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HomeMy WebLinkAboutBP20-069l PERMIT # SECTION TYPE OF WORE( JOB LOCATION OWNER CONTRACTur TCO # sw�fio, po.� l �hc sys!-em r,er- urn - Un I io-�;�3�y-0I 5 1 % EE�Jt FEE DATE INSPECTION RECORp DATE I FOOTING ZL�2 FOUNDATION FRAMING - RGH FRAMING INSULATION -- PLUMBING �J RGH PLUMBING GAS 0 SPRINKLERr----- ELECTRIC LOW -VOLT O ---- ALARM AS BUILT ! (� FINAL c "D�i�/�elle�r�na t�lo CC �k S�Gc%7CS � �-- c OTHER ARB BOT P8 ZBA OTHER _ AS-BUILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION ✓f, gw ed 1 1/z/2l VILLAGN,OF RYE BROOK WESTCHEST 2 CouiNuY, NEW YORK NO: 22-072 Certificate of ®ccupaucp This is to certify that o'J J (�� of, K y15 {�(�(��� /y y having duly filed an application on y—em bet- :2_ 20 requesting a Certificate of Occupancy for the premises known as, J 7 &)TheSfPr Dr/Ve , Rye Brook,NY, located in a R_�� Zoning District and shown on the most current Tax Map as Section: IBC). 10& Block: t Lot: tp and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No.a0-C&q , issued 20 2Z6 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 following New York State Classifications, Use: )?3 Ori e" F-arn/ I(/ , Construction: for the following purposes: l 1-1- qvwyld SlC)I rr m)r?cy �l DYI e ea-h o , Tab l �'-2��e T SPV M .2 S&2S ? _ Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: 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 shall be ma ,nor shall the building be moved from one location to another until a permit to accomplish such change has been obtained o e i ' g Ins or. MAY 1 6 2022 Assistant Building Inspector,Village of Rye Brook: Date: 4 f°a J 406 LbutkwuaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher]. Bradbury www.t�,ebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE May 16,2022 Andrew Rosson&Susan Rosson 27 Dorchester Drive Rye Brook,New York 10573 Re: 27 Dorchester Drive, Rye Brook,New York 10573 Parcel ID#: 129.66-1-16 This document certifies that the work done under Mechanical Permit #20-107 issued on 8/10/2020 for the installation of one under-ground propane tank has been satisfactorily completed. Sincerely, Steven E. Fews Assistant Building&Fire Inspector /to BUILD ENT For office use only.- NOV - 2 2021 wr.<E PERMIT D vG�r VIL ". OK 938 KIIvc STRGl 'b Yogic 10573 DATII i - I F, Y / j, aQby O FEE: PAib G' IVrvCrr� APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS Tb HE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR-TO THE FINAL INSPECTION Address: 27 Dorchester Drive Occupancy/Use: Single Family Rea ,parcel ID#: 129.s6-1-116 R-15 `f Zone: Owner: Susan and Andrew Rosson Address: 27 Dorchester Drive,Rye Brook,"NY P.EdiZ.A.or Contractor: Crozier Gedney Architects PC Address: i41 EIrn:Ptace,Rye,NY 10580 Person in responsible charge: E.L.Wagner Co.,Inc.(Wagnor Pools) Address: 101 Norolon Ave,Darien,CT 06820(Chris Olson) Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the stl-ucture/coustructioii/alt6i�ation herein mentioned in accordance with law: - STATE OF NEW YORK,COUNTY OF WESTCHESTER as: i Susan/nndrow Rosson being duly swom,deposes and says that helshe resides at 27 Dorchester Drive. i (}Tint Name or Applicant) (No.and Slrectj in Rye Brook,NY y Westchester the County of in the:State of NY .,that (Ci)(fownl 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 for the construction or alteration of: pool and patio with associated storm- ator management Deponent further states tlrat 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 structurchvm•k has been erected/completed in accordancewith the approved plans and any amendments thereto except in so far as variations thereforehave been legally authorized,and as crected/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,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspcctot•.as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day off 20 _ day of CC_fb c�2✓ ,20 2-1 I I rSignplure of Prop sire of,. g/. Ppl/icafnl Susan and Andrew Rosson tof;it ntHame of Property o vner Print Name of Applicant J olary Public Notary Public SHARI MELILLO Notary Public, State of New York No. 0110 E61 6 083 KIMBERLY BLISS - Qualified in Westchester County NOTARY PUBLIC-STATE OF NEW YORK 79 Commission Exoires January 29.20�� No. In Putnam C Qttafified In Putnam County My Q nmission Expires 10-21-2024 �yE BRC�k. • 1982 BUILDING DEPARTMENT ❑BUImING 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 - - - - - - - - - - - - - - - - - - - - I , ADDRESS: C,.r::�E C �V DATE: PERMIT# ( �" 1 ISSUED: I 14E�T: BLOCK: LOT: LOCATION: 5 OCCUPANCY: i V ❑ 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 BRCv�, w � 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 : DATE: 2 PERMIT# ' �O �\J" ISSUED: SJ JECOT: BLOCK: LOT LOCATION: -OC l «l o OCCUPANCY:'-1 ❑ VIOLATION NOTED THE WORK IV s ACCEPTED ❑ REJECTED/ REINSPECTION ,Z SITE INSPECTION S+ REQUIRED ❑ FOOTING \tV a1G ❑ FOOTING DRAINAGE ❑ FOUNDATION k'xj�(,-a1( '' ❑ UNDERGROUND PLUMBING , OTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION \, ❑ NATURAL GAS 1 ( \C}�� � 1C'��C` iT(CC�� ❑ L.P. GAS \ S LUC ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING hl ❑ CROSS CONNECTION1(�1S() C� l(�\ 1 ❑ FINAL 0' OTHER Q E BRC�k• BUILDING DEPARTMENT ❑BUILDING INSPECTOR E[�ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK 938 KING STREET • RYE BROOK NY 10573 ❑CODE ENFORCEMENT OFFICER � (914) 939-0668 FAX (914) 939-5801 www ryebrook.or - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS• V � ` ��' 1 DATE: 2C� No I 10 (� rERMIT# ISSUED:` SECT: ` ` BLOCK: LOT:L� LOCATION: OCCUPANCY: 22 �.. ❑ 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 -"Er L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE Map dI cu � 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 - - - -- - - - - - - - - - - - - - - - q (,. r ADDRESS: DATE. PERMIT# Z 0 ' � ISSUED: Z�-� SECT: BLOCK: LOT: � 1 LOCATION: (� \ � OCCUPANCY: 1 ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION �' REQUIRED P FOOTING 0 FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION , / ❑ NATURAL GAS �� M G V e c V e-c f l CAW VlV M 4) Ci- A i T ❑❑ F P. GAS EL TANK CA \1 ef-0 ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BRC�� Village of Rye Brook Public Works and Engineering Department 938 KrxG STREET•RYE BROOK,NY 10573 (914)939-0753 FAx(914)939-0242 �c INSPECTION REPORT Z1 Date•,�er .�ti Address• �f� � Name: A 7G I Location: x T " Permit#: Phone: / Email: Work being Inspected: "V Work Inspected is: 4 ' Rejected Re-Inspection Required T Violation Noted Code Section Code Section: Action Taken Code Section: Action Taken 118 Erosion Sediment Pass Fail Violation 210 Storm Water 497 Fail Violation 135 Refuse Pass Fail Violation 215 Street Sidewalk Pass Fail Violation 213 Steep Slopes Pass Fail Violation 235 Trees Pass Fail Violation 216 Illicit Discharge Pass Fail Violation 245 Wetlands Pass Fail Violation Other: Pass Fail Violation N 6114 oe Diag'�ram s SignatureA4'0� it it 4* 4-1 4: t c;C.U 41-4: 42 4- it 4- 4-.t 9 U t-t C; 4fi= = 41t;4. it ko OD a 16 21 43 00 cc Ir- A ag lot ce ON t; are mom 00 cg W I Z Q 96 Q) m a � � � m Sri ' i . . . ip 6 ip BR BUILDING DE k MENT VI4ACE OF RYE OK JUN 2 2 2020 938 KIN iz RYE B ,NY 10573 (914)9 66 939-5801 VILLAGE OF ROE BROOK BUILDING I�r�ARPAENT w4aT_ or _ ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required Q FOR OFFICE USE ONLY 131, it: ` V EP#: (DoQ a 1O Approval Date: JUN 2 4 2020 Permit Fee: $ � Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 6 It n 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. 1.Address: ), 7 -pLN'Cptc 1 F er SBL: (Z Q' G G — ( _ G C Zone: F 5 2.Property Owner: R 03SO(1 Address: Phone#: Cell#: email: T n 3.Master Electrician: �'V)eAr7y 120drt 2 LICE Address: S 7 Cfb f n Aver1te t 03 St'M'.y /U y i DS 6 Lie.