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HomeMy WebLinkAboutM10-0241 Inspection Items for M10-0241 14:58 03/05/2015 Sec Item Id Description A r Re Items Action Inheritable - _. 200 MECH-Rou h Yes O 1 AP No 390 MECH-Final Yes R 1 AP No Total Rows:2 Page 1 NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES TOWNOF • Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970 - 479 -2139 f. 970.479.2452 inspections. 970.479.2149 MECHANICAL PERMIT Permit #: M10 -0241 ACOM Project #: PRJ10 -0710 Job Address: 1280 N FRONTAGE RD W VAIL Status ...: ISSUED Location • BUS BARN @ PW FACILITY Applied ..: 10/19/2010 Parcel No...: 210312105008 Issued . .: 10/22/2010 Expires . .: 04/20/2011 OWNER TIMBER RIDGE AFFORDABLE HOUS 10/19/2010 IN CARE OF NAME FINANCE DIRECTOR 75 S FRONTAGE RD W VAIL CO 81657 APPLICANT JOHNSON CONTROLS, INC 10/19/2010 Phone: 414 - 524 -7765 PO BOX 2012 M33 MILWAUKEE WI 53201 -2012 License: 417 -M . CONTRACTOR JOHNSON CONTROLS, INC 10/19/2010 Phone: 414 - 524 -7765 PO BOX 2012 M33 MILWAUKEE WI 53201 -2012 License: 417 -M Desciption: REPLACE EXISTING BOILER WITH NEW HIGH EFF. BOILER (LIKE FOR LIKE) IN SIZE. Valuation: $58,192.00 ...............*.,...... ........*........,. >...., *. ............,.....,........FEE SUM MARY********* *** ****** *******... **** *** *..........,.....«... ......... *..,...... *.......* ** Mechanical Permit Fee - - -> $1,180.00 Will Call > $4.00 Total Calculated Fees - - -> $2,442.84 Plan Check > $295.00 Use Tax Fee > $963.84 Additional Fees > ation > $2,442.84) Investigation $0.00 TOTAL PERMIT FEE - - -> $0.00 Total Calculated Fees - -> $2,442.84 Payments > $0.00 BALANCE DUE > $0.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPROVALS Item: 05100 BUILDING DEPARTMENT 10/20/2010 JRM Action: AP Item: 05600 FIRE DEPARTMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONDITION OF APPROVAL Cond: 12 (BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE. Cond: 42 (BLDG 2009) CARBON MONOXIDE DETECTORS REQUIRED TO BE INSTALLED PER 2009 IRC R315 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . *Ye le* . . . . . . . . . . . . . . . . . . . . . . . . . . DECLARATIONS I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the towns zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY -FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM 8:0( AM - 4 PM. �7 l✓ Signature of Owner or Contractor Date Print Name mech ca n ica l_pe rm it_041908 t t r { . } ; Y � ` i F v L a i } t t k t- r C SC te a. 41. :. ;F + -- , s �. t ' ' S t . :'.21:,,.:K.'-‘,.; :;; t{ 3 � '• a r ei -�-Vt g•? 'hr �.- i-ps u � S*' ': � � � �. _ - - 1 i ._ _ . v�t ��, ' / ' ; . .:� ' �.P @t1Q Gm m u nity � 5ve lop nent : , {, '�-5j�A v ti � i t '1j - , � ,, � ■ =�� ` � � ,.,_ ��� .7.5 South Frrontage� 4S M, f } 1•S 0-'.:. �} s{ ' r h ->* { - 37,.. F ,,,,, r i I , 3,f t. , .a . y#S i • , - . � s '. t �ail otor dot, }1 • : ii .. � k .2 '' > .''a r r r 4 k' -* 4, '� , * 0 t 1a...= �Yr' . -.'' F }6�1 j j ' 9 t � °Lt }� y �tf r • fa � a Y ' S .� '� i`t�"y � t ' = ' k r �i ,�r r ... 5 ,, ,, � mil j S Q 5 •I • t p t . ,i I K ti .!_. i t S,_' ,�'f a ,i!F'� "`•a rt'' At T1 YL/ i.s< 2' c + ' , t pct' ` it , § � yk t {.�t t 'X � 1. • �, _ � � � - i 6 l 4 xt'�` i +Z ip • hr�', q • r _ T t rs ; -wt "3 ti y {{ H', r: • IR,,,. .} • ir t •' • i , ,,-1, w,y+. V l• 5�:: > , i � a j � " y, De the.iit IRle ' , 1 t t 1 (t f f S't ' ' `I,4r `• ,fiad• +lr i {;� ' ;t r ;' ecy ` 1 J3 r t : it � _ay, - 141 .- i t to - .a . - ' 4 ` r r 1 :=` Vsi : i a raW A - '' l .t , ' l ` ` .. . ► j . -ti ,: ��:s�irt. r � s �. � .