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HomeMy WebLinkAboutBP20-077PERMIT #&(Z( 077 DATE: b7)OO EXP: Q SECTION o �5 BLOCK % LOT TYPE OF WORK %I ll1 {N �cS//L �f OWNER — %� _ / CONTRACTOR • a ICIFEEV/c • #sue• ► DATE an 1 11412 i # FEE DATE INSPECTION RECORD DATE �v FOOTING !1 1 FO U N DATI O N FRAMING 7 RGH FRAMING INSULATION or PLUMBING RGH PLUMBING rZAs SPRINKLER ELECTRic LCW'J-VOLT A LAR Cv1 AS BUILT FINAL [� a 0' �. 1� OTHER APPROVALS OTHER FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT AS-BUILTIFINAL SURVEY REQUIRED PRIOR TO n FINAL INSPECTION Pau pp�o--ly�l1 l �1%�6�'cas✓�y fly 1 mp a o -0c0(0 F7 re cc L.L.- a( l� .j'y•,+eiprlSe �I4ec+r1Cc�.1 ��1-019�'�"fal �o VILLAG18.0F E BRooK WESTCHES ' CoU , NEW YORK No: 22-024 Certifirate of Occupancy This is to certify that �/ Y ,� . Q�-�1��j--`S L O of, Y-CBmnkl A;,-7 having duly fled an application on 30 20 -:�0 requesting a Certificate of Occupancy for the premises known as, qPrimrose L ,oy)i e , Rye Brook, NY, located in a RA D Zoning District and shown on the most current Tax Map as Section: O 5 Block: / Lot: 1 and having fully complied withthe requirements of the Building Code and the Zoning Ordinance under Building Permit No. �o' ! / , issued `4 20_2L, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the New York State Use Classification of: or) for the following purposes: �Y] I •/ l/1 w l n I,SI-7Pr-1 bn S'e/' r 7� Subject to all the privileges, requirements, limitations and conditions prescribed by law, and subject also to the following: FINISHED BASEMENT NOT APPROVED FOR USE AS A S PA ATE APARTMENT OR DWELLING UNIT This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made, and no enlargement, whether by extending on any side or by increasing in height shall be made shall the building be moved from one location to another until a permit to accomplish such change has bee o g Inspector. Building Inspector,Village of Rye Brook: Date: f E B 1 4 2022 tty W�uJj V i] `'` JfA. ' VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury aww.ryebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE February 14, 2022 SC Rye Brook Partners LLC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains,New York 10604 Re: 9 Primrose Lane, Rye Brook,New York 10573 Parcel ID#: 129.25-1-1.88 Mechanical Permit #20-066 issued on 6/4/2020 for Fire Sprinkler System This certifies that the fire sprinkler system,installed under the above captioned permit,has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector Ag �LG�uN JJ V LL�cLia Asp tc w,u VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www-ryebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE February 14,2022 SC Rye Brook Partners LLC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains,New York 10604 Re: 9 Primrose Lane, Rye Brook,New York 10573 Parcel ID#: 129.25-1-1.88 This document certifies that the work done under Mechanical Permit #21-019 issued on 1/25/2021 for the installation of a new gas furnace,a new condenser and related ductwork has been satisfactorily completed. Sincerely, Michael j. Izzo Building&Fire Inspector /tg 1 D [CIEME DFEB - 3 Z�22 `` �iiri For office us only: BUILDIN64K"P' /RTMENT PEP-MIT# v: �7 VILLAOfE OF RYE 8460K Iss11En: LIW VILLAGE OF RYE BROOK 38 KING STREET;RYE BROOK,l it YORK 10573 DATE: r.)-3-a-4 BUILDING DEPARTMENT (914)93 939-5801 FEE: .df 6l0— PAInA i o .o APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL. INSPECTION rwwsrswrwwswpssr wrwrrrsswswwwwwrwwwwwwrssrwwrrrrrwrrrrwwrrwrwwwrswwwwrs rss r ww+rwwww►• Address: Imt2f>'It L.Pft-J%i V,'4� Re-004 N� j D5 - Lt tJ I �Z Occupancy/Use: Oq'�- Parcel ID#: "p Zone: Owner: SC JZ'Q'W-,WL. Pfilti LIB A)(�r dress T D ow 3r.� pi 0 If4 PI-Alt N P.E./R.A.or Contractor: 6k NS P3 DILV&09►0gtr T AJJesus it m n R V_Ll A 1� 3251tiJ141A P�ArN�y N� Person in responsible charge: VJ(LI,I Al.M 21k 1�f _Address�eT lt: I�lv 75 W IA J f4 'F'Mt- 5 W 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 structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YOM COUNTY OF WESTCHESTER as: I#✓I•I aM C,) It N 1-- being duly sworn,deposes and says that he/she resides at 3G VI) kM►a✓ � (Print Name of Applicant (Nu.and Street) in '�_Ch M ae�D ,in the County of f �t LD in the State of C T that (Cityfrown,Village) he/she has supervised the work at the location indicated above,and that the actual total cost ofthe 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 9-7318q D .U 0 _ for the construction or alteration of: S 113 LtL 1G rAml Vq -D IrV IL�1 LA w FI tit f S+1te� A�� I4/ Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful loran owner to use or permit the use ofany 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 Inspector as per §250-10.A.of the Code of the Village of Rye Brook. 9-±L Sworn to before me this l-q Sworn to before me this Pq day of , 2.0 day of 20� IJ Signature of Pro Signature or Applicant I/vIalprn moAi,Iis% 61> wII'I-IAro e, Print c of Property Owner Print amc of Applicant Notary Public Notary Public TRISHA MAR INEZ TRISHA MARTINE NOTARY ISH -STATE OF NEW YORK NOTARY PUBLIC-STATE IC STATE OF NEW YORK No.01 MA6331843 No.01 MA633 t 843 Qualified in Dutchess County Qualified in Dutchess County My Commis3ion Expires 10-19-2023 MY Commistion Expires 10-19-2023 QyE BRC�'�. cu � • 1982 BUILDING DEPARTMENT �4r UILDING INSPECTOR / ASSISTANT$UILDING 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 - - - - - - -- - - - - - - - - - - - - t--� F ADDRESS: !�i _ DATE: Z Z PERMIT# ISSUED: SECT: Z�'Z—`BLOCK: LOT: LOCATION: —� .A�"11L N ✓A OCCUPANCY•2—t--z, ❑ 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 L t ❑ FIRE SPRINKLER �] FINAL PLUMBING .� ❑ CROSS CONNECTION ry FINAL (Z '�[{] OTHER �E BRC��. w � BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE $ROOK /®CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.ors I -- - - - - - - - - - - - - - -- - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:_ cy-'s DATE: PERMIT# — V— ISSUED: ��'"JECT: 2� fSLOCK: l LOT: LOCATION: G� J\ OCCUPANCY: f �J ❑ VIOLATION NOTED THE WORK IS... Q ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING `�V`k� � ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC��, O� tim BUILDING DEPARTMENT UILDING 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 ry6rook.or¢ - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - -- - - -- - - - - -- - - - - - ADDRESS• � � � DATE' PERMIT# ISSUED: SECT: BLOCK: 1 LOT: LOCATION: O OCCUPANCY: Y ❑ 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 O Zm w ID Ic 1982 BUILDING DEPARTMENT ❑BviLDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK Al CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - -- - ADDRESS :- Z�� DATE• PERMIT# l l ISSUED: ( 'rJ��SECT: BLOCK: LOT: `A k '� OCCUPANCY:�LOCATION: r 11 VIOLATION NOTED THE WORK IS... ACCEPTED 0 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 i Q' OTHER CBR o� �m 7932 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 :— CZ-t L�- 2 0 3�_ �/�'' DATE: 10 1 z PERMIT# ISSUED: 6 I bJ SECT: Z Z S BLOCK: LOT:� � LOCATION: ��J�"ti C �4l 1r41` �L R ' �^ OCCUPANCY: rJ ❑ VIOLATION NOTED THE WORK IS... �ACCEPTED ❑ REJECTEW REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ NDERGROUND PLUMBING NOTES ON INSPECTION: ROUGH PLUMBING ROUGH FRAMING ❑ INSULATION NATURAL GAS L.P. GAS UEL TANK FIRE SPRINKLER FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER * o � * * u * x * 3 V) 75 o * u H c � * Z Q Q Q ON M * O o ~ CU � �9 O [ Cr Z ` W w � '"• * A Gi' � 0r n A d F d, * U :a,-d av� m * v az ^ � y O 1 * 16 * A. u * oA O p U U q w u �; O r. � � v ' . w o no o °' • ¢ a 0 a c-� QyE BR(�jk. �� ym 1 982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR [I 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: PERMIT# V } ISSUED: + SECT: c - BLOCK: LOT: �+ c LOCATION: o ` OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... El/ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING 0-�<k-lQ �i e( {Z YJ 1�� C,(Z-Q orp'D� 'I ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER o`` tim '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - -- - - - - - - - -- - - - - - ADDRESS: Cl �CZ-\ DATE: 3 PERMIT# -Z D `'J �l 1 ISSUED: SECT: BLACK: LOT: LOCATION: �� A (I F" N OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... LJ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ r FOOTING DRAINAGE ❑r FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER p FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER E BR(��. 