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HomeMy WebLinkAbout50400-Z <.° TOWN OF SOUTHOLD drat , BUILDING DEPARTMENT TOWN CLERK'S OFFICE �'V `'' 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 #: 50400 Date: 3/7/2024 Permission is hereby granted to: Sharman ._ F!wawmily„Trust 495 Po” ...ww ... _ ... _...... LagunamBeach CA92651................ ............... _ww................................................ ......._._.......... _ .. __.._.. ........... To: install gas water heater and boiler to existing single-family dwelling as applied for. At premises located at: 283 Stephensons Rd, Orient SCTM # 473889 Sec/Block/Lot# 17.-1-9.2 Pursuant to application dated 1/30l2024µ_ and approved by the Building Inspector. p .. ...__.5. 9/6 2 To expire on ........................ ...w�_.....w... Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $250.00 CERTIFICATE OF OCCUPANCY $100.00 — _ ..wwwwwww_._....� Total: $350.00 Building Inspector IQ� fr TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 tate s;/lwww. ol,atlaoldlornta�ca Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ECEEV E PERMIT NO. 564— Building Inspector:__w_.._.:.: ..._. ._._ . _._. ... JAN 3 0 2024 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,ant3¢4d! °p'="f°v°�A� Owner's Authorization form(Page 2)shall be completed. Town of"'cu!Noid Date: O,WNER(S)OF PROPERTY: Name: �'ff '�/.�f},✓ SCTM#1000- l �. c -- Project Address: Z / f r 2/ C.�l "J)Y Phone#: 70. _ 1 0 I/ � Email: Mailing Address: CONTACT PERSON✓ Name: Mailing Address: U, i3UX. �;t / - ilgS" 7 Phone#: -76 3" � ��- Vd y� Email:: � �r ` q W___ y �,�''r° "f i DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email:, CONTRACTOR INFORMATION: - Name: Mailing Address:�w PhonEmail:, E #: of , DESCRIPTION OF PROPOSED CONSTRUCTION E New Structure Ad %tion ❑AI ration ❑Repair ❑Demolition Estimated Cost of Project: Other �R s a t + s rJJ f u✓a / .w $ 13 S Will the lot be re-graded? ❑Yes [qK0__ Will excess fill be removed from premises? ❑Yes N<0 1 PROPERTY INFORMATION Existing use of property: �„g y Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes NNo IF YES, PROVIDE A COPY. O(Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Char 236 o� e T '�d: ON SY MITE to the Building �rtment for the issuanceof a Building Permit pursuant to the Building Zone OrdPnarr of:Tc n otSo W;$u :runty,New York and otter applicable Laws,Ordinance at dations,for the construction of buildings, additrops,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 buildings)for necessary inspections.False statements made herein are punishal ble.as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal law. Application Submitted By(print name): �10`C Y"�L �j BAuthorized Agent ❑Owner Signature of Applicant: ' Date: STATE OF NEW YORK) SS: COUNTY OF �.�5�t V— e-� being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (LAO I (K ontractor,Agent,C porate 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 --1 Sworn before me day of 20 °~ No ar Icj0ANNE GRAND Notivy Putgicp State of Now YO(k (aualftd In Nassau COuntY PROPERTY OWNERAUTHORIZATIONcatNO.OIG� ) M 0091 (Where the applicant is not the owner) residing at Z 3 57e/91*.1SO,) 12,A G.2iC.�T do hereby authorize ito apply on my beh Town of So old Building Department for approval as described herein. 01 Z61z Owner's Signature Date Print Owner's Name 2 Suffolk County DePt.Of Labor,Licensing&Consumer Affairs MASTER PLUMBING Name ROLAND B REEVES Business Name Ibis wtifies tat 010 Universe Appliance Repairs Inc DBA ;nearer m duly IvrAnsed )q tne County of suffolk License Number;MP-61673 gosafieVraso Issued: 02121/201 9 Commissioner Expires. 0210112025 it orkert' CERTIFICATE OF Sy Ar Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board .. Ia. galName (use street address only) Business _ 1ssTelephone Number of Insured UniverseAppliance Inc 516-781-6565 Roland Reeves 3782 Merrick Rd 1c.NYS Unemployment Insurance Employer Registration Number of Seaford,NY 11783 Insured Work Location of Insured(Only required if coverage is specifically limited 1 d.Federal Employer Identification Number of Insured or Social Security to certain locations in New York State,i.e.,a Wrap-Up Policy) Number 113184662 _� �....._... _�ww.... �.ww.... w_ .....w�..._............