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HomeMy WebLinkAboutBP21-058PERMIT IAOQJ- 06 DATE: �3 ay al EXpv SECTION / BLOCK LOT_ TYPE OF WORK ?to tzy,o "A1140% /Z;e7Ce //7 JOB LOCATION r'?l OWNER*� OM" �.S .446 q/2y/zZ 9?/ 5910 5 CONTRACTOR J�UQS '%a�SfP.r ,-C/1C'P� CfeW6�� -, / �9� y) �loo -9dft1j9 � B�EST. COST '�t��=11 %D� 0 FEE � b �t �l j p �/CO # C(l L-e+fine FEE4 /J0',0'0q6 DATE TCO # FEE DATE INSPECTION RECORD I DATE I NSP FOOTI N G FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING 0 RGH PLUMBING GAS 0 SPRINKLER ELECTRIC 0 LOW -VOLT 0 ALARM 0 AS BUILT Ga FINAL OTHER APP OVALS BOT PB 'ZBA OTHER AS-BUILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION J 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.ryeb ro o k.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE July 25,2022 James Schutzer&Wendy Schutzer 43 Bonwit Road Rye Brook,New York 10573 Re: 43 Bonwit Road, Rye Brook,New York 10573 Parcel ID#: 135.41-1-44 Building Permit#21-058 issued on 3/24/2021 For a New Fence This certifies that the new four foot high rear yard fence,installed under the above captioned permit has been satisfactorily completed. Sincerely, 7�- Nfichaelj. Izzo Building&Fire Inspector /to R R office BUILD � TMENT For oce use only: PERMIT# d.S UUL - 7 2 222 VILLAGE OF RYE BROOK ISSUED: 3 38 KING STREZT,RYE BROOK',NEw YORK 10573 DATE: VILLAGE OF RYE BROOK (914)939-0669 FEE: „�,/J�— PAJW BUILDING DEPARTMENT 1 wrYpv,lr� >�ook.erg 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 f►Ittlt►ttttttttttftt•♦ttttffffft►t►►■ftlIttf►►tttttttf►f♦■tt4ffttttttttttttttttttt►►■ttttttt►Itttttttttttttt►ttttftftfftf►tttt ? Address: 'q 3 O n IN T (3 Q d l R -I L u�r L) O k 1 I`-' V Occupancy/Use: F4,Vq Parcel ID#: /3II,5 40-) / Zone: R-/C>N- 1 I Owner: J OL rv-) 1C S 0-r)d' 0 d �l S u Z Address: D nwi /�(�+ l ie B,-L)Dk P.E./R.A. or Contractor: w-e5�Ch CSte- 2.nCCS � n( -Address: Tn C) B 0 (g Pv,_� W O� S1 e �-e r [3) 0 C k-- Address: (�r5�. /of Person in responsible charge: 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: (� We 0 d u S C.h V f Z"'-/being duly sworn,deposes and says that he/she resides at 18 4-� u n w 1 (Z d in rt Narni of Applicant) (No.and Street) ye rU 0 in the County of '0 S G h e S in the State of ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 101 0 0 4) for the construction or alteration of: IV e �'y G� h �2✓1 e�—r y��� 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 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§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this day of �� ,20 day of , 20 Signature of Property O er Signature of Applicant t Name of Property Owner Print Name of Applicant Notary Public Notary Public SHARI MELILLO Notary Public,State of New York 8/12/2021 No.OIME6160063 Qualified in Westchester County Commission Expires January 29,202.� r. 1 QyE BR�k, ,9a2 BUILDING DEPARTMENT ppuILDING INSPECTOR VILLAGE OF RYE BROOK ASSISTANT BUILDING INSPECTOR ❑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# ISSUED: ECT: LOCK: LOT. LOCATION: �-O-A�OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION S 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 ❑ ROSS CONNECTION INAL ❑ OTHER BUILT ARTMENT D E C I u v I VIL OF R ROOK MAR - 1 2021 938 KrN ET RYE B NY 10573 (914) �� 6 939-5801 VILLAGE OF RYE BROOK R'w�. ro org BUILDING DEPARTMENT FOR OFFICE USE ONLY: MAR 2 2 1021 Approval Date: Permit# n5� p Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: ; Date: BOT Approval Date: Case# Chairman: PB Approval Date: Case# ; Secretary: ZBA Approval Date: Case# Other: Application Fee: Permit Fees: A S Nllgo'-�i FENCE / WALL / GATE PERMIT APPLICATIONApplication dated: I is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the installation,construction,repair or replacement of a Fence,Wall or Gate,in accordance with Section 250-6 B.