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BP20-013
OTHER APPROVALS PERIM #NLz SECTION TYPE OF WORK JOB LOCATION OWNER �C CONTRACTOR' EST. COST Vuu # TCO # DATE: 1b9q1eQQ EXP: I % BLOCK ne EYI fw le F12M / v w ewe f rr��. / /J _-ream vaA, - ()/.7 FEE U DATE FEE _ DATE INSP O RECORD n� D rrE�/ FOOTING - FOUNDATION FRAMING RGH FRAMING INSlJLATION PLUMBING ^1 RGH PLUMBtNU-ot� GAS (w/ SPRINKLER ELECTRIC & LOW -VOLT AI.ARM AS BUILT FINAL r-ago �!94.1500(0 BOT PB ZBA OTHER o-oio�Neibr�k7 Fire _ cc.e , lacol. _��/�+C,�Pr1Sf �ie�fr� c 1 z — �cc, Le#' �1� _ mpao_ 'l5e000 A-O�q E✓�P��selQcical -al 7 AS-BUIRED PRIOR TO �INAL SURVEY R jNAL INSPECTION FIN{SIiED BASEMENT NOT APPROVED FOR USE AS A SEPA DW ApARTMENT OR LLIING NIT THIS BUILOiiJG b'tUST BE POSTED WffN A PERMANEPiT CONSTRUCtiON TYPE t0EgTiFICAn0N SIGN; PRIOR TO THE ISSUANCE Or A C(0, AS kEQUIRED BY NY STATE LVO VILLAGE OF RYE BROOK WrsTcxr87 CoU f x, Nrw YOF2K NO: 22-013 (Certificate of (Occupo.ucp This is to certify that }, �� 1 T /� ��'`� L L(f of, I"'t t ��Q/C / J' �, having duly filed an application on — _Z Il lirw-u m. 20 _requesting a Certificate of Occupancy for the premises known as, ��/� �Q`j ' L L/�7 , Rye Brook,NY, located in a Zoning District and shown on the most current Tax Map as Section: .p- Block: __L Lot: U , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. Q _0/3, issued / 20 6;26, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the New York State Use Classification of: K `� D t� T�'C/�'1/ , for the following purposes: /V fir'/ / / f I-,tl ct2 Subject to all the privileges, requirements, limitations and conditions prescribed by law, and subject also to the following: SHED BASEMENT NOT i APPROVED FOR USE AS A PARATE APARTMENT OR DWELLING UNIT This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in height sh 11 be made,nor shall the building be moved from one location to another until a permit to accomplish such change has be aped from t e ilding Inspector. Building Inspector,Village of Rye Brook: Date: J AN 2 6 2022 Qy DR W V 19 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S.Rosenberg (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING & FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE January 26, 2022 SC Rye Brook Partners LLC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains, New York 10604 Re: 1 Primrose Lane, Rye Brook,New York 10573 Parcel IO#: 129.25-1-1.80 This document certifies that the work done under Mechanical Permit #20-127 issued on 9/9/2020 for the installation of a new gas furnace,a new condenser and related ductwork has been satisfactorily completed. Sincerely, ,Michael J. Izzo Building& Fire Inspector /tg 9 VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www.ryebrook.or TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M.Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE January 26, 2022 SC Rye Brook Partners LLC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains, New York 10604 Re: 1 Primrose Lane, Rye Brook, New York 10573 Parcel ID#: 129.25-1-1.80 Mechanical Permit#20-017 issued on 1/24/2020 for Fire Sprinkler System This certifies that the fire sprinkler system,installed under the above captioned permit, has been satisfactorily completed. Sincerely, Michael J. Izzo Building& Fire Inspector Ag i For office its nlv: BUILDINCJit,' RTMENT JAN 19 2022 PERMIT# Jt�j3 VILLAGE OF RYE B}ZOOK ISSUED: VILLAGE OF RYE BROOK 938 KING STREET,`RYE BROOK,N»W YORK 10573 DATE: —�9�—aQl- BUILDING�DEPARTMEiVT (914)93 �\ 9 A)'939-5801 FEE:Alo/O— PAIDj rodk.or APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION 1psgssspsiasaaaf aasaastagatlsapsas ai/pisgrh•r!►r1Mp•sa1N•altr•gasp#trM•gtsgrN#tsrrpr##aiaarr►arara Wgaass Address: I -Pei m i? S L A N lr— 12 W/L Ui?DDIL_ N I D5 3 — I T l/ Occupancy/Use: a u-s Parcel LD#: 1 Z 6 - 2-5 1 t . 60 Zone: it-1) /C Ivry TA AM Owner: SC �Y� BeDb� �1�2 i �eS� U.L Address:it I ST 00>6L Lr i 325Wl4t�k.'l�r �lS r N'l C/ w?e7,(%rt1 AePt- P P.E./R.A.or Contractor:_Surf 'D4tVk LDPrAA(&S Adcress:t It/; L' A—,�_1,h1 ,S�k 3z5 Wufik PL1tf 6 W Z t�¢�r� Person in responsible charge: W l i-LitkM Ad ress: JA - e*b DALIJ:t� t ZS ljJl4 t'j—d- aArA:1 ( N 4 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YOM COUNTY OF WESTCHESTER as: Ll3 f 1:L I A M IZ I-t N L being duly sworn,deposes and says that he/she resides at -341 WkD 4 rvlk 2k 1s4A0 (Print Name of Applicant) (No.and Street) in 5—h M re ee a in the County of >GA(ef)tU_p in the State of C'l ,that (,Cityfrown/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements,labor, materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S 81 31 8.i 0, 0 for the construction or alteration of- i o—A Lk MIL4 'DW4ru_11-�h W1 I7!tJ A Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,whollyor partly, in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per §250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this p� day of aLC , 20 day of ` , 20� U SignatureofPrope er Signature of Applicant W� t_in I AM m�' u I►.��-1�55 �u l��_�v► �r'�i i1 Print Name of Property Owner Name of Applicant otary Public ry Public TRISH MARTINEZ TRISHA MARTINS NOTARY PUBLI -STATE OF NEW YORK NOTARY PUBLIC-STATE OF NEW YORK ),I No.01 MA6331843 Qualified in Dutchess County No.01 MA6331843 Qualified in Dutchess County My Commission Expires 10-19-2023 My Commission Expires 10-19-2023 a��c Bpo BUILDING DEPARTMENT [(]BUILDING INSPECTOR �r ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 4 �5��- - DATE: Z PERMIT# Ezio - C9 ISSUED: -2y Z�' SECT: { Zff ,Z.!,L- BLOCK: C LOT: IS 0 LOCATION:+ r��i'p* 't 1 �,/�'���� �i ►'-� C �✓�'V�-� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ ^CROSS CONNECTION [ FINAL '/❑ OTHER Q E BRCV�, 0 Z� w 1. 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 'PlkSSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 �e www ry brook.or C\Ntko, - - - - -- - - - - - -- - - - - - - - INSPECTION REPORT - - - - - - - - - - -- - - - - - -- - ADDRESS:_ �j�1 x _ '•, DATE: PERMIT# Y-lf_�1 t.' I� ISSUED: 2 U I�t SECT: ���.�-� BLOCK: LOT: \ t, LOCATION: I ? V���� OCCUPANCY: 2- I VIOLATION NOTED THE WORK IS... © ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION f REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER Q�re,BR(��• O� ym cu � • �9a2 BUILDING DEPARTMENT [ BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.org - -- - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - -- - - --- ADDRESS:- :2�I ti DATE: h PERMIT# l-Z- ISSUED: SECT: BLOCK: LOT: LOCATION: A a `'� J pJ OCCUPANCY: t= f ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ROUGH FRAMING INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING CROSS CONNECTION ❑ FINAL ❑ OTHER BRC�k. 0 ym w � BUILDING DEPARTMENT BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5501 www rygbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS • t a�cl- L't-" DATE: � LT �2-, PERMIT#-�-7 nl —'D l� ISSUED: 7L SECT: IZ i 7� BLOCK: LOT: `rc� LOCATION: U u-� h N � - OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ROUGH PLUMBING ROUGH FRAMING INSULATION NATURAL GAS L.P. GAS ❑ FUEL TANK FIRE SPRINKLER � FINAL PLUMBING ❑ CROSS CONNECTION [� ❑ FINAL ❑ OTHER n x0 n , u d N �� �. v 04 C� Lr en rl * .w y y el Z sd E ' Q Q G r, O * C13 v �, Cd per, y, c * cd F a (� A � w U0. * w ter' 0-4 � G7 p AG oa cn � � ff v r u NO ++ a 4 ' Q a f1r a r � E DR(Zj�. Off' ti� w � • '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR j'XSSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.Uebrook.org --- - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - --- - - - - - ADDRESS: i �S iT �1�i l�U DATE: PERMIT# 2C)-(3 ISSUED: f - `rJZ SECT: 1 � -Z�BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER E BR BUILDING DEPARTMENT ❑BUILDING INSPECTOR J3"ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET• RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.ore - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - -- - - -- - - - - - - - �5 � - I Z ( ZUZC, ADDRESS: � v `� ��`d� � � DATE' �( 1 PERMIT# Z U WZ ISSUED• { /0('SECT: � - BLOCK: � LOT: v4 LOCATION: � 7 C~ 1� �D "s` ` 1 t�l�y�, OCCUPANCY: ",u ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE C FOUNDATION UNDERGROUND PLUMBING W NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS �'u16 ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BR�i�. 