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SP20-002
PERMIT #tom SECTION IL TYPE OF WORK JOB LOCATION _ EST. C//O��S��T CO #yL TCO # INSPECTION RECOR OCK / LOT lupp ninon;"Ruby T J2Ylr'1Cz ' I PC Vnlnas-- �3�-7c>,�-1 005 3ao DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING -- GAS O - "--- SPRINKLER - ELECTRIC-'-"-"--- LOW-VOLT O ALARM AS BUILT FINAL --- ER APPROVALS RL HER /�ay/a3 �i Xo loSJ 7L 11 6q „yC�l-ron ozC�� DR j J J V t� j G L1.,0 V yy ,J CK, VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.iyebrookn.gov TRUSTEES BUILDING & FIRE INSPECTOR Susan R.Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CLARIFICATION OF RECORD July 31,2024 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 124 South Ridge Street,Rye Brook,New York 10573 Parcel ID#: 141.27-1-6 Sign Permit#20-002 issued on 2/24/2020 for New Sign&Awning This certifies that the tenant sign and awning,"Ruby&Jenna",installed under the above captioned permit has been satisfactorily removed. Sincerely, Steven E. Fews Building&Fire Inspector /to Building Permit Check List&Zoning Analysis Address: S —1-2 L-A�'E_ SBL: Zone: (f 1 Use: Const.Type: Other. Submittal Date: II nn�- Z'� Revisions Submittal Dates: Applicant: W 1►J Nature of Work: `l.9 E W _VGL)& C- t a —1 A w rs t tj 0 Reviews:ZBA: FF R — 5 7 f 17(1 PB: BOT: Other. NEED OK (� ( ) FEES:Filing: 341-1-p- BP: 3 S-6 • C/O: Legalization: ( ) (,"P: Dated: ,/ Notarized: ✓SBL: -"Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long: Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current Archival Sealed Unacceptable ( ) (• PLANS:Date Stamped ✓ Sealed �J Copies: Electronic ✓ Other ( (� License Workers Comp: ✓ Liability Comp.Waiver Other. O O 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: H.W.I.C.:_Battery._Other. ( ) ( ) PLUMBING Plans: Permit: Nat Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H V.A.C.: Plans: Permit: N/A: Other. ( ) ( ) 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.( ) ( ) r. (4ARB mtg.date: Z Q Z approval notes: ( )ZBA mtg.date: approval• notes: ( )PB mrg.date: approval• notes: A pp REOLOM EXISTING PROPOSED NOTES F E B 2 1 2020 Date: Area: Circle: Fron�ta¢e Front Front: Sides: Rear. Main Cor. Accs.Cov: FL H Sb: Sd.H Sb: GFA: Tot : Ft.I v: PP Height/Stories notes: R EC EWE BUILDING DEPARTMENT VILLAGE OF RYE BROOK FEB:-4 2 220 938 KING STREET RYE BROou,NY 10573 (9141)939-0668 4X(914)939-5801 VILLAGE OF RYE BROOK wwwajerook.vrg BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this - check list will be removed from the ARB agenda. Job Address: �er? .f /slf� ✓/- Date of Submission: 2l'4 Parcel ID#: I�-}'I. ����Q Zone: Cl- Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: � r MUST BE COMPLETED BY THE APPLICANT- N�-- The following items must be submitted to the Building 47 Dep7c/rmpleted t by the applicant-no exceptions. 1. ( Application L I p ,/� n tic 2. ( wc (2)sets of sealed plans. (one full size Imaximum Property Owner: (N IL l(Ju- f aw )'l ti 1 allo%Nable plan size=36"r 42-; and one I I-xi7") nn 3. ( )Two(2)copies of the property survey. Address: Z� `� /`i �� 4. ( )'�wo(2)copies of the proposed site plan. Phone# �( /'- S 5. (N One electronic/disc copy of the complete a lication materials. Applicant appearing before the Board: 6. ( ding Fee. 7. ( )Any supporting documentation. - q��,,• 8. ( )HOA approval letter.(ijapplicable) Address: 22 r�"G 9. ( otographs. Phone# 7 Z' �(D � 0 10.