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BP20-260
PERMIT # B COw (OO DATE: I ! OP.EXP: Ja. i JaQ2 I SECTION It 6075 BLOCK LOT 30 TYPE OF WORK fZP Q)CiCe Y 1 4 JOB LOCAT\\IO��N I EV IliaL OWNERS�i10�� � S � ` Cp r79 CONTRACTOR _ EST. COST Y c�� _ �Q� • FEE %5 0 # C' C, P � I� FEE -:# ) I Q " lob DATE 10. TCO # _ _ ___ FEE DATE INSPECTION RECORD DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING I1 RGH PLUMBING GAS ED SPRINKLER ELECTRIC C� LOW -VOLT El - ALARM ILOJ AS BUILTFINAL I NSP APPROVALS tff PB ZBA OTHER AS-BUILTtFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION Rece► \1 L d 4 .c� 'L, + t�" VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbur,v www.ryebrook.org TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE December 10,2021 Jorge Robles 16 Maywood Avenue Rye Brook,New York 10573 Re: 16 Maywood Avenue,Rye Brook,New York 10573 Parcel ID#: 135.75-1-30 Building Permit#20-260 issued 12/1/2020 to Replace Rear Yard Fence This certifies that the new rear yard fence,installed under the above captioned permit has been satisfactorily completed Sincerely, Michael J. Izzo Building&Fire Inspector /tg BUILD NT U111�C UJC ultiv. �p�PERMT# � `-c VIL OF RYE OK ISSUED: /Zn). -/ C*.�u MAR 15 2021 KING STRE YE BROOK, Y YORK 10573 DATE: (914)9 )939-5801 FEE: IqL I)Q -- PAID$ VILLAGE OF RYE BROOK ro c.or BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK,- AND PRIOR TO THE FINAL INSPECTION sasssrsssssrrt►■rasesssaaatttsstasrrtrssssrsr►rrrtsrsss:rrss:srrarrrrsssrrrrrssssrrtrsasassssrrsssasssstrrrrsrssaars:asassr Address: l m f uJ o at.) r Occupancy/Use:©�e m Parcel ID#: 135• 75-- r — 3,o Zone: Owner: o Q6 4e r- Z o- � Address.- I M. rl ' t_u and b lJ P.E./R.A. or Contractor: Address: 0.V e J�)Q.o oD N y• /ea S-7 3 Person in responsible charge: V w N o (Z Address: Application is hereby made and submitted to the Building Inspector of the Village of Rve Brook for the issuance of Certificate of Occupancy/Certificate of Compliance for the structure/ronstruction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: pQ-(p e C 41,O� f e!q being duly sworn,deposes and says that he/she resides at I G A f 'l I.0 oO"2( y , (Print Name of Applicant) ()(o.and Street) in f),1/ G 13(L o o j in the County of t.l! GS �'Cf I eS�@ ri, in the State of that (City/Town/Village) I he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements,labor, materials,scaffolding,Sited equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ O;)C�,00 for the constriction or alteration of: F & AJ G P S Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought, and that to the best of his/her knowledge and belief,the structuretwork has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly, in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per §250-1 O.A.of the Code of the Village of Rye Brook. Sworn to before me this/ l S Sworn to before me this Sr day of,ZYO-1C�7 , 20 l day of /yQ�G�1 , 2f' ;I-/ X a 9-L c P- '0.,C6 S ;TO Q.06 L r' R 12 S JZ Signature of Property Owner Signature of Applicant Print Name of Property owner Print Name of Applicant Notary Public Notary Public �E BRcb, _:iV BUILDING DEPARTMENT r BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK �❑CODE ENFORCEMENT OFFICER 938 KING STREET• RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : Y f a DATE: I Z c�) PERMIT#:& Z - (c? ISSUED: Z 7--SECT: -BLOCK: LOT: rr -�7j 1 - 1 LOCATION: V g n 1 {�Yi�`-- D 21"•�L �_ct.J C F- OCCUPANCY. ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS c—/C-1 ❑ L.P.GAS ❑ FUEL TANK FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑j FINAL /d OTHER Building Permit Check List&Zoning Analysis N Address 4 W 13.D SBL l 3 f I?