4� ��O•c 1982• BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK '❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - -- -- - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - ADDRESS: `} i ` { 'a �C�1� DATE: { PERMIT# � k , ISSUED: - SECT: l BLOCH: LOT: " LOCATION: = �� t 1 �� OCCUPANCY: y ❑ VIOLATION NOTED THE WORK IS... ACCEPTED 0 REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED FOOTING ' ' I ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION 0 FINAL ❑ OTHER 04 y� • 'QbV BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - -- - �-- t17 - ADDRESS: DATE: PERMIT#� ISSUED: SECT: BLOCK: LOT: LOCATION: L > OCCUPANCY: /�� ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION ` REQUIRED ❑ .FOOTING D FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS - ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER E QRc� • �9a2 BUILDING DEPARTMENT Q BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.or - - - - -- - - - - --- -- - - - - - INSPECTION REPORT - - - - - - - - - - - - - _ - ----- ADDRESS. A ` Q DATE: t✓ PERMIT# Z - ISSUED: SECT: BLOCK: LOT: LOCATION: (c _ [T(r< < OCCUPANCY: 'z f n_ ❑ VIOLATION NOTED THE WORK IS... E ACCEPTED ❑ RE]ECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑Z OTHER BRC�� BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - --- -- - --- ADDRESS : �� G�J �� DATE: ` for PERMIT# I7� n ��J ISSUED: SECT: BLOCK: LOT: LOCATION: 12Lc- OCCUPANCY: t VIOLATION NOTED THE WORK IS... Q ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ OINAL ❑ BOTHER Qy�BR(�'Y. W � '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR PlASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK �J LODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 Www ryebrook.org - - - - - - - - -- - - --- - - - - - INSPECTION REPORT - - - - - - - - - -- ------ - - - ADDRESS:- � � � DATE, PERMIT# L ISSUED. SECT. BLOCK: LOT. LOCATION' OCCUPANCY: Zl ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER E BRQj�. O� Zm w � ? BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - -- - - - ADDRESS: \ � �J�Q- DATE; PERMIT# Ipy� �J V` ISSUED: � T: I � BLOCK: LOT: I LOCATION: , OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... td ACCEPT H ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION / REQUIRED r❑ FOOTINGr- ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER E i3R(gb Off' 2� cu � • 1962 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET . RYE BROOM,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - -- - - - - - - - - - ADDRESS:— '�� DATE: � BLOCK:e ` LOT: LOCATION: It OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ RE)ECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.E GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL _ ❑ OTHER �yE 5RC�i,�. Q4 �m t7 r;,,/�• 19F32•��O BUILDING DEPARTMENT BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www n ebrook.org - - - - - - - - - - - - - -- - - - - - INSPECTION REPORT - - - - - - - - -- --- - - - - - - - ADDRESS: DATE: PERMIT# � -,`::>I ISSUED: SECT: BLOCK: LOT: LOCATION: �^ �. I 1 t< � j OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑. FOOTING d FOOTING DRAINAGE '/_1I FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS �--- ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �MeA O�` tim 0I • 1982 BUILDING DEPARTMENT ❑BUiLDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: �C t s \� DATE: PERMITS ISSUED: M 1 Z ` SECT: C'] ? BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑% FOUNDATION cJ'f Al k G� , UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION FINAL ❑ OTHER O4 Z� BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - -- - INSPECTION REPORT - - - - - - - - - - - ADDRESS:_ DATE: 2 U C PERMIT# ` j ` 1 ' ISSUED: `� � SECT: IZrI -2.� BLOCK: LOT: LOCATION: �' £- OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ElACCEPTED ElREJECTED/REINSPECTION ❑ SITE INSPECTION l_.+J� `' y REQUIRED [3,,-'FOOTING FOOTING DRAINAGE FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER = fa E co N ' E O N N N N W v w e 2 S x z -� oc Irl ce �Q �2 r Q coo 6 � .,� O �- A �. z z z w u � c A � o w .. z04 00 a ~ � 8 4 a W C:e _ 96 W z f Q 3 ^ a, o C Eon, , a � � Z 11, � Q E a, rr �iii m ,r i BUILDING DEPARTMENT � � � � iJ V VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 105 FEB — 7 2020 (914)939-0668 FAx(914)939-5801 www.ryebrook.or� VILLAGE OF RYE BROOK ELECTRICAL PERMIT APPLICA BUILDING DEPARTMENT Westchester County Master Electricians License Required /� FOR OFFICE USE ONLY I3P#: 20-013 Ell#: �u,008 Approval Date: iEsApplication Fee: S Approval Signature: Permit Fee: S Disapproved: Other: (fees are non-refundable) Application dated, 2-5-20 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment, wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal,State,County and Local Codes. I.Address: 1 Primrose Lane SBL: 129.25 1 1.80 Zone: T �� 2.Property Owner: SC Rye Brook Partners, LLC Address: 5 International Drive Suite 114 Rye Brook, NY 10573 Phone#: 914-481-1531 Cell#: email: 3.Master Electrician: Denis M. Fortino Address:254 Sylvan Lake Road Hopewell Junction, NY 12533 Lic.#: E-51 Phone#: 914-760-5226 Cell#: 914-760-5226 email: dfortino@enterpriseelec.com Company Name: Enterprise Electrical Consulting Address: 254 Sylvan Lake Road Hopewell Junction, NY 12533 4.Proposed Electrical Work/Fixture Count: Wring for new house 100 points Wring for line voltage smoke and carbon detectors STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Denis M. Fortino ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Electrical Contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney.etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn tp before this day of 20 day o , Signature of Property Owner SiAVure of pelican Denis M. Fortino Print Name of Property Owner Print Name of Applicant Notary Public N 9*blkF3Dyd Notary Public,Stale of 14@W yak No.OI W6166M Aft 21, aoz3 115116 Westchester Rockland Electrical Inspection Services, Inc i4- hone: 914-347-3595'Pti' DO NOT WRITE HERE—FOR OFFICE USE ONLY �{3 North Lawn Avenue Fax: 914-347-3596 Elmsford, NY 10523 BUU ING P RMIT ra TEMP 11 D f'11� o9D--b ��r 613 CITY OR G ZIP DE TOWNSHIP COU STREET AND 1110.OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION r` ,, OCK OCCUPANT'S NAME BUILDING OCCUPANCY CCSSlJ�� OWNER'S E AND AD Q� ..rr / HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR `!—OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H,P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT 1"FL. 2" FL. 3—FL YE BROOK t REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR OWCES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW I] ADDITIONAL CJ EXPOSED❑ CONCEALED 0 MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD[] UNDERGROUND AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLICATION SdGNATURE O APP ICSTREET ADDIBESS M"HOJ*E NO. xIP/aAM-? LICENSE NO.WHEN APPLICABLE _ J/ F Aft WESTCHESTER ROCKLANO ELECTRICAL INSPECTION SERVICES.INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Enterprise Electric Inc SC Rye Brook Partners LLC. 254 Sylvan Lake Road NY, Hopewell Junction 12533 Located at: 1 Primrose Lane Rye Brook, NY 10573 Certificate Number: 1032658 Section: 129.25 Block:1 Lot: 1.80 BDC: Permit Number:EP:20-028-BP:20-013 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located infon the premises at: 1 Primrose Lane Rye Brook,NY 10573 Basement list Floor 2nd Floor Ard Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 01118/22 Name Type Quantity Receptacle Convenience ------- 75 Switch Single Pole ------- 51 Fixture-Luminaire Incandescent ------- 13 Fixture-Luminaire Undercabinet ------- 5 Fixture-Luminaire Recessed ------- 58 Cook Top ------- 1 Dishwasher ------- 1 Exhaust Fan ------- 5 Furnace Gas or Oil ------- 2 Electric Room Heaters ------- 1 Bell Transformer ------- 1 Dimmers Led --- 23 Service Disconnect ------- 1 Continued on next page... This Certificate has been approved by Westchester Rockland Electrical Inspection Services. ILThis certificate may not be altered in any way. ` /G This certificate is valid for work performed before date of inspection only. 1 WESTCHESTER ROCKLAND ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Enterprise Electric Inc SC Rye Brook Partners LLC. 254 Sylvan Lake Road NY, Hopewell Junction 12533 Located at:1 Primrose Lane Rye Brook, NY 10573 Certificate Number: 1032658 Section: 129.25 Block: 1 Lot: 1.80 BDC: Permit Number:EP:20-028-BP:20-013 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located inion the premises at: 1 Primrose Lane Rye Brook,NY 10573 Basement 1 st Floor 2nd Floor 3rd Floor Garage 0 Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 01118/22 Name Type Quantity Water Heater ------- 1 Cable Homeruns ------- 4 Phone Lines ------- 3 A/C Unit 3 Ton 1 Sump Pump ------ 1 Panel - - i Receptacle GFCI ----- 17 Smoke Detector -- 4 Carbon Monoxide Detector --- 5 Microwave ------- 1 Refrigerator ------- 1 Disposal ------ 1 Track Lighting Per Foot ------- 1 Continued on next page... This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. ���` IL-This certificate is valid for work performed before date of inspection only. YYYY o► � N O N 1 ... c►t V i 0 0 �' N a W W o, urn w M 96 91. i mob U N V-4 u O96 J to omo Q U j coAx w w V1 Q z E- w I F O tn zON a O 0-0 IX 4� 16 irk z �c a U w 4a*. wi c� 16 E.. w 2 G7 A 1^I w U Z Q p G .. W 0. W DV` � V BUILDING DEPARTMENT VILLLAGE OF RYE BROOK APR 15 2021 938 Kwda ,TREET RYE BROOK,NY 10573 (914)939-0668 FAx(914)939-5801 VILLAGE � RYE BROOK D BUILDING www.r�rook org DEPARTMENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY Bp#; i3P-20-013 EP#: Approval Date: APR 1 C Permit Fee: $1� Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 04-14-21 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or remove electrical equipment,wiring, fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. The applicant & property owner, by signing this document agree that all electrical work performed will be in conformance with all applicable Federal, State,County and Local Codes. )[-Address: W 1 Primrose Lane SBL: 129.25-1-1.80 zone: PUC) 2.Property Owner: 4,),:f Address: Same Phone#: Cell#: email: 3.Master Electrician: Denis M. Fortino Ades: PO Box 713 Rye, NY 10580 Lic.#: E-51 Phone#:914-760-5226 Cell#: 914-760-1046 email: dfortino@enterpriseelec.com Company Name: Enterprise Electrical Consulting Address: PO Box 713 Rye, NY 10580 4.Proposed Electrical Work/Fixture Count: Wiring for Irrigation Meter Pedestal STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Denis M. Fortino ,being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) Contractor state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architert,contractor,agent,attorney,etc.) The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Swmole; isday of 20da 9T` Signature of Property Owner Signature of Applicant Denis M. Fortino Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 3a1/19 Wegtchister Rockland Electrical Inspection Services, IncA"' /— hone: 914-347-35�5 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# DATE �b o13 CITY OR VILL4G _ ZIP CODS_ TOWNSHIP COUNTY / AC / STREET AND NO-OR ROAD POLE NUMBER 1 � �4 � - BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANTS NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRE f _ HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR 7 /I'�{-'`''/'L.