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Home My WebLink AboutBP20-203SECTION TYPE OF WORK JOB LOCATION _OWNER.SC_Aej. r CONTRACTuKio- �S EST. COST �O # L07 TCO if SPECTION RECOR D � FOOTINGti\ FOUNDATION FRAMING RGH FRAMING ` INSULATION PLUMBING RGH PLUMBING/ GAS SPRINKLER Ciro* ELECTRIC LOW -VOLT ALARM W2� AS BUILT FINAL �- I• ' 0 Cl2iV40C+� Jrl AS-BUtLTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION �)pJ�o9lO%u1 JUe�,�as�y lg-� ►�O Nf�.�r�2 - �c f �e-den- sl ace laa- MPao i 1� ov - OTHER APPROVALS ARB BOT PB _�- ZBA OTHER FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT TNtS BUILDING MUST BE POSTED WITH A PERMANEM CONSTRUCTION TYPE IDENTIFICATION SIGN; V PRIOR TO THE ISSUANCE OF A C/O, AS REQUIRED BY NY STATE LAW. VILLAGE OF RYE BROOK WESTCHES' R COUNTY, NEW YORK NO: 22-085 Certificate of ®ccupaucp �l l This is to certify that J(� Pup, broc-)L ),L of, , BrOO k 1 / j Y having duly filed an application on 20 requesting a Certificate of Occupancy for the premises known as, 4 , J'Q�m In (_..(.le?L , Rye Brook,NY, located in a �� Zoning District and shown on the most current Tax Map as Section: /c2 . Block: —L—Lot: , 103 and having fully complied l!w��ith the requirements of the Building Code and the Zoning Ordinance under Building Permit No. r� ~��J, issued �5 20 old, 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: �e /�L Construction: for the following purposes: S/i t / l+ UJ J ISubject 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 SEPARATE 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 eig shall be made nor shall the building be moved from one location to another until a permit to accomplish such change h e obt ' om the Bui ' g Inspector. ILL uilding Inspector,Village of Rye Brook: Date: MAY 2 6 1011 L "y 40A afttttumaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.tyebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE May 26,2022 SC Rye Brook Partners LLC c/o Warjam Group LTD 4 West Red Oak Lane Suite 325 White Plains,New York 10604 Re: 19 Jasmine Lane, Rye Brook,New York 10573 Parcel ID#: 129.25-1-1.63 This document certifies that the work done under Mechanical Permit #21-149 issued on 10/19/2021 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 /to DA c 406 aILf1l1lPJL atV VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R Epstein N ichaeli. Izzo Stephanie J. Fischer David M. Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE May 26,2022 SC Rye Brook Partners LLC c/o Warjarn Group LTD 4 West Red Oak Lane Suite 325 White Plains,New York 10604 Re: 19 Jasmine Lane, Rye Brook,New York 10573 ParcelID#; 129.25-1-1.63 Mechanical Permit#20-150 issued on 10/15/2020 for Fire Sprinkler System This certifies that the fire sprinkler system,installed under the above captioned permit,has been satisfactorily completed. Sincerely, Michael J. 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ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION i ❑ NATURAL GAS `7 ❑ L.R GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING )CROSS CONNECTION FINAL ❑ OTHER Q�E BRC�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 - - - - - - - - - - - - - - - -- - - - C ADDRESS :- DATE' PERMIT# � 1 � �,2C� ISSUED: ( U l� $ECT: �y 2 BLOCK: LOT: LOCATION: ti -fleG'HP 1 ❑ 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 'VTHER �OJ�� E BRC�k, 1. cu � 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.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : f 5 . 1 A C✓'y k f"1 y� DATE: I z 17� Z.k PERMIT#�� !`�- �� ISSUED: ECT: f Z-5- BLOCK: I LOT: LOCATION: �� ,A1/`-�I L1 OCCUPANCY: 2-1 ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED i REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTLWG DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑jROUGH FRAMING INSULATION '! NATURAL GAS �T�L{ i JE/1-- ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER Ira= ALI ❑ FINAL PLUMBING ❑ CROSS CONNECTION n" ❑ FINAL ❑ OTHER QyE BRC��, 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ,EPWSSISTANT 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 : t DATE: PERMIT# ISSUED: ECT: BLOCK: LOT: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... .❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: [a-- ROUGH PLUMBING ' ROUGH FRAMING 40 INSULATION NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL Q OTHER f A ,*k U v * � v v * °o cd 03 cla * 3 * r Q Q W � � � � HMI ��'r+ •� b �' E� pg p o PLO �; Jr Vic' a o � rx En, w >4 A M ¢, � . Onoa Ln cd F�M J► 0 .... * O 'l �-' 4-4 ic cd r,,. O v cu � O to a a P. (19 E BRa ? tim-�01b2 BUILDING DEPARTMENT 0 'LDING 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�ebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS :— ; ? �2 Zo 47QT: ISSUEI: LET•PERMIT# LOCATION: `u` -� OCCUPANCY: --Z-C(-) ❑ 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 �yE BR(��. O� 2m • 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 aebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:— l� � ��C2 � t�q \C(AQ DATE: PERMIT# j 20 ISSUED: SECT: BLOCK: LOT: - GZ! - L LOCATION: OCCUPANCY: �- ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION ( REQUIRED _❑ FOOTING Cl 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 �yE BR(��. • 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www aebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE' -Zo PERMIT# ISSUED: SECT. LOCK: 1 LOT: LOCATION: � �'S OCCUPANCY: -z l o ❑ 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 k � W y �� ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL Q/OTHER QyE BRC��. O� Zm 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.ors; - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : _\►Ql \ ``�� ` � DATE: PERMIT# q?, �20� ISSUED: , ��ECT: � BLOCK: LOT: LOCATION: C �p N OCCUPANCY: ^Z- ` C) ❑ 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 DRC�,�, O� Zm • 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.orl; - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: "1 L CMG l PERMIT# �l� ISSUED: U �� CT: 1 Z \ BLOCK: ' LOT: LOCATION: - � � OCCUPANCY: 2� ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ElREJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS \ I ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL THER �yE BR(�k• O� Zm • �9�2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 x/l (914) 939-0668 FAx (914) 939-5801 www rygbrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - --- - - - - - - ADDRESS :- DATE: PERMIT# �"��ISSUED: `uL4�CT: V!�BLOCK:�LOT:1 3 LOCATION: �J �1 OCCUPANCY: �--1 ❑ VIOLATION NOTED THE WORK IS... CCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION 1 REQUIRED Q"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��, O� Zm 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.yebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS:_ DATE: PERMIT# �` �L/ ISSUED: SECT: (2 ].1 BLOCK: LOT: ? LOCATION: , -�� ` , OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION --a--UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ��h ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER Crn(� ( (`� J "F d ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL (] OTHER F.„. �yE 4Rcb F0 • 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 Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS: J� 1 C LGNQ DATE: PERMIT# CQ �-� �-��% ISSUED: , Lam_BLOCK: LOT: j LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... A CEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION Ali o REQUIRED ❑ FOOTING \ V ❑'`FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING �� ` NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ` t ❑ NATURAL GAS l n AC ic�C�C`9tt ujcJ k ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BR(�k• O� Zm 1982• 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.