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HomeMy WebLinkAboutMP21-058PERMIT # �� D5 Q DATE: 't3U r EXP:, SECTION r BLOCK LOT, TYPE OF WORK , 1S i Ocl kp.) 74 s 5 JOB LOCATION / OWNER 00tlQ l�/ Zvi /~7;/I el/I CONTRACTU EST. COST CJ —' FEE ..'S/( _ O # ' FEE `*JJL ' /�46 DATE TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING C7 RGH PLUMBING GAS SPRINKLER ELECTRIC LOW -VOLT ALARM 0 AS BUILT 0 FINAL FEE DATE INSPEI:TION RECORD DATE @16IL � 440 � INSP 0 Tajo/' OTHER APPROVALS ARB BOT PB ZBA OTHER cc�a- Cl�.t�Wes; } VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S. Rosenberg (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING & FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE March 21,2022 Ooi Min Kevin Teo&Yoong Kim 70 Winding Wood Road Rye Brook,New York 10573 Re: 70 Winding Wood Road, Rye Brook,New York 10573 Parcel I D#: 135.34-1-36 This document certifies that the work done under Mechanical Permit #21-059 issued on 4/20/2021 for the installation of three above-ground LP storage tanks have been satisfactorily completed. Sincerely, I F Michael J. Izzo Building&Fire Inspector /tg VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Paul S.Rosenberg (914) 939-0668 Christopher J. Bradbury www.ryebro�ok.orR TRUSTEES BUILDING& FIRE Susan R. Epstein INSPECTOR Stephanie J. Fischer Michael J. Izzo David M. Heiser Jason A. Klein CERTIFICATE OF COMPLIANCE March 21,2022 Ooi Min Kevin Teo&Yoong Kim 70 Winding Wood Road Rye Brook,New York 10573 Re: 70 Winding Wood Road,Rye Brook,New York 10573 Parcel ID#: 135.34-1-36 Mechanical Permit#21-058 issued 4/20/2021 for a New Generator This certifies that the 22kw LP gas fired generator,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /tg r(Z �� BUILD MENT For office use onl D � VII. OF RYE OK PERMIT# I Z�,I -c�S'� ISSUED: "'Z Z 9 — Z 1 y 2022 G STREW YE BROOK, YORK 10573 DATE: -�y-Zz- MAR 9 -0 Y FEE: t D PAID, . O VILLAGE OF RYE BRoNT BUI ERTIFICATE 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 trtt►ff#►iittt#tuff##tiifR#f###!##t#!tf#f►if!!t#ftiirtrttiiiiii#rtrtiiitffffiii#i#ftflfirttfirti►►►►►►►iii#iiiif#ttrt!!##itf►iti►fft Address: -70 W r N D i N i GJ&D D ROAD SW_7�q _ Occupancy/Use: ��S�or �0-c_ Parcel ID#:_13r- ?4 1 (-3 6 Zone: T Owner: 6,0 f Wl i N 4gVrn1 7t Address: A y 4&✓S P.E./R.A. or Contractor: ,&-, Address: k4S' IW fk%- Person in responsible charge: X 1 t9$e41 f Address: _A9 /&V-r- Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: 001 M►-'j kWJ 1N 72-:V being duly sworn,deposes and says that he/she resides at 7o Urr ND py&v"'W to s rw -ro&y (Print Name of Applicant) (No.and Street) in Aye lle K ,in the County of in the State of N y that (city/Town/village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 1 fy,06T.CO for the construction or alteration of dF iM%z-&,6N( s7m mMV jM 0&&ZD9L ,&Vb r&,2uLLA ?1orb 6F 3 PROawr —wpyC 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 t `aCU)C�, , 204a day of , 20 ISiature of Propeify Owner Signature of Applicant krint Name of Property Owner Print Name of Applicant Notary Pub is Notary Public SHARI MELILLO Notary Public,State of New York S,l 2r_o2l No. 0V.iE6160C63 01.mVied In Westchester County,)n-2 Commission Expires January 29,20 ? QyE 4RC�k, O� 2m .��OT • 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.or¢ - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - -22 ADDRESS : DATE: 3 1 � -- � 1 l PERMIT# ` ( ISSUED: �ECT: BLOCK: LOT: ` -Ccr-))r-5 l LOCATION: U� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... CCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION rn� ; 0 REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS k T 2- ` C� p L.P.GAS 3 ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE DR(�j�. O� 2m • �9�z BUILDING DEPARTMENT ❑BUILDING INSPECTOR �SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK [I CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - 0t �l ADDRESS :— W` \ w v DATE: PERMIT# _ v ISSUED: I-4� SECT: BLOCK: LOT: LOCATION: ���" 1 OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS.. .ACCEPTED ElREJECTED/REINSPECTION ❑ SITE INSPECTION ' �..__ REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING t ❑ INSULATION 1 ❑ NATURAL GAS t c 1. C yi�� L �� YUj� C D—L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER �•$w� ji�-�•�-���i_ '�iG {o�i �-�• �• �� �i'�r�i�- �• �� �-�•�i�i�J �Z�i�-�i�i� \i� \• �i� t-� ��i ��i �i t s t Li e tn 1-6 cd • ' qeit ✓ S . 00 0-0 tj ji- < j z A Z .. � 3 w - 7 t z �. OWN tn .Zr O96, •� �. /. Z C' 1. � � J �� � C _ ,. 316 u V Or. o o _ Q $ 1A $ ,. �i O G7 F}- w � Z p C � •' � a Z W CL t `i \• - - 1.= � ld !i • � � i�•�i F ♦} i \• i i r i'�"i�'.i i \• * � \� \i i 40.tl c 42w t!47 C. to yE aRnv� D CC� � OM[ Bum MENT Viz. > 1 x APR 2 8 2021 938 KIN $ ,NY 10573 914 9 ll 939-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT w c.or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required FOR OFFICE USE ONLY Hpcpl—t 5� EP#: _ Approval Date: APR 2 9 1 Permit Fee: S Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 4/28/21 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 Federal, State,County and Local Codes. 1.Address: 70 Winding Wood Road SBL: 135.34-1-36 Zone: R-3 2.Property Owner: Ooi Min Kevin Teo Address: 70 Winding Wood Road Phone#: Cell#: 914-291-7203 email: topspinrocketman@email.com 3.Master Electrician: Dean T. Bamett Address:383 Elwood Avenue, Hawthome, NY 10532 Lic. #: E-663 Phone#: 914-449-6875 Cell#: 914-943-8159 email: dean(Mbamettelectdc.net company Name: Barnett Electric, Inc. Address: 383 Elwood Avenue, Hawthome, NY 10532 #.Proposed Electrical Work/Fixture Count: Installation of a 22kw generator STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Dean T. Bamett 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) contractor state 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,ctc. The undersigned further states that all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of ,20 20 ' Signature of Properly Owner Signature of ApplicN daant Dean T. Barnett Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 3/21/19 Westchester Rockland Electrical Inspection Services, Inc. ' Phon:91 47-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 Elmsford, NY 10523 Ir BUILDING PERMIT NO. TEMP# DATE _-�i CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY _ �. STREET AND NO.OR ROAD POLE NUAABER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME �►-" BUILDING OCCUPANCY .i OWNER'S NAME AND ADDRESS q/1 HOME TELEPHONE NUMBER V 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 F n_'� I-""' BASEMENT 1''FL. 2'FL. E OF R E BROOK 