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HomeMy WebLinkAboutBP21-093PERMIT # �I-093 SECTION i 3, % TYPE OF WORK JOB LOCATION _ OWNER_��� CONTRACTOR EST. COST ` V/CO # TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING Bola RGH PLUMBING GAS O SPRINKLER ELECTRIC LOW -VOLT [� ALARM C7 AS BUILT FINAL d DATE: 1 A7 0/ EXP. L% Q,- 01101110 BLOCK LOT 70Ze 60 4 i!X2 �a / l ✓1, i Q / (g/ FEE �.j'y.J ' FEE ei LLD: L12 OA INSPECTION RECORD �3 /- /3c:;/ OTHER APPROVALS ARB 11,Orl l al{ c)C3C! BOT PB ZBA (OTHER — l f/d+Kf b//r� *7"/1G ri.�c, AS-BUILTtFINAL SURVEY RECtUIRED PRIOR TO FINAL INSPECTION 47 VILLAGE OF RYE BROOK WESTCHD+ST9P, COUNTY, NEW FORK NO: 22-017 Certificate of QOccupaurp Zhis is to certify that of, � having duly filed an application on J&c)o k- Jon(J() r ,20 c requesting a Certificate of Occupancy for the premises known as, 1 �C4 ndrA I e Rond , Rye Brook,NY, located in a R fl( Zoning District and shown on the most current Tax Map as Section: Block: Lot: , and having fully complied with the requirements of the Building Code and the Zoning Ordinance under Building Permit No. -- , issued 4 L,:9, 20 ,?/, such authority and permission is hereby granted to the property owner to lawfully occupy or use said premises or building or part thereof listed under the New York State Use Classification o£ P-3 n�- for the following purposes: NeiAi Qnzeho � no-ldnlv- k-ilahre�) Subject to all the privileges, requirements, limitations and conditions prescribed by law, and subject also to the following: This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises, building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition. No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made,and no enlargement, whether by extending on any side or by increasing in height shaQ be made,nor shall the building be moved from one location to another until a permit to accomplish such change has bee o t 'ned from the Building Inspector. Building Inspector,Village of Rye Brook: ate: FEB — 12022 ��33R �� For office use only: BUILDIl C4f TMENT PERmIT A d&&OP i VILLAGE OF RYE BROOK ISSUED: pN 2 7 lJ 2G22 938 KING STREET,RYE BROOK,NEW PORK 10573 DATE: /raj—off L i (914)939-0668 FEE: d //D— PAUX VILLAGE OF RYE BROOK I BUILDING DEPAtRTMEN � ryeb>fook.ote 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 till#i#t##titttQt#iiiii,�#J.�titttitissis##1►I }}##s►►/t►tt►►tt►t►tt►►it►ttt#sslsls##ss##►#►►►t►ttt►t►tt►tt►ht#tt4!#t►ititiitt#ti/ttsf#t Address: /' / ' / �'� A-) i�0 1 f 1��7 Occupancy/Use: r 'Y Parcel ID#: — 3 1 Zone: r e)S- Owner: N L Address: 5 9 l�71�J11✓ A) rgl e P.E./R.A. or Contractor: V'q 8,q 11Z0 Co Z o iM 60 Address: P' Person in responsible charge: 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: f e ES e I/V Yf being duly sworn,deposes and says that he/she resides at S 9 / )I 'r 0 N 1t/f (Print Name of Applicant) 11 11 (No.and Street) 2 in �J (-Zoo �! ,in the County of ��(J P� �J in the State of��,that (City/Town/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ L 0,00c) - 00 p for the construction or alteration of�[ZP.4�G„Q 2 e (�-2 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 t-te Code of the Village of Rye Brook. Sworn to before me this Sworn to before me this f ��Nv , 20 12 day of , 20 Si tore of Property 06er Signature of Applicant 3o5e7 — e of p Owner Print Name of Applicant No=NKLIN blic Notary Public GUERRERO NOTARY PUBLIC,State of New York 8/12/2021 No.01GU607B827 Qualified in New York City Cnmmis,;ion Fxpires April 2P ia-- �QyE BRC�v�. BUILDING DEPARTMENT ❑BUILDING INSPECTOR SSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK CODE ENFORCEMENT OFFICER 938 DING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www.ryebrook.ore - - - - - - - - - - - -- - - - - - - - INSPECTION REPORT - - - - - - - - - -- - - - - -- - - - ADDRESS: it ` �-� DATE: 