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : ` `'� DATE: PERMIT# 1 ^ZO� ISSUED: 1��t JECT:�� " LOCK: 1 LOT: ' LOCATION: OCCUPANCY: 1 �� ❑ VIOLATION NOTED THE WORK IS... � ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING P 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 BRC�k, O`` tim 04 • 1932 BUILDING DEPARTMENT UILDING INSPECTOR 0 ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : l �/"\ \ N�� DATE: 1 PERMIT# �� Z ma`s ISSUED:12 �ECT: {Z, Z�� BLOCK: LOT: , C3 LOCATION: "`"1 OCCUPANCY: ?t ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ROOTING DRAINAGE FOUNDATION �y UNDERGROUND PLUMBING NOTES ON INSPECTION: Ll ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �yE BR(�jk. O� Zm 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR PKSSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK / U LODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www ryebrook.or¢ - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : � 3 cn I N Q (-<% DATE: \ ,*n 2-1 PERMIT# y 210`2.6-3 ISSUED: ' SECT: BLOCK: LOT: LOCATION: I `Y'a 1 ` OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ALEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED OOTING ❑ 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 41 Me of 46. s Y I s C N � N N N N lz • � C f �.J U M �" C z 0-4 96 W w .• [ U a IT w O A co oo �'►. ;�J V = O W Z Z � C. z Lzl .� a' 9. C, W " CA o zN ., W z w a v Q 3 ca $ , C4 is _ 'ItE- . U W Z y �, bA Y ��.fit; 41 4A t t 4 4 4 4 0 4 9 4 4 9 9 4 41 BUILDING DRP--A MNT VILLAGE QF:RYE$ROOK DEC 3 0 2020 938 KING ',TREETRYE BRODK,NY 10573 (914)939q�68FaX91?)939-5801 w�viu:%ve}irdok.org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY BP#: (�U ow3 EP#: t2 t OOS Approval Date: J AN 2 1 Application Fee: Approval Signature: Permit Fee: Disapproved: Other: (fees are non-refundable) Application dated, 1 ' 7 "g'�2 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',Felderal,State,County and Local Codes. /1.Address: � f/+JmaL Or/�� L�-�C SBL:l,t'Zr, o�j/—�� Zone:P 2.Property Owner: SC Rye Brook Partners, LLC Address: 5 International Drive Suite 114 Rye Brook, NY 10573 Phone#: 914-481-1531 Cell#: email: 3.Master Electrician: Denis M. Fortino Address: PO Box 713 Rye, New York 10573 Lie.#: E-51 Phone#: 914-760-5226 Cell#: 914-760-5226 email: dfortino@enterpdseelec.com Company Name: Enterprise Electrical Consulting Address: PO Box 713 Rye, NY 10573 4.Proposed Electrical Work/Fixture Count: t-2)1 0-t;clsf /yo la•�/s� �/l.-UG i—v 2 S/'lt�-1C�' C�A��or� 7 C TAG/y/�S �/iU� jl/�c..�'s�GJ STATE OF NEW YORK,COUNTY OF WESTCBESTER ) 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. tindicate arcltitect•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 (�90 -1 Sworn to efore me /is 20� day of 0c,4-- ,20 Q(0 day of ctd er// 20 Signature of Property Owner S a Lre of Applicant De is M. Fortino o'kttlurrll1„ Print Name of Property Owner nt Pme of Appli ......... 9''�i�, �._ nr �G Notary Public of Public _ :Roc o�qL<F g 28 po_ &NDCONr _ 1 j-0 �*,p F 8 L I C 1N EA/1 o`1 WesIchpster Rockland Electrical Inspection Services, Inc. , Phone: 914-347-3595 DO NOT WRITE HERE—FOR OFFICE USE ONLY 43 North Lawn Avenue �� Fax: 914-347-3596 Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# DATE - CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY 1i'�LvPK G, STREET AND NO.OR ROAD N .� u� }` POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS /� HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT 1 s F L. 2—FL. 3-FL. 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 I_] ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD LI 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 f' TELEPHOW NO. j :?/Z�-- //-b —S 4� CITY OR POST OFFICE 21p LICENSE NO.WHEN APPLICABLE ` ! — e `Lr r WESTCHESTER ROCKLANO ELECTRICAL INSPECTION INE15SERVICES,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 3881 Danbury Road NY, Brewster 10509 Located at: 19 Jasmine Lane Rye Brook, NY 10573 Certificate Number: 1034585 Section: 129.25 Block: 1 Lot: 1.63 BDC: Permit#:EP:21-005-BP:20-203 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: 19 Jasmine Lane Rye Brook,NY 10573 E2 Basement 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the Installation,as set forth below,was found to be in compliance therewith on 05/16/22 Name Type Quantity Receptacle Convenience ------- 63 Switch Single Pole ------- 42 Fixture-Luminaire Incandescent ------- 15 Fixture-Luminaire Undercabinet ------- 5 Fixture-Luminaire Recessed ------- 41 Cook Top ------- 1 Furnace Gas or Oil ------- 2 Dishwasher ------- 1 Exhaust Fan ------- 4 Clothes Dryer ------- 1 Electric Room Heaters ------- 1 Dimmers Led ------- 19 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. �`/�G 14 1 This certificate is valid for work performed before date of inspection only. WESTCRESTER 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 3881 Danbury Road NY, Brewster 10509 Located at: 19 Jasmine Lane Rye Brook, NY 10573 Certificate Number: 1034585 Section: 129.25 Block: 1 Lot: 1.63 BDC: Permit#:EP:21-005-BP:20-203 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: 19 Jasmine Lane Rye Brook,NY 10573 12 Basement E2 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 05/16/22 Name Type Quantity Water Heater ------- 1 Cablerun Phone Lines ------- 2 A/C Condenser ------- 1 Sump Pump ------- 1 Panel 225 amps 1 Receptacle GFCI ------- 13 Smoke Detector ------- 4 Carbon Monoxide Detector ------- 4 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. -7j/�G This certificate is valid for work performed before date of inspection only. oh cqq N C 04 �k A U F 96 U Go O a 3 F V P.M O W W �i �� "' z co 00 wz ON w o � r� M 0w c a W N Z � f� o� Z o � a � a Qo c 8 ,� 04 w F ci o ° ti U p a afio� C6 wO p" yEBRnv� D IECIEW IE B E MENT VIL J E OF RYE'. OK IJN -- 7 2021 938 KIN ET RYE 8 ,NY 10573 VILLAGE OF RYE BROOK (914)9 939-5801 BUILDING DEPARTMENT or PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: PP#: — � Dq Cp Approval Date: JUN - $ 1�11 Permit Fee: S / 70 Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, (P 7 a6-'1 I is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will in conformance with all applicable Federal,State,County and Local Codes. 1.Address: 1 Q a� 4 0 SBL: I oZ�a,5- 3 zone: PU 17 2.Proposed Work: i Cl c\o 1 dwe-khacta i t 3.Property Owner:SC'Kuf Q fOML QDA� LAZ Address: Or V_ ,Un fi 319-5 Phone#: IL[-161 -gd oo Cell#:g1N'aay E056 W email ' 10604 orA 4.Master Plumber:%U\ Qf l ARs) .1 Address: Lic.#: Q10 Phone#:f$L1 0 -bW Cell#: email: Cow). Company Name:kWtcsLM 51"M -NcaAOA,C /�QD^tom Address: 101q'K.k VA N S"CE 3.Nbl\rot, tJt-1 INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor !� 2nd Floor 3rd Floor 4 Floor 51 Floor Exterior a 5.*List Other Equipment/Provide Details: (Notarized Signatures Required Next 2 Pages) "410 coo t 3/21/19 STATE OF NEW YORRI<,COUNTY OF WESTCHESTER ) as: �CU)' QP b f 0,�/(.t,.l ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the ap lieant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the Colall ✓ 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 -`3 ( Sworn to before me this � k s.