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HomeMy WebLinkAboutSP21-001PERMIT f� V �i�00 DATES 1 I& �/ IXP: Aa BLO�H LOT SECTION � , _ A i_ . �rr., II __-� , TYPE OF WORK JOB LOCATION • \ % CONTRALTO EST. V/cO i70W ) t q Cevm o �i1 assQri CJoJ)9/a TCO # FEE ILVSPECTION RECORD DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGIA PLUMBING GAS C1 SPRINKLER ELECTRIC M LOW -VOLT m ALARM M AS BUILT ED FINAL OTHER ��APPROVALS ARB `JGt�ILIQ�4 01�vl�� 80T PB SBA OTHER ��yE DRY k i� 19 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.or� TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE February 21,2024 Win Ridge Realty LLC c/o Alena Hakanjin 24 Rye Ridge Plaza Rye Brook,New York 10573 Re: 15C Rye Ridge Plaza, Rye Brook,New York 10573 Parcel ID#: 141.27-1-6 Sign Permit#21-001 issued on 1/26/2021 for a New Sign/Awning This certifies that the new sign/awning;Green&Tonic,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to BUILDIN t3h For of6ee use oniv: JAN 8 202 ENT c� OF RYE K PERMIT# —co/ VIL ISSUED:L� 938 KINC STRE YE BROOK, YORK 10573 DATE: /— — -06 8�0-r FEE: A [fir.I()—_PAID IR %V col r 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 ............................................................................................................................. Address: 15C Rye Ridge Plaza, Rye Brook, NY 10573 Occupancy/Use: Parcel ID#: 141.27-1-6 Zone: C/ Owner: Win Ridge Realty LLC Address: 10 Rye Ridge Plaza,Suite 200, Rye Brook,NY 10573 P.E./R.A. or Contractor: Accent Signs&Awning Address: 130 Lenox Ave.#21,Stamford,CT 06906 Person in responsible charge: John Massad Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: ,4ecc�4- SI' sA5 �0—A� /"7 f s<�� being duly swom,deposes and says that he/she resides at /�d L�n /a,F �` 2/ (Print Name of Applicant) (No.and StrccQ in T 0C 06" ,in the County of in the State of if that (Cilyfroawml Village) he/she has supervised the work at the location indicated above,and that the actual total cost of(he work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S S_C%C' for the construction or alteration of: i'_C p A, Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or pennit the use of any building or premises or part thereof hereafter created,erected,changed,converted orenlarged,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-IO.A.of the Code of the Village of Rye Brook. h Swom to before Inc.this / Sworn ��--to before rNe(h /�is `V4M ;�ti day of I'N'l�r \� ,20 day of 16 ff ,20 2'� Si� at c of Prop y(hvmr -� Si lure of-Applicant Print Namc of Property Owncr Pr i N n-of Appl ant � Ili Notary Public l N Pu lie ALENA HAKANJIN NOTARY PUBLIC,STATE Of NEW YORK $i{gltq fl ti:1 1�U2( Registration No.01HA0013645 Qualified in Westchester County I':o }'ptlblio,f;t Ate 4GonlN. txJt My Commission Expires 911912027 My r<,nig0sgk n E),vlfry"'-I.ZW QyE BRC��, cu � • 1932• BUILDING DEPARTMENT ❑BUILDING INSPECTOR El 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 : i^ ��G J?I kc—c, ?(A 2 Q. DATE: PERMIT# '!�—P 2 1 — Q 0 I — ISSUED: I—2 0-L) SECT: y/ -� BLOCK: I LOT: `v LOCATION: 45 1 0(z F OCCUPANCY: ❑ Violation Noted THE WORK IS... 9- PASSED ❑ FAILED /REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas N C YJ A w N 0 (=r -* S 1 G N ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION C3'-FINAL ❑ OTHER Building Permit Check List&Zoning Analysis Address: G �T•�%'n �.4-z A SBL: —t •2 — — Zone: `��Use: Const.Type: Other. Submittal Date: t 7—1 < Revisions Submittal Dates: Applicant: W t -j lZ Nature of Work F-UJ VJ P t S l4 r,-3 i Reviews:ZBA• OEC 1 O 2020 PB• BOT• Other. OK ( ( ) FEES:Filing. BP: SA �'� 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: ( ) ( ) ENVIRO:Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated: Current: Archival:- Scaled: Unacceptable: ( (.