��f• OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EOUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES A MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLWRE O. H.P.EACH NO. WATTS EACH INSPECTION i OUTSIDE BASEMENT it FL. 2-FL- 3'�FL. VI LAGS 1, ------ REMARKS:LIST OTHER ELECTRICAL ELECTRICAL DEVICES NOT SET FORTH ABOVE:: THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED-IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPUCATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT USTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW U ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND❑ -Li -1 1 1 1 AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY DATE OF APPLI SIGNATURE OF APPLICANT CA i . 76X TELEPHONE NO.45 a 71 3 / �a A e7 LICENSE NO.WHEN APPLICABLE li WESTCHESTER ROCKLAND IRE I ELECTRICAL INSPECTIRN SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Enterprise Electric Inc SC Rye Brook Partners LLC. 254 Sylvan Lake Road NY, Hopewell Junction 12533 Located at: 1 Primrose Lane Rye Brook, NY 10573 Certificate Number: 1028072 Section:129.25 Block: 1 Lot: 1.80 BDC: Permit Number: EP:21-089-BP:20-013 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located inlon the premises at: 1 Primrose Lane Rye Brook,NY 10573 Basement 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 04/21/21 Name Type Quantity Service up to 200 Amps Irrigation System 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in anyway. Ir-,/�GThis certificate is valid for work performed before date of inspection only. &&poi.t99tt fat tttttCttt;Ct; tt.419';t'164;��n�rl�il�` pp�ii ������ f i' tl t � is7 N e4 Q i, W N N 46 Yt a C v w F■ cr z '~ w•. Lia co6TW, Q x Q 00 z IA z w Y' Z N i *14 Li.i F U gL pq r/1 x U a a F• wri 96 s 0 (� "a C6 U to ta44444444444UtoPAi tots 44646444 tot 410f BUILD. MENT VILTsr .pXE, OK JAIV 2 2020 938 KIN $ ,NY 10573 VILLAGE F E B {914)9�9' ��"g 939-5801 ROOK V .�O DEPARTMENT M � ��. PLUMBING PERNIIT APPLICATION FOR OFFICE USE ONLY BP .20 0/3 _.v._ _- _ PP#: Approval Date: 9 Z Permit Fee: Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes.j 1.Address: '",-6—a . 4 A9 t'GC�6aC.r�°� un-11 G�C4 SBL: �- ��-� Zone: 1� r 2.Proposed Work: /urn�j'nI fttledlIlrag / rn /. 1�.� 3.Property Owner: ld C Address: Phone#: Cell#: bS7 email: d I Lex Y ✓ 4.Master Plumber: 11151 Address: I)lq /yonrry 7 fail Lic.#; /L) Phone#: S {3' C/ell#: c�6Z email: Company Name: /2P�<e ,(j,-k irrd Ziti�Address: J.4131,0 INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 31d Floor v� :F Floor 56 Floor Exterior 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) 3/21119 F NEW YORK,COUNTY OF WESTCBESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named, (print nam,of.. of in�g. and forth states that(s)he is the Iegal owner of the property to which this application pertains,or that(s)he is the L=fn for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Swom to before me this day of 20 day of .8'nubn 20 � V Si operty Owner Signature of Applicant Print Name of Property Owner Print Name of Appficant 4'AAr -, ab&�, otaryublic TRISHA MARTINEZ No oATO NO R PUBLIC-STATE OF NEW YORK NOTARY PUBLIC-STATE OF NEW YORK No. OIMA6331843 No.01AB6378708 Qualified In Dutchess County Qualified In Orange County My Commission Expires October 19, 2019 My Commission Expires 07-30-2022 This application must be properly completed hi its entirety and must include the notarized signature(s) of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- rcri i BuiLDO*__D F �TME1vT 'AIL, :E OF .. X-l' OO1C .. J A N 2 9 2020 938 KING . ] T RYR_Bx. --- NY 10573 (914)9 �` 6 ;�9� ;439-5801 VILLAGE OF RYE BROOK Le o�'dr' B011- ING DEPARTc,!f T AFFIDAVIT OF COMPLIANCE VILLAGE CODE§216 - STORM SEWERS AND SANITARY SEWERS `PHIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETMXTED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 31, J 9 rr- 71, ?;y c S , residing at, _-� t n r;kL'."t i 10 r j A c. DK2 5 i 11 tf 12`!4" k?[aG9-- iPrint nam�j � A_l;arc;, •�1�_�e •rni li�ri � being duly sworn, deposes and states that (s)he is the applicant above named,and farther states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; Rye Brook,NY. Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (PrintNc1nc ()`AnLA'); Sworn to before me this t � day of . ,i _� , 20 _ TRiS9iM iriARTIPJEZ �,• NOTARY PUBLIC-STAVE OF NEW YORK ,ILIe.�" 1140. 01MA6331843 i'11hli,l Qualified It; Dutchess County MY Commission Expires October 19, 2019 -3- 3/21/19 o _ pp A t ,\� y 0. � caIL :d 0. ^ Gz7 OC > ' ° `' A Ckn CLEI 41P 44 CZ op �tZ � � o M L IL '00 w H ' w 3 Z C d• U v� 4 :� f M. �' oa • p C>4 co 00 f' con x 06 ! CT LLl Or OG xC z 3 s m F loot e � aLJ,V- = 9 4 Io � � O •� n.o.'yo . a z �., C p m o U f V �• 00 V N H bNA E E a w W z $ � = r^ Z �T . - BUILWS .W�0-kR MENT DECIEME VIL1_ ' E OF Rv OK 938 KINGkk� OCT `Z 2��9 'ET RvE BR ,NY 10573 -5801 VILLAGE OF RYE BROOK W". o BUILDING DEPARTMENT APPLICATION TO INSTALL FIRE SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY-: /'�� QQ /�J Apprural Datc:JAf' 2 3 -V1✓MPN: / / Application Fee:$ � Approval Signature: --- Permit fees:$19 Disapproved: - - — ether: -- - Application dated: is hereby made to the Building Inspector of'the V illage of Rye Brook NY for the issuanceofa Pennit to install a Fire Suppression System as per detailed statement described below. I. Jots Address:_I ti,1,Jy_ Parcel I.D.: - leme: POD 2. Proposed System(Describe system in detail including;suppression agent): 13® 'l•ix„=�1er Q, F_.c�rj AA-Nmt eu+- ht mx&Ell - - 3. Number&Types of Dire Sprinkler 1 leads: 4. N.Y State Construction Classification: _5b N.Y.State Use Classification: 5. Cost of Installation:$ 13)5 a0 (Cost shall include all labor.materials,lixed equipment.professional lees,and materials and labor which mar he donated gratis.) 6. Properly Owner: S C__ 'RIC roo 1L pur-t�Ze�,1_ Address:8[} t Phone# La-5foaf� Cell#-- - - ---email: Applicant: Address:e vlull w.1 F6A-l!�L Fioee M'ae1Y tee ,TAT. Phone# (BGC C BQS3 Cell#f6d ✓ -' 1 email: r 1�r m.,�lex_ 7 mQ.,LV_h r c cam Architect/I;ngineer: Address- 519 Main,�Frcc_t- gjuj Icf aCa T-aotygn A oal aa-ups Phone# (I'll7_5az- Baa_� Cell# email:j r c._,j 0-orn General Contractor: ddress:arncmnr-,(j1AiVG`,uG. Dan_:AiI ta►x Phone# - tf 00 Cell# l email: -I- 12.tk.1 h This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATt?OF NF W1 rYORK.COI INTY OF W[�.STClil:STF,R ) as: �,.�s� sX,r,� 1,� ,being duly sworn,deposes and states that he/she is the applicant above named, (print flame of individual signing as(he applicant) and liirther states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the -M-4-V- qrc _PA A-tor%-_ for the legal owner and is duly authorized to make and file this application. (Indicate archaect.Contractor-agent,attorney,etc.) That all statements contained herein are true to the hest of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention & Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to belitre me this Sworn to belbre the this day of , 20 day oi' l , 20� Signature of Property Owner Signature ol'Applicant - - Print Name of Properly Owner Print Name ol'Apphca t Notary Public Notary MICHAEL SILVA NOTARY PUBLIC W MMIMSSION EXPIRES OCT 31,2022 -2- 12.9 ib a s N � N Q,all °` � W i••i _ Lt. cc J � F �. tiz 144 /� � L P .SIJ O ^ W d u G p ._ • 6A s O - C v' 4 , a w}CIO ZZ w • rA F Ji r 06 it cry F � � 1� �1 W �y Li !"• Ql Q Vl 41 � } x V W N06 a e < Y a cc q4° as IC, W J W2 fry; VtoC. =CC C;4 t�4'•4744; to47.t9Ce42-.94U 4419a6a44aaaa4a BUILD: 1rRTMENT D VIL„L' E C RY OK 938 KING Ste, < ET RYE BR06k,NY 10573 SEP - 9 2020 (914)93�= +6�_ (9I1���39-5801 Nwr r i or VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENTT FOR OFFICE USE ONLY: PERMIT r: A4C (?o' Id� SEP - 9 2020 Approval Date: Permit Fee:$ Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: l. Properly completed&Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form (Form#C 105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=S100.00/unit•COMMERCIAL s$350.00/unit. 5. Inspection by the Building Department for removal and/or installation.(48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit& Plumbing Inspection. Application dated, Wq .Q_w2Qs hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws,codes,rules and regulations. I. Address: I ?l'i 1Y� C -a� SBL: J dt�f— l-f=4 c O Zone: P U O 2. Property Owner: S( £ rrt Address: Phone#: do Cell#: email: 3. Contractor: 1t (6*r !/,,4 Address: Phone#: — 7 - f p a Cell#: email: 4. Applicant: Ju_f 4A( I i t Address: Phone#: a5, o7a 1 C 7 Ir U Cell#: email: 5. Scope of Work:New Installation(<�-•Replacement(�•Re oval( )•Other( }: 6. List Equipment: ` ' 976 D n _ 1 r .J 7. Location of Equipment: r �_ 8. Method of Ins Ilatio emoval(list all equipment needed to perform job): L j r t t 3/21/19 STATE OF NEW XOM COUNTY OF WESTCHESTER ) as: b c J o r't.