_.............. ............ 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Merchants Mutual Insurance Comp anY 3b.Policy Number of Entity Listed in Box 1a" Town of Southhold WCA103774 ;54375 Route 25 Southhold NY 11971 3c.Policy effective period 03/22/2023 to 03/222024 3d.The Proprietor,Partners or Executive Officers are XJ included.(Only check box if all partners/officers included) F] all excluded or certain partners/officers excluded. s that the insurance ........._........_b "T'insure the business refer ew This certifies that the Insurance carrier indicated above in box 3" ' � Yabove in box"1a"for workers' compensation under the New York State Workers'Compensation ( N 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 of 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: Robert Nagel (Print name of authorized representative or licensed agent of insurance carrier) Approved by:R YVa9d 01/29/2024 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 401-336-2111 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.wrb.ny.gov Workers' CERTIFICATE OF INSURANCE COVERAGE ivorrtipetl «atiirt Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrie la.Legal Name&Address of Insured(use street address only) 1b. Business Telephone Number of Insured UNIVERSE-APPLIANCE OF LYNBROOK INC 516-781-6565 3782 MERRICK ROAD SEAFORD, NY 11783 1c.Federal Employer Identification Number of Insured or Social Security Number work Location of Insured(Only required Ycoverage is specifically limited to 113184662 certain locations in New York State,i.e.,Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southhold 3b.Policy Number of Entity Listed in Box"1a" ;54375 Route 25 DBL452669 Southhold NY 11971 3c.Policy effective period 09/09/2022 to 09/08/2024 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 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 peva ty of per)ury,I ce that am an out or zed representative or I oensed agent of the insurance carder referenced a ve and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date Signed 8/30/2023 By a (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White Chief Executive Officer 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 413,4C 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 emailed to PAU@wcb.ny.gov or it can 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 the NYS Workers'Compensation Board(Only if Box 46,4C or 56 have 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(Article 9 of the Workers'Compensation Law)with respect to all of theiremployees. Date Signed By (Signature of Authorized NYS Workers'compensation Board Employee) Telephone Number Name and 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 oB.,zo., x12.21, DB-120.1 (12-21) ACC>RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/29/2024 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 pollcy(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 o AC Lynn Dunham,AAI,AIS NAAAB. The Hilb Group New England,LLC PHONNE E (800)232-0582 FAAXC NO: (888)505-9300 2000 Chapel View Blvd ADBs: Idonhar ra10 9 r0 uis`t olTa Suite 240 INSURER(SI AFFORDING COVERAGE NAIC tf Cranston RI 02920 INSURERA r, Merchants Preferred insurance Co. 12901 INSURED tNsuRERB: Merchants Mutual Insurance Company 23329 Universe Appliance of Lynbrook Inc. INSURER C c Roland Reeves INSURER D: 3782 Merrick Rd INSURERE: Seaford NY 11783 INSURER.F COVERAGES CERTIFICATE NUMBER: CL2331548773 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. r.R PO YEFF PO CYEXP LIMITS TYPE OF INSURANCE POLICY NUMBER MMRDDFY'YYY WDOIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F OCCUR P,'�R-DXC^AM 'S. arc^er anctr $ 500,000.,-� ME'C1 FXI'"QArY one uemxao'1 $ 5,000 CTRI000270 03/22/2023 03/22/2024 I'rERSONAL d ADV IN IOtCY $ 1,000,000 GEN'LAGGfdEGATE LIMIT APPLIES PER: GGNERALAGGREGATE $ 2,000,000 PRO- LOC PSR,L'b'd?I":T -dNOIwtPPC�M'ACa"G $ 2,000,000 .POLICY JECT $ AUTOMOBILE LIABILITY Srvg ,kwll:...rC.,rkSiNC.mLE.LIMIII $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ � A OWNED SCHEDULED CTRI000270 03/22/2023 03/2212024 BODILY INJURY(Per accident) $._. AUTOS ONLY AUTOS P"rOP ,R1. DAMA_C w HIRED NON-OWNED ParTMdenp $ AUTOS ONLY AUTOS ONLY UMBRELLA UAB OCCUR EACH OCCURRENCE $. 