( amples of finishes/color chart. (a sample board or Architect/Engineer: A't,(-C model may be presented the night of the meeting) Phone# d ia- +OA- By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures,and that their application is complete in all respects.The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this Sworn to before me this day of 6& 12070 day of , 20 .z O i re of Prope4 Owner1jLjZvAU--Aj&V ,4e,ty 7/ u ( Signa ure of Appli Prin Name of Pro 9wCr rt �1•�i�l Q/ �1�l�L Print Nam AppI e f i nt No ry Notary Publi V-! !YC,I"I Ir9 p, + .,=w York3/21/19 1` SIGN PERMIT APPLICATION, INSTRUCTIONS& PROCEDURES BUILDING DEPARTMENT V ILL�G E BROOK 938 KINGS ROOK,NY 10573 PHONE(914)93E j (914)939-5801 www.ryebrook.org All signs must conform to Village Code§250-35.Applicants seeking a sign permit must first obtain approval from the Village Architectural Review Board. Some applications may be subject to Site Plan Approval from the Village Planning Board as per §209 of Village Code.A representative of the applicant must be present at the ARB meeting which is held on the third Wednesday of every month,7:30 p.m.at Village Hall in the main meeting room.Applications must be submitted to the Building Department by no later than the 1'Wednesday of the month in order to be eligible for that month's agenda.Please note that agendas are limited to ten(10)applications per month.Once your application receives ARB approval,the plans must then be reviewed by the Building Inspector for compliance with all applicable state and local building codes,and for issuance of the permit. DO NOT START CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR APPLICANT'S INITIAL SUBMISSION TO THE BUILDING DEPARTMENT MUST INCLUDE: 1. A properly completed application with notarized signatures where indicated. 2. Application filing fee: Residential = $150.00 / Commercial = $300.00 (Application fees are non- refundable) 3. Completed& Signed Application Check List. 4. Two(2)sets of dimensioned plans depicting existing conditions and proposed signage.Plans must be signed & sealed by a NY State Registered Architect or NY State Licensed Professional Engineer. (one full size {maximum allowable plan size=36"x 42"I and one 11"x l7"), 5. Two(2)copies of a proposed site plan and two(2)copies of a recent survey of the property are required for all freestanding signs. 6. An electronic copy(disc) of all materials submitted PRIOR TO ISSUANCE OF THE PERMIT.THE APPLICANT MUST SUBMIT THE FOLLOWING: 1. Full payment of the sign permit fee; Residential= $15.00 /$1,000.00 of Construction Cost with a minimum fee of$100.00. Commercial=$22.00/$1,000.00 of Construction Cost with a minimum fee of$250.00. 2. One full size and two scaled I I"x 17" sets of construction drawings. 3. Your contractor's valid Westchester County Home Improvement License. 4. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder on the insurance form) 5. Your contractor's valid proof of workers compensation insurance. (Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) Please note that should you fail to properly close out your permit prior to the expiration date in accordance with the law,you will be liable for the$500.00 Administrative Fee in connection with all expired permits issued after January 1;2003.Please note that this Administrative Fee applies to each individual permit and must be remitted in addition to any other required fees associated with closing the permit,as well as any court imposed fines should a summons be issued. It shall be the responsibility of the applicant, owner, or person in responsible charge'to notify the Building Department at least 48 hours in advance to schedule all required inspections. Please note that electrical inspections are performed by the Village's third-party electrical inspection agency and must be scheduled by your licensed electrician. Electrical certificates, C/O application, any outstanding fees and the final survey if required must be submitted to the Building Department prior to scheduling the final inspection. Please keep these instruction sheets throughout the duration of the iob for reference. 