* day of C c . ,20c22 j day of_J�—!L-q1j_d'�( ,20 o'�-O n t) Signatu f erty Owner Signatur of li t Pain 1 &�eb fas I — Print Name of Property Owner Print Name of Applicant b' Notary Public 4hmd=A Boyd Notary P FUNk.Stait'Of New York NM OID06166307 Qtraltiod in wtcbester county C.ombsion Ex May 21, 2 0�3 This application must be properly completed in its entirety and must include the the legal owner(s)ol'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. WENDY J ABBA.GLIATO NOTARY PUBLIC-STATE OF NEW YORK No.OIAB6378708 Qualified In Orange County MY Commission Expires 07-30-2022 321119 o Ln N o "Op" U z (-1 F � � � •r -+ 1C � � F"" �! a 5 pZ W w - co Z °,,° . , = oa rT O ONV ao ,_. o y m 'Q O ,j o _ •e°vo �oo7�o ^ fr G � V rW woo CPIM�f z � 3 r a Z ISM G1G M••� oMo Z U O r a ;. ; a 4t Y ` yel • .fir °. Rr f d Z � V Gti Q U C pp ^ 3 uo ;8 � o �t = � � a ono ° $ `` � V) 1 °' O E V Q Z $ H N N z E co ; � aa � OOC .. � � W OF. y a• ana BUILDAN -M o MENT D VIL41' ET RYE BR E OF RY OK QC,T 14 202�7938 KING _ ,NY 10573 (914)96 _ 39-5801 VILLAGE Or RYE BROOK lye,, BUILD!NG DEPARTMENT Al'I'LICATION TO INSTALL FIRF SUPPRESSION / FIRE SPRINKLER SYSTEM FOR OFFICE USE ONLY: //�� Approval Oate:� MI'#: V r Application Fee:$ 75-106 Approval Signature: Permit Fees: Disapproved: Other: Application dated: G is hereby made to the Building Inspector ofthe V illage of Rye Brook NY fur the issuance ofa Permit to install a hire Suppression System as per detailed statement described below. 1. Job Address: 1q f�,;,„e_ L,,„e ?__T Parcel LD.: 128.-l5-%- \. �3 Zone: PU 2. Proposed System(Describe system in detail including suppression agent): 13Sd `�.xar-,1�ler 9u-�-F m �-hm�ahe�st- hc�m��ra 3. Number&Types of Fire Sprinkler Beads: 5t} 4. N.Y State Construction Classification: 51B N.Y.State Use Classification: 5. Cost of Installation:$ 1-3 5'26O (Cost shall include all labor.materials.fixed equipment.professional fees.and materials and labor which may he donated gratis.) 6. Property()caner: 4-- Zroo1L Part new a- _--Address:g0c ��-t Phone# Cell# email: Applicant: I`°1A0-1Q Prc1c�* Fyora Address: 1 1 F6c Ploer- M;�Ir4�os�_�T. Phone#(gt �a4S`S CeI I#�09:4 email: r.1�x r.�..dezCa7 a Architect/Engineer: Q.W FJ�Gihes c�r� Address: 5QL9 Main,oalaq-tua9iTcct- �ur1c_ao3 Poata�Ft..1A � Phone# ( h Cell# email:U) '@r General Contractor: Lu,-ti 2ZV, eve_Iopnn- mom- tL��vAddress: ry-wmn.-,c-1 Ave.nL u Gmu..1��11�1YJa5G4 Phone# B4t -94M Cell# email: -1- 12.8.16 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 WESTUIESTER ) 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 M•ti Aire- a4ad.44a% 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 betbre me this Sworn to belbrc me this 3ur�e� day of , 20 day of , , 20-1-+_ Signature of Property Owner Signaa�ture ot'Applicant Print Name of Property Owner Print Name of Applicant Notary Public Notary Public MICHAEL SILVA NOTARY PUBLIC W COWASSION EXPIRES OCT.31,2022 -2- 12.9.1e • N N N .� a :- � 3 O O € u on a C •� �.,t n••y s € G L L o w a o a s w v1 M 3 4Ea C. "0, to CC ch OID • w �r O� J Q� z w �!i o < � � � � � G, C tA OE— 00 W i! coo, v o o o .� c > 0*#4 gz Q M U w i n L � x F- I♦I GT.� Ar Cyr Q O w b a o2f u + �• V N C f u n � r�^ � n" W �" aMr f• Qd O � � � :C Q o p _ �•,,, 8 u v, in ; e E Q; z w � z � ° Qy .� �.a ■ _ M 1i MM OQs Ta0. h+■I 4 � M,i■■I � _ � E•' � to cd BUILD ; _ �, BTMENT D D VILL E OF RY OK 938 KING �� ET RYE BR NY 10573 OCT 13 2021 (914)9 9 39-5801 o �o VILLAGE OF RYE BROOK BUILDING DEPARTMENT I APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: I'l:1Z M f I I P C�-) I - I IN Approval Date: O C T 1 9 20 Permit Fee:$ �QO�—/U Approval Signature: Other: Disapproved: (fees are non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&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#C 105.2 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 date d,�0 "�.3�'a1� is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws,codes,rules and regulations. 1 D 1. Address: , J Gls Mt^f. )Lad L SBL: I c7 q ' ;S ' 1—00 One: I d 2. Property Owner: 5 C Q >/J a K Address: Phone#: Cell#: email: Ca*-4,3. Contractor: -TQL L �1 Address: P Q 061 3 S I M 14 A1 Y (•� y Phone#: Cell#: email:N A11r i.i ��tJ(,J R. 67 M 4. Applicant: �N% 4.-lt t s 0 Address: Phone#: 3 0-1• ,a S(7 6 y Cell#: email: 5. Scope of Work:New Installation X Replacement( ) Removal( ) Other( ): 6. List Equipment: ( 11 4 S Fv e e ,L c 7. Location of Equipment: R4 J e�Y 4 8. Methre Of Installation/Removalpit, st all equipment needed to perform job): T"1.1( l I 11 pile/ �"C A � ci4r) vi► tr 1 3/21/19 STATE,QF NEW Y RK,COUNTY OF WESTCHESTER ) as: 1 Xf A aft"r♦ ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of�'vidual signing as the applicant) and fiurther states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the T'o t C.L Cl M 4 1 & 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.�pry Sworn to befo_rg me this Sworn to before me this V C4 i C day of T� ,20 day of 13L ,20 Signature of Property Owner Signature o&wpplicant 1 J Print Name of Property Owner Print atone o Applicant TRISHA MARTINEZ Notary Public NOTARY PUBLIC-STATE OF NEW YORK otaryPublic 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 EASIER TO SELL • Up to 96%AFUE in upfow and horizontal positions, ----- ---- Up to 95%AFUE in downflow positions • Cabinet air leakage less than 2.0%at 1.0 in.W.C.and cabinet air leakage less than 1.4% at 0.5 in. W.0 when tested in accordance with ASHRAE standard 193 • Approved for Twinning applications(0601410 through 1202420) with accessory(order separately) • Approved for Manufactured Housing/Mobile Home applications (0401410 through 1202420)with accessory (order separately) • Low NOx units are designed for California installations and meet 40 ng/J NOx emissions. Can be installed in air quality management districts with a 40 ng/J NOx emissions requirement. TOUGHER • Flame roll-out sensors standard • Adjustable heating blower OFF delay • Factory set blower ON delay • RPJ` primary heat exchanger • Stainless steel secondary heat exchanger • High temperature limit control prevents overheating Illustraho is and p product mo are only representative 9 Pe P 9 Some product models may vary. • Direct ignition with Silicon Nitride ignitor • High uall"ry corrosion-resistant, prepainted steel cabinet rWARNING EASIER TO INSTALL AND SERVICE • Direct vent(2-pipe), single-pipe venting or ventilated combustion Failure to follow this warning could result in personal injury, air death,and/or property damage. • 24 VAC humidifier terminal&electronic air cleaner terminal This furnace is not designed for use in recreation vehicles or • 35" (889mm) high,for ease of installation outdoors. This furnace is designed for use in manufactured • Simplified,factory installed internal condensate drain system (Mobile)homes when an optional Mobile Home accessory kit is • Innovative knobs for easydoor removal and secure installed. 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 , �ESIg4 • At least twelve different venting configurations • Through the casing flue pipe for counterflow or horizontal �(� applications with accessory(order separately) • Concentric vent available7 TrMMF� `�RTIFCFO • Self diagnostics with super bright LED �] • Slide out heat exchanger and blower assembly LIMITED WARRANTY m+ 82% 88% 97% • 20 heat exchanger limited warranty • 5 year parts limited warranty - With timely registration,an additional 5 year parts limited CERTIFIED CERTIFIED warranty It For residential applications only. See warranty certificate for complete details and restrictions, including warranty coverage for Use of the 1u+1141 CanbW TM Me*nt Rtiae a other applications. �e m� «o s. k`eo r d d° pm,d d., go to w at+ndeectory org Efficiency AFUE Cooling Capacity Input CFM range Dimensions H x W x D Shipping Wt. Model Number (MBTUH) Upflow/Hz Downflow @.5 in.w.c.(125 Pa) Inches(Millimeters) Lbs(Kg) N9M 0261408 40.000 96.0% 95.0% 400-775 35 x 14-3/16 x -1 (889 x 361 x 750) 120(54 N9M E0401410 40,000 96.0 95.0 625-905 35 x 14 /16 x -1 (889 x 1 x 750) 1 5 N9MSE0401712A 000 96.0% 95.0 650-1050 35 x 1 - /2 z -1 889 x 445 x 750) 134(61) N9MSE0601410A 60.000 9 9 675-1130 35 x 14- / x -1 889 x 361 x 7 0) 127(57) N9MSE0601714A 60,000 96.0% 95.0% 650-1420 35 x 1 -1/ x 29-1 2 889 x 445 x 144(65 N9 0801716 8oA00 96.0% 9 5._00Z 810-16 x 17-1/2 x 2 -1 2(889 x 445 x 750) 154(69) N9 S 0802120A 80,000 96.0% 95.0% 1335-1970 35 x 21 x 29-1,2(889 x 533 x 750) 162(73 N9MSE1002114A 100.0 0 — 915-1545 35 x 21 x 29-1/2 889 x 533 x 750 16-9F761— N9MSE1002120A 100.000 96.0% 195.0 13 -2065 j 35 x 21 x 29-1/2(889 x 533 x 750) 169(76) N9MSE1202420A 120,000 96.U% 1 95. 