✓ a ,being duly sworn,deposes and states that he/she is the applicant above named,. (print name of individual signing as the applicant) and furthers es that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate ar tect, actor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention& Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. LU Sworn to before me this ( T� Sworn to before me this Ar day of ,20 act day of r �,20 )b Signature of Property Owner Signa of scant VC /V Print Name of Property Owner Print ame of Applicant TRISHA MARTINEZ Notary Publicr F/ Notary Public NOTARY PUBLIC-STATE OF NEW YORK No.01 MA6331843 Qualified in Dutchess County My Commission Expires 10-19-2023 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 3/21/19 N9MSE �. WOW mil Product Specifications HEATING& COOLING PRODUCTS Up to 96% AFUE, Single Stage, PSC Gas Furnace EA Up TO SELL • Up to 96%AFUE in upflow and horizontal positions, Up to 95%AFUE in downflow positions • Cabinet air leakage less than 2.0%at 1.0 in.W.0 and cabinet air leakage less than 1.4%at 0.5 in.W.C. when tested in accordance with ASHRAE standard 193 • Approved for Twinning applications(0601410 through 1202420) with accessory(order separately) • Approved for Manufactured Housing(Mobile Home applications (0401410 through 1202420)with accessory (order separately) • Low NOx units are designed for California installations and meet 40 ng/J NOx emissions. Can be installed in air quality management districts with a 40 ng/J NOx emissions requirement. TOUGHER • Flame roll-out sensors standard • Adjustable heating blower OFF delay • Factory set blower ON delay • RPJ' primary heat exchanger Stainless steel secondary heat exchanger Illustrations and photographs are only represenlahve. High temperature limit control prevents overheating Some product models may vary. • Direct ignition with Silicon Nitride ignitor • High quality,corrosion-resistant,prepainted steel cabinet WARNING EASIER TO INSTALL AND SERVICE • Direct vent(2-pipe),single-pipe venting or ventilated combustion Failure to follow this warning could result in personal injury, air death,and/or property damage. • 24 VAC humidifier terminal&electronic air cleaner terminal This furnace is not designed for use in recreation vehicles or • 35"(889mm) high,for ease of installation outdoors. This furnace is designed for use in manufactured • Simplified,factory installed internal condensate drain system (Mobile)homes when an optional Mobile Home accessory kit is • Innovative knobs for eas door removal and secure installed. attachment y Failure to follow this warning could result In personal injury, death,and/or property damage. • Factory shipped for natural gas, with propane gas conversion kits available • Four position- upflow/downfiow/horizontal (left/right)installation R oEsio� • At least twelve different venting configurations • Through the casing flue pipe for counterflaw or horizontal applications with accessory(order separately) tarur' • Concentric vent available THL • Self diagnostics with super bright LED 193 • Slide out heat exchanger and blower assembly ® E___ � LIMITED WARRANTY• rra azl� W% 97% * 20 heat exchanger limited warranty • 5 year parts limited warranty - With timely registration,an additional 5 year parts limited0%9saaa , CE RTIFtED warranty is * For residential applications only..See warranty certificate for complete details and restrictions, including warranty coverage for u••of WA AMR c ras•o TM Mw*nAealea a manuNcturar•P.Wwat—n the pogrom Fa other applications. rardrpbon a ararcalaw ftw indrvrdua!poducte ao to w ar.we•ctory a9 Efficiency AFUE Cooling Capacity Input CFM range Dimensions H x W x D Shipping Wt. Model Number (MBTUH) Upflow/Hz Downflow ®.5 In.w.c.(125 Ps) Inches(Millimeters) Lbs(Kg) 9 0261408 40.000 96.0 95.0 400-7 5 36 x 14-3/1 x 29-1/2(889 x 361 x 7 ) t __9MSE0401410A 40,000 96.0 95.0 625-905 33 x 1 16 x 29.112(689 x 361 x 7 1 9 040171 40.000 96.0% 95.0 650-1050 35 x 1 - x 29-1/2(889 x 20 x 750) 134(61 NgMEE0601410A 60,000 95.5 9 .0 675-1130 36 x 1 -3116 x 29-112(889 x 361 x 750) 127(57 INISIMSE0601711W 60,000 96. -1 x 1 x -1/ x 445 x 0) 144 65 N9MSE0801716 80.0 00 96.0 9 810-16 0 35 x 1 -1/2 x 2 -1/2(689 x 445 x 750) 154(69) NgMSE0802120A 80,000 96.0 9 .D 1335-1970 35 x 21 x -1/2(889 x 533 x 750) 162(7 ) 9 1 02114 1 ,000 9 1 -1 W 35 x 21 x -1 2(889 x 533 x 750) --7UTnT— N9MSElG02120A 100,000 96.0% 96.0% 1345-2065 35 x 21 x 29-1/2(a89 x 533 x 750) 169(76) N9MSE I 202420A 120.0o0 96.0 13 10 x 1 x 1/ x 62 x 0 186 4 9 140 4 0 i4 1 -20W 3 x 24-1 x -1 889 x 622 x 750) 190 86) S peuhcatwns are su filed to change wrthour notice. 440 11 4403 05 12/3/18 NXAb' Performance Series-. HEATING& COOLING PRODUCTS Product Specifications HIGH EFFICIENCY 16 SEER AIR CONDITIONER ENVIRONMENTALLY BALANCED R-410A REFRIGERANT 11/2 THRU 5 TONS SPLIT SYSTEM 208 1230 Volt, 1-phase, 60 Hz ��n REFRIGERATION CIRCUIT _ • Scroll compressors on select models -� • Filter-Drier supplied with every unit for field installation • Copper tube/aluminum fin coil 1 EASY TO INSTALL AND SERVICE • Easy Access service valves on all models • External high and low refrigerant service ports • Only two screws to access control panel • Factory charged with R-410A refrigerant BUILT TO LAST • Baked-on powder coat finish over galvanized steel • Post-painted (black) coil fins • Coated, weather-resistant cabinet screws • Coated inlet grille with 3l8" (10mm) spacing for extra protection LIMITED WARRANTY* n•• PIDdIi° has been daigrWd s,c m %ftMrae to rre•t ENERGY STAR a•eria for enwW aftanafr whm • S year compressor limited warren i MoRtod w h fir`xwo off gpf1p0"'°, Hoveve. y P warranty r adum Warr c aandid��narq Inawat of • 5 year parts limited warranty (including compressor and ft pronrd r,at u° aiow the marvj,m,e-s riAWaa C011) pdOwp�pBrMrG exJ aN flow l inetrow W re Fa—r to k*" -With timely registration, an additional 5 year parts limited sd shoitwr�•quiGrt•trtt ���� �1' warranty (including compressor and coil) For owner occupied, residential applications only- See warranty certificate for complete details and G �` US0-u seam CERTIFIED restrictions, including warranty for other applications. LISTED ED Use o1 the AHRI Certified TM Mark indcates a manufadurer s paMapehon in the program.For Wrficateon of�rtiflcalion for inQo&W proalQa. go to m slrridne<tory,org Model Slze Nominal Min. dircuit Max. Fuse Operating Dimensions Ship I Operating Number (tons) BTU/hr Ampacity or Breaker height x width x depth In. (mm) Weight Ibs.(kg) NXA618GKA 1 18,000 11 8 20 28-11/16 x 25-3/4 x 25-3/4 154/ 125 (729 x 654 x 654) (70/57) NXA624GKA 2 24.000 17.7 30 28`5/16 x 31-3/16 x 31-3/16 147/ 183 (719 x 792 x 792) (83/67) NXA630GKA 214 30,000 16.8 25 32-5/16 x 31-3/16 x 31-3/16 188/153 (821 x 792 x 792) (85/69) NXA636GKB 3 36,000 17.5 30 28-5/16 x 35 x 35 204/ 165 (719 x 889 x 889) (93/75) NXA642GKA 31/2 42,000 23-6 40 39-1/8 x 35 x 35 254/213 (994 x 889 x 889) (115/96) NXA648GKA 4 48,000 261 40 39-1/8 x 35 x 35 317/264 (994 x 889 x 889) (144/120) NXA660GKB 5 60,000 32.4 50 45-11/16 x 35 x 35 318/280 (1161 x 889 x 889) (144/ 127) scteo+amions suged ra change wrchgR ndoa 42111 6201 05 5/17/19 ,lyg6kester V.00M George Latimer County Executive Sherlita Amler,MD Commissioner of Health October 30, 2019 Russell Palucci, PE 140 Princeton Drive Shelton, CT 06484 RE: Log #: 12855-19-DCDA Application for Backflow Prevention Device 1 Primrose Lane Rye Brook Dear Mr. Palucci: The plans and specifications for the above project have been reviewed and approved by this office pursuant to the provisions of Chapter 873, Article VII, Section 873.707.1 of the Laws of Westchester and Section 5-1.31, Subpart 5-1, of Part 5 of the New York State Sanitary Code. A Certificate of Approval is attached. Form NYSDOH-1013 is to be utilized as a Request for Completed Works Approval. This form can be downloaded from the following link: https://health westchestergov com/images/stories/pdfs/crossconnection doh1013.pdf . NYSDOH- 1013 consists of two parts: (A)the initial test of the device(s) by a certified backflow prevention device tester, and (B) a certification by a Professional Engineer or Registered Architect, licensed and registered in the State of New York, that installation is in accordance with the approved plans. The completed NYSDOH-1013 must be sent to our Department within 45 days of installation of the device(s). This form can be emailed to DOH-BFIowCa7westchestergov.com . Re ectfully, Natasha Court, P.E. Associate Engineer Bureau of Environmental Quality NC:AC:mez cc: William McGuiness -William McGuiness - SC Rye Brook Partners —Owner Water' Supply frank.McGlynn— Suez Michael Izzi, Bldg. Insp— Rye Brook File 00PIKE E Department of Health 145 Huguenot Street New Rochelle,New York 10801 Telephone: (914)813-5000 Fax: (914)813-5158 NEW YORK STATE DEPARTMENT OF HEALTH CERTIFICATE OF APPROVAL FOR BACKFLOW PREVENTION DEVICES This approval is issued under the provisions of 10 NYCRR, Part 5, Section 5-1.31, and Chapter 873, Article VII, Section 873.707.1 of the Laws of Westchester County. Log NO. 12855-19-DCDA Facility: 1 Primrose Lane City, Village, Town: County: R e Brook WESTCHESTER Owner's Mailing Address: William McGuiness SC Rye Brook Partners 80 State Street Albany, NY 12207 Physical Location of Backflow Prevention Device(s): Doghouse Description of Devices : One 1 —2 inch Zurn 950XLT DABF Water Supplier: Suez Water Name Designated Representative: Frank McGlynn Mailing Address: Zip: 2525 Palmer Avenue, New Rochelle, NY T0801 Conditions of Approval: A. THAT the device(s) shall be installed within 90 days, and that within 45 days of installation the attached New York State Department of Health Form DOH-1013 shall be completed and returned