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HomeMy WebLinkAboutBP21-089Xed PERMITM,c�Irdl _ SECTION /a9r 7 TYPE OF WORK JOB LOCATION Z,LG TCO FEE OATS _. INSPECTION RECORD DATE INSF FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS O SPRINKLER ELECTRIC _ LOW -VOLT ALARM 0 AS BUILT FINAL �%' ZOl 411 i'4I51P� / �o3�a9ao3e� OTH;APjPR0VAjLSjQ ARB BOT PB ZBA � 1?xPued Letter Sent JO/6/2022 ��yE BRn 4 . ur cam.Lc 190 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.!:ycbrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE June 18,2024 Ron Widelec&Lori Widelec 156 Brush Hollow Crescent Rye Brook,New York 10573 Re: 156 Brush Hollow Crescent, Rye Brook,New York 10573 Parcel ID#: 129.76-1-104 Building Permit#21-089 issued on 4/26/2021 for Replacement Windows& Door This certifies that the nine new windows and one new door,installed under the above captioned permit has been satisfactorily completed. Sincerely, NV�C�b -,-�' l I V, Freddy DiVitto Assistant Building& Fire Inspector /to D E C E D V E For office use one: DBUILDkIG, D&`'' TMENT PERMIT# -U APR 2 9 2021 VILI� ' E OF RYE 401( ISSUED: 9 KING STREE YE BROOK, ! YORK 10573 DATE: (914)9" 668 AX. �'939-5801 FEE: — PAID,J�1. VILLAGE OF RYE BROOKS �__''--- // BUILDING DEPARTMENT ivw br'o re fp D/4,,/`�24 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 aasrgaassarraapasarrragaarprassasasasaaaaaa►aaaaa»saraarasraparrtrpaarra♦arawarraaaararrraaa aaasasauapt»arrrasarasrr Address: PC) U� C��sC '>`)+— FiD O cupaancy//Use: .C� �I Parcel ID#: AD, 7&, - — / O `1 Zone: r�L/ Owner: L-cr t ",Cle-I e Address: 1%, Ho 1 O,;1U<, P.E./R.A. or Contractor:'FI-bn 4 Address: `14 Hckr-v— Person in responsible charge: Ka-� fir`, CQ!'� Address:? !� 1� MQ, � S-Fril,_4 c, �^�[ 7 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: KC14 y'V p C1d being duly sworn,deposes and says that he/she resides at-H 1-19U'p en r - (Print Na ie of A licant) (No.and street) in V00nr- d'C-'- AntheCountyof 1LVC J"tt_a\LS intheStateof ( Y that (Cityrrown✓villa.:) 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 t:*Uj donated gratis was:S ' for the construction or alteration o[ (C C)C ` LO j0,nd cers C{ I1U0 0Ye5Ce - LDeponent further states tat he/she 9s 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 theretbre 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 t^,,re nenr;•the- ^f b--i!ding or pre-ises or rW the:cofharufler creaE:u',e:vcicu,changed,convened or enlarged,wholly or partly, in its use or structure until a Certificate ofOccupancyor Certificate ofCompliance shall have been duly issued by the Building Inspector as per §250-I O.A.of the Code of the Village of Rye Brook. Sworn to before me Jthis l`�) Sworn to before me this day of 1 20_a4 day of . 20 ';'7t— j G Signature of Property Owner (( ign. ure of Arfplic J Print Na a of Pmperty owner Pnnt N me of Applicant N Public Notary Public 3 21 It) �E BRC�k. 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR 0 ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : DATE: 2()Z , PERMIT# ISSUED: SECT: BLOCK: LOT: 14) LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION \_ ❑ NATURAL GAS ` ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER W iNp`jy) a- �OJ 2 R Ec [ �ME For ollice u.c ollIN: DD BUILDING DEPARTIVIENT FEB ' 6 2024 VILLAGE OF RYE.BROOK ISSUED: -a -0b'9 VILLAGE OF RYE BROOK 938 KING STREET,IZVE BRooi:,NE%v YORK 10573 DATE: BUILDING DEPARTMENT (914)939-0668 PAIDIS vvww.ryebroA.or,-, APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ..............................................................................................