�.uA7.7.if MECHANICAL PERMIT Boiler / Furnace at Fireplace Applications MUST include, n Complete Mechanical Room Floor Plan with Dimensions u Boiler size & efficiency n Combustion Air Duct Size and Location u Equipment Cut Sheets for Fireplaces /Log Sets u Flue detail or Vent size, location & termination (Manufacturer's info showing make, model & approval listing) n Gas Piping layout including development length calculations Office Use: o I feat Loss Calculations Project #: _ 2 R. S 11 1) - 0 '1 ) C ______ Project Street Address: Building Permit #: —A) - - /a 0 7 I k ho +141 JAI Ue" Mechanical Permit #: MI t I 0 -- (7) •Q / (Number) (Street) (Suite #) Lot #: _ Block # Subdivision: Building /Complex Name: VA { tr 20,.s 3A. r2- t) - Define Scope and Location of Work: & p l,�c,e. '1[ iS Contractor Information: , I Company: -TO oo e.towtr2OIS n;(�� .L L7 1VEuJf 1.- 1=t loot /vt 1- l<-41 rti rr- Lr kk� t ;•,.) s r e-- Company Address: /0,2 S`i' (.v- C•eij+'e fvn,' 6, I' Q� (1.- - City: _X....it/lei State: 0_,O Zip: 1' '1 ��} � 7 (use additional sheet If necessary) Contact Name: /t t2.00_'.E vAieY } - I ' �.�.19 0 o Ck rs n .q Ci (4-5 ;�a Gas Piping Included f'f oo'C tit+ 7 Contact Phone: 20 3 - 9 0 ? • - .56 y 6. i o Gas Piping by Others E -Mail ( IA a. eve. _ D. 4 .) tZ t A Lte fe_ J`t .:.c. � � ° Wood to Gas Fireplace Conversion i ,.,_ _ _ . _ -..... .. . Town of Vail Contractor Registration No.: yl7 f Bolter Location: ..... _ _ . � � ; Interior (jS.) Exterior ( ) Other ( ) X ( ���e '''f 1 Number of Existing Fireplaces: Contractor Signature (required) -..- -- ...,-:._t.,:--......,........i Gas Appliances fr Gas Logs it.) Wood /Pellet N4- Property Information N umber of Proposed Fireplaces: - Parcel #: 7 )‘_1 0 1 - 0 6c J - 000 -03 laces: (For parcel #, contact Eagle County Assessors Office at 970- 328 -8640 or ? Gas Appliances Gas Logs _____ Wood /Pellet visit www.eaglecounty.us/patie) . —.-- _- ,._.,._ „__ . - -_.: >..- --- ..__ - - -._. Typo of Building: Tenant Name: r)(d,) 0C: l/ ' L (Commercial Properties) Single- Family ( ) Duplex ( ) Multi - Family ( ) Commercial Qt) Owner Name: 7 it) OF t//-t t L_- Restaurant ( ) Other ( ) Date Received: O (� v Complete Valuation for Mechanical Permit: (including fireplaces) Mechanic& $: 5 S j t 9 2 -. °�A, OCT 18 2010 . _L TOWN OF VAIL C:\cdev\ forms \permlts\building\mcchani cal jrermit_010110 1 1 a c ® ,- E S @ q a co E j : . m / o . ¥4,q.7 a y � �:,� ��, . a.� a�����. =. � � . . . ► C•1 q 4 ƒ % / | ] \ 1 y _ • k§ ® ::., n t /■ PKC100 0 | n \ e -$ \ 3 - k \ w / \ \ i .... 3 ) % / 3 _ a) \ v # q } a) - \ Jo2 _ o � § � § 0 W < 2 c § \ (---- ER :14 ) -0 § if _ \ ƒ f \ \ } 7 \ \ \ .. .y � a � m ...t . . . . f m ' : w 1 w' nr 2 5+ fr"'a,;r .itiei... .-..v.ii. ...:.::_:i4.aii —ia 01?-- - *ft -:: .'-'"fsz ...:�,gt j... i�:s's 1 . e 0 { C 5 D) CA _ af: p cn ai a • n CD rt x cn 3 1 ` co . H ti 1, i a k 3 f Ir l 6 00 �� r O 7 at f K: ■ X r a D ft 3i L ' y 'I :.,.. q F 1k4: f., :!:..":'.-71 M = 4f-P .,?�``l 7. ∎A gtAVR e F. 0 1,050,000, 900,000 & 750,000 BTUH _ _ .., . - -- .'...`'.,.'.::- ';'!--.": • ,,,--..-:,-,,,••:: : , ,, ___ 4 „ ., - ,z „.. K _ _ _ i • ', - -' tO i:- , 3 tea. ! . G`hsF .r�D > .f:, j » " � _ �k . - Iluutlrt t.„.. � t l t t '.. v ... _ _ ... t ‘ - ,-„,0,„, _,_ m , ... _. .. � , ..,... , . ± T 4 t o MaXin5um t xt z i, Fk tii- i ; A:i7 -.a, , , 1 lo ts (J ii 1 " 5 T 1 pp t ; A.IF r Ultra-High Efficiency Our unique aluminum alloy has superior castability fir more intricate, performance enhancing shapes and features. Water-side flow paths arc engineered ro create the highest velocity at points of highest ternperature.'fhe configuration is both counter -flow and cross -Flow, further enhancing heat transfer efficiency. AZACI -1 utilizes pin -type castings to ensure high heat transfer efficiency across the entire modulating range. MACH® 1050.900 -750 H- ..