#: 3�f`F Phone#: 4)`F-q.23-I`5'f Cell#: 41*-906-44t* email: VVldonyS1t' P4VA( tk,cOW1 Company Name:km aAn!4(S E/eG><Y t'G Address: 57 C ruU W �v�. OSSt'n i✓ui f ISM l DS6 2- 4.Proposed Electrical Work/Fixture Count: 21 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: A-tji - f�r�/(,�'r;/c� being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of indivi al signing a e applicant) 1 state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is they-- 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 Swo to before me this day of 20 day of ,20 Signature of Property Owner SiMA,AA7 f Applicant &D K-,q U� Print Name of Property Owner Print Name of A pltcant Notary Public Notary Public 3/21/19 1-WD Westchester Rockland Electrical Inspection Services, Inc Phone: 9247-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue �. Fax: 914-347-3596 Elmsford, NY 10523 BUILDING PERMIT{NO. TEMP# DATE "too -O3 CITY OR VILLAGE /' ZIP CODE TOWNSHIP C0UNr STREET AND NO.OR ROADPOLE NUMBER OLLC.AP) If tr/c Z BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT 1 OCCUPANT'S NAME BUILDING OCCUPANCY OA-1 OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER S "�)-rr-'C- CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES R MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT L�� U T 1'FL. 2-FL. 3'FL. AGE OF RV' BROOK B ILDIN U :PA TMENT 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 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❑ ADDITIONAL❑ EXPOSED O CONCEALED❑ 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 SIGNATURE OF APPLICANT STREET ADDRESS TELEPHONE NO. i It4- s -- I 1 CnY OR POST OFFICE ��P CODE LICENSE NO.WHEN APPLICABLE /-1, I-V' /- (L-, 6 L IT— 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: Manny s Lighting and Electric Rosson 57 CROTON AVE. OSSINING NY 10562 Located at: 27 Dorchester Dr, Rye Brook, NY 10573 Certificate Number: 732661 Section: Block: Lot: BDC: Permit Number: EP:20-086 BP:20-069 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 in/on the premises at: 27 Dorchester Dr, Rye Brook, NY 10573 ❑Basement El 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 9/14/2020 Name Quantity Rating Circuit Type Motor 1 Pool Pool Lighting 2 Line Voltage Pool Heater 1 Gas Pool Cover 1 Receptacle 1 GFCI Switch 1 Single Pole This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. Y" G���4 This certificate is valid for work performed before date of inspection only. v� i N r s � O FFf c e � N i' GSi •.raj � d � � � � � _ L Wis A3 w � ,a�i � � Q `•ZI � O co LL .. # 1 _ • zy c WON mom *moo E 5� 96 o = f • Q 3 � x r' ° 8 A U � Qn as 6R � � • y ° + ti d a BUILDING DEPARTMENT EC [E � v I� VILLAGE OF RYE BROOK 0 938 KING STREET RYE BROOK,NY 10573 AUG 17 2020 (914)939-0668 FAX(914)939-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT PLUMBING PERMIT APPLICATIO Approval Date: AUG 1 2020 Permit Fee: $ / TA J 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 Penn it to install an 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. I 1.Address: _ 1?1 SBL: p1 g �p�p ''/ "�!p Zone: Kn—/5- 2.Proposed Work: I n a-S 1fi� u n do y u )c yco Do o 'i51 U Po10/ 4 Oct—, I a,4-L�:S. 7, c 4-o oo+doo r w S ,- 4e 3.Property Owner: A ro e�„� I �S Sd� Address: 2--7 Phone#: Cell #: to Q 6- U q 0 Z mail: 4.Master Plumber: Ll k k,-.r10 . 1(YI t jC( Address: L4 1 �- ro,,n k-h n S+ . Lic.#: l� _ Phone#: dry-bp5.-qo,,2 Cell#: 90- Ll 3757 email: M PC)Icy-,,,j 3 aQ ice! Company Name:?e I Imo ,-,n o 1 u(n b, Address: L4 l - Fro-" 10,n S+ 7 C ✓) 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 Basement 1st Floor 2nd Floor 31 Floor 4'h Floor 5''Floor Exterior 5.* List Other Equipment/Provide Details: t� I ti I L.Q I o ?001 �ep4 z + I WQ 541QQ .t +6 ?ool V7',A w & Co �AWuw► 6mN4,,, (Notarized Signatures Required Next 2 Pages) 4- 3/21/19 , BUILD RTMENT D VI E OF RXYI;'AROOK 938 KING ET RYE BR Qo NY 10573 AUG 1 1 2020 (914)9 9 39-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS 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 RETURNED TO THE APPLICANT. STATE OF NEW YQORK, COUNTY OF WESTCHESTER ) as: 1, residing at, 2-71 �aYC�la �e�Y�►�l V (Print name) (Address where you live) being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; Rye Brook,NY. (Job Address) 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. (Signature of Prope Owner(s)) 7� ti � 2� � (Print Name of Property Owner(s)) �7 Sworn to before me this day of 201&X6_6JJ_ ' a� (Notary Public) -3- 3/21/19 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: �-0 �'� R41ss� ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the 1lC�lGr,nra PIS kids 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 ore me this / Sworn to before me this ` day 20 690 day of 20 026 OF rh q Signature of Property Owner Signature of Applicant Atvpa ri k v8O✓v M i Gkae1 a Il e.e-%t.iio Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 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. 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- 3/21/19 Mike Izzo From: Mike Izzo Sent: Monday, November 29, 2021 9:58 AM To: Andrew Rosson Cc: Steven Fews; 'Tara Gerardi'; Laura Petersen Subject: FW: Permit Extension Request - 27 Dorchester Drive (Permit#: BP 20-069) Dear Mr. & Ms. Rosson, I am pleased to inform you that following successful completion of the preliminary pool safety inspection, your request for a 2nd extension to the subject open swimming pool permit has been approved. Please note that this is the final permit extension allowed by code. Any further extension must come before the Village Board of Trustees for consideration. Please note the new permit expiration date is May 29, 2022. Please arrange for all work to be completed and successfully inspected, and for all paperwork & fees to be remitted to the Village such to facilitate the issuance of the Certificate of Occupancy/Certificate of Compliance closing out the subject permit on or before that date. Thank you. lfflc4011(7, /zzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From: Mike Izzo Sent:Tuesday, November 9, 20214:01 PM To:Andrew Rosson <arosson@gmail.com> Cc:Steven Fews<Steve Fews @rye b rook.o rg>;Tara Gerardi<tgerardi@ryebrook.org>; Laura Petersen <LPetersen@ryebrook.org> Subject: RE: Permit Extension Request-27 Dorchester Drive (Permit#: BP 20-069) Dear Mr.& Mrs. Rossen, Thank you for the email. Please note that the Building Department is inclined to approve your request for a permit extension to facilitate a complete final inspection for C/O for the pool. However, given the unique public safety hazards associated with a swimming pool, in order to consider such approval you must submit to a preliminary safety inspection in order to confirm that the swimming pool is properly protected with a code compliant fence and that the home is properly fitted with code compliant pool alarms at the appropriate doors and windows. Once we confirm that all code compliant life safety features are in place and functioning as intended, we will be prepared to approve a six (6) month extension to your pool permit to facilitate a complete final inspection. To schedule the preliminary safety inspection, please contact our office assistant, Laura at, (914) 939-0668, Monday through Friday between 8:30am and 4:OOpm. Thank you. 1 • Atc 4 a&/(7, /zza Building & Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Andrew Rosson<arosson@Rmail.com> Sent:Tuesday, November 9, 20219:07 AM To: Mike Izzo<Mlzzo@ryebrook.ore> Cc:Steven Fews<SteveFews@ryebrook.org>;Tara Gerardi<tserardi@rvebrook.ore>; Laura Petersen <LPetersen@rvebrook.org> Subject: Re: Permit Extension Request-27 Dorchester Drive (Permit#: BP 20-069) Good morning .. last week, I submitted the application for a Certificate of Occupancy(and remitted all applicable fees) for Permit Number: BP 20-069 for the installation of the swimming pool 27 Dorchester Drive which has a extended expiration date of 11/29/21. 