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HomeMy WebLinkAboutBP21-091h (o [2, 2,, 66 PERMIT #,' �L ._. DATE: L EXP:� SECTION 1�I o 7 3 BLOCK /LOT TYPE OF WORKo JOB LOCATION rQ ILSY OWNER OSf 1/26EZ `ozo �O/in L CONTRACTOR T. COST nOa FEE % 75 it FEE DATE�� TCO # FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING L� RGH PLUMBING GAS 0 SPRINKLER ELECTRIC ED LOW -VOLT I� ALARM AS BUILT FINAL INSPECTION RECORD DATE I NSP o Z2 iCeaew ya�d +ETHER APPROVALS ARB PB ZBA OTHER AS-BUILTIFINAL SURVEY REQUIRED PRIOR TO FINAL INSPECTION c��0:10/3/a�. �yE 6R . 19 406 anniumaW VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Michael J. Izzo Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE October 19,2022 Jose Tavarez&Diosa Molina 95 Grant Street Rye Brook,New York 10573 Re: 95 Grant Street,Rye Brook,New York 10573 Parcel ID#: 141.43-1-28 Building Permit#21-091 issued on 4/26/2021 For a New Fence This certifies that the new four foot fence in front yard and six foot fence in rear yard,installed under the above captioned permit has been satisfactorily completed. Sincerely, Michael J. Izzo Building&Fire Inspector /to R - For office use only: DD BUILDINd WEkRTMENT PERMIT VILLAGE OF RYE$ROOK ISSUED:# — . OCT - 3 2022 938 KING STREET,RYE BROOK,NEw YoRK 10573 DATE: VILLAGE OF RYE BROOK (914)9394668 FEE: //p-- PAIDA BUILDING DEPARTMENT www.Eyoroo!org APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ►it\■itt•t\tkkt#ik#kittki■tt►t►t#ttttttttt■t#tttktkkki#kkik##ik#►kitttkti►►tt#i\►#\\•ttkttkktkttkti#ttii►tt►i►►►►R►i\►t1\t#It Address: 2a N7' f f 3 P.o D K A/ /p Occupancy/Use: IY Parcel ID#: ���� 7'3 "-�'-c�p Zone: Owner: D S e— A ee 2— Address: y 7- P.E./R.A. or Contractoi: Address: Person in responsible charge: �'e� Address: Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: / C-Z being duly swom,deposes and says that he/she resides at S'O 2- W t4 W1��ayr�S SFi ��*?c (Print Name of Applicant) / (No.and Street) ,,[ in ,Pit7 D ,in the County of (�(/�f/ G h e� ZZA in the State of /V ,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ 5, OO D for the construction or alteration of d reN('e IV �,e p.y tyy - G,� ,F.41,r C /ti -R e G K 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 �C ,20 day of , 20 Signature of operty Owner Signature of Applicant N e of Property Owner Print Name of Applicant Not Pub'c Notary Public SHARI MEULLO Notary Public,State of New York 8/12/2021 No.01ME6160063 Qualified in Westchester County Commission Expires January 29,2C23 BUILDING DEPARTMENT ❑B ILDING INSPECTOR SSISTANT 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 - - - - - - - - - - - - - - -- - - - - G-'�- ADDRESS: q 5 DATE: 1 0 PERMIT# 1 ` � ISSUED: %-)4424ECT: I`l 10 BLOCK: LOT: LOCATION: n C n 6'r U 1 K)r�3 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 j ❑ OTHER Mike Izzo From: Mike Izzo Sent: Thursday, September 29, 2022 8:17 AM To: jose tavarez Cc: Steven Fews; Tara Orlando; Laura Petersen Subject: RE: Permit Extension 95 Grant Street BP21-091 Dear Mr. Tavarez, Your request for a one-month permit extension is approved. Please note the new expiration date is, November 26, 2022. Please arrange for all work to be completed and successfully inspected, and for all paperwork & fees to be remitted to the Village such to facilitate the issuance of the Certificate of Occupancy/Certificate of Compliance closing out the permit on or before that date. Please note that in accordance with Village Code §250-10.A., it is a violation to use or occupy