•r..,....... ...., .c..,..r:,:: ,, ^v;:eoo: r434s xlr,,,,,, ,su- :...... :...a .....+ >:ws 120 MT MCI %Mt (UMW. .M.CnOV 604 4OY 501.40.44 0044.1204 70201:11 100 P*E59U • ^ 704RRAMUPE Pi 4) 411 M 2' $ uu l i 0i A \xr1w5• 444145 OURC7 C .no- H _l ss sn t ��, 1111 a• AA 2' P:PE 15 LA. \x7102:• iii , l n— 5 �1 I f' lb 444 I i 3/4• C,0440EA14R -- DUN I ^ - - 2a' —^-^1 42 5n' I amt.tr.fAY ntttOE iocuu.n4 114V# 111 ■50 1AV51•140 2131134.3 lE .11 .�./. i ' - ° 450 - 300 r 170 Wtt r12t.41. ror 604 E0. w171.;L 05 4 4004 5 04 2' ■9E 70 604 wile 7114 +► k1 G4i10C\ - CAS rail 14 it401415-44 ..:11 Pan 2' hf[ II pi, . 451/1y' \{71WC• \41(• MEI Nur viva IIV I 1 3 7 AGfi �' 1 1111 s e •' v vu1E 3/4 . 44 s a• 012.41 24• 31' 213/4 441.041104 4 1111I43 1454 • 1441ER n:E7 /WELLY C5.5•C41G1$ 440110E Y4WM1OC CUED nun MODEL INPU[ 131U /HR OUTPUT 13 U /HI1 BOILER HP VENT DIAMETER OPEET/1TING WIGHT C2000 .,: . a• c.. bs 01500 --4, , 7 :. - . • • e 1 y8G$ Ifsa ,,,, C1050 1,050,000 987,000 8" 750 Ibs C900 ' •86,98' :46;089 MIN :: bs C750 �DO;OO4 630185 C450 . 4 ii, ::: C300 888;: :: • :, ::: 878483- Easy to operate 3 3` 7 r xi,� -- -= -- :- - -z' is - - S ' e ' -. ' :- _ , c2 y 'Aar , .� s ` ..ice _ 3t p Ay a 3 � 3 .' �Y [ r' c_ y a t _ q ' i? f - �- irk f'^w __ 4 - f.:` - - r ,r�'V'tb 4 '. ; . . it r t` "-:'' r • - 1 =, --- - - . .- ' ' ,' -- i ' - ---- - --_ .!-- ' '''-_..q, ,..,- ‘ -.- •,---. -'. i d t -- u� Fi ,' a� c1 x V� tom: J f x. ., 1 : y ., �r1,, F ^' -c 11 .. r t "xis � ve sr t ` _ H• - r ti= 'F • s33"�0.4. i �- , i ; ?`� ''� M � £ } b4 `r l �' } ' ice `� _ J 'r k : x'-5]^1 id • N.:.- k "''�s ..F ,fit C ,� r,�>i - � -s r .� (( ��r.� �� ` r F .- f ', .�4 -.e re,- .� ! r ] � �• 3 s f. . t', r .,1 `, L 1+.� + sr' ma .^. f'gr - `t ` p r x s: x - r ` x t o _ . ?. „...; d,,,,K-r,-;-.7....9:.1.,-,' ' _ Y ..Jlf f i'... - - F S r ,.g�' - �} �1, -5 - ' .. ' '" _ � . Y .. � , � _ _ f t. Yr gTi � -S vY 3 Designed to be black -box simple, operating settings are adjusted using a digital touchpad interface. On -board functions include outdoor reset of water temperature and domestic hot water priority control. MACH connects easily to building automation systems. With its light weight and small footprint, MACH is perfect for replaccmc.nt and retrofit projects. All MACH boilers fit through standard doorways. The largest units, our C -2000 and C -1500 models, even come with wheels to simplify move -in. The requirements for today's boilers may be challenging, but why can't high performance be easy and uncomplicated? 7 i r x 7 _ -ter+ F . r tea.• { - {.? j J 1 ¢5 g 1 r'r Y.f.0 y- xi FF)) k Z / -`` w � ,.x,'.+.t S spy; _ 5, r � , -, d .•... . s ,` t ' s ay f 7.i _/,..,,:,_,,,,,,(,.:. c;': 'i +7 ,.. R 1 ,. - V ` - 1 f,,C r•' rtXL b P } Even easier to install d + e yj• d!, v y Capabilities and Features $ . f �` gi s 1 '` e. t' TTT I.lt \ • ! �"' Y • An all purpose boiler, suitable for condensing and non- condensing service 5, r , y','' st • Whisper quiet ... less than 60 dbA even at high fire ° >'= �"�'` " '; S ' • CSA certified at 92% to 96% efficiency , a • ± u lf • Actual net thermal efficiencies to 99%+ - 'x • ASME CSD -1 is standard equipment • Complies with GE -GAP (formerly IRI) ' z ' ` � • t'i • Certified low NOx performance (pre- certified to SCAQMD 1146.2) : > ' _ ' f r • PK "5 -10 -5" Extended Warranty g ';'' �` } fi4 f s7 A , Y — •+ ,,• r j1 e • Unique aluminum alloy effortlessly sheds corrosive condensate rr _ ;f .' v.„ • No low limit for return water temperature .r: . • .