-S' - - 3 Zone:,'-L2-- 59_ Use: Cont.Type: Other. Submittal Date: Revisions Submittal Dates: Applicant Nature of Work: —w - i7 LA.C V- 6 views:ZBA: 'CT 13 2020 PB• BOT• Other: QK C)C�► ( ( ) FEES:Filing•. 7��BP: C/O: Legalization: APP: Dated: - Notarized ✓SBL: --"'Truss I.D. Cross Connection: H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. O ( } ENVIRO:Long. Shore Fees: N/A.- SITE PLAN.Topo: ite Pr tection S/W Mgmt.: Tree Plan: 9ther: ( ) ( SURVEY:Dated: S Z� Current: Archival• Sealed: ✓Unacceptable: ( } ( ) PLANS:Date Stamped: Sealed Copies: Electronic Other: (� ( ) License Workers Comp: Liability: Comp.Waiver. Other: (Jr ( } CODE 753#: Dated: N/A: ( ) { ) HIGH-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other. ( ) { ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:—Battery:_Other. ( ) ( ) PLUMBING Plans: Permit: Nat.Gas: LP Gas: N/A/; Other, ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. { ) ( ) H.V.A.C.: Plans: Permit N/A; Other. ( ) { ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) { ) 2017 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: I D Z approval• notes: ( )ZBA mtg. date: approval• notes: ( )PB mtg.date: approval notes: PPROVED REQUIRED EXISTING PROPOSED NOTES Date:_ NOV 2 3 2020 Cw FFro=Qe Front: Froru: Ste: lam: Main Co Accs.Cov Ft.H/Sb S .HS -GFA- To�Imp: E ap: P Hight/Stories: notes: BUILDING DEPARTMENT VILLAGE OF RYE BROOK 2 OCT - 7 2020 938 KING STREET RYE BRO©K,NY 10573 (914)939-0668.E (914)939-5801 VILLAGE OF RYE BROOK wiwr4ftokorg BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: - U �� Date of Submission: /D 17�aDa co Parcel ID#: . /5 I—15 2one: R"y Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: 1�eD�QC e ���lC MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building Department by the applicant-no exceptions. 1. (, Completed Application 2. ( )Two(2)sets of sealed plans. (one full size(maximum Property Owner: X p Q. r 1i'.aS l�S / allowable plan size=36"x 42")and one 11"x 17") Address: �, M Tj p�.y,� 0 , ' (V o(2)copies of the property survey. 4. (y' (2)copies of the proposed site plan. Phone# 5. ( ne electronic/disc copy of the complete ap,plication materials. Applicant appearing before the Board: 6. ( I>Tliling Fee. 7. ( )Any supporting documentation. $. Oapproval letter. (tfapplicable) Address: 9. (\Oholographs. Phone# 10.( )Samples of finishes/color chart. (a sample board or Architect/Engineer: model may be presented the night of the meeting) Phone# By signature below, the owner/applicant acknowledges that he/she has read the ,complete Building Permit Instructions&Procedures,and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn to before me this Sworn to before me this day of , 20 .20 day of , 20 oy6 e o S Signature of Property Owner Signature of Applicant e Print Name of Properly Owner Print Dame of Applicant Notary Public Notary Public 3/21/19 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCF11TECTURAL REVIEW BOARD Wednesday, November 18, 2020 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on November 18, 2020 will be closed to members of the public. The public can still watch the live meeting online through Zoom through the app or through the following https://us02web.zoom.us/i/82249823211 If any interested members of the public would like to provide comments during the meeting, comments can be emailed to stevefews@ryebrook.org or called in during the meeting at +1 (929) 205-6099, meeting ID: 822 4982 3211 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 16 