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HomeMy WebLinkAboutBP21-097PERMIT # 6 QI- 07DATE: Al �� aJ EXP: 4/ . d� SECTION Zs 90 �i% BLOCK I LOT TYPE OF WORK JOB LOCA OWN CONTRALTO EST. COST V/CO # TCO # FEE DATE FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS F1 SPRINKLER ELECTRIC LOW -VOLT ALARM AS BUILT FINAL INSPECTION RECORD DATE INSP s� m I� - sue• 710 l)00/0 ''s�e�n�y�lii3"5� L/�911 7�ia%5.1,.� �J_ a8i��1 �ieol /�i�a Icc,/pc�-ic OTHER APPROVALS ARB BOT PB ZBA OTHER FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT VILLAGE OF RYE BROOK WESTCHESTER COUNTY, NEW YORK NO: 23-018 Certificate of ®ccupaucp 'This is to certify that in ' 4 r/• of, Q , having duly filed an application on 20p�requesting a Certificate of Occupancy for the premises known as, Z4/ 1?J ](0U)1Q J-L &Q( , Rye Brook,NY, located in a c�V 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. �)" 7 , issued 20,_2 , 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 following New York State Classifications, Use: R-.-�/0>1(f' FOM1/ , Construction: ya for the following purposes: AenOVOIC e)0 SJ7j2( / 16p')Ishecl b0s, em en-/ I Ic -Al lh,6010M neW P!9-170 d(OOY- Subject to all the privileges, requirements, limitations, and conditions prescribed by law, and subject also to the following: FINISHED BASEMENT NOT APPROVED FOR USE AS A SEPARATE APARTMENT OR DWELLING UNIT 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 shall be made,nor shall the building be moved from one location to another until a permit to accomplish such change has been obt ' d from the B ' g Inspector. J AN 2 7 1023 Acting Building Inspector,Village of Rye Brook: Date: DECE � V E ! ��33RR�� DBUILDU-4d JEY TMENT For office use onl : PERMIT# — �J 7 MAR - 7 2022 VILLAGE OF RYE BROOK ISSUED: 38 KING STREET,RYE BRooK,NEw YoRK 10573 DATE: 3-7-aQ) VILLAGE OF RYE BROOK (914)939-0669 FEE: & /•V,7y, PAID BUILDING DEPARTMENT www.rv*lrook.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 fftf►ft►►►►►►f►►11t11f►11►►��►►fffft►ftfff#tft•f►tftftftlttt►►►►tff►►fft►►►►►►►►►•f►►f►►►►►►►►►►/►►►t►tt►►ttttlf/ffftffffftttttf/ff►f Address: Occupancy/Use: Parcel ID#: _I a ,8 4 - t - 8 Zone: Address:Owner: 76 L� st t-i�►-1 - _ ,"( �� /� 1Q. P.E./R.A. orContractorc�or', rCI✓�L-��.I�J�S�k Address: Person in responsible charge. �eVl�,lk3 Q,'-S Address: d 5 C-_N.-_ )2 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 F NEW YORK,�CjOUNTY OF WESTCHESTER as: l SG being duly sworn,deposes and says that he she resides at f Applicant) (No.and Street)in 7're ��L ,in the County of (� �S S►T��— in the State of ,that (cityrrown/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 a u. ment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:$ v O, for the construction or alteration of: 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 )�_ Swom to before me this day of Fw ,20 day of , 20 Sign Are of Property caner Signature of Applicant Print O.w/ner/ Print Name of Applicant Notary Public .:_ ..ram. Notary Public 8/12/2021 4E 4Rnvt 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR /OASSISTANT 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 :- �) � \l �� �� \,�Q � ` (SZ/ DATE: PERMIT# `� ISSUED:'­��250��ECT: �,v` BLOCK: t LOT: LOCATION: ` ` OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ®.