1320 10 x 4-1 x -1 9 x 622 x ) 1 186(84 N9MSE1402420A 140.000 96.G% 1 94.4% 1 1290- 0 x 2 -1 x -1 889 x 622 x ) 1 190(86 spedricatione are subject to change errtnout not". 440 11 4403 05 12/3/18 NXA6 I MAC 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* r, r,eet ENERRG S III • . matched win appropnge coil c Voner However, 5 year compressor limited warranty�) Doper remgert"cage and props av flow ere mbcal to achieve rated • 5 year parts limited warranty (including compressor and � product sho,i ow the „�`�',n�t coil) charging and air flow inMxMons. Falure to arrhrm proper -With timely registration, an additional 5 year parts limited and of j �•Q P re Y we.may red—er'ergy etFraerwY warranty (including compressor and coil) * For owner occupied, residential applications only. See 11141101111110ERTIFIED warranty certificate for complete details and �` US restrictions, including warranty for other applications. LISTED Use of the AHRI Certified TM Mark indicates a manufacurer s participation in the program.For verification of certification for wx*vx wl products go to wow ahndnectory org Model Size Nominal Min. Circuit Max. Fuse Operating Dimensions Ship/Operating Number (tons) BTU/hr Ampacity or Breaker height x width x depth in. (mm) Weight lbs.(kg) NXA618GKA 1'l, 18,000 11 8 20 28-11/16 x 25-3/4 x 25-3j4 154/ 125 (729 x 654 x 654) (70/57) NXA624GKA 2 24,000 17.7 30 28-5/16 x 31-3,!16 x 31-3/16 147/ 183 (719 x 792 x 792) (83/67) NXA630GKA 21,1: 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,'1 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 26.1 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) Speoficatsons subject to change wrthoo notice 421 11 6201 05 5/17/19 W, ester oxrcom F SC EN N E George Latimer AUG 13 2021 County Executive VILLAGE OF RYE BROOK hcrlita 1nil r,MI) BUILDING DEPARTMENT Cunun 4 Fleolth August 2, 2021 Russell Palucci, P.E. 140 Princeton Drive Shelton, CT 06484 RE: Log #: 13343-21-DCDA Application for Backflow Prevention Device Kingfield Development 19 Jasmine 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:Hhealth.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(a)-westchestergov.com . Respectfully, 4AW 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. Insp. — Rye Brook,j File a �AWt E 001RECYCLE Department of Health 2.Moore Avenue Mount Kisco,NTY 10549 Telephon-,: ('91 1)SG 1-72196 F,tv (91 Il,�1 a-W9I 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. 13343-21-DCDA Facility: Kingfield Development City, Village, Town: County: 19 Jasmine 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. W. THAT a CcI III U L)I'M UVV prevention UeVICe tester tell the above Ve ba CkIIVVV pleVCIItIVII 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 reglstereU III the State of New Yolk. 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 ISSUED FOR THE STATE COMMISSIONER OF HEALTH BY: 94W DATE: August 2, 2021 Delroy Taylor, P.E. Assistant Commissioner NEW YORK STATE DEPARTMEMT OF HEAL n, 9r,roau 17&'Mara rCr iu§iy?,o'q. MAY 17 2022 ePort on Test and Maintenance empvo a'tau?le:a-Corning rwn9r Qoorn t r 7 Albany,VY 12237 of Backflow Prevention Device BUILDING DEPARTMENT Please use a separate form For each device. Initial%vL-Do.'"DW9*APY.k)rt. 'V 1 AWftl- aiy Ax wn(No. I :aurh' jlpCV UA isafiry Mara 1`,IBC,i�B ( Location 0 Jaya L�� 1 coy Device lnfontkairoir r Type RP2Model S'me I'm irrc)res) Serial Number DCV L)1)Q_ J C153r7 Check VoMe No.1 Chick Valve No.2 Gflfera w Piessew Relief Una Pressure van Tint Looked Opened before Claud da CioseA�9ht_� of paid �- mpNr > O J b 3 "nan� [i 8Dft Am k�lei[C vow Ali l� M D Y otlwe. >�..� Name by Il.w Lic-# Q JAI Dale repaired: F7F7m M D Y Fbdww Closed Coped tight Opened at pwd p 3 Fq Pressure dro saross first M D Y Check valve �.1 p Q.a- VA"Meter Number Meter Reading Type of 5ervicm(dxwX one) 9 D-omwdc 9 Fine 9 Curer Rarrrarks(Desalt deedendae:bypaeaaa•guests befaa the darioa owwcYan balwaen Ire device and pdO oteney,mWs ft or inadequate alrgaps,arc.) El Gadecason:TNs deuce meets, dodo NQT meat,the nXmiretrterita of an a97ft fairrrrmn NwArm at the itnre of taatmg i bs-bY CWWy 3n toregoirtg data to be coriwt. p*s 1r cmurod Tdeb►r No. own P"Worly oamarn(orownenr agent)ow08w11on to loaf vied perfamied: Tine rear. Talapr,me Certiff0stim flat Installation Is in accordance wth the approved plans. (re ee carieM! dy ms deaiRr enyrwer or archiled ar waiv sappMer.I l��y�rf•Y tbait Ilia Mef mason is in accadsrtoe vft me approved plans: TName Rt>SSe11 Palucci Twe Engineer Do* KYs DOH LN licenseNwnber 78721-1 Phone(845)337-6M In d Y 1331-3--1 — )CD R.preeenan9 Prithei v u Cns, LLL-C—onsulllng Engineers Describe minor ineWleaon ahanVea Address 140 Princeton Drive city Sheba slate CT 7�p 0"84 Srgnt� OTe npreaon rw are to tiB watr wsupp Nody drinker poll aata auppagr —41.ey if devise retie Iasi and ropeha omrwt anrnedinley be made n Cage era' slam Doti 1013(9191) r 19 Jasmine Lane Rye Brook NY '14► 8S R F C EZ ��" r[ 2015 IECC Energy MAY 17 2022 U 0 N/' Efficiency Certificate 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 Glass & Door Rating U-Factor SHGC Window 0.29 0.30 Door 0.30 0.30 CoolingHeating& Heating System: Heil#N9MSE1002120A 95.5% Cooling System: Heil 4 Ton#NXa648GKA 16 SEER Water Heater: Model VSCE32 119R 119 Gallon Electric Name: Jobe Leonard Date: 2/19/19 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: 19-Jasmiine Ln Rye Brook NY Name: Address: 19 Jasmine Ln Address: 19 Jasmine Ln Rye Brook, New York 10573 Rye Brook, New York 10573 Geo-Tag Data: Latitude: 41.048778 Longitude: -73.693467 Timestamp: 2022-05-16 09:06:49 Measured Leakage: 2.48 ACH50 Leakage Target: 3.00 ACH50 Compliance with Leakage Target: Pass Test ID: 19-Jasmine Ln Rye Brook NY Purpose of Test: IECC 12/15 Env. Leakage Measured CFM50: 1,469.9 (+/- 5.2%) Effective Leakage Area: 156.4 in Building Volume: 35,600.0 ft3 Enclosure Surface Area: 4,044.0 ft2 Coefficient (C): 321.8 (+/-37.6%) Exponent (n): 0.388 (+/- 0.104) Correlation Coefficient: 0.96564 Test Standard: ASTM E779 (single mode) Test Mode: Depressurize Test Characteristics: Pre Indoor Temp: 74 'F Post Indoor Temp: 74 °F Pre Outdoor Temp: 69 °F Post Outdoor Temp: 69 °F Altitude: 184.0 ft Time Average Period: 10 seconds Test Date and Time: 2022-05-16 09:09:31 2000 • Depressurize — w •• d o o 1000 • -J 900 800 700 m 600 500 4 5 6 7 8 910 20 30 40 50 60 70 Building Pressure(Pa) Envelope Leakage Test Test Readings: Target (Pa). Bldg-(Pa). Adj Bldg_(Pa). an (Pa). Flow (cfm) Config Baseline -0.5 -60.0 -60.2 -59.5 -77.7 1,587.3 Ring A -54.0 -53.6 -52.9 -67.5 1,482.0 Ring A -48.0 -48.0 -47.3 -61.3 1,414.1 Ring A -42.0 -42.4 -41.6 -54.2 1,331.7 Ring A -36.0 -33.9 -33.2 -54.1 1,330.0 Ring A -30.0 -31 .3 -30.6 -52.2 1,307.8 Ring A -24.0 -24.6 -23.9 -37.5 1,113.4 Ring A -18.0 -19.5 -18.8 -27.7 959.1 Ring A Baseline -0.9 Test Equipment: Flow Device: Model 3 110V Fan Pressure Gauge: DG1000 Serial #: 6006 Calibration Date: 2020-07-01 Deviations from Standard: • Correlation coefficient is outside of normally accepted limits. • n value is outside of normally accepted limits. 