•......•........ ....•......•... Address: 156 BRUSH HOLLOW CRESCENT DT 21— Occupancy/Use: Residential Parcel ID#: 129.76 - 1 - 104 Zone: R-3 Owner: RON & LORI WIDELEC Address: 156 BRUSH HOLLOW CRESCENT P.E./R.A. or Contractor: Renewal by Andersen Address: 2041 W Main St., Stamford CT 06902 Person in responsible charge: Franklin Barahona Address: 2041 W Main St., Stamford CT 06902 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: RON & LORI WIDELEC being d Lily sworn,deposcsandsaysthathe/sheresidesat156 BRUSH HOLLOW CRESCENT wrint Name of Applicant) (No and Street) in Rye Brook in the County of Westchester in the State of New York that (llni fo%%n%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:S 26,000 for the construction or alteration of: Installation of( 9) Replacement windows & (1 ) Replacement Entry/Storm Door into Exisiting Openings with no Structural Alterations. 11 631-355-3868 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 foran 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 Q/ Sworn to before me this day of 020 day of r� 20 2� Signature of Property Owner Signatur• t RON & LORI WIDELEC Franklin Barahona 1'rin me of Property Owner BFUAM MACDONALD Print Name of Applicant n State ojConnecticut y(Y CouxissioN EIPIR S OcL 312026 Notary Pubf(: Notary 1'ubhc GREGORY M.RIVERA Notary Public,State of New York No.01 R16441398 Qualified In Westchester County Commission Expires September 26,2 _ Mike Izzo From: Mike Izzo Sent: Wednesday, October 12, 2022 4:13 PM To: 'Ron Widelec' Cc: Christopher Bradbury; Steven Fews;Tara Orlando; Laura Petersen Subject: RE: open permits Attachments: Color5487.pdf; Color5489.pdf; Color5488.pdf; CO - CC Application 8.2021.pdf Dear Mr. Widelec, Village Code is clear regarding expired permits. The information regarding closing permits is contained on the permit application filing instructions and printed on the back of the permits. I have provided the path to closing out your permits, including the one still here awaiting payment and pick-up in my previous email. To appeal this process,you must appear before the Village Board of Trustees (BOT). I have copied my Supervisor, Mr. Bradbury on this email for information regarding appearing before the BOT. Thank you. A4aeltZ /zza Building& Fire Inspector Village of Rye Brook, NY (91+) 939-0668 From: Ron Widelec<ronwidelec@gmail.com> Sent: Wednesday, October 12, 2022 2:18 PM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: Re: open permits I'm sorry, are you saying that I owe$1600 for expired permits? Why would that be the case? I applied and received the permit for the work and then completed the work. That is an extraordinary amount of money to be charged simply because I was unaware that I had to report that the work was completed. I would like to know how the appeal this process. Ron Widelec On Wed, Oct 12, 2022 at 1:50 PM Mike Izzo<Mlzzo@rvebrook.org>wrote: Dear Mr. Widelec, You have three expired permits, one of which is still awaiting payment of the $100 Permit Fee and pick-up along with the approved plans at the Building Department. I have attached copies of all three expired permits hereto for your convenience. There is now a $500 Expired Permit Fee due on each expired permit. 1 To close the three expired permits,you must: 1. Remit the $50o Expired Permit Fee for each expired permit. 