERE- INSURER F COVERAGES CERTIFICATE NUMBER: 2492 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, a DI 9R TYPEOFNSURANCE POLtCYNU1rBBt i L 06 X COMMERCIALGENEMLLUMUff I EACHOCCURRENCE S 1,000,0 CWMSMAOE T OCCUR { ? PRBiAISEISIREocunr�a is 500,0 ! MEDEXPWWompenoa S 10,0 A y € y BOPIO5515 11/01/2022. 11/01/2023 pERSONAL&ADy.r"LRy IS 2,000,0 ewLAGGREGATELIIWITAPPLIESPER: I GEHERALAeGREGME 3 2,000,00 X POLICY a� ❑LOC PRODUCTS $ 2,1!00,0 �,�:: $ AUTONOBII.ELUIBaJTY ; (CUM-am I GLE LIMIT $ 1,000,000 ANYAUTO t BODILY MIRY(PWPMM) $ A AOWNED NOst>T ra.Y Fg;l Asvi � y fj y CA0174377 11/01/2022 ,I 11/01/2023 >twLyiruiRY(per aoadem) s OS MRED AUTOS ONLY AUrOS Y j ; PROPERTYDAMA'E S — I i S UYBRELLALUg X OUR EACHOCCURRENCE S 1,000,0 A X EXCESSUAB G.AIANSWM Y j Y CUP1002551 IVOY2022 11/01/2023 AGGREGATE Is 1,000,00 DED i I s OTW WINIXERSCO1111PENSATION i MUTE ER AND EMPLOYERS'LIAeelry YIN ANYPROPRIETORIPARTDEWD(ECUTNEEl N/A; LL EACH ACCIDENT $ OFF int-7 VABEX0. M UDEji E.1OIIEASE-EIIFJAPLOYEE 5 Nyn, a desCun0er DES(�tIPT1NOFOPBL1TiOtlSlfebw ! 1 E.i.DISEASE-POLICYLIAIIT S DESCR['noNOFOPERAT10Ne/LDCATMNSfVBWAES(AC MIOI.AddtlandRs.m 5 *dtdgmyb*8dWudMm0ffl&P ulengu" Suffolk County Licensing&Consumer Affairs is named as additional insured. CERTIFICATE HOLDER CANCELLATION Suffolk County Licensing&.Consumer Affairs PO BOX 6100 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Hauppauge New York 11788 ACCORDANCE WITH THE POLICY PROVISIONS. AUTH REPR�BlTA 86 15 ACORD CORPORATION. All rights reserved. ACORD 25(201 8103) The ACORD name and logo are registered marks of ACORD USD YR workers' CERTIFICATE OF INSURANCE COVERAGE rAre Compensation Board DISABILITY.AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To becompleted by Disability.and Paid Family Leave Benefits Carrier or Ucensed Insurance Agent of that Carrier 1a.Legal Name&Address of insured(use street address only) 1b.Business Telephone Number of Insured JAMES TECH ELECTRIC CORP (516)647-0960 3445 LAWSON BLVD OCEANSIDE,NY 11572 1c.Federal Employer Identification Number of Insured or Social Security Work Location of Insured(Only required ifcoverage is specifically limited to Number cerfain.locations in New York State,i.e.,a Wrap-up Policy) 208608850 2.Name.and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State Insurance Fund(NYSIF) SUFFOLK COUNTY LICENSING AND CONSUMER AFFAIRS PO 60X6100 3b.Policy Number of Entity Listed in Box"1a" HAUPPAUGE.NY 11788 DBL 6564 83-6 3c.Policy effective period 11/29/2021 to 11/29/2023 4.Policy provides the following benefits: ® A.Both disability and paid.family leave benefits .B.Disability benefits only [] C.Paid family leave benefits only 5.Policy covers: ® A.All of the empioyees employees eligible under the NYS Disability and Paid Family Leave Benefits Law E] 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 the named insured has NYS Disability'and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 11/8/2022 By eot �f '/'f)AQbcW4rA_ (Signature of Insurance carrier's authorized representative or NYS Ucensed Insurance Agent of that insurance carrier) Telephone Number(866)697-4332 Name and Title Kristin Markwica,Head of Disability Insurance Unit IMPORTANT: If Box 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that earrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C.or 513 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, DB Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200 PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 56 of Parti-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/herempioyees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee)_ Telephone Number Name and Title Please Note.onlyinsurance carders 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 authorhed to Issue this form. DB-120.1 (10-17) Certificate Number 710449 NEW Workers' YORK Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION.INSURANCE COVERAGE 1a.Legal Name and address of Insured(use street address only) 1b. Business Telephone Number-of Insured JAMES TECH ELECTRICAL CORP 1c.NYS Unemployment Insurance Employer 3445 LAWSON BLVD OCEANSIDE NY 11572 Registration'Number of Insured 1d. Federal Employer Identification Number of Insured or Work Location of Insured(Only required if coverage is specifically Social Security Number limited to certain locations in New York State,i.e.a Wrap-Up Policy) 20-8608850 2. Name and Address of the Entity Requesting.Proof of 3a.Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Property and Casualty Insurance Company of Suffolk County.Licensing and Consume Hartford 34690 PO Box 6100 HAUPPAUGE NY 11788-0099 3b. Policy Number of Entity Listed in Box"1a": 76 WEG ZT8652 3c.Policy effective period: 01/02/2023 to 01/02/2024 3d.The Proprietor,Partners or Executive Officers are E]Included.(Only check box if all partners/officers included) X all excluded or certainpartners/officers excluded. This certifies that the insurance carrier indicated above in box' 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"21'. 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"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 thee.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 Worker's 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 benamed 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 otherauthorized proof that the business is complying with the mandatory coverage requirements.of the New York State Workers' Compensation Law. Under penalty of perjury,l 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: Danielle Clausen (print name of authorized representative or licensed agent of insurance carrier) Approved by: � t::t; .!¢',4 t.�r�.��,�x� 01/10/2023 (Signature) (Date) Title: Operations Manager Telephone Number of authorized representative or licensed agent of insurance carrier. (866)225-7966 C-105.2(947) Foran_WC 86.3121 F Printed in U.S.A. www.wcb.ny.gov Page 1 of 2 YORK Workers' CERTIFICATE OF sTATI: ,Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Kolb Mechanical Corp and Kolb Service Corp (631) 298-5527 11500 Sound Ave Box 106 1c.NYS Unemployment Insurance Employer Registration Number of Mattituck, NY 11952 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 11-2892671 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) West American Insurance Co 3b.Policy Number of Entity Listed in Box"1 a" XWW58512966 Suffolk County Department of Labor, Licensing & Consumer Affairs 3c.Policy effective eriod P.O. Box 6100 5/1/222 5/1/2022 Hauppauge, NY 11788 3d.The Proprietor,Partners or Executive Officers are 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"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 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"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: Peter Sabat (Print name of authorized representative or licensed agent of insurance carrier) Approved by: e .* 3/14/2023 (Signature) (Date) Title: Senior Partner Telephone Number of authorized representative or licensed agent of insurance carrier: 631-722-3500 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.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that compensation for all employees has been secured as provided by this chapter. C-105.2(9-17)REVERSE KOLBMEC-01 BMARROQUIN ACORO, DATE(MM/DDIYYYII) CERTIFICATE OF LIABILITY INSURANCE 3/14/2023 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terns 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 Ileu of such endorsement s). PRODUCER C CT Neefus Stype Agency AHISNN Ext: 631 722-3500 ac No: 631 722-3591 711 Union Ave. Aquebogue,NY 11931 Mkss.info@nsainsure.com INSU S AFFORDING COVERAGE NAIC S INSURER A:Ohio Security Insurance Co 24082 INSURED INSURER a:West American Insurance Co 44393 Kolb Mechanical Corp and Kolb Service Corp INSURER C:Ohio Casualty 11500 Sound Ave Box 106 INSURER D: Mattituck,NY 11952 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 SUER vivo POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEFX]OCCUR BKS58512966 5/1/2022 51112023 DAMAGE TO RENTED $ 100,000 MED EXP(Any oneperson) 5,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY[)(]wcC F]LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: B AUTOMOBILE LIABILITY Ea acc COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO BAWS8512966 511/2022 5/1/2023 BODILY INJURY Per person) OWNED SCHEDULED AUTOS ONLY AUUTTOpSyy�� p BOODILY INJURY Per accident) AUTOS ONLY AUTOS OY PPer e erdd AMAGE C X UMBRELLA UABX OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE US058512966 51112022 5/1/2023 AGGREGATE 5,000,000 DED I X I RETENTION$ 10,000 B WORKERS COMPENSATION X STS ER AND EMPLOYERS'LIABILITY XWW58512966 5/112022 51112023 1,000,000 ANY P�R�O/PFUETgO�RR/PARTNEWEXECUTIVE Y/N EL EACH ACCIDENT $ (Mandatory In NH) CLUDED7 N I A E.L.DISEASE-FJ1 EMPLOYE 1,000,000 H es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLESACORD 101,Additional Remarks Schedule,maybe attached H more apace is required) With respect to Heating,Air Conditioning and Ventilation Work. In the event the Insurance Is either cancelled,not renewed or materially changed,fifteen(15)days prior written notice shall be given to the Suffolk County Dept of Labor,Licensing&Consumer Affairs. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE-DESCRIBED POLICIES BE CANCELLED BEFORE Suffolk County Department of Labor Licensing Consumer THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY P 9 ACCORDANCE WITH THE POLICY PROVISIONS. Affairs P.O.Box 6100 Hauppauge,NY 11788 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD c TRANE® COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF Submittal �n�;rune n Tib 7R� ._ i _ G BOARD r TOW RUSTEES J.DEc ELECTRICAL Split System Cooling INSPECTION REQUIRED 3.0 Ton 4TTR3036N 1000A77 APP �___ OVED AS NOTED DATE: 0?-3 B.P.# .��.� 111 ti ^•.=�r 6b FEE: �� B•,• .,11� NOTIFY BUILDiNG DEPARTMENT AT 765-1802 8 APIA TO 4 PN4 FOR THE FOLLOWING INSPECT IONS; I. FOUNDATION - T1VO REQUIRED FOR POURED CONCRETE — .2. ROUGH - FRAF,4ING & PLUMBING 3. INSULATION 4, FINAL - CO�l�Tr;UCriON MUST OCCUPANCY OR BE COMPLETE FOR c;.0, ALL CONSTRUCT;10N SN,.LL MEET THE USE IS UNLAWFUL REQUIREMENTS OF CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR WITHOUT CERTIFICATE DESIGN OR CONSTRUCTION ERRORS.' OF OCCUPANCY July 2022 4TfR3036N-SUB-1A-EN 1 7� ^ N E. TECHNOLOGIES- t 0 MAW B SERVICE PANEL C ELECTRICAL AND REFRIGERANT COMPONENT CLEARANCES PER PREVAILING CODES TOP DISCHARGE AREA SHOULD BE UNRESTRICTED FOR AT LEAST 1524(5 FEET) ABOVE UNIT.UNIT SHOULD BE PLACED SO ROOF RUN-OFF WATER DOES NOT POUR DIRECTLY ON UNIT AND SHOULD BE AT LEAST 305(12")FROM WALLAND ALL SURROUNDING SHRUBBERY ONTWO SIDES. OTHERTWO SIDES UNRESTRICTED ELECTRICAL SERVICE K PANEL 25(1) 22.2(7/8)DIA.HOLE A LOW VOLTAGE 28.6(1-1/8)DIA.K.O.WITH 22.2(7/8)DIA.HOLE IN CONTROL BOX BOTTOM FOR ELECTRICAL POWER SUPLY LIQUID LINE SERVICE VALVE, "E" I.D.FEMALE BRAZE CONNECTION WITH 1/4"SAE � FLARE PRESSURETAP FITTINGS G FIG.1 K.O.FOR ALTERNATE ELECTRICAL ROUTING From Dwg.D152898 GAS UNE 1/4TURN BALL SERVICE VALVE, "D" I.D.FEMALE BRAZED CONNECTION WITH 1/4"SAE FLARE PRESSURE TAP FITTING.A Model Base A B C D E F G H I K 4TTR3036N 3 730 829 756 3/4 3/8 127 76 197 60 508 (28-3/4) (32-5/8) (29-3/4) (5) (3) (7-3/4) (2-3/8) (20) Sound Power Level A-Weighted Sound Full Octave Sound Power(dB) MODEL Power Level[dB(A)] 63 Hz 125 Hz 250 Hz 500 Hz 1000 Hz 2000 Hz 4000 Hz 8000 Hz 4TTR3036N 71 73 73 72 69 68 60 52 45 Note:Rated in accordance with AHRI Standard 270-2008*For Reference Only 2 4TTR3036N-SUB-IA-EN 5 0 7AWE Product Specifications OUTDOOR UNIT(a)(b) 4TTR3036N1000A (a) Certified in accordance with the Air-Source Unitary Air-conditloner POWER CONNS.-V/PH/HZ W 208/230/1/60 Equipment certification program,which is based an AHRI standard 210/240. MIN.BRCH.CIR.AMPACITY 16 (b) Rated in accordance with AHRI standard 270. (-) Calculated in accordance with Nati.Elec.Codes.Use only HACR BR.CIR.PROT.RTG.-MAX.(AMPS) 25 circuit breakers or fuses. (d) This value shown for compressor RLA on the unit nameplate and on SCROLL'; ;„ ,,, this spedfication sheet Is used to compute minimum branch circuit NO.USED-NO.STAGES 1-1 ampacity and max.fuse size.The value shown is the branch circuit selection current. VOLTS/PH/HZ 208/230/1/60 (e) Use start components only when compressor is found to enter locked rotor condition and will not start or when lights dim at compressor R.L.AMPS(d)-L.R.AMPS 12.2-80.1 start.No means no start components.Yes means quick start kit FACTORY INSTALLED components.PTC means positive temperature coefficient starter. Optional kit shown. START COMPONENTS(e) NO(Uses BAYKSKT263) M Standard Air-Dry Coll-Outdoor (g) This value approximate.For more precise value see unit nameplate. INSULATION/SOUND BLANKET NO (h) Max.linear length 60ft.;Max.lift-Suction 60ft.;Max.lift-Liquid COMPRESSOR HEAT NO 60 ft.For greater length consult refrigerant piping software Pub.No. 32-3312-0 ( denotes latest revision). OUTDOOR OO ER`° ,?'" DIA.