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 Analy-sis Address. SBL: 2-5— — L (o 3 Zone:. Use: Z t o Const.Type: Other. Submittal Date: O Revisions Submittal Dates: 10 l 3 Z-0 Applicant: Nature of Work- Reviews:ZBA: O C T 1 5 2020 pB: BOT: Other. OK ( ( ) FEES:Filing. .S• BP: � 3 , t� c/o:�-3 REG` Z 090 - ( ) (-.'APP: Dated: Notarized: ✓SBL: ✓Thus I.D. "Cross Connection: ✓ H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO: Long. Shorn Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival• Sealed: Unacceptable: ( ) (4;)/.PLANS:Date Stamped: Seale .,-' Copies:Electronic: Other (.. -( License: Workers Comp: V Liability: ✓ Comp.Waiver. Other. ( ) ( ) CODE 753#: Dated: N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. (� ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit H.W.I.C.:_Battery._Other. PLUMBING:Plans: Permit Nat LP Gas: N/A/: Other. (. (�FIRE SUPPRESSION:Plans: ✓ Permit: V 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: approval notes: ( )ZBA mtg.date: approvaL notes: ( )PB mtg.date: approval notes: w P P R E) /C D REQUIRED EXISTING PROPOSED NOTES Date: OCT 1 5 2020 Area: Circle: Fmntne Front: Front: Sides: ReAr. Main Cov Accs.Cov Ft.H S Sd.H Sb: QEA: Tot.Imp: Fc Img Parkin¢ Height/Stories: notes: Residential Building Permit Fee Work Sheet Permit#: Date Issued: SBL: Zone: Address: k Q _ \ •A'S,✓"XN NFL Property Owner&Contact Info: Job Description: For all new dwellings and for additions measuring 800 sq. ft. or more made to existing dwellings, the following fee schedule shall apply: (plus any alteration fees) Total Sq. Ft. (excluding basements) x $225.00 x $I 5.00/$1,000.00 Basement Sq. Ft. x $65.00 x $I5.00/$I,000.00 -------------------------------------------------------------------------------------------------------------------- New Construction Sq.Ft. • New Construction Cost • Building Permit Fee Basement= (.,sq,ft. x $65.00 = $ S ,��• x$I5.00/$I,000.00= $ 7?6 • 1-D IsL Fl. = t q 409 sq. ft. x $225.00 =$ g: z$I5.00/$I,000.00= $ (.D 66 2°d Fl. _ l ,5— sq. ft. x $225.00 = $ 37`I 2-C, x$I5.00/$I,000.00= $ Attic= u r sq. ft. x $225.00 = $ so' x$I5.00/$I,000.00= $ + Total Sq.Ft. _ I l S�� sq.ft. Total Cost= $ Total B.P.Fee= $ > 6 °Includes Attached Garage if Applicable. Total Amount Paid= $ Total Amount Due= $ OCT 1 5 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: alL1 J SVIGt,L[,� G'D/Li D/5,,��i j�/iSl6(ti a� /CC1?�111Lr� n Subject Property: I g/ ia-.9m1 e LLL 1 e SBL:/a9��/�/.lP one: T u J Please take notice that the subject; ❑ One or Two Family; ❑ Commercial, CENew Structure ❑ Addition to an Existing Structure ❑ Rehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; 2'Truss Type Construction(TT) I;'Pre-Engineered Wood Construction(PW) ❑ Timber Construction (TC) in the following location(s); ❑ Floor Framing, including Girders & Beams(F) ❑ Roof Framing(R) CYFloor 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. ZJ VY-1-1 2L== Date Dc ' P fessional Date Pr tr Date Not Public (7) TRISHA MAR INEZ NOTARY PUBLIC-STATE OF NEW YORK No.01 MA6331843 Qualified in Dutchess County My Commission Expires 10-19-2023 A ro CERTIFICATE OF LIABILITY INSURANCE DATE07,08120D2 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 6 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). C PRODUCER CONTACT Aon Risk services Northeast, Inc. PHONE (866) 283-7122 Boston NA Office (AC.Nb.Est): AI�C : (600) 363-0105 53 State Street E-MAIL Suite 2201 ADDRESS: O Boston kAA 02109 USA INSURER(S)AFFORDING COVERAGE NAIL a INSURED INSURER Navigators Insurance Co 42307 SC Rye Brook Partners, LLC INSURERB. Guideone National Insurance Company 14167 230 Park Ave. New York NY 10169 USA INSURERC: Starr Indemnity IL Liability company 38318 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570082993250 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 LTR TYPE OF INSURANCEMo WVD POLICY NUMBER MMDD% $NIM/DMJ= LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S S,000,000 CLAWS-MADE OCCUR DAMAGE To AFRTFfY- PREMISES Eaoccunence S1001000 MED EXP(Any one person) Excluded PERSONAL&ADV WJURY $5,000,006 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S5,000,000 POLICY EPRO- L� 2X4; POLICY X JECT PRODUCTS-COMP/OP AGG S5.0 00,000 OTHER g AUTOMDBILE LIABRJTY COMBINED SINGLE LIMIT Is wagenti ANY AUTO BODILY INJURY(Per person) Z SCHEDULED OWNED AUTOS BODILY INJURY(Per aooidan) y AUTOS ONLY 1p HIREDAUTOS NONOWNED PROPERTVDAMAGE v ONLY AUTOS ONLY Per acddenl �_yi C UMBRELLA LIAR HOCCUR 1000S79693201 / 0 0 11 1/ 0 1 EACH OCCURRENCE `1 EXCESSLIAB CLAMS-MADE AGGREGATE S5,000,000 CED RETENTION WORKERS COMPENSATION AND PER STATUTE TH. EMPLOYERS'LU1BILn'Y Y I N ANY PROPRIETOR,PARTNEP EXECUTIVE E.L.EACH ACCIDENT OFFICERMEMBER EXCLUDED' NIA yes sin Ni E.L.DISEASE-EA EMPLOYEE DESCRIPTION OF OPERATIONS bebw E.L.DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached It more apace Is required) Ram �y yai ii 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 ITng street i Rye Brook NY 10573 USA LJrlOfi a�!'IGe(cNG V6LL11CfA�c// d4 aJ f7dl —� ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016,03) 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 **Thu 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 form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which you are requesting a permit,license or contract. This Certificate will not be accepted by government officials one year after the date printed on the form. In the Application of Business Applying For: (Legal Entity Name and Address): Building Permit SC Rye Brook Partners,LLC 1100 King St Ste 114 From:The Village of Rye Brook NY Rye Brook,NY 10573-1057 PHONE:914481-1531 FEIN:XXXXX6509 The 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$100,000 Workers'Compensation Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC WORKERS'COMPENSATION INSURANCE COVERAGE for the following reason: The business is a LLC,LLP,PLLP or a RLLP;OR is a partnership under the laws of New York State and is not a corporation. Other than the partners or members,there are no employees,day labor,leased employees,borrowed employees,part-time employees,unpaid volunteers(including family members)or subcontractors. Partners/Members: Robert Dale Disability and Paid Family Leave Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: 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.) I,Janice Heusser,am the Office Assistant with the above-named legal entity. I affirm that due to my position with the above-named business I have the knowledge,information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made herein are true,that 1 have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury. I further affirm that 1 understand that any false statement,representation or concealment will subject me to felony criminal prosecution,including jail and civil liability in accordance with the Workers'Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the government entity listed above I also hereby affirm that if circumstances change so that workers'compensation insurance and/or disability and paid family leave benefits coverage is required,the above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disability and paid family leave benefits coverage and also immediately furnish proof of that coverage on forms approved by the Chair of the Workers'Compensation Board to the government entity listed above. HERE Signature: u Date: /-7.?oZ O RbO Exem�ti , /. to lumber o ved 24 020 NYS Wti nation Board CE-200 01/201 s '`��® CERTIFICATE OF LIABILITY INSURANCE ATE(/13= Y) 04/13/2020 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 endorsements. PRODUCER CONTANA .CT CLIENT CONTACT CENIER FEDERATED MUTUAL INSURANCE COMPANY PHOE HOME OFFICE: P.O. BOX 328 A CNNo Eze:888-333�3949 n/c No):507-446-4664 OWATONNA, MN 55060 ADDRESS:CLIENTCONTACTCENTER FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 149.868-2 INSURER B:FEDERATED RESERVE INSURANCE COMPANY 16024 MACK FIRE PROTECTION INC INSURER C: 15 INDUSTRIAL PARK PL MIDDLETOWN,CT 06457-1501 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:466 REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rNS TYPE OF