1130 672_ PERMIT# ISSUED: ECT: BLOCK: LOT: LOCATION: -l] ��� ;V `-� \ OCCUPANCY: r 5� VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION `,�30y 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 ORSINAL 4yE BRQj�. • �9�2 BUILDING DEPARTMENT Ely UILDING 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 - - -- - - - - - - - - - - - - - -- - ADDRESS : �� tit IJATE. O? '` PERMIT# � o ISSUED:- Z SECT: BLOCK: LOT: LOCATION: OCCUPANCY: -Z-16 ❑ VIOLATION NOTED THE WORK IS... Q ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: r ❑ ` ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 1 © NATURAL GAS ❑ L.P. GAS AMC n ❑ FUEL TANK , ❑ FIRE SPRINKLER ❑ FINAL PLUMBING (��� V � ( ✓ � S�� ❑ CROSS CONNECTION ❑ FINAL 1� �¢ (� �✓.,, ❑ OTHER � E BRC��• O y� cu � BUILDING DEPARTMENT UILDING INSPECTOR v 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 : L L-At-2,'DA Lk. — DATE: PERMIT# ISSUED: SECT: BLOCK: LOT: LOCATION: C.E2 -p OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING I ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ UGH PLUMBING OUGH FRAMING GINSULATION NATURAL GAS L ❑ ,P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BRC R. 193'2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ErASSISTANT 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 - - - - - - - - - - - -- - - - - - - ' " `" DATE: ° ' ��� r-2 Z ADDRESS : T^f J �PERMIT# J �� l ISSUED: $IS)-2r ECT: -�ILOCK: LOT LOCATION: �, �-,- ''�- �` 1 t �� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED Q'. 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 a� w • qT n yr ' F a � M r W � r t �r 96 t _ T 7 ►- rr ' O � p � � w � o s F• a ww a Q N 9z 1 t- u woo ON F- M� 0-0 z W Q c > c m 000 C� A � � v �+ Q v N < 'wo 96 a z s •• gg ri tn C Z U C a < �L I C.� ,.� m T ud►, ` �� QRnvCi� � V fS BUIL E MENT VIL E OF RYE K � Y 1 2��� 938 KIN ET RYE B NY 105 3 VILLAGE OF RYE BROOK (914)9 939-5801 BUILDING DEPARTMENT .or ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required / FOR OFFICE USE ONLY BP#: U 9 3 E P #: C-D /—! / C MAY 1 201 Approval Date: Permit Fee: $ IC15 :✓ Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, 5/` 24 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: SBL: AQ W27 �'�'� Zone: 2.Property Owner: o tE ��A U Address: Phone#: Cell#: email: 3.Master Electrician: 'Address Lic.#: Phone#cj / - Cell#q email N , Company Name: / !/Z� / 4) 4 �Ci Address: M 4.Proposed Electrical Work/Fixture Count: STATE OF NEW YORK,COuI+ITY OF WESTCHESTER ) as: t j eC!{ being duly sworn,deposes and states that he/she is the applicant above named,and does further (print napfiF—of individual signing a, c applicant) K state thfa(s)he is the legal owner of the property to which this application pertains,or that(s)he is the;:;�r�Z C—Ax a V r ti u for the legal owner and is duly authorized to make and file this application. (indicate architect,c tractor,agent,attorney,etc.) 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. S to befk,4 r1e this /Z Sworn to bpfiore me this ay of 20 / day o 20� tgnature of Property(honer Sign i a L a ,-j t N of Prop Ownei t liarife of Applicant OmMON Notary P tlotl !1i 1 E OF NEW PORK Notaq"Wi U9L1C 4F NEW YORK arias No. a Quo"e moor CevMv QuaNINd *r CGUMy My Com ssion Exph s October 14, 20z My Commiss n ispkes OCIOb*r 14, wl[ 3121/19 Westchester Rockland Electrical Inspection Services, Inc. �rt , Phone: 914-347-3595 DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 Elmsford NY 10523 �D/— BUILDING PERMIT NO,. TEMP# DATE ��] )--of 4 CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY STREET AND NO.OR ROAD / POLE NUMBER lA BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT 1 OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FEXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT 1s-FL. 2"FL, PL CC F E BRoo 3'FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: ( T THIS APPUCATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALUED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT THE APPUCANT 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 APPUCATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW LJ ADDITIONAL F: EXPOSED F I CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND LJ 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 SIGNATUR9( AI;I IC T U �'x STREET ADDRESS � TELEPHONE NO. CRY OR POST OFFICE /TTe/-11 LICENSE NO.WHEN APPLICAB J IF WESTCHESTER ROCKLAND ELECTRICAL INSPECTION INE10SERVICES.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: Zaccagnino Electric Jose& Divina Espinal 81 Maple Avenue NY, Rye 10580 Located at:59 Hillandale Rd Rye Brook, NY 10573 Certificate Number: 1029515 Section:130.77 Block: 1 Lot: 3 BDC: Permit Number: EP:21-119-BP:21-093 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 inion the premises at: 59 Hillandale Rd Rye Brook,NY 10573 Basement 1 st Floor 2nd Floor 3rd Floor Garage Attic 0 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 07/19/21 Name Type Quantity Fixture-Luminaire Ceiling ------- 6 Fixture-Wall Sconce Outdoor ------- 4 Receptacle;Outdoor GFI ------- 9 Refrigerator ------- 1 Hot Water Heater ------- 1 Panel ------- 1 Ice Maker ------- 1 Switch Single Pole ------- 3 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. 7�4� This certificate may not be altered in any way. yam` G G�"" This certificate is valid for work performed before date of inspection only. a tn to N Z qT C6 eh96�+ � ob O M m F uj a W 0-0 E. vti M w O Q rn ON > o m 00 A ' e O a Q eO c C7 Q Q G en rl z = < BUILDING DEPARTMENT RI VILLAGE OF RYE BROOK MAY � H 2021 JD 938 KING STtzF .'r RYF BROOK,NY 10573 (914) 939-0668FAx(914) 939-5801 VILLAGE OF RYE BROOK BUILDING DEPARTMENT www.ryebrook.org PLUMBING PERMIT APPLICA'TION ^^^�� r )) FOR OFFICE USE ONLY BP #: � �G_7 PP #: 0/-06 /^7 Approval Date: PAY 0 26 Permit Fee: $ 300 :-'46 Approval Signature: Other: Disapproved- (fees are non-refundable) Application dated, / Z is hereby made to the Building Inspector of the Village of Rye Brook NY, for the issuance of a Permit to install and/or rem ve Plumbing as per detailed statement described below. The applicant&property owner, by signing this document agree that said plumbingwork ill be in conformance with all applicable Federal, State,County and Local Codes. j�� t.Address: �� ✓ t`H 1l� r � � I K.n e to "�V/i SBL: TJ©r 7�—1 � Zone: I�-� 2.Proposed Work: j VIA Gy-Al — 00 3.Property Owner: L���iL a Address: � 1 _ Phone#:_9 31- Cell #: 7 /17 '-7 3 - 2-� email: ► yoi` L �1'l�liiv3"4.ti�F9�� 'a, 4.Master Plumber:�Zp'7 t�flbt J S Address: PO G M 23 Z U O Cam$ ��'7' 14 ?0 Lic. #: i Z7 0 Phone#: /I'�3 S - Cell#: email: 420 C 0(• tf'� Company Name: 6 z1 e 1 VVl QrL§'; Address: Z 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 I st Floor 2nd Floor 31d Floor 4'h Floor 5`h Floor Exterior 5.* List Other Equipment/Provide Details: �V -!� ,,"C ` 0/1J� Coo A,Ak L (Notarized Signatures Required Next 2 Pages) -l- 3/2f/t9 STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: 41,," A�4 ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of indiviifual 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 ` `_r day o a ,20 day /4a 20� Si ture of Property Owner S icant - / ,,, J PI Print Name of Property Owner Print Name of Appli a t Notary Public Notary Public. This application must be properly completed in its entirety and trust 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 sinned shall be deemed null and void and will be returned to the applicant. _2.. 