(IN.)-NO.USED 23-1 TYPE DRIVE-NO.SPEEDS DIRECT-1 CFM @ 0.0 IN.W.G.(fl 3030 NO.MOTORS-HP 1-1/8 MOTOR SPEED R.P.M. 850 VOLTS/PH/HZ 208/230/1/60 F.L.AMPS 0.77 OUTDOOIi'COIL' TYPEPINE=.FINTMf;?; ROWS-F.P.I. 1-24 FACE AREA(SQ.FT.) 16.25 TUBE SIZE(IN.) 3/8 LBS.-R-410A(O.D.UNIT)(a) 5 LBS.,2 OZ FACTORY SUPPLIED YES LINE SIZE-IN.O.D.GAS(h) 3/4 LINE SIZE-IN.O.D.LIQ. 3/8 SUBCOOLING 10°F DINEENSIONS: CRATED(IN.) 34 x 30.1 x 33 SHIPPING(LBS.) 189 NET(LBS.) 161 4TTR3036N-SU8-1A-EN 3 0 7XWF Mechanical Specification Options General Compressor The outdoor condensing units are factory charged with The compressor features internal over temperature and the system charge required for the outdoor condensing pressure protection.Other features include:Centrifugal unit,ten(10)feet of tested connecting line,and the oil pump and low vibration and noise. smallest rated indoor evaporative coil match.This unit Condenser Coil is designed to operate at outdoor ambient temperatures as high as 115°F.Cooling capacities are The outdoor coil provides low airflow resistance and matched with a wide selection of air handlers and efficient heat transfer.The coil is protected on all four furnace coils that are AHRI certified.The unit is certified sides by louvered panels. to UL 1995.Exterior is designed for outdoor Low Ambient Cooling application. As manufactured,this system has a cooling capacity to Casing 55°F.The addition of an evaporator defrost control Unit casing is constructed of heavy gauge,galvanized permits operation to 40°F.The addition of an steel and painted with a weather-resistant powder evaporator defrost control with TXV permits low paint finish.The corner panels are prepainted.All ambient cooling to 30°F. panels are subjected to our 1,000 hour salt spray test. The addition of the BAYLOAM107A low ambient kit Refrigerant Controls permits ambient cooling to 20°F. Refrigeration system controls include condenser fan, Thermostats—Cooling only and heat/cooling(manual compressor contactor and low and high pressure and automatic change over).Sub-base to match switches.A factory supplied,field installed liquid line thermostat and locking thermostat cover. drier is standard. 4 4TTR3036N-SUB-IA-EN TRINE' Trane - by Trane Technologies (NYSE: TT), a global innovator - creates comfortable, energy efficient indoor environments for commercial and residential applications. For more information, please visit trans. corn or tranetechnologies.com. Jkluj•ZU ♦ , Unitary Small AG AHRI Standard 2101240 CUL US LISTED The AHRI Certified mark indicates Trane U.S.Inc.participation in tha AHRI Certification program.For verification of Individual certified products,go to ahridirectory. org. Trane has a policy of continuous data improvement and it reserves the right to change design and specifications without notice.We are committed to using environmentally conscious print practices. 4TTR3036N-SUB-IA-EN 21 Jul2a22 Supersedes(New) ©2022 Trane 1 � Submittal 2-1/2 Ton Convertible Air Handler TEM4AOB3OS31 SC 0 0 0�. o . 0 D March 2022 TEM4AOB30-SUB-1 E-EN Outline Drawing 21'12 MINIMUM UNIT CLEARANCE TABLE I.01 12.15—+�-7.f7 LIf I SERVICE CLEARANCE LAECtlK1FtlDFD7 SIDES 2• FRONT 21• BACK 0• INLET DUCT I• B C OUTLET DUCT N/A NOTE-THIS UNIT IS APPROVED FOR INSTALLATION CLEARANCESTO COMDUSnBLE MATERIAL AS STATED ONTHE UNIT RATING NAMEPLATE 2.H 1.01 2.12 1.31 2.12— L--T .12 �.� 8 2.12 S.IS O 1.03 ¢2.00 0 1.13 A 01m 1.1s O O O 21 IRCS O H ? T- O 1.13 S 1.22 0 —71(ttb 1.ss I .37 10.15 1.12 3.19 :.1s E F D L E74 .31 PRODUCT DIMENSIONS Air Handier Model A B C D E F H Flow Gas Line Control Braze TEM4AOB3OS31SC 45.02_ 18.50 16.50 16.75 4.68 7.33 18.34 TXV 3/4 All dimensions are in inches 2 TEWAOB30-SUB-1 E-EN Product Specifications MODEL TEM4A0630S31SC Coupling or Conn.Size— 3/8 RATED VOLTS/PH/HZ 208-230/1/60 in.Uq. DIMENSIONS H x W x D RATINGS(a) See 0.D.Specifications Crated(In.) 46 x 21 x 24 INDOOR COIL—Type Plate Fin Uncrated 45-1/8 x 18-1/2 x 21-1/8 Rows—F.P.I. 3-14 WEIGHT Face Area(sq.ft.) 4.37 Shipping(Lbs.)