INSURANCE DL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED $,00 00000 REMISES Ea occurrence MED EXP(Any one person) $10 0 N N 6042334 05/11/2020 05/11/2021 PERSONAL B ADV INJURY $1,000,000 r L AGGR E LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY JECTPRO- ❑LOC PRODUCTS-COMPIOP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY CoMBINEn D SINGLE LIMIT $1,000,000 I X ANY AUTO BODILY INJURY(Per person) OWNED AUTOS ONLY SCHEDULED B AUTOS N N 6042334 05/11/2020 05/11/2021 BODILY INJURY(Per accident) HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE P r accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $10,000,000 B EXCESS LIAR CLAIMS-MADE N N 6042337 05/11/2020 05/11/2021 AGGREGATE $10,000,000 DED I I RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y N X PER STATUTE ER ANY PROPR I ETOR IPART N ERIE X ECUTIVE E.L.EACH ACCIDENT $1 000 D00 A OFFICER/MEMBER EXCLUDED? NIA N 6042338 05/11/2020 05/11/2021 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 It yes,describe under E.L DISEASE-POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) RE: KINGSFIELD 1100 KINGS ST RYE BROOK NY CERTIFICATE HOLDER CANCELLATION 149-868-2 4660 VILLAGE OF RYE BROOK NY BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK, NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legal Name 8 Address of Insured(use street address only) 1b.Business Telephone Number of Insured 860-632-8053 MACK FIRE PROTECTION INC 149-868-2 15 INDUSTRIAL PARK PL 1c. NYS Unemployment Insurance Employer Registration Number of MIDDLETOWN.CT 06457-1501 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 04-3814418 2.Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Mutual Insurance Company Village of Rye Brook NY Building Department #466 938 King St 3b.Policy Number of Entity Listed in Box"1a" Rye Brook NY 10573-1226 6042338 3c Policy effective period 05/11/2020 to 05/11/2021 3d.The Proprietor,Partners or Executive Officers are ❑ 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"3" insures the business referenced above in box"la"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.Ths 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: Elizabeth Petersen (Print name of authorized representative or licensed agent of insurance carrier) Approved by: Q�� 04/13/2020 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 888-333-4949 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov DATE(MM/DD/YYYY) ACORO 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(s). PRODUCER UUNTACT NAME OTT AGENCY PHONE FAX PO Box 659 A/C NG EsI (845) 895-8873 A/C No ADDRESS ottins2001@yahoo.com Wallkill, NY 12589 INSURE RIS) AFFORDING COVERAGE NAIC9 INSURER Main Street America INSURED Total Comfort Inc INSURER B National Grange PO Box 359 INSURER C 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1 000 000 CLAIMS-MADE IX OCCUR PREMISES Ea occurrence S 500 000 MPU7919F 1/21/2021 1/21/2022 MED EXP(Any one person) $ 10,000 A X X PERSONAL 6 ACV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPI IES PER GENERAL AGGREGATE $ 2,000,000 POLICY r7X PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY GUMBINED Ea accident $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED B1U7919F 1/21/2021 1/21/2022 B AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGr_ AUTOS ONLY AUTOS ONLY Per accident) $ S UMBRELLA LIAR Ld OCCUR D EXCESS LIAR CUU7919F 1/21/2021 1/21/2022 EACH OCCURRENCE $ 5,000,000 CLAIMS-MADE AGGREGATE S 5,000,000 DED J I RETENTION$ $ WORKERS COMPENSATION PER UT H- AND EMPLOYERS'LIABILITY Y/N 1/21/2021 1/21/2022 STATUTE ER ANY I C OFFICERMEMBERREXCLUDEDTECUTIVE ❑ NIA WCU7919F EL EACH ACCIDENT $ 1,000,000 yes desaibe under(Mandatory r NH)If E L DISEASE-EA EMPLOYE $ 10,573 If ye , DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT S 1,000,000 7 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101 Additional Remarks Schedule may be attached if 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 REPR SENTATIV r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD25(2016/03) The ACORD name and logo are registered marks of ACORD Workers' STATE Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured TOTAL COMFORT INC 203-223-6700 PO BOX 359 7 OHARA RD 1c.NYS Unemployment Insurance Employer Registration Number of MILTON NY 12547 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d. 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 3b.Policy Number of Entity Listed in Box"1a" RYE BROOK NY 10573 WCU7919F 3c.Policy effective period 01/21/2021 to 01/21/2022 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) Q 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". 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: � (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 r xv M cm a D IE(G- d'V\ LE KIN F I WSMmemmus ,514 irm(fill irwomw we I* (5 15 /-OrK V 19 JASMINE LANE — UNIT' B I WATER SUPPLY it 13 1 1 U G3 020 � 4 � 91 STATIC PSI: 50 PSI- RYE BROOK9 NY, RESID PSI'. 40 PS; VIrLLAGE OF RYE BROOK !1 OW: 1050 GPM In -M W.-TIR am wavu W! -A 1 FKV A MW FLOW CUMVIUM 01;1 1 _0 116 Ila G DEPAR"r Tz its B Li • 2/19/22016 61 SIU%QLR COMUN 7 05 8-C.1-11L I UBX 114 1�s�Rvl 06 112 "C'-2'LAVMER LANE 1115 i10 .... ..... 1155 tom V3 am UJUM5, L.-15 ROSE M 7 113 NFPA-13D GENERAL NOTES X ff-NMI miam Km IF ftw C_05ER T-7 WNDUCAlf LANE (Di 0 UIZTER 3 HMS011 LAN SYSTEM DESIGN RESIDENTIAL AREAS(WET SYSTEM) CLUSTER 4 PW.S[ MV r Wumm lwft%bl�MR 9 PF CLUMER 1 WFOSE LkNr SPRM*ER SYSIEM IS A HYDRA.I.r-ALY Ck.CULATED VET SYSTEM WX(W OlIm, CLUSTER IL 27 JASIK 11 i WW III tsmacm ItTiF 14 CLOER 18JASMWELAK P61NC HAS BEEP,TtZr%USING A LIGW HAZARD OEWTY Cr.0E GN 01&R WosT Raoon.1 sPM?KLER_c JS7 W is"Ic wi IN A COMPARTUDIT USING RESIDZNTIAL SPRWL4-R WADS. --------- `J j�`.i i �x�� I117 14 AW�LK VAYMY.SciMIU.R K.A[I SPACING -324 3cit PIPE n, IL_ULr-IC JOINE 1.91 SYSTEM r)E_r4GN PER N F.P.A j-3D(r.10 EDITION) C,M- rLOM CCURT OFFSET KA?aGFA PIPE MATERIALS OFFSEr HAMCN511 P'ut 44%, -A PFE AK FITTINGS ARE ELAZWASTV0 COVC. VMM TRUSS OR 11A11 1 CONTRACT INFORMATION WOO-C TRUSS OR aEAM WORD UNCER IHS CONTRACT MIS.-Sr_Or THE FOLLOVM4C 7 EM 16'wu-1j" NXIM W. DESIGN ANT INSTAL-,ViCRICING SPRII&IIIIER Trilrbl PER NFS.A-12�2CI0[D17ICN OFFSET HANGER ER DE TA HA L F S 7RA P HANGER DETAILVi -CRArT STCFPRC SMALL PAOVIDLV BIT 7P-'OWNER R.ACCORDANCE WTP TIC!6 C 2=EDITION. 8' N.TSB-BATHROOMS LESS THAN 91 son SMALL Bit-III CCUPLIANCE W11i THE REWMIE11TC5 OF NFPA-IM ELE.2 ALL EAWCOMS ARE SLET!ROM VATH A 30 Lflti.M-MIAL BARRIER. 4 2 W71.THE Kouvarr.1,17S OF NPA-U411&6.3 LESS THAN 24 SO FT SHA,_BE It", 1AWY- CLOSM5 ARE-_MTRUCIED CF NONCOMBUSTIBLE SKEET ROC.(WTH A 3C MIN THERMAL BARRIER. r 2'FFE SOW IRER WWO -EXTEP JOR BALCONIES:, bT"KI(I.Ert PROTECTION 15 C%AL BALCONIES AWD PAIROS or I)IIIELLING *V P*UNjp�MM SIS -------- WX aw.cl%To Ut OrS71 UNITS IN ACXMCANCE%1-�-THE IBC 2='EMMM4,SECTIM 9013.1.2 77 VACEM.:I='241'CAME OW ZX C)C4 ME WWM JW SITE PLAN 77- W TOE RUN Wa0i VM PMRX GM Ik /0M VXW /if r S. 9N Lr-C-AT11:S ARE NOT LISEC FOP.STCRAGE AND OC UOT CONTA ANY FUE7.nRFC iOL"EN' X: J'A C WALVI FA to *V E'GM WW WT OM SIX CL V VEFRAr,VME?r SN mau OLF TKI oms 0 ow WV WD, I E. , V VCWJLZ 9M W CFWG ONCOM RMW. PER .NFPA I 6.r.MAINMNMCE Ilk 6.9 1 THE OWNER SHALL BE RESPONSIBLE FOR THE CONDITION AND SHALL KEEP THE SYSTEM IN NORMAL OPERATING CONDITION. 5.OF A SPR94KLER SYSTEM i7— BASEMENT 6 9 2 SPRINKLER SYSTEMS SHALL BE INSPECTED.TESTED.AND MAINTAINED IN ACCORDANCE ....... IN TH NFPA 25.S ;I \_-;*M WIOL VKM"OMLI ow txrxu may ulk STANDARD FOR THE INSPECTION TESTING.AND MAINTENANCE OF =r 6-.3.3c, SMM NTMY W%TS 1W cow A III"&_Wu Sam WATER-BASED FIRE PROTECTION SYSTEMS. 