• • Low water -side pressure drop r • May be used in zero -flow applications when system is properly configured • May be used with variable-flow circulator when system is properly configured • Full modulation burner with 5:1 turndown • Variable speed combustion air blower • Extremely low electrical consumption ' • Automatically compensates for changes in air temperature and pressure '° ,, c'o �. • Requires lower altitude de -rate than conventional boilers l " �''' • Certified at 3.5 "wc minimum ressure - _ r E • Small diameter positive pressure venting x ' • , - 4 , • Combined vent and air supply duct pressure drop up to 0.44 "wc , Z " � h • All common venting arrangements including sealed combustion „_ r ¢` • Optional outdoor & rooftop models s r . . f ? l • Microprocessor -based combination PID temperature control and flame management ` wf k . f : • On -board digital touch -pad user interface z f I • Total information access via laptop computer 4 '. ` w 4- *4 ` -i • Multiple user access levels with password protection ` ` '4: t1 ; • On -board outdoor temperature reset with total adjustability ,• ,x / k, r 4 , ,Atii1= r • On -board outdoor temperature lockout and restart . s v i ,,, • Accepts 0 -10 vdc remote setpoint signal ., � ` � . ¢ • Accepts 0 -10 vdc remote modulating signal ; ' y 3 . �t • On -board variable speed pump controller ,' ,. sF • Ott -board DI-1W priority control O t 2.1 • Automatic freeze protection J ° ,t r ei • Automatically monitors and protects against excessive AT and temperature .. , ,�, rate of change caused by unplanned loss of flow to prevent short cycling 1 > 3, 1 1::) Patterson - Kelley Harsco s a PO Box 458 • FAS( Stroudsburg PA 18301 • Phone: 877.728.5351 • Fir: 570.476.7247 • www.patkelco.com MACH SERIES -12107 5. • • A CCPRO CERTIFICATE OF LIABILITY INSURANCE D /1 5 / 2 01 0Y1� SURANCE 10/15/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh USA Inc., Attn: CPU, Fax (414) 290 - 4953 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 411 East Wisconsin Avenue CPUMilwaukee@marsh.com HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SuVte 1000 — ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Milwaukee, WI 53202 — 4419 'SEE REVERSE FOR AM BEST RATING NAIC # INSURERS AFFORDING COVERAGE (HE RfyeB5 INSURED - — Johnson Controls, Inc. Atln: Corp Risk Mgmt. X -92 INSURER A: SEE REVERSE SIDE FOR INFORMATION Johnson Controls Battery Group, Inc. -- rY p P.O. cox 591 Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201 INSURER B: SEE REVERSE WC FOR INFORMATION JCIM US (IC Cal - Air, Inc. INSURER C: SEE REVERSE SIDE FOR INFORMATION GESAmerica, L.L.C. Metro Mechanical Inc. INSURER 0: SEE REVERSE SIDE FOR INFORMATION Optima Batteries, Inc. USI Real Estate Brokerago Services Inc. INSURER E: York International CorporaUon COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMEN r, 1 ERIA.OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WI I H RE.SPF.CT 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 0E-SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY POLICY NSR ADIYL EFFECTIVE EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS (MMIDD/YY) (MIAIDDIYY) GENERAL LIABILITY (1) (3) (4) EACH OCCURENCE $ 5,000,000 A H D0G25521390 10/1/2010 10/1/2011 ® CO.tMERICAL. GENERAL LIA0ILI1Y DAMAGE TO RENTED $ 5,000,000 PREMISES (Ea occurrence) CLAIMS MADE OCCUR MED EXP (My one person) $ 50,000 ® Contractual X,C,U PERSONAL & ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 5,000,000 GEN L AGGREGATE. LIMITAPPLIES PER - PRODUCTS - COMP /OP AGG $ 5,000,000 ▪ POLICY ❑ PROJECT ❑ LOC - B AUTOMOBILE LIABILITY (2) (3) (4) 90-04606-01 10/1/2010 10/1/2011 COMBINED SINGLE LIMI $ 5,000,000 ANY AUTO (EnAaiden0 ❑ ALL OWNED AUTOS BODILY INJURY (Per person) SCHEDULED AUTOS _...... -.._ _. ® HIRED AUTOS BODILY INJURY $ (Per oxidant) ® NON -OWNED AUTOS PROPERTY DAMAGE $ (Per acck'entl GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ 0 ANY AUTO O1HERTHAN FA