to the water supplier and the Westchester County Department of Health. B. THAT a certified backflow prevention device tester test the above backfln t prevention device(s) at least yearly and report the results to the water purveyor indicated above. C. THAT any connection made prior to the backflow prevention device(s) shall render this approval void. D. THAT the proposed works be constructed in conformance with plans and specifications approved this day and any amendments thereto. E. THAT certification that installation of device(s) is in accordance with the approved plans, Form NYSDOH-1013, Part B, must be completed by a Professional Engineer or Registered Architect, licensed and registered in the State of New York. F. THAT the approved device(s) shall be so set that the test cocks are faced for easy access. G. THAT if facility construction has not commenced within 90 days of the issuance of this Certificate of Approval, then this Certificate shall become null and void unless an extension to the 90 day installation period is secured from the Westchester County Department of Health by the facility owner. Designated Representativ ISSUED FOR THE STATE COMMISSIONER OF HEALTH BY: DATE: October 30, 2019 Natasha Court, P.E. Associate Engineer 0 nEW YORK STATE DEPARTMENT OF HEALTH rmpiru tabBPloWater .ling "restton Report on Test and Maintenance Empero Stara Plate•Coming Tnvrarlt:orrm t11e Albany,NY 12237 of Backflow Prevention Device Please use a separate form for each device. For year �Nal tort-Comptar(y entire Form Annual last-Cornpfele Part Aonly 1 \ Pu61tc Water Supply A000unl Block No. �eu^h' Lot 0e-L &s ' ' racility Name a 1^ :Cu Low fion of Devlce ► 1+�.,, \ t .YC.7tL�:J Address Street C12Y -- Device Manufacturer Type Q RPZ Model Size{in inches) Serlrl Number Information ))< T r �" l` 4 7GS Check Valve No.i Check Vatvo No,2 Difliarontial Pressure iRsHef Line Pressure i 1latrre T t.eaket! Leaked Date before Opened et psid crease right closed fight- 1 9 a t repel► - Preseu drop a=ss first check valve n! M D Y 5 paid J V a.� Repaired by ram Name used � Lic# � Date repaired: m nr D v Finettold Closed tight Clotted tight �- Date--��[��� � i ti y Opened at psid ® D Preaaura drop�acrroay first A !//{ check V9iY@ � '= p Wd . Water Meter Number Meter Resding Type of,Service 9 Domesti 4 Fire Other Remarks(Describe Ookund9e:bypearees,outlaw before the devka,connections between the device and pdnt of Ontry,mmasmng or inaeegUat*atryrape,arc.) Cerrltrcation:This device moats, dose N07 meet,the requirementa of an ec�epta runlainme �P.VIce at the tlme of testing 1 hereby certify Bte fompoft date to be correct.• q ` �,j > jJLj�t'l 1 7 Pent fYme CertNiad TrsNmr No. %-Oawr-E E>rpFetion pare Prop"owners(or age )cer88ca4on that teat was patformed: ) � �� Cares, rn (4 01hm.aby Name TMa 8Ie Telephone Ec- iication Thad Installation la In acewdance with the approved plane. (To be eomPlesed by lh*d*sip-enrinaer or architect nr arise supplier 1 ouffly that this Iraefabato l is in accordance w4h the approved pleas. Name Russell Palucci Tide Engineer Date 0 3 4 g 2 1 NY8 Dort Log� License Number 78721-1 Phone(845 )337-6040 m d y Representing rre Salutmns, LL cn5LJ ing nglneers l7eaier1be,minor md.iteiiun Address 140 Princeton Drive I ; ) city Shelton Slate CT Zip 06484 JAN 19 2022 Zen one comp mPY to a fir+ n t rpertmenl raprrionra eve env ono wpy W e crater su n osya rig erg.(IeiNy awnOr and wanor supplier]Mmcd4faty if d-lre falls leq and mpeks cannot immadcalaly be ma f„—, WM. 1019(a)") JAN 1 9 2022 VILLAGE OF RYE BROOD BUILDING DEPARTMENT vv 1 Primrose Lane Rye Brook, NY 80/1 2015 IECC Energy Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 19.00 Below-Grade Wall 14.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): R8 Glass&Door Rating U-Factor SHGC Window 0.29 0.30 Door 0.30 0.30 Heating&Cooling Equipment Efficiency Heating System: HP l#NAMSF1on212nA 95.5% Cooling System: Heil 4 Ton#NXa648GKA 16 SEER Water Heater: Model VSCE32 119R 119 Gallon Electric Name: Jobe Leonard Date: 2/19119 Comments Envelope Leakage Test Testing Company: Technician: Name: Prochek Home Inspections Name: Jason Arditi Address: 100 Mill Plain Road Credentials: BPI ID#: 5064953 Danbury, CT 06811 Email: jasonarditi@prochek.com Phone: 1-800-338-5050 www.prochek.com Building Information: Customer Information: Project ID: 18526-Blower Door 4VkL Name: Kingsfield Development Address: 1 Primrose Lane 4-11 Address: 1 Primrose Lane Rye Brook, New York 10573 Rye Brook, New York 10573 Geo-Tag Data: Latitude: 41.048278 Email: finelagrano@warjamgroup.com Longitude:-73.690900 Timestamp: 2021-07-27 09:17:33 Measured Leakage: 2.38 ACH5O Leakage Target: 3.00 ACH5O Compliance with Leakage Target: Pass Test ID: 1 Primrose Lane Rye Brook NY Purpose of Test: IECC 12/15 Env. Leakage Measured CFM50: 1,413.7 (+/- 0.5%) Effective Leakage Area: 97.1 in Building Volume: 35,600.0 ft3 Enclosure Surface Area: 4,044.0 ftz Coefficient (C): 157.2 (+/-3.2%) Exponent (n): 0.562 (+/- 0.009) Correlation Coefficient: 0.99987 Test Standard: ASTM E779 (single mode) Test Mode: Depressurize Test Characteristics: Pre Indoor Temp: 70 °F Post Indoor Temp: 70 °F Pre Outdoor Temp: 79 °F Post Outdoor Temp: 79 °F Altitude: 111.0 ft Time Average Period: 10 seconds Test Date and Time: 2021-07-27 09:25:48 2000 • Depressurize --- E U 1000 Y 900 800 _J 700 600 500 m 400 300 4 5 6 7 8 910 20 30 40 50 6070 Building Pressure(Pa) Envelope Leakage Test Test Readings: Target (Pa) Bldg_(Pa). Adj Bldg_(Pa} Fan (Pa). Flow (cfm) Config Baseline 0.3 -60.0 -59.7 -59.8 -73.6 1,546.4 Ring A -54.0 -53.4 -53.4 -64.6 1,451.1 Ring A -48.0 -47.1 -47.2 -55.5 1,347.0 Ring A -42.0 -41.5 -41.6 -48.4 1,260.5 Ring A -36.0 -35.5 -35.6 -40.3 11153.0 Ring A -30.0 -29.5 -29.5 -32.6 1,038.6 Ring A -24.0 -22.5 -22.6 -231.3 900.4 Ring B -18.0 -19.0 -19.1 -186.3 808.9 Ring B Baseline -0.2 Test Equipment: Flow Device: Model 3 110V Fan Pressure Gauge: DG1000 Serial #: 6005 Calibration Date: 2020-07-01 Deviations from Standard: • None Comments: None Report by TEC Auto Test 1.8.0 (206), O 2021 The Energy Conservatory, Inc. Page 2 of 2 11 Building Permit Check List&Zoning Analysis Address: L i2 �^t��Scz SBL l 75' t Z.s l -- ' Zone:Use: -Z t o Const.Type Other. Submittal Date: 14 Revisions Submittal Dates: Applicant C' Nature of Work. Reviews:ZBA: J A N 2 3 2020 PB: BOT: Other. FEES:Filing. S = BP: 13, 19�j,3(� C/O, APP: Dated _tom Notarized ��SBL ✓Truss I.D. ✓ Cross Connection H.O.A.: ( } ( } Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: ( ) ( ) ENVIRO:Long. Shorn Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgnu.: Tree Plan: Other: { ) ( ) SURVEY:Dated: Current Archival: Sealed: Unacceptable: ( ) ( PLANS:Date Stamped: ✓ Sealec, `'" Copies: Electronic: Other: {� ( ) License: Workers Comp: " Liability- Comp.Waiver. Other: { ) ( ) CODE 753#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL Plans: Permit: N/A Other. { ( ) LOW-VOLTAGE ELECTRICAL:Plans: - Permit N/A: Other. { ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit I-W.I.C.:_Battery-_Other. PLUMBING Plans: Permit: Nat Gas- LP Gas: N/A/: Other. FIRE SUPPRESSION:Plans: GN/A: Other I-V.A.C.: Plans: Peer it N/A er.Oth ( } ( ) FUEL TANK:Plans: Permit Fuel Type: Other. ( } ( ) 20I7 NY State ECCC: N/A: Other. Final Survey- Final Topo: RA/PE Sign-off Letter: As-Built Plans: Other. ( } ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. ( )ARB mtg.date: approval:- notes: ( )ZBA mtg.date: approval notes: ( }PB mtg.date: approval notes: APPROMU R�UIRED EXISTING PROPOSED NOTES Area: Date:-- _ JAN 2 3 2020 Circle: Fronts e Front: Front: Sides: Rear. Main Cov: Accs.Cov Ft H Sb: Sd.H Sb: GFA: Tot : Ft IM: Parkin-. Height/Stories: notes: Residential Building Permit Fee Work Sheet Permit#: Date Issued: SBL: Zone: Address: 2t ' 1'Z,p I -- Property Owner&Contact Info: Job Description: ! L For all new dwellings and for additions measuring 800 sq. ft. or more made to existing dwellings, the following fee schedule shall apply: (plus any alteration fees) Total Sq. Ft. (excluding basements) x $225.00 x $I5.00/$I,000.00 Basement Sq. Ft. x $65.00 x $I5.00/$I,000.00 -------------------------------------------------------------------------------------------------------------------- New Construction Sq.Ft. • New Construction Cost • Building Permit Fee Basement= 1`16 sq. ft. x $65.00 = $ S l ,'?