1�____o BASEMENT A 6.9 THE RESPONSIBILITY FOR PROPERLY MAINTAINING A SPRINKLER SYSTEM IS THAT.OF THE OWNER OR MANAGER,WHO SHOULD UNDERST AND THE SPRINKLER SYS-EM OPERATION. ELEV 0-Or 'FOR FURTHER INFORMATION SEE NFPA 25,STANDARD FOR THE INSPECTION TESTING.TING,AND MAINTENANCE: 2-3� r OF WATER-BASED FIRE PROTECTION SYSTEMS. T ADDITIONALLY ';YOU MUST MIAINTAIN SUFFICIENT HEAT THROUGHOUT THE PREMISES TO 7.1 :,-7 i PREVENT THE WET SYSTEM FROM FREEZING ................ 10. --------------- 2,YOU SMALL INFORM TENANTS OF PROPER CARE NECESSARY TO lVAINT.AJN SPRINKLER 89 S rS TEM RISER DETAIL THE SYSTEM, ------ _._.__._..__.__.-r— _ E 3)IF THE CONSTRUCTION OR OCCUPANCY IS ALTERED IN ANY WAY. w 4) N.TS THE SYSTEM WILL HAVE TO BE UPDATED ACCORDINGLY AIMS SPACES VO h7l RECUR:13(%T4W, rPA 1. r - I PRNET)XII,Pa III T vfi —3- a--; STAIR 0 ELEC 3..M II-E , 1-6: 1 4NEL I C 111(cam"10 FX C9=On LINX LIP Ono RWM MOUR(r.cow T ......... r MWE RESIMIRk,RM 2 CNIFUL VALVE AND AL ONDERGROUND PIPNK L It- — L8-6j 1Z BY OTHERS LIAC'r'AR[PUECTION'S COMRACT EEGNS P 2'PRE SEDEr WATER UNE'LFF INSIX UNFINISHED r W S&Xr so mi UV VC LS R W R.—AW-I MASTER MASTER PNEXCAVATED E UTILITY 'ME PASNENT BATH �LAFI ON, 1 BEDROOM, LINEXCAVATED Lr_ SECOND F!_OOR ELEV. 19-6 f 90.3; 11M.-'ZMMW UZK-om CEIECO cztwn w1r: *77 RMANIA,UMMEks rElITEIr IF Wxr_WX 1W 5DOG RJU!9L MWE rut mm A wr-%k Wa.4m. VAE TPE FRWA SWCH.WAV FFMN.f Cu:a I'MIM VkV[ LIVING KITCHEN ROOM PERMIT # IL FIRST FLOOR ..............--- ELEV. 9'-6" 7 AL t W RuwffK mumo PMWMDATE APFRk� D OCT 1 5 2020 W FINISHED WALK-IN L BASEMENT j CL L D BAS;:MENT FLOOR BUILDING iNSFIEC"i villa®f Rye Brook,NY UNIr AM 00 ELEV. U-9' 0 D.O.Q.APPROVAL REQUIRED FOR OF Mewy 3ACKFLOW PREVE10`1014 DEVICE. C"7 C� BASEMEN_ FL 0 OR FIRE PRO Tj EC TION PLAN BUILDING SECTION A ,wAfp SCALE.-1,4"=IV" SCALE.•114"m IV" A r7Z SYMBOL LEGEND I All pipe locabons are to be field measured prior to fabri�alion Whether or no,indicated on the drawings.the following items are to be provided SPRINKLER READ LEGEND JOB INrORMATION SYMBOL DESCRIPTION DRAWING TITLE:BASEMENT FLOOR FIRE PROTECTION PLAN -Head Cabinet.spare heads and head wrench per NFPA 13 IS Yj Mj!9.70?L and Installation by the sprinkler contractor. DESCRIPTION PROJECT.KINGFIELD DEVELOPMENT ROEMCE Fh)W 2,All dimensions shown are.end to end -Provisions for Pushing connections and draining of all pipe .1 REVISIONS: DATE: C1 3 high temperature heads are to be field insta;led where required, -Inspectoes test connection shall be provided for each system CONTRACT#;01300 aVJAT0M0i7T0PCFn�i. ...... ADDRESS:INTERNATIONAL DRIVE 4.All pipes and hangers are to be installed per NFPA 13. -Hydraulic identificatior.plates&NFPA 13 required signs 0 CITY:RYE BROOK STATE:NY ZIP:10573 CLIENT:THE WARJAM.GROUP PHONE: 761-250 5.Gridded wet systems shall provide a relief valve per NFPA 13. X-411 I aEVAr*I0FT70;F1--_H. --------- 0 L& CONSTRUCTION:WOOD LTD. F I R E P ROTECT lr� ELD DEVELOPMENT 6.All new piping is to be hydrostatically tested at not less than 200psi It is the building owners responsibillty to provide adequate heat for af!areas in the I CFI.,IkG*GW 1 0 N ADDRESS:5 INTERNATIONAL DRIVE-SUITE 1 14 for 2 hours.or at_50psi in excess of the maximum pressure. building protected by a wet type sprinkler system and for all water filled supply pipe.valves when the maximum pressure to be maintained is in excess of 150psi and system risers to dry type systems Is up RA1 OCCUPANCY:NFPA 13D CITY:RYE BROOK STATE:NY ZIP:10573 SYSTEM TYPE;WET 15 INDUSTRIAL PARK PLACE,MIDDLETOWN.CT 06457 7 A quick opening device is required when dry system volume exceeds Air pressure shall be maintained on all dry type systems by an approved automatic air DATE:03127/2017 FIRE SPRINKLER CONTRACTOR CONTACT P:8 0-632-8053 F:860-632-8054 500 gallons per NFPA 13. compressor or plant air system specificafly approved for and capable of automatically m MSEP.Wfu --- TIM ur&S&NTVI.MY PaWNT Yww�r WY PA 0 115 NWEI.St.I TrM41 UN WA R15t, 8.NFPA 13D apply as required. maintaining the required air pressure. PORT CHESTER -IDESIGNER:CHRIS JUDD PHONE:1860) 9S_502 WWWMACKFIREXOM —.1 0&1 Prz"WIR0 ME USTI*TQS I TOTAL THM SKEV:-19 Tw,s JoB:-64 AMJ.FIRE MARSHAL EMAIL:CHRIS@MACKFIRE-com LICENSES: CT:FI-40291 MA:SC-12C494 RI:000347 KIN I V PM NT 1 9 JASMINE LANE - UNIT B RYE B ROOK7 NY. HYDRAULIC DESIGN C.ur_'AMA m- RRSI,FLOOR tcrr'Cts�. '(FfYDl2AULIC DESIGN CRITERIA 3 Density_.05 Spocirq VARIES I K Factcr_4.9 ! WD.DE'-iC OR :rase AlIa11CPCE BLUESTONE I PAVER This System is Desiarfed tr.["gdr.ce ct a Ra!e of .05 GPM per sc.Y, of Floor Arec:,ver C P,ernote Exec ofp. -' 2 Sprirk!ers when.Supplied w:t`7 Wcter i f �- ct the Rcte cf_ak�L CPV a'. 33 PSI I I� et the FP f19DWtf:tYJE: r-NIM9iMMWIDa PLAIT VPChV0 NWE —. t �- �♦ii/'u/ _-_.. /i//i I ` , L � \ _..--�—--- -�I C@,t3GL C'.'+�iL'7d5�CJ'',.C• f E I ! t� I � ✓ 1FFOIAGO Lo K*I i EUI SEA CAC Fibl SW�StfR PPE I I (•_'_'"�'-'_'_I 1 •_•� ;' iL �— __....__-_ �_�•• it ii FrE IAOIf fbIAALf A TMT!iL4 FFS7V TFE 110R \1 IC A MOP M INVAN M kXF 1f)IPfFMM r � ! �� Ior �!' ••_; 1• / ! 's-- '% i+ -------f t• -- — ! /1 rA K%PEE IMF.'�Pwe. '.A N ,�;�?�� ( i '�__ik r � - t �r,�ri` .r i J t N � ;� � :�_._a.•�-, i ,____ ?�c�arRt$_ -•I / � f I / �{ ,�. I j t•J+/y. •J ll�I PSI ✓ I ! ......_........-.....-...__........ -- _.- ••`y'-_''-../ I ' ^-f!<Q�Agi 115,9At 1► sic,OF 1F�ao1FF�c ) HYDR3rFM(I)ESTGN iK!TCHE►d -I-------- t - _✓ : I i 1t °�'�i MASTER f:r Cf40RCOF'Hf ROOF1F115 r; CAI-n�al ' I j{ FF_QS7�3eJUR it{+ I ---- ?Of�M �t i:i`_j._. - .._ +% \ �_ (i I ,✓ ti �-'• BATH �'•1' ^ �i ihs�s'fli 3autnv �.. I� \ T� I ', ! Ate - t:�:...___.,.._._.-' .o $ it i , ✓ i / +' '/. rLoop \ 1 i ! i 3 l(� HYDRAt3il��i�ESN CRITERIA i !�-' -' --1�� `, =•:�I+ / u I ! I �\ c1Y9ai AOFrD CEt;1!+C �� ' �`'� '•A� r ;•� �' s'-9" y' ! i �f F ✓ cam MASTER ..... 8ensry 0.5 T. -i _..___ _ _— carF��tr rear sl�fwase i` v'! '?- ,. i \��o�+ BEDROOM �( .r!wEs cr C.C ;! ' ?4 �1C 1if f +• _ �/ -_S 9 (G.h t•— �- eoo v� '\ i�\'. ? y �R-. C V 1 Hose A41Anc�� }- - `� - -- INSULATION DET.�/L FOR ALL SPRINKLER _I` _ S, r� . K R = J `�; {7,a/{��'� This e t+_s mod.to 136charae _:f�-7 lit �v++ h_ ,//. t ^' r RI.11i 9'-t I !` y �$ ... i Ot 0 RSTtt:r'_�'GPA!QE!SC ft i - �j- .•r g r�--, i_t1P 17 '', /N OR AD A P i\\� /t f ,'{ ! of Floor nfbL K ir! ern A } +!► ,_ — J 1 _ J CENT TO TED SPACES I ;. . ; r.1 z rmk:e.�,� L IE witr�' , N.T.S. G' , Water � /t f•"-�1_- `� i�\ ` a!the FF.1raffl W-?ff . � ° �� \ � ! I at the Ron f. 4.'�s>.:G A a4 39.6 a$' tl f ..._..._..._.-_�'! j� r.._- /,/1!'.�'/i;/ -. - -_..__-.•___......_..J �F eft' —I j 1---^__-._...._-'--- ' ' t•••.� _�- ,-. 9-D"_ice• i , \��• -!'I L__-�. �+-� '�,y�� II !1 7•.8. I i F'7Cfi7�7S'; 2- S- --�:�ti r: - A-7 2-Ic r�:5.-_ 11Is e'-o' 7• 0 1- ; !I .i G ( !� i IAUND. RY 3 j� IX !- -- -,�• _- i ; "f'Li!:: `+ i IIIGtNCfe.IL f9E SJltit►AT[Y DC9W H1 DI t� ~ ! I ! 9 ! DINING Sys_ m%fNx fw t►wr r nog crm;s r C ULI DESIGN ! I '1'fr, -U.,` of r—' � {' CALCARE-A#: ^! WALK-R. i i STAIR �T�Ic' ♦-qr: 1 I STAIR i 0-J f- —i! �2,O�I1R�YW'_11a i1uir,WV1 WCN h FIKa7'FLUOR I CL r__�! i �f+�0 ! } 1 _....................-.— .........._.__......---- ' "-� -�f ✓ WhT Tff I"ap ROF Skip>(ff ODQ6} I I I t- ----•-•--_-.-... II�;:�� _ 4-'� L-)] -e,; a•_ `HYDRAULIC ' \`I i L'' Ij i I ��•\ I I � 9�_--- -�-c�' to ` I DRAULfC CRITERIA t �— • L .. I ��i 1fi L IN smea 9ART!tht 1F ! ( i ,1 f` ! �; '; HALL WWII DOM.%(W oltEls} i Density—_05— i �-na fi 1; s'-o' {{{�1 i l�✓;� -_...TT.._i_-�U _.-�f f`�- -e•.1 �.+. id• 9.�.`--^'-- . --�: - ---- i •-ELEM ML � SpC:inC VARIES j I i !t i � I• j E I[ 0eQ!�/ --�7' t_'x� ``Se ---L ! Y i aelC�—4.9 t ll� !j Hose A!oworce_ I' 1' I �`,_ j(iw M 9C� �► ',�� ------- --_'• •OfL.__ i i! `i T _1�C�,j i i ' ( �•,�- L �iAT�I _ }-l.T.�j' _. .`__- -•-r---� S ' a 4 `y, ..._:�f.._.