Maywood Ave Replace Rear Yard Wood Consent 5091 (Robles) Fence w/ 6Ft Agenda 19 Maywood Ave Driveway Widen, Retaining Consent 5100 (Ocasio) and Wall Fence Agenda 16 Hillandale Road New 4'-0" High Post and Consent 5101 (Harmon) Rail Fence w/Wire Mesh Agenda 717 Westchester Ave New 4' High Open Picket, Consent 5102 (Shehata) Front Yard and 6'High Agenda White Vinyl Fence Rear Yard. 6 Legendary Circle Post & Rail Fence In Rear Consent 5103 (Goodman) Yard Agenda 476 N. Ridge Street Roof Top Solar Array Consent 5104 (Sidelev) Agenda 47 Mohegan lane 6Ft High White Privacy Consent 5105 (Shapira) Fence, @a Rear Lot Line Agenda 23 Lincoln Ave Re- Do & expand Rear Patio Consent 5106 (Morales) Agenda 165 Betsy Brown Amendment to Prior Consent 5063 ML ✓ NM MR SE JM SF AC MI KC j/ Road(Valad) Approval, (Front Door Agenda ' Change) 35 Bonwit Road Replace Driveway R.R. Tie Consent 5107 (Sedrish) Walls w/Mesa Block Agenda 72 Valley Terrace Re- Appearance 2nd Story 5097 (72 Valley Terrace Addition & Alterations LLC) I 1 Winding Wood Legalize Rear Elevated 5108 Road (Kotlin) Deck 6 Winding Wood Window Changes & Sky 5109 Road Lights/To Accommodate (Escobar/Otero) Kitchen Renovation 7 Beechwood Blvd Application to Amend Prior 5110 (Schoeman) Approval 12 Birch Lane Roof Over Rear Patio 5111 (Shaw) Extension, Outdoor Kitchen & Remove Gazebo 116 Country Ridge Rear Addition, Inground 5112 Drive(Jacobs) Swimming Pool, Deck, & Outdoor Kitchen 3 Charles Lane Rear Deck, Roof Covered 5113 (Abraham) Extended Patio, Fire Pit,. BBQ & Sitting Wall 21 Woodland Drive 2nd Fl Addition, & 1 Story 5114 (Morrisey) Addition S. C. Rye Brook Construct Playground Area 5115 Partners S.E. Corner ML NM MR SE JM SF AC MI KC ' 17 Loch Lane Roof Top Solar Array Consent 5085 (Ashby) Agenda 9 Winthrop Drive Modify Front Walk, & New Consent 5086 (Geller) Landscape Wall Agenda 33 Whittemore Place Legalize Rear Patio Consent 5087 (Tina) Expansion Agenda 5 Red Roof Dr 4' High White Buffalo Style Consent 5088 (Fishbach) Privacy Fence Agenda 5 Little Kings Lane New 48" Rail Fence, Side Consent 5089 (Nathan) Yards Agenda 75 High Point Circle Replace Decking & Railing Consent 5090 (Germaine/Pinals) on Existing Deck Agenda 16 Maywood Ave Replace Rear Yard Wood Consent 5091 (Robles) Fence w/ 6Ft 41P Agenda 45 Mohegan Lane Re- Do Front Steps w/Blue Consent 5092 (Ybarra) Stone Treads, Mosaic Agenda Risers, Walk, & Retaining Wall 3 Mohegan Lane Rear Deck Over Existing 5093 (Gerchick) Patio 5 Jean Lane Roof Top Solar Consent 5094 (Scocchera) Array/System Agenda 6 Eagles Bluff(Ham Two Tier Block Wall, New Poss 5095 & Jones) Patio W/ Fire Pit Above Consent New Excavated Basement Agenda Ext, SWM System 18 Rocking Horse Inground Swimming Pool 5096 Trail (Feist) w/Patio, Retaining Walls, Partial Wood Fence, Partial Wrought Iron Guard Rails. Shed 72 Valley Terrace 2nd Story Additions, New 5097 (LLC) Front Portico, New Rear Deck & Alterations ML NM MR SE JM SF AC MI KC VILLAGE OF RYE BROOK ' BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, October 21, 2020 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on October 21, 2020 will be closed to members of the public. The public can still watch the live meeting online through Zoom through the app or through the following https:/IusO2web.zoom.us/j/81961552623 If any interested members of the public would like to provide comments during the meeting, comments can be emailed to stevefews@ryebrook.org or called in during the meeting at+1 (929) 205-6099, meeting ID: 819 6155 2623 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# I Wyman St North Replace Existing 