04 ti� 'gam BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 RING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.org -- -- ------ - - - - - - - INSPECTION REPORT - - - - - - -- - ---- - - - - - - - ADDRESS• DATE• Z C� �'i t U Z 2 PERMIT# 2 - C ISSUED: SECT: 1 �' LOCK: LOT: LOCATION: D "� �1 k ` OCCUPANCY: -Z ` 6 ❑ VIOLATION NOTED THE WORK IS... A EPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER Q�E BR(v�. 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: -20 PERMIT# 1 ISSUED: v' SECT: BLOCK: LOT: LOCATION: cd1 r ��_ OCCUPANCY: �G ❑ 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 QyE BR(v'�. w � '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ❑ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org -- -- - -- - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: d` DATE: PERMIT# (7 -2-c) - ISSUED: © 5LCT: l • -'`'BLOCK: I LOT: LOCATION: j � ' 1 �1 OCCUPANCY: 2 ❑ VIOLATION NOTED THE WORK IS... ❑ /ACCEPTED ❑ REJECTED/RuNSPECTION ❑ SITE INSPECTION 7 REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS `' S ' 1 ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER eE BRWts. O4 y� w � ' 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR J ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK �❑CODE ENFORCEMENT OFFICER 938 KING STREET - RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www Uebrook.org - - - - - - - - - -f- - - - - - - - - - INSPECTION REPORT - - - - - - - --- - -- - - - - - - - ADDRESS: k1 'mot J t, DATE: j PERMIT#_ -20- / ISSUED: L3 f ` `SECT: BLOCK: LOT: I '+ LOCATION: �/C^� C + "1 OCCUPANCY: ❑ VIOLATION NOTED TIE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION l �,❑ UNDERGROUND PLUMBING �'Cl \e!77!�J NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER E 4RC��. 1 94V BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK elo CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org ------------- --- - - - - INSPECTION REPORT - - - -- - - - --- - - - - - - - - - ADDRESS:— S DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: r LOCATION: \ ° ' ` OCCUPANCY: 0 VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING tS NOTES ON INSPECTION: 0 ROUGH PLUMBING ❑ ROUGH FRAMING \ ❑ INSULATION U� P' «e � ? ❑ NATURAL GAS L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER s �E BmR o ti� '9a2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.acbrook.org -- - - - -- - - - - - - - - - - - - - INSPECTION REPORT - - - ---- - - - - - - - - - - - -- ADDRESS : � DATE` 3 . PERMIT# /JI L�- ISSUED: J SSECT:-'z'1' \ BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING f EFOOTING DRAINAGE ❑ FOUNDATION �5 ❑ 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 � 6 BR(�� O Zm cu � 1989 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: �0 �l —� DATE: PERMIT# {�. � E� ISSUED: 0 I BLOCK: LOT: LOCATION: i 6 C ) l I OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE FOUNDATION wC_�ti ( C UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER Q�E BRC��, BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www rygbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - -- - - - - - - - - - - ADDRESS: Y l C r DATE: -7 3 C b ' PERMIT# ISSUED:�'N r SECT: t 2 LOCK: LOT: LOCATION: t, 4' \ i OCCUPANCY: ,-'t ❑ 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 O _ z Q r. ti w mot 3 rZ IT v ,. �p O ,�7 ok v� a L� xorNo 06 a W L j. BUILDING DEPARTMENT +- VIL�.AGE OF RYE BROOK JUN 2 5 2020 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 FAX(914)939-5801 VILLAGE OF Ft"' 6—�001< wwbv.r ebtook.or BUILDING DEP,,.�a°_'jENT ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required �J FOR OFFICE USE ONLY BP0: �� 0- /�7 EP4: A 0( �_ Approval Date: JUN 3 U 2020 Application Fee: S Approval Signature: V Permit Fee: S_S! Disapproved: Other: (fees are non-refundable) Application dated, C� ��- o� > 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 all applicable "Federal, State,County and Local Codes. r� 1,ry 1.Address: tizl • ( /e L�� LA11j� SBL:,1A"J•c315_ / 2)f5 Zone: FOO 2.Property Owner: SC Rye Brook Partners, LLC Address: 5 International Drive Suite 114 Rye Brook, NY 1057, Phone#:—914-481-1531 Cell#: email; 3.Master Electrician: Denis M. Fortino Address:254 Sylvan Lake Road Hopewell Junction, NY 1253' Lic.#: E-51 Phone#: 914-760-5226 Cell#: 914-760-5226 email: dfortino@enterpriseelec.com Company Name: Enterprise Electrical Consulting Address: 254 Sylvan Lake Road Hopewell Junction NY 12533 4.Proposed Electrical Work/Fixture Count: iU -xa,4- STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Denis M. Fortino .being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Electrical Contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc") The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of ,20 day of tM� 20L Signature of Property Owner Signature of Applicant Denis M. Fortino Print Name of Property Owner Print Name of Applicant t I Notary Public Notar UT�°�V-n No.CIT061192372 Qualified in Dutc"iess County Term Expires September 6,2a�Za 1/5/16 Westchester Rockland Electrical In 14 3 3545 Inspection Services, Inc. Phone:��T DO NOT WRITE HERE—FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# DATE r' L'- C- CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY AND ROAD f` POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? /ti� LOT / SavC OCCUPANTS NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDS HOME TELEPHONE NUMBER -_ � lolL�� , Zr s CURRENT SUPPLIE Y FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO,OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SfDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION ourslDE -_, --_--, -I BASEMENT 1"FL. i 3-FL. V ILLASE OF I^:. P: '00K BUItt Mu, HT REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: .� lap fb/A !4 J ti6 tea'- � o� �i v� tJa-vl 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 LL-L EXPOSED N CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD!_J UNDERGROUND❑ Li—i I I I A— AVOID DELAYS BY GIVING FULLAND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. h1AMEr OF DATE OF APPLICATION %IGNA :E2F AP CAN y/ / � MEET ADDRESS TELEPHONE NO. LICENSE NO.WHEN APPLICABLE .-., J , WESTNESTER ROCKLAND ELECTRICAL INSPECTION SERVICES,INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Enterprise Electric Inc SC Rye Brook Partners LLC. 254 Sylvan Lake Road NY, Hopewell Junction 12533 Located at:9 Primrose Ln Rye Brook, NY 10573 Certificate Number: 1028388 Section: 129,25 Block: 1 Lot: 1.88 BDC: Permit Number:EP:20-097-BP:20-077 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located inion the premises at: 9 Primrose Ln Rye Brook,NY 10573 IN Basement 1 st 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 01/18122 Name Type Quantity Receptacle Convenience ------- 72 Switch Single Pole ------- 46 Fixture-Luminaire Incandescent ------- 14 Fixture-Luminaire Undercabinet ------- 4 Fixture-Luminaire Recessed ------- 48 Cook Top ------- 1 Dishwasher ------- 1 Exhaust Fan ------- 5 Furnace Gas or Oil ------- 2 Electric Room Heaters ------- 1 Bell Transformer ------- 1 Dimmers Led ------- 15 Service Disconnect ------- 1 Continued on next page... This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way, r�L G This certificate is valid for work performed before date of inspection only. Aft WESTCHESTER ROCKLAND ELECTRICAL INSPECTION WRElasERVICES.INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Enterprise Electric Inc SC Rye Brook Partners LLC. 254 Sylvan Lake Road NY, Hopewell Junction 12533 Located at:9 Primrose Ln Rye Brook, NY 10573 Certificate Number: 1028388 section: 129.25 Block: 1 Lot: 1.88 BDC: Permit Number: EP:20-097-BP:20-077 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located inlon the premises at: 9 Primrose Ln Rye Brook,NY 10573 Basement 1 st 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 01/18/22 Name Type Quantity Water Heater ------- 1 Cable Homeruns ------- 5 Phone Lines ------- 4 A/C Unit 3 Ton 2 Sump Pump ------- 1 Panel ------- 1 Receptacle GFCI ------- 16 Smoke Detector ------- 4 Carbon Monoxide Detector ------- 5 Microwave ------- 1 Refrigerator ------- 1 Disposal ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. This certificate is valid for work performed before date of inspection only. r , a a o � N N ■ N T Q` '� cc ro Z CC) A gz co ;15 ON cn en oc 1 � u Q ' r DIECIEHIED f�BUILP#.Gy hi' ."yTrMENT NOV 7 Zc20 VILLA/' E OF RYE' ROOK !t�! }f--1 VILLAGE OF RYE BROOK 938 KING S`IREET Rvc B .i C,NY 10573 ��-- BUILDING DEPARTMENT (914)93j0`568FAx 939-5$O1 — - .