-ACCEPTED / INSPECTION ❑ 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 a QyE BRC�� cu � 1982 BUILDING DEPARTMENT ❑BUILDING 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 - - - - - - - - - - - - - - - - - - - - ADDRESS : c4 V t LATE: PERMIT# �� ISSUED: �I `�� �ECT: BLOCK: LOT: ZF LOCATION: "� OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION / REQUIRED ❑ FOOTING '-j ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING/, P( I ��,�( Q� �Q INSULATION � l v" V 6 NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER BRQ) >> �o 1982 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - = - - - - - �- - ADDRESS : 1 cy)-eC`A V- 1 MCA DATE: V C O? PERMIT# ` 1 \ rf (� ISSUED: Z O��ECT: BLOCK: LOT: LOCATION: OCCUPANCY: ' ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING L-IJ -C ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING Cl ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P.GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER QyE BRC�V�t o`` tim '9a2 BUILDING DEPARTMENT ❑B ILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK f�❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www Uebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - -- - - - - - - - ADDRESS : + � 5U � t1 ATE: 1 PERMIT# ISSUED: SE C T: BLOCK: LOT: LOCATION: �.� Vr' OCCUPANCY: L ❑ VIOLATION NOTED THE WORK IS... ACCEPTED ❑ REJECTED/REINSPECTION ❑ SITE INSPECTION ty44�ep ) REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION )2�`'TNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER ao M 1 ^ N W ' C1 N Q • a �o to = M w K oe96Law ad z �- Qy { U w � alet �l A x H w d uo 00 w so V V Q Q � N w � T CA A z ^ d O a u > c m ocrn InON a? A W a z F o o '7 ET- W 96 �yE—DRC�v� R- BUILOINTTDE7PO",,MENT I I 3D NOV - 1 2021 VIL E OF RYE BROOK 938 KIN ET RYE B ' ,NY 10573 VILLAGE OF RYE BROOK it BUILDING DEPARTMENT org ELECTRICAL PERMIT APPLICATION Westchester County Master ElectriciansLicense Required .Q FOR OFFICE USE ONLY BP#: L� /y 9 �/7 EP#:�� 4 I Approval Date: NOV ' 3 Z Permit Fee: $ /"I, Q Approval Signature: Other: Disapproved: (fees are non-refundable) Application dated, //—/—c)4 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. per/ 1.Address:T�� /J��i9/"• -1 /Z/ 1 SBL: I a 9• b 7 ��d(� Zone: fe—aO 2.Property Owner: p ^� Address: Phone#: Cel #: 7/-q" `?-�—SD1/3 email: 3.Master Electrician: Address: Lic.#:�Phone#: Cell#: email: e Company Name: tk i6 Address: /v 4.Proposed Electrical Work/Fixture Count: D 41 WATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: —16 D 1 -I C („J ,being duly swom,deposes and states that he/she is the applicant above namnedL and does further (print name of individual signing as the applicant) ��P C ✓72 f state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,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. Sworn to before me this Sworn to before me this I Sf' day of ,20 day of �s(/►1 ,20ZAX Signature of Property Owner 7ig�najft /( v Print Name of Property Owner Print Name of Applicant Notary Public Notary Pub ALEXANDRA H.MARSHALL Notary Public,State of New York No.01FR6363711 Qualified in Westchester County 8/12/2021 Commission Expires August 28,2025 Westchester Rockland Electrical Inspection Services, Inc. �� Phone: 914-347-3595 ��y DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue Fax: 914-347-3596 • Elmsford, NY 10523 »J ' r� BUILDING PERMIT NO. TEMP# DATE CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY STREET AND NO.OR ROAD POLE NUMBER (�A n BETWEEN WHAT TWO CROSS STREETS 15 PREMISES LOCATED? SECTION �- BLOCK LOT 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 FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P.EACH NO. WATTS EACH INSPECTION OUTSIDE BASEMENT r �1"FL. 4 oinf)j iI I 2'FL. 3�FL. ROOK REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS, INC. IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE FEEDERS CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD L7 UNDERGROUND❑ —tj I I I I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY, DATE OF APPLICATION—" SIGNATURE OF APPLICANT 7V STREET ADDRESS ND, POST OFFICE ZIP CODE - LICENSE NO.WHEN APPLICABLE WEST CNESTER 16CKUND ELECTRICAL INSPECTION SERVICES.INC. BY THIS CERTIFICATE OF COMPLIANCE THE Westchester Rockland Electrical Inspection Services 43 North Lawn Ave, Elmsford, NY 10523 914-347-3595 (Office) 1 914-347-3596 (Fax) CERTIFIES THAT Upon the application of: Upon premises owned by: Alfred DiFalco Electric Paul& Kelly Snisky 276 Madison Rd. NY, Scarsdale 10583 Located at:41 Meadowlark Rd Rye Brook, NY 10573 Certificate Number: 1033448 Section: 129.84 Block: 1 Lot: 8 BDC: Permit Number: EP:21-281-BP:21-097 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 41 Meadowlark Rd Rye Brook,NY 10573 Basement 1st Floor 2nd Floor 3rd Floor Garage Attic Outside Other: Inspection was conducted in accordance with the NYS and NFPA 70-2017 International Electrical Code and detail of the installation,as set forth below,was found to be in compliance therewith on 03/04/22 Name Type Quantity Fixture-Luminaire Incandescent ------- 18 Receptacle Convenience ------- 17 Switch Single Pole ------- 9 Dimmers Led ------- 3 Receptacle GFCI ------- 3 Exhaust Fan ------- 1 Receptacle;Outdoor GFI ------- 3 Sump Pump ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. �`W L Gb '�j1 This certificate is valid for work performed before date of inspection only. YY M O N O C s N W M W o H M O C, W. u ►`r s t A a ^ � a N k W I--, M c O ww w A ��.. a N w �--� to 0 o .a CA ° C A z � z w z w 0 W � Z v F ° z x z U ,� O co - x a 7 x c z Q it A , z , cc CN M . W a z F w O �•, -. Uito W W w c o [- � � � N W C7 a ►n ? < c/� W z O z r n e: BUILDING'DEPARTMENT MAR — 7 2022 VILGE OF RYE 11 OK 938I�1c ` 1tUETRYEB ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT org ELECTRICAL PERMIT APPLICATION Westchester County Master Electricians License Required 1 / FOR OFFICE USE ONLY BP#: Q/J—0 -7 EP#: 'O'7 �0 - Approval Date: MAR 7 10 Permit Fee: $ Approval Signature: Other: Disapproved: (fees are non-refundable) ********************�****************************************************************************** Application dated, 3— / t-�<)' 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. p /� 1.Address: q 1 �t,�Qr 1'�cc,I LA- k � SBL: /c) /- 8�'—� b Zone: JC c'�K) 2.Property Owner: D Q; f NA-L -5 k l V( Address: Phone#: /4— /74"50 q3 Cell#: email: 3.Master Electrician: A L f5:�p -1p)F;5'1'C'0 Address: � '7 (O tA Lic.#: A&Z Phone#:Lft pf��t%%1-A�& ���Cell#:(( S/lyu t, email:�-I s Company Name: I-t LKC-ib b j rjf !`(Z1 lte jrt e, Address: 4.Proposed Electrical Work/Fixture Count: 0 1� z S °cam 0 ********************************************************************************************************* STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: being duly swom,deposes and states that he/she is the applicant above named,and does further (print name of individual signing as the applicant) state that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,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. Sworn to before me this Sworn to before me this day of ,20 day of 20 l,? Signature of Property Owner Signa of Applica t 17A 1,0 - - 14�2 Print Name of Property Owner a of Applicant �,-- Notary Public Notary Public SHARI MELILLO Notary Public,State of New York No. 01 PriE6160M Qualified in Westchester County Commission Expires January 29,20� 8/12/2021 Westchester