6' Fence in Consent 5079 (Garcia) Rear Yard(Stockade) Agenda 3 Country Ridge Re- Appearance- For Plans Consent 507 La Close (Porter) Update Agenda 3 Country Ridge September 16th Documents 5071 Circle (Porter) 19 Maywood Ave Legalize Re-Configuration Consent 5080 (Guerrero) of Driveway & Retaining Agenda Wall 2 Country Ridge Window Change to Consent 5081 Drive (Gonzalez) Accommodate Kitchen Agenda Renovation 19 Dorchester Drive 6' High Vinyl Privacy Fence Consent 5082 (Rein) - Rear Yard(Oklahoma Agenda Cedar Grain) 96 Brush Hollow 4' High Post& Rail Fence Consent 5083 Close (Tomback) Agenda 3 Valley Terrace 6' High White Vinyl Fence Consent 5084 (Vito) In Rear Agenda ML NM MR SE JM SF AC MI KC 259 N. Ridge St New One Family 5098 (Lazz Development) w/Unfinished Basement, Swimming Pool & Pool Patio 1200 King St (Atria Front Vestibule Expansion, 5099 @Rye Brook) Replace Walkways, Patios, Create A Memory Care Garden, (other interior reno) ML NM MR SE JM SF AC MI KC r �,. II� I �.:. s. �.�._ � � , 2 /� I X a �� � � ba �.� v � rn a� ar � � N I` Tara Gerardi From: Tara Gerardi Sent: Monday, November 30, 2020 3:29 PM To: jorgerobles1978@yahoo.com Subject: Fence Permit 16 Maywood Avenue Attachments: by-1[1j.pdf Importance: High The building permit application has been approved by the Building Inspector, before I can issue the building permit the following items must be submitted to our office, 1. General contractor's contact name & phone number. 2. Copy of general contractor's valid Westchester County Home Improvement License. 3. General contractor's valid liability insurance (the Village Of Rye Brook must be the certificate holder) 4. General contractor's valid workers compensation on a NY State Board form (C 105-2 or U26.3) 5. Contractor must call Dig Safe NY and get a ticket number. 6. Estimated cost of construction to determine the building permit fee ($15.00 per $1,000.00) If you are acting as general contractor you must submit the following, 1. Declarations page of your homeowners insurance policy. 2. Attached BF-1 waiver form. Tara A Gerar& Secretary - PCanning Board, Zoning Board of AyyeaCs & -Arch itec turaC Review Board Tiffiage of Rye Brook 938 acing Street Rye Brook, New York 10573 Office (914) 939-0668 FaX (914) 939-5801 DECLARATIONS (Coverage afforded by this policy is I We will provide the (provided by: I insurance described in I I this policy in return for the premium ISTATE FARM FIRE AND CASUALTY COMPANY I and compliance with all applicable IPO BOX 8000 provisions of this policy. IBALLSTON SPA NY 12020 I ----------------------------------------- I I 32-CM--U520-8 Policy Number IA Stock Company with Home Offices in ----------------------------------------IBloomington, Illinois. Named Insured and Mailing Address I h ROBLES, JORGE F -------------------------------------- 16 MAYWOOD AVE RYE BROOK, NY 10573-2402 ------------------------------------------------------------------------------- The Policy Period begins and ends at (Automatic Renewal - If the Policy 12:01 a.m. Standard Time at the residence (Period is shown as 12 months, this premises. (policy will be renewed auto- Imatically subject to the premiums, 10/03/2020 Effective Date Irules and forms in effect each 12months-Policy Period Isucceeding policy period. If this 10/03/2021 Expiration of Policy Period (policy is terminated, we will give ------------------------------------------- (You and the Mortgagee/Lienholder Limit of Liability - Section I (written notice in compliance with $ 373,300 Dwelling (Coverage A) Ithe policy provisions or as Irequired by law. I ----------------------------------- IDeductibles - Section 1 $2000 Policy Type TALL LOSSES In case of loss under Homeowners Policy Ithis policy, the deductible will be Dwell Repl Cost - Similar Construction (applied per occurrence and will be Increase Dwlg Up to $74, 660 - Option ID Ideducted from the amount of the -------------------------------------------Iloss. Other deductibles may apply Y pp Y Location of Premises I- refer to your policy. 