/Net(Lbs.) 116/110 Tube Size(in.) 3/8 (a) These Air Handlers are A.H.R.I certified with various Split System Air Refrigerant Control TXV Conditioners and Heat Pumps(AHRI STANDARD 210/240).Refer to the Split System Outdoor Unit Product Data Guides for performance Drain Conn.Size(in.)(b) 3/4 NPT data. (b) 3/4"Male Plastic Pipe(Ref:ASTM 1785-76) DUCT CONNECTIONS See Outline Drawing (c) Remote filter required. INDOOR FAN—Type Centrifugal Minimum Airflow CFM Diameter-Width(In.) 11 X 8 TEM4AO83OS31SC No.Used 1 Heater Minimum Heat Speed Tap Drive-No.Speeds Direct-3 With Heat Without Heat CFM vs.in.w.g. See Fan Performance Table Pump Pump No.Motors—H.P. 1-1/3 BAYHTR1504BRK, BAYHTR1504LUG, Low Low Motor Speed R.P.M. 825 BAYHTRISOSBRK, Volts/Ph/Hz 208-230/1/60 BAYHTR1505LUG BAYHTRISOSBRK, F.L.Amps 2.0 BAYHTR1508WG, BAYHTR1510BRK, Low Low FILTER BAYHTR1510LUG, Filter Furnished?W No BAYHTR3510LUG REFRIGERANT R-41OA BAYHTR1517BRK Med Low Low Ref.Line Connections Brazed BAYHTR3517LUG High Coupling or Conn.Size— 3/4 in.Gas TEM4A0B30-SUB-1 E-EN 3 Heater Pressure Drop Table TEM Air Handler Models Number of Racks Heater Racks Airflow 1 1 2 1 3 4 Heater Model No.of Racks CFM Air Pressure Drop-Inches W.G. BAYHTR1504 1 1800 0.02 0.04 0.06 0.14 BAYHTR1505 1 1700 0.02 0.04 0.06 0.14 BAYHTR1508 2 1600 0.02 0.04 0.06 0.13 BAYHTR1510 2 1500 0.02 0.04 0.06 0.12 BAYHTR3510 3 1400 0.02 0.04 0.06 0.12 BAYHTR1517 3 1300 0.02 0.04 0.05 0.11 BAYHTR3517 3 1200 0.01 0.04 0.05 0.10 BAYHTR1523 4 1100 0.01 0.03 0.05 0.09 BAYHTR1525 4 1000 0.01 0.03 0.04 0.09 900 0.01 0.03 0.04 0.08 800 0.01 0.03 700 0.01 0.02 .i„a2d,`li*F:;'ryi�.;:;,l.,pe,., ::f1,3:c,,,. '.1,� ;,4, ..�,"� Y''>+"li..:•a,;p, ,f;k�a..xg,i.r��;Ord. eta;+'., 'Ay'V'�!i�t°�';�~Y 600 0.01 0.02 u St F u! u t r { r .it Y ...i• ,iY +., i:. � :?ni 'its 4t .3!, l.. 4 TEM4AOB30-SUB-1 E-EN Performance and Electrical Data 1. See Product Data orAir Handler nameplate forapproved combinations of Air Handlers and Heaters. 2. Heater model numbers may have additional suffix digits. Table 1. Air Flow Performance TEM4AOMS3150a) EXTERNAL STATIC AIRFLOW (in w.g) Speed Taps—230 VOLTS Speed Taps—208 VOLTS High Med Low t High Med Low t 0.1 1391 1305 1059 1338 1146 902 0.2 1305 1231 1029 1257 1098 868 0.3 1203 1138 970 1159 1027 817 0.4 1083 1027 884 1044 935 753 0.5 948 899 769 913 823 664 0.6 795 752 626 766 692 0.7 626 587 c. . 1t4,...,; 603 542 ;x 1. Values are with wet call,no filter,and no heaters 2. CFM Correction for dry coil=Add 3% 3. t=Factory setting (a) For theTEM4A0B30S31SC in downflow applications,airflow must not exceed 1200 cfm due to condensate blow off. TEM4A0B30-SUB-1 E-EN 5 Performance and Electrical Data Table 2. Electrical Data TEM4AOB3OS31SC 240 Volt 208 Volt No.of Heater Model No. Circuits/ Capacity Heater Minimum Maximum Capacity Heater Minimum Maximum Phases Amps per Circuit Overload Amps per Circuit Overload kW BTUH Circuit Ampacity Protection kW BTUH Circuit Ampacity Protection No Heater 2.0* 3 15 2.0* 3 15 BAYHTR1504BRK 1/1 3.84 13100 16.0 23 25 2.88 9800 13.8 20 20 BAYHTR1504WG BAYHTR1505BRK 1/1 4.8 16400 20.0 28 30 3.6 12300 17.3 24 25 BAYHTR1505LUG BAYHTR1508BRK 1/1 7.68 26200 32.0 43 45 5.76 19700 27.7 37 40 BAYHTR1508WG BAYHTR1510BRK 1/1 9.6 32800 40.0 53 60 7.2 24600 34.6 46 50 BAYHTR1510LUG BAYHTR1517BRK- Circuit 1(a) 9,6 32800 40.0 53 60 7.2 24600 34.6 46 50 2/1 BAYHTR1517BRK 4.8 16400 20.0 25 25 3.6 12300 17.3 22 25 Circuit 2 BAYHTR351OLUG 1/3 9.6 32800 23.1 31 35 7.2 24600 20.0 27 30 BAYHTR3517WG 1/3 14.4 49200 34.6 45 3050 10.8 36900 30.0 40 40 BAYHTR1517BRK with single circuit 1/1 14.4 49200 60.0 83 90 10.8 36900 51.9 73 80 power source kit BAYSPEKT201A *=Motor Amps (a) MCA and MOP for circuit 1 contains the motor amps 6 TEM4A0B30-SUB-1 E-EN Features and Benefits • Painted metal cabinet with captured foil face • Draw Through Design insulation • Horizontal Drain pan • 2%or less air leakage • Fused 24V Power • R-4.2 Insulating Value • 3 year warranty • Multi-Position UP/Down Flow,Horizontal Left/Right . 