ACC $ ❑ AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 D XOO G25827855 10/1/2010 10/1/2011 ® OCCUR ❑ CLAIMS MADE AGGREGATE $ 5,000,000 ❑ DEDUCTIBLE $ S ❑ RETENTION $ C EMPLOYERS' LIAB (4) AND WLRC46140120 — —CAS 10/1 /2010 10/1/2011 I►� TORY LIM TS ❑ ER WLRC45140126 CA MIY PAOPRIETORPPARTREREXECUTM: SCFC46140151 —WI E.L. EACH ACCIDENT $ 1,000,000 OFF ICERVEMSFRFXCLUDCD? ] Y!N WCUC46140175 — EX WC F..L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) WCUC46140163 — EX WC FL --- - --- - - - - -- Ifyes,doscribeundor E -L. DISEASE - POLtCYLIMIT $ 1,000,000 SPFCIAI PROVJSIOy,S OTHER (1) ADDITIONAL INSURED: If required by contract, Includes covorago for Additional Insureds per attached endorsement. (2) ADDITIONAL INSURED: if required by contract, Inctudos coverage for Additional Insureds and Loss Payees as required by contract (3) PRIMARY COVERAGE: Where required by lease or contract, Ells coverage Is primary and not oxcess of or contributing with other Insurance or self-insurance (4) WAIVER OF SUBROGATION: Insured waives subrogation to the extent required by contract. DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS JCI Contract No.: 1- 1864905900 JCI Protect Name: Bailor Replacement - Vail Bus Barn Customer PO Number: CERTIFICATE HOLDER CANCELLATION Town of VaEI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 75 South Frontage Road EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL SNDGAVAR -TO Veil, CO 81657 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAIWRG iA-0 O SO• SHALLIMP66E-NA6BUIGMION -OR- LIAGILIW42FANYKIND-Ur9N iH6I N511/46R7-146-AGENTS.6R- REPFIESE 45A74VEg. AUTHORIZED REPRESENTATIVE Of MARSH USA INC. 2.: -.19 ACORD 25 (2009/01) © ACORD CORPORATION 1988 • IMPORTANT If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 26 (2009/01) AM Best Rating COMPANIES AFFORDING COVERAGE (as of 9!1110) NAIC # `SEE BELOW INSURER A: ACE AMERICAN INSURANCE COMPANY A+ XV 22667 PO Box 41484, PMadelphia, PA 19101 INSURER B: SENTRY INSURANCE A MUTUAL CO. A+ XV 24988 1800 North Point Dr., Stevens Point, WI 64481 INSURER C: ACE AMERICAN INSURANCE COMPANY FOR A+ XV 43575 CA, FL, WI AND EX WC; INDEMNITY INS. CO OF NORTH AMERICA FOR ALL OTHERS PO Box 41484, Philadelphia, PA 19101 INSURER 0: ACE PROPERTY & CASUALTY INSURANCE A+ XV 20699 COMPANY 436 Walnut Street, phlladoiphla, PA 1910e *A.M. Best ratings of insurers are provided for information purposes only and are based upon information with respect to such ratings available to Marsh USA Inc. on the date set forth herein with respect to such ratings. Marsh USA Inc. will have no responsibility or obligation to, inform the certificate holder or any person relying upon this certificate of any changes in such A.M. Best ratings occurring after such date. Marsh USA Inc. will have no liability with respect to the solvency or future ability to pay claims of any of the insurance companies which have issued the insurance policies referenced herein. **The Auto Liability placement was made by Risk Management Resources, Inc., 121 W. Wacker Dr., Suite 2325, Chicago, IL. Marsh USA Inc. acts in the role of consultant to the Insured with respect to this placement, which is indicated for your convenience. POLICY NUMBER: HDOG25521390 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organization(s): - -- If required by contract, Location(s) Of Covered Operations As required by contract, Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Endorsement #A2 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - NAMED INSURED'S ACTS OR OMISSIONS ONLY • A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these additional include as an additional insured the person(s) or insureds, the following additional