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 J ADDITIONAL❑ EXPOSED❑ CONCEALED C MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD[-, UNDERGROUND❑ __Lj I L1_ 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 x STREET ADDRESS J TELEPHONE NO ��)/ CITY OR POST OFFICE .,r-y��� ZIP LICENSE NO.WHEN APPLICABLE ? /l LICENSE ' WESTCHESTER 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: Barnet Electric Inc Yoong Kim&Ooi Min Kevin Teo 861 Franklin Avenue NY,Thornwood 10594 Located at:70 Windingwood Rd Rye Brook, NY 10573 Certificate Number: 1028634 Section: 135.34 Block: 1 Lot:36 BDC: Permit Number:EP:21-103-BP:MP#21- 058 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: 70 Windingwood Rd Rye Brook,NY 10573 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 10/13/21 Name Type Quantity Generator Up to 25 KW ------- 1 Automatic Transfer Switch ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. -7j/ This certificate may not be altered in any way. This certificate is valid for work performed before date of inspection only. y I in 9I O C i C4 N i O O t N N = ►. • • � Gl �. C6 c, c r.l i M Z �� o cc = O w S . w z �i Z Wig = o W Mo � L J 00 0#44 t � 1 W . zit < C V t OEM oc I•.I -� � c z F .r /� r► VJ 6. .� V I v O i.. Z w z 96 3 i 7 t S S i S : : 2 L 4Utatt;- c; 4;tw 06 �064 to { p FCENI—E— _c BUILD; E ��MENT VIL E OF RYE pOK 021 938 KIN ETRYEB 1,NY 1057 (914)9 939-5801 VILLAGE OF RYE BROOK vn or BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY $P'f�' , ���C7 PP #: C;?I'0-5,T Approval Date: ,5? Permit Fee: S Approval Signature: Other: Disapproved: (fees are non-reftitndable) Application dated, 2 is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install an or remove Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: SBL: -1.351•3y /" Zone: 2.Proposed Work:• &AI 9 L.i r L 3.Property Owner: Kruzea 1 o Address: 7D 6ZI /Vf Phone#: Cf U' r Cell#: email: / 4.Master Plumber: P 1 _t ��(�� Address: �(y �[ r}�CyJ� 143< z- Lic.#: 13ar Phone#: Cell#: email: h'j� AIJ{, 1 2 Company Name: ea,- PLv-imbiiy� rhfL, Address: %(r,2SA 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 -3-9 Floor 41 Floor 5 Floor Exterior 5.*List Other EquipmentTrovide Details: J_r-7 iY 5 &// /� (I 4< .e roz (Notarized Signatures Required Next 2 Pages) 4- 3/21/19 STATE OF NEW YOR1iC,COUNTY OF WESTCBESTER ) as: CtGY(A e-1 kA. ______,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 le al owner of the property to which this application pertains,or that(s)he is the G !ge,� ` i for the legal owner and is duly authorized to make and file this application. (indicate teat,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief;and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of \ 20­9, _ day of 20 t SignatLde of Property Owner Signatke&Ap Alfit (901C- Print Name of Property Owner Print Name of App scant i�' HkgULLO Notary Public "4u'dryru0'IU,5fa e o ew York Notary Public No.01 ME6160063 Oualified in Westchester County Commission FrXDIreS Januar,29 20 19-3 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. 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. -2- 3/21/19 • BUILD G DEPARTMENT v E VIL LlE OF RYE BROOK `� APR 14 2021 938 KING ET RYE BROOK,NY 10573 (914)93 :g • o(91o4)`939-5801 VILLAGE OF--RYE BROOK BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 3, oC�l M r N K,6,t/iN , residing at,7o62J1) rt D tn Sau7H AYE 6 '�15,N`I (Print name) (.Address where you live) being duly sworn, deposes and states that (s)he is the applicant above named, and fixrther states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 7o c�,n� ✓�t✓��o D ,eO r'A s«i�i , Rye Brook, NY. (.lob Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. 4 41 ��_ (Signature of Property Owner(s)) C)o/ MJN KgV/A) (Print Name of Property Ownerw) Sworn to before rnbefore me this day of IM 0-- , 20�_ (Notary PnbI1C) Pichcl C.Lon Notary Public,State ttt N Y. pJo.plLp6pQ3242 Quatw h Westchester C `� (, z. �mmk'^n �rr,knc k3b.23. -3- 3/21/19 L C C 20 a � E- � u a L Gi _ s O � 3 O _ � 0 � w � � Q � C l A � �a•� a QI °G 3 �•,� � � � N � w � � v .5 g.� � cps CD o •- O F- co 00 a W F WHO r� Z Z w = � E3vU 0. �J t� 1� ' F. G4 C T A z rQ o 0 z o - o00 ^� ✓. N 1` to . Ono a, a o� 'n = < y q -S r. Z Q V 0. yr= o o r WCL e or- CIO O < o •yggQ r Z .. ►-� Z > O Z 0 P. •• 0 Q C6 Z `rri OC C Bu"LNG DEPARTMENT D [E CC E N F, VIL E OF RYE BROOK 938 KING ET RYE BROOK,NY 10573 APR 15 2021 (914)9 14 939-5801 VILLAGE OF RYE BROOK �o ra BUILDING DEPARTMENT Application for Permit to Remove, Abandon and/or Install Fuel Storage Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: PERMIT#: 1-4,4QI -06-9 APR 1 5 2021 3 v�o, \ Approval Date: Permit Fee: S / U Approval Signature: Other: 'es— Disapproved: (fees are non-refundable) RE.OUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded,Licensed Contractor. 2.Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C 105.2 or Form#U26.3 /or NY State Workers Compensation Waiver) 4. Fee per Tank: Removal,Abandonment, or Installation: S 185.00 per Tank. 5. Dig Safely New York#(dial 81 1): 6. Inspection by Building Department for removal/abandonment and/or installation. 7. Submit all Manifests&Reports(after work has been completed). 8. Certificate of Compliance will be provided when all requirements are fulfilled. ****************************************************************************************************** Application dated, y1/L1L/ ,is hereby made to the Building Inspector of the Village of Rye Brook for a permit to remove,abandon,and/or install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s)will be removed,abandoned and/or installed in conformance with all applicable Village,County, State& Federal laws,codes,rules and regulations. Indicate Permit Type: Installation •Removal( )•Abandonment( ) /Above Ground(Buried in Ground( ) 1. Address: /0 ` I' f 6-0 c D 24 Sr SBL: I-�,-3 7"I-3 6—Zone: 2. Property Owner&Address:Xe1/ 70 . Na A-`J ,os"'73 Phone Z,f/ - 72-o3 Cell#: email: �P ^�iZvrlCefma�� �'/ •war 3. Contractor&Address: 6-f15, CB cp Phone#: 94 "107-577�I f Cell#:gys=moo -&o tl email: 6T,1 -C 4. Applicant: �� UA' O-te r e Phone#: Cell#: email: 5. Indicate Fuel Type:Fuel Oil( )•L.P. Gas( asoline( )•Other( ): p 6. Number and Capacity of each Tank: / L� I� lJ�(�o a�,+� 1`� Q-�.e_ t�lc s h� C �eP lu 7. Exact Location(s)of each Tank: CAS �+ B-P $e— t 6/1/2020 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application.(indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of ,20 day of 20 I / Signature of Property Owner tgnature of pplicant U'a/ M t IV A 21 N 7L-ID C'�,a L- C A —e. � Print Name of Property Owner Print Name of Applicant Notary Public Notary Public 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 6/1/2020 cCDv M, • \ I• IW o If,cj to f LNU n`. 