�" �v�v�vm? bloo Lor PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: c 7 7 PP#: v �� J - Approval Date: NOV 1 9 2020 Permit Fee:S 77L%bL Approval Signature: Other. Disapproved: (fees arc non-refundable) Application dated; 1111142020 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install an or retnove Plumbing as per detailed statement described below,The applicant&property owner,by signing this document agree thatsaid plumbing w rk will be in conformance with all applicable Federal,State,County annd� Local Codes. 1.Address: 1 r(m `r1 I. �SS vr%14 a SBL:/ - 25 l 1. -0 Zone: 49 2.Proposed'Work: Qjumbti OY n WU ,n J ("M " 3.Property Owner: Lie bCOOL I(X4ftffS CLC Address: LA VJe5+ , (b.K wne grE 12 ,95 61 Phone#: "I H-1b) - -).�30 Cell#: 01 ILA-'55 4 t S��i Ob S' y- email: �ri,U"lac"t';�C t,�.��car�ntaf'[�ts(� 4.Master Plumber: -? k- Address: Lic.#: QiOPhone#: Cell#:(W15 783"--C6C.i email: flOm , Company Name:bJeb(ast s. ph mtkna "q o`-iN_Address:10A JU %-+R fir;' t3 HoACOC, I-J I G5C3 INDICATE FIXTURES& LINES TO BE INSTALLED AS PER T14E FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement I 1 St Floor 1 2nd Floor �'1 1` ` 1 T,d Floor 4e Floor 5"Floor---- Exterior ^ 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) , (�, 301/19 ST TE OF NEW YOR1C,COUNTY OF WESTCHESTER l ,being duly sworn,deposes and states dtathelslie is the applicant above named, (print name of individual signing as the applicant) and fu her 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 outhorized to make and file this application. (indicate architect,coulraclor,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 -3 ( Sworn to before me this S k 1— _ day of L t ,20_,;2() 4(ofJ 20Signatu f erty Owner t Print Name of Property Owner Print Name of Applicant kiw-4'a ab&1A 4 Notary Public A} yd notary Pu Nbk,SM of New Mask No.0111106166307 Qu�WinwWXbgswcounly commwm Eac s M&,21,2W This application must be properly completed in its entirety and must include the the legal owner(s)or 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. VVENDY J A813AGLIATO NOTARY PUBLIC-STATE OF NEW YORK No.01ABO378708 Qualified in Orange County My Commission Expires 07.30-2022 3nl/19 BUILD tNt,,_D TARTMENT VILI NOV 17 2020 PEq.F 1��14�0011< 93SKING IUIETRYERR�' NYI 0573 VILLAGE OF RYE BROOK (91M)933. 39-5801 68 BUILDING DEPARTMENT I,v 6 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 HE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 3J, ]�ff , residing at, QA4 (by- E bC-k-_ kRhS (Print inune) (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; PN YYN(-0&=e Lq�,,hp- Rye Brook,NY. (Job Address) Further that aH 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 a rop wner(s)) S -fPrintiNarnt or Property O«vner(s))---— Sworn to before me this _5 day of l,G Ut , 20 r9L C))'I . (Notary Pubtic) Chmtmx A Boyd Notaxy Pubfic.State of New York No.OIW6166307 Qwdified in Vhadhftw County C=mWdon Expim May 21,2M 3/21/19 a I g � � i'C 00 3 � 'n � `o � ■.1 a" arr fra < ,A v c 5, u a:C a pt tp tn Zw QQWD oc A r� Vl i..i ! oc C q O O rya g � ,o z V �, vE � ; V , rs, E2 9 M. Gib Z f�l 3i t0 M� .f r � r•/� '�i Q�' � y, �r� y ■' M�YJr � 1J 1 u"�' Q � � � � N �W � C Q � �"'r Ix ® c ` � G � F 1 % �• � W z �- �/ �yW � L h✓� � 4 r � C ` 4' v: $ � E � �i1 ram.' � 0 � �V•L11 ` � � C � �� o � � 1� og -� e d leQ a G9 A Z Or 5R T E E 60 Ir o 0 C a' BUILDINt'I d'PARTMENT D VILL�,ItC�,r E OF RY . OK 938 KING 0*1ET RYE BR( NY 10573 JAN 20� (914)99-46$ ' (9Y 39-5801 ww�Y Dk1 VILLAGE OF RYE BROOK BUILDING DEPARTMENT APPLICATION TO INSTALL FIRE SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY:AP�rurul Uatc J U N 4 2020 3, 'V-7 7M #:�~0&4 Application Pee:$ Approval Signature: Permit Pees:$ 04, Disapproved:_ Other: -- _- --- Applicationdated: d,- 1) - 1} -_ is hereby madetuthcliuildingln�IxctoruftheVillagcirfl2ycBr<wkNY Iirrthcis5uancxofaPenniltninstallalin Suppression System as per detailed statement described below. 1. Job Address: Q ant ",it �e�1C.+�J1t1-- Parcel I.D.: 1 aaj,-L5'- 1 1,&B /A)ne:RJ 2. Proposed System(Describe system in detail including suppression agent): 131� Q:.x�nkler 9u::�-r� 3. Number&Types ofk'ire Sprinkler[leads: 4. N.Y State Construction Classification:- 5B N.Y.State Use Classification:Q 5. Cost of Installation:$-3 y s (Cost shall include all labor.materials.fixed equipment.professional tees,and materials and labor which may be donated gratis.) 6. Property Owner:-2 yr_ �rocolC_ Pertnear — Address:RC) Phone# u g)4ca--S ,PCs Cell# email: Applicant:-M` 0q' kL -'�irc �lrc.lc,2+t;br--' -- Address: 15 lydueti,Zo1 FLU. 1� F1ore N1�c##h'<reor�rC_T Phone# p53 Cell eema l f- ' Architect/F.ngineer: .W . u11„[ar� �, �r,n,Z,__Address: 5D.9 Mwrr,jhvx-t•- quik '�CMAs ttp'a- I'hone# � Sa jj Cell# _ email:'� r t•+ 11 rvGr t . mom General Contractor: �1yr. TL1� ��ae-lay�ry sews} �t Address: Phone# 84' 5 - r} @_-___.Cell# email: -1- 12.x 10 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCI IF'STFIR ) as: being duly sworn,deposes and states that he/she is the applicant above named, (prim Maine ol'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 9; .. pr kSIG*%Cn 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 betirre rve this Sworn tv beftwe the this T nt day of , 20 day of 1 201-:�_ signature ot'Properly Owner signature ol'Applicant Wr-Ars Print Narne or Property Owner Print Name ot'Appl Irani _P_ &?— A,,�C�_ Notary Public Notary Public ChrWim A I"d Notary!d*C6%ft of 1W V66 Co uft"oa Eg6n May 21. to 41 I2916 r~N N W ,ccv u O C14 Q� N N nL y L _ y s .7 964CCi V r F 1-,•) ,y, cif c�� G O '1 ~ I1 polo > Z. z v rn 30 72 1 r Q CT s ' ro „ m CO I'D Ur E v 7Ece o, 7 W V rq 0�0 G i $ o Z A mc low MCI � M �+ � � X o '� � •- i .c m � �' a id f F h�j �j CLr MQ' Q n �s a.id v n v G -ripqr A ems. Qy ran a za _ � w &A U v F. z i o c � w h '� � � G � o � •� $ as 23 � > > �I c r. BUILDING DEPARTMENT VILLAGE OF RYE OK 938 KING STREET RYE BRO NY 10573 JAN 2 2 2021 (914)939-0668 F,Ax(914 39-5801 www.r n ors APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPME NT FOR OFFICE USE ONLY: PERMIT#: 0100W-6/ Approval Date: Permit Fee:$ Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERM IT&CERTIFICATE OF COMPLIANCE: 1. Properly completed&Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance.(Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form#C105.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4. Payment of Fees/Unit:RESIDENTIAL=$100.00/unit•COMMERCIAL=$350.00/unit. 5. Inspection by the Building Department for removal and/or installation.(48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated,& 0 oZQL�2 is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal oftIfe HV C equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws,codes,rules and regulations. 