`tD• 'x$I5.00/$I,000.00 = $ '7 7 t'J Is,Fl. = Lq6 'a sq. ft. x $225.00 = $ 4[ Lt-,. x$I5.00/$I,000.00 = $ (o�I (Z � 2^e Fl. = �sq.ft. x $225.00 = $_�? I , �zs� 'x$I5.00/$I,000.00= $ S b is , 3� Attic = _ sq. ft. x $225.00 = $ , —x$I5.00/$I,000.00 = $ + 10- Total Sq.Ft. _ � `� sq. fr. Total Cost = $ Total B.P.Fee= $ 3 [ ai>-3 6 Includes Attached Garage if Applicable. Total Amount Paid= $ ; y Total Amount Due = $ Date: J AN 2 3 2020 Signed: A CERTIFICATE OF LIABILITY INSURANCE DATE(22 201D16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED.subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 0 AOn Risk Services Northeast, Inc. NAME: 22 PHONE -.. Boston MA Office (AlC.N0.E3q: (866) 283-7122 FAX (100) 363-0105 `0 one Federal Street EaMA1L 13 Boston IAA 02110 USA ADDRESS: O INSURERS)AFFORDING COVERAGE NAIL a INSURED INSURER A. Underwriters At Lloyds London 15792 SC Rye Brook Partners, LLC INSURER 9: The North River Insurance Company 21105 New INSURER Navigators York NY 10169 USA Park AVl. New Insurance CO 42307 INSURER O: Starr Indemnity & Liability Company 38318 INSURER E: "ustER F: COVERAGES CERTIFICATE NUMBER:570064826519 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 REOLIGED BY PAID CLAIMS. L)mtts shown are as requested FOR TYPE OF INSURANCE WVD POLICY NUMBER ww Lam X COL RCLALGENERALLIABILrrY LCC EACH OCCURRENCE $1,000.005 CLAIMS MADE 7OCCUR PREMISES Ea 22-uelanba— j S100,000 MED ExP(Any ono pvaorl) Excluded PERSONAL BADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PFR GENERAL AGGREGATE S2,000,000 POLICY [fl JECT LOC PRODUCTS-COMPIOP AGG S2,000,000 OTHER. AUTOMOBILE LIASLITY COMBINED SSJGLE LIMB 'n nl ANY ALTO BODILY INJURY(Pat palaon) O OWNEAUTOS SCHEDULED BODILY INJURY(Per acW AUTOS antl m ONLY At1T05 HIREDAUTOS NON-OWNED PROPERTY DAMAGE u ONLY AUTOS ONLY spcdanl C: IE A X LNORELLAL.IAB H OCCUR LCCX 7 1 /' EACN OCCURRENCE ss.000,000 U EXCESS LLAB CLAIMS-MADE AGGREGATE 3S,000,000 OEO I IRETENTION WORKERS COMPENSATION AND EMPLOYERS'UASKM Y 1 N PEA TH- ANY PROPRIETOR]PARTNER EXECUTIVE E.L.EACH ACCIDENT OFFICFR MFM13FR FXCLUDED' ❑NIA (Mandatory In NH) E.L DISEASE-EA EMPLOYEE If yyeeaa deecnbe snider DESCRIPI ION OF OPERATIONS bebw E L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS!LOCATIONS r VEHICLES(ACORD 151,Addbfonal Ra A.fth dula,maybe attached B mo.e apace Is nquhedt Fay 7L CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. village of Rye Brook AUTHORIZED REPRESENTATIVE 938 King street Rye Brook NY 10573 USA ( (�/(� /��r//'J �' 's y/j' 1141rom ✓LIa�L v'M�fi11gEd�lt;IC ( ✓." ©1988-201.5 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD UXAL Certificate of Attestation of Exemption from New York State Workers' Compensation and/or Disability and Paid Family Leave Benefits Insurance Coverage **This forme cannot be used to waive the workers'compensation rights or obligations of any party.** The applicant may use this Certificate of Attestation of Exemption ONLY to show a government entity that New York State specific workers'compensation and/or disability and paid family leave benefits insurance is not required The applicant may NOT use this form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which you are requesting a permit,license or contract. This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Building Permit SC Rye Brook Partners,LLC From:The Village of Rye Brook NY 1100 Mag St Ste 114 Rye Brook,NY 10573-1057 PHONE:914481-1531 FEIN:XXXXX6509 The location of where work will be performed is 1100 King Street,Rye Brook,NY 10573. Estimated dates necessary to complete work associated with the building permit are from March 19,2019 to March 18,2020. The estimated dollar amount of project is over$100,000 Workers'Compensation Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The business is a LLC,LLP,PLLP or a RLLP;OR is a partnership under the laws of New York State and is not a corporation. Other than the partners or members,there are no employees,day labor,leased employees,borrowed employees,part-time employees,unpaid volunteers(including family members)or subcontractors_ Partners/Members: Robert Dale Disability and Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: I) owned by one individual; OR 2) is a partnership(including LLC,LLP,PLLP,RLLP,or LP)under the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation,with those individuals owning all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own at least one share of stock); OR 4) is a business with no NYS Iocation. In addition,the business does not require disability and paid family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law.) 1,Janice Heusser,am the Office Assistant with the above-named legal entity. I affirm that due to my position with the above-named business I have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true,that 1 have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that 1 understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,the above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disability and paid family leave benefits coverage and also immediately furnish proof of that coverage on forms approved by the Chair of the Workers'Compensation Board to the government entity listed above. SIGN Signature: Date: 3 _ HERE Exemp , ate Number y� e A ved 24 ma 9 NYS Work, tCoo Baird CEIM 0lnols `4 CERTIFICATE OF LIABILITY INSURANCE ��IM 04/11/2019 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 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 endorsements. PRODUCER CONTACT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PHONE HOME OFFICE: P.O. BOX 328 ,., .. Ext:888-333-4949 FAX c me);507-4464664_ OWRTONNA, MN 55060 E-MAIL CLIENTCONTACT ENTER F IN M INSURER Sl AFFORDING COVERAGE NAICIT INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 14.9-868-2 INSURER B: MACK FIRE PROTECTION INC INSURER Co 15 INDUSTRIAL PARK PL INSURER D: MIDDLETOWN,CT D6457-1501 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:466 REVISION NUMBER.0 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 INS L SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 CLAIMS-MADE X OCCUR MED EXP(Any one Person) $10,000 A N N 6042334 05/11/2019 05/11/2020 PERSONAL&ADV INJURY $1,000,000 OEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 �OTHER: POLICY ❑TCT ❑ LOD PRODUCTS-COMPIOP AGO $2,D00,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,DDO,000 X ANY AUTO BODILY INJURY(Per person) A OWNED AUTOS ONL SCHEDULED Y AUTOS N N 6042334 05/11/2019 05/11/2020 BODILY INJURY(Per accident! HIRED AUTOS ONLY AUTOSNON-OWNED ONLY PROPERTY DAAGE AUTOS Per acci an M X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $10,000,000 A EXCESS LIAB CLAIMS-MADE N N 6042337 05/11/2019 05/11/2020 AGGREGATE $10,000,000 BED I I RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY YIN X PER STATUTE ER ANY PROPRIETORJPARTNERJEXECUTIVE E.L.EACH ACCIDENT $1,000,000 A OFFICERIMEMBER EXCLUDED? NIA N 6042338 05/11/2019 05/11/2020 iMandetory in NHi E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,DOO,DDO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if mare spase is required) RE: KINGSFIELD 1100 KINGS ST RYE BROOK NY CERTIFICATE HOLDER CANCELLATION 149-868-2 466 D VILLAGE OF RYE BROOK NY BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD vnpu Workers' New CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) I. Business Telephone Number of Insured 860.632-8053 MACK FIRE PROTECTION INC 149-868-2 15 INDUSTRIAL PARK PL 1c. NYS Unemployment Insurance Employer Registration Number of MIDDLETOWN.CT 06457-1501 Insured Work Location of Insured(Only required if coverage is specifically limited to I Federal Employer Identification Number of Insured or Social Security certain locations in New York State.to.a Wrap-Up Policy) Number 04-3814418 2 Name and Address of Entity Requesting Proof of Coverage 3a Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Mutual Insurance Company Village of Rye Brook NY Building Department #466 938 King St 3b. Policy Number of Entity Listed in Box"1 a" Rye Brook NY 10573-1226 6042338 3c.Policy effective period 05/11/2019 to 05/11/2020 3d.The Proprietor. Partners or Executive Officers are ❑ Included (Only check box if all pariners!officers included) Z all excluded or certain partners/officers excluded. This certifies that the Insurance carrier indicated above in box"3"insures the business referenced above in box'la"for workers' compensation under the New York State Workers'Compensation Law (To use this form, New York(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 Cindy Warren (Print name of authorized representative or licensed agent of insurance carrier) Approved by L�44 � 04/1 1120 1 9 ( rgnature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier 888-333-4949 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 "zi / DATE(MMIDD/rNY) ACOR CERTIFICATE OF LIABILITY INSURANCE 1/22/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY A11,11D CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE' A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such Ntdorsement(s). CONTACT PRODUCER NAME OTT AGENCY PHONE (845) 895-$873 AJC No Exl AIC Ni PO Box 659 r� ADDRESS ottins2001@yahoo.com Wallkill, NY 12589 INSURER(S) AFFORDING COVERAGE NAICY INSURER Main Street America INSURED Total Comfort Inc INSURER B PO BOX 359 INSURERC. 9 Ohara Rd INSURER D Milton, NY 12547 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 CONDIT ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AF ORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY H VE BEEN REDUCED BY PAID CLAIMS INER I POLICY EFFTYPE OF INSURANCE POLICY NUMBER MM/DDlYYYY MM/0D/YYYY LIMITS POLICY EXP LTR INBD 7nND X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 CLAIMS-MADE FX] OCCUR PREMISES Ea occurrence $ 500000 MPU7919F 1/21/2020 1/21/2023. ME D EXP(Any one person) $ 10000 A PERSONAL BADVINJURY $ 1000000 GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2000000 POLICY PRO ❑LOC PRODUCTS-COMPIOPAGG $ 2000000 JECT $ OTHER COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANYAUTO BODILY INJURY(Per person) s OWNED SCHEDULED BODILY INJURY(Per acudenl) s AUTOS ONLY AUTOS HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DIED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE ❑ NIA E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDEOI (Mandatory in NH) EL DISEASE-EA EMPLOYE $ If yes describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101 Additional RemarNs Scnedule,may be allached 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 Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS 938 King Street Rye Brook, New York 10573 AUTHORIZED REPRES/NTATIVE (D 1988-2015 ACORD CORPORATION All rights reserved. ACORD25(2016103) The ACORD name and 10go are registered marks of ACORD