Rockland Electrical Inspection Services, Inc. A*'i ' ��,��� ,DO NOT WRITE HERE-FOR OFFICE USE ONLY Fa : 914-347-3596 43 North Lawn Avenue � .3 Elmsford, NY 10523 BUILDING PERMIT NO. TEMP# QATE /�O CITY OR VILLAG P r ZIP CODE TOWNSHIP COUNTY STREET AND NO.OR ROAD l 4 POLE NUMBER 1 O f r :v, BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME BUILDING OCCUPANCY OWNER'S ME AND ADDjg HOME TELEPHONE NUMBER CURRENT UPPLIED BY FROM T14EIA OFFICE I WORK TELEPHONE NUMBER LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE LOCATION LAMP RECEPTACLES ONLY SIDEWALL SWITCH INCADE FLUORE NO. H.P EACH NO WATTS EACH INSPECTION OUTSIDE BASEMENT In FL. 7-FL. 3-FL. A A E OF YE BR K REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: Cv THj APPUCATIO IS 1 DED TO OVER TH ABOVE TED RE TO B INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY WREIS,INC. IS NOT LISTING.LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT, MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION. SIZE OF SERVICE � A- FEEDERS CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS IDENTIFICATION NUMBER SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND❑ L—Lj I I I I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF COMPANY �}- J DATE OF LICAT bN SIGNATURE OF APPLICANT-714' - L - V X---- S'MMADD No. CRY r7 OFFICE LICENSE NO.WHEN APPLICABLE i T IF MIESTUESTER ROCKLANR ELECTRICAL INSPECTION IME15SERVICES,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: Alfred DiFalco Electric Paul&Kelly Snisky 276 Madison Rd. NY, Scarsdale 10583 Located at:41 Meadowlark Rd Rye Brook, NY 10573 Certificate Number: 1033505 Section: 129.84 Block: 1 Lot: 8 BDC: Permit Number: EP:22-046-BP:21-097 A visual inspection of the electrical system at this premise described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: 41 Meadowlark Rd Rye Brook,NY 10573 ®Basement 1st Floor 2nd Floor 3rd Floor Garage AtticOutside 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 03/08/22 Name Type Quantity Smoke Detector/Co2 Combo ------- 2 Smoke Detector ------- 1 Heat Detector ------- 1 This Certificate has been approved by Westchester Rockland Electrical Inspection Services. This certificate may not be altered in any way. This certificate is valid for work performed before date of inspection only. s N i N N oe N N S Z w F w v> x 3 [-•i 0 d00 m ttn U 6w N o Q w 1 = ri 00 Z z n � c U At Nw z o N = S in w e BUILDING DEPARTMENT [ECEMED VILLAGE OF RYE BROOK ,JUN 2 1 2021 938 KING STREET RYE BROOK,NY 10573 (914)939-p66Ax(914)939-5801 VILLAGE OF RYE BROOK www.ry( ook.org BUILDING DEPARTMENT PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: cX 0 9 7 PP#: Approval Date: J UN 2 2 021 Permit Fee: $ Approval Signature: KA Other: Disapproved: (fees are non-refundable) Application dated, DUNE 14,2021 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 Plumbing as per detailed statement described below. The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. I.Address: 41 MEADOWLARK ROAD SBL: 129.84-1-8 Zone: /P 2.Proposed Work: INSTALL BASEMENT BATHROOM 3.Property Owner: PAUL & KELLY SNISKY Address: 41 MEADOWLARK ROAD, RYE BROOK,NY 10573 Phone#: 914- 772-5043 Cell#: email: 4.Master Plumber: PETER T. ADAMS Address: 128 MONTGOMERY AVE., SCARSDALE, NY 10583 Lic.#: 534 Phone#: 914-723-3191 Cell#: 914-274-0579 email: HILLANDADAMS@AOL.COM Company Name: HILL & ADAMS, INC. Address: 128 MONTGOMERYAVE., SCARSDALE, NY 10583 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 1 1 1 1 4 1 st Floor 2nd Floor 3 Floor 4 Floor 5 Floor Exterior 5.