10-year warranty registered • ALL Aluminum Coil • Optional extended warranty available • Electric Heaters with polarized plug connections (sold as accessory) Important:Condensate management kit is required for • R-41 OA Thermal Expansion Valve all 5 ton air handler models installed in • ECM Motor(3.5-5 Ton Models) downflow applications. • Low Voltage Pigtail Connections TEWAOB30-SUB-1 E-EN 7 About Trane and American Standard Heating and Air Conditioning Trane and American Standard create comfortable,energy efficient indoor environments for residential applications.For more information,please visit www.trane.com or www.americanstandardair.com. C UL US LISTED The manufacturer has a policy of continuous data improvement and it reserves the right to change design and specifications without notice.We are committed to using environmentally conscious print practices. TEM4AOB30-SUB-IE-EN 08Mar2022 Supersedes TEM4AOB30•SUB-1D-EN (April2020) ©2022 t r�uvE® Submittal Split System Cooling 2.5 Ton 4TTR303ON1000A - 4TTR3030N1000B - - 11:\1 �•��r July 2022 4TTR3030N-SUB-1A-EN IRAN =C 7S TECHNOLOGIES' 0 7NME B SERVICE PANEL C ELECTRICAL AND REFRIGERANT COMPONENT CLEARANCES PER PREVAILING CODES TOP DISCHARGE AREA SHOULD BE UNRESTRICTED FOR AT LEAST 1524(5 FEET) ABOVE UNIT.UNIT SHOULD BE PLACED SO ROOF RUN-OFF WATER DOES NOT POUR DIRECTLY ON UNIT AND SHOULD BE AT LEAST 305(12")FROM WALL AND ALL SURROUNDING SHRUBBERY ONTWO SIDES. OTHERTWO SIDES UNRESTRICTED ELECTRICAL SERVICE R PANEL .r ; 25 0)-1 22.2(7/8)DIA HOLE A LOW VOLTAGE 28.6(1-1/8)DIA.K.O.WITH 22.2(7/8)DIA.HOLE IN CONTROL BOX BOTTOM FOR ELECTRICAL POWER SUPLY LIQUID LINE SERVICE VALVE, "E" I.D.FEMALE BRAZE 11 nift _IX CONNECTION WITH 1/4'SAE � FLARE PRESSURETAP FITTINGS G FIG.1 K.O.FOR ALTERNATE ELECTRICAL ROUTING From Dwg.D152898 GAS LINE 1/4TURN BALL SERVICE VALVE, 'D' I.D.FEMALE BRAZED CONNECTION WITH 1/4"SAE FLARE PRESSURE TAP Fn-nNG.A Model Base A B C D E F G H J K 4TTR3030N 3 730 829 756 3/4 3/8 127 76 197 60 508 (28-3/4) (32-5/8) (29-3/4) (5) (3) (7-3/4) (2-3/e) (20) Sound Power Level A-Weighted Sound Full Octave Sound Power(dB) MODEL Power Level[dB(A)] 63 Hz 125 Hz 250 Hz 500 Hz 1000 Hz 2000 Hz 4000 Hz 8000 Hz 4TTR3030N 71 73 73 72 69 68 60 52 45 Note:Rated In accordance with AHRI Standard 270-2008*For Reference Only 2 4TTR303ON-SUB-IA-EN 0 TA4W Product Specifications OUTDOOR UNIT(a)(b) 4TTR3030N1000A 4TTR3030N1000B POWER CONNS.-V/PH/HZ W 208/230/1/60 208/230/1/60 MIN.BRCH.CIR.AMPACITY 17 14 BR.CIR.PROT.RTG.-MAX.(AMPS) 25 25 F0-,S RO, -.CU ATUFF9� -SCROLL:LIMATUF t0m!Pki 46k, S NO.USED-NO.STAGES 1-1 1-1 VOLTS/PH/HZ 208/230/1/60 208/230/1/60 R.L.AMPS(d)-L.R.AMPS 12.8-68 10.9-62.6 FACTORY INSTALLED START COMPONENTS(e) NO(Uses BAYKSKT263) NO(Uses BAYKSKT263) INSULATION/SOUND BLANKET NO NO COMPRESSOR HEAT NO NO RK -A" DIA.(IN.)-NO.USED 23-1 23-1 TYPE DRIVE-NO.SPEEDS DIRECT-1 DIRECT-1 CFM @ 0.0 IN.W.G.M 2800 2800 NO.MOTORS-HP 1-1/8 1-1/8 MOTOR SPEED R.P.M. 825 825 VOLTS/PH/HZ 208/230/1/60 208/230/1/60 F.L.AMPS 0.77 0.77 OUTIDOOR.COIL��TLV ROWS-F.P.I. 1-24 1-24 FACE AREA(SQ.Fr.) 16.25 16.25 TUBE SIZE(IN.) 3/8 3/8 LBS.-R-410A(O.D.UNIT)(9) 4 LBS.,11 OZ 4 LBS.,11 OZ FACTORY SUPPLIED YES YES LINE SIZE-IN.O.D.GAS(h) 3/4 3/4 LINE SIZE-IN.O.D.LIQ. 3/8 3/8 CHARGING SPECIFICATIONS' SUBCOOLING 10*F 10*F DlbiiNsiON, g" CRATED(IN.) 34 x 30.1 x 33 34 x 30.1 x 33 WE SHIPPING(LBS.) 183 183 NET(LBS.) 156 156 (a) Certified in accordance with the Air-Source Unitary Air-conditioner Equipment certification program,which Is based on AHRI standard 210/240. (b) Rated In accordance with AHRI standard 270. (c) Calculated in accordance with Nad.Elec.Codes.Use only HACR circuit breakers or fuses. (d) This value shown for compressor RLA on the unit nameplate and on this specification sheet Is used to compute minimum branch circuit ampacity and max. fuse size.The value shown Is the branch circuit selection current (e) Use start components only when compressor Is found to enter locked rotor condition and will not start or when lights dim at compressor start.No means no start components.Yes means quick start kit components.PTC means positive temperature coefficient starter.Optional kit shown. M Standard Air-Dry Coll-Outdoor M This value approximate.For more precise value see unit nameplate. N Max.[[near length 60 ft.;Max.lift-Suction 60 ft.;Max.lift-Liquid 60 ft.For greater length consult refrigerant piping software Pub.No.32-3312-0* denotes latest revision). 