or to allow the use or occupancy of any building, premises, or part thereof without a Certificate of Occupancy duly issued by the Building Inspector. Thank you. lflj�4ad If Izzo Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:jose tavarez<josetavarez@msn.com> Sent: Wednesday,September 28, 2022 1:02 PM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: Re: Extension Good morning Mr. Izzo, I believe one month will be sufficient, I just waiting for the hard copy of the survey they supposed to mail last Friday, I don't have it yet, but when the survey came will be in your office same day, thanks for your help and understanding . Jose Tavarez From: Mike Izzo<Mlzzo@ryebrook.org> Sent:Tuesday, September 27, 2022 12:11 PM To:jose tavarez<josetavarez@msn.com> Cc:Steven Fews<Steve Fews @rye brook.ora>;Tara Orlando<torlando@rvebrook.org>; Laura Petersen <LPetersen@ryebrook.or > Subject: RE: Extension Dear Mr. Tavarez, .Thank you for the email. Please note that the Building Department does not grant open-ended permit extensions. Please provide a reasonable extension time frame for consideration. Thank you. 1&4ad lT /zza Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:jose tavarez<iosetavarez@msn.com> Sent: Monday, September 26,2022 8:25 PM To: Mike Izzo<Mlzzo@rvebrook.org> Subject: Extension Hello Mr Izzo, I am working with Ahneman Kirby to update our property survey. Unfortunately, we are crunched for time and would like to know if you can give me an extension. I am waiting for a hard copy of the property survey, If there is any other information that I will need to provide, please contact me at: josetavarez@msn.com or 914 233 7341. Thanks Jose Tavarez 2 Mike Izzo From: Mike Izzo Sent: Monday, May 2, 2022 9:19 AM To: jose tavarez Cc: 'Tara Orlando'; Laura Petersen Subject: RE: 95 Grant St 10573 - Proposal Dear Mr. Tavarez, Thank you for the email. I am pleased to inform you that a six (6) month extension to your open permit #BP21-091 has been approved, and that the new permit expiration date is, October 26, 2022. Please arrange for all work to be completed and successfully inspected, and for all paperwork& fees to be remitted to the Village such to facilitate the issuance of the Certificate of Occupancy/Certificate of Compliance closing out the permit on or before that date. Thank you. A/�pia&/(l /zza Building& Fire Inspector Village of Rye Brook, NY (914) 939-0668 From:jose tavarez<josetavarez@msn.com> Sent: Friday,April 29, 2022 4:03 PM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: Fw:95 Grant St 10573- Proposal Hi Mr Izzo, Hope all is well with you and your family. Currently I am working with Ahneman Kirby to update our property survey. Unfortunately, we are crunched for time and would like to know if you can give us an extension. I spoke with Keith Werner and the property survey will be ready by next week, If there is any other information that I will need to provide, please contact me at: josetavarez@msn.com or 914 233 7341. Thanks Jose Tavarez From: Keith Werner<kaw@ahnemankirby.com> Sent: Friday, March 25, 2022 6:36 PM To: josetavarez@msn.com <josetavarez@msn.com> Subject: 95 Grant St 10573 - Proposal Good Afternoon Mr. Tavarez, I receive your message from Patricia. It sounds like you will need the following scopes from us. 1. Updated Property Survey - $1,500 Total = $1,500 + 3.5% incidentals Our schedule is currently 4-6 weeks from notice to proceed to having the finished map complete. Please let me know if you have any questions or