� PLANS:Date Stamped Sealed Copies Electronic: ✓ Other. ( ( ) License: Workers Comp: Liability- ✓ Comp.Waiver. Other. ( ) ( ) CODE 7S3#: 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. ( ) ( ) 2020 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. mtg.date: l D Z I approval• notes: ( )ZBA mtg.date: approval: notes: ( )PB mtg.date: approval• notes: REQUIRED EXffrING PROPOSED NOTFS Ater , — Date: JAN 9 5 M21 Cir e: Fie Front: Front: Sides: &r. Main C v Accs.Cov Ft.HS : S .H Sb: a Tot,imp: EL-imp: PP Height/Stories: notes: BUILD R�'MENT RIDEC � VILl��.� E OF RY DOK - 9 2020 �f 938 KING ET RYE BR. ,NY 10573 _ (914)9 39-5801 VIl-OkGE OF Ffi" BROOK wf BUILDING DEAAr'.Tt'SENT ***srt***sss«s«s«srtssssss«»«rt»»*»*srtssss»sssr»rtssrtrt««ss«rtss«s«***s»»*s*srt««sssss*ssessssssssssrts«*asssrsssss 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: /S c- Date of Submission: itA Parcel ID#: I L4 -!2 i- 1—0 Zone: IC Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: 1 iun BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building Department by the applicant-no exceptions. l. (✓fCompleted Application r 2. ( )Two(2)sets of sealed plans. (one fall size{maximum Property Owner: All- 12-16 G allowable plan size=36"x 42") and one 11"x 17") Z /Z y /� 3. ( )Two(2)copies of the property survey. Address: &zLe"' 4. ( )Two(2)copies of the proposed site plan. Phone# /� ��o L< Al, /o,f 7,,7 5. (v}One electronic/disc copy of the complete application materials. Applicant appearing before the Board: 6. (LI Filing Fcc. �q cc eat-� .Sish S �-•� A�h t%+jT_ 7. (�j Any supporting documentation. Address: �- 8• ( HOA approval letter.(rfapplicable) -�4.n. — _ UG Div 9. ( Photographs. 2-1 Phone# 3 7 S e W, 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 /r right to refuse to hear any application not meeting the requirements contained herein. T' Sworn to before me this 7�� Sworn to before me this day of PdCd 1002f , 20 .20 day of C , 20 Si .opc wnet gnatttrcawplicant c a/r i>P41D r-,N6 .1,-Sr- ' %ohm► Print Name of���)--j T Print Name o licant Notary Flublic N tie My Commission Expire; ,, January 31,2022 r I 3/21/19 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Thursday, January 21, 2021 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on January 21, 2021 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/82284377958 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 8437 7958 NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 165 Betsy Brown Amendment to Prior Consent 5128 Road(Valad) Approval, (Front Door Agenda Change) 2 Wilton Circle Legalize New Rear Raised Consent 5129 (Charney) Patio & Sitting Wall Agenda 6 Loch Lane Roof Top Solar Array Consent 5131 (Orselli) Agenda 24 Latoma Road 6' High White Vinyl Fence Consent 5132 (Rothbart) w/ Gates Agenda 39 Country Ridge Dr Swimming Pool Fence. 6' Consent 5119 (Austrian) Hight White PVC @ Side Agenda Yards & Black Chain link 6' @ Rear 15C Rye Ridge Plaza New Sign & Awning "Green 5133 Win - Ridge and Tonic" 5 Parkwood Place In-Ground Swimming Pool, 5130 (Kohn)) Patio, Outdoor Kitchen & Fence 780 King St Extend Existing Deck w; 5134 (Heinberg) New railing & Decking. New Roof Over Deck 39 Meadowlark Re-Appearance to Show 5122 ML �� NM Z1/ MR SE JM SF AC MI KC Road(Rose) Revisions 24 Sleepy Hollow Rear Addition, Deck, Patio 5135 Road(Iacobelli) & Front Covered Porch 980 Anderson Hill Amendment To Prior 5136 Road Approval. Construct New Blind Brook Club Golf Teaching Building, Reconfigure Front Entrance & Golfing Landscape 6 Latonia Road Re-Appearance To Show 5120 (Casino) Revisions � I 12 Lincoln Ave Two Rear Dormer Additions 5137 (Bainton) & Interior Alterations 57 Hillandale Ave 1 Story Addition, 2nd Story 5138 (Grossberg) Addition, Rear Covered Porch& Front Portico ML T NM MR SE AC MI KC i DATE(MMIDD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 01/25/2021 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 CONTANAME: Jill Fitzpatrick Broad Range Benefits Group,LLC PHONE (203)810 4400 ac No): (203)810 4399 4 Armstrong Rd E-MAIL ADDRESS: ) 9 ill brb Insurance.Dm INSURE S AFFORDING COVERAGE NAIC# Shelton CT 06484 INSURERA: SELECTIVE INS CO OF NEW ENGLAND 11867 INSURED INSURER B: HARTFORD CASUALTY 29424 Accent Signs LLC INSURER C: NYSIF 130 Lenox Ave INSURER D: INSURER E: Stamford CT 06906-2321 1 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1�TR TYPE OF INSURANCE ADDL SUER POLICY EFF ffim POLICY NUMBER MM/DDfYYYY MouCY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE � a occurrence OCCUR PREMISES E $ 500,000 MED EXP(Any one person) s 15,000 A Y Y S2393427 08/01/2020 08/01/2021 PERSONAL aADVINJURY s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 4,000,000 X POLICY X PRO- JECT 7 LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y Y S2393427 08/01/2020 08/01/2021 BODILY INJURY(Per accident $ AUTOS ONLY AUTOS ) X HIRED Ix NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LLAB X OCCUR EACH OCCURRENCE s 2,000,000 A X EXCESS LIAB CLAIMS-MADE Y Y S2393427 08/01/2020 08/01/2021 AGGREGATE s 2,000,000 DED X I RETENTION$ 0 PR/COMP OPS AGG $ 2,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N X I STATUTE I I ER CT&NY B ANY OFFICERWEM ER EXCLUDED?ECUTIVE r N/A Y 31WECAD6BPE 08/01/2020 08/01/2021 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 NY DISABILITY STATUTORY LIMITS INCLUDED C DB7310510 11/7/2020 11/7/2021 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) VILLAGE OF RYE BROOK IS INCLUDED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN VILLAGE OF RYE BROOK ACCORDANCE WITH THE POLICY PROVISIONS. 938 KING STREET AUTHORIZED REPRESENTATIVE RYE BROOK NY 10573 � � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NEW Workers' S ATE Compensation CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name and address of Insured (use street address only) 1b. Business Telephone Number of Insured ACCENT SIGNS LLC UNIT 21 203-975-8688 130 LENOX AVE STAMFORD CT 06906-2321 1c. NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured (Only required if coverage is specifically ld. Federal Employer Identification Number of Insured or limited to certain locations in New York State. i.e. a Wrap-Up Policy) Social Security Number 06-1469148 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Hartford Accident and Indemnity Company VILLAGE OF RYE BROOK 22357 938 KING ST 3b. Policy Number of Entity Listed in Box"I a": PORT CHESTER NY 10573-1226 31 WEC AD6BPE 3c. Policy effective period: 08/01/2020 to 08/01/2021 3d, The Proprietor, Partners or Executive Officers are El Included. (Only check box if all partners/officers included) Z all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "T' insures the business referenced above in box "la" for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box "2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box "3c", whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Worker's 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: Danielle Clausen (print name of authorized representative or licensed agent of insurance carrier) Approved by: 1(w6xlp_1 A t,__U 01/26/2021 (Signature) (Date) Title: Operations Manager Telephone Number of authorized representative or licensed agent of insurance carrier: 203-810-4400 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) Form WC 88 31 21 F Printed in U.S.A. www.wcb.ny.gov Page 1 of 2 ,oz lie Wag Off Z� o_W�Bp � FUd ?� co W _ .o CD CM z>3 O a¢ 12 • • =aiMI r 0 • U�Q 1► c J � Ln Im - Q I a u)