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FEATURES O INNOVATIVE ENGINE DESIGN&RIGOROUS TESTING are at the heart of Generac's O SOLID-STATE,FREQUENCY COMPENSATED VOLTAGE REGULATION: success in proAdina the most reliable generators possible.Generac's G-Force engine This state-of-the-art power maximizing regulation system is standard on lineuo offers added peace of mind and reliability for when you need it the most.The all Generc models It provides optimized FAST RESPONSE to changing G-Force series engines are pu•pose built and designed to handle the rigors of load conditions and MAXIMUM MOTOR STARTING CA?ABILITY by extended run times in high temperatures and extreme operating conditions. electronically torque-matching the surge loads to the engine Digcal voNge regulation at±1%. TRUE POWER— ELECTRICAL TECHNOLOGY: SLperior harmonics and sine wave C SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer forms produce less than 5%Total Harmonic Distortion for utility quality power.This allows neRva K provides naps aad service kmow-how for the entire unit,Rom the confident operation of sensitive electronic equipment and micro-chip cased appliances, engire;a the smallest electronic component. such as variable speed HVAC systems. O TEST CRITERIA. O GENERAC TRANSFER SWITCHES: Long life and reliability are PROTOTYPE TESTED NEMA MGt-22 EVALUATION synonymous with GENERAC POWIR SYSTEMS One reason for this ti SYSTEM TORSIONAL TESTED MOTOR STARTING ABILITY .ontidence is that the GENERAC product line includes its own transfer systems and controls for total system compatibility. "-' GENERAC �. /1% 14 PROMISE '�� � 44RP� Br n.Mtlf uny W.::su-,Iror .. GENERAC 16/20/22 kW features and benefits Engine • Cenerac G-Force design Maximizes engine"breathing"for increased fuel efficiency.Plateau honed cylinder walls and plasma molyrings helpsthe engine run cooler,reducing oil consumption resulting in longer engine life. • -Spiny-lok"casi iron cylinder walls Rigid construction and added durability provide long engine life. • 1 ectronic ignition/spark advance These features combine to assure smooth,quick starting every time. • FiiII pressure lubrication system Pressurized lubrication to all vital bearings means better performance,less maintenance and longer engine life.Now featur- ing up to a 2 year/200 hour oil change interval. • Low oil pressure shutdown system Shutdown protection prevents calastrophic engine damage due to low oil. • High temperature shutdown Prevents damage due to overheating. Generator • Revolving held Allows for a smaller,light weight unit that operates 25%more efficiently than a revolving armature generator. • Skewed stator Produces a smooth output waveform for compatibility with electronic equipment. • Displaced phase excitation Maximizes motor starting capability. • Automatic voltage regulation Regulates the output voltage to.1%prevents damaging voltage spikes. • UL 2200 listed For your safety. Transfer Switch(if applicable) • fully automatic Transfers your vital electrical loads io the energized source of power. • NEMA 3R Can be installed inside or outside for maximum flexibility. • Remote mounting Mounts near your existing distribution panel for simple,low-cost installation. Evolution'" Controls • Auto/Manual/011i illuminated buttons Selects the operating mode and provides easy,at-a-glance status indication in any condition. • Two-line LCD multilingual display Provides homeowners easily visiole logs of history,maintenance and events up to 50 occurrences. • Sealed,raised buttons Smooth,weather-resistant user interface far programming and operations. • Utility voltage sensing Constantly monitors utility voltage,setpoints 65%dropout,80%pick-up,of standard voltage • Generator voltage sensing Constantly monitors generator voltage:o ensure the cleanest power delivered to the home. • Utility interrupt delay Prevents nuisance start-ups of the engine,adjustable 2-1500 seconds from the factory delault setting of 5 seconds by a qualified dealer. • Engine warm-up Ensures engine is ready to assume the load,setpoint approximately 5 seconds. • Engine cool-down Allows engine to cool prior to shutdown,setpoint approximately 1 minute. • Programmaole exercise Operates engine to prevent oil seal drying and damage between power outages by running the generator for 5 minutes every other week.Also offers a selectable setting for weekly or monthly operation providing flexibility and potentially lower fuel costs to the owner. • Smart battery charger Delivers charge to the battery only when needed at varying rates depending on outdoor air temperature. Compatible with lead acid and AGM-style batteries. • Main line circuit breaker Protects generator from overload. • Electronic Governor Maintains consant 60 Hz frequency Unit • SAE weather protective enclosure Sound attenuated enclosures ensure quiet operation and protection against mother nature,withstanding winds up to 150 mph.Hinged key locking roof panel for security Lift-out Toni for easy access to all routine maintenance items.Electrostat- ically applied textured eporcy paint for added durability. • Enclosed critical grade muffler Quiet,critical grade muffler is mounlec inside the unit to prevent injuries. • Small,compact,aCractive Makes for an easy,eye appealing installation.as close as 18"away from a building. Installation System • 1 1(305 mm)flexible fuel line connector Absorbs any generator vibration when connected to rigid pipe. • Direct-to-dirt composite rounting pad Complex lattice design prevents settling or sinking of the generator systern. 