NEW Workers' YORK CERTIFICATE OF STATE Compensation Board NYS WORK RSA COMPENSATION INSURANCE COVERAGE 1a. Legal Name 8 Address of Insured(use street address only) 1b.Business Telephone Number of Insured TOTAL COMFORT INC 203-223-6700 PO BOX 359 1c.NYS Unemployment Insurance Employer Registration Number of 7 OHARA RD MILTON,NY 12547 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e., a Wrap-Up Policy) Number 141829022 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NATIONAL GRANGE VILLAGE OF RYE BROOK 3b.Policy Number of Entity Listed in Box"I a" 938 KING ST RYE BROOK,NY 10573 WCU7919F 3c.Policy effective period 01121/2020 to 0 1/2 0120 2 1 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 ba "3"insures the business referenced above in box°1a"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'com pens ati c in insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the rtificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a!policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? DYES []NO 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'Com ensaticn 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 plcted on this form. Approved by: WILLIAM C OTT (Print name of authorized r presentative or licensed agent of insurance carrier) Approved by 4 r1 1 � (Signature) (Date) Title. PRESIDENT Telephone Number of authorized representative or licensed agent of insurance carrier 845-895-8873 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-106.2.Insurance brokers are NOT authorized to issue it. C-105.2 (9-15) www.wcb.ny.gov 1�ETT r rAIT.tPl1t:871+fXitE OGT-, tER B'O!i'kRUiIDNO tOOIA-• �� tya,CA'ICtE:IC Tti Debt\ tom, r°j� IF•gfiq(Y1 O1tIQtS; V RM N lit f27 +2' /-fxStNl lE 190Q!6ROlMC 13 ,'.fl3 ItsKI N F1 ff` ` �`t - LINTER lla. 1 PRIMROSE LANE - UNIT B i,3 RYE B R O O K S NYE WATER SUPPLY` +20 •�12s lit I 15 ff` f S T�rC PSI: SC'Psi I fit t�'t+2'I,B, ts-rs.°-tFt t am RE.SID PSI: 4ti al i1f �- ! % +,a,17 t_,-i CLU=i IAVEI R WE _� ---._.-•-- -•._—_--__ � fl'EMfiiilflOflAT(R9:.� .3�L!LNE -- —_- ; .:'I TIES Iowa+tvs Ik'74H-� fle� +;FM,�" rs";� �t t .�U T�,F"M 1 ----_..—_ f13 � - HOVEYS13CIRF.tlalE � TttOPl:AKAILY J�+tt �, m: Cj CC'-1 HtbfEYSUCKiE ACE NFPA-13D GENERAL NOTES WOOD SCREW*its x,4' j! f Erg r, +s- ;` ,� t. •�` F 2 R{II�OSE IA;L i # 71. lEx a LIoRGrOEQ tr+oFt 121 '1 F'1?F_"-6 PRIMROSE iAWE ! SYSTEM DESIGN-RESIDENTIAL AREAS(WET SYSTEM) - _L__ \ WwN Off' (F\ ^.�, 1:�;,= /�,r^ ;-IOi E•1twmw KNIFE - �1 v vC -\ 'I�. I -' ,T� �. ��;--y-\ / .�,• �,� SIH:(f7 0➢flti; i L ?dU'-?C JA56tINE:AkE ! SPRR#QER SYSMI 15 A HYDRAULICK.L CALCULATED KT S._TEM ^�`•�; ' , �I=ft � `` �Its _ IS - tb JPS F IAyE ,17 U 1 Y- 12 JAS@ii W ' 1 s 4 SPRWKLr.RS -Pla= p f1fPIhIC HAS BEER SIZED USN{A.(GMT tiAiARD DcNtiIY OF.OS Ira►OVER 405.RFiVC'E t I A C01FPA41YEI:7 USING RESt1>£NOAL SPRINIL+fF HEADS - `:`�4 ' ' !I + +:5 _�_-.i-(blURRY COURI __ .�,. r U -.1 NE LAW Ill �I( AD 4ACI•IG 32� tl. ' 12 I fl MA RtL1N SPR:t LtR HEAD - sQ � ;}2:�••. ,' '! STEM 7 SK7:PER Nf,P.A Ri30 t(YtD EDITiOh:j OFFSETH NGER-� j 2 PIPE MATERIALS t O —__ L� AL PIPE AMP.FITTINGS ARE BLAZDdA5Tr3•CPVC. •! tY000 SCREW R16>,•sr2'-�� _v �� ��•�'1�� '{- +• °iC . /�` WOOD TRUSS OR BEAM - -del • G CONTRACT INFORMATION �'� �`*�/ r � 1 � � �E?£BE 1S C WM UNICEF TtFS CONTRACT CCNSISTS CF THE FULLOM11 jDr_5 1NSTAC p YAXcKMlC SPRl3(LfF SYSTEU 1R s+f F A.-13D 201C E�1T,�, OFFSET HANGER DETA/L HALF STRAP HANGER DETAIL t� r +'°f� ?• +, •.-DRAFT STOPPWr•SHALL E FRONDED BY THE OWNER IN ACCORDANCE MATH THE 4B.0 200 EDIMN -PATEGCOMS LESS TT1AN 5;SOFT SHAL BE 4.COMPLIANCE 7A]H THE►EOu1REt�ENTS Ct hiPA-'3R B.E. AL-BATHROOMS ARE NONCOMEUSTIB:.E SHEE'ROCK Vil A 30 Ili.THERMAL BARRIER I �-;fi C'T TG A'PR°SF7e 4pl1ER'' 1-C-OBEYS LESS THAN 24 SO F'T SHALL BE IN COMFtIANCE Ill THE REC;:IRD4r.NTS 0:NFPA-1 T..P E 6 3 Zf liIJEF A�PPL!L �•_-_T' Y t NCY f,1�001GA01t+Ill r--- -- . IyW7 O7XE!1Q'TO 1!T f7G*-� aw-TS ARE CONSTRUCTED 0'NON;;tNr USTIBLE SHEET ROCK M'H A 30 Ikti.THE?.AtA BARRAT, '-�" r SITE PLAN IC�(M pus, _ VI' I -EY.TEROF.BALCONIES SPP.INx.ER PROTECTION IS PROVIDED ON AL..BALCONIES AND PATICS Or OTCELU%' _ - -- ji( �., � ' l j� tY w fK F KSil Ill C Fp LADED W t&V I IiAF 1WFIC{1CR -_ _- '� t { t •_____�•�._ ,t - ----- , � %tnr11 Tt'P Stow StiPU•toFEB Fr SRAE cuxf'r}1•TFST/IPAX wiWT N.T.S. IT¢SDr;f ouE toes; r uMTS 1K aC0RDAr10E wTH TIE IBC 2oG3 EDITIOTL SECTION so3.3 1 ;. e ____— i t t ! WALK-IN �t �—�t r�r e'rroE wc►t�m wee 0x 1 !-A PCS ARE NOT USED FOR STORAGE AND DO NOT CoI:TAR:ANY FUEL FIRED Earli':Ni ,ram it /V -•T--^--�' 1 i I i W 6 /�Ir YCf=t[�1 7P'sam 817m.IDLY'TM,:hlo A IN{LX`14 uIll SIM , Vak V GROOM 03MM EEisYE { 4-11 —I= r•� t I lS t7 9�05� f NOTES TO THE OWNER '' —( �_ _ ---•- --- PER NFPA t _ ♦ / 6.9-MA1NT ENANCE 6 9.1 THE OWNER SHALL BE RESPONSIBLE FOR THE CONDITION OF A SPRINKLER SYSTEM i ' F F AND SHALL KEEP THE SYSTEM IN NORMAL OPERATING CONDITION r b-6 _L' I' BASEMENT _-_ _ __ _;j ! 2'2lQtA IIOGIt•DOQ,�ITr DCJCiE DI d CEttS iUl AnE)IBl t101 6.8.2 SPRINKLER SYSTEMS SHALL BE INSPECTED,TESTED AND MAINTAINED IN ACCORDANCE j i~ r , I Will BLQWI WL0 VA c>xlfa•A MMUL TOla71 SRR D !WIT-NT:PA 25 STANDARD FOR THE INSPECTION.TESTING.AND MAINTENANCE OF ; I t ! __ -- --- - T- 1 / I , �+ � _,,•T-__- j L---�-�• ---_____,,°.r__ t { -- BASEMENT T F1.00P �� ' !WATER-BASED FIRE PROTECTION SYSTEMS. E+-6 �I V "` A 6.9 THE RESPONSIBILITY FOR PRO°ERLY MAINTAINING A SPRINKLER SYSTEM IS THAT OF THE ! __.r_ __-- ---••-----} ! � E E 0 0" L- LL_. `� OWNER OR MANAGER,WHO SHOULD UNDERSTAND THE SPRINKLER SYSTEM OPERATION - FOR FURTHER INFORMATIOt\,SEE NFPA 25.STANDARD FOR THE INSPECTION,TESTING,AND MAIN-ENANCE' OF WATER-BASED FIRE PROTECTION SYSTEMS ( --+\�� ADDTIONALLY ! °' _ '_4 _ —_ FPA /N/CLER SYSTENR/SER DETA/L !��� Z1;YOU MUST MAINTAIN SUFFICIENT HEAT THROUGHOUT THE PREMISES TO � ��--I� S t0' ' ^I [ '_ - - _ I PREVENT THE WET SYSTEM FROM FREEZING 1 ` t-t0 2;YOU SHALL INFORM TENANTS OF PROPER CARE NECESSARY TO MAINTAIN 'I)` `J`-"----'i--- -1 ! ! j r: o I THE SYSTEM. I NI T.S. 3;IF THE CONSTRUCTION OR OCCUPANCY IS ALTERED IN ANY WAY, THE SYSTEM WILL HAVE TO BE UPDATED ACCORDINGLY 1 -J .I 'i °- {!' "O Ij ^' r'^' _ V - -�-- - -1 GE OF RYE BR^ y 1 AIDE ccAflS C::+0�tEOUR�13iE SPF:h'Fyfr-->, ( I i FRCUC9Ch FEF IRA'3D Ski, 365 v — — ;—�` --- BUILDING DER�RTMENT 31 -cr- .•*s- -� '' STAIR ii• Ctt I lJ 5' i i"x� , ELEC I .__I ' --- --r ---j 1 i'lNp'B Ip."c iLGT SSM woe?1),L'f•--� i---tT --, ----�Jf ` ?AidFL-;I�iEi! 9C� t--U�^ - j _--I 2°CrUNNO,V,Lk�4?;a ILL(:AGEn'GtZOGM WIPING _l' _L _ 3`OI}ERS. !"�'IRE PRJTE'll.,1F1 S CONTRACT `� -'' i i TE BATH -- __.__ F._�i .-1 i i KC,1?I5 S'2'FIRE SORV'ZE WATER Of I;='INSOf !�' -= MASTER MASTERBATH R St WIT RMy U*U,II.1tiS1 RAOt+TTxtr�!c—I ii —�_ UNFINISHED uNEXCAVA ' BEDROOM 'i1E�ASE�IEM. t I l ns' UTILITY GPJ.DE ' - uraExcAVATtD —��- I I L L SECOND FLOOR ' { Lit 2'7,0 MOM'9;Ok s1 W WL3E Uirl'DETECIOS A$STIt�umv SOWS 8E7^L�LT RA-WE Tilt COWS A Ill TAUPE''SIDES lb t'tlJll.I MM�'StFm L>rmmil":Yl TKC EINI:Ah A t't'd'RlQ IWIFTE 96t{f � _ _-.1_. - ° a LIVING i Il lwu M 11�7i'OW.VW ZOIE 0DM fiLrr-5 f1�tL ttTn� ! J � K TCHEN WK.TtQE Al sil an f#GSifE 'I a!,F9 ms wn+k ROOM - Rh,h I E ��e : -- ' ' �)�7i'1 $ I I IJr" • �j �9C5 9 t. -i c i I If.. i 1 T _ 0 ,� ! FIRST FLOOR - ,_'''Ir„ -- - - is :V. S P Lam. i ;' JAN �/ Ntf':E�tS'C�Iit CC•i:/i r+ SI DATE APPRO 3 2020 _ '_ 3 I I f : CO I 1-1 I^ I- I ! 1 =` FINISHED +: i �.L LT _ I —� t 1»yj• 'a WALK-IN rJ r� CL ( BASEMENT ` •3r- =�-1 6ASEMENT FLOOR ° l I `•',. BUILDING INSPECT a�f a Brook,NY ELEV.-0-o' ' y UNIT,rB,.-,+SIGHT t� - D.O.H.APPROVAL.REQUIRED FOR °F NEB, 14CKFLOW PREVENTION DEVICE '° - y��v N BASEMENT FL_ OOR FIRE PLAN BUILDING SECT/ON A A c:�� �z — SCALE:114"-1'-0" N. SCALE.•1/4"=IV" �v CFO 07872� Py� pgOFEss% SYMBOL LEGEND SPRINKLER HEAD LEGEND DRAWING TITLE:BASEMENT FLOOR FIRE PROTECTION PLAN JOB INFORMATION AL pipe locations are to be field measured prior to fabrlcatfon Whether or not indicated on the drawings.the foUowln,items are to be provided: SYNBDL DESCRIPTION SYMBDLy_- DESCRIPTION PROJECT:KINt3F1EL0 DEVELOPMENT N Arid installation by the sprinYJer contractor -Head Cabinet,spare heads and head wrencl-per NFPA 13 , hl'1°.J�6EFFAEIitEA1Ei �� '1TlJABi'PFCl9:feSdfln: :E" 'O u=�'rhpr K45,�tesDEGRF_.SWL;2tF - REVISIONS: DAME: ADDRESS.INTERNATIONAL DRIVE �.— CONTRACT#:D000 CITY:RYE BROOK STATE:NY ZIP:10573 2 All dimensions shonAm are:end to end Provisions for flushing connections and draining of al pipe (,a.J :2}7,7tY:fii'BnXv11STE:_ �- - _ -- 3 High temperature heads are to be field installed where requ red InspeCIOrs test connector:shall be provided for each system : E,�T ;H1'ATlp�ygry,EFti9'E1FllPJS Q•t::FfiFI�E•t>�:�cEt��aca<,:{aeY;,fr~£tF�sFloa:£L LG Nc'KSE�JOc#i:0.:aly e ,� CLIENT:THE WARJAM GROUP PHONE:!4141 7b 1 250 _ - CONSTRJCr!ON WOOD LTD. - - • w 4 All pipes and hangers are to be mstallec pe-NFPA 13 -Hydraulic Identification.plates 8 NFPA 13 requirec signs i (M 20-0).UEVATIONCl`NY C:are, y---- __-—_ _.. 1 - •- I PF':+.EIEs'RE=L:•Rr.�17E`tru:ti7aCyTus�triLL_S�err:E?.t.'has�vl.gt;sOEt�F_Btl>:BAT,I � """""' ADDRESS:5 EhTERNATIOtvAL DRIVE•SUITE T'4 5 Gridded wet systems shell provide 2 relief valve per NFPA 13 ( 4 CEL41GKrar AN- , 6 All new piping is to be hydrostatica'ly tested at not less than 200psi 1t ib the building owners responsibility to provide adequate treat for al areas m the j )L yP r --- - OCCL'PAHCY:NFPA 13D - -- CITY:RYE BROOK STATE:NY ZIP:10573 T for 2 hours or at 50psi in excess of the maxmum pressure. building protected by a wet type sprinkler system and for a I water ffl ed supply pipe valves c SYSTEM.TYPE:WET 1 5 INDUSTRIAL PARK PLACE,MEDOLETOwN.CT 05457 �. -.o-.