(1)(g),of the Code of the Village of Rye Brook,as per detailed statement described below. Swimming pool fences must conform to the State Code. 1. Job Address: q 3 U O n w i -t— P Q a d 2. Occupancy/[Jse: I- Qtr11 / S.B.L.#: /35, 41 - 1-44 Zone: R-/,;L 3. Pro osed Fence/Wall/Gate(/describe in detail): / n 2 l-)IS411 'I yM "�e'gee /��I Ou Aclk"el 4. Property Owneer/: Glpm e S 01 Lr Q zn?r ,�/ Address: 7 3 !7 qwj "r O4 W C�-O�� /t/ / Phone# 9'17—Ul f 4'r Cell# / email: /(�5�`u'A � ep /Arai Applicant: 50/w CS c�- klee //y .JC`9 a Address: SGt'4a -fs q go,i e Phone# Cell# email: Architect/Engineer: Address: Phone# Cell# email: Contractor: � L�yT5,A:Z fu CC Ut?04VES'7—,-h iEST A/!;; �--e-0. �m/n Address&Phone:PO 4SX/7 9 7�ieT 4V: Tre 2 N� CEO 9111 T6o 9yi q 5. if building is located on a corner lot,which street does it front on: 6. What is the estimated cost of construction 1'7 OOO (NOTE:The estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees,and material and labor which may be donated gratis.) 7. Estimated date of completion: S / )00� I 3/21/19 Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention &Building Code,the Code 'of the Village of Rye Brook and all other applicable laws,ordinances and regulations. A Sworn to before me this I� ccr-(- " ) Sworn to before me this day of 1 , 20 day of , 20 Menj, LJ6�1� Signature of Prope#y Owner Signature of Applicant S clef Z� Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 2 3/21/19 ROCT 2 5 2021 Application to Amend Approved Plans VILLAGE OF RYE BROOK BUILDING DEPARTMENT Question#3:The ARB approved the construction of a fence to enclose a portion of our backyard. Our neighbor at 47 Bonwit Road has a white vinyl fence where we attached our fence to close in the area. We did this to avoid running our fence parallel to theirs which would look out of place. When the survey company came in to provide an updated survey so we can close out the building permit, we were informed that the two small sections attached to our neighbor's fence would need to be cut back. The only option would be to get our neighbor's permission to leave the two sections in place. I reached out to my neighbor via email to explain the situation but he did not respond therefore, he put us in the position where we have no choice to cut back the two sections on his property and run our fence along the side of our property. We need to have a fully enclosed area and unfortunately, our neighbor has put us in a position to amend our previously approved plan. Mike Izzo From: Mike Izzo Sent: Friday, February 25, 2022 9:21 AM To: Jamie Schutzer Subject: RE: Permit for 43 Bonwit Road BP 21-058 Jamie, I've approved a six (6) month extension to the subject open permit. The code allows 2 such extensions for good cause and this is your ltit for this permit. The new permit expiration date is September 24, 2022. Please arrange for all work to be completed and successfully inspected, and for all paperwork & fees to be remitted to the Village such to facilitate the issuance of the Certificate of Occupancy/Certificate of Compliance closing out the permit on or before that date. Thank you. l aell U, 1270 Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Jamie