exclusions apply: organization(s) shown in the Schedule, but only with respect to liability for 'bodily injury°, 'property damage' or This insurance does not apply to 'bodily Injury' or 'personal and advertising injury" caused solely by 'property damage' occurring after: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment 2. The acts or omissions of those acting on your behalf; furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional in the performance of your ongoing operations for the insured(s) at the location of the covered operations additional insured(s) at the location(s) designated above. has been completed; or 2. That portion of 'your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Endorsement #A2A ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS - NAMED INSURED'S ACTS OR OMISSIONS ONLY Section 11 —Who Is An insured is amended to Include as an additional insured the person(s) or organlzation(s) shown in the Schedule, but only with respect to liability for 'bodily injury' or °property damage' caused solely by 'your work' at the location designated and described in the schedule of this endorsement performed for that additional Insured and included in the °products - completod operations hazard.' MACH® Model C -1050 ENVI' Control 9 3/4' [222mm] 42 5/8' [imam] O ( e e 7 3/4" (196mm) 10 3/4" [273mmJ — 4 1/8' [106mm] 28 1/8' [713mm] - -+ t20 Volt p j tow Voltage Power 7 o a Control , 1 P I — `1 I o i C5 9 -- © . 1171.• _ 4 5 5/5' [144mm] M • E 1 o E A (11 I E c to � � imil:=_—= E Tl A 17 N r. is I 113 a 1111 N " " IV 11 • E • m m 9 3/8' (240mm) oi n 6 1 /8" [155mm) 5 1/8' (132mm] 6 3 /8" [163mm) +3 4 o 14 1/16" (356mm] 9 5/8" (245mm) w.—.... •----- - - - -40 b /8" (1033.mm] - -.--� - — .2" [5omm) 4.4 Service Claoranccs: 24" [610mm] Above The MACH' Boiler requires category II venting (condensing - negative pressure) 36" [914mm] Front or category IV venting (condensing- positive pressure) as defined in ANSI 2223.1 /NFPA 54 /CSA -8.149 Latest Edition. Harsco Industrial, Patterson- Kelley C.S.A. CERTIFIED RATINGS AND CAPACITIES reserves the right to moke chonges of any time without notificotion. — - Fuel ❑_No os NG ❑ tural_G Profane LP BOILER CONNECTIONS: Input, BTU / /hr 1,050,000 B Combustion Air Inlet 6" dio stub Out.ut, BTU hr 98!,000 © Condensate Drain 314" Boiler HP: 29,5 © Exhaust Vent 200mm ID (8 "nom ID) Maximum Inlet Gas Pressure:,,. _ . __14 "w_c,. © Main Gos Connection 1" NPT - F Minimum Inlet Gos Pressure: 3.5 "w.c. © Wring Junction Boxes os marked Electrical Requirements 120v, tph, 60hz • Pressure Relief Valve a see list for selection Totol Operating Amps less thon 5 omps for -..l. U Boiler Woter Return, Vrctoulic 2` pipe ,grooved Operating Weight 780 lbs. Q Boiler Water Supply, Victoulic clamp 2" pipe, grooved Woter Content 7,:5 gallons Vclwx is o registered trademark of Vieto"4e company, t:eflon. PA, USA BOILER CONTROLS: ASME CSD -1 is standard. A,S.M.E. Section IV Design Doto Complies with GE GAP (IRO) guidelines GAP.4.1.0 and GAP.4.1.3. Maximum Pressure 80 psg Complies with FM Global 6- 4/12 -69 Section 1.0 Maximum Allowable Temperature 210'F Main Gos Train: see as train submittol .... 9 _Maxximum Op Operating Temperature 194"F Integrated Boiler Control, MI* Series "Heated Wet Surface Area: 25.69 sq.ft. Operating Thermostot, 70' -195'F (21' -91'C) Flow rote O 20'F AT 100 GPM 9 ( ) Flow rate ® 40'F AT 50 GPM High limit Thermostat, Manual Reset, 100 - 200'F 38' - 93'C High Exhaust Pressure Switch, Monuol Reset LWCO, Probe Type, Monuol Reset Pressure Relief Valve Press /Temp Gouge - Mr Switch, Differential Pressure Type H 80 PSIG 3/4' x 1" ( standard) 0- 240psi/30- -240'F Combustion Blower, Variable Speed, 300 wott (0.4 hp) ❑ 30 PSIG 1" 0- 100psi /30 -240'F D 50 PSIG 3/4" x 1" 0- 100psi/30 -240T f 60 PSIG 3/4" 0- 100psi/30- -240'F ❑ 75 PSIG 3/4" x 1" 0- 24Opsi /30 -240'F HARSCO • INDUSTRIAL Patterson - Kelley 02010, Harsco Industrial, Pallerson•Kolloy C1050 DM 10.08.10 OHIMN[Y 6Y.TCMO ..:.,:: _ \\,.., .,?,..