2. Remit the $100 permit fee for BP20-045 and pick up the permit and the approved plans. 3. File an Application for C/O-C/C for Expired Permit #BP 20-045 and remit the$110 C/O-C/C Application Fee. 4. File an Application for C/O-C/C for Expired Permit #BP 21-165 and remit the $110 C/O-C/C Application Fee. 5. Provide an as-built property survey. 6. Schedule a final inspection with the Building Department. I have also attached a copy of the C/O-C/C Application hereto for your convenience. Thank you. A104761(7 �zzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:Ron Widelec<ronwidelec@email.com> Sent:Wednesday,October 12,2022 9:43 AM To: Mike Izzo<Mlzzo@ryebrook.ore> Subject:Re:open permits 156 Brush Hollow Crescent, Rye Brook, NY 10573 On Wed,Oct 12,2022 at 9:42 AM Mike Izzo<Mizzo@ryebrook.ore>wrote: Dear Mr. Widelec, What is the property address? 2 ic�ad(T /zzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From: Ron Widelec<ronwidelec@gmail.com> Sent:Tuesday, October 11,2022 6:26 PM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: open permits Hello, I am writing in response to a letter I received yesterday about 3 open and expired permits on my home (fence, window, and patio door). I am confused. When we received the permits,we had the work done. All three of those jobs are completed and have been for some time. Is there anything we need to do at this point? Thanks, Ron Widelec 3 fit. G 406 altnivvo aW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rve Brook, N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J.Bradbury N%-w%y.r�-cb rook.or TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino October 6,2022 Dear Rye Brook Building Permittee, It has come to the attention of the Building Department that your Buildinu Permit has not been closed out in accordance with Village Code and is now expired.All starting from the date of issuance,and the permit exp Please note that there is a non-waivable Expired Perry expired permit.Once payment is received,your permi bit Please be advised that it is a violation of Village Code could be issued,and fines may be imposed on the per Q d v 1 you I for and obtain a Certificate of Occupancy(C/O) or C J CJ 1.11 Village Code section 250-10A. Please note that Temporary C/Os&C/Cs are availal: should you require more time to perform whatever w Thank you for your attention in this matter,and pleas V/e d further information. Sp �2o- n45 . Rocf doh Michael J. Izzo �' -1�� - pa-f I O Building&Fire Inspector 1 mizzo ebro /to cc: Steven E. Fews,Assistant Building Inspector Tara A.Orlando,Planning&Zoning Secretary Laura Petersen,Office Assistant O LO Q C Q I 4A ' f D ` 7 ell t� ukx" u M v G � fn o� O v vxz °o Qj 3cA � rx r-. M f� �r Y o � Z CG W v V Q ^ J o0 ,J C M C p C�C� �D�I � APR 16 2021 Arrx,ro Hrxrwwrkn Association The ClubWAM Ivy Hill Creaeent VILLAGE OF RYE BROOK aye Book,NY 10573 BUILDING DEPARTMENT ARCHITECTURAL&GROUNDS COMMITTEE APPLICATION FORM homeowners' Name: Date Address: t Phone: Emnil nddress: KeQuirements rind Conditions for Flllnt This Reaucst Form; 1. Architectural changes and/or additions will require architectural plans and a plot plan of your property. 2. Upon receipt of request, A&G will survey the area. 3. Other requests such as patios,decks,fences, landscaping, brick walls and any attachments to outside of house require exact measurements, plot plan of property, and drawings and/or photos of areas where change will take place. 