if this is acceptable and I will prepare a formal proposal. Thank you Keith Werner, PE Project Manager Ahneman Kirby, LLC 1410 N Edgewater Dr Charleston, SC 29407 Tel: (843)501-7964 Mob: (914)819-3113 www.ahnemankirby.com Ar AHNEMAr KIRBY FNriNrrR�•5iiavrvr,ws.,- : ar•i��r�� CONFIDENTIALITY NOTICE:This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above.If you are not the intended recipient,you are hereby notified that you have received this communication in error and that any review,disclosure,dissemination,distribution or copying of it or its contents is strictly prohibited.If you have received this communication in error,please notify the sender by return e-mail and delete and/or destroy all copies of this communication and any attachments. 2 Building Permit Check List&Zoning Analysis • Address: a S �TLA�/`'�" S'r SBL: '(3 Zone:_-Q.`E- Use —`O404 Const.Type: Other. Submittal Date: S Z Revisions Submittal Dates: Applicant: L A y A a-EZ- Nature of Work: -J�c EQJ C€ I FT \Z AAA 640 FrIjCri- I►- JL�1�4n� Reviews:ZBA: APR - 7 2021 PB: BOT: Other. OK ( ( ) FEES:Filing. 7 s' BP: 012 • C/O: Legalization: ( ) (4APP: Dated: Z Notarized: u/SBL Truss I.D. Cross Connection H.O.A.: ( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Protection S/W Mgmt.: Tree Plan. Other. ( ) ( ) SURVEY:Dated: Current Archival: Sealed: Unacceptable: ( ) ( ) PLANS:Date Stamped: Sealed: Copies: Electronic: Other. ( ) (�License: Workers Comp: Liability: ✓ Comp.Waiver. 7 Other. ( ( ) CODE 753#: Sla 9/- o©a- "7/ Dated: N/A. ( ) ( ) HIGH-VOLTAGE ELECTRICAL.Plans: Permit: N/A: Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. ( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( ) ( ) PLUMBING:Plans: Permit: Nat.Gas: LP Gas: N/A/: Other. ( ) ( ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( ) ( ) H.V.A.C.: Plans: Permit N/A Other. ( ) ( ) FUEL TANK:Plans: Permit: Fuel Type: Other. ( ) ( ) 2020 NY State ECCC: N/A: Other. (Jf ( ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( ) ( ) BP DENIAL LETTER: C/O DENIAL LETTER: Other. ( ) ( ) Other. (, RB mtg.date. 1 Zt approval• `U 2 notes: ( )ZBA mtg. date: approval: notes: ( )PB mtg.date: approval:- notes: REQUIRED EXIBITNG PROPOSED NOTES AFFROVED APR 2 2 1021 Am: Data: F� Fri l3� Main Cov Accs.Cov Ft.H Sd.H/Sb: SEA: Tot Ping: Hag /stories: notes: BUILDIN6t' WXRTMENT VIL6kGE OF RYE BROOK APR 0 5 2021 938 KING STREET RYE BRook,NY 10573 (914)939-0668 FAx(914) 939-5801 VILLAGE_ OF RYE BROOK M2.M,aebrook.org BUILDING DEPARTMENT ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS This form must be completed and signed by the applicant of record and a copy shall be submitted to the Building Department prior to attending the ARB meeting. Applicants failing to submit a copy of this check list will be removed from the ARB agenda. Job Address: q g lea A) f S / R e-e-f Date of Submission: Parcel ID#: Aqf, 7 3-J-c)c' Zone;4�)-F Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: I Q,pl,g Cc_ �� '�C� e n/ A si (cam a F f/� MUST BE COMPLETED BY THE APPLICANT . The following items must be submitted to the Building f ftf t a- ,,/c( u a v e — Department by the applicant-no exceptions. 0, 6",-r7 Vily` �iL -o 1. ( )Completed Application "li 2. ( )Two(2)sets of sealed plans. (one full size(maximum Property Owner: TO S e- 714 a /Q e—Z allowable plan size=36"x 42")and one I 1"xl7") Address: S 0 Z Ll/oft GtJi��A�If S� �1t t3✓zo�K 3. ( )Two(2)copies of the property survey. 