Schutzer<jdschutzer@gmail.com> Sent: Friday, February 25, 2022 7:44 AM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: Permit for 43 Bonwit Road Good morning Mickey, I hope all is well! As I mentioned to you a couple of months ago, I am having trouble getting my fence company to come back and finish the job. I know my permit expires in March and at this point, I need to extend it until I get him to come back or find another fence company. I am very frustrated and hope to get the work done as soon as possible. Can you please let me know what I need to do to extend the permit. Have a great weekend. Thanks, Jamie Schutzer Building Permit Check List&Zoning Analysis 'Address: SBi- 3 r y l r t L Zone:.:�l- I Use: 2i Const.Type: Other. Submittal Date: 3 l �-1 Revisions Submittal Dates: Applicant .sue+AV 1 Z / Nature of Work 1l`►�kt Y�l 1—�rl -�-LG�1� ��-N G�z ►-� AO i, Reviews:ZBA: PB: BOT: Other. O ( ( ) FEES:Filing: BP: 1 ° �' �'� C/O: Legalization: ( ) („"P: 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: ite rotection: S/W Mgmt.: Tree Plan: Other. ( ) (_)",SURVEY:Dated 1Y .2 Current l• ✓Archiva Sealed: ✓ Unacceptable: ( ) (&YPLANS:Date Stamped aled: Copies: 2 Electronic: ✓ Other. License: ✓ Workers Comp: ✓ 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 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. (Jf ( ) 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: 3 l ZI approval• '1 notes: ( )ZBA mtg. date: approval• notes: ( )PB mtg.date: approval• notes: REQUIRED EXISTING PROPOSED NOTFS Area: Date: MAR 2 2 2021 Circle: Front Front Bar Main Cov Acts.Cov Ft.H Sd.H/Sb: SGFA: : Ft. P Hight/stories: notes: � C� COMC BUILDING DEPARTMENT p0 VILLAGE OF RYE BROOK MAR - 1 2021 938 KING STREET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)939-0668 L914)939-5801 BUILDING DEPARTMENT w�Nv � tier 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: 14� it I'm\� a. - Date of Submission: Parcel ID#: 135.4) I"44 Zone: R-IoZ P oposed Improvement(Describe in detail): APPLICANT CHECK LIST: MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building �'Ook Department by the applicant-no exceptions. 1. ( -<Completed Application 2. ( ) Two(2) sets of sealed plans. (one full size Imaximum Property Owner:'3 'r11 allowable plan size=36"x 42"; and one 1 1"x 17") Address: Wk N 3. (�wo(2)copies of the property survey. 4 1 r 4. ( )Two(2)copies of the proposed site plan. Phone# 111 -q ti-O K 5. (-T'O'ne electronic/disc copy of the complete application materials. Applicant appearing before the Board: 6. (-1'5iling Fee. 7. ( ) Any supporting documentation. 8. ( ) HOA approval letter. (if applicable) Address: 9. ( -rl5otographs. Phone# 10.( ) Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Architect/Engineer: 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. I- Sworn to before me this CLr( -) Sworn to before me this day of 1 , 202 day of , 20 &L�-A A=4� Signature of Property Owner Signature of Applicant VV e 0 Gt SC JfZ� Print Name of Property Owrkr Print Name 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 ARCHITECTURAL REVIEW BOARD Wednesday, March 17, 2021 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on March 17, 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/a/88906948425 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: 889 0694 8425 NAME&LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 11 Highview Ave Roof Top Solar Array Consent 5139 (Baybay) Agenda 43 Bonwit Road New 4' Ft High Fence Consent 5150 (Schutzer) Aluminum Black