1. Address: 41 f # ✓ri I ,t'/1 L Lt riL SBL: ��'f�• Zone: P 2. Property Owner, S Y�r j ✓r Address: Phone#: Kell#: email: 3. Contractor: 1 61 61 ` ✓ 7 Address: Phone#: - �� - Cell#: �903- �� G 7(; 6 email: � �ti� (,� t(` ` RP C e' i 4. Applicant: t t Ifyi i Address: 1 4 f�Dy Phone#: 1:7 '7 4 C Cell#: 7 t:3 20) -6 71 D email: 5. Scope of Work:New InstallationQQ•Replacement( )•Removal( )•Other( ): 6. List Equipment: r 6,.rl C,!S Tu f 1761 !e 7. Location of Equipment: M 1 l 1r 8. Method of Installation/Removal(list all equipment needed to perform job):�� r /+ h I hC /`` sl . 14 3/21119 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 ,20 day of :Yg h V0-v—,4 ,200— //" I Signature of Property Owner Signature of pplicant 61 �y1r11 1, Print Name of Property Owner Print Name of Applicant TRISHA MARTINEZ Notary Public NOTARY PUBLIC-STATE OF NEW Y0 otary public No.01 MA6331843 Qualified in Dutchess County My Commission Expires 10-19-2023 This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 3/21/19 N9MSE Product Specifications HEATING& COOLING PRODUCTS Up to 96% AFUE, Single Stage, PSC Gas Furnace EA Up TO SELL • Up to 96%AFUE in upflow and horizontal positions, -- Up to 95%AFUE in downflow,positions • Cabinet air leakage less than 2.0%at 1.0 in.W.0 and cabinet air leakage less than 1.4%at 0.5 in.W.G. when tested in accordance with ASHRAE standard 193 • Approved for Twinning applications(0601410 through 1202420) with accessory(order separately) • Approved for Manufactured Housing/Mobile Horne applications (0401410 through 1202420)with accessory (order separately) • Low NOx units are designed for California Installations and meet 40 ng/J NOx emissions. Can be installed in air quality management districts with a 40 ng/J NOx emissions requirement. TOUGHER • Flame roll-out sensors standard • Adjustable heating blower OFF delay • Factory set blower ON delay • RPJ' primary heat exchanger • Stainless steel secondary heat exchanger luustratrons and photographs are anly represerxahe • High temperature limit control prevents overheating Some produn morleis may vary • Direct ignition with Silicon Nitride ignitor •A' uallit corrosion-resistant, prepainted steel cabinet WARNING E IN TO INSTALL AND SERVICE • Direct vent(2-pipe), single-pipe venting or ventilated combustion Failure to follow this warning could result in personal injury, air death,and/or property damage. • 24 VAC humidifier terminal&electronic air cleaner terminal This furnace is not designed for use in recreation vehicles or • 35"(889mm) high,for ease of installation outdoors. This furnace is designed for use in manufactured • Simplified,factory installed internal condensate drain system (Mobile)homes when an optional Mobile Home accessory kit Is • Innovative knobs for easydoor l d installed. oo removal an secure Failure to follow this warning could result In personal Injury, attachment death,and/or property damage. • Factory shipped for natural gas,with propane gas conversion kits available • Four position-upflow/downflow/horizontal (left/right) installation ENERGUI; °Es I e4, • At least twelve different venting configurations • Through the casing flue pipe for counterflow or horizontal A--NFOu xor E...•r(ARJE) applications with accessory(order separately) • Concentric vent available • Self diagnostics with super bright LED UW • Slide out heat exchanger and blower assembly L — LIMITED WARRANTY• 76•. I•. W% 97% • 20 heat exchanger limited warranty • 5 year parts limited warranty - With timely registration,an additional 5 year parts limited CERTIFIED CERTIFIED e warranty For residential applications only.See warranty certificate for complete details and restrictions, including warranty coverage for J at lr�AHS'C t,--TM Meth„km- •nulaclur•ra peni<m•t�on n the p-g— Fee other applications. r„«at W eb,,,mt,d pramen, ao to«,�,dhrUn•[tpf,yo Efficiency AFUE Cooling Capacity Input CFM range Dimensions H x W x D Shipping Wt. Model Number (MBTUH) Upflow/Hz Downflow (0.5 in.w.c.(125 pa) Inches(Millimeters) Lbs(Kg) N9 026140 A00 96.0% 95.0% 400-775 35 x 14-3(16 x 29-1/2(889 x 361 x ) 120(54 N9MSE0401410A 467 96.0% 95.0 625.905 x 1 1 x -1 889 x 361 x 7W 12 55) _gMSE0401712A 40,000 96.0% 95.0% 650-1050 35 x 17- x 9 x 445 x 1 (6 IT— N9MSE0601410A 60,000 95.5% 95.0 675-1130 35 x 14-3/16 z -1 889 x 361 x 750 127(57) 9 0601 14 60.000 95.0% 650.1 42o 35 x 1 x x 445 x 144 9 0801716 80,000 96.0 95 % 810-1600 35 x 1 -1 x -1 (889 x 445 x 750 —15-4--(69-F— N9MSE0802120 80.000 96.0% 95. 1335-1970 35 x 21 x -1 (889 x 533 x 750) 162(73) NOMSE 1 114 100.000 0 ' 91 -1 45 35 x 21 x x 533 x 750) 169 76 N9 1002120 100.000 96.0% 93W 1345-2065 35 x 21 x /2(889 x 533 x 750) 169(76) N91nT12102420A 120,000 96,0% 1320-2105 35 x 24-112 x -1/ (a89 x 622 x 0) 186( 4 402420A 140,000 96.0/ 1 35 x 24-1 x -1/2(889 x 622 x 50) 190(86 Saficabons are subject to change without not" 440 11 4403 05 12/3/18 NXA6 Performance Series HEATING& COOLING PRODUCTS Product Specifications HIGH EFFICIENCY 16 SEER AIR CONDITIONER ENVIRONMENTALLY BALANCED R-410A REFRIGERANT 11/2 THRU 5 TONS SPLIT SYSTEM 208 /230 Volt, 1-phase, 60 Hz _ REFRIGERATION CIRCUIT —"— •Scroll compressors on select models •Filter-Drier supplied with every unit for field installation • Copper tube/aluminum fin coil EASY TO INSTALL AND SERVICE • Easy Access service valves on all models • External high and low refrigerant service ports • Only two screws to access control panel • Factory charged with R-410A refrigerant BUILT TO LAST • Baked-on powder coat finish over galvanized steel • Post-painted (black) coil fins • Coated, weather-resistant cabinet screws • Coated inlet grille with 3/8"(10mm) spacing for extra protection LIMITED WARRANTY* TM• ff to b••n defigied WO morlikaMW to rnsst ENERGY STAR ortene for wmW idwt.I slherF • 5 year compressor limited warranty , "WOW with •ppWA• mW cdnnarmft Mernwr, MW R•%Jerant chw(p and paper or flow n vltltfll • 5 year parts limited warranty (including compressor and p doe,the, *� ; coil) mom and air fiow iv rn,coords. F ww to foi a m timer�'9e and afrnow mmr rrNxr�e erwrpy etfld•ny -With timely registration. an additional 5 year parts limited a°�'°'� R"•" +• warranty (including compressor and coil) * For owner occupied, residential applications only. See • warranty certificate for complete details and �` U$ RTIFIED11111 restrictions, including warranty for other applications. r Cif LI+STED Use of the AHRI Cwbf*d TM Mark mddcades manufacturer's WopRron in the program.For varfta on of cwdfic hon for^dviduel Oroducls. go to www.ah"Ifictory ac Model Size Nominal Min. Circuit Max. Fuse Operating Dimensions —Ship-1 Operating Number (tons) BTU/hr Ampacity or Breaker height x width x depth In. (mm) Weight lbs.(kg) NXA618GKA 11h 18,000 11.8 20 28-11/16 x 25-3/4 x 25-3/4 154/ 125 (729 x 654 x 654) (70/57) NXA624GKA 2 24,000 17.7 30 28-5/16 x 31-3116 x 31-3/16 147/ 183 (719 x 792 x 792) (83/67) NXA630GKA 21;4, 30,000 16.8 25 32-5/16 x 31-3/16 x 31-3/16 188/ 153 (821 x 792 x 792) (85/69) NXA636GKB 3 36,000 17.5 30 28-5/16 x 35 x 35 204/ 165 (719 x 889 x 889) (93/75) NXA642GKA 31/., 42,000 23.6 40 39-1/8 x 35 x 35 254/213 (994 x 889 x 889) (115/96) NXA648GKA 4 48,000 261 40 39-1/8 x 35 x 35 317/264 (994 x 889 x 889) (144/ 120) NXA660GKB 5 60,000 324 50 45-11/16 x 35 x 35 318/280 (1161 x 889 x 889) (144/127) SOeaficafrons subject to change wMheut naticw 421 11 6201 05 517/19 rECEWE Westchester AUG 13 2021 g�worn VILLAGE OF RYE BROOK BUILDING DEPARTMENT George Latimer Cotuity Executive Sherlitai:lmlcr.ALD Commissioner of Health August 2, 2021 Russell Palucci, P.E. 140 Princeton Drive Shelton, CT 06484 RE: Log. #: 13319-21-DCDA Application for Backflow Prevention Device Kingfield Development 9 Primrose Lane Rye Brook Dear Mr. Palucci: The plans and specifications for the above project have been reviewed and approved by this office pursuant to the provisions of Chapter 873, Article VII, Section 873.707.1 of the Laws of Westchester and Section 5-1.31, Subpart 5-1, of Part 5 of the New York State Sanitary Code. A Certificate of Approval is attached. Form NYSDOH-1013 is to be