41 Integral sediment trap Prevents particles and moisture from entering the fuel regulator and engine,prolonging engine life. GENERAC' 16/20/22 kW specifications Generator Model G007035-0,G067036-0, G007038-0,G007039-0 G007042-0,0007043-0 G007037.0(16 kW) (20 kW) (22 kW) Rated Wirimum Continuous Power Capacity(LP) 16,000 Watts' 23,000 Walls' 22,C0C Paled Vadmum Contnuas Pohet Capacity(NG) 16,000 Watts' t 8.000 Watts' 9,500 Rated Voltage 240 240 240 Rated Maximim Continuous Load Current—240 Volts(IRNG) 66.6/66.6 83.3l75 91.6181 5 Total Harmonic Distortion Less than 5% Less than 5% Less than 5;o r Main line Circuit Breaker 70 Amp 100 Amp 100 Anif Phase 1 1 1 Number of Rotor Poles 2 2 2 Rated AC Frequency 6047 60 Hz 60Hz Power Factor 1.0 10 1.0 Battery Requirement(rat included) 12 Vops,Group 26R 540 CCA Minimum or Group 35AGM 650 CCA Minimum Unit WeVil(100) 406.r186 448/203 4 56,,211 Dimensions(L x W x H)if*'n 48 x 25 x 29,11218 x 633 x 732 Sours output in d3(A)at 23 b;7 m1 with generator operating at nwr W load" 66 66 67 Sound output in dB(A)at 231t(7 n)with generator in C:uid-Test'"law-speed exercise made" 58 56 58 Exercise citation 5 min 5 nun 5 min Engine Tyne of Engine GENERAC G-Farce1000 Senss Number of Cylinders 2 2 2 D sptacement 999 cc 999 cc 999 cc Cylinder Block Aluml w/Cast Iron Sleeve Valve Arrangement Overhead Valve Overhead Valve Ove•head Vahm Ignition System Solid-state wl Magneto Solid-state w/Magneto Solid-state w/Magneto GoernorSysleT Electronic Electronic Electramic Compression Ratio 9.5:1 9.51 9.5:1 Staler 12 Vd,- 12 Vdc 12 Vdc Oa Capacity Includ ng Filler Approx 1.9 gVi.8 L Approx.1.9 gV1.6 L Approx 1.9 rili L Cpe2'ing pm 3 600 3.600 3.600 Fuel Cotsanpl on Nawrai Gas Ralhr(m3h) 1122 Load 218(6.17) 2D4(5.78) 216(6.12) Full Load 309(8.75) 301(8.52) 310(8.78) Liquid Propane 1131hr(gaUhr)(Lmr) 1/2 Load 91.6(2.52)(9.531 86(2.37)18.99] 93.2(2.56)19.701 Full Load 106.8(2.S4)111.111 129.6(3.56)113.481 140(3.87)114.651 Note:Fuel pipe must be sued for full load.Required fuel pressLre b generator fuel inlet at all load ranges 3.5r7 water column(7-13 mn me'cury)lot natual gas.10-'2 water c*mn(19-22 nn rnetcLry) for LP gas.For 8:u content.rn3ftiply 1t37hr x 25M(LP)or k3Rr For Mega;oule content,multiply ma/nr x 93.15(LP)o mVhr x 37.26(NG) Controls 2-ne Plan Ted Multilingual LCD Display Simple user interface for ease of oceratnn. Mode Butlo s:Auto Automatic Stan on Utility hailue.7 day exerciser. Manual Start urilh slaver conlroi,At stays on.0 lifility fats,bani to load lakes place. on Stops unit.Power is removed.Control area charger still operate. Re,dy'0 RafMainlerance Massages Stardard Ergine Run Hours Indication Standard l`cg,ammable start delay between 2-15M seconds Standard(programmable by dealer onfy) Lal.:y Voltage Lossfil"to Liddy Adjustable(BraAnaut Settling) From 140-171 W190-216 V I I Lure Set Capable Evercisert'Exercise Set Fira Warring Standard WAlarmJMaintarwnce logs 50 Events Each Engine Start Sequence Cyclic crarldng:16 sec on.7 rest(90 sec maxhnum duralion). Starter Lock-oul Starter cannot re-engage un'il 5 sec after engine has stopped. Smart Bzae-y Charger Standard Charger FaulVMissiog AC Waring Standard Low Battery/Battery Problem Protection and Battery Condit oi Indication Standard Automatic Voltage Regulation wish Over and Under Vali Protection Standard 1'cider-Frequency/O4ricAlStapper Overcurent Proteclicr Standard Safety Fused/Fuse Problem Protection Standard Automatic Low Oil Pressure7High Oil Temperalure Shutdown Standia•d OvarraNt/Overs�ed(@ 72 Hz)Apm Sense Lass Shjddown Slaidard Higl Engine Tempe-ature Shutdown Standard Irtt mal FaulUtncorrect Wiring Protection Standard Common Exlen al Fault Capability Standard Field upgradable Firmware Standard "S.caxd *1 el the generafrr Snurd ft stakam tan aFd on rstalaim parar-Wri Hang ddmieom-SIF,".Alps!table b s_pp*Q ermpen:y Ixwe h•tie rurr0 dlie UI cY Wier anaae.No aerxad capaNhydateilatle YxdDrating.(Ailratil in axc+dacernn ti,L'55A.rS03%6and DK27t'.'Mum.7,uaW.amysad ctne'trest;*l roxtirr ratedbysirhhc:m astrJ 11Wrrtgyta cacerl.et0ietikrtpetafue.acts,emane Ixwxr arc cwxaLo�.et.WXimu'n pw+at barn>aes aom13S rwrent lot each oeca la each 6'C(10'f)abme 16'd t60'Ft GENERAC` 16/20/22 kW switch options Limited Circuits Switch Features Model G007036-0(1UWr • 16 circuits.breakers not included. No on Poles 2 • Electrically operated,mechanically-held contacts for fast,positive Cunene Rating(Asps) 10)vow Rating(vAc) 120240,10 COnneC1100S tGilily voltage Monimr(Fxed) • Rated'or all classes of load. 100%equipment rated,both inductive and -Pick-up e0% resistive. -Dropout 65 • 2 pole,250 VAC contactors. Return toU6llty appox 15 • 30 millisecond transfer time. Exercises bi-weckly for 5 manates't Starccrd • Dual coil design. ULL19W sta dard • Rated for both copper and aluminum conductors. 'olai Crcr ins Asailsble 1E • Main contacts are silver plated or silver alloy to resist welding and sticking. Tmdern Breaker Capabilities a spaces • NEMA/UL 3R aluminum outdoor enclosure allows for indoor or outdoor circus ilAl eR roteaed oral Iahle RUS Symmetrical ,0 J116 mounting flexibility. Fault Current Q 250 Volts • Mulli lislec for use with 1`standard,tandem.GFCI and AFCI breakers from *Function at Evolution Controller Siemens,Murray,Eaton and Square D for the most flexible and cost effec- Exercise can be set to weekly or monthly live install WI- Dimensions icige' Width nemn 41 H2 VJ1 AF2 in 26.75 30.1 10.5 3.5 6.9 i „e mm 679.4 764.3 266.7 343.0 i 75.4 wre Ranges Conductor Lug Neutral Lug Crounc LL 1 -ne--i 1/0-#14 2/0-#14 2,'0-*'4 Service Rated Smart Switch Features Monet 0007037-0(16 kW/co07039-0 120 kwt� • Includes Digital Power Management Technology standard(DPM). G007043-0(22 kw) No.o'Pol% 2 • Intelligenlly manages up to four air conditioner loads with no additional Oa-it Range;(Arnns) 230 hardware. voltage Rating(VAC) 120240,10 • Up to our more large(240 VAC)loads can he managed when used in Lnlily V'ollage Monitor(Fixed)' conjunction with Smart Management Modules(SMMs). -PicP-up 8 TV, .Dropout 651n • Electrically operated,mechanically-held contacts tar fast,clean connections. Return to Ulility• spprox 13 sec • Rated far all classes of load,100%equipment rated,both inductive and resis- Fxrrdws hi-weekly for 5 minutes' standald live. UL Lis'ed Standard • 2 pole,250 VAC contactors. Enclosue Type NEMAIUI 3R • Service equipment rated dual coil design. circuit 9raaW Piclected 22,0W • Ratec for both aluminum and copper conductors. Lug Range 250 YGM-#6 • Main contacts are silver plated or silver alloy to resist welding and sticking. 'Function of Evolution Controller • NLNL4tiL'3H aluminum outdoor enclosure allows for indoor or outdoor mount- Exercise can be set to weekly or monthly inc 9edbility. Dimensions 200 Amps 120240.1e Open Transition Service Rated 4eight Width Uepih Ht H2 Wt W2 in 26.15 30.1 10.5 135 691 min 679.4 764,3 2667 343.0 1754 oEvr„ �wi-I GENERAC 16/20/22 kW available accessories Model# Product Description Generac's Mobile Link allows you to check the status of your generator from anywhere that you have ac- G0064634 Mobile Link— cess to an Internet connection from a PC or with any smart device. You will even be notified via e-mail or text message when a change in the generators status occurs. Available in the U.S.only. G005819-0 26R Wet Cell Battery Every standby generator requires a battery to start the system.Generac otters the recommended 26R wet cell battery for use with all air-cooled standby product(excluding PowerPact®). , 3007101-0 Battery Pad Warmer The pad warmer rests under the battery.Recommended for use if the temperature regularly falls below 0°F. (Not necessary for use with AGM-style batteries). 