Agenda ]� 24 Sleepy Hollow 2nd Appearance to Show �J 5135 Road(Iacobelli) Revisions/Rear Addition, Deck, Patio &Front Covered Porch 23 Rocking Horse Rear Deck Expansion.New 5151 Trail (Suesserman) Deck Roof,New rear Masonry Patio&Landing 18 Hillandale Road In-Ground Swimming Pool, 5152 (Marks) Retaining Walls, Deck Renovation&Pergola 3 Hills Point Lane New Windows,Doors, 5153 (Cohen) Siding, Roofing. Walkway & Interior Alterations 10 Meadowlark In-Ground Swimming Pool 5154 Road(Promisel) W/Pool Patio. Pool Fence, Boulder Wall & Steps 9 Lee Lane(Tracy) Enclose Existing Screen 5156 Porch ML V NM MR SE JM SF AC f MI KC ( A at;... + � •� ��+ .. -'...i+��A Si A - A J� �S f A �� ��S �I P 50M �'��. v i Ali, '� v •� y i� w 1 .,! i€3 •Si +f111 ,"S v 1l1I1) q/��(��v� 1111t >if�V�) f�111 (({{��V f N f ��j ♦♦ {1 Vj�5 7 � ' - �i ;.��.�.. �''�itss>) '3sres. s�r. 11i�►1.�€.F a1cZ r.�1�1,,�P�i:;f€°3.��'ae s�i If 1, .'?'s{c��� s�C-'=F r�l�YY.r-+Fr °:h�l Y'r�'�T,ar -1 l 4•-i � C<tss)s :W ci CD v U «� �•'S`t� � U ,� r200 s- x �'^ \ •ICI `V � .�? ZZ •• •11 C y • N' V M _ op .y P" •1..1 LOtwoo cr )Cites„ri,>�• w .�y �. - i.l a. v � c, .•s �, Lv cz C� W ul U C 4� x p- s. r^. co Lo 30 • <z WIN ,[� I'{�M•1+1 T r}��{ ,�1�-`'-����{l qA + SA 1 3'f•OA1' ` �:�1A1*'. 1�. -•7� 11�/Al�� l11+ A •SF' 1d�@�Arf A- • A C 6 ( i6.i A y p A "`If rA A► A' ,� �r+h. QQ Q } Ilrs Q 4 1(R a l ^IL.M. b� �.I t�i+bol9. s;^NNNNNNYYYYYY , : IV MVV•- .. • �'. *�VV NV 1n:i+/r\ ` /V bj1Y+' ,:8.d' r 'Y • l DATE(MM/DDNYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 11/06/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED.subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Janet DiGennaro NAME: BNC Insurance Agency PHONE (g14)937-1230 AX (914)937-1124 AIC No Ext: AIC,No): 90 South Ridge Street E-MAIL jdigennaro@bncagency.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Rye Brook NY 10573 INSURER A: Merchants Mutual Insurance Company 23329 INSURED INSURER B: Merchants Preferred Insurance Company 12901 Westchester Fences Inc INSURER C: INSURER D: PO BOX 1797 INSURER E: Port Chester NY 10573-8797 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2042196300 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE15 CLAIMS-MADE Fx_]OCCUR PREMISES Ea occurrence $ 500,000 MED EXP(Any one person) $ 15,000 A Y BOP1057963 05/26/2020 05/26/2021 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 a J O- PRO- ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident IX ANY AUTO BODILY INJURY(Per person) $ BOWNED SCHEDULED CAPI055442 05/26/2020 05/26/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE CUP9143770 05/26/2020 05/26/2021 AGGREGATE $ 1,000,000 DED I X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE El E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook Building Department is included as an additional insured when required under written Contract or Agreement. 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 Building Department 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 NYSIF New York State Insurance Fund 199 CHURCH STREET,NEW YORK,N.Y. 1 0007-1 1 00 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) AAAAAA 133470785 WESTCHESTER FENCES INC PO BOX 1797 �~ PORTCHESTER NY 10573 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER WESTCHESTER FENCES INC VILLAGE OF RYE BROOK PO BOX 1797 BUILDING DEPARTMENT PORTCHESTER NY 10573 938 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 975 158-7 729924 04/01/2020 TO 04/01/2021 11/6/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 975158-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 183785600 U-26.3 Westchester Fences & Iron Works Craftsmanship Since 1934 ALUMINUM FENCE 4 FEET HIGH •\ e �• >�� .'