3/21/19 BUILDING ,DEPARTMENT �'f VI LLAGE o>H RvF BROOK D [ECIEE 938 KING STREET RYE BROOx, NY 10573 MAY 18 2021 (914) 939-0.668 FAX (914) 939-5801 www.ryebrook.oru 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: 7 _� 0 �, "_ ��, i�614- _T, residing at, ,--- 14 , ��✓�ilr� /GJ �'� ����G:� being duly sworn, deposes and states that (s)he is the applicant above named, and further states that (s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 4 �'✓�i✓s �� e ` er�� ti /C7s 3 , Rye Brook, IVY. Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there arc 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. Sworn to before me this / day of l7 OL 20_c�'1_ 3/21/19 Building Permit Check List&Zoning Analysis Address SBL: l�S L Zone -7 Use: 2( 0 Const.Type: ~ r. Submittal Date: Revisions Submittal Dates: 3 z2 zI ApplicanaL/- Nature of Work 0 Reviews:ZBA: PB: BOT: Other. OK ( ( ) FEES:Filing. S-, BP: C/O: Legalization: APP: Dated-. Notarized: SBL• Truss I.D. Cross Connection H.O.A.: ( ) ( } Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening. ( ) ( ) ENVIRO:Long. Short: Fees: N/A: ( ) ( ) SITE PLAN:Topo: Site Frotecaon S/W MgmAt: Tree Flan Other. { ) { SURVEY:Dated i l Current: Archival• ✓ Sealed: Unacceptable PLANS:Date Stamped ✓ Sealed: ✓ Copies: -2— Electronic: ✓ Other. ( ( License: Workers Comp: Liability: ✓ Comp.Waiver, v" Other. ( ( ) CODE 7S3#. Q-V 4 91' 0 01-`'j 114 _ - Dated "V—a T--,-5 J N/A: HIGH-VOLTAGE ELECTRICAL:Plans: Permit: N/A Other. ( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit: N/A: Other. { ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other. ( { ) PLUMBING Plans: Permit: Nat Gas: LP Gas: N/A/: Other. ( ) { ) FIRE SUPPRESSION:Plans: Permit: N/A: Other. ( } { } H.V.A.C.: Plans: Permit N/A Other. ( ) ( ) FUEL TANK:Plans: Permit Fuel Type: Other. ( ) ( } 2020 NY State ECCC: N/A: Other. ( { ) Final Survey Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other. ( } ( ) BP DENIAL LETTER C/O DENIAL LETTER: Other. { ) { ) Other. { ARB mtg.date: Z l Z approval notes: ( )ZBA mtg.date: approval• notes: ( )PB mtg.date: approval: notes: REQUIRED EXMING PROPOSED NOTES APrPDyvr-u Z. 2 6 Area <_ k S Z I — � ?u21 Dane; u Circle: Fr n Front: Front Sides: - 13&ar. � >- S D � Main Cov Accs,c�v 3 �5° o �.�� a Ft,HS : S .HS : C�FA: Tot, Z0 CIO ._ 07, S Fop: I ti got 02 Par I I ' S ri : notes: co S. ,1 C.Qz ELKAS s� s rt BUILDING DEPARTMENT E C IE� " E VILLAGE OF RYE BROOK MAR ZOZI 938 KING STREET RYE BROOK,NY 10573 0 (914)939-0668 FAx(914)939-5801 VILLAGE OF RYE BROOK www.rvebrflok.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:57 Allarc 1 z" T"du-F,, Date of Submission: 319L �'Parcel ID#: /� jgn—l- —?5 Zone: f2- 7-5 Proposed Improvement(Describe in detail): APPLICANT CHECK LIST: .a-W o MUST BE COMPLETED BY THE APPLICANT The following items must be submitted to the Building rr1 �i� Depart ent by the applicant-no exceptions. n 1. (�ompleted Application 2. (f'f Two(2)sets of sealed plans. (onc full size(maximum Property Owner: .�d ( n V allowable plan size=36"x 42"I and one 11"x1T') 3. ( Two(2)copies of the property survey. Address: �iLu 4. ( Two(2)copies of the proposed site plan. Phone# 5. ( )One electronic/disc copy of the complete Applicant appearing before the Board: application materials. 6. ( )Filing Fee. a-5 0- Qrp-,-� 7. (vfAny supporting documentation. 8. ( )HOA approval letter. (if applicable) Address: 9. ( of Photographs. Phone# 10.( ) Samples of finishes/color chart. (a sample board or model may be presented the night of the meeting) Architect/Engineer: Phone# By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit Instructions&Procedures,and that their application is complete in all respects.The Board of Review reserves the right to refuse to hear any application not meeting the requirements contained herein. Sworn t befor me this Sworn to before me this day I day of , 20 Si lure of Properly Owner Signature of Applicant Print Name of Property Owner Print Name of Applicant Notary Public Notary Public Ill 3/21/19 VILLAGE OF RYE BROOK BUILDING DEPARTMENT 938 KING STREET, RYE BROOK, NY 10573 (T) 939-0668 (F) 939-5801 ARCHITECTURAL REVIEW BOARD Wednesday, 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 & LOCATI_ON TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.