* List Other Equipment/Provide Details: INSTALL NEW BASEMENT BATHROOM WITH EJECTOR PUMP Lt/ L dll tv,f (Notarized Signatures Re fired Next 2 Pages) 3/21/19 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: PETER T. ADAMS ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the PLUMBING CONTRACTOR for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of ,20 day of 120 Signature of Property Owner Signature of Applicant PETER T. ADAMS Print Name of Property Owner Print Name of Applicant Notary Public Notary Public This application must be properly completed in its entirety and must include the notarized signature(s)of the legal owner(s)of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 3/21/19 STATE OF NEW YOM COUNTY OF WESTCHESTER ) as: PETER T. ADAMS ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the legal owner of the property to which this application pertains,or that(s)he is the PLUMBING CONTRACTOR 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 50" Sworn to fore me this day of ipl)Kr 20 2y19 day of L44-9— 20 ;1— Signature of P o bwner = ��•.oc�"'ss'°� v�OV Signature of Applicant PETER T. ADAMS Print Nam of Property Owner VpL�G • — 6•; � Print ame of Applicant I,0o���C.I000 Notary PubTIC VERONICA A.RE ot_arm Public Notary Publ//c-State of Now York N31 REa9W392 QVI11med In westctiester COUNY My Colealbslon Expires 121200 1 This application must be properly completed in its entirety and must include the notarized signature(s)of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 3/21/19 • BUILD ���� MENT VILE E OF RYE`�kOOK D [ 938 KING ET RYE BROOK,NY 10573 (914)939-0668 FAX(914)939-5801 JUN 2 1 2021 www.ry ehr �r L VILGE OF RYE BROOK * LA�t�Id#kP?It�f�'C'1�#'fatP�1"1�1�1"t 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 N TARIZED FORM WILL BE RETURNED TO THE APPLICANT. L�oi01�`u''7Jly�j � Phi 1447r-Ni as: 3, , residing at, t<) L') ►'UCik rint name) (Address where you lip r) being duly swo deposes and states that (s)he is the applicant above named, and further states t (s)he is the vs� legal owner of the property to which this Affidavit of Compliance pertains at; 41 MEADOWLARK ROAD, RYE BROOK, NY 10573 , Rye Brook, NY. (.lob Address) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signature of Propert} ner(s)) I S - (Print Name o)'Ptrty Owner(s)) NN��h Sworn to before me this day of , 20 ZCj,— ,r, TO 7(Notary 1%4,�AfNE", 40% -3- 3/21/19 } •2 f 2 M r.y 6S N � � w NA w N N O Z o ^W. Z d co s � cn GN z CIN 4Ln a oc 5 O 10, 0 Z O z z a s a� W Lei (, 2 0-4 N g C7 A C7 A A z oc z W. O VW ECENED BUIL yE, 4R(�v�y- TMENT DEC 19 2022 VILLAGE OF RYE PgOOK 938 KING SUEET RYE B ,NY 10573 VILLAGE OF RYE BROOK BUILDING DEPARTMENT I �"46V or PLUMBING PERMIT APPLICATION FOR OFFICE USE ONLY BP#: �I 9 7 PP#: Approval Date: DEC 1. k2V2 Permit Fee: $ /t,2 Approval Signature: V Other: Disapproved: (fees are non-refundable) ************************************************************************************************** Application dated, f__/9—Ql� 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 Plumbing as per detailed statement described below.The applicant&property owner,by signing this document agree that said plumbing work will be in conformance with all applicable Federal,State,County and Local Codes. 1.Address: �� � W��l ���" SBL:��9i d 7—�—� Zone: c)C% 2.Proposed Work: ioy'- O "o^r 51 V"� 3.Property OwnerD:r. t Address/:' 2 Ugl�'1Q` - Phone#: q C11 ell#: 1` 7 Z�6"1 > email: d�'S y,�S 4.Master Plumber: 1 r F)rj/ �►�-�J Address: Lic.