5,000,000 B EXCESS une CLAIMS-MADE CUP1002810 03/22/2023 03/22/2024 AGGREGATE $W5 000,000 DED RETENTION$ 10,000PVR $ WORKERS COMPENSATIONSTAT'Ur$ ERH AND EMPLOYERS LIABILITY Y f N ANYPROPRIE"IOPJPAR'NERIF-X'ECLfl&IVk (" I NIA E.L.EACH ACCIDENT S OFFICFrUMEMSEH&XC I.UDE07 I J E (Mandatory In NH) E. DISE EA EMPLOYEE It Yea,describe under MRIPT04 OF OPERA1'IONS batow E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I 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 Town of Southhold ACCORDANCE WITH THE POLICY PROVISIONS. 54375 Route 25 AUTHORIZED REPRESENTATIVE Southhold NY 11971 C � - ©1968-2015 ACORD CORPORATION. All rights reserved. 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FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. RO.lGH- FRAWNG& PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLYiTAl,,,, DES OFE STATE YORK S TE �'rom CODES AS REQUIRED AND CX4[:)I ,,.IONS OffF' SOUTHa' 'TOWN PLANIN G BOARD SOS D TOM TRUSTEES K DDD Hp OCC,UPANCY 01 USE IS UNLAWFUL OF OCCUPANCY E,LE TRIS l,,,,,. INSP C r N RIE.;;: l EI!G) SERIES l Gas Fired, t Chimney Vented , Cast Iron Water Boiler 84% AFU E 38—280 MBH (8 sizes) Advanced controls, accessible inside boiler jacket — Integrated boiler control with 11 � diagnositcs ��.., — FREE additional pump relay — Integral LWCO option requires no piping! (IDL-1200) Industry standard tapping locations allow easy, direct replacement for thousands of existing boiler installations American-made cast iron heat exchanger — Designed to promote turbulent water flow within the section for efficient heat transfer A solid, reliable, full-featured boiler at a value price! Lifetime limited warranty Boiler � � �� Made in Lancaster, PA, USA ' x���� �� rgywrr Xmv2w, Technical Information H Intertek Standard Equipment " ' r • Intelligent Hydronic Control;simple self-diagnostic DOE Net AHRI Approx. control system with 3-digit readout for status settings Heating Rating, Shipping and errors - Input Capacity Water Vent Size Weight. • Pre-installed IDL-1200 integral LWCO with auto reset Model (MBH) (MBH) (MBH) AFUE%o (Inches) (lbs.) (H-model suffix) X-202 38 32 28 84.0 4 202 • Insulated steel jacket X-203 70 59 51 84.0 4 254 • Integrated draft diverter,damper and connector included X-204 105 88 77 84.0 5 304 • Heavy gauge V base insulation X-205 140 117 102 84.0 6 357 • Step-opening redundant gas valve X-206_ 175 146 127 84.0 6 405 • Spark ignition with continuous retry X-207 210 176 153 _84.0 7 462 • User-friendly wiring with 120V J-box X-208 245 205 178 84.0 7 518 • Circulator-choice of Taco or Grundfos X-209 280 234 1 203 84.0 8 564 • Cast iron section assembly Add suffix'N"for natural gas,or suffix"L"for LP gas models • Resettable blocked vent switch All models certified for use from sea level to 10,000 feet in elevation.outputs are reduced by 4%per 1,000 feet above sea level for elevations above 2,000 it, • Boiler drain valve All X-2 boilers are shipped with 30 psi relief valves,MAWP is 50 psi. • Cast iron supply manifold with safety relief valve tapping 1 I I I Width Connections(inches) Water 61W11 Gas Relief Content Model (inches) Supply Return Valve Valve (gal.) _T_202-_7_4 _1_-1/4 ""'-1-1/4 1/2 3/4 1 NOTES: X-203 14 1-1/4 1-1/4 1/2 3/4 2 1, Minimal radial distance around vent pipe and breeching X-204 16 1-1/4 1-1/4 1/2 3/4 3 for single-wall metal pipe vent connector,otherwise follow X-205 19 1-1/4 1-1/4 1/2 3/4 4 vent connector manufacturer's recommended clearances. 2. Add height required to maintain 6"clearance from all X-206 22 1-1/4 1-1/4 1/2 3/4 5 breeching components. X-207 25 1-1/4 1-1/4 3/4 3/4 6 X-208 28 1-1/4 /4 3/4 3/4 7 X-209 31 1-1/4E11/4 3/4 3/4 8 X/ 6"Min(see Note 1) 23"(see Note 2) 33-1/4" ! F 26-3/4" 40" ........... Return0 o __..0 6' ---supply 1611180@I�UIOIIO oo 27 ;" o Electrical 24" Gas 40. _t40 IIIIIIIIIIIIIIIII ,�. 0°• Floor Line Floor Line 0- t3 - °° _..- 4°° W m. _. 31 t _.w...__... --_.........W.W............ _ _►35.° Form No.USBL15092-10ms3/20 www.usboiler.net Printed in the U.S.A, ©2020 U.S.Boiler Company,Inc.