1 spoke with Laura subsequently and she indicated that we should apply for another extension since the pool is currently closed for the winter and the final inspection needs to be completed when the pool is operational. Therefore, I am writing to request an additional extension to the Spring when we can reopen the pool for operation and inspection. Please let me know if you need any additional information. Thanks. Andrew&Susan Rosson 27 Dorchester Dr, Rye Brook, NY 10573 917-453-3184 On Tue, May 18, 2021 at 3:59 PM Mike Izzo<Mlzzo@ryebrook.ors>wrote: Dear Mr. & Ms. Rosson, Thank you for the email. I am pleased to inform you that a six (6) month extension to your open permit #BP20-069 has been approved, and that the new expiration date is 11/29/21. Please arrange for all work to be completed and successfully inspected, and for all paperwork & fees to be remitted to the Village such to facilitate the issuance of the Certificate of Occupancy on or before that date. 2 Thank you. X�4d(7, Izzo Building & Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Andrew Rosson <arosson@gmail.com> Sent:Tuesday, May 18, 2021 1:38 PM To: Mike Izzo <Mlzzo@ryebrook.org> Subject: Permit Extension Request - 27 Dorchester Drive (Permit#: BP 20-069) Mr. Izzo -- As you know, we have an outstanding permit for the installation of a swimming pool at 27 Dorchester Drive (Permit Number: BP 20-069) which was issued on 5/29/2020 and expires on 5/29/21. We'd like to request an extension for completion/close out of the permit. While the pool construction is complete, we still have a little work to do on the site regarding screening (delays with materials) and have not been able to obtain a final survey yet which as I understand, is required for final inspection. We are actively working to get the survey done but the surveyor is backlogged. Can you please approve an extension for the permit close out? Please let me know if you need any additional information. Many thanks. 3 Andrew&Susan Rosson 27 Dorchester Dr, Rye Brook, NY 10573 917-453-3184 4 Mike Izzo From: Mike Izzo Sent: Tuesday, November 9, 2021 4:01 PM To: Andrew Rosson Cc: Steven Fews;Tara Gerardi; Laura Petersen Subject: RE: Permit Extension Request - 27 Dorchester Drive (Permit#: BP 20-069) Dear Mr.& Mrs. Rossen, Thank you for the email. Please note that the Building Department is inclined to approve your request for a permit extension to facilitate a complete final inspection for C/O for the pool. However, given the unique public safety hazards associated with a swimming pool, in order to consider such approval you must submit to a preliminary safety inspection in order to confirm that the swimming pool is properly protected with a code compliant fence and that the home is properly fitted with code compliant pool alarms at the appropriate doors and windows. Once we confirm that all code compliant life safety features are in place and functioning as intended, we will be prepared to approve a six (6) month extension to your pool permit to facilitate a complete final inspection. To schedule the preliminary safety inspection, please contact our office assistant, Laura at, (914) 939-0668, Monday through Friday between 8:30am and 4:O0pm. Thank you. lffl��ael(7, /zzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Andrew Rosson <arosson@gmail.com> Sent:Tuesday, November 9, 2021 9:07 AM To: Mike Izzo<Mlzzo@ryebrook.org> Cc:Steven Fews<Steve Fews @rye brook.org>;Tara Gerardi<tgerardi@ryebrook.org>; Laura Petersen <LPetersen @ ryebrook.org> Subject: Re: Permit Extension Request-27 Dorchester Drive (Permit#: BP 20-069) Good morning .. last week, I submitted the application for a Certificate of Occupancy (and remitted all applicable fees) for Permit Number: BP 20-069 for the installation of the swimming pool 27 Dorchester Drive which has a extended expiration date of 11/29/21. 1 spoke with Laura subsequently and she indicated that we should apply for another extension since the pool is currently closed for the winter and the final inspection needs to be completed when the pool is operational. Therefore, I am writing to request an additional extension to the Spring when we can reopen the pool for operation and inspection. Please let me know if you need any additional information. Thanks. Andrew&Susan Rosson 1 27 Dorchester Dr, Rye Brook, NY 10573 917-453-3184 On Tue,May 18,2021 at 3:59 PM Mike Izzo<Mlzzo@ryebrook.ore>wrote: Dear Mr. &Ms. Rosson, Thank you for the email. I am pleased to inform you that a six (6) month extension to your open permit #BP20-069 has been approved, and that the new expiration date is 11/29/21. Please arrange for all work to be completed and successfully inspected, and for all paperwork& fees to be remitted to the Village such to facilitate the issuance of the Certificate of Occupancy on or before that date. Thank you. Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Andrew Rosson<arosson@email.com> Sent:Tuesday, May 18,20211:38 PM To:Mike Izzo<Mlzzo@ryebrook.ore> Subject: Permit Extension Request-27 Dorchester Drive (Permit#: BP 20-069) Mr. Izzo-- 2 As you know, we have an outstanding permit for the installation of a swimming pool at 27 Dorchester Drive (Permit Number: BP 20-069) which was issued on 5/29/2020 and expires on 5/29/21. We'd like to request an extension for completion/close out of the permit. While the pool construction is complete, we still have a little work to do on the site regarding screening(delays with materials)and have not been able to obtain a final survey yet which as I understand, is required for final inspection. We are actively working to get the survey done but the surveyor is backlogged. Can you please approve an extension for the permit close out? Please let me know if you need any additional information. Many thanks. Andrew &Susan Rosson 27 Dorchester Dr, Rye Brook, NY 10573 917-453-3184 3 Mike Izzo From: Mike Izzo Sent: Tuesday, May 18, 2021 4:00 PM To: Andrew Rosson Cc: Steven Fews; 'Tara Gerardi'; Laura Petersen Subject: RE: Permit Extension Request - 27 Dorchester Drive (Permit#: BP 20-069) Dear Mr. & Ms. Rosson, Thank you for the email. I am pleased to inform you that a six (6) month extension to your open permit #BP20-069 has been approved, and that the new expiration date is 11/29/21. Please arrange for all work to be completed and successfully inspected, and for all paperwork & fees to be remitted to the Village such to facilitate the issuance of the Certificate of Occupancy on or before that date. Thank you. lffl��aeI t7, /zza Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Andrew Rosson<arosson@gmail.com> Sent:Tuesday, May 18, 2021 1:38 PM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: Permit Extension Request-27 Dorchester Drive (Permit#: BP 20-069) Mr. Izzo-- As you know, we have an outstanding permit for the installation of a swimming pool at 27 Dorchester Drive (Permit Number: BP 20-069) which was issued on 5/29/2020 and expires on 5/29/21. We'd like to request an extension for completion/close out of the permit. While the pool construction is complete,we still have a little work to do on the site regarding screening(delays with materials) and have not been able to obtain a final survey yet which as I understand, is required for final inspection. We are actively working to get the survey done but the surveyor is backlogged. Can you please approve an extension for the permit close out? Please let me know if you need any additional information. Many thanks. Andrew&Susan Rosson 27 Dorchester Dr, Rye Brook, NY 10573 917-453-3184 1 Tara Gerardi From: Chris Olsen <colsen@wagnerswimmingpools.com> Sent: Wednesday, June 10, 2020 6:50 AM To: Michal Nowak Cc: Tara Gerardi;Andrew Rosson; Susan Rosson;Joao Malheiro; Mike Gedney Subject: Re: ROSSON- Request for Cultec Inspection Thank you Michal! Much appreciated. Chris Olsen Designer/Project Manager E. L.Wagner Co., Inc. 101 Noroton Avenue Darien, CT 06820 (203)883-0359 Direct Line and Fax (203)655-0766 Wagner Pools colsenewapnerswimmingpools.com www.wagnerswimmingpools.com On Jun 9, 2020, at 7:28 PM, Michal Nowak<MNowak&ryebrook.org>wrote: We're working off hours at limited staff. See attached inspection form .Mic"1.