16 MAYWOOD AVE I RYE BROOK, NY 10573-2402 15 .00% HURR 18665 I ------------------------------------ ---- (Policy Premium $1, 258.00 ------- ----------- Forms, Options, & Endorsements HW-2132 HOMEOWNERS POL OPT JF J&F 2500/5000 LSP Al SMLR CONST-A LSP B1 LMT RPLC COST-B OPT ID COV A-INCR DWLG BOL10% BLD ORD/LAW-10% HO-2687 WORKERS COMP HO-2684 HURRICANE DED HO-2727 CYBER/IDR HO-2439 ENGY EFF UPGRD -------------------------------------- --------------------- rtgagee I Agent Name & Address FLAGSTAR BANK FSB I NAMY, DALILA D ISAOA/ATIMA I PO BOX 52198 150 S REGENT ST I PHOENIX, AZ 85072-2198 I PORT CHESTER, NY10573-3569 (914) 481-8989 I Loan Number: 0440611390 1 1 ------------------------------------------------------- _ Prepared: December 01, 2020 9D66 559-916.5 Agent's Code MORTGAGEE COPY Z008-6ZOOE V9 'Oa4DW y4.zON Z00889 XOg Od SHINVcTNOO 3OMV7 MSNI MlVa 3lVIS 06£TT90b6O :aaqumN ueO'I 6868-T8t? (bT6) 695E-EL901 86TZ-ZLO98 ZK 'XINSOHd M 'USISSHO DIOd 86TZS X09 Od IS INSJS'd S OST VNISFI/VOVSI 0 K'II Id0 '7,WVN SSZ MNV2 UVISOV73 ssauciQK 13 3WKN lmaov 33JK°JLuOjq ana 3sva 00` S ana sNnoliv ZObZ-ELSOT KN 'NOO'dg ZX'd 00'89Z'T $ QIVd It-MO NV SAV QOOMXVW 9T 3 asuor 's3Zgoll 0 0'8 S Z 'T $ WnIKaHd CMMSNI ZOtZ-ELSOT 2�N 'NOOdg 3X)J SAK QOOMTVW 9T NOISVOO'I ---------------------------------------------------------------- 1 9906 TZOZ/EO/OT OZ I OZOZ/EO/OT WO'dZ 1 8-OZSn-LS3-ZE I 3QOO ZNaDV I QOIuad OLNITIIH I U3EMN XOI'IOd ---------------------------------------------------------------- SNOIsddv,IO3Q Q3nSSI ,LNSov S3INvalloo aomv MSNI Y uva alviS SOIZON WnI;4aHd Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence **This form cannot be used to waive the workers'compensation rights or obligations of ant•pare.** Under penalty of perjury, I certify that.I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the approp ate box): I am performing all the work for which the building permit was issued. I am not hiring,paying or compensating in any way,the individual(s)that is(are)performing all the work for which the building permit was issued or helping me perform such work. El I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite)for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if I need to hire or pay individuals a total of 40 hours or more per week(aggregate hours for all paid individuals on the j obsite)for work indicated on the building permit,or if appropriate,file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums)listed on the building permit that I am applying for,provide appropriate proof of workers' compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for work indicated on the building permit. I L Z.o Z. o (Signature of Homeowner) (Date Signed) !