4. All requests must follow A&G guidelines. 5. HOA and A&G Committee are not liable for the cost of any plans regardless of whether this application is approved or declined. 6. A&G approval does not exempt homeowner from obtaining any and all Village permits, which inay be required and otherwise complying with all Village and other municipal regulations. 7. Homeowners should consult AHOA Declaration of Covenants and Restrictions and The HOA By-laws before submitting plans. If plans are in opposition to the Declaration and/or By-laws, such plans will not be approved by A&G Committee. 8. Renters may not apply for any changes. 9. The property manager must be notified no less than three(3) business days prior to the onset of work and no more than three(3) business days after the completion of the project. 10. Upon notification that work has been completed, an inspection will be performed by A&G and the Property Manager to ensure all work was done as per this request and approval policy. 11. Failure to comply with the terms of this application and/or the scope of any work approved may result in fines and/or assessments being levied against the homeowner in accordance with A&G Guidelines. I have read the above requirements and conditions ns well its the A&G Guidelines and agree to abide by the regulations stated above: i 7 Siptature of Homeowner Date Write request below and/or on the back of this sheet9,ease: Nor color 4'y door f s 4rh,-s tleq Kam/ 4/15/2021 Gmail-Window Replacement (� Gmail Lori Widelec <Iwidelec@gmail.com> Window Replacement Cynthia Brunner<Cynthia.Brunner@fsresidential.com> Mon, Jul 6, 2020 at 4:42 PM To: Lori Widelec <Iwidelec@gmail.com> Good Afternoon Lori, I am pleased to inform you that your application was approved. Please provide me with a copy of the permit from the village once obtained and let me know when you start and complete the work. Thank you. Best, Cynthia APR 16 2021 ID VILLAGE OF RYE BROOK BUILDING DEPARTMENT FirstService RESIDENTIAL CYNTHIA BRUNNER Property Manager The Arbors Homeowners'Association, Inc. 173 1/2 Ivy Hill Crescent, Rye Brook, NY 10573 914-939-2440 Email:Cynthia.Brunner@FSResidential.com www.fsresidential.com Follow us on I Facebook I Twitter I Linkedln I YouTube This e-mail is for the sole use of the intended recipient(s)and may contain confidential and privileged information.Any unauthorized review,use,disclosure or distribution is strictly prohibited,Any comments or opinions expressed in this document are the opinion of the individual sender,except when specifically stated to be the views of FirstService Residential.If you are not the intended recipient,please contact the sender by reply e-mail,forwarding all copies of the original message and any attachment(s). From: Lori Widelec<lwidelec@gmail.com> Sent: Friday,July 3, 2020 9:40 AM (Quoted text hidden] [Quoted text hidden] .� 156 Brush Hollow Window Replacement App.pdf 2250K https://mail.google.com/mail/u/0?ik=096e4b2290&view=pt&search=all&permmsgid=msg-f%3A1671501582071415461&simpl=msg-f%3A16715015820... 1/1 Building Permit Check List&Zoning Analysis Address: .� s ta- fib t_ �� �.0 c ►+ SBL: Zone: v ` Use: Z k o Const.Type: Other. Submittal Date: 1 l3 Z t Revisions Submittal Dates: Applicant < -t> r L (r Nature of Work F ' L-4 C �A, t.n-Jar>w S 4- 17LAGFLtMF• 70oc1 Reviews:ZBA: A P R 1 9 2021 PB: BOT: Other. ( ( ) FEES:Filing. 