✓vowc& Superintendent of Public Works And Engineering ISA Arborist Village of Rye Brook 938 King Street Rye Brook,NY 10573 P: 914-939-0753 x 2965 F: 914-939-5801 "AbAc WeN&—J fw Awd6eat thia VWa9e" From:Chris Olsen [mailto:colsen@waenerswimminepools.com] Sent:Tuesday,June 9, 2020 3:49 PM To: Michal Nowak<MNowak@rvebrook.ore> Cc:Andrew Rosson <arosson@email.com>; Susan Rosson <srosson3PRmail.com>;Joao Malheiro <imalheiro@wasnerswimminepools.com>; Mike Gedney<meednev@wagnerswimminepools.com> Subject: ROSSON- Request for Cultec Inspection ROSSON @ 27 Dorchester Dr., Rye Brook, NY Micheal Nowak @ Rye Brook Engineering Dept: 1 Today we installed the Cultec system for our pool project. Rye Brook Bldg Dept said you need to inspect the Cultec before we backfill the hole. When can you be on site to inspect? Or can we just send you photos? See attached pics I have left several voicemails at your office today, then finally @ 3:45 someone at Public Works told me to email you instead of leaving more voicemails... See attached pdf of the drainage plan that was approved by ARB Chris Olsen Designer/Project Manager E. L.Wagner Co., Inc. 101 Noroton Avenue Darien, CT 06820 (203)883-0359 Direct Line and Fax (203)655-0766 Wagner Pools colsen wagnerswimmingaools.com www.wagnerswimming000ls.com <DOC_20200609192836.pdf> 2 Tara Gerardi From: Michal Nowak Sent: Tuesday,June 9, 2020 9:01 PM To: Tara Gerardi Subject: FW: ROSSON- Request for Cultec Inspection Attachments: Rosson-Civil.pdf,ATT00001.htm; IMG_4739.JPG;ATT00002.htm; IMG_4737.JPG; ATT00003.htm Can we file these pics with permit please From:Chris Olsen [mailto:colsen@wagnerswimmingpools.com] Sent:Tuesday,June 9, 2020 3:49 PM To: Michal Nowak<MNowak@ryebrook.org> Cc:Andrew Rosson <arosson@gmail.com>; Susan Rosson <srosson3@gmail.com>;Joao Malheiro <jmalheiro@wagnerswimmingpools.com>; Mike Gedney<mgedney@wagnerswimmingpools.com> Subject: ROSSON- Request for Cultec Inspection ROSSON @ 27 Dorchester Dr., Rye Brook, NY Micheal Nowak @ Rye Brook Engineering Dept: Today we installed the Cultec system for our pool project. Rye Brook Bldg Dept said you need to inspect the Cultec before we backfill the hole. When can you be on site to inspect? Or can we just send you photos? See attached pics I have left several voicemails at your office today, then finally @ 3:45 someone at Public Works told me to email you instead of leaving more voicemails... See attached pdf of the drainage plan that was approved by ARB Chris Olsen Designer/Project Manager E. L.Wagner Co., Inc. 101 Noroton Avenue Darien, CT 06820 (203)883-0359 Direct Line and Fax (203)655-0766 Wagner Pools colsenewaanerswimmin4000ls.com www.wagnerswimmingpools.com 1 A�F`C �4 �45• $ i�A ��[���ep� �'�(Yy ��tlR f�p8 b ��2 �9€6 ¢. �z - It �Ynp Sy �j6 131� A�6[B9 1 k!e 4 g�� B�111 RXI %gI $gig ytly�S7€� aq EgpFa itl ' ky� a t� � � Aga g o z Z 6�9 ° ie"3I yy a ��F.R F p9 4 # B 3 !9 yy Nd b �� Y i A i Bg R6666��� �yy07 tomzR �� i Fpg3yg nyaaGY aE 4aa y K z EyLy� tlAg ya � o ! g R F3 ;e nen 2 �� � a 8�Ea �� tl � 4 �a �ml Nil l 1: B8 BAC„ Fp b � e !21 p� BAe" gg U 15 34 �■ev ��5� �$5$��n���6r{ � g� � � •■g�y}y}ypypYQ—Yp I � � I �14 5^lei- Ni p 9®®d 55 ss 6���n �bZ- 04 � o�F�R niw�N 9 b e gg (1 gBgg(y 5' � LLI 00—, Z4 'S pg k � Ae 00 SSA 3 s:�9� F O 1 lot — sot Wo a < N tot rot 1 lei A � o �Ie a � I'�' Z E go 3^h^ t l W n n so WONi Qo �° M Z—Zt—.S4 'NCP Q 8 @ �� 4 � �� _. a i� i �� IY �A�i®y S �A_.. b�, ■Y■+Q� � I 6 p�yq��y�fi@�ae�� � i U ~ Y 6■���4i� 4 it i � k � � ! g i.o-■■■fie F ; O 1 CL J �• � yggy1� 4�� � � AAI6��� �' e510®B®p■■Y���ey��� a��`oi �A w Z� N 7Y Edgy eQ{� $ 'eC�1! 5�5 2@a�■�plP■�iI oom yy�! § IA�iQ�■SY��gO p e Y� 9 GA ��■ q yipyy ty"111111111 EA �g�Q ��■ii F jY YCY I K�1 �d�g`RI y9„eAbd��l� _W o 7 �J"y 0 U0, aoao<� it 1 Ap A z gg �z k < 0 -jja Nj 17 ILL" �iL s b Y4 3d� I Y •t. _W7r h` /�►'r 6 R f � w�t It 4 ' 1 f r f / t ' io Building Permit Check List&Zoning Analysis Address Z� `�D/LGt�R-� .(t— �/l� SBL; Zone: Use: 2 ! Const.Type: 3 Other. Submittal Date: Revisions Submittal Dates: Z r S Applicant: _C o►-� Nature of Work l U - G a o N D S t,a l•^'•."t••t N c� t� To{�► per[o vk� cF� Reviews:ZBA: P R 2 3 1010 pg; BOT: Other. NEED OK ( ( ) FEES:Filing. 7 BP: t L -6—f-0 C/O: Legalizati�t•, ( ) (Jf APP: Dated ✓ Notarized: ✓ : _"Truss I.D. Cross Connection H.O.A.: (Jf ( 1 Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. M ( ) ( SITE PLAN:Topo: ✓ Site P otection /S/W Mgmt: Tree Plan Other ( (�SURVEY:Dated: t'Z 2 \ ent: `�Archival: Sealed: Unacceptable ( (Vf PLANS:Date damped: ✓ Sealed:��C op : '2--Electronic: Other. (� ( ) License: %o Workers Co �L�iabili'ty Comp.Waiver. Other. (� O CODE 753#: Q 31 W ' o_7/' 0-7-72 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: O O 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: 5 approval• 51L Mo notes: ( ZBA mtg.date: approval• notes: to REQUIRED EMSTING PROPOSED NOTES APtJKUVLU Area r S{� zy 16 s�, - IZ ems:.. MAY 2 7 1020 circle: FroprAg� Front Front Sides: Rear. Main Cow. Accs.Cov: Ft H Sb: Sd.H Sb: GFA: Tot : tt c? -rl FtImp " � 2 6 � - L6_ Paz ' Height/Stories: notes: VILLAGE OF RYE BROOK PERMIT# EROSION/SEDIMENT CONTROL (CODE t 18) Public Works Dept. 939-0753 fax 939-0242 Building Dept.939-0668 fax 939-5801 Michal Nowak,Village Engineer/Superintendent of Public Works e-mail:mnowakp. ryebrook.ore REQUIREMENT SUBMITTALS: FFAPR �0V/1. Storm Water Pollution Protection Plan(SWPPP) 2. BondDeposit: $ Datc Paid 14 2020 3. Insurance: attached on file 4. Map: attached Yon file VILLAGE OF RYE BROOK 5. UFPO No. BUILDING DEPARTMENT Owner !'Q(Q� +�(,15 n �c 56n Address 27 Dorchester Drive, Rye Brook NY 10573 Phone ( - - 0 E-mail �5r�sson3 cal , cum 91q - 3Zcl -'Saob (Cell Design ProfessionalHudson Engineering & onsuttingAddress 45 Knollwood Road, Elmsford NY 10523 Phone 914-909-0420 E-mail michael@hudsonec.com ContractorZ:Z— i4 "o12rf CQ /,�c. Contact Person C`,'is C?14e,-7 WC 1Iome Improvement License:66Wyy9d-y9,2 Address /O//1/ ���-n � j- O6-51o7C Phone (,?a3 �-07,66 F-mail Application is made for Erosion/,Sediment Control at the follofving address: 27 Dorchester Drive, Rye Brook NY 10573 For the purpose of Construction of a proposed pool and patio with associated stormwater management and sediment and erosion control practices. I certify that any land clearing, construction, or development involving the movement of earth shall be in accordance witli Ilse plans approved upon issuance of this Permit. l Yl Owner's,Signature Office Use Only BOT APPROVAL PLANNING APPROVAL FINAL APPROVAL ENGINEER DATE CONDITIONS FOR PERMIT: RETURN DEPOSIT APPROVAL,: DATE IE TURN AMOUNT: BUILDING DEPARTMENT D r� VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 APR 14 2020 (914)939-0668 FAx(914)939-5801 - www.ryebrook.or�. VILLAGE nc- R--r- E+H }OK Bt. 7��'' �:.rARTMENT FOR OFFICE USE ONLY: Approval Date: Permit#: BP # Approval Signature: Permit Fee: Disapproved: Other: Attached Resolutions:( }B.O.T.;( }P.B.:( )Other: STORMWATER771�MANAGEMENT CONTROL PERMIT APPLICATION Application dated: RI—) is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Stormwater Manageme t Control Permit for work.as per detailed statement described below. 1 Job Address:27 Dorchester Drive, Rye Brook NY 10573 2. Parcel I.D.