4. ( )Two(2)copies of the proposed site plan. Phone# 9// 9-3 3 7 3 2// 5. ( )One electronic/disc copy of the complete Applicant appearing bef re the Board: application materials. 6. ( )Filing Fee. _j O 7. ( )Any supporting documentation. 8. ( )HOA approval letter. (ifapplicable) Address: S J Z t,(,/ l �(/��� Ca�J S 9. ( )Photographs. Phone# 2 3 3 7 3 Y/ 10.( )Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Architect/Engineer: Phone# By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures, and that their application is complete in all respects. The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Swom to before me this / Sworn to before me this day of Q / , 20_2_ day of Poe-1 , 20 Z/ Signature of Property Owner Signature �of Applicant �lc� se Tf�� fez �.Ip s e e-Z Print Name of Property Owner Print Name of App)iCaat otary Pu NoQy Pubic Yo k —.-. Y-rk a a 'aunty R 3 Cuunt ly 3/21/19 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARC IITECTURAL REVIEW BOARD Wednesday, April 21, 2021 Due to public health and safety concerns from COVID-19, the Architectural Review Board meeting on March 17, 2021 will be closed to members of the public. The public can still watch the live meeting online through Zoom through the app or through the following https://us02web.zoom.us/j/88906948425 If any interested members of the public would like to provide comments during the meeting, comments can be emailed to stevefews@ryebrook.org or called in during the meeting at +1 (929) 205-6099, meeting ID: 889 0694 8425 NAME & LOCATION_ TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# L i ncoln Ave Roof Top Solar Array Consent 5160 (Nunez) Agenda 63 Rock Ridge Drive Roof Top Solar Array Consent 5161 (Mundo) Agenda 17 Loch Lane Expand Rear Patio Add New Consent 5162 (Ashby Taurel) Hot Tub Agenda 29 Winding Wood 4'0" High Black Fence In Consent 5163 Road(Demarco) Rear Yard Agenda 85 Valley Terrace New Retaining Walls & Consent 5164 (Krebs) Modify Driveway Agenda 95 Grant Street 4' High Fence In Front Yard Consent 5165 (Tavarez) 6'High Fence. Whit PVC Agenda Vinyl 15 Legendary Circle Roof Top Solar Array Consent 5166 (Tian) Agenda 34 Meadowlark Rd Rear Windows & Door Consent 5167 (Cullagh) Modification to Facilitate Agenda Kitchen Renovation 11Carlton Road New 6' High PVC Pool Consent 5168 (De'Arudda) Fence Agenda ML NM - - - - - - - MR IV"' SE JM ✓ SF AC 1✓ MI KC / 37 Winding Wood Partial 6'High Vinyl Privacy Consent 5169 Road(Cui/Sun) Fence at Side Yards Agenda 66 Tamarack Road New Front Entry Stairs & Consent 5170 (Sibley) Portico Agenda 6 Edgewood Dr Hot Tub On Existing Patio Consent 5171 (Shalem) Agenda 17 Ridge Blvd New 6' High Gray Vinyl Consent 5172 (Kucera) Fence Rear Yard&4' High Agenda W/gate at Side 6 Deer Run (Stahl) Partial 4'High Wood Febce Consent 5173 w/Mesh @ Rear Yard Agenda 432 N. Ridge St Amendment To Prior Fence Consent 5174 (Gabriel) Approval Fence Color Agenda Change 42 Lawridge Dr Legalize Rear Deck 5175 (Altman) 6 Deer Run(Stahl) Exterior Door&Window 5176 Changes, Finished Basement 44 Bonwit Road Two Tiered retaining Wall 5177 (Rosenfeld) w/Post& Rail Fence& Landscaping 24 Beechwood Blvd 2nd Story Additions, Rear 5178 (Moore) Masonry Terrace, Rear Walk, & Replace Existing - Walk 46 Winding Wood 2nd Fl Addition, Wood 5179 Road(Meron) Deck, Rear Patio Expansion I 18 Boxwoods Place Front& Rear Second Floor 5178 (Wiener) Additions 82 Tamarack Road Legalize& Rebuild Rear 5180 1 (Sullivan) Deck& Screened Porch 59 Hillandale Road New Gazebo & Outdoor 5182 (Espinal) Kitchen 2 Lee Lane(Kirsch) New Front Entry Over 5183 Existing Porch ML NM MR SE JM SF AC MI KC • I Berkley Drive Rear Deck Expansion 5184 (Topkis) i i ML-+ TNM MR + SE JM j �SF ACr MIS KC 4/1/2021 Zippity Outdoor Products 3.5 ft.H x 6 ft.W Permanent All American Vinyl Picket Fence Panel Kit with No-Dig Anchor and Cap-ZP19041 -... 