4TTR3030N-SUB-lA-EN 3 0 7XWF Mechanical Specification Options General Compressor The outdoor condensing units are factory charged with The compressor features internal over temperature and the system charge required for the outdoor condensing pressure protection.Other features include:Centrifugal unit,ten(10)feet of tested connecting line,and the oil pump and low vibration and noise. smallest rated indoor evaporative coil match.This unit Condenser Coil is designed to operate at outdoor ambient temperatures as high as 115°F.Cooling capacities are The outdoor coil provides low airflow resistance and matched with a wide selection of air handlers and efficient heat transfer.The coil is protected on all four furnace coils that are AHRI certified.The unit is certified sides by louvered panels. to UL 1995.Exterior is designed for outdoor Low Ambient Cooling application. As manufactured,this system has a cooling capacity to Casing 55"F.The addition of an evaporator defrost control Unit casing is constructed of heavy gauge,galvanized permits operation to 40°F.The addition of an steel and painted with a weather-resistant powder evaporator defrost control with TXV permits low paint finish.The corner panels are,prepainted.All ambient cooling to 30°F. panels are subjected to our 1,000 hour salt spray test. The addition of the BAYLOAM107A low ambient kit Refrigerant Controls permits ambient cooling to 20°F. Refrigeration system controls include condenser fan, Thermostats—Cooling only and heat/cooling(manual compressor contactor and low and high pressure and automatic change over).Sub-base to match switches.A factory supplied,field installed liquid line thermostat and locking thermostat cover. drier is standard. 4 4TTR3030N-SUB-IA-EN 4 TR/WF Trane - by Trane Technologies (NYSE: TT), a global innovator - creates comfortable, energy efficient indoor environments for commercial and residential applications. For more information, please visit trans. com or tra netech no l o g i es.co m. A"lop wvw.ah rid ire Ctory�org Unb C UL US LISTED The AHRI Certified mark indicates Trane U.S.Inc.participation in the AHRI Certification program.For verification of Individual certified products,go to ahridirectory. org. Trane has a policy of continuous date improvement and it reserves the right to change design and specifications without notice.We are committed to using environmentally conscious print practices. 4TTR303ON-SUB-1A EN 21 Ju12o22 Supersedes(New) ©2022 Trane Submittal 2-1/2 Ton Convertible Air Handler TEM4AOB3OS31 SC a o O�. o . o o D March 2022 TEM4AOB30-SUB-1 E-EN Outline Drawing 21'12 MINIMUM UNIT CLEARANCE TABLE 12.17-+�t./t I p/ I SERVICE CLEARANCE (RECOMMENDED) SIDES 2- FRONT 21' BACK 0. INLET DUCT 1. B C OUTLET DUCT N/A NOTETHIS LINITIS APPROVED FOR INSTALLATION CLEARANCESTO COMBUSTIBLE MATERIAL AS STATED ONTHE UNITRATING NAMEPLATE 2.77 1.01 2.12 2.12 2.12 5.17 Q $12.10 A 01m 1.17 O O —� O 21 Ties O H O 1.10 O 1.]z .71 10.75 1.12 7.1 2.1s E F D .7t PRODUCT DIMENSIONS Air Handier Model A B C D E F H Flow Gas Line Control Braze raze 1 45.02 18.50 16.50 16.75 4.68 7.33 18.34 1 TXV 3/4 All dimensions are in inches 2 TEM4A0B30-SUB-1 E-EN Product Specifications MODEL TEM4A0B30S31SC Coupling or Conn.Size— 3/8 RATED VOLTS/PH/H2 208-230/1/60 in.LIq. RATINGS(a) DIMENSIONS H x W x D See O.D.Specifications Crated(In.) 46 x 21 x 24 INDOOR COIL—Type Plate Fin Uncrated 45-1/8 x 18-1/2 x 21-1/8 Rows—F.P.I. 3-14 WEIGHT Face Area(sq.ft.) 4.37 Shipping(Lbs.)/Net(Lbs.) 116/110 Tube Size(in.) 3/8 (a) These Alr Handlers are A.H.R.I certified with various Split System Air Refrigerant Control TXV Conditioners and Heat Pumps(AHRI STANDARD 210/240).Refer to the Split System Outdoor Unit Product Data Guides for performance Drain Conn.Size(In.)