# 72 Lincoln Ave Roof Top Solar Array Consent 5 l 60 (Nunez) Agenda 63 Rock Ridge Drive Roof Top Solar Array Consent 5161 (Mundo) Agenda i 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 1 1Carlton Road New 6' High PVC Pool Consent 5168 (De'Arudda) Fence Agenda ML �NM MR SE JM SF AC MI KC 1 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 Fence 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 t 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 (Sullivan) Deck& Screened Porch 59 Hillandale Road New Gazebo& Outdoor ('� 5182 (Espinal) Kitchen 2 Lee Lane(Kirsch) New Front Entry Over 183 Existing Porch ML �'' NM �' f MR f SE JM SF AC Zoe MI KC I Berkley Drive Rear Deck Expansion 5184 (Topkis) ML NM j MR SE JM SF AC MI 0 aste'j/' ��PeR Premium Summary Renewal CHUE3B JOSE ESPINAL AND DIVINA ABREU-ESPINAL Page 1 59 HILLENDALE ROAD Effective Date 4/5/21 RYE BROOK, NY 10573 Policy no. 11762167-04 Policy period 415121 to 4/5122 Producer name HUB INTERNATIONAL NORTHEAST LIMITED We are pleased to enclose your Chubb Masterpiece Policy, which includes an annual premium savings of $1,118 as listed below. This chart shows at a glance what coverages you have and the related premiums. Property covered Coverage Premium Homes and Contents HOUSE AT HOME, CONTENTS, $ 14,168,00 59 HILLENDALE RD, LIABILITY RYE BROOK, NY Valuable Articles FINE ARTS VALUABLE ARTICLES $ 236.00 T Family Protection NOT APPLICABLE FAMILY PROTECTION $ 110.00 Total Premium $ 14,514.00 Your policy includes a Coverage Summary and policy provisions that explain your coverage in more detail. Chubb Masterpiece provides many different credits for home, valuable articles, automobile and excess liability coverages. We recommend that you contact your agent or broker for an annual review to ensure that your coverages, policy limits and available credits are accurate and meet your personal insurance needs. Your policy provides the following annual premium credits for the coverages listed below: Your homeowners premium was reduced by $1,118 as a result of one or more credits. You will receive a separate Personal Insurance Statement that will outline the schedule of premium amounts and the due dates. If an endorsement during the policy period changes the amount of premium due, you will receive a revised Personal Insurance Statement. A statement and bill has been sent to your mortgagee. If you choose one of our convenient installment plans, your payments will be slightly higher than the premium shown above because of the small service charge. We appreciate your continued business. Since 1882, personal service and comprehensive coverages have been the hallmarks of the Chubb Group of Insurance Companies. Thank you for insuring through Chubb. © Chubb.2016. All rights reserved Form no. 00700000 0 mawterpwrAQ Premium Discount Summary CHUBB Name and address of Insured: Page: 1 Policy no: 1 1 7621 67-04 JOSE ESPINAL AND DIVINA ABREU-ESPINAL Policy period: 4/5/21 to 4/5/22 59 HILLENDALE ROAD RYE BROOK, NY 10573 We know that you've worked hard for what you own and want to protect it. We also know that saving money is important to you. You can take advantage of a variety of discounts offered by Chubb. Here is a list of some of the discounts you're already receiving. You have the power to reduce your premiums. Your insurance cost could have been $15,632 but you took action and received $1,118 in discounts. Your premium was reduced to $14,514. Overview Your Discount Homes and Contents That's a homeowner savings of $1,118. House at: 59 HILLENDALE RD., RYE BROOK, NY •7.5% for being a long-time customer