#��Phone#: / -5/yj Cell#:��L1 d �� rl: G j ["A, Company Name: Address: _'o4 A t� INDICATE FIXTURES&LINES TO BE INSTALLED AS PER THE FOLLOWING SCHEDULE: Location Water Urinals Drinking Sinks Showers Bath Laundry Domestic Fire Sanitary Natural/ Other* Total Closets Fountains Tubs Tubs Service Service Sewer LP Gas Basement 1st Floor 2nd Floor 31d Floor 41 Floor 5's Floor Exterior 5.*List Other EquipmenVProvide Details: / (� ,/�fZ'V_ �/� `I &4j�4 A (Notarized Signatures Required Next 2 Pages) -t- sit2no21 p ECEWE BUILDING DEPARTMENT DEC 9 ZO21 VILLAGE OF RYEBROOK 938 KING STRi gET RYE BROOK,NY 10573 VILLAGE OF RYE BROOK (914)949-0668 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 WES T CHESTER ) as: U' st,I S ,residing at, JvJ K.. ;i�e �- �" (Print name) (Address where you live) being duly swom,deposes and Les 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; Locl-d ,Rye Brook,NY. (Job Address) Further that all statements contained herein are true,and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer,and further that there are no roof drains, sump pumps,or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (Signs e o Property Owner( S 's (P ame of Property Owner(s) Sworn to before me this `Y/� NAbA VPt00LJAK dayof 9 O J C m 6 c r ,20 ;,2 Notary Public,State of New York Reg.No.01 VR6238909 k-a)' Qualified in Westchester County It [��� Commission Expires 04/18/2023 (Notary Public) `" '1 -3- 9/12/2021 low STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: 5 ,being duly swom,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states thaat(s)he is the((legal owner of the property to which this application pertains,or that(s)he is the Q "N�c�� Laa J N"T� ��/ 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 17 Sworn to before me is .G1 h day of 90V-C*"hc� 0� day of 20 Signature of Prope wner Signature of Applicant I fy�r &)a'YX J- � n Print Name of Property Own Print Name of Applicant Notary Public NAt5A VRDOLJAIC Notary blic Notary public,State of New York GREGORY IN.RIVERA Reg. No.01 VR6238909 Notary Public,State al New York Qualified in Westchester County No.MR16441398 r'-ommission Expires 04/18/2023 Quap{W inVllestchesterCounty [ on res Se tuber ag 26,20�D This application must be properly completed in its entirety and must include the noi zmelsignI e(s)of the legal owner(s)of the subject property,and the applicant of record in the spaces provided.Applications not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. -2- 8/12/2021 1 Building Permit Check List&Zoning Analysis Address: 1, t �r PC)o LP-1k AnIt— I SBL: I Zone:-2J Use: 2 Const.Type: Other. r Submittal Due: Z- Revisions Submittal Dates: y Applicant: ►" k- Y Nature of Work: '17 N o u A-'rCz— IF—,/1 S-Ti ram+4-- s✓t J F4� —r Q.S F Fv��' 1� Ew Reviews:ZBA: MAR I 1 2021 pB. BOT. other: 2K ( ) 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. Shora 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: Z 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. (Jf ( ) 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 EXLSITNG PROPOSED NOTES 2 7 2021 Ate: Date: Cir e: Fro=z� Front: Front: Silo: Main Cov Accs.Cov Ft.HS : S . Sb: Tot,!my: FL IMP: P HH6&/Stories: notes: �� i�F'20 �z F� 4•vw • Foe Ao�►�tr 3 t t 3 -Z t� 4 Z� Laura Petersen From: steven silverstein <roaringbrookbldrs@gmail.com> Sent: Monday, March 15, 2021 3:41 PM To: Laura Petersen Subject: Re:WC Home Improvement License for 41 Meadowlark application Hi Laura, I just sent you the workers comp on the correct form.The estimated cost of construction is$40,000. Do you need it on some type of form or just the amount as stated? Thanks Steven Silverstein Roaring Brook