7 S- Im_BP: __W O• ' 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: Site Protection: S/W Mgmt.: Tree Plan: Other. ( ) ( ) SURVEY:Dated Current: Archival: Sealed. Unacceptable: ( ) ( ) PLANS:Date Stamped Seal d Copies: 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. 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 _ Area: , APR 2 2 2021 Circle: Fr n Front: Front Si : Fr. Main Cov. Accs.Cov Ft.H Sb: S .H Sb: GFA: !MR: FG Img Parking Height/Stories: notes: VJi" J — - 1N ID APR 21 2021 VILLAGE OF RYE BROOK BUILDING DEPARTMENT Do not remove until final code inspection.save label for future reference. ' ER/RE 21I Canada r. tLSSI enemystargov Renewal T \\ byAndersen. ; WINDOW 09YLACIENIENT �,'•'lr+ :sc:�C-:.r'•G�,'Y AND N-103 01366 00001 NaDaa,Fe-si.s . VinylikodCompositematerial Rang Counaa Dual-Pane HP Temp with Argon ® Product Type: Awning ENERGY PERFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient 0 . 2811 . 59 0 . 27 (u.s.li-P) I (MetriclA) ADDITIONAL PERFORMANCE RATINGS Visible Transiittance 0 . 46 _ Nama[v.•,[,l,;are:w:[NN nnnp mnrona y/1,tm1•mot yae•ar.[rar a.w.,e„T.ro,e y,xt /vrer..^r'.We re,ny re mtrnma NrY I,uO[.[ ram,renwnnl saM,tlera ara,:N[,M[f1pm2t 1, Ilac mu m[•.m.ne,2 rmmt me mu/:wr�r�.�.!�ixpe o��reed rer ari al.[ (.reul[wra<[✓s'1 l�teratW.ror e[M ere '11WDMA r ; Licensee: 129•H-936 •Halleark Certified Andersen Corporation tael•vdo.coe RbA Awning Window 1bv`r,Xer st..p/11te Cetifitat,In t1 Na*iic*e stadare. STe1OOW RATING CV..L'.;Tts.fi,W'q.11M i.1 M js,,L,M IIVI.T.2•'MY•1$ NMIy LC"O":E1.4 MWASSUCTO UL'I.T.'-•'MM•11 M�ry MII,rwrW MA 10V I.s'JMM-11 CI ,LC-"M $,I.T.I W ASMM tl=lf, MiKl-0s IW t-1 kptil-kt1P h.ann tM1'1fI1 f q1.r Ie..tr.Om Wi.—.T.,t Ir.as.r.:291/. Ca.N,m l,r Le114aOe..'ETfiltraO•n_a: FLi FL19561 ntor.wn.m[[ w 4EAt G1—s..r T[.Nw1 t .e,t.,.n.r.[r[u1 .fat Wm:O.sM:CEt a*CC Mr M,areal ft". m[.10.2 CFWq.ttm INNI 00713029-023 llall,ta NYYUYCmd-+nnn rrNr»C..w.._.Kuou-s.wm ft.l Laura Petersen From: Franklin Barahona <Frankl in.Barahona@RBAWestchester.com> Sent: Wednesday, April 21, 2021 10:50 AM To: Laura Petersen Subject: 156 Brush Hollow Crescent Attachments: scan002929.pdf Good morning Laura, I am attaching the label from the window including the energy code information. Please confirm you received this email and the info provided is sufficient to approve permit. Thank you in advance for your assistance Renewal by Andersen Westchester Office Manager 2041 West Main Street Stamford, CT 06902 C: 203.292.0367 0: 203.406.0545 Vinylume/Signature Exteriors Westchester, Putnam & Fairfield County i APR 16 2021 VILLAGE OF RYE BROOK Renewal Itemized Order Receipt BUILDING DEPARTMENT byA IUetsen' ilia:Renewal By Andersen orWesrchestcr and Fairfield County��--� �! "tq'7t'writ ehC---/ Legal Name Signature Exteriors/V.nylume Inc 156 Brush Hollow Crescent WC-27205-1-114,HIC0542457 Rye Brook,NY 10573 w:■■■w■x ucrrur 2041 West Main Street I Stamford,Ct 06902 C (631)355-3868 Phone 203.406.0545 I Fax 203.406-08281 salesCrbaviestchester corn ROOM: ow Misc:Misc, ProVra door,Notes $7550 OH ow Misc:Misc. Disc,Notes S-19232 OH 101 entry 26 W Window:Picture,Insert Frame,Exterior Dark Bronze,interior $3032 75 H While.Glass:All Sash High Performance,No Pattern-Grille Style:No Grille,Misc:REh40VE METAL FRAME with existing exterior casing, Based on IF install Add filler, Trim Interior With stops 10 match finish of new window.Choice of ext (asing- PF).PVC. Fibrex Bkmld Painting by others if needed 102 kitchen 59 W