utilized as a Request for Completed Works Approval. This form can be downloaded from the following link: https://health.westchestergov.com/images/stories/pdfs/crossconnection doh1013.Pdf . NYSDOH- 1013 consists of two parts: (A) the initial test of the device(s) by a certified Backflow prevention device tester, and (B) a certification by a Professional Engineer or Registered Architect, licensed and registered in the State of New York that installation is in accordance with the approved plans. The completed NYSDOH-1013 must be sent to our Department within 45 days of installation of the device(s). This form can be emailed to DOH-BFlow@westchestergov.com . Respectfully, oat Delroy Taylor, P.E. Assistant Commissioner Bureau of Environmental Quality DT/RB:pm cc: Jeff Dubois — SC Rye Brook Partners, LLC Frank McGlynn, Manager— Suez Water Michael Izzo, Bldg{sInsp. — Rye Brook File00 '- RE Departnient of l lealth �'.i lliore.Ac'nue NInaint Ki,;(-o,a\}" 10.5Vi Telephones (91 1)SG1-7°9G 1`ax (91 1)Kla-1691 NEW YORK STATE DEPARTMENT OF HEALTH CERTIFICATE OF APPROVAL FOR BACKFLOW PREVENTION DEVICES This approval is issued under the provisions of 10 NYCRR, Part 5, Section 5-1.31, and Chapter 873, Article VII, Section 873.707.1 of the Laws of Westchester County. Log No. 13319-21-DCDA Facility: Kingfield Development City, Village, Town: County: 9 Primrose Lane Rye Brook WESTCHESTER Owner's Mailing Address: Jeff Dubois SC Rye Brook Partners LLC 4 West Red Oak Lane-Suite 325 White Plains, NY 10604 Physical Location of Backflow Prevention Device(s): Dog House Description of Device(s): One 1 —2 inch Wilkins 950XLTDABF DCDA Water Supplier: Suez Water Name Designated Representative: Frank McGlynn. Mailing Address: Zip: 10801 2525 Palmer Avenue, Suite 3, New Rochelle, NY Conditions of Approval: A. THAT the device(s) shall be installed within 90 days, and that within 45 days of installation the attached New York State Department of Health Form DOH-1013 shall be completed and returned to the water supplier and the Westchester County Department of Health. v. THAT a certified backflow prevention device tester test the above backflow prevention device(s) at least yearly and report the results to the water purveyor indicated above. C. THAT any connection made prior to the backflow prevention device(s) shall render this approval void. D. THAT the proposed works be constructed in conformance with plans and specifications approved this day and any amendments thereto. E. THAT certification that installation of device(s) is in accordance with the approved plans, Form NYSDOH-1013, Part B, must-be completed by a Professional Engineer or Registered Architect, licensed and registered in the State of New York. F. THAT the approved device(s)shall be so set that the test cocks are faced for easy access. G. THAT if facility construction has not commenced within 90 days of the issuance of this Certificate of Approval, then this Certificate shall become null and void unless an extension to the 90 day installation period is secured from the Westchester County Department of Health by the facility owner. Designated Representative SSvEu FOR Ti iE .STATL CClII IONER O H/AvSS EALTH BY: DATE: August 2, 2021 Delroy aylor, P.E. Assistant Commissioner D [ECEME D .aydu'"M MLrz 3w,rr u.s"Jlaw�err"z�'M" ,, FEB W 3 2022I�� " r tjjV rmwip Pete Pre", amI Report on Test and Maintenance VILLAGE OF RYE BROOK of Backflow Prevention Device Please use a separade form for each device. For the year zo s� t Initial taxi•;�Omplar#9Mfrs. �' � Arr.!tal�•GJrrtar9fe partA Jr'ly 4\ I 1pw-EWater 3.1. Aaaa;.•t�, r,� ! clear I i lv f I i Faeiliy Name V"%t I.iZ r I O"of Da i= I ----- �I*r Osvice Manu(a=rx 1 Type RPZ trttmmation MDdel (In in t "1 Sena.Number W I t - M ocv 3 n L Shy c.�9k��t�I 3Sc 0 Gl►edt Valve No.1 t^iteNc Vetw?10.2 DWarential ptwnrrw Retlaf Una PresiYrs�� ffehte Tarrt t oafrod before �kr� opened at IAA paid repair �a coed y®tu _posed light-�- � 1 r3 Z Z anmul>:*W across Wcheck valve check Z psld Z, 2 Ad D t' i tapeY+and Repaired by mmeprtafa Name used i Ik Lie I" , Clete rapefred: M 0 Y F7nel beet Ckmed Nght posed tight Opened W U A paid O 1 Pressure crap across fre C>1 yt AI D Cleat valve Z Z pWd Z .Z Water Meter Number Meter Reading Type of service: cSs one) 9 Domestic 9 FirA 9 0thor Remarks(DOS= @ debaengea:bypassed,oubets before the derioa.Qonrpcilone t,etwasn Me cmee and pe+rd at.agby,Missing m inad"ate wWm,arc.) Cerdficatlen:ThW davlce , meets, doe.NOT meet,the requvementa of an a le containm t device at the tlrne Of testing Ihereby certri'viliatcx e ;r,data ab bn correct. _ F�1LY]SStT t 1 ' cs1 f o7�I Pnnt Name CertGod Tooter t16 S re Exivaflon pyre Prap+rty owearoe(or Omens agent)certification that last was p rfarmad: Plbrt rlame TMe Signature Telephone CarCficat car that installation Is in accordance with the approved plans. Ra he ooerDbseed by me dew a 4Fmr or on*hed cc water sppiw.] I hereby certfy tlh7e lbsiabatian ie in accorgenre With the approved plans, [ ERusseii Psiucci Tine EngineerDole e I t 9 Z 'j Im DOff G a l itrar 78721-1 wn (E45 )337 fi44d � d - fl4DA Y Pkprewrifng nF e o u cns, vnSU ing ng veers pasct7l7a rr,inor inaleae8an ehvrypra nddimse 140 Prineeton onve trity 5hefton State CT Zip 06484 No FL-Send Me 3ign�re �rpier 3 ba 4r' n r. par 1 repicsenW,"ana one COS{O'liv+niter sup far Wi in mys a Iro:seinp device. e'! and water wpplbr mmatl total d device!a{Ir taro are m"Irs cannot�mmedlata:IF no made. MF4. 7013twgi) i 9 Primrose Lane Rye Brook, NY 10573 I R 2015 IECC Energy FEB - 3 2027 1 ID Efficiency Certificate I VILLAGE OF RYE BROOK ._BUILDING DEPARTMENT Insulation Rating R-Value Above-Grade Wall 19.00 Below-Grade Wall 14.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): R8 Window 0.29 0.30 Door 0.30 0.30 Heating &Cooling Equipment Efficiency Heating System: Heil#N9MSE1002120A 9_ 5.5 Cooling System: Heil 4 Ton#NXa648GKA 16 SEER Water Heater: Model VSCE32 119R 119 Gallon Electric Name: Jobe Leonard Date: 2119119 Comments Envelope Leakage Test Testing Company: Technician: Name: ProChek Name: Frank laconetti Address: 100 Mill Plain Rd Credentials: BPI Danbury, CT 06811 Email: info@prochek.com Phone: 800-338-5050 www.prochek.com Building Information: Customer Information: Project ID: 1910-9 primrose lane rye ny Name: Address: 9 Primrose Lane Address: 9 Primrose Lane Rye, NEW YORK Rye, NEW YORK Geo-Tag Data: Latitude: Longitude: Timestamp: Measured Leakage: 2.49 ACH50 Leakage Target: 3.00 ACH50 Compliance with Leakage Target: Pass Test ID: 1910 Purpose of Test: IECC 12/15 Env. Leakage Measured CFM50: 1,475.0 (+/-4.5%) Effective Leakage Area: 90.3 in Building Volume: 35,600.0 ft3 Enclosure Surface Area: 4,044.0 ft2 Coefficient (C): 137.2 (+/-26.1%) Exponent(n): 0.607 (+/- 0.074) Correlation Coefficient: 0.99267 Test Standard: ASTM E779 (single mode) Test Mode: Depressurize Test Characteristics: Pre Indoor Temp: 68 OF Post Indoor Temp: 68 OF Pre Outdoor Temp: 26 °F Post Outdoor Temp: 26 OF Altitude: 100.0 ft Time Average Period: 30 seconds Test Date and Time: 2022-01-10 09:21:47 2000 - Le-Depressurize — U 1000 to 900 800 700 600 2 500 400 300 4 5 6 7 8 910 20 30 40 50 6070 Building Pressure(Pa) Envelope Leakage Test Test Readings: Target_(Pa) Bldg_(Pa). Adj Bldg-(Ea) Fan (Pa). Flow (cfm). Config Baseline -5.0 -60.0 -61.2 -54.2 -82.9 1,638.1 Ring A -54.0 -56.5 -49.6 -75.6 1,566.2 Ring A -48.0 -53.5 -46.6 -66.9 1,475.4 Ring A -42.0 -48.5 -41.6 -60.2 1,400.7 Ring A -36.0 -45.8 -38.9 -55.5 1,347.3 Ring A -30.0 -36.8 -29.9 -45.7 1,225.3 Ring A -24.0 -23.2 -16.3 -159.4 748.3 Ring B -18.0 -22.2 -15.3 -178.6 791.9 Ring B Baseline -8.9 Test Equipment: Flow Device: Model 3 110V Fan Pressure Gauge: DG1000 Serial #: 6006 Calibration Date: 2020-07-01 Deviations from Standard: • The interval between building pressures is greater than 10 Pa. Comments: None Report by TEC Auto Test 1.8.0 (206), © 2021 The Energy Conservatory, Inc. Page 2 of 2 Building Permit Check List&Zoning Analysis Address: `� _j�:>(Z t SF._ LVA�= SBL: 2'T 2 S-- l 1 J Zone:0Z Use: I CJ Cont.Type: Other. Submittal Date: --I — Z Revisions Submittal Dates: Applicant: S Nature of Work: Reviews:ZBA: J UN — 4 2020 PB: BOT: Other. NEED OK l) ( ) FEES.Filing. S. B l 3, IJ`j 3 C/O ' �'f 2 D<JJ { ) APP: Dated ✓ Notarized: ✓ SBI.: Truss I.D. Cross Connection: H.O.A.: { ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening: { ) ( ) ENVIRO: Long Short: Fees: N/A: { ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival: Sealed: Unacceptable: ( ) ( ) PLANS.Date Stamped n.