0007102-0 Oil Warmer Oil warmer slips directly over the oil fitter.Recommended for use if the temperature regularly falls below 0'F. G007103-0 Breather Warmer The breather warmer is for use in extreme cold weather applications. For use with Evolution controllers only in climates where heavy icing occurs. G005621-0 Auxiliary Transfer Switch The auxiliary transfer switch contact kit allows the transfer switch to lock out a single large electrical load Contact Kit you may not need.Not compatible with 50 amp pre-wired switches. Fascia Base wrap Kit The fascia base wrap snaps together around the bottom of the new air cooled generators.This offers a 6007027-0-Bisque (Standard on 22 kW) sleek,contoured appearance as well as offering protection from rodents and insects by covering the lifting holes located in the base. II the generator enclosure Is scratched or damaged,it is important to touch-up'he paint to protect from G005703-0-Bisque Paint Kit future corrosion.The paint kit includes the recessary paint to properly maintain or touch-up a generator enclosure. G006485-0 Scheduled Maintenance Kit Generac's scheduled maintenance kits provide all the hardware necessary to perform complete routine maintenance on a Generac automatic standby generator. G006873-0 Smart Management Modules are used in conjunction with the Automatic Transfer Switch to increase its Smart Management Module(50 Amps) power management capabilities.it provides additional power management flexibility not found in any other power management system. dimensions & UPCs 1)rxmiws svm are approalrrate.Relet z installation trareul for mi dirwWrs.DO 40T USE THESE T"NSIONS FOR NSTALLATION Pl6iPOSES - Model UPC Ir-0c" I-.4 l _ _ G007035-0 696471070354 0007036-0 696471070361 G007037-0 696471070378 ravK ] _ G00 038 0 69647,070385 6007039-0 696471070392 o -- 05 G007042-0 696471070422 G007043-0 696471070439 IMe h 1.6T8OE VEW FRONT VEW GENERACGenerac Power Systems,Inc. •S45 W29290 HWY.59,Waukesha,W153189•generac.com C2016 Generac Power SMeMS.lwc All nghts resmM AA sllecikariam are su*ct to change withohn noose.Part No.t0MOD194-0 10l2,V16 Building Permit Check List&Zoning Analysis Address: �] O 1 n+-A t ry4 w o C-l" �tj� SBL: 1 3 S' Zon : Use: 2 l Const.Type:^_1113 Other. Submittal Date: Revisions Submittal Dates: Applicant: Nature of Work: 1 7, �� L` ' ►' �i�r.r F.n/���<Z— Reviews:ZBA: MAR1 1 021 PB: BOT: Other. i ( ( ) FEES:Filing. 71 BP: -2 • *��� 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. Shore Fees: N/A: ( ) ( ) SITE PLAN:Topo: SiteIrotection: S/W Mgmt.: Tree Plan Other. ( ) ( SURVEY:Dated Current:Current: ✓ Archival: Sealed. Unacceptable: ( ) (.) PLANS:Date Stamped Sealed.-Copies: 2 Electronic: Other. ( ( ) License: Workers Comp: Liability Comp.Waiver.Z 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: ►-,-'t 4 C. Other. O O 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. ( )ARB mtg.date: approval• notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approvaL• notes:REQUIRED EXISTING PROPOSED NOTES APPROVED Am: pate, MAR 1 1 2021 sue: Main Front 1� coy AccsS� Ft.H/Sb: Sd.H/Sb: sf-A: Tot Imp Ft.Imp Hriht/Stories: notes: MW Laura Petersen From: Laura Petersen Sent: Tuesday, March 16, 2021 3:42 PM To: topspinrocketman@email.com Subject: RE: Re: Building Permit Application for Generator - 70 Winding Wood Road Attachments: BP-1 Form.pdf �\�0 Hi Kevin, e At your earliest convenience, please email me the Declaration Page from your homeowners insurance. I have attached the workers comp waiver form. Please complete the form and return to the Building Department (we have a notary upstairs in our Administration Office). Thank you! Laura Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax (914)939-5801 1 loetersen<alDrvebrook.oro From:topspinrocketman@email.com <topspinrocketman@email.com> Sent:Tuesday, March 16, 2021 2:40 PM To: Laura Petersen<LPetersen@ryebrook.org> Subject: Re: Building Permit Application for Generator-70 Winding Wood Road Hi Laura I will be the homeowner as GC. For the genarator installation and hiring Gisondi Generator Group (John Gisondi). Tel: 914 682 3200. The respective trades from Gisondi Generator will come in to file for electrical and plumbing permits with relevant docs once a permit is issued. The fuel tank permit will be filed soon by Paraco Gas. Any questions please feel free to call. Thank you. Kevin Sent from my Android phone with mail.com Mail. Please excuse my brevity. On 3/12/21, 07:22 Laura Petersen<LPetersenCa@ryebrook.ore>wrote: 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. 1 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 (C105-2 or U26.3) 5. Building permit fee $211.00 (due once permit is issued and ready for pick-up) 6. Application to Install Fuel Storage Tank Thank you! Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 1petersen(a)ryebrook.org 2 Laura Petersen From: topspinrocketman@email.com Sent: Tuesday, March 16, 2021 2:40 PM To: Laura Petersen Subject: Re: Building Permit Application for Generator- 70 Winding Wood Road Hi Laura I will be the homeowner as GC. For the genarator installation and hiring Gisondi Generator Group (John Gisondi). Tel: 914 682 3200. The respective trades from Gisondi Generator will come in to file for electrical and plumbing permits with relevant docs once a permit is issued. The fuel tank permit will be filed soon by Paraco Gas. Any questions please feel free to call. Thank you. Kevin Sent from my Android phone with mail.com Mail. Please excuse my brevity. On 3/12/21,07:22 Laura Petersen <LPetersen@ryebrook.org>wrote: 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 (C105-2 or U26.3) 5. Building permit fee $211.00 (due once permit is issued and ready for pick-up) 6. Application to Install Fuel Storage Tank Thank you! Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 Ipetersenervebrook.org 1 Policy Change AWIk Declarations TRAVELERS J HOMEOWNERS POLICY Named Insured Your Agency's Name and Address YOONG RIM ONECAP SERVICES LLC OOI MIN KEVIN TEO 77 SPRUCE ST STE 203 70 WINDINGWOOD RD S CEDARHURST, NY 11516 RYE BROOK NY 10573-1129 Your Policy Number: 995983909 633 1 For Policy Service Call: (516) 545-0500 Your Account Number: B00774433 For Claim Service Call: 1-800-CLAIM33 Policy Period Location of Residence Premises FROM: 07-27-20 To: 07-27-21 12:01 A.M. 70 WINDINGWOOD RD S STANDARD TIME AT THE RESIDENCE PREMISES RYE BROOK NY 10573-1129 Change Effective Date: 07/27/20 No Change in Premium Reason for Change: Change to Mortgagee 1 Section I - Property Coverages Limits of Premium Liability A - DWELLING $ 540,000 $ 1,654.00 B - OTHER STRUCTURES 54,000 INCL C - PERSONAL PROPERTY 378,000 INCL D - LOSS OF USE 162,000 INCL Section II - Liability Coverages E - PERSONAL LIABILITY (BODILY INJURY AND $ 500,000 $ 55.00 PROPERTY DAMAGE) EACH OCCURRENCE F - MEDICAL PAYMENTS TO OTHERS- 5,000 INCL EACH PERSON Policy Forms and Endorsements HO-3 (12-86) Homeowners 3 Special Form HA-300 NY (05-15) Special Provisions - New York HA-390 NY (12-02) Workers Compensation and Employers Liability 55621 NY (02-09) Homeowners Additional Coverage $ 15.00 56494 NY (06-91) Contents Replacement/Repair Cost $ 270.00 Coverage 56512 NY (02-98) Additional Replacement Cost Protection, Specified $ 12.00 Amount - Maximum Additional Amount of Insurance 25% 58064 NY (08-99) Value Added Package 58244 (10-10) Identity Fraud Expense Reimbursement Coverage $ 25.00 HA-187 (12-86) Theft Coverage Away From Insured Location HA-61-B (06-95) Valuable Items Plus (Coverage G) 73.00 Jewelry $5,000 Continued on next page Insured Copy Page 1 of 3 PL-86521-97 420/ODBZ29 DEC#: 8 001288/00440 F3115AH8 9775 11/11/20 Policy Forms and Endorsements (continued) HO-208 (05-15) Water Back Up & Sump Discharge or $ 25.00 Overflow HO-48 (04-84) Other Structures Increased Limits $ 332.00 Total Premium $ 2,461.00 Your Premium Reflects the Following Credits or State Surcharges Account Discount -591.00 Policy Deductible: $ 1000.00 All perils insured against In case of loss under section I, only that part of the loss over the stated deductible is covered. First Mortgagee WELLS FARGO BANK, N.A. #936 ITS SUCCESSORS AND/OR ASSIGNS P.O. BOX 100515 FLORENCE SC 29502 LOAN NUMBER: 0571893601 Your Insurer: The Automobile Insurance Company of Hartford, Connecticut One of The Travelers Property Casualty Companies One Tower Square, Hartford, CT 06183 For Your Information For information about how Travelers compensates independent agents and brokers, please visit www.Travelers.com or call our toll free telephone number 1-866-904-8348. You may also request a written copy from Marketing at One Tower Square, 2GSA, Hartford, Connecticut 06183. It is important that the information we used to rate your policy is correct. It is your responsibility to make sure that the information on these Declarations is accurate and complete, including checking that you are receiving all the discounts for which you are eligible. To see a full list of discounts offered, including discounts for having multiple policies with us, protecting your home with safety devices and being claim free, go to www.travelers.com/discounts. Once at the website, type in your policy number 9959839096331 and product code HL1 to view the discounts available. If any of the information on the Declarations has changed, appears incorrect, or is missing, please advise your Travelers agent or representative immediately. Your Travelers agent or representative is also available to review the information on the Declarations with you. Continued on next page Page 2 of 3 PL-8852 1-97 420/00BZ29 DEC*: 6 Policy Change Declarations TRAVELERS J HOMEOWNERS POLICY Named Insured: YOONG RIM OOI MIN KEVIN TEO Policy Number: 995983909 633 1 Policy Period: 07-27-20 To: 07-27-21 Effective Date: 07-27-20 For Your Information (continued) Rating Information Only Dwelling Occupied By 1 FAMILY Territory 00049 Construction FRAME-SIDING Protection Class 4 Year Built 1952 Rate Tier PREF Not More Than 1000 Feet from Hydrant, 2 Miles from Fire Dept. Thank you for insuring with Travelers. We appreciate your business. If you have any questions about your insurance, please contact your agent or representative. These declarations with policy provisions HO-3 (12-86) and any attached endorsements form your Homeowners Insurance Policy. Please keep them with your policy for future reference. Insured Copy Page 3 of 3 PL-8852 1-87 420/ODBZ28 DEC#: 6 001289/00440 F3115AH8 9775 11/11/20 a 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 connot be used to waive the workers'compensation rights or obligations of anypany. 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 1 am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate 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. E31, 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 jobsite)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. (Sigrrature of Homeowner) (Date Signed) 0C) t m iN 7€c Home Telephone Number (Homeowner's Name Printed) Sworn to before me this day of Property Address that requires the building permit: \n C,C-C, 70 W i N 0/NC�-w Oo� tZp S� • (e`"Mty er E or TVota bl3c) - • lZ �R 00�- ,, N Y � O> 7� SHARI M1yELILLO Notary Public, State of New York No.01 ME6160063 Oualified in Westchester County Commission Exnires,larn+a,,29 p0; 3 i Once notarized,this BP-1 form serves as an exemption for both workers'compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB i /dirt , f ,j �)T'as, ((�f,+,r'`� d JI, 9 1e >;� 'f�'; !1)+/"i� l( ) t� �1,? 1 y� I }, ,' ut I I �tl ILI • f.,4 Will .1P ACC" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `..► ' 1/8/2021 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 CONTACT Edgewood Partners Insurance Center NAME: Amanda Massa FAX 1 American Lane PHONE .203-658-0507 (AJc No): _ Greenwich CT 06831-2560 ADDRRLEss: amanda.massa@epicbrokers.com INSURERS AFFORDING COVERAGE NAIC M INSURER A:Charter Oak Fire Insurance Company 26615 INSURED PARAGASC INSURER B:Travelers Indemnity Company 25658 Paraco Gas Corp; Paraco Gas of CT Inc INSURER C:AXIS Surplus Insurance Co 26620 Paraco Gas of NJ LLC; Paraco Gas of NY Inc. .._ 800 Westchester Ave, Suite 604 INSURER D: Rye Brook NY 10573 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:799914031 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 l HE 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 AD L POLICY EFF POLICY EXP LTR TYPE OF INSURANCE WVD POLICY NUMBER IMWDDNYYYi iMM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y1N6601P009026COF21 1/1/2021 1/1/2022 EACH OCCURRENCE $2,000,000 CLAIMS-MADE �OCCUR PREMISES N occurrence $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GENT_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑JPEIT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ e AUTOMOBILE LIABILITY Y1N8109J6198941ND21 1/1/2021 1/1/2022 COMBINED SINGLE LIMIT $2,000,000 Ea ecdd.n' X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY per accident $ ---- C UMBRELLA LIAB X OCCUR P00100005161203 