=� P�Eu�EtK <t. ,T�i.:�E••r�•�.�.•SE.P�xn�Pz'�.��.s�EwA:.�nw.�•a'NF-.x:s,r,xuo:�aEE.sssPAtr� P:860.632.8Q53 F'B60.632.8054 when the maxmtum pressure to be maintained is in excess o!150ps1 and system risers to dry type systems may-/�, - DATE:0327'2017 E FIRE SPRINKLER CONTRACTOR CONTACT a A quick opening device is required when dry system volume exceeds Air p essure shall be maintained on all dry type systems by an approved automatic air asts IrpFt_ w�l(.Iy� C K Fl R E.CI3 M compressor or ptall air minter ed on all d approved for and capable of automatically ` rcD1rl s 7,rti2a•FEta;EtrtsrRtr.EE.:laT K:IE@n;DEGRff N+:T17IJ.t TNM401ERNSi DESIGNER:CHRIS JUDO PHONE:{86Oi 396 5024 w A 'r00 gallons per NFPA 13 p ----- PORT CHESTER l- t 1 d d 8 NFPA gallons apply as reglnree. maintaining the requi-ed air pressure 4 ]1 FIPECRNrOk�COUPJIZSar Ttr:Gs AHD: """'—'—' E-MAIL:CHRIS@MACiCFIRE.COM LICENSES: CT:' 4Q29 MA:�C•2G 9 R:C1003C7 �� os I PFzfdA47ATiDUNE1LST1NGTlfu� - ioTu TKI:EiHCET:t4 :TtrrAL TWIs JOB:-54 FIRE MARSHAL KI N F1 V RM N I PRIMROSE LANE UNIT B RYE BRO O K7 NY6 WD.DECK OR I BLUEST30NE PAVER --ZVI HYDRAULIC DESIGN CALL ARMA d? MASTFIZ RF.t)Rt-X)I6t HYDRAULIC DESIGN CRITERIA Dertsitv -05 Spacing VARIES S3) X Fo-of 4.9 Hose Allowonce—=.-- rA "A #A HYDRAULIC DESIGN Z-1 CALL ARE A 402 PA I 16--c - —3-5, TINE Systerr,is Designee to Disc,c 'Nor, FIRST 19.00R at a Rate of .05 GPM per$14 r; I T 6ii ; of Fiocr Area Over a Remote Arec of F�N Fft ALr.%IPZ SSE C,R ONM 2 Sprinklers w-nen Suppled wit Water L i/ CW OF Df IW;Was HYDRAULIC DESIGN CRITERIA: 'he Rote a! 26.3 GrV a,38.9 K/KG at mASTER at the F 0!SDV.%r-,.tw.'S'0 --RJZL- DensPy 1W BATH SoCCire VARIES K Factor 4 4 . 4D NA.ASTER Hose N.lowcnce 41 NF This$r.ienr it Designed to N-3cl-rtrrip BEE-DROON4 C. AMMXk ZT.WRIM RLDIN PJ0E MY 5X0 111W -10 4%2� C.=Q'I I I I i/ rtpy 00- al c Rate of -015 GPIV per sq it WU�k cam OE Ur U. c Remote Arec ofrl -.A vf Fco,Arec Over X-RVA DaMY ARM A 3 RE -_r 7RPW FE a YRWIJ E P-4EF-%W.W A=i MD&Qk%SkTA AN A MEW MiFMW- 4'Scrinkle,s winen Supplied Ytith Wcier i 1* ; � R�1'.S,-!, --a 'PTIE F;Mw MUTO.'SO IIW 9A FRON M WW a!the Rate of 26.3 OPM at 33 PS I I=RM AWO TiE P:(C.SIRM r at the FF[GcKAW IaE'S' 4� REQW DUK I11-00 SIXXI pap. L Am li —A� 'X ol 4 -34P —4 12-CEUX FFA& 'C IVA'RTRT Eme r"-; 7 0 2 2- COCAR I'Dwr 19;W511, SL2PE, C C I; ME!OW:E WS IN DM. .411 V-C Nf BIS-11M RO Cr CTIOV CINING L 15T lot V INSUL A TION DETA IL FOR A L L SPRINKL ER STAIR j6R EO STAIR N IN TYF:XIV.FI-M NO.(6-( - CL� A, IN OR A DJA CENT TO UNHEA TED SPA CES 2-,is- N.rs. L%1OD-W,fm za-'MTV.Lor C. r4-6 HAUL L Ell=eM— L V ft BATH Lu -9. T 'id "P pr=-IL Otl 7 n-n j- FOYER7-44- CS V-. iiC qw" -UTE,�P&".ATEI TH,SELCIP4! HYDRAULIC DESIGNit CD@tk CO I(irICf%U.'AJE Zcalc CALC.�J(F-%01 FMN'A0 AM ThE C4=I0!L1;11F11,TW lif-F ')R •9M�*aff.FrjP-'CGES 4'./1�21- - 41-F, FIRST FlAx 5! 12'VEEP D M.Erufl RCOR MM 0 1 E'11C I")-riah Lr ---------------- BEDR00t-A 4- HYDRAULIC DESIGN CRITERIA 4.6' 4 --9 BOWYLINI 42 VARIES V 4.9 0; 4-6 -6 ;I ` I BEDROOV,:02 K-ocior C. U I I SECONP�;:LCOR Hose Aliawcrce Ev. i 5;-8'* S6 16 E This Svstem is Destaned to Discho,ge C, at c mcte of .05, '-'V Der st"t S%MH ------GARAGE &Ficc,Are::Over c Remote Area of ze. 2 prinsurs-,vner Supoliec witri Water of tht Rate of.30.3 GPN!at Ag.fj Pic H Ntl ullmvii 7%9� o!the P 71SCMIZOL NOV 16'W Ef nE[R:D FLWR— TWO Ic • --7 7.37777/7.7777z 7.w7ZLL7. TGW A.Z PC-M.R;To ALI 911 FOP 1,10110 AE-A C.-P&LATZI FIRST FLOC);i ELEV. IC-7 GARAGE I j, --------------------------- UNIT FV rp RIGHT Basement INCH[: o F Nee ki 3013111ALI SPRINY"LM"0N THE SCECOND"UX'R S��-'ff'"-^4TED A.'01-7'EELOVi-Xt 00 0 GARAGE SECTION 19 0 FIRS T FL OOR FIRE PRO TEC TION PL A N N 7.S. C) ............................ SECOND FL 0 OR FIRE PRO MC TION PLAN SCALE,114"=1'-0" SCALE.-t4".=IV" Sal SYMBOL LEGEND SPRINKLER HEAD LEGEND JOB INFORMATION i.All pipe locations are to be field measured prior to fabrication Whether or no,'indicated on the drawings,the following items are to be provided: SYMBOL DESCRIPTION SYMBOL* DESCRIPTION DRAWING TITLE:FIRST SECOND FLOOR FIRE PROTECTION PLAN and instal ation by the sprinkler contractor. -Head Cabinet.spare heads and head wrench per NFPA 13 —----- PROJECT:KINGFIELD DEVELOPMENT V.PI.M.F.43 @1i5C:WM"R*I6 REWSIONS: DATE: ADDRESS:fNnANATIONAL DRIVE 2.All dimensions shown are:end to end -Provisions for flushing connections and draining of all pipe �D RfPK41.rt1CREFER1XEP011,r CONTRACT47:0000 A'\ -heads are to be field installed where required. -Inspectors test connection shall be provided for each system CITY:RYE BROOK STATE:NY Z10:110573 aEu3.High temperature 11 pipes and hangers are to be installed per NFPA'3 -Hydraulic identification 0 CLIENT:THE WARJAM GROUP 4.A .piates&NFPA 13 required signs (105 2r-C) (jfW7I0:ICFTCP0F.1M CONSTRUCTION:WOOD PHONE:(914)761•-250 �r NFPA 13 LTD. 5.Gridded we!systems shal!provide a relief valve per LT F I R E P R 1■3 T E C T 1 0 N 7 ------j- C cam iew 44-2 1 6.All new p ping is to be hydrostatically tested at not less thar.200ps; It is the building owners responsibility to provide adequate heat for all areas in the ADORE55:5 IK'TERNATIONAL DRIVE•SUITE 114 IN for 2 hours.or at 50psi in.excess of the maximum pressure. ouilding protected by a wet type sprinkler system and for at!water filled supply pipe valves arPJ OCCUPANCY:NFPA 13D CITY:RYE BROOK STATE:NY ZIP:10573 15 INDUSTRIAL PARK PLACE,MIDDLETOWN,CT 06457 when the maxi Pr. < vnk,@mx��.c ept;ir.- murr.pressure to be maintainec is tr excess&I 150psi and system risers to dry type systems. SYSTEM TYPE:WET 7.A quick opening device is required when dry system volume exceeds Air pressure shall be maintained on all dry type systems by an approved automatic air m;To M-,.�AN DATE:0312 7/2 C 17 P:860-632.8053 F:860.632-8054 FIRE SPRINKLER CON'TRACTC)fj CONTACT 500 gallons per NFPA'3 compressor or plant ai,system specifically approved for and capable or.'autornaticall CA)4 M.01W MM.111M OP RNIP11 SKWW�"Ir,WS @17SWi-E.Sr.11 TMPX-7f;*RE FiKl%' 8.NFPA 130 apply as required maintain ng the required air pressure. y i PORT CHESTER DESIGNER:CHRIS JUDD PHONE:(860)398-5024 WWW.MACKFIRE.COM IL AHJ: R jol 64 FIRE MARSHAL E-MAIL:CHRISCIMAcKFIRE.COM. LICENSES: C*r,:F'-4029* MA:SC-120494 141:000347 9cEU41kiDU?EIWW,`i)Z I TarA-.Tms SHEVT'.-3 5 ILA. FIELDWORK COMPLETED: March 2, 2021 Underground structures, if any exist, are not shown hereon, except as noted. The location of underground improvements or encroachments are not always known FILED MAP REF and often must be estimated. If underground improvements, easements, or encroachments exist and Subdivision Map of "Kingfield" F.M. No. 29210 are neither visible during normal field survey operations filed August 30, 2018 nor described in instruments provided to this surveyor, they may not be shown on this map and are not Subject Lot: 66 certified. Known as 1 primrose Lane This property may be affected b instruments which Town of Rye Tax 1D: Section 129.25 Block 1 Lot 1.80 have not been provided to this surveyor. Users of this map should verify title with their attorney or a qualified S060 title examiner. 6 E Only copies from the original of this survey marked Legend a O I y. �o v CR I with the surveyors embossed seal are genuine, true ©— Q- i and correct copies of the surveyor's original work and Sewer Cleanou t Z c I opinion. A copy of this document without a proper CRW Concrete Retaining Wall o� Q � �vj� Y ► applicotion of the surveyor's embossed seal should be ®— Electric Box ® — Curb Stop Water Service � v ,� �'oe ��•� I assumed to be on unauthorized copy'J � , p� I (D — Electric Manhole o 0) °rah i — Gas Val ve V � D� 00/ - -— Ligh t Pole & �O o— Telecommunication Box � — Transformer Pad l O— Water Valve h �. / Q� R 63.00, I L=30.70 I t 4;)o— Hydran t l o e CB A—7-1 I � L � � � I _ 20 Area 4,094 S . Ft. _ 1 Q ,CB A 6 c,Q P r,ve ..� O�Ln To date, no Title Report or Abstract of Title has been ce 64 0S' � o provided. Thissurveyp i b'e 83•s 58 ^'� ��' p s subject to a current, up to 8 W C,Q .� o,� � date Title Report. � � � � o Property corner monuments were not placed as part of this survey. 61 o 1:1 ® �� Q CQ This mopmay not be used in connection with a e� ��� � \�T_ "Survey Affidavit" or similar document, statement or CO mechanism to o t i r AS Built ban t�t/e insu anceSurvey for any subsequent �/-� or future grantees. . . . y PrimroseLane Unauthorized a1 alteration or addition to a survey map � . bearing.a Licensed Land Surveyor's seal is a violation of Section 7209 sub—division 2 of Unit 6w the New York State � Education Low. Propwwd for According to NYSAPLS policy adopted January 23, 1993, the alteration of survey maps by anyone other than the Sun Homes, Inc. original preparer is misleading, confusing and not in the general welfare and benefit of the public. Licensed Land g� fe j� e Surveyors shall not alter survey maps, survey plans, or AVSUILT survey plats prepared by others. DOCUMENT To wn o f Rye Westchester CountyN E , Ne w York ENGINEERING, SURVEYING & GRAPHIC SCALE x" ,20' Date�� A�trch �O, 2021 LANDSCAPE ARCHITECTURE, P.C. �-- of Zo 40 3 Garrett Place • Corm el, New York 10512 JEFFREY B, DeROSA, LS _ _ Phone (845) 225 9690 Fax (845) 225 9 717 New York State License No. 050749 www.Inslte—eng.com JAN 19 2022 Q 2021 In si to Engineering, Surveying & L on dscop e Architecture, P.C. All Rights Reserved. (IN FEET) 1622 7.200 1 inch = 20 ft. VILL1 AGE gip;" R 1 E BROOK Lot Maps/Lot 66.dwg IIIN IM": r*)a`DA D T A A C:Ai d �