Window:Gliding,Double, 1 1, Stationary/Active.Base S3313 47 H frame. Exterior Dark Bronze.interior White.Glass:All Sash High Performance.No Pattern,Screen:Fiberglass. Full Screen. Grille Style:No Grille. Misc:REMOVE METAL FRAME With existing exterior casing,Based on IF install Add filler,Trim interior with stops to match finish of new window,C hoice of ext casing.PF).PVC.Fibrex Bkmld Painting by others of needed 103 living room 47 W Window:Gliding,Double, 1 1,Stationary/Active-Base $3357 59 H Frame,Exterior Dark Bronze,Interior White.Glass:All Sash. High Performance, No Pattern,Screen:Fiberglass, Full Screen, Grille Style:No Grille, Misc: REMOVE METAL FRAME with existing exterior casing,Based on IF install Add filler. Trim interior wrth stops to match finish of ne%,r windov✓.Choice of ext casing-PFI. PVC,Fibrex Bkmld Painting by Others if needed UPDATED 06/17/20 Page 3 1 14 Keennewal Itemized Order Receipt by' ""'eFsen' d6a:Renewal By Anderxn of Wcstcticster and Fairficld County Lori Widelec 't Legal Name Signature Extermrs/Vnylume Inc 156 Brush Hollow Crescent WC-27205•1-114,HIC0542457 Rye Brook.NY 10573 wie.vw ac uetiirrr 2041 West Main Street I Stamford.CT 06902 C (631)355-3868 Phone 203-406-0545 I Fax 203-406-0828 1 sales®rbavrestchester com ROOM. 104 living room 47 W Window:Gliding.Double. 1.1,Stationary/Active.Base $3357 59 H Frame,Exterior Ddrk Bronze.Interior White.Glass:All Sash High Performance,No Pattern, Screen:Fiberglass, Full Screen. Grille Style:No Grille, Mist:REMOVE METAL FRAME svith existing exterior casing.Based on IF install Add filler. Trim interior with stops to match finish of new window,Choice of ext.casmg•PF1, PVC.Fibrex Bkmld.Painting by others it needed 105 den 59 1/4 W Patio Door:Gliding,200 Series Narroline,2 Panel,Active S7443 79 1/2 H Stationary. Exterior Dark Bronze.Interior Pine.Glass:All Sash Tempered High Pert. Hardware:Newbury@,Brushed Chrome, Auxiliary Foot Lock Color Matched.Screen:Gliding.Full Screen,Grille Style:No Grille.Misc:prefinrshed white door interior 201 master 47 W Window:Gliding.Double, 1 1,Active/Passive,Base Frame. S3409 47 H Exterior park Bronze.Interior White.Glass:All Sash High Performance. No Pattern,Hardware:White.Screen: Fiberglass.Full Screen,Grille Style:No Grille,Mist REMOVE METAL FRAME With existing exterior casing.Based on IF install Add filler. Trim interior with stops to match finish of new window.Choice of ext casing•PF1.PVC,Fibrex Bkmld Painting by others if needed,2ND FLOOR FF and metal rem IF. Elevation Charge UPDATED: 06/17/20 Page 4/14 RX(en,�e^wal Itemized Order Receipt byAnderSen. db.Renewal By Andcnicn oFWesidiestu and Fairricid County Lori Widelec legal Name Signature Exteriors/Vrnylurne Inc 156 Brush Hollow Crescent WC-27205-H14,HIC0542457 Frye Brook,NY 10573 .u■■w ■■raa■trtrn 2041 West Main Street I Stamford,CT 06902 C (631)355.3868 Phone 203.406.0545 1 rax 203.406.0828 1 salesCibawestchester com ROOM: 202 master 47 W Window:Gliding,Double. 