-Lancaster,PA Phone:1-888-432-8887 BRADFORD WHITE W A T E R H E A T E R S Residential AtmosPhenfic Vent Gas Water Heater The Atmospheric Vent FVIR Defender Safety System'Models Feature: rl i 1J, a Bradford White ICON System"—Intelligent gas control with proven millivolt p riy piero Igniter.A standard,off the shelf powered techndo and IDuigl iro thermopile converts heat energy from the pilot flame Into electrical energy to operate the gas valve and micropiwessor.No need for external electricity. " –Enhanced Performance—Proprietary algorithms provide enhanced First ,.r � – C Hour Rating and tighter temperature differential. Advanced Temperature Control System--Microprocessor constantly monitors and controls burner operation to maintain consistent and accurate water temperature levels. –Intelligent Diagnostics—An exclusive green LED light prompts the installer during start-up and provides ten different diagnostic codes to assist in troubleshooting. –Pilot On Indication—Flashing green LED provides positive indication that pilot is on. Separate Immersed Thermowell---High-strength advanced poiynTer composite thermrwell provides Isolation between electric temperature sensor and surrounding water, No need to drain the tank when removing gas valve. Advanced ScreenLok®Technology Flame Arrestor Design—Flame arrestor is designed to prevent ignition of flammable vapor outside of the water heater. 1 Resettable Thermal Switch—Proven and reliable bimetallic switch prevents burner and pilot operation in case of ongoing flammable vapors burning inside of the combustion chamber or restricted air flow. 0 Maintenance-Free—No regular cleaning of air inlet openings or flame arrestor is required under normal conditions. Sight Window—Offers a view into the combustion chamber to observe the a 1 operation of the pilot and burner. N r, to Factory-Installed Hydrojetn Total Performance System—Sedintent reducing °.s l device that also increases first hour rating of hotwater while minimizing temperature build-up in tank. �+ YJ Vitraglase Lining--An exclusively engineered enanlel formuga that provides 2% superior tank protection from the highly corrosive effects of hot water,This formula(Vtraglas is fused to the steel surface by firing at a ternperature of over ( ) a ' A 160D°F 871°C. a Insulation System—Non-CFC foam covers the sides and top of the tank, reducing heat loss."this results in less energy consumption, improved efficiencies,and jacket rigidity. Photo is of a Pedestal Base. RG240T6N 0 Water Connections-3i4" (19mm)NPT factory installed true dielectric fittings. Factory-Installed Heat Traps. FEATURING Protective Magnesium Anode Rod. 3x4"Snap Lock" Draft Cliverter---•Allows either "(76rrrm)or 4" (1¢2mm)vent connections with inputs of 40,0D0 B't`LlAir,or less.Over 40„000 BTLI',rl-Ir,has the 4” (102mm)"Snap Lock" Draft Diverter. System pl T&P Relief Valve—Installed. �� r„ � i. a Low Restrictive Brass Drain Valve—Durable tamper proof design. &Y—wwk t`dtfve a NOx Emissions—Less than 40 ng/J. 'May vary by region u�iw «b 6 or 10-Year Limited Tank Warranties/6 or 10-Year Limited Warranty on Component Parts. "s For more information on warranty,please visit co.www. Some states do For products installed in USA,Canada,and Puerto Rico.Some states do not allow limitations on warranties.See complete copy of the warranty included with the heater. MANUFACTURED UNDER ONE OR MORE OF THE FOLLOWING U.S.PATENTS:5.682,666;7.634.976;5.660,165;5,954,492;6,055,542;6,935,280;5,372,185;5,485,879;5,574,822;7,971,560;7,992,526;6,684,821; 6,442,178;7,3A.419:7.666,168;7,270,087;7,007,748;5,596.952;6,142,216;7,699,026;5,341,7'x0;7,337,517;7,665,211;7,665,210;7,063.132 7,063,133:7,559,29MM1;7,90D,W 5,941'884;8,Oa1"t,6k'.08„5,968,117; 7,621,238;7.650,859;5,761,379;7,409,925;5277.171;3,146,772:7,45B,341;2,262,174,OTHER U.S,AND FOREIGN PATENT APPLICATIONS PENDING.CURRENT CANADIAN PA'%919:2;114,845,4.60,LS24,2,108,18G; 2,143,031;2,40,271;2,548.958:2,112.515:2,476,685:2,239,007:2,092,105:2,107,012,Defender Safety System',ScreenLok°,Vilragfas•and Hydrejei*are registered trademarks of Bradford Whiter,Corporation. 