#; 129.66-1-16 Zone: R-15 3. Proposed Work(Describc in detail):Construction of a proposed pool and patio with associated stormwater management and sediment and erosion control practices. 4. Property U-,%ner: 1&w 'd, '14 C4"l , <Ka<K Address: 27 Dorchester Drive, Rye Brook NY 10573 Phone#S3L�6 9O-/�/uZ/ c ell# -email: 15- �Cnm Applicant: 5 A-w--9� Address: Phone# Cell# email. ArchitecUl.nginctir: Hudson Engineering &Consulting P.C. Address: 45 Knollwood Road, Elmsford NY 10523 Phone#914-909-0420 Cell# email: michael@hudsonec.com General Contractor: Address: ���ile4 Cr?2 SUD Phone# -t1066 _Cell# razz 9'/3-3X 7 email:e-0 5e,1 dl,,211 a.�t� /Mir7ien nodS.COM 5. Estimated cost of site w ork $ CO (NOTE:The estimated cost shall inclu c all labor,material.scaffolding.fixed equipment.professional fees.backfill,grading.site restoration, carting,tipping fees and material&labor which may be donated gratis.) t 8289 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states 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 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 Sworn to before me this day of r� , 20 day of , 20 Signature of Prope 0 er Signature of Applicant Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 2 8/28/19 BUILDING DEPARTMENT D v VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 APR 14 2020 (914)939-0668 FAx(914939-5801 VILLAGE OF RYE BROOK ii'N w.rvehrook.org BUILDING DEPARTMENT * ;***:F i;is 9:ki:***kk:F kir**;F k;F*:tic:l•k9:ic :*k>F9:*t*:F*k��:F AAi::k:A�kAl�kik:l•J:**kk**7;*:k:k'e:l•*A•*I:F:F is is*:F:t*kk:F: *e:F*;F k k:F:kx:l•k* AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS 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 RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 31, y j'�Oft' PZ� CY1 , residing at, J-1 �o�!e�e5 � 'u. 9�E 6(6cr_/ H (Print name) (Address where you Inr) 10S-7 2 being duly sworn, deposes and states that (s)he is the applicant above named, and further states that (s)he is the J legal owner of the property to which this Affidavit of Compliance pertains at; r b C1 v_ _ , Rye Brook, NY. (Job Address) 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. �)WaIT. (Signahu ut'Property Ow er )) (Print Nanic of Prep n-ty Owner(1)) Sworn to before me this day of 120 (Nutary Public) 3/21/19 This form must be properly completed & notarized by the Design Professional of record and the Property Owner. Failure to provide this completed form with your permit application will delay the permitting process. Notice of Utilization of Truss Type, Pre-Engineered Wood, or Timber Frame Construction. (Title 19 Part 1264& 1265 NYCRR) To: The Building Inspector of the Village of Rye Brook. From: Zp.eL J g+ L_ 6 et�-�� K tYzC L. Subject Property: _Z_I. _1?0 J*_�tz . SBL: I '1q .(06 —1 —/b Zone: R-1 Please take notice that the subject;P(One or Two Family; ❑ Commercial, p-New Structure ❑ Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure — �__• to be constructed or performed at the subject property Ni ill utilize; RE-i- '❑ Truss Type Construction(TT) 2020 ❑ Pre-Engineered Wood Construction(PW) 6,.� 0 OF RYE BROOK ❑Timber Construction(TC) D PARTP�ENT in the following location(s); ❑ Floor Framing, including Girders & Beams (F) ❑ Roof Framing(R) l� ❑ Floor Framing and Roof Framing(FR) I Please note that prior to the issuance of the Certificate of' Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, or timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §►264 for Commercial buildings, and NYCRR§1265 for One &Two Family Dwellings. Sworn to before me this Sworn to before me this d 20 day of ,20 of 0 0---- Signature of Pr pe ty Owner e 6f ign/Profe sional C C �� Print Name of Property Owner rint Name of Design Professiohal Notary Public Notary Public (7) 3.3.20 pEC� C� � UI� _..._. Short Environmental Assessment For APR 14 2020 Part I -Project Information VILLAGE OF P"-- BROOK Instructions for Completing BUI l"''`�' AMTLIENT Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information RVS%60 Q ---sthe Name of Action or Project: Proposed Pool and Patio Project Location(describe,and attach a location map): 27 Dorchester Drive,Rye Brook NY 10573 Brief Description of Proposed Action: Construction of a proposed pool and patio with associated stormwater management and sediment and erosion control practices. Name of Applicant or Sponsor: Telephone: 4 (:::�R a z i'�t11 r;E j%NXLY X,-." (tizL 1��. E-Mail: Address: City/PO: State: Zip Code: Q� 0 `( 10 4,610 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3. a. Total acreage of the site of the proposed action? 0.566 acres b. Total acreage to be physically disturbed? 0.178 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.566 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ✓❑ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ a 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Airport 60 Ldn Noise Contour,Reason:Exceptional or unique character,Agency:Westchester County, If Yes,identify: Date:1-31-90 ❑ ❑✓ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ✓❑ ❑ b. Are public transportation services available at or near the site of the proposed action? ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed Elaction? IZI 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ a 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ ❑✓ 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the IZI State Register of Historic Places? b. Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑✓ ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: ❑Shoreline ❑ Forest ❑Agricultural/grasslands ❑ Early mid-successional ❑Wetland ❑ Urban m Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑ ❑ 16. Is the project site located in the 100-year flood plan? NO YES ❑✓ ❑ 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ ❑✓ a. Will storm water discharges flow to adjacent properties? ❑✓ El b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ If Yes,briefly describe: Stormwater will be collected from the proposed watershed areas and conveyed to the proposed infiltration system where it is infiltrated into the surrounding soil. 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed) for hazardous waste? If Yes,describe: ❑ ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE fifi Applicant/sponsor/name: Date: 3 ZO Signature: Title: /htrY'.r' PRINT FORM Page 3 of 3 EAF Mapper Summary Report Monday, March 16, 2020 11:34 AM Disclaimer: The EAF Mapper is a screening tool intended to assist 29.661-3 129-W1,j1 129 67-1-3 project sponsors and reviewing agencies in preparing an environmental L assessment form(EAF).Not all questions asked in the EAF are Y 129 6r1 12 l answered by the EAF Mapper.Additional information on any EAF �` r 129 6T-1-2 question can be obtained by consulting the EAF Workbooks. Although *�` the EAF Mapper provides the most up-to-date digital data available to R DEC,you may also need to contact local or other data sources in order 129 6611 3 `�`,,, 'I to obtain data not provided by the Mapper.Digital data is not a substitute for agency determinations. 129.66-1-14 ` 129.67.1-1 12 ..661-16 Toronto i" 129.7s 1•51 Ifrlral ab"'' ~j r:itrAa,d P rnvidwx. $woes Eiji �E z.G rr-i-. USW. 9,74.1s-49, M7arma�p t1CRE1.4E. P NRCatr rEiM 75 1 6 .SW MEtAkwiCtuns( EsN SaelC:S - sr,4fp?