� Sealed `J Copies:�Electronic: Other. (� ( ) License: Workers Comp: Liability Comp.Waiver. Other. { ) 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:Plan: Permit~ H.W.I.C.:_Battery:_Other. ",,PLUMBING:Plans: Permit Nat. Gas: LP Gas: N/A/: Other. (` ( FIRE SUPPRESSION:Plans: Permit: `J N/A: Other. ( ( ) H.V.A.C.: Plans: Permit: N/A Other, ( ) ( ) FUEL TANK:Plan: Permit: Fuel Type: Other. { ) ( ) 20I7 NY State ECCC: N/A: Other. (� ( ) Final Survey: Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. { ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. { )ARB mtg. date: approval:- notes: ( )ZBA mtg.date: approval: notes: { )PB mtg.date: approval: notes: APPROVED REOMED EXISTNG PROPOSED NOTES J UN - 4 2020 Area: Date:,, Circle: Fmptge Front Front Sides: Rear. Main Cor. Accs.Cor. Ft.H Sb: Sd.H Sb: GFA: Tot imp. Ft I; : ParWW. Height/Stories: notes: Residential Buildinev Permit Fee Work Sheet Permit#: Date Issued: SBL: Address: t'1- Property Owner&Contact Info: Job Description: ��c For all new dwellings and for additions measuring 800 sq. ft. or more made to existing dwellings, the following fee schedule shall apply: (plus any alteration fees) Total Sq. Ft. (excluding basements) x $22.5.00 x $15.00/$I,000.00 Basement Sq. Ft. x $65.00 x $I5.00/$I,000.00 -------------------------------------------------------------------------------------------------------------------- New Construction Sq.Ft. • New Construction Cost • Building Permit Fee Basement= H b sq.ft. x $65.00 x$I5.00/$I,000.00= $ (0 1 U " I"FI. = 1 q O'qsq. ft. x $225.00 = $ ��t`� !;-Z .S-. 'x $I5.001$I,000.00 = $ llJ Z 12 r 2nd Fl. = t �� sq. ft. x $225.00=$ 37 407s, -r$I5.00/$I,000.00= $ S b L 3 Attic= L sq. ft. x $225.00 =$ e x$I5.00/$I,000.00 = $+ 0' Total Sq.Ft. = 4iy�Q sq. ft. Total Cost= $ �'�� _ ��• r Total B.P.Fee= $ 1 3 f l 3 6 °Includes Attached Garage if Applicable. Total Amount Paid= $ _ . r • * ' ', Total Amount Due= $ 1,0`� 3 JUN - 4 1010 Date: Signed: 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: 9AIP1AJ 814oLL-- Cye_'TAS4eq Dk5+trl`1 �x2L'N11'7Z le— Subject Property: I PE0, 0:Se. �aro' SBL: Zone: Please take notice that the subject; C/One or Two Family; ❑ Commercial, ❑'Kew Structure ❑ Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; .(Truss Type Construction(TT) frPre-Engineered Wood Construction(PW) ❑ Timber Construction (TC) in the following location(s); ❑ Floor Framing, including Girders&Beams(F) ❑ Roof Framing(R) p`4loor Framing and Roof Framing (FR) 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§1264 for Commercial Buildings, and NYCRR§1265 for One&Two Family Dwellings. I I612-i--) C�- Q", ps�e �y Ucy un E'rnressional � — 9 — Datc 1 er -Nn 1_ lJ J� Datc Notary ublic (7) TRISHA MARTINEZ 'VOTARY PUBLIC-STATE OF NEW YORK No.01 MA6331843 Oualitied in Dutchess County Myi:.rl�mtssion Expires 10-19-2023 AC Rd DATEIMMOD YYYY) CERTIFICATE OF LIABILITY INSURANCE 2212C16 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 BOLDER. 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 c this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). e PRODUCER CONTACT Aon Risk Services Northeast, Inc. NAME. v PHONE 10 Boston MA Dffic! I.No Eat): (866) 283-712, FAX (S00) 363-01D5 One Federal Street E4"L O Boston MA 02110 USA ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIL IS INSURED INSURER A: underwriters At Lloyds London 15792 SC Rve Brook Partners. LLC e/SURER6: The North River Insurance Company 2110S 230 Park Ave. New York NY 10169 USA efaURERC: Navigators Insurance Co 42307 INSURERD: Starr Indemnity & Liability company 38318 I URFR E: WSURER F; COVERAGES CERTIFICATE NUMBER:570064826519 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS Limits shown are as requested am LTRTYPE OF INSURANCE IN j POLICY NUMBER LIMITS 1111111111211= OW X COMMERCIAL GENERAL LIABILITY L[(, EACH OCCURRENCE $1,000,000 CLAIMSMADE X❑OCCUR PREAGE TO R MISES EA ouamanp $100,000 MED EXP(Any one peson) Excluded PERSONAL a ACV INJURY $1,000,006 GEWL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE 2,000,000 POLICY X I JECTRO- ❑LOO PRODUCTS-COMPIOP AGG $2,000 r 000 OTHER: LJ AUtOM001LE UABLTTY COM6eJE0 SINGLE LIMIT ANY AUTO BODILY INJURY(Per parson) Z OWNSAUTOS ONLY AUTOS LED BODILY INJURY (Per astlerd) z HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTO$ONLY Per errJdenl �1. A x UMBRELLA LIAB X OCCUR LCCx 78 0 30 016 EACHOCCLrRRENCE 5,000,000 'V EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DEO I RETENTION WORKERS COAMEN$ATION AND RT EMPLOYER$'L"ILITY YIN PA OTH- ANY PROPRIETOR I PARTNER EXECUTIVE E.L.EACH ACCIDENT OFFICER/IJEMRER EXCLUDED' NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE II yea.d—ribe undw DE SC HIP ION OF OPERATIONS bebar E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addloonai Remarks ached,ds,maybe atteehad M more epees Is r-qI,6- ) e+� 5Z CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Village Of Rye Brook AUTHORIZED REPRESENTATIVE 938 King Street Rye Brook NY 10573 USA nd' 9 1 988-201 5 ACORD CORPORATION.All rights reserved, ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Certificate of Attestation of Exemption from New York State Workers' Compensation and/or Disability and Paid Family Leave Benefits Insurance Coverage **This form cannot be used to waive the workers'compensation rights or obligations of any party.** The applicant may use this Certificate of Attestation of Exemption ONLY to show a government entity that New York State specific workers'compensation and/or disability and paid family leave benefits insurance is not required. The applicant may NOT use this forth to show another business or that business's insurance carrier that such insurance is not required.. Please provide this form to the government entity from which you are requesting a permit,license or contract. This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Building Permit SC Rye Brook Partners,LLC From:The Village of Rye Brook NY 1100 King St Ste 114 Rye Brook,NY 10573-1057 PHONE:914481-1531 FEIN:XXXXX6509 IThe location of where work will be performed is 110 King Street,Rye Brook,NY 10573. Estimated dates necessary to complete work associated with the building permit are from March 17,2020 to March 16,2021. The estimated dollar amount of project is over S100,000 Workers'Compensation Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The business is a LLC,LLP,PLLP or a RLLP;OR is a partnership under the laws of New York State and is not a corporation. Other than the partners or members,there are no employees,day labor,leased employees,borrowed employees,part-time employees,unpaid volunteers(including family members)or subcontractors. Partners I Members: Robert Dale Disability and Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: 1) owned by one individual; OR 2) is a partnership(including LLC,LLP,PLLP,RLLP,or LP)under the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation,with those individuals owning all of the stock and holding all offices of the corporation(in a two person owned corporation each individual must be an officer and own at least one share of stock); OR 4) is a business with no NYS location. In addition,the business does not require disability and paid family leave benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (Independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law) 1,Janice Heusser,am the Office Assistant