Builders Inc On Mar 15, 2021,at 3:25 PM, Laura Petersen<LPetersen@ryebrook.org>wrote: Good afternoon, Thank you for the email. We will also need the following items before issuing the permit, -/1. General contractor's valid workers compensation on a NY State Board form (C1O5-2 or U26.3) V 2. Estimated cost of construction to determine the building permit fee ($15.00 per $1,000.00) (due once permit is issued and ready for pick-up) This information can be emailed to me. Thank you Laura Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, New York 10573 Phone(914)939-0668 1 Fax(914)939-5801 1 IgetersenCaDryebrook.org From:steven silverstein <roaringbrookbldrs@gmail.com> Sent: Monday, March 15, 2021 3:07 PM To: Laura Petersen<LPetersen@ryebrook.org> Subject:WC Home Improvement License for 41 Meadowlark application <image001.jpg> 1 r:..,.,�...., a.,ter vMewt►.w.co..ncwru,. ��)L:Cy1tt1 +••••,w•�•�o IUrerW.cw.aam Department of Consumer Protection Nome Improvement License ROARING"ROOK RUILUERS ING 111 NORTH CENTRAL AVENUE s 36o HARTSDALE.NY-m3o ' I1iis 1i:�ux n ix*+eal�o:+:c.nlvur Huh AMXk XVIA tk Wepci[elerl'a . l'onum,crI'naccacm4'ade.uHl�.aalydonly upon pwwM a1dieoffcwrJc�rtan< .ail ay 2 y Mir.11x WG16678•H% .� 08113042021 r"�rorc�" Steven Silverstein Roaring Brook Builders Inc 2 ROARBRO-02 JOBILIN AFRO CERTIFICATE OF LIABILITY INSURANCE DA�1OD21YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT - N ME: _._.- -._. Levitt-Fuirst Associates,LTD PHONE 914 457-4200 Fix 520 White Plains Road (A/C,No,Ext).( ) We,rw):(914)457-4200 2nd Floor ESs:irtfOCp RI levi ifuireLcom Tarrytown,NY 10591 INSURER(8)AFFORDING COVERAGE NAICt INSURER A:Southwest Marine dt General Insurance Company 12M INSURED INSURER a:New York State Insurance Fund_ 36102 Roaring Brook Builders,Inc. INSURER C:SiteiterPoint_ 81434 111 North Central Avenue INSURER 0: Hartsdale,NY 10530 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 ADD�� POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIALGENERALLIABILITY EACH OCCURRENCE 1,000,000 TO CLAIMS-MADE X]OCCUR 2OLHB00397 9/5/2020 9/5✓2021 PREMI ES(EsocRENTED $ 100,000 MED EXP one 51000 PERSONAL&ADV INJURY 1'008'008 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X]JECT LOC PRODUCTS-COMP/OP AGG 2,000,000 THER A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 eacadent)- ANY AUTO _ GL202OLHB00397 9/5/2020 9/5/2021 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILYBODILY INJURY PeracddeM X AUTOS ONLY X AUTOS ONL� PjtOPE GE UMBRELLA LIAR HOCCUR EACH OCCURRENCE EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTION E B WORKERS COMPENSATION X PER TM- AND EMPLOYERS'LIABILITY ANY PROPRIETOEER/PARTNER/EXECUTNE Y/N 141$2076 3/122020 3/t2I2022 E.L EACH ACGDENT 1,000,000 (MeodeEtoorry�in NM)EXCLUDED9 N/A E.L DISEASE-EA EMPLOYEE 1,0W,000 If yes,desc be under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT C Disability DBL231053 3/23/2020 3/22/2022 Statutory Limits DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Village of Rye Brook- is included as Additional Insured for covered operations of the named insured 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 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street Rye Brook,NY 10573 AUTHORIZED REPRESENTATIVE ;" 49 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 1 0601-441 1 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED) o a ^^^^^^ 202402040 1%ti LEVITT FUIRST ASSOCIATES LTD 520 WHITE PLAINS RD 2ND FLRm TARRYTOWN NY 10591 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ROARING BROOK BUILDERS INC VILLAGE OF RYE BROOK 111 NORTH CENTRAL AVENUE, SUITE 360 938 KING STREET HARTSDALE NY 10530 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W1415 207-8 205927 03/12/2021 TO 03/12/2022 3/18/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1415 207-8, 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, 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/CERTICERTVAL.