�p,) >rtERE Garmm KaN Esti(Thell*V1 NGCC (c$ Is ncolowrbits USG*,#nQr,7Wv INCREh1ENT 00*eSV"04*aonW P ri�?Ctir.Esn JaFan MET I. 12 9.7 41-47 vi a C omRtNSi thtt iG16 ra S11 Ke++ ►.Est, �' i 11►a .tF,iQ. � G Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7 [Critical Environmental Name:Airport 60 Ldn Noise Contour, Reason:Exceptional or unique character, Area - Identify] Agency:Westchester County, Date:1-31-90 Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] No Part 1 /Question 13a [Wetlands or Other Yes- Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15 [Threatened or No Endangered Animal] Part 1 /Question 16 [100 Year Flood Plain] No Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK,NY 10573 (T) 939-0668 (F)939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, May 20, 2020 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 7 Agryle Road Re-Appearance To Show Consent 5000 (Mack) Exterior Lighting Agenda 16 Maywood Ave Roof Top Solar Array Consent 5001 (Robles) Agenda 1 Elm Hill Drive Rear Yard Fence Consent 5002 (Mayell) Replacement Agenda 33 Country Ridge 6 Ft High Fence &Replace Consent 5003 Drive(Umbro) &Expand Existing Patio Agenda 177 North Ridge St Revision To Prior Approval 5004 (Lovallo) 5 Brooksideway Re-Appearance Detached 5005 (Con Edison) Accessory Bldgs 13 Magnolia Dr 1 Story Addition&2 Story 5006 (Schaenman) Addition 67 1/2 Winding In-ground Swimming Pool. 5007 Wood Rd(Coffey) W/Paver Patio, 6'-0" Privacy Fence 6 Country Ridge Dr In-Ground Swimming Pool 5008 (Scala) &Patio 27 Dortchester Dr In-Ground Swimming Pool 5009 (Rosson) & Patio 47 Rock Ridge Dr Revisions To Prior Approval 5010 (Nurik) 980 Anderson Hill New Pump House & 5011 Road(Blind Brook Clubhouse Addition Club) ML U NM / MR ✓ SE JM / SF AC MI JB CROZIER GEDNEY ARCHITECTS, PC 41 Elm Place — Rye, New York 10580 914.967.6060 FIT.ivs WWW.CROZIERGEDNEY.COM May 6, zozo S Mr. Michael J. Izzo Building and Fire Inspector Village of Rye Brook Building Department King Street Rye Brook, New York Re: 27 Dorchester Drive i29-66-i-i6 Dear Mr. Izzo, Attached please find one (I) 24x36, (i) one Hx17, and one CD with revised drawings: *LA-i Pool Plan * C-t Storm Water Management Plan * C-z Details for your review and placement on the next ARB agenda. As per your e-mail, dated May 1,2020, we have revised the proposed pool elevation by lowering the coping by .5 feet (6"), reducing the grade change to 103.5 or 6" above existing. We are now in compliance with Section 209-i.B.io. Additionally, we show z new catch basins and a Belgium block curb along the eastern edge of the pool patio. Please do not hesitate to contact me with any questions or concerns. Sincerely yours, Rex B. Gedney, AIA RBG/ch rMi REVISPLAN E�IDATEBUILD Mike Izzo From: Mike Izzo Sent: Friday, May 01, 2020 11:37 AM To: 'Andrew Rosson'; Susan Rosson Cc: Christopher Bradbury; Steven Fews; Michal Nowak; tgerardi@ryebrook.org; Laura Petersen Subject: 27 Dorchester Drive Attachments: Site Plan Application 3.21.19.pdf Dear Mr. Rosson, The Building Department is in receipt of an application&a single sealed plan submitted by Crozier-Gedeny Architects, as well as a three(3)page set of unsealed plans from Hudson Engineering all received on April 14,2020.We are also in receipt of a single sealed revised plan by Crozier-Gedney Architects received April 27, 2020.All the material was submitted on your behalf for placement on the May 20,2o2o Architectural Review Board(ARB) agenda and ultimately a building permit for the construction of an in-ground swimming pool with pool patio, swimming pool fence,swimming pool equipment,storm water management system,and partial regrading of the rear yard at the subject address. Unfortunately your application can neither be forwarded to the ARB nor processed further. Please note that Village Code§209-1.B.10. requires Site Plan Review by the Village Planning Board for regrading resulting in a change of elevation greater than one foot across an area of 400 sq.ft.or greater. Upon review of the proposed plans it appears that such a change is proposed across an area of almost 660 sq.ft.of your rear yard.Therefore in order to proceed you&your professionals must complete and submit a Site Plan Application and appear before the Village Planning Board before proceeding to the ARB. In addition,please arrange for all the plans intended to be brought before the Planning Board or before any other Village Board to be properly signed and sealed by the design professional. I have attached a copy of the Site Plan Application hereto for your convenience. Please submit the required information and the appropriate fees for further processing. Thank you. lfl,c4ad(T Izzo Building&Fire Inspector Village of Rye Brook, NY Phone—(914) 939-0668 Fax—(914)939-5801 mizzoAryebrook.org 1 CROZIER GEDNEY ARCH IT-E,-QTS,, '.P,C. SINCE 1952 Facsimile: 914.967.6071 Telephone: 914.967.6060 41 Elm Place,Rye,NY 1 L' 'i Letter of Transmittal APR 27 2020 V1Lt,gGE RYE OF BRO To: Village of Rye Brook Date: Aprir23, zaPA RTP, ENT Building Department From: Crozier Gedney Architects/ Rex Gedney Re: Rosson Residence 27 Dorchester Drive We are sending you attached: Application XX Drawings Photocopies Specifications Contract Proposal Change Order Equip. Specs. Other: ARB Application for new in ground swimming pool Purpose of Transmitted: For Approval For Your Use As Requested XX For Review/Comments Approved As Submitted Approved as Noted Returned For Corrections Copies For Distribution Corrected Prints No. of Drawing Copies Number Description Date Revised z (24x38) LA-I Pool Project Drawing 4/21/2020 I (IIx I7) LA-i Remarks Please accept this revised drawing showing the addition of a solid board privacy fencing along westerly (left) property line instead of chain link fencing. Dropped off at Village Hall Drop Box BUILDING DEPARTMENT [ECIENIE VILLAGE OF RYE BROOK APR 14 2020 938 KING STREET RYE BROOK, NY 10573 (914) 939-0668 FAX (914)939-5801 VILLAGE OF RYE BROOK wwN%xvebrook.org, 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.27 Dorchester Drive, Rye Brook NY 10573 Date of Submission: N3k'n';\ val -j.'67.-0 Parcel ID-H: 129.66-1-16 Zone:R-1 5 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: Construction of a proposed pool and patio with MUST BE COMPLETED BY THE APPLICANT The following items must be submitted -i , to the Building associated stormwater management and sediment and Department by the applicant-no exceptions. erosion control practices. I. (--!"Completed Application 2. (0-Two(2)sets of scaled plans. (,one full size {rnaximuni Property Owner: A&< allfixi'able plan size 3. (-'Two(2)copies of the propcM*sun-cy. Address: .2 7 4. (.,'Two(2)copies of the proposed site plan. Phone 4(Vy 5. ( )One electronic/disc copy of the complete application materials. - Par- Applicant appearing before the Board: 6. (vf Filing Fee. C0.0z%"L- l w i A1-,-tV%r%r&Cev 7. (.-fAnN-supporting documentation. Address: 41 8. HOA approval letter. afapplicable) 9. Photographs. Phone# Cjt4- -j(0-1- (01)('a 0 10.(w)rSarnples of Finishes/color chart. (ammple board or Architect/Engineer: Hudson Engineering & Consulting model may be presented the night of the nteefing) Phone#914-909-0420 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 -irn to before me this Sxxom to bel'Ore me this day of 20 day of 20 . SPI*attire OtTrtT y 'ner Signature ol'Applicant Print Nanw or roperty Owner Print Name of Applicant \01an,Public Notary Public 3/21119 CROZIER GEDNEY ARCHITECTS, P.C. SINCE 1952 Facsimile: 914.967.6071 Telephonic: 914.967.6060 41 Elm Place,Rye,NY 10580 Letter o f Transmittal To: Village of Rye Brook Date: April 13, z020 Building Department From: Crozier Gedney Architects/ Rex Gedney Re: Rosson Residence 27 Dorchester Drive We are sending you attached: XX Application XX Drawings Photocopies Specifications Contract Proposal Change Order Equip. Specs. Other: ARB Application for new in ground swimming pool Purpose of Transmitted: For Approval For Your Use As Requested For Review/Comments Approved As Submitted Approved as Noted Returned For Corrections Copies For Distribution Corrected Prints No. of Drawing Copies Number Description Date Revised Exterior Building Application Application Fee: $75 Permit Fee: s165o Affidavit of Compliance Short Environmental Assessment Form Erosion/Sediment Control Form Stormwater