3rz v19 v VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, February 19, 2020 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 5 Parkridge Ct Close Up Rear Kitchen Consent 4881 (Wishnow) Window and Relocate Agenda 34 Whittemore Place Replace Retaining Wall, Consent 4882 (Chipkin) Walkway, Landing Agenda 221 Country Ridge 3 New Skylights Consent 4883 Dr. (Sierra) Agenda 51 Talcott Road Repair Rear Damage Consent 4884 (Fields) Windows;New Windows& Agenda Patio Doors 158 S. Ridge St 2nd Appearance,Massage 4878 (Win-Ridge) Envy, Sign 19 Maywood Ave 2nd Story Master Bath 4885 (Guerro) Addition; Interior Alterations 76 Country Ridge Dr 1 Story Addition&New 4886 (Levine) Side Yard Deck 8 Magnolia Dr Rear 1 Story Addition& 4887 (Scharf) New Rear Deck- 173 Country Ridge Amendments To Prior 4888 Dr. (Teig) Approve Application 173 Country Ridge Amendment To Prior 4889 Dr. (Teig) Approval, Site Work, Retaining Wall 124 S. Ridge St New Retail Sign/Awning 4890 (Win-Ridge) "Ruby and Jenna" Yy_� 400 N. Ridge St. Enclose Existing Front Porch 4891 (Bastone) & Reconfigure Front Wall ML NM MR SE JM SF AC MI JB a� 170 S. Ridge St New Tenant Sign "Just 4U 4892 (Win-Ridge) Nails" 7 Ridge Blvd (3)2nd Story Addition, 4893 (Holleran) Rebuild Breezeway,New Front Porch,Aterations 7 Bell Place New Roof Line,New Front 4894 (Ledesma) Portico Exterior; Interior Alterations ML NM MR SE JM SF AC MI JB DAT AC n ® E(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE oz/os/zozo 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 CONTANAME: Robert Tejada Global Wealth Protection,LLC PHONE . (516)405-6010 PAC No; (516)405-6011 90 Merrick Ave ADDIRLE . info@globalwealthp.com Suite 120 INSURERS AFFORDING COVERAGE NAIL R East Meadow NY 11554 INSURER A: Atlantic Casualty Insurance Company 42846 INSURED INSURER B: MID CENTURY INS CO 21687 Vallesigns&Awnings Inc INSURERC: United Specialty Insurance Company 12537 55 Decker St INSURERD: INSURER E: Copiague NY 11726 1 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICPOLICY NUMBER MMIDDV EFP POLICY EXP LIMITS X COMMERCIAL GENERAL UA13RM EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE �X PREMISES DAMAGE T RENTED 300,000 ES Ea occurrence $ X Blanket Addl.Insd MED EXP(Any one person) $ 5,000 A X Blanket Subr.Wvd X M302000303-0 01/31/2020 01/31/2021 PERSONAL&ADV INJURY s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY❑X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 015353149 08/15/2019 08/15/2020 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED X NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per eocident $ UMBRELLA L1AS X OCCUR EACH OCCURRENCE $ 1,000,000 C X EXCESSLIAS CLAIMS-MADE X CCP885893 01/31/2020 01/31/2021 AGGREGATE $ 1,OOQ000 DIED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STAT UTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE 7 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate holder is added as an additional insured. 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 AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD /7_A0rb\N*4_ NYSIF New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE a b ^^^^^^ 200976408 GLOBAL WEALTH PROTECTION LLC 90 MERRICK AVE STE 120 1- EAST MEADOW NY 11554 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER VALLESIGNS&AWNINGS, INC. VILLAGE OF RYE BROOK 55 DECKER ST 938 KING STREET COPIAGUE NY 11726 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12424 055-8 780703 08/17/2019 TO 08/17/2020 2/5/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2424 055-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT OSCAR VALLE VICE PRESIDENT JUAN CARLOS VALLE OF VALLESIGNS&AWNINGS, INC. (A TWO-PERSON CORP) THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 900411684 U-26.3