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, STEVEN SILVERSTEIN-PRESIDENT ROARING BROOK BUILDERS INC 1 OF 1 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: 816352571 U-26.3 INTERIOR RENOVATION All"I ovnrc.n, .e Gr.-,i.,,,.,u. AI MEADOWLARK ROAD RYBROOK.NY 10573 ILL �t�u�,., ,„w� E CLIENT: o„elLl ILL "' .w ,Ill ILL �`"�`�'� `m,o,`�,� PAULSNISKY ARCHITECT: 11-ILL �F, t ���,�,w, JOHN PATRICK CUNNINGHAM 293 GARFIELD PLACE#PF ILL BROOKLYN NY 11215 a 630-217-4498 RLL2„o,,, ,,, o,t t „I.,, .,,,s �.-' _ ,xl, 1Pcunnin9@9maiLwm - ro- P, .-:,.. - - u ,�„LL LA, rw t,,,. ,„�,�.,,,u — 1 ,. E 11 _-. 11110 ILL A ,sewn,o n 1,to.,,_,M 11111111L LE AL i ILL „ tF, , ' Ll,,lo t , „ 1 FILE COPY I PPPHK�lOVIDKF�R U9EPSA �nnv„,� �,+.urvwo� „u o � 1 ffMM1EAMRTMET T(Mi V � 1 PERMIT? dj-097 L- �1 // GATEAPPR o (kSDARDy �CK C 7\ lx DAR�y e , 3 gar ws� ��� ------ � ��5 K custi�o •9 0412+�� �� ,w,x110'1— yf�stx4�yo - 1��� SITE PLAN& 1 .�onna�t ,nA� NOTES I � b ]!IA�TE ^PoERT20nG-001 .00 :va_AA EBROOK 02 WALL TYELEGEND 1/2.-1,-0.. 01�STEPLAN 1250 — INTERIOR RENOVATION 41 MEADOWLARK ROAD RY BROOK,NY 10573 CLIENT: PAUL SNISKY ARCHITECT: JOHN PATRICK CUNNINGHAM 293 GARFIELD PLACE#PF BROOKLYN NY 11215 El El 630-217-4498 jpcunning@gmaiLcom d El w ( L-= r 1FµED D,��y p�C'J t GM•CyNh TmJ ZPW c €�* RED AR Y N9r�a1245 you t� �5 0.1CK C /1� IVY D4120 0Q' (/ TFOF IN 01 BASEMENT DEMOLITION PLAN 1l4 =1'-0" _ DEMOLITION o, ' PLAN A-010.00 a, INTERIOR RENOVATION 11 MEADOWLARK ROAD RY BROOK,NY 10573 CLIENT: PAUL SNISKY ARCHITECT: JOHN PATRICK CUNNINGHAM 293 GARFIELD PLACE#PF E: ❑ BROOKLYN NY 11215 630-217-4498 ❑ _ E jpcunning@gmaiLcom El L F I I S�Rcp cRc sv aPa\ broAma ��4LED AR�y QPK��GK C N9f�9i a�Jp� FpF E.N /t 041241 A FOF NEB Of BASEMENT CONSTRUCTION PLAN 1/4"=1'-0" — "` _ CONSTRUCTION a PLAN E� ° ot A-110.00 II INTERIOR RENOVATION 41 MEADOWLARK ROAD BY BROOK,NY 10573 CLIENT: PAUL SNISKY ARCHITECT: JOHN PATRICK CUNNINGHAM 293 GARFIELD PLACE#PF ❑ BROOKLYN NY 11215 El 630-217-4498 jpcunning@gmail.com ❑ ❑ ❑ El ILIA _LL Uo . - I vu� S ERcnh to K°pro? �(tED AR cc w 'C 7yj QP��1GK C o`- 9�.04124� O� FOF EWy I t+21 � OF NE 01 BASEMENT CEILING PLAN 114 r-0- REFLECTED CEILING PLAN INTERIOR 11 IS ID RENOVATION 41 MEADOWLARK ROAD DOORS(HEDULE RY BROOK,NY 10573 -� DOOR lBAVE HFi)WAAf CLIENT: D00B^-TYPF OCSCDELION LOCATION WIDTH HEIGHT OPERATION CONSHIMPON TYPE KN031Y r _ _ _ PE PAUL SNISKY — 1.1 i B SLIDING DOOR BASEMENT et t fi 8 >W NG ALUMINUM ALUMINUM _ PULL 174T A _ NE4fLU HWOOD UOOR RFTHOOM 6A" o_ RAT PROHL KNOB tw,'.A _ NFluHAHN'OOODOOR BATwooM 2 air' SWAT -POPLAR s^vutraoH�_ Avoe _ �. - ARCHITECT: f0 NG POPLAR 3" -_ JOHN PATRICK CUNNINGHAM 293 GARFIELD PLACE#PF e BROOKLYN NY 11215 A SLIDUIGDOOR 630-217-4498 H115H WOOD DOOR PELLA LILESTYL-,QUAD SLIDING DOOR,CONTEMPORARY,'A THOJT HIP,WHITE jpcunning@gmailcom 05 DOOR SCHEDULE AND LEGEND 112"=Y'-0' MOROI DOOR DOOR. DESORPTION LOCATION WIDTH NE16-1I SILL LONSLRUNION -- 01 CAS;MENT EGRESS WINDOW BEDROOM 3fi' 3'-I0" I'll ""Ill O1 DOUBLE HUNGWINDOW 05 DOOR SCHEDULE AND LEGEND 12"=1'0 RED ARCy� c SW�w DAR- D U c h 1 lc 611—! o - r 9p O412QA FOF NEB ,un v.:mr uneco. EOF NAY I �� LEGENDS& U SCHEDULES -' Al A A3 A4 A-600.00 02 WALL TYPE LEGEND 112"=1'-0"