�A u/Y t,,- V e ern tie) Home Telephone Number (Homeowner's Name Printed) Sworn to before use this�_ day of Property Address that requires the building permit: (County Clerk or Notary Pa ic) N ) o $�}j SHARI MELILLO Notary Public, State of New York No. 01 ME6160063 0-1alified in Westchester County 9 -o Once notarized,this HP-1 form serves as an exemption for both workers'compensation and disability benetits insurance coverage. BP-1 (12/08) NY-WCB Tara Gerardi From: Mike Izzo Sent: Wednesday, December 2, 2020 3:53 PM To: Tara Gerardi; Laura Petersen Subject: FW: Message from Dig Safely New York, Inc. (DSNY) Michael J. Izzo Building & Fire Inspector Village of Rye Brook, NY (914) 939-0668 -----Original Message----- From: Dig Safely New York Exactix<tickets@exactix.digsafelynewyork.com> Sent: Wednesday, December 2, 2020 12:40 PM To:Mike Izzo <MIzzo@ryebrook.org> Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DENY for: VIL RYE BROOK Taken: 12/02/2020 12:38 To: VIL RYE BROOK PRIMARY Transmitted: 12/02/2020 12:39 00004 Ticket: 12020-000-965-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County: WESTCHESTER Place: RYE BROOK Addr: From: 16 To: Name: MAYWOOD AVE Cross: From: To: Name: Offset: --------------------------------------------------------- -------------------- Locate: BACKYARD NearSt: N RIDGE ST Means of Excavation: UNKNOWN Blasting: N Site marked with white: N Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type: FENCE REPLACE Estimated Work Complete Date: 12/05/2020 Depth of excavation: Site dimensions: Start Date and Time: 12/05/2020 07:00 Must Start By: 12/21/2020 ------------------------------------------------------------------------------ Contact Name: SHALEN MELENDEZ Company: Addrl: 16 MAYWOOD AVE Addr2: City: RYEBROOK State: NY Zip: 10573 Phone: 914-497-6172 Fax: Email:jorgeroblesl978@yahoo.com Field Contact: SHALEN MELENDEZ i Alt Phone: 914-497-6172 Working for: CALLER IS PERFORMING THE WORK THEMSELVES ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members: ALTICE USA CONED SUEZ WTR WESTCHESTER VIL RYE BROOK WESTCHESTER CTY SWR z Do ,*n Envelope 107 AD'D8GFA1=Fdf7"173-EC748BFD3FC1 Certify To; ALL CMWEAFene N=P lwl{L Fan Far to et Fallen as FanenF Jorge F. Robles Fw[i ave>Frafena■K Net FasenoFaa 10— 1111IMPOW11100 OR Benchmark Title Agony. LLC. EM �s rr FmmF=iraaFr�cgwwxa i twWrwms AmTruet Title Ineuronce Company ® FE h��� ��NUMUL Weklhert Financial Serv4ea4 ISAOA ATMAA FILE C Py 77-41'00- E 60.00' Lind Fen,_ ce. Shea 1.2 0-5 0 walla Fence 0.7 .s' N s-BUILT�l=INAL URVI;Y N SQUIRED PR R INAL iNSPE ION Lot 21 g a 6725.3 Sq. Feet i 5 40,11 PERMIT i ou c�O lade 4E SBLS 93 J i7s Lot 20 ' starry Lot DATE APPR E NOV 20 D.e'E i I ry 91 Wck nd°Frame BUILDING INS° owdling RF Villa . ye Brook,NY No. 18 .= Asphdt lt1 e 10.0' tit o Lcl 0 a N Z � 314.35' N 7T27'00" W 60.00' MAY'WIOOD AVENUE Dacn9.p.d bp. pF NEIr a� 1 Richard A. Spinelli 650 Halstead Avenue * # Survey of Lot 21 as shown on "Map Mamaroneck, N. Y. 10543 (914) 381-2357 of Oak Ridge" in the Village of Rye N.Y.S. Lic. Land Surveyor Brook, Westchester County, New York. No. 49240 492440 Filed on July 17. 1949 as Map 6369 —unauthorized aditons to or alt—lon" of thin ✓_AID Scale 1'=15' May 29, 2019 plan Is a violation of Section 7209 of the N.Y.S. Education Low. E "OAK RIDGE" Village ;:;f Rye F_ir001t Architectural Review Board Approval Date: �[ -$— -- Chairman: - - --- --a, Y F- ��S n o z L! Q. Lo (D N D o� 0 a H- -0 w LLJ ,00 O ° Z Q ( © ory XW 0 c'�� S r-- (� N A LL o w.72 o o' >, 00 � N O d' � O -� to NN V O WZ O = c 0 w w os Z �.` w �.� v > O � � d- N l J a� U . N L JD a) a) w C: T w N •- U) N CN r7 N r— > N ' w 4-J O v U 1 w Z o _j O > w O c Q1 o � �zz � � � � � o � o cn o co LL- cn aOuaj POOH 10 w O •M W O o w '^ 0 p 1 0 �� 0 c� � 0 Z v O �Li 0) .01 Z _ �t _0 W L. �- 4-1 .01 LL- Cnc4) o � o v 3 Z N o- O "'4) � � 3 V ��• Ln O r� m O �[ �• 0 J ,^ y w O N l0 0 )01 LLJ v? w W �- w U 0 c o Q •-z � U) , ° a� w -� N co Z :�, o � w ' o U rn rn .�t f I aOuaj lull UID40 0 >°, o c Q w 1. 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