„.,.,,,,, : w _ • SCIETeT P J y1- _ r t om," : �'x' w x Chi mney System ' f or ° 7 , 1 High Efficiency Appliances — �' 5 ,: 1 j loa - 1 II I li lip'„_ � ,.... f �s FPS. I \\ f y • (fie k it i, , ";: - P ie$+ - � 'T%'+""i i``'�'C, v: G* �Fk"'2� 'se�� �Y' k ''s.... � ._ �e'# -�' G� ,vg+ � , R 3 •��L r - „�.a� .ey.r. � sx,..Sx.�S =i"S ''� wa?'� z :'�`` � �' _u .� `:1 t ,��""� ;f�,�..�.r`.^"h�.'.✓ :.a �. .....� : �.�u.�.3.::..��`���'r'= LISTINGS TESTS PritroflMI I) The Scfiebier eVent and eVentPLUS system are tested and listed by eVent and eVentPLUS have endured rigorous tests by Underwriters Underwriters Laboratories Inc. (UL) under file number MH10056 for 1aboratotes. Just a few of the tests performed are: UL 1738 and ULC 5636 -95 vent. • Structural Tests The support plates and wail supports have been physically tested to carry a load 4 times that allowed by our listing. SYSTEM CONCEPT i • Wind Load Tests Loads equivalent to 1 10 mph wind have been eVent and eVentPLUS are modular double wall prefabricated vent and applied to the vent with acceptable results. exhaust systems used in venting high efficiency appliances that require • Pressure Tests UL tested to 40' w.c. positive pressure. a positive, neutral or negative draft exhaust. Sections are provided in • Leak Tests Joints have been UL tested for non - leakage. lightweight, easy -to- handle lengths. Connections are sealed with pressure tight drawbands and high temperature sealant. Straight •Rain Tests The rain caps have been tested to ensure that an sections, variable length joints, tees, elbows and support devices are unsatisfactory amount of v;ater does not enter the rain cap. offered, allowing a complete exhaust system to be assembled from standard components. The eVent arid eVentPLUS have a 1' air gap UNIQUE TEATIMES between the Inner and outer shell. eVentPLUS2 model Is available as well which has a 2' gap between liners filled with ceramic insulation. Tl +e eVent series offers some unique features that no other vent See eVentPLUS2 brochure for more information. manufacturer can provide. • Union node with the fastest lead times in the industnj. VENTING ING APPLICATIONS • The eVent series uses fast, easy and proven Inner band joint eVent and eVentPLUS are double wall special stainless steel venting connections in lieu of a gasketed Hole /female end connections. system for gas fired appliances listed as Category II, Ili, & IV with a • Special fittings are available which are an asset In tight installation maximum flue as temperature of 550' F, and 40' w.c. positive environments. Other manufacturers only offer catalog ports. pressure. Gas vent - BH, Class I /Class II - 245° C . event is also • All of our liners and shells ore continuously seam welded. We do not suitable for other applications that call for an AL 20 -4C vent. use spot wields on any of ow scams. This assures a leak proof Joint and nrakirnum strength. This also minimizes corrosion, adding COMPLETE L.IiJU OF FITTINGS AIM longevity to the stack. SIZES AVAILABLE • We do not use captive nuts and bolts. if you have ever installed a The eVent series is available in even and odd diameters ranging from 5' system that uses these types of bolts you know how difficult it can to 48'. A complete line of Straight Sections, Variable Lengths, Tee's, be to align and get a nut started on a bolt. Also you do not scrap a Elbows, Ram Caps, Roof Penetration components and support band If o