1101-8-1217 Residential Atmospheric Vent Gas Water Heater Atmospheric Vent Models Meet or exceed ASHRAE 90.1b(current standard)C.E.C,Listed NATURAL GAS AND LIQUID PROPANE GAS Recovery efficiency ranging up to 80 Nominal Recovery A B C D E F G H Approx„ Model Capacity DOE 90°F Rise' Floor Jacket Vent Floor Floor Floor Floor Depth 5llippin Number Rated First to Dia. Size to to to to W261fitg Storage Nat. LP Hour Uniform Nat. Nat. LP LP Flue T&PGas Water Top of U.S. Imp. Volume BTU/Hr. BTU/Hr. Rating Energy U,S. Imp. U.S. Imp. Conn. Conn. Conn. Conn. Healer Gal. Gal. (Gal.) j Input Input (Gal.) Factor GPH GPH GPH GPH in. in, in.. in. in. In. in. 4v, lbs, A(i13016N# 30 25 29 27,000 27,000 46 0.54 29 24 29 24 ''5915/}6 16 3X4 49'10/56310 1VA 571hs 56-5/s 191/z 109' RG230T6N1 30 25 29 32,000 31;000 60 060 34 28 .. 33 23 5915/,6 18 3X4 491/a/56-(s 1211/16 571/is ' 5611s 2111 116 _ _ _.__ _w RGi23tUr6N 30 25 29 30,000 32000 49 054 32 37 32 27 481/0 20 3X4 38sle 12111is 461/e 4511/1s L31/x 113 ...__ ....�.�.w...___..__..ww._...........� .., ...._ "".. .w____.. 57"/is 211/x.. 132 38 40 000 35 OOD 69 0.58_ 43 36 41 34 513! 22 3X4 41/q71 59/a 5 � h9 40 33 38 34 DOD 34 000 64 0 RG 4R Rf„14006 µ. • as 12 hr is 57�hs 8 Ji 231/2 134 I 3X4 511/2 160 ... ._..,.,.�....� ,,,..,�......... -37"",-3 ;...._. ...., ._..J...�.... ;i 1 ., . .... »�,.... H6;40S6N• 40 33 n„ 64 43 36 34 33 GO/rs 20 3X4 50 le/56 1 491hs 485/is 251k 139 • I _�..w 573la 5G°/r 23112 150 6N 50 42 47 .34.000 34,000 75 0 63 37 31 37 31 60 hs 20 3X4 46l56�a 122 /9s ........._.....,....._.... _ 5 ._............. ..... �..�.............�.. ..........�.. 7 .. mr� 1 1 Q RG25076Nµ 50�42ww 4»8»" 40 W 35,000 Bl 0.63 »M 43 36 41 34 60 1 s 22 3X4 91e1 1 s T7 063/0 251/x» 15»»»W» 1Rtt1�S6N• d0 42 47 50,000 48,000 75 0 63 54 45 52 45 60/s 22 4 49/s 157 12 he 49/s 48 hs 27!z 161 40k000 35 000 77 0 63 43 36 41 34 51 /s L4 0X4 4D m 12 he .� s 57!e 56 1z La l _..... _"" Nominal A B C 0 E F G H Approx. Model Capacity DOE OeC R se' Floor Jacket Venl Floor Floor Floor Floor Depth stoiplaAo9 Number Rated First to Dia, size to to to to Weight Storage Nal. LP Hour Unilarm Nat. LP Flue T&P Gas Water Top of Volume kW kW Rating Energy Liters/ Liters/ Conn. Conn. Conn. Conn. Heater Liters (Lifers) Input Input (titers) Factor Hour Hour mm. mm. mm. mm. mm. mm. mm, mm. kg. 06 76x102 1264/1432 322 . 1449 1432 495 49 RG230T6 r .. »»_ 91 227 0.66 129 125ww 1022 4�7 76x102 1267/1432 322 1449 1432 546 53 RG130'G8@w "14 �k. 110 79.... ..... .__..��w.._. ., .�_.._. ......�.......»_._». .. .._.._. 174 D 54 110 110 r N 114 _1 d 9 4" 186 D 54 121 121»» .. 1562 4 7 16x102. 13081 1024 322 1181 1160 597 51 r r8 76x102 982 322 RG140T6N• _» 151 144 10.0 99 . .._. ._. .........M. .._.2 ..._6 60 RG S6N 1i4 110 243 0,59 139 139 5 1000 1472 546 60 itG24DS6N• 151 _ .w 144 11 7 10 6 284 0 64 163 129 1532 008 76x102 1273/1438 322 1462 1441 597 G1 Rt?46TBN 151 144 117 ...w____._ _. _.� . _ .,,.. ... » 4 44 + 10 3 "i6-2-0.56 163 155 1914 559 76x102 1041/1200 322 1249 1224 648 63 au150T6N• 189 178 10.0 9.9 284 063 139 139 1532 508 76x102 1270/1452 322 1464 1441 097" BB RG250S6N»».µ 189 M_ w178 14.7 14.1 284 0.63 » 204 197 _ 1540 559 102 12671 1448 322 1464 1441 648 76 RG7psti6N• 162 178 11IT r» "mm10.3 292»»»»»»»»0 63 163 155 1316 610 76x102 1092 48 322 1254 1224 699 1Gµ._ RG250"66N 189 182 11/ 10.3 307 0.63 163 150 1532 059 76x102 1267114322 1470 1441 648 It Propane models feature a Titanium Stainless Steel propane burner.For Propane(LP)models change suffix"N"to"X". For 10 year models,change suffix from"6"to 10". Based on manufacturer's rated recovery efficiency. •Models feature optional top T&P location and must be specified when ordering. II Note:RG230S6N and RG250L6N do not have top T&P option. Uniform Energy Factor and First Hour Rating is based on the latest AHRI directory listings. General: Meets NAECA Requirements. Optional Top T&P Valve l gas water heaters are d at PSI est (068 kPa A9ud 130 Pfi1 watet Ong pressure Nfo 9 t(1 cir pressure T onrB" (20nrn)centers.AI r9&1 connections awe%"('1 3mn , � �� F � A All models design-certified by CSA Intemational(formerly AGA✓CGA),ANSI standard Z2 1.10.1 and peak performance H "G F rated. Dimensions and specifications subject to change D"'" without notice in accordance with our policy of " continuous product improvement C Suitable for Water(Potable)Heating and Space Heating. ) ww. w.. Toxic chemicals,such as those used for boiler treatment, -B--- - a shall NEVER be introduced into this system.This unit may ......