�•—a,.6•---x I ! ---------; This Systerr Is Desiglec to Discnarge f 1 ._. �'=--1 Ta fist ttco� I t / I �- t -I of a Rate of 05 GPU per so ft or F+oo Area Cv e.c Remote Are'of ''• __—_ p j _ 2 Sprok,ers when' ppiied with:Wcter 7 FOYEei j 4'g�'t L _ f j ai the Rote of 30 3 GPM of 39.7 cc f f I Y'; t. <e f _ I/•'r nz :>< ie.. .�n 9__ -.__— _'—N' at the rr C�Imcr wx. 's• r t 2 tt ( c y �J t 4 r �A;:-5•- - --- _ Ir--- _......__.-._...-___- ►1OOD o Q'Q :- i, I f •:t t_ '. \` t rA W-W C01iiR✓;CTCP Tn.WWATFLY DaUTEZ TK SIC'O I t +n �`\;�`�� f — BEDROOM V3 r 12'Elm£XI(EEF¢L'FtfvF.TiN;S @ tE GC- fIZ14',>;!Af)f.P'J(.THE C TC ItLURE 1HA?TW i' _ i i ` SPP3t(K fR?FE CtL t+OT FFfEiE lk f DEN •�• y �� c.6' .•...___'_._- sue' a.. -E ( ' 19ALL• , Dtf)R/K)M"2 i i O:� __- r• r!iLP OM/N,ei: t �-_..E` BEDROOn/ 2 SECOND FLOOR .W-^ '--' - GARAGE S ELEV.-i9'tt- + �! .._ ��-tst"FEtUil(F.3•'F;uV.tES - '\ ------ --._._.. _ - ............. ��' C �� ? ^-•--�'S---•--L-_�"— �•--=T__-_.�__._._�f �':.4=cC' C:l r:i + I i /. !.7?7/i�%%7 (- t5'DEED$It�IGae-F•LOCF. I; ! TIT1!5`-9 IC O.C. F.US AIL PK,AWL THi:CAW4E CJtk:F5 AS Fri NZ --� `I I; J-•--.......___._ _ t T}3TT AS PQSSf�10•AtLOP'.FOR VA U011 AVA OF INSIhAT0 FIRST FLOOR _-•--- __r�----%: �_a•�"_`r"rn-- ELI_Y=10-7 GARAGE lk 'i i Unfinished f!� NOT.-*: I Ail SLEWAL,SI':1lfiKL_FS Jfs iFL 5EC','%•rLLf,�i SW.BE LCCATED A.T C' RELAY'TH:' I►r ALL G: FIRST FL OOR FIRE PROTECTION PLAN " GARAGE SECTION SECOND FL C,®l9 FARE PRO I�L�4N SCALE.>/4"=7'-0" N.T.S. SCALE."1/4 1'-0" SYMBOL LEGEND SPRINKLER HEAD LEGEND JOa INFORMA71Cty ---_------------._._._.1.AI:pipe locations are to be field measured prior tc fabrication Whether or not indicated on the drawings.the following items are to be provided: SVMeoI I DESCRIPTION 5YMa0L i oESCR'FTION aRAtYING TITLE:fIR5T 6 SECOND FLOOR FIRE PROTECTION PLAN and instsltation by the sprinkler contractor. -Head Cabinet,spare heads and head wreath per NFPA 13 ---•--....... •••••••- - r�. Cl) frOPMiZREFEAAtE?WT •15!FElA6tE'ffFUSfa'r'ESDEMIKC)Y,S1�iIPEIfF3t milt EFR.tfttiYt,ttd9,QRS St[iNATtfS PROJECT: INTERNATIONAL D DEVELOPMENT Z.All dimensions shown are:end to end Provisions for flushing connections and draining of all pipe -~-•'---~--- AD ID AL DRIVE _- REVISIONS: ;DATE: N 'uou-1 EIRIA1DAWIMTOF0;STED 1 LONTRACTi:OODa _-•....-- °.High temperature heads are to be field tnstaked where required Insp+ctof s test connectior,shaG be provided for each system r•�) :.er�TiL�i !<�ai FToz� Q• i t:e: sFUI.o�s� _cWitE Fo-Trersau�i-%V-w:V_-k=CFc;�,sti0wr_ — CITY:RYE BROOK STAT£:NY ZIP!1 C573 4.Ali pipes and hangers are to be inslaTled per NFPA 13. •Hydreutic identification plates fi NFPA 13 required signs I nos �0-01 Et.arelariCr�acs -- _ CONSTRUCTION:W000 CLIENT: AR AM GROUP PHONE f914}76 T 250 5.Gndded we: stems shah I T:THE .! i systems provide a relief valve per NFPA i3 — -•`-"-•••• G.All new piping is to be hydrostatically tested at not less than 200psi It is the building owners responsibility to provide adequate boat for all areas in the � CcllWGF¢�IiI ='F`�'"F=`-t'�s��! o:r�:gYa:ss�+�T��t,�T.�u�vs!1E�Esr.aR►)z+ — ( cT0'T e O - - ADDRESS:..INTERNATIONAL DRIVE•QUITE 1 T4 for 2 hours,or at 50 s!in excess of the maximum pressure, building protected b a wet e sprinkler s t6m and for al`water filled su ' ' f' MWjTIACP TJ•1FDH3I,rGCx OCCUPANCY:NFPA 13D -----P P 9 P Y type P Ys pp.y pipe,vanes, • •---- -•--••- CITY:RYE BROOK STATE:NY ZlP:i 0573 when the maximum pressure to be maintained is in excess of 150 si. and system risers to d••type systems. -{G'/-� OFEMEN' �� :R ltfBlF'�f,iS Sur�c�sF+�IrProrxs�W?�SPTVn1Ep f1hr;,t SQbl�taeZrE,SP•.la Ius r i 15 INDUSTRIAL PARK PLACE,MIDDLFHld`,'•C7 06457 p P y 'S Yp Y' i -__............._ SYSTEM TYPE:WET 7.A quick opening device is required when dry system volume exceeds Air pressure shall be maintained on all dry type systems by an approved automatic air i —Ova_-_ PVEnr teflT• i I P:860.63 2.8053 F:86S.AZ-2054 DATE:03/2712017 FIRE SPRINKLER CONTRACTOR CONTACT 500 gallons per NFPA 13 compressor o*plant arc system specifically approved for and capable of automatically -•@/-- PAEiII�FRtVitF •� I NYC•^.'If�RFS'JfHfIt�OF1'P't�ieTSi+(!t'�$t rr,�f,tip_s,�frSuf:rE:,57,.;1Y?AST,+III�lFFFr,�sr E ,� 8.NFPA 13D apply as required, maintaining the required air pressure t 3 Fi GX7rE0=R9fG tW11*! PORT CHESTER i DESIGNER:CHRIS JUDD PHONE:IS601 398.5024 WWW.MACKFIRE.-MM !. fn PFEru�M UIEt6TtiO1AM TCMALTHISSHEET:•35 ToTALTHIeJQe:'54 AHJ:FIRE MARSHAL E-MAIL:CHRISQIMACKFIRE.COM LICENSES: CT:ri-40291 MA:SC-'2�'FA!o1I000347 i� FIELDWORK COMPLETED: February 3, 2022 Underground structures, if any exist, are not FILED MAP REFERENCE.• shown hereon, except as noted. The location of Subdivision Map of "Kingfield" F.M. No. 29210 underground improvements or encroachments are filed August 30, 2018 not always known and often must be estimated. If underground improvements, easements, or encroachments exist and are neither visible during Subject Lot:85 Known as 19 Jasmine Lone normal field survey operations nor described in Town of Rye Tax /D: Section 129.025 Block 1 L o t 1.63 instruments provided to this surveyor, they may not be shown on this map and are not certified. This property may be affected by instruments which have not been provided to this surveyor. title with their Users of this map should verify t Legend 83 attorney or a qualified title examiner. AC— Air Conditioning Unit ©— Sewer Cleanout Frame Bldg. Onl co ies from the on inal of _ . . y p g this survey CRW— Concrete Retaining Wall marked with the surveyor's embossed seal are ® Curb Stop Water Service genuine, true and correct copies of the surveyor's cRw y ®— Electric Box original work and opinion. A co of i 0— Electric Manhole Porch Utility w/Fence P copy s — Gas Valve ° document without a proper application of the _ � N59 04 42 E w/Roof Shed 85.00' surveyors' Ligh t Pole u eyor s embossed seal should be assumed to o— Telecommunication Box Open CRw be an unauthorized copy. ®— Transformer Pad Z Porch w Fence Water Valve W W/Roof � (n p— o (A co N Ln N O cov Cn 100v (J1 Z D IE C [E W-E 40 it 00. CD vOR. CO 3 MAY 17 2022 Sq. � � � c3 Area= 4 352 Ft. Fro _ m e Bldgr- 0 D VILLAGE OF RYE BROOK N� � doI z y BUILDING DEPARTMENT To date, no Title Report or Abstract of Title has Cb ji II o 0 o I `� W r' been provided. This survey is subject to a � N ( ; = I ° N �? o current, up to date Title Report. ° v' oo C' ( ° O 0 CD (A --� C 0 _ o .� Ul Property corner monuments were �? P y not placed as utility part of this survey. Shed m This map may not be used in connection with a S5 6 52'o0 W CRw 85.00' "Survey Affidavit" or similar document, statement w/Fence A uilt Survey or mechanism to obtain title insurance for any p subsequent or future grantees. � • Unauthorized alteration or addition to a survey Fro m e E31 d 9 Jasmine ane map bearing a Licensed Land Surveyor's seal is t r• Unit 85 . . . Con a violation of Section 7209, sub—division 2, of (Under the New York State Education Low. Prepared for 88 According to NYSAPLS policy adopted January 23, Sun Homes Inc., 1993, the alteration of survey maps by anyone sfitm to Sri !fie other than the original preporer is misleading, confusing and not in the general welfare and benefit of the public. Licensed Land Surveyors To wn of Rye shall not alter survey maps, survey plans, or survey plats prepared by others. Westchester County, New York 00 N E, scale r 20' Dam F ry 8, 2022 - ENGINEERING, SURVEYING & GRAPHIC SCALE LANDSCAPE ARCHITECTURE, P.C. 0 , J 20 40 EFFREY B. DeROSA, LS 3 Garrett Place Carmel, New York 10512 A .BUILT Phone (845) 225—9690 • Fox (845) 225--9 717 EEDOCUMENT New York State License No. 050749 www.fnsite---eng.com C) 2022 In si to En gin eerin g, Surveying & Landscape Architecture, P.C. All Rights is Reserve (IN FEET) 9' d. 16227.200 1 inch = 20 ft. Lot Maps/Lot 85.d wg