combined with your loss history *A reduction for having a burglar alarm that meets our criteria •A reduction for having a fire alarm that meets our criteria Please note: This document may not reflect all of the discounts you are receiving on your Chubb insurance policy. To review all of the discounts available from Chubb, please contact your agent or broker, as he or she is always your best source of information and advice. Q Chubb.2016. All rights reserved Form no. 09300000 r ,ram master Zece,� Renewal overa Summary CHUBB Name and address of Insured Page 1 Effective date 4/5/21 JOSE ESPINAL AND DIVINAABREU-ESPINAL Policy no. 11762167-04 59 HILLENDALE ROAD Issued by Pacific Indemnity Company RYE BROOK, NY 10573 a stock insurance company incorporated in Wisconsin Policy period 4/5/21 to 4/5/22 If you have any questions, please contact HUB INTERNATIONAL NORTHEAST LIMITED 777 COMMERCE DRIVE FAIRFIELD,CT 06825 203.337.1800 This Coverage Summary is part of your policy. PLEASE READ YOUR POLICY CAREFULLY, INCLUDING THIS COVERAGE SUMMARY, FOR A COMPLETE DESCRIPTION OF YOUR COVERAGES. Homes and Contents Your policy provides coverage against physical loss if your home or its contents are damaged, destroyed, or lost. The kinds of losses that are covered, and any special limits that apply, are explained in detail in the policy. Address Dwelling Contents HOUSE AT $2,495,000 $1,247,500 59 HILLENDALE RD. DELUXE COVERAGE DELUXE COVERAGE RYE BROOK, NY EXTENDED REPLACEMENT COST REPLACEMENT COST The base deductible for each occurrence is $2,500. We will waive the base deductible for covered losses of more than $50,000 except for covered losses subject to any special deductibles. Special deductibles include the vacant house deductible, water backup deductible, wind or hail deductible, and earthquake deductible. Additional coverages or conditions Important notice regarding mold remediation expense limit You have the standard $20,000 mold remediation expense limit as described in your policy for the residence at 59 HILLENDALE RD., RYE BROOK, NY. To increase the limit for mold remediation expenses, you must contact your agent or broker shown at the top of this Coverage Summary prior to the effective date of this renewal. The request will be subject to underwriting acceptance. Other permanent structures You have up to $499,000 of Other permanent structures coverage for your residence at 59 HILLENDALE RD., RYE BROOK, NY. fl Chubb.2016. All rights reserved. Form no. Q0802000 Coverage Summary Renewal Page 2 Effective date 4/5/21 Policy no. 11762167-04 Name JOSE ESPINALAND DIVINAABREU-ESPINAL Valuable Articles This policy provides you with coverage against physical loss if your valuable articles are lost, damaged, or destroyed. The kinds of losses that are covered, and any special limits that apply, are explained in detail in the policy. Blanket coverage We will pay up to the amount shown in the following chart for each category of valuable articles. However, the most we will pay for any one article is the blanket limit per item shown for that category. Itemized articles The amount of coverage for your valuable articles is shown in the following chart. A list of your itemized valuable articles, and the specific coverage amounts, can be found at the end of the Coverage Summary. Amount of Blanket limit Amount of Class blanket coverage per item itemized coverage FINE ARTS $ 88,050 $ 50,000 NO COVERAGE There is no deductible for this coverage. Family Protection S" Coverage Your policy provides you with Family Protection Coverage for carjacking, hijacking, child abduction, stalking threat, home invasion, air rage, road rage, and cyberbullying occurrences. The kinds of losses that are covered, and any limits that apply, are explained in detail in the policy. Liability Amount of liability coverage: $2,000,000. This