_ NEVER be connected to any existing heating system or »...__ _ _..,_........................m.....w... ._k component(s)previously used with a non-potable water heating appliance. O ,FORD ITE' W A T E R H E A T E R S Ambler,PA For U.S.and Canada field service,contact your professional installer or local Bradford White sales representative, W A T E R H E A T E R S Built to be the BeStTM 02017,Bradford White Corporation.All rights reserved. wilill 1101-B-1217 Printed in U.S.A. BRADFORD MWITE° W A T E R H E A T E R S Residential Atmospheric Vent Gas Water Heater -' The Atmospheric Vent FVlR Defender Safety System"Models Feature. ..,' E Bradford White ICON System"*—Intelligent gas control with proven millivolt powered technology and built-in piezo igniter.A standard,off the shelf thermopile converts heat energy from the pilot flame into electrical energy to operate the gas valve and microprocessor.No need for external electricity. ' —Enhanced Performance—Proprietary algorithms provide enhanced First . r 'n 5 Hour Rating and tighter temperature differential. Ttlya Advanced Temperature Control System—Microprocessor constantly monitors and controls burner operation to maintain consistent and accurate water temperature levels. —Intelligent Diagnostics—An exclusive green LED light prompts the installer during start-up and provides ten different diagnostic codes to assist in troubleshooting. —Pilot On Indication—Flashing green LED provides positive indication that pilot is on. --Separate Immersed Thermowell--High-strength advanced polymer composite thermowell provides isolation between electric temperature sensor and surrounding water. No need to drain the tank when removing gas valve. ® Advanced ScreenLok°Technology Flame Arrestor Design—Flame arrestor is designed to prevent ignition of flammable vapor outside of the water heater. ® Resettable Thermal Switch—Proven and reliable bimetallic switch prevents burner and pilot operation in case of ongoing flammable vapors burning inside of the combustion chamber or restricted air flow. M Maintenance-Free—No regular cleaning of air inlet openings or flame arrestor is required under normal conditions. a Sight Window—Offers a view into the combustion chamber to observe the �' ;'.`i!: ► operation of the pilot and burner. t .:. E Factory-Installed Hydrojet'Total Performance System—Sediment reducing Q I ..:;'.:.`..,. device that also increases first hour rating of hot water while minimizing temperature build-up in tank. " . E Vitraglas"Lining—An exclusively engineered enamel formula that provides superior tank protection from the highly corrosive effects of hot water.This formula(VitraglasO)is fused to the steel surface by firing at a temperature of over 1600°F(871°C). `T`� M Insulation S p 1: ( +...,:..<��;�' System—Non-CFC foam covers the sides and to of the tank, �`• <:+rsv;=;;s•<.r^'""' reducing heat loss.This results in less energy consumption,improved efficiencies,and jacket rigidity. Photo is of is Pedestal Base. RG240T6N In Water Connections-34"(19mm)NPT factory installed true dielectric fittings. fe Factory-Installed Heat Traps. FEATURfNGr¢_ = w •� v m Protective Magnesium Anode Rod, - ® 3x4"Snap Lock"Draft Diverter—Allows either 3"(76mm)or 4" (102mm)vent " " connections with inputs of 40,000 BTU/Hr.or less.Over 40,000 BTU/Hr.has the I�! 1012-h, 4"(102mm)"Snap Lock"Draft Diverter. M T&P Relief Valve—Installed. L�* �W ■ Low Restrictive Brass Drain Valve—Durable tamper proof design. ® NOx Emissions—Less than 40 ng/J. 