•' + , �, .• '''tea , • :.� , ,�4�_.j sir?�� �' j�. . t.i'11.y t• ^. � , . r y: ', .' ry • .1� •- j+r• •t,, ', �� '•f-. '.. ;' �\•.-1�.y',•�A ��,�ri,��i,.:.Z i�'�`••- L7 T.r�, -- .4.0 ri �J -T 1 i Mso 1 T Iry e � a ED v 1 VI LAGE OF RYE BROOK—TOWN OF RYE ULI SECTION 135.41 C4 BLOCK 1 \ LOT 44 J (Ponce) S 06*30'00„ W 104.36' N-0.4' O 1� 0 � r 23.OB' r 0 sr 32.83' Addep Now or Formerly 4 30.84' ° �QW 4- Andrew do S -waft Lori Grossman 27 60 ° �o*. Sr �0{1'D;� Now or Formerly 1 W � *0 Oe*a tOe C% Paul & Elizabeth Vogt C) Lot ;n S }^ 24.50' Shy/ to^y 8/ so r�I a S(e D�m. ti �Qe ,ago e o r! J ,3 J 36 �S. goy t Lot 1 PERMIT 01 L co e0 sB L ►3�' r�l t - I - '�l 4 DATE APPR D OCT 2021 yc � AS_gU1LTIFINAL URVEY 150 1 BUILD IN PE OR age off ,p O RF RED PRIOR TO 0 , INSPECTION FINAL- 7- �00 SURVEY OF LOT 59 AS SHOWN ON A MAP ENTITLED <n "SECTION 2, PINE RIDGE DATED APRIL 29, 1957 do 4 R�90. O r FILED Nov. 15, 1957 AS COUNTY CLERK MAP No. 11307 22-.5 C`3S 8837" SURVEYED AS IN POSSESSION Origino/ do/e ✓u/y 21, 1958 T H E M U N S 0 N C 0 M P A N Y Brought to dote Dec. 2j 1958 g NORTH GOODWIN AVENU N 15 Zleiwue 50054-2 Brought to dote & Redro/ted on rtloy 11, 2010 ELMSFORD, N.Y. L�C�C�UU�CD) 10523 CERTIFIED TO : JAMES SCHUTZER Scale 1 "=30' OCT 2 5-�021 WENDY SCHUTZER �/uLQ �yf p "Unauthorized alterations or additions to a survey mop is a violation LOT At t'31z CA�ggRS of section 7209. sub—division 2, of the New York State Education Low." UNDER � $�11VfR { $' Only copba of the orl9inol 6urvsy marked wllh the land surveyor's Inked or embossed Beal sholl be considered a true and valid copy.' ETC., IF ANY ARE NOT SHOWN J—4559 VILLAGE OF RYE BROOK—TOWN OF RYE SECTION 135.41 Now or Formerly BLOCK 1 L Paul & Elizabeth Vogt LOT 44 cy ) S 06'30'00" W 104.36' J (Fence) N-0.4' Vinyl Fence X X X (Fence) 00 % � (Fence) X X X X Aluminum Fence (Fence) S-3.40' W 7 W-2.80' '� 73�23.08' N-o.n' V— c 1;f See 32.83' w-6.17' X O 0 ° r Now or Formerly 30,84' u s Andrew & 0 4,20? u Lori Grossman _ 27 60' 2' K �04' Ste d " Now or Formerly 41) L W a 4 o De lb ry As c E I Paul & Elizabeth Vogt 0 00• c E x O kb,'"fe � �— o ' I Lot 1 ate eJ oPtf °`sehh3�@��oC +� kI I 5 8 24.50' d �^ °�7 .,1 r ce c (/)rca IsIt0`0. N e° (Fence) u_ s' `36 90 N-0.13' 4 79 k w `"a"ve I c _ Lot 1 - C 1 Cry c� Li V' I �I 1 /V� �3 / (Fence) d8 O S-0.57' 0 11 JUL - 7 2022 2910- �00� k� F JB AGE OF RYE BROOK LDING DIF- ARTMENT 13 r S O FL A .M 0 MENT J �� 13� 7 a SURVEY OF LOT 59 AS SHOWN ON A MAP ENTITLED to "SECTION 2, PINE RIDGE ," DATED APRIL 29, 1957 & 4a R,90.o 3S FILED Nov. 15, 1957 AS COUNTY CLERK MAP No. 11307 \22 S0,3 „ C, �883 SURVEYED AS IN POSSESSION r Origino/ dafe ✓u/y 21, 1958 T H E M U N S 0 N C 0 M P A N Y �-•-� enough t to dote Dec. 23 1958 9 NORTH G O O D W I N AVENUE N. License 50054-2 Brought to date & Redrafted ELMSFORD, N.Y. on May 11, 2010 Updated with New Fence Aug. 2, 2021 10523 Updated with New Fence April 22 2022 Scale 1 "=30' CERTIFIED TO : JAMES SCHUTZER WENDY SCHUTZER LOT AREA = 15,944 SQ. FT. "Unauthorized alterations or additions to a survey map is a violation UNDERGROUND PIPES, WIRES, STRUCTURES, of section 7209, sub—division 2, of the New York State Education Law." "Only copies of the original survey marked with the land surveyor's ETC., IF ANY ARE NOT SHOWN inked or embossed seal shall be considered a true and valid copy." J—4559