is the total amount of your liability coverage. It applies to all property for which you have liability coverage, as shown in the following chart. Your liability coverage covers damages for which you are legally responsible. For each occurrence, we will pay up to the amount of your liability coverage, as explained in your policy. © Chubb.2015. All rights reserved. Form no. Q0802000 Coverage Summary Renewal CHUBB Page 3 Effective date 4/5/21 Policy no. 1 1 762 1 67-04 Name JOSE ESPINAL AND DIVINAABREU-ESPINAL Liability (Continued) However, when you have excess liability only, we will pay for a covered loss only after the loss exceeds the required primary underlying insurance shown in your policy. This applies whether you have other liability coverage provided under a separate policy with us or by another insurance company. Home HOUSE AT PERSONAL LIABILITY 59 HILLENDALE RD. RYE BROOK, NY As the duly authorized representative of the company my signature validates this policy. Paul N. Morrissette Authorized representative m Chubb.2018. All rights reserved. Form no. 00802000 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): 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. 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 oject takes a total of 40 hours or more per week(aggregate hours for all paid individuals on the jobsite)for ork indicated on ie building permit. 2021 (Signature of Homeowner) (Date Signed) Home Telephone Number "i i11 --139 -1431 (Homeowner's Name Printed) Sworn to before nee this — ]]oj � Property Address that requires the building permit: ,�V A g C to �p 2 k _- r� r (Co t Cler r .Notary Public) I05-7 ; N"NKu GMRRERO r NO. =7 Qualified in New York Citv Commission Expires April 28,2,13 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 Laura Petersen From: Mike Izzo Sent: Thursday, April 29, 2021 8:15 AM To: Tara Gerardi; Laura Petersen Subject: FW: Message from Dig Safely New York, Inc. (DENY) Michael J. Izzo Building & Fire Inspector Village of Rye Brook, NY (914)939-0668 -----Original Message----- From: Dig Safely New York Exactix<tickets@exactix.digsafelynewyork.com> Sent:Wednesday, April 28, 2021 11:22 AM To: Mike Izzo<Mlzzo@ryebrook.org> Subject: Message from Dig Safely New York, Inc. (DSNY) ****REGULAR**** DIG REQUEST from DSNY for:VIL RYE BROOK Taken: 04/28/2021 11:20 To:VIL RYE BROOK PRIMARY Transmitted: 04/28/2021 11:21 00002 Ticket: 04281-001-544-00 Type: Regular Previous Ticket: ------------------------------------------------------------------------------ State: NY County:WESTCHESTER Place: RYE BROOK Addr: From: 59 To: Name: HILLANDALE RD Cross: From: To: Name: Offset: ------------------------------------------------------------------------------ Locate: APPROX 150 FT OFF THE RD IN THE REAR OF THE PROPERTY NearSt: KING ST Means of Excavation: HAND Blasting: N Site marked with white:Y Boring/Directional Drilling: N Within 25ft of Edge of Road: N Work Type:GAZEBO Estimated Work Complete Date: 05/13/2021 Depth of excavation: 3 FEET Site dimensions: Length 20 FEET Width 10 FEET Start Date and Time:05/03/202107:00 Must Start By:05/17/2021 ------------------------------------------------------------------------------ Contact Name:JOSE ESPINAL Company: Addr1: 59 HILLANDALE RD Addr2: City: RYE BROOK State: NY Zip: 10573 Phone: 914-939-1439 Fax: Email:jespinal@etmanagement.com Field Contact:JOSE ESPINAL Alt Phone: 914-939-1439 1 Working for: CALLER IS PERFORMING THE WORK THEMSELVES ------------------------------------------------------------------------------ Comments: Lookup Type: PARCEL ------------------------------------------------------------------------------ Members:ALTICE USA CON-ED SUEZ WTR WESTCHESTER TEN GAS-HDS VLY VIL RYE BROOK WESTCHESTER CTY SWR 2 oz _. . w� N ED I Ix >Q _. 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