'May vary by region 6 or 10-Year Limited Tank Warranties/6 or 10-Year Limited Warranty on Component Parts. m For more information on warranty,please visit www.bradfordwhite.com For products Installed in USA,Canada,and Puerto Pico.Some states do not allow limitations on warranties.See complete copy of the warranty included with the heater. MANUFACTURED UNDER ONE OR MORE OF THE FOLLOWING U.S.PATENTS:5.682,666;7,634,976;5.660,105;5,954.492;6,056,542;6,935,280;5,372,185:5,485,879;5,574,822;7,971.560;7,992,526:6,684,821: 6,442,178;7,31,419;7,866,168;7,270,087;7,007,748;5,596,952;6,142,216;7,599,026;5,341,770;7,337,517;7,665,211;7,665,210;7,063.131 7.063,133;7.559,293:7,90D,589;5,943.984:8,082,888;5,988,117; 7,621,238;7.650,65%5,761,379;7,409,925;5277.171;8,146,772:7,458,341:2,262,174.OTHER U.S.AND FOREIGN PATENT APPLICATIONS PENDING.CURRENT CANADIAN PATENTS:2,314,845:2,504.824;2,108.186; 2,143,031;2,409,271;2.548,958;2,112.515;2,476.695;2239,007;2,092,105;2,107,012.Defender Safety System',ScreenLak•,Vitraglas•and Hydrojet"are registered trademarks of Bradford While Carporallon. 1101-8-1217 Residential Atmospheric Vent Gas Water Heater Atimosph- V t Models M §H _qrk, en eet or exceed A. RAE 90. E.C.Listed: NAWRAL'GAS AND LIQUID PR'D'PA'NE GAS R ecovery.6filcleiiii-ran Ing up to.801% Nominal Recovery A B C D E F G H Approx. Model Capacity DOE g9'F Rise* Floor Jacket Vent Floor Fluor Floor Floor Depth Shipping Number Rated First to Dia Size to to to to Weigh Storage Mal. LIP Hour Uniform Nat. Nat. LP LIP Flue T&P Gas Water Heater of Imp. U.S. Volume BTU/Hr. BTU/Hr. Ratin Energy U.S. Imp. U.S, Imp. Conn. Conn. Conn. Conn feater Gal. Gal. (Gal.) Input Input (Gala Factor GPH GPH GPH OPH in. in. in. in, in. in. in. in. lbs. RGTSOT6N*, 30 '25" 29 A27,000 27,000 ' 46 0.54 29- '24: 29.:.24:'. 5915/4 16 34 - 4931i/563 1211/4:671/ig 561A 191h- 109. RG23OT6N* 30 25 29 32.000 31,000 60 0.60 34 28 33 23 59 11he 18 3X4 497/e 1 563/o 1211/is 571ha 563A 21112 116 -27 20 .3X4-, :3851a:* 461h 451Ys 231h RG230S6N 30 25 29 30,000 32,000 -::.49-:.. 0.54" 32,'37 .32'. .491/4: lZ111ii 113 RG140T6N- 40 33 38 34,000 34,000 64 0.59 37 31 37 31 611h 18 3X4 51112160 1211ha 591/4 5711/11; 211/2 132 RG240T60�' 40 33 38 40,000 36,000' 75: 0.64% 43 W 34- 33- 60 11% 20- 3X4 50 Va f 5 6 51a '12111u: 579h,, 5631, 23th .1134 RG240S6N- 40 33 38 40,000 35,000 69 0.58 43 36 41 34 513/4 22 3X4 41/471/4 1211ha 4931ts 4811,s 251/2 139 31 AO� -50(56?li:;. 12P ' ,671/a� 5614:....23112. ,150 RGi5OT6N-:: 50. 42 47- 34,000 34,000 37 31. .37.--,1; Z,6. 203M­": /is G .42 48 40,000 35,000 81 O�B 4 3 41 34 6051is 22 3X4 491/s/57 1211/to 5711; 563b 25112 154 3:: 43, . 3X4 40W 1211/ii 49 31%' 4831(g 271h 170 !R 2501-6 48 RG25OS6N- 50 42 47 50,000 48,000 1 75 0.63 54 45 52 45 605A 22 4 497/a/57 56314 251/2 167 Nominal Recovery A B G D E F G H Approx. Model Capacity DOE 50'0 Rise. Floor Jacket V nt Floor Floor Floor floor Depth Shipping Number Rated First to Dia. Size ize to to to to Weight Storage Nat. LP Hour Uniform Nat. LP Flue T&P Gas Water Top of Volume kW kW Rating Energy Liters/ Liters/ Conn. Conn. Conn. Conn. Heater Liters (Liters) Input Input (Liters) Factor Hour Hour MM. mill. mm. Mon. mm. mm. mill. 1111111. kg. RG13OT6N* 114 110 - 7.9 7.9• :`_174" OZ4.: 110 110".% 1522.* 406;,16x102 1264,11432 322,* 1449 1432 .495 49 RG230T6N0 114 110 9.4 9.1 227 0.60 129 125 1522 457 76x102 1267/1432 322 1449 1432 546 53 RG23OS6N 114 110 8.8 9.4 186 0.54 121' 121 1251, 5081;.. 76xi02 - 982. 322 .1181 1160 597 51: RG140T6N- 151 144 10.0 9.9 243 0.59 139 139 1562 457 76x102 1308t1524 322 1505 1472 546 60 . '1532.. -508 76X102, '.1278/1438.: 322 .1462 1441 :597 *_61 11132401'15NO 151 144 11.7 10.6 284�.' 0.64:., 163 129" RG24OS6N- 151 144 11.7 10.3 262 0.58 163 155 1314 559 76x102 1041/1200 322 1249 1224 648 63 .RG150T6N�; 189 17B 9.9: 284- 0.63 -_139 139 .1532: ;,508- 76x102. 127011432 322 1464 1441 -597., 68. RG25OT6N- 189 182 11.7 10.3 307 0.63 163 155 1532 559 76x102' 126711448 322 1470 1441 1 648 77 RG250L6N 292- ­0 155, 1032' 182 178 11.7 10.3 63 163.. :13%':1'610: 76xI DZ 322 1254 1224 1 699 70- RG250S6N- 189 178 14.7 14.1 284 0.63 204 197 1540 1 559 102 126711448 322 1464 1441 1_648 76 Propane models feature a Titanium Stainless Steel propane burner,For Propane(LP)models change suffix"N"to'X'. For 10 year models,change suffix from"6"to 10". Based on manufacturer's rated recovery efficiency. •Models feature optional top T&P location and must be specified when ordering. Note:RG230S6N and RG250L6N do not have top T&P option. Uniform Energy Factor and First Hour