(b) 3/4 NPT data. (b) 3/4"Male Plastic Pipe(Ref:ASTM 1785 76) DUCT CONNECTIONS See Outline Drawing W Remote filter required. INDOOR FAN—Type Centrifugal Minimum Airflow CFM Diameter-Width(In.) 11 X 8 No.Used i TEM4A01B30S31SC Heater Minimum Heat Speed Tap Drive-No.Speeds Direct-3 With Heat Without Heat CFM vs.In.w.g. See Fan Performance Table Pump Pump No.Motors—H.P. 1-1/3 BAYHTR1504BRK, BAYHTR15041-UG, Low Low Motor Speed R.P.M. 825 BAYHTR1505BRK, Volts/Ph/Hz 208-230/1/60 BAYHTR1505LUG BAYHTR1508BRK, F.L.Amps 2.0 BAYHTR15081-UG, BAYHTR1510BRK, Low Low FILTER BAYHTR1510LUG, Filter Furnished?W No BAYHTR3510LUG REFRIGERANT R-410A BAYHTR1517BRK Med Low Ref.Line Connections Brazed BAYHTR3517LUG High Low Coupling or Conn.Size— 3/4 In.Gas TEM4A0B30-SUB-1 E-EN 3 Heater Pressure Drop Table TEM Air Handler Models Number of Racks Heater Racks Airflow 1 2 3 4 Heater Model No.of Racks CFM Air Pressure Drop-Inches W.G. BAYHTR1504 1 1800 0.02 0.04 0.06 0.14 BAYHTR1505 1 1700 0.02 0.04 0.06 0.14 BAYHTR1508 2 1600 0.02 0.04 0.06 0.13 SAYHTR1510 2 1500 0.02 0.04 0.06 0.12 BAYHTR3510 3 1400 0.02 0.04 0.06 0.12 BAYHTR1517 3 1300 0.02 0.04 0.05 0.11 BAYHTR3517 3 1200 0.01 0.04 0.05 0.10 BAYHTR1523 4 1100 0.01 0.03 0.05 0.09 BAYHTR1525 4 y "idtk,l!„'t'i,='''•iw' ^iin'.:fi�4r4.,:;.:-;.4s•':4;'1000 0.01 0.03 0.04 0.09 900 0.01 0.03 0.04 0.08 800 0.01 0.03 tM.._ �c-x;. „s�"t.'s-:, t}?.; `r:;ii:,: 4!.ai ii-'i�^?`i �' .nE �'�'} 4t :.:ti': .?•. "�'�.�; 700 0.01 0.02 v 4tt,� S ra to s s.a a 4 x iit 5 :", !'�SS ,'+�', a ;".e'iE x, tq Y i:t,..,e,�. -,r t v°,,,..5' i..k,:Sa ri�.,,,�n31�i.�- ,•,x;r..1, < 600 0.01 0.02 s: rs.•,�� 4 TEM4AOB30-SUB-1E-EN Performance and Electrical Data 1. See Product Data or Air Handler nameplate for approved combinations of Air Handlers and Heaters. 2. Heater model numbers may have additional suffix digits. Table 1. Air Flow Performance TEM4AOMSMCM EXTERNAL STATIC AIRFLOW (in w'g) Speed Taps—230 VOLTS Speed Taps—208 VOLTS High Med Low t High Med Low t 0.1 1391 1305 1059 1338 1146 902 0.2 1305 1231 1029 1257 1098 868 0.3 1203 1138 970 1159 1027 817 0.4 1083 1027 884 1044 935 753 0.5 948 899 769 913 823 664 0.6 795 752 626 766 692 0.7 626 587 ;:;rS i:;;, `'?" 603 542 1. Values are with wet coil,no filter,and no heaters 2. CFM Correction for dry coil=Add 3% 3. t=Factory setting (a) For the TEM4AOB30S31SC in downflow applications,airflow must not exceed 1200 cfm due to condensate blow off. TEM4A0B30-SUB-1 E-EN 5 Performance and Electrical Data Table 2. Electrical Data TEM4A0B30S31SC 240 Volt 208 Volt No.of Heater Model No. Circuits/ Capacity Heater Minimum Maximum Capacity Heater Minimum Maximum Phases Amps per Circuit Overload Amps per Circuit Overload kW BTUH Circuit Ampacity Protection kW BTUH Circuit Ampacity Protection No Heater 2.0* 3 15 2.0* 3 15 BAYHTR1504BRK 1/1 3.84 13100 16.0 23 25 2.88 9800 13.8 20 20 SAYHTR1504WG BAYHTR1505BRK 1/1 4.8 16400 20.0 28 30 3.6 12300 17.3 24 25 BAYKTR1505WG BAYHTR1508BRK 1/1 7.68 26200 32.0 43 45 5.76 19700 27.7 37 40 BAYHTR1508WG BAYHTR1510BRK 1/1 9.6 32800 40.0 53 60 7.2 24600 34.6 46 50, BAYHTR1510LUG BAYH6RK Circuitt11((aa) 9,6 32800 40.0 53 60 7.2 24600 34.6 46 50 ) 2/1 BAYHTR1517BRK- 4.8 16400 20.0 25 25 3.6 12300 17.3 22 25 Circuit 2 BAYHTR351OLUG 1/3 9.6 32800 23.1 31 35 7.2 24600 20.0 27 30 BAYHTR3517LUG 1/3 14.4 49200 34.6 45 3050 10.8 36900 30.0 40 40 BAYHTR1517BRK with single circuit 1/1 14.4 49200 60.0 83 90 10.8 36900 51.9 73 80 power source kit BAYSPEKT201A *=Motor Amps (a) MCA and MOP for circuit 1 contains the motor amps 6 TEWA,0630-SUB-1 E-EN Features and Benefits • Painted metal cabinet with captured foil face • Draw Through Design insulation • Horizontal Drain pan • 2%or less air leakage • Fused 24V Power • R-4.2 Insulating Value • 3 year warranty • Multi-Position UP/Down Flow,Horizontal Left/Right . 10-year warranty registered • ALL Aluminum Coil • Optional extended warranty available • Electric Heaters with polarized plug connections (sold as accessory) Important.Condensate management kit is required for • R-41 OA Thermal Expansion Valve all 5 ton air handler models installed in • ECM Motor(3.5-5 Ton Models) downflow applications. • Low Voltage Pigtail Connections TEWA01330-SUB-1 E-EN 7 � f About Trane and American Standard Heating and Air Conditioning Trane and American Standard create comfortable,energy efficient indoor environments for residential applications.For more information,please visit www.trane.com or www.americanstandardair.com. C UL US LISTED The manufacturer has a policy of continuous data improvement and it reserves the right to change design and specifications without notice.We are committed to using environmentally conscious print practices. TEM4AOB30-SUB-IE-EN oaMar2022 Supersedes TEM4AOB30-SUB-ID-EN (ApO12020) ©2022