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R ►If DING DEPARTMENT josetavarez@msn.com — -- ---- JOSE TAVAREZ Policy Period 12:01 AM 502 WEST WILLIAM STREET 2/3/2021 -2/3/2022 Port Chester, NY 10573 Date of Notice 218/2021 Policy Underwritten By: ADIRONDACK INSURANCE EXCHANGE 24 Hour Claim Reporting: 1-877.629.8003 For Policy Information: 1-877.629.8003 www.aie-ny.com 0007859 Hallahan Mcguinness&Lorys Ltd 553 Westchester Ave Rye Brook NY 10573 (914)939-8895 DESCRIBED LOCATION/RESIDENCE PREMISES 95 Grant Street Rye Brook,NY 10573-7410 ONECHOICE DWELLING FIRE POLICY DECLARATIONS TRANSACTION TYPE: PAYMENT TYPE: Renewal MORTGAGEE BILLED Dear Policyholder, HALLAHAN MCGUINNESS&LORYS LTD and ADIRONDACK INSURANCE EXCHANGE are pleased to present you with your Renewal dwelling fire insurance policy. A bill for your premium is being sent to your mortgagee separately requesting payment of the premium. In the event of a loss,call our toll-free number 1-877-629-8003 for 24-hour claim reporting. Our dedicated professionals are ready to help 24 hours a day,seven days a week. Thank you for letting us be of service and if you have any questions,please contact HALLAHAN MCGUINNESS&LORYS LTD at (914)939-8895. MESSAGES PLEASE REFER TO THE"IMPORTANT NOTICES"SECTION OF THIS POLICY FOR IMPORTANT INFORMATION CONCERNING THIS POLICY. To keep pace with rising replacement costs,your property coverage limits have been upgraded. Adirondack Insurance Exchange uses MuellerCalc,based on copyrighted construction estimating from Craftsman Book Company, and Marshall&Swift/Boeckh Residential Component Technology methodology for estimating the replacement cost of a dwelling. SD DC 01 (09-10) 1 1 BASIC POLICY COVERAGES Coverage is provided where limit of liability is shown. PROPERTY COVERAGES LIMITS OF LIABILITY COVERAGE A—DWELLING $ 1,050,189 DEDUCTIBLE We will pay only that part of the total of all loss and expense that exceeds$ 1,000 which applies to all perils except where otherwise provided. HURRICANE DEDUCTIBLE For losses due to Hurricane,we will pay only that part of the total of all loss and expense payable that exceeds: Your Percentage Deductible of$31,506(3%of your Coverage A amount). *If the amount shown is less than$1000,please note that according to the terms of the Hurricane Deductible endorsement,a minimum Hurricane deductible of$1000 is applicable. LIABILITY COVERAGES LIMITS OF LIABILITY COVERAGE L—PERSONAL LIABILITY $ 500,000 COVERAGE M—MEDICAL PAYMENTS TO OTHERS $ 5,000 ATTACHMENTS The following forms,endorsements and exceptions to conditions are part of the policy at time of issue. Please read them carefully. FORM NO. EDITION DATE TITLE DP 00 03 1202 DWELLING PROPERTY 3-SPECIAL FORM DL 24 01 1202 PERSONAL LIABILITY DL 24 11 1202 PREMISES LIABILITY DL 24 15 1204 WORKERS'COMPENSATION CERTAIN RESIDENCE EMPLOYEES-NEW YORK DL 24 16 1202 NO COVERAGE FOR HOME DAY CARE BUSINESS DL 24 89 01 15 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM;DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT DL 25 31 0210 SPECIAL PROVISIONS-NY DP 0131 03 12 SPECIAL PROVISIONS-NEW YORK DP 04 70 1202 PREMISES ALARM OR FIRE PROTECTION SYSTEM DP 05 38 01 15 