Rating is based on the latest AHRI directory listings. General: Meets NAECA Requirements. Optional Top T&P Valve All gas water heaters are certified at 300 PSI test pressure (2068 kPa)and 150 PSI working pressure (1034 kPa).All water connections are%"NPT(19mm)on 8" (203mm)centers.Al gas connections are A`(I 3mm). A At models design-certified by CSA International(formerly G D ACWCGA),ANSI standard Z2 1.10.1 and peak performance H -0 S)0- F rated. Dimensions and specifications subject to change without notice in accordance with our policy of T continuous product improvement Suitable for Water(Potable)Heating and Space Heating. E Toxic chemicals,such as those used for boiler treatment, shall NEVER be Introduced into this system.This unit may NEVER be connected to any existing heating system or component(s)previously used with a non-potable water heating appliance. BRADFORD WHITE' W A T E R H E A T E R S Ambler,PA For U.S.and Canada field service,contact your professional installer or local Bradford White sales representative. BRADFORD WHIT` W A T E R H C A T E R 8 Built to be the BeStTM 02017,Bradford White Corporation.All rights reserved. 1101-B-1217 Printed in U.S.A. kA SERIES 1 Gas Fired , Chimney Vented , Cast Iron Water Boiler f j 84% AFUE ; U 38—280 MBH (8 sizes) Advanced controls, accessible l inside boiler jacket E — Integrated boiler control with diagnositcs FREE additional pump relay Integral LWCO option requires no piping! (IDL-1200) it Industry standard tapping locations allow easy, direct replacement for {, thousands of existing boiler ji installations American-made cast iron heat exchanger — Designed to promote turbulent water flow within the section for efficient heat transfer A solid, reliable, full-featured boiler at a value price! Lifetime limited warranty U,s, BO�IOr COI11pally Made in Lancaster, PA, USA X;&2:- Technical Information HE In[ertek Standard•Equipment Specifications *"Intelligent Hydronic Control;simple self-diagnostic DOE Net AHRI Approx. control system.with 3-digit readout for status settings . Heating . Rating; Shipping and errors Input Capacity Water. Vent Size Weight.- Pre-installed IDL-1200 integral LWCO with auto reset " Model (MBH) (MBH) (MBH) .AFUE% (inches) . (lbs.) (H-model suffixyf X-202 38 32 28 84.0 4 202 • Insulated steel iacket X-203 70 59 51 84.0 4 254 • Integrated'draft diverter,,damper and connector.included,' X-204 105 88 77 84.0 5 304 Heavy gauge 1"6,ase insulation` X-205 140 117 102 84.0 6 357 Step-opening redundant gas valve X-206 175 146 127 84.0 6 405 i Spark ignition with continuous retry X-207 210 176 153 84.0 7 462 user-fnentllywidng`'Wlth'120VJ-box' X-208 245 205 178 84.0 7 518 Circulator—choic"f Taco or Grundfos X-209 280 234 203 84.0 8 564 • Cast iron'section assembly ` Add suffix"N"for natural gas,or suffix"L"for LP gas models • Resettable blocked vent switch All models certified for use from sea level to 10,600 feet in elevation.Outputs are reduced by 4%per 1,000 feet above sea level for elevations above 2,000 ft. L- Cast'iron iler drain Valve All X-2 boilers are shipped with 30 psi relief valves,MAWP is 50 psi. supply`manifold with safety relief'valve tapping 1imqpsipn� &.Cnnn,qctionsi Width, Connections,(inches) . , .Water .Gas Relief Content ;Model (inches) Supply Return • Valve Valve. (gal.)_ X-202 14 1-1/4 1-1/4 1/2 3/4 1 NOTES: X-203 14 1-1/4 1-1/4 1/2 3/4 1 2 1.Minimal radial distance around vent pipe and breeching X-204 16 1-1/4 1 1-1/4 1/2 3/4 3 for single-wall metal pipe vent connector,otherwise follow X-205 19 1-1/4 1-1/4 1/2 3/4 4 vent connector manufacturer's recommended clearances. 2.Add height required to maintain 6"clearance from all X-206 22 1-1/4 1-1/4 1/2 3/4 5 breeching components. X-207 25 1-1/4 1-1/4 3/4 3/4 6 X-208 28 1-1/4 1-1/4 3/4 3/4 7 X-209 31 1-1/4 1-1/4 3/4 3/4 8 6"Min(see Note 1) 23"(see Note 2) 33-1/4" 40" 26-3/4" Return 0 0 6" Supply onaosioiiooumii 7ooY 27 63Electrical 24 0 18" Gas 40" 16" IIIIOIBIIIIIIIIII 0" 41 Floor Line Floor Line 0" 13" o 25" 4" W 1" 31" 35" Form No.USBL15092 10ms 3/20 www.usboiler.net 06oi-lerCompanv Printed in the U.S.A. ©2020 U.S.Boiler Company,Inc.-Lancaster,PA Phone:1-888-432-8887 �8'� Skepl�x��n Rd