1/1/2021 1/1/2022 EACH OCCURRENCE $3,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DED RETENTION$ $ A WORKERS COMPENSATIONN 2151D(AOS RT OT 1/1/2022H- UB86879021 O TAB AND EMPLOYERS'LIABILITY YIN U88N686223251R(MAnly) 1/1/2021 1/1/2022 SUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A 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 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 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 938 King Street AUTH RIZEDREPRESENTATIVE Rye Brook NY 10573 4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD N! Workar Ate olmponsatiOn CERTIFICATE OF Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1a. Legal Name&Address of Insured(use street address 1b. Business Telephone Number of Insured only) 914-250-3700 Paraco Gas Corp. 800 Westchester Ave Suite 604 1c. NYS Unemployment Insurance Employer Registration Rye Brook, NY 10573 Number of Insured Work Location of Insured (Only required if coverage is specifically 1d. Federal Employer Identification Number of Insured or Social limited to certain locations in New York State,i.e., a Wrap-Up Policy) Security Number 13-3149941 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage (Entity Being Listed as the Certificate Holder) THE CHARTER OAK FIRE INSURANCE COMPANY VILLAGE OF RYE BROOK 3b. PolicyNumber of entity listed in box"1a" 938 KING ST ry RYE BROOK, NY 10573 UB-SN687902-21-51-D 3c. Policy effective period 01-01-2021 to 01-01-2022 3d. The Proprietor, Partners or Executive Officer are ® included. (Only check box if all partners/officers included) ❑ 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. 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: STEPHANIE BAKER (Print name of authorized representative or licensed agent of insurance carrier) Approved by: ""` J i 12-30-2020 (Signature) (Date) Title: SR CUSTOMER SOLUTIONS REPRESENTATIVE Telephone Number of authorized representative or licensed agent of insurance carrier: 804-527-4852 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 W31F3117 EC E WED Frame Residence MAR-9 2021[MAR-9 2021] VILLAGE OF RYE BROOK BOLDING DEPARTMENT 135.34-1-37 Now or Formerly Joshua Balik Klein&Tracey Levi Only copies from the original of this topography map marked with an original of the Land Surveyors embossed seal shall be considered to be true, Filed Map Lot 21 valid copies. F.M.#7951 Unauthorized alteration or addition to a map beating a licensed Land upol'Th Surveyors seal is a violation of Section 7209,Subdivision 2 of the New York State Education Law. r FeDY End Fence 150.00, 't 323 N I G'I 4'40T " Possession only where indicated. West 2 57 Railroad Pe Railroad rie Ch.,Link Fence Chain Link Fence Retaining wall Retaining Wall Adjacent property lines and easements not surveyed or certified Vinyl Picket Fence on Block Wall Access to adjacent tights of way,easements and public orprivate lands ny ice ante on op Q not guaranteed or certified. Go e, Concrete Retaining Wall Vinyl Picket Fence �R Underground utilities shown hereon are approximate and should be *U 0 ght tj Light Concrete Retaining Wall Tree Well 5:Vinyl Picket Fence on Top Stone Rubble q verified before excavating. Additional underground utilities are not shown or cerfified. Encroachments and structures below grade,if arty,not shown or certified. J�J- Conc.Pier W/,�g�t wl light Subject to covenants,easements,restrictions,conditions and agreements Concrete ofrecord, I Story Frame Asphalt Drive 0 U Garage Under Tax Lot 36 Premises hereon being Lot 6 in Block D as shown on a certain map entitled,"Map of Sections A'&B'Rve Acres,The Property of Rye 0 g Filed Map Block D,Lot 6 Acres Company." L Said map filed in the Westchester County Clerks Office,Division of O F.M.#7050 Landin135.34-1-46 _�t:e:�Retainin,W:3�1110ghf� Land Records April 26,1950 as map number 7050. Z Concrete fi:11r�i1.:q:1g igh t Now or Formerly Boris&Christine La Pierre Area=15,000,0000 Sq.Ft. Conc.Pier� =0.3444 Acres Z w1fight Premises shown hereon designated on the Town of Rye-Village of Rye Part of Filed Mop Lot 70 Z Brook Tax Maps as:Section 135.34,Block 1,Lot 36 F,M.#13360 Light 0 Q) -2 Concrete Walk F®Light g lo 36.36' Light ACC] O n Surveyed:May 10,2013 Fence 0 Map Prepared:May 22,2013 Existing I Story Frame 0 N ci ci 3.16' Gas Line _— AC Map Revised:June 4,2013 to show tree stumps _G_G —G--G Residence Map Revised:October 20,2016 to show pool as built G Conc.Stone Masonry Retaining Wolf #70 Map Revised-October 24,2016 O Conc.Walk LP Planting P,- Bo y Window Map Revised.Map Revised:November 18,2016 Q�:�!1,h; — March 29,2017to show reconfigured driveway andpool heater Z Z N 62 Li 34.98' Map Revised:June 15,2018 to show wall and lightpost Lo —7 Composite Railing l Composite GV Wooden Railing g Frame Terrace areti 0 Shed -a By: Bay B Window x 0� //N n New York State Licensed Land Surveyor No.U50604 .52' Pool Block 36.19'— In-Ground _:Woo:yen Anchor Q� 51 Terrace Retaining Wall Bay Window WV 10,40' Z Pool Heater Conc.Pod Wooden Pool Equip.oO7 Terrace Equip, Q) 6 62'No Wooden 6 9 Anchor Block Terrace PadI— one m Retaining Wall grade Anchor Block U Retaining Wall> Im THIS MAP IS FOR BUILDING DEPARTMENT PURPOSES ONLY Light* L �rbght Light ight Light "h't Li Stone Curb Hedge Row MAP IS NOT TO BE USED FOR TITLE TRANSFER PURPOSES. Lig Cor.Fence Light* U MAP M4 YNOT BE CERTIFIED TO TITLE COMPANIES AND/OR BANKS Planting Planting Vine Privacy Fence Planting on tine StoneCi Urdu Z Guy\ C- Ught Pole 150.00, Light Pole 5 1 G'I 4'40"W Base wire Base Vght Pole 7C.,"nCe Base North 2.51' 135.34-1-47 WestO.93' Now or Formerly Lauren Kanter Filed Mop Lot 71 F.M.#13360 135.34-1-35 Now or Formerly Rodney&Cynthia Gruenfelder Filed Map Block D,Lot 5 F.M.#7050 O From.Residence N AS BUILT SURVEY PREPARED FOR YOONG KIM AND OOI MIN KEVIN TEO SITUATE IN THE TOWN OFRYE VILLAGE OF RYE BROOK P=30.00' WESTCHESTER COUNTY,NEWYORK L=47.1 2 SCALE:T'=10' GRAPHIC SCALE 10 0 5 10 20 40 IN FEET 1 inch=10 ft. EMWE HARD ROAD [�E COPYRIGHT(0 OLD ORC 2018 BUILDING DEPARTMENT TC MERRITTS IAND SURVEYORS TC MIERRIT7S LAND SURVEYORS VILLAGE OF RYE BROOK ALL RIGHTS RESERVED,UNAUTHORIZED DUPLICATION OR ELECTRONIC TRANSMISSION WTTHOUTPRIGR PE"ISSION 394 BEDFORD ROAD*PLEASANTVILLE*N.Y.10570 Project-RefO9-Ill FieldSum70y: IS A VIOLA TION OF APPLICABLE LAWS. (914)769-8003 e (203)622-8899 13-097 ANIJN&CRIRfC Drawn By: Checked By: DA+CMP+BJC SBGITCMIDTM w Rye Brook C LU 11J F/'RraoM D I o0 G U TV00 D RSITE L6 o aU#o E L) J ��spho/t po�e�� OA o E � z SO V 3I u7 NI 1 o` tl Qo , LOCATION MAP �m o SCALE: 1"_+050' a 3 ', ` III\\ . o f Nyor � m V z 0 PROPERTY DATA 0 W OWNER YOONG KIM AND 001 MIN KEVIN TEO ADDRESS: 70 WINDING WOOD ROAD SOUTH v° .c d c LOT SIZE: 0.344 ACRES m ' / a (D J LO SECTION: 135.34;BLOCK: 1;LOT 36 U m a O (V IMPERVIOUS COVERAGE RATIO N o NOTES LLJch ® 3 30 co �n Fm �Oin >i�nch� Qo PERMITTED ACTUAL GENSET PAD NET 1.EROSION CONTROLS MUST BE PROPERLY INSTALLED,MAINTAINED �� °�n t. m > O AND INSPECTED AROUND THE WORK SITE. PoOne 3 LOT AREA 15 000 sf 15 000 sf O W qt /O J 2.CONSTRUCTION ENTRANCES MUST BE PROPERLY MAINTAINED SO D 30 a^` ROO over s/Or'B�ce }c MAX PERMITTED COVERAGE 5 300 sf 5 281 sf 9 sf 5 290 sf C' THAT NO DEBRIS OR DIRT IS DEPOSITED ON THE STREET. c` V Z 0 0 a� s�°ne�c �o MAX PERMITTED IMPERVIOUS CALCULATION:4520 sf+(0.26 x 3,000 stl=5,300 sf 3.EXPOSED AREAS MUST BE STABILIZED AS SOON AS LAND COE� �O JC e h ALTERATIONS ARE COMPLETED. 