1 1, Stationary I Active. Base $3082 47 H Frame,Exterior Dark Bronze_Interior White-Glass:All Sash High Performance,No Pattern, Hardware:White.Screen: Fiberglass. Full Screen. Grille Style:No Gidle.Misc:REMOVE METAL FRAME wrih existing exterior casing.Based on IF install Add tiller,Trim interior with stops to match finish of new window,Choice of ext casing-PE).PVC.Fibrex Bkmld Painting by others if needed 204 office 59 W Window:Gliding,Double, I.1. Stationary/Active,Base $3640 47 H Frame, Exterior Dark Bronze. Interior White,Glass:All Sash High Performance,No Pattern,Hardware:White-Screen: Fiberglass.Full Screen,Grille Style:No Grille,Misc: REMOVE METAL FRAME with existing exterior casing.Based on IF install Add filler,Trim interior with stop,,to match finish of new window.Choice of ext casing-PF1. PVC,Fibrex Btmld Painting by others if needed.,2ND FLOOR FF and metal rem.IF. Elevation Charge 205 josh room 59 W Window:Gliding,Double, 1 1, Stationary/Active.Base $3409 33 H Frame, Exterior Dark Bronze-Interior White.Glass:All Sash High Performance.No Pattern, Screen:Fiberglass. Full Screen. Grille Style:No Grille,Misc:REMOVE METAL FRAME with existing exterior casing,Based on IF install Add filler,Trim interior with slops to match finish of nevc window,Chor(e of ext casing-PF1. PVC,Fibrex Bkmld Painting by others it needed. 2ND FLOOR FF and metal rem IF,Elevation Charge UPDATED 06/17/20 Page 5 1 14 Kenewal Itemized Order Receipt byA der$en' dba:Rcucwal By Andencu of W"tchester and Fairfield County Lori Widetec �1 +♦� legal Name Signature Exteriors/Vmylume me 156 Brush Hollow Crescent %♦ — WC-27205-1-114,HIC0542457 Rye Brook.NY s0S73 .,.sow at uet.ta, 2041 west main street I Stamford.CT 06902 C (631)355.3868 Phone 203.406.0545 I Fax 203-406-08181 salesOrbawestchester com e• ee DETAILS: 206 Jason room 59 W Window:Gliding,Double, 1 1, Stationary/Active.Base $3640 47 H Frame. Exterior Dar..Bronze. Interior While,Glass:All Sash High Performance.No Pattern, Screen:Fiberglass.Full Screen. Grille Style:No Grille, Mist-REMOVE LIE TAL FRAME wdh existing exterior casing. Based on IF install Add tiller, Trim interior voth slops to match finish of nea,�:indov.. Choice o1 ext casing-PF1- PVC, Ftbrex Bkmld Painting by others if r•ee&d, 2ND FLOOR FF dnd metal rent IF. Elevation Charge WINDOWS:9 PATIO DOORS:1 SPECIALTY:0 MISC:2 TOTAL S26,000 Rrnenval by Andersen is tonnnirred to air eruronirr's.rfgy by complying rrith ripe rule and lrad-safe ivork practices specified by ripe EPA. UPDATED 06/17/20 Page 6/ 14 YOUR PROFESSIONAL—CLASS PRODUCT rraaea01PI'IOMa�a, Herrage smoorh I berglass Envy Una uorE INFORMATION DETAILS Hvitaga Single Entry Door in FrameSav MUM 36'.BD'Nome unit 5.ie 379/i6 .o:!"16' Frame Depth.a 9116' 2'Standard Brtckmokt wnh Storm Door-Sued to Fit on&,c kmold Right Hand ktiwrr%-Inside Looking Out r Entry Dow OD6 Style Heritage Smooth F,berglass Door a` Snow AMst while Inside 1 Ennan Blue Outside IIMdSlgrf All Hardware In Satin Niche-Hn.sh Accmt Lockset thumoturn Deadhon FIaeN Snore F4st Yfine Inside Frame Mill Finish 2Ai Adjustable Threshold 15 S18'Depth) Sal Bearing n Nickel Ball g Hinges Snurny plate OUTSOt View mot r D L our"m APR 1 6 2021 0.00 VILLAGE OF RYE BROOK BUILDING DEPARTMENT wNeid"F>•1T]No Wrwrartn ncm ara nuwnury pant.miSei Hnrr•r.q�eryhm.M1W PoM1�I wrnre Wob in oars Treris..lCmativ�dSrie-ewAwuiorwr.m YOUR PROFESSIONAL-CLASS PRODUCT ��* Vla ate, Ueluxe Series Storm Door Model 397 Full View QUOTE INFORMATION DETAILS Deluxe 397 Full View 36'.BD'Standard Sue Erman Blue Standard Z.Bar P—Hung Satin N ckel Look Piano Hinge Hinge on Leh IVlewed from Outsndel 1'Color Matched Bottom Expander Satin NKkel Contemporary Curve Handleset(DH237) Assign a Random Key Number Hadeset Prep at Standard Location(391 on Right(Veved (Tom Outside) Color Matched Heavy Duty Closer(DH219 53) Standard Sash Clear Glass Ful.Screen veth BetterVue Screen Mesh INFORMATION AND WARNINGS cl s at. ""Of vew Hmge on the Leh Outside Looking In ^n"A^" �.mun dow�iue 1SWaIt 13n6' �.04 0,86 M..n..n con. W. l6rT.eD�1n6, Irw ir•lrvblY/riSf'.A1u' ,p Twl0dv 11ir1 D'•WW - SatrY•. iS nff.791W 0.90 0.?3 wnleWry.ye 1)Z011-bv rr--ma'Ll"', _yKatilow Pale IM.fr.