nut gets stripped or damaged. All hardware can be easily members are offered. in addition to the standard components virtually located of your local hardware store In case of emergency. any conceivable fitting is available as a special order Item. • Our boiler adapters include a seal ring to cover the gap between the liner and shell. @Mill FfIIAI.,S AVAILABLE • 15O 9001 :2000 Registered eVent Is available in a variety of materials alloying the proper material • Largest diameters in the industnj. selection for your specific application. The standard product features an AL 29-4C stainless steel liner and an aluminized steel outer shell. • Best support Limits In the Industry. For exterior installations which are not easily accessible for periodic • Highest pressure rating of 40' w.c, paining, you should consider a 304, 430 or 316 Stainless Steel outer shell which will requite r :o maintenance. SUPPfif1T LIMITS h1A "l'CttlAl. 'ft IIGttNt ; ; Support plates and Wall supports are utilized to support the weight of the vent. In horizontal runs, supports should be placed adjacent to The standard material thickness for eVent liners is 26 ga. (.0241; for fittings that are not otherwise supported. See the individual part shells it is 22 ga. (.030'). eVentPLUS material thickness Is 20 ga. description for allowable support charts. (.035') for liners and 22 ga. (.030 ") for shells. I f C)ULI WEBSITF. IOU OUEt O T LIE ttfMf�f:V MOI)I!_S wow.selt ?hlemliituils U.caun 2 • Y .° •� � g` �' a �' �.� �� � -- € r �i ��t° ,er y `t � �.. � � � s e *;y ° .F.a. iI s a•: ;,ate ss�� ' � S a�,�.c�:34 -.u- - OPEFIATiNn TF'.rr9E)r:f :AS•(IElc'i ANN JOINT ASSF.MBI.V CLEAT ANCE,ri CHANT eVent and eVentPLUS have been tested and listed for a maximum flue 1. Apply a continuous K'' bead of the proper sealant to one of the flanges being Joined. gas temperature of 550'E and ULC- 5636 -95 for gas vent -BH, Class 1/ Class II - 245 "C. The clearances shown are from the shell to 2. Fill the "V" in the inner band with the proper sealant. combustibles 3. Join the two flanged ends of the sections. -- �� ° 4. Install the inner band around the flanges and tighten the screws. Section Inside Diameter 550'F (288 °C) 5. Place the outer band over the space beh:een the shells of the adjo'nng 6' I" (25mm) sections and tighten the serer . NOTE: for outdoor Installations, 8' I" (25mm) apply a bead of S600 sealant In the groove at the upper end of the 10' 1' (25min) outer band, 14' 1" (25wr.m) 16' 1.5' (38mm) SEALANT 18' 1,5" (38mm) Scheh!er 5600 is used for the entire eVent series, 20' 1.5' (38mm) 22' 2" (51mm) 24' 2" (51 mm) 26' 3" (76 :nm) is ^.tNSrr. 28' 3" (76mm) 30' 3' (76mm) VAC( it GIP 32' 3" (7Gmni) 34' 4' (102mm) 36' 4' (102mm) 1. GV 38' 4' (102mm) 40' 4' (102mm) 42' 4' (102mm) 44' 5' (127mm) PM BAND 46' 5' (127nttn) 48' 5' (127min) OU![R eA1•) Clearance to non - combustible materials for all diameters and applications is 0' (Omm). OUTER SHrUL PANT 111.1MIll tI All standard parts manufactured by Schebler are identified by a part number which describes their make up and function. The part numbers are made up as follows: 1. The first series is the model designation EV ( eVent) and EVE (eVentPLUS). 2. This is followed by the part name. For example 47S, 90T, and CC. 3. Next is the part's internal diameter in Inches, such as 06, 12, 24. eta" 4. Last is the liner /shell material designation. CODE LINER /SHELL MATERIAL f Galvanized SIEP1 SIEP2 SIEP3 G Aluminized Et Painted Carbon Steel K AL29 /Aluminized L AL291304 M Al291316 1 r rr . R AL29/430 For example, the fart Number for an 8' iD, eVent, 47' long straight section with an AL 79.4C stainless steel liner and aluminized steel shell STEP4 SltP5 STEP is: EV47S08K. 3