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM;DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT DP 16 10 01 09 WATER EXCLUSION ENDORSEMENT DP 23 74 0109 WATER BACK UP AND SUMP DISCHARGE OR OVERFLOW-NEW YORK J10072 1108 HURRICANE DEDUCTIBLE-NEW YORK SD 00 03 02 12 AMENDMENT OF POLICY PROVISIONS NEW YORK PREMIUM INFORMATION BASIC PREMIUM FIRE $ 2,557.00 EXTENDED COVERAGE $ Included SD DC 01 (09-10) 2 SPECIAL FORM $ 963.00 PERSONAL LIABILITY $ 514.00 MEDICAL PAYMENTS TO OTHERS $ Included CERTIFIED ACTS OF TERRORISM $ 78.00 ADDITIONAL COVERAGES $ 80.00 TOTAL PREMIUM $ 4,192.00 NY FIRE INSURANCE FEE $ 32.00 TOTAL $ 4,224.00 POLICY CREDITS Included in the above premium are the following credits: Protective Device Discount Lead Liability Exclusion MORTGAGEE/ADDITIONAL INSUREDS/ADDITIONAL INTEREST Mortgagee CITIZENS BANK NA ATIMA ISAOA PO BOX 202060 FLORENCE,SC 29502 Loan#:0025336934 RATING INFORMATION RISK STATE OCCUPANCY USAGE RATE TIER TERRITORY TAX CODE FAMILIES NY TENANT RENTAL 49 4 OCCUPIED PROPERTY CONSTRUCTION YEAR FEET TO HYDRANT MILES TO STATION PROTECTION CLASS FRAME 1910 0-500 0-5 4 BUILDING CODE GRADING ROOF TYPE RATING DATE 99 Asphalt or Composition Shingle 02-08-2021 Includes Copyrighted Material of Insurance Services Office,Inc.with its permission Copyright,Insurance Services Office,Inc. 1988-2022 IMPORTANT NOTICES SD DC 01 (09-10) 3 Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner-occupied Residence **This form cannot be used to waive the workers'compensation rights or obligations of any party.** Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner-occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): XI 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. ❑ 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 * 'cated on the building permit. _f_r__2 f (Signature of Homeowner) (Date Signed) �J/ Home Telephone Number ��y 3 3 7 3 (Homeowner's Name Printed) Sworn to before me this _—= day of Property Address that requires the building permit: (County ierk)fir Notary a tic) CHRISTOPHE RADBURY Notary Public,state of New York / J' No.01 BR6159985 Oualified in Westchester County Commission Expires January 29 20 Z 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 4MUM Mail-pose tavarez-Outlook ... Outlook p Search la , ��.:. <-) Reply ill Delete ffj Archive & Junk Sweep O > Favorites F- Building Permit for Fence at 95 Grant Street Folders Laura Petersen <LPetersen@r yebrook.org> Tue 4/27/2021 12:44 PM Inbox 493 To: You Junk Email Good morning, The permit for the fence at 95 Grant Street is ready for ® Drafts pick up. The permit fee is $100.00 and we will need the DIG number prior to releasing the permit. Our office is Sent Items J open Monday—Friday 8:30am to 4:00pm. �1 Deleted Items 667 Thank you and have a good day! Archive Laura Petersen Office Assistant Notes Village of Rye Brook vi- 938 King Street Conversation History Rye Brook, New York 10573 Phone(914)939-0668) Fax(914)939-5801 )jpetersen_@fyebrook.arg hector luis New folder Reply Forward > Groups 0 !, e I 01 0 2 Fr4 � 1'e �k https:/Ioutlook.iive.comimatl/Olinbox/idlAQMkADAwATIwMTAwACOwMABIOCOzMDYyLTAwAiOwMAoARgAAA6V3wdKkbgVPnEY°/*2F3DCHm4lHAlfp 1/1 FP�D Architectural keview Board U Approval Date:_ APR 0 5 202i nK Chairman VILLAGE OF RYE BROC 1K BUILDING DEPARTME T rJ fit► R` - C AS-BUILT/FINAL SURVEY �v �. ' a �� REQUIRED PRIOR TO i N ^N FINAL INSPECTION 0 > V VF11F COPY' a N E 4 . ^"' v � 1 •� M d I C � � c yti J � � PERMIT# �0/ C>V—0 7 ' SBL# . y3 - t z�3 DATE APPRO EDAPR 2 2 1021 ? "N I " u - 0 BUILDING INS PEC tltage of Rye Brook,NY ( I °• 4-g`` ro � Ale z- m.. a\ y rb y G.8/9N7- srrr�r v 0 ' yl wti Fe.vcL/ 5 Liti PDs�, `�. d POS N 0 1 1 2 3 4 5 6 7 g 1 9 10 11 12 13 14 15 16 ii`� CA rJ ZONE: R-20r_ EDGE OF PAVEMENT SITE � A GRANT STREET CAI � � ^� S ��� O.W. WIDTH) 50 FT. R.O SLATE G s1 WALK COVERED c PORCH UHVJ---- -- O;W-------� r?F3lOL�-•- - t11:`'� GAS GAS S57° 15'40"E C( 1I CRETE co 2.65' , SIDEWALK Locus SCALE: 1"=1000' PIPE FND � Q 100.00 IV LEGEND I o CONC. Q O V S SEWER MANHOLE B B PATIO W o EXISTING CATCH BASIN FLUE O Y UT. POLE UTILITY POLE LOT NO. 94 & 95 OVE HANG Q WV WATER VALVE LOT NO. 93 FILED MAP 1681 EXISTING m FILED MAP 1681 2 STORY j p Q cv GAS VALVE m BUILDING Z V W/ WATER VALVE o OF,W�--�-�- OVERHEAD WIRE i V PARKING w WATER LINE SPACES GAS GAS LINE I T LU EXISTING BUILDING � 3.82' N/F ABBREVIATIONS I GRANT STREET SENIOR HOUSING LP C C 141.43-1-27 N/F NOW OR FORMERLY GRANT ST (AKA LOUTS CT) Q R.O.W. RIGHT OF WAY TYP. TYPICAL 190 LOT NO. 96 cc • 19.95' ROOF RILED MAP 1681 _ LL. �� AS-BUILT 0 OVERHANG DOC '1% STEPS MENT Y • �0 (NP') W ONCRETE [Dle' `� LANDING C Q BLOCK WALL May 2,2022 v � .,m,,., e: N ASPHALT _ _ L N ill=20 N Q D W n/Checked By: Ln SURVEY NOTES: z N ,,, .,.�,,..�„ KBF/TGA o a' n L. the surveyor who made this ma do hereby certify that the #: I,Anastasia!.Parsatoo S, y p. Y Y 259:80 field survey on which this map is based was completed on April 11,2022 and that this map cis was completed on May 2,2022 in accordance with the existing Code of Practice for Land N R10 C T 3 �02� j #:i D D Surveys adopted by the New York State Association of Professional Land Surveyors. rence: g � Reference is made to Deed Control No. 440831423 and designated as Lot No. 95 and SHED VILLAGE OF RYE BROOK portion of Lot No.94 also made to a map entitled"Map of Ridgeland-Section 2"filed in the s BUILDING F=N T office of the register of Westchester County as Map No.1681. PART V F0 �. 0Ul) Underground utilities, facilities and structures are not shown hereon. There may be underground utilities the location of which are presently unknown.Any party utilizing the N57° 0 utility information and data depicted on this survey shall contact the"DIG SAFELY NEW h�3 o YORK' phone number at 800-962-7962 a minimum of forty eight(48)hours prior to any 5.95' OQ- 1/ O N construction activities to verify the location of any and all underground utilities. o GRAPHIC SCALE: � Al; �1 3 Property subject to any and all public or private restrictive covenants,declarations and/or Lot No. 95 & Portion of Lot No. 95 R.M. No. 1681 WCLR �QP� J ��� easements of record,if any. N Lot Area=5755.83 Sq.Ft.(0.13 Ac.) 20 0 20 -l�� > Dimensions shown from structures to property lines are not intended to be used for the < construction of fences,structures or other improvements. FEET 0 ��• M o licensed land surveyor's seal J �� O Unauthorized alteration or addition to a survey map bearing a Ice y is a violation of Section 7209,subdivision 2,of the New York Education Law. �'` '��+ E E AHNEMANKIRBY_-- �: .- TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY / , 0b) c " '"%.w ENGINEERS0SURVEYORS PLANNERS CORRECT AS NOTED HEREON. fl ��A%,- 40a44al�- ,411? , •� SINCE 1871 +JT 06878 ee, May 3, 2022 .,�-: r. 1�,;, 1171 East Putnam Avenue,Riverside,C y ` �. 4u Tel: 203.869.7707•Fax:203.869.4606 ANASTASIA I. PARSATOON, N.Y. L.S.051088 DATE Y ti4 aT,�� �,- www.ahnemankirby.com g — - REV.#: REV.DESCRIPTION: DATE: N 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16