—anaM 11.n' —coak4e d s/.+*.aoa.<m+^a•m. i EXTERIOR 3�� IHTERlOR �' IVE OF RYE BROOK DEPARTMENTBUILDING Renewal ; 105 den MAndersen ,91 M. i i I 35C' EXTERIOR < ,. 1 INTERIOR) Renewal - ; 102 kitchenNAndersen , + ■- F EXTERIOR �360� �� r \ Renewal ��°.' 102 kitchen ; m ■ ,, I ------------- EXTERIOR �b� I 1 R Renewal;A 101 entry [-Andersen v x 74r' I ■ f. EXTERIOR �60, ! INTERIOR Renewal 101 entry it • aMdersen-. 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THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED EPRESENTATIVE 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 Theresa Brandon MBI Company Group LLC. PHONE FAX 280 State Street (A/C,No,EXt): (A/C,No(: North Haven,CT 06473 AD E-MAILDRE .theresa.brandon mbi-ins.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Main Street America Assurance 29939 INSURED INSURER B:NGM Insurance Company 14788 Signature Exteriors Inc.DBA: Renewal by Andersen of Westchester County INSURER C 74 Hack Green Road INSURER D Pound Ridge,NY 10576 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP T N —n POLICY NUMBER MM/DD/YYYYI (MM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 1,000,000 CLAIMS-MADE OCCUR X X MPT8480P 9/10/2020 9/10/2021 PRMAGE TSESO RfEaENTEDn $ 500,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY❑X PRO- LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER B $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea aca S ANY AUTO B1T8480P 9/10/2020 9/10/2021 BODILY INJURY Perperson) S OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident S X AUTOS ONLY X NON PROPERTY ONEDY PerOacaGentDAMAGE S S B X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 2,000,000 EXCESS LIAB CLAIMS-MADE X X CUT8480P 9/10/2020 9/10/2021 gGGREGATE $ 2,000,000 DED I X I RETENTIONS 10,000 S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N R ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.FACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $ 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( Marilyn Ullman 51 Greenway Lane Rye Brook,NY 10573 are listed as additional insured.as required by written contract per the enclosed endorsement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF RYE BROOK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 KING STREET ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) \� ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY, 10TH FLOOR,WHITE PLAINS, NY 10601-4411 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE a: o ^^^^^^ 471568265 JOSEPH BISHOP COMPANY •f ,�{� •,y. 280 STATE STREET : NORTH HAVEN CT 06473 r SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER SIGNATURE EXTERIORS INC DBA RENEWAL VILLAGE OF RYE BROOK BY ANDERSON OF WESTECHESTER COUNTY 938 KING STREET 74 HACK GREEN ROAD RYE BROOK NY 10573 POUND RIDGE NY 10576 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2527 085-1 137631 10/20/2020 TO 10/18/2021 2/19/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2527 085-1, 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. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT DON FLEMING VICE PRESIDENT JON FLEMING 20F2 SIGNATURE EXTERIORS INC 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 128282125 U-26.3