Management Control Permit Application Affidavit of Compliance Drawing LA-i Pool Plan Stormwater Control Plans/Details Property Survey Site Photographs D ECE �/� � Proposed Material Photographs V APR 14 2020 VILLAGE OF RYE BROOK Remarks BUILDING DEPARTMENT Dropped off at Village Hall Drop Box Tara Gerardi From: Mike Izzo Sent: Wednesday,April 08, 2020 3:05 PM To: Christopher Bradbury Cc: Andrew Rosson; Mayor Paul S. Rosenberg; Susan Rosson; Steven Fews Subject: Re:ARB Dear Mr. Rosen, As Mayor Rosenberg indicated, all Board meetings, including the ARB will continue virtually at their usual dates/times, observing the usual cut-off dates for application submittals. The application filing deadline for the ARB is always the 1st Wednesday of the month for that months meeting which is the 3rd Wednesday of the month. Applications are limited to ten (10) /meeting so filing as early as possible is always a good idea. Applications can be sent through the mail or other carrier, or dropped off in the front foyer at Village Hall in the drop-off bin. Information regarding the virtual meetings will be provided to all applicants. Please note that in keeping with the Governor's Executive Orders, the Building Departmernt although deemed essential is operating on a 50% reduction in staffing and in office time. As such we are doing our best to meet the needs the residents during this crises, and are are asking for everyone's patience in processing applications at this time. Please note that the application filing deadlines as well as the filing instructions are contained on the application forms available from the Village website on line at, www.ryebrook.org. I hope this information was helpful, and please feel free to contact me should you require any further assistance. Regards, Michael J. Izzo Building & Fire Inspector Sent from my iPhone > On Apr 8, 2020, at 2:37 PM, Christopher Bradbury <CBradbury@ryebrook.org> wrote: > Hi Andy- > I have asked Mike Izzo, copied on this reply, to let you know the ARB filing deadlines and next mtg date. > FYI- you can drop off applications any time Mon to Fri between 9am and 4pm in the Village Hall lobby. > The building Dept staff is also at Village Hall in the mornings from 9am to noon answering phones. > Mike will copy me on his reply. > Take care and be safe, > Chris Bradbury > Sent from my iPhone >> On Apr 8, 2020, at 1:21 PM, Andrew Rosson <arosson@gmail.com> wrote: 1 >> Hi Chris .. I hope you are staying safe and healthy during this challenging time. I'm sure that you and all the village staff are working hard on behalf of all the residents to get through this crisis and I thank you for those efforts. >> In one of Mayor Rosenberg's earlier emails regarding coronovirus, he indicated that the ARB would continue to meet (virtually). We have a pending project (which is somewhat time sensitive) that we are soon to be submitting to the ARB, but we can't seem to get any definitive info from the building dept as to when submissions are due and when it will meet again. We obviously don't intend to start the project until we get permission (and the restrictions are eliminated) but it would be helpful to have it reviewed, approved and ready to go once some normalcy returns. I know the situation is slowing down everything but we are just looking for updated info. Obviously, such meetings take a lower priority to dealing with the crisis, but would like to move forward with the review process if at all possible. >> Can you provide any guidance on when we need to submit documents and when the ARB will meet again? >> Thanks again. >>Andrew Rosson >> 27 Dorchester Drive >> 917-453-3184 2 �• M1 r ,S -_ - r � � :h r �•� yt. „!T Tom. +1 + -_..... --•�► � •r t f� 3�� t r , -Y y Y 1 � 14 MIL r H -n t j X ♦: MIR .91 NG. tt14--�• 1 • ,� a w:�.M • S = > a,t 1 1,-}., 4, - 'mac - dry - #�.� •���y r y _ 3 'gyp r � � ,•� s t �.�� r � � � • � I .fir !. � .- - ..a may+ ,;�.,� �, � •r. �.� � b � ` � � »r AW r� t 'Y i �1.v. � �5 1 / �. ss r. , � f _� � , - �rr r �� �� - �� �� �� � �, � �, i� � ��� { �� €_, e;. �s F� . • • f` r r �I � { � ` �:. ��' If / ,,,./ . � ■ ■ � �, _ �� � �� , , _ ,. �� �, ,. .. __ _,� '✓ `` l 1 A' a . t> ti IK I a i • •kid .cia'"�<.`'-n C.`�y+u"+�.�4 .. �'�} j• 11W ...A l a K r ' Check List For Release of Building Permits OR Address: -7 Do rch e3+cr J)n V f Owner/Applicant: 9 Phone Ws: Dates Attempted To Contact Owner/Applicant: U17 ) Comments: Ea lei dwn-er & C See a Comments: Comments: NEED: (�UFilding Permit Fee $ 0 Du (vPO e # ( VC Home Improvement License (,, iability ( rkers Comp. / Comp Waiver ( eneral Contractor's Contact Information ( ) Fire Sprinkler Plans (2) ( ) Fire Sprinkler Application ( ) Fire Sprinkler Permit Fee ( ) Estimated Cost $ ( ) SWO Fee $ ( ) Legalization Fee $ ( ) Other Tara 0 Tara Gerardi From: Tara Gerardi Sent: Wednesday, May 27, 2020 2:54 PM To: 'srosson3@gmail.com' Cc: 'Chris Olsen' Subject: Building Permit - 27 Dorchester Drive The building permit application has been approved by the Building Inspector, before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C105-2 or U26.3) 5. Building permit fee $1,650.00 (due once permit is issued and ready for pick-up) 6. Contractor must call Dig Safe NY and get a 10 digit ticket number. TARA A. GERARDI SECRETARY — PLANNING BOARD, ZONING BOARD OF APPEALS & ARCHITECTURAL REVIEW BOARD VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK, NEW YORK 10573 OFFICE (914) 939-0668 FAx (914) 939-5801 From: Chris Olsen colsen@wagnerswimmingpools.com Subject: ROSSON-Call Before You Dig Date: March 12,2020 at 1:04 PM To: Nicholas Shirriah nick@hudsonec.com, Andrew Rosson arosson@gmail.com. Susan Rosson srosson3@gmail.com, Michael Stein michael@hudsonec.com Cc: Joao Malheiro jmalheiro@wagnerswimmingpools.com, Mike Gedney mgedney@wagnerswimmingpools.com, Gary Tyrrell gt@wagnerswimmingpools.com Bcc: John C.Gedney III jcgedneyiii@wagnerswimmingpools.com, Mr.John C.Gedney Sr. jcgedneyii@wagnerswimmingpools.com ROSSON @ 27 Dorchester Dr.. Rye Brook, NY NY Call Before You Dig 1-800-962-7962 Wagner NY#74772 Spoke w/Tiffany Nearest Intersection: Rockinghorse Trail&Sleepy Hollow Rd Start Date:3-16-2020 Confirmation#03110-071-072 Chris Olsen Designer/Project Manager E. L. Wagner Co., Inc. 101 Noroton Avenue Darien, CT 06820 (203)883-0359 Direct Line and Fax (203) 655-0766 Wagner Pools colsen@wagnerswimmingpools.com www.wagnerswimmingpools.com 'j��r. f 1• � N N X O W U ,., a 4-4 W a. to w W Cl 0 on C� C CL W Lo of -� > ;. m -g NNj U .L« 1 •sf-� .,3�.e.-,ter..a.,�r, "-s--...-- , , '.,-.-Z�.• •r- ..., -, �-' .. r9"ON, .. ELWAGNE-01 JPINTO ACORO CERTIFICATE OF LIABILITY INSURANCE EDATE D/YYYY) 5/28/228/2020 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 C ACT Kim Abramo People's United Insurance Agency,Inc. acoNno,Ext):(203)338-3373 800 ac,No):(8")806-9617 850 Main Street Bridgeport,CT 06604 AEMSS,Kim.Abramo@peoples.com INSURERS AFFORDING COVERAGE NAIC N _ INSURER A:Continental Insurance Company 35289 INSURED INSURER B:Valley Forge Insurance Company 20508 E.L.Wagner Co.,Inc.;Wagner Pools INSURERC: 101 Noroton Avenue INSURERD: Darien,CT 06820-5200 - INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDUSUBR POLICY NUMBER POLICY EFF POLICY EXPJJL LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR 6083362639 5/1/2020 5/1/2021 DAMAGE TO RENTEDEMISES $ 100,000 MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000, �X 000 POLICY JERCT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER EMPLOYEE BENEFI $ 2,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Qident $ 1,000,000 X ANY AUTO 6083407756 5M/2020 5/1/2021 BODILY INJURY Per arson $ AUTOSONLY WNED SCHEDULED AUTOS BODILY INJURY Per accident $ AUTOS ONLY AUOTO-S ONLY P �Pa (at AMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE 6083454012 6/1/2020 5/1/2021 AGGREGATE $ 6,000,000 DED X RETENTION$ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N .9IAIUIE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT j �IFandato/ry In NHS EXCLUDED? N/A E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S A Equipment Floater 6083362639 5/1/2020 6/1/2021 Se eDescriptionof0ps DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more spce Is required) RE:Project Description: Install In Ground Concrete Pool at ROSSON Residence at 27 Dorchester Dr.,Rye Brook,NY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Rye Brook,NY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King St. Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE P � All *264a t cee 49". 76a, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD "FW Workers' CERTIFICATE OF STA BoardTE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured E L WAGNER CO.,INC. 750 WORDIN AVE. (203)335-3960 BRIDGEPORT,CT 06605 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically 1604605 limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 1d Federal Employer Identification Number of Insured or Social Security Number 06-0641006 2.Name and Address of Entity Requesting Proof of Coverage 3a Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Wesco Insurance Company 3b.Policy Number of entity listed in box"la". Village of Rye Brook WWC3449862 938 King St. 3c.Policy effective period: Rye Brook. NY 10573 01/01/20 to 01/01/21 3d.The Proprietor,Partners or Executive Officers are: ❑included.(Only check box if all partners/officers included) Ix 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 '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'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: Mary P.Storti (Print name of authorized representative or licensed agent of insurance carrier) Approved by: PS. , 05/28/20 (Signature) (Date) Title: Operations Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 877-266-6850 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT autorized to issue it. C-105.2(9-17) www.wcb.ny.gov ACORd DATE(MIWDDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE 08/04/20 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: I/the certificate holder Is an ADDITIONAL INSURED,the policy(iss)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 endorssme s. PRODUCER NAME: Elizabeth Cox JAMERSON MCLEAN CORP MNE 407 388-3482 F"'X 407 366-8508 PO Box 621149 • eliz_a_beth0mcleaninsurance.corn _ Oviedo,FL 32752 M U AFFORDING COVERAGE NAIL INSURER A: The North River Insurance Company 21105 INSURED New England Propane Co.,Inc. wsuRma: United States fire Insurance Company 21113 M18URN:R c: Greenwich Propane Co.,Inc. INSURERD: 162 Grassy Plain Street INSURER E: Bethel CT 06801 wsu 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. LT R TYPE OF INSURANCE AD01 SUeR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 000 Ow CLAIMS-MADE FXI OCCUR PREMISES rtence $ 100,000 MED EXP one non) $ 5 000 A 506-897924-4 12/01/19 12/01/20 PERSONAL NLADV INJURY '$ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000.00 X POLICY D PRO- F EC LOC PRODUCTS-COMP/OP AGG 1 4 000 000 OTHER: _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ix ANY AUTO BODILY INJURY(Per pAAUUTTOSDONLY Au OSU� 506-897924-4 12101/19 121011'20 BODILY INJURY(Per soddent) $ HIRED X NON-OWNED PROPERTY DAMAGE f AUTOS ONLY �/ f X aDw � B OCCUR EACH OCCURRENCE $ __ 4,000,000 B CLAIMS-MADE 523-810730-7 12101/19 121011'20 AGGREGATE $^ 4,000,000 TENTION 4 O $ YlORKERS COMPENSATION X STA ER PER OTH- AND MPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1.000.000 B OFFICER/MEMSER EXCLUDED? NIA 408-737930.4 12101/19 12/01/20 (Mandstwy In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,M It yS,descrbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I 1 OQ0 OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be aaeched If more span In required) CERTIFICATE HOLDER CANCELLATION Village of Rye Brook, NY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 King Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rye Brook,NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIgD REPRESENTATIVE Fax:914-939-5801 C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured New England Propane Co., Inc. (203)792-7654 Greenwich Propane Co., Inc 162 Grassy Plain Street le.NYS Unemployment Insurance Employer Bethel, CT 06830 Registration Number of Insured Work Location of Insured(Only required ifcoverage is specially ld.Federal Employer Identification Number of Insured limited to certain locations in New York State, i.e., a Wrap-Up or Social Security Number Policy) 06-1255916 2.Name and Address of the Entity Requesting Proof of 3s. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) United States Fire Insurance Company Village of Rye Brook 3b.Policy Number of entity listed in box"I a" 938 King Street 408-7379304 Rye Brook,New York 10573 3c. Policy effective period 12/01/2019 to 12/1/2020 3d. The Proprietor,Partners or Executive Officers are E included. (Only check box if all partners/officers included) X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "T' 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"T'. The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums 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 earl' r. Please Note: Upon the 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: Gary McLean (Print name of authasized representative or licensed agent of insurance carrier) Approved by: 08/04/202 (Sign ) (Date) Title: PresidoLt Telephone Number of authorized representative or licensed agent of insurance carrier: 800-393-6640 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(9-07) www.wcb.state.ny.us Tara Gerardi From: David Unschuld <dunschuld@neweng land propane.com> Sent: Sunday, August 9, 2020 7:15 AM To: Tara Gerardi Cc: Andrew Rosson Subject: RE: Propane Tank Permit Application - 27 Dorchester Drive Good morning Tara The Dig Safe NY Ticket# is: 08070-002-057 When you respond to Mr. Rosson's email regarding receipt of our insurances could you also confirm that you have received this information as well please? David EE and Propane B. David Unschuld New England Propane (203) 792-7654 (203) 496-0259 cell dunschuld@newenglandpropane.com newenglandpropane.com From:Andrew Rosson <arosson@gmail.com> Sent: Friday, August 7, 2020 4:11 PM To:Tara Gerardi <tgerardi@ryebrook.org> Cc: David Unschuld <dunschuld@newenglandpropane.com> Subject: Re: Propane Tank Permit Application - 27 Dorchester Drive Tara .. please see attached. Please confirm receipt. Thanks. On Fri, Aug 7, 2020 at 8:38 AM Tara Gerardi<tgerardi@ryebrook.org>wrote: TARA A. GERARDI SECRETARY -- PLANNING BOARD, ZONING BOARD OF APPEALS & ARCHITECTURAL REVIEW BOARD i i Llul jL1 k { .0 0 ( CIO alx u.jq C*4 C=) i - C-Q'I 4N, 0.1 0 Go Li L) Li LAJ W0 Li LLJ im U, 4 LLJ > I--Od o F- C*4 wk cl: LLJ 00 Z L) 0 0 6004110OZ cVu-4 * ,00—,6V—.Zt' *S a 00 �p Qclr.- .r e L CDz Q• CL vm Li 0 Ob QC) 0 Az Ld D LJ Li JWO LLJ C) > z Z Ll L) LU LLJ F- C*j w < 9- 0 OL Vo 1 '41 C\j Q SQL r cu Z 13 W V— LL.V- ZOL N LLI LU D 0 Z >- A Z z D Z 1 0 Z C3 �-z w Cot 00 w 4 a. 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DORCHESTER DRIVE SURVEY OF PROPERTY 27 DORCHESTER DRIVE LOT 16 , BLOCK 1 SECTION 129 . 66 RYE BROOK , WESTCHESTER COUNTY , NY Certified to: Andrew Rosson SCALE: 1 "=30"%, ; DATE: SEP. 23, 2021 AS-BMLT--- i Q0CUMENT____ S T E P H E N Fq"`,�, HOPPE , L.S . LICENSED PROFE SIONAL L011D SURVEYOR 11 ROUTE 303 Reference : Being known as Lot 5 in Block "K" on a map entitled TAPPAN, EW Y R 10983 NY IC N 39 "Section One Subdivision Map Country Ridge Estates Town of Rye, Westchester County,N.Y." fled in The Westchester County Clerk's Office on March 19, 1956 as Map No. 10430. L.S. 0483-07