0 Q) < a 4.ANY UNDERGROUND PIPING OR STRUCTURES MUSTBE INSPECTED ,h 0 �i c�O / PRIOR TO BACKFILLING. (� 6 h� y�B• 135.34-1-37 130, nce Go%e 5.SITE PLAN BASED UPON AN ASBUILT SURVEY BY TC MERRITTS Joshua Balik Klein&Tracey Levi m. --0 '` cU V nH Got a 3o Z 6.ADDITIONAL SITE DATA FROM AVAILABLE RECORDS AND Filed Map Lot 21 ue� / co �c� INFORMATION. F.M.#7951 As 30 �' C�mc.Pad c.c a, �o �u D ® 5 a `oc V p .o h J >, / °mac-e-1e � J, Composite gay Window Q t olq- '7 Raping � c3 p v PROP 22kW GENSET AND PAD mo GENERAC MODEL#0007042 1 ~2 o J sti� o Anchor Block kD 7 PLANT LIST Z ccu 6 Retaining Wall z S(°/` :` 1 0 G O A Moonglow Juniper Jumperus Scopularum"Moonglow / TANKS ON PAD f v �I � 2 Japanese Holly Ilex Crenata EC[E W[E 3 Arborvitae Thu)a Occidentahs-Golden Globe' GOl c 4 Arborvitae Thula Occidentalis Uj 5 Arborvitae Thuta Standish,x Plicata - t� O MAR - 9 2021 �., urXtz k s 1 1.35 6 False Cyprus Golden Mop Chamaecupans Prsitera"Golden Mop' r^ / Tax Lot 36 Now or Formerly Rodneydney&Cynthia Gruenfelder V' 7 Japanese Andromeda Piers,Japonica Area=I5 000.0000 Sq.Ft.=0.3444 Acres Filed Map Block D,Lot 5 p 8 Japanese Holy Ilex Crenata"Compacts VILLAGE O F RYE BROOK �3 Filed Map Block D.Lot 6 30 3g ao co c F.M.#7050 c o F.M.#7050 c c� BUILDING DEPARTMENT c V00 y P � m a Qo" cc P N m p CV �° LEGEND m� V/ �uoc � � � V 3 �� #v �Ou EXISTING CONTOUR O 0m ` Sc � Q EXISTING"SPOT'GRADE W ChO�nlin- 9 OVERHEAD UTILITY LINES z \ ��n°e a PERMIT# OHE U I GENSET PAD DETAIL sra,,e� Mo��epa m .� 3 2021IR IRON ROD C.� o wa N SBA# S N T S uo3o • IRC IRON ROD&CAP � 0 3,000 PSI CONCRETE sx6 wwr \ C a oo �� A DUE DRAINAGE&UTILITY EASEMENT m ��° k� �� DATE APPR ED W 0� Q (1AH EX MANHOLE >- u c 418 PROP FINISHED GRADE co Q 4S o o -� LU o 3-CRUSHED STONE(1;2") 135.34-1-46 A tc22.50 PROP SPOT GRADE Q Now or Formerly Boris&Christine Lo Pierre ry BUILDING INS(!!TO , age Of Rye B�OOks H be 22.00 O ait SUB�A NOTE Part of Filed Map Lot 70 Stone \once b� PROP INLET PROTECTION 0 1 SUBGRADE TO BE COMPACTED TO 95% F.M.#13360 V=3 nsf O O MODIFIED PROCTOR SCALE 2 CRUSHED STONE TO BE COARSE AGGREGATE NYSDOT ITEM 9703.0201.SIEVE DESIGNATION 3A � GRAPHIC SCALE SF PROP SILT FENCE z g 10 0 5 10 20 40 PROP DRAIN INLET 0 z_ W COPYRIGHT C) �• 2020 HOLT ENGINEERING&CONSULTING, P.A. W AIL RIGHTS RESERVED, UNAUTHORIZED (IN g � PROP ASPHALT PAVEMENT g DUPLICATION IS A VIOLATION OF 1 inch=10 tt. APPLICABLE LAWS 0 1? 9 9inJ//o4asb Rye Brook REVISE o F n 0 PLANSMAY - 3 2021 w Rye Broob D DATED: lkOOK ' G R Lu SITE ¢nJ//oyd R H; ¢n001) - UILDING DEPARTMENT 1 o ydsb, E J t-4;dho/t p O o .� QVe��nt/ D oZ T T jp U V° rn co N O a` -- G°�a 9vnJ#oyQs� •� P� LOCATION MAP SCALE 1"=+-150' ��30 a z o PROPERTY DATA 3 ;. J OWNER: YOONG KIM AND 001 MIN KEVIN TEO 5, :+ O �m W ADDRESS: 70 WINDING WOOD ROAD SOUTH ;• V° t:.c LOT SIZE: 0.344 ACRES O SECTION: 135.34;BLOCK: 1;LOT 36 00 �° .°` J N IMPERVIOUS COVERAGE RATIO T N � o NOTES t�nch� ,V ® 3C 3 2 Fo air Tianch�in � 00 PERMITTED ACTUAL GENSET PAD NET - V- 1.EROSION CONTROLS MUST BE PROPERLY INSTALLED,MAINTAINED O AND INSPECTED AROUND THE WORK SITE. Bud Poore 3 =� LOT AREA 15,000 sf 15,000 sf 0 W 2.CONSTRUCTION ENTRANCES MUST BE PROPERLY MAINTAINED SO '0'+o° 'PO°;� One a Z � V 3 OVW ice MAX PERMITTED COVERAGE 5.300 sf 5,281 sf 9 sf 5 290 sf N THAT NO DEBRIS OR DIRT IS DEPOSITED ON THE STREET. p i (J W � Z O) o°o a� srO"I II eF,a loo MAX PERMITTED IMPERVIOUS CALCULATION:4520 sf+(0.26 x 3,000 so=5,300 sf — 3.EXPOSED AREAS MUST BE STABILIZED AS SOON AS LAND m �O C ce .o Z ALTERATIONS ARE COMPLETED. Q 4.ANY UNDERGROUND PIPING OR STRUCTURES MUSTBE INSPECTED �� C \\ ll PRIOR TO BACKFILLING. S c�.a^� 1`S,P8, 135.34-1-37 1300, h nee area 5.SITE PLAN BASED UPON AN ASBUILT SURVEY BY TC MERRITTS Joshua Balik Klein&Tracey Levi m �� '� ,G°te co� o 'nH�f a \�3o 6.ADDITIONAL SITE DATA FROM AVAILABLE RECORDS AND Rled Map Lot 21 '�' c C4-eb Z INFORMATION, F.M.#7951 3e Conc.Pad �. 0 m a 2 .� c c'ere Bay Composite Window �o Railing ,/ a \� cu•� PROP 22kW GENSET AND PAD � 1 � ,-,_r.,..,...-----•••-- 'Jp`` ,�� ` 4 A GENERAC MODEL#G007042 4U-m 7 C Anchor Block ��� ` PLANT LIST Retaining wall c Sc(° 2 120 GAL PROPANE ;,� �� 1 Moonglow Jumper Jurnperus Scopulorum"Moonglow" Q TANKS ON PAD J V � � 2 Japanese Holly Ilex Crenata / •� 3 Arborvitae Thu1a Ocudenfahs"Golden Globe- O Rai/% •c` o° 4 Arborvitae Thu1a Ocadentahs w �c ~a•c 5 Arborvitae Thu1a Standishu x Plicata ° 135.34-1-35 6 False Cyprus Golden Mop Chamaecupans Pisrfera"Golden Mop- (� Now or Formerty Rodney 8 Cynthia Gruenfelder �+ / Tax Lot 36 7 Japanese Andromeda Piens Japonica Area=15,000.0000 Sq.Ft.=0.3444 Acres Filed Map Block D,Lot 5 Q3° Filed Map Block D.Lot 6 0 Jr C•C� p h 8 Japanese Holly Ilex Crenata"Compacts' �° 3 �c°j 3o F.M.#7050 F.M.#7050 rip a� a 4Uqj m C�3,, LEGEND V 3 �C # 10 EXISTING CONTOUR 0 S� Q EXISTING'SPOT'GRADE Choir w Gnu OHE OVERHEAD UTILITY LINES W Z \. Fence Y GENSET PAD DETAIL a IRON ROD 0 N.T.S. Stq,�e wall MO8eB'o9H om / C ` IR �r 9 O°3o F aft m IRC IRON ROD 8 CAP z 0 3,000PSI CONCRETE 6x6wwr \�hoi ° a , °m° DUE DRAINAGE&UTILITY EASEMENTUj m EX MANHOLE Q } SfOne 9e R01V 4o Q ry c � °c`�e c, 418 PROP FINISHED GRADE U) \ a• V S o o Joy 0 3-CRUSHED STONE(1/2-) Now \ry e tc 22.50 PROP SPOT GRADE � Q Now or FormeAy Boris&Christine La Pierre �l-� be 22.00 0 SUBGCOMPA Part of Filed Map Lot70 srOn\ Fen PROP INLET PROTECTION 0 NOTE W ce h 1.SUBGRADE TO BE COMPACTED TO 95% F.M.#13360 V 2 3 O 0 a MODIFIED PROCTOR SCALE 2.CRUSHED STONE TO BE COARSE AGGREGATE nsf 1 1 I 0 NYSDOT ITEM#703.0201.SIEVE DESIGNATION 3A W GRAPHIC SCALE SF PROP SILT FENCE rr^^ R � V 10 o s 10 20 40 PROP DRAIN INLET Z Z COPYRIGHT 42020 HOLT ENGINEERING&CONSULTING, P.A. ALL RIGHTS RESERVED, UNAUTHORIZED (IN per) PROP ASPHALT PAVEMENT g DUPLICATION IS A VIOLATION OF 1 inch a 10 tt O z APPLICABLE LAWS ti 1E s 9 u