with the above-named legal entity. I affirm that due to my position with the above-named business I have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true,that I have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that I understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,the above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disability and paid family leave benefits coverage and also immediately furnish proof of that coverage on forms approved by the Chair of the Workers'Compensation Board to the government entity listed above. SIGN IERE Signature: Date: Ezemptia%C to PFund"r 4 A t A 2 24 .... NYS Work nation:Boil , C1i-200 01/2018 ACU DATE(MMlODIYVYY) R CERTIFICATE OF LIABILITY INSURANCE 1/21/2021 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(&). PRODUCER CONIAM NAME OTT AGENCY PHONE IM� ,.rzgl (845)895-8873 PO Box 659 ac No ADDRESS ottins2001 @ ahoo.com Wallkill, NY 12589 INSURER(S) AFFORDING COVERAGE NAICN INSURER Main Street America INSURED Total Comfort Inc INSURER B National Grange PO Box 359 INSURERC National Grange 7 Ohara Rd INSURER D National Grange Milton, NY 12547 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR 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 LTR TYPE OF INSURANCE INSD VIVO POLICY NUMBER MMIDDIYYYY MMIDDNYYY LIMITS n./t /1 x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E 1 oOO 000 CLAIMS-MADE FX7 OCCUR PREMISES Ea occurrence $ 500,000 MPU7919F 1/21/2021 1/21/2022 ME D EXP(Any one person) S 10,000 A X X PERSONALBAOV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 POLICY PRO- JECT ®LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED Ea accident $ 1,000 000 ANYAUTO 1/21/2021 1/21/2022 BODILY INJURY(Par person) $ OWNED SCHEDULED B1U7 91 9F B AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY Per accident $ III UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 5,000,000 D EXCESS LIAR HCLAIMS-MADE CUU7919F 1/21/2021 1/21/2022 AGGREGATE $ 5,000,000 DED I I RETENTION$ I $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN 1/21/2021 1/21/2022 STATUTE ER ANY PROPRIETOHIPARTNER/TECECLITIVE NCU7919F EL.EACH ACCIDENT $ 1,000,000 C OFFICERIMEMBER EXCLUDED? NIA - (Msndstaq In W) E L DISEASE-EA EMPLOYEE $ 10,573 DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT S 1,000,000 7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached it more space Is required) CERTIFICATE HOLDER CANCELLATION VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS, RYE BROOK NY 10573 AUTHORIZED REPRF�SENTATIV� Il�rr , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD25(2016/03) The ACORD name and logo are registered marks of ACORD ISTNEW RRK Workers' CERTIFICATE OF ATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(use street address only) tb Business Telephone Number of Insured TflfAL COMFORT INC 203-223-6700 PO BOX 359 7 OHARA RD 1c.NYS Unemployment Insurance Employer Registration Number of MILTON NY 12547 Ensured Work Location of Insured(Only required ifcoverage is specifically limited to 1of Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e.,a Wrap-Up Policy) Number 141829022 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) NATIONAL GRANGE VILLAGE OF RYE BROOK 938 KING ST RYE BROOK NY 10573 3b.Policy Number of Entity Listed in Box"1a" WCU7919F 3c,Policy effective period 01121/2021 to 0112112022 3d.The Proprietor.Partners or Executive Officers are ❑ included,(Only check box if all partners/officers included) X❑ all excluded or certain partnerstofficers excluded, This certifies that the insurance carrier indicated above in box"T'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-A 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 Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? AYES ENO 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: WILLIAM C OTT (Print name of authorized representative or licensed agent of insurance carrier) Approved by: l � (Signature) (Date) Title. PRESIDENT 1/21/2021 Telephone Number of authorized representative or licensed agent of insurance carrier 845-895-8873 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-15) www.wcb.ny.gov •rwtassataf� KIN F1 V PM NT h ram\� 0 � • � Ir� 0' 9 PRIMROSE LANE UNIT 6 WATER SUPPLY tw On i STATIC P9:SO P9 I YE BRDOK� NY. ecio22 am �„ FUM 1050 GPM ores '_� or ISM IAL r10 >vlyalr t#ga Tad w111' -aU�Ux -nit„� >•taset s tamer-� Is ss ion a[w sselQ N -13D GENERAL NOTES s>,�I.fs-t , .}001M A i S1'= EMT-4 ' M D=SIGN-RES�DEr�Ti4t.ARC-AS iiA�'E =_M T SYST } ` 1 � _�,t�E�• .A MRTACW mmm 1Q 11em V UK �_ UK twr tag 1sI>,saI�A taro tYdle tase,r a w w rt�t elrtr►r■�E rt s�■aar i!'`,:"''- � _ ! ! _N�mswwsrt tier I�aIL saws dt � •'� M LK >As rlow M tttit7A p d.•>.IwO `r , 4L ME+IM Mess al<•At rr�r s� 1 / O J i A ss+fr■st tits aesla oaws a art eorow ___.___ _ _ ra■sl<��sIu tw aasl>t s � � seam i tits.tally Iss>tll���ate: ! to•.11�.1a..twee rlasl�.a►s�t-�s ell tarsot OFMI T NN/Alr R OEM MAP M.■..yaws swr~s t•trlsm w at a■s•.®rw tees+e tat sl.ttnat ��S NGEl4 D ETAIX larva is No s on rrlu It s malura aIw X ! � ��LO!IN>~>>vi fYi►sir�{�al R rs!t11111Nii Y1 t��t s t,<aQ 1K W A n OL a i • S i \ oneS/TEPLAN �t:"" M �I.r.�a�-arrmo so idles fsasrser K t7 o O T.St •�•�rfslnes w 11VA, r � •rrsfrnsi c- r 6�g%E A , f� OM ER �y! at tlll�ts�fir• j auws a>Ira '�•��-' � 1 Ili#ts0>•sa fiat �r■rslo rtn,e MAl RESPO`1S13LE FOR THE CONDITION OFA SPR NK ER SYSTEM U Au>,UIr.A,;r9 F°r►it tits 1=u�n nl3--4TW&In�at►t++31 t.:rtm_;21t BASEMEN � 7:R:ttra s<.�n C�tM§'S14AL SE ih6Af.•'L �,F;•atCiwlrt-AWCt n,ACC�GtUkAj F I .,a„r,• �..,,,..�, .utv ii;;�tts_=NrAnrA.r tea r4tE rNt!perirM rsrwc.wtf 4ArrTErsiuw F-f t t WATER BASED FIRE PROTECT)O«SYSTEMS _ �^� -' <t r A e 9 THE RESPONSIBILITY FOR PROPERLY MAINT/1 RING ASPRINKLER SYSTEM IS THAT Of THE �.'r�� � -. � \ f+-� � �� 677A 9 j OR MANAGER WHO SHOULD UNDERSTAND THE SPRINKLER SYSTEM OPERATION 'a ELEVA T/ N VIEW F \` lit r ; r.:q�.NITuEB tirra�Arlt,c. ��'IFt�'I-'fi.',7gtrtlsNtSF7:I rht av'RF r•11 F{'3T1►.0 wffl dt«ttrrrts.r►c. F I•L'�':t.t•tr-t}Frir_G t7r11'����•:�C'�!r r,���� � �� _ F/REPROTECTIONBACKFLOW DETAII. d ADDITIONALLY + t YOU MUST MAINTAIN SUFFIC ENT HEAT THROJC40UT THE PRE111LSES TO ✓ 1 I® KT.S� PREVENT THE WET SYSTEM FROM FREEZING . 2 YOU SHAL INFORM TENANTS OF PROPER CARE NECESSARY 70MAtNTAl1r ' 4 JUN ' 2010THE SY5TEA1 ♦ e-A T 1=THE CONSTRUCTION OR OCCUPANCY S ALTERED IN ANY VWY 1(c THE SYSTL%o WILL HAVE TO BE UPDATED ACCORDINGLY L.t � ��.���� I�vamss¢rt�.av:e�aW*azi-aai:raar.L-,c:,:-. ..xt�aw.•s-_ �!i aEirtwr�• O ". O V/ Y OQllt Illlllf N01Y1 IA�R�IAO PAR a j , �i � t r Z I �1>r �� wa N �.....re.. a,�b .. ,,..a s.,.,,..�, ..wr_.* .,,,•,:.+P,a•n...r�rrr�:' PE MfT �a w9w9affor„m 1W� SB 0L Z_ �' 1 ' ��'saiitiwie.:r:w - 3 Y oa APPROVE 2020 L: u F. NF NI-il fills�i -wrf I >!Iw1�1.1WIOIE mA5TER MASTER BATH BEDROOM sul DING INSPECT �Rye 8 11Y �� �.,.r�.. P UNExCAVATEC SECOND FLCOOF t►1 of N��y '��� �file:t11a�1■�ra�■falp(r� LIv NG 00 �� �C�• FIRS]FLOOR 410-1 1\,�4 FIr�ISr;EC WA Y IN t•. BPSFMENT CL t•,ter•��}r �:��;��'�" r BASEMEN(FLOOP 4V,W"BL A it . r a BASr END NT FLOOR RRE PRO MCT/ON PLAN BUILDING SECT/ON'A—A" vw&c.•114j"?I•-0" c �� uott pipe locations are to be field m rn measured prior to fabrication Whether or not on the orangs the following items are to De provided JOB tRMsa and meta"d110r oy the sprtrkter coriractor -Head Cabinet spare heads and head wrench per NFPA 13 OL/GRsRilGsf m®eL t7lrtultfw Tiflis 11IMENENT 11.00111 FIRE PROTECTION PLAN RAOJECT KIIaQRELQ OEVELOPMtNT All dimensions shown are end to end -Prowslors for Rush-ng connections e and drain ng or all pip r RlilRt�ll �" �� lw� ■RMtt01/r 011TL ADDREOB:INTERNATIDNAL DRIVE 3 High lempersture neaps are to be field insialltd where mqu red -Inspedors test conneclron shal be providea for each system t.W Atiml�llsa>� =NmA�t DQ® tliClrlr>Rt.,oL�AWR111 t'3bf17 CRY:RYE 6RDOK BTATGNY ZIP.1 DS?3 4 Al.pipes and hangers are to be Installed per NFPA 13 -Hydraulic denlifcalion ptates A NFPA 13 requtrec signs WI l�1 i�11CAM a i-MuFmtlnlaRlf aw"W"Wil 0 tYt/I fiat =Ki111ol1t CtJLRTt RYETHE IMAWIAN QROIlP OTATOFMONE T ZIP.6t5 5 Gridced wet systems shall provide a relier vain per NFPA 13 Do" KDI[t41t>i�r0r CONSrIII cMft WOOD 6 All nevi p,p,ng s Io be hydrostatically tesled at ncl ess then 2DOpb I is the budding owners tesponsibiltly o I.iovde adequale heat rot at areas n the UNWOM r1tL�'41!!S' aliAllR fl 1Qrra �oe.arm LTO. F I - ~ Q ADORE6IN O INTERNATIONAL DRIVE•BURE 114 ror 2 hours or at g protected 10 a wet type systems system and for al vrater 5 led supply o�pe vanes �m m GCtaDlAllin NFPA 170 CrMMM■ROCK BTATE:NY ZIIPID573 1 5 INDUUrRIAL PARK PLNXI MIDQLETWH,CT 06457 r 50psI+n atteas of the masrmum pressure, building ,��, �����a��&y,�� �� BYSTEN TYPL rfET when the me:mu^r pressure to be marnle nod Is in excess of t SOpsr and system mere to Dry type systems P:e6a6aa-BDs3 F:860.63�-8054 a quick open rig deg ce rs regwrtra when dry system volume elct7eC+d5 Atr pressure shall be ma ntainec on at cry type systems by an app•ovea autor-abc;air -� �� DATE Oali7N017 rift[l�+4F.rR Ef7FrTRAt'f0a pOrmtCr 500 F to'3D per NFPA c rorrpreswr a ptanl air system specircey approved ror ara capatle of dulomlmogy �t�feRE nmVelRSQifllsei11R1'1�MOlrsR.lMl s>azlllrf�sest#I1Fes YVWW.MACKFIREtCGM 8 NFPA'3D aRF 1 as lotu�ed IL ma'niaining the recu,red air pres use J , PORT cmrs fl OESIGH L CHRIS JUDO irMONE:i86a1 34830a aI ausullou[taaotr� TWAL ns e.Q••+v TWILrao sec 34 RR[IdARBXAL E-MAIL CHRIN&ACKI IRE-COM LICENSES.CT:F1.40291 MA:SC-1 Z0494 RI:000347 L i KIN F1 v RM NT I 9 PRIMROSE LANE on UNIT B RYE B ROOK9 NY. I I HYDRAULIC DESIGN a kl-AAMMM F01L"tttuooa tssr� ►timBft&r.O>fELstON GMT>EM41 Domy t76 *ol11I VAFUES KFaft-4.9 W Hm Alow=44* T I I f w i1_� ~0 q R dRavAmOwallommAmd 2"Mmdw9 Mmaft1111 tr w to Ra•a of-AL oI 41 ti efill ■saiwl to a�s�I alp• ��� ' alctas tIr w tliltl•��i r / ., .ti ® I�t�tII11Ilr ♦op IL � �'� rRlEtml■E1E��a h 1 morn tlr 1 \�.4===Li w O o r•�>• ' *0 r IA y INSLlLA"ON DETA14L FOR ALL SPRINKLER � - L IN ORADJACENT TO VNHEA TED SPACES • ;i •+ AE M 11® n N trl' ® ► u 0 DINING >t�att=RtataI� 1 � RGOM Monona EN3 �bR_:MI Oil' y e ''� ® '1 sl•atet=�t�• �`- - jar „� �` � � I 1 smono pan CM] Ca;► EllI n ® •R1lAi1WtI>tq �J r•• DUN Ififf"EL r ��1 WE t1 WK s 10M aI nw polo RM Vu E W=#1�'-r can nW Ism FIRST FLOOR FIIRAC PRO TEC77ONPLAN SECOND FLOOR FIRE PRO WCrIONPLAN r- rj to be held measured prior to fabocalron Whether or not rndicateo on the drawings the following tamp are to be provided ap"WER DltAfaiMt71711�1FIRBT i SECOND FLOOp FIRE PAQTEC710N PLAN ��tM�ORwtTitilt V* -.,n.' . rr.'r Head Cabiml gym�#Ot. Rum""Ma �i'et10t OQCIOar1r'pR PROrECT:KIN0i1ELD DEVELOPMENT N spare heads ich head orainrpar NFPA:3 re�ail�s��t'lrl�aR�111t1AtCN�a•uatr�1ts11a� 2 AI dimensions shown are end to and Provsrons for flushing eonned�oro and arern rig o►all pipe ' ���� OONf*A6Trl OOOO �tMHDMa �� ADDREIUtINTERNATIONAL DRIVE 3 High temperature heads a•e to be field wstalleo where recurred Inspectot's test connection shall be ��� Oi7rRJ1l t1[YIRIOIr I? CITY:RYE BROOK BTATE:NY ZIR10573 provided ipr each system W7 Bt11�O1+ 1tatDR�l t6y.i�tl�ttaOrtaQAaJtf Awrdltr. t1a1 5 All pipes and hangers are to be de aged per NFPA.3. HydrouSc rdentrficalpn plates t4 NFPA 13 requ red signs On NOW" WON� 60tl1111M f1010 MOOD CLIENTITHE WAR,AM GROUP PHONE119141 7b1 35 5 Graded wet systems aheU provide a rel,ei valve f.cr NFPA 13 6 All now piping rs to be hydrostatically tested at not!ess then 2000si It is:he building owners re"reibiliy to provide adequele boat for at areas m the 40 1004W Lam' ro 0 ���� ADDRUMS INTERNATIDNAL DRIVE-BU1TE 114 or..hours oral m pr In excess of the deireamaximum pressure, bur drrg system awes by a wet type larnsue system and for 0 water fitred supply pipe valves OCCu�ar�t;�+NI'PA`30 Crre.RYE BROOK BTATR:NY ZIR10572 15 INDUBTNIAL PARK PLACE,MIDD�rrcm,CT 05457 N w quick the maximum pressure to be mairwhen try s in eer volume a 15eed and petem users to dry type systems -o- Ww� a tfrlNr��f �t l�at f t►4l e+ 8TUrEm�E' T P:960.63a•8053 F;B60.633-8054 i A quick operrng devxe s required when dry system volume exceeds Are pressure chat be mainlamed on all dry type systems by an approrad aulomelre air 1�LIO]� 500 gallons per NFPA 13 compressor or plant air systerr specifically approved for and capable of aulomatical y PHUR111i a riot tA�ptt t> At rrn tt,ts >S�f KIT=imt�pr WM 0=74017 FM sgeU[QO CORTRACM11 CCWALK 0 NFPA tap apply as required maintain mg the ecwreo a r pressure -7 1R0004DXt/U LF74Q PORT CHEBTER DESIGNER:CHRIS JUDO PHONE:gw?399AM WWw■MACKFIRE•COM IL i' lerssseo.ilttnt M TOM Ti,"&,crr-rs I TVAL To"dw S4 not MARBMAL E-MAIL:CHRLB®MACKrIRE.COM LICENSES;CT:F1-40391 MA:SC-180494 RI:000347 LL. FIELDWORK COMPLETED: August 17, 2021 Underground structures, if any exist, are not shown hereon, except as noted. The location of underground improvements or encroachments are not always known FILED MAP REEF' and often must be estimated. If underground Common Area 5 improvements, easements, or encroachments exist and Subdivision Map of "Kingfield" F.M. No. 29210 30, 2018 provided to this"NOT BUILDING LOTS are neither visible during normal field survey operations filed August nor described in instruments surveyor, g p s su eyor, S84°32'1 1"E they may not be shown on this map and are not Subject Lot: 72 4 6.7 3' certified. Known as 9 Primrose Lane This may be affected b instruments which Town of Rye Tax ID: Section 129.25 Block 1 Lot 1.88 co have property not been y provided to this surveyor. Users of this Nr*"-- o� CRW N map should verify title with their attorney or a qualified t-- w/Fence 00 title examiner. 00 Legend f only copies from the original of this survey marked with the surveyor's embossed seal are genuine, true ©— Sewer Cleanout and correct copies of the surveyor's original work and CRW— Concrete Retaining Wall opinion. A copy of this document without v proper ® — Curb Stop Water Service application of the surveyor's embossed seol should be assumed to be an unauthorized copy. ®— Electric Box ® -- Electric Manhole Q 04 — Gas Valve ,� L► • - -— gh t Pole 76 J Frome � � � cD o-- Telecommunication Box _X ®- Transformer Pad BuildIng 70 O— Water Valve rn �- Hydrant o OIx Q_ 111 Area a .t 4 152 Ft w '_"00'_"00aI �- N M w CO o [E :n %4- O Po vers O IRF To date, no rtle Report or Abstract of rtle has been W Z Walk Drive 0 FEB " 3 a/k 2022 p dote rile Report. qet4 Hy . rovided. This survey is subject to o current, up to dr. W VILLAGE OF RYE BROOK roperty corner monuments were not placed os port of R=633.00' =--L=53.72' BUILDING DEPARTMENT this survey. Stone Curb 0 This map may not be used in connection with a o 0 "Survey Affidavit" or similar document statement or Primrose Lane Amechanism to obtain title insurance for an subse uent "'Bu�1t Surveyy q Access, Water & Sewer Ease. or future grantees. Per F.M. 29210 • . . --__ 9 PrimroseLane Unauthorized v/tervt►on or odd►t►on to v survey map _——--—__ bearing a Licensed Land Surveyor's seal is a violation CB A-5 of Section 7209, sub—division 2 of the New York State Unit 72 Education Law. Prepared for According to NYSAPLS policy adopted January 23, 1993, the alteration of survey maps by anyone other than the . es . . Sunc original preparer is misleading, confusing and not in the general welfare and benefit of the public. Licensed Land s/mte j7 to Surveyors shall not alter survey maps, survey plans, or survey plots prepared by others. To wn o f Rye Westchester County, New York �/ ENGINEERING, SURVEYING & GRAPHIC SCALE �� Date.' October A 2021 LANDSCAPE ARCHITECTURE, P.C. of 20' 40' 3 Garrett Place • Carmel, New York 10512 JEFFRE Y B. D eR OSA, L S Phone (845) 225—96 90 • Fax (845) 225—9 717 A -g ILTUMENT New York State License No. 050749 www.inslte--en 9 .com DOC